STATE OF NEVADA
	STATE HISTORIC PRESERVATION OFFICE
	COMMISSION FOR CULTURAL AFFAIRS
	CERTIFICATION OF AUTHORIZED SIGNATORIES
	Grantee:						Grant No.
	Mailing Address:
	Phone Number:						Award Amount:
	Fax Number:
	Historic Building/Site:
	Address of Building/Site:
	Project Manager
	Work Phone
	Cell Phone
	E-Mail
	This person is the authorized project manager for this project and will be the signator for quarterly progress reports and project change requests.
	Signature						Title
	Date
	Financial Manager
	Work Phone
	Cell Phone
	E-Mail
	This person is the authorized financial manager for this project and will be the signator for financial reports.
	Signature						Title
	Date
	Alternate Signatory
	Work Phone
	Cell Phone
	E-Mail
	This person is the authorized alternate signator for this project and can be the signator for quarterly progress reports, project change requests, and financial reports.
	Signature						Title
	Date