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<br />City of Pleasanton <br />City Grant Application for Funds <br /> <br />Fiscal Year 2007/08 <br /> <br />11. Collaboration Agency <br />Affidavit Form <br /> <br />o This form is to be completed by each collaborating organization as named by the <br />applicant agency in the proposed project. <br />o Completed forms must be submitted at time of application. <br /> <br />Collaborating Agency <br /> <br />Agency Division/Department <br /> <br />Project Title <br /> <br />Project Role Description (i.e., facility space, staff support, etc.): <br /> <br />Agency Project Contact Person <br /> <br />Title <br /> <br />Phone <br /> <br />Email <br /> <br />I attest that the applicant agency and our organization agree to work collaboratively to implement <br />the proposed project and identified in the FY 2007/08 City Grant application. <br /> <br />Executive Director <br /> <br />Date <br /> <br />Project Contact Person <br /> <br />Date <br /> <br />Pleasanton City Grant - FY 2007/08 <br />Page 1 of 9 <br />