Schedule H-6

Schedule H-6

Certificate Regarding Flood Hazard Area Precautions

U .S. Department of Agriculture

Rural Development, Telecommunications Programs

Please check the appropriate line below:

(a) The project is not located in a 100 year flood plain; therefore, no Flood Insurance is required.

(b) The project is located in a 100 year flood plain and the required insurance is or will be provided by:

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We, _______________________________________ (the Applicant) hereby certify that, as a prospective recipient under the Rural Broadband Access Loan and Loan Guarantee Program, we are in compliance, or will be in compliance during construction and/or installation of equipment and upon completion of the project, with the above referenced law.

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(Date) (Authorized Representative’s Signature)

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Name:

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Title: