ANNEX IVSupplementary provisions
ANNEX IV Certified financial report on the implementation of a coordinated monitoring programme of Listeria monocytogenes in selected categories of ready-to-eat foods Reporting period: … to … Statement on costs incurred on the coordinated monitoring programme and eligible for financial contribution from the Union Reference number of Commission Decision providing a financial contribution from the Union: … Costs incurred related to Number of tests Total costs incurred during reporting period (national currency) Total eligible costs for financial contribution from the Union Detection of Listeria monocytogenes Enumeration of Listeria monocytogenes Determination of the pH Water activity (a w ) Declaration by the beneficiary I certify that — the above costs are genuine and have been incurred in carrying out the tasks laid down in Commission Decision 2010/678/EU and were essential for the proper performance of those tasks, — all supporting documents supporting for the costs are available for audit purposes, — no other contribution from the Union was requested for this coordinated monitoring programme, — according to Article 109.2 of the Financial Regulation applicable to the general budget of the European Communities (Council Regulation (EC, Euratom) No 1605/2002), this grant has not produced a profit for the Member State. Date: … Person financially responsible: … Signature: …