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SUBRECIPIENT COMPLIANCE FORM <br />Instructions: Please complete this form. sign and submit to the Santa Ana Wnrkfnrra npvalnnmant nn. eA <br />Subrecipient <br />e , C^ ;I Are T s vtej t,, p... kepi <br />Agreement Date <br />July 1, 2020-June 30, 2021 <br />Agreement Amount <br />Ak %'0 O 0 00 <br />Dun and Bradstreet Data <br /># O 1 `A -3 O <br />Universe Numbering System <br />Catalog of Federal Domestic Assistance (CFDA) <br />The Catalog of Federal Domestic Assistance (CFDA) is a government -wide compendium of Federal programs, <br />projects, services, and activities that provide assistance or benefits to the American public. It contains <br />financial and nonfinancial assistance programs administered by departments and establishments of the <br />Federal government. The primary purpose is to assist users in identifying programs that meet specific <br />objectives (for more information refer to: www.cfda.gov) <br />CFDA Title & Number: WIA Youth Activities #17.259 <br />initial if you understand and agree with the above statement <br />Monitoring <br />Subrecipient will or may be monitored by officials from the City, State, or Federal entities. Monitoring may <br />include the review of the subrecipient's use of Federal awards through reporting, site visits, regular contact, <br />or other means to provide reasonable assurance that the Subrecipient administers Federal awards in <br />compliance with laws, regulations, and the provisions of contracts or grant agreements and that <br />performance goals are achieved. <br />initial if you understand and agree with the above statement <br />Audits <br />Subrecipient's expending $750,000 or more in Federal awards during the fiscal year must have met the audit <br />requirements of OMB Super Circular section 200.501 within 9 months of the end of the subrecipient's audit <br />period (refer to: https://www.federalregister.gov/documents/2013/12/26/2013-30465/uniform- <br />administrative-requirements-cost-principles-and-audit-requirements-for-federal-awards J. <br />Please provide documentation that demonstrates the most recent audit in compliance with the above <br />mentioned OMB Circular or include a letter indicating why a single audit was not required for your agency. <br />❑ See Attached >(Jot Applicable <br />O <br />V initial if you understand and agree with the above statement <br />0____ 9 5— \7_2oZ1 <br />Chief xecutive officeTS!gnatuk Date <br />