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CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES (Cal OES) <br />Effective April 4, 2022, the Federal Government transitioned from using the Data Universal Numbering System or DUNS number, to a new, non-proprietary <br />2a. Unique Entity Identifier (UEI) <br />identifier known as a Unique Entity Identifier or UEI. For entities that have an active registration in the System for Award Management (SAM) prior to this date, the <br />UEI has automatically been assigned and no action is necessary. For all entities filing a new registration in SAM.gov on or after April 4, 2022, the UEI will be <br />assigned to that entity as part of the SAM.gov registration process. UEI registration information is available on GSA.gov at: Unique Entity Identifier Update I GSA. <br />3. Implementing Agency Address <br />Enter the address of the Implementing Agency. Provide the complete nine digit zip code (Zip+4). <br />4. Location of Project <br />Enter the City and County/Operational Area where the project is located. Provide the complete nine digit zip code (Zip+4). <br />5. Disaster/Program Title <br />Enter the name of the Disaster or Program providing the funds for this Grant Subaward. A disaster may be referred by the federal declaration number. Program <br />titles should be complete without the use of acronyms. <br />6. Performance Period <br />Enter beginning and ending dates of the performance period for the Grant Subaward. (mm/dd/yyyy) <br />Indicate whether you are using the 10% de Minimis rate based on Modified Total Direct Costs (MTDC) or your current cognizant agency approved indirect cost <br />7. Indirect Cost Rate <br />rate agreement. A copy of the approved negotiated indirect cost rate agreement must be enclosed with your application. Indicate N/A if you will not be <br />claiming indirect costs under the award. Indirect costs may or may not be allowable under all Federal fund sources. <br />For each fund source used in the program, select the correct grant year and acronym from the drop down lists, the amount of state or federal funds requested, <br />8-12. Fund Allocations and Total Project Cost <br />the amount of cash and/or in -kind match contributed and the resulting totals. Please do not enter both state and federal on the same line. The Total Project Cost <br />row should correspond to the total project cost specified in the budget. <br />13. Certification Paragraph <br />Please review the Certification Paragraph. <br />14. CA Public Records Act <br />Please review, and if applicable, provide the necessary documentation. <br />15. Official Authorized to sign for the Subrecipient <br />Enter the name and title of the official authorized to enter into the Grant Subaward for the Subrecipient as stated in Block 1 of the Grant Subaward Face Sheet <br />(Cal OES 2-101). Enter the Payment Mailing Address where grant funds should be sent. Provide the complete nine digit zip code (Zip+4). <br />16. Federal Employer ID Number <br />Enter the nine digit Federal Employer Identification Number for the Implementing Agency. <br />FY 2023 EMPG FMFW (Macro) v.23 5 of 21 Instructions <br />