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01/08/2019
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01/08/2019
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Last modified
12/31/2019 11:14:42 AM
Creation date
2/19/2019 9:38:57 AM
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Meetings
Meeting Type
BCC Regular Meeting
Document Type
Agenda Packet
Meeting Date
01/08/2019
Meeting Body
Board of County Commissioners
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DocuSign Envelope ID: 4F49ED83-A0E8-4535-BBB4-F1419D233380 <br />Agreement # P0307 <br />ATTACHMENT 3 <br />Audit Compliance Certification <br />Grantee Name: <br />FEIN: Grantee's Fiscal Year: <br />Contact Person Name and Phone Number: <br />Contact Person Email Address: <br />1. Did Grantee expend state financial assistance, during its fiscal year, that it received under any agreement <br />(e.g., agreement, grant, memorandum of agreement, memorandum of understanding, economic <br />incentive award agreement, etc.) between Grantee and the Department of Economic Opportunity (DEO)? <br />Yes No <br />If the above answer is yes, also answer the following before proceeding to item 2: <br />Did Grantee expend $750,000 or more of state financial assistance (from DEO and all other sources of <br />state financial assistance combined) during its fiscal year? Yes No <br />If yes, Grantee certifies that it will timely comply with all applicable state single or project -specific audit <br />requirements of section 215.97, Florida Statutes, and the applicable rules of the Department of <br />Financial Services and the Auditor General. <br />2. Did Grantee expend federal awards, during its fiscal year that it received under any agreement (e.g., <br />agreement, grant, memorandum of agreement, memorandum of understanding, economic incentive <br />award agreement, etc.) between Grantee and DEO? Yes No <br />If the above answer is yes, also answer the following before proceeding to execution of this certification: <br />Did Grantee expend $750,000 or more in federal awards (from DEO and all other sources of federal awards <br />combined) during its fiscal year? Yes No <br />If yes, Grantee certifies that it will timely comply with all applicable single or program -specific audit <br />requirements of 2 C.F.R. part 200, subpart F, as revised. <br />By signing below, I certify, on behalf of Grantee, that the above representations for items 1 and 2 are <br />true and correct. <br />Signature of Authorized Representative Date <br />Printed Name of Authorized Representative Title of Authorized Representative <br />Page 37 of 37 <br />Rev. 9/27/18 <br />90 <br />
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