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City of Everett <br /> Washington State STOP Formula Grant Program Renewal Application for FFY 2019 <br /> MODIFIED TOTAL DIRECT COSTS(MTDC) CERTIFICATION <br /> Any non-Federal entity that has never received a negotiated indirect cost rate may elect to charge a de minimis <br /> rate of 10% of modified total direct costs (MTDC)which may be used indefinitely. If chosen,this methodology <br /> once elected must be used consistently for all Federal awards. Costs must be consistently charged as either <br /> direct or indirect costs. <br /> Instructions: For local government and Tribal grantees, please have your auditor or chief financial officer <br /> complete this certification. Nonprofit subrecipients may use their certified public accountant. <br /> City of Everett is electing to use the de minimis indirect rate of 10%of MTDC. <br /> Modified Total Direct Cost Base of Grant $0.00 <br /> MTDC Base x 10% $0.00 <br /> By signing below,you certify that City of Everett has never received a <br /> Federally-approved indirect cost rate agreement or cost allocation plan and that the method used to determine <br /> the modified total direct cost base meets the requirements of 2 CFR Part 200—Uniform Administrative <br /> Requirements,Cost Principles, and Audit Requirements for Federal Awards. Costs will be charged consistently <br /> between all Federal awards. <br /> N/A <br /> Print name and title of person attesting this MTDC calculation meets federal requirements <br /> • Organization or Agency of person named above <br /> Signature of person named above Date <br /> Modified Total Direct Cost(MTDC) means all direct salaries and wages, applicable fringe benefits, materials and <br /> supplies,services,travel and sub-awards and subcontracts up to the first$25,000 of each sub-award or <br /> subcontract(regardless of the period of performance of the sub-awards and subcontracts under the award). <br /> MTDC excludes equipment, capital expenditures, charges for patient care, rental costs,tuition remission, <br /> scholarships and fellowships, participant support costs and the portion of each sub-award and subcontract in <br /> excess of$25,000. <br /> 13 <br /> 70 <br />