Grant Renewal Application WA ST Dept of Commerce

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