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3. Subrecipient is a direct recipient of any Federal awards: Yes X No <br /> A-133 audit is required in any year that your organization spends in excess of$750K of grant <br /> money that has originated from federal funding sources. Has your organization received in <br /> excess of$750K of federal funds within the last two years? Yes <br /> 4. Subrecipient has: A-133 audit x No audit report <br /> 5. Subrecipient has: Existing or prior contracts issued from AGO No <br /> No existing or prior contracts issued from AGO X <br /> a. If subrecipient has existing or prior contracts with AGO, list all contract numbers: <br /> NA <br /> b. Subrecipient X has not has defaulted on any existing or prior contracts or is <br /> aware of any prior negative experiences. <br /> Section E: Comments <br /> If you are chosen as a subrecipient,the following items will be required: <br /> 1. Statewide Vendor Number <br /> 2. System for Award Management(SAM) registration https://www.sam.gov/SAM/ <br /> 3. Secretary of State (SOS) registration(if applicable)https://www.sos.wa.gov/ <br /> 4. Department of Revenue registration(if applicable)https://dor.wa.gov/ <br /> Subrecipient is responsible for verifying registration requirements with the Department of <br /> Revenue (https://dor.wa.gov/doing-business/register-my-business) and the Office of the <br /> Secretary of State. <br /> Section F: Subrecipient's Authorized Official approval <br /> I certify that the information provided is true and correct. I am the authorized official of the <br /> Subrecipient named herein, and I have the authority to legally bind my organization in grants <br /> administration matters. I understand that: (a) any work we begin and/or expenses we incur <br /> related to our proposal prior to full execution of a subaward agreement will be at my <br /> organization's own risk and not covered by this award. <br /> a/ <br /> Signature of Subrecipient's Authorized Official Name Date <br /> Fink Ian Office of the City Attorney <br /> Cassie Frennkl , Mayor APPROVED AS TO FORM <br /> Davie C.Hall,City Attorney <br /> Name and Title of Authorized Official <br /> AT ST- Page 3 of 3 <br /> City Clerk <br />