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MODIFIED TOTAL DIRECT COSTS(MTDC) CERTIFICATION <br /> Any non-Federal entity that does not have a current negotiated (including provisional)federal indirect rate may <br /> elect to charge a de minimis rate of up to 10%of its modified total direct costs' (MTDC)which may be used <br /> indefinitely. If chosen,this methodology must be used consistently for all Federal awards. Costs must be <br /> consistently charged as either direct or indirect costs. <br /> City of Everett- NA is electing to use the de minimis indirect rate of 0 %of MTDC <br /> Applicant Name <br /> Modified Total Direct Costs Worksheet <br /> Add: Salaries+ Benefits+Subgrantees+Contracted Services+ $0 <br /> Goods &Services <br /> - Subtract the amount of any subgrantee or contracted services line $0 <br /> items that are over$25,000 <br /> - Subtract rent costs $0 <br /> - Subtract equipment'costs $0 <br /> - Subtract any other costs as required per Uniform Guidance $0 <br /> Total Modified Direct Cost (MTDC) Base of Grant $0 <br /> MTDC Base of Grant x 0 % = allowable de minimis indirect cost amount $0 <br /> By signing below, I certify that the applicant listed above does not have a current Federally-negotiated indirect <br /> cost rate for any awards and has received less than $35 million in direct federal funding for the fiscal year <br /> requested. <br /> In addition,the undersigned certifies that project costs will be consistently charged as either indirect or direct a <br /> nd will not be double charged or inconsistently charged as both,that project costs will be charged consistently <br /> between all Federal awards, and that the proper calculation, use and application of the de minimis rate is the <br /> responsibility of the applicant. OCVA may perform a financial monitoring review to ensure compliance with 2 <br /> CFR Part 200. <br /> N/A <br /> Signature of Authorized Official Date <br /> 1 Modified Total Direct Cost(MTDC)means all direct salaries and wages,applicable fringe benefits,materials and supplies,services,travel and sub-awards <br /> 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 <br /> under the award).MTDC excludes equipment,capital expenditures,charges for patient care,rental costs,tuition remission,scholarships and fellowships, <br /> participant support costs and the portion of each sub-award and subcontract in excess of$25,000. <br /> 2 Equipment means tangible personal property having a useful life of more than one year and a per unit acquisition cost of$5,000.Equipment purchases <br /> must be pre-approved by OCVA before incurring.See Uniform Guidance,2 CFR§200.33-Equipment. <br /> Washington State STOP Formula Grant Program Application for FFY 2022 <br />