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NCI / /. <br />l• 'fir <br />r`` 1.0 <br />'l4. <br />• <br />..•. • <br />• <br />•• <br />+ <br />r <br />• <br />WASHINGTON MILITARY DEPARTMENT <br />CONTACT INFORMATION <br />Subrecipient <br />Name <br />Local <br />Government, <br />Organization): <br />(Agency, <br />or <br />City <br />Everett <br />of <br />Subrecipient <br />Unique <br />Entity <br />Identifier <br />(UEI) <br />Number: <br />LVPSLN4A2LF6 <br />Title):Shaun <br />Finance <br />& Support <br />Services <br />Superintendent <br />Authorized <br />Financial <br />Representative <br />(Name <br />Bridge, <br />and <br />Address: <br />3200 <br />Cedar <br />Street, <br />Everett, <br />WA 98201 <br />Phone <br />Number: <br />Email: <br />(425) <br />257- <br />8823 <br />sbridge@everettwa.gov <br />Directions: As required by 2 CFR Part 200 Subpart F, non-federal entities that expend $750,000 in federal awards in <br />a fiscal year shall have a single or program -specific audit conducted for that year. <br />• If your entity is not to these requirements, you must complete Section A of this Form. <br />• If your entity is subject to these requirements, you must complete Section B of this form. <br />• All subrecipients must complete Section C (FFATA) of this form. <br />Failure to return this completed Form to contracts.office@mil.wa.gov may result in delay of grant agreement <br />processing, withholding of federal awards or disallowance of costs, and suspension or termination of federal <br />awards. <br />SECTION A: Entities NOT subject to the audit requirements of 2 CFR Part 200 Subpart F <br />(check <br />that <br />all <br />apply) <br />❑ <br />did <br />$750,000 <br />total <br />federal <br />during <br />the <br />fiscal <br />(Please <br />We <br />or <br />more <br />of <br />awards <br />not <br />expend <br />preceding <br />year. <br />that <br />the <br />Single <br />Audit <br />threshold <br />has <br />been <br />to <br />$1,000,000 <br />for <br />fiscal <br />starting <br />on or after <br />note <br />raised <br />years <br />October <br />1, <br />2024.) <br />❑ <br />We <br />for <br />are <br />a <br />-profit <br />organization. <br />❑ <br />We <br />for <br />(describe): <br />are <br />exempt <br />other <br />reasons <br />by <br />below, <br />I <br />to <br />the <br />laws, <br />However, <br />agree <br />that <br />we are <br />still <br />subject <br />audit <br />requirements, <br />and <br />regulations <br />signing <br />in <br />that <br />to <br />federal <br />the <br />which <br />we <br />we are <br />required <br />maintain <br />records <br />of <br />governing <br />program(s) <br />participate; <br />funding <br />to <br />by <br />federal <br />their <br />designees; <br />and <br />that <br />and <br />to <br />provide <br />access <br />such <br />records <br />and <br />state <br />agencies <br />and <br />be <br />to <br />information <br />documentation <br />to <br />WMD <br />access <br />additional <br />and/or <br />ensure <br />may <br />request <br />and <br />provided <br />federal <br />funds. <br />proper <br />stewardship <br />of <br />SECTION B: Entities that ARE subject to the audit requirements of 2 CFR Part 200 Subpart F <br />(Check the appropriate box and complete the information below) <br />XI We completed our last 2 CFR Part 200 Subpart F Audit on 9/23/24 for fiscal year 2023. There were no <br />findings related to federal awards or internal controls. <br />We completed our last 2 CFR Part 200 Subpart F Audit on [enter date] for fiscal year [enter date] and <br />there were findings related to federal awards and/or internal controls. <br />Our completed 2 CFR Part 200 Subpart F Audit will be available on [enter date] for fiscal year [enter <br />date]. <br />Updated 02/02/2023 <br />Page 1of2 <br />