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11 <br /> ATTACHMENT 1 <br /> CERTIFICATIONS AND ASSURANCES <br /> In the event federal funds are included in this agreement, added by future <br /> amendment(s), or redistributed between fund sources resulting in the provision of <br /> federal funds, the following sections apply: "I. Federal Compliance" and "II. Standard <br /> Federal Assurances and Certifications". In the instance of inclusion of federal funds <br /> as a result of an amendment, the Contractor may be designated as a "Subrecipient" <br /> and the effective date of the amendment shall also be the date at which these <br /> requirements go into effect. <br /> FEDERAL COMPLIANCE - The use of federal funds requires additional compliance and <br /> control mechanisms to be in place. The following represents the majority of compliance <br /> elements that may apply to any federal funds provided under this contract. (Refer to <br /> Catalog of Domestic Assistance number(s) cited in the "Payment" section of this contract <br /> for requirements specific to that fund source.) For clarification regarding any of these <br /> elements or details specific to the federal funds in this contract, contact: <br /> Compliance and Internal Control Officer <br /> Office of Financial Services <br /> Department of Health <br /> Post Office Box 47901 <br /> Olympia, Washington 98504-7901 <br /> 1. CIRCULARS `COMPLIANCE MATRIX' - The following compliance matrix identifies the <br /> OMB Circulars that contain the requirements which govern expenditure of federal funds. <br /> These requirements apply to the Department of Health, as the primary recipient of <br /> federal funds, and then follow the funds to the subrecipient. The federal Circulars which <br /> provide the applicable administrative requirements, cost principles and audit <br /> requirements are identified by subrecipient organization type. <br /> COMPLIANCE MATRIX <br /> OMB CIRCULAR <br /> ENTITY TYPE ADMINISTRATIVE COST AUDIT <br /> REQUIREMENTS PRINCIPLES REQUIREMENT <br /> S <br /> State. Local and Indian A-102 & A-87 A-133 <br /> Tribal Governments & Common Rule <br /> Governmental Hospitals <br /> Non-Profit A-110 A-122 A-133 <br /> Organizations & Non- <br /> Profit Hospitals <br /> Colleges or Universities A-110 A-21 A-133 <br /> &Affiliated Hospitals <br /> m W_ <br /> 'r9 P <br /> 4 <br /> DOH Contract#N13413 Page 6 of 13 rev. 4/28/04 <br />