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2 CFR Part 200 Subpart F Audit Certification Form <br />Audits of States, Local Governments, Indian Tribes, and Non -Profit Organizations <br />Contact,lnform6t! ' h <br />Subreciplent Name (Agency, Local Government, or Organization): Kittitas County <br />Authorized Chief Financial Officer (central accounting office): Judy Pless, Budget Finance Manager <br />Address: 205 W. 5th Ave; Suite 105 Ellensburg, WA 98926 <br />Email: Judy.pless@co.kittitas.wa.us Phone #: (509) 962.7502 <br />Purpose: As a pass-through entity of federal grant funds, the Washington Military Department/Emergency Management Division (Department) <br />is required by 2 CFR Part 200 Subpart F to monitor activities of subreciplents to ensure federal awards are used for authorized purposes and <br />verify that subreciplents expending $750,000 or more in federal awards during their fiscal year have met the 2 CFR Part 200 Subpart F Audit <br />Requirements, Your entity is a subrecipient subject to such monitoring by MIUEMD because it is a non-federal entity that expends federal grant <br />funds received from the Department as a pass-through entity to carry out a federal program. 2 CFR Part 200 Subpart F should be consulted <br />when completing this form. <br />Directions: As required by 2 CFR Part 200 Subpart F, non-federal entitles that expend $750,000 in federal awards in a fiscal year shall have <br />a single or program -specific audit conducted for that year. If your entity LaLo subject to these requirements, you must complete Section A of <br />this Form. If your entity is subject to these requirements, you must complete Section B of this form. When completed, you must sign, date, <br />and return this form with your grant agreement and every fiscal year thereafter until the grant agreement is closed. Failure to return this <br />completed Audit Certification Form may result in delay of grant agreement processing, withholding of federal awards or disallowance of costs, <br />and suspension or termination of federal awards. <br />Our entity is not subject to the requirements of 2 CFR Part 200 Subpart F because (check all that apply): <br />❑ We did not expend $750,000 or more of total federal awards during the fiscal year. <br />❑ We are a for-profit agency. <br />❑ We are exempt for other reasons (describe): <br />However, by signing below, I agree that we are still subject to the audit requirements, laws and regulations governing the program(s) In <br />which we participate, that we are required to maintain records of federal funding and to provide access to such records by federal and state <br />agencies and their designees, and that WMD/EMD may request and be provided access to additional information and/or documentation to <br />ensure proper stewardship of federal funds. <br />(Complete the information below'and chedk the appropriate box) <br />® We completed our last 2 CFR Part 200 Subpart F Audit on [enter date] 9/29/16for Fiscal Year ending [enter date] 2016 There <br />were no findings related to federal awards from WMD/EMD. No follow-up action is required by WMD/EMD as the pass-through entity, <br />A complete copy of the audit report, which includes exceptions, corrective action plan and management response, is <br />either provided electronically to,2 tracts.2ffice mil wa aov or provide the state auditor report number: <br />#1017601 <br />❑ We completed our last 2 CFR Part 200 Subpart F Audit on [enter date) for Fiscal Year ending [enter date] There <br />were findings related to federal awards. <br />A complete copy of the audit report, which includes exceptions, corrective action plan and management response, is either <br />provided electronically to contras s. ice mil.wa. ov or provide the state auditor report number: <br />❑ Our completed 2 CFR Part 200 Subpart F Audit will be available on [enter date] for Fiscal Year ending <br />[enter date]. We will provide electronic copy of the audit report to contrgcts.Office mil.wa. v at that time or <br />Drovide the state auditor rannrt ni imhar, <br />I hereby certify that I am an individual authorized by the above identified entity to complete this form. Further, I certify that the <br />above information is true and correct and all relevant material findings contained In audit report/statement have been disclosed. <br />Additionally, I understand this Form is to be submitted every fiscal year for which this entity is a subrecipient of federal award <br />funds from the Department until the grant agreement Is closed. <br />Signature of Authorized Chief Financial Officer: Vit! Date:. -15/r <br />Print Name & Title: Judy Pless, Budget Fiance Manager <br />WMD Form 1009.13, Bt1912013, Updated 9/9/2015 <br />