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2 CFR Part 200 Subpart F .Audit Certification Form Audits of States,Loca;Govemments,indian Tribes,and Non-Proñt Organizations contact informaton Subrecipient Name (Agency.Local Govemment,or organization):Kitthas County Authorized Chief Financial Officer (cantral accounting office):Jerry Pettit,County Auditor Address:205 West Sth Ave Suite 105,Bensburg,WA 98926 Ernail:jerry.petät@co.Mttitas.wa.us Phone #:(509)962-7502 Purpose:As a pass-through entity of federal grant funds,the WasNngton Military Department/Emergency Managernent Division (Department) is required by 2 CFR Part 200 Subpart F to monitor activities of sobrecipients to ensure federal awards are used for authorized purposes and verify that subrecipients expending $750,000 or more in federat awards during their fiscal year have met the 2 CFR Part 200 Subpart F Audit Requirements.Your entity is a subrecipient subject to such monitoring by MIL/EMD because it is a non-federal entity that expends federal grant funds received from the Department as a pass-through antity to carry out a federal program.2 CFR Pan 200 Subpart F should be consulted when completing this form. Directions:As required by 2 CFR Part 200 Subpart F,non-federal antities that expend $750,000 in federal awards in a fiscal year shall have a single or program-specific audit conducted for that year.If your entity at subject to these requirements,you must complete Section A of this Form.If your entity ja subject to these requirements.you must complete Section B of this form.When compieted,you must sign,date, and return this form with your grant agreement and every fiscal year thereafter until the grant agreement is closed.Failure to retum this completed Audit Certification Form may result in delay of grant agreement processing,withholding of federal awards or disallowance of costs. and suspension or termination of federal awards. SECTION A:Endties NOT subiect to the audit requirernents of 2 CFR Part 200 Suboart F Our entity is not subject to the requirements of 2 CFR Part 200 Subpart F because (check all that apply): We did not expend $750,000 or more of totalíederal awards during the fiscal year. O we are a for-profit agency. We are exempt for other reasons (describe): However,by signing below,i agree that we are still subject to the audit requirements,laws and regulations governing the program(s)ln which we participate,that we are required to maintain records of federal funding and to provide access to such records by federal and state agencies and their designees,and thatìNMDIEMD may request and be provided access to additional information and/or documentation to ensure proper stewardship of federal funds. SEGTION B:Entities that ARE subject to t.be audit requisements of 2 CFR Part 200 Subpart F (Complete the information below and checx Te approomate box) _.___j We completed our last 2 CFR Part 200 Subparl F Audit on lenter date)i/¿r for Fiscal Year ending (enter date There were no findings related to federal awards from WMDiEMD No follow-up action is required by \NMDIEMD as the pass-through entity A complete copy of the audit report,which inciedes exceptions,corrective action pian and management response,is either provided electronically to contracts of*ice(Omitwa.gov or provide the state auditor report number:70 /77 We completed our last 2 CFR Part 200 Subpart F Audit on lenter date)for Fiscal Year ending (enter date].There were findings related to federal awards. A complete copy of the audit report,which incindes excepdens,corrective action plan and management response,is siither provided electronically to contracts.office@mil.wa.gover provide the state auditor report nurnber: Our completed 2 CFR Part 200 Subpart F Audit will be available on [enter date]for Fiscal Year ending fenter date].We will provide electronic copy of the audit report to contracts.officetâmíLwa.gov ât that time or provide the state auditor report number i hereby certify that I am an individual authorized by the above identified entity to complete this form.Further,I certify that the above information is true and correct and all relevard raaterial findings contained in audit reportistaternent have been disclosed. Additionally,i understand this Form is to be subrained every fiscal year for which 141s entg is a subrecipient of federal award funds from the Department until the grant agreement is efosect / Signature of Authorized Chieí Financial Officer Date:loh27 ' Print Narne &Title e 77 ./ A ?/ct, WMD "arm 1009-13.¥9/2013,Uodated 9/972015