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2 CFR Part 200 Subpart F Audit Certification Form <br />Audits of Stat.es, Locai Governments, Indian Tribes, and Non-Profit Organizations <br />Con t ac t lr.;oli'Tlati c n <br />Subracipient Name (.Agency Local Govemmsnt, or Organization ): Kitti tas County <br />- <br />Authorized Ch ief F inancial Officer (cantral 3ccaurling office ): Jarr.J Psttit, County Aud ito f <br />Address : 205 West 5th Ave Suite '105, E!l-ensburg , WA 98925 <br />Email : jeny.pettit@co.kittitas.wa.us Phone#: (509) 962-7502 <br />?u!1:)oae: As a pass-through entity of federal grant funds, the INashington Mil/tart Department/Emergency Management 0i\1ision (Department) <br />is required by 2 CFR Part 200 Subpart F to monitor activitfes of ,;uon~cipients to ansure Federal awards are used for authorizad purposes and <br />verify that subrecipients expending $750,000 or mora in federal awards during their fiscal year ha11e met the 2 CFR Part 200 Subpart F Audit <br />Requirements. Your enUty is a subrsclpient subjsct to such monitoring by MIUEMD because it is a non-federal entity that expends federal grant <br />funds rsceived from the Department as a pass-through entity to carr; out a federal program. 2 CFR Part 200 Subpart F should be consulted <br />when completing this form . <br />O!n,<:tior1s: As required by 2 CFR Part 200 Subpart F , non-iederat antities 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 ar.tfty is not subject to these requirements, you must complets Section A of <br />this Form . If your entity ]1 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 fisca l year !hereafter until the grant agreement is closed . Failure to retum this <br />completed Audit Certification Form may rasult in delay of grant agreement processing, withholding of Federal awards or disalfowanc~ 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 />0 We did not expend $750 ,000 or more of total federal awards during ihe fiscal year. <br />D We ara a for-profit agency. <br />0 We are exempt for other reasons (describe): <br />However, by signing oelow, I agree that we are stilt su~Jed lo the audit requirements, laws and regulations governing the program(s} 1n <br />which we participate, that we are required to maintain records of f eder al funding and to provide access to such records by federaf and stat~ <br />agencies and !heir designees , and that WMD/EMD may req;ues! and be provided access to additional information and/or documentation to <br />ensure proper stewardship of federal funds . <br />§.,ECTJO.N B; En titles· that A R£ s ut/act to tJ-,.e audit r equirements ol 2 CFR Psrt 2(]0 Suboart F <br />Corn Jete the in forma tion below and che-ck !h e-a re · box · <br />lv1' We completed o ur last 2 CFR Pa rt 200 Subj:,a Jt F Attd,t on (efller date] "1/.: 1/, .. For Fiscal Year ending [enter date}/:. h J<>,'{. Thers <br />I were no finding s related to federal awards fro m WMDtE\1/D No follow-up action is required by WMD/EMD as the pass-thmugir entity <br />A complete copy ot tt,e audit report, 'Mhich incl~ a,xaiptfet,1:3, corr-!lci4•re action plan and management ra,spoose, is <br />either provided ctlectronicall:-, to contr cts.office®mi l ,w .9011 ,cr pro11ide the :state audit<lf t9port number: /o / >1 '1 / <br />0 We completed our last 2 CFR Part 200 Subpart F Audit on Ienter date} ___ for Fiscal Year anding [enter date] ___ . There <br />were findings related to federal awards. <br />A complete copy of the audit r9!)Crt, wlhicn i;nc ltJd-11.s e:t,~~on:s, con!lcii'le action plan and managemeflt Mi!S~rui.e. ls mi~hoer <br />provided aiectronically to cootracf.!l .o ffice@ mll.w a.gov er F •O'Y!de U,e -Jtate auditor r11port number: ________ _ <br />O Our completed 2 CFR Part 200 Subpart F Audit will be available an ___ [enter date] for Fiscal Year anding <br />___ ...,_1enter date]. We will provide electron re copy oi the audit report to co ntrac ts .offTc ll@ m iL wa.qp v at that iime or <br />orovide the sli:i.lB •audltor re ort number. <br />I her11by certify that l am an l ndivldual auU,cn:zied by -the a~e identified entity to complete this form. Further, t c,ertff'J ttlat 'the <br />above information is tr\,Mt and corr,ect and all rekvam lniltlrlal fln<llngs contained In audit r,ap,ol1'3tatemen't ha'lle b4!en di,scm-ed. <br />Additionally, l undei-31.lnd this form is ·10 be .!l:u!bm itt!lo ew,y -/Iscai y411ar for which Is entity is a subr,eciplent of 1edef al awai!d <br />funds from the Oepartment until the grant c19-"er:pernt ~ c)~. 1 r <br />Signature of Authorized Chief Financfal Officer: _...,,.c.;:-c..~~~--+---1--.J'--4's.l-0-&t--_-Date· <br />Print Name & Titie: J et'/'( A I+, f /-rfr.1-;:'; <br />I