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Single Audit Certification Form <br />The Single Audit Act of 1984 established audit requirements for non-Federal entities that receive Federal aid. On <br />December 26, 2014, the implementing document, 0MB Circular A-133 (Audits of States, Local Governments, and Non- <br />Profit Organizations) was superseded by 2 CFR Part 200 (Uniform Administrative Requirements, Cost Principles, and <br />Audit Requirements for Federal Awards). If your current fiscal year began before December 26, 2014, then 0MB <br />Circular A-133 is still applicable. If your fiscal year begins on or after January 1, 2015 , then 2 CFR Part 200 applies . <br />Under 0MB A-133 ,State or local governments (City, County, Airport Authority , Airport Board) that expend $500,000 or <br />more a year (calendar or fiscal) in total Federal financial ass ist a nce must conduct an audit and submit it to the Federal <br />Audit Clearinghouse. If the single audit is required under 2 CFR Part 200, then the total Federal financial assistance <br />expenditure limit is $750 ,000 or more. For more information on the Single Audit Act requirements please reference the <br />following web site: hH1 ://hor-ci,1er.ce11sus.11ov/. -~l'/ <br />This notice is our request for a copy of your most recent audit, whether or not there are any significant findings.In <br />accordance with your Airport Improvement Program (AIP) grant agreement,y ou must also provide that information to <br />your local Airports District Office (ADO). Please fill out the information below by checking the appropriate line(s), sign, <br />date, and return this form to the FAA local ADO identified at the bottom of the form. <br />Airport ponso r ln fo rm atl n: <br />J{dh.+ze ~V1\tL <br />KIILUJr Name fT<t<>I/C~lct ultt, Ye ar Ending <br />&w et <br />Airport Name <br />J)lvec1or <br />Repre sentative 's Title <br />Please check the appropriate line(s): <br />D We are subject to the Single Audit requirements and are taking the following action: <br />D The Single Audit for this fiscal/calendar year has been submitted to the FAA. <br />D The Single Audit for this fiscal/calendar year is attached. <br />D The Single Audit report will be submitted to the FAA as soon as this audit is available. <br />D We are exempt from the Single Audit requirements for the fiscal/calendar noted above. <br />Return to : FAA, Seattle Airports District Office <br />1601 Lind Ave . SW , Ste. 250 <br />Renton, WA 98057-3356 <br />~ 11 /1 8 <br />Date <br />I'!. .wa..us