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DocuSign Envelope ID: 262ABA18-5354AF41-9508-9B13C8ACBA6D <br />Attachment 2 <br />Federal Compliance, Certifications, and Assurances <br />FEDERAL COMPLIANCE - The use of federal funds requires additional compliance and control mechanisms <br />to be in place. The following represents the majority of compliance elements that may apply to any federal <br />funds provided under this contract. For clarification regarding any of these elements or details specific to the <br />federal funds in this contract, contact: Jon Brogger. <br />a. Source of Funds Medical Assistance Program: This Contract is being funded partially or in full through <br />Cooperative Contract number 21-05WA5ADM, the full and complete terms and provisions of which are hereby <br />incorporated into this Contract. Federal funds to support this Contract are identified by the Catalog of Federal <br />Domestic Assistance (CFDA) number 93.778 in the amount of no maximum, reimbursement based on <br />percentages. The sub-awardee is responsible for tracking and reporting the cumulative amount expended under <br />HCA Contract K4649. <br />b. Period of Availability of Funds Medical Assistance Program: Pursuant to 45 CFR 92.23, Sub-awardee may <br />charge to the award only costs resulting from obligations of the funding period specified in 21-05WA5ADM unless <br />carryover of unobligated balances is permitted, in which case the carryover balances may be charged for costs <br />resulting from obligations of the subsequent funding period. All obligations incurred under the award must be <br />liquidated no later than 90 days after the end of the funding period. <br />c. Single Audit Act: Contractor or Subrecipient (including private, for-profit hospitals and non-profit <br />institutions) shall adhere to the federal Office of Management and Budget (OMB) Super Circular 2 CFR <br />200.501 and 45 CFR 75.501. A Contractor or Subrecipient who expends $750,000 or more in federal <br />awards during a given fiscal year shall have a single or program -specific audit for that year in accordance <br />with the provisions of OMB Super Circular 2 CFR 200.501 and 45 CFR 75.501. <br />d. Modifications: This Contract may not be modified or amended, nor may any term or provision be waived or <br />discharged, including this particular Paragraph, except in writing, signed upon by both parties. <br />1. Examples of items requiring Health Care Authority prior written approval include, but are not limited to, <br />the following: <br />i. Deviations from the budget and Project plan. <br />ii. Change in scope or objective of the Contract. <br />iii. Change in a key person specified in the Contract. <br />iv. The absence for more than one (1) months or a 25% reduction in time by the Project <br />Manager/Director. <br />v. Need for additional funding. <br />vi. Inclusion of costs that require prior approvals as outlined in the appropriate cost principles. <br />vii. Any changes in budget line item(s) of greater than twenty percent (20%) of the total budget in <br />this Contract. <br />2. No changes are to be implemented by the Sub-awardee until a written notice of approval is received <br />from the Health Care Authority. <br />e. Sub -Contracting: The Contractor or Subrecipient shall not enter into a sub -contract for any of the work <br />performed under this Contract without obtaining the prior written approval of the Health Care Authority. If <br />sub -contractors are approved by the Health Care Authority, the subcontract, shall contain, at a minimum, <br />sections of the Contract pertaining to Debarred and Suspended Vendors, Lobbying certification, Audit <br />requirements, and/or any other project Federal, state, and local requirements. <br />f. Condition for Receipt of Health Care Authority Funds: Funds provided by Health Care Authority to the <br />Contractor or Subrecipient under this Contract may not be used by the Contractor or Subrecipient as a <br />match or cost-sharing provision to secure other federal monies without prior written approval by the Health <br />Care Authority. <br />g. Unallowable Costs: The Contractor or Subrecipient's expenditures shall be subject to reduction for <br />amounts included in any invoice or prior payment made which determined by HCA not to constitute <br />allowable costs on the basis of audits, reviews, or monitoring of this Contract. <br />Washington State Page 26 of 53 HCA IAA K4649 <br />Health Care Authority Revised 1012020 <br />