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<br />SINGLE AUDIT ACT CERTIFIED ASSURANCE <br /> <br />The grantee hereby assures compliance by itself and its applicable subrecipients <br />(contractors) with the Single Audit Act of 1984, PL98-502 (ACT) and, particu- <br />larly, with the requirements of OMB Circular A-128 (copy Enclosed) as follows: <br /> <br />Grant Funds of $100,000 or over <br /> <br />~//~~ <br />'Authorized Official (signature) <br /> <br />AJ.L.O~ <br /> <br />Financial Officer (signature) <br /> <br />.3-/).-'7-3 <br />Date <br /> <br />:Y!r 3 <br /> <br />Date <br /> <br />('.;7"Y ~f !:r;s <br />Grantee Organization <br /> <br />" . ",J.."..'! <br />f <br />Grant Number <br /> <br />Grantee should, within 60 days following the date of the grant award, furnish the <br />following information: <br /> <br />1. Identify of the organization conducting the audit. <br /> <br />2. Approximate time audit will be conducted. <br /> <br />3. Audit coverage to be provided. <br />