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JAN.29.1998 2 :44PM ATCOG NO.898 P.2 <br />Form RA 12 <br />INTEPENDENT ANNUAL AUDIT CERTIFICATION <br />The grantee hereby assures compliance by itself and its applicable sub - recipients (contractors) with the Single <br />Audit Act Amendments of 1996, PL 104.156 and, particularly, with the requirements of OMB Circular A -133 <br />as follows (check one): <br />1. Grants) expenditures of $300,000 or more in federal funds - <br />An annual single audit by an independent auditor made in accordance with the <br />Single Audit Act Amendments of 1996 and OMB Circular A -133. <br />2. Grant(s) expenditures of $300,000 or more in state funds - <br />An annual single audit by an independent auditor made in accordance with the <br />Uniform Grant and Contract Management Standards (UGCMS). <br />3. Grant(s) expenditures of less than $300,000 in federal funds - <br />Exempt from the Single Audit Act. However, CJD may require a limited scope <br />audit as defined in OMB Circular A -133. <br />4. Grant(s) expenditures less than $300,000 but 550,000 or more in state funds - <br />A program - specific. audit. <br />5. Grants(s) expenditures less than a total of 550,000 in state funds - <br />Financial statements audited in accordance with Generally Accepted Auditing <br />Standards (GRAS). <br />NOTE: Grantees exempt from the Single Audit Act requirements (i.e. those expending less than $300,000 in <br />total federal Tina cial assistance) are prohibited from charging the cost of a Single Audit to a Federal award. <br />LJ <br />Authorized Official (Signature) Financial Officer (Signature) <br />1 30 ! 98 <br />Date <br />City of Paris <br />Grantee Organization <br />1 30 1 98 <br />Date <br />Unknown <br />Grant Number <br />Regardless of items checked above, the grantee should, within 60 days following the date of the gent award, <br />furnish the following information: <br />1. The identity of the organization conducting the audit <br />2. Approximate time audit will be conducted <br />3. Audit coverage to be provided <br />15 <br />CJD Corms Packet <br />Revised: September, 1997 <br />