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A@bL AUTOMOBILE BURGLARY Fc THEFT PREVENTION AUTHORITY <br />WaaA Yur C_r <br />Form ABTPA-104 <br />(O1/72) <br />SPECIAL CONDITION <br />INDEPENDENT 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 as <br />follows (check one): <br />❑ 1. Grant(s) expenditures of $300,000 or more in federal funds - An annual single audit by an independent auditor <br />made in accordance with the Single Audit Act Amendments of 1996 and OMB Circular A-133. <br />❑ 2. Grant(s) expenditures of $300,000 or more in state funds - An annual single audit by an independent auditor <br />made in accordance with the Uniform Grant and Contract Management Standards (UGCMS). <br />~ 3. Grant(s) expenditures of less than $300,000 in federal funds - Exempt from the Single Audit Act. However, <br />ABTPA may require a limited scope audit as defined in OMB Circular A-133. <br />~ 4. Grant(s) expenditures less than $300,000 but $50,000 or more in state funds - A program-specific audit. <br />❑ 5. Grant(s) expenditures less than a total of $50,000 in state funds - Financial Statements audited in accordance <br />with Generally Accepted Auditing Standards (GASS). <br />NOTE: Grantees exempt from the Single Audit Act requirements (i.e. those expending less than $300,000 in total federal financial <br />assistance) are prohibited from charging the cost of a Single Audit to a Federal Award. <br />Authorized Official (signature) <br />Date <br />Grantee Organization <br />Financial Officer (signature) <br />Date <br />Grant Number <br />Regardless of items checked above, the grantee should, within 60 days following the date of the grant award, furnish the <br />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 />150 <br />ABTPA-31 of 31 <br />