OMB CIRCULAR A-128 AND A-133__11/94 AMT_



2 CFR Part 200 Subpart F

Audits of State, Local Governments and Non-Profit Organizations

AUDIT REQUIREMENTS CERTIFICATION FORM

|Grantee: |      | Grant Number(s): |      |

| | | | |

|Address: |      |

|      |

| | | | |

|Contact Person: |      | Telephone #: |      |

| |

|Date Submitted: |      |

|We have reviewed the audit requirements noted in the above referenced Grant Agreement and do agree to comply with the requirements stated |

|therein. Upon completion of audits conducted during the grant period, we will forward a copy to you for review and clearance as required by 2|

|CFR Part 200 Subpart F. |

| |

|The following is information on the next organization-wide audit which will include this agency. |

|1. |* Audit Period: Beginning: |      |Ending: |      |

| |

|2. |Audit is scheduled to begin on: |      |

| |

|3. |Date Audit Report will be submitted to Finance: |      |

| | | |

|4. |Federal Identification Number |      |

*NOTE: The Audit Period is the organization’s fiscal or calendar year to be audited. Also, include the month, day and year for “Beginning” and “Ending” period.

|Additionally, we have or will notify our auditor of the above audit requirements prior to performance of the audit for the period listed|

|above. We will also ensure that the entire grant period will be covered by an audit meeting federal requirements, which in some cases |

|will mean more than one audit must be submitted. We will advise the auditor to cite specifically that the audit was done in accordance with 2|

|CFR Part 200 Subpart F, if we expend $750,000 or more in a year for all Federal awards received. |

| |

|We understand that all audit costs incurred to have the audit completed in accordance with 2 CFR Part 200 Subpart F will be paid with local |

|funds. Also, we understand Federal grant funds (CDBG) and S.C. Department of Commerce agency funds cannot be used to pay any part of the |

|audit costs incurred. |

|Any additional information regarding federal audit requirements will be furnished upon request. |

| | | | |

| |Signature, Authorized Official | |Date |

Please Return To:

SC Department of Commerce- Finance

1201 Main Street, Suite 1600

Columbia, SC 29201

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