Certifications:

We are required to comply with OMB Uniform Guidance Subpart F - Audit Requirements

Yes No

Audit Contact Name and Title:

Audit Contact Phone:

Audit Contact Email:

Signature:

With the signature below, the Authorized Official certifies that the information, certifications, and representations are true and correct, and that the appropriate programmatic and administrative personnel involved in this application are aware of sponsoring agency policies in regard to subawards and are prepared to establish an inter-institutional agreement consistent with those policies.

Any work begun and/or expenses incurred prior to execution of a subaward agreement are at the subrecipient's own risk.

Authorized Official Signature

Date Signed

Authorized Official Name/Title

This institution is an equal opportunity employer, lender and provider.