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Instructions: Please complete this form, sign and submit to the Santa Ana Workforce Development Board. <br />Subrecipient_ Orange County Conservation Corps <br />Agreement Date July 1, 2020-June 30, 2021 <br />Agreement Amount $115,000 <br />Dun and Bradstreet Data # 835566431 <br />Universe Numbering System <br />Catalog of Federal Domestic Assistance (CFDA) <br />The Catalog of Federal Domestic Assistance (CFDA) is a government -wide compendium of Federal programs, <br />projects, services, and activities that provide assistance or benefits to the American public. It contains <br />financial and nonfinancial assistance programs administered by departments and establishments of the <br />Federal government. The primary purpose is to assist users in identifying programs that meet specific <br />objectives (for more information refer to: www.cfda.gov) <br />CFDA Title & Number: WIA Youth Activities #17.259 <br />initial if you understand and agree with the above statement <br />onitoring <br />rIIng - ------._._ ..... <br />M <br />Subrecipient will or may be monitored by officials from the City, State, or Federal entities. Monitoring may <br />include the review of the subrecipient's use of Federal awards through reporting, site visits, regular contact, <br />or other means to provide reasonable assurance that the Subrecipient administers Federal awards in <br />compliance with laws, regulations, and the provisions of contracts or grant agreements and that <br />performance goals are achieved. <br />initial if ou understand and agree with the above statement y <br />A its _ <br />Subrecipient's expending $750,000 or more in Federal awards during the fiscal year must have met the audit <br />requirements of OMB Super Circular section 200.501 within 9 months of the end of the subrecipient's audit <br />period (refer to: ht�t at. www.federaIre_gister,goyldacuments 2053 12 26 033 0465im�iformF <br />aclmirGisirative-reguitements-rost-principles-and audit -requirements for fedora€ -awards.). <br />Please provide documentation that demonstrates the most recent audit in compliance with the above <br />mentioned OMB Circular. <br />❑ See Attached ❑Not Applicable <br />§ief <br />nitial if you understand and agree with the above statement <br />2t 4 a _. <br />'x cub e Officer S r to <br />25B-330 <br />