CHECKLIST - FOA No OWBO-WKPLN-2018-19-1.docx

Checklist of Required Submissions for the OWBO-WKPLN-2018-19-1 - Option Year Work Plan & Budget Request Address and submit all information requested by the Option Year Work Plan & Budget Request Template.

OPEN DATE: October 29, 2018 CLOSE DATE: December 27, 2018 (11:59:59 PM EST)

Project Narrative

☐Work Plan Narrative - The work plan narrative shall be limited to 5 pages and include responses for each section identified. For each section, the narrative should address all of the questions included in that section. If the Host has multiple centers, make sure each narrative is unique to that center. You must number your responses in the order of the template. Do Not type directly into the Option Year Work Plan & Budget Request Template.

☐Projected Milestones Chart ☐Copy of all Sub-contracts and Agreements - Must also include 3 quotes for all subcontracts between 10,001 - 250K.)

☐Active SAM Registration – A print out showing a valid SAM registration and the date of expiration ☐Financial Management Certification – Include a signed certification that the financial system to be used for the WBC’s project meets the requirements of 2 CFR Part 200.302 and 200.333. (Note: The signed certification statement or letter may be from the applicant’s auditor, CPA, treasurer, comptroller, CFO or similarly qualified individual.)

Updated Documents Submit any documents that have changed since the prior year. If no changes, no need to submit with this Option Year Work Plan and Budget Request.

☐Organization Chart - Include names and positions for all proposed full- and part-time program staff employees working on the WBC Project ☐List of Board of Directors ☐List of WBC Advisory Board Members

Supporting Documents ☐Approved Indirect Cost Rate (if applicable) ☐Most recent audit (or audited financial statement, as applicable) Note: If Applicant’s prior year project was identified by OWBO as low-risk, the Applicant may submit its most recent un-audited financial statement.

SF 424 Package and Budget Details

Option Year Budget ☐SF-424 (Form located at Grants.gov) ☐SF-424A (Form located at Grants.gov) ☐SF-424B (Form located at Grants.gov) ☐Annual Budget Summary Worksheets (B10 – B16) ☐Certification of Cash Match and Program Income Also, complete page 2 of the worksheet and list sources for all cash match and the activity which will generate program income. The amounts shown here should match the amount of cash and program income (if any) shown in your budget. Note: In-kind should not be included on this worksheet.

MAKE SURE OF THE FOLLOWING

1. The SF-424 reflects the correct federal amount (as approved by OWBO in your Letter of Intent) and non-federal match of which 50% is in the form of cash. Note: Cash match is all non-federal cash and program income;

2. The SF-424A, block 6. a. – k., breaks out the federal share (in column 1); the non-federal cash (in column 2); in-kind (in column 3) & program income if any (in column 4); and

3. The budget does not include non-expendable equipment. Non-expendable equipment is unallowable under the grant. Only expendable equipment, (valued below $5,000 per piece) is allowable to be charged to the grant and must be shown under the "Supplies" cost category.