Exhibit_C_-_Certification_of_De_Minimis.pdf

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Attached to
Master Agreement AZ|CTR075530
Contract number
CTR075530
Issued by
Arizona

About this file

This document is an Exhibit C Certification of De Minimis Indirect Cost Rate form, which is intended for a subrecipient to certify its eligibility for using a de minimis indirect cost rate for federal funding. The document is associated with the Child and Community Services Division (CCSD), which will monitor the proper application of the rate and can require fund return if non-compliance is detected.

The certification establishes that the subrecipient meets specific criteria for using the de minimis rate, including never having received a federally negotiated indirect cost rate, receiving less than $35 million in direct federal funding for the fiscal year, and agreeing to apply the rate to Modified Total Direct Cost (MTDC). The MTDC base includes direct salaries, wages, fringe benefits, materials, supplies, services, travel, and up to the first $25,000 of each subaward. The form requires the subrecipient to consistently charge project costs as either indirect or direct, without double-charging, and acknowledges that the rate is subject to monitoring by CCSD and/or the awarding federal agency.

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Exhibit C Certification of De Minimis

Indirect Cost Rate

(Name of subrecipient) elects to use The ____________ % de Minimis rate for indirect cost reimbursement and certifies that it meets each of the following eligibility criteria:

1. The subrecipient has never received a Federally negotiated indirect cost rate for any federal awards.

2. The subrecipient has received less than $35 million in direct federal funding for the fiscal year requested.

3. The de minimis rate approved will be applied to Modified Total Direct Cost (MTDC). This base includes all direct salaries and wages, applicable fringe benefits, materials and supplies, services, travel, and up to the first $25,000 of each subaward (regardless of the period of performance of the subawards under the award). MTDC excludes equipment, capital expenditures, charges for patient care, rental costs, tuition remission, scholarships and fellowships, participant support costs and the portion of each subaward in excess of $25,000. Other items may only be excluded when necessary to avoid a serious inequity in the distribution of indirect costs.

4. The project costs will be consistently charged as either indirect or direct and will not be double charged or inconsistently charged as both.

The proper use and application of the de Minimis rate is the responsibility of the subrecipient and subject to monitoring by the Child and Community Services Division (CCSD) and/or the awarding federal agency. If financial monitoring results in the determination of non-compliance with 2 CFR 200 and/or other applicable federal guidelines, funds must be returned to CCSD.

SUBMITTED BY AUTHORIZED REPRESENTATIVE:

Signature:

Printed Name:

Title:

Date:

The:
Text1:
Text2:
Date3_af_date:

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