Exhibit I Certification_of_De_Minimis_Indirect_Cost_Rate.pdf

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Attached to
AZ|CTR079169
Contract number
CTR079169
Issued by
Arizona

About this file

This document is a Certification of De Minimis Indirect Cost Rate form from the Arizona Department of Economic Security (ADES), which allows a subrecipient to elect use of up to a 15% de minimis rate for indirect cost reimbursement. The form requires the subrecipient to certify eligibility by meeting specific criteria: never having received a Federally-negotiated indirect cost rate, receiving less than $35 million in direct federal funding for the requested fiscal year, and agreeing to apply the rate consistently to Modified Total Direct Costs (MTDC).

The de minimis rate will be applied to a specific cost base that includes direct salaries, wages, fringe benefits, materials, supplies, services, travel, and up to the first $50,000 of each subaward. Certain costs are explicitly excluded from this calculation, such as equipment, capital expenditures, patient care charges, rental costs, tuition, scholarships, and subaward portions exceeding $50,000. The subrecipient is responsible for properly using the rate and acknowledges that financial monitoring by ADES or the awarding federal agency may result in fund recoupment if non-compliance is determined.

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Certification of De Minimis Indirect Cost Rate

(Name of subrecipient) elects to use up to the 15% 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 $50,000 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 $50,000. 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 Arizona Department of Economic Security (ADES) 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 ADES.

SUBMITTED BY AUTHORIZED REPRESENTATIVE:

Signature:

Printed Name:

Title:

Date:

Exhibit I

Name of subrecipient elects to use:
Printed Name:
Title:
Date:

File details come from the government source that posted it. Updated .