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800 Governors Drive Pierre, SD 57501-2235 T 605.773.3413 F 605.773.6846 www.doe.sd.gov Email: [email protected] Child and Adult Care Food Program Day Care Home Sponsor Sub-Grant Spring 2019 Application Complete this application and return to the Child and Adult Nutrition Services office. Please keep a copy of this application for your files. Applications must be submitted by mail, please include original signatures with your application. Child and Adult Nutrition Services South Dakota Dept. of Education 800 Governors Drive Pierre, SD 57501-2235 Fax: (605) 773-6846 Phone: (605) 773-3413 Direct questions to: Cheriee Watterson, Office Administrator, [email protected] or Phone: (605) 773-4746

Child and Adult Nutrition Services - doe.sd.gov  · Web viewSD Department of Education and U.S. Dept. of Agriculture Food and Nutrition Service General Assurances & State Attestation

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800 Governors DrivePierre, SD 57501-2235T 605.773.3413F 605.773.6846www.doe.sd.govEmail: [email protected]

Child and Adult Care Food ProgramDay Care Home Sponsor

Sub-GrantSpring 2019 Application

Complete this application and return to the Child and Adult Nutrition Services office. Please keep a copy of this application for your files. Applications must be submitted by mail, please include original signatures with your application.

Child and Adult Nutrition ServicesSouth Dakota Dept. of Education800 Governors DrivePierre, SD 57501-2235Fax: (605) 773-6846Phone: (605) 773-3413

Direct questions to: Cheriee Watterson, Office Administrator, [email protected] or Phone: (605) 773-4746

Applicants will receive an email upon receipt of their application. If you do not hear back within a week of submitting your application, contact the Child and Adult Nutrition Services

office listed above to ensure your application was received.

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

(1) Mail: U.S. Department of AgricultureOffice of the Assistant Secretary for Civil Rights1400 Independence Avenue, SWWashington, D.C. 20250-9410;

(2) Fax: (202) 690-7442; or

(3) Email: [email protected].

This institution is an equal opportunity provider.

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Day Care Home SponsorSub-Grant Spring 2019 Application

Information and Requirements

What is the Child and Adult Care Food Program (CACFP) Day Care Home Sponsor Sub-Grant?Sub-grant funding comes from the U.S. Department of Agriculture (USDA) CACFP Meal Service Training Grant through the South Dakota Department of Education, Child and Adult Nutrition Services (CANS) office. This competitive sub-grant is available to Day Care Home Sponsors to train their family day care or group family day care home providers.

Training Sub-Grant Activity ObjectiveTo provide training and technical assistance for CACFP sponsoring organizations of family day care or group family day care homes to strengthen operator competencies and skills used in operating the CACFP.

Sub-grant funding is available to Day Care Home Sponsors to provide training for Child and Adult Care Food Program (CACFP) providers on ways to plan and prepare nutritious foods that contribute to the wellness, growth, and development of children. Training activities:

must be designed to strengthen competencies and skills required to operate the CACFP with requirements;

should include offering some interactive, in-person training with hands-on learning activities as part of the training approach;

should include having CACFP operators develop personalized goals, objectives, and action plans as part of trainings;

should follow up with training participants after training workshops or meetings to provide technical assistance and assess implementation of the training in the home;

should include developing strategies to provide training to CACFP providers in rural locations or “hard-to-reach” areas.

should be evidence-based; should aim for at least 8-hours for each training participant.

Sub-grant funds can only be used for allowable costs to the CACFP program. All expenditures paid for with sub-grant funds provided under this award must be incurred within the sub-grant period, and be in accordance with the tasks, project deliverables, and guidelines outlined in the Award Terms and Conditions. Only actual costs for work completed may be charged to the award.

Sub-grant funds cannot be used to train or support children that attend the sponsored family day care or group family day care homes. This funding is for the family day care home providers or group family day care home providers and their staff who currently participate in the Child and Adult Care Food Program. Additionally, training topics that are not included under the scope of this sub-grant include nutrition education for program participants (children) and gardening activities.

Eligibility Guidelines for Sub-GrantThe Day Care Home Sponsor Sub-Grant is an opportunity funded by the US Department of Agriculture. Eligible applicants are active CACFP Day Care Home Sponsors. Applicants must:

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Be located within the state of South Dakota Participate in the federal Child and Adult Care Food Program and be in good standing with federal

statute and regulations.

Requirements for Participation Participate in a webinar training hosted by CANS in April 25. The webinar schedule will be

announced to grantees. Conduct training for Child and Adult Care Food Program (CACFP) providers on ways to plan and

prepare nutritious foods that contribute to the wellness, growth, and development of children. Sub-grantees are encouraged to use existing training materials in the delivery of their training. The

U.S. Department of Agriculture (USDA) Food and Nutrition Service Team Nutrition initiative makes available free CACFP meal pattern training resources at: https://www.fns.usda.gov/cacfp-training-tools. The Food Buying Guide and Recipe Analysis Workbook are other valuable training tools and are available at: https://www.fns.usda.gov/tn/food-buying-guide-for-child-nutrition-programs. The Institute of Child Nutrition provides meal pattern training resources at: http://theicn.org/cacfpmp. The CANS office has several CACFP training resources available by request.

Expend sub-grant funds only as outlined in sub-grant award letter. Complete a sub-grant annual progress report and end of subgrant report to report grant fund

expenditures. A template will be provided for your use once it becomes available.

Selection of Sub-GranteesApplicants will receive an email upon receipt of their application. If you do not hear back within a week of submitting your application, contact the Child and Adult Nutrition Services office to ensure your application was received. Submission of an application for the Day Care Home Sponsor sub-grant does not guarantee selection for participation.

Late applications will not be accepted unless an inadequate number of applications are received by the deadline date. Those submitting incomplete applications, including those with missing signatures will be contacted; however, until the application is deemed complete it will not be considered for an award.

Sub-Grant Spending GuidanceSub-grant funding must meet the Training Sub-Grant Activity Objectives noted within this application packet. Examples of Allowable Costs:

Salaries and benefits of a training coordinator and additional instructors Travel and per diem associated with attending training within the State Cost for hiring substitutes so that providers and their staff may attend training Needs assessment to identify meal pattern training needs Translation of training materials

o No more than ten percent (10%) of the sub-grant may be used for adaptation of materials to meet the needs of a specific audience, such as translating materials into additional languages. These materials must be provided to the CANS office and will be shared with FNS for public sharing via the Team Nutrition and Institute of Child Nutrition’s websites. Such materials must meet all Section 508 accessibility requirements.

Use of space for training Training supplies Food, if it is part of a specific training activity

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o Food purchases may not exceed ten percent (10%) of the sub-grant awarded. Only food used as a part of a specific training activity is an allowable cost to this sub-grant. Food or beverages provided during training is not an allowable cost to this sub-grant award.

Training evaluation (may not exceed ten percent (10%) of the budget) Purchasing of electronic devices and software, such as tablets, laptops, display boards, etc., to

implement training activities (may not exceed ten percent (10%) of the sub-grant funds) All requested costs must be allowable, allocable, necessary, and reasonable in accordance with

OMB Code of Federal Regulations Cost Principles as follows:o 2 CFR Part 200: “Uniform Administrative Requirements, Cost Principles, and Audit

Requirements for Federal Awards” o 2 CFR Part 400 “Uniform Administrative Requirements, Cost Principles, and Audit Requirements

for Federal Awards”o FNS Instruction 796-2 Rev. 4

Sub-Grant Funded Work TransparencyTo promote transparency of grant-funded work, the State and/or FNS may publish the sub-grantees’ application and final reports on OpenSD.gov or the FNS website.

Copies of any deliverables, media, or publicity releases/articles shall be included in the sub-grantee final report. Papers resulting from the grant shall be attached to the final report. All products developed with sub-grant funds shall include an acknowledgement of the source of funding. The Federal awarding agency reserves a royalty-free, non-exclusive, and irrevocable license to reproduce, publish or otherwise use, and to authorize others to use, for Federal Government purposes, the copyright in any work developed under a grant, sub-grant, or contract under a grant or sub-grant or any rights of copyright to which a grantee, sub-grantee, or a contractor purchases ownership with grant support.

Sub-Grant TimelineTentative Feb. 20, 2019

Day Care Home Sponsor Sub-Grant applications for Spring 2019 made available

March 20, 2019 Applications due to CANS office

April 18, 2019 Notification of sub-grantee awards

Tentative April 25, 2019

An online webinar training or conference call will be provided as a resource to sub-grantees. Final webinar or call date details will be communicated to awardees.

Upon signing the sub-grantee contract with DOE, you may begin implementing sub-grant activities. No charges will be paid for activities that occurred before the contract is signed by all parties.

September 1, 2019 Annual sub-grant evaluation completed and must be submitted to CANS

January 31, 2020 Grant funds should be obligated, if there are concerns with this time frame please contact the CANS office

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April 30, 2020 Grant recipients should fully expend their sub-grant funds

April 30, 2020 End of sub-grant period, all required documents, evaluation, and final invoice must be submitted within 60-days of this date.

Part A. Sub-Grant Applicant Information Complete, sign, and return this part with your Sub-Grant application. Please print neatly in ink or type.

1. Day Care Home Sponsor Name:

2. Name of Sub-Grant Contact Person:

3. Phone Number of Sub-Grant Contact Person:

4. Email Address of Sub-Grant Contact Person:

CERTIFICATION

I certify that the information in this application is true and correct to the best of my knowledge; that the document has been duly authorized by the governing body of the above named applicant; that training materials developed and offered will be used as part of the Child and Adult Care Food Program; and that the applicant will make a reasonable effort to obligate the funds by January 31, 2020 and will notify the State Agency on or prior to this date if the applicant anticipates that funds will be returned.

Authorized Representative Print Name Signature Date

Executive Director/Owner Print Name Signature Date

Sub-Grant Contact Print Name Signature Date

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Part B. DCH Sub-Grant InformationComplete, sign, and return this part with your Sub-Grant application. Please print neatly in ink or type.

1. Record the number of providers on CACFP that you sponsor?

2. Estimated number of training participants (staff):

3. Record the total dollar amount of Sub-grant funding requested:

4. Describe training methods and topics. For example, face to face training, pre-recorded webinars, etc. Please include the number of training sessions planned for each training method.

5. Training delivered under this sub-grant must strengthen skills and competencies related to planning, preparing, and serving nutritious meals in the CACFP. Check topics of training or indicate other topics below: ☐ Meal and Snack meal pattern requirements☐ Plan and create nutritionally-balanced menus that follow meal patterns and/or a planned menu☐ Assessing if menus follow the CACFP meal patterns☐ Planning menus to incorporate cultural and regional preferences and include a variety of foods☐ Modifying recipes to provide the appropriate amounts of food☐ How to credit foods and determine non-creditable foods☐ Selection and purchasing of creditable foods☐ Determine the type and amount of food to purchase. ☐ How to properly purchase (procure) foods☐ Special dietary accommodations. Collaborate with families to meet the needs of participants

with food challenges, food allergies, and/or special nutrition needs for meals/snacks☐ Purchase and maintain adequate amounts of food and supplies☐ Using the Food Buying Guide for Child Nutrition Programs and the Recipe Analysis Workbook☐ Using Offer Verses Serve (OVS) meal service☐ Using Family-style meal service☐ Culinary training and kitchen skills (e.g., preparing whole grain-rich foods, healthy food

preparation methods, proper knife skills, etc.)☐ Food safety and proper food storage and handling☐ Other (please describe):☐ Other (please describe):☐ Other (please describe):

6. This USDA grant funding includes a focus on rural or “hard to reach” providers, describe plan to provide training to rural or hard to reach providers.

7. Providing training to other CACFP Day Care Home Sponsors is allowed under this sub-grant. If applicable, please describe coordination plans with other Day Care Home Sponsors on CACFP.

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8. Describe the training evaluation methods used for each training session and/or type.

9. Describe how follow up with training participants will be conducted after the training session is complete. Include in your description if technical assistance or an assessment of the participants implementation of the training is a part of the assessment.

Part C. Sub-Grant Budget Request: Complete, sign, and return this part with your Sub-Grant application. The cost descriptions listed are examples of allowable costs to this sub-grant.

Budget Amount Cost DescriptionSalaries and benefits of training coordinator and additional instructorsTravel and per diem associated with attending training within the StateCost for hiring substitutes so that staff may attend trainingIf there is a per person stipend, record the per person stipend amount $ xx.xxNeeds assessment to identify meal pattern training needsUse of space for trainingTraining supplies Food, allowed only if it is part of a specific training activity (not more than 10% of awarded funds). Food & beverage to serve at training sessions is not allowed.Training evaluation (may not exceed 10% of the awarded funds)Other:Other:Other:Other:Other:Sub-Grant Request Total

Training material costs: Sub-grantees are encouraged to use existing training materials in the delivery of their training rather than the development of training materials as noted in the Requirement for Participation section of this application packet. If your budget includes training materials costs, please include a description of the materials that will be purchased or printed.

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Part D. SD Department of Education and U.S. Dept. of Agriculture Food and Nutrition Service General Assurances & State AttestationDo not return this part with your Sub-Grant application.

SD DEPARTMENT OF EDUCATION GRANT AGREEMENT TERMS AND CONDITIONS1.STANDARDS OF WORK

Grantee agrees to implement the subaward and perform pursuant to the requirements of the Agreement in a manner consistent with that level of care and skill ordinarily exercised by subrecipients currently practicing under similar conditions, particularly in reference to restricted or sponsored programs.

2.ADMINISTRATIVE CONSIDERATIONSWhere policies of Grantee differ from those of the State, such as travel reimbursement, fringe benefits, indirect costs, etc., the policies of the Grantee shall be applicable to cost incurrences under the Agreement provided such policies comply with awarding agency regulations.

3.DISCLOSURE OF INFORMATIONAny confidential information or personally identifiable information (PII) acquired by Grantee during the course of the subaward shall not be disclosed by Grantee to any person, firm, corporation, association, or other entity for any reason or purpose whatsoever without the prior written consent of the State, either during the term of the Agreement or in the event of termination of the Agreement for any reasons whatsoever. Grantee agrees to abide by applicable state regulations regarding confidential information and research standards, as appropriate.

4.MONITORING PLAN AND REPORTINGThe State will monitor Grantee to ensure compliance with program requirements and identify any failures in the administration and performance of the award. The monitoring plan will also serve to identify whether the Grantee needs technical assistance. In addition to program performance, the State will monitor financial performance. Monitoring will be used to document allowable and unallowable costs, time and effort reporting and travel. Monitoring also will be used to follow up on findings identified in an earlier monitoring visit, from document reviews or after an audit to ensure that subrecipient took corrective action. As appropriate, the cooperative audit resolution process may be applied. The monitor plan may include on-site visits, follow-up, document and/or desk reviews, third-party evaluations, virtual monitoring, technical assistance and informal monitoring such as email and telephone interviews. For reporting, the uniform guidance requires the State and Grantee use OMB-approved government-wide standard information collections when providing performance and data in reports.

5.AUDIT AND COMPLIANCEA local government and non profit organization must comply with all state audit requirements, including: 2 CFR Part 200 Subpart F – Audit Requirements; and any other application law or regulation, Audit required. A non-Federal entity that expends $750,000 or more during the non-Federal entity's

fiscal year in Federal awards must have a single or program-specific audit conducted for that year in accordance with the provisions of this part.

Single audit. A non-Federal entity that expends $750,000 or more during the non-Federal entity's fiscal year in Federal awards must have a single audit conducted in accordance with § 200.514 Scope of audit except when it elects to have a program-specific audit conducted in accordance with paragraph (c) of this section.

Program-specific audit election. When an auditee expends Federal awards under only one Federal program (excluding R&D) and the Federal program's statutes, regulations, or the terms and conditions of the Federal award do not require a financial statement audit of the auditee, the auditee may elect to have a program-specific audit conducted in accordance with § 200.507 Program-specific audits. A

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program-specific audit may not be elected for R&D unless all of the Federal awards expended were received from the same Federal agency, or the same Federal agency and the same pass-through entity, and that Federal agency, or pass-through entity in the case of a subrecipient, approves in advance a program-specific audit.

Exemption when Federal awards expended are less than $750,000. A non-Federal entity that expends less than $750,000 during the non-Federal entity's fiscal year in Federal awards is exempt from Federal audit requirements for that year, except as noted in § 200.503 Relation to other audit requirements, but records must be available for review or audit by appropriate officials of the Federal agency, pass-through entity, and Government Accountability Office (GAO).

For-profit subrecipient. Since this part does not apply to for-profit subrecipients, the pass-through entity is responsible for establishing requirements, as necessary, to ensure compliance by for-profit subrecipients. The agreement with the for-profit subrecipient should describe applicable compliance requirements and the for-profit subrecipient's compliance responsibility. Methods to ensure compliance for Federal awards made to for-profit subrecipients may include pre-award audits, monitoring during the agreement, and post-award audits.

Pursuant to SDCL 4-11-7.1. A school district shall have financial and compliance audits performed at least every two years. The audits shall be performed in accordance with generally accepted governmental auditing standards. The audits may be done by the Department of Legislative Audit or by a private firm authorized by law to audit the financial records of school districts.

After completion of the audit, the State requires that Grantee to send a copy of the audit to the State with 30 calendar days.

The Grantee shall be responsible for payment of any and all audit exceptions related to the work performed under this Agreement which are identified by the State.

Notwithstanding any other condition of the Agreement, the cooperative audit resolution process applies, as appropriate. The books and records of the Grantee must be made available if needed and upon request, at the Grantee’s regular place of business, for audit by personnel authorized by the State.

The State has the right to return to audit the program after close-out at any time during the record retention period, and to conduct recovery audits including the recovery of funds, as appropriate.

6.RECORDS ACCESS AND RETENTIONThe State, and its auditors will be provided access to the Grantee’s programmatic and financial records.

The Grantee will maintain all programmatic and financial records, including but not limited to: Records providing a full description of each activity undertaken Records demonstrating that each activity undertaken meets the objectives of the program; Records required to determine the eligibility of activities; Records required to document the acquisition, improvement, use or disposition of real property

acquired or improved with the award assistance; Records documenting compliance with state and local laws; and

The Grantee shall retain all records pertinent to program activities and financial expenditures incurred under this Agreement for a period of five years after the date of submission of the final expenditure and program report under this agreement. Notwithstanding the above, if there are litigation, claims, audits, negotiations, cognizant agencies, or the State, or other actions that involve any the records cited and that have started before the expiration of the five-year period, then such records must be retained until completion of the actions and resolutions of all issues, or the expiration of the five-year period, whichever occurs later.

7.CLOSEOUT

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a. For purposes of this Agreement, “Date of Completion” shall mean the date when the Agreement expires pursuant to its terms or is terminated in accordance with Termination provision paragraph.

b. The Grantee shall submit a final financial report to the State. Within the limits of the Agreement amount, the State may make upward or downward cost adjustments on the basis of the information contained in the report. Agreement obligations will remain in force until all final reports are reviewed and approved by the State.

c. The Grantee, along with the final financial report, will refund to the State any unexpended funds or unobligated (unencumbered) cash advances.

d. All outstanding obligations (encumbered funds) which have not been paid out as of the Date of Completion must be liquidated prior to the submission of the final report.

e. Whether or not audits were conducted during the Agreement term, a final financial and compliance audit may be initiated up to three years after the Agreement completion date beginning with the date the Grantee submits the final reports.

f. If either the final financial report or the final audit discloses an overpayment to the Grantee, the State may, at its option, either require the Grantee to repay the overpayment by the State or deduct the amount of overpayment from monies due the Grantee under this Grant Agreement or under any other Agreement between the Grantee and the State. Any overpayments will be paid back.

g. The Grantee shall provide, along with the final financial report, a written accounting of property acquired with Agreement funds or received from the State.

8.LIABILITYGrantee agrees to hold harmless and indemnify the State of South Dakota, its officers, agents and employees, from and against any and all actions, suits, damages, liability or other proceedings which may arise as a result of performing services hereunder. This section does not require the Grantee to be responsible for or defend against claims or damages arising solely from errors or omissions of the State, its officers, agents or employees.

9. INDEPENDENT CONTRACTOR/GRANTEEWhile performing services hereunder, the Grantee is an independent and not an officer, agent or employee of the State of South Dakota. The Grantee will provide the State with its Employer Identification Number, Federal Tax Identification Number or Social Security Number; DUNS Number; and SAM registration upon execution of this Agreement.

10. SUBCONTRACTING/SUBAWARDThe Grantee may not use subcontractors/subaward to perform the services described herein without the express prior written consent of the State. The Grantee is solely responsible for the performance of any subcontractor/subaward. The Grantee will include provisions in its subcontracts/subaward requiring its subcontractors/subawards to comply with the applicable provisions of this Agreement, to indemnify the State, and to provide insurance coverage for the benefit of the State in a manner consistent with this Agreement. The Grantee will cause its subcontractors, agents, and employees to comply with applicable federal, state and local laws, regulations, ordinances, guidelines, permits and requirements and will adopt such review and inspection procedures as are necessary to assure such compliance.

11. OWNERSHIP RIGHTSThe Grantee hereby acknowledges and agrees that all reports, plans, specifications, technical data, miscellaneous drawings, software system programs and documentation, procedures, or files, operating instructions and procedures, source code(s) and documentation, including those necessary to upgrade and maintain any software program, and all information contained therein provided to the State by the Grantee in connection with its performance of services under this Agreement shall belong to and is the property of

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the State and will not be used in any way by the Grantee without the written consent of the State. Papers, reports, forms, software programs, source code(s) and other material which are a part of the work under this Agreement will not be copyrighted without written approval of the State.

12. COMPLIANCE WITH LAWThe Grantee will comply with all federal, state, and local laws, regulations, ordinances, guidelines, permits and requirements applicable to providing services pursuant to this Agreement, and will be solely responsible for obtaining current information on such requirements.

13. COMPLIANCE WITH LAWThe parties mutually agree that neither of them shall disclose the contents of the agreement except as required by applicable law or as necessary to carry out the terms of the agreement or to enforce that party’s rights under this agreement. Grantee acknowledges that the State and its agencies are public entities and thus are bound by South Dakota open meetings and open records laws. It is therefore not a breach of this agreement for the State to take any action that the State reasonably believes is necessary to comply with the South Dakota open records or open meetings laws, including but not limited to posting this Agreement on the State’s website. If work assignment performed in the course of this Agreement required security requirements or clearance, the Grantee will be required to undergo investigation.

14. ASSIGNMENT, AMENDMENTS, AND WAIVERa. Assignment: The Grantee shall neither assign nor transfer any rights or obligations under this agreement

without the prior written consent of the State.

b. Amendments: If there are any amendments to this agreement, they must be in writing. Amendments will not be effective until they have been executed and approved by the State and Grantee.

c. Waiver: All other prior discussions, communications, and representations concerning the subject matter of the Agreement are superseded by the terms of this Agreement, and except as specifically provided herein, this Agreement constitutes the entire agreement with respect to the subject matter hereof.

15. DEBARMENT OR SUSPENSION

The Grantee certifies that neither Grantee nor its principals, nor its subgrantees or consultants are presently debarred, suspended, proposed for debarment or suspension, or declared ineligible from participating in transactions by the federal government or any state or local government department or agency. The Grantee further agrees that it will immediately notify the State if during the term of this Agreement Grantee or its principals, or its subgrantee or consultants become subject to debarment, suspension or ineligibility from participating in transactions by the federal government, or by any state or local government department or agency. The Grantee further certifies that neither it nor its principals, nor its subgrantees or consultants have, within a three (3) year period preceding the awarding of this Agreement, been convicted of or had a civil judgment rendered against it for commission of fraud or been convicted of a criminal offense in connection with obtaining, attempting to obtain, or performing a federal, state, or local transaction or contract or been convicted of a violation of federal or state antitrust statutes, embezzlement, theft, forgery, bribery, falsifications, destruction of records, making false statements, or receiving stolen property. Grantee further certifies that neither it nor its principals, nor its subgrantees or consultants, have within a three (3) year period preceding this Agreement, had a federal, state, or local transaction terminated for cause or default.

16. GOVERNING LAW AND VENUEThis Agreement shall be governed by and construed in accordance with the laws of the State of South Dakota. Any lawsuit pertaining to or affecting this Agreement shall be venued in Circuit Court, Sixth Judicial Circuit, Hughes County, South Dakota.

17. PUBLICITYThe Grantee shall not without the written consent of the State advertise, publicly announce or provide to any

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other person information relating to the existence or details of the Agreement or use the State’s name in any format for any promotion, publicity, marketing or advertising purpose.

The Grantee with written consent of the State when issuing statements, press releases, request for proposals, bid solicitations, and other documents describing projects or programs funded, pursuant to this Agreement, in who or in part with State funds, the Grantee shall, state:

a. the percentage of the total cost of the program or project which is financed with State funds; b. the dollar amount of State funds for the project or program; andc. the percentage and dollar amount of the total costs of the project or program that will be funded by

nongovernment sources.

18. TERMINATION PROVISIONa. TERMINATION FOR CONVENIENCE: This Agreement may be terminated by either party hereto upon sixty

(60) days written notice. The Grantee shall be paid for work satisfactorily completed prior to the effective date of the termination, but in no event shall the Grantee be entitled to recover loss of profits.

b. NON-APPROPRIATION: This Agreement depends upon the continued availability of appropriated funds and expenditure authority from the Legislature for this purpose. If for any reason the Legislature fails to appropriate funds or grant expenditure authority, or funds become unavailable by operation of law, this Agreement will be terminated by the State. Termination for any of these reasons is not a default by the State nor does it give rise to a claim against the State.

c. TERMINATION FOR CAUSE: This Agreement may be terminated by the State in the event the Grantee breaches any of the terms or conditions hereof at any time with or without notice. If termination for such a default is effected by the State, any payments due to the Grantee at the time of termination may be adjusted to cover any additional costs to the State because of Grantee’s default. Upon termination the State may take over the work and may award another party an agreement to complete the work under this Agreement. If after the State terminates for a default by Grantee it is determined that Grantee was not at fault, then the Grantee shall be paid for eligible services rendered and expenses incurred up to the date of termination.

FEDERAL STANDARD TERMS OF THE SUB-GRANT

1. Performance Period: The period of performance for this project is listed on the time line in the sub-grant application and award letter. The GRANTEE may only incur allowable costs during the period of performance. Any costs incurred prior to the period of performance must be approved in writing by the Agency.

All funds must be obligated and all program activities under the agreement must be completed by the Expiration Date listed on the award letter. The closeout of the agreement must occur within 60 days of the expiration date, and all obligations incurred under the agreement must be liquidated by this date.

2. Amendments/Revisions and Budget Changes: The GRANTEE may request an amendment or revision to the agreement, including the proposal, in writing at any time during the duration of the agreement. Prior approval is required for any revision of the scope or objectives of the project (regardless of whether there is an associated budget revision), changes in key personnel, such as the project director, or changes to budget line cost/expenditure.

The GRANTEE may transfer costs within the approved direct cost categories to meet unanticipated requirements. However, as required in 2 CFR 200.308(e) the Agency requires that prior approval be obtained for any budget revision that involves a shift of funds among line-items in excess of 10% of the total approved grant budget. Such revisions must be submitted in writing with a revised budget in the same format as the original budget. All other requirements within 2 CFR 200.308 shall also apply.

The GRANTEE must include justification with any proposed amendment/revision and budget changes. All requests for changes must be made at least 20 days before the end of the grant period. Any request received

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after this time will not be considered.

3. Non-agreement funds: The GRANTEE may seek and apply for funds from other sources in support of the mission of the agreement.

4. Annual Progress Reports: Progress reports must be sent to the Agency by September 1, 2019. This report should cover the preceding period of activity. A final report identifying the accomplishments and results of the project is due 60 days after the end date of this Agreement. At a minimum, progress reports should include the following information: A narrative description of project progress, tasks completed, and roadblocks or problems; Reasons why goals and objectives were not met, if appropriate, particularly at predefined go/no-go

decision points, and justification of decision to proceed; Discuss the budget impact and/or costs associated within this reporting period; List key activities planned for the next report period; Findings or activities which may require changes in schedule, accomplishments, or costs, particularly those

changes which may impact the grantee’s ability to utilize grant funds within the specified time period; Other pertinent information including, when appropriate, analysis and explanation of cost overruns; and Any unique aspects that you would like to share.

The GRANTEE must report immediately any problems, delays, or adverse conditions that impair the Grantee’s ability to meet the grant objectives. The notification must include information on action taken or contemplated in response to the problem.

All materials developed with funding from this Agreement must be submitted in an electronic format (preferably Microsoft Word).

The Recipient is strongly encouraged to submit the Progress Report and associated documentation and attachments via electronic mail to the Agency. If the GRANTEE wishes to send a hard copy, an original shall be sent to the address listed on the award letter.

5. Office of Management and Budget (OMB) Guidance: This Federal financial assistance award is subject to rules and regulations related to the Recipient’s organizational entity type as noted below.Government-wide Regulations

2 CFR Part 25: “Universal Identifier and System for Award Management” 2 CFR Part 170: “Reporting Sub-award and Executive Compensation Information” 2 CFR Part 175: “Award Term for Trafficking in Persons” 2 CFR Part 180: “OMB Guidelines to Agencies on Government-wide Debarment and Suspension (Non-

Procurement)” 2 CFR 200: “Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal

Awards” 2 CFR 400: “Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal

Awards”2 CFR Part 415: USDA “General Program Administrative Regulations”2 CFR Part 416: USDA “General Program Administrative Regulations for Grants and Cooperative

Agreements to State and Local Governments”2 CFR Part 417: USDA “Non-Procurement Debarment and Suspension”2 CFR Part 418 USDA “New Restrictions on Lobbying2 CFR Part 421: USDA “Requirements for Drug-Free Workplace (Financial Assistance)”7 CFR Part 3: “Debt Management”41 U.S.C. Section 22 “Interest of Member of Congress”Privacy Act. The Cooperator/Grantee shall follow the rules and procedures of disclosure set forth in the

Privacy Act of 1974, 5 U.S.C. 552a, and implementing regulations and policies, with respect to systems of records determined to be subject to the Privacy Act.

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Freedom of Information Act (FOIA). Public access to Federal Financial Assistance records shall not be limited, except when such records must be kept confidential and would have been excepted from disclosure pursuant to the “Freedom of Information” regulation (5 U.S.C. 552)

6. Insurance Coverage: The GRANTEE must provide the equivalent insurance coverage for real property and equipment acquired or improved with Federal funds.

7. Intangible Property:a. The GRANTEE may copyright any work that is subject to copyright and was developed, or for which

ownership was purchased, under the award. The USDA FNS reserves a royalty-free, nonexclusive, and irrevocable right to reproduce, publish or otherwise use these materials for federal purposes and to authorize others to do so.

"Federal purposes" include the use of award products in activities or programs undertaken by the Federal Government, in response to a governmental request, or as otherwise required by federal law. However, the Federal Government's use of copyrighted materials is not intended to interfere with or disadvantage the recipient or assignee in the sale and distribution of the award product.”

The Agency may request copies of an award product for not-for-profit use. These copies will be provided at the cost of reproduction and shipping, and no royalties or other fees will be charged.

b. The Agency has the right to:i. Obtain, reproduce, publish or otherwise use the data first produced under an award; and

ii. Authorize others to receive, reproduce, publish, or otherwise use such data for Federal purposes.

c. In addition, in response to a Freedom of Information Act (FOIA) request for research data relating to published research findings produced under an award that were used by the Federal Government in developing an agency action that has the force and effect of law, the Agency shall request, and the recipient shall provide within a reasonable time, the research data so that they can be made available to the public through the procedures established under the FOIA. If the Agency obtains the research data solely in response to a FOIA request, the Agency may charge the requester a reasonable fee equaling the full incremental cost of obtaining the research data. This fee should reflect costs incurred by the Agency, the recipient, and applicable sub-recipients. This fee is in addition to any fees the agency may assess under the FOIA (5 U.S.C. 552(a)(4)(A)).

d. Title to intangible property acquired under an award or sub-award vests upon acquisition in the GRANTEE. The GRANTEE shall use that property for the originally authorized purpose and shall not encumber the property without Agency approval. The Agency reserves the right to determine the disposition of the intangible property when it is no longer needed for the originally authorized purpose.

8. Federally-owned and exempt property: Title to federally-owned property remains vested in the Federal entity. The grantee must submit annually an inventory listing of federally-owned property to the Agency. Upon completion of the project, or when the property is no longer needed, the GRANTEE must contact the Agency for disposition instructions.

9. Equipment: Equipment is defined as tangible, nonexpendable personal property having a useful life of more than one year and an acquisition cost of $5,000 or more per unit. The purchase of equipment not included in the approved project budget is allowable only if it is specifically approved beforehand by the Agency and there is documentation to support that the purchase is necessary and reasonable to carry out project activities.

Equipment records must be maintained that include the description of the equipment, the serial number or other identification number, the source of equipment, the title holder, the acquisition date, the cost of the equipment, the location, use, and condition of the equipment, and any ultimate disposition data including the

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date of disposal and the sale price of the equipment. A physical inventory of the equipment must be taken and the results reconciled with the equipment records at least once every two years.

The GRANTEE will share the results of this inventory if requested.

The GRANTEE will follow the Agency’s equipment disposition guidance and procedures. Disposition procedures will be provided by the Agency.

10. Procurement standards: The GRANTEE will adhere to all procurement standards, including those listed below, if applicable, as found in 2 CFR 200.318 through 2 CFR 200.326. When procuring property and services under a Federal award, a State must follow the same policies and procedures used for procurements from its non-Federal funds. State recipients will comply with 2 CFR 200.322.

11. General procurement standards: The non-Federal entity must use its own documented procurement procedures, which reflect applicable State and local laws and regulations provided that procurements conform to applicable Federal law and the standards identified in this section. The GRANTEE must maintain oversight over contractors to ensure performance in accordance with the terms, conditions and specifications of their contracts or purchase orders, including written performance standards of its employees engaged in the selection, award and administration of contracts. The non-Federal entity must award contracts only to responsible contractors possessing the ability to perform successfully under the terms and conditions of a proposed procurement. In accordance with 2 CFR 200.318(j), the non-Federal entity may only use time and material type contracts after a determination that no other contract is suitable and if the contract includes a ceiling that the contractor exceeds at its own risk.

12. Competition: All procurement transactions must be conducted in a manner providing full and open competition consistent with 2 CFR 200.319.

13. Suspension/Debarment: The GRANTEE agrees that it is neither excluded nor disqualified under the Suspension and Debarment rules found at 2 CFR Parts 180 and 417.

14. Nondiscrimination: The GRANTEE will comply with the following nondiscrimination statutes and regulations, other related regulations and any USDA nondiscrimination directives:

a. Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d- et seq.) and USDA regulations at 7 CFR Part 15, Nondiscrimination, an Department of Justice regulations at 28 CFR Part 42, Nondiscrimination; Equal Employment Opportunity: Policies And Procedures;

b. Title IX of the Education Amendments of 1972 (20 U.S.C. 1681 et seq.) and USDA regulations at 7 CFR Part 15a, Education Programs or Activities Receiving or Benefiting from Federal Financial Assistance;

c. Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 1681 et seq.) and USDA regulations at 7 CFR Part 15a, Education Programs or Activities Receiving or Benefiting or Benefiting from Federal Financial Assistance, and Department of Justice regulations at 28 CFR Part 41, Implementation of Executive Order 12250, Nondiscrimination On the Basis of Handicap In Federally Assisted Programs; and

d. Age Discrimination Act of 1975 (42 U.S.C. 6101 et seq.) The Grantee assures that it will immediately take any measures necessary to effectuate the requirements in these laws, regulations and directives. The Grantee gives this assurance in consideration of and for the purpose of obtaining the funds provided under this agreement.

e. The Americans with Disabilities Act of 1990 (ADA) prohibits discrimination on the basis of disability in employment (Title I), state and local government services (Title II), places of public accommodation and commercial facilities (Title III). (42 U.S.C. 12101-12213).

The following nondiscrimination statement shall be included, in full, on all materials that are produced by the GRANTEE for public information, public education, or public distribution.

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“In accordance with Federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color national origin, sex, age, or disability.

If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at [email protected]. USDA is an equal opportunity provider and employer.”

15. Evaluation and Access to Records: The GRANTEE will cooperate with any evaluation of the program by providing the Agency requested data and access to records. The GRANTEE will cooperate with any, as needed, on-site financial and/or technical reviews and audits at any time during the term of the agreement. In addition, the Grantee shall make all records pertaining to activities under the grant available for audit purposes.

The GRANTEE will require any sub-recipient or contractors to comply with the requirements of this agreement and ensure that the Agency has access to any sub- recipient or contractors for purposes of evaluating, monitoring or reviewing other operations or records as they relate to this grant. When entering into a sub-award, the GRANTEE shall ensure that the sub-recipient agreement contains any clause required by Federal Statute or Executive Order and their implementing regulations.

16. Noncompliance: As provided in 2 CFR 200.338, the Agency may unilaterally terminate this grant agreement or recover, withhold, or disallow costs of up to 100 percent of the funds made available under the agreement if the GRANTEE fails to comply with any term of the agreement. The Agency will consider failure to comply with the reporting requirements of this agreement to be a material failure to comply with the agreement and a basis for termination. If the Agency decides to take action against the GRANTEE for noncompliance under this agreement, the Agency will provide the recipient written notice of the basis for its determination.

In the event that an award is suspended and corrective action is not taken within 90 days of the suspension effective date, the Agency may issue a notice of termination. No costs that are incurred during the suspension period or after the effective date of termination will be allowable, except those that are specifically authorized by the suspension or termination notice or those that, in the opinion of the Agency, could not have been reasonably avoided.

Within 30 days of the termination date, the GRANTEE shall furnish to the Agency a summary of progress achieved under the award, an itemized accounting of charges incurred against award funds and cost sharing prior to the effective date of the suspension or termination, and a separate accounting and justification for any costs that may have been incurred after this date.

17. USDA/FNS acknowledgement: Unless otherwise advised by the Agency, the GRANTEE will acknowledge the support of USDA FNS whenever publicizing the work under this grant. To this end, the Grantee must include in any publication resulting from work performed under this grant an acknowledgment in substantially the form set below:

“This project has been funded at least in part with Federal funds from the U.S. Department of Agriculture. The contents of this publication do not necessarily reflect the view or policies of the U.S. Department of Agriculture, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.”

18. Liabilities: The GRANTEE may not seek any financial recourse from the Agency as a result of any liabilities the GRANTEE may incur for bodily injury or personal property damage resulting from negligent acts, errors, or omissions of the Recipient, their officers, agents or employees, or if applicable its sub-Recipients or their

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officers, agents, or employees, in performing this agreement. Liabilities of the United States are governed by the Federal Tort Claims Act, 28 U.S.C. 2671 et seq.

19. Privacy Act Policy: The USDA Food and Nutrition Service does not collect any personal identifiable information without explicit consent. To view the Agency’s Privacy Act Statement, visit: www.fns.usda.gov/privacy-policy.

20. Program Income: Program income is money that is earned or received by a GRANTEE or a sub-Recipient from the activities supported by award funds or from products resulting from award activities. It includes, but is not limited to, income from fees for services performed and from the sale of items produced under an award; usage or rental fees for equipment or property acquired under an award; admission fees; broadcast or distribution rights; and license fees and royalties on patents and copyrights. The Federal share of program income is determined by the percentage of total project costs that are supported by the Agency.

21. Income Earned During the Award Period: The Federal share of program income earned during the award period shall be retained by the GRANTEE and, unless the award specifies how such income will be used, the recipient must use it in the following way:

It may be added to the existing project funding to cover increased costs of the project.

A report of program income earned during the award period must be submitted with the final Report whenever program income is earned during the award period or when the terms and conditions of the award specifically require such a report. The report shall indicate the total amount of program income that was earned and how it was used.

If income is to be returned to the Agency, a check made payable to the Food and Nutrition Service (FNS) and identified as program income must be submitted to the Accounting Division at the following address:

USDA Food and Nutrition Service ATTN: Accounting Division

P.O. Box 979027St. Louis, MO 61397-9000

All checks must include: Project Fiscal Year, Agency Name, and GAD Number POST CLOSEOUT ADJUSTMENTS AND COLLECTIONS

22. Post-closeout adjustments: The closeout of a Federal award does not affect:a. The right of the Agency to disallow costs and recover funds on the basis of an audit or later

review;b. The obligation of a non-Federal entity to return funds as a result of later cost adjustments;c. Audits requirements;d. Property management and disposition requirements; ande. Record retention requirements.

23. Collections: Any funds paid in excess of the amount in which the non-Federal entity is finally determined to be entitled will constitute a debt to the Federal Government. If these funds are not repaid within 90 days, the Agency may: make an administrative offset; withhold advance payments or take other necessary actions. In addition, interest will accrue on this overdue debt in accordance with the Federal Claims Collections Standards (31 CFR Parts 900 through 999).

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Part E. Assurance and Attestation Certification Complete, sign, and return this part with your Sub-Grant application.

SAM.gov (CCR) Information(Please read carefully)

FAILURE to submit proof of current SAM.gov information will result in the award and GSA being rejected. This will hold up the award and funds associated with said award. You are required to attach a current copy of your SAM.gov Core Data Page that clearly shows your DUNS Number, DUNS expiration date, PHYSICAL address, Congressional District and Legal Name of your entity.Legal Name of Registration Holder

DUNS Number DUNS Expiration Date

PHYSICAL Address

PHYSICAL City

PHYSICAL State PHYSICAL ZIP +4

By signing, I am certifying that the entity listed above has a DUNS number and will meet the annual requirement as stated above. I also certify that I have included a copy of the SAM.gov information certifying that the DUNS number is up to date and it is the SUB-GRANTEE information provided above.Signature of Authorized Representative Date Signed

By signing this document, I am attesting that I have read and understand the obligations of all of the assurance and attestation statements. I will mail the original copy of the document with signed award and keep a copy on file in with the Sub-Grant award.

Name of Authorized Representative

Title of Authorized Representative

Signature of Authorized Representative

Date

Email

Phone: Fax:

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Part F. Applicant Risk Assessment QuestionnaireComplete, sign, and return this part with your Sub-Grant application.1. What percentage of your organization’s funding would this award be in comparison to your

organization’s total funding?☐ Less than 30%☐ 30%-60%☐ More than 60%

2. What type of accounting system will be used to manage the financial records?☐ Manual☐ Automated ☐ Combination of manual and automated (please explain below)☐ Our organization does not have an accounting system in place at this time (please explain below)

Explanation:

3. Has the State awarded your organization previously?☐ Yes☐ No☐ Unsure

Explanation:

4. Does a conflict of interest exist between your organization and the granting organization? ☐ Yes* (please explain below)☐ No☐ Unsure (please explain below)

A conflict of interest would entail key personnel of your organization, such as the Executive Director, Finance Officer, Business Manager, Board Members, etc. and/or the granting organization, such as a state officer and/or employee having an interest in, or deriving a direct benefit from, a contract. Please see SDCL 5-18A-17.1 through 5-18A-17.6 for more information about conflict of interest.

*Disclosing a potential conflict of interest does not automatically render the applicant disqualified from receiving the award.

Explanation:

5. If your organization answered “yes” to the previous question, has the conflict been disclosed in writing? If so, please attach a copy of the disclosure to this questionnaire. If your organization answered “no” to the previous question, please skip to question number 6 of this questionnaire. ☐ Yes ☐ No (please explain below)

Explanation:

6. Does anyone within your organization currently work for the State of South or worked for the State of South Dakota within the last year?☐ Yes (please explain below)

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☐ NoExplanation:

7. Please list key personnel (i.e. Executive Director, Finance Officer, Business Manager, Chief Information Officer, Board Members, etc.) who will be involved with the award and the number of years they have worked for your organization. Please attach a separate document if your organization has more than seven (7) key personnel who will be involved with the award.

Name # of Years Worked i.ii.

iii.iv.v.

vi.vii.

8. Has there been any turnover in key personnel within your organization in the last year?☐ Yes (please explain below)☐ No

Explanation:

9. Does the program leader have more than three (3) years of experience in managing the scope of service required under this program?☐ Yes (please explain below)☐ No

Explanation:

10. Does your organization’s financial and programmatic staff who will oversee this award have more than one (1) year prior experience with a federal grant award?☐ Yes (please explain below)☐ No

Explanation:

11. How long has your organization been in operation?☐ 0-2 years ☐ 6-9 years☐ 3-5 years ☐ 10+ years

12. Does your organization anticipate passing the award onto other entities?☐ Yes (please explain below)☐ No

Explanation:

13. If your organization answered “yes” to the previous question, is there any indication that the subrecipient may have difficulty meeting the required match? If your organization answered “no” to the previous question, please skip to question number 14 of this questionnaire.☐ Yes (please explain below)

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☐ No☐ Unsure (please explain below)☐ Not applicable

Explanation:

14. If your organization answered “yes” to question number 12, does a conflict of interest exist between your organization and the entity in which your organization will pass the award onto? If you answered “no” to question number 12, please skip to question number 15 of this questionnaire.☐ Yes (please explain below)☐ No☐ Unsure (please explain below)

Explanation:

15. If your organization answered “yes” to the previous question, has the conflict of interest been disclosed in writing? If so, please attach a copy of the disclosure to this questionnaire. If your organization answered “no” to the previous question, please skip to question number 16 of this questionnaire. ☐ Yes☐ No (please explain below)

Explanation:

16. Does your organization have experience with a similar award?☐ Yes (please explain below)☐ No

Explanation:

17. Does your organization maintain policies which include procedures for assuring compliance with the terms of this award?☐ Yes (please explain below)☐ No☐ Unsure (please explain below)

Explanation:

18. Does your organization have an accounting system that will allow your organization to completely and accurately track the receipt and disbursements of funds related to this award?☐ Yes (please explain below)☐ No☐ Unsure (please explain below)

Explanation:

19. Does your organization have a system in place which can track employee time spent on multiple programs?☐ Yes (please explain below)

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☐ No☐ Unsure (please explain below)

Explanation:

20. Does your organization have a procurement system or procedures in place that meet the minimum federal requirements for procurement as stated in 2 CFR §200.317 – §200.326?☐ Yes (please explain below)☐ No☐ Unsure (please explain below)

Explanation:

21. Does your organization have a property management system in place that meets the minimum federal requirements for equipment management as found in 2 CFR §200.310 – §200.316?☐ Yes (please explain below)☐ No☐ Unsure (please explain below)

Explanation:

22. Does your organization have an adequate system or procedures in place for tracking and evaluating in-kind match?☐ Yes (please explain below)☐ No☐ Unsure (please explain below)☐ Not applicable

Explanation:

23. Has your organization been audited within the last 3 years?☐ Yes☐ No (please explain below)☐ Our organization has been in operation for less than 3 years

Explanation:

24. If your organization received over $750,000 total in federal funds from all sources last year, was a single audit conducted on the entity per 2 CFR §200.501?☐ Yes☐ No (please explain below)☐ Our organization did not receive over $750,000 total in federal funds from all sources last year

Explanation:

25. If your organization answered “yes” to the previous question, did your organization have one or more audit finding in your last single audit regarding significant internal control deficiency? If your organization answered “no” to the previous question, please skip to question 26.☐ Yes (please explain below)

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☐ No☐ Unsure (please explain below)

Explanation:

26. Does your organization currently have any unresolved audit issues?☐ Yes (please explain below)☐ No☐ Unsure (please explain below)☐ My organization has not been audited

Explanation:

27. Does your organization intend to claim use of personal property (i.e. a vehicle, cell phone, etc.) as an expense?☐ Yes (please explain below)☐ No☐ Unsure (please explain below)

Explanation:

28. Please check all of the following circumstances that apply to your organization (explain below as necessary):☐ A new or substantially changed system or software packages (i.e. accounting, payroll,

reporting, technology, administration, etc.)☐ External risks including: economic conditions, political conditions, regulatory changes,

unreliable information, etc.☐ Loss of license or accreditation to operate program☐ New activities, products, or services☐ Organization restructuring☐ Inadequate system to segregate indirect from direct costs

Explanation:

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Day Care Home Sponsor Sub-Grant Spring 2019 Application Checklist

The following checklist is intended as a resource to help schools submit the best application possible. It is for your use only. Do not include this in the application that is submitted.

HAVE YOU: Yes No1. Completed and submitted Part A. Sub-Grant Application Information with

application packet.2. Obtained the Authorized Representative, Executive Director/Owner, and Sub-

Grant Contact name and signatures in the Certification Box to submit with application packet.

3. Completed and submitted Part B. Sub-Grant Application Questions with application packet.

4. Completed and submitted Part C. Sub-Grant Budget Request to submit with application packet.

5. Read and understand Part D. SD Department of Education and U.S. Dept. of Agriculture Food and Nutrition Service General Assurances & State Attestation. This is for your records and is not submitted in the application packet.

6. Completed and submitted Part E. Assurance and Attestation Certification to submit with application packet.

7. Completed and submitted Part F. Applicant Risk Assessment Questionnaire to submit with application packet.

8. Made a copy of the application for your records.9. Send application with original signatures to the CANS office. Application must

be postmarked no later than March 20, 2019.

REMINDER

Applications for Day Care Home Sponsor Sub-Grant Spring 2019 Application must be postmarked, or time stamped by midnight central time March 20, 2019. Applications postmarked, or time stamped after this

date will not be accepted. Emailed or Faxed submissions will not be accepted.

Send completed applications with original signatures to:

Day Care Home Sponsor Sub-Grant Spring 2019 Application Attn. Cheriee Watterson

Child & Adult Nutrition Services-DOE800 Governors Drive

Pierre, SD 57501-2294

Applicants will receive an email upon receipt of their application. If you do not hear back within a week of submitting your application, contact CANS as listed above to ensure your application was received.

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