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Docusign Envelope ID:EA783739-0864-4E5C-9728-C9EA1C7C8352 <br /> hUUV,IIUUIU LU hgreement M24-MC170203 <br /> Grantee Indirect Cost Rate(s) <br /> As the duly authorized representative of the Grantee,I certify that the Grantee: <br /> ❑ Will not use an indirect cost rate to calculate and charge indirect costs under the grant. <br /> ❑ Will calculate and charge indirect costs under the grant by applying a de minimis rate as provided by <br /> 2 CFR 200.414(f), as may be amended from time to time. <br /> ❑ Will calculate and charge indirect costs under the grant using the indirect cost rate(s)listed below,and <br /> each rate listed is included in an indirect cost rate proposal developed in accordance with the applicable <br /> appendix to 2 CFR part 200 and, if required,was approved by the cognizant agency for indirect costs. <br /> Agency/department/major function Indirect cost rate Type of Direct Cost Base <br /> Instructions for the Grantee's Authorized Representative: <br /> You must mark the one(and only one)checkbox above that best reflects how the Grantee's indirect costs will be <br /> calculated and charged under the grant. Do not include indirect cost rate information for subrecipients. <br /> Name of Authorized Official: Signature: Date(mm/dd/yyyy): <br /> Title: X <br /> The table following the third box must be completed only it triat box is checked. When listing a rate in the table,enter <br /> both the percentage amount(e.g., 10%)and the type of direct cost base to be used.For example,if the direct cost base <br /> used for calculating indirect costs is Modified Total Direct Costs,then enter"MTDC"in the"Type of Direct Cost Base" <br /> column. <br /> If using the Simplified Allocation Method for indirect costs, enter the applicable indirect cost rate and type of direct cost <br /> base in the first row of the table. <br /> If using the Multiple Allocation Base Method,enter each major function of the organization for which a rate was <br /> developed and will be used under the grant,the indirect cost rate applicable to that major function,and the type of direct <br /> cost base to which the rate will be applied. <br /> If the Grantee is a government and more than one agency or department will carry out activities under the grant,enter <br /> each agency or department that will carry out activities under the grant,the indirect cost rate(s)for that agency or <br /> department,and the type of direct cost base to which each rate will be applied. <br /> To learn more about the indirect cost requirements,see 2 CFR part 200,subpart E;Appendix IV to Part 200(for nonprofit <br /> organizations);and Appendix VII to Part 200(for state and local governments). <br /> Page 3 form HUD-40093 <br />