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NOTICE <br /> • Do not submit this certification to the department with your <br /> signed contract. <br /> • This certification applies ONLY to governmental agencies, local units of government and non- <br /> profit agencies expending federal funds for this project. It does not apply to for-profit public or <br /> private entities. <br /> • If OMB Circular A-133 applies to your organization, this certification or a copy of your OMB A-133 <br /> single audit must be submitted to the department at the end of your fiscal year for any fiscal year <br /> in which you expended any federal funds related to this contract. <br /> Single Audit Not Required Certification <br /> I certify that did not expend$500,000 or <br /> more in federal awards in our fiscal year and was not required to have a <br /> single audit conducted. <br /> (Signature) <br /> (Title) <br /> Subrecipient Contact Information <br /> Subrecipient: City of Decatur <br /> Contact Person: Title: <br /> Address: Phone No. <br /> Fax No. <br /> Fiscal Year End: <br /> Email address: <br />