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<br />Certification of the OMS Circular Informational Guide <br /> <br />I certify that lor my designee have read the OMS Circular Informational Guide provided <br />by the Department and I am aware that OMS Circular A-a? and the Common Rule have <br />been attached by reference and made a part of our contract. <br /> <br />I certify that the person{s) responsible for authorizing, expending, or accounting for <br />grant funds will be provided access to the circulars and made aware that they are <br />required to abide by them. <br /> <br />I certify that if my organization/agency expends $500,000 or more in total Federal <br />dollars from all sources during the fiscal year, the audit requirements of OMS Circular A- <br />133 "Audits of States, Local Governments and Non-Profit Organizations" will be met and <br />a copy of the report will be sent to the Department. <br /> <br />Name and Title: <br />Company/Organization: Contract #: <br />Address: <br />City: State: Zip <br />Signature: Date: <br />Instructions: The individual responsible for signing the contract must complete and sign this <br />certificate. Detach and return the completed certification with your signed contract. <br />