Common use of Documentation for Payment Clause in Contracts

Documentation for Payment. 3.5.1 The Sub-recipient shall maintain documentation to support payment requests that shall be available to the AAAPP or authorized individuals, such as Department of Financial Services (DFS), upon request. The Contract Manager reserves the right to ask for supporting documentation to ensure that services reported are being provided according to the Department of Elder Affairs Programs and Services Handbook. 3.5.2 The Sub-recipient shall ensure subcontractors enter all required data per the DOEA’s CIRTS Policy Guidelines for clients and services in the CIRTS database. Data must be entered into CIRTS before (end of each month) the subcontractors submit their request for payment and expenditure reports to the Sub-recipient. The Sub- recipient shall establish time frames with subcontractors to ensure compliance with AAAPP due dates for the requests for payment and expenditure reports to the AAAPP. 3.5.3 The Sub-recipient will require subcontractors to run monthly CIRTS reports (Total Units of Service by Program Component, a report which provides the unit cost) and verify that client and service data in CIRTS is accurate. This report is to be used in developing the Request for Payment and Receipts and Expenditure Report. This CIRTS report will equal the amount of units being reported on the Monthly Programmatic Reports. If the report does not equal the amount of units reported on the Monthly Programmatic Report, the Request for Payment will be placed on HOLD until the reports are corrected or proper justification is provided. The Programmatic Report needs to be submitted electronically to the AAAPP Contract Manager or designee, prior to the Request for Payment but not later than the Request for Payment arrival. The undersigned certifies, to the best of his or her knowledge and belief, that: (1) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any state or federal agency, a member of congress, an officer or employee of congress, an employee of a member of congress, or an officer or employee of the state legislator, in connection with the awarding of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. (2) If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of congress, an officer or employee of congress, or an employee of a member of congress in connection with this federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all sub- awards at all tiers (including subcontracts, sub-grants, and contracts under grants, loans and cooperative agreements) and that all sub-contractors shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Signature Date Name of Authorized Individual Application or Agreement Number Name and Address of Organization DOEA Form 103 (Revised Nov 2002)

Documentation for Payment. 3.5.1 The Subsub-recipient shall maintain documentation to support payment requests that shall be available to the AAAPP or authorized individuals, such as Department of Financial Services (DFS), individuals upon request. The Contract Manager reserves the right to ask for supporting Such documentation to ensure that services reported are being shall be provided according upon request to the Department of Elder Affairs Programs and Services HandbookAAAPP. 3.5.2 3.4.1. The Subsub-recipient shall ensure subcontractors is required to enter all required data per the DOEA’s 's CIRTS Policy Guidelines for clients and services in the CIRTS database. Data The data must be entered into the CIRTS before (end of each month) the subcontractors sub-recipients submit their request for payment and expenditure reports to the Sub-recipientAAAPP. The Sub- sub-recipient shall establish time frames with subcontractors to ensure assure compliance with AAAPP due dates for the requests for payment and expenditure reports to the AAAPP. 3.5.3 3.4.2. The Sub-recipient AAAPP will require subcontractors sub-recipients to run monthly CIRTS reports (Total Units of Service by Program Component, a report which provides the unit cost) and verify that client and service data in the CIRTS is accurate. This report is to be used in developing the Request for Payment and Receipts and Expenditure Report. This CIRTS report will equal the amount of units being reported on the Monthly Programmatic Reports. If the report does not equal the amount of units reported on the Monthly Programmatic Report, the Request for Payment will be placed on HOLD until the reports are corrected or proper justification is provided. The Programmatic Report needs to must be submitted electronically to the AAAPP Contract Manager or designee, prior to with the Request monthly request for Payment but not later than payment and expenditure report and must be reviewed by the Request AAAPP before the sub-recipients request for Payment arrivalpayment and expenditure reports can be approved by the AAAPP. The undersigned certifies, to the best of his or her knowledge and belief, that: (1) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any state or federal agency, a member of congress, an officer or employee of congress, an employee of a member of congress, or an officer or employee of the state legislator, in connection with the awarding of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. (2) If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of congress, an officer or employee of congress, or an employee of a member of congress in connection with this federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all sub- awards at all tiers (including subcontracts, sub-grants, and contracts under grants, loans and cooperative agreements) and that all sub-contractors subcontractors shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 10,000.00 and not more than $100,000 100,000.00 for each such failure. Signature Date Xxxx Xxxxxxx EL008-Pasco-Nutrition Name of Authorized Individual Application or Agreement Number Pasco County Board of County Commissioners 00000 Xxxx Xxxx Xxxxxx Xxxx Xxxx, Xxxxxxx 00000-0000 Name and Address of Organization ATTEST: BY: XXXXX X. O’XXXX XXXXX COUNTY CLERK AND COMPTROLLER DOEA Form 103 (Revised Nov 2002) FINANCIAL AND COMPLIANCE AUDIT The administration of resources awarded by the DOEA/AAAPP to the sub-recipient may be subject to audits and/or monitoring by the DOEA/AAAPP, as described in this section. In addition to reviews of audits conducted in accordance with OMB Circular A-133, as revised, and Section 215.97, F.S., (see "AUDITS" below), monitoring procedures may include, but not be limited to, on-site visits by the DOEA/AAAPP staff, limited scope audits as defined by OMB Circular A-133, as revised, and/or other procedures. By entering into this agreement, the sub-recipient agrees to comply and cooperate with any monitoring procedures/processes deemed appropriate by the DOEA/AAAPP. In the event the DOEA/AAAPP determines that a limited scope audit of the sub-recipient is appropriate, the sub-recipient agrees to comply with any additional instructions provided by the DOEA/AAAPP to the sub-recipient regarding such audit. The sub-recipient further agrees to comply and cooperate with any inspections, reviews, investigations, or audits deemed necessary by the Chief Financial Officer (CFO) or Auditor General.

Documentation for Payment. 3.5.1 The Subsub-recipient shall maintain documentation to support payment requests that shall be available to the AAAPP or authorized individuals, such as Department of Financial Services (DFS)Services, upon request. 3.4.1. The Contract Manager reserves the right to ask for supporting documentation to ensure that services reported are being provided according to the Department of Elder Affairs Programs and Services Handbook. 3.5.2 The Subsub-recipient shall ensure subcontractors enter all required data per the DOEA’s CIRTS Policy Guidelines for clients and services in the CIRTS database. Data must be entered into CIRTS before (end of each month) the subcontractors submit their request for payment and expenditure reports to the Subsub-recipient. The Sub- sub-recipient shall establish time frames with subcontractors to ensure assure compliance with AAAPP due dates for the requests for payment and expenditure reports to the AAAPP. 3.5.3 3.4.2. The Subsup-recipient will require subcontractors to run monthly CIRTS reports (Total Units of Service by Program Component, a report which provides the unit cost) and verify that client and service data in CIRTS is accurate. This report is to be used in developing the Request for Payment and Receipts and Expenditure Report. This CIRTS report will equal the amount of units being reported on the Monthly Programmatic Reports. If the report does not equal the amount of units reported on the Monthly Programmatic Report, the Request for Payment will be placed on HOLD until the reports are corrected or proper justification is provided. The Programmatic Report needs to must be submitted electronically to the AAAPP Contract Manager or designee, prior to with the Request monthly request for Payment but not later than payment and expenditure report and must be reviewed by the Request for Payment arrivalAAAPP before the sub-recipient’s request can be approved by the AAAPP. The undersigned certifies, to the best of his or her knowledge and belief, that: (1) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any state or federal agency, a member of congress, an officer or employee of congress, an employee of a member of congress, or an officer or employee of the state legislator, in connection with the awarding of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. (2) If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of congress, an officer or employee of congress, or an employee of a member of congress in connection with this federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all sub- sub-awards at all tiers (including subcontracts, sub-grants, and contracts under grants, loans and cooperative agreements) and that all sub-contractors subcontractors shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 10,000.00 and not more than $100,000 100,000.00 for each such failure. Signature Date _JACK XXXXXXX EA009-PASCO-NUTRITION Name of Authorized Individual Application or Agreement Number Name and Address Pasco County Board of Organization County Commissioners 00000 Xxxx Xxxx Xxxxxx ATTEST: BY: XXXXX X. O’XXXX XXXXX COUNTY CLERK AND COMPTROLLER DOEA Form 103 (Revised Nov 2002) The administration of resources awarded by the AAAPP/DOEA to the sub-recipient may be subject to audits and/or monitoring by the AAAPP/DOEA, as described in this section. In addition to reviews of audits conducted in accordance with OMB Circular A-133, as revised, and Section 215.97, F.S., (see “AUDITS” below), monitoring procedures may include, but not be limited to, on-site visits by the AAAPP/DOEA staff, limited scope audits as defined by OMB Circular A-133, as revised, and/or other procedures. By entering into this agreement, the sub-recipient agrees to comply and cooperate with any monitoring procedures/processes deemed appropriate by the Department of Elder Affairs. In the event the AAAPP/DOEA determines that a limited scope audit of the sub-recipient is appropriate, the sub-recipient agrees to comply with any additional instructions provided by the AAAPP/DOEA to the sub-recipient regarding such audit. The sub-recipient further agrees to comply and cooperate with any inspections, reviews, investigations, or audits deemed necessary by the Chief Financial Officer (CFO) or Auditor General.

Documentation for Payment. 3.5.1 The Subsub-recipient shall maintain documentation to support payment requests that shall be available to the AAAPP or authorized individuals, such as Department of Financial Services (DFS)Services, upon request. 3.4.1. The Contract Manager reserves the right to ask for supporting documentation to ensure that services reported are being provided according to the Department of Elder Affairs Programs and Services Handbook. 3.5.2 The Subsub-recipient shall ensure subcontractors is required to enter all required data per the DOEA’s 's CIRTS Policy Guidelines for clients and services in the CIRTS database. Data The data must be entered into CIRTS by the 5th of the following month for which the sub-recipient is requesting. The data must be entered into the CIRTS before (end of each month) the subcontractors sub-recipients submit their request for payment and expenditure reports to the Sub-recipient. The Sub- recipient shall establish time frames with subcontractors to ensure compliance with AAAPP due dates for the requests for payment and expenditure reports to the AAAPP. 3.5.3 3.4.2. The Subsup-recipient will require subcontractors to run monthly CIRTS reports (Total Units of Service by Program Component, a report which provides the unit cost) and verify that client and service data in CIRTS is accurate. This report is to be used in developing the Request for Payment and Receipts and Expenditure Report. This CIRTS report will equal the amount of units being reported on the Monthly Programmatic Reports. If the report does not equal the amount of units reported on the Monthly Programmatic Report, the Request for Payment will be placed on HOLD until the reports are corrected or proper justification is provided. The Programmatic Report needs to must be submitted electronically to the AAAPP Contract Manager or designee, prior to with the Request monthly request for Payment but not later than payment and expenditure report and must be reviewed by the Request for Payment arrivalAAAPP before the sub-recipient’s request can be approved by the AAAPP. The undersigned certifies, to the best of his or her knowledge and belief, that: (1) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any state or federal agency, a member of congress, an officer or employee of congress, an employee of a member of congress, or an officer or employee of the state legislator, in connection with the awarding of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. (2) If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of congress, an officer or employee of congress, or an employee of a member of congress in connection with this federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all sub- sub-awards at all tiers (including subcontracts, sub-grants, and contracts under grants, loans and cooperative agreements) and that all sub-contractors subcontractors shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 10,000.00 and not more than $100,000 100,000.00 for each such failure. Signature Date Xxx Xxxxxxx, Ed.D. Chairman EA010-PASCO-NUTRITION Name of Authorized Individual Application or Agreement Number Name Xxxxx County Clerk and Address Comptroller Pasco County Board of Organization County Commissioners 00000 Xxxxxxxx Xxxxxx DOEA Form 103 (Revised Nov 2002) The administration of resources awarded by the AAAPP/DOEA to the sub-recipient may be subject to audits and/or monitoring by the AAAPP/DOEA, as described in this section. In addition to reviews of audits conducted in accordance with OMB Circular A-133, as revised, and Section 215.97, F.S., (see “AUDITS” below), monitoring procedures may include, but not be limited to, on-site visits by the AAAPP/DOEA staff, limited scope audits as defined by OMB Circular A-133, as revised, and/or other procedures. By entering into this agreement, the sub-recipient agrees to comply and cooperate with any monitoring procedures/processes deemed appropriate by the Department of Elder Affairs. In the event the AAAPP/DOEA determines that a limited scope audit of the sub-recipient is appropriate, the sub-recipient agrees to comply with any additional instructions provided by the AAAPP/DOEA to the sub-recipient regarding such audit. The sub-recipient further agrees to comply and cooperate with any inspections, reviews, investigations, or audits deemed necessary by the Chief Financial Officer (CFO) or Auditor General.