Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutC09-456 Risk Assessment Assurance Form
Colorado ARRA CSBG
Risk Assessment Assurance Form
For Grantees, Sub-Grantees and Vendors/Contractors
Name of Entity: Eagle County
Date of Assessment: November 3, 2009
Risk Assessment Questions Yes No Comments, including supplemental
su ort documentation
Have there been any material weaknesses and X Previous CSBG state monitoring
reportable conditions, questioned costs and assessments, audits and other reviews have
other findings cited within the last three years not had negative findings.
that have not been corrected? This review
includes annual audits, state monitoring
assessments, Inspector General reviews or any
other reviews of finances and operations.
Are standard financial and operating controls in X
place to ensure assets and information are
protected against fraud, waste and abuse, and
mismanagement of Federal funds?
Does the entity have in place clearly stated and X
current administrative, fiscal and programmatic
policies and operating procedures in accordance
with the CSBG statute?
Are the above policies and procedures X
distributed to staff with the appropriate
training?
Does the entity have in place a methodology for X
monitoring compliance with internal policies
and procedures?
Have internal policies and procedures been X
reviewed for compliance with requirements of
the CSBG Act, ARRA, CSBG Information
Memoranda, OMB Circulars, ACF Grant Terms
and Conditions, and other contractual terms and
conditions?
~ Refer to Revised ACF Terms and Conditions #10, dated May 2009
~ GAO -1-1008G, Internal Control and Evaluation Tool August 2001
~x~__ t~
What procedures are in place to assure that any N/A N/A
general purpose equipment purchased using
CSBG ARRRA funds is directly related to
specific CSBG services under the ACF Grant
Terms and Conditions applicable to ARRA?
3
If any purchase or improvement of land, or the N/A N/A
purchase, construction, or permanent
improvement of any building or other facility,
has a Federal waiver been requested and
approved as required under the CSBG Statute?4
Risk Mitigation Activities - A "yes" to question number one indicates a potential risk area for CSBG ARRA
implementation. A "no" to questions 2-6 indicates a potential risk area. For any identified risks, please
describe current risk mitigation plans or compensating controls established.
3 2CFR Part 225, Cost Principles for State, Local and Indian Tribal Governments dated August 29, 1997;
and 2CFR Part 230, Cost Principles for Non-Profit Organizations dated June 1, 1998
' SEC. 678F (a)(1) Limitation on Use of Funds
State CSBG Lead Agency Comments
I concur with the eligible entity's assessment of risk with no additional comment.
I have attached comments on additional areas of risk with this entity or Statewide.
Signed:
Title:
Date:
Certification Statement: I certify that the risk assessment has been conducted to assure
appropriate expenditures of Community Services Block Grant funds received through the
American Recovery and Reinvestment Act of 2009. This risk assessment addressed
previous audit or monitoring findings within the last three years, a review of existing
internal controls, a review of statutory and regulatory compliance and a review of
equipment and property procedures to assure a direct relationship to CSBG services.
Where potential risks have been identified, appropriate risk mitigation measures and
compensating~ontrols have been identified.
Signed:
Printed name: Sara Fisher
Title: Chairman, Eagle County Board of County Commissioners
Date: ~ ~ ~ ~ 7 ~~ 1
Tri-partite board Approval: (see attached letters)
Printed name:
Title:
Date:
HEALTH & HUMAN SERVICES
(970)328-8840
FAX: (970) 328-8785
www.eaglecounty.us
November 3, 2009
Adult Services
Child Support Services
Early Childhood Services
Public Assistance
Public Health
Volunteer Services
Youth & Fami-y Services
My signature certifies that Eagle County Head Start Policy Council has reviewed and approves the
2009-2010 American Reinvestment and Recovery Act Community Services Block Grant Risk
Assessment Assurance form .
~ ~~,
Signature~_ ~~ ~ >7~,~
Printed Name XC~i ,~~~ 1..~~ r ~; n t~ >?
Title '~);~~~rP_c ~~~c~~-Ct
Department
Old Courthouse Building, 551 Broadway, P.O. Box 660, Eagle, Colorado 81631-0660
HEALTH & HUMAN SERVICES
(970) 328-8840
FAX: (970)328-8785
www.eaglecounty.us
November 3, 2009
Adult Services
Child Support Services
Early Childhood Services
Public Assistance
Public Health
Volunteer Services
Youth & Family Services
My signature certities that Eagle County Child Protection Team has reviewed and approves the 2009-
20]OAmerican Reinvestment and Recovery Act Community Services Block Grant Risk Assessment
Assurance form.
Signature '~~' ~% ~' ' '.-~+ '~ ~°~~`~ ~` ' ~ r ~ ~~
_ ., ;
Printed Name i ~'t ,~r' i ~ _ ~±=t _,. ; it i i
f
E
Title ,. ,( ;>r:i•;; r ~- E ~ ~.~; ~6. t~
Department ~(', ;~: r~r ` `1- '~'~~ ~`i ~!~ it
Old Courthouse Building, 551 Broadway, P.O. Box 660, Eagle, Colorado 81631-0660