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FINANCIAL. MANGEMENT ASSESSMENT <br />This assessment should be completed, signed and certified by the Applicant's Financial Officer. <br />YES NO <br />1. Have you previously done business with DOE? ? 0 <br />2. Have you previously done business with any other Federal Agency? ® ? <br />If so, please identify: <br />The City of San Marcos receives funds from the following federal agencies: U.S. Department of Agriculture, U.S. <br />Department of HUD, U.S. Federal Highway Administration, U.S. Department of Justice, U.S. Department of <br />Defense, <br />3. Can the Applicant's Financial Officer or Independent Auditor certify that the Applicant has <br />a financial management system sufficient to meet the requirements of 10 CFR 600.220? ® ? <br />If yes, please skip to question #10 and sign/certify below. <br />4. Does your accounting system have the ability to track costs on a reimbursable basis? 0 ? <br />5. Does your system allow for accurate, current and complete financial reporting, and record <br />keeping as well as the maintaining of adequate source documentation? ® ? <br />6. Does your system allow for effective internal controls and accountability? ® ? <br />7. Does your system allow for effective and efficient cash management procedures? ? <br />8. Does your system prohibit subaward at any tier to any party which is debarred, suspended <br />or otherwise excluded from or ineligible for participation in Federal assistance programs? ® ? <br />9. The expenditure of $500,000 or more of Federal funds in a fiscal year requires an <br />organization to have an audit performed in accordance with OMB Circular A-'133. <br />Has your organization had such an audit performed? 0 ? <br />10. If yes, please provide the most recent report or a copy of the SF-SAC forms filed with <br />the Federal Audit Clearinghouse. If no, proceed to the next statement and certify by <br />checking the YES block. <br />nderstan the audit requirements and will comply with the provisions of OMB Circular A-133. ? <br />PRINTED?NAM E IT?LE AND PHONE NUMBERrOF INDIVIDUAL COMPLETING FORM DATE <br />By signing this form, the above individual certifies that the responses provided to this survey are accurate as of the date. <br />If "NO" has been selected for any of the statements above, please provide further explanation on page 2.