HomeMy WebLinkAboutChecklist Organizations2. Does the nonstate organization determine final program eligibility?
Checklist for Nonstate Organizations
Note: This form is to be used to evaluate the applicability of the Florida Single Audit Act to local governments (excluding district school
boards and community colleges), and nonprofit organizations with which the agency has contracts/agreements. This form does not need
to be completed for local governments and nonprofits under contracts/agreements which only provide for the procurement of
commodities, or which only provide federal or state matching funds. Given that for -profit organizations, including sole -proprietors,
generally have vendor relationships with state agencies, completion of the form for such organizations is optional.
Nonstate Organization(): Miami Fire -Rescue, City of
State Project: EMS Matching Grant Program
Contract/Agreement Period: May 23, 2005-June 30, 2006
Completed by: Edward L, Wilson, Jr.
Agency: Florida Department of Health
CSFA(2) Number: 64.003
Authorizing Statute: Chapter 401, Part lI
Date: May 25, 2005
WNonstate Organization does not include universities within the State University System.
nl Catalog of State Financial Assistance
Part A: If the response to either ojthe following questions is yes, the nonstate organization is a recipient. Skip Part B and go to Part C.
1. Does State law/legislative proviso establish or create the nonstate organization to carry out the state project? Yes No X
Yes No X
Co fete the ollawin ta6fe A >ein reviewed
es" answer is indicative o the ne relationshi b
.:.,3.
1. Does state statute or legislative proviso
establish the state project and authorize the
agency to provide funding for the project?
X
In F.S. 401,
Part II
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1. Does the nonstate organization provide
its services within the normal course of
business operations?
X
2. Is the nonstate organization required to
provide matching funds?
X
2. Does the nonstate organization operate
in a competitive environment?
X
3. Does the nonstate organization make
programmatic decisions on behalf of the
State?
X
3. Does the nonstate organization provide
similar services to many different
t purchasers?
X
4. Are the funds provided to the nonstate
organization for it to carry out its own
program or operations?
X
4. Does the contract agreement specify
. payment on a per unit or per deliverable
' basis?
X
5. If the nonstate organization receives
federal funds under a similar program, is it
designated as a recipient by your agency for
that program?
N / A
° 5. Was the contract/agreement
awarded based on free and open
competition?
X
All EMS
organizations and
providers may
apply
6. Is the nonstate organization organized
primarily for a public purpose?
X
6. If the nonstate organization receives
. . federal funds under a similar program, is
it designated as a vendor by
your agency for that program?
X
Part C. Conclusion.
Based on your analysis of the responses to Parts A and/or B, and discussions with appropriate agency personnel, indicate your
evaluation of the nonstate organization for this contract: (check one) Recipient X Vendor _ Note that it is possible to have
a contractual agreement with a nonstate organization under Chapter 287, Florida Statutes, and still consider the nonstate
organization a recipient under the Florida Single Audit Act
COMMENTS:
Part D: Question/New Projects.
If you have questions regarding the evaluation of a nonstate organization or if you determined that the nonstate organization is a
recipient and the project has not been assigned a CSFA number, contact the Executive Office of the Governor, Office of Policy
and Budget, at 487-1880.
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