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DocuSign Envelope ID:C8D98134-3597-4323-98FA-COCA2820B225 Exhibit A - continued <br /> A ri <br /> Provider's G-1MAWP,,4q4@9fJ)6&p1 i cation__ <br /> 24 CFR 570.200ia), <br /> 4, Financial(for Program Budget Worksheet and Detail should reflect 570.201-570, 208. <br /> each expenses for the entire program and ALL sources of 507.503 <br /> program/ funding. 24 CFR 570-506, <br /> ro- <br /> project for i 570.507, 570.601, <br /> which funding'a. OlProgram Budget Worksheat 570.602. 570.607(5). <br /> is requested) 1 b. m E3-'�rogra Budget Detail 570,611 <br /> C. acost Per Unit 24 CFR <br /> 570,502-570.504, <br /> d, 570.506, <br /> �Agency Operating Budget Worksheet 570.507, 570.610;24 1 <br /> CFR Parts 84 or 85, and <br /> OMB Circulars A-87 or A-! <br /> 122: <br /> 1 Treasury Circular 1075 <br /> 15. Supplemental IA. ❑Part A: CDBG&HOME <br /> Sections(as 1 B, F-1 Part B. ConstructionlRehab <br /> applicable) <br /> Audit.-Organizations receiving$300000 or more <br /> F. Attachments , OMB CircularA-133 <br /> i in Federal financial assistance, andlor organizations <br /> with more than$500.000 of receipts and <br /> expenditures in a fiscal year,must secure an audit. <br /> b. ❑IRS Federal Form 990 <br /> c. E,1-�iC Solicitation License <br /> I d. EYIRS Federal Tax-Exemption Letter <br /> e. 'Certificate of Insurance <br /> f. DIList of Board of Directors 24 CFR Parts 84 or 85 <br /> 1 g. EJArticies of Incorporation/Bylaws <br /> 24 CFR 570.208; <br /> h. [JAuthorization to Request Funds 570,500(c), 570.611 <br /> L aAuthorized official designation <br /> j. solid Waste Program Fee(SWPF) Verification <br /> Main Application 112412016 5:04:30 PM 2 2 2 <br />