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67 <br /> APPENDIX 3: Subrecipient Monitoring Form <br /> This report reflects the County's substantive assessment of the subrecipient's project implementation and <br /> subaward compliance.The County's project manager assigned to the subaward or finance officer must complete <br /> this report for each payment validation, report review,desk review,site review,and audit or procedures <br /> engagement review during the subaward term (and,as appropriate, after the expiration or termination of the <br /> subaward). Upon completion, and following review by the Chief Financial Officer,the original will be filed in the <br /> subaward file.Any required subrecipient corrective actions will be detailed in writing and provided to the <br /> subrecipient within thirty days of the completion of this report. <br /> I. Subaward Overview (complete this section for all reviews) <br /> STAFF INFORMATION <br /> Reviewed conducted by: Date: <br /> Type(programmatic, Date: <br /> financial, or both) <br /> Review confirmed by: Date: <br /> SUBRECIPIENT INFORMATION <br /> Subrecipient Name: <br /> Subrecipient Program Personnel (who <br /> participated in the review): <br /> Subrecipient Contact Phone Number: <br /> Subrecipient Fiscal/Audit Personnel (who <br /> participated in the review): <br /> Subrecipient Fiscal Contact Phone Number: <br /> GRANT REVIEW INFORMATION <br /> Grant Project# Award$ POP Begin POP End Review Period <br /> Beginning Ending Date <br /> Date <br /> TYPE OF MONITORING <br /> Type of Monitoring Date Comments <br /> Completed <br /> ❑ Payment Validation (Complete <br /> this column, but not the rest of <br /> the form.) <br /> ❑ Report Review (Complete this <br /> column, but not the rest of the <br /> form.) <br /> 15 of 39 <br />