U.S. Department of Commerce, Economic Development Administration
1401 Constitution Avenue, NW
Washington, DC 20230
This is to certify that I have reviewed the indirect cost rate proposal prepared and maintained
herewith and to the best of my knowledge and belief:
(1) All costs included in this proposal dated _______________[identify date indirect cost rate
proposal was finalized] to establish indirect costs rate(s) for_________________ [identify
start/end dates for the fiscal year covered by the indirect cost rate] are allowable in
accordance with the requirements of the Federal award(s) to which they apply and OMB Uniform
Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards
(codified at 2 C.F.R. Part 200) Unallowable costs have been adjusted for in allocating costs as
indicated in the cost allocation plan.
(2) All costs included in this proposal are properly allocable to Federal awards on the basis of a
beneficial or causal relationship between the expenses incurred and the agreements to which they
are allocated in accordance with applicable requirements. Further, the same costs that have been
treated as indirect costs have not been claimed as direct costs. Similar types of costs have been
accounted for consistently and the Federal Government will be notified of any accounting
changes that would affect the predetermined rate.
(3) The indirect cost rate calculated within the proposal is _______________ [identify rate(s)],
which was calculated using a direct cost base type of ________________ [identify type of direct
cost base Salary & Fringe, MTDC, etc.]. The calculations were based on actual costs from
fiscal year ____ to obtain a federal indirect cost billing rate for fiscal year ________________.
(4) All documentation supporting the indirect cost rate identified above must be retained by the
Recipient. This rate should be reviewed and validated as part of the Recipient’s annual financial
Subject to the provisions of the Program Fraud Civil Remedies Act of 1986, (31 USC 3801 et
seq.), the False Claims Act (18 USC 287 and 31 USC 3729); and the False Statement Act (18
USC 1001), I declare to the best of my knowledge that the foregoing is true and correct.
Organization Name:
Name of Authorized Official:
Email Address and Phone:
Date of Execution:
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