For-Profit & Foreign Entity Subcontractor Audit Certification
Legal Entity Name:
Address:
Organization's Fiscal Year (Start/End Months):
MOST RECENT FISCAL YEAR ENDED (D/M/Y):
Subcontractor Audit Information
Check the Appropriate Boxes & Provide the Required Reports
Our entity is subject to federal audits of our Accounting System by DCAA. The most recently
completed audit was (insert date). The results of the audit are described
below or attached:
Stop and sign below.
OR
External independent audit of our entity has been completed for the most recently completed
fiscal year. A copy of the report is attached or is available online at
(insert URL).
Stop and sign below.
OR
Our entity has not been audited by a U.S. Government audit agency or by an extra independent
entity for the most recently completed fiscal year or the audit report is proprietary. The
Financial Status & Accounting System Questionnaire (FS&Q) has been completed in its
entirety.
Complete the FS&Q provided as a separate document and sign below..
True and correct information concerning my organization’s finances and fiscal policies has been
provided in this Audit Certification regarding the most recent fiscal year noted above.
Authorizing Signature: Date:
Name & Title:
UDRI INTERNAL USE ONLY
Audit reviewed. No findings reported. Filed with certifications.
Audit reviewed. Findings reported. Audit review memo attached.
Findings may have impact on Subcontract. Audit review memo sent to UDRI PI for review on .
Financial Status Questionnaire reviewed. Review memo attached.
Based on review Subcontractor will be required to provide detailed back up of costs with all invoices.
Subcontracts Manager Signature & Date
Rev. 0 Created 21 March 2014
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