Grantee/ Recipient/ Subrecipient: Project ID: Monitor: Date Completed: Monitoring Prep - Document Collection Description: The Monitor must collect the following documents in order to execute the Project Checklist. Instructions: Work with the appropriate staff to follow up with the Grantee/ Recipient/ Subrecipient until the requisite documents are received. Check the box in the received. “Received?” column once Type of Applicable Required Documents Section Project Received? Citizen Participation Plan, if applicable Section 4: All Evidence of Citizen Participation (Public hearing meeting Citizen Participation notices, attendance logs, minutes, etc.) Section 5: National Objective All Project Application and Eligible Activities Monitoring Policies and Procedures (Monitoring Plan) Section 6: Monitoring Plan Schedule All Monitoring Monitoring Results Procurement Policies and Procedures For each Procurement/Contract: Justification of services, supplies, procured item(s) Advertisement/Publication (Not applicable if services, supplies, or items are procured through the Small Purchase Method) Section 7: Proposals, Statement of Qualifications, Bids, or Quotes Procurement and All received Contract Review Evaluation of all Proposals, Statement of Qualifications, or Bids received (Not applicable if services, supplies, or items are procured through the Small Purchase Method) Cost/Price Analysis Notice of Contract Award For each Contractor, as applicable: Proof of Insurance Contractor Clearance Form Evidence of Labor Compliance Officer (LCO) Labor Interviews Proof of approval from the OCD/DRU to use Force Account Section 8: Labor All Labor, if applicable Construction Projects LCO Labor Issues Log (including description, issue type, restitution amount, if any) For each Contractor: Verification of Wage Decision Form (Construction contracts exceeding $2,000 Only Two Weekly Payrolls Financial Management Policies and Procedures Chart of Accounts Section 9: Financial Project Budget All Management Revenue/Expenditure Report (or “Financial Status Report”) Bank Statement (Or other documentation required to review Cash Management)
Grantee/ Recipient/ Subrecipient: Project ID: Monitor: Date Completed: Monitoring Prep - Document Collection Description: The Monitor must collect the following documents in order to execute the Project Checklist. Instructions: Work with the appropriate staff to follow up with the Grantee/ Recipient/ Subrecipient until the requisite documents are received. Check the box in the “Received?” column once received. Section Type of Applicable Project Required Documents Received? Section 4: Citizen Participation All Citizen Participation Plan, if applicable Evidence of Citizen Participation (Public hearing meeting notices, attendance logs, minutes, etc.) Section 5: National Objective and Eligible Activities All Project Application Section 6: Monitoring All Monitoring Policies and Procedures (Monitoring Plan) Monitoring Plan Schedule Monitoring Results Section 7: Procurement and Contract Review All Procurement Policies and Procedures For each Procurement/Contract: Justification of services, supplies, procured item(s) Advertisement/Publication (Not applicable if services, supplies, or items are procured through the Small Purchase Method) Proposals, Statement of Qualifications, Bids, or Quotes received Evaluation of all Proposals, Statement of Qualifications, or Bids received (Not applicable if services, supplies, or items are procured through the Small Purchase Method) Cost/Price Analysis Notice of Contract Award Section 8: Labor All Construction Projects For each Contractor, as applicable: Proof of Insurance Contractor Clearance Form Evidence of Labor Compliance Officer (LCO) Labor Interviews Proof of approval from the OCD/DRU to use Force Account Labor, if applicable LCO Labor Issues Log (including description, issue type, restitution amount, if any) For each Contractor: Verification of Wage Decision Form (Construction contracts exceeding $2,000 Only Two Weekly Payrolls Section 9: Financial Management All Financial Management Policies and Procedures Chart of Accounts Project Budget Revenue/Expenditure Report (or “Financial Status Report”) Bank Statement (Or other documentation required to review Cash Management)
Exhibit%2012-4.docx