Checklist for Determining Subrecipient or Contractor Classification under an olhchh grant or cooperative agreement INSTRUCTIONS: Complete sections one and two of the checklist by marking all characteristics that apply to the entity being classified as a subrecipient (subgrantee) or as a contractor (vendor). The entity is prohibited from receiving both a contract and a subgrant for the same grant or cooperative agreement. Additional information can be provided in the comment section. NAME: _________________________________ EIN/TIN: ________________ DUNS No: ____________ Name of Entity SECTION ONE SUBRECIPIENT – Check all appropriate boxes 1. Determines who is eligible to receive Federal assistance. 2. Commercial and Government Entity (CAGE) Code is listed as U.S. Local Government (City, County, State, or Federal Recognized Tribal Government). 3. Has its performance measured in relation to whether objectives of a Federal program are met. 4. Provides public service for local U.S. government (See SAM) to people living within its jurisdiction, either directly (through the public sector) or by financing provision of services, for example, a hospital or non-profit organization with no fee/profit. If a non-profit organization has proposed a fee/profit or overhead cost, it as a contractor; move to - shall be categorized Section Two Contractor). 5. Has responsibility for programmatic decision making. 6. Is responsible for adherence to applicable Federal program requirements specified in the Federal award; and in accordance with its agreement, uses the Federal to carry out a program for a public purpose specified in authorizing statute, as opposed to providing goods or services for the benefit of the pass‐through entity. 7. This section is not applicable to the above entity. Comments: SECTION TWO CONTRACTOR –
Checklist for Determining Subrecipient or Contractor Classification under an olhchh grant or cooperative agreement INSTRUCTIONS: Complete sections one and two of the checklist by marking all characteristics that apply to the entity being classified as a subrecipient (subgrantee) or as a contractor (vendor). The entity is prohibited from receiving both a contract and a subgrant for the same grant or cooperative agreement. Additional information can be provided in the comment section. NAME: _________________________________ EIN/TIN: ________________ DUNS No: ____________ Name of Entity SECTION ONE – SUBRECIPIENT Check all appropriate boxes 1. Determines who is eligible to receive Federal assistance. 2. Commercial and Government Entity (CAGE) Code is listed as U.S. Local Government (City, County, State, or Federal Recognized Tribal Government). 3. Has its performance measured in relation to whether objectives of a Federal program are met. 4. Provides public service for local U.S. government (See SAM) to people living within its jurisdiction, either directly (through the public sector) or by financing provision of services, for example, a hospital or non-profit organization with no fee/profit. If a non-profit organization has proposed a fee/profit or overhead cost, it shall be categorized as a contractor; move to Section Two - Contractor). 5. Has responsibility for programmatic decision making. 6. Is responsible for adherence to applicable Federal program requirements specified in the Federal award; and in accordance with its agreement, uses the Federal to carry out a program for a public purpose specified in authorizing statute, as opposed to providing goods or services for the benefit of the pass‐through entity. 7. This section is not applicable to the above entity. Comments: SECTION TWO – CONTRACTOR
REVISEDCHECKILIST2017-02.DOCX