Checklist for Final Disbursement Project

OMB Number: 0610-0096
Expiration Date: 11/30/2021

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ECONOMIC DEVELOPMENT ADMINISTRATION
CHECKLIST FOR FINAL DISBURSEMENT / PROJECT CLOSEOUT
EDA Award Number:

Date:

Recipient:
Co-Recipient(s):
Recipient’s Authorized Representative:
Name & Phone Number

The final disbursement amount request is $
Y

1. A complete and signed Form SF-271 for Final Pay Request Number
submitted to EDA.

has been

2. All partial pay estimates and invoices have been listed on the project EDA Financial
Spreadsheet and the spreadsheet has been submitted to EDA.
3. Copies of the partial pay estimates and invoices supporting the claim for the final
reimbursement have been submitted to EDA.
4. Copies of the weekly certified payrolls are on file and are available to the
Government upon request.
5. The project/grant administrator has certified that all contractors and subcontractors
have complied with Davis-Bacon wage rate requirements.
6. All construction contract change orders have been submitted and accepted by EDA.
7. All payments due to contractors for construction, services and supplies are current.
8. All Special Award Conditions to the EDA grant award have been satisfied and
accepted by EDA.
9. A final inspection was performed and has been accepted by the Recipient and the
Architect/Engineer and an executed EDA Final Acceptance Report or similar
document has been submitted to EDA.
10. All deficiencies noted in the punch list have been corrected; If “No,” the deficiencies
will be completed by
.
11. Recipient has received the as-built drawings from the Architect/Engineer.
12. Permanent insurance on the facility has been obtained.

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N

NA

OMB Number: 0610-0096
Expiration Date: 11/30/2021

Y

13. The project was completed on time or an EDA-approved time extension is on file.
14. All quarterly progress report has been submitted to and accepted by EDA.
15. All semi-annually Federal Financial Report (SF-425) have been submitted to and
accepted by EDA.
16. The first lien or covenant has been executed, recorded, and submitted/accepted by
EDA.
17. All executed tenant leases have been submitted and accepted by EDA.
18. Project photographs have been submitted to EDA (including EDA sign.)
19. The Recipient certifies that a valid audit, completed according to the requirements
outlined in 2 CFR 200, Subpart F, was submitted to the Federal Audit
Clearinghouse for the Recipient’s fiscal years ended
(Recipient should enter the Month/Year for each fiscal year during the award
period of the grant if applicable.)
20. The Recipient certifies that an audit was not required, per 2 CFR 200, Subpart F,
for the fiscal years ended
(Recipient should enter the
Month/Year for each fiscal year during the award period of the grant if applicable),
as the Recipient did have expenditures of the federal award monies (includes all
federal award monies, not just EDA) in excess of $750,000 in these fiscal years.
21. The Recipient certifies that an audit will be performed, per 2 CFR 200, Subpart F,
for the fiscal years ended
(Recipient should enter
the Month/Year for each fiscal year during the award period of the grant if
applicable), if the Recipient does have expenditures of the federal award monies
(includes all federal award monies, not just EDA) in excess of $750,000 in these
fiscal years.
22. All audit issues have been resolved.
23. The Recipient is aware that project records must be retained for a minimum of three
years. EDA encourages the grant application and Site Certificate be maintained for
Governmental Performance and Results Act (GPRA) purposes as well as the Site
Certificate for Real Property Status Reporting purposes.
24. The Recipient is aware that for the EDA determined useful life of the EDA assisted
facilities, all real property must be used for originally authorized purposes and the
Recipient shall not dispose of or encumber its title or other interests. When the
facility is no longer needed for the original purpose and the useful life has not
expired, the Recipient will request instructions from EDA.

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N

NA

OMB Number: 0610-0096
Expiration Date: 11/30/2021

Y

25. The Recipient is aware that a Final Financial Report (SF-425) needs to be
submitted to the EDA within ninety (90) days after receiving final payment
and project closeout.
26. The Recipient is aware of the requirements for EDA GPRA Reporting and the
GPRA Checklist for Project Closeout will be submitted to EDA.
27. The Recipient is aware of the requirements for Real Property Status Reporting
and the Real Property Status Reporting Checklist for Project Closeout will be
submitted to EDA.

Prepared By (Signature)

Date

Prepared By (Typed or Written Name & Title)

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N

NA