American Rescue Plan Act (ARPA) - Risk Assessment - Risk Assessment Questionnaire Grantee Name: Review Date MM slash DD slash YYYY Grant AmountProgram(s)SAM.GOV (UEI Number) Risk Assessment QuestionsWhere “Yes” is indicated verification will be requested Is the Subrecipient Institution presently debarred or suspended? Yes No N/A Does the Subrecipient show "delinquent federal debt" in SAM? Yes No N/A Does the organization have a conflict-of-interest policy in place?Please attach a copy of the policy in the documentation section below. Yes No N/A Does the Subrecipient have an acceptable accounting system?[ie., Quickbooks. Word or Excel not acceptable] Yes No N/A Does the Subrecipient have an acceptable procurement system?[How does the organization procure? What is the system process?] Please attach a copy of the policy in the documentation section below. Yes No N/A Has your organization been out of compliance as a recipient or subrecipient for any grant in the past 3 years?[$750K in federal awards/funding] Yes No N/A Are current assets sufficient to cover current liabilities? Yes No N/A Does Subrecipient have a records retention policy?Please attach a copy of the policy in the documentation section below. Yes No N/A Does the city of providence have past experience with your organization as a subrecipient? Yes No N/A Previous experience with Federal Grant funding? Yes No N/A Upload supporting documentation(jpg, gif, png, pdf, doc, docx) Drop files here or Select files Accepted file types: (jpg, gif, png, pdf, doc, docx), Max. file size: 60 MB, Max. files: 5. Name(Required) First Last Email(Required) Enter Email Confirm Email Grantee YES Count N/A Count Risk Assessment Grantee 1 2 4 LOW Grantee 2 3 3 MED Grantee 3 6 2 HIGH PhoneThis field is for validation purposes and should be left unchanged.
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