American Rescue Plan Act (ARPA) - Risk Assessment - Risk Assessment Questionnaire NameThis field is for validation purposes and should be left unchanged.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: 70 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
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