OFFICE OF THE STATE COMPTROLLER
Checklist for Local Grant Awards

1. Contract Statistics
State Agency: ________________________ Agency Code Number: _________________
Contract Number: ____________________ Contract Amount: _____________________
Grant Amount: _______________________ Program Title: ________________________




Contract Period: __________________________________________________________
Contract or Payee: ________________________________________________________
Address: _______________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Description of Project: _____________________________________________________
_______________________________________________________________________
Cite Applicable Statute: ____________________________________________________
Cite the Specific Appropriation: ______________________________________________
2. Submission IncludesYesNo
a. Batch transmittal, AC 340, original contract and copies of contract to be returned to agencies. ________
b. Required signatures (vendors, agencies, oversight agencies i.e. Attorney General's Office). ________
c. Certification from agency that contracting and monitoring procedures comply with Budget Bulletin B-1081. ________
d. Justification for selection of contractor.________
e. Basis for payment (detailed budget, etc.).________
f. List of other sources of funding. ________
3. Legislative Sponsor(s)
Legislative sponsor(s): _____________________________________________________
Election district(s): ________________________________________________________
Fiscal year and page number of the Green Book on which the program and funding are listed:

______________________________________________________________________