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<br />78 <br />Page 2'3 <br /> <br />Exhibit 5 _ Sample Certification for No Single Audit Requirement Needed <br /> <br />(please insert sample language onto your agency letterhead stationary) <br /> <br />Department of Housing <br />County of San Mateo <br />262 Harbor Blvd., Bldg. A <br />Belmont, CA 94002 <br /> <br />Dear: <br /> <br />This is to certify that as (title) for our <br />agency. (name of agency)~ we did not expend more <br />than $500,000 of federal funds from all federal sources during the fiscal year ending <br />. As such~ our independent financial audit submitted with this application was not required to <br />comply with the single audit requirements set forth in OMB A-122 or A-133. <br /> <br />Name (signature) <br /> <br />Print Name <br /> <br />Title <br /> <br />Date <br /> <br />Program Guidelines for Funding of Housing Development Activities FY 2009-10 <br /> <br />16 <br />