Paterson Public Schools District

Department of Early Childhood Education

FY 2015-2016 Quarterly Expenditure Reports for the

State Mandated Preschool Program

PROVIDER STATEMENT OF ASSURANCE

Center’s Name: ______

Director’s Name/Administrator: ______

The undersigned hereby assures that the Center is “Aligned with the Early Childhood Education Program Expectations: Standards of Quality”. The Provider understands that “activities and expenditures shall be subject to independent, external audit to ensure compliance with programmatic and fiscal requirements.”

The undersigned hereby assures that the attached Quarterly Expenditures Reports are submitted to the Department of Early Childhood as outlined in the “District Procedures for Early Childhood Centers” and as outlined in Section VII (F) of FY 2015-2016 contract between the Paterson School District and the Provider.

Section VII (F)

“The Provider agrees to submit to the District a quarterly expenditure report, as defined in Section II (A) (4), of actual, approvable, reasonable and customary expenditures signed and certified by the director and officer of the corporation (if the director is not an officer), if incorporated, and understands that the District will recoup any unexpended or misspent funds based on quarterly expenditure reports, enrollment records and monthly payment made by the District. Based on review of the quarterly expenditure report, the District shall make prorated adjustments to subsequent monthly payments. Based on its review of the quarterly expenditure reports, the District shall make prorated adjustments to subsequent monthly payments.

The District retains the right to recoup funds from the Provider after the 2015-2016 contract period has ended if the District analyses of the provider quarterly expenditure reports, pursuant to the approved 2015-2016 annual budget reveals funds unspent or misspent by the provider during the term of the contract.

1.  If the provision for receipt and verification of the Provider’s enrollment as described in VIII (G) are met, monthly payments shall be released within forty-eight hours of the Paterson School Board of Education monthly meeting following receipt and verification of the provider’s enrollment for the previous month.

2.  Quarterly expenditure reports (for quarters ending September 30, December 31, March 31, and June 30) shall be submitted to the District no later than: October 15, January 15, April 15, and July15, respectively.

The Provider also assures that:

1.  Expenditures are made in strict accordance with the approved budget;

2.  The preschool program shall serve only children who reside in the Paterson School District;

3.  Each individual employed by the preschool has had a Criminal History Background Check (CHRI) and Child Abuse Record Information (CARI) check and that said checks indicated that no criminal history or abuse exists which would disqualify said employee from employment pursuant to law.

4.  The number of DOE funded classrooms located in this center is:______, the number of non-DOE funded classrooms located in this center is:______.

I certify that the attached Expenditures Reports, for the quarter ending______,

are correct and complete and include all supporting documentation.

Director______Date______

(Authorized signature)

______

(Type or print name)

Rev. 9/2015