HomeMy WebLinkAboutInv# PC - 10875 - GOVERNMENT FINANCE OFFICERS ASSOC (GFOA) - 05/02/2023COA Application Form
Applicants must submit their Annual Comprehensive Financial Report to GFOA within six months
of the government's fiscal year end (or, if that date falls on a weekend or holiday, the next
business day). GFOA will consider a one-month extension to this deadline. Extension requests
can be submitted on the Extension Request Form.
If you have questions, please e-mail coaprogram@gfoa.org or call the Technical Services Center
at (312) 977-9700.
Name of Government *State Government’s Member ID#*
If the Government Name and/or Member ID is incorrect, please contact GFOA member services at membership@gfoa.org.
Please select the dates of the fiscal year covered by the report. For the start date, the first day of the month is assumed,
and for the end date, the last day of the month is assumed.
Report Fiscal Year Begin:
Year *(?)Month *
Report Fiscal Year End:
Year *(?)Month *
Your extension request has been approved!
Government Type *
Size Indicator *School Districts – enter total district enrollment
Special District (including stand-alone business-type
activities, colleges/universities, councils of governments
and investment pools) – enter number of FTE employees
Retirement/Pension/OPEB – enter number of members
All others – enter population
Official Requesting Review – the person who will receive notification of results, detailed comments and suggestions for
improvement, and (if awarded) the Certificate of Achievement for Excellence in Financial Reporting (Certificate of
Achievement), an Award for Financial Reporting Achievement (AFRA), and a press release.
First Name *Last Name *
Title *Salutation *
Section I: Government Information
City of Dania Beach Florida 45231001
2021 October 2022 September
(choose from drop down list)
Municipalities Small (population of less than
300,000)
Please use the key to the right as a guide and enter the size of
your organization in the Size Indicator field below. Usually this
number can be found in the Statistical section of your financial
report. Be sure your entry below matches the number in the
Statistical section.
31,454
Section II: Submitter Information
Adam Segal
Deputy Director of Finance
(Mr., Ms., Miss, etc.)
Mr.
Email *Phone *
Confirm Email *
Report Preparer – the person who prepared the Annual Comprehensive Financial Report and can answer technical
inquiries and other questions about information included in the report.
Same as Official Requesting Review?
First Name *Last Name *
Title *Salutation *
Email *Phone *
Confirm Email *
If the government is awarded a Certificate of Achievement, an Award for Financial Reporting Achievement (AFRA) will be
prepared to recognize those that contributed to the achievement of the award. You may choose to recognize a department
and/or up to three individuals as being primarily responsible for the government's success in earning the certificate. Identify
the department name and/or up to three individual names below (each individual receives their own award).
Who should receive the AFRA?*
AFRA Department Name *(?)
Formal announcement letter / press release *
First Name *Last Name *
Title *Salutation *
asegal@daniabeachfl.gov (954) 924-6800
asegal@daniabeachfl.gov
Adam Segal
Deputy Director of Finance
(Mr., Ms., Miss, etc.)
Mr.
asegal@daniabeachfl.gov (954) 924-6800
asegal@daniabeachfl.gov
Department
Individuals
None
Please do not put the name of the government in the field below. An example of a department would be: Finance Department
Finance Department
If the government is awarded a Certificate of Achievement, do you wish GFOA to send a formal announcement of the award and a related
press release to another official such as the mayor or board chair?
Yes No
Ana Garcia
City Manager
(Mr., Ms., Miss, etc.)
Ms.
Email *(?)
Confirm Email *(?)
If the Government is awarded a Certificate of Achievement for Excellence in Financial Reporting, you will receive either an
award medallion (for participants who have previously received the Certificate) or an award plaque (for first-time recipients
and those who have received the Certificate ten times since receiving their previous plaque). Please provide the name and
address of the individual to whom GFOA should send the medallion or plaque:
Same as Official Requesting Review?
First Name *Last Name *
Title *Salutation *
Street Address *
City *Zip Code *(?)
State *Country *
Audit Agency or Firm Name *
Start typing your audit firm name. A list will appear with selections that match your entry. Then, select the corresponding
State. If your audit firm is your state auditor, please select “State Auditor” as the audit firm name and then select your
corresponding state. Do NOT type your state as part of the audit firm name. After choosing one of the Audit Agency or
Firm options and selecting a State, a table below will be presented. If our database contains multiple addresses or
contacts for your selection, you will be presented with rows and checkboxes to select the correct contact and address. If
your audit firm is not in our database, please complete all fields in this section. Please check for variations of your audit
firm name in the selection list before entering your own data.
Audit Agency or Firm State *
Select an existing auditor:
First Last Address City State Zip Phone Email
agarcia@daniabeachfl.gov
agarcia@daniabeachfl.gov
Frank DiPaolo
Chief Financial Officer
(Mr., Ms., Miss, etc.)
Mr.
100 West Dania Beach Blvd
Street address only. GFOA does not ship to PO boxes.
Dania Beach 33004
Florida United States of America
Section III: Auditor Information
Keefe McCullough
Florida
Cynthia Calvert 6550 North Federal Highway4th
Floor
Fort
Lauderdal
e
FL 33308 954-771-0896 cindy.calve
rt@kmccp
a.com
Israel Gomez 6550 North Federal Highway4th
Floor
Fort
Lauderdal
e
FL 33308 954-771-0896 israel.gom
ez@kmcc
pa.com
Contact First Name *Contact Last Name *
Phone *Email *
Street Address *City *
State / Region / Province *Postal / Zip Code *(?)
Country *
Please indicate whether your government has implemented the following GASB pronouncements for the first time
this year, and if so, whether the implementation had a material effect on the financial statements:
GASB Statement No. (topic)Newly Implemented?*Effected financial statements?*
84 (fiduciary activities)
87 (leases)
91 (conduit debt)
94 (PPPs and APAs)
96 (SBITAs)
Questions are Applicable to Material Items Only
1. Is the government included in the reporting entity of another governmental unit?*
2. Did the government engage in short-term debt activity during the year (e.g., anticipation notes, user of lines of credit),
even if no short-term debt was outstanding at the beginning or end of the year?*
3. Does the government pay all or a portion of the cost of retiree healthcare?*
4. If retirees participate in the same healthcare plan as active employees, do retirees pay the same blended premium for
healthcare as active employees?*
Marc Grace 6550 North Federal Highway4th
Floor
Fort
Lauderdal
e
FL 33308 954-771-0896 marc.grac
e@kmccp
a.com
Tad Williams 6550 North Federal Highway4th
Floor
Fort
Lauderdal
e
FL 33308 954-771-0896 tad.william
s@kmccp
a.com
Marc Grace
(954) 771-0896 marc.grace@kmccpa.com
6550 North Federal Highway4th Floor Fort Lauderdale
FL 33308
USA Clear Auditor Fields
Yes No
Yes No Yes No
Yes No
Yes No
Yes No
Section IV: Display and Disclosure Questions
Please answer each of the following questions. Your answers will assist the SRC in determining whether the item addressed by the question
is properly displayed or disclosed in the Annual Comprehensive Financial Report.
(e.g., as a department, enterprise fund, fiduciary fund, or component unit)?
Yes No
Yes No
Yes No N/A
Yes No N/A
5. Does your entity legally adopt a budget for governmental funds?*
5.a Select the legal level of budgetary control which represents the level at which the government’s management may not
reallocate appropriations over a predetermined limit, if at all, without approval of the governing body.*
5.a.1 Please provide additional details and examples from your report.*
5.b Is a different legal level of budgetary control applicable to other funds?*
5.c Did the government need to publicly issue a separate budget report as a supplement to the annual comprehensive
financial report to demonstrate compliance at the legal level of budgetary control? (Note that this is not the same as the
formal budget document that includes a government's projected revenues and expenditures for the upcoming fiscal year.
Most governments report in the annual comprehensive financial report at the legal level of budgetary control and would not
need to issue this separate report to demonstrate compliance.)*(?)
5.d If your government reports governmental funds, check the applicable funds and indicate the number of funds with
legally adopted annual budgets for each fund type below:
5.d.1 Special revenue
funds *5.d.2 Debt service funds *
Please upload PDFs of the required documents. For calculations of net investments in capital assets, either a PDF or an
Excel file can be uploaded.
*(?)
*(?)
*(?)
The COA review fee is shown below. Please choose your method of payment for the COA fee shown below. If you have
chosen to pay by credit card, after application submission, you will automatically be directed to the payment screen to
complete payment.
Yes No
Department
The City Manager is authorized to transfer part or all of an encumbered appropriation
balance within departments within a fund; however, any revisions that alter the total
appropriations of any department or fund must be approved by the City Commission. The
classification detail at which expenditures may not legally exceed appropriations is at the
departmental level.
Yes No
Yes No
General fund Special revenue funds Debt service funds
Capital projects funds Permanent funds
3 1
Section V: Upload Required Documents
2022.09.30 CITY OF DANIA
BEACH, FLORIDA FINANCIAL
STATEMENT SINGLE
SIDED.pdf
4.41MB ACFR Comment Letter
Responses for Fiscal 2022.pdf 329.96KB
City of Dania Beach -
Calculation(s) of Net
Investment(s) in Capital
Assets.xlsx
12.68KB
Section VI: COA Fee
If you have chosen to pay by check, the individual designated as the Official Requesting Review on your application will
receive an invoice for the COA fee shown below.
COA Fee *Method of Payment *
PARTICIPANT APPLICATION AND CONSENT
By submitting this Participant Application and Consent (Application) for the Certificate of Achievement for Excellence in
Financial Reporting Program (Program), the Applicant hereby requests and authorizes the Government Finance Officers
Association of the United States and Canada (GFOA) to review the information contained in the Application,
accompanying Annual Comprehensive Financial Report (Report), and any other materials provided in connection with the
Application.
Applicant understands and acknowledges that the Program is intended solely to: (i) recognize state and local governments'
efforts to make financial reports available to the public in a manner that is readable and organized; and (ii) encourage
those entities to produce Report documents that comply with GFOA's Program criteria. Applicant acknowledges that it is
responsible for satisfying all applicable generally accepted accounting principles and legal requirements. Applicant further
represents and warrants that it will at all times rely on its own independent judgment to determine the accuracy, adequacy,
or sufficiency of the financial information or practices presented in its Application, the Report, and any other materials
provided in connection with the Application. Applicant understands and acknowledges that GFOA only reviews the Report
for compliance with Program criteria (some of which are based on certain generally accepted accounting principles), and
GFOA does not otherwise evaluate or assess the accuracy, adequacy, or sufficiency of the financial information made
available by Applicant or the financial solvency or soundness of Applicant or its financial practices. Applicant further
understands and acknowledges that receipt of a Certificate of Achievement is not, and may not be used to imply, GFOA's
endorsement, evaluation, or approval of the accuracy, adequacy, sufficiency, or financial soundness of Applicant's financial
status.
Applicant represents that the information provided in this Application, the Report, and any other materials provided in
connection with the Application are truthful, accurate, and complete, and Applicant will cooperate fully with GFOA in
connection with participation in the Program. GFOA reserves the right to disqualify Applicant from further participation in
the Program if Applicant submits any false, misleading, or incomplete information in its Application, the Report, or any
other materials provided in connection with the Application. Applicant understands and acknowledges that its Application
does not create a contractual relationship with GFOA, and Applicant hereby waives any claim for damages, equitable
relief, or otherwise that it may have against GFOA, its officers, directors, members, employees, and agents by reason of
any act of omission or commission that they, or any of them, may take in good faith in connection with this Application.
Policy compliance *
Electronic Signature *
Date *
Processing this application may take a minute. Please don’t select the submit button twice.
530.00$Pay Online Pay by check
Section VII: Submission Authorization
Select to confirm that all the
information entered in this form is
accurate and correct, and that
you consent to the statement
above.
5/1/2023
001-17-01-513-54-20