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Audit - 2001 Cert. of Achievement .' , CERTIFICATE OF ACHIEVEMENT FOR EXCELLENCE IN FINANCIAL REPORTING PROGRAM Participant Application (Please type or print) Section I: Government Information: Three copies of this completed application, three copies of the government unit's comprehensive annual financial report (CAFR) and the appropriate fee should be mailed (postmarked) to GFOA within six months of the government unit's fiscal year end. In addition, if the CAFR was submitted to the program in the immediate prior year, please include three copies of 1) the government unit's responses to the comments and suggestions for improvement, 2) the preprinted responses to questions 5- 7 of this application, and 3) any other correspondence that may assist the program with the current year's review. The CAFR, pages 3-6 of this application, responses to comments and suggestions for improvement and any other correspondence will be submitted to selected GFOA Special Review Committee (SRC) members for evaluation. The official requesting the review will be advised of the decision upon completion of the review process. 1. Name of Unit Ci ty of Sa I i na, Kansas (as it appears on the report cover and will appear on the Certificate of Achievement plaque, if awarded) 2. Fiscal Year Ended (month, day, year) Decerrber 31, 2001 3. Has the government unit previously participated in the Certificate of Achievement Program? Yes ;:a: No o If yes: a. What was the most recent year? 2000 b. What was the six-digit report number which appeared in the upper left-hand comer of the government's "Summary of Grading?" 1002829 4. For cities, townships, villages and counties, please provide your population figure. For school districts, please provide your total student enrollment figure. 45679 If the government previously participated in the program and received the preprinted information form with this application, please leave questions 5, 6 and 7 below blank and update the information on the preprinted information form and include it with your submission (alternatively complete questions 5, 6, and 7 with the updated information). 5. If the government unit is awarded a Certificate of Achievement for Excellence in Financial Reporting, the Award of Financial Reporting Achievement (AFRA) will be prepared for the individual or department noted below as primarily responsible for the unit's success in earning the certificate. Individual's or Department's Name: Individual's Title: 6. To whom (mayor, board chairman, etc.) would the government prefer that GFOA mail a formal announcement of the awarding of the Certificate of Achievement and a related press release. Name: Title: Street Address (required): P.O. Box (if applicable): City: State: Zip Code: For GFOA Office Use Only: Date: Check #: Amount: Updated March 22, 2000 Page I of6 II Section VI: Display and Disclosure Questions: Please answer each of the following questions. This infonration will be provided to SRC members to facilitate their review. The answers will assist the SRC in determining whether the item addressed by the question is properly displayed or disclosed. Appropriate comments and suggestions for improvement will be issued to your government unit where deficiencies or discrepancies are noted between the information in the CAFR and the answers to these questions. All Questions are Applicable to Material Items Only. a. the government unit obligated in some manner for all or a portion of the debt? b. the government unit not obligated in some manner for the debt? Yes No N/A -...L X X ~ ~ 1. Does the government unit have any debt that is being repaid by special assessments? If yes, is: 2. Were any reverse repurchase agreements outstanding as of the fiscal year end? 3. Has the government unit entered into any new capital lease agreements during the year that will be repaid from a governmental fund type? 4. During the year, has the government unit or its component units engaged in any advance refunding(s) of debt that resulted in either a legal or in-substance defeasance of debt or any current refunding( s) of debt? If yes, did the transaction( s) take place in a: ~ a. fund or discretely presented component unit that uses governmental fund accounting? b. fund or discretely presented component unit that uses proprietary fund accounting? c. college and university following the AICPA College Guide Model? ~ ~ ----X- 5. Is the government unit included in the reporting entity of another governmental unit (e.g., as a department, enterprise fund, fiduciary fund, or component unit)? If yes: l.L a. is this government unit reported in a fund or funds separate from the funds of the primary government for each generic fund type, or as a discretely presented component unit, as appropriate, in that government's CAFR? 6. If blended component units are included in the fmancial reporting entity, has the government unit refrained from reporting the general fund ofa blended component unit in the general fund of the primary government? --X.. 7. If separately issued financial statements are not available for any individual discretely presented component unit, does the CAFR include information by fund type for that component unit? ~ 8. Is the government unit a participant in one or more joint ventures? If yes: 1L- a. are any of these joint ventures reported as component units of this government unit? If no: b. has this government unit reported its equity interest, if any, as follows: -2L 1. Governmental funds: reported only the equity interest represented by fmancial resources in the fund, with the remaining equity interest reported in the general fixed assets account group? X 2. Proprietary funds: eliminated any profit from operating transactions when calculating the participant's share of net income and treated that amount as an adjustment to the participant's equity interest? -L 9. GASB Statement No. 20, Accounting and Financial Reportingfor Proprietary Funds and Other Governmental Entities That Use Proprietary Fund Accounting, provides governments two options for reporting their proprietary fund activities (including component units accounted for using proprietary fund accounting). Under the two following options, indicate either the option selected by all proprietary activities (both funds and component units) or when different activities select different options list each proprietary fund activity under the option it has selected to follow. NOTE: If the government unit has early implemented GASB Statement No. 34 the two options below apply only to business-type activities in the government-wide financial statements and only to enterprise funds in the fund financial statements and this question should be answered in that context. (question continues on next page) Updated: March 22, 2000 Page 4 of6 . Section VI: Display and Disclosure Questions (Contin~ed): ' .., Yes No N/A . Option 1: Apply all applicable GASB pronouncements and only F ASB Statements and Interpre- tations, Accounting Principles Board Opinions and Accounting Research Bulletins issued on or before November 30, 1989, unless they conflict with or contradict GASB Pronouncements (GASBS 20, Paragraph 6). . Option 2: Apply all of the above pronouncements, but also apply all FASB Statements and Inter- pretations issued after November 30, 1989, except for those that conflict with or contra- dict GASB pronouncements (GASBS 20, Paragraph 7). Sanitation Risk NEnagement Health Insurance Sol id Waste Worker Compensation Reserve Go I f Course Centra I Garage Water / Sewer Infonnation Services 10. If the government unit does not demonstrate legal compliance at the legal level of budgetary control within the CAFR, do the notes to the financial statements refer to a separately issued budgetary report that does so? X a. If the response to question 10 was yes, has the government unit included one copy of that report with its submission to the certificate program? Please note that this question refers to the separately issued report that is necessary to demonstrate legal compliance at the legal level of budgetary control and not the government's annual budget document. X 11. Has the government unit violated any fmance-related legal or contractual provisions? ~ 12. Is the government unit engaged in securities lending transactions? -2L 13. Does the government unit sponsor an arrangement that commingles (pools) the moneys oflegally separate entities that are not part of the same financial reporting entity as the sponsoring government and invests those moneys on behalf of the participants in an investment portfolio? If yes: a. please identify the fund(s) used to report this activity: 14. Is the government retaining risk (Le., "self-insurance")? If yes: ~ a. please identify the fund(s) used to report this activity: 15. Has the reporting entity given or received a capital contribution in connection with a public entity risk pool? If yes: X a. is the return of the contribution probable? ~ 16. Does the government unit sponsor and include as part of its financial reporting entity a public entity risk pool that provides coverage to other entities in addition to or separate from the government unit's fmancial reporting entity? ~ 17. Does the government unit pay all or a portion of the cost of post employment benefits other than pension benefits (OPEB) for employees? If yes: x a. are the OPEB provided through a pension plan? If yes: b. are the OPEB healthcare benefits provided through a pension plan that is reported as a pension trust fund by this government? ~ ~ Updated: March 22, 2000 Page 5 of6