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Construction 4 <br />SECTION V: DISCLOSURE OF POTENTIAL <br />CONFLICTS OF INTEREST <br />Are any of the Board Members or employees of the agency which will be carrying out this project, or members of <br />their immediate families, or their business associates: <br />a) Employees of or closely related to employees of the Town of Chapel Hill, Orange County, Carrboro or <br />Hillsborough YES ^ NO ^ <br />b) Members of or closely related to members of the governing bodies of Chapel Hill, Carrboro, Hillsborough <br />or Orange County? YES ^ NO ^ <br />c) Current or future beneficiaries of the project for which funds are requested: YES ^ NO ^ <br />d) Paid providers of goods or services to the project or having other financial interest in the project: <br />YES ^ NO ^ <br />If you have answered YES to any question, please attach a full explanation. The existence of a potential conflict <br />of interest does not necessarily make the project ineligible for funding, but the existence of an undisclosed conflict <br />may result in the termination of any grant awarded. <br />