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li <br />State of North Carolina <br />Division of Social Services <br />Contract Applicafiov <br />II. EiscalProvisions <br />A. Am9nn fR' b <br />Reimbursement wda the terms ofthis agreement will be limited to a maximw of: <br />$ J2,916 TOTAL=$ SSBG+g IV-B+$ Rpp+ <br />8 Smtc+$ Cowry+$ ONer (identify): Federal, grate <br />aM LacW TANF Dollars <br />(Optiowl : Cowry fund3 mmist of $ for and S <br />(funding source) <br />for ) <br />B. MetMdof Reimbursement <br />1. For Purehaze Contract (DSS-249]) Toml wd UNt Cort: <br />(m e. Reimbursemev[ will be made m accordance wiN the murevt budget approved by <br />the Deparvnent erW on file with boN parties. l'he amowt ofreimbursemmt will be <br />bazN on allowable expendinues made in behalf of eligible climcq determined in a <br />acwrdev<e with accepmble tort aliocatiw methods. the Provider will repro[ all <br />expeMimres made under Ne tmre of the connect. <br />O b. Reimbursement wvl be made ataurdt cost rote of8 per wit of <br />reimbursement delivered to eligible clients for w estimated number o£ <br />wits. The Provider will documem total expendinves made wder the terms ofthe <br />contract t0 the Depmtrvevt witlsin tarty days attar the tenvirmfion of Nis contract <br />or az instructed by the Depertrvent Reimbursement which exceeds actual allowable <br />mu will be adjunW m acuml allowable cost <br />2. For Vendor Agreements (DSS-2252) Fixed Rate <br />Reimbursement will be hazed on: <br />O a a stmdmd fixed mro or <br />O b. wlndividval fixed rote. <br />c. Reimbursement will be made atafixed rate ofSper unit of <br />(define)forazestuneted number of units. <br />Reimbursemen[ will be baud ov the acutal nwvbm of wits delivered wheNer over <br />or wder Ne es[imated number. If mWfiple components me being purchased, <br />edNtiorui rotes and wits cm be identified as follows: <br />