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:, <br />State ofNarth Caroline <br />Divisiov of Saciel Services <br />Contrac[AppGcaion <br />O 2. The provider certifies through Ne contract budget anached m Nis contract Naz <br />Ne matching share in available. Fuller, it is agreed that Ne provider will <br />report all program costs incurred each monN relating to Ws conVan on Ne <br />DSS-ISII. Howevev reimbursement will be limited to Ne federal/state <br />financial pericipaHOn rate. <br />(~ 3. Thecouvty d<paruvevt of social servicesiaproviding Ne match. <br />D. Provider Pees (Pot Purchase Contracts lhdy) <br />() 1. The Provider ages to Pay Ne DeparvnrnVDivision up to S <br />Administraive Fm a9 paymrnt in fWl for the administration of Ne wntrect. <br />Th<amowr of Ne fee in five pemrnt of the matching share contrbumd by dse <br />Provider. <br />O 2. The Provider ogees m pay Ne Deparlmrnt up to S Ceriificatron Ftt <br />az payment m fWl for Ne determiruiGov and certification of clievt eligibility. <br />The amouvt of Ne fee is five pemevt ofthe memlwrg share contributed by the <br />Provider. <br />Monitoring and Ceertrficatron Fees, wbw applicable, will be deducted from the <br />amount to be reimbursed. <br />