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<br />Stare of North Cmolina <br />Division of Social Services <br />Contract Application Page 3 of ] <br />II. Fiscal Provisions <br />A. Amowtof Reimbwsement: <br />fteinbutsement undeahe terms ofthis agreement wilt be limited to a maximw of <br />$ 32,916 TOTAL=$ SSBO+$ IV-B+$ RAp+ <br />$ Smte+$ Cawty+$ Other Qdmdfy): Fedeal, State <br />and Local TANF Dollars <br />(Opfioval : Cowry fwds consist of S for wd $ <br />(fuvdlvg source) <br />for ) <br />H Method Of Reimbursemene <br />1. For Pumhace Concoct (DSS-249"!) Total and ^Wt Cost <br />(~ a. Reimbursement will be made in accordance with the current budget approved by <br />the Departmrnt wd on file with both parties. "lire amowt of reimbursement will be <br />baud on WlOwable expeMinves made N behalf ofeligible clievh, de[emvined in a <br />attordwce with acceptable cost sllocatiov methods. The Provider will reprot WI <br />expenditures made wder the revns of the conrcatt. <br />O b. Reimburxment will be made at a wit tort ate ofT per wit of <br />eimbmsement delivered to eligible climts for w enimated number of <br />units. The Provider will document total expenditures made wdm the terms of Ne <br />contract m the Department within tltvry days after the temdvation of this convact, <br />or as irutructed by the Depacmtent. Reimbursement which exceeds actual allowable <br />cost will be adjusted m amral allowable cost. <br />2. For Vendor Agrcemmts (DSS-2252)Fixed hate <br />Reimbursement will be based Ov: <br />O a. astmdmd fixed m4 or <br />O b. rn individual fixed raze. <br /><. Rehnbwsement will be made atafixed raze ofS per unit of <br />(define)for es esdmaad vwvber of uN[s. <br />Reimbwsemevt will be baud on Ne acutal numbec of wits delivered whether over <br />or wder the esthnared number. If mWtiple components are being purchased <br />additiorW cotes and wits can be identified as fOllOws: <br />