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[ ] In-kind [ ]Cash <br />[ ]Cash and In-kind [ X ] Cash and/or In-kind <br />The total contract amount is $195;000. <br />6. Conflict of Interest Policy: <br />The Agency has determined that the Grantee is a governmental entity and is; therefore, ,not subject to N.C.G.S. 143C- <br />6-23(c). <br />7. 7. Statement of No Overdue Tax Debts: <br />The Agency has determined that the Grantee is a governmental entity and is; therefore, not subject to N.C.G.S. 143C- <br />6-23(c). <br />8. Reversion of Unexpended Funds: <br />Any unexpended grant funds shall revert to the Agency upon termination of this Contract. <br />9. Reporting Requirements: <br />The Agency has determined that the Grantee reports to the Local Government Commission and is; therefore, not <br />subject to the reporting requirements mandated by N.C.G.S. 143C-6-23. <br />10. Payment Provisions: <br />The Agency shall make no more than three installment payments to the Grantee. In accordance with Paragraph 4, <br />Line c, the Agency shall pay to the Grantee no more than $25,000 upon final execution of this Contract. Thereafter, all <br />"Request for Payment" forms shall be supported by appropriate invoices, or other types of billing documents as may <br />be required by the Agency. In order to receive remaining funds, the Grantee may select one of the options described <br />below: <br />a. The Grantee may request from the Agency all remaining funds less 20% of the awarded grant amount (refer <br />to Paragraph 4, Line e) upon the Grantee's submission of a properly recorded and fully executed <br />Conservation Easement. At a later date, but prior to the expiration date of the contract, the Grantee may <br />request the final payment, which is the remaining 20% of the awarded grant amount, upon the Grantee's <br />submission of a final grant report and a completed "Request for Payment" form. This final payment shall be <br />contingent upon the final report being deemed compliant with the Agency's reporting specifications and the <br />Grantee's approved budget, as well as all supporting documentation being determined to be sufficient <br />evidence of expenditures for which final payment is being requested. Final payment shall not be made until <br />all supporting documents for all expenditures and match requirements, covering the entire contract period, <br />have been deemed satisfactory by the Contract Administrator. <br />b. The Grantee may request from the Agency all remaining funds upon the Grantee's submission of a properly <br />recorded and fully executed Conservation Easement and of a final grant report and a completed "Request for <br />Payment" form. This final payment shall be contingent upon the final report being deemed compliant with the <br />Agency's reporting specifications and the Grantee's approved budget, as well as all support documentation <br />being determined to be sufficient evidence of expenditures for which final payment is being requested. Final <br />payment shall not be made until all supporting documents for all expenditures and match requirements, <br />covering the entire contract period, have been deemed satisfactory by the Contract Administrator. <br />Upon expiration of the contract, the Grantee shall have 60 days from the expiration date to pay out any encumbrances <br />made in accordance with its approved budget. Should the Grantee have unspent funds remaining at the end of the <br />60-day period, these unspent funds shall be immediately returned to the Agency and in no event later than 5 business <br />days after the end of the 60-day period of time. Under no circumstances shall the Grantee encumber or expend funds <br />provided under this contract after the contract expiration date. <br />If this Contract is terminated prior to the original end date, all unexpended funds shall be.returned by the Grantee to <br />the Agency within 60 days of the contract termination date. The Grantee shall also provide the Agency with a final <br />report, in a format provided by the Agency, ,within 60 days of the contract termination date. If the Contract <br />Administrator, based on the Grantee's final report, determines that final expenditures have been made that are not in <br />MSBNCD Form 0009A Grant Cover Sheet <br />Eff. 9/2005 <br />Revised 5/06, 7/07, 7/10 <br />CE <br />Revised 02/09 <br />Page 3 of 5 <br />