Orange County NC Website
4 <br />7.' Program Income <br />a) Amount of existing program income: <br />b) Amount of anticipated program income: <br />If program income exists or is anticipated, describe the <br />c,0.()0 <br />~t1A() <br />&. Un aid Costs and Unsettled Third Pa Claims <br />Are there any unpaid costs or unsettled third party claims against the recipient's grant? Type "yes" or "no." <br />If yes, in the box below describe the circumstances and amounts involved. <br /> <br /> <br />^ Please note that all financial records, supporting documents and other records pertinent to the community development progra <br />must be retained for a minimum of five (5) years from the date of this letter. <br />^This grant is closed pending the Division of Community Assistance receipt and approval of your final audit. Any findings noted <br />in that audit will be the responsibility of the <br />Town <br />City ^ <br />County ^ <br /> <br />10, Certification of Recipient <br />It is hereby certified that all activities undertaken by the Recipient with funds provided under the grant agreement identified on <br />page 1 hereof, have, to the best of my knowledge, been carried out in accordance with the grant agreement; that proper provisions <br />have been made by the Recipient for the payment of all unpaid costs and unsettled third party claims identified on page 1 hereof; <br />that the State of North Carolina is under no obligation to make any further payment to the Recipient under the grant agreement in <br />excess of the amount identified on Line 7 hereof; and that every other statement and amount set forth in this instrument is, to the <br />best of my knowledge, true and correct as of this date. <br />Date Typed Name and Title of Recipient's Signature of Recipient's <br /> Authorized Representative Authorized Representative <br /> Bernadette; Pelissier <br /> ame <br />Chair, Oranee Count ~ Board of Commissioners <br />~ <br /> ~e <br /> <br />This Certification of Completion is hereby approved. Therefore, I authorize cancellation of the unutilized contract commitment and <br />related funds reservation and obligation of $ ,less $ previously authorized for cancellation <br />(from Section 6, line 6, page 1). <br />Date Typed Name and Title of DOC Signature of DOC's <br /> Authorized Representative Authorized Representative <br /> Gloria Nance-Sims <br /> Director ~ <br />