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28 <br /> Section 6: DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST <br /> _ <br /> Are any of the Board Members or employees of the agency which will be carrying out this project,or <br /> members of their immediate families,or their business associates: <br /> a) Employees of or closely related to employees of the Town of Chapel Hill,Orange County, <br /> Carrboro,or Hillsborough? YES❑ NO❑ <br /> b) Members of or closely related to members of the governing bodies of Chapel Hill,Carrboro, <br /> Hillsborough,or Orange County? YES❑ NO❑ <br /> c)Current beneficiaries of the project/program for which funds are requested? <br /> YES❑ NO❑ <br /> d) Paid providers of goods or services to the program or having other financial interest in the <br /> program? YES❑ NO❑ <br /> If you have answered YES to any question, please provide a full explanation below. The existence of a <br /> potential conflict of interest does not necessarily make the project ineligible for funding, but the <br /> existence of an undisclosed conflict may result in the termination of any grant awarded. <br /> Page 9 of 9 <br />