Orange County NC Website
Browse       Search
Proposal <br /> ' Part B <br /> YES NO <br /> 9. The applicant is a Family C:? a Home or <br /> Domiciliary Facility. If "y4 ", the <br /> applicant assures that 75% of the uo5.;:s <br /> of service delivered will be pci vi%,:ad' ..n <br /> the clients' homes. <br /> 10. The applicant assures that it i 4i . ;al <br /> opportunity employer. <br /> 11. The applicant assures that mont ..ly And X <br /> quarterly program and fiscal r4:n"•. s, <br /> provided by the Area Agency on : :rig, <br /> will be submitted in compliance with the <br /> time frame established by the North <br /> Carolina Division of Aging and/or Area <br /> Agency on Aging. <br /> 12. The applicant hereby assures that it has <br /> read, fully understands, and will abide <br /> by all the provisions stated in the infor- <br /> mation concerning Respite Care Service. <br /> OR - • <br /> The applicant hereby assures that it has <br /> read, fully understands, and will abide <br /> - by all provisions stated in the information <br /> concerning Respite Care Services, except for <br /> the following for which we will seek a waiver(s) . <br /> Item Number: <br /> Reason for seeking waiver: <br /> 18 <br /> • <br />