Orange County NC Website
Browse       Search
DocuSign Envelope ID:7D246B6F-37D5-48F7-99D7-98C230BA1C70 it A continued <br /> Provider's INORecfixigication <br /> 24 CFR 570.200(a), <br /> 4. Financial (for Program Budget Worksheet and Detail should reflect 570.201-570. 208, <br /> each expenses for the entire program and ALL sources of 507.503 <br /> program/ funding. 24 CFR 570.506, <br /> project for 570.507, 570.601, <br /> which funding a. X❑ Program Budget Worksheet 570.602, 570.607(b), <br /> is requested) b. X❑ Program Budget Detail 570.611 <br /> c. X Cost Per Unit 24 CFR)CI <br /> 570.502-570.504, <br /> d. X❑ Agency Operating Budget Worksheet 570.506, <br /> 570.507, 570.610; 24 <br /> CFR Parts 84 or 85, and <br /> OMB Circulars A-87 or A- <br /> 122; <br /> Treasury Circular 1075 <br /> 5. Supplemental A. ❑ Part A: CDBG & HOME <br /> Sections (as B. 0 Part B: Construction/Rehab <br /> applicable) <br /> 6. Attachments a. [' Audit: Organizations receiving$300,000 or more OMB Circular A-133 <br /> in Federal financial assistance, and/or organizations <br /> with more than $500,000 of receipts and <br /> expenditures in a fiscal year, must secure an audit. <br /> b. x❑ IRS Federal Form 990 <br /> c. x❑ NC Solicitation License <br /> d. x❑ IRS Federal Tax-Exemption Letter <br /> e. x❑ Certificate of Insurance <br /> f. xn List of Board of Directors 24 CFR Parts 84 or 85 <br /> g. x❑ Articles of Incorporation/Bylaws <br /> 24 CFR 570.208, <br /> h. x❑ Authorization to Request Funds 570.500(c), 570.611 <br /> i. x❑ Authorized official designation <br /> j. xE Solid Waste Program Fee (SWPF) Verification <br /> Main Application 1/20/2016 4:35:53 PM Page 2 of 21 <br />