Orange County NC Website
11 <br /> State of North Carolina -- <br /> Division of Social Services <br /> Contract Application Page 3 of 8 <br /> II. Fiscal Provisions <br /> A. Amount of Reimbursement: <br /> Reimbursement under the terms of this agreement will be limited to a <br /> maximum of: <br /> $ 155,072 TOTAL = $ SSBG + $ IV-B + $ RAP + <br /> $ 4,744 State + $ 837 County + $ 9,491 Other (identify) : Fed <br /> (Optional: County funds consist of $ for <br /> (funding source) <br /> and $ for . ) <br /> (funding source) <br /> B. Method of Reimbursement: <br /> 1. For Purchase Contract (DSS-2497) Total and Unit Cost: <br /> (x) a. Reimbursement will be made in accordance with the current budget <br /> approved by the Department and on file with both parties. The <br /> amount of reimbursement will be based on allowable expenditures <br /> made in behalf of eligible clients, determined in accordance with <br /> acceptable cost allocation methods. The Provider will report all <br /> expenditures made under the terms of the contract. <br /> ( ) b. Reimbursement will be made at a unit cost rate of $ per <br /> unit of reimbursement delivered to eligible clients for an <br /> estimated number of units. The Provider will document <br /> total expenditures made under the terms of the contract to the <br /> Department within thirty days after the termination of this <br /> contract, or as instructed by the Department. Reimbursement <br /> which exceeds actual allowable cost will be adjusted to actual <br /> allowable cost. <br /> 2. For Vendor Agreements (DSS-2252) Fixed Rate <br /> Reimbursement will be based on: <br /> • <br /> ( ) a. a standard fixed rate or <br /> ( ) b. an individual fixed rate. <br /> c. Reimbursement will be made at a fixed rate of $ per <br /> unit of (define) for <br /> an estimated number of units. Reimbursement will be <br /> based on the actual number of units delivered whether over <br /> or under the estimated number. If multiple components are <br /> being purchased, additional rates and units can be identified <br /> as follows: <br /> DSS-1292 (4/87) <br /> Family Services <br />