Orange County NC Website
3 <br /> 7. UNPAID COSTS & UNSETTLED THIRD-PARTY CLAIMS <br /> List any unpaid costs and unsettled third-party claims against the recipient's grant. Describe circumstances and amounts involved. <br /> N/A <br /> O Check if continued on additional sheet and attach. <br /> 8. REMARKS <br /> N/A <br /> 9. CERTIFICATION OF RECIPIENT <br /> It is hereby certified that all activities undertaken by the Recipient with funds provided under the grant agreement identified on page <br /> 1 hereof, have, to the best of my knowledge, been carried out in accordance with the grant agreement; that proper provision has <br /> been made by the Recipient for the payment of all unpaid costs and unsettled third-party claims identified on page 1 hereof; that <br /> the State of North Carolina is under no obligation to make any further payment to the Recipient under the grant agreement in excess <br /> of the amount identified on Line 7 hereof; and that every statement and amount set forth in this instrument is, to the best of my <br /> 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 /> 10. ECD APPROVAL <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 5, page 1) <br /> DATE TYPED NAME AND TITLE OF ECD SIGNATURE OF ECD <br /> AUTHORIZED OFFICIAL AUTHORIZED OFFICIAL <br />