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INSTRUCTIONS FOR PREPARING CERTIFICATE OF COMPLETION <br /> Prepare original and two copies with original signatures. <br /> All dollar amounts which are entered on this form must be shown to two places past the decimal. Example: $25,000.00. <br /> Section 1. Name of Recipient— Enter the name shown in Block 1 of ECD Funding Approval Form. <br /> Section 2. Grant Number— Enter the number shown in Block 2 of ECD,Funding Approval Form. <br /> Section 3. Project Number— Enter the number shown in Block 3 of ECD Funding Approval Form. <br /> Section 4. Project Name — Enter the name shown in Block 3 of ECD Funding Approval Form. <br /> Section 5. Final Statement of Cost. <br /> Column (b) <br /> Lines a thru m —For each applicable program activity category listed, enter paid costs charged to the approved grant amount or <br /> to program income and claimed as eligible for inclusion in the total program cost. Do not include costs which <br /> are charged to other fund sources, such as other State grants, Federal grants, or local funds. <br /> Line n — Enter the sum of lines a thru m. <br /> Line o — Enter the amount of program income used to pay program costs. <br /> Line p — Subtract the amount on Line o from n and enter the difference. <br /> Column (c) <br /> Lines a thru m —For each applicable program activity category listed,enter unpaid costs chargeable to the approved grant amount <br /> or to program income and claimed as eligible for inclusion in the total program costs. Unpaid costs are firmly <br /> determined costs for which payment has not as yet been made(i.e., accounts payable and relocation payments <br /> owed in the future). Do not include amounts budgeted for unsettled third-party claims. <br /> Line n — Enter the sum of Lines a thru m. <br /> Line o — Enter the amount of program income to be applied to the payment of unpaid program costs. <br /> Line p — Subtract the amount on Line o from n and enter the difference. <br /> Column (d) —Enter the sum of the amounts in Columns (b) and (c). <br /> Column (e) — For ECD use only. <br /> Section 6. Computation of Grant Balance <br /> Column (b) <br /> Line 1 — Enter the total amount shown on Line p, Column (d). <br /> Line 2 — Enter the amount budgeted for unsettled third-party claims against the recipient's grant. Unsettled third-party claims are <br /> liabilities which are contingent on the outcome of disputes involving the recipient and third-parties. This amount shall <br /> not be included in Section C. <br /> Line 3 — Enter the sum of Lines 1 and 2. <br /> Line 4 — Enter the sum of the grant amounts shown on ECD Funding Approval Form. <br /> Line 5 — Subtract the amount on Line 3 from 4 and enter the difference. <br /> Line 6 — Enter the amount of grant funds received to date through a letter of credit or other grant disbursement mechanism. <br /> Line 7 — Subtract the amount on Line 6 from 3 and enter the difference. <br /> Column (c) — For ECD use only. <br /> Section 7. Unpaid Costs and Unsettled Third-Party Claims — <br /> List any unpaid costs and unsettled third-party claims,and describe the circumstances and amounts involved.The total amount <br /> of unpaid costs described must equal the amount shown on Line n,Column (c),and the total amount of unsettled third-party <br /> claims described must equal the amount shown on Line 2, Column (b). <br /> Section 8. Remarks — Self-explanatory. <br /> Section 9. Certification of Recipient— Self-explanatory. <br /> Section 10. ECD Approval — For ECD use only. <br />