Orange County NC Website
b) Amount of anticipated program income: zero 6 <br /> c) If program income exists or is anticipated,describe the proposed application(s): <br /> 8. Unpaid Costs and Unsettled Third Party Claims <br /> Are there any unpaid costs or unsettled third party claims against the recipient's grant. Type"yes"or"no" no <br /> If yes,describe the circumstances and amounts involved. <br /> N/A <br /> 9. Remarks(For DOC Use Only) <br /> 10- 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 1 hereof, <br /> have,to the best of my knowledge,been carried out in accordance with the grant agreement;that proper provisions have been made by the <br /> Recipient for the payment of all unpaid costs and unsettled third party claims identified on page 1 hereof;that the State of North Carolina is <br /> under no obligation to make any further payment to the Recipient under the grant agreement in excess of the amount identified on Line 7 hereof; <br /> and that every other statement and amount set forth in this instrument is,to the best of my 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 /> Mark Dorosin <br /> (Name) <br /> Chair,Board of County Commissioners <br /> (Title) <br /> 11. DOC Approval <br /> This Certification of Completion is hereby approved. Therefore,I authorize cancellation of the unutilized contract commitment and related funds <br /> reservation and obligation of $ 33,096.92 ,less$ 0 previously authorized for cancellation(from Section 6,line 6,page 1). <br /> Date Typed Name and Title of DOC Signature of DOC's <br /> Authorized Representative Authorized Representative <br /> Iris Payne <br /> Acting Director,CDBG Programs <br />