Orange County NC Website
DocuSign Envelope ID: E865EBC7-DCBB-4CE6-A224-13D663E29E12 <br /> �...,, EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> 4. Attachments a. ® Audit: Organizations receiving $300,000 or more in Federal <br /> financial assistance, and/or organizations with more than $500,000 <br /> of receipts and expenditures in a fiscal year, must secure an audit. <br /> b. ® IRS Federal Form 990 <br /> c. ® NC Solicitation License <br /> d. ® IRS Federal Tax-Exemption Letter <br /> e. ® Certificate of Insurance <br /> f. ® List of Board of Directors <br /> g. ® Solid Waste Program Fee(SWPF)Verification <br /> Application Submittal Checklist 1/30/2017 4:02:21 PM Page 6 of 48 <br />