Orange County NC Website
MAIN APPLICATION <br />Main Application 2/11/2016 9:12:15 AM Page 2 of 20 <br />24 CFR 570.200(a), <br />4. Financial (for <br />Program Budget Worksheet and Detail should reflect <br />570.201 -570. 208, <br />each <br />expenses for the entire program and ALL sources of <br />507.503 <br />program/ <br />funding. <br />24 CFR 570.506, <br />project for <br />570.507, 570.601, <br />which funding <br />a. ❑ Program Budget Worksheet <br />570.602, 570.607(b), <br />is requested) <br />b. ❑ Program Budget Detail <br />570.611 <br />c. ❑ Cost Per Unit <br />24 CFR <br />d. El Agency Operating Budget Worksheet <br />570.502 - 570.504, <br />570.506, <br />570.507, 570.610; 24 <br />CFR Parts 84 or 85, and <br />OMB Circulars A -87 or A- <br />122; <br />Treasury Circular 1075 <br />5. Supplemental <br />A. ❑ Part A: CDBG & HOME <br />Sections (as <br />B. ❑ Part B: Construction /Rehab <br />applicable) <br />6. Attachments <br />a. ❑ Audit: Organizations receiving $300,000 or more <br />OMB CircularA -133 <br />in Federal financial assistance, and /or organizations <br />with more than $500,000 of receipts and <br />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 />24 CFR Parts 84 or 85 <br />g. ❑ Articles of Incorporation /Bylaws <br />h. ❑ Authorization to Request Funds <br />24 CFR 570.208, <br />570.500(c), 570.611 <br />i. ❑ Authorized official designation <br />j. ❑ Solid Waste Program Fee (SWPF) Verification <br />Main Application 2/11/2016 9:12:15 AM Page 2 of 20 <br />