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Local Share Certification for Funding <br />(This Lorin is required for ['/\C11 separate funding request) <br />Orange County <br />(Legal Naine of Applicant) <br />Local matching funds will be required for all application submittals. For projects requiring capital funds, the <br />required local match is 10 percent of the net cost of the project, subject to the availability of state funds. Applicants <br />should be prepared to incur a 20 percent local match in case state funds are not available. <br />The local match must be provided from sources other than federal Department of Transportation funds. Guidance <br />is provided ETA's website about eligible sources of matching funds. Applicants are responsible for verifying the <br />eligibility of non -USDOT federal fronds the applicant proposes to use as their local match.. <br />Net <br />Project <br />Cost <br />Capital $ 212,902 <br />(Vehicles & Other) <br />TOTAL 1 $ 212,902 <br />Requested Funding Amounts <br />Local Share <br />-- _.... ...... <br />$ 21,290 (10 %) <br />$ 21 290 <br />Local Source(s) <br />1, Local General Operating <br />Fund <br />2. <br />3. <br />1, the undersigned representing (Legal Nante of Applicant) Orange County do hereby certify to the North Carolina <br />Department of Transportation, that the required local funds will be available as of July 1, 2017. <br />Signature of Authorized Official <br />Farl McKee Chair of the Board of County Commissioners <br />Type Name and Title of Authorized Official <br />Date <br />