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DocuSign Envelope ID:CC57DE94-E4EF-4D65-8035-F4F6E42CB4CC <br /> Contract# <br /> (Contractor) <br /> governing body determines the member, officer, employee or agent has failed to disclose an actual or <br /> possible conflict of interest, it shall take appropriate disciplinary and corrective action, <br /> G- Record of Conflict -- The minutes of the governing board and all committees with board delegated <br /> powers shall contain: <br /> 1, The names of the persons who disclosed or otherwise were found to have an actual or possible <br /> conflict of interest, the nature of the conflict of interest, any action taken to determine whether a <br /> conflict of interest was present, and the governing board's or committee's decision as to whether a <br /> conflict of interest in fact existed. <br /> 2. The names of the persons who were present for discussions and votes relating to the transaction <br /> or arrangement that presents a possible conflict of interest, the content of the discussion, <br /> including any alternatives to the transaction or arrangement, and a record of any votes taken in <br /> connection with the proceedings. <br /> Approved by: <br /> Name a Organic I <br /> Signalk.gre of Organi a n icl <br /> s (0 <br /> Date <br /> NOTARIZED CONFLICT OF INTEREST POLICY <br /> State of North Carolina <br /> County of bLc",( <br /> I, 11r � p�j�T son Notary Public for said County and State, certify <br /> Tthat <br /> T s,e [se, personally appeared before me this day and <br /> acknowledged <br /> that he/she is �� C-�-1a�� of <br /> t U [enter name of entity] <br /> and by that authority duly given and as the act of the Organization, affirmed that the foregoing Conflict of <br /> Interest Policy w s adopted by the Board of Directors/Trustees or other governing body in a meeting <br /> held on the Le day of <br /> Sworn to and subscribed before me this day of Cut . <br /> Official Sealy <br /> My Commission expires_ 45e D4<-�bLr 20 IAN! I C <br /> - <br /> � ��eEFt „CSC 1,�: <br /> + <br /> Rev. 06-07-201 S ''•��,,,�oUN�,,,..+ <br />