Orange County NC Website
Browse       Search
CONFLICT OF INTEREST CHECKLIST <br /> To assist applicants with determining if a potential conflict of interest exists , as defined in 24 CFR Part <br /> 570 . 489 ( h ) , please provide responses to the following questions . For any "yes " response, refer to <br /> Bulletin 1M for next steps . <br /> 1 . Does any person involved with this potential CDB & CV project have family or business ties with <br /> any of the local government elected officials or local government staff? <br /> ❑ Yes ® No, if yes , please describe . <br /> 2 . Has any person involved with this potential CDBG-CV project requested or received an opinion <br /> about a potential conflict of interest from an attorney or from the North Carolina Ethics <br /> Commission ? <br /> ❑ Yes ® No, if yes , please describe . <br /> 3 . Does any person involved with this potential CDBG-CV project have an ownership interest in an <br /> entity that is directly affected by activities proposed in the application ? <br /> ❑ Yes ® No, if yes , please describe . <br /> 4 . Will any person involved with this potential CDB &CV project derive any income or commission <br /> as a direct result of action taken by the local government elected board or its staff? <br /> ❑ Yes ® No, if yes , please describe . <br /> 2 <br />