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B . Required Attachments for NC CDB &CV Projects <br /> ITEM TAB LOCATION <br /> DOCUMENTATION OF SYSTEM FOR AWARD MANAGEMENT - SAM . GOV REGISTRATION Tab 6 <br /> ❑ INITIAL ❑ ANNUAL UPDATE ( Please submit/ attach a printout of the SAM . gov Registration Information ) <br /> PROJECT DESCRIPTION Tab 2 <br /> SOURCES AND USES OF FUNDS Tab 2 <br /> PROJECT BUDGET Tab 2 <br /> NC CDBG - CV BENEFIT : LOW & MODERATE INCOME Tab 4 <br /> COMMUNITY DEVELOPMENT PLAN Tab 4 <br /> CONFLICT OF INTEREST FORM -CHECKLIST Tab 6 <br /> FEDERAL REQUIREMENTS : Tab 6 <br /> ❑ A . FEDERAL CERTIFICATIONS <br /> ❑ B . DISCLOSURE REPORT FOR APPLICANTS REQUESTING $ 200, 000 OR MORE . ( NOTE : Not required for <br /> applicants requesting less than $ 200, 000 in CDBG funds and not using other Federal assistance . ) <br /> DISCLOSURE REPORT Tab 6 <br /> STATE CDBG PROGRAM REQUIREMENTS : Tab 6 <br /> ❑ A . REGULATIONS SIGNED AND DATED BY AUTHORIZED OFFICIAL <br /> ❑ B . DISCLOSURE OF CIVIL RIGHTS COMPLAINTS/ LAWSUITS SIGNED AND DATED BY CHIEF ELECTED <br /> OFFICIAL <br /> CERTIFICATION REGARDING DEBARMENT, SUSPENSION , AND OTHER RESPONSIBILITY MATTERS Tab 6 <br /> FLOOD PLAIN CERTIFICATION : Submit a letter or statement on the local government' s letterhead stating <br /> the relationship of the site to designated flood zones . Recipients must provide REDD a certification signed <br /> by the Chief Elected Official stating that the project area is not in a floodplain ; or with certification that the Tab 6 <br /> recipient participates in the floodplain insurance program , all properties assisted in the project will be <br /> covered for floodplain insurance prior to beginning construction of the property, and all public facilities will <br /> be constructed to comply with the applicable floodplain regulations . <br /> IMPLEMENTATION SCHEDULE FORM ( 2 originals — one per application ) Tab 2 <br /> HUD IDIS : ACCOMPLISHMENTS & BENEFICIARIES FORM ( Form is also on www . nccommerce . com . ) Tab 4 <br /> THREE REQUIRED MAPS : <br /> ❑ Location Map must show the applicant' s jurisdiction . Major highways and roads must be shown <br /> drawn to scale . The applicant must label the map , include a legend , and place a boundary line <br /> around areas of minority concentrations and of low - and - moderate income families . <br /> ❑ Project Map must include the location of all project activities . It must also show all units bordering <br /> the project area whether they are part of the project activities . Commercial units such as shopping Tab 5 <br /> centers must also be labeled . Mark all existing and proposed public infrastructure on one map to <br /> indicate the relationship of public infrastructure to units to be constructed . The map must be to <br /> scale and include a legend . <br /> ❑ Low- Moderate Income Map must illustrate the distribution /concentration of low - moderate <br /> income persons in the jurisdiction . <br /> 3 <br />