Orange County NC Website
Browse       Search
TJAAA Form, rev April 2017 <br /> <br /> <br /> <br />CERTIFICATION OF REQUIRED MINIMUM LOCAL MATCH AVAILABILITY <br /> <br /> Date: JULY 2021 Fiscal Year: FY 21-22 <br /> <br />Agency: ORANGE COUNTY DEPARTMENT ON AGING <br />Service: SENIR CENTER OPERATION, CONGREGATE NUTRITION, INFORMATION AND CASE ASSISTANCE, IN <br />HOME ADIE LEVEL II- PERSONAL CARE, ADULT DAY CARE , ADULT DAY HEALTH <br />Itemization of Commitment: <br /> <br />Required Local Match (total must agree to amount in the Funding Plan) <br />1. Cash of: $11,277 provided by: ORANGE COUNTY <br /> Cash of: $16,016 provided by: ORANGE COUNTY <br /> Cash of: $29,744 provided by: ORANGE COUNTY <br /> Cash of: $12,905 provided by: ORANGE COUNTY <br /> Cash of: $1,112 provided by: ORANGE COUNTY <br /> Cash of: $5,576 provided by: ORANGE COUNTY <br /> <br />2. Total Local Match: $76,628 <br /> <br /> <br />It is understood that funds committed as required minimum local match will be used to match the Home and <br />Community Care Block Grant appropriation and will not be used to match any other federal or state funds during <br />the contractual period. <br /> <br />Print Name and Title: JANICE TYLER DIRECTOR, DEPARTMENT ON AGING <br /> <br /> <br />Signature: __________________________________________________________________________________ <br />DocuSign Envelope ID: 16A1D963-40F9-46F1-A38B-8B0D62C87C54 <br />7/28/2021