Orange County NC Website
Browse       Search
c)List of Board of Directors (if applicable) <br />Provide the following information about each board of director’s member: name, <br />telephone number, address, occupation or affiliation of each member and the list must <br />identify the principal officers of the governing body, and length of term. <br />d)Solid Waste Program Fee (SWPF) Verification <br />This fee finances Orange County's recycling and waste reduction program. Submit <br />either a.) proof of payment of the applicant organization’s FY 2018-19 Solid Waste <br />Program Fee, OR b.) a statement on the applicant organization’s letterhead indicating <br />exemption and specify the person(s), business, etc. that is responsible for paying this <br />fee. <br /> <br />e)Certificate of Liability Insurance <br />A copy of the applicant organization’s current certificate, from the organization’s <br />insurance carrier. Table 1 below outlines insurance types and minimums required, for <br />each jurisdiction. If exempt from Worker’s Compensation compliance, include a <br />statement explaining why, with the applicant organization’s application materials. <br />NOTE: Proof of insurance is not required at the time of application submission. If your <br />agency is approved for funding, documentation of insurance must be provided to the <br />jurisdiction awarding the funding when the contract is awarded. The insurance <br />certificate should reflect the funding jurisdiction as an additional insured party and <br />certificate holder and provide coverage for the duration of the funding period (as early <br />as February 1, 2021 through January 30, 2023). If proof of insurance can only be written <br />for one year, an update will be required for all ongoing projects. Renewal certificates <br />must be sent to the jurisdiction 30 days prior to any expiration date, cancellation or <br />modification of any stipulated insurance coverage. <br />NOTE: Upon request, insurance requirements may be reviewed on a case by case <br />basis by the County. Please contact the staff identified on the Submission <br />Requirements on Page 15 if you have questions or would like to request a review of <br />your insurance requirements. <br />APPENDIX <br />Table 1. Forms of Liability Insurance and Minimum Policy Amounts Required <br />INSURANCE ORANGE COUNTY3 <br />P.O. Box 8181 * Hillsborough, North Carolina 27278 <br />Telephone: 919 245-2626 <br />DocuSign Envelope ID: 674071D6-B48A-4209-80A1-FCDFB6EDB134