Orange County NC Website
Cover Page Page 5 of 20 <br /> <br />DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST AND NON- <br />DISCRIMINATION CLAUSE <br />Are any of the Board Members or employees of the agency which will be carrying out this <br />program or members of their immediate families, or their business associates. <br /> <br />YES NO <br /> <br /> ☒ ☐ a) Employees of or closely related to employees of the Town of Carrboro, the Town <br />of Chapel Hill, or Orange County? <br /> <br />☐ ☒ b) Members of or closely related to members of the governing bodies of the Town of <br />Carrboro, the Town of Chapel Hill, or Orange County? <br /> <br />☒ ☐ c) Current beneficiaries of the program for which funds are being requested? <br /> <br />☐ ☒ d) Paid providers of goods or services to the program or having other financial interest <br />in the program? <br />If you have answered YES to any question, please provide a full explanation below. <br />a) CEF’s Office & Community Organizer, Yvette Mathews is married to an employee of <br />the Town of Chapel Hill (O.D. Sanders). He works in landscaping. <br />c) CEF has incorporated into our By-Laws the requirement that at least one former or <br />current beneficiary (Member) of our program serve on the Board of Directors at all <br />times. Currently, two Members serve on the Board of Directors. These members of the <br />Board of Directors provide invaluable advice based on their particular experiences <br />working with the organization directly, and like all members of the Board of Directors, <br />sign an annual conflict of interest disclosure outlining any potential conflicts that may <br />arise based on their dual relationship with the organization. Although these Board <br />Members will not benefit financially from this proposal, they may receive services that are <br />funded through the proposal. <br /> <br />NON-DISCRIMINATION <br />Provider agrees as part of consideration of the granting of funds by funding agencies to <br />the parties hereto for themselves, their agents, officials, employees and servants agree <br />not to discriminate in any manner of these basis of race, color, gender, national origin, <br />age, handicap, religion, sexual orientation, gender identity/expression, familial status or <br />veterans status with reference to any activities carried out by the grantee, no matter <br />how remote. The parties hereto further agree in all respects to conform to the provision <br />and intent of Orange County Civil Rights Ordinance, as amended and the Orange <br />County Anti-discrimination Policy. This provision is enforced by action for specific <br />performance, injunctive relief, or other remedy as by law provided; this provision shall <br />be binding on the grantees, the successors and assigns of the parties hereto with <br />reference to the above subject manner. <br />DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA