Orange County NC Website
Browse       Search
09/18/2023 <br />2023-2024 Annual Contract Attachment Completion Instructions -Governmental <br />You are receiving this packet because your entity has an active contract(s) or is being offered a <br />contract(s) with the Agricultural Development and Farmland Preservation (ADFP) Trust Fund. In order to <br />receive payments from the ADFP Trust Fund, each form in this packet must be completed and signed <br />every 12 months. Please follow the instructions below for completing and signing the forms. Contact <br />the ADFP Trust Fund Document Specialist, Sarah Weavil, at sarah.weavil@ncagr.gov or 919-707-3072 <br />with questions. <br />Please complete, sign in blue or black ink, and return each of the included forms. A scanned/electronic <br />copy is acceptable and can be emailed to ADFP. All forms need to be dated at the time of signing. <br />Below are the portions of the contract that require completion.. <br />1.Complete and sign the Certifications and Assurances in Attachment C. Place of performance <br />is your office’s physical address. <br />2.Complete NC OpenBook Supplemental Information in Attachment D. <br />3.Complete and sign Signature Card in Attachment E (Authorized Governmental Official and <br />Chief Fiscal Officer signatures). <br />4.Complete and sign Substitute W-9 form in Attachment F. This form must be dated at the <br />time of signing. <br />5.Attach a copy of a voided check or a letter from your bank, complete, and sign the Vendor <br />Electronic Payment Form in Attachment G. f there has been no change to your entity’s <br />information, the form still needs to be completed, signed, and attached with a voided check <br />or letter. This form must be dated at the time of signing <br />Please email the completed packet to Sarah Weavil at sarah.weavil@ncagr.gov. <br />If you are sending original copies, please return the completed packet via FedEX or UPS (not USPS) with <br />a tracking number to: <br />Veronica Jamison, Office Manager <br />N.C. Department of Agriculture & Consumer Services, Farmland Preservation <br />2 W. Edenton Street, Raleigh, NC 27601 <br />Please return the completed packet within 10 working days (see policy below). If you are unable to <br />meet the deadline, please email Sarah within 10 working days of original receipt with the reason for the <br />delay. <br />If a selected grant recipient fails to return a completed grant contract by the stipulated deadline, ADFP <br />Trust Fund will notify the selected grant recipient in writing as a warning. The selected grant recipient <br />will be allowed a grace period of 10 working days from the date of correspondence to return the <br />completed contract. After the stipulated grace period, the offer will be rescinded and the grant funding <br />reallocated. (Approved by the ADFP Trust Fund Advisory Committee 12/09/08) <br />DocuSign Envelope ID: F8ACCDE8-686F-4083-B46D-486310D8A869