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P a g e 13 o f 15 <br /> <br /> <br />Submission Guidance <br /> <br />Applications are to be submitted as email attachments to Orange County Sustainability Programs <br />Manager, Amy Eckberg at aeckberg@orangecountync.gov. Please also CC the lead staff member <br />supporting the Commission of the Environment, Wesley Poole at wpoole@orangecountync.gov. <br /> <br />The Application Submittal Deadline for the Fiscal Year 23-24 round of the Community Climate Action <br />Grant is Friday, August 18, 2023 at 5pm. <br /> <br />Please note that late, handwritten, or incomplete applications will not be accepted. <br /> <br />Submit all documents including attachments in PDF form at. This will ensure the original content and <br />formatting is preserved. Digital signatures on applications are accepted. <br /> <br />Accommodations for applicants with disabilities or those in need of technical assistance are available <br />upon request. Please contact the Orange County Sustainability Programs Manager, Amy Eckberg (919- <br />245-2626, aeckberg@orangecountync.gov) to discuss what is needed. <br /> <br /> <br />ATTACHMENTS <br /> <br />Description of Required Attachments <br /> <br />a) Applicant Organization’s Budget and Project Budget <br />Please complete the provided budget worksheets for your organization and your proposed project or submit your <br />own budget file (as long as it contains the same information, and in a similar format, as requested in the provided <br />worksheets. Please explain other in your budget). The Budget Worksheets file is available for download from the <br />County website here. Please submit the budget in PDF form as well as in the original editable Excel format. <br /> <br />b) IRS Federal Form 990 or 2022 Tax Returns <br />A copy of the applicant organization’s most recent Form 990 or IRS Tax Returns is required to determine eligibility. <br />The specific form depends upon the applicant organization’s financial activity. Review the IRS’ guide, for more <br />details. For Form 990-N (e-postcard) filers, include a copy of the postcard, with the organization’s application <br />materials. <br /> <br />c) List of Board of Directors (if applicable) <br />Provide the following information about each board of director’s member: name, telephone number, and address, of <br />each member and the list must identify the principal officers of the governing body, and length of term. Please feel <br />free to use the template provided in Table 2 of the appendix or your own format. <br /> <br />d) Certificate of Liability Insurance <br />A copy of the applicant organization’s current certificate, from the organization’s insurance carrier. Table 1 below <br />outlines insurance types and minimums required, for each jurisdiction. If exempt from Worker’s Compensation <br />compliance, include a statement explaining why, with the applicant organization’s application materials. <br /> <br />NOTE: Proof of insurance is not required at the time of application submission. If your agency is approved for <br />funding, documentation of insurance must be provided to the jurisdiction awarding the fund ing when the contract is <br />awarded. The insurance certificate should reflect the funding jurisdiction as an additional insured party and certificate <br />holder and provide coverage for the duration of the funding period (two years, beginning as early as October 1, 2023). <br />DocuSign Envelope ID: 1DA01EE2-D61E-4F21-8905-BE343438D3ED