Orange County NC Website
https://chapelhillnc.workflow.opengov.com/#/explore/records/62492/react-form-details/62492 13/14 <br />Are any board members or agency employees, <br />including their immediate relatives and business <br />associates, current beneficiaries of the proposed <br />program for which funds are being requested? <br />No <br />Are any board members or agency employees, <br />including their immediate relatives and business <br />associates, members of or related to members of <br />the governing bodies of Chapel Hill, Carrboro, or <br />Orange County? <br />No <br />Are any board members or agency employees, <br />including their immediate relatives and business <br />associates, paid providers of goods or services to or <br />have other financial interest in the proposed <br />program? <br />No <br />Are any board members or employees,including <br />their immediate relatives and business associates, <br />related to employees of that Town of Chapel Hill, <br />Town of Carrboro, or Orange County? <br />No <br />If the answer to any of the above is yes,please provide an explanation. <br />Non-discrimination Clause <br />Provider agrees as part of consideration of the granting of funds by funding agencies <br />to the parties hereto for themselves,their agents, officials,employees and servants <br />agree not to discriminate in any manner of these basis of race, color, gender, national <br />origin,age,handicap,religion,sexual orientation, gender identity/expression,familial <br />status or veterans status with reference to any activities carried out by the grantee, <br />no matter how remote.The parties hereto further agree in all respects to conform to <br />the provision and intent of Orange County Civil Rights Ordinance,as amended, and <br />the Orange County Anti-discrimination Policy. This provision is enforced by action for <br />specific performance, injunctive relief,or other remedy as by law provided; this <br />provision shall be binding on the grantees,the successors and assigns of the parties <br />hereto with reference to the above subject manner. <br />N/A <br />Exhibit A <br />Docusign Envelope ID: 9B12EC66-D23F-408C-BE60-EBCDE242CC54