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Docusign Envelope ID: El 96FFB6-481 D-48D1-A670-07B9001 1 COBE <br /> Submission Guidance <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 /> The Application Submittal Deadline for the Fiscal Year 22-23 round of the Community Climate Action <br /> Grant is Friday,August 19, 2022 at Spm. <br /> Please note that late, handwritten, or incomplete applications will not be accepted. <br /> Submit all documents including attachments in PDF format. This will ensure the original content and <br /> formatting is preserved. Digital signatures on applications are accepted. <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 /> ATTACHMENTS <br /> Description of Required Attachments <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 /> b) IRS Federal Form 990 or 2020 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 /> 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 /> 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 /> Page 15 of 21 <br />