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TJAAA Form, rev April 2017 <br /> <br /> <br /> <br />CERTIFICATION OF REQUIRED MINIMUM LOCAL MATCH AVAILABILITY <br /> <br /> Date: July 2025 Fiscal Year: FY 25-26 <br /> <br />Agency: ORANGE COUNTY DEPARTMENT ON AGING <br />Service: SENIR CENTER OPERATION, CONGREGATE NUTRITION, INFORMATION AND CASE ASSISTANCE, IN <br />HOME ADIE LEVEL II- PERSONAL CARE, ADULT DAY CARE , ADULT DAY HEALTH <br />Itemization of Commitment: <br /> <br />Required Local Match (total must agree to amount in the Funding Plan) <br />Please Select Services to Be Delivered Local Match <br />Senior Center Operation 170 $ 12,665 <br />Congregate Nutrition 180 <br /> <br />$ 28,062 <br />Information & Case Assistance 040 <br /> <br />$ 28,825 <br /> <br />In-Home Aide-Level II - Personal Care 042 <br />$ 12,905 <br /> <br />Adult Day Care 030 <br />$ 2,830 <br /> <br />Adult Day Health 155 $ 5,000 <br /> <br />Total Local Match: $ 90,287 <br /> <br />It is understood that funds committed as required minimum local match will be used to match the Home and <br />Community Care Block Grant appropriation and will not be used to match any other federal or state funds during <br />the contractual period. <br /> <br />Print Name and Title: JANICE TYLER DIRECTOR, DEPARTMENT ON AGING <br /> <br /> <br />Signature: __________________________________________________________________________________ <br />Docusign Envelope ID: 33187FF3-2913-4BF6-A737-FFB28C0A4B95