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tO <br />The Grantee shall also submit a fmal grant report; the Agency will retain 2096 of the grant amount unfit this report <br />is received and approved by the Agency. <br />The Grantee shalt complete all reports m a prescribed format, which shell tier provided by the Agency. <br />$. A,g~ancy's puties~ <br />the Grantee in the manner and in the amounts Specified in #t1e Contr~rd t~octrments, The total <br />Trig agency shalt pey to the Grantee under this Contrail shall not exceed $~32AOg_ This amount Qortsisffi of <br />amount paid by the Agency <br />$132,Qf7t0 in State funds. <br />a_ Thera are no matching requirements from thg Grantee. <br />[X j b. The Grantee's matching requirement cS~h*~~0.'~ich shall consist oF: <br />~ j cash and in-kind [?4 Cash arrdfor In-kind <br />The total contract amount is $171,6{7(1. <br />6. Conflict of Inter~sst policy: <br />The Agency has determined that the i;rantee is not subject to N.C.G.S. 1430-6-23(b) 0007). <br />?. gtaterreent of Na Overdue Tax Detns: <br />The Agency #~as detenningd that the Grarrteg is not subject to IV.C.G.S. 143C-6-23{c~. <br />$, ~,gve~sion of Unexpend+ad Funds: <br />Any unexpended grant funds shall revert tra the Agency upon termination of this Contract. <br />9. Rsporking R+a~qulr®men#s. <br />The Agency has determined that the Grantee Is not subject ie thg reporting requirements mandated by <br />N.C.G.S. 1430-B-23. <br />fp. P~ryment Provisions: <br />Upon execution of this Contract, the Grantee shall submit to the Agency Contract Administrator a completed "Request <br />For Payment" form, to be prr~vided by the Agency, fvr an amount not to exceed $26.000. Thereattoer, ~tl~"tnr~u~s f~ <br />payment" forms shall be submitted nr~ more often than monthly and strati bg supported by app pd <br />other types of tilling documents. The (grantee may request frCxn the Agency ail remaining funds less 2D95 caf the <br />awarded grant amount (refer to paragraph 4~ Line c). At a later data, but prior to the expiration date of thg Contrail, <br />the Grantee may request the final payrtti+ent, which is the remaining 20°x6 of the awarded grant smog nt, ~~ths <br />Grantee's submission of a final grant report determined to be in compliance with the Agency's report' g PeG <br />The Grantee shaft submit alt requests for payrn ~ ;~ r~I payrn~ei'rt~s are cor tint upon f nil ova abityretahng to this <br />contract period, to the Agency no later than <br />Vf this Contract is terminated prior to the cxiginai end date. the G~ntgnc within G0 ctaysnot ihe~cantract termi~nafion <br />form. All unexpended funds shall be returned by the Grantee to the Ag y <br />date. The Grantee shall also provide the Agency withl be sd b the Agency Po dgtermmeththe a9rnourrt,wiU~ri ~ fi0 <br />days of the contract termination date- The float report y <br />expended funds ttt be r+etumed to the Agency try the Grantee. <br />Payment shall be made in accordance with the Contract t]acuments and as described in the 5cxrpe of 'Work, <br />Attachment B. <br />M58rJCD Form ON7tt61~ Grant ('.over Shut R~evi~ed OSIOS <br />Eff. 9Y204'15 Page 2 of 12 <br />Revised 5!0&, 7147 <br />