Orange County NC Website
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North Carolina. Department of Health and Human Services <br />Office of Long-Term Services and Supports <br />~ axle of Contents <br />Paae <br />Introduction S <br />Background 6 <br />Scope of Services 6 <br />Target Population ~ 8 <br />Award Amounts ~ 13 <br />Eligibility 9 <br />Grant Award Period 9 <br />Reporting 10 <br />The procurement Process 10 <br />Number of Copies 10 <br />Generallnstructions 11 <br />Application Face Sheet 15 <br />Notification of Intent to Apply 17 <br />Application Review Process ~ 21 <br />Scoring 21 <br />Project Profile-Form A 23 <br />Project Abstract-Form B 25 <br />Scope of Work Elements-Forms Cl-7 ~7 <br />Budget-Form D1 37 <br />Budget Narrative-Form D2 ~ ~ 313 <br />Conflict of Interest-Form E 41 <br />IRS Federal Tax Exempt Letter -Form F ~ 45 ' <br />Certification Regarding Drug-Free Workplace Requirements-Form G 47 <br />Disclosure of Lobbying Activities-Form H 49 <br />Certification Regarding Lobbying-Form I 53 <br />Notice of Certain Reporting and Audit Requirements-Form J 57 <br />State Grant Certification of No Overdue Taxes-Form K ~ 61 <br />Consumer Survey-Form L 63 <br />Request for Application 67 ' <br />Application Checklist 69 <br />4 ' <br />• <br />• <br />• <br />3 of 69 <br />