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STATE-APPLICANT DISASTER ASSISTANCE AGREEMENT 4 ~ , . <br />This agreement between the State of North Cazolina and (the Applicant) shall be <br />effective on the date signed by the State and the Applicant. It shall apply to all assistance funds provided by <br />or through the State to the Applicant as a result of ,and pursuant to the <br />Presidential Emergency Declaration FEMA- -DR-NC. <br />The designated representative of the Applicant certifies that: <br />1. He/She has legal authority to apply for assistance on behalf of the Applicant. <br />2. The Applicant shall provide all necessary financial and managerial resources to meet the terms and <br />conditions of receiving Federal and State disaster assistance. <br />3. The Applicant shall use disaster assistance funds solely for the purposes for which these funds aze <br />provided and as approved by the Governor's Authorized Representative. <br />4. 3'he Applicant is aware of and shall comply with cost-sharing requirements of the Federal and State <br />disaster assistance; specifically that Federal assistance is limited to 75% of eligible expenditures, that <br />State assistance is limited to 25% of eligible costs to include alternate projects selected by the <br />applicant. <br />5. The Applicant shall provide the following documentation: <br />a) Designation of Applicant's Agent <br />b) State-Applicant Disaster Assistance Agreement <br />' c) Private Non Profit Organization Certification (if required) <br />d) Summary of Documentation Form itemizing actual costs expended for lazge project <br />payment requests <br />If the applicant does not provide the above documentation, the State shall be under no obligation to <br />reimburse the Applicant for eligible expenses. <br />6. The Applicant shall establish and maintain a proper accounting system to record expenditures of <br />disaster assistance funds in accordance with gerierally accepted accounting, standards. or_as directed by <br />the Governor's Authorized Representative. <br />7. The Applicant shall give State and Federal agencies designated by the Governor's Authorized <br />Representative access to and the right to examine all records and documents related to use of disaster <br />assistance funds. <br />8. The Applicant shall return to the State, within (30) days of such request by the Governor's Authorized <br />Representative, any advance funds which are not supported by audit or other Federal or State review <br />of documentation maintained by the Applicant. <br />9. ~ The Applicant shall comply with all applicable codes and standazds in completion of eligible repair or <br />replacement of damaged public facilities. <br />10. The Applicant shall comply with all applicable provisions of Federal and State law and regulation in <br />regard to procurement of goods and services and to contracts for repair or restoration of public <br />facilities. <br />REV. OB199 <br />