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V <br />Agency's Duties: <br />The Agency shall pay the Grantee in the manner and in the amounts specified in the Contract Documents. The <br />total amount paid by the Agency to the Grantee under this Contract shall not exceed $228,112.50. <br />This amount consists of: <br />Type of Funds <br />Funding Source <br />CFDA No. <br />State <br />State of North Carolina <br />NIA <br />Accounting Code Information: <br />Dollars <br />I GL Company <br />GL Account GL Center <br />$228,112.50 <br />1 1002 <br />1536406 2108 -1012 -2014 <br />[ ] a. There are no matching requirements from the Grantee. <br />[ ] b. There are no matching requirements from the Grantee; however, the Grantee has committed the following <br />match to this project: <br />] c. The Grantee's matching requirement is $ 34,216.88 which consists of: <br />In Kind <br />$ <br />Cash <br />$ <br />X <br />Cash and In -kind <br />$ <br />Cash and/or In -kind <br />$ <br />Other/Specify: <br />$ <br />] c. The Grantee's matching requirement is $ 34,216.88 which consists of: <br />VI <br />MA <br />Attachment number 2 <br />[ ] d. The Grantee has committed to an additional $ to complete the project as described in Attachment <br />B. <br />The contributions from the Grantee shall be sourced from non - federal funds. <br />The total Contract amount is $228,112.50. <br />Conflict of Interest Policy: <br />The Agency has determined that the Grantee is a governmental agency and is not subject to N.C.G.S. § 143C -6- <br />23(b). Therefore, the Grantee is not required to file a Conflict of Interest Policy with the Agency prior to <br />disbursement of funds. <br />Statement of No Overdue Tax Debts: <br />The Agency has determined that Grantee is a governmental agency and is not subject to N.C.G.S. § 143C -6- <br />23(c). Therefore, the Grantee is not required to file a Statement of No Overdue Tax Debts with the Agency prior to <br />disbursement of funds. <br />NCDA &CS (Gov't Contract Cover— State Funds) Eff. Date: 1/12, RevF112, 8112, 9112, 10112 P40op1?- 12 <br />In Kind <br />$ <br />Cash <br />$ <br />X <br />Cash and In -kind <br />$34,216.88 <br />Cash and /or In -kind <br />$ <br />Other/Specify: <br />$ <br />VI <br />MA <br />Attachment number 2 <br />[ ] d. The Grantee has committed to an additional $ to complete the project as described in Attachment <br />B. <br />The contributions from the Grantee shall be sourced from non - federal funds. <br />The total Contract amount is $228,112.50. <br />Conflict of Interest Policy: <br />The Agency has determined that the Grantee is a governmental agency and is not subject to N.C.G.S. § 143C -6- <br />23(b). Therefore, the Grantee is not required to file a Conflict of Interest Policy with the Agency prior to <br />disbursement of funds. <br />Statement of No Overdue Tax Debts: <br />The Agency has determined that Grantee is a governmental agency and is not subject to N.C.G.S. § 143C -6- <br />23(c). Therefore, the Grantee is not required to file a Statement of No Overdue Tax Debts with the Agency prior to <br />disbursement of funds. <br />NCDA &CS (Gov't Contract Cover— State Funds) Eff. Date: 1/12, RevF112, 8112, 9112, 10112 P40op1?- 12 <br />