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<br />Page 8 of 11 <br /> <br />(b) If any funds other than Federal appropriated funds have been paid or will be paid <br />to any person for influencing or attempting to influence an officer or employee of <br />any agency, a Member of Congress, an officer or employee of Congress, or an <br />employee of a Member of Congress in connection with this Federal contract, <br />grant, loan or cooperative agreement, the undersigned shall complete and submit <br />Standard Form - LLL, "Disclosure Form to Report Lobbying," in accordance with <br />its instructions, <br /> <br />(c) No part of any appropriation contained in this contract shall be used to pay the <br />salary or expenses of any grant or contract recipient, or agent acting for such <br />recipient, related to any activity designed to influence legislation or appropriation <br />pending before :the Congress. <br />(This certification is a material representation of fact upon which reliance was placed <br />when this Agreement was made or entered into. This certification is a requirement for <br />making or entering in~o this Agreement imposed by Section 1352,Title 31, U.S. Code.) <br />25. Drua Free Workplace. By signing this contract the Agency certifies that it will provide a <br />drug free workplace by implementing the provisions at 29 CFR 98.630, Appendix C, <br />pertaining to the Drug Free Workplace. In accordance with these provisions, a list of <br />places where performance of work will take place in connection with this specific grant <br />ml,lstbemaintai!ll~d~t the projectofficeandavailable for Federal inspection. <br /> <br />26. Audit. The Agency a$rees to have an annual independent audit in accordance with <br />NorthCarolinaGen~raIStatutes,North Carolina Local . Government Commission <br />requirements, Division of Aging and Adult Services Program Audit Guide for Aging <br />Services and Federal Office of Budget and Management (OMB) Circular A-133. <br /> <br />Community service providers must provide a copy of their year end financial <br />statements, and any required audit, to the Area Agency on Aging. Community service <br />providers, as specified in paragraph one (1) are subject to audit and fiscal reporting <br />requirements as stateCf in NC General Statute 143-6.2, and OMB Circular 1-133, where <br />applicable. SENIOR CpMMUNITY SERVICE EMPLOYMENT PROGRAM providers are not <br />required to submit Act!vities and Accomplishments Reports. For-profit corporations are <br />not subject to the req~irements of OMB Circular A-133, but are subject to NC General <br />Statue 143-6.2 and Y~lIow Book audit requirements, where applicable. Federal funds <br />may not be used to pay for a Single or Yellow Book audit unless it a federal <br />requirement. State funds will not be used to pay for a Single or Yellow Book audit if the <br />provider receives les$ than $500,000 in state funds. The Department of Health and <br />Human Services will provide confirmation of federal and state expenditures at the close <br />of the state fiscal yellr. Information on audit and fiscal reporting requirements and <br />forms can be found at ~ttp:..www.ncauditor.net/nonprofitsite <br /> <br />27. Audit/Assessment ~esolutions and Disallowed Cost. It is further understood that <br />the Agency is responsible to the Council for clarifying any audit exceptions that may <br />arise from any assQssment, Agency single or financial audit, or audits conducted by <br />the State or Feder,1 Governments. In the event the Council or the North Carolina <br />Department of Health and Human Services disallows any expenditures of grant <br />funds made by the! Agency for any reason, the Agency shall promptly repay such <br />funds to the Council once any final appeal. <br /> <br />17-5 <br />