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<br />Attachment A <br /> <br />State of North Carolina <br />Division of Social Services <br />Contract Application <br /> <br />II. Fiscal Provisions <br /> <br />A. Amount of Reimbursement: <br />Reimbursement under the terms of this agreement will be limited to a <br />maximum of: <br />$ 60,706.00 TOTAL ~ $ SSBG, CPDA IV-B, CFDA <br />No. 93.667:+ $ _____ No. 93.645+ $ <br />$ 33,591.00 Ped.,CFDA 19,527.00 State + $ 7,588.00 County+ <br />No. 93.645 <br /> <br />Other (Identify)____ <br /> <br />(Optional: County funds consist of $ <br /> <br />for <br /> <br />(funding source) <br /> <br />and $ <br /> <br />for <br /> <br />(funding source <br /> <br />B. Maintenanoe of Effort: <br /> <br />() 1. N/A <br />(X) 2. The provider certifies that the funds to be used under this <br />contxact do not replace or, supplant in any way, Federal, State or <br />local funds for already existing services. <br /> <br />C. Method of Reimbursement: <br /> <br />1. For Purchase Contract (D88-2497) Total and Uni.t Cost: <br /> <br />(0) a. Reimbursement will be made in accordance with the current budget <br />approved by the Department and on file with both parties. The <br />amount of reimbursement will be based on allowable expenditures made <br />in behalf of eligible clients, determined in accordance with <br />acceptable cost allocation methods. The Provider will report all <br />expenditures made under the terms of the contract. <br /> <br />(0) b. Reimbursement will be made at a unit cost of $ per unit <br />of reimbursement delivered to eligible clients for an estimated <br />number units. The Provider will document total expenditures <br />made under the terms of the contract to the Department within 30 <br />days after the termination of his contract, or as instructed by the <br />Department. Reimbursement which exceeds actual allowable cost will <br />be adjusted to actual allowable cost. <br /> <br />2. For Vendor Agreements (088-2252) Fixed Rate: <br /> <br />Reimbursement will be based on: <br /> <br />(X) a. a standard fixed rate or <br /> <br />(0) b. an individual rate. <br /> <br />F-/P <br />