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30+ <br /> <br />% required match <br /> <br />SOURCES OF PROGRAM REVENUE (ALL SOURCES) <br /> <br />CBA: $ 26,179.00 <br />Local: $ 12,293.10 <br />Other: $ <br /> <br />Other: <br /> <br /> specify <br /> <br />$ <br /> <br /> specify <br />$ 38,472.10 <br /> <br />YSAC CHAIRPERSON <br /> <br />DATE <br /> <br />--This document has been reviewed and recommended for funding. <br /> <br /> INDE~INIFICATION AND HOLD HARI~LRSS <br />--The program manager agrees to at all times during the term of this agreement to indemnify <br /> and hold harmless the Department of Human Resources against liability, loss, damages, <br /> costs, or expense which the Department may be requested to pay by reason of any client's <br />_ suffering personal injury, death, or property loss or damage either while participating in <br /> or receiving from the program services to be furnished by the program under this <br /> agreement, operated, leased, chartered or otherwise contracted for by the program or an <br /> employee who is furnishing services called for under this agreement; provided, however, <br />-- that the provisions of the paragraph shall not apply to liabilities caused by or resulting <br /> from the acts of the Department or any of its officers, employees, agents, or <br /> representatives. <br /> <br />CIVIL RIGHTS COMPLIANCE <br />For the duration of this Program Agreement, the program agrees to comply with Title VII of <br />the Civil Rights Act of 1964 and' all requirements imposed by federal regulations issued <br />pursuant to that Title. <br /> <br /> TERMINATION <br />-- This agreement may be canceled at any time by either DHR, county commissioners, or the <br /> Program Manager, with cause, upon at least 30 days notice, in writing, and delivered by <br /> registered mail with return receipt requested or in person, or by mutual consent of all <br /> parties. <br /> <br /> CONCLUSION <br /> We, the undersigned agree to comply with all provisions of this agreement and with the <br />-- policy guidelines for the Community Based Alternatives Program as codified in the North <br /> Carolina Administrative Procedures 10 NCAC 44C and l0 NCAC 44D. <br /> <br />Director Division of Youth Services <br /> <br />Date <br /> <br />Chairman County Commissioners <br />Program Manager ~_~3 <br /> <br />Date <br />Date <br /> <br />This agreement may be terminated in <br />whole or in part by the Division/ <br />Department in the event that state <br />or federal funds which have been <br />allocated to the Division or to the <br />Department of Human Resources are <br />eliminated or reduced to such an <br />extent that, in the sole Program <br />determination of the Division/ <br />Department, continuation of the <br />obligations at the levels stated <br />herein may not be maintained. <br /> <br /> <br />