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Exhibit 14A: List of Subcontractors Region F - FV 19 County:Cabarrus <br />Provider Name: Cabarrus Meals on Wheels Provider Code: F003 <br />List each subcontractor In the chart below. A subcontractor is defined as an entity that has been contracted to do a job within the sco <br />provider's grant award. The subcontractor Is accountable for the same requirements as the service provider, depending on the terms <br />Subcontractors must adhere to service standard requirements by the Division of Aging and Adult Services. Do not list vendors who p <br />.purchase of service'. These are services which do not follow prescdhed service standards and are goods or services sold equally to <br />Subcontractor <br />Name <br />Type Agency <br />Non -Profit <br />FOr-Plofit <br />Government <br />Subcontracted <br />Service Name <br />Subcontractor Contact Name, <br />Address <br />s Phone Number <br />Scope of the Subcontract (Briefly descnb <br />requirements that will be delegated to the E <br />eligibility determination, service authorized <br />assessments/reassessments, preparation t <br />meals, prevision of a dole and driver/requirt <br />an In -Nome Aide plan of care, aide compel <br />supervision,etc.) <br />NONE <br />Attest statement: Providers utlllzing subcontractors must provide assurance that both for profit and non-profit subcontractors are compiled with state and federal regut <br />the subcontractor: A) has rot been suspended or debarred (G.S. §143C-6-23: 091SICACI)i B) has not been barred from doing business at the federal level, C) Is able <br />Grant Certification of No Overdue Tax Debts', D) has obtained all licensee, permits, bonds and Insurance necessary for carrying out HCCBG Services. In addition, Non- <br />registered as a charitable (501 c3) organleatlon with the federal government. <br />Provider Signature: Title: Data: <br />Version 2016 Pateof <br />Version 2016 <br />F-2 <br />Attachment number 1 \n <br />