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Home My WebLink About2013-438 Contract Renewal for State/Personnel Revenue Funds - Soil & Water 2 Ul 0 c n c p 3 4 N' �� as C N 40 ti -Ao -3 g � m m °• -e T o 3 -+ n N rn ol car► `"� o u+ 0 U' CIO N '�•' � � to O � 3' 3 m O N n •�' %� N Q t: ® n QQ ;p o 7 S er NNN Zia � Z � O�s n Q � q QZ 2 ° ° O m A�fi+ ,+►4 tpN,,. d Nrl• QQ �n o � 2 .G S a N N N mrn` Z Zp 000 Departmental Use Only STATE OF NORTH CAROLINA CENTER: 1611-3701 COUNTY OF WAKE ACCOUNT: 536967 CFDA: NA AMOUNT: $7,200.00 CENTER: 2710 ACCOUNT: 532196002 CFDA: NA AMOUNT: $106,516.00 North Carolina Department of Agriculture and Consumer Services Division of Soil and Water Conservation DSWC-District Matching and Technical Assistance Agreement - Governmental Amendment Number: 01-2014 Contract Number: G40100019413SWC This document amends the Contract bearing the effective date of July 1, 2012, between the North Carolina Department of Agriculture and Consumer Services, hereinafter referred to as the "Agency"and the Orange Soil and Water Conservation District, hereinafter referred to as the "Grantee." The Grantee's tax ID number is 56-6000327. The Grantee's DUNS number is 091575191. As provided for under the terms of the original Contract, the Agency and the Grantee agree to amend,the Contract provisions as outlined below. 1. Section V. DSWC Duties: The previous Section V is hereby deleted and replaced with the following: The DSWC hereby agrees to pay the District a sum of money not to exceed $113,716.00 in State and/or federal funds, said sum to be full and complete compensation for services rendered or approved activities specified under this Contract. The contributions from the Grantee shall be sourced from non-federal funds. Any funds committed as matching funds must be spent concurrently with the state/federal funds awarded in this Contract (i.e. past expenditures prior to submission and execution of the Grantee's Contract shall not be used). The matching requirement is $113,716.00. The District has committed the following match to this project: In Kind Cash 113,716.00 Cash and In-kind $ Cash and/or In-kind $ Other/Specify $ The total Contract amount is $227,432.00. NCDA&CS Soil&Water contract Amendment(Rev):9/12, 9/13 1 2. Contract Budget: The previous Contract Budget is hereby deleted and replaced with the attached Contract Budget. The revision is necessary to add funding for the 2013-14 program year. The funds budgeted for 2012-13 were reduced by, $0.00, to reflect the actual amount invoiced for 2012-13, $56,950.00. All other terms and conditions as set forth in the original Contract document shall remain in effect for the duration of this Amendment. This Amendment is continued on the next page. NCDA&CS Soil&Water contract Amendment(Rev):9/12,9/13 2 CONTRACT BUDGET The following budget reflects the maximum authorized payment for each activity described in the scope of work. Activity 1: District Matching Funds Fiscal Year Maximum District Match Amount Awarded Requirement 2012-13 $3,600.00 $3,600.00 2013-14 $3,600.00 $3,600.00 2014-15 Activity 2: Cost Share Technical Assistance Position 1: FTE: 1.00 Maximum Allocation Fiscal Year Purpose Recurring Non- District Match recurring Re uirement 2012-13 Salary/Benefits $25,500.00 $26,675.00 Operating Ex p. $1,175.00 2013-14 Sala /Benefits $25,500.00 1 $26,583.00 Operating Ex p. $1,083.00 2014-15 Sala /Benefits 1 $0.00 Operating Exp. $0.00 Position 2: FTE: Maximum Allocation Fiscal Year Purpose Recurring Non- District Match recurring Requirement 2012-13 Sala /Benefits $25,500.00 $26,675.00 Operating Ex p. $1,175.00 2013-14 Sala /Benefits $25,500.00 1 $26,583.00 Operating Ex p. $1,083.00 2014-15 Sala /Benefits 1 $0.00 Operating Ex p. $0.00 This Amendment is continued on the next page. NCDA&CS Soil&Water contract Amendment(Rev):9/12, 9/13 3 Signature Warranty: The undersigned represent and warrant that they are authorized to bind their principals to the terms of this Amendment. IN WITNESS WHEREOF, the Grantee and the Agency execute this Amendment in two (2) originals, one (1) of which is retained by the Grantee and one (1)which is retained by the Agency. Orange Soil and Water Conservation District Zo J22Z3. Si ature of Authorized Rep sentative Date W , 's l u 9 l3 Printed Name Title Witness: Signature V Date C"M T- - Mf Acl&ms Printed Name Title North Carolina Department of Agriculture and Consumer Services Signature of Authorized Representative Date N. David Smith, Chief Deputy Commissioner Printed Name of Authorized Representative NCDA&CS Soil&Water contract Amendment(Rev): 9/12, 9/13 4 Attachment B Signature Card CONTRACT & FINANCIAL DOCUMENTS INSTRUCTIONS: Please read and fill in the required information to the right of each field where applicable. Provide the requested printed and written signatures (in Blue Ink) of agency representatives in the designated areas. In the event the affixed signature(s) are no longer valid, a revised form must be submitted prior to processing any contractual documents or submitting "Request for Payments" or any other financial documents. SECTION I. Date: October 9, 2013 Legal Applicant Organization/Agency Name: Orange Soil and Water Conservation District Federal Tax Identification Number: 56-6000327 SECTION II. Certification: By affixing my signature below, I certify that person(s) identified are designated having legal authorization to sign on behalf of the organization named in Section I., above, for purposes of executing contractual documents and preparing, approving and executing all financial documents; including "Requests for Payments". I understand the legal implications of any and all misrepresentation of a sole purpose of defrauding the State of North Carolina. NON-GOVERNMENTAL ORGANIZATIONS ONLY Chairman of the Board of Directors(Contract Documents) Financial Representative Signature Print Name: Print Name&Title: /-; S d CZ Sig re: Signature: GOVERNMENTAL ENTITIES Appropriate Governmental Official(Secretary, Chief Fiscal Officer Signature Commissioner,etc. Print Name Print Name&Title: 0 V"W ems,cc (g. &W 6fv Signature: Signature: � G- 44� Signature Card—NGO&Governmental NCDA&CS:Rev 7/11,2/12,5112,7/12,8/12, 10/12,5/13