HomeMy WebLinkAboutCommerce Finance Center CDBG Closeout Forms for Morinaga America Foods Water/Sewer Project Data entry page
COMMERCE FINANCE CENTER
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CDBG Closeout Forms
Grantee Orange County
Grantee Address 131 West Margaret Lane, Hillsborough, NC 27278
Grant Number #13-E-2606
Project Name Morinaga America Foods Water/Sewer Project
1st Project Number E-1
2nd Project Number
3rd Project Number
Period September, 2017
Authorized Representative
Name Mark Dorosin
Title Chair, Board of County Commissioners
Preparer of Information
Name Alice Briggs, Grant Administrator
Address 34 Orange Street, Suite 2, Asheville, NC 28801
Telephone Number 828-232-6153
Property acquired with CDBG funds? I ❑ Yes 0 No
Page 1
CERTIFICATE OF COMPLETION
1. Grantee: Orange County 2. Grant Number: #13-E-2606
3. Project Name: 131 West Margaret Lane,Hillsborough,NC 27217 4. Project Number: E-1
5. Final Statement of Costs
. e
To Be Completed by Recipient
Paid Costs Unpaid Costs Total Costs Approved
Program Activity Categories (Col.b+c) Total Costs
(a) (b (c) (d) (e)
a. Acquisition
b. Disposition
c. Public facilities and improvements
(1) Senior and handicapped centers
(2) Parks,playgrounds and recreation facilities
(3) Neighborhood facilities
(4) Solid waste disposal facilities
(5) Fire protection facilities and equipment
(6) Parking facilities
(7) Public utilities,other than water and sewer
(8) Water and sewer improvements
(9) Street improvements
(10) Flood and drainage improvements
(11) Pedestrian improvements
(12) Other public facilities
(13) Sewer improvements 277532.14 277532.14
(14) Water improvements 439370.94 439370.94
d. Clearance activities
e. Public services
f. Relocation assistance
g. Construction,rehab.and preservation activities
(1) Construction or rehab.of com.&indust.bldgs.
(2) Rehabilitation of privately owned buildings
(3) Rehabilitation of publicly owned buildings
(4) Code enforcement
(5) Historic preservation
h. Development financing
(1) Working capital
(2) Machinery and equipment
i. Removal of architectural barriers
j. Other activities
IL Subtotal $ 716,903.08 716903.08
1. Planning
m. Administration
n. Total $ 716,903.08 716903.08
o. Less: Program Income Applied to Program Costs
p. Equal: Grant Amount Applied to Program Costs 1 $ 716,903.08 716903.08
6. Computation of Grant Balance
To Be t
Completed By t
Description Recipient
(a) Amount Approved Amount
(b) (c)
(1) Grant Amount Applied To Program Costs(From Line p) $ 716,903.08
(2) Estimated Amount For Unsettled Third-Party Claims $ -
(3) Subtotal $ 716,903.08
(4) Grant Amount Per Grant Agreement $ 750,000.00
(5) Unutilized Grant To Be Canceled(Line 4 Minus Line 3) $ 33,096.92
(6) Grant Funds Received $ 716,903.08
(7) Balance of Grant Payable(Line 3 Minus Line 6)* 1 zero
* If Line 6 exceeds Line 3,enter the amount of the excess on Line 7 as a negative amount. This amount shall be repaid to DOC by check,
unless DOC has previously approved use of these funds.
7. Program Income
a) Amount of existing program income: zero
b) Amount of anticipated program income: zero
c) If program income exists or is anticipated,describe the proposed application(s):
8. Unpaid Costs and Unsettled Third Party Claims
Are there any unpaid costs or unsettled third party claims against the recipient's grant. Type"yes"or"no" no
If yes,describe the circumstances and amounts involved.
N/A
9. Reniarks(For DOC Use Only)
10. Certification of Recipient
It is hereby certified that all activities undertaken by the Recipient with funds provided under the grant agreement identified on page 1 hereof,
have,to the best of my knowledge,been carried out in accordance with the grant agreement;that proper provisions have been made by the
Recipient for the payment of all unpaid costs and unsettled third party claims identified on page 1 hereof;that the State of North Carolina is
under no obligation to make any further payment to the Recipient under the grant agreement in excess of the amount identified on Line 7 hereof,
and that every other statement and amount set forth in this instrument is,to the best of my knowledge,true and correct as of this date.
Date Typed Name and Title of Recipient's Signature of Recipient's
Authorized Representative Authorized Representative
l�r 2 01 Mark Dorosin
(Name) J
Chair,Board of County Commissioners (\
(Title)
MWLM1
This Certification of Completion is hereby approved. Therefore,I authorize cancellation of the unutilized contract commitment and related funds
reservation and obligation of $_33.096.92,less$ 0 previously authorized for cancellation(from Section 6,line 6,page 1).
Date Typed Name and Title of DOC Signature of DOC's
Authorized Representative Authorized Representative
Iris Payne
Acting Director,CDBG Programs
NORTH CAROLINA DEPARTMENT OF COMMERCE
COMMERCE FINANCE CENTER (CFC)
SMALL CITIES COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM
CLOSEOUT PERFORMANCE REPORT
Grantee Name: Orange County Grant Number: #13-E-2606
Grantee Address: 131 West Margaret Lane, Hillsborough, NC 27278
1. Citizens'Written Comments. (Attach the following three items unless each item was previously submitted
to CFC, in which case they may be incorporated by reference.)
a. A copy of each written citizen comment, which was received during the reporting period on the
grantee's community development performance under this grant;
b. The grantee's assessment of the comment; and
c. A description of any action taken or to be taken in response to the comment as required by 4 NCAC
19L .1002.
2. The grantee's authorized official representative must certify the following:
a. To the best of his/her knowledge and belief, data in this report is true and correct;
b. The records described in 4 NCAC 19L .0911 are being maintained and will be made available upon
request; and
c. In accordance with Section 101(c)(9) of the Housing and Community Development Act of 1974, the
assistance made available under this CDBG grant is not substantially reducing, below the level of
support prior to start-up of the CDBG grant reported here, the amount of local financial support for
community development activities.
Mark Dorosin Chair, Board of County Commissioners
Typed Name of Authoriz epresentative / Title
Signature ofAuth ized R pr entative Date
Preparer Information
Name: Alice Briggs, Grant Administrator
Address: 34 Orange Street, Suite 2, Asheville, NC 28801
Telephone Number: 828-232-6153
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Job Category Definitions
Job Category Definitions
1. Officials and Managers — Occupants requiring administrative personnel who set broad policies,
exercise overall responsibility of execution of these policies and individual departments or special
phases of a firm's operations. This includes: Officials, Executives, middle management, plant
managers and superintendents, salaried supervisors who are members of management, purchasing
agents and buyers and kindred workers.
2. Professional — Occupants requiring either college graduation or experience of such kind and
amount as to provide a comparable background includes: accountants and auditors, airplane pilots
and navigators, architects, artists, chemists, designers, dietitians, editors, engineers, lawyers,
librarians, mathematicians, natural scientists, registered professional nurses, professional and labor
relations workers,physical scientists, physicians, social scientists, teachers and kindred workers.
3. Technicians — Occupants requiring a combination of basic scientific knowledge and manual skill
which can be obtained through about 2 years of post-high school education such as is offered in
many technical institutions and junior colleges or through equivalent on the job training. This
includes: computer programmers and operators, drafters, engineering aides, junior engineers,
mathematic aides, licensed practical or vocational nurses, photographers, radio operators, scientific
assistants, surveyors, technical illustrators, technicians (medical, dental, electronic physical science)
and kindred workers.
4. Sales — Occupants engaging wholly or primarily in direct selling. This includes: advertising
agenda and sales workers, insurance agents and brokers, real estate agents and brokers, sales
workers, demonstrators and retail sales workers and sales clerks, grocery clerks and cashiers and
kindred workers.
5. Office and Clerical — Includes all clerical-type work regardless of level of difficulty, where the
activities are predominantly non-manual though some manual work not directly involved with
altering or transporting the products is included. This includes: bookkeepers, cashiers, collectors
(bills and accounts), messengers and office helpers, office machine operators, shipping and receiving
clerks, stenographers,typists and secretaries, telegraph and telephone operators and kindred workers.
6. Craft Worker (skilled) — Manual workers of relatively high level having a thorough and
comprehensive knowledge of the processes involved in their work. Exercise considerable
independent judgment and usually receive an extensive period of training. This includes: the
building trades, hourly paid supervisors and lead operators (who are not members of management),
mechanic and repairers, skilled machining occupations, compositors and typesetters, electricians,
engravers, job setters (metal), motion picture projectionists, pattern and model makers, stationary
engineers,tailors and kindred workers.
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Job Category Definitions
7. Operatives (semi-skilled) — Workers who operate machines or other equipment or perform other
factory-type duties of intermediate skill level which can be mastered in a few weeks and require only
limited training. This includes: apprentices (auto mechanics, plumbers, electricians, machinists,
mechanics, building trades, metal working trades, printing trades, etc.), operatives, attendants (auto
service and parking) plasters, chauffeurs, delivery workers, dress makers and sewers (except
factory), dryer's furnaces workers, heaters (metal), laundry and dry cleaning, operatives, milliners,
mine operatives and laborers, motor operators, pliers and greasers (except auto), painters (except
construction and maintenance), photographic process workers, boiler tenders, truck and tractor
drives, weavers (textile), welders and flame metals workers and kindred workers.
8. Laborers (unskilled) — Workers in manual occupations which generally require no special
training perform elementary duties that may be learned in a few days and require the application of
little or no independent judgment. This includes: garage laborers, car washers and greasers,
gardeners (except farm) and groundskeepers, stevedores, wood choppers, laborers performing lifting,
digging, mixing, loading and pulling operations and kindred workers.
9. Service workers — Workers in both protective and non-protective service occupations. This
includes: attendants (hospital and other institutions, professional and personal service, including
nurses aides and orderlies), barbers, chairworkers and cleaners, cooks (except household), counter
and fountain workers, elevator operators, firefighters and fire protection guards, door keepers,
stewards, janitors, police officers and detectives, porters, waiters and waitresses and kindred
workers.
Definitions are provided by the Economic Development Administration
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