HomeMy WebLinkAbout2024-492-E-DEAPR-NC Department of Agriculture & Consumer Services -Reimbursement GrantDocusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
NORTH CAROLINA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES
Steven W. Troxler, Commissioner
Contract Check Off List for Grantee (Government State Funds)
INSTRUCTIONS: Check the "Yes" boxes in the left column for the document titles that are being returned with the two signed, dated and witnessed copies of the
contract, with signatures in blue ink. Be sure to include all the other documents specified in your contract package. If "No” has been checked off for you, that
document is not required for this grant program or project.
GRANTEE ORGANIZATION NAME: Orange SWCD
PROJECT TITLE/NAME: Streamflow Rehab Assistance Program
CONTRACT #: 25-008-4001
GO Entities Only
Check One Box
Document Title Department Use –
Documents Attached
or On File
Grants and Contracts-
Documents Attached
or On File
Yes No Contractual “Check Off List for Grantee Yes No Yes No
Yes No Contract Cover (To be signed, dated & witnessed) Yes No Yes No
Yes No Attachment A – General Terms and Conditions – Government/University Yes No Yes No
Yes No Attachment B – Scope of Work (includes Timeline and Line Item Budget) Yes No Yes No
Yes No Attachment C – Certifications and Assurances Section Yes No Yes No
Yes No Attachment D – NC OpenBook Supplemental Information Yes No Yes No
Yes No Attachment E – Signature Card Yes No Yes No
Yes X No Attachment F – StreamFlow Assistance 50% Progress Report*** Yes X No Yes No
Yes X No Attachment G – Streamflow Rehabilitation Assistance Program (StRAP) Quarterly Progress Report*** Yes X No Yes No
Yes X No Attachment H- Request for Payment form*** Yes X No Yes No
Yes X No Attachment I – Request of payment Summary*** Yes X No Yes No
Yes X No Attachment J- Equipment Log*** Yes X No Yes No
Yes X No Attachment K – Time Log*** Yes X No Yes No
** NC Substitute W-9 and VEP forms are already on file and won't be required to be collected with contract.
Rev. 6/17, 4/22 ***Attachments F, G and H do NOT need to be returned with the final contract
XX
X
X
X
X
X
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
NCDA&CS (Contract Cover) Rev. 7/14;12/14;9/16;4/17;10/17; 4/22 Page 1 of 8
V. 4 2022 Streamflow Assistance 2022
STATE OF NORTH CAROLINA
COUNTY OF WAKE
Department Use Only
FUNDING CODE:
AMOUNT: $59,296.00
TIME PERIOD: July 1, 2024 to December
31, 2026
North Carolina Department of Agriculture and Consumer Services
Division of Soil & Water Conservation
Streamflow Rehabilitation Assistance Program – Government
Contract Number: _____________________
This Contract is hereby entered into by and between the North Carolina Department of Agriculture and Consumer
Services, Division of Soil & Water Conservation (the "Agency") and Orange SWCD, (“Grantee”), and referred to
collectively as the “Parties.” The Grantee’s federal tax identification number is 56-6000327 and is physically located
in Orange and is further located at 1020 US 70 West Hillsborough, NC 27278.
The purpose of this Contract is to assist in protecting and restoring the integrity of drainage infrastructure through
routine maintenance to existing streams and drainage ways. The Grantee’s project title is Streamflow Rehabilitation
Assistance Program. This Contract is funded by State appropriations provided through Session Law 2023-134, House
Bill 259 Section -5.6(d). Funds awarded under this Contract must be used for the purposes for which they are intended
and provided in Session Law 2023-134, House Bill 259 Section -5.6(d).
The Grantee’s fiscal year ends June 30.
Contract Documents:
This Contract consists of the Grant Contract and its attachments, all of which are identified by name as follows:
1.This Contract
2.General Terms and Conditions (Attachment A)
3.Scope of Work providing details on the stream debris removal and watershed structure projects and timelines
(Attachment C)
4.NC Openbook Supplemental Information (Attachment D)
5.Signature Card (Attachment E)
6.Streamflow Rehabilitation Assistance Program (StRAP) Quarterly Progress Report (Attachment F)
7.Streamflow Assistance 50% Progress Report (Attachment G)
1000-203788-56400067-1004802
25-008-4001
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
NCDA&CS (Contract Cover) Rev. 7/14;12/14;9/16;4/17;10/17; 4/22 Page 2 of 8
V. 4 2022 Streamflow Assistance 2022
8.Request for payment form (Attachment H)
9.Equipment log
These documents constitute the entire agreement between the Parties and supersede all prior oral or written
statements or agreements.
I. Precedence Among Contract Documents:
In the event of a conflict between or among the terms of the Contract Documents, the terms in the Contract Document
with the highest relative precedence shall prevail. The order of precedence shall be the order of documents as listed in
Paragraph 1, above, with the first-listed document having the highest precedence and the last-listed document having
the lowest precedence. If there are multiple Contract Amendments, the most recent amendment shall have the highest
precedence and the oldest amendment shall have the lowest precedence.
II. Effective Period:
This Contract shall be effective on July 1, 2024, and shall terminate on December 31, 2026, with the option to extend, if
mutually agreed upon, through a written amendment as provided for in the General Terms and Conditions as described
in Attachment A.
III. Grantee's Duties:
1.The Grantee will attend a virtual Pre-award meeting within 45 days for receiving the contract offer.
2.The Grantee has 60 days to return the original contract from the offer letter. If more than 60 days is needed, a
written explanation providing a detailed explanation for the extension need is required. The letter will also need to
include a date that the contract will be signed and returned. The letter will be subject to approval. Failure to return
the contract within 60 days or a written explanation will result in funding cancellation for the project.
3.The Grantee shall provide the planned repairs to the named stream/drainage channels and watershed projects
listed in Attachment B, Scope of Work. The Grantee shall be responsible for obtaining the necessary landowner
authorization for site access and all permits needed to complete the planned work.
4.The Grantee will need to have Fifty percent (50%) of award funds committed (i.e., encumbered) with vendors by
August 28, 2025. If by August 28, 2025, this condition hasn’t been met, the grantee’s remaining unencumbered
funds are subject to reversion and reallocation by the Commission.
IV. Agency’s Duties:
The Agency shall pay the Grantee in the manner and in the amounts specified in the Contract Documents. The total
amount paid by the Agency to the Grantee under this Contract shall not exceed $59,296.00. The funds are provided
from State appropriations allocated through Session Law 2023-134, House Bill 259 Section -5.6(d). By August 28,
2025, fifty percent (50%) of the award amount should be encumbered by contracts.
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
NCDA&CS (Contract Cover) Rev. 7/14;12/14;9/16;4/17;10/17; 4/22 Page 3 of 8
V. 4 2022 Streamflow Assistance 2022
There are no matching requirements from the Grantee.
V. Conflict of Interest Policy:
The Agency has determined that the Grantee is a government agency and is not subject to N.C.G.S. § 143C-6-23(b).
Therefore, the Grantee is not required to file a Conflict-of-Interest Policy with the Agency prior to disbursement of
funds.
VI. Statement of No Overdue Tax Debts:
The Agency has determined that Grantee is a government agency and is not subject to N.C.G.S. § 143C-6-23(c).
Therefore, the Grantee is not required to file a Statement of No Overdue Tax Debts with the Agency prior to
disbursement of funds.
VII. Reversion of Unexpended Funds:
Any unexpended grant funds shall revert to the Agency upon termination of this Contract.
VIII. Reporting Requirements:
State Reporting Requirements [N.C.G.S. 143C-6-23]:
1.The Agency has determined that the Grantee is a governmental entity and is not subject to the State reporting
requirements mandated by N.C.G.S. § 143C-6-23. Therefore, the Grantee does not have to file annual electronic
reports with the NC Office of State Budget & Management.
Agency Reporting Requirements:
1.The Grantee shall submit quarterly progress reports, with each report due on or before the last day of January,
April, July, and October, continuing until the project is complete and final project report is approved.
2.First report will be due on or before the last day of October 30, 2024.
3.The quarterly report will be submitted using the form shown as Attachment FJ- Streamflow Rehabilitation
Assistance Program (StRAP) Progress Report. This report will be used for the quarterly and final report. Each
report shall include a narrative summary of the work accomplished that quarter and for the project to date, as well
as progress toward completing the Project Scope of Work, and a separate budget report that is a summary of cash
and in-kind expenditures for the quarter and total project.
4.The quarterly progress report and budget report is required even if no activity has occurred for the quarter and no
reimbursement is requested for the quarter.
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
NCDA&CS (Contract Cover) Rev. 7/14;12/14;9/16;4/17;10/17; 4/22 Page 4 of 8
V. 4 2022 Streamflow Assistance 2022
5.Grantee shall submit a Streamflolw Assistance 50% Progress Report by end of business hours on August 28,
2025. The report will provide detailed information on the contracts that have been approved and executed for
the project. This report requires the grantee to show 50% of contract funds being encumbered by contracts. The
report is also subject to the review and approval of the Soil & Water Commission.
6.Grantee shall submit a Final Financial report and Final Invoice no later than 60 days after the expiration or
termination of this Contract.
7.Failure to submit timely and accurate reports will delay action on submitted invoices. Repeated reporting issues
can also result in further discussion with the Soil & Water Commission to determine continued participation in the
program.
8.All reports, including 50%Progress Report needs to be submitted to StRAP.Report@ncagr.gov.
IX. Payment Provisions:
All Request for Payment forms should be received no more than monthly. Payment requests will be submitted using
AttachmentH- StreamFlow Rehabilitation Assistance Program Project Invoice Form, along with an appropriate
certified invoice showing expenditures and matching funds, if applicable, for the current period and cumulatively for
the entire project. Upon approval by the Agency payment shall be made within 60 days. All payments are subject to the
availability of funds and verification that the Grantee is current on all reporting requirements.
A portion of the funds awarded to the Grantee may be used to reimburse actual documented technical assistance, and
administrative expenses for the project reimbursement of technical assistance, and administrative expenses shall be
limited to 15% of total reimbursed expenditures.
The Grantee shall expend funds in accordance with G.S. 143C-6-23 (f1)(f2)(j). The Grantee shall account for any
income earned, which may result from any funds awarded under this Contract, on the Agency “Program Project
Invoice” form. Eligible uses of income earned are:
1.Expanding the project or program.
2.Continuing the project or program after grant ends; or
3.Supporting other projects or programs that further the broad objectives of the grant program.
This contract can be terminated prior to the original end date once the Grantee completes a virtual close out meeting
and submit a final report. If this Contract is terminated prior to the original end date, the Grantee may submit a final
Request for Payment form within 60 days of the date of the final report. All unexpended funds shall remain with the
Agency. The Agency shall have no obligation to honor requests for payment based on expenditure reports submitted
later than 60 days after termination or expiration of the Contract period.
Reimbursement requests shall be completed on a “Request for Reimbursement” form furnished to the Grantee by the
Agency. All reimbursement forms must include support documentation, including but not limited to copies of
invoices, individual time sheets and travel logs that have been signed by the employee and supervisor, salary registers
or payrolls that include fringe benefits, hourly rates of pay, and signature of the Grantee’s responsible financial person,
canceled checks and lease agreements.
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
NCDA&CS (Contract Cover) Rev. 7/14;12/14;9/16;4/17;10/17; 4/22 Page 5 of 8
V. 4 2022 Streamflow Assistance 2022
Eligible expenditures for payment must be within the effective period noted in the Contract. Reimbursement may not
be considered prior to the submission and final execution of the Contract.
All travel reimbursement shall be made in accordance with the current State rates, at the time of the expenditure, and
shall be made in accordance with the “State Budget Manual” https://www.osbm.nc.gov/budget/budget-manual
All matching funds, including in-kind and cash, must be spent concurrently with funds provided by the Contract. Both
types of matching funds expended shall be accounted for on the monthly certified invoices.
All request for payments shall be emailed to StRAP.Reimbursement@ncagr.gov
Indirect costs are not allowable expenditures under this Contract
X. Fraud, Waste and Abuse:
The grantee, including its employees, contractors, agents, interns, or any subrecipients, shall report suspected fraud,
waste and abuse activities related to any state employee, vendor or sub recipient of state funds or state resources.
There are three methods for reporting suspected fraud, waste or abuse (FWA). Grantee can report suspected FWA
directly to the Agency’s Audit Services Division, to any member of the Agency’s management team or through the
FWA reporting website below.
N.C.G.S. 143-748 permits Audit Services to treat all information as confidential. However, if an individual wishes to
remain anonymous, reports can be submitted through the FWA reporting website:
https://www.ncagr.gov/internalaudit/ReportForm.htm
Under no circumstances should an individual attempt to personally conduct investigations or interviews
/interrogations related to any suspected FWA act.
Investigation results will not be disclosed or discussed with anyone other than those who have a legitimate need to
know. This is important to avoid damaging the reputations of persons suspected but subsequently found innocent of
wrongful conduct.
It is the Agency’s policy that employees/contractors/sub recipients/interns will not suffer retaliation or harassment for
reporting in good faith any FWA concerns. The Agency encourages openness and will support anyone who raises
genuine concerns in good faith under this policy, even if they turn out to be unsubstantiated.
XI. Contract Administrators:
All notices permitted or required to be given by one Party to the other and all questions about the Contract from one
Party to the other shall be addressed and delivered to the other Party’s Contract Administrator. The name, post office
address, street address, telephone number, fax number, and email address of the Parties’ respective initial Contract
Administrator are set out below. Either Party may change the name, post office address, street address, telephone
number, fax number, or email address of its Contract Administrator by giving timely written notice to the other Party.
For the Agency:
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
NCDA&CS (Contract Cover) Rev. 7/14;12/14;9/16;4/17;10/17; 4/22 Page 6 of 8
V. 4 2022 Streamflow Assistance 2022
IF DELIVERED BY US POSTAL SERVICE IF DELIVERED BY ANY OTHER MEANS
Heather Reichert
Division of Soil & Water Conservation
216 West Jones Street
Raleigh, NC 27603
Heather Reichert
1614 Mail Service Center
Raleigh, NC 27699-1614
Telephone: 919-707-3768
Email: heather.reichert@ncagr.gov
Grants & Contracts General Email:
agr.grants@ncagr.gov
For the Grantee:
Grantee Contract Administrator- Mailing Address Grantee Principal Investigator or Key Personnel
Jessica Perrin
Orange SWCD
1020 US 70 West
Hillsborough, NC 27278
9192452750
Same
jperrin@orangecountync.gov
XII. Supplementation of Expenditure of Public Funds:
The Grantee assures that funds received pursuant to this Contract shall be used only to supplement, not to supplant, the
total amount of federal, State and local public funds that the Grantee otherwise expends for activities involved with
specialty services and related programs. Funds received under this Contract shall be used to provide additional public
funding for such services. The funds shall not be used to reduce the Grantee's total expenditure of other public funds
for such services.
XIII. Disbursements:
As a condition of this Contract, the Grantee acknowledges and agrees to make disbursements in accordance with the
following requirements:
1.Will implement or already have implemented adequate internal controls over disbursements.
2.Pre-audit all invoices presented for payment to determine:
3.Validity and accuracy of payment
4.Payment due date
5.Adequacy of documentation supporting payment
6.Legality of disbursement
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
NCDA&CS (Contract Cover) Rev. 7/14;12/14;9/16;4/17;10/17; 4/22 Page 7 of 8
V. 4 2022 Streamflow Assistance 2022
7.Assure adequate control of signature stamps/plates.
8.Assure adequate control of negotiable instruments; and
9.Have procedures in place to ensure that account balance is solvent and to reconcile the account monthly.
XIV. Outsourcing:
The Grantee certifies that it has identified to the Agency all jobs related to the Contract that have been outsourced to
other countries, if any. Grantee further agrees that it will not outsource any such jobs during the term of this Contract
without providing prior notice to the Agency.
XV. N.C.G.S. § 133-32 and Executive Order 24:
N.C.G.S. § 133-32 and Executive Order 24 prohibit the offer to, or acceptance by, any State employee of any gift from
anyone with a Contract with the State, or from any person seeking to do business with the State. By execution of any
response in this procurement or Contract, you attest, for your entire organization and its employees or agents, that you
are not aware that any such gift has been offered, accepted, or promised by any employee of your organization.
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
NCDA&CS (Contract Cover) Rev. 7/14;12/14;9/16;4/17;10/17; 4/22 Page 8 of 8
V. 4 2022 Streamflow Assistance 2022
Signature Warranty:
The undersigned represent and warrant that they are authorized to bind their principals to the terms of this Contract.
IN WITNESS WHEREOF, the Grantee and the Agency execute this Contract in two (2) originals, one (1) of which is
retained by the Grantee and one (1) which is retained by the Agency. OR the Grantee and the Agency execute this
Contract as an electronic original, each party will be provided a fully executed copy via electronic mail.It is required
that each party retain a fully executed copy of this contract.
GRANTEE:
Signature of Authorized Representative Date
Printed Name Title
WITNESS:
Signature Date
Printed Name Title
North Carolina Department of Agriculture and Consumer Services
Signature of Authorized Representative Date
N. David Smith, Chief Deputy Commissioner
Gail Hughes Orange Soil and Water Conservation District Board Chair
Richal Vanhook Orange Soil and Water Conservation District Board Treasurer
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24
8/18/2024
8/19/2024
Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
PUBLIC SECTOR CONTRACTS (Including Local Governments)
NCDA&CS - General Terms and Conditions – Public - Local Governmental Entities
Eff. 07/14;4/15;1/17 Page 1 of 4
General Terms and Conditions
DEFINITIONS
Unless indicated otherwise from the context, the
following terms shall have the following meanings in
this Contract. All definitions are from 9 NCAC
3M.0102 unless otherwise noted. If the rule or
statute that is the source of the definition is changed
by the adopting authority, the change shall be
incorporated herein:
(1)"Agency" (as used in the context of the
definitions below) shall mean and include
every public office, public officer or official
(State or local, elected or appointed),
institution, board, commission, bureau,
council, department, authority or other unit of
government of the State or of any county,
unit, special district or other political
subagency of government. For other
purposes in this Contract, “Agency” shall
mean the entity identified as one of the
parties hereto.
(2)"Audit" means an examination of records or
financial accounts to verify their accuracy.
(3)"Certification of Compliance" means a report
provided by the Agency to the Office of the
State Auditor that states that the Grantee has
met the reporting requirements established
by this Subchapter and included a statement
of certification by the Agency and copies of
the submitted grantee reporting package.
(4)"Compliance Supplement" refers to the North
Carolina State Compliance Supplement,
maintained by the State and Local
Government Finance Agency within the
North Carolina Department of State
Treasurer that has been developed in
cooperation with agencies to assist the local
auditor in identifying program compliance
requirements and audit procedures for
testing those requirements.
(5)"Contract" means a legal instrument that is
used to reflect a relationship between the
agency, grantee, and subgrantee.
(6)"Fiscal Year" means the annual operating
year of the non-State entity.
(7)"Financial Assistance" means assistance that
non-State entities receive or administer in the
form of grants, loans, loan guarantees,
property (including donated surplus
property), cooperative agreements, interest
subsidies, insurance, food commodities,
direct appropriations, and other assistance.
Financial assistance does not include
amounts received as reimbursement for
services rendered to individuals for Medicare
and Medicaid patient services.
(8)"Financial Statement" means a report
providing financial statistics relative to a
given part of an organization's operations or
status.
(9)"Grant" means financial assistance provided
by an agency, grantee, or subgrantee to
carry out activities whereby the grantor
anticipates no programmatic involvement
with the grantee or subgrantee during the
performance of the grant.
(10)"Grantee" has the meaning in G.S. 143C-6-
23(a)(2): a non-State entity that receives a
grant of State funds from a State agency,
department, or institution but does not
include any non-State entity subject to the
audit and other reporting requirements of the
Local Government Commission. For other
purposes in this Contract, “Grantee” shall
mean the entity identified as one of the
parties hereto.
(11)"Grantor" means an entity that provides
resources, generally financial, to another
entity in order to achieve a specified goal or
objective.
(12)"Non-State Entity" has the meaning in
N.C.G.S. 143C-1-1(d)(18): Any of the
following that is not a State agency: an
individual, a firm, a partnership, an
association, a county, a corporation, or any
other organization acting as a unit. The term
includes a unit of local government and
public authority.
(13)"Public Authority" has the meaning in
N.C.G.S. 143C-1-1(d)(22): A municipal
corporation that is not a unit of local
government or a local governmental
authority, board, commission, council, or
agency that (i) is not a municipal corporation
and (ii) operates on an area, regional, or
multiunit basis, and the budgeting and
accounting systems of which are not fully a
part of the budgeting and accounting
systems of a unit of local government.
(14)"Single Audit" means an audit that includes
an examination of an organization's financial
statements, internal controls, and compliance
with the requirements of federal or State
awards.
(15)"Special Appropriation" means a legislative
act authorizing the expenditure of a
designated amount of public funds for a
specific purpose.
(16)"State Funds" means any funds
appropriated by the North Carolina General
Assembly or collected by the State of North
Carolina. State funds include federal
Attachment A
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
PUBLIC SECTOR CONTRACTS (Including Local Governments)
NCDA&CS - General Terms and Conditions – Public - Local Governmental Entities
Eff. 07/14;4/15;1/17 Page 2 of 4
financial assistance received by the State
and transferred or disbursed to non-State
entities. Both federal and State funds
maintain their identity as they are subgranted
to other organizations. Pursuant to N.C.G.S.
143C-6-23(a)(1), the terms "State grant
funds" and "State grants" do not include any
payment made by the Medicaid program, the
Teachers' and State Employees'
Comprehensive Major Medical Plan, or other
similar medical programs.
(17)"Subgrantee" has the meaning in G.S.
143C-6-23(a)(3): a non-State entity that
receives a grant of State funds from a
grantee or from another subgrantee but does
not include any non-State entity subject to
the audit and other reporting requirements of
the Local Government Commission.
(18) "Unit of Local Government has the meaning
in G.S. 143C-1-1(d)(29): A municipal
corporation that has the power to levy taxes,
including a consolidated city-county as
defined by G.S. 160B-2(1), and all boards,
agencies, commissions, authorities, and
institutions thereof that are not municipal
corporations.
Relationships of the Parties
Independent Contractor: The Grantee is and shall
be deemed to be an independent Contractor in the
performance of this Contract and as such shall be
wholly responsible for the work to be performed and
for the supervision of its employees. The Grantee
represents that it has, or shall secure at its own
expense, all personnel required in performing the
services under this agreement. Such employees shall
not be employees of, or have any individual
contractual relationship with, the Agency.
Subcontracting: The Grantee shall not subcontract
any of the work contemplated under this Contract
without prior written approval from the Agency. Any
approved subcontract shall be subject to all
conditions of this Contract. Only the subcontractors
or subgrantees specified in the Contract documents
are to be considered approved upon award of the
Contract. The Agency shall not be obligated to pay
for any work performed by any unapproved
subcontractor or subgrantee. The Grantee shall be
responsible for the performance of all of its
subgrantees and shall not be relieved of any of the
duties and responsibilities of this Contract.
Subgrantees: The Grantee has the responsibility to
ensure that all subgrantees, if any, provide all
information necessary to permit the Grantee to
comply with the standards set forth in this Contract.
Assignment: No assignment of the Grantee's
obligations or the Grantee's right to receive payment
hereunder shall be permitted. However, upon written
request approved by the issuing purchasing authority,
the State may:
(a)Forward the Grantee's payment check(s)
directly to any person or entity designated by
the Grantee, or
(b)Include any person or entity designated by
Grantee as a joint payee on the Grantee's
payment check(s).
In no event shall such approval and action obligate
the State to anyone other than the Grantee and the
Grantee shall remain responsible for fulfillment of all
Contract obligations.
Beneficiaries: Except as herein specifically
provided otherwise, this Contract shall inure to the
benefit of and be binding upon the parties hereto and
their respective successors. It is expressly
understood and agreed that the enforcement of the
terms and conditions of this Contract, and all rights of
action relating to such enforcement, shall be strictly
reserved to the Agency and the named Grantee.
Nothing contained in this document shall give or
allow any claim or right of action whatsoever by any
other third person. It is the express intention of the
Agency and Grantee that any such person or entity,
other than the Agency or the Grantee, receiving
services or benefits under this Contract shall be
deemed an incidental beneficiary only.
Indemnity
Indemnification: The Grantee agrees to indemnify
and hold harmless the Agency, including any of its
Divisions, and any of its officers, agents and
employees, from liability of any kind, and from any
claims of third parties arising out of any act or
omission of the Contractor in connection with the
performance of this Contract to the extent permitted
by law.
Default and Termination
Termination by Mutual Consent: The Parties may
terminate this Contract by mutual consent with 60
days notice to the other party, or as otherwise
provided by law.
Termination for Cause: If, through any cause, the
Grantee shall fail to fulfill its obligations under this
Contract in a timely and proper manner, the Agency
shall have the right to terminate this Contract by
giving written notice to the Grantee and specifying
the effective date thereof.
In that event, all finished or unfinished deliverable
items prepared by the Grantee under this Contract
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
PUBLIC SECTOR CONTRACTS (Including Local Governments)
NCDA&CS - General Terms and Conditions – Public - Local Governmental Entities
Eff. 07/14;4/15;1/17 Page 3 of 4
shall, at the option of the Agency, become its
property and the Grantee shall be entitled to receive
just and equitable compensation for any satisfactory
work completed on such materials, minus any
payment or compensation previously made.
Notwithstanding the foregoing provision, the Grantee
shall not be relieved of liability to the Agency for
damages sustained by the Agency by virtue of the
Grantee’s breach of this agreement, and the Agency
may withhold any payment due the Grantee for the
purpose of setoff until such time as the exact amount
of damages due the Agency from such breach can be
determined. The filing of a petition for bankruptcy by
the Grantee shall be an act of default under this
Contract.
Waiver of Default: Waiver by the Agency of any
default or breach in compliance with the terms of this
Contract by the Grantee shall not be deemed a
waiver of any subsequent default or breach and shall
not be construed to be modification of the terms of
this Contract unless stated to be such in writing,
signed by an authorized representative of the Agency
and the Grantee and attached to the Contract.
Availability of Funds: The parties to this Contract
agree and understand that the payment of the sums
specified in this Contract is dependent and contingent
upon and subject to the appropriation, allocation, and
availability of funds for this purpose to the Agency.
Force Majeure: Neither party shall be deemed to be
in default of its obligations hereunder if and so long
as it is prevented from performing such obligations by
any act of war, hostile foreign action, nuclear
explosion, riot, strikes, civil insurrection, earthquake,
hurricane, tornado, or other catastrophic natural
event or act of God.
Survival of Promises: All promises, requirements,
terms, conditions, provisions, representations,
guarantees, and warranties contained herein shall
survive the Contract expiration or termination date
unless specifically provided otherwise herein, or
unless superseded by applicable federal or State
statutes of limitation.
Intellectual Property Rights
Copyrights and Ownership of Deliverables: All
deliverable items produced pursuant to this Contract
are the exclusive property of the Agency. The
Grantee shall not assert a claim of copyright or other
property interest in such deliverables.
Compliance with Applicable Laws
Compliance with Laws: The Grantee shall comply
with all laws, ordinances, codes, rules, regulations,
and licensing requirements that are applicable to the
conduct of its business, including those of federal,
State, and local agencies having jurisdiction and/or
authority.
Equal Employment Opportunity: The Grantee
shall take affirmative action in complying with all
federal and State statutes and all applicable
requirements concerning fair employment of people
with disabilities, and concerning the treatment of all
employees without regard to discrimination by reason
of race, color, religion, sex, national origin or
disability. For additional information see Title VI of the
Civil Rights Act of 1964 (42 U.S.C., 2000d, 2000e-
16), Title XI of the Education amendments of 1972,
as amended (20 U.S.C. 1681-1683 and 1685-1686),
and section 504 of the Rehabilitation Act of 1973 as
amended (29 U.S.C. 794).
Executive Order 24: In accordance with Executive
Order 24, issued by Governor Perdue, and N.C.G.S.§
133-32, a vendor or contractor (i.e. architect, bidder,
contractor, construction manager, design
professional, engineer, landlord, offeror, seller,
subcontractor, supplier, vendor, or grantee), is
prohibited from making gifts or giving favors to any
employee of the Agency of Agriculture and Consumer
Services. This prohibition covers those vendors ,
contractors, and/or grantees who:
(a)have a Contract with a governmental
Agency; or
(b)have performed under such a Contract within
the past year; or
(c)anticipate bidding on such a Contract in the
future.
For additional information regarding the specific
requirements and exemptions, vendors, contractors,
and/or grantees are encouraged to review Executive
Order 24 and N.C.G.S. § 133-32.
Confidentiality
Confidentiality: Any information, data, instruments,
documents, studies or reports given to or prepared or
assembled by the Grantee under this agreement
shall be kept as confidential and not divulged or
made available to any individual or organization
without the prior written approval of the Agency. The
Grantee acknowledges that in receiving, storing,
processing or otherwise dealing with any confidential
information it will safeguard and not further disclose
the information except as otherwise provided in this
Contract.
Oversight
Access to Persons and Records: The State Auditor
and the using agency’s internal auditors shall have
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
PUBLIC SECTOR CONTRACTS (Including Local Governments)
NCDA&CS - General Terms and Conditions – Public - Local Governmental Entities
Eff. 07/14;4/15;1/17 Page 4 of 4
access to persons and records as a result of all
Contracts or grants entered into by State agencies or
political subdivisions in accordance with General
Statute 147-64.7 and Session Law 2010-194, Section
21 (i.e., the State Auditors and internal auditors may
audit the records of the contractor during the term of
the Contract to verify accounts and data affecting
fees or performance).
Record Retention: Records shall not be destroyed,
purged or disposed of without the express written
consent of the Agency. State basic records retention
policy requires all grant records to be retained for a
minimum of five years or until all audit exceptions
have been resolved, whichever is longer. If the
Contract is subject to federal policy and regulations,
record retention may be longer than five years since
records must be retained for a period of three years
following submission of the final Federal Financial
Status Report, if applicable, or three years following
the submission of a revised final Federal F inancial
Status Report. Also, if any litigation, claim,
negotiation, audit, disallowance action, or other
action involving this Contract has been started before
expiration of the five-year retention period described
above, the records must be retained until completion
of the action and resolution of all issues which arise
from it, or until the end of the regular five-year period
described above, whichever is later.
Miscellaneous
Choice of Law: The validity of this Contract and any
of its terms or provisions, as well as the rights and
duties of the parties to this Contract, are governed by
the laws of North Carolina. The Grantee, by signing
this Contract, agrees and submits, solely for matters
concerning this Contract, to the exclusive jurisdiction
of the courts of North Carolina and agrees, solely for
such purpose, that the exclusive venue for any legal
proceedings shall be Wake County, North Carolina.
The place of this Contract and all transactions and
agreements relating to it, and their situs and forum,
shall be Wake County, North Carolina, where all
matters whether sounding in Contract or tort, relating
to the validity, construction, interpretation, and
enforcement shall be determined.
Headings: The Section and Paragraph headings in
these General Terms and Conditions are not material
parts of the agreement and should not be used to
construe the meaning thereof.
Time of the Essence: Time is of the essence in the
performance of this Contract.
Care of Property: The Grantee agrees that it shall
be responsible for the proper custody and care of any
property furnished to it for use in connection with the
performance of this Contract and will reimburse the
Agency for loss of, or damage to, such property. At
the termination of this Contract, the Grantee shall
contact the Agency for instructions as to the
disposition of such property and shall comply with
these instructions.
Amendment: This Contract may not be amended
orally or by performance. Any amendment must be
made in written form and executed by duly authorized
representatives of the Agency and the Grantee.
Severability: In the event that a court of competent
jurisdiction holds that a provision or requirement of
this Contract violates any applicable law, each such
provision or requirement shall continue to be
enforced to the extent it is not in violation of law or is
not otherwise unenforceable and all other provisions
and requirements of this Contract shall remain in full
force and effect.
Travel Expenses: Reimbursement to the Grantee
for travel mileage, meals, lodging and other travel
expenses incurred in the performance of this
Contract shall be reasonable and supported by
documentation. State rates shall be used.
International travel shall not be reimbursed under this
Contract.
Sales/Use Tax Refunds: If eligible, the Grantee and
all subgrantees shall: (a) ask the North Carolina
Department of Revenue for a refund of all sales and
use taxes paid by them in the performance of this
Contract, pursuant to G.S. 105-164.14; and (b)
exclude all refundable sales and use taxes from all
reportable expenditures before the expenses are
entered in their reimbursement reports.
Advertising: The Grantee shall not use the award of
this Contract as a part of any news release or
commercial advertising.
Indirect Costs Policy: The Agency has adopted a
“Zero” policy that indirect costs are unallowable
expenditures in all State funded grant applications
and/or grant guidance, informational or directional
documents.
Allowable Uses of State Funds: Expenditures of
State funds by any grantee shall be in accordance
with the Cost Principles outlined in the Office of
Management and Budget (OMB) CFR Title 2, Part
200 Uniform Administrative Requirements, as
applicable. If the grant funding includes federal
sources, the grantee shall ensure adherence to the
cost principles established by the Federal Office of
Management and Budget. [09 NCAC 03M.020]
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
Stream/Drainage
Channel Name Project Type
Linear Feet of
Channel
Proposed for
Repair Description of Damage
Planned Repair and Removal from
Floodplain
Number of
Known
Beaver
Dams
Estimated Cost
to Repair
A
Project A- New Hope
Creek
Stream Debris
Removal 795
Hay field flooding caused by tree
debris that is lodged into the
creek channel. Start:
35.971395, -78.999062
Stop: 35.970561, -78.997689
There is large about of tree debris
within the creek which needs to be
removed to prevent flooding to the
fields and timber area.0 $33,401
B
Project B- Unknown
Tributary- feeds into
West Fork of Eno River
Stream Debris
Removal 2,226
A once narrow winding creek is
now causing landowners grief as
waters rise and expand across
the land, This Is has caused
devastating floods across this
largely agricultural land. ~6,000
feet (upstream of Lake Orange)
Start: 36.194418, -79.196400
Stop: 36.192922, -79.195761 Debris removal 0 $15,367
C
Project C- Unknown
Tributary to Strouds
Creek and Strouds
Creek
Stream Debris
Removal 4,463
Pasture/hay fields flooding and
timber damage along the creek.
Start: 36.101906, -79.084170
Stop: 36.101556, -79.092006
Tree debris within the creek needs to
be removed to prevent flooding and
reduce any future debris build up.$10,527
TOTALS:7,484 0 $59,295
StRAP Revised Scope of Work
Applicant Name:
SCOPE OF WORK
Orange SWCD
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
Certifications and Assurances
NCDA&CS Certifications & Assurances Page 1 of 3
Rev 9/12, 10/12, 11/13;1/17
CERTIFICATIONS REGARDING LOBBYING, NONPROCUREMENT, DEBARMENT,
SUSPENSION AND DRUG-FREE WORKPLACE
Applicants should refer to the regulations cited below to determine the certification to which they are
required to attest. Signature of this form provides for compliance with certification requirements under 2
CFR, Subtitle B, Chapter IV, Part 417, "Nonprocurement Debarment and Suspension," Part 418, "New
Restrictions on Lobbying,” and Part 421, “Requirements for Drug-Free Workplace (Financial Assistance),"
and 2 CFR Part 180. The certifications shall be treated as a material representation of fact upon which
reliance will be placed when the Department of Agriculture & Consumer Services determines to award the
covered transaction, grant, or cooperative agreement.
1. LOBBYING
As required by authority: 31 U.S.C. 1352 and U.S.C. 301 and implemented at 2 CFR Part 180, for persons
entering into a grant or cooperative agreement over $100,000, as defined at 2 CFR Section 418.110, the
applicant certifies that to the best of their knowledge and belief, that:
1)No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned,
to any person for influencing or attempting to influence an officer or employee of an agency, a
Member of Congress, an officer or employee of Congress, or an employee of a Member of
Congress in connection with the awarding of any Federal contract, the making of any Federal
contract, the making of any Federal loan, the entering into of any cooperative agreement, and the
extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan,
or cooperative agreement.
2)If any funds other than Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress in
connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall
complete and submit Standard Form -LLL, “Disclosure Form to Report Lobbying” in accordance
with its instructions.
3)The undersigned shall require that the language of this certification be included in the award
documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under
grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose
accordingly.
This certification is a material representation of fact upon which r eliance was placed when this transaction
was made or entered into. Submission of this certification is a prerequisite for making or entering into this
transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required
certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for
each such failure.
2.NONPROCUREMENT DEBARMENT AND SUSPENSION
As required by Executive Order 12549, Debarment and Suspension, and implemented at 2 CFR Part 180
and 2CFR Part 417, for prospective participants in primary covered transactions, as defined at 2 CFR
180.435 and Subpart C, 417.332, the applicant certifies that it and its principals:
a)Are not presently debarred, suspended, proposed for debarment, declared ineligible, or v oluntarily
excluded from covered transactions by any Federal department or agency;
b)Have not within a three-year period preceding this application been convicted of or had a civil
judgment rendered against them for commission of fraud or a criminal offense in connection with
obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or
contract under a public transaction; violation of Federal or State antitrust statutes or commission of
embezzlement, theft, forgery, briber y, falsification or destruction of records, making false
statements, or receiving stolen property;
Attachment C
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
Page 2 of 3 NCDA&CS Certifications & Assurances
Rev 9/12, 10/12, 11/13;1/17
c)Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity
(Federal, State, or local) with commission of any of the offenses enumerated in paragraph 2. (a)
(b) of this certification.
d)Have not within a three-year period preceding this application had o ne or more public transaction
(Federal, State, or local) terminated for cause or default.
e)Agree to include a term or condition in lower tier covered transactions requiring lower tier
participants to comply with subpart C of the OMB guidance in 2 CFR part 180, as supplemen ted by
subpart C of Part 417.
Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach
an explanation to this certification.
3.DRUG-FREE WORKPLACE (GRANTEES OTHER THAN INDIVIDUALS)
As required by the Drug-Free Workplace Act of 1988, and implemented at 2 CFR Part 182, Subparts B,
and C, for grantees:
The applicant certifies that it will:
a)Make a good faith effort, on a continuing basis, to maintain a drug -free workplace. You must
agree to do so as a condition for receiving any award covered by this part.
b)Publish a drug-free workplace statement and establish a drug-free awareness program for your
employees (see Sections 182.205 through 182.220); and
c)Take actions concerning employees who are convicted of violating drug statutes in the w orkplace
(see Section 182.225), including notification to any Fe deral agency on whose award the convicted
employee was working and within 30 days take appropriate personnel action against the
employee, up to and including termination, consistent with the requirements of the Rehabilitation
Act of 1973 (29 U.S.C. 794), as amended; or require the employee to participate satisfactorily in a
drug abuse assistance or rehabilitation program approved for these purposes by a Federal, State
or local health, law enforcement, or other appropriate agency.
d)You must identify all known workplaces under your Federal awards (see Section 182.230).
The grantee must provide the location site(s) for the performance of work done in connection with t he
specific grant.
Place(s) of Performance (Street address, city, county, state, zip code)
DRUG-FREE WORKPLACE (GRANTEES WHO ARE INDIVIDUALS)
As required by the Drug-Free Workplace Act of 1988, and implemented at 2 CFR Part 182:
A.As a condition of the grant, I certify that I will comply with drug-free workplace requirements in
Subpart B (or Subpart C, if the recipient is an individual) of part 421, which adopts the Government -
wide implementation (2 CFR part 182) of sec. 5152-5158 of the Drug Free Workplace Act of 1988
(Pub.L100-690, Title V, Subtitle D; 41 U.S.C. 701-707).
1020 US 70 West
Hillsborough, NC 27278
Orange County
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
NCDA&CS Certifications & Assurances Page 3 of 3
Rev 9/12, 10/12, 11/13;1/17
B.I agree to notify the agency as required by 2 CFR 182.300(b) of any conviction for a criminal drug
offense within ten days.
Notice shall include the identification number(s) of each affected grant.
As the duly authorized representative of the Grantee, I hereby certify and state to the best of my
knowledge and belief, that the Grantee will comply with the above certifications.
Grantee Organization Name
Signature of Authorized Representative Date
Printed Name of Authorized Representative Title
Orange Soil and Water Conservation District
Gail Hughes Board Chair
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24
8/18/2024
Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
NC OpenBook Supplemental Information
Page 1 of 1NCDA&CS NC OpenBook Supplemental
Information Rev 07/14; 4/17; 5/22
Instructions: Complete the information below and return it to the Contract Administrator identified in your
original contract. This information must be submitted as part of your contract. If you have questions,
please contact the Contract Administrator or the Alternate Contact as reflected in your contract.
Grantee Name:
County of Residence: District Number (MUST BE FILLED IN):
Tax Id Number:
UEI Number**: I have started the UEI process but not received a UEI number.
*Due to the SAM.gov migration from DU& Bradstreet, obtaining a UEI number has created unforeseen issues with the SAM.gov website search engines and portals. Due to the
massive backlog in validation ticket issues, we are not requiring the UEI numbers at this time; however, if you have started the process, please let us know OR if you UEI number
please provide it.
Fiscal Year End:
(MM/DD) Format
Grantee’s Website:
Current project timeline: Begin date End Date
Attachment D
Expected outcomes and specific deliverables: Expected outcome is intended result of your grant
program. The specific deliverables are the accomplishments that will be achieved with the grant. EXAMPLE: Funding for the Farmers Produce Box
program will allow an additional 150 boxes to be created this year. This will allow approximately 37 additional families to receive these the boxes 4
times a week to help resolve their food insecurity. MAX CHARACTERS: 300
**If your answer is Regional, list all Counties that are receiving
benefit:
Project Location Benefit Information: (Location(s) in which funding will be spent and/or
food commodities will be received.)
Single County
Regional**
Mountains
Piedmont
Inner Coastal Plain
Tidewater
Statewide
GRANTEE INFORMATION:
PROJECT INFORMATION:
Brief Description and Background/History of your Organization: Be sure to include the number of years in existence,
number of employees, mission and goals of your organization. MAX CHARACTERS: 250
Orange Soil and Water Conservation District
Orange 4
56-6000327
GFFMCW9XDA53
6/30 https://www.orangecountync.gov/727
The current Orange Soil & Water Conservation District was formed in 1964 and has four employees. The District offers
technical, financial and educational advice to Orange County landowners and producers for water quality and water
quantity concerns.
StRAP funds will allow for the removal of debris and beaver dams at three sites in Orange County. This will help
improve stream flow, mitigate flooding, and reduce future damages to crops and timber.
August 2024 December 2026
4
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
Signature Card
Page 1 of 1 NCDA&CS - Signature Card – NGO & Governmental
Rev 7/14; 1/17;11/17
CONTRACT & FINANCIAL DOCUMENTS
INSTRUCTIONS: Please read and fill in the required information to the right of each field where applicable. Signatures
must match the Contract signatures. 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. If more than two people will sign for the organization, this form may be duplicated.
SECTION I.
Date:
Legal Applicant Organization/Agency Name:
Federal Tax Identification Number:
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, which include but are not limited to defrauding the State of North Carolina, and certify
that the person signing below has full authority to execute this Agreement on behalf of the named organization.
NON-GOVERNMENTAL ORGANIZATIONS ONLY (Must match Contract signature)
Board Chair, Executive Director, etc. Financial Representative, Treasurer, etc.
Print Name & Title: Print Name & Title:
Signature: Signature:
GOVERNMENTAL ENTITIES (Must match Contract signature)
Authorized Governmental Official Chief Fiscal Officer
Print Name & Title: Print Name & Title:
Signature: Signature:
Attachment E
Orange Soil and Water Conservation District
56-6000327
Gail Hughes, Board Chair Richal Vanhook, Board Treasurer
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
Streamflow Rehabilitation Assistance Program, 50% Report, Form v2, June 2024
50% Progress Report
This report should be completed and submitted to document each grantee’s progress towards
having 50% of awarded funds encumbered by the deadline of August 29, 2025. Encumbered
funds includes all funds reimbursed to date or allocated to a contract with a contractor,
engineering firm, or other entity hired to assist in completing the StRAP project (even if no
payments have been made to the contractor yet).
Submit completed report to: strap.report@ncagr.gov
Due NO LATER than August 29, 2025
Grantee
Contract Number
Date of Report
Form Completed by
(Name & Title)
Email Address
SECTION 1: FINANCIAL REPORTING
Amount of StRAP Contract:
(Between grantee and NC Division of Soil &
Water Conservation)
Amount of funds encumbered:
(under contract with contractors,
engineering firms, etc.)
Does this amount equal at least
50% of StRAP Contract YES NO
•If you answered YES, complete section 2 and 3 of this report.
•If you answered NO, completed section 2 and 4 of this report.
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
Streamflow Rehabilitation Assistance Program, 50% Report, Form v2, June 2024
SECTION 2: CONTRACT INFORMATION
For each contract provide the following information (Attach additional pages as
necessary):
•Name and address of contractor
•Amount of contract
•Their involvement in the StRAP project (what stream sections they will complete, what
engineering designs they will complete, etc.)
•Date contract was signed
•When is work expected to begin
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
Streamflow Rehabilitation Assistance Program, 50% Report, Form v2, June 2024
SECTION 3: PROGRESS REPORT
(If 50% goal has been met)
Provide a detailed update on all work that has been completed since the contract with NC Division of Soil & Water
Conservation was signed. This should be a detailed report that provides an update on both on-the-ground work, as
well as all other tasks completed on the project (contacting landowners, bidding projects, drafting engineering
designs, etc.). Attach additional pages as necessary.
By signing the report below, I certify that to the best of my knowledge and belief the report is true, complete and
all expenditures reported are for appropriate purposes.
________________________________________________________________
Printed Name and Title Date
___________________________________________________________
Signature
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
Streamflow Rehabilitation Assistance Program, 50% Report, Form v2, June 2024
SECTION 4: Progressing toward 50% goal
(If 50% goal has NOT been met)
If you do not have 50% of project funds under contract, please provide a detailed explanation of why this has
occurred and what is being done to move the project forward. Provide details on the next steps and information on
when you expect to have 50% of the award under contract. Attach additional pages as necessary
Work Completed on Project to Date:
Reasons 50% Goal was not reached:
Details of project timeline moving forward:
By signing the report below, I certify that to the best of my knowledge and belief the report is true, complete and
all expenditures reported are for appropriate purposes.
________________________________________________________________
Printed Name and Title Date
___________________________________________________________
Signature
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
Streamflow Rehabilitation Assistance Program, Quarterly Progress Report, Form v2, June 2024
Quarterly Final
Grantee
Contract Number:
Date of Report:
Reporting Period:
(EX: Quarter 3, 2024)
Form Completed by (Name
& Title):
Email Address:
Effective Date of Contract:
End Data of contract:
State Expenditures
Total State Contract Amount (amount listed in
StRAP contract and/or amendments)
Total Reimbursed by State this Reporting Period:
Total Reimbursements from State:
Balance of State Funds:
Recipient Share (Match)- if applicable
Match is not required for StRAP projects. However, if you have matching funds used in addition
to the State StRAP funding, you can list them below:
Source of Recipient Share (Match):
Total Planned Recipient Share (Match) Amount:
Recipient Share (Match) Expended to Date:
Quarterly Report Form
Completed reports are due by the following dates: April 30 (Quarter 1 covering January-March), July 31
(Quarter 2 covering April-June), October 31 (Quarter 3 covering July-September), January 31 (Quarter
4 covering October-December). When all work is completed, submit a Final Report.
Submit completed report AND accompanying budget report to: strap.report@ncagr.gov
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
2
Streamflow Rehabilitation Assistance Program Quarterly Report, Form v2, May 2024
Encumbered Amount
Encumbered amount is any portion of funds already paid out or under contract to complete
work. Include any amount covered by all contracts you have made associated with StRAP
project (EX: hiring contractors, engineering firms, or other entities contracted to work on StRAP
project, even if payments to these entities have not been made yet).
Amount of Contract Encumbered:
Amount of Contract Unencumbered:
Encumbered plus unencumbered amounts should match total state contract amount.
Performance Report
Provide a description of work done this quarter. If no work was done this quarter, please
explain.
On-the-Ground Work (stream debris removal, bank stabilization, etc.):
Planning Work (evaluating sites, contacting landowners, bidding projects, drafting engineering
designs, etc.)
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
3
Streamflow Rehabilitation Assistance Program Quarterly Report, Form v2, May 2024
Scope of Work
Please list all segments on Scope of Work. Include: who the segment is contracted with,
contractor’s address, how much contract is for (linear feet and dollar amount), date work
began/ended. If segment is not contracted with anyone yet, please explain why.
Please include all sites on your SOW, include those where work has already been completed
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
4
Streamflow Rehabilitation Assistance Program Quarterly Report, Form v2, May 2024
Timeline
Please provide a current timeline for the work that will be completed each quarter of your
project. Please note any changes in this timeline since the last quarterly report was submitted.
Mark any changes in red ink or highligher
Time Period Planned Work
Q3 (July-Sept) 2024
Q4 (Oct-Dec) 2024
Q1 (Jan-Mar) 2025
Q2 (Apr-Jun) 2025
Q3 (July-Sept) 2025
Q4 (Oct-Dec) 2025
Q1 (Jan-Mar) 2026
Q2 (Apr-Jun) 2026
Q3 (July-Sept) 2026
Q4 (Oct-Dec) 2026
If any delays or problems, please explain:
Project cost Status (If there are cost changes, please explain):
Signature
Authorized Signer ___________________________________________________
Date ______________________________________________________________
Attach additional pages as necessary.
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
Request for Payment Summary
Request for Payment Form
Signed by Inspector
Signed by Grantee staff submitting form
Cover Sheet
Invoice from Contractor: The following needs to be included on each invoice submitted:
Stream Segment(s)- segment name on invoice should match name on Scope of Work
How many linear feet of work were completed
Contractor name and contact information
Date
Organization being billed by Contractor
Receipts/invoices/or other documents for administrative costs
Construction/Engineering Invoices
Invoice Number Contractor Name Linear Feet
Please list all attached documents below
Checklist
Submit with RFP to:
strap.reimbursement@ncagr.gov
Invoice Total
Date Document Name Taxes Amount
Total Construction Cost
Adminstrative Expenses Recipets/Invoices/Documents
Total Reimbursement Request
Total Administrative Reimbursement
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
Grantee Organization:
Contract Number
Employee completing form:
Email:
Date Completed
Equipment Descripton
Date Reimbursed
(refer to date of
request for
Cost Notes
Ex: Drone 4/28/2023 $1,000 used for surveying creeks
Signature of Employee Completing Form Date
At the time of contract close-out, grantees should use this form to inventory all equipment with a value of $500 or more that was purchased by the grantee using StRAP funds. If an item has been disposed of or
lost, please indicate the manner of disposal (lost, damaged, used completely, etc.) in the "Current Location" column. For item description, cost, and reimbursement date, please refer to the invoice that was attached
to the StRAP Request for Payment form when the item was reimbursed by StRAP. This form only needs to be completed for individual items with a value of $500 or more. For example: if 5 sets of waders each
costing $125 were purchased together, these waders would NOT need to be documented on this form as the individual cost of each item is less than $500.
Current Location
Division office at 216 W Jones St, Raleigh
Equipment Inventory Form
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
Grantee:
Contract
NbEmployee:
Date Hours Rate Reimbursement
Example:
2/22/2024 3 $20/hr $60
0
Date
Date
Employee Signature
Supervisor Signature
Total Reimbursement:
Activity
Example: Met with contractor on Jones Creek Segment 1 to review
work. Walked entire 2,000 foot section to approve work. Answered
contractors questions and confirmed work completed.
Work Hours Time Log Submit for along with Request
for Payment to:
strap.reimbursement@ncagr.gov
If they choose, StRAP grantee organizations may be reimbursed for time spent by their staff while working on the StRAP project.
Grantees should use this form when requesting reimbursement for the time spent by their staff. Only time spent directly on StRAP
work can be reimbursed. A seperate form should be filled out for each employee. Provide a detailed daily description of the work
completed in the time period to be reimbursed. Any amount of staff time reimbursed is considered as project administration
(which is capped at 15% of total reimbursements). The first time this form is submitted for an employee, please include a letter from
the finance office stating the employee's salary and benefits as an hourly rate. Please consult the StRAP contract for more
information on using a portion of awarded funds for reimbursement of project administration costs.
Please attach a letter from your finance department outlining the employee's hourly pay rate.
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
Docusign Envelope ID: A3C70ABF-EEDE-4822-BD1B-5001B2220A24Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
ORANGE COUNTY—INTERNAL USE ONLY
Revised 01/24
1
Finance Information
Vendor Name: NC Department of Agriculture & Consumer Services Vendor Contact Person: Matt Safford Phone:
919-707-3784 Address: 1614 Mail Service Center City Raleigh State: NC Zip: 27699 Department: DEAPR
Amount: $59,296 Purpose: Reimbursement Grant Budget Code(s): 30610120 630000 71361 Vendor # N/A
Vendor Status with NCSOS: Vendor is a BOCC consultant: Yes No
Contract Details
Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment )
Effective Date July 1, 2024 End Date December 31, 2026 Notice Date (Notice Purpose )
Award
Approved by Orange Soil and Water Conservation District Board (Agenda Date: May 30, 2024);
Made or Administered by
Signature Authority
- BOCC Express Delegation (Agenda Date: )
- Policy 9.4: Under $5,000; Service Under $90,000; Construction Under $250,000
- Budget Policy Section XV (Capital Improvement Project: )
- Other – Orange Soil and Water Conservation District Board Chair
Bidding
Informal Bidding ($30k-$90k); Formal RFP ($90k+); Other (<$30k); Exception(Orange Soil
and Water Conservation District contractor selection)
Department Affirmation
This agreement is approved as to technical form and content and I as Department Director affirmatively state work
on this project has not been initiated prior to execution of the agreement.
This agreement is approved as to technical form and content. Services related to this agreement have alread y
begun or been completed. Description of the nature of the emergency condition that was addressed:
Department Director’s Signature ________________________________________ Date: ________
Information Technologies
This agreement has been reviewed and is approved as to information technology content and specifications:
Office of the Chief Information Officer___________________________________ Date: ________
Inapplicable because no hardware/software purchases or related services
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
Office of the Risk Management Officer___________________________________ Date: _________
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer ____________________________________ Date: _________
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney __________________________________________Date: ________
Clerk to the Board
All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Received for record retention:
Office of the Clerk to the Board __________________________________________Date:_________
Docusign Envelope ID: 4952E7F3-6FA3-4165-AD14-AFD0F6E1AE85
8/20/2024
8/19/2024
8/26/2024
8/27/2024