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Contract # 1 19/20 Fiscal Year Begins July 1, 2019 Ends June 30, 2020 <br />This contract is hereby entered into by and between the Lee County Department of Social Services (the "County") and <br />Empowering Lives Guardianship Services, LLC (the "Contractor') (referred to collectively as the "Parties"). The Contractor's <br />federal tax identification number is 27-3721789 and DUNS Number (required if funding from a federal funding source). <br />1. Contract Documents: This Contract consists of the following documents: <br />(1) This contract <br />(2) The General Terms and Conditions (Attachment A) <br />(3) The Scope of Work, description of services, and rate (Attachment B) <br />(4) Federal Certification Regarding Drug -Free Workplace & Certification Regarding Nondiscrimination (Attachment C) <br />(5) Conflict of Interest (Attachment D) <br />(6) No Overdue Taxes (Attachment E) <br />(7) If applicable, HIPAA Business Associate Addendum (checklist and forms) <br />(8) State Certification (Attachment M) <br />(9) Certification of Eligibility Under the Iran Divestment Act <br />(10) Contract Determination Questionnaire (required) <br />These documents constitute the entire agreement between the Parties and supersede all prior oral or written statements <br />or agreements. <br />2. Precedence among Contract Documents: In the event of a conflict between or among the terms of the Contract <br />Documents, the terms in the Contract Document with the highest relative precedence shall prevail. The order of <br />precedence shall be the order of documents as listed in Paragraph 1, above, with the first -listed document having the <br />highest precedence and the last -listed document having the lowest precedence. If there are multiple Contract <br />Amendments, the most recent amendment shall have the highest precedence and the oldest amendment shall have the <br />lowest precedence. <br />3. Effective Period: This contract shall be effective on July 1, 2019 and shall terminate on June 30, 2020. <br />This contract must be twelve months or less. <br />4. Contractor's Duties: The Contractor shall provide the services and in accordance with the approved rate as described in <br />Attachment B, Scope of Work. <br />5. County's Duties: The County shall pay the Contractor in the manner and in the amounts specified in the Contract <br />Documents. The total amount paid by the County to the Contractor under this contract shall not exceed $ 30,000.00. This <br />amount consists of $ 0 in Federal funds (CFDA # ), $ 0 in State Funds, $0 in County funds <br />® a. There are no matching requirements from the Contractor. <br />❑ b. The Contractor's matching requirement is $ , which shall consist of: <br />❑ In-kind ❑ Cash <br />❑ Cash and In-kind ❑ Cash and/or In-kind <br />The contributions from the Contractor shall be sourced from non-federal funds. <br />The total contract amount including any Contractor match shall not exceed $ <br />6. Reversion of Funds: <br />Any unexpended grant funds shall revert to the County Department of Social Services/Human Services upon <br />termination of this contract. <br />7. Reporting Requiremen s: <br />Contractor shall complyv ith audit equirements as described in N.C.G.S. § 143C-6-22 & 23 and OMB Circular -CFR Title <br />2 Grants and Agreement , Part 20 ), and shall disclose all information required by 42 USC 455.104, or 42 USC 455.105, <br />or 42 USC 455.106. <br />Contract -General (06/15) <br />