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Conformity with the Application Monitoring Checklist Form

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Community Investment and Assistance (CI)Community Development Block Program10.Is <strong>the</strong>re evidence that <strong>the</strong> grantee is using <strong>the</strong>federal and state debarment lists prior toprocuring goods and services? Describe <strong>the</strong>method used by <strong>the</strong> grantee and identify <strong>the</strong>irdocumentation of <strong>the</strong> process.Schedule11.Is <strong>the</strong> grant on schedule? If not what is <strong>the</strong>projected date for completion of grantactivities and close out?YesNo12.How much local money has been expendedon <strong>the</strong> project to date? (Attach evidence oflocal expenditures.)NOTES:CDBG FORM #1Revised May 2011www.nccommerce.com/cdbgformsPage 3 of 3

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