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Home My WebLink AboutCSRA REGIONAL DEVELOPMENT CENTER FUNDING AGREEMENT $107,350.00 , . 'lI', <II, -, This AGREEMENT made and entered this 4th day of January, 2008, between Augusta, Georgia, acting by and through the Augusta-Richmond County Commission, a political subdivision of the State of Georgia (hereinafter referred to as "Augusta" or "County"), and the CSRA Regional Development Center., (hereinafter referred to as the "Organization" or "AGENCY"); WI1NESSETH: WHEREAS, the Augusta-Richmond County Commission desires to contract with the above named Organization to PROVIDE FUNDS FOR THE OPERATIONS OF THE AGENCY Whereas the amount of$107,350.00 are now available for use byAGENCY., according to the GENERAL FUND BUDGET ADOPTED ON DECEMBER 6, 2007; NOW, THEREFORE, for and in consideration of the mutual covenants and agreements between the parties, it is agreed as follows: The County agrees to appropriate the following sums to the Organization for the "".~ purpose of: Operating Expenses $107,350.00 The Organization agrees to use such funds that it may receive, pursuant to this Agreement, solely and exclusively for the above described Project; said Project, including the ,. Project Budget, is more specifically described at "Exhibits" attached hereto and incorporated herein. In consideration of the disbursement of said funds, AGENCY shall observe all conditions that the law imposes on the use of said funds, which shall include, but not be limited to, the following .~ ' t . . 1. The agency shall provide the county with a narrative description of the program and a detailed program budget. The budget should include all funding sources that the agency anticipates receiving. 2. The Agency shall provide the following information as part of the narrative: a. Mission Statement b. Performance Budget Overview c. Budget Request d. Summary 3. The Agency shall complete the following forms as part of the budgeting process: a. Budget Preparation Checklist b. .^~gel'1ey.' JeiBt FlillaiFlg Baeget Reltl:l8st (Ferm .^~J) c. Ag@R~)7,1 J9iRt f\mdiRg Blldg~t ~~'Plellt Payn:~ll CQlltll (Fo:&W. aI-I) d. Copy of Agencies most recent financial statements. 4. The agency shall have an annual audit performed by an independent CPA Firm. The Agency should specify the County as a funding source. The agency shall provide the County a copy of the audited financial statements within 30 days of delivery of the audit by the contractor. Said reports shall be delivered to Augusta Finance Department, Municipal Building Augusta, GA 30911 to the attention of Ms. Donna Williams, Finance Director or her Designee. 5. The agency shall also submit a completed form W-9 to Augusta Finance Department. AUGUSTA-RICHMOND COUNTY CCZ' MISSION j/~ By: ~~ . Mayor ....,..:.,..;::?i~"fl7~~ t'J.'J.:,'!:: "),''f .,:~~ cl.\~Ii~i];r:j,~ ~..,~o , ; {?t}:~ ' "0. .ry., (';'L'~iJJ '...."> tJ. By: ,l. ~~ fJ~ ;;;: fn 9~ ._ rJ Clerk of Commis'~i6~(. 1 ~ ~ \L ~~:. \ ~'T. ".."~ J ',\ /' "~i$ \9"16 ~.03 d ~ki 0", ,.,,f)..w 'i~., O.C$e$Vi''' ~ 4l? \'~" ttC;\' -- ';\)\", GEO .~1>i' ORGANIZA TION:"~~":o.~'~~- * 'lill AGENCY ~~, By: As its Executive Director , . BUDGET PREPARATION CHECKLIST The following checklist is provided to assist you in preparing the required budget documentation and must be included as part of your department's budget submittal. The Department Director must sign the "statement of compliance" at the end of this checklist prior to budget submission. 1. You have received all information related to your entire department. contact your Budget Analyst immediately. YES NO If not L ./ 2. MISSION STATEMENT a. Departmental Goals and Objectives b. Performance Measures/Managing for Results c. Function Charts 3. ORGANIZATIONS CHART(s) 4. SUMMARY OF MAJOR ISSUES ~~Jtl ;." ~""~M; \-k.Q -- CJ\-F~ a. Major issues identified b. Brief description of each issue ~ 5. PROGRAM AND SERVICE INVENTORY FORMS a. Program and Service Inventory forms are included for all current servIces b. Program and Service Inventory forms are included for each Request for Additional Funding '~ 6. EXPENSES a. Expense Budget input (Budget Forms) b. Input Data has been checked for accuracy c. Supplementary Expense sheets included Se~ ~~/~ - {)7 7. POSITION CONTROL - review all position control information a. Verified position information b. Updated pay information as needed c. Included vacant positions projected to be filled in FY2007 d. Included budget for seasonal and temporary positions e. Positions Summaries have been completed according to instructions f. The Position Summary and the Personnel Report agree as to the number and classification of positions \ ~~ '\,- \ l BUDGET PREPARATION CHECKLIST YES NO 8. CAPITAL BUDGET a. Capital Budget Request previously submitted b. Relationship to General Fund Highlighted ~:: STATEMENT OF COMPLIANCE The budget submittal for the Dcpcuhnoflt..ef C$~Y'r $~,rs-l $.~~ 1t,J is in compliance with the guidelines as set forth by the Finance Department. s contents have been checked and verified against the above checklist. <~~ Director d / (g ) o~ Date ( ,. Form W-9 Request for Taxpayer Identification Number and Certification Give form to the requester. Do not send to the IRS. (Rev. October 2007) Department of the T7easury Internal Revenue Service C\i (l) Cl <Il a. c o CIl tIl 0.5 ~.. .. (,) o 2 "E1n 'i: .E Q.(,) :;:: 'u CIl Co I/) CIl III (J) Name (as shown on your income tax retum) CENTRAL SAVANNAH RIVER AREA REGIONAL DEVELOPMENT CENTER Business name, if different from above N/A Check appropriate box: 0 Individual/Sole proprietor 0 Corporation 0 Partnership o Umited liability company. Enter the tax classification (D=disregarded entity, C=corporation, P=partnership) ~ .. __ ___ IZ1 Other (see instructions) ~ SPECIAL PURPOSE LOCAL GOVERNMENT Address (number, street, and apt. or suite no.) Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities. it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. Note. If the account is in more than one name. see the chart on page 4 for guidelines on whose number to enter. Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends. or (c) the IRS has notified me that I am no longer subject to backup withholding, and 3. I am a U.S. citizen or other U.S. person (defined below). Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid. acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification. but you must provide your correct TIN. See the instructions on page 4. 3023 RIVER WATCH PRKY. SUITE A City, state, and ZIP code AUGUSTA, GA 30907.2016 Ust account number(s) here (optional) Taxpayer Identification Number (TIN) Sign Here General Instr i 5 I Section references ate' to the Internal Revenue Code unless otherwise noted. Purpose of Form A person who is required to file an information return with the IRS must obtain your correct taxpayer identification number (fIN) to report, for example, income paid to you, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA. Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income. Note. If a requester gives you a form other than Form W-9 to request your TIN, you must use the requester's form if it is substantially similar to this Form W-9. o Exempt payee Requester's name and address (optional) Social security number or Employer identification number 58: 0899839 Date ~ ~ 2..\ OY O~ Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: . An individual who is a U.S. citizen or U.S. resident alien, . A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States, . An estate (other than a foreign estate), or . A domestic trust (as defined in Regulations section 301.7701-7). Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax on any foreign partners' share of income from such business. Further, in certain cases where a Form W-9 has not been received, a partnership is required to presume that a partner is a foreign person, and pay the withholding tax. Therefore, if you are ~, U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid withholding on your share of partnership income. The person who gives Form W-9 to the partnership for purposes of establishing its U.S. status and avoiding withholding on its allocable share of net income from the partnership conducting a trade or business in the United States is in the following cases: . The U.S. owner of a disregarded entity and not the entity, Cat. No. 10231X Form W-9 (Rev. 10-2007)/ :....~~ ,....-<~..,,-"'_...''',;QI Counties Served: Burke Columbia Glascock Hancock Jefferson Jenkins Lincoln McDuffie Richmond Taliaferro Warren Washington Wilkes ctt<T1F/eo l"'O..c.""~2:'lrIO",. \, \~,~eC4'~ ,~, .'A/' ~ '/1 CENTRAL SAVANNAH RIVER AREA REGIONAL DEVELOPMENT CENTER 3023 River "'latch Parkway, Suite A Augusta, GA 30907-2016 (706) 210-2000 s FAX (706) 210-2006 www.csrardc.org \ fh - '. '. \ . \, r;, . ';, \_ ~i ' ; " ;. LENDING August 21, 2007 Budget Officer Augusta-Richmond County 530 Greene Street Room 207 Augusta, Georgia 30911 MAILED AUG 2 1 2001 L<- , .--i \:, &er~ - I8f b "6 o p( 1.()l to L~ --.. -- Dear Budget Officer: The Center is requesting funding of $107,350 for FY 2008 based on a rate of $.55 per capita and a population of 195,182. In accordance with O.C.G.A ~ 50- 8-33(b)(2) the Center is using the 2000 population figures authorized by the Georgia Department of Community Affairs to compute this request. The Center receives over 96% of its funding from grants and contracts. However, we anticipate no significant variance in our funding level in FY 2008 than FY 2007. Local funding goes to support all activities of the Center and leverages over eight million five hundred and ninety-three, seven hundred fourteen dollars [$8,593,714] in other funds. This represents a return to the CSRA region of twenty-seven dollars and ninety-five cents [$27.95] for each one dollar of dues, a return of 2,795%., Our Board met on June 19, 2007 and adopted both the FY 2008 Work Plan and Budget. The plan describes all activities undertaken by the Center in our role as a Regional Development Center. A copy of our work program and budget are included. Should you have any questions or require additional information, please do not hesitate to call at 210.2014. B'est regards, rJ1~ L. Mack Shealy, CPA, CGFM, CICA Chief Financial Officer Encol. U:\DOCS\USERS\Word\BUDGEnAug-Richmo.nd Cnt\AAuQl,Ista Richmond FY20DEL BUD L TR Q1..doc for mlomlatlOn on the Area Agency on Agmg (i\AA), a diVISIon ot the C~l{A RegIonal Development Center, call (706) 210-2018 or toll free (and TDD) 1-888-922-4464. Your "one call connection" for finding resources to help seniors. The CSRA Regional Development Center is an Equal OPPOltUnity Employer and Provider. , /