HomeMy WebLinkAboutRICHMOND COUNTY DFCS FUNDING AGREEMENT$120,000 1/01/08 TO 12/31/08
Fundin re uest from Outside A
Agency: RichmQnd County DFCS
Budget Time Frame: 1/1/08 to 12/31/08
Submitted by:
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
Richmond County DFCS., (hereinafter referred to as the "Organization" or "AGENCY");
WITNESSETH:
WHEREAS, the Augusta-Richmond County Commission desires to contract
with the above named Organization to PROVIDE FUNDS FOR THE OPERA nONS OF
THE AGENCY
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Whereas the amount of$160,000 $120,000 is now available for use by AGENCY.,
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: Administration/Child Welfare
$120,000
Safe Homes
10,000
4(:,
;)Ie-
Child Enrichment
30,000
Total
$160,000 $120,000 517t./
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
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 Statem~nt
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. Agency / Joint Funding Budget Request (Form AJ)
c. Agency / Joint Funding Budget Request Payroll Costs (Form AJ-1)
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 COMMISSION
By: C~--t4.tL
Mayor
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ATTEST:
ORGANIZATION: '~., <:J..v~ r-. ~ c..o\J..'A \'j ~. W
AG.ENCY /J _ }'
By: j/.cL 1L cl e-J---
'1\ tF
As its VII" L c-tz:J.-/
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. If not
contact your Budget Analyst immediately.
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
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
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
YES NO
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BUDGET PREPARATION CHECKLIST
YES NO
8. CAPITAL BUDGET
a. Capital Budget Request previously submitted
b. Relationship to General Fund Highlighted
N\A
STATEMENT OF COMPLIANCE
The budget submittal for the Department of 1)FC~ is in
compliance with the guidelines as set forth by the Finance Dep' ment. Its contents have been
checked and verified against the above checklist.
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Ssctioo rafKsooea 8I'll1o the
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Purpose of Form
Apn:If1. .!.!S~.'.. lnfiS81dMa!fllSl!. '~'~1um.. with1ha
IRS muat cbtain your l:lOOI!Ct taxp;!J.lfar identificati:x\i numbEf (Tll'4)
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r&ei.derit aien), to: ~. . . your lXlffec! TIN 10 the pe.rIIlm
requesting it !the IIqIBl!tEi:) end. when spplicsbla. to:
1. Certify lhat 1ha Ul, you -In. !!..Mrn;; is CCl'lllct lor you se
wailiflQ for a number tm. tie iSBUllU~
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fo1E(gn paRnal&' Ill1:iRo d etfeWleljr o:lIlnlllcbad R:00l3.
Note. If. a li!queater gMia.)IlJU II; furtn o1bar than Form W-v to
IIqlSl!t ~(TlN. YOIH'Iwsl we tbe IiqU!lst<<'sfam ifit ill
~a1)' Bimilsr to this FmmW-Q,
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DefiniScn of B u.s. pel'llOlL f<< federal tc ~ you lIB
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" A psrtnar8l1jp. Cl€lCpDnilion. company. 01' 8~ CIilIStSd or
org!ilU:i in 1M UnitildStstae. a im:i3r the. Isw8. of the United
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" An fllltBtil ~ than 8. foreign ee1Ed:e), (If
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Speclal MeS ior pm:tnnlUp&. ~ip& tllst oondoota
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flllm such blllltnelllll. Fw1her, In' oartaIn -ciI1!IlSi where a Form w-v
has not been received. a psrlnefl!l1ip i! .~l!lld to pRIlIUITI8 hJI:
aprmer ie. a foreign, pEnlrlfl. mil pay 1h& iMlhholdi'!W tal:.
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~ comucmg s.~tlr buail1illl8 in tbi Unibid S1Bt8e.
prov.icIll Ftlm1 W..; m tbi. patrnerahip to eBtlblisb yClUI' U.s.
a1BlliI8 sml ftd~9'm1 ~1I'1!hareof ~
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The psTtIOll whOi~ ~ \\1'" to 1h& part~ip ~r
fXIlipoees.o1 flSfBbl. ns. US atatUlil w'l!lIOXing, W1lhll:lltfing
on, ilB deniable share , net nCOll'lll from 1he pstnefBhip
CllrEiile'ling. a Iratle or bU!!iD31l8 in fb9 lllWclBtaI:i!e. ill in the
fmbwirt;J -caaaB: .
" The VA ownar at 1\. dial'ilgardadan1Ry &'Id not the entity.
ClIt Ncl. lD:imX FDR11 W..g (Rill. 10.2001)
irJDHR
BOARD MEMBERS
Marion E. Barnes
Dr. Thomas C. Gardiner
James L. Kendrick
Dr. Louise A. Rice
Kathy D. Schofe
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Andre' J. Chambers, Director
Department of Human Resources. B. J. Walker, Commissioner. Mary Dean Harvey Division Director. Richmond County
Division of Family and Children Services. 520 Fenwick Street. P.O. Box 2277 . Augusta, Georgia 30903-2277 .
Phone: 706-721-3000. Family Independence Fax #: 706-721-2967. Office of Child Protection Fax #: 721-8494
February 8, 2008
Susan,
Please find enclosed the Richmond County DFCS Budget Packet. Please send a copy of the contract and the award letter to my
attention. Please let me know if further information is needed.
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An Equal Opportunity Employer