HomeMy WebLinkAboutNational Hills Club Inc
Augusta Richmond GA
DOCUMENT NAME: ,f0CX-tiOilGl\ \4'\ \\s Q \u. \) ltG
DOCUMENT TYPE:
YEAR: 0 '2.-
BOX NUMBER: II
FILE NUMBER: . ) &i '1 { .
NUMBER OF PAGES: '''Lo
I
GEr-o~-~or-c231 .s-~
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GEORGIA DEPARTMENT OF JU 1~' I
COMMUNITY AFFAIRS N 8..0G1- I
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Laura Meadows
COMMISSIONER
Roy E. Barnes
GOVERNOR
June 5, 2002
Honorable Bob Young, Mayor
Augusta-Richmond County
530 Greene Street, Room 801
Augusta, Georgia 30911
Dear Mayor Young:
J
Governor Barnes has approved an Emergency Fund grant in the amount
of $10,000 to Augusta-~ichmond County for the National Hills Club, Inc. for pool
repaIrs.
Enclosed are two copies of a contract that must be executed by you and
returned to me by June 25, 2002. Upon receipt, we will promptly issue a check
and return a fully executed copy of the contract to you.
Please note ~hat your Federal Employers 1. D. Number is required to
process this grant. You must enter this number on page 4 of the contract.
/
. If you have any questions concerning this grant, please call Bobby Stevens
at (404) 679-4943. Oif b,~half of Governor Barnes, we are delighted to assist you
and you~_citizens in improving community services.
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Sincerely,
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Laura J. Meadows
Commissioner
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Enclosure
cc: Richmond County Legislative Delegation
eQUAL HOUSING ~
OPPORTUNITY L:J
60 Executive Park South, N.E. · Atlanta, Georgia 30329-2231 · (404) 679-4940
www.dca.state.ga.us
An Equal Opportunity Employer
* Recycled Paper
Office of The Clerk of Commission
Lena J. Bonner, CMC
Clerk of Commission
Nancy Morawski
Deputy Clerk
Room 806 - Municipal Building
530 Greene Street - AUGUSTA, GA. 30911
(706) 821-1820 - FAX (706) 821-1838
July 31, 2002
MS.Tina Slendak, Treasurer
National Hills Club, Inc.
1107 Brookwood Drive
Augusta, Georgia 30909
Dear Ms. Slendak:
Enclosed is a check in the amount of $10,000 representing total payment of your
Governor's Emergency Fund (GEF-02-E09-231) appropriations through the Georgia
Department of Community Affairs for pool repairs.
If I can be of further assistance, please feel free to call.
Very truly yours,
~'ll~
Clerk of Commission
Enclosure:
Authorized pick up
Date Y/.3II/D~
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GEORGIA DEPARTMENT OF
COMMUNITY AFFAIRS
Laura Meadows
COMMISSIONER
Roy E. Barnes
GOVERNOR
July 23, 2002
Honorable Bob Young, Mayor
Augusta-Richmond County
530 Greene Street, Room 801
Augusta, Georgia 30911
Dear Mayor Young:
Enclosed is the Governor's Emergency Fund check in the amount of $10,000 to
Augusta-Richmond County for the National Hills Club, Inc. for pool repairs. Also
enclosed is a copy of the executed contract for your files.
Please also be aware that as the recipient of a Governor's Emergency Fund grant,
you are now required under a new law effective January 1, 1999 to provide certain
disclosure information to the State Auditor. Enclosed is an explanation of the new law
along with a copy of the form that must be completed and sent to the Department of
Audits and Accounts. Under the provisions of the new law, failure to file the required
information with the State Auditor could result in a forfeiture of the grant and a
mandatory return of the funds to the State. If you have any questions about these
reporting requirements, please contact Edward Blaha, Deputy Director, Department of
Audits and Accounts at (404) 651-5115.
I am pleased that we were able to assist you with the funds provided.
Sincerely,
~?-.~
Laura J. Meadows
Commissioner
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Enclosures
EQUAL HOUSING ~
OPPORTUNITY L.:.J
60 Executive Park South, N.E. · Atlanta, Georgia 30329-2231 · (404) 679-4940
www.dca.state.ga.us
An ~qual Opportunity Employer
* Recycled Paper
AUGUSTA-RICHMOND COUNTY COMMISSION
, .
081646
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Office of The Clerk of Commission
Lena J. Bonner, CMC
Clerk of Commission
Nancy Morawski
Deputy Clerk
Room 806 - Municipal Building
530 Greene Street - AUGUSTA, GA. 30911
(706) 821-1820 - FAX (706) 821-1838
MEMORANDUM
TO: Ms. Donna Williams, Assistant Comptroller
FROM: Lena J. Bonner, Clerk of Commission
DATE: July 25, 2002
SUBJECT: Department of Community Affairs Local Assistance Grant Award
Attached is a check in the amount of $10,000.00 from the Department of Community
Affairs. Please issue an Augusta Richmond County check to the following Local
Assistance Grant recipient, ,:"hich was approved by the Augusta Commission June 18,
2002.
. GRANT NUMBER
No. GEF-02-E09-231
ORGANIZATION
National Hills Club Inc.
GRANT AMOUNT
$10 000.00
As always, thank you for your assistance.
Enclosure: Check
.OF 001 ,
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AUGUS,TA- RICHMOND ,COUN,T,V<..
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Office of the Mayor
Bob Young, Mayor
Room 806, Municipal Building
530 Greene Street, Augusta, GA 30911
(706) 821-1831 - FAX (7d6f821~i835
E-mail: mayoryoung@co.richmond.ga.us
July 12, 2002
Honorable Laura J. Meadows, Commissioner
Georgia Department of Community Affairs
60 Executive Park South; NE
Atlanta, Georgia 30329-2231
Dear Commissioner Meadows:
Enclosed is the following executed Emergency Fund Grant (GEF-02-E09-231 ) contract.
Organization
National Hill, Inc.
Grant Award
$10,000
Purpose
Pool Repairs
As always, we appreciate the Governor's support of our community based programs and DCA's
continued assistance in the administration of Augusta's grant awards.
" .
STATE OF GEORGIA )
RICHMOND COUNTY )
GRANT AGREEMENT
THIS AGREEMENT, made and entered into this ~ day of June , 2002, between
AUGUSTA, GEORGIA, a political subdivision of the State of Georgia, acting by and through the Augusta-Richmond
County Commission, (hereinafter referred to as "AUGUST A"); and NATIONAL HILLS CLUB, INC. (hereinafter
referred to as the "ORGANIZATION");
WIT N E SSE T H:
WHEREAS, the ORGANIZATION has submitted to the Georgia Department of Community Affairs
and-to AUGUST A a proposal to provide certain services as set forth in the Application for funding filed with the State,
which is incorporated herein by reference; and
WHEREAS, AUGUSTA deems the services to be provided by the ORGANIZATION as essential
and necessary for the citizens of AUGUSTA and acknowledges that the ORGANIZATION can provide the services
in a cost-effective and efficient manner;
NOW, THEREFORE, FORAND IN CONSIDERATION of the mutual covenants and agreement
between the parties, it is agreed as follows:
I. AUGUSTA agrees to appropriate to the ORGANIZATION, and the ORGANIZATION
accepts, the sum of $) 0,000.00 (the "Funds"), to be paid to ORGANIZATION upon execution ofthis Agreement upon
the terms set forth in the Grant from the State of Georgia, which is incorporated herein by reference.
2. [n consideration of such appropriation of the Funds, the ORGANIZATION agrees to
perform the following services, which AUGUSTA has determined renders a substantial benefit to its citizens, to wit:
(<Services>>.
AUGUSTA has the power to perfonn.such services under the Constitution of the State of Georgia,
Article 9, Section 2, Paragraph 3, and the services are authorized by one or more of the following powers set forth in
said Constitution or by general law including but not limited to the following:
1
o
Police and fire protection;
o
Garbage and solid waste collection and disposal;
o
Public heahh facilities and services, including hospitals, ambulance and emergency
rescue services, and animal control;
o
Street and road construction and maintenance, including curbs, sidewalks, street
lights, and devices to control the flow of traffic on streets and roads constructed by
counties and municipalities or any combination thereof;
I
Parks, recreational areas, programs, and facilities;
o
Storm water and sewage collection and disposal systems;
o
Development, storage, treatment, purification, and distribution of water;
o
Public housing;
o
Public transpOltation;
o
Libraries, archives, and mts and sciences programs and facilities;
o
Terminal and dock facilities and parking facilities;
o
Codes, including building, housing, plumbing, and electrical codes; or
o
Air quality control
3. ORGANIZATION further agrees to expend the Funds for the saidjJUrposes and to account
for such Funds in accordance with generally accepted accounting principles. Further, under the Grant Agreement with'
the State of Georgia, it is acknowledged that upon request AUGUSTA has agreed to provide the State with any
infonnation, documents and/or photographs that AUGUSTA, the State of Georgia, or any of their departments, agents,
or employees deems necessary to monitor. performance of this Agreement. ORGANIZATION, therefore, agrees to
maintain proper and accurate books, records (!nd accounts reflecting its administration of the Fundsand compliance with
. all applicable laws. Such documentation shall be retained for at least three years from the completion of said project
and shall be made available to AUGUST ~ upon request. ORGANIZATION further agrees that an accounting of these
Funds shall be included in the next regularly scheduled audit or financial statement of AUGUSTA and any future audits
or financial statements until all expenditures of the Funds have been accounted for. ORGANIZATION agrees to
provide to AUGUST A documentation of Fund use or a copy of audited financial statements until all expenditures of
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the Funds have been accounted for. ORGANIZATION acknowledges and agrees that any unresolved findings of
AUGUST A concerning expenditure of the Funds, whether based on an audit report, financial statement, project
completion report of independent investigation of AUGUSTA, shall preclude the ORGANIZA TION from applying
for or receiving any further grants or other funds from AUGUSTA, until such findings are resolved to the satisfaction
of AUGUSTA.
4. The ORGANIZATION shall hold harmless and indemnify AUGUSTA, its officers, elected
officials, agents, employees, and representatives, from and against any and all claims resulting from or arising out of
the appropriation provided according to this Agreement, including, without limitation, damage claims for injury to
persons or property. The ORGANIZATION expressly acknowledges that, by appropriating the Fundsoutlined in this
Agreement, AUGUSTA has not assumed or undel1aken any legal duties as to the ORGANIZATION or others. The
ORGANIZATION agrees to make no claims or demands against AUGUSTA, its officers, elected offidals, agents,
employees and/or representatives, for any damages that may result from or arise out of the appropriation of Funds
pursuant to this Agreement, even if such claims or demands are made against the ORGANIZATION.
5. Upon request, the ORGANIZATION agrees to provide AUGUSTA with any information
. AUGUSTA deems necessary to fulfill its obligations under the Grant Agreement with the State of Georgia and further
agrees to give AUGUSTA the right to audit all records related to this Agreement, and the ORGANIZATION's
performance thereunder.
6. The ORGANIZATION acknowledges that under the Open Meetings Law for the State of
Georgia (O.C.G.A. S 50-14-1, et seq.) if the ORGANIZATION receives as a direct allocation tax funds which
constitute more than 33 1/3% of its funds from all sources, it may be required to comply with the Open Meetings Law.
Further the ORGANIZATION acknowledges that all records relating to this Agreement and the services to be
. .
provided under the Grant may be a public record subject to Georgia's Open Records Act (O.C.G .A. S 50-18-70, et seq.).
ORGANIZATION shall cooperate-fully in responding to such request and making all records, not exempt, available
for inspeCtion and copyingas provided by law.
7. ORGANIZATION certifies that it is a tax exempt entity under S 501(c) of the Internal
Revenue Code.
8. ORGANIZATION acknowledges that one of the constraints imposed by the Georgia
Constitution on the implementation of grants through private parties is the prohibition against sectarian aid. The
Constitution provides in Article I, Section 2, Paragraph 7: "No money shall ever be taken from the public treasury,
3
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directly or indirectly, in aid of any church, sect, cult, or religious denomination or of any sectarian institution." This
"Sectarian Aid" clause prohibits the performance of a public function through a contract for services by a religious
organization, even if the program is conduqedneutrally, without reference to such beliefs and practices. [The words
of this prohibition have their ordinary meanings. In Ben;1ett v. City of LaGrange, 153 Ga. 428(1922), the Supreme
Court indicated that "religious" connotes faith in God, J 53 Ga. at 433, or, as the dictionary puts it, belief in the
supernatural as creator and governor of the universe. The American Heritage Dictionary Second College Edition 1044
(1982). "The term 'church' is one of very comprehensive signification, and imports an organization for religious
purposes, for the public worship of God." J 53 Ga. at 433. "Sect", "cult" and "denomination;' also relate to a "distinct
organization," with "a common system of faith," "holding sentiments or doctrines" which distinguish it. "Institution"
may have a similar meaning related to "organization," but may also mean a "custom, practice, relationship, or behavioral
pattern of importance in the life of a community or society." The American Heritage Dictionary Second College Edition
666(.1982). In other words the grant recipients may not contract for services with any entity organized out of belief
in God or other supernatural beings. It is a "comprehensive signification." 153 Ga. at 433.] AUGUSTA may not
contract for services with any entity organized out of belief in God or other supernatural beings.
9. ORGANIZATION certifies that AUGUSTA has made inquiry of ORGANIZATION as
to whether it is "organized out of belief in God or other supernatural beings" and ORGANIZATION hereby
certifies to AUGUSTA that it is not so organized and that it is not a religious ORGANIZATION as defined
above.
] O. AUGUSTA may terminate this Agreement, with or without cause, upon five business days
written notice to the ORGANIZATION. Ifat the time of termination, any funds under this Agreement have not been
disbursed to the ORGANIZA nON, said funds shall be retained by the City.
11. In addition to the indemnification provision set forth in paragraph 4 hereof,
ORGANIZA TION agrees that this Agreement shall terminate should it be determined the Grant from the State to
AUGUSTA is in violation of any law or be declared invalid for any reason, and ORGANIZATION shall refund or
reimburse to AUGUSTA any monies paid pursuant tothis Agreement.
12. All claims, disputes and other matters in question between the AUGUSTA and
ORGANIZATION arising out of or relating t6 the Agreement, or the breach thereof, shall be decided in the Superior
Court of Richmond County, Georgia. ORGANIZATION, by executing this Agreement, specifically consents to venue
in Richmond County and waives any right to contest the venue in the Superior COllIt of Richmond County, Georgia.
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13. All notices, demands, and requests which mayor are required to be given ORGANIZATION
shall be in writing and shall be deemed to have been properly given when sent postage pre~paid by registered or certified
mail (with return receipt requested) addressed as follows:
NA TlONAL HILLS CLUB, INC,
1107 f>rock u..::>ood br.
~s.{...q GA 30 q o~
10;.- 3(;;, - ~C;"} (...
IN WITNESS WHEREOF, the undersigned have caused these presents to be executed by their proper
officers and hereunto set their hands and affixed their seals, the day and year first above written.
ATTEST:
Title:
+BY
NATIONAL HILLS CLUB, INC.
ORGANIZATION
By~~.
Asits~D0
Sworn to and subscribed
before me this _ day of
,2002.
Notary Public
My Commission Expires:
5
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. Grant No. GEF-02-E09-231
STATE OF GEORGIA
COUNTY OF DEKALB
STATE OF GEORGIA
DEPARTMENT OF COMMUNITY AFFAIRS
AGREEMENT FOR GRANTING OF STATE FUNDS
THIS AGREEMENT entered into this 3rd day of June, 2002, by and between the Department of
Community Affairs of the State of Georgia (hereinafter referred to as the "Department") and Augusta-
Richmond County,. a political subdivision of the State of Georgia (hereinafter referred to as the
"Recipient. ")
WHEREAS, the State of Georgia desires to promote the he?lth and welfare of its citizens; and
WHEREAS, mutual cooperation and assistance between the state and its political subdivisi~ns
is beneficial to the administration of programs to assist the citizens of the state; and
WHEREAS, the Department is authorized by the provisions of a.c.G.A. 1350-8-8 to grant and
administer public funds in furtherance of the public purposes specified therein; and
WHEREAS, the Recipient warrants that it is a validly existing and in good standing under the
laws of the State of Georgia and has all requisite power and authority to enter into this Agreement and
expend funds for the purposes set forth herein;
NOW, THEREFORE, in consideration of the mutual covenants and warranties contained
herein and other good and valuable consideration, the receipt and sufficiency of which is hereby
acknowledged, the parties agree and covenant as follows:
'1. Scope' of Pro1ect. .The Department shall upon the terms and conditions contained
herein grant to Recipient, and the Recipient hereby accepts, an amount not to exceed $10,000 to be
used solely for the purposes specified in the attached Exhibit A, which is incorporated herein by
reference and made a part of the Agreement.
2. Accountabilitv. The Recipient agrees to expend said funds solely in conformance with
this Agreement and to account for said funds in accordance with generally accepted accounting
principles. Any funds not expended for the 'purposes provided herein shall be returned to the
Department, no later than completion of the project.
3. Disbursement of Funds. Subject to the availability of funds for such purpose, the
Department shall pay the Recipient in accordance with the following payment schedule:
$10,000
Within twenty days of the Department's receipt of the executed
Agreement.
$10,000
Total Disbursement
4. Applicable Dates. The effective date of this Agreement is specified on page one..
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;/ Grant No. GEF-02-E09-231
Page 2 of 5
5. Conflicts of Interest. The Recipient warrants and represents that all of the officials.
agents and employees of the Recipient have not violated any applicable federal, state or local conflict of
interest laws, ordinances. rules or regulations. including .but not limited to, a.c.G.A. !345-10-20
through !345-1O-28 and a.c.G.A. !336-67 A-I through !336-67 A-6 and that the aforementioned parties
shall continuously comply with the same throughout the term of this Agreement. Additionally, the
Recipient attests that all officials of the Recipient have certified the same.
6. Enforceable and Legally Binding Act. The Recipient certifies that it is duly organized.
validly existing and in good standing under the laws of the State of Georgia; that it has all the
requisite power and authority to enter into this Agreement and to assume the responsi~ilities herein
including the expenditure of funds; and that all necessary actions have been and Will be taken in
conformance with all applicable laws to make this Agreement and actions hereunder valid. enforceable
and legally binding acts of the Recipient.
7a. Monitoring and Auditing. Upon request. the Recipient agrees to provide the
Department with any information. documents and/or photographs the Department deems necessary
to monitor performance of this Agreement. The Recipient agrees to maintain proper and accurate
books. records and accounts reflecting its administration of Agreement funds and compliance with all
applicable laws. Such documentation shall be retained for at least three years from the completion of
said project and shall be made available to the Department upon request. The Recipient further
agrees that an accounting of these funds shall be included in the next regularly scheduled audit or
financial statement of the Recipient and any future audits or financial statem~nts until all
expenditures of Agreement funds have been accounted for. The Recipient acknowledges and agrees
that any unresolved findings of the Department concerning expenditure of project funds. whether
based on an audit report. financial statement. project completion report or independent investigation
of the Department. shall preclude the Recipient from applying for or receiving any further grants,or
other ftinds from the Department. until such findings are resolved to the satisfaction of the
Department.
Th. Grant Certification Form. The Recipient agrees to comply with the terms and
conditions of a.c.G.A. !336-81-8.I 'with respect to the completion and submission to the State Auditor
of a "State of Georgia Grant Certification Form" for the funds covered by this Agreement. The failure to
comply \\lith the requirements of a.c.G.A. ~36-81-8.1 shall result in the forfeiture of such grant and
the return to the state of any such grant funds that have been received by the Recipient.
8. Open Meetings. The Recipient certifies that in approving this Agreement. it has
complied with all the open meeting requirements of Chapter 14 of Title 50 of the Official Code of
Georgia Annotated.
9. No Agency or Partnership.' Nothing herein nor any actions of the parties hereto or their
agents or employees shall create any agency relationship. partnership or joint venture. between the
Depa,rtment and the Recipient. The Department is not an agent or representative of the Recipient a'nd
. the Recipient is not an agent or representative of the Department. The Recipient shall be solely
responsible for performing any and all obligations under this Agreement.
10. Termination. The Department may terminate this Agreement. with or without cause,
upon five business days written notice to the Recipient. If at the time of termination. any funds under
this Agreement have not been dIsbursed to Recipient. said funds shall be retained by the Department.
. -f,
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.f\ Grant No. GEF-02-E09-231
Page 3 of 5
11. Satisfaction. In the event the Department determines, in its sole discretion, that the
Recipient: (i) has failed to comply with the terms of this Agreement in a timely manner; (ii) has failed to
complete all or a portion of the actions required under the Agreement; (iii) has acted in any way
contrary to the purposes for which the grant was awarded; or (iv) has violated any federal, state or
local law, ordinance or regulation, the Recipient shall be required to return to the Department all
funds disbursed under this Agreement, upon request.
12. Sectarian Aid. (a). One of the constraints imposed by the Georgia Constitution on the
implementation of grants through private parties is the prohibition against sectarian aid. In the words
of the Constitution, "No money shall ever be taken from the public treasury, directly or indirectly, in
aid of any church, sect, cult, or religious denomination or of any sectarian institution." Ga. Const.,
Art. 1, Sec. II, Par. VlI.
(b). The "Sectarian Aid" clause prohibits the performance of a public function through a
contract for services by a religious organization. Bennett v. City oj LaGrange, 153 Ga.
428 (I922) (city may not engage Salvation Army to conduct welfare program). . This is
true even if the program is conducted neutrally, without reference to such beliefs and
practices. 1988 Op. Att'y Gen. Att'y Gen. No. U88-6.
(c). The words of this prohibition have their ordinary meanings. In Bennett, the Supreme
Court indicated that "religious" connotes faith in God, 153 Ga. at 433, or, as the
dictionary puts it, belief in the supernatural as creator and governor of the universe.
The American Heritage Dictionary Second College Edition 1044 (1982). 'The term
'church' is one of very comprehensive signification, and imports an organization for
religious purposes, for the public worship of God." 153 Ga. at 433. "Sect". "cult" and
"denomination" also relate to "a distinct organization;" with "a common system of
faith," "holding sentiments or doctrines" which distinguish it. "Institution" may have
a similar meaning related to "organization," but may also mean a "custom, practice,
relationship, or behavioral pattern of importance in the life of a community or
society." The American Heritage Dictionary Second College Edition 666 (1982). In
other words the grant recipients may not contract for services with any entity
organized out of belief in God or other supernatural beings. It is a "comprehensive
signification." 153 Ga. at 433.-
(d). Without limiting any other provision of this grant agreement, it is the responsibility of
the Grant Recipient to comply with this prohibition and to conduct such factual
inquiries as may be reasonably necessary to enforce it, and the Recipient's acceptance
of the'grant constitutes a promise to do so. No act or failure to act by DCA in regard
to the submission will waive the requirement of compliance or prevent th'e State from
asserting noncompliance.
13. Entire Agreement. This Agreement constitutes the entire agreement among and
between the parties. There are no representations, oral or otherwise, other than those expressly set
forth herein. No amendment or modification of this Agreement shall be binding unless both parties
have agreed to said modification in writing.
[Executions on following page]
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Grant No. GEF-02-E09-231
Page 40f 5
IN WITNESS WHEREOF. the parties hereto have executed this Agreement as of the date first
written above.
FOR THE RECIPIENT
By:
I
.cpJ
Federal Employers l.D. Number:.
58-2204274
Attachments: Exhibit A. "Scope of Services"
FOR THE DEPARTMENT OF COMMUNITY AFFAIRS
By: ~~ vJ~
Laura J. Meadows. comrr4'>~
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r Grant No..GEF-02-E09-231
Page 5 of 5
EXHIBIT A
The Governor's Emergency Fund Grant shall be used by Augusta-Richmond County for the
National Hills Club, Inc. for pool repairs.
. If the preceding statement of purpose designates a private program or entity for
accomplishing its purpose, the. purpose must be accomplished through a contract
for services by the named private entity, or the private entity that conducts the
named program. If the appropriation specifies not only an implementing entity but
also a use of funds by the entity, such as improvement of a facility, Grant Recipient
must impose that use as a condition in the contract for services. The services must
provide the Grant Recipient with a substantial benefit.
. To illustrate, suppose the appropriation is for a grant for renovating the facility of an
historical society. An appropriate implementation might be a contract for services
in which the historical society promises that its historical displays will be open to
the public during stated hours for a stated term. Or a grant for cataloging the
society's papers might be implemented by a society promise. to conduct public
lectures at the Grant Recipient's own historical sites. These are illustrations only.
. It is a responsibility of Grant Recipient to see that its undertaking is lawful and the
return is substantial. No act or failure to act by DCA will waive the requirement of
compliance or prevent the State from asserting noncompliance.
rJ
STATE OF GEORGIA G~NT CERTIFICATION FORM
As required by House Bill 1364 of the 1998 Session of the General Assembly, each grant of state
fupds to a local government from the governor's emergency fund or from a special project
appropriation shall be conditioned upon the receipt by the state auditor of a properly completed
grant certification form. One Grant Certification Form should be prepared for each grant
awarded to the local government. The Grant Certification Form(s) should be submitted to the
State Auditor with one c,opy of tbe annual audit report. . Questions concerning the' preparation
and submission of this form should be referred to Local Government Audit Section of the Georgia
Department of Audits and Accounts. .
Instructions for Completion ,
1. Complete lines A through K on page 20f thislorm. Please note that one fo~ should be used for
each grant from the governor's emergency fund~r from a special project appropriation.
2. The appropriate officials should sign .and date the section entitled "Certification of Locci1
Government Officials."
3. Attach Independent Accountant's Report.
4. Mail the Grant Certification Form (including Independent Accountant's Report) with one copy of the
audited annual financial report to:
State of Georgia, Department of Audits and Accounts
Local Government Audits Division
254 Washington Street, S.W.
Suite 322
Atlanta, Georgia 30334-8400
5. If the local government meets the eligibility criteria for an agreed upon procedures engagement in
accordance with the provisions of the Official Code of Georgia Annotated Section 36-81-7, the local
government is responsible for ensuring that the procedures performed by the independent certified
public accountant are sufficient in scope to enable the CPA to complete the Independent
Accountant's Report. These procedures include examination of grant application and award
. documentation to become familiar with the terms and conditions of the grant; verification of receipt
of grarit proceeds; and evaluation of the local government's documentation of expenditures. The
purpose of these procedures is to comply with the provisions of House Bill 1364 requiring
certification that the grant funds were used solely for the express purpose or purposes for which the
grant was made.
6. . Whether the local government engages an independent certified public accountant to perform an
audit or perform the agreed upon procedures,for.purposes of meeting the requirements of House Bill
1364 the independent CPA should be engaged to examine management's assertion of compliance
with the requirement to use grant funds solely for the express purpose or purposes for which the
grant was made. The independent CPA should conduct the engagement in accordance with the
standards for examination engagements for compliance attestation contained in the Codification of
Statements on Standards for Attestation Engagements.
7. This form and the accompanying Independent Accountant's Report is required to be filed with the
state auditor in conjunction with the annual audit for each year in which grant funds are expended or
remain unexpended by the local government. .
8. Questions concerning the provisions of House Bill 1364, the State of Georgia Grant Certification
Form,' or attestation engagements should. be referred to Edward Blaha, Deputy Director, Local
Government Audit Section, at the address listed above; telephone (404) 651-5115; fax (404) 651-
5608; or e-mail blahaef@mail.audits.state.ga.us
1
.STATE OF GEORGIA GRANT CERTIFICATIClN FORM
A Local Government
B Information For Year Ended
I
.
C State Awarding Agency
.
D Grant Identification Number
E Grant Title
F Grant A ward Date
G Grant Amount
H Balance - Prior Year (Cash
or Accrued or Deferred
Revenue)
I Grant Receipts or Revenue
Recognized
J Grant Disbursements or
Expenditures
K Balance - Current Year (Cash
or Accrued or Deferred
Revenue)
(Line H + Line I - Line 1)
Certification of Local Government Officials
I have reviewed the information presented above and. certify that it is accurate and correct. I further
certify that the proceeds of the grant award identified above were used solely for the express purpose or
purposes for which the grant was made. . I understand that failure to comply with the provisions of the.
law applicable'to this grant award shall result in a forfeiture of such grant and the return to the state of
any such grant funds received.
Signature of Chief Elected Official
Date
S~gnature of Chief Financial Officer
Date
-;.,. i
,
'.i.
.
Independent Accountant's Report
We have examined management's assertion included in the accompanying State of Georgia
Grant Certification Form about [name of government]'scompliance during the fiscal year ended
[date] with the requirement to use grant proceeds solely for the purpose or purposes for which
the grant was made for:each of the following grant award(s):
[Individually identify each grant award of governor's emergency funds and/or special
project appropriation.]
Management isresp?nsible for [name of government]'s compliance with this requirement. Our
responsibility is to express. an opinion on management's assertion about the [name of
government]'s compliance based on our examination.
Our examination was made in accordance with standards established by the American Institute of
Certified Public Accountants and, accordingly, included examining, on a test basis, evidence
about [name of government]'s compliance with this requirement and performing such other
procedures as we considered necessary in the circumstances. We believe that our examination
provides a reasonable basis for our opinion. Our examination does not provide a legal
determination o~ [name of government]' s compliance with the specified requirement.
In our opinion, management's assertion that [name of government] complied with the
aforementioned requirement for the fiscal year ended [date] is fairly stated, in all material
respects.