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Home My WebLink AboutGRANT AGREEMENT FOR AUGUSTA RICHMOND COUNTY LIBRARY $2,492,000.00 This AGREEMENT made and entered this 1st day of January, 2011, 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 Augusta Richmond County Library, (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 OPERATIONS OF THE AGENCY Whereas the amount of $ 2,492,000.00 are now available for use by AGENCY., according to the GENERAL FUND BUDGET ADOPTED ON November 16,2010. 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 Expense $ 2,492,000.00 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 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. 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: LQJ7(r r - Mayor ATTEST: / By: /a /% / V r Clerk of Commission ORGANIZATION: I r k ra r y AGENCY By: / �.� As its ATTEST: Tiladokli 41, 0 ccit-/ As its 0A/iti cart -- ,. me - k relv rii a 5 We J re --t 4 () 1 0 /.. Ci' / 00 t jerineo - f aye ii.._ W 9 FOITI1 Pz Request for Taxpayer ,I Give form to the ;floy. October :2).-CiTi i identification Number and Certification requester. Do not OqaTtrmait al rho Troa soy send to the IRS. linanal P» Sento 1 Nffa (as Mown on yota 1 i rottrin V 6 /91i I ;bfary 6f 10 khrgri 4'55 0 cr, a BArstions - If drrararit lrom obovo / j , , / 1 tr -pich rho/id 601i oTy Pi / c i-,/ Platy L. g Chick acpropricia boo 0 riII o proFri.ta 0 Corparollal 0 Partnenrip Zs 0 Ltntiod Witt ocapairy. Erna the tat ctuallkolla, (twrilsrosorclad artlay, c—capDrallon, P.prrinorsiip • El Eaornnt L ''' For. '6 2 0 Orticr aolrolTirlais) • ' ,5 L 'd klca•ask,(nienba, stoat, and apt or sutia no.) Ficliantors, m 4ci ama oral rroon toptbnal) t.e 14',41r _St: 1 aly, Rau, on.1 EP cod ce.. 4_ ..—.? 0 1 / $ Liat w.xtrit Ns) hue !optional) al Lan TaXpaysr losntifidatiori Number (11N) Enter your 11N In Me Etpproprlate box. The 11N proviced rust match The name Igen on Une 1 to avoid so:fill oacurtt7 numlwr backup wIthhotIrg. Pa Ineltdduals, this Is your social security runber (S81+1). liveater, for a resident ellen, sole propileta, cr dbreganled entity, see the Part 1 its on page 3. Fcr /her errUlles, It b you employer Identation wither (El. If you do not have a number, see Haw ro gat a MN on page 3. Cir Note. IT the account Is In more reen one nerve, sw to chart on page 4 tax guidelines an %hose Employer lclanttiloatIon rumbor nurrter. to errter. Part 11 CailtfiCatiOn Under psnattles of porlury, I certify Tar 1. Tre nunber shown cri Vs Tann Is rrry correct taxpzier 'decantation numter for I Ern walthg for a nurrioer to to issued to net, and 2. I am not subleot to backup wIthdding teCaUSe: (0) I am exempt 'Irani backup tetthroldrig, or p) 1 ism not been notified by the 'darnel Revenue %Mae IRS that I am sale/ tro baclais withholding as a result or a failure to report all Interest cc dyldenls, or (c) Ire IRS has riled rne that I arn no longer sublect to backw viltrinokirg and 2. I ant a U.S. strizen or otter U.S, person (dgned below Certification Instructions, You must cross out ttem 2 above if you have been notInel by the IRS that you are currerttly sunset to backup Altriroidrig be:-ause you have tale to report at interest ald dividends on your tax. return. For real estate tntrinacticris, than 2 sloes not appiy, Fix mortgage interest pied, acquisition or abandonment of easurai property, carballation DT debt, scintrtuttras to an 11 retirement arnargernant Pk and generally, payrnarrb /her than Interest and cialsiencts, you ate not required to NT tie Certinsaltri, but you mmt provide your correct TIN. Sea the Instructions cri rep 4. Sign Bigialixo at i Fiore ti,E, paroofi IP 41/ ( ifil/V071- ma • / 3 ' 6 1) General Instructions Dentition of a US. parson. federal tax .„, ..:,-, you are considered a U.S. pereon if you area Section rafererces are to the Internal • : :nue Code unease • An individual who ne a U.S, citizen cc U,S. resident then, otherwise noted. * A partnership, corporation, oompany., or aseociation crested or Purpose of Form organized in the United Stet* or under the taws of the United A person wto its rewired to fie en informedly return with the State% IPS must obtain your oorrect taxpayer identificatim number (TIII *M setae (other than a foreign eetats), or to report, for example, income paid to you reel elatets i A olorneetic trust (as defined in Regulations eKtion trennotione, mortgage intereg you paid, acciisition a 301.77'01 abandonment of sealed property, cenceilation of debt, or Spei6al mks for partnerships, Palrogahipathza =duct 0011111 0r r u made to an IPA, trade or bueneae in the United &etee ere generally recpired to Llee ForrnW-s only if you ere a U.B. person including a pay a withholding ta4 on anyforeignertnene share of income resident elan), to provide your correct 1 to the person from such business. Further, in certain cases where a Form W-S requesting it (the requegerl and, when applicabie, to; here rat been reoeiyed, a panned is reqiired to preeume that 1. Centi that the TIN you era giving is correct tor you ere a partner is a foreign pemon, and pay the withholding tax. wailing for a number to beiesu t, Therefore, if you ere e U.S. person that is a partner n e partnerehip conduotng a trade or buainese in the United Stelae, a Certify that you ere nit subject to bispoktp withholding, or provide Form W - s to the partnership to 8061:Usti your U.S. 3. Claim exemption from backup withholding if you are a U.& &MS and avoid withholoing on you ehare of partnershb exempt payee_ If spolicable, you ere also certifyir certifying that es a income. U.S. person, your a °cable share of any partnership iloorne from The parson who rives Form Yir to the partnership for a U.S. trade. or business is not eibject to the . ovithholdirpg tecK on purposes of seal:4'14ring its U.& status and Envoicirig erithholding foreign partnere' share C effectively connected iroorre. on rte allocable share of rpat income from the pertnership Note. If a requeoter gives you a form otter than Form W-2 to condicting a trade or Waimea in the United States ie in the request your TIN, you rnuet use the requester's form if it ie folIctwing maw subetantialy similar to this Form W • The U.S. owner of a dienegerded entity end not the entity, cm. 1 tozatx Fon W-c) (Roy. 10-200.1)