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Home My WebLink AboutAGREEMENT BETWEEN AUGUSTA RICHMOND COUNTY AND STATE OF GA OPERATING EXPENSE DOWNTOWN AUTHORITY $154,610.00 This AGREEMENT rnade and entered this 1 st day of January, 2012, between Augusta, Georgia, acting by and through the Augusta-Richmond County Commission, a politicai subdivision of the State of Georgia {hereinafter referred to as "Augusta" or "County"}, and the Dvwntown Development Authority, (hereinafter referred to as the "4rganization" 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 $ 154,610.00 are naw available for use by AGENCY., accarding to the GENERAL FUND BUDGET ADOPTED ON November 15, 201 l. 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 $ 154,610.00 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 timited to, the following l. 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 cantractor. Said reports shall be delivered to Augusta Finance Department, Municipal Building Augusta, GA 30911 ta the attention of Ms. Donna Williams, Finance Director or her Designee. 5. The agency shali also submit a completed form W-9 to Augusta Finance Department. AUGUSTA-RICHMpND COUNTY COMMISSION B r.-�.. �.��w�,� Mayor Pi�+� — .4.�� , ]a%° �r�� y 4 � qr�� ' iC' � �.00eoss�� 1 �+ ATTEST: , ,� �� - • '•, t ��: �1� ' �' •° � � '� I , "� �'-,� • .�' I By: 3 '� � . s •S �� :ty a,. p ��` r C�� ,% y7'x.. � ^ ., w.a. �� ? t` �/� Clerk of Com��si�n� �' � � � ��'" ;? � �� ';�: ;�' f . ''. � � U �t `':, � , o , �a�n;��: ° ,� " �S ��tt� 4 aE;,Q.��i.vr , "� ,- " y. � � ��Yl'��.b,�'►:��" --" ORGANIZA'T10N: '�,, _ . . AGENCY � - � - . . By: ,� a r�m.;� T w�r�a raC— As its �( ,c�c � v G �J ATTEST: ,r� `' � '` F-�.`� ' �— ` . �I AS ics U �`n �• ��- Form ��9 Requesfi for Taxpayer Give Form to the (Aev, December 2011) Identification Number and Certification requester. Do not Department of the Treaswy send to the IRS. Internal Revenue 5ervice Narrte (as shown on your income tax return) I4v�1�Ur1 � C� �1 N Buslness nameld�sregarded entity name, if dif rent from above d rn � a Check approprlate box tor federal tex classification: c � ❑ Individual/sole ro rielor C Cor oration m � p p ❑ P ❑ S Corporetion ❑ Partnership ❑ Trust/estate �� 4 ❑ Exempt payee ❑ Limited llabflity company, Enter ihe 1ax classitication (C=C corporation, S=5 corporation, P=paMnership) ► o ------•-•----------------------- � a '� �Other (see Insirucibns) ► � �/ � u != tlrsss (numb sireet, and apt. or suite no.) Flequester's name and dddress (optional) �. 3 ��vG �S e e -�- .5�;�-e. I� 1 � City, state, and ZIP code � 3 ��► u List acco number(s) here (optional) Taxpa er ldentification Number IN) Enter your TIN in the appropriate box. The 71N provided must match the name given on the "Name" line gociar security number to avoid backup withholding. For individuals, this is your social security number (SSN). However, tor a �_ m ^� . resident alien, soie proprietor, or disregarded entity, see the Part ! instructions on page 3. For other entities, it is your employer identitication number (Elt�. If you do not have a number, see Now 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 Empioyer ldentff;cation number number to enter. � — � �I � 0 4 c� 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 mej, and 2, f 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 (cj the !RS has notified me that I am no longer subject to backup wiYhholding, and 3. f 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 al! 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, canceliation 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. Sl�n Signature of A ,�� Here U.S. person ► ./'�C � � Q'ro (��, Date ► 3 ' g ' ! � Cierlel'a� �I1St1'UCtIOr1S Note. If a requester gives you a form other than Form W-9 to request Section references are to the Internal Revenue Code unless otherwise Your TIN, you must use the requester's form if it is substantialiy similar noted. to this Form W-9, Definition of a U.S. person. For federal tax purposes, you are PUI'pOSE �f FOPI'Yl considered a U.S. person if you are: A person wha is required to file an information return with the !RS must � An individual who is a U.S. citizen or U.S. resident alien, obtain your correot taxpayer identification number (T'IN} to report, for • A pa�tnership, corporation, company, or association created or example, income paid to you, reai estate transactions, mortgage interest organized in the United States or under the laws of the United States, you paid, aCquisition or abandonment of secured property, cancellation . An estate (other than a foreign estate}, or oF debt, or contributions you macle to an IRA. Use Form W-9 onfy if you are a U.S. person (including a resident • A domestic trust (as defined in Regulatio�s section 30t.7701-7). alien), to provide your correct TIN to the person requesting it (the Special rules for partnerships, Partnerships that conduct a trade or requester) and, when applicable, to: business in the United States are generaliy required to pay a withholding tax on any foreign partners' share of incorne from such business. 1. Certify that the TIN you are c�iv(ng is correct (or you are waiting for a Further, in certain cases where a Form W-9 has not been received, a number to be issued), partnership is required to presume that a partner is a foreign person, 2. Certify that you are �ot subject to backup withholding, or and pay the withholding tax. Therefore, if you are a U.S. persort that is a 3. Claim exemption from backup withholdtng if you are a U.S. exempt partner in a partnership conduCting a trade or business in the United payee. If applicable, you are also certifying that as a U.S. person, your States, provide Form W-9 to the partnership to establish your U.S, allocable share of any partnership income from a U.S. trade or business status and avoid withholding on your share of partnership income. is not subject to the withholding tax on foreign partners' share of effectively connected income. Cat. No. 10231X Form W-9 (Rev. 12•2011)