HomeMy WebLinkAboutAGREEMENT BETWEEN AUGUSTA GA AND THE BEULAH GROVE MEDICAL CENTER DBA LAMAR MEDICAL CENTER $49,500.00 This AGREEMENT made and entered this 1 st day of January, 2012, 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
Beulah Grove Medical Center dba Lamar Medical Center, (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 FLINDS FOR THE OPERATIONS OF
THE AGENCY
Whereas the amount of $ 49,500.00 are now available for use by AGENCY.,
according to the GENERAL FLTND BUDGET ADOPTED ON November 15, 2011;
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:
Operating funds $49,500.00
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 �
,- ' 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 audited 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.
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