HomeMy WebLinkAboutAGREEMENTBETWEEN AUGUSTA GA AND SHILOH AGFREEMENT IN AMOUNT OF $8,760.00 This AGREEM is m and this 1st day of — January , 2014
between the consolidated government of Augusta, Georgia, a political subdivision of the n State
of Georgia (hereinafter referred ENT to as "Augusta"), entered acting by and through the Augusta, G eorgia
Commission, and Shiloh Comprehensive Community Center _, (hereinafter referred t as the
"Organization ").
The Augusta, Georgia Commission ade desires to contract with the above named
Organization and to provide funds to the Organization in exchange for the projects, services
and benefits to be provided by the Organization to Augusta as provided herein.
In accordance with this agreement, the amount of $8,760.00_ is now available for use
by the Organization, according to the General Fund Budget adopted on November 19, 2013.
For and in consideration of the mutual covenants and agreements between the parties,
it is agreed as follows:
Augusta agrees to appropriate the following sums to the Organization for the
following purposes:
1. _Provide services to the youth and senior citizens to improve the quality of life in
Augusta's inner city.
2.
3.
The Organization agrees to use such funds that it may receive, pursuant to this
Agreement, solely and exclusively for the above described purposes. For each specific
project, the Organization shall provide a Project Budget, attached hereto and incorporated as
part of this agreement.
As further consideration the disbursement said funds, the Organization sha
observe all conditions that the law imposes on use of of said funds, which shall include, but
not be limited to, the following:
1. The Organization shall provide Augusta is with a narrative description of the program
and a detailed program budget. of The budget should include all funding sources that the
Organization anticipates receiving.
2. The Organization shall provide the following information as part of the narrative:
a. Mission Statement
b. Performance Budget Overview
c. Budget Request
d. Summary
3. The Organization 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 Organization shall have an annual audit performed by an independent CPA Firm.
The Organization should specify Augusta, Georgia as a funding source. The
Organization shall provide Augusta a copy of the audited financial statements within
30 days of delivery of the audit by the CPA Firm. Said reports shall be delivered to
Augusta Finance Department, Municipal Building, 530 Greene Street, Augusta, GA
30911 to the attention of Ms. Donna Williams, Finance Director or her Designee.
5. The Organization shall also submit a completed form W -9 to the Augusta Finance
Depai tiiient.
6. The Organization shall provide their E -Verify number.
A l
UGUSTA, GEORGIA COMMISSION
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Clerk of Comm %\ 1 • „�
II. ORGANIZATION:
AGENCY
By '� . -� / +f —. ,, - -
As its (act 'tt L., . icc - 6(
ATTEST: .�
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As its 62 0(4-i" �� kav 1 Ull 7
Ledger: GL GL Budgets and Actuals with Encumbrance Fiscal Year: 2014
R eport Date: 12/31/2014 Fiscal Period: 12
Fund: 101 General Fund Budget Version: PE
D biect Description Budget Actual Encumbrance Balance
)rg. Key: 101061502 Shiloh Appropriations
)irector: agency
1721110 Agency Appropriation 8,760.00 0.00 0.00 8,760.00
Revenue & Transfers In: 0.00 0.00 0.00 0.00
Expenditure and Transfers Out: 8,760.00 0.00 0.00 8,760
Net: - 8,760.00 0.00 0.00 - 8,760.00
Grand Total (RV & TI) by Fund: 101 0.00 0.00 0.00 0.00
Grand Total (XP & TO) by Fund: 101 8,760.00 0.00 0.00 8,760.00
Net: - 8,760.00 0.00 0.00 - 8,760.00
User: SK10679 Page: 1 Current Date: 06/20/2014
Report: GLBudgetandActualsl Current Time: 10:19:25