HomeMy WebLinkAboutAGREEMENT BETWEEN AUGUSTA, GA AND CSB OF EAST CENTRAL GA DBA SERENITY BEHAVIORAL HEALTH SYSTEMS This AGREEMENT is made and entered this 1' day of January, 2017 between the
consolidated government of Augusta, Georgia, a political subdivision of the State of Georgia
(hereinafter referred to as "Augusta"), acting by and through the Augusta, Georgia
Commission, and CSB of East Central GA Dba Serenity Behavioral Health Systems,
(hereinafter referred to as the "Organization").
The Augusta, Georgia Commission 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$25,000.00 is now available for use
by the Organization, according to the General Fund Budget adopted on November 15th, 2016.
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 high Quality behavioral health and developmental disabilities care for the
citizens of Augusta and Richmond County.
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.
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As further consideration of the disbursement of said funds, the Organization 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 Organization shall provide Augusta with a narrative description of the program
and a detailed program budget. 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 followingTorms 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, 535 Telfair Street Suite 801,
Augusta, GA 30901 to the attention of Ms. Donna Williams, Finance Director or her
Designee.
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5. The Organization shall also submit a completed form W-9 to the Augusta Finance
Department.
6. The Organization shall provide their E-Verify number.
AUGUSTA, GEORGIA COMMISSION
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