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Follow Up
Waterloo Skatepark Project
Process: Spring 2019
Contact Info
Request
$ Award Details
Public Profile
Applicant:
Bob Etringer
bob.etringer@waterloo-ia.org
1101 Campbell
Waterloo, IA 50701 Black Hawk
Organization:
Waterloo Leisure Services
42-6005327
319-291-4370
1101 Campbell
Waterloo. IA 50701 Black Hawk
Contact Email History
® If your organization information does not appear correct, please contact the funder. Thank
you.
D LOI
Application
Th
Follow Up
l
FollowUp Packet
1
Question List
Due on 09/03/2019 12:00 AM CDT.
Fields with an asterisk (*) are required.
Question Group
Project Title*
Waterloo Skatepark Project
Amount Awarded
150,000.00
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Follow Up - Grant Lifecycle Manager Page 2 of 4
Total Project Budget
$ 350,000.00
Upon acceptance of this grant the grantee agrees to the
following:
GENERAL PROVISIONS*
Funds granted by the Black Hawk County Gaming Association shall be used by the grantee within
12 months of the official public announcement, unless otherwise specified or agreed to at the time
of the grant award, or by subsequent action of the Black Hawk County Gaming Association.
Projects must be started and completed on time and completed as presented. Failure to do so
may be cause for the Board to suspend future payments and demand refund of payments
rendered. A request for an extension must be submitted to the Black Hawk County Gaming
Association in writing prior to the expiration date specifying valid reasons.
n I agree to the above
USE OF FUNDS*
This award is to be used exclusively for the purposes specified in the grant, which may
represent all, or any of the proiects(s) specified in the grant application. It is further agreed
that should the grant prosect be altered subsequent to the award including but not limited
to content, description total prosect cost or percentage the award amount represents of
the total cost, the grantee shall promptly notify the Black Hawk County Gaming
Association. The Board may change the award amount depending upon the circumstances
presented.
1 agree to the above
GRANTEE ACKNOWLEDGEMENT*
The Grantee will acknowledge the contribution of Black Hawk County Gaming Association to the
program or project wherever and whenever appropriate. This will include, but not be limited to
news releases, construction signage, plaques for project sites, decals, brochure or programs, etc.
(For example: This program project made possible by funds contributed by the Black Hawk
County Gaming Association). Please submit copies of these acknowledgements to the Black
Hawk County Gaming Association for more information please refer to the Publicity Guide
I agree to the above
TAX STATUS*
The grantee shall be a public entity or 501 c3 tax exempt entity at the time of the award.
I agree to the above
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Follow Up - Grant Lifecycle Manager Page 3 of 4
PAYMENT OF GRANT AWARD*
To receive payment, documentation of the expenditure of the funds, acceptable to Black Hawk
County Gaming Association must be submitted. If the grant is for capital or other purchased
services, invoices or signed accepted bids/contracts, acceptable to Black Hawk County Gaming
Association must be submitted to obtain payment. If the grant covers consultant and or/contracted
services, submit a statement, acceptable to Black Hawk County Gaming Association, verifying
that the services were provided and itemize the expense incurred. The billing must be signed by
an authorized agent of the organization and contain the grant number listed above.
(®) I agree to the above
SPECIAL CONDITIONS
Billing must be submitted to Black Hawk County Gaming Association within 60 days of the
completion of the 12 month grant period or sooner if the grant funds have been spent. Please
send requests for payment which must include vendor invoice(s) or contract(s) signed by both
parties to:
425 Cedar Street, Suite 300A
Waterloo, IA 50701
none
r996 characters left of 1,000
Special Conditions Agreement*
The above special conditions are required in order to receive payment and shall become part of
this agreement.
(®) I have read and agree to the above special conditions
GRANTEE ELECTRONIC SIGNATURE*
Mayor Quentin Hart
GRANTEE SIGNATURE DATE"
rl 09/03/2019
Due on 09/03/2019 12:00 AM CDT.
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