HomeMy WebLinkAboutBlack Hawk Gaming Association-Grant Application-03.24.2008 (5) BLACK HAWK COUNTY 3,s `I�og
GAMING ASSOCIATION :, R ") �o��'- � 3
HELPING THE CEDAR VALLEY PROSPER
Organization: Ci j Grant U: iovS
Project Name: .e-.1'ver�r 'ef Amount: e s-i�
Upon acceptance of this grant the grantee agrees to the following: moo,
GENERAL PROVISIONS:
1. 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 extension must be submitted to the Black Hawk County Gaming Association in writing prior to
the expiration date specifying valid reasons. Payments will match the percentage of BHCGA's commitment to the total
project budget.
2. This award is to be used exclusively for the purposes specified in the grant,which may represent all,or any of the
proiect(s)specified in the grant application.
Print Name: /1-7.cyoi ) ' `'`-r, INITIAL(1)VA
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The grant may be subject to special conditions listed below. L
Print Name: INITIAL(2)
3. 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:
Black Hawk County Gaming Association
229 East Park Avenue
Waterloo, IA 50703
4. 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 site,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.
5. The grantee shall be a tax exempt entity at the time the award is paid.
SPECIAL CONDITIONS:
The following special conditions are required in order to receive payment and shall become part of this agreement:
227 E. Park Avenue, Waterloo, Iowa 50703 • Phone 319.433.1153 • Fax 319.235.2891 • bhcga,org
B L ,A C K HAWK COUNTY
GAMING ASSOCIATION :�� �
HELPING THE CEDAR VALLEY PROSPER
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.
22S. E. 1-ark Avenue, Waterloo, Iowa 50703 • Phone 319.433.1153 • Fax 319.235.2891 • bhcga.org
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