HomeMy WebLinkAboutBlack Hawk County Gaming Association-Grant Application-09.08.2009 BLACK HAWK COUNTY : 9` 8 -� f
GAMING ASSOCIATI � 7
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HELPING THE CEDAR VALLEY PROSPER
Organization: Waterloo Police Department Grant#:9402
Project Name: Cops' n Kids Literacy Program Amount: $10,000
Upon acceptance of this grant the grantee agrees to the following:
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 requested 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
projects(sI specified in the r nt application.
Print Name: INITIAL(1) exit_
The grant may be subject to special conditions listed below:
SPECIAL CONDITIONS:
The following special conditions are required in order to receive payment and shall become part of this agreement:
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3. Billing must be submitted to Black Hawk County Gaming Association within 6o days of the completion of the i2 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 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
5. The grantee shall be a tax exempt entity at the time the award is paid.
PAYMENT OF GRANT AWARD:
To receive payment,documentation of the expenditure of the funds,acceptable to Black Hawk County Gaming • ociatio
must be submitted. If the grant is for capital or other purchased services,invoices or signed accepted bids/contrac
acceptable to Black Hawk County Gaming Association must be submitted to obtain payment. If the grant covers . • .•
and or/contracted services,submit a statement,acceptable to Black Hawk County Gaming Association,verifying t :t ip
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.
229 E. Park Avenue, Waterloo, Iowa 50703 • Phone 319.433.1153 • Fax 319.235 2891 • ohcg . erg