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{|TvOF FvEnETTcOROmAvmu Ai. 1, RELOVEk, 1:umD <br /> =EVERETT F70RVVVARD <br /> Grant Program <br /> , <br /> Beneficiary <br /> Grantee Village Theatre <br /> Program title Everett forward Grant <br /> Grant amount$ 35,000 <br /> Agreement period From: 11/30/2021 To 12/31/2022 <br /> DUNS No.(if applicable) SAM No.(if applicable) MST6TKMBMW76 <br /> This Agreement isnwdebyandbemv entheCitynfEveeu,amunicipa|curporatNn('thpCity")and5rmnteetoeg <br /> forth the terms and conditions under which the City will provide a grant to Grantee under the Program tobeused <br /> for costs incurred during the Agreement Period. <br /> 1. Scope of Eligible Expenditures. Grant funds may only be used to pay o/ reimburse eligible expenditures as <br /> described in the"Federal Terms" (Exhibit 1)'and as detailed in the"Scope of Work"(Euhibit2).No grant funds <br /> may be used to pay or reimburse expenditures for which Grantee has received any other funding,vvhetherstate^ <br /> federal n/private in nature,for that same expense. <br /> 2. Grantee Responsibilities.Grantee understands and agrees that funds provided under this Agreement may only <br /> be used in compliance with section 603(c)of the Social Security Act("the Act"),as added by section 9901 of the <br /> American Rescue Plan Act("ARPA"),the U.S.Department of Treasury's("Treasury's")regulations implementing <br /> that section,guidance issued by Treasury regarding the foregoing,and any other applicable federal <br /> provisions, including those described in the"Federal Terms"(Exhibit 1). <br /> 3. Grantee Certifications.Prior to any disbursement of funds authorized by this Agreement,Grantee shall provide <br /> the City with: ci"U Rights Certification Form (Exhibit 4), the Lobbying Certification Form (Exhibit 5) and, if <br /> applicable,the Lobbying Disclosure Form(Exhibit 6). <br /> 4. Request for Payment. Grantee shall submit m properly executed Payment Request Form (Exhibit 7), Cost <br /> Certification(Exhibit 3)and supporting documentation for the expenses therein as frequently as desired,but at <br /> a minimum no later than fifteen(15)working days afterthe close of each calendar quarter throughout the term <br /> of the Agreement. Funds shall only be disbursed after all documentation has been submitted. <br /> S. Maintenance of and Access to Records. Grantee shall maintain all records and accounts with respect toall <br /> matters covered by this Agreement, including personnel, prnperty, financial, and programmatic records and <br /> documents sufficient to evidence compliance with section 603(c) of the Act Treasury's regulations <br /> implementing that section, and guidance issued by Treasury regarding the foregoing. These records shall <br /> be maintained for a period of six(6)years after all funds have been expended or returned to the City, <br /> whichever islater, to ensure proper accounting for all funds and compliance with the Agreement. The City, <br /> the Treasury Office of Inspector General,and the Government Accountability Office,ortheir authorized <br /> representatives,shall have the right of access tu records (electronic and otherwise) wf Grantee in order to <br /> conduct audits or other investigations.Grantee acknowledges that records may be subject tndisclosure <br /> under the Public Records Act,Ch.4l5hRCVV. <br /> 6. Publications.Any publications produced with funds from this Agreement must display the following language: <br /> "This project (is hring]|was] supported, in whole or in part, by federal award number6LFRPO2G2 awarded to <br /> City of Everett,Washington hy the U.5.Department of the Tr*asury." <br /> ���«����:�� <br /> »~ � °~"~~~ ~ " Everett Forward Grant Program | Agreement | Page l <br /> ��v W^oo/warOm <br />