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CITY OF EVERETT CORONAVIRUS I OCAL FISCAL RECOVERY FUND <br /> EVERETT FORWARD <br /> Grant Program <br /> Beneficiary Agreement <br /> Grantee I Cory Michaelis <br /> Program title Everett Forward Grant <br /> Grant amount$ $is,000 <br /> Agreement period From: inli/2on To 12/31/2022 <br /> DUNS No (if applicable) I SAM No.(if applicable) <br /> This Agreement is made by and between the City of Everett,a municipal corporation("the City")and Grantee to set <br /> forth the terms and conditions under which the City will provide a grant to Grantee under the Program to be used <br /> for costs incurred during the Agreement Period. <br /> 1. Scope of Eligible Expenditures. Grant funds may only be used to pay or reimburse eligible expenditures as <br /> described in the"Federal Terms"(Exhibit 1),and as detailed in the"Scope of Work"(Exhibit 2).No grant funds <br /> may be used to pay or reimburse expenditures for which Grantee has received any other funding,whether state, <br /> federal or 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 provisions, <br /> 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: Civil 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 a properly executed Payment Request Form (Exhibit 6), 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 after the close of each calendar quarter throughout the term <br /> of the Agreement. Funds shall only be disbursed after all documentation has been submitted. <br /> 5. Maintenance of and Access to Records. Grantee shall maintain all records and accounts with respect to all <br /> matters covered by this Agreement, including personnel, property,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 be <br /> maintained for a period of six(6)years after all funds have been expended or returned to the City,whichever is <br /> later, to ensure proper accounting for all funds and compliance with the Agreement. The City,the Treasury <br /> Office of Inspector General,and the Government Accountability Office,or their authorized representatives,shall <br /> have the right of access to records(electronic and otherwise) of Grantee in order to conduct audits or other <br /> investigations.Grantee acknowledges that records may be subject to disclosure under the Public Records Act, <br /> Ch.42.56 RCW. <br /> 6. Publications.Any publications produced with funds from this Agreement must display the following language: <br /> "This project [is being)[was)supported, in whole or in part, by federal award number SLFRP0152 awarded to <br /> City of Everett,Washington by the U.S.Department of the Treasury." <br /> ` EVERETT Everett Forward Grant Program Agreement Page 1 <br /> WASHiNGTON <br />