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HomeMy WebLinkAboutThe David and Lucile Packard Foundation11/04/04 '.1:17 FAX 650 948 9753 The David and Lucile'Packard Foundation "I Grant Agreement for Town of Los Altos Hills 2004-27464 GRANT AGREEM ENT Office of the- President This Grant Agreement contains the terns and conditions for Grant #2004-27464 in the amount of $75,000 from The David and Lucile Packard Foundation to the Town of Los Altos Hills ("the Grantee"), dated September 28, 2004. By signing this Grant Agreement and accepting grant funds, an officer, director, or trustee of the Grantee makes the representations and agrees to the obligations and conditions set forth below. Purpose of Grant This grant is for a solar energy system at the new Town Hall, as described in the Grantee's letter and proposal dated June 11, 2004. The Grantee may not use the funds for any other purpose unless written permission has been received from the Foundation. Any portion of the grant funds not committed to the purposes of the grant must be returned to the Foundation. The Grantee must inform the Foundation if there are.significant changes in the purposes of the grant, the use of grant funds, or personnel who are important to accomplishing the purposes of the grant or if the grant funds cannot be expended in the time period set forth in the grant proposal. Organizational' Tax Status The Grantee certifies that it is not a private foundation as defined by Internal Revenue Code Section 509(a). The Grantee will advise the Foundation immediately if its tax-exempt status or non private foundation classification has been changed. Payment and Reporting Schedules This grant is scheduled to be paid as follows: Reports are scheduled as follows: October 2004 $75,000 Final Report July 1, 2005 If the payment or reporting schedules present any significant difficulties for you, please contact Nancy Glaze. Please refer to. Grant #2004-27464 in any correspondence with the Foundation. Required Reports and Records The Grantee will submit, narrative and financial reports, as scheduled above, to the Foundation. The narrative report should summarize the progress made in accomplishing the purposes of the grant. The financial report should describe how grant funds were spent based upon the budget submitted to the Foundation. The Grantee remains responsible for reporting on this grant until all requirements have been fulfilled. The Grantee will maintain books and records of the grant funds received and the expenses incurred, as required by the Internal Revenue Code and Treasury Regulations, until all grant requirements have been fulfilled. The Grantee will make its books and records available to the Foundation on request, within a reasonable tune. Prohibited Uses Grants from the Foundation are subject to certain restrictions set forth in the Internal Revenue Code and Treasury Regulations, The Grantee will not use any grant funds: A. To conduct lobbying or otherwise attempt to influence legislation (within the meaning, of Internal' Revenue Code Section 4945(d)(1)). B. To influence the outcome of any specific public election or to can. on, directly or indirectly, any voter registration drive (within the meaning of Internal Revenue Code Section 4945(d)(2)). C. For any grant which does not comply with the requirements of Internal Revenue Code Section 4945(d)(4) (relating to grants to organizations other than public charities), Soo Second Street / Los Altos, California 94.o2x / tel (65o) 9487658 / www.pacicard.org 11/04/04 11:17 FAX 650 948 9753 l7f], 003 ,l ,y Grant Agreement for Town of Los Altos Hills The David and Lucile Packard Foundation 2004-27464 Office of the President D. For purposes other than charitable, scientific, or educational, within the meaning of Internal Revenue Code Section 170(c)(2)(B). E. For purposes other than those stated in this Grant Agreement, In addition, this grant is made exclusively to the Grantee and may not be transferred or assigned to another organization or person. Public Disclosure The Foundation may include information on this grant in its periodic public reports and may also refer to this grant in a press release. By accepting these grant funds, the Grantee agrees to such disclosure. Reservation of Rights The Foundation reserves the right to discontinue, modify, or withhold any payments due under this grant, or to require repayment of any unexpended grant fluids if necessary, in the Foundation's judgment, to comply with any law or regulation applicable to this grant. Grantor The David am Lucile Pa and Foundation By: � Effective Date. September 2g, 2004 Carol S. Larson President and CEO Grantee Read and agre t y: To �of Los Altos Hills/Grant #2004-27464 By: ----�.. Date: (Signature) Printed N xie: �---X � Title: eo�o#o7,k -- goo Second Street / Los Altos, California 94022 / tel (65o) 94.8.7658 / www.packard,org ® ®1/04/04 11: 16 FAX 650 948 9753 Cj 001 em0 NV The David and Lucile Packard Foundation Arts Program. 300 Second Street, Suite 200 Los Altos, Ca 94022 650.917.7234 F A X Number of pages (including cover sheet): 3 date: November 4, 2004 to: Mr. Breene Kerr Town of Los Altos i -ills from: Sarah Anderson on behalf of Audrey Struve comments: Dear Mr. Kerr: fax: 941-3160 phone: fax : (650) 948-5793 phone: (650) 917-7233 Attached please find a copy of your grant agreement # 2004-27464. Thank you for signing and either sending or faxing back the letter directly to Grants Management (fax: (650) 947-8616) so that we may expedite payment of your grant. Thank you for your cooperation. Best regards, RA-� Oj,� Sarah Anderson The David and Lucile Packard Foundation LOS ALTOS HILLS C.ALIF0RNIA FACSIMILE TRANSMITTAL SHEET TO: GRANTS MANAGEMENT KAREN _TOST, CITY CLERK COMPANY: DATE: THE DAVID AND LUCILE PACKARD FOUNDATION NOVEMBER 5, 2004 FAX NUMBER: TOTAL NUMBER OF PAGES INCLUDING COVER: 947-8616 3 PIIONE NUMBER: RE: CANDIDATE'S INFORMATION AT THE DIRECTION OF SARAH ANDERSON, I AM FAXING THE ATTACHED GRANT AGREEMENT #2004-27464 SIGNED BY MAYOR PRO TEM KERR. PLEASE LET ME KNOW IF YOU HAVE ANY PROBLEMS RECEIVING THE DOCUMENTS. . THANK YOU KAREN JOST, CITY CLERK 26379 Fremont Road ORIGINAL TO FOLLOW: Los Altos Hills ❑ Yes ❑ No California 94022 650/941-7222 Fax 650/941-3160 P. 1 * * * COMMUNICATION RESULT REPORT ( NOV. 5.2004 11:17AM ) * * FAX HEADER 1: TOWN OF LOS ALTOS HILLS FAX HEADER 2: TRANSMITTED/STORED : NOV. 5,2004 11:16AM FILE MODE OPTION ADDRESS RESULT PAGE ---------------------------------------------------------------------------------------------------- 5679 MEMORY TX 650 947 8616 OK 3/3 ---------------------------------------------------------------------------------------------------- REASON FOR ERROR E-1) HANG UP OR LINE FAIL E-2) BUSY E-3) NO ANSWER E-4) NO FACSIMILE CONNECTION LOSALTOS HILLS 50 W, "ill CALIFORNHA FACSIMILE TRANSMITTAL SHEET -xo: GRAWTS MANAGEMENT KAREN JOST, CITY CLERK COMPANY i DATE: THE DAVID AND LLTCILE PACKA D FC)TJNDATION NOVEMBER 5, 2004 FAX IgUMBEM - TOTAL NUMHEII OF PACES INCLUD111G COVER; 947-9616 3 PHOATE IQUMBUR: RE! CANI?IIDATIE13 IMFORMATIO13 ,AT THE DIRECTION OF SARAH ANDERSON, I AM FAXING THE ATTACHED GRANT AGREEMENT ##2004-27464 SIGNED BY I Lt XOR PRO TEM KERR_ PLEASE LET ME KNOW IF YOU HAVE ANY ISROBLEM$ RECEI'V'ING TUE DOCUMENTS. ' THANK YOU KAF-PN JO T, CITY CLERK O R I 26379 Frenaaslt Road G I I'd A.L T O FOLLOW: El '1'es ❑ No Los Alto q Hills California 94022 650/941-7222 F -ax 654/94.1-5160 4 The David and Lucile Packard Foundation September 28, 2004 Mr. Breene Kerr Council Member Town of Los Altos Hills 26379 Fremont Road Los Altos Hills, CA 94022 RE: Grant #2004-27464 Dear Mr. Kerr: UCT 12004 TowN OF LO ALTOS HILLS 5'.1. I Office of the President It is a pleasure to inform you that The David and Lucile Packard Foundation has approved a grant in the amount of $75,000 to the Town of Los Altos Hills ("the Grantee"). This grant is for a solar energy system at the new Town Hall, as described in your letter and proposal dated June 11, 2004. Enclosed is a copy of this letter and two original Grant Agreements. The Grant Agreement contains the terms and conditions governing your use of our grant funds. Please read it carefully. The Grant Agreement must be signed and dated by an officer, director, or trustee of the Grantee. Please return one signed Agreement to the attention of Grants Management. The Foundation will not make payments on this grant until we receive the signed Grant Agreement. You may keep the other for your files. The Grant Agreement contains payment and reporting schedules; if these present any significant difficulties for you or if you have any questions about this grant, please contact your program officer, Nancy Glaze, as soon as possible. In all correspondence with us, please refer to Grant #2004-27464. The Foundation Trustees, Nancy Glaze, and I are pleased to be able to assist you in your work. We wish you success and look forward to hearing from you. Cordially, Carol S. Larson CSL/cs Enclosures: Award Letter Grant Agreement (2) Soo Second Street / Los Altos, California 94oz2. / tel (650) 948-7658 / www.packard.org Grant Agreement for Town of Los Altos Hills The David and Lucile Packard Foundation 2004-27464 GRANT AGREEMENT Office of the President This Grant Agreement contains the terms and conditions for Grant #2004-27464 in the amount of $75,000 from The David and Lucile Packard Foundation to the Town of Los Altos Hills ("the Grantee"), dated September 28, 2004. By signing this Grant Agreement and accepting grant funds, an officer, director, or trustee of the Grantee makes the representations and agrees to the obligations and conditions set forth below. Purpose of Grant This grant is for a solar energy system at the new Town Hall, as described in the Grantee's letter and proposal dated June 11, 2004. The Grantee may not use the funds for any other purpose unless written permission has been received from the Foundation. Any portion of the grant funds not committed to the purposes of the grant must be returned to the Foundation. The Grantee must inform the Foundation if there are significant changes in the purposes of the grant, the use of grant funds, or personnel who are important to accomplishing the purposes of the grant or if the grant funds cannot be expended in the time period set forth in the grant proposal. Organizational Tax Status The Grantee certifies that it is not a private foundation as defined by Internal Revenue Code Section 509(a). The Grantee will advise the Foundation immediately if its tax-exempt status or non private foundation classification has been changed. Payment and Reporting Schedules This grant is scheduled to be paid as follows: Reports are scheduled as follows: October 2004 $75,000 Final Report July 1, 2005 If the payment or reporting schedules present any significant difficulties for you, please contact Nancy Glaze. Please refer to Grant #2004-27464 in any correspondence with the Foundation. Required Reports and Records The Grantee will submit narrative and financial reports, as scheduled above, to the Foundation. The narrative report should summarize the progress made in accomplishing the purposes of the grant. The financial report should describe how grant funds were spent based upon the budget submitted to the Foundation. The Grantee remains responsible for reporting on this grant until all requirements have been fulfilled. The Grantee will maintain books and records of the grant funds received and the expenses incurred, as required by the Internal Revenue Code and Treasury Regulations, until all grant requirements have been fulfilled. The Grantee will snake its books and records available to the Foundation on request, within a reasonable time. Prohibited Uses Grants from the Foundation are subject to certain restrictions set forth in the Internal Revenue Code and Treasury Regulations. The Grantee will not use any grant funds: A. To conduct lobbying or otherwise attempt to influence legislation (within the meaning of Internal Revenue Code Section 4945(d)(1)). B. To influence the outcome of any specific public election or to carry on, directly or indirectly, any voter registration drive (within the meaning of Internal Revenue Code Section 4945(d)(2)). C. For any grant which does not comply with the requirements of Internal Revenue Code Section 4945(d)(4) (relating to grants to organizations other than public charities). Soo Second Street / Los Altos, California 94o22 / tel (650) 94.8-7658 / www.packard.org Grant Agreement for Town of Los Altos Hills The David and Lucile Packard Foundation 2004-27464 Office of the President D. For purposes other than charitable, scientific, or educational, within the meaning of Internal Revenue Code Section 170(c)(2)(B). E. For purposes other than those stated in this Grant Agreement. In addition, this grant is made exclusively to the Grantee and may not be transferred or assigned to another organization or person. Public Disclosure The Foundation may include information on this grant in its periodic public reports and may also refer to this grant in a press release. By accepting these grant funds, the Grantee agrees to such disclosure. Reservation of Rights The Foundation reserves the right to discontinue, modify, or withhold any payments due under this grant, or to require repayment of any unexpended grant funds if necessary, in the Foundation's judgment, to comply with any law or regulation applicable to this grant. Grantor The David aM Lucile Packard Foundation By;— Effective Date: September 28, 2004 Carol S. Larson President and CEO Grantee Read and agreed to by: Town of Los Altos Hills/Grant #2004-27464 By: Date: (Signature) Printed Name: Title: 300 Second Street / Los Altos, California 94ozz / tel (65o) 948-7658 / www.packard.org