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HomeMy WebLinkAboutC08-239GENERAL GRANT TERMS, CONDITIONS AND UNDERSTANDINGS Title of Project: Cavity Free at Three Technical Assistance Purpose of Project: To increase access to oral disease prevention and early detection services for pregnant women and children less than 3 years of age. Applicant Institution (name, address, and telephone number) Eagle County Health and Human Services /Public Health P.O. Box 660 Eagle, CO 81631 Check to be Made Payable to: Eagle County Health & Human Services/Public Health. P.O. Box 660 Eagle, CO 81631 In Memo Line: Attn: Bethany Van Wyk Tax Identification Number: ~ t~ , ~ ~ 0 0 7 ` ~.- «CharityNo» Amount of Grant Awarded (total project period): $10,000. Period for Which Support is Granted (total project period): 09/01/2008 to 08/31/2009 *Project Director (full name, title, address, telephone number, and email address: Bethany Van Wyk & Jill Hunsaker Eagle County Health and Human Services /Public Health P.O. Box 660 Eagle, CO 81631 970-328-8826 Applicant Institutional Approval (full name, title, and address of official authorized to sign for institution such as Executive Director, Principal, or President/CEO): Suzanne Biermann, Health and Human Services Director Eagle County Health and Human Services /Public Health P.O. Box 660 Eagle, CO 81631 Bethany vanw.~(a)ea leg county.us JilLhunsaker(a~eaglecounty.us • The project director is the individual directly responsible for developing the proposed activity, its implementation, and day-to-day direct supervision of the project should funds be made available. Rose Community Foundation General Grant Terms, Conditions and Understandings Agreement The Rose Community Foundation (The Foundation) is awarding this grant to the above named organization for Cavity Free at Three, amulti-foundation effort funded by: Caring for Colorado Foundation, The Colorado Health Foundation, The Colorado Trust, Delta Dental Foundation of Colorado and Rose Community Foundation (The Funders) This grant is contingent upon the following: 1. Tax Exempt Status: The Grantee agrees: 1. To maintain its status as anon-profit organization (or working under the umbrella of a recognized non-profit organization), i.e., recognized by the IRS as a public charity of the type described in Sections 501(c)(3) and 509(a)(1), (2), or (3) of the Internal Revenue Code of 1986 (the "Code") as amended. 2. That such tax-exempt status under Sections 501(c)(3) and 509(a)(1), (2), or (3) of the Code has not changed since the issuance of the IRS determination letter which the Grantee provided to the Foundation in its grant application. 3. That there is no issue presently before any office of the Internal Revenue Service concerning any proposed changes in its tax-exempt status under Sections 501(c)(3) and (509)(a)(1), (2), or (3) of the Code. 4. To provide current and appropriate documentation if organization is a government supported agency, such as school, museum, library or government agency or department. 5. That it will provide the Foundation with immediate written notification of any changes in the organization's tax-exempt status. 2. Expenditure of Funds: This contract (together with any income earned upon investment of contract funds) is made for the purpose outlined herein and may not be expended for any other purpose without the Foundation's prior written approval If the grant is intended to support a specific project or for a specific period, any portion of the grant unexpended at the completion of the project or the end of the period shall be returned immediately to the Foundation. With prior approval from the Foundation a project's grant period may be extended in order to reach the anticipated outcomes and/or to expend the remainder of grant funds. 3. No Assignment or Dele ag tion: The Grantee may not assign or otherwise transfer its rights or delegate any of its obligations under this contract without prior written approval from the Foundation. 4. Records and Reports: The Grantee is required to provide a written report summarizing the project promptly following the end of the grant period to the Cavity Free at Three Project Coordinator. Rose Community Foundation General Grant Terms, Conditions and Understandings Agreement Interim reports may also be requested. The Grantee also agrees to provide any other information reasonably requested by the Project Coordinator. The Foundation may, at its own expense, monitor and conduct an evaluation of the operations under the grant which may include visits by representatives of the Foundation to observe the Grantee's program procedures and operations and to discuss the program with the Grantee's personnel. Required Notification: The Grantee is required to provide the Foundation with immediate written notification o£ (1) its inability to expend the contract funds for the purposes described in the contract letter; or (2) any expenditure from this contract made for any purpose other than those for which the contract was intended. 6. Reasonable Access for Evaluation: The Grantee will permit the Foundation and its representatives, at its request, to have reasonable access during regular business hours to its files, records, accounts, personnel and clients, or other beneficiaries for the purpose of making such financial audits, verifications, or program evaluations as the Foundation deems necessary or appropriate concerning this contract award. 7. Research Involving Human Subjects: If the grant is to be used in whole or in part for research involving human subjects, the Grantee hereby certifies that the Grantee, applying the ethical standards and the criteria for approval of grants set forth in its Internal Review Boards and professional oaths, has determined that the human subjects involved in this grant will not experience risk over and above that involved in the normal process of care and are likely to benefit from the proposed research program. 8. Publici The Foundation encourages the grantee to publicize information concerning the awarded grant in the Grantee's newsletters, annual reports and other relevant publications. The Grantee will allow the Cavity Free at Three Project Coordinator to review and approve the text of any proposed publicity concerning this contract prior to its release. The Funders welcome any photographs relevant to the grant for Funders use. Photos must have prior client releases (if applicable) for publication purposes. The Funders of Cavity Free at Three may include, without further notice, information regarding this contract and/or grant, the amount and purpose of the grant and photographs, logo or trademark, and other published/printed information or materials (provided by Grantee) and its activities, in the Funder's periodic public reports, newsletters and news releases. 9. Right to Modify or Revoke: Rose Community Foundation General Grant Terms, Conditions and Understandings Agreement The Foundation reserves the right to discontinue, modify or withhold any payments to be made under this contract or to require a total or partial refund of any contract funds if, in the Foundation's sole discretion, such action is necessary: (1) because the Grantee has not fully complied with the terms and conditions of this contract; (2) to protect the purpose and objectives of the contract or any other charitable interest of the Foundation; or (3) to comply with the requirements of any law or regulation applicable to the Grantee, the Foundation, or this grant. 10. Termination: This agreement shall automatically terminate in the event of the insolvency, receivership, bankruptcy filing, or dissolution of Grantee. Either parry may terminate this agreement upon written notice to the other party. Upon termination of this agreement for any reason, all payments by the Foundation to Grantee shall cease at such time as may be determined by the Foundation. The Grantee specifically acknowledges that immediate cessation of funding, before termination procedures are completed, may be necessary in recognition of the Foundation's responsibilities to its donors. Rose Community Foundation General Grant Terms, Conditions and Understandings Agreement 11. ~ecial Conditions: The Grantee accepts and agrees to comply with the following special conditions: 1) Grantee will participate in a year long process to implement the Cavity Free at Three Model. This will include a minimum of two site visits from a technical assistance provider, and regular phone and a-mail communication with your technical assistance provider. 2) Grantee will work with technical assistance providers to bring training, new ideas and new approaches in the primary prevention of oral disease to your organization. 3) Grantee will participate in a cross-site evaluation of the CF3 Technical Assistance process and organizational outcomes from this initiative. This may include: provider surveys, chart review, data collection reporting and meetings with the CF3 evaluator. 4) Grant funds will be distributed upon receipt of a signed grant agreement. 5) A final report is due September 30, 2009. A request for this report will be mailed to the grantee near the due date. 12. Agreement: This agreement may be amended, supplemented or extended only by written agreement signed by the Foundation and the Grantee. 13. Non-Partnershm: Nothing contained in this agreement shall create or be deemed to create a partnership between the Foundation and the Grantee and nothing contained in this contract shall be deemed to give rise to any rights or benefits to third parties not a party to this contract. 14. Disclaimer: Nothing contained herein, including the required reporting and review procedures, shall be construed as a warranty, representation, or approval by the Foundation that the services rendered by the Grantee are adequately or properly rendered on either an individual or program-wide basis. Grantee shall hold the Foundation, its directors, trustees, officers, employees, and agents harmless from all damages, costs, fines, attorneys' fees, or liabilities of any kind or nature arising from any claims, demands or suits resulting from the Grantee's rendering or failure to render services. 15. Controlling Document: The terms and conditions of the Grant Contract shall be the controlling document between the Foundation and the Grantee. All verbal communication, notes, minutes or other documentation of the Foundation shall be deemed merged into this Contract. In making this grant, the Foundation has relied on the information and representations submitted to the Foundation by the Grantee. The undersigned certify that they are duly authorized officers of the Grantee and, as such, are authorized to accept this contract on behalf of the Grantee, to obligate the Grantee to observe all of the terms and conditions placed on this contract, and in connection with this contract to make, Rose Community Foundation General Grant Terms, Conditions and Understandings Agreement execute, and deliver on behalf of the Grantee all contract agreements, representations, receipts, reports, and other instruments of every kind. ACCEPTED AND AGREED TO: Organization Name (typed/printed) Board Chair ( Board Chair Date ~u~~-nne M . ''~; eahn~~ Executive Director (typed/printed name) c Executi irector (signature) Date Rose Community Foundation ~ General Grant Terms, Conditions and Understandings Agreement