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Home My Public Portal Aboutnon profits-08202018110953.pdf"MAYOR Jason Buelterman CITY COUNCIL Barry Brown, Mayor Pro Tem Wanda Doyle Jackson Butler Julie Livingston John Branigin Monty Parks August 13, 2018 Friends of the Tybee Theater Jim Kluttz PO Box 2356 Tybee Island, Ga 31328 CITY OF TYBEE ISLAND CITY MANAGER Shawn Gillen CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes RE: City of Tybee Island Consideration of Community Service for Fiscal Year 2018-2019 Your recent application for funds from the City of Tybee Island has been evaluated by City Council and your 2018-2019 amount of consideration for the service is $15,000.00 You have also been awarded waivers in the amount of $2,000.00. Please complete, sign, and notarize the enclosed Community Services Agreement, and return to City Hall within 10 days. In order to receive these funds, you must return the Check Request form to Melissa Freeman in the Finance Department, along with all corresponding receipts and paperwork. The completed project evaluation is required for compensation/verification of services provided, as well as for consideration of future funding or service requests. Sincerely, Angela Hudson, Director of Finance and General Administration P.O. Box 2749 —403 Butler Avenue, Tybee Island, Georgia 31328-2749 (912) 786-4573 — FAX (912) 786-9465 www.cityoftybee.org Community Services Contract PROJECT EVALUATION Organization Name: Individual Completing Evaluation: Name of Event / Project: Date(s) of Event / Project: Date of Evaluation Submission: Within thirty (30) days of the completion of your project / event, please complete the following and return as indicated. The completed project evaluation is required for compensation / verification of services provided, as well as, for consideration of future funding / service request(s). * Attach additional pages as necessary. * 1) Describe each goal of the event / project and how each goal was achieved: 2) Indicate the percentage of attendees / participants that...: Reside on Tybee Island Reside within Chatham County Are considered visitors* *i.e. persons residing outside of Chatham County's corporate limits 3) What was the average age of attendees / participants? 4) Number of volunteer hours spent for the event / project: 5) Who benefited from this event / project? Please describe the benefit. 6) How did the City of Tybee / Tybee Residents benefit? 7) Additional Comments: * Upon completion, return two (2) copies of the evaluation to Tybee Finance Department, PO Box 2749, Tybee Is/and, GA 31328; ATTN: FUNDING EVALUATION 'MAYOR Jason Buelterman CITY COUNCIL Barry Brown, Mayor Pro Tem Wanda Doyle Jackson Butler Julie Livingston John Branigin Monty Parks CITY OF TYBEE ISLAND CHECK REQUEST FORM NAME OF ORGANIZATION CITY MANAGER Shawn Gillen CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes This form is to be completed and submitted to the Accounts Payable Clerk in the finance department to obtain the funds for your organization that were approved by Council in the budgeting process. Date: Name, address & contact number of Organization/Person requesting the check: Is this request prior to or after the funds have been spent? Check amount requested Signed Date: For Administration Use Only PO # Date Check# Admin Initials P.O. Box 2749 —403 Butler Avenue, Tybee Island, Georgia 31328-2749 (912) 786-4573 — FAX (912) 786-9465 www.cityoftybee.org City of Tybee Island COMMUNITY SERVICES AGREEMENT THIS AGREEMENT is made and entered into this 13th day of August, 2018 by and between the Friends of the Tybee Theater, hereinafter referred to as "Community Service Provider", and the CITY OF TYBEE ISLAND, a Georgia municipal corporation, hereinafter referred to as "City." WHEREAS, Community Service Provider is a group or association on Tybee Island; and WHEREAS, Community Services Provider provides community service benefits to the citizens of the City and the public in general and the City benefits from such activities; and WHEREAS, City provides certain benefits to Community Services Provider as a result of and in consideration for the benefits to the citizens of the City; and WHEREAS, the City has budgeted $15,000.00 as consideration for the services provided to the community by the Community Service Provider; and WHEREAS, the parties hereto wish to enter into an agreement to document the mutual benefits and services each provides to the other. NOW, THEREFORE, it is hereby agreed as follows: 1. The City will pay the budgeted funds to Community Service Provider in exchange for services beneficial to the Tybee Island community. 2. In further consideration of the provision of funds by the City to Community Service Provider, Community Service Provider warrants that it will comply with all reasonable rules and regulations of the City with respect to providing audited financial reports as requested, evidence of insurance meeting City requirements, minutes of meetings and reports of activities. 3. This Agreement shall terminate at the end of the fiscal year of its execution. The Non -Profit acknowledges that the City has no obligation to fund or continue funding for any additional period of time and that any and every such decision shall be addressed on an annual basis by the City as part of its budgeting process. 4. Any special stipulations are attached hereto and made a part hereof. 5. Community Service Provider agrees to indemnify and hold harmless the City, its agents, officials, employees and representatives from any and all claims including, but not limited to, attorneys' fees arising from acts or omissions directly or indirectly related to Community Service Provider's activities. This day of , 20 . CITY OF TYBEE ISLAND, GEORGIA Signed, sealed and delivered in the presence of: tT115 ary WA -C-, Approved as to form: Edward M. Hughes City Attorney Signed, sealed and delivered in the presence of: By: May Jason Buelterman Attest: a caE Witness ity Clerk, Jan LeViner COMMUNITY SERVICE PROVIDER: By: Attest: Witness Secretary Notary Public Address: P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328-2749 (866) 786-4573 — FAX (866) 786-5737 www.cityoftybee.org MAYOR Jason Buelterman CITY COUNCIL Barry Brown, Mayor Pro Tem Wanda Doyle Jackson Butler Julie Livingston John Branigin Monty Parks August 13, 2018 Tybee MLK Julia Pearce PO Box 312 Tybee Island, Ga 31328 CITY OF TYBEE ISLAND CITY MANAGER Shawn Gillen CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes RE: City of Tybee Island Consideration of Community Service for Fiscal Year 2018-2019 Your recent application for funds from the City of Tybee Island has been evaluated by City Council and your 2018-2019 amount of consideration for the service is $500.00. You have also been awarded waivers in the amount of $2,000.00. Please complete, sign, and notarize the enclosed Community Services Agreement, and return to City Hall within 10 days. In order to receive these funds, you must return the Check Request form to Melissa Freeman in the Finance Department, along with all corresponding receipts and paperwork. The completed project evaluation is required for compensation/verification of services provided, as well as for consideration of future funding or service requests. Sincerely, Angela Hudson, Director of Finance and General Administration P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328-2749 (912) 786-4573 — FAX (912) 786-9465 www.cityoftybee.org Community Services Contract PROJECT EVALUATION Organization Name: Individual Completing Evaluation: Name of Event / Project: Date(s) of Event / Project: Date of Evaluation Submission: Within thirty (30) days of the completion of your project / event, please complete the following and return as indicated. The completed project evaluation is required for compensation / verification of services provided, as well as, for consideration of future funding / service request(s). * Attach additional pages as necessary, * 1) Describe each goal of the event / project and how each goal was achieved: 2) Indicate the percentage of attendees / participants that...: Reside on Tybee Island Reside within Chatham County Are considered visitors* *i.e. persons residing outside of Chatham County's corporate limits 3) What was the average age of attendees / participants? 4) Number of volunteer hours spent for the event / project: 5) Who benefited from this event / project? Please describe the benefit. 6) How did the City of Tybee / Tybee Residents benefit? 7) Additional Comments: * Upon completion, return two (2) copies of the evaluation to Tybee Finance Department, PO Box 2749, Tybee Island, GA 31328; ATTN; FUNDING EVALUATION MAYOR Jason Buelterman CITY COUNCIL Barry Brown, Mayor Pro Tem Wanda Doyle Jackson Butler Julie Livingston John Branigin Monty Parks CITY OF TYBEE ISLAND CHECK REQUEST FORM NAME OF ORGANIZATION CITY MANAGER Shawn Gillen CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes This form is to be completed and submitted to the Accounts Payable Clerk in the finance department to obtain the funds for your organization that were approved by Council in the budgeting process. Date: Name, address & contact number of Organization/Person requesting the check: Is this request prior to or after the funds have been spent? Check amount requested Signed Date: For Administration Use Only PO # Date Check# Admin Initials P.O. Box 2749 —403 Butler Avenue, Tybee Island, Georgia 31328-2749 (912) 786-4573 — FAX (912) 786-9465 www.cityoftybee.org City of Tybee Island COMMUNITY SERVICES AGREEMENT THIS AGREEMENT is made and entered into this 13th day of August, 2018 by and between the Tybee MLK, hereinafter referred to as "Community Service Provider", and the CITY OF TYBEE ISLAND, a Georgia municipal corporation, hereinafter referred to as "City." WHEREAS, Community Service Provider is a group or association on Tybee Island; and WHEREAS, Community Services Provider provides community service benefits to the citizens of the City and the public in general and the City benefits from such activities; and WHEREAS, City provides certain benefits to Community Services Provider as a result of and in consideration for the benefits to the citizens of the City; and WHEREAS, the City has budgeted $500.00 as consideration for the services provided to the community by the Community Service Provider; and WHEREAS, the parties hereto wish to enter into an agreement to document the mutual benefits and services each provides to the other. NOW, THEREFORE, it is hereby agreed as follows: 1. The City will pay the budgeted funds to Community Service Provider in exchange for services beneficial to the Tybee Island community. 2. In further consideration of the provision of funds by the City to Community Service Provider, Community Service Provider warrants that it will comply with all reasonable rules and regulations of the City with respect to providing audited financial reports as requested, evidence of insurance meeting City requirements, minutes of meetings and reports of activities. 3. This Agreement shall terminate at the end of the fiscal year of its execution. The Non -Profit acknowledges that the City has no obligation to fund or continue funding for any additional period of time and that any and every such decision shall be addressed on an annual basis by the City as part of its budgeting process. 4. Any special stipulations are attached hereto and made a part hereof. 5. Community Service Provider agrees to indemnify and hold harmless the City, its agents, officials, employees and representatives from any and all claims including, but not limited to, attorneys' fees arising from acts or omissions directly or indirectly related to Community Service Provider's activities. This day of Signed, sealed and delivered in the presence of: tat -t -y 442-ce-- Approved as to form: Edward M. Ilugh City Attorney Signed, sealed and delivered in the presence of: ,20 CITY OF TYBEE ISLAND, GEORGIA Attest: ason Bue terman C14y Clerk, Jan LeViner COMMUNITY SERVICE PROVIDER: Witness By: Attest: Witness Secretary Notary Public Address: P.O. Box 2749-403 Butler Avenue, Tybee Island, Georgia 31328-2749 (866) 786-4573 — FAX (866) 786-5737 www.cityoftybee.org 'MAYOR Jason Buelterman CITY COUNCIL Barry Brown, Mayor Pro Tem Wanda Doyle Jackson Butler Julie Livingston John Branigin Monty Parks August 13, 2018 American Legion 154 Jerris Bryant 10 Veterans Dr Tybee Island, Ga 31328 CITY OF TYBEE ISLAND CITY MANAGER Shawn Gillen CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes RE: City of Tybee Island Consideration of Community Service for Fiscal Year 2018-2019 Your recent application for funds from the City of Tybee Island has been evaluated by City Council and your 2018-2019 amount of consideration for the service is $76,900.00. You have also been awarded waivers in the amount of $1,975.00. Please complete, sign, and notarize the enclosed Community Services Agreement, and return to City Hall within 10 days. In order to receive these funds, you must return the Check Request form to Melissa Freeman in the Finance Department, along with all corresponding receipts and paperwork. The completed project evaluation is required for compensation/verification of services provided, as well as for consideration of future funding or service requests. Sincerely, "1"Ane-A-- Angela Hudson, Director of Finance and General Administration P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328-2749 (912) 786-4573 — FAX (912) 786-9465 www.cityoftybee.org Community Services Contract PROJECT EVALUATION Organization Name: Individual Completing Evaluation: Name of Event / Project: Date(s) of Event / Project: Date of Evaluation Submission: Within thirty (30) days of the completion of your project / event, please complete the following and return as indicated. The completed project evaluation is required for compensation / verification of services provided, as well as, for consideration of future funding / service request(s). * Attach additional pages as necessary. * 1) Describe each goal of the event / project and how each goal was achieved: 2) Indicate the percentage of attendees / participants that...: Reside on Tybee Island Reside within Chatham County Are considered visitors* *i.e. persons residing outside of Chatham County's corporate limits 3) What was the average age of attendees / participants? 4) Number of volunteer hours spent for the event / project: 5) Who benefited from this event / project? Please describe the benefit. 6) How did the City of Tybee / Tybee Residents benefit? 7) Additional Comments: * Upon completion, return two (2) copies of the evaluation to Tybee Finance Department, PO Box 2749, Tybee Is/and, GA 31328; ATTIC' FUNDING EVALUA770N MAYOR Jason Buelterman CITY COUNCIL Barry Brown, Mayor Pro Tem Wanda Doyle Jackson Butler Julie Livingston John Branigin Monty Parks CITY OF TYBEE ISLAND CHECK REQUEST FORM NAME OF ORGANIZATION CITY MANAGER Shawn Gillen CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes This form is to be completed and submitted to the Accounts Payable Clerk in the finance department to obtain the funds for your organization that were approved by Council in the budgeting process. Date: Name, address & contact number of Organization/Person requesting the check: Is this request prior to or after the funds have been spent? Check amount requested Signed Date: For Administration Use Only PO # Date Check# Admin Initials P.O. Box 2749 —403 Butler Avenue, Tybee Island, Georgia 31328-2749 (912) 786-4573 — FAX (912) 786-9465 www.cityoftybee.org City of Tybee Island COMMUNITY SERVICES AGREEMENT THIS AGREEMENT is made and entered into this 13th day of August, 2018 by and between the American Legion 154, hereinafter referred to as "Community Service Provider", and the CITY OF TYBEE ISLAND, a Georgia municipal corporation, hereinafter referred to as "City." WHEREAS, Community Service Provider is a group or association on Tybee Island; and WHEREAS, Community Services Provider provides community service benefits to the citizens of the City and the public in general and the City benefits from such activities; and WHEREAS, City provides certain benefits to Community Services Provider as a result of and in consideration for the benefits to the citizens of the City; and WHEREAS, the City has budgeted $76,900.00 as consideration for the services provided to the community by the Community Service Provider; and WHEREAS, the parties hereto wish to enter into an agreement to document the mutual benefits and services each provides to the other. NOW, THEREFORE, it is hereby agreed as follows: 1. The City will pay the budgeted funds to Community Service Provider in exchange for services beneficial to the Tybee Island community. 2. In further consideration of the provision of funds by the City to Community Service Provider, Community Service Provider warrants that it will comply with all reasonable rules and regulations of the City with respect to providing audited financial reports as requested, evidence of insurance meeting City requirements, minutes of meetings and reports of activities. 3. This Agreement shall terminate at the end of the fiscal year of its execution. The Non -Profit acknowledges that the City has no obligation to fund or continue funding for any additional period of time and that any and every such decision shall be addressed on an annual basis by the City as part of its budgeting process. 4. Any special stipulations are attached hereto and made a part hereof. 5. Community Service Provider agrees to indemnify and hold harmless the City, its agents, officials, employees and representatives from any and all claims including, but not limited to, attorneys' fees arising from acts or omissions directly or indirectly related to Community Service Provider's activities. This day of , 20 . CITY OF TYBEE ISLAND, GEORGIA Signed, sealed and delivered in the presence of: Not Approved as to form: Edward M. Hughes City Attorney Signed, sealed and delivered in the presence of: By.'� M Jason Buelterman Attest: cyLa-et Witness Citi Clerk, Jan LeViner COMMUNITY SERVICE PROVIDER: By: Attest: Witness Secretary Notary Public Address: P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328-2749 (866) 786-4573 — FAX (866) 786-5737 www.cityoftybee.org MAYOR' Jason Buelterman CITY COUNCIL Barry Brown, Mayor Pro Tem Wanda Doyle Jackson Butler Julie Livingston John Branigin Monty Parks August 13, 2018 Fresh Air Home Kathy Moore 10 Shipyard Ln Savannah, Ga 31406 CITY OF TYBEE ISLAND CITY MANAGER Shawn Gillen CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes Re: City of Tybee Island Consideration of Community Service for Fiscal Year 2018-2019 Your recent application for funds from the City of Tybee Island has been evaluated by City Council and your 2018-2019 amount of consideration for the service is $400.00 Please complete, sign, and notarize the enclosed Community Services Agreement, and return to City Hall within 10 days. In order to receive these funds, you must return the Check Request form to Melissa Freeman in the Finance Department, along with all corresponding receipts and paperwork. The completed project evaluation is required for compensation/verification of services provided, as well as for consideration of future funding or service requests. Sincerely, Angela Hudson, Director of Finance and General Administration P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328-2749 (912) 786-4573 — FAX (912) 786-9465 www.cityoftybee.org Community Services Contract PROJECT EVALUATION Organization Name: Individual Completing Evaluation: Name of Event / Project: Date(s) of Event / Project: Date of Evaluation Submission: Within thirty (30) days of the completion of your project / event, please complete the following and return as indicated. The completed project evaluation is required for compensation / verification of services provided, as well as, for consideration of future funding / service request(s). * Attach additional pages as necessary. * 1) Describe each goal of the event / project and how each goal was achieved: 2) Indicate the percentage of attendees / participants that...: Reside on Tybee Island Reside within Chatham County Are considered visitors* *i.e. persons residing outside of Chatham County's corporate limits 3) What was the average age of attendees / participants? 4) Number of volunteer hours spent for the event / project: 5) Who benefited from this event / project? Please describe the benefit. 6) How did the City of Tybee / Tybee Residents benefit? 7) Additional Comments: * Upon completion, return two (2) copies of the evaluation to Tybee Finance Department, PO Box 2749, Tybee Island, GA 31328; ATTN: FUNDING EVALUATION MAYOR' Jason Buelterman CITY COUNCIL Barry Brown, Mayor Pro Tem Wanda Doyle Jackson Butler Julie Livingston John Branigin Monty Parks CITY OF TYBEE ISLAND CHECK REQUEST FORM NAME OF ORGANIZATION CITY MANAGER Shawn Gillen CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes This form is to be completed and submitted to the Accounts Payable Clerk in the finance department to obtain the funds for your organization that were approved by Council in the budgeting process. Date: Name, address & contact number of Organization/Person requesting the check: Is this request prior to or after the funds have been spent? Check amount requested Signed Date: For Administration Use Only PO # Date Check# Admin Initials P.O. Box 2749 —403 Butler Avenue, Tybee Island, Georgia 31328-2749 (912) 786-4573 — FAX (912) 786-9465 www.cityoftybee.org City of Tybee Island COMMUNITY SERVICES AGREEMENT THIS AGREEMENT is made and entered into this 13th day of August, 2018 by and between the Fresh Air Home, hereinafter referred to as "Community Service Provider", and the CITY OF TYBEE ISLAND, a Georgia municipal corporation, hereinafter referred to as "City." WHEREAS, Community Service Provider is a group or association on Tybee Island; and WHEREAS, Community Services Provider provides community service benefits to the citizens of the City and the public in general and the City benefits from such activities; and WHEREAS, City provides certain benefits to Community Services Provider as a result of and in consideration for the benefits to the citizens of the City; and WHEREAS, the City has budgeted $400.00 as consideration for the services provided to the community by the Community Service Provider; and WHEREAS, the parties hereto wish to enter into an agreement to document the mutual benefits and services each provides to the other. NOW, THEREFORE, it is hereby agreed as follows: 1. The City will pay the budgeted funds to Community Service Provider in exchange for services beneficial to the Tybee Island community. 2. In further consideration of the provision of funds by the City to Community Service Provider, Community Service Provider warrants that it will comply with all reasonable rules and regulations of the City with respect to providing audited financial reports as requested, evidence of insurance meeting City requirements, minutes of meetings and reports of activities. 3. This Agreement shall terminate at the end of the fiscal year of its execution. The Non -Profit acknowledges that the City has no obligation to fund or continue funding for any additional period of time and that any and every such decision shall be addressed on an annual basis by the City as part of its budgeting process. 4. Any special stipulations are attached hereto and made a part hereof. 5. Community Service Provider agrees to indemnify and hold harmless the City, its agents, officials, employees and representatives from any and all claims including, but not limited to, attorneys' fees arising from acts or omissions directly or indirectly related to Community Service Provider's activities. This day of Signed, sealed and delivered in the presence of: Not)74-m-±" A Approved as to form: Edward M. Hughes City Attorney Signed, sealed and delivered in the presence of: ,20 CITY OF TYBEE ISLAND, GEORGIA By: Mayo/ ason Buelterman Attest: aC&.c.t 'L�- Witness Cf�fy Clerk, Jan LeViner COMMUNITY SERVICE PROVIDER: By: Attest: Witness Secretary Notary Public Address: P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328-2749 (866) 786-4573 — FAX (866) 786-5737 www.cityoftybee.org MAYOR Jason Buelterman CITY COUNCIL Barry Brown, Mayor Pro Tem Wanda Doyle Jackson Butler Julie Livingston John Branigin Monty Parks August 13, 2018 Tybee Island Farmers Market Stephen Johnson 206 Miller Ave Tybee Island, Ga 31328 CITY OF TYBEE ISLAND CITY MANAGER Shawn Gillen CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes RE: City of Tybee Island Consideration of Community Service for Fiscal Year 2018-2019 Your recent application for funds from the City of Tybee Island has been evaluated by City Council and your 2018-2019 amount of consideration for the service is $1,500.00 You have also been awarded waivers in the amount of $135.00 Please complete, sign, and notarize the enclosed Community Services Agreement, and return to City Hall within 10 days. In order to receive these funds, you must return the Check Request form to Melissa Freeman in the Finance Department, along with all corresponding receipts and paperwork. The completed project evaluation is required for compensation/verification of services provided, as well as for consideration of future funding or service requests. Sincerely, \ are, Angela Hudson, Director of Finance and General Administration P.O. Box 2749 —403 Butler Avenue, Tybee Island, Georgia 31328-2749 (912) 786-4573 — FAX (912) 786-9465 www.cityoftybee.org Community Services Contract PROJECT EVALUATION Organization Name: Individual Completing Evaluation: Name of Event / Project: Date(s) of Event / Project: Date of Evaluation Submission: Within thirty (30) days of the completion of your project / event, please complete the following and return as indicated. The completed project evaluation is required for compensation / verification of services provided, as well as, for consideration of future funding / service request(s). * Attach additional pages as necessary. * 1) Describe each goal of the event / project and how each goal was achieved: 2) Indicate the percentage of attendees / participants that...: Reside on Tybee Island Reside within Chatham County Are considered visitors* *i.e. persons residing outside of Chatham County's corporate limits 3) What was the average age of attendees / participants? 4) Number of volunteer hours spent for the event / project: 5) Who benefited from this event / project? Please describe the benefit. 6) How did the City of Tybee / Tybee Residents benefit? 7) Additional Comments: * Upon completion, return two (2) copies of the evaluation to Tybee Finance Department, PO Box 2749, Tybee Is/and, GA 31328; ATTN: FUNDING EVALUATION MAYOR Jason Buelterman CITY COUNCIL Barry Brown, Mayor Pro Tem Wanda Doyle Jackson Butler Julie Livingston John Branigin Monty Parks CITY OF TYBEE ISLAND CHECK REQUEST FORM NAME OF ORGANIZATION CITY MANAGER Shawn Gillen CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes This form is to be completed and submitted to the Accounts Payable Clerk in the finance department to obtain the funds for your organization that were approved by Council in the budgeting process. Date: Name, address & contact number of Organization/Person requesting the check: Is this request prior to or after the funds have been spent? Check amount requested Signed Date: For Administration Use Only PO # Date Check# Admin Initials P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328-2749 (912) 786-4573 — FAX (912) 786-9465 www.cityoftybee.org City of Tybee Island COMMUNITY SERVICES AGREEMENT THIS AGREEMENT is made and entered into this 13th day of August, 2018 by and between the Tybee Island Farmers Market, hereinafter referred to as "Community Service Provider", and the CITY OF TYBEE ISLAND, a Georgia municipal corporation, hereinafter referred to as "City." WHEREAS, Community Service Provider is a group or association on Tybee Island; and WHEREAS, Community Services Provider provides community service benefits to the citizens of the City and the public in general and the City benefits from such activities; and WHEREAS, City provides certain benefits to Community Services Provider as a result of and in consideration for the benefits to the citizens of the City; and WHEREAS, the City has budgeted $1,500.00 as consideration for the services provided to the community by the Community Service Provider; and WHEREAS, the parties hereto wish to enter into an agreement to document the mutual benefits and services each provides to the other. NOW, THEREFORE, it is hereby agreed as follows: 1. The City will pay the budgeted funds to Community Service Provider in exchange for services beneficial to the Tybee Island community. 2. In further consideration of the provision of funds by the City to Community Service Provider, Community Service Provider warrants that it will comply with all reasonable rules and regulations of the City with respect to providing audited financial reports as requested, evidence of insurance meeting City requirements, minutes of meetings and reports of activities. 3. This Agreement shall terminate at the end of the fiscal year of its execution. The Non -Profit acknowledges that the City has no obligation to fund or continue funding for any additional period of time and that any and every such decision shall be addressed on an annual basis by the City as part of its budgeting process. 4. Any special stipulations are attached hereto and made a part hereof. 5. Community Service Provider agrees to indemnify and hold harmless the City, its agents, officials, employees and representatives from any and all claims including, but not limited to, attorneys' fees arising from acts or omissions directly or indirectly related to Community Service Provider's activities. This day of , 20 . CITY OF TYBEE ISLAND, GEORGIA Signed, sealed and delivered in the presence of: N ary Approved as to form: ditem Edward M. Hughes City Attorney Signed, sealed and delivered in the presence of: Attest: ?3-t_ —B_ �—a Witness— CC yan LeViner COMMUNITY SERVICE PROVIDER: By: Attest: Witness Secretary Notary Public Address: P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328-2749 (866) 786-4573 — FAX (866) 786-5737 www.cityoftybee.org MAYOR Jason Bueiterman CITY COUNCIL Barry Brown, Mayor Pro Tem Wanda Doyle Jackson Butler Julie Livingston John Branigin Monty Parks August 13, 2018 Tybee Island Garden Club Joey Burel PO Box 905 Tybee Island, Ga 31328 CITY OF TYBEE ISLAND CITY MANAGER Shawn Gillen CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes RE: City of Tybee Island Consideration of Community Service for Fiscal Year 2018-2019 Your recent application for funds from the City of Tybee Island has been evaluated by City Council and your 2018-2019 amount of consideration for the service is $500.00 You have also been awarded waivers in the amount of $3,200.00. Please complete, sign, and notarize the enclosed Community Services Agreement, and return to City Hall within 10 days. In order to receive these funds, you must return the Check Request form to Melissa Freeman in the Finance Department, along with all corresponding receipts and paperwork. The completed project evaluation is required for compensation/verification of services provided, as well as for consideration of future funding or service requests. Sincerely, Angela Hudson, Director of Finance and General Administration P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328-2749 (912) 786-4573 — FAX (912) 786-9465 www.cityoftybee.org Community Services Contract PROJECT EVALUATION Organization Name: Individual Completing Evaluation: Name of Event / Project: Date(s) of Event / Project: Date of Evaluation Submission: Within thirty (30) days of the completion of your project / event, please complete the following and return as indicated. The completed project evaluation is required for compensation / verification of services provided, as well as, for consideration of future funding / service request(s). * Attach additional pages as necessary, * 1) Describe each goal of the event / project and how each goal was achieved: 2) Indicate the percentage of attendees / participants that...: Reside on Tybee Island Reside within Chatham County Are considered visitors* *i.e. persons residing outside of Chatham County's corporate limits 3) What was the average age of attendees / participants? 4) Number of volunteer hours spent for the event / project: 5) Who benefited from this event / project? Please describe the benefit. 6) How did the City of Tybee / Tybee Residents benefit? 7) Additional Comments: * Upon completion, return two (2) copies of the evaluation to Tybee Finance Department, PO Box 2749, Tybee Island, GA 31328; ATTN: FUNDING EVALUATION MAYOR Jason Buelterman CITY COUNCIL Barry Brown, Mayor Pro Tem Wanda Doyle Jackson Butler Julie Livingston John Branigin Monty Parks CITY MANAGER Shawn Gillen CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes CITY OF TYBEE ISLAND CHECK REQUEST FORM NAME OF ORGANIZATION This form is to be completed and submitted to the Accounts Payable Clerk in the finance department to obtain the funds for your organization that were approved by Council in the budgeting process. Date: Name, address & contact number of Organization/Person requesting the check: Is this request prior to or after the funds have been spent? Check amount requested Signed Date: For Administration Use Only PO # Date Check# Admin Initials P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328-2749 (912) 786-4573 — FAX (912) 786-9465 www.cityoftybee.org City of Tybee Island COMMUNITY SERVICES AGREEMENT THIS AGREEMENT is made and entered into this 13th day of August, 2018 by and between the Tybee Island Garden Club, hereinafter referred to as "Community Service Provider", and the CITY OF TYBEE ISLAND, a Georgia municipal corporation, hereinafter referred to as "City." WHEREAS, Community Service Provider is a group or association on Tybee Island; and WHEREAS, Community Services Provider provides community service benefits to the citizens of the City and the public in general and the City benefits from such activities; and WHEREAS, City provides certain benefits to Community Services Provider as a result of and in consideration for the benefits to the citizens of the City; and WHEREAS, the City has budgeted $500.00 as consideration for the services provided to the community by the Community Service Provider; and WHEREAS, the parties hereto wish to enter into an agreement to document the mutual benefits and services each provides to the other. NOW, THEREFORE, it is hereby agreed as follows: 1. The City will pay the budgeted funds to Community Service Provider in exchange for services beneficial to the Tybee Island community. 2. In further consideration of the provision of funds by the City to Community Service Provider, Community Service Provider warrants that it will comply with all reasonable rules and regulations of the City with respect to providing audited financial reports as requested, evidence of insurance meeting City requirements, minutes of meetings and reports of activities. 3. This Agreement shall terminate at the end of the fiscal year of its execution. The Non -Profit acknowledges that the City has no obligation to fund or continue funding for any additional period of time and that any and every such decision shall be addressed on an annual basis by the City as part of its budgeting process. 4. Any special stipulations are attached hereto and made a part hereof. 5. Community Service Provider agrees to indemnify and hold harmless the City, its agents, officials, employees and representatives from any and all claims including, but not limited to, attorneys' fees arising from acts or omissions directly or indirectly related to Community Service Provider's activities. This day of , 20 . Signed, sealed and delivered in the presence of: Approved as to form: Edward M. Hughes City Attorney Signed, sealed and delivered in the presence of: CITY OF TYBEE ISLAND, GEORGIA By: Jason Buelterman Attest: 4__s. Witness City Clerk, Jan LeViner COMMUNITY SERVICE PROVIDER: By: Attest: Witness Secretary Notary Public Address- P.O. Box 2749 —403 Butler Avenue, Tybee Island, Georgia 31328-2749 (866) 786-4573 — FAX (866) 786-5737 www.cityoftybee.org MAYOR Jason Buelterman CITY COUNCIL Barry Brown, Mayor Pro Tem Wanda Doyle Jackson Butler Julie Livingston John Branigin Monty Parks August 13, 2018 CITY OF TYBEE ISLAND Tybee Island Historical Society Sarah Jones PO Box 366 Tybee Island, Ga 31328 CITY MANAGER Shawn Gillen CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes RE: City of Tybee Island Consideration of Community Service for Fiscal Year 2018-2019 Your recent application for funds from the City of Tybee Island has been evaluated by City Council and your 2018-2019 amount of consideration for the service is $20,000.00 Please complete, sign, and notarize the enclosed Community Services Agreement, and return to City Hall within 10 days. In order to receive these funds, you must return the Check Request form to Melissa Freeman in the Finance Department, along with all corresponding receipts and paperwork. The completed project evaluation is required for compensation/verification of services provided, as well as for consideration of future funding or service requests. Sincerely, Angela Hudson, Director of Finance and General Administration P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328-2749 (912) 786-4573 — FAX (912) 786-9465 www.cityoftybee.org Community Services Contract PROJECT EVALUATION Organization Name: Individual Completing Evaluation: Name of Event / Project: Date(s) of Event / Project: Date of Evaluation Submission: Within thirty (30) days of the completion of your project / event, please complete the following and return as indicated. The completed project evaluation is required for compensation / verification of services provided, as well as, for consideration of future funding / service request(s). * Attach additional pages as necessary, * 1) Describe each goal of the event / project and how each goal was achieved: 2) Indicate the percentage of attendees / participants that...: Reside on Tybee Island Reside within Chatham County Are considered visitors* *i.e. persons residing outside of Chatham County's corporate limits 3) What was the average age of attendees / participants? 4) Number of volunteer hours spent for the event / project: 5) Who benefited from this event / project? Please describe the benefit. 6) How did the City of Tybee / Tybee Residents benefit? 7) Additional Comments: * Upon completion, return two (2) copies of the evaluation to Tybee Finance Department, PO Box 2749, Tybee Island, G4 31328; ATM; FUNDING EVALUATION MAYOR Jason Buelterman CITY COUNCIL Barry Brown, Mayor Pro Tem Wanda Doyle Jackson Butler Julie Livingston John Branigin Monty Parks CITY OF TYBEE ISLAND CHECK REQUEST FORM NAME OF ORGANIZATION CITY MANAGER Shawn Gillen CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes This form is to be completed and submitted to the Accounts Payable Clerk in the finance department to obtain the funds for your organization that were approved by Council in the budgeting process. Date: Name, address & contact number of Organization/Person requesting the check: Is this request prior to or after the funds have been spent? Check amount requested Signed Date: For Administration Use Only PO # Date Check# Admin Initials P.O. Box 2749 —403 Butler Avenue, Tybee Island, Georgia 31328-2749 (912) 786-4573 — FAX (912) 786-9465 www.cityoftybee.org City of Tybee Island COMMUNITY SERVICES AGREEMENT THIS AGREEMENT is made and entered into this 13th day of August, 2018 by and between the Tybee Island Historical Society, hereinafter referred to as "Community Service Provider", and the CITY OF TYBEE ISLAND, a Georgia municipal corporation, hereinafter referred to as "City." WHEREAS, Community Service Provider is a group or association on Tybee Island; and WHEREAS, Community Services Provider provides community service benefits to the citizens of the City and the public in general and the City benefits from such activities; and WHEREAS, City provides certain benefits to Community Services Provider as a result of and in consideration for the benefits to the citizens of the City; and WHEREAS, the City has budgeted $20,000.00 as consideration for the services provided to the community by the Community Service Provider; and WHEREAS, the parties hereto wish to enter into an agreement to document the mutual benefits and services each provides to the other. NOW, THEREFORE, it is hereby agreed as follows: 1. The City will pay the budgeted funds to Community Service Provider in exchange for services beneficial to the Tybee Island community. 2. In further consideration of the provision of funds by the City to Community Service Provider, Community Service Provider warrants that it will comply with all reasonable rules and regulations of the City with respect to providing audited financial reports as requested, evidence of insurance meeting City requirements, minutes of meetings and reports of activities. 3. This Agreement shall terminate at the end of the fiscal year of its execution. The Non -Profit acknowledges that the City has no obligation to fund or continue funding for any additional period of time and that any and every such decision shall be addressed on an annual basis by the City as part of its budgeting process. 4. Any special stipulations are attached hereto and made a part hereof. 5. Community Service Provider agrees to indemnify and hold harmless the City, its agents, officials, employees and representatives from any and all claims including, but not limited to, attorneys' fees arising from acts or omissions directly or indirectly related to Community Service Provider's activities. This day of Signed, sealed and delivered in the presence of: No Approved as to forum Edward M. Hughe taia City Attorney Signed, sealed and delivered in the presence of: ,20 . CITY OF TYBEE ISLAND, GEORGIA ason Bue erman Attest: 94_..-.�-L` ity Clerk, Jan LeViner COMMUNITY SERVICE PROVIDER: Witness By: Attest: Witness Secretary Notary Public Address: P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328-2749 (866) 786-4573 — FAX (866) 786-5737 www.cityoftybee.org MAYOR Jason Buelterman CITY COUNCIL Barry Brown, Mayor Pro Tem Wanda Doyle Jackson Butler Julie Livingston John Branigin Monty Parks August 13, 2018 YEEPIES Bobbie Orr PO Box 2843 Tybee Island, Ga 31328 CITY OF TYBEE ISLAND CITY MANAGER Shawn Gillen CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes RE: City of Tybee Island Consideration of Community Service for Fiscal Year 2018-2019 Your recent application for funds from the City of Tybee Island has been evaluated by City Council and your 2018-2019 amount of consideration for the service is $575.00 Please complete, sign, and notarize the enclosed Community Services Agreement, and return to City Hall within 10 days. In order to receive these funds, you must return the Check Request form to Melissa Freeman in the Finance Department, along with all corresponding receipts and paperwork. The completed project evaluation is required for compensation/verification of services provided, as well as for consideration of future funding or service requests. Sincerely, Angela Hudson, Director of Finance and General Administration P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328-2749 (912) 786-4573 — FAX (912) 786-9465 www.cityoftybee.org Community Services Contract PROJECT EVALUATION Organization Name: Individual Completing Evaluation: Name of Event / Project: Date(s) of Event / Project: Date of Evaluation Submission: Within thirty (30) days of the completion of your project / event, please complete the following and return as indicated. The completed project evaluation is required for compensation / verification of services provided, as well as, for consideration of future funding / service request(s). * Attach additional pages as necessary. * 1) Describe each goal of the event / project and how each goal was achieved: 2) Indicate the percentage of attendees / participants that...: Reside on Tybee Island Reside within Chatham County Are considered visitors* *i.e. persons residing outside of Chatham County's corporate limits 3) What was the average age of attendees / participants? 4) Number of volunteer hours spent for the event / project: 5) Who benefited from this event / project? Please describe the benefit. 6) How did the City of Tybee / Tybee Residents benefit? 7) Additional Comments: * Upon completion, return two (2) copies of the evaluation to Tybee Finance Department, PO Box 2749, Tybee Is/and, GA 31328; ATTIC• FUNDING EVALUATION MAYOR Jason Buelterman CITY COUNCIL Barry Brown, Mayor Pro Tem Wanda Doyle Jackson Butler Julie Livingston John Branigin Monty Parks CITY OF TYBEE ISLAND CHECK REQUEST FORM NAME OF ORGANIZATION CITY MANAGER Shawn Gillen CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes This form is to be completed and submitted to the Accounts Payable Clerk in the finance department to obtain the funds for your organization that were approved by Council in the budgeting process. Date: Name, address & contact number of Organization/Person requesting the check: Is this request prior to or after the funds have been spent? Check amount requested Signed Date: For Administration Use Only PO # Date Check# Admin Initials P.O. Box 2749 —403 Butler Avenue, Tybee Island, Georgia 31328-2749 (912) 786-4573 — FAX (912) 786-9465 www.cityoftybee.org City of Tybee Island COMMUNITY SERVICES AGREEMENT THIS AGREEMENT is made and entered into this 13th day of August, 2018 by and between the YEEPIES, hereinafter referred to as "Community Service Provider", and the CITY OF TYBEE ISLAND, a Georgia municipal corporation, hereinafter referred to as "City." WHEREAS, Community Service Provider is a group or association on Tybee Island; and WHEREAS, Community Services Provider provides community service benefits to the citizens of the City and the public in general and the City benefits from such activities; and WHEREAS, City provides certain benefits to Community Services Provider as a result of and in consideration for the benefits to the citizens of the City; and WHEREAS, the City has budgeted $575.00 as consideration for the services provided to the community by the Community Service Provider; and WHEREAS, the parties hereto wish to enter into an agreement to document the mutual benefits and services each provides to the other. NOW, THEREFORE, it is hereby agreed as follows: 1. The City will pay the budgeted funds to Community Service Provider in exchange for services beneficial to the Tybee Island community. 2. In further consideration of the provision of funds by the City to Community Service Provider, Community Service Provider warrants that it will comply with all reasonable rules and regulations of the City with respect to providing audited financial reports as requested, evidence of insurance meeting City requirements, minutes of meetings and reports of activities. 3. This Agreement shall terminate at the end of the fiscal year of its execution. The Non -Profit acknowledges that the City has no obligation to fund or continue funding for any additional period of time and that any and every such decision shall be addressed on an annual basis by the City as part of its budgeting process. 4. Any special stipulations are attached hereto and made a part hereof. 5. Community Service Provider agrees to indemnify and hold harmless the City, its agents, officials, employees and representatives from any and all claims including, but not limited to, attorneys' fees arising from acts or omissions directly or indirectly related to Community Service Provider's activities. This day of , 20 . Signed, sealed and delivered in the presence of: aiLL.a Approved as to form: "tel► Edward M. Hughe City Attorney Signed, sealed and delivered in the presence of: CITY OF TYBEE ISLAND, GEORGIA By: May r` + 3 Jason Buelterman 9i Attest: 4._.c-c.aE .,C.t4 .am, Witness ty Clerk, Jan LeViner COMMUNITY SERVICE PROVIDER: By: Attest: Witness Secretary Notary Public Address: P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328-2749 (866) 786-4573 — FAX (866) 786-5737 www.cityoftybee.org 'MAYOR Jason Buelterman CITY COUNCIL Barry Brown, Mayor Pro Tem Wanda Doyle Jackson Butler Julie Livingston John Branigin Monty Parks August 13, 2018 CITY OF TYBEE ISLAND Tybee Island Marine Science Center Maria Procopio PO Box 1879 Tybee Island, Ga 31328 CITY MANAGER Shawn Gillen CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes RE: City of Tybee Island Consideration of Community Service for Fiscal Year 2018-2019 Your recent application for funds from the City of Tybee Island has been evaluated by City Council and your 2018-2019 amount of consideration for the service is $25,212.00. You have also been awarded waivers in the amount of $64,670.00. Please complete, sign, and notarize the enclosed Community Services Agreement, and return to City Hall within 10 days. In order to receive these funds, you must return the Check Request form to Melissa Freeman in the Finance Department, along with all corresponding receipts and paperwork. The completed project evaluation is required for compensation/verification of services provided, as well as for consideration of future funding or service requests. Sincerely, Angela Hudson, Director of Finance and General Administration P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328-2749 (912) 786-4573 — FAX (912) 786-9465 www.cityoftybee.org Community Services Contract PROJECT EVALUATION Organization Name: Individual Completing Evaluation: Name of Event / Project: Date(s) of Event / Project: Date of Evaluation Submission: Within thirty (30) days of the completion of your project / event, please complete the following and return as indicated. The completed project evaluation is required for compensation / verification of services provided, as well as, for consideration of future funding / service request(s). * Attach additional pages as necessary, * 1) Describe each goal of the event / project and how each goal was achieved: 2) Indicate the percentage of attendees / participants that...: Reside on Tybee Island Reside within Chatham County Are considered visitors* *i.e. persons residing outside of Chatham County's corporate limits 3) What was the average age of attendees / participants? 4) Number of volunteer hours spent for the event / project: 5) Who benefited from this event / project? Please describe the benefit. 6) How did the City of Tybee / Tybee Residents benefit? 7) Additional Comments: * Upon completion, return two (2) copies of the evaluation to Tybee Finance Department, PO Box 2749, Tybee Island, GA 31328; ATTN; FUNDING EVALUATION 'MAYOR Jason Buelterman CITY COUNCIL Barry Brown, Mayor Pro Tem Wanda Doyle Jackson Butler Julie Livingston John Branigin Monty Parks CITY OF TYBEE ISLAND CHECK REQUEST FORM NAME OF ORGANIZATION CITY MANAGER Shawn Gillen CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes This form is to be completed and submitted to the Accounts Payable Clerk in the finance department to obtain the funds for your organization that were approved by Council in the budgeting process. Date: Name, address & contact number of Organization/Person requesting the check: Is this request prior to or after the funds have been spent? Check amount requested Signed Date: For Administration Use Only PO # Date Check# Admin Initials P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328-2749 (912) 786-4573 — FAX (912) 786-9465 www.cityoftybee.org City of Tybee Island COMMUNITY SERVICES AGREEMENT THIS AGREEMENT is made and entered into this 13th day of August, 2018 by and between the Marine Science Center, hereinafter referred to as "Community Service Provider", and the CITY OF TYBEE ISLAND, a Georgia municipal corporation, hereinafter referred to as "City." WHEREAS, Community Service Provider is a group or association on Tybee Island; and WHEREAS, Community Services Provider provides community service benefits to the citizens of the City and the public in general and the City benefits from such activities; and WHEREAS, City provides certain benefits to Community Services Provider as a result of and in consideration for the benefits to the citizens of the City; and WHEREAS, the City has budgeted $25,212.00 as consideration for the services provided to the community by the Community Service Provider; and WHEREAS, the parties hereto wish to enter into an agreement to document the mutual benefits and services each provides to the other. NOW, THEREFORE, it is hereby agreed as follows: 1. The City will pay the budgeted funds to Community Service Provider in exchange for services beneficial to the Tybee Island community. 2. In further consideration of the provision of funds by the City to Community Service Provider, Community Service Provider warrants that it will comply with all reasonable rules and regulations of the City with respect to providing audited financial reports as requested, evidence of insurance meeting City requirements, minutes of meetings and reports of activities. 3. This Agreement shall terminate at the end of the fiscal year of its execution. The Non -Profit acknowledges that the City has no obligation to fund or continue funding for any additional period of time and that any and every such decision shall be addressed on an annual basis by the City as part of its budgeting process. 4. Any special stipulations are attached hereto and made a part hereof. 5. Community Service Provider agrees to indemnify and hold harmless the City, its agents, officials, employees and representatives from any and all claims including, but not limited to, attomeys' fees arising from acts or omissions directly or indirectly related to Community Service Provider's activities. This day of Signed, sealed and delivered in the presence of: Approved as to form: Edward M. Hughes City Attorney Signed, sealed and delivered in the presence of: ,20 CITY OF TYBEE ISLAND, GEORGIA Attest: ason Buelterman City Clerk, Jan LeViner COMMUNITY SERVICE PROVIDER: Witness By: Attest: Witness Secretary Notary Public Address: P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328-2749 (866) 786-4573 — FAX (866) 786-5737 www.cityoftybee.org MAYOR Jason Buelterman CITY COUNCIL Barry Brown, Mayor Pro Tem Wanda Doyle Jackson Butler Julie Livingston John Branigin Monty Parks August 13, 2018 CITY OF TYBEE ISLAND Tybee Island Irish Heritage Celebration Jay Burke PO Box 2314 Tybee Island, Ga 31328 CITY MANAGER Shawn Gillen CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes RE: City of Tybee Island Consideration of Community Service for Fiscal Year 2018-2019 Your recent application for funds from the City of Tybee Island has been evaluated by City Council and your 2018-2019 amount of consideration for the service is $2,100.00. You have also been awarded waivers in the amount of $2,000.00. Please complete, sign, and notarize the enclosed Community Services Agreement, and return to City Hall within 10 days. In order to receive these funds, you must return the Check Request form to Melissa Freeman in the Finance Department, along with all corresponding receipts and paperwork. The completed project evaluation is required for compensation/verification of services provided, as well as for consideration of future funding or service requests. Sincerely, cur4tia9}__ Angela Hudson, Director of Finance and General Administration P.O. Box 2749 —403 Butler Avenue, Tybee Island, Georgia 31328-2749 (912) 786-4573 — FAX (912) 786-9465 www.cityoftybee.org 2) Indicate the percentage of attendees / participants that...: Reside on Tybee Island Reside within Chatham County Are considered visitors* *i.e. persons residing outside of Chatham County's corporate limits 3) What was the average age of attendees / participants? 4) Number of volunteer hours spent for the event / project: 5) Who benefited from this event / project? Please describe the benefit. 6) How did the City of Tybee / Tybee Residents benefit? 7) Additional Comments: * Upon completion, return two (2) copies of the evaluation to Tybee Finance Department, PO Box 2749, Tybee Island, GA 31328; Al /N: FUNDING EVALUATION Community Services Contract PROJECT EVALUATION Organization Name: Individual Completing Evaluation: Name of Event / Project: Date(s) of Event / Project: Date of Evaluation Submission: 1) Within thirty (30) days of the completion of your project / event, please complete the following and return as indicated. The completed project evaluation is required for compensation / verification of services provided, as well as, for consideration of future funding / service request(s). * Attach additional pages as necessary, * Describe each goal of the event / project and how each goal was achieved: 2) Indicate the percentage of attendees / participants that...: Reside on Tybee Island Reside within Chatham County Are considered visitors* *i.e. persons residing outside of Chatham County's corporate limits 3) What was the average age of attendees / participants? 4) Number of volunteer hours spent for the event / project: 5) Who benefited from this event / project? Please describe the benefit. 6) How did the City of Tybee / Tybee Residents benefit? 7) Additional Comments: * Upon completion, return two (2) copies of the evaluation to Tybee Finance Department, PO Box 2749, Tybee Island, GA 31328; Al /N: FUNDING EVALUATION MAYOR Jason Buelterman CITY COUNCIL Barry Brown, Mayor Pro Tem Wanda Doyle Jackson Butler Julie Livingston John Branigin Monty Parks CITY OF TYBEE ISLAND CHECK REQUEST FORM NAME OF ORGANIZATION CITY MANAGER Shawn Gillen CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes This form is to be completed and submitted to the Accounts Payable Clerk in the finance department to obtain the funds for your organization that were approved by Council in the budgeting process Date: Name, address & contact number of Organization/Person requesting the check: Is this request prior to or after the funds have been spent? Check amount requested Signed Date: For Administration Use Only PO # Date Check# Admin Initials P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328-2749 (912) 786-4573 — FAX (912) 786-9465 www.cityoftybee.org City of Tybee Island COMMUNITY SERVICES AGREEMENT THIS AGREEMENT is made and entered into this 13th day of August, 2018 by and between the Irish Heritage Celebration, hereinafter referred to as "Community Service Provider", and the CITY OF TYBEE ISLAND, a Georgia municipal corporation, hereinafter referred to as "City." WHEREAS, Community Service Provider is a group or association on Tybee Island; and WHEREAS, Community Services Provider provides community service benefits to the citizens of the City and the public in general and the City benefits from such activities; and WHEREAS, City provides certain benefits to Community Services Provider as a result of and in consideration for the benefits to the citizens of the City; and WHEREAS, the City has budgeted $2,100.00 as consideration for the services provided to the community by the Community Service Provider; and WHEREAS, the parties hereto wish to enter into an agreement to document the mutual benefits and services each provides to the other. NOW, THEREFORE, it is hereby agreed as follows: 1. The City will pay the budgeted funds to Community Service Provider in exchange for services beneficial to the Tybee Island community. 2. In further consideration of the provision of funds by the City to Community Service Provider, Community Service Provider warrants that it will comply with all reasonable rules and regulations of the City with respect to providing audited financial reports as requested, evidence of insurance meeting City requirements, minutes of meetings and reports of activities. 3. This Agreement shall terminate at the end of the fiscal year of its execution. The Non -Profit acknowledges that the City has no obligation to fund or continue funding for any additional period of time and that any and every such decision shall be addressed on an annual basis by the City as part of its budgeting process. 4. Any special stipulations are attached hereto and made a part hereof. 5. Community Service Provider agrees to indemnify and hold harmless the City, its agents, officials, employees and representatives from any and all claims including, but not limited to, attorneys' fees arising from acts or omissions directly or indirectly related to Community Service Provider's activities. This day of , 20_ Signed, sealed and delivered in the presence of: Luta Notary Approved as to form: en Edward M. Hughes V City Attorney Signed, sealed and delivered in the presence of: CITY OF TYBEE ISLAND, GEORGIA Attest: on Buelterman y Clerk, Jan LeViner COMMUNITY SERVICE PROVIDER: Witness By: Attest: Witness Secretary Notary Public Address: P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328-2749 (866) 786-4573 — FAX (866) 786-5737 www.cityoftybee.org MAYOR Jason Buelterman CITY COUNCIL Barry Brown, Mayor Pro Tem Wanda Doyle Jackson Butler Julie Livingston John Branigin Monty Parks August 13, 2018 CITY OF TYBEE ISLAND Tybee Island Maritime Academy Carolyn Jurick PO Box 1519 Tybee Island, Ga 31328 CITY MANAGER Shawn Gillen CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes RE: City of Tybee Island Consideration of Community Service for Fiscal Year 2018-2019 Your recent application for funds from the City of Tybee Island has been evaluated by City Council and your 2018-2019 amount of consideration for the service is $20,000.00. Please complete, sign, and notarize the enclosed Community Services Agreement, and return to City Hall within 10 days. In order to receive these funds, you must return the Check Request form to Melissa Freeman in the Finance Department, along with all corresponding receipts and paperwork. The completed project evaluation is required for compensation/verification of services provided, as well as for consideration of future funding or service requests. Sincerely, Angela Hudson, Director of Finance and General Administration P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328-2749 (912) 786-4573 — FAX (912) 786-9465 www.cityoftybee.org Community Services Contract PROJECT EVALUATION Organization Name: Individual Completing Evaluation: Name off Event / Project: Date(s) of Event / Project: Date of Evaluation Submission: Within thirty (30) days of the completion of your project / event, please complete the following and return as indicated. The completed project evaluation is required for compensation / verification of services provided, as well as, for consideration of future funding / service request(s). * Attach additional pages as necessary, * 1) Describe each goal of the event / project and how each goal was achieved: 2) Indicate the percentage of attendees / participants that...: Reside on Tybee Island Reside within Chatham County Are considered visitors* *i.e. persons residing outside of Chatham County's corporate limits 3) What was the average age of attendees / participants? 4) Number of volunteer hours spent for the event / project: 5) Who benefited from this event / project? Please describe the benefit. 6) How did the City of Tybee / Tybee Residents benefit? 7) Additional Comments: * Upon completion, return two (2) copies of the evaluation to Tybee Finance Department, PO Box 2749, Tybee Is/and, GA 31328; ATTN: FUNDING EVALUATION MAYOR Jason Buelterman CITY COUNCIL Barry Brown, Mayor Pro Tem Wanda Doyle Jackson Butler Julie Livingston John Branigin Monty Parks CITY OF TYBEE ISLAND CHECK REQUEST FORM NAME OF ORGANIZATION CITY MANAGER Shawn Gillen CITY CLERK Janet LeViner CITY ATTORNEY Edward M. Hughes This form is to be completed and submitted to the Accounts Payable Clerk in the finance department to obtain the funds for your organization that were approved by Council in the budgeting process. Date: Name, address & contact number of Organization/Person requesting the check: Is this request prior to or after the funds have been spent? Check amount requested Signed Date: For Administration Use Only PO # Date Cheek# Admin Initials P.O. Box 2749 —403 Butler Avenue, Tybee Island, Georgia 31328-2749 (912) 786-4573 — FAX (912) 786-9465 www.cityoftybee.org City of Tybee Island COMMUNITY SERVICES AGREEMENT THIS AGREEMENT is made and entered into this 13th day of August, 2018 by and between the Tybee Island Maritime Academy, hereinafter referred to as "Community Service Provider", and the CITY OF TYBEE ISLAND, a Georgia municipal corporation, hereinafter referred to as "City." WHEREAS, Community Service Provider is a group or association on Tybee Island; and WHEREAS, Community Services Provider provides community service benefits to the citizens of the City and the public in general and the City benefits from such activities; and WHEREAS, City provides certain benefits to Community Services Provider as a result of and in consideration for the benefits to the citizens of the City; and WHEREAS, the City has budgeted $20,000.00 as consideration for the services provided to the community by the Community Service Provider; and WHEREAS, the parties hereto wish to enter into an agreement to document the mutual benefits and services each provides to the other. NOW, THEREFORE, it is hereby agreed as follows: 1. The City will pay the budgeted funds to Community Service Provider in exchange for services beneficial to the Tybee Island community. 2. In further consideration of the provision of funds by the City to Community Service Provider, Community Service Provider warrants that it will comply with all reasonable rules and regulations of the City with respect to providing audited financial reports as requested, evidence of insurance meeting City requirements, minutes of meetings and reports of activities. 3. This Agreement shall terminate at the end of the fiscal year of its execution. The Non -Profit acknowledges that the City has no obligation to fund or continue funding for any additional period of time and that any and every such decision shall be addressed on an annual basis by the City as part of its budgeting process. 4. Any special stipulations are attached hereto and made a part hereof. 5. Community Service Provider agrees to indemnify and hold harmless the City, its agents, officials, employees and representatives from any and all claims including, but not limited to, attorneys' fees arising from acts or omissions directly or indirectly related to Community Service Provider's activities. This day of , 20 . Signed, sealed and delivered in the presence of: div``""' Approved as to form. Edward M. Hughes City Attorney Signed, sealed and delivered in the presence of: CITY OF TYBEE ISLAND, GEORGIA By Mayo ason t ue Lerman Attest: a t Witness ity Clerk, Jan LeViner COMMUNITY SERVICE PROVIDER: By: Attest: Witness Secretary Notary Public Address: P.O. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328-2749 (866) 786-4573 — FAX (866) 786-5737 www.cityoftybee.org