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Home My Public Portal AboutRES-CC-1992-03RESOLUTION 03-92 BE IT RESOLVED THAT John W. West, Recorder, shall be and is hereby designated as the representative of Moab City Corporation to secure the transfer to said Applicant of surplus Federal property through the UTAH DIVISION OF SURPLUS PROPERTY, under the provisions of Section 203(j) of the Federal Property & Administrative Services Act of 1949, as amended, to obligate the applicant and its funds to the extent necessary to comply with the terms and conditions listed on the reverse side of this form. BE IT FURTHER RESOLVED THAT a certified copy of this resolution shall be submitted to the Utah State Agency for Surplus Property and that the same shall remain in full force and effect until written notice to the contrary is submitted to the said Utah State Agency for Surplus Property. John WSWest, Recorder CERTIFICATION I, Thomas A. Stocks, hereby certify that I am the Mayor of the Moab City Council of Moab City Corporation and that the foregoing is (1) a true and correct copy of the resolution adopted by the vote of a majority of said board present at a duly -convened meeting of said board on the 4th day of February , 1992 at which a quorum was present, or (2) an executive action taken by me on the 4th day of February , 1992. Thomas A. Stocks, Mayor ATTEST: John West, Recorder JAN 2 f 1992 APPLICATION FOR ELIGIBILITY --- ,I,i OF Tg FEDERAL SURPLUS PROPERTY PROGRAM �• 4,-,0'", --?': t W : r� ,�1 i cg UTAH STATE AGENCY FOR SURPLUS PROPERTY :�'A;� =CP; 522 South 700 West t ,4,/ Salt Lake City, Utah 84104 = ' (801) 533-5885 (801) 533-4016 (Fax) Dear Friend: The Federal Surplus Property Program was created by the U.S. Congress and is perhaps one of the finest examples of government at its very best. It brings together every level of government to help expand the tax payers dollar. This outstanding program actually expands the tax dollar by effectively extending the useful life of Federal surplus supplies and equipment for public good. You are invited to fill out this application to help us determine your eligibility to participate in this outstanding program. It does take extra effort and some creativity on your part to use surplus property, but the savings are worth that effort. We look forward to being of service to you and we hope to see you often! Kindest Regards, William A. Arseneau Director, Government Surplus I. Legal Name and Address of Applicant's Organization (if P.O. Box Number - include Street Address as well) MOAB CITY CORPORATION 150 E. CENTER STREET MOAB, UTAH 84532 County GRAND Telephone ( 801) 259-5121 II. Donee/Organization Status (check A or B) A. X Public Agency (including Public Schools) (Complete Section III, Omit Section IV) L3. Non -Profit, Tax Exempt Educational OR health Organization (Complete Section IV, Omit Section III) 1 USASP Form No. 100 (Rev. 4/90) William A. Arseneau Director III. Public Agencies A. Check Type USASP Action Taken (Do Not Write in this Space) Approved Not Approved USASP GSA Regional Office GSA Central Office Date: ❑ State ❑ County ›ta City ❑ Town ❑ Public School District ❑ School ❑ Other (specify) B. Provide a brief description of public program: LOCAL GOVERNMENTAL AGENCY (PUBLIC SERVICES) C. Cite the Law, Ordinance Agreement, etc.. creating your agency: MOAB CITY WAS INCORPORATED IN 1902 AND DECLARED A THIRD CLASS CITY BY PROCLAIMATION ON 9/25/36 BY GOVERNOR HENRY BLOOD. D. Resident population of your jurisdiction and/or number of persons, patients, clients, inmates, residents, students served daily through your program(s): 3, 971 RESIDENT POPULATION E. Total budgeted expenditures for last fiscal year: $ 2 , 8 0 2 , 6 2 2 . 2 7 F. Source(s) of operating funds for last fiscal year. If more than one source, give percentage received from each: ra Local Taxes 2 3% Zr States Taxes 17 % ❑ Federal Grants —0— la Other (specify) 60% (Fees, etc.) G. Total budget for current fiscal year: $ % , 949 , 61 6.00 H. Complete Section V, Nondiscrimination Assurance I. Complete Section VI, Donee Authorization, Resolutions, and Certifications and Agreements. 3 USASP Form No. 101 (Rev. 4/90) ,, re I Al, F so, et William A. Arseneau Director IV. Non -Profit, Tax Exempt Health or Educational Institution A. Check "Type: QQQQQQQQQQQ College or University Secondary School Elementary School Preschool Program for Senior Citizens Radio/TV Station Medical Institution Health Center Sheltered Workshop Training Program Provider of Assistance to Homeless Individuals Other (specify) QQQQQQQ USASP Action Taken (Do Not Write in this Space) Approved Not Approved USASP GSA Regional Office GSA Central Office Date: Child Care Center School For Handicapped School For Retarded Museum Training Center Library Hospital B. Are you approved, accredited or licensed? ❑ Yes ❑ No If yes, by whom? (attach proof) C. Has the applicant been determined to be non-profit and tax exempt under Section 501 of the U.S. Internal Revenue Code of 1954? ❑ Yes ❑ No (If yes, attach a copy of IRS ruling letter.) D. Check funding source(s) and show percentage of total budget received from each source. ❑ Taxes ❑ Grants ❑ Contributions ❑ Other (specify) E. Attach a brief narrative description of your program. (for schools; include level of courses, enrollment, facilities, staff, etc., for hospitals or health care facilities; include type of services, number of beds and/or patients served, facilities, staff, etc., for libraries; number of volumes, population served, facilities, staff, etc., for museums; type, population served, facilities, research aids, staff, hours opened to the public, etc., for others; similar types of information that will help us to understand your program.) F. Complete Section V, Civil Rights Nondiscrimination Assurance G. Complete Section VI, Donee Authorization, Resolution, Certifications and Agreements. 4 USASP Form No. 102 (Rev. 4/90) \ illiam A. Arseneau Director Nondiscrimination Assurance MOAB CITY CORPORATION the donee, assures compli- Name of Applicant ance with all requirements imposed by or pursuant to the regulations of the General Services Administration (41 CFR 101-6.2 and 101-8) issued under provision of Title VI of the Civil Rights Act of 1964, as amended; Title VI of the Federal Property and Administrative Services Act of 1949, as amended; Section 504 of the Rehabilitation Act of 1973, as amended; Section 303 of the Age Discrimination Act of 1975, as amended; and Title IX of the Education Amendments of 1972. No petition will he excluded from program participation or. denied program benefits due to race, color, national origin, sex, education or handicap. Further, the donee agrees that this assurance obligates them for the period during which it retains ownership or possession of property: that the United States shall have the right to seek judicial enforcement of this agreement; this agreement is binding upon the donee and it's successors. transferrers, and assignees. ` ffe‘ Date r%� Signature of President Chairman of the Board or Comparable Authorized official THOMAS A. STOCKS /MAYOR ATTEST: JOHN W. WEST Vi. Resolution lie it resolved that JOHN W. WEST ATTEST: CITY RECORDER Name of Designated Representative Title of Designated Representative shall be and is hereby designated as the representative of MOAB CITY CORPORATION Pull Legal Name of Applicant to secure the transfer to said Applicant of surplus Federal property through the UTAH STATE AGENCY FOR SURPLUS PROPERTY, under the provisions of Section 203(j) of the Federal Property & Administrative Services Act of 1949, as amended, to obligate the applicant and its funds to the extent necessary to comply with the Terms and Conditions listecl on the reverse side of this form. BE IT RIMIER RESOLVED THAT a certified copy of this resolution shall he submitted to the titah State Agency For Surplus Property and that the same shall rennin in full force and effect until written notice to the contrary is submitted to the said Utah State Agency for Surplus Property. VI1. Certification t, THOMAS A. STOCKS hereby certify that I am the MAYOR of Title J Signature )esignated Representative JOHN W . WEST /RECORDER Nano the MOAB CITY COUNCIL of MOAB CITY CORPORATION and that the foregoing Pull Legal Name of Governing Board Pull Legal Name of Applicant is (1) a true and correct copy of the resolution adopted by the vote of a majority of said hoard present at a duly -convened meeting of saicl hoard on the 4TH day of FEBRUARY , 1992 at which a quorum was present , OR (2) an executive action taken by me on the 4TH clay of FEBRUARY , 19 92 �-41 ignature of President.Chairman of the Board or Comparable Authorized Official THOMAS A. STOCKS/MAYOR AUTHORIZED AGENTS AND THEIR SIGNATURES Date: FEBRUARY 4, 1992 The following persons, whose signatures appear below, are authorized to acquire surplus Federal personal property through the Federal Property Assistance Program for: MOAB CITY CORPORATION Full Legal Name of Applicant or Donee Typed or Printed Name 1. JOHN W. WEST ALAN R. WEST 3. JACOB (LYNN) ZUFELT 4. LARRY S. JOHNSON 5. TIMMY W. SHEETS 6. BRENT J. WILLIAMS 7. THOMAS A. STOCKS 8. 9. 10. Submitted By: 2. 6. 7. 8. 9. 10. s ignature of Designated Representative JOHL�W WEST/CITY RECORDER Additional agents and their signatures may be added on the back f th s page. Other agents may be authorized to shop at the Utah SASP Distribution Center on one-time basis by submitting a letter of authorization signed by the duly designated representative. Only the person designated by resolution on USASP Form No. 103 may authorize Donee agents. 6 USASP Form No. 104 (Rev. 4/90)