Loading...
HomeMy Public PortalAboutRES-CC-1990-03Utah Division of Surplus Property 522 South 700 west Salt lake Cry, Utah 84104 Tel. 533.5885 FPS 588-5029 UDSP Form No. 101 (3-86) . ,PE `*\�i William A. Arseneau Director RESOLUTION 03-90 BE IT RESOLVED THAT Thomas A. Stocks Name of Representative Mayor/Administrator Title of Representative Moab City Corporation shall be and is hereby designated as the representative of Full Legal Name of Applicant 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 ont he reverse side of this form. BE IT FURTHER RESOLVED THAT acertified copy of this resolution shall be submitted to the Utah Division of Surplus Proper* and that the same shall remain in full force and effect until written notice to the contrary is submitted to the said Utah Division of Surplus Property. I, Thomas A. Stocks Name Mayor Title of Moab City Corporation Full Legal Name of Applicant CERTIFICATION of the , hereby certify that I am the Moab City Council Full Legal Name of Governing Board 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 ? 0 t h day of March at which a quorum was present, OR (2) an executive action taken by me on the March , 19 90 kTTEST: 4CrA/1,eL Signature of Designated Representative Sandra E. Beauregard Acting Temporary City Recorder Signature. 19 90 20th day of Chairman of the Board or Chief Administrative Officer Thomas A. Stocks Mayor Utah Otvtnoa of Surplus Property 522 South 700 west Salt Lake club Utah 84104 TeL 533.3883 FTS 388-5029 UDSP Form :la L02 (3-883 AUTHOR= AGENTS AND THEIR SIGNATURES Date- 3/20/90 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 CORRES NDING SIGN TURF i. Thomas A. Stocks I 2, William D. McDougald 2. ,/d/la�--7-/- X , %� 5, Larry S . Johnson 3, ;, c 'I J ,- , 4-/1-` .— v/ 4, Holly R. Walden ;1 , `J r ` `( ./ _-. 5. Timmy Sheets 6. Alan West 5 5. 7. T ynn 7.11fel t �. g_ M. David Olsen 9. Sandra E, Be_auregard 9. L0. 10. • Submitted By: Thomas A. Stocks. Mayor/Administrator Typed or printed name of designated representative (See UDSP Form No. I01) ATTEST: �l(A/n) Signature of designated representative andra E. Beauregard g Acting Temporary City Recorder Additional agents and their signatures may be added on the back of this page. Other agents may be authorized to shop at the Utah DS? Distriburion Canter on one-time basis by su.bmitring a letter of Authorization signed by the duly designated representative. Only the person designated by resolution on UDS? Form No. 101 may authorize Donee agents. Utah Division of Surplus Property 5M South 700 west Salt take City. Utah 84104 TeL a"i�. -5885 E75 588-5029 UDSP Forth No. 100 (Rev. 3-883 STATE OF UTAH APPLICATION FOR ELIGIBILITY FEDERAL PROPERTY ASSISTANCE PROGRAM Before preparing this application, please read carefully the instructions. Part A. Legal Name of Applicant: Mailing Address. Moab City Corporation 150 E. Center Street WW1= A. Arseneau Director Telephone: (801) 259-5121 City: Moab County: Grand zip. 84532 PART A. I. Complete Only if the Applicant is a Public Agency Check Only One: ❑ State Public Agency a Local Public Agency. 2. Check the One Which Best Describes ❑ Conservation ❑ Economic Development ❑ Education ❑ Parks & Recreation how Surplus Property will be Used: ❑ Public Health ❑ Public Safety ® Two or More of the Above ❑ Other: PART B. Complete Only if the Applicant is a Nonprofit a Tax-exempt Organization 1. Attach a copy of the letter or certificate from the U.S. Internal Revenue Service evidencing tax - exemption under Section 501 of the Internal Revneue Code of 1.954. 2. Check the One Which Best Describes how Surplus Property will be Used: • ❑ Education ❑ Medical Institution ❑ School for the Mentally Retarded ❑ Hospital ❑ School for the Physically Handicapped ❑ Health Center ❑ Museum ❑ Clinic ❑ Library ❑ Other- 3. Check One: ❑ Evidence of approval is attached. ❑ Evidence of accreditation is attached. ❑ Evidence of licensing is attached. (Note: If such evidence is lacking, refer to Instruction B.Z. or B.6.) 4. Are the applicant's services .available to the public at large') If only a specified group is served, indicate who comprises this group. 5. Attach the following information: (a) For educational institutions, include a description of the curriculum, the grades taught, enrollment, length of school day, week and year, the number and qualifications of the full-time and part-time staff, and the facilities operated; (b) For public health applicants, include a description of the health services offered, the number of beds where applicable. the number of resident physicians, the number of registered nurses, the number and qualifications of the other professional staff, and the facilities operated. itc h Dtpiston of Surplus ? operty 522 South 700 west Salt Lake an/. Utah 84104 TeL 533.5885 FtS 588-3029 UDSP Form No. 104 (3-8e) STATEMENT OF NEEDS & RESOURCES Moab City Corporation (Type or Print Legal Name of Applicant Agency or Institution) Federal law requires that surplus property be distributed in a fair and equitable manner based on the relative needs and resources of interested eligible agencies and organizations and their abilities to utilize the property. The information provided on this form will assist the Utah DSP in complying with this requirement. I. Source of funds: a. Tax Revenues ao 95 b. Federal or State Grants a 5 c. Tuition or Service Charges cti 0 d. Donations or Contributions % 0 , e. Other % 0 (specify) 2. Economic condition of the applicant. Mark one: () () O 5 4 3 Excellent ( x) ( ) 2 1 Poor 3. Describe any extraordinary problems below. If none, mark here: ( Depressed economy 4. Does the applicant agency or insititution have sufficient funds and facilities to acquire, repair or renovate, and maintain surplus personal property in use? (X ) Yes ( ) No Exceptions: 5. Glve a general description of the nature and types of property needed for the applicants program: vehicles, hardware, tools, office equipment Date: 'TEST : 3/20/90 G ra :eaur gar Acting Temporary City Submitted By: ecorder ident. Chairman of the Board or other comparable official Thomas A. Stocks Mayor Uta..h•Otviston of Surplus Etoperri 322 South 700 west Salt Lake City. Utah 84t04 Tet. a"ar5885 FTS 588-5029 UDS2 Form No. t03 (3-86) ASSURANCE OF COMPLIANCE WITH GSA REGULATIONS UNDER TITLE VI OF THE CIVIL RIGHTS ACT OF 1964, AS AA/ENDED, SECTION 606 OF TITLE VI OF THE FEDERAL PROPERTY AND ADMLNISTRATIVE SERVICES ACT OF 1949, AS AMENDED. SECTION 504 OF THE REHABILITATION ACT OF 1973, AS AMENDED, AND SECTION 303 OF THE AGE DISCRLMINATION ACT OF 1975, AS AMENDED Moab City Corporation (hereinafter called the "donee"), (Name of donee organization) hereby agrees that the program for or in connection with which any property is donated to the donee will be conducted in compliance with, and the donee will comply with and will require any other person (any legal entity) who through contractual or other arrangements with the donee is authorized to provide services or benefits under said program to comply with, all requirements imposed by or pursuant to the regulations of the General Services Administration (41 CFR 101-6.2) issued under the provisions of Title VI of the Civil Rights Act of 1964, as amended, Section 606 of Title VI of the Federal Property and Administrtive Services Act of 1949, as amended. Section 504 of the Rehabilitation Act of 1973, as amended, Title IX of the Education Amendments of 1972. as amended, and Section 303 of the Age Discrimination Act of 1975, as amended. to the end that no person in the United States shall on the ground of race, color, national origin, sex, or age, or that no otherwise qualified handicapped person shall solely by reason of the handicap, be excluded from participation in, be denied the benefits of. or be subjected to discrimination under any program or activity for which the donee received Federal assistance from the General Services Administration; and Hereby Gives Assurance That it will immediately take any measures necessary to effectuate this agreement. The donee further agrees that this agreement shall be subject in all respects to the provisions of said regulations; that this agreement shall obligate the donee for the period during which it retains ownership or possession of any such property; that the United S tates shall have the right to seek judicial enforcement of this agreement; and. this agreement shall be binding upon any successor in interest of the donee and the word "donee" as used herein includes any such successor in interest. Dated March 20th 1990 TTEST : • By dra Beauregard Acting Temporary City Recorder (President/Chairman of the Board or comparable authorized official) Thomas A. Stocks Mayor Utah Division of Surplus Property 522 South 700 West Salt Lake City. Utah 84104 Tel. 533.5885 FTS 588-5029 UDS? Form No. 100(A) (Rev. 3/86) Instructions For Eligibility Applications A. Instructions Applicable to All Applicants 1. Before preparing this application, please read the definitions on the back of this instruction page carefully. 2. Attached are UDSP Form No's. 100, 101, 102, appropriate signatures where required. 3. If you have any questions, please call us. 588-5029. 103 and 104. Complete all forms and provide Our telephone number is 533-5885 or FTS 4. Return completed applications to the Utah Division of Surplus Property, 522 South 700 West, Salt Lake City, Utah 84104. B. Instructions Applicable Only to Nonprofit & Tax-exempt Applicants 1. Nonprofit and tax-exempt applicants must be either educational or public health organizations and must provide evidence of tax -exemption under Section 501 of the Internal Revenue Code of 1954 and evidence of formal approval, accreditation or licensing. 2. If the applicant is a school, college, or university lacking evidence of formal approval or accreditation. the following type of information may be accepted in lieu thereof: A letter from a school district governing board or chief administratinve officer, or the State Board of Education or similar authority, stating that the institution meets the academic or instructional standards prescribed for public schools, colleges, or universities in the state or that students will be accepted for transfer to accredited or approved institutions at the same academic level; OR a minimum of three letters from accredited or approved institutions to the effect that students from the applicant institution have been and are accepted as if coming from an accredited or approved institution. 3. If the applicant is a school for the mentally or physically handicapped, the application must include a copy of a certificate or other evidence that the facility meets the state and local health and safety standards. Give data on length of school day, week, and year and the number and qualifications of the staff. 4. If the applicant is an educational radio or educational television station, the application must be accompanied by a copy of the FCC license to operate exclusively for non- commercial educational purposes. 5. If the applicant is a private, nonprofit library, the application must include a statement from the governing body that the library serves free all residents of the community. 6. If the applicant is a medical institution lacking evidence of formal approval, accredi- tation, or licensing, the application must include a letter from a city, county, state, or federal health authority stating that the institution is approved by that authority. A licensing authority will be accepted as evidence of approval only when the licensing authority prescribes the medical requirements and standards for the professional and technical services of the institution.