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Home My WebLink AboutContract 47769 CITY SECRETARY CONTRACT NO., l' mAY i 0 216 PiTJOART RTW(t egarifiese GRANT STATEMENT THIS GRANT STATEMENT is entered into and forms a part of that certain Grant Agreement dated December 12,2011 (the "AUeement")by and between PetSmart Charities, Inc. ("PetSmart Charities"') and the "Organization" identified below. The Parties are entering into this Grant Statement to set forth additional terms and conditions for a Grant from PetSmart Charities to the Organization. Capitalized terms not otherwise defined herein shall have the meanings set forth in the Agreement. Parties and Contact Information PetSmart PetSmart Charities, Inc. Organization: City of Fort Worth Charities: Address: 19601 North 27a'Avc Address: 1000 Throckmorton St Phoenix,AZ 85027 Fort Worth TX 76102-6312 Principal Kelly Bafthazor Principal Randy Acosta Contact: Contact: Notice Legal Department Notice contact: contact: Tel: 1-800-738-1385 Tel: 817-392-6314 Fax: 1-623-580-6561 Fax: Grant Ternis Effective Date: Upon full execution Grant Funds: $5,377 Grant Conditions: There are no additional conditions beyond of the Agreement and The Grant Statement Grant Distributions: $5,377 in single installment upon execution PetSmart Charities Gm,N Stareenem(MIO-M) NW PetSmart Charities CONFIDENTIAL Grant Purpose: The Grant Funds will total $5,377 for City of Fort Worth #1811 to host a May National Adoption Weekend Event to take place on 5113/16, 5114116 and 5115116 at PetSmart Stores #187 and #2065 with a goal of 200 adoptions and participation by other approved PetSmart Charities Adoption Partners may be agreed by written permission of PetSmart Charities. Grant funds will be used for. 1. Approximately $500 in Marketing/Advertising for the May National Adoption Weekend Event. Marketing and advertising Include: social media, television and radio spots, billboards, newspaper ads, banners, and flyers. Organization will use provided event-specific PetSmart Charities promotional materials.Any marketing materials created by the Organization shall be submitted to PetSmart Charities for review, prior to use, including any and all promotional or advertising materials, press releases, written communication and/or social media posts in which PetSmart Charities' name, trademarked material or copyrighted material is used, at least 10 business days in advance of advertising and print deadlines. 2. Approximately $4,877 for permits, insurance, security, tables, chairs, tents, fencing and/or other similar items as described within your Grant Application. If tent(s) are described with your grant request, included will be needed supplies to ensure adequate preparation for potential inclement weather, up to and Including: tent panels, heaters, air conditioning,fans,etc. 3. if any grant funds remain after the expenses in items(1)through(2) above are covered, the remaining grant funds may be used, with written permission from PetSmart Charities, Inc. toward spay/neuter surgeries for animals to assist in preparing them for adoption. Grant Period: The Grant Period will commence on the Effective Date set forth in this Grant Statement,which in no event shall be earlier than effective date of the Agreement and will continue for a period of six months after full execution. . Reporting Obligations: As required by Adoption Partner Standard Operating Procedures as documented in the PetSmart Store Adoption Partner Manual In addition to any reporting requirement set forth in the Master Support Agreement and/or the In-Store Adoption Partner,the Organization agrees to provide the following reports to PetSmart Charities in connection with this event grant, on or before the deadlines set below. PetSmart Charities reserves the right to change the method and format of how reports are provided. Page 2 of 5 PelSmarr Charities Grant Slarernenr(2010.06) PetS=rt Charities CONFIDENTIAL Unless otherwise specified, submit all reports via www.cybergrants.com/Petsmartcharkiestreports/app. The final Adoption Event impact Report and the Expenditure Report templates are available at hitp://www.petsmartcharities.org/proiresources/. By 6/15/2016 or no later than 30 days after the completion of the event, whichever comes sooner, a Final Adoption Event Impact Report including: 1) A detailed report on the expenditures of Grant Funds. A detailed report on the total Income and expenses for the project or event funded by the grant. 2) A final project or event report on the on the results and impact of the project or event, Including: (A) Total number of pets adopted broken down by: (i) Total number of adult cats available for adoption at the event (ii) Total number of adult cats adopted at the event (iii) Total number of kittens 5m and under available for adoption at the event (iv) Total number of kittens 5m and under adopted at the event (v) Total number of adult dogs available for adoption at the event (vi) Total number of adult dogs adopted at the event (vii) Total number of puppies Sm and under available for adoption at the event (viii) Total number of puppies 5m and under adopted at the event (ix) Total number of other animals (rabbits, ferrets, etc.) adopted at the event (B) Additional information as described within the Final Event Grant Report which can be found at www.petsmartcharities.org/Pro/Resources Additional Terms: As of the date of signing this Grant Statement,the Organization represents to PetSmart Charities that each of its representations, warrants and covenants provided in the Agreement and this Grant Statement are true and correct, including,but not limited to,those set forth in Section 8 of the Agreement. Page 3 of.5 PerSmari Charkics Grrni1 Srarenre t(201 MQ PetSmart Charities CONFIDENTIAL This Grant Statement shall not be binding on either Party until executed by both Parties. Organization acknowledges and agrees that PetSmart Charities may rescind any offer contained herein at any time until the Agreement has been executed by both Parties. [Signature page follows] PelSnurr!Charities Grarr!Statement(7010-06) Page 4 of 5 Petsrtmrl Charities cowinu,N-r1AL IN WITNESS WHEREOF,the Parties have caused this Grant Statement to be signed by their respective and duly authorized representatives as of the last date set forth below. "PETSMART CHARITIES" "ORGANIZATION" PETSMART CHARITIES, INC. City of Fort Worth Signature: Signature: C�a.G------ Name:Q N Name:,Frn&] dy (Ak Title- Title: AssJ wYJ - (J�1 lel Date: Date: Please retain a copy of this document for your records APPROVED AS TO POW AND LEGALITY. Ass ant City AttUrac A J. , C1 ►&=taly Aft Pe1Smart Charlsics Gram Slate►►►en1(2010-06) OFFICIAL�+;9§9 PdSmart Charities CONMENTIAL CITY SECRETARY FT.WORTH,TX