HomeMy WebLinkAboutContract 48054 4
CITY SE TAW 0
CONTRACT NO.
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GRANT STATEMENT
THIS GRANT STATEMENT is entered into and forms a part of that certain Grant
Agreement dated September 10, 2013 (the "Agreement") 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 27th Ave Address: 1000 Throckmorton St
Phoenix,AZ 85027
Fort Worth TX 76102-6312
Principal Kelly Balthazor 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 Terms
Effective Date: Upon full execution
Grant Funds: $5,150
Grant Conditions: There are no additional conditions beyond of the Agreement and The Grant
Statement
Grant Distributions: $5,150 in single installment upon execution
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OFFICIAL RECORD page 1 of4
'*dle tarn Charities Grant Statement(2010-06) CITY SECRETARY
detSmart Charities CONFIDENTIAL
p° FT.WORTH,TX
Grant Purpose: TThe Grant Funds will total $5,150 for City of Fort Worth # 1811 to host an
adoption event at Store#187 to take place on 6/4 - 5 /16 and Store#2065
on 6/25-26/16 with an over goal of 125 adoptions and participation by other
approved PetSmart approved adoption partners with written permission by
PetSmart Charities. Grant funds will be used for:
1. Approximately $5,150 in Marketing/Advertising for an Adoption
Weekend Event. Marketing and advertising include: social media, television
and radio spots, billboards, newspaper ads, banners, and flyers. 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. If any grant funds remain after the expenses in items (1) 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.
Unless otherwise specified, submit all reports via
www.cybergrants.com/petsmartcharities/reports/app. The final Adoption
Event Impact Report and the Expenditure Report templates are available at
http://www.petsmartcharities.org/pro/resources/.
By 7/26/2016 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
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PetSmart Charities Grant Statement(2010-06)
PetSmart Chanties CONFIDENTIAL
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 5m 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.
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]
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PetSmart Charities Grant Statement(2010-06)
PetSmart Chanties CONFIDENTIAL
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: ( dL
Name: Name: CoS'h
Title: Title: A$$+ 'C.f�o Mx^&See
Date: Date: e,1=11G
Please retain a copy of this document for your records
APPROVED AS TO FORM AND LEGALITY:
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PetSmart Charities Grant Statement(2010-06)
PetSmart Charities CONFIDENTIAL