Date
Date
MEMO OF UNDERSTANDING- FUNDING AGREEMENT
January 19, 2023
Failure to adhere to the requirements of this Funding Agreement will jeopardize your grant award.
All purchases must match the quantities and equipment approved in the original grant request and approved quote.
Firehouse Subs Public Safety Foundation Responsibilities • Firehouse Subs Public Safety Foundation will award funding to City of Fullerton, on behalf of Fullerton Fire Department, Fullerton, CA for $19,642.22 to be used toward the direct purchase of 12 Zoll AED Plus & Accessories.
City of Fullerton, on behalf of Fullerton Fire Department Responsibilities
1. An ACH transfer will be remitted to the organization name as stated in this memo of understanding and must match the EIN number submitted on the grant request and bank account information listed on the ACH Authorization. If there is a change in either information, you must submit a W-9.
2. Purchase the equipment on Approved Quote #Q-59326 from Zoll. a. NOTE: DO NOT PREPAY for the equipment order at the time of purchase
3. Confirm Receipt of ACH Transfer by emailing [email protected]
4. Verify Purchase and Delivery by providing Firehouse Subs Public Safety Foundation with the following:
a. All signed and dated packing slips
b. Copies of paid invoices, verifying your organization’s name as the customer and matching the vendor quote(s)
c. A copy of the cleared check(s), verifying the payee and payment amount matches the vendor quote(s)
5. In the event that the purchased equipment costs less than the dollar amount awarded, all excess funds must be returned to Firehouse Subs Public Safety Foundation. a. Email [email protected] with notification of excess funds within 30 days of purchase
b. Return Excess Funds within 30 days of receipt of excess funds invoice to Firehouse Subs Public Safety Foundation, Attention: Gina Brown, 12735 Gran Bay Parkway, Suite 150, Jacksonville, FL 32258
6. If purchases exceed funding, City of Fullerton, on behalf of Fullerton Fire Department is responsible for the additional amount.
VERY IMPORTANT: Deadline for submitted documentation is June 30, 2024. ________________
_____________ ___
__________________________________________
Firehouse Subs Public Safety Foundation
__________________________________________
C
ity of Fullerton, OBO Fullerton Fire Department Representative (Signature) __________________________________________
City of Fullerton, OBO Fullerton Fire Department Representative Name (Print) Firehouse Subs Public Safety Foundation, Inc.
12735 Gran Bay Pkwy., Suite 150, Jacksonville, Florida 32258 DRAFT