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HomeMy WebLinkAboutResolutions - 2021.01.21 - 34085MISCELLANEOUS RESOLUTION #21011 January 21, 2021 BY: Kristen Nelson, Chairperson, Legislative Affairs and Government Operations Committee IN RE: PARKS AND RECREATION COMMISSION — APPROVAL OF AMENDMENT #1 TO FAIR FOOD NETWORK 2020 GRANT AGREEMENT FOR THE DOUBLE UP FOOD BUCKS PROGRAM To the Oakland County Board of Commissioners Chairperson, Ladies and Gentlemen: WHEREAS Oakland County receives funding each year from the Fair Food Network for the Double Up Food Bucks Program at the Oakland County Farmer's Market; and WHEREAS this program provides funding from the United States Department of Agriculture (USDA) to improve nutrition for low-income families; and WHEREAS the Double Up Food Bucks Program increases low-income shopper's purchasing power for fruits and vegetables while supporting local growers by increasing the value of Supplemental Nutrition Assistance Program (SNAP) benefits for healthy foods; and WHEREAS the Double Up Food Bucks Program doubles shoppers spending on fresh fruits and vegetables by matching existing benefits for fresh produce; and WHEREAS in 2020, the Oakland County Parks and Recreation was granted $10,000 in funds for this program (M R. #20390), which has been very successful at the Oakland County Farmer's Market, and WHEREAS the grant agreement received grant sign -off approval through Oakland County Fiscal Services in April 2020, and a grant agreement was executed on May 19, 2020, by Chairman David Woodward; and WHEREAS due to the pandemic, there has been an increased demand for food assistance programs and the Double Up Food Bucks program, and the Oakland County Farmer's Market has utilized all available funding for 2020, and WHEREAS the Fair Food Network is granting an additional $5,000 to support the Double Up Food Bucks Program at the Oakland County Farmer's Market for the remainder of the year; and WHEREAS the additional $5,000 is greater than a 15% increase in overall grant funds and, therefore, requires a miscellaneous resolution be approved by the Oakland County Board of Commissioners; and WHEREAS the additional $5,000, and existing carryover funds of $4,732 from FY 2019, and FY 2020 previously granted funding of $10,000, provides total 2020 program funding of $19,732. NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners authorizes and approves Amendment #1 to the Fair Food Network 2020 Grant Agreement for the Double Up Food Bucks Program. BE IT FURTHER RESOLVED that the Oakland County Board of Commissioners directs the Board's Chairperson or his designee to execute the attached amendment for the Fair Food Network 2020 grant agreement. BE IT FURTHER RESOLVED a budget amendment is not required as the funds are accounted for in general ledger account 228100 Deposits Reconciliation. Chairperson, on behalf of the Legislative Affairs and Government Operations Committee, I move the adoption of the foregoing resolution. _rA( Commissioner Kristen Nelson, District 5 1 HEREBY APPROVE THE FOREGOING RESOLUTION Chairperson, Legislative Affairs and Government Operations Committee LEGISLATIVE AFFAIRS AND GOVERNMENT OPERATIONS COMMITTEE VOTE: Motion carried on a roll call vote with Kochenderfer and Jackson absent. GRANT REVIEW SIGN -OFF — Parks & Recreation GRANT NAME: 2020 Double Up Food Bucks FUNDING AGENCY: Fair Food Network DEPARTMENT CONTACT: Melissa Prowse / 248-249-2801 STATUS: Grant Amendment #1 (Greater than or Equal to 15% Variance from Current Award) DATE: 12/17/20 Please be advised the captioned grant materials have completed internal grant review. Below are the returned comments. The Board of Commissioners' liaison committee resolution and grant amendment package (which should include this sign -off and the grant amendment with related documentation) may be requested to be placed on the agenda(s) of the appropriate Board of Commissioners' committee(s) for grant amendment by Board resolution. DEPARTMENT REVIEW Management and Budget: Approved by M & B. The draft resolution will need to be updated to included the applicable budget language and budget amendment. Also, recommend that there be clarifying language added to the 2020 $1 OK amount and the carry over from the 2019 program year of $4,732. — Lynn Sonkiss (12/16/20) Human Resources: HR Approved — No FIR Implications — Lori Taylor (12/16/20) Risk Management: Approved by Risk Management. —Robert Erlenbeck (12/16/20) Corporation Counsel: Approved by Corporation Counsel. —Lisa Kavalhuna (12/17/20) Double Up Food Bucks Farmers Market Grmit l8 asaetrvrs rvt 1020 March 6, 2020 County of Oakland Oakland County Farmers Market Fiduciary Information Jeremy Brown 2100 Pontiac Lake Rd Waterford Twp, MI 48328 ocmarket@oakgov.com 248858-5495 Mailing Information 2100 Pontiac Lake Rd Waterford Twp, MI 48328 Market Information 2350 Pontiac Lake Rd Waterford, M148328 ocmarket@oakgov.com (248)858-5495 Grant Award Number: DU -M I-2019 — 70030 — 30400 EIN: 38-6004876 FNS Number: 0410118 Year authorized to accept SNAP: 2013 Dear Jeremy Brown, Ik bik'rig a0r 734.213,3999 - fb.com/favfoodnetwork N Info@fairfoodnetworkorg @fairfoodnetwork Fair Food Network ("FFN"), a tax exempt nonprofit, is pleased to grant in the amount of $10,000 to the County of Oakland for the Double Up Food Bucks Program. County of Oakland, hereafter called "the Grantee Organization," will receive a grant from "FFN" for the Double Up Food Bucks program, hereafter called "the Program" at the Oakland County Farmers Market, hereafter called "the Market". The Grantee Organization is classified as a contractor to FFN. Grantee Organization: County of Oakland Grant Period Start Date: April 1, 2020 2020 Grant Amount: $10,000 Tokens Issued in 2020: Market Cycle: Year -Round Grant Period End Date: December 31, 2020 Beginning Fund Balance: (funds carried over from 2019 program year) $4,732 Tokens on -hand from 2019: 2,480 This grant is made on the following terms and conditions: Grant Terms and Conditions I. Use and Handling of Grant Funds Grant Number: DU-MI-2019 — 70030 — 30400 Funds Disbursement Method: Single Payment Total Funds Available: $14,732 Total Tokens Available: 2,480 a. Funds are to be used by the Grantee Organization to reimburse participating vendors at the Market for Double Up Food Bucks Incentives spent by customers at their stalls at the Market in exchange for eligible products. b. Products eligible for Double Up Food Bucks Incentive redemption are unprocessed fruits and vegetables grown in Michigan. Mushrooms, cut herbs and herb plants, and plants and seeds that grow food producing plants are also eligible. If the Market is in a county which borders another state(s), Double Up Food Bucks may also be redeemed for produce grown in the state(s) bordering that county. c. Double Up Food Bucks tokens or electronic loyalty credits are used as currency proxy for incentive distribution and redemption at the Market, hereafter called "The Incentive." d. Funds shall not qualify for the Double Up Food Bucks Incentive nor may they be used to reimburse a vendor at the Market if the vendor provided a customerwith ineligible product. e. Funds may not be used to reimburse a vendor who is not participating in the FFN Program or has not signed a Vendor Agreement. f. If either party determines the Grantee Organization will not be continuing with the program, any portion of the grant funds not used within the grant period or not used for the purposes statedabove Doubly Up C,oud ;tucks I armaIs Marlwi Gi an 1. Agreerilont J.uwary 2020 must be returned to FFN within one month of when both the Grantee Organization and FFN have agreed upon a reconciliation statement. g. Grant funds shall be kept separately on the Grantee Organization's books of account as grant funds from FFN; and accurate records of the funds received and expenses incurred under the grant should be kept in accordance with generally accepted accounting principles. h. Financial and program -based records related to the Grant will be retained for at least four years after the completion of the Grantee Organization's use of the Grant funds. L FFN, at its request, shall have reasonable access to the Grantee Organization's and/or the Market's files, records, personnel and premises for the purposes of making financial audits, verifications, or program evaluations as it deems necessary concerning the Grant. j. No part of the Grant funds may be used to carry on propaganda, or otherwise attempt to influence legislation or to influence or to participate in or to intervene in (including the publishing or distribution of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. k. This agreement becomes null and void, and funds of the Grant must be returned if the terms and conditions of the Grant are not met by the Grantee Organization. I. The Grantee Organization should have the correct number of Incentive tokens at the end of the Program season based on reporting provided. The calculation used to determine the number of Incentive tokens which the Grantee Organization should have on hand at the end of the season is: the number of tokens on -hand at the start of the season, minus the number of tokens distributed to customers, plus the number of tokens redeemed by vendors. In the instance that the Grantee Organization does not have the correct number of Incentive tokens at the end of the season, the records of the Grantee Organization may be under review. FFN may, at its discretion, waive any financial penalty if there is a small margin of error (a variance equal to or less than 5%) with the reconciliation of Incentive tokens. a. In the event of a token shortage, the Grantee Organization may be penalized at a cost equal to the replacement value of the token shortage. b. In the event of a token overage, the Grantee Organization will resolve the overage in one of two ways: i. If the Grantee Organization does not initiate a 2021 grant agreement with FFN, funds and/ or tokens must be returned to FFN within one month of when both the Grantee Organization and FFN have agreed upon a year-end contract close out reconciliation statement. ii. If the Grantee Organization initiates a 2021 grant agreement with FFN, funds will be subtracted from the current grant agreement's rollover amount. m. Fair Food Network has received funding from USDA over a 4 year span for the Program. This 4 year federal grant is a part of the Gus Schumacher Nutrition Incentive Program (GusNIP, formerly known as the Food Insecurity Nutrition Incentive or FINI). USDA's investment in the Program requires state and private matching funds and thus this contract and its related funding agreement in years 2 and 3 is contingent upon the release of USDA and philanthropic support secured by Fair Food Network. II. Program Guidelines and Standards The Grantee Organization is responsible for ensuring FFN Program guidelines are followed at the Market and agrees to administer the Program as directed by FFN. The Grantee Organization will: Double Up Food BLICks Former,, Markel Graul Ag.woment lanurary 2020 a) Vendor Education • Provide Program information to all vendors at the Market, including those vendors who sell eligible products and those who do not sell eligible products. • Distribute a Double Up Food Bucks sign to each participating vendor and ensure the signs are visibly posted for customers during the Market's hours of operation. • Communicate a defined process and schedule for Double Up Food Bucks Incentive redemption and reimbursement with participating vendors at the Market. b) Incentive Redemption and Reimbursement to Vendors for Incentives • Make reimbursement payments to participating vendors for the cash value of the Incentive redeemed at the Market for eligible product within one month of when the sales are properly reported by the vendor to the market. • Prior to reimbursement, the Market must have a signed Double Up Food Bucks Vendor Agreement on file for each vendor for each year of this Grant. The Grantee Organization must provide a copy of this Agreement to FFN upon request. • To determine the cash value of Double Up Food Bucks redeemed by participating vendors, the Grantee Organization must: a) If the Market accepts Supplemental Nutrition Assistance Program ('SNAP") payments using an electronic model, monitor all Incentive Loyalty reports. b) If the Market accepts SNAP via a token -based system, collect Incentive tokens from participating vendors and maintain and submit to FFN written records of Incentive tokens redeemed by participating vendors using a form provided by FFN or a similar form with FFN permission. Records must indicate the name of the vendor who redeemed the tokens, the date of redemption, the dollar value of tokens submitted and the Market name. • In seasonal markets, the last day for vendors to accept Incentive in exchange for eligible product is the Market's closing day, and the last day for the Grantee Organization to reimburse vendors for redeemed Incentive is one month after the Market's closing day. c) Incentive Distribution to Customer • The Grantee Organization will oversee Incentive distribution to customers using SNAP at the Market. • A customer at the Market will receive a value of Incentive tokens or loyalty credits equal to the amount of SNAP dollars spent, up to $20 per market day. • Incentives may only be redeemed by SNAP recipients for GusNIP qualifying fruits orvegetables. a) Qualifying fruits and vegetables include any variety of fresh fruits and vegetables, SNAP eligible seeds and plants intended for cultivation and consumption (e.g., tomato seeds or tomato plants) and fresh herbs (e.g., fresh basil, thyme, or mint) b) If SNAP benefits are accepted using an electronic model by each vendor, the Grantee Organization will monitor vendors' SNAP and Incentive transactions to ensure SNAP sales are always greater than or equal to Incentive credits awarded. Doub]L Up Food Pucks Farrrmr, , Nlwlret Grarn Agmemeht January 2020 c) If SNAP benefits are accepted at a central terminal and distributed via a token -based system, the Grantee Organization will maintain records of daily distribution of tokens using a standardized report form provided by FFN or a similar form with FFN permission. This form must provide a record of each SNAP transaction and Incentive distribution. d) In seasonal markets, the last day to distribute the Incentive to customers is the last day of the Market's season. III. Record -Keeping and Reporting a) Quarterly Reports The Grantee Organization will submit calendar month totals of the following each quarter via an online survey link provided by FFN. Reported information is final upon submission and will be used to reconcile Incentive funds without correction: • Cash value of Incentive redeemed by participating vendors and dispersed to customers • Cash value of SNAP redeemed by participating vendors and dispersed to customers • Number of SNAP transactions • If SNAP benefits are accepted at a central terminal and distributed via a token -based system, number of new customers as indicated by the number of SNAP customers who respond yes to the question "Is this your first time using your Bridge Card (or equivalent) at this market?" • FFN may consider requests to adjust quarterly reports made by the Grantee Organization within one month of submission • Grantee must report within all timeframes outlined in the Report Schedule on page 6. Failure to report will result in actions identified in Past -Due Reporting on page 7, up to and including the termination of this contract. b) Record Keeping The Grantee Organization will maintain and keep on file the following records and provide a copy to FFN upon request: J. Customer Transaction Records for each market day when SNAP benefits are accepted at a central terminal and distributed via a token -based system. ii.Verification of SNAP sales. FFN may request third party verification of monthly SNAP sales as demonstrated by either: 1. Copy of a daily batch report from the Market's point -of -sale device for each market day 2. Monthly statement from EBT merchant processor 3. Report from a SNAP processing application i. Vendor Records indicating the cash value of Incentives redeemed by each vendor each market day. Excel or spreadsheet document with required elements of Vendor Record Sheet is allowable. Doul& UP r00d ALI&l : F,imwis Mad(et Giant Agreement January 2020 c) Vendor Reimbursement Records The Grantee Organization must maintain and provide records of reimbursement payments made to participating vendors for Incentives redeemed on a quarterly basis as demonstrated by either: i. Completed payment record column on Vendor Record Sheet provided by FFN with date, check number, and total dollar value of check. FFN only requires payment record for Incentive reimbursements. The Vendor Record sheet must indicate the portion allocated to each market currency if the Grantee Organization includes multiple market currencies (e.g. SNAP, WIC Project FRESH, credit/debit) in a single reimbursement payment. L Report from the Organization's accounting software verifying each Incentive reimbursement payment made to vendors, aligned with Incentive redemption documentation. M. If the Grantee Organization makes cash reimbursement payments for Incentive redemption by vendors, the Grantee Organization must be able to verify to FFN that these payments were made by providing a receipt to each vendor or obtaining vendor's signature at time of reimbursement. iv. With FFN permission, alternative forms of documentation may be acceptable. d) Notification of Grantee Organization Changes It is the responsibility of the Grantee Organization to promptly notify FFN with changes that impact the implementation of the Double Up Food Bucks program at their site(s). These changes include, but are not limited to: • Change in market manager • Change in SNAP equipment status (longer than 1 market day) • Change in hours of operation or location of site(s) • Change in FNS Permit status • Loss of tokens, equipment or records Notification of these changes should be addressed to Cassidy Strome at: cstromec@fairfoodnetwork.ore or 313-577-9121 within 5 business days of the change. IV. Evaluation • The Grantee Organization may opt -in to distribute a questionnaire to customers at point of sale and a survey to vendors provided by FFN during the Market's season and return completed surveys in an envelope provided with pre -paid postage within a month of collection. • The Grantee Organization will complete a year-end market manager evaluation survey. The Grantee Organization will allow for additional evaluation methods at the Market as requested by FFN, an independent evaluation firm, the Gretchen Swanson Centerfor Nutrition, or the United States Department of Agriculture (USDA). V. Trademark Dnubke Up Food Bucks Facm(trr. I070ker GrOUY Agu'aemont January 2020 • Fair Food Network owns the trademarked name "Double Up Food Bucks' and the apple/carrot logo. As a Grantee of the Program, the Grantee Organization may use, on a non-exclusive basis, the licensed mark in Market promotional materials for the duration of the Grant period. VI. Reporting Schedule Program participation will be divided into the following quarters for reporting: Q1: 1/1/20-3/31/20 Q2: 4/1/20-6/30/20 Q3:7/1/20-9/30/20 04:10/1/20-12/31/20 Report Name Due Date Report Format Quarterly Report One week afterthe close Online via survey link posted in Market of each quarter Manager Portal of Q1: 4/8/20 www.DoubleUpFoodBucks.org. Q2: 7/8/20 Q3: 10/8/20 Q4: 1/8/21 Vendor Reimbursement One month after the It is preferred that electronic copies be Records close of each quarter uploaded to the online quarterly report. Q1: 4/30/20 Other options include: submit hard copy Q2: 7/31/20 records either in person or via mail, or Q3: 10/31/20 send electronically to FFN by email. Q4: 1/31/21 Customer and Vendor Surveys Within one -month of Grantee Organization may opt -in to receipt participating and mail completed surveys in an envelope provided by FFN with pre- paid postage. Market Manager Survey 12/1/20 Online survey link sent via email and posted in Market Manager Portal of www.DoubleUpFoodBucks.org. Vendor Lists 10/31/20 It is preferred that electronic copies be uploaded to the online quarterly report. Other options include: submit hard copy records either via mail or send electronically to FFN by email. a. Past -Due Reporting The Grantee Organization is expected to report by each due date. Submitting reports past the due dates may result in the following consequences: i. First occurrence: Removal from FFN's electronic listings of participating sites H. Second occurrence: The Grantee Organization will be transitioned to a "scheduled reimbursement" disbursement model where FFN will reimburse Incentive funding on a quarterly basis after a complete submission of each Quarterly Report iii. Third occurrence: FFN reserves the right to terminate the contract for the current year or upcoming year Double Up Food Bucks Fannee , Markel GrwQ Agreement laimmy 2020 VII. Disbursement of Funds FFN will disburse funds following the receipt of counter -signed grant agreement and a W-9 signed in 2020 from the Grantee Organization in one of the following two methods as denoted on Page 1. a) Single Payment: Funds will be released to the Grantee Organization in a single payment made by a check; or b) Scheduled Reimbursement: FFN will reimburse the Grantee Organization for the cash value of Incentives spent by customers at the Market after the Organization submits complete and accurate reports. FFN will process payments and disburse funds for the cash value of Incentive loyalty transactions redeemed by customers at the Market within 2 weeks of receiving a complete quarterly report from the Grantee Organization. FFN will process payments and disburse funds on a quarterly schedule. Late reports will not be processed until the next scheduled opportunity. c) Additional funds may be provided to markets within the timeframe of this contract if incentive spending is projected to exceed total contract amount and Grantee Organization has maintained timely and accurate reporting. Amendments to contracts will be made to the Grantee Organization during market season either as requested or upon review of quarterly reports; and as determined by Fair Food Network. Vill. Violation of Agreement If Grantee Organization violates any of its duties (including failing to make timely or accurate reports) then FFN could require a refund from Grantee Organization to FFN of part of the Grant that relates to or is impacted by the breach by the Grantee Organization. FFN reserves the right to discontinue, modify orwithhold any payment due underthe Grant, to require repayment of expended Grant funds, or a refund of unexpended Grant funds, if, in its judgment, such action is necessary to comply with the requirements of any law or regulations affecting its responsibility with respect to the Grant. If any of the conditions of the Grant are violated by Grantee Organization, in addition to requiring a refund of the amount giving rise to the violation, FFN will have no further obligation to continue to fund the Grant. The foregoing conditions comply with FFN's obligation under U.S. law to make reasonable efforts and establish adequate procedures to see that the Grant funds are spent solely for the purposes for which they have been granted and to obtain full and complete records on how the Grant funds have been expended. Changes in the U.S. laws or regulations may require FFN to ask that more detailed reports be submitted or other steps be taken. FFN will inform the Grantee Organization of any such changes. If the Grantee Organization accepts the above stated conditions, please have a duly authorized representative of the Grantee Organization sign below and make a copy forthe Organization's files. Electronic signatures are acceptable. Subgrantee represents that neither it nor any of its principals has been debarred, suspended or determined ineligible to participate in federal assistance awards or contracts as defined in regulations implementing Office of Management and Budget Guidelines on Governmentwide Debarment and Suspension (Non procurement) in Executive Order 12549. Subgrantee further agrees that it will notify FFN immediately if it or any of its principals is placed on the list of parties excluded from federal procurement or nonprocurement programs available at www.sam.eov. Return original or copy of the entire signed agreement by mail to Fair Food Network at the following address: Fair Food Network Double Up rood [lucks Fanners Ma rl(M Gni rri degree raen t.Ianu a ry 2020 Attn: Cassidy Strome 1250 North Main St, North Suite Ann Arbor, M148104 Or scanned and emailed directly: To: marlcetreporting@fairfoodnetworl<.org I Subject: Signed agreement for Double Up Food Bucks On behalf of Fair Food Network, I want to extend our best wishes for success in your work. Sincerely, Dr. Oran B. Hesterman President and CEO County of Oakland Jeremy Brown Fiduciary Information 2100 Pontiac Lake Rd Waterford Twp, MI 48328 ocmarket@oakgov.com 248858-5495 Mailing Information 2100 Pontiac Lake Rd Waterford Twp, MI 48328 Market Information 2350 Pontiac Lake Rd Waterford, M148328 ocmarket@oakgov.com (248)858-5495 Grant Award Number: DU-MI-2019 —70030 — 30400 EIN:38-6004876 FNS Number: 0410118 Year authorized to accept SNAP: 2013 Market Season Information May - Dec. 7 am - 1:30 pm (T/Th/Sat) Year-round 2350 Pontiac Lake Rd, Waterford, MI, 48328 Jan -Apr. 7 am - 1:30 pm (Sat) Market Start & End Date Market Location Market Days & Hours of Operation nnulile Up Food !Bucks 9 Faitnors K/w,ket Grant Agwenuaul Iainuiry 2020 Number of vendors participating in Double Up Food Bucks: 26 in 2019 Attachments This agreement become binding when FFN receives: 1. Counter -signed grant agreement from the Organization 2. W-9 (signed in 2020) Authorized Representative of Grantee Organization. Dai$d Tvw**dza-d ��� E R.$") d mcnl�n�llpw nOTLkAM EDT _Gw%David T. Woodward, Chairman 2`*d2a-dde*aV*1vc*( D��m r.woodwald(May] 9, 202008a7 E D❑ Oakland County Board of Commissioners Signature Name and Title (Please Print or Type) Date Signature Name and Title (Please Print or Type) Date D6n LdP Up Vood alicks 10 farmeis MadkoH Grani Agwernonl lauuary "M W09 Request for Taxpaye r Trim (Rev October 201e) Identification Number and Certification Give Form to the requester.Do not napadment of the Treasury Internal Revenue Servile ® Go to www.irs,gov/Form WB for instructions and the latest Information. send to the IRS. 1 Name (as shown on your Income tax return). Name Is required on this line. do not leavethis bneblank, COUNTY OF OAKLAND, A MICHIGAN CONSTITUTIONAL CORPORATION 2 Business name/msregent entity name, if different from above 3 Check appropr late bo x for federal tax classification of the person whose name is entered on line i Check only one of the 4 Exemptions (codes y only g f of I o wing seven boxes certain enldros, not individuals see avid e L, U OIndividual /sole proprietor or QIIorporation O SCorporation O Partnership O Tmstleslale Instructions mr page3) P1 a single member LLC Exempt payee code (if any) 3 :t: © 0 Limited Ilebdlty company. Enter the tax classdicat Ion (C=C corporation. S=S corporation P=Padnershirdp 5 2 Note: Check the spur opnate box in the line above for the tax classification of the single -member owner, no not check Proms t Ion firm FATCA Isportmg LLC If the LLC rs classified as a single-memher ITC that Is disregarded from the owner unless the owner of the ITC is code any) - another LLC that is not disregarded from the owner for J.S federal tax purposes Otherwise, a single -member LLC that (if e1 is disregarded from the owner should check the appropriate box for the to x dasat ficallon of its owner '0 ❑ Other (see instructions)P r- S=A=tlrd-s}Isl_idter- s{iy_d A"Yd-ap I O Ls ulieato, S e e i iunu<{wn s--��-- -� Re a-9er's nem_e _ _ _ - V 1 1",',,,,,o,,,Ia,,,,,v ,,,L„",.r,,, uo, ,re _fie d d ins soµ4o n le 2100 PONTIAC LAKE ROAD 6 City stale, and ZIP code WATERFORD, MI 48328 V List account numbers) here (optional ) ®U-7gi® Taxoaver Identification Number Frli Enter your TIN in the appropriate box. The TIN provided must match then ange given online Ito avoid I Anowl earumv number backup withholding. For individuals, this is generally your social security number(SSN). However, fora ITIJ —[� ®� resident alien, sole proprietor or disregarded entity, seethe Instructions for Part I, later. For other entitles, it is your employer identification number (FIN). If you do not have a number, see How to get a TIN, later jar Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and .I Employer ni.,u ficahon number Number To Give the Requesterfor guidelines on whose number to enter 38—6004871G JiM Certification Under penalties of perjury, I certify that. 1. The number shown on this form is my correct taxpayer Identification number (or I am waiting for a number to be issued to me); and 2 1 am not subject to backup withholding because (a) I am exempt from backup withholding or fib) 1 have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and 3. 1 am a U.S. citizen or other U.S. person (defined below), and 4. The FATCA codes) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject a backup withholding because you have failed to report all interest and dividends on your tax return For real estate transactions, item 2 does not apply For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generall,ypayments other than Interestand dividends, ou are not required to sign the certification, but you must provide your correct TIN Seethe instructlonsfor Part I I later Sign signature of /(j\`y,'t /{ / Here U.S. famom l>' l- Dale® q/`T� f `�"' General Instructions Section references are to the Internal Revenue Code unless otherwise noted Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were pub fished, go to tows its gov/Form W9 Purpose of Form An individual or entity (Form W-9 requester) who Is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayeridentif cation number(ATIN),or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, thefollowing. • Form 1099-INT (interest earned or paid) • Form 1099-DIV (dividends, including those from stocks ormutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage Interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only If you are a U.S. person (including a resident alien), to provide your correct TIN If you do not return Form W-a to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later Col. No, 10231x Form W-g (R. 10-2018) Amendment to DU-MI-19.70030.30400 1 ". Grant Agreement between Fair Food Network and County of Oakland 8 December 2020 r�(�IW !iIE :7;)fU This document serves to amend grant agreement DU-MI-19-70030-30400 which authorized Oakland County Farmers Market to administer the Double Up Food Bucks program and be reimbursed up to $14,732 for Double Up Food Bucks incentives redeemed by SNAP customers at the Oakland County Farmers Market. The grant was authorized on April 1, 2020, and ends December 31, 2020. Fair Food Network will reimburse up to an additional $5,000 for Double Up Food Bucks redemption. A total of $19,732 will now account for required program reporting. All other terms of grant agreement remain the same. Signed: FAIR FOOD NETWORK COUNTY OF OAKLAND Oran B. Hesterman, President and CEO Authorized Signature Print Name and Title Date Fair Food Network Double Up Food Bucks Gi ant/Contract Amendment - 2020 Resolution #21011 January 21, 2021 Moved by Gingell seconded by Nelson the resolutions on the Consent Agenda be adopted. AYES: Charles, Gershenson, Gingell, Hoffman, Jackson, Joliat, Kochenderfer, Kowall, Kuhn, Long, Luebs, Markham, McGillivray, Miller, Moss, Nelson, Powell, Spisz, Weipert, Woodward, Cavell. (21) NAYS: None. (0) A sufficient majority having voted in favor, the resolutions on the Consent Agenda were adopted. Moved by Gingell seconded by Kowall MR #21002 be amended as follows: Add the following Commissioners as co-sponsors of the resolution' Bob Hoffman, District #2; Adam Kochenderfer, District #15; Eileen Kowall, District #6; Thomas Kuhn, District #12; Christine Long, District #7; Gary McGillivray, District #20; Chuck Moss, District #12; Philip Weipert, District #8; Charlie Cavell, District #18; Yolanda Charles, District #17; Janet Jackson, District #21; Karen Joliat, District 444; Penny Luebs, District #16; Gwen Markham, District #9; William Miller, District #14; Kristen Nelson, District #5; Angela Powell, District #10 Discussion followed. A sufficient majority having voted in favor the amendment carried. STATE OF MICHIGAN) COUNTY OF OAKLAND) I, Lisa Brown, Clerk of the County of Oakland, do hereby certify that the foregoing resolution is a true and accurate copy of a resolution adopted by the Oakland County Board of Commissioners on January 21, 2021, with the original record thereof now remaining in my office. In Testimony Whereof, I have hereunto set my hand and affixed the seal of the Circuit Court at Pontiac, Michigan this 21s' day of January, 2021. Lisa Brown, Oakland County