85-29 v •
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ELIGIBILIT`I APPLICATION FOR PUBLIC AGENCIES
FEDERAL SURPLUS PROPERTY UTILIZATION PROGRAM
Legal Name of Applicant City of Atlantic Beach
Address 716 Ocean Boulevard, Atlantic Beach, Florida Z1p 3223
County Duval Area Cade 904 Telephone 249-2395
Date Agency began Operation Municipality 1957
• 1. Check type of Agency: (See definitions on reverse side)
a. Conservation ---- f. State Agency
b. Economic Development ---- g. County Govt.
_-
c. Parks & Recreation ---- h. City Government
IL
d. Public Safety i. Indian tribe, group, band,
e. Museum ---- Pueblo (State Reser-----
vation only)
j . Other ----
2. Attach a narrative which describes the program and services offered.
Also attach evidence that the applicant is a public agency.
3. Eau is the activity funded: (Show percentages)
a. Tax-supported (other than by grant) XX
b. By grant and/or contributions
c. Other (specify)
4. Attach completed Assurance of Compliance with GSA Regulations under
Title VI of the Civil Rights Act of 1964 , Section 606 of Title VI
of the Federal Property and Administrative Services Act of 1949 ,
as amended, and Section 504 of the Rehabilitation Act of 1973 ,
as amended.
5. Attach an Authorization Document completed by the Governing Board
or Body designating one or more representatives to act for the
applicant acquiring property from the State Agency, to commit the
expenditure of funds , and to execute the State Agency' s invoice/
issue sheet, including Terms , Conditions , Reservations , and Re-
strictions that the State Agency or GSA may- establish on the
property.
SIGNATURE: A
Please print name
Dams: \3,-- \-3 —S on this line: Richard C. Fellows
— • TITLE: City Manager
FOR STATE AGENCY USE
Date Approved: Date Disapproved:
Conditional Eligibility Director:
Definitions - Public Agencies
ted`,
1. Conservation: Means a program or programs carried out or proin-
mpt
by a public agency for public purposes involving directly or
and restoration �,
maintenance , development , resources
directly the protection, These
of the natural resources of a given political area.
land,ir, forests , water, rivers ,
streams blakeseand tponds , minerals ,ted to the aand .animals , fish, and other
streams ,
wildlife. programs carried out or
2. Economic Development: Means a program or which involve
promoted by a public agency for public purposes
directly or indirectly efforts to improve the opportunities of a
given political area for ,the sucestallishmes nt`or rilities`on
of industrial, commercial, or agricultural
and which otherwise assist in the creatbenefiton f long termploplo rent
opportunities in the area or primarily
those with low incomes. �r^� carried out
3. Parks and Recreation: Means a Porgcu�blic purposes or ywhich involve
or promoted by a public agency
directly or indirectly the acquisition, development , improvement ,
maintenance , and protection ofpark
and
area.eationalaf alifacilities
s
for the residents of a given political playgrounds and athletic
include but are not limited to parks , p
fields , swimming pools , golf courses , nature facilities , and nature
trails. or programs carried out or promoted
4. Public Safety: Means a program purposes involving , directly or in-
by a public agency for publi
directly , the protection, safety, law enforcement activities , and
criminal justice system of a given political area. Public safety
programs may include but are not limited to those carried out
public police departments , sheriffs' offices , the _courts , p
and correctional institutions including juvenile facilities , State
and civil defense organizations , and fire departments and rescue
squads including volunteer fire depa_ sdd.rescue squads
supported in whole ' or in part with public
5. Museum: Means a public or nonprofit facility which is attended by
the public free or at a nominal charge and which provides museum
services including- the preservation and exhibition of artistic ,
cultural, historical or scientific
GovernmentalobjectsQ 1us personal
6. State , County and City Governmental
Acenc__s ; Sue sued by Lne
property acquired through the State Agency must
for the residents of a
public agency to carry out or to promote
given political area one or more public purposes. While the Act
lists certain opnt , es such as apublic safety
tion,
economic developmeme , edu ationparks andrecreation ,
this enumeration is not exclusive and is not intended to preclude
the acquisition of donable surplus personal property by a public
purposes . Each public program is conducted
agency for other public -
designated departments , agencies , or other instr,rmentalities of
the State and/or local governments.
7. Indian Tribe , Band , Grout , Pueblo , or Community: May be certified
tified
for participation in the Federal Surplus Property Donation Program
only if located on a State Reservation.
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Nondiscri-r4 talion Assurance
Assurance to be executed by authorized representative of donee activity
prior to receiving donations of surplus personal property from the State
•
Surplus Property Agency on and after October 17, 1977.
•
Assurance of Compliance with GSA •
Regulations under Title VI of the
Civil Rights Act of 1964, Section 606
of Title VI of the Federal Property and
Administrative Services Act of 1949, as II
waded, Section 504 of the Rehabilitation
Act of 1973, as amended, Title II of the •
Education Amendments of 1972, as amended,
and Section 303 of the Age Discrimination,
Act of 1975.
City of Atlantic Beach , hereinafter called the "donee," hereby
(Name of donee)
agrees that the program for or is 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 Mm'njatration (41 CFR 41-6.2,. or 101-8) issued under the provisions of
Title VI of the Civil Rights Act of 1964, Section 606 of Title VI of the
Federal Property and Administrative Services Act of 1949, as amended,
Section 504 of the Rehabilitation Act of 1973, as amended, Title II of the
Education Amendments of 1972, as amended, and Section 303 of the Age Dis-
crimination Act of 1975, to the end that no person is the United States
shall on the ground of race, color, national origin, sex, or age, or that no
otherwise qualified handicapped person shp77 solely by reason of the handi-
cap, 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 i--+?diately take any ceasures
necessary to effectuate this agreement.
The donee further agrees that this agreement shall be subject is all
respects to the provisions of said regulations; that this agreement shall
obli_ate the donee for the period during which it retains ownership or
possession of any such property; that the United States shall have the
right to seek judicial enforcement of this agreement; and, this agreement
•
shall be binding Leon any successor in interest of the donee and the word
"donee" as used herein includes any such successor in interest.
• Dated December 9, 1985 City of Atlantic Beach
Donee
•
. By William S. Howell, Mayor
(President/C:.ai..n of the 3oard
or con7a=able a::t`.or.:ad official)
•
716 Ocean Boulevard
Atlantic Beach
•
Florida 32233 f
•Donee mailing address
•
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V.:
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ArITHC IZATTdN Da'CJIS:TT
wHEREAS , the Florida State Agency Iowa as the Division of Surplus
Property , Department of General Services , by authority of the
Federal Property and Administrative Services Act of 1949 as amended,
makes available federal surplus personal property to public agencies
for public purposes , and to nonprofit tax-exempt health and educa-
tional institutions , mpt•
wEmzuns
City of Atlantic Beach , hereafter referred to
(Applicant Organization)
as the applicant, is desirous of utilizing the services and
resources of this Agency, and
WHEREAS , the Applicant further certifies that property is
needed and will be used by the recipient for carrying out or
prsmoting for the residents of a given political area one or
. • more public purposes and for no other purposes , and
WHEREAS , the Applicant further certifies that property is needed
and will be used by the recipient for educational or health purposes
including research and for no other purpose , and
WHEREAS , the Applicant agrees that all items of property shall
be placed in use for the purposes for which acquired within one
year of receipt and shall be continued in use for such purposes
for one year from the date the property was placed in use, and
in the event the property is not so placed in use , or continued
in use , the donee shall immediately notify the S tate agency, and
return said property to the State agency as directed, and
•
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BE IT FTATEER RESOLVED
► that the City of Atlantic Beach
(Applicant organization)
.hereby certifies that he has read and understands the above.
December 9, 1985 / 11
(Data) • (Signature')
•
716 Ocean Boulevard Mayor
(Address & Zip) (Title)
Atlantic Beach, Florida 32233 City of Atlantic Beach
(Agency)
249-2395
•
(Telephone)
Persons authorized to sign for and receive property and commit
the expenditure of. funds :
Richard C. Fellows
(Print) •
Robert Braid
(Print)
Chief David Thompson
(Print)
Chief Wayne Royal
rint)
Harry Royal •
ARED BY Maureen King
please prin• t
249-2395
SURVEY OF PROPERTY NEEDS, RESOURCES •
AND UTILIZATION CAPABILITIES
The Stats Agency for Federal Pro rty Assistance,
ths belovtinf more
q i tand
• serve the needs of all. participants,
requests
stipulates that the data submitted will be used only for the purpose of
facilitating the fair and equitable distribution of property and for no
other purpose... Public Law 94-519, October 17, 1976, amends the Federal
Property and Administrative Services Act of 1949 and mandates that the
State Agency will provide for fair and equitable distribution of property
• within the State based upon relative needs, resources and ability to utilize
available
personarcsicbi � will
used
ithose
determinations. Yauroopratn�n stappl ingtherequesteddata make
be
appreciated.
•
I. General Data
A. Type of agency:
• XX
Public Agency ( IPrivate Nonprofit Institution
3. Resources Available:
I. Funding source - '
•
XX
Tax appropriated funds 1111Federalor State Grant
•
Q •
Tuition or charges for service Donations or contributions
2. Statement of relative financial ability t(budget limitations,pinabili•,y
geta
to purchase from commercial sources, extraordinary economic
etc.):
•
Note: Other factors may be considered inresidents
theistrib tionrea, of
fassaavailable
property such as, per capita income of ed
ssed
property values, economic ranking, and other data as published in the
Statistical Report of the Department of Revenue and other similar repor'
C. Population served:
D. Capability for repair and maintenance of property:
E. Ability to utilize requested property ( statement of utilization potential,
ongoing need, temporary need, reserve backup, etc) :
•
•
Nondiscrimination Assurance
Assurance to be executed by authorized representative of donee activity
prior to receiving donations of surplus personal property from the State
Surplus Property Agency aa and after October 17, 1977.
Assurance of Compliance with GSA
• Regulations under Title VI of the
Civil Rights Act of 1964, Section 606
of Title VI of the Federal Property and
Administrative Services Act of 1949, as
tended, 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.
City of Atlantic Beach , hereinafter called the "donee," hereby
(Name of donee)
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 Aerniriatration (41 CFR 1Q1-6.2.. or 101-8) issued under the provisions of
Title VI of the Civil Rights Act of 1964, Section 606 of Title VI of the
Federal Property and Administrative 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 Dis-
crimination Act of 1975, 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 handi-
cap, 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
oblicate the donee for the period during which it retains ownership or
possession of any such property; that the United States shall have the
right to seek judicial enforcement of this agreement; and, this agreement
•
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yshall be binding upon any successor in interest of the donne and the word
"donee" as used herein includes any such successor in interest.
• Dated December 9, 1985 City of Atlantic Beach
// •
•
By Wi iam S. Howell, Mayor
(President/C::si=3n of the Board
or com7a=able aut`.or:ed official)
716 Ocean Boulevard
Atlantic Beach
•
Florida 32233 • •
Donee mailing address