HomeMy WebLinkAbout08 196 Ontario Trillium Grant (Bid Euchre Shooter Card Club) Letter of Agreement By-Law
e
e
e
e
THE CORPORATION OF THE MUNICIPALITY OF KINCARDINE
BY-LAW
NO. 2008 -196
BEING A BY-LAW TO AUTHORIZE THE SIGNING OF A LETTER OF
AGREEMENT BETWEEN THE ONTARIO TRILLIUM FOUNDATION AND THE
MUNICIPALITY OF KINCARDINE ON BEHALF OF THE KINCARDINE AREA
BID EUCHRE SHOOTER CARD CLUB
WHEREAS Sections 11 (1) and (3) of the Municipal Act, 2001, S.O. 2001, c.25
as amended gives broad authority to lower-tier municipalities to provide any
service or thing that the municipality considers necessary or desirable for the
public and respecting matters within the sphere of jurisdiction of culture, parks,
recreation and heritage;
AND WHEREAS pursuant to the said Municipal Act, Section 8 (1) and 9 provide
that the powers of a municipality under this or any other Act shall be interpreted
broadly so as to confer broad authority on the municipality to enable the
municipality to govern its affairs as it considers appropriate and to enhance the
municipality's ability to respond to municipal issues and has the capacity, rights,
powers and privileges of a natural person for the purpose of exercising its
authority under this or any other Act;
AND WHEREAS the Municipality of Kincardine applied, on behalf of the
Kincardine Area Bid Euchre Shooter Card Club, to the Ontario Trillium Foundation
for a grant to help furnish and equip the new seniors' area within the Davidson
Centre;
AND WHEREAS the Council of The Corporation of the Municipality of Kincardine
deems it advisable to enter into an Agreement Ontario Trillium Foundation in order
to receive a grant in the amount of $23,100.00 over six months;
NOW THEREFORE the Council of The Corporation of the Municipality of
Kincardine ENACTS as follows:
1. That the Corporation of the Municipality of Kincardine enter into an
agreement with the Ontario Trillium Foundation for a grant in the amount of
$23,100.00 and in accordance with the terms and conditions outlined in the
agreement attached hereto as Schedule 'A' and forming part of this by-law.
2. That the Mayor and CAO be authorized to sign, on behalf of The Corporation
of the Municipality of Kincardine, the Letter of Agreement with the Ontario
Trillium Foundation attached to this by-law and to affix the corporate seal as
and when required.
. ../2
e
e
e
e
Page 2
Ontario Trillium Grant (Bid Euchre Shooter Card Club) Letter of Agreement By-law
By-law No. 2008 - 196
3. This By-law shall come into full force and effect upon its final passage.
4 This By-law may be cited as the "Ontario Trillium Grant (Bid Euchre Shooter
Card Club) Letter of Agreement By-law".
READ a FIRST and SECOND time this 17th day of December, 2008.
;R~ ~f-".
yor
~.~\a<-~
Clerk
READ a THIRD time and FINALLY PASSED this 1yth day of December, 2008.
~:/i:
yor
-
~ 1"~~
Clerk
Schedule 'A' to By-law No. 2008-196
,.
THE ONTARIO ~ ~ LA FONDATION
TRILLIUM ~~\ - TRILLIUM
FOUNDATION \)j DE L'ONTARIO
LETTER OF AGREEMENT
BETWEEN
Ontario Trillium Foundation
("The Foundation")
AND
The Municipality of Kincardine
("The Grantee")
1475 Concession 5, R.R #5
Kincardine, ON N2Z 2X6
$23,1 00 over 6 months
$23,100 over six months to help furnish and equip the new
seniors' area to provide hundreds of seniors with enhanced
social and recreational opportunities on a daily basis. This
new area is in the ground floor addition to the Davidson
Centre.
Request ID No.: 9991058
Board Approval Date: October 30, 2008
,.
Please read this Letter of Agreement carefully. It outlines the Foundation's expectations of the
Grantee and the Grantee obligations. It also ensures that the Grant benefits Ontarians and the
Grantee is accountable for public Grant funds. By signing it, the Grantee legally agrees to the
following terms and conditions.
1. Use of Grant Funds
· Grant funds may only be used for the exclusive purpose of the project as it is described in
Schedule A ("The Grant"). Grant funds may only be spent for the items and activities
described in Schedule A.
· Grant funds are not to be used by or for any organization or individual other than those
specified in Schedule A.
. The Grantee has received, read, and agrees to comply with the "Reallocation of Grant Funds
Policy" stated in Schedule B ("Foundation Policies") as may be amended from time to time.
· Any unspent Grant funds must be returned to the Foundation, uniess the Foundation has
given prior written approval for such funds to be spent on other items or activities that are
consistent with the Grant's purpose.
2. Maintaining Not-Far-Profit Status and/or Charitable Registration Number
. By signing thi~ Letter of Agreement, the Grantee represents, warrants, acknowledges and
confirms the eligibility status set out in the Grantee's application is current and in good
standing. The Grantee also represents and warrants that the Grantee:
is not in breach of any laws in Canada, the Province of Ontario, any municipality in the
Province of Ontario, or any court order
has and will maintain its current status in the Grantee's application for the duration of
the Grant, and
has and will comply with the provisions of the Income Tax Act and its Regulations that
. appiy to the Grantee.
· The Grantee will immediately inform the Foundation of any change in or challenge to the
Grantee's eligibility status as set' out in the Grantee's application.
3. Payment of Grant Funds
. The Foundation will pay Grant funds according to the terms stated in Schedule A.
· The Grantee must have - or must establish - a bank account in its own name at a Canadian
financial institution. Until used in accordance with this agreement, the Grant funds will be
pi aced in this account.
· The Foundation must receive a signed original copy of this Letter of Agreement before
sending the first Grant payment to the Grantee.
. The Foundation may temporarily withhold Grant payments or terminate this Letter of
Agreement if, in the Foundation's opinion, the Foundation:
is not satisfied with the Grantee's progress
determines that the Grantee is unable to complete the Grant in a satisfactory manner
determines that the Grantee is not complying with one or more of the Foundation's policies
or specific conditions that relate to the Grant, or
determines that continuing the Grant is not in the general public's interest.
OTF Letter of Agreement
4. Reports
.,
· The Grantee will submit complete progress reports and a final report to the Foundation at the
times specified in Schedule A. In these reports the Grantee will clearly explain the Grantee's
use of the Grant funds and the progress the Grantee has made toward achieving the Grant's
expected outcomes and how the Grantee has complied with the terms and conditions of this
Letter of Agreement including Schedule A.
. All reports will be submitted using the Foundation's "Reporting Forms" found in Schedule C.
. In addition to these regular reports, the Foundation may ask the Grantee to submit additionai
interim reports, verbally or in writing, which the Grantee will provide.
· The Foundation will review the progress the Grantee makes toward achieving the Grant's
results. Monitoring progress may involve on-site visits by Foundation representatives.
. The Foundation may also ask to consult with the Grantee's personnel regarding the Grantee's
expenditures, records, progress, and achievements relating to the Grant.
. If the Foundation does not receive progress or final reports in a timely manner, it will withhold
payments until the late reports are received and considered by the Foundation to be
satisfactory. The Foundation may terminate this Letter of Agreement if any such report is not
received within sixty (60) days of the date on which it was due.
· The Grantee will immediately notify the Foundation of any changes to the Grantee that might
delay or stop the successful completion of the Grant.
5. Records
· The Grantee will maintain accounting records that clearly show the receipt of Grant funds and
how the money has been spent. All records and supporting documentation will be available for
inspection by the Foundation.
. The Grantee will keep records of Grant receipts and expenditures for at least six (6) years
after the Grant ends. The Grantee will also keep copies of all the reports (and supporting
documentation) the Grantee submits to the Foundation for at least six (6) years after the
completion of the Grant.
6. Advocacy
· The Grantee represents and warrants that it has received and read the Foundation's
"Advocacy Policy" in Schedule B as may be amended from time to time, and the Grantee
agrees to comply with this policy.
7. Recognition of the Foundation
. The Grantee has received and read the Foundation's "Recognition Policy" stated in Schedule
B as may be amended from time to time, and the Grantee agrees to comply with this policy.
· Under the "Recognition Policy" the Grantee will recognize the Foundation's support at public
events, in all communications and publications and seek other opportunities to publicly
recognize the Foundation.
OTF Letter of Agreement
, '
l'
8. Evaluation and Audit
. The Foundation or the Auditor-General of Ontario may conduct or commission an evaluation
or audit of this Grant. The Grantee will participate in any such evaluations or audits and make
the Grantee's records, books, supporting documentation, and reports available to Foundation.
personnel or consultants or those of the Auditor-General of Ontario.
9. Human Rights Code
. The Grantee will operate in accordance with the Ontario Human Rights Code.
10. Insurance
. The Grantee will purchase and maintain adequate insurance including property insurance,
casualty insurance, and general liability insurance. Adequate insurance coverage must be
maintained for the duration of the Grant.
11. Indemnity
. The Grantee agrees to indemnify and save the Foundation, its officers, directors, employees,
and agents harmless from and against any and all costs, claims, demands, expenses, actions,
causes of action, and for any and all liability for damages to property and injury to persons
(inciuding death) howsoever caused, arising out of or in any way related to the Grant or to the
Grantee. The Foundation holds this indemnity in trust for parties who .are not parties to this
Letter of Agreement.
12. Violation of Agreement; Change of Status
. If the Grantee violates any of the provisions of this Letter of Agreement, including the attached
Schedules, the Foundation has the right to terminate the Grant.
. The Grantee will immediately notify the Foundation if the Lead Applicant, as set out in the
Foundation's Program Guidelines, in a collaborative Grant changes. If the Foundation is not
satisfied that a suitable new Lead Applicant has been appointed, it may terminate this Grant.
13. Termination
. If this Letter of Agreement is terminated, the Foundation will withhold any further payments of
Grant funds.
. If this Letter of Agreement is terminated, the Grantee must repay any unspent portion of the
Grant funds to the Foundation. The Grantee will repay the Grant funds that the Grantee has
spent, if in the Foundation's sole opinion, such Grant funds have not been spent in
accordance with this Letter of Agreement.
. Any decision by the Foundation to terminate this Grant will be final and legally binding.
14. Distribution of Assets
. If within 5 years of receiving the Grant funds the Grantee dissolves or no longer needs assets
purchased with the Grant funds, the Grantee will disburse any assets with a value of $5000 or
more at no cost to a not-for-profit organization that meets the Foundation's "Eligibility
Requirements" as set out in the Foundation's Program Guidelines.
OTF Letter of Agreement
. ,
.,
15. Modification
. This Letter of Agreement and the attached schedules establishes all the terms and conditions
of the Grant. It replaces all previous understandings and agreements.
. Changes to this Agreement can only be made in writing. All changes require the signatures of
an authorized officer from the Grantee and from the Foundation.
16. Applicable Law
· This Letter of Agreement will be interpreted in accordance with the laws of Canada, the
Province of Ontario, any municipality in the Province of Ontario, or any court order.
17. Capital Grants (For Grants with a Capital Component Only)
· The Grantee has all appropriate insurance to cover the project site and any equipment used
as part of the project. l
. The Foundation is not responsible or liable for the quality of design, construction, and
maintenance of the project. The Foundation is not responsible or liable for any loss or
damages arising out of or connected with the project.
· The Grantee will ensure that all renovations, modifications, and additions meet or exceed all
applicable building codes and project specifications.
18. No Partnership or Joint Venture
. It is expressly acknowledged and agreed that nothing in this Letter of Agreement and its
Schedules or the advance of any Grant funds to the Grantee creates or causes to be created
any form of partnership or joint venture between the Foundation and the Grantee.
19. Non-Assignability
This letter of agreement shall not be assigned by the Grantee without the written consent of
the Foundation.
20. Reliance by Foundation
The Grantee represents, warrants, agrees, and acknowledges that the Foundation has relied
on the representations and warranties contained herein in providing the Grant, and that the
information contained in the application continues to be correct and contains no material
misrepresentations.
OTF Letter of Agreement
~- ,
IN WITNESS WHEREOF, this Letter of Agreement has been signed on behalf of the parties as
of the dates indicated below. I have the legal authority to bind the organization in this
Agreement.
The Ontario Trillium Foundation
The Municipality of Kincardine
Per:
Patricia Eise
Per:
~~~e~e::e~t~
Name
Director of Grant Operations
fv1 c..0o.---
~ 0TP€
cf (~"
Signature
-.D <-"- I ~I 0 5Y
Date
~ Title
~ q '-- \..Q /)2-
-
Signature
'y...)~ ~ A)'V'(
Date
Witness:
Witness:
Benny Min
Name
G)\\iG\\I1 ~D~
Name (Please pri .
?i"
(~ i~~
\ .
1\::",0 () 2.bOcg
Date
Cl..--f A ~"""~,,,,~w\.,,-,,- e:f[Z<-e r-
Title
A. 2.,~ p AA fl"~
Signature
De-c L?:(O"?{
Date
~
\~. "
Coordinator of Program Administration
;.
SCHEDULE A: BUDGET, CONDITIONS AND EXPECTED RESULTS, PAYMENT AND
REPORT SCHEDULES
Grantee: Kincardine Area Bid Euchre Shooter Card Club (KABESCC)
c/o The Municipalitv of Kincardine
RequestID#: 9991058
Approval Date: October 30. 2008
Grant Amount: $23.100
Program Manager: Wendy Dempsev
BUDGET:
Grant funds may only be spent for the items and activities described here.
Ontario Trillium Foundation Funding: Year 1 $ Total $
Budget Categories
Capital .
Furniture & Equipment for Seniors Centre 23,100 23,100
(Stacking Chairs, Card Tables, Move & New Snooker
Table, Chalkboards, Whiteboards, Dart Boards,
Floor Mats, Energy efficient window blinds, Microwave
Oven, Folding Tables, Coat/Hat Racks, Kitchen
Cupboards, Sofa)
TOTALS 23,100 23,100
CONDITIONS: N/A
FIT WITH PRIORITIES OF THE FOUNDATION:
The Foundation is providing funds for this initiative to support heaithier and more physically
active Ontarians because it will promote recreational activities for people of all ages and
abilities.
OUTCOMES:
In progress and final reports the Grantee will clearly explain the use of the grant funds and the
progress made toward achieving the grant's expected results as measured by the performance
indicators outlined below.
The objective of the grant is to create accessible community-friendly spaces and facilities for
people to gather and achieve the following results:
Expected Results Performance Indicators . .
1. Community space will be maintained for a. Equipment & furnishings will be in line with
a range of recreational, physical and seniors' needs and interests.
leisure pursuits for everyone in the b. An increased number of users and a broader
communitv. ranqe of seniors' activities will be offered. .
2. Activities and programs will be more a. There wili be easier entry into the seniors' area
accessible to community members. for persons with physical disabilities or limitations,
and participants will assess the space as more
accessible.
OTF Letter of Agreement
Request ID: 9991058. Kincardine Area Bid Euchre Shooter Card Club (KABESCC) c/o The Municipality of Kincardine
"
OTHER REQUIREMENTS: N/A
REPORT SCHEDULE: (Please send us ;! copies of any report we are requesting.)
Due Requirements
(mm/dd/yy)
11/21/2008 Letter of AQreement (LOA)
6/1/2009 Final Report
PAYMENT SCHEDULE:
Amount
Notes
$23,100
reement
OTF Letter of Agreement
Request 10: 9991058 - Kincardine Area Bid Euc~re Shooter Card Club (KABESCC) c/o The Municipality of Kincardine
OTF Letter of Agreement
SCHEDULE B: FOUNDATION POLICIES
"
ONTARIO TRilLIUM FOUNDATION
REAllOCATION POLICY
OTF is committed to monitoring all grants to ensure that OTF funding is used for the
purposes for which it was approved. Close monitoring and prudent decision-making
concerning the use of OTF's funding by grantees ensures OTF's accountability for, and
appropriate use of public funds.
Reallocation within previously approved budget
Grantees may reallocate up to 10% of the total OTF grant budget within budget
categories, to a maximum amount of $10,000, without prior written approval of OTF.
The grantee must report any budget reallocation within budget categories in their next
progress and/or final report.
Reallocations in excess of 10% or the maximum amount of $10,000, as well as
reallocations between budget categories, require the prior written consent of OTF.
Requests must be submitted to OTF in writing for approval. OTF will consider the
reallocation request, ensuring that:
. the grant is in good standing
. the grant activities have so far rnet expectations
. the reallocation request is within the scope of the originally approved outcomes for
the grant.
Reallocation and/or recovery of surplus funds at the end of the OTF grant
OTF will request the return of any surplus funds in excess of $1,000. Amounts under
$1,000 may be reallocated by the grantee without prior OTF approval towards activities
which fall under the scope of the originally approved budget. Reallocations of surplus
funds towards unrelated activities require prior written approval by OTF. The grantee
must report any budget reallocation within budget categories in their next progress
and/or final report.
OTF Letter of Agreemmt
!
"
MPP Participation
The Government of Ontario is the funder of OTF. Grantees are required to ensure their
MPP, regardless of party affiliation, is invited to participate in recognition events. OTF
staff are pleased to assist in coordinating arrangements with MPP offices. For
assistance to involve your MPP in your event, please contact your Communications
Officer at OTF.
Large or High-Recognition Grants
OTF staff and Grant Review Teams will identify opportunities for highly-targeted
recognition or unique marketing strategies for organizations receiving high-impact grants
with significant recognition potential in either grants program. Grants identified as having
significant potential for recognition will develop a recognition/media strategy tailored to
their grant in consultation with the OTF Communications and Public Affairs Department.
Multi-year Grants
The recognition policy applies for the life of the grant. Grantees, in consultation with
OTF staff, are expected to conduct on-going recognition efforts for the duration of the
grant.
Monitoring
Grantees are required to report on all recognition activities and media coverage as part
of their progress and finai reports. Grant payments may be withheld until OTF staff are
satisfied with the grantee's recognition efforts.
Costs
In most cases, the costs of recognition signage will be funded by the Foundation.
However, grantees receiving larger grants, including those that are part of a
collaborative, may be asked to cover the cost of appropriate recognition themselves. In
such cases, this condition will be included in the Letter of Agreement.
OTF Letter of Agreement
Building
healthy and
vibrant
communities
4SCharies -StmetEnt;.J1f" floor
TaN:)I}tQ. ONMlY 1$2
www,m'lillmfuu:"da(jJ)~U
Te>1ePfW;)n<< 4 ~~-4$27
Tofl.In'il!lr1,00(I;;263..'2S87
f.axt"1iIS,~$l
~-'lt~::t90fl
@ Ontario
Reporting
Forms for
Capital Grants
TH& ONTARIO
TRILLIUM
f'oUNPATJON
LA f'ONDATION
TRILLIUM
1>& L'ONTARIO
Tti(! OntJ$ri91fillk,lm ~O~lrt~.tl b9;mw !)f1fiib:Mm~l)fl;)f{r~U\JI'O; ~!\tW,t$JOO tniJlk,ln :tIi1t1\1'liir~
fJQm Or/UofW..ditKity Cl.'situ) itlitlMliWJ,
Aj;Iri!~
Important Reporting Information - Please Read
.
.
.
.
.
.
Please check your Letter of Agreement for your reporting schedule.
Your Letter of Agreement outlines the results that the Ontario Trillium Foundation
(OTF) expects your grant to achieve and contains the approved budget for your
grant. Use these Reporting Forms to report on the Expected Results, the Approved
Budget and any Grant Conditions that may have been attached to your grant.
Please contact your Program Manager or Grants Associate before you reallocate
funds in your approved bUdget.
Please complete all three sections of these Reporting Forms. Use your computer
cursor or the Tab Key to move between boxes. To select a box, click on it with your
mouse.
Please print the completed forms and mail three (3) copies of the forms, and two
(2) copies of all attachments to:
[Your Program Manager or Grants Associate]
The Ontario Trillium Foundation
45 Charles Street East, 5th Floor
Toronto, Ontario M4Y 1S2
Unfortunately we cannot accept e-mail copies of your forms at this time.
Save an eiectronic copy of the Reporting Forms for future reports you prepare for
OTF. You can also download these forms from our website,
www.triliiumfoundation.oro.
April 2006
THE ONTARIO TRILLIUM FOUNDATION CAPITAL GRANTS 1.800.263.2887 www.trilliumfoundalion.org
!.
Capital Grants Report Cover Sheet
Attach this completed Cover Sheet to all reports you submit to the Foundation.
Organization name:
E-mail address:
Mailing address:
Phone number:
Grant ID #:
Grant amount:
Reporting Period':
(mm/yr)
D Progress Report
to
(mm/yr)
D Final Report
Report type:
You are required to submit the following items in your ReDort Packaqe. Please check the
items you have included in your package. Send three (3) copies of the Reporting Forms
and two (2) copies of attachments.
D Section A - Summary Form
D Section B - Financial Table and Conditions
(Please ensure that you report only on this Reporting Period')
D Section C - Outcomes of Your Grant
D List of your current board of directors
D Any completed resources or materials produced through your grant
For renovations grants:
D Photographs of renovated areas
D Copy of the certificate of completion
Name:
Date:
Position:
Signature:
Name:
Date:
Signature:
April2006 THE ONTARIO TRILLIUM FOUNDATION CAPITAL GRANTS 1.800.263.2887 www.trilliumfoundation.org 1
Section A: Summary Form
A1. How many people directly benefited from your grant?
_ People
Include information such as the number of people using your building, facility, etc.
Avoid countina people more than once. For example, if you offer a program in which
groups of people participate on a regular basis, only count the members of those groups
once.
Do not include people who indirectlv benefit from your grant. For example, people
benefiting from clean air and spaces; number of visitors to your website; people in your
community that were contacted through outreach but did not become directly involved in
your grant; people living in your area but who did not directly access your facilities,
services or programs.
A2. If your initiative received any media coverage, please indicate the type of
coverage received and the number of reports or stories.
_ Newspaper article
_ Other, please specify: _
Radio interview
TV
A3. a) In this Reporting Period, did your organization undertake any activities to
recognize your Ontario Trillium Foundation grant?
o Yes
ONo
b) If ves, please indicate all the recognition activities you undertook. Check all that
apply.
o Acknowledged OTF support in publications and promotional materials
o Recognized OTF support on website
o Provided link to OTF website
o Used OTF logo in print and promotional materialsfwebsite link
o Dispiayed recognition piaque or other signage in a public location
o Gave verbal acknowledgement of OTF funding (e.g. during public presentations)
o Other, please specify: _
April2006 THE ONTARIO TRilLIUM FOUNPATION CAPITAL GRANTS 1.800.263.2887 www.trilliumfoundation.org 2
Section A: SummllfY Form
A4. Haw many valunteers directly cantributed to' the initiative funded by yaur
grant? Please dO' nat give the tatal number af valunteers in yaur arganizatian.
VO'lunteers
HO'urs cO'ntributed
A5. Did your grant result in any abserved behaviaur change amang thase
individuals that directly benefited fram yaur grant? Please check all that apply.
D StrO'nger cultural awareness
D A greater sense O'f cO'mmunitv belO'nqinq
D Increased awareness O'f cO'mmunitv resO'urces
D Enhanced cO'mmunicatiO'ns skills
D ParticipatiO'n in wO'rkfO'rce
D DevelO'pment O'f life skills
D Enhanced self-cO'nfidence/esteem
D Enhanced success fO'r students and learners
D Enhanced phvsical activitv
D Other, please specify: _
AG. Haw did yaur O'rganizatian benefit fram yaur OTF grant? Please check all that
apply and pravide details where required.
D Enhanced capacity to' deliver services O'r prO'qrams
D Increased number O'f partnerships / netwO'rks fO'rmed in the cO'mmunity; specify
the number O'f new partnerships: _
D Increased membership in yO'ur O'rganizatiO'n
D MO're active participatiO'n O'f members in yO'ur O'rganizatiO'n
D Improved stafftraininq and develO'pment
D Enhanced technO'IO'qical capacitv
D Enhanced O'rganizatiO'nal and/O'r strategic planninq
D Enhanced O'rganizatiO'nal stabilitv
D Raised prO'file O'f yO'ur O'rganizatiO'n
D Increased funds raised: HO'W much? $_
D Other, please specify: _
April2006 THE O'NTARIO' TRILLIUM FO'UNPATIO'N CAPITAL GRANTS 1.800.263.2887 www.trilliumfoundation.org 3
Section A: Summary Form
A7. How did your grant benefit your community, clients or participants?
Please check all that apply.
o Created economic opportunities in your community
o Enhanced services. proqrams or events
o Increased participation in community life by removing barriers to participation
(i.e., financial, social, cultural and linguistic barriers)
o Enhanced awareness or profile of issue
o Enhanced or strengthened the local environment
(land, water, air, energy conservation, etc.)
o Increased phvsical access to buildings, facilities
o Enhanced volunteerism by recruiting, training or diversifying the volunteer base
o Enhanced orqanizational responsiveness to the community
o Made better use of communitv facilities or land by repairing, renovating or making
them available to community groups
o Other, please specify: _
AS. Value of goods/equipment (i.e., office supplies, computers, resources, etc.)
purchased with OTF funds: $ _
A9. Value of services (i.e., consulting, accounting, planning, etc.) purchased with
OTF funds: $ _
A 10. Value of construction / renovation costs paid for with OTF funds: $
April2006 THE ONTARIO TRilLIUM FOUNDATION CAPITAL GRANTS 1.800.263.2887 www.trilllumfoundation.org 4
Section A: Summary Form
A11. Please estimate the value of any in-kind or non-financial support your
organization may have received as a result of your grant.
Do not include support you had already been receiving or would have received
regardless of whether you received a grant from OTF. For instance, if you have always
received donated office space, do not include it.
If you did not receive any in-kind support, write N/A (not appiicable) next to Total.
Type of support received
Estimated $
value
Donated space and utiiities (i.e., office space, meeting space,
recreation, use of phone or fax, etc.)
Donated services (i.e., accounting, transportation, website design,
etc.)
Donated equipment, materials or supplies (i.e., office furniture or
equipment, etc.)
$
$
$
Total $
A12. In this Reporting Period, what is the estimated value of any revenue your
organization may have received as a direct result of receiving your OTF grant?
Do not include revenue you would have received regardless of whether or not you had
a grant from OTF. For instance, if your organization regularly receives an operating grant
from the United Way, do not include it. However, if your organization received United
Way funding as a resuit of a grant from OTF that it would not have received otherwise,
please include it.
If you did not receive any additional revenue, write N/A (not appiicable) next to Total.
Government sources
Non-government sources
Federal $
Provincial $
Municipal $
Business I corporate sector $
United Way $
Other foundations $
Individuais $
Total $
Total
$
April2006 THE ONTARIO TRilLIUM FOUNDATION CAPITAL GRANTS 1.800.263.2887 www.trilliumfoundation.org 5
Section B: Financial Table and Conditions
April2006 THE ONTARIO TRilLIUM FOUNDATION CAPITAL GRANTS 1.800.263.2887 www.trilliumfaundatian.org 6
Section B: Financial Table and Conditions
Follow instructions on page 6. For examples, see the Sample Tables found on the OTF website.
Important: Please contact your Program Manager or Grants Associate before you
reallocate funds in your approved budget.
" . . . ~m .
~, Ap P roved OTF Actu a I aT F
. , . , ..
.. ~i4L 'l~ expe n ses ($) ex pe nse s ( $ )
. ,wl" ,ill,
.. .w , dMi'0
S a I a ri es a nd Be n efits
~~~~-~- .-
_.............__m._........__.............__..... .. ... _._'_m.,_._.,.,,__._._._,,_._._.~_._.,.,._._.'m._..
P rogra m Costs
--'".__.-._.~_._-"-,--~._-"~ ~"-,., ...
1-................ "'''''''''''-. [............ "..~..
j--..-............. ----~
...-.................-..............--....."'.....-- .. ........- ... ".._- .... ..-_.... m...._.............___ .......-...-.... -_._._.~._-- - _._--,-..,-,.....- ,_"......__m..._
Ad m i n istrati on '"T.~~.-""'-""""'"
__~,~,"_"'__w,,_________~_~_,
""~-'"'''''''-'-''~~~' ___A "._"__'_'~'~_~____w_',,'w"m
~~""~-",,,,,-,-~,,,,~,._-~ ,,~~~.~.~,=~~~~~~-
............................ ',"',','.. "-~ ._...._....~... ...
'---"'-"--',-. ... --.., . ..._m........m__... .. ... .... ... ,--. "0'-""'--'" .. .... .'.__..m.__.....m...___..._.__.___.__m.__'.__..
C a p ita I
... ><-.~> ...,...-.....
.^.^.>~.. ."^'>-.'_.'-~.~ __~.,^'s.'~.m>_^_."'~
.--.. ..-. ._"_._~---_.._--- - ----.-,..........-.- ..-- ... ..- " - ----------.-----....----.-- .___m...._______....._"'"
Eva I uati 0 n
~~..,_.......... ..,..,~,.,,_.^.,.",,~~-~~ "~~"'W_'.'~_"~_~__~
-~~~~._,~~~,.,,'^"~- "'~_~~=~~m*w,=
f-----,-~......................... _'.'_'_._-~,..'-'.-.'^"-
~. w_,,_~.~_ ._-,--~~
.--......-..........- .. ---,"'" .."..--.... ..-..-- ....___..........m..._ ... .. ...-- .--,- ..-.. -.-- _.__._..._.__o._......m.___..._......__.....___..._.__. ._
M i s ce I I a n eo us
( PI ease s pe city)
_..~........._,._....~.._- ~........
_..,~.~_~~",u_.."w_.._.'_m._....._..._.._..^."M_
TOTA LS
April2006 THE ONTARIO TRilLIUM FOUNDATION CAPITAL GRANTS 1.800.263.2887 www.trilliumfoundation.org 7
.
"
Section B: Financial Table and Conditions
B2. If there was a difference between your Approved and Actual Expenses of more
than $1,000 in this Reporting Period, please explain the reason(s) for the
difference.
B3. For Prooress Reports onlv -If you anticipate any chanoes5 to your approved
budget for the next Reporting Period, please explain. Note the expense item, the
dollar amount and the reason(s) for the change.
April2006 THE ONTARIO TRILLIUM FOUNDATION CAPITAL GRANTS 1.800.263.2887 www.trilliumfoundation.org 8
Section C: Outcomes of Your Grant
April2006 THE ONTARIO TRILLIUM FOUNDATION CAPITAL GRANTS 1.800.263.2887 www.lrilliumfouhdalion.org 9
,.
April 2006
THE ONTARIO TRILLIUM FOUNDATION CAPITAL GRANTS
1.800.263.2887
www.triJliumfoundation.org
10
,
,
Section C: OUtcomes of Your Grant
C2. Provide a briefsummary (approximately 1/4 to 1/2 page) of what your grant
accomplished in this Reporting Period.
Include a brief description of how your community or the people you serve benefited
from your OTF grant (e.g., in what ways did your grant improve the quality of life in your
community or of the people you serve?), the key things you learned and what, if
anything, you would do differently next time.
C3. a) Did you achieve all, some or none of your expected results in this Reporting
Period?
D All results achieved
D Some results achieved D No results achieved
b) If you were not able to achieve all of your expected results in this Reporting
Period, indicate why by checking all the reasons that apply.
D Delays in getting started
D Organizational! staffing changes (internal reorganization, board changes, etc.)
D Under-estimated time to complete the work
D Under-estimated resources needed for the work
D Loss of funding! revenue from other sources
D Lack of community support / partnerships needed for the work
D External factors beyond your controi
D Other, please explain: _
C4. If there were any unexDected results, positive or negative from your work,
please describe them. (Compare with the Expected Results in Schedule A of your
Letter of Agreement.)
C5. For Proaress ReDorts onlv - If you anticipate any changes to your planned
activities or expected results for the next Reporting Period, describe the changes
and note the reason(s) for the change.
April2006 THE ONTARIO TRilLIUM FOUNDATION CAPITAL GRANTS 1.800.263.2887 www.trilliumfoundation.org 11