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Boynton Beach High School r R15-055 EXHIBIT "A" COMMUNITY SUPPORT FUNDS REQUEST FORM Part I - Summary of Request (to be completed by City Clerk) Date of Request: I I 04 i Zc, Requested by Mayor/Commissioner: i'c. ay�,� K veh e I u s Amount Requested: $ oo. 00J Recipient/Payee: Ri-f S Description of project, program, or activity to be funded: Ma -(I- ;(15 ,;,,c ha.% hee_r1 nv i fel to a+ 1-end_ u-:A.d c.,{- 14u, Pe.clr..t-, )u i i A-1-1an-ar E eoryQ. Part II - Availability of funds The annual appropriation of funds available to the requesting Member of the Commission listed above is $ 2-000 . The balance of funds available for the requesting Member of the Commission is $ lSoo • Accordingly: g There are funds available as requested ❑ There are insufficient funds available as requested Dated: /2--1/-1, By: 1:)1/(1 > (t Kft ty Clerk Part III-Eligibility Evaluation ci- Public funds will not be used to improve private property unless there is a clear public need, purpose and benefit Lk- The recipient/payee provides services within the City GI, The public purpose is beneficial to the entire community se :6 by such donation Dated: (Z- /)2 By: Requesting Mem. - o the City Commission S:\CC\WP\COMMUNITY INVESTMENT FUNDS\Community_Support_Funs_Policy.2015.doc R15-055 CITY OF BOYNTON BEACH COMMUNITY SUPPORT FUNDS POLICY PURPOSE: The purpose of the Community Support Funds (CSF) is to provide a source of discretionary funding to support projects, programs and activities in the City which are accessible and beneficial to the citizens of the City. Due to the broad and diverse nature of programs or projects that may be eligible for funding from the Community Support Funds, no specific list of eligible projects, programs, or activities is appropriate. SCOPE: This policy recognizes that there is a specific line item in the City Commission portion of the City's annual budget. Each year, in the annual budget adoption process, the City Commission shall consider an appropriation for Community Support Funds. The Commission is not required to appropriate Community Support Funds but when it does, the amount appropriated, if any, shall be available for distribution by the Mayor and City Commissioners in equal amounts only for qualified programs or projects. By way of example: If the Commission budgets $10,000, the Mayor and each Commissioner may request distributions up to $2,000 for the year that the funds are appropriated. CRITERIA FOR ELIGIBILITY: Eligibility for funding shall be conditioned on a finding by the City Commission that: 1. Public funds should not be used to improve private property unless there is a clear public need, purpose and benefit; and 2. The recipient/payee will use 100% of the funds to provide services within the City; and 3. The public purpose is beneficial to the entire community served by such donation and to the City as a whole; and 4. Proper safeguards shall be implemented by the City administration to assure that the funds will be used for the stated purpose, such as: a. Prior to receiving any funds, the recipient must complete a W-9 Request for Taxpayer Identification Number Form in order to be added to the City's vendor list. b. Within 60 days of receipt of funds, the recipient must provide the Finance Director appropriate backup documentation demonstrating the funds were used for the stated purpose approved by the Commission. c. Should the recipient fail to submit the appropriate documentation within the allotted time, the City Commission may deem the recipient ineligible for any future funding. The findings of the City Commission as to each of these required elements shall be inferred from the Commission's approval or disapproval of the requested distribution without the need for separate findings. PROCEDURE FOR CONSIDERATION OF EXPENDITURES: The procedures for expenditures from the Community Support Funds are as follows: 1. The Mayor or any member of the City Commission shall make a request to the City Clerk for the expenditure of funds. The requesting member of the City R15-055 Commission must have a written request from the entity seeking funds. The written request must contain a narrative explanation indicating how the funds will be used and an affirmative acknowledgement that the requestor understands and will comply with the above listed conditions for eligibility and use. The written request will be forwarded to the City Commission along with Exhibit "A" (see Step 2). 2. The City Clerk shall complete a Community Support Fund Request Form (form attached as Exhibit "A") and confirm the funds are available with the Finance Director. 3. If the appropriate funds are available the City Clerk will schedule the matter to be considered by the City Commission at the next scheduled City Commission meeting under New Business. 4. The City Commission shall act on the request for expenditure by approving or disapproving the agenda item. A majority vote is required for approval of the expenditure. DISCRETIONARY NATURE OF COMMISSION ACTION: The decision of the City Commission to approve or disapprove a requested distribution of Community Support Funds is discretionary and is not subject to appeal, review or challenge.