HomeMy WebLinkAboutJefferson County Farmers Market LTAC Consent Agenda
Commissioners Office
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
FROM: Adiel McKnight, Executive Assistant
DATE: 'eta jr A ,2023
SUBJECT: AGREEMENT re: 2024 Hotel Motel (Lodging Tax) Grant Funding; In the
Amount of$15,000; Jefferson County Farmers Market
STATEMENT OF ISSUE:
This agreement provides grant funding for 2024 to certain non-profit agencies for the promotion of
tourism and ongoing preservation of Jefferson County's heritage. The Lodging Tax Advisory
Committee met on September 19, 2023 and reviewed request for proposals. This funding has been
budgeted from the Hotel Motel (Lodging Tax) Fund, and approved by the Board of County
Commissioners on October 2, 2023.
FISCAL IMPACT:
Jefferson County Farmers Market $15,000
RECOMMENDATION:
Approve and sign the agreement.
REVIEWED BY:
/ Z3
Mark McCaul:"!, County Administrator Date:
AGREEMENT FOR 2024 HOTEL-MOTEL FUNDING FOR TOURISM SERVICES
JEFFERSON COUNTY FARMERS MARKET
This Agreement is by and between JEFFERSON COUNTY(hereinafter known as "COUNTY"
and JEFFERSON COUNTY FARMERS MARKET(hereinafter known as "CHIMACUM FARMERS
MARKET").
WHEREAS, FARMERS MARKET is a Government Agency of the State of Washington;and
WHEREAS,the COUNTY desires to promote tourism in unincorporated Jefferson County, as
authorized by Chapter 67.28 RCW and Jefferson County Code Chapter 3.25; and
WHEREAS, the Jefferson County Lodging Tax Advisory Committee reviewed and
recommended funding the lodging tax proposal by FARMERS MARKET to implement a strategy for
the unincorporated area of Jefferson County to promote tourism activities;
IN CONSIDERATION of the mutual covenants-and agreements herein it is agreed by the
parties as follows:
SECTION 1: SERVICES TO BE PERFORMED
FARMERS MARKET shall use its capabilities and utilize the funding provided under this agreement
to continue and update the ongoing performance of the following tourism promotion services, as
outlined below:
1. FARMERS MARKET shall use its capabilities and utilize up to $15,000 of funding provided under
this agreement to promote the Chimacum Farmers Market,restricted to any of the eligible items in
the itemized list of proposed tourism promotion services,a copy of which is incorporated herein as
Exhibit A.
SECTION 2: RESPONSIBILITIES OF CHIMACUM FARMERS MARKET:
1. On or before January 31; April 30; July 31; October 31,2024; and January 31, 2025,provide to
the COUNTY: see Exhibit C, attached hereto and incorporated;
• A quarterly report of the use, services, programs and activities of the Chimacum Farmers
Market under this Agreement for the prior quarter;
• A quarterly financial statement detailing revenues,expenses and cash balances for the prior
quarter; and for the final quarter report, the financial statement shall also include a detailed
financial statement for all 2024.
2. On or before January 31,2024 OR upon execution of this agreement, whichever is later,
provide to the COUNTY:
• A billing invoice requesting payment of Hotel-Motel Funding for the current year.
3. For a minimum of six (6)years, maintain documented proof of payments made, contracts
executed, and other expenditures authorized under this Agreement. Upon reasonable notice,
provide access to County or State representatives to audit those records.
Page: 1 of 14 Jefferson County Farmers Market
4. Funding provided by this Agreement may only be expended on the services described in
Section 1 of this Agreement. Any monies used for other services or purposes shall be
refunded to Jefferson County. Any monies under-expended of the total funding allocated
under this Agreement shall be refunded to Jefferson County by January 31, 2025.
5. By February 28th of each year provide the following information on Exhibit B,attached hereto
and incorporated by reference for the previous year.
a. Each festival,event,or tourism facility owned and/or operated by CHIMACUM
FARMERS MARKET.
b. The amount of lodging tax revenue allocated for expenditure (whether actually expended or
not)by CHIMACUM FARMERS MARKET on each festival, event or tourism facility.
c. Estimated number of tourists served at each festival,event or tourism facility. ("Tourist"
includes persons traveling more than 50 miles to the location of the event, festival or facility
and overnight stays in the area).
d. Estimated lodging stays. ("Lodging"refers to commercial lodging such as hotels,motels,
resorts, bed and breakfasts, or commercial campgrounds).
e. Measurements that demonstrate the impact of increased tourism attributable to the event,
festival or facility.
SECTION 3: RESPONSIBILITY OF JEFFERSON COUNTY
1. The COUNTY will provide CHIMACUM FARMERS MARKET funding from Hotel-Motel
Tax receipts to be used in support of their responsibilities as defined under this agreement.
2. Said funding is in the sum of$15,000 for 2024. Payment is to be predicated on submittal of
reports defined in Section 2. Payment will be made by the COUNTY upon receipt of an invoice
on the next available billing cycle.
SECTION 4: TERM
This Agreement shall be for a term of one year, commencing on January 1, 2024 and ending on
December 31, 2024, except for the reports referenced in Section 2,due January 31, 2025 and February
28,2025.
SECTION 5: ASSIGNMENT
Either party to the agreement shall not assign this Agreement,except by signed amendment.
SECTION 6: MODIFICATION
This Agreement may be modified by mutual written agreement executed by both parties.
SECTION 7: TERMINATION
The Agreement may be terminated, in whole or in part,by the County upon thirty(30)days written
notice in the event expected or actual revenue from the Hotel-Motel Tax is reduced or limited in any
way, or for non-performance of duties under this Agreement, or for any reason. CHIMACUM
FARMERS MARKET may terminate this Agreement upon thirty(30)days written notice to the
COUNTY. In the event of termination under this clause,the County shall be liable to pay only for
Page: 2 of 14 Jefferson County Farmers Market
services rendered prior to the effective date of termination. If termination covers a period for which
payment has already been made, CHIMACUM FARMERS MARKET shall refund to the COUNTY a
pro-rated share of the payment based upon the balance of time remaining in the paid period, unless
otherwise negotiated.
SECTION 8: HOLD HARMLESS
CHIMACUM FARMERS MARKET shall indemnify and hold the COUNTY, and its officers,
employees, agents and volunteers (and their marital communities) harmless from and shall process
and defend at its own expense, including all costs, attorney fees and expenses relating thereto, all
claims, demands, or suits at law or equity arising in whole or in part, directly or indirectly, from
CHIMACUM FARMERS MARKET's negligence or breach of an of its obligations under this
Agreement; provided that nothing herein shall require CHIMACUM FARMERS MARKET to
indemnify the COUNTY against and hold harmless the COUNTY from claims, demands or suits
based solely upon the conduct of the COUNTY, its officers, employees, agents and volunteers (and
their marital communities), and; provided further that if the claims or suits are caused by or result
from the concurrent negligence of: (a) CHIMACUM FARMERS MARKET's agents or employees;
and , (b) the COUNTY, its officers, employees agents and volunteers (and their marital
communities), this indemnity provision with respect to claims or suits based upon such negligence,
and or the costs to the COUNTY of defending such claims and suits, etc., shall be valid and
enforceable only to the extent of CHIMACUM FARMERS MARKET's negligence, or the
negligence of CHIMACUM FARMERS MARKET's agents or employees.
CHIMACUM FARMERS MARKET specifically assumes potential liability for actions brought
against the COUNTY by CHIMACUM FARMERS MARKET's employees, including all other
persons engaged in the performance of any work or service required of CHIMACUM FARMERS
MARKET under this Agreement and, solely for the purpose of this indemnification and defense,
CHIMACUM FARMERS MARKET specifically waives any immunity under the state industrial
insurance law, Title 51 RCW. CHIMACUM FARMERS MARKET recognize that this waiver was
specifically entered into pursuant to provisions of RCW 4.24.115 and was subject of mutual
negotiation.
SECTION 9: INSURANCE
CHIMACUM FARMERS MARKET shall obtain and keep in force during the term of the
Agreement, or as otherwise required, the following insurance:
A. Commercial General Liability Insurance. CHIMACUM FARMERS MARKET shall
maintain commercial general liability coverage on a form acceptable to Jefferson County Risk
Management for bodily injury, personal injury, and property damage, with a limits of not less
than in the amount of at least $1 million per occurrence, for bodily injury, including death, and
property damage.
B. Worker's Compensation (Industrial Insurance). CHIMACUM FARMERS MARKET shall
maintain workers' compensation insurance at its own expense, as required by Title 51 RCW, for
the term of this Agreement and shall provide evidence of coverage to Jefferson County Risk
Management, upon request.
Page: 3 of 14 Jefferson County Farmers Market
SECTION 10: INDEPENDENT CONTRACTOR
The CHIMACUM FARMERS MARKET and the COUNTY agree that the CHIMACUM
FARMERS MARKET is an independent contractor with respect to the services provided pursuant to
this agreement. Nothing in this agreement shall be considered to create the relationship of employer
and employee between the parties hereto. Neither the CHIMACUM FARMERS MARKET nor any
employee of the CHIMACUM FARMERS MARKET shall be entitled to any benefits accorded
County employees by virtue of the services provided under this agreement. The COUNTY shall not
be responsible for withholding or otherwise deducting federal income tax or social security or for
contributing to the state industrial insurance program, otherwise assuming the duties of an employer
with respect to the CHIMACUM FARMERS MARKET, or any employee, representative, agent or
contractor of the CHIMACUM FARMERS MARKET. The CHIMACUM FARMERS MARKET
shall be responsible for all applicable withholdings, deductions, state industrial insurance, tax
reports, business licenses, registrations, and all other obligations of an independent organization.
SECTION 11: COMPLIANCE WITH LAWS
CHIMACUM FARMERS MARKET shall comply with all Federal, State, and local laws and
ordinances applicable to the work to be done under this Agreement. This Agreement shall be
interpreted and construed in accord with the laws of the State of Washington and venue shall be in
Jefferson County, Washington.
SECTION 12: DISCRIMINATION PROHIBITED
CHIMACUM FARMERS MARKET with regard to the project to be completed under this
agreement, will not discriminate on the grounds of age, sex, marital status, sexual orientation, race,
creed, color, national origin, honorably discharged veteran or military status, or the presence of any
sensory, mental, or physical disability or the use of a trained dog guide or service animal by a person
with a disability, unless based upon a bona fide occupational qualification in the selection and
retention of employees, materials, supplies, contractors or subcontractors.
SECTION 13: INTEGRATED AGREEMENT
This agreement together with attachments or addenda represents the entire and integrated agreement
between the County and the Jefferson County CHIMACUM FARMERS MARKET and supersedes
all prior negotiations, representations, or agreements written or oral. This agreement may be
amended only by written instrument signed by both the County and the Jefferson County Farmers
Market.
SIGNATURES ON THE NEXT PAGE
Page: 4 of 14 Jefferson County Farmers Market
- APPROVED and signed this day of
JEFFERSON COUNTY
Attest: BOARD OF COMMISSIONERS
Carolyn Gallaway,CMC Greg Brotherton,Chair
Clerk of the Board
Approved as to Form: JEFFERSON COUNTY FARMERS MARKET
oc
Philip C. Hunsucker, Authorized Official
Chief Civil Deputy Prosecutor
October 16, 2023
Page: 5 of 14 Jefferson County Farmers Market
EXHIBIT A
Itemized List of Proposed Tourism Promotion Services
1)Itemized List of Proposed Tourism Promotion Services + Cost
Chimacum Farmers Market Promotion Budget LTAC 2024
Funding
Promotion Type 1 Source Cost Reach Notes
Port Townsend Leader
print advertisement In-kmd $2,000.00 6.500 subscribers Two donated 112 page ads
Port Townsend Leader ?USDA Farmers 6.500 Leader
and Peninsula Daily 'Market subscribers. Co-promote our farmers markets
News(PON)print Promotion $8,000.00 40,000 PON throughout the season
Weekly spot on KPTZ,Aprrl-
KPTZ.4 adio promotion In-kind $1,000.00 12,000 listeners December
USDA Farmers
Market
Promotion 16,500 viewers Posts promoting both Jefferson
Facebookllnstagrarn Program Grant $1,000.00 quarterly County Farmers Markets
6,500 subscribers
Spring and summer USDA Farmers +distributed to Posts promoting both Jefferson
postcard insert in the Market local lodging and County Farmers Markets.This is a
Leader and local Promotion visitor centers multi-year grant with secure
lodging ;Program Grant 53.000 00 reaching funding.
The video produced with LTAC
grant funds wil be shown on the
Rose Theatre screen as well as
distributed to other local partners
Video Rose Theatre ! for sharing and with the Washington
Screen I In-kind $800 00 -4,000 viewers State Farmers Market Association_
Marketing Coordinator 18 hours a
week during the Chimacum
Farmers Market Season.Our
Marketing Coordinator writes our
weekly newsletter reaching 1,738
subscribers, maintains our website
with 4,200 visits per month.creates
social media content reaching
20,916 viewers in August 2023, and
designs our advertising reaching
audiences in the Olympic Peninsula
• and greater Seattle area as well as
national and international tourists..
USDA Farmers Viewer estimate is conservative Market based on our weekly visitors to our
Marketing Coordinator Promotion farmers markets over the 2023
Time Program Grant $13,996 80 -63,000 viewers season.
JCFM general Approximately 9.5 hours per week,
Chimacum Site operating 22 weeks of the Chimacum
Manager Time budget $4.389 00 Farmers Market X$12/hr
10.000 readers
Leader, 40,000
PDN readers
Leader, PON. Visitor across the Co-promote the Port Townsend and
Guide,Chamber Map LTAC $3,000,00:Peninsula Chimacum Farmers Markets
Page 6 of 14 Jefferson County Farmers Market
16,50()viewers Weekly boosted post ads May.F acebookianstag ram ILIAC $1.000.00 quarterly October
-t-
12.000
subscribers, Reaching visitors to the Olympic
50,000 brochures Peninsula through distribution at
I,
i I.distributed visitor center,local lodging,and
Olympic Culinary Loop LTAC $435,001regienally more
2,500 distributed to loc&lodging,
'Ftack Cards LTAC ' $1,500,00' visitor centers and at our markets
Distnbuted to the
Port Townsend
•
Visitor Center,
Sequim Visitor
Center Olympic
Peninsula
Gateway Visitors
Center and Marine
Science Center
reaching
Spring and summer thousands of
'distributed to local visitors to our Staff time to distribute the postcards
LTAC I $480.00 county and rack cards twice a year
'Rack cards on the
SeettleBarnbndge,
f Kingston/Edmonds and Seattle Pier
52 route Co-advertising with The
,
Rack cards WA .
24,204,895 Resort at Port Ludlow Full cost
Fairies LTAC Si 750 00 travelers $3,500.
-,_-
Awed regionally on the WA State
1 ! 1 15,000 social Ferries through the Jefferson
media viewers• County Chamber of Commerce,
I 6,841,271 ferry Rose Theatre,Port Townsend Food
,
LLioeo production iLIAC $4.000,00 travelers Co-op,and on social media
Digital advertisement in the Food
Seattle Stranger digital and Drink,features/news and
advertising LTAC $2,000 00I1.340.000 readers events sections
1 ,..
May-Sept,80 second video,
Seattle/Bainbridge,
Digital advertising on I EdrnondsrKingston Seattle Pier 52 the WA State Ferries LTAC ".____$5,800.00 6,841.271 travelers terry routes
fIISeattle-riffled digital272,727 $11- per 1,000 impressions run over
ladverbsernent LTAC ; 53,000.00 impressions the course of the market season
.10,000+distributed
,
i locally 120-•local i ?
i, venues&drop r
l ,
boxes,WA Stale
Ferry routes as
well as unlimited
Tracing the Fjord online
Magazine LTAC $650 00 views/downloads. Full page ad,spring,lummei issue.
4 -10,774 market
Kids'Activrties !LTAC $750.00 shoppers $150 per month,5 months
-10,774 market Live music stipend,$200 per week,
Live Music Fund i LTAC S4,400.00 shoppers 22 weeks
Page 7 of 14 Jefferson County Farmers Market
MUSIC COOMIRMOI I-1 0,T74 market Coordinating the C FM music 1
;Stipend LTAC $1,500 001 shoppers program
-4-
Chimacum regional advertisements,'
Staff Time Graphic ,$30 per hour.6 hours per month x 6
Design ILTAC S1.080 i
.00 I months
Staff time FIN the coordinetbon,
leadership and hosting of the
Chrmiacuin Farmers Market,
conducting LTAC customer tracking 1
I Chime/Aim Site -10,774 market at$20 per hour x 10 hours per
Manager Time LTAC $t,200.00shoppers week June-October
i Market Administration 2 hours per week,22 weeks at$35,
and Oversight LTAC $1,540,00 marital oversight,grant recorti
Payroll Tax LTAC $813.98 For loillatike tarff hours at 15 3%
........,
Total Rarest LTAC $34,69$.96
Total Advertising
Budget $89,064.76 ...,...
Page 8 of 14 Jefferson County Farmers Market
Exhibit B
Jurisdiction Lodging Tax Reporting Form — To Be Submitted to Jefferson
County Administrator's Office
No Later than February 28th of each Year
Lodging Tax Reporting Form
Organizations receiving fouling to promote festival,special events and touriu-related activi a,through tcnir,m-related facilities
owned or sponsored by non-profit organizations or the local jurisdiction are required Reporting complete this form for EACH activity.
1OrganizationNam: Repo gYam:
2 Sponsor Type',."heck Ore): 0 501(eX3) 0 501(c06) 0 Local Intisdictim OOther(EzyLan):
3 AcavityN :
4 Activity Type(Check One): 0 Even:Fe uv-ai* 0 Flu'i7y* 0!Hath g•
5 Activity Start Date*:
6 Activity End Date*:
7 Total Cost of Activity 8
8 Amoura Requested: S
9 Amon Auk S
10 Ot al At ce• 13 Number of A tmdees Who Stayed Ov.' hr m Utzaai Azcootmodadons*
a) Projected* a) Projected'
b) actual* b) Aerial*
c) Methodology(Check One;: ()Direct Came c) Methodology(Check One): 0 erect Count'
°Indirect Comm' 0F.epresentarive Sumeti' :ndnett Comm* 0Ropmemariv'e Survey'
informal Survey* 0 Structured Enimate* 0 rfc.mal Stnw.- 0 Smictand EsrircarP'
Other(explain): O (explain):
11 Number of attendees Who Traveled ed 5,3.Miles or More* 14 Nrrni-er of Anendees Who Stayed Ov era tr M.Pad ACC ns*
a) Projected* a) Projected*
b) Acme? b) Actual*
c) Methodology(Check One): k 0 Direct Cam' c) Methodology(Check One): 0 Duel Comr*
lraiirect Cower 0 Rep sectrative Survey*8
i direct Cam' •Represeoratne Surrey'
°�jinformal Sonny* c)Suru•:turai E ate' 11/ formal Sower fp Smicturei Esc*
0 (� �m
is * (explain):
13 Number of Attendees Who Traveled dam Another State or Country' 15 Number of Paid T a iftor,let ts*
a) Profited* a) Projected*
b) Atraal* b) Actual*
e) Methodothgy(Check One): 0 Direct Comm* c) Methodology(Cheek �y One): C)Direct Count*
Indirect Cain* Represeffiative Survey' 0 indirect Co nt' t JFesueser taive Survey*
j Ti f Other ()al Smelt. ! ached Eoircxra' ��.': l SStam ,' tm[ture<i Estimate*
(explain): OthertmY J
*See Lodging Tax Yearly Reporting Definitions Instructions
Name of Individual Who Prepared Report:
Phone e: E-Mail Address:
RETURN THIS FORM TO:
Jefferson County Achnim-=trator's Office
182O Jefferson Street
P.O.Box 1220
Port Townsend,WA 98368
jeffbocOd:co.jeffierson.wa.us
DEADLECE:February:8th of Each Reporting Year
Page 9 of 14 Jefferson County Farmers Market
LTAC Yearly Reporting
Definitions/Instructions
Activity Type: Event/Festival: Short-term activity occurring between specific dates(e.g.,4th of July celebration, local marathon)
Facility: Municipally-owned facility that operates some or all of the year(e.g.,county historical museum,convention
center)
Marketing: Activity that provides information to encourage visitors to an area;is typically a year-round activity but
may also operate for less than a full year.
Activity Date: Activity beginning and ending dates.
Actual: Persons estimated to have actually participated in event/festival or visiting a facility. For marketing activity,enter
the number of persons estimated to have actually visited area as result of marketing activity.
Projected: Persons expected to participate in event/festival or visiting a facility.For marketing activity,enter the number of
persons expected to visit area as result of marketing activity.
Methodology: Select the methodology used to estimate the actual number of visitors/participants.
Direct Count: Actual count of visitors using methods such as paid admissions or registrations,clicker counts at
entry points, vehicle counts or number of chairs filled. A direct count may also include information collected directly
from businesses, such as hotels,restaurants or tour guides, likely to be affected by an event.
Indirect Count: Estimate based on information related to the number of visitors such as raffle tickets sold,redeemed
discount certificates,brochures handed out,police requirements for crowd control or visual estimates.
Representative Survey: Information collected directly from individual visitors!participants. A representative
survey is a highly structured data collection tool,based on a defined random sample of participants,and the results
can be reliably projected to the entire population attending an event and includes margin of error and confidence
level.
Informal Survey: Information collected directly from individual visitors or participants in a non-random manner
that is not representative of all visitors or participants. Informal survey results cannot be projected to the entire
visitor population and provide a limited indicator of attendance because not all participants had an equal chance of
being included in the survey.
Structured Estimate: Estimate produced by computing known information related to the event or location. For
example,one jurisdiction estimated attendance by dividing the square footage of the event area by the international
building code allowance for persons(3 square feet).
Other:(please describe)
Overall Attendance: Total projected and estimated actual attendance recorded for event,facility or resulting from marketing activity.
Total Attendees Traveling 50 miles or more:
Total: Total projected and estimated actual number of visitors traveling more than 50 miles to attend event or facility. For
marketing organizations,report visitors traveling more than 50 miles to visit area.
Of total,attendees who traveled from another state or country: Of the total projected and estimated actual number of
visitors traveling more than 50 miles to attend event or facility or visit area,report projected and estimated actual number of
visitors who traveled from another state or country.
Attendees who stayed overnight:
Paid Accommodations: Total projected and estimated actual number of visitors staying in paid lodging establishments such
as hotels,motels,bed and breakfasts,etc.
Unpaid Accommodations: Total projected and estimated actual number of visitors staying in unpaid accommodations such
as family and friends.
Paid Lodging Nights: Total projected and estimated actual number of paid lodging nights.One Lodging night=one or more persons
occupying one room for one night.
Page 10 of 14 Jefferson County Farmers Market
EXHIBIT C 1st QUARTER Due by April 30th to afmcknight@co.jefferson.wa.us
Organization:
Contact person:
Mailing Address:
Phone Number/Email:
1. LTAC Funds received from the County 15t QTR:
ORGANIZATION Amount Received Overspent Refund TOTAL 1"
Awarded From (+) Required QTR
by JeffCo JeffCoUnderspent LTAC
(-)of LTAC FUNDS
funds SPENT
2. LTAC funds spent by your organization 1'QTR (include 200 word limit regarding activities and funds spent with
an itemized statement and supporting documentation ie: invoices paid, receipts from payment,):
3. LTAC funds balance remaining 15t QTR:
4. Please attach your organization's report for all revenue, marketing, services, programs and activities of the prior
quarter.
This report and any attachments may be subject to disclosure as a public record under the Public Records Act, RCW
Chapter 42.56. A minimum of six years,you must maintain documented proof of payments made, contracts executed
and other expenditures authorized under your Agreement with Jefferson County. Upon reasonable notice,you must be
able to provide access to County or State representatives to audit those records.
Page 11 of 14 Jefferson County Farmers Market
EXHIBIT C 2' QUARTER Due by July 31"to afmcknight@ co.jefferson.wa.us
Organization:
Contact person:
Mailing Address:
Phone Number/Email:
1. LTAC Funds received from the County 2"d QTR:
ORGANIZATION Total Total Overspent Refund TOTAL TOTAL 2"4
Amount Received (+) Required IS`QTR QTR
Awarded From Underspent LTAC LTAC
by JeffCo JeffCo (-)of LTAC FUNDS FUNDS
funds SPENT SPENT
2. LTAC funds spent by your organization 2"d QTR (include 200 word limit regarding activities and funds spent with
an itemized statement and supporting documentation ie: invoices paid, receipts from payment,):
1. LTAC funds balance remaining 2"d QTR:
2. Please attach your organization's report for all revenue, marketing, services, programs and activities of the prior
quarter.
This report and any attachments may be subject to disclosure as a public record under the Public Records Act, RCW
Chapter 42.56.A minimum of six years, you must maintain documented proof of payments made, contracts executed
and other expenditures authorized under your Agreement with Jefferson County. Upon reasonable notice, you must be
able to provide access to County or State representatives to audit those records.
Page 12 of 14 Jefferson County Farmers Market
EXHIBIT C 3rd QUARTER Due by October 31stto afmcknight@co.jefferson.wa.us
Organization:
Contact person:
Mailing Address:
Phone Number/Email:
1. LTAC Funds received from the County 3rd QTR:
ORGANIZATION Total Total Overspent Refund TOTAL TOTAL 2nd TOTAL
Amount Received (+) Required 151 QTR QTR 3rd QTR
Awarded From Underspent LTAC LTAC LTAC
by JeffCo From (-) of LTAC FUNDS FUNDS FUNDS
JeffCo
funds SPENT SPENT SPENT
2. LTAC funds spent by your organization 3'd QTR (include 200 word limit regarding activities and funds spent
with an itemized statement and supporting documentation ie: invoices paid, receipts from payment,):
2. LTAC funds balance remaining 3rd QTR:
3. Please attach your organization's report for all revenue, marketing, services, programs and activities of the
prior quarter.
This report and any attachments may be subject to disclosure as a public record under the Public Records Act, RCW
Chapter 42.56.A minimum of six years, you must maintain documented proof of payments made, contracts executed
and other expenditures authorized under your Agreement with Jefferson County. Upon reasonable notice,you must be
able to provide access to County or State representatives to audit those records.
Page 13 of 14 Jefferson County Farmers Market
EXHIBIT C 4th QUARTER Due by January 31st to afmcknightPco.jefferson.wa.us
Organization:
Contact person:
Mailing Address:
Phone Number/Email:
1. LTAC Funds received from the County 4th QTR:
ORGANIZATION Total Total Overspent Refund TOTAL TOTAL TOTAL TOTAL
Amount Received (+) Required 1"QTR 2'QTR 3rd QTR 4th QTR
Awarded From Underspent LTAC LTAC LTAC LTAC
by JeffCo JeffCo (-) of LTAC FUNDS FUNDS FUNDS FUNDS
funds SPENT SPENT SPENT SPENT
2. LTAC funds spent by your organization 4th QTR (include 200 word limit regarding activities and funds spent with
an itemized statement and supporting documentation ie: invoices paid, receipts from payment,):
3. LTAC funds balance remaining 4th QTR:
4. Please attach your organization's report for all revenue, marketing, services, programs and activities of the prior
quarter.
This report and any attachments may be subject to disclosure as a public record under the Public Records Act, RCW
Chapter 42.56. A minimum of six years, you must maintain documented proof of payments made, contracts executed
and other expenditures authorized under your Agreement with Jefferson County. Upon reasonable notice,you must be
able to provide access to County or State representatives to audit those records.
Page 14 of 14 Jefferson County Farmers Market