RES 78-02 GOVERNING BOARD-(
-
, ' 'RESOLUTION "78-'2 ~ ; .,
"n~. IT RESOLVED by the Governinq Boartit OR by the Chief AdminiStrative Office~ of. th0'Se
orqanizations which do not have a qoverninS boardt and hereby ordered .that the official(s)
afid/qr employee(s) whose name{s), title(s), and siqnature(s) are ,listed below .shall be
and j~ (are) hereby authorized as our representative(s) to aequ. ire .f~.deral Surplus '-
property from the Washinqton State Aqency for Surplus Property Under the Terms "and COn-
ditions listed on the reverse side of this form."
NAME
(Print or type.)
John M. Holman
Keith E.' Stone·
Norma S~ 'Frix
TITLE :' SIGNATURE : . . '~
City ~ngine~ ,~ -- -:-.
Maintenance' ~Foreman
.Alice 'B. TawreSey
:PASSED'~ND ADOPTED this 5th,' dayof June
City of Winslow
by th~ followingv0te: Ayes: ;Nzoes: ~ ;Absent: :' ' ,'
I. Norma Sue Frix
~Cler
of t/~ e 9 ~
· '!:i ;=*~ ;':,i ,';{ (;T,'5.%-'.
the 'City of Winslow ' · do hereby certify that tt, e foregoing 8 a full tram'and"
correct copy of a resolutio. adopted by Zhe~c~; ~ gt~ 1 aTmeeting there~f held 'at its reS~l;r *'~la~'~ of
meeting at the date and by the ~ote abo~e gated, ~hich resoluZion is on ~le in the o/~Ce of t~a. Cit
City of Winslow
Name of organization
P. O. Box 10100
Mailing address
Winslow, Kitsap,
City County
Washington 98[bl~)edl
zip ~od~
OR
AUTHORIZED this_.3t~ day of June '
,19 78 , by:
All ce B. Tawrese ' Mayor
' Name of chief admini~rative officer
City of Winslow
Name of oreanization
P; O. Box 10100
Mailing address ~
Winslow, KitsaD, Washington 98110 [Signcall
City County ZIP code
Title
sasp 90 (]0-7
," ". ,,t . '~
TERMS AND CONDITIONS
(A) THE DONEE CERTIFIES TttAT:
(1) It is a public agency; or a nonprofit educational or public health institution or organization, exempt from taxation u.nder Section 501
of the Internal Revenue Code of 1954; within the meaning of Section 203(j) of the Federal Properly and Administ,'ative Services Act of 1949,
as amended, and the regulations of the Administrator of General Services.
(2) If a public agency, the property is needed and will be used by the recipient for carrying out or promoting for the residents of a given
political area one or more public purposes, or, if a nonprofit tax-exempt institution Or organization, the property is needed for and will be used
by the recipient for educational or public health purposes, and including research for such purpose. The property is not being acquired for any
other use or purpose, or for sale or other distribution or for permanent use outside the state, except with prior approval of the state agency.
(3) Funds are available to pay all costs and charges incident to donation. '.
(4) This transaction shall be subject to the nondiscrimination regulations governing the donation of surplus personal property issued
under Title VI of the Civil Rights Act of 1964, Title VI, Section 606. of the Federal Property and AdminiStrative Services Act of 194!), as'j:
amended, and Section 504 of the Rehabilitation Act of 1973, as amended.
(B) THE DONEE AGREES TO THE FOLLOWING FEDERAL CONDIT]~ONS: .. :,
(1) AH items of property shall be placed in use for the purpose(s) re{ which acquired within one year of receipt and shall be continued in
use for such purpose(s) for one year frdm the date the property Was' placed in use. In the event the property is not so placed in use, 9r
continued in use, the don e shall immediately notify the state agency and, at the doneo's expense, return such property 1o the state agency, or
otherwise make thd brob;~rty a~ta~ able Yor~t~'~nsfer or other disposal by the state agency, provided the property is Still usable as determined by
thestateagen~y.,z.}:~;~ ,,."~,.,,di~.- .
.... (2~) Sctich special handling or'us~ limit~tions as are imposed by General Services Administration (GSA) on any item(s) of property listed
(3) In the event the property is not so used or handled aS required by (B)(I~ and (2) title and right to the possession of such propelty
'shall ;,'t the opt{on of GSA revert'ire t]{e United St~t'e; 6f'~.;neric~ affd 6pbn dema'nd the donee shall release dff¢~fi:pr(~;~i'ty to i~eh'Person as
· GSA or its designer shall direct.
(C) ¢~HE 'DONEI~ AGREES'' T&?fiE FOLLOWING CONDITIONS IMPOSED BY THE STATE AGENCY, APPLICABLE ~O ITE S WITH A
UNIT ACQUISITION COST OF $3,000 OR MORE AND PASSENGER MOTOR VEHICLES, REGARDLESS OF ACQUISITION COST,
EXCEPT VESSELS 50 FEET OR MORE IN LENGTH AND AIRCRAFT:
(1) The property shall be used only for the purpose(s) for which acquired and for no other purpose(s).
. '(~y Thel,;~shall .be "a'~eriod of restriction which will expire? a~f~er such property has been r~sed for the purpose(s) for which acquixed for a
period ~r'18 in-o.ibs '?r~m tl~e 'date the "propei'ty is placed in us6,' e~/dept for such item~ of maj01 ~quipinent~ hsted hele0n; 6ix Which th~ stlte
agency de~ignh~es. a..fur~h. er period of restriction.
(3) In the event the property is not so used as required by(C)(1)a~xd (2) and federal i~stH~'!ions (B)(I)
and right to the possession of such property shah at the option. of the state agency revert to the State of Washln.qton and the rignee shall release
, ..... '.-'%-;,,~"3¢ ...... "'
Such ~ petty'to such person as the state agency shall direct. . -!
(D) THE DONEE AGREES TO THE FOLLOWING TERMS, RESERV.~.TIONS, AND RESTRICTIONS: ' · ' '
(I)' F;~m' the date it receives ihe property listed hereo~ and thr0u~h' the period(s) of time the conditions .imposed by {B) and (C) above
Iemain 'in effect, the donee shall not sell trade lease; l~'nd!l;a~l, :~;{;nibalize :encfi;nber, or otherwise ¢lispos~ 'of such pr0pert~, or remove it
: perm~nehtl;C:~o~ use 'o~i;ide the irate, w;thout ~he prior aperoyal of GSA uhder (B) or the state agency under (Q: The proceeds from any sale,
trade, lease, loan, baH~mnt, encumbrance, or other disposal of ripe properly, when such action is :~uthorized by GSA or by the state agency,
shah be remitted promptly by the donee to GSA or the state ageBey, as the case may be, - r,
(2) In the event any of the property listed hereon is sold, traded} leased loaned, bailed, cannibalized, encumbered, or 'otherwise disposed
of by the donee from the date it receives the property 'through the period(s) of time the conditions imposed by (B) and (C) le. main .in effect,
without the prior approval of GSA or the state agency, the dot!co, at the option of GSA or the state agency, shall pay to GSA or the state
agency; as the case may be, the proceeds of the disposal or the ,faii market value ot the fair rental value pf the property at the time of such
disposal, as determined by GSA or the state agency.
(3) If at any time, from the date it receives the property through the period(s) of time the conditions imposed by (B) and (C) remain in
effect, any of the property listed hereon is no longer suitable, usable, or further needed by the donee for the purpose(s) for which acquired, the
property to another donee or another state agency or a department or agency of the United States, sell, or otherwise dispose of the property.
The proceeds from any sale shall be remitted promptly by the donee to the state agency.
(4) The donee shall make reports to the state agency on the use, condition, and location of the property listed hereon, and on other
pertinent matters as may be required t'rom time to tinte by the state agency.
(5) At the option of the state agency, tile donee may abrogate the conditions set forth in (C) and the terms, reservaiions, and restrictions
pertinent thereto in (D) by payment of an amount as determined by the state agency.
{E) THE DONEE AGREES TO THE FOLLOWING CONDITIONS, APPLICABLE TO ALL [TENIS OF PROPERTY LISTED HEREON:
(1) The property acquired by the donee is on an "as is," "where is" basis, without warranty of any kind.
(2) Where a donee carries insurance against damages to 6r loss or' property due to fire or other hazards and where loss of or damage to
donated property with unexpired terms, conditions, reservations, or restrictions occurs, the state agency will be entitled to reimbursement from
the donee out of the insurance proceeds, of an amount equa to the unamortized portion of the fair value of the damaged or destroyed donated
(F) TERNIS AND CONDITIONS APPLICABLE TO TftE DONATION OF AIRCRAFT AND VESSELS (50 FEET OR MORE IN LENGTH)
HAVING AN ACQUISITION COST OF $3,000 OR MORE, REGARDLESS OF ItlE PURPOSE FOR WHICH ACQUIRED:
The donation shall be subject to the terms, conditions. rete~wations, and restrictions set forth in the Conditional Transfer Document
executed by the authorized donee representative.
STATE OF WASHINGTON
API'LICA'HON FOR I!1,1(;I IFILI1Y
FEIIERAL SURPLUS PEI,1SONAL PROPEII1'Y PROGRAM
Be~ne prel~rin~ ;is alq licalinn, please read care rally Ihe delinilions ~iwm under Parl B. Fill out all applicable scclions.
Parl A. - .::
C~al nalne (ll' orga ni}a li.n ____~itZ_of_~insiowZ ........................ l'elel~lumc__862_76 ~ ~__
ridross P-,--O-,---B~--IOIOO--j ..... (-'i/~---~ins-lo~ County. 'Kitgap---ZIp'. ~110 '-
I. Apl~licalion is being made as a (please check one) (a) Public agency ~ or (b) I'dvale, nonprofit and tax-exempt educational or public
heahll organi/alion 'D. Please pr.vidc evidence Ihat the organi/alion is a public a~e.cy or enclose a copy of the letler or certificate from
Ihe tintled Stales hflernal Revenue Service evidencing lax-exemption trader Section 501 of the Inlernal Revenue Code of 1954.
2. Check type of a~ency or o~gani/alinn and atJach a supplen~ent Io Ihis applicalion describing the program operations and aclivilies. For
private, nonprofit mFmiLalkms, the following additional inj~rmafion is required: (a) For educational inslitu/ions. include ~ description
of tim curriculum, the number of days in the school year, and the number and qualifications of the facully or start'; (b) if a public health
institution or organi/alion, include a description of the health services offered, quali~calinns of staff and, if applicable, the number of
beds, number of restdeal physicians, and number of re~stered nurses on the slaff.
,
PUBI.I(' A(;I~NCI I:.S: Check either state [] or local
Conservation
liconmnic development
I~ducatinn ·
Grade level
(Preschool, university)
Enrollment__ '
No. of set o.I sites
Parks and recreation
Public health
Public sal~ty
Two or more of above
Other (specify)
NONPROFIT INSTITUTION OR ORGANIZATION:.,
'El Edttcatinn ~ "
Grade level
(l~resch.ol, university)
l!nrolhnent __' __
No. of school sites
[] School for the mentally oi' physically'handicapped
[] F. ducational radio or television station '
[] Musculn ' '
[] Library ,,
[] Medical inslihition
[] llOspi/il '::
[] I iealth cen/L'r ' ' ';"
[] Clinic ';! ' ;:'c
Check if the' :applicant 'program is'approved [] ;accredited[] ;or licen~d FI..~ncfos; ~,id~nI~: ~,r s,j, cii '~pr~;~l: a~L-'~ghit'~'~[on, 0r
licensing. If the applicant lacks evidence of fi, nnai apl, ro~al, accreditation. or licensing, check here Dand refer to th~;:en'closed
instr~lclions. : '
Are Ihe appHcanCs services available to ll~e public at large? yes . It only a Specified grOnp of people is'se~ed, please indicate who
comprises this group ....
5. Checklisl of attachments submitted wilh this apl~lication:
[] iCvidcnce Ihat applicant's prigglum is a public agency oi exempt f, om paying taxes under Section 501 of the IRS Code of 1954
~ Description of pr.gram {~peralim~s and activities
~ l!videncc of approval, ;iccretJilid ion, or licensing or in~rmal icm subnfitted iu lieu thereof
~ SASP Form N.. 90, 'l(csohditm," prnperly sig.ed, dcsignaHng represenlalives atttborized to bind the applicant to the tenus and
conditions govetnin~ Ihe transfer .f federal surphJs person:d property
~ SASP Form NO.81, nondiscrimin:dion compliance assurance
~ Slatemeat concerning applic:mt's needs. resinfloes, and abilily l. utilize the property
hie: &rod, 1978 _ e: neer
Application approved: __ Application disapproved: _
Comnlents or additional information:
Date:_ Signed: ....
Supervisor
sasp 89 [10-17)
DEFINITIONS
Accredited: Approval by a recognized accrediting board or
association on a regional, state, or national level, such as state board
o~ education or health; the American Hospital Association; a
regional or national accrediting association for universities, colleges,
or secondsly schools; or another recognized accrediting association.
Approved: Recognition and approval by the State Department of
· Education. State Department of Health, or other appropriate
authority. With respect to an educational institution, approval.must
relate to academic or instructional standards. An educational
institution may be considered as approved if its credits are accepted
by accredited or state-approved institutions or if it meets the
academic or instructional standards prescribed for public schools in
the state.
Child care center.' A public or nonprofit facility where day care
services such as educational, social, health, and nutritional services
are provided to children through age 14 and which is approved or
licensed by the state or other appropriate a~thority.
Clinic." An hpproved public or nonprofit facility organized and
operated for the primary purpose of providing outpatient public
health sen'hi:.es including customary related services such as labera-
tories and treatment rooms.
Coiltie: jan approved or accredited public or nonprofit instituL
schools, nursing schools, and similar institutions. The term does not
include institutions primarily engaged in dora;ciliary care although a
separate medical facility within such a dora;ciliary institution may
qualify as a "medical institution."
Museum: A public or nonprofit facihty which is artended by th~
public free or aid nor~inal/:barge and which provides museum
,services including the preservation and exhibition of artistic.
' cultural, historical, or scientific objects. ' ~
Nonprofit instituti6n: An educational or public health institution
or organization, no part of the net earnings of which inures or may
lawfully inure to the benefit of any private shareholder or individual
and which has been held to be tax exempt under the provisions of
Section 501 of the Internal Revenue Code of 1954.
Park and recreation: A program or programs carried out or
promoted by a public agency for public purposes which involve
directly or indirectly the acquisition, develppment, improvement
maintenance, and protection of park and recreational facilities for
the residents of a j~iven political area. These facilities include but are
not limited to parks, playgrounds and athletic fields, swimming
pools, golf courses, nature facilities, and nature trails.
Public agency: Any state; any political subdivision thereof,
including any unit of local government 'or 'economic development
lion of higher learning offering organized study courses and credits district; any department, agency, instrumentality thereof, including
leading to a'baccalauri~i~i or higher degre~ ........ instrumentall;ties created by C6mpa& or o~'her agreement between a
Conservation: A program or programs carried out or promoted by state and another state, a political subdividison, a multijuri~dictional
a public agency for public purposes involving,directly or indirectly, substate district established by or pursuant to state law, or any
the protection, maintenance, development, and restoration of the Indian tribe, band, group, pueblo, or community located on a state
natural resources of a given political area. These resources include reservation.
but are not limited to the air, land, forests, water, rivers, streams, Public health: A program or programs to promote, maintain, and
lakes and ponds, minerals, and anlinals, fish, and other wildlife. conserve th~. public's health by providing health ~ervices to
Economic development: A program or programs carried out or individuals and by the conduct of research, investigations, exam;ha-
promoted by a public agency for public purposes which involvq, tion, training, and demonstrations. Public health. !services may
directly or indirectly, efforts to improve the opportunities of a given include but are not limited to immunization, maternaI ~/nd child
political ~irea for the successful establishment or expansion of health programs, sanitary engineering, sewage treatm~fit and
industrial, commercial, or ,agricultural plants or facilities and which disposal, sanitation inspection and supervision, wat~r.pu, r_ification
otherwise assist in the creation of long term employment opportun- and distribution, air pollution control, garbage and trash disposal,
;ties in the area or primarily benefit the unemployed or those with the control and elimination of diSeaSe-carri;ing' anini~il an~i insects,
low incomes. and the control of communicable diseases.:" I.
Educational institution: An otherwise eligible public or nonprofit Public safety: A program or programs carried 'out or promot6d by
institution; facility, entity, or organization conducting educational a public agency for public purposes involving, directly or indirectly,
programs, including research for any such programs, such as a child the protection, safety, and law enforcement activities and the
care center, school, college, university, school for the mentally or criminal justice sylstem of a given ~political areai-~hblicl safety',;'i
phy~i~aily:hafidicapped,: educational :radio or television station, '
I~rograms in~a~' include 6~t"a~e' ndt~'fi~it6d'"'to 't~B'~e*r~alfried~oi;t
.museuin, or library. ~,,v ~' ' ..... pubhe poli~;e departments, sheriffs'~OffiCes, th~,eourtS~,'pefia~a~d
Educational radio stations.' A radio station licensed by ihe correctional institutions including juvenile facilities, state and Civil
Federal Communications Commission and operated exclusively for defense organizations, and fire departments and rescu~ ~squ;~/iS;'
noncommercial educational purposes and which is public or f Q'including volunteer fire departments and rescue squads supported in
nonprofit and tax exempt under Section 501 of the Internal ' '
whole or in part with public funds. : \ V ' ' '
Revenue Code of 1954. School (except schools for the mentally or physically!hand;-
Educational television station: A television station licensed by the capped): A public or nonprofit, approved or accredited organiza-
Federal Communications Commission and operated exclusively for tiehal entity devoted primarily to approved academic, vocational, or
noncommercial educational purposes and which is public or professional study and instruction, which operates primarily for
nonprofit and tax exempt under Section 501 of the Internal educational purposes On a. full-time basis for a minimum school year
Revenue Code of 1954. and employs a full-time staff of qualified instructors.
Health center: An approved public or nonprofit facility utilized School for the mentally handicapped: A facility or institution
by a health unit for the provision of public health services, including operated primarily to provide specialized instruction to students of
related facilities such as diagnostic and laboratory facilities and limited mental capacity. It must be public or nonprofit and must
clinics operate on a full-time basis for the equivalent of a minimum school
Hospital: An approved or accredited public or nonprofit institu- year prescribed for public school instruction of the mentally
lion providing public healtb services primarily for inpatient medical handicapped, have a staff of qualifed instructors, and demonstrate
or surgical care of the sick and injured, including related facilities that the facility meets state and local health and safety standards.
such as laboratories, outpatient departments, training facilities, and School for the physically handicapped: A school organized
staff offices. primarily to provide specialized instruction to students whose
Library: A pubb6 or nonprotit facility providing library services physical handicaps necessitate individual or group instruction. The
free to all residents of a community, district, state, or region. schools must be public or nonprofit and operate on a full-time basis
Medical institution: An otherwise eligible public or nonprofit for the equivalent of a minimum scbool year prescribed for public
institution, facility, entity, or organization the primary function of school instruction for the physically handicapped, have a staff of
which is the furnishing of health and medical services to the public qualified instructors, and demonstrate that the facility meets state
at large or promoting public health thro~gh the cond~lct of research and local health and safety standards.
for any such purposes, expcrimeots, training, or demonstrations Tax-supported organization: One which receives a major portion
related to the cause, prevention, and methods of diagnosis and of its financial support from moneys derived from state or local
treatment of diseases and injuries. The term includes but is not government revenues.
limited to hospitals. clinics, alcoholic and drtlg abuse treatment University: A pvblic or nonprofit, approved or accredited
centers, public health or treatment centers, research and health institution of higher education empowered to confer degrees in
centers, geriatric center laboratories, medical schools, dental special departments or colleges.
TERMS AND CONDITIONS
(A) THE DONEE CERTIFIES TItAT:
(1) It iS a public agency; or a nonprofit educational or public health inslitution ot organization, exempt from taxation under Section 501
of the Internal Revenue Code of 1954; within the meaning of Section 2030) of the Federal Property and Administrative Services Act of 1949,
as amended, and the regulations of the Administrator of General Services.
(2) Ifa public agency, the property is needed and will I;e used by the recipient for carrying out or promoting for the residenls of a given
political area one or more public purposes, or, if a nonprofit tax-exempt institution or organization, the property is needed for and will be used
by the recipient for educational or public health purposes, and including research for ~iuch purpose. The property is not being acquired for any
other use or purpose, or for sale or other distribution; or for permanent use outside the stale, except with prior approval of the state agency.
(3) Funds are available to pay all costs and charges incident to donation.
(4) This transaction shall be subject to the nondiscrimination regulations governing the donation of surplus personal property issued
under Title VI of the Civil Rights Act of 1964, Title VI, Section 606, of the Federal Property and Administrative Services Act of 194~, as
amended, and Section 504 of the Rehabilitation Act of 1973, a~ amended.
(B) THE DONEE AGREES TO THE FOLLOWING FEDERXL CONDIT{ONS:
(1) All items of property shah be p!aced in use for the purpose(s) for which acquired within one year of receipt and shall be continued in
use for such purpose(s) for one year from the date the property was placed in use. In the event the i~roperty is not so placed in use, 9r
continued in use, the donee shall immediately notify the state agency and, at the donee's expense, return such property to the state agency, or
otherwise make the property available for transfer or other disposal by the state agency, provided the property is still usable as determined by
the state agency.
(2) Such special handling or use limitations as are imposed by General Services Administration (GSA) on any item(s) of property listed
hereon.
(3) In lhe event the property is not so used or handled aS required by (B)(1) and (2), title and right to the possession of such property
shall at the option of GSA revert to the United States of Ameri$:a and upon demand the donee shall release such property to such person as
GSA or its designee shall direct.
(C) THE DONEE AGREES TO TIlE FOLLOWING CONDITIONS IMPOSED BY THE STATE AGENCY, APPLICABLE TO ITEMS WITH A
UNIT ACQUISITION COST OF $3,000 OR MORE AND PASSENGER MOTOR VEHICLES, REGARDLESS OF ACQUISITION COST,
EXCEPT VESSELS 50 FEET OR MORE IN LENGTH AND AIRCRAFT:
(1) The property shall be used only for the purpose(s) for which acquired and for no other purpose(s).
(2) There shall b.e a' period of restriction which will expire after such propert3' has been used for the purpose(s) for which acquired for a
period of 18 months from the date the property is placed in use, e~xcept for such items of major equipment, listed hereon, on which the state
agency designates a further. period of restriction. '
(3) In the event the prgperty is not 'so used as required by (C)(1) and (2) and federal restrictions (B)(1) arm (2) have exi~ired then title
and right to the possession of such property shall at the optiov~ of the state agency revert to the State of W~hin~lon and the donee shall release '
such property to such person as the state a~ency shall direct. . · ~::
(D) THE DONEE AGREES TO THE FOLLOWING TERMS, RESERVATIONS, AND RESTRICTIONS: ' ' ~I! %;):)) :~ {~1~.: .: .~
(1) From the date it receives the property listed hereon and through the period(s) of time the conditions imposed by (B) and (C) above
remain in effect, the donee shall not sell, Irade, lease. lend, bail, cannibalize, encumber, or otherwise dispose of such property, or remove it
permanently, for use outside the state, without the prior approval of GSA under (B) or the state agency under (C). The proceeds from any sale,
trade, lease, loan, bailmeat, encumbrance, or other disposal of ti~e property, when such ~iction is :mtriorized by GSA or by the state agency,
shah be remitted promptly by the donee to GSA or the state al'eBcy, as the case may be.
(2) In the event any of the'property listed hereon s sold, traded, eased, oaned, bailed, cannibalized, encumbered or otherwise disposed
of by the donee from the date it receives the property 'through the period(s) of time the conditions imposed by (B) and (C) remain in effect,
without the. prior approval of GSA or the state agency, the donee, at the option of GSA or the state agency, shall pay to GSA or the state
agency, as the case may be, the proceeds of the disposal or the fair market value or the fair rental valu.o of the property at the time of such
disposal, as determined by GSA or the state agency.
(3) If at any time, from the date it receives the property through the period(s) of time tile conditions imposed by (B) and (Q remain in
effect, any of the property listed hereon is no longer suitable, usable, or further needed by the donee for the purpose(s) for which acquired, the
rionee shall promptly notify the stale agency, and shall, as directed by the state agency, return lhe property to the state agency, ~etease the
property to another donee or another state agency or a departO!ent or agency of lhe United States, sell, or otherwise dispose of the property.
The proceeds from any' sale shah be remitted promptly by the dolce to the state agency.
(4) The donee shall make reports to the stale agency on the use, condition, and location of the property listed hereon, and on other
pertinent matters as may be required from time to tinte by the state agency.
(5)/~t the option of the state agency, tile donee may abrogate the conditions set forth in (~) and the terms, resep~ations, and restrictions
pertinent thereto in (D) by payment of an amount as determined by the state agency.
(E) THE DONEE AGREES TO TIlE FOLLOWING CONDITIONS, APPLICABLE TO ALL H'EMS OF PROPERTY LISTED HEREON:
( 1 ) The property acquired by the donee i~ on an "as is," "where is" basis, withokH warranty of any kind.
(2) Where a donee carries insurance against damages to or loss of prclperty due to fire or other hazards and where loss of or damage to
donated property with unexpired terms, conditions, reservationsl or restrictions occurs, the state agency will be entitled to reimbursement from
the donee out of the insurance proceeds, of an amount equal to ths unamoHized portion of the faEr value of the damaged or destroyed donated
items.
(F) TERMS AND CONDITIONS APPLICABLE TO TIlE DONATION OF AIRCRAFT AND VESSELS (50 FEET OR MORE IN LENGTH)
HAVING AN ACQUISITION COST OF S3,000 OR MORE, REGARDLESS OF TIlE PURPOSE FOR WHICH ACQUIRED:
The donation shall be subject to the terms, conditions, re',i'r'vations, and restrictions set forth in the Conditional Transfer Document
executed by the authorized rionee representative.
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
City of Winslow , (hereinafter called the "donee"),
(Name of donee organization)
HEREBY 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 require-
ments imposed by or pursuant to the regulations of the General Services Admin-
istration (41 CFR 101-6o2) issued under the provisions of Title VI of the
Civil Rights Act of 1964, Section 606 of Title VI of the Federal and Adminis-
trative Services Act of 1949, as amended, and Section 504 of the Rehabilita-
tion Act of 1973, as amended, to the end that no person in the United States
Shall on the ground of race, color, national origin, or sex, or that no
otherwise qualified handicapped person shall~solely by reason of the handicap,
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 agreemento
The donee further agrees that this agreement shall be subJEct in all respectsI
to the provisions of said regulations; that this agreement,shall obligate theI!
donee'for the period during which it retains ownership or possessionof any
such property; that the United States shall have the rightto seek Judicia1
enforcement of this agreement; and, this agreement shall be binding upon any
successor in interest of the donee and the word "donee" as used herein in-
cludes any such suzcessor in interest°
Dated
June 5, 1978
BY
City of Winslow
Donee Organization
or comparable authorized official)
City of Winslow
P. O. Box 10100
Winslow, Wa. 98110
Donee Mailing Address
sasp-81 (10-77)