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HomeMy WebLinkAbout24-2496 Lease Agreement Russel Fulcher CITY OF MERIDIAN RESOLUTION NO . 24=2496 BY THE CITY COUNCIL , CAVENER, LITTLE ROBERTS , OVERTON, STRADER, TAYLOR, WHITLOCK A RESOLUTION APPROVING LEASE AGREEMENT WITH REPRESENTATIVE RUSSELL FULCHER FOR OFFICE SPACE IN MERIDIAN CITY HALL ; AUTHORIZING THE MAYOR AND CITY CLERK TO EXECUTE AND ATTEST SAID AGREEMENT ON BEHALF OF THE CITY OF MERIDIAN ; AND PROVIDING AN EFFECTIVE DATE . WHEREAS , the City owns real property located at 33 E . Broadway Avenue, in Meridian , identified as Parcel no . R5672000010 , a portion of which , Suite 251 , is currently unused by City ( "Lease Premises " ) , and City is authorized by Idaho Code section 50- 1401 to manage real property owned by the City in ways which the judgment of the city council deems to be in the public interest ; WHEREAS , the City Council of the City of Meridian hereby finds that the lease of the Lease Premises to Representative Russell Fulcher as a district office ; WHEREAS , the City Council of the City of Meridian hereby finds that the Lease Premises are not otherwise needed for City purposes , and pursuant to Idaho Code section 50 - 1407 , the Mayor and Council hereby resolve and authorize the lease of Lease Premises to Representative Fulcher ; NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF MERIDIAN, IDAHO AS FOLLOWS : Section 1 . That the terms of the District Office Lease Amendment and District Office Lease Attachment, attached hereto and incorporated herein , are just and equitable , and the same are hereby approved as to both form and content. Section 2. That the Mayor is authorized to execute said instruments for and on behalf of the City of Meridian . Section 3. That this Resolution shall be in full force and effect immediately upon its adoption and approval . ADOPTED by the City Council of the City of Meridian , Idaho , this 17th day of December, 2024s APPROVED by the Mayor of the City of dian , Idaho , this 17th day of December, 2024 . �P�Ep AUG G . APPROVED : �o� TEST : 0dZ c �wul IDIAN E 1DAHo } Mayor R 51mison �y �EpL C J s nsontf C er c �0��l�R Of the TREP�J� RESOLUTION AUTHORIZING LEASE AGREEMENT WITH REP . FULCHER PAGE 1 OF 1 District Office Lease Amendment - Instructions THE OFFICE OF THE ADMIISTRATIVE COUNSEL MUST APPROVE THE DISTRICT OFFICE LEASE AMENDMENT AND ATTACHMENT PRIOR TO SIGNATURE. The term for a District Office Lease Amendment for the 119th Congress may not commence prior to January 3,2025. A Member/Member-elect should endeavor to lease space through the last day of a congressional term rather than the last day of a calendar year.For the 119th Congress,leases should end on January 2,2027,rather than December 31,2026. • The Member/Member-elect is required to personally sign lease documents. • A District Office Lease Attachment("Attachment")for the 119th Congress must accompany this Amendment. • Prior to either party signing a District Office Lease Amendment,the Member/Member-elect must submit the proposed Amendment,accompanied by the District Office Lease Attachment for the 119th Congress ("Attachment"),to the Office of the Administrative Counsel("Administrative Counsel")via e-mail in PDF form(leasesAmail.house.gov)or fax (202-226-0357)for review and approval. • If approved, Administrative Counsel will advise the parties that they can execute the lease documents. If changes are necessary,Administrative Counsel will contact the office of the Member/Member-elect. The Member/Member-elect will work with the lessor to incorporate all necessary edits to the lease documents.The parties must resubmit revised lease documents to Administrative Counsel until Administrative Counsel approves the lease documentation package. • After both parties have executed an approved Lease Amendment, accompanied by the Attachment, a copy must be submitted to Administrative Counsel via e-mail in PDF form (leaseskmail.house.gov) or fax(202-226-0357) for final countersignature and processing. • Lessor must complete a U.S. House of Representatives Substitute W-9 and ACH Vendor/Miscellaneous Payment Enrollment Form to allow the House Office of Finance to initiate monthly rental payments pursuant to an approved lease. This form should be submitted along with the completed lease packet. Questions regarding the form should be directed to the Office of Finance(VendorEFTAmail.house.gov;202-226-2277). Instructions for completing the District Office Lease Amendment("Amendment"): • Section 1 —Insert the time period covering the previous lease that is being amended and the office's street address, including the city, state and ZIP. • Section 2—Insert the new termination date(if the lease is being extended). The Amendment must terminate on or before January 2,2027. If the purpose of the Amendment is not to change the terminate date, insert"N/A"in the space provided. • Section 3—Insert the amount of monthly rent for the extended term. In the blank space, insert any changes or additions to the terms of the lease. If there are no other changes to your existing lease, write"NONE"in the space provided. V.S. Yfouse of Representatives Washington, D.C. 20515 District Office Lease Amendment (Page 1 of 2— 119th Congress) 1. Prior Lease Term.The undersigned Landlord("Lessor") and Member of the U. S. House of Representatives("Lessee")agree that they previously entered into a District Office Lease ("Lease")(along with the District Office Lease Attachment),which covered the period from January 3, 2023 to January 2, 2025 for the lease of office space located at 33 East Broadway Ave. Ste 251 in the city, state and ZIP of Meridian, ID 83646 2. Extended Term.If applicable,the above referenced Lease is extended through and including January 2, 2027 . (This District Office Lease Amendment ("Amendment")may not provide for an extension of beyond January 2, 2027,which is the end of the constitutional term of the 119th Congress. 3. Rent and Any Other Changes.The monthly rent for the extended term of the Lease shall now be $1,881.00 . All other provisions of the existing Lease shall remain unchanged and in full effect, except for the following additional terms,which are modified as indicated in the space below [If no additional terms are to be modified,write the word"NONE"below]. NONE 4. District Office Lease Attachment for the 119th Congress. This District Office Lease Amendment shall have no force and effect unless and until accompanied by an executed District Office Lease Attachment for the I I9th Congress and the District Office Lease Attachment for the 119th Congress attached hereto supersedes and replaces any prior District Office Lease Attachment. 5. Counterparts. This Amendment may be executed in any number of counterparts and by facsimile copy, each of which shall be deemed to be an original but all of which together shall be deemed to be one and the same instrument. 6. Section Headings.The section headings of this Lease are for convenience of reference only and shall not be deemed to limit or affect any of the provisions hereof. [Signature page follows.] V. S. Yfouse of Representatives Washington , D . C . 20515 District Office Lease Amendment ( Page 2 of 2 — 119th Congress ) IN WITNESS WHEREOF , the parties have duly executed this District Office Lease Amendment as of the later date written below by the Lessor or the Lessee . City of Meridian Russell Fulcher Print Nance ofLessoi/Landlord Print Name of Lessee By : (2; ) / t Lessor i nature Lessee Signature Name : Robert E . mison Title : Mayor Ile O pUG Ug r , '�o Date Q Attest : o of Chris J h n , City C r - 17-2024 0Ui 1� No 5 y�c�NrER of theS��P This District Office Lease Amendment must be accompanied i0th an executed District Office Lease Attachment. I District Office Lease Attachment - Instructions The District Office Lease Attachment("Attachment")must accompany every Lease or Amendment submitted for a Member/Member-elect's District Office. THE OFFICE OF ADMINISTRATIVE COUNSEL MUST APPROVE ANY LEASE, AMENDMENT,OR ATTACHMENT PRIOR TO SIGNATURE. The term of a District Office Lease or Amendment for the 119th Congress may not commence prior to January 3,2025. A Member/Member-elect should endeavor to lease space through the last day of a congressional term rather than the last day of a calendar year. For the 119th Congress,leases should end on January 2,2027,not December 31,2026. • The Member/Member-elect is required to personally sign lease documents. • The Lessor must complete the amenities checklist in Section A("Lease Amenities"), including both the"required amenities" and"optional amenities"portions. • Section B("Additional Lease Terms") of the Attachment SHALL NOT have any provisions deleted or changed. • Prior to either party signing a Lease or an Amendment,the Member/Member-elect must submit the proposed Lease or Amendment, accompanied by the Attachment,to the Office of Administrative Counsel("Administrative Counsel")via e-mail in PDF form (leases(&mail.house.goy)or fax(202-226-0357) for review and approval. • If approved,Administrative Counsel will advise the parties that they can execute the lease documents. If changes are necessary,Administrative Counsel will contact the office of the Member/Member-elect. The Member/Member-elect will work with the lessor to incorporate all necessary edits to the lease documents. The parties must resubmit revised lease documents to Administrative Counsel until Administrative Counsel approves the lease documentation packet. • After both parties have executed an approved Lease or the Amendment, accompanied by the Attachment, a copy must be submitted to Administrative Counsel via e-mail in PDF form (leaseskmail.house.gov) or fax(202-226-0357)for final countersignature and processing. • Lessor must complete a U.S. House of Representatives Substitute W-9 and ACH Vendor/Miscellaneous Payment Enrollment Form to allow the House Office of Finance to initiate monthly rental payments pursuant to an approved lease. This form should be submitted along with the completed lease packet. Questions regarding the form should be directed to the Office of Finance (VendorEFTkmail.house. oovv; 202-226-2277). • Lessor shall provide a copy of any assignment, estoppel certificate,notice of a bankruptcy or foreclosure,or notice of a sale or transfer of the leased premises to Administrative Counsel via e-mail in PDF form(leases@mail.house.gov). V.S. ,Mouse of Representatives Washington,D.C. 20515 District Office Lease Attachment (Page 1 of 5— 119th Congress) SECTION A (Lease Amenities) Section A sets forth the amenities provided by the Lessor to be included in the Lease. Except as noted below,the amenities listed are not required for all district offices. To be completed by the Lessor(required amenities): ❑ * High-Speed Internet Available Within the Leased Space. Please list any internet providers known to provide service to the property: in * Interior Wiring CAT 5e or Better within Leased Space. To be completed by the Lessor(optional amenities): ❑ Amenities are separately listed elsewhere in the Lease. (The below checklist can be left blank if the above box is checked.) The Lease includes(please check and complete all that apply): ❑ Lockable Space for Networking_Equipment. L'J Telephone Service Available. lin Parking. Assigned Parking Spaces 52 Unassigned Parking Spaces ❑ General Off-Street Parking on an As-Available Basis ❑ Utilities. Includes: L'J Janitorial Services. Frequency: Monday through Friday evenings I!n Trash Removal. Frequency: Monday through Friday evenings Carpet Cleaning. Frequency: Annually Window Washing. ❑ Window Treatments. ❑ Tenant Alterations Included In Rental Rate. ❑ After Hours Building Access. ❑ Office Furnishings. Includes: L'J Cable TV Accessible. If checked,Included in Rental Rate: ❑ Yes F No Building Manager. F Onsite F On Call Contact Name:Max Jensen Phone Number: (208) 908-9037 Email Address: mjensen@meridiancity.org V.S. ,Mouse of Representatives Washington,D.C. 20515 District Office Lease Attachment (Page 2 of 5— 119th Congress) SECTION B (Additional Lease Terms) 1. Incorporated District Office Lease Attachment. Lessor(Landlord)and Lessee (Member/Member-elect of the U.S.House of Representatives)agree that this District Office Lease Attachment("Attachment")is incorporated into and made part of the Lease("Lease") and, if applicable,District Office Lease Amendment("Amendment")to which it is attached. 2. Performance. Lessor expressly acknowledges that neither the U.S.House of Representatives (the"House")nor its Officers are liable for the performance of the Lease. Lessor further expressly acknowledges that payments made by the Chief Administrative Officer of the House (the"CAO")to Lessor to satisfy Lessee's rent obligations under the Lease—which payments are made solely on behalf of Lessee in support of his/her official and representational duties as a Member of the House—shall create no legal obligation or liability on the part of the CAO or the House whatsoever. Lessee shall be solely responsible for the performance of the Lease and Lessor expressly agrees to look solely to Lessee for such performance. 3. Modifications. Any amendment to the Lease must be in writing and signed by the Lessor and Lessee. Lessor and Lessee also understand and acknowledge that the Administrative Counsel for the CAO ("Administrative Counsel")must review and give approval of any amendment to the Lease prior to its execution. 4. Compliance with House Rules and Regulations. Lessor and Lessee understand and acknowledge that the Lease shall not be valid, and the CAO will not authorize the disbursement of funds to the Lessor,until Administrative Counsel has reviewed the Lease to determine that it complies with the Rules of the House and the Regulations of the Committee on House Administration, and approved the Lease by signing the last page of this Attachment. 5. Payments. The Lease is a fixed term lease with monthly installments for which payment is due in arrears on or before the end of each calendar month. In the event of a payment dispute,Lessor agrees to contact the Office of Finance,U.S. House of Representatives, at 202-225-7474 to attempt to resolve the dispute before contacting Lessee. 6. Void Provisions. Any provision in the Lease purporting to require the payment of a security deposit shall have no force or effect. Furthermore, any provision in the Lease purporting to vary the dollar amount of the rent specified in the Lease by any cost of living clause, operating expense clause,pro rata expense clause, escalation clause, or any other adjustment or measure during the term of the Lease shall have no force or effect. 7. Certain Charges. The parties agree that any charge for default, early termination or cancellation of the Lease which results from actions taken by or on behalf of the Lessee shall be the sole responsibility of the Lessee and shall not be paid by the CAO on behalf of the Lessee. 8. Death,Resignation or Removal. In the event Lessee dies,resigns or is removed from office during the term of the Lease,the Clerk of the House may, at his or her sole option, either: (a) terminate the Lease by giving thirty(30)days' prior written notice to Lessor; or(b)assume the obligation of the Lease and continue to occupy the premises for a period not to exceed sixty(60) days following the certification of the election of the Lessee's successor. In the event the Clerk elects to terminate the Lease,the commencement date of such thirty(30) day termination notice V.S. ,Mouse of Representatives Washington,D.C. 20515 District Office Lease Attachment (Page 3 of 5— 119th Congress) shall be the date such notice is delivered to the Lessor or, if mailed,the date on which such notice is postmarked. 9. Term. The term of the Lease may not exceed the constitutional term of the Congress to which the Lessee has been elected. The Lease may be signed by the Member-elect before taking office. Should the Member-elect not take office to serve as a Member of the 119th Congress,the Lease will be considered null and void. 10. Early Termination. If either Lessor or Lessee terminates the Lease under the terms of the Lease, the terminating party agrees to promptly file a copy of any termination notice with the Office of Finance,U.S. House of Representatives,Attn: Kellie Wilson,via e-mail at FCLeasePayments@mail.house.gov, and with the Administrative Counsel by e-mail at leases@mail.house.gov. 11. Assignments. Lessor shall provide thirty(30)days prior written notice to Lessee before assigning any of its rights, interests or obligations under the Lease, in whole or in part,by operation of law or otherwise. Lessor shall promptly file a copy of any such assignment notice with Administrative Counsel by e-mail at leases@mail.house.gov. Lessee and the House shall not be responsible for any misdirected payments resulting from Lessor's failure to file an assignment notice in accordance with this section. 12. Sale or Transfer of Leased Premises. Lessor shall provide thirty(30) days prior written notice to Lessee in the event(a) of any sale to a third party of any part of the leased premises, or(b)Lessor transfers or otherwise disposes of any of the leased premises, and provide documentation evidencing such sale or transfer in such notice. Lessor shall promptly file a copy of any such sale or transfer notice with Administrative Counsel by e-mail at leases@mail.house.gov. 13. Bankruptcy and Foreclosure. In the event(a)Lessor is placed in bankruptcy proceedings (whether voluntarily or involuntarily), (b)the leased premises is foreclosed upon, or(c)of any similar occurrence,Lessor agrees to promptly notify Lessee in writing. Lessor shall also promptly file a copy of any such notice via e-mail with the Office of Finance,U.S. House of Representatives,Attn: Kellie Wilson,via e-mail at FCLeasePayments@mail.house.gov, and with Administrative Counsel by e-mail at leases@mail.house.gov. 14. Estoppel Certificates. Lessee agrees to sign an estoppel certificate relating to the leased premises (usually used in instances when the Lessor is selling or refinancing the building)upon the request of the Lessor. Such an estoppel certificate shall require the review of Administrative Counsel, prior to Lessee signing the estoppel certificate. Lessor shall promptly provide a copy of any such estoppel certificate to Administrative Counsel by e-mail at leases@mail.house.gov. 15. Maintenance of Common Areas. Lessor agrees to maintain in good order, at its sole expense,all public and common areas of the building including,but not limited to, all sidewalks,parking areas, lobbies, elevators, escalators, entryways, exits, alleys and other like areas. 16. Maintenance of Structural Components. Lessor also agrees to maintain in good order,repair or replace as needed, at its sole expense, all structural and other components of the premises including,but not limited to,roofs, ceilings,walls(interior and exterior), floors,windows, doors, foundations, fixtures, and all mechanical,plumbing, electrical and air conditioning/heating V.S. ,Mouse of Representatives Washington,D.C. 20515 District Office Lease Attachment (Page 4 of 5— 119th Congress) systems or equipment(including window air conditioning units provided by the Lessor) serving the premises. 17. Lessor Liability for Failure to Maintain. Lessor shall be liable for any damage, either to persons or property, sustained by Lessee or any of his or her employees or guests,caused by Lessor's failure to fulfill its obligations under Sections 15 and 16. 18. Initial Alterations. Lessor shall make any initial alterations to the leased premises, as requested by Lessee and subject to Lessor's consent,which shall not be unreasonably withheld. The cost of such initial alterations shall be included in the annual rental rate. 19. Federal Tort Claims Act. Lessor agrees that the Federal Tort Claims Act, 28 U.S.C. §§ 2671- 80, satisfies any and all obligations on the part of the Lessee to purchase private liability insurance. Lessee shall not be required to provide any certificates of insurance to Lessor. 20. Limitation of Liability. Lessor agrees that neither Lessee nor the House nor any of the House's officers or employees will indemnify or hold harmless Lessor against any liability of Lessor to any third party that may arise during or as a result of the Lease or Lessee's tenancy. 21. Compliance with Laws. Lessor shall be solely responsible for complying with all applicable permitting and zoning ordinances or requirements, and with all local and state building codes, safety codes and handicap accessibility codes(including the Americans with Disabilities Act), both in the common areas of the building and the leased space of the Lessee. 22. Electronic Funds Transfer. Lessor agrees to accept monthly rent payments by Electronic Funds Transfer and agrees to provide the Office of Finance,U.S. House of Representatives,with all banking information necessary to facilitate such payments. 23. Refunds. Lessor shall promptly refund to the CAO,without formal demand, any payment made to the Lessor by the CAO for any period for which rent is not owed because the Lease has ended or been terminated. 24. Conflict. Should any provision of this Attachment be inconsistent with any provision of the attached Lease or attached Amendment,the provisions of this Attachment shall control, and those inconsistent provisions of the Lease or the Amendment shall have no force and effect to the extent of such inconsistency. 25. Construction. Unless the clear meaning requires otherwise,words of feminine,masculine or neuter gender include all other genders and,wherever appropriate,words in the singular include the plural and vice versa. 26. Fair Market Value. The Lease or Amendment is entered into at fair market value as the result of a bona fide, arms-length,marketplace transaction. The Lessor and Lessee certify that the parties are not relatives nor have had, or continue to have, a professional or legal relationship (except as a landlord and tenant). 27. District Certification. The Lessee certifies that the office space that is the subject of the Lease is located within the district the Lessee was elected to represent unless otherwise authorized by Regulations of the Committee on House Administration. V. S. Abuse of 1Zepresen. tatives Washington , D . C . 20515 District Office Lease Attachment ( Page 5 of 5 — 119th Congress ) 28 . Counterparts. This Attachment may be executed in any number of counterparts and by facsimile copy, each of which shall be deemed to be an original but all of which together shall be deemed to be one and the same instrument. 29. Section Headings. The section headings of this Attachment are for convenience of reference only and shall not be deemed to limit or affect any of the provisions hereof. IN WITNESS WHEREOF, the parties have duly executed this District Office Lease Attachment as of the later date written below by the Lessor or the Lessee . City of Meridian Russell Fulcher Print Nance of Lessor/Landlord Print Name of Lessee 126 . By : X Lessor Signa ire Lessee Signature Title : MAYOR e Attest * Date Chris Joh n, ity ler 47- From the Member' s Offic , who is the point of contact for questions? Name Phone &mail @mail .house.gov This District Office Lease Attachment and the attached Lease or Amendment have been reviewed and are approved, pursuant to Regulations of the Committee on House Administration, Signed Date (Administrative Counsel) i I I I i U.S. House of Representatives Substitute W-9 and ACH Vendor/Miscellaneous Payment Enrollment Form INSTRUCTIONS Internal Revenue Code 6109,31 U.S.C.3322,31 CFR 210 and the 1996 Debt Collection Improvement Act require all entities that do business with the United States Government to provide a Tax Identification Number(TIN)and Electronic Funds Transfer(EFT)information for payment. PL 93-579 protects your privacy and mandates that the information never be published or used for any other purpose than to pay you. Please complete all sections below,sign and return via the email or fax number listed. RETURN FORM TO: vendorEFTa@mall.house.gov FAX NUMBER: (202)225-6914 SECTIONI UNITED STATES HOUSE OF REPRESENTATIVES INFORMATION ADDRESS US HOUSE OF REPRESENTATIVES-ACCOUNTING,3110 O'NEILL HOUSE OFFICE BUILDING,WASHINGTON DC 20515 AGENCY IDENTIFIER 53-6002523 AGENCY LOCATION CODE 4832 TELEPHONE NUMBER (202)226.2277 SECTION II PAYEE/COMPANY INFORMATION NAME AS SHOWN ON YOUR INCOME TAX RETURN BUSINESS NAME/DISREGARDED ENTITY NAME OR DBA,IF DIFFERENT THAN NAME City of Meridian ON YOUR INCOME TAX RETURN ADDRESS/CITY/STATE/ZIP Enter the correct Tax Identification Number type 33 East Broadway Avenue SOCIAL SECURITY NUMBER(SSN) EMPLOYER TAX ID NUMBER(EIN) Meridian, ID 83646 =—m-= or s z — 6 0 0 o z z s CONTACT PERSON NAME PURCHASE ORDER ADDRESSICITY/STATEIZIP Keith Watts 33 East Broadway Avenue, Meridian, ID 83646 EMAIL PO EMAIL kwatts@meridiancity.org Purchasing@meridiancity.org TELEPHONE NUMBER _7FAX NUMBER TELEPHONE NUMBER FAX NUMBER 208-489-0417 208-887-4813 208-888-4433 208-887-4813 REMIT TO ADDRESS CHECK APPROPRIATE BOX FOR FEDERAL TAX CLASSIFICATION(required) 0 Individual/Sole Proprietor or ❑C Corporation ❑S Corporation ❑Partnership ❑Trust/Estate Exemptions(codes apply only to certain Single Member LLC entities,not individuals): Limited Liability Company.Check the tax classification: ❑C corporation ❑S corporation ❑Partnership Exempt payee code(if any) Note.For asingle-member LLC that is disregarded,check the appropriate box for the tax classification of the single-member owner. Exemption from FATCA reporting code Government Entity. Check the tax classification: ❑Federal ❑State ❑r Local (if any) (Applies to accounts maintained outside ❑Other the U.S.) SECTIONIII FINANCIAL INSTITUTION INFORMATION US) BANK NAME First Interstate Bank TELEPHONE NUMBER 208-319-2426 NINE-DIGIT ROUTING TRANSIT NUMBER 092901683 DEPOSITOR ACCOUNT TITLE City of Meridian, General Deposit DEPOSITOR ACCOUNT NUMBER 16000005377 LOCKBOX NUMBER TYPE OF ACCOUNT • CHECKING ()SAVINGS 0 LOCKBOX SECTIONIV SOCIO-ECONOMIC INFORMATION Type of Business ©Large Business-No Socio-Economic Designations ()Minority OSmBusiness ()Sm-Disadv/Minority ()Sm-Disadv Only QSmMin Only Sm-Disadvantaged Business Prog ©8(a)Firm OHUBZone Program ©HUBZone Eligible ()Emerging Small Business OWomen-Owned Business Other Preference Programs ©Buy Indian ODirected to JWOD Non-Profit ©No Preference/Not Listed ()Small Business Set-Aside ()Very Small Business Set-Aside Veteran Owned Status ©Non-Vet Owned SmBus ()Other Vet Owned SmBus OServ-Disabled Vet Other Bus ()Sere-Disabled Vet Owned SB ()Vet-Owned Other Bus Size of Business: ()(A)50orless O(B)51-100 O(C)101-250 ()(D)251-500 O(E)501-750 O(F)751-1,000 O(G)Over 1,000 O(M)1 million orless N)1.1-2 million (P)2.1-3.5 million (R)3.1-5 million O(S)5.1-10 million O(T)10.1-17 million O(Z)Over 17 million SECTION V CERTIFICATION OF DATA BY PAYEE/COMPANY NAME Keith Watts TITLE/POSITION Procurement Manager SIGNATURE DATE 12-17-2024 TELE 208-489-0417 USHR v.112017 ms Instructions for Completing U.S. House of Representatives Substitute W-9 and ACH Vendor/Miscellaneous Payment Enrollment Form Section I -Agency Information — Includes the name and address, agency identifier, agency location code and telephone number for the House of Representatives. Section II - Payee/Company Information — Print or type the name of the payee/company and address that will receive payment, social security or taxpayer ID number, contact person name, telephone number and email of the payee/company. Print or type the purchase order and remit to addresses if different from the payee/company address. Check the appropriate boxes for federal tax classification. Section III - Financial Institution Information —Print or type the name and address of the payee/company's financial institution who will receive the ACH payment, ACH coordinator name and telephone number, nine-digit routing transit number, depositor(payee/company) account title and account number. Check the appropriate box for type of account. Payee/Company may include a voided check with this form. ACH Account Information Located on a Check or Deposit Ticket FINANCIAL INSTITUTION NAME name of the financial institution to which the payments are to be directed ROUTING TRANSIT NUMBER(RTN) financial institution's 9 digit routing transit number; found on the bottom of a check or deposit ticket or from your Financial Institution ACCOUNT TITLE employee's or vendor's name on the account ACCOUNT NUMBER account number at the financial institution 1. Routing Transit Number(RTN) THOAS�,ANpEaN -nine digits located between 425K.�bSMTSTFIE#f two symbols. This number AHYWHM.FL W45 identifies the bank holding your account and check processing center. F TMllh{}Rl}EORI ROc $ 2. Account number-this is your complete account number. f � �_ T - •-, _--_- _1,�,1,h,, , Your account number can be up to 17 digits. Please include 'W' ' leading zeros. �IR70e1oobi4� 3. ACH Routing Transit Number- Automated Clearing House routing number, use this 1:200000€ 001: L 234 E6?39C1-1 3 01 number for your Routing Transit Number(RTN)if you bank with SunTrust Bank. 4. Check number-This 3 4 information is not necessary- do not provide Section IV -Socio-Economic Information —Check the boxes for each category, if applicable: type of business, small disadvantaged business program, HUBZone program, emerging small business, women-owned business, other preference programs, Veteran owned status and size of business. Detailed information related to Small Business programs can be found at http://www.sba.gov/. Section V-Certification of Data By Payee/Company— Print or type the name, title/position and phone number of the Authorized official. The Authorized official must sign and date the form.