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Home My WebLink AboutMayors Office 1/2/2025 2:50 PM City of Meridian FY2025 Budget Amendment Form Personnel Costs Full Time Equivalent(FTE): C—N, Fund# Dept.# G/L# Proj.# G/L#Description Total E IDIAN%-_'' 01 1840 41200 5046 Wages 01 1840 41206 5046 PT/Seasonal Wages 01 1840 41210 5046 Overtime Please only complete the fields 01 1840 41304 5046 Uniform Allowance highlighted in Orange. 01 1840 42021 5046 FICA $ Amendment Details 01 1 1840 42022 5046 PERSI $ TitleAue Cross of Idaho Foundation for Health Park&Pedestria 01 1840 42023 5046 Worker's Comp $ Department Name: Mayor's Office 01 1 1840 1 42025 5046 JEmployee Insurance $ Presenting Department Name: Mayor's Office Total Personnel Costs $ Department#: 1840 Operating Expenditures Primary Funding Source: 01 Fund# Dept.# G/L# Proj.# G/L#Description One-Time On-Going Total CIP#: 01 1840 85000 1 5046 Grant Expenditures $ 20,000 $ 20,000 Project#: 5046 01 1840 5046 $ 01 1840 5046 $ Is this for an Emergency? [ Yes ❑ No 01 1840 5046 $ New Level of Service? ❑ Yes ❑ No 01 1840 5046 $ 01 1840 5046 $ Clerks Office Stamp 01 1840 5046 $ 01 1840 5046 $ 01 1840 5046 $ 01 1840 5046 $ 01 1840 5046 $ 01 1840 5046 $ 01 1840 5046 $ Date of Council Approval 1-2 1-2025 Total Operating Expenditures $ 20,000 $ $ 20,000 Capital Outlay Fund# Dept.# G/L# Proj.# G/L#Description Total Acknowledgement Date 01 1840 1 5046 9aAaiA Mi2eia. 1/2/2025 01 1840 5046 01 1840 5046 Department Director 01 1840 5046 REVIEWED 01 1840 5046 �By Todd Lavoie at 9:08 am,Jan 03,2025 01 1 1840 5046 1 Chief Financial Officer Total Capital Outlay $ - Revenue/Donations Approved Luke Cavener via email 1/6/2025 Fund# Dept.# G/L# Proj.# G/L#Description Total Cou i ' ._ n 01 1840 33100 5046 Grant Revenue $ 20,000 �4-_01 1 1840 1 1 5046 1 /�/ 1-7-25 01 1 1840 1 1 5046 1 Mayor Total Revenue/Donations $ 20,000 Total Amendment Request $ - City of Meridian FY2025 Budget Amendment Form C:\Users\rortizmiller\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\37HBWWD6\Budget Amendment-Blue Cross Community Health Academy Grant-1 2 2025 1/2/2025 2:50 PM City of Meridian FY2025 Budget Amendment Form Total Amendment Cost-Lifetime Prior Year(s) Fiscal Year Fiscal Year Fiscal Year Fiscal Year Fiscal Year Department Name: Mayor's Office Funding 2025 2026 2027 2028 2029 Title:,lue Cross of Idaho Foundation for Health Park&Pedestria Personnel $ - $ $ $ $ Iostiviensfer Submitting Budget Amendments: Operating $ 20,000 $ $ $ $ ➢ Cep-true It will send Amendment with Directors slgrature to Finance(Budget Manager)for review Capital $ - Flrance:vi I send Amencment to Council Liu son fc--signature Total $ - $ 20,000 $ $ $ $ >Council Liaison will send signed Amendment to Mayor Total Estimated Project Cost: $ 20,000 > Mayor will send signed Amendment to Finance(Budget Manager) Evaluation Questions > Finance(Budget Manager)will send aopr-ed copy of Amencment to Depa itment Please answer all Evaluation Questions using the financial data referenced above. > Departxert-11 add•_c ; •f A-J„e, m-or.nr l 4,qa r,rg M—icore Agenda Manager 1. Describe what is being requested? Donated revenue received through the Blue Cross of Idaho Foundation for Health,Inc.for the Mayor's participation in their Community Health Academy to be used for the purposes of supporting park and pedestrian improvements within the City of Meridian. 2. Why was this budget request not submitted during the current fiscal year budget cycle? Program participation and funding allocation was outside of normal budget preparation/process. 3. What is the explanation for not submitting this budget request during the next fiscal year budget c cle? Program participation and funding allocation was outside of normal budget preparation/process. 4.Describe the proposed method of funding? If funding is split between Funds(i.e. General,Enterprise,Grant),please include the percentage split. List the amounts and sources of anticipated additional revenue that will result from approval of this request. r Donated revenue. 5.Does this request align with the Department/City's strategic plan? If not,please explain how this request was not included in the Department/City strategic plan? Yes. 6. Does this request require resources to be provided by other departments? If yes,please describe the necessary resources to be provided by other departments. Potential for staff time as soft costs to administer the funds to allocated projects. 7.Does this Amendment include any needed Equipment or Software that will utilize the Cit 's network? Yes or No No 8.Is the amendment going to result in the disposal of an asset?(Yes or No) No 9.Any additional comments? Total Amendment Request Every effort should be made to avoid reopening the budget for an amendment. Departments will need to provide back up and appear before the City Council to justify budget amendments. Budget amendments are intended for emergency or mandatory changes to the original balanced budget. Changes to the original balanced budget may cause a funding shortfall. City of Meridian FY2025 Budget Amendment Form C:\Users\rortizmiller\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\37HBWWD6\Budget Amendment-Blue Cross Community Health Academy Grant_1 2 2025 Docusign Envelope ID:22F87D1F-540C-40FB-95F5-7342627E17FC 1bBlue Foundation , Cross of Idaho for Health, Inc. GRANT AGREEMENT Blue Cross of Idaho Foundation for Health,Inc.(the"Foundation")is pleased to award Cite of Meridian(the"Grantee")with a Foundation Grant(the"Grant"). The Grant is awarded subject to the terms and conditions stated in this Grant and any exhibits or attachments thereto. Please read the terms and conditions of the Grant carefully before signing this document as the Grantee's signature constitutes the Grantee's agreement and acceptance in full of all terms and conditions contained herein. I. AMOUNT AND ADMINISTRATION OF AWARD Subject to the terns and conditions set out in the Grant,the Foundation is pleased to award Grantee with a conditional Grant of up to Twenty Thousand Dollars($20,000),which shall include any interest or income arising therefrom(the"Maximum Grant Amount"). The Grant is conditional upon the proper execution of this Grant agreement by an authorized representative of Grantee. 2. PURPOSE AND USE OF GRANT FUNDS The Grantee shall utilize Grant funds exclusively fbr the one of the following purposes:charitable,educational,scientific or literary purpose(or some approved variation)as more fully described in section 170(c)(2)(B)of the Internal Revenue Code. Specifically. Grantee's purpose of all Grant funding from the Foundation is to support park and pedestrian improvements within the city of Meridian. The Grantee agrees that Grant funds shall not be disbursed to any unrelated third-party organizations, entities,or vendors without the express, written approval of the Foundation. The Grantee agrees to make its books and/or records pertaining to the Grant available to the Foundation at reasonable times. 3. INDENIN IFICATION In consideration for the issuance of Grant funds, the Grantee agrees to indemnify, defend and hold the Foundation and its directors,officers,employees,agents,parent company and affiliates harmless from and against all allegations,claims,actions, suits. demands, damages, liabilities, obligations, losses, settlements, judgments, costs and expenses (including without limitation reasonable attorneys' fees and costs)which arise out of or relate to the Grant,or result from any act or omission of Grantee arising from projects funded through or related to the Grant to the extent permitted by Idaho law. 4. GRANT TERMINATION It is expressly agreed that any use by the Grantee of the Grant proceeds for any purpose other than those specified above or if in the Foundation's sole judgment, the Grantee becomes unable to carry out the purposes of the Grantor ceases to be an appropriate means of accomplishing the purpose of the Grant,the Foundation may terminate the Grant at any time at its sole option. In the event of termination under this section,any outstanding Grant amount payable shall be cancelled. Now THEREFORE,the parties have read, understand and accept the terms and conditions stated in this Grant agreement. The individuals signing this Grant agreement represent and warrant that they are duly authorized to be bound by its terms.The parties do hereby execute this Grant agreement effective on the date that the BCI Foundation signs the Grant agreement. City of Meridian Blue Cross of Idaho Foundation for Health,Inc. ("Gran "Authorize R presentative) By: By: —� Title: Robert E. ' son, Mayor City of Meridian Title: ?AAAA `1Je, Date: 12-10-2024 Effective Date: 12//��/�2,� Attest: 8.15.2022 Chris Joh " on,Ci 12-10-2024 i