HomeMy WebLinkAboutProfessional Services Agreement - St Marys Womens Entrepreneurship Initiative - Spark Womens Business Accelerator Neighborhood Pilot1316 COUNTY -CITY BUILDING CJ(�
PHONE 574/ 235-9251
227 W. JEFFERSON BOULEVARD
f^FAX 574/ 235-9171
SOIJTHBEND. INDIANA46601-183O
ISG
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
August 27, 2019
Willow Weatherall
St. Mary's Women's Entrepreneurship Initiative
128 Spes Unica
Notre Dame, IN 46556
RE: Professional Services Agreement
Dear Ms. Weatherall:
The Board of Public Works, at its meeting held on August 27, 2019, approved the above
referenced agreement for the Spark Women's Business Accelerator Neighborhood Pilot in
the amount of $30,000.
Enclosed please find the original of the agreement for your signature. Please sign and return
the original agreement to our office and retain a copy for your records.
If you have any further questions regarding this matter, please call this office at (574) 235-
9251.
Sincerely,
Linda M. Martin, Clerk
Enclosure
GARY A. GILOT GENEVIEVE E. MILLER ELIZABETH A. MARADIK LAURA L. O'SULLIVAN THERESE J. DORAU
AGREEMENT FOR PROGRAMS AND SERVICES WITH WOMEN'S
ENTREPRENUERSHIP INITIATIVE (PROGRAMS AND SERVICES)
THIS AGREEMENT (the or this "Agreement") is made effective the 27" day
of August 2019, by and between the CITY OF SOUTH BEND, INDIANA, a municipal
corporation organized and operating under the laws of the State of Indiana, acting by and
through its Board of Public Works (collectively the "City") and WOMEN'S
ENTREPRENUERSHIP INITIATIVE (the "Organization").
=0IIIENM
WHEREAS, the Organization is an Indiana non-profit corporation community
development corporation committed to helps aspiring or early -stage female entrepreneurs in
South Bend, Indiana and the surrounding region launch and/or grow their businesses. This
agreement introduces pilot an expansion of WEI's SPARK women's business accelerator
program beyond the Saint Mary's campus to a place -based model women living in a divested
neighborhoods in South Bend; and
WHEREAS, the Organization has represented that it is a duly existing non-profit
corporation under Indiana law and exempt from federal income taxation under Section
501(c)(3) of the Internal Revenue Code, as evidenced by the copy of the Indiana Secretary of
State's Certificate of Existence for the Organization and the copy of its Tax -exemption Letter
issued by the Internal Revenue Service, respectively attached as AAppendix I and Appendix II;
and
WHEREAS, the City desires to provide for certain services and programs to be
provided to the residents of the City, which services and programs are more particularly
described at Exhibit A (collectively, the "Program"); and
WHEREAS, the Organization is duly qualified to provide for, oversee and administer
the Program; and
WHEREAS, the City has appropriated funds for the Program in the amount of Thirty
Thousand Dollars ($30,000.00) (the "Contract Amount"); and
WHEREAS, the City believes that the actions contemplated by this Agreement are in
the best interests of the health, safety and welfare of the City and its residents and that such
actions comply with the public purposes and applicable provisions of state and local law.
NOW THEREFORE, for and in consideration of the mutual covenants and promises
contained herein, the City and the Organization hereby agree as follows:
L CL)jjjraC1 Anigynt aad Terill.The Organization shall provide the programs and
services set forth at Exhibit A (the "Program") on behalf of the City, for the
Contract Amount for the period commencing August 27, 2019 and ending July
1, 2020. The Organization shall submit reports to the Contract Administrator.
2. frograMgudgeti r ,The Program budget is set forth at
Exhibit B hereto (the "Budget"), which exhibit is hereby incorporated herein
by reference. The Organization shall not seek from the City more than the
Contract Amount for any expenses related to the Program or otherwise. The
Organization shall use the Contract Amount to implement the Program in
conformance with the Budget and for no other purpose.
3. r ^ tr rr 16r Prow -am, Prow-am,The City will pay the Organization Thirty
Thousand Dollars ($30,000.00) as the Contract Amount within thirty (30) days
of both parties execution of this Agreement.
4. 1 ea , r ; To the extent not set forth in Exhibit
A and B, the Organization shall be solely responsible for the design and implementation of
the Program, unless specifically directedotherwise by the City, the City's Internal Auditor (as
defined herein), or any person appointed by said officer or the City to administer this
Agreement (the "Contract Administrator"). The Program and this Agreement must be
performed and administered in accordance with all applicable federal, state and local laws.The
Organization shall use the Contract Amount only for activities related to the Program.
5. er:rraMrrtiQrr rrit' r grngnt, If the City Controller makes a written
determination that funds are not appropriated or are otherwise unavailable to support the
continuation of this Agreement, it shall be cancelled. A determination by the City Controller
that funds are not appropriated or are otherwise unavailable to support the continuation of
performance shall be final and conclusive. Effective thirty (30) days after delivery of a written
termination notice, the City may terminate this Agreement, in whole or in part, for any reason,
if the City determines that such termination is in the best interest of the City. The Organization
shall be compensated for completion of the Program properly done prior to the effective date
of termination. The City will not be liable for work on the Program performed after the
effective date of termination. In no case shall total payment made to the Organization exceed
the original Contract Amount.
6. R err ° el °& "orrr r Lt. Failure to complete the Program in
accordance with this Agreement may be considered a material breach, and shall entitle the City
to impose sanctions against the Organization including, but not limited to, suspension of the
Organization's involvement in the Program, on behalf of the City. The Organization shall
repay any portion of the Contract Amount expended for matters not within the scope of the
Program or the Budget. In addition to the foregoing, the City may pursue any and all remedies
available to it at law or in equity.
7. Maintenance r to Rac
xwThe Organization shall keep a
written record, in a form acceptable to the City, related to the use and expenditure of the Contract
Amount. Within thirty (30) days of the expiration or termination of this Agreement, the
Organization shall provide the City with a final accounting of the use and disposition of the
Contract Amount by the Organization. The Organization understands and agrees to comply with
the legal requirements of Indiana Code § 5-14-3-1 et seq. (commonly known as Indiana's Access
to Public Records Act), if applicable, with respect to all documentation related to the Contract
Amount.
8. Audit.Aeatdremejgy, The Organization agrees to make all information
available to the Indiana State Board of Accounts, the City's Internal Auditor, and the
Contract Administrator as requested to comply with any audit requested related to the
receipt and use of the Contract Amount and the Organization's performance in delivering the
Program in accordance with the provisions of this Agreement. If requested by the City or the
Contract Administrator, the Organization shall provide the City a progress report on the
Program. If requested by the City or the City's Internal Auditor, the Organization shall
arrange for a financial and compliance audit of the Contract Amount to be conducted by an
independent public or certified public accountant (or as applicable, the Indiana State Board
of Accounts) and in accordance with applicable Indiana State Board of Accounts standards.
The City's Internal Auditor shall mean the City Controller or Acting City Controller
appointed pursuant to Indiana Code§ 36-4-9-6 (the "City Controller") or any person
appointed or retained by the City Controller or the City for the purpose of auditing the
Organization for this Agreement or other agreements of the City.
9. Any notice required or permitted to be delivered hereunder shall be
deemed to be delivered when deposited in the United States Postal Service, postage prepaid,
registered or certified mail, return receipt requested, addressed to the City or the Organization,
as the case may be, at the address set forthbelow.
Qrg,anizatio ►: City:
St. Mary's Women's Alkeyna M. Aldridge
Entrepreneurship Initiative Department of Community
128 Spes Unica Investment
Notre Dame, IN 46556 City of South Bend, Indiana
Attention: Willow Wetherall 227 W. Jefferson Blvd., Suite
1400S South Bend, IN 46601
(remainder of page intentionally left blank)
10. 1"'t i g1 0 The Organization shall comply with federal, state and
local laws in its hiring and employment practices and policies for any activity covered by this
Agreement. -
IL Drug -Free ree Workplace. The Organization hereby agrees to make a good faith
effort to provide and maintain a drug -free workplace. The Organization will give written
notice to the City within ten (10) days after receiving actual notice that the Organization or
an employee of the Organization within the State of Indiana has been convicted of a criminal
drug violation occurring in the workplace.
12. - Verify. —The Organization hereby certifies that it does not and will not
knowingly employ or contract with an unauthorized alien, nor retain any employee or contract
with a person that the Organization subsequently learns is an unauthorized alien. The
Organization agrees that he/she/it shall enroll in and verify the work eligibility status of all of
the Organization's newly hired employees through the E-Verify Program as defined by I.C.
Sec. 22-5-1.7-3.
13. E d 'r � regLtie ° t e^ This Agreement sets forth the entire
agreement and understanding between the parties as to the subject matter hereof, and merges
and supersedes all prior discussions, agreements, and understanding of any and every nature
between them. This Agreement may be amended only by a separate writing, approved both
by the Organization and the City.
14. Severability, If any term or provision of this Agreement is held by a court of
competent jurisdiction to be invalid, void, or unenforceable, the remaining terms and provisions
of this Agreement shall continue in full force and effect unless amended or modified by mutual
consent of the Parties.
15. Waiver. Neither the failure nor any delay on the part of a Party to exercise any
right, remedy, power, or privilege under this Agreement shall operate as a waiver thereof, nor shall
nay single or partial exercise of any right, remedy, power, or privilege preclude any other or further
exercise of the same or of any right, remedy, power, or privilege with respect to any occurrence
be construed as a waiver of any such right, remedy, power, or privilege with respect to any other
occurrence. No waiver shall be effective unless it is in writing and is signed by the party asserted
to have granted such waiver.
16. Goveming Law; .l ris f(ILotiL trrl2fta)ice with Laws. This Agreement shall be
construed and interpreted according to the laws of the State of Indiana without regard to conflicts
of laws statutes. Any dispute arising under the terms of this Agreement shall be filed in any court
of competent jurisdiction in St. Joseph County, Indiana. The Organization agrees to comply with
all applicable federal, state and local laws, rules, regulations and ordinances, and all provisions
required thereby are hereby incorporated herein by reference. The Organization shall comply with
federal, state and local law in its hiring and employment practices and policies for any activity
covered by this Agreement.
17. 4ssignment, The Organization shall not assign or subcontract the whole or any
part of this Agreement or its obligations hereunder without the prior written consent of the City.
18. Counterparts. This Agreement may be executed in counterparts, all of which
shall be deemed originals.
19.
20. taggres,,entali . The undersigned persons executing and
delivering this Agreement on behalf of the Organization represent and certify that they are
the duly authorized officers of the Organization and have been fully empowered to execute
and deliver this Agreement and that all necessary corporate action has been taken and done.
21. &n-Collusion and� Ue ) gZZCV, Prior to the City's execution of this
Agreement, the Organization will execute and file with the City a Contractor's Non -
Collusion and Non -Debarment Affidavit, Certification Regarding Investment with Iran,
Employment Eligibility Verification, Non -Discrimination Commitment and Certification
Of Use Of United States Steel Products Or Foundry Products, the form of which is attached
hereto and incorporated herein as Appgndix
(remainder of page intentionally left blank)
5
IN WITNESS WHEREOF, the Parties hereto have caused this Agreement to be
executed as of the day and year first above written.
CITY OF SOUTH BEND, INDIANA WOMEN'S
BOARD OF PUBLIC WORKS ENTREPRENEURSHIP
INITIATIVE
Gary A. Gilot, President Signature
hcresc J. Do au, 9Vl- -- ..) 9 I c t � . ,.
er
Willow Wetherall, Director of Women's
Entrepreneurship Initiative
Elizabeth A. Maradik, Member
Laura O'Sullivan, Member
Genevieve Miller, Member
ATTEST:
°.w" Linda M. Martin, C60.
EXHIBIT A
"The Program"
PilotSPARK Women's Business
Accelerator Neighborhood
The Women's Entrepreneurship Initiative (WEI) at Saint Mary's College seeks partnership with the
City of South Bend's Engagement and Economic Empowerment Team to support economic inclusion
for small business owners residing and doing business in historically divested neighborhoods. This
collaboration will increase access to economic opportunities for women entrepreneurs, with a
particular focus on support for African American and Latina populations.
Women's Entrepreneurship Initiative at Saint Mary's College
WEI's mission is to economically empower women through business ownership and career
advancement. We do this by offering year-round programming (SPARK women's business
accelerator, SPARK Mastermind, Thrive professional development series, and Engaging Women
Conference) and services (business mentorship, referrals to lenders and to other technical assistance
resources) as well as through education and advocacy. We are able to offer our programs at nominal
fees thanks to generous underwriting by our corporate partners. WEI helps women assess the viability
of their business ideas, launch and grow successful businesses, and transition out of business if it is not
profitable, breaking even, or meeting the goals and needs of the business owner. Poverty reduction,
wealth creation, and increased earning power for women, especially women of color, are the foundation
of all that we do. Our community, neighborhoods, and families are stronger and more resilient when
women are able to maintain financial self-sufficiency, prosper, and build generational wealth.
Equitable Support for Women Entrepreneurs
Entrepreneurship has the potential to drive innovation and economic growth, but equitable support is
required to unlock that potential. WEI builds the entrepreneurial capacity of under-resourced, high -
potential women, helping them overcome economic and social barriers and develop their ideas into
viable, profitable businesses so that they can achieve self-sufficiency in the mainstream economy for
themselves and eventually create jobs for others. By targeting low-income women and focusing on the
needs of traditionally under -served groups, including minorities and immigrants, WEI brings new
resources into local communities in a unique model.
APPENDIX III
NON -COLLUSION AFFIDAVIT
APPENDIX II
TAX EXEMPTION LETTER
APPENDIX I
ORGANIZATION'S CERTIFICATE OF EXISTENCE
Exhibit B
"Budget"
WEI's SPARK Women's Business Accelerator provides a successful model of technical assistance and
mentorship for women entrepreneurs. By partnering with the City of South Bend to deliver SPARK in a
small, targeted area, WEI can support economic empowerment of women, especially women of color, and
create a replicable model for economic inclusion, small business development, and neighborhood
revitalization. We intend our pilot to run for a minimum of five years to develop a steady pipeline of small
businesses and a robust entrepreneurial ecosystem.
Salaries, Payroll Taxes & Benefits $ 4,420
Professional, Consultant Fees & Legal $ 12,000
Occupancy $ 6,600
Travel & Transportation $ 0
Staff Development $ 1500
Supplies $ 500
Equipment $ 1000
Outreach $ 500
$26,520
WEI will track the number of women who graduate from the program; the number who develop a business plan
in conjunction with a mentor (a copy of all participant business plans will be kept on file); and the number of
new businesses launched by the three cohorts before June 1, 2020 (through the Indiana Secretary of State's
Business Services Division's online database).
Existing business growth will be tracked by new contracts, new hires, and increased revenue evidenced by
surveys.
WEI will track the number of small -development related projects/businesses through post -graduation surveys.
All participants will be surveyed to measure business skills gained or improved, new business connections
made, and increased confidence as a businesswoman.
• SCORE executive mentors help clients determine whether a business idea is viable and offer
suggestions to strengthen business plans, which could help clients attain bank loans.
• WEI offers female entrepreneurs personal education, business training, and ongoing professional
mentoring.
While not an official member of TEAM, WEI also regularly partners with and refers clients to the
newly established Westside Small Business Resource Center by sharing their program offerings and
by holding some of the SPARK business accelerator classes at their location.
Other partners include the City of South Bend's Department of Community Investment and the City
Clerk's Office, Notre Dame's IDEA Center, INVANTI, Women Business Owners of Michiana
(WBOM), and 101 Co3, a co -working space in Mishawaka with a robust entrepreneurial ecosystem for
women.
In addition, over 60 community business leaders, including CPAs, bankers, CDFI program officers,
experienced small business owners, financial advisors, insurance agents, and attorneys, are involved
in WEI's flagship SPARK program. These individuals act as subject area experts for the SPARK
sessions mentors who offer guidance to participants on their individual challenges and advocates who
open doors and increase participants' social capital.
Specific to the neighborhood pilot program, Thrive Michiana has offered residential and office space
to SPARK program facilitators at a substantially reduced rate to establish their presence in the
neighborhood. The Near Northwest Neighborhood Corporation has also offered one of their meeting
rooms for class use twice weekly for a nominal fee. WEI also refers SPARK graduates to a
neighborhood development project lead by Kingdom Life Cathedral (Apostles Mike and Tina Patton)
and will continue to strengthen that relationship.
WEI s SPARK Women's Business Accelerator Neighborhood Pilot Outcomes
We expect 45 women to enroll in SPARK in September 2019 (three cohorts of 15 participants - one in
the Near Northwest Neighborhood, one at the Latin American Chamber of Commerce, and one on the
campus of Saint Mary's College.) We expect 40 women will complete the program and 20 will launch
or grow a business.
We will achieve these results by helping SPARK participants develop a sound, detailed business plan,
in consultation with program staff and mentors; offer graduates a support network in the form of
ongoing mentoring by successful professionals and business owners; and, if needed, help graduates
secure a small business loan from a local bank that will allow them to launch their business.
eventually spin off into their own construction -related business.
Our vision for the SPARK pilot in the Near Northwest Neighborhood is to accelerate a flywheel of
small-scale development and small business growth by women, minority, and low to moderate -income
entrepreneurs. After running three consecutive cohorts we anticipate the creation of a low -barrier
business incubator in or near the former Ward Baking Company Building on Portage Ave. Small-
business owners will be able to grow incrementally (or fail safely) in the incubator and over 3-5 years
establish a pathway from the incubator into owner -occupied commercial or mixed -use space. Our
efforts will dramatically amplify city efforts to promote and facilitate economic inclusion so that more
South Bend residents can benefit from city revitalization.
WEI's SPARK Women's Business Accelerator Pilot
WEI is uniquely positioned to amplify neighborhood revitalization efforts by piloting a SPARK -
inspired program embedded in the Near Northwest Neighborhood and potentially one on the westside
of South Bend at the Latin American Chamber of Commerce. WEI will offer its traditional SPARK
program with some new enhancements specifically designed to support neighborhood revitalization.
Because of the SPARK Women's Business Accelerator's commitment to serving
under-resourced women, a significant number of our African -American graduates live in divested
neighborhoods and can be engaged specifically to utilize their business acumen for targeted
neighborhood revitalization.
The 2019 pilot would include:
1) Surveying targeted areas in the Near Northwest Neighborhood to identify current and
aspiring business owners who would benefit from technical assistance and mentorship.
2) Running the 11-week accelerator in the Near Northwest Neighborhood.
3) Facilitating referrals and peer -support for small-scale development.
4) Study of best practices to develop a replicable model for use in other South Bend
neighborhoods and cities throughout the Midwest.
The steady success of WEI programming over the last nine years has brought increased community
exposure and dramatically expanded our community and corporate partnerships.
The Entrepreneurship Alliance of Michiana (TEAM) is a partnership of WEI, the North Central Indiana
Small Business Development Center (ISBDC), and SCORE. All three programs have similar missions,
helping small business owners and aspiring entrepreneurs in complementary ways:
a ISBDC, which has a local office on the IU-South Bend campus, offers expert one-on-one
advising and a robust network of resources.
RESIDENCY
Elkhart County 7%
St. Joseph County 83%
Michigan 10%
INCOME
$0-$19,999
20%
$20,000-$39,999
33%
$40,000-$59,999
37%
$60,000-$79,999
3%
Did not report
7%
In addition, a recent study on immigrant economic impact in the greater South Bend community
reported significant economic contributions by non-native business owners ("New Americans in
Michiana," New America Economy, 2018). Within the immigrant community, Spanish speaking
women entrepreneurs are seeking business mentorship, but there are limited resources accessible to
them. To meet the unique needs of Latina entrepreneurs, SPARK trained an additional facilitator
during the 2018 program to ensure bilingual leadership in the 2019 accelerator and have
strengthened partnerships with the Latin American Chamber of Commerce and La Casa de Amistad.
Neighborhood Revitalization and Economic Inclusion
WEI seeks to support neighborhood redevelopment in historically divested neighborhoods.
Neighborhoods that were disproportionately affected by Mayor Pete's "1,000 Homes in 1,000 Days"
campaign have begun discussions on how to improve their communities through development.
Neighborhood planning sessions are generating inspired visions for in -fill of vacant lots and restoration
of small commercial nodes. The city's partnership with Opticos Design and the Incremental
Development Alliance has produced new toolkits to facilitate small-scale development. However, the
most active participants in these training sessions have been well-resourced (educated with access to
capital) white males. Legacy residents, especially female -headed households, have yet to fully embrace
the opportunities for wealth -creation through small-scale development.
Incremental development intersects with entrepreneurship in a number of important ways. 1) Owning
income -producing property can increase resilience, financial self-sufficiency, and generational wealth
for low to moderate -income families. 2) Small business incubators and accelerators embedded in
neighborhoods can help home -based and neighborhood businesses grow through increased visibility,
technical support, business mentorship and access to social and financial capital. 3) Incubators and
accelerators create a pipeline for small business expansion into owner -occupied commercial or mixed -
use properties as neighborhood commercial nodes are restored or expanded. 4) Small neighborhood
development projects provide opportunities for unskilled labor (or those with barriers to employment)
to skill -up and
According to a 2018 report from American Express, 40% of businesses in the United States are now
women -owned and women of color are the fastest growing group of business owners (The 2018 State
of Women Owned Businesses Report, American Express, 2018.) However, women entrepreneurs have
less access to training, mentorship, and capital three key factors to successfully launch and grow than
similarly situated men. ("The Megaphone of Main Street: Women's Entrepreneurship" SCORE, 2018.)
To give women entrepreneurs the best chance at success, WEI's addresses all three of these factors by:
1) Providing intensive training and mentoring through the SPARK program to give participants and
graduates, as well as other local women entrepreneurs, business skills and access to additional
expertise that allows them to avoid common pitfalls and be competitive in the open market.
2) Providing ongoing mentorship through our mentor network which includes over 60 subject area
experts and business owners.
3) Partnering with area banks and CDFIs to provide small business loans to qualified graduates of our
flagship SPARK program who have a completed business plan, ensuring they have sufficient start-
up capital.
Since its inception in 2011, SPARK has graduated 214 women and helped launch 90 small businesses.
SPARK is one of the only technical assistance programs available in the greater South Bend region
and attracts women from five counties (within an hour radius.) There are currently 52 prospects on a
waiting list for the 2019 program before any advertisement or recruitment.
WEI's client base are women who would like to start a business or who have already started a business,
but would like to grow it. Below are some basic demographic data on the 31 women in SPARK's 2018
cohort:
EDUCATIONAL ATTAINMENT
High school/GED
17%
Some college
13%
Two year associates degree
13%
Four year college de ee
Masters or other advanced degree
33%
20%
Did not report
3%
RACE/ETHNIC
ITY
Asian
1 %
Black
Hispanic
36%
9%
Native American
1 %
White
53%
EXHIBIT A
"The Program"
SPAIMIX Women s Business
Accelerator +1
The Women's Entrepreneurship Initiative (WEI) at Saint Mary's College seeks partnership with the
City of South Bend's Engagement and Economic Empowerment Team to support economic inclusion
for small business owners residing and doing business in historically divested neighborhoods. This
collaboration will increase access to economic opportunities for women entrepreneurs, with a
particular focus on support for African American and Latina populations.
Women's Entrepreneurship Initiative at Saint Mary's College
WEI's mission is to economically empower women through business ownership and career
advancement. We do this by offering year-round programming (SPARK women's business
accelerator, SPARK Mastermind, Thrive professional development series, and Engaging Women
Conference) and services (business mentorship, referrals to lenders and to other technical assistance
resources) as well as through education and advocacy. We are able to offer our programs at nominal
fees thanks to generous underwriting by our corporate partners. WEI helps women assess the viability
of their business ideas, launch and grow successful businesses, and transition out of business if it is not
profitable, breaking even, or meeting the goals and needs of the business owner. Poverty reduction,
wealth creation, and increased earning power for women, especially women of color, are the foundation
of all that we do. Our community, neighborhoods, and families are stronger and more resilient when
women are able to maintain financial self-sufficiency, prosper, and build generational wealth.
Equitable Support for Women Entrepreneurs
Entrepreneurship has the potential to drive innovation and economic growth, but equitable support is
required to unlock that potential. WEI builds the entrepreneurial capacity of under-resourced, high -
potential women, helping them overcome economic and social barriers and develop their ideas into
viable, profitable businesses so that they can achieve self-sufficiency in the mainstream economy for
themselves and eventually create jobs for others. By targeting low-income women and focusing on the
needs of traditionally under -served groups, including minorities and immigrants, WEI brings new
resources into local communities in a unique model.
APPENDIX III
NON -COLLUSION AFFIDAVIT
Request for Taxpayer
s"""wr�
Give Form
Form
(Rev. October2018) Identification Number and Certification
to the
requester. Do not
Department of the Treasury
Internal Revenue Service ► Go to www.1Mgov1FormW9 for Instructions and the latest Information.
send to the IRS.
1 Name (as shown on your Income tax return) Name Is required on this line; do not leave this line blank,
The Corporation of Saint Isar .s College, Notre Dame
2 Business name/disregarded entity name, If different from above
Saint Ma 'tsr Dolle e
_
m 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1, Check only one of the
4 Exemptions (codes apply only to
following seven boxes.
certain ant atlas, not individuals; see
a
o ❑ Individual/sole proprietor or ❑ C Corporation ❑ S corporation ❑ Partnership ❑ Trust/estate
instructions on page 3):
r� single -member LLC
O
Exempt payee code (f any) 5
❑ Umited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ►
pNote: Check the appropriate box In the line above for the tax classification of the single -member owner. Do not check
Exemption from FATCA reporting
�C LLC If the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is code (if any)
another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC that
ti O is disregarded from the owner should check the appropriate box for the tax classification of its owner„
I Other(seeinstructions)► Tax-exempt or aniftatiDn under IR Section 501 c 3
a6
r" M10O0o curds "'un1e1 sd 0 f11 w U.S.)
Address number, street, and or sulfa no.) See Instructions,
( pt equestor's name and address (opiionall)
N 158 Le Mans, Hall
6 C4, state, and ZIP code
Notre Dame, IN 46556-5001
7 Ust account number(s) here (oplionao
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid
backup withholding. For individuals, this Is generally your social security number (SSN). However„ for a
resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other
entities, it is your employer Identification number (EIN)- If you do not have a number, see How to get a
TIN, later,
Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and
Number To Give the Requester for guidelines on whose number to enter.
or
number
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or 1 am waiting for a number to be issued to me), and
2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding; and
3. 1 am a U.S. citizen or other U.S, person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
!Certification Instructions. You must cross out Item 2 above If you have been notified by the IRS that you are currently subject to backup withholding because
you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid,
acquisition or abandonment of secured property, cancellation of debit, contributions to an individual retirement arrangement (IRA), and generally, payments
other than Interest and dividends, you are not required to sign the cedificallon, but you must provide your correct TIN. See the instructions for Part 11, later.
sign � ► " r:""-] �Signature of ��
Here U.S. person_
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An Individual or entity (Form W-9 requester) who is required to file an
information return with the IRS must obtain your correct taxpayer
identification number (TIN) which may be your social security number
(SSN), individual taxpayer identification number (ITIN), adoption
taxpayer identification number (ATIN), or employer identification number
(EIN), to report on an information return the amount paid to you, or other
amount reportable on an information return. Examples of information
returns include, but are not limited to, the following.
• Form 1099-INT (interest earned or paid)
Date ► lr!�1'5110'06
• Form 1099-DIV (dividends, including those from stocks or mutual
funds)
• Form 1099-MISC (various types of income, prizes, awards, or gross
proceeds)
• Form 1099-B (stock or mutual fund sales and certain other
transactions by brokers)
• Form 1099-S (proceeds from real estate transactions)
• Form 1099-K (merchant card and third parry network transactions)
• Form 1098 (home mortgage interest), 1098-E (student loan interest),
1098-T (tuition)
• Form 1099-C (canceled debt)
• Form 1099-A (acquisition or abandonment of secured property)
Use Form W-9 only if you are a U.S. person (including a resident
alien), to provide your correct TIN.
If you do not return Forma (-9 to the requester with a 'TIN, you might
be subject to backup withholding.. See What Is backup withholding,
later
Cat. No. 10231X Form W-9 (Rev. 10-201 B)
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date Aga 1.20,IT 19
Name Alkke na_Aldrid e Department DCI
BPW Date August 27, 2019 Phone Extension 5896
�y
Legal ® Attorney Name Sandra Kennedy
Controller ® Controller review is required for all Contracts $5,000.00 or more anc
greater than one year in length per the City Purchasing Policy
Purchasing
Lj Agreement
LJ Contract LJ Proposal LJ Addendum
® Professional Services
1 Resolution
❑ Bid Opening
Bid Award ❑ Req. to Advertise ❑ Title Sheet
El Quote Opening
❑ Quote Award
El Change Order No.
❑ C/O & PCA No. ❑ PCA
D Ease/Encroach.
❑ Traffic Control
F� Other:
Company or Vendor Name St. Mary's Women's Entrepreuneurship
Initiative
New Vendor 0 Yes El No El If Yes, Approved by Purchasing
MBE/WBE Contractor ❑ MBE ❑ WBE
Project Name Spark Women's Business Accelerator NeighborhoodITPilotmmmm ......,
Project Number 19JO02
Funding Source Redevelopment General (Pokagon) _.
Account No. 433.1050 460.39-30
..._..............................................
Amount $ 30,000 (up to)................
..............
Terms of Contract August 27, 2019 July 11 2020
Purpose/Description Place -based, minority small business accelerator pilot related to the
Engagement & Empowerment team's goals.
® Required Contractor's Certification Form Attached (Non -
Collusion„ Non -Discrimination, Non -Debarment, E-Verifier, Iran„ etc.
Amount of El Increase $
F Decrease $
Previous Amount $
Current Percent of Change: �._.%
New Amount ._..._..............
Total Percent of Change: %
Dispersal After Approval
Copy Original
® ® Alkeyna Aldridge
® mm— .................... - .
Amanda Pietsch
................._................
_..................._._................._..
® Daniel Parker