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HomeMy WebLinkAboutRes 06-60 Authorizing an Agreement with Key Government FinanceTOWN OF WESTLAKE RESOLUTION NO. 06-60 A RESOLUTION OF THE BOARD OF ALDERMEN OF THE TOWN OF WESTLAKE, TEXAS, AUTHORIZING A LEASE AGREEMENT WITH KEY GOVERNMENT FINANCE, INC., A CISCO SYSTEMS CAPITAL PARTNER, FOR THE ANNUAL HARDWARE AND SOFTWARE SUPPORT OF THE TOWN NETWORK AND PHONE SYSTEM. WHEREAS, the Board of Aldermen is always cognizant of savings to the Town of Westlake; and WHEREAS, hardware and software support will constantly be a budgeted portion of the Town of Westlake's budget; and WHEREAS, the Board of Aldermen finds that entering into this agreement will save the Town approximately 10% annually. NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF ALDERMEN OF THE TOWN OF WESTLAKE, TEXAS: SECTION 1. All matters stated in the Recitals above are found to be true and correct and are incorporated herein by reference as if copied in their entirety. SECTION 2, The Board of Aldermen of the Town of Westlake, Texas, does hereby approve the lease agreement with Key Government Finance, Inc, attached as Exhibit "A"; to provide the annual hardware and software support of the Town network and phone system and further authorizes the Town Manager to execute said agreement on behalf of the Town of Westlake, Texas. SECTION 3. This Resolution shall become effective upon the date of its passage. PASSED AND APPROVED ON THIS l I'h DAY OF DECEMBER, 2006. ATTEST: R. Awtry, Acting Town Secretary , ToN>,d Attorney Scott Bradley, Mayor Trent O. Petty, To anager OMM Key Government Finance, Inc. 1000 South McCaslin Boulevard Superior, CO 80027-9456 Wednesday, December 06, 2006 Ms. Debbie Piper "Lown of Westlake 2650 T.T. Dttinger Rd. Westlake, TX 76262 Re; Key Government Finance, Inc. Lease No. 5451020 Property Schedule No. 01 Dear Ms. Piper: Enclosed please find true, exact and correct copies of the fully executed contracts for the recent 'Foxvii of Westlake leasing transaction. Thank you for choosing Key Government Finance, Inc. to handle your equipment acquisition. We look forward to meeting your business needs in the future. Sincerely, Vk Lla-son Hennings Accoiult Manager 720-304-1291 Enclosures Accepted by Seiler: Key Government Finance, Inc. ("Seller") 1000 South McCaslin Blvd. Superior, CO 8Q.W7 B: Name: JOHN L_ LEKIC VP, OJginations & 'Syndications Title: Date: Tax -Exempt Payment Plan Agreement, Dated 111912006 Agreed to U Purchaser: Town of Westlake ("Purchaser") 2650 J.T. Ottinger Rd. Westlake, TX, 76262 c--�1 B: Name: t fi Title: o�,a1.c•� z� Date: 2Q -0 tip AGREEMENT: Purchaser has entered into that certain Quote Vs Q5428734, Q5428740 and Q5428744 dated August 15, 2006 and Quote Vs Q5597534, Q5597655 and 05597579 dated October 10, 2006 with AT&T (the "Vendor") for certain services set forth therein (the "Maintenance Services") to be provided by Cisco Systems, Inc. ("Cisco') and said Maintenance Contract provides a fixed pricing for multiple years of such Maintenance Services should the Purchaser pay or cause to be paid to Cisco for multiple years of Maintenance Services at the start of the Maintenance Contract (the "Multi -Year Service Payment"). Seller agrees to assist Purchaser by making the Multi -Year Service Payment in return for Purchaser's entering into this Tax -Exempt Payment Plan Agreement, upon the terms and conditions set forth herein and as supplemented by the terms and conditions set forth in the Schedule. This Tax -Exempt Payment Plan Agreement together with the Schedule shall be defined as the Agreement. 'TERM: The Term of this Agreement shall commence on the date of payment of the Multi -Year Service Payment to Cisco by Purchaser and shall terminate upon payment of the final Installment Payment set forth in the Schedule, unless terminated sooner pursuant to this Agreement of the Schedule. INSTALLMENT PAYMENTS: Purchaser shall promptly pay Installment Payments in the amounts, and on the dates specified, in the Schedule. NO OFFSET: SUBJECT TO THE PARAGRAPH ENTITLED 'NONAPPROPRIATION" HEREI, THE OBLIGATIONS OF CUSTOMER TO 'PAY THE INSTALLMENT PAYMENTS DUE UNDER THE SCHEDULE AND TO PERFORM AND OBSERVE THE OTHER COVENANTS AND AGREEMENTS CONTAINED IN THIS AGREEMENT SHALL BE ABSOLUTE AND UNCONDITIONAL IN ALL EVENTS WITHOUT ABATEMENT, DIMINUTION, DEDUCTION, SET-OFF OR DEFENSE, FOR ANY REASON, INCLUDING WITHOUT LIMITATION, ANY DEFECTS, MALFUNCTIONS, BREAKDOWNS OR INFIRMITIES IN THE PROPERTY FOR WHICH THE MAINTENANCE SERVICES ARE BEING PROVIDED OR ANY ACCIDENT, CONDEMNATION OR UNFORESEEN CIRCUMSTANCES, THIS PROVISION SHALL NOT LIMIT PURCHASER'S RIGHTS OR ACTIONS AGAINST CISCO OR THE VENDOR. Purchaser shall pay when due all taxes and governmental charges assessed or levied against or with respect to the Maintenance Services, LATE CHARGES: Should Purchaser fall to duly pay any part of any Installment Payment or other sum to be paid to Seller under this Agreement on the date on which such amount is due hereunder, then Purchaser shall pay late charges on such delinquent payment from the due date thereof until paid at the rate of 12% per annum or the highest rate permitted by law, whichever is Cess. INSURANCE FOR PROPERTY RELATER TO MAINTENANCE SERVICES: At all times during the Term, Purchaser shall, at Purchaser's own cost and expense, cause casualty and property damage insurance to be carried and maintained (or shall provide Seller with a certificate stating that adequate self-insurance has been provided) with respect to the property for which the Maintenance Services are being,provided (the "Maintained Property"), sufficient to protect the full replacement value of such Maintained Property. Purchaser shall furnish to Seller certificates evidencing such coverage throughout the Term. TAX EXEMPTION: The parties contemplate that interest payable under this Agreement will be excluded from gross income for federal income tax purposes under Section 103 of the Internal Revenue Code of 1986, as amended (the "Cade"). The tax-exempt status of this Agreement provides the Inducement for the Seller to offer financing at the interest rate set forth herein. Therefore, should this Agreement be deemed by any taxing authority not to be exempt from taxation. Purchaser agrees that the interest rate shall be adjusted, as of the date of loss of tax exemption, to an interest rate calculated to provide Seller or its assignee an after tax yield equivalent to the tax exempt rate and Seller shall notify Purchaser of the taxable rate. Provided, however, that the provision of the preceding sentence shall apply only upon a final determination that the interest payments are not excludable from gross income under Section 103(a) of the Code, and shall not apply if the determination is based upon the individual tax circumstances of the Seller, or a finding that the party seeking to exclude such payments from gross income is not the owner and holder of the obligation under the Code. As a condition to payment of the Multi -Year Service Payment to Cisco, there shall be provided by Cisco a certificate in the form attached hereto as Exhibit B. REPRESENTATIONS ANIS WARRANTIES OF PURCHASER: Purchaser hereby represents and warrants to Seller that: (a) Purchaser is a State, possession of the United States, the District of Columbia, or political subdivision thereof as defined in Section 103 of the Code and Treasury Regulations and Rulings related thereto. If Purchaser is incorporated, it is duly organized and existing under the Constitution and laws of its jurisdiction of incorporation and will do or cause to be done all things necessary to preserve and keep such organization and existence in full force and effect. (b) Purchaser has been duly authorized by the Constitution and laws of the applicable jurisdiction and by a resolution of its governing body (which resolution, if requested by Seller, is attached hereto), to execute and deliver the Maintenance Contract and this Agreement and to carry out its obligations thereunder and hereunder. (c) All legal requirements have been met, and procedures have been followed, including public bidding, in order to ensure the enforceability of the Maintenance Contract and this Agreement. (d) The Maintained Property and the Maintenance Services will be used by Purchaser only for essential governmental or proprietary functions of Purchaser consistent with the scope of Purchase's authority and will not be used in a trade or business of any person or entity, by the federal government or for any personal, family or household use. Purchaser's need for the Maintenance Services is not expected to diminish during the term of the Agreement. (e) Purchaser has funds available to pay Installment Payments until the end of its current appropriation period and Purchaser covenants to include all Installment Payments due under the Schedule in its preliminary annual budget for submission to the governing body of the Purchaser. (t) The Purchaser shall comply at all times with all applicable requirements of the Code, including but not limited to the registration and reporting requirements of Section 149, to maintain the federal tax-exempt status of the Agreement. The Purchaser shall maintain a system with respect to this Agreement, which tracks the name, and ownership interest of each assignee who has both the responsibility for administration of, and ownership interest in this Agreement. (g) Purchaser's exact legal name Is as set forth on the first page of this Agreement. Purchaser will not change its legal name in any respect without giving thirty (30) days prior written notice to Seller. INDEMNIFICATION: To the extent permitted by law, Purchaser shall indemnify and save Seller harmless from and against all claims, losses, costs, expenses, liability and damages, including legal fees and expenses, arising out of (a) any breach or default on the part of Purchaser in the performance of any of its obligations under this Agreement or the Maintenance Contract, or (b) any act of negligence of Purchaser, or its successors or assigns, or any of its agents, contractors, servants, employees, or licensees with respect to the Maintenance Services, (c) the acquisition, delivery, and acceptance ,of the Maintenance Services. No indemnification will be made for negligence or breach of duty under this Agreement by Seller, its directors, officers, :agents, employees, successors, or assignees. Purchaser's obligations under this Section shall remain valid and binding notwithstanding termination or assignment of this Agreement. ASSIGNMENT BY PURCHASER, Without Seller's prior written consent, Purchaser may not, by operation of law or otherwise, assign, transfer, pledge, hypothecate or otherwise dispose of the Maintenance Services, this Agreement or any interest therein. Purchaser agrees not to take any action with respect to the Maintained Property that would eliminate the need for the Maintenance Services during the Term; provided that in the event of a Nona ppropriation, as hereinafter defined, this restriction shall not apply. ASSIGNMENT BY SELLER: Seller may assign, sell or encumber all or any part of this Agreement, the Installment Payments and any other rights or Interests of Seller hereunder. NONAPPROPRIATION: If sufficient funds are not appropriated to make Installment Payments under this Agreement, this Agreement shall terminate and Purchaser shall not be obligated to make Installment Payments under this Agreement beyond the then current fiscal year for which funds have been appropriated. Upon such an event, Purchaser shall, no later than the end of the fiscal year for which Installment Payments have been appropriated, cease receiving Maintenance Services, if Purchaser fails to cease receiving Maintenance Services, the termination shall nevertheless be effective but Purchaser shall be responsible for the payment of damages in an amount equal to the portion of Installment Payments thereafter coming due that is attributable to the number of days after the termination during which the Purchaser fails to cease receiving Maintenance Services and for any other loss suffered by Seller as a result of Purchaser's faiiure to cease receiving Maintenance Services as required. Purchaser shall notify Seller in writing within seven (7) days after the failure of the Purchaser to appropriate funds sufficient for the payment of the Installment Payments, but failure to provide such notice shall not operate to extend the Lease Term or resuit in any liability to Purchaser. EVENTS OF DEFAULT: Purchaser shall be in default under this Agreement upon the occurrence of any of the following events or conditions ("Events of Default"), unless such Event of Default shall have been specifically waived by Seller in writing: (a) Default by Purchaser in payment of any Installment Payment or any other indebtedness or obligation now or hereafter owed by Purchaser to Seller under this Agreement or in the performance of any obligation, covenant or liability contained In this Agreement and the continuance of such default for ten (10) consecutive days after written notice thereof by Seller to Purchaser, or (b) any warranty, representation or statement made or furnished to Seller by or on behalf of Purchaser proves to have been false in any material respect when made or furnished, or (c) dissolution, termination of existence, discontinuance of the Purchaser, insolvency, business failure, failure to pay debts as they mature, or appointment of a receiver of any part of the property of, or assignment for the benefit of creditors by the Purchaser, or the commencement of any proceedings under any bankruptcy, reorganization or arrangement laws by or against the Purchaser. REMEDIES OF SELLER: Upon the occurrence of any Event of Default and at any time thereafter, Seller may, without any further notice, exercise one or more of the following remedies as Seller in its sole discretion shall elect: (a) terminate the Agreement and all of Purchaser's rights hereunder as to any or all items of Maintenance Services, including notifying Cisco to cease providing the Maintenance Services to Purchaser, which shall be binding on Cisco and the Purchaser; (b) proceed by appropriate court action or actions to enforce performance by Purchaser of its obligations hereunder or to recover damages for the breach hereof or pursue any other remedy available to Seller at law or in equity or otherwise; (c) declare all unpaid Installment Payments and other sums payable hereunder during the current fiscal year of the Term to be immediately due and payable without any presentment, demand or protest andlor take any and all actions to which Seller shall be entitled under applicable law. No right or remedy herein conferred upon or reserved to Seller is exclusive of any right or remedy herein or at law or in equity or otherwise provided or permitted, but each shall be cumulative of every other right or remedy given hereunder or now or hereafter existing at law or In equity or by statute or otherwise, and may be enforced concurrently therewith or from time to time. Purchaser agrees to pay to Seller or reimburse Seller for, in addition to all other amounts due hereunder, all of Seller's costs of collection, including reasonable attorney fees, whether or not suit or action Is filed thereon. Purchaser and Seller hereby irrevocably waive all right to trial by jury in any action, proceeding or counterclaim (whether based on contract, tort or otherwise) arising out of or relating to this Agreement. NOTICES: All notices, and other communications provided for herein shall be deemed given when delivered or mailed by certified mail, postage prepaid, addressed to Seller or Purchaser at their respective addresses set forth herein or such other addresses as either of the parties hereto may designate in writing to the other from time to time for such purpose. AMENDMENTS AND WAIVERS: This Agreement and the Schedule executed by Seller and Purchaser constitute the entire agreement between Seller and Purchaser with respect to the Maintenance Services and this Agreement may not be amended except in writing signed by both parties, CONSTRUCTION: This Agreement shall be governed by and construed in accordance with the laws of the state in which Purchaser is located. Titles of sections of this Agreement are for convenience only and shall not define or limit the terms or provisions hereof. Time is of the essence under this Agreement. This Agreement shall inure to the benefit of and shall be binding upon Seller and Purchaser and their respective successors and assigns. This Agreement may be simultaneously executed in counterparts, each shall be an original with all being the same instrument. Schedule to Tax -Exempt Payment Plan Agreement This Schedule is entered into pursuant to Tax -Exempt Payment Plan Agreement dated as of 11/9/2006 between Seller and Purchaser. 1. Inte retation. The terms and conditions of the Tax -Exempt Payment Plan Agreement (the "Agreement") are incorporated herein. 2. Maintenance Services Description. The Maintenance Services subject to this Schedule are described in Exhibit A. attached hereto. 3. Term and Payments. Term and Installment Payments are per the table below, Installment Payments shall be annual and in advance, or as defined below. If the Payment Due Dates are not defined, they shall be defined as the date of receipt of the Multi -Year Services Payment by Cisco as certified in the Cisco Certificate in the form attached as Exhibit B, and the anniversary of such day of each year thereafter. Purchaser shall have the option to prepay the Installment Payments due under this Schedule by paying the Concluding Balance shown in the table below, plus any other amounts due and owing at the time of prepayment, subject to per diem adjustment. 4. Expiration. Seller, at its sole determination, may choose not to accept this Schedule if the fully executed, original Agreement (including this Schedule and all ancillary documents) are not received by Seller at its place of business by 1111412006. 5. Multi -Year Services Payment. The Multi -Year Services Payment to Cisco Systems, Inc., shall be $21,452.00. 6. Opinion of Counsel. Purchaser has provided the opinion of its legal counsel substantially in the form as attached as Exhibit C, hereto. Pav # Date Payment Principal Interest Termination Balance 1 14 -Nov -2006 7,528.48 7,528.48 0.00 14,341.23 2 14 -Nov -2007 7,528.48 6,779.39 749.09 7,358.45 3 14 -Nov -2008 7, 528.48 7,144.13 384.35 0.00 IN WITNESS WHEREOF, Seller and Purchaser have caused this Schedule to be executed in their names by their duly authorized representatives, Seller: Key Government Finance, Inc. Name: Title: 91P, OriginationG 8, Syndications Purchaser: Town of Westlake By: Name: _7; C..+.J 0c Title: c� We� v Attest: B Name: Title: EXHIBIT A Maintenance Services Description The Maintenance Services are as set forth in that certain Quote Vs Q5428734, Q5428740 and Q5428744 dated August 15, 2006 and Quote Vs Q5597534, Q5597655 and Q5597579 dated October 10, 2006 (the "Maintenance Contract'), between Purchaser and AT&T. 2524526 FHK073OVlQ3 16 -Oct -06 15 -Oct -09 2524526 FHK073OV104 16 -Oct -06 15 -Oct -09 2524526 FHK0730VIQ5 16 -Oct -06 15 -Oct -09 2524526 FHK073OVlQ2 16 -Oct -06 15 -Qct -09 2524526 INMO72564A7 16 -Oct -06 13 -Apr -09 2524526 INMO71860ON 16 -Oct -06 13 -Apr -09 2524526 INMO72864GO 16 -Oct -06 13 -Apr -09 2524526 INMO72564A4 16 -Oct -06 13 -Apr -09 2524526 INMO72564L7 16 -Oct -06 13 -Apr -09 2524526 INMO72864G4 16 -Oct -06 13 -Apr -09 2524526 INMO72564S4 16 -Oct -06 13 -Apr -09 2524526 INMO72864K2 16 -Oct -06 13 -Apr -09 2524526 INMO72864SO 16 -Qct -06 13 -Apr -09 2524526 INMO725648S 16 -Oct -06 13 -Apr -09 2524526 INMO72564PH 16 -Oct -06 13 -Apr -09 2524526 FHK073012LU 16 -Oct -06 15 -Oct -09 2524526 FTX1020W1TY 21 -May -07 15 -Oct -09 2524526 JMX0714L1HH 16 -Oct -06 15 -Qct -09 2524526 INMO7300301 16 -Oct -06 15 -Oct -09 2524526 INMO73005R8 16 -Oct -06 15 -Oct -09 2524526 INMO7290HUK 16 -Oct -06 15 -Oct -09 2524526 INMO7300DXP 16 -Oct -06 15 -Oct -09 2524526 INMO731 OA7Y 16 -Oct -06 15 -Oct -09 2524526 INMO73104MQ 16 -Oct -06 15 -Oct -09 2524526 INMO7300DXX 16 -Oct -06 15 -Oct -09 2524526 INMO73104P5 16 -Oct -06 15 -Oct -09 2524526 INMO7270696 16 -Qct -06 15 -Oct -09 2524526 INMO731059N 16 -Oct -06 15 -Oct -09 2524526 INMO730OBHR 16 -Oct -06 15 -Oct -09 2524526 INMO7310426 16 -Oct -06 15 -Oct -09 2524526 INMO7310OUD 16 -Oct -06 15 -Oct -09 2524526 INMO73002MD 16 -Oct -06 15 -Oct -09 2524526 INM073104D1 16 -Oct -06 15 -Oct -09 2524526 INMO731045Q 16 -Oct -06 15 -Oct -09 2524526 INMO73104DF 16 -Oct -06 15 -Oct -09 2524526 INMO73104BW 16 -Oct -06 15 -Qct -09 2524526 INMO73104EF 16 -Qct -06 15 -Oct -09 2524526 INMO73104PA 16 -Oct -06 15 -Oct -09 2524526 INMO73002QV 16 -Oct -06 15 -Oct -09 2524526 INMO731 OA7M 16 -Oct -06 15 -Oct -09 2524526 INM073104JN 16 -Oct -06 15 -Oct -09 2524526 INM0731040V 16 -Oct -06 15 -Qct -09 2524526 1NM07310A7G 16 -Oct -06 15 -Oct -09 2524526 INM072706H0 16 -Oct -06 15 -Oct -09 2524526 INM07300DPJ 16 -Oct -06 15 -Oct -09 2524526 INM07310248 16 -Oct -06 15 -Qct -09 2524526 INM073104NV 16 -Oct -06 15 -Oct -09 2524526 INM07300DVD 16 -Oct -06 15 -Oct -09 2524526 INM073100PY 16 -Oct -06 15-Oct=09 2524526 INMO7300DJS 16 -Oct -06 15 -Oct -09 2524526 I N M O73104VX 16 -Qct -06 15 -Oct -09 2524526 INMO7300BJ2 16 -Qct -06 15 -Oct -09 2524526 INM07310AAR 16 -Qct -06 15 -Oct -09 2524526 INM07300BDW 16 -Oct -06 15 -Oct -09 2524526 INM07280P6G 16 -Oct -06 15 -Oct -09 2524526 INM07270B01 16 -Oct -06 15 -Oct -09 2524526 INM073002QY 16 -qct -06 15 -Oct -09 2524526 INM073104DR 16 -Oct -06 15 -Oct -09 2524526 INM073002QW 16 -Oct -06 15 -Oct -09 2524526 I N M 073008L5 16 -Oct -06 15-0 ct-09 2524526 INM0730095X 16 -Oct -06 15 -Oct -09 2524526 INM09061 XD5 16 -Aug -06 15 -Oct -09 2524526 INM090625HW 16 -Aug -06 15 -Oct -09 2524526 INMO7361 JN2 16 -Oct -06 15 -Oct -09 2524526 INM07310G8M 16 -Oct -06 15 -Oct -09 2524526 INM07310HA7 16 -Oct -06 15 -Oct -09 2524526 INM07310HJV 16 -Oct -06 15 -Oct -09 2524526 INM07310GB1 16 -Oct -06 15 -Oct -09 2524526 INM07310GAP 16 -Oct -06 1.5 -Oct -09 2524526 INMO7310HRX 16 -Oct -06 15 -Oct -09 2524526 INM07310HJ2 16 -Oct -06 15 -Oct -09 2524526 INM07310HQT 16 -Oct -06 15 -Oct -09 2524526 INM07310GAN 16 -Oct -06 15 -Oct -09 2524526 I N M08181 V8A 16 -Oct -06 15 -Oct -09 2524526 6J37LJH3703K 16 -Oct -06 16 -Mar -09 2524526 6J37LJH3703G 16 -Oct -06 16 -Mar -09 2524526 88807320796 16 -Qct -06 15 -Oct -09 2524526 CAT0722YOAX 16 -Qct -06 15 -Oct -09 2524526 CAT0719X175 16 -Oct -06 15 -Oct -09 2524526 CAT0728R20L 16 -Oct -06 15 -Oct -09 2524526 CAT0729R1 H9 16 -Oct -06 15 -Oct -09 2524526 CAT0729Y1 RA 16 -Oct -06 15 -Oct -09 2524526 CAT0730R00W 16 -Qct -06 15 -Oct -09 2524526 CAT0729R1 KS 16 -Oct -06 15 -Oct -09 2524526 CAT0728ROK8 16 -Oct -06 15 -Oct -09 2524526 CAT1019Z2WX 21 -May -07 15 -Oct -09 2139369 CSACS-3.2-WIN-K9 16 -Oct -06 23 -Jun -07 2139369 SW -CCM -3.3-7825= 16 -Oct -06 15 -Oct -09 2139369 SW -CCM -3.3-7825= 16 -Oct -06 15 -Oct -09 2892549 UNITY-VM-USR 25 -Mar -08 15 -Oct -09 2892549 UNITY-VM-USR 25 -Mar -08 15 -Oct -09 2892549 UNITY-VM-USR 25 -Mar -08 15 -Oct -09 2892549 UNITY-VM-USR 21 -Aug -07 15 -Oct -09 2892549 CP -79406 21 -Sep -07 15 -Oct -09 2892549 CP -7940G 21 -Sep -07 15 -Oct -09 2892549 CP-794OG 21 -Sep -07 15 -Oct -09 Form 8038 -GC Information Return for Small Tax -Exempt (Rev. November 2440) 1 governmental Bond Issues, Leases, and Installment Sales Department of the Treasury Under Internal Revenue Codesection 149(e) Internal Revenue Service Caution: if the issue price of the issue is $900, 000 or more, use Form 8098-G ss Town of Westlake Number an street CMB No. 1545-0720 2650 J.T. Ottln er Rd. 4 City, town, or post office, state, and ZIP code 5 Report number Westlake, TX 76252 5-01 6 Name and title of officer or legal representative whom the IRS may all for more information 7 Telephone number of oM7r or _I -Val Ms, Debbie Piper, Finance director representative 817-490-5712 Description of Obligations Check if reporting: a single issue 0 or on a consolidated basis Sa Issue price of obli atlon s see instructions ea $21,452 b Issue date (single issue) or calendar year (consolidated) (see instructions) 11'. ('zf tp io 7,777 9 Amount of the reported obligations on line 8a: a Used to refund priorlssue(s)............................................................ ga 0.00 b Representing a loan from the proceeds of another tax-exempt obligations (e.g., bond bank) ........... 9b 0.00 .10 If the Issuer has designated any issue under section 265(b)(3)(B)(I)(I11) (small issuer exception), check this box ► ❑ 11 If any obligation Is in the form of a lease or installment sale, check this box ............ . . . .................... . ...... . . . . . . ► -12 If the Issuer has elected to pay a penalty In lieu of arbitrage rebate, check this box .......................................... ► p Under ni2i` ties of PLEASE knowsg and SIGN HERE General Instructions Section references are to the Internal Revenue Code unless othanvise noted. I declare that I have examined this return and accompanying schedules and statements, and to the best of my are true, correct and complete. Purpose of Form Form 8038 -GC is used by issuers of tax-exempt governmental obligations to provide the IRS with the Information required by section 149(a) and to monitor the requirements of sections 141 through 15C. Who Must File issuers of tax-exempt governmental obligations with issue prices of less than $100,000 must file Form 8038 -GC. Issuers of a tax-exempt governmental obligation with an issue price of $100,000 or more must file Form 8038-0, Information Return for Tax -Exempt Governmental Qbllgatons. Filing a separate return.—Issuers have the option Jo file a separate Form 8038 -GC for any tax-exempt governmental obligation with an issue price of less $100,000. An issuer of a tax-exempt bond used to finance construction expenditures must file at separate Form 8038 -GC for each issue to give notice to the IRS that an election was made to pay a penalty In lieu of arbitrage rebate (see the line 12 instructions). Filing a consolidated return. — For all tax-exempt governmental obligations with issue prices of less than $100,000 that are not reported on a separate Form 8038 -GC, an Issuer must file a consolidated information return including all such Issues Issued within the calendar year. Date Type of print naaYe and title Thus, an issuer may the a separate Form e038 - GC for each of a number of small Issues and report the remalnderof small issues issued during the calendar year on one consolidated Form 8038 -GC. However, a separate Form 8038 -GC must be filed to give the IRS notice of the election to pay a penatty in lieu of arbitrage rebate. When To File To file a separate return, file Form 8038 -GC on or before the 15th day of the second calendar month after the close of the calendar quarter In which the Issue is Issued. To file a consolidated return, file Form 8038 -GC an or before February 15th of the calendar year following the year in which the Issue is issued. Late filing. An Issuer may be granted an extension of time to file Form 8038 -GC under Section 3 of Rev. Proo. 88-10, 1988-1 C,B, 835, if it is determined that the failure to file on time Is not due to willful neglect. Type or print at the bottom of the form, "This Statement Is Submitted In Accordance with Rev. Proc. 88-10." Attach to the Form 8038 -GC a letter Melly stating why the form was not submitted to the IRS on time. Also indicate whether the obligation in question is under examination by the IRS. Do not submit copies of any bond documents, leases, or Installment sale documents. See Where to Fila below, Where To File File Form 8038 -GC, and any attachments, with the Interna! Revenue Service Center, Ogden, UT 84201. Other Forms That May Be Required For rebating arbitrage (or paying a penalty in Ilau of arbitrage rebate) to the Federal government, use Form 8038-T, Arbitrage Rebate and Penalty in Lleu of Arbitrage Rebate. For private activity bunds, use Form 8038, Information Return for Tax -Exempt Private Activity Bond Issues. Rounding Off to Whole Dollars You may show the money items an this return as whole - dollar amounts. To do so, drop any amount less than 50 cents and Increase any amount from 50 cents through 99 cents to the next higher dollar. Definitions Obligations. This refers to a single tax-exempt governmental obligation if Form 8038 -GC Is used for separate reporting or to multiple tax-exempt governmental obligations if the form Is used for consolidated reporting. Tax-exempt obligation. This is a bond, Installment purchase agreement, or a financial lease, on which the Interest is excluded from Income under section 103. Tax-exempt governmental obligation. A tax-exempt obligation that is not a private activity, bond (see below) is a tax-exempt governmental obligation. This Includes a bond Issued by a qualified volunteer fire department under section 160(e). Private activity bond. This Includes an obligation Issued as part of an Issue in which: • More than 10% of the proceeds are to be used for any private business use, and Cat, No. 64108E Form 8038 -GC (Rev. 11-2000) INVOICE INSTRUCTIONS (The information you provide enables us to invoice you correctly.) Town of Westlake BILL TO ADDRESS: 'g, 050 --s- -1- ® +-t 1 "1 A 1, BILLING CONTACT: I. First, M. I. and Last Name: b �' r � I' Title: f-1 +�o4xz+ e . 1� ► t' e.� �° Phone Number: Fax Number: PURCHASE ORDER NUMBER: Invoices require purchase order numbers: YES NO Purchase Order Number: FEDERAL TAX ID NUMBER: Cl 2- ADDITIONAL INFORMATION NEEDED ON INVOICE: