COVID-19 EMERGENCY ANIMAL CARE GRANT AGREEMENT.PDF

COVID-19 Emergency Animal Care Grant Agreement 
The Humane Society of the United States (the “HSUS”) approves a grant to ________________________________ 
(the “Grantee”) in the amount of _______________________ dollars ($_____ USD), which is made under the terms 
and conditions set forth in this agreement. 
As a condition of the grant, Grantee agrees as follows: 
1.
Grantee Representations:  Grantee hereby represents and warrants that it is either (a) an organization that
is currently recognized by the Internal Revenue Service (the “IRS”) as a public charity under § 501(c)(3) of the
Internal Revenue Code; or (b) a municipal agency authorized to accept grants from non-profit 501(c)(3)
organizations. Grantee will inform the HSUS immediately of any change in, or IRS proposed or actual
revocation (whether or not appealed) of, its tax status described above. Further, Grantee represents and
warrants that, prior to executing this agreement, it has informed the HSUS of any “Covered Officials” (as such
term is defined in the Lobbying Disclosure Act, 2 U.S.C. 1601 et seq.) that serve on its leadership team or board
of directors.
Initial: ______ 
2.
Grant Purpose:  Pursuant to its charitable mission, the HSUS seeks to advance the cause of animal protection
by supporting local organizations’ efforts to keep people and their pets together during the COVID-19 crisis.
To that end, Grantee has agreed to use the grant funds solely for the purpose of responding to community
and sheltering needs resulting from the COVID-19 pandemic. Specifically, Grantee shall use the grant funds to
provide pet food, other animal care supplies, and veterinary care to address urgent medical concerns and
quality of life for owned/community animals. This grant is provided to Grantee for this specific purpose, and
Grantee shall not use the grant funds for any other purpose unless prior written approval has been received
from the HSUS.
Initial: ______ 
3.
Grant Period and Disbursement of Funds:  Grantee shall have six (6) months from the date Grantee
receives the grant funds to use the grant funds in accordance with the terms of this agreement (the “Grant
Period”). The Grant Period shall not be extended without written approval from the HSUS. Disbursement of
the grant funds shall be made upon Grantee’s execution of this agreement and the HSUS’s receipt thereof.
Initial: ______ 
4.
Expenditure of Funds:  The grant funds provided shall be used exclusively for the purpose stated in
Paragraph 2. Grantee shall not engage in any activity on behalf of the HSUS that may jeopardize the HSUS’s
status as a nonprofit charity qualified to receive tax-deductible contributions under section 501(c)(3) of the
Internal Revenue Code. Without limiting the generality of the preceding sentence, no grant funds shall be used 
to (a) lobby or otherwise attempt to influence legislation at any level of government, either through efforts to
influence legislators themselves, or through efforts to influence the views of Grantee’s members or the general 
public on legislative matters; (b) influence the outcome of any specific public election or participate or
intervene in any political campaign on behalf of or in opposition to any candidate for public office or conduct,
directly or indirectly, any voter registration drive; or (c) for any purpose other than that stated in Paragraph
2. Further, Grantee shall not use the grant funds to cover Grantee’s overhead expenses. Examples of overhead
expenses include, but are not limited to, salaries/wages, legal expenses, utilities, and fundraising expenses.
Initial: ______ 
5.
Reversion of Funds:  Unless Grantee has obtained prior written approval from the HSUS for any variance,
any portion of the grant funds not used for the grant purpose purpose stated in Paragraph 2 or not spent in
accordance with the terms of this agreement shall be returned to the HSUS. Further, any unexpended grant
funds remaining at the end of the Grant Period shall be returned to the HSUS.
Initial: ______ 
Maricopa County Animal Care and Control
twenty thousand
20,000

6.
Recordkeeping, Reporting, and Inspection:  Grantee agrees to provide the HSUS with a brief grant report
following the conclusion of the Grant Period. The grant report shall detail the amount of grant funds spent to
date and the purposes for which such expenditures were used. Upon Grantee’s request, the HSUS will provide
Grantee with a grant report template that can to be used to provide the required details. The grant report
should be emailed to Patti Hoffman at phoffman@humanesociety.org no later than thirty (30) calendar days
following the end of the Grant Period unless prior written approval has been obtained from the HSUS. Receipts
and other documents substantiating expenditures reported may be requested by the HSUS at its sole
discretion. Grantee further agrees that the HSUS may request interim updates and agrees to comply with such 
requests in a timely manner. Grantee shall keep books and records satisfactory to the HSUS related to
Grantee’s performance under this agreement, and Grantee shall maintain copies of any such records and the
grant report for a period of at least three (3) years after the Grant Period ends. Grantee hereby grants
permission for one or more members of the HSUS’s staff to monitor and conduct a review of operations under
this grant which may include site visits, records and materials reviews, and discussions of programs and
finances with Grantee’s personnel.
Initial: ______ 
7.
Public Acknowledgement:  Grantee agrees to credit the HSUS in any press releases, presentations, media
coverage, or announcements resulting from Grantee’s use of the grant funds. Grantee also agrees to
cooperate with the HSUS’s efforts to highlight the programs it funds in the HSUS’s publications and publicity
materials and on the HSUS’s website and social media pages (e.g., Facebook, Twitter, Instagram, etc.).
Initial: ______ 
8.
Anti-Terrorism:  Grantee expressly confirms and certifies that (a) Grantee does not directly or indirectly
engage in, promote, or support any terrorist activity and is not included on any lists of terrorist organizations
compiled by the United States government or any other national or international body; and (b) Grantee does
not knowingly employ people whose names appear on such government watch lists.
Initial: ______ 
9.
Future Funding:  Grantee acknowledges that the receipt of this grant does not imply a commitment on behalf 
of the HSUS to continue funding beyond the terms listed in this grant agreement.
Initial: ______ 
10. The HSUS’s Compliance:  The foregoing conditions comply with the HSUS’s obligations under applicable law
to make reasonable efforts and establish adequate procedures to see that the grant funds are spent solely for
the purpose for which they are provided, and to obtain full and complete records on how grant funds have
been expended. Changes in applicable law, regulations, or rules may require the HSUS to request more
detailed reports or additional measures. Grantee agrees to cooperate with any such requests from the HSUS.
Initial:  ______ 
Signature Page to Follow

Covid-19 Emergency Animal Care Grant Agreement 
 
 
 
 
 
By executing this agreement, Grantee agrees to be bound by the terms and conditions set forth above 
 
 
 
 
 
MARICOPA COUNTY 
BOARD OF SUPERVISORS 
 
 
BY: 
 
 
 
 
 
 
ATTEST: 
 
 
_________________________________ 
        
________________________ 
Chairman, Board of Supervisors 
 
 
Clerk of the Board 
 
 
 
Date: ___________________  
 
 
Date:___________________ 
 
 
 
Approved as to form: 
 
 
_________________________________ 
Deputy County Attorney 
 
Date:_____________________