Extracted text (via pymupdf)
11145 characters
Indian Creek
200 W Wickenburg Way
Wickenburg, AZ 85390
928-231-3727
info@indiancreekhome.com
Date: 7/31/2025
Kathleen Crutchfield,
On behalf of Indian Creek, I am writing to express our intent to apply for the Commercial Facade
Grant in the amount of $10,000.00. We appreciate the opportunity to participate In this program
and are grateful for your support of local businesses committed to revitalization and preservation.
Indian Creek is a Western lifestyle brand, and we are deeply committed to the "Keep Wickenburg
W~stern" spirit- not only through the products we offer but also In the way we maintain and
present our physical location. Since taking ownership of the property at 200 W Wickenburg Wf)y, we
have made substantial Interior and structural improvements, and we now look forward to the
opportunity to complete and enhance the building's exterior. Located just steps from Historic
Downtown and positioned along one of Wickenburg's main travel corridors, our storefront is highly
visible to both locals and visitors alike. We intend to utilize long-lasting, durable materials that
honor the town's Western heritage and ensure that the investment made through this grant will
have lasting impact for years to come.
Enclosed with this letter, please find all applicable documentation supporting our request,
including:
•
Illustrations of the current building facade and proposed Improvements
•
A copy of our Town of Wickenburg business license
•
Completed W-9 form
We trust that these materials will aid in your review and clearly demonstrate the vision and long-
term value of our proposed improvements.
Thank you for your time and consideration. Should any further information be needed, please feel
free to contact me directly.
Sincerely.
~~---~~~
Emily Harper
Owner, Indian Creek
623-695-3680
a
Tawn of Wickenburg
Commercial Fa~ade Grant Application
Organization Name:
Indian Creek
----------------------
Address:
200 W Wickenburg Way Wickenburg AZ 85390
Phone:
928-231-3727
2nd Phone: 928-671-0139
Email:
info@indiancreekhome.com
Contact Name and Title: Emily Harper, Owner
Scope of Work:
*Add stone work to the base of the columns at the front of the building, matching interior desiqfi
*Import approximately 40-45 tons of Rip Rap to fill roadside landscaping, matching existing Wi
*Purchase and install of approved lighting to illuminate the existing building signage
*Custom metal signage and installation for roadside pedestal
*Striping of the existing parking lot, including handicap and safety striping
10,000.00
Owner
7/31/2025
Title
Date
Installation of lighting
for signage
Installation of stone
across all 6 pillars
Lighting & Stone Work
Custom Metal
Signage, style is a
cutout with
background
contrast color.
Both sides
included in
quote.
Custom Metal Signage
Palomino Gold Rip Rap to
match existing materials
and fill in notable gaps in
the roadside landscaping.
Landscaping Rip Rap
Parking Lot Striping
Arial View: Striping as depicted for entire lot.
Business License
If customer does not provide Arizona Resale Tax number, by submitting a signed AZ DOR Form 5005 before invoicing, sales tax on 65% of the contract will be added to
proposal price and become a part of this contract. Customer agrees to pay all applicable sales tax if not for resale.
Page 1 of 2
H&H Building Solutions LLC
PO Box 21346
Wickenburg, AZ 85358 US
+1 9282310279
jake@handhbuildingsolutions.com
www.hhbuildingsolutions.org
Estimate
ADDRESS
Ashley Potts
Indian Creek
ESTIMATE
1357
DATE
07/31/2025
DATE
DESCRIPTION
QTY
RATE
AMOUNT
Landscaping
INCLUSIONS:
-Approximately 40 tons of Palomino
Gold Rip Rap 3-9"
-Trucking fees to location
-Placement and distribution of
materials
1
8,917.00
8,917.00
Tile/Stone Work
INCLUSIONS:
-Approximately 60 sq ft of stone/tile
material of clients choosing & all
applicable materials
-Placement and labor of material on (6)
pillar bases
1
2,673.00
2,673.00
lighting
INCLUSIONS:
-Purchase and install of directional
lighting to illuminate the building name
signage.
*Lighting selection subject to local
Zoning Code
1
2,430.00
2,430.00
Custom Metal Work
INCLUSIONS:
-Creation, collaboration, & callibration
of design
-Steel material
-Cutting and Installation
1
4,380.00
4,380.00
Parking Lot Striping
INCLUSIONS:
-Striping of all parking stalls. Approx 28
-Striping of ADA ramps
-Handicap Stalls Images
1
1,600.00
1,600.00
Payment / Deposit Terms
* 50% mobilization fee due upon
acceptance of this estimate. Work will
not commence until payment is
received.
* Remaining balances are due upon
completion of the project.
* Mailed payments must be
postmarked within 2 days of final
invoice date to avoid late payment
penalties.
* In-Person payments are preferred
1
0.00
0.00
If customer does not provide Arizona Resale Tax number, by submitting a signed AZ DOR Form 5005 before invoicing, sales tax on 65% of the contract will be added to
proposal price and become a part of this contract. Customer agrees to pay all applicable sales tax if not for resale.
Page 2 of 2
and can be coordinated directly with
office staff at 928-231-0279
SUBTOTAL
20,000.00
TAX
0.00
TOTAL
$20,000.00
Accepted By
Accepted Date
Form W-9
Request for Taxpayer
Give Form to the
(Rev. Ol!cember 2014)
Identification Number and Certification
requester. Do not
Department of the T-.y
send to 1he IRS.
lnle<na!AeYeni»SeMce
1 Name (as .,._, on your income tax 1'11bffi. Name is niquinld on this line; do not lllll'le this line bla"«.
Emily Harper
c,;
2 Business narne,ldi9reglr entity -.
if diffl!r9nt from above
i
Indian Creek LLC
3 Check appiopr iale bolt fix- federal tax ciassificatiu ,; check only one of the following_., boxes:
4 Exemptions (codes apply orly to
C:
certain entities, not indiYlduals; see
0
□
lndMrull/90le proprietor°"
0 C Copc.waliOii
□ s Copc.wation 0 Pall~
0 TN!lf/eslale
instnJCtions on page 3):
JI
single-member u.c
E-,ipt ~
code (:rt any)
[{) Limited iability ()0111)1111y. Enler the tax ..lwtilk:atio, (C=C 001pc.waio,I, S=S 001pc.waion, P:pa,llesl~ ►
~1
Note. For a single-member U.C that is disiega,ded, do not check U.C; check th,, 4'J)lopriale box in the line lDMI for
Exemption from FATCA reporting
code~ar'Y)
cc
the tax classification of the single-mlllnm OWl9'.
'C-
0 Other (see instructions) ►
~----NU.S./
a. u
!E
5 Address (number. aln!et. and apt. °" suite no.)
~•
name and addleN (optional)
1 200 W Wickenburg Way
Town Of Wickenburg
a,
6 Qty, state, and ZIP oode
J Wickenburg AZ. 85390
7 list account number(sl here (optional)
ma Taxpayer Identification Number (TIN)
ISociat__._numll8r
I
Enter~ TIN in the~
box. '!118 TIN provided rrust match the name given on line 1 to avoid
backup withholding. For 1ndividuals, this Is generally your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the Part I Instructions on page 3. For other
entitles, it is your employer identification number (EIN). If you do not have a number, see How to get a
T1N on page 3.
[ID -DJ -I I I I I
or
Note. If the account is in more than one name, see the instructions for line 1 and the chart on page 4 for I Eniployw idenliftcalion nummr
ITT -l
21f+ I I I I I
guidelines on whose number to enter.
■@II•
Certification
Text
Under penalties of perjury, I certify that:
1. The number shown on this form Is my correct taxpayer Identification number (or I am waiting for a number to be issued to me); and
2. I am oot subject to backup withholding because: (a) I am exempt from backup withholding, or {b) I have not been ootifled by the Internal Revenue
Service ORS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has ootified me that I am
oo longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (rf 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 roortgage
interest paid. acquisition or abandonment of secured property, cancellation of debt, contributions to an Individual retirement arrangement ORA), and
generaly, payments other than interest and dividends, you are not required to sign the certlflcatiol,, but you roost provide your correct TIN. See the
instructions on page 3.
Sign I Signature or
Here
u.s.peraor1 ►
General Instructions
Section r9fenlncea -
to the Internal Revenue Code unless otherwise noted.
Fulwe denlaprnenls. lnfonnltion about deYelopments affectlng Form W-9 (such
as legislation enacted.,.._ releae it) is at www.in.gov/fw9.
Purpose of Form
An 1nd1vldual or enllty (Form W-9 requester) who is required to file an information
return wrth the IRS must obtain your co,rect taxpayer identification number (TIN)
whlCh may be your social secunty number (SSN), Individual taxpayer Identification
number (ITTN). adoption taxpayer identification number (A TIN), or employer
Identification number (EJN), to report on an information return the amount paid to
you, or other amount reportable on an lnformat10r1 return. Examples or informat,on
returns Include, but we not limrted to, the following:
• Form 1099-INT (interest earned or paid)
• Form 1099-0IV (dividends, 111clud,ng 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 party network transactions)
Date ►
• Form 1098 (home mortgage interest), 1098-E (student loan interest) 1098-T
(tuition)
•
• Form 1099-C (canoeled debt)
• Form 1099-A (acquisition °" abandonment of secured property)
~
Form W-9 ooty if you -
a U.S. person ~ncluding a resident alien), to
provide Y01K COffllCI TIN.
If you do not return Form W-9 to the requester with a nN. you might be subject
to backup withholding. See What is baclcup withholding? on page 2.
By signing the filled-out form, you:
1. Certify that the TIN you are giving is correct (or you are WBltmg for a number
to be issued),
2. Certify that you are not subject to backup withhokling, or
3. Claim exemption from backup withholding 1f you are a U.S. exempt payee. If
applicable, you are also cert1fy,ng that as a U.S. person, your allocable share of
any partnership income from a U.S. trade or business ,s not sub1ect to the
w1thhold,ng tax on foreign partners' share of effectively connected income, and
4. Certify that FATCA code(s) entered on this fonn (ti any) Indicating that you are
exempt from the FATCA reporting, is correct. See What is FATCA reporting? on
page 2 for further informat,on.
Cat. No. 10231X
Form W-9 (Rev. 12-2014)