FISCAL CONDUIT AGREEMENT

AGREEMENT BETWEEN

, hereinafter called “Fiscal Conduit”,
located at
and / , hereinafter called “Program”,
located at
for the administration and expenditure of funds related to a Contract
(ID # / ) between the Fiscal Conduit and the Department of Youth & Community Development for the
provision of youth services by the Program, as prescribed in such Contract.

The Undersigned parties affirm and agree to the following:

  1. The Fiscal Conduit has entered into a contract with the Department of Youth & Community Development for the benefit of the Program during fiscal year 20xx.

Contract ID No.: / Program Term: From / To
Term: From / To / Program Amount: $
Contract Amount: $
  1. The Fiscal Conduit shall receive and administer all funds related to the Contract for the benefit of the Program, in the manner and for the purposes prescribed in such Contract.
  1. The Program shall submit to the Fiscal Conduit a completed Program Expenditure Report Summary (P.E.R.S.) of such other documentation of expenditures at the time and in the manner as may be required by the Fiscal Conduit.
  1. The Fiscal Conduit shall promptly submit to the Department a completed P.E.R.S. for payment of the Program’s authorized expenditures at the time and in the manner prescribed by the Department.
  1. Upon receipt of funds from the Department, the Fiscal Conduit shall effectuate payment on behalf of the Program, for expenditures incurred pursuant to the Contract.
  1. If the Department issues an advance to the Fiscal Conduit, pursuant to Part C, Article 2 (F.) of the Contract, or facilitates a loan in accordance with Department procedures, the Fiscal Conduit shall effectuate payment for authorized expenditures of the Program, and ensure reimbursement to the Department through the submission of P.E.R.S. in the manner prescribed by the Department.
  1. The Fiscal Conduit and the Program shall act reasonably in good faith in furtherance of the services to be provided pursuant to the Contract, and shall promptly notify the Department of any dispute, modification of service or alteration of their relationship in relation to this Contract.
  1. Notwithstanding the terms of this Agreement, all terms of the Contract shall be remain in full force and effect and the Fiscal Conduit as party to such contract shall be responsible for compliance with all of its provisions.
  1. Nothing contained in this Agreement shall create any contractual relationship between the Program and the Department of Youth & Community Development.

Department Contractor/Fiscal Conduit / Program
Date / Date