Davis, Georgina L ald bh de ap OS From: Butcher, Loarie H Sent: Friday, August 21, 2015 6:05 AM To: Davis, Georgina L Subject: Re: Old White Charities - Final Payment WV-48 Let me go back and check, it was a blank form what | saw? Sent from my iPad ‘On Aug 20, 2035, at 7:34 AM, "Davis, Georgina L" wrote: Was there something wrong with the 487 | pulled up the old one and changed the $ amount to '930,000.....hat was the only thing | changed besides the fiscal year in the acct structure...do you need something else done? Sent from my iPad ‘On Aug 19, 2015, at 11:11 PM, Butcher, Loarie H wrote: Georgie, can you fill this out for me with the same information that was on the last one, just change the amount? Thank You. You can out in my box and | will ook over next week. Sent from my iPad ‘On Aug 19, 2025, at 12:22 PM, "Davis, Georgina L" wrote: Here is the 48 for the final payment. Georgie Georgina Davis | Administration Wild, Wonderful West Virginia 90 MacCorkle Avenue, SW | South Charleston, WV 25303 *GoTaWY | (304) 957.9339 ‘acehook | Twitter | Instagram | YouTube | Pinterest Request your Officia) State Travel Guide! < PRIVILEGED AND CONFIDENTIAL COMMUNICATION The information tansmited in this emails ntended onl forthe pron or entity a whom itis adveted ond mey cota confidential ond/orprileged material. An ue of shi information other than by the intended rein is riba. Ifyou cee this mesage ‘ner, eae senda vel email othe sender and delete the met fom any and all computers.ve (ou ae State of West Virginia Purchasing Division AGREEMENT Purchase Order #TOR6981 WFIMS Account #3067-2015-7511-61800, ‘TEAM Vendor # WVFIMS Vendor # 000000166506 Casis # |, Qld Wnito Chat, ine, 300 W Main Street, White Suiphur Springs, WV , agree to perform the following services for WV Division of Tourism _" at 90 MacCorkle Avenue, SW, So Chas, WV “tent Gomer iene Date(s) of Service: from June 1, 2015, 0 October 15, 2015 ‘The rate of pay shall be $500,000.00 per NA otto exceed 5NA : for the entire term of the contract. NOTE: Any anticipated travel must be incorporated into the vendor's fee. No travel will be raimbursed by the State and is the sole responsibility of the vendor. The following certification must be ‘completed and signed if the vendor is a full-time employee of the State of West Virginia. Please check the appropriate box below: am not currently a full-time employee of the State of West Virginia; Cam currently a full-time employee of the State of West Virginia (complete certification below). {tis hereby certified that the services to be performed under this egreement will not interfere with or detract from the full-time duties of the employee and the amount of annual compensation received by (above named vendor) from the State of West Virginia for full-time ‘employment during the current fiscal year will beS, . The vendor servesas, sr with the thle of, cattiied by ; GENERAL TERMS AND CONDITIONS: The General Terms and Conditions for Agency Delegated Master Terms ‘and Conditions located on the Purchasing Division's website at http://www.state.wv.us/edminfpurchase/ TCA.pat, ("Terms and Conditions") are hereby mede a part ofthis egreement and are spectfically incorporated herein by reference. By signing this agreement, Vendor certifies that thas reviewed he Terms and Conditions, fully Understands them, and agrees to be bound by thelr provisions, APPROVED BY:RFQ No. STATE OF WEST VIRGINIA Purchasing Division PURCHASING AFFIDAVIT MANDATE: Under W. Va. Code §54-3-108, no contractor renewal of any contract may be awerded by the stale or any ‘of ts poltical subdivisions to any vendor or prospective vendor when the vendor oF prospective vendor or a related party {othe vendor or prospective vendor ism debtor and: (1) the debt owed is en amount greater than one thousend doles in the agoregate; oF (2) the debtor is in employer default, EXCEPTION: The prohibition lated above does not apply where # vendor hes contested any tax edministered pursuant fo ‘chapter eleven of the W. Va. Code, workers’ compensation premium, permit fee or environmental fee or Sesessment and ‘te matter has not become final or where the vendor has entered into @ payment plen or agreement and tne vendor Is not in dofautof any ofthe provisions of euch plan or agreement. “*Debt” means any assessment, premium, penaly fe, tax or other amount of money owed to the state or eny of ts Polticel subaivisions because ‘of a judgment, fine, perm volsion, lense assessment, defaulted workers ‘compensation premium, penatty or other assessment presantly deinquert of due and required to be pai to the visto (oF any of ts paltical subcvisions, inctuding any interest or edctional penalties acerved thereon. “Employer default” means having an outstanding balance or labilly to the old fund ot tothe uninsured employers’ {und or being in podcy default, as defined in W. Va. Code § 23-20-2, failure to maintain mandatory workre ‘compensation coverage, or fare to fully meet it obigetons at a workers’ compensstion self-insured employer. An ‘employer isnot in empioyer default thas entered into a repayment agreement with the Ingurance Commissioner ‘and remain in compliance with the obligations under the repayment agreement. “Related party” means a party. whether an individual, corporation, partnership, association, limited Kabitty company oF any other form or business association or other entity whatsoever, related to any vendor by blood, marriage, ‘ownership or contract trough which the party has a relationship of ownership or other interest withthe vendor 40 thai ‘the party wil actually or by effect recsive oF contol 8 portion of the banat, proft or other consideration trom performance of a vendor contract withthe party receiving an amount that mets or exceed five percent of the teal contract amount AFFIRMATION: By signing this form, the vandor’s authorized signer sffirms and acknowledges under penalty of law for falte ewearing (W. Va. Code §61-5-3) that neither vendor nor any related party owe n debt us defined ‘above and that neither vendor nor any related party are In employer default as dafined shove, unless the debt or ‘employer defauit ls permitted under the exception above. coutyot Crpentinias) root Tekan snes on own to beter me we OL cay Avie 20/5, ‘My Commission expe 201. AFFIX SEAL HERE. NOTARY PUBLIC