HomeMy WebLinkAbout19- Gift Disclosure Form - B. Fontenot - Economic Development Conference in Kiev 40�I30zL,
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City of Bozeman
P.O.Box 1230/121 North Rouse Avenue
Bozeman,Montana
agenda@bozeman.net
59771
Phone:406-582-2320
Gift Disclosure Form ww.b zeman.ne
www.bozeman.net
Date: November 5,2019
Name: FEconomic
Department: pment
Phone#: 406-579-1302
Email address: bfontenot@bozeman.net
Who gave the item? Global Communities
For what purpose? Present at Economic Development Conference in Kiev,Ukraine(Nov.17-22,2019) see attached
Describe the Item: airfare,hotel accommodations,per diem
What is the Items Estimated Value? unknown,approx$3,000 USD(but that's a guess)
Have you reviewed the Gift Provision on page 10 of the City of Bozeman Ethics
Handbook to verify this is an item you can receive? Drop-down List Yes
Comments:
attached is the contract outlining expenses
By submitting this form,you are confirming that the information�Qntaia herein is correct and true to the best of your
knowledge. A digital signature can be created through the'subri'ri b e-mail'butt you prefer,yo n also print,sign
and mail or deliver to the clerk's office. Thank you! X
Signature: J
If you have questions about the gift provision please call or e-mail the City Attorney at(406)582-2309.
Global
Communities
0"
October28,2019 Partners for Good
Brit Fontenot
301 East Story Street,Bozeman
Montana,USA
Tel.+1406-579-1302
E-mail: brit.fontenot@gmail.com
Dear Fontenot,
Global Communities is pleased to offer you a volunteer position as a Speaker to participate in the Strategic
Development and Investment Conference organized by the DOBRE program in Ukraine,hereafter referred
to as a"Volunteer Position". Details of the Volunteer Position are outlined in this Volunteer Assignment
Letter,as follows:
1. Position: Your Volunteer Position will be within the DOBRE program in Ukraine (hereinafter
"Volunteer Country").You will be based in the city of kyiv.You will report to and perform the
duties in your Scope of Work(provided as attachment) under the direction and supervision of
Yulia Yesmukhanova, Deputy Chief of Party, while in Volunteer Country. Global Communities
reserves the right to change your duties and reporting relationships as may be determined by it
to be in its best interest.
As you are aware, Global Communities' volunteer positions are unaccompanied. Expenses
incurred as a result of your decision to have someone accompany you,as well as all responsibility
for the safety and well-being of any accompanying individuals will be solely yours.
2. Start Date: It is anticipated that your Volunteer Position will begin on November 17, 2019 and
ends on November 22,2019.
3. Term: The estimated length of the assignment is six days, ending no later than November 22,
2019. The term of your assignment will correspond to and is dependent upon the needs and
requirements of Global Communities. Either you or Global Communities may terminate the
volunteer relationship at anytime for any reason.
4. Compensation: Global Communities does not compensate volunteer positions.
5. Assignment Expenses:Global Communities agrees to:
f Arrange and cover the cost of your economy-class flights.Upgrades from economy-class
and/or changes to itineraries booked by Global Communities, such as stop-overs or
extended stays during travel,will be at your expense.
® Cover the cost of lodging/housing and.local transportation in Volunteer Country, all of
which will be arranged and paid locally by the Global Communities,office in Volunteer
Country.
0 Provide a per diem to cover meals and incidental expenses (M&IE), including
transportation not provided by the program implementers to and from
FORMERLY
Global Communities { 8601 Georgia Avenue,Suite 800 1 Silver Spring,MD 20910 USA
T:(+1)301.587,4700 1 F:(+1)301.587.7315 E:mailbox@globalcommunities.org j www.globalcommuiiities.org H4,
international
0 Global
Communities
Partners for Good
the property of Global Communities("Global Communities Materials"),and you hereby assign all
Global Communities Materials to Global Communities. You further agree that all such creations
and developments shall be the exclusive property of Global Communities and that you shall have
no right,title,or interest in any such creations or developments. You agree to execute any and
all additional documents that Global Communities may request to evidence the assignment
and/or the ownership by Global Communities of the Global Communities Materials and to
cooperate with and assist Global Communities in securing any patent, copyright, trademark,
and/or other intellectual property rights to any Global Communities Materials which are assigned
to Global Communities under the provisions of this Paragraph,even if you cease to volunteer for
Global Communities. You agree that all Global Communities Materials (including, without
limitation, computer files and diskettes containing Global Communities Materials) shall be
delivered to Global Communities immediately following the end of your assignment.with Global
Communities or upon the request of Global Communities. Except as necessary to perform the
duties with Global Communities,you agree not to release, disclose or use Global Communities
Materials for any purpose.
You further agree that Global Communities will be entitled to any and all remedies provided by
law — and specifically, to an injunction, or court order, restraining any further violations, any
damages, costs, and expenses, including reasonable legal fees, which Global Communities may
incur as a result of your violation of this Confidentiality provision or to enforce your commitments
under this Provision.
9. Choice of Law: The Agreement will be governed by and construed in accordance with the laws of
the State of Maryland,without reference to conflict of laws principles. Any disputes that cannot
first be settled amicably by agreement of the parties shall be determined by confidential and
binding arbitration administered by the American Arbitration Association in accordance with its
rules and procedures and under the substantive laws of the State of Maryland, USA, to the
exclusion of any private international law rules.The dispute shall be decided by a single arbitrator
in Silver Spring,Maryland.
10. Acknowledgement of Risk: You acknowledge that you may be assigned to countries outside of
your home country(each,a "Host Country")for which the U.S. Department of State has issued
travel warnings that provide State Department-issued recommendations advising conditions in a
particular country. The Global Communities Office of Security will issue any necessary travel
warnings for specific countries which are available at www.travel.state.eov/travel warnings.htmi.
You agree to review any Travel Warnings applicable to Volunteer Country and will comply with
specific recommendations of those Travel Warnings and any instructions provided prior to and
during your volunteer assignment by the Global Communities office of Security or any designated
security officer in Volunteer Country.
You further understand and acknowledge the inherent risks associated with traveling to and
working in Host Countries,especially those for which a Travel Warning has been issued,and that
you are assuming any risks involved with such travel. You agree to release,indemnify,and hold
harmless Global Communities and its officers, directors, employees,agents, and any person or
entity who may be jointly liable with Global Communities from and against any and all losses,
claims,causes of action,damages,costs,expenses,and liabilities in connection with any injury to
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0 Global
Communities
Partners for Mood
Assignment Letter, You further acknowledge and represent that you understand the final binding
nature of the terms,conditions,and rights specified in this Volunteer Assignment Letter and that
you are knowingly and voluntarily entering into this Volunteer Assignment Letter with the intent
to be bound by it and without any coercion or duress from any person or source whatsoever. The
language in the agreement does not result in a contract of employment with Global Communities.
This Volunteer Assignment Letter may be executed in any number of counterparts,each of which
shall be deemed to be an original,and all of which shall be deemed as being the same instrument.
In addition,as evidenced by their respective signatures on this Volunteer Assignment Letter,the
parties agree that this Volunteer Assignment Letter may be executed and delivered by electronic
means,and that they electronic copy of this Volunteer Assignment Letter bearing their signature
shall be considered an original document for all purposes under law.
To accept this assignment,sign and date the enclosed copy of this Volunteer Assignment Letter below and
return it to Global Communities' Office of Human Resources within three (3) business days. This
assignment will remain open only until that date. By signing and returning this Volunteer Assignment
Letter,you agree to all of the terms set forth above.
Sincerely,
Abhishek hasin
Senior Vice President and Chief Finance Officer
AB/az
Volunteer assignme eived,understood and accepted: `0
Brit Fontenot
Date
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