HomeMy WebLinkAbout21- PIE 2 Signature Certification FormVIII. CERTIFICATION BY LOCAL GOVERNMENT AND BUSINESS
As the responsible authorized agents FOR the City of Bozeman, and Applicant Business: Profitable Ideas
Exchange, Inc. we hereby submit this Big Sky Economic Development Trust Fund Application.
The information presented in this application is, to the best of our knowledge, true, complete and accurately
represents the proposed project. We understand that additional information and documentation may be required. In
addition, we understand that the local or tribal government applicant and the assisted business receiving BSTF
financial assistance are liable for the full amount of the award that is advanced by the Department if the assisted
business: misrepresents itself or its claims, fails to create or maintain the number of net new eligible jobs as specified
in the executed contract and assistance agreement, fails to inject the required amount of match into the project as
specified in the executed contract and assistance agreement, or ceases operations at the Project Site.
X The Applicant designates Prospera Business Network, 406-587-3113 as the authorized contact for any
additional Department requests for the release of additional information regarding this application for BSTF
funds.
Local Applicant: City of Bozeman will accept responsibility for management of the project and compliance with Big
Sky Economic Development Trust Fund regulations.
Applicant Business: Profitable Ideas Exchange, Inc. will accept responsibility for compliance with applicable Big
Sky Economic Development Trust Fund regulations as specified in this application.
Name
(typed):
Local : City of Bozeman
Title (typed):
Chief Elected Official
Signature: X
Date:
As the responsible authorized agents of the Assisted Business: Profitable Ideas Exchange, Inc., we hereby
submit this Big Sky Economic Development Trust Fund Application.
The information presented in this application is, to the best of our knowledge, true, complete and accurately
represents the proposed project. We understand that additional information and documentation may be required. In
addition, we understand that the local or tribal government applicant and the assisted business receiving BSTF
financial assistance are liable for the full amount of the award that is advanced by the Department if the assisted
business: misrepresents itself or its claims, fails to create or maintain the number of net new eligible jobs as specified
in the executed contract and assistance agreement, fails to inject the required amount of match into the project as
specified in the executed contract and assistance agreement, or ceases operations at the Project Site.
The assisted business agrees that the Montana Department of Commerce and the Montana Department of Revenue
may share financial and tax information related to this application.
Name
(typed):
Renee Storm
Assisted Business: Profitable Ideas Exchange,
Inc.
Title (typed): Human Resource Manager
Authorized Representative
Signature:
Date: 2/3/21
DocuSign Envelope ID: CB511776-EF56-438A-BF2F-53D3E246B164
Cyndy Andrus
Mayor
2/26/2021