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R-55-04 08/09/2004RESOLUTION - (.i RESOLUTION AUTHORIZING THE VILLAGE ADMINISTRATOR TO ENTER INTO A LEASE AND OPTION AGREEMENT WITH DAIMLERCHRYSLER SERVICES NORTH AMERICA LLC WHEREAS, during the budget process it was determined that there were benefits to entering into a lease and option agreement for police department vehicles; and WHEREAS, the Village has received a lease option agreement for four Dodge 4 Door Sedans. NOW, THEREFORE, BE IT RESOLVED by the CORPORATE AUTHORITIES, OF THE VILLAGE OF LEMOTN, COOK COUNTY, ILLINOIS AS FOLLOWS. SECTION 1: AUTHORIZATION: The Village Administrator is hereby authorized and directed to execute an agreement with DaimlerChrysler Services North America LLC in the form attached hereto and incorporated herein as Exhibit A. SECTION 2: CONFLICTS: All prior Resolutions and Resolutions, or parts thereof in conflict or inconsistent with this Resolution are hereby expressly repealed only to the extent of such conflict or inconsistency. SECTION 3: REPEALER: All Resolutions or parts of Resolutions in conflict with any of the provisions of the Resolution shall be, and the same are hereby repealed. SECTION 4: This Resolution shall be in full force and effect from and after its passage, approval, and publication in pamphlet form, as provided by law. PASSED AND APPROVED BY THE PRESIDENT AND BOARD OF TRUSTEES OF THE VILLAGE 9F LEMONT, OF COOK, WILL AND DUPAGE, ILLINOIS, On this 14" day of r , 2004. Debby Blatzer Peter Cowles Steven Rosendahl Jeanette Virgilio Ron Stapleton Brian Reeves AYES NAYS PASSED ABSENT V v d PIAZZA, Villa e Pres e Attest. / Ali iA. !I /_� 4�f/i/ /f IdL ENE SMOL , Village Clerk DaimlerChrysler Services Commercial Vehicles MUNICIPAL LEASE DOCUMENT CHECKLIST Customer Name: Village of Lemont Executed Lease Agreement ❑ Need Executed Resolution Original Credit Application ❑ Need Factory Invoice and Additional Equipment Invoices ❑ Need Dealer Invoice and Sales Contract ❑ Need Insurance Certificate listing DaimlerChrysler Services North America LLC as Loss Payee and Additional Insured (with the following address: P.O. Box 55329, Stockton, CA 95205 -9095) ❑ Need Copy of MSO and Title Application listing DaimlerChrysler Services North America LLC as Lienholder (with the following address: 1011 Warrenville Road, Suite 600, Lisle, IL 60532) ❑ Need Advance Payment, if applicable ❑ Need 8038 -G or 8038 -GC Form ❑ N/A UCC Filing and Fees, if applicable ❑ N/A Opinion of Lessee's Counsel ❑ Need Amortization Schedule 1FFF1772 (10/14/03) Page 1 of 1 Da'imIerChryeler5mleea Commercial VeNdea SCHEDULE (page 1 of 2) July 19th, 2004 Date of Schedule 11111111111111 1 D 1 This Schedule and Certification of Delivery, Inspection, and Acceptance is executed and delivered under and pursuant to the terms of that certain Lease Agreement dated as of July 19th, 2004 by and between the undersigned Lessor and Lessee. DESCRIPTION OF EQUIPMENT Year and Make Model Serial Number Delivery Date 2004 Dodge 4 Door Sedan 2B3HD46V94H701981 7/19/2004 2004 Dodge 4 Door Sedan 2B3HD46VX4H702007 7/19/2004 2004 Dodge 4 Door Sedan 2B3HD46VO4H701979 7/19/2004 2004 Dodge 4 Door Sedan 2B3HD46V74H701980 7/19/2004 Base Location of Equipment (City, County, State): Lemont, Cook, Illinois Rent - Lessee hereby agrees and promises to make rental payments to Lessor as set forth on page 2 of this Schedule. Certificate of Delivery and Acceptance and Date of Placement in Service - Lessee hereby certifies to Lessor that on and as of the date described above as "Delivery Date ", the Equipment described herein: (1) is tangible personal property and (2) has been delivered to, is in the possession of, and has been placed in service by Lessee. Verification of Essential Use - Lessee warrants and verifies that the Equipment is essential for the functioning of Lessee and is immediately needed by Lessee. Funds are expected to come from the general fund of Lessee. Governmental Unit to use Equipment: Village of Lemont Specific Use of Equipment: Public Safety Ratification and Affirmation of Other Representations, Warranties and Covenants - Lessee hereby agrees that its warranties and covenants made in the Lease Agreement are approved, ratified, and affirmed in all aspects as of the date of this Lease Schedule and confirms that the representations made in the Lease Agreement are, as of the date of this Lease Schedule, true, accurate, and complete in all respects. Lessor and Lessee hereby characterize this Lease Schedule as a separate Lease with respect to each of the items of Equipment set forth herein. TFFF1062 (01/12/04) F&I Pro Page 1 of 2 oaimiertleyakr Services Commembl vehicles SCHEDULE A (page 2 of 2) SCHEDULE OF RENTAL PAYMENTS Amount Funded: $92,852.00 Interest Rate: 3.69% per annum Initial Lease Term 36 months Commencement Date: 6/16/2004 Lessee agrees to make periodic rental payments to Lessor as set forth on the attached Amortization Schedule. LESSOR AND. LESSEE HEREBY ACKNOWLEDGE THAT LESSOR'S SIGNATURE ON THIS LEASE SCHEDULE SHALL CONSTITUTE AN ASSIGNMENT OF. ALL OF LESSOR'S RIGHTS, TITLE, AND INTEREST IN AND TO THIS SCHEDULE AND THE EQUIPMENT TO DAIMLERCHRYSLER SERVICES NORTH AMERICA LLC PURSUANT TO THE TERMS OF THE EQUIPMENT RETAIL FINANCE AGREEMENT BY AND BETWEEN LESSOR AND DAIMLERCHRYSLER SERVICES NORTH AMERICA LLC. Thomas Dodge of Orland Park, Inc. Village of nt (LESSOR) By: By: (LE S ) c. Title: Title: " !uP61 6.6" 1062 (01/12/04) F&1 Pro Page 2 of 2 Form 8038 -GC (Rev. November 2000) Department of the Treasury Internal Revenue Service Information Return for Small Tax - Exempt Governmental Bond Issues, Leases, and Installment Sales • Under Internal Revenue Code section 149(e) Caution: If the issue rice of the issue is $100,000 or more, use Form 8038 -G. p OMB No. 1545 -0720 Part I Reporting Authority Check box if Amended Return • • 1 Issuer's name Village of Lemont 2 Issuer's employer identification number 36: 6005968 3 Number and street (or P.O. box if mail is not delivered to Street address) 418 Main Street Room /suite 4 City, town, or post office, state. and ZIP code Lemont, IL 60439 5 Report number 5 6 Name and title of officer or legal representative whom the IRS may call for more information 7 Telephone number of orrice or legal representative ( ) Part II Description of Obligations Check if reporting: a single issue ❑ or on a consolidated basis ❑ . 8a Issue price of obligation(s) (see instructions) b Issue date (single issue) or calendar year (consolidated) (see instructions) • 9 Amount of the reported obligation(s) on line 8a: a Used to refund prior issue(s) b Representing a loan from the proceeds of another tax - exempt obligation (e.g., bond bank) 10 If the issuer has designated any issue under section 265(b)(3)(B)(i)(III) (small issuer exception), check this box 11 If any obligation is in the form of a lease or installment sale, check this box 12 8a $92,852.00 9a 9b ►❑ ►❑ If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check this box • ❑ Sign Here Under pena and bell s of perjury. I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge are true, correct, and j ompl Issuer's a C rized representative 870/6 Date General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Purpose of Form Form 8038 -GC is used by the Issuers of tax - exempt govemmental obligations to provide the IRS with the information required by section 149(e) and to monitor the requirements of sections 141 through 150. Who Must File Issuers of tax - exempt govemmental obligations with issue prices of less than $100,000 must file Form 8038 -GC. Issuers of a tax - exempt governmental obligation with an issue price of $100,000 or more must file Form 8038 -G, Information Return for Tax - Exempt Governmental Obligations. Filing a separate return. Issuers have the option to file a separate Forrn 8038 -GC for any tax - exempt governmental obligation with an Issue price of less than $100,000. An issuer of a tax - exempt bond used to finance construction expenditures must file a separate Form 8038 -GC for each issue to give notice to the IRS that an election was made to pay a penalty in lieu of arbitrage rebate (see the line 12 instructions). Filing a consolidated return. For all tax - exempt govemmental obligations with issue prices of less than $100,000 that are not reported on a separate Form 8038 -GC, an issuer must file a consolidated information retum including all such issues issued within the calendar year. Thus, an issuer may file a separate Forrn 8038 -GC for each of a number of small issues and report the remainder of small issues issued during the calendar year on one consolidated Form 8038 -GC. However, a separate Form 8038 -GC must be filed to give the IRS notice of the election to pay a penalty in lieu of arbitrage rebate. When To File To file a separate return, file Form 8038 -GC on or before the 15th day of the second calendar month after the close of the calendar quarter in which the issue is issued. To file a consolidated return, file Form 8038 -GC on or before February 15th of the calendar year following the year in which the issue is issued. Late filing. An issuer may be granted an extension of time to file Form 8038 -GC under Section 3 of Rev. Proc. 88-10, 1988 -1 C.B. 635, if it is determined that the failure to file on time is not due to willful neglect. Type or print at the top of the form, "This Statement Is Submitted in Accordance with Rev. Proc. 88 -10." Attach to the Form 8038 -GC a letter briefly stating why the form was not submitted to the IRS on time. Also indicate whether the obligation in question is under examination by the IRS. Do not submit copies of any bond documents, leases, or installment sale documents. See Where To File below. Where To File File Form 8038 -GC, and any attachments, with the Internal Revenue Service Center. Ogden, UT 84201. ' L'14 ✓7 1��i�lef 1..)V4 Type or print name and title Other Forms That May Be Required For rebating arbitrage (or paying a penalty in lieu of arbitrage rebate) to the Federal government, use Form 8038 -T, Arbitrage Rebate and Penalty in Lieu of Arbitrage Rebate. For private activity bonds, use Form 8038, Information Return for Tax - Exempt Private Activity Bond Issues. Rounding to Whole Dollars You may show the money items on this retum as whole - dollar amounts. To do so, drop any amount less than 50 cents and increase any amount from 50 to 99 cents to the next higher dollar. Definitions Obligations. This refers to a single tax - exempt governmental obligation if Form 8038 -GC is used for separate reporting or to multiple tax - exempt govemmental obligations if the form is used for consolidated reporting. Tax - exempt obligation. This is a bond, installment purchase agreement, or financial lease, on which the interest is excluded from income under section 103. Tax - exempt governmental obligation. A tax - exempt obligation that is not a private activity bond (see below) is a tax - exempt govemmental obligation. This includes a bond issued by a qualified volunteer fire department under section 150(e). Private activity bond. This includes an obligation issued as part of an issue in which: • More than 10% of the proceeds are to be used for any private activity business use, and Cat. No. 64108B Form 8038 -GC (Rev. 11 -2000) Form 8038 -GC (Rev, 11 -2000) Page 2 • More than 10% of the payment of principal or interest of the issue is either (a) secured by an interest in property to be used for a private business use (or payments for such property) or (b) to be derived from payments for property (or borrowed money) used for a private business use. It also includes a bond, the proceeds of which (a) are to be used to make or finance loans (other than loans described in section 141(c)(2)) to persons other than governmental units and (b) exceeds the lesser of 5% of the proceeds or $5 million. Issue. Generally, obligations are treated as part of the same issue only if they are issued by the same issuer, on the same date, and as part of a single transaction, or a series of related transactions. However, obligations issued during the same calendar year (a) under a loan agreement under which amounts are to be advanced periodically (a "draw -down loan ") or (b) with a term not exceeding 270 days, may be treated as part of the same issue if the obligations are equally and ratably secured under a single indenture or loan agreement and are issued under a common financing arrangement (e.g., under the same official statement periodically updated to reflect changing factual circumstances). Also, for obligations issued under a draw -down loan that meets the requirements of the preceding sentence, obligations issued during different calendar years maybe treated as part of the same issue if all of the amounts to be advanced under the draw -down loan are reasonably expected to be advanced within 3 years of the date of issue of the first obligation. Likewise, obligations (other than private activity bonds) issued under a single agreement that is in the form of a lease or installment sale may be treated as part of the same issue if all of the property covered by that agreement is reasonably expected to be delivered within 3 years of the date of issue of the first obligation. Arbitrage rebate. Generally, interest on a state or local bond is not tax exempt unless the Issuer of the bond rebates to the United States arbitrage profits eamed from investing proceeds of the bond in higher yielding nonpurpose investments. See section 148(0. Construction issue. This is an issue of tax- exempt bonds that meets both of the following conditions: 1. At least 75% of the available construction proceeds of the issue are to be used for construction expenditures with respect to property to be owned by a governmental unit or a 501(c)(3) organization, and 2. All of the bonds that are part of the issue are qualified 501(c)(3) bonds, bonds that are not private activity bonds, or private activity bonds issued to finance property to be owned by a govemmental unit or a 501(c)(3) organization. In lieu of rebating any arbitrage that may be owed to the United States, the issuer of a construction issue may make an irrevocable election to pay a penalty. The penalty is equal to 11/2% of the amount of construction proceeds that do not meet certain spending requirements. See section 148(f)(4)(C) and the Instructions for Form 8038 -T. Specific Instructions In general, a Form 8038 -GC must be completed on the basis of available information and reasonable expectations as of the date the issue is issued. However, forms that are filed on a consolidated basis may be completed on the basis of information readily available to the issuer at the close of the calendar year to which the form relates. supplemented by estimates made in good faith. Part I— Reporting Authority Amended return. If this is an amended Form 8038 -GC, check the amended retum box. Complete Part I and only those lines of Form 8038 -GC that are being amended. Do not amend estimated amounts previously reported once the actual amounts are determined. (See the Part II instructions below.) Line 1. The issuer's name is the name of the entity issuing the obligations, not the name of the entity receiving the benefit of the financing. In the case of a lease or installment sale, the issuer is the lessee or purchaser. Line 2. An issuer that does not have an employer identification number (EIN) should apply for one on Form SS -4, Application for Employer Identification Number. This form may be obtained at Social Security Administration offices or by calling 1 -800- TAX -FORM. If the EIN has not been received by the due date for Form B038 -GC, write "Applied for" in the space for the EIN. Line 5. After the preprinted 5, enter two self- designated numbers. Number reports consecutively during any calendar year (e.g., 534, 535, etc.). Part II— Description of Obligations Line 8a. The issue price of obligations is generally determined under Regulations section 1.148 -1(b). Thus, when issued for cash, the issue price is the price at which a substantial amount of the obligations are sold to the public. To determine the issue price of an obligation issued for property, see sections 1273 and 1274 and the related regulations. Line 8b. For a single issue, enter the date of issue, generally the date on which the issuer physically exchanges the bonds that are part of the issue for the underwriter's (or other purchaser's) funds; for a lease or installment sale, enter the date interest starts to accrue. For issues reported on a consolidated basis, enter the calendar year during which the obligations were issued. Lines 9a and 9b. For line 9a, enter the amount of the proceeds that will be used to pay principal, interest, or call premium on any other issue of bonds, including proceeds that will be used to fund an escrow account for this purpose. Both line 9a and 9b may apply to a particular obligation. For example, report on line 9a and 9b obligations used to refund prior issues which represent loans from the proceeds of another tax - exempt obligation. Line 11. Check this box if property other than cash is exchanged for the obligation, e.g., acquiring a police car, a fire truck, or telephone equipment through a series of monthly payments. (This type of obligation is sometimes referred to as a "municipal lease. ") Also check this box if real property is directly acquired in exchange for an obligation to make periodic payments of interest and principal. Do not check this box if the proceeds of the obligation are received in the form of cash, even if the term "lease" is used In the title of the issue. Line 12. Check this box if the issue is a construction issue and an irrevocable election to pay a penalty in lieu of arbitrage rebate has been made on or before the date the bonds were issued. The penalty is payable with a Form 8038 -T for each 6 -month period after the date the bonds are issued. Do not make any payment of penalty in lieu of rebate with Form 8038 -GC. See Rev. Proc. 92 -22, 1992 -1 C.B. 736, for rules regarding the "election document." Paperwork Reduction Act Notice We ask for the information on this form to carry out the Internal Revenue laws of the United States. You are required to give us the information We need it to ensure that you are complying with these laws. You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and retum information are confidential, as required by section 6103. The time needed to complete and file this form varies depending on individual circumstances. The estimated average time is: Learning about the law or the form , , , , 1 hr., 58 min. Preparing the form , , , , 3 hr., 3 min. Copying, assembling, and sending the form to the IRS , . 16 min. If you have comments conceming the accuracy of these time estimates or suggestions for making this form simpler, we would be happy to hear from you. You can write to the Tax Forms Committee, Westem Area Distribution Center, Rancho Cordova, CA 95743 -0001. Do not send the form to this address. Instead, see Where To File on page 1. RESOLUTIONS OF GOVERNING BODY AND INCUMBENCY CERTIFICATE (LEASE- PURCHASE AGREEMENT) I, HEREBY CERTIFY as follows: 1. I am the duly elected or appointed and acting Secretary/Clerk of and official custodian of certain records of Village of Lemont ( "Lessee "), a political subdivision or agency duly organized and existing under the laws of the State of Illinois. 2. That the following is a true and accurate transcript of resolutions duly adopted at a meeting of the governing body of Lessee held on at which meeting there was present and acting throughout a quorum authorized to transact the business hereinafter described and that said resolution has not been amended or revoked and is in full force and effect: WHEREAS, the governing body of the Lessee has determined that a true and very real need exists for the acquisition of the equipment described in the Lease Agreement presented to this meeting; and WHEREAS, the governing body of the Lessee has taken necessary steps, including any legal bidding requirements, to arrange for the acquisition of such equipment. RESOLVED, that the Lessee enter into a Lease Agreement to be assigned to DaimlerChrysler Services North America, LLC, in substantially the form presented to this meeting, and that the representatives of the Lessee whose names and signatures are set forth below, and each of them, hereby are authorized: (a) to execute and deliver said Lease Agreement in the name and on behalf of the Lessee, either in the form presented to this meeting or with such changes therein as the representative of Lessee executing the same may approve, his or her approval and authority to be conclusively evidenced by his or her execution thereof, such execution to be valid and binding on the Lessee with or without the seal of the Lessee; (b) to carry out the obligations and enforce the rights of the Lessee under said Lease Agreement; (c) to execute and deliver in the name and on behalf of the Lessee such other documents as may be requested or required by DaimlerChrysler Services North America, LLC in connection with said Lease Agreement; (d) to exercise any renewal, purchase, or other option of the Lessee under said Lease Agreement; and (e) to take all other action deemed by them necessary or advisable in connection with the foregoing. RESOLVED, that any actions previously taken by any representative of the Lessee identified below in connection with said Lease Agreement are hereby ratified and approved in all respects. 3. That the persons listed below are duly authorized representatives of the Lessee in the capacity set forth opposite their names and that their signatures are true and correct and, as of the date hereof, have proper authority to execute and deliver the above - referenced Lease Agreement and any documents required in connection therewith, and shall continue to have such authority until the Lessee notifies DaimlerChrysler Services North America, LLC otherwise. Name Title(s) /,yes �ou..ra6�,Qclwl�r�,,�rd ✓ ample Signature IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of the Lessee on (SEAL) FF1052 F&I Pro MLR 1.1 (12/01/01) 07/15/2004 Secretary / Clerk -�3 000 / 2 § 7 ■ >3 CO �7 2 CO 099 \jk 7 3k §■§ 2 k{ e in0 $� �E // / §)§ ( �2 D � Tel 6. @k@ � ( 2 _NP- i \G0 } $7/ - 88\ k. 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