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4 <br />Donation of Surplus Equipment Policy <br />Exhibit I <br /> <br /> <br /> <br /> <br />14669 Fitzgerald Avenue North, Hugo, MN 55038   • (651) 762‐6300  •   www.ci.hugo.mn.us  <br />  <br />  <br />  <br /> <br />Surplus Equipment Form <br /> <br />This form is to be completed by a Non-Profit Organization requesting a donation of Surplus Equipment and submitted to <br />the City Administrator prior to the advertised deadline. <br /> <br /> <br />Organization Name: ________________________________________________________________________ <br /> <br />Organization Address: ________________________________________ <br /> ________________________________________ <br /> ________________________________________ <br /> <br />Organization Website: ______________________________________________________________________ <br /> <br />(Attach proof of status as a nonprofit corporation under Section 501(c)(3) of the Internal Revenue Code.) <br /> <br />Organization Purpose: <br />__________________________________________________________________________________________ <br />__________________________________________________________________________________________ <br />__________________________________________________________________________________________ <br />__________________________________________________________________________________________ <br /> <br />Point of Contact <br />Name: ____________________________________________________ <br /> <br />Address: __________________________________________________ <br /> __________________________________________________ <br /> __________________________________________________ <br /> <br />Email: ____________________________________________________ <br /> <br />Phone: ____________________________________________________ <br /> <br />City Surplus Equipment of Interest: <br />_________________________________________________________________________________________ <br /> <br />How will the requested Surplus Equipment benefit your organization? <br />_________________________________________________________________________________________ <br />_________________________________________________________________________________________ <br />_________________________________________________________________________________________ <br />