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INTERLOCAL AGREEMENT
BETWEEN
THE WHITE SETTLEMENT INDEPENDENT SCHOOL DISTRICT
AND THE CITY OF FORT WORTH
In consideration of the mutual covenants, promises, and agreements contained herein, this
INTERLOCAL AGREEMENT ("this Agreement") is made and entered into between the
CITY OF FORT WORTH, a home rule municipal corporation of the State of Texas,
("City") acting by and through Valerie R. Washington, its duly authorized Assistant City
Manager, and the WHITE SETTLEMENT INDEPENDENT SCHOOL DISTRICT,
hereinafter referred to as ("WSISD") acting by and through Frank Molinar, its duly
authorized Superintendent .
RECITALS
WHEREAS, City has determined that After School Programs are necessary to
support crime prevention in the City during its Fiscal Year 2017 to meet the Crime Control
and Prevention District("CCPD")goals which include(1)supporting efforts to reduce violent
crime and gang-related activities through enhanced enforcement activities and crime
prevention programs, (2) supporting efforts to increase the safety of residents and decreasing
crime throughout Fort Worth neighborhoods, and(3) supporting efforts to increase the safety
of youth and reducing juvenile crime through crime prevention and intervention programs;
and
WHEREAS, the City Council of Fort Worth and the White Settlement Independent
School District Board of Trustees have determined that the security and well-being of
students at middle and elementary schools during after-school hours of 3:00 PM to 6:00 PM
are of prime importance; and
WHEREAS, City and WSISD agree that the activities of elementary and middle
school children during these critical hours are of paramount importance to both government
entities; and
WHEREAS, WSISD proposes to continue the White Settlement Independent
School District After School Program (WSISD After School Program) in conjunction with
City.
NOW,THEREFORE,in consideration of the,mutual covenants herein expressed,
the parties agree as follow:
AGREEMENT DOCUMENTS
The Agreement documents shall include the following:
1. This Agreement for the WSISD After School Program -
OU!r MAL RECORD
FY 2017 Interlocal Agreement After School Program
City of Fort Worth&White Settlement Independent School District
'fi'age of 26
i
2. Exhibit A—Scope of Work
3. Exhibit B—Budget
4. Exhibit C—Request for Reimbursement
5. Exhibit D—Program Activities Report
6. Exhibit E—Program Effectiveness Measurement Report
7. Exhibit F—Request for Budget Modification
Exhibits A through F, which are attached hereto and incorporated herein, are made a part of
this Agreement for all purposes. In the event of any conflict between the terms and
conditions of Exhibits A through F, and the terms and conditions set forth in the body of this
Agreement,the terms and conditions set forth in the body of this Agreement shall control.
The term"City" shall include City, and its officers, agents, employees, and representatives.
The term"WSISD"shall include WSISD, and its officers, agents, employees,
representatives, servants, contractors, and subcontractors.
The term"Party"shall refer to either City or WSISD
The term"Parties" shall refer to both City and WSISD.
AGREEMENT
1. Responsibilities of WSISD. WSISD covenants and agrees to fully perform, or cause to
be performed, with good faith and due diligence, all work and services described in Exhibit
"A" —Scope of Work. WSISD shall be responsible for day-to-day administration of the
WSISD After School Program. WSISD agrees to expend the Program Funds in accordance
with its WSISD After School Program budget, described in Exhibit `B" Budget. Program
activities shall be reported in accordance with Exhibit "D"—Program Activities Report and
effectiveness measurements shall be reported in accordance with Exhibit `B" Program
Effectiveness Measurement Report.
2. Program Funds.
2.1 In no event shall the total distribution from City made to WSISD during the term
of this Agreement exceed the total sum of$50,000 ("Program Funds").
2.2 Payment of the Program Funds from City to WSISD shall be made on a cost-
reimbursement basis following receipt by City from WSISD of a signed Request for
Reimbursement ("RFR"), as described in Exhibit "C," and copies of all receipts and support
documentation. WSISD shall deliver to City a written detailed Program Activities Report and
Program Effectiveness Measurement Report as described in Section 4.2 below with each
RFR to support expenditure of Program Funds. Such reports shall be signed by the or duly
authorized officer of the WSISD. The RFR and monthly Program Activities Report shall be
submitted to City no later than the 15th day following the end of the month. Submittal of a
monthly RFR and Program Activities Report is required even if services are not provided.
FY 2017 Interlocal Agreement After School Program
City of Fort Worth&White Settlement Independent School District
Page 2 of 26
WSISD must submit the monthly RFR(Exhibit"C"), the monthly Program Activities Report
(Exhibit "D") and the Quarterly Program Effectiveness Measurement Report (Exhibit "E")
with an original signature by an authorized representative to the Program Support Division—
Grants and Program Management Section of the Fort Worth Police Department,
ATTENTION: Tiffany Harris, Bob Bolen Public Safety Complex, 505 W. Felix St., Fort
Worth, Texas, 76115. Reimbursements will not be made until after receipt of an acceptable
and approved RFR and a monthly Program Activities Report. Additionally, a quarterly
Program Effectiveness Measurement Report from the WSISD is required as described in
section 4.2 and must be approved prior to reimbursements. Reimbursements shall be made
within 30 days receipt of said documents.
2.3 The WSISD is authorized to modify up to five (5) percent of any budgeted line-
item in the original approved budget without prior written permission from City. However,
WSISD must submit the Budget Modification Form (Exhibit "F") to City, with the monthly
RFR, in the month when the modification took place. The new modified budget cannot
exceed the total amount of Program Funds.
2.4 Any modifications of more than five (5) percent of any budgeted line-item in the
original approved budget must have prior written permission from the City before any budget
modification are made. The Budget Modification Form (Exhibit"F") must be submitted, and
request must be approved by City, before any money is moved to the line-item. Once the
Budget Modification is approved,the modified budget will take effect on the first day of the
following month. The new modified budget cannot exceed the total amount of Program
Funds.
2.5 Any modifications to zero Iine-items in the original approved budget must have
prior written permission from City before any budget modifications are made. The Budget
Modification Form (Exhibit "F") must be completed and approved by City before money is
transferred into the new line-item. Once the Budget Modification is approved, the modified
budget will take effect on the first day of the following month. The new modified budget
cannot exceed the total amount of Program Funds.
2.6 Budget modification can only occur within the Direct and Indirect costs. Funds
may not be moved from a Direct line-item into an Indirect line-item, or vice versa.
Modification of Direct and Indirect approved budgets must follow the guidelines outlined in
sections 2.3 and 2.4.
The Budget Modification Form (Exhibit "F") shall be submitted to the Program Support
Division—Grants and Program Management Section of the Fort Worth Police Department at
Bob Bolen Public Safety Complex at 505 W.Felix St.,Fort Worth,Texas, 76115.
3. Term. This Agreement shall commence upon October 1, 2016 ("Effective Date"), and
shall end on September 30, 2017 ("End Date"). All of WSISD's expenditures under this
Agreement must be completed no later than September 30, 2017.
FY 2017 Interlocal Agreement After School Program
City of Fort Worth&White Settlement Independent School District
Page 3 of 26
4. ProlZram Performance.
4.1 WSISD agrees to maintain full documentation supporting the performance of the
work and fulfillment of the objectives set forth in Exhibit"A."
4.2 WSISD agrees to provide a monthly Program Activities Report and quarterly
Program Effectiveness Measurement Report to document the performance of the work
described in Exhibit "D" and Exhibit `B," respectively. The Program Activities and
Effectiveness Measurements shall document the program activity names, numbers of
participants attending, details of the activities, and a description of the goals achieved in
support of the CCPD goals. Program Effectiveness Measurement shall be reported on a
quarterly basis and included in the January, April, July, and October RFR and Program
Activities Report submittals. Additionally, the Program Effectiveness Measurement Report
must include any successes realized in descriptive detail. The monthly Program Activities
and quarterly Program Effectiveness Measurement Reports shall be submitted to City no later
than the 15th day after the end of each month.
4.3 WSISD agrees that the monthly RFR and Program Activities Report and quarterly
Program Effectiveness Measurement Report will be submitted to City no later than the 15th
day after the end of each month. Should WSISD not meet these requirements, WSISD will
be given an additional 15 days to submit the required reports to City. If, at the end of this 15-
day extension period, WSISD has not submitted the required reports, City will send a non-
compliance letter notifying WSISD's duly authorized representative of a possible suspension
of program funding.
5. Default and Termination.
5.1 This Agreement is wholly conditioned upon the actual receipt by City of Program
Funds from the CCPD. All monies distributed to WSISD hereunder shall be exclusively
from monies received from the CCPD, and not from any other monies of City. In the event
that funds from the CCPD are not timely received, in whole or in part, City may, at its sole
discretion,terminate this Agreement and City shall not be liable for payment for any work or
services performed by WSISD under or in connection with this Agreement.
5.2 This Agreement may be terminated by City, in whole or in part, whenever such
termination is determined by City to be in the best interest of City; in event of WSISD
default, inability to perform or to comply with the terms herein; or for other good cause.
5.3 Termination will be effected by delivering to WSISD a notice of termination,
specifying the portion of this Agreement affected and the effective date of termination. Upon
WSISD's receipt of notice of termination,WSISD shall:
(a) Stop work under the Agreement on the date and to the extent specified in the notice of
termination;
(b) Place no further order or subcontracts, except as may be necessary for completion of the
work not terminated;
FY 2017 Interlocal Agreement After School Program
City of Fort Worth&White Settlement Independent School District
Page 4 of 26
(c) Terminate all orders and contracts to the extent that they relate to the performance of the
work terminated by the notice of termination; and
(d) Cease expenditures of Program Funds, except as may be necessary for completion of the
work not terminated.
5.4 In the event the City suspends or terminates this Agreement for cause, and the
cause for such suspension or termination is determined to be invalid, WSISD's sole remedy
shall be reinstatement of this Agreement. WSISD expressly waives any and all rights to
monetary damages, including but not limited to actual, consequential, and punitive damages,
court costs,and attorney's fees.
5.5 Within thirty (30) days following the date of termination of this Agreement,
WSISD shall return to City any property provided hereunder. City will have no responsibility
or liability for WSISD's expenditures or actions occurring after the effective date of
termination of the Agreement.
6. Equipment and Maintenance. All equipment purchased with Program Funds must
meet all eligibility requirements of City and requires approval by the City prior to purchase.
WSISD shall maintain all equipment used in the administration and execution of the WSISD
After School Program. WSISD shall maintain, replace, or repair any item of equipment used
in support of the WSISD After School Program and/or for use under the terms of this
Agreement that no longer functions or is lost or stolen. The cost for maintenance,
replacement, or repair of any equipment used in support of the after school program and/or
for use under the terms of this Agreement is the sole responsibility of WSISD. WSISD shall
not use Program Funds or City funds to repair or replace said equipment. WSISD shall use
any and all equipment purchased with Program Funds exclusively in support of the WSISD
After School Program. Within 10 days following the purchase of equipment, WSISD shall
submit to City a detailed inventory of all equipment purchased with Program Funds to the
Grants and Program Management Section at the address set forth in paragraph 2.2 above.
The equipment inventory shall include an itemized description of each piece of equipment,
the date each piece of equipment was purchased, the cost of purchase for each piece of
equipment, and the location of each piece of equipment.
7. Administrative Requirements.
7.1 WSISD agrees to keep sufficient records to document its adherence to applicable
local, state, and federal regulations, along with documentation and records of all receipts and
expenditures of Program Funds. All records shall be retained for three (3) years following
the termination or completion of this Agreement. City or its representatives shall have the
right to investigate, examine, and audit at any time any and all such records relating to
operations of WSISD under this Agreement. WSISD, its officers, members, agents,
employees, and subcontractors, upon demand by City, shall make such records readily
available for investigation, examination, and audit. In the event of such audit by City, a
single audit of all of WSISD's operations will be undertaken and may be conducted either by
City or an independent auditor of City's choice. WSISD shall submit a copy of any audit
performed by their independent auditor within 30 days of receipt of the final audit report.
FY 2017 Interlocal Agreement After School Program
City of Fort Worth&White Settlement Independent School District
Page 5 of 26
7.2 If any audit reveals a questioned practice or expenditure, such questions must be
resolved within fifteen (15) days after notice to WSISD by City. If questions are not
resolved within this period, City reserves the right to withhold further funding under this
and/or future agreement(s)with WSISD.
7.3 If, as a result of any audit, it is determined that WSISD misused, misapplied, or
misappropriated all or any part of the Program Funds, WSISD agrees to reimburse City the
amount of such monies so misused, misapplied, or misappropriated, plus the amount of any
sanction,penalty, or other charge levied against City because of such misuse, misapplication,
or misappropriation. This provision shall survive the expiration or termination of this
Agreement.
7.4 WSISD's obligation to City shall not end until all closeout requirements are
completed. Activities during this closeout period shall include, but are not limited to:
providing final Program Activities Report and Program Effectiveness Measurement Reports,
making final payments, disposing of WSISD After School Program assets, if deemed
required by City in its sole discretion.
7.5 WSISD covenants and agrees to fully cooperate with City in monitoring the
effectiveness of the services and work to be performed by WSISD under this Agreement, and
City shall have access at all reasonable hours to offices and records of the WSISD, its
officers, members,agents, employees, and subcontractors for the purpose of such monitoring.
8. Independent Contractor.
8.1 WSISD shall operate hereunder as an independent contractor and not as an
officer, agent, or servant or employee of the City. WSISD shall have exclusive control of,
and the exclusive right to control, the details of the work and services performed hereunder,
and all persons performing same, and shall be solely responsible for the acts and omissions of
its officers, members, agents, servants, employees, subcontractors, program participants,
licensees, or invitees. The doctrine of respondent superior shall not apply as between City
and WSISD, its officers, members, agents, servants, employees, subcontractors, program
participants, licensees, or invitees, and nothing herein shall be construed as creating a
partnership or joint enterprise between City and WSISD. No federal, state, or local income
tax, nor any payroll tax of any kind, shall be withheld or paid by the City on behalf of
WSISD. WSISD shall not be treated as an employee with respect to the services performed
pursuant to this Agreement for federal or state tax purposes. It is expressly understood and
agreed that officers, members, agents, employees, subcontractors, licensees,or invitees of the
WSISD, and any program participant hereunder are not eligible for, and shall not participate
in any employer pension, health, or other fringe benefit plan provided by City. It is expressly
understood and agreed that City does not have the legal right to control the details of the
tasks performed hereunder by WSISD, its officers, members, agents, employees,
subcontractors, program participants, licensees, or invitees.
FY 2017 Interlocal Agreement After School Program
City of Fort Worth&White Settlement Independent School District
Page 6 of 26
8.2 City shall in no way nor under any circumstances be responsible for any property
belonging to WSISD, its officers, members, agents, employees, subcontractors, program
participants, licensees, or invitees, which may be lost, stolen, destroyed, or in any way
damaged.
9. Liability.
To the extent allowed by law, each of the parties shall be liable and responsible for any damages or
loss caused by the negligent acts or omissions, or malfeasance or intentional misconduct of each of its
respective officers, agents, servants, or employees. Nothing in the performance of this Agreement shall
impose any liability for claims against District, other than claims that may arise as set forth in this section
and Section 12, or for claims which the Texas Tort Claims Act may impose liability. Nothing in the
performance of this Agreement shall impose any liability for claims against the City of Fort Worth other
than claims that may arise as set forth in this section or for which liability may be imposed by the Texas
Tort Claims Act.
AND NOTHING HEREIN SHALL EVER BE CONSTRUED AS A WAIVER BY WSISD
OFANYIMMUNITIESIT HAS BYLAW.
WSISD shall require all of its subcontractors, if any,to include in their subcontracts a
release and indemnity in favor of City in substantially the same form as above.
This section shall survive the expiration or termination of this Agreement.
10. Non-Assignment. No assignment or delegation of duties under this Agreement by
WSISD shall be effective without the City's prior written approval.
11. Prohibition Against Interest.
11.1 No member, officer, or employee of City, or its designees or agents, no member
of the governing body of the locality in which the WSISD After School Program is situated;
and no public official of such locality or localities who exercises any functions or
responsibilities with respect to the WSISD After School Program during this Agreement or
for one year thereafter, shall have any interest, direct or indirect, in any contract or
subcontract, or the proceeds thereof, for work to be performed hereunder. WSISD shall
incorporate, or cause to be incorporated, language prohibiting such interest, in all contracts
and subcontracts hereunder, if any.
11.2 No officer, employee, member, or program participant of WSISD shall have a
financial interest, direct or indirect, in this Agreement or the monies transferred hereunder, or
be financially interested, directly or indirectly, in the sale to WSISD of any land, materials,
supplies, or services purchased with any funds transferred hereunder, except on behalf of
WSISD, as an officer, employee, member, or program participant. Any willful violation of
this paragraph with the knowledge, expressed or implied, of WSISD or its subcontractors,
shall render this Agreement voidable by the City .
FY 2017 Interlocal Agreement After School Program
City of Fort Worth&White Settlement Independent School District
Page 7 of 26
12. Nondiscrimination.
12.1 In accordance with the federal, state, and local laws and ordinances, wsisd
covenants that neither it nor any of its officers, members, agents, employees, program
participants, or subcontractors, while engaged in performing this Agreement shall, in
connection with the employment, advancement, or discharge of employees, in connection
with the terms, conditions or privileges of their employment, discriminate against persons
because of their age, except on the basis of a bona fide occupational qualification, retirement
plan, statutory requirement, or statutory or ordinance exception.
12.2 WSISD will not unlawfully discriminate against any person or persons because of
age, race, color, religion, sex, disability, national origin, or sexual orientation, nor will
WSISD permit its officers, members, agents, employees, subcontractors, or program
participants to engage in such discrimination.
12.3 If any claim arises from an alleged violation of this non-discrimination covenant
by WSISD, its personal representatives, assigns, subcontractors or successors in interest,
WSISD agrees to assume such liability and to indemnify and defend City and hold City
harmless from such claim.
This section shall survive the termination or expiration of this Agreement.
13. Compliance.
13.1 WSISD, its officers, members, agents, employees, program participants, and
subcontractors, shall abide by and comply with all laws, federal, state, and local, including all
ordinances, rules, and regulations of City. If City calls to the attention of WSISD in writing
to any such violation on the part of WSISD or any of its officers, members, agents,
employees, subcontractors, or program participants, then WSISD shall immediately cease
and desist from and correct such violation.
13.2 WSISD shall utilize Program Funds strictly for those purposes and goals intended
under the terms and conditions of this Agreement. If City calls the attention of WSISD in
writing to any such violations on the part of WSISD or any of its officers, members, agents,
employees, program participants, or subcontractors, then WSISD shall immediately cease
and desist from and correct such violation.
14. Waiver of Immunity. The Parties and their respective governing bodies do not waive
any immunity by entering into this Agreement, and each fully retains all immunities and
defenses provided by law or otherwise with respect to any action based on or occurring as a
result of this Agreement.
15. Insurance Requirement.
15.1 WSISD shall procure and shall maintain during the term of this Agreement the
following insurance coverage;
FY 2017 Interlocal Agreement After School Program
City of Fort Worth&White Settlement Independent School District
Page 8 of 26
(a) Commercial General Liability(CGL): $1,000,000 per occurrence, with a$2,000,000.00
annual aggregate limit, in a form that is acceptable to the City's Risk Manager.
(b) Non-Profit Organization Liability or Directors & Officers Liability: $1,000,000 per
occurrence, with a$1,000,000 annual aggregate limit, in a form that is acceptable to the
City's Risk Manager.
(c) Automobile Liability: $1,000,000 each accident on a combined single limit basis OR
split limits are acceptable if limits are at least $250,000 Bodily Injury per person,
$500,000 Bodily Injury per accident and$100,000 Property Damage.
(d) Any other insurance the City may reasonably require to protect the interests of the
City.
15.2 WSISD's insurer(s) must be authorized to do business in the State of Texas for
the Iines of insurance coverage provided and be currently rated in terms of financial strength
and solvency to the satisfaction of the City's Risk Manager.
15.3 Each insurance policy required herein shall be endorsed with a waiver of
subrogation in favor of the City. Each insurance policy required by this Agreement, except
for policies of worker's compensation or accident/medical insurance shall list the City as an
additional insured. City shall have the right to revise insurance coverage requirements under
this Agreement.
15.4 WSISD further agrees that it shall comply with the Worker's Compensation Act
of Texas and shall provide sufficient compensation insurance to protect WSISD and City
from and against any and all Worker's Compensation claims arising from the work and
services provided under this Agreement.
16. Miscellaneous Provisions.
16.1 The provisions of this Agreement are severable, and, if for any reason a clause,
sentence, paragraph, or other part of this Agreement shall be determined to be invalid by a
court or Federal or state agency, board, or commission having jurisdiction over the subject
matter thereof, such invalidity shall not affect other provisions which can be given effect
without the invalid provision.
16.2 City's failure to insist upon the performance of any term or provision of this
Agreement or to exercise any right herein conferred shall not be construed as a waiver or
relinquishment to any extent of City's right to assert or rely upon any such term or right on
any future occasion.
16.3 Should any action, whether real or asserted, at law or in equity, arise out of the
execution, performance, attempted performance, or non-performance of this Agreement,
venue for said action shall lie in state courts located in Tarrant County, Texas or the United
States District Court for the Northern District of Texas,Fort Worth Division,
FY 2017 Interlocal Agreement After School Program
City of Fort Worth&White Settlement Independent School District
Page 9 of 26
16.4 WSISD represents that it possesses the legal authority, pursuant to any proper,
appropriate, and official motion, resolution, or action passed or taken, to enter into this
Agreement and to perform the responsibilities herein required.
16.5 This written instrument and Exhibits A through F, constitute the entire Agreement
between the parties concerning the work and services to be performed hereunder, and any
prior or contemporaneous, oral or written agreement which purports to vary from the terms
hereof shall be void. Any amendments to the terms of this Agreement must be in writing and
must be signed by authorized representatives of each party.
16.6 All notices required or permitted by this Agreement must be in writing and are
deemed delivered on the earlier of the date actually received or the third day following (i)
deposit in a United States Postal Service post office or receptacle; (ii) with proper postage
(certified mail, return receipt requested); and (iii) addressed to the other party at the address
as follows or at such other address as the receiving party designates by proper notice to the
sending party:
CITY: Valerie Washington,Assistant City Manager
City Manager's Office
City of Fort Worth
1000 Throckmorton Street
Fort Worth,TX 76102
Copies To: Tiffany Harris
Bob Bolen Public Safety Complex
505 W. Felix St.
Fort Worth,TX 76115
WSISD: Frank Molinar, Superintendent
White Settlement Independent School District
401 S. Cherry Lane
Fort Worth,TX 76108
16.7 None of the performance rendered under this Agreement shall involve, and no
portion of the Program Funds received hereunder shall be used, directly or indirectly, for the
construction, operations, maintenance, or administration of any sectarian or religious facility
or activity, nor shall said performance rendered or funds received be utilized so as to benefit,
directly or indirectly, any such sectarian or religious facility or activity.
16.8 Captions and headings used in this Agreement are for reference purposes only and
shall not be deemed a part of this Agreement.
16.9 The provisions and conditions of this Agreement are solely for the benefit of City
and WSISD and are not intended to create any rights, contractual or otherwise, to any other
person or entity.
FY 2017 Interlocal Agreement After School Program
City of Fort Worth&White Settlement Independent School District
Page 10 of 26
16.10 The parties acknowledge that each party and its counsel have reviewed this
Agreement and that the normal rules of construction to the effect that any ambiguities are to
be resolved against the drafting party shall not be employed in the interpretation of this
Agreement or exhibits hereto.
IN WITNESS WHEREOF, the parties hereto have exe t this Agreeme t in multiples in
Fort Worth,Tarrant County, Texas, to be effective this day of 2016.
APPROVED AND AGREED FOR APPROVED AND AGREED FOR
CITY OF FORT WORTH WHITE SETTLEMENT
U INDEPENDENT SCHOOL
DIST
Valerie R. Washington
Assistant City Manager
Frank o r
Date: 9(3.1 lY Supe tendent
Date: % — ID
AP OVAL REC� DED E
APPROVD AS TO FORM AND
ALI Y FOR WSISD
Chief Joel .Fitzgerald /
Chief of Police
SSD Attorney
Date: ! �;
Date:
APPROVED AS TO FORM AND
LEGALITY FOR CITY OF FORT ATTEST $�
WORTH �Q1115,%QOQ0096
Mary J.K
kyW Y'
JoAnn P-te City Secretary
/Assistant City Attorney
Date:—
Date: d
Ap
Form 1295 Certification No: NOT M&C No. 1 ✓� �`1L G(/
REQUIRED
FY 2017 Interlocal Agreement After School Program �E�®RD
City of Fort Worth&White Settlement Independent School District OFF�C'�►�-
rts-'Y SECRETTARY
Page 11 of 26
�;�' o NgR'THI TX
t
h,xhibiA
Scope of Worlic
EXH MIT A
SCOPE OF WORK
The Scope of Work is to be performed and documented in compliance with the monthly program
activities and quarterly effectiveness measurement reports outlined in exhibits D and E.
FY 2017 Interlocal Agreement After School Program
City of Fort Worth&White Settlement Independent School District
Page 13 of 26
Exhibit B
Budget
FORT WORTH
CRIME CONTROL
&NmrmON DI57RIcT
TRAVEL AND TRAINING TOTAL $430.00
D.EQUIPMENT
None
EQUIPMENT TOTAL $0.00
E.SUPPLIES
None
SUPPLIES TOTAL _-_ -._-._.- - _. .-$0.00.
F.CONTRACTS/CONSULTANTS
None
CONTRACTS/CONSULTANTS TOTAL $0.00
G. OTHER APPROVED
Telephone $378.00
General Liability $500.00
TDFPS and City of Fort Worth Permit $396.00
OTHER APPROVED TOTAL- - $1,274.00
GRAND TOTAL - $50,000.00
FY 2017 Interlocal Agreement After School Program
City of Fort Worth&White Settlement Independent School District
Page 16 of 26
Exhibit B
BUDGET NARRATIVE FISCAL YEAR 2017
Please attach a detailed budget narrative that explains the need for all proposed expenditures by individual
item. The budget narrative should clearly explain how funds will be used and why expenditures are
necessary for successful implementation of your program. Please explain how costs are calculated.
INDIRECT COSTS CANNOT EXCEED 10% OF THE APPROVED BUDGET
DIRECT PROGRAM COSTS (90% Minimum):
A. Personnel: $30,464.00-
a. 1 Program Coordinator - Supervises the staff in the program. They create Iesson
plans, facilitate on-site registrations, manage the daily staffing as well as
communicate with the school, staff, and parents. ($12.00 an hour X 20 hours X 34
weeks=$8,160.00)
b. 1 Site Director - Oversees the daily program activities and specializes in the daily
tutoring with the various age groups. ($11.00 an hour X 16 hours X 34 weeks =
$5,984.00)
c. 3 Activity Leader staff($10.00 per hour/16 hours per week) that lead daily activities
and count into ratio (1:15). ($10.00 an hour X 3 employees X 16 Hours X 34 weeks =
$16,320.00)
B. Fringe Benefits: $3,046.00
a. Covers any fringe benefits for these employees. For part time staff, the FICA is
7.65%, the worker's comp is about 1.5%, and then unemployment varies but it's
around 0.5%. That all adds close to 10% so we estimate that as the base rate.
($30,464.00 X 10% =$3,046.00)
C. Supplies and Equipment: $10,674.00
a. Office Supplies $550.00 - such as binders, laminating sheets, posters, staplers, paper,
files, dividers, notebooks, 3 hole punch, tri-fold board, tape, filing holder, dry erase
board, dry erase markers, pens, pencils, erasers, pencil sharpener throughout the
school year.
b. Printing Supplies $374.00 - printing materials for program (flyers, daily tutoring
worksheets, forms for site, registration documents, parent handbook, sign in and out
sheets each day,staff transition rosters, curriculum copies for staff)
c. Craft Supplies $5,600 - any supplies to complete enrichment curriculum..50 per child
per day for other materials.3 weeks of program with a goal of 50 children.
d. Teaching Supplies$750.00—
e. Food Supplies $3,400.00 - daily snacks for children in program. 50 kids @ .50 cents
per day for snack items.
D. Program Services: N/A
FY 2017 Interlocal Agreement After School Program
City of Fort Worth&White Settlement Independent School District
Page 17 of 26
E. Travel and Training:
a. Mileage $275.00 — For staff to attend monthly site/ school meetings, monthly
shopping for supplies and monthly off-site trainings for the program. Staff completes
a monthly mileage form/ tracker that are approved by supervisor. Staff are
reimbursed .54 per mile.
b. Training$240.00 - 4 staff to attend Child Development Training through Camp Fire
at$60.00 during the year. (4 employees X$60.00 training=$240.00)
F. Other Approved:
a. Education Providers $393.00 - High Touch High Tech, Mad Science, Creature
Teacher
INDIRECT COSTS (10% Maximum
A. Personnel: $2,958.00
a. Childcare Coordinator (14.5 x 6 hours x 34 weeks)
B. Fringe Benefits: $296.00
a. FICA is 7.65%, the worker's comp is about 1.5%, and then unemployment varies
but it's around 0.5%. That all adds close to 10% so we estimate that as the base
rate. ($2958.00 X 10% _$295.80)
C. Supplies and Equipment: N/A
D. Operational Services: N/A
E. Travel and Training: $430.00
a. Training$80.00 -City of FTW class (required for permit) (5 X$16.00=$80)
b. Mileage$350.00 -Mileage for visiting school site as well as any supply purchases that
need to be made for the site.
F. Facility and Utilities: $378.00
a. Site Cell Phone $378.00 - Phone to use for parent communication and emergency
calls during the program.
G. Legal,Financial, and Insurance: $500.00
a. General Commercial Liability—Portion of annual amount paid to cover all childcare
programs.
H. Other Approved: $396.00
a. TDFPS and City of FTW permit-$396.00
FY 2017 Interlocal Agreement After School Program
City of Fort Worth&White Settlement Independent School District
Page 18 of 26
Exhibit C
Request for
Reimbursement
FORT WORTH. Exhibit C
Request for Reimbursement(RI'R)
FY 2017
CRIME CONTROL
AND PREVEN-UON DISTRICT
Submit To: Submitting Agency: White Settlement ISD
Bob Bolen Public Safety Complex Contact Name: Janette Owens
Attn:Tiffany Hayes Phone Number: 817-367-5310
Program Support Division Email: lanowensawsisd.net
505 West Felix St.
Fort Worth,TX 762 i5 Remit Address: 401 S.Cherry Lane,White Settlement
Invoice Number:
Month of Request:
DIRECT COSTS(90%Minimum)
A B C D E
Total orPrevious7h + A-D
Budget Category Budget Amount Reimbursements Request s ToNl Requested Remaining Balance
Requested Request To-Date Available
A Personnel S 30,464.00 S - S 30,464.00 `
B Fringe Benefits $ 3,046.00 S - S 3,046.00
C Travel&Training S _ 515100 5 - $ 515.00
D Equipment -S-- S
E Supplies S _1Q,b24.06 S -..-. :.-.. S - .- 10,624.00
F Contracts/Consultants S - S - S -
G OtherApproved S 393.00 S - S 393.00
Total Direct Costs is 45 042.00 S S S S 45 042.00
INDIRECT COSTS(10%Maximum)
A B . 1C D E
Total orPrevioutB+C A-D
Budget Category BtsdgetAmouR
nt Reimbursements This ques 'a Totnl Requested Itemainhtg Balance
Requealed equest t To-Date Available
A Personnel S 2,958,00 S - S 2958.00
D Fringe Benefits S 296M S - - S 296.00
C Travel&Training S -430.00 S - S 430.00
D Equipment S - - S - S -
E Supplies S---------- --- S---_' - S - ------_
F Contraets/Consultants $- - S*_ - $, -
G Other Approved S — - 1,274.00 S - S - 1,274.00
Total lnDlrect Coifs $ 4,958.00 S S S - S 4958.OD
Supporting documents required with monody requests. Summary:
'Ibis includes,6mesbeets depicting CCPD funded activities, Total Budget: $ 50,000,00
copy of paychecks,invoices and receipts detailing all CCPD Previous Requests: S -
funded expenditures. This Request: S
Total Requested To-Date $
Remaining Funds S 50,000,OD
I hm'e reviewed this request and certify that these listed expenses and support documentation are accurate.
Authorized Signatory Signatory Title Date
Fiscal Agent Use Only
Purchase Order k - --- - F'rrid .. .. ._..Dept ID - .- - Account.
RFR Approved For Paptnent
Grant Staff Signature Date
Finance Received Stasnp Placed Below
.7 inledocal Agreement Mer School Program Page 20 of 26
Fort Worth White Settlement Independent School District
Exhibit D
ProgramActi* vitl'les
Report
FORT WORT
CRIME CONTROL
&PkEv on Dlsmlcr
Exhibit D
Fiscal Year 2017
Monthly Program Activities Report
Current Reporting Month
Submitting Agency Westside YMCA
Contact Name Holli Winn
Phone Number and Email 817-244-4544,hwinn a,ymcafw.or
Remit Address
Activity Current To Date Year
Month. Total End
Total Goal
1 Number of unduplicated at-risk students in WSISD After School Program. 117
These"at-risk" students are identified by the school staff and are typically
kids with high truancy or absences and/or failing grades.
2 Number of age-appropriate tutoring hours provided to students 227
3 Number of STEM activities provided to students 77
4 Number of physical and or health conscious activities provided to students. 120
5 Number of family events/activities provided to students and parents 5
6 Number of presentations given by community organizations or providers to 6
students and or parents. This includes city presentations from police,fire,
etc.
7 Number of volunteer participants that assist with the program provided to 50
students. This includes student groups from local colleges (TCU, TCC,
ATI, etc.).
8 Number of Character Development activities provided to students. 125
I have reviewed this report and certify that the measures provided are accurate and appropriately reflect the
CCPD goals setforth in the contract.
Authorized Signatory Signatory Title Date
FY 2017 Interlocal Agreement After School Program
City of Fort Worth&White Settlement Independent School District
_ Page 22 of 26
Exhibit E
Program Effectiveness
Measurement Report
FORT WORTH
CRIME CONTROL
&PREVENnon DismcT
Exhibit E
Fiscal Year 2017
Quarterly Program Effectiveness Measurement Report
Current Reporting Quarter
Submitting Agency Westside YMCA
Contact Name Holli Winn
Phone Number and Email 817-244-4544, hwinn@ymcafw.org
Remit Address
Please include outcome narrative that describes how measure was accomplished for each quarter.
Effectiveness Measures and Quarterly.Outcomes-.
Measure 1 50% of student participants will see an improvement in their grades.
Outcome
Measure 2 25% of student participants will show an increase in class attendance.
Outcome
Measure 3 75% of student participants will increase their health assessment level by the end of the program
year. Health assessments are conducted using the Fitnessgram Assessment. It measures aerobic
capacity,percent body fat, and body mass index.
Outcome
Measure 4 35% of student participants in the program will increase their youth development assessment by the
end of the school year. These evaluations are based on the Search Institutes 40 Developmental
Assets. The areas of focus are Self Confidence, Self- Control, Listening/Direction,
Communication, Cooperation, and Judgment.
Outcome
Measure 5
Outcome
I have reviewed this report and certify that the measures provided are accurate and appropriately reflect the
CCPD goals set forth in the contract.
Authorized Signatory Signatory Title Date
Report due each quarter: 1St Quarter(Oct-Dec)due January 15 2nd Quarter(Jan-Mar)due April 15
3 Quarter(Apr-June)due July 15 41"Quarter(Jul-Sep)due October 15
FY 2017 Interlocal Agreement After School Program
City of Fort Worth&White Settlement Independent School District
Page 24 of 26
Exhibit F
Request for Budget'
Modification
FORT WORTH
CRIME CONTROL
&PREVENTION DIsmcr
• Up to 5%of any budgeted line-item does not need prior approval but form must be sent to City with monthly RFR
• More than 5%of any budgeted line-item must have prior City approval
• An increase in a zero line-item must have prior City approval
• Modifications cannot be made between Direct and Indirect costs
Exhibit F
Request for Budget Modification
Fiscal Year 2017
Date
Submitting Agency
Contact Name
Phone Number and Email
Remit Address
DIRECT COSTS 90% minimum)
Budget Category Approved Budget Change Requested Revised Budget
Personnel
Fringe Benefits
Travel and Training
Equipment
supplies
Contracts/Consultants
Other Approved
Total Direct Costs
INDIRECT COS TS 10%maximum
Budget Category Approved Budget Change Requested Revised Budget
Personnel
Fringe Benefits
Travel and Training
Equipment
Supplies
Contracts/Consultants
Other Approved
Total Indirect Costs
Modification Narrative describe in detail What change is for
I have reviewed this request and certify that the listed modifications are correct.
Authorized Signatory Signatory Title bate
FWPD STAF>!±USE ONLY
Q Modification Approved [3 Modification NOT Approved
FWPD Staff Signature Date
FY 2017 Interlocal Agreement After School Program
City of Fort Worth&White Settlement Independent School District
Page 26 of 26
M&C Review Page 1 of 2
Official site of the City of Fort Worth,Texas
CITY COUNCIL AGENDA FORTWoRTH
COUNCIL ACTION: Approved on 9/20/2016
DATE: 9/20/2016 REFERENCE **C-27926 LOG NAME: 35AFTER SCHOOL
NO,: PROGRAMS FOR FY17
CODE: C TYPE: CONSENT PUBLIC NO
HEARING:
SUBJECT: Authorize Execution of After-School Program Agreements with Fort Worth, Keller,
Crowley, and White Settlement Independent School Districts in the Total Program
Amount of$1,600,000.00 for Fiscal Year 2017 (CCPD Funded) (ALL COUNCIL
DISTRICTS)
RECOMMENDATION:
It is recommended that the City Council authorize the execution of After-School Program Agreements
with Fort Worth, Keller, Crowley, and White Settlement Independent School Districts in the total
program amount of$1,600,000.00 to operate After-School Programs at selected schools during
Fiscal Year 2017.
DISCUSSION:
National research shows that adolescents are most at risk on school days between the hours of 3:00
p.m. and 6:00 p.m. of being a victim of a crime or of committing a crime. In response to this concept,
a multi-disciplinary task force was formed in 2001 consisting of City officials, school district personnel
and related service providers. This task force developed a coordinated program for the Fort Worth
Independent School District schools that had documented juvenile crime problems.
Each year, since 2001, the City of Fort Worth (City) has funded After-School programs using
appropriations from the Crime Control and Prevention District. The participating school districts have
expanded beyond Fort Worth ISD to include Keller ISD, Crowley ISD and White Settlement ISD;
however, only schools that lie within the boundaries of the City receive CCPD funding. Each district is
responsible for the day-to-day administration of their After-School Programs and are required to
establish program goals and objectives that are measurable and result in desired program outcomes.
Today, the mission of the After-School Programs is to provide a safe environment for educational,
physical and social development leading to a reduction in juvenile crime.
Funding will be allocated as follows to each district in Fiscal Year 2017 on a reimbursement basis:
Fort Worth ISD funding in the amount of$1,300,000.'00.
Keller ISD funding in the amount of$125,000.00.
Crowley ISD funding in the amount of$125,000.00
White Settlement ISD funding in the amount of$50,000.00.-
These Agreements will be effective October 1, 2016 through September 30, 2017.
This program serves ALL COUNCIL DISTRICTS.
FISCAL INFORMATION/CERTIFICATION:
hit.» /lanns.cfwnet.nralrrnmeil nw.ket/mc t•Pvie.w.a.qn?TD=22770k..cnnmcilclate.=9/?.0/?O1 h 9/27/2016
M&C Review Page 2 of 2
The Director of Finance certifies that, contingent upon adoption of the Fiscal Year 2017 Budget by
City Council, funds will be available in the Fiscal Year 2017 Budget of the Crime Control and
Prevention District Fund and the Police Department is responsible for verifying the availability of
funds prior to an expenditure being made.
TO
Fund Department Account Project Program Activity Budget Reference# Amount
ID ID Year I (Chartfield 2)
FROM
Fund Department Account Project Program Activity Budget Reference# Amount
ID I ID Year Chartfield 2
Submitted for City Manager's Office by: Valerie Washington (6199)
Originating Department Head: Joel Fitzgerald (4231)
Additional Information Contact: James Rodriguez (4286)
ATTACHMENTS
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