HomeMy WebLinkAboutContract 49668 CITY SECRETARY
CONTRACT NO.
TVC-FVA Fund for Veterans' Assistance Grant Amend men orm
Grantees can request an amendment to their current Grant Agreement any time during the grant period. A
request for significant changes may result in denial of the amendment and/or a recommendation for the Grantee
to submit a new application.Approval of more than one concurrent Grant Agreement or overlapping grant periods
is prohibited.A Grantee may request no more than three(3)amendments during a grant period.
Grantee Name: Cit of Fort Worth
Grant Number: JFVA 17 0409
Grant Period: From: 07/01/2017 To: 06/30/2018
Grant Amount: $ $ 300,000.00
FVA Staff Only- Grant_Officer
Amendment# ; Expenditure% I~ Total Expenditure$ 11
Performance% Projected# Total Served# JQ.
AMENDMENT CATEGORY(Check all that apply)
Each amendment request is unique and considered on a case-by-case basis. A Grantee may request an
amendment in one or more of the following categories:
ITime
A Grantee may request additional time added to their grant period of up to six months.
Amendments approved for additional time will be added to the end of the Grantee's current grant period
Required Documents: Revised Application/Appendix I in Word with Track Changes.
Budget ulUL
�
A Grantee may request changes to their approved budget including additional funding, reduced fundis
or other changes to the approved budget. A request for additional funding may not exceed 25 percent Q LU 3
of the grant amount originally awarded. v
Required Documents: Revised Application/Appendix I in Word with Track Changes. L6 V
O
Scope
Grantees may request changes in their scope including, but not limited to, changes in services provided
or geographic service area.
Required Documents: Revised Application/Appendix I in Word with Track Changes.
Requesting Authority:
Authorized Name: Date: 9 20 /
By typing name in above fierd I agree this serves as my signature.
Title: Assistant City Manager
APPROVING AUTHORITY
The Commission shall have authority to approve or deny all amendment requests involy' Ft
amount. The Executive Director shall have authority to approve or deny all other a etit re e
Decisions made by the approving authority are final. 0``�
.PPRawn AS TO FORAM AND i EGAi Ir Tnald
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:Cl.:TY AT ATTORNEY
W' TVC-FVA Fund for Veterans' Assistance Grant Amendment Form
Time Requested Extension Period(Complete only if Time Amendment Category Requested)
Current grant end date T_
Requested number of additional months
Requested grant end date
Time Summary(Complete only if Time Amendment Category Requested)
Description of Time Extension Including:
1) Detailed explanation to support and justify needs of the change requested.
2) How goals and objectives will be impacted by the requested change.
Please ensure that the request is reasonable,and conforms to the provisions set forth in the grant contract.
4000 Character Limit—Additional Page Optional
TVC-FVA Fund for Veterans' Assistance Grant Amendment Form
Budget Summary(Complete only if Budget Amendment Category Requested)
Budget Category Original Budget Adjustment Revised Budget
Salaries and Wages $ $ $
Fringe Benefits $ $ $
Travel $ $ $
Equipment $ $ $
Supplies $ $ 15,000.00 $ $ $ 15,000.00
Client Services $ $253,225.00 $ $ $253,225.00
Constructions
Other $ $4,503.00 $ $ $4,503.00
Program Costs $ $ $
Indirect Costs $ $27,272.00 $ $ $27,272.00
Total Project Cost $ $300,000.00 $ $ $300,000.00
Budget Summary Narrative(Complete only if Budget Amendment Category Requested)
Description of Budget Revision Including:
1) Detailed explanation to support and justify needs of the change requested.
2) How goals and objectives will be impacted by the requested change.
Please make sure the description provides enough detail to completely support any changes in projected cost
and scope by budget category.
3000 Character Limit—Additional Page Optional
Requesting a change in Table F(Client Services)to add Deposits.Once the grant program started and Case Managers
began meeting with clients,it was discovered that some of the clients are in need of security deposit assistance.
Requesting to reduce the Mortgage Assistance category by 5 assistance payments.Will provide a total of 30 mortgage
payments for a total cost of$45,364.20.
Requesting to reduce the Rental Assistance category by 2 assistance payments.Will provide a total of 90 rental payments
for a total cost of$171,000.00
Requesting to add a total of 20 payments for security deposits at an average cost of$568.04 for a total of$11,360.80.
- till,
:' TVC-FVA Fund for Veterans' Assistance Grant Amendment Form
Scope Summary(Complete only if Scope Amendment Category Requested)
Description of Budget Revision Including:
1) Detailed explanation to support and justify needs of the change requested.
2) How goals and objectives will be impacted by the requested change.
Please ensure that the request is reasonable,and conforms to the provisions set forth in the grant contract.
Copy and Paste the current narrative from Appendix I—The Application that is being amended below.
2500 Character Limit—Additional Page Optional
Need Identified
3.The proposed project will address some of the unmet needs and gaps that are currently present in the Tar-rant County
area by providing additional financial assistance exclusively to veterans and their families with higher incomes of up to
200%of FPIL. As mentioned above,CAP was able to serve 273 veterans in 2015,however,many were denied due to
income restriction,with the$300,000,CAP will be able to pro-vide assistance to veterans and their families with higher
incomes.
2.2.All beneficiaries must have an income below 200%of the Federal Poverty Guidelines,adjusted for house-hold size
as issued by U.S.Department of Health and Human Services HHS,additionally;all beneficiaries must live within Tarrant
County limits as demonstrated by the Tarrant Appraisal District(TAD).
Project Eligibility
1.CAP will accept all the forms listed above as proof of veteran status. Surviving spouses and dependents will provide
one of the documents listed above,proving military service,along with marriage,death and/or birth certificates.
Additionally,all beneficiaries must provide copies of paystubs with the most recent 30 days'worth of income or an
equivalent employer verification form to verify income eligibility. Benefi-ciaries that claim no income will be required
to complete a certification of no income.
Insert the revision to Appendix I—The Application that is being requested below.
2500 Character Limit—Additional Page Optional
The proposed project will address some of the unmet needs and gaps that are currently present in the Tarrant County area
by providing additional financial assistance exclusively to veterans and their families with higher incomes of up to 80%
of Area Median Income(AMI)as determined by the Housing and Urban Development Department(HUD). As
mentioned above,CAP was able to serve 273 veterans in 2015,however,many were denied due to income restriction.
With the updated income guidelines,CAP will be able to provide assistance to veterans and their families with higher
incomes.
All beneficiaries must have an income at or below 80%of AMI,adjusted for household size as issued by U.S.
Department of Housing and Urban Development(HUD),additionally;all beneficiaries must live within Tarrant County
limits as demonstrated by the Tarrant Appraisal District(TAD).
CAP will accept all the forms listed above as proof of veteran status. Surviving spouses and dependents will provide one
of the documents listed above,proving military service,along with marriage,death and/or birth certificates.
Additionally,all beneficiaries must provide copies of paystubs for the time period that the service is being requested for,
for example,if a beneficiary requests assistance in July for an arrears payment of June,they must provide documentation
that they met the 80%of AMI income guidelines in June.If paystubs are not available,beneficiaries may submit an
equivalent employer verification form to verify income eligibility. Official award letters will also be required such as
Social Security,VA Benefits,Social Security Disability,etc.Beneficiaries that claim no income will be required to
complete a certification of no income.
TVC-FVA Fund for Veterans' Assistance Grant Amendment Form
Additional Information Section:
6000 Character Limit—Additional Information Section
This form must be submitted to assigned Grant Office at TVC via email.
DECISIONS MADE BY THE APPROVING AUTHORITY ARE FINAL AND NOT APPEALABLE.