Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Contract 51086
�ans C,) �cO RECEIVED�'s �E��RANs, ? TVC Award Number: FVA_18_0510 ~ JUN 20 2018 Fiscal Year: 2018 U. Geo. Austin, Texas �.�mc CITYSECRETARY * * X\ + 5` CONTRACT N0. IG S .�TEXAS VETERANS �u �r P.5 COMMISSION tS.l4 veterans hrem;1V St FVA General Assistance Q`��ti�'Lo�oQy Notice of Grant Award to c� City of Fort Worth Mailing Address: Physical Address: Grant Title: General Assistance—2018 200 Texas Street 908 Monroe Street Date Grant Awarded: Fort Worth,Texas 76102 Fort Worth,Texas 76102 July 1,2018 Amount of Award: Term of Grant: $300,000 July 1,2018 to June 30,2019 Payment Method: Awarding Agency: Reimbursement Texas Veterans Commission Authority: Government Code Section 434.017 The approved signature below serves as a formal acceptance by the Texas Veterans Commission(TVC)of the Grantee's Application,and addenda(if any)and the approval of this Notice of Grant Award creates a legally binding agreement between the Grantee and TVC.The Program requirements(e.g.,objectives,scope,budget,methodology)as stated in(1) the applicable federal and/or state statute and regulations,(2)the original Request for Applications(RFA)including any addenda issued,(3)the addenda to Grantee's Application(if applicable),and(4)Grantee's Application are incorporated into and made a part of this Notice of Grant Award for all purposes,supersede any prior or contemporaneous understandings between the parties pertaining to the subject matter herein whether oral or written,and collectively constitute the entire agreement between the parties.In the event of a conflict in the language contained in the incorporated documents,conflicts shall be resolved by reference to the language contained in the documents in the order listed above. Any changes to the approved Grant must follow TVC's amendment process. Approving TVC Official: Date Thomas P.Palladino Executive Director oFF�ri�a� �Q� l F1 Ti+ Authorized Grantee Official: a 0R'j'j�i X Date Fernando Costa Assistant City Manager Aft by: R� OVED AS TO FORM AND LEGALITY Mary J. K Cl xa Oi on l 10 G e r Assista� 18 CA 07-02-18P02 :53 RCVD AS NAPPENDIX I - THE APPLICATION 110 Organization Name: City of Fort Worth LL ; moor, m Amount Requested: $300,000 * Total Number of Clients to be Served: 160 y TEXAS VETERANS c COMMISSION ,�<< 2018-19 General Assistance y � Grant Fundini2 Period: July 1. 2018—June 30.2019 Applicant Information (Complete all lines) 1 City of Fort Worth 200 Texas Street Fort Worth,Texas 76102 908 Monroe Street Fort Worth,Texas 76102 N/A i N/A http://fortworthtexas.gov/ 817-392-7540 75-6000528 1 073170458 *Applicant Contact Diana Carranza *Contact Title: Management Analyst II 'Phone Number: 817-392-7369 'E-Mail Address: Diana.Carranza(@fortworthtexas. ov . , . Benedict George Sr. Management Analyst 817-392-7339 Benedict.George@fortworthtexas.gov Required Information Fund for Veterans' Assistance Page 1 of 21 2018-19 General Assistance Grant OIrk- ,���S'4rJi APPENDIX I - THE APPLICATION o s9 Organization Name: City of Fort Worth LL 4 m Amount Requested: $300,000 14 * TEXAS VETERANS Total Number of Clients to be Served: 160 i- c COMMISSION �� 2018-19 General Assistance y l�i• .,r So, Grant Funding Period: July 1. 2018—.Tune 30. 2019 True and Correct Statement: TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL INFORMATION IN THIS APPLICATION IS TRUE AND CORRECT AND COMPLETED PER THE DIRECTIONS OUTLINED IN THE ACCOMPANYING REQUEST FOR APPLICATIONS. THE APPLICANT ORGANIZATION REPRESENTATIVE HAS READ AND UNDERSTANDS ALL REQUIRE- MENTS AND PROVISIONS NOTED IN THE ACCOMPANYING REQUEST FOR APPLICATIONS, AND WILL COMPLY WITH ALL REQUIREMENTS AND PROVISIONS NOTED IN THE ACCOMPANYING REQUEST FOR APPLICATIONS AND NOTICE OF GRANT AWARD EFFECTIVE UPON SUBMISSION OF THIS APPLICATION AND THROUGHOUT THE LIFETIME OF THE GRANT IF AN AWARD IS MADE. THE SUBMISSION OF THIS DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT. Fernando Costa Assistant City Manager r 817-392-6122 Fernando.Costa@fortworthtexas.gov 10/21/2017 * Required Information Fund for Veterans' Assistance Page 2 of 21 2018-19 General Assistance Grant All information must be in sufficient detail to ensure the application can be weighed with other application. Do not leave any item blank.Refer to Section V. Grant Application of the accompanying 2018-19 General Assistance RFA document for further instructions. The grant funding period is based on a 12-month calendar from July 1,2018 to June 30,2019.The required expenditure and program performance benchmarks(below) should be used as guidelines when completing the Application. Date Grant Period Elapsed Amount Expended Performance Met October 1 25% 15% 15% January 1 50% 40% 40% April 1 75% 70% 70% Part I— Proposed Project Information Proposed Project Name 1. Provide a name for the Proposed Project. Forward Home Veteran Assistance Program Amount Requested Select one amount being requested. Applicants must refer to RFA Section IV.Program Guidelines,H.Funding Amounts and Financial Documentation to ensure they are able to support request amount with correct financial documentation and other requirements. Select Amount Requested $300,000 " Grant Project Service Category Select one category that best describes the nature of the Proposed Project. See Page 12 of the 2018-19 General Assis- tance—RFA for more information about what may be included in the Service Categories listed below. This Applica- tion is not for Veterans Mental Health programs,Housing 4 Texas Heroes programs, or Veteran Treatment Courts. Proposed Proiect Service Category QFinancial AssistanceD Is this proposed project a new FVA-funded project,an expansion of current FVA-funded services,or continuation of an existing FVA-funded project? ❑ New ❑ Expansion M Continuation Geographic Service Area(s) The counties that will be served by this grant are called the Geographic Service Area(s). All Texas counties are grouped into one of eight regions. Check all counties,regardless of region,that the Proposed Project will serve. If the Proposed Project provides services to Veterans living in all counties statewide,only check the statewide box. Fund for Veterans'Assistance Page 3 of 21 2018-19 General Assistance Grant Rural Counties, per the Office of Rural Health Policy, are designated below in bold. Rural counties with an asterisk are designated as being part of a Metropolitan Area but are considered Rural based on their census tracks as deter- mined by the Office of Rural Health Policy. ❑ Statewide Region 1 —Panhandle ❑ Armstrong * ❑ Bailey ❑ Briscoe ❑ Brown ❑ Callahan ❑ Carson * ❑ Castro ❑ Childress ❑ Cochran ❑ Coleman ❑ Collingsworth ❑ Comanche ❑ Crosby ❑ Dallam ❑ Deaf Smith ❑ Dickens ❑ Donley ❑ Eastland ❑ Fisher ❑ Floyd ❑ Garza ❑ Gray ❑ Hale ❑ Hall ❑ Hansford ❑ Hartley ❑ Haskell ❑ Hemphill ❑ Hockley ❑ Hutchinson ❑ Jones ❑ Kent ❑ King ❑ Knox ❑ Lamb ❑ Lipscomb ❑ Lubbock ❑ Lynn ❑ Mitchell ❑ Moore ❑ Motley ❑ Nolan ❑ Ochiltree ❑ Oldham * ❑ Parmer ❑ Potter ❑ Randall ❑ Roberts ❑ Runnels ❑ Scurry ❑ Shackelford ❑ Sherman ❑ Stephens ❑ Stonewall ❑ Swisher ❑ Taylor ❑ Terry ❑ Throckmorton ❑ Wheeler ❑ Yoakum Region 2—West Texas ❑ Andrews ❑ Borden ❑ Brewster ❑ Crane ❑ Culberson ❑ Dawson ❑ Ector ❑ El Paso ❑ Gaines ❑ Glasscock ❑ Howard ❑ Hudspeth * ❑ Jeff Davis ❑ Loving ❑ Martin ❑ Midland ❑ Pecos ❑ Presidio ❑ Reeves ❑ Terrell ❑ Upton ❑ Ward ❑ Winkler Region 3 -Alamo ❑ Atascosa ❑ Bandera ❑ Bexar ❑ Coke ❑ Comal ❑ Concho ❑ Crockett ❑ Dimmit ❑ Edwards ❑ Frio ❑ Gillespie ❑ Guadalupe ❑ Gonzales ❑ Irion * ❑ Karnes ❑ Kendall ❑ Kerr ❑ Kimble ❑ Kinney ❑ La Salle ❑ Mason ❑ Maverick ❑ McCulloch ❑ Medina ❑ Menard ❑ Reagan ❑ Real ❑ Schleicher ❑ Sterling ❑ Sutton ❑ Tom Green ❑ Uvalde ❑ Val Verde ❑ Wilson ❑ Zavala Region 4—South Texas ❑ Aransas ❑ Bee ❑ Brooks ❑ Calhoun ❑ Cameron ❑ DeWitt ❑ Duval ❑ Goliad ❑ Hidalgo ❑ Jackson ❑ Jim Hogg ❑ Jim Wells ❑ Kenedy ❑ Kleberg ❑ Lavaca ❑ Live Oak ❑ McMullen ❑ Nueces ❑ Refugio ❑ San Patricio ❑ Starr ❑ Victoria ❑ Webb ❑ Willacy ❑ Zapata Region 5—Gulf Coast Fund for Veterans' Assistance Page 4 of 21 2018-19 General Assistance Grant ❑ Austin * ❑ Brazoria ❑ Chambers ❑ Colorado ❑ Fort Bend ❑ Galveston ❑ Harris ❑ Liberty ❑ Matagorda ❑ Montgomery ❑ Walker ❑ Waller ❑ Wharton Region 6—Central Texas ❑ Bastrop ❑ Bell ❑ Blanco ❑ Bosque ❑ Brazos ❑ Burleson ❑ Burnet ❑ Caldwell ❑ Coryell ❑ Falls ❑ Fayette ❑ Freestone ❑ Grimes ❑ Hamilton ❑ Hays ❑ Hill ❑ Lampasas ❑ Lee ❑ Leon ❑ Limestone ❑ Llano ❑ Madison ❑ McLennan ❑ Milam ❑ Mills ❑ Robertson ❑ San Saba ❑ Travis ❑ Washington ❑ Williamson Rep,ion 7-East Texas ❑ Anderson ❑ Angelina ❑ Bowie ❑ Camp ❑ Cass ❑ Cherokee ❑ Delta ❑ Franklin ❑ Gregg ❑ Hardin ❑ Harrison ❑ Henderson ❑ Hopkins ❑ Houston ❑ Jasper ❑ Jefferson ❑ Lamar ❑ Marion ❑ Morris ❑ Nacogdoches ❑ Newton ❑ Orange ❑ Panola ❑ Polk ❑ Rains ❑ Red River ❑ Rusk ❑ Sabine ❑ San Augustine ❑ San Jacinto ❑ Shelby ❑ Smith ❑ Titus ❑ Trinity ❑ Tyler ❑ Upshur ❑ Van Zandt ❑ Wood Region 8—North Texas ❑ Archer ❑ Baylor ❑ Clay ❑ Collin ❑ Cooke ❑ Cottle ❑ Dallas ❑ Denton ❑ Ellis ❑ Erath ❑ Fannin ❑ Foard ❑ Grayson ❑ Hardeman ❑ Hood ❑ Hunt ❑ Jack ❑ Johnson ❑ Kaufman ❑ Montague ❑ Navarro ❑ Palo Pinto ❑ Parker ❑ Rockwall ❑ Somervell N Tarrant ❑ Wichita ❑ Wilbarger ❑ Wise ❑ Young Proposed Project Services 1. Briefly describe the Proposed Project. Be specific in your answer and include the Who, What, Where, and When,of the Project. Through the City of Fort Worth's Community Action Partners Program (CAP), housed within the Neighborhood Services Department,the Forward Home Veteran Assistance Program will provide financial assistance to Tarrant County Veterans and their families in the form of one-time rental/mortgage and utility payments, and up to five months of arrears, allowing coverage of no more than six months as indicated by application guidelines. If no ar- rear payments are needed,then only one month payment will be provided as indicated by application guidelines. Expanded services will include assistance with security deposits and administrative fees. We have noticed a trend that veterans may have a housing voucher, but are unable to pay for the security deposit and administrative fees. 2. Briefly describe how Beneficiaries will access and/or be provided with Project services by your organiza- tion. Be specific in your answer and include the How of the Project. Program services will be posted on the City of Fort Worth's website along with contact information, listed with United Way's 2-1-1 assistance service and marketed to local social services providers. Beneficiaries can access Fund for Veterans' Assistance Page 5 of 21 2018-19 General Assistance Grant the program by calling CAP's Customer Care Center at 817-392-5790 24 hours a day, 7 days a week. Beneficiar- ies will be screened for preliminary eligibility and then will be asked to make an appointment. Once beneficiaries make an appointment they will be assigned to one of the following CAP Centers: Andrew Doc Session Community Center 201 S. Sylvania Ave. Fort Worth,TX 76111 Central CAP Office 4200 S.Freeway, Suite 2200 Fort Worth,TX 76115 Como Community Center 4900 Horne St. Fort Worth,TX 76107 Martin Luther King Jr. Community Center 5565 Truman Dr. Fort Worth,TX 76112 North Tri-Ethnic Community Center 2950 Roosevelt Ave. Fort Worth,TX 76106 Northside Community Center 1100 N.W. 18'b St. Fort Worth,TX 76164 Southside Community Center 959 E.Rosedale St. Fort Worth,TX 76104 Worth Heights Community Center 3551 New York Ave. Fort Worth,TX 76110 Southeast Arlington CAP Office 401 W. Sanford St., Suite 2700 Arlington,TX 76011 Beneficiaries will meet with a Case Worker to ensure they meet program eligibility requirements and to assess the beneficiary's needs. Need Identified 1. What is the community need(s)or existing service gap(s) that the Proposed Project will address? Be spe- cific in your answer and sufficiently describe the need that your service area faces to include the Why of the Project. United Way of Tarrant County's 2015 Annual 211 Report stated that the number 1 and 2 unmet needs for veterans were electric service payment and rent payment assistance. Out of this unmet need, 58%was due to no resources or resources being depleted. A Needs Assessment for Veterans in the Dallas-Fort Worth Region states that housing accounts for 33.1%of the average annual household expenditures in the area and the cost of living exceeds the national average by 8.352%. Fund for Veterans'Assistance Page 6 of 21 2018-19 General Assistance Grant This demonstrates a need for assistance,particularly with housing costs,for all persons living in the DFW area, including veterans.This same study states that in 2014 the VA spent nearly$2.5 billion on veterans in the DFW region,representing nearly 16.6%of the VA's overall spending in Texas.This level of spending represents ap- proximately$6,226 per veteran,however, it is below the national average of$7,364 per veteran,which again rep- resents a need for assistance for Tarrant County veterans. Additionally,a study conducted in 2016 for the Texas Veteran Commission determined that the North Texas Area had a gap of services especially for families of veterans. The study indicated there was an unmet need of 72%for rent/mortgage and utility assistance for veterans; and a 56%unmet need for rent/mortgage and utility assistance for their families. 2. How did you identify the community need(s)or problem(s)? Be specific in your answer and sufficiently describe any methods used to identify that the need described above in Need Identified#1 is present in your service area. Include references to data that may substantiate and support that this need exists in your ser- vice area. • The United Way of Tarrant County's 2015 Annual:211 Report served as the source data"the number 1 and 2 unmet needs for veterans". This is the most recently published report. • The Needs Assessment,Veterans in the Dallas-Fort Worth Region,by Katherine Kidder,Amy Schafer& Phillip Carter from the Center for a New American Security,published date of March 29,2016 provided data for living expenses and subsidy amounts. • Unmet needs in the North Texas Region was identified by reviewing the Statewide Needs Assessment conducted by Texas State University for the Texas Veterans Commission in April of 2016. 3. How will the Proposed Project address the identified need(s)or problem(s)? Be specific in your answer and sufficiently describe how the components of the Proposed Project as described above in Proposed Pro- ject Services#1 will assist in attempting to resolve the need described above in Need Identified#1. The Forward Home Veteran Assistance Program will help to fulfill the unmet needs identified by United Way.At the time the report was written,the Forward Home Program did not exist,with the award of these funds, veterans will have another source of assistance to go to.Additionally,the program will provide emergency financial assis- tance to veterans and their families which will assist with the rising costs of housing.Although some veteran fam- ilies may be able to afford their day-to-day expenses,they may not be able to mitigate an emergency situation,the Forward Home program will help to alleviate some of that pressure and fill in some of the service gaps identified by the Texas Veterans Commission. 4. How is the Proposed Project unique from other similar services that may be available in your proposed service area? Be specific with details about what sets your Proposed Proiect apart. The Forward Home Veteran Assistance Program is unique because currently there are no other programs in the area that provide financial assistance to all veterans and their families regardless of era,branch of service,duty status and specific character of discharge. Additionally,most service providers have caps or restrictions with no arrear assistance. Rental/mortgage assistance is very limited in Tarrant County creating the possibility of veterans and their families becoming homeless.The program will be administered by the Community Action Partners Pro- gram which provides a unique opportunity for additional supportive services depending on the veteran's house- hold income. Beneficiaries 1. Related to the information provided in Need Identified above,Applicants may elect to restrict Proposed Project services to particular groups to address needs by narrowing the eligibility of who can receive ser- vices through the Proposed Project. Examples include, but are not limited to: • Veterans of a particular era (such as Vietnam or OEF/OIF era Veterans); • Veterans with a specific character of discharge(such as Honorable,other than Dishonorable,etc.); • Veterans' duty status (such as National Guard,Reservist,or Active Duty); or Fund for Veterans'Assistance Page 7 of 21 2018-19 General Assistance Grant • Particular Veteran dependents (such as dependents of newly separated veterans,or surviving spouses of reservists or Guards Members). Provide a definition below for each applicable category that will be eligible to receive services,listing any service restrictions of the Proposed Project. Be specific. Do not include the number of clients you antici- pate serving. Veterans: defined as persons who served in the military,naval, or air service and have been discharged.All vet- erans will be served regardless of era or character of discharge.Active duty,National Guard, and reservist may be eligible for services,however,preference will be given to discharged veterans. Veteran Dependents: Spouse,minor son, or daughter, including stepchild or adopted child of a Veteran residing with the veteran or under age 24 if a full-time student. Surviving Spouses: defined as spouses of deceased veterans who are currently still unmarried. Choose from the list below all discharge statuses that will be accepted by your organization: ® Honorable ® General Under Honorable Conditions ® Other Than Honorable Conditions ® Bad Conduct ® Dishonorable ® Dismissed ® Uncharacterized 2. Describe any other restrictions on eligibility,if applicable(example: income level,beneficiaries living in a specific service area like a county or region,or referral from VA or other such organization). All beneficiaries must have an income at or below 80%of Area Median Income(AMI),adjusted for household size as issued by the 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).Beneficiary in- comes will be assessed by collecting paystubs for the time period that the service is being requested.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 re- quired to complete a certification of no income.Additionally, all beneficiaries must provide proof of Veteran sta- tus by providing one of the documents the Project Eligibility section of this document. Veterans with"entry level honorable discharge"status will be eligible for services under"General Under Honorable Conditions"status. 3. If your organization receives grant funds,it will be responsible for tracking each individual Veteran,their dependents,and survivors that receive grant-funded service(s). The number of unduplicated Veterans, dependents and survivors,as well as cumulative totals,will be reported to the FVA quarterly. a. Estimated Number of Clients to be Served Enter the estimated number of unduplicated Veterans,Dependents,and Surviving Spouses to be served by the Proposed Project.The information to be entered is a number. Do not enter a percentage and do not enter a range. Performance Measure Estimated Number of Clients to be Served Number of Veterans served. 125 Veterans (Required performance measure for all applicants.) Number of Dependents served. 20 Dependents (Required performance measure if served. Number of Veterans' Surviving Spouses served. (Required performance measure if served.) 15 Surviving Spouses Fund for Veterans'Assistance Page 8 of 21 2018-19 General Assistance Grant Total Estimated Number of Clients to be Served 1 160 Total Unduplicated Beneficiaries b. Additional Performance Measures and Estimated Volume of Services Provided to Clients 1. First enter additional performance measures that align with and are related to the Proposed Pro- ject in the Performance Measure column. For example,if the Proposed Project is to provide free transportation services via a dial-a-ride van service,an additional performance measure may be "number of rides provided to beneficiaries." Then,provide the estimated volume over the grant funding period for the additional performance measure listed.For example, "500 rides." Additional lines may be added. Performance Measure Estimated Volume of Services Provided to Clients Example: Example: Number o rides to be provided to beneficiaries. 500 rides Number of rental assistance payments 55 Number of mortgage assistance payments 33 Number of utility assistance payments 97 Number of security deposit assistance checks 30 c. Goals and Anticipated Outcomes 1. First enter goals that align with and are related to the Proposed Project in the Goals column. For example,if the Proposed Project is to provide free transportation services via a dial-a-ride van ser- vice,a goal may be"clients provided with rides were able to regularly attend medical appoint- ments,and health and independence was improved." Then provide the anticipated outcome for the goal listed in the"Anticipated Outcomes" column. For example,"85% of clients had improvements in health and independence." Additional lines may be added. Goals Anticipated Outcomes Example: Example: Clients provided with rides were able to regularly at- g5%of clients had improvements in health and independ- tend medical appointments and health and independ- ence. ence was improved Clients provided with rental assistance were able to remain in their home and not become homeless 90 85%of clients remained housed after 90 days days after assistance was provided Clients provided with mortgage assistance were able to remain in their home and not become homeless 90 85%of clients remained housed after 90 days da s after assistance was provided Clients provided with utility assistance will have their immediate energy needs met and will be en- 95%of clients had their immediate energy needs met and couraged to control their energy costs through en- received energy cost education ergy education Clients provided with security deposit assistance were able to obtain housing and not become home- 85%of clients remained housed after 90 days less 90 days after assistance was provided 2. Next,describe how you will determine if anticipated outcomes are met. Examples may include us- ing a client satisfaction survey,following up with clients 30-90 days after receiving services to deter- mine status,tracking pertinent client data. Fund for Veterans'Assistance Page 9 of 21 2018-19 General Assistance Grant CAP Case Workers will follow up with beneficiaries 90 days after receiving services to determine the status of their residency. Once beneficiaries complete the eligibility process,their energy needs will be met immediately by providing payment to their utility company. Project Eligibility 1. Eligibility to receive services must be verified and documented. The RFA includes a list of specific forms your organization staff may use to verify eligibility of clients who can receive services and ensure that it is applicable to beneficiary definitions above in Beneficiaries#1 (Veteran,dependent, surviving spouse related)and#2(any other applicable eligibility requirements).Select the forms your agency will use to verify eligibility. N DD Form 214,Certificate of Release or Discharge from Active Duty N NGB-22,National Guard Report of Separation and Record of Service N NA Form 13038, Certification of Military Service N Department of Veterans Affairs(VA)official letter or disability letter with character of service listed N E-Benefits summary letter with character of service listed N Honorable discharge certificate N Uniform Services Identification Card ® State of Texas Issued Driver License with Veteran designation If dependents and surviving spouses are listed as eligible beneficiaries,include how their eligibility will be verified. Select the forms your agency will use to verify eligibility Dependents: N Uniform Services Identification Card N Marriage Certificate N Birth Certificate N Adoption Certificate Surviving Spouse: N Uniform Services Identification Card N Marriage Certificate N Death Certificate or one of the forms listed above for Veterans eligibility 2. Describe how the eligibility verification documents will be retained(example: as listed in your or- ganization's retention policy)and maintained(example: in locked filing cabinet or electronically on your organization's server). Note: Retention period must meet minimum requirements as defined in 2 CFR 200.333 of the Uniform Administrative Requirements, Cost Principles,and Audit Requirements for Federal Awards. Eligibility verification documentation will be kept at each site in locked filing cabinets for a minimum of 3 years after the end of the grant period as required by 2 CFR 200.333 unless exceptions noted on 2 CFR 200.333 require a longer retention period. Project Principal Participants List the principal participants in the organization. Indicate which principal(s),if any, are Veterans. As defined in the RFA Section III.Definitions of Key Terms Principal Participants can include: Project Coordinator,Financial Coordinator,Executive Director or any other key stakeholders in the Proposed Project..Rdsumds are to be included for each Principal Participant and should describe applicable experience by position Fund for Veterans'Assistance Page 10 of 21 2018-19 General Assistance Grant Name of Veteran #of years of Resume Principal Participant Title (Y/1V) experience in Attached position Y 1. Sonia Singleton Assistant Director N 8 Y 2. Marie Francis Human Services Man- N 9 Y ager 3. Benedict George Senior Management N 12 Y Analyst 4. Diana Carranza Management Analyst N 5 Y 11 5. 1. What are the roles,responsibilities,and qualifications of the Principal Participants listed in the table above as related to the Proposed Project? For example,if a CFO is listed as a principal participant,the descrip- tion should reference his/her role,responsibilities,and qualifications as it relates to the Proposed Project. Principal Participant#1: Sonia Singleton will provide overall supervision for the Community Resources Divi- sion which the Community Action Partners Program falls under. Ms. Singleton will also provide guidance and support as requested by Principal Participants and the Case Workers in charge of providing services. Sonia has been the Assistant Director for the Community Resources Division since 2009. Principal Participant#2:Marie Francis will provide supervision along with support and training to the project principal participants and Case Workers in charge of providing services. Ms. Francis is currently supervising all CAP programs and has been since 2008. Principal Participant#3: Benedict George will provide financial support by reconciling and tracking cost and revenue data and will assist in the completion of financial reports required by the grant. Mr. George currently performs these tasks and is responsible for the financial and accounting reporting for about 12 million dollars of grant funds that the City of Fort Worth receives;he has performed these duties since 2005. Principal Participant#4:Diana Carranza will assist in the completion of reports required by the grants.Ms. Car- ranza assists with current grant's reports and serves as the main point of contact for grant related questions. Principal Participant#5: Partnerships List agencies and/or organizations that your organization partners with to assist in serving Beneficiaries as part of the Proposed Project. Use additional page(s) if needed. Note: Partnerships may be subject to verification. Name of Address Telephone Website Partner Organization Catholic Charities Fort Worth 249 Thornhill Dr,Fort 817-534-0814 https://www.catholicchari- Worth,TX 76115 tiesfortworth.or Texas Workforce Commission 4701 E Lancaster Ave, 817-626-5262 http://www.twc.state.tx.us/ Fort Worth,TX 76103 The Women's Center of Tarrant 1723 Hemphill St,Fort 817-927-4040 http://www.womenscen- County Worth,TX 76110 tertc.or Legal Aid of NorthWest Texas 600 E Weatherford St, 817-336-3943 https://inter- Fort Worth,TX 76102 net.lanwt.org/en-us Community Learning Center(CLC, 555 N. Grants Lane, 817-569-9008 http://www.cicinc.org/ Inc.) Fort Worth,TX 76108 United Way of Tarrant County 1500 N.Main St, Suite 817-258-8000 http://unitedwaytar- 200,Fort Worth,TX rant.org/ 76164 1. Describe the role and how each partner listed in the table above is necessary to accomplish the Proposed Project. Fund for Veterans'Assistance Page 11 of 21 2018-19 General Assistance Grant Catholic Charities Fort Worth provides an array of services that may be helpful to beneficiaries; CAP will make referrals and take referrals as appropriate. The Texas Workforce Commission provides job readiness training which will be helpful for beneficiaries that wish to get additional training or education; CAP will make and take referrals as appropriate. CAP will partner with the Women's Center,United Way, Legal Aid of NorthWest Texas and CLC,Inc. for outreach and marketing and will take make and take referrals as appropriate. Marketing and Outreach 1. Does your organization have an outreach and/or marketing plan to ensure your organization is able to reach and provide services to the Estimated Number of Clients to be Served as listed in the table for Benefi- ciaries#3? N Yes ❑ No 2. If yes,describe the outreach and/or marketing plan and how it will ensure that your organization is able to reach and provide services to the Estimated Number of Clients to be Served as listed in the table for Benefi- ciaries#3. Outreach is performed by Community Action Partners Staff throughout the county at Health Fair events, Commu- nity events and Job Fairs.Clients are also recruited through direct advertising(flyers)sent to churches,apartment complexes and other venues or through partner agencies such as United Way 211, Women's Center, and Catholic Charities. Referrals are made through the partners mentioned above and through internal sections as well. Social media may also be used, i.e. Facebook,twitter, etc. Sustainability after the Grant 1. If your organization were to receive a one-year FVA grant,will the Proposed Project continue after the one-year grant period if you did not receive additional FVA funding? N Yes ❑ No 2. If yes,please describe how the Proposed Project will continue. Be specific. Include in your answer what other funding will be available to your organization and what other organizations with whom you may be partnering or working to carry on the work of the Proposed Project after June 30,2019: Veterans would still receive services with current funds,however,these funds provide the flexibility to serve ben- eficiaries who have higher levels of income. The current income limits for most CAP programs are 125-150%of Poverty Guidelines,without these funds,beneficiaries falling over these income guidelines but under the 80%of AMI would be denied.Additionally,mortgage assistance would not be available,as this is currently the only source of funds that provides mortgage assistance through CAP. 3. If your organization has received FVA funding in the past for the Proposed Project,describe why you are applying for a grant again. The City received a General Assistance grant for the 2017-2018 program year. With those funds we started the Forward Home Veteran Assistance Program.The grant has been crucial in providing essential services to our vet- erans. It has ensured that our veterans are able to remain housed and that they do not become homeless. Without the grant,the City would not be able to provide these exclusively veterans and their families. In particular,the mortgage assistance is much needed and the City does not currently have another funding source for mortgage assistance.Additionally,these funds provide flexibility of serving higher income Veterans who would be turned away otherwise and possibly lose their homes. We want to continue to assist our veterans and ensure that they remain housed. Fund for Veterans'Assistance Page 12 of 21 2018-19 General Assistance Grant Part II — Organization Background Organization Overview 1. What is the purpose or mission of your organization? • The City of Fort Worth's mission is"Working together to build a strong community" • Community Action Partners Program Mission is"Empowering people, building communities, changing lives" 2. What year was your organization established? • The City of Fort Worth was established in the spring of 1849 • The Community Action Partners Program has served as the Community Action Agency for Tarrant County since 1981 3. What types of programs/services does your organization as a whole currently provide? Provide examples and briefly describe program components. • The City of Fort Worth provides essential services to its citizens, such as safety and sanitation, recrea- tional services, creation of affordable housing, home repairs,assistance for MWBE and SBE businesses and many others as required by Fort Worth citizens. • CAP provides an array of social and community services such as emergency rent assistance, utility ser- vice assistance, case management to transition families out of poverty, Christmas toy program, child care and youth programs at Neighborhood Centers, income tax filling assistance through Volunteer Income Tax Assistance(VITA)and others. Additionally,CAP received an FVA General Assistance Grant for the 2017-2018 grant period and is currently offering services to veterans and their families in Tarrant County. These programs are based on need and income and are essential for maintaining both the City's and CAP's missions. 4. Are veterans currently being served and what services is your organization providing to the veterans? • The City of Fort Worth serves all residents including veterans. • CAP is currently providing exclusive services to veterans through a General Assistance grant awarded by FVA for the 2017-2018 grant period. Organizational Structure 1. What type of organization is applying? © City/Municipal government ❑ County government ❑ Nonprofit organization ❑ Other, please describe: 2. What type of governing body does your organization have? ❑X City Council/Mayor/City Manager ❑ County Commissioners' Court/County Judge ❑ Board of Directors/Board Officers/Executive Director ❑ Other, please describe: Previous FVA Grant Awards List any previous grants your organization was awarded from the FVA. Fund for Veterans' Assistance Page 13 of 21 2018-19 General Assistance Grant Was previous funding for the Amount Grant/Contract# Begin Date End Date Final Final same Proposed Awarded g Exp % Perf% Project under this applica- tion?() $300,000.00 FVA 17 0409 7/01/2017 6/30/2018 14%* 21%* Y $300,000.00 Total FVA Grant Awards *as of 10/19/2017 Other Grants and TVC Contracts List all grants and TVC contracts your organization received within the last two(2)years.Do not include FVA grants listed above. Do not list in-kind donations. Use additional pages if needed. Audit Amount Grantor Grant/Contract# Begin End Date Performed Awarded Date _..__ _ _. . es or No N/A $0 Total Other Grant Awards 1. Provide a brief narrative for each TVC(non-FVA)contract that is listed in the above table. N/A Fiscal Management Answer each question below and do not leave any item unanswered. 1. What software does your organization use to record accounting transactions? Enterprise Resource Planning(ERP)—PeopleSoft 2. Does your organization have written accounting policies and procedures for the following? Please be aware that you will be asked to provide copies of applicable policies and procedures to FVA staff should you be awarded a grant. Do not list N/A. YES NO A. Procurement ® ❑ B. Vendor Payments ® ❑ C. Payroll ® ❑ D. Grants Administration ® ❑ E. Cash Management ® ❑ F. Travel ® ❑ G. Capitalization and Equipment ® ❑ Fund for Veterans'Assistance Page 14 of 21 2018-19 General Assistance Grant 3. Indicate if each statement is true or false for your organization. Do not list N/A. TRUE FALSE A. There has been no staff turnover or reorganization in the past 6 months. ❑X ❑ B. The organization uses a Chart of Accounts. ❑X ❑ C. Time sheets are approved and signed by supervisory personnel. © ❑ D. An A-133 Single Audit has been performed in the past 2 years. ® ❑ E. Travel receipts are submitted for travel reimbursement requests. N ❑ ❑ ❑ F. At what amount does your organization capitalize equipment? $5,000 Performance Reporting 1. What type(s)of data collection tools will your organization use to document Beneficiaries receiving services (required performance measure) and any additional performance measures noted in Beneficiaries#3 a., b., and c.? CAP currently uses Shah Software, New Gen component, which is a client tracking system for data collection and performance measure. 2. How will your organization consolidate the collected data to ensure that beneficiaries that are reported to the FVA are unduplicated? New Gen system is capable of generating reports to ensure that the numbers are unduplicated. A separate compo- nent can be added to the system specifically for the Forward Home Program. Fund for Veterans'Assistance Page 15 of 21 2018-14 General Assistance Grant Part III— Budget Tables and Budget Narratives The budget is broken up into Direct and Indirect Costs. Within Direct Costs there are six allowable sections. Indirect Costs has one section. Each section represents a Budget Category that will make up your Total Grant Amount Request. The total grant amount request must equal the Amount Requested checked in Part I—Proposed Project. Complete each Table as applicable to your Proposed Project. Costs must be broken out in Tables to a degree that is suffi- cient to determine if costs are reasonable, allowable,and necessary for the successful performance of the grant project. Costs will be reviewed for compliance with UGMS and federal grant guidance found in 2 CFR Part 200, Uniform Admin- istrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. Following each table, a narrative description supporting and discussing each budget item must be entered, as well as a calculation demonstrating how the cost was arrived at. For example, if there is travel in the budget,the narrative must discuss travel and the appropriateness of travel to the project, and the narrative must include calculations to support how the cost was determined. Costs claimed as direct costs that appear indirect in nature or budgets claiming no indirect costs will be scrutinized for accuracy. Any such costs claimed as direct need to be fully explained, supported,be reasonable and treated in a consistent manner across your organization. The FVA may ask the applicant to re-classify costs as indirect if the support provided does not meet the above criterion. All tables should be rounded to the nearest whole dollar. Do not leave a table blank. Place an "N/A" in the first line and a "0"in Total for the table if you are not budgeting those cost in this application. DIRECT COSTS A. Salaries and Wages 1. Enter each employee that will be directly associated with the Proposed Project. Enter their position title, em- ployee name, percent of time to be allotted to the Project,and employee's annual salary rate. Table A % of Time Position Title Employee Name Annual Salary Allocated to the Total Cost Grant Sr. Human To be hired $54,265 50% $27,133 Services Specialist Total Table A $27,133 2. Describe the roles, responsibilities, and qualifications including any required license or certification of each of the positions listed under Salaries and Wages and how each of those roles are necessary to accomplishing the Pro- posed Project. Positions allocated 10%or less must be justified as directly working on the grant. Narrative must also include a calculation to demonstrate how the cost was determined. Fund for Veterans' Assistance Page 16 of 21 2018-19 General Assistance Grant The Sr. Human Services Specialist will be a new position dedicated solely to FVA funds. The City is also apply- ing for a Housing for Texas Heroes grant, and if awarded,the cost of this position would be shared. The incum- bent would be responsible for overseeing both veteran programs and for promotion and outreach. This would be a licensed professional who would provide assistance to CAP case workers when needed. This position would be responsible for meeting with community partners and ensuring the best and most efficient use of funds. B. Fringe Benefits 1. For each Position listed in Table A, include the annual fringe benefits for that position. Table B Annual Fringe % of Time Position Title Employee Name Benefits Allocated to the Total Cost Grant N/A $ % $ Total Table B $ 2. Describe the benefits—including health insurance, social security and any other applicable fringe benefits—for each position listed in Table B and how each of those benefits are necessary to accomplishing the Proposed Pro- ject.Narrative must also include a calculation to demonstrate how the cost was determined. Will not be charging benefits for the requested position. Benefits would be paid through other funding sources and used as a form of match for the General Assistance Grant. C. Travel 1. Enter employeetravel in the table below. This can include travel to and from conferences,training, outreach, and travel to provide services to Beneficiaries. As noted in the RFA Section XI. Grantee Training, funds do not need to be budgeted for travel to Austin, TX for grantee training. This training will be done remotely via webinar or conference call, or in some instances, FVA staff may conduct onsite training visits at the Awarded Applicant's facility. Table C Travel Expense Reason for Travel Staff Das Total Cost N/A $ $ Total Table C $0.00 Fund for Veterans' Assistance Page 17 of 21 2018-19 General Assistance Grant 2. Provide a description for each travel item included in the Table above. The description should include, but is not limited to, what the travel is for, who is traveling, costs to be used for mileage rates, meal rates per day, confer- ence registration fees, and why the travel is necessary to accomplishing the Proposed Project. Narrative must also include a calculation to demonstrate how the cost was determined. N/A D. Capital Equipment This line is not applicable to this FVA grant application and should be left blank. E. Supplies 1. Enter a description, unit cost and quantity for each item of supplies to be purchased for the Proposed Project. This category includes normally consumable and general use items that do not reach the threshold for capital equip- ment. This can include, but is not limited to,general office supplies,furniture, laptops,printers, and toner. Table E Description of Supplies Unit Cost Quantity Total Cost N/A $ $ Total Table E $0.00 2. Provide a description for each item of supply listed in the Table above and explain why each supply item is nec- essary to accomplish the Proposed Project. Narrative must also include a calculation to demonstrate how the cost was determined. N/A 3. If this is a continuation request and your organization was previously awarded funding for the Proposed Project, note each item of supply listed in the Table above that was also requested as part of a previously funded applica- tion and explain why it is being requested again. Examples of such items of supply may include laptops, projec- tors, printers, and phones. N/A F. Client Services 1. List each client service and the cost of each service. Client Services may include,but is not limited to,participant support costs such as emergency financial assistance,transportation assistance, and any contract personnel that will be providing services to Beneficiaries. An itemized break-out of each client service is required, and extra lines may be inserted into this table. Table F Client Service Maximum Cost No. of Clients to Total Cost per Client be Served Rental Assistance $1,900 55 $104,500 Mortgage Assistance $3,000 33 $99,000 Utility Assistance $500 97 $48,500 Security Deposit Assistance $544 30 $16,327 Total Table F $268,327 Fund for Veterans' Assistance Page 18 of 21 2018-19 General Assistance Grant ?. Provide a description for each Client Service listed in the Table above and explain why each cost is necessary to accomplish the Proposed Project. Include, if applicable,the maximum amount of assistance to be provided to clients.Narrative must also include a calculation to demonstrate how the cost was determined. Each component of the direct client services is necessary in order to meet program goals of keeping veterans and their families housed and meeting their energy needs. If beneficiaries are not able to pay their rent or mortgage they will likely become homeless, adding to the already increased homeless number, additionally, if beneficiaries are not able to pay their essential utilities their homes become unlivable, without water they cannot cook or bathe, without electricity they are not able to keep their house warm or cool during the summer. Deposit funds will help to ensure that beneficiaries are able to move into safe and decent housing. With these funds CAP will be able to meet some essential needs for Tarrant County veterans and their families. • Rental assistance is calculated as follows: average rent of$950, anticipating paying current month plus one month of arrears per beneficiary for a total of$1,900 per beneficiary, however, all beneficiaries will be eligible for current month and up to 5 months of arrears. If there are no arrears to pay, only one month of assistance will be given. Providing rental assistance to 55 households for a total of$104,500. • Utility assistance is calculated as follows: average utility bill of$125, anticipating paying current month plus 3 months of arrears per beneficiary for a total of$500 per beneficiary, however, all beneficiaries will be eligible for current month and up to 5 months of arrears. If there are no arrears to pay, only one month of assistance will be given. Providing utility assistance to 100 households for a total of$50,000.00. Eligi- ble utilities include water, electricity,natural gas, sewer and any other utility that would be considered basic/essential. Telephone,cable and internet are not eligible utilities. • Mortgage assistance is calculated as follows: average mortgage cost of$1,500.00, anticipating paying current month plus one month of arrears per beneficiary, however, all beneficiaries will be eligible for current month and up to 5 months of arrears. If there are no arrears to pay, only on month of assistance will be given. Providing mortgage assistance to 30 households for a total of$99,000.00. • Security deposit assistance is calculated as follows: average deposit of$544.00, security deposit costs will also include application and other move-in fees as applicable. Anticipating paying only one security de- posit per beneficiary. Providing security deposit assistance to 30 households for a total of$16,327.00*. *Number was rounded to remove cents. G. Construction The FVA grant does not cover the cost of construction. This line is blank. H. Other Direct Costs 1. List any direct costs not included in the above tables. Direct costs that appear indirect in nature need to be fully explained, supported,be reasonable and treated in a consistent manner across your organization. The FVA may ask the applicant to re-classify costs as indirect if the support provided does not meet the above criterion. Table H Other Direct Costs Annual Cost Allocation Total Cost if applicable) Marketing/Education Ma- $3,540 100% $3,540 terials(flyers) Marketing/Advertising ° ads on newspapers) $1,000 100/o $1,000 $ % $ Total Table H $4,540 Fund for Veterans'Assistance Page 19 of 21 2018-19 General Assistance Grant 2. Provide a description for each item of other direct costs listed in the Table above and explain why each cost is necessary to accomplish the Proposed Project. If costs are allocated an approximate percentage to be charged to this grant is to be included. Narrative must also include a calculation to demonstrate how the cost was deter- mined. The marketing and educational materials will enable beneficiaries to better understand the program and know how to access the program. • Flyers are calculated as follows: 1 flyer is estimated to cost$0.59,at total of 6,000 flyers will be pur- chased and distributed throughout the City for a total of$3,540. • Newspapers are calculated as follows: 1 newspaper ad is estimated to cost$250 per ad, a total of 4 ads will be published so that beneficiaries will be aware of services being provided. I. Total Direct Charges All Personnel, Fringe Benefits,Travel, Supplies,Client Services and Other Direct Charges should sum to Total Direct Charges on Line I of Table K below. INDIRECT COSTS J. Indirect Costs Allowable Indirect Cost Recovery for FVA grants is limited to 10% of total direct costs for all applicants. Indi- rect charges are those items that are often considered"overhead,"and can be classified as those costs associated with accounting, human resources, and other administrative and facility-related costs. Typical examples of indirect cost for many nonprofit organizations may include depreciation on buildings and equip- ment,the costs of operating and maintaining facilities,and general administration, such as the salaries and expenses of executive officers, personnel administration,and accounting. Please keep in mind that direct and indirect costs must be treated in a similar manner as they are across your organiza- tion and may be reviewed for accuracy during compliance visits. Costs claimed as direct costs that appear indirect in nature or budgets claiming no indirect costs will be scrutinized for accuracy. Any such costs claimed as direct need to be fully explained, supported,be reasonable and treated in a con- sistent manner across your organization. The FVA may ask the applicant to re-classify costs as indirect if the support provided does not meet the above criterion. For more information regarding direct and indirect costs, please see 2 CFR §200.412-414. 1. Enter the total Direct Costs in Table J.to calculate the total allowable Indirect Recovery. Then enter the total In- direct Recover to be charged to the grant—this amount may not be more than the total allowable Indirect Recov- ery. Table J Total Direct Maximum Indirect Costs(Total of Costs Total Allowable Total Indirect Recovery to Table A through (as percentage of Indirect Recovery Table H Direct Costs) Charged to Grant $300,000 10% $30,000 $0 Total Table J $0 Fund for Veterans' Assistance Page 20 of 21 2018-19 General Assistance Grant ?. Provide a basic line item description for each indirect cost(ex. Executive Director, IT,Facilities). No further ex- planation is required. Again, direct and indirect costs are to be treated consistently and similarly either as a direct or an indirect cost in order to avoid double-charging the grant. N/A K. Budget Table Enter all the Total lines from Tables A-H and J on the corresponding line below. The total of Table K must match the grant amount being requested in Part I: Proposed Project Information Amount Requested. Table K Table Budget Category Total Cost DIRECT COSTS A Salaries and Wages $27,133 B Fringe Benefits $ C Travel $ D Capital Equipment E Supplies $ F Client Services $268,327 G Construction H Other Direct Costs $4,540 I Total Direct Costs $300,000 INDIRECT COSTS J Indirect Costs $ Total Indirect Costs $ Total Grant Amount Requested $300,000 L. Matching Funds Describe what other funding sources and/or matching funds your organization will be using to support and accomplish the goals of the Proposed Project. This information helps to provide a complete picture of what resources will be used to accomplish the Proposed Project. Be specific in your answer by including, for example, any other grants that may fund portions of the Proposed Project, in-kind donations, or volunteer time that assists in the delivery of Proposed Project services. Time spent by CAP case workers will not be charged to the grant and will be used as match, CAP case workers are paid with a combination of CSBG and CEAP funds.Additionally the actual direct costs for CEAP and CSBG,Atmos share the warmth and TXU energy aid will be used as match,as well as the fringe benefits for the position requested. Fund for Veterans' Assistance Page 21 of 21 2018-19 General Assistance Grant Contract Compliance Manager: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Name of EmployeeT ifrYQnZck Title ❑ This form is N/A as No City Funds are associated with this Contract Printed Name Signature