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CONTRACT NO.. J 7 b A3
TEXAS DEPARTMENT OF HOUSING AND COMMUNITY AFFAIRS
AMENDMENT NO. 3 TO CONTRACT NUMBER 58190002975
FY 2019 COMPREHENSIVE ENERGY ASSISTANCE PROGRAM(CFDA#93.568)
Awarding Federal Agency: United States Department of Health and Human Services
0, � Q �t} TDHCA Federal Award Number: E-19BITXLIEA
Award Year(Year of Award from HHS to TDHCA): 2019
Unique Entity Identifier Number:147336965
This Amendment No. 3 to Comprehensive Energy Assistance Program Contract Number. 58190002975
("Amendment") by and between the Texas Department of Housing and Community Affairs, a public and official
agency of the State of Texas ("Department"), and City of Fort Worth, a political subdivision of the State of Texas
("Subrecipient"),hereinafter collectively referred to as"Parties",
RECITALS
WHEREAS, the Parties respectively, executed that Comprehensive Energy Assistance Program Contract Number
(CEAP)58190002975("Contract")on January 01,2019 and
WHEREAS, the Parties desire to amend the Record Keeping Requirements for Client Files under Section 9 of the
Contract to comply with the current requirements under 10 TAC §6.5, as amended and supplemented from time to time;
and
WHEREAS, the Parties desire to amend the Contract pursuant to Section 12 of the Contract in the manner provided
herein below.
AGREEMENTS
NOW THEREFORE, for valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the
Parties agree as follows:
1. Item No. 2 of Subsection E, Client Files of Section 9, Record Keeping Requirements, of this Contract is hereby
amended and replaced in its entirety to read as follows:
2. Documentation/verification of client income for the thirty (30) days preceding their application for all
Household members eighteen (18) years and older, or Declaration of Income Statement (DIS) (if applicable). In
order to use the DIS form, each Subrecipient shall develop and implement a written policy and procedure on the
use of the form. Income must be verified with a new application every twelve(12)months;
2. All of the remaining terms of the Contract shall be and remain in full force and effect as therein set forth and shall
continue to govern except to the extent that said terms conflict with the terms of this Amendment. In the event this
Amendment and the terms of the Contract are in conflict, this Amendment shall govern, unless it would make the
Contract void by law.
3. Each capitalized term not expressly deemed herein shall have the meaning given to such term in the Contract.
4. This Amendment may be executed in several counterparts, each of which shall be deemed to be an original copy,
and all of which together shall constitute one agreement binding on Parties, notwithstanding that all the Parties shall not
have signed the same counterpart.
5. If any of the Parties returns a copy by facsimile machine or electronic transmission, the signing party intends the
copy of its authorized signature printed by the receiving machine or the electronic transmission to be its original
signature.
OFFI AL RECORD
CITY SECRETARY
Page I of 2 FT„ WO RTHI" T
6. By signing this Amendment, the Parties expressly understand and agree that its terms shall become a part of the
Contract as if it were set forth word for word therein.
7. This Amendment shall be binding upon the Parties hereto and their respective successors and assigns.
8. This Amendment shall be effective on January 01,2020.
WITNESS OUR HAND EFFECTIVE:
SUBRECIPIENT:
City of Fort Worth
a political subdivision of the State of Texas
By: Fernando Costa
Title: Assistant City Manager
Date: February 5,2020 3:52 pm
DEPARTMENT:
TEXAS DEPARTMENT OF HOUSING AND COMMUNITY AFFAIRS,
a public and official agency of the State of Texas
By: Robert Wilkinson
Title: Its duly authorized officer or representative
Date: February 10,2020 10:53 am
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH,TX
Page 2 of 2
TEXAS DEPARTMENT OF HOUSING AND COMMUNITY AFFAIRS
2019 COMPREHENSIVE ENERGY ASSISTANCE PROGRAM(CEAP)
CONTRACT NO. 58190002975; AMENDMENT NO. 3
(CFDA#93.568)
APPROVED AS TO FORM AND LEGALITY:
Matt Murray
Assistant City Attorney
i
ATT
ar J. Kayser '
City Secretary '�•.
PS
M&C: C-28955
Dated: December 4,2018
CITY OF FORT WORTH
By: Fernando Costa(signed electronically-see attached contract)
Title: Assistant City Manager
Date: February 5, 2020
TEXAS DEPARTMENT OF HOUSING AND COMMUNITY AFFAIRS
By: Robert Wilkinson(signed electronically-see attached contract)
Title: Its duly authorized officer or representative
Date: February 10, 2020
By signing below, I acknowledge that I am the person responsible for the monitoring and
administration of this contract, including ensuring all performance and reporting requirements.
Sonia Singleton, Wsi�tat DirectorNeighborhood Se [OFFICIAL RECORD
CITY SECRETARY