Loading...
HomeMy WebLinkAboutContract 37811Y SECRETARY NTRAC NO. AGREEMENT FOR COMMUNITY BASED PROGRAM In consideration of the mutual covenants, promises and agreements contained herein, THIS AGREEMENT ("Agreement") is made and entered into between CITY OF FORT WORTH, a home rule municipal corporation of the State of Texas, ("City") acting by and through Joe Paniagua, its duly authorized First Assistant City Manager, and CATHOLIC CHARITIES, DIOCESE OF FORT WORTH, Inc., a Texas non-profit corporation ("Contractor") acting by and through Ms. Heather Reynolds, President/CEO, its duly authorized representative. RECITALS WHEREAS, City has determined that Community Based Programs are necessary to support crime prevention in City during FY 2009 to meet one or more of the Crime Control and Prevention District ("CCPD") goals, which are (1) to increase citizen participation in the CODE BLUE program; (2) to support the adoption of a prevention I ocus by the police department and the community and (3) to provide a secure environment in which children can receive an education; and WHEREAS, Contractor has agreed to operate a Community Based Program called "VIOLENCE PREVENTION AND EARLY INTERVENTION SUPPORT" which will provide a secure environment in which children can receive an education; and support the adoption of a prevention focus by the police department and the community; and WHEREAS, City desires to contract with Contractor to operate the Violence Prevention and Early Intervention Support Program; and WHEREAS, City, as consideration for the performance of Contractor, has appropriated monies in the CCPD Budget as reimbursed by the CCPD in the amount of $43,880.00 ("Program Funds") to provide to the Contractor for the operation of the Violence Prevention and Early Intervention Support Program; NOW, THEREFORE, in consideration of the mutual covenants herein expressed, the parties agree as follows: AGREEMENT 1. Responsibilities of Contractor Contractor 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" —Program Proposal, attached, and incorporated herein for all purposes incident to this Agreement. Contractor shall be responsible for day4o-day administration of the Violence Prevention and Early Intervention Support Program. Contractor agrees to expend the Program Funds in accordance with its Violence Prevention and Early Intervention Support Program budget, described in Exhibit "B", attached. 1 2. Program Funds 2.1 In no event shall the total distributions of Program Funds from City made to the Contractor during the term of this Agreement exceed the total sum of $43,880.00. Contractor shall keep all Program Funds in a specific account designated only for the Program Funds, and shall not commingle the Program Funds with any other monies. In the event this Agreement is terminated, for any reason at any time, Contractor shall return to City any unused portion of Program Funds distributed hereunder. 2.2 Payment of the Program Funds from City to Contractor shall be made on a cost - reimbursement basis following receipt by City from Contractor of a signed Request for Reimbursement (RFR) and copies of all receipts. Contractor shall deliver to City a written detailed Program Narrative as described in Section 4.2 below with each RFR to support expenditure of Program Funds. Such narrative shall be signed by the Contractor or duly authorized officer of the Contractor. The RFR, as described in Exhibit "C", attached, and monthly 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 Narrative is required even if services are not provided. When services are not provided during a month, a negative RFR and Program Narrative is required. Submit monthly RFR with an original signature by an authorized representative to Research and Planning Unit of the Fort Worth Police Department. ATTENTION: SASHA KANE, 350 W. Belknap, Fort Worth, Texas, 76102. Reimbursements will not be made until after receipt of an acceptable and approved RFR and a monthly programmatic report from the Contractor. Reimbursements shall be made within 30 days receipt of said documents. 2.3 Contractor is authorized to adjust any categories in the budget in an amount not to exceed 5% of those particular categories without prior approval of City, as long as the total sum does not exceed the amount of the Program Funds; however, Contractor must notify City in writing of any such adjustments. Any adjustment of more than 5% of each category must have written permission from City prior to any budget adjustment being made. Any program income earned directly as a result of the Violence Prevention and Early Intervention Support Program must be reported monthly and may be expended on the Violence Prevention and Early Intervention Support Program with written permission from the Contract Administrator (see paragraph 13.3). Budget adjustments shall be submitted to the Research and Planning Unit of the Fort Worth Police Department, ATTENTION: SASHA KANE, 350 W. Belknap, Fort Worth, Texas, 76102, 3. Term The term of this Agreement is for a period beginning on October 1, 2008, and ending on September 30, 2009. All of Contractor's expenditures under this Agreement must be completed prior to September 30, 2009. 2 4. Program Performance 4.1 Contractor agrees to maintain full documentation supporting the performance of the work and fulfillment of the objectives set forth in Exhibit "A". 4.2 Contractor agrees to provide a monthly Performance Narrative to document the performance of the work described in Exhibit "D." The Performance Narrative 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. Additionally, the Project Narrative must include any successes realized in descriptive detail. The monthly Performance Narrative shall be submitted to City no later than the 15th day after the end of each month. 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 Contractor 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 Contractor under or in connection with this Agreement. 5.2 If for any reason at any time during any term of this Agreement, City Council of City fails to appropriate funds sufficient for City to fulfill its obligations under this Agreement, City may terminate this Agreement to be effective on the later of (i) thirty (30) days following delivery by City to Contractor of written notice of City's intention to terminate or (ii) the last date for which funding has been appropriated by City Council for the purposes set forth in this Agreement. 5.3 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 Contractor default, inability to perform or to comply with the terms herein; or for other good cause. 5.4 Termination will be effected by delivering to Contractor a notice of termination, specifying the portion of the Agreement affected and the effective date of termination. Upon Contractor's receipt of notice of termination, Contractor 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; (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. 3 5.5 In the event City suspends or terminates this Agreement for cause, and the cause for such suspension or termination is determined to be invalid, the Contractor's sole remedy shall be reinstatement of this Agreement. Contractor 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. 5.6 Within thirty (30) days following the date of termination of this Agreement, Contractor shall return to City any property provided hereunder or as so directed by the Contract Administrator (see paragraph 13.3). City will have no responsibility or liability for Contractor'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. Contractor shall maintain all equipment used in the administration and execution of the Violence Prevention and Early Intervention Support Program. Contractor shall maintain, replace or repair any item of equipment used in support of the Violence Prevention and Early Intervention Support 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 Violence Prevention and Early Intervention Support Program and/or for use under the terms of this Agreement is the sole responsibility of Contractor. Contractor shall not use Program Funds or City funds to repair or replace said equipment. Contractor shall use any and all equipment purchased with Program Funds exclusively in support of the Violence Prevention and Early Intervention Support Program. Within 10 days following the purchase of equipment, Contractor shall submit to City a detailed inventory of all equipment purchased with Program Funds. 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 Contractor 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 anytime any and all such records relating to operations of Contractor under this Agreement. Contractor, 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 Contractors' operations will be undertaken and may be conducted either by City or an independent auditor of City's 0 choice. Contractor shall submit a copy of any audit performed by their independent auditor within 30 days of receipt of the final audit report. 7.2 If any audit reveals a questioned practice or expenditure, such questions must be resolved within fifteen (15) days after notice to Contractor by City. If questions are not resolved within this period, City reserves the right to withhold further funding under this and/or future contract(s) with Contractor. 7.3 If, as a result of any audit, it is determined that Contractor misused, misapplied or misappropriated all or any part of the Program Funds, Contractor 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. 7.4 Contractor'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 Performance Narrative, making final payments, disposing of Violence Prevention and Early Intervention Support Program assets as appropriate and as directed by City's Contract Administrator (see paragraph 13.3.). 7.5 Contractor covenants and agrees to fully cooperate with City in monitoring the effectiveness of the services and work to be performed by Contractor under this Agreement, and City shall have access at all reasonable hours to offices and records of the Contractor, its officers, members, agents, employees, and subcontractors for the purpose of such monitoring. 8. Indenendent Contractor 8.1 Contractor shall operate hereunder as an independent contractor and not as an officer, agent, or servant or employee of City. Contractor 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 respondeat superior shall not apply as between City and Contractor, 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 Contractor. It is expressly understood and agreed that no officer, member, agent, employee, subcontractor, licensee or invitee of the Contractor, nor any program participant hereunder is in the paid service of City and that City does not have the legal right to control the details of the tasks performed hereunder by Contractor, its officers, members, agents, employees, subcontractors, program participants, licensees or invitees. 8.2 City shall in no way nor under any circumstances be responsible for any property belonging to Contractor, its officers, members, agents, employees, subcontractors, 5 program participants, licensees or invitees, which may be lost, stolen, destroyed or in any way damaged. 9. Indemnification 9.1 Contractor covenants and agrees to indemnify, hold harmless and defend, at its own expense, City and its officers, agents, servants and employees from and against any and all claims or suits for property loss or damage and/or personal injury, including death, to any and all persons, of whatsoever kind or character, whether real or asserted, arising out of or in connection with the execution, performance, attempted performance or nonperformance of this agreement and/or the operations, activities and services of the program described herein, WHETHER OR NOT CAUSED, IN WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY; and Contractor hereby assumes all liability and responsibility of City and its officers, agents, servants, and employees for any and all claims or suits for property loss or damage and/or personal injury, including death, to any and all persons, of whatsoever kinds or character, whether real or asserted, arising out of or in connection with the execution, performance, attempted performance or non-performance of this contract and agreement and/or the operations, activities and services of the programs described herein, WHETHER OR NOT CAUSED IN WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY. Contractor likewise covenants and agrees to and does hereby indemnify and hold harmless City from and against any and all injury, damage or destruction of property of City, arising out of or in connection with all acts or omissions of Contractor, its officers, members, agents, employees, subcontractors, invitees, licensees, or program participants, WHETHER OR NOT CAUSED, IN WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY. 9.2 Contractor agrees to and shall release City, its agents, employees, officers and legal representatives from all liability for injury, death, damage or loss to persons or property sustained in connection with or incidental to performance under this agreement, even if the injury, death, damage or loss is caused by City's sole or concurrent negligence. 9.3 Contractor shall require all of its subcontractors to include in their subcontracts a release and indemnity in favor of City in substantially the same form as above. 10. Non -Assignment No assignment or delegation of duties under this Agreement by Contractor shall be effective without City's prior written approval. 3 11. Prohibition Arzainst Interest 1 I .l No member, officer or employee of City, or its designees or agents; no member of the governing body of the locality in which the Violence Prevention and Early Intervention Support Program is situated; and no other public official of such locality or localities who exercises any functions or responsibilities with respect to the Violence Prevention and Early Intervention Support Program during his tenure 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. Contractor shall incorporate, or cause to be incorporated, like language prohibiting such interest, in all contracts and subcontracts hereunder, l l.2 No officer, employee, member or program participant of Contractor shall have a I nancial interest, direct or indirect, in this Agreement or the monies transferred hereunder, or be financially interested, directly or indirectly, in the sale to Contractor of any land, materials, supplies, or services purchased with any funds transferred hereunder, except on behalf of Contractor, as an officer, employee, member or program participant. Any willful violation of this paragraph with the knowledge, expressed or implied, of Contractor or its subcontractors, shall render this Agreement voidable by City of Fort Worth. 12. Nondiscrimination 12.I In accordance with the federal, state and local laws and ordinances, Contractor 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, or statutory requirement. 12.2 Contractor will not unlawfully discriminate against any person or persons because of sex, race, religion, age, disability, color, national origin, or familial status, nor will Contractor permit its officers, members, agents, employees, subcontractors or program participants to engage in such discrimination. 7 13. Compliance 13.1 Contractor, 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 Contractor any such violation on the part of Contractor or any of its officers, members, agents, employees, subcontractors or program participants, then Contractor shall immediately desist from and correct such violation. 13.2 Contractor 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 Contractor to any such violations on the part of Contractor or any of its officers, members, agents, employees, program participants or subcontractors, then Contractor shall immediately desist from and correct such violation. 13.3 City designates Sasha Kane, Planner, 817-3924243, to act as Contract Administrator and delegates to this individual authority for Agreement administration, compliance, and monitoring. 14. Waiver of Immunity If Contractor is a charitable or nonprofit organization and has or claims an immunity or exemption (statutory or otherwise) from and against liability for damages or injury, including death, to persons or property; Contractor hereby expressly waives its rights to plead defensively such immunity or exemption as against City. This section shall not be construed to affect a governmental entity's immunities under constitutional, statutory or common law. 15. Insurance Requirement 15.1 Contractor shall procure and shall maintain during the term of this Agreement the following insurance coverage: 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. 15.2 Contractor's insurer(s) must be authorized to do business in the State of Texas for the lines 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 Contractor further agrees that it shall comply with the Worker's Compensation Act of Texas and shall provide sufficient compensation insurance to protect Contractor 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 Tarrant County, Texas. 16.4 Contractor 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 the exhibits attached hereto, which are incorporated by reference and made a part of this Agreement for all purposes, 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 approved by 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. 1. CITY: Joe Paniagua, First Assistant City Manager E City Manager's Office City of Fort Worth 1000 Throckmorton Street Fort Worth, TX 76102 Copies To: Sasha Kane, Contract Administrator Fort Worth Police Department 350 W. Belknap Fort Worth, TX 76102 Charlene Sanders, Assistant City Attorney Law Department 1000 Throckmorton Street Fort Worth, TX 76102 2. CONTRACTOR: Heather Reynolds, President/CEO Catholic Charities, Diocese of Fort Worth, Inc. 2701 Burchill Rd. N. Fort Worth, TX 76105 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 Contractor certifies that it has obtained a 501 (c) (3) Certificate from the Internal Revenue Service. Contractor shall notify City in writing of any changes to its 501 (c) (3) tax-exempt status during the term of this Agreement. 16.9 Captions and headings used in this Agreement are for reference purposes only and shall not be deemed a part of this Agreement. 16.10 The provisions and conditions of this Agreement are solely for the benefit of City and Contractor and are not intended to create any rights, contractual or otherwise, to any other person or entity. [THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK.] IN WITNESS WHEREOF, the parties hereto have executed this agreement in multiples in Fort Worth, Tarrant County, Texas, to be effective October 1, 2008. CITY OF FORT WORTH Date: *1 I0y Joe tar iag6a Fir f Assistant ity Manager ATTEST: APPROVED AS TO FORM AND T U A T T rXT. Assistant City Attorney Contra/c1t Authorization M&Cl -c).� 1'r Contract No , 1t CATHOLIC CHARITIES, DIOCESE OF /FORT WORTH, Inc., a Texas N r-Profit Corporation y Date: s. H ather nolds OFFICIAL ;RECORD CITY SECRETARY T. WORTH, TX Exhibit "A" 2008 - 2009 CR1ME CONTROL AND PREVENTION DISTRICT PROPOSAL COVER SHEET AGENCY: Catholic Charities, Diocese of Fort Worth, Inc. DIRECTOR: Heather Reynolds, President/CEO PHONE NUMBER: 817-534-0814 ADDRESS: 2701 Burch ill Rd. N, Fort Worth, Texas 76105 CONTACT : Nichole Rush EMAIL ADDRESS: mush@ccdofw.org PHONE NUMBER: 817-922-0384 FAX NUMBER: 817-923-6818 PROGRAM TITLE: ' Violence Prevention and Early Intervention Support (a service of Catholic Charities' Disproportionatity Project) FUNDS REQUESi'ED: $ 46,690 AGENCY STATUS; ❑ Private Nonprofit ❑ Public Nonprofit Crime Control and Prevention District GOALS: Mark the ones) that your project addresses. ❑ To increase citizen participation in the CODE BLUE program. ❑ To support the adoption of a prevention focus by the police department and the community. ❑ To provide a secure environment in which children can receive an education. CERTIFICATION: I certify that the information contained in this proposal fairly represents the above -named agency's operating plans and budget for the proposed program. I acknowledge that I have read and understand the requirements and provisions of the Request For Proposal and that the above -named agency will comply with all applicable rules and regulations relating to the procurement process. I certify that I am authorized to sign this proposal and to enter into and execute a contract with the City of Fort Worth to provide the services authorized. TYPED NAME: TITLE: SIGNATURE: Heather Reynolds President/CEO DATE: April 18, 2008 1) Describe in detail the problem that your program addresses. There is a strong link between violent crimes, violence within the home, and an inability to control or manage behavior. Figures from the US Department of Justice report that three out of every four murder victims are women. Of those female homicide victims, one third were killed by either a husband or boyfriend, according to the FBI Uniform Crime Report. The domestic violence at the root of these violent crimes are widespread in Texas: 74% of all Texans have personally experienced domestic violence, or know a family member or friend that has experienced some form of domestic violence, according to the Texas Council on Family Violence. If potential perpetrators of violence knew how to manage the emotions that spur violent behavior, many violent crimes within families could be prevented. Many fathers simply lack the knowledge, skills, or social support to prevent a potentially violent situation. Parents need to learn how to manage their own anger and how to respond to the anger or violence of a family member. In addition, parents who allow their children to be exposed to violent situations create greater risk for the child to later become a violent aggressor. According to the American Psychological Association, a child's exposure to the father abusing the mother is the strongest risk factor for transmitting violent behavior from one generation to the next. There are still more factors that increase delinquent and violent behavior among youth. These risk factors include: • Parents using physical punishment/harsh and/or erratic discipline practices • Depression of the mother • Pattern of high family conflict • Family management problems/poor parental supervision and/or monitoring • Victimization and exposure to violence • Poor refusal skills • Life stressors Because of these realities and risk factors, Catholic Charities proposes to prevent family violence, by addressing these risk factors and teaching fathers at risk of commng acts of violence to respond to conflict in non-violent ways. 2) Describe what your program does to 1) support crime prevention, 2) increase citizen participation in CODE BLUE or to 3) provide a secure environment in which children can receive an education. Catholic Charities proposes to supports crime prevention in Fort Worth, by working with fathers and families at high risk of committing acts of family violence, youth violence, child abuse, or neglect. We will do this by: (1) facilitating a men's treatment program for males at -risk of committing acts of family violence, or who have a history of violence. Through educational sessions and process (group therapy) sessions, fathers learn about the effects of violence on the family, discover strategies to end abusive and violent behavior, and compose a personal self- control plan. (2) providing case management to supplement the groups and address other risk factors that put families at high risk for violence or abuse, such as financial stress. The men's treatment program prevents violence and abuse by teaching at -risk male parents how to cope with their anger and respond with non-violent behavior. Educational sessions help participants understand the effects of violent behavior. Process or group therapy sessions lead participants to address the emotions underlying violent outbursts, discuss behavior problems, and give and receive feedback from the group. As part of the program, males also create a self-control plan to aid in preventing their own future violent behavior. At their first call to enroll in the program, potential participants are screened to ensure they are willing to cooperate with the program. At this call, participants are also given information on how to begin defusing violence immediately. Participants begin by participating in orientation, an individual intake session, and ten educational sessions. After one or two educational sessions have been completed, participants begin attending process sessions, group therapy led by a licensed counselor. In these sessions, fathers address their own abusive behavior and the process of changing these violent habits and patterns. Typically twelve process sessions are necessary, although some participants who have difficulty changing their behavior may attend more than twelve sessions. A case manager will work with participants to mitigate factors in the family's life that create higher risk for family violence. After working with each family to individually assess their situation, the case manager and the family work together to jointly address problems that increase the risk of violence in the home. In addition, the case manager will also be involved in screening and orienting participants of the men's treatment program. We expect both fathers and their family members to benefit from the men's treatment program and case management. Fathers benefit from therapy that addresses the root causes of their learned violent habits, as well as new skills to respond to violent tendencies. Family members will benefit from increased support, improved family relationships, and fewer incidences of violence in the home. By teaching parents, we also prevent future family violence and provide positive role models for next generation. 3) Does your program address the CCPD priority/special emphasis of the prevention or intervention of youth violence and/or family violence? Describe how your program addresses this priority? Yes, our program directly addresses youth and family violence, through both prevention and intervention of family violence. We will work with children, youth, or adults with risk factors to commit acts of violence, abuse or neglect. The curriculum that we plan to use specifically addresses the root causes of these problems, preventing violence from fathers before it materializes. Participants learn specific behaviors and strategies to replace violent habits. 4) How will you measure the effectiveness of the program? Please describe evaluation tools and the method of data collection that you will use. You must include specific performance targets on the Activities and Outcomes Summary. We plan to measure the effect of the men's treatment program on each male parent using the Modified Conflict Tactic Scale (MCTS), a tool that has been researched and proven effective in measuring changes in behavior of adults at risk of violence. For families in case management, assessment for family violence will be measured using the pre and post NCFAS, North Carolina Family Assessment Scale. NCFAS is a research -supported, evidence -based assessment tool. 5) Who will the program benefit? How many people? What age group? What geographic area will it serve? The program will serve fathers and families at -risk for violence or abuse in the following Fort Worth zip codes: 76103, 76104, 76105, 76112, and 76119. We anticipate at least than 50 individuals to benefit from intensive prevention and intervention services over the course of the year. 6) What makes this program unique from any other crime prevention program in Fort Worth? Catholic Charities is the only organization in Tarrant County that offers an intensive violence and abuse prevention program, using a combination of a curriculum that has been studied and proven effective and supportive case management. According to CPS, no other local program exists that specifically equips at -risk fathers to prevent future violent or abusive behavior. 7) Is the program already in operation? If so, how long have you operated the program? What resources are currently used to operate the program? Why are CCPD funds necessary at this time? The men's treatment program will be a new addition to our services, but will be part of an existing program at Catholic Charities that is dedicated to supporting families to prevent violence, abuse and neglect. This program has been in existence for two years and is part of a child welfare division that has been serving at -risk children since 1910. The program's current services are funded through a grant from the Amon Carter Foundation, as well as funds from our agency's fundraising efforts. We have also been able to secure funds from Casey Family Programs as a stimulus to developing a successful program which can be used as a pilot throughout Texas. Because our current budget would not allow us to offer this new service, we request funds to start this new service in our local community. 8) Is this a new program? If so, what other funds have you applied for? Also, please describe the sequence of steps needed to implement your project and the timeframe in which this will occur. As mentioned above, this program will be a new service offered within an existing program. We have not yet applied for any additional funds for this service; however, we have requested funding for some costs already covered by agency funds, such as supervision, equipment, and training. September 2008: Post job opening. Program Coordinator begins to raise awareness about the new service among other local organizations that work with at -risk children, youth, and adults, including schools, churches, Child Protective Services, Fort Worth Police Department Victim Assistance Unit, and other programs within Catholic Charities, October 2008: Hire and train new case worker. Assign and train clinical counselor to lead the new men's treatment program sessions. November 2008: Case manager begins working with new at -risk families, providing family assessments and case management. Clinical counselor offers first educational sessions, with process sessions following. December 2008: Conduct initial assessment of the program's services and make any adjustments needed. Case worker and clinical counselor continue the above activities, providing intensive support and training to prevent violence with an average of four children, youth or adults per month. Program coordinator, case worker, and clinical counselor meet monthly to examine data collected from the previous month, discuss progress, and address challenges. March 2009: Mid -way program assessment. August 2009: Final evaluation of the program, including analysis of program outcomes. 9) Briefly describe the specific expenditures planned for CCPD funding. You MUST fully complete attached budget forms. Proposed expenditures are for a portion of salary and benefits for one clinical counselor and one case worker, mileage to allow the case worker to make home visits and conduct sessions in participant homes, and costs for the curriculum's manual and supplies. 10) If funds are awarded, will this program continue beyond the CCPD funding period? Please explain your plan to sustain this program. Yes, Catholic Charities is committed to raising the funds necessary to sustain programs that advance our mission: to provide service to those in need, to advocate justice and compassion in the structures of society, and to call all others of goodwill to do the same. Through the efforts of our five -member development team and our grant specialist, we plan to raise the additional funds necessary to sustain the program. h L X U QX x =X X zX X 7 X �x aX x a < Qa X X C °W° X x u. aX x 007 w X X 0 a O X X z U O (D c Z Co >, a) o O i C.0 i U O > O O a) O Q U � U O -,� a) Q .� U � N U a) L Q (n .� L :. a) U U O "a U) C } C � L > :A Q) O O .0 fA O O O cn a) '> Q > U NN U 00" �-. m a�c � E -a �O n� '� a�i0a�i O U .O a) - c a) -a cu cc nma)C� a) L O U) m >, O '� C UaCD.o of c a) � u, ca cv"— aa))`��'� U N Q m U W LL ru LLM CG G ,D Vd V) ui m L0 r Z Q L!J OWNS WOOO PROM IMEN L> r U Q U a) •O d Z -a WON C C co C o ammom O a c o a) Q � Q m O C cu a) Qwomm WWRIN Q Q Z C O Lm C a) im 7� O N R L V) C. co cu cu ma cu cn MORINO 70 L O N a) N +- a, R O > O U O N N a) a1 N N (U �'v� -a Emmim s 0a «. 0 MEN ooN a DAMON EU cu �, ca O m G U �o>== E o m a CCU : C: >+mumisr mamas c O L p U M G Uammimm o N U N s c oRandom a 3 dm a�a)�Q) ��a GOOMMIw aS�� Q ¢ N— _ U C E LL (� 30 O 0 O U U O N U) U cu U Z E �Cc a% L L � U L a) 4ma C C '; ma �[ N 42 L LA: 75 R� N ,_ affimmar— O V N� N O LL O ca O �> N 4- ® O V co N L N a) SHOWN� a) L O s C a) �N C ,p Q— a) O O O =Od f° �� � � 0 � E uQi� 0ma a) � cu cmmmmmm>a " O O U N ,a m cu C N O ca a) .O O_ ddddddd_ � N L a) U C •Q _ a) a) o c o' C ca) �•_aE w C M C N� C C L � E Via) �� owwwwwoa) CU ���a) E = a) LIMON o_ n •O O a) d a) U o > t6 °� > U � T > • • • � C p � Co Y C a) N u ,� CU � vd. O a) d C)ce) C Q O O O p p 0 a) a) CL ++ +MONISM Q 0 W c- N Q U) a) Y O U a)wwwww i cu U 0 W N w a)U U) W E Q L Li Q N a) a) U) fA !o O O L C p 0� 0 f0 O C O Q p V) C: mda � �'a � Q d O N U) H E • • • • • • N70 '' O C +m+ OWINE; Q � C) C) '� � cn a Q Z d mmmmmm O C 70 Q Cl) d C (� p ddo O a U ++ O a) a) cn y_• <�1�� c6 O-O oWINEW mca)N �a) QQ U) _ C U C i _ .� O U Q C a) U C, U E E m v_� d, J Ems, mom. O m �4_ O Ism � L N M N cu L 1 d `� C a) N N O vi N o L t�E N U N 0 O Q C O O Q N C- N O U a) co O U Q m— C C o� DINNER �.0 cn U via ,. Q m U N CCV), 4CA T Texas State Board of Social Worker Examiners cerhifies that the person identified below is a License Number 08854 Control Number 28944 0 Licensed Master Social Worker Rieki Lear Casterline Expires 2J28/2009 Presiding Officer 0 DFPS - Child -Care Administrators for Region 3 - Arlington TEXAS of Family and Protective Services Department Child Care Licensing Child -Care Administrators for Region 3 - Arlington Page 1 of 18 Web version Font Size: S `+ 4/18/2008 This Directory of Licensed Child -Care Administrators consists of administrators for 24-Hour care faces. The telephone numbers and addresses are only as accurate as the information provided to us by the persons listed. To correct an address and telephone number please e-mail the Licensed Child -Care Administrator program. Name Facility Contact Info Region Status Mr. Paul Hudson 1022 E. San Tan Drive 3 INACTIVE Gilbert, AZ 85296-3611 Mr. Paul Hudson 1022 E. San Tan Drive 3 Inactive Gilbert, AZ 85296-3611 Ms. Wendy Gunn, Special Plano Independent School District 1401 Clear Creek Drive 3 INACTIVE Education Teacher Allen, TX 75002 Ph: (469) 7524000 Ms. Wendy Gunn, Special Piano Independent School District 1401 Clear Creek Drive 3 Inactive Education Teacher Allen, TX 75002 Ph: (469) 752-7000 Mr. Wayne Carson, Director of All Church Home For Children 4308 Downsview Court 3 ACTIVE Social Services Arlington, TX 76016 Ph: (817) 3354041 Mr. Wayne Carson, Director of All Church Home For Children 4308 Downsview Court 3 Active Social Services Arlington, TX 76016 Ph: (817) 335-4041 Mr. Bradley Brush, Associate Azleway Children's Services 5400 Signal Peak Drive 3 INACTIVE Director Arlington, TX 76017 Ph: (817) 561-7337 Mr. Bradley Brush, Associate Azleway Children's Services 5400 Signal Peak Drive 3 Inactive Director Arlington, TX 76017 Ph: (817) 561-7337 Ms. Elizabeth Micus, LMSW-ACP Parkland Hospital 2309 Smokerise Drive 3 ACTIVE Arlington, TX 76016 Ph: (214) 648-9259 Ms. Elizabeth Sanders, LMSW- Parkland Hospital 2309 Smokerise Drive 3 Active ACP Arlington, TX 76016 Ph: (214) 648-9259 Mr. Dale Smith, Executive Director Safe House of Kornerstone P. 0. Box 13597 3 ACTIVE Arlington, TX 76094 Ph: (817) 276-9009 Mr. Dale Smith, Executive Director Safe House of Kornerstone P. O. Box 13597 3 Active Arlington, TX 76094 Ph: (817) 276-9009 Ms. Shirley Adams 3915 Cross Bend Drive 3 INACTIVE t Arlington, TX 76016 http://www.dfps.state.tx.us/Child Care/Information for Child Care Professionals/admini... 4/18/2008 DFPS - Child -Care Administrators for Region 3 - Arlington Ph: (940) 484-8232 Ms. Rebecca Brattvet 1625 Mimosa Drive 3 INACTIVE Denton, TX 76201 Ms. Synette Payne 8217 Montecito Drive 3 INACTIVE Denton, TX 76210 Ms. Synette Payne ! 8217 Montecito Dr 3 Inactive Denton, TX 76210 Ms, Rebecca Brativet 625 Mimosa Drive 3 Inactive Denton, TX 76201 Ms. Troyce Hamm-Smedema, Play Grand Prairie ISD 935 Jungle Drive 3 INACTIVE Therapist Duncanville, TX 75116 Ph: (972) 642-3961 Ms. Troyce Hamm-Smedema, Play Grand Prairie ISD 935 Jungle Dr 3 Inactive Therapist I Duncanville, TX 75116 Ph: (972) 642-3961 Mr. Alan Schonborn, Vice All Church Home For Children 1424 Summit Ave 3 ACTIVE President for Community Service I Fort Worth, TX 76102 Ph: (817) 3354673 Mr. Alan Schonbom, Vice All Church Home For Children 1424 Summit Ave 3 Active President for Community Service Fort Worth, TX 76102 Ph: (817) 3354673 Mr. Wesley Cunningham, Group All Church Home For Children 1424 Summit Avenue, 3 Active Home Supervisor Fort Worth, TX 75102 Ph: (817) 335-4041 Mr, Wesley Cunningham, Group All Church Home For Children 1424 Summit Avenue, 3 ACTIVE Home Supervisor Fort Worth, TX 76102 Ph: (817) 3354041 Mr. Cleveland Jenkins, Group All Church Home for Children 1424 Summit Avenue ( 3 ACTIVE Home Supervisor Fort Worth, TX 76102 Ph: (817) 3354041 Mr. Cleveland Jenkins, Group All Church Home for Children 1424 Summit Avenue 3 Active Home Supervisor Fort Worth, TX 76102 Ph: (817) 3354041 Ms. Sara Ramirez, Council Catholic Charities 2000 McKenzie 3 ACTIVE Accreditation Fort Worth, TX 76105 Ph: (817) 534-0814 Ms. Sara Ramirez, Council Catholic Charities 2000 McKenzie 3 Active Accreditation Fort Worth, TX 76105 Ph: (817) 534-0814 Ms. Ann Marie Hull, Director of Catholic Charities Assessment Center- Ft. Worth 2000 McKenzie Street 3 ACTIVE Residential Services Fort Worth, TX 76105 Ph: (817) 534-0814 Ms. Ann Marie Hull, Director of Catholic Charities Assessment Center - Ft. Worth 2000 McKenzie Street 3 Active Residential Services Fort Worth, TX 76105 Ph: (817) 534-0814 Ms. Antoinette Johnson, lead Catholic Charities Therapeutic Foster Care 2000 McKenzie 3 ACTIVE Case Manager Fort Worth, TX 76105 Ph: (817) 534-0814 I - Ms. Antoinette Johnson, Lead Catholic Charities Therapeutic Foster Care 2000 McKenzie 3 Active Case Manager Fort Worth, TX 76105 http://www.dfps.state.tx.us/Child Care/Information for Child Care Professionals/admini... 4/18/2008 DFPS - Child -Care Administrators for Region 3 - Arlington Page 11 of 18 Ms. Carla Storey, Group Home All Church Home for Children 1 1424 Summit Avenue 3 ACTIVE Supervisor Ft. Worth, TX 76102 Ph: (817) 335-4041 Ms. Carla Storey, Group Home All Church Home for Children 1424 Summit Avenue 3 Active Supervisor Ft. Worth, TX 76102 (I Ph: (817) 3354041 Mr. Michael Strickland, Child Care I Assessment Center of Tarrant County 2000 McKenzie Street 3 ACTIVE Supervisor Ft, Worth, TX 76105 Ph: (817) 534-0814 Mr, Michael Strickland, Child Care Assessment Center of Tarrant County 2000 McKenzie Street 3 Active Supervisor Ft. Worth, TX 76105 Ph: (817) 534-0814 Ms. Holly Garrett, Director of Lena Pope Home 3131 Sanguinet 3 ACTIVE Foster Care/Adoption Ft. Worth, TX 76107-5498 Ph: (817) 255-2610 Ms. Holly Garrett, Director of Lena Pope Home 3131 Sanguinet 3 Active Foster Care/Adoption Ft. Worth, TX 76107-5498 Ph: (817) 255-2610 Mr. Ted Blevins, Executive Director Lena Pope Home, Inc. 13131 Sanguinet Street 3 ACTIVE Ft. Worth, TX 76107 Ph: (817) 255-2504 Ms. LuAnn Pelletier, Facility Lena Pope Home, Inc. ! 3131 Sanquinet 3 ACTIVE Administrator Ft. Worth, TX 76107 Ph: (817) 731-8681 Mr. Ted Blevins, Executive Director Lena Pope Home, Inc. 3131 Sanguinet Street 3 Active Ft, Worth, TX 76107 Ph: (817) 255-2504 Ms. Jennifer Carpenter, Foster Lena Pope Home, Inc. 3131 Sanguinet Street 3 Active Care Placement Supervisor Ft. Worth, TX 76107 Ph: (817) 255-2626 Ms. LuAnn Pelletier, Facility Lena Pope Home, Inc. 13131 Sanquinet 3 Active Administrator Ft, Worth, TX 76107 Ph: (817) 8384600 Ms. Jennifer Carpenter, Foster Lena Pope Home, Inc. 3131 Sanguinet Street 3 ACTIVE Care Placement Supervisor Ft. Worth, TX 76107 Ph: (817) 255-2626 Mr. Gerald Ray, Senior Casework Tarrant Co. JPD 2701 Kimbo Road 3 ACTIVE Supervisor Ft. Worth, TX 76111 Ph: (817) 838A600 Mr. Gerald Ray, Senior Casework Tarrant Co. JPD 2701 Kimbo Road 3 Active Supervisor Ft. Worth, TX 76111 Ph: (817) 8384600 Mr. Charles Vermersch, Deputy Tarrant Co. Juvenile Dept. 2701 Kimbo Rd. 3 ACTIVE Assistant Director Ft. Worth, TX 76111 Ph: (817) 8384630 Mr. Charles Vermersch, Deputy Tarrant Co. Juvenile Dept. 2701 Kimbo Rd. 3 Active Assistant Director Ft. Worth, TX 76111 Ph: (817) 838-4630 Mr. Michael Lepai 7021 Greenview Circle North 3 INACTIVE Ft. Worth, TX 76120 http://www.dfps.state.i�.us/Child Care/Information for Child Care Professionals/admini... 4/18/2008 9. Is your organization registered as a non-profit? If yes, please attach documentation of non-profit status. Yes. 2. How many board members does your organization have? 20 3. How often does your board meet? Seven times per year 4. Who recruits board members? The Executive Committee of the Board of Directors 5. What portion of the board is elected annually? About 1/3 of the Board members are elected or re-elected annually 6. How long is a board term? How many consecutive terms may be served? Each Board term is three years; two consecutive terms may be served. 7. Please list the names and occupations of your board officers. See atfachment. 8. Please attach a copy of your board by-laws. 9. If any member of the board is related to another board member or an employee of the non-profit corporation, please explain the relationship. Not applicable 0 Eno RI)Catholic Charities DIOCESE OF FORT WORTH, INC. CATHOLIC CHARITIES BOARD OF DIRECTORS 2007-2008 Ashworth, Mick Sales Representative - Greenwood Office Supplies Borbolla, Henry Corporate Vice President - Interstate Trailers Elgie, Elizabeth Trust Officer - Wells Fargo Bank Fischer, Jill Community Volunteer Frie, Jean Business Owner - Frie Financial Gibbs, Dave Investment Broker - Merrill Lynch Hirt, Cathy Community Volunteer Hoch, Tim Attorney -at -Law Lucio, Javier Architect - Partner, RPGA Design Group, Inc. Matzinger, Shirley Community Volunteer McCloud, Ralph Ministry - Catholic Diocese of Fort Worth Montes, Teresa Banker- Frost Bank Moore, Lydia Community Volunteer Pulido, Robert 44 Business Owner - Pulido's Mexican Restaurants Richardson, Dr. John Physician (Retired) - Community Volunteer Ritter, Trish Business Owner - Accurate Medical Equipment Roach, Karen Ministry - Holy Family Catholic Church Simeroth, Mark Human Resources, Catholic Diocese of Fort -Worth Springer, Donna Business Partner - Fox Electric Company Thompson, Cindy Funeral Director - Thompson, Harveson & Cole LEVERAGE OF FUNDS Please Identify other sources of funding that have been secured for the proposed project. Please indicate the source of funding, dollar amount of each source, and describe in detail how these funds support the project. Source 1: Amon Carter Foundation, $150,000.00. Program support funds, applied towards ail costs to tied directly to the program, such as salaries, benefits, office expenses and supplies, travel, equipment, and other costs. Source 2: General revenue from our agency, $ 27,490,00. These funds supplement the funds above and are applied to the same budget items. Source 3: Source 4: Source 5: 0 BUDGET SUMMARY Amount Reauested A. Personnel 32,854 B. Fringe Benefits 81550 C. Travel 1,276 D. Equipment E. Supplies 11192 F. Contracts/Consultants G. Other TOTAL 43,872 A. Personnel Name Position TBD Case Worker TBD Counselor TOTAL Personnel B. Fringe Benefits Name Position BUDGET DETAIL Rate of Pay x # of Hours $14.90 x 1,560 Hours (75% of FT) $22 x 436.8 Hours (8.4 Hours x 52 Weeks) Description of Benefits Cost $23,244 9,610 $32,854 Cost TBD Case Worker Healthcare $3,600 TBD Counselor TOTAL Fringe Benefits C. Travel Retirement/Medicare/FICA/VUorker Compensation/SUTA Healthcare Retirement/Medicare/FICA/Worker Compensation/SUTA Purpose of Travel Location Case Worker -Home visits to Program participants' Homes Item 315 Miles/Month at $0.45 per miles x .75 FTE 2791 , 1,008 1,151 Cost $1,276 1 TOTAL Travel $1,276 D. Equipment Item N/A Cost per Item TOTAL Equipment E. Supplies Quantity Cost 0 Item Cost per Item Quantity Cost Supplies for Class Exercises $21 Per Week 52 Weeks $1,092 Men's Treatment Program Manual 1 50 Evaluating Domestic Violence Programs manual 1 50 TOTAL Supplies F. Contracts/Consultants Description of the Service N/A TOTAL Contracts/Consultants G.Other Costs Cost per Item TOTAL Other Costs Quantity Cost 0 Cost 2 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. A. Personnel Case Worker-TBD Full Time, Salaried Position (1,560 HoursNear) $23,244 Case Worker will provide case management for the individuals enrolled in the program. This equates to 75% of a full time Case Worker. Counselor —TBD Part Time $22 per Hour (8.4 Hours x 52 weeks) $ 9,152 Counselor will facilitate the group educational sessions and process (group therapy) sessions. Group sessions will be held 2 nights a week. Counselorwill also conduct individual intake sessions with each participant, maintain documentation and participate in monthly program meetings. B. Fringe Health Insurance. Based on agency cost of $400 X the Counselor $4,560 95 FTE X 12 months — for both the Case Worker and Retirement: $ 648 Based on agency cost of 2% of total salaries Medicare Expense: $ 470 Based on agency cost of 1.459/o of total salaries, rounded Social Security Tax: $2,009 Based on agency cost of 6.2% of total salaries, rounded State Unemployment Tax: $ 81 Based on agency cost of .87% of first $9000 of salary for each FTE. Workers Compensation: $ 680 Based on agency cost of 2.1 % of total salaries C. Travel —Mileage $1,276 Mileage costs are projected according to expenditures for case worker doing a similar project. Cost is estimated at $0.45 cents/mile x 315 miles x .75 FTE x 12 month. This is to cover miles driven to home visits. D. Equipment — N/A Catholic Charities will be utilizing computer equipment it already owns. i:? E. Supplies Supplies for Class Exercises $1,092 For this program, another $21 per week for the 52 teaching weeks has been assumed in accordance with the MTP curriculum. Training Manual $ 50 For this program, there is a training manual to assist the Group facilitator. Program Evaluation Manual - to assist in evaluation program results $ 50 F. Contracts/Consultants — N/A G. Other — N/A Exhibit "B" Catholic Charities, Diocese of Fort Worth Revised Budget Detail Worksheet —September 26, 2008 A. Personnel Position Description % on Project Total Case Worker $14.90/hr x 1560 hrs $23,244.00 Counselor $22.00/hr x 436.8 hrs $%610.00 Sub -Total $32,854.00 B. Fringe Benefits Position Description Total Case Worker Healthcare $3,600.00 Case Worker Retirement/Medicare/FICA/Worker Compensation/SUTA $2,791.00 Counselor Healthcare $1,008.00 Counselor Retirement/Medicare/FICA/Worker Com ensation/SUTA $1,151.00 Sub -Total $8,550.00 D. Equapment Item Description Unit Price/ Number Total Sub -Total $0.00 E. Su `lies ` Item Description Unit Price/ Number Total Class Exercises $21.00/wk. x 50 wks. $1,092.00 Men's Treatment Program Manuals 1 program manual $50.00 Evaluating Domestic Violence Program Manuals 1 program manual $50.00 Sub -Total $1,192.00 F. Consultants and Contractor'Services Item Description Unit Price/ Number Total Sub -Total $0000 G. Other Cost Item Description Unit Price/ Number Total Sub -Total $0000 Bud et Summary Budget Category Amount A. Personnel $32,854.00 B. Fringe $8,550.00 C. Travel $1,284.00 D. Equipment $0.00 E. Supplies $1,192.00 F. Consultants and Contractor Services $0.00 G. Other Costs $0.00 TOTAL PROJECT COSTS Federal Request: Non -Federal Amount. $43,880.00 Exhibit "C" FY 2009 Community -Based Programs Request for Reimbursement (RFR) Program Period 10/01/08 to 08/31/09 Submit to: Fort Worth Police Department Sasha Kane 350 West Bleknnp Street 2nd Floor Fort Worth, TX 76102 Period covered by this request: Submitting Agency: Catholic Charities, Diocese of Fort Agency Contact Name: Nichole Rush email: nrush@ccdofw.orq Contact Number: 817-922-0384 Invoice Number: to Previous This Budget Category Budget Amount Reimbursements Request C D E (B+C) (A-D) Total Balance Requested Available 1 Personnel $ 32,854.00 $ - $ 32,854.00 2 Fringe $ 8/550600 $ - $ - $ - , $ 8/550400 3 Travel $ 1/284600 $ - $ - $ - $ 1/284400 4 Equipment $ - $ - $ - $ - $ - 5 Supplies $ 1/192400 $ - $ - $ - $ 1,192.00 6 Consultants/Contracts $ - $ - $ - $ - $ - 7 Other -Direct Cost $ - $ - $ - $ - $ - 8 Indirect Costs $ - $ - $ - $ - $ - Total Programmatic Costs $ 43,880600 $ - $ - $ - $ 43,880.00 Please Attach: 1. Attach copies of all receipts 2. For Personnel Cost, include copies of times sheets. I have reviewed this request and ceritfy that the listed expenses are accurate and are chargeable to the approved budget. Grantee Authorized Official Tit/e Dote Summary: Total Budget: $ 43,880.00 Previous Requests: $ This Request: $ - Total Spent: $ - Balance left in grant: $ 430880,00 Date Paid: Fiscal Agent Use Only Exhibit "D" F7 2009 Community -Based Programs Performance Narrative Program Period 10/01/08 to 08/31/09 Submit to: Fort Worth Police Department Submitting Agency: Catholic Charities, Diocese of Fort Sashn Kane Agency Contact Name: Nichole Rush 350 West Belknap Street email: nrush _ccdofw.org 2nd Floor Contact Number: 817-922-0384 Fort Worth, TX 76102 Performance Measures Period covered: to Number of First Calls for treatment mode during reporting month Number of Intake Sessions held during reporting month Number of participants attending Group Orientation during reporting month Number of participants attending Group Educational Sessions during reporting month Number of Case Management visits/support made during reporting month Please include a narrative of events and accomplishment that occurred during the reporting month. Page 1 of 2 • • • ; DATE: Tuesday, October 14, 2008 LOG NAME: 35FY09CATHCHAR REFERENCE NO.: C-23129 SUBJECT: Authorize Contract with Catholic Charities for the Fiscal Year 2009 Community -Based Funding from the Crime Control and Prevention District Fund in the Amount of $43,880.00 to Operate a Violence Prevention Program RECOMMENDATION: It is recommended that the City Council authorize the City Manager to execute a contract with the Catholic Charities, acommunity-based organization, to conduct programs in support of the Crime Control and Prevention District goals in the amount of $43,880.00. DISCUSSION: The Crime Control and Prevention District (CCPD) Board included funds totaling $200,000.00 in its Fiscal Year 2009 budget for community -based crime prevention programs in response to requests made during the Phase III renewal of the CCPD community -based program funding. Funding requests for community programs were solicited through a Request for Proposal (RFP) issued March 19, 2008. Twenty-one requests for funding were received totaling more than $1,200,000.00. A panel made up of CCPD Board Members, City staff and community representatives was assembled to review the proposals to ensure that minimum qualifications were met and that the proposed projects met one or more of the goals of the CCPD. The CCPD Board reviewed the panel's recommendations at its August 14, 2008, meeting. The CCPD Board subsequently endorsed the recommendation to fund four of the crime prevention programs including Catholic Charities. The term of the contract is October 1, 2008, through September 30, 2009. The Violence Prevention and Early Intervention Support Program is designed to help prevent family violence, youth violence, child abuse or neglect by addressing the major risk factors and teaching at -risk fathers and families to manage their frustration and anger in healthy ways. Through social support groups, Catholic Charities hopes to prevent violence and abuse by teaching at -risk parents how to cope with their anger. Instead of reacting to their anger with violent behavior, participants learn new skills to manage the source of their anger. In addition, participants benefit from increased self-esteem, confidence and assertiveness to respond to violence, and improved family relationships. By teaching young fathers, Catholic Charities wants to prevent future family violence and provide positive role models for the next generation. FISCAL INFORMATION/CERTIFICATION: The Financial Management Services Director certifies that upon approval of the above recommendations, funds have been included in the Fiscal Year 2009 adopted Crime Control and Prevention District budget for http://apps.cfwnet.org/council�acket/Reports/mc�rint.asp 10/20/2008 Page 2 of 2 the execution of the community -based funding contract. TO Fund/Account/Centers Originating Department Head: Additional Information Contact: FROM Fund/Account/Centers GR79 539120 0359504 Joe Paniagua (6575) Pat Kneblick (4210) Sasha Kane (4243) �.• ::� �• http://apps.cfwnet.org/council�acket/Reports/mc�rint.asp 10/20/2008