The URL can be used to link to this page

Home My WebLink AboutContract 40910-A2 (2)t AMENDMENT TO CITY SECRETARY CITY btL;K TAKTY CONTRACT NO. 40910 CONTRACT NO, L4 0 oi1p �Ao WHEREAS, the City of Fort Worth ("City") and Mental Health Association of Tarrant County ("Contractor") made and entered into City Secretary Contract No. 40910 (the 'Contract' WHEREAS, the Contract provided funding to Contractor pursuant to a grant received by City from the United States Department of Housing and Urban Development WHEREAS, Contractor desires to reallocate One Thousand One Hundred Twenty and No/100 Dollars ($1,200.00) of funds by increasing FICA but leaving the total grant award at Fifteen Thousand Seven Hundred Fifty and No/100 Dollars ($15,750.00) by decreasing Salaries; and WHEREAS, it is the mutual desire of City and Contractor to amend the Contract to meet Contract objectives. NOW, THEREFORE, City, whose address is 1000 Throcicmorton St., Fort Worth TX 76102, acting by and through Susan Alanis, its duly authorized Assistant City Manager, and Contractor, whose address is 3136 W. 0 St., Fort Worth, TX, acting by and through Lee LeGrice, its duly authorized Executive Director, do hereby agree as follows: I. a. Exhibit C is deleted in its entirety and replaced with the attached Exhibit C—Revised b. This amendment is effective April 1, 2011. [REMAINDER OF PAGE LEFT INTENTIONALLY BLANK] CONTRACT AMENDMENT CSC NO. 40910 Mental Health Association of Tarrant County -- 17TY SEC rsWORTH, Page 1 IN WITNESS WHEREOF, the Parties hereto have executed three duplicate originals of this Contract Amendment in Fort Worth Texas, this day of , 20110 c IFOq ATTEST:0ooppQpooQ°Y OF FORT WORTH 4cov4) . 7 City Secretary o san lanis, Assistant City Manager per. CC-z�y ��► Ir M& C. n /n 1 4 QQ onnno O °0 tiG AP/4wo (f I I -) jAAd'Ae== �ROVED AS TO FORM AND LEi�1�I;ITY: Assistant City Attorneys` MENTAL HEALTH ASSOCIATION OF TARRANT COUNTY STATE OF TEXAS § COUNTY OF TARRANT § This instrument was acknowledged before me on �X g , 2011 by Susan Alams, the Assistant City the City of Fort Worth, on behalf of the City of Fort Worth. r--`� I A LINDA M. HIRRLINGER MY coMMISSION 2, 2014 Res Febtuaty STATE OF TEXAS COUNTY OF TARRANT § Association PUBLIC, STATE TEXAS rument was acknowledged b y,dL� (Name), itle) of Mental Health arrant County, a Texas non-profit corporation, on behalf of said corporation. OFFICIAL RECORD CITY SECRETARY FT, WORTH, TX CONTRACT AMENDMENT CSC NO. 40910 NOTARY PUBLIC, STATE OF TEXAS �av npe� PEGGY S. HOELSCHER * Notary PubNo N� STATE OF TEXAS �rF °KI`°+ My Comm. Emp, 03*12.2013 Mental Health Association of Tarrant County CITY OF FORT WORTH CDBG YEAR XXXVI EXHIBIT C - REVISED Page 1 of 3 CONTRACT PERIOD From: 6/1/2010 To: 5/31/2011 Name of Sub Grantee Mental Health Association of Tarrant County Name of Program: Mental Health Ombudsn Program CDBG Cost Catego, Bud et Funds [a] [b [c d PERSONNEL SERVICES Salaries $ 32,635.00 $ 14,630,00 $ 18,005,00 FICA Life Insurance Health Insurance $ $ $ 11204,88 191,00 51515,06 $ $ 1,120,00 - $ $ $ 84,88 191,00 51515,06 Employment Tax - State Employment Tax - Federal $ $ 246,00 - $ $ - - $ $ 246,00 - Worker's Comp Retirement $ $ 150,00 1,110.00 $ $ - - $ $ 150,00 11110,00 SUPPLIES Office Supplies Postage $ $ 332,00 198,00 $ $ - - $ $ 332,00 198,00 Teaching Aids Food Supplies $ $ - - $ $ - - $ $ - - Other Operating Expenses $ - $ - $ - CONTRACTUAL SERVICES Telephone Electric $ $ 392,00 749,00 $ $ - - $ $ 392,00 749,00 Gas Water/Waste Disposal Rent [Building] Custodial Services Office Equipment Rental Printing $ $ $ $ $ $ - - - 242,00 942,00 268,00 $ $ $ $ $ $ - - - - - - $ $ $ $ $ $ - - - 242,00 942,00 268.00 Repairs Fidelity Bond $ $ 294,00 7400 $ $ - - $ $ 294,00 7.00 Liability Insurance Legal & Accounting $ $ 361,00 698.00 $ $ - - $ $ 361,00 698.00 Private Auto Allowance - Local Advertising $ $ 1,200,00 - $ $ - - $ $ 11200,00 - Conference & Seminars Contractual Services $ $ - - $ - $ - Miscellaneous $ - CAPITAL OUTLAY $ - Ice Furniture Computer Equipment Other: Described $ $ - - - TOTAL $46,734.94 $15,750.00 $30,984.94 $0.00 $0.00 $0.00 MATCHING FUND SOURCES [a] United Way of Tarrant County [b] [c] [d] BUDGET DETAIL PERSONNEL SERVICES Page 2 of 3 Hourly Annual % of Position / Title Rate Hours Time Amount 1 Staff Ombudsman 14.65 2080 48% 14,630.00 2 3 4 5 6 7 8 TOTAL STAFF SALARIES 14,630.00 CATEGORY FICA Life Insurance Health Insurance Employment Tax Worker's Comp Retirement TOTAL FRINGE BENEFITS TOTAL PERSONNEL SERVICES FRINGE BENEFITS d of %Paid %Pai Payroll Arno= by Agency by CDBG Amount 1,120.00 CATEGORY Telephone Electric Gas WasteMater Disposal Other Total Utilities 1 2 3 TOTAL BUILDING LEASE CATEGORY Fidelity Bond Liability Insurance Legal & Accounting Office Supplies Postage Printing Mileage Advertising TOTAL OTHER EXPENSES EVENT BUDGET DETAIL UTILITIES AVERAGE COST PER NUMBER OF MONTHS MONTH BUILDING LEASE BUILDING COST PER SQUARE LOCATION NO, SQUARE FOOT FOOT OTHER EXPENSES Page 3 of 3 AMOUNT 0 I_R[i11l��1r CHARGED TO CDBG AMOUNT TOTAL CHARGE % CONFERENCES AND SEMINARS TOTAL CHARGE 1 2 3 TOTAL CONFERENCES AND SEMINARS %CHARGED TO CDBG AMOUNT OFFICE EQUIPMENT RENTAL TOTAL CHARGE CHARGED TO CDBG AMOUNT 1 Copier Lease 0% 2 TOTAL OFFICE EQUIPMENT RENTAL C