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Home My WebLink AboutContract 40909-A2 (2)AMENDMENT TO CITY SECRETARY GIP' SECRETARY CONTRACT NO. 40909 CONTRACT NO,. ,µr_ b WHEREAS, the City of Fort Worth ("City") and Mental Health Association of Tarrant County ("Contractor") made and entered into City Secretary Contract No. 40909 (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 ("HUD"); WHEREAS, Contractor desires to reallocate One Thousand Three Hundred Eighty Six and No/100 ($1,386.00) of funds by increasing FICA but leaving the total grant award at Twenty Two Thousand Two Hundred Seventy Five and No/100 Dollars ($22,275.00) 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 Throckmorton St., Fort Worth TX 76102, acting by and through Susan Alanis, its duly authorized Assistant City Manager, and Contractor, whose address is 3136 W. 4th 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] rya r m= OFFICIAL RECORD CITY SECRETARY WORTH, IX CONTRACT AMENDMENT CSC NO. 40909 Page 1 Mental Health Association of Tarrant County by Susan A1. *- Fort Worth. IN WITNESS WHEREOF, the Parties hereto have executed three duplicate originals of this Contract Amendment in Fort W rth,:eexas this I day of .o'er•{, j, h9 or Q V ��1' .,''.' '‘ ATTEST: 0 dIfl'9F FORT WORTH Ic(\- V\°Tom; -\'` Byt firi LI-&--e. • LL/' .L= P. ` .. is Assistant Mana er City Secretary 0 bus n Al City g 4 ° ,.9 Ce iggi #i 47114 00000°,Ar. 47 M&C: C ' \H APPROVED AS TO FORM AND LEGALITY: P ki ( Le kW _ 414/ //nett - Assistant City Attorney MENTAL HEALTH ASSOCIATION OF TARRANT COUNTY Title: STATE OF TEXAS eaD I g•ect COUNTY OF TARRANT This instrument was acknowledged before me on I}�/� g , 2011 -' "the City of Fort Worth, • behalf of the City of tivt , 2011. t +. _cil.Lt %.. • is D: ir es • STATE OF TEXAS 1 -r4 , •. r:J `Id r}•gm LINDA M. HIRRLINGER MY COMMISSION EXPIRES February 2, 2014 COUNTY OF TARRANT § p,Qnent was acknowledged before me on,b _��.1�� (Name), Association of Tarrant County, a Texas non-profit corporation, Old rvl *tk-Winc;etl NOTARY PUBLIC, STATE OF tEXAS OFFICIAL RECORD CITY SECRETARY FT. WORTh, T}?1 CONTRACT AMENDMENT CSC NO. 40909 Mental Health Association of Tarrant County n be , 2011 (�e) of Mental Health alf of said corporation. NOT ' PUBLIC, STATE OF TEXAS Omit IMMI PEGGY S. HOELSCHER Notary Public STATE OF TEXAS My Come Exp, 0312 4013 Page 2 CONTRACT PERIOD Name of Sub Grantee CITY OF FORT WORTH CDBG YEAR XXXVI 1 From: 6/1/2010] To: 5/31/2011 1 EXHIBIT C - REVISED Page 1 of 3 Mental Health Association of Tarrant County Name of Program. Mental Health Advocate Program CDBG Cost Category Budget Funds [a] [b] [c] [d] PERSONNEL SERVICES Salaries $ 32,635.20 $ 18,110.24 $ 14,524.96 FICA $ 1,243.13 $ 1,386.00 $ (142 87) Life Insurance $ 191.00 $ - $ 191.00 Health Insurance $ 11,540.00 $ 749.76 $ 10,790 24 Employment Tax - State $ 246.00 $ - $ 246.00 Employment Tax - Federal $ - $ - $ - Worker's Comp $ 150.00 $ - $ 150.00 Retirement $ 1,100.00 $ - $ 1,100.00 SUPPLIES Office Supplies $ 332 00 $ - $ 332 00 Postage $ 198.00 $ - $ 198.00 Teaching Aids $ - $ - $ - Food Supplies $ - $ - $ - Other Operating Expenses $ - $ - $ - CONTRACTUAL SERVICES Telephone $ 392 00 $ - $ 392 00 $ 749.00 $ - $ 749.00 Electric Gas $ - $ - $ - Water/Waste Disposal $ - $ - $ - Rent [Building] $ - $ - $ - Custodial Services $ 242.00 $ - $ 242 00 Office Equipment Rental $ 942 00 $ - $ 942 00 Printing $ 268.00 $ - $ 268.00 Repairs $ 294.00 $ - $ 294.00 Bond $ 7.00 $ - $ 7.00 Fidelity Liability Insurance $ 361.00 $ - $ 361.00 Legal & Accounting $ 698.00 $ - $ 698.00 Private Auto Allowance - Local $ 1,200 00 $ 2,029.00 $ (829.00) Advertising $ - $ - $ - Conference & Seminars $ - $ - $ - Contractual Services $ - Miscellaneous $ - CAPITALOUTLAY $ - Office !-urns u? $ - Computer Equipment $ - Other: [Described] $ - TOTAL $52,788.331 $22,275.001 $30,513.33 $0.001 $0.00 $0.00 MATCHING FUND SOURCES [a] United Way [b] [c] [d] BUDGET DETAIL Page 2 of 3 PERSONNEL SERVICES 1 2 3 4 5 6 7 8 TOTAL STAFF SALARIES Position / Title Staff Ombudsman Hourly Rate 17.41 Annual Hours 2080 % of Time 50% Amount 18,106.40 18,106.40 FRINGE BENEFITS CATEGORY FICA Life Insurance Health Insurance Employment Tax Worker's Comp Retirement TOTAL FRINGE BENEFITS % of Payroll 7.65% 1.05% Age based rate 4.26% 81.00% 6.00% TOTAL PERSONNEL SERVICES Amount 1,386.00 % Paid by Agency 100% 100% 48% 100% 100% 100% % Paid by CDBG 0% 0% 52% 0% 0% 0% Amount $ 18,106.40 BUDGET DETAIL Page 3 of 3 UTILITIES 1 CATEGORY Telephone Electric Gas Waste/Water Disposal Other Total Utilities AVERAGE COST PER NUMBER OF MONTHS MONTH $ AMOUNT BUILDING LEASE BUILDING COST PER SQUARE LOCATION NO. SQUARE FOOT FOOT 1 2 3 TOTAL BUILDING LEASE AMOUNT 0 OTHER EXPENSES 1 CATEGORY Fidelity Bond Liability Insurance Legal & Accounting Office Supplies Postage Printing Mileage Advertising TOTAL OTHER EXPENSES TOTAL CHARGE % CHARGED TO CDBG 0% 0% 0% 0% 0% 0% 2029 $ 0.50 100% 0% AMOUNT $ 2,029.00 $ 2,029.00 CONFERENCES AND SEMINARS EVENT 1 2 TOTAL CHARGE 3 TOTAL CONFERENCES AND SEMINARS % CHARGED TO CDBG AMOUNT $ OFFICE EQUIPMENT RENTAL ITEM TOTAL CHARGE 1 Copier Lease 2 TOTAL OFFICE EQUIPMENT RENTAL % CHARGED TO CDBG 0% AMOUNT $