Loading...
HomeMy WebLinkAboutContract 54669 CSC# 54669 AGREEMENT FOR COMMUNITY BASED PROGRAMS SOUTHSIDE HORNETS ATHLETIC ASSOCIATION FISCAL YEAR 2021 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 Jesus Chapa, its duly authorized Assistant City Manager, and SOUTHSIDE HORNETS ATHLETIC ASSOCIATION, a Texas non-profit corporation ("Contractor"), acting by and through Patrick Brown, its duly authorized representative. RECITALS WHEREAS, City has determined that Community-Based Programs are necessary to support crime prevention in City during Fiscal Year 2021 to meet one or more of the Crime Control and Prevention District ("CCPD") goals, which are: (1) to support efforts to reduce violent crime and gang-related activities through enhanced enforcement activities and crime prevention programs, (2) to support efforts to increase the safety of residents and to decrease crime throughout Fort Worth neighborhoods, and(3)to support efforts to increase the safety of youth and reduce juvenile crime through crime prevention and intervention programs;and WHEREAS, Contractor has agreed to operate a Community-Based Program called UNITY ("Program"), which will support the police department's crime prevention efforts throughout the community; and WHEREAS, City desires to enter into an agreement with Contractor to operate UNITY; and WHEREAS, as consideration for Contractor's performance and operation of the UNITY program, City has appropriated monies in the CCPD Budget in the amount of $35,002.54 ("Program Funds")to provide to Contractor on a reimbursable basis, subject to and in accordance with this Agreement. NOW, THEREFORE, in consideration of the mutual covenants herein expressed, the parties agree as follows: AGREEMENT DOCUMENTS The Agreement documents shall include the following: 1. This Agreement between City and Contractor 2. Exhibit A—Scope of Work: Cover Sheet, Project Plan &Program Narrative 3. Exhibit B—Budget Narrative Worksheet 4. Exhibit C—Request for Reimbursement (RFR) 5. Exhibit D—Project Plan Status Report 6. Exhibit E—Quarterly Outcomes Report OFFICIAL RECORD 7. Exhibit F—Request for Budget Modification Form CITY SECRETARY FT. WORTH, TX FY2021 Community Based Programs Agreement Page 1 of 30 Between CFW&SHAA 8. Exhibit G—Corrective Action Plan 9. Exhibit H—Previous Year's Corrective Action Plan (if applicable) Exhibits "A" through "H", which are attached hereto and incorporated herein, are made a part of this Agreement for all purposes. In the event of any conflict between the terms and conditions of Exhibits A through F and the terms and conditions set forth in the body of this Agreement, the terms and conditions of this Agreement control. DEFINITIONS The term"City"shall include City,and its officers, agents,employees, and representatives. The term "Contractor" shall include Contractor, and its officers, agents, employees, representatives, servants, contractors, and subcontractors. The term"Party" shall refer to either City or Contractor. The term"Parties" shall refer to both City and Contractor. 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" — Scope of Work and Project Plan. Contractor shall be responsible for the day-to-day administration of the Program. Contractor agrees to expend the Program Funds in accordance with the Budget Narrative Form as described in Exhibit`B". Program activities shall be reported in accordance with Exhibit"D"- Project Plan Status Report and quarterly measures shall be reported in accordance with Exhibit"E"- Quarterly Outcomes Report. 2. Program Funds 2.1 In no event shall the total distribution from City made to the Contractor during the Term of this Agreement exceed the total sum of$35,002.54 ("Program Funds"). 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), as described in Exhibit "C" along with copies of all receipts and other supporting documentation. Contractor shall deliver to City a written detailed Project Plan Status Report and Quarterly Outcomes Report as described in Section 4.2 below with each RFR to support expenditure of Program Funds. Such reports shall be signed by the Contractor or duly authorized officer of the Contractor. The RFR and Project Plan Status Report shall be submitted to City no later than the 15th day following the end of the month. Submittal of a monthly RFR Project Plan Status Report and Quarterly Outcomes Report is required even if services are not provided. FY2021 Community Based Programs Agreement Page 2 of 30 Between CFW&SHAA Each monthly RFR should be sequentially numbered and include expense documentation that is legible,detailed,clear and concise. The submitted RFR shall include monthly and quarterly reports as applicable. Submissions must be scanned and submitted to the Grants and Program Management Section of the Fort Worth Police Department. Submissions should be titled "Southside Hornets Athletic Association -RFR Month"and sent either via email to CPD_Grants(rfortworthtexas.gov, or via mail addressed as such: ATTENTION: Contract Compliance Specialist, Financial Management Division, Bob Bolen Public Safety Complex, 505 W. Felix St., Fort Worth, Texas, 76115.Reimbursements will not be made until after receipt of an acceptable and approved RFR and a monthly Project Plan Status Report from the Contractor. Additionally, a Quarterly Outcomes Report is required as described in section 4.2 and must be approved prior to reimbursements. Reimbursements shall be made within 30 days of receipt of said documents. Incomplete or incorrect submissions shall be returned to the Contractor for resubmission,restarting the 30-day reimbursement schedule. 2.3 Contractor is authorized to modify up to five (5) percent of any budgeted line-item in the original approved budget without prior written permission from City. However, Contractor must submit the Request for Budget Modification Form (Exhibit "F") to City, with the monthly RFR, during the month the modification took place. The request must include justification for modification to the budget, and the new modified budget cannot exceed the total amount of Program Funds. 2.4 Any modifications of more than five (5) percent of any budgeted line-item in the original approved budget must have prior written permission from City before the modifications are made. The Budget Modification Form(Exhibit"F")must be submitted,and request must be approved by City, before any money is moved to the line-item. Once the Budget Modification is approved, the modified budget will take effect on the first day of the following month. The new modified budget shall not exceed the total amount of Program Funds. 2.5 Any modifications to zero line-items in the original approved budget must have prior written permission from City before the modifications are made. The Budget Modification Form (Exhibit "F") must be completed and approved by City before money is transferred into the new line-item. Once the Budget Modification is approved, the modified budget will take effect on the first day of the following month. The new modified budget shall not exceed the total amount of Program Funds. 2.6 Budget modification can only occur within the Direct and Indirect costs. Funds may not be moved from a Direct line-item into an Indirect line-item, or vise versus. Modification of Direct and Indirect approved budgets must follow the guidelines outlined in sections 2.3, 2.4. and 2.5. 2.7 Contractor will document cost allocations for all budgeted expenses throughout the entirety of the Agreement and will be responsible for having a policy and procedure in place for this documentation. Specifically, Contractor will document how all shared costs, personnel time, or equipment that was fully or partially paid for using CCPD funds, were used in furtherance of the program activities described in this Agreement. Documentation of these cost allocations, as well as a copy of the Contractor's policy and procedures for the documentation of the cost allocations FY2021 Community Based Programs Agreement Page 3 of 30 Between CFW&SHAA shall be made available to the City upon request. 2.8 The City reserves the right to reject any budget modification that the City believes, in its sole discretion, is not clearly aligned with the program activities and any requests for reimbursement expenses that the City believes, in its sole discretion, are not specified in Exhibit "B" of this Agreement or an approved budget modification form. 2.9 Budget Adjustments shall be submitted via either email to CPD_Grants@fortworthtexas.gov or to the Contract Compliance Specialist, Financial Management Division, Bob Bolen Public Safety Complex at 505 W. Felix St., Fort Worth, Texas, 76115. 3. Term This Agreement shall commence upon October 1, 2020 ("Effective Date"), and shall end on September 30,2021 ("End Date"). All of Contractor's expenditures under this Agreement must be completed no later than September 30, 2021. The City reserves the right to withhold the final Request for Reimbursement until all required documents have been received by the Contractor. 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 Project Plan Status and Quarterly Outcomes Report to document the performance of the work described in Exhibit"D" and Exhibit"E,"respectively. The Project Plan Status and Quarterly Outcomes Report 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.Quarterly Outcomes Report shall be reported on a quarterly basis and included in the January, April, July, and October RFR and Project Plan Status Report submittals.Additionally,the Quarterly Outcomes Report must include descriptions of any realized successes, and zip code data for unduplicated participants. The monthly Project Plan Status and Quarterly Outcomes Report shall be submitted to City no later than the 15th day after the end of each month. 4.3 Contractor agrees that the monthly Request for Reimbursement and Project Plan Status and Quarterly Outcomes Report will be submitted to City no later than the 15th day after the end of each month. Should Contractor not be able to meet these requirements in a given month, the Contractor shall provide written notification prior to the deadline that details the expected date of submission. If no notification is received before the 15th day, the City may document for future corrective action. If, by the last day of the same month, Contractor has not submitted the required reports, City will send a non-compliance letter notifying Contractor's duly authorized representative of a possible suspension of program funding. 4.4 Contractor agrees to complete a Corrective Action Plan ("CAP") in the event of three (3) consecutive months or six (6) non-consecutive months with incomplete or incorrect submissions FY2021 Community Based Programs Agreement Page 4 of 30 Between CFW&SHAA of an RFR, Project Plan Status, or Quarterly Outcomes Report. Contractor agrees to complete a Corrective Action Plan for recurring late submissions of an RFR,Project Plan Status, or Quarterly Outcomes Report, or for failing to take corrective actions and responding to audit reports by the City. The CAP will contain the identified issue found by the City,how the Contractor will correct that issue, who the responsible person will be to ensure completion, and a target completion date. An example of this form is attached as Exhibit"G". 4.5 A representative of the program from the Contractor shall attend quarterly meetings of the Crime Control and Prevention District Board as requested. 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 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 In the event no funds or insufficient funds are appropriated by the City in any fiscal year for any payments due hereunder, City will notify Contractor of such occurrence and this Agreement shall terminate on the last day of the fiscal period for which appropriations were received without penalty or expense to the City of any kind whatsoever, except as to the portions of payments herein agreed upon for which funds have been appropriated. 5.3 The City may terminate this Agreement at any time and for any reason by providing the other party with thirty(30) days' written notice of termination. 5.4 Termination will be effected by delivering to Contractor written notice 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. 5.5 In the event City suspends or terminates 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. City will have no responsibility or liability FY2021 Community Based Programs Agreement Page 5 of 30 Between CFW&SHAA 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 the City. Contractor shall maintain all equipment used in the administration and execution of the Program. Contractor shall maintain, replace, or repair any item of equipment used in support of the Program, 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 Program and/or for use under the terms of this Agreement is the sole responsibility of Contractor. Contractor shall not use Program Funds to repair or replace said equipment. Contractor shall use any and all equipment purchased with Program Funds exclusively in support of the Program. Within 10 days following the purchase of equipment, Contractor shall submit to City a detailed inventory of all equipment purchased with Program Funds to the Grants and Program Management Section at the address set forth in paragraph 2.2 above. 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 and to allow for reasonable audits of such records during regular business hours, at the expense of the City or Contractor, with such audit to be performed by an auditor selected by the City or the Board.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 any time 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 Contractor's operations will be undertaken and may be conducted either by City (performed by staff in the Police Department or the City's Internal Audit Department) or an independent auditor approved by the City or Board. 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, City shall notify Contractor as soon as reasonably practical. Contractor shall have fifteen(15)days to provide City with a written explanation and any supporting documentation regarding practice or expenditure. If Contractor fails to resolve or cure the questioned practice or expenditure to the City's satisfaction within the fifteen(15)day period,City reserves the right to withhold further Program Funds under this and/or future agreement(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 FY2021 Community Based Programs Agreement Page 6 of 30 Between CFW&SHAA 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. The closeout requirements shall include,but are not limited to: providing final Project Plan Status Report and Quarterly Outcomes Report, making final payments, and disposing of the Program assets as appropriate, if deemed required by the City in its sole discretion. 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 work to be performed by Contractor under this Agreement and City shall have access at all reasonable hours to offices and records of Contractor, its officers, members, agents, employees, and subcontractors for the purpose of such monitoring. 7.6 Throughout the term of this Agreement and for up to three months after its expiration, the City may periodically request, and the Contractor will be required to provide, information for the purposes of evaluating the overall effectiveness of Crime Control and Prevention District(CCPD) funding. This information will include, but may not be limited to, the zip-codes of participating individuals of the program(s)receiving CCPD funding. Requested information will consist solely of aggregated data without any personal identifiers. Further, any information requested will not be used in a way that would violate local, state, or federal statutes, regulations, or policies. 7.7 If the Contractor maintains the information the City is requesting, the Contractor shall provide the requested information to the City within 30 days of receipt of the request. If the Contractor does not maintain the requested information as of the date it receives the City's request, the Contractor shall begin collecting such information as of that date, shall provide an initial response regarding that information within sixty days, and shall thereafter update that information on request. 7.8 If necessary, an amendment may be brought forward to identify additional specific metrics that Contractor will be required to maintain and provide to the City to evaluate the effectiveness of the Crime Control and Prevention District Funding. Section 7 shall survive the expiration or termination of this Agreement. 8. Independent 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 respondent 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.No federal,state,or local income tax,nor any payroll tax of any kind, shall be withheld FY2021 Community Based Programs Agreement Page 7 of 30 Between CFW&SHAA or paid by City on behalf of Contractor. Contractor shall not be treated as an employee with respect to the services performed pursuant to this Agreement for federal or state tax purposes. It is expressly understood and agreed that officers, members, agents, employees, subcontractors, licensees, or invitees of Contractor, and any program participants hereunder are not eligible for, and shall not participate in any employer pension, health, or other fringe benefit plan provided by City. It is expressly understood and agreed 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, program participants, licensees or invitees, which may be lost, stolen, destroyed, or in any way damaged. 9. Liability and Indemnification ONLY TO THE EXTENT PERMITTED BY THE CONSTITUTION AND LAWS OF THE STATE OF TEXAS AND LIMITED BY THE LIMITS OF LIABILITY AS SET FORTH IN THE TEXAS TORT CLAIMS ACT (TEXAS CIVIL PRACTICE AND REMEDIES CODE CHAPTER 101), CONTRACTOR SHALL BE LIABLE AND RESPONSIBLE FOR ANYAND ALL PROPERTY LOSS, PROPERTY DAMAGE AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF ANY KIND OR CHARACTER, WHETHER REAL OR ASSERTED, TO THE EXTENT CAUSED BY THE NEGLIGENT ACT(S) OR OMISSION(S), MALFEASANCE OR INTENTIONAL MISCONDUCT OF CONTRACTOR,ITS OFFICERS,AGENTS,SERVANTS OR EMPLOYEES. ONLY TO THE EXTENT PERMITTED BY THE CONSTITUTION AND LAWS OF THE STATE OF TEXAS AND LIMITED BY THE LIMITS OF LIABILITY AS SET FORTH IN THE TEXAS TORT CLAIMS ACT (TEXAS CIVIL PRACTICE AND REMEDIES CODE CHAPTER 101), CONTRACTOR AGREES TO DEFEND, INDEMNIFY, AND HOLD THE CITY, ITS OFFICERS,AGENTS, SERVANTS, AND EMPLOYEES HARMLESS AGAINST ANYAND ALL CLAIMS,LAWSUITS,ACTIONS, COSTS,AND EXPENSES OFANYKIND, INCLUDING, BUT NOT LIMITED TO, THOSE FOR PROPERTY DAMAGE OR LOSS (INCLUDING ALLEGED DAMAGE OR LOSS TO OWNER'S BUSINESS AND ANY RESULTING LOST PROFITS) AND/OR PERSONAL INJURY (INCLUDING DEATH) THAT MAYRELATE TO,ARISE OUT OF, OR BE OCCASIONED BY(I) CONTRACTOR'S BREACH OF ANY OF THE TERMS OR PROVISIONS OF THIS AGREEMENT OR (II) ANY NEGLIGENT ACT OR OMISSION OR INTENTIONAL MISCONDUCT OF CONTRACTOR,ITS OFFICERS,AGENTS,ASSOCIATES,EMPLOYEES, CONTRACTORS (OTHER THAN THE CITY), OR SUBCONTRACTORS RELATED TO THE PERFORMANCE OF THISAGREEMENT;EXCEPT THAT THE INDEMNITYPROVIDED FOR IN THIS SECTION SHALL NOT APPLY TO ANY LIABILITY RESULTING FROM THE SOLE NEGLIGENCE OF THE CITY OR ITS OFFICERS, AGENTS, EMPLOYEES, OR SEPARATE CONTRACTORS, AND IN THE EVENT OF JOINT AND CONCURRENT NEGLIGENCE OF BOTH CONTRACTOR AND CITY,RESPONSIBILITY,IF ANY,SHALL BE APPORTIONED COMPARATIVELY IN ACCORDANCE WITH THE LAWS OF THE STATE OF TEXAS.NOTHING HEREIN SHALL BE CONSTR UED AS A WAIVER OF THE FY2021 Community Based Programs Agreement Page 8 of 30 Between CFW&SHAA CITY'S GOVERNMENTAL IMMUNITY AS FURTHER PROVIDED BY THE LAWS OF TEXAS. 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. This section shall survive the expiration or termination of this Agreement. 10. Non-Assignment No assignment or delegation of duties under this Agreement by Contractor shall be effective without City's prior written approval. 11. Prohibition Against Interest 11.1 No member, officer, or employee of the City, or its designees or agents; no member of the governing body of the locality in which the Program is situated; and no other public official of such locality or localities who exercises any functions or responsibilities with respect to the Program during this 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. 11.2 No officer, employee,member, or program participant of Contractor shall have a financial 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 12.1 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, statutory requirement, or statutory or ordinance exception. 12.2 Contractor will not unlawfully discriminate against any person or persons because of age, race, color, religion, sex, disability, national origin, or sexual orientation, nor will Contractor permit its officers,members,agents, employees, subcontractors, or program participants to engage in such discrimination. FY2021 Community Based Programs Agreement Page 9 of 30 Between CFW&SHAA ONLY TO THE EXTENT PERMITTED BY THE CONSTITUTION AND LAWS OF THE STATE OF TEXAS AND LIMITED BY THE LIMITS OF LIABILITY AS SET FORTH IN THE TEXAS TORT CLAIMS ACT (TEXAS CIVIL PRACTICE AND REMEDIES CODE CHAPTER 101),IF ANY CLAIM ARISES FROM AN ALLEGED VIOLATION OF THIS NON-DISCRIMINATION COVENANT BY CONTRACTOR, ITS PERSONAL REPRESENTATIVES, ASSIGNS, SUBCONTRACTORS OR SUCCESSORS IN INTEREST, CONTRACTOR AGREES TO ASSUME SUCH LIABILITY AND TO INDEMNIFY AND DEFEND THE CITY AND HOLD THE CITY HARMLESS FROM SUCH CLAIM. This section shall survive the expiration or termination of this Agreement. 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 in writing to 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 in writing 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. 14. Governmental Powers It is understood that be execution of this Agreement, the City does not waive or surrender any of its governmental powers. 15. 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. 16. Insurance Requirement 16.1 Coverages and Limits — Contractor shall provide the City with certificate(s) of insurance documenting policies of the following minimum coverage limits that are to be in effect prior to commencement of any work pursuant to this Agreement: FY2021 Community Based Programs Agreement Page 10 of 30 Between CFW&SHAA (a) Commercial General Liability(CGL): Contractor is self-insured in keeping with the terms of the Texas Tort Claims Act. Contractor will furnish a Certificate of Self-Insurance in lieu of the required general liability insurance certificate. (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. (c) Automobile Liability: $1,000,000 each accident on a combined single limit basis OR split limits are acceptable if limits are at least $250,000 Bodily Injury per person, $500,000 Bodily Injury per accident and$100,000 Property Damage. (d) Any other insurance the City may reasonably require to protect the interest of the City. 16.2 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. All insurers must have minimum rating of A-VII in the current A.M. Best Key Rating Guide, or have reasonably equivalent financial strength and solvency to the satisfaction of Risk Management. If the rating is below that required, written approval of Risk Management is required. 16.3 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. 16.4 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. Contractor will furnish a Certificate of Self-Insurance in lieu of the required Worker's Compensation insurance certificate. 16.5 A minimum of Thirty (30) days' notice of cancellation or reduction in limits of coverage shall be provided to the City. Ten(10)days'notice shall be acceptable in the event of non-payment of premium. Notice shall be sent to the Risk Manager, City of Fort Worth, 200 Texas Street, Fort Worth, Texas 76102, with copies to the City Attorney at the same address. 16.6 Any failure on the part of the City to request required insurance documentation shall not constitute a waiver of the insurance requirement. 16.7 Certificates of Insurance evidencing that the Contractor has obtained all required insurance shall be delivered to the City prior to Contractor proceeding with any work pursuant to this Agreement. 17. Miscellaneous Provisions FY2021 Community Based Programs Agreement Page 11 of 30 Between CFW&SHAA 17.1 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. 17.2 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. 17.3 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 state courts located in Tarrant County, Texas or the United States District Court for the Northern District of Texas, Fort Worth Division. 17.4 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. 17.5 This written instrument and Exhibits "A" through "H" 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. 17.6 Any amendments to the terms of this Agreement must be in writing and must be signed by authorized representatives of each Party. 17.7 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. 17.8 The parties acknowledge that each party and its counsel have reviewed this Agreement and that the normal rules of construction to the effect that any ambiguities are to be resolved against the drafting party shall not be employed in the interpretation of this Agreement or exhibits hereto. 17.9 Captions and headings used in this Agreement are for reference purposes only and shall not be deemed a part of this Agreement. 17.10 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. 17.11 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. FY2021 Community Based Programs Agreement Page 12 of 30 Between CFW&SHAA 17.12 Contractors are required to conduct criminal background screenings for all volunteers or employees who will be working with children under the proposed program. All criminal background checks shall be in compliance with Texas Department to Family and Protective Services standard, the Texas Administrative Code and all other applicable law. Contractors will be responsible for conducting criminal background screening and for maintain appropriate records, which will be subject to review by the City. CONTRACTORS SHALL INDEMNIFY CITY AND HOLD HARMLESS FROM ANY PENALTIES, LIABILITIES, OR LOSSES DUE TO VIOLATIONS OF THIS PARAGRAPH BY CONTRACTOR, CONTRACTOR'S EMPLOYEES, SUBCONTRACTORS, AGENTS, OR LICENSEES. 18. Notice Notices to be provided hereunder shall be sufficient if forwarded to the other party by hand- delivery or via U.S. Postal Service certified mail,postage prepaid,to the address of the other party shown below: CITY: Jesus Chapa, Assistant City Manager City Manager's Office City of Fort Worth 200 Texas Street Fort Worth, TX 76102 Copies To: Contract Compliance Specialist Financial Management Division Bob Bolen Public Safety Complex 505 West Felix St. Fort Worth, TX 76115 City Attorney's Office Attn: Police Contracts 200 Texas Street Fort Worth, TX 76102 CONTRACTOR: Patrick Brown, Chief Executive Officer/President Southside Hornets Athletic Association 3712 Wichita St. Fort Worth, TX, 76119 19. Counterparts: Electronically Transmitted Signature This Agreement, as well as any associated documents to this Agreement, including RFR's and Budget Modifications may be executed in one or more counterparts, each of which when so executed and delivered shall be considered an original, but such counterparts shall together constitute one and the same instrument and agreement. Any signature delivered by a party by facsimile or other electronic transmission (including email transmission of a portable document file (pdf) or similar image) shall be deemed to be an original signature hereto. FY2021 Community Based Programs Agreement Page 13 of 30 Between CFW&SHAA 20. Immieration Nationality Act Contractor shall verify the identity and employment eligibility of its employees who perform work under this Agreement, including completing the Employment Eligibility Verification Form (I-9). Upon request by City, Contractor shall provide City with copies of all I-9 forms and supporting eligibility documentation for each employee who performs work under this Agreement. Contractor shall adhere to all Federal and State laws as well as establish appropriate procedures and controls so that no services will be performed by any Contractor employee who is not legally eligible to perform such services. CONTRACTOR SHALL INDEMNIFY CITY AND HOLD CITY HARMLESS FROM ANY PENALTIES, LIABILITIES, OR LOSSES DUE TO VIOLATIONS OF THIS PARAGRAPH BY CONTRACTOR, CONTRACTOR'S EMPLOYEES, SUBCONTRACTORS,AGENTS,OR LICENSEES.City,upon written notice to Contractor,shall have the right to immediately terminate this Agreement for violations of this provision by Contractor. [REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK] [SIGNATURE PAGE FOLLOWS] FY2021 Community Based Programs Agreement Page 14 of 30 Between CFW&SHAA IN WITNESS WHEREOF, the parties hereto have executed this agreement in multiples in Fort Worth, Tarrant County, Texas, to be effective this day of 120 APPROVED AND AGREED FOR CITY APPROVED AND AGREED FOR OF FORT WORTH SOUTHSIDE HORNETS ATHLETICS `4�,-ZC ,^ ASSOCIATION Jesus J.Cha pa(Oct 12,202010:43 PDT) Jesus J. Chapa 6,20201521 CDT) Assistant City Manager Patrick Brown Chief Executive Officer/President Date: Oct 12,2020 Date: Oct 6,2020 APPROVAL RECOMMENDED APPROVED AS TO FORM AND E winKraus(Oct12,202011:39CDT) LEGALITY FOR SOUTHSIDE Edwin Kraus HORNETS ATHLETICS Chief of Police ASSOCIATION Date: Oct 12,2020 Attorney for Southside Hornets Athletic APPROVED AS TO FORM AND Association LEGALITY FOR CITY OF FORT 4�d�Un WORTH Date: �,&o 000.%*a ATTEST —o Jessika Williams kw Rowga P. C� o o c Assistant City Attorney r Ronald P.Gonzales(Oct ,202012:55 CDT) ��* 41 Mary J. Kayser �a�nEXASaa� Date: Oct 12,2020 City Secretary Date: Oct 12,2020 Contract Compliance Manager: By signing I acknowledge that I am the person responsible M&C No. NOT REQUIRED for the monitoring and administration of this 1295 CERTIFICATION: 2017-215729 contract, including ensuring all performance and reporting requirements. A'16�7�— Keith Morris Contract Compliance Manager Date: Oct 6,2020 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX FY2021 Community Based Programs Agreement Page 15 of 30 Between CFW&SHAA FY2021 CRIME CONTROL AND PREVENTION DISTRICT PROPOSAL COVER SHEET CONTRACTOR: Southside Hornets Athletic Assoc. AMOUNT REQUESTED: $35,002.54 PROGRAM/PROJECT TITLE: UNITY DIRECTOR: Patrick Brown PHONE NUMBER: (817)874-8784 PHYSICAL ADDRESS: 3712 Wichita St.Fort Worth,TX 76119 CONTACT PERSON:Patrick Brown EMAIL ADDRESS: coachpatrick83@aol.com PHONE NUMBER: (817)874-8784 FAX NUMBER: N/A PROGRAM PURPOSE STATEMENT: Empowering youth by providing community intervention through mentoring, individual and group counseling, tutoring, and life skills services. GEOGRAPHICAL AREA/COUNCIL DISTRICT SERVED: Please mark all that apply Q Specific Zip Code(s)—Specify below: (S)City Wide(ALL) Q Council District 3 Q Council District 4 Q Council District 2 Q Council District 6 Q Council District 7 Q Council District 5 Q Council District 8 Q Council District 9 CONTRACTOR STATUS: ❑ Registered Private Nonprofit(5010) ® Registered Public Nonprofit COOPERATIVE AGREEMENT USE(SECTION 27) ® Yes ❑ No MARK THE APPLICABLE CCPD GOAL(S)—see"Definitions of Underlined Terms"before making a selection ❑ Reduce violent crime through crime prevention programs ❑ Reduce gang-related activities through crime prevention programs ❑ Increase safety in neighborhoods(see"Direct Neighborhood Project") ❑ Decrease crime in neighborhoods(see"Direct Neighborhood Project") X Increase the safe of youth through crime prevention programs or intervention programs ® Reduce juvenile crime through crime prevention programs or intervention programs. MARK(IF APPLICABLE) THE CCPD SPECIAL EMPHASIS ® Program incorporates literacy instruction/skills for children ages 0-9. MARK THE PRIMARY TARGET POPULATION(S) ❑ Previously Adjudicated ❑ Never Adjudicated ❑ Children of Adjudicated ❑ Adults X Children ❑ Parents CERTIFICATION: I certify that the information contained in this contract fairly represents the above-named Contractor's operating plans and budget. I acknowledge that I have read and understand the requirements and will comply with all applicable rules and regulations relating to the contract process. I certify that I am authorized to sign this form and to enter into and execute a contract with the City of Fort Worth to provide the services authorized. NAME: Patrick Brown TITLE: President/CEO SIGNATURE: Pa%940drftot 6,202015:21 CDT) DATE: Oct 6,2020 FY2021 Community Based Programs Agreement Between CFW&SHAA Page 16 of 30 Exhibit A y a O b°A y con N O cn 0 a� •C QC14pcon N n ybo U cc y � � z rn 0 N N O r N N N O p O N O N a y .d >� U a � qi Cdd Cd ro y — .p 0 O N _ O QI v a, Vr, Cd o 0 Cd 7) O O x W o o 0 0 0 rA W q v U scc � y O _ s 10 V IH_I y (~ O as ou U - (~ A sp. •o a� .d •orA v i II rA M gal 00 p d bU b D � a ° o � 0 o o 8 z p x $ a,� oo y " ocd ~ O rA U O y as JL O d U U U r W cd Cd ••i Q Q --i N cc � w w V V O � � � � 1° w bn ch 3 ° c -dam CD N O y 7 cn w N p=� oho bo 64 o O ¢ o �, rn 0 0 o v N N �° V N O }� P N cd N N 0 cad M m O o W " s, >, s°• Y V O y p 0 U •d P., V� P� 0 Vn P-4 43 O O N w P., O O O O O O U U U 0 0 0 0 0 P� U P U P1�-� V 00 II p I� ��i N4y E" m W p y y y N cd O as P, Nu U O iC O P" p O O o con c a x mC P� Wn �O n W) O P� P4 � ,o C N O O G 0 N O O O 4-4 rn U *k V] *k I~ cd o O O " ° s0, 4� r " Wes" p. O i o f i ,p. o >; � O Cdwcow ril P-� c°� m p. cad s0, ° P� 'ri 5 p. mo a0i [�- � EXHIBIT A: PROGRAM NARRATIVE PROGRAM ABSTRACT The UNITY program provides a transformational environment for mentees building critical thinking skills and character with a goal of maximizing academic and social potential. Southside Hornets Athletic Association currently serves youth citywide in Fort Worth providing sports and structured mentoring services. The proposed program would expand the scope of SHAA services to youth between the ages of 5-18 years through UNITY; a targeted prevention/intervention program providing focused services to mentees and their parents. PROBLEM AND CAUSES 1) Programs must address at least one of the following CCPD problem area(s) from the Goal selected on the cover sheet: violent crime, gang-related activities, laftly of residents and/or youth, crime in Fort Worth neighborhoods, or iuvenile crime. Agencies should consult the specific definitions included in this packet. Please justify your selection on the cover sheet by a. Identifying and describing the problem area(s) relevant to your program. b. Identifying if your contract is for a crime prevention program, intervention program, or a direct neighborhood proiect. c. Please describe in detail the causes of those problem area(s) and cite sources. The Southside Hornets Athletic Association-Understanding Needs In Today's Youth(UNITY)mentoring program meets the CCPD program objectives to address reduction of youth violence and gang related activities, increase safety of youth and residents in Fort Worth, and reduction of crime within neighborhoods. The chief objective of this program is to deter youth from criminal activities by providing prevention and intervention services that deter juvenile criminal activity. The Children's Defense Fund(2008) and other social justice institutions advocate for prevention programs to curtail the impact of the poverty, racial disparity, family status, health and mental health, and education on risk for entering the cradle to prison pipeline. Education, preventative health care, preventative family services, and programs are a means to lessen prison involvement and negative life outcomes.The cost of mentoring is on average $1,000 per child, similarly Head Start is$7,028 per child, employment training, $2,492 per youth, and high quality after-school programs $2,700 dollars per child(Children's Defense Fund, 2008). Collaborative community-based intervention and prevention services with cultural sensitivity are a means to impede the prison pipeline and the detrimental effects posed by social conflict. The SHAA achieves this objective through multi-systemic intervention for youth and families. Mentoring, education support, and athletic enrichment provided by SHAA work to achieve these goals. This program utilizes the social bonds existent in communities, and social service resources to positively impact the lives of children and families. Intervention strategies should consider contextual factors of working with minority populations. PROGRAM ACTIVITIES AND OUTCOMES 2) Describe the direct target population the program/project will directly benefit. How many people? What definable population group (i.e. age, ethnicity, etc.)? What neighborhood(s)? Southside Hornets Athletic Association (SHAA) is seeking to address the high need for physical, behavioral, emotional, and/or mental health support through mentoring of at-risk youth in Fort Worth. The Southside Hornets Athletic Association UNITY Program is a holistic after-school-based intervention/prevention program designed to impact youth who demonstrate potential risk for negative life outcomes. The program will serve 50 children citywide in Fort Worth through CCPD supportive funding. The program provides a structured FY2021 Community Based Programs Agreement Page 19 of 30 Between CFW&SHAA Exhibit A intervention approach to offer: academic enrichment, mentoring, life skills, and health/ introductory sports programs. The child poverty rate in the City of Fort Worth is 22% exceeding the national average of 18%. The graduation rate in Fort Worth Independent School District is 76%versus 93% statewide. There are equity gaps for many Fort Worth residents. A disproportionately high number of residents have less than a high school diploma, with higher rates in immigrant families at 39% compared to the statewide average of 28%, and national averages 11% (Kids Count, 2018). These equity gaps adversely affect our city's young people. Our organization focuses on providing social emotional health related resources to help redress the inequities that exist for youth and families as result of poverty and educational marginalization. Program participants are low income and attend poor performing, Title 1 schools (grades 1-12) in the City of Fort Worth including: • OD Wyatt High School with an overall Crating(2400 E Seminary Dr, Fort Worth, TX76119) • Morningside Middle with an overall F rating(2751 Mississippi Ave, Fort Worth, TX, 76104) • Forest Oak Middle with an overall Crating(3221 Pecos St, Fort Worth, TX, 76119 • Glencrest Middle with an overall F rating(4801 Eastline Dr, Fort Worth, TX 76119) • Edward Briscoe Elementary with an overall D rating(2751 Yuma Ave, Fort Worth, TX, 76104) • Carroll Peak Elementary with an overall D rating (1201 E Jefferson Ave, Fort Worth, TX76104) • TA Sims Elementary with an overall Crating(3500 Crenshaw Ave, F01i Worth, TX 76105) • Morningside Elementary with an overall F rating(2751 Mississippi Ave, Fort Worth, TX, 76104) The Fort Worth 2019 Youth Risk Behavior Survey results confirm the need for mentoring to provide at- risk youth with a caring adult to support meeting youths' physical, behavioral, emotional, and/or mental health needs. Per the Youth Risk Behavior Survey 33% of students in report feeling sad or hopeless and 11% have attempted suicide. 3) Describe how your program/project addresses the causes of the problem area(s) and achieves the goals of CCPD. Cite relevant sources for evidence-based, evidence informed, or promising practice. UNITY is a holistic afterschool-based intervention/ prevention program designed to impact youth who demonstrate some potential risk to negative life outcomes. We listen and respond to the needs of our community through relevant programming to youth.In particular,our mentoring program meets youth where they are,supports their individual needs as well as engages family members/caregivers to provide a team of adults focused on lifting up our community's young people towards life-long success. Positive mentoring relationships can transform the trajectory of young peoples' lives by leading them away from violent and risky behavior and toward sustainable and productive opportunities. The Centers for Disease Control and Prevention lists mentoring as one of four strategies that holds the most promise for youth violence prevention. Primarily, this is because mentoring has a proven ability to decrease risk factors and enhance protective factors associated—with reducing youth violence, such as staying engaged in school or displaying positive social behaviors (Thornton, Craft, Dahlberg, Lyne & Baer, 2002). A meta-analysis of 73 independent evaluations of mentoring programs showed that mentoring improves a young person's behavioral, social, emotional, and academic outcomes simultaneously (DuBois, Portillo, Rhodes, Silverthorn, & Valentine, 2011). 4) Describe your measurable program activities and how they address the causes you described in Question #1. Please include a description of measures and how your program will meet these goals. The SHAA- UNITY program addressed the efforts CCPD to reduce violent crime and gang related FY2021 Community Based Programs Agreement Page 20 of 30 Between CFW&SHAA Exhibit A activities by introducing a holistic model of intervention and prevention that deters youth from negative life activities.This program is novel in that it engages in prevention and intervention services concurrently maintaining work with youth who are referred due to life risk assessed by poor school performance and demonstrated issues with conduct. The program aims to improve community engagement and safety by providing a child centered family inclusive program that offers life skills, mentoring, and academic support. Parenting education enhances the programs aims at effectiveness in building a stronger healthier community of informed citizens. The purpose of this program is to empower at risk youth and to implement services that result in a measurable change in the quality of these youth's lives. This program uses collaborative community- based intervention and prevention services with cultural sensitivity to impede the prison pipeline and the detrimental effects posed by social conflict like violence and gang related crime. The SHAA-UNITY program provides academic enrichment services which include assessment for literacy skills and support in literacy related to language, reading, and critical thinking skills. The UNITY program addresses the CCPD priority/special interest of incorporating literacy into prevention and intervention with youth and families to deter community violence. The UNITY program uses a social skills curriculum to reinforce character development and pairs these lessons across aspects of the program including literacy programing in the educational enrichment program. Concurrently the UNITY program hosts Saturday workshop each month that reinforce literacy, civic engagement, and family level intervention strategies for families of at-risk youth. Program Structure: Youth are assessed at entrance into the program to determine level of intervention need. There are three levels of program delivery,the level of service delivery is determined based on the level of risk evaluated.A parent survey, child interview, and school survey (completed by teacher or counselor) are used to determine level of intervention need. Based on the level of need children are placed in a risk category and services are implemented to address that need. • Level I-participants engage in athletic intervention,monthly large group program mentoring/intervention, and family enrichment activities. • Level 2-participants engage in the above activities and Ix monthly individual mentoring sessions. • Level 3 participant- engage in the activities listed in level I and 2 and PRN counseling session and therapeutic support. Youth are able to participate in seasonal athletic programs (ex: football, cheerleading, track, basketball, and baseball)'and compete on recreational teams competitive play. This allows youth the further the development of leadership skills in a natural environment. More than 50% of the participants in the SHAA are youth between the ages of 5-12. These youth are from the Southside area of the City of Fort Worth. This geographic area encompasses communities that are lower income and areas that are at greater risk for juvenile criminal involvement. By targeting children in the 0-9 age demographic SHAA aims to create a large impact in raising the level of social literacy, academic skills, and community engagement for this demographic. Further, increase social support resources like SHAA- UNITY program reduce the risk of youth and family violence within the community. [See below and CCPD Project Plan attached] 5) Describe your measurable program outcomes and how they affect the problem area(s) described in Question#1. Please include a description of your evaluation methods. See above for narrative answer. CCPD Problem Areas: FY2021 Community Based Programs Agreement Page 21 of 30 Between CFW&SHAA Exhibit A • Gang related activities prevention/intervention • Safety of youth and crime prevention/intervention • Juvenile crime prevention/intervention • Literacy for children (reading, writing, and speaking). Program Outcomes: 1) 12 months of one on one, and small group mentoring participation 2) Child and family counseling services monthly and PRN. Long-term Outcome: Improved behavior, social, emotional, and academic performance for children at the end of 12 months. Problem Causes: • Poverty and family history of low educational attainment (Kids Count, 2018) • Low literacy skills (Thorton et al., 2002) • Behavioral, social, emotional, and academic disorders (Dubois et al., 2011). Methodology: The Centers for Disease Control and Prevention lists mentoring as one of four strategies that holds the most promise for youth violence prevention. Primarily,this is because mentoring has a proven ability to decrease risk factors and enhance protective factors associated with reducing youth violence, such as staying engaged in school or displaying positive social behaviors(Thorton et al.,2002).A meta-analysis of 73 independent evaluations of mentoring programs showed that mentoring improves a young person's behavioral, social, emotional, and academic outcomes simultaneously(Dubois et al., 2011). Activity: 50 youth engaging in the following services. 1. Mentoring(group/individual I on I monthly) 2. Psychosocial intervention and counseling services PRN for child and/or family 3. Parent education workshops monthly 6) Describe how your program addresses the CCPD special emphasis priority: literacy instruction/skills specifically for children ages 0-9? 7) Describe what makes your program unique. Include descriptions of how it compares with similar programming offered in the area. If applicable, describe how your program/project integrates City of Fort Worth programming or personnel, improves existing City of Fort Worth projects/programming, or is directly involved with City of Fort Worth efforts to achieve Annual Report Strategic Goals. 8) Describe if this is a new or existing program, including: a. how long it has been in operation, b. how it is currently financially sustained, and c. why CCPD funds are necessary at this time. ORGANIZATION 9) Briefly describe your organization. Include how long your organization has served the community and the nature of your services. 10) Describe how the proposed program fits the mission of your organization. FY2021 Community Based Programs Agreement Page 22 of 30 Between CFW&SHAA Exhibit A 11) Describe the geographic area your organization and project will serve (i.e. city wide, council district(s), zip code, neighborhood, census tracts, etc.). SUSTAINABILITY 12) Describe and list what other funds have been secured or applied for on behalf of this program. If this is new programming, include a description of what must happen to implement your program to complete your project by September 30, 2021. 13)Describe your plans to sustain this program beyond the CCPD funding period. 14)Has your Contractor obtained funding through the Crime Control and Prevention District previously? ❑ Yes ❑ No If so,please fill out the form on page 20.Include any awards received in the previous three cycles(FYI 8,FY19,FY20). FY2021 Community Based Programs Agreement Page 23 of 30 Between CFW&SHAA Exhibit A Crime Control and Prevention District Community Based Programs Southside Athletics Association-UNITY Program DESCRIPTION/JUSTIFICATION QUANTITY QUANTITY RATE TOTAL MEASURE REVENUE $0.00 A.SALARY Program Coordinator-This position is responsible for the provision of mentoring services through recruitment,training,match pairing,assessment,and evaluation of match success, general assessment of child,acquistion of monthly documentation of mentoring activities, power-up Saturday group activities,family engagement,and associated mentoring activities. 750.00 Hours $26.67 $20,002.50 This position supports all activities under Outcome Objective 1.1. Counselor-This position will provide assessment services for risk-level identification, counseling services,and therapeutic support to children and families.This position 250.00 Hours $40.00 $10,000.00 participates supports all activities under Outcome Objective 1.1. B.FRINGE $0.00 C.TRAVEL $0.00 D.EQUIPMENT $0.00 E.SUPPLIES Mentorship Activity Supplies-This expenses provides for a monthly membership for large group activities for 50 unduplicated participants,mentors,and parents.Social Skills Development and Education enrichment will be provided.This cost supports all activities. 1.00 SUPPLIES $5,000.04 $5,000.04 Includes arts&crafts supplies,recreational supplies such as balls,jump ropes,etc to be used during mentoring sessions.This expense supports all activities under Outcome Objective 1.1 F.CONSULTING/CONTRACTING $0.00 G.SUB-GRANTS $0.00 H.00CUPANCY $0.00 INDIRECT $0.00 $35, 11 $35,002.54 FY2021 Community Based Programs Agreement Page 24 of 30 Between CFW&SHAA Exhibit B FORT WORTH. Exhibit C Request for Reimbursement(RFR) FY 2021 CRIME CONTROL AND PRF:VF.NTn1N DISTRICT By Email: Submit To: Submitting Agency: Southside Hornets Athletic Association cpd_grants@fortworthtexas.gov Contact Name: Patrick Brown Phone Number: (817)874-8784 Mail. Email: coachoatrlck83(&aol.com Bob Bolen Public Safety Complex Remit Address: 3712 Wichita St.Fort Worth,TX 76119 Attn:Grants Manager Financial Management Division Invoice Number: 505 West Felix St. Month of Request: Fort Worth,TX 76115 DIRECT COSTS(90%Minimum) A B C D E Total of Previous (B+C) (A-D) Budget Category Budget Amount Reimbursements This Month's Total Requested Remaining Balance Requested Request To-Date Available A Personnel $ 30,002.50 $ $ 30,002.50 B Fringe Benefits - C Travel&Training $ $ D Equipment - E Supplies $ 5,000.04 $ $ 5,000.04 F Contracts/Consultants $ $ G Sub-Awards $ $ H Occupancy $ $ Total Direct Costs $ 35 002.54 $ $ $ $ 35 002.54 INDIRECT COSTS(10%Maximum) A B C D E Total of Previous This Month's (B+C) (A-D) Budget Category Budget Amount Reimbursements Total Requested Remaining Balance Requested Request To-Date Available Total InDirect Costs $ $ $ Supporting documents required with monthly requests. Summary: See Requestfor Reimbursement Instructions for reference Total Budget: $ 35,002.54 Previous Requests: $ This Request: $ Total Requested To-Date $ Remaining Funds $ 35,002.54 I have reviewed this request and certify that these listed expenses and support documentation are accurate. Authorized Signatory Signatory Title Date Fiscal Agent Use Only Purchase Order# Fund Dept ID Account RFR Approved For Payment Grant Staff Signature Date Finance Received Stamp Placed Below FY2021 Community Based Programs Agreement Page 25 of 30 Between CFW&SHAA Exhibit C .d b c V') o � z z z z O° z N ca Y � a O U d 0 E� M U � Jai O O U U v� c°aI °M° 1.0 cd O N U O O U ^C GAy s. cd b d Wa O O O O q _ y U ° c o y a� b � i o a N 4E .d ■ ■ ■ ■ ■ ■ ■ ■ O ay0i V O U 44, O � bA ca G 105 y o ci O A U cd "m m O cad to1.0 Al I O 00 O U y '�" •Q" �, U m p b T. � a �" N "�'. p ;� O N •U CG Cd Cd Q cd O O O U` / m O p N O 0 N y •2 PLI PLI F." U !�. O O O y O ��•' O O O P V V x V V Q t4 i l-: U V] oo m W CG W O z N 00 � z z z z z � a 0 U N U Cd m A O N s, 'C N O U N tea+ vi F." ca ca U a�i car. g�g thy" 5n 'C cC ,0 O cC � N � p. -cod N U G m -O -C y R o U clL p cf po z H b cc m Cd P, -C > Al 4-y m 4�i u 4a-i v� O O O Li sU, CCp 10, US C� . 0 U p., Exhibit E Crime Control and Prevention District Community Based Programs Quarterly Outcomes Report Date: Agency Name: Southside Hornets Athletics Association Program/Project Title: UNITY Fiscal Period: Reporting Period: Contact Name: Patrick Brown Email: coachpatrick83@aol.com 1. Report outcome measure data and respond to the questions below to provide more detailed commentary on the implementation of the project.Complete the following questions in a brief 2-3 page narrative format. Outcome This Measure# Description Quarter Cumulative Goal 50%of unduplicated participants will report increased 1) self-esteem,2)academic competency, 3) social o 1.1 competency and 4)emotional competency on post- 50/o artici ation survey. 2. Describe major accomplishments achieved in implementing the project.Highlight specific aspects of the project contributing to its success. 3. Describe any challenges(i.e.frustrations,barriers,disappointments)in implementing the project and how they were addressed or resolved. 4. What has the project revealed about the organization's capacity to address the identified CCPD goals outlined in the contract? Certification: I have reviewed the above financial and program requirements. I verify that the enclosed report materials accurately reflect the status of the aforementioned program/project. Name: Date: Title: FY2021 Community Based Programs Agreement Page 28 of 30 Between CFW&SHAA Exhibit E Exhibit F: Crime Control and Prevention District REQUEST FOR BUDGET MODIFICATION Fiscal Year 2021 Date Submitting Agency Southside Hornets Athletics Association Contact Name Patrick Brown Phone Number and Email (817)874-8784 Remit Address 3712 Wichita St.,Fort Worth,TX 76119 DIRECT COSTS (90% minimum) Budget Category Approved Budget Change Requested Revised Budget A. Personnel B. Fringe Benefits C. Travel and Training D. Equipment E. Supplies F. Contracts/Consultants G. Sub-Awards H. Occupancy Total Direct Costs INDIRECT COSTS 10% maximum Approved Budget Change Requested Revised Budget Modification Narrative (describe in detail what change is for) I have reviewed this request and certify that the listed modifications are correct. Authorized Signatory Signatory Title Date FWPD STAFF USE ONLY ❑ Modification Approved ❑ Modification NOT Approved FWPD Staff Signature Date FY2021 Community Based Programs Agreement Page 29 of 30 Between CFW&SHAA Exhibit F p o M G� o c o a � p O v� 0 any Y za N y P� F tm •p F u .. cd W p y i••i W W •.. H � o F� �. W PC z a e,4 en 03 0 wcaw