HomeMy WebLinkAboutContract 45185 (2)woF u T
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COUNTIES OF TARRANT §
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AGREEMENT BETWEEN ALLIANCE FOR CHILDREN, INC. AND CITY OF
FORT WORTH FOR CHILD ABUSE PROGRAM
THIS Agreement is made between the City of Fort Worth ("City"), a municipal
corporation, acting herein by and through Charles W. Daniels, its duly authorized
Assistant City Manager, and the Alliance for Children, Inc., ("AFC") acting by and through
Julie Evans, its duly authorized Executive Director.
RECITALS
WHEREAS, the City has determined that the AFC provides services in
coordinating area agencies' activities against child abuse in the City ("Child Abuse
Program");
WHEREAS, the City and AFC desire to enter into a contract to have such services
provided which benefit the Fort Worth community through the support of the center
director's salary and through public education about child abuse, recruitment of volunteers,
and emergency support for children;
WHEREAS, the City desires to enter into a contract with the AFC to provide such
services for the public purpose of combating child abuse; and
WHEREAS, the City, as consideration for the performance of the AFC child abuse
program, has appropriated monies in the Department's General Fund Budget in the amount
of $64,000.00 ("Program Funds") to provide to AFC for the operation of the child abuse
program;
NOW, THEREFORE, in consideration of the mutual covenants herein expressed, the
parties agree as follows:
AGREEMENT
1. Responsibilities of AFC
AFC 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" — AFC
Performance Measures, attached, and incorporated herein for all purposes. AFC shall be
responsible for day-to-day administration of the Child Abuse Program. AFC agrees to
expend the Program Funds in accordance with its Child Abuse Program budget,
described in Exhibit "B," also attached and incorporated here for all purposes.
RECEIVED DEC 7
2013
FY 2014 City of Fort Worth & Alliance For Children Agreement
OFFICIAL RECORD
CifigatiffiTARY
FT. WORTh, TX
2. Program Funds
2.1 In no event shall the total distributions of Program Funds from City made to the
AFC during the term of this Agreement exceed the total sum of $64,000.00. All of
AFC's expenditures under this Agreement must be completed prior to September 30,
2014.
2.3 Payment of the Program Funds from City to AFC shall be made on a cost -
reimbursement basis following receipt by City from AFC of a signed Request for
Reimbursement form (RFR), Exhibit "C, ' attached and incorporated herein for all
purposes, and copies of support documentation which includes copies of timesheets,
invoices with proof of payment such as cancelled checks, bank statements or wire
transfers, leases or services contracts. AFC shall deliver to City a written detailed
Performance Activities Report, ` Exhibit D," attached and incorporated herein for all
purposes, as described in Section 4.2 below with each RFR to support expenditure of
Program Funds. Such report shall be signed by AFC or duly authorized officer of AFC.
The RFR, and Performance Activities Report, shall be submitted to City no later than the
fifteenth (15th) day following the end of the month. Submittal of a monthly RFR and
Performance Activities Report is required even if services are not provided. When
services are not provided during a month, a zero dollar RFR and Performance Activities
Report is required.
Submit monthly RFR with an original signature by an authorized representative to
the Program Support Division of the Fort Worth Police Department ATTENTION: Jacob
Browning, 350 West Belknap Street, Fort Worth, Texas, 76102 or as designated by City.
Reimbursements will not be made until after receipt of an acceptable and approved RFR
and a monthly Performance Activities Report from AFC. Reimbursements shall be made
within thirty (30) days receipt of said documents. AFC shall be reimbursed for Program
Costs only if City determines at its sole discretion that costs are eligible expenditures in
accordance with regulations, approved budget (Exhibit B) and are reasonable and
consistent with industry norms.
2.4 AFC 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, AFC must notify
City in writing of any such adjustments using the Budget Adjustment Form "Exhibit E,"
attached and incorporated herein for all purposes. Any adjustment of more than 5% of
each category must have written permission from City prior to any budget adjustment
being made. Budget adjustments shall be submitted to the Program Support Division of
the Fort Worth Police Department, ATTENTION: Aya Ealy, 350 West Belknap Street,
Fort Worth, Texas, 76102 or as designated by City.
FY 2014 City of Fort Worth & Alliance For Children Agreement Page 2 of 17
3. Term
The term of this Agreement is for a period beginning on October 1, 2013, and
ending on September 30, 2014. All of AFC's expenditures under this Agreement must be
completed prior to September 30, 2014.
4. Program Performance
4.1 AFC agrees to maintain complete and accurate documentation supporting the
performance of the work and fulfillment of the objectives set forth in Exhibit "A".
4.2 AFC agrees to provide a monthly Performance Activity Report to document the
performance of the work described in Exhibit "A." The Performance Activity 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 goals.
Additionally, the Performance Activity Report must include any successes realized in
descriptive detail. The monthly Performance Activity Report 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 General Fund. All monies distributed to AFC hereunder shall be
exclusively from monies received from the General Fund, and not from any other monies
of City. In the event that funds from the General Fund 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 AFC 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; termination to be effective on the later of
(i) thirty (30) days following delivery by City to AFC of written notice of City's intention
to terminate or (ii) the last date for which funding has been appropriated by the 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 the event of default
or inability to perform or to comply with the terms herein on the part of AFC, or for other
good cause.
5.4 Termination will be effected by delivering to AFC a notice of termination,
specifying the portion(s) of the Agreement affected and the effective date of termination.
Upon AFC s receipt of notice of termination, AFC shall:
FY 2014 City of Fort Worth & Alliance For Children Agreement Page 3 of 17
(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 execute any 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 for cause, and the cause
for such suspension or termination is determined to be invalid, AFC's sole remedy shall
be reinstatement of this Agreement. AFC 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, AFC
shall return to City any property provided hereunder or as so directed by the Contract
Administrator. City will have no responsibility or liability for AFC's expenditures or
actions occurring after the effective date of termination of the Agreement.
6. Administrative Requirements
6.1 AFC agrees to keep detailed and accurate 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 or until the completion
of any audit, whichever is later. 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 AFC under this Agreement AFC, 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 AFC s operations will be undertaken and may be conducted either by City or an
independent auditor of City's choice. AFC shall submit a copy of any audit performed by
their independent auditor within 30 days of receipt of the final audit report.
6.2 If any audit reveals a questioned practice or expenditure, such questions must be
resolved within fifteen (15) days after notice to AFC 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 AFC.
6.3 If as a result of any audit, it is determined that AFC misused, misapplied or
misappropriated all or any part of the Program Funds, AFC 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.
FY 2014 City of Fort Worth & Alliance For Children Agreement Page 4 of 17
6.4 AFC'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 the AFC
Program assets as appropriate and as directed by City's Contract Administrator.
6.5 AFC covenants and agrees to fully cooperate with City in monitoring the
effectiveness of the services and work to be performed by AFC under this Agreement,
and City shall have access at all reasonable hours to offices and records of the AFC, its
officers, members, agents, employees, and subcontractors for the purpose of such
monitoring.
7. Indenendent Contractor
7.1 AFC shall operate hereunder as an independent contractor and not as an officer,
agent, or servant or employee of City. AFC 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 AFC, 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 AFC. It is expressly understood and
agreed that no officer, member, agent, employee, subcontractor, licensee or invitee of the
AFC, 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
AFC, its officers, members, agents, employees, subcontractors, program participants,
licensees or invitees.
7.2 City shall in no way nor under any circumstances be responsible for any property
belonging to AFC, its officers, members, agents, employees, subcontractors, program
participants, licensees or invitees, which may be lost, stolen, destroyed or in any way
damaged.
8. Indemnification
8.1 AFC 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 AFC OR OF CITY; and AFC 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
FY 2014 City of Fort Worth & Alliance For Children Agreement Page 5 of 17
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. AFC 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 AFC, 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 AFC.
8.2 AFC 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.
8.3 AFC 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.
9. Non -Assignment
No assignment or delegation of duties under this Agreement by AFC shall be
effective without City's prior written approval.
10. Prohibition Against Interest
10.1 No member, officer or employee of City, or its designees or agents; no member of
the governing body of the locality in which the AFC Program is situated; and no other
public official of such locality or localities who exercises any functions or responsibilities
with respect to the AFC Program during their 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. AFC shall incorporate, or cause to be incorporated, like
language prohibiting such interest, in all contracts and subcontracts hereunder.
10.2 No officer, employee, member or program participant of AFC 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 AFC of any
land, materials, supplies, or services purchased with any funds transferred hereunder,
except on behalf of AFC, as an officer, employee, member or program participant Any
willful violation of this paragraph with the knowledge, expressed or implied, of AFC or
its subcontractors, shall render this Agreement voidable by City of Fort Worth.
FY 2014 City of Fort Worth & Alliance For Children Agreement Page 6 of 17
11. Nondiscrimination
11.1 In accordance with federal, state and local laws and ordinances, AFC 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.
11.2 AFC will not unlawfully discriminate against any person or persons because of
age, race, religion, age, disability, color, national origin, or familial status, nor will AFC
permit its officers, members, agents, employees, subcontractors or program participants
to engage in such discrimination.
12. Compliance
12.1 AFC, 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 AFC any
such violation on the part of AFC or any of its officers, members, agents, employees,
subcontractors or program participants, then AFC shall immediately desist from and
correct such violation.
12.2 AFC 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 AFC to
any such violations on the part of AFC or any of its officers, members, agents,
employees, program participants or subcontractors, then AFC shall immediately desist
from and correct such violation.
12.3 City designates Aya Ealy, (817) 392-4239 to act as Contract Services
Administrator and delegates to this individual authority for Agreement administration,
compliance, and monitoring. City reserves the right to change this contact at any time by
sending a written notice to AFC with the new contact information.
13. Waiver of Immunity
If AFC 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; AFC 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.
FY 2014 City of Fort Worth & Alliance For Children Agreement Page 7 of 17
14. Insurance Requirement
14.1 AFC 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.
14.2 AFC'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.
14.3 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
14.4 AFC further agrees that it shall comply with the Worker's Compensation Act of
Texas and shall provide sufficient compensation insurance to protect AFC and City from
and against any and all Worker's Compensation claims arising from the work and
services provided under this Agreement.
15. Miscellaneous Provisions
15.1 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.
15.2 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.
15.3 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 he in Tarrant County, Texas.
FY 2014 City of Fort Worth & Alliance For Children Agreement Page 8 of 17
15.4 AFC 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.
15.5 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.
15.6 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
written notice to the sending party.
1. CITY: Assistant City Manager for the Police Department
City Manager's Office, Attn: Charles Daniels
City of Fort Worth
1000 Throckmorton Street
Fort Worth, TX 76102
Copies To: Contract Services Administrator
Attn: Aya Ealy
Fort Worth Police Department
350 W. Belknap Street
Fort Worth, TX 76102
2. AFC: Julie Evans, Executive Director
908 Southland Avenue
Fort Worth, TX 76104-3911
(817) 335-7172
(817) 348-1114
15.7 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.
15.8 AFC certifies that it has obtained a 501(c)(3) Certificate from the Internal
Revenue Service. AFC shall notify City in writing of any changes to its 501(c)(3) tax-
exempt status during the term of this Agreement.
FY 2014 City of Fort Worth & Alliance For Children Agreement Page 9 of 17
15.9 Captions and headings used in this Agreement are for reference purposes only and
shall not be deemed a part of this Agreement.
15.10 The provisions and conditions of this Agreement are solely for the benefit of City
and AFC and are not intended to create any rights, contractual or otherwise, to any other
person or entity.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement in
multiples in Fort Worth, Tarrant County, Texas, to be effective October 1, 2013.
ACCEPTED AND AGREED:
CITY OF FORT WORTH:
By:
Cha es W. Daniels
Assistant City Manager
Date: /Z . /O. /3
APPROVAL RECOMMENDED:
By: w. 7
Jeffrey W. Ha stead
Chief of Police
Date: / Z •S• / 3
APPROVED AS TO FORM
AND LEGALITY:
By:
Jessica Sangsvang
Assistant City Attorney
ATTEST:
ich_vctd__pd Thvy
/hi' City Secretary
Authorization:
M&C:
Date: `) / L.= y/ /3
ALLIANCE FOR CHILDREN, INC
By . � �(.[.� W van
Julie Evans
Executive Director
FY 2014 City of Fort Worth & Alliance For Children Agreement
OFFIlglia RECORD
CITY SECRETARY
Ina MIO Iiiro I7
"EXHIBIT A"
Alliance for Children, Inc.
Goals, Performance Measures, and Outcomes FY 2014
Performance Measures
Facilitate 20 multidisciplinary case staffing meetings attended by Child Protective
Services investigators, Fort Worth Police Department detectives, assistant district
1. attorneys medical staff from Cook Children's Hospital and Alliance For Children
staff to determine whether the needs of children and families involved in 300
cases requiring review are being addressed by the child protection team.
Ensure 600 families involved in child abuse investigations at the Fort Worth
Alliance For Children center receive Family Assistance Guides when they arrive
2 for a first time visit to educate them on the investigation process the child
forensic interview, child abuse dynamics, the healing services provided by
Alliance For Children and other community resources.
3.
Educate 7,000 individuals on issues regarding child abuse through presentations,
counseling and literature.
FY 2014 City of Fort Worth & Alliance For Children Agreement Page 11 of 17
"EXHIBIT B"
Alliance for Children, Inc. Program Budget
Budget Item
A. Personnel
B. Fringe Benefits
C. Travel
D Equipment
E Supplies
F. Contracts/Consultants
G. Other
A. Personnel
Position
Program Director
TOTAL Personnel
B. Fringe Benefits
TOTAL
Name Position
TOTAL Fringe
C. Travel
Purpose of Travel Location
TOTAL Travel
D. Equipment
Item
TOTAL Equipment
Cost Per Item
BUDGET SUMMARY
Amount Requested
$41,000 00
$9,030.00
$13,970.00
$64,000.00
BUDGET DETAIL
NA
NA
NA
Description of Benefits
Employee Insurance
Federal Tax
Medicare
Social Security
Item
Quantity
Cost
$41,000.00
$41,000.00
Cost
$374 64
$5,518.80
$594 48
$2 542.08
$9,030.00
$0
Cost
$0
Cost
FY 2014 City of Fort Worth & Alliance For Children Agreement Page 12 of 17
E. Supplies
Item Cost Per Item Quantity Cost
TOTAL Supplies NA $0
F. Contracts/Consultants
Cost
TOTAL Contracts/Consultants $0
G. Other Costs
Water
Electric
Gas
TOTAL Other Costs
Cost
$13,970.00
FY 2014 City of Fort Worth & Alliance For Children Agreement Page 13 of 17
BUDGET NARRATIVE
The detailed budget narrative 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 —
Costs associated with this item are to be utilized in the following manner:
• To pay a program director's salary
B. Fringe —
Costs associated with this item are to be utilized in the following manner:
• Fringe benefits associated with the program director's salary
C. Travel —
No funds are budgeted under the travel category
D. Equipment —
No funds are budgeted under the equipment category
E. Supplies —
No funds are budgeted under the supplies category
F. Contracts/Consultants —
No funds are budgeted under the equipment category
G. Other Costs —
Costs associated with this item are to be utilized in the following manner:
• To cover utility costs for water, electric, and gas
FY 2014 City of Fort Worth & Alliance For Children Agreement Page 14 of 17
Exhibit C
Monthly Request for Reimbursement (RFR)
FY 2014 Alliance For Children
Program Period 10/1/13 to 09/30/14
Submit to: Fort Worth Police Department
Attn: Jacob Browning
Planning - 3rd Floor
350 West Belknap Street
Fort Worth, TX 76102
Period covered by this request:
Budget Category
1 Personnel
2 Fringe
3 Travel
4 Equipment
5 Supplies
6 Construction
7 Consultants/Contracts
8 Other -Direct Cost
9 Indirect Costs
Total Programmatic Costs
A
Budget Amount
Submitting Agency:
Agency Contact Name:
Phone Number:
Email:
Address:
Invoice Number:
to
mm/dd/yy mm/dd/yy
B C
Total of Previous
Reimbursements
Requested
Please Attach:
1. Attach copies of invoices and the receipts on all expenditures
2. For Personnel Cost, include copies of signed times sheets
3. Attach a copy of Monthly Performance Report
I have reviewed this request and certify that the listed
expenses are accurate and are chargeable to the
KISD After School Program approved budget.
Grantee Authorized Official
Title
Date
This
Request
Summary:
Total Budget: $
Previous Requests: $
This Request: $
Total Spent: $
Balance left in grant $
Alliance For Children
Julie Evans
817-348-1114
Jevans UAllianceforChildren.com
908 Southland Ave
Fort Worth, Texas 76104
D
(B+C)
Total
Requested
Fiscal Agent Use Ontyr
Fund I Account ," !
I
E
(A-D)
Balance
Available
- Center- -
i
FY14 City of Fort Worth and Alliance for Children Agreement
Page 15 of 17
Agency/Address
Alliance for Children
908 Southland Ave.
Fort Worth, Texas 76104
EXHIBIT D
FY 2014 Alliance For Children
Program Period:
PROGRAM SERVICES AND ACTIVITIES
PROGRAM NARRATIVE:
Project Name:
Contract No:
Contract Amount:
Date of Request:
CURRENT
to
PROBLEMS ENCOUNTERED/SOLUTIONS PROPOSED:
ANTICIPATED ACTIVITY DURING THE NEXT MONTH:
Please Feel Free to Add Additional Pages if Necessary
CUMULATIVE
FY 2014 City of Fort Worth and Alliance for Children Agreement Page 16 of 17
DATE:
TO:
FROM:
"Exhibit E'
REQUEST FOR BUDGET MODIFICATION
Agency Name.
Contact Person:
Telephone #
SUBJECT:
Budget Cateeory Annroved Budget,
A. Personnel
B. Fringe
C. Travel
D. Equipment
E. Supplies
F. Construction
G. Contractual
H. Other
TOTAL DIRECT
I. Indirect
Signature
Change Requested
Date
Revised Budeet
BUDGET NARATIVE (DESCRIBE IN DETAIL WHAT THE GRANT FUNDS
WILL PURCHASE)
JUSTIFICATION:
FYI4 City of Fort Worth and Alliance for Children Agreement Page 17 of 17
M&C Review Page 1 of 1
(:ITY COUNCIL AGENDA
Official site of the City of Fort Worth, Texas
FORT WORT! )
COUNCIL ACTION: Approved on 9/24/2013
DAT
9/24/2013 REFERENCE **C-26462 LOG NAME: 35ALLIANCEFORCHILDRENI4
NO.:
CODS: C TYPE: CONSENT PUBLIC NO
HEARING:
SUBJECT: Authorize Execution of a Contract with Alliance for Children in the Amount Not to Exceed
$64,000.00 to Assist with the Funding of Child Abuse Prevention Programs in the City of
Fort Worth for Fiscal Year 2014 (ALL COUNCIL DISTRICTS)
RECOMMENDATION:
It is recommended that the City Council authorize the execution of a contract with Alliance for
Children in the amount not to exceed $64,000.00 in order to assist with the funding of Child Abuse
Prevention Programs for Fiscal Year 2014.
DISCUSSION:
Alliance for Children provides coordination efforts for agencies investigating child abuse in order to
lessen the emotional trauma to child abuse victims and to improve the justice system's response to
child abuse. By uniting efforts between public agencies and enlisting community support, Alliance fat
Children will use these funds to provide public education about child abuse, recruit volunteers and
provide children with emergency support. The budgeted amount for Fiscal Year 2014 will be applied
toward operating expenses and to support the Center Coordinator's salary.
FISCAL INFORMATION/CERTIFICATION:
The Financial Management Services Director certifies that funds will be available in the Fiscal Year
2014 operating budget, as appropriated, of the General Fund in accordance with the budget
approved by the Fort Worth City Council on September 17, 2013.
TO Fund/Account/Centers FROM Fund/Account/Centers
0001 539120 0356115 $64,000.00
Submitted for City Manager's Office bv: Charles W. Daniels (6199)
Originating Department Head: Jeffrey W. Halstead (4210)
Additional Information Contact: Aya Ealy (4239)
ATTACHMENTS
http://apps.cfwnet.org/council_packet/mc review. asp?ID=19020&councildate=9/24/2013 12/5/2013