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HomeMy WebLinkAboutContract 46167 My SEGRUAW STATE OF TEXAS § ONTRAfT pq). COUNTY OF TARRANT § This contract ("Contract") is made and entered into by and between the City of Fort Worth (hereafter "City") and Presbyterian Night Shelter (hereafter "Agency"), a Texas non- profit corporation. City and Agency may be referred to individually as a "Party" and jointly as "the Parties". The Parties state as follows: WHEREAS, City receives grant monies from the United States Department of Housing and Urban Development ("HUD") through Emergency Solutions Grant Program ("ESG"), Program No. S-14-MC-48-0006, Catalog of Federal Domestic Assistance No. 14.231; WHEREAS,the ESG program is intended to provide homeless persons or persons at risk of becoming homeless with financial assistance, basic shelter, essential supportive services, and/or operations,as applicable; WHEREAS, Agency submitted a proposal to use ESG funds for an eligible program under the ESG Regulations whereby Agency will provide services to low and moderate income City citizens; WHEREAS, City citizens, the Community Development Council, and the City Council have determined that ESG programs are needed by the City's citizens; NOW,THEREFORE,the Parties understand and agree as follows: 1. INCORPORATION OF RECITALS. City and Agency hereby agree that the recitals set forth above are true and correct and form the basis upon which the Parties have entered into this Contract. 2. DEFINITIONS. In addition to terms def ncd in the body of this Contract, the terms set forth below shall have the definitions ascribed to them as follows: Area Median Income or AMI means the median family income for the Fort Worth-Arlington metropolitan statistical area as established annually by HUD. The 2014 income limits are attached hereto as Exhibit"A-1"—2014 HUD Income Limits. Business Diversity Enterprise Ordinance or BDE means the City's Business Diversity Ordinance, Ordinance No. 20020-12-2011. Of FICIAL.RECORD 7 2014 1 ESG PSA CONTRACT 2014-2015 SECRETARY !V ED Presbyterian Night Shelter CITY Ty Complete Documentation means the following documentation as applicable: Attachments I,II, and III,with supporting documentation including: o Proof of expense: copies of timeshts, due bysAgency contracts or other documentation showing that Payment's or wire transfers o Proof of payment: cancelled checks, bank state enctSwere actually paid necessary to demonstrate that amounts due by Ag Y by Agency. r Source Documentation sufficient to show o Proof of client eligibility: () that clients participating in the Program re ES ltorbhoClient e t;clients documentation other than Source Documentation served by the Program are ESG EcigibvlecClients. eans documentation that is a facility that provides a public clients served by Agency are ESG Eligible Clients. complete Documentation shall meet the standards described in the attached Exhibit"F"- Standards for Comp Documentation- fete An other document or record reasonably necessary to verify costs spent and Y client eligibility for the Program. DBE means disadvantaged business enterprise in accordance with 49 CFR Part 26. Director means the Director of the City's Housing and Economic Development Department, Effective Date means October 1,2014. ESG means Emergency Solutions Grant. ' le Client means an indivisual or household that meets the definition of"homeless" or ESG Eligible "at risk of homelessness" as defined in the Heath Act.. ESG Funds means the ESG grant funds supplied by City to Agency under the terms of this Contract. ESG Regulations means regulations found at 24 CFR Part 576 et seq. HEARTH Act means the Homeless Emergency Assistance and Rapid Transition to Housing Act of 2009,42 U.S.C. 11302 et seq. sing and Economic Development Department. BED Department means the City's Hou HUD means the United States Department of Housing and Urban Development. IDIS means HUD's Integrated Disbursement Information System. 2 ESG PSA CONTRACT 2014-2015 Presbyterian Night Shelter Program means the services described in Exhibit"A»_program Summary- Reimbursement Bement Request means all reports and other documentation described in Section 9. Source Documentation means documentation sufficient under ESG Regulations to establish an individual or household as an ESG Eligible Client Unduplicated Clients means a count of ESG Eligible ClientctsT once ill only be Contract onted one ESG Eligible Clients e number of Undupli�t d Client Cont when determining th 3. TERM. of this Contract begins on October 1, 2014 and terminates on September 30, The term 2015 unless earlier terminated as provided in this Contract. 4, DUTIES AND RESPONSIBILITIES OF CITY. 4.1 Provide ESG Funds. Four and 00/100 City shall provide up to Ninety Five Thousand Five Hundred Fogy Dollars($95,544.00)of ESG Funds under the terms and conditions herein. 4.2 Monitor' erformance of Agency and any of its contractors, City will monitor the activities and o less than annually. subcontractors or vendors as necessary, 5, DUTIES AND RESPONSIBILITIES OF AGENCY. 5.1 Required Services. « »_Program Summary in Agency shall perform the services described in Exhibit A g accordance with the terms and conditions of this Contract. 5.2 Use of ESG Funds. 5.2.1. Com 3liance with ES PrograContract.osts with ESG Funds only if City Agency shall be ream determines in its sole discretion that: 5 2,1,1 Costs are eligible expenditures in accordance with ESG Regulations. 5.2.1.2 Costs are in compliance with this Contract and are reasonable and consistent with industry norms. 5.2.1,3 Complete Documentation is submitted to City by Agency. 5.2.2 Butt' 3 ESG PSA CONTRACT 2014-2015 Presbyterian Night Shelter Agency agrees that ESG Funds will be paid on a reimbursement c basis in accordance n requests with Age y g such Agency y Exhibit"B" -Budget. During the term of this Contract, the Director h ease or decrease line-item amounts in the Budget,requests must pproped by n of why in increase All such reque loves the increases or decreases are necessary. et" then the writing, with such approval being in the Director's sole discretion. If Director app d Budget amendment (as approved, the "Amended Budget"), ), Agency's propose the month in which it Amended Budget will take effect ootherwisedspecified no the following amendment. All requests for was approved by Director, unless Budget amendments must be submitted by June 1,2015. 5.2.3 Chance in Pro¢ram Budget. City promptly of any additional funds it receives 5.2.3.1 Agency will notify Y p reserves the right to amend this for operation of the Program, and City Contract in such instances to ensure compliance with HUD regulations governing cost allocation. 5.2.3.2 Agency agrees to utilize ed finds otherwise eava Table for use in supplement rather than supplant the Program. 5.2.4 Pa�Tment of ESG Funds to A encu on City's approval of Agency's written and ESG Funds will be disbursed to Agency p Prior to d Reimbursement Requests including submission of ds b dg tedlfor he Proigram p for m signed Agency expends all fun compliance with Section 9. If Ag Y p ber 20, 2015, City may hold back a small amount e the ESG Reimbursement Requests September period, Agency must continue term. During this interim p reed b the Parties that any ESG Funds either with an invoiced amount of$0. It is expressly agreed Shall remain with City. not spent or not approved for reimbursement to Agency 5.3 Pro ram erformance Milestones. P 5.3.1 Agency warrants and represents that the Program will achieve the following milestones: Ifinduphcated C}ients a� bi 3 27.27% 27.27% 54.54% 54.54% g 72.72% 72.72% 11 100% 100% 4 ESG PSA CONTRACT 2014-2015 Presbyterian Night Shelter For the purpose of this Section, 5.3.2 Failure of Agency to meet these milestones or a material deviation from them as goal. In the event of outlined in this 5.3 is a breach Of more than 10°aslo Contract'e than the specified g a ment of "material deviation s option to delay or withhold p y such breach, City reserves the right sole aeon of ESG Funds, or to terminate this Reimbursement Requests, to lower Agency Contract. o Per milestones or serve 340 5.3.3 Failure to meet at least 80% of its P disqualify Agency for consideration Unduplicated Clients under this Contract will automatically q nest for Proposals for the 2016-2017 Program Year for Federal grant funds. under the City's Req performance milestones must be approved by the Director in p roves the 5.3.4 Amendments top roved, the "Amended writing, ith such approval being in the Director's sole discretion- Director a erformance milestones Agency's proposed amended p Director, unless ilestones"),then the Amended Performance Milestones by Director,effect on the Performance M the month in which it was app' performance milestones first day of the month following amendments to 2t' Notwithstanding the above, any otherwise specified in the amendment. All requests for amendments ° p Clients must be submitted by June 1, performance milestones shall not reduce the numbers for serving 3400 Unduplicated stated in Section 5.3.3. 5.4 Identi Pro ram Ex ens 2s Paid with ESG Funds. readily identify Agency will keep accounts and records in such h ESG Funds.that These records shall be made g and account for Program expenses reimburse available to City for audit purposes and shall be retained as required hereunder. a 5.5 Match. sources. Potential Agency me common sources must match ESG Funds doibaed at 421U U.S.C.S Ct 1075(a)funding volunteer sources of match include any sources descry rants, u include: (i) Agency funding from non-federand°ui) theavalue orbfair rental value of any donated time,which may valued at$5/hour of time; materials or space. The monetary values Agency assigns to all sources of match are subject mater review and approval by City- Report must submit to City a completed Match Rep 5.5.1 Prior to October r 1, 2014, Agency Match Report detailing actual and anticipated on the form attached match sources. Agency must submit a log of funds expended 5.5.2 lus documentation of any match With each Reimbursement Request, g y to date on the form provided in Exhibit"H"- Match Report, p expenditures first reported in that month's Reimbursement Request. in accordance with 5.5.3 Records regarding match funds must be kept by Agency Section 8. happening at 5.5.4 If the expenditure of match funds and ESG Funds is not 5 ESG PSA CONTRACT 2014-2015 Presbyterian Night Shelter approximately the same pace on a quarterly basis, then the City shall withhold ESG Funds until match expenditures are substantially the same as ESG Funds reimbursed to date. 6, CLIENT ELIGIBILITY VERIFICATION. 6.1 Clien Ibih of all prospective clients. Agency may redact the Agency use form attached Agency will document the eligibility of all client's personal information and substitute aication F numb to document the jig b6 •2 (all hereto as Exhibit "I" — Staff ESG prospective clients that receive direct financial assistance as described in and(iv). ncies Recev SG Fnds. n u 6.1.1 A e i articipate in the local 6.1.1.1 Coordination of Services. Agency must p Management Continuum of Care and enter data in the local Homeless Information System( HMIS )- Agency verify that all new clients meet ness Status. 6.1.1.2 Homeless ss table forms of verification the definition of homeless or at risk of home in the HEART Act, as amended fiom time to time. Acc p include: ncy persons (shelter services for homeless including i. For emerge childcare for homeless clients): signed, dated statement from the client stating that the client is si A g omeless by virtue of fleeing homeless, or that the client is h domestic violence. ii. prevention-financial assistance services: For homelessness 1. dual or family has an annual Documentation that the indivi income at or below 30%of AML Evidence documenting that the client does not have 2 ort networks immediately sufficient resources or supp to an emergency available to prevent them from moving shelter or another place defined in Category 1 of the "homeless" definition under the HEARTH Act, Documentation of client's reasonable prospects of 3 applicable, within resuming payment of rent or utilities, as app a reasonable time, andorting the type and amount of 4. Documentation supp but not limited to, invoices, assistance provided, including, past due notices, and/or executed leases, as app licable, and proof of payment by Agency. 6 ESG PSA CONTRACT 2014-2015 Presbyterian Night Shelter For rapid re-housing services-financial assistance: 1. Documentation that the individual or family meets the homeless definition in the HEARTH c 2 reas D prspects Of ocumentation of rent reasonableness, Documentation of client's hrlbies, aso applicable, resuming payment ment of rent and/or within a reasonable time, Evidence documenting that the elhousing/homeles nesgs 4 other rap assistance �'om sources,and prevention agencies or funding he type and amount of 5 Documentation supporting including, but not limited t invoices, asistance provided, applicable, and past due notices, and/or executed leases, as proof of payment by the agency. iv. For housing relocation and stabilization services: Documentation that services are provided for eligible 1. of homelessness clients as defined m homeless and at risk the HEARTH Act, and staff costs and or 2. Documentation that any fit the elgible relocation/stabilization services dclearly dest nguishedlfrom individual and families and are the general administration of the Program. in 6.1.2 Performance Standards. ram is tracking ESG activities and our, - ESG that the program Agency must verify referred. With the City's performance standards as describe able database is p accordance Performance Standards. Data maintained in the HMI 5 or a comparable that the Program is documenting Client Eligibility in accordance 6.l.3 Written Standards for ESG Assistance. " -1" _written Standards for ESG Agency must verify with the City's written standard ain all recd m records in accordance with Section 8. Assistance. Agency must ma co copies of all eligibility verification documentation described d 6.2 Submission of Col lete Documentation. t Re uest for all Unduplicated Agency must submit p required d must maintain copies of such documentation as req Section 6.1 with Attachment III in each month's Reimbursement Clients served for the first time, under this Contract. Additional ESG Re u. ments. 7 ESG PSA CONTRACT 2014-2015 Presbyterian Night Shelter Agency agrees to comply with all requirements of the ESG Program as stated in the ESG Regulations, including but not limited to the following: 7.1 Environmental Review. ESG Funds will not be paid, and costs cannot be incurred until City has completed an in a environmental review as required by 24 CFR Part 58. The environmental review may Agency will decision to proceed with, modify, or cancel the funding for the Program. Further, Ag y not undertake or commit any funds to physical or choice limiting actions as described in any applicable Federal regulations. Any violation of this provision will (i) cause this Contract to terminate immediately; and (ii) require Agency to repay City the ESG Funds it has already received and forfeit any future payments of ESG Funds. 7.2 Contract Not Con'tit utin Commitment of Funds. Notwithstanding any provision of this Contract, the Parties agree and acknowledge that this Contract does not constitute a commitment of funds, and that such commitment of funds or approval may occur only upon (i) satisfactory completion of environmental review and receipt by City of an authorization to use grant funds from HUD under 24 CFR Part 58, (ii) approval of City's 2014-2015 Action Plan, and(iii)receipt by City of grant agreement from HUD. 7.3 Monitoring. 7.3.1 Agency understands and agrees that City will monitor the adequacy and timeliness of Agency's performance under the terms of this Contract as well as its compliance with the ESG Regulations. Agency is subject to such monitoring during the term of this Contract and for 5 years after the Contract term ends. Agency will provide reports and access to Program year files as requested by City during this begin on October 1,For 2015 and this Contract, September h305 2020 period for monitoring is deemed to g regardless of whether or not this Contract is earlier terminated. 7.3.2 Representatives of City, HUD, and the United States Comptroller General shall have access during regular business hours, upon 48 hours prior notice, to Agency's offices and records pertaining to the use h s and vendors fordthe purpose of suoh monitoring.s, ag e employees, contractors, subcontractors 7.3.3 In addition to other provisions of this Contract regarding frequency of monitoring, City reserves the right to perform desk reviews or on-site monitoring of Agency's compliance with the terms and conditions of this Contract. City shall provide Agency with a written report of the monitor's findings after each monitoring visit. If the monitoring report notes deficiencies in Agency's performance, the report shall include requirements for the timely correction of said deficiencies by Agency. Failure by Agency to take the action specified in the monitoring report may be cause for suspension or termination of this Contract as provided herein. 7.3.4 This Section 7.3 shall be applicable for the Contract term and for 5 years thereafter and shall survive the earlier termination or expiration of this Contract. 8 ESG PSA CONTRACT 2014-2015 Presbyterian Night Shelter 7.3.5 This Section 7.3 shall survive the earlier termination or expiration of this Contract. 7.4 Agency Procurement Standards. Agency shall comply with all applicable Federal, state and local laws, regulations, and ordinances for making procurements under this Contract. Agency shall establish procurement procedures to ensure that materials and services are obtained in a cost effective manner. When procuring services to be provided under this Contract, Agency shall comply at a minimum with the procurement standards at 24 CFR Part 84.40 through 24 CFR Part 84.48. 7.5 Cost Principles/Cost Reasonableness. Agency shall administer its use of ESG Funds in compliance with OMB Circular A-122, "Cost Principles for Non-Profit Organizations", as amended from time to time. The eligibility of costs incurred for performance rendered shall be determined in accordance with OMB Circular A-t22 as supplemented by the provisions of this Contract. 7.6 Accounting Standards. Agency agrees to comply with OMB Circular A-110, "Uniform Administrative Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals and other Non-Profit Organizations", and agrees to adhere to the accounting principles and procedures required therein,utilize adequate internal controls,and maintain necessary supporting and back-up documentation for all costs incurred. 7.7 Uniform Administrative Requirements. Agency will comply with the Uniform Administrative Requirements set forth in 24 CFR Part 57.502 or any reasonably equivalent procedures and requirements that City may require. 7.8 Terms Applicable to Contractors, Subcontractors and Vendors. Agency understands and agrees that all terms of this Contract, whether regulatory or otherwise, shall apply to any and all contractors, subcontractors and vendors of Agency which are in any way paid with ESG Funds or who perform any work in connection with the Program. Agency shall cause all applicable provisions of this Contract to be included in and made a part of any contract or subcontract executed in the performance of its obligations hereunder including its obligations regarding the ESG Regulations. Agency shall monitor the services and work performed by its contractors, subcontractors and vendors on a regular basis for compliance with the ESG Regulations and Contract provisions. Agency must cure all violations of the ESG Regulations committed by its contractors, subcontractors or vendors. City maintains the right to insist on Agency's full compliance with the terms of this Contract and the ESG Regulations and Agency is responsible for such compliance regardless of whether actions taken to fulfill the requirements of this Contract are taken by Agency or by Agency's contractors, subcontractors or vendors. Agency acknowledges that the provisions of this Section shall survive the earlier termination or expiration of this Contract. 7.9 Copyright and Patent Rights. No reports, maps, or other documents produced in whole or in part under this Contract shall be the subject of an application for copyright by or on behalf of Agency. HUD and City ESG PSA CONTRACT 2014-2015 9 Presbyterian Night Shelter shall possess all rights to invention or discovery, as well as rights in data, which may arise as a result of Agency's performance under this Contract. 8. RECORD KEEPING* REPORTING AND DOCUMENTATION RE UIREMENTS• AUDIT. 8.1 Ree____ ord Kee in - as part of its performance of this Contract Agency shall maintain a record-keeping system document City deems necessary for the and shall promptly provide City with copies of any effective fulfillment of City's monitoring and evaluation responsibilities. Specifically, Agency cause to be kept an accurate record of all actions tallereco records document t on will keep or will mamt or audit suppolting and back-up documentation. Agency Contract for 5 years after the Contract term ends.levant records and documentation related to this ear eriod, the re ur oses of is initiated before the expiration of the 5 y P 2015 and must be retained until all such claims, litigation lonaudits i dteemed to beginson October 1, this Contract, this 5 year period for record retention 30,2020 regardless of whether or not this Contract is earlier terminated. end on September g 2 Access to Records. HUD and any duly authorized officials of the Federal Representatives of City, excel tand/or this Contract for 5 years government will have full access to�a and allhmatters covered bdit, copy, d upon at transcribe any of Agency's records pertaining regular business hours an p purposes of this Contract, this 5 year period for access to records after the Contract term ends. Such access shall be during g 20 regardless of whether or least 48 hours prior notice. For pure is deemed to begin on October 1, 2015 and end on September 30, 20 g not this Contract is earlier terminated. 8.3 R all reports and documentation ed to submit alfi alsperforman e Agency will submit to City p also he q such form as City may prescribe. Agency may City at the termination of this Contract such form o and/or final financial report if required by resc be. Failure to submit to City and within such times as City Y P documentation described in this Contract shall be an event of default of this Contract and City may exercise all of its remedies for default under this Contract. 8.3.1 Additional Information. be required by state or Agency shall provide City with additional information as may q Federal agencies to substantiate Program activities and/or expenditure eligibility. 8.4 Chan a in Re ortin Re uirements urnrem ntss and forms at its discretion. City City retains the right to change reporting req enc in writing at least 15 days prior to the effective change, and the will notify Ag such change if necessary Y Parties shall execute an amendment to the Contract reflecting 10 ESG PSA CONTRACT 2014-2015 Presbyterian Night Shelter 8.5 A.=t• ear, 8.5.1 Entities that EAR $500 00500 or more 000 or in Federal n Federadl funds within one year,r, All non-federal entities that expend $ 5 an annual audit prep 's regardless of the source of the Federal 1,4BCir Circular A133t tTh City shall cobveanhnAgency endent accordance with specific reference re ared y the end of the period being fiscal years during which this completed within 6Tm months following p audit certification certified public accountant,be y thin 30 days of its completion. Agency's audited and be submitted to C`ty _ «Audit Certification Form" and "Audit Requirements". Prior to or with the first is attached hereto as Exhibit C year in Federal funds are The Audit Certification Form must at expend less than $500,000 a Y Table for review or ecords must be Reimbursement Request. Entitle exempt from Federal audit requirements Federal a encyaC�t and Gene al Accounting Office. audit by appropriate officials of the g 8 5,2 Ci Reserves the Ri ht to Audit. enc 's Program operations and finances City reserves the right to perform an audit of Ag Y the term of this Contract and for 5 years after the Contract Term ends if City time during 's com Hance with the ESG Regulations or other at any for City P determines that such audit is necessary eminent materials as described herein or City policies. Agency agrees to allow access to all p to of this Contract,this 5 year period for f i audit is not this Contract s such audit. Foi purposes such questions October 1, 2015 and end on September 30, 20e Ol ned practice or expenditure, of such questioned practice or earlier terminated. If such audit reveals a q ht to withhold must be resolved within 15 business days after notice to Agency reserves the rig expenditure. If questions are not resolved within this period, City Agency, IF AS A RESULT this Contract and/or under any other contracts with Ag Y� further funding IT IS DETERMINED THAT AGENCY HAS FALSIFIED ANY OF ANY AUDIT DOCUMENTATION OR MISUSEll, MISAPPLIED ORMISAPPROPRIATED ACT TS, AGENCY FUNDS OR SPENT ESG FUNDS ON ANY INELIGIBLE MONIES PLUS THE CHARGE LEVIED CH IMBURSE CITY THE AMOUNT OF THE AGREES TO RE AMOUNT OF ANY SANCTIONS,E BECAUSE SUCH ACTIONS. AGAINST CITY BY HUD 9. REIMBURSEMENT RE UIREMENTS. the City on or before 9.1.1 Reimbursement Requests shall be received Agency. For example,the the 15tt' day 15. In the event the 15 of the month following must be received bydJu Y g next day that the Reimbursement Request for June expenses fashion will falls on a weekend or City holiday, Reimbursement Requests shall be due the n Section 10.1. NOTWITHSTANDING i is open for business. Failure to submit a Reimbursement Request in a timely BY MUST BE RECEIVED City the actions outlined result in City taking ANYTHING ABOVE, EXPENSES FOR SEPTEMBER A 1FINAL REIMBURSEMENT SEPTEMBER 20, 2015. FAILURE TO SUBMIT ATI PTEMBER 20, 2015 WILL RESULT IN A R OQ ATIC FORFEITURE REQUEST BY SE OF PAYMENT OF THE SEPTEMBER REIMBURSEMEN 11 ESG PSA CONTRACT 2014-2015 Presbyterian Night Shelter b e-mail within 20 calendar days if a Reimbursement City Agency y Agency will have 10 9.1.2 will notify g Y Comp to submit any requested information the 20 512016 lacking Complete Documentation or corrections are neede g th Request is Proposal for business days from the date of the e-mail a dl in the Request for Prop Agency will be p Agency fails to submit all the documentation. Ag Y s from the first e-mail, am Year for any notifications receivetation within 301 calendar day submit any requested due that month Program docume required information or missing hall forfeit any payments otherwise default as outlined in Section 10 1.2. Agency s information will be considered an event of y 2 Agency shall provide City with Complete Documentation and the following ' 't"D" —Reimbursement Forms with each Reimbursement Req reports as shown in Exhibit 9.2.1 Attachment I—Invoice. requested for reimbursement each a month'must be nest repo shall contain the amount req , This rep uested to date (inclusive of that month's req Agency is certifying B si ning Attachment I, Ag Y cumulative reimbursement na of of Agency. Y g 'tI signed by an authorized sig y Agency is g consistent with the terms and conditions submitted even if Ag n Y e that the costs are valid,eligible, ort must b data contained in the report is true and correct. Thls rep requesting$0 for a particular month. Ex enditure Worksheet. Agency and shall 9.2.2 Attachment II— expense requested for reimbursement by g This report shall itemize e each e ep ense to a Budget line item. In order for this report to include the Account corresponding be complete the following must be submitted: roved timesheets signed by employees and app For payroll expenses, expenses listed. Timesheets must 9.2.2.1 supervisor for all payroll by sup ded activities. Agency may not istin wish between ESG-funded time and non-ESG funded time a d g spent on ESG fu reflect actual time s Prior to the date of the submit payroll expenses dated 60 day p Reimbursement Request. enses, invoices for each expense listed with an 9.2.2.2 For non-payroll exp expense pertains to the Program. explanation as to how the invoiced exp prior to the date of the Agency may not submit invoices dated 60 days Reimbursement Request. Agency, which paid proof can be f that each expense was paid by 9.2'2'3 canceled checks, wire transfer documentation, proof satisfied by ro riate banking documentation. receipts or other app p Client Data Re ort. the month along with his or 9.2.3 Attachment III— heated Client served during This report shall list each t on uThe Client Data Report must contain a list of all clients her demographic information- Agency, receives funds fiom the United States the Contract period. If Ag y� the Client Data Report served during Agency is prohibited from submitting Department of Justice,then Ag Y 12 ESG PSA CONTRACT 2014-2015 Presbyterian Night Shelter er A ency must complete all required forms under this Section 9. .3 be to the City. in client g maintain in client files in accordance with Section 8. In order for this rep and m must be submitted: complete the following licated 9.2.3.1 Documentation of income verification illoeitherhbe the pSource Client the first time he or she n served, which completed form attached hereto as in SC Documentation described ncome Self Certification. Exhibit"E"- Staff ESG 9 2 3.2 Agency may use the form attached hereto as Ex described in Section Certification Form to verify client eligibility 6.1. 9.2.4 Match Report. actual expenditure of match funds, as further described m This report shall document Section 5.5 quarterly to document Agency's 9.2.5 HMIS Report. report at least q Agency shall submit all HMIS p participation in the local Continuum of Care's HM1S• person to HED Department, 908 9.2.6 Submission fu Reimbursement b-bemma 1 deorldeliver in pees can submit Reimbursement Reimbursement q Agencies Monroe Street, Fort Worth, Texas 76102. In addition, Ag Agency must submit a Sign--e Requests via email to s_C_, rtwor thteEx�a F muof Income Self-Certification to City y q original of Attachment I and Exhibit deadline in Section 9.1.1. 9.3 Withholds Payment. TO MAKE pAyMENT ON ANY CITY HAS NO OBLIGATION RECEIVED BY THE DUE DATE REIMBURSEMENT REQUEST . VEST THAT IS NOT Complete Documentation along Failure to timely submit Reimbursement Req uests with any required reports shall be an event of default.and 10. DEFAULT AND TERMINATIONo ure to Submit Reimbursement Re nest or Re uired Documentation 10.1 Fail fails to submit a Reimbursement Request in accordance with 10.1.1 If Agency will notify Agency in writing of such Section 9, Agency shall be in default of this Contract. City cure the default within such ill have 10 business days from the date of the written notice to submit default and the Agency wil fails to such Reimbursement Request to cure the default. If Agency time, Agency shall forfeit any payments otherwise due that month. 13 ESG PSA CONTRACT 2014-2015 Presbyterian Night Shelter requested information or missing documentation as 10.1.2 If Agency fails to submit req a ment due that month and the failure to set forth in Section 9.1.2, then Agency shall forfeit p y shall be considered an event of default that shall not be cured. ION 10.1.1 OR submit NOTWITHSTANDING THE PROVISIONS OF SECTION DUE 10.1.3 VEST FOR ENCY FAILS TO SUBMIT THE R IM URSEMENT R1 IN 10.1.2, IF AG OTHERWISE NOT SEPTEMBER 20, 20159 OR IF LATE,SUBMITTED OR CONTRACT OR THE ESG REGULATIONS AS SEPTEMBER 20, 20 WILL BE NO CURE COMPLIANCE WITH THIS D ETERMINED BY CITY IN ITS SOLE WILL BE AUTOMATICALLY FORFEITED. PERIOD AND ANY REIMBURSEM Of i an uncured default under Section uncured, under these Sections, 10.1.4 In the event () default under 10.1.2 (ii) more than 2 instances of default, cured or unc t its sole option to terminate this Contract effective immediately upon City reserves the right a penalty or liability to City'written notice of such intent with no p City will not be required to anything to the contrary herein, Request, report or 10.1.5 Notwithstanding the period that any Reimbursement Req ulations, or pay any ESG Funds to Agency during fiance with this Contract or the ESG Reg documentation is past due or is not in comp during any period during which Agency is in default of this Contract. of termination under this Section 10.1 all ESG Funds awarded nt orfeited and Agency shall 10.1.6 In the eve aid to Agency pursuant to this Contract shall be immediately bu t unpaid have no further right to such funds. ;a ion as required in Section 8, or if ailure to Maintain Records or SubmenReno rts and Documentat►on. r 10.2 Agency ails to maintain all records and docum compliance with this Contract o If Ag Y City will notify Agency in the maintained or submitted repodrb documentation in its Sole discret on, the ESG Regulations as determine y such report or will have 30 calendar days from the date or resubmit request to obtain or writing and Agency wrl recreate the missing records and documentation n se re uired reports or documentation, or If Agency fails to maintain the required shall have documentation to City. such repo or documentation within such time, City fails to submit or resubmit any p on written notice of such intent with the right to terminate this Contract effective immediately up no penalty or liability to City. forfeited and Agency shall t of termination under this Section 10.2, all ESG Funds awarded 10.2.1 In the even but unpaid to Agency P ESG Funds paid to Agency must be repaid to City enc Pursuant to this and any Contract shall be immediately within the 30 day period, have no further right to such funds, within 30 days of termination. If such ESG lends this Contract City City shall exercise all legal remedies ava 14 ESG PSA CONTRACT 2014-2015 Presbyterian Night Shelter 10.3 In Gi• and unless specifically provided otherwise in this 10.3.1 Subject to Section 10.2, Agency breaches any term or Contract, Agency shall be in default under this Contract e remains specified herein) or, In the event that such a breach remain�a bee p after 30 calendar condition of this Contract. City or such other notice period as Y days following attempted to cure following receipt of such written written notice by tY ( both Parties if Agency has diligently and continuously calm s to cure, as determined by extend City's sole discretion to (i) notice but reasonably requires mOhallhhave0the reght to elect in ediately upon written notice of mutually and in good faith,City under this 's time to cure, (ii) terminate this Contract effective immediately Agency or (iii) pursue any other legal remedies available to City such intent to Agency, Contract. 10.3.2 City's remedies may include: Direct Agency to prepare and follow a schedule °o f actions 10.3.2.1 consisting carrying out the affected activities,to implement the affected timetables and milestones necessary activities. plan that establish and follow a management p 10.3.2.2 Direct Agency to in out the remedial activities. assigns responsibilities for carry g ram ESG Funds that have not yet been expended from 10.3.2.3 Reprog affected activities to other eligible activities or withhold ES Funds. action including but not limited to any other appropriate ud ment, 10.3.2.4 Any e1•manent remedial action legally available sucempo arrylaratoory judgment, specific performance, damages, injunctions, termination of this Contract or any other contracts with Agency, and any other available remedies. forfeited and Agency shall vent of termination under this Section 10.3, all ESG Funds awarded 10.3.3 In the e aid to Agency pursuant to this Contract shall Funds immediately lre y d to Agency must be repaid but unpaid ESG Funds already p he termination. Failure to repay such ESG Funds within the 30 day have no further 30 days�°f the funds, and any •es available under this Contract. to City with all legal remedi period will result in City exercising g 10.4 No Funds Disbursed while in breach. aid to Agency until all Agency understands and agrees that no ESG Funds will be p defaults are cured to City's satisfaction. 15 ESG PSA CONTRACT 2014-2015 Presbyterian Night Shelter Com ens After Date of Termination. 1 0.5 No ensation for work undertaken after the date oft e Agency shall not receive any com P termination. against Rights of Ci Not Affected. of the existing rights of City g 10.6 rovision shall be not c 's default and this r the law. Such Termination shaper a erf accrue because tof Age,va Table to City noted as Agency, or which may thereafter rights and remedies a ressl n and all other rig City in exercising in addition to any terminate any provisions of this Contract or aoaha . neby ex ty or remedy or termination does not Contract shall impair any such right 'vin the term or termination of rider this Contract No delay surviving available to it u default. any right or remedy uiescence in any Agency constitute a waiver or acq term, covenant, or condition of this other term, 10.7 Waiver of Breach Not W Ter of Subse uent Breach. or any The waiver of waiver olf any subsequent default or breach of the same shall not operate as covenant or condition hereof. d esult in civil Administrative Penalties. 10.8 8 Civil Criminal an ct terms may r , criminal or administrative Failure to perform all the Contra limited to those set out in this Contract. penalties,including,but not 10.9 Termination for Cause. enc 's default,inability,or terminate this Contract in the event of he y terminates this 10.9.1 city may race and cure periods. In the event City Perform subject to notice, g aid to Agency pursuant to this Contract ESG failure top ht to such funds and any ES and Agency shall have no further rig s of termination. Failure to Contract for cause, all ESG Funds awarded u unpaid within 30 day •es available be immediately rescinded all legal remedy aid to Agency must be repaid to City exercising ES THAT IF CITY Funds already p s will result in City repay such ESG Funds within 30 day AGENCY OR ANY AFFILIATES OF ' Contract. AGENCY ACKNOWLEDGES AND AG TRACT FOR to City under this CT FOR CA OTHER CITY CON TERMIN�'TES THIS CONTRA FOR ANY INATION. OF 5 YEARS FROM THE DATE OF TERM AGENCY SHALL NO CONSIDERED SG Funds ESG FUNDS FOR A MINIM" does not provide the E 10.9.2 Agency may terminate this Contract if City substantially in accordance with this Contract. ated in 24 C.F.R. In terminating in accordance 5.44 this Contract may be termin 10.10 Termination for Convenience. e with whole or in part only as follows; 10.10.1 By City with the consent of Agency in which case the Par t rlm termination, the termination conditions, including the effective date and in the case of p portion to be terminated; or 16 ESG PSA CONTRACT 2014-2015 Presbyterian Night Shelter s written notification to City, setting forth the B Agency upon at least 30 day artial termination,the portion 10.10.2 Y g Partial. terminate the Contract in its reason for such termination,the effective date, and in thC°ty.may r partial termination, Portion of the Contract to be to be terminated. In the case of a p accomplish the purposes for which the Contract if City determines in its sole discretion not acco pe remaining entirety spent w performed or ESG Funds to be sp was made. 10.11 Agency is dissolved o a ceases repayment andlorsCity may Dissolution of A enc Tel Contract. This Contract shall terminate Section, all ESG Funds are subject to rep y event of termination under exercise all of its remedies under this Contract. 10.12 Reversion of Assets. all assets acquired by cash, interest payments from ton ivable attributable In the event this Contract is terminated with or without caul > instruments, any accounts r Age that was Agency with the ESG Funds s o including her scurity owned by g outstanding notes, mortgages real or personal property to the use of the ESG Funds, and any or to such assignee as City improved with the ESG Funds shall automatically transfer. to City may designate. 11. pAyMENT OF ESG FUNDS does not meet the ment in the event the Agency kes any action that All ESG Funds are subject to repay ulations. If Ag to repay all or any portion of the ESG Fu t on that requirements of this iri trrequired the ESG Reg repayment. If Agency takes any results in the City being for such repaym ram, whether or not Agency agrees it will reimburse City from HUD about the Prog Age agrees it will results in City receiving a finding required of City, g portion of the ESG Funds is req es The Parties agree that City's repayment of all or any p liquidate damag a finding from pay City 10% of the ESG Fun as repayment HUD being required or receiving ,s ESG include an impact on City's damages in the event of either rep y b HUD or a required repayment of HUD are uncertain and would be dlnfiaddit on to he fin d ding aY under this Section of 10% of Therefore, the Parties agree that payment u grant or other Federal grant funds, and not a penalty. funds to HUD by C' '' to City is liquidated damages the ESG Funds by Agency Y 12. CHANGE IN NON-PROFIT STATUS. Changes to its non-profit status Agency must provide City with written notification ofi any e non-profit status of Agency s of being notified of the change. within 15 calendar day Contract, City may but is not obligated re receipt o terminate this ot Contract from changes after the date of this has 30 calendar days to make such determination after Agency ursuant to City such determination will constitute yet aid to Ag n Y P event o Agency and failure to make ht to such Agency shall have no further rig termination under this Section 12, all escinded and Ag awarded but no Y within 30 calendar days this Contract shall be immediately to Agency must be repaid to City funds. Any ESG Funds already paid of termination under this Section. 17 ESG PSA CONTRACT 2014-2015 Presbyterian Night Shelter 13. SURVIVAL. client income ertains to auditing, monitoring, Any provision of this Contract that p orts, City applicable ESG requirements, and any eligibility,record keeping and re p ordinances, or p to enforce such provisions, shall survive the default and enforcement provisions necessary Contract for 5 years after the Contract terme Tdseriodsforl survivalrofacertain termination of this For purposes of this Contract, this 5 y p September 30, 2020 City against Agency. in on October 1, 2015 and end on Sep Contract provisions is deemed to beg regardless of whether or not this Contract is earlier terminated. 14. GENERAL PROVISIONS 14.1 A en an Inde endent Contractor. agent, control of, and the exclusive right to Agency shall operate hereunder as an independt contractor and not as an officer, ag Ag y City. Agency shall have exclusive persons performing servant or employee of Ci Ag y performed hereunder, an d all p agents, control, the details of the work and services hall be solely responsible for the acts and omissions s li is off'es or invitecs.rs, same, and s servants,employees,contractors, subcontractors,vendors, 14.2 Doctrine of Respondeat Superior. l as between City and Agency, or its The doctrine of respondeat superior shall not apply partnership or joint agents, servants, employees, contractors,as subcontractors,to p vendors, clients, officers, members, g herein shall be construed licensees or invitees, and nothing City does not have the legal right to control ees, contractors, enterprise between City and Agency. its officers, members, agents, employees, the tasks performed hereunder by Agency, subcontractors,vendors,clients,licensees or invitees. 14.3 Auency Property. belonging to Agency, vendors, clients, City shall under no circumstances be responsible contractors,oa subcontractors, ed and AGENCY or its officers, members, agents, employees, way damaged licensees or invitees that may be lost, stolen or destroyed AND ITS or in any HEREBY INDEMNIFIES AND HOLDS HARMLESS CITY AND ALL CLAIMS OR OFFICERS,SUIT AGENTS, AND EMPLOYE O TH SUCH PROP KTY. PERTAINING TO OR CONNECTED 14.5 Reli¢ions Organization. support of any sectarian or religious No portion of the ESG Funds shalgbe used in supp criteria for clients of a ESG- activity. In addition, there must be no religious or membership funded service. 18 ESG PSA CONTRACT 2014-2015 Presbyterian Night shelter 14.6 Venue. Venue shall lie in Tarrant County,Texas for any action,whether real or asserted,at law or in equity,arising out of the execution,performance, attempted performance or non-performance of this Contract. 14.7 Goy"¢Law. This the Contract shall be governed by and construed in accordance with the sao o f the State of Texas. If any action, whether real or asserted, at law or in equity, provision execution, performance or non-performance 1 w the choice of law shall e basis of any be the laws of the State herein, for any issue not governed by Federal of Texas. 14.8 Severabili reason a clause, sentence, The provisions of this Contract are severable, and if for any a court or Federal or paragraph or other part of this Contract shall be determined to b he subject matter thereof,invalid p board or commission having jurisdiction state agency, provisions which can be given effect without t invalidity shall not affect other p provision. 14.9 Written A reement Entire Contract. This written instrument and the Exhibits, Attachments, and Addendums attached onstitute Tlu orated b reference and made a part of this Contract for al purposes,me under this which are incorporated y purports to vary the the entire agreement by the Parties contemporaneous the written agreement which pub Contract must be in Contract. Any prior or terms of this Contract shall be void. Any amendments to the terms of this on writing and executed by the Parties. nce• Number Leg-at if ca 14.10 Para ra h Headin s for Reference 0 No and Gender. rence to this headings contained herein are for of any provision of this Contract The paragraph ender Contract and are not intended to define or ronounshinclude the plural and the masculine gender When context requires, singular nouns and p ender to include the shall be deemed to include the feminine or neuter and the neuter g and feminine. The words"include" and"including"whenever used her shall be deemed to be followed by the words"without limitation". S :1111111 14.11 Com Hance With All A licable Law laws nd regulations that are currently Agency agrees to comply fully with all applicable that are hereafter amended during the performance of this Contract. Those laws in effect or include,but are not limited to: ➢ ESG Regulations found in 24 CFR Part 576 Homeless Assistance Act, as amended, ➢ SubtitleB of Title IV of the McKinney- inc (42 USC 1137 1) 4 luding ➢ Title VI of the Civil Rights Act of 1964 1a s st ace tot ensure 0m0 aningful access by provisions requiring recipients of federa 19 ESG PSA CONTRACT 2014-2015 Presbyterian Night Shelter person of limited English proficiency ➢ The Fair Housing Act, Title VIII of the Civil Rights Act of 1968 (42 U.S.C. Sections 3601 et seq.) b11375 and 12086 and as ➢ Executive Orders artm3ent of Labor regulat ons 41 CFR Part 60 De supplemented by p ➢ on in Employment Act of 1967 The Age Discriminati ➢ The Age Discrimination Act of 19ri e(and Real Property A qu sit n)Policies Act of ➢ The Uniform Relocation Assista and 24 49 CFR Part 24) 1970 (42 U.S.C. Sections 4601 Acgt of 1973 (29 U.S.C. Sections ns7 4 et seq.) ➢ Section 504 of the Rehabilitation CFR Part 8 where applicable ➢ National Environmental Policy Act of 1969, as d iamended,4 CFR Part 58C. Sections 432 et seq. ("NEPA") and the related authorities listed and the Clean ➢ The Clean Air Act, as amended, (42 U.S.C. Sections 1251 et seq) and the related Water Act of 1977, as amended (33 U.S.C. Sections 1251 of the assistance provided Executive Order 11738. In no event shall any that has given rise to a under this Contract be utilized with respect to a facility conviction under the Clean Air Act or the Clean Water Act. Sections ➢ Immigration Reform and Control Act of ng employer verifications of 1101 legal status specifically including the provisions requiring the of its employees ➢ The Americans with Disabilities Act of 1990 d(4 42 U.S.C. U.S.C. Sections 41051 t seq.), ) and Architectural Barriers Act of 1968 as amend ( 415 A the Uniform Federal Accessibility Standards,24 CFR Part 40,gp he requirement that ➢ Regulations at 24 CFR Part 87 related to lobbying, persons certifications and disclosures At ofb obtaid froin all covered U.S.C. Sections 01 et seq.) and 24 CFR Part ➢ Drug Free Workplace 23, Subpart I pertaining to restrictions on participation by ineligible,debarred or suspended p ➢ Executive Order 12549 and 24 CFR Part 5.105(c)persons or entities the Resource ➢ Section 6002 of the Solid Waste Disposal Act, as amended by Conservation and Recovery Act at 40 CFR Part 247 ➢ Guidelines of the Environmental Protection Agency eland"Anti-Kickback" act ➢ For contracts and subgrants for construction or repair, p 0 (18 U.S.C. 874) as supplemented in 29 CFR Part 5 in excess of$2,000, and in excess of ➢ For construction contracts awarded by Agency to cent of mechanics or laborers, $2,500 for other contracts of heiContract Work eHours and Safety Standards Act (40 Sections 103 and U.S.C. 327A 300) as supplemented by 29 CFR Part 5 as amended by ➢ Lead-Based Paint Poisoning Prevention Act (42 to Ac4o0f11et s (42 U.S.C. 4851 et the Residential Lead-Based Par M, and R seq.) and implementing regulations uirements of 24 CFR Part 85 subparts A,B, ➢ Uniform Administration Requirements ESG PSA CONTRACT 2014-2015 Presbyterian Night Shelter 14.11 HUD-Assisted Pro'ects and Em t 10 went and other Economic ppportunities' Section 3 Reguiremen — Certain 14.11.1 Re uirement that Law Be uotedonn3Cof Covered Housin Contracts-. Urban Re uirements Pertainin to Secti Development Act of 1968 as Amended 12 U.S.C. Sections 1701 et se . and its Related Re ulations at 24 CFR Part 135 in the creation of new employment, training, or contracting If the Program results opportunities on a contractor or subcontractor level resulting ensure that t is contractors ealsotcomply• pp with the following and will Funds, Agency shall comply ram providing If the work performed under this Contract is on a project assisted under a prog ,Prequires e inserted in all covered contracts ("Section 3 direct Federal financial assistance from HUD, Section 3 of 24 CFR 135.38 ("Section 3 ' 9 that the following clause, shown m italics, Clause"): Section to be quoted in covered contracts begins: "A. The work to be performed under this contract is subject to the requirements of Section 3 of Housing and 3).a TDevelopment purpose f Section 3 8s as amended, 12 U.S.C. section 170]u (S Opportunities generated by HUD ensure that employment and other economic Opp eaUD assisted or HUD-assisted programs covered b Section 3 phalli to the greatest extent feasible, be directed to low- and very-low who are recipients of HUD assistance for housing. B. The parties to this contract agree t 3GOAs le evidenced bystheir regulations exteocution Of CFR Part 135, which implement Section ctual this contract, the parties to this contract ce ti yomthey complying are dwith the Pact 135 or other impediment that would prevent th .f regulations. C. The contractor agrees to send to each labor organization or L' representative of workers with which it has a collective bargaining agreement or other understanding, if any, a notice advising the under this Sectioon 3 clausekand representatives of the contractors commitments both will post copies of the notice in conspicuous and employment t'onsecanesee the employees and applicants for training a pos shall set forth notice. The notice shall describe the Section 3 preference, i entice and minimum number and job titles subject to hire, availability of.app training positions, the qualifications for each;;positions; and the anticipated dation of person(s) taking applications for each of the work shall begin. t it D. The contractor agrees t regulation iln 24 CFRrPart 135, and agrees to take subcontract to comply with subcontract or appropriate action, as provided in n� applicable e ub�ontracto�ist n violation of the in this Section 3 clause, upon finding any regulations in 24 CFR Part 135. Th ° ithe�ubcontractor has with been subcontractor where it has notice or knowledge that 21 ESG PSA CONTRACT 2014-2015 Presbyterian Night Shelter found in violation of regulations in 24 CFR Part 135. E. The contractor will certify that any after he contractor employment positions,but including training positions that are filerd:t�l persons other than those to whom the before the contract is executed, and(2) p regulations of 24 CFR Part 135e I'hcontractor hat the not subcontractor hashbeen subcontractor where it has rtotrc found in violation of regulations in 24 CFR 135. F, Noncompliance with HUD's acegulat 2and debarment orauspension sanctions, termination of this contr f° default, from future HUD assisted contracts. G. With respect to work performed in connection with Section 3 covered Indian housing assistance, section 7(b) of the In Self-Determination and Education Assistance Act (25 U.S.CSection 4r q es i to be � uaotha�to the great t. extent performed under this Contract. Section 7(b) feasible (i) preference and opportunities for training and employment shall be given to Indians, and (ii) preference it ens and Indian-owned Economic Ent pr less shall be given to Indian organ Parties to this contract that are subject to the provisions of Section 3 and Section. 79b) agree to comply with Section 3 to the maximum extent feasible, but not in derogation of compliance with Section 7(b)." Section to be quoted in covered contracts ends. 14.11.2 A enc Res onsibilities for Section 3 Re uirements. ection 3, City and Agency understand and agree that 11 applicable rules the nd orders of HUD shall be the regulations set forth in 24 CFR Part 135, and a pp a condition of the Federal financial assistance provided ° andsubcontractors. Failure to fulfill Agency and their respective successors, assigns, contractors and subcontractors and their these requirements shall subject Agency and its co etc feed by the grant agreement through respective successors and assigns to those sanctions p Which Federal assistance is provided and to such sanctions as are specified by 24 CFR Part 135. Agency's responsibilities include: 14.11.2.1 Implementing procedures to notify Section t 3 nds contracting itracting business concerns about training, emp y opportunities generated by Section 3 covered assistance; 14.11.2.2 Notifying potential contractors working on Section 3 covered projects of their responsibilities; 14.11.2.3 Facilitating the training and employment of Section 3 residents and the award of contracts to Section 3 business concerns; 14.11.2.4 Assisting and actively cooperating with th the Department in making contractors and subcontractors 14.11.2.5 Refraining from entering into contracts with contractors that are in 22 ESG PSA CONTRACT 2014-2015 Presbyterian Night Shelter violation of Section 3 regulations; 14.11.2.6 Documenting actions taken to comply with Section 3; and 14.11.2.7 Submitting Section 3 Annual Summary Reports (Form HUD- 60002)in accordance with 24 CFR Part 135.90. 14.11.3 Section 3 Reporting Requirements. must submit the forms In order to comply with the Section 3 requirements, Agency attached hereto as Exhibit"G" -Section 3 Reporting Forms. 14.11.3.1 Report to the City on a quarterly basis all applicants for employment, and all applicants for employment by contractor and subcontractor. This shall include name, address, zip code, date of application, and status (hired/not hired) as of the date of the report. 14.11.3.2 Advertise available positions to the public for open competition, and provide documentation to City with the quarterly report that demonstrates such open advertisement in the form of printout paper Texas Workforce Commission posting, copy of advertisement, copy of flyers and listing of locations where flyers were distributed, and the like. 14.11.3.3 Report to the City on a quarterly basis all contracts awarded by contractor and subcontractor. l ctor, address,shall ip include code, amount ount of contractor and/or subco award as of the date of the report. 14.12 Prohibition A ainst Discrimination. 14.12.1 General Statement. Agency shall comply in the execution, performance or d by 24 CFR Contract, with all non-discrimination requirements of 24 CFR Par S ncy 576.57(a) and Chapter 17, Article III,Division 4—Fair Housing ender, religion, na on al or g n, not discriminate against any person because of race, color, sex, g dentity, gendr familial status, disability or perceived disability, iability, sexual orientation, gender i employees, er expression, or transgender, nor will Agency permit its officers, members, agents, clients to engage in such discrimination. into with Article This Contract is made and entered of the city Te e Code, and Agency hereby Chapter ovenants and - 111, Division 3 - Employment Practices agrees that Agency, its officers, members, agents, employees andcant for employment has contractors, have fully complied with all against under the terms of such ordinances by ether or its officers,members, been discriminated against agents, employees or contractors. 23 ESG PSA CONTRACT 2014-2015 Presbyterian Night Shelter 14.12.2 No Discrimination in Em to went durin the Performance of This Contract. During the performance of this Contract Agency agrees to the following provision, and will require that its contractors and subcontractors also comply with such provision by including it in all contracts with its contractors: [Contractor's, Subcontractor's or Vendor's name] will not unlawfully discriminate against any employee or applicants for employment because of race, color, sex, gender, religion, national origin, familial status, disability or perceived disability, sexual orientation, gender identity, gender expression or transgender. [Contractor's, Subcontractor's or Vendor's name]will take affirmative action to ensure that applicants are hired without regard to race, color, sex, gender, religion, national origin, familial status, disability or perceived disability, sexual orientation, gender identity, gender expression or transgender and that employees are treated fairly during employment without regard to their race, color, sex, gender, religion, national origin, familial status, disability or perceived disability, sexual orientation, gender identity, gender expression or transgender. Such action shall include, but not be limited to,the following: employment, upgrading, demotion or transfer, recruitment or recruitment advertising, layoff or termination, rates of pay or other forms of compensation, and selection for training, including apprenticeship. [Contractor's, es and applicants Vendor's agrees ntice p setting o forth the places, available to employe pp licants for employment provisions of this nondiscrimination clause. [Contractor's Subcontractor's or Vendor's name] will, in all solicitations or advertisements for employees placed by or on behalf of [Contractor's, Subcontractor's or Vendor's name], state that all qualified applicants will receive consideration for employment without regard to race, color, sex, gender, religion, national origin, familial status, disability or perceived disability, sexual orientation, gender identity, gender expression or transgender. [Contractor's, Subcontractor's or Vendor's name] covenants that neither it nor any of its officers, members, agents, employees, or contractors, while engaged in performing this Contract, shall, in connection with the employment, advancement or discharge of employees or in connection with the terms, conditions or privileges of their employment, discriminate against persons because of their age or because of any disability or perceived disability, except on the basis of a bona fide occupational qualification,retirement plan or statutory requirement. [Contractor's, Subcontractor's or Vendor's name] further covenants that neither it nor its officers, members, agents, employees, contractors, or persons acting on their behalf, shall specify, in solicitations or advertisements for employees to work on this Contract, a maximum age limit for such employment unless the specified maximum age limit is based upon a bona fide occupational qualification,retirement plan or statutory requirement. 14.12.3 Agency's Contractors and the ADA. In accordance with the provisions of the Americans With Disabilities Act of 1990 ("ADA"), Agency warrants that it and any of its contractors will not unlawfully discriminate on the basis of disability in the provision of services to the general public, nor in the availability, terms and/or conditions of employment for applicants for employment with, or employees of, 24 ESG PSA CONTRACT 2014-2015 Presbyterian Night Shelter Agency or any of its contractors. AGENCY WARRANTS IT WILL FULLY COMPLY WITH THE ADA'S PROVISIONS AND ANY OTHER APPLICABLE FEDERAL, STATE AND LOCAL LAWS CONCERNING DISABILITY AND WILL DEFEND, INDEMNIFY AND HOLD CITY HARMLESS AGAINST ANY CLAIMS OR ALLEGATIONS ASSERTED BY THIRD PARTIES, CONTRACTORS SUBCONTRACTORS, VENDORS OR AGENTS AGAINST CITY ARISING OUT OF AGENCY'S AND/OR ITS CONTRACTORS', SUBCONTRACTORS', VENDORS' OR AGENTS' OR THEIR RESPECTIVE EMPLOYEES' ALLEGED FAILURE TO COMPLY WITH THE OP CONCERNING DISABILITY DISCRIMINATION IN T HR PERFORMANCE OF THIS CONTRACT. 14.13. Prohibition Against Interest/Conflict of Interest. 14.13.1 Agency shall establish safeguards to prohibit its employees, board members, advisors and agents from using positions for a purpose that is or gives the appearance of being motivated by a desire for private gain for themselves or others, particularly those with whom they have family, business or other ties. Agency shall disclose to City any such conflict of interest or potential conflict of interest, immediately upon discovery of such. 14.13.2 No employees, agents, consultants, officers or elected officials or appointed officials of City or of Agency who exercise or have exercised any functions or responsibilities with respect to activities assisted with ESG funds or who are in a position to participate in a decision-making process or gain inside information with regard to these activities may utilize ESG services, may obtain a financial interest or benefit from a ESG-assisted activity, or have an interest in any contract, subcontract or agreement with respect thereto, or the proceeds thereunder, either for themselves r unless`they are accepted an accordance bwith thetprocedureg their tenure or for 1 year thereafter, set forth at 24 CFR 576.57(d). 14.13.3 Agency affirms that it will adhere to the provisions of the Texas Penal Code which prohibits bribery and gifts to public servants. 14.13.4 The conflict of interest provisions of 24 CFR Part 85.36 and 24 CFR Part 84.42, respectively, shall apply in the procurement of property and services by Agency. In all cases not governed by those Sections, the provisions of 24 CFR 576.57(d) of the ESG Regulations shall apply. 14.14 Subcontractin with Small and Minori y Firms Women's Business Enterprises and Labor Surplus Areas. - 14.14.1 For procurement contracts $50,000.00 or larger Agency agrees to abide by City's policy to involve Minority Business Enterprises and Small Business Enterprises and to provide them equal opportunity to compete for contracts for construction, provision of professional services, purchase of equipment and supplies and provision of other services all amendments required City. Agency s BDE Ordinance, s or success or policies o ordinance thereto, into all contracts and subcontracts procurement 25 ESG PSA CONTRACT 2014-2015 Presbyterian Night Shelter larger than $50,000.00 or larger and will further require all persons or entities with which it so contracts to comply with said ordinance. 14.14.2 It is national policy to award a fair share of contracts to disadvantaged business enterprises ("DBEs"), small business enterprises ("SBEs"), minority business enterprises ("MBEs"), and women's business enterprises ("WBEs"). Accordingly, affirmative steps must be taken to assure that DBEs, SBEs, MBEs, and WBEs are utilized when possible as sources of supplies, equipment, construction and services. 14.15 Other Laws. The failure to list any Federal, state or City ordinance, law or regulation that is applicable to Agency does not excuse or relieve Agency from the requirements or responsibilities in regard to following the law, nor from the consequences or penalties for Agency's failure to follow the law, if applicable. 14.16 Assignment. Agency shall not assign all or any part of its rights, privileges, or duties under this Contract without the prior written approval of City. Any attempted assignment of same without approval shall be void, and shall constitute a breach of this Contract. 14.17. Right to Inspect Agency Contracts. It is agreed that City has the right to inspect and approve in writing any proposed contracts between Agency and any contractor or vendor engaged in any activity in conjunction with this ESG-funded Program prior to any charges being incurred. 14.18 Force Majeure If Agency becomes unable, either in whole or part, to fulfill its obligations under this Contract due to acts of God, strikes, lockouts, or other industrial disturbances, acts of public enemies, wars, blockades, insurrections, riots, epidemics, earthquakes, fires, floods, restraints or prohibitions by any court, board, department, commission or agency of the United States or of any States, civil disturbances, or explosions, or some other reason beyond Agency's control (collectively, "Force Majeure Event"), the obligations so affected by such Force Majeure Event will be suspended only during the continuance of such event. Agency will give City written notice of the existence, extent and nature of the Force Majeure Event as soon as reasonably possible after the occurrence of the event. Failure to give notice will result in the continuance of Agency's obligation regardless of the extent of any existing Force Majeure Event. Agency will use commercially reasonable efforts to remedy its inability to perform as soon as possible. 15. INDEMNIFICATION AND RELEASE. AGENCY 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 ESG PSA CONTRACT 2014-2015 26 Presbyterian Night Shelter CONNECTION WITH THE EXECUTION, PERFORMANCE, ATTEMPTED PERFORMANCE OR NONPERFORMANCE OF THIS CONTRACT AND/OR THE OPERATIONS, ACTIVITIES AND SERVICES OF THE PROGRAM DESCRIBED HEREIN, WHETHER OR NOT CAUSED IN WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY; AND AGENCY HEREBY ASSUMES ALL LIABILITY AND RESPONSIBILITY OF CITY AND ITS OFFICERS, AGENTS, SERVANTS, AND EMPLOYEES FOR ANY AND ALL CLAIMS OR SUITS FOR PROPERTY LOSS OR DAMAGE AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF WHATSOEVER KINDS OR CHARACTER, WHETHER REAL OR ASSERTED, ARISING OUT OF OR IN CONNECTION WITH THE EXECUTION, PERFORMANCE, ATTEMPTED PERFORMANCE OR NONPERFORMANCE OF THIS CONTRACT AND/OR THE OPERATIONS, ACTIVITIES AND SERVICES OF THE PROGRAM DESCRIBED HEREIN, WHETHER OR NOT CAUSED IN WHOLE OR IN PART BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY. AGENCY 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 AGENCY, ITS OFFICERS, MEMBERS, AGENTS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, INVITEES, LICENSEES, OR CLIENTS, OR CAUSED, IN WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY. IT IS THE EXPRESS INTENTION OF THE PARTIES, BOTH AGENCY AND CITY, THAT THE INDEMNITY PROVIDED FOR THIS SECTION INCLUDES INDEMNITY BY AGENCY TO INDEMNIFY AND PROTECT CITY FROM THE CONSEQUENCES OF CITY'S OWN NEGLIGENCE, WHETHER THAT NEGLIGENCE IS ALLEGED TO BE THE SOLE OR CONCURRING CAUSE OF THE INJURY,DAMAGE OR DEATH. AGENCY 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 CONTRACT, EVEN IF THE INJURY, DEATH, DAMAGE OR LOSS IS CAUSED BY CITY'S SOLE OR CONCURRENT NEGLIGENCE. AGENCY SHALL REQUIRE ALL OF ITS CONTRACTORS AND SUBCONTRACTORS TO INCLUDE IN THEIR CONTRACTS AND SUBCONTRACTS A RELEASE AND INDEMNITY IN FAVOR OF CITY IN SUBSTANTIALLY THE SAME FORM AS ABOVE. ESG PSA CONTRACT 2014-2015 27 Presbyterian Night Shelter 16. WAIVER OF IMMUNITY BY AGENCY. If Agency, as a charitable or nonprofit organization, has or claims an immunity or exemption (statutory or otherwise) from and against liability for damages or injury, including death, to persons or property, Agency 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. 17. INSURANCE AND BONDING. Agency will maintain coverage in the form of insurance or bond in the amount of 95,544.00 to insure against loss from the fraud, theft or dishonesty of any of Agency's officers, agents, trustees, directors or employees. The proceeds of such insurance or bond shall be used to reimburse City for any and all loss of ESG Funds occasioned by such misconduct. To effectuate such reimbursement, such fidelity coverage shall include a rider stating that reimbursement for any loss or losses shall name the City as a Loss Payee. Agency shall furnish to City in a timely manner, but not later than the Effective Date, certificates of insurance as proof that it has secured and paid for policies of commercial insurance as specified herein. If City has not received such certificates by the Effective Date, Agency shall be in default of the Contract and City may,at its option,terminate the Contract. Such insurance shall cover all insurable risks incident to or in connection with the execution, performance, attempted performance or nonperformance of this Contract. Agency shall maintain,the following coverage and limits thereof. Commercial General Liability(CGL) Insurance $500,000 each occurrence $1,000,000 aggregate limit Non-Profit Organization Liability or Directors & Officers Liability $1,000,000 Each Occurrence $1,000,000 Annual Aggregate Limit Business Automobile Liability Insurance $1,000,000 each accident on a combined single-limit basis, or $ 250,000 Property Damage $ 500,000 Bodily Injury per person per occurrence $2,000,000 Aggregate Insurance policy shall be endorsed to cover"Any Auto", defined as autos owned,hired, and non-owned. Pending availability of the above coverage and at the discretion of City,the policy shall be the primary responding insurance policy versus a personal auto insurance policy if or when in the course of Agency's business as contracted herein. ESG PSA CONTRACT 2014-2015 28 Presbyterian Night Shelter Workers' Compensation Insurance Part A: Statutory Limits Part B: Employer's Liability $100,000 each accident $100,000 disease-each employee $500,000 disease-policy limit Note: Such insurance shall cover employees performing work on any and all projects including but not limited to construction, demolition, and rehabilitation. Agency or its contractors shall maintain coverages,if applicable. In the event the respective contractors do not maintain coverage, Agency shall maintain the coverage on such contractor, if applicable,for each applicable contract. Additional Requirements Such insurance amounts shall be revised upward at City's reasonable option and no more frequently than once every 12 months, and Agency shall revise such amounts within 30 days following notice to Contractor of such requirements. Agency will submit to City documentation that it has obtained insurance coverage and has executed bonds as required in this Contract prior to payment of any monies provided hereunder. Where applicable, insurance policies required herein shall be endorsed to include City as an additional insured as its interest may appear. Additional insured parties shall include employees, officers, agents, and volunteers of City. Any failure on part of City to request certificate(s) of insurance shall not be construed as a waiver of such requirement or as a waiver of the insurance requirements themselves. Insurers of Agency's insurance policies shall be licensed to do business in the state of Texas by the Department of Insurance or be otherwise eligible and authorized to do business in the state of Texas. Insurers shall be acceptable to City insofar as their financial strength and solvency and each such company shall have a current minimum A.M. Best Key Rating Guide rating of A-: VII or other equivalent insurance industry standard rating otherwise approved by City. Deductible limits on insurance policies shall not exceed $5,000 per occurrence unless otherwise approved by City. In the event there are any local, federal or other regulatory insurance or bonding requirements for the Program, and such requirements exceed those specified herein,the former shall prevail. Agency shall require its contractors to maintain applicable insurance coverages, limits, and other requirements as those specified herein; and Agency shall require its contractors to provide Agency with certificate(s) of insurance documenting such coverage. Also, Agency shall require its contractors to have City and Agency endorsed as additional insureds (as their interest may appear) on their respective insurance policies. ESG PSA CONTRACT 2014-2015 29 Presbyterian Night Shelter Directors and Officers Liability coverage shall be in force and may be provided on a claims- made basis. This coverage may also be referred to as Management Liability, and shall protect the insured against claims arising out of alleged errors in judgment, breaches of duty and wrongful acts arising out of their organizational duties. Coverage shall protect not only the entity, but all past, present and future directors, officers, trustees, employees, volunteers and committee members. 18. CERTIFICATION REGARDING LOBBYING. The undersigned representative of Agency hereby certifies, to the best of his or her knowledge and belief,that: No Federal appropriated funds have been paid or will be paid, by or on behalf of Agency, to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress in connection with the awarding of any Federal contract, the making of any Federal grant,the making of any Federal loan, the entering into of any cooperative agreement and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan or cooperative agreement. If any funds other than federally appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, member of Congress in connection with this Federal contract, grant, loan or cooperative agreement, Agency shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying,"in accordance with its instructions. This certification is a material representation of fact upon which reliance was placed when this Contract was made or entered into. Submission of this certificate is a prerequisite for making or entering into this Contract imposed by 31 U.S.C. Section 1352. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000.00 and not more than$100,000.00 for each such failure. Agency shall require that the language of this certification be included in all subcontracts or agreements involving the expenditure of Federal funds. 19. LITIGATION AND CLAIMS. Agency shall give City immediate notice in writing of any action, including any proceeding before an administrative agency, filed against Agency in conjunction with this Contract or the Program. Agency shall furnish immediately to City copies of all pertinent papers received by Agency with respect to such action or claim. Agency shall provide a notice to City within 10 days upon filing under any bankruptcy or financial insolvency provision of law. ESG PSA CONTRACT 2014-2015 30 Presbyterian Night Shelter 20. NOTICE. All notices required or permitted by this Contract must be in writing and are deemed delivered on the earlier date of the date actually received or the third day following deposit in a United States Postal Service post office or receptacle; with proper postage, certified mail return receipt requested; and addressed to the other Party at the address set out below or at such other address as the receiving Party designates by proper notice to the sending Parry. City: City Attorney's Office 1000 Throckmorton Street Fort Worth, TX 76102 Telephone: 817-392-7600 Copy to: Housing and Economic Development Department 1000 Throckmorton Street Fort Worth, TX 76102 Attention: Assistant Director Telephone: 817-392-7540 Copy to: Housing and Economic Development Department 1000 Throckmorton Street Fort Worth, TX 76102 Attention: Program Coordinator Telephone: 817-392-6342 Agency: Presbyterian Night Shelter Toby Owen 2400 Cypress Street Fort Worth, Texas 76102 Telephone: 817-336-0912 21. AGENCY HAS LEGAL AUTHORITY TO ENTER INTO CONTRACT. Agency 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 Contract and to perform the responsibilities herein required. 22. COUNTERPARTS. This Contract may be executed in multiple counterparts, each of which shall be considered an original, but all of which shall constitute one instrument which may be sufficiently evidenced by one counterpart. ESG PSA CONTRACT 2014-2015 31 Presbyterian Night Shelter [SIGNATURES APPEAR ON NEXT PAGE] ESG PSA CONTRACT 2014-2015 32 Presbyterian Night Shelter IN WI TNESS WHEREOF,the Parties hereto have executed 4 duplicate originals of this Contract in Fort Worth,Tarrant County,Texas. ORY , CITY OF FORT WORTH ATE' T: �8 ` .0�', By. Fernando oC sta,Assistant City Manager ity Secr t - $ ° M&C: C-26893°��� X00 mm Date: August 5,2014 AppROVED AS TO FO AND-LEGALITY: Assistant City Attorney PRESBYTERIAN NI HT SHELTER By: -1 to Name: Title: STATE OF TEXAS § 2014 by COUNTY OF TARRANT § of Fort This instrument was acknowledged before °of Fort Worth, on behalf the City Fernando Costa, As City Manager of City Worth.0 LINDAM,NIRFILINGER Notary Public, State of Texas :*= MY COMMISSION EXPIRES February-.2,2010 N STATE OF TEXAS § 2014 by COUNTY OF TARRANT § Q�rvr3L��� �s instrument the s acknowledged before �?moo�� irxJ l bG a Texas non-profit W� � s - corpo ation,on behalf of said corporation. Notary Public,State of Texas Y PVk MARTHA J HILL My Commission Expires August 31,2015 OFFICIAL RECORD 33 ESG PSA CONTRACT 2014-2015 CITY SECRETARY Presbyterian Night Shelter FTO WORTH,TX EXHIBITS: Exhibit"A"—Program Summary Exhibit 46A-1"—2014 HUD Income Limits Exhibit"B"—Budget Exhibit"C" —Audit Certification Form Exhibit"D"—Reimbursement Forms Exhibit"E"—Form of Income Self-Certification Exhibit"F"— Standards for Complete Documentation Exhibit"G"—Section 3 Reporting Forms Exhibit"H"—Match Report Exhibit"I"—ESG Staff Certification Form Exhibit«J" -�E Wriit Exhibit ten Standards for ESG Assistance. J 1 34 ESG PSA CONTRACT 2014-2015 Presbyterian Night Shelter EXHIBIT "A" PRESBYTERIAN NIGHT SHELTER PROGRAM SUMMARY Emergency Shelter and Case Management PROGRAM SUMMARY Emergency Solutions Grant (ESG) $95,544.00 October 1,2014 to September 30,2015 AMOUNT PERIOD PROGRAM: shelter services The Program will provide homeless persons in Fort Worth Case Management andccounseling is also including food, clothing, showers, and basic toiletries. available on-site. ESG Funds will be used to pay for salaries and fringe benefits for employees whose work is necessary to carry out the daily operations of the shelter. ESG Funds will also be used to pay for shelter security and general commercial liability. Program services will be available 24 hours a day, 7 days a week, at the following locations: Main Shelter 2400 Cypress St. Fort Worth,TX 76102 Lowden Schutts Building 2401 Cypress St. Fort Worth,TX 76102 REGULATORY CLASSIFICATION: if more than one category, specify amount for each): ESG Emergency Shelter Service Ca to g o ry ( Component Regulatory Citation(s): 24 CFR 576.102 For emergency shelter activities, Agency will maintain documentation that verifies that 100% - clients served are homeless based on the current HUD definitions. PROGRAM GOALS: Provide Program Services to approximately 3,400 Unduplicated Clients. 1 ESG PSA CONTRACT 2014-2015—EXHIBIT`<A"—PROGRAM SUMMARY Presbyterian Night Shelter EXHIBIT "A-1" 2014 HUD Income Limits 2014 Median Family Income-Fort Wolz/Arlington,TX* persons 1 Person 2 Persons 3 Persons 4 Persons 5 persons 6 Persons 950 7 $24,5 0 8 $26 100 30% AMI $13,850 $15,800 $17,800 $19, 750 $21,3 0 23 050 $26,350 $29,650 $32,900 $35,550 $38,200 $40,800 $69'500 50%AMT $ ° MI $36,900 $42,150 $47,400 $52,650 $56,900 $61,100 $65,300 $ 80/° A * Income Limits are published at least annually by HUD ESG PSA CONTRACT 2014-2015 --EXHIBIT"A-1"—2014 HUD INCOME,LIMITS 1 Presbyterian Night Shelter EXHIBIT «B»-BUDGET O�anY ` A tXecounfr � EMEG�NXSELTE1i.:;_ ,' 602 004 750,150 ESSENTIAL SERVICES 1001 36,104 77,542 34,500 , Salaries 1002 4,432 50,709 69,670 Life Insurance 1003 5,227 9,302 Health Insurance 1004 Unem to ment 1005 68 48,624 57,386 Worker's Cum ensation 1006 2,762 5,932 Retirement(FICAlMedicare) 1007 Office Su lies 1008 Postage 1009 Printing 1110 Craft Su ties 1 111 Food Su lies 1112 Insurance 1113 Accounting 1114 Contract Labor(City needs copy of contract before expenses can be reimbursed.) SHELTER OPERATIONS 1115 Maintenance 1116 26,000 Rent 1117 26,000 4,414 27,258 Security 1118 22,800 44 42,000 87,125 135,852 Insurance 1119 2,651 4,076 Utilities 1120 Su lies 1121 HotellMotel Vouchers 066,316 RENOVATIONS 95 544 96 896 81 000 792,876 1, SUBTOTAL EMERGENCY SHELTER x � H0USING1iELOCATION AND STAB7TdZe1TION„ .. 2001 Salaries-Prevention 2002 FICA-Prevention 2003 Life Insurance-Prevention 2004 Health Insurance-Prevention 2005 Disabili Insurance-Prevention 2006 Unem to ment-State-Prevention 2007 Salaries-ReHou,1119 2008 FICA-ReHousing 2009 Life Insurance-ReHousing 2010 Health Insurance-ReHousin 2011 Disabilit Insurance-ReHousing 2012 Unem to ment-State ReHousin SUBTOTAL HR&S FINANCIAL ASISTAi*ICE,'. 3001 Rental Assistance-Prevention 3002 Rental Assist ance-ReHousin 3003 Utility Pa"ments-Prevention 3004 Utili Dc osits-KeHousin 3005 Movin Costs-ReHousin 3006 Motel/Hotel Vouchers-ReHousin 3007 Securit De osits-ReHousing SUBTOTAL-FINANCIALASSISTANCE ..:.... .. 4001 'HMIS HMIS-Prevention 4002 HMIS-ReHousing SUBTOTAL HMIS . :742,896,..�1;0604316 , `„ 4 594'« 6,$6 %.$1;AD,U..�` TOTAI:ESG.�ONTRA�T''AMOUNT' FUNDING A: DIREC.'TIONS HOME FUNDING B: OTHER GOVERNMENT FUNDING FUNDING C: PRIVATE DONATIONS ESG PSA CONTRACT 2014-2015—EXHIBIT`B"—BUDGET Presbyterian Night Shelter for purposes of preparing, The following tables are purely informational and were created solely et on the first page tennining e considered part of the terms and conditions de the reasonablenessoobthe overall line item budget ition" column in negotiating, and _ BUDGET and are not t column except the "Pos Of this EXHIBIT "B" es to any charged to the make Chang as the total amounts charg Changes of this Contract. Contractor may ,s consent so long B —BUDGET. the "Salary Detail" table without the City of the EXHIBIT " " only be made with the prior written consent of the City grant do not exceed d line onmmay theyet page to the column labeled SALARY DETAIL amount Annual Percent to Cost Type(Admin or Grant to Grant Housing Rate Hours Position Relocation/Stabilization 22% 9,064 , Services 2080 41,200 100% 27 040 Director of Admin 2,080 O erations Shelter Services 27,040 36,104 Shelter Coordinator TOTAL DETAIL Amount FRINGED o percent t to Grant Percent of amount Grant Pa roll 4.81% 2,762 7.65% 57,386 8.34% 5,227 9.29% FICA 670 0% 0 8 Life Insurance 1.17% ,745 0% 0 Health Insurance 1 31% 9,800 Unem to ment 7,989 Workers Com ensation Retirement TOTAL SUPPLIES AND SERVICES rceut to Amount to Grant Total Budget Grant Office Su lies Office E ui me Rental 0 Posta e Printin TOTAL CT 2014-2015—EXHIBIT"B"—BUDGET ESG YSA CONTRA Presbyterian Night Shelter MISCELLANEOUS Percent to amount to Grant Total Budget Grant Conference 8-Seminars ConstructionBuildin Materials Contract Labor Craft Su lies Credit Re orts Facili Fees 0 0 Field Tr' Costs 244,909 Food Su lies 26,000 Milea e 26,000 100% Securi 0 Teaching Aids TOTAL FACILITY AND UTILITIES Percent to Amount to Grant Total Budget Grant 0 16,278 0 0 56,700 0 0 Tele hone 0 Electric 12,3 84 2,651 50,490 5.25% 0 Gas 0 Water and Wastewater 12,168 Solid Waste Dis oral Rent 0 0 Custodial Services 58,517 0 0 Re airs 57,995 2,651 Cleanin Su lies TOTAL INSURANCE LEGAL,FINANCIAL AND INSURANCE to Amount to Grant Total Budget Grant 22,800 Fideli Bond or E uivalent 27,258 83.65% General Commercial Liabili Directors and Officers Le al Fees 22,800 Contract Accountin TOTAL FINANCIAL ASSISTANCE ercent to Amount to Grant Total Budget Grant Ra id Re-Housin 0 Homelessness Prevention TOTAL JIMIS Percent to Amount to Grant Total Budget Grant Ra id Re-Housin 0 Homelessness Prevention TOTAL ESG PSA CONTRACT 2014-2015—EXHIBIT"B"—BUDGET Presbyterian Night Shelter EXHIBIT «C»—Audit Certification Form [See attached] 1 TRACT 2014-2015—EXHIBIT AUDIT CERTIFICATION FORM ESG PSA CON Presbyterian Nig ht Shelter AUDIT CERTIFICATION FORM AND AUDIT REQUIREMENTS Agency: Presbyterian Night Shelter Fiscal Year Ending: Se tember 30 2015 we will exceed the federal year in which funds will be received, Specific [] During the fiscal y months after the expenditure threshold of $500,000. We will have within Audit O program is the Audit completed and will submit the A-133 whichever Audit comp year or thirty (30) days within its end of the audited fiscal y earlier date. ' which funds will be received, we will not Specific Aud 00to be [I During the fiscal year m le Audit or a Program federal expenditure threshold drleoq�schfo below) performed this fiscal year. (Fill x"enditurescl4sare filled outm is Audr or Frn rare Audtt rs hI4T re u�red 1VIVST be f Pror fam�*lame&`- Contrast Expenditures Pa s ThroughTumbt X Federal Grantor Grantot; CIA., Tunber °.. Total Federal Expenditures for this Fiscal Year: Date Signatory and Title package ' or a similar statement or failure to submit a completed single audit Failure to submit this require audit requirements described in OMB Circulars A-111 ture as described in the federally esult in susp ension of funding and may affect eligibility agency's the required due date may the above, this certification acknowledges the funding. Notwithstanding financial statements, and other audit commitment to meet all s t other forth linathe financial reporting, requirements as may b 2 ESG P SA CONTRACT 2014-2015—EXHIBIT"C'—AUDIT CERTIFICATION FORM Presbyterian Night shelter Exhibit "D" --Reporting Forms [See attached] ESG PSA CONTRACT 2014-2015 Exhibit"D"--REIMBURSEMENT FORMS 1 Presbyterian Night Shelter Attachment I INVOICE Agency: Presbyterian Night Shelter- ESG Address: 2400 Cypress Street City, State, Zip: Fort Worth, Texas 76102 Program: Emergency Shelter Period of Service: Amour# Program T 01, 0'D< ,C, mulat�ueto'Da#e` Agency's Certification: I certify that the costs incurred are valid and consistent with the terms and conditions of the contract between City and Agency. By signing this invoice, I certify that to the best of my knowledge and belief the data included in this report is true and accurate. It is acknowledged that the provision of false information could leave the certifying official subject to the penalties of federal, state, and local law. Signature and Date: Name: Title: ESG PSA CONTRACT 2014-2015 Exhibit"D"--REIMBURSEMENT FORMS Presbyterian Night Shelter 2 Attachment II city of Fort Worth Housing and Economic Development Department Expenditure Worksheet Presb terian Ni ht Shelter-ESG _ Agency: Enter enc Shelter Highlighted are the only relevant codes for this Program. Program Please rou like account codes. - ' Ezpense Line.ltem z '. AscounE Acaidhtcode ..Oescn ton' - SesKe #oRi 6t Amcuni ' ADMINISTRATIVE HOPWAOni 1001 Pa o0 Salaries 1002 `Ltte No:,Check No. FICA 1003 1 Life Insurance 1004 2 Health Insurance 1005 3 Disabilit Insurance 1006 4 Unem to ment-Sta e 1007 5 Le a18Accountin 6 .,, PROGRAM PERSO NEl 2001 7 Salaries 2002 8 FICA 2003 9 Life Insurance 2004 10 Health Insurance 2005 11 Unem to ment 2006 12 Workefs Com ensahon 2007 13 14 Retirement , gUppLIES AND SERVICES 3001 15 Su O ffice 16 lies 3002 Office E ui ment Rental 3003 17 Posia a 3004 18 Printin MISCELLANEOUS 4001 20 21 Conference 8 Seminars 4002 Construction/Buildin Materials 4003 22 Contract Labor 4004 23 Craft Su Ties 4005 24 Credit Re orts 4006 25 Fee lit Fees 4007 26 Field Tri Costs 4008 27 Food Su lies 4009 28 Milea a 4010 29 30 Teachin Aids FACILITY AND UTILITIES ' 5001 31 Teie hone 5002 32 Electric 5003 33 Gas 5004 34 Water and Wastewater 5005 35 - Solid Waste Lis osai 5006 36 Rent 5007 37 Custodial Services 5008 38 Re airs 5009 39 40 Cleanin Su lies LEGAL FINANCIAL ANDINSURANCE r 6001 41 Fidelil Bond or E uivalent 6002 42 43 Directors and Officers 6003 General Commercial Liabilit 6004 44 Le aI Fees 6005 45 Contract Accountin z, 46 AIRECTAS'SISTANGE � 7001 47 48 Childcare Scholarshi s 70 p; Counselin -Individual Sessions 700, 49 50 Counselin -Grou Sessions 700 51 Short-term Rent Assistance 700! Short-term Mort a e Assistance 700 52 53 Short-term Utilities Assistance 700 Tenant Based Rental Assistance 54 CAPITAL OUTLAY 800 55 Furniture,Fixtures 800 66 80( Com uters 57 58 Office E ui men gp( S crt and Recreation E ui ment 59 60 Total payments u applicable. -payroll must identify employee. Rent must identify tenant. Other a men should identify individuals,if app' ESG PSA CONTRACT 2014-2015 Exhibit"D"--REIMBURSEMENT FORMS Presbyterian Night Shelter z 10 °2l 0.9 a i mom a 2 3 S 8 a Z c a R �3 u b�goo Y = e=az a E W O �N m¢Qm T j °'$ m �i d C _ u.;5 �. a� uE W� O Q�6 N= J a z - d a a N� O O� W O a S N — ._ r Z v y u "9 a o Y;u fa a 4 Enk mi IE c»w DES 4a� U O � z N C N <�°ml�w �'-�����"��NNNNNNNNNNnN May A'9- nnnea0V<Vc<v Exhibit"E"—Income Certification Forms [See attached] ESG PSA CONTRACT 2014-2015--EXHIBIT"E"--INCOME CERTIFICATION FORMS 1 Presbyterian Night Shelter Presbyterian Night Shelter CERTIFICATION OF INCOME STATEMENT Applicant Name: Phone#: Current Address: Household Members and Income (Including A licant) Last Name First Name Age Monthly Source/Employer Name Income P Purposes) ❑BLACK/AFRICAN AMERICAN&WHITE **PERSONAL INFORMATION:(Check BLACK/AF1RICAN optional AMERICAN ation for Federal Reporting urp a. El MALE b.❑WHITE ❑ El FEMALE Fl AMERICAN INDIAN/ALASKAN NATIVE WHITE ❑AMERICAN INDIAN/ALASKAN NATIVE&WHITE ❑BALANCE/OTHER ❑NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER ❑ Fl AMERICAN INDIANIALASKAN NATIVE&BLACK/AFRICAN AMERICAN c. ETHNICITY d. DISABLED e. IS CLIENT WOMEN HEAD OF HOUSEHOLD ❑HISPANIC ❑YES ❑YES ]NO F1 NON-HISPANIC ❑NO one who lives in the house.) (Include Yourself AND every * TOTAL NUMBER OF HOUSEHOLD MEMBERS Total Anticipated Annual Household Income: Certification: fication at that the information I am providing is true and could be subued ct to leaverme subject t nthe l I certify t penalties of party. I also acknowledge that the provision of false information co Federal, State and local law. NY WARNING : TITLE 18,SECTION 1001 OF THE U.S.CODE STATES THAT AT MENTS TO ANY DEPARTMENT OOF FOR KNOWINGLY AND WILLINGLY MAKING FALSE OR FRAUDULENT THE UNTIED STATES GOVERNMENT. Date Signature of Applicant _________________For use b Agency sta onl ---°------ Household Size: Gross Annual Income: Applicable Income Limit: Is Applicant Eligible? Check if Applicant refused to provide demographic information: ❑ Staff Assessment of Demographics: Date: Person Making Determination: NOTE: Address, income amounts and sources for ALL household members are required. 2 ESG PSA CONTRACT 2014-2015--EXHIBIT"E"--INCOME CERTIFICATION FORMS Presbyterian Night Shelter Presbyterian Night Shelter CERTIFICACION DE DECLARACION DE INGRESOS Nombre del Solicitante: Numero de Telefono: Domicilio Actual: Miembros en el Ho gar e In resos (Incluir el/la solicitante) Edad Ingreso Fuente de Ingresos/Nombre de Empleador Apellido Nombre Mensual **INFORMACION PERSONAL:(Seleccione uno en cada categoria. Information optional para propositos de information Federal) a. ❑MASCULINO b 0 NEGROSAFRIC NO ANIERI ANO&O UCASICO O ❑FEMININO ❑INDIO AME�CpNO/NATIVO DE ALASKA ❑AUCASIO ASIATICO&CAUCASICO ❑INDIO AMFRICANO/NATIVO DE ALASKA&CAUCASICO ❑ ❑N DIO AMER ANO/f NATIOVO DE ALASKA&NEGRO/AF❑RICCANO AMERICANO ❑INDIO c. ETNICIDAD d.DISC e.DES EL SOLICITANTE UNA MUJ R S CABECERA DEL HOGAR? I ❑HISPANO ❑SI ❑NO ❑NO-HISPANO ❑NO (Incluye a si mismo y a todos los que viven en la casa) *NUMERO TOTAL DE MIEMBROS EN EL HOGAR Ingreso total del hogar anual anticipado: Certificaci6n: odria ser susceptible a la comprobaci6n a cualquier Certifico que la informaci6n que proportion es verdad y p tiempo por t erceros.Yo tambien reconozco que la provisi6n de informaci6n falsa me podria dejar sujeto a las penalidades Federales,Estatalcs y locales. •TITULO 18,SECCION 1001 DEL CODIGO DE EE.UU.oQES FALSAS O FRAUE+DULENTAS A DE ADVERTENCIA. _ UN DELITO POR SASER�N O DEL OS ERNO ESTADO N IDENSE C CUALQUIER DEPARTA Fecha Firma del Solicitante ----- -----------------Para use de em leados de la a encia----°------ Ingreso Anual: #De Miembros de Familia: �Es solicitante elegible? Limite de Ingreso: person, ❑ia Compruebe si el sI adotsobre information perr nali6n p Evaluacl0n del emp Fecha: Persona haciendo la determination: ara todos miembros del hogar son requeridos Note: La direction de la casa y los ingresos (y sus or igenes) p 3 ESG PSA CONTRACT 2014-2015--EXHIBIT"F'--INCOME CERTIFICATION FORMS Presbyterian Night Shelter Exhibit "Y' - Standards for Complete Documentation [See attached] 1 ESG PSA CONTRACT 2014-2015 Exhibit"F"--STANDARDS FOR COMPLETE DOCUMENTATIO Presbyterian Night Shelter 2014-2015 Documentation Standards for Public Service Contract Expenses a r t k C . 2"T r k' Y k- l } a' M t .E a :x g E `No[esf0#hoF ... _ - Bid �tt3neitems EM 1Oy88 Saianes`and�eXetS : If an employee wori s solely with ConVact ehgibie clients and solely on contract eligible dams then the employees entire salary is eligible for Salaries reimbursement.Twice in each calendar year,the client must submit a vmlten statement verifying that the above conditions are Still We.The statement must also be signed be a person authorized to sign on behalf of the agency. If an employee works on a variety of programs,orworks with a mixture of Contract eligible Giants and non-eligible clients,then the City will only reimburse for a reasonable portion of the employee's salary.Each reimbursement request must include not only the employee's est smust but also a work all funding log I'f separahe emesheee'sare kept project a n'g souorce,all such stlmesheets mustibe submitted to City mesheels must reflect 'if employees are paid by direct deposit rather than check,then the agency must submit both the direct deposit payment company$report(such as an ADT report)and a bank statement or check showing payment to the direct deposit c thays the employer portion, en the employer must show a calculation and If the City pays gross salary, this is already included.If the City p FICA/Medicare documentafion of how the invoiced amount was calculated antl inGUde documentation shovrin amen. If the City pays gross salary,this is already included.If we pay the employer portion,then the employer must show a calculation and Life Insurance documentation of how the invoiced amount was calculated,must include an invoice from the insurer,an ust include documentation showing d m a ment. If the City pays gross salary,this is already included.If we pay the employer podion,then the employer must show a calculation an Health Insurance documentation of haw the invoiced amount was calculated,must in an invoice from the insurer,and must include documentation showing a merit. If the City pays gross salary,this is already includetl.If we pay the employer portion,then the employer must show a calculation an Disability documentation or how the invoiced amount was calculated,must include an invoice from the insurer,and must include documentation shovring insurance a ment. then the employer must show a calculation and If the City pays gross salary,this is already included.if we pay the employer portion, Unemployment documentation of how the invoiced amount was calculated and must include documentation showin a ant. Insurance docu pay gross salary,this is already included.la f pay the employer portion,then the employer must show a calculation and documenlaeon of Retirement how the invoiced amount was calculated,must n';1 nclude documentation showing payment,and poor to the first reimbursement,must incude the ersonnel olic re ardin retirement benefits. pf'Ofe58lOR8TS8ryiCe5 ! If an audit is required because federal funds exceed$500,000,then the cost should be split evenly by all federal funding sources. Accounting X X X , Fx enses Materials E`ul men Goods M S I lies Office Su lies x X X Office Equipment X X Rental The agency should maintain mformaeon regarding mailouts.If the agency has a Pitney Bowes machine t like postage machine,the records o Postage x X x that machine must be on file.Likewise,if mail is categorized by payment source,then those records must be on fife.For large mailouts,the agency should kee am of the letter and a list of all addressees. Printin X X X This category is only available for REACH. Construction 8 X X Buildin Materials X X X Sport and Recreation E ui ment X Cleanin Su Iles X X X _ Teachin Aids X X s - Craft Su lies X X X .. -, ,: _, .- Food Su ties X X X - TtaVei and(Field Tri X+X' In addition to admission expenses food expenses will also be allowed so long as the agency has a w tten policy stating that food and drinks are Field Tnp routine purchases on all field trips,not just Contract-funded field trips. Admission Ex enses :Reef Utilltie§and Maintenance-if the foliowin'ex enses are'aid for a facillt that is used fog Our er u° oses besides the Contrast ro ram,theh the bills must. T.I. hone X X _ Gas X X Water/Wastewater X X Electric Solid Waste X X Di$oral x X X Facility Maintenance and Re airs If services are rovided er a contract a tint vnii rovide contract instead of invoices Custodial Services X X Rent Miscetlaneous ." X "x " x Contract Labor Insurance X X Required Under the Contract City requires that the agency submit its fee schedule,showing a breakout of income levels,and for each level a breakout of the portion of e Childcare expense to be paid by family and the portion to be reimbursed by the City.This fee schedule is required prior to the first payment.We also require Scholarships the income eligibiity of each household so that we can determine if we are being changed in conformance with the fee schedule.If the fee schedule changes at any time during the contract year,the agency must notify City and provide a new schedule within 30 days of the change- the of payment effective October 1,2014: Payments or Expenses must be documented in the following manner. A)Image of the check AND bank statement showing the check cleared the bank-,OR, 8)Image of the cancelled check(ex.At end of bank statement);OR, roll;OR, C)Payroll"Advace"or Statement AND Bank Statementt I eel endorr OR bank statement. D)For wire or e-transfers:Reciept or statement from pay ESG PSA CONTRACT 2014"2015 Exhibit"F"—STANDARDS FOR CODIPLETE DOCU1bIENTATION Presb}2erim Night Shelter EXHIBIT "G" SECTION 3 REPORTING FORMS [See attached] ES G PSA CONTRACT 2014-2015 --EXHIBIT"CT"—SECTION 3 REPORTING FORMS Presbyterian Night Shelter EXHIBIT "G11 OMB Approval No: 2529-0043 Report U.S.Department of Housing (exp.11/3012010) Section 3 Summary p and Urban Development Economic Opportunities for Office of Fair Housing HUD Field Office: Low—and Very Low-Income Persons And Equal Opportunity Section back of page for Public Reporting Burden statement 2.Federal Identification: (g rant no.) 3.Total Amount of Award: 1.Recipient Name&Address: (street,city,state,zip) 5.Phone: (Include area code) 4.Contact Person 7.Repoding Period: 6.Length of Grant: 10. Program Name: g.Program Code: ( rate sheet code) 8.Dale Report Submitted: for each E F Incit C D Number of Section 3 B %of Total staff Hours Trainees Part I: Em to went and Trainin "ColumnerB,C aNd�F aroeN mandator of Alggsegate NumbeNeW Hlrefor Section 3 Employees Numb of Staff Hours of New Hires and Trainees New Hires Hires that are that are Sec.3 Residents Job Category Sec.3 Residents Professionals Technicians Office/Clerical Construction by Trade(List) Trade Trade Trade Trade Trade Other List Total 8=CDBG State Administered 4=Homeless Assistance g=other CD Programsrams 3=Public/Indian Housing 5=HOME 10=Other Housing Prog Program Codes A=Development, 6=HOME State Administered 1=Flexible Subsidy B=Operation 7=CDBG Entitlement 2=section 2021811 C=Modernization form HUD ef 24 CF 0135) Page 1 of 2 part It: Contracts Awarded 1. Construction Contracts: $ A. Total dollar amount of all contracts awarded on the project B. Total dollar amount of contracts awarded to Section 3 businesses o� C. Percentage of the total dollar amount that was awarded to Section 3 businesses D. Total number of Section 3 businesses receiving contracts $ 2. Non-Construction Contracts: ro ectlactivity A. Total dollar amount all non-construction contracts awarded on the p J $ B. Total dollar amount of non-construction contracts awarded to Section 3 businesses C. Percentage of the total dollar amount that was awarded to Section 3 businesses D. Total number of Section 3 businesses receiving non-construction contracts Part 111: Summary ortunities generated by HUD financial aarticularlyfthose who toward low and very low-income persons,p Indicate the efforts made to direct the employment and other economic opportunities to the greatest extent feasible, rominently displayed at the project site, and community development programs, Check all that apply) are recipients of government assistance for housing. ( h local advertising media,signs p public or private agencies operating within the metropolitan area or Attempted to recruit low-income residents s an or project is located,or similar methods. or anizations and p or employment promotes the training to ment of Section 3 erns dents. contracts with the community 9 nonmetropolitan county)in which the other P arn which program ro ram or other p gram which promotes the award of contracts to business concerns which s located. Participated in a HUD p 9 participated in a HUD program or other pro g definition of Section 3 business concerns. with Youthbuild Programs administered in the metropolitan area in which the Section 3 covered project Coordinated wit Other;describe below. e 2 hours per response,including the time for reviewing instructions, and completing and reviewing athe s a collection of al'd OMBion. Public rep and maintaining the data needed, nd this form,unless it disp Y orting for this collection atherinmation is estimated to avera searching existing data sources,gathering you are not required to comp This agency may not collect this information, Depart' ensures that number. as amended,12 U.S.C.1701u,mandates that the programs n 3 of the Housing and Urban Development Act of 1968, level assistance housing. The regulations are Section ortunities generated by its housing and community development assistance programs are directed Sec recipients'compliance with Section 3,to -- employment and other economic cP1 ons,particularly those who are recipients of government to repave reports to Congress,and by toward low-and very-10w income p the Department to monitor program found at 24 CFR Part 135. The information will be used by ib rams covered by Section 3. The the results of the Department's efforts to meet the statutory objectives of Section 3. p of the Fair Housing Act assess data is entered into a database a will be development prop am e)(6)of the it information recipients as self monitoring tool. The its reporting requirements under Section involves recipients receiving Federal financial assistance for housing an persona identifyin information will be collected annually to assist HUD in meeting applicable to this form. The Privacy Act of 1974 and O t applicable. The reporting requirements do not contain sensitive questions. Data is cumulative;p and Section 916 of the HCDA of 1992. An assurance( confidentiality o not app Circular A-108 are not information is not included. form riuoROO42��R�31 Page 2of2 Report,Economic Oppo�unities for Low-and Very Low-Income persons. Form HUD-60002,Section 3 Summary p g. Program Code: Enter the appropriate program code as listed at the bottom of the page. ram corresponding Instructions: This foi employment and other economic 9. Program Name: Enter the name of HUD program accomplishments regarding low-income persons under with the"Program Code"in number 8. opportunities provided to low-and very and Training Opportunities Section 3 of the Housing and Urban Development Act of housing The Part I: Employment Section 3 regulations apply to any public and Indian housing pursuant to Column A: Contains various job'a k9cwledge of an occupation(i.e, programs that receive: (1)development assistance p defined as people who have special and computer 2 operating assistance ors,planners, rovide list each trade and Section 5 of the U.S.Housing Act of 1937;Housing Act of 1937;or(3) supervisors,architects,survey pursuant to Section 9 of the U.S.Housing programmers). For construction F ior positions, wherre persons were of the U.S.Housing modernization grants pursuant to Section nd community development data in columns B through ations such as of 1937 and to recipients of housing housing employed. The category of"Other"includes occup assistance in excess of$200,000 expended for: (1) service workers. Field Enter the number of new hires for rehabilitation(including reduction and abatement othe public construction Column B: (Mandatory ) hazards);(2)housing construction;or( ) each category of workers identified in Column Ain connection with projects;and to contracts and subcontracts in excess of$100,000 at the time of selection for the awarded in connection with the Section-3-covered activity. this award. New hire refers to a person who is not on the contractor's arts,which are to be completed for or recipient's payroll for employment Form HUDe e002 has three p /o ment Section 3 covered award or at the time of receipt of Section 3 covere all programs covered by Section 3. part t onto determine numerical assistance. Field) Enter the number of Section 3 new and training.The recipient has the op Column C: (Mandatory employmenUiraining goals either on the basis ofPtait liuof he form hires for each category of workers identified it Column A in worked by new hires(columns B,D,E and F). resident)who!is not on the contractor's or recipienrsrpayroll Section relates to contracting,and Part 111 summarizes recipients'efforts to at the time of selection for the Section 3 covered award or comply with Section 3. employment Recipients or contractors subject to Section 3 requirements must at the time of receipt of Section 3 covered assistance. maintain appropriate documentation to establish liipment programs were assistance for housing and community Column D: Enter the percentage of all the staff hours of new hires ow-income persons.' A recipient of (Section 3 residents)in connection of hettotal staff hours worked for directed toward low-and very of this report to Column E: Enter the p new hires)connected Section 3 covered assistance shall submit one copy Opportunity- Section 3 employees and trainees(including HUD Headquarters,Office of assistance Housing and s anlanual with this award. Include staff hours for part-time and full-time Where the program providing report is to be submitted at the positions. performance report,this Section 3 Column F: (Mandatory Field) Enter the number of Section same time the program performance report is submitted. Where an residents that were trained in connection with this award. annual performance report is not required,this Section 3 report is to be Part e Contract Opportunities submitted by January 10 and,if the project ends before December 31, letion. Only Prime Recipients are Block 1: Construction Contracts within 10 days of project comp Item A: Enter the total dollar amount of all contracts awarded on the required to report to HUD. The report must include project/program. accomplishments of all recipients and their Section 3 covered project/progr r t that were awarded to Section 3 businesses. acts contractors and subcontractors. Item B: Enter the total dollar amount of contracts connected with this HUD Field Office: Enter the Field Office name. Item C: Enter the percenage the atota�dedato Section 3 busitnesses. 1. Recipient: Enter the name and address of the recipient connected with this project/program awards. submitting this report. ears on the Item D: Enter the number of Section 3 businesses receiving th number that 2, Federal Identification: Enter The award may be a grant, Block 2: Non-Construction Contracts award form(with dashes). Item A: Enter the total dollar amount of all contracts awarded on the cooperative agreement or contract. project/program. Item B: Enter the total dollar amount of contracts connected with this 3, Dollar Amount of Award: Enter the dollar amount,rounded to the project awarded to Section 3 businesses. r amount of contracts nearest dollar,received by the recipient. Item C: Enter the pert ecVgrogrameawarded ao Section 3 businesses. 4&5.of the person with Pknowle knowledge he award a and and the etelephone pient'sbef awards. implementation of Section 3. connected with this p J P Reporting Period: Indicate the time period(months and year) Item D: Enter the of Efforts Section Self-explanatory es receiving g, Rep Part III: Summary this report covers. date. 7, Date Report Submitted: Enter the appropriate The Secretary may establish income ceilings higher or lower s f nd ngs sou hthat percent Submit one(1)COPY of this report to the HUD Headquarters Office of the! levels of construction costs Equal opportunity,at the same time the of the median for the area ec the basis of the! persons mean Fair Housing and Eq pp variations are necessary because of prevailing 10. Include only contracts executed or unusually high-or low- families. Very hosenn incomes not performance report is submitted to the program office. The Section single Persons) report is submitted by January low-income families(including as determined by the during the period specified in item 8. PHAsIIHAs are to report all exceed 50 percent of the median family income area, contractstsubcontracts. Secretary with adjustments or smaller and larger families,except that the persons"and very low-income persons"have Secretary may establish income ceilings higher or lower findangs that such f * The terms"low income p 2 of the United the median for the area on the basis of the Secretary' the same meanings given the terms in sectiper persons families States Housing Act of 1937. Low-income p percent of variations are necessary because of unusually high or low family incomes. (including single persons)whose incomes d ermaned not exceed by the Secretary, the with the median income for the area, adjustments for smaller and larger families,except that form HUD 0 60 Ref 24 GFR 135 page EXHIBIT ''H'I MATCH REPORT [See attached] 1 ESG PSA CONTRACT 2014-2015—EXHIBIT"H"—MATCH REPORT Presbyterian Night Shelter CITY OF FORT WORTH HOUSING AND ECONOMIC DEVELOPMENT DEPARTMENT EMERGENCY SOLUTIONS GRANT nt is designed to document proposed sources and to assess compliance with the This attachme match portion at 24 CFR 576.51. ESG funds are required Emergency Shelter Grant (ESG) ear allocation. matched dollar-for-dollar for each program y City of Fort Worth ESG Funds $_._____--- Agency ESG Match$ 1. SOURCES OF LOCAL MATCH: DBG,County FEMA,etc.) Other Federal(including pass-through funds,e.g.,City C MATCH AMOUNT MATCH SOURCE TOTAL MATCH $ 2. STATE/LOCAL GOVERNMENT FUNDING: (e.g.,State Housing Trust Funds,Local Assessment,etc.) MATCH AMOUNT MATCH SOURCE TOTAL MATCH $ 3.PRIVATE (including recipient)FUNDING: MATCH SOURCE MATCH$AMOUNT Fund Raising/ Cash $ Loans Building Value or Lease Donated Goods $ 2 ESG PSA CONTRACT 2014-2015—EXHIBIT"H'—MATCH REPORT Presbyterian Night Shelter $ Donated Computers New Staff Salaries Volunteers ($5/hr) Volunteer Medical/Legal $ TOTAL MATCH Comments: knowledge and belief,the data agency,has been approved by the governing hereby, gives assurance that to the best o my CERTIFICATION: The undersigned, anon-profit ag y� included in this report is true and accurate,and if submitted by riot to submission.The match funds 110 CFR 84.23'(a)report are not included as contribution body of the organization p as required y for any other federally assisted project or program Phone Number: Date: Submitted by: 3 ESG PSA CONTRACT 2014-2015—EXHIBIT"IT'—MATCH REPORT Presbyterian Night Shelter EXHIBIT"I" ESG Staff Certification Form [See attached] G PSA CONTRACT 2014-2015—EXHIBIT"I"—ESG STAFF CERTIFICATION FORM 1 ES Presbyterian Night Shelter City of Fort Worth ON OF ELIGIBILITY FOR ESG FINANCII n ASSISTANCE or STAFF CERTIFICATI en must submit:(I)client documents on initial reimbursement to approve reimbursement for any client,ag cY 1 4 must be submitted up Instructions:In order for City co of lease;and(4)this completed form.O-( ) self-certification);(2)documentation of homelessness;(3) py request for assistance for ON ONLY:(1)-O P y HOMELESS PREVENTION 4 u on agent request for reimbursement for the 4th month of rent for a client(excluding arrears). 1.General Information Age: Head of Household Name: Age: Names of Other Household Members: Age: Age: Age: Age: o ? Yes❑ No El NIA(Rapid Rehousinglnitial Evaluation Only)❑ Household Income is less than 30%AMI No❑ Client Lacks Resources/Support Networks? Yes❑ Rent Arrears❑ Utility El Deposit(s) Types) ❑ Of ESG Financial Assistance: Rent❑ Unit Address(must be in City of Fort Worth): 2. other ESG Re uirements Yes❑ No❑ Lease in agency file? ❑ No❑ �e Housing Choice Voucher)? Yes Client receives NO other rental subsidy( file? Yes❑ No Rental Assistance Agreement between landlord and agency in agency Unit Number of Bedrooms: Fair Market Rent(FMR)&Rent Reasonableness: Area FMR Limit(as published by HUD): Unit Rent per lease: Unit meets Habitability Standards? Yes Date of Inspection: N o❑ re-1978 housing unit,AND(3)child under 6 in household. 3 Lead Safe Housing: Applicable Nvkcr.(1)providing ESG rental assistance for more than 3 months excluding arrears,(2 p Not Applicable ❑ Visual Inspection Indicates Unit and Property Free of Deteriorated Paint? arrests): Number of Months Rental Assistance Provided(excluding No❑ Yes❑ Year Housing Unit Built: l .Want/h0010/1.cfrn Name of Visual Assessor*: - *For named,agency must have on file a certificate of completion of HUD's Visual Assessment Course h //www hod ov/offices/lead/traininQ v p below certifies to the following: (1)To the best of my knowledge,the program participant named above meets ale Person signing (ESG). 2 To the best of my knowledge and ability,all of ersonal information ie (4)To the best of Required certifications: Each p Solutions Grant(E ) O 5 I understand that frau i am not related to the program participant through family,business determination.other p requirements to receive assistance under the Emergency financial benefit for this eligibility nished under al laws to include,but not lim eligibility determination is true and complete.(3) knowledge, neither I nor anyone related to me has received or will receive any S.C.641 (6)I understand that if any of these certifications is found to be false,I will be subject to criminal,civil and administr� investigated by the Department of Housing and Urban Development,Office of Inspector General,and may it p to, 18 U.S.C. 1001 and penalties and sanctions. Date: ESG Staff Signature: Date: ESG Supervisor Signature: 2 ESG PSA CONTRACT 2014-2015—EXHIBIT I —ESG STAFF CERTIFICATION FO Presbyterian Night Shelter EXHIBIT J—ESG PERFORMANCE STANDARDS Emer en c Solutions Grant Performance Standar s o / tcome Activi ut ou Street Outreach Number of persons: Placed in shelter or safe havens With more non-cash benefits at program exit - Receivin case management Emergency Shelter Number of persons: Exiting to temporary/transitional housing destinations - Exiting to permanent housing destinations - Receiving case management b Numer of persons: Homelessness Who maintained their permanent housing for 3 months Prevention - Exiting to permanent housing destinations - With higher income at program exit With more non-cash benefits at program exit - Receiving case mana ement Rapid Re-Housing Number of persons: - Who maintained their permanent housing for 3 months - Exiting to permanent housing destinations - With higher income at program exit With more non-cash benefits at program exit - Receivin case mana ement In order to successfully record performance outcomes,n non-domestic system agencies must a household is enrolled in an ESG program, the HUD complete an initial HUD Intake Assessment Exit UMIS system program. Performance Mid-Program Assessment, and the IIiJ outcomes will be reported to the City using the HMIS generated ESG reports. Domestic Violence Organizations will provide the same data utilizing their similar data systems. Reassessments are required for program participants receiving homelessness prevention assistance and rapid re-housing assistance. Parttcmu t be reassessed at least must be reassessed monthly; rapid re housing participants quarterly. All participants must receive an exit assessment and enter it into HMIS or a comparable-level database. ESG PSA CONTRACT 2014-2015—EXHIBIT"J"—ESG PERFORMANCE STANDARDS 1 Presbyterian Night Shelter EXHIBIT 46J-111-Written Standards for ESG Assistance Individuals and families eligibility. Households of homelessness.e Households holds shelter receiving homelessness assistance must meet HUD's revised definition " have incomes at or below prevention assistance must meet the definition of"at risk of homelessness , 30% AMI, and lack sufficient resources and support networks t Individualsnrecevuggrapid S e-housing individuals and households must reside in the City o of Fort Worth. Agencies will conduct initial assistance must be housed to a unit located in the City me prevention recipients, and yearly,to rap evaluation of clients to determine program eligibility, and id re- kind of assistance needed. Agencies will re- evaluate quarterly the assistance provided to h o housing clients. Re-evaluation will ascertain that:us n annual assistance. Annual Mincomeseare lack resources and support networks to retain g established per 24 CFR 5.609. All clients must receive an exit assessment that will then be entered into HMIS or comparable database. To receive ESG funds, an agency has to be an active Coordination among emergency shelters homelessness prevention, rapid re-Izousing, and other the homeless assistance and housing provadeThe CoC leads the coordination among agencies to assist member of the Continuum of Care (CoC). and coordinates resources to improve current homeless and prevent homelessness. It also engages programs and funding strategies. Determining and prioritizing homelessness s will determine prioritization am among eligible clients. This housing and homelessness prevention providers the share of should be based on a risk assessment. Priorit1eatuo�eshoumanent supportive housing; and 2 ith chil ren, and elderly and disabled persons who do not q p rent and utilities costs that each client must pay, if any,while receiving homelessness prevention or rape re-housing assistance. The City recommends that clients share in rent and utility costs, unless there are reasons for receiving 100%ESG-assistance. Duration of rental assistance. Per §576.103 and §576.104, agencies shall provide clients for no more rental than 24 months, during any 3-year period with inat on tthereofTeShort termarenta] assistance isllimited assistance, payment of rental arrears, or any comb to 3 months. Medium-term rental assistance exttend nt for up to 6 months s of rent in arrears,4includ ng Payment of rental arrears consists of a one-trine p y any late fees on those arrears. Type, amount, and duration of housing stabilization duan of housing stabilization sand/orerelo relocation services establish standards for the type, amount, and of extend ear period. provided, acknowledgng that servicservicesnnclude financialoassistance(moving costs,within rental application Housing relocation and stabilization menu and services (housing fees, security deposits, last month's rent, utility deposits and utility payments), services, and credit -- - - search and p lacement, housing stability and case management, mediation, leg repair.) The amount and type of assistance provided shall aim at clients becoming of assist ESG provided. City shall have access to documentation that supports the amount and type ESG PSA CONTRACT 2014-2015—EXHIBIT"J-1"—Written Standards for ESG Assistance 1 Presbyterian Night Shelter 11/18/2014 M&C Review Official site of the City of Fort Worth,Texas CITYY COUNCIL AGENDA F�R� TWORTtI COUNCIL ACTION: Approved on 815/2014-Ordinance No. 21363-08-2014 CONTINUED FROM A PREVIOUS WEEK DATE: 7/22/2014 REFERENCE C-26893 LOG NAME: 17HUDACTION PLAN PY2014- N O.: 2015 CODE: C TYPE: NON- PUBLIC YES CONSENT HEARING: SUBJECT: Conduct Two Public Hearings and Approve the City's Action Plan for the Use of Federal Grant Funds in the Amount of$9,827,252.00 from the United States Department of Housing and Urban Development for Program Year 2014-2015 from the Community Development Block Grant, HOME Investment Partnerships Program, Emergency Solutions Grant and Housing Opportunities for Persons with AIDS Grant Programs, Authorize Collection and Use of Program Income,Authorize Waiver of Application of Indirect Cost Rates, Authorize Execution of Related Contracts and Interdepartmental Letters of Agreement and Adopt Appropriation Ordinance (ALL COUNCIL DISTRICTS) RECOMMENDATION: It is recommended that the City Council: 1. Conduct two public hearings to allow citizen input and consideration of the City's 2014-2015 Action Plan for use of federal grant funds from the United States Department of Housing and Urban Development in the amount of $9,827,252.00 for Program Year 2014-2015 from the Community Development Block Grant, HOME Investment Partnerships Program, Emergency Solutions Grant and Housing Opportunities for Persons with AIDS grant programs and for the use of program income from activities using prior years'federal grant funds; 2. Approve the City's 2014-2015 Action Plan for submission to the United States Department of Housing and Urban Development including allocations of grant funds to particular programs and activities as detailed below; 3. Authorize the collection and use of an estimated amount of$50,000.00 of program income resulting from activities using prior years' Community Development Block Grant funds for the programs and activities detailed below; 4. Authorize the collection and use of an estimated amount of$100,000.00 of program income resulting from activities using prior years' HOME Investment Partnerships Program funds for the City's Homebuyer Assistance Program; 5. Authorize the City Manager or his designee to execute contracts and Interdepartmental Letters of Agreement for a one year term with the agencies listed below in Tables 1, 2 and 3 for Program Year 2014-2015 for Community Development Block Grant, Emergency Solutions Grant and Housing Opportunities for Persons with AIDS grant funds, contingent upon receipt of funding; 6. Authorize the City Manager or his designee to extend the contracts and Interdepartmental Letters of Agreement for up to one year if an agency or department requests an extension and such extension is necessary for completion of the program, or to amend the contracts and Interdepartmental Letters of Agreement if necessary to achieve program goals provided any amendment is within the scope of the program and in compliance with City policies and all applicable laws and regulations governing the use of federal grant funds; http://apps.cfwnet.orgtcouncil_p2ckettmc_review.asp?ID=20027&councildate=8/5/2014 1/6 M&C Review 1111812014 8. Authorize a waiver of indirect cost rates as applicable for the Grants Fund, in accordance with the City's Administrative Regulations; and appropriation ordinance increasing the estimated receipts and appropriations to 9. Adopt the attached app ro p the Grants Fund in the total asmo 2 143,383 007 in HOME Investment Partnerships 00Program funds, Development Block Grant funds, $ g opportunities for $493,901.00 in Emergency Solutions Grant funds and $996,018.00 in Housin Opp Persons with AIDS grant funds, plus any program income, all subject to receipt of such funds. DISCUSSION: marizes The City's Annual Action Plan use of federal tg ant funds totaling and$9 ,827,252.00 frrom the United States and proposed expenditures for Community Development Block Grant Department of Housing and P IrtnersDhe self ogram((HOME),rEmergency Solutions Gran (ESG) and (CDBG), HOME Investment p rant ro rams for the program year beginning Housing Opportunities for People with AIDS (HOPWA) g p g October 1, 2014 and ending September es using This and HOME funds.summarize The purpose of program income resulting from ac g these grant funds is to leprimarily s p sonsnanld low HOPWA moderate primarily benefiting persons with HIV AIDS. primarily benefiting homeless per and Staff developed recommendations for the allocation of the estimated fu ding to he CitDy Coup Isat the them to the Community Development Council (CDC) on May Pre-Council meeting on June 10, the Fort 0r-day on June public comment 28,period 2014.from Any comments July 31, 2014 was published t Worth St received will be maintained City will hold two public ohear'Dgseaspparttof thpe HUDtrequired accordance with federal regulations. participation process, the first on July 22, 2014 and the second on public hearings were held on June 214, Council is scheduled to approve the Action Plan. In addition, p g 2014 at 10:00 a.m. and 6:00 p.m. for citizens to provide comment on the proposed list of neighborhood streets eligible for reconstruction using CDBG funds. summary of the CDC's funding recommendations provided l Tables s preadsheet of all specific funding ecomm ndatons s attached The Action Plan must be submitted to HUD by August 15, 2014. For Program Year 2014-2015, it 00 recommend programein co be allllo ated as 0 follows: funds lows: and the estimated amount of$50,000-00 Public Services -$929,092.50 This item includes social services for low to moderate income, disabled and disadvantage populations. Housing Programs and Services -$2,150,600.00 buyer and This item includes funding for the City's fications o pairhomes of senioroand/or disab le,dhindividuals and housing services and accessibility related project delivery costs for these programs. CDBG Match Funds -$500,000.00 This item includes match funds for the Lead Grant program. Infrastructure Services -$638,126.80 This item includes funding for reconstruction of neighborhood streets. CDBG Economic Development-$737,340.70 This item is the City's annual payment on its Section 108 loan from HUD. 2/6 http://apps.cfvjnet.or&ouncil.packet/mc review.asp?ID=20027&councildate=8/5/2014 11/18/2014 M&C Review CDBG Estimated Program Income-$50,000.00 The CDC recommended allocating any CDBG program income for the reconstruction of neighborhood streets. CDBG General Administration -$1,238,790.00 This item includes costs for administering the CDBG grant including allocations for Financial Management Services, Internal Audit and Transportation and Public Works Departments. For Program Year 2014-2015, it is recommended that the amount of $2,143,383.00 in HOME funds and the estimated amount of$100,000.00 of HOME program income be allocated as follows: Homebuyer Assistance Program -$1,097,405.70 This items includes funding for down payment and/or closing cost assistance to low and moderate income homebuyers. Community Development Housing Organizations (CHDO) Set Aside -$321,507.40 HUD requires that a minimum of 15 percent of HOME funds be allocated to CHDOs for affordable housing projects and CHDO administrative operating costs. These funds will be used to complete the Hillside Morningside Neighborhood Single Family Infill Development which will result in the construction of up to 17 single family houses by the Tarrant County Housing Partnership CHDO. Multifamily Development-$510,131.60 Funding will be used for the Columbia at Renaissance Square, an approximately 140-unit mixed income development, with 28 market rate units. The rest of the units will provide quality affordable housing to Fort Worth families with incomes at or below 80 percent of Area Median Income. The development will be located at 3801 W.G. Daniels Drive in Council District 8. HOME General Administration -$214,338.30 This item includes costs for administering the HOME grant. HOME Estimated Program Income -$100,000.00 The program income will be used in the City's Homebuyer Assistance Program. For Program Year 2014-2015, it is recommended that the amount of$996,018.00 in HOPWA funds be allocated as follows: Non-Profit Service Providers -$966,137.46 HOPWA Program Administration -$29,880.54 For Program Year 2014-2015, it is recommended that the amount of $493,901.00 in ESG funds be allocated as follows: Non-Profit Service Providers -$456,858.42 ESG Program Administration -$37,042.58 The CDC and Staff recommend that contracts be executed with the agencies listed below in the amounts shown in the following tables: Community Development Block Grant: http://apps.cfwnet.org/council_packet(mc_review.asp?ID=20027&councildate=8/5/2014 3/6 M&C Review a 11/180014 Table 1 -CDBG Agencies rogram moun rganiza ion 75,000.00 Women's Center of Tarrant County Senior Services Senior Citizens of Greater Tarrant Senior Services $ 93,092.50 County 50,000.00 YMCA of Metropolitan Fort Worth Child Care Services $ YWCA of Fort Worth and Tarrant Child Development $ 50,000.00 County 50,000.00 Childcare Associates Child Care Services_$ Youth Services $ 75,000.00 Girls Inc. of Tarrant County 75,000.00 Camp Fire Youth Services � Youth Services $ 75,000.00 Lena Pope Home 000.00 Ladder Alliance Employment/Job Training $ 75, Housing Counseling & $ 124,000.00 Tarrant County Housing Partnership Education Case Management/Main $ 82,000.00 Presbyterian Night Shelter Shelter Nome-delivered Meals $ 105,000.00 Meals on Wheels of Tarrant County Program CDBG Public Service Subtotal $ 929,092.50 *REACH Resource Center on Need-Project Ramps $ 75,000.00 Independent Living $1,004,092.50 Total CDBG Contracts *REACH will be funded from the CDBG Housing Programs budget. Housing Onportun ities For Persons With AIDS: Table 2 -HOPWA Agencies Organization Program Amount Tarrant County Administration (seven percent) and Supportive Services $409,380.46 Samaritan Housing, Inc. AIDS Administration (seven percent), Supportive Services, Outreach Term R e t Mortgage and Utility AssB $556 ,757.00 Center, Inc. tance (STRMU) TOTAL $966,137.46 HOPWA Contracts Emeraency Solutions Grant: Table 3 -ESG Agencies 4/6 http://apps.cfwnet.org/council—packetimc review.asp?ID=20027&councildate=815/2014 M&C Review 11/18/2014 Organization Program Amount SafeHaven of Tarrant County Shelter Services $ 85,065.00 Presbyterian Night Shelter Shelter Services $ 95,544.00 Day Resource Center for the Shelter Services $115,732.00 Homeless The Salvation Army, a Georgia Homelessness Prevention/Rapid Re- $ 43,136.00 Housing Corporation Homelessness Prevention/Rapid Re- $117,381.42 Catholic Charities of Fort Worth Housing $456,858.42 TOTAL ESG Contracts These programs are available in ALL COUNCIL DISTRICTS. FISCAL INFORMATION/CERTIFICATION: The Financial Management Services Director certifies that upon approval of the above unds, funds recommendations, adoption of the attached appropriation ordinance the Gecei Fundrant f will be available in the current operating budget, as appropriated, TO Fund/Account/Centers FROM Fund/Account/Centers GR76 451727 01720 i720XXX 86 193 950.00 GR76 5XXXXX 01720672OXXX $6 19 Q GR76 451727 017206721 XXX 2 1400 GR76 5XXXXX $2,143,383.00 017206721 XXX GR76 451727 017206723XXX $493 901 0D GR76 5XXXXX 017206723XXX $493 901.00 GR76 451727 017206724XXX $9968996 018.00 GR76 5XXXXX 017206724XXX $996 018.00 GR76 476091 01720672OXXX 850 000.00 GR76 5XXXXX 01720672OXXX 50 000.00 GR76 476076 017206721XXX 8100$900 000.00 GR76 5XXXXX 017206721XXX ;$100 000.00 Submitted for City Manager's Office bv: Fernando Costa (6122) Originating Department Head: Jay Chapa (5804) Cynthia Garcia (8187) Additional Information Contact: Leticia Rodriguez(7319) 5/6 http:/tapps.cfwnet.orgicounci I_packeVm c_review.asp?ID=20027&councildate-8/5/2014 11/18/2014 M&C Review ATTACHMENTS 17HUDACTIONPLANPY2014-2015 AO 2014.docx _Action Plan 14-15.1) PROPOSED 2014 CDBG Streets Attachment.13df 6/s http://apps.cfwret.orgicouncil_packetlmc review.asp?ID=20027&councildate=815/2014