HomeMy WebLinkAboutContract 25922 STATE OF TEXAS § CITY SECRETARY c ' '
CONTRACT NO.
COUNTY OF TARRANT §
THIS contract is made and entered into by and between the City of Fort Worth ("City"), acting and
through Charles Boswell, its duly authorized Assistant City Manager, and Cornerstone Assistance Network
("Contractor"), by and through, Mr. Mike Doyle, its duly authorized agent, Contractor's business address
is, 6924 Glenview Drive, Fort Worth, Texas 76180.
WHEREAS, the City of Fort Worth has been notified that it will receive grant monies from the United
States Department of Housing and Urban Development ("HUD") through the Emergency Shelter Grant
Program ("ESGP") contained in Title IV of Stewart B. McKinney Homeless Assistance Act (PL 100-77)
for Year 2000-2001; and,
WHEREAS, the purposes of the ESG Program are to provide for the benefit of homeless citizens of
Fort Worth; and, for the rehabilitation or conversion of buildings for use as emergency shelter for the
homeless, for the payment of certain operating and social service expenses in connection with emergency
shelter for the homeless, and for homeless prevention activities. The Emergency Shelter Grants Program
authorized by the Homeless Housing Act of 1986 is contained in 24 CFR part 575.
WHEREAS, the citizens of Fort Worth and the City Council of Fort Worth have determined that
homeless assistance services are needed in Fort Worth;
NOW, THEREFORE, THIS AGREEMENT FURTHER WITNESSETH:
THAT, the parties covenant and agree as follows:
1. Scope of Services
a. Contractor will administer services to citizens of the City of Fort Worth under the program name
New Life Center Program ("Program"), for the term 1 June, 2000 to 31 May, 2001.
b. Contractor will provide the services and activities delineated in Exhibit A, Program Summary in
accordance with Exhibit B, Program Services Schedule.
c. City will monitor the performance of the Contractor against the goals and performance standards
required herein. Substandard performance as determined by City will constitute non-compliance with
this Agreement. If action to correct such substandard performance is not taken by Contractor within a
reasonable period of time after being notified in writing by City, contract suspension or termination
procedures will be initiated.
2. Funds -Disbursement
City will disburse ESGP Year 2000-2001 monies in an amount up to $16,750 to Contractor on a
reimbursement of expenses basis.
2000-2001 ESGCNT May 16,2000
by a duly authorized agent of Contractor and submitted by the 15`h of the month following the month
being reported. The City is under no obligation to authorize payments for expenditures which occurred
prior to the first day of the month for which the report is submitted.
b. Performance Reports
Contractor will submit to City on a monthly basis: (1) Attachment IV and (2) Attachment IV(A),
Program Services Report to City for services and activities accomplished by Contractor in performance
of this contract. The report will be signed by a duly authorized agent of Contractor and submitted by
the 15ffi of the month following the month which is reported.
6. Reversion of Assets
a. Contractor agrees to return to City any ESGP funds remaining on hand at the end of the Contract.
b. All property purchased with ESGP funds under this contract will be used solely for operation of the
Program. Contractor agrees to obtain City approval prior to purchase of property. Contractor agrees
to notify City upon receipt of property so that it may be properly tagged and inventoried. Title to such
property will be vested with the City, and, at the termination of the Program for which ESGP funds
have been received, Contractor will deliver all such property to City for disposition at City's sole
discretion.
7. Applicable Laws
a. Federal
Contractor agrees to comply with the following laws and the regulations issued thereunder as they are
currently written or are hereafter amended during performance of this contract:
• Title VI of the Civil Rights Act of 1964 (42 USC 2000d et seq)
• Title VIII of the Civil Rights Act of 1968 (42 USC 3601 et seq)
• Executive Orders 11063, 11246, as amended by 11375 and as supplemented by Department of
Labor regulations (41 CFR, Part 60)
• The Age Discrimination Act of 1975 (42 USC 6101-07 and implementing regulations at 24
CFR part 146
• Section 504 of the Rehabilitation Act of 1973 (29 USC 794)
• The Immigration Reform and Control Act of 1986 (Pub. L. 99-603, 100 Stat. 3359 , as
amended), specifically including the provisions requiring employer verification of the legal
status of its employees
• The Housing and Community Development Act of 1987 (Pub. L. 100-242, 101 Stat. 1815, as
amended)
• The Americans with Disabilities Act of 1990 (42 USC 12101 et seq)
• The Drug Free Workplace Act of 1988 (24 CFR part 23, subpart F)
• The Fair Housing Act (42 use 3601-20 and implementing regulations at 24 CFR part 100
• Section 3 of the Housing and Urban Development Act of 1968 (12 USC 1701) and the
regulations in 24 CFR part 135
• Executive Orders 11625, 12432, 12138, and 12372
b. Other Laws
Contractor covenants and agrees that its officers, members, agents, employees, program participants
and subcontractors shall abide by and comply with all other laws, federal, state and local, relevant to
the performance of this contract, including all ordinances, rules and regu ations of ort
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Worth and the Housing and Community Development Act of 1974 (Pub. L. 93-383, 885 Stat. 633,), as
amended, and all regulations pertaining thereto. Contractor further promises and agrees that it has read,
and is familiar with,terms and conditions of the Emergency Shelter Grants Program under which funds
are granted and that it will fully comply with same. It is agreed and understood that, if City calls the
attention of Contractor to any such violation on the part of Contractor or any of its officers, members,
agents, employees, program participants or subcontractors, then Contractor shall immediately desist
from and correct such violation.
8. Nondiscrimination
a. Contractor, in the execution, performance or attempted performance of this contract and agreement,
will not unlawfully discriminate against any person or persons because of sex, race, religion, age,
disability, color or national origin, nor will Contractor permit its officers,members, agents, employees,
subcontractors or program participants to engage in such discrimination.
b. In accordance with the policy of the Executive Branch of the federal government, Contractor
covenants that neither it nor any of its officers, members, agents, employees, program participants or
subcontractors,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 except on the basis of bona fide
occupational qualification, retirement plan or statutory requirement.
c. Contractor further covenants that neither it nor its officers, members, agents, employees,
subcontractors, program participants, 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.
d. In accordance with the provisions of the Americans with Disabilities Act of 1990 ("ADA"),
Contractor warrants that it and any and all of its subcontractors 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 Contractor, or employees of Contractor
or any of its subcontractors. Contractor warrants it will fully comply with 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 or subcontractors against City
arising out of Contractor's and/or its subcontractors' alleged failure to comply with the above-referenced
laws concerning disability discrimination in the performance of this agreement.
e. This agreement is made and entered into with reference specifically to the ordinances codified at
Chapter 17, Article III,Division 3 ("Discrimination in Employment Practices"), of the City Code of the
City of Fort Worth, and Contractor hereby covenants and agrees that Contractor, its officers, members,
agents, employees and subcontractors, have fully complied with all provisions of same and that no
employee, employee-applicant or program participant has been discriminated against by the terms of
such ordinances by either the Contractor or its officers,members, agents, employees or subcontractors.
9. Prohibition Against Interest
a. No member, officer or employee of City or its designees or agents; no member of the governing
body of the locality in which the Program is situated; and no other public official of such locality or
localities, who exercises any functions or responsibilities with respect to the Program funded hereunder
during his or her tenure or for one year thereafter, shall have any interest, direct or indirect, in any
contract or subcontract, or the proceeds thereof, for work to be performed hereun qr r shall
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2000-2001 ESGCNT May 16,2000 5
incorporate, or cause to be incorporated, like language prohibiting such interest in all contracts and
subcontracts hereunder.
b. No member, officer, employee,or program participant of Contractor or its subcontractors shall have
a financial interest, direct or indirect, in this contract or the monies transferred hereunder or be
financially interested, directly or indirectly, in the sale to Contractor of any land, materials, supplies or
services purchased with any funds transferred hereunder, except on behalf of Contractor, as an officer,
employee,member or program participant. Any willful violation of this paragraph with the knowledge,
expressed or implied, of Contractor or its subcontractors shall render this contract voidable by the City
of Fort Worth.
10. Minority and Women Business Enterprise Commitment
Contractor agrees to abide by the City of Fort Worth's policy to involve Minority and Women Business
Enterprises (M1WBE)in all phases its procurement practices and to provide them an equal opportunity
to compete for contracts for construction,provision of professional services,purchase of equipment and
supplies and provision of other services required by City. Therefore, Contractor agrees to incorporate
City Ordinance No. 11923, and all amendments or successor policies thereto, into all contracts and will
further require all persons or entities with whom it contracts to comply with said Policy.
11. Non-Assignment
Contractor will not assign any or all of its rights or responsibilities under this contract without the prior
written approval of City. Any purported assignment without such approval will be a breach of this
contract and void in all respects.
12. Independent Contractor
a. Contractor shall operate hereunder as an independent contractor and not as an officer, agent, servant
or employee of City. Contractor shall have exclusive control of, and the exclusive right to control, the
details of the work and services performed hereunder, and all persons performing same, and shall be
solely responsible for the acts and omissions of its officers, members, agents, servants, employees,
subcontractors,program participants, licensees or invitee. The doctrine of respondeat superior shall not
apply as between City and Contractor, its officers, members, agents, servants, employees,
subcontractors, program participants, licensees or invitees, and nothing herein shall be construed as
creating a partnership or joint enterprise between City and Contractor. It is expressly understood and
agreed that no officer, member, agent, employee, subcontractor, licensee or invitee of the Contractor,
nor any program participant hereunder, is in the paid service of City and that City does not have the
legal right to control the details of the tasks performed hereunder by Contractor, its officers, members,
agents, employees, subcontractors,program participants, licensees or invitees.
b. City shall in no way nor under any circumstances be responsible for any property belonging to
Contractor, its officers, members, agents, employees, subcontractors,program participants, licensees
or invitees, which may be lost, stolen, destroyed or in any way damaged; and Contractor hereby
indemnifies and holds harmless City and its officers, agents, and employees from and against any and
all claims or suits.
13. Insurance and Bonding
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2000-2001 ESGCNT May 16,2000
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a. Contractor covenants and agrees to indemnify,hold harmless and defend, at its own expense, City
and its officers, agents, servants and employees from and against any and all claims or suits for property
loss or damage and/or personal injury, including death, to any and all persons, of whatsoever kind or
character, whether real or asserted, arising out of or in connection with the execution, performance,
attempted performance or nonperformance of this contract and agreement and/or the operations,
activities and services of the Program described herein, whether or not caused, in whole or in part, by
alleged negligence of officers, agents, servants, employees, contractors or subcontractors of City; and
Contractor 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 non-performance of this
contract and agreement and/or the operations, activities and services of the programs described herein,
whether or not caused in whole or in part, by alleged negligence of officers, agents, servants,
employees, contractors or subcontractors of City. Contractor 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 or in connection with all acts or omissions of Contractor, its officers,
members, agents, employees, subcontractors, invitees, licensees, or program participants, or caused, in
whole or in part, by alleged negligence of officers, agents, servants, employees, contractors or
subcontractors of City.
b. Contractor will maintain a blanket fidelity coverage in the form of an insurance bond in the amount
of$16,750, to insure against loss from the fraud, theft or dishonesty of any of Contractor's officers,
agents, trustees, directors or employees. The proceeds of such bond shall be used to reimburse City for
any and all loss of ESGP monies occasioned by such misconduct. To effectuate such reimbursement,
such bond shall include a rider stating that reimbursement for any loss or losses thereunder shall be
made directly to City for the uses and benefit of Contractor.
c. Contractor shall furnish a certificate of insurance as proof that it has secured and paid for policies
of public liability and automobile liability insurance covering all risks incident to or in connection with
the execution,performance, attempted performance or nonperformance of this contract and agreement.
d. The amounts of such insurance shall not be less than the maximum liability which can be imposed
on City under the laws of the State of Texas. Contractor understands and agrees that such insurance
amounts may be revised upward at City's option and that Contractor shall revise such amounts within
thirty (30) days following notice to Contractor of such requirements.
e. Contractor will submit documentation to City that it has obtained insurance coverage and has
executed bonds as required in this contract within thirty(30) days of the execution of this contract and
prior to payment of any monies hereunder.
14. Waiver of Immunity
If Contractor, 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; Contractor hereby expressly waives its rights to plead defensively such immunity or
exemption as against City. This section shall not be construed to affect a governmental entity's
immunities under constitutional, statutory or common law.
15. Termination
a. In addition to, and not in substitution for, other provisions of this Agreement regarding the provision
of public services with ESGP funds,pursuant to Title I of the Housing and 0 1 ient
2000-2001 ESGCNT May 16,200071"GR P�>�
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Act of 1974, as amended, it is expressly understood and agreed by and between the parties hereto that
this agreement is wholly conditioned upon the actual receipt by City of Federal ESGP Year 2000-2001
funds; that all monies distributed to Contractor hereunder shall be exclusively from Federal monies
received under said grant and not from any monies of City; and that if such funds under said grant are
not timely forthcoming, in whole or in part, City may, at its sole discretion, terminate this contract and
agreement and City shall not be liable for payment for any work or services performed by Contractor
under or in connection with this contract.
b. City may terminate this contract whenever such termination is determined to be in the best interest
of City, in event of Contractor's default, inability or failure to perform or to comply with any of the
terms herein, or for other good cause.
c. The parties acknowledge that ESGP funds paid hereunder are intended to provide only partial
funding for Contractor's program operations. If non-ESGP funds included in the Operating Budget are
not forthcoming to Contractor during the contract term, City may terminate this contract.
d. ESGP funds provided hereunder may not be used as collateral for loans to Contractor to defray
program operation expenses, and any attempted use of ESGP funds for this purpose will result in
termination of this contract by City.
e. Termination will be effected by written notice to Contractor, specifying the portions of the contract
affected and the effective date of termination. Upon Contractor's receipt of such termination notice,
Contractor will:
• Stop work under the contract on the date and to the extent specified by City;
• Cease expenditures of ESGP monies, except as necessary for completion of the portions of the
contract not terminated; and
• Terminate all orders and contracts to the extent that they relate to terminated portions of the
contract.
f. Contractor will return to City any unused monies previously advanced by City under this contract
within thirty(30) days of the effective date of contract termination. City will have no responsibility or
liability for Contractor's expenditures or actions occurring after the effective date of contract
termination.
16. Certification Regarding Lobbying
a. The undersigned representative of Contractor 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
Contractor, 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 or an employee of a member 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. Contractor shall require that the language of this certification be included in all subcontracts
or agreements involving the expenditure of federal funds.
b. If any funds other than federal 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, a member of Congress,
an officer or employee of Congress, or an employee of a member of Congress in connection with this
federal contract, grant, loan or cooperative agreement, Contractor shall complete and submit Standard
Form-LLL, Disclosure Form to Report Lobbying," in accordance with its instructions.
17. Miscellaneous Provisions
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2000-2001 ESGCNT May 16,2000 nn�
a. All terms of this contract shall apply to any and all subcontractors of Contractor who are in any way
paid with ESGP funds or who perform any work in connection with Contractor's program.
b. The provisions of this agreement are severable, and, if for any reason a clause, sentence, paragraph
or other part of this agreement shall be determined to be invalid by a court or federal or state agency,
board or commission having jurisdiction over the subject matter thereof, such invalidity shall not affect
other provisions which can be given effect without the invalid provision.
c. The failure of the City to insist upon the performance of any term or provision of this agreement
or to exercise any right herein conferred shall not be construed as a waiver or relinquishment to any
extent of City's right to assert or rely upon any such term or right on any future occasion.
d. Should any action, whether real or asserted, at law or in equity, arise out of the execution,
performance, attempted performance or nonperformance of this contract and agreement,venue for said
action shall lie in Tarrant County, Texas.
e. This written instrument and the exhibits attached hereto, which are incorporated by reference and
made a part of this contract for all purposes, constitute the entire agreement between the parties hereto
concerning the work and services to be performed hereunder, and any prior or contemporaneous, oral
or written agreement which purports to vary from the terms hereof shall be void. Any amendments to
the terms of this contract must be in writing and must be approved by each party to this contract.
2000-2001 ESGCNT May 16,2000 9
0
IN WITNESS WHEREOF, the parties hereto have executed three (3) copies of this contract in Fort
Worth, Tarrant County, Texas, this day of , A.D. 20 Od
CITY OF FORT WORTH Cornerstone Assistance Network
By: By:
Charles R. Boswell Mr. Mike Vylctor Assistant City Manager Executive
APPROVED AS TO FORM AND LEGALITY:
odw�#�
Q P,4,City Attorney
Date
A EST:
City Secret
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Contract Authorization
Date
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2000-2001 ESGCNT May 16,2000
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STATE OF TEXAS §
COUNTY OF TARRANT §
BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this day
personally appeared Charles Boswell, known to me to be the person whose name is subscribed to the
foregoing instrument, and acknowledged to me that the same was the act of the City of Fort Worth and that
he executed the same as the act of said City of Fort Worth for the purposes and consideration therein
expressed and in the capacity therein stated.
GIVEN UNDER MY HAND AND SEAL OF OFFICE this 5 day of SCJ e- D. 20 00 .
Notary Public in and for
Po, PATRICIA A GARCIA the State of Texas
NOTARY PUBLIC
State of Texas
Comm. Exp. 03-31-3001
STATE OF TEXAS §
COUNTY OF TARRANT §
BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this day
personally appeared Mr. Mike Doyle, known to me to be the person whose name is subscribed to the
foregoing instrument, and acknowledged to me that he\she executed the same for the purposes and
consideration therein expressed, as the act and deed for Cornerstone Assistance Network and in the
capacity therein stated as its duly authorized officer or representative.
GIVEN UNDER MY HAND AND SEAL OF OFFICE this ( day of , A.D. 20 0 1-) .
E-
�
JO N. FISHER
Not ry Public in anfor
Notary Public,State of Texas•- fv1Y Commission Expiresthe State of Texas
Mlay 12,2003
RICZI6II EEC�
2000-2001 ESGCNT May 16,2000 1 1
APPENDIX C—CONSTITUTIONAL PROVISION
Contractor represents that it is, or may be deemed to be, a religious or denominational institution or an organization
operated for religious purposes which is supervised or controlled by or in connection with a religious or
denominational institutional or organization. Pursuant to Title 24 CFR CH.V § 570.2000). Contractor agrees that in
connection with this contract:
a. It will not discriminate against any person applying for such public services on the basis of religion
and will not limit such services or give preference to persons on the basis of religion,and;
b. It will not discriminate against any person applying for such public services on the basis of religion
and will not limit such services or give preference to persons on the basis of religion,and;
c. It will provide no religious instruction or counseling, conduct no religious worship or services, engage
in noreligious proselytizing, and exert no other religious influence in the provision of such public
services,and;
d. It will not use «Fund» funds to construct, rehabilitate, or restore any facility which is owned by the
Contractor and in which public services are to be provided, except minor repairs, that are directly
related to the public service, and are located in only incidental portion of the «Fund» expenditure for
the project.
C-M���CQ[ ��7
EXHIBIT A
ESG 2000-2001
PROGRAM SUMMARY
Cornerstone Assistance Network
AGENCY
New Life Center Program
PROGRAM
1 June, 2000 to 31 May, 2001 $16,750
CONTRACT NO. PERIOD AMOUNT
PROGRAM DESCRIPTION
Provide safe,affordable housing and support services for homeless people targeting those with a history of mental illness or
substance abuse while helping them become economically self-sufficient.
Council District(s)ALL
PROGRAM GOALS
To assist homeless persons [men],to obtain transitional and permanent housing.
PROGRAM OBJECTIVES
To reduce the number of homeless persons[men] dependent on public assisted homeless shelters.
PROGRAM SERVICES and ACTIVITIES GOALS
Number unduplicated clients served 25
Number case management contacts 468
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CITY OF FORT WORTH EXHIBIT C
ESG YEAR 2000-2001
Page 1 of 3
CONTRACT PERIOD From: 06/01/2000 To: 05/31/2001
Name of Sub Grantee Name of Program
Cornerstone Assistance Network New Life Center
Program ES
Cost Category Budget Funds [a] [b] [c] [d]
PERSONAL SERVICES
Salaries $ 32,000.00 $ 2,730.00 $15,000.00 $14,270.00
FICA $ 2,448.00 $ 209.00 $ 1,780.00 $ 459.00
Life Insurance $ -
Health Insurance $ 2,000.00 $ 2,000.00
Employment Tax-State $ -
Employment Tax-Federal $ -
Worker's Comp $ -
Retirement $ -
SUPPLIES
Office Supplies 400.00 $ 400.00
Postage $ -
Teaching Aids $ -
Food Supplies $ -
Other Operating Expenses $ -
CONTRACTUAL SERVICES
Telephone $ 1,440.00 $ 500.00 $ 940.00
Electric $ 10,000.00 $ 7,776.00 $ 2,224.00
Gas $ 4,000.00 $ 2,970.00 $ 1,030.00
Water/Waste Disposal $ 3,400.00 $ 2,565.00 $ 835.00
Rent[Building] $ 26,856.00 $26,856.00
Custodial Services $ -
Office Equipment Rental $ -
Printing $ -
Repairs $ 6,000.00 $ 6,000.00
Fidelity Bond $ -
Liability Insurance $ 5,456.00 $ 5,456.00
Legal&Accounting $ 1,200.00 $ 1,200.00
Private Auto Allowance-Local $ -
Advertising $ -
Conference&Seminars $ 350.00 $ 350.00
Contractual Services $ -
Miscellaneous $ -
CAPITAL OUTLAY $ -
ice Furniture -
Computer Equipment $ -
Other: [Described] $
TOTAL $95,550.00 $16,750.00 -$-1-6-,7-8-0-0-OT$62,020.001 $0.00 $0.00
MATCHING FUND SOURCES
[a] Tarrant County Access
[b] Cornerstone Network
[c]
[d]
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BUDGET DETAIL Page 2 of 3
PERSONAL SERVICES
Hourly Annual %of
Position/Title Rate Hours Time Amount
1 $15.38 2080 8.53% $2,730.00
2
3
4
5
6
7
8
9
10
11
TOTAL STAFF SALARIES $2,730.00
FRINGE BENEFITS
%of %Paid % Paid
CATEGORY Payroll Amount by Agency by ESG Amount
FICA 7.65% 2,448 18.38% 8.54% $209.00
Life Insurance
Health Insurance
Unemployment Insurance
Worker's Comp
Retirement
TOTAL FRINGE BENEFITS
TOTAL PERSONAL SERVICES $2,939.00
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BUDGET DETAIL Page 3 of 3
UTILITIES
AVERAGE COST PER NUMBER OF MONTHS AMOUNT
CATEGORY MONTH
Telephone $41.67 12 $500.00
Electric $648.00 12 $7,776.00
Gas $247.50 12 $2,970.00
WastelWater Disposal $213.75 12 $2,565.00
Other
Total Utilities $13,811.00
BUILDING LEASE
BUILDING COST PER SQUARE
LOCATION NO. SQUARE FOOT FOOT AMOUNT
1
2
3
TOTAL BUILDING LEASE
OTHER EXPENSES
CATEGORY TOTAL CHARGE %CHARGED TO ESG AMOUNT
Fidelity Bond
Liability Insurance
Legal&Accounting
(Other)Food
TOTAL OTHER EXPENSES
CONFERENCES AND SEMINARS
EVENT TOTAL CHARGE %CHARGED TO ESG AMOUNT
1
2
3
TOTAL CONFERENCES AND SEMINARS
OFFICE EQUIPMENT RENTAL
ITEM TOTAL CHARGE %CHARGED TO ESG AMOUNT
1
2
3
TOTAL OFFICE EQUIPMENT RENTAL
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ATTACHMENT I
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
CONTRACT MANAGEMENT DIVISION
REQUEST FOR FUNDS
AGENCY: Cornerstone Assistance Network
6924 Glenview Drive PROGRAM NAME: New Life Center Program
Fort Worth,Texas 76180 CONTRACT NUMBER:
CONTRACT AMOUNT: $16,750 CONTRACT DATE:
DATE OF REQUEST:
SECTION I(AGENCY) CURRENT MONTH CUMULATIVE
I. Reimbursement Request
1. Expenditures: $ $
2. Income
A. Program Income $ $
B. City of Fort Worth $ $
C. Interest Earned CDBG Funds $ $
3. Reimbursement(1 minus 2) $ $
II.Advance Pay Requests/Repayment $ $
III.Reporting Interest
1.Interest over$25 per quarter returned to City of Fort Worth $ $
SECTION II(CITY)
I.MARS—Purchasing Request
A. MARS INPUT:Vendor/PO Number/Requisition Number:
B. Fund/Account/Center: GR76/539120/013206134030
C. Total Amount of this Request: $
SECTION III
I. Verification
A. Contract Manager Greg Jordan
(Name) (Signature) (Date)
B.MARS—Purchasing
(Name) (Signature) (Date)
C.Accounting
(Name) (Signature) (Date)
II.Authorization
A. Agency
(Name) (Signature) (Date)
B. Contract Compliance Supervisor
(Name) (Signature) (Date)
C. Assistant to the City Manager
(Name) (Signature) (Date)
DISTRIBUTION:
White -Accounting
Blue -IAGM
Green -Agency
CITY OF FORT WOTH ATTACHMENT II
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
CONTRACT MANAGEMENT DIVISION
DETAIL STATEMENT OF COSTS
Cornerstone Assistance Network
AGENCY CONTRACT NO. DATE
New Life Center To
PROGRAM REPORT PERIOD
PROGRAM MONTHLY CUMULATIVE
COST CATEGORY ACCOUNT BUDGET EXPENDITURES TO DATE BALANCE
ESSENTIAL SERVICES
Salaries 516 010 $2,730
FICA 518 010 $209
Life Insurance 518 050
Health Insurance 518 060
Unemployment Tax-State 518 090
Worker's Comp 518 040
Retirement 518 070
OPERATIONS AND MAINTENANCE
Food Supplies 522 030 $500
Telephone 535 040 $7,776
Electric 535 020 $2,970
Gas[Utility] 535 010 $2,565
Water/Waste Disposal 535 030
Rent[Building] 537 010
Custodial Services 539 220
Office Equipment Rental 537 030
Printing 533 030
Repairs 536 010
Fidelity Bond 538 210
Liability Insurance 534 020
Professional Services 531 200
Legal&Accounting 538 050
Private Auto Allowance-Local 532 130
Advertising 533 010
Conferences&Seminars 531 180
Contractual Services 539 120
CAPITAL OUTLAY
Furniture,Fixtures 541 330
Office Equipment,Com uters 541 370
Other Equipment 541 320
TOTAL 1 $16,750.00
Contractors Certification: I certify that the costs incurred are taken from the books of account and that such costs are valid and consistent with the terms of
NAME and TITLE OF AUTHORIZED OFFICER SIGNATURE and DATE
PREPARE ONE FORM FOR EACH SOURCE OF FUNDS
DISTRIBUTION:
White: Accounting
Blue: IAGM
Green: Agency U1&GM FORM 96-07
RECORD
ATTACHMENT III
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
CONTRACT MANAGEMENT DIVISION
EXPENDITURES WORKSHEET
Cornerstone Assistance Network
Agency Contract Number Date
New Life Center Program TO
Program REPORT PERIOD
NO DATE CHECK PAYEE DESCRIPTION ACCOUNT NO. AMOUNT
NO.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
26
TOTAL
TITLE OF AUTHORIZED OFFICER SIGNATURE and DATE
DISTRIBUTION ����8 dad RECORD
White:Accounting
��C1y
Blue:IAGM
Green:Agency
ATTACHMENT IV
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
ESG 2000-2001
1.NAME AND ADDRESS OF SUB-GRANTEE 2. PROJECT NAME: New Life Center Program
Cornerstone Assistance Network 3. CONTRACT No: Contract Date
6924 Glenview Drive
Fort Worth,Texas 76180 4. DATE OF
REQUEST:
MONTH&YEAR
5. PROGRAM SERVICES AND ACTIVITIES
CURRENT
MONTH CUMULATIVE
Residential Services:
Average Number Served Daily Adults:
Children:
Average Number Served Yearly(Unduplicated):
Non-Residential Services:
Average Number Served Daily:
6. RESIDENTIAL SERVICES DATA(Beneficiaries)
Enter Approximate Percentages of:
Unaccompanied 18 and Over Male: % Female: %
Unaccompanied under 18 Male: % Female: %
Families With Children Headed By:
Single 18 and Over Male: % Female: %
Youth 18 and Under: Male: % Female: %
Two Parents 19 and Over: %
Two Parents Under 18: %
Families With No Children: %
On An Average Day,Percentage Of The Population Served Who Are:
Battered Spouse: %
Runaway/Throwaway Youth: %
Chronically Mentally III: %
Developmentally Disabled: %
HIV/AIDS: %
Alcohol Dependent Individuals: %
Drug Dependent Individuals: %
Elderly: %
Veterans: %
Physically Disabled: %
Other: %
8. CERTIFICATION: The undersigned hereby gives assurance that to the best of my knowledg'e-atnt4a"ORs ded in
this report is true and accurate, and if a non-profit agency, has been approved by the governing body of the organization prior to
submission.
Date: Submitted by: Phone Num:
IAGM/IDIS-RPT FORM 3
ATTACHMENT IV
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
ESG 2000-2001
1.NAME AND ADDRESS OF SUB-GRANTEE 2. PROJECT NAME: New Life Center Program
Cornerstone Assistance Network 3. CONTRACT No: Contract Date
6924 Glenview Drive
Fort Worth,Texas 76180 4. DATE OF
REQUEST:
MONTH&YEAR
7. HOUSING SERVICES DATA(Data Associated with Residential Services)
Number of
Shelter Type Persons Housed
Barracks:
Group/Large House:
Scattered Site Apartment:
Single Family Detached House:
Single Rom Occupancy:
Mobile Rome/Trailer:
Hotel/Motel:
Other:
Total:
8. ESG FUNDING SOURCES
Source of Funds Funding Amount
ESG:
Other Federal:
Local Government:
Private:
Fees:
Other: VJ"If91�� 616 G`�LSLI�USD
I �a 1�'l�'U'�llWp �lS!n10
8. CERTIFICATION: The undersigned hereby gives assurance that to the best of my knowledge and belief, the data included in
this report is true and accurate, and if a non-profit agency, has been approved by the governing body of the organization prior to
submission.
Date: Submitted by: Phone Num:
IAGM/IDIS-RPT FORM 3
ATTACHMENT IV(A)
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
1.Name and Address of Sub-Grantee 2.Project Name: New Life Center Program
Cornerstone Assistance Network 3.Contract No: Contract Date:
6924 Glenview Drive Contract Amount: $16,750
Fort Worth,Texas 76180 4.Date of Request:
MONTH&YEAR
5. PROGRAM SERVICES AND ACTIVITIES• CURRENT CUMULATIVE
6. SCOPE OF WORK NARRATIVE:
7. PROBLEMS ENCOUNTERED/SOLUTIONS PROPOSED:
8. ANTICIPATED ACTIVITY DURING THE NEXT MONTH:
000
9. CERTIFICATION: The undersigned hereby gives assurance that to the best of my knowledge and be ief,l ie da "J �4 thi
report is true and accurate,and if anon-profit agency,has been approved by the governing body of the orga izat n prior,,�u��sion
Date: Submitted by: Phone Num:
IAGMIIDIS-RPT FORM 7A
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New Life Center Program
Cornerstone Assistance Network
ESG 2000-2001
Greg Jordan
ACTION REQUIRED RESPONSIBLE DATE INITIALS COMMENTS
YES/NO COMPLETED
CONTRACT-DRAFT Yes MONITOR 05/22/2000
APPENDIX A No MONITOR 05/22/2000
APPENDIX B No MONITOR 05/22/2000
APPENDIX C Yes MONITOR 05/22/2000
ATTACHMENT I Yes MONITOR 05/22/2000
ATTACHMENT II Yes MONITOR 05/22/2000
ATTACHMENT III Yes MONITOR 05/22/2000
EXHIBIT A Yes MONITOR 05/22/2000
EXHIBIT B Yes MONITOR 05/22/2000
EXHIBIT C Yes MONITOR 05/22/2000
EXHIBIT D No MONITOR 05/22/2000
EXHIBIT E No MONITOR 05/22/2000
CONTRACT COMPLIANCE CCS
SUPERVISOR W
CONTRACT—FINAL MONITOR
MINORITY/WOMEN BUSINESS M/WBE
ENTERPRISE
LEGAL DEPARTMENT LAW ��� rfL
AGENCY SIGN Mike DoyleS !!
bD�
bz�
CITY MANAGER SIGN ACM
CACq
CITY SECRETARY SIGN&NUMBER CITY SEC /P/70
DATA BASE UPDATED MONITOR
AGENCY COPY DELIVERED MONITOR
MONITOR COPY FILED MONITOR
MARS SET UP MEMO MONITOR
FILE BINDER SET UP MONITOR
IA&GM FORM 96-02
City of Fort Worth, Texas
"Agar and CoOneff Communication
DATE REFERENCE NUMBER LOG NAME PAGE
5/2/00 **C-17991 1 13CONTRACTS 1 of 3
SUBJECT COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) YEAR XXVI, EMERGENCY
SHELTER GRANT (ESG) YEAR 2000-2001, AND HOUSING OPPORTUNITIES FOR
PERSONS WITH AIDS HOPWA YEAR 2000-2001 CONTRACT ACTIVITIES
RECOMMENDATION:
It is recommended that the City Council authorize the City Manager to execute CDBG Year XXVI, ESG
Year 2000-2001 and HOPWA Year 2000-2001 contracts with the following organizations to administer
their respective programs, contingent upon approval and receipt of adequate funding from the U.S.
Department of Housing and Urban Development (HUD), for a term beginning June 1, 2000, and ending
May 31, 2001:
COMMUNITY DEVELOPMENT BLOCK GRANT(CDBG)
Contract with the listed agencies for an amount not to exceed the following:
A. NHS of Fort Worth, Inc. $ 55,958
B. Habitat for Humanity $ 22,500
C. REACH, Inc. $ 27,000
D. Communities in School $ 40,050
E. Southside Area Ministries (Sam's Kids) $ 7,027
F. Boys and Girls Clubs (JACKS) $ 19,111
G. Boys and Girls Clubs (KEYS) $ 28,344
H. Boys and Girls Clubs (PASS) $ 27,000
I. Bee & Bell Education Center $ 35,429
J. Big Brothers and Big Sisters of Tarrant County $ 15,094
K. Booker T. Sparks School of the Performing Arts $ 36,000
L. Bridge Emergency Youth Services $ 45,000
M. Stone Soup Connection $ 20,120
N. Camp Fire $ 27,000
O. YWCA of Fort Worth (AIM) $ 31,986
P. YWCA of Fort Worth (Child Care) $150,000
Q. Day Care Association $130,000
R. Fort Worth Housing Authority $ 30,000
S. YMCA of Fort Worth $120,375
T. Clayton Child Care $ 31,500
U. Southside Area Ministries (Seniors) $ 2,570
V. Senior Citizens Services of Tarrant County (Como) $ 17,597
W. Meals on Wheels $ 33,696.
X. Senior Citizens Services of Tarrant County (Riverside) $ 15,271
Y. Mental Health Association $ 17,500
Z. Near Northside Partners $ 17,100
(list continued next page)
City of Fort Worth, Texas
4valjoir And 1:0un"81 CW01"Munl*cation
DATE REFERENCE NUMBER LOG NAME PAGE
5/2/00 **C-17991 13CONTRACTS 2 of 3
SUBJECT COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) YEAR XXVI, EMERGENCY
SHELTER GRANT (ESG) YEAR 2000-2001, AND HOUSING OPPORTUNITIES FOR
PERSONS WITH AIDS HOPWA YEAR 2000-2001 CONTRACT ACTIVITIES
AA. N SEAM $ 17,100
BB. Women's Center of Tarrant County $ 11,880
CC. Job, Inc. $111,565
DD. Fort Worth SER $110,079
EE. A-Prep Center of Tarrant County $109,350
FF. ACCION Texas $ 54,000
EMERGENCY SHELTER GRANT(ESG)
A. YWCA $' 27,214
B. Cornerstone Assistance Network $ 16,750
C. Presbyterian Night Shelter $168,120
D. Bridge Emergency Youth Services $ 8,736
E. Women's Haven of Tarrant County, Inc. $ 26,769
F. Salvation Army $ 10,811
HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS (HOPWA)
A. AIDS Outreach Center, Inc. $412,683
B. Tarrant County Samaritan Housing, Inc. $192,609
C. AIDS Resources of Rural Texas -A.R.R.T. $ 54,858
DISCUSSION:
On April 11, 2000, the City Council approved and adopted the budgets and the appropriation ordinance
increasing estimated receipts and appropriations for the Twenty-Sixth (26th) Year Community
Development Block. Grant, (2000-2001) Emergency Shelter Grant (ESG) and (2000-2001) Housing
Opportunities for Persons with AIDS (HOPWA) as part of the City's Consolidated Plan. The
Consolidated Plan, as adopted by the City Council, included program'descriptions for each of the above,
funded programs..
The above programs are consistent with the City's approved priorities and the City Council's prior
policies, and meet the requirements of HUD's regulations concerning "eligible activities".
City of Fort Worth, Texas
4Valgor And Council Communication
DATE REFERENCE NUMBER1_OG NAME PAGE
5/2/00 **C-17991 13CONTRACTS 3 of 3
SUBJECT COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) YEAR XXVI, EMERGENCY
SHELTER GRANT (ESG) YEAR 2000-2001, AND HOUSING OPPORTUNITIES FOR
PERSONS WITH AIDS HOPWA YEAR 2000-2001 CONTRACT ACTIVITIES
FISCAL INFORMATION/CERTIFICATION:
The Finance Director certifies that, upon approval and receipt of adequate funding from the U.S.
Department of Housing and Urban Development, funds will be available in the operating budget, as
appropriated, of the Grants Fund.
CB:j
Submitted for City Manager's FUND ACCOUNT CENTER AMOUNT CITY SECRETARY
Office by: (to)
APPROVED
Charles Boswell 8511 CITY COUNCIL
Originating Department Head:
MAY 2 2000
Joe Paniagua 6168 (from)
Additional Information Contact:
city Secretary of the
city of Fort vlorth,TOM
Joe Paniagua 6168
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