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HomeMy WebLinkAboutContract 48236 CONTRACT NO. ML� AGREEMENT FOR COMMUNITY BASED PROGRAM YMCA of Metropolitan Fort Worth FISCAL YEAR 2017 In consideration of the mutual covenants, promises and agreements contained herein, THIS AGREEMENT ("Agreement") is made and entered into between CITY OF FORT WORTH, a home rule municipal corporation of the State of Texas, ("City") acting by and through Valerie R. Washington, its duly authorized Assistant City Manager, and YMCA of Metropolitan Fort Worth, a Texas private non-profit corporation ("Contractor") acting by and through Anthony C. Shuman,President/Chief Executive Officer, its duly authorized representative. RECITALS WHEREAS, City has determined that Community-Based Programs are necessary to support crime prevention in City during Fiscal Year 2017 to meet one or more of the Crime Control and Prevention District ("CCPD") goals, which are (1) to support efforts to reduce violent crime and gang-related activities through enhanced enforcement activities and crime prevention programs, (2) to support efforts to increase the safety of residents and to decrease crime throughout Fort Worth neighborhoods, and (3) to support efforts to increase the safety of youth and reduce juvenile crime through crime prevention and intervention programs; and WHEREAS, Contractor has agreed to operate a Community-Based Program called Diamond Girls, which will support the police department's crime prevention efforts throughout the community; and WHEREAS, City desires to enter into an agreement with Contractor to operate Diamond Girls; and WHEREAS, City, as consideration for the performance of Contractor, has appropriated monies in the CCPD Budget as reimbursed by the CCPD in the amount of$21,477.75 ("Program Funds")to provide to the Contractor for the operation of Diamond Girls; NOW, THEREFORE, in consideration of the mutual covenants herein expressed, the parties agree as follows: AGREEMENT DOCUMENTS The Agreement documents shall include the following: 1. This Agreement between City and Contractor �� [ 8�i9�G � RChWHO 2. Exhibit A—Proposal Abstract and Narrative ,, :, , ,,V �' p � �a`r_���G-��tf SGS� 3. Exhibit B—Budget '`i' 4. Exhibit C—Request for Reimbursement I� � `L�� � � 5. Exhibit D—Program Activities Report 6. Exhibit E—Program Effectiveness Measurement Report FY 2017 Community Based Program YMCA of Metropolitan Fort Worth Page 1 of 13 7. Exhibit F—Request for Budget Modification Exhibits A through F, which are attached hereto and incorporated herein, are made a part of this Agreement for all purposes. In the event of any conflict between the terms and conditions of Exhibits A through F and the terms and conditions set forth in the body of this Agreement, the terms and conditions of this Agreement control. DEFINITIONS The term"City" shall include City, and its officers,agents, employees, and representatives. The term"Contractor"shall include Contractor, and its officers,agents, employees, representatives, servants,contractors, and subcontractors. The term"Party"shall refer to either City or Contractor. The term"Parties"shall refer to both City and Contractor. AGREEMENT 1. Responsibilities of Contractor. Contractor covenants and agrees to fully perform, or cause to be performed, with good faith and due diligence, all work and services described in Exhibit "A" — Proposal Narrative. Contractor shall be responsible for day-to-day administration of Diamond Girls Contractor agrees to expend the Program Funds in accordance with the Budget as described in Exhibit`B". Program activities shall be reported in accordance with Exhibit"D"-Program Activities Report and effectiveness measures shall be reported in accordance with Exhibit "E"- Program Effectiveness Measures Report. 2. Program Funds. 2.1 In no event shall the total distribution from City made to the Contractor during the Term of this Agreement exceed$21,477.75 ("Program Funds"). 2.2 Payment of the Program Funds from City to Contractor shall be made on a cost- reimbursement basis following receipt by City from Contractor of a signed Request for Reimbursement (RFR), as described in Exhibit "C" along with copies of all receipts and other supporting documentation. Contractor shall deliver to City a written detailed Program Activities Report and Program Effectiveness Measures Report as described in Section 4.2 below with each RFR to support expenditure of Program Funds. Such reports shall be signed by the Contractor or duly authorized officer of the Contractor. The RFR and monthly Program Activities Report shall be submitted to City no later than the 15th day following the end of the month. Submittal of a monthly RFR and Program Activities Report is required even if services are not provided. FY 2017 Community Based Program YMCA of Metropolitan Fort Worth Page 2 of 13 The monthly RFR,with an original signature by an authorized representative, must be submitted to the Grants and Program Management Section of the Fort Worth Police Department, ATTENTION: Program Support Division, Bob Bolen Public Safety Complex, 505 W. Felix St., Fort Worth, Texas, 76115. Reimbursements will not be made until after receipt of an acceptable and approved RFR and a monthly Program Activities Report from the Contractor. Additionally, a quarterly Program Effectiveness Measurement Report from Contractor is required as described in section 4.2 and must be approved prior to reimbursements. Reimbursements shall be made within 30 days receipt of said documents. 2.3 Contractor is authorized to modify up to five (5)percent of any budgeted line-item in the original approved budget without prior written permission from City. However, Contractor must submit the Request for Budget Modification Form (Exhibit "F") to City, with the monthly RFR,during the month the modification took place. The new modified budget cannot exceed the total amount of Program Funds, 2.4 Any modifications of more than five (5)percent of any budgeted line-item in the original approved budget must have prior written permission from City before the modifications are made. The Budget Modification Form (Exhibit "F") must be submitted, and request must be approved by City, before any money is moved to the line-item. Once the Budget Modification is approved, the modified budget will take effect on the first day of the following month. The new modified budget shall not exceed the total amount of Program Funds. 2.5 Any modifications to zero line-items in the original approved budget must have prior written permission from City before the modifications are made. The Budget Modification Form (Exhibit"F") must be completed and approved by City before money is transferred into the new line-item. Once the Budget Modification is approved,the modified budget will take effect on the first day of the following month. The new modified budget shall not exceed the total amount of Program Funds. 2.6 Budget modification can only occur within the Direct and Indirect costs. Funds may not be moved from a Direct line-item into an Indirect line-item, or vise versus. Modification of Direct and Indirect approved budgets must follow the guidelines outlined in sections 2.3,2.4. and 2.5. Budget adjustments shall be submitted to the Program Support Division of the Fort Worth Police Department at Bob Bolen Public Safety Complex at 505 W. Felix St., Fort Worth, Texas,76115. 3. Term. This Agreement shall commence upon October 1, 2016 ("Effective Date"), and shall end on September 30, 2017 ("End Date"). All of Contractor's expenditures under this Agreement must be completed no later than September 30,2017. 4. Program Performance. 4.1 Contractor agrees to maintain full documentation supporting the performance of the work and fulfillment of the objectives set forth in Exhibit"A." FY 2017 Community Based Program YMCA of Metropolitan Fort Worth Page 3 of 13 4.2 Contractor agrees to provide a monthly Program Activities Report and quarterly Program Effectiveness Measurement Report to document the performance of the work described in Exhibit "D" and Exhibit`B," respectively. The Program Activities and Effectiveness Measures shall document the program activity names, numbers of participants attending, details of the activities, and a description of the goals achieved in support of the CCPD goals. Program Effectiveness Measures shall be reported on a quarterly basis and included in the January, April, July, and October RFR and Program Activities Report submittals. Additionally, the Program Effectiveness Measurement Report must include descriptions of any realized successes. The monthly Program Activities and quarterly Program Effectiveness Measurement Reports shall be submitted to City no later than the 151h day after the end of each month. 4.3 Contractor agrees that the monthly Request for Reimbursement and Program Activities Report and quarterly Program Effectiveness Measurement Report will be submitted to City no later than the 15th day after the end of each month. Should Contractor not meet these requirements, Contractor will be given an additional 15 days to submit the required reports to City. If, at the end of this 15-day extension period, Contractor has not submitted the required reports, City will send a non-compliance letter notifying Contractor's duly authorized representative of a possible suspension of program funding. 4.4 A representative of the program shall attend quarterly meetings of the Crime Control and Prevention District Board as requested. 5. Default and Termination. 5.1 This Agreement is wholly conditioned upon the actual receipt by City of Program Funds from the CCPD. All monies distributed to Contractor hereunder shall be exclusively from monies received from the CCPD, and not from any other monies of City. In the event that funds from the CCPD are not received prior to the execution of this contract by the parties, in whole or in part, City may, at its sole discretion, terminate this Agreement and City shall not be liable for payment for any work or services performed by Contractor under or in connection with this Agreement. 5.2 In the event no funds or insufficient funds are appropriated by the City in any fiscal year for any payments due hereunder, City will notify Contractor of such occurrence and this Agreement shall terminate on the last day of the fiscal period for which appropriations were received without penalty or expense to the City of any kind whatsoever,except as to the portions of payments herein agreed upon for which funds have been appropriated. 5.3 The City may terminate this Agreement at any time and for any reason by providing the other party with thirty(3 0)days' written notice of termination. 5.4 Termination will be effected by delivering to Contractor written notice of termination. Upon Contractor's receipt of notice of termination, Contractor shall: FY 2017 Community Based Program YMCA of Metropolitan Fort Worth Page 4 of 13 (a) Stop work under the Agreement on the date and to the extent specified in the notice of termination; (b) Place no further order or subcontracts, except as may be necessary for completion of the work not terminated; (c) Terminate all orders and contracts to the extent that they relate to the performance of the work terminated by the notice of termination; and (d) Cease expenditures of Program Funds, except as may be necessary for completion of the work not terminated. 5.5 In the event City suspends or terminates this Agreement, Contractor expressly waives any and all rights to monetary damages, including but not Iimited to actual, consequential, and punitive damages, court costs and attorney's fees. 5.6 Within thirty (30) days following the date of termination of this Agreement, Contractor shall return to City any property provided hereunder. City will have no responsibility or liability for Contractor's expenditures or actions occurring after the effective date of termination of the Agreement. 6. Equipment and Maintenance. All equipment purchased with Program Funds must meet all eligibility requirements of City. Contractor shall maintain all equipment used in the administration and execution of Diamond Girls. Contractor shall maintain, replace or repair any item of equipment used in support of Diamond Girls and/or for use under the terms of this Agreement that no longer functions or is lost or stolen. The cost for maintenance,replacement or repair of any equipment used in support of Diamond Girls and/or for use under the terms of this Agreement is the sole responsibility of Contractor. Contractor shall not use Program Funds to repair or replace said equipment. Contractor shall use any and all equipment purchased with Program Funds exclusively in support of Diamond Girls . Within 10 days following the purchase of equipment, Contractor shall submit to City a detailed inventory of all equipment purchased with Program Funds to the Grants and Program Management Section at the address set forth in paragraph 2.2 above. The equipment inventory shall include an itemized description of each piece of equipment, the date each piece of equipment was purchased, the cost of purchase for each piece of equipment,and the location of each piece of equipment. 7. Administrative Requirements. 7.1 Contractor agrees to keep sufficient records to document its adherence to applicable local, state, and federal regulations, along with documentation and records of all receipts and expenditures of Program Funds. All records shall be retained for three (3) years following the termination or completion of this Agreement. City or its representatives shall have the right to investigate, examine, and audit at any time any and all such records relating to operations of Contractor under this Agreement. Contractor, its officers, members, agents, employees, and subcontractors, upon demand by City,shall make such records readily available for investigation, examination, and audit. In the event of such audit by City, a single audit of all Contractor's operations will be undertaken and may be conducted either by City or an independent auditor of City's choice. Contractor shall submit a copy of any audit performed by their independent auditor within 30 days of receipt of the final audit report. FY 2017 Community Based Program YMCA of Metropolitan Fort Worth Page 5 of 13 7.2 If any audit reveals a questioned practice or expenditure, City shall notify Contractor as soon as reasonably practical. Contractor shall have fifteen (15) days to provide City with a written explanation and any supporting documentation regarding the practice or expenditure. If Contractor fails to resolve or cure the questioned practice or expenditure, to the City's satisfaction, within the fifteen (15) day period, , City reserves the right to withhold further Program Funds under this and/or future agreement(s)with Contractor. 7.3 If, as a result of any audit, it is determined that Contractor misused, misapplied or misappropriated all or any part of the Program Funds, Contractor agrees to reimburse City the amount of such monies so misused, misapplied or misappropriated, plus the amount of any sanction, penalty, or other charge levied against City because of such misuse, misapplication or misappropriation. This section shall survice the expiration or termination of this agreement. 7.4 Contractor's obligation to City shall not end until all closeout requirements are completed. The closeout requirements shall include, but are not limited to: providing final Program Activities Report and Program Effectiveness Measurement Reports, making final payments, and disposing of Diamond Girls assets as appropriate, if deemed required by the City in its sole discretion. 7.5 Contractor covenants and agrees to fully cooperate with City in monitoring the effectiveness of the services and work to be performed by Contractor under this Agreement, and work to be performed by Contractor under this Agreement and City shall have access at all reasonable hours to offices and records of Contractor, its officers, members, agents, employees, and subcontractors for the purpose of such monitoring. 8. Independent Contractor. 8.1 Contractor shall operate hereunder as an independent contractor and not as an officer, agent, or servant or employee of City. Contractor shall have exclusive control of, and the exclusive right to control, the details of the work and services performed hereunder, and all persons performing same, and shall be solely responsible for the acts and omissions of its. officers, members, agents, servants, employees, subcontractors, program participants, licensees, or invitees. The doctrine of respondent superior shall not apply as between City and Contractor, its officers, members, agents, servants, employees, subcontractors, program participants, licensees, or invitees, and nothing herein shall be construed as creating a partnership or joint enterprise between City and Contractor. No federal, state, or local income tax, nor any payroll tax of any kind, shall be withheld or paid by City on behalf of Contractor. Contractor shall not be treated as an employee with respect to the services performed pursuant to this Agreement for federal or state tax purposes. It is expressly understood and agreed that officers, members, agents, employees, subcontractors, licensees, or invitees of Contractor, and any program participants hereunder are not eligible for, and shall not participate in any employer pension, health, or other fringe benefit plan provided by City. It is expressly understood and agreed that City does not have the legal right to control the details of the tasks performed hereunder by FY 2017 Community Based Program YMCA of Metropolitan Fort Worth Page 6 of 13 Contractor, its officers, members, agents, employees, subcontractors, program participants, licensees, or invitees. 8.2 City shall in no way nor under any circumstances be responsible for any property belonging to Contractor, its officers, members, agents, employees, subcontractors, program participants, licensees or invitees,which may be lost,stolen, destroyed, or in any way damaged. 9. Liability and Indemnification. CONTRACTOR SHALL BE LIABLE AND RESPONSIBLE FOR ANY AND ALL PROPERTY LOSS, PROPERTY DAMAGE AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF ANY KIND OR CHARACTER, WHETHER REAL OR ASSERTED, TO THE EXTENT CAUSED BY THE NEGLIGENT ACT(S) OR OMISSION(S),MALFEASANCE OR INTENTIONAL MISCONDUCT OF CONTRACTOR, ITS OFFICERS,AGENTS,SERVANTS OR EMPLOYEES. CONTRACTOR AGREES TO DEFEND, INDEMNIFY, AND HOLD THE CITY, ITS OFFICERS,AGENTS,SERVANTS,AND EMPLOYEES HARMLESSAGAINSTANYAND ALL CLAIMS, LAWSUITS, ACTIONS, COSTS, AND EXPENSES OF ANY KIND, INCLUDING, BUT NOT LIMITED TO, THOSE FOR PROPERTY DAMAGE OR LOSS (INCLUDING ALLEGED DAMAGE OR LOSS TO OWNER'S BUSINESS AND ANY RESULTING LOST PROFITS) AND/OR PERSONAL INJURY (INCLUDING DEATH) THAT MAY RELATE TO, ARISE OUT OF, OR BE OCCASIONED BY (I) CONTRACTOR'S BREACH OF ANY OF THE TERMS OR PROVISIONS OF THIS AGREEMENT OR (II) ANY NEGLIGENT ACT OR OMISSION OR INTENTIONAL MISCONDUCT OF CONTRACTOR, ITS OFFICERS, AGENTS, ASSOCL4TES, EMPLOYEES, CONTRACTORS (OTHER THAN THE CITY), OR SUBCONTRACTORS RELATED TO THE PERFORMANCE OF THIS AGREEMENT, EXCEPT THAT THE INDEMNITY PROVIDED FOR IN THIS SECTION SHALL NOT APPLY TO ANY LL4BILITY RESULTING FROM THE SOLE NEGLIGENCE OF THE CITY OR ITS OFFICERS, AGENTS, EMPLOYEES, OR SEPARATE CONTRACTORS, AND IN THE EVENT OF JOINT AND CONCURRENT NEGLIGENCE OF BOTH CONTRACTOR AND CITY, RESPONSIBILITY, IF ANY, SHALL BE APPORTIONED COMPARATIVELY IN ACCORDANCE WITH THE LAWS OF THE STATE OF TEXAS. NOTHING HEREIN SHALL BE CONSTRUED AS A WAIVER OF THE CITY'S GOVERNMENTAL IMMUNITYAS FURTHER PROVIDED BY THE LA WS OF TEXAS. Contractor shall require all of its subcontractors to include in their subcontracts a release and indemnity in favor of City in substantially the same form as above. This section shall survive the expiration or termination of this Agreement. 10. Non-Assignment. No assignment or delegation of duties under this Agreement by Contractor shall be effective without City's prior written approval. FY 2017 Community Based Program YMCA of Metropolitan Fort Worth Page 7 of 13 11. Prohibition Against Interest. 11.1 No member, officer or employee of City, or its designees or agents; no member of the governing body of the locality in which Diamond Girls is situated; and no other public official of such locality or localities who exercises any functions or responsibilities with respect to Diamond Girls during his tenure or for one year thereafter, shall have any interest, direct or indirect, in any contract or subcontract, or the proceeds thereof, for work to be performed hereunder. Contractor shall incorporate, or cause to be incorporated, like language prohibiting such interest,in all contracts and subcontracts hereunder. 11.2 No officer, employee, member, or program participant of Contractor shall have a financial interest, direct or indirect, in this Agreement or the monies transferred hereunder, or be financially interested, directly or indirectly, in the sale to Contractor of any land, materials, supplies, or services purchased with any funds transferred hereunder, except on behalf of Contractor, as an officer, employee, member, or program participant. Any willful violation of this paragraph with the knowledge, expressed or implied, of Contractor or its subcontractors, shall render this Agreement voidable by City of Fort Worth. 12. Nondiscrimination. 12.1 In accordance with the federal, state, and local laws and ordinances, Contractor covenants that neither it nor any of its officers, members, agents, employees, program participants, or subcontractors, while engaged in performing this Agreement shall in connection with the employment, advancement, or discharge of employees, in connection with the terms, conditions or privileges of their employment, discriminate against persons because of their age, except on the basis of a bona fide occupational qualification, retirement plan, statutory requirement,or statutory or ordinance exception. 12.2 Contractor will not unlawfully discriminate against any person or persons because of age, race, color, religion, sex, disability, national origin, or sexual orientation, nor will Contractor permit its officers, members, agents, employees, subcontractors, or program participants to engage in such discrimination. IEF ANY CLAIM ARISES FROM AN ALLEGED VIOLATION OF THIS NON- DISCRIMINATION COVENANT BY CONTRACTOR, ITS PERSONAL REPRESENTATIVES, ASSIGNS, SUBCONTRACTORS OR SUCCESSORS IN INTEREST, CONTRACTOR AGREES TO ASSUME SUCH LIABILITY AND TO INDEMNIFY AND DEFEND THE CITY AND HOLD THE CITY HARMLESS FROM SUCH CLAIM. This section shall survive the expiration or termination of this Agreement. 13. Compliance. 13.1 Contractor, its officers, members, agents, employees, program participants, and subcontractors, shall abide by and comply with all laws, federal, state and local, including all FY 2017 Community Based Program YMCA of Metropolitan Fort Worth Page 8 of 13 ordinances, rules and regulations of City. If City calls to the attention of Contractor in writing any such violation on the part of Contractor or any of its officers, members, agents, employees, subcontractors or program participants, then Contractor shall immediately desist from and correct such violation. 13.2 Contractor shall utilize Program Funds strictly for those purposes and goals intended under the terms and conditions of this Agreement. If City calls the attention of Contractor in writing to any such violations on the part of Contractor or any of its officers, members, agents, employees, program participants or subcontractors, then Contractor shall immediately desist from and correct such violation. 14. Governmental Powers. It is understood that by execution of this Agreement, the City does not waive or surrender any of it governmental powers. 15. Waiver of Immunity. If Contractor is a charitable or nonprofit organization and has or claims an immunity or exemption(statutory or otherwise)from and against liability for damages or injury,including death,to persons or property; Contractor hereby expressly waives its rights to plead defensively such immunity or exemption as against City. This section shall not be construed to affect a governmental entity's immunities under constitutional, statutory or common law. 16. Insurance Requirement. 16.1 Coverages and Limits. Contractor shall provide the City with certificate(s) of insurance documenting policies of the following minimum coverage limits that are to be in effect prior to commencement of any work pursuant to this Agreement: (a) Commercial General Liability (CGL): $1,000,000 per occurrence, with a $2,000,000.00 annual aggregate limit, in a form that is acceptable to the City's Risk Manager. (b) Non-Profit Organization Liability or Directors & Officers Liability: $1,000,000 per occurrence, with a $1,000,000 annual aggregate limit, in a form that is acceptable to the City's Risk Manager. (c) Automobile Liability: $1,000,000 each accident on a combined single limit basis OR split limits are acceptable if limits are at least $250,000 Bodily Injury per person, $500,000 Bodily Injury per accident and$100,000 Property Damage. (d) Any other insurance the City may reasonably require to protect the interest of the City. 16.2 Contractor's insurer(s) must be authorized to do business in the State of Texas for the lines of insurance coverage provided and be currently rated in terms of financial strength and solvency to the satisfaction of the City's Risk Manager. All insurers must have a minimum rating of A- VII in the current A.M. Best Key Rating Guide, or have reasonably equivalent financial strength and solvency to the satisfaction of Risk Management. If the rating is below that required,written approval of Risk Management is required. FY 2017 Community Based Program YMCA of Metropolitan Fort Worth Page 9 of 13 16.3 Each insurance policy required herein shall be endorsed with a waiver of subrogation in favor of the City. Each insurance policy required by this Agreement, except for policies of worker's compensation or accident/medical insurance shall list the City as an additional insured. City shall have the right to revise insurance coverage requirements under this Agreement. 16.4 Contractor further agrees that it shall comply with the Worker's Compensation Act of Texas and shall provide sufficient compensation insurance to protect Contractor and City from and against any and all Worker's Compensation claims arising from the work and services provided under this Agreement. 16.5 The commercial general liability policy shall name the City as an additional insured thereon, as its interests may appear. 16.6 A minimum of Thirty (30) days' notice of cancellation or reduction in limits of coverage shall be provided to the City. Ten (10) days' notice shall be acceptable in the event of non- payment of premium. Notice shall be sent to the Risk Manager, City of Fort Worth, 1000 Throckmorton,Fort Worth,Texas 76102,with copies to the City Attorney at the same address. 16.7 Any failure on the part of the City to request required insurance documentation shall not constitute a waiver of the insurance requirement. 16.8 Certificates of Insurance evidencing that the Contractor has obtained all required insurance shall be delivered to the City prior to Contractor proceeding with any work pursuant to this Agreement. 17. Miscellaneous Provisions. 17.1 The provisions of this Agreement are severable, and, if for any reason a clause, sentence,paragraph, or other part of this Agreement shall be determined to be invalid by a court or Federal or state agency, board, or commission having jurisdiction over the subject matter thereof, such invalidity shall not affect other provisions which can be given effect without the invalid provision. 17.2 City's failure to insist upon the performance of any term or provision of this Agreement or to exercise any right herein conferred shall not be construed as a waiver or relinquishment to any extent of City's right to assert or rely upon any such term or right on any future occasion. 17.3 Should any action,whether real or asserted, at law or in equity, arise out of the execution, performance, attempted performance or non-performance of this Agreement, venue for said action shall lie in state courts located in Tarrant County, Texas or the United States District Court for the Northern District of Texas,Fort Worth Division.. 17.4 Contractor represents that it possesses the legal authority, pursuant to any proper, appropriate and official motion,resolution or action passed or taken, to enter into this Agreement and to perform the responsibilities herein required. FY 2017 Community Based Program YMCA of Metropolitan Fort Worth Page 10 of 13 17.5 This written instrument and Exhibits A through F constitute the entire agreement between the parties concerning the work and services to be performed hereunder, and any prior or contemporaneous, oral or written agreement which purports to vary from the terms hereof shall be void. 17.6 Any amendments to the terms of this Agreement must be in writing and must be signed by authorized representatives of each Party. 17.7 None of the performance rendered under this Agreement shall involve, and no portion of the Program Funds received hereunder shall be used, directly or indirectly, for the construction, operations, maintenance or administration of any sectarian or religious facility or activity, nor shall said performance rendered or funds received be utilized so as to benefit, directly or indirectly, any such sectarian or religious facility or activity. 17.8 The parties acknowledge that each party and its counsel have reviewed this Agreement and that the normal rules of construction to the effect that any ambiguities are to be resolved against the drafting party shall not be employed in the interpretation of this Agreement or exhibits hereto. 17.9 Captions and headings used in this Agreement are for reference purposes only and shall not be deemed a part of this Agreement. 17.10 The provisions and conditions of this Agreement are solely for the benefit of City and Contractor and are not intended to create any rights, contractual or otherwise, to any other person or entity. 17.11 Contractor certifies that it has obtained a 501 (c) (3) Certificate from the Internal Revenue Service. Contractor shall notify City in writing of any changes to its 501 (c) (3) tax- exempt status during the term of this Agreement. 18.Notice. Notices to be provided hereunder shall be sufficient if forwarded to the other party by hand-delivery or via U.S. Postal Service certified mail,postage prepaid,to the address of the other party shown below: CITY: Valerie R.Washington,Assistant City Manager City Manager's Office City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76102 FY 2017 Community Based Program YMCA of Metropolitan Fort Worth Page 11 of 13 Copies To: Brittany Taylor Program Support Division Bob Bolen Public Safety Complex 505 West Felix St. Fort Worth,TX 76115 CONTRACTOR: Malik Stewart Director of Grants 512 Lamar Street, Suite 400 Fort Worth,TX 76102 [THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK] [SIGNATURE PAGE TO FOLLOW] FY 2017 Community Based Program YMCA of Metropolitan Fort Worth Page 12 of 13 IN WITNESS WHEREOF, the parties hereto have executed this agreement i multiples in Fort Worth, Tarrant County, Texas, to be effective this_5i2-4ay of 32016. APPROVED AND AGREED FOR APPROVED AND AGREED FOR CITY OF FORT WORTH YMCA OF T O OLITAN FORT �L" --- W RT Valerie R. Washington Assistant City Manager Anthony C. Shuman o� President/Chief Executive Officer Date: / �� Y / Date: APPROVED AS TO FORM AND APP V REj'"NDF, LEGALITY FOR YMCA OF METROPOLITAN FORT WORTH Joel F. Fitzger d Chief of Police YMCA of Metropolitan Fort Worth 1c2 $ G� Attorney Date: " � F� .. Date: q��-e' 1' A APPROVED AS TO FORM AND %0 LEGALITY FOR CITY OF FORT ATTEST o� W TH ti $�, 4 M ty r ,, o Ann Pa City Secretary Assistant City Attorney J Date: Date: 9)CP�I I C 1295 CERTIFICATION: .-'t 61 M&C No.NOT REQUIRED IUFFICIA�-RECUR FY 2017 Community Based Program CITE' aECRET YMCA of Metropolitan Fort Worth ��WoftTH,TrXPag 13 of 13 Exhibit A Proposal Abstract and Narrative YMCA of Metropolitan Fort Worth—Diamond Gils Program PROGRAM ABSTRACT Provide a short description of your program to be funded.Please summarize the problem and what your program will do to address it.(Roughly 2 paragraphs in length on a separate page) Deeply rooted in the Fort Worth community for over 126 years,the YMCA of Metropolitan Fort Worth provides resources to address the most pressing social issues in the communities we serve. Our mission is "to put Christian principles into practice through programs that build healthy spirit,mind,and body for all"and we do this by helping people develop the skills and relationships needed to be healthy,confident, and connected to others, Our movement is made up of people from every walk of life,all working side- by-side to ensure that everyone has the opportunity to live life to its fullest. Across all YMCA . programming,our vision is to prepare youth to succeed and serve while nurturing the potential of every child and teen. The mission of the YMCA motivates staff and volunteers to seek support in an effort to provide for all regardless of financial capacity. Research has proven that children in poverty exist in an income achievement gap,which can impact their futures,with poor children coming to school daily without the"capitaPto be successful and often demonstrating frustration when educators don't meet their deepest needs and having their actions met with in and out-of school discipline. The core of the problem is learned behaviors as many urban poor children are exposed to and repeat behaviors that increase their likelihood of being disciplined(Bureau of Justice Statistics,2005),producing what Sociologist Elijah Anderson calls the"Code of the Streets,where at an early age,children gravitate to the culture and energy of the urban area(good or bad)and where females,in the name of respect,posture,use abusive language and violence to resolve disputes and often mick the way they're negatively portrayed in the media. The report Black Girls Matter:Pushed Out,Overpoliced,and Underprotected,indicates that black girls are suspended six times as often as their white counterparts(12%to 2%),leaving these children behind as they lose valuable learning time and produce results that are almost irreversible. A University of Chicago study revealed that high school students with one school arrest had a 26%graduation ratel Effective preventative measures can curtail student violence in ways that keep children off the"the school to prison pipeline"path,where students of color are disproportionately represented. The YMCA of Metropolitan Fort Worth is seeking a grant to provide mentoring services with the objective supporting efforts to increase the safety of youth and reduce juvenile crime through an effective approach to prevention and intervention programming targeting young adolescent girls with behavioral challenges.The YMCA is partnering with S.S.Dillow Elementary School and William James Middle School to give girls the tools to make positive life choices,live more productive lives and improve academically as they learn accountability,confidence and how to be peaceful problem solvers. The objective of Diamond Girls is to reduce d isciplinary actions and improve appreciation for self and school, Safe,stable,nurturing relationships and environments are essential to assure all children reach their Rill potential(CDC,2014),and Diamond Girls will use a social justice model to help at risk females in grades 4'h—Sm(9.14 years old)demonstrate positive behaviors and interpersonal conduct,thereby preventing and reducing youth violence. Funding in the amount of$21,477.75 is requested for staffing,mentee workshops with key partners,student materials,costs related to special programs(workshops,college tour,special trips and transportation),and program administration. RFP No. 15-0193,FY 2017 Community Based Programs—Abstract Page CERTIFICATION: I certify that the information contained in this proposal fairly represents the above-named Agency's operating plans and budget for the proposed program. I acknowledge that I have read and understand the requirements and provisions of the Request for Proposal and that the above-named Agency will comply with all applicable rules and regulations relating to the procurement process. I certify that I am authorized to sign this proposal and to enter into and execute a contract with the City of Fort Worth to provide the services authorized. NAME: YMCA of Metropolitan Fort Worth TITLE: Diamond Girls SIGNATURE: 1�1 DATE: 6/22/2016 PROGRAM ABSTRACT Provide a short description of your program to be funded.Please summarize the problem and what your program will do to address it.(Roughly 2 paragraphs in length on a separate page) PROPOSAL NARRATIVE: Provide a 4-5 page description of your program to be funded. In this narrative, please respond to each of the following questions: 1) In one sentence,describe the purpose of your proposed program. The Diamonds Girls program will provide elementary and middle school girls with the supports to face the, challenges of daily life by substituting aggressive forms of interaction with strategies that allow them to be sociable and part of a learning community. 2) Who will the program benefit? How many people? What age group? The YMCA will partner with SS Dillow Elementary and William .lames Middle Schools to impact 30 girls (15/campus), ages 9 to 14 that are deemed at risk based on teacher/staff and family referrals, in-house suspension reports and patterns of school violence. 3) What geographic area will it serve? Please describe if it will be city wide, a specific council district, or a specific zip code?Please include geographic boundaries and a map. The program serves the Polytechnic Heights area in.southeast Port Worth, specifically council districts 5 and 8 - where the children that attend SS Dillow and William James reside. 4) Describe in detail the problem that your program addresses. Diamond Girls focuses on eliminating violence among young at-risk, minority females, which can be traced back to factors from generational poverty that suffocate the promise out of youth: lack of viable employment opportunities, housing conditions, high infant mortality, food deserts, lack of access to adequate and affordable healthcare, chronic illness and other systemic problems. The National Survey of Children's Exposure to Violence states that more than 60% of children experience victimization and 38% witness violence sometime during childhood, with 25% of urban school students having witnessed It firsthand. According to SAMHSA, the incidents of violence for adolescent girls have increased since the 1990's, with 25% of girls self-reporting committing a serious violent act (Hinshaw, 2009). Being born Into poverty leads to serious, sustained neurobiological stressors that impair development and sound decision making. This is amplified when, in addition to being raised to be sensitive to the racism and sexism they may face in life, African American girls in poverty often learn to use physical or verbal aggression to address the threats they may encounter in everyday life, resolve disputes and gain respect (Jones, 201.0). The impact of poverty can impair academics RFP No. 16-0125,FY2017 Community Based Programs Page 15 of 30 and personal declsion-making as kids are raised in environments where they adopt the survival norms which Elijah Anderson calls the "Code of the Street"; or unwritten rules that detail when and how to respond to challenges. Frequent childhood exposure to such trauma causes high rates of emotional health issues and can lead to children becoming the victims or perpetrators of antisocial behavior (Popkin, Susan J., Tama Leventhal, and Gretchen Weismann. 2010. "Girls in the 'Hood: How Safety Affects the Life Chances of Low-Income Girls." Urban Affairs Review 45 (6): 715--44.), or abusing illicit substances, having PTSD and academic challenges (U.S. Department of Justice, 2015). This is exemplified in the targeted school populations, where during the 2015-16 school year, the major offenses for both schools were verbal (over 700 female offenses including cursing, verbal bullying, slurs, etc.) and physical (over 270 offenses, including fighting, physical bullying, etc.), included are also 100 emotional outbursts, which at times are followed by more detrimental actions. 5) Describe what your program does to 1) support efforts to reduce violent crime and gang-related activities through enhanced enforcement activities and crime prevention programs, 2)support efforts to increase the safety of residents and to decrease crime throughout Fort Worth neighborhoods;and 3)support efforts to increase the safety of youth and reduce juvenile crime through crime prevention and intervention programs, Diamond Girls meets twice/month afterschool, and provides small group counseling and activities to help the girls deal with any problems they have, with informal "check-ins" during their off-weeks. This interactive program gives girls the opportunity to meet with women who assist them in defying race, class and gender stereotypes and challenge notions of what a girl "should" do or be. Diamond Girl groups (elementary and Middle) learn strategies for recognizing and reducing aggressive behavior along with finding proactive solutions to challenges. The groups also discuss ways to support all girls and each other both in school and in their neighborhoods. The girls also identify negative social and broad media messages/images and learn healthy ways to express anger and disappointment. In addition to biweekly mentoring and coaching, the girls participate in an overnight Confident U, Respect U Camp at the YMCA Camp Carter, along with other outings. The Camp includes teambuilding exercises to help girls learn to trust, support each other, handle challenges peacefully and celebrate one another and includes activities and group discussion to help girls see one another as allies, and build a foundation for change. Workshops bring the girls together with college students, professionals and other daring women to encourage them on their new path. Also, the girls take part in a local college tour to understand the nature of college and its importance to future successes, develop positive perceptions and aspirations about college, and set short-term and long-term goals. The grant covers transportation costs to and from the college location. Lastly, the girls participate in 2 student-defined community projects in the Polytechnic Heights area as a way of symbolizing their rebirth and reconnection to their Immediate community. The goal of the Diamond Girls program is to stop youth violence from happening and empower girls to be compassionate to each other. In doing this; we will increase the safety of female youth and reduce juvenile crime. The objectives of the program are for girls to develop and use healthy relationship skills, understand relational aggression/their personal triggers, question stereotypes/ divisive media messages and learn how to resolve conflict peacefully. 6) Does your program address the CCPD priority/special emphasis of the prevention or intervention of youth violence and/or family violence?Describe how your program addresses this priority? The Diamond Girls program addresses the CCPD priority/special emphasis of the prevention or intervention of youth violence by specifically targeting the learned behaviors and actions of children with repeated offenses and providing them with a program that will see school officials, a campus Assistant Principal and a Campus School Counselor, as their allies. RFP No. 16-0125,FY2017 Community Based Programs Page 16 of 30 7) Plow will you measure the effectiveness of the program? You must include specific performance measures within the Activities and Outcomes Summary and describe evaluation tools and the method of data collection that you will use. If awarded funding,these performance measures will be included as an exhibit in the contract, and you will be required to report progress towards these measures,which will be reported to the CCPD Board. The effectiveness of Diamond Girls strategy is related to its contribution to improvements in student behavior, reductions in violent behaviors and in each child's self-worth and spirit. The school administrators will collect campus data, and provide the progress reports throughout the project period to the City of Fort Worth, the schools and the YMCA. The following data will be collected: Campus records related to student behaviors for verbal and physical; offenses (analyzing the behavior of participants as a whole with pre/post review); anecdotal surveys from students, their families and teachers; along with the administration of the Young Children's Hope Scale (YCHS), to measure the level of one's determination to attain a goal, and their ability to plan ways to attain a goal. The data will be analyzed to answer the following questions: How has the program made a difference in the lives of the project participants? How has the project enhanced or enriched the behaviors of the children, related to youth violence and delinquency? What is the connection to the student behaviors and their educational performance? The specific measures include: the percentage decrease in behavior referrals for physical and verbal actions of defiance; the number of participants with an increased self-esteem and future outlook; an increase in the percentage of children who view themselves as problem solvers (YCHS) and the percentage of participants who use the strategies to avoid violent confrontations/delinquent behaviors. The following is the collection schedule: PRE/POST: Surveys, YCHS, discipline to view before/after; QUARTERLY: Discussion of student behavior trajectories and interventions; interviews with school administrators, teachers and parents; WEEKLY: discipline and behavior reports for specific behaviors. 8) What makes this program unique from any other crime prevention program in Fort Worth? Diamond Girls uniquely focuses on a partnerships program between feeder schools to address the problem of girl violence, which has grown over recent years in both schools and the respective neighborhoods of the children. Building emotional literacy and pro-social skills are vital to creating safe climates, and Diamond Girls incorporates the research-proven methods related to supportive relationships between and among staff and children; opportunities for children to collaborate and serve others; student "voice and choice" and goal setting and attainment so that they have a say in their outcome; and other elements that research says promote positive social skills among children at-risk for negative outcomes (Bandy, Tawana T.,. B.S., and Kristin A. Moore, Ph.D. "What Works For Promoting and Enhancing Positive Social Skills: Lessons from Experimental Evaluations of Programs and Interventions." Child Trends Fact Sheet (Mar. 201.1.): n. pag. Print.). Diamond Girls uses ongoing data reviews to create programming, avoiding a "one size fits all" approach while tailoring social justice- focused interventions on the development levels of adolescent girls, their needs and behavior patterns (especially those that initiate in the community and erupt at school) with age- appropriate expectations. Using strategies such as peer recruitment, social and academic incentives, and adaptations to account for the many transitions in adolescence, helps the program in supporting youth who crave autonomy, a social circle and are concerned with self- image. Studies on mentoring high risk youth found positive effects for delinquency, aggression, drug use, and academic performance (Tolan P, Henry D, Schoeny M, Bass A. Mentoring interventions to affect juvenile delinquency and associated problems. Campbell Systematic Reviews 2008:16.). 9) Is the program already in operation? If so,how long have you operated the program? What resources are currently used to operate the program? Why are CCPD funds necessary at this time? NO; N/A RTP No. 16-0125,TY2017 Community Based Programs Page 17 of 30 10)Is this a new program? if so, what other funds have you applied for? Also, please describe the sequence of steps needed to implement your program and the timeframe in which this wilt occur. Diamonds Girls is a new program, but the idea for it originated from the recent success of a YMCA-sponsored male mentoring program. After seeing a drastic rise in the number of female-related violent incidents and the increase in subsequent disciplinary actions, Ylana Rhynes (Assistant Principal at SS Dillow) and Dedra Colston (Guidance Counselor at William James), contacted the Y about creating an intervention for its at-risk girls. Their interest was based on the recent results of the Y's Men Of Standards (MOS) Mentoring program, which in 20151 was restructured by the Y's new Sr. Director of Youth Development, Patrick McGrew, Sr., to have a greater impact on helping boys who were prone to delinquent behaviors. The new MOS structure helps targeted boys develop personal identity, understand individual purpose, increase self-esteem, and manage emotions through a youth-centered curriculum and the use of a research-based outcome measure (Young Children's Hope Scale), In spring, 2016, the YMCA advised the schools In the creation of a conference for targeted girls, funded by modest personal donations from the program leaders (school administrators). Afterwards, both schools observed noticeable changes in the behaviors of the children. CCPD funds are needed to create the structure to provide these children with ongoing support and strategies that give them more peaceful options to conflict and decision-making. The YMCA will Implement its program within the following sample timeframe: PRE-GRANT: (no charges to the grant): YMCA, SS Dillow and Wm. James plan, review pupil data, recruit children, and schedule the trips (college, Camp Carter and the July field trip). OCT 2016 (Introduction): Initial meetings; Getting to know you; setting boundaries and norms; NOV 2016 (Leadership): What's a Leader; A.A.P. (Aggressive, Assertive and Passive) DEC 2016 (Peer Pressure); Decision-making; bullying; Community Project #1 - Giving back JAN 2017 (Respect): R.E.S.P.E.C.T.; Diamond v. Dime FEB 2017 (Character): Attitude v. Altitude; Shallow Gal MAR 2017 (Academics): Strive for Success; College Bound; College Tour APR 2017 (Confidence): Rock your awesomeness; what about E.V.E. (Elegance, Virtue and Excellence) MAY 2017 (Hygiene). Body Rules; Camp Carter - Confident U, Respect U JUN 2017 (Etiquette Rules): Personal; Social Media JUL 2017 (Healthy Habits), Body Image; nutrition (cooking classes);. Field Trip - dinner, movie activity AUG 2017 (Relationships): Friendships & Family-ships; Community Project #2 - Giving Back SEP 2017 (Goal Setting): Dear Future Self; Back to the Basics (Do's and Don'ts for a SUCCESSFUL school year) 11)Briefly describe the specific expenditures planned for CCPD funding. You MUST frilly complete attached budget forms. Once awarded, the YMCA will provide program materials, including student journals, program shirts, PT staff salaries, and costs related to participation in and transportation (to and from the Polytechnic Heights area) for: the college tour, Camp Carter experience(includes 3 meals, overnight lodging and activities, including the high challenge course, which includes an Outdoor Rock Climbing Tower, Zip Line, Giant Swing, and other features along with low elements designed to increase teamwork, self-confidence and communication), and July field trip. The costs also include student packets to help low-income children attend a resident camping program (toiletries, linens, etc.). The two partner schools will use Fort Worth After School resources to support the afterschool program snacks and costs related to maintaining the building open after the end of the day, RFP No. 16,0125,FY2017 Community Based Programs Page 18 of 30 12) If finds are awarded, will this program continue beyond the CCPD funding period? Please explain your plan to sustain this program. The YMCA of Metropolitan Fort Worth utilizes various means for ensuring the sustainability of core programs and initiatives across the organization's three focus areas - youth development, healthy living, and social responsibility, Including collaborating with other community organizations to provide a network of services to meet the needs of children and youth in our community. We've focused our strategic plan (2015-2020) on doubling the number of youth we currently serve in Fort Worth (and beyond), and with that in mind, programs like Diamond Girls can not only provide direct benefits to its target audiences, but help us work towards meeting our goal as well. The YMCA of Metropolitan Fort Worth utilizes a broad range of funding sources to ensure the longevity of programs and initiatives that are important to the Fort Worth community. The Y's Financial Development department leads all fundraising efforts; specifically, the Director of Grants will assist the McDonald Southeast YMCA and the 2 schools in researching and securing funding that can supplement and sustain Diamond Girls and the intended outcomes. Additionafly, the department will help to craft a case statement to support Annual Campaign fundraising efforts to support the program and the Y's Marketing & Communications Department will help craft messaging and stories that communicate the success of the program and the CCPD funding to the broader Fort Worth community. 13)Has your agency obtained funding through the Crime Control and Prevention District previously?D Yes 0 No If so,please fill out the form on page 16. RFP No. 16-0125,FY2017 Community Based Programs Page 19 of 30 Exhibit B Budget BUDGET SUMMARY Amount Requested A. Direct Personnel $8958.33 B. Direct Fringe Benefits $1164.60 C. Direct Travel $108.00 D. Direct Equipment $0.00 E. Direct Supplies $5246.82 F. Direct Contracts/Consultants $4,000 G. Indirect Cost up to 10% $2,000 TOTAL $21,477.75 BUDGET DETAIL, A. Direct-Personnel Name Position Rate of Pay x#of Hours Cost Johnny Pinneda Y Bus Driver $8.69/hr.X 11 hrs,for trips $95.59 TBD Y Bus Driver $8.69/hr.X 11 hrs.for trips $95.59 TBD 2 Y Bus Driver $8.69/hr.X 11 hrs.for trips $95.59 Johnny Pinneda Y Bus Driver $8.69/hr.X 3hr/mo x 8mo.Prg transport $208.56 Dedra Colston Program Teacher $21/hr.x 6.5 hrs.x 31 weeks. $4231.50 Ylana Rhynes Program Coordinator $21/hr.x 6.5 hrs.x 31 weeks. $4231.50 TOTAL Personnel $8958.33 B. Direct-Fringe Benefits Name Position Description of Benefits Cost Johnny Pinneda Y Bus Driver 13%of$95.59 $12.43 TBD Y Bus Driver 13%of$95.59 $12.43 TBD 2 Y Bus Driver 13%of$95.59 $12.43 Johnny Pinneda Y Bus Driver 13%of$208.56 $27.11 Dedra Colston Program Staff 13%of$4231.50 $550.10 Ylana Rhynes Program Staff 13%of$4231.50 $550.10 TOTAL Fringe Benefits $1164.60 RFP No. 16-0125,FY2017 Community Based Programs Page 25 of 31 C. Direct-Travel Purpose of Travel Location Item Cost Program Implementation SE Metro (Est 200 miles x 0.54/mile) $108.00 TOTAL Travel $108.00 D. Direct-Equipment Item Cost per Item Quantity Cost TOTAL Equipment $ E. Direct-Supplies Item Cost per Item Quantity Cost Pen Packs $11 10 $110.00 Journals $5 40 $200.00 Program Uniforms $12.50 40 $500.00 College Sweatshirts $35 40 $1400.00 Drawstring backpack $5 40 $200.00 Camper packs $40 40 $1600.00 Book 1 $9 20 $180.00 Book 2 $9 35 $315.00 Book 3 $9 35 $315.00 Book 4 $9 20 $180.00 Prg Awards $5 40 $200.00 Prg Cert./incentives $1.00-1.17(est.) 40 $46.82 TOTAL Supplies $5,246.82 F. Direct-Contracts/Consultants Description of the Service Cost 1. Camp costs for scholarships to Camp Carter $4,000 (Est.$100/participant x 40 people) RFP No. 16-0125,FY2017 Community Based Programs Page 26 of 31 TOTAL Contracts/Consultants $4,000 * The program budget may use up to 10 percent of the funds requested towards indirect/non- program related expenses. Indirect costs include but are not limited to administrative staff salary, rent or lease payments for administrative offices, utility costs for administrative offices, audit costs and insurance premiums. G. Indirect-Personnel Name Position Rate of Pay x#of Hours Cost TOTAL Personnel $ H. Indirect—Fringe Benefits Name Position Description of Benefits Cost TOTAL Fringe Benefits $ I. Indirect-Other Costs Item Cost per Item Quantity Cost Admin Support up to 10%of grant total 1 $2,000 TOTAL Other Cost $2,000 RFP No. 16-0125,FY2017 Community Based Programs Page 27 of 31 BUDGET NARRATIVE Please attach a detailed budget narrative that explains the need for all proposed expenditures by individual item. The budget narrative should clearly explain how funds will be used and why expenditures are necessary for successful implementation of your program. Please explain how costs are calculated. A. Direct—Personnel($8559.41) The grant will fund costs related to: 1 PT YMCA bus driver to transport children on program days($8.69 x 3 hrs./mo x 8 months hrs.($208.56);3 PT YMCA bus drivers for trips(3 x$8.69 x 11 hrs.($286.77);and 2 staff to oversee Diamond Girls implementation(1 PT Coordinator x$21/hr.x 6.5 hrs.x 31 weeks($4231.50)and 1 PT Teacher x$21/hr.x 6.5 hrs.x 31 weeks($4231.50):$8958.33 total costs B. Direct—Fringe($929.30) The fringe benefit rate for personnel is 13%. The grant will pay for the fringe benefits of the PT Bus Driver,valued at$208.56 for transport on program days;the 3 PT Bus Drivers,valued at$286.77 for transport on trip days,and the 2 PT Program Staff,valued at$8,463. (Personnel salary X 13%fringe benefit):$1,164.60 total costs C. Direct—Travel($100.00) The estimated travel costs are needed to cover the travel to implement and monitor the program at school sites along with trips to special events.Transportation(YMCA bus)in Polytechnic Heights area(50 miles est.)and to area colleges(50 miles est.);Camp Carter(50 miles est.);an summer activity(50 miles est.)and YMCA staff mileage to monitor programming(50 miles est.);(200 miles x.54:$108):$108 total costs D. Direct—Equipment-$0 total costs E. Direct-Supplies($5,245.62) The total materials cost supports books for group study,journals for personal reflection,shirts to signify program participation,camp packets so that children in poverty can attend overnight camp,and attendance-focused incentives;estimates assume replacements/enrolling new participants:Books: (20 copies of I Am Malala x$9: $180;35 copies of Girls Guide:How to Be Like Michelle Obama x$9:$315;35 copies of Don't Give It Away Workbook of Self-Awareness and Self-Affirmations x$9:$315;20 copies of Girls Inc.Presents:You're Amazing! x$9:$180)_$990.00;Shirts for girls_($12.50/shirt x 40 units)_$500;Attendance Incentives College Sweatshirts: ($35 x 40:$1400;drawstring backpacks for prg.:$5 x 40:$200;certificates incentive for goals/milestones:$1- $1.17x40:$45.62;awards for prg.Completion:$5x40:$200)_$1845.62;Camp Carter CampingPacket(bed linens,towels,washcloths,soap,toothpaste,toothbrush,feminine hygiene products,sunscreen and bug repellent: est.$40/kit x 40 units)_$1600;Student journals for visioning and activities(40 journals x$5:$200;$11 for multi pen packs x 10:$110)_$310:$5,245.62 total costs F. Direct-Contracts/Consultants($4,000) The total contract/consultant cost supports program fees related to Camp Carter(est.$100/attendee(including chaperones)x 40):$4,000 total costs G.Indirect Cost up to 10% H. Indirect Cost—Personnel-$0 total costs I. Indirect Cost—Fringe Benefits-$0 total costs RFP No. 16-0125,FY2017 Community Based Programs Page 28 of 31 Exhibit C Request for Reimbursement FORT WORTH. Request for Reimbursement(RFR) FY 2017 CRIMECONTROL AND PREVENTION DISTRICT Submit To: Submitting Agency: YMCA of Metroplitan Fort Worth Bob Bolen Public Safety Complex Contact Name: Malik Stewart Attn:Brittany Taylor Phone Number: 817-566-1088 Program Support Division Email: mstewartaymeafmom 505 West Felix St. Remit Address: 512 Lamar Street,Suite 400,Fort Worth,TX 76102 Fort Worth,TX 76115 Invoice Number: Month of Request: DIRECT COSTS(90%Minimum) A B C: Total ofPreviousB+C A-D Thio Month's Budget Category BudgetAmount ReimhurremenbRequest Total Requafed Remaining Balance Requested Ta-Date Available A Personnel '58858.33 S.- - - _ -: S- :8;958.33 B Fringe Benefits 8 1;164.60 S - S :1,164.60 C Travel&Training S-_, '- 108.00 108.00 D Equipment E Supplies S .----5,246.82 -- F Contracts/Consultants S_ _ 4,000.00- - - - TotalDirectCosts S.' 19477.75/ S - S - S S '19,477.75; INDIRECT COSTS(10%Maximum) TotalofPrevious +C A-D This Month's Budget Category Budget Amount ReimbunemenbTotal Requested Remaining Balance Requested Request To-Date Available A Personnel B Fringe Benefits ---- $ C Travel&Training - $ S D Equipment S E Supplies _ S - - S F Contracts/Consultants - I Other Costs S 2000,00 S --- S - 2;000.00 Total lnDirectCosts S ---- 'S,000.O0. $ S -S-> - S 2000.00 Supporting documents required with monthly requests. Summary This includes,timesheets depicting CCPD funded activities, Total Budget: S 21,477.75 copy of paychecks,invoices and receipts detailing all CCPD Previous Requests: S - funded expenditures. This Request: $ Total Requested To-Date S RemainingFunds S 21,477.75 I have reviewed this request and certify that these listed expenses and support documentation are accurate. Authorized Signatory Signatory Title Date Fiscal Agent Use Only Purchase Order# Fund DepG7D Account RFR Approved ForPaynteut Grant StaffSignature Date Finance Received Stamp Placed Below Exhibit D Program Activities Report FORT WORTH CRIME CONTROL &PREVmam DisTRIGT Fiscal Year 2017 Monthly Program Activities Report Current Reporting Month Submitting Agency YMCA of Metropolitan Fort Worth Contact Name Malik Stewart Phone Number and Email 817-566-1088/mstewart@ymcafw.org Remit Address 512 Lamar Street, Suite 400,Fort Worth, TX 76102 - -: - Aetvrty Current . To Date Yedr`End - 1Vlonth Total - Goal 1 Programmatic Workshops held 2 times a month for 24 weeks in the 24 elementary and middle school Workshops 2 Community projects—Giving Back • Held 2 times in the programmatic year 30 students 3 Enrichment trips to support program goals • Head 3 times in the programmatic year 30 students 4 Administer Assessments(parent/teacher/student surveys) at the beginning,middle, and end of the program for each student. 30 students 5 Data Review by staff on each student in the program I have reviewed this report and certify that the measures provided are accurate and appropriately reflect the CCPD goals set forth in the contract. Authorized Signatory Signatory Title Date Exhibit E Program Effectiveness Measurement Report FORT WORTH oir CRIME CONTROL &PREVENTION Dlsmcr Fiscal Year 2017 Quarterly Program Effectiveness Measurement Report Current Reporting Quarter Submitting Agency YMCA of Metropolitan Fort Worth Contact Name Malik Stewart Phone Number and Email 817-566-1088/mstewart@ymcafw.org Remit Address 512 Lamar Street, Suite 400,Fort Worth, TX 76102 Please include outcome narrative that describes how measure was accomplished for each quarter. - Measures-and- Measure Quarterly- Outcomes Neasures and Measure 1 85%of the girls will show a decrease in Behavior referrals related to verbal/physical offenses; and an increase in school attendance. Outcome Measure 2 80%of the girls view themselves as problem solvers. Outcome Measure 3 85% of the girls will use strategies to avoid violent confrontations/delinquent behavior. Outcome Measure 4 90% of the girls will have increased self-esteem and an improved future outlook. Outcome Measure 5 Outcome I have reviewed this report and certify that the measures provided are accurate and appropriately reflect the CCPD goals set forth in the contract. Authorized Signatory Signatory Title Date Report due each quarter: I"Quarter(Oct-Dec)due January 15 2nd Quarter(Jan-Mar)due April.15 TdQuarter(Apr-June) due July 15 411 Quarter(Jul-Sep)due October 15 Exhibit F Request for Budget Modification FORT WORTH CRIME CONTROL &PRMNTiom DISTRICT • Up to 5%of any budgeted line-item does not need prior approval but form must be sent to City with monthly RFR • More than 5%of any budgeted line-item must have prior City approval • An increase in a zero line-item must have prior City approval • Modifications cannot be made between Direct and Indirect costs Exhibit F Request for Budget Modification Fiscal Year 2017 Date Submitting Agency YMCA of Metropolitan Fort Worth Contact Name Malik Stewart Phone Number and Email 817-566-1088/mstewart@ymcgty.org Remit Address 512 Lamar Street,Suite 400,Fort Worth,TX 76102 _ _ - DIRECT COSTS_(9_00/- M*n1unl n- - - - Budget Category Approved Bud et Change Requested Revised Budget Personnel Supplies&Equipment Program Services Travel and Training Other Approved Total Direct Costs - PiDIRECT COSTS IO%maximum) Budget Category Approved Budget Change Requested Revised Budget Personnel Supplies&Equipment Operational Services Travel and Training Facilities&Utilities Other Approved Total Indirect Costs ilodificationarr�tve describe in sletalaijt change is ford_ _ _... I have reviewed this request and certify that the listed modifications are correct. Authorized Signatory Signatory Title Date _- FWPD STAFF-tTSE-ONLY_ ,- 0 Modification Approved Modification NOT Approved FWPD Staff Signature Date