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Contract 48238
CITY SECRUARY CONTRACT NO. G AGREEMENT FOR COMMUNITY BASED PROGRAM Lena Pope Home,Inc. 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 Lena Pope Home, Inc., a Texas private non-profit corporation ("Contractor") acting by and through Todd Landry, 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 Second Opportunity for Success, 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 the Second Opportunity for Success;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$50,000.00 ("Program Funds")to provide to the Contractor for the operation of the Second Opportunity for Success; NOW, THEREFORE, in consideration of the mutual covenants herein expressed, the parties agree as follows: AGREEMENT DOCUMENTS The Agreement documents shall include the following: 1. This Agreement between City and Contractor �- 2. Exhibit A–Proposal Abstract and Narrative �'�G '�k�� 1� RECOMP 3, Exhibit B–Budget :i AY NCRI EV 4. Exhibit C—Request for Reimbursement < �� 5. Exhibit D—Program Activities Report 6. Exhibit E–Program Effectiveness Measurement Report – ---- - - FY 2017 Community Based Program Lena Pope Home,Inc. 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 the Second Opportunity for Success program. 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. Prollram Funds. 2.1 In no event shall the total distribution from City made to the Contractor during the Term of this Agreement exceed $50,000.00 ("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 Lena Pope Home,Inc. 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 Lena Pope Home,Inc. 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"E," 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 15'h 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 15`h 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(30) days' written notice of termination. 5.4 Termination will be effected by delivering to Contractor written notice of termination. Upon Contractor's receipt of notice of termination, Contractor shall: FY 2017 Community Based Program Lena Pope Home,Inc. 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 limited to actual, consequential, and punitive damages, court costs and attorney's fees. 5.6 Within thirty (30) days following the date of termination of this Agreement, Contractor shall return to City any property provided hereunder. City will have no responsibility or liability 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 the Second Opportunity for Success program. Contractor shall maintain, replace or repair any item of equipment used in support of the Second Opportunity for Success program 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 the Second Opportunity for Success program and/or for use under the terms of this Agreement is the sole responsibility of Contractor. Contractor shall not use Program Funds to repair or replace said equipment. Contractor shall use any and all equipment purchased with Program Funds exclusively in support of the Second Opportunity for Success program. Within 10 days following the purchase of equipment, Contractor shall submit to City a detailed inventory of all equipment purchased with Program Funds to the Grants and Program Management Section at the address set forth in paragraph 2.2 above. The equipment inventory shall include an itemized description of each piece of equipment,the date each piece of equipment was purchased,the cost of purchase for each piece of equipment, and the location of each piece of equipment. 7. Administrative Requirements. 7.1 Contractor agrees to keep sufficient records to document its adherence to applicable local, state, and federal regulations, along with documentation and records of all receipts and expenditures of Program Funds. 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 FY 2017 Community Based Program Lena Pope Home,Inc. Page 5 of 13 submit a copy of any audit performed by their independent auditor within 30 days of receipt of the final audit report. 7.2 If any audit reveals a questioned practice or expenditure, City shall notify Contractor as soon as reasonably practical. Contractor shall have fifteen (15) days to provide City with a written explanation and any supporting documentation regarding 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 Second Opportunity for Success 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 FY 2017 Community Based Program Lena Pope Home,Inc. Page 6 of 13 City does not have the legal right to control the details of the tasks performed hereunder by Contractor, its officers, members, agents, employees, subcontractors, program participants, licensees, or invitees. 8.2 City shall in no way nor under any circumstances be responsible for any property belonging to Contractor, its officers, members, agents, employees, subcontractors, program participants, licensees or invitees,which may be lost, stolen, destroyed, or in any way damaged. 9. Liability and Indemnification. 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 CA USED BY THE NEGLIGENT ACTS) 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 HARMLESS AGAINST ANYAND 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 (H) ANY NEGLIGENT ACT OR OMISSION OR INTENTIONAL MISCONDUCT OF CONTRACTOR, ITS OFFICERS, AGENTS, ASSOCIATES, EMPLOYEES, CONTRACTORS (OTHER THAN THE CITY), OR SUBCONTRACTORS RELATED TO THE PERFORMANCE OF THIS AGREEMENT, EXCEPT THAT THE INDEMNITY PROVIDED FOR IN THIS SECTION SHALL NOT APPLY TO ANY LIABILITY RESULTING FROM THE SOLE NEGLIGENCE OF THE CITY OR ITS OFFICERS, AGENTS, EMPLOYEES, OR SEPARATE CONTRACTORS, AND IN THE EVENT OF JOINT AND CONCURRENT NEGLIGENCE OF BOTH CONTRACTOR AND CITY, RESPONSIBILITY, IF ANY, SHALL BE APPORTIONED COMPARATIVELY IN ACCORDANCE WITH THE LAWS OF THE STATE OF TEXAS. NOTHING HEREIN SHALL BE CONSTRUED AS A WAIVER OF THE CITY'S GOVERNMENTAL IMMUNITYAS FURTHER PROVIDED BY THE LAWS OF TEXAS. Contractor shall require all of its subcontractors to include in their subcontracts a release and indemnity in favor of City in substantially the same form as above. This section shall survive the expiration or termination of this Agreement. 10. Non-Assignment. No assignment or delegation of duties under this Agreement by Contractor shall be effective without City's prior written approval. FY 2017 Community Based Program Lena Pope Home,Inc. 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 the Second Opportunity for Success program is situated, and no other public official of such locality or localities who exercises any functions or responsibilities with respect to the Second Opportunity for Success program 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. IF ANY CLAIM ARISES FROM AN ALLEGED VIOLATION OF THIS NON- DISCRIMINATION COVENANT BY CONTRACTOR, ITS PERSONAL REPRESENTATIVES, ASSIGNS, SUBCONTRACTORS OR SUCCESSORS IN INTEREST, CONTRACTOR AGREES TO ASSUME SUCH LIABILITY AND TO INDEMNIFY AND DEFEND THE CITY AND HOLD THE CITY HARMLESS FROM SUCH CLAIM. This section shall survive the expiration or termination of this Agreement. FY 2017 Community Based Program Lena Pope Home,Inc. Page 8 of 13 13. Compliance. 13.1 Contractor, its officers, members, agents, employees, program participants, and subcontractors, shall abide by and comply with all laws, federal, state and local, including all ordinances,rules and regulations of City. If City calls to the attention of Contractor in writing to any such violation on the part of Contractor or any of its officers, members, agents, employees, subcontractors or program participants, then Contractor shall immediately desist from and correct such violation. 13.2 Contractor shall utilize Program Funds strictly for those purposes and goals intended under the terms and conditions of this Agreement. If City calls the attention of Contractor in writing to any such violations on the part of Contractor or any of its officers, members, agents, employees, program participants or subcontractors, then Contractor shall immediately desist from and correct such violation. 14. Governmental Powers. It is understood that 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 Ilijury per accident and$100,000 Property Damage. (d) Any other insurance the City may reasonably require to protect the interest of the City. FX 2017 Community Based Program Lena Pope Home,Inc. Page 9 of 13 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. 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. FY 2017 Community Based Program Lena Pope Home,Inc. Page 10 of 13 17.3 Should any action,whether real or asserted, at law or in equity, arise out of the execution, performance, attempted performance or non-performance of this Agreement, venue for said action shall lie in state courts located in Tarrant County, Texas or the United States District Court for the Northern District of Texas,Fort Worth Division.. 17.4 Contractor represents that it possesses the legal authority, pursuant to any proper, appropriate and official motion,resolution or action passed or taken,to enter into this Agreement and to perform the responsibilities herein required. 17.5 This written instrument and Exhibits A through 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 FY 2017 Community Based Program Lena Pope Home,Inc. Page i 1 of 13 City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76102 Copies To: Brittany Taylor Program Support Division Bob Bolen Public Safety Complex 505 West Felix St. Fort Worth, TX 76115 CONTRACTOR: Sonya Mosley Director of School and Community Based Services 3200 Sanguinet Street Fort Worth, TX 76107 [THE REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK] [SIGNATURE PAGE TO FOLLOW] FY 2017 Community Based Program Lena Pope Home,Inc. Page 12 of 13 IN WITNESS WHEREOF, the parties hereto have executed this agreem nt in multiples in Fort Worth, Tarrant County, Texas,to be effective this' day of d ,2016. APPROVED AND AGREED FOR APPROVED AND AGREED FOR CITY OF FORT WORM LENA Lull, Valerie R. Washington Todd fandry Assistant City Manager Chief Executive Officer Date: �)�����{ Date: it,1z,G APPROVED AS TO FORM AND LEGALITY FOR LENA POPE APPROVAL RE 9B4ME1jDED a" 40*14---ow2((rte) PAO-�o Lena Pope Attorney Joel F.Fitzgerald Chief of Police Date: (' Date: 0 Ur APPROVED AS TO FORM AND o LEGALITY FOR CITY OF FORT ATTEST WORTH f J ` ry a r o Ann to City Secre ary Assistant City Attorney Date: Date: 1295 CERTIFICATION: 7�)-C.V,_e C I M&C No.NOT REQUIRED 0OFFICIALRECC)"FY 2017 Community Based Program Lena Pope Home,Inc. Exhibit A Proposal Abstract and Narrative r Abstract Research indicates that juvenile offenders face many barriers to leading a life free of future crime and violence,including truancy,family instability,and substance abuse or mental health issues. Further,Texas has higher rates of juvenile detention than the national average,which creates significant community costs.Lena Pope's Second Opportunity for Success®program works to rehabilitate first offending youth in the community,which research and previous program results suggest produces betters more cost-effective outcomes for these youth.The program has two phases which use research-tested strategies.to address each of the barriers that juvenile offenders face to living without violence and recidivism,The first phase is seven weeks of skill building groups for both youth and their parents.Parents are required to accompany their children to each weekly class and attend a separate patenting class.Both parents and youth learnn to effectively express concerns and solve problems. This intensive family involvement is one of the aspects that sets Second Opportunity for SuccessO apart,and according to research,is crucial to an effective diversionary program.The second phase of the program is a 90-day follow-up period where a Lena Pope staff monitors the student in the community to assure continued success. .After the 90-day probation period has expired,the youth and family has completed all program requirements,and the youth has not re-offended,Lena Pope recommends to the referring patty that the youth be successfully discharged and that the youth's charges be dropped. Second Opportunity for Success®has been recognized nationally as an outstanding program. Urban Solutions did an assessment of youth reentry programs in 2004, and named Second Opportunity for Success@ as one of the top ten diversionary programs.Further,the program has had outstanding success since it began in 2000,with a cumulative recidivism rate of only 7%. This success is based on the intensiveness of the program,the involvement of families,tenured staff,and the creation of lasting supports fox youth and their families. 10 s r 4 t I RFP No. 16-0215 Program Narrative C Narrative 1. In one sentence, describe the purpose of your proposed program. Lena Pope's first offender program, Second Opportunity for Successe(SOS),is designed to give kids and families the skills they need to live erime�free lives and will help the L ty Fort Worth meet its goals of reducing violent crime and gang related activity,decrease crime throughout Fort Worth neighborhoods;reduce juvenile crime,and prevent youth and family violence. 2. Who will the program benefit?.Tow many people? What age group? Second Opportunity for Success®benefits youth ages 10 to 17 with a first offense and their families.Lena Pope is proposing to provide this program to 60 youth and at least 60 guardians.The youth's guardians are requited to participate in the program with the Youth. 3. What geographic area will it serve?Please describe if it will be city wide, a spectftc council district, or a speck zip code. Please include geographic boundaries and a map. Lena pope proposes to provide Second Opportunity for Success®services to youth with a residence in Fort Worth city limits. 4. Describe In the detail the problem that your program addresses. In 2013, there were almost 4,000 referrals to Tarrant County Juvenile Services. Further, in 2015 the Fort Worth Police]department identified 60 criminal street gangs with approximately 4,300 gang members,including 23 youth gangs with.over 130 identified youth gang members. .According to the Tarrant County Criminal Justice Community Plan, the "problein contributors"that significantly challenge the juvenile justice system.in Tarrant County include continued dispropoitionality of minorities, school dropout and truancy, family dysfunction, instability, gang involvement, mental health and substance abuse issues. Addressing these contributing factors to delinquency through and, end juvenile programs can cost communities millions of dollars per year Unless there are prevention and early intervention programs to divert offending youth from more costly options. This is especially pertinent as I outh in Texas are being sent to detention at higher rates than youth nationally (United Way Community Report,2015). Incarceration in a state juvenile facility costs approximately $258 per day,while diversion.or supervision programs range from$7 to $73 per day.Further, while some youths need to be in a residential setting,research has found unnecessary incarceration may actually make lower-risk youths more likely to re-offend, as it co-mingles there with more serious offenders and frays ties to their family and community. Lena Pope's Second Opportunity for Suecess(D (SOS), a Fust Offender Program,provides an alternative approach to referring a first offender for entry into the Juvenile Justice system, SOS is able to effectively reduce recidivism for these youth and save the community money by rehabilitating these youth and their families in the community. 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 12 throughout Fort Worth neighborhoods, and 3)support efforts to increase the safety of youth and reduce juvenile crime through crime prevention and intervention programs. r Lena Pope developed the Second Opportunity for Success® program based on research of reducing recidivism of at-risk youth and first offenders. The program, aims to reduce the risk h factors identified in the Tarrant County Criminal Justice Community Plan report while simultaneously increasing protective factors identified in the literature(Farrell &Barnes, 1993; h Urban. Solutions, 2004; Dukes & Stein, 2001; Aseltine, 1995; Crosnoe et al.2002; Fass & Pi, { 2002,Practice Wise,Bruce Chozpita,Hawaii). Second Opportunity for Success@ Sixategyy Protective factors:family involvement,prosocial relationships,self-esteem, coping skills,decision making,social skills Community Safety Risk factors, truancy,family dysfunction,instability, antisocial relationships, gang involvement,mental 41P health and substance abuse issues Recidivism Rates,3uvenile Crizxee; Gang Activity, Youth and Family Violence i� Over 17 years, Second Opportunity foi Success® and its curriculum have led to extremely successful results, with recidivism rates under 10%. Last year, 93% of youth who completed the program did not have another criminal violation for six months. Consequently, in 2004, Urban Solutions of New Rochelle, New York recognized Lena Pope's first offender program as one of the "best reentry programs in the country ". Additionally, Lena Pope's first offender program was highlighted as a model practice in a Policy Brief titled "Texas Counties Can Unlock Mds and Savings" (December x.009). In Second Opportunity for Success©,youth and their parents attend seven weeks of skill- building groups.Topics in these groups include building family relationships, social skills, refusal skills,substance abuse,accountability,peer pressure;and discipline.After the completion of these group sessions,staff follow-up with the youth and family monthly for three months. During the follow-up visits,Lena Pope staff discuss the progress or-regression that the youth may be experiencing,and offexs guidance to the family' After the probationary period has expired,the youth has the opportunity to have their charges dropped if they did not commit another crime.Last year, 93%of youth who completed the program did riot have another criminal violation for six months.This is significantly better than the 2$.2yo statewide recidivism rate for youth with only one or two violations.While the statewide recidivism rate includes youth with more advanced penetration into the Juvenile Justice system,it is clear that Second Opportunity for Success@ is preventing participants'typical increasing criminal activity. 13 ji1, Pro"I'ani and V01111) i 13 months rollow-up i Char-es heConnectioll to Other resi--mircesnd r I In addition to the proposed program,Lena Pope offers significant value-added services,including: Trauma,mental health,behavioral,or substance abuse counseling; Family counseling; + In-depth parenting classes; + Basic necessities assistance(food,clothing,school supplies,toiletries); + Holiday assistance,and • Summer camp or pro-social activity scholarships. 6. Does your program address the CCPD prioritylspecial emphasis of the prevention or intervention of youth violence andlar family violence?Describe how your program addresses this priority? Lena Pope's Second Opportunity for Success®is specially designed to address CCPD's priority of prevention and early intervention in youth and family violence.As a diversionary program, SOS catches youth in their first offense before their violence escalates.Additionally,the program's required inclusion of parents in parenting classes helps to address family violence.For both youth and families,Second Opportunity for Success®reduces violent activities by teaching social and parenting drills,addressing mental health and substance abuse issues through Lena Pope's other programs,and helping the client to de-escalate anger and make positive decisions. Furthermore,Bruce Chorpita,Ph.D.,in his 2009 Biennial Report:Effective Psychosocial hiterventions for Youth with Behavioral and Emotional Needs, indicates that the most effective interventions in addressing violence and dehngaeficy in youth are problem solving,cognitive skills,tangible rewards,family communication and parental monitoring.All of these components are addressed in Second Opportunity for.Success& The seven weeks of group classes for the youth focus on problem solving and cognitive skills. The parent classes cover tangible rewards and parental monitoring.Both the youth and the parents discuss family communication techniques.Finally,the three months of follow-up of youth and families provides professional monitoring to intervene early if there is escalating violence or delinquency. 14 3 F i 1 1 Z :how will you measure the effectiveness of tete program? You must include specie s performance measures within the activities and Outcomes Summary and describe evaluation tools and the method of data collection that you will use. ,lf 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 COPD Board. Lena Pope measures the effectiveness of Second Opportunity,for Success®based on the percent of youth who complete the program successfully,the percent of youth that report improved family functioning,the percent of youth with successful school attendance,and the recidivism rates for youth who complete the program.. I propoLe(�Q11(oolues Me.aspres 90%of participants will complete the program. Agency's client database with enrollments and discharges 90%of families and youth will:report Client discharge form completed by parents improved family functioning. 85%of youth will have successful school Review of youth's attendance record in three attendance, iuonthly follow-up visits 90%of youth.will not commit anew offense. Tarrant County Juvenile Services data 8, What snakes this program unique ft om other crime prevention program in,.Fort Worth? Second Opportunity for$access@ Uniqueness Second Opportunity for Success® works with*the whole family over a total of five • Involvement of youth's family months to help ensure that youth can be Five mouth service period successful in remaining crime free. Second • Bachelor's level tenured staff Opportunity for Succe;sO uses Bachelor's Curriculum addresses all risk factors in Tarrant level staff, and two proposed staff have County Criminal Justice Carnmunity Plan over 10 years of experience in the program. Consistent youth recidivism rates less than 10% and over 20 years of experience each working with youth and families. Second Recognition as an outstanding diversion program opporttunity, for Successe includes a program curriculum developed by Lena JuvenileRecidivism Comparison Pope to address the specific risk factors identified in the Tarrant County Crit niiial 30% Justice Community Plan.. The program and 26% its curriculum have led to extremely successful results, with recidivism rates 201a under 1011/o consistently for 17 years,which 16% is significantly lower than the statewide 10% average for youth with first or second offenses.Lena Pope is not aware of another 5% diversion program that has produced such 0% outstandingly low recidivism rates 80S.2016 Statewide Average consistently for so many years. 15 f Consequently,in 2004,Urban Solutions of New Rochelle,New York recognized Lena Pope's first offender program as one of the "best reentry programs in the country". Additionally, Lena Pope's first offender program was highlighted in a Policy Brief titled "Texas Counties Can Unlock Kids and Savings" (December 2009). The author found that a "diversionary program similar to Lena Pope's first offender program costs 13 times less per day than detention and 25%less than probation." ' 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? Lena Pope has been providing Second Opportunity for Success®for 17 years.Lena Pope provides this program through a variety of contracts.Lena Pope had received CCPD funds to provide this program to youth in Fort Worth from November 1,2011 to September 30,2013, The requested fluids will allow Lena Pope to continue providing these services to 60 youth in Fort Worth,Without the requested funds,Lena Pope may need to reduce the number of Fort Worth youth who can receive this program, 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 will occur. Not applicable.This is an existing program. .11, Briefly describe'the specific expenditures planned for CCPD funding. You MUST fielly complete attached budgetfortns. The budget request will fund.62 full-time equivalent(FTE)staff to directly provide Second Opportunity for SuccwsQD to youth in Fort Worth with a first offense and their parents;Ringe benefits for staff;mileage to and from follow-up visits;proportional costs for copy machines and office supplies;and staff occupancy costs. Other expenditures for the program,including intern stipends,other costs,and indirect costs will be provided as in hind by Lena Pope.Further,Lena Pope offers a variety of value-added services to program participw is at no cost to CCPD, including individual or family counseling,substance abuse treatment,in-depth parenting classes, pro-social activities,and basic necessity assistance.Please find the attached budget forms. 12. Iffunds are awarded, will thisprogram continue beyond the C,CPDfundingperiod? Please explain your plan to sustain this program. Lena pope will continue provide these services by seeking new public contracts or private funding.A Council of Governments Policy Brief(2009)found that Second Opportunity for SuccesgO can save communities significant money in juvenile justice and future crime costs, malting the program attractive for local governments. 13, Has your agency obtainedfunding,through the Crime Control and Prevention District previously? Yes. Please.see RFP form, 16 Exhibit B Budget BUDGET SUMMARY Amount Requested A. Direct Personnel $28,247 B. Direct Fringe Benefits $14,929 C. Direct Travel $ 2,016 D. Direct Equipment $ 347 E. Direct Supplies $ 155 F. Direct Contracts/Consultants/Other $ G. Indirect Cost up to 10% $ 4,306 TOTAL $50,000 BUDGET DETAIL A. Direct-Personnel Name Position Rate of Pay x#of Hours Cost Jana Jones Supervisor Salary$59,733 x.05 FTE $2,987 Amanda Luna Program Asst, $17.67 x 208 hours $3,675 Ora Beth Family Therapist $28.09 x 39 hours $1,096 Karen Havens Family Therapist $19.31 x 78 hours $1,506 Norma Valdez Family Therapist $19.89 x 78 hours $1,551 Trey Webster Family Specialist $21.40 x 392 hours $8,389 Nick Damon Family Specialist $23.07 x 392 hours $9,043 TOTAL Personnel $28,247 B. Direct-Fringe Benefits Name Position Description of Benefits Cost All All Texas Unemployment $113 All All FICA/Medicare $2,164 All All Retirement $1,414 All All Workers Comp $371 All All Life/AD&D/LTD Insurance $150 All All Dental Insurance $131 All All Other Benefits/Background Screens $990 All All Health Insurance $9,596 TOTAL Fringe Benefits $14,929 C. Direct-Travel Purpose of Travel Location Item Cost Client Follow-Ups Client Home/School Estimated 3,600 miles x$.56/mile $2,016 TOTAL Travel $2,016 D. Direct-Equipment Item Cost per Item Quantity Cost Copy Lease $348.50/FTE .6 FTE $209 Copy Maintenance $180/FTE .6 FTE $108 Other Equipment $50/FTE .6 FTE $ 30 (postage,computer, etc) TOTAL Equipment $347 E. Direct-Supplies Item Cost per Item Quantity Cost Office Supplies $258/FTE .6 FTE $155 TOTAL Supplies $155 F. Direct-Contracts/Consultants Other Expenses: Description of the Service Cost TOTAL Contracts/Consultants * 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 Not Applicable TOTAL Personnel $ H.Indirect—Fringe Benefits Name Position Description of Benefits Cost Not Applicable TOTAL Fringe Benefits $ L Indirect-Other Costs Cost Included is$4,306 of$18,841 Total Indirect Costs(Less than 10%of Total) Total Indirect Costs: Connectivity(phone, internet,networks) $ 861 Utilities $1,916 Care of Buildings $1,160 Custodial $1,625 Other Occupancy Expense $ 463 Intern Stipend—3 semesters x 2 interns x$250 $ 1,500 Professional/Commercial Liability Insurance $ 319 Total Indirect Costs(con't) Client Database System $ 375 Memberships(MHC/CRCG) $ 250 Subtotal $8,469 Program Oversight and Support($45,694 x 6.8%) $3,107 Agency Overhead($45,694 x 15.9%) $7,265 Total Indirect Costs $18 84 $14,535 of Indirect Other Costs are provided as in-kind match by Lena Pope. 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 Supervisor-This full time salaried employee will be dedicated 5%of their time to this program. They will be dedicated to this project for the entire time of the contract. Supervisor oversees the daily operations of the program and ensures contract compliance. Supervisor will provide oversight to staff and interns,attend meetings, and provide data for reports. Supervisor ensures that all referrals received from City of Fort Worth law enforcement officials are processed in a timely manner. Supervisor ensures that services are delivered with fidelity. The Supervisor is responsible for the program curriculum,quality assurance, and management of client information. The rate of pay is$28.72 and hours are approximately 104. Program is charged on a percentage of salary based on the billable percent worked in each month. Total salary cost is$2,987. Administrative Assistant This full time salaried employee will be dedicated 10%of their time to this program. They will be dedicated to this project for the entire time of the contract. The Administrative Assistant creates the file,enters the client into the database, generates reports,tracks attendance,closes files,and notifies law enforcement when youth has completed the program or if they reoffend. The rate of pay is$17.67 and hours are approximately 208. Program is charged on a percentage of salary based on the billable percent worked in each month. Total salary cost is$3,675. Family Therapist#1 -'Phis full time salaried employee will be dedicated 19%of their time to this program. They will be dedicated to this project for the entire time of the contract. This Family Therapist will facilitate the youth groups weekly.This includes preparing for each class,making copies of materials needed,leading the group in activities to reinforce the specific skills taught.Family Therapist will also provide the follow up visits in youths' schools and/or homes to document progress.Family Therapist will provide information for report back to the referring agency when the client has completed the program. The rate of pay is$28.09 and hours are approximately 39. Program is charged on a percentage of salary based on the billable percent worked in each month. Total salary cost is$1,096. Family Therapist#2-This full time salaried employee will be dedicated 3.8%of their time to this program. They will be dedicated to this project for the entire time of the contract. This Family Therapist will facilitate the youth groups weekly.This includes preparing for each class,making copies of materials needed, leading the group in activities to reinforce the specific skills taught.Family Therapist will also provide the follow up visits in youths' schools and/or homes to document progress.Family Therapist will provide information for report back to the referring agency when the client has completed the program. The rate of pay is$19.31 and hours are approximately 78. Program is charged on a percentage of salary based on the billable percent worked in each month. Total salary cost is$1,506. Family Therapist#3-This full time salaried employee will be dedicated 2.7%of their time to this program. They will be dedicated to this project for the entire time of the contract. This Family Therapist will facilitate the youth groups weekly.This includes preparing for each class,making copies of materials needed, leading the group in activities to reinforce the specific skills taught.Family Therapist will also provide the follow up visits in youths' schools and/or homes to document progress.Family Therapist will provide information for report back to the referring agency when the client has completed the program. The rate of pay is$19.89 and hours are approximately 78. Program is charged on a percentage of salary based on the billable percent worked in each month. Total salary cost is$1,551. Family Specialist#1 -This full time salaried employee will be dedicated 18.9%of their time to this program. They will be dedicated to this project for the entire time of the contract. This Family Specialist will provide groups as well as follow visits to schools and student's homes. The rate of pay is$21.40 and hours are approximately 392. Program is charged on a percentage of salary based on the billable percent worked in each month. Total salary cost is$8,389. Family Specialist#2-This full time salaried employee will be dedicated 18.9%of their time to this program. They will be dedicated to this project for the entire time of the contract. This Family Specialist will provide the groups for Spanish-speaking parents.This Family Specialist will also provide all follow up for the youths with parents that do not speak English. The rate of pay is$23.07 and hours are approximately 392. Program is charged on a percentage of salary based on the billable percent worked in each month. Total salary cost is$9,043. Total Direct-Personnel $28,247 B. Direct-Fringe Salaries are subject to the following fringe benefits: FICA- FICA(Federal Insurance Contributions Act-Social Security)is 7.65%of salary TUCA-(Texas Unemployment Compensation Act)is 2.02%of salary,up to$9,000 Retirement—Plan is a defined contribution 401(3)b retirement benefit plan. Employer contribution is 5%of employee's salary,after completion of two year's employment Worker's Compensation-Rate is 1.31%of salary Life/AD&D/Long Term Disability Insurance—Life,Accidental Death&Dismemberment,and Long Term Disability is a fringe benefit equal to a cost of 0.53%of salary. Dental insurance-Rate is$210 per year per FTE Other employee benefits—Average benefit per employee is 3.5%of salary. Such benefits include tuition reimbursement for further education and advancement in their field of expertise, agency wellness program,and license renewals to maintain credentialing and mandatory trainings. Costs are also included for background checks. IIealth Insurance—Annual premium and estimated claims for each employee is$15,440 per year. This amount includes self-insured insurance premiums,claims,prescriptions,and third party administrator costs Total Fringe $14,929. C. Direct-Travel Mileage reimbursement is for staff traveling to client's schools for face to face contact and follow up. Average of 3 visits with 20 miles,using the federal personal vehicle reimbursement rate of$0.56. Using 50 clients,total miles are 3,600. In some instances,where the LPH agency vehicle is available,staff is encouraged to use it to conduct LPH business. In these cases,the lesser of the actual costs incurred or the equivalent miles per$0.56 rate will be charged. Total Travel $2,016. D. Direct-Equipment Equipment expense-Costs include,but are not limited to fax machines, copier machines,printers, postage machines with corresponding maintenance and lease costs. Copier/Fax leases 348.50 x 0.6 FTE 209 Copier/Fax maintenance 180 x 0.6 FTE 108 Other Equipment Expense 50 x 0.6 FTE 30 Total Equipment $347 E. Direct-Supplies Office supplies include,but are not limited to folders,paper,pens,copier and printer toner,notebooks, etc. Costs are estimated at$258 per FTE(0.6)for total of$155. Total Supplies $155 F. Direct-Contracts/Consultants/Other Total Contracts/Consultants/OTHER $0 G.Indirect Cost—Personnel-N/A H.Indirect Cost--Fringe Benefits-N/A I. Indirect Cost—Other Costs$14,535 funding by Lena Pope Interns are used throughout the program. Two interns are used for three semesters and are each paid a stipend of$250. Total cost is$1,500. Connectivity costs-Includes per FTE share of agency telephone land lines,connectivity costs for network,24 hour hotline service, cell phone,and networks for an FTE cost of$1,434.20. With 0.6 FTE,total cost is$861. Other occupancy expenses-Costs are based on the square footage per FTE plus group room facilities. Costs include,but are not limited to building utilities,custodial, care of buildings,care of grounds, other occupancy expense. Average cost per FTE is$8,606.66 for a total cost of$5,164. Professional liability insurance for all staff is based on 1.13%of salaries-cost of$319. Client Database System—Budget is based on$6.25 per client, based on 60 clients,cost is$375. Memberships to local collaborating organizations-Budget is based on$4.17 per client, based on 60 clients,cost is$250. School and Community Based Program Support by Clinical and other staff trained in Evidence-based practices are charged at an indirect cost rate of 6.8%using total direct costs of$45,694. Cost is$3,107. Agency Overhead is charged at an indirect cost rate of I S.9%of total direct costs off$45,694. Cost is $7,265. Costs include: Executive Leadership;Facilities support;Human Resources; Quality Assurance; Accounting/Financial Reporting; Management Information Systems. Total Other Costs $18,841 ($14,535-Provided by Lena Pope as In-Kind) TOTAL COSTS FOR PROGRAM $64,535. FUNDING REQUEST $50,000. LEVERAGE FUNDING from LENA POPE HOME $141535 COST PER CLIENT,funded by Grant $833 for approximately 60 clients Exhibit C Request for Reimbursement ORT WORTH Request for Reimbursement(RFR) FY 2017 CRIME CONTROL AND PREVENTION DISTRICT' Submit To: Submitting Agency: Lena Pope home,Inc. Bob Bolen Public Safety Complex Contact Name: Sonya Mosley Attn:Brittany Taylor Phone Number: 817-255-2654 Program Support Division Email: smosievAlenapopehome.oro 505 West Felix St. Remit Address: 3200 Sanguinet Street,Fort Worth,TX 76107 Fort Worth,TX 76115 Invoice Number: Month of Request: DMF,CT COST'S(90%Alinimum) A B C D EAVaftbla TotalorPrevious B+C Budget category Budget Amount Reimbursements This ftr esth's Total Requested nce Requested Request To-Dale A Personnel 528,247.00 S7.00 B Fringe Benefits S 14,929.00 S S 14,929.00 C Travel&Training S_ 2,016,00 is - S 2,016,00 — —r--- - - D Equipment 5 347.00 S S 34?.00 E Supplies S 155.00 S 155.00 F Contracts/Consultants Total Direct Costs S --45,694.00 S - S S - -S 45 694.00�. INDIRECT COSTS(10%Maximum) A - __.__ _:11: _C_. , :_.D 1E Total orPreviout +C A-D Re Budget Category BudgetAmount Reimbursements Thu uest s Total Requested Remaining Balance Requested quest To-Date Available A Personnel - - - , S __ _. " B Fringe Benefits $ S - C Travel&Training $. - S - D lEquipmeat "" S S - E Supplies S - $ - F Contracts/Consultants; I Otber Costs S 4A06.00 $ - $ - 4;306.00 Total TuDirect Costs S 4,306 00 S S - S - $ 4,306.00 Supporting documents required with monthly requests. Summary: This includes,timesheets depicting CCPD funded activities, Total Budget: S 50,000,00 copy orpaychecks,invoices and receipts detailing all CCPD Previous Requests: $ - funded expenditures. This Request: S Total Requested To-Date S Remaining Funds S 50,000.00 I have reviewed this request and certify that these listed expenses and support documentation are accurate. Authorized Signatory SignatoryTitle Date Fiscal Agent Use Only Purchase Order# FSmd. DipLID Account RFR Apprord For Palvnent Grant Staff Signature Date Finance Received Stamp Placed Below Exhibit D Program Activities Report FORT WORTH CRIME CONTROL &PREVENTION DISTRICT Fiscal Year 2017 Monthly Program Activities Report Current Reporting Month Submitting Agency Lena Pope Home,Inc. Contact Name Sonya Mosley Phone Number and Email 817-255-2654/smosleyglenapopehome.or� Remit Address 3200 Sanguinet Street,Fort Worth, TX 76107 - Activity Current To Date Year End Month Total Goal Total 1 Program is 7 weekly skills focused classes- 1.5 hours each 60 • 1 —English speaking parents Class; 1 —Youth Class; 1- Spanish unduplicated speaking parent class participants • Classes are reoccurring throughout the year. 2 Facilitate weekly skills focused classes to the youth and their parents • Classes are reoccurring throughout the year, 2 classes per week 98 Classes for 49 weeks. 3 3 Months of follow-up services:3 school or home visits to occur at 60 30, 60,and 90 days upon completion of classes. unduplicated participants 4 5 6 7 8 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 FOR_ r�TH CRIME CONTROL &PREvErmoN DIsTRICT Fiscal Year 2017 Quarterly Program Effectiveness Measurement Report Current Reporting Quarter Submitting Agency Lena Pope Home, Inc. Contact Name Sonya Mosley Phone Number and Email 817-255-2654/smosley@lenapopehome.org Remit Address 3200 Sanguinet Street,Fort Worth,TX 76107 Please include outcome narrative that describes how measure was accomplished for each quarter. Effectiveness Measures and Quarterly-Outcomes Measure 1 90%of participants will complete the program. Outcome Measure 2 90%of youth and their families will report improved family functioning Outcome Measure 3 90%of youth will not commit a new offense Outcome Measure 4 85% of youth will have successful school attendance 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: 1"Quarter(Oct-Dec)due January 15 2nd Quarter(Jan-Mar)due April 15 3rd Quarter(Apr-June) due July 15 4th Quarter(Jul-Sep)due October 15 Exhibit F Request for Budget Modification FORT WORT GRIME COMM &PREVENTION AIsrRICr • 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 Lena Pope Home,Inc. Contact Name Sonya Mosley Phone Number and Email 817-255-2654/smosle Jena o ehome,org Remit Address 3200 Sanguinet Street,Fort Worth,TX 76107 _ DIRECT COSTS 90%minimum Budget Category Approved Budget Change Requested Revised Budget Personnel Supplies&Equipment Program Services Travel and Training Other Approved Total Direct Costs INDIRECT COSaximum Budget Category Approved Budget Chan a Re uested Revised Budget Personnel Supplies&Equipment Operational Services Travel and Training Facilities&Utilities Other Approved Total Indirect Costs Modific tionl�Trrat ve(descAbe.iii, tailwhat change is fox). I have reviewed this request and certify that the listed modifications are correct. Authorized Signatory Signatory Title Date FWPD.STAFF USE ONLY Modification Approved OModification NOT Approved FWPD Staff Signature Date