HomeMy WebLinkAboutContract 48476 ITY SECRETARY
CONTRACT NO..
AGREEMENT FOR SERVICES
THIS AGREEMENT FOR SERVICES ("Agreement") is made and entered into by and between
THE CITY OF FORT WORTH, a home-rule municipal corporation of the State of Texas (hereinafter
referred to as "City"), acting by and through its duly authorized Assistant City Manager, and UNITED
WAY OF TARRANT COUNTY, a Texas non-profit corporation (hereinafter referred to as "Contractor"),
acting by and through its duly authorized President.
RECITALS
WHEREAS, Contractor provides services to coordinate area agencies and social service activities and
programs, providing leadership and funding for said programs throughout the entire community; and
WHEREAS, City has identified criteria for determining agencies and social service activities and
programs that serve a public purpose through investing money, expertise, and other resources to improve
lives and communities in benefit to the entire Fort Worth Community; and
WHEREAS, City and Contractor desire to enter into a contract whereby City will provide Contractor with
funds to be distributed to agencies and social service activities and programs that meet City's criteria for
serving a public purpose.
NOW, THEREFORE, in consideration of the mutual covenants herein expressed, the parties agree as
follows:
AGREEMENT
1. SCOPE OF SERVICES.
Contractor covenants and agrees to fully perform, or cause to be performed, with good faith
and due diligence, all services and objectives described in Exhibit "A," attached and incorporated herein
for all purposes incident to this Agreement("Services").
2. COMPENSATION.
In consideration of the Services to be performed hereunder by Contractor, City promises and
agrees to pay Contractor in one installment the sum of Two Hundred Ten Thousand Seven Hundred and
Fifty Dollars ($210,750.00) ("Funds"). Contractor acknowledges and agrees that the Funds shall be
disbursed to non-profit entities that(i) are selected by Contractor(each a "Recipient") and (ii) meet criteria
that City has determined indicate that the entities serve a public purpose through investing money,
expertise, and other resources to improve lives and communities in benefit to the entire Fort Worth
Community. Contractor shall have discretion to select Recipients so long as each selected entity meets
all of the following criteria:
1. Has valid current designation of tax-exempt status under 26 USC 501 from the United States
Internal Revenue Service.
2. Has a mission statement and service plan that aligns with public safety.
I� X
cc 1— 3. Does not engage in inherently religious activities, such as worship, religious instruction, or
_ Cg proselytizing, as a part of the program or services funded by City dollars. Inherently religious
activities must be offered separately, in time or location, from the programs, activities, or
J >- services supported by City funds.
1. 14
4. Submits documentation attesting to and demonstrating the entity's capacity to deliver
specified services.
5. Demonstrates to Contractor via site visits that the nature and performance of the proposed
service meets the above-listed criteria.
3. REPORTING OF EXPENDITURES.
a. Contractor shall deliver to the City's Budget Office a quarterly statement of the receipts and
expenditures of Funds ("Quarterly Award Report"), detailing how the Funds were expended by
Contractor itself and by each Recipient to accomplish performance of the Services. The quarterly
statement shall be in the same format as Section I of the attached Exhibit "B," which is
incorporated herein for all purposes, and each such Quarterly Award Report shall be attached
hereto, incorporated herein, and made a part of this Agreement for all purposes.
b. Each Quarterly Award Report must be prepared and signed by a Certified Public Accountant
or by a representative of the Contractor who has responsibility for maintaining Contractor's
financial accounts and records. If the Contractor deviates from this reporting requirement, the
Contractor will be considered in non-compliance with this Agreement.
c. Each Quarterly Award Report must be submitted to the City's Budget Office not later than the
15th day of the first month after the end of each quarter. Therefore, each respective Quarterly
Award Report must be submitted not later than January 16, 2017, April 17, 2017, July 17, 2017,
and October 16, 2017.
d. Any non-compliance by Contractor under Section 3 of this Agreement may jeopardize the
Contractor's ability to receive future funding from the City. In addition, failure to comply with
Section 3 or any other term of this Agreement, including, but not limited to, the criteria for
determining eligible Recipients, may result in forfeiture of grant monies not yet disbursed and/or
required reimbursement of all monies awarded.
4. REPORTING OF SERVICES.
Not later than the 15th day of the first month after the end of each quarter, Contractor shall submit
to the City's Budget Office a report of Services for itself and each Recipient in the same format as
Section II of the attached Exhibit "B," which is incorporated herein for all purposes, and each such
Quarterly Award Report shall be attached hereto, incorporated herein, and made a part of this Agreement
for all purposes. Therefore, each respective Quarterly Services Report must be submitted not later than
January 16, 2017, April 17, 2017, July 17, 2017, and October 16, 2017. Contractor and each Recipient
shall be subject to a review by the City of its services and activities in performance of this Agreement.
5. TERM AND TERMINATION.
This Agreement shall be for a term beginning October 1, 2016 and ending September 30, 2017.
a. Either party may cancel this Agreement upon thirty (30) days' notice in writing to the other
party of such intent to terminate.
b. The City may terminate this Agreement immediately for any violation by Contractor of Section
3, "Reporting of Expenditures" or Section 4, "Reporting of Services," above.
c. In the event no funds or insufficient funds are appropriated by the City in any fiscal period for
any payments hereunder, City will notify the 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 City of any kind whatsoever, except as to the portions of the payments
herein agreed upon for which funds shall have been appropriated.
d. In the event of any termination under this Section 5, Contractor shall reimburse to City all
Funds that Contractor has received under this Agreement for purposes of discretionary
distribution but that it not otherwise committed or encumbered by contract. Contractor shall
include in its funding contract with each Recipient, that in the event of any termination of this
Agreement for Services-CFW/United Way of Tarrant County FY2017 Page 2 of 10
Agreement or a Recipient contract, Recipient shall reimburse to the City all Funds that Recipient
has received but that it has not otherwise committed or encumbered by contract.
6. RIGHT TO MONITOR SERVICES.
Contractor covenants and agrees to fully cooperate with City in monitoring the effectiveness of
the Services to be performed under this Agreement, and City shall have access at all reasonable hours to
offices and records of Contractor for the purpose of such monitoring. Contractor further agrees to include
in its agreement with each Recipient, that the Recipient agrees to fully cooperate with the City in
monitoring the effectiveness of the Services to be performed under this Agreement, and City shall have
access at all reasonable hours to offices and records of the Recipient for the purpose of such monitoring.
7. INDEPENDENT CONTRACTOR.
Contractor shall operate hereunder as an independent contractor and not as an officer, agent,
servant, or employee of City. Contractor shall have exclusive control of and the exclusive right to control
the details of the Services performed hereunder and all persons performing same and shall be solely
responsible for the acts and omissions of its officers, agents, servants, employees, subcontractors, and
program participants. The doctrine of respondeat superior shall not apply as between the City and
Contractor, its officers, agents, servants, employees, subcontractors, or program participants. Nothing
herein shall be construed as creating a partnership or joint enterprise between City and Contractor. It is
expressly understood and agreed that no officer, agent, employee, or subcontractor of Contractor is in the
paid service of City.
8. LIABILITY AND INDEMNIFICATION.
CITY SHALL IN NO WAY OR UNDER ANY CIRCUMSTANCES BE RESPONSIBLE FOR ANY
PROPERTY BELONGING TO CONTRACTOR, ITS OFFICERS, AGENTS, EMPLOYEES,
SUBCONTRACTORS, PROGRAM PARTICIPANTS, OR RECIPIENTS THAT MAY BE LOST, STOLEN,
DESTROYED, OR IN ANY WAY DAMAGED. CONTRACTOR HEREBY AGREES TO INDEMNIFY AND
HOLD HARMLESS THE CITY, ITS OFFICERS, AGENTS, AND EMPLOYEES FROM AND AGAINST
ANY AND ALL CLAIMS OR SUITS CONCERNING SUCH PROPERTY. CONTRACTOR COVENANTS
AND AGREES TO INDEMNIFY, HOLD HARMLESS AND DEFEND,AT ITS OWN EXPENSE, CITY AND
ITS OFFICERS, AGENTS, SERVANTS, AND EMPLOYEES FROM AND AGAINST ANY AND ALL
CLAIMS OR SUITS FOR PROPERTY LOSS OR DAMAGE AND/OR PERSONAL INJURY, INCLUDING
DEATH,TO ANY AND ALL PERSONS, OF WHATSOEVER KIND OR CHARACTER,WHETHER REAL
OR ASSERTED, ARISING OUT OF OR IN CONNECTION WITH THE EXECUTION, PERFORMANCE,
ATTEMPTED PERFORMANCE, OR NONPERFORMANCE OF THIS AGREEMENT AND/OR THE
OPERATIONS, ACTIVITIES,AND SERVICES DESCRIBED HEREIN, WHETHER OR NOT CAUSED, IN
WHOLE OR IN PART BY ALLEGED NEGLIGENCE OF OFFICERS AGENTS SERVANTS
EMPLOYEES CONTRACTORS OR SUBCONTRACTORS OF CITY; AND CONTRACTOR HERBS
ASSUMES ALL LIABILITY AND RESPONSIBILITY OF CITY AND ITS OFFICERS, ,
SERVANTS, AND EMPLOYEES FOR ANY AND ALL CLAIMS OR SUITS FOR PROPERTY LOSS OR
DAMAGE AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF
WHATSOEVER KINDS OR CHARACTER,WHETHER REAL OR ASSERTED,ARISING OUT OF OR IN
CONNECTION WITH THE EXECUTION, PERFORMANCE, ATTEMPTED PERFORMANCE, OR NOW
PERFORMANCE OF THIS AGREEMENT AND/OR THE OPERATIONS, ACTIVITIES, AND SERVICES
DESCRIBED HEREIN, WHETHER OR NOT CAUSED IN WHOLE OR IN PART BY ALLEGED
NEGLIGENCE OF OFFICERS AGENTS SERVANTS EMPLOYEES CONTRACTORS OR
SUBCONTRACTORS OF CITY. CONTRACTOR LIKEWISE COVENANTS AND AGREES TO AND
DOES HEREBY INDEMNIFY AND HOLD HARMLESS CITY FROM AND AGAINST ANY AND ALL
INJURY, DAMAGE, OR DESTRUCTION OF PROPERTY OF CITY, ARISING OUT OF OR IN
CONNECTION WITH ALL ACTS OR OMISSIONS OF CONTRACTOR, ITS OFFICERS, MEMBERS,
AGENTS, EMPLOYEES, SUBCONTRACTORS, INVITEES, LICENSEES, PROGRAM PARTICIPANTS,
OR RECIPIENTS, WHETHER OR NOT CAUSED IN WHOLE OR /N PART BY ALLEGED
NEGLIGENCE OF OFFICERS AGENTS SERVANTS EMPLOYEES CONTRACTORS OR
SUBCONTRACTORS OF CITY. CONTRACTOR AGREES TO AND SHALL RELEASE CITY, ITS
Agreement for Services-CFW/United Way of Tarrant County FY2017 Page 3 of 10
AGENTS, EMPLOYEES, OFFICERS, AND LEGAL REPRESENTATIVES FROM ALL LIABILITY FOR
INJURY, DEATH, DAMAGE, OR LOSS TO PERSONS OR PROPERTY SUSTAINED IN CONNECTION
WITH OR INCIDENTAL TO PERFORMANCE UNDER THIS AGREEMENT, EVEN IF THE INJURY,
DEATH DAMAGE OR LOSS IS CAUSED BY CITY'S SOLE OR CONCURRENT NEGLIGENCE.
Contractor shall require all of its subcontractors and Recipients 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.
9. MISAPPRORIATION OF FUNDS.
In the event it is determined that Contractor or any Recipient has misused, misapplied, or
misappropriated all or any part of the funds provided hereunder, Contractor agrees to indemnify, hold
harmless and defend the City of Fort Worth, its officers, agents, servants, and employees, from and
against any and all claims or suits resulting from such misuse, misapplication, or misappropriation.
10. CHARITABLE IMMUNITY.
If Contractor, as a charitable or nonprofit organization, has or claims an immunity or exemption
(statutory or otherwise) from and against liability for damage or injury, including death, to persons or
property, Contractor hereby expressly waives its rights to plead defensively such immunity or exemption
as against the City.
11. ASSIGNMENT AND SUBCONTRACTING.
Contractor shall not assign or subcontract all or any part of its rights, privileges, or duties under
this Agreement without the prior written consent of City, and any attempted assignment or subcontract of
same without such prior written approval shall be void and constitute a breach of this Agreement.
12. COMPLIANCE WITH LAWS, ORDINANCES, RULES AND REGULATIONS.
Contractor, its officers, agents, employees, and subcontractors shall abide by and comply with all
federal, state, and local laws, including all ordinances, rules, and regulations of City. It is agreed and
understood that, if City calls to the attention of Contractor any such violation on the part of Contractor or
any of its officers, agents, employees, or subcontractors, then Contractor shall immediately desist from
and correct such violation.
13. NON-DISCRIMATION COVENANT.
Contractor, in the execution, performance, or attempted performance of this contract and
Agreement, will not discriminate against any person or persons because of disability, age, familial status,
sex, race, religion, color or national origin, nor will Contractor permit its officers, agents, employees, or
subcontractors to engage in such discrimination. This Agreement is made and entered into with
reference specifically to Chapter 17, Article III, Division 3, of the City Code of the City of Fort Worth
("Discrimination in Employment Practices"), and Contractor hereby covenants and agrees that Contractor,
its agents, employees, and subcontractors have fully complied with all provisions of same and that no
employee or employee-applicant has been discriminated against by either Contractor, its agents,
employees, or subcontractors.
14. INSURANCE.
Contractor shall procure and shall maintain during the term of this Agreement the following
insurance coverage:
1. Commercial General Liability (CGL): $1,000,000.00 per occurrence, with a
$2,000,000.00 annual aggregate limit, in a form that is acceptable to the City's
Risk Manager.
Agreement for Services-CFW/United Way of Tarrant County FY2017 Page 4 of 10
2. Non-Profit Organization Liability .or Directors & Officers Liability: $1,000,000.00
per occurrence, with a $1,000,000.00 annual aggregate limit, in a form that is
acceptable to the City's Risk Manager.
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.
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 workers' compensation or
accident/medical insurance, if required) shall list the City as an additional insured. City shall have the
right to revise insurance coverage requirements under this Agreement.
Contractor further agrees that it shall comply with the Texas Workers' Compensation Act and shall
provide sufficient compensation insurance to protect Contractor and City from and against any and all
Workers' Compensation claims arising from the work and services provided under this Agreement.
15. RIGHT TO AUDIT RECORDS.
Contractor agrees that the City shall, until the expiration of three (3) years after final payment
under this Agreement, have access to and the right to examine, whether in hard copy or electronic format,
any directly pertinent books, documents, papers, and records of the Contractor involving transactions
relating to this Agreement. Contractor agrees that the City shall have access during normal working
hours to all necessary Contractor facilities and shall be provided adequate and appropriate workspace in
order to conduct audits in compliance with the provisions of this section. The City shall give Contractor
reasonable advance notice of intended audits.
Contractor further agrees to include in all of its subcontractor and Recipient agreements
hereunder a provision to the effect that the subcontractor and/or the Recipient agrees that the City shall,
until the expiration of three (3) years after final payment under the subcontract or this Agreement, have
access to and the right to examine, whether in hard copy or electronic format, any directly pertinent
books,documents, papers, and records of such subcontractor or Recipient involving transactions relating
to the subcontract or this Agreement, and further that City shall have access during normal working hours
to all subcontractor or Recipient facilities and shall be provided adequate and appropriate workspace in
order to conduct audits in compliance with the provisions of this paragraph. City shall give subcontractor
or Recipient reasonable advance notice of intended audits.
This Section shall survive the expiration or termination of this Agreement.
16. GOVERNING LAW AND VENUE.
This Agreement shall be governed by and construed in accordance with the laws of the State of
Texas. Should any action, whether real or asserted, at law or in equity, arise out of the execution,
performance, or attempted performance of this Agreement, venue for said action shall lie in Tarrant
County, Texas.
17. NOTICES.
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:
Sonia Singleton Tim McKinney
Neighborhood Services Department President and CEO
City of Fort Worth United Way of Tarrant County
1000 Throckmorton St. 1500 N. Main, Suite 200
Fort Worth, Texas 76102 Fort Worth, Texas 76164
Agreement for Services-CFW/United Way of Tarrant County FY2017 Page 5 of 10
(817) 392-5774 (817)258-8000
18. NO WAIVER.
The failure of City or Contractor to insist upon the performance of any term or provision of this
Agreement or to exercise any right conferred herein shall not be construed as a waiver or relinquishment
to any extent of City's or Contractor's right to assert or rely upon any such term or right on any future
occasion.
19. DISCLOSURE OF CONFLICTS AND CONFIDENTIAL INFORMATION.
Contractor hereby warrants to the City that Contractor has made full disclosure in writing of any
existing or potential conflicts of interest related to Contractor's services under this Agreement. In the
event that any conflicts of interest arise during the time in which this Agreement is in effect, Contractor
hereby agrees immediately to make full disclosure to the City in writing.
Contractor, for itself, its officers, agents, and employees, further agrees that it shall treat all
information provided to it by the City ("City Information ) as confidential and shall not disclose any such
information to a third party without the prior written approval of the City. Contractor shall store and
maintain City Information in a secure manner and shall not allow unauthorized users to access, modify,
delete, or otherwise corrupt City Information in any way. Contractor shall notify the City immediately if
the security or integrity of any City Information has been compromised or is believed to have been
compromised.
20. SEVERABILITY.
If any provision of this Agreement is held to be invalid, illegal, or unenforceable, the validity,
legality, and enforceability of the remaining provisions shall not in any way be affected or impaired.
21. FORCE MAJEURE.
The City and Contractor shall exercise their best efforts to meet their respective duties and
obligations as set forth in this Agreement. If either party is unable, either in whole or part, to fulfill its
obligations under this Agreement due to acts of God; strikes, lockouts, or other industrial disturbances;
acts of public enemies; wars; blockades; insurrections; riots; epidemics; public health crises;
earthquakes; fires; floods; restraints or prohibitions by any court, board, department, commission, or
agency of the United States or of any state; declaration of a state of disaster or of emergency by the
federal, state, county, or City government in accordance with applicable law; issuance of a Level Orange
or Level Red Alert by the United States Department of Homeland Security; any arrests and restraints;
civil disturbances; or explosions; or some other reason beyond the party's reasonable control (each a
"Force Majeure Event"), the obligations so affected by such Force Majeure Event will be suspended only
during the continuance of such event.
22. HEADINGS NOT CONTROLLING.
Headings and titles used in this Agreement are for reference purposes only and shall not be
deemed a part of this Agreement.
23. REVIEW OF COUNSEL.
The parties acknowledge that each party and its counsel have had the opportunity to review and
revise 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 any
exhibit hereto.
24. ENTIRETY OF AGREEMENT.
Agreement for Services-CFW/United Way of Tarrant County FY2017 Page 6 of 10
This written instrument (together with all exhibits and schedules attached hereto and incorporated
herein) constitutes the entire understanding of the parties hereto concerning the subject matter and
transaction addressed herein. Any prior or contemporaneous, oral or written agreement that purports to
vary from the terms hereof shall be void.
IN WITNESS WHEREOF, the parties hereto have executed this agreement in multiples in Fort Worth,
Tarrant County, Texas, to be effective October 1, 2016,
CITY OF FORT WORTH: UNITED WAY OF TARRANT COUNTY:
By: ��(.60� By:
Fernando Costa Tim McKinney
Assistant City Manager President
Date: /2 /3 /G VOM
� `3 Date:
ATTEST: `oo o� .T EST:
A�
Mary Kayser , °° ame
City Secreta 4.°°°°00000 � itle:
AS Date: ��� /�li Date: gUU.
APPROVED AS TO FORM AND LEGALITY:
Paige Mebarfe
Assistant City Attorney
Date:
CONTRACT AUTHORIZATION:
M&C: —4001
Date Approved: 121 b r (a
l a�+5 CQ�k: 0101(0- ►3�51oy3
FOFFICIALCORD
TARY TX
Agreement for Services-CFW/United Way of Tarrant County FY2017 Page 7 of 10
STATE OF TEXAS §
COUNTY OF TARRANT §
BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this
day personally appeared Tim McKinney, known to me to be the person whose name is subscribed to the
foregoing instrument and acknowledged to me that the same was the act of thq United Way of Tarrant
County and that she executed the same as the act of said United Way of Tarrant County for the
purpose and consideration therein expressed and in the capacity therein state .
1 �� �
GIVEN UNDER MY HAND AND SEAL OF OFFICE this 'day of 8'�`��4_k-,A.D. 2016.
BEVERLY J. BOYD
+p'' __Notary Public,state of texas Notary Public J)6 the ate of Texas
Comm.Expires 07-25-2019
`���r Notary ID 124630104
�mao
STATE OF TEXAS §
COUNTY OF TARRANT §
BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this
day personally appeared Fernando Costa, known to me to be the person whose name is subscribed to
the foregoing instrument and acknowledged to me that the same was the act of the City of Fort Worth
for the purpose and consideration therein expressed and in the capacity therein stated.
GIVEN UNDER MY HAND AND SEAL OF OFFICE this day of/ A.D. 2016.
TRIKINYA L JOHNSON Notary P lic in and the State of Texas
4,µY P(�.i� /
;0 �_Notary Public,State of Texas
v: tea' Comm.Expires 04-17-2018
Notary ID 1238832-0
Agreement for Services-CFW/United Way of Tarrant County FY2017 Page 8 of 10
EXHIBIT A
Projections of Services to be Provided by 5 Selected Agencies October 2016 — September 2017
AGENCY AWARD PROJECTIONS
Recovery Resource Council $37,500 1,000 teens with Ground Zero services, including
support groups in alternative schools and
prevention services in juvenile detention, teen
court and other locations
SafeHaven of Tarrant County $67,500 1,500 women and child victims of domestic
violence; 48,000 calls on the 24 hour crisis
hotline; 12,000 hours of volunteer service
Tarrant County Youth $11,250 19,097 FWISD 3rd to 5 th grade students will be
Collaboration served by TEAM UP! (Tarrant Education and
Athletic Mentoring: Uniting Partnerships!). The
program combines engaging virtual curriculum
with on campus professional athletic mentoring to
motivate students to stay in school and build
skills like leadership, team work and critical
thinking.
Tarrant County Youth $38,250 61 teen clients in supportive outpatient services
Recovery Campus
The Women's Center $56,250 850 rape crisis hotline calls; counseling for 480
survivors of rape at rape exam sites; counseling
for 425 significant others at rape exam sites;
counseling for 440 others; child sexual abuse
prevention training for 20,250 children; adult
sexual abuse prevention training for 2,625
persons; training and technical assistance for
1,075 criminal justice professionals
$210,750
Agreement for Services-CFW/United Way of Tarrant County FY2017 Page 9 of 10
City of Fort Worth, Texas
Mayor and Council Communication
COUNCIL ACTION: Approved on 12/6/2016
DATE: Tuesday,December 6,2016 REFERENCE NO.: **C-28001
LOG NAME: 19UNlTED WAY FY2017
SUBJECT:
Authorize Execution of a Contract with United Way of Tarrant County in the
Amount of$210,750.00 to Fund Various Social Service Programs (ALL COUNCIL
DISTRICTS)
RECOMMENDATION:
It is recommended that the City Council authorize the execution of a
contract with United Way of Tarrant County in the amount of$210,750.00 to
fund various organizations and coordinate area agencies and social service
programs for the benefit of the entire Fort Worth community for Fiscal Year
2017.
DISCUSSION:
During the Fiscal Year 2017 budget process,the City Council approved
financial support for the United Way of Tarrant County(United Way)in the
amount of$210,750.00. In order to streamline the allocation of funds to
various agencies,the City partners with United Way to distribute funds to
agencies that provide social service programs,thus the City will make a
single payment in the amount of$210,750.00. The United Way will have
discretion to select the particular agencies and funding amounts subject to
general City-approved guidelines designed to ensure that the funds are used
for public benefit in the Fort Worth community.
This is the City's eighth year to collaborate with United Way to
disseminate funds and provide coordination with area agencies. The
contract requires these funds must be used for programming within the
City. This partnership allows the City,through United Way,to continue to
provide financial assistance to non-profit agencies who offer critical
social services for the benefit of the entire Fort Worth community.United
Way has over 85 years of experience investing money, expertise and other
resources to improve lives and communities.
AGENCY AWARD AMOUNT
Recovery Resource Council $37,500.00
SafeHaven of Tarrant County $ 67,500.00
Tarrant County Youth Collaboration $ 11,250.00
Tarrant County Youth Recovery Campus $ 38,250.00
MHMR
Women's Center of Tarrant County $ 56,250.00
Total $210,750.00
FISCAL INFORMATION/CERTIFICATION:
The Director of Finance certifies that funds are available in the current
operating budget, as appropriated,of the General Fund.
FUND IDENTIFIERS (FIDs):
TO
Department Account Project Program Activity Budget Reference Amount
#
Fund ID ID year (Chartfield 2)
FROM
Department Account Project Program Activity Budget Reference# Amount
Fund ID ID year (Chartfield 2)
CERTIFICATIONS:
Submitted for Cily Manager's Office by: Fernando Costa (6122)
Originating Department Head: Aubrey Thagard (8187)
Additional Information Contact: Sonia Singleton (5774)
Diana Carranza (7369)
ATTACHMENTS
1. United Way FID.xlsx (CFw Internal)
2. United Way Form 1295.12df (Public)
CERTIFICATE OF INTERESTED PARTIES FORM 1295
1 of 1
Complete Nos,1-4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos,1,2,3,5,and 6 if there are no interested parties, CERTIFICATION OF FILING
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2016-138643
United Way of Tarrant County
Fort Worth,TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the fowl is 11/18!2016
being filed.
City of Fort Worth Date Acknowledged:
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a
description of the services,goods,or other property to be provided under the contract.
0002-2017
To raise and coordinate funds to support programs and services throughout the city of Fort Worth to improve lives.
Nature of interest
4
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
5 Check only if there is NO Interested Party. ❑
X
6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct.
KATERINE V.WHITE
/ L1
Notary Public,State of texas �✓
Comm.Expires 02-12.2019
NOtaty ID 130115800
Signature of authorized agent of c` racting business entity
AFFIX NOTARY STAMP/SEAL ABOVE -r
Sworn to and subscribed before me,by the said 1 1 rn n/1 C V1 n t1 e y this the ! g day of November
20__L� _,to certify which,witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
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