HomeMy WebLinkAboutContract 30978§ C;I`iY �ECRETeqR�
STATE OF TEXAS �i�N�'RACT' nJ� ���'�..�
COUNTY OF TARRANT §
THIS contract ("Contract") is made and entered into between the City of Fort Worth ("City"), whose
address is 1000 Throckmorton St., Fort Worth 76110, acting by and through Dale A. Fisseler, its duly
authorized Acting Assistant City Manager, and Fort Worth Habitat for Humanity, Inc. ("HABTTAT"), whose
address is 1205 Lake St., Fort Worth 76102, acting by and through Gage Yager, its duly authorized
Executive Director. (Sometimes City and HABITAT are referred to individually as a"Party" and
collectively as the "Parties")
WHEREAS, the City of Fort Worth has received grant monies from the United States Department of
Housing and Urban Development ("HUD") through the CommunityDevelopment Block Grant ("CDBG")
Program No. B-04-MC-48-0010;
WHEREAS, one of the national objectives of the CDBG Program is to benefit low and moderate
income citizens ofFort Worth (the "National Objective");
WHEREAS, the �atalog ofFederal Domestic Assistance ("CFDA") assigned CommunityDevelopment
Block Grants/Entitlement Grants number 14.218; and
WHEREAS, the citizens of the City, the Community Development Council, and the City Council have
determined that decent, safe and affordable housing is needed by City's low and moderate income citizens.
NOW, THEREFORE, THIS AGREEMENT FURTHER WITNESSETH:
THAT, the Parties covenant and agree as follows:
1. Scope of Services
a. HABITAT will purchase four (4) lots on which it will construct new, affordable homes to be sold to
low income persons. The homes will be constructed with volunteer labor, management expertise, and
donations of money and materials to reduce construction costs. Each prospective homeowner is
required to invest "sweat equity" hours into the construction of their homes. The program will be
conducted within the City limits ("Program").
b. The term of the Contract shall be for one (1) year beginning June l, 2004, and ending May 31, 2005.
This Contract may be extended for an additional one (1) one-year term. HABITAT shall request the
extension in writing at least sixty (60) days prior to the end of the Contract term. The City may approve
the extension of the Contract for another one (1) year term. It is specifically understood that it is the
City's sole discretion whether to approve or deny the request for an additional term.
c. HABITAT will provide the services and activities as set forth in Exhibit A-Program Summary in
accordance with E�:hibit C-Implementation Schedule.
d. HABITAT agrees to meet the National Objective of activities benefiting low and moderate income
individuals, and to maintain full documentation supporting fulfillment of this National Obj ective in its
files.
e. City will monitor and evaluate HABITAT's performance using the goals and performance standards
required in this Contract. Substandard performance as determined by City mo �onng will constiiute�
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non-compliance with this Contract. If action to correct such substandard performance is not taken by
HABITAT within a reasonable period of time after being notified in writing by City, procedures to
suspend or terminate the Contract will be initiated.
2. Compensation and Method ofPayment
a. City will disburse CDBG Year XXX funds ("CDBG Funds") in an amount up to FOURTEEN
THOUSAND SEVEN HUNDRED SIXTY TWO AND NO/100 DOLLARS ($14,762.00) to HABITAT
on a reimbursement of expenses basis.
b. Payment will be processed by City following receipt from HABITAT of the following monthly
financial documents: (1) Attachment I-Sub-Grantee's Request For Funds, (2) Attachment II-Detail
Statement of Costs, and (3) Attachment III-Expenditures Worksheet Report. Payment of eligible
expenses shall be made against the line item budget specified in Exhibit B Program Budget and in
accordance with performance specified in Exhibit GImplementation Schedule.
c. HABITAT agrees to utilize all disbursed CDBG Funds for the benefit of the Program. HABITAT
agrees that funds will be expended in accordance with the Program Budget. HABITAT may not increase
or decrease line-item amounts in the approved CDBG Funds portion of the Program Budget without
priar written approval by the City.
d. It is understood that the total cost for operation of the Program is THREE M]LLION EIGHT
HUNDRED FIFTY-FIVE THOUSAND AND NO/100 DOLLARS ($3,855,000.00) and that HABITAT
will obtain from other sources the remaining funds in excess of the CDBG Funds as detailed in the
Program Budget. HABITAT will notify City promptly of any additional funds it receives for operation
of the Program, and City reserves the right to amend the Program Budget in such instances.
e. HABITAT agrees to keep all CDBG Funds on hand in interest bearing accounts. All interest earned
shall be reported to City on a monthly basis, at the same time as submission of the monthly report
following the end of the Contract month during which the interest was earned. Interest in an amount of
$25.00 or less per month may be used for authorized Program expenses. These amounts must be
reported on the monthly financial statements filed pursuant to this Contract. Interest earned in excess of
$25.00 per month is subject to remittance to City as directed by City.
f. HABITAT will not commingle CDBG Funds with any other funds in any manner that would prevent
City from readily identifying expenditures for operation of the Program.
3. Uniform Ad�rai�iistrative Requirements and Pro�ram Mana�emetzt Sta�zdat�ds
a. Financial Management
i. Accounting Standards
HABITAT agrees to comply with 24 CFR Part 84 and agrees to adhere to the accounting principles
and procedures required therein, utilize adequate internal controls, and maintain necessary source
documentation for all costs incurred.
ii. Cost Principles
HABITAT shall administer the Program in conformance with OMB CircularA-122, "Cost Principles
for Non-Profit Organizations" and attachments and revisions thereto, regarding principles for
determining costs for the Program.
b. Documentation and Record Keeping
i. Requirement
HABITAT shall maintain all records pertinent to the activities to be funded under this Contract
required by HUD regulations in 24 CFR Part 570.506. In addition, HABITA�I' a�r,�es to keep �
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recards to fully document all expenditures charged to the CDBG portion of the Program. The
documentation must support the amounts charged to the Program and demonstrate that the
expenditures were appropriate to the stated goals of the Program and allowable under applicable
Federal, state and City guidelines.
ii. Retention
(1) All records pertaining to the Program shall be reiained for five (5) years following the
termination of this Contract. HABITAT may destroy Program records at the end of this five (5) year
period if no outstanding audit finding exists.
(2) HABITAT will retain Program loan records until (5) years a$er the expiration of the loan.
iii. Real Property Records
The HABITAT shall maintain real property inventory records that clearly identify properties
purchased, improved, or sold. Properties retained shall meet eligibility criteria and shall conform to
the requirements of 24 CFR Part 570.505.
iv. Close Outs
HABITAT's obligation to City shall not end until all closeout requirements are completed. Activities
during this closeout period shall include, but are not limited to: making final payments, disposing of
Program assets (inc�uding the return of all unused materials, equipment, unspent cash advances,
Program income balances, and accounts receivable to City), and determining the custodianship of
records.
v. Audits and Inspections
(1) City, HLTD, and the United States Comptroller General, or their representatives, shall each have
access to any books, documents, records and papers relating to the operations of HABITAT under
this Contract far the purpose of audit, examination, exception and transcription at all reasonable
hours at all offices of HABITAT.
(2) All non-federal entities that expend $500,000 or more in Federal funds within one (1) year,
regardless of the source of the Federal award, must submit to City an annual audit prepared in
accordance with specific reference to OMB Circular A-133, "Audits of States, Local Governments,
and Non-Profit Organizations". The audit may cover either HABITAT's fiscal year during which
this Contract is in force or cover the period of this Contract. The audit must be prepared by an
independent certified public accountant, be completed within twelve (12) months following the end
of the period being audited and be submitted to City within thirty (30) days of its completion.
HABITAT's audit certification is attached hereto as Exhibit D- Audit Certification Form and
Audit requirements. The Audit Certification Form must be submitted to City within sixty (60)
days of the end of period being audited (HABITAT's fiscal year). Costs ofpreparation of this audit
may be an allowable expenditure of Federal funds in an amount proportional to that of the Federal
funds used in HABITAT's total agency operating budget. Non-profit entities that expend less than
$300,000 a year in Federal funds are exempt from Federal audit requirements for that year, but
records must be available for review or audit by appropriate officials of the Federal agency, City,
and General Accounting Office ("GAO").
(3) City reserves the right to perform an audit of HABITAT's program operations and finances at
any time during the term of this Contract, if City d�termines that such audit is necessary for City's
compliance with OMB Circular A-133. HABITAT agrees to allow access to all relevant materials.
If such audit reveals a questioned practice or expenditure, such questions must be resolved within
fifteen (15) days after notice to HABITAT. If questions are not resolved within this period, City
reserves the right to withhold further funding under this and/or future contract(s) with HABITAT.
(4) If as a result of any audit it is determined that HABITAT has misused, misapplied or
misappropriated all or any part of the CDBG Funds described herein, HABITAT agrees to
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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.
4. Reportin,� Procedures
a. Program Income
HABITAT agrees that all program income from operation of the Program in proportion to the amount of
CDBG Funds received hereunder will be expended prior to expending CDBG Funds and that any such
program income is subj ect to the terms of this Contract. HABITAT may expend CDBG Funds only if
program income is insufficient to meet all eligible program activity expenses. HABITAT agrees to
return to City at the end of the Contract any remaining program income earned from operation of the
Program in proportion to the amount of CDBG Funds in the Program Budget.
b. Progress Reports
HABITAT will submit to City on a monthly basis: (1) Attachment IV and (2) Attachment IVa,
Performance Report for services and activities undertaken by HABITAT in performance of this
Contract. The report will be signed by a duly authorized agent of HABITAT and submitted by the 15th
of the month following the month that is reported. City is under no obligation to disburse funds for
expenditures that occurred prior to the iirst day of the month for which the report is submitted.
c. Procurement
i. Compliance
HABITAT shall comply with City policy concerning the purchase of equipment and shall maintain
inventory records of all non-expendable personal property, as defined by such policy, procured with
funds provided under this Contract.
ii. OMB Standards
HABITAT shall procure all materials, properiy, or services in accordance with the requirements of
24 CFR Part 84, Procurement Standards and Property Management Standards as modified by 24
CFR Part 570.502(b)(6), covering utilization and disposal of property.
5. Reve��sion ofAssets
a. HABITAT agrees to return to City any CDBG Funds remaining on hand at the end of the Contract.
b. All property purchased with CDBG Funds under this Contract will be used solely for operation of the
Program. HABITAT agrees to obtain City approval prior to purchase of property. HABITAT agrees to
notify City upon receipt of property so that it may be properly tagged and inventoried. Title to such
property will be vested with the City, and, at the termination of the Program for which CDBG funds
have been received, HABITAT will deliver all such property to City for disposition at City's sole
discretion.
6. Applicable Laws
a. Federal
HABITAT agrees to comply with the following laws and the applicable regulations as they are currently
written or are hereafter amended during performance of this Contract:
• Title VI of the Civil Rights Act of 1964 (42 USC 2000d et seq.)
• Title VIII of the Civil Rights Act of 1968 (42 USC 3601 et seq.)
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• Executive Orders 11063 and 11246, as amended by Executive Orders 11375 and 12086 and as
supplemented by41 CFR Part 60
• The Age Discrimination in Employment Act of 1967 (29 USC621 et seq.)
• The Age Discrimination Act of 1975 (42 USC 6101 et seq.)
• Section 504 of the Rehabilitation Act of 1973 (29 USC 794 et seq.) and 24 CFR Part S where
applicable
• National Environmental Policy Act of 1969, as amended, 42 USC 4321 et seq. ("NEPA") and
the related authorities listed 24 CFR Part 58
• The Clean Air Act, as amended, (42 USC 7401 et seq.), the Clean Water Act of 1977, as
amended (33 USC 1251 et seq.) and the related EPA regulations at 40 CFR Part 15, as amended
from time to time, and Executive Order 11738. In no event shall any amount of the assistance
provided under this Contract be utilized with respect to a facility that has given rise to a
conviction under the Clean Air Act ar the Clean Water Act.
• The Immigration Reform and Control Act of 1986 (8 USC 1101 et seq.), specifically including
the provisions requiring employer verification of the legal status of its employees
• The Housing and Community Development Act of 1987 (42 USC 5301 et seq.)
• The Americans with Disabilities Act of 1990 (42 USC 12101 et seq.)
• Drug Free Workplace Act of 1988 (41 USC 701 et seq.) and 24 CFR part 23, Subpart F
• Regulations as 24 CFR Part 87 related to lobbying, including the requirement ihat certifications
and disclosures be obtained from all covered persons
• Executive Order 12549 and 24 CFR Part 5.105� pertaining to restrictions on participation by
ineligible, debarred, or suspended persons or entities
b. Section 3 of the Housing and Urban Development Act of 1968, as amended, (12 USC 1701u et seq.)
and its related regulations at 24 CFR Part 135
As the work to be performed under this Contract is on a proj ect assisted under a program providing
direct Federal financial assistance from HLTD, Section 3 of 24 CFR 135.38 ("Section 3") requires that
the following clause be inserted in all covered contracts ("Section 3 Clause"):
"A. The work to be performed under this contract is subject to the requirements of section 3 of
the Housing and Urban Development Act of 1968, as amended, 12 U.S.C. 1701u (section 3). The
purpose of Section 3 is to ensure that employment and other economic opportunities generated by
HCTD assistance or HUD-assisted proj ects covered by Section 3, shall, to the greatest extent feasible,
be directed to low- and very low-income persons, particularly persons who are recipients of HCTD
assistance for housing.
B. The Parties to this contract agree to comply with HUD's regulations in 24 CFR Part 135, which
implement Section 3. As evidenced by their execution of this contract, the parties to this contract
certify that they are under no contractual or other impediment that would prevent them from
complying with the Part 135 regulations.
C. The contractor agrees to send to each labor organization or representative of workers with which
the contractor has a collective bargaining agreement or other understanding, if any, a notice advising
the labor organization or workers' representative of the contractor's commitments under this section
3 clause, and will post copies of the notice in conspicuous places at the work site where both
employees and applicants for training and employment positions can see the notice. The notice shall
describe the Section 3 preference, shall set forth minimum number and job titles subject to hire,
availability of apprenticeship and training positions, the qualifications for each; and the name and
location of the person(s) taking applications for each of the positions; and the anticipated date the
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work shall begin.
D. The contractor agrees to include this section 3 clause in every subcontract subj ect to compliance
with regulations in 24 CFR Part 135, and agrees to take appropriate action, as provided in an
applicable provision of the subcontract or in this Section 3 clause, upon a finding that the
subcontractor is in violation of the regulations in 24 CFR Part 135. The contractor will not
subcontract with any subcontractor where the contractor has notice or knowledge that the
subcontractor has been found in violation of the regulations in 24 CFR Part 135.
E. The contractor will certify that any vacant employment positions, including training positions,
that are filled (1) after the contractor is selected but before the contract is executed, and (2) with
persons other than those to whom the regulations of 24 CFR Part 135 require employment
opportunities to be directed, were not filled to circumvent the contractor's obligations under 24 CFR
Part 135.
F. Noncompliance with HUD's regulations in 24 CFR Part 135 may result in sanctions, termination
of this contract for default, and debarment or suspension from future HUD assisted contracts.
G. With respect to work performed in connection with Section 3 covered Indian housing assistance,
section 7(b) of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450e) also
applies to the work to be performed under this contract. Section 7(b) requires that to the greatest
extent feasible (i) preference and opportunities for training and employment shall be given to
Indians, and (ii) preference in the award of contracts and subcontracts shall be given to Indian
organizations and Indian-owned Economic Enterprises. Parties to this contract that are subj ect to the
provisions of section 3 and section 7(b) agree to comply with Section 3 to the m�imum extent
feasible, but not in derogation of compliance with section 7(b)."
City and HABITAT understand and agree that compliance with the provisions of Section 3, the
regulations set fortli in 24 CFR Part 135, and all applicable rules and orders ofHUD shall be� condition
of the Federal financial assistance provided to the Program, binding upon the City and the HABITAT,
and their respective successors, assigns and subcontractors. Failure to fulfill these requirements shall
subject HABITAT and its subcontractors, and their respective successors and assigns, to those sanctions
specified by the Grant Agreement through which Federal assistance is provided and to sucli sanctions as
are specified by 24 CFR Part 135. �
c. Other Laws
HABITAT covenants and agrees that its officers, members, agents, employees, Program participants and
subcontractors shall abide by and comply with all other laws, federal, state and local, relevant to the
performance of this Contract, including all applicable City ordinances, rules and regulations and the
Housing and CommunityDevelopmentAct of 1974 (42 USC 5301 etseq.), as amended, and all related
regulations. HABITAT further promises and agrees that it has read, and is familiar with, terms and
conditions of the Community Development Block Grant under which CDBG Funds are granted and that
it will fully comply with them. It is agreed and understood that, if City notifies HABITAT of any such
violation on the part of HABITAT or any of its officers, members, agents, employees, Program
participants or subcontractors, then HABITAT shall immediately desist from and correci such violation.
7. Nondiscrimination
a. HABITAT will not unlawfully discriminate against any person or persons because of sex, race,
religion, age, disability, color, national origin, or familial status, nor will HABITAT permit its officers,
members, agents, employees, subcontractors or Program participants to engage in such discrimination.
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b. HABITAT covenants that neither it nor any of its officers, members, agents, employees, Program
participants or subcontractors, while engaged in performing this Contract, shall, in connection with the
employment, advancement or discharge of employees or in connection with the terms, conditions or
privileges of their employment, discriminate against persons because of their age except on the basis of
bona fide occupational qualification, retirement plan or statutory requirement.
c. HABITAT further covenants that neither it nor its officers, members, agents, employees,
subcontractors, Program participants, or persons acting on their behalf, shall specify, in solicitations or
advertisements for employees to work on this Contract, a maximum age limit for such employment
unless the specified maximum age limit is based upon a bona fide occupational qualification, retirement
plan or statutory requirement.
d. In accordance with the provisions of the Americans With Disabilities Act of 1990 ("ADA"),
HABITAT warrants that it and any and all of its subcontractors will not unlawfully discriminate on the
basis of disability in the provision of services to the general public, nor in the availability, terms and/or
conditions of employment for applicants for employment with HABITAT, or employees ofHABITAT or
any of its subcontractors. HABITAT warrants it will fully comply with the ADA's provisions and any
other applicable federal, state and local laws concerning disability and will defend; indemnify and hold
City harmless against any claims or allegations asserted by third parties or subcontractors against City
arising out of HABITAT's and/or its subcontractors' alleged failure to comply with the above-referenced
laws concerning disability discrimination in the performance of this Contract.
e. This Contact is made and entered into with reference specifically to the ordinances codified at
Chapter 17, Article III, Division 3, "Discrimination in Employment Practices", of the City Code, and
HABITAT hereby covenants and agrees that HABITAT, its officers, members, agents, employees and
subcontractors have fully complied with all provisions of same and that no employee, employee-
applicant or Program participant has been discriminated against by the terms of such ordinances by
either HABITAT or its officers, members, agents, employees or subcontractors.
8. Prohibition A�aitzst Interest
a. No member, officer or employee of City or its designees or agents; no member of the governing body
of the locality in which the Program is situated; and no other public official of such locality or localities,
who exercises any functions or responsibilities with respect to the Program funded hereunder during his
or her tenure or for one year thereafter, shall have any interest, direct or indirect, in any contract or
subcontract, or the proceeds thereof, for work to be performed hereunder. HABITAT shall incorporate,
or cause to be incorporated, like language prohibiting such interest in all contracts and subcontracts
entered into in connection with the Program.
b. No member, officer, employee, or Program participant ofHABTTAT or its subcontractors shall have a
financial interest, direct or indirect, in this Contract or the CDBG Funds transferred hereunder or be
financially interested, directly or indirectly, in the sale to HABITAT of any land, materials, supplies or
services purchased with any CDBG Funds transferred hereunder, except on behalf of HABITAT, as an
officer, employee, member or Program participant. Any willful violation of this paragraph with the
knowledge, expressed or implied, of HABITAT or its subcontractors shall render this Contract voidable
by the City.
9. Misaoritv and Wo►nen Busi�aess Enterprise Cot�2mitment
HABITAT agrees to abide by the City `s policy to involve Minority and Women Business Enterpi�ises
("MWBEs") in all phases of its procurement practices and to provide them an equal opportunity to
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compete for contracts for construction, provision of professional services, purchase of equipment and
supplies and provision of other services required by City. HABITAT agrees to incorporate City
Ordinance No. 15530, and all amendments or successor policies thereto, into all contracts and will
further require all persons or entities with whom it contracts to comply with said ordinance.
10. Non Assi,�nment
No delegation of duties under this Contract by HABITAT shall be effective without City's prior written
approval. Any purported assignment without such approval will be a breach of this Contract and void in
all respects.
11. Independent Contractor
a. HABITAT shall operate hereunder as an independent contractor and not as an officer, agent, servant
or employee of City. HABITAT 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 respondeat superior shall
not apply as between City and HABITAT, 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 HABITAT. It is expressly understood and
agreed that no officer, member, agent, employee, subcontractor, licensee or invitee of the HABITAT, nor
any Program participant hereunder, is in the paid service of City and that City does not have the legal
right to control the details of the tasks performed hereunder by HABITAT, its o�cers, members, agents,
employees, subcontractors, Program participants, licensees or invitees.
b. City shall in no way nor under any circumstances be responsible for any property belonging to
HABITAT, its officers, members, agents, employees, subcontractors, Program participants, licensees or
invitees, which may be lost, stolen, destroyed or in any way damaged; and HABITAT hereby
indemnifies and holds harmless City and its officers, agents, and employees from and against any and all
claims or suits.
12. Indemnification and Release
HABITAT 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 HIND OR CHARACTER, WHETHER REAL OR
ASSERTED, ARISING OUT OF OR IN CONNECTION WITH THE EXECUTION,
PERFORMANCE, ATTEMPTED PERFORMANCE OR NONPERFORMANCE OF THIS
CONTRACT AND/OR THE OPERATIONS, ACTIVITIES AND SERVICES OF THE
PROGRAM DESCRIBED HEREIN, WHETHER OR NOT CAUSED, IN WHOLE OR IN
PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES,
CONTRACTORS OR SUBCONTRACTORS OF CITY; AND HABITAT HEREBY ASSUMES
ALL LIABILITY AND RESPONSIBILITY OF CITY AND ITS OFFICERS, AGENTS,
SERVANTS, AND EMPLOYEES FOR ANY AND ALL CLAIMS OR SUITS FOR PROPERTY
LOSS OR DAMAGE AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND
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ALL PERSONS, OF WHATSOEVER KINDS OR CHARACTER, WHETHER REAL OR
ASSERTED, ARISING OUT OF OR IN CONNECTION WITH THE EXECUTION,
PERFORMANCE, ATTEMPTED PERFORMANCE OR NON-PERFORMANCE OF THIS
CONTRACT AND AGREEMENT AND/OR THE OPERATIONS, ACTIVITIES AND
SERVICES OF THE PROGRAMS DESCRIBED HEREIN, WHETHER OR NOT CAUSED IN
WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS,
EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY. HABITAT LIKEWISE
COVENANTS AND AGREES TO AND DOES HEREBY INDEMNIFY AND HOLD
HARMLESS CITY FROM AND AGAINST ANY AND ALL INJURY, DAMAGE OR
DESTRUCTION OF PROPERTY OF CITY, ARISING OUT OR IN CONNECTION WITH
ALL ACTS OR OMISSIONS OF HABITAT, ITS OFFICERS, MEMBERS, AGENTS,
EMPLOYEES, SUBCONTRACTORS, INVITEES, LICENSEES, OR PROGRAM
PARTICIPANTS, OR CAUSED, IN WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF
OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS OR
SUBCONTRACTORS OF CITY.
IT IS THE EXPRESS INTENTION OF THE PARTIES, BOTH HABITAT AND CITY, THAT
THE INDEMNITY PROVIDED FOR IN THIS SECTION INCLUDES INDEMNITY BY
HABITAT TO INDEMNIFY AND PAROTECT CITY FROM THE CONSEQUENCES OF
CITY'S OWN NEGLIGENCE, WHETHER THAT NECLIGENCE IS ALLEDGED TO BE THE
SOLE OR CONCURRING CAUSE OF THE INJURY, DAMAGE OR DEATH.
HABITAT AGRESS TO AND SHALL RELEASE CITY, ITS AGENTS, EMPLOYEES,
OFFICERS AND LEGAL REPRESENTATIVES FROM ALL LIABILITY FOR INJURY,
DEATH, DAMAGE OR LOSS TO PERSONS OR PROPERTY SUSTAINED IN CONNECTION
WITH OR INCIDENTAL TO PERFORMANCE UNDER THIS CONTRACT, EVEN IF THE
INJURY, DEATH, DAMAGE OR LOSS IS CAUSED BY THE CITY'S SOLE OR
CONCURRENT NEGLIGENCE.
HABITAT SHALL REQUIRE ALL OF ITS SUBCONTRACTORS TO INCLUDE IN THEIR
SUBCONTRACTS A RELEASE AND INDEMNITY IN FAVOR OF THE CITY IN
SUBSTANTIALLY THE SAME FORM AS ABOVE.
13. basurance and Bonding
a. HABITAT will maintain blanket fidelity coverage in the form of an insurance bond in the amount of
FOURTEEN THOUSAND SEVEN HLTNDRED SIXTY-TWO AND NO/100 DOLLARS ($14,762.00)
or more to insure against loss from the fraud, theft or dishonesty of any of HABITAT's off cers, agents,
trustees, directors or employees. The proceeds of such bond shall be used to reimburse City for any and
all loss of CDGB Funds occasioned by such misconduct. To effectuate such reimbursement, such bond
shall include a rider stating that reimbursement for any loss or losses thereunder shall be made directly
to City for the use and benefit of HABITAT.
b. HABITAT shall furnish to City, in a timely manner, certificates of insurance as proof that it has
secured and paid for policies of commercial insurance as specified herein. Such insurance shall cover
all insurable risks incident to or in connection with the execution, performance, attempted performance
or nonperfornlance of this Contract. HABITAT shall maintain the following coverages and limits
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i. Commercial General Liability Insurance
$500,000 each occurrence
$1,000,000 aggregate limit
ii. Business Automobile Liability Insurance
$1,000,000 each accident on a combined single-limit basis, or
$250,000 Property Damage
$500,000 Bodily Injury per person per occurrence
$2,000,000 Aggregate
Insurance policy shall be endorsed to cover "Any Auto".
Pending availability of the following coverage, and at the discretion of HABITAT, the policy shall be
the primary responding insurance policy versus a personal auto insurance policy if or when in the course
of HABITAT's business as contracted herein.
iii. Directors and Officers Insurance
Optional (Highly Recommended)
Note: This insurance shall cover HABITAT and any associated Board of Directors
members.
iv. Workers' Compensation Insurance
Part A: Statutory Limits
Part B: Employer's Liability
$100,000 each accident
$100,000 disease - each employee
$500,000 disease — policy limit
Note: Such insurance shall cover employees performing wark on any and all proj ects including
but not limited to construction, demolition, and rehabilitation. HABITAT or its subcontractors
shall maintain such coverage. In the event HABITAT's subcontractors do not maintain such
coverage, HABITAT shall maintain the coverage on such subcontractors for each applicable
subcontract.
v. Additional Requirements
Such insurance amounts shall be revised upward at City's option and HABITAT shall revise
such amounts within thirty (30) days following notice to HABITAT of such requirements.
HABITAT will submit to City documentation tfiat it has obtained insurance coverage and has
executed bonds as required in this Contract and prior to payment of any monies hereunder. Each
insurance policy shall be endorsed to provide City with a maximum sixty (60) day's notice of
cancellation, non-renewal, and/or material change in policy terms or coverage. Insurance
policies required herein shall be endorsed to include the City as an additional insured as its
interests may appear. Additional insured parties shall include employees, officers, agents, and
volunteers of the City of Fort Worth. The Workers' Compensation Insurance policy shall be
endorsed to include a waiver of subrogation, also referred to as a waiver ofrights ofrecovery, in
favor of City..
c. Any failure on part of the City to request certificate(s) of insurance shall not be construed as a
waiver of such requirement or as a waiver of the insurance requirements themselves. Insurers of
HABITAT's insurance policies shall be licensed to do business in the state of Texas by the Department
of Insurance or be otherwise eligible and authorized to business in the state of Texas. Insurers shall be
acceptable to the City insofar as their financial strength and solvency and each such company shall
have a current minimum A.M. Best Key Rating Guide rating of A: VII or other equivalent insurance
industry standard rating unless otherwise approved by City. Deductible limits on insurance policies
CDBG
IIABITAT, INC.
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shall not exceed $5,000 per occurrence unless otherwise approved by City.
d. In the event there are any local, federal or other regulatory insurance or bonding requirements for
the Program, and such requirements exceed those specified herein, the former shall prevail.
e. HABITAT shall agree to require its subcontractors to maintain applicable insurance coverages,
limits, and other requirements as those specified herein; and, HABITAT shall require its subcontractors
to provide HABITAT with certificate(s) of insurance documenting such coverage. Also, HABITAT
shall require its subcontractors to have City and HABITAT endorsed as additional insured (as their
interests may appear) on their respective insurance policies. HABITAT shall require its subcontractors
to maintain builders risk insurance at the limit of applicable proj ect(s) costs when the value of materials
involved exceeds $10,000 or at a different limit value limit as specified by City.
14. Waiver oflmmunitv
If HABITAT 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; HABITAT hereby expressly waives its rights to plead defensively such immunity or
exemption against City. This section shall not be construed to affect a governmental entity's
immunities under constitutional, statutory or common law.
15. Termination
a. In addition to, and not in substitution for, other provisions of this Contract regarding the provision
of public services with CDBG funds, pursuant to Title I of the Housing and Community Development
Act of 1974, as amended, it is expressly understood and agreed by and between the Parties that this
Contract is wholly conditioned upon the actual receipt by City of Federal CDBGYear XXX funds; that
all monies distributed to HABITAT hereunder shall be exclusively from Federal monies received under
City's grant and not from any other monies of City; and that if such funds under City's grant are not
timely forthcoming, in whole or in part, City may, at its sole discretion, terminate this Contract and City
shall not be liable for payment for any work or services performed by HABITAT under or in connection
with this Contract.
b. City may terminate this Contract whenever such termination is determined to be in City's best
interest; in event of HABITAT's default, inability or failure to perform or to comply with any of the
terms herein; or, for other good cause.
c. The Parties acknowledge that CDBG Funds paid hereunder are intended to provide only partial
funding for HABITAT's program operations. If non-CDB G Funds included in the Operating Budget are
not forthcoming to HABITAT during the Contract term, City may terminate this Contract.
d. CDBG Funds provided hereunder may not be used as collateral for loans to HABITAT to defray
program operation expenses, and any attempted use of CDBG Funds for this purpose will result in
termination of this Contract by City.
e. Termination will be effected by written notice to HABITAT, specifying the portions of the Contract
affected and the effective date of termination. Upon HABITAT's receipt of such termination notice,
HABITAT will:
• Stop work under the Contract on the date and to the extent specified by City;
• Cease expenditures of CDBG Funds, except as necessary for completion of the portions of the
Contract not.terminated; and
• Terminate all orders and contracts to the extent that they relate to the portions of the Contract being
terminatPrl
CDB G
IIABITAT, INC.
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f. HABITAT will return to City any unused CDBG Funds previously advanced by City under this
Contract within thirty (30) days of the effective date of Contract termination. City will have no
responsibility or liability for HABITAT's expenditures or actions occurring after the effective date of
Contract termination.
16. Certif cation Re,gardin�- Lobbvin�
a. The undersigned representative of HABITAT hereby certifies, to the best of his or her l�owledge and
belief, that: No Federal appropriated funds have been paid or will be paid, by or on behalf of HABITAT,
to any person for influencing or attempting to influence an officer or employee of any agency, a member
of Congress, an officer or employee of Congress or an employee of a member of Congress in connection
with the awarding of any Federal contract, the making of any Eederal grant, the making of any Federal
loan, the entering into of any cooperative agreement and the extension, continuation, renewal,
amendment, or modification of any Federal contract, grant, loan or cooperative agreement. HABITAT
shall require that the language of this certification be included in all subcontracts or agreements
involving the expenditure of Federal funds.
b. If any funds other than Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a member of Congress, an
officer or employee of Congress, or an employee of a member of Congress in eonnection with this
Federal contract, grant, loan or cooperative agreement, HABITAT shall complete and submit Standard
Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.
c. This certification is a material representation of fact upon which reliance was placed when this
Contract was made or entered into. Submission of this certificate is a prerequisite for making or
entering into this Contract imposed by 31 USC Section 1352. Any person who fails to file the required
certification shall be subject to a civil penalty of not less than $10,000.00 and not more than
$100,000.00 for each such failure.
17. Miscellaneous Provisions
a. All terms of this Contract shall apply to any and all subcontractors of HABITAT who are in any way
paid with CDBG Funds or who perform any work in connection with HABITAT's program.
b. The provisions of this Contract are severable, and, if for any reason a clause, sentence, paragraph or
other part of this Contract shall be determined to be invalid by a court or federal or state agency, board
or commission having jurisdiction over the subj ect matter thereof, such invalidity shall not affect other
provisions which can be given effect without the invalid provision.
c. City's failure to insist upon the performance of any term or provision of this Contract or to exercise
any right herein conferred shall not be construed as a waiver or relinquishment to any extent of City's
right to assert or rely upon any such term or right on any future occasion.
d. Should any action, whether real or asserted, at law or in equity, arise out of the execution,
performance, attempted performance or nonperformance of this Contract, venue for action shall lie in
Tarrant County, Texas.
e. This written instrument and the exhibits attached hereto, which are incorporated by reference and
made a part of this Contract for all purposes, constitute the entire agreement between the Parties
concerning the work and services to be performed hereunder, and anyprior or contemporaneous, oral or
written agreement which purports to vary from the terms hereof shall be void. Any amendments to the
terms of this Contract must be in writing and must be approved by each Party.
CDBG
HABITAT, INC.
12
Rev. 11-18-04
f. All notices required or permitted by this Contract must be in writing and are deemed delivered on the
earlier of the date actually received or the third day following (i) deposit in a United States Postal
Service post office or receptacle; (ii) with proper postage (certified mail, return receipt requested); and
(iii) addressed to the other Party at the address set out in the preamble o�this Contract or at such other
address as the receiving Party designates by proper notice to the sending Party.
g. None of the performance rendered under this Contract shall involve, and no portion of the CDBG
Funds received hereunder shall be used, directly or indirectly, for the constructions, operation,
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.
h. HABITAT represents that it possesses the legal authority, pursuant to any proper, appropriate and
official motion, resolution or action passed or taken, to enter into this Contract and to perform the
responsibilities herein required.
CDBG
HABITAT, INC.
[SIGNATURES APPEAR ON FOLLOWING PAGE]
13
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IN WITNESS WHEREOF. e arties have e� e uted this ontract in duplicate originals in Fort Worth,
Tanant County, Texas, this 9�� day of , 2004.
CITY OF FORT WORTH FORT WORTH HABITAT FOR
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By:
Da�e A. Fisseler
Acting Assistant City Manager
APPROVED AS TO FORM AND LEGALITY:
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Asst. City Attorney
ATTEST:
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City Secretary
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HUMANITY, INC.
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Exc!cutive Directt5r
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STATE OF TEXAS
COUNTY OF TARRANT §
BEFORE ME, the undersigned authority, a Notary public in and for the State of Texas, on this day
personally appeared Dale A. Fisseler, known to me to be the person whose name is subscribed io the
foregoing instrument, and acknowledged to me that the same was the act of the City of Fort Worth and that
he executed the same as the act of the City of Fort Worth for the purposes and consideration therein
expressed and in the capacity therein stated.
GIVEN IJNDER MY HAND AND SEAL OF OFFICE this �� day of �C%�-�� yy�-
�
2004
: 2•r'�P�YPG@� ROSELLABARNES
�', ,.. ...`'S �i's
��: ��; N�TARY PUBLIC
tiN�,�,� ,�P �= Stat� of Texas
k',roF��:'rcpmm. Exp. 03-31-2005
STATE OF TEXAS
COUNTY OF T1�RRANT §
) �, _
Notary Public in and for
the State of Texas
BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this day
personally appeared Gage Yager, known to me to be the person whose name is subscribed to the foregoing
instrument, anci ackn�wledged �o me thai he executed �he same ior �he pu���ses a�id coiisidera�io�7 tlie�ein
expressed, as the act and deed for Fort Worth Area Habitat For Humanity and in the capacity therein stated
as its duly authorized officer or representative. �
�✓ ��
GNEN UNDER MY HAND AND SEAL OF OFFICE this �� day of C/7�'z'��C— ,
2004.
1$
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Notary Public in and for '
the State of Texas
`,aoipPY PUB��y CA�L� N. RY�
' ���'� Notary Public, Stete of Texas
„ � (�Ay Commission Expires
/���lEOF�E+e`; Septembee 25, 2005
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PROGRAM SUMMARY
PROGRAM TITLE
HABITAT FOR HUMAIVITY-IN-FILL LOT PURCHASES
SERVICES
�TUALSERVICES
OUTLAI
CRIPTION:
EXHIBIT A
CDBG Year �.7iX
$0.00
$14,762.00
$14,762.00
The Habitat for Humanity Program, operated by the Fort Worth Area Habitat for Humanity, provides affordable housing opportunities
to low-income persons utilizing volunteer labor, management expertise and donations of money and materials to reduce construction
cost. Each homeowner is required to invest "sweat equity" hours into the construction of their home. This reduces the cost
and increases the pride of ownership.
Habitat will use Community Development Block Grant funds to purchase property sites. Habitat will construct new, affordable houses
on the sites to be sold to low-income persons.
The pertormance period will be from June 1, 2004 to May 31, 2005.
uisJti, i ivES:
To purchase approximately 4 lots
PROGRAM MEASURES:
Number of lots purchased
Projected
Year XXX
4
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EgHIBIT B
Organization: Fort Worth Area Habitat for Humanity - Program Trtlei ` In-IYII Lot Purchase
PRO�RAM BUDGET
Totai Grant Other Sources **
Expense Category Budget Sudget {C] [D] [E] [F]
�A� I��
PERSONNELSERVICES
Salaries 6l 5590 100,000
FICA & Medicare 47,093
Life Insurance 0
Health Insurance 41,873
Unem lo ent - State 1,2Q2
Unem lo ent - Federal
Worke�'s Com ensation 24,706
Retirement
5UPPLIES
Office Su lies �
Posta e 21,000 •
Teachin Aids
Other S eci ) * ' � 2,969,036 ' � I4,762 45,128 � �
CONTRACTUAL SERVICES
Tele hone 31,000
Electric 15,000
Gas tilities
Water/Waste Dis osal 1,500
Rent uildin 0
CusYodiai Services 2,400
Office E ui ment Rental *
Printin 19,000
Re arrs 9,500
Fideli Bond*** 50
Liability Insurance*** 16,�00
Le al & Accountin 7,600 .
Private Auta Allowance 0
Conference & Seminars 3,000
CAPITAL OUTLAY
Furniture, Fixtures
Office E ui ment, Com uters 3,000
Office E ui mentlIm rovements 66,500
TOTAI.�S 3,855,000 14,762 145,128 1,110,721 1,023;709 1,560,6$0
��u�c: �,u�uuui H sn�uiu oe �ne wuu oi wiumns ts tnrougn r.
* Specify on Budget Detail (following pages)Land, Construction Expenses, Tools, etc.)
** Use one column far each non-grant funding source; note below which column Equates to each source (from Leverage of Funds):
*** Fidelity bond and liability insurance are required of all subconiractors and may he paid from grant funds or other funds. •
{C] ReStore [E] Grants
[D] Faith Graups/Corp./Organizations [F`j Individuals/Mortgage Income/Misc. Income
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CITY OF FORT WORTH HOUSING DEPARTMENT
Audit Cer�ification Form
Subrecipient: Fiscal Year Ending: / /
Mo Day Yr
❑ We have exceeded the federal expenditure threshold of $500,000. We will
have our Single Audit or Program Specific Audit completed and will submit
the audit report within nine (9) months after the end of the audited fiscal
year.
❑ We did not exceed the $500,000 federal expenditure threshold required for
a Single Audit or a Program Specific Audit to be performed this fiscal year. (Fill
out schedule below)
Federal Expenditure Disclosure
Federai Funds
Must be filled out if Single Audit or Program Audit is not required:
Pass Through Program Name & Confract
Federal Granfor Grantor CFDA Number Number Expenditures
Total Federal Expenditures for this Fiscal Year $
Printed Name Title (Must be CFO, CEO or equivalent)
Aufhorized Signature (Musf be CFO, CEO or equivalenf) Phone Number
Date
Failure to submit this or a similar statement or failure to submit a completed
single audit package as described in the audit requirements by the required due
date will result in suspension of funding and will affect eligibility for future funding.
Submit this form to the City of Fort Worth within 60 days after the end of your Fiscal year
} f1'� i'!�. 1;CV1!�`�I.;
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Cii'r OF r-vr�T'�'�vr�Tn i-ivUjii�� GcFHr� i i�icNT
AUDIT REQUIREMENTS
Organizations expending $500,000 or.more in federal awards (from City of Fort
Worth and other funding sources) during their fiscal years shall obtain either an
annual single audit or a program specific audit. Organizations may have a
program specific audit in accordance with OMB Circular A-133 if they
expended funds for only one federal program as listed in the Catalog of
Federal Domestic Assistance (CFDA). If funds are spent for more than one
federal program, a single audit is required. The audited time period is the
organization's fiscal year, and not the City of Fort Worth's funding period.
The audit shall be conducted by a certified public accountant (CPA) that is
licensed at the time of the audit by the appropriate regulatory body. The CPA
shall meet all of the general standards concerning qualifications,
independence, due professional care and quality control as required by
Government Auditrng Standards, including the requirements for continuing
professional education and external peer reviews. Auditor selection must
adhere to federal procurement requirements.
A separate supplementary schedule of revenues, expenditures and
changes in fund balance for each City of Fort Worth contract is no longer
required. The Schedule of Expenditures of Federal Awards should list City of
Fort Worth 's contract numbers, the total expended for each individual
federal program, and the CFDA number (OMB A-133 �.310).
ihe {ilu��i�iiueiii �iuuiiQi �� i�Nvi i�iiv�.iiu ii i�iuu� �iii vi ii i� i ni�vc`�iiii iiei i i�
listed on the "Audit Report Checklist." Additional guidance on the conduct and
reporting of these audits is contained in the latest issuance of the following
publications:
GovernmentAuditing Standards issued by the Compfroller General of the United States,
2003
OMB Circular A-133 as revised 6/30/97 and amended June 2003
OMB Circular A-133 Compliance Supplement
AICPA's Statement of Position 98-3, "Audits of States, Local Governments, and
Not-for-Profit Organizations Receiving Federal Awards"
Various AICPA audit guides for nonprofits, colleges and universities and health
and welfare organizations
AICPA's Audit Risk Alert "State and Local Governmental Developments"
�� �!2'; v i: . l 1i'�'�::_;'_,; -
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%�ii organizafions fhai receive a Ciiy oi ro�i V`v'oiih av�ai� musi subi�iit the
provided Audit Certification Form which certifies whether you are subject to a
single/program audit. Organizations receiving federal awards from the City of
Fort Worth who are not required to have an audit shall certify in writing to the
agency. The organizations Chief Executive Officer or Chief Financial Officer
shall make the certification within 60 days of the end of the organization's
fiscal year.
The foilowing items should be submitted to the City of Fort Worth Housing
Department within the required timeframe:
Due 60 days after organization's fiscal year end: (reauired for all subrecipients)
• Completed Audit Certification Form
Due within the earlier of 30 days after receipf of the auditor's report or nine months
after the end of the audit period.
• Two co�ies of the entire audit report issued by the CPA
• Two copies of any management letter issued by the CPA in
conjunction with the audit report
• Two copies of management's comments on all findings,
recommendafiions, & questioned costs confained in the audit
report and management letter, including a detailed corrective
action plan
Failure to submit any of these items by the required due date may result in
hoids on current draw requests, suspension of the organizafion's contract(s)
and elig►bility for tuture funcfing.
(f the organization does not meet the- requirements of having a
single/program audit conducted, records must still be kept available for review
or audit by City of Fort Worth staff (OMB A-133 Subpart B Sec 200(d).
If additionaf information is needed concerning the audit requirements, please
call (817) 392-6141.
CITY OF FORT WORTH HOUSING DEPARTMENT
SINGLE AUDIT REPORT CHECKLIST
The Department developed this checklist to help organizations improve the quality
and completeness of audit reports.
General Purpose or Basic Financial Statements of the Organization Opinion/Report on
Organization's Financial Statements in accordance with Government Auditing
Standards
Notes to the General Purpose or Basic Financial Statements of the Organization
A Schedule of Expenditures of Federal Awards, including the Department's
contract numbers, the total expended for the federal program, and the CFDA
number (OMB A-133 Subpart C Sec 310).
Opinion/Report on Schedule of Expenditures of Federal and State Awards
Report on Compliance and on Internals Controi OVer Financial Reportinq Based on
an Audit of Financial Statements PerFormed in Accordance With
GovernmentAuditing Standards. (OMB A-133 § 505 (b))
Report on Compliance with Requirements Applicable to Each Major Program
and Internal Control over Compliance in Accordance with OMB Circular A-133.
(OMB A-133 § 505 (c))
Schedule of Findinqs and Questioned Costs (OMB A-133 §. 505d), including:
Summary Schedule of Prior Audit Findinqs reporting the status of all findings
included in the prior audit's schedule of findings and questioned costs. (OMB A-
133 Sec. 315 (a) and (b))
Corrective Action Plan including (OMB A-133 Sec. 315 (c)) name of person
responsible for the corrective action, corrective action planned,
anticipated completion date, and explanation and reason if auditee does not
agree with findings or believes correction is not required.
All reports are signed and dated by the auditor
Two copies of the audit reports are submitted
Two copies of the management letter, if issued in conjunction with the audit
report Two copies of comments by management concerning all
findings and recommendations included in managemenf lett x,__ -_____
including a corrective action pfan ;;�'�����; � �„ ��=. ,: ,,
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gency
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Confract Number: Repor� Feriod:
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2. Amount Received:
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City of Fort ViTarth
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3_ Total Funds Available (1 = 2)
4_ Less Expendittire (detail statemen� cost)
5. ENI3TNG CASH BALANCE
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7. F'unds Needed (6=5) �
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9: Unpaid Request for Payment Previously Submiifed $
10. Amount of This Request (T 8& 9) $
�` � , _ � � ..
,� �� =�-r��t� � f -._ , .. � -�.,, �., .�:.._ � -� - � - - -
3 � � �. � �-�ti,�-�-��
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Y Y / � � .."�+^�P�` � �aa��i+ .^. ?� � � 1 ..z��-.t�b "'ic. k'x,`'�c.: �� �
��F� � J'1��wa-_-._ _
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— 5 -1.�....
A. i�r`�ARS�II�'PUT: Vendor/PO TtTumber/RequisiiionNunzber
B. Fund/Accaunt/Cenfer
C. To�aT A,maunf of tIus Reqnesi
�S.v=�� ���� � "�a'�..,..''3'°- �i T`� �"�„=t � �-� �-.m-�.�-'-*-^-.s.�t_�+.��`�--�. a. z� �_�- .��-�—�� ,..
. -� �'�_-.�'£.. u����r--�- �,���'�.��'__�_��
1. Veri�cauo� �'
�.. Model BTacks PIanner:
g: Canfract l�ianager:
C. ACCOtiTlfll2g:
Z. Anfhorization
:4. Age�cy_ .
B. Mgmf � Budgef
Adiuinisirator
�iausing Direcfor
IF OVER SS,500.00
(Name)
�x�
(I�amo}
/ /
/ /
� �
/ /
/ /
/. /
A�ENCY
PROGRAM
CITY OB �ORT WORT`H
HOLTSING DEPARTMENT'
MANAGEMENT AND BUDGET DIVZSION
DET.� ST�TEi4�l\T OF COSTS
CONZ.'R.ACT NO. DATE
io
REPORTPERIOD
ATTA CHMENT II
PROGI2AM MONTHLY CUMULATIVE
COST CATEGORY ACCOUNT BUDGET EXPENDIT"LTRES TO DATE BALANCE
PERSOI�TAL SERVI.C�S ,
Salaries �16010 �
F'ICA 5180I 0.
LifeInsurance �180�0
Health.Insurance � 18060
Unem lo ent - Federal 518090
Unem lo ent Tax-State 518090
Warker's Com 518040
,� Retirement SI8070
_ , .: SUPPLIES
Office Su lies 521010
Postaae 521020 -
Teachin Aids _ 522630
Food Su lies 522030
Other,OperatinQ Su �lies 523300
C.�IvTTRACTUAL SER��ICES
Tele hone 535040
, _ Electric. 535020 -
. Gas (LTtili r 535010
VTater/4Vaste Dis osai - 535030
R�ent (Buildin ) 537010
, Custodial Services 539220
,.. . Ornce E ui ment Rental 537030
�PanriaQ . � 533Q3U I i I
: Re airs 536D0
. Fidelity Band 53 8210
, Liabili" Insvsance 534020
. LeQal & Accotintin 538060
Private Auto Allowance-Local 532130
Advertisin� 533010
Conierences & Seminars 5311.80
Confracfual Sers�ices 539120
Indirect Cost 517010
C_APIT 4L O�E7'�'I AY ,
Furnit�ue, Fixiures 541330
Omce B ui ment 541370
Pro eriy Insurance
TOTAL
Sub-Coniractors �erarication_ I certify that the cosis incurred are t�en from the bool:s of accounts and ihat such costs are valid
and consistent with the terms of ihe a� eement.
I�AM� and T'ITLE OF <4UT73QRTZED OF`FICER SIGI�TATURE and DATE
�,2�,;�,, �,�.
�i ��f'f ��.��>�..�; 1' �'`'
.-, ,/ z�:�.�,�=?
r�U��l ���li1i��:..,.
��IiI s.Fj � II i� C':i'�,S
U o ^.1 �IJ �1 � U J�I 3 U'.` G�.:
AGENCY
PROGRAM
CITY QF FORT �'ORTH �TTACHIv`iEi�T TII
g�USLNG D EP_4RTM�NT
MANAGE1k1ENT AND BUDGET DNiSION
E�ENDITURES �'OR�TiSHE�T
COlVT'RACL NO. DATE ,
TO .
REPOitT PERIOD
C�CK
NO. DATE # PAYEE DESCRIPT'ION ACCOUNT NO: AMOTJNT
1 }
2
3
4
5
6
�
8
9
IO
11
I2
. 13
14
IS
�� 16 j � � • � ,
l�
18 .
19 �
20
Z1 • •
Z�
23
.Z4
�J
TOTAL
Sub-Contractors Certification_ I certiry that the costs irtcurred are fai;en from the books of accounTs and that such costs are valid
and consisteai u�ith the terms or the ab eement
h_AM� and TITLE OF AUTHORIZED OFFICER
SIGIrT 4T%R� and D'Ir��f J`' ��' l �; '�'' �,
�:1>.� 1:..V';J!..
.. ty��� :: 5`' � S 5��; -
�`�lU ���'�:�-U�LJ_�`-:i..,;
'2y�-,
.,.I,:I^, , I U , ,� �
� U . � � �!?
� �:,�i: ny �;��: �
e._..._.. t
MO�7THI1Y �ziRRA�IVE REPORT
MONTH RE-PORfiING
FROM_ �O:
i _ ACCOt✓�PI�I�FIM�Ni`S
a�,acKr��r�r rv
Iz _ ADDITIpi��r, CO2�NiENT5 R��A�LNG A�COMPLISHM_ENTS THTS MON`�H:
m
II I. PROBI.�MS EI�ZCOU2�7TERED �12�ID SOLUTIONS PROPOSED :
.ZV: A�7TI�IPAT�D ACTIVIT�ES DURIZ�G 2�TEXT MON�Fi_
0
Page 1 of 3
City of Fort Wortl�, �`exas
Ilnayor and Council Communication
COUNCIL ACTION: Approved on 6/8/2004
DATE: Tuesday, June 08, 2004
LOG NAME: 02ACTIVITY REFERENCE NO.: **C-20095
SUBJECT:
Community Development Block Grant Year ?�JCX, Emergency Shelter Grant Year 2004-2005, and
Housing Opportunities for Persons with AIDS 2004-2005 Contract Activities
RECOMMENDATION:
It is recommended that the City Council:
Authorize the City Manager to execute Community Develoment Block Grant (CDBG) Year XXX,
Emergency Shelter Grant (ESG) Year 2004-2005 and Housing Opportunities for Person with AIDS
(HOPWA) Year 2004-2005, contracts with the following organizations to administer their respective
programs, contingent upon approval and receipt of adequate funding from fhe U.S. Department of Housing
and Urban Development (HUD), for a term beginning June 1, 2004, and ending May 31, 2005:
I. Community Development Block Grant (CDBG�
Contract with the listed agencies for an amount not to exceed the following:
Southside Area Ministries (SAM'S Kids)
Habifat for Numaniiy
REACH, Inc.
Centro Cultural de las Americas
Boys and Giris Clubs (NINOS)
Boys and Girls Club (KEYS)
JMAC Yough Center of Tarrant County
East Fort Worth Montessori
Latin Arts Associaton
Summerbridge Fort Worth
CJ's Studio of PerfoFning Arfs
Women's Center of Tarrant County
YWCA of Fort Worth (AIM)
YWCA of Fort Worth (Child Care)
Child Care Associates
Fort Worth Housing Authority (AMAKA)
YMCA
Clayton Child Care
Southside Area Ministries (Mid South Seniors)
Senior Citizen Services of Tarrant County (COMO)
$ 4 ,610
$14, �62.00
$19,683.00
$27,540.00
$19,829.00
$18,266.00
$25,000.00
$22,385.00
$17,250.00
$27,338.00
$9,000.00
$27,000.00
$20,986.00
$150,000.00
$130,000.00
$30,000.00
$120,375.00
$60,000.00
$2,570.00
$17, 597.00
http ://www. cftivnet. org/council�acket/Reports/mc�rint. asp 6/18/2004
Meals on Wheels
Senior Citizen Services of Tarrant County (RIVERSIDE)
Mental Health Association (OMBUDSMAN)
Mental Health Associstion (Advocate)
Northside Inter-Church Agency
Southside Area Ministries (Adult ESL)
Day Resource Center
Presbyterian Night Shelter (Bottle Deposit)
Job, Inc.
Fort Worth SER
A-PREP Center of Tarrant County
Fort Worth Economic Development Corp. (RLF)
TOTAL CDBG
II. Emergency Shelter Grant (ESG)
YWCA (Supporfive Living)
Cornerstone Assistance Network
Presbyterian Night Shelter (Shelter)
Bridge Emergency Youth Services
Women`s Haven of Tarrant County, Inc.
Presbyterian Night Shelter (Infirmary)
MHMR of Tarrant Counfy
YWCA (My Own Piace)
TOTAL ESG
III. Housing Opportunities for Persons with HIV/AIDS (HOPWA)
AIDS Out�each Center, Inc.
Tarrant County Samaritan Housing, Inc.
AIDS Resources of Rural Texas
TOTAL HOPWA
DtSCUSSION:
Page 2 of 3
$33,696.00
$15,271.00
$17,500.00
$24,750.00
$28,933.00
$3,500.00
$30,000.00
$30,000.00
$73,198.00
$72,224.00
$71,745.00
$51,908.00
$1,216,916.00
$13,500.00
$13,568.00
$151,308.00
$7,082.00
$21,683.00
$15,040.00
$16,117.00
$19, 794.00
$258,092.00
$462,620.00
$242,539.00
$104, 791.00
$809,950.00
On April 6, 2004, the City Council approved and adopted the budgets and the appropriation ordinance
increasing estimated receipts and appropriations for the Thirtieth (30th) Year Community Development
Block Grant (CDBG), (2004-2005), Emergency Shelter Grant (ESG), and (2004-2005) Housing
Opportunities for Persons with AIDS (HOPWA), grant funds as part of the City's Consolidated Action Plan.
The Consolidated Action Plan, as adopted by the City Council, included program descriptions for each of
the above funded programs.
The above programs are consistent with the City's approved priorities and the City Council's prior policies
and meet the requirements of the Department of Housing and Urban Development (HUD) regulations
concerning eligible "activities." _
h�tp://www.cfwnet.org/council�acket/Reports/mc�rint.asp 6/18/2004
Page 3 of 3
FISCAL INFORMATION/CERTIFICATION:
The Finance Director certifies that funds will be availabie in the current operating budget, as appropriated,
of the Grants Fund contingent upon approval and receipt of adequate funding from the U.S. Department of
Housing and Urban Development (HUD) for the term beginning June 1, 2004, and ending May 31, 2005.
TO Fund/Account/Centers
Submitted for City Manager's Office b r�.�
Originating Department Head:
Additional Information Contact:
FROM Fund/Account/Centers
GR76 5
(VARIOUS) XXX206931XXX $258,092.00
GR76 5
(VARIOUS� XXX206932XXX �809,950.00
GR76 5
(VARIOUS) XXX206929XXX �1,216,916.00
Charles Bosweil (8511)
Bridgette Garrett (6183)
Deidra Emerson (7563)
htip://www.cfv��net. org/council�acket/Reports/mc�rint. asp 6/18/2004