HomeMy WebLinkAboutContract 49727 CITY SECRETARY -�
CONTRACT NO.
AGREEMENT FOR COMMUNITY BASED PROGRAM
Lena Pope Home,Inc.
FISCAL YEAR 2018
In consideration of the mutual covenants, promises and agreements contained herein, THIS
AGREEMENT ("Agreement") is made and entered into between CITY OF FORT WORTH, a
home rule municipal corporation of the State of Texas, ("City") acting by and through Valerie R.
Washington,its duly authorized Assistant City Manager,and Lena Pope Home,Inc.,a Texas non-
profit corporation("Contractor")acting by and through Todd Landry, Chief Executive Officer, its
duly authorized representative.
RECITALS
WHEREAS, City has determined that Community-Based Programs are necessary to
support crime prevention in City during Fiscal Year 2018 to meet one or more of the Crime Control
and Prevention District ("CCPD") goals, which are (1) to support efforts to reduce violent crime
and gang-related activities through enhanced enforcement activities and crime prevention
programs,(2)to support efforts to increase the safety of residents and to decrease crime throughout
Fort Worth neighborhoods, and (3) to support efforts to increase the safety of youth and reduce
juvenile crime through crime prevention and intervention programs; and
WHEREAS, Contractor has agreed to operate a Community-Based Program called
Second Opportunity for Success in Fort Worth, which will support the police department's crime
prevention efforts throughout the community; and
WHEREAS,City desires to enter into an agreement with Contractor to operate the Second
Opportunity for Success in Fort Worth Program and
WHEREAS, City, as consideration for the performance of Contractor, has appropriated
monies in the CCPD Budget in the amount of $49,976.00 ("Program Funds") to provide to
Contractor on a reimbursable basis for the operation of the Second Opportunity for Success
Program subject to and in accordance with this agreement;
NOW, THEREFORE, in consideration of the mutual covenants herein expressed, the
parties agree as follows:
AGREEMENT DOCUMENTS
The Agreement documents shall include the following:
1. This Agreement between City and Contractor
2. Exhibit A—Proposal Abstract and Narrative
3. Exhibit B—Budget
4. Exhibit C—Request for Reimbursement T`
5. Exhibit D—Program Activities Report
FY 2018 Community Based Program OFFICIAL RECORD
Lena Pope Home,Inc. CITY SECRETARY Page 1 of 14
FT.WORTH, TX
6. Exhibit E—Program Effectiveness Measurement Report
7. Exhibit F—Request for Budget Modification
Exhibits A through F, which are attached hereto and incorporated herein, are made a part of this
Agreement for all purposes. In the event of any conflict between the terms and conditions of
Exhibits A through F and the terms and conditions set forth in the body of this Agreement, the
terms and conditions of this Agreement control.
DEFINITIONS
The term "City" shall include City, and its officers, agents,employees,and representatives.
The term"Contractor" shall include Contractor, and its officers, agents,employees,
representatives, servants, contractors,and subcontractors.
The term"Party" shall refer to either City or Contractor.
The term"Parties" shall refer to both City and Contractor.
AGREEMENT
1. Responsibilities of Contractor.
Contractor covenants and agrees to fully perform,or cause to be performed,with good faith
and due diligence,all work and services described in Exhibit"A"—Proposal Narrative. Contractor
shall be responsible for day-to-day administration of the Second Opportunity for Success program.
Contractor agrees to expend the Program Funds in accordance with the Budget as described in
Exhibit `B". Program activities shall be reported in accordance with Exhibit "D"- Program
Activities Report and effectiveness measures shall be reported in accordance with Exhibit "E"-
Program Effectiveness Measures Report.
2. Program Funds.
2.1 In no event shall the total distribution from City made to the Contractor during the Term
of this Agreement exceed $49,976.00 ("Program Funds").
2.2 Payment of the Program Funds from City to Contractor shall be made on a cost-
reimbursement basis following receipt by City from Contractor of a signed Request for
Reimbursement (RFR), as described in Exhibit "C" along with copies of all receipts and other
supporting documentation. Contractor shall deliver to City a written detailed Program Activities
Report and Program Effectiveness Measures Report as described in Section 4.2 below with each
RFR to support expenditure of Program Funds. Such reports shall be signed by the Contractor or
duly authorized officer of the Contractor. The RFR and monthly Program Activities Report shall
be submitted to City no later than the 15th day following the end of the month. Submittal of a
monthly RFR and Program Activities Report is required even if services are not provided.
FY 2018 Community Based Program
Lena Pope Home,Inc. - Page 2 of 14
1
The monthly RFR, with an original signature by an authorized representative, must be submitted
to the Grants and Program Management Section of the Fort Worth Police Department,
ATTENTION: Contract Compliance Specialist,Financial Management Division,Bob Bolen
Public Safety Complex,505 W.Felix St.,Fort Worth,Texas,76115. Reimbursements will not
be made until after receipt of an acceptable and approved RFR and a monthly Program Activities
Report from the Contractor.Additionally,a quarterly Program Effectiveness Measurement Report
from Contractor is required as described in section 4.2 and must be approved prior to
reimbursements.Reimbursements shall be made within 30 days receipt of said documents.
2.3 Contractor is authorized to modify up to five (5)percent of any budgeted line-item in the
original approved budget without prior written permission from City. However, Contractor must
submit the Request for Budget Modification Form (Exhibit "F") to City, with the monthly RFR,
during the month the modification took place. The new modified budget cannot exceed the total
amount of Program Funds.
2.4 Any modifications of more than five (5)percent of any budgeted line-item in the original
approved budget must have prior written permission from City before the modifications are made.
The Budget Modification Form(Exhibit"F")must be submitted,and request must be approved by
City,before any money is moved to the line-item. Once the Budget Modification is approved,the
modified budget will take effect on the first day of the following month. The new modified budget
shall not exceed the total amount of Program Funds.
2.5 Any modifications to zero line-items in the original approved budget must have prior
written permission from City before the modifications are made. The Budget Modification Form
(Exhibit"F") must be completed and approved by City before money is transferred into the new
line-item. Once the Budget Modification is approved, the modified budget will take effect on the
first day of the following month. The new modified budget shall not exceed the total amount of
Program Funds.
2.6 Budget modification can only occur within the Direct and Indirect costs. Funds may not
be moved from a Direct line-item into an Indirect line-item,or vise versus. Modification of Direct
and Indirect approved budgets must follow the guidelines outlined in sections 2.3, 2.4. and 2.5.
Budget adjustments shall be submitted to the Contract Compliance Specialist, Financial
Management Division, the Fort Worth Police Department at Bob Bolen Public Safety
Complex at 505 W. Felix St., Fort Worth,Texas, 76115.
3. Term. This Agreement shall commence upon October 1, 2017 ("Effective Date"), and
shall end on September 30, 2018 ("End Date"). All of Contractor's expenditures under this
Agreement must be completed no later than September 30,2018.
4. Program Performance.
4.1 Contractor agrees to maintain full documentation supporting the performance of the work
and fulfillment of the objectives set forth in Exhibit"A.
FY 2018 Community Based Program
Lena Pope Home,Inc. Page 3 of 14
4.2 Contractor agrees to provide a monthly Program Activities Report and quarterly Program
Effectiveness Measurement Report to document the performance of the work described in Exhibit
"D" and Exhibit "E," respectively. The Program Activities and Effectiveness Measures shall
document the program activity names, numbers of participants attending, details of the activities,
and a description of the goals achieved in support of the CCPD goals. Program Effectiveness
Measures shall be reported on a quarterly basis and included in the January, April, July, and
October RFR and Program Activities Report submittals. Additionally,the Program Effectiveness
Measurement Report must include descriptions of any realized successes. The monthly Program
Activities and quarterly Program Effectiveness Measurement Reports shall be submitted to City
no later than the 15th day after the end of each month.
4.3 Contractor agrees that the monthly Request for Reimbursement and Program Activities
Report and quarterly Program Effectiveness Measurement Report will be submitted to City no
later than the 15'day after the end of each month. Should Contractor not meet these requirements,
Contractor will be given an additional 15 days to submit the required reports to City. If,at the end
of this 15-day extension period, Contractor has not submitted the required reports, City will send
a non-compliance letter notifying Contractor's duly authorized representative of a possible
suspension of program funding.
4.4 A representative of the program shall attend quarterly meetings of the Crime Control and
Prevention District Board as requested.
5. Default and Termination.
5.1 This Agreement is wholly conditioned upon the actual receipt by City of Program Funds
from the CCPD. All monies distributed to Contractor hereunder shall be exclusively from monies
received from the CCPD, and not from any other monies of City. In the event that funds from the
CCPD are not received in whole or in part, City may, at its sole discretion, terminate this
Agreement and City shall not be liable for payment for any work or services performed by
Contractor under or in connection with this Agreement.
5.2 . In the event no funds or insufficient funds are appropriated by the City in any fiscal year for
any payments due hereunder, City will notify Contractor of such occurrence and this Agreement
shall terminate on the last day of the fiscal period for which appropriations were received without
penalty or expense to the City of any kind whatsoever,except as to the portions of payments herein
agreed upon for which funds have been appropriated.
5.3 The City may terminate this Agreement at any time and for any reason by providing the
other party with thirty (30) days' written notice of termination. .
5.4 Termination will be effected by delivering to Contractor written notice of termination.
Upon Contractor's receipt of notice of termination, Contractor shall:
(a) Stop work under the Agreement on the date and to the extent specified in the notice of
termination;
FY 2018 Community Based Program
Lena Pope Home,Inc. Page 4 of 14
(b) Place no further order or subcontracts, except as may be necessary for completion of the
work not terminated;
(c) Terminate all orders and contracts to the extent that they relate to the performance of the
work terminated by the notice of termination; and
(d) Cease expenditures of Program Funds, except as may be necessary for completion of the
work not terminated.
5.5 In the event City suspends or terminates this Agreement, Contractor expressly waives any
and all rights to monetary damages,including but not limited to actual,consequential,and punitive
damages, court costs and attorney's fees.
5.6 Within thirty(30)days following the date of termination of this Agreement,Contractor shall
return to City any property provided hereunder. City will have no responsibility or liability for
Contractor's expenditures or actions occurring after the effective date of termination of the
Agreement.
6. Equipment and Maintenance. All equipment purchased with Program Funds must meet
all eligibility requirements of City. Contractor shall maintain all equipment used in the
administration and execution of the Second Opportunity for Success program. Contractor shall
maintain,replace, or repair any item of equipment used in support of the Second Opportunity for
Success program or for use under the terms of this Agreement that no longer functions or is lost
or stolen. The cost for maintenance, replacement or repair of any equipment used in support of
Second Opportunity for Success program and/or for use under the terms of this Agreement is the
sole responsibility of Contractor. Contractor shall not use Program Funds to repair or replace said
equipment. Contractor shall use any and all equipment purchased with Program Funds exclusively
in support of the Second Opportunity for Success program. Within 10 days following the purchase
of equipment,Contractor shall submit to City a detailed inventory of all equipment purchased with
Program Funds to the Grants and Program Management Section at the address set forth in
paragraph 2.2 above. The equipment inventory shall include an itemized description of each piece
of equipment,the date each piece of equipment was purchased,the cost of purchase for each piece
of equipment, and the location of each piece of equipment.
7. Administrative Requirements.
7.1
Contractor agrees to keep sufficient records to document its adherence to applicable local, state, and
federal regulations,along with documentation and records of all receipts and expenditures of Program
Funds. All records shall be retained for three (3) years following the termination or completion of
this Agreement. City or its representatives shall have the right to investigate, examine, and audit at
any time any and all such records relating to operations of Contractor under this Agreement.
Contractor,its officers,members,agents,employees,and subcontractors,upon demand by City,shall
make such records,readily available for investigation, examination, and audit. In the event of such
audit by City, a single audit of all Contractor's operations will be undertaken and may be conducted
either by City or an independent auditor of City's choice. Contractor shall submit a copy of any audit
performed by their independent auditor within 30 days of receipt of the final audit report.
FY 2018 Community Based Program
Lena Pope Home,Inc. Page 5 of 14
7.2 If any audit reveals a questioned practice or expenditure, City shall notify Contractor as
soon as reasonably practical. Contractor shall have fifteen(15)days to provide City with a written
explanation and any supporting documentation regarding the practice or expenditure.If Contractor
fails to resolve or cure the questioned practice or expenditure,to the City's satisfaction,within the
fifteen(15)day period,City reserves the right to withhold further Program Funds under this and/or
future agreement(s)with Contractor.
7.3 If, as a result of any audit, it is determined that Contractor misused, misapplied or
misappropriated all or any part of the Program Funds, Contractor agrees to reimburse City the
amount of such monies so misused, misapplied or misappropriated, plus the amount of any
sanction, penalty, or other charge levied against City because of such misuse, misapplication or
misappropriation.
7.4 Contractor's obligation to City shall not end until all closeout requirements are completed.
The closeout requirements shall include,but are not limited to: providing final Program Activities
Report and Program Effectiveness Measurement Reports, making final payments, and disposing
of Second Opportunity for Success assets as appropriate,if deemed required by the City in its sole
discretion.
7.5 Contractor covenants and agrees to fully cooperate with City in monitoring the
effectiveness of the services and work to be performed by Contractor under this Agreement, and
work to be performed by Contractor under this Agreement and City shall have access at all
reasonable hours to offices and records of Contractor, its officers, members, agents, employees,
and subcontractors for the purpose of such monitoring.
Section 7 shall survive the expiration or termination of this Agreement.
8. Independent Contractor.
8.1 Contractor shall operate hereunder as an independent contractor and not as an officer,
agent,or servant or employee of City. Contractor shall have exclusive control of,and the exclusive
right to control, the details of the work and services performed hereunder, and all persons
performing same, and shall be solely responsible for the acts and omissions of its officers,
members,agents,servants,employees,subcontractors,program participants,licensees,or invitees.
The doctrine of respondeat superior shall not apply as between City and Contractor, its officers,
members,agents,servants,employees,subcontractors,program participants,licensees,or invitees,
and nothing herein shall be construed as creating a partnership or joint enterprise between City and
Contractor.No federal,state,or local income tax,nor any payroll tax of any kind,shall be withheld
or paid by City on behalf of Contractor.Contractor shall not be treated as an employee with respect
to the services performed pursuant to this Agreement for federal or state tax purposes. It is
expressly understood and agreed that officers, members, agents, employees, subcontractors,
licensees, or invitees of Contractor, and any program participants hereunder are not eligible for,
and shall not participate in any employer pension, health, or other fringe benefit plan provided by
City. It is expressly understood and agreed that City does not have the legal right to control the
FY 2018 Community Based Program
Lena Pope Home,Inc. Page 6 of 14
details of the tasks performed hereunder by Contractor, its officers, members, agents,employees,
subcontractors,program participants,licensees, or invitees.
8.2 City shall in no way nor under any circumstances be responsible for any property belonging
to Contractor, its officers, members, agents, employees, subcontractors, program participants,
licensees or invitees,which may be lost, stolen, destroyed,or in any way damaged.
9. Liability and Indemnification.
CONTRACTOR SHALL BE LL9BLE AND RESPONSIBLE FOR ANYAND ALL PROPERTY
LOSS, PROPERTY DAMAGE AND/OR PERSONAL INJURY, INCLUDING DEATH, TO
ANY AND ALL PERSONS, OF ANY KIND OR CHARACTER, WHETHER REAL OR
ASSERTED, TO THE EXTENT CAUSED BY THE NEGLIGENT ACT(S) OR OMISSION(S),
MALFEASANCE OR INTENTIONAL MISCONDUCT OF CONTRACTOR,ITS OFFICERS,
AGENTS,SERVANTS OR EMPLOYEES.
CONTRACTOR AGREES TO DEFEND, INDEMNIFY, AND HOLD THE CITY, ITS
OFFICERS,AGENTS, SERVANTS,AND EMPLOYEES HARMLESS A GAINST ANY AND
ALL CLAIMS, LAWSUITS, ACTIONS, COSTS, AND EXPENSES OF ANY KIND,
INCLUDING, BUT NOT LIMITED TO, THOSE FOR PROPERTY DAMAGE OR LOSS
(INCLUDING ALLEGED DAMAGE OR LOSS TO OWNER'S BUSINESS AND ANY
RESULTING LOST PROFITS) AND/OR PERSONAL INJURY (INCLUDING DEATH)
THAT MAYRELATE TO,ARISE OUT OF, OR BE OCCASIONED BY(I) CONTRACTOR'S
BREACH OF ANY OF THE TERMS OR PROVISIONS OF THIS AGREEMENT OR (II)
ANY NEGLIGENT ACT OR OMISSION OR INTENTIONAL MISCONDUCT OF
CONTRACTOR,ITS OFFICERS,AGENTS,ASSOCIATES,EMPLOYEES, CONTRACTORS
(OTHER THAN THE CITI), OR SUBCONTRACTORS RELATED TO THE
PERFORMANCE OF THISAGREEMENT,EXCEPT THAT THE INDEMNITYPROVIDED
FOR IN THIS SECTION SHALL NOT APPLY TO ANY LIABILITY RESULTING FROM
THE SOLE NEGLIGENCE OF THE CITY OR ITS OFFICERS, AGENTS, EMPLOYEES,
OR SEPARATE CONTRACTORS, AND IN THE EVENT OF JOINT AND CONCURRENT
NEGLIGENCE OF BOTH CONTRACTOR AND CITY,RESPONSIBILITY,IFANY,SHALL
BE APPORTIONED COMPARATIVELY IN ACCORDANCE WITH THE LAWS OF THE
STATE OF TEXAS. NOTHING HEREINSHALL BE CONSTRUED ASA WAIVER OF THE
CITY'S GOVERNMENTAL IMMUNITY AS FURTHER PROVIDED BY THE LAWS OF
TEXAS.
Contractor shall require all of its subcontractors to include in their subcontracts a release and
indemnity in favor of City in substantially the same form as above.
This section shall survive the expiration or termination of this Agreement.
10. Non-Assignment. No assignment or delegation of duties under this Agreement by
Contractor shall be effective without City's prior written approval.
FY 2018 Community Based Program
Lena Pope Home,Inc. Page 7 of 14
11. Prohibition Against Interest.
11.1 No member, officer, or employee of City, or its designees or agents; no member of the
governing body of the locality in which the Second Opportunity for Success program is situated;
and no other public official of such locality or localities who exercises any functions or
responsibilities with respect to the Second Opportunity for Success program during his tenure or
for one year thereafter, shall have any interest,direct or indirect, in any contract or subcontract,or
the proceeds thereof, for work to be performed hereunder. Contractor shall incorporate, or cause
to be incorporated, like language prohibiting such interest, in all contracts and subcontracts
hereunder.
11.2 No officer,employee,member,or program participant of Contractor shall have a financial
interest,direct or indirect,in this Agreement or the monies transferred hereunder,or be financially
interested, directly or indirectly, in the sale to Contractor of any land, materials, supplies, or
services purchased with any funds transferred hereunder, except on behalf of Contractor, as an
officer, employee, member, or program participant. Any willful violation of this paragraph with
the knowledge, expressed or implied, of Contractor or its subcontractors, shall render this
Agreement voidable by City of Fort Worth.
12. Nondiscrimination.
12.1 In accordance with the federal, state, and local laws and ordinances, Contractor
covenants that neither it nor any of its officers,members,agents,employees,program participants,
or subcontractors, while engaged in performing this Agreement shall in connection with the
employment, advancement, or discharge of employees, in connection with the terms, conditions
or privileges of their employment,discriminate against persons because of their age,except on the
basis of a bona fide occupational qualification,retirement plan,statutory requirement,or statutory
or ordinance exception.
12.2 Contractor will not unlawfully discriminate against any person or persons because of
age,race,color,religion, sex,disability,national origin, or sexual orientation, nor will Contractor
permit its officers,members,agents,employees,subcontractors,or program participants to engage
in such discrimination.
IF ANY CLAIM ARISES FROM AN ALLEGED VIOLATION OF THIS NON-
DISCRIMINATION COVENANT BY CONTRACTOR, ITS PERSONAL
REPRESENTATIVES, ASSIGNS, SUBCONTRACTORS OR SUCCESSORS IN
INTEREST, CONTRACTOR AGREES TO ASSUME SUCH LIABILITY AND TO
INDEMNIFY AND.DEFEND THE CITY AND HOLD THE CITY HARMLESS FROM
SUCH CLAIM.
This section shall survive the expiration or termination of this Agreement.
FY 2018 Community Based Program
Lena Pope Home,Inc. Page 8 of 14
13. Compliance.
13.1 Contractor, its officers, members, agents, employees, program participants, and
subcontractors, shall abide by and comply with all laws, federal, state and local, including all
ordinances, rules and regulations of City. If City calls to the attention of Contractor in writing to
any such violation on the part of Contractor or any of its officers, members, agents, employees,
subcontractors or program participants,then Contractor shall immediately desist from and correct
such violation.
13.2 Contractor shall utilize Program Funds strictly for those purposes and goals intended under
the terms and conditions of this Agreement. If City calls the attention of Contractor in writing to
any such violations on the part of Contractor or any of its officers, members, agents, employees,
program participants or subcontractors,then Contractor shall immediately desist from and correct
such violation.
14. Governmental Powers. It is understood that by execution of this Agreement,the City does
not waive or surrender any of it governmental powers.
15. Waiver of Immunity. If Contractor is a charitable or nonprofit organization and has or
claims an immunity or exemption (statutory or otherwise) from and against liability for damages
or injury, including death,to persons or property; Contractor hereby expressly waives its rights to
plead defensively such immunity or exemption as against City. This section shall not be construed
to affect a governmental entity's immunities under constitutional, statutory or common law.
16. Insurance Requirement.
16.1 Coverages and Limits. Contractor shall provide the City with certificate(s) of insurance
documenting policies of the following minimum coverage limits that are to be in effect prior to
commencement of any work pursuant to this Agreement:
(a) Commercial General Liability (CGL): $1,000,000 per occurrence, with a $2,000,000.00
annual aggregate limit, in a form that is acceptable to the City's Risk Manager.
(b) Non-Profit Organization Liability or Directors & Officers Liability: $1,000,000 per
occurrence, with a $1,000,000 annual aggregate limit, in a form that is acceptable to the
City's Risk Manager.
(c) Automobile Liability: $1,000,000 each accident on a combined single limit basis OR split
limits are acceptable if limits are at least $250,000 Bodily Injury per person, $500,000
Bodily Injury per accident and$100,000 Property Damage.
(d) Any other insurance the City may reasonably require to protect the interest of the City.
FY 2018 Community Based Program
Lena Pope Home,Inc. Page 9 of 14
16.2 Contractor's insurer(s)must be authorized to do business in the State of Texas for the lines
of insurance coverage provided and be currently rated in terms of financial strength and solvency
to the satisfaction of the City's Risk Manager. All insurers must have a minimum rating of A-VII
in the current A.M. Best Key Rating Guide, or have reasonably equivalent financial strength and
solvency to the satisfaction of Risk Management. If the rating is below that required, written
approval of Risk Management is required.
16.3 Each insurance policy required herein shall be endorsed with a waiver of subrogation in
favor of the City. Each insurance policy required by this Agreement, except for policies of
worker's compensation or accident/medical insurance shall list the City as an additional
insured. City shall have the right to revise insurance coverage requirements under this Agreement.
16.4 Contractor further agrees that it shall comply with the Worker's Compensation Act of
Texas and shall provide sufficient compensation insurance to protect Contractor and City from and
against any and all Worker's Compensation claims arising from the work and services provided
under this Agreement.
16.5 The commercial general liability policy shall name the City as an additional insured thereon,
as its interests may appear.
16.6 A minimum of Thirty (30) days' notice of cancellation or reduction in limits of coverage
shall be provided to the City. Ten(10)days' notice shall be acceptable in the event of non-payment
of premium. Notice shall be sent to the Risk Manager, City of Fort Worth,200 Texas Street,Fort
Worth, Texas 76102,with copies to the City Attorney at the same address.
16.7 Any failure on the part of the City to request required insurance documentation shall not
constitute a waiver of the insurance requirement.
16.8 Certificates of Insurance evidencing that the Contractor has obtained all required insurance
shall be delivered to the City prior to Contractor proceeding with any work pursuant to this
Agreement.
17. Miscellaneous Provisions.
17.1 The provisions of this Agreement are severable, and, if for any reason a clause, sentence,
paragraph, or other part of this Agreement shall be determined to be invalid by a court or Federal or
state agency,board,or commission having jurisdiction over the subject matter thereof,such invalidity
shall not affect other provisions which can be given effect without the invalid provision.
17.2 City's failure to insist upon the performance of any term or provision of this Agreement or
to exercise any right herein conferred shall not be construed as a waiver or relinquishment to any
extent of City's right to assert or rely upon any such term or right on any future occasion.
17.3 Should any action, whether real or asserted, at law or in equity, arise out of the execution,
performance,attempted performance or non-performance of this Agreement,venue for said action
FY 2018 Community Based Program
Lena Pope Home,Inc. Page 10 of 14
shall lie in state courts located in Tarrant County,Texas or the United States District Court for the
Northern District of Texas,Fort Worth Division.
17.4 Contractor represents that it possesses the legal authority, pursuant to any proper,
appropriate and official motion, resolution or action passed or taken, to enter into this Agreement
and to perform the responsibilities herein required.
17.5 This written instrument and Exhibits A through F constitute the entire agreement between
the parties concerning the work and services to be performed hereunder, and any prior or
contemporaneous,oral or written agreement which purports to vary from the terms hereof shall be
void.
17.6 Any amendments to the terms of this Agreement must be in writing and must be signed by
authorized representatives of each Party.
17.7 None of the performance rendered under this Agreement shall involve, and no portion of
the Program Funds received hereunder shall be used, directly or indirectly, for the construction,
operations,maintenance or administration of any sectarian or religious facility or activity,nor shall
said performance rendered or funds received be utilized so as to benefit,directly or indirectly,any
such sectarian or religious facility or activity.
17.8 The parties acknowledge that each party and its counsel have reviewed this Agreement and
that the normal rules of construction to the effect that any ambiguities are to be resolved against
the drafting party shall not be employed in the interpretation of this Agreement or exhibits hereto.
17.9 Captions and headings used in this Agreement are for reference purposes only and shall
not be deemed a part of this Agreement.
17.10 The provisions and conditions of this Agreement are solely for the benefit of City and
Contractor and are not intended to create any rights, contractual or otherwise,to any other person
or entity.
17.11 Contractor certifies that it has obtained a 501(c)(3) Certificate from the Internal Revenue
Service. Contractor shall notify City in writing of any changes to its 501(c)(3) tax-exempt status
during the term of this Agreement.
18. Notice.
Notices to be provided hereunder shall be sufficient if forwarded to the other party by hand-delivery or via
U.S.Postal Service certified mail,postage prepaid,to the address of the other party shown.below:
CITY: Valerie R. Washington,Assistant City Manager
City Manager's Office
City of Fort Worth
200 Texas Street
Fort Worth,TX 76102
FY 2018 Community Based Program
Lena Pope Home,Inc. Page 11 of 14
Copies To: Financial Management Division
Bob Bolen Public Safety Complex
505 West Felix St.
Fort Worth,TX 76115
City Attorney's Office
Attn: Police Contracts
200 Texas Street
Fort Worth,TX 76102
CONTRACTOR: Sonya Mosley,LCSW
Director of School and Community Based Services
3200 Sanguinet Street
Fort Worth,TX 76107
19. IMMIGRATION NATIONALITY ACT.
City actively supports the Immigration&Nationality Act(INA)which includes provisions
addressing employment eligibility, employment verification, and nondiscrimination. Contractor
shall verify the identity and employment eligibility of all employees who perform work under this
Agreement. Contractor shall complete the Employment Eligibility Verification Form (I-9),
maintain photocopies of all supporting employment eligibility and identity documentation for all
employees, and upon request,provide City with copies of all I-9 forms and supporting eligibility
documentation for each employee who performs work under this Agreement. Contractor shall
establish appropriate procedures and controls so that no services will be performed by any
employee who is not legally eligible to perform such services. Contractor shall provide City with
a certification letter that it has complied with the verification requirements required by this
Agreement. Contractor shall indemnify City from any penalties or liabilities due to violations of
this provision. City shall have the right to immediately terminate this Agreement for violations of
this provision by Contractor.
[REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK]
[SIGNATURE PAGE FOLLOWS]
FY 2018 Community Based Program
Lena Pope Home,Inc. Page 12 of 14
IN WITNESS WHEREOF,the parties hereto have executed this • gree ent in multiples in Fort
Worth,Tarrant County, Texas,to be effective this U4—day of , 204(7.-
APPROVED AND AGREED FOR APPROVED AND AGREED FOR
CITY F FORT WORTH Home, Ii
(�7
Valerie R. Washington Todd Landry
Assistant City Manager Chief Executive Officer
Date: Date: S/Z �/� __________
APPROVED AS TO FORM AND
LEGALITY FOR Lena Pope Home,
APPROVAL RECO':jw1MENDED Inc.
Joel F. Fitzgerald
Chief of Police Lena Pope Home,Inc.
Date: f��
Date:
APPROVED AS TO FORM AND
LEGALITY FOR CITY OF FORT
WORTH
ATTEST 4 SORT
X20
Joate Mtn
Assistant City Attorney Mary J. Ka
City Secretary U
Date: / �`• ,�
Date:_ 16I�1 I '�cj
M&C No.NOT REQUIRED
1295 CERTIFICATION:
OFFICIAL RECORD
CITY SECRETARY
FY 2018 Community Based Program FT.WORTHO TX
Lena Pope Home,Inc. Page 13 of 14
Contract Compliance Manager:
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract,including
ring all performance and reporting requirements.
Name
Title
FY 2018 Community Based Program
Lena Pope Home,Inc. Page 14 of 14
Exhibit A
Proposal Abstract and Narrative
Program Abstract
Research indicates that juvenile offenders face many barriers to leading a life free of future crime
and violence,including truancy,fancily instability, and substance abuse or mental`health issues.
Further,Texas has higher rates of juvenile detention than the national average,which creates
significant community costs. Lena Pope's Second Opportunity for Success®program works to
rehabilitate first offending youth in the community,which research and previous program results
suggest produces better,more cost-effective outcomes for these youth. The program has two
phases which use research-tested strategies to address each of the barriers that juvenile offenders
face to living without violence and recidivism. The first phase is seven weeks of skill building
groups for both youth and their parents.Parents are required to accompany their children to each
weekly class and attend a separate parenting class. Both parents and youth learn to effectively
express concerns and solve problems.This intensive family involvement is one of the aspects
that sets Second Opportunity for Success®apart,and according to research, is crucial to an
effective diversionary program. The second phase of the program is a 90-day follow-up period
where a Lena Pope staff monitors the student in the community to assure continued success.
After the 90-day probation period has expired,the youth and family has completed all program
requirements,and the youth has not re-offended, Lena Pope recommends to the referring party
that the youth be successfully discharged and that the youth's charges be dropped.
Second Opportunity for Success®has been recognized nationally as an outstanding program.
Urban Solutions did an assessment of youth reentry programs in 2004,and named Second
Opportunity for Success®as one of the top ten diversionary programs. Further,the program has
t
had outstanding success since it began in 2000,with a cumulative recidivism rate of less than.
10%. This success is based on the intensiveness of the program,the involvement of families,
tenured staff,and the creation of lasting supports for youth and their families.
11
i
FY2018 COMMUNITY BASED PROGRAMS
RFP NO, 17-0237
PROPOSAL NARRATIVE
12
PROPOSAL NARRATIVE
1) In one sentence,describe the purpose of your proposed program.
Lena Pope's first offender program,Second.Opportunity for SuccessO(SOS),is designed to give
kids and families the skills they need to live crime-free lives and will help the City of Fort Worth
meet its goals of reducing violent crime and gang related activity,decrease crime throughout Fort
Worth neighborhoods,reduce juvenile crime,and prevent,youth and family violence.
2) Who will the program benefit? How many people? What age group?
Second Opportunity for Success®benefits youth ages 10 to 17 with a first offense and their families.
Lena Pope is proposing to provide this program to 60 youth and at least 60 guardians.The youth's
guardians are required to participate in the program with the youth.
3) What geographic area will it serve? Please describe if it will be city wide,a specific council district,or
a specific zip code?PIease include geographic boundaries and a map.
Lena Pope proposes to provide Second Opportunity for Success®services to youth with a residence
in.Fort Worth city limits.
4) Describe in detail the problem that your program addresses.
In 2013,there were almost 4,000 referrals to.Tarrant County Juvenile Services.Further, in 2015 the
,Fort Worth Police Department identified 60 criminal street gangs with approximately 4,300 gang
members,including 23 youth gangs with over 130 identified youth gang members.
According to the Tarrant County Criminal Justice Community Plan, the"problem contributors" that
significantly challenge the juvenile justice system in Tarrant County include continued
disproportionality of minorities, school dropout and truancy, family dysfunction, instability, gang
involvement, mental health and substance abuse issues. Addressing these contributing factors to
delinquency through deeper end juvenile programs can cost communities millions of dollars per year
unless there are prevention and early intervention programs to divert offending youth from more costly
options.This is especially pertinent as youth in Texas are being sent to detention at higher rates than
youth nationally(United Way Community Report,2015).Incarceration in a state juvenile facility costs
approximately$258 per day,while diversion or supervision programs range from$7 to$73 per day.
Further, while some youths need to be in a residential,setting, research has found unnecessary
incarceration may actually make lower-risk youths more likely to re-offend, as it co-mingles them
with more serious offenders and frays ties to their family and community. Lena Pope's Second
Opportunity for Success® (SOS), a First Offender Program, provides an.alternative approach to
referring a first offender for entry into the Juvenile Justice system. SOS is able to effectively reduce
recidivism for these youth and save the community money by rehabilitating these youth and their
families in the community.
5) Describe what your program does to 1) support efforts to reduce violent crime and gang-related
activities through enhanced enforcement activities and crime prevention programs,2)support efforts
13
to increase the safety of residents and to decrease crime throughout Fort Worth neighborhoods;and 3)
support efforts to increase the safety of youth and reduce juvenile crime through crime prevention and
intervention programs.4)address a literacy element as required by the CCPD Board.
Lena Pope developed the Second Opportunity for Success® program based on research of reducing
recidivism of at-risk youth and first offenders.The program aims to reduce the risk factors identified in
the Tarrant County Criminal Justice Community Plan report while simultaneously increasing protective
factors identified in the literature(Farrell&Barnes, 1993;Urban Solutions,2004;Dukes&Stein,2001;
Aseltine, 1995;Crosnoe et a1.2002;Fass&Pi,2002,Practice Wise,Bruce Chorpita,Hawaii).
Second Opportunity for Success®Strategy
y
Protective factors:family involvment,prosocial
. relationships,self-esteem,coping skills,decision
making,social skills
Community Safety
` Risk factors:truancy,family dysfunction,instability,
antisocial relationships,gang involvement,mental health
and substance abuse issues
` Recidivism Rates,Juvenile Crime,Gang Activity,Youth
and Family Violence
Over 17 years, Second Opportunity for SuccessO and its curriculum have led to extremely
successful results,with recidivism rates under 10%.Last year, 91%of youth who completed the
program did not have another criminal violation for six months. Consequently, in 2004, Urban
Solutions of New Rochelle, New York recognized Lena Pope's first offender program as one of
the"best reentry programs in the country".Additionally,Lena Pope's first offender program was
highlighted as a model practice in a Policy Brief titled "Texas Counties Can Unlock Kids and
Savings"(December 2009).
In Second Opportunity for Success®,youth and their parents attend seven weeks of skill building groups.
Topics in these groups include building family relationships,social skills,refusal skills,substance abuse,
accountability,peer pressure,and discipline.After the completion of these group sessions,staff follow-up
with the youth and family monthly for three months.During the follow-up visits,Lena Pope staff discuss
the progress or regression that the youth may be experiencing,and offers guidance to the family.After the
probationary period has expired,the youth has the opportunity to have their charges dropped if they did
not commit another crime.Last year,91%of youth who completed the program did not have another
criminal violation for six months.This is significantly better than the 28.2%statewide recidivism rate for
youth with only one or two violations.While the statewide recidivism rate includes youth with more
14
advanced penetration into the Juvenile Justice system,it is clear that Second Opportunity for Success®is
preventing participants'typical increasing criminal activity.
, �
VA
In addition to the proposed program,Lena Pope offers significant value-added services,including:
• Trauma,mental health,behavioral,or substance abuse counseling,
• Family counseling;
• In-depth parenting classes;
• Basic necessities assistance(food,clothing,school supplies,toiletries);
• Holiday assistance;and
• Summer camp or pro-social activity scholarships.
Research shows that low literacy may not be the direct cause of chime,but that there is a significant link
between low literacy and crime. The Department of Justice states,"The link between academic failure
and delinquency,violence,and crime is welded to reading failure." Over 70%of inmates in America's
prisons did not complete high school or can be classified as low literate. According to The National
Evaluation and Technical Assistance Center(NDTAC),youth with low literacy skills not only are more
likely to be involved in the juvenile justice system,but also have a higher likelihood of negative outcomes
post incarceration.
Lena Pope has strategically incorporated literacy components into its Second Opportunity for Success(&
program by integrating reading,writing,and oral presentation into 6 of the 7 skills based groups.Each
week youth will participate in interactive skills building activities that require them to read handouts and
demonstrate understanding of the information being taught. The youth will provide written responses to
the activities which will then be shared with the group. At the end of each group session,youth will
complete a short formative assessment to test their comprehension of the skill area discussed. Each
youth will be provided a folder to maintain their handouts and written activities during the group sessions.
Prior to completion of the group component of the program,the youth will compose a graduation speech
that will be presented before all youth and parents participating in services. The speech will highlight an
important skill learned during group,a goal they'd like to accomplish and what they are thankful for.
Additionally,to further promote literacy each youth will be given an age appropriate book of their choice.
6) Does your program address the CCPD priority/special emphasis of the prevention or intervention of
youth violence and/or family violence or incorporate literacy instruction or skills for children ages0-9?
Describe how your program addresses this priority?
15
Second Opportunity for Success®Uniqueness Lena Pope's Second Opportunity for Success®is
• Involvement of youth's family specially designed to address CCPD's priority of
• Five-month service period prevention and early intervention in youth and
Bachelor's level tenured staff family violence.As a diversionary program,SOS
•
Curriculum addresses all risk factors in Tarrant catches youth in their fust offense before their
• violence escalates.Additionally,the program's
County Crim irW Justice Community Plan required inclusion of parents in parenting classes
• Consistent youth recidivism rates less than 10% helps to address family violence.For both youth
• Recognition as an outstanding diversion program and families,Second.Opportunity for Success(W
reduces violent activities by teaching social and
parenting skills,addressing mental health and substance abuse issues through Lena Pope's other
programs,and helping the client to de-escalate anger and make positive decisions.
Furthermore,Bruce Chorpita,,Ph.D,,in his 2009 Biennial Report:Effective Psychosocial
Interventions for Youth with Behavioral and Emotional Needs, indicates that the most effective
interventions in addressing violence and delinquency in youth are problem solving,cognitive skills,
tangible rewards,family communication and parental monitoring.All of these components are
addressed in Second Opportunity for Success®.The seven weeks of group classes for the youth focus
on problem solving and cognitive skills.The parent classes cover tangible rewards and parental
monitoring.Both the youth and the parents discuss family communication techniques.Finally, the
three months of follow-up of youth and families provides professional monitoring to intervene early if
there is escalating violence or delinquency.
7) How will you measure the effectiveness of the program? You must include specific performance
measures within the Activities and Outcomes Summary and describe evaluation tools and the method
of data collection that you will use. If awarded funding,these performance measures will be included
as an exhibit in the contract,and you will be required to report progress towards these measures,which
will be reported to the CCPD Board.
Lena Pope measures the effectiveness of Second Opportunity for Success®based on the percent of
youth who complete the program successfully,the percent of youth that report improved family
functioning,the percent of youth with successful school attendance,and the recidivism rates for youth
who complete the program.
90%of participants will complete the program. Agency's client database with enrollments and
dischar aes
90%of families and youth will report improved family Client discharge form completed by parents
functioning.
85%of youth will have successful school attendance. Review of youth's attendance record in three monthly
follow-up visits
90%of youth will not commit a new offense. Tarrant County Juvenile Services data
8) What makes this program unique from any other crime prevention program in Fort Worth?
Second Opportunity for Success®works with the whole family over a total.of five months to help ensure
that youth can be successful in remaining crime free.Second Opportunity for Success®uses Bachelor's
level staff,and two proposed staff have over 10 years of experience in the program and over 20 years of
16
experience each working with youth and-families.Second Opportunity for Success®includes a program
curriculum developed by Lena Pope to address the specific risk factors identified in the Tarrant County
Criminal Justice Community Plan, The program and its curriculum have led to extremely successful
results,with recidivism rates under 10%consistently for 17 years,which is significantly lower than the
statewide average for youth with first or second offenses.Lena Pope is not aware of another diversion
program that has produced such outstandingly low recidivism rates consistently for so many years.
Consequently, in 2004, Urban Solutions of New Rochelle, New York recognized Lena Pope's first
offender program as one of the "best reentry programs in the country".Additionally,Lena Pope's first
offender program was highlighted in a Policy Brief titled "Texas Counties Can Unlock Kids and
Savings"(December 2009).The author found that a"diversionary program similar to Lena Pope's first
offender program costs 13 times less per day than detention and 25%less than probation."
9) Is the program already in operation? If so,how long have you operated the program? What resources
are currently used to operate the program? Why are CCPD funds necessary at this time?
Lena Pope has been providing Second Opportunity for Success®for 17 years..Lena Pope provides
this program through a variety of contracts.Lena Pope received funds from CCPD and Tarrant
County Juvenile Services to provide this program to youth for fiscal year 2017. The requested hinds
will allow Lena Pope to continue providing these services to 60 youth in Fort Worth. Without the
requested funds,Lena Pope may need to reduce the number of Fort Worth youth who can receive this
program.
10)Is this a new program? If so,what other funds have you applied for?Also,please describe the sequence
of steps needed to implement your program and the timeframe in which this will occur.
Not applicable.This is an existing program.
11)Briefly describe the specific expenditures planned for CCPD funding. You MUST fully complete
attached budget forms.
Program expenditures include personnel and fringe benefits totaling$50,000 for staff to complete the
tasks outlined in the.proposal. An in-depth budget detail and narrative are included for review. Lena
Pope will in-kind$19,255 in program costs.
12) If fiords are awarded,will this program continue beyond the CCPD funding period?Please explain your
plan to sustain this program.
Lena Pope will continue to provide these services by seeking new public contracts or private funding.
A Council of Governments Policy Brief(2009)found that Second Opportunity for Success®can save
communities significant money in juvenile justice and future crime costs,making the program
attractive for local governments.
13)Has your agency obtained funding through the Crime Control and.Prevention District previously?
X Yes ❑No If so,please fill out the form on page 17.
17
Exhibit B
Budget Narrative and Summary
BUDGET SUMMARY
Amount
Requested
A. Direct Personnel $36,995
B. Direct Fringe Benefits $12 981
C. Direct Travel
D. Direct Equipment
E. Direct Supplies
F. Direct Contracts/Consultants
G. Indirect Cost up to 10%
TOTAL $49,976
BUDGET DETAIL
A.Direct-Personnel
Name Position Rate of Pay x#of Hours Cost
Jana Jones Supervisor Salary$61,528 x 7.7% $ 4,738
Amanda Luna Program Asst. $18.20 x 241 hours $ 4,386
OraBeth McMullenFamily Therapist $28.94 x 44 hours $ 1,273
Karin Havens Family Therapist $19.89 x 44 hours $ 875
Kennia Valdez Family Specialist $17.51 x 57 hours $ 998
Trey Webster Family Specialist $22.05 x 426 hours $ 9,393
Nick Damon Family Specialist $23.77 x 530 hours $12,598
Total Salary cost $34,261
All Texas Unemployment Taxes $ 113
All FICA/Medicare Taxes $2,621
TOTAL Personnel $36,995
B. Direct-Fringe Benefits
Name Position Description of Benefits Cost
All All Retirement $ 1,715
All All Workers Comp $ 471
All All Life/AD&D/LTD Insurance $ 190
All All Dental Insurance $ 156
All All Other Benefits/Background Screens $ 1,176
All All Health Insurance $10,367
Less Reduction due to contract max(in-kind
By Lena Pope ($1,094)
TOTAL Fringe Benefits $12,981
RFP No. 17-0237,FY2018 Community Based Programs
Page 32 of 40
C. Direct-Travel
Purpose of Travel Location Item Cost
TOTAL Travel $
D. Direct-Equipment
Item Cost per Item Quantity Cost
TOTAL Equipment
E. Direct-Supplies
Item Cost per Item Quantity Cost
TOTAL Supplies $
F. Direct-Contracts/Consultants
Description of the Service Cost
TOTAL Contracts/Consultants $
The program budget may use up to 10 percent of the funds requested towards indirect/non-
program related expenses. Indirect costs include but are not limited to administrative staff salary,
rent or lease payments for administrative offices,utility costs for administrative offices,audit costs
and insurance premiums.
RFP No. 17-0237,FY2018 Community Based Programs
Page 33 of 40
i
G.Indirect-Personnel
Name Position Rate of Pay x#of Hours Cost
Not Applicable
TOTAL Personnel $
H.Indirect—Fringe Benefits
Name Position Description of Benefits Cost
Not Applicable
TOTAL Fringe Benefits $
I. Indirect-Other Costs
Item Cost per Item Quantity Cost
Included$0 of$17,216 indirect costs $ 0
Total Indirect Costs:(provided as In-kind match)
Client Database $ 468
Connectivity(phone,internet,networks) $ 738
Utilities $ 850
Care of Buildings $ 409
Custodial $ 836
Other Occupancy Expense $ 1,665
Professional/Commercial Liability Insurance $ 429
Program Oversight and Support($52,075 x 6.8%) $ 3,541
Agency Overhead($52,075 x 15.9%) $ 8,280
Total Indirect Costs(provided as in-kind match by Lena Pope) $17,21.6
TOTAL Other Cost $ 0
RFP No. 17-0237,FY2018 Community Based Programs
Page 34 of 40
BUDGET NARRATIVE
Please attach a detailed budget narrative that explains the need for all proposed expenditures by individual
item: The budget narrative should clearly explain how fiends will be used and why expenditures are
necessary for successful implementation of your program. Please explain how costs are calculated.
A. Direct--Personnel
Supervisor-This full time salaried employee will be dedicated 7.7%of their time to this program. They
will be dedicated to this project for the entire time of the contract. Supervisor oversees the daily
operations of the program and ensures contract compliance. Supervisor will provide oversight to staff,
attend meetings,and provide data for reports. Supervisor ensures that all referrals received from City of
Fort Worth law enforcement officials are processed in a timely manner. Supervisor ensures that services
are delivered with fidelity. The Supervisor is responsible for the program curriculum,quality assurance,
and management of client information.
The salary costs allocated to this contract is—7.7%of$61,528 and hours are approximately 160. Program
is charged on a percentage of salary based on the billable percent worked in each month. Total salary cost
is$4,738.
Administrative Assistant-This full time salaried employee will be dedicated—11.6%of their time to this
program. They will be dedicated to this project for the entire time of the contract. The Administrative
Assistant creates the file,enters the client into the database,generates reports,tracks attendance,closes
files,and notifies law enforcement when youth has completed the program or if they reoffend. The
rate of pay is$18.20 and hours are approximately 24 1. Program is charged on a percentage of salary
based on the billable percent worked in each month. Total salary cost is$4,386.
Family Therapist#1 -This full time salaried employee will be dedicated—2.1%of their time to this
program. They will be dedicated to this project for the entire time of the contract. This Family Therapist
will facilitate the youth groups weekly.This includes preparing for each class,making copies of materials
needed,leading the group in activities to reinforce the specific skills taught.Family Therapist will provide
information for report back to the referring agency when the client has completed the program. The rate
of pay is$28.94 and hours are approximately 44. Program is charged on a percentage of salary based on
the billable percent worked in each month. Total salary cost is$1,273.
Family Therapist#2-This Rill time salaried employee will be dedicated—2.1%of their time to this
program. They will be dedicated to this project for the entire time of the contract. This Family Therapist
will facilitate the youth groups weekly.This includes preparing for each class,making copies of materials
needed,leading the group in activities to reinforce the specific skills taught.Family Therapist will provide
information for report back to the referring agency when the client has completed the program. The rate
of pay is$19.89 and hours are approximately 44. Program is charged on a percentage of salary based on
the billable percent worked in each month. Total salary cost is$875.
Family Specialist# 1 -This part time hourly employee will be dedicated—50%of their time to this
program. They will be dedicated to this project for the entire time of the contract. This Family Specialist
will facilitate the parent groups weekly.This includes preparing for each class,making copies of
materials needed,leading the group in activities to reinforce the specific skills taught. Family Specialist
will provide information for report back to the referring agency when the client has completed the
RFP No. 17-0237,FY2018 Community Based Programs
Page 35 of 40
program. The rate of pay is$17.51 and hours are approximately 57. Program is charged on a percentage
of salary based on the billable percent worked in each month. Total salary cost is$998.
Family Specialist#2-This full time salaried employee will be dedicated^20.5%of their time to this
program. They will be dedicated to this project for the entire time of the contract. This Family Specialist
will facilitate weekly groups. This includes preparing for each class,making copies of materials needed,
leading the group in activities to reinforce the specific skills taught.Family Specialist will also provide
the follow up visits in youths' schools and/or homes to document progress.Family Specialist will provide
information for report back to the referring agency when the client has completed the program.
The rate of pay is$22.05 and hours are approximately 426. Program is charged on a percentage of salary
based on the billable percent worked in each month. Total salary cost is$9,393.
Family Specialist#3-This full time salaried employee will be dedicated- 25.5%of their time to this
program. They will be dedicated to this project for the entire time of the contract. This Family Specialist
will provide the groups for Spanish-speaking parents.This includes preparing for each class,making
copies of materials needed, leading the group in activities to reinforce the specific skills taught.This
Family Specialist will also provide follow up visits in youths'schools and/or homes to document
progress.Family Specialist will provide information for report back to the referring agency when the
client has completed the program.
The rate of pay is$23.77 and hours are approximately 530. Program is charged on a percentage of salary
based on the billable percent worked in each month. Total salary cost is$12,598.
Total Salary Costs - $34,261
FICA- FICA(Federal Insurance Contributions Act-Social Security) is 7.65%of salary
Texas Unemployment Taxes are 1.73%of salary,up to$9,000
Total Taxes $2,734
Total Direct-Personnel $36,995
13. Direct-Fringe
Retirement—Plan is a defined contribution 401(3)b retirement benefit plan. Employer contribution
is 5%of employee's salary,after completion of two year's employment
Worker's Compensation-Rate is 1.31%of salary
Life/AD&D/Long Tenn Disability Insurance—Life,Accidental Death&Dismemberment,and Long
Term Disability is a fringe benefit equal to a cost of 0.53%of salary.
Dental insurance-Rate is$210 per year per FTE
Other employee benefits—Average benefit per employee is 3.5%of salary. Such benefits include
tuition reimbursement for further education and advancement in their field of expertise,agency
wellness program,and license renewals to maintain credentialing and mandatory trainings. Costs are
also included for background checks.
Health Insurance--Annual premium and estimated claims for each employee is$14,000 per year.
This amount includes self-insured insurance premiums,claims,prescriptions,and third party
administrator costs
RFP No. 17-0237,FY2019 Community Based Programs
Page 36 of 40
Less: Reduction due to contract max of($1,094)In-kind match by Lena Pope
Total Fringe $12,981
C. Direct-Travel
Mileage reimbursement is for staff traveling to client's schools for face to face contact and follow up.
Average trip is estimated to be—13.27 miles per client.Using the federal personal vehicle
reimbursement rate of$0.535 per mile x total estimated mileage costs=$426. In some instances,
where the LPH agency vehicle is available,staff is encouraged to use it to conduct LPH business. In
these cases,the lesser of the actual costs incurred or the equivalent miles per$0.535 rate will be
charged.
Total Direct Travel- $0 cost to program($426 in kind match by Lena Pope)
D. Direct—Equipment
Equipment expense-Costs include,but are not limited to cell pliones,fax machines,copier machines,
printers,postage machines with corresponding maintenance and lease costs.
Total Equipment $0 cost to program($464 in-kind match by Lena Pope)
E. Direct-Supplies
Office supplies include, but are not limited to folders,paper,pens,copier and printer toner,
notebooks,etc.
Total Supplies $0 cost to program($55 in-kind match by Lena Pope)
F. Direct-Contracts/Consultants
G.Indirect Cost up to 10%
H. Indirect Cost--Personnel
I. Indirect Cost—Fringe Benefits
RFP No. 17-0237,FY2018 Community Based Programs
Page 37 of 40
J. Indirect Cost--Other Costs -$0 for program ($17,216 funded by Lena Pope)
Connectivity costs-Includes per FTE share of agency telephone land lines,connectivity costs for
network,24 hour hotline service,cell phone,and networks for a total cost is$1,588.
Other occupancy expenses-Costs are based on the square footage per FTE plus group room facilities.
Costs include,but are not limited to building utilities,custodial,care of buildings,care of grounds,
other occupancy expense for a total cost of$2,910.
Professional liability insurance for all staff is based on 1.25%of salaries-cost of$429.
Client Database System—Budget is based on$7.80 per client,based on 60 clients,cost is$468.
School and Community Based Program Support by Clinical and other staff trained in Evidence-based
practices are charged at an indirect cost rate of 6.8%using total direct costs of$52,075. Cost is$3,541.
Agency Overhead is charged at an indirect cost rate of 15.9%of total direct costs off$52,075. Cost is
$8,280.Costs include:Executive Leadership;Facilities support; Human Resources;Quality Assurance;
Accounting/Financial Reporting;Management Information Systems.
Total Other Costs $17,216($17,216-Provided by Lena Pope as In-Kind)
CASE RATE
TOTAL COSTS FOR PROGRAM $69,231. $ 1,154
Less: In-kind Funding by Lena Pope:
Direct—Fringe ($ 1,094)
Direct—Travel ($ 426)
Direct—Equipment ($ 464)
Direct—Supplies ($ 55)
Indirect Costs---Other ($17,216)
TOTAL IN-KIND BY LENA POPE ($19,255) ($321)
PROJECT FUNDING REQUEST $49,976 $ 833
RFP No. 17-0237,FY2018 Community Based Programs
Page 38 of 40
Exhibit C
Request for Reimbursement
FORT WORTH-
Request for Reimbursement(RFR)
FY 2018
CRIME.COMM&
AND PRENU TION DISTRICT
Submitting Agency: Lena Pope Home,Inc.
Submit To:
. Bob Bolen Public Safety Complex Contact Name: Sonya Mosley
Attn:Brittany Taylor Phone Number: 817-255-2654
Financial Management Division Email: smoslevl6llena000ehome.oro
505 West Felix St.
Fort Worth,TX 76115 Remit Address: 3200 Sanguinet Street,Fort Worth,TX 76107
Invoice Number:
Month of Request:
DIRECT COSTS(90%Minimum)
A B C D E
Total of Previous B+C) (A-D
Budget Category Budget Amount Reimbursements This Month's
B e'g ry g Request Total Requested Remaining Balance
Requested q To-Date Available
A Personnel $36,995.00 $ S 36,995.00
B Fringe Benefits $ 12,981.00 $ $ 12,981.00
C Travel&Training S S -
D Equipment S S -
E Supplies S -
F Contracts/Consultants
Total Direct Costs $ 49,976.00 $ $ $ $ 49,976.00
INDIRECT COSTS(10%Maximum)
A B C D E
Total of Previous This Month's
B+C A-D
Budget Category Budget Amount Reimbursements Total Requested Remaining B
alance
Requested Request
To-Date Available
A Personnel S - S
B Fringe Benefits S - $
C Travel&Training S $ -
D JEquipment S S
E Supplies S S
F Contracts/Consultants
I Other Costs S $
Total InDirect Costs S $ S $ $
Supporting documents required with monthly requests. Summary
This includes,timesheets depicting CCPD funded acuvitia, That Budget: S 49,976.00
copy of paychecks,invoices and raeipts detailing all CCPD Previous Requests: S
Bended O1 end' s This Request: S -
Total Requested To-Date $
Remaining Funds S 49,976.00
I have reviewed this request and certify that these listed expenses and support documentation are accurate.
Authorized Signatory Signatory Title Date
Fiscal Agent Use Only
Purchase Order# £and Dept ID Account
RFR Approved For Payareat
Grant staff Sigtature Date
Finance Received Stamp Placed Below
Exhibit D
Activity Report
�'oRTWoRTH
cala COM-Ox
Pwamom Dania
Fiscal Year 2018
Monthly Program Activities Report
Current Reporting Month
Submitting Agency Lena Pope Home,Inc.
Contact Name Sonya Mosley
Phone Number and Email 817-255-2654/smosleyna lenapope.org
Remit Address 3200 Sanguinet Street,Fort Worth,TX 76107
Activity Current To Date Year End Goal
Month Total
Total
1 Number of unduplicated program participants 60 unduplicated
participants
2 Number of youth that will actively participate in skills-based
groups by reading,writing,and oral presentation of handouts and 60 Participants
activities.
3 Number of follow up services provided: school or home visits to 180
occur for each participant at 30, 60, and 90 days upon completion Follow-up visits
of classes.
4 Youth will select an age appropriate book of their choice at the 60
completion of program
5
6
7
8
I have reviewed this report and certify that the measures provided are accurate and appropriately reflect the
CCPD goals set forth in the contract.
.__............... __..........._____ _._ ____.___.__---_-..__ ................................____.........__ _...._.......
_
Authorized Signatory Signatory Title Date
Exhibit E
Quarterly Program
Effectiveness Measurement
Report
Fo>tTH
CRIME CONML
do PR¢vEmtoK DmrRwT
Fiscal Year 2018
Quarterly Program Effectiveness Measurement Report
Current Reporting Quarter
Submitting Agency Lena Pope Home,Inc.
Contact Name Sonya Mosley
Phone Number and Email 817-255-2654/smosleyalenapope.org
Remit Address 3200 Sanguinet Street, Fort Worth, TX 76107
Please include outcome narrative that describes how measure was accomplished for each quarter.
Effectiveness Measures and Quarterly Outcomes
Measure 1 90%of participants will complete the program.
Outcome
Measure 2 90%of youth and their families will report improved family functioning
Outcome
Measure 3 85%of youth participants will attend school regularly.
Outcome
Measure 4 90%of youth will not commit an offense after beginning the program.
Outcome
I have reviewed this report and certify that the measures provided are accurate and appropriately reflect the
CCPD goals set forth in the contract.
Authorized Signatory Signatory Title Date
Report due each quarter: 11t Quarter(Oct-Dec)due January 15 2nd Quarter(Jan-Mar)due April 15
3rd Quarter(Apr-June)due July 15 41h Quarter(Jul-Sep)due October 15
Exhibit F
Request for Budget
Modification
Fo>r_4 rx
cmme
&Pftvvnwm
• Up to 5%of any budgeted line-item does not need prior approval but form must be sent to City with monthly RFR
• More than 5%of any budgeted line-item must have prior City approval
• An increase in a zero line-item must have prior City approval
• Modifications cannot be made between Direct and Indirect costs
Exhibit F
Request for Budget Modification
Fiscal Year 2018
Date
Submitting Agency Lena Pope Home,Inc.
Contact Name Sonya Mosley
Phone Number and Email 817-255-2654 ,smosle lens o e.or
Remit Address 3200 Sanguinet Street,Fort Worth,TX 76107
DIRECT COSTS 90% minimum
Budget Category Approved Budget Change Requested Revised Budget
Personnel
Supplies&Equipment
Program Services
Travel and Training
Other Approved
Total Direct Costs
INDIRECT COSTS 10% maximum
Budget Category Approved Budget Change Requested Revised Bu
Personnel
Supplies&Equipment
Operational Services
Travel and Training
Facilities&Utilities
Other Approved
Total Indirect Costs
Modification Narrative describe in detail what chane is for
I have reviewed this request and certify that the listed modifications are correct.
Authorized Signatory Signatory Title Date
FWD$T ":DONLY:
[] Modifcation Approved QModification NOT Approved
FWPD Staff Signature Date
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
1 of 1
7-7
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. 2017-250551
Lena Pope Home, Inc.
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 form is 08/16/2017
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.
FY18 CCPD Program
Police Officer Services
Nature of interest
4
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
Reilly,Austin Fort Worth,TX United States X
Lee,Erma Fort Worth,TX United States X
Estill,Jim Argyle,TX United States X
Wood, Laura FORT WORTH,TX United States X
Permann, Renee Fort Worth,TX United States X
Webb, Shnease Fort Worth,TX United States X
Landry,Todd Fort Worth,TX United States X
5 Check only if there is NO Interested Party. ❑
6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct.
0Or PQ NANCY BURMASTER
r�...�°t
Notary Public,Stofe of Texas J
+� Comm.Expires 11-10-2018
Notary ID 841588-7 Signature of authorized agent of contracting Aisfness entity
AFFIX NOTARY STAMP/SEAL ABOVE /� r
Sworn to and subscribed before me,by the said �.�fi U —,this the-
2q_
he-20 to certify which,witness my hand and seal of office.
4" Z44� cru
Sign of officer administering oath Printed nanhe of officer administering oath Title of ofAcer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.883