HomeMy WebLinkAboutContract 26871 STATE OF TEXAS § CITY SECRETARY
COUNTY OF TARRANT § CONTRACT NO. �B 7
THIS contract is made and entered into by and between the City of Fort Worth ("City"), acting and
through Charles Boswell, its duly authorized Assistant City Manager, and YWCA of Fort Worth and
Tarrant County("Contractor"),by and through,Ms. Judi Bishop, its duly authorized Executive Director,
Contractor's business address is, 512 West 4`'' Street, Fort Worth, Texas 76102.
WHEREAS,the City of Fort Worth has been notified that it will receive grant monies from the United
States Department of Housing and Urban Development("HUD") through the Emergency Shelter Grant
Program("ESGP")contained in Title IV of Stewart B. McKinney Homeless Assistance Act(PL 100-77)
for Year 2001-2002; and,
WHEREAS,the purposes of the ESG Program are to provide for the benefit of homeless citizens of Fort
Worth;and,for the rehabilitation or conversion of buildings for use as emergency shelter for the homeless,
for the payment of certain operating and social service expenses in connection with emergency shelter for
the homeless, and for homeless prevention activities. The Emergency Shelter Grants program authorized
by the Homeless Housing Act of 1986 is contained in 24 CFR part 576.
WHEREAS, the citizens of Fort Worth and the City Council of Fort Worth have determined that
homeless assistance services are needed in Fort Worth;
NOW, THEREFORE, THIS AGREEMENT FURTHER WITNESSETH:
THAT, the parties covenant and agree as follows:
1. Scope of Services
a. Contractor will administer services to citizens of the City of Fort Worth under the program name My
Own Place("Program"), for the term 01 June 2001 to 31 May 2002.
b. Contractor will provide the services and activities delineated in Exhibit A, Program Summary in
accordance with Exhibit B, Program Services Schedule.
c. City will monitor the pet'formance of the Contractor against the goals and performance standards
required herein. Substandard performance as determined by City will constitute non-compliance with
this Agreement. If action to correct such substandard performance is not taken by Contractor within a
reasonable period of time after being notified in writing by City, contract suspension or termination
procedures will be initiated.
2. Funds-Disbursement
City will disburse ESGP Year 2001-2002 monies in an amount up to $21,993.00 to Contractor on a
reimbursement of expenses basis.
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MYOWNPLACECNT June 11,2001 1 Y'
3. Funds -Requirements
a. Payments will be processed by City following receipt from Contractor of Attachment I, Sub-
Grantees Request For Funds and applicable supporting documents described in paragraph 5.
Reimbursement for the payment of eligible expenses shall be made against the line item budget
specified in Exhibit C, Program Operating Budget.
b. Contractor must provide the matching funds specified in Exhibit C in accordance with 24 CFRCh
V, §576.51.
c. Contractor agrees to utilize all disbursed ESGP funds for the benefit of the Program. Contractor
agrees that funds will be expended in accordance with the Program Operating Budget. Contractor may
not increase or decrease line-item amounts in the approved ESGP Program Operating Budget without
prior written approval by the City.
d. It is understood that the total cost for operation of this program is $344,478.00 and that Contractor
will obtain the remaining funds in excess of the ESGP amount as detailed in the Program Operating
Budget. Contractor will notify City promptly of any additional funding it receives for operation of the
Program, and City reserves the right to amend the Program Operating Budget in such instances.
e. Contractor agrees to keep all ESGP monies 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. Contractor will not commingle ESGP monies with any other funds in any manner which would
prevent City from readily identifying program expenditures for operation of the Program.
g. Contractor agrees that all program income from operation of the Program in proportion to the
amount of ESGP funds received hereunder will be expended prior to expending ESGP monies and that
any such program income is subject to the terms of this contract.ESGP monies may be expended by the
Contractor only if program income is insufficient to meet all eligible program activity expenses.
Contractor 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 ESGP funds in the overall operating
budget.
h. The Contractor 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 herein.The Contractor shall procure all materials,property,or services in
accordance with the requirements of OMB circular A-110, Procurement Standards.
4. Uniform Administrative Requirements and Program Management Standards
a. Financial Management
i. Accounting Standards
The Contractor agrees to comply with OMB Circular A-110 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
Contractor shall administer the Program in conformance with OMB Circular A-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 ������
MYOWNPLACECNT June 13,2001 2
i. Contractor shall maintain all records pertinent to the activities to be funded under this Agreement
as required by HUD regulations specified in 24 CFR§ 576.65 for four(4)years following the date
of termination of this contract. Contractor may destroy Program records at the end of this four(4)
year period if no outstanding audit finding exists. In addition,Contractor agrees to keep records to
fully document all expenditures charged to the ESGP program.The documentation must support the
amounts charged to 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. Close Outs
The Contractor's obligation to City shall not end until all close-out requirements are completed.
Activities during this close-out period shall include,but are not limited to: making final payments,
disposing of program assets(including the return of all unused materials,equipment,unspent cash
advances, program income balances, and accounts receivable to City), and determining the
custodianship of records.
iii. Audits and Inspections
(1) City, HUD, and the United States Comptroller General, or their representatives, shall have
access to any books,documents,records and papers relating to the operations of Contractor under
this Agreement for the purpose of audit,examination,exception and transcription at all reasonable
hours at all offices of Contractor.
(2) For all contracts in which Contractor is cumulatively receiving federal monies in the amount of
$300,000 or more, Contractor must submit to City an annual audit prepared in accordance with 24
CFR Sections § 570.502-570.503 generally, with specific reference to OMB Circulars (with
attachments) A-122 and A-133 as appropriate. The audit may cover either Contractor'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. Contractor's audit schedule is attached hereto as Exhibit D-Audit Schedule. Costs of
preparation of this audit may be an allowable expenditure of ESGP funds in an amount proportional
to that of the ESGP funds used in contractor's total agency operating budget.
(3) City reserves the right to perform an audit of Contractor's program operations and finances at
any time during the term of this contract, if City determines that such audit is necessary for City's
compliance with OMB Circular A-128.City will perform six(6)month and year-end financial and
programmatic audits with periodic site visits as appropriate.Contractor agrees to allow access to all
pertinent materials. If such audit reveals a questioned practice or expenditure,such questions must
be resolved within fifteen(15)days after notice to Contractor. If questions are not resolved within
this period,City reserves the right to withhold further funding under this and/or future contract(s).
(4) If, as a result of any audit, it is determined that Contractor has misused, misapplied or
misappropriated all or any part of the grant funds described herein,Contractor agrees to reimburse
the 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.
5. Reporting Procedures
a.Financial Reports
Contractor will submit to City on a monthly basis: (1)Attachment II,Detailed Statement of Costs;and
(2) Attachment III, Expenditures Worksheet Report, as applicable, for expenses incurred for services
and activities accomplished by Contractor in performance of this Contract.The reports must be signed
by a duly authorized agent of Contractor and submitted by the 15`h of the month following the month
MYOWNPLACECNT June 7,2001 3
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being reported. The City is under no obligation to authorize payments for expenditures which occurred
prior to the first day of the month for which the report is submitted.
b. Performance Reports
Contractor will submit to City on a monthly basis: (1) Attachment IV and (2) Attachment IV(A),
Program Services Report to City for services and activities accomplished by Contractor in performance
of this contract. The report will be signed by a duly authorized agent of Contractor and submitted by
the 15t1i of the month following the month which is reported.
6. Reversion of Assets
a. Contractor agrees to return to City any ESGP funds remaining on hand at the end of the Contract.
b. All property purchased with ESGP funds under this contract will be used solely for operation of the
Program. Contractor agrees to obtain City approval prior to purchase of property. Contractor 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 ESGP funds
have been received, Contractor will deliver all such property to City for disposition at City's sole
discretion.
7. Applicable Laws
a. Federal
Contractor agrees to comply with the following laws and the regulations issued thereunder 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)
• Executive Orders 11063, 11246, as amended by 11375 and as supplemented by Department of
Labor regulations (41 CFR , Part 60)
• The Age Discrimination Act of 1975 (42 USC 6101-07 and implementing regulations at 24
CFR part 146
• Section 504 of the Rehabilitation Act of 1973 (29 USC 794)
• The Immigration Reform and Control Act of 1986 (Pub. L. 99-603, 100 Stat. 3359 , as
amended), specifically including the provisions requiring employer verification of the legal
status of its employees
• The Housing and Community Development Act of 1987 (Pub. L. 100-242, 101 Stat. 1815, as
amended)
• The Americans with Disabilities Act of 1990 (42 USC 12101 et seq)
• The Drug Free Workplace Act of 1988 (24 CFR part 23, subpart F)
• The Fair Housing Act (42 use 3601-20 and implementing regulations at 24 CFR part 100
• Section 3 of the Housing and Urban Development Act of 1968 (12 USC 1701) and the
regulations in 24 CFR part 135
• Executive Orders 11625, 12432, 12138, and 12372
b. Other Laws
Contractor 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 ordinances,rules and regulations of the,Citv of Fort Worth
and the Housing and Community Development Act of 1974 (Pub. L. 93-383), 885 tTat— 33,), as
MYOWNPLACECNT June 7,2001 4
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amended,and all regulations pertaining thereto. Contractor further promises and agrees that it has read,
and is familiar with,terms and conditions of the Emergency Shelter Grants Program under which funds
are granted and that it will fully comply with same. It is agreed and understood that, if City calls the
attention of Contractor to any such violation 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.
8. Nondiscrimination
a. Contractor,in the execution,performance or attempted performance of this contract and agreement,
will not unlawfully discriminate against any person or persons because of sex, race, religion, age,
disability,color or national origin,nor will Contractor permit its officers,members,agents,employees,
subcontractors or program participants to engage in such discrimination.
b. In accordance with the policy of the Executive Branch of the federal government, Contractor
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. Contractor 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"),
Contractor 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 Contractor,or employees of Contractor
or any of its subcontractors. Contractor warrants it will fully comply with 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 Contractor's and/or its subcontractors'alleged failure to comply with the above-referenced
laws concerning disability discrimination in the performance of this agreement.
e. This agreement 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 of the
City of Fort Worth,and Contractor hereby covenants and agrees that Contractor,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 the Contractor or its officers,members,agents,employees or subcontractors.
9. Prohibition Against 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. Contractor shall
�XjMYOWNPLACECNT June 7,20015
incorporate, or cause to be incorporated, like language prohibiting such interest in all contracts and
subcontracts hereunder.
b. No member,officer,employee,or program participant of Contractor or its subcontractors shall have
a financial interest, direct or indirect, in this contract 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 contract voidable by the City
of Fort Worth.
10. Minority and Women Business Enterprise Commitment
Contractor agrees to abide by the City of Fort Worth's policy to involve Minority and Women Business
Enterprises(M/WBE)in all phases its procurement practices and to provide them an equal opportunity
to compete for contracts for construction,provision of professional services,purchase of equipment and
supplies and provision of other services required by City. Therefore,Contractor agrees to incorporate
City Ordinance No. 11923,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 Policy.
11. Non-Assignment
Contractor will not assign any or all of its rights or responsibilities under this contract without the prior
written approval of City. Any purported assignment without such approval will be a breach of this
contract and void in all respects.
12. Independent Contractor
a. Contractor shall operate hereunder as an independent contractor and not as an officer,agent,servant
or employee of City. Contractor shall have exclusive control of,and the exclusive right to control,the
details of the 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 invitee. 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. It is expressly understood and
agreed that no officer, member, agent, employee, subcontractor, licensee or invitee of the Contractor,
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 Contractor,its officers,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
Contractor,its officers,members,agents,employees,subcontractors,program participants,licensees or
invitees, which may be lost, stolen, destroyed or in any way damaged; and Contractor hereby
indemnifies and holds harmless City and its officers, agents, and employees from and against any and
all claims or suits.
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MYOWNPLACECNT June 7,2001 6
13. Insurance and Bonding
a. Contractor covenants and agrees to indemnify, hold harmless and defend, at its own expense, City
and its officers,agents,servants and employees from and against any and all claims or suits for property
loss or damage and/or personal injury, including death, to any and all persons, of whatsoever kind or
character, whether real or asserted, arising out of or in connection with the execution, performance,
attempted performance or nonperformance of this contract and agreement 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
Contractor 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 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. Contractor likewise covenants and agrees to and does
hereby indemnify and hold harmless City from and against any and all injury,damage or destruction of
property of City, arising out or in connection with all acts or omissions of Contractor, 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.
b. Contractor will maintain a blanket fidelity coverage in the form of an insurance bond in the amount
of$21,993.00,to insure against loss from the fraud,theft or dishonesty of any of Contractor's officers,
agents,trustees,directors or employees. The proceeds of such bond shall be used to reimburse City for
any and all loss of ESGP monies 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 uses and benefit of Contractor.
c. Contractor shall furnish a certificate of insurance as proof that it has secured and paid for policies of
public liability and automobile liability insurance covering all risks incident to or in connection with the
execution,performance, attempted performance or nonperformance of this contract and agreement.
d. The amounts of such insurance shall not be less than the maximum liability which can be imposed
on City under the laws of the State of Texas. Contractor understands and agrees that such insurance
amounts may be revised upward at City's option and that Contractor shall revise such amounts within
thirty (30) days following notice to Contractor of such requirements.
e. Contractor will submit documentation to City that it has obtained insurance coverage and has
executed bonds as required in this contract within thirty(30)days of the execution of this contract and
prior to payment of any monies hereunder.
14. Waiver oflmmunity
If Contractor, as a charitable or nonprofit organization, 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.
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MYOWNPLACECNT June 7,2001 7
15. Termination
a. In addition to,and not in substitution for,other provisions of this Agreement regarding the provision
of public services with ESGP 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 hereto that
this agreement is wholly conditioned upon the actual receipt by City of Federal ESGP Year 2001-2002
funds; that all monies distributed to Contractor hereunder shall be exclusively from Federal monies
received under said grant and not from any monies of City; and that if such funds under said grant are
not timely forthcoming,in whole or in part,City may, at its sole discretion,terminate this contract and
agreement and City shall not be liable for payment for any work or services performed by Contractor
under or in connection with this contract.
b. City may terminate this contract whenever such termination is determined to be in the best interest of
City,in event of Contractor'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 ESGP funds paid hereunder are intended to provide only partial
funding for Contractor's program operations. If non-ESGP funds included in the Operating Budget are
not forthcoming to Contractor during the contract term, City may terminate this contract.
d. ESGP funds provided hereunder may not be used as collateral for loans to Contractor to defray
program operation expenses, and any attempted use of ESGP funds for this purpose will result in
termination of this contract by City.
e. Termination will be effected by written notice to Contractor, specifying the portions of the contract
affected and the effective date of termination. Upon Contractor's receipt of such termination notice,
Contractor will:
• Stop work under the contract on the date and to the extent specified by City;
• Cease expenditures of ESGP monies, 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 terminated portions of the
contract.
f. Contractor will return to City any unused monies 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 Contractor's expenditures or actions occurring after the effective date of contract
termination.
16. Certification Regarding Lobbying
a. The undersigned representative of Contractor hereby certifies,to the best of his or her knowledge and
belief,that: No federal appropriated funds have been paid or will be paid,by or on behalf of Contractor,
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 federal 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.
Contractor 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 connection with this
MYOWNPLACECNT June 7,2001 g
federal contract,grant, loan or cooperative agreement,Contractor shall complete and submit Standard
Form-LLL, Disclosure Form to Report Lobbying," in accordance with its instructions.
17. Miscellaneous Provisions
a. All terms of this contract shall apply to any and all subcontractors of Contractor who are in any way
paid with ESGP funds or who perform any work in connection with Contractor's program.
b. 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.
c. The failure of the City 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.
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 and agreement,venue for said
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 hereto
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. Any amendments to the
terms of this contract must be in writing and must be approved by each party to this contract.
NI,C- l",, Ei+CC,UG?D
MYOWNPLACECNT June 7,2001 9 If Ua 1(UrU;' H rap
IN WITNESS WHEREOF, the parties hereto have execut d three (3) copies of this contract in Fort
Worth, Tarrant County, Texas, this Il day of , )A.D. 20 �L
CITY �aR
TH YWCA,efort Worth a� Tarrant County
l
By: By: .
Charles R. Boswell M . Judi Bishop
Assistant City Manager Executive Director
APPROVED AS TO FORM AND LEGALITY:
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-City t orney
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ATTEST:
ity Secreta
Contract Authorization
Date
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MYOWNPLACECNT June 7,2001 1
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 Charles Boswell, known to me to be the person whose name is subscribed to the
foregoing instrument, and acknowledged to me that the same was the act of the City of Fort Worth and that
he executed the same as the act of said City of Fort Worth for the purposes and consideration therein
expressed and in the capacity therein stated.
GIVEN UNDER MY HAND AND SEAL OF OFFICE this A5l�day of , A.D. 20 D/ .
�f'G�1=c'L�Lv ��/►-^-may-'
,rr�P`R\..p 8• ROSELLA BARNES Notary Public in and for
#*r =*=
NOTARY PUBLIC the State of Texas
State of Texas
� —';k/Comm.Exp.03-31-2005
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 Ms. Judi Bishop, known to me to be the person whose name is subscribed to the
foregoing instrument, and acknowledged to me that he\she executed the same for the purposes and
consideration therein expressed, as the act and deed for YWCA of Fort Worth and Tarrant County and in
the capacity therein stated as its duly authorized officer or representative.
GIVEN UNDER MY HAND AND SEAL OF OFFICE thisy o 20 .
Notary Publ' n and for
the State of Texas
Q .•�Pw PUB!
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MYOWNPLACECNT June 7,2001
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APPRENDIX C—CONSTITUTIONAL PROVISION
Contractor represents that it is, or may be deemed to be, a religious or denominational
institution or organization, or an organization operated for religious purposes which is
supervised or controlled by or in connection with a religious or denominational institution
or organization. Pursuant to Title 24 CFR 756.23 (a)(i). Contractor agrees that in
connection with this contract:
(a) It will not discriminate against any employee or applicant for employment on the
basis or religion and will not limit employment or give preference in employment
to persons or the basis of religion;
(b) It will not discriminate against any person applying for shelter or any of the
eligible activities under this part on the basis or religion and will not limit such
housing or other eligible activities or give preference to persons on the basis of
religion; and
(c) It will provide no religious instruction or counseling, conduct no religious
services or worship (not including voluntary nondenominational prayer before
meetings), engage in no religious influence in the provision of eligible activities
under this part.
esgconstitutionalprovision.doc
ATTACHMENT
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANT MANAGEMENT
CONTRACT MANAGEMENT DIVISION
SUB-GRANTEE'S REQUEST FOR FUNDS
Name and Address of Sub-Grantee
Program Name My Own Place
YWCA of Fort Worth and Tarrant County Contract No. Amt $ 21,993
512 West 4th Street
Fort Worth,Texas 76102 Date of Request
Month
SECTION 1(AGENCY) Current Month Cumulative
I. Reimbursement Request
1.Expenditures: $ $
2.Income:
A. Program Income $ $
B. Interest Transferred to Operation Account $ $
C. Interest Earned CDBG Funds $ $
3.Reimbursement Requested(1 minus 2) $E $
Ii.Advance Pay Requests
1.Estimated Expenditures $® $
2.Income:
A.Program Income $ $
B.Unpaid Request of Payment Previously Submitted $ $
3.Advance Authorized(1 minus 2) $ $
III. Reporting Interest
1.Interest over$25 per quarter returned to City $® $
SECTION II(CITY)
1. MARS-Purchasing Request
A.MARS INPUT:Vendor/PO Number/Requisition Number:
B.Fund/Account/Center: GR76/539120/013206699090
C.Total Amount of this Request: $
SECTION Ill
I. Verification
A.Contract Manager:
(Name) (Signature) (Dale)
B.MARS-Purchasing:
(Name) (Signature) (Date)
C.Accounting:
(Name) (Signature) (Date)
If.Authorization
A.Agency:
(Name) (Signature) (Date)
B.Contract Compliance Supervisor
(Name) (Signature) (Date)
C.Assistant to the City Manager:
(Name) (Signature) (Date)
DISTRIBUTION
White- Accounting
Blue- IAGMvM, j
Green- Agency �;v �n IABGM FORM 56-01
CITY OF FORT WORTH ATTACHMENT II
INTERGOVERNMENTAL AFFAIRS AND GRANT MANAGEMENT
CONTRACT MANGEMENT DIVISION
DETAIL STATEMENT OF COST
ESG
YWCA of Fort Worth and Tarrant County
Report erio
My Own Place
Contract No. Date of Request
ACCOUNT PROGRAM MONTHLY CUMULATIVE
COST CATEGORY Number BUDGET EXPENDITURES TO DATE BALANCE
OPERATIONS AND MAINTENANCE
Salaries 516 010
FICA 518 010
Health Insurance 518 010
Unemployment Tax 518 090
Workers Compensation 518 040
Retirement 518 010 -
Telephone 535 040
Electricity 535 020
Gas 535 010
Water/Waste Disposal 537 010
Custodial Services 539 220
OPERATIONS AND MAINTENANCE SUB-TOTAL
ESSENTIAL SERVICES
Salaries 516 010
FICA 518 010
Health Insurance 518 050
State Employment Insurance 518 060
Worker's Comp 518 060 -
Retirement 518 040 -
ESSENTIAL SERVICES SUB-TOTAL
TOTAL
Contractor Certification: I certify that the costs incurred are taken from the books of account and that such costs
are valid and consistent with the terms.
l�
NAME and TITLE OF AUTHORIZED OFFICER SIGNATURE and DATE
DISTRIBUTION:
White Copy: Accounting
Blue: IAGM �;".Yl�✓I�_��
Green: Agency
ATTACHMENT[it
CITY OF FORT WORTH
INTERGOVERNMANTAL AFFAIRS AND GRANT MANAGEMENT
CONTRACT MANAGEMENT DIVISION
EXPENDITURES WORKSHEET
YWCA of Fort Worth and Tarrant County
AGENCY REPORT PERIOD
My Own Place
PROGRAM CONTRACT NO. DATE OF REQUEST
NO. DATE CHECK NO. PAYEE DESCRIPTION ACCOUNT NO, AMOUNT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
26
TOTAL 0.00
NAME and TITLE OF AUTHORIZED OFFICER SIGNATURE and DATE
DISTRIBUTION
�:Lv VUuD
White Accounting
Blue- IAGM =� �
Green- Agency IA&G%1 FORM 9604
a
ATTACHMENT IV
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
ESG 2001 - 2002
1. NAME AND ADDRESS OF SUB-GRANTEE 2. PROJECT NAME: My Own Place
YWCA of Fort Worth and Tarrant County 3. CONTRACT N0:
512 West 4th Street
4. DATE OF
Fort Worth, Texas 76102 REQUEST:
MONTH&YEAR
5. PROGRAM SERVICES AND ACTIVITIES
CURRENT
MONTH CUMULATIVE
Residential Services:
Average Number Served Daily Adults:
Children:
Average Number Served Yearly(Unduplicated):
Non-Residential Services:
Average Number Served Daily:
6. RESIDENTIAL SERVICES DATA(Beneficiaries)
Enter Approximate Percentages of:
Unaccompanied 18 and Over Male: % Female: %
Unaccompanied under 18 Male: % Female: %
Families With Children Headed By:
Single 18 and Over Male: % Female: %
Youth 18 and Under: Male: % Female: %
Two Parents 18 and Over:
Two Parents Under 18: %
Families With No Children: %
On An Average Day,Percentage Of The Population Served Who Are:
Battered Spouse: %
Runaway/Throwaway Youth: %
Chronically Mentally Ill: %
Developmentally Disabled: %
HIV/AIDS:
Alcohol Dependent Individuals: %
Drug Dependent Individuals: %
Elderly:
Veterans: %
Physically Disabled: %
Other: % P"
))Cull
L All
c
�( o
8. CERTIFICATION: The undersigned hereby gives assurance that to the best of my knowledge and belief,the data included in
this report is true and accurate, and if a non-profit agency, has been approved by the governing body of the organization prior to
submission.
Date: Submitted by: Phone Num:
IAGM/IDIS-RPT FORM 3
ATTACHMENT IV
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
ESG 2001 - 2002
1. NAME AND ADDRESS OF SUB-GRANTEE 2. PROJECT NAME: My Own Place
YWCA of Fort Worth and Tarrant County 3. CONTRACT No:
512 West 4th Street
4.DATE OF
Fort Worth,Texas 76102 REQUEST:
MONTH&YEAR
5. PROGRAM SERVICES AND ACTIVITIES
CURRENT
MONTH _CUMULATIVE
Residential Services:
Average Number Served Daily Adults:
Children:
Average Number Served Yearly(Unduplicated):
Non-Residential Services:
Average Number Served Daily:
6. RESIDENTIAL SERVICES DATA(Beneficiaries)
Enter Approximate Percentages of:
Unaccompanied 18 and Over Male: % Female: %
Unaccompanied under 18 Male: % Female: %
Families With Children Headed By:
Single 18 and Over Male: % Female: %
Youth 18 and Under: Male: % Female: %
Two Parents 18 and Over: %
Two Parents Under 18: %
Families With No Children: %
On An Average Day,Percentage Of The Population Served Who Are:
Battered Spouse: %
Runaway/Throwaway Youth: %
Chronically Mentally Ill: %
Developmentally Disabled: %
HIV/AIDS: %
Alcohol Dependent Individuals: %
Drug Dependent Individuals: %
Elderly: o % 1IJj��"U�
/o �^ p
Veterans: ^ j�0 ✓:_ p_�y',L PD,
Physically Disabled:
Other °!o ,lvf
_71L
L a
8. CERTIFICATION: The undersigned hereby gives assurance that to the best of my knowledge and belief,the data included in
this report is true and accurate, and if a non-profit agency, has been approved by the governing body of the organization prior to
submission.
Date: Submitted by: Phone Num:
IAGM/IDIS-RPT FORM 3
ATTACHMENT IV
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
ESG 2001 - 2002
1. NAME AND ADDRESS OF SUB-GRANTEE 2. PROJECT NAME: My Own Place
YWCA of Fort Worth and Tarrant County 3.CONTRACT No:
512 West 4th Street
4. DATE OF
Fort Worth, Texas 76102 REQUEST:
MONTH&YEAR
7. HOUSING SERVICES DATA(Data Associated with Residential Services)
Number of
Shelter Type Persons Housed
Barracks:
Group/Large House:
Scattered Site Apartment:
Single Family Detached House:
Single Rom Occupancy:
Mobile Home/Trailer:
Hotel/Motel:
Other:
Total:
8. ESG FUNDING SOURCES
Source of Funds Funding Amount Current Month Cumulative Total
ESG:
Other Federal:
Local Government:
Private:
Fees:
Other:
p�
Jra I �e UI lrlr"�/J`
8. CERTIFICATION: The undersigned hereby gives assurance that to the best of my knowledge and belief,the data included in
this report is true and accurate, and if a non-profit agency, has been approved by the governing body of the organization prior to
submission.
Date: Submitted by: Phone Num:
IAGM/IDIS-RPT FORM 3
ATTACHMENT IV(A)
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
1.Name and Address of Sub-Grantee 2. Project Name: My Own Place
YWCA of Fort Worth and Tarrant County 3.Contract No: Contract Date:
512 West 4th Street Contract Amount: $21,993.00
Fort Worth,Texas 76102 4.Date of Request:
MONTH Fi YEAR
5. PROGRAM SERVICES AND ACTIVITIES: CURRENT CUMULATIVE
6. SCOPE OF WORK NARRATIVE:
7. PROBLEMS ENCOUNTERED/SOLUTIONS PROPOSED:
S. ANTICIPATED ACTIVITY DURING THE NEXT MONTH:
9. CERTIFICATION: The undersigned hereby gives assurance that to the best of my knowledge and belief,the data included in this
report is true and accurate,and if a non-profit agency,has been approved by the governing body of the organization prior to submission.
Date: Submitted by: Phone Num:
� /I IS-RPT FORM 7A
1
AT-IVA.frm ��L 4C 11 �r= ( l,J e,
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
CLIENT DATA REPORT
1.Name and Address of Sub-Grantee 2. Project Name:My Own Place
YWCA of Fort Worth and Tarrant County
512 West 4th Street
Fort Worth,Texas 3.Contract No:
Contract Amount:: $21,993.00
4. Date of Request:
MUNI H& YEAR
NAME AGE SEX RACE H/C #FAM INCOME FHOH STREET ADDRESS ZIP
8.CERTIFICATION: The undersigned hereby gives assurance that to the best of my knowledge and belief, the data included in this report are true and
accurate, and if a non-profit agency, has been approved by the governing body of the organization prior to submission.
Date: Submitted by: Phone Num:
IAGM/IDIS-RPT FORM 9
EXHIBIT A
ESG 2001 - 2002
PROGRAM SUMMARY
YWCA of Fort Worth and Tarrant County
AGENCY
My Own Place
PROGRAM
1 June, 2001 to 31 May, 2002 $215993.00
CONTRACT NO. PERIOD AMOUNT
PROGRAM DESCRIPTION
Funds allocated by the City will be used to reimburse a portion of the costs of essential services incurred by the My Own
Place Program. The program is designed to assist young women who are aging out of foster care reach self-sufficiency.
Council District(s)2/8
PROGRAM GOALS
To prevent homelessness by increasing the self-sufficiency of young women exiting the foster care system.
PROGRAM OBJECTIVES
For 65%of the participants to complete the program.
For 90%of the participants that complete the program will have the resources needed to be self-sufficient.
PROGRAM SERVICES and ACTIVITIES GOALS
Number of clients served 24
Nights of housing provided 3,582
Hours of counseling provided 1,140
Hours of menitoring provided 252
Hours of case management provided 576
�I UG?D
�.1 D
C' 2 Qy
° y n
EXHIBIT B
ESG YEAR 2001 - 2002
PROGRAM SERVICE SCHEDULE
YWCA of Fort Worth and Tarrant County
AGENCY
My Own Place
PROGRAM
Activity Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Total
Number of clients served 2 2 2 2 2 2 2 2 2 2 2 2 24
Nights of housing provided 321 321 321 321 321 321 321 321 321 321 321 321 3,852
Hours of counseling provided 95 95 95 95 95 95 95 95 95 95 95 95 1,140
i
Hours of menitoring provided 21 21 21 21 21 21 21 21 21 21 21 21 252
Hour s of case management 48 48 48 48 48 48 48 48 48 48 48 48 576
provided
YV
v
PROGRAM BUDGET EXHIBIT C
ESG
2001 -2002 Page 1 of 2
CONTRACT PERIOD From: 06/01/2001 To: 05/31/2002
Name of Sub Grantee Name of Program
YWCA of Fort Worth and Tarrant County My Own Place
Program SG
Cost Category Budget Funds [a] [b] [c] [d]
OPERATIONS AND MAINTENANCE
Total Operations&Maintenance - - - - -
ESSENTIAL SERVICES
Salaries 56,993 21,993 35,000 -
Other Matching Funds 287,485 - - 180,000 40,000 67,485
Total Essential Services 344,478 21,993 35,000 180,000 40,000 67,485
TOTALI 344,478 21,9931 35,000 35,000 40,000 67,485
MATCHING FUND SOURCES
[a] Special Events
[b] Ballroom Rental
[c] United Way
[d] Fund Raisers - - -- -= -
0
BUDGET DETAIL Page 2 of 2
OPERATIONS AND MAINTANEN E
SALARIES AND BENEFITS
Salaries
Hours % %Charged
Position/Title Rate Charged Match To ESG Amount
N/A - 2,080.00 0% 0%
Total Salaries -
%of % %Paid Charged to
CATEGORY Salary Amount Match By ESG ESG
FICA 7.65% - 0% 0% -
Life Insurance 0% - 0% 0% -
Health Insurance 0% - 0% 0% -
Employment Tax-State 0% - 0% 0% -
Employment Tax-Federal 0% - 0% 0% -
Worker's Comp 0% - 0% 0% -
Retirement 0% - 0% 0% -
Total Benefits -
TOTAL SALARIES&BENEFITS -
OTHER OPERATING EXPENSES
Total %Matching Total % Charged
Category Cost Funds Matching Funds ESG ESG
- 0% 0% -
- 0% 0% -
- 0% 0% -
- 0% 0% -
- 0% 0% -
Total Operations&Maintenance - - -
ESSENTIAL SERVICES-SALARIES
Hours % %Charged
Position/Title Rate Charged Match To ESG Amount
Case Manager 12.02 2,080.00 100% 88% 21,993
Sub-Total Salaries 21,993
ESSENTIAL SERVICES-BENEFITS
%of % %Paid Charged to
CATEGORY Salary Amount Match By ESG ESG
FICA 7.65% - 0% 0% -
Life Insurance 0% - 0% 0% -
Health Insurance 0% - 0% 0% -
Employment Tax-State 0% - 0% 0% -
Employment Tax-Federal 0% - 0% 0% -
Worker's Comp 0% - 0% 0% -
Retirement 0% - 0% 0% -
Total Benefits -
TOTAL ESSENTIAL SERVICES nn 21,993
�UUuQ
1
City of Fort Worth, Texas
"Alloy and cou' "I"RCommunication
DATE REFERENCE NUMBER I LOG NAME PAGE
4/17/01 G-13207 13BLOCK 1 of 4
SUBJECT COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) YEAR XXVII, EMERGENCY
SHELTER GRANT (ESG) YEAR 2001-2002, AND HOUSING OPPORTUNITIES FOR
PERSONS WITH AIDS HOPWA YEAR 2001-2002 CONTRACT ACTIVITIES
RECOMMENDATION:
It is recommended that the City Council authorize the City Manager to execute CDBG Year XXVII, ESG
Year 2001-2002 and HOPWA Year 2001-2002 contracts with the following organizations to administer
their respective programs, contingent upon approval and receipt of adequate funding from the U.S.
Department of Housing and Urban Development, for a term beginning June 1, 2001, and ending May
31, 2002:
COMMUNITY DEVELOPMENT BLOCK GRANT(CDBG)
Contract with the listed agencies for an amount not to exceed the following:
A. DA Village $ 36,838
B. Habitat for Humanity $ 20,250
C. REACH, Inc. $ 24,300
D. Communities in School $ 36,045
E. Southside Area Ministries (Sam's Kids) $ 6,324
F. Boys and Girls Clubs (NINOS) $ 27,200
i
G. Boys and Girls Clubs (KEYS) $ 25,510
H. Boys and Girls Clubs (PASS) $ 24,300
I. East Fort Worth Montessori $ 30,705
J. Latin Arts Association $ 25,000
K. Booker T. Sparks School of the Performing Arts $ 32,400
L. Bridge Emergency Youth Services $ 40,500
M. Stone Soup Connection $ 18,108
N. Camp Fire $ 24,300
(list continued next page)
k
City of Fort Worth, Texas
"agolr4indcoun"K C
DATE REFERENCE NUMBER LOG NAME PAGE
4/17/01 G-13207 13BLOCK 2 of 4
SUBJECT COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) YEAR XXVII, EMERGENCY
SHELTER GRANT (ESG) YEAR 2001-2002, AND HOUSING OPPORTUNITIES FOR
PERSONS WITH AIDS HOPWA YEAR 2001-2002 CONTRACT ACTIVITIES
O. YWCA of Fort Worth (AIM) $ 28,787
P. YWCA of Fort Worth (Child Care) $150,000
Q. Child Care Associates (formerly Day Care Association) $130,000
COMMUNITY DEVELOPMENT BLOCK GRANT
R. Fort Worth Housing Authority $ 30,000
S. YMCA of Fort Worth $120,375
T. Clayton Child Care $ 60,000
U. Man Made Mentoring $ 22,500
V. Southside Area Ministries (Seniors) $ 2,570
W. Senior Citizens Services of Tarrant County(Como) $ 17,597
X. Meals on Wheels $ 33,696
Y. Senior Citizens Services of Tarrant County (Riverside) $ ►15,271
Z. Mental Health Association (OMBUDSMAN) $ 17,500
AA. AMISTADES $ 17,100
BB. NSEAM $ 17,100
CC. Women's Center of Tarrant County $ 10,692
DD. Job, Inc. $100,409
EE. Fort Worth SER $ 99,071
FF. A-Prep Center of Tarrant County $ 98,415
GG. Summerbridge Fort Worth $ 37,500
(list continued next page) .
v
City of Fort Worth, Texas
"Agar AndC ouncil communien'tion .
DATE REFERENCE NUMBER LOG NAME TAGE
4/17/01 G-13207 13BLOCK 4 of 4
SUBJECT COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) YEAR XXVII, EMERGENCY
SHELTER GRANT (ESG) YEAR 2001-2002, AND HOUSING OPPORTUNITIES FOR
PERSONS WITH AIDS HOPWA YEAR 2001-2002 CONTRACT ACTIVITIES
DISCUSSION:
On March 27, 2001, the City Council approved and adopted the budgets and the appropriation
ordinance increasing estimated receipts and appropriations for the Twenty-Seventh Year Community
Development Block Grant (CDBG), (2001-2002) Emergency Shelter Grant (ESG), and (2001-2002)
Housing Opportunities for Persons with AIDS (HOPWA), as part of the City's Consolidated Plan.
The Consolidated 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 Community Development Plan and
Priorities and meets the requirements of the Department of Housing and Urban Development
regulations concerning "eligible activities".
FISCAL INFORMATION/CERTIFICATION:
The Finance Director certifies that upon approval and receipt of funding from the U.S. Department of
Housing and Urban Development, funds will be available in the current operating budget, as
appropriated, of the Grants Fund.
CB:k
Submitted for City Manager's FUND ACCOUNT CENTER AMOUNT CITY SECRETARY
Office by: (to) t!
Charles Boswell 8511 �ROY *LM
Originating Department Head: CIT I�/ COUNUL
Joe Paniagua 6168 (from) APR 17 2001'
Additional Information Contact: �M.6dem-tel
City SwmtarT of the
Joe Paniagua 6168
;", •''•rt Word+.Texan
City of Fort Worth, Texas
"01jor and council Communication
DATE REFERENCE NUMBER LOG NAME PAGE
4/17/01 G-13207 I 13BLOCK 3 of 4
SUBJECT COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) YEAR XXVII, EMERGENCY
SHELTER GRANT (ESG) YEAR 2001-2002, AND HOUSING OPPORTUNITIES FOR
PERSONS WITH AIDS HOPWA YEAR 2001-2002 CONTRACT ACTIVITIES
HH. JMAC Youth Center of Tarrant County $ 25,000
II. Northside InterChurch Agency $ 35,815
JJ. Fort Worth Economic Development Corporation (Micro-Loan) $ 18,225
KK. Fort Worth Economic Development Corporation (RLF) $ 51,908
LL. Mental Health Association (Mental Health Advocate) $ 24,750
EMERGENCY SHELTER GRANT
A. YWCA $ 15,000
B. Cornerstone Assistance Network $ 15,075
C. Presbyterian Night Shelter $151,308
D. Bridge Emergency Youth Services $ 7,862
E. Women's Haven of Tarrant County, Inc. $ 24,092
F. Salvation Army $ 9,730
G. MHMR of Tarrant County $ 12,500
H. YWCA (My Own Place) $ 21,99:3
HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS
A. AIDS Outreach Center, Inc. $432,550
B. Tarrant County Samaritan Housing, Inc. $212,470
C. AIDS Resources of Rural Texas—A.R.R.T. $ 74,720