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HomeMy WebLinkAboutContract 48743-A1 CITY SECRETARY 74 - 1 CONTRACT NO. ! �„pnttt FIRST AMENDMENT TO CITY SECRETARY CONTRACT NO.48743 WHEREAS, on February 22, 2017,the City of Fort Worth {"City") and the Presbyterian Night Shelter of Tarrant County, Inc. ("Developer") made and entered into City Secretary Contract No. 48743 (the "Contract"), as authorized by the City Council in M&C G-1.8760 adopted on June 14,2016,which provided$300,000.00 of City's Community Development Block Grant ("CDBG")funds to Developer; WHEREAS,the funding provided to Developer in the Contract was from a grant received by the City from the United States Department of Housing and Urban Development ("HUD") through the CDBG Program, Catalog of Federal Domestic Assistance No. 14.218;. WHEREAS, a national objective of the CDBG Program is to benefit low and moderate income persons in accordance with the CDBG Regulations at 24 CFR Parts 570.200 and 570.208; WHEREAS, the purpose of the Contract was to provide the CDBG funds in the form of a forgivable loan for a portion of the costs of the rehabilitation of the Lowdon-Schutts Building to create a shelter for homeless single women; WHEREAS, Developer serves homeless persons, a "presumed benefit" clientele as defined in 24 CFR Part 570.208 (a) (2) (A) and has proposed to use CDBG funds for eligible projects under the CDBG Regulations; WHEREAS, the 85a' Texas Legislature passed House Bill 89, which prohibits governmental entities from entering into contracts with entities that boycott Israel, and the City actively supports the Immigration and Nationality Act, which addresses employment eligibility, employment verification and nondiscrimination; WHEREAS,Developer additionally desires to replace HVAC systems in its Main Shelter; WHEREAS, it is the mutual desire of City and Developer to amend the Contract to add an additional$30,000.00 in CDBG funds for repair and/or replacement of the failing HVAC systems and other rehabilitation items at the Main Shelter for a total contract amount of$330,000.00 and extend the term of the Contract for six months to August 21, 2018 to finish the repairs and. rehabilitation of the items in the Main Shelter, and amend other Contract definitions, terms and provisions for clarity and to reflect Current changes in applicable law; NOW,THEREFORE, City and Developer hereby agree to amend the Contract as follows:. I. DEFINITIONS The following definitions in the Contract are amended to be and read as follows: OFFICIAL RECORD FIRST AMENDMENT to CSC NO.48743 CITY SECRETARY Page 1 The Presbyterian Night Shelter of Tarrant County„Inc. FT.WORTH,TX Rev.01.30.2018 "CDBG Requirements means (i) rehabilitating the Lowdon-Schutts Building to provide a shelter for single homeless women;(ii)rehabilitation items at the Main Shelter, including repair and/or replacement of HVAC units, to ensure health and safety of the Main Shelter clients; (iii)during the Performance Period,(a) operating the Lowdon-Schutts Building as a shelter for single homeless women; (b) operating the Main Shelter as a shelter for single homeless men; (c) maintaining a cumulative list of all Unduplicated Clients provided services by Developer in bath buildings;(d)certifying that all clients served by Developer in both buildings are Income Eligible Clients, and (e) complying with all applicable provisions of the CDBG Regulations_ "Complete Documentation means the following documentation as applicable: • Attachments I and II, with supporting documentation as follows: o Proof of expense: copies of timesheets, invoices, leases, service contracts or other documentation showing the nature of the cost and that payment is due by Developer. a Proof of payment: cancelled checks, bank statements, or wire transfers necessary to demonstrate that amounts due by Developer were actually paid by Developer. • Proof of client eligibility: o Documentation showing that clients served by the Developer in the Lowdon-Schutts Building and Main Shelter are Income Eligible Clients. • Other documentation: (i) final lien releases signed by Developer's general contractor or subcontractors, if applicable; (ii)copies of all City permits and City-issued "pass" inspections for such work; (iii) documentation showing compliance with BDE or DBE bidding process for procurement or Contract activities, if applicable; (iv) proof of contractor, vendor or subcontractor eligibility as described in Section 6.6;and(v) any otherdocuments or records reasonably necessary to verify costs spent and regulatory compliance for the project. • Complete Documentation shall meet the standards described in the attached Exhibit "J" - Standards for Complete Documentation. "Completion means the substantial completion of all rehabilitation items at the Lowdon- Schutts Building and the Main Shelter as evidenced by a Neighborhood Services Department Minimal Acceptable Standard Inspection Report, a /--IUD Compliance Inspection Report, all applicable City final inspection approvals, receipt of a final Certificate of Occupancy, if applicable, and verification that the National Objective has been met. "Completion Deadline means August 21,2018. "Income Eligible Client means a client who meets the definition of a"presumed benefit" client under CDBG Regulations. All clients served in the buildings are homeless persons, a category of"presumed benefit" clients in 24 CFR Part 570.208 (a) (2) (A) and are FIRST AMENDMENT to C'SC\(].48743 Page 2 The Presbyterian Night Shelter of Tarrant County,Inc. Rev.01.30.2018 deemed to be Income Eligible Clients. The definition of an annual income to determine client income eligibility shall be the definition contained in 24 CFR Part 5.609,as amended from time to time. Program means the services provided by Developer in the Lowdon-Schutts Building and in the Main Shelter, more particularly described in Exhibit"A"—Project Summary and Scope of Work and Exhibit"K" Services Performed. Required Improvements or the project means all the improvements to the Lowdon- Schutts Building and the Main Shelter together with all fixtures, tenant improvements, if any, and appurtenances now or later to be located on the Property and/or in such improvements(the Lowdon-Schutts Building and the Main Shelter are sometimes together referred to as the"buildings'). A list of the construction requirements for the rehabilitation items to be performed in the buildings is shown in the attached Exhibit "A" — Project Summary and Scope of Work.The Lowdon-Schutts Building is located at 2401 Cypress Street,Fort Worth,TX 76102,and the Main Shelter is located at 2400 Cypress Street,Fort Worth,TX 76102. "Unduplicated Client means a client served by Developer with the Program at the Lowdon-Schutts Building and the Main Shelter at least once during each year of the Performance Period beginning October 1 of each calendar year. Clients served more than once during each year of the Performance Period shall only be counted the first time they are served when determining the total count of Unduplicated Clients." II. Section 3.2 Term of Contract is amended to be and read as follows: "Section 3.2 Term of Contract. The term of this Contract is for 18 months beginning on the Effective Date unless earlier terminated as provided in the Contract." Section 4.1 Provide CDBG Funds is amended to be and read as follows: "Section 4.1 Provide CDBG Funds City shall provide$330,000.00 of CDBG Funds in the form of the Loan for eligible expenses under the terms and conditions of this Contract and the Loan Documents." Section 5.2.3.2 is amended to be and read as follows: 115.2.3.2 Developer agrees to utilize the CDBG Funds to supplement rather than supplant funds otherwise available for the project. City acknowledges that Developer has received grants of$600,000.00 for the remainder of the costs of rehabilitation of the Lowdon- Schutts Building." FIRST AMEND-VENT to CSC NO.48743 Page 3 The Presbyterian Night Shelter of Tarrant County,Inc. Rev.01.30.2018 Section 5.6.1.8 is amended to insert the words"and/or the Main Shelter"after the words "the Lowden-Schutts Building"in(i) in the second sentence. The first sentence of Section 7.1.1 Income Eligibility is amended to be and read as follows: "Developer must document that all clients served in the Lowdon-Schutts Building and the Main Shelter fall under a "presumed benefit" category as defined in 24 CFR Part 57fl " Section 7.1.3 Client Demographic Data/Household Characteristics is amended to insert "and the Main Shelter"after"the Lowden-Schutts Building" in the entire section. Section 7.2 Services Provided in the Building is annended to be and read as follows: "7.2 Services Provided in the Buildings. Grant funds from the CDBG Program were used to pay for a portion of the rehabilitation of the Lowdon-Schutts Building and for eligible rehabilitation items at the Main Shelter, including needed repair/replacement of HVAC units at that building; therefore,City and Developer agree that the Program must meet the National Objective." The last sentence of Section 7.3 Property Standards During Performance Period is amended to be and read as follows: "Developer will allow City to make on-site inspections of the Lowdon-Schutts Building and the Main Shelter to verify maintenance of the buildings and the Required Improvements if City requests such an inspection; provided however, City has no obligation to inspect the premises." Section 7.4 Program Income is amended to be and read as follows: "Section 7.4 Program Income. Income from the use of the buildings, if any, is hereby assigned to Developer. A summary report of income earned must be provided semi-annually to City during the Performance Period using Exhibit"M"—Report of Program Income. City has the right to monitor activities on the Property that generate program income, as well as activities on which program income is spent, to ensure that such activities aid in maintaining the buildings and other improvements to the Property in order for Developer to deliver services at the Lowdon-Schutts Building and the Main Shelter that meet the National Objective. Section 9.4.1 Entities that Expend 5750,000 or more in Federal Funds Per Year is amended to be and read as follows: "9.4.1 Entities that Expend $750,000 or more in Federal Funds Per Year. Intentionally Deleted." I-'fltST ANIFN1]ME NT to CSC NO.48743 Page 4 The Presbyterian Night Shelter of Tarrant County,Inc. Rev.01.30.2019 Section 13.2 is deleted in its entirety. III. The following provision will be added as Section 23 to the Contract "23. Immigration Nationality Act. City actively supports the Immigration and Nationality Act("INA") which includes provisions addressing employment eligibility, employment verification, and nondiscrimination. Vendor shall verify the identity and employment eligibility of all employees who perform work under this Agreement. Vendor 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. Vendor 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. Vendor shall provide City with a certification letter that it has complied with the verification requirements required by this Agreement. Vendor 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 Vendor." The following provision will be added as Section 24 to the Contract: "24. Bnvcotting Israel Prohibited. Developer acknowledges that in accordance with Chapter 2270 of the Texas Government Code, the City is prohibited from entering into a contract with a company for goods or services unless the contract contains a written verification from the company that it: (1)does not boycott Israel;and(2)will not boycott Israel during the term of the contract. The terms"boycott Israel" and "company" shall have the meanings ascribed to those terms in Section 808.001 of the Texas Government Code. By signing this Contract, Developer certifies that Developer's signature provides written verification to the City that Developer: (1) does not boycott Israel; and (2) will not boycott Israel during the term of this Contract. FIRST AMENDMENT to CSC NO.48743 Page 5 The Presbyterian Night Shelter of Tarrant County,Inc. Rev.01.30.2018 IV. Exhibit"A" Project Summary and Scope of Work is hereby deleted and replaced with the attached Exhibit"A" Project Summary and Scope of Work Revised 112018. Exhibit"A-2"Environmental Mitigation Action is hereby deleted and replaced with Exhibit"A-2" Environmental Mitigation Action Revised 112018. Exhibit"B" -Budget is hereby deleted and replaced with Exhibit"B" Budget Revised 1/2018. Exhibit"C"Construction and Reimbursement Schedule is hereby deleted and replaced with Exhibit"C" Construction and Reimbursement Scheduled Revised 11201.8. Exhibit"D"—Audit Requirements is deleted in its entirety: Exhibit "F" - Reimbursement Forms is hereby deleted and replaced with.Exhibit"F" Reimbursement Forms Revised 112018. Exhibit"G"-Documentation of CDBG Requirements is hereby deleted and replaced with Exhibit"G"-Documentation of CDBG Requirements Revised 112018. Exhibit"K"-Services Performed is hereby deleted and replaced with the attached Exhibit"K"-Services Performed Revised 1/2018. Exhibit"L"-MBE Reporting Form (HUD 2516) is hereby deleted and replaced with the attached Exhibit"L" - MBE Reporting Form (HUD 2516)Revised 1/2018. Exhibit"M"Report of Program Income is hereby deleted and replaced with the attached Exhibit"M" Report of Program Income Revised 112018. V. This amendment is effective as of the Effective Date of the Contract. V1. All other terms and conditions of the Contract not amended herein remain unaffected and in full force and effect, are binding upon the parties, and are hereby ratified by the parties. Capitalized terms not defined herein shall have the meanings assigned to them in the Contract. [SIGNATURES APPEAR 4N NEXT PAGE.] FIRST AMENDMENT to CSC NO.48743 Page 6 The Presbyterian Night Shelter of Tarrant.County,Inc. Rev.01.30.2018 ACCEPTED AND AGREED: THE PRESBYTERIAN NIGHT SHELTER OF TARRANT COUNTY, INC. By: Toby Owen Chief Executive Officer Date:—o— CITY -- CITY R ORTH HBy: ernand o Assistant City Manager Date: ATTEST: APPROVED AS TO FORM AND LEGALITY: OF FQ By: By: /t ary J. Ka t edret D Vicki S. Ganske, Sr. Asst. City Attorney M&C: C-28 3 Date: November 14, 1295 Cert. No.2017-2 ' Contract Compliance Manager: By signing, I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. ti Name: Z " ` Z ` Chad LaRoque ActingHousingDevelopment and Grants 'Manager Date: ' r -/y OFFICIAL RECORD FIRST AMFNDMP-NT to CSC N],48743 CITY SECRETARY Page 7 The Presbyterian Night Shelter of Tarrant County,Inc. FT.WORTH,TX Rev,01.30.2018 EXHIBIT "A" PROJECT SUMMARY AND SCOPE OF WORD REVISED 112018 THE PRESBYTERIAN NIGHT SHELTER OF TARRANT COUNTY,INC. Capitalized terms not defined herein shall have meanings assigned to them in the Contract. DESCRIPTION: Developer will use CDBG funds for a portion of the costs of the rehabilitation of the Lowdon- Schutts Building,including both interior and exterior work.Additionally,Developer will use some of the CDBG funds for eligible rehabilitation items at its Main Shelter, including repair/replacement of old and poorly functioning I- VAC units. The National Objective of this project is to serve individuals and families of whom 100% must meet the HUD definition of a presumed benefit population,of which definition includes the homeless. The operational capacity of the Lowdon-Schutts Building is expected to be 160 homeless single women. The operational capacity of the Main Shelter will be 330 homeless single men once the single women are moved from the Main Shelter to the Lowdon-Schutts Building. Developer shall notify City if it substantially changes or modifies Program services at either of the buildings to enable City to determine if such changes affect the National Objective, the CDBG Requirements,the C 45'Req i FefflefltS,or other requirements of the CDBG Regulations.Developer further agrees that it will notify City of any other services that it offers on a regular basis to clients using the buildings in order to determine if such services are eligible for presumed benefit clients using those additional services and to determine if the additional services can be counted towards the National Objective, the CDBG Requirements, the quiets or other applicable requirements of the CDBG Regulations. The Lowdon-Schutts Building is located at 2401 Cypress Street, Fort Worth, TX 76102, and the Main Shelter is located at 2400 Cypress Street, Fort Worth, TX 76102. Developer owns and operates other buildings adjacent to the Property in which it offers shelter and services to the homeless. The adjacent buildings to the Property and the Lowdon-Schutts Building and the Main Shelter are commonly known as the Presbyterian Night Shelter. None of the CDBG Funds provided under this Contract shall be used for any purpose in any other building owned and. operated by Developer as part of the Presbyterian Night Shelter other than the Lowdon-Shutts Building and the Main Shelter as more specifically described in this Contract and the Exhibits. Developer will be entitled to make Reimbursement Requests until 30 days after the Completion Deadline. PROJECT OBJECTIVES: Developer will rehabilitate the Lowdon-Schutts Building to create an emergency shelter for homeless single women who are currently housed with men in the Main Shelter. The Lowdon- Schutts Building will provide a safer and more secure environment for homeless single women who often feel unsafe sharing shelter space with men. Additionally, Developer will perform eligible rehabilitation items at its Main Shelter, including needed repair/replacement of HVAC units in order to create a safe and healthy environment for the clients of the Main Shelter. First Amendment to CSC No.48743-EXHIIBITS Page 1 The Presbyterian Night Shelter of Tarrant County,Inc. Rev. 1.30.18 SPECIFIC PURPOSE: The purpose of the project is to rehabilitate the Lowdon-Schutts Building to provide an emergency shelter for homeless single women and to perform rehabilitation items at the Main Shelter, including needed repair/replacement of poorly working 11VAC units in that building. The project will meet the National Objective of serving law to moderate income persons, specifically the homeless, who are a presumed benefit population. First Amendment to CSC`.No.48743 -EXHIBITS Page 2 The Presbyterian Night Shelter of Tarrant County,Inc. Rev. 1.30.1 8 EXHIBIT "A-2" ENVIRONMENTAL MITIGATION ACTION REVISED 1/2018 THE PRESBYTERIAN NIGHT SHELTER OF TARRANT COUNTY,INC. No mitigations are required. This categorically excluded activity/project converts to EXEMPT per Section 58.34(a)(12), because it does not require any mitigation for compliance with any listed statutes or authorities, nor requires any formal permit or license. Funds may be committed and drawn down after certification of this part for this(now) EXEMPT project. First Amendment to CSC No.45743-EXHIBITS Page 3 The Presbyterian Night Shelter of Tarrant County,Inc. Rev. 130.18 EXHIBIT "B" BUDGET REVISED 112018 THE PRESBYTERIAN NIGHT SHELTER OF TARRANT COUNTY, INC. SOURCES AND USES Project: Rehabilitation of Lowdon-Schutts Building and Rehabilitation Items at Main Shelter, including Needed Repair/Replacement of HVAC Units at Main Shelter Source No. Funding Priority of Rehab Loan Grant Financing Description Lien Stage Amounts Participants Amount I CDBG Loan I st 5330,000.00 City of Fort Worth _4 2 Bank Loan 2nd $500,000.00 Federal Home Loan Bank of Dallas 3 Other NA $100,000.00 The Fort Grants and Worth Donations Foundation TOTAL $330,000.00 5600,000.00 TOTAL SOURCES SOURCES: OF FUNDS $930,000.00 TOTAL $930,000.00 USES OF FUNDS CDBG FUNDS BUDGET Constructions Costs for Rehabilitation of $330,000.00 Lowdon-Schutts Building and Rehabilitation Items at Main Shelter, including Needed Repair/Replacement of HVAC Units at Main Shelter TOTAL $330,000.00 First Amendment to CSC No.48743-EXHIBITS Page 4 The Presbyterian Night Shelter of Tarrant County,Inc. Rev. 1.30.18 EXHIBIT "C" CONSTRUCTION AND REIMBURSEMENT SCHEDULE REVISED 1/2018 THE PRESBYTERIAN NIGHT SHELTER OF TARRANT COUNTY, INC. Activity CDRG Funds PHASE I and II Costs for Rehabilitation of Lowdon-Sehutts ACTIVITIES Building PHASE I Contractor/subcontractor/vendor searches under $290,000.00 COMPLETED by: the Federal System for Award Management August 15, 2017 (wrv►v.sam.go.r) must be submitted prior to any reimbursement under the Phase. ■ Inspections by Neighborhood Services Department Inspectors PHASE II Final Reimbursement for Costs for Rehabilitation $10,000.00 COMPLETED by: of Lowdon-Schutts Building March 1,2018 Contractor/subcontractor/vendor searches under the Federal System for Award Management{wNi'w.sam_.gov) must be submitted prior to any reimbursement under this Phase Punch List/Final Inspections by Neighborhood Services Department Inspectors, if applicable • Rehabilitation Completed PHASE III Rehabilitation Items at Main Shelter, including ACTIVITIES Needed Repair/Replacement of HVAC Units at Main Shelter PHASE III . Contractor/subcontractor/vendor searches S25,000.00 COMPLETED by: under the Federal System for Award May 1, 2018 Management(Nvww.sam.gov) must be submitted prior to any reimbursement under this Phase • Inspections by Neighborhood Services Department Inspectors, if applicable FINAL PAYMENT Final Reimbursement for Rehabilitation Items at $5,000.00 PHASE COMPLETED Main Shelter,including Needed Repair/ by: August 21,2018 Replacement of HVAC Units at Main Shelter • Punch List/Final Inspections by Neighborhood Services Department Inspectors, if applicable • Rehabilitation Completed TOTAL CDRG FUNDS 1 1 $330,000.00 First Amendment to CSC No.48743-EXHIBITS Page 5 The Presbyterian Night Shelter of Tarrant County,Inc. Rev. 1.30.1.8 EXHIBIT "DII AUDIT REQUIREMENTS THE PRESBYTERIAN NIGHT SHELTER OF TARRANT COUNTY, INC. Intentionally Deleted First Amendment to C'SC No.48743-EXHIBITS Page 6 The Presbyterian Ni 0-lit Shelter of Tarrant County,Inc. Rev. 1.30.18 EXHIBIT"F" REIMBURSEMENT FORMS REVISED 112018 THE PRESBYTERIAN NIGHT SHELTER OF TARRANT COUNTY,INC. First Amendment to CSC No.48743 - FXHISITS Page 7 The Presbyterian Night Shelter of Tarrant County,Inc. Rev. 1.30.IS INVOICE Developer: The Presbyterian Night Shelter of Tarrant County,Inc. Address: P. ❑.Box 2645 City,State,Zip: Fort Worth,TX 76113 Project: Rehabilitation of Lowdon-Schutts Building and Main Shelter Building Tax 1❑NO,: Amount Developer's Certification: I certify that the costs incurred are valid and consistent with the terms and conditions of the Contract between City and Developer. By signing this invoice,I certify that to the best of my knowledge and belief the data included in this report is true and accurate. It is acknowledged that the provision of false information could leave the certifying official subject to the penalties of federal,state,and local law. Signature and Date: Name: Title: First Amendment to CSC No.48743 -EXHIBITS Page 8 The Presbyterian Night Shelter of Tarrant County,Inc. Rev. 1.30.18 Attachment II City of Fort Worth Neighborhood Services Department Expenditure Worksheet Agency: The Presbyterian Night Shelter of Tarrant County,Inc. Program: Rehabilitation of Lowdon-Schutts Building and Main Shelter Building Ci=k :1ne.No. No. Date Dewd IUA Account Code 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 25 26 27 28 29 TOTAL First Amendment to CSC No.48743-EXHIBI'T'S Page 9 The Presbyterian Night Shelter of Tarrant County,Inc. Rev. 1.30.18 EXHIBIT "G" DOCUMENTATION OF CDBG REQUIREMENTS REVISED 1/2018 THE PRESBYTERIAN NIGHT SHELTER OF TARRANT COUNTY,INC. Capitalized terms not defined in this Exhibit shall have meanings assigned to them in the Contract. NATIONAL OBJECTIVE: All clients receiving services in the Lowdon-Schutts Building and/or the Main Shelter must qualify as homeless and therefore be presumed benefit clients. In order to meet the National Objective, Developer will list all clients who receive services at the Lowdon-Schutts Building and the Main Shelter on the attached Unduplicated Client Data Report —Attachment III for each building. Clients will be listed the first time each client is served each year of the Performance Period. A separate Report must be submitted for each building. CDBG REQUIREMENTS: During Term of Contract: Developer will use the CDBG Funds to rehabilitate the Lowdon-Schutts Building located at 2401 Cypress Street,Fort Worth, TX 76142 in order to create an emergency shelter for homeless single women.Developer will spend CDBG funds on eligible costs of the rehabilitation of the Lowdon- Schutts Building.Developer wil l also use$30,000.00 of the CDBG funds for eligible rehabilitation items in the Main Shelter,including repair/replacement of old and poorly functioning HVAC units in that building. During Term of Performance Period: In consideration of the CDBG Funds provided through this Contract,Developer agrees to provide the following information and meet the following requirements for clients served in the Lowdon- Schutts Building and the Main Shelter. • Once every quarter submit the attached Unduplicated Client Data Report—Attachment III listing all clients served in each building. The Unduplicated Client Data Report — Attachrnent III summarizes information regarding the household income, size, race, ethnicity, gender of head of household, disability status, and income for all clients served by Developer in the Lowdon-Schutts Building and the Maim Shelter the first time during each quarter.Clients served once during each year of the Performance Period shall only be counted the first time they are served when determining the total count of Unduplicated Clients. • Each quarterly report will be due as follows during the Performance Period: o I St quarter(October-December)report due January 15 0 2n'd quarter(January-March)report due April 15 o 3rd quarter(April-June)report due July 15 o 4`h quarter(July-September)report due September 30 First Amendment to CSC No.48743-EXHIBITS Page to The Presbyterian Night Shelter of"Tarrant County,Inc. Rev. 1.30.18 • Each report should contain a list of Unduplicated Clients served for the quarter for each building and should be emailed to the Compliance Division of the Neighborhood.Services Department. Each report will be a cumulative report, meaning the 2nd quarter report will contain the clients served on the V quarter;the 31 quarter report will include clients served. in quarters l and 2 and so on. A new report will be started October 1 of every year. • Once every quarter, submit an activity performance report for each building in a format chosen by Developer. The activity report must include information relevant to the execution of services/activities taken place at the Lowdon-Schutts Building and the Main Shelter, such as number and nature of services/activities,number of clients served by each service/activity,and any other relevant information.. • Meet the CDBG Requirements and National Objective as outlined in the Exhibit"G" a Each Unduplicated Client served will be listed on the Unduplicated Client Data Report — Attachment lUlt for each building. The form will be verified by Developer's staff. o Developer's staff must ensure that all Unduplicated Clients are listed on the reports. ■ In order to ensure compliance with the CDBG Requirements, Developer's staff must be provided with a copy of this Contract and a relevant CDBG training manual. First Amendment to CSC No.48743 -EXHIBITS Page 11 The Presbyterian Night Shelter of Tarrant County,Inc. Rev. 1.30.18 t �8 First Amendment to CSC No.48743 -EXHFBITS Page 12 The Presbyterian Night Shelter of Tarrant County,Inc. Rev. 1.30.18 EXHIBIT "K" SERVICES PERFORMED REVISED 112018 THE PRESBYTERIAN NIGHT SHELTER OF TARRANT COUNTY, INC. SERVICES TO BE PROVIDED BY DEVELOPER AT THE LOWDON-SCHUTTS BUILDING AND THE MAIN SHELTER: Developer will provide the following services during the Performance Period: emergency shelter services to homeless single women and homeless single men. Developer shall notify City if it substantially changes or modifies its Program services at the Lowdon-Schutts Building and/or the Main Shelter to enable City to determine if such changes affect the National Objective, the CDBG Requirements or other requirements of the CDBG Regulations. Developer further agrees that it will notify City of any other services that it offers on a regular basis to clients at the Lowdon-Schutts Building and/or the Main Shelter in order to determine if such services are eligible for presumed benefit clients using those additional services and to determine if the additional services can be counted towards the National Objective,the CDBG Requirements,the City RequimfnefAs or other applicable requirements of the CDBG Regulations. Developer agrees to provide to City on request any reports, audits or similar documents that it has received during the Performance Period from any state or federal agency hawing regulatory authority over the Program or any other services offered by Developer in the Lowdon-Schutts Building and/or the Main Shelter. First Amendment to CSC No.48743-EXHIBITS Page 13 The Presbyterian Night Shelter of Tarrant County,Inc. Rev. 1.30.18 EXHIBIT "L" MBE REPORTING FORM(HUD2516)REVISED 112018 THE PRESBYTERIAN NIGHT SHELTER OF TARRANT COUNTY, INC. Excel Spreadsheet to be provided. This report is due to the City of Fort Worth by October 5, 2018. First Amendment to CSC No.48743 -EXHIBITS Page 14 The Presbyterian Night Shelter of Tarrant County,Inc. Rev. 1.30.18 i - �` ! �Lp 13 First Amendment to CSC No.48743 -EXHIBITS Page 15 The Presbyterian Night.Shelter of Tarrant County,Inc. Rev. 1.30.18 EXHIBIT "W REPORT OF PROGRAM INCOME REVISED 1/2018 THE PRESBYTERIAN NIGHT SHELTER OF TARRANT CODUN�rY, INC (Separate forms should be used for the Lowdon-Schutts Building and the Main Shelter) Report of Program Income Program Income- Income generated from the use of the building must be reported yearly to the City of Fort Worth. Please indicate the date the income was received,the source of the income(i.e.-rental fee for outside organization event,sales from vending machines,cost for services provided in the building,etc.,) Date Source of Income Amount First Amendment to CSC No.48743 -EXHIBITS Page 16 The Presbyterian Night Shelter of Tarra tit County.Inc. Rev. 1.34.I8 M&C Review Page I of 2 Official CITY COUNCIL AGENDA Ff)RTI ' RT COUNCIL ACTION: Approved on 11/14/2017 DATE: 11/14/2017 REFERENCE C-28483 LOG NAME: 19NS_PNS CONTRAC NO.: AMENDMENT CODE: C TYPE: NON- PUBLIC CONSENT HEARING: YES SUBJECT: Conduct Public Hearing and Authorize Change in Use and Expenditure of$30,000.00 of Additional Community Development Block Grant Funds for Rehabilitation Activities at Tr Presbyterian Night Shelter of Tarrant County, Inc.'s Main Shelter Located at 2400 Cypress Street, Authorize Substantial Amendment to the City's 2014-15 Action Plan, an, Authorize the Substitution of Funding Years (COUNCIL DISTRICT 8) RECOMMENDATION: It is recommended that the City Council: 1. Conduct a public hearing to receive comment on the change in use of federal grant funds and a Substantial Amendment to the City's 2014-2015 Action Plan; 2. Authorize a Substantial Amendment to the City's 2014-15 Action Plan and authorize substitution o funding years in order to meet United States Department of Housing and Urban Development Department commitment, disbursement and expenditure deadline, contingent upon successful completion of the federal comment period; 3. Authorize a change in use and expenditure of$30,000.00 of additional Community Development Block Grant Funds for rehabilitation activities at The Presbyterian Night Shelter of Tarrant County, Inc.'s Main Shelter located at 2400 Cypress Street as part of the activities described in City Secretar. Contract No. 48743,contingent upon successful completion of the federal comment period; and 4. Authorize the City Manager or his designee to extend or renew City Secretary Contract No. 48743 for an additional six month term if The Presbyterian Night Shelter of Tarrant County, Inc., requests ai extension and such extension is necessary for completion of the project . DISCUSSION: On June 14, 2016, the City Council authorized funding in the amount of$2,300,000.00 in Community Development Block Grant (CDBG) funds for various projects throughout the City (M&C G-18760). One of these projects allocated $300,000.00 for the rehabilitation of The Presbyterian Night Shelter c Tarrant County, Inc.'s (PNS) Lowdon-Schutts Building to provide a shelter for homeless single women (City Secretary Contract 48743). The project is scheduled to be completed in early November 2017. PNS requested additional funding for rehabilitation activities at its Main Shelter located at 2400 Cypress Street. PNS proposes using the additional CDBG funds to replace and/or repair old and poorly functioning HVAC units in the Main Street Shelter as well as other eligible rehabilitation items. All other terms of City Secretary Contract No. 48743 for the CDBG funds will remain the same. The expenditure of the additional $30,000.00 of CDBG funds is contingent upon satisfactory completion c an environmental review pursuant to 24 CFR Part 58. A public comment period on the change in use of these funds began on October 17, 2017 and will end on November 17, 2017. Any comments will be maintained in the Neighborhood Services Department in accordance with federal regulations. Based on any comments received, the City http:Happs.cfwnet.org/council packet/mc_review.asp"ID=25251&councildate=11/14/2017 2/21/2018 M&C Review Page 2 of 2 Manager or his designee will determine if the project will move forward. Contingent upon successful completion of the public comment period, Staff recommends the change in use and expenditure of $30,000.00 in unprogrammed CDBG funds for eligible rehabilitation activities in the Main Shelter building. These unprogrammed CDBG funds are program income and from fund balances on completed projects. The Action Plan funding years selected may vary and be substituted in order to use oldest grant funds first. This project is located in COUNCIL DISTRICT 8. FISCAL INFORMATION/CERTIFICATION: The Director of Finance certifies that funds are available in the current operating budget, as appropriated, of the Grants Fund. This is a reimbursement grant. TO Fund Department Account Project Program Activity Budget Reference# Amoun ID ID Year (Chartfield 2) FROM Fund Department Account Project Program Activity Budget Reference# Amoun ID I I ID Year , (Chartfield 2) Submitted for City Manager's Office by: Fernando Costa (6122) Originating Department Head: Avis Chaisson (6342) Aubrey Thagard (8187) Additional Information Contact: Bette Chapman (6125) ATTACHMENTS Form 1295 Only.pdf PNS Properties 2.pdf http://apps.cfwnet.org/council_packet/mc_review.asp?ID=25251&councildate=11/14/2017 2/21/2018 CERTIFICATE OF INTERESTED PARTIES . FORM 1295 10fl Complete Nos.i-4 mid 6 it there are interested parties. OFFICE USE ONLY Complete Nos.1,2,3,5,And b 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. - 2017-272767 Presbyterian Night Shelter Fort Waith,TX United States Dene Filled: being ante ry of governmental maty or state agency that ts a party,to the contract for which the form is 10/16/2017 City Of Fort Wetrrttt,Neighborhood Services Dep&trrent Date Acknawkdged:: G L 3 Provide the identification number used by the govemmentat 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. Main Shelter HVAC HVAC repalcement 4 Nature of interest Name of Interested Party City,State,Country(place of business) (cheek applicable) Controlling IntermedLary 5 Check only if there Is NO Interested Parry. 4 x 6 AFFIDAVIT 1 swear,or affirm,under Penalty of perjury,that the above disdostrre is true and correct. s� B8 AfY�DOCK r�uiV' Signatur authodxed agent of contracting business entity AFFIX NOTARY STAMP 1 SEAL ABOVE swum to and subscribed before me,by the said � � �i\(VI this the�,day of 26_L.�'' ,to cer*which,+mess my hand and seal of office. \4 (1!` E Me 1,%rte &e-v— _ & - SignALOf of ofrrer administering oath Printed name of ollim adrnirt tering oath Tide of~•dmineAedng oath Forms provided by Texas Ethics Commission www.ethtcs.state.tx.us Version V1.0.3337 ..