HomeMy WebLinkAboutContract 26839 CITY SECRETARY
CONTRACT NO.
STATE OF TEXAS §
COUNTY OF TARRANT §
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 Boys & Girls Clubs
("Contractor"), by and through Ms. Sharon Driggers, its duly authorized Assistant Executive Director.
Contractor's business address is 3218 East Belknap, Fort Worth, Texas 76111.
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 Community Development
Block Grant("CDBG") for Year XXVII; and,
WHEREAS,the primary purpose of the CDBG Program is to benefit low and moderate income citizens
of Fort Worth; and,
WHEREAS,the citizens of Fort Worth,the Community Development Council,and the City Council of
Fort Worth have determined that Public Services Programs are needed by low and moderate income
citizens of Fort Worth;
NOW, THEREFORE, THIS AGREEMENT FURTHER WITNESSETH:
THAT, the parties covenant and agree as follows:
1. Scope of Services
a. Contractor will administer Youth services to citizens of the City of Fort Worth under the program
name PASS ("Program"), for the term 1 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. Contractor agrees to meet the National Objective of activities benefiting low and moderate income
individuals and to maintain full documentation supporting fulfillment of this National Objective in its
files.
d. City will monitor the performance 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. Compensation and Method of Payment
a. City will disburse CDBG Year XXVII monies in an amount up to $24,300.00 to Contractor on a
reimbursement of expenses basis.
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XXVII CDBGCNT May 31,2001 1o �B��II U � e
b. Payment will be processed by City following receipt from Contractor of the following monthly
financial documents: (1) Attachment I-Sub-Grantee's Request For Funds, (2) Attachment II-Detail
Statement of Costs, and (3) Attachment III-Expenditures Worksheet Report. Reimbursement for the
payment of eligible expenses shall be made against the line item budget specified in Exhibit C-Program
Operating Budget and in accordance with performance specified in Exhibit B-Program Services
Schedule.
c. Contractor agrees to utilize all disbursed CDBG 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 CDBG Program Operating Budget without
prior written approval by the City.
d. It is understood that the total cost for operation of this program is $323,718.00 and that Contractor
will obtain the remaining funds in excess of the CDBG 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 CDBG 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 CDBG monies with any other funds in any manner which would
prevent City from readily identifying program expenditures for operation of the Program.
3. 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
i. Requirement
Contractor shall maintain all records pertinent to the activities to be funded under this Agreement
required by HUD regulations specified in 24 CFR§ 570.506. In addition,Contractor agrees to keep
records to fully document all expenditures charged to the CDBG 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. Retention
(1) All records pertaining to Program shall be retained for five (5) years following the date of
termination of this contract. Contractor may destroy Program records at the end of this five(5)year
period if no outstanding audit finding exists.
(2) Contractor will retain Program loan records until five (5)years after the expiration of the loan.
X\VII CDBGCNT May ,31 2001 2 n
iii. Property Records
The contractor shall maintain real property inventory records which clearly identify properties
purchased, improved, or sold. Properties retained shall meet eligibility criteria and shall conform
with 24 CFR § 570.505.
iv. 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.
v. 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 CDBG funds in an amount
proportional to that of the CDBG 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. 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.
4. Reporting Procedures
a. Program Income
Contractor agrees that all program income from operation of the Program in proportion to the amount of
CDBG fields received hereunder will be expended prior to expending CDBG monies and that any such
program income is subject to the terms of this contract. CDBG 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 CDBG funds in the overall operating
budget.
b. Progress Reports
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i. Contractor will submit monthly Attachment IV-Program Services Report to City for services and
activities undertaken by Contractor in performance of this contract. The report will be signed by a
duly authorized agent of Contractor and submitted by the 15`h of the month following the month
which is reported. The City is under no obligation to disburse funds for expenditures which
occurred prior to the first day of the month for which the report is submitted.
c. Procurement
i. Compliance
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.
ii. OMB Standards
The Contractor shall procure all materials,property,or services in accordance with the requirements
of OMB circular A-110,Procurement Standards,and shall subsequently comply with Attachment N,
Property Management Standards as modified by 24 CFR 570.502(b)(6), covering utilization and
disposal of property.
5. Reversion of Assets
a. Contractor agrees to return to City any CDBG funds remaining on hand at the end of the Contract.
b. All property purchased with CDBG funds under this contract will be used solely for operation of the
Program. 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 CDBG funds
have been received, Contractor will deliver all such property to City for disposition at City's sole
discretion.
6. 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 in Employment Act of 1973 (29 USC 794)
• 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)
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 City of Fort Worth
XXVII CDBGCNT May 31,2001 4QQD
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and the Housing and Community Development Act of 1974 (Pub. L. 93-383, 885 Stat. 633,), as
amended, and all regulations pertaining thereto. Contractor further promises and agrees that it has read,
and is familiar with, terms and conditions of the Community Development Block Grant 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.
7. 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 111,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.
S. 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
XXVII CDBGCNT May 31,2001 5 E03 EDCNNC1(��� GSM
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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.
9. 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(MWBEs)in all phases its procurement practices and to provide them an equal opportunity
to compete for contracts for construction,provision ofprofessional 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.
10. 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.
11. 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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XXVII CDBGCNT May 31,2001 6 'r4� ! ;Mal M } Ry
12. 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$24,300.00,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 CDBG 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.
13. Waiver of Immunity
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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XXVII CDBGCNT May 31,2001 7 (v U U 5Kc U L5 L5I1GJWN U
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14. Termination
a. In addition to,and not in substitution for,other provisions of this Agreement regarding the provision
of public services with CDBG funds,pursuant to Title I of the Housing and Community Development
Act of 1974, as amended, it is expressly understood and agreed by and between the parties hereto that
this agreement is wholly conditioned upon the actual receipt by City of Federal CDBG Year XXVII
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 grantar
not timely forthcoming,in whole or in part,City may, at its sole discretion,terminate this contract
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 o
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 CDBG funds paid hereunder are intended to provide only partial
funding for Contractor's program operations. If non-CDBG funds included in the Operating Budget are
not forthcoming to Contractor during the contract term, City may terminate this contract.
d. CDBG funds provided hereunder may not be used as collateral for loans to Contractor to defray
program operation expenses, and any attempted use of CDBG funds for this purpose will result in
termination of this contract by City.
e. Termination will be effected by written notice to 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 CDBG 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.
15. 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
federal contract, grant,loan or cooperative agreement, Contractor shall complete and submit Standard
Form-LLL, Disclosure Form to Report Lobbying," in accordance with its i - S.
XXVII CDBGCNT May 31,2001 8
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16. Miscellaneous Provisions
a. All terms of this contract shall apply to any and all subcontractors of Contractor who are in any way
paid with CDBG 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
terins of this contract must be in writing and must be approved by each party to this contract.
XXVII CDBGCNT May 31,200I 9 (4 ry��G'':,n��ly
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IN WITNESS WHEREOF,the parties hereto have executed four copies of this contract in Fort Worth,
Tarrant County, Texas, this 16 day of J w1c, , A.D. 20 dl
CITY OF FORT WORTH Boys & Girls Clubs
By: 6 . By:
Charles R. Boswell Ms. Sharon Driggers
Assistant City Manager Assistant Executive Director
APPROVED AS TO FORM AND LEGALITY:
,t
4cl. 4Citytorney
Gtr lot
Date
ATTEST:
qV (jo
City Secretary V�1�5�01
Contract Authorization
Date
SPEC���D
XXV11 CDBGCNT May 31,2001 10 cc PV�r�� rl �fe�rIM
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STATE OF TEXAS §
COUNTY OF TARRANT §
BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this day
personally appeared 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/she 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 odday of
—P
A.D. 20 0
ROSELLA BARNES
NOTARY PUBLICNotary Public in and for
state of Texas the State of Texas
..... 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 ay
personally appeared Ms. Sharon Driggers,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 md
consideration therein expressed, as the act and deed for Boys & Girls Clubs and in the capacity therein
stated as its duly authorized officer or representative.
GIVEN UNDER MY HAND AND SEAL OF OFFICE this J3Xday ofdzt�
A.D. 20 0
Y
PG REBECCA J.MURO
* * Notary Public Notary Public i and for
9 P STATE OP TEXAS the State of Texas
� My Comm.Exp.04/16/2002
C0(RD
XXVII CDBGCNT May 31,2001 11 l�ooU�j��j�15��j PiJ15U/i�Uy,U
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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 PASS
Boys&Girls Clubs of Greater Fort Worth Contract No. Amt $ 24,300
3218 East Belknap
Fort Worth,Texas 76111 Date of Request
Month
SECTION I(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) $ $
11.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 $ $ MOM
SECTION II(CITY)
I. MARS-Purchasing Request
A.MARS INPUT:Vendor/PO Number/Requisition Number:
B.Fund/Account/Center: GR76/539120/080206697330
C.Total Amount of this Request: $
SECTION III
1. Verification
A.Contract Manager:
(Name) (Signature) Mate)
B.MARS-Purchasing:
(Name) (Signature) (Date)
C.Accounting:
(Name) (Signature) (Date)
11.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- IAGM � o'�i���L���
Green- Agency r a� lr lj� l d p wa,GMivORM9&01
Pao
ATTACHMENT II
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANT MANAGEMENT
CONTRACT MANAGEMENT DIVISION
DETAIL STATEMENT OF COST
Boys&Girls Clubs of Greate Fort Worth
AGENCY REPORT PERIOD
PASS
PROGRAM CONTRACT NO. DATE OF REQUEST
PROGRAM MONTHLY CUMULATIVE
COST CATEGORY ACCOUNT BUDGET EXPENDITURES TO DATE BALANCE
PERSONAL SERVICES
Salaries 516 010 0.00 0.00 0.00 0.00
FICA 518 010 0.00 0.00 0.00 0.00
Life Insurance 518 050 0.00 0.00 0.00 0.00
Health Insurance 518 060 0.00 0.00 0.00 0.00
Unemployment Tax-State 518 090 0.00 0.00 0.00 0.00
Worker's Camp 518 040 0.00 0.00 0.00 0.00
Retirement 518 070 0.00 0.00 0.00 0.00
SUPPLIES
Office Supplies 521 010 0.00 0.00 0.00 0.00
Postage 521 020 0.00 0.00 0.00 0.00
Teaching Aids 522 030 0.00 0.00 0.00 0.00
Food Supplies 522 030 0.00 0.00 0.00 0.00
Other Operating Supplies 523 300 0.00 0.00 0.00 0.00
CONTRACTUAL SERVICES
Telephone 535 040 0.00 0.00 0.00 0.00
Electric 535 020 0.00 0.00 0.00 0.00
Gas[Utility] 535 010 0.00 0.00 0.00 0.00
WaterfWaste DIHJOsaI 535 030 0.00 0.00 0.00 0.00
Rent[Building] 537 010 0.00 0.00 0.00 0.00
Custodial Services 539 220 0.00 0.00 0.00 0.00
Office Equipment Rental 537 030 0.00 0.00 0.00 0.00
Printing 533 030 0.00 0.00 0.00 0.00
Repairs 536 010 0.00 0.00 0.00 0.00
Fidelity Bond 538 210 0.00 0.00 0.00 0.00
Liability Insurance 534 020 0.00 0.00 0.00 0.00
Legal&Accounting 538 050 1 0.00 0.00 0.00 0.00
Private Auto Allowance-Local 532 130 0.00 0.00 0.00 0.00
Advertising 533 010 0.00 0.00 0.00 0.00
Conferences&Seminars 531 180 0.00 0.00 0.00 0.00
Contractual Services 539 120 0.00 0.00 0.00 0.00
CAPITAL OUTLAY
Furniture, Fixtures 541 330 0.00 0.00 0.00 0.00
Office Equipment, Computers 541 370 0.00 0.00 0.00 0.00
Other Equipment 541 320 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
TOTAL 0.00 0.00 0.00 0.00
Contractors 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 of the agreement.
NAME and TITLE OF AUTHORIZED OFFICER SIGNATURE and DATE
PREPARE ONE FORM FOR EACH SOURCE OF FUND DISTR
White- Accounting ng
Blue-^ IAGM �p�IIY��ERI
Green- Agencyr(�a
IA&GM FORM 96-03
ATTACHMENT III
CITY OF FORT WORTH
INTERGOVERNMANTAL AFFAIRS AND GRANT MANAGEMENT
CONTRACT MANAGEMENT DIVISION
EXPENDITURES WORKSHEET
Boys&Girls Clubs of Greater Fort Worth
AGENCY REPORT PERIOD
PASS
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
m
DISTRIBUTION
WhtAcccounting Blue- IAGM Green- Agency IABGM FORM 96-04
ATTACHMENT IV
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
CDBG XXVII —ice
Youth
1.NAME AND ADDRESS OF SUB-GRANTEE 2.PROJECT NAME: PASS
Boys&Girls Clubs 3.CONTRACT NO:
3218 East Belknap
4.DATE OF
Fort Worth,Texas 76111 REQUEST:
MONTH&YEAR
5. PROGRAM SERVICES AND ACTIVITIES
CURRENT_ MONTH CUMULATIVE
Number of New Households and/or Persons Served
6A. DIRECT BENEFIT DATA(New Household and/or Persons Served)
American Total
White Black- Hispanic Asian Pacific Indian Female-
Non- Non- Islander Alaskan Head-
Hispanic Hispanic Native Of
Household
CURRENT MONTH
CUMULATIVE
6B. DIRECT BENEFIT(CONTINUED)
Low/Mod Low Income
Beneficiaries Beneficiaries
CURRENT MONTH
CUMULATIVE
7. AGE
0-4 5-17 18-24 25-54 55-64 64+
CURRENT MONTH
CUMULATIVE
_,!' :^..
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
ATTACHMENT IV
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
CDBG XXVH
Youth _
1.NAME AND ADDRESS OF SUB-GRANTEE 2.PROJECT NAME: PASS
Boys&Girls Clubs 3.CONTRACT NO:
3218 East Belknap
4.DATE OF
Fort Worth,Texas 76111 REQUEST:
MONTH&YEAR
5. REPORT NARRATIVE: USE THIS SPACE TO EXPLAIN HOW LONG YOUR PROGRAM HAS BEEN IN OPERATION,
WHAT PERCENTAGE OF LOW AND MODERATE INCOME PERSONS ARE BEING SERVED,AND SUMMARIZE YOUR
PROGRAM IN DETAIL.
n
C u s
r R7
8. CERTIFICATION: The undersigned hereby gives assurance that to the best of my knowled-ge and•`TRM , ata 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
ATTACHMENT IV(A)
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
1.Name and Address of Sub-Grantee 2.Project Name: PASS
Boys&Girls Clubs 3.Contract No: Contract Date:
3218 East Belknap Contract Amount: $27,000
Fort Worth,Texas 76111 4.Date of Request:
MONTH&YEAR
5. PROGRAM SERVICES AND ACTIVITIES: CURRENT CUMULATIVE
6. SCOPE OF WORK NARRATIVE:
7. PROBLEMS ENCOUNTERED/SOLUTIONS PROPOSED:
8. 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: _
[AGM/IDIS-RPT FORM 7A
AT-IVA.frm
MIR
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
CLIENT DATA REPORT
N _ 1.Name and Address of Sub-Grantee 2.Project Name:PASS
Boys&Girls Clubs
3218 East Belknap
Fort Worth,Texas 3.Contract No:
Contract Amount:: $24,300.00
4.Date of Request:
NAME AGE SEX RACE H/C #FAM INCOME FHOH STREET ADDRESS ZIP
k2 >)
C<?)
tr_�)
!,R)
&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
CDBG XXVII
PROGRAM SUMMARY
Boys & Girls Clubs
AGENCY
PASS
PROGRAM
1 June, 2001 to 31 May, 2002 $24,300.00
CONTRACT NO. PERIOD AMOUNT
PROGRAM DESCRIPTION
The Program will encourage educational achievements,promote positive self-worth,discourage drug use,and provifle,
positive alternatives to youth ages six to 18 in the south central area of the City.
Council District(s)9
PROGRAM GOALS
Increase youth involvement in appropriate social behavior and actions.
PROGRAM OBJECTIVES
To provide activities that will prevent youth from engaging in at risk activities.
To provide activities that will promote youth positive learning experiences.
PROGRAM SERVICES and ACTIVITIES GOALS
Number unduplicated clients 800
Number Impact Hours-Recreational Activities 64,800
Number Impact Hours-Cultural Enrichment Activities 29,160
Number Impact Hours-Educational Enrichment Activities 36,00#
Number Impact Hours-Substance Abuse Prevention Activities 12,156
**Impact Hour= 1 participant involved in one activity
ugD
EXHIBIT B
CDBG YEAR XXVII
PROGRAM SERVICE SCHEDULE
Boys & Girls Clubs
AGENCY
PASS
PROGRAM
Activity Jun Jul Aug Sep Oct Nov Dee Jan Feb Mar Apr May Total
Number unduplicated clients 74 66 66 66 66 66 66 66 66 66 66 66 800
Number Impact Hours- 5,400 5,400 5,400 5,400 5,400 5,400 5,400 5,400 5,400 5,400 5,400 5,400 64,800
Recreational Activities
Number Impact Hours-Cultural 2,430 2,430 2,430 2,430 2,430 2,430 2,430 2,430 2,430 2,430 2,430 2,430 29,160
Enrichment Activities
ber Impact Hours-
�s?> L_ ucational Enrichment 3,000 3,000 3,000 3,000 3,000 3,000 3,000 3,000 3,000 3,000 3,000 3,000 36,000
tivities
umber Impact Hours-
�� ubstance Abuse Prevention 1,013 1,013 1,013 1,013 1,013 1,013 1,013 1,013 1,013 1,013 1,013 1,013 12,156
Q ctivities
CITY OF FORT WORTH EXHIBIT C
COMMUNITY DEVELOPMENT BLOCK GRANT
ANNUAL BUDGET-CDBG YEAR XXVII Page 1 of 2
CONTRACT PERIOD From: 06/01/2001 To: 05/31/2002
Name of Sub Grantee Name of Program
Boys&Girls Clubs of Greater Fort Worth PASS
Program CDBG
Cost Category Budget Funds [a] [b] [c] [d]
PERSONAL SERVICES
Salaries 153,480 24,300 129,180 - - -
FICA 11,741 - 11,741 - - -
Life Insurance 720 720 - - -
Health Insurance 14,400 - 14,400 - - -
Employment Tax-State 2,686 - 2,686 - - -
Employment Tax-Federal - - - - -
Worker's Comp 3,315 3,315 - - -
Retirement 12,820 12,820 - - -
SUPPLIES
Office Supplies - -
Postage 500 500
Teaching Aids 18,000 18,000
Other Operating Expenses - - -
CONTRACTUAL SERVICES
Telephone 3,400 - 3,400 - - -
Electric 20,000 - 20,000 - - -
Gas 4,500 - 4,500 - - -
Water/Waste Disposal 5,000 - 5,000 - - -
Building Lease 44,494 - 44,494 - - -
Janitorial Services - -
Office Equipment Rental - -
Printing - - - - -
Repairs 900 900 - -
Fidelity Bond - - -
Liability Insurance 12,130 - 12,130
Legal&Accounting 2,110 - 2,110 -
Private Auto Allowance-Local - - - - -
Advertising - - - - -
Conference&Seminars 2,400 2,400 - -
Contractual Services - - -
Miscellaneous 11,122 11,122 -
CAPITAL OUTLAY
Office Furniture - -
Computer Equipment - -
Other: [Described] - - -
TOTALI 323,718 24,300 299,418 - - -
MATCHING FUND SOURCES
[a] Agency Board of Directors
[b]
[c]
[c]
PD
r0gti`
BUDGET DETAIL Page 2 of 2
PERSONAL SERVICES
Hourly Annual %of
Position/Title Rate Hours Time Amount
1 Branch Director 14.42 2080 81.0% 24,300
2
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
TOTAL STAFF SALARIES 24,300
FRINGE BENEFITS
%of % Paid % Paid
CATEGORY Payroll Amount by Agency by CDBG Amount
FICA 0.00% - 0 0% -
Life Insurance 0.0% - 0 0% -
Health Insurance 0.00% - 0 0% -
Employment Tax-State 0.00% - 0 0% -
Employment Tax-Federal 0.00% - 0 0% -
Worker's Comp 0.00% - 0 0% -
Retirement 0.00% - 0 0% -
TOTAL FRINGE BENEFITS -
TOTAL PERSONAL SERVICES 24,300
UNROM EECuoo2op
pyr
City of Fort Worth, Texas
ima or and councit Communication
DATE REFERENCE NUMBER LOG NAME PAGE
4/17/01 G-13207 13BLOCK I 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
r
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)
City of Foal Worth, Texas
a'' And coun"'I CO municAticrn
DATE REFERENCE NUMBER LOG NAME PAGE
4/17/01 G-'I 3207 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) $ -1}5,271
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)
City of Fort Worth, Texas
A or, And cou""'I communica' don
DATE REFERENCE NUMBER LOG NAMEGE
r
4/17/01 G-13207 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) $ 21,993
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
City of Fort Worth, Texas
"ayor Communication
DATE REFERENCE NUMBER LOG NAME PAGE
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, lis
appropriated, of the Grants Fund.
CB:k
i
Submitted for City Manager's FUND ACCOUNT CENTER AMOUNT CITY SECRETARY
Office by: (to)
�
i
Charles Boswell 8511 �/ ��
1tiPPROV
Originating Department Head: CITY l
Joe Paniagua 6168 (from) APR 17 2001'
Additional Information Contact: �,:1iu-al
Joe Paniagua 6168 C Gi�� Wow T+Mas