HomeMy WebLinkAboutContract 51411 CITY SECRETARY
STATE OF TEXAS § CONTRACT NO.
COUNTIES OF TARRANT, WISE §
AND DENTON §
AGREEMENT BETWEEN THE CITY OF FORT WORTH AND THE SAFE
CITY COMMISSION,INC., FOR FUNDING FROM THE CRIME CONTROL
AND PREVENTION DISTRICT FOR THE ADVOCACY PROGRAM
This Agreement is made between the City of Fort Worth ("City"), a municipal
corporation, acting herein by and through Jesus J. Chapa, its duly authorized Assistant
City Manager, and Safe City Commission, ("SCC") a Texas nonprofit corporation, acting
by and through Ken Shetter, it duly authorized Executive Director.
RECITALS
WHEREAS, City has determined that SCC crime prevention and education
program and a community advocacy for crime prevention program ("Advocacy
Program") are needed for all citizens of Fort Worth to make Fort Worth the safest major
city in the nation; and
WHEREAS, City desires to contract with SCC to provide these programs; and
WHEREAS, SCC has agreed to provide these programs in accordance with the
Agreement; and
WHEREAS,City, as consideration for the performance of SCC, has appropriated
monies in the Crime Control and Prevention District ("CCPD") Fund Budget in the
amount of$175,000.00 and an additional amount of$60,195.00 from the General Fund
(referred to collectively as "Program Funds") to provide to SCC on a reimbursement
basis for the operation of the Advocacy Program subject to this Agreement;
NOW, THEREFORE, in consideration of the mutual covenants herein
expressed, the parties agree as follows:
AGREEMENT DOCUMENTS
The Agreement documents shall include the following:
1. This Agreement for the SCC Advocacy Program
2. Exhibit A—Scope of Work L
`."'��a-D
3. Exhibit B—Budget ;
4. Exhibit C—Request for Reimbursement 5. Exhibit D—Program Activities Report a6. Exhibit E—Program Effectiveness Measurement Report
Q GS,�' D7. Exhibit F—Request for Budget Modification
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Exhibits A through F, which are attached hereto and incorporated herein, are made a part
of this Agreement for all purposes. In the event of any conflict between the terms and
conditions of Exhibits A through F, and the terms and conditions set forth in the body of
this Agreement, the terms and conditions set forth in the body of this Agreement shall
control.
DEFINITIONS
The term"City" shall include City, its officers, agents,representatives, and employees.
The term "SCC" shall include SCC, its officers, agents, representatives, employees,
servants, contractors, and subcontractors.
The term"Party" shall refer to either City or SCC.
The term"Parties"shall refer to both City and SCC.
The term"General Fund" shall refer only to the portion of money allocated in Fiscal Year
2019 to the Fort Worth Police Department for this purpose of funding this Agreement in
City's General Fund.
AGREEMENT
1. Responsibilities of SCC. SCC covenants and agrees to fully perform, or cause to
be performed, with good faith and due diligence, all work and services described in
Exhibit "A" — Scope of Work. SCC shall be responsible for day-to-day administration of
the Advocacy Program. SCC agrees to expend the Program Funds in accordance with its
Advocacy Program budget, described in Exhibit`B"- Budget. Program activities shall be
reported in accordance with Exhibit "D" - Program Activities Report and effectiveness
measurements shall be reported in accordance with Exhibit "E"-Program Effectiveness
Measurement Report.
2. Program Funds.
2.1 In no event shall the total distribution from City made to SCC during the term of
this Agreement exceed the total sum of$235,195.00 ("Program Funds").
2.2 Payment of the Program Funds from City to SCC shall be made on a cost-
reimbursement basis following receipt by City from SCC of a signed Request for
Reimbursement(RFR), as described in Exhibit"C,"and copies of all receipts and support
documentation. SCC shall deliver to City a written detailed Program Activities Report
and Program Effectiveness Measurement Report as described in Section 4.2 below with
each RFR to support expenditure of Program Funds. Such reports shall be signed by SCC
or duly authorized officer of SCC. The RFR and monthly Program Activities Report
shall be submitted to City no later than the 15th day following the end of the month.
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Submittal of a monthly RFR and Program Activities Report is required even if services
are not provided.
Submit the monthly RFR with an original signature by an authorized representative to the
Grant Management Section of the Fort Worth Police Department, ATTENTION: Grant
Specialist, Bob Bolen Public Safety Complex, 505 W. Felix St., Fort Worth, Texas,
76115. Reimbursements will not be made until after receipt of an acceptable and
approved RFR and a monthly Program Activities Report. Additionally, a quarterly
Program Effectiveness Measurement Report from SCC is required as described in section
4.2 and must be approved prior to reimbursements. Reimbursements shall be made within
30 days receipt of said documents.
2.3 SCC is authorized to modify up to five (5) percent of any budgeted line-item in
the original approved budget without prior written permission from City. However, SCC
must submit the Budget Modification Form (Exhibit"F")to City, with the monthly RFR,
in the month when the modification took place. The new modified budget cannot exceed
the total amount of Program Funds.
2.4 Any modifications of more than five (5) percent of any budgeted line-item in the
original approved budget must have prior written permission from City before any budget
modifications are made. The Budget Modification Form (Exhibit"F") must be submitted,
and request must be approved by City,before any money is moved to the line-item. Once
the Budget Modification is approved, the modified budget will take effect on the first day
of the following month. The new modified budget cannot exceed the total amount of
Program Funds.
2.5 Any modifications to zero line-items in the original approved budget must have
prior written permission from City before any budget modifications are made. The
Budget Modification Form(Exhibit"F") must be completed and approved by City before
money is transferred into the new line-item. Once the Budget Modification is approved,
the modified budget will take effect on the first day of the following month. The new
modified budget cannot exceed the total amount of Program Funds.
2.6 Budget modification can only occur within the Direct and Indirect costs. Funds
may not be moved from a Direct line-item into an Indirect line-item, or vise versus.
Modification of Direct and Indirect approved budgets must follow the guidelines outlined
in sections 2.3, 2.4 and 2.5.
The Budget Modification Form (Exhibit "F") shall be submitted to the Grant
Management Section of the Fort Worth Police Department, ATTENTION: Grant
Specialist at 505 W. Felix St.,Fort Worth,Texas, 76115.
3. Term. This Agreement shall commence upon October 1, 2018 ("Effective
Date"), and shall end on September 30, 2019 ("End Date"). All of SCC's expenditures
under this Agreement must be completed no later than September 30, 2019.
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4. Program Performance.
4.1 SCC agrees to maintain full documentation supporting the performance of the
work and fulfillment of the objectives set forth in Exhibit"A."
4.2 SCC agrees to provide a monthly Program Activities Report and quarterly
Program Effectiveness Measurement Report to document the performance of the work
described in Exhibit "D" and Exhibit "E," respectively. The Program Activities and
Effectiveness Measurements shall document the program activity names, numbers of
participants attending, details of the activities, and a description of the goals achieved in
support of the CCPD goals. Program Effectiveness Measurement shall be reported on a
quarterly basis and included in the January, April, July, and October RFR and Program
Activities Report submittals. Additionally, the Program Effectiveness Measurement
Report must include any successes realized in descriptive detail. The monthly Program
Activities and quarterly Program Effectiveness Measurement Reports shall be submitted
to City no later than the 15th day after the end of each month.
4.3 SCC agrees that the monthly RFR and Program Activities Report and quarterly
Program Effectiveness Measurement Report will be submitted to City no later than the
15th day after the end of each month. Should SCC not meet these requirements, SCC will
be given an additional 15 days to submit the required reports to City. If, at the end of this
15-day extension period, SCC has not submitted the required reports, City will send a
non-compliance letter notifying SCC's duly authorized representative of a possible
suspension of program funding.
5. Default and Termination.
5.1 This Agreement is wholly conditioned upon the actual receipt by City of Program
Funds from the CCPD and the department's General Fund. All monies distributed to
SCC hereunder shall be exclusively from monies received from the CCPD and the
department's General Fund, and not from any other monies of City. In the event that
funds from the CCPD or the General Fund are not received prior to the execution of this
contract by the parties, in whole or in part, City may, at its sole discretion, terminate this
Agreement and City shall not be liable for payment for any work or services performed
by SCC under or in connection with this Agreement.
5.2 In the event no funds or insufficient funds are appropriated by the City in any fiscal
year for any payments due hereunder, City will notify SCC of such occurrence and this
Agreement shall terminate on the last day of the fiscal period for which appropriations were
received without penalty or expense to the City of any kind whatsoever, except as to the
portions of payments herein agreed upon for which funds have been appropriated.
5.3 This Agreement may be terminated by City, in whole or in part, at any time and
for any reason upon written notice as specified in section 5.3.
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5.4 Termination will be effected by delivering to SCC a notice of termination,
specifying the portion of the Agreement affected and the effective date of termination.
Upon SCC's receipt of notice of termination, SCC shall:
(a) Stop work under the Agreement on the date and to the extent specified in the notice
of termination;
(b) Place no further order or subcontracts, except as may be necessary for completion
of the work not terminated;
(c) Terminate all orders and contracts to the extent that they relate to the performance
of the work terminated by the notice of termination; and
(d) Cease expenditures of Program Funds, except as may be necessary for completion
of the work not terminated.
5.5 In the event City suspends or terminates this Agreement, SCC expressly waives
any and all rights to monetary damages, including but not limited to actual,
consequential, and punitive damages, court costs, and attorney's fees.
5.6 Within thirty (30) days following the date of termination of this Agreement, SCC
shall return to City any property provided hereunder. City will have no responsibility or
liability for SCC's expenditures or actions occurring after the effective date of termination
of the Agreement.
6. Equipment and Maintenance. All equipment purchased with Program Funds
must meet all eligibility requirements of City. SCC shall maintain all equipment used in
the administration and execution of the Advocacy Program. SCC shall maintain,replace,
or repair any item of equipment used in support of the Advocacy Program or for use
under the terms of this Agreement that no longer functions or is lost or stolen. The cost
for maintenance,replacement, or repair of any equipment used in support of the
Advocacy Program or for use under the terms of this Agreement is the sole responsibility
of SCC. SCC shall not use Program Funds or City funds to repair or replace said
equipment. SCC shall use any and all equipment purchased with Program Funds
exclusively in support of the Advocacy Program. Within 10 days following the purchase
of equipment, SCC shall submit to City a detailed inventory of all equipment purchased
with Program Funds to the Grant Management Section at the address set forth in
paragraph 2.2 above. The equipment inventory shall include an itemized description of
each piece of equipment, the date each piece of equipment was purchased,the cost of
purchase for each piece of equipment, and the location of each piece of equipment.
7. Administrative Requirements.
7.1 SCC agrees to keep sufficient records to document its adherence to applicable
local, state, and federal regulations, along with documentation and records of all receipts
and expenditures of Program Funds. All records shall be retained for three (3) years
following the termination or completion of this Agreement. City or its representatives
shall have the right to investigate, examine, and audit at any time any and all such records
relating to operations of SCC under this Agreement. SCC, its officers, members, agents,
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employees, and subcontractors, upon demand by City, shall make such records readily
available for investigation, examination, and audit. In the event of such audit by City, a
single audit of all SCC's operations will be undertaken and may be conducted either by
City or an independent auditor of City's choice. SCC shall submit a copy of any audit
performed by their independent auditor within 30 days of receipt of the final audit report.
7.2 If any audit reveals a questioned practice or expenditure, such questions must be
resolved within fifteen (15) days after notice to SCC by City. If questions are not
resolved within this period, City reserves the right to withhold further funding under this
and/or future agreement(s)with SCC.
7.3 If, as a result of any audit, it is determined that SCC misused, misapplied, or
misappropriated all or any part of the Program Funds, SCC agrees to reimburse City the
amount of such monies so misused, misapplied, or misappropriated, plus the amount of
any sanction, penalty, or other charge levied against City because of such misuse,
misapplication,or misappropriation.
7.4 SCC's obligation to City shall not end until all closeout requirements are
completed. Activities during this closeout period shall include, but are not limited to:
providing final Program Activities Report and Program Effectiveness Measurement
Reports, making final payments, disposing of the Advocacy Program assets as
appropriate.
7.5 SCC covenants and agrees to fully cooperate with City in monitoring the
effectiveness of the services and work to be performed by SCC under this Agreement,
and City shall have access at all reasonable hours to offices and records of SCC, its
officers, members, agents, employees, and subcontractors for the purpose of such
monitoring.
Section 7 shall survive the expiration or termination of this Agreement.
8. Independent Contractor.
8.1 SCC shall operate hereunder as an independent contractor and not as an officer,
agent, or servant or employee of City. SCC shall have exclusive control of, and the
exclusive right to control, the details of the work and services performed hereunder, and
all persons performing same, and shall be solely responsible for the acts and omissions of
its officers, members, agents, servants, employees, subcontractors, program participants,
licensees, or invitees. The doctrine of respondeat superior shall not apply as between City
and SCC, 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 SCC. No federal, state, or local income
tax, nor any payroll tax of any kind, shall be withheld or paid by City on behalf of SCC.
SCC shall not be treated as an employee with respect to the services performed pursuant
to this Agreement for federal or state tax purposes. It is expressly understood and agreed
that officers, members, agents, employees, subcontractors, licensees, or invitees of SCC,
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and any program participants hereunder are not eligible for, and shall not participate in
any employer pension, health, or other fringe benefit plan provided by City. It is
expressly understood and agreed that City does not have the legal right to control the
details of the tasks performed hereunder by SCC, its officers, members, agents,
employees, subcontractors,program participants, licensees, or invitees.
8.2 City shall in no way nor under any circumstances be responsible for any property
belonging to SCC, its officers, members, agents, employees, subcontractors, program
participants, licensees, or invitees, which may be lost, stolen, destroyed, or in any way
damaged.
9. Liability and Indemnification.
SCC SHALL BE LIABLE AND RESPONSIBLE FOR ANY AND ALL PROPERTY
LOSS, PROPERTY DAMAGE, AND/OR PERSONAL INJURY, INCLUDING
DEATH, TO ANY AND ALL PERSONS, OF ANY KIND OR CHARACTER,
WHETHER REAL OR ASSERTED, TO THE EXTENT CAUSED BY THE
NEGLIGENT ACT(S) OR OMISSION(S), MALFEASANCE, OR INTENTIONAL
MISCONDUCT OF SCC, ITS OFFICERS, AGENTS, SERVANTS, OR
EMPLOYEES.
SCC AGREES TO DEFEND, INDEMNIFY, AND HOLD THE CITY, ITS
OFFICERS, AGENTS, SERVANTS, AND EMPLOYEES HARMLESS AGAINST
ANY AND ALL CLAIMS, LAWSUITS, ACTIONS, COSTS, AND EXPENSES OF
ANY KIND, INCLUDING, BUT NOT LIMITED TO, THOSE FOR PROPERTY
DAMAGE OR LOSS (INCLUDING ALLEGED DAMAGE OR LOSS TO OWNER'S
BUSINESS AND ANY RESULTING LOST PROFITS) AND/OR PERSONAL
INJURY(INCL UDING DEATH) THAT MAY RELATE TO, ARISE OUT OF, OR BE
OCCASIONED BY(I)SCC'S BREACH OF ANY OF THE TERMS OR PROVISIONS
OF THIS AGREEMENT OR (II) ANY NEGLIGENT ACT OR OMISSION OR
INTENTIONAL MISCONDUCT OF SCC, ITS OFFICERS, AGENTS,
ASSOCIATES, EMPLOYEES, CONTRACTORS (OTHER THAN THE CITY), OR
SUBCONTRACTORS RELATED TO THE PERFORMANCE OF THIS
AGREEMENT, EXCEPT THAT THE INDEMNITY PROVIDED FOR IN THIS
SECTION SHALL NOT APPLY TO ANY LIABILITY RESULTING FROM THE
SOLE NEGLIGENCE OF THE CITY OR ITS OFFICERS,AGENTS,EMPLOYEES,
OR SEPARATE CONTRACTORS, AND IN THE EVENT OF JOINT AND
CONCURRENT NEGLIGENCE OF BOTH CONSULTANT AND CITY,
RESPONSIBILITY, IF ANY, SHALL BE APPORTIONED COMPARATIVELY IN
ACCORDANCE WITH THE LAWS OF THE STATE OF TEXAS. NOTHING
HEREIN SHALL BE CONSTRUED AS A WAIVER OF THE CITY'S
GOVERNMENTAL IMMUNITY AS FURTHER PROVIDED BY THE LAWS OF
TEXAS.
SCC shall require all of its subcontractors to include in their subcontracts a release
and indemnity in favor of City in substantially the same form as above.
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This section shall survive the expiration or termination of this Agreement.
10. Non-Assignment. No assignment or delegation of duties under this Agreement
by SCC shall be effective without City's prior written approval.
11. Prohibition Against Interest.
11.1 No member, officer, or employee of City, or its designees or agents; no member
of the governing body of the locality in which the Advocacy Program is situated; and no
other public official of such locality or localities who exercises any functions or
responsibilities with respect to the Advocacy Program during his tenure or for one year
thereafter, shall have any interest, direct or indirect, in any contract or subcontract, or the
proceeds thereof, for work to be performed hereunder. SCC shall incorporate, or cause to
be incorporated, like language prohibiting such interest, in all contracts and subcontracts
hereunder.
11.2 No officer, employee, member, or program participant of SCC shall have a
financial interest, direct or indirect, in this Agreement or the monies transferred
hereunder, or be financially interested, directly or indirectly, in the sale to SCC of any
land, materials, supplies, or services purchased with any funds transferred hereunder,
except on behalf of SCC, as an officer, employee, member, or program participant. Any
willful violation of this paragraph with the knowledge, expressed or implied, of SCC or
its subcontractors, shall render this Agreement voidable by City of Fort Worth.
12. Nondiscrimination.
12.1 In accordance with the federal, state, and local laws and ordinances, SCC
covenants that neither it nor any of its officers, members, agents, employees, program
participants, or subcontractors, while engaged in performing this Agreement shall in
connection with the employment, advancement, or discharge of employees, in connection
with the terms, conditions or privileges of their employment, discriminate against persons
because of their age, except on the basis of a bona fide occupational qualification,
retirement plan, statutory requirement,or statutory or ordinance exception.
12.2 SCC will not unlawfully discriminate against any person or persons because of
age, race, color, religion, sex, disability, national origin, or sexual orientation, nor will
SCC permit its officers, members, agents, employees, subcontractors, or program
participants to engage in such discrimination.
12.3 If any claim arises from an alleged violation of this non-discrimination covenant
by SCC, its personal representatives, assigns, subcontractors or successors in interest,
SCC agrees to assume such liability and to indemnify and defend City and hold City
harmless from such claim.
This section shall survive the termination or expiration of this Agreement.
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13. Compliance.
13.1 SCC, its officers, members, agents, employees, program participants, and
subcontractors, shall abide by and comply with all laws, federal, state, and local,
including all ordinances, rules, and regulations of City. If City calls to the attention of
SCC in writing any such violation on the part of SCC or any of its officers, members,
agents, employees, subcontractors, or program participants, then SCC shall immediately
desist from and correct such violation.
13.2 SCC shall utilize Program Funds strictly for those purposes and goals intended
under the terms and conditions of this Agreement. If City calls the attention of SCC in
writing to any such violations on the part of SCC or any of its officers, members, agents,
employees, program participants, or subcontractors, then SCC shall immediately desist
from and correct such violation.
14. Waiver of Immunity. If SCC is a charitable or nonprofit organization and has or
claims an immunity or exemption (statutory or otherwise) from and against liability for
damages or injury, including death, to persons or property, SCC 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.
15. Insurance Requirement.
15.1 SCC shall procure and shall maintain during the term of this Agreement the
following insurance coverage:
(a) Commercial General Liability (CGL): $1,000,000 per occurrence, with a
$2,000,000.00 annual aggregate limit, in a form that is acceptable to the City's Risk
Manager.
(b) Non-Profit Organization Liability or Directors & Officers Liability: $1,000,000
per occurrence, with a $1,000,000 annual aggregate limit, in a form that is acceptable
to the City's Risk Manager.
(c) Automobile Liability: $1,000,000 each accident on a combined single limit basis
OR split limits are acceptable if limits are at least $250,000 Bodily Injury per person,
$500,000 Bodily Injury per accident and$100,000 Property Damage.
(d) Any other insurance the City may reasonably require to protect the interests of the
City.
15.2 SCC's insurer(s) must be authorized to do business in the State of Texas for the
lines of insurance coverage provided and be currently rated in terms of financial strength
and solvency to the satisfaction of the City's Risk Manager.
15.3 Each insurance policy required herein shall be endorsed with a waiver of
subrogation in favor of the City. Each insurance policy required by this Agreement,
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except for policies of worker's compensation or accident/medical insurance shall list the
City as an additional insured. City shall have the right to revise insurance coverage
requirements under this Agreement.
15.4 SCC further agrees that it shall comply with the Worker's Compensation Act of
Texas and shall provide sufficient compensation insurance to protect SCC and City from
and against any and all Worker's Compensation claims arising from the work and
services provided under this Agreement.
15.5 The commercial general liability policy shall name the City as an additional
insured thereon, as its interests may appear.
15.6 A minimum of Thirty (30) days' notice of cancellation or reduction in limits of
coverage shall be provided to the City. Ten (10) days' notice shall be acceptable in the
event of non-payment of premium. Notice shall be sent to the Risk Manager, City of Fort
Worth, 200 Texas Street, Fort Worth, Texas 76102, with copies to the City Attorney at
the same address.
15.7 Any failure on the part of the City to request required insurance documentation
shall not constitute a waiver of the insurance requirement.
16. Miscellaneous Provisions.
16.1 The provisions of this Agreement are severable, and, if for any reason a clause,
sentence, paragraph, or other part of this Agreement shall be determined to be invalid by
a court or Federal or state agency, board, or commission having jurisdiction over the
subject matter thereof, such invalidity shall not affect other provisions which can be
given effect without the invalid provision.
16.2 City's failure to insist upon the performance of any term or provision of this
Agreement or to exercise any right herein conferred shall not be construed as a waiver or
relinquishment to any extent of City's right to assert or rely upon any such term or right
on any future occasion.
16.3 Should any action, whether real or asserted, at law or in equity, arise out
of the execution, performance, attempted performance, or non-performance of this
Agreement, venue for said action shall lie in state courts located in Tarrant County, Texas
or the United States District Court for the Northern District of Texas, Fort Worth
Division.
16.4 SCC represents that it possesses the legal authority, pursuant to any
proper, appropriate, and official motion, resolution, or action passed or taken, to enter
into this Agreement and to perform the responsibilities herein required.
16.5 This written instrument including Exhibits A through F, constitute the entire
agreement between the parties concerning the work and services to be performed
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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
Agreement must be in writing and must be signed by authorized representatives of each
ply.
16.6 All notices required or permitted by this Agreement must be in writing and are
deemed delivered on the earlier of the date actually received or the third day following(i)
deposit in a United States Postal Service post office or receptacle; (ii)with proper postage
(certified mail, return receipt requested); and (iii) addressed to the other party at the
address as follows or at such other address as the receiving parry designates by proper
notice to the sending parry:
CITY: Jesus J. Chapa,Assistant City Manager
City Manager's Office
City of Fort Worth
200 Texas Street
Fort Worth, TX 76102
Copies To: Grant Management Section
Bob Bolen Public Safety Complex
505 W. Felix St.
Fort Worth,TX 76115
City Attorney's Office
ATTN: Police Contracts
200 Texas Street
Fort Worth,TX 76102
SCC: Ken Sheffer, Executive Director
Safe City Commission, Inc.
1100 Hemphill Street
Fort Worth, TX 76104
16.7 None of the performance rendered under this Agreement shall involve, and no
portion of the Program Funds received hereunder shall be used, directly or indirectly, for
the construction, operations, maintenance, or administration of any sectarian or religious
facility or activity, nor shall said performance rendered or funds received be utilized so as
to benefit, directly or indirectly, any such sectarian or religious facility or activity.
16.8 Captions and headings used in this Agreement are for reference purposes only and
shall not be deemed a part of this Agreement.
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16.9 The provisions and conditions of this Agreement are solely for the benefit of City
and SCC and are not intended to create any rights, contractual or otherwise, to any other
person or entity.
16.10 The parties acknowledge that each party and its counsel have reviewed this
Agreement and that the normal rules of construction to the effect that any ambiguities are
to be resolved against the drafting party shall not be employed in the interpretation of this
Agreement or exhibits hereto.
16.11 Contractor shall verify the identity and employment eligibility of its employees
who perform work under this Agreement, including completing the Employment
Eligibility Verification Form (I-9). Upon request by City, Contractor shall provide City
with copies of all I-9 forms and supporting eligibility documentation for each employee
who performs work under this Agreement. Contractor shall adhere to all Federal and
State laws as well as establish appropriate procedures and controls so that no services will
be performed by any Contractor employee who is not legally eligible to perform such
services. CONTRACTOR SHALL INDEMNIFY CITY AND HOLD CITY HARMLESS
FROM ANY PENALTIES, LIABILITIES, OR LOSSES DUE TO VIOLATIONS OF
THIS PARAGRAPH BY CONTRACTOR, CONTRACTOR'S EMPLOYEES,
SUBCONTRACTORS, AGENTS, OR LICENSEES. City, upon written notice to
Contractor, shall have the right to immediately terminate this Agreement for violations of
this provision by Contractor.
16.12 Contractors are required to conduct criminal background screenings for all
volunteers or employees who will be working with children under the proposed program.
All criminal background checks shall be in compliance with Texas Department of Family
and Protective Services standards,the Texas Administrative Code and all other applicable
law. Contractors will be responsible for conducting criminal background screening and
for maintaining appropriate records, which will be subject to review by the City.
CONTRACTOR SHALL INDEMNIFY CITY AND HOLD CITY HARMLESS FROM
ANY PENALTIES, LIABILITIES, OR LOSSES DUE TO VIOLATIONS OF THIS
PARAGRAPH BY CONTRACTOR, CONTRACTOR'S EMPLOYEES,
SUBCONTRACTORS,AGENTS, OR LICENSEES.
16.13 It is understood that by execution of this Agreement, the City does not waive or
surrender any of it governmental powers.
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IN WITNESS WHEREOF,the parties hereto have executed this agreement in multiples
in For#Worth,Tarrant County,Texas,to be effective this day of
20
APPROVED AND AGREED FOR APPROVED AND AGREED FOR
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FORT VV RTH SAFE CITY COMMISSION
1�vJesus dhapa Ken Shetter
Assistant City Manager Executive Director
Date: Q Date:
APPR C LADED APPROVED AS TO FORM AND
LEGALITY FOR SAFE CITY
(( COMMISSION
Joel F.Fitzgerald
Chief of Police
SCC Attorney
Date: IG /��l _
Date: G0
APPROVED AS TO FORM AND
LEGALITY FOR CITY OF FORT
WORTFf 7'
Thomas R Hansen01
(j
Assistant City Attorney
Contract Compliance Manager: By ATTEST
signing I acknowledge that I am the
person responsible for the monitoring
and administration of this contract, Wary J&AJU
including ensuring all performance and City Secretary
repo in eq ts.
Date:
A10(a i VA"' M&C No. t_' ..�R` IDS 11
Contract Compliance Specialist 1295 CERTIFICATION:2018-390363
FY19 ADVOCACY PROGRAM
AGREEMENT BETWEEN THE CITY OF FORT WORTH
AND SAFE CITY COMMISSION ,. �� Page 13 of 25
CITY SECiiP-TAR'wf
�'i'.WouN,TX
EXHIBIT A
SCOPE OF WORK
Safe City Commission—Advocacy Program
Imagine No Violence
The Imagine No Violence program was initially kicked off with a Bass Hall event in
November, 2001 where 1,200 high school students gathered, each having a delegation
reporting on their concepts of"Imagining No Violence." The idea of students
expressing themselves through art grew from student representative focus groups.
In 2002, Safe City Fort Worth sponsored the first Imagine No Violence Art Contest and
4,000 students participated. The popularity of the program has grown—over 25,000
students now participate in the program annually. Each year winning artists are
recognized at exciting public events and grand prize winners receive trips to Disney
World.
This project addresses crime prevention strategies by educating youth that they can make
a difference in making their community safer. This will be measured through survey's
administered to program participants.
Safe City Training & Education
Safe City Commission facilitates several training opportunities each year for hundreds of
law enforcement and community crime prevention professionals. Safe City focuses on
providing the latest information and intelligence as well as brining innovative solutions
from across the country to our region. As much as possible, Safe City training events are
designed to bring law enforcement and prevention professional together to foster more
effective networking and working relationships.
This project addresses crime prevention strategies by enhancing crime prevention
professional's skills and knowledge. The training and education provided are essential to
ensure that professionals are current on crime trends,best-practices and related research.
Crime Stoppers
The Crime Stoppers program(described in Exhibit A of the Safe City Commission–Call
Center contract)is partially supported by the Advocacy contract with administrative
salaries and supplies purchased through the contract. While the Crime Stoppers Call
Center is funded through a separate contract,the program could not operate without the
help of the Advocacy Contract. Safe City Commission's Crime Stoppers program has
FYI ADVOCACY PROGRAM
AGREEMENT BETWEEN THE CITY OF FORT WORTH
AND SAFE CITY COMMISSION-EXHIBIT A Page 14 of 25
been repeatedly recognized as one of the leading programs in Texas in terms of
effectiveness and innovation.
This project addresses crime prevention strategies by allowing the community to
anonymous report criminal activity without fear of retaliation and receive a monetary
payment. This project allows for a safe platform for criminal intelligence to be delivered
to local enforcement to ultimately hold offenders accountable and make our communities
safer.
Funding/Staff
This project funds multiple areas of programming that includes: The President of Safe
City Commission, Special Program Director, Children's Program Director, Children's
Program Coordinator and Vice President of Finance and Operation. The President of
Safe City Commission is Ken Shetter. Ken began as the President of the organization in
2005 and has a J.D. in Family Law and is currently the Mayor of the City of Burleson.
The Special Program Director is Rachel Gilbert who oversees Crime Stoppers, Training
&Education, and Project Safe Neighborhood(PSN)programming. Rachel has a Master's
in Business Administration and has worked for Safe City Commission since 2005 and
originally was hired to oversee Crime Stoppers. We have expanded her duties to also
include oversight of Campus Crime Stoppers, training and education and PSN project.
The Children's Program Director is Jessi Rixie who originally started as a volunteer for
our organization in 2012. Jessi was then hired shortly after her volunteer work to
implement Camp Hope Texas and in 2016 her duties expanded to oversee all Children's
Programming that included the Imagine No Violence program. The Program Coordinator
is Melissa Zenteno who assists the Children's Program Director with administrative
duties related to the advocacy program. Melissa has worked for the organization since
2015 and has extensive experience in administrative related duties. The Vice President of
Finance and Operations is Grant Summers who has a Master's in Business
Administration and has worked for Safe City Commission since 2015. Prior to working
for Safe City Commission,Grant was employed by City Center Security for 8 years and
supervised a security team. All employees are required to successfully pass a criminal
background check and personnel files are maintained with documentation of each staff
person.
Program Activities/Model
Imagine No Violence
The program activities for the Imagine No Violence program include: multi-disciplinary
team meetings, the number of Fort Worth ISD middle and high schools that will
participate in the program, and the number of students that will receive special
FYI ADVOCACY PROGRAM
AGREEMENT BETWEEN THE CITY OF FORT WORTH
AND SAFE CITY COMMISSION-EXHIBIT A Page 15 of 25
recognition for their participation in the Imagine No Violence program. The overall
effectiveness of the program will be measured by the implementation of a new survey.
This survey will be administered to all program participants to measure if each
participant feels as though they can have a positive role in making their community safer.
The overall idea of this project is that instruction is provided to the students on
prevention of community violence and through their individual art they can have impacts
on preventing crime in our homes, schools and neighborhoods and promote greater
understanding of community violence. The Urban Institute released a report in 2016,
"Exploring the Ways Arts and Culture Intersect with Public Safety." Through this
research it was determined that practitioners use art to connect groups that are socially
disconnected and even at-odds in order to promote empathy and understanding. Greater
empathy and understanding, in turn, can contribute toward the achievement of public
safety goals, such as reducing interpersonal violence,promoting more effective responses
to people who commit harm or break the law, and improving relationships between law
enforcement and community members. This project is not specifically evidence-based,
however there is significant research that has been conducted and supports the usage of
art in crime prevention programming.
Training and Education
The program activities for Safe City Training and Education include the following:
number of training sessions held that target law enforcement and non-law enforcement
crime prevention professionals,how many individuals were trained through professional
programs and how many individuals were trained through community outreach programs.
Staff will measure effectiveness through an examination of professionals that are
attending the trainings and ratings of the professional training received. The overall goal
of the training programs are to educate crime prevention professionals in a multi-
disciplinary setting to enhance knowledge and practice. Many of the trainings offered
will include evidence-based or evidence-informed practices. These practices are
presented in the training sessions and suggested as implementation to crime prevention
professionals.
Crime Stoppers
The program activities for Crime Stoppers include: the number of materials distributed to
Fort Worth middle and high schools on the Campus Crime Stoppers program. The
materials distributed to each campus provide an overview of the program which includes
a positive image of helping friends to report if someone is trouble. This allows students
to not feel as though they are "tattling"on friends if they need help. In addition,
measurement of success will be reviewed by overall number of arrests compared to
number of cases cleared. Crime Stoppers has been identified as a national model in crime
prevention strategies by Crime Stoppers USA. Crime Stoppers is based on the principal
FYI ADVOCACY PROGRAM
AGREEMENT BETWEEN THE CITY OF FORT WORTH
AND SAFE CITY COMMISSION-EXHIBIT A Page 16 of 25
that someone other than the criminal has information that can solve a crime and was
created to combat the three major problems faced by law enforcement:
• Fear of REPRISAL
• An attitude of APATHY
• Reluctance to get INVOLVED
Crime Stoppers resolves these problems by offering anonymity to people who provide
information about crimes and paying rewards when the information supplied leads to
arrest.
FYI ADVOCACY PROGRAM
AGREEMENT BETWEEN THE CITY OF FORT WORTH
AND SAFE CITY COMMISSION-EXHIBIT A Page 17 of 25
Exhibit B
BUDGET NARRATIVE FISCAL YEAR 2019
Please attach a detailed budget narrative that explains the need for all proposed expenditures by
individual item. The budget narrative should clearly explain how funds will be used and why
expenditures are necessary for successful implementation of your program. Please explain how
costs are calculated.
INDIRECT COSTS CANNOT EXCEED 10% OF THE APPROVED BUDGET
DIRECT PROGRAM COSTS (90% Minimum):
A. Personnel$176,702:
a. 55% of the President's salary($159,200 x 55% = $87,560) - Reporting to
the Board of Directors, the President will have overall strategic and
operational responsibility for Safe City Commission's staff, programs,
expansion, and execution of its mission. S/he will develop and maintain
deep knowledge of field, core programs, operations, and business plans.
When possible and in a manner appropriate for the President's particular
skills, training and professional certification, the President should
participate directly in the carrying out of the mission of Safe City
Commission in order to retain a robust understanding of the organizations
mission and work. The President will spend about 24 hours per week on
this program.
b. 60% of one Program Director's salary ($64,375 x 60% = $38,625) - The
director of special programs is responsible for the administration of the
Crime Stoppers program including reporting to the Crime Stoppers Board,
working with law enforcement personnel to process new tips, the
management of the Call Center and all employees of the Call Center as
well as overseeing all aspects of Training and Education programs offered
by Safe City Commission and the Project Safe Neighborhoods program.
The Program Director will spend about 30 hours per week on this
program.
c. 60% of one Program Coordinator's salary ($37,344 x 60% = 22,406) will
be allocated to the contract. The Program Coordinator position performs
duties including facilitating and coordinating Children's programs
including the Imagine No Violence program and children's community
outreach programs. The Program Coordinator will spend about 32 hours a
week on this program.
d. 40% of a second Program Coordinator's salary ($35,000 x 40% _
$14,000) will be allocated to the contract. The program coordinator assists
with the Imagine No Violence program, all children's programs and
performs various administrative duties as assigned by the president. The
second Program Coordinator will spend about 16 hours per week on the
advocacy program.
e. Up to 18% of the Vice President of Finance and Operations' salary
($79,583 x 18% = $14,111) will be allocated to the contract. The VP of
FY19 ADVOCACY PROGRAM
AGREEMENT BETWEEN THE CITY OF FORT WORTH
AND SAFE CITY COMMISSION-EXHIBIT B Page 18 of 25
Finance manages all aspects of Safe City Commission's finance including
budgets, grants, cash flow management, payroll and accounts payable and
receivable.
B. Fringe Benefits $34,974:
a. FICA calculated at 7.65% (13,518) and company paid Health & Dental
Insurance and costs (21,456) for the same employees at the same
percentages will be allocated to the contract.
C. Travel and Training: N/A
D. Equipment: N/A
E. Supplies: N/A
F. Contracts/Consultants: N/A
G. Other Approved: N/A
INDIRECT COSTS (10% Maximum):
A. Personnel: N/A
B. Fringe Benefits: N/A
C. Travel and Training: N/A
D. Equipment: N/A
E. Supplies: N/A
F. Contracts/Consultants: N/A
G. Other Approved $23,519:
a. $23,519 will be allocated to Facilities and Utilities costs including
telecommunications costs, electricity, water, gas and cleaning and trash
services.
FYI ADVOCACY PROGRAM
AGREEMENT BETWEEN THE CITY OF FORT WORTH
AND SAFE CITY COMMISSION-EXHIBIT B Page 19 of 25
Exhibit B
Budget Summary
Fiscal Year 2019
DIRECT PROGRAM COSTS(90%Minimum) Total $211,676.00
A.PERSONNEL
Salaries $176,702.00
PERSONNEL TOTAL: $176,702.00
B.FRINGE BENEFITS
FICA $13,518.00
Health&Dental Insurance+Retirement Match(3%Max) $21,456.00
FRINGE BENEFITS TOTAL $34,974.00
C.TRAVEL AND TRAINING
None
TRAVEL AND TRAINING TOTAL $0.00
D.EQUIPMENT
None
EQUIPMENT TOTAL $0.00
E.SUPPLIES
Consumables $0.00
SUPPLIES TOTAL $0.00
F.CONTRACTS/CONSULTANTS
None
CONTRACTS/CONSULTANTS TOTAL $0.00
G. OTHER APPROVED
None
OTHER APPROVED TOTAL $0.00
INDIRECT PROGRAM COSTS(30%Maximum) Total $23,519.00
A.PERSONNEL
None
PERSONNEL TOTAL: $0.00
B.FRINGE BENEFITS
None
FRINGE BENEFITS TOTAL $0.00
C.TRAVEL AND TRAINING
None
TRAVELAND TRAINING TOTAL $0.00
D.EQUIPMENT
FYI ADVOCACY PROGRAM
AGREEMENT BETWEEN THE CITY OF FORT WORTH
AND SAFE CITY COMMISSION-EXHIBIT B Page 20 of 25
None
EQUIPMENT TOTAL $0.00
E.SUPPLIES
None
SUPPLIES TOTAL $0.00
F.CONTRACTS/CONSULTANTS
None
CONTRACTS/CONSULTANTS TOTAL $0.00
G. OTHER APPROVED
Facility and Utilities $23,519.00
OTHER APPROVED TOTAL $23,519.00
GRAND TOTAL $235,195.00
FY19 ADVOCACY PROGRAM
AGREEMENT BETWEEN THE CITY OF FORT WORTH
AND SAFE CITY COMMISSION-EXHIBIT B Page 21 of 25
FORT WORTH. Exhibit C
Request for Reimbumement(RFR)
Fiscal Year 2019
CRIME CONTROL
MIP PREVEKnoN Dtmaq
Submit To: Submitting Agency: Safe City Cofnission-Advocacy
Bob Bolan Public Safety Complex Contact Name: Grant Summers
Attn: PD Grants Management Phone Number. 817-502-7121
Financial Management Division Email- asummerstaonesafeolace.ora
505 West Felix St.
Fort Worth, TX 76115 Remit Address: 110 Hemphill St,Fort Worth,TX 76104
_=Z
L-rvoice Number:
—
�— Month of Request - -— --�-
DIRECT COSTS(90%Minimum)
A B C D E
Total of Previous A-D
Budget Category Budget Amount Reimbursements This Month's Total Requested Remaining Balance
Requested Request
q To-Date Available
A Personnel $ 176,702.00 S - $ 176,702.00
B Fringe Benefits $ 34,974.00 $ - $ 34,974.00
C Travel&Train ing $ - $ -
D Equipment $ - S -
E Supplies
F Contracts/Consultants
Total Direct Costs $ 211 676.00 $ $ S S 211,676.00
INDIRECT COSTS(10%Maximum)
A B C D E
Total of PreviousB+C A-D
This Month's
Budge[Category Budget Amount Reimbursements Total Requested Remaining Balance
Requested Request To-Date Available
A Personnel -
B Fringe Benefits
C Travel&Training S - $
D Equipment $ - S -
E Supplies $ - S -
F Contracts/ConsultantsOther Approved $ 23,519.00 S S 23,519.00
Total InDi rect Costs S 23,519.00 $ $ $ $ 23,519.00
Supporting documents required with monthly requests. Summar:
This includes,timesheets depicting CCPD funded activities, Total Budget: S 235,195.00
copy of paychecks,invoices and receipts detailing all CCPD Previous Requests: S
�fttndedespmditures. This Request: S
Total Requested To-Date S
Rernaitmg Funds S 235,195.00
i have reviewed this request and certify that these listed expenses and support documentation are accurate.
_ Authorized Signatory 1 Signatory Title Date
Fiscal Agent Use Only
Purchase Order q Fund Dept ID Account
RFR Approved For Pgyetent
Orant Staff S' nature_.____ 4 Date
Finance Received Stamp Placed Below
--
T_
FY 2019 CFW CCPD Program +
FY19 ADVOCpjCY_PROGg.AM._
AGREEMENT BETWEEN THE CITY OF FORT WORTH
AND SAFE CITY COMMISSION-EXHIBIT C Page 22 of 25
FORT WORTH
&PRevr.Nrm DismcT
Exhibit D
Fiscal Year 2019
Monthly Program Activities Report
Current Reporting Month
Submitting Agency Safe City Commission—Advocacy
Contact Name Michelle Morgan
Phone Number and Email (817) 502-7122/mmorgan@onesafeplace.org
Remit Address 1100 Hemphill St, Fort Worth,TX 76104
Activity Current To Date Year End
Month Total Goal
Total
1 Number of multi-disciplinary meetings (excluding meetings related solely to One Safe
Place programs and/or services). 55
2 Number of participants in professional education programs. 1500
3 Number of participants in community outreach programs. 1500
4 Number of FWISD schools participating in the Imagine No Violence Art Contest
45
5 Number of participants receiving special recognition through the Imagine No 125
Violence Art Contest
6 Number of materials distributed to Fort Worth ISD middle school and high school 20,000
who will receive public education information about the Campus Crime Stoppers
Friends for Life program.
7 Number of total training sessions (includes professional education and community 100
outreach) held that target law enforcement and non-law enforcement crime
prevention professionals.
8
I have reviewed this report and certify that the measures provided are accurate and appropriately reflect the
CCPD goals set forth in the contract.
Authorized Signatory Signatory Title Date
FYI ADVOCACY PROGRAM
AGREEMENT BETWEEN THE CITY OF FORT WORTH
AND SAFE CITY COMMISSION-EXHIBIT D Page 23 of 25
FORT WORTH
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&ftwumoa Dormcr
Exhibit E
Fiscal Year 2019
Quarterly Program Effectiveness Measurement Report
Current Reporting Quarter
Submitting Agency Safe City Commission—Advocacy
Contact Name Michelle Morgan
Phone Number and Email (817) 502-7122 mmorpan@onesafeplace.org
Remit Address 1100 Hemphill St, Fort Worth,TX 76104
Please include outcome narrative that describes how measure was accomplished for each quarter.
Effectiveness Measures and Quarterly Outcomes
Measure 1 60%of respondents surveyed express that they can have a positive role in making their community safer
Outcome
Measure 2 75%of participants in professional education programs completed evaluations that rated trainings
Good/Excellent.
Outcome
Measure 3 75%of training programs are open and targeted to law enforcement and non-law enforcement crime
prevention professionals.
Outcome
Measure 4 At least 40%of participants in professional education programs are non-law enforcement crime
prevention professionals.
Outcome
Measure 5 300 arrests and 650 cleared cases resulting from Crime Stoppers tips for the year.
Outcome
I have reviewed this report and certify that the measures provided are accurate and appropriately reflect the CCPD goals
set forth in the contract.
Authorized Signatory Signatory Title Date
Report due each quarter: 1St Quarter(Oct-Dec)due January 15 2nd Quarter(Jan-Mar)due April 15
3`d Quarter(Apr-June)due July 15 4th Quarter(Jul-Sep)due October 15
FYI ADVOCACY PROGRAM
AGREEMENT BETWEEN THE CITY OF FORT WORTH
AND SAFE CITY COMMISSION-EXHIBIT E Page 24 of 25
FORT WORTH
cMMZ ca+�L
&PRcvrxnav Disr _
• Up to 5%of any budgeted line-item does not need prior approval but form must be sent to City with monthly RFR
• More than 5%of any budgeted line-item must have prior City approval
• An increase in a zero line-item must have prior City approval
• Modifications cannot be made between Direct and Indirect costs
Exhibit F
Request for Budget Modification
Fiscal Year 2019
Date
Submitting Agency
Contact Name
Phone Number and Email
Remit Address
DIRECT COSTS(90%minimum)
Budget Category Approved Budget Change Requested Revised Budget
Personnel
Fringe Benefits
Travel and Training
Equipment
Supplies
Contracts/Consultants
Other Approved
Total Direct Costs
INDIRECT COSTS(10%maximum)
Budget CategoryApproved Budget Change Requested Revised Budget
Personnel
Fringe Benefits
Travel and Training
Equipment
Supplies
Contracts/Consultants
Other Approved
Total Indirect Costs
Modification Narrative(describe in detail what change is for)
I have reviewed this request and certify that the listed modifications are correct.
Authorized Signatory Signatory Title Date
J1WPl F�JSE� N ONLY
0 Modification Approved ❑ Modification NOT Approved
FWPD
Staff Signature Date
FYI ADVOCACY PROGRAM
AGREEMENT BETWEEN THE CITY OF FORT WORTH
AND SAFE CITY COMMISSION-EXHIBIT F Page 25 of 25
Official site of the City of Fort Worth,Texas
CITY COUNCIL AGENDA FOR 11
COUNCIL ACTION: Approved As Amended on 9/25/2018
REFERENCE 35SAFE CITY COMMISSION
DATE: 9/25/2018 NO.: C-28879 LOG NAME: ADVOCACY PROGRAM
FY19
CODE: C TYPE: NOW PUBLIC NO
CONSENT HEARING:
SUBJECT: Authorize Execution of Agreement with Safe City Commission in the Amount of
$235,195.00 to Continue Operation of the Community Advocacy Crime Prevention
Program for Fiscal Year 2019 (General Fund and CCPD Funded) (ALL COUNCIL
DISTRICTS)
RECOMMENDATION:
It is recommended that the City Council authorize the execution of an Agreement with Safe City
Commission in the amount of$235,195.00 to continue the operation of the Community Advocacy
Crime Prevention Program for Fiscal Year 2019.
DISCUSSION:
Safe City Commission (SCC) is a vital partner in the City of Fort Worth's crime prevention efforts.
Safe City Commission (SCC) seeks to help make Fort Worth the safest major city in the United States
through its partnerships with the community, schools, and law enforcement. To accomplish this goal,
SCC operates the Community Advocacy Crime Prevention Program, which provides crime
prevention, education, and community advocacy throughout Fort Worth. Through its initiatives, SCC
promotes a culture of non-violence among Fort Worth's youth.
Under the terms of the Agreement, Safe City Commission (SCC)will be reimbursed during Fiscal
Year 2019 for cost related to the operation of the Community Advocacy Crime Prevention
Program. The total reimbursement amount is $235,195.00, of which $60,195.00 will be drawn from
the General Fund and $175,000.00 from the Crime Control and Prevention District Fund.
This Agreement will be effective October 1, 2018, and will end on September 30, 2019.
This program serves ALL COUNCIL DISTRICTS.
FISCAL INFORMATION/CERTIFICATION:
The Director of Finance certifies that, contingent upon adoption of the Fiscal Year 2019 Budget by
City Council, funds will be available in the Fiscal Year 2019 Budget of the Crime Control and
Prevention District Fund and the General Fund. The Police Department is responsible for verifying
the availability of funds prior to an expenditure being made.
TO
Fund Department Account Project Program Activity Budget Reference# Amount
ID ID Year Chartfield 2
FROM
Fund Department Account Project Program Activity Budget Reference# Amount
ID I I ID I I Year Chartfield 2
Submitted for City Manager's Office by: Jay Chapa (5804)
Originating Department Head: Joel Fitzgerald (4231)
Additional Information Contact: Tiffany Moore (4223)
ATTACHMENTS
HB 1295 (Advocacy).pdf
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
101`1
Complete Nos.l-4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2018-390363
Safe City Commission
Fort Worth,TX United States Date Filed:
2 Name of governmental entity or state agency that is a parry to the contract for which the form is 08/09/2018
being filed.
City of Fort Worth Date Acknowledged:
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a
description of the services,goods,or other property to be provided under the contract
FY2019 CCPD Advocacy
Advocacy Programs of Safe City Commission
4 Nature of Interest
Name of Interested Parry City,State,Country(place of business) (check applicable)
Controlling I Intermediary
5 Check only if there is NO Interested Party. ❑
X
6 UNSWORN DECLARATION
My name Is_6-W41 rA^6:5 and my date of birth is 011 do I _.
My address is /1003 Awg- (j frw- OVA . TX Us&
(street) (dty) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct
.-� 7
Executed to 1 t�Yl'A y E ovnty,State of on the,_ __day of _,20.(,x.
_L�Nh) (Year)'
Signature f a ntracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.6711
FORTWORTH.
DOCUMENT APPROVAL /CORRECTION FORM
TO: Tiffany Moore
DEPT: Police Department
DATE: October 8, 2018
SUBJECT: Advocacy Program Agreement Between City of Fort Worth and Safe City Commission
for FY19(CCPD FUNDED)
TITLE OF DOCUMENT(S)
Advocacy Program Agreement Between the City of Fort Worth and Safe City Commission, A Texas
Non-Profit Corporation FY19
X APPROVED FOR SIGNATURE —The Document has been reviewed and approved for signature.
RETURN TO DEPARTMENT—The above referenced document(s) are being returned to your
department for corrections. Please see comments below.
COMMENTS:
Please let Safe City Commission know that I did change their name on the Contract to
reflect what is listed under the Secretary of State website. They were listed in the
agreement as "The Safe City Commission, Inc." The SOS website has them listed as
"Safe City Commission"a Texas Non-Profit Corporation. Please send the original
copies for signature once they are received from the Contractor. Further, make sure
Contractor is ok with the background check language in the last clause of the
agreement.
By:
Thomas R. Hansen, Assistant City Attorney
REQUIRED SIGNATURES ON DOCUMENT(S)
X VENDOR
X DEPARTMENT DIRECTOR
X ASSISTANT CITY ATTORNEY
OFFICE OF THE CITY ATTORNEY
The City of Fort Worth*200 Texas Street,Third Floor*Fort Worth,Texas 76102
817-392-7600*Fax 817-392-8359
X ASSISTANT CITY MANAGER
X CITY SECRETARY
X CONTRACT MANAGER
OFFICE OF THE CITY ATTORNEY
The City of Fort Worth * 1000 Throckmorton Street*Fort Worth,Texas 76102
817-392-7600*Fax 817-392-8359