HomeMy WebLinkAboutContract 51466CITY SECRETARY
CONTRACT N0.
AGREEMENT FOR COMMUNITY BASED PROGRAM
Lena Pope Home, Inc.
FISCAL YEAR 2019
In consideration of the mutual covenants, promises and agreements contained herein, THIS
AGREEMENT ("Agreement") is made and entered into between CITY OF FORT WORTH, a
home rule municipal corporation of the State of Texas, ("City") acting by and through Jesus
Chapa, its duly authorized Assistant City Manager, and Lena Pope Home, Inc., a Texas non-
profit corporation ("Contractor") acting by and through Todd Landry, Chief Executive Officer,
its duly authorized representative.
RECITALS
WHEREAS, City has determined that Community -Based Programs are necessary to
support crime prevention in City during Fiscal Year 2019 to meet one or more of the Crime
Control and Prevention District ("CCPD") goals, which are (1) to support efforts to reduce
violent crime and gang -related activities through enhanced enforcement activities and crime
prevention programs, (2) to support efforts to increase the safety of residents and to decrease
crime throughout Fort Worth neighborhoods, and (3) to support efforts to increase the safety of
youth and reduce juvenile crime through crime prevention and intervention programs; and
WHEREAS, Contractor has agreed to operate a Community -Based Program called
Second Opportunity for Success in Fort Worth, which will support the police department's crime
prevention efforts throughout the community; and
WHEREAS, City desires to enter into an agreement with Contractor to operate the
Second Opportunity for Success in Fort Worth Program and
WHEREAS, City, as consideration for the performance of Contractor, has appropriated
monies in the CCPD Budget in the amount of $10,487.00 ("Program Funds") to provide to
Contractor on a reimbursable basis for the operation of the Second Opportunity for Success
Program subject to and in accordance with this agreement;
NOW, THEREFORE, in consideration of the mutual covenants herein expressed, the
parties agree as follows:
AGREEMENT DOCUMENTS
The Agreement documents shall include the following:
1. This Agreement between City and Contractor
6 ��a 2. Exhibit A — Proposal Abstract and Narrative
2 woR� 3. Exhibit B — Budget
o`CloF�oc���N?�( 4. Exhibit C — Request for Reimbursement
S. Exhibit D — Program Activities Report
OFFICIAL RECORD
CITY SECRETARY
FY 2019 Community Based Program R
Lena Pope Home, Inc. ��age 1 oo 28 �'
6. Exhibit E — Program Effectiveness Measurement Report
7. Exhibit F — Request for Budget Modification
Exhibits A through F, which are attached hereto and incorporated herein, are made a part of this
Agreement for all purposes. In the event of any conflict between the terms and conditions of
Exhibits A through F and the terms and conditions set forth in the body of this Agreement, the
terms and conditions of this Agreement control.
DEFINITIONS
The term "City" shall include City, and its officers, agents, employees, and representatives.
The term "Contractor" shall include Contractor, and its officers, agents, employees,
representatives, servants, contractors, and subcontractors.
The term "Party" shall refer to either City or Contractor.
The term "Parties" shall refer to both City and Contractor.
AGREEMENT
1. Responsibilities of Contractor.
Contractor covenants and agrees to fully perform, or cause to be performed, with good
faith and due diligence, all work and services described in Exhibit "A" — Proposal Narrative.
Contractor shall be responsible for day-to-day administration of the Second Opportunity for
Success program. Contractor agrees to expend the Program Funds in accordance with the Budget
as described in Exhibit `B". Program activities shall be reported in accordance with Exhibit
"D"- Program Activities Report and effectiveness measures shall be reported in accordance with
Exhibit "E"- Program Effectiveness Measures Report.
2. Program Funds.
2.1 In no event shall the total distribution from City made to the Contractor during the Term
of this Agreement exceed $10,487.00 ("Program Funds").
2.2 Payment of the Program Funds from City to Contractor shall be made on a cost -
reimbursement basis following receipt by City from Contractor of a signed Request for
Reimbursement (RFR), as described in Exhibit "C" along with copies of all receipts and other
supporting documentation. Contractor shall deliver to City a written detailed Program Activities
Report and Program Effectiveness Measures Report as described in Section 4.2 below with each
RFR to support expenditure of Program Funds. Such reports shall be signed by the Contractor or
duly authorized officer of the Contractor. The RFR and monthly Program Activities Report shall
be submitted to City no later than the 15th day following the end of the month. Submittal of a
monthly RFR and Program Activities Report is required even if services are not provided.
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The monthly RFR, with an original signature by an authorized representative, must be submitted
to the Grants and Program Management Section of the Fort Worth Police Department,
ATTENTION: Contract Compliance Specialist, Financial Management Division, Bob
Bolen Public Safety Complex, 505 W. Felix St., Fort Worth, Texas, 76115. Reimbursements
will not be made until after receipt of an acceptable and approved RFR and a monthly Program
Activities Report from the Contractor. Additionally, a quarterly Program Effectiveness
Measurement Report from Contractor is required as described in section 4.2 and must be
approved prior to reimbursements. Reimbursements shall be made within 30 days receipt of said
documents.
2.3 Contractor is authorized to modify up to five (5) percent of any budgeted line -item in the
original approved budget without prior written permission from City. However, Contractor
must submit the Request for Budget Modification Form (Exhibit "F") to City, with the monthly
RFR, during the month the modification took place. The new modified budget cannot exceed the
total amount of Program Funds.
2.4 Any modifications of more than five (5) percent of any budgeted line -item in the original
approved budget must have prior written permission from City before the modifications are
made. The Budget Modification Form (Exhibit "F") must be submitted, and request must be
approved by City, before any money is moved to the line -item. Once the Budget Modification is
approved, the modified budget will take effect on the first day of the following month. The new
modified budget shall not exceed the total amount of Program Funds.
2.5 Any modifications to zero line -items in the original approved budget must have prior
written permission from City before the modifications are made. The Budget Modification Form
(Exhibit "F") must be completed and approved by City before money is transferred into the new
line -item. Once the Budget Modification is approved, the modified budget will take effect on the
first day of the following month. The new modified budget shall not exceed the total amount of
Program Funds.
2.6 Budget modification can only occur within the Direct and Indirect costs. Funds may not
be moved from a Direct line -item into an Indirect line -item, or vise versus. Modification of
Direct and Indirect approved budgets must follow the guidelines outlined in sections 2.3, 2.4. and
2.5.
Budget adjustments shall be submitted to the Contract Compliance Specialist, Financial
Management Division, the Fort Worth Police Department at Bob Bolen Public Safety
Complex at 505 W. Felix St., Fort Worth, Texas, 76115.
3. Term. This Agreement shall commence upon October 1, 2018 ("Effective Date"), and
shall end on September 30, 2019 ("End Date"). All of Contractor's expenditures under this
Agreement must be completed no later than September 30, 2019.
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4. Program Performance.
4.1 Contractor agrees to maintain full documentation supporting the performance of the work
and fulfillment of the objectives set forth in Exhibit "A."
4.2 Contractor agrees to provide a monthly Program Activities Report and quarterly Program
Effectiveness Measurement Report to document the performance of the work described in
Exhibit "D" and Exhibit "E," respectively. The Program Activities and Effectiveness Measures
shall document the program activity names, numbers of participants attending, details of the
activities, and a description of the goals achieved in support of the CCPD goals. Program
Effectiveness Measures shall be reported on a quarterly basis and included in the January, April,
July, and October RFR and Program Activities Report submittals. Additionally, the Program
Effectiveness Measurement Report must include descriptions of any realized successes. The
monthly Program Activities and quarterly Program Effectiveness Measurement Reports shall be
submitted to City no later than the 15th day after the end of each month.
4.3 Contractor agrees that the monthly Request for Reimbursement and Program Activities
Report and quarterly Program Effectiveness Measurement Report will be submitted to City no
later than the 15th day after the end of each month. Should Contractor not meet these
requirements, Contractor will be given an additional 15 days to submit the required reports to
City. If, at the end of this 15 -day extension period, Contractor has not submitted the required
reports, City will send a non-compliance letter notifying Contractor's duly authorized
representative of a possible suspension of program funding.
4.4 A representative of the program shall attend quarterly meetings of the Crime Control and
Prevention District Board as requested.
5. Default and Termination.
5.1 This Agreement is wholly conditioned upon the actual receipt by City of Program Funds
from the CCPD. All monies distributed to Contractor hereunder shall be exclusively from
monies received from the CCPD, and not from any other monies of City. In the event that funds
from the CCPD are not received in whole or in part, City may, at its sole discretion, terminate
this Agreement and City shall not be liable for payment for any work or services performed by
Contractor under or in connection with this Agreement.
5.2 In the event no funds or insufficient funds are appropriated by the City in any fiscal year
for any payments due hereunder, City will notify Contractor of such occurrence and this
Agreement shall terminate on the last day of the fiscal period for which appropriations were
received without penalty or expense to the City of any kind whatsoever, except as to the portions of
payments herein agreed upon for which funds have been appropriated.
5.3 The City may terminate this Agreement at any time and for any reason by providing the
other party with thirty (30) days' written notice of termination.
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5.4 Termination will be effected by delivering to Contractor written notice of termination.
Upon Contractor's receipt of notice of termination, Contractor shall:
(a) Stop work under the Agreement on the date and to the extent specified in the notice of
termination;
(b) Place no further order or subcontracts, except as may be necessary for completion of the
work not terminated;
(c) Terminate all orders and contracts to the extent that they relate to the performance of the
work terminated by the notice of termination; and
(d) Cease expenditures of Program Funds, except as may be necessary for completion of the
work not terminated.
5.5 In the event City suspends or terminates this Agreement, Contractor expressly waives
any and all rights to monetary damages, including but not limited to actual, consequential, and
punitive damages, court costs and attorney's fees.
5.6 Within thirty (30) days following the date of termination of this Agreement, Contractor
shall return to City any property provided hereunder. City will have no responsibility or liability
for Contractor's expenditures or actions occurring after the effective date of termination of the
Agreement.
6. Equipment and Maintenance. All equipment purchased with Program Funds must
meet all eligibility requirements of City. Contractor shall maintain all equipment used in the
administration and execution of the Second Opportunity for Success program. Contractor shall
maintain, replace, or repair any item of equipment used in support of the Second Opportunity for
Success program or for use under the terms of this Agreement that no longer functions or is lost
or stolen. The cost for maintenance, replacement or repair of any equipment used in support of
Second Opportunity for Success program and/or for use under the terms of this Agreement is the
sole responsibility of Contractor. Contractor shall not use Program Funds to repair or replace
said equipment. Contractor shall use any and all equipment purchased with Program Funds
exclusively in support of the Second Opportunity for Success program. Within 10 days
following the purchase of equipment, Contractor shall submit to City a detailed inventory of all
equipment purchased with Program Funds to the Grants and Program Management Section at the
address set forth in paragraph 2.2 above. The equipment inventory shall include an itemized
description of each piece of equipment, the date each piece of equipment was purchased, the cost
of purchase for each piece of equipment, and the location of each piece of equipment.
7. Administrative Requirements.
7.1
Contractor agrees to keep sufficient records to document its adherence to applicable local, state, and
federal regulations, along with documentation and records of all receipts and expenditures of
Program Funds. All records shall be retained for three (3) years following the termination or
completion of this Agreement. City or its representatives shall have the right to investigate,
examine, and audit at any time any and all such records relating to operations of Contractor under
this Agreement. Contractor, its officers, members, agents, employees, and subcontractors, upon
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demand by City, shall make such records readily available for investigation, examination, and audit.
In the event of such audit by City, a single audit of all Contractor's operations will be undertaken
and may be conducted either by City or an independent auditor of City's choice. Contractor shall
submit a copy of any audit performed by their independent auditor within 30 days of receipt of the
final audit report.
7.2 If any audit reveals a questioned practice or expenditure, City shall notify Contractor as
soon as reasonably practical. Contractor shall have fifteen (15) days to provide City with a
written explanation and any supporting documentation regarding the practice or expenditure. If
Contractor fails to resolve or cure the questioned practice or expenditure, to the City's
satisfaction, within the fifteen (15) day period, City reserves the right to withhold further
Program Funds under this and/or future agreement(s) with Contractor.
7.3 If, as a result of any audit, it is determined that Contractor misused, misapplied or
misappropriated all or any part of the Program Funds, Contractor agrees to reimburse City the
amount of such monies so misused, misapplied or misappropriated, plus the amount of any
sanction, penalty, or other charge levied against City because of such misuse, misapplication or
misappropriation.
7.4 Contractor's obligation to City shall not end until all closeout requirements are
completed. The closeout requirements shall include, but are not limited to: providing final
Program Activities Report and Program Effectiveness Measurement Reports, making final
payments, and disposing of Second Opportunity for Success assets as appropriate, if deemed
required by the City in its sole discretion.
7.5 Contractor covenants and agrees to fully cooperate with City in monitoring the
effectiveness of the services and work to be performed by Contractor under this Agreement, and
work to be performed by Contractor under this Agreement and City shall have access at all
reasonable hours to offices and records of Contractor, its officers, members, agents, employees,
and subcontractors for the purpose of such monitoring.
Section 7 shall survive the expiration or termination of this Agreement.
8. Independent Contractor.
8.1 Contractor shall operate hereunder as an independent contractor and not as an officer,
agent, or servant or employee of City. Contractor shall have exclusive control of, and the
exclusive right to control, the details of the work and services performed hereunder, and all
persons performing same, and shall be solely responsible for the acts and omissions of its
officers, members, agents, servants, employees, subcontractors, program participants, licensees,
or invitees. The doctrine of respondent superior shall not apply as between City and Contractor,
its officers, members, agents, servants, employees, subcontractors, program participants,
licensees, or invitees, and nothing herein shall be construed as creating a partnership or joint
enterprise between City and Contractor. No federal, state, or local income tax, nor any payroll
tax of any kind, shall be withheld or paid by City on behalf of Contractor. Contractor shall not be
treated as an employee with respect to the services performed pursuant to this Agreement for
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federal or state tax purposes. It is expressly understood and agreed that officers, members,
agents, employees, subcontractors, licensees, or invitees of Contractor, and any program
participants hereunder are not eligible for, and shall not participate in any employer pension,
health, or other fringe benefit plan provided by City. It is expressly understood and agreed that
City does not have the legal right to control the details of the tasks performed hereunder by
Contractor, its officers, members, agents, employees, subcontractors, program participants,
licensees, or invitees.
8.2 City shall in no way nor under any circumstances be responsible for any property
belonging to Contractor, its officers, members, agents, employees, subcontractors, program
participants, licensees or invitees, which may be lost, stolen, destroyed, or in any way damaged.
9. Liability and Indemnification.
CONTRACTOR SHALL BE 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 CONTRACTOR,
ITS OFFICERS, AGENTS, SERVANTS OR EMPLOYEES.
CONTRACTOR AGREES TO DEFEND, INDEMNIFY, AND HOLD THE CITY, ITS
OFFICERS, AGENTS, SERVANTS, AND EMPLOYEES HARMLESS AGAINST ANYAND
ALL CLAIMS, LAWSUITS, ACTIONS, COSTS, AND EXPENSES OF ANY KIND,
INCLUDING, BUT NOT LIMITED TO, THOSE FOR PROPERTY DAMAGE OR LOSS
(INCLUDING ALLEGED DAMAGE OR LOSS TO OWNER'S BUSINESS AND ANY
RESULTING LOST PROFITS) AND/OR PERSONAL INJURY (INCLUDING DEATH)
THAT MAY RELATE TO, ARISE OUT OF, OR BE OCCASIONED BY (I)
CONTRACTOR'S BREACH OF ANY OF THE TERMS OR PROVISIONS OF THIS
AGREEMENT OR (H) ANY NEGLIGENT ACT OR OMISSION OR INTENTIONAL
MISCONDUCT OF CONTRACTOR, 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 CONTRACTOR 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
IMMUNITYAS FURTHER PROVIDED BY THE LAWS OF TEXAS.
Contractor shall require all of its subcontractors to include in their subcontracts a release and
indemnity in favor of City in substantially the same form as above.
This section shall survive the expiration or termination of this Agreement.
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10. Non-Assignment. No assignment or delegation of duties under this Agreement by
Contractor 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 Second Opportunity for Success program is situated;
and no other public official of such locality or localities who exercises any functions or
responsibilities with respect to the Second Opportunity for Success program during his tenure or
for one year thereafter, shall have any interest, direct or indirect, in any contract or subcontract,
or the proceeds thereof, for work to be performed hereunder. Contractor shall incorporate, or
cause to be incorporated, like language prohibiting such interest, in all contracts and subcontracts
hereunder.
11.2 No officer, employee, member, or program participant of Contractor shall have a
financial interest, direct or indirect, in this Agreement or the monies transferred hereunder, or be
financially interested, directly or indirectly, in the sale to Contractor of any land, materials,
supplies, or services purchased with any funds transferred hereunder, except on behalf of
Contractor, as an officer, employee, member, or program participant. Any willful violation of
this paragraph with the knowledge, expressed or implied, of Contractor or its subcontractors,
shall render this Agreement voidable by City of Fort Worth.
12. Nondiscrimination.
12.1 In accordance with the federal, state, and local laws and ordinances, Contractor
covenants that neither it nor any of its officers, members, agents, employees, program
participants, or subcontractors, while engaged in performing this Agreement shall in connection
with the employment, advancement, or discharge of employees, in connection with the terms,
conditions or privileges of their employment, discriminate against persons because of their age,
except on the basis of a bona fide occupational qualification, retirement plan, statutory
requirement, or statutory or ordinance exception.
12.2 Contractor will not unlawfully discriminate against any person or persons because of
age, race, color, religion, sex, disability, national origin, or sexual orientation, nor will Contractor
permit its officers, members, agents, employees, subcontractors, or program participants to
engage in such discrimination.
IF ANY CLAIM ARISES FROM AN ALLEGED VIOLATION OF THIS NON-
DISCRIMINATION COVENANT BY CONTRACTOR, ITS PERSONAL
REPRESENTATIVES, ASSIGNS, SUBCONTRACTORS OR SUCCESSORS IN
INTEREST, CONTRACTOR AGREES TO ASSUME SUCH LIABILITY AND TO
INDEMNIFY AND DEFEND THE CITY AND HOLD THE CITY HARMLESS FROM
SUCH CLAIM.
This section shall survive the expiration or termination of this Agreement.
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13. Compliance.
13.1 Contractor, its officers, members, agents, employees, program participants, and
subcontractors, shall abide by and comply with all laws, federal, state and local, including all
ordinances, rules and regulations of City. If City calls to the attention of Contractor in writing to
any such violation on the part of Contractor or any of its officers, members, agents, employees,
subcontractors or program participants, then Contractor shall immediately desist from and
correct such violation.
13.2 Contractor shall utilize Program Funds strictly for those purposes and goals intended
under the terms and conditions of this Agreement. If City calls the attention of Contractor in
writing to any such violations on the part of Contractor or any of its officers, members, agents,
employees, program participants or subcontractors, then Contractor shall immediately desist
from and correct such violation.
14. Governmental Powers. It is understood that by execution of this Agreement, the City does
not waive or surrender any of it governmental powers.
15. Waiver of Immunity. If Contractor is a charitable or nonprofit organization and has or
claims an immunity or exemption (statutory or otherwise) from and against liability for damages
or injury, including death, to persons or property; Contractor hereby expressly waives its rights to
plead defensively such immunity or exemption as against City. This section shall not be
construed to affect a governmental entity's immunities under constitutional, statutory or common
law.
16. Insurance Requirement.
16.1 Coverages and Limits. Contractor shall provide the City with certificate(s) of insurance
documenting policies of the following minimum coverage limits that are to be in effect prior to
commencement of any work pursuant to this Agreement:
(a) Commercial General Liability (CGL): $1,000,000 per occurrence, with a $2,000,000.00
annual aggregate limit, in a form that is acceptable to the City's Risk Manager.
(b) Non -Profit Organization Liability or Directors & Officers Liability: $1,000,000 per
occurrence, with a $1,000,000 annual aggregate limit, in a form that is acceptable to the
City's Risk Manager.
(c) Automobile Liability: $1,000,000 each accident on a combined single limit basis OR
split limits are acceptable if limits are at least $250,000 Bodily Injury per person,
$500,000 Bodily Injury per accident and $100,000 Property Damage.
(d) Any other insurance the City may reasonably require to protect the interest of the City.
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16.2 Contractor's insurer(s) must be authorized to do business in the State of Texas for the
lines of insurance coverage provided and be currently rated in terms of financial strength and
solvency to the satisfaction of the City's Risk Manager. All insurers must have a minimum
rating of A- VII in the current A.M. Best Key Rating Guide, or have reasonably equivalent
financial strength and solvency to the satisfaction of Risk Management. If the rating is below
that required, written approval of Risk Management is required.
16.3 Each insurance policy required herein shall be endorsed with a waiver of subrogation in
favor of the City. Each insurance policy required by this Agreement, except for policies of
worker's compensation or accident/medical insurance shall list the City as an additional
insured. City shall have the right to revise insurance coverage requirements under this
Agreement.
16.4 Contractor further agrees that it shall comply with the Worker's Compensation Act of
Texas and shall provide sufficient compensation insurance to protect Contractor and City from
and against any and all Worker's Compensation claims arising from the work and services
provided under this Agreement.
16.5 The commercial general liability policy shall name the City as an additional insured
thereon, as its interests may appear.
16.6 A minimum of Thirty (30) days' notice of cancellation or reduction in limits of coverage
shall be provided to the City. Ten (10) days' notice shall be acceptable in the event of non-
payment of premium. Notice shall be sent to the Risk Manager, City of Fort Worth, 200 Texas
Street, Fort Worth, Texas 76102, with copies to the City Attorney at the same address.
16.7 Any failure on the part of the City to request required insurance documentation shall not
constitute a waiver of the insurance requirement.
16.8 Certificates of Insurance evidencing that the Contractor has obtained all required
insurance shall be delivered to the City prior to Contractor proceeding with any work pursuant to
this Agreement.
17. Miscellaneous Provisions.
17.1 The provisions of this Agreement are severable, and, if for any reason a clause, sentence,
paragraph, or other part of this Agreement shall be determined to be invalid by a court or Federal or
state agency, board, or commission having jurisdiction over the subject matter thereof, such
invalidity shall not affect other provisions which can be given effect without the invalid provision.
17.2 City's failure to insist upon the performance of any term or provision of this Agreement
or to exercise any right herein conferred shall not be construed as a waiver or relinquishment to
any extent of City's right to assert or rely upon any such term or right on any future occasion.
17.3 Should any action, whether real or asserted, at law or in equity, arise out of the execution,
performance, attempted performance or non-performance of this Agreement, venue for said
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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.
17.4 Contractor represents that it possesses the legal authority, pursuant to any proper,
appropriate and official motion, resolution or action passed or taken, to enter into this Agreement
and to perform the responsibilities herein required.
17.5 This written instrument and Exhibits A through F constitute the entire agreement between
the parties concerning the work and services to be performed hereunder, and any prior or
contemporaneous, oral or written agreement which purports to vary from the terms hereof shall
be void.
17.6 Any amendments to the terms of this Agreement must be in writing and must be signed
by authorized representatives of each Party.
17.7 None of the performance rendered under this Agreement shall involve, and no portion of
the Program Funds received hereunder shall be used, directly or indirectly, for the construction,
operations, maintenance or administration of any sectarian or religious facility or activity, nor
shall said performance rendered or funds received be utilized so as to benefit, directly or
indirectly, any such sectarian or religious facility or activity.
17.8 The parties acknowledge that each party and its counsel have reviewed this Agreement
and that the normal rules of construction to the effect that any ambiguities are to be resolved
against the drafting party shall not be employed in the interpretation of this Agreement or
exhibits hereto.
17.9 Captions and headings used in this Agreement are for reference purposes only and shall
not be deemed a part of this Agreement.
17.10 The provisions and conditions of this Agreement are solely for the benefit of City and
Contractor and are not intended to create any rights, contractual or otherwise, to any other person
or entity.
17.11 Contractor certifies that it has obtained a 501(c)(3) Certificate from the Internal Revenue
Service. Contractor shall notify City in writing of any changes to its 501(c)(3) tax-exempt status
during the term of this Agreement.
18. Notice.
Notices to be provided hereunder shall be sufficient if forwarded to the other party by hand -delivery or
via U.S. Postal Service certified mail, postage prepaid, to the address of the other party shown below:
CITY: Jesus Chapa, Assistant City Manager
City Manager's Office
City of Fort Worth
200 Texas Street
Fort Worth, TX 76102
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Copies To: Financial Management Division
Bob Bolen Public Safety Complex
505 West Felix St.
Fort Worth, TX 76115
City Attorney's Office
Attn: Police Contracts
200 Texas Street
Fort Worth, TX 76102
CONTRACTOR: Sonya Mosley, LCSW
Director of School and Community Based Services
3200 Sanguinet Street
Fort Worth, TX 76107
19. Immigration Nationality Act.
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.
20. Background Screening For Persons Working With Children.
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.
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IN WITNESS WHEREOF, the parties hereto havc'uted thgree.��ent in multiple "n Fort
Worth, Tarrant County, Texas, to be effective this i day of 20
APPROVED AND AGREED FOR
CITY OF FORT `vv ^vR T H
Jesus Chapa
Assistant City Manager
Date: % D ~ I
APPROVAL RECOMMENDED
Joel F. Fitzgerald
Chief of Police
Date: / 0�417 /9
APPROVED AS TO FORM AND
LEGALITY FOR CITY OF FORT
WORTH
Thomas R. Hansen
Assistant City Attorney
Contract Compliance Manager:
By signing I acknowledge that I am the
person responsible
for the monitoring and administration of
this contract, including
ensuring all performance and reporting
requ jrgment,s.�---,
Almalbarra
Contract Compliance Specialist
FY 2019 Community Based Program
Lena Pope Home, Inc.
APPROVED AND AGREED FOR
Tena Pope Home, Inc.
( , ?"'w
W, l — ICd.).
Todd Landry
Chief Executive Officer
Date: .1a /q 1(k
APPROVED AS TO FORM AND
LEGALITY FOR Lena Pope Home,
�inir
/
Lena Pope Home, Inc.
Date: /6 f r' A F
ATTEST
M[ y J. Kar'O
City Secretary.............
. lA�
Date:
M&C No. NOT REQUIRED
1295 CERTIFICATION: 2ol1 - l20yD
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Page 13 of 28
Exhibit A
SCOPE OF WORK
Program Abstract
Research indicates that juvenile offenders face many barriers to leading a life free of future crime
and violence, including truancy, family instability, and substance abuse or mental health issues.
Further, Texas has higher rates of juvenile detention than the national average, which creates
significant community costs. Lena Pope's Second Opportunity for Success® program works to
rehabilitate first offending youth in the community, which research and previous program results
suggest produces better, more cost-effective outcomes for these youth. The program has two
phases which use research -tested strategies to address each of the barriers that juvenile offenders
face to living without violence and recidivism The first phase is seven weeks of skill building
groups for both youth and their parents. Parents are required to accompany their children to each
weekly class and attend a separate parenting class. Both parents and youth learn to effectively
express concerns and solve problems. This intensive family involvement is one of the aspects that
sets Second Opportunity for Success® apart, and according to research, is crucial to an effective
diversionary program. The second phase of the program is a 90 -day follow-up period where a Lena
Pope staff monitors the student in the community to assure continued success. After the 90 -day
probation period has expired, the youth and family has completed all program requirements, and
the youth has not re -offended, Lena Pope recommends to the referring party that the youth be
successfully discharged and that the youth's charges be dropped
Second Opportunity for Success® has been recognized nationally as an outstanding program.
Urban Solutions did an assessment of youth reentry programs in 2004, and named Second
Opportunity for Success® as one of the top ten diversionary programs. Further, the program has
had outstanding success since it began in 2000, with a cumulative recidivism rate of less than 10%.
This success is based on the intensiveness of the program, the involvement of families, tenured
staff, and the creation of lasting supports for youth and their families.
FY 2019 Community Based Program
Lena Pope Home, Inc. — Exhibit A Page 14 of 28
PROPOSAL NARRATIVE
1) In one sentence, describe the purpose of your proposed program.
Lena Pope's first offender program, Second Opportunity for Success® (SOS), is designed to give youth
and families the skills they need to live crime -free lives and will help the City of Fort Worth meet its
goals of reducing violent crime and gang related activity, decrease crime throughout Fort Worth
neighborhoods, reduce juvenile crime, and prevent youth and family violence.
2) Who will the program benefit? How many people? What age group?
Second Opportunity for Success® benefits youth ages 10 to 17 with a first offense and their families.
Lena Pope is proposing to provide this program to 60 youth and at least 60 guardians. The youth's
guardians are required to participate in the program with the youth.
3) What geographic area will it serve? Please describe if it will be city wide, a speck council district, or
a speck zip code? Please include geographic boundaries and a map.
Lena Pope proposes to provide Second Opportunity for Success® services to youth with a residence in
Fort Worth city limits.
4) Describe in detail the problem that your program addresses.
In Tarrant County, over the past three years, Misdemeanor A and B offenses have accounted for up to
68% of the referrals to the juvenile probation department. This figure includes both fust time
offenders and repeat offenders. When evaluated finther, referrals for first time offenders accounted
for up to 45% of Misdemeanor A and B offenses during this same period. These are the youth that
encounter law enforcement that should be diverted from the juvenile justice system and connected
with community-based diversion programs.
According to the Tarrant County Criminal Justice Community Plan, the "problem contributors" that
significantly challenge the juvenile justice system in Tarrant County include continued
disproportionality of minorities, school dropout and truancy, family dysfunction, instability, gang
involvement, mental health and substance abuse issues. Addressing these contributing factors to
delinquency through deeper end juvenile programs can cost communities millions of dollars per year
unless there are prevention and early intervention programs to divert offending youth from more costly
options. This is especially pertinent as youth in Texas are being sent to detention at higher rates than
youth nationally (United Way Community Report, 2015). Incarceration in a state juvenile facility costs
approximately $258 per day, while diversion or supervision programs range from $7 to $73 per day.
Further, while some youths need to be in a residential setting, research has found unnecessary
incarceration may make lower -risk youths more likely to reoffend, as it co -mingles them with more
serious offenders and frays ties to their family and community. Lena Pope's Second Opportunity for
Success® (SOS), a First Offender Program, provides an alternative approach to referring a first
offender for entry into the Juvenile Justice system. SOS can effectively reduce recidivism for these
youth and save the community money by rehabilitating these youth and their families in the
community.
FY 2019 Community Based Program
Lena Pope Home, Inc. — Exhibit A Page 15 of 28
5) Describe what your program does to 1) support efforts to reduce violent crime and gang -related
activities through enhanced enforcement activities and crime prevention programs, 2) support efforts
to increase the safety of residents and to decrease crime throughout Fort Worth neighborhoods, and
3) support efforts to increase the safety of youth and reduce juvenile crime through crime prevention
and intervention programs. 4) address a literacy element as required by the CCPD Board
Lena Pope developed the Second Opportunity for Success® program based on research of reducing
recidivism of at -risk youth and first offenders. The program aims to reduce the risk factors identified
in the Tarrant County Criminal Justice Community Plan report while simultaneously increasing
protective factors identified in the literature (Farrell & Barnes, 1993; Urban Solutions, 2004; Dukes
& Stein, 2001; Aseltine, 1995; Crosnoe et al.2002; Fass & Pi, 2002, Practice Wise, Bruce Chorpita,
Hawaii).
Protective factors: family involvment, prosocial
relationships, self-esteem, coping skills, decision
making, social skills
Community Safety
Risk factors: truancy, family dysfunction,
instability, antisocial relationships, gang
involvement, mental health and substance abuse
issues
Recidivism Rates, Juvenile Crime, Gang
Activity, Youth and Family Violence
Over 18 years, Second Opportunity for Success® and its curriculum have led to extremely successful
results. with recidivism rates under 10%. Lena Pone served 575 fust -time offending vouth referred
by Tarrant County law enforcement agencies and Tarrant County Juvenile Services during fiscal
years 2015, 2016, and 2017. Approximately, 50% of these youth were Fort Worth residents. During
this timeframe, 91% or higher of youth and families reported improved family functioning at
discharge, 95% or more youth were enrolled in school at discharge, and 94% or higher reported being
drug free at discharge. Additionally, 91% or more of youth participating in the Second Opportunity
for Success® program during this time did not commit a new offense.
In Second Opportunity for Success®, youth and their parents attend seven weeks of skill -building
groups. Topics in these groups include building family relationships, social skills, refusal skills,
substance abuse, accountability, peer pressure, and discipline. After the completion of these group
sessions, staff follow-up with the youth and family monthly for three months. During the follow-up
visits, Lena Pope staff discuss the progress or regression that the youth may be experiencing and
offers guidance to the family. After the probationary period has expired, the youth has the
opportunity to have their charges dropped if they did not commit another crime. In a recent review
of youth who discharged from the program during the last 6-12 months, only 3% of the youth had
committed a new offense. This is significantly better than the 28.2% statewide recidivism rate for
youth with only one or two violations. While the statewide recidivism rate includes youth with more
advanced penetration into the Juvenile Justice system, it is clear that Second Opportunity for
Success® is preventing participants' typical increasing criminal activity.
FY 2019 Community Based Program
Lena Pope Home, Inc. — Exhibit A Page 16 of 28
In addition to the proposed program, Lata Pope offers significant value-added services, including:
• Trauma, mental health, behavioral, or substance abuse counseling;
• Family counseling;
• In-depth parenting classes;
• Basic necessities assistance (food, clothing, school supplies, toiletries);
• Holiday assistance; and
• Summer camp or pro -social activity scholarships.
Research shows that low literacy may not be the direct cause of crime, but that there is a significant
link between low literacy and crime. The Department of Justice states, "The link between academic
failure and delinquency, violence, and crime is welded to reading failure." Over 70% of inmates in
America's prisons did not complete high school or can be classified as low literate. According to
The National Evaluation and Technical Assistance Center (NDTAC), youth with low literacy skills
not only are more likely to be involvcd inthe juvenile justice system, but also have a higher likelihood
of negative outcomes post incarceration,
Lena Pope has strategically incorporated literacy components into its Second Opportunity for
Success(& program by integrating reading, writing, and oral presentation into 6 of the 7 skills -based
groups. Each week youth will participate in interactive skills building activities that require them to
read handouts and demonstrate understanding of the information being taught. The youth will
provide written responses to the activities which will then be shared with the group. At the end of
each group session, youth will complete a short formative assessment to test their comprehension of
the skill area discussed. Each youth will be provided a folder to maintain their handouts and written
activities during the group sessions. Prior to completion of the group component of the program, the
youth will compose a graduation speech that will be presented before all youth and parents
participating in services. The speech will highlight an important skill learned during group, a goal
they'd like to accomplish and what they are thankful for. Additionally, to further promote literacy
each youth will be givcn an age appropriate book of their choice.
6) Does your program address the CCPD priority/special emphasis of the prevention or intervention of
youth violence and/or family violence or incorporate literacy instruction or skills for children ages0-9?
Describe how your program addresses this priority?
Lena Pope's Second Opportunity for Success® is specialty designed to address CCPD's priority of
prevention and early intervention in youth and family violence. As a diversionary program, SOS catches
FY 2019 Community Based Program
Lena Pope Home, Inc. — Exhibit A Page 17 of 28
youth in their first offense before their violence escalates. Additionally, the program's required
inclusion of parents in parenting classes helps to address family violence. For both youth and families,
Second Opportunity for Success® reduces violent activities by teaching social and parenting skills,
addressing mental health and substance abuse issues through Lena Pope's other programs, and helping
the client to de-escalate anger and make positive decisions.
Furthermore, Bruce Chorpita, Ph.D., in his 2009 Biennial Report. Effective Psychosocial Interventions
for Youth with Behavioral and Emotional Needs, indicates that the most effective interventions in
addressing violence and delinquency in youth are problem solving, cognitive skills, tangible rewards,
family communication and parental monitoring. All of these components are addressed in Second
Opportunity for Success& The seven weeks of group classes for the youth focus on problem solving
and cognitive skills. The parent classes cover tangible rewards and parental monitoring. Both the youth
and the parents discuss family communication techniques. Finally, the three months of follow-up of
youth and families provides professional monitoring to intervene early if there is escalating violence or
delinquency.
7) How will you measure the effectNeness of the program? You must include speck performance
meavures within the Activities and Outcomes Summary and describe evaluation tools and the method of
data collection that you will use. If awarded funding, these performance measures will be included as
an exhibit in the contract, and you will be required to report progress towards these measures, which
will be reported to the CCPD Board.
Lena Pope measures the effectiveness of Second Opportunity for Success® based on the percent of
youth who complete the program successfully, the percent of youth that report improved family
functioning, the percent of youth with successful school attendance, and the recidivism rates for youth
who complete the program.
Proposed Outcomes Measures
90% of participants will complete the
program.
Agency's client database with enrollments and
discharges
90% of families and youth will report
improved family functioning.
Client discharge form completed by parents
85% of youth will have successful school
attendance.
Review of youth's attendance record in three monthly
follow-up visits
90% of youth will not commit a new
oa nse.
Tarrant County Juvenile Services data
&) What makes this program unique from any other crime prevention program in Fort Worth?
Second Opportunity for Success® works with the whole family over a total of five months to help ensure
that youth can be successful in remaining crime free. Second Opportunity for Success® uses Bachelor's
and Master's level staff, and two proposed staff have over 10 years of experience in the program and
over 20 years of experience each working with youth and families. Second Opportunity for Success®
includes a program curriculum developed by Lena Pope to address the specific risk factors identified in
the Tan -ant County Criminal Justice Community Plan. The program and its curriculum have led to
extremely successful results, with recidivism rates under 10% consistently for 18 years, which is
significantly lower than the statewide average for youth with first or second offenses. Lena Pope is not
aware of another diversion program that has produced such outstandingly low recidivism rates
consistently for so many years.
FY 2019 Community Based Program
Lena Pope Home, Inc. — Exhibit A Page 18 of 28
Consequently, in 2004, Urban Solutions of New Rochelle, New York recognized Lena Pope's first
offender program as one of the "best reentry programs in the country". Additionally, Lena Pope's first
offender program was highlighted in a Policy Brief titled "Texas Counties Can Unlock Kids and
Savings" (December 2009). The author found that a "diversionary program similar to Lena Pope's first
offender program costs 1.1 times less per day than detention and 25% less than probation. "
9) Is the program already in operation? If so, how long have you operated the program? What resources
are currently used to operate the program? Why are CCPD funds necessary at this time?
Lena Pope has been providing Second Opportunity for Success4D for 18 years. Lena Pope provides this
program through a variety of contracts. Lena Pope received funds from CCPD and Tarrant County
Juvenile Services to provide this program to youth for fiscal year 2018. The requested funds will allow
Lena Pope to continue providing these services to 60 youth in Fort Worth. Without the requested funds,
Lena Pope may need to reduce the number of Fort Worth youth who can receive this program.
10) Is this a new program? If so, what other fiords have you applied for? Also, please describe the sequence
of steps needed to implement your program and the timeframe in which this will occur.
Not applicable. This is an existing program.
11) Briefly describe the specific expenditures planned for CCPD funding. You MUST fully complete
attached budget forms.
Program expenditures include personnel and fringe benefits totaling $50,000 for staff to complete the
tasks outlined in the proposal. An in-depth budget detail and narrative are included for review. Lena
Pope will in-kind $11,436 in program costs.
12) If funds are awarded, will this programs continue beyond the CCPD funding period? Please explain
your plan to sustain this program.
Lena Pope will continue to provide these services by seeking new public contracts or private funding.
A Council of Governments Policy Brief (2009) found that Second Opportunity for Success® can save
communities significant money in juvenile justice and future crime costs, making the program attractive
for local governments.
13) Has your agency obtained funding through the Crime Control and Prevention District previously?
X Yes O No if so, please fill out the form on page 17.
FY 2019 Community Based Program
Lena Pope Home, Inc. — Exhibit A Page 19 of 28
FORT WORTH
CRIME CONTROL
& PREVEIMON DISTRICT
Exhibit B — Budget Narrative
2018-2019
Amount
Requested
A. Direct Personnel
$8,783
B. Direct Fringe Benefits
$1704
C. Direct Travel
Program Asst.
D. Direct Equipment
Lachelle McLane
E. Direct Supplies
Amber Kissner
F. Direct Contracts/Consultants
Trey Webster
G. Indirect Cost up to 10%
Nick Damon
TOTAL
$10,487
A. Direct - Personnel
Name
Position
Jana Jones
Supervisor
Amanda Avelar
Program Asst.
OraBeth McMullenFamily Therapist
Lachelle McLane
Family Therapist
Amber Kissner
Family Specialist
Trey Webster
Family Specialist
Nick Damon
Family Specialist
Total Salary cost
Health Insurance
BUDGET DETAIL
Rate of Pay x # of Hours
$31.69 x 30 hours
$19.13 x 45 hours
$30.71 x 30 hours
$17.00 x 30 hours
$17.35 x 30 hours
$23.39 x 80 hours
$25.22 x 100 hours
All Texas Unemployment Taxes
All FICA/Medicare Taxes
TOTAL Personnel
Cost
$ 951
$ 861
$ 921
$ 493
$ 520
$ 1,871
$ 2,522
$ 8,139
$ 21
$ 623
$ 8,783
B. Direct - Fringe Benefits
Name Position
Description of Benefits
Cost
All All
Retirement
$ 356
All All
Workers Comp
$ 19
All All
Life/AD&D/LTD Insurance
$ 289
All All
Health Insurance
$ 1,287
Less Reduction due to contract max (in-kind
by Lena Pope
($247)
TOTAL Fringe Benefits
$ 1,704
FY 2019 Community Based Program
Lena Pope Home, Inc. — Exhibit B Page 20 of 28
FORT WORTH
�r
CRIME CONtR(X
& PREVENTION Dlsiwcr
BUDGET NARRATIVE- REVISED
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.
A. Direct - Personnel
Supervisor— This is a full-time salaried employee. They will be dedicated to this project for the
entire time of the contract. Supervisor oversees the daily operations of the program and ensures
contract compliance. Supervisor will provide oversight to staff, attend meetings, and provide data
for reports. Supervisor ensures that all referrals received from City of Fort Worth law
enforcement officials are processed in a timely manner. Supervisor ensures that services are
delivered with fidelity. The Supervisor is responsible for the program curriculum, quality
assurance, and management of client information.
The pay rate is $31.69 and hours are approximately 30. Program is charged on a percentage of
salary based on the billable percent worked in each month. Total salary cost is $ 951.
Administrative Assistant - This is a full-time salaried employee. They will be dedicated to this
- project for the entire time of the contract. The Administrative Assistant creates the file, enters the
client into the database, generates reports, tracks attendance, closes files, and notifies law
enforcement when youth has completed the program or if they reoffend. The rate of pay is
$19.13 and hours are approximately 45. Program is charged on a percentage of salary based on
the billable percent worked in each month. Total salary cost is $ 861.
d
Family Therapist #1- This is a full-time salaried employee. They will be dedicated to this project
for the entire time of the contract. This Family Therapist will facilitate the youth groups weekly.
This includes preparing for each class, making copies of materials needed, leading the group in
activities to reinforce the specific skills taught. Family Therapist will provide information for
report back to the referring agency when the client has completed the program. The rate of pay is
$30.71 and hours are approximately 30. Program is charged on a percentage of salary based on
the billable percent worked in each month. Total salary cost is $ 921.
Family Therapist #2 - This is a part time salaried employee. They will be dedicated to this project
for the entire time of the contract. This Family Therapist will facilitate the youth groups weekly.
This includes preparing for each class, making copies of materials needed, leading the group in
activities to reinforce the specific skills taught. Family Therapist will provide information for
report back to the referring agency when the client has completed the program. The rate of pay is
$17 and hours are approximately 30. Program is charged on a percentage of salary based on the
billable percent worked in each month. Total salary cost is $ 493.
Family Specialist # 1 - This is. a full-time salaried employee. They will be dedicated to this
project for the entire time of the contract. This Family Specialist will facilitate the parent groups
weekly. This includes preparing for each class, making copies of materials needed, leading the
group in activities to reinforce the specific skills taught. Family Specialist will provide
information for report back to the referring agency when the client has completed the program.
The rate of pay is $17.35 and hours are approximately 30. Program is charged on a percentage of
salary based on the billable percent worked in each month. Total salary cost is .$ 520.
FY 2019 Community Based Program
Lena Pope Home, Inc. — Exhibit B Page 21 of 28
FORT WORTH
CRIME COM WL
& PREVENTION DISTRICT
Family Specialist #2 - This is a full-time salaried employee. They will be dedicated to this
project for the entire time of the contract. This Family Specialist will facilitate weekly groups.
This includes preparing for each class; making copies of materials needed, leading the group in
activities to reinforce the specific skills taught. Family Specialist will also provide the follow up
visits in youths' schools and/or homes to document progress. Family Specialist will provide
information for report back to the referring agency when the client has completed the program.
The rate of pay is $23:39 and hours are approximately 80. Program is charged on a percentage of
salary based on the billable percent worked in each month. Total salary cost is $1,871.
Family Specialist #3 - This is a full-time salaried employee, They will be dedicated to this
project for the entire time of the contract. This Family Specialist will provide the groups for
Spanish-speaking parents. This includes preparing for each class, making copies of materials
needed, leading the group in activities to reinforce the specific skills taught. This Family
Specialist will also provide follow up visits in youths' schools and/or homes to document
progress. Family Specialist will provide information for report back to the referring agency when
the client has completed the program. The rate of pay is $25.22 and hours are approximately 100.
Program is charged on a percentage of salary based on the billable percent worked in each month.
Total salary cost is $ 2,522.
Total Salary Costs -
$ 8139
FICA - FICA (Federal Insurance Contributions Act - Social Security) is 7.65% of salary Texas
Unemployment Taxes are 1.16% of salary, up to $9,000
Total Taxes $ 644
Total Direct - Personnel $
B. Direct - Fringe
Retirement — PIan is a defined contribution 403(b) retirement benefit plan. Employer
contribution is 5% of employee's salary, after completion of two year's employment.
Worker's Compensation - Rate is 1.05% of salary
Life/AD&D/Long Term Disability Insurance — Life, Accidental Death & Dismemberment, and
Long Term Disability is a fringe benefit equal to a cost of 0.71% of salary.
Dental insurance - Rate is $210 per year per FTE
Health Insurance - - Annual premium and estimated claims for each employee is $15,439 per year.
This amount includes self-insured insurance premiums, claims, prescriptions, and third -party .
administrator costs
Less: Reduction due to contract max of ($247) In-kind match by Lena Pope
Total Fringe $1704
Lena Pope Home, Inc. — Exhibit B Page 22 of 28
FORT WORTH
Cx;�;h: Cll'• I Ful.
PRF,%[NTI(r4 DjSiw( r
Exhibit B
Budget Summary
Fiscal Year 2019
DIRECT PROGRAM COSTS (90% Minimum) Total $10,487.00
A. PERSONNEL
Salaries
$8,783.00
PERSONNEL TOTAL:
$10,487.00
B. FRINGE BENEFITS
Benefits 28% $1,704.00
FRINGE BENEFITS TOTAL $1,704.00
C. TRAVEL AND TRAINING
Conference
$0.00
TRAVEL AND TRAINING TOTAL
$0.00
D. EQUIPMENT
EQUIPMENT TOTAL $0.00
E. SUPPLIES
Books
$0.00
SUPPLIES TOTAL
$0.00
F. CONTRACTS/CONSULTANTS
Training
$0.00
CONTRACTS/CONSULTANTS TOTAL
$0.00
G. OTHER APPROVED
OTHER APPROVED TOTAL
$0.00
INDIRECT PROGRAM COSTS (10% Maximum) Total $0.00
A. PERSONNEL
Salaries
PERSONNEL TOTAL:
B. FRINGE BENEFITS
FICA
Disability Insurance
Unemployment -State
FRINGE BENEFITS TOTAL
FY 2019 Community Based Program
Lena Pope Home, Inc. — Exhibit B Page 23 of 28
FORT WORTH
CRIME CONTROL
& PREvErmON Dismm-
C. TRAVEL AND TRAINING
None
TRAVEL AND TRAINING TOTAL
D. EQUIPMENT
None
EQUIPMENT TOTAL $0.00
E. SUPPLIES
None
SUPPLIES TOTAL
$0.00
F. CONTRACTS/CONSULTANTS
None
CONTRACTS/CONSULTANTS TOTAL
$0.00
G. OTHER APPROVED
None
OTHER APPROVED TOTAL $0.00
GRAND TOTAL $10,487.00
FY 2019 Community Based Program
Lena Pope Home, Inc. — Exhibit B Page 24 of 28
FORT WORTH.
CRIME CONTROL
AND PREVENTION DISTRICT
Subnvt To:
Bob Bolen Public Safety Complex
Atte Contract Cornpliace Specialist
Financial Management Division
505 West Felix St
Fort Worth, TX 76115
Exhibit C
Request for Reimbursement (RFR)
FY 2019
Submitting Age ncy:
Contact Name:
Phone Number:
Email:
Remit Address:
Invoice Number:
Month of Request
Lena Pope Home, Inc.
Sonya Mosley
817-255-2654
smoslev (o_)lenapopehome. ora
3200 Sangumet Street, Fort Worth, TX 76107
I lotal Direct Costs I S 10,487.001 $ I$ - I S - is 10,487.00
DIRECT COSTS (90% Minimum)
A B C D
E
Budget Category
Total of Previous B+C
BudgetAmount Reimbursements This Month's Total Requested
Requested Request To -Date
A D
Remaining Balance
Available
A
Personnel
$8,783.00 $
S 8,783.00
B
Fringe Benefits
S 1,704.00 $ -
S 1,704.00
C
Travel & Training
$ -
$ -
D
Equipment
$ -
S -
E
Supplies
$ -
S -
F
Contracts/Consultants
I lotal Direct Costs I S 10,487.001 $ I$ - I S - is 10,487.00
Suppomng documents requved with mthly requests.
This includes, tumsheels depicting CCPD funded activities, copy
of paychecks, invoices and receipts deted'og all CCPD finded
evendamo s.
Summary
Total Budget: S 10,487.00
Previous Requests: S
This Request: S
Total Requested To -Date S
Remaining Funds S 10,487.00
I have reviewed this request and certify that these listed expenses and support docwnentation are accurate.
Authorized Signatory Signatory Title Date
Fiscal Agent Use Only
Purchase Order # Frmd Dept ID Accosud
RFRApproved Far Awnte/d
Caint Staff Signature
Date
FY 2019 CO*S1IIltlnity ARM tampPlaced Below
Lena Pope IIonsf , Inc. — Lxtlibit C :age 25 of 28
INDRZECTCOSTS (10% Maximum)
A B C D
E
o ry
Total of Pmvious B+C
Budget Amount Tis Month's
Reimbursements Request Total Requested
Requested To -Date
(A D
Remaining BalanceBudBetCate
Available
A
Personnel
S -
S -
B
Fringe Benefits
S -
S -
C
Trawl & Training
$ -
S -
D
Equipment
S -
$ -
E
Supplies
$ -
$ -
F
Contracts/Consultants
I
Other Costs
S -
S -
Total htDirect Costs
S $ $ S
S
Suppomng documents requved with mthly requests.
This includes, tumsheels depicting CCPD funded activities, copy
of paychecks, invoices and receipts deted'og all CCPD finded
evendamo s.
Summary
Total Budget: S 10,487.00
Previous Requests: S
This Request: S
Total Requested To -Date S
Remaining Funds S 10,487.00
I have reviewed this request and certify that these listed expenses and support docwnentation are accurate.
Authorized Signatory Signatory Title Date
Fiscal Agent Use Only
Purchase Order # Frmd Dept ID Accosud
RFRApproved Far Awnte/d
Caint Staff Signature
Date
FY 2019 CO*S1IIltlnity ARM tampPlaced Below
Lena Pope IIonsf , Inc. — Lxtlibit C :age 25 of 28
WORM
o
CRIME CONTROL
& PREvENTON DISTRICT
Exhibit D
Fiscal Year 2019
Monthly Program Activities Report
Current Reporting Month
Activity
Submitting Agency
Lena Pope Home, Inc.
Contact Name
Sonya Mosley
Phone Number and Email
817-255-2654/ smosleyglenapopehome.org
Remit Address
3200 Sanguinet Street, Fort Worth, TX 76107
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
FY 2019 Community Based Program
Lena Pope Home, Inc. — Exhibit D Page 26 of 28
Activity
Current
To Date
Year End
Month
Total
Goal
Total
1
Number of program participants
12
Program is 7 weekly skills focused classes - 1.5 hours each
unduplicated
• 1 —English speaking parents Group; 1 —Youth Group; 1-
Spanish speaking parent groupparticipants
2
Number of youth that will actively participate in skills based groups by
12
reading, writing, and oral presentation of handouts and activities.
Participants
Complete brief formative assessment to assess comprehension.
3
3 Months of follow-up services: 3 school or home visits to occur at 30,
12
600, and 90 days upon completion of classes.
unduplicated
participants
4
Youth will select an age appropriate book of their choice at the
12
completion of program
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
FY 2019 Community Based Program
Lena Pope Home, Inc. — Exhibit D Page 26 of 28
FORT WORTH
Cki11E Con l ROL
& PRE%LNTION DISTRR i
Exhibit E
Fiscal Year 2019
Quarterly Program Effectiveness Measurement Report
Current Reporting Quarter
Submitting Agency
Lena Pope Home, Inc.
Contact Name
Sonya Mosley
Phone Number and Email
817-255-2654/ smosley@lenapopehome.org
Remit Address
3200 Sanguinet Street, Fort Worth, TX 76107
Please include outcome narrative that describes how measure was accomplished for each quarter.
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
Report due each quarter: I' Quarter (Oct -Dec) due January 15
3"d Quarter (Apr -June) due July 15
FY 2019 Community Based Program
Lena Pope Home, Inc. — Exhibit E
Signatory Title Date
2"d Quarter (Jan -Mar) due April 15
4'h Quarter (Jul -Sep) due October 15
Page 27 of 28
Effectiveness Measures and Quarterly Outcomes
Measure 1
90% of
participants will complete the program.
Outcome
Measure 2
90% of
youth and their families will report improved family functioning
Outcome
Measure 3
85% of
youth will have successful school attendance
Outcome
Measure 4
90% of
youth will not commit a new offense
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
Report due each quarter: I' Quarter (Oct -Dec) due January 15
3"d Quarter (Apr -June) due July 15
FY 2019 Community Based Program
Lena Pope Home, Inc. — Exhibit E
Signatory Title Date
2"d Quarter (Jan -Mar) due April 15
4'h Quarter (Jul -Sep) due October 15
Page 27 of 28
FuQRT WORTH
CRIME CONTROL
& PRE�,'EImoN MSTRIcr
• 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
Lena Pope Home, Inc.
Contact Name
Sonya Mosley
Phone Number and Email
817-255-2654 / smosle Lena o ehome.or
Remit Address
3200 Sanguinet Street, Fort Worth, TX 76107
DIRECT COSTS 90% minimum
Budget Category Approved Budget Change Requested Revised Budget
Personnel $10,487
Supplies & Equipment
Program Services
Travel and Training
Other Approved
Total Direct Costs
INDIRECT COSTS 10% maximum)
Budget Category Approved Budget Change Requested Revised Budget
Personnel
Supplies & Equipment
Operational Services
Travel and Training
Facilities & Utilities
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
FPD STAFF USE ONLY
Q Modification Approved 0 Modification NOT Approved
FWPD Staff Signature
FY 2019 Community Based Program
Lena Pope Home, Inc. — Exhibit F
Date
Page 28 of 28
CERTIFICATE OF INTERESTED PARTIES FORM 1295
lafl
Complete Nos. 1- 4 and 6 if there are interested parties.
OFFICE USE ONLY
Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties.
CERTIFICATION OF FILING
Certificate Number:
1 Name of business entity filing form, and the city, state and country of the business entity's place
of business.
2018-412690
Lena Pope Home, Inc.
Fort Worth, TX United States
Date Filed:
10/09/2018
2 Name of governmental entity or state agency that is a party to the contract for which the form is
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.
Unknown
CCPD for Second Opportunity for Success
4
Name of Interested Party
City, State, Country (place of business)
Nature of interest
(check applicable)
Controlling
Intermediary
Denton, Mark
Fort Worth, TX United States
X
Armstrong, Alex
Fort Worth, TX United States
X
Reilly, Austin
Fort Worth, TX United States
X
Lee, Erma
Fort Worth, TX United States
X
Tudor, Todd
Fort Worth, TX United States
X
Webb, Shnease
Fort Worth, TX United States
X
Landry, Todd
Fort Worth, TX United States
X
5 Check only if there is NO Interested Party. ❑
6 UNSWORN DECLARATION
JJ '' �--
My name is l-I�L. my date of birth is �(
-and
�*
My address is POOW u t tk ��1 0 � 'r' `�
(stre (city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct.
//jj��� '- - 1 qt
oktv�
Executed in County, State ofy.cni., a d, on the l day of , 201 .
(month) (year)
i
Signature of authorized agent of con acting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.6711