HomeMy WebLinkAboutContract 35597STATE OF TEXAS 1ECRETARY
r.GNTsRAC T 1\10 .5V7
COUNTY OF TARRANT
THIS contract ("Contract") is made and entered into by and between the City of Fort Worth ("City"),
whose address is 1000 Throckmorton St., Fort Worth Texas 76102, acting by and through Dale A. Fisseler,
its duly authorized Assistant City Manager, and Tarrant County Samaritan Housing, Inc. ("Contractor"),
whose address is 929 Hemphill Fort Worth, TX 76104, acting by and through Steve Dutton its duly
authorized Executive Director (Sometimes City and Contractor are referred to individually as a "Party"
and collectively as the "Parties".)
WHEREAS, City has received grant monies from the United States Department of Housing and
Urban Development ("HUD") under the AIDS Housing Opportunity Act, as amended, (42 USC 12901 et
seq.) for utilization in connection with the Housing Opportunities for Persons with AIDS ("HOPWA")
program, Grant No. TXH-07-MC-F002, for Year 2007-2008;
WHEREAS, the objective of he HOPWA program is to address the needs of eligible persons
associated with the challenge of living with HIV/AIDS and their families;
WHEREAS, City has been designated by HUD to service Tarrant, Johnson, Hood and Parker
Counties through HOPWA;
WHEREAS, City citizens, the Community Development Council, and the City Council have
determined that HOPWA programs are needed by the City's low and moderate -income citizens with
documented HIV/AIDS status and their families as defined in 24 CFR 574.3(2).
NOW, THEREFORE, THIS AGREEMENT FURTHER WITNESSETH:
THAT, the Parties covenant and agree as follows:
1. Scope of Services
a. Contractor will administer HOPWA services to citizens of the City of Fort Worth for the purpose
of preventing homelessness of low-income persons with HN/AIDS and their families under the
program name Outreach ("Program"), for the term June 1, 2007 to May 31, 2008. Contractor
agrees to ensure the confidentiality of the name of any Program participant assisted under the
Program and any other information regarding individuals receiving assistance.
b. Contractor will provide the services and activities as set forth in Exhibit A -Program Summary in
accordance with Exhibit B-Program Services Schedule.
c. Contractor agrees to abide by the HOPWA Regulations, 24 CFR 24 574 et seq.) and will utilize
HOPWA funds to benefit low income individuals with documented HIV/AIDS status and their
families. Contractor agrees to conduct an annual assessment of the housing assistance and assure
the adequate provision of the supportive services described in 24 CRR 574.300 (b)(7) to Program
participants assisted with housing under this Contract. No fee except rent shall be charged of any
Program participant for any housing or services provided with funds from this Contract.
Contractor will comply with 24 CFR 574.310(e) regarding any termination of assistance.
Contractor agrees to maintain full documentation supporting fulfillment of these requirements in
its files. All such documentation shall be furnished to City upon request if necessary for City to
fulfill its obligations under its Federal grant. If this documentation is not maintained and furnished
to City on request, City may exercise all remedies available under this Contract, including the right
to withhold payment to Contractor on this Contract or any other contract with Contractor, or
terminate this Contract as described herein.
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d., City will monitor and evaluate Contractor's performance using the goals and performance standards
required in this Contract. Substandard performance as determined by City monitoring will
constitute non-compliance with this Contract. If action to correct such substandard performance is
not taken by Contractor within a reasonable period of time after being notified in writing by City;
procedures to suspend or terminate the Contract Nvill be initiated.
e. If applicable, Contractor shall comply and assist City in complying with the provisions of 24 CFR
574.630 regarding displacement, relocation and real property acquisition.
f. Contractor agrees to take reasonable steps to ensure meaningful access to the program and
associated activities by limited English proficient person.
2. Con pen ration a�ad 117ethod Ui Pa!) r Vnt
a. City will disburse HOPWA Year 2007-2008 funds ("HOPWA Funds") in an amount up to two
hundred and forty eight thousand one hundred and seventy and no/100 dollars, $248,170 to
Contractor on a reimbursement of expenses basis. HOPWA Funds may be used to assist all forms
of housing designed to prevent homelessness including emergency housing, shared housing
arrangements, apartments, single room (SRO) occupancy dwellings, community residences, and
supportive housing services such as case management, in accordance with 24 CFR 574.300.
Contractor shall not use any HOPWA Funds for any prohibited activities as set forth in 24 CFR
574.
b. Payment will be processed by City following receipt from Contractor of the following monthly
financial documents: (1) Attachment I- Request For Funds, (2) Attachment II -Detail Statement of
Costs, and (3) Attachment III -Expenditures Worksheet. Payment by City to Contractor shall
require completion of all City forms and copies of adequate supporting documentation verifying
eligibility of expenses as well as, where applicable, eligibility of Program participants.
Reimbursement for the payment of eligible expenses shall be made against the budget specified in
Exhibit C-Program Operating Budget and in accordance with performance specified in Exhibit B-
Program Services Schedule. City will not disburse funds for expenditures that occurred prior to the
beginning date of the term of this Contract.
c. Contractor agrees to utilize all disbursed HOPWA Funds for the benefit of the Program. Contractor
agrees that all funds will be expended in accordance with Exhibit C-Program Operating Budget.
Contractor may not increase or decrease line -item amounts in the approved HOPWA Funds
portion of Exhibit C-Program Operating Budget without City's prior written approval. Contractor
acknowledges and agrees that any HOPWA Funds not used in accordance with the HOPWA
Regulations and terms of this Contract must be repaid to City.
d. It is understood that the total cost for operation of this Program is $1,664,507 and that Contractor
will obtain from other sources the remaining funds in excess of the HOPWA Funds as detailed in
Exhibit C-Program Operating Budget. Contractor will notify City promptly of any additional
funds it receives for operation of the Program, and City reserves the right to amend Exhibit C-
Program Operating Budget in such instances.
e. Contractor agrees to keep all HOPWA Funds on hand in interest bearing accounts. All interest
earned shall be reported to City on a monthly basis, at the same time as submission of the monthly
report following the end of the Contract month during which the interest was earned. Interest in an
amount of $25.00 or less per month may be used for authorized Program expenses. These amounts
must be reported on the monthly financial statements filed pursuant to this Contract. Interest
earned in excess of $25.00 per month is subject to remittance to City as directed by City.
£ Contractor will not commingle HOPWA Funds with any other funds in any manner that would
prevent City from readily identifying expenditures for operation of the Program.
3. Unifoi7n Adnzini.rtrative Kegnif enaentr and No Management Standaf dr
a. Financial Management
i. Accounting Standards
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The Contractor agrees to comply with OMB Circular A-110, "Uniform Administrative
Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals and
other Non -Profit Organizations", and agrees to adhere to the accounting principles and
procedures required therein, utilize adequate internal controls, and maintain necessary source
documentation for all costs incurred.
ii. Cost Principles
Contractor shall administer the Program in conformance with OMB Circular A-122, "Cost
Principles for Non -Profit Organizations" and attachments and revisions thereto, regarding
principles for determining costs for the Program.
b. Documentation and Record Keeping
i. Requirement
Contractor shall maintain all records pertinent to the activities to be funded under this Contract
required in 24 CFR § 574.530. In addition, Contractor agrees to keep records to fully document
all expenditures charged to the HOPWA portion of the Program, including records
documenting the eligibility of Program participants as more particularly described herein. The
documentation must support the amounts charged to the Program, the eligibility of the Program
participants, and demonstrate that the expenditures were appropriate to the stated goals of the
Program and allowable and/or eligible under applicable Federal, state and City guidelines.
ii. Retention
(1) All records pertaining to Program shall be retained for four (4) years following the
termination of this Contract. Contractor may destroy Program records at the end of this
four (4) year period if no outstanding audit finding exists.
(2) Contractor will retain any Program loan records until four (4) years after the expiration of
any loan.
iii. Real Property Records
Contractor shall maintain real property inventory records that clearly identify properties
purchased, improved, or sold. Properties retained shall meet eligibility criteria and shall conform
to the requirements of 24 CFR 574.630.
iv. Closeouts
Contractor'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: making final
payments, disposing of Program assets (including the return of all unused materials, equipment,
unspent cash advances, Program income balances, and accounts receivable to City), and
determining the custodianship of records.
V. Audits and Inspections
(1) City, HUD, and the United States Comptroller General, or their respective representatives,
shall have access to any books, documents, records and papers relating to the operations of
Contractor under this Contract for the purpose of audit, examination, exception and
transcription at all of Contractor's offices at all reasonable hours.
(2) All non-federal entities that expend $500,000 or more in Federal funds within one (1) year,
regardless of the source of the Federal award, must submit to City an annual audit
prepared in accordance with 24 CFR Sections § 570.502-570.503 generally, with specific
reference to OMB Circulars (with attachments) A-122, "Cost Principles for Non -Profit
Organizations", and A433, "Audits of States, Local Governments, and Non -Profit
Organizations", as appropriate. The audit may cover either Contractor's fiscal year during
which this Contract is in force or cover the period of this Contract. The audit must be
prepared by an independent certified public accountant, be completed within nine (9)
months following the end of the period being audited and be submitted to City within
thirty (30) days of its completion. Contractor's audit certification is attached hereto as
Exhibit D - Audit Schedule Independent Audit Requirement. The Audit Schedule Form
must be submitted to City within sixty (60) days of the end of the period being audited
(Contractor's fiscal year). Costs of preparation of this audit may be an allowable
expenditure of HOPWA Funds in an amount proportional to that of thea
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Tarrant County Samaritan Housing, Inc.
used in Contractor's total agency operating budget. Non-profit entities that expend less
than $500,000 a year in Federal funds are exempt from Federal audit requirements for that
year, but records must be available for review or audit by appropriate officials of the
Federal agency, City, and General Accounting Office ("GAO").
(3) City reserves the right to perform an audit of Contractor's agency operations and finances
at any time during the term of this Contract, if City determines that such audit is necessary
for City's compliance with OMB Circular A-133. Contractor agrees to allow access to all
relevant books, records and materials. If such audit reveals a questioned practice or
expenditure, such questions must be resolved within thirty (30) days after notice to
Contractor. If questions are not resolved within this period, City reserves the right to
withhold further funding under this Contract and/or any other contract(s) with Contractor.
(4) If as a result of any audit it is determined that Contractor has misused, misapplied or
misappropriated all or any part of the HOPWA Funds, Contractor agrees to reimburse the
City the amount of such monies so misused, misapplied or misappropriated, plus the
amount of any sanction, penalty or other charge levied against City because of such
misuse, misapplication or misappropriation.
4. Re�ortilag Pf�ocedurer
a. Financial Reports
Contractor will submit to City on a monthly basis: (1) Attachment I -Request for Funds, (2)
Attachment II -Detailed Statement of Costs, (3) Attachment III -Expenditures Worksheet, as
applicable, for expenses incurred for services and activities accomplished by Contractor in
performance of this Contract. Actual cash receipts for claimed expenditures must be provided at
the time the request for funds is presented. The reports must be signed by a duly authorized agent
of the Contractor and submitted by the 15`h of the month following the month being reported.
City will not disburse funds for expenditures that occurred prior to the beginning date of the term
of this Contract
b. Progress Reports
Contractor will submit to City on a monthly basis as applicable to Program: (1) Attachment IVa-
Program Services Report, (2) Attachment IVb-Tenant Based Rental Assistance -Direct Benefit Data
Report, (3) IVc-Short-Term Rent/Mortgage and Utility Assistance -Direct Benefit Data Report, (4)
Attachment IVd-Living Situation Counts (5) IVe-Supportive Services Report (6) Attachment VI -
Client Data Report for services and activities undertaken by Contractor in performance of this
Contract. The report will be signed by a duly authorized agent of Contractor and submitted by the
15`h of the month following the month that is reported. City will not disburse funds for
expenditures that occurred prior to the beginning date of the term of this Contract.
c. Procurement
i. Compliance
Contractor shall comply with City policy concerning the purchase of equipment and shall
maintain inventory records of all non -expendable personal property, as defined by such policy,
procured with funds provided under this Contract.
ii. OMB Standards
Contractor shall procure all materials, property; or services in accordance with the requirements
of 24 CFR Part 84, Procurement Standards and Property Standards
d. Program Participant Records
i. Contractor will keep or cause to be kept an accurate record of all actions taken and all HOPWA
Funds expended, with source documents, in performance of this Contract. Such records shall
be kept for the time period mandated by the HOPWA Regulations and this Contract.
ii. Contractor will obtain and keep on file and furnish to City on request the following information
and/or documentation on each Program participant served by the Program demonstrating such
participant's eligibility for services provided:
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Tarrant County Samaritan Housing, Inc. Page 4
a. Participant's name, documented HIV/AIDS status, address, annual income level or other
basis for determining income eligibility, and family size of participant's household.
b. Source documentation used for income verification including but not limited to pay check
stubs, food stamp award letters, income tax returns, SSI award letters, letters awarding
unemployment benefits, W2s and the like.
c. City shall have the final determination, in its sole discretion, as to whether source
documentation used for income verification is adequate.
5. KeVef rio" Uj Assets
a. Contractor agrees to return to Cit�T any HOPWA Funds remaining on hand at the end of the
Contract.
b. All property purchased with HOPWA Funds under this Contract will be used solely for operation
of the Program. Contractor agrees to obtain City approval prior to purchase of property and
Contractor agrees to notify City upon receipt of property so that it may be properly tagged and
inventoried. Title to such property will be vested in CitS; and Contractor will deliver all such
property to City for disposition at City's sole discretion at the termination of the Program.
6. Applicable L�nvs
a. Federal
Contractor agrees to comply with the following laws and the applicable regulations
currently written or are hereafter amended during performance of this Contract:
• AIDS Housing Opportunity Act, as amended, (42 USC 12901 et seq.)
• Regulations at 24 CFR Part 574 pertaining to HOPWA ("HOPWA Regulations")
• Title VI of the Civil Rights Act of 1964 (42 USC 2000d et seq.)
• Title VIII of the Civil Rights Act of 1968 (42 USC 3601 et seq.)
as they are
• Executive Orders 11063, 11246, as amended by Executive Orders 11375 and 12086 and as
supplemented by 41 CFR Part 60
• The Age Discrimination in Employment Act of 1967 (29 USC 621)
• The Age Discrimination Act of 1975 (42 USC 6101 et seq.)
• Section 504 of the Rehabilitation Act of 1973 (29 USC 794 et seq.) and 24 CFR Part 8 where
applicable
• The Americans with Disabilities Act of 1990 (42 USC 12101 et seq)
• National Environmental Policy Act of 1969, as amended, 42 USC 4321 et seq. ("NEPA") and
the related authorities listed 24 CFR Part 58
• The Clean Air Act, as amended (42 USC 7401 et seq.), the Clean Water Act of 1977, as amended
(33 USC 1251 et seq.) and the related EPA regulations at 40 CFR Part 15, as amended from time
to time, and Executive Order 11738. In no event shall any amount of the assistance provided
under this Contract be utilized with respect to a facility that has given rise to a conviction under
the Clean Air Act or the Clean Water Act.
• The Immigration Reform and Control Act of 1986 (8 USC 1101 et seq.), specifically including
the provisions requiting employer verification of the legal status of its employees
• The Americans with Disabilities Act of 1990 (42 USC 12101 et seq.)
• Drug Free Workplace Act of 1988 (41 USC 701 et seq.) and 24 CFR Part 23, Subpart F
• Regulations as 24 CFR Part 87 related to lobbying, including the requirement that certifications
and disclosures be obtained from all covered persons
• Executive Order 12549 and 24 CFR Part 5.105 (c) pertaining to restrictions on participation by
ineligible, debarred, or suspended persons or entities.
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b. Section 3 of the Housing and Urban Development Act of 1968, as amended, (12 USC 1701u et seg)
and its related regulations at 24 CFR Part 135
As the work to be performed under this Contract is on a project assisted under a program
providing direct Federal financial assistance from HUD, Section 3 of 24 CFR 135.38 ("Section 3")
requires that the following clause be inserted in all covered contracts ("Section 3 Clause"):
"A. The work to be performed under this contract is subject to the requirements of section 3 of
the Housing and Urban Development Act of 1968, as amended, 12 U.S.C. 1701u (section 3).
The purpose of Section 3 is to ensure that employment and other economic opportunities
generated by HUD assistance or HUD -assisted projects covered by Section 3, shall, to the
greatest extent feasible, be directed to low- and very low-income persons, particularly persons
who are recipients of HUD assistance for housing.
B. The Parties to this contract agree to comply with HUD's regulations in 24 CFR Part 135,
which implement Section 3. As evidenced by their execution of this contract, the Parties to
this contract certify that they are under no contractual or other impediment that would prevent
them from complying with the Part 135 regulations.
C. The contractor agrees to send to each labor organization or representative of workers with
which the contractor has a collective bargaining agreement or other understanding, if any, a
notice advising the labor organization or workers' representative of the contactor's
commitments under thus section 3 clause, and will post copies of the notice in conspicuous
places at the work site where both employees and applicants for training and employment
positions can see the notice. The notice shall describe the Section 3 preference, shall set forth
minimum number and job titles subject to hire, availability of apprenticeship and training
positions, the qualifications for each; and the name and location of the person(s) taking
applications for each of the positions; and the anticipated date the work shall begin.
D. The contractor agrees to include this section 3 clause in every subcontract subject to
compliance with regulations in 24 CFR Part 135, and agrees to take appropriate action, as
provided in an applicable provision of the subcontract or in this Section 3 clause, upon a
finding that the subcontractor is in violation of the regulations in 24 CFR Part 135. The
contractor will not subcontract with any subcontractor where the contractor has notice or
knowledge that the subcontractor has been found in violation of the regulations in 24 CFR
Part 135.
E. The contractor will certify that any vacant employment positions, including training positions,
that are filled (1) after the contractor is selected but before the contract is executed, and (2)
with persons other than those to whom the regulations of 24 CFR Part 135 require
employment opportunities to be directed, were not filled to circumvent the contractor's
obligations under 24 CFR Part 135.
E Noncompliance with HUD's regulations in 24 CFR Part 135 may result in sanctions,
termination of this contract for default, and debarment or suspension from future HUD
assisted contracts.
G. With respect to work performed in connection with Section 3 covered Indian housing
assistance, section 7(b) of the Indian Self -Determination and Education Assistance Act (25
U.S.C. 450e) also applies to the work to be performed under this contract. Section 7(b) requires
that to the greatest extent feasible (i) preference and opportunities for training and
employment shall be given to Indians, and (ii) preference in the award of contracts and
subcontracts shall be given to Indian organizations and Indian -owned Economic Enterprises.
Parties to this contract that are subject to the provisions of section 3 and section 7(b) agree to
comply with Section 3 to the maximum extent feasible, but not in derogation of compliance
with section 7(b)."
City and Contractor understand and agree that compliance with the provisions of Section 3, the
regulations set forth in 24 CFR Part 135, and all applicable rules and orders of HUD shall be a
condition of the Federal financial assistance provided to the Program, binding upon City and
Contractor, and their respective successors, assigns and subcontractors. Failur Jo-fi,lfill these
requirements shall subject Contractor and its subcontractors, and their respective success��gs�'
w'J ; i 7 0.1
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assigns, to those sanctions specified by the Grant Agreement through which Federal assistance is
provided and to such sanctions as are specified by 24 CFR Part 135.
c. Other Laws
Contractor covenants and agrees that its officers, members, agents, employees, Program
participants and subcontractors shall abide by and comply with all other laws, Federal, state and
local, relevant to the performance of this Contract, including all applicable City ordinances, rules
and regulations and the AIDS Housing Opportunity Act, as amended, (42 USC 12901 et seq.) and
the HOPWA Regulations, as amended, (24 CFR Part 574 et seq.). Contractor further promises and
agrees that it has read, and is familiar with, the terms and conditions of the Housing Opportunities
for Persons with Aids program, and the HOPWA Regulations, under which HOPWA Funds are
granted and that it will fully comply with them. It is agreed and understood that, if City notifies
Contractor of any such violation on the part of Contractor or any of its officers, members, agents,
employees, Program participants or subcontractors, then Contractor shall immediately desist from
and correct such violation.
7. Non�liscrinzination
a. Contractor will not unlawfully discriminate against any person or persons because of sex, race,
religion, age, disability, color, national origin, or familial status, nor will Contractor permit its
officers, members, agents, employees, subcontractors or Program participants to engage in such
discrimination.
b. Contractor covenants that neither it not any of its officers, members, agents, employees, Program
participants or subcontractors, while engaged in performing this Contract, shall, in connection with
the employment, advancement or discharge of employees or in connection with the terms,
conditions or privileges of their employment, discriminate against persons because of their age
except on the basis of bona fide occupational qualification, retirement plan or statutory
requirement.
c. Contractor further covenants that neither it not its officers, members, agents, employees,
subcontractors, Program participants, or persons acting on their behalf, shall specify, in solicitations
or advertisements for employees to work on this contract, a maximum age limit for such
employment unless the specified maximum age limit is based upon a bona fide occupational
qualification, retirement plan or statutory requirement.
d. In accordance with the provisions of the Americans With Disabilities Act of 1990 ("ADA"),
Contractor warrants that it and any and all of its subcontractors will not unlawfully discriminate on
the basis of disability in the provision of services to the general public, not in the availability, terms
and/or conditions of employment for applicants for employment with Contractor, or employees of
Contractor or any of its subcontractors. Contractor warrants it will fully comply with ADA's
provisions and any other applicable Federal, state and local laws concerning disability and will
defend, indemnify and hold City harmless against any claims or allegations asserted by third parties
or subcontractors against City arising out of Contractor's and/or its subcontractors' alleged failure
to comply with the above -referenced laws concerning disability discrimination in the performance
of this Contract.
e. This Contract is made and entered into with reference specifically to the ordinances codified at
Chapter 17, Article III, Division 3 "Discrimination in Employment Practices", of the City Code,
and Contractor hereby covenants and agrees that Contractor, its officers, members, agents,
employees and subcontractors, have fully complied with all provisions of same and that no
employee, employee -applicant or Program participant has been discriminated against by the terms
of such ordinances by either the Contractor or its officers, members, agents, employees or
subcontractors.
8. Probi6ition Against Interest
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a.. No member, officer or employee of City or its designees or agents; no member of the governing
body of the locality in which the Program is situated; and no other public official of such locality or
localities, who exercises any functions or responsibilities with respect to the Program funded
hereunder during his or her tenure or for one year thereafter, shall have any interest, direct or
I
ndirect, 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 entered into in connection with the Program.
b. No member, officer, employee, or Program participant of Contractor or its subcontractors shall
have a financial interest, direct or indirect, in this Contract or the HOPWA Funds transferred
hereunder or be financially interested, directly or indirectly, in the sale to Contractor of any land,
materials, supplies or services purchased with any HOPWA Funds transferred hereunder, except on
behalf of Contractor, as an officer, employee, member or Program participant. Any willful
violation of this paragraph with the expressed or implied knowledge of Contractor or its
subcontractors shall render this Contract voidable by City.
9. Minority and lYlomen Business Enterprise Commitment
Contractor agrees to abide by City's policy to involve Minority and Women Business Enterp�ses
C'MWBEs") in all phases of its procurement practices and to provide them an equal opportunity to
compete for contracts for construction, provision of professional set-%rices, purchase of equipment and
supplies and provision of other services required by City. Contractor agrees to incorporate City
Ordinance No. 15530, and all amendments or successor policies thereto, into all contracts and will
further require all persons or entities with whom it contracts to comply with said MWBEs policy.
10. Non Assignment
No assignment or delegation of duties under this Contract by Contractor shall be effective without
City's prior written approval.
11. Independent Contractor
a. Contractor shall operate hereunder as an independent contractor and not as an officer, agent,
servant or employee of City. Contractor shall have exclusive control of, and the exclusive right to
control, the details of the work and services performed hereunder, and all persons performing
same, and shall be solely responsible for the acts and omissions of its officers, members, agents,
servants, employees, subcontractors, Program participants, licensees or invitee. The doctrine of
respondeat superior shall not apply as between City and Contractor, its officers, members, agents,
servants, employees, subcontractors, Program participants, licensees or invitees, and nothing herein
shall be construed as creating a partnership or joint enterprise between City and Contractor. It is
expressly understood and agreed that no officer, member, agent, employee, subcontractor, licensee
or invitee of the Contractor, not any Program participant hereunder, is in the paid service of City
and that City does not have the legal right to control the details of the tasks performed hereunder
by Contractor, its officers, members, agents, employees, subcontractors, Program participants,
licensees or invitees.
b. City shall in no way nor under any circumstances be responsible for any property belonging to
Contractor, its officers, members, agents, employees, subcontractors, Program participants,
licensees or invitees, which may be lost, stolen, destroyed or in any way damaged; and Contractor
hereby indemnifies and holds harmless City and its officers, agents, and employees from and against
any and all claims or suits.
12. Indemnification, Insurance and Bonding
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a.. CONTRACTOR COVENANTS AND AGREES TO INDEMNIFY, HOLD HARMLESS
AND DEFEND, AT ITS OWN EXPENSE, CITY AND ITS OFFICERS, AGENTS,
SERVANTS AND EMPLOYEES FROM AND AGAINST ANY AND ALL CLAIMS OR
SUITS FOR PROPERTY LOSS OR DAMAGE AND/OR PERSONAL INJURY,
INCLUDING DEATH, TO ANY AND ALL PERSONS, OF WHATSOEVER KIND OR
CHARACTER, WHETHER REAL OR ASSERTED, ARISING OUT OF OR IN
CONNECTION WITH THE EXECUTION, PERFORMANCE, ATTEMPTED
PERFORMANCE OR NONPERFORMANCE OF THIS CONTRACT AND/OR THE
OPERATIONS, ACTIVITIES AND SERVICES OF THE PROGRAM DESCRIBED
HEREIN, WHETHER OR NOT CAUSED, IN WHOLE OR IN PART, BY ALLEGED
NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES,
CONTRACTORS OR SUBCONTRACTORS OF CITY; AND CONTRACTOR HEREBY
ASSUMES ALL LIABILITY AND RESPONSIBILITY OF CITY AND ITS OFFICERS,
AGENTS, SERVANTS, AND EMPLOYEES FOR ANY AND ALL CLAIMS OR SUITS
FOR PROPERTY LOSS OR DAMAGE AND/OR PERSONAL INJURY, INCLUDING
DEATH, TO ANY AND ALL PERSONS, OF WHATSOEVER KINDS OR
CHARACTER, WHETHER REAL OR ASSERTED, ARISING OUT OF OR IN
CONNECTION WITH THE EXECUTION, PERFORMANCE, ATTEMPTED
PERFORMANCE OR NON-PERFORMANCE OF THIS CONTRACT AND
AGREEMENT AND/OR THE OPERATIONS, ACTIVITIES AND SERVICES OF
THE PROGRAMS DESCRIBED HEREIN, WHETHER OR NOT CAUSED IN
WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS,
SERVANTS, EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY.
CONTRACTOR LIKEWISE COVENANTS AND AGREES TO AND DOES HEREBY
INDEMNIFY AND HOLD HARMLESS CITY FROM AND AGAINST ANY AND ALL
INJURY, DAMAGE OR DESTRUCTION OF PROPERTY OF CITY, ARISING OUT OF
OR IN CONNECTION WITH ALL ACTS OR OMISSIONS OF CONTRACTOR, ITS
OFFICERS, MEMBERS, AGENTS, EMPLOYEES, SUBCONTRACTORS, INVITEES,
LICENSEES, OR PROGRAM PARTICIPANTS, OR CAUSED, IN WHOLE OR IN
PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS,
EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY.
CONTRACTOR AGREES TO AND SHALL RELEASE CITY, ITS AGENTS,
EMPLOYEES, OFFICERS AND LEGAL REPRESENTATIVES FROM ALL LIABILITY
FOR INJURY, DEATH, DAMAGE OR LOSS TO PERSONS OR PROPERTY
SUSTAINED IN CONNECTION WITH OR INCIDENTAL TO PERFORMANCE
UNDER THIS CONTRACT, EVEN IF THE INJURY, DEATH, DAMAGE OR LOSS IS
CAUSED BY THE CITY'S SOLE OR CONCURRENT NEGLIGENCE.
CONTRACTOR SHALL REQUIRE ALL OF ITS SUBCONTRACTORS TO INCLUDE
IN THEIR SUBCONTRACTS A RELEASE AND INDEMNITY IN FAVOR OF THE
CITY IN SUBSTANTIALLY THE SAME FORM AS ABOVE.
b. Contractor will maintain blanket fidelity coverage in the form of a bond in the amount of
$248,170, to insure against loss from the fraud, theft or dishonesty of any of Contractor's
officers, agents, trustees, directors or employees. The proceeds of such bond shall be used
to reimburse City for any and all loss of HOPWA Funds occasioned by such misconduct.
To effectuate such reimbursement, such bond shall include a rider stating that
reimbursement for any loss or losses thereunder shall be made directly to City for the uses
and benefit of Contractor.
C. Contractor shall furnish certificates of insurance as proof that it has secured and paid for
policies of workers' compensation, public liability and automobile liability insurance
covering all risks incident to or in connection with the execution, performance, attempted
HOPWA YEAR 2007-2008 CONTRACT Rev. 054&07
Tarrant County Samaritan Housing, Inc. Page 9
performance or nonperformance of this Contract. The amounts of such insurance shall
not be less than the maximum liability that can be imposed on City under the laws of the
State of Texas. Contractor understands and agrees that such insurance amounts may be
revised upward at City's option and that Contractor shall revise such amounts within thirty
(30) days following notice to Contractor of such requirements.
d. Contractor will submit documentation to City that it has obtained insurance coverage and
has executed bonds as required in this contract within thirty (30) days of the execution of
this Contract and prior to payment of any monies hereunder.
e. Any failure on part of the City to request certificate(s) of insurance shall not be construed as
a waiver of such requirement or as a waiver of the insurance requirements themselves.
Insurers of Contractor insurance policies shall be licensed to do business in the State of
Texas by the Department of Insurance or be otherwise eligible and authorized to business
in the state of Texas. Insurers shall be acceptable to City insofar as their financial strength
and solvency and each such company shall have a current minimum A.M. Best Key Rating
Guide rating of A: VII or other equivalent insurance industry standard rating unless
otherwise approved by City. Deductible limits on insurance policies shall not exceed $5,000
per occurrence unless otherwise approved by City.
F. Any local, federal or other regulatory insurance or bonding requirements for the Program
that exceed those specified herein shall prevail.
g. Contractor shall agree to require its subcontractors to maintain applicable insurance
coverages, limits, and other requirements as those specified herein; and, Contractor shall
require its subcontractors to provide Contractor with certificate(s) of insurance
documenting such coverage. Also, Contractor shall require its subcontractors to have City
and Contractor endorsed as additional insured (as their interests may appear) on their
respective insurance policies. Contractor shall require its subcontractors to maintain
builders risk insurance at the limit of applicable project(s) costs when the value of materials
involved exceeds $10,000 or at a different limit value limit as specified by City.
13. l�aiver of Imm�,rnity
If Contractor is a charitable or nonprofit organization and has or claims an immunity or exemption
(statutory or otherwise) from and against liaUMLY 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,
14. Termination
a. In addition to, and not in substitution for, other provisions of this Contract regarding the provision
of public services with HOPWA Funds, pursuant to the AIDS Housing Opportunity Act, as
amended, (42 USC 12901 et seq.) the HOPWA Regulations , it is expressly understood and agreed by
and between the Parties that this Contract is wholly conditioned upon the actual receipt by City of
Federal HOPWA Year 2007-2008 funds; that all monies distributed to Contractor hereunder shall
be exclusively from Federal monies received under said grant and not from any other monies of
City; and that if such funds under City's grant are not timely forthcoming, in whole or in part, City
may, at its sole discretion, terminate this Contract and City shall not be liable for payment for any
work or services performed by Contractor under or in connection with this Contract.
b. City may terminate this Contract whenever such termination is determined to be in City's best
interest, in event of Contractor's default, inability or failure to perform or to comply with any of
the terms herein, or, for other good cause.
c. The Parties acknowledge that HOPWA Funds paid hereunder are intended to provide only partial
funding for Contractor's program operations. City may terminate this Contract if non-HOPWA
HOPWA YEAR 2007-2008 CONTRACT Rev. 0548-07
Tarrant County Samaritan Housing, Inc. Page 10
funds included in the Operating Budget are not forthcoming to Contractor during the Contract
term.
d. HOPWA Funds provided hereunder may not be used as collateral for loans to Contractor to defray
program operation expenses, and any attempted use of HOPWA Funds for this purpose will result
in termination of this Contract by City.
e. Termination will be effected by written notice to Contractor, specifying the portions of the Contract
affected and the effective date of termination. Upon Contractor's receipt of such termination
notice, Contractor will:
• Stop work under the Contract on the date and to the extent specified by City;
• Cease expenditures of HOPWA Funds, except as necessary for completion of the portions of
the Contract not terminated; and
• Terminate all orders and contracts to the extent that they relate to portions of the Contract
being terminated.
£ Contractor will return to City any unused HOPWA Funds previously advanced by City under this
Contract within thirty (30) days of the effective date of Contract termination. City will have no
responsibility or liability for Contractor's expenditures or actions occurring after the effective date
of Contract termination.
15. Ce�iification Regarding Lobbying
a. The undersigned representative of Contractor hereby certifies, to the best of his or her knowledge
and belief, that: No federal appropriated funds have been paid or will be paid, by or on behalf of
Contractor, to any person for influencing or attempting to influence an officer or employee of any
agency, a member of Congress, an officer or employee of Congress or an employee of a member
of Congress in connection with the awarding of any Federal contract, the making of any Federal
grant, the making of any Federal loan, the entering into of any cooperative agreement and the
extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan
or cooperative agreement. Contractor shall require that the language of this certification be
I
ncluded in all subcontracts or agreements involving the expenditure of Federal funds.
DO If any funds other than Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a member of
Congress, an officer or employee of Congress, or an employee of a member of Congress in
connection with this Federal contract, grant, loan or cooperative agreement, Contractor shall
complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance
with its instructions.
c. This certification is a material representation of fact upon which reliance was placed when this
Contract was made or entered into. Submission of this certificate is a prerequisite for making or
entering into this Contract imposed by 31 USC Section 1352. Any person who fails to file the
required certification shall be subject to a civil penalty of not less than $10,000.00 and not more
than $100,000.00 for each such failure.
16. Miscellaneous Provisions
a.
b.
c.
All terms of this Contract shall apply to any and all subcontractors of Contractor who are in any
way paid with HOPWA Funds or who perform any work in connection with Contractor's program.
The provisions of this Contract are severable, and, if for any reason a clause, sentence, paragraph or
other part of this Contract 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.
City's failure to insist upon the performance of any term or provision of this Contract 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. ; o��
HOPWAYEAR 2007-2008 CONTRACT Rev. 0548-07 �� Jr,j�,
& Should any action, whether real or asserted, at law or in equity; arise out of the execution,
performance, attempted performance or nonperformance of this Contract, venue for action shall
he in Tarrant County, Texas.
e. This written instrument and the exhibits attached hereto, which are incorporated by reference and
made a part of this Contract for all purposes, constitute the entire agreement between the Parties
concerning the work and services to be performed hereunder, and any prior or contemporaneous,
oral or written agreement which purports to vary from the terms hereof shall be void. Any
amendments to the terms of this Contract must be in writing and must be approved by each Party.
f. All notices required or permitted by this Contract 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 set out in the preamble of this
Contract or at such other address as the receiving Party designates by proper notice to the sending
Party.
g. In accordance with the requirements of 24 CFR Part 574.300, none of the performance rendered
under this Contract shall involve, and no portion of the HOPWA 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.
h. 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 Contract and to perform the
responsibilities herein required.
i. 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 Contract.
[SIGNATURES APPEAR ON FOLLOWING PAGE]
HOPWA YEAR 2007-2008 CONTRACT Rev. 05-18-07
Tarrant County Samaritan Housing, Inc. Page 12
IN WITNESS WHEREOF, the Parties he e o have executed three du li ate originals of this Contract
in Fort Worth, Tarrant County, Texas, this day of 200 q..
TU
CITY OF FORT WORTH Tarra:
By: By:
Dale A. Fissele
Assistant City Manager
AS TO FORM AND LEGALITY:
(��-City Attorney
ATTEST:
Executive Director
s • L.
• • ••
. • ��
STATE OF TEXAS �
COUNTY OF TARRANTWIN
jj�000000
This instrument was acknowledged before me ondue h(..� l C , 2001 by Dale A.
Fisseler, the Assistant City Manager of the City of Fort Worth, on behalf of three City of Fort Worth.
MA L. BRISENO
` Notary Public, State of Texas IILL//
My Commission Expires Notary Public, State of Texas
or March 07, 2oi l
STATE OF TEXAS �
COUNTY OF TARRANT �
This instrument was acknowledged before me on � , 200,.� by Steve
Dutton, the Executive
corporation, on behalf of
Director of Tarrant County Sam an ousing, Inc., a Texas non-profit
said corporation.
Ili
Notary Public, State of Texas
HOPWA YEAR 2007-2008 CONTRACT Rev. Q5=T8-U7
Tarrant County Samaritan Housing, Inc. Page 13
CITY OF FORT WORTH
HOUSING DEPARTMENT
CONTRACT MANAGEMENT DIVISION
REQUEST FOR FUNDS
Attachment I
AGENCY: Tarrant County Samaritan House PROGRAM: Samaritan House
ADDRESS: 929 Hemphill CONTRACT NUMBER:
Fort Worth, TX 76104 CONTRACT AMOUNT: $248,170
CONTRACT DATE: 6/1/2007
DATE OF REQUEST:
SECTION 1 (AGENCY)
I. Reimbursement Request
1. Expenditures:
2, Income
A. Program Income
B. City of Fort Worth
C. Interest Earned CDBG Funds
3. Reimbursement (1 minus 2)
II. Advance Pay Requests/Repayment
III. Reporting Interest
1. Interest over $25 per quarter returned to City of Fort Worth
SECTION II (CITY)
I. BYSPEED -Purchasing Request
A. BYSPEED INPUT: Vendor/PO Number/Requisition Number:
B. Fund/Account/Center:
C. Total Amount of this Request:
SECTION III
1. Verification
A. Contract Compliance Specialist
B. BYSPEED -Purchasing
C. Accounting
11. Authorization
A. Agency
B. Asst, Housing Director
C. Housing Director
Aya Ealy
(Name)
(Name)
(Name)
(Name)
D.Emerson
(Name)
J. Walker
CURRENT MONTH
CUMULATIVE
$ $
$ $
$ $
$ $
$ $
G R76/53 9120/005206184030
$
(Signature) (Date)
(Signature) (Date)
(Signature) (Date)
(Signature) (Date)
(Signature) (Date)
(Name)
(Signature) (Date)
Note: Any Request for Funds that exceed $8500 must be signed by both Deidra Emerson and Jerome Walker
CITY OF FORT WORTH
HOUSING DEPARTMENT
ATTACHMENTH
CONTRACT MANAGEMENT DIVISION
DETAIL STATEMENT OF COSTS
Tarrant County Samaritan Housing
AGENCY
Supportive Services
PROGRAM
CONTRACT NO.
REPORT PERIOD
TO
DATE
COST CATEGORY
ACCOUNT
PROGRAM
BUDGET
MONTHLY
EXPENDITURES
CUMULATIVE
TO DATE
BALANCE
ADMINISTRATIVE EXPENSES
Salaries
516 010
FICA
518 010
Life Insurance
518 050
Health Insurance
518 060
Disability Insurance
518040
Unemployment
518090
Legal and Accounting
538050
Office Supplies
521010
Postage
521020
Telephone
535040
ADMINISTRATIVE EXPENSES SUB -TOTAL
ADMINISTRATIVE EXPENSES PERCENT OF TOTAL COST =
SUPPORT SERVICES
Salaries
516 010
FICA
518 010
Life Insurance
518 050
Health Insurance
518 060
Disability Insurance
508070
Unemployment - State
535 020
Worker's Compensation
535 010
Retirement
535 030
Office Supplies
537 010
Postage
539 220
Telephone
537 030
Electric
533 030
Audit
536 010
Lease
538 210
Custodial Services
534 020
Office Equipment Rental
538 050
Printing
532 130
Fidelity Bond
534020
Liability Insurance
532130
Private Auto Allowance
539120
Advertisement
532130
Conferences & Seminars
539120
Rent/Mortgage/Utilities Assistance
539120
Total Support Services
TOTAL
Contractors Certification: I certify that the costs incurred are taken from the books of account and that such costs are valid and consistent with the terms of the
agreement.
NAME and TITLE OF AUTHORIZED OFFICER DATE
Tarrant County Samaritan Housinrm
Agency
Supportive Services
Program
CITY OF FORT WORTH
HOUSING DEPARTMENT
CONTRACT MANAGEMENT DIVISION
EXPENDITURES WORKSHEET
Contract Number Date
TO
REPORT PERIOD
ATTACHMENT III
NO
DATE
CHECK
NO.
PAYEE
DESCRIPTION
ACCOUNT NO.
AMOUNT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
26
TOTAL
TITLE OF AUTHORIZED OFFICER
SIGNATURE and DATE
3
1. Name and Address of Sub -Grantee
Tarrant County Samaritan Housing
929 Hemphill
Fort Worth, TX 76104
Race: Section Must be
Month
Current Month
Cumulative
Beneficiary Data
CITY OF FORT WORTH
CONTRACT MANAGEMENT DIVISION
HOPWA YEAR 2007-2008
2. Project Name Supportive Services
3. Contract No.
4. Date of Request
Month &Year
Attachment 4A
Black
Indian/Alaskan
Native Hawaiian/Other
Indian/Alaskan
White African/American Asian
Native
Pacific Islander
Native and White
American
Indian/Alaskan
Black/African Native & Black Other Multi -
Asian and White American&White African American Racial
HOPWA Funds Funds
esource
Identification/Technical
Assistance
Housing Information Service
Permanent Housing
Placement Services
Unduplicated Female Head of
Clients Household
Current Month
Cumulative
Date:
Income Groups of Individuals
-500
001-1
17 and Under
18 to 30 Years
31 to 50 Years
I Years and
Ider
Female
Male Participants
m: The undersigned hereby gives assurance that to the best of my knowledge and belief, the data included in this report is true and accurate, and if anon -profit agency, has been
by the governing body of the organization prior to submission.
Submitted by:
Phone No,
Step 1: Ethnicity -Report whether client ident'rfies themselves as Hispanic or Non -Hispanic 2: Race -Identify the category chosen by the clientt
CITY OF FORT WORTH
CONTRACT MANAGEMENT DIVISION
HOPWA YEAR 2007-2008
1. Name and Address of
(Tarrant
1929 Hemphill
Samaritan Housi
(Fort Worth. TX 76104
Month &Year
Outreach
Case
Life
Nutritional Seivices/Meals
e. Adult Day Care and Personal Assistance
f. Child Care and other Childrerfs Services
Education
Assistance
Alcohol and Diu Abuse Services
j. Mental Health Services
k. Health/Medical/Intensive Care Services
Other
Other
Number of Jobs that resulted from g. and h.
Receiving
Supportive Services
Receiving
W/ Housing
Supportive Services
Assistance
Only
Persons with HIV/AIDS
Other Persons in Family Unit
2. Project Name
3. Contract No.
4. Date of Request
Attachment 4b
Supportive Services
Certification: The undersigned hereby gives assurance that to the best of my knowledge and belief, the data included in this report is true accurate, and
and if a non-profit agency, has been approved by the governing body of the organization proior to submission.
Date: Submitted by: Phone No.
Tarrant County Samaritan Housing, Inc. EXHIBIT A
Supportive Housing SCOPE OF SERVICES
PROGRAM SUMMARY
June 1, 2007 - May 31, 2008 $248,170
CONTRACT NO, PERIOD AMOUNT
Scope of Services
This Scope of Services is based on the proposal prepared and submitted by the Subrecipient through the City of Fort
Worth and the Housing Department Contract Management Division's annual Request for Proposal (RFP) process.
However, in the event of any conflict between the proposal and any provision contained herein, this Agreement shall
control. In addition to the activities listed below, the Subrecipient agrees to operate this Housing Opportunities for
Persons with AIDS program consistent with the program delivery stated in the approved proposal.
Samaritan House is an affordable, service -enriched housing community for individuals living with HN/AIDS and other
special needs. The center is located at 929 Hemphill Fort Worth, TX 76104.
COUNCIL DISTRICT (S) -ALL
PROGRAM OBJECTIVES
Samaritan House not only helps residents manage their life with HIV and improve their heath. The organization is
focused on fostering independence and developing skills that enable clients to become vital, contributing members of
society. This is valuable to the community because housing of this type has also been shown to be more cost-effective
than temporary shelters or incarceration. In addition, recent studies have demonstrated that affordable housing modes
such as Samaritan House are important factors in reducing new HIV infections
In addition to the normal administrative services required as part of this contract, the Subrecipient agrees to document
progress using reporting requirement specified in the Contract's Reporting Procedures, Progress Report (b).
PROGRAM GOALS
To provide supportive housing to 100 unduplicated clients, including housing, medical and social case management,
nutritional counseling, attended health care, life skills support, chemical dependency counseling and nutritional services
(three hot meals per day).
PROGRAM SERVICES and ACTIVITIES Total Units of Services for Year
Unduplicated Clients
Number of Units Case Management
100
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"<'J1
City of Fort Worth
HOPWA YEAR 2007-2008
CONTRACT PERIOD-6/1/07-5/31/08
EXHIBIT C
Page 1 of 3
TARRANT COUNTY SAMARITAN HOUSING, ING
Supportive Housing
Total
Grant Budget
Other
Sources
Cost Category
Budget
Funds
[c]
[d]
[e]
[f]
PERSONNEL
SERVICES
Salaries
11053,640
192,000
116,908
100,684
183,776
460,272
FICA
74,456
14,230
8,663
81988
14,058
289517
Life Insurance
9,600
1,000
33228
1,000
11412
21960
Health Insurance
88$20
16,440
18,415
14,792
18,400
20,273
Unemployment - State
15,000
21000
31453
21000
5,513
2,034
Worker's Comp
20,000
21000
10,098
3,000
41000
902
Retirement
SUPPLIES
Office Supplies
51000
11500
37000
-
500
Postage
1,680
-
600
1,080
Medical Supplies
2,400
1,491
909
Other (Specify) '(Food)
757400
50,704
11,400
13,296
"onFra"cualServices
Telephone
41800
-
4,600
-
200
Electric
-
Gas [Utilities]
-
Water/Waste Disposal
-
Rent [Building]
All Other
62,097
1,219
19,650
61526
34,702
Office Equipment Rental
91350
4,250
27385
2,715
Printing
71500
2,000
3,070
21430
Repairs
-
Fidelity Bond"
21202
-
21202
Liability Insurance""
15,000
51550
41549
31000
11901
Legal & Accounting
8,000
61000
-
500
11184
316
Private Auto Allowance -Local
125000
11200
956
1,818
31200
4,826
Rental Assistance
198,062
198,062
-
Capital Outlay
Furniture, Fixtures
Office Equipment, Computers
Office Equipment
TOTALI
11664,507
248,170
219,684
378,549
238,069
580,035
MATCHING FUND SOURCES
[c] RWI, RWII, State Services [e] SHP
[d] HOPWA SNAP [f] All other- Foundations, Fundraising, Contributions, etc
BUDGET DETAIL Page 2 of 3
PERSONAL SERVICES
Hourly Annual % of
Position / Title Rate Hours Time Amount
1 Executive Director $ 35.45 2080 6.78% 51000
2 Director of Finance $ 24.95 2080 7.70% 41000
3 Administrative Asst. $ 20.00 2080 9.62% 41000
4 Medical Case Manager $ 24.55 2080 15.67% 81000
5 Associate Exec Director $ 24.95 2080 30.83% 161000
6 LCDC Case Manager $ 20.20 2080 23.80% 10,000
7 Resident Care Attendant $ 14.50 2080 59.68% 18,000
8 Resident Care Attendant $ 10.00 2080 48.08% 10,000
9 Resident Care Attendant $ 10.00 2080 48.08% 101000
10 Resident Care Attendant $ 10.00 2080 48.08% 101000
11 Resident Care Attendant $ 10.00 2080 48.08% 101000
12 Resident Care Attendant $ 100.00 2080 48.08% 10,000
13 Kitchen Manager/Cook $ 17.30 2080 22.23% 81000
14 Weekend Cook $ 12.05 2080 19.95% 51000
15 Prep Cook $ 12.05 2080 19.95% 51000
16 Caretaker $ 16.35 2080 35.29% 121000
17 Follow Up Coordinator $ 15.35 2080 37.58% 12,000
18 Social Work Case Mgr $ 18.25 2080 34.25% 131000
19 Social Work Case Mgr $ 16.10 2080 14.93% 53000
20 Social Work Case Mgr $ 16.10 2080 14.93% 51000
21 Housing Coordinator $ 22.10 2080 17.40% 81000
22 Housing Coordinator $ 15.35 2080 12.53% 45000
TOTAL STAFF SALARIES 192,000
FRINGE BENEFITS
of %Paid %Paid
CATEGORY Payroll Amount by Agency by Grant Amount
FICA 7.06% 74,456 80.89% 19.11 % 141230
Life Insurance 0.91% 91600 89.58% 10.42% 11000
Health Insurance 8.38% 88,320 81.39% 18.61 % 16,440
Umemployment Insurance 1.42% 15,000 86.67% 13.33% 21000
Worker's Compensation 1.99% 201000 90.00% 10.00% 2,000
TOTAL FRINGE BENEFITS 359670
TOTAL PERSONAL SERVICES (Total Staff Salaries + Total Fringe Benefits) 227,670
BUDGET DETAIL Page 3 of 3
UTILITIES
% Paid % Paid
Category Amount by Agency by HOPWA Amount
Telephone
Electric
Water/ Waste Disposal
TOTAL UTILITIES 0
BUILDING RENTAL
Paid %Paid
Building Location Amount by Agency by HOPWA Amount
2 "
3
TOTAL BUILDING RENT -
Category
Fidelity Bond
Liability Insurance/ D&O
Legal & Accounting
Other (Specify) (Office Equipment
Repairs, Supplies, Postage, Auto
Allow)
TOTAL OTHER EXPENSES
Event
1
TOTAL CONFERENCES &SEMINARS
Item
1. Copier, Computer for Client Service
delivery tracking
TOTAL OFFICE EQUIPMENT RENTAL
OTHER EXPENSES
Paid %Charged
Amount by Agency To HOPWA
C�7
CONFERENCES &SEMINARS
Amount
5,550
6,000
4,700
$ 16,250.00
Total %Charged
Charges to HOPWA Amount
0
OFFICE EQUIPMENT RENTAL
Paid %Charged
Amount by Agency to HOPWA Amount
4250
4250
EXIIIBIT
AUDIT SCHEDULE
INDEPENDENT AUDIT REQUIREMENT
BUSINESS/AGENCY NAME:
PROGRAM:
HOPWA YEAR:
AMOUNT FUNDED:
Tarrant County Samaritan Housing, Inc.
Samaritan House
2007-2008
$248,170
Name of Independent Auditor who will perform agency audit:
Independent Auditor to be contracted during HOPWA contract period.
Date audit is to be performed:
Within 60 days of completion of HOPWA funded project.
The following language is a condition of your contract with the City:
(1) For all contracts in which Contractor is cumulatively receiving federal
monies in the amount of $500,000 or more, Contractor must submit to City an
annual audit prepared in accordance with 24 CFR Sections § 570.502-570.503
generally, with specific reference to OMB Circulars (with attachments) A422
and A-133 as appropriate. The audit may cover either Contractor's fiscal year
during which this contract is in force or cover the period of this contract. The
audit must be prepared by an independent certified public accountant, be
completed within nine (9) months following the end of the period being audited
and be submitted to City within thirty (30) days of its completion. Contractor's
audit schedule is attached hereto as Exhibit D - Audit Schedule. Costs of
preparation of this audit may be an allowable expenditure of HOPWA funds in
an amount proportional to that of the HOPWA funds used in contractor's total
agency operating budget.
This form is to be completed and submitted to the Housing Department, Contract Management
Division at the
year.
Tarrant County Samaritan Housing EXHIBIT E
CONFLICT OF INTEREST
All Applicants
The standards in OMB Circular A-110, Subpart C, provide that no employee, officer, or agent shall participate in the
selection, award, or administration of a contract supported by Federal funds if real or apparent conflict of interest would
be involved. Such a conflict would arise when an employee, officer, or agent, any member of his or her immediate
family, his or her partner, or an organization which employs or is about to employ any of the parties indicated herein, has
a financial or other interest in the firm selection for an award.
CDBG and HOME Applicants Only
The CDBG regulations at 24 CFR 570 570.611 and HOME regulations at 24 CFR 92.356 provide that no person who is
an employee, agent, consultant, officer, or elected official or appointed official of the recipient or Subrecipient that are
receiving CDBG or HOME funds and (1) who exercises or has exercised any functions or responsibilities with respect to
activities assisted with CDBG funds; or (2) who is in a position to participate in a decision -making process or gain inside
information with regard to these activities, may obtain a financial interest from a CDBG-assisted or HOME -assisted
activity, or have any interest in any contract, subcontract, or agreement with respect thereto, or the proceeds thereunder,
either for themselves or those with who they have family or business ties, during their tenure or for one (1) year
thereafter.
IF NO CONFLICTS EXIST, COMPLETE THE FOLLOWING:
I certify that no conflict of interest exists between The City of Fort Worth and
!,s
(Name of Organization)
I certify that no conflict of interest exists between the subcontractors of and
/�irY✓%LN COc���U ��/.!f?l�rinw �J)�sti �? d
(Name of Organization)
IF THERE IS A CONFLICT, COMPLETE THE FOLLOWING:
I certify that a conflict of interest does exist between The City of Fort Worth and
(Name of Organization)
I certify that a conflict of interest does exist between
and
(Name of subcontractor)
(Name of Organization)
Describe the nature of th on ict of Fest below: (Please identify the individual, employment, and the conflict or potential conflict [their affiliation with your
or anization])
Signature of t 1z A�gcnlvcial Dat
�,� . G
Typed Name and Title
Page 1 of 3
City of Fort Worth, Texas
• • • • �
DATE: Tuesday, June 19, 2007
LOG NAME: 05060507ACTIVIT REFERENCE NO.: C-22201
SUBJECT:
Authorize Execution of Community Development Block Grant Year XXXIII, Emergency Shelter Grant
Year 2007-2008 and Housing Opportunities for Persons with AIDS 2007-2008 Contracts
RECOMMENDATION:
It is recommended that the City Council:
1. Authorize the City Manager to execute Community Development Block Grant (CDBG) Year XXXIII,
Emergency Shelter Grant (ESG) Year 2007-2008 and Housing Opportunities for Persons with AIDS
(HOWPA) Year 2007-2008, contracts with the listed organizations to administer their respective programs,
contingent upon approval and receipt of adequate funding from the U.S. Department of Housing and Urban
Development (HUD), for a term beginning June 1, 2007, and ending May 31, 2008;
2. Authorize the City Manager to extend or renew the contracts for up to one year if an organization
requests an extension and such extension is necessary for completion of the project; and
3. Authorize the City Manager or his designee to amend the contract, if necessary, to achieve program
goals, provided the amendment is within the scope of the project and in compliance with all applicable laws
and regulations governing the use of federal grant funds.
Community Development Block Grant (CDBG)
Organization
Centro Cultural de las Americas
Southside Youth Association
Summerbridge-Summerbridge Program
Cooks Children's-Save A Smile
ESTRELLAS-Boys and Girls Clubs
All Church Home (Bridge) -Buffalo Soldiers
JMAC Youth Center
Latin Arts Association -Theater Skills Program
Clayton Child Care- Greenbriar
CJ's Studio of Performing Arts
Near Northside Partners Council
Women's Center -Play It Safe
YWCA -Child Development
Child Care Associates -Pre -School Child Care
FWHA-AMAKA Child Care Center
Clayton Child Care -School Age Child Care
Tarrant Area Food Bank -Community Kitchen
Amount (Not to Exceed)
$20,077.00
$10,000.00
$22, 500.00
$24,300.00
$16,000.00
$16,200.00
$25,000.00
$12,600.00
$18,000.00
$12,096.00
$16,639.00
$19,683.00
$135,000.00
$117,000.00
$27,000.00
$54,000.00
$20, 000.00
http://www.cfwnet.org/council packet/Reports/mc�rint.asp
8/7/2007
Page 2 of 3
Bottle Bounty Deposit
Senior Citizens Services of Tarrant County-COMO
Senior Citizens Services of Tarrant County -RIVERSIDE
Meals on Wheels
Mental Health Associaton of Tarrant County -OMBUDSMAN
Mental Health Associaton of Tarrant County -Mental Health Advocate
United Community Centers -Crisis Intervention
Northside Interchurch Agency
Day Resource Center Security
NSEAM
MASS, Inc.
REACH, Inc.- Project Ramp
YWCA -Ben & Jerry's Job Trainng/Job Placement
Fort Worth SER-Northside Resource Center
A -Prep Center of Tarrant County
TOTAL CDBG:
II. Emergency Shelter Grant (ESG)
Organization
YWCA -Supportive Living
Cornerstone Assistance
Presbyterian Night Shelter
Cenikor Foundation
SafeHaven of Tarrant County
Presbyterian Night Shelter
Mental Health Mental Retardation of Tarrant County
YWCA -My Own Place
Parents And Chldren Together, Inc.
Safehaven of Tarrant County -Childcare
TOTAL ESG:
III. Housing Opportunities for Persons with HIV/AIDS (HOPWA)
Organization
AIDS Outreach
Tarrant county Samaritan Housing
AIDS Outreach Rural Texas
TOTAL HOPWA:
DISCUSSION:
$20,000.00
$17,597.00
$15,271.00
$33,696.00
$17,500.00
$24, 750.00
$18,000.00
$23,436.00
$21, 870.00
$17, 000.00
$30,000.00
$15,000.00
$14,748.00
$46,800.00
$67,197.00
$948,960.00
Amount (Not to Exceed)
$10,742.00
$13,000.00
$136,177.00
$10,681.00
$17,700.00
$11, 864.00
$12,650.00
$15,331.00
$16,521.00
$12,700.00
$257,366.00
Amount (Not to Exceed)
$436,242.00
$248,170.00
$114,198.00
$798,610.00
On April 10, 2007, the City Council adopted the budgets and the appropriation ordinance increasing
estimated receipts and appropriations for the Year XXXIII (June 1, 2007 to May 31, 2008) Community
Development Block Grant (CDBG) grant funds, (2007-2008) Emergency Shelter Grant (ESG) grant funds
and (2007-2008) Housing Opportunities for Persons with AIDS (HOPWA) grant funds as part of the City's
Consolidated Plan and Consolidated Action Plan. The Consolidated Plan, as adopted by the City Council,
included program descriptions on each program listed above.
http://www.cfwnet.org/council packet/Reports/mcprint.asp 8/7/2007
Page 3 of 3
The above programs are consistent with the City's approved funding policies and priorities. Each program
meets the requirements of the Department of Housing and Urban Development (HUD) regulations defining
"eligible activity." These programs provide services citywide.
FISCAL INFORMATION/CERTIFICATION:
The Finance Director certifies that funds will be available in the current operating budget as appropriated, in
the Grants Fund contingent upon approval and receipt of adequate funding from the U.S. Department of
Housing and Urban Development (HUD) for the term beginning June 1, 2007, and ending May 31, 2008.
TO Fund/Account/Centers
Submitted for City Manager's Office bv:
Originating Department Head:
Additional Information Contact:
FROM Fund/Account/Centers
GR76 539120 005206184XXX
GR76 539120 005206183XXX
GR76 539120 005206180XXX
Dale Fisseler (6266)
Jerome Walker (7537)
Deidra Emerson (7563)
$798,610.00
$257,366.00
$948, 960.00
http://www.cfwnet.or�/council packet/Reports me print.asp
8/7/2007