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G�R1SSp� I MENDMENT TO CITY SECRETARY CONTRACT NO. 51664 BETWEEN THE CITY OF
FORT WORTH AND TARRANT COUNTY SAMARITAN HOUSING,INC.
O`68L95 ��
WHEREAS the City of Fort Worth ("City") and Tarrant County Samaritan Housing, Inc.
("Agency")made and entered into City Secretary Contract No.51664("Contract');
WHEREAS, the Contract provides funding to Agency pursuant to a grant received by City from
the United States Department of Housing and Urban .Development ("HUD") through the Housing
Opportunities for Persons with AIDS Program ("HOPWA"), Program No. TX-H-17-F002, Catalog of
Federal Domestic Assistance No. 14.241;
WHEREAS, on October 8, 2019, the Parties entered into an amendment to memorialize the
agreement of the parties to extend the term of the Contract to December 31, 2019 and to add additional
funds;
WHEREAS, it is the mutual desire of the City and Agency to further amend the Contract to revise
line items in Administrative,Supportive Services,and Facility Based Operations budgets in order to further
the programs goals and allow Agency to achieve the program's objectives;
WHEREAS,Agency requested a budget amendment on November 14,2019;and
WHEREAS, it is the mutual desire of City and Agency to amend the Contract to complete the
Program and meet Contract objectives through December 31,2019.
NOW,THEREFORE,City and Agency hereby agree to amend the Contract as follows:
1.
Exhibit`B"—Budget attached to the Contract is hereby replaced with the attached Exhibit"B"—
Budget revised 11/2019.
II.
Unless otherwise specified,this amendment is effective as of the Effective Date of this
Amendment.
III.
All terms and conditions of the Contract not amended herein remain unaffected and in full force
and effect,are binding on the Parties and are hereby ratified by the Parties. Capitalized terms not defined
herein shall have the meanings assigned to them in the Contract.
[SIGNATURES APPEAR ON FOLLOWING PAGE]
EFT. WORftTX
L RECORD
CRETARY
Amendment No.3 to CSC No.51664
Tarrant County Samaritan Housing,Inc.(HOPWA))
ACCEPTED AND AGREED:
TARRAN O MA OUSING,INC. CITY OF FORT WORTH
4
By: By: Fernando Cosa(Dec 10,2019)
No sident and i7 Fernando Costa,Assistant City Manager
3 O IF OR
ATTEST: , � ! � APPROVE AS TO FORM AND
"3 _ ; LEGALITY:
B ye4ary Kays Dec 16,20 .•' B Jo Ann Pate(Dec 10,2019)
City Secretary Jo Ann Pite,Assistant City Attorney
M&C:0-19328
1295 Certification No.2018-363287
Date:August 7,2018
CONTRACT COMPLIANCE MANAGER:
By signing, I acknowledge that I am the person responsible
for the monitoring and administration of this contract,including
ensuring all performance and reporting requirements
Bxy;b&a&A64r -
Barbara Asbury
Compliance and Planning Manager
i
A
RECORDETARYTH, TX
Amendment No.3 to CSC No.51664 Page 2
Tarrant County Samaritan Housing,Inc.(HOPWA))
EXHIBIT"B-3"-BUDGET
Account I Grant Budget Increase Decrease Total
ADMINISTRATIVE
PERSONNEL
Salaries 1001 $ 30,426.00 $ 693.96 $ 31,119.96
FICA 1002 $ 2,115.00 $ 62.58 $ 2,177.58
Life/Disability Insurance 1003 $ 35.00 $ 0.28 $ 35.28
Health/DentalInsurance 1004 $ 1,780.00 $ 105.60 $ 1,885.60
Unemployment-State 1005 $ 74.00 $ 74.00
Worker's Compensation 1006 $ - $ -
Contract Labor 1007 $ - $ -
Other(admin office supplies) 1008 $ 4,900.00 $ 18.82 $ 4,881.18
Insurance-Commercial Umbrella
Liability 1009 $ - $ -
Insurance-Directors and
Officers 1010 $ -
Insurance-Fidelity Bond or
Equivalent 1011 $ 490.00 $ 0.95 $ 489.05
TOTAL ADMINISTRATIVE
EXPENSES $ 39,820.00 $ 862.42 $ 19.77 $ 40,662.65
%Administrative Cost 6%
SUPPORTIVE SERVICES
PROGRAM PERSONNEL
Salaries 2001 $ 367,383.00 $ 3,203.87 $ 364,179.13
FICA 2002 $ 28,385.00 $ 1,410.63 $ 26,974.37
Life/Disability Insurance 2003 $ 490.00 $ 8.36 $ 498.36
Health/DentalInsurance 2004 $ 29,475.00 $ 4,502.62 $ 33,977.62
Unemployment-State 2005 $ 1,145.00 $ 1,145.00
Worker's Compensation 2006 $ - $ -
SUPPLIES AND SERVICES
Office Supplies 3001 $ 7,850.00 $ 7.45 $ 7,842.55
Office Equipment Rental 3002
Postage 3003
Printing 3004
MISCELLANEOUS
Contract Labor-Nutritionist 4001
Food Supplies 4002
FACILITY AND UTILITIES
Telephone 5001
Electric 5002
Gas 5003
Water and Wastewater 5004
Solid Waste Disposal 5005
Rent(City needs copy of lease
before expenses can be
reimbursed) 5006
Custodial Services 5007
HOPWA PSA CONTRACT 2018-2019-EXHIBIT"B-3"-BUDGET
Tarrant County Samaritan House,Inc.-Amendment No.3
Page 1
Maintenance/Repairs 5008
Building Security 5009
LEGAL,FINANCIAL AND
INSURANCE
Professional Liability/Business
Auto 6001
TOTAL SUPPORTIVE
SERVICE EXPENSES IS 434,728.00 1 $ 4,510.98 1 $ 4,621.95 1 $ 434,617.03
DIRECT ASSISTANCE-STRMU
Short-term Rent Assistance 7001
Short-term Mortgage Assistance 7002
Short-term Utilities Assistance 7003
Total Direct Assistance-STRMU
DIRECT ASSISTANCE-TBRA
Tenant Based Rental Assistance
(TBRA) 8001 $ 48,1 I7.00 1 $ - $ - $ 48,117.00
Total Direct Assistance-TBRA IS 48,117.00 1 $ - $ - $ 48,117.00
FACILITY BASED OPERATIONS
PERSONNEL
Salaries 9001 $ 100,863.00 $ 2,004.66 $ 98,858.34
FICA 9002 $ 5,511.00 $ 1,488.50 $ 6,999.50
Life/Disability Insurance 9003 $ 168.00 $ 0.32 $ 167.68
Health/Dental Insurance 9004 $ 19,831.00 $ 27.28 $ 19,803.72
Unemployment-State 9005 $ 488.00 $ 214.19 $ 273.81
Worker's Compensation 9006 $ - $ -
Insurance-Commercial Property
and Professional Liability 9007 $ - $ -
Other(office supplies) 9008 $ 2,950.00 $ 29.90 $ 2,979.90
Office Kitchen Equipment 9009 $ 6,200.00 $ 3.63 $ 6,196.37
Food Supplies 9010 $ 20,963.13 $ 20,963.13
TOTAL FACILITY BASED
OPERATION EXPENSES $ 156,974.13 $ 1,518.40 $ 2,250.08 $ 156,242.45
BUDGET TOTAL $ 679,639.13 $ 6,891.80 $ 6,891.80 IS 679,639.13
Total Funds Expended by
9/30/19 $ 487,806.94
Total Grant funds to expend
through 12/31/19 $ 191,832.19
These funds are extended through December 31, 2019.
HOPWA PSA CONTRACT 2018-2019-EXHIBIT"B-3"-BUDGET
Tarrant County Samaritan House,Inc.-Amendment No.3
Page 2