HomeMy WebLinkAboutContract 40978-A1CLTV SECRETARY, b a � g a- IA I
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AMENDMENT TO CITY SECRETARY
CONTRACT NO. 40978
WHEREAS, the City of Fort Worth ("City") and Senior Citizen Services of Greater
Tarrant County, Inc. ("Contractor") made and entered into City Secretary Contract No. 40978
(the "Contract") on October 20, 2010;
WHEREAS, the Contract provided funding to Contractor pursuant to a grant of
Community Development Block Grant funds received by City from the United States
Department of Housing and Urban Development ("HUD");
WHEREAS, Contractor desires to reallocate the contract budget within eligible line items
by increasing salaries by Four Hundred Sixteen and 10/100 ($416.10) but leaving the total
contract amount the same at Eighteen Thousand and No/100 Dollars ($18,000.00) by decreasing
food supplies by Three Hundred Sixty Nine and 30/100 Dollars ($369.30) and telephone service
by Forty Six and 80/100 Dollars ($46.80); and
WHEREAS, it is the mutual desire of City and Contractor to amend the Contract to meet
Contract objectives.
NOW, THEREFORE, City, whose address is 1000 Throckmorton St., Fort Worth TX
76102, acting by and through Susan Alanis, its duly authorized Assistant City Manager, and
Contractor, whose address is 1701 N.E. 36th Street, Fort Worth, Texas, 76119, acting by and
through Jerome H. Mosman, its duly authorized Executive Director, do hereby agree as follows:
I.
a. Exhibit C is deleted in its entirety and replaced with the attached Exhibit C - Revised:
b. This amendment is effective April 1, 2011.
II.
All other terms and conditions of the Contract not amended herein remain unaffected and
in full force and effect, are binding on the Parties and are hereby ratified by the Parties.
[REMAINDER OF PAGE LEFT INTENTIONALLY BLANK]
CITY SECRETARY
FT. WORTH, TX
CONTRACT AMENDMENT CSC NO. 40978 Page 1
Senior Citizen Services of Greater Tarrant County, Inc. — Diamond Hill Senior Center
09-21-11 P02: 3 IN
IN WITNESS WHEREOF, the Parties hereto have executed three duplicate originals of
this Contract Amendment in Fort ���e,�xas, this a\ �} day of Sep+exrt �( , 2011.
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ATTEST: fl• o*00000004%ITyao�OF FORT WORTH
°�"$�' d��— Val 10,4A,0
City Secretary
by Susan Alanis,
Fort Wo't
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0 Susa A ; nis Assistant CityManager
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M&C: C-24401 Date: 8/1 01Oo o° ,�y
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APPROVED AS TO FORM N qZ/tor� LITY:
Ly
Assistant City Attorney
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SENIOR CITIZEN SERVICES OF GREATER TARRANT COUNTY, INC.
By: Jerome H. Mosfran
Title: Executive Director
STATE OF TEXAS
COUNTY OF TARRANT §
This instrument was acknowledged before m e on
the Assistant City Manager of the City of Fort Worth, on behalf of the City of
fir••- "-„____ i,-�' .lyzs`-<et:£rsn�x y
���' { LINDA M. HIRRLINGER
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Februaty 2, 2014
STATE OF TEXAS
COUNTY OF TARRANT
TARRANT
U71/4,- nifk OWLIA5tA
N�T�RY PUBLIC, STATE OF tItXAS
1 1 OF
1
This instrument was acknowledged before m e on � UJ. u
by Jerry Mosoman, Executive Director of Senior Citizen Services o.
Texas non-profit corporation, on behalf of said corp g (foe)
a
r
TOI SEVETTE CURTIS
NOTARY PUBLIC
STATE OF TEXAS
My Comm. Exp. 8-16-2014
r
26i-141 , 2011
reater Tarrant County, Inc., a
NOTARY PUBLIC, STATE OF TEXAS
CONTRACT AMENDMENT CSC NO.40907
Senior Citizen Services of Greater Tarrant County, Inc. — Diamond Hill Senior Center
OFFICIAL RECORD
. PageditETARY
1 •�`' � ORT TX
CONTRACT PERIOD
Name of Sub GranteE
CITY OF FORT WORTH
CDBG Year XXXV
From:
6/1/2010
To: 5/31/2011
Senior Citizen Service:
EXHIBIT C - REVISED
Name of Program
Page 1 of 3
Diamond Hill Senior Cente
Cost Category
Program
Budget
CDBG
Funds
[a]
[b]
[c]
[d]
PERSONAL
SERVICES
Salaries
$13,840.00
$ 14,256.11
$ - $ - $ - $ -
FICA
$1,020.00
$ 1,020.00
$ - $ - $ - $ -
L'fe
Insurance
$91.00
$ -
$ -
$ - $ 91.00
$ -
Health
Insurance
$0.00
$ -
$ -
$ - $ - $ -
Employment
Tax - Stab
$0.00
$ -
$ -
$ - $ -
$ -
Employment
Tax - Feder
$700,00
$ -
$ - $ - $ 700.00 $ -
Worker's
Comp
$3,500.00
$ -
$ - $ - $ 3,500.00
$ -
Retirement
$1,300.00
$ -
$ - $ -
$ 1,300,00 $ -
SUPPLIES
Office
Supplies
$0.00
$ -
$ - $ -
$ - $ -
Postage
$0.00
$ -
$ - $ - $ -
$ -
Teaching
Aids
$0.00
$ -
$ - $ -
$ - $ -
Food
Supplies
$0.00
$ -
$ - $ - $ -
$ -
Other
Operating Expenses
(Food)
$26,124.00
$2,390.69
$ 18,730.00
$ 4,634.00
$ -
$ -
CONTRACTUAL
SERVICES
Telephone
$1,140.00
$ 333.20
$ - $ 760.00 $ - $ -
Electric
$0.00
$ -
$ - $ - $ - $ -
Gas
$0.00
$ -
$ -
$ - $ -
$ -
Water/Waste
Disposal
$0.00
$ -
$ - $ -
$ - $ -
Rent
[Building';
$0.00
$ -
$ -
$ -
$ -
$ -
Custodial
Services
$0.00
$ -
$ - $ -
$ - $ -
Office
Equipment Renta
$0.00
$ -
$ -
$ - $ - $ -
Printing
$0.00
$ -
$ - $ -
$ - $ -
Repairs
$0.00
$ -
$ -
$ - $ -
$ -
Fidelity
Bonc
$200,00
$ -
$ - $ -
$ 200.00 $ -
Liability
InsurancE
$1,250.00
$ -
$ -
$ - $ 1,250.00 $ -
Legal&Accountinc
$1,200.00
$ -
$ - $ -
$ 1,200,00 $ -
Private
Auto Allowance - LOU
$300.00
$ -
$ - $
- $ 300.00 $ -
Advertising
$0.00
$ -
$
- $ - $
- $ -
Conference
& Seminars
$0.00
$ -
$
- $ - $
- $ -
Contractual
Services
$0.00
$
-
$ - $ - $ - $
-
Miscellaneous
$0.00
$ -
$ - $ - $ - $ -
CAPITAL
OUTLAY
Office
Furniture
$0.00
$ -
$ - $ - $ - $ -
Computer
Equipmen
$0.00
$
-
$ - $
- $ - $ -
Other:
[Described;
$0.00
$ -
$ - $
- $ - $
-
TOTAL
MATCHING FUND SOURCES
[a] AAA
[b] Participant Contributior
[c] United Way
[d]
$50,665.00I $18,000.00 $18,730.00 $5,394.00 $8,541.00
1 1
$ 18,730.00
$ 5,394.00
$ 8,541.00
BUDGET DETAIL Page 2 of 3
All Details are estimates. The amount charged for individual cost items shall not exceed the amount shown on Exh
C, Page 1 for that item.
PERSONAL SERVICES
1
2
3
4
5
6
7
8
TOTAL STAFF SALARIES
Position / Title
Center Director
Hourly
Rate
$ 12.50
Annual
Hours
1560
% of
Time
Amount
100% $ 19,500.00
$ 19,500.00
FRINGE BENEFITS
CATEGORY
FICA
Life Insurance
Health Insurance
Employment Tax
Worker's Comp
Retirement
TOTAL FRINGE BENEFITS
TOTAL PERSONAL SERVICES
% of
Payroll
Amount
$1,020,00
% Paid % Paid
by Agency by CDBG
100%
Amount
$ 1,020.00
$ 1,020.00
$ 1,020.00
BUDGET DETAIL Page 3 of 3
All Details are estimates. The amount charged for individual cost items shall not exceed the amount shown on Exhibit
C, Page 1 for that item.
UTILITIES
CATEGORY
Telephone
Electric
Gas
Waste/Water Disposal
Other
Total Utilities
AVERAGE COST PER NUMBER OF MONTHS
MONTH
$ 27.76
12
AMOUNT
$ 333.20
$ 333.20
BUILDING LEASE
BUILDING
COST PER SQUARE
LOCATION NO. SQUARE FOOT FOOT
1
2
3
TOTAL BUILDING LEASE
AMOUNT
0
OTHER EXPENSES
CATEGORY
Fidelity Bond
Liability Insurance
Legal & Accounting
Office Supplies
Postage
Printing
Mileage
Advertising
Operating Expenses
TOTAL OTHER EXPENSES
(Food)
TOTAL CHARGE
% CHARGED TO CDBG
AMOUNT
Congregate Meals @ $3.0170 ea. and Breakfast
$26,124.00 $2.9300 ea. for a total charged to grant not to exceed$ 2,390.69
CONFERENCES AND SEMINARS
EVENT
1
2
TOTAL CHARGE
3
TOTAL CONFERENCES AND SEMINARS
% CHARGED TO CDBG
AMOUNT
OFFICE EQUIPMENT RENTAL
ITEM
TOTAL CHARGE
1
2
TOTAL OFFICE EQUIPMENT RENTAL
GRAND TOTAL
% CHARGED TO CDBG
0%
AMOUNT
$ 18,000.00