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HomeMy WebLinkAboutContract 43751STATE OF TEXAS COUNTY OF TARRANT CITY SECRETARY CONTRACT NO. q � k This contract ("Contract") is made and entered into by and between the City of Fort Worth (hereafter "City") and AIDS Outreach Center, Inc. (hereafter "Agency"), a Texas nonprofit corporation. City and Agency may be referred to individually as a "Party" and jointly as "the Parties". The Parties state as follows: WHEREAS, City receives grant monies 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-12-F002 Catalog of Federal Domestic Assistance No. 14.241; WHEREAS, the primary purpose of the HOPWA program is to address the needs of eligible persons associated with the challenge or living with HIV/AIDS and their families; WHEREAS, Agency submitted a proposal to use HOPWA funds for an eligible Program (defined below) under the HOPWA Regulations (defined below) whereby Agency will provide services as further described in Exhibit "A"- Program Summary; WHEREAS, City citizens, the Community Development Council, and the City Council have determined that HOPWA programs are needed by the City's citizens; NOW, THEREFORE, the Parties understand and agree as follows: 1. INCORPORATION OF RECITALS. City and Agency hereby agree that the recitals set forth above are true and correct and form the basis upon which the Parties have entered into this Contract. 2. DEFINITIONS. In addition to terms defined in the body of this Contract, the following terms shall have the definitions ascribed to them as follows: Area Median Income or AMI means the median family income for the Fort Worth - Arlington metropolitan statistical area as established by HUD. The 2012 income limits are attached hereto as Exhibit F. Business Diversity Enterprise Ordinance or BDE means the City's Business Diversity Ordinance, Ordinance No. 20020-12-2011. HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. Po2:50 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX 1 0-1 �_. Complete Documentation means: • Attachments I and II, with supporting documentation as follows: o Proof of expense: copies of timesheets, invoices, leases, service contracts or other documentation showing that payment is due by Agency. o Proof of payment: cancelled checks, bank statements, or wire transfers necessary to demonstrate that amounts due by Agency were actually paid by Agency. • Proof of client eligibility: o In the event that Agency is a facility that provides a public service, this means documentation that clients served by Agency are HOPWA Eligible Clients. o Source Documentation sufficient to show that clients participating in the Program are HOPWA Eligible Clients. • Other documentation: (i) documentation to show compliance with BDE or DBE bidding process for procurement or Contract activities, if applicable and (ii) any other document or records reasonably necessary to verify costs spent and client eligibility for the Program. HOPWA Regulations means regulations found in 24 CFR Part 574. DBE means disadvantaged business enterprise. Director means the Director of the City's Housing and Economic Development Department. Effective Date means October 1, 2012. HED Department means the City's Housing and Economic Development Department. HOPWA Eligible Client means a client whose annual income adjusted for family size does not exceed 80% of AMI using the most current HUD Income Guidelines and Technical Guidance for Determining Income and Allowances verified by either Source Documentation or the Certification of Income Statement in Exhibit E - Self Certification Forms The definition of annual income to determine client income eligibility under this Contract shall be the definition contained in 24 CFR Part 5.609 as amended from time to time. The client must also have a documented diagnosis of HIV/AIDS. HOPWA Funds means City's HOPWA funds supplied by City to Agency under the terms of this Contract. Program means the service(s) described in Exhibit "A" - Program Summary. Reimbursement Request means all reports and other documentation described in Section 9. HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 2 Source Documentation means any documentation allowed under the 24 CFR Part 5.609 definition of annual income. Unduplicated Clients means a count of individuals served once in the Contract year. Even if a person is served multiple times in a contract year, they will only be counted once when determining the number of Unduplicated Clients. 3. TERM. 3.1 Term. The term of this Contract begins on October 1, 2012 and terminates on September 30, 2013 unless terminated as provided in this Contract. This contract is contingent upon receipt by City of HOPWA funds from HUD. If HOPWA funds are not received or if City's allocation of HOPWA funds changes, City reserves the right to amend or terminate this Contract. 4. DUTIES AND RESPONSIBILITIES OF CITY. 4.1 Provide HOPWA Funds. City shall pay up to Six Hundred Twelve Thousand Seven Hundred Fifty -Eight and 90/100 Dollars ($612,758.90) of HOPWA Funds on a reimbursement of expenses basis, under the terms and conditions herein. 4.2 Monitor. City will monitor the activities and performance of Agency and any of its contractors or subcontractors as necessary, but no less than annually. Monitoring may include all phases and aspects of Agency's performance to determine compliance with the Program and other technical and administrative requirements of this Contract including the adequacy of Agency s records and accounts. 5. DUTIES AND RESPONSIBILITIES OF AGENCY. 5.1 Required Services. In accordance with the terms and conditions of this Contract, Agency shall perform the service as described in Exhibit "A" - Program Summary. 5.2 Use of HOPWA Funds. 5.2.1 Expenditures in Compliance with HOPWA Regulations and Contract. Agency shall be reimbursed for the Program costs with HOPWA Funds only if City determines in its sole discretion that: 5.2.1.1 Costs are eligible expenditures in accordance with HOPWA Regulations. 5.2.1.2 Costs are in compliance with this Contract and are HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 3 reasonable and consistent with industry norms. 5.2.1.3 Complete Documentation is submitted to City by Agency. 5.2.2 Budget. Agency agrees that HOPWA Funds will be reimbursed in accordance with Exhibit `B" - Budget. During the Term, Agency may submit written requests to increase or decrease line -item amounts in the Budget, including an explanation of why such increases or decreases are necessary. All such requests must be approved by the Director in writing such approval being in the Director's sole discretion.. If Director gives written approval of Agency s proposed Budget amendment (as approved, the "Amended Budget"), then the Amended Budget will take effect on the first day of the month following the month in which it was approved by Director, unless otherwise specified in the amendment All requests for Budget amendments must be submitted by August 15, 2013. 5.2.3 Change in Program Budget. 5.2.3.1 Agency will notify City promptly of any additional funds it receives for operation of the Program, and City reserves the right to amend this Contract in such instances to ensure compliance with HUD regulations governing cost allocation. 5.2.3.2 Agency agrees to utilize funds available under this Contract to supplement rather than supplant funds otherwise available for use in the Program. 5.2.4 Payment of HOPWA Funds to Agency. HOPWA Funds will be disbursed to Agency on a reimbursement basis upon City's approval of Agency's written and signed Reimbursement Requests including submission of Complete Documentation to City. If Agency expends all funds prior to September 20, 2013 City may hold back a small amount of the HOPWA Funds until the end of the Term. During this interim period, Agency must continue to submit Reimbursement Requests with an invoiced amount of $0.00. 5.3 Program Performance Milestones. Agency warrants that the Program will achieve the following milestones: Month Expenditures 3 27.27% 6 ( 54.54% 8 I 72.72% 11 I 100% Unduplicated Clients (as specified in Exhibit "A") 27 27% 54 54% 72 72% 100% Failure of Agency to meet these milestones or a material deviation from them as HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 4 outlined in this Section 5.3 is a breach of the Contract. For the purpose of this Contract, "material deviation" shall mean an excess of 10% lower than the specified goal In the event of such breach City reserves the right at its sole option to delay or withhold payment of Reimbursement Requests, to lower the allocation of HOPWA Funds, or to terminate this Contract. 5.4 ComminEled Funds. Agency 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. 6. CLIENT ELIGIBILITY VERIFICATION. 6.1 Client Eligibility. Agency will document the eligibility of all prospective clients as follows: 6.1.1 Income. Agency must verify all new clients' income eligibility with either Source Documentation or the Certification of Income Statement in Exhibit E - Self Certification Forms Agency must use the annual income definition in 24 CFR 5.609 to establish client income eligibility. Agency shall use the most current HUD Income Guidelines. 6.1.2 Diagnosis. Agency must submit a signed, dated statement that the clients file contains documentation of the client's diagnosis of HIV/AIDS. The HIV/AIDS diagnosis must be made by a licensed health care provider; a client's self -certification of diagnosis is not sufficient. Agency should not submit the actual diagnosis to City. 6.1.3 Emeruencv Need. For clients receiving short term rental, mortgage, or utility assistance, Agency must also verify and document that the client has an emergency need, such as sudden loss of income, eviction, utility shutoff, or extraordinary and unexpected healthcare costs. Agency must provide documentation supporting the type and amount of assistance provided, including but not limited to, invoices, past due notices and/or executed leases or rental agreements as applicable, as well as proof of payment by Agency. 6.1.4 Rental Assistance. For clients receiving rental assistance, Agency must provide documentation supporting the type and amount of assistance provided, including but not limited to, invoices, past due notices, and/or executed leases or rental agreements as applicable, as well as proof of payment by Agency. 6.2 Eligibility Documentation. Agency must submit copies of all relevant components of the eligibility verification documentation described in Section 6.1 with Attachment III in each month's Reimbursement Request, and must maintain copies of such documentation as HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 5 required under this Contract. Agency is only required to submit the eligibility verification documentation for any given client the first month that the client appears on Attachment III. 7. ADDITIONAL HOPWA REOUIREMENTS. Agency agrees to comply with all requirements of the HOPWA Program as stated in the HOPWA Regulations, including, but not limited to the following: 7.1 Environmental Review. HOPWA Funds will not be paid, and costs cannot be incurred until City has conducted and completed an environmental review as required under 24 CFR Part 58. The environmental review may result in a decision to proceed with, modify, or cancel the Program. Further, Agency will not undertake or commit any funds to physical or choice limiting actions. Any violation of this provision will (i) cause this Contract to terminate immediately; and (ii) require Agency to repay to City the HOPWA Funds it has already received and forfeit any future payments of HOPWA Funds. 7.2 Contract Not Constituting Commitment of Funds. Notwithstanding any provision of this Contract, the Parties agiee and acknowledge that this Contract does not constitute a commitment of funds, and that such commitment of funds or approval may occur only upon (i) satisfactory completion of environmental review and receipt by City of an authorization to use grant funds from HUD under 24 CFR Part 58, (ii) approval of City s 2012-2013 Action Plan, and (iii) receipt by City of giant agreement from HUD. 7.3 Monitoring, 7.3.1 Agency understands and agrees that it will be subject to monitoring by City for compliance with the HOPWA Regulations for the duration of this Contract and until the Program is closed in HUD's IDIS system. Agency will provide ieports and access to Program files as requested by City for 5 years after closeout of this Contract in HUD's IDIS system, and will meet all the reporting requirements set out in this Contract. This Section shall survive the termination or expiration of this Contract. 7.3.2 City, HUD, and the United States Comptroller General or their respective representatives shall have access at all reasonable hours to the Agency's offices and records dealing with the use of the HOPWA Funds that are the basis of this Contract, and its officers, directors agents, employees, contractors and subcontractors for the purpose of such monitoring. 7.3.3 In addition to other provisions of this Contract regarding frequency of monitoring, City reserves the right to perform desk reviews or on -site monitoring of Agency's compliance with the terms and conditions of this Contract, and of the adequacy and timeliness of Agency s performance under this Contract. After each monitoring visit, City shall provide Agency with a written report of the monitor's findings. If the monitoring report notes deficiencies in Agency's performance, the report shall include HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 6 requirements for the timely correction of said deficiencies by Agency. Failure by Agency to take the action specified in the monitoring report may be cause for suspension or termination of this Contract as provided herein. 7.3.4 Agency will maintain all records related to this Contract for a minimum of 5 years after termination of the Contract. 7.4 Auencv Procurement Standards. Agency shall establish procurement procedures to ensure that materials and services are obtained in a cost effective manner. When procuring services to be provided under this Contract, Agency shall comply at a minimum with the procurement standards at 24 CFR Part 84.40 through 24 CFR Part 84.48. 7.5 Cost Principles/Cost Reasonableness. Agency shall administer its use of HOPWA Funds in compliance with OMB Circular A-122, "Cost Principles for Non -Profit Organizations", as amended from time to time. The allowabil ty of costs incurred for performance rendered shall be determined in accordance with OMB Circular A-122 as supplemented by the provisions of this Contract. 7.6 Accounting Standards. Agency 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. 7.8 Terms Applicable to Agencies and Subcontractors. Agency understands and agrees that all terms of this Contract, whether regulatory or otherwise, shall apply to any and all contractors and subcontractors of Agency which are in any way paid with HOPWA Funds or who perform any work in connection with the Program. Agency shall cause all applicable provisions of this Contract to be included in and made a part of any contract of subcontract executed in the performance of its obligations hereunder. Agency shall monitor the services and work performed by its contractors and subcontractors on a regular basis for compliance with the HOPWA Regulations and Contract provisions. Agency is liable for all violations of the HOPWA Regulations committed by its contractors or subcontractors. City maintains the right to insist on Agency's frill compliance with the terms of this Contract and Agency is responsible for such compliance regardless of whether actions taken to fulfill the requirements of this Contract are taken by Agency or by Agency's contractors or subcontractors. 8. RECORD KEEPING, REPORTING AND DOCUMENTATION REOUIREMENTS. 8.1 Record Keeping. Agency shall maintain a record -keeping system as part of its performance of this HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 7 Contract and shall promptly provide City with copies of any document City deems necessary for the effective fulfillment of City's monitoring and evaluation responsibilities. Specifically, Agency will keep or cause to be kept an accurate record of all actions taken and all funds spent, with source and back-up documentation. 8.2 Access to Records. City and any duly authorized officials of the federal government will have full access to and the light to examine, audit, copy, excerpt and/or transcribe any of Agency s records pertaining to all matters covered by this Contract. 8.3 Reports. Agency will submit to City all reports and documentation described in this Contract, in such form as City may prescribe, pertaining to the activities undertaken as a result of this Contract. Failure to submit any report or documentation described in this Contract to City shall be an event of default of this Contract and City may exercise all of its remedies for default under this Contract 8.4 Chanue in Renortina Requirements and Forms. City retains the right to change reporting requirements and forms at its discretion. City will notify Agency in writing of such change, and the Parties shall execute an amendment to the Contract reflecting such change. 9. REIMBURSEMENT REOUIREMENTS. 9.1 Deadline for Submitting Reimbursement Requests. Each Reimbursement Request shall be received by the City on or before the 15th day of the month following the month expenses were paid. For example Reimbursement Requests for June expenses must be received by July 15 In the event the 15t1i falls on a weekend or City holiday, Reimbursement Requests shall be due the next business day. Failure to submit a Reimbursement Request in a timely fashion will result in City initiating procedures as outlined in Section 10.1. NOTWITHSTANDING ANYTHING ABOVE, EXPENSES FOR SEPTEMBER 2013 MUST BE RECEIVED BY SEPTEMBER 20, 2013. FAILURE TO SUBMIT A COMPLETE REIMBURSEMENT REQUEST BY SEPTEMBER 20, 2013 WILL RESULT IN AN AUTOMATIC FORFEITURE OF THE SEPTEMBER PAYMENT. 9.2 With each Reimbursement Request, Agency shall provide City with Complete Documentation and the following reports as shown in Exhibit D Reimbursement Forms: 9.2.1 Attachment I - Invoice. This report shall contain the amount requested for reimbursement each month, and the cumulative reimbursement requested to date (inclusive of that month's request). Even if Agency is requesting $0.00 for a particular month, this report must be submitted. This report must be signed by an authorized signatory of the Agency. By signing Attachment I, Agency is certifying that the costs are valid, eligible, and consistent with the terms and conditions of this Contract, and the data contained in the report is true and HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 8 correct. 9.2.2 Attachment II - Expenditure Worksheet. This report shall itemize each expense requested for reimbursement by Agency and shall include the Account corresponding the expense to a budget line item in Attachment II. In order for this report to be complete the following must be submitted: 9.2.2.1 For payroll expenses, timesheets signed by employees and approved by supervisor for all payroll expenses listed. Timesheets must distinguish between HOPWA-funded time and non-HOPWA funded time and reflect actual time spent on HOPWA-funded activities. 9.2.2.2 Foi non -payroll expenses, invoices for each expense listed with an explanation as to how the invoiced expense pertains to the Program. 9.2.2.3 Proof that each expense was paid by Agency, which proof can be satisfied by cancelled checks, wire transfer documentation, paid receipts or other appropriate banking documentation. 9.2.3 Attachment III - Client Data Report. This report shall list each new client served during the month along with their demographic information Clients listed on previous months' reports should not be listed again; each month's report should only contain a listing of new Unduplicated Clients. In order for this report to be complete the following must be submitted: 9.2.3.1 Documentation of income verification for each client, which will either be the Source Documentation described in Section 6 2.1 or the completed Certification of Income Statement attached hereto as Exhibit E 9.2.3.2 For emergency need clients, Agency must provide documentation supporting the type and amount of assistance provided, including but not limited to, invoices, past due notices and/or executed leases or rental agreements, as applicable, as well as proof of payment by Agency. 9.2.3.3 For clients receiving rental assistance, Agency must provide documentation supporting the type and amount of assistance provided, including but not limited to, invoices, past due notices and/or executed leases or rental agreements as applicable, as well as proof of payment by Agency. HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 9 9.2.4 Overview Report. Agency shall submit Exhibit G - Overview Report with the November, April and October Reimbursement Requests. A paper copy must be submitted with the Reimbursement Request, and an electronic copy must also be emailed to avis.chaisson@fortworthtexas.gov. 9.3 Withholding Payment. CITY HAS NO OBLIGATION TO MAKE PAYMENT ON ANY REIMBURSEMENT REQUEST THAT IS NOT RECEIVED BY THE DUE DATE. Failure to timely submit Reimbursement Requests and Complete Documentation along with any required reports shall be an event of default. 10. DEFAULT AND TERMINATION. 10.1 Failure to Submit Required Documentation 10.1.1 If Agency fails to submit a Reimbursement Request, or if the submitted Reimbursement Request is incomplete or otherwise not in compliance with this Contract or HOPWA Regulations as determined by City, Agency shall be in default of this Contract. City will notify Agency in writing of such default and the Agency will have 10 calendar days from the date of the written notice to submit or resubmit any such Reimbursement Request to cure the default. If the Agency fails to cure the default within such time, Agency shall forfeit any payments otherwise due that month. 10.1.2 NOTWITHSTANDING THE PROVISIONS OF SECTION 10.1.1, IF AGENCY FAILS TO SUBMIT THE REIMBURSEMENT REQUEST DUE SEPTEMBER 20, 2013, OR IF THE SUBMITTED REIMBURSEMENT REQUEST IS LATE, INCOMPLETE OR OTHERWISE NOT IN COMPLIANCE WITH THIS CONTRACT OR HOPWA REGULATIONS AS DETERMINED BY CITY, THERE WILL BE NO CURE PERIOD AND ANY REIMBURSEMENT WILL BE AUTOMATICALLY FORFEITED 10.1.3 In the event of (i) an uncured default under Section 10.1.1 or (ii) more than two instances of default, cured or uncured, under such Section, City reserves the right at its sole option to terminate this Contract effective immediately upon written notice of such intent with no penalty or liability to City. 10.1.4 Notwithstanding anything to the contrary herein, City will not be required to pay any HOPWA Funds to Agency during the period that any Reimbursement Request, report or documentation is past due or is not in compliance with this Contract or the HOPWA Regulations, or during any period during which Agency is in default of this Contract. 10.1.5 In the event of termination under this Section 10.1, all HOPWA Funds awarded but unpaid to Agency pursuant to this Contract shall be immediately forfeited and Agency shall have no further right to such funds. HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 10 10.2 Failure to Maintain Documentation. If Agency fails to maintain all records and documentation as required in Section 8, or if the maintained or submitted report or documentation is not incompliance with this Contract or the HOPWA Regulations as determined by City in its sole discretion, City will notify Agency in writing and Agency will have 30 calendar days from the date of the written request to obtain or recreate the missing records and documentation or submit or resubmit any such report or documentation to City. If Agency fails to maintain the required reports or documentation, or submit or resubmit any such report or documentation within such time, City shall have the right to terminate this Contract effective immediately upon written notice of such intent with no penalty or liability to City. In the event of termination under this Section 10 2, any HOPWA Funds paid to Agency must be repaid to City within 30 days of termination notice. Failure to repay such HOPWA Funds will result in City exercising all legal remedies available under this Conti act. 10.3 In General. Subject to Section 10.1, and unless specifically provided otherwise in this Contract, Agency shall be in default under this Contract if Agency breaches any term or condition of this Contract. In the event that such a breach remains uncured after thirty (30) calendar days following written notice by City (or such other notice period as may be specified herein) or, if Agency has diligently and continuously attempted to cure following receipt of such written notice but reasonably required more than thirty (30) calendar days to cure, as determined by both Parties mutually and in good faith, City shall have the right to elect, as determined in City's sole discretion, to terminate this Contract effective immediately upon written notice of such intent to Agency, or to pursue any other legal remedies available to City. In the event of termination under this Section 10.3, all HOPWA Funds awarded but unpaid to Agency pursuant to this Contract shall be immediately rescinded and Agency shall have no further right to such funds, and any HOPWA Funds already paid to Agency must be repaid to City within 30 days of the termination. If such HOPWA funds are not repaid to City within the 30 day period, City shall exercise all of its remedies under this Contract. 10.4 No Funds Disbursed while in Breach. Agency understands and agrees that no HOPWA Funds will be paid to Agency until all defaults are cured to the satisfaction of City. 10.5 No Comnensation After Date of Termination. Agency shall not receive any compensation for work undertaken after the date of the termination. 10.6 RiEhts of City Not Affected. Termination shall not affect or terminate any of the existing rights of City against Agency or which may thereafter accrue because of such default. Such termination does not terminate any provisions of this Contract that have been expressly noted as surviving the term or termination of the Contract. HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 11 10.7 Waiver of Breach Not Waiver of Subsequent Breach. The waiver of a breach of any term, covenant, or condition of this Contract shall not operate as a waiver of any subsequent breach of the same or any other term, covenant or condition hereof. 10.8 Civil, Criminal and Administrative Penalties. Failure to perform all the Contract terms may result in civil, criminal or administrative penalties, including, but not limited to those set out in this Contract. 10.9 Termination for Cause. City may terminate this Contract in the event of Agency's default, inability, or failure to perform, or otherwise whenever such termination is determined by City to be in City's best interest. Likewise, Agency may terminate this Contract if City does not provide the HOPWA Funds substantially in accordance with this Contract. 10.10 Termination for Convenience. In terminating in accordance with 24 C.F.R. 85.44 this Contract may be terminated in whole or in part only as follows: 10.10.1 By City with the consent of Agency in which case the Parties shall agree upon the termination conditions, including the effective date and in the case of partial termination, the portion to be terminated or 10.10.2 By the Agency upon written notification to City, setting forth the reasons for such termination, the effective date, and in the case of partial termination, the portion to be terminated. However, if, in the case of a partial termination, City determines that the remaining portion of the Contract to be performed or HOPWA Funds to be spent will not accomplish the purposes for which the Contract was made, City may terminate the Contract in its entirety. 10.11 Dissolution of Agency Terminates Contract. In the event Agency is dissolved or ceases to exist, all assets acquired with HOPWA Funds including cash, interest payments from loans of otherwise, all outstanding notes, mortgages or other security instruments used to secure HOPWA Funds, any accounts receivable attributable to the use of HOPWA Funds, and any real or personal property owned by Agency that was acquired or improved with HOPWA Funds shall automatically transfer to City and this Contract shall terminate. 11. REPAYMENT OF HOPWA FUNDS. All HOPWA Funds are subject to repayment in the event the Program does not meet the requirements as set out in this Contract or in the HOPWA Regulations. If Agency takes any action that (i) results in City receiving a finding from HUD about the Program, or (ii) results in the City being required to repay all or any portion of the HOPWA Funds to HUD, Agency agrees it will reimburse City for such repayment. HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 12 12. CHANGE IN NON-PROFIT STATUS. If the non-profit status of Agency changes after the date of this Contract, City may but is not obligated to, terminate this Contract. Agency must provide City with written notification of any changes to its non-profit status within 15 days of being notified of the change. City has 30 days to make such determination after receipt of notice from Agency and failure to make such determination will constitute a waiver. In the event of termination under this Section 12, all HOPWA Funds awarded but unpaid to Agency pursuant to this Contract shall be immediately rescinded and Agency shall have no further right to such funds Any HOPWA Funds already paid to Agency must be repaid to City within 30 days of the termination. 13. SURVIVAL. Any provision of this Contract that pertains to auditing, monitoring, client income eligibility, record keeping and reports, City ordinances, or applicable HOPWA requirements, and any default and enforcement provisions necessary to enforce such provisions, shall survive the termination of this Contract for 5 years after the termination date and shall be enforceable by City against Agency. 14. GENERAL PROVISIONS. 14.1 AMencv an Independent Contractor. Agency shall operate hereunder as an independent contractor and not as an officer, agent, servant or employee of City. Agency 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 contractors, clients licensees or invitees. 14.2 Doctrine of Respondeat Superior. The doctrine of respondeat superior shall not apply as between City and Agency, its officers, members, agents servants, employees, contractors, clients, licensees or invitees, and nothing herein shall be construed as creating a partnership or Joint enterprise between City and Agency City does not have the legal right to control the details of the tasks performed hereunder by Agency its officers, members, agents, employees, contractors, licensees or invitees. 14.3 Atencv Property. City shall under no circumstances be responsible for any property belonging to Agency, its officers, members, agents employees, contractors, clients, licensees or invitees that may be lost, stolen or destroyed or in any way damaged and AGENCY HEREBY INDEMNIFIES AND HOLDS HARMLESS CITY AND ITS OFFICERS, AGENTS, AND EMPLOYEES FROM ANY AND ALL CLAIMS OR SUITS PERTAINING TO OR CONNECTED WITH SUCH PROPERTY. HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 13 14.4 Religious Organization. No portion of the HOPWA Funds shall be used in support of any sectarian or religious activity. In addition, there must be no religious or membership criteria for clients of a HOPWA-funded service. 14.5 Audit. 14.5.1 Entities that Expend $500.000 or more in Federal Funds Per Year. All non-federal entities that expend $500,000 or more in Federal funds within one year, regardless of the source of the Federal award, must submit to City an annual audit prepared in accordance with specific reference to OMB Circular A-133. The audit shall cover the Agency's fiscal years during which this Contract is in force. The audit must be prepared by an independent certified public accountant, be completed within 6 months following the end of the period being audited and be submitted to City within 30 days of its completion. Agency's audit certification is attached hereto as Exhibit `C" - ' Audit Certification Form' and "Audit Requirements". The Audit Certification Form must be submitted to City prior to or along with the first Reimbursement Request Entities that expend less than $500,000 a year in Federal funds aie 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. 14.5.2 City Reserves the Right to Audit. City reserves the right to perform an audit of Agency's Program operations and finances at any time during the term of this Contract and for five (5) years after the termination thereof. Agency agrees to allow access to all pertinent materials as described herein. If such audit reveals a questioned practice or expenditure, such questions must be resolved within 15 business days after notice to Agency of such questioned practice or expenditure If questions are not resolved within this period City reserves the right to withhold further funding under this and/or future contract(s) with Agency. IF AS A RESULT OF ANY AUDIT IT IS DETERMINED THAT AGENCY HAS FALSIFIED ANY DOCUMENTATION OR MISUSED, MISAPPLIED OR MISAPPROPRIATED HOPWA FUNDS OR SPENT HOPWA FUNDS ON ANY INELIGIBLE ACTIVITIES, AGENCY AGREES TO REIMBURSE CITY THE AMOUNT OF SUCH MONIES PLUS THE AMOUNT OF ANY SANCTIONS, PENALTY OR OTHER CHARGE LEVIED AGAINST CITY BY HUD BECAUSE OF SUCH ACTIONS. 14.6 Venue. Venue for any action, whether real or asserted, at law or in equity, arising out of the execution, performance, attempted performance or non-performance of this Contract, shall lie in Tarrant County, Texas. 14.7 Governing Law. In any questions involving state law, for any action, whether real or asserted, at law or in equity, arising out of the execution, performance or non-performance of this Contract, in any issue not governed by federal law, the choice of law shall be the law HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 14 from the State of Texas. 14.8 Severability. 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. 14.9 Written Atrreement Entire Contract. This written instrument and the Addendums, Attachments, and Exhibits attached hereto, which are incorporated by reference and made a part of this Contract for all purposes, constitute the entire agreement by the Parties hereto concerning the work and services to be performed under this Contract. Any prior or contemporaneous oral or written agreement, which purports to vary the terms of this Contract, shall be void. Any amendments to the terms of this Contract must be in writing and must be executed by each Party to this Contract. 14.10. Paratiraph Headines for Reference Only, No Leeal Siunificance. The paragraph headings contained herein are for convenience in reference to this Contract and are not intended to define or to limit the scope of any provision of this Contract. 14.11 Compliance With All Applicable Laws and Regulations By signing this Contract, Agency certifies that it complies with all applicable laws and regulations that are currently in effect of that are hereafter amended during the performance of this Contract. Those laws include but are not limited to: ➢ HOPWA Regulations found in 24 CFR Part 574 ➢ AIDS Housing Opportunity Act, as amended (42 USC 12901) ➢ Title VI of the Civil Rights Act of 1964 (42 U S.C. Sections 2000d et seq.) including provisions requiring recipients of federal assistance to ensure meaningful access by person of limited English proficiency ➢ The Fair Housing Act, Title VIII of the Civil Rights Act of 1968 (42 U.S.C. Sections 3601 et seq.) ➢ Executive Orders 11063, 11246 as amended by 11375 and 12086 and as supplemented by Department of Labor regulations 41 CFR, Part 60 ➢ The Age Discrimination in Employment Act of 1967 ➢ The Age Discrimination Act of 1975 (42 U.S.C. Sections 6101 et seq.) ➢ The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (42 U.S.C. Sections 4601 et seq. and 49 CFR Part 24) ("URA") ➢ Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. Sections 794 et seq.) and 24 CFR Part 8 where applicable ➢ National Environmental Policy Act of 1969, as amended, 42 U S.C. sections 4321 et seq. ("NEPA') and the related authorities listed in 24 CFR Part 58. ➢ The Clean Air Act, as amended (42 U.S.C. Sections 1251 et seq.) and the HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 15 Clean Water Act of 1977, as amended (33 U.S.C. Sections 1251 et seq.) and the related 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. ➢ Immigration Reform and Control Act of 1986 (8 U.S.C. Sections 1101 et seq.) specifically including the provisions requiring employer verifications of legal status of its employees ➢ The Americans with Disabilities Act of 1990 (42 U.S.C. Sections 12101 et seq.), the Architectural Barriers Act of 1968 as amended (42 U.S.C. sections 4151 et seq.) and the Uniform Federal Accessibility Standards, 24 CFR Part 40, Appendix A ➢ Regulations at 24 CFR Part 87 related to lobbying, including the requirement that certifications and disclosures be obtained from all covered persons ➢ Drug Free Workplace Act of 1988 (41 U.S.C. Sections 701 et seq.) and 24 CFR Part 23, Subpart F ➢ Executive Order 12549 and 24 CFR Part 5.105(c) pertaining to restrictions on participation by ineligible, debarred or suspended persons or entities ➢ Section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act ➢ Guidelines of the Environmental Protection Agency at 40 CFR Part 247 ➢ For contracts and subgrants for construction or repair, Copeland "Anti - Kickback" act (18 U.S C. 874) as supplemented in 29 CFR Part 5 ➢ For construction contracts awarded by Agency in excess of $2,000, and in excess of $2,500 for other contracts which involve the employment of mechanics or laborers, Sections 103 and 107 of the Contract Work Hours and Safety Standards Act (40 U.S.C. 327A 300) as supplemented by 29 CFR Part 5 ➢ Lead -Based Paint Poisoning Prevention Act (42 U.S.C. 4801 et seq.), as amended by the Residential Lead -Based Paint Hazard Reduction Act of 1992 (42 U S.C. 4851 et seq.) and implementing regulations at 24 CFR Part 35, subparts A, B, M, and R ➢ Uniform Administration Requirements of 24 CFR Part 85 Requirement that Law Be Quoted in Covered Contracts. — Certain Requirements Pertaining to Section 3 of the Housing and Urban Development Act of 1968 as amended (12 U.S.C. Sections 1701 et sea) and its related regulations at 24 CFR Part 135 If the work performed under this Contract is on a program 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, shown in italics be inserted in all covered contracts ("Section 3 Clause"): Section to be quoted in covered contracts begins: "A. The work to be performed under this contract is subject to the requirements of Section 3 of Housing and Urban Development Act of 1968, as amended, 12 U.S.C. section 1701u (Section 3). The purpose of HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 16 Section 3 is to ensure that employment and other economic opportunities generated by HUD assisted or HUD -assisted programs 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 cent( 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 it has a collective bargaining agreement or other understanding, if any, a notice advising the labor organization or workers' representatives of the contractor's commitments under this 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 apprentice 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 that it will include this Section 3 clause in every subcontract to comply with regulation 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 finding that the subcontractor is in violation of the regulations in 24 CFR Part 135. The contractor will not subcontract with any subcontractor where it has notice or knowledge that the subcontractor has been found in violation of regulations in 24 CFR 135. E. The contractor will cent( that any vacant employment positions, including training positions that are filed: (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. The contractor will not subcontract with any subcontractor where it has notice or knowledge that the subcontractor has been found in violation of regulations in 24 CFR 135. F. Noncompliance with HUD's regulation 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. section 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 HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 17 Indian organizations and Indian -owned Economic Enterprises. Parties to this contract that are subject to the provisions of Section 3 and Section 79b) agree to comply with Section 3 to the maximum extent feasible, but not in derogation of compliance with Section 7(b). " Section to be quoted in covered contracts ends. City and Agency understand and agree that, if applicable to the Program, 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 Agency, and their respective successors, assigns and the contractors. Failure to fulfill these requirements shall subject Agency and its contractors and their respective successors and 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 14.12 Prohibition Aeainst Discrimination. 14.12.1 General Statement. Agency, in the execution, performance or attempted performance of this Contract, shall comply with all non-discrimination requirements of 24 CFR 570 607 and the ordinances codified at Chapter 17, Article III Division 4 — Fair Housing of the City Code. Agency may not discriminate against any person because of race, color, sex, gender religion, national origin, familial status, disability or perceived disability, sexual orientation, gender identity, gender expression, or transgender nor will Agency permit its officers, members, agents, employees, or clients to engage in such discrimination. This Contract is made and entered into with reference specifically to the ordinances codified at Chapter 17, Article III Division 3 - Employment Practices of the City Code, and Agency hereby covenants and agrees that Agency, its officers, members, agents, employees and contractors, have fully complied with all provisions of same and that no employee, or applicant for employment has been discriminated against under the terms of such ordinances by either or its officers, members, agents, employees or contractors. 14.12.2 No Discrimination in Employment during the Performance of This Contract. During the performance of this Contract Agency agrees to the following provision, and will require that its contractors and subcontractors also comply with such provision by including it in all contracts with its contractors: [Contractor or subcontractor's name] will not unlawfully discriminate against any employee or applicants for employment because of race, color sex, gender, religion, national origin, familial status disability or perceived disability, sexual orientation, gender identity, gender expression or transgender Agency will take affirmative action to ensure that applicants are hired without regard to race, color, sex, gender, religion, national origin, familial status, disability or perceived disability, sexual orientation, gender identity, gender expression or transgender and that employees are treated fairly HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 18 during employment without regard to their race, color sex, gender, religion, national origin, familial status, disability or perceived disability, sexual orientation, gender identity, gender expression or transgender. Such action shall include, but not be limited to, the following: employment, upgrading, demotion or transfer, recruitment or recruitment advertising layoff or termination, rates of pay or other forms of compensation, and selection for training including apprenticeship. Agency agrees to post in conspicuous places, available to employees and applicants for employment, notices setting forth the provisions of this nondiscrimination clause. [Contractor or subcontractor's name] will, in all solicitations of advertisements for employees placed by or on behalf of Agency, state that all qualified applicants will receive consideration for employment without regard to race, color, sex, gender, religion national origin, familial status, disability or perceived disability, sexual orientation gender identity, gender expression or transgender. [Contractor or subcontractor's name] covenants that neither it nor any of its officers members, agents, employees, or contractors, 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 or because of any disability or perceived disability, except on the basis of a bona fide occupational qualification, retirement plan or statutory requirement. [Contractor or subcontractor's name] further covenants that neither it nor its officers members, agents employees, contractors, 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. 14.12.3 Agency's Contractors and ADA. In accordance with the provisions of the Americans With Disabilities Act of 1990 ( `ADA") Agency warrants that it and any of its contractors will not unlawfully discriminate on the basis of disability in the provision of services to the general public, nor in the availability, terms and/or conditions of employment for applicants for employment with, or employees of Agency or any of its contractors. AGENCY 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 CONTRACTORS AGAINST CITY ARISING OUT OF AGENCY'S AND/OR ITS CONTRACTORS', AGENTS' OR EMPLOYEES' ALLEGED FAILURE TO COMPLY WITH THE ABOVE -REFERENCED LAWS CONCERNING DISABILITY DISCRIMINATION IN THE PERFORMANCE OF THIS CONTRACT. 14.13. Prohibition Against Interest / Conflict of Interest. HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 19 14.13.1 Agency shall establish safeguards to prohibit its employees, board members advisors and agents from using positions for a purpose that is or gives the appearance of being motivated by a desire for private gain for themselves or others, particularly those with whom they have family, business or other ties. Agency shall disclose to City any conflict of interest or potential conflict of interest described above immediately upon discovery of such. 14.13.2 No persons who are employees, agents, consultants, officers or elected officials or appointed officials of City or of Agency who exercise or have exercised any functions or responsibilities with respect to activities assisted with HOPWA funds or who are in a position to participate in a decision -making process or gain inside information with regard to these activities may utilize HOPWA services, may obtain a financial interest or benefit from a HOPWA-assisted activity or have an interest in any contract, subcontract or agreement with respect thereto or the proceeds thereunder, either for themselves or those with whom they have family or business ties, during their tenure or for 1 year thereafter, unless they are accepted in accordance with the procedures set forth at 24 CFR 570.611. 14.13.3 Agency affirms that it will adhere to the provisions of the Texas Penal Code which prohibits bribery and gifts to public servants. 14.13.4. In the procurement of property and services by Agency, the conflict of interest provisions of 24 CFR Part 85.36 and 24 CFR Part 84 42, respectively, shall apply In all cases not governed by those sections, the provisions of 24 CFR 570.611 of the HOPWA Regulations shall apply. 14.14 Subcontractinu with Small and Minority Firms, Women's Business Enterprises and Labor Surplus Areas. 14.14.1 For procurement contracts $50,000 or larger Agency agrees to abide by City's policy to involve Minority Business Enterprises and Small Business Enterprises and to provide them equal opportunity to compete for contracts for construction, provision of professional services, purchase of equipment and supplies and provision of other services required by City. Agency agrees to incorporate the City's Minority Business Enterprise Ordinance, and all amendments or successor policies or ordinances thereto, into all contracts and subcontracts for procurement $50,000 or larger and will further require all persons or entities with which it so contracts to comply with said ordinance. 14.14.2 It is national policy to award a fair share of contracts to disadvantaged business enterprises (DBEs), small business enterprises (SBEs), minority business enterprises (MBEs), and women's business enterprises (WBEs). Accordingly, affirmative steps must be taken to assure that DBEs, SBEs, MBEs, and WREs are utilized when possible as sources of supplies, equipment, construction and services. HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 20 14.15 Other Laws. The failure to list any federal, state or City ordinance, law or regulation that is applicable to Agency does not excuse or relieve Agency from the requirements or responsibilities in regard to following the law, nor from the consequences or penalties for Agency's failure to follow the law, if applicable. 14.16 Assignment. Agency shall not assign all or any part of its rights, privileges, or duties under this Contract without the prior written approval of Diiectoi. Any attempted assignment of same without approval shall be void, and shall constitute a breach of this Contract. 14.17. Right to Inspect Agency Contracts. It is agreed that City has the right to inspect and approve in writing any proposed contracts between Agency and any contractor engaged in any activity in conjunction with this HOPWA-funded Program prior to any charges being incurred. 14.18 Force Ma cure If Agency becomes unable, either in whole or part, to fulfill its obligations under this Contract due to acts of God, strikes, lockouts or other industrial disturbances, acts of public enemies, wars blockades, insurrections, riots, epidemics, earthquakes, fires, floods, restraints or prohibitions by any court, board, department, commission or agency of the United States os of any States civil disturbances, or explosions, or some other reason beyond Agency s control (collectively, `Force Majeure Event"), the obligations so affected by such Force Majeure Event will be suspended only during the continuance of such event. Agency will give City written notice of the existence, extent and nature of the Force Majeure Event as soon as seasonably possible after the occurrence of the event. Failure to give notice will result in the continuance of Agency's obligation regardless of the extent of any existing Force Majeure Event. Agency will use commercially reasonable efforts to remedy its inability to perform as soon as possible. 15. INDEMNIFICATION AND RELEASE. AGENCY 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 AGENCY HEREBY ASSUMES ALL LIABILITY AND RESPONSIBILITY OF CITY AND ITS HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 21 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 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. AGENCY 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 AGENCY, ITS OFFICERS, MEMBERS, AGENTS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, INVITEES, LICENSEES, OR CLIENTS, OR CAUSED, IN WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY. IT IS THE EXPRESS INTENTION OF THE PARTIES, BOTH AGENCY AND CITY, THAT THE INDEMNITY PROVIDED FOR THIS SECTION INCLUDES INDEMNITY BY AGENCY TO INDEMNIFY AND PROTECT CITY FROM THE CONSEQUENCES OF CITY'S OWN NEGLIGENCE, WHETHER THAT NEGLIGENCE IS ALLEGED TO BE THE SOLE OR CONCURRING CAUSE OF THE INJURY, DAMAGE OR DEATH. AGENCY 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 CITY'S SOLE OR CONCURRENT NEGLIGENCE. AGENCY SHALL REQUIRE ALL OF ITS CONTRACTORS AND SUBCONTRACTORS TO INCLUDE IN THEIR CONTRACTS AND SUBCONTRACTS A RELEASE AND INDEMNITY IN FAVOR OF CITY IN SUBSTANTIALLY THE SAME FORM AS ABOVE. 16. WAIVER OF IMMUNITY BY AGENCY. If Agency, as a chai itable or nonprofit organization has or claims an immunity or exemption (statutory or otherwise) from and against liability for damages or injury, including death to persons or property, Agency hereby expressly waives its rights to plead defensively such immunity or exemption as against City. This section shall not be HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 22 construed to affect a governmental entity's immunities under constitutional, statutory or common law. 17. INSURANCE AND BONDING. Agency will maintain blanket fiduciary coverage in the form of insurance or bond in the amount of $612,758.90 to reimburse City for any and all loss of CDBG Funds To effectuate such reimbursement, such fiduciary coverage shall include a ridei stating that reimbursement for any loss or losses thereunder shall be made directly to City. In addition, Agency shall maintain an Employee Dishonesty policy to cover it for employee theft of money, securities or property. Agency shall carry insurance in the types and amounts for the duration of this Contract as listed below, and furnish certificates of insurance along with copies of policy declaration pages and policy endorsements as evidence thereof Commercial General Liability ("CGL") Insurance $1, 000,000 Each Occuirence $2, 000,000 Aggregate Limit The CGL policy shall be the primary insurance with respect to any other insurance afforded the City. It shall have no exclusions or endorsements that would alter or nullify premises/operations, products/completed operations, contractual, personal injury or advertising injury which are normally contained within the policy unless City approves such exclusions in writing. Professional Liability (Errors and Omissions) $1,000,000 Each Claim Limit $1,000,000 Aggregate Limit Professional Liability coverage may be provided through an endorsement to the Commercial General Liability policy, or a separate policy specific to Professional Error and Omissions. Either is acceptable if coverage meets all other requirements. Coverage shall be on an occurrence basis or claims -made basis, and maintained for the duration of the Contract and for 2 years following completion of services provided. An annual certificate of insurance shall be submitted to the City to evidence coverage. Automobile Liability $1,000,000 each accident on a combined single -limit basis, or $100,000 Property Damage $250,000 Bodily injury per person $500,000 Bodily Injury per person per occurrence Coverage shall be a commercial business policy which provides coverage on "Any Auto", defined as any vehicle owned hired of non -owned. Specifically, HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 23 this means coverage on any vehicle used by the Agency's employees, agents, or representatives in the course of the providing services under this Contract. Workers' Compensation Insurance Statutoiy Limits Employer s Liability $100 000 Each accident/occurrence $100 000 Disease - each employee $500 000 Disease - policy limit This coverage may be written as follows: Workers' Compensation and Employers Liability coverage with limits consistent with statutory benefits outlined in the Texas Workers' Compensation Act (Art. 8308 — 1.01 et seq Tex. Rev. Civ. Stat.) and minimum policy limits for Employers' Liability of $100,000 each accident/occurrence, $500,000 bodily injury disease policy limit and $100,000 per disease per employee. Note: Such insurance shall cover employees performing work on any and all Programs including but not limited to construction, demolition, and rehabilitation. Agency or its contractors shall maintain coverages, if applicable. In the event the respective contractors do not maintain coverage, Agency shall maintain the coverage on such contractor, if applicable, for each contract. Additional Requirements Agency is responsible for providing City a 30 day notice of cancellation or non - renewal of any insurance policy and may not change the terms and conditions of any policy that would limit the scope or coverage, or otherwise alter or disallow coverage as required herein. Such insurance amounts may be revised upward at City's option no more frequently than once every 12 months City shall give 90 days' notice to Agency of any such adjustments. Where applicable, insurance policies required herein shall be endorsed to include City as an additional insured as its interest may appear. Additional insured parties shall include City s employees, officers, agents, and volunteers This requirement does not include Workers' Compensation or Automobile policies. Certificates of Insurance shall be signed by an agent authorized to bind coverage on behalf of on the insured, be complete in its entirety, and show complete insurance carrier names as listed in the current A.M. Best Property & Casualty Guide. Unless otherwise stated, all required insurance shall be written on an `occurrence basis" If coverage is underwritten on a claims -made basis, the retroactive date shall be coincident with or prior to the date of the Contract and the certificate of insurance shall state the coverage is claims -made and the retroactive date. HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 24 City shall be entitled, upon written request and without expense to receive copies of policies and endorsements thereto and may make any reasonable requests for deletion or revision or modifications of particular policy terms, conditions, limitations or exclusions necessary to conform the policy and endorsements to the requirements of this Contract. Deletions, revisions or modifications shall not be required where policy provisions are established by law or regulations binding upon either Party or the underwriter of any such policies. Any failure on part of 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 Agency's insurance policies shall be licensed to do business in the state of Texas by the Department of Insurance oz be otherwise eligible and authorized to do 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 otherwise approved by City. Deductible limits on insurance policies shall not exceed $5,000 per occurrence unless otherwise approved by City. In the event there are any local, federal or other regulatory insurance or bonding requirements for the Program, and such requirements exceed those specified herein, the former shall prevail. Agency shall require its contractors to maintain applicable insurance coverages, limits, and other requirements as those specified herein; and, Agency shall require its contractors to provide Agency with certificate(s) of insurance documenting such coverage. Also, Agency shall require its contractors to have City and Agency endorsed as additional insureds (as their interest may appear) on their respective insurance policies 18. CERTIFICATION REGARDING LOBBYING. The undersigned representative of Agency 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 Agency, 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 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. HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 25 If any fiends other than federally 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, member of Congress in connection with this Federal contract, grant, loan or cooperative agreement, Agency shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. 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 U.S.C. 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 Agency shall require that the language of this certification be included in all subcontracts or agreements involving the expenditure of Federal funds. 19. LITIGATION AND CLAIMS. Agency shall give City immediate notice in writing of any action, including any proceeding before an administrative agency, filed against Agency in conjunction with this Contract or the Program. Agency shall furnish immediately to City copies of all pertinent papers received by Agency with respect to such action or claim. Agency shall provide a notice to City within 10 days upon filing under any bankruptcy or financial insolvency provision of law. 20. NOTICE. All notices required or permitted by this Contract must be in writing and are deemed delivered on the earlier date of the date actually received or the third day following deposit in a United States Postal Service post office or receptacle with proper postage, certified mail i eturn receipt requested; and addressed to the other Party at the address set out below or at such other address as the receiving Party designates by proper notice to the sending Party. City: City Attorney's Office 1000 Throckmorton Street Fort Worth, TX 76102 Telephone: 817-392-7600 Copy to: Director of Housing and Economic Development 1000 Throckmorton Street Fort Worth, TX 76102 Telephone: 817-3 92-75 40 HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 26 Copy to: Program Coordinator 1000 Throckmorton Street Fort Worth, TX 76102 Telephone: 817-3 92-63 42 Aaencv: Shannon Hilgart, Interim Executive Director AIDS Outreach Center Inc. 400 North Beach Street Fort Worth, TX 76111-7010 Telephone: 817-916-5215 21. AGENCY HAS LEGAL AUTHORITY TO ENTER INTO CONTRACT. Agency 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. 22. COUNTERPARTS. This Contract may be executed in multiple counterparts, each of which shall be considered an original, but all of which shall constitute one instrument. [SIGNATURES APPEAR ON NEXT PAGE] HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 27 ..,.- " ti CITY OF FORT WORTH I : a' '0R �Z/ 0 4 4 i-.a rafe.t.i"cs" • cliskelteno4‘Le 000 vt Ci y ecretar I. 940 Fernando Costa, Assistant City Manager M&C: C-25 •1r FF''''' wup f�l 1 Date: August 7 2012 o° t pi g �' o� � Q 4 °� *g APPROVED AS TO F ; t [ GITY: EX Ike "i IN WITNESS WHEREOF, the Parties hereto have executed four copies of this Contract in Fort Worth, Tarrant County, Texas. ATTE T: v Assistant City Attorney AIDS OUTREACH CENTER, INC. By;,mrS3:1), ' Name: Shannon Hilgrt Title: Interim Executive Director STATE OF TEXAS § COUNTY OF TARRANT § This instrument was acknowledged before me on 7,7".1elie , 2012 by Fernando Costa, Assistant City Manager of the City of Fort Worth, on behalf the City of Fort Worth. siti •. S . • _ • scot %J• #,i of 1 1N. EVONIA DANIELS MY COMMISSION EXPIRES July 10, 2013 - • • otary Public, dela ate of Texas STATE OF TEXAS § COUNTY OF TARRANT § 1 ve CtOf(X4/ gThis instrument was acknowled ed before me on , 2012 by Shannon Hilgart, Interim Executive Director of , S Outreach Center, Inc., a non-profit corporation, on behalf of said corporation. 01111/44 •• � 3 •1st, tts: #' lussL`_���• In LARRY D. ELLIS Notary Public, State of Texas My Commission Expires Juno 19, 2014 • Notary Public, ate of Texas OFFICIAL RECORD CITY SECRETARY FT. M IN, TR HOPWA PSA CONTRACT 2012-2013 - AIDS OUTREACH CENTER, INC. 28 AIDS Outreach Center, Inc. EXHIBIT A PROGRAM SUMMARY PROGRAM SUMMARY Housing Opportunities for Persons with AIDS (HOPWA) October 1, 2012 to September 30, 2013 PERIOD PROGRAM: $612,758.90 AMOUNT The Program provides each Unduplicated Client with supportive services such as case management, tenant based rental assistance ("TBRA") and short term rental, mortgage, or utility assistance ("STRMU"). Services will be available at 400 North Beach Street, Fort Worth, Texas 76111 from 8:30 am to 5:00 pm, Monday through Friday HOPWA Funds will pay for direct assistance such as TBRA and STRMU. No more than 7% of the HOPWA Funds will be used to pay adminsitrative costs including salaries, insurance, taxes, and legal and accounting fees associated with the Program. REGULATORY CLASSIFICATION: IDIS Matrix Code(s) and Service Category: 31D HOPWA Project Sponsor Administration 31C HOPWA Project Sponsor Activity National Objective Citation: Not Applicable Regulatory Citation(s): 24 CFR 574.300(b){10) 24 CFR 574.300(b)(7)- Supportive Services 24 CFR 574.300 {b){6)- STRMU 24 CFR 574.300 (b)(6)- TBRA Based on the nature of the service provided, Agency will maintain documentation that verifies that 100% of clients served by the Program are eligible under HOPWA Regulations. PROGRAM GOALS: Provide services to approximately 237 Unduplicated Clients. EXHIBIT A - AIDS OUTREACH CENTER, INC. ADMINISTRATIVE Salaries FICA Life Insurance Health Insurance Disability Insurance Unemployment -State Accounting TOTAL ADMINISTRATIVE EXPENSES % Administrative Cost PROGRAM PERSONNEL Salaries FICA Life Insurance Health Insurance Unemployment Worker's Compensation Retirement SUPPLIES AND SERVICES Office Supplies Office Equipment Rental Postage Printing MISCELLANEOUS Construction/Building Materials (only REACH) Contract Labor (City needs copy of contract before expenses can be reimbursed) Craft Supplies Field Trip Admission Expenses Other Field Trip Expenses (if preapproved by City) Food Supplies Teaching Aids FACILITY AND UTILITIES Telephone Electric Gas Water and Wastewater Solid Waste Disposal Rent (City needs copy of lease before expenses can be reimbursed) Custodial Services Repairs Cleaning Supplies LEGAL, FINANCIAL, AND INSURANCE Fidelity Bond or Equivalent Directors and Officers General Commercial Liability Contract Accounting DIRECT ASSISTANCE Childcare Scholarships Short-term Rent Assistance Short-term Mortgage Assistance Short-term Utilities Assistance Tenant Based Rental Assistance TOTAL FUNDING A: TARRANT COUNTY GRANTS FUNDING B: FUNDING C: hXHIBIT B — BUDGET Account 1 1001 1002 1003 1004 1005 1006 1007 2001 2002 2003 2004 2005 2006 2007 3001 3002 3003 3004 4001 4002 4003 4004 4005 4006 4007 5001 5002 5003 5004 5005 5006 5007 5008 5009 6001 6002 6003 6005 7001 7002 7003 7004 7005 Grant Budfiet 25,329.00 1,938.00 3,160.00 235.00 6,090.00 36,752.00 51,849.00 3,966.00 5,805.00 598.00 441.00 954.00 268.00 37.00 1,950.00 516.00 1,380.00 6,240.00 1,448.00 403.00 1,247.00 38,611.90 10,200.00 36,093.00 414,000.00 612,758.90 A 4,200.00 321.00 447.00 19.00 4,388.00 9,375.00 206,007.00 15,761.00 26,045.00 1,580.00 260.00 411.00 130.00 125.00 263.00 775.00 1,100.00 9,037.00 1,000.00 225.00 850.00 0 0 0 0 272,944.00 Exhibit B - AIDS OUTREACH CEN I'ER, INC. B 1 C TOTAL 29,529.00 2,259.00 3,607.00 254.00 10,478.00 46,127.00 257.856.00 19,727.00 31,850.00 2,178.00 L 701.00 1,365.00 398.00 162.00 2,213.00 1,291.00 2,480.00 15,277.00 2,448.00 628.00 2,097.00 38,611.90 10,200.00 36,093.00 414,000.00 885.702.90 The following tables are purely informational and were created solely for purposes of preparing, negotiating, and determining the reasonableness of the overall line item budget on the first page of this EXHIBIT B — BUDGET and are not to be considered part of the terms and conditions of this Contract. Contiactor may make changes to any column except the "Position" column in the ' Salary Detail" table without the City's consent so long as the total amounts charged to the grant do not exceed the line items on the first page of the EXHIBIT B — BUDGET.' Changes to the column labeled "Position" may only be made with the prior written consent of the City. Position Name ASSOCIATE EXEC DIR EXECUTIVE DIRECTOR STAFF ACCOUNTANT DIR OF ADMIN SERVICES CASE MANAGER DIRECTOR CASE MGMT RECEPTIONIST CASE MANAGER CASE MANAGER CASE MANAGER CASE MANAGER MEDICAL NUTR THRPST FICA Life Insurance Health Insurance Unemployment Workeis Compensation Retie ement Office Supplies Office Equipment Rental Postage Printing Contract Labor Craft Supplies Facility Fees Field Trip Costs Food Supplies Teaching Aids Rate 36.42 36.42 22.59 24.99 19.81 22.51 12.73 15.30 14.86 15.38 22.24 24.11 Percent of Payroll 7.65% SALARY DETAIL Annual Hours 2080 2080 2080 2080 2080 2080 2080 2080 2080 2080 2080 2080 FRINGE DETAIL Amount 5,904 8,965 833 SUPPLIES AND SERVICES Total Budget 8,810 19,085 2,684 742 Percent to Grant 6.00% 6.00% 6.00% 6.00% 100.00% 13.25% 4.50% 4 785% 4 785% 4 785% 3.24% .1499% Percent to Grant 100% 100% 100% Percent to Grant 5.00% 5.00% 10.00% 5.00% MISCELLANEOUS Total Budget 39 000 Percent to Grant 5.00% Exhibit B - AIDS OUTREACH CENTER, INC. 1 1 Amount to Grant 4,545 4,545 2,819 3,119 41,205 6,204 1,191 1,523 1,479 1,531 1,499 7,518 Amount to Grant 5,904 8,965 833 Amount to Grant 441 954 268 37 Amount to Grant 1,950 Telephone Electric Gas Water and Wastewater Solid Waste Disposal Rent Custodial Services Repairs Cleaning Supplies Fidelity Bond (oi Equivalent) General Commeicial Liability Directors and Officers Contract Accounting Childcare Scholarships Short -Term Rent Assistance Short Term Mortgage Assistance Short Term Utilities Assistance Tenant Based Rental Assistance FACILITY AND UTILITIES Total Budget 13,615 43,000 172,000 23,625 8,060 Percent to Grant 3.79% 3.21% 3.628% 6.13% 5.00% LEGAL, FINANCIAL AND INSURANCE Total Budget Percent to Grant 23,895 87,000 5.22% 1 7.00% DIRECT ASSISTANCE Total Budget 38,611.90 10 200 36 093 414,000 1 1 Percent to Grant 100% 100% 100% 100% Exhibit B - AIDS OUTREACH CENTER, INC. Amount to Grant 516 1,380 6,240 1,448 403 Amount to Grant 1,247 6,090 Amount to Grant 38611.90 10 200 36 073 414,000 EXHIBIT C — Audit Certification Form [See attached] Agency: AUDIT CERTIFICATION FORM AND AUDIT REQUIREMENTS Fiscal Year Ending: n During the fiscal year in which funds will be received, we will exceed the federal expenditure threshold of $500,000. We will have our Single Audit or Program Specific Audit completed and will submit the A-133 audit report within seven (7) months after the end of the audited fiscal year or thirty (30) days within its completion, whichever is the earlier date. n During the fiscal year in which funds will be received, we will not exceed the $500,000 federal expenditure threshold required for a Single Audit or a Program Specific Audit to be performed this fiscal year. (Fill out schedule below) Federal Grantor Federal Expenditure Disclosure MUST be filled out if Single Audit or Program Audit is NOT required. Pass Through Program Name & Contract Grantor CFDA Number Number Total Federal Expenditures for this Fiscal Year: Expenditures Signatory and Title Date Failure to submit this or a similar statement or failure to submit a completed single audit package as described in the federally required audit requirements described in OMB Circulars A-133 by the required due date may result in suspension of funding and may affect eligibility for future funding. Notwithstanding the above, this certification acknowledges the agency s commitment to meet all other financial reporting, financial statements, and other audit requirements as may be set forth in the Contract. Exhibit D - Reimbursement Forms [See attached] Agency: Address: City, State Zip: Program: Period of Service: Program INVOICE Amount This Invoice Cumulative to Date Agency's Certification: I certify that the costs incurred are valid and consistent with the terms and conditions of the contract between City and Agency By signing this invoice, I certify that to the best of my knowledge and belief the data included in this report is true and accurate. It is acknowledged that the provision of false information could leave the certifying official subject to the penalties of federal, state, and local law. Signature and Date: Name: Title: Agency: Program: Line No. Check No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 Total Payee Attachment II City of Fort Worth Housing and Economic Development Department Expenditure Worksheet Please group like account codes. Account Code Descdotion` (See Key to MOD Amount Payroll must identify employee. Rent must identify tenant. Other payments should identify individuals, if applicable. Expense Line Item ADMINISTRATIVE IHOPWA Only) Salaries FICA Health Insurance Unemployment -State LeQat & Accounting PROGRAM PERSONNEL Salaries FICA Health Insurance Unemployment SUPPLIES AND SERVICES Office Supplies Office Equipment Rental Postage Printing MISCELLANEOUS Contract Labor FACILITY AND UTILITIES Telephone Electric Rent Custodial Services Repairs LEGAL, FINANCIAL, AND INSURANCE General Commercial Liability DIRECT ASSISTANCE Short -tens Rent Assistance Short-term Mortgage Assistance Short-term Utilities Assistance Tenant Based Rental Assistance 1 Account 1001 1002 1004 1006 1007 2001 2002 2004 2005 3001 3002 3003 3004 4002 5001 5002 5006 5007 5008 6003 7002 7003 7004 7005 Agency: Program: Month: ATT III UNDUPLICATED CLIENT DATA REPORT NUMBER OF NEW CLIENTS SERVED THIS MONTH: TOTAL UNDUPLICATED CLIENTS SERVED, ENTIRE CONTRACT PERIOD: Instructions: This re'portls meant to list all undupgeated client saerim dduring the contract year(October1, 2012to Septembor30;2013). Each month, please add any now, previously unreported clients. You willalso attach eligibility documentation for each new alien Name 1 2 3 4 5 6 7 B 10 11 12 13 14 15 16 17 16 19 20 21 22 23 24 25 26 27 2B 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 Street Address S x Ethnicity (Indicate One) (Indicate one Male Female American Indian or Non. Alaskan Hispanic Hispanic Nettie_ - Aston Native Hawaiian Sleek or or Other African Pacific American !slender Race (Indicate One) American Indian or American Alaska 'Other Indian or ' Black or Rebelled MO* Alaskan African "Slack or Race Native and Aalan and American African Combined le White ' White _ and White American one 11Hlncome MOH (Only choose 1 of the columns) (Indicate One) >60%AMI Disabled (Indicate One) ' 430%AMI 3/30% 5180% AMI AMI HH Sim 14314550 1424250 1144300 1)144300 2418.600 2427.700 24343.750 2 S43.750 Yes No 345�18.700 3431.150 34549.850 3449,850 too No ' 4420.750 4434.600 a4S55.350'4>4 S55 350 1341744.50 54 37400 5459800 5>559800 ' 6424.100 6440.150 6464.250 6464.250 7425.750 7442,950 7466.650 7>568.6511' 8427.400 8445700 8473.100 83373,100 Exhibit E — Self Certification Forms [See attached] Revised as of August 1, 2012 Applicant Name: Current Address: City and Zip* City of Fort Worth CERTIFICATION OF INCOME STATEMENT Last Name First Name TOTAL NUMBER OF FAMILY MEMBERS Total Gross Annual Household Income. Phone #: Household Members and Income (including applicant) Age Monthly Source of Income Income $$ (Include Yourself, Spouse, Children, etc.) PERSONAL INFORMATION: (Check one in each item. This Information is Required for Federal Reporting Purposes) a. ■ MALE b. ■ WHITE ■ BLACK/AFRICAN AMERICAN n BLACK/AFRICAN AMERICAN & WHITE ❑ FEMALE ❑ AMERICAN INDIAN/ALASKAN NATIVE ❑ ASIAN AMERICAN INDIAN/ALASKAN NATIVE & WHITE ❑ ASIAN & WHI1E 0 NATIVE HAWAHAN/OTHER PACIFIC ISLANDER IN BALANCE/OTHER I -I AMERICAN INDIAN/ALASKAN NATIVE & BLACK/AFRICAN AMERICAN ■ c. ETHNICITY d. DISABLED e. IS HEAD OF HOUSEHOLD FEMALE? ❑ HISPANIC 0 YES ❑ YES ❑ NON -HISPANIC ■ NO ❑ NO Certification: I certify that the information I am providing is true and could be subject to verification at any time by a third party. I also acknowledge that the provision of false information could leave me subject to the penalties of Federal, State and local law Signature of Applicant Date WARNING: TITLE 18, SECTION 1001 OF THE U.S. CODE STATES THAT A PERSON IS GUILTY OF A FELONY FOR KNOWINGLY AND WILLINGLY MAKING FALSE OR FRAUDULENT STATEMENTS TO ANY DEPARTMENT OF THE UNITED STATES GOVERNMENT. For use by agency staff: Household Size: Gross Annual Income: Applicable Income Limit: Is Applicant Eligible? Person Making Determination: Date: NOTE: Address, income amounts and sources for ALL household members are required. Revised as of August 1, 2012 Ciudad de Fort Worth CERTIFICACION DE DECLARACION DE INGRESOS Nombre del Solicitante: Direccion de Actualidad: Telefono: Ciudad y Codigo Postal Miembros Del Hogar e Ingresos (Incluyendo el/la Solicitante) Apellido Nombre Edad Ingreso Origen de Ingresos Mensual * TOTAL NUMERO DE MIEMBROS DEL HOGAR (Incluyase Usted.) Total Anual de Ingresos del hogar: **INFORMACION PERSONAL* (Seleccione uno en cada articulo Esta informacion es requerida por el Gobierno federal.) a. ■ MASCULINO b. ❑ BLANCO ❑ NEGRO/AFRICANO AMERICANO ❑ NEGRO/AFRICANO AMERICANO & BLANCO ❑ FEMININO ❑ INDIO AMERICANO/NATIVO DE ALASKA ❑ ASIATICO INDIO AMERICANO/NATIVO DE ALASKA & BLANCO ❑ ASIATICO & BLANCO ❑ NATIVO HAWAIANO/OTRO DE LAS ISLAS PACIFICAS ❑ BALANCE/0 I'RO INDIO AMERICANO / NATIVO DE ALASKA & NEGRO/AFRICANO AMERICANO ■ ■ c. ETHNICIDAD d. INCAPACITADO e. DES LA CABEZA DEL HOGAR MUJER? HISPANO ■ SI ❑ SI NO-HISPANO ❑ NO ❑ NO ■ Certiflcaclon' Yo certifico que la informacion que yo estoy proporcionando es verdadera y puedo ser sujeto a verificacion a cualquiera hora por tercera parte. Yo tambien reconozco que la provision de informacion falsa puede dejarme sujeto a penalidades Federales, Estatales, y a ley local. Firma del Solicitante Fecha ADVERTENCIA: TITULO 18, SECCION 1001 DEL CODIGO DE LOS ESTADOS UNIDOS INDICA QUE UNA PERSONA ES CULPABLE DE UN DELITO POR SABER Y VOLUNTARIAMENTE HACER DECLARACIONES FALSOS 0 FRAUDALENTAS A CUALQUIER DEPARTAMENTO DE GOVIERNO DE LOS ESTADOS UNIDOS. Para use de empleos de la agencia: # De Miembros de Familia: Ingreso Anual: Limite de Ingreso: tEs solicitante elegible? : Persona haciendo la determinacion: Fecha: Note: La direccion de la casa y los Ingresos (y sus origenes) para todos miembros del hogar son requeridos. Revised as of August 1, 2012 Exhibit F — 2012 HUD Income Limits 2012 Median Family Income — Fort Worth/Arlington, TX 1 Person 2 Persons 3 Persons 4 Persons 5 Persons 6 Persons 7 Persons 8 Persons 30%AMI $14,550 $16,600 $18,700 $20,750 $22,450 $24,100 $25,750 $27,400 50%AMI $24,250 $27,700 $31,150 $34,600 $37,400 $40,150 $42,950 $45,700 80% AMI $44,300 $43,750 $49,850 $55,350 $59,800 $64,250 $68,650 $73,100 Housing Opportunities for Persons with AIDS (HOPWA) Program CAPER/IDIS Beneficiary Verification Worksheets, October 2009 The CAPER/IDIS Beneficiary Verification Worksheets have been created to complement the standard use of the HOPWA Consolidated Annual Performance and Evaluation Report (CAPER) to allow for provided required information on beneficiaries. The worksheet also will help avoid issues with inconsistencies between HOPWA reporting requirements, as issued January 24, 2008 and the screens as shown in the newly released IDIS Online. The HOPWA CAPER (form HUD-40110-D, expiration date 12-31-2010) continues as the standard format forHOPWA annual reporting. In addition to essential data on project setup and disbursement of funds, a few other reporting elements have been provided only through IDIS in the pats and are included on the worksheets. In addition to addressing the inconsistencies in these elements, the worksheets will help reduce any need for further data verification by providing this step to confirm annual grantee data on these elements at the beginning of the data compilation on these reports. Please note, the system enhancements and this use of the worksheets is part of an effort to streamline reporting. The Office of HIV/AIDS Housing is providing the following guidance: • Continue to report annual accomplishment data in the HOPWA CAPER. To comply with the approved paperwork collection authority for HOPWA, grantees must continue using the approved HOPWA CAPER (form HUD-40110-D. Expiration Date 12/31/2010)) to provide annual performance information. • Complete the CAPER/IDIS Beneficiary Verification Worksheets. Grantees will submit the HOPWA Beneficiary Verification Worksheets that provide data elements on client demographics and other accomplishment details currently not collected in the CAPER but previously reported in IDIS. Formula grantees will complete the worksheets and submit them to the Office of HIV/AIDS Housing (and HUD Field Office) with their completed CAPER (for as a supplement, if the 08-09 CAPER has already be filed for grantees reporting during 2009. Pending future IDIS modernization efforts, grantees do not need to report beneficiary or accomphshment data in HOPWA screens shown in IDIS Online. This will simplify reporting by allowing grantees to report this data only once. • Continue to use IDIS to setup projects and access funds. HOPWA Formula grantees will still be required to use IDIS for project/activity set-up and financial draw -downs. Grantees will continue to follow the guidance IDIS for HOPWA Grantees: A Guide to Using IDIS and tie HOPWA projects to a single funding allocation, and activities to each program year. • Record Keeping. Names and other individual information must be kept confidential, as required by 24 CFR 574.440. However, HUD reserves the right to review the information used to complete the CAPER/IDIS Beneficiary Verification worksheets for grants management oversight purposes, except for recording any names and other identifying information. Information is reported in aggregate to HUD without personal identifications. Do not submit client or personal information in data systems to HUD or addresses of confidential sites. HOPWA Grantee CAPER Verification Worksheets (9.29.2009) Page 1 Overview on reporting formats: Performance Data Grantee, Sponsor and Sub -recipient Information • Narratives • Unmet Need Leveraging Accomplishment Data • Housing Outputs • Supportive Services CAPER Part 1 Part 2 Part 3 Performance Outcomes Part 4 Access to Care and Support Housing Stability Part 5 Certification of Part 6 Facility -based Stewardship Units IDIS Verification Worksheets Information of Individuals, Beneficiaries, and Part 1 Households • # individuals living with HIV/AIDS • Special needs • Prior living situation • # of HOPWA beneficiaries • Age and Gender • Race and Ethnicity • Median Income Facility -based Housing Assistance HOPWA program activities set-up Financial draw -downs `Projects/Activities' Tab `Funding/Drawdown' Tab Part 2 SEND: CAPER and worksheets are to be sent to HUD Field Offices and HQ (HOPWA@hud.gov) HOPWA Grantee CAPER Verification Worksheets (9.29.2009) Page 2 HUD Grant Number Grantee Name Operating Year for this report From 0nm/rid/JO To (nvn/dd.j ) ■ Yr l; ❑ Yr 2; ❑ Yr 3. ❑ ExtYr Part 1: Summary Overview of Grant Activities: Information on Individuals, Beneficiaries, and Households Receiving HOPWA Housing Assistance Chart a. Individuals Served with Housing Assistance Total number of individuals with HIV/AIDS who received HOPWA housing assistance Chart b. Special Needs Number of HOPWA eligible individuals served with Housing Assistance who are veterans? Number of HOPWA eligible individuals served with Housing Assistance who were chronically homeless? Total Total Chart c. Prior Living Situation: Indicate the prior living arrangements for all eligible individuals, referenced in Chart a, who received HOPWA housing assistance. Note: The total number of eligible individuals seer ed in Row 17 should equal the total number of individuals served through housing assistance reported in Chart a above. Category 1. Continuing to receive HOPWA support from the prior operating year New Individuals who received HOPWA Housing Assistance support during Operating Year Place not meant for human habitation 2. (such as a vehicle, abandoned building, bus/train/subway station/airport, or outside) 3. Emergency shelter (including hotel, motel, or campground paid for with emergency shelter voucher) 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. Transitional housing for homeless persons Permanent housing for formerly homeless persons (such as Shelter Plus Care, SHP, or SRO Mod Rehab) Psychiatric hospital or other psychiatric facility Substance abuse treatment facility or detox center Hospital (non -psychiatric facility) Foster care home or foster care group home Jail, prison or juvenile detention facility Rented room, apartment, or house House you own Staying or living in someone else's (family and friends) room, apartment, or house Hotel or motel paid for without emergency shelter voucher Other Don't Know or Refused TOTAL (sum of items 1-16) Number of HOPWA Eligible Individuals Served with Housing Assistance HOPWA Grantee CAPER Verification Worksheets (9.29.2009) Page 3 Section 2. HOPWA Beneficiaries. a. Total Number of HOPWA Beneficiaries Served with Housing Assistance Individuals and Families Served with Housing Assistance 1. Number of individuals with HIV/AIDS who received HOPWA housing assistance (Chart a page 4) 2. Number of other persons residing with the above eligible individuals in HOPWA-assisted housing 3. TOTAL number of beneficiaries served with Housing Assistance (Rows 1 + 2) Total Number In Charts b and c below, indicate the age, gender, race and ethnicity for all beneficiaries referenced in Chart a. Note: The sum of each of the following chai is should equal the total number of beneficiaries served with HOPIVA housing assistance (in Chart a, Row 3). b. Age and Gender Category 1. Under 18 2. 18 to 30 years 3. 31 to 50 years 4. 51 years and Older c. Race and Ethnicity* Category 1. American Indian/ Alaskan Native 2. Asian 3. Black/African American 4. Native Hawaiian/Other Pacific Islander 5. I White I *Reference (data requested consiste it with Forrn HUD-27061Race and Ethnic Data Reporting Form) Male Total Beneficiaries Served with Housing Assistance Female Total Beneficiaries also identified as Hispanic or Latino 6. Category American Indian/ Alaskan Native & White 7. Asian & White 8. Black/African American and White Section 3. Household Income 9. American Indian/ Alaskan Native & Black/African American 10. I Other Multi -Racial Total Beneficiaries Served with Housing Assistance Total Beneficiaries also identified as Hispanic or Latino a. Household Area Median Income. Report the area median income(s) for all households served with HOPWA housing assistance. The total number of households served with housing assistance should equal total households reported in Part 3C, Section 1, Line 6 of the CAPER. Note: Refer to www.hud eov for information on area median income in your community. Percentage of Area Median Income 1. 0-30% of area median income (extremely low) 2. 31-50% of area median income (very low) 3. 51-60% of area median income (low) 4. 61-80% of area median income (low) Households Served with Housing Assistance HOPWA Grantee CAPER Verification Worksheets (9.29.2009) Page 4 Part 2: Summary of Project Sponsor Information- Facility -based Housing Assistance Complete this following section for each facility being developed or supported through HOPWA funds. In Chart 1, provide the name of the organization designated or selected to serve as a project sponsor, as defined by CFR 574.3. This should correspond to information reported in Part 1, Chart 2 of the CAPER. 1. Project Sponsor Agency Name Complete the following section for each facility being developed or supported through HOPWA funds. Complete Charts 2a Project Site Information and 2b Type of Capital Development Pioject Units for all development projects, current or previous. Charts 3a and 3b ate required for each facility In Chait 2a, and 2b, indicate the type of facility and number of units in each facility. If no expenditures were reported but the facility was developed with HOPWA funds (subject to ten years of operation for acquisition new construction and substantial rehabilitation costs of stewardship units, or three years for non -substantial rehabilitation costs) the project sponsor should complete the "HOPWA Housing Project Certification of Continued Usage Form" at the end of the report. 2a. Project Site Information for Capital Development of Pr Type of Non-HOPWA Development HOPWA Funds funds Expended Expended ❑ New constriction $ $ Rehabilitation $ 1 $ Acquisition $ 1 $ ■ b. c. Purchase/lease of property: Rehabilitation/Construction Dates: Operation dates: ojects (For Capital Development Projects only) Type of Facility [Check only one box] Date supportive services began: Number of units in the facility: Is a waiting list maintained for the facility? What is the address of the facility (if different from business address)? Is the address of the project site confidential? ■ Permanent housing 0 Short-term Shelter or Transitional housing ❑ Supportive services only facility Date (mm/dd/yy): Date started: Date residents began to occupy: Not yet occupied Date started: ❑ Not yet providing services Date Completed: HOPWA-funded units = Total Units = ❑ Yes ■ No Ifyes, naarbe • of participants on the list at the end of operating year ❑ Yes, protect information; do not publish list. ❑ No, can be wade available to the public. ■ HOPWA Grantee CAPER Verification Worksheets (9.29.2009) Page 5 2b. Type of Capital Development Project Units (For Capital Development Projects only) For units entered above (1 a) please list the number of HOPWA units that fulfill the following criteria. Designated for the Designated Energy -Star 504 Accessible Years of affordability chronically for assist Compliant (IN YEARS) homeless the homeless Rental units constricted (new) and/or acquired with or without rehab Rental units rehabbed Homeownership units constructed (if approved) 3. Units assisted in types of housing facility/units leased by sponsor Indicate the type and number of housing units in the facility, categorized by the number of bedrooms per unit. Note: The number of units may not equal the total number of households served Please complete this page for each housing facility assisted. a. Check one only. Permanent Supportive Housing Facility/Units ❑ Short-term Shelter or Transitional Supportive Housing Facility/Units ■ b. Type of Facility Type of housing facility operated by the project sponsor SRO/0 bdrm a. Single room occupancy dwelling b. Community residence c. Project -based rental assistance units or leased units d. Other housing facility. Specify: Total Number of Units Operated in the Operating Year Categorized by the Number of Bedrooms per Units 1 bdrm 2bdrm 3 bdrm 4 bdrm 5+bdrm nlin The following guidance applies to all HOPWA grantees using IDIS Online to set up their projects, activities and draw funds. IDIS ONLINE HOPWA grantees must use IDIS Online for project set up and for disbursement of funds. However, in reporting the performance outcomes and beneficiary information on these projects, an alternative method should be used. The HOPWA path data fields in IDIS Online do not correspond in many reporting elements to the revised HOPWA CAPER (form HUD-40110-D) as issued by HUD on January 24, 2008. An updating of the reporting screens remain pending. As such, HOPWA grantees will be required to report program accomplishment data in the CAPER and their beneficiary data HOPWA Grantee CAPER Venfication Worksheets (9.29.2009) Page 6 in the HOPWA Beneficiary Verification Worksheets (see below, with copy to be send by direct email). Given the differences between the required data and the existing IDIS screens, HOPWA grantees do not need to report beneficiary or accomplishment data in IDIS Online. This guidance will simplify the reporting process by allowing grantees to report the essential performance data only once and the use of a verification step up front should reduce needs for later corrective actions. This reporting guidance takes affect immediately; including reports now pending from HOPWA grantees whose program years run July to June. If grantees have already consolidated their annual HOPWA project data and attempted to report this project and beneficiary data in IDIS and in their CAPER, the Office of HIV/AIDS Housing requests that they use this consolidated data to complete the Verification Worksheets to allow the office access the grantee validated annual data in the formats established in 2008. These would be sent to HUD in your state or area CPD office as part of the CAPER and the HOPWA sections to this HQ office (via email to HOPWA(thud.aov or other means) Note: All HOPWA grantees must continue to set up IDIS projects and activities in IDIS per the HOPWA IDIS Guide and use the enhanced system for drawing down funds and reporting in the IDIS Common Path. IDIS Online has been streamlined to eliminate several fields from the "common oath". Additionally. matrix codes have been replaced with Activity Cateaories (selected from a droodown list). 1. HOPWA projects must be set up in IDIS as the organization directly carrying out the activity. Projects should correspond to the year of the funding allocation. 2. Activities must be set up for the grantee and each project sponsor. Activities should correspond to a program or reporting year. DRAWING FUNDS Once an activity is properly set up in IDIS, funds can be committed and then drawn down. 1. On the Activity Funding screen, select the activity that requires funding. 2. Select the program code for HOPWA ("H") and enter the dollar amount in the Funded Amount field. HOPWA Beneficiary Verification Worksheets In lieu of submitting required HOPWA performance data through IDIS, grantees will be complete the CAPER Beneficiary Verification Worksheets (available on HUD's website). The information collected (beneficiary demographics, supportive services, housing facilities), will be the same as that authorized to be collected on HOPWA accomplishments and should be an easy form to use, pending related system enhancements. HUD expects that this use of a worksheet will also reduce the need for verification actions and corrections to the data that have been undertaken in prior years. The 2008 edition of the HOPWA CAPER form will continue as the primary performance reporting document for HOPWA formula grantees. HOPWA formula grantees will complete and submit the CAPER and the HOPWA Beneficiary Verification Worksheets within 90 days of the end of their program year. It is expected that the use of the IDIS Online enhances for project setup and disbursements will be of great value to programs and that annual reporting on these project activities will be connected in these related efforts. Grantees must continue to link their IDIS projects and activities in IDIS Online to corresponding data for annual accomplishments as submitted through the CAPER for their program year. For more information, please see the HOPWA information posted on the program's section of the HUD Homelessness Resource Exchange website at www.HUDHRE.info/HOPWA. Inquiries on this matter can be sent to HOPWA(a�hud.aov. HOPWA Grantee CAPER Verification Worksheets (9.29.2009) Page 7 M&C Review a tcIa si e o e,' i at For +forth Texas UNCI GENOA COUNCIL ACTION ORM Approved As Amended on 8/712012 - OrdinanceNo, 20 16-08-2012 DATER 7/24/2012 NO.: CODE SUBJECT: CONTINUED FROM A PREVIOUS WEEK REFERENCE C TYPE: C-25767 NON - CONSENT LOG NAME* PUBLIC HEARING: 17HUDACTPLANPY12- 13 YES Conduct a Public Hearing and Approve City's 2012-2013 Action Plan for the Use of Federal Grant Funds from the United States Department of Housing and Urban Development in the Amount of $9 278,851 00 for Program Year 2012-2013 from the Community Development Block Grant, HOME Investment Partnerships Program, Emergency Solutions Grant and Housing Opportunities for Persons with AIDS Grant Programs, Authorize Collection and Use of Program Income Authorize Application of Indirect Cost Rates, Authorize Execution of Related Contracts and Interdepartmental Letters of Agreement and Adopt Appropriation Ordinance (ALL COUNCIL DISTRICTS) • RECOMMENDATION: It is recommended that the City Council: • 1. Conduct a public hearing to allow citizen input and consideration of the City's 2012-2013 Action Plan for use of federal grant funds from the United States Department of Housing and Urban Development in the amount of $9,278,851.00 for Program Year 2012-2013 from the Community Development Block Grant, HOME Investment Partnerships Program, Emergency Solutions Grant and Housing Opportunities for Persons with AIDS grant programs and for the use of program income from activities using prior years' federal grant funds; 2. Approve the City's 2012-2013 Action Plan for submission to the United States Department of Housing and Urban Development including allocations of grant funds to particular programs and activities as detailed below; 3. Authorize the collection and use of an estimated $50,000.00 of program income resulting from activities using prior years' Community Development Block Grant funds for the programs and activities detailed below; 4. Authorize the collection and use of any program income resulting from activities using prior years HOME Investment Partnerships Program funds for the City's Homebuyer Assistance Program, 5. Authorize the City Manager, or his designee, to execute contracts and interdepartmental Letters of Agreement for a one year term with the agencies listed below in Tables 1, 2, and 3 for Program Year 2012-2013 for Community Development Block Grant, Emergency Solutions Grant and Housing Opportunities for Persons with AIDS grant funds contingent upon receipt of funding; 6. Authorize the City Manager, or his designee, to extend the contracts and interdepartmental Letters of Agreement for up to one year if an agency or department requests an extension and b RT WORTH http://apps.cfwnet.org/council_packet/mc_review.asp?ID=17008&councildate=8/7/2012[8/13/2012 11:48:42 AM] M&C Review such extension is necessary for completion of the program; 7. Authorize the City Manager, or his designee, to amend the contracts and interdepartmental Letters of Agreement if necessary to achieve program goals, provided any amendment is within the scope of the program and in compliance with City policies and all applicable laws and regulations governing the use of federal grant funds; 8. Apply indirect cost rates as applicable for the Grants Fund in accordance with the City's Administrative Regulations; and 9. Adopt the attached appropriation ordinance increasing the estimated receipts and appropriations to the Grants Fund in the total amount of $9,278 851 00 ($5,830,119 00 in Community Development Block Grant funds, $1,973,169.00 in HOME Investment Partnerships Program funds, $532,857.00 in Emergency Solutions Grant funds and $942,706.00 in Housing Opportunities for Persons with AIDS funds) plus any program income all subject to receipt of such funds. DISCUSSION: The City's Action Plan is a comprehensive summary of the major housing and community development activities programs and proposed expenditures for the use of federal grant funds in the amount of $9,278,851.00 from the United States Department of Housing and Urban Development (HUD) for the program year beginning October 1, 2012 and ending September 30, 2013 from the Community Development Block Grant (CDBG), HOME Investment Partnerships Program (HOME), Emergency Solutions Grant (ESG) and Housing Opportunities for Persons with AIDS (HOPWA) grant programs. This year's Action Plan also summarizes the use of program income resulting from activities using prior years CDBG and HOME funds. The purpose of these grant funds is to primarily benefit low and moderate income City residents, with ESG funds primarily benefiting homeless persons and HOPWA funds primarily benefiting persons with HIV/AIDS. A 30-day public comment period on the City's proposed Action Plan was held from June 25 2012 to July 25 2012. Any comments will be maintained by the Housing and Economic Development Department in accordance with federal regulations. This public hearing on the City's Action Plan will be the first public hearing for the HUD -required citizen participation process. A second public hearing is proposed for August 7, 2012 at which time the City Council is scheduled to approve the Action Plan. The City s Action Plan must be submitted to HUD by August 16, 2012. In addition, two public hearings were held on July 16, 2012 at 9:30 a.m. and 6:00 p.m. for citizens to provide comment on the proposed lists of neighborhood streets eligible for reconstruction using CDBG funds. The Transportation and Public Works Department prepared a list of priority streets in CDBG-eligible areas. The streets selected for reconstruction were based on the comments provided at the public hearings. A complete list of the streets is attached and will be included in the Action Plan. The allocations in the draft Action Plan available during the public comment period were based on funding estimates available at that time. The amounts set out below reflect the allocations from HUD at the time of this Mayor and Council Communication (M&C). The allocations are not yet final and if the amounts increase, Staff will bring forward another M&C to commit the additional funds. Staff developed recommendations for the allocation of the estimated funding from HUD and presented them to the Community Development Council (CDC) on June 4, 2012. A summary of the CDC's funding recommendations is provided below in Tables 1, 2, and 3 and a spreadsheet of all specific funding recommendations is attached. http://apps.cfwnet.org/council_packet/mc_review.asp9ID=17008&councildate=8/7/2012[8/13/2012 11:48:42 AM] M&C Review For Program Year 2012-2013, the $5,830,119.00 in CDBG funds and $50,000.00 of CDBG program income is recommended to be allocated as follows: Housing Programs and Services - $2,124,038.00 This item includes funding for the City's Priority Repair Program, Cowtown Brush -Up, homebuyer and housing services, and accessibility modifications to the homes of senior and/or disabled individuals and related project delivery costs for these programs. P ublic Services - $874,517.85 This item includes social services for low to moderate income, disabled, and disadvantaged populations. Community Facilities and Infrastructure - $930,596.05 This item includes funding for neighborhood streets reconstruction and streetlight installation for the Terrell Heights neighborhood. CDBG Economic Development - $734,943.30 This item is this year's payment of the City's Section 108 loan from HUD. CDBG General Administration - $1,166,023.80 This item includes costs for administering the CDBG grant including allocations for Financial Management Services, Internal Audit, and Planning and Development. CDBG Estimated Program Income - $50,000.00 Staff recommends allocating any CDBG program received to the following items. CASA of Tarrant County, Inc. $ 1,875.00 Cultural Arts Center $ 1,875.00 Day Resource Center for the Homeless $ 1,875.00 YWCA Fort Worth & Tarrant County $ 1,875.00 N eighborhood Street Reconstruction $32,500.00 CDBG General Administration (20 percent) $10,000.00 Total CDBG Program Income $50,000.00 For Program Year 2012-2013, the $1,973,169.00 in HOME funds is recommended to be allocated as follows: HOME General Administration - $197,316.90 This item includes costs for administering the HOME grant. Community Development Housing Organizations (CHDO) Set Aside - $0.00 This HUD -required minimum allocation has been met with previous years' awards to CHDOs for nonprofit affordable housing projects and CHDO administrative operating costs. Homebuyer Assistance Program - $1,775 852.10 This item includes funding to provide down payment and/or closing cost assistance to low and moderate income homebuyers. Staff anticipates the receipt of program income in the 2012-2013 Program Year from activities using HOME funds. Any future program income will be used for the City's Homebuyer Assistance P rogram (HAP) after the 10 percent allocation, excluding recapture, for HOME General http://apps.cfwnet.org/council_packet/mc_review.asp?ID=17008&councildate=8/7/2012[8/13/2012 11:48:42 AM] M&C Review Administration. For Program Year 2012-2013, the $532,857.00 in ESG grant funds is recommended to be allocated as follows. Allocation to non-profit service providers - $492,892.72 Allocation to ESG program administration - $39,964.28 For Program Year 2012-2013, the $942,706.00 in HOPWA grant funds is recommended to be allocated as follows: Allocation to non-profit service providers - $914,424.82 Allocation to HOPWA program administration - $28,281.18 The CDC and Staff recommend that contracts be executed with the agencies listed below in the amounts shown in the following tables: Community Development Block Grant: Table 1 - CDBG Agencies Organization Program Diamond Hill and Camp Fire USA First Texas Council Northside Station Volunteer Advocate CASA of Tarrant County, Inc. Training S ubstance Abuse Treatment Cenikor Foundation Clayton Child Care. Inc. d/b/a Clayton YES, Cornerstone Assistance Network Cultural Arts Center Day Resource Center for the Homeless The Ladder Alliance Mental Health Association of Tarrant County Northside Inter -Church Agency, Inc. Senior Citizen Services of Greater Tarrant County Tarrant Area Food Bank YWCA Fort Worth & Tarrant County YWCA Fort Worth & Tarrant County CDBG Public Service Subtotal REACH Resource Center on Independent Living School Age Child Care N ew Life Center/Promise House GED in Spanish Counseling Services and Case Management Employment Training Long Term Care O mbudsman Good Works/Buenas Obras Transportation for Seniors Community Kitchen/Meals Child Development P rogram Power of Self P roject Ramp Amount $ 75,900.00 $ 30,000.00 $ 75,000.00 $ 75,000.00 $ 75,000.00 $ 30,000.00 $ 31,808.50 $ 75,000.00 $ 75,000.85 $ 75,000.00 $ 75,000.00 $ 75,000.00 $ 75,000.00 $ 31.808.50 $ 874,517.85 $ 50.000.00 http://apps.cfwnet.org/council_packet/mc_review.asp?ID=17008&councildate=8/7/2012[8/13/2012 11:48:42 AM] M&C Review TOTAL; CDBG Contracts $ 924,517.85 Emeraencv Solutions Grant: Table 2 - ESG Agencies Organization Catholic Charities of Fort Worth CFW: Parks and Community Services P resbyterian Night Shelter S afeHaven of Tarrant County Day Resource Center Program Prevention and Rapid Re -Housing Community Action Partners The Emergency Shelter Program Shelter Operations and Rapid Re -Housing Counseling Services and Case -Management TOTAL ESG Contracts Housina Onnortunities For Persons With AIDS: Table 3 - HOPWA Agencies Organization AIDS Outreach Center, Inc. Amount 38,17832 $ 75,000.00 $ 167,892.72 $ 175,000.00 $ 36,821.48 492,892.72 Program Amount Administration (three percent), $ 612,758.90 S upportive Services, TBRA, and STRMU - Tarrant County Samaritan Housing, Inc. Administration (three percent), S upportive Services, and TBRA $ 301.665.92, TOTAL HOPWA Contracts $ 914,424.82 These programs are available in ALL COUNCIL DISTRICTS. FISCAL INFORMATION/CERTIFICATION: The Financial Management Services Director certifies that upon approval of the above recommendations, adoption of the attached appropriation ordinance and receipt of grant funds, funds will be available in the current operating budget, as appropriated, of the Grants Fund. TO Fund/Account/Centers GR76 451727 017206280XXX GR76 5XXXXX 0172062802M GR76 451727 017206281XXX GR76 5XXXXX 017206281 XXX GR76 5XXXXX 017206283XXX GR76 451727 017206284)00( GR76 5XXXXX 017206284XXX, GR76 451685 017206280XXX $5.830. 19.00 $5.830.119.00 $1.973.169.00 $1.973.169.00 $532.857.00 $942.706.00 $942.706.00 $50.000.00 FROM Fund/Account/Centers. http://apps.cfwnet.org/council_packet/mc review.asp?ID=17008&councildate=8/7/2012[8/13/2012 11:48:42 AM] M&C Review GP76 5XXXXX 017206280XXX $50.000.00 $532.857.00 Submitted for City Manaaer's Office bv: Oriainatina Deoartment Head: Additional Information Contact: ATTACHMENTS 17HUDACTPLANPY12-13 A012 VGf 11.doc 2012-13ActionPlan Fu nd ina Recommendat jons. pdf List of Selected Streets for 2012-2013.pdf Fernando Costa (6122) Jay Chapa (5804) Cynthia Garcia (8187) Avis F. Chaisson (6342) http://apps.cfwnet.org/council packet/mc_review.asp?ID=17008&councildate=8/7/2012[8/13/2012 11:48:42 AM]