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HomeMy WebLinkAboutContract 44054 (2)CITY SECRETARYJ'J� CONTRACT NO. 1 AGREEMENT FOR COMMUNITY BASED PROGRAM In consideration of the mutual covenants, promises and agreements contained herein, THIS AGREEMENT ("Agreement") is made and entered into between CITY OF FORT WORTH, a home rule municipal corporation of the State of Texas, ("City") acting by and through Charles W. Daniels, its duly authorized Assistant City Manager, and RECOVERY RESOURCE COUNCIL, a Texas non-profit corporation ("Contractor") acting by and through Eric Niedermayer, Executive Director, its duly authorized representative. RECITALS WHEREAS, City has determined that Community Based Programs are necessary to support crime prevention in City during FY 2013 to meet one or more of the Crime Control and Prevention District ("CCPD") goals, which are (1) to support efforts to reduce violent crime and gang -related activities through enhanced enforcement activities and crime prevention programs, (2) to support efforts to increase the safety of residents and to decrease crime throughout Fort Worth neighborhoods and (3) to support efforts to increase the safety of youth and reduce juvenile crime through crime prevention and intervention programs; and WHEREAS, Contractor has agreed to operate a Community Based Program called "Youth Intervention & Prevention Program" which will support the adoption of a prevention focus by the police department and the community; and WHEREAS, City desires to contract with Contractor to operate the Youth Intervention & Prevention Program; and WHEREAS, City, as consideration for the performance of Contractor, has appropriated monies in the CCPD Budget as reimbursed by the CCPD in the amount of $47,986.72 ("Program Funds") to provide to the Contractor for the operation of the Youth Intervention & Prevention Program; NOW, THEREFORE, in consideration of the mutual covenants herein expressed, the parties agree as follows: AGREEMENT 1. Responsibilities of Contractor Contractor covenants and agrees to fully perform, or cause to be performed, with good faith and due diligence, all work and services described in Exhibit "A" — Program Proposal, attached, and incorporated herein for all purposes incident to this Agreement. Contractor shall be responsible for day-to-day administration of the Youth Intervention & Prevention Program. Contractor agrees to expend the Program Funds in accordance with its Youth Intervention & Prevention Program budget, described in Exhibit "B", attached. FY 2013 Community Bas OFFICIAL RECORD deldrglaiSECRELAfB7 F"f. WORTK, TX 01 _' _ i p o k}ec fiery Resource Council Program activities shall be reported in accordance with Exhibit "D", attached and effectiveness measures shall be reported in accordance with Exhibit "E", attached. 2. Program Funds 2.1 In no event shall the total distribution of Program Funds from City made to the Contractor during the term of this Agreement exceed the total sum of $47,986.72. 2.2 Payment of the Program Funds from City to Contractor shall be made on a cost - reimbursement basis following receipt by City from Contractor of a signed Request for Reimbursement (RFR) and copies of all receipts. Contractor shall deliver to City a written detailed Program Activities Report and Program Effectiveness Measures Report as described in Section 4.2 below with each RFR to support expenditure of Program Funds. Such reports shall be signed by the Contractor or duly authorized officer of the Contractor. The RFR, as described in Exhibit "C", attached, and monthly Program Activities Report shall be submitted to City no later than the 15th day following the end of the month. Submittal of a monthly RFR and Program Activities Report is required even if services are not provided. Submit the monthly RFR with an original signature by an authorized representative to the Grants and Contracts Management Section of the Fort Worth Police Department. ATTENTION: SASHA KANE, 350 W. Belknap, Fort Worth, Texas 76102. Reimbursements will not be made until after receipt of an acceptable and approved RFR and a monthly Program Activities Report from the Contractor. Reimbursements shall be made within 30 days receipt of said documents 2.3 Contractor is authorized to adjust any categories in the budget in an amount not to exceed 5% of those particular categories without prior approval of City, as long as the total sum does not exceed the amount of the Program Funds; however, Contiactor must notify City in writing of any such adjustments Any adjustment of more than 5% of each category must have written permission from City prior to any budget adjustment being made. Budget adjustments shall be submitted to the Grants and Contracts Management Section of the Fort Worth Police Department, ATTENTION: SASHA KANE, 350 W. Belknap, Fort Worth, Texas, 76102. 3. Term This Agreement shall commence upon the date that both the City and Contractor have executed this Agreement ("Effective Date') and shall end on September 30, 2013. All of Contractor's expenditures under this Agreement must be completed prior to September 30, 2013. FY 2013 Community Based Program 2 Recovery Resource Council 4. Program Performance 4.1 Contractor agrees to maintain full documentation supporting the performance of the work and fulfillment of the objectives set forth in Exhibit "A". 4.2 Contractor agrees to provide a monthly Program Activities and Effectiveness Measures Report to document the performance of the work described in Exhibit "D' and Exhibit "E" The Program Activities and Effectiveness Measures shall document the program activity names, numbers of participants attending, details of the activities, and a description of the goals achieved in support of the CCPD goals. Program Effectiveness Measures shall be reported on a quarterly basis and included in the January, April, July and October RFR and Program Activities Report submittals. Additionally, the Project Effectiveness Measurement Report must include any successes realized in descriptive detail. The monthly Program Activities and quarterly Program Effectiveness Measurement Reports shall be submitted to City no later than the 15th day after the end of each month. 5. Default and Termination 5.1 This Agreement is wholly conditioned upon the actual receipt by City of Program Funds from the CCPD. All monies distributed to Contractor hereunder shall be exclusively from monies received from the CCPD, and not from any other monies of City In the event that funds from the CCPD are not timely received in whole or in part, City may, at its sole discretion, terminate this Agreement and City shall not be liable for payment for any work or services performed by Contractor under or in connection with this Agreement 5.2 If for any reason at any time during any term of this Agreement, City Council of City fails to appropriate funds sufficient for City to fulfill its obligations under this Agreement, City may terminate this Agreement to be effective on the later of (i) thirty (30) days following delivery by City to Contractor of written notice of City's intention to terminate or (ii) the last date for which funding has been appropriated by City Council for the purposes set forth in this Agreement. 5.3 This Agreement may be terminated by City, in whole or in part, whenever such termination is determined by City to be in the best interest of City; in event of Contractor default, inability to perform or to comply with the terms herein; or for other good cause. 5.4 Termination will be effected by delivering to Contractor a notice of termination, specifying the portion of the Agreement affected and the effective date of teiiuination. Upon Contractor's receipt of notice of termination, Contractor shall: (a) Stop work under the Agreement on the date and to the extent specified in the notice of termination; (b) Place no further order or subcontracts, except as may be necessary for completion of the work not teuiiinated; FY 2013 Community Based Program 3 Recovery Resource Council (c) Terminate all orders and contracts to the extent that they relate to the performance of the work terminated by the notice of termination; and (d) Cease expenditures of Program Funds, except as may be necessary for completion of the work not terminated. 5.5 In the event City suspends or terminates this Agreement for cause, and the cause for such suspension or termination is deteiinined to be invalid, the Contractor's sole remedy shall be reinstatement of this Agreement. Contractor expressly waives any and all rights to monetary damages, including but not limited to actual, consequential, and punitive damages, court costs and attorney's fees. 5.6 Within thirty (30) days following the date of termination of this Agreement, Contractor shall return to City any property provided hereunder or as so directed by the Contract Administrator (see paragraph 13.3). City will have no responsibility or liability for Contractor's expenditures or actions occurring after the effective date of termination of the Agreement 6. Equipment and Maintenance All equipment purchased with Program Funds must meet all eligibility requirements of City. Contractor shall maintain all equipment used in the administration and execution of the Youth Intervention & Prevention Program. Contractor shall maintain, replace or repair any item of equipment used in support of the Youth Intervention & Prevention Program and/or for use under the terms of this Agreement that no longer functions of is lost or stolen. The cost for maintenance, replacement or repair of any equipment used in support of the Youth Intervention & Prevention Program and/or for use under the terms of this Agreement is the sole responsibility of Contractor. Contractor shall not use Program Funds or City funds to repair or replace said equipment. Contractor shall use any and all equipment purchased with Program Funds exclusively in support of the Youth Intervention & Prevention Program. Within 10 days following the purchase of equipment, Contractor shall submit to City a detailed inventory of all equipment purchased with Program Funds to the Grants and Contracts Management Section at the address set forth in paragraph 2.3 above. The equipment inventory shall include an itemized description of each piece of equipment, the date each piece of equipment was purchased the cost of purchase for each piece of equipment, and the location of each piece of equipment. 7. Administrative Requirements 7.1 Contractor agrees to keep sufficient records to document its adherence to applicable local, state and federal regulations, along with documentation and records of all receipts and expenditures of Program Funds. All records shall be retained for three (3) years following the termination or completion of this Agreement. City or its representatives shall have the right to investigate, examine and audit at any time any and FY 2013 Community Based Program 4 Recovery Resource Council all such records relating to operations of Contractor under this Agreement Contractor, its officers, members, agents, employees, and subcontractors, upon demand by City, shall make such records readily available for investigation, examination, and audit. In the event of such audit by City, a single audit of all Contractors' operations will be undertaken and may be conducted either by City or an independent auditor of City's choice. Contractor shall submit a copy of any audit performed by their independent auditor within 30 days of receipt of the final audit report. 7.2 If any audit reveals a questioned practice or expenditure, such questions must be resolved within fifteen (15) days after notice to Contractor by City. If questions are not resolved within this period City reserves the right to withhold further funding under this and/or future contract(s) with Contractor. 7.3 If, as a result of any audit, it is detennnined that Contractor misused, misapplied or misappropriated all or any part of the Program Funds, Conti actor agrees to reimburse City the amount of such monies so misused, misapplied or misappropriated, plus the amount of any sanction, penalty or other charge levied against City because of such misuse, misapplication or misappropriation 7.4 Contractor's obligation to City shall not end until all closeout requirements are completed. Activities during this closeout period shall include, but are not limited to: providing final Program Activities Report and Program Effectiveness Measui ement Reports, making final payments, disposing of Youth Intervention & Prevention Program assets as appropriate and as directed by City's Contract Administrator (see paragraph 13.3.). 7.5 Contractor covenants and agrees to fully cooperate with City in monitoring the effectiveness of the services and work to be performed by Contractor under this Agreement and City shall have access at all reasonable hours to offices and records of the Contractor, its officers, members, agents, employees, and subcontractors for the purpose of such monitoring 8. Independent Contractor 8.1 Contractor shall operate hereunder as an independent contractor and not as an officer, agent, or servant or employee of City Contractor shall have exclusive control of, and the exclusive right to control, the details of the work and services performed hereunder, and all persons performing same, and shall be solely responsible for the acts and omissions of its officers, members, agents, servants, employees, subcontractors, program participants, licensees or invitees. The doctrine of respondeat superior shall not apply as between City and Contractor, its officers, members, agents, servants, employees, subcontractors, program participants, licensees or invitees, and nothing herein shall be construed as cleating a partnership or joint enterprise between City and Contractor. It is expressly understood and agreed that no officer, member, agent, employee subcontractor, licensee or invitee of the Contractor, nor any program participant hereunder is in the paid service of City and that City does not have the legal right to FY 2013 Cominunity Based Program 5 Recovery Resource Council control the details of the tasks performed hereunder by Contractor, its officers, members, agents, employees, subcontractors, program participants, licensees or invitees. 8.2 City shall in no way nor under any circumstances be responsible for any property belonging to Contractor, its officers, members, agents, employees, subcontractors, program participants, licensees or invitees, which may be lost, stolen, destroyed or in any way damaged. 9. Indemnification 9.1 Contractor covenants and agrees to indemnify, hold harmless and defend, at its own expense, City and its officers, agents, servants and employees from and against any and all claims or suits for property loss or damage and/or personal injury, including death, to any and all persons, of whatsoever kind or character, whether real or asserted, arising out of or in connection with the execution, perfoiluance, attempted perfoiinance or nonperformance of this agreement and/or the operations, activities and services of the program described herein, WHETHER OR NOT CAUSED, IN WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY and Contractor hereby assumes all liability and responsibility of City and its officers, agents, servants, and employees for any and all claims or suits for property loss or damage and/or personal injury, including death, to any and all persons, of whatsoever kinds or character, whether real or asserted, arising out of or in connection with the execution, perfornnance, attempted performance or non-performance of this contract and agreement and/or the operations, activities and services of the programs described herein, WHETHER OR NOT CAUSED IN WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY. Contractor likewise covenants and agrees to and does hereby indemnify and hold harmless City from and against any and all injury, damage or destruction of property of City, arising out of or in connection with all acts or omissions of Contractor, its officers members, agents, employees, subcontractors invitees, licensees, or program participants, WHETHER OR NOT CAUSED, IN WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF OFFICERS AGENTS SERVANTS, EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY. 9.2 Contractor agrees to and shall release City, its agents, employees officers and legal representatives from all liability for injury, death, damage or loss to persons or property sustained in connection with or incidental to performance under this agreement, even if the injury, death, damage or loss is caused by City's sole or concurrent negligence 9.3 Contractor shall require all of its subconti actors to include in their subcontracts a release and indemnity in favor of City in substantially the same forinn as set forth in Paragraphs 9.1 and 9.2 above. FY 2013 Community Based Program 6 Recovery Resource Council 10. Non -Assignment No assignment or delegation of duties under this Agreement by Contractor shall be effective without City's prior written approval. 11. Prohibition Against Interest 11.1 No member, officer or employee of City, or its designees or agents; no member of the governing body of the locality in which the Youth Intervention & Prevention Program is situated; and no other public official of such locahty or localities who exercises any functions or responsibilities with respect to the Youth Intervention & Prevention Program during his tenure or for one year thereafter, shall have any interest direct or indirect, in any contract or subcontract, or the proceeds thereof, for work to be performed hereunder. Contractor shall incorporate, of cause to be incorporated, like language prohibiting such interest, in all contracts and subcontracts hereunder. 11.2 No officer, employee, member or program participant of Contractor shall have a financial interest, direct or indirect, in this Agreement or the monies transferred hereunder, or be financially interested, directly or indirectly, in the sale to Contractor of any land, materials, supplies, or services purchased with any funds transferred hereunder, except on behalf of Contractor, as an officer employee, member or program participant. Any willful violation of this paragraph with the knowledge expressed or implied, of Contractor or its subcontractors, shall render this Agreement voidable by City of Fort Worth. 12. Nondiscrimination 12.1 In accordance with the federal, state and local laws and ordinances, Contractor covenants that neither it nor any of its officers, members, agents, employees, program participants, or subcontractors, while engaged in performing this Agreement shall in connection with the employment, advancement, or discharge of employees, in connection with the terms, conditions or privileges of their employment, discriminate against persons because of their age, except on the basis of a bona fide occupational qualification, retirement plan, statutory requirement, or statutory or ordinance exception. 12.2 Contractor will not unlawfully discriminate against any person or persons because of age, race color, rehgion, sex, disability, national origin, or sexual orientation, nor will Contractor permit its officers, members agents, employees, subcontractors or program participants to engage in such discrimination FY 2013 Community Based Program 7 Recovery Resource Council 13. Compliance 13.1 Contractor, its officers, members, agents employees, program participants, and subcontractors, shall abide by and comply with all laws, federal state and local including all ordinances, rules and regulations of City. If City calls to the attention of Contractor any such violation on the part of Contractor or any of its officers, members, agents, employees, subcontractors or program participants, then Contractor shall immediately desist from and correct such violation. 13.2 Contractor shall utilize Program Funds strictly for those purposes and goals intended under the terms and conditions of this Agreement. If City calls the attention of Contractor to any such violations on the part of Contractor or any of its officers, members, agents, employees, program participants or subcontractors, then Contractor shall immediately desist from and correct such violation. 13.3 City designates Sasha Kane, Senior Contract Compliance Specialist 817-392- 4243, to act as Contract Administrator and delegates to this individual authority for Agreement administration, compliance, and monitoring. 14. Waiver of Immunity If Contractor is a charitable or nonprofit organization and has or claims an immunity or exemption (statutory or otherwise) from and against liability for damages or injury, including death to persons or property; Contractor hereby expressly waives its rights to plead defensively such immunity or exemption as against City. This section shall not be construed to affect a governmental entity's immunities under constitutional, statutory or common law. 15. Insurance Requirement 15.1 Contractor shall procure and shall maintain during the term of this Agreement the following insurance coverage: a. Commercial General Liability (CGL)• $1,000,000 per occurrence, with a $2,000 000.00 annual aggregate limit, in a form that is acceptable to the City's Risk Manager. b. Non -Profit Organization Liability or Directors & Officers Liability: $1,000,000 per occurrence, with a $1,000,000 annual aggregate limit, in a foi m that is acceptable to the City s Risk Manager. c. Automobile Liability $1,000,000 each accident on a combined single limit basis OR split limits are acceptable if limits are at least $250,000 Bodily Injury per person, $500,000 Bodily Injury per accident and $100,000 Property Damage. FY 2013 Community Based Program 8 Recovery Resource Council 15.2 Contractor's insurer(s) must be authorized to do business in the State of Texas for the lines of insurance coverage provided and be currently rated in terms of financial strength and solvency to the satisfaction of the City's Risk Manager. 15.3 Each insurance policy required herein shall be endorsed with a waiver of subrogation in favor of the City Each insurance policy required by this Agreement, except for policies of worker's compensation or accident/medical insurance shall list the City as an additional insured. City shall have the right to revise insurance coverage requirements under this Agreement. 15.4 Contractor further agrees that it shall comply with the Worker's Compensation Act of Texas and shall provide sufficient compensation insurance to protect Contractor and City from and against any and all Worker's Compensation claims arising from the work and services provided under this Agreement. 16. Miscellaneous Provisions 16.1 The provisions of this Agreement are severable, and if for any reason a clause, sentence, paragraph or other part of this Agreement shall be determined to be invalid by a court or Federal or state agency, board or commission having jurisdiction over the subject matter thereof, such invalidity shall not affect other provisions which can be given effect without the invalid provision 16.2 City's failure to insist upon the perfounance of any term or provision of this Agreement or to exercise any right herein conferred shall not be construed as a waiver or relinquishment to any extent of City's right to assert or rely upon any such term or right on any future occasion. 16.3 Should any action, whether real or asserted, at law or in equity, arise out of the execution, perfounance, attempted performance or non-performance of this Agreement, venue for said action shall he in Tarrant County, Texas. 16.4 Contractor represents that it possesses the legal authority, pursuant to any proper, appropriate and official motion, resolution or action passed or taken, to enter into this Agreement and to perform the responsibilities herein required. 16.5 This written instrument and the exhibits attached hereto, which are incorporated by reference and made a part of this Agreement for all purposes, constitute the entire agreement between the parties concerning the work and services to be performed hereunder, and any prior or contemporaneous oral or written agreement which purports to vary from the terms hereof shall be void. Any amendments to the terms of this Agreement must be in writing and must be signed by authorized representatives of each party. 16.6 All notices required or permitted by this Agreement must be in writing and are deemed delivered on the earlier of the date actually received or the third day following (i) deposit in a United States Postal Service post office or receptacle; (ii) with proper FY 2013 Community Based Program 9 Recovery Resource Council postage (certified mail, return receipt requested); and (iii) addressed to the other party at the address as follows or at such other address as the receiving party designates by proper notice to the sending party. 1 CITY: Charles W. Daniels, Assistant City Manager City Manager's Office City of Fort Worth 1000 Throckmorton Street Fort Worth, TX 76102 Copies To: Sasha Kane Contract Administrator Fort Worth Police Department 350 W. Belknap Street Fort Worth, TX 76102 Charlene Sanders, Assistant City Attorney Law Department 1000 Throckmorton Street Fort Worth, TX 76102 2. CONTRACTOR* Eric Niedeiivayer, Executive Director RECOVERY RESOURCE COUNCIL 2700 Airport Freeway Fort Worth, TX 76111 16.7 None of the performance rendered under this Agreement shall involve, and no portion of the Program Funds received hereunder shall be used, directly or indirectly, for the construction, operations, maintenance or administration of any sectarian or rehgious facility or activity, nor shall said performance rendered or funds received be utilized so as to benefit, directly or indirectly, any such sectarian or religious facility or activity. 16.8 Contractor certifies that it has obtained a 501 (c) (3) Certificate from the Internal Revenue Service. Contractor shall notify City in writing of any changes to its 501 (c) (3) tax-exempt status during the term of this Agreement 16.9 Captions and headings used in this Agreement are for reference purposes only and shall not be deemed a part of this Agreement 16.10 The provisions and conditions of this Agreement are solely for the benefit of City and Contractor and are not intended to create any rights, contractual or otherwise, to any other person or entity. FY 2013 Community Based Program 10 Recovery Resource Council IN WITNESS WHEREOF, the parties hereto have executed in Fort Worth, Tarrant County, Texas, to be effective this 203. CITY OF FORT WORTH harles W. Daniels ant City Manager �,,, %, v Jeffrey W. Halstead Chief of Police at< a. its Date: l - it -1 � APPROVED AS TO FORM AND LEGALITY: Charlene Sanders Assistant City Attorney M&C ATTEST: i Mary I City Secretary Date: Eli 0 MC REQUICRED s agreement in multiples of y «t&t4x Q MEP RECOVERY RESOURCE COUNCIL, a Texas Non -Profit Corporation Date:% Eric Niedermayer Director vall• biznitroc909A n 0 a 4 Date: °Oil) � FY 2013 Community Based Program 000 444�'D�.d'OO4 OFFICIAL RECORD nrrY gCRFTARY G•ti WflRT9, TX 11 Recovery Resource Council Exhibit A FY 2013 CRIME CONTROL AND PREVENTION DISTRICT PROPOSAL COVER SHEET AGENCY: Recovery Resource Council DIRECTOR: Eric Niedermayer P HONE NUMBER: (817) 332-6329 P HYSICAL ADDRESS: 2700 Airport Freeway; Fort Worth, Texas 76111 CONTACT PERSON: Ronna Huckaby EMAIL ADDRESS: r.huckabv d recovervcouncil.ora P HONE NUMBER: (817) 332-6329 FAX NUMBER- (817) 332-2828 P ROGRAM TITLE: Youth Intervention & Prevention Program CCPD FUNDS REQUESTED: $49,432 AGENCY STATUS: 1 Private Nonprofit ❑ Public Nonprofit Mark the goal(s) that your program addresses. ❑ Support efforts to reduce violent crime and gang -related activities through enhanced enforcement activities and crime prevention programs ❑ Support efforts to increase the safety of residents and to decrease crime throughout Fort Worth neighborhoods; and Support efforts to increase the safety of youth and reduce juvenile crime through crime prevention and intervention programs. Additionally, does program address the priority consideration listed below? Program is a prevention or intervention program for youth and/or family violence. • CERTIFICATION: I certify that the information contained in this proposal fairly represents the above -named agency's operating plans and budget for the proposed program. I acknowledge that I have read and understand the requirements and provisions of the Request for Proposal and that the above -named agency will comply with all applicable rules and regulations relating to the procurement process. I certify that I am authorized to sign this proposal and to enter into and execute a contract with the City of Fort Worth to provide the services authorized. TYPED NAME- Eric Niedermayer TITLE- Chief Executive SIGNATUR j��17 DATE• PROGRAM ABSTRACT Provide a short description of your program to be funded. Please summarize the problem and what your program will do to address it. (Roughly 2 paragraphs in length) Too many Fort Worth youth are in crisis. Young people in middle school are already using alcohol and other drugs, many are associating with peers who are making unhealthy and unsafe choices; others are displaying behavior and academic problems at school, such as truancy or falling grades they are acting out in a violent or rebellious manner at school and at home Much of their behavior reflects an inability to cope with a series of traumatic life events, such as exposure to gangs, child abuse or neglect, family crisis such as unemployment, divorce, catastrophic illness, or chronic poverty When faced with traumatic life events, many teens (especially preteens) do not have the developmental assets, adult support, or accurate information to choose healthy and safe ways to cope. Preteens and teenagers need resources to build resiliency, plus clear and accurate information to make healthy and safe choices for their lives. They also need access to counseling to promote emotional recovery, rebuild trust, and treatment services to address the issues with which they are struggling. The Youth Intervention & Prevention program is designed to interrupt the cycle of teen violence and juvenile crime, reduce substance use, and help youth develop the assets, skills, and knowledge they need to make healthier and safer life choices. Using a three prong strategy, Recovery Resource Council will provide outreach and education services in Fort Worth to 300 troubled teens; evidence -based intervention and prevention services will be provided to 200 more. Youth in need of more intensive levels of intervention will be screened, assessed, and referred for appropriate levels of substance abuse treatment services. The overall goal is to increase youth safety and reduce juvenile crime Sites for program activities include Middle Level Learning Center Juvenile Detention Center, Recovery Resource Council, and Boys & Girls Club of Greater Fort Worth. The proposed program addresses the CCPD priority of intervening in youth violence by providing a multi -service strategy designed to increase the safety of youth, improve their ability to make safe and healthy life choices, and reduce juvenile crime 1 PROPOSAL NARRATIVE 1) Describe in detail the problem that your program addresses. Addressing needs and service gaps in Fort Worth is a priority for Recovery Resource Council. There is a growing need for intervention and prevention programs to address youth violence, juvenile cnme, and the underlying contributor to the problem: alcohol and other drug use. According to the 2009 Drug Impact Index, Fort Worth teens abuse marijuana and other illicit drugs at percentages higher than the State average. In 2009, 616 youth were arrested due to breaking liquor laws, 276 for drunkenness and 132 for driving under the mfluence; 23 of these youth were on probation for a current felony charge and 88 for misdemeanor; 1,131 youth were arrested for drug possession in 2009, which is an increase over previous years. Sadly, the Tarrant County Coroner's Office reported of the 168 over dose deaths, 12 were teenagers. Of the Tarrant County youth admitted to Department of State Health Services funded treatment in 2009, 70% were abusing alcohol, 26% methamphetamine, 29% cocaine, 84% marijuana, and 51 % other drugs (heroin, inhalants, ecstasy, crack). Furthermore, there have been several recent media reports of youth being admitted to North Texas emergency rooms for use of synthetic marijuana called K2 and a high alcohol caffeine drink called Super or Four Loko. These ER admittance cases are deemed to be the result of youth being unaware of the dangers of these "legal" substances. Too many of our youth are in crisis. Young people in middle school are already using alcohol and other drugs; many are associating with peers who are making unhealthy and unsafe choices; others are displaying behavior and academic problems at school, such as truancy or falling grades; they are acting out in a violent or rebellious manner at school or at home Their behavior is a reflection of their inability to cope with a series of traumatic life events. They are exposed to gangs and may have witnessed or been a victim of rival gang violence; some have been a victim of unreported child abuse or neglect; others have experienced the sudden death of a family member or friend, or the breakup of the family. When faced with traumatic life events they do not have the developmental assets, adult support, or accurate information to choose healthy and safe ways to cope. It is imperative for troubled teens to receive the emotional and cognitive resources, plus clear and accurate information, to make healthy and safe choices for their lives. They also need access to counseling to promote emotional recovery, build resiliency, and treatment services to address the issues with which they are struggling. Parents also need access to information and counseling services in order to provide the appropriate level of support for their youth. The Council's Youth Intervention & Prevention program is designed to interrupt the cycle of teen violence and juvenile crime, reduce substance use, and help youth develop the assets, skills, and knowledge they need to make healthier and safer life choices. 2) Describe what your program does to 1) support efforts to reduce violent crime and gang - related activities through enhanced enforcement activities and crime prevention programs, 2) support efforts to increase the safety of residents and to decrease crime throughout Fort Worth neighborhoods, and 3) support efforts to increase the safety of youth and reduce juvenile crime through crime prevention and intervention programs. Using three service components, the program promotes efforts to increase youth safety and reduce juvenile crime by providing: 1) community outreach to at -risk and high -risk youth, 2) evidence -based prevention education, brief trauma -focused counseling, and family counseling to at -risk youth attending an alternative school in Fort Worth Independent School District; 3) screening, assessment, and referral 3 to substance abuse treatment Each service component is described in detail below: 1. Community outreach is provided in collaboration with the Boys and Girls Clubs of Greater Fort Worth Coming Up program targeting at -risk and troubled teens, ages 12-17. Recovery Resource Council's Prevention Specialist provides a weekly, 30-minute education presentation for the youth participating in Coming Up. In addition, a weekly, 1-hour presentation is provided at the Juvenile Detention Center in Fort Worth The content of these presentations focuses on choices, alternatives, and recovery. Each week youth have an opportunity to meet individually with the Prevention Specialist. These sessions provide a unique opportunity to identify underserved youth who are at -risk of being pulled further into violent, antisocial behaviors or are in need of substance abuse treatment. Outreach efforts provide a unique opportunity to interrupt the cycle of violence and substance abuse before it escalates to more severe levels of juvenile crime activity. 2. Project Toward No Drug Use (Project TND), an evidence -based curriculum, is provided at Middle Level Learning Center, an alternative high school operated by the Fort Worth Independent School District. Project TND uses a support group format for ages 13-17, providing lessons and discussions in 12 sessions each 45 minutes in length. The curriculum topics are designed to help youth develop self-control and communication skills, acquire resources to resist drug use, improve decision making strategies, and develop the motivation to make healthier, safer choices. Lessons include active listening, myths and denials, chemical dependency, positive and negative behavior loops, tobacco use cessation, marijuana panel and stress health and goals. Project TND is an effective, interactive prevention program that has demonstrated successful outcomes with troubled youth. For example, the most recent evaluation results (2011 — 2012 School year) reported 73% of youth, who completed the series (attended at least 10 of the 12 sessions), showed a reduction in antisocial behaviors, including alcohol and drug use. At the completion of this program, youth are able to abstain from or reduce the use of cigarettes, alcohol, marijuana, and hard drugs; state accurate consequences of drug use and criminal behavior, mcludmg environmental, social, physiological and emotional consequences; and demonstrate improved behavioral and cognitive coping skills. Project TND focuses on three factors that predict antisocial, violence -related, criminal behaviors among youth: motivation factors, social/coping skills, and decision -making In addition to the prevention activities, strength -based brief motivational counseling is available for up to six, 45-minute individual and or family counseling sessions to any program participant. This service is initiated at the request of the youth, parents, partner agency, or school counselor. Counseling sessions focus on communication, family relationships, decision making, and aspirations. 3. Screening, assessment, and referral for treatment is available at each service site as needed. Youth who are identified as high risk for, or are already engaging in, substance use or who are in need of more intensive services are assessed by the Prevention Specialist and referred to appropriate treatfent resources in the community Because parent participation is a significant part of engaging youth in treatment services and supporting them through recovery, families will receive additional behavioral health services through the Council's Clinical & Behavioral Health Program. 3) Does your program address the CCPD priority/special emphasis of the prevention or intervention of youth violence and/or family violence? Describe how your program addresses this priority? 4 The proposed program addresses the CCPD priority to reduce youth violence and juvenile crime by providing a multi -service strategy designed to increase the safety of youth, improve their ability to make safe and healthy life choices, and reduce alcohol and other drug use. This is accomplished by providing multi -level service components working together to give youth a safe, confidential, and supportive environment to promote trust, become more resilient to peer pressure and life stressors, build assets, and incorporate factors of protection into their lives. Our target population is susceptible and vulnerable to complex risk factors. Without the provision of Recovery Resource Council prevention services, this target population would represent a category of youth with significantly unmet needs. 4) How will you measure the effectiveness of the program? You must include specific performance measures within the Activities and Outcomes Summary and describe evaluation tools and the method of data collection that you will use. If awarded funding, these performance measures will be included as an exhibit in the contract, and you will be required to report progress towards these measures, which will be reported to the CCPD Board. Specific performance measures are provided in the Activities and Outcomes Summary, along with description of evaluation tools and data collection methods. The program collects and reports on output and outcome performance measures to determine the effectiveness of the services. We measure our program's capacity to achieve targets by collecting data on the number of service recipients and the number of service hours delivered. We measure the outcome of program services on participant's knowledge, attitude, and behavior using written tests and surveys that have been provided by the curriculum or developed by program staff. Output and outcome results are reviewed monthly by the Council's Director of Prevention Education and reviewed with staff quarterly to ensure that goals and objectives will be achieved. Program effectiveness is measured on the following outcomes • • 70% of youth who complete the PTND curriculum series will show a decrease in alcohol and other drug use. 90% of all youth who complete the PTND series will report learning 3 or more ways to remain safe and crime -free. 75% of youth who complete the PTND series will show an increase in safe and crime -free attitudes and motivations. 70% of youth who receive at least 3 counseling sessions will show positive change in relation to negative behavior patterns. Number to be served: Recovery Resource Council intends to provide outreach service activities to 300 high -risk youth; evidence -based prevention and intervention activities to 200 at -risk youth. 5) Who will the program benefit? How many people? What age group? What geographic area will it serve? Please include geographic boundaries. The program will benefit at -risk and high -risk youth, ages 12 —17. The at -risk target population attends the Middle Level Learning Center an alternative school operated by Fort Worth Independent School District. The school is located at 4921 Benbrook Highway in the 76116 zip code area of Fort Worth. Other program participants (high -risk youth) receive services at the Juvenile Detention Center in Fort Worth or at six Boys & Girls Club sites in Fort Worth. Counseling, screening, assessment, and referral services are available at all program sites and at Recovery Resource Council office in Fort Worth. • 6) What makes this program unique from any other crime prevention program in Fort Worth? 5 Recovery Resource Council believes in the power of prevention and the potential of every youth. Our Prevention Education Department team knows that every interaction a child has during the course of a day influences the adult that child will become. We provide all services with this in mind. We are dedicated to the positive connections role modeling, and skill building that are required to promote the overall health and well-being of children and youth. The Youth Intervention & Prevention Program is operated with professionalism, high morale character, and ethics while upholding our core values of empowerment, integrity, compassion, and vision. Our staff goes the extra mile to be trained and beyond that, our Prevention Specialists' reflect deep personal commitment from their own expenences which they take to the locations to serve the youth with creativity, compassion, and enthusiasm. We provide research based curriculum that is proven to be effective. Our data in post -testing shows the results. It is the quality and commitment of our staff that makes the difference. We seek excellence in all that we do. 7) Is the program already in operation? If so, how long have you operated the program? What resources are currently used to operate the program? Why are CCPD funds necessary at this time? We have been providing services at the Juvenile Detention Center since 1995, actively collaborating with the Boys & Girls Club for 3 years, and providing intervention and prevention services at the Middle Level Learning Center for 5 years. For 10 years, the Texas Department of Health Services (DHS) has provided funding for the program Even though program expenses have increased each year, funding from DHS has remained flat. The Council employs 3 full time professional staff to provide intervention and prevention services for troubled teens Program revenues total $443,000 and expenses total $493,156, leaving a $50,000 short- fall In October 2011, we were informed by the Office of the Governor that nonprofit organizations would no longer be eligible to apply for Criminal Justice Division (CJD), Juvemle Justice Delinquency Prevention (JJDP) program grants. Furthermore, a 3-year funding commitment that was made by CJD to Recovery Resource Council for intervention and prevention programs was cancelled. This loss in funding of close to $60,000, through no fault of the program or the Council, combined with consistently flat DHS funding, has placed our intervention and prevention services targeting Fort Worth's troubled teens in Jeopardy. Without support from the City of Fort Worth we will be unable to continue providing intervention and prevention services at the current level of services. 8) Is this a new program? If so, what other funds have you applied for? Also, please describe the sequence of steps needed to implement your program and the timeframe in which this will occur. 1'his is an ongoing program. With support from the City of Fort Worth, we are prepared to continue services and activities on October 1, 2012. The Middle Level Learning Center, Juvenile Detention Center, and Boys & Girls Clubs of Fort Worth rely on Recovery Resource Council services to complement their prevention and intervention strategies. 9) Briefly describe the specific expenditures planned for CCPD funding. You MUST fully complete attached budget forms. CCPD funding will be used to pay partial salary and benefits for two full time Prevention Specialists; a portion of her/his travel and training expenses; program supplies needed to serve 500 youth and a portion of the direct program operating costs for telephone service, printing costs, and postage. The 6 Prevention Specialists use Recovery Resource Council office facility in Fort Worth for supervision, planning, preparation, and data tracking Each Specialist has a desk, computer, and access to telephone and copy machines A completed budget form and budget narrative is included in the application. 10) If funds are awarded, will this program continue beyond the CCPD funding period? Please explain your plan to sustain this program. Intervention and prevention services for youth have been sustained by Recovery Resource Council for over 10 years We are committed to supporting these programs through State funding, private foundation contributions, United Way of Metropolitan Tarrant County and revenue generated through the Council's fundraising activities. The organization's annual development strategy includes diversified revenue streams from individual donors, grants, private and corporate foundation, and fundraising events Recently, in response to reductions in federal and state grants, Recovery Resource Council completed the certification and licensure process to allow third -party billing for clinical and behavioral health services to insurance companies and Medicare/Medicaid. A portion of the revenue obtained from service billing will support our clinical and behavioral health programs while also benefiting the intervention and prevention programs. Finally, with support and participation of our Board of Directors, the Council is launching a Major Gifts program in 2013 that will generate new revenue. 7 PROGRAM ACTIVITIES & SCHEDULE Organization: Recovery Resource Council Program Title: Youth Intervention & Prevention Program Please indicate month(s) when each program activity will occur by placing an "X" in the month column. ACTIVITY OCT NOV DEC JAN FEB MAR APR MAY JUN JULY AUG SEPT A Outreach activities and brief educational presentations at Juvenile Detention X X X X X X X X X X X X Center and Boys & Girls Club in Fort Worth. B Intervention and prevention services at X X X X X X X X X Middle Level Learning Center in Fort Worth. C Screening, assessment, and referral for X X X X X X X X X X X X substance abuse treatment at all service sites. D E F G p A. B. C. Organization: Recovery Resource Council List Specific Program Activities Outreach activities and brief prevention education presentation with youth on probation at the Juvenile Detention Center in Fort Worth and with youth & young adult gang members attending the Coming Up program at various Boys & Girls Clubs throughout Fort Worth. Trained Prevention Specialist will facilitate a 12- session, evidence -based curriculum series (Project Towards No Drug Use) at Middle Level Learning Center - Alternative School (FWISD) - with multiple groups of troubled teens throughout the 2012 - 2013 school year. Conduct up to 6 one-on-one interventions per program participant who are identified as needing more comprehensive, individualized support services, including family counseling, at Middle Level Learning Center or other program service sites in Fort Worth. Individual screening, assessment, and referral services take place at all service sites in Fort Worth with teens who require more in-depth counseling and treatment services. PROGRAM ACTIVITIES SUMMARY Number of Unduplicated Participants Served by this Activity 300 200 75 Program Title: Youth Intervention & Prevention Program Duration: Hours/Days/ Weeks 30-60 minute sessions/1 day per week/ year round 45 min sessions/2 days per week/all school year 45 minutes/1-2 times per week/up to 6 sessions 45-60 30 minutes/as needed/year round How does this activity relate to one of the three CCPD goals? Nearly 100% of this population has already been involved in criminal activities and is involved in the criminal justice system. These outreach services will provide education, information, and motivation towards safe and crime -free lifestyles while identifying youth in need of substance abuse treatment. All students are either involved in unsafe or criminal behaviors or are at risk for doing so. The described prevention and intervention activities provide education and factors of protection towards safe, healthy living, encourage and support youth in ways to avoid violence, criminal activity, and substance use. Individual and family counseling sessions provide a safe atmosphere for teens to express their thoughts and feelings while also empowering them to contemplate, prepare, and take actions that promote safe and crime -free living. Family counseling provides the assets youth need to sustain safe and healthy choices into young adulthood. These services provide more intensive, individualized support for teens who are exhibiting warning signs most conducive to juvenile crime and other high risk behaviors. * The CCPD Board and/or scoring committee may request modifications or additions to the activities measured as a condition of award. PROGRAM EFFECTIVENESS MEASURE SUMMARY Effectiveness measures are to assess whether or not an activity is achieving its desired goals. The program's activities, identified on page 7, will be measured for their effectiveness in achieving the CCPD goal(s) the program is set to address. In the space below, provide three or more effectiveness measures for the program. Organization: Recovery Resource Council Program Title: Youth Intervention & Prevention Program Effectiveness Measure 70% of youth who complete the A PTND curriculum series will show a decrease in alcohol and other drug use. 90% of all youth who complete B. the PTND series will report learning 3 or more ways to remain safe and crime -free. 75% of youth who complete the C. PTND series will show an increase in safe and crime -free attitudes and motivations. 70% of youth who receive at D. least 3 counseling sessions will show positive change in relation to negative behavior patterns. List the activity (activities) that relate to the effectiveness measure. 12-session evidence -based curriculum prevention education 12-session evidence -based curriculum prevention education 12-session evidence -based curriculum prevention education Individual and or family counseling sessions. l How will data for the effectiveness measure be collected? Pre -and -post written test using participant self -report on evaluation tool provided by the curriculum. "What I Learned" evaluation instrument administered at the completion of the series to youth who attended a minimum of 10- sessions. Pre -and -post written survey using participant and teacher report on measurement tool developed by program staff. Stages of Change assessment tool used throughout individual sessions. How does the effectiveness measure achieve the CCPD goal(s) the program is set to address? Reduction in alcohol and other drug use decreases risk factors that contribute to youth violence and other criminal behaviors. Increased knowledge empowers youth with skills to abstain from alcohol and other drugs, remain safe and crime -free. Influencing attitude is the first step to initiating behavior change. This measure supports efforts to impact the attitudes that increase and decrease criminal behavior. Marked, positive progression measured through the "Stages of Change" demonstrates desire, action, and maintenance of healthy, safe, and crime -free living. LEVERAGE OF FUNDS Please identify other sources of funding that have been secured for the proposed program. Please indicate the source of funding, dollar amount of each source, and describe in detail how these funds support the program. Source 1: Texas Department of Health Services (DHS). $221,083 used to support a portion of personnel (salaries and fringe benefits) and a portion of all direct operating expenses. Source 2 United Way of Metropolitan Tarrant County. $2,817 used to support a portion of direct operating expenses. Source 3: Unrestricted revenue generated through the fundraising efforts of Recovery Resource Council. $75,000 used to support a portion of personnel expenses and a portion of the program's direct operating expenses. Source 4. Pending revenue for the 2013 Youth Intervention & Prevention Program includes: $49,432 request to the City of Fort Worth; requests totaling $144,824 to the King Foundation, Blue Cross/Blue Shield of Texas, Dr Scholl Foundation, Ninnie Baird Foundation, and Pepsico Foundation. Source 5: BUDGET SUMMARY A. Personnel Name L Sorenson D Bircher A. Personnel B. Fringe Benefits C. Travel D. Equipment E. Supplies F. Contracts/Consultants G. Other TOTAL BUDGET DETAIL Position P revention Specialist Amount Requested 30,000 12,111 2,933 0 2,544 0 1,844 $49,432.00 Rate of Pay x # of Hours $15/hr. x 1,000 hrs. P revention Specialist $16.35/hr. x 917.34 hrs. TOTAL Personnel B Fringe Benefits Name L. Sorensen D Bircher Position P revention Specialist P revention Specialist TOTAL Fringe Benefits C. Travel P urpose of Travel S orensen: local mileage Bircher: local mileage Location Service sites Service sites Description of Benefits 50% of total fringe benefits 44% of total fringe benefits Item 200 miles/month @ 50/mile 176 miles/month @.50/mile Cost 15,000.00 15,000.00 $30,000.00 Cost 6,333.00 5,778.00 $12,111.00 Cost 1,200.00 1,056.00 12 S orensen: Staff Training Austin Bircher: Staff Training Austin S orensen: Staff Training Austin Bircher: Staff Training Austin TOTAL Travel D Equipment Item Cost per Item TOTAL Equipment E. Supplies Item Worksheets Cost per Item Lodging Lodging P er Diem P er Diem Quantity Quantity $.05 200 kids @ 6-session series X 2 worksheets per series Curriculum 1,500 Office Supplies 60.00 Copies Facilitator's manuals, templates, video $60/month x 12 months $.05 340 copies per month TOTAL Supplies F. Contracts/Consultants Description of the Service TOTAL Contracts/Consultants G. Other Costs Item Cost per Item Training Registration Fee $385 Training Registration Fee $385 Quantity 50% Sorensen 44% Bircher 270.00 238.00 90.00 79.00 $2,933.00 $0 Cost 120.00 1,500.00 720 00 204.00 $2,544.00 $0 Cost Cost 193.00 169.00 13 Telephone Service Fee $50 per month 12 months x 2 staff 1,200.00 Postage TOTAL Other Costs $.47 600 mailings BUDGET NARRATIVE 282.00 $ 1,844.00 Please attach a detailed budget narrative that explains the need for all proposed expenditures by individual item. The budget narrative should clearly explain how funds will be used and why expenditures are necessary for successful implementation of your program Please explain how costs are calculated. A. Personnel Amount Requested: $30,000. Requested amount will provide partial support for two full time employees, Prevention Specialists, to deliver all program services. One is Master's level counselor and one Bachelor's level outreach and prevention educator Both are Licensed Chemical Dependency Counselors and have a combined nine years of experience providing intervention and prevention services to troubled teens and youth in crisis. Cost is based on L. Sorensen (current annual salary @ $30,000) giving 50% of her time to project activities = $15,000 request and D Bircher (current annual salary @ $34,000) giving 44.12% of his time to project activities = $15,000. Both staff are educated and trained to deliver outreach, intervention and prevention, and screening and assessment service activities. B Fringe Amount Requested: $12,111. Amount requested represents a portion of the fringe benefit expenses for L Sorensen (50%) and D. Bircher (44%). Below is a table of Recovery Resource Council's fringe benefit package provided to all full time employees, basis of computation, and detail of amount requested: FICA Health Insurance 7,200.00 Retirement Unemployment 648.00 Life/Other Fringe 1,080.00 Worker's Comp 243.00 FICA Health Insurance Retirement @ 7 65% of salary @ $600 per month @ 4% of salary 7.2% of first $9,000 $90 per month for life & other health related costs paid by employee @ .81% per hundred L. Sorensen @ 50% $2295 x 50% _ $1,148 $7200 x 50% _ $3,600 $1200 x 50% = $600 D Bircher @ 44% $1,144 $3,168 598 14 Unemployment Life/Other Fringe Worker's Compensation Total Amount Requested: C. Travel Amount Requested: $2,933. $648 x 50% _ $324 $1080 x 50% _ $540 $243 x 50% _ $122 $6,334 285 475 107 $5,777 A portion ($2,256) of the amount requested is for staff mileage reimbursement. The cost is based on 100% of mileage reimbursement for the 2 project staff to travel from office to service sites in Fort Worth at approximately 376 miles per month The agency's reimbursement rate is currently approved at $.50/mile 376/miles x 12/months x $.50 = 2,256. Amount also includes a portion of Sorensen (50%) and Bircher's (44%) costs associated with lodging and per diem to attend an annual 5-day training program in Austin specifically designed for youth intervention and prevention specialists. Participation in this training will enhance the staff members' knowledge and skills to effectively deliver program services. The agency's travel policy currently rates lodging at $108/day and per diem at $36/day. Lodging (Sorenson) Lodging (Bircher) Per Diem (Sorenson) Per Diem (Bircher) 270.00 238.00 90.00 79.00 u Equipment Amount Requested: 0 E Supplies Amount Requested: $2,544. $108/day x 5 days x 50% $108/day x 5 days x 44% $36/day x 5 days x 50% $36/day x 5 days x 44% Requested amount is based on 100% of the costs associated with providing outreach, intervention, prevention, screening and referral services to 500 unduplicated youth. Worksheets are used during the prevention education sessions for 200 youth and cost is computed at $.05/per worksheet. Curriculum supplies are needed to effectively and efficiently facilitate group sessions and include items such as facilitator's manual, activity templates, educational videos, spiral notebooks, pens, pencils. Office supply expenses are based on current costs for essentials, such as pens, paper clips, notebooks, notepads, post -its, staples, binder clips tape, and other items that will enable program staff to prepare materials, collect data, and report on outcomes. Program staff will use the agency's copy machine to make program handouts, duplicate follow-up letters, and disseminate program reports to stakeholders. The cost for copies is computed at $.05 and we estimate making 340 copies per month. F. Contracts/Consultants Amount Requested: 0 G. Other Amount Requested: $1,844. Request is based on a portion of telephone service for 2 staff members to maintain routine communication with the program partners; costs for postage to send follow-up letters to former program participants and facilitate other written communication tasks; and, a portion of the staff's registration for the State training event in Austin Telephone 1200.00 Postage State Training Registration 282.00 362.00 $50 per month x 12 months x 2 staff 600 pieces of mail @ $.47/each Sorensen: $385 fee x 50% _ $193 Bircher: $385 fee x 44% _ $169 Exhibit B BUDGET SUMMARY A. Personnel N ame L Sorenson D Bircher A. Personnel B. Fringe Benefits C. Travel D. Equipment E. Supplies F. Contracts/Consultants G. Other (TOTAL BUDGET DETAIL P osition P revention Specialist Amount Requested 30,000 12,111 2,933 0 2,544 0 1,844 $49,432.00 Rate of Pay x # of Hours $15/hr. x 1,000 hrs. P revention Specialist $16.35/hr. x 917.34 hrs. TOTAL Personnel B. Fringe Benefits N ame L Sorensen D Bircher P osition P revention Specialist P revention Specialist TOTAL Fringe Benefits C. Travel P urpose of Travel Location S orensen: local mileage Service sites Bircher: local mileage Service sites Description of Benefits 50% of total fringe benefits 44% of total fringe benefits 12 Item 200 miles/month @.50/mile 176 miles/month @ 50/mile Cost 15,000.00 15,000.00 $30,000.00 Cost 6,333.00 5,778.00 $12,111.00 Cost 1,200.00 1,056.00 Sorensen: Staff Training Austin Bircher: Staff Training Austin Sorensen: Staff Training Austin Bircher: Staff Training Austin TOTAL Travel D Equipment Item Cost per Item TOTAL Equipment E Supplies Item Worksheets Cost per Item Lodging Lodging Per Diem Per Diem Quantity Quantity $.05 200 kids @ 6-session series X 2 worksheets per series Curriculum 1,500 Office Supplies 60.00 Copies Facilitator's manuals, templates, video $60/month x 12 months $.05 340 copies per month TOTAL Supplies F. Contracts/Consultants Description of the Service TOTAL Contracts/Consultants G. Other Costs Item Cost per Item Training Registration Fee $385 Training Registration Fee $385 13 Quantity 50% Sorensen 44% Bircher 270.00 238.00 90.00 79.00 $2,933.00 $0 Cost 120.00 1,500.00 720.00 204.00 $2,544.00 $0 Cost Cost 193.00 169.00 Telephone Service Fee $50 per month 12 months x 2 staff 1,200.00 Postage $.47 600 mailings 282.00 TOTAL Other Costs BUDGET NARRATIVE $ 1,844.00 Please attach a detailed budget narrative that explains the need for all proposed expenditures by individual item. The budget narrative should clearly explain how funds will be used and why expenditures are necessary for successful implementation of your program Please explain how costs are calculated. A. Personnel Amount Requested: $30,000. Requested amount will provide partial support for two full time employees, Prevention Specialists, to deliver all program services. One is Master's level counselor and one Bachelor's level outreach and prevention educator Both are Licensed Chemical Dependency Counselors and have a combined nine years of experience providing intervention and prevention services to troubled teens and youth in crisis. Cost is based on L. Sorensen (current annual salary @ $30,000) giving 50% of her time to project activities = $15,000 request and D Bircher (current annual salary @ $34,000) giving 44 12% of his time to project activities = $15,000. Both staff are educated and trained to deliver outreach, intervention and prevention, and screening and assessment service activities. B Fringe Amount Requested: $12,111. Amount requested represents a portion of the fringe benefit expenses for L Sorensen (50%) and D Bircher (44%) Below is a table of Recovery Resource Council's fringe benefit package provided to all full time employees, basis of computation, and detail of amount requested: FICA Health Insurance Retirement Unemployment Life/Other Fringe Worker's Comp FICA Health Insurance Retirement 7,200.00 648.00 1,080.00 243.00 @ 7 65% of salary @ $600 per month @ 4% of salary 7.2% of first $9,000 $90 per month for life & other health related costs paid by employee @ .81% per hundred L. Sorensen @ 50% $2295 x 50% _ $1,148 $7200 x 50% _ $3,600 $1200 x 50% _ $600 14 D Bircher @ 44% $1,144 $3,168 598 Unemployment Life/Other Fringe Worker's Compensation $648 x 50% = $324 $1080 x 50% = $540 $ 243 x 50% _ $122 285 475 107 Total Amount Requested: C. Travel $6,334 $5,777 Amount Requested: $2,933. A portion ($2,256) of the amount requested is for staff mileage reimbursement. The cost is based on 100% of mileage reimbursement for the 2 project staff to travel from office to service sites in Fort Worth at approximately 376 miles per month The agency's reimbursement rate is currently approved at $.50/mile 376/miles x 12/months x $.50 = 2,256. Amount also includes a portion of Sorensen (50%) and Bircher's (44%) costs associated with lodging and per diem to attend an annual 5-day training program in Austin specifically designed for youth intervention and prevention specialists. Participation in this training will enhance the staff members' knowledge and skills to effectively deliver program services. The agency's travel policy currently rates lodging at $108/day and per diem at $36/day. Lodging (Sorenson) Lodging (Bircher) Per Diem (Sorenson) Per Diem (Bircher) 270.00 238.00 90.00 79.00 D Equipment Amount Requested: 0 E Supplies Amount Requested: $2,544. $108/day x 5 days x 50% $108/day x 5 days x 44% $36/day x 5 days x 50% $36/day x 5 days x 44% Requested amount is based on 100% of the costs associated with providing outreach, intervention, prevention, screening and referral services to 500 unduplicated youth. Worksheets are used during the prevention education sessions for 200 youth and cost is computed at $.05/per worksheet. Curriculum supplies are needed to effectively and efficiently facilitate group sessions and include items such as facilitator's manual, activity templates, educational videos, spiral notebooks, pens, pencils. Office supply expenses are based on current costs for essentials, such as pens, paper clips, notebooks, notepads, post -its, staples, binder clips tape, and other items that will enable program staff to prepare materials, collect data, and report on outcomes. Program staff will use the agency's copy machine to make program handouts, duplicate follow-up letters, and disseminate program reports to stakeholders. The cost for copies is computed at $.05 and we estimate making 340 copies per month. F. Contracts/Consultants Amount Requested: 0 G. Other Amount Requested: $1,844. Request is based on a portion of telephone service for 2 staff members to maintain routine communication with the program partners; costs for postage to send follow-up letters to former program participants and facilitate other written communication tasks; and, a portion of the staffs registration for the State training event in Austin Telephone 1200.00 Postage State Training Registration 282.00 362.00 $50 per month x 12 months x 2 staff 600 pieces of mail @ $.47/each Sorensen: $385 fee x 50% _ $193 Bircher: $385 fee x 44% _ $169 Exhibit C Monthly Request for Reimbursement (RFR) FY 2013 Community -Based Programs Program Period 10/01/12 to 09/30/13 Submit to: Fort Worth Police Department Sasha Kane 350 West Belknap Street 2nd Floor Fort Worth, TX 76102 Period covered by this request: A Budget Category 1 Personnel 2 Fringe 3 Travel 4 Equipment 5 Supplies 6 Construction 7 Consultants/Contracts 8 Other -Direct Cost 9 Indirect Costs Total Programmatic Costs Submitting Agency: Agency Contact Name: Phone Number: The Recovery Resource Council Ronna Huckaby 817.332.6329 Email: r.huckabyCa recovervcouncil.ora Invoice Number: Address• 2700 Airport Freeway Fort Worth, TX 76111 10/01/12 to 09/30/13 mm/dd/yy mm/dd/yy B Total of Previous Reimbursements Budget Amount Requested 30,000.00 $ 12,1.11.00 $ 2,933.00 $ $ 2,544.00 $ l$ 1,844.00 I $ - 1$ • 49,432.00 ( $ Please Attach: 1. Attach copies of invoices and the receipts on all expenditures 2. For Personnel Cost, include copies of signed times sheets 3. Attach a copy of Monthly Performance Report 1 have reviewed this request and certify that the listed expenses are accurate and are chargeable to the CCPD Community Based Program approved budget. Grantee Authorized Official Date Title C This Request D (B+C) Total Requested E (A-D) Balance Available 30,000.00 12,111.00 2,933.00 Z544.00 1,844.00 49,432.00 Summary: Total Budget: $ Previous Requests: $ This Request: $ Total Spent: $ Balance left in grant: $ Fund 49,432.00 49,432 00 Fiscal Agent Use Only Account Center Exhibit D 1 2 FY 2013 Community -Based Programs Program Activities Report Program Period 12/01/12 to 09/30/13 Submit to: Fort Worth Police Department Agency: Recovery Resource Council Sasha Kane Name: Ronna Huckaby 350 West Belknap Street email: r.huckabv(a�recovervcouncil.orq 2nd Floor Phone Number: 817.332.6329 Fort Worth, TX 76102 Address: 2700 Airport Freeway Fort Worth, TX 76111 Period covered: 12/01/12 to 09/30/13 Activities Number of outreach activities and brief prevention education presentations provided to youth on probation at the Juvenile Detention Center in Fort Worth and with youth and young adult gang members attending the Conlin' Up program at various Boys and Girls Chihc thrniinhrn t Fort Worth Number of Project Toward No Drug Use sessions facilitated by trained Prevention Specialist at Middle Level Learning Center - Alternative School (FWISD) - with multiple groups of troubled teens throughout the 2012 - 2013 school year. 3 Number of unduplicated participants who have completed the Project Toward No Drug Use curriculum 4 Conduct up to 6 one-on-one interventions per program participant who are identified as needing more comprehensive, individualized support services, including family counseling, at Middle Level Learnina Center or other nrooram service sites in Fort Worth. Number of individual screening, assessment, and referral services 5 take place at all service sites in Fort Worth with teens who require more in-depth counseling and treatment services. Cumulative Total Monthly Total Oct 1st- Present Year End Goal 300 200 75 30 Exhibit FY 2013 Community -Based Programs Program Effectiveness Measurement Report Program Period 10/01/12 to 09/30/13 Due Quarterly: Oct -Jan due Feb 15th, Feb -Apr due May 15th, May -Jul due Aug 15th , and Aug -Sep due Oct 15th Submit to: Fort Worth Police Department Sasha Kane 350 West Belknap Street 2nd Floor Fort Worth, TX 76102 Period covered: 12/01/12 to 09/30/13 Effectiveness Measurements Agency: Name: email: Phone Number: Address: Recovery Resource Council Ronna Huckaby r.huckabv a( recovervcouncil.orci 817.332.6329 2700 Airport Freeway Fort Worth, TX 76111 1 70% of youth who complete the PTND series will show a decrease in alcohol and drug use Please include a narrative of events and accomplishment that occurred during the reporting period 2 90% of all youth who complete the PTND series will learn 3 or more ways to remain safe and crime -free Please include a narrative of events and accomplishment that occurred during the reporting period 3 75% of youth who complete PTND series will show and increase in safe and crime -free attitudes and motivations 4 Please include a narrative of events and accomplishment that occurred during the reporting period 70470 of youth who receive at least 3 counseling sessions will show positive change in relation to negative patterns Please include a narrative of events and accomplishment that occurred during the reporting period. Please include a narrative of any success stories during the reporting period.