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HomeMy WebLinkAboutContract 48074AUG 92016 CITY OF FORT WORTi1 LICENSE AGREEMENT CITYSEORETARY BETWEEN THE CITY OF FORT WORTH AND SENIOR CITIZEN SERVICES OF GREATER TARRANT COUNTY, INC. CITY SECRETARX "Ti CONTRACT NO This License Agreement ("Agreement") is entered into by and between the City of Fort Worth (the "City"), a home -rule municipal corporation of the State of Texas, acting by and through its duly authorized Assistant City Manager, and Senior Citizen Services of Greater Tarrant County, Inc. ("SCS"), a Texas non-profit corporation, acting by and through its duly authorized Executive Director. RECITALS WHEREAS, since 1996, the City and SCS have been parties to a series of agreements to allow SCS use of space at various City Community Centers and the Fellowship Corner Senior Center (collectively "Centers") to provide programming and services to benefit senior citizens living in the vicinity of the Centers; and WHEREAS, the senior citizens in the neighborhoods and areas surrounding the Centers continue to receive benefit from the services provided by this citywide program; and WHEREAS, the City and SCS wish to continue in their relationship by executing this new agreement so that SCS can continue to provide services to senior citizens at the Centers. NOW THEREFORE, in consideration of the mutual covenants herein expressed, the parties agree as follows: AGREEMENT 1. LICENSED PREMISES. A. Identification. For and in consideration of the rental payments to be paid under this Agreement and the mutual covenants of the parties expressed herein, City does hereby grant to SCS a non-exclusive license to use a total of approximately 18,000 square feet of specifically designated space at certain identified Community Centers and the Fellowship Corner facility (collectively the "Centers") for the purpose of providing senior citizen services and activities to area residents. The following Centers are included under this Agreement: Como Community Center located at: 4900 Horne Street, Fort Worth, Tarrant County, Texas 76107; License Agreement Between City and SCS Execution Copy 7/11/16 OFFICIAL itECORD CITY SECRETARY Ft WORTH.. TX 1of26 Diamond Hill Community Center located at: 1701 1\14 36th Street, Fort Worth, Tarrant County, Texas 76106 Fugene McCray Community Center located at: 4932 Wilbarger Street, Fort Worth, Tarrant County 76119 Fellowship Corner, located at: 1601 New York Avenue, Fort Worth, Tarrant County, Texas 76104 Handley—Meadowbrook Community Center located at: 6201 Beaty Street, Fort Worth, Tarrant County, Texas 76112 Northside Community Center located at: 1100 Northwest 18th Street, Fort Worth, Tarrant County, Texas 76164 North Tri-hthnic Community Center located at: 2950 Roosevelt Avenue, Fort Worth, Tarrant County, Texas 76164 Worth Heights Community Center located at: 3551 New York Avenue, Fort Worth Tarrant County, Texas 76110 The location and boundary of the designated space at each Center (excluding Fellowship Corner) is identified in Exhibit "A " which is attached hereto and incorporated herein for all purposes as though it were set forth at length. SCS shall have a non-exclusive license to the entire Fellowship Corner facility. For purposes of this Agreement, the designated space for each Center, as identified in Exhibit A and the entire Fellowship Corner facility are referred to as the "Licensed Premises." B. Acceptance of Premises. SCS takes all portions of the Licensed Premises and all appurtenances in "AS IS" condition without any express or implied warranty on the part of the City. SCS accepts the Licensed Premises in their present condition, finds them suitable for the purposes intended, and further acknowledges that it is thoroughly familiar with such condition by reason of a personal inspection and does not rely on any representations by the City as to the condition of the Licensed Premises or their suitability for the purposes intended. SCS accepts the Licensed Premises subject to any and all previously recorded easements that may have been granted on, along over, under, or across said property, and releases the City from any and all damages, claims for damages, loss, or liabilities that may be caused to invitees, licensees, or trespassers by reason of the exercise of such rights or privileges granted in said easements. License Agreement Between City and SCS Execution Copy 7/11/16 2of26 SCS's taking possession of the Licensed Premises shall be conclusive evidence that: (i) the Premises are suitable for the purposes and uses for which same are licensed; and (ii) SCS waives any and all defects in and to the Licensed Premises and all appurtenances thereto. The City shall not be liable to SCS, its agents, employees, contractors, subcontractors, invitees, licensees, guests, volunteers, or program participants for any damage to any person or property due to the acts or omissions on the Licensed Premises of SCS, its agents, employees, contractors, subcontractors, invitees, licensees, guests, volunteers, or program participants. C. Hours of Use. (i) Subject to limitations outlined in this subsection, the City grants to SCS: (1) non-exclusive use of the Licensed Premises at Fellowship Corner between the hours of 8:00 AM and 4:00 PM, Monday through Friday and (2) non-exclusive use of the Licensed Premises at all other Centers between the hours of 8:00 AM and 3.00 PM, Monday through Friday. The Centers will be closed and unavailable for use by SCS on all regular City holidays, furlough days, and any other City closure of the Licensed Premises. City shall have use of all portions of the Licensed Premises at all times outside SCS's designated hours of use and retains the right to rent the multi -purpose rooms and kitchens at the Centers to outside parties during SCS's designated hours of use. Except due to emergency circumstances City agrees to notify SCS of any change in the hours of operation of any Center by providing SCS with written notice at least five (5) working days prior to the change taking effect. City agrees to provide similar notice to SCS should any of the Licensed Premises be unavailable to SCS due to special events, scheduled maintenance, or other non -emergency closures. (ii) If SCS requires access at times other than the normal operating hours set forth herein, SCS shall notify the City by providing City with written notice at least five (5) working days prior to the needed change. Access by SCS to the Licensed Premises at times other than during the normal operating hours shall be within the discretion of the City, and City may charge SCS the hourly rate for the actual staff time required to open, monitor and close a Center. This charge shall include a forty percent (40%) overhead rate to be applied to the total salary cost License Agreement Between City and SCS Execution Copy 7/11/16 3 of 26 incurred. 2. TERM OF AGREEMENT. This Agreement shall govern all use of the Licensed Premises by SCS for a period of five (5) years, beginning on April 1, 2016 and terminating on March 31, 2021. SCS shall have the option to renew this Agreement for one additional five (5) year term. SCS must give notice of its intent to exercise such option to renew at least ninety (90) days before the expiration of the initial term. 3. CONSIDERATION. Compensation to be provided to the City for use of the Licensed Premises by SCS shall consist of both monetary and non -monetary consideration. A. As monetary consideration for the public purpose use of the Licensed Premises by SCS to provide meals, health and wellness programs to senior citizens in the community, SCS agrees to pay to City the sum of One Dollar ($1.00) per year payable on or before the first day of April of each year. Payment of the annual rental shall be made at the administrative office of the Neighborhood Services Department located at 908 Monroe, 3rd Floor, Fort Worth, Tarrant County, Texas or at any other location so designated by the Neighborhood Services Director or that individual's designee ("Director"). Alternatively, SCS may elect to pay the fee for the entire term at the execution of this Agreement or of any subsequent renewal or extension thereof. B. As non -monetary compensation for use of the Licensed Premises pursuant to this Agreement, SCS shall, throughout the term of this Agreement, materially comply with all covenants and promises expressed in this Agreement and shall operate one or more programs to provide senior citizens activities and services during the designated hours of use. C. The parties agree that the consideration detailed above fairly compensates the City for the public purpose use of the Licensed Premises by SCS to provide meals, health and wellness programs to senior citizens in the community which promotes healthy aging by reducing senior hunger and isolation. The City acknowledges the adequacy of this consideration. D. To ensure the public purpose is being carried out, the Neighborhood Services and Park and Recreation Departments meet regularly with SCS staff to review classes and activities. Additionally, the Neighborhood Services and Park and Recreation Department's class database is used to track programs and activities offered, attendance and number of people served. SCS will be required to complete reports similar to that attached hereto as Exhibit "C" when requested by Neighborhood Services Department staff. License Agreement Between City and SCS Execution Copy 7/11/16 4 of 26 4. USE OF LICENSED PREMISES. A. Scope of Use; Additional Conditions. SCS covenants and agrees to use the Licensed Premises solely for the operation of its social services, recreational activities, and nutrition programs for senior citizens and to comply with the additional conditions for use of each Center as outlined in Exhibit "B," which is attached hereto and incorporated herein for all purposes as though it were set forth at length. Further, SCS agrees not to, in any way, obstruct or interfere with the rights of the City or injure or annoy other tenants or users of the Centers. In addition, SCS agrees to abide by Policies and Procedures set forth by the Neighborhood Services Department and Park and Recreation Department Directors or that individual's authorized designee. If SCS desires to use the facilities for additional public purpose use other than what is outline in the Agreement, SCS is required to obtain permission and approval from the Neighborhood Services Department Director or the Park and Recreation Department Director, where applicable, or designated city staff prior to use. B. Prevention of Hazards. SCS shall not do, or permit to be done, anything in or on any portion of the Centers or bring or keep anything therein or thereon which will in any way conflict with the conditions of any insurance policy on the Centers or any part thereof. SCS shall not cause in any way an increase in the rate of fire insurance on the buildings or property. SCS agrees that no decorative or other materials shall be nailed, tacked, screwed, or otherwise physically attached to any part of the property of the City without written approval from the Neighborhood Services Director, the Park and Recreation Director or authorized designee. C. Utilities. The City will be responsible for all expenses associated with water, sewer, electricity, gas and waste disposal utilities involving existing service lines. SCS will be responsible for all communications utility expenses, including local and long distance telephone charges, computer charges, internet and exclusive requested cable television charges. Any additional electrical or utility service and/or service lines required by SCS will be at the sole expense of SCS. D. Eauipment. (i) Repair and Maintenance Costs. SCS and City mutually agree that, except as provided below, any expenses related to the repair, maintenance, and/or replacement of Commercial Equipment shall be shared on a "70-30" basis by the City and SCS respectively, subject to the availability of funding by the City. For purposes of this provision, the term License Agreement Between City and SCS Execution Copy 7/11/16 5 of 26 "Commercial Equipment" shall include, but not be limited to, the refrigerator, freezer, dishwasher, oven, steam table, and any other appliances or similar equipment the cost of which exceeds $500.00. If Commercial Equipment needs repair, maintenance, and/or replacement due to the negligence of one party, the negligent party shall assume full responsibility for all expense arising out of said negligence. A written inventory documenting all shared appliances and Commercial Equipment existing at the Centers as of the beginning of the Term of this Agreement will be signed by both parties and attached as an appendix to this Agreement. SCS shall be solely responsible for the cost of repair, maintenance, and/or replacement of all equipment not meeting the definition of Commercial Equipment. The City is not responsible for providing any Commercial Equipment that is not already provided in the centers. (ii) Invoicing of Costs. On at least a quarterly basis, the City will invoice SCS for its portion of the costs of repair, maintenance, and replacement costs of Commercial Equipment, if any. No invoice period may exceed three consecutive months. City will submit invoices to SCS no less than thirty (30) days after the end of the period being invoiced and agrees that delay in invoicing may result in a day -for -day delay of payment by SCS. E Membership Cards SCS clients who wish to access areas of the Centers outside of the Licensed Premises to participate in programs and open play activities not associated with this Agreement or SCS will be required to purchase an annual membership card ("Membership") from the Neighborhood Services Department and Park and Recreation Department staff. In addition, to take advantage of City transportation, SCS clients will have to obtain a valid center Membership card. If transportation is requested by SCS, then SCS shall coordinate with the individual Center Coordinator/Supervisor and follow all of the City's policy requirements for reservations. Fees for individual memberships may differ, and membership cards are only valid for one year from the date of purchase at City facilities. 5. WASTE: MAINTENANCE. SCS agrees that it will not make or suffer any waste on the Licensed Premises. SCS shall not make any alterations to the Licensed Premises without first obtaining written approval from the Neighborhood Services Department Director or the Park and Recreation Department, where applicable, or that authorized designee. SCS further agrees to maintain and pick up litter and perform minor housekeeping as necessary to keep the Licensed Premises in a clean, orderly and sanitary condition at all times. City shall perform any major cleaning, e.g., strip, buff and wax floors, at standards and frequencies that may be License Agreement Between City and SCS Execution Copy 7/11/16 6 of 26 established by City. SCS will remove garbage and deposit in dumpster in accordance with established procedures. 6. UNLAWFUL, IMPROPFiR OR OFFENSIVE USE SCS agrees that neither it nor its officers, agents, employees, licensees, invitees, volunteers, or program participants shall make any unlawful, improper or offensive use of the Licensed Premises or any part thereof as determined by the City. 7. RIGHT OF ACCESS. The City reserves to itself, its officers, agents, assigns, and employees the right to enter the Licensed Premises at any time for the purpose of ascertaining compliance with the terms and provisions of this Agreement, making inspection of the Licensed Premises; and maintaining and making repairs and improvements to City -owned property. In addition, the City does not relinquish the right to control the management of the Licensed Premises as community centers or the right to enforce all necessary and proper rules for the management and operation of the same. Members of the City's police, fire, parks, code compliance, health, and other designated departments shall have the right at any time to enter any portion of the Licensed Premises (without causing or constituting a termination of the Agreement) for the purpose of inspecting the facilities, maintaining City -owned property, and performing any and all activities necessary for the proper conduct and operation of public property, provided that no unreasonable interference, as determined by the City with SCS's use of the Licensed Premises is caused by such access. The City will at all times have keys with which to unlock all doors and gates associated with the Licensed Premises, and SCS will not change or alter any lock without the City's permission and shall provide new keys to the City within forty-eight (48) hours of making any approved change. 8. INDEPENDENT CONTRACTOR STATUS. SCS shall exercise its rights and privileges as an independent contractor, and not as an officer, agent, servant, or employee of the City. SCS shall have exclusive right to control the details of its operations on the Licensed Premises and all persons performing same and SCS shall be solely responsible for the acts and omissions of its officers, agents servants, employees, contractors, subcontractors, invitees, licensees, volunteers, patrons, and program participants. The doctrine of respondent superior shall not apply as between City and SCS, its officers, agents, servants, employees, contractors, subcontractors invitees, licensees, volunteers, patrons, or program participants. Nothing herein shall be construed as creating a partnership or joint enterprise between City and SCS. License Agreement Between City and SCS Execution Copy 7/11/16 7of26 Further, it is expressly understood and agreed that no officer, agent, servant, employee, volunteer, or subcontractor of SCS is in the paid service of City, nor shall any person participating in SCS's operations be considered an officer, agent, servant, or employee or the City of Fort Worth. 9. INDEMNITY. SCS agrees to and does hereby indemnify, hold harmless, and defend the City, its officers, agents, servants, and employees from and against any and all claims or suits for property damage or loss and/or personal injury (including, but not limited to, death) to any and all persons, of whatsoever kind of character, whether real or asserted, arising out of or in connection with directly or indirectly, the licensing, maintenance, use, occupancy, existence, or location of the Licensed Premises during the term or this Agreement, unless such claims or suits are a result of the sole alleged negligence of officers, agents servants, employees, separate contractors, subcontractors, licensees, or invitees of the City. This section shall survive the expiration or termination of this Agreement. 10. ThRMINATION. A. In the event SCS fails or refuses to fully perform and satisfy all of its covenants and obligations, whether expressed or implied, the City may terminate this Agreement at any time, enter and obtain possession of the Licensed Premises, and remove SCS without notice to SCS, without being deemed guilty of trespass, and without any liability whatsoever on the part of the City. Such removal and termination shall not relieve or release SCS from any liability or obligation unto the City previously incurred under this Agreement. SCS hereby grants a lien to the City in and on all personal property belonging to SCS in or on the Licensed Premises as a possessory pledge to secure the timely performance by SCS of all of its obligations hereunder. In the event of default by SCS, the City is and shall be empowered and authorized to seize and hold all of the personal property belonging to SCS in or on the Licensed Premises to secure such performance. Pursuant to said seizure, City is authorized to sell same at public or private sale and to apply the proceeds thereof first to pay the expenses of sale and to pay all amounts due the City hereunder, holding the balance remaining for payment to or on behalf of SCS. A copy of this Agreement shall be the only warrant required. B. City may terminate this Agreement at any time for any reason on thirty (30) days' written notice delivered to SCS. In the event that SCS fails to comply with or breaches any of License Agreement Between City and SCS Execution Copy 7/11/16 8 of 26 the terms and provisions of this Agreement, City shall have the right to immediately declare this Agreement terminated without notice to SCS. C. SCS may terminate program services at one or more Centers without terminating the entire Agreement by providing City with thirty (30) days' written notice. All provisions relating to termination, surrender of premises, and SCS's post -termination obligations shall remain in full force and effect as to the terminated Center(s), and all of the terms and conditions of this Agreement shall remain in full force and effect as to all other Centers that are not included in the notice of termination. 11. DELIVERY OF LICENSED PREMISES SCS further agrees that it will, following termination of services at a Center or at the termination or expiration of this Agreement, peaceably deliver up to the City the Licensed Premises and all appurtenances or improvements thereon in a state of good repair, vacant, unencumbered, and in good and tenantable condition. 12. RULES, REGULATIONS AND OPERATION. The Licensed Premises shall be subject to the same rules regulations, and methods of operation as any other public facilities operated by the Neighborhood Services Department or the Park and Recreation Department for the public benefit. SCS shall comply with all ordinances and regulations of the City and with the laws of the State of Texas and of the United States of America applicable to the use of said Licensed Premises. SCS shall obtain and pay for all necessary permits and licenses required or used in connection with SCS's use of the Licensed Premises. 13. DAMAGE TO PERSONAL PROPERTY. If the City allows third party use of the Licensed Premises and such use results in loss, injury, or damage to any personal property that (i) belongs to SCS and (ii) is properly secured and placed in the Licensed Premises by SCS, City shall, together with the third party, bear liability for the loss. City shall bear no liability for personal property that is not properly secured and placed in the Licensed Premises by SCS. 14. CONCESSION FEES. No goods and/or services may be sold at the Licensed Premises without the prior written approval of the Neighborhood Services Director or the Park and Recreation Department when applicable. Prior to any goods and/or services being sold SCS shall submit a price list to the office of the Neighborhood Services Department Director or the Park and Recreation Department Director, when applicable, for approval. SCS License Agreement Between City and SCS Execution Copy 7/11/16 9 of 26 covenants and agrees to post, in a conspicuous place on the Licensed Premises, a list of all authorized prices charged for any items of goods or services sold hereunder. 15. INSURANCE. A. SCS agrees to supply to the City a certificate of public liability insurance such insurance shall be in effect for the term of this Agreement and any renewals thereof and shall provide the following types and amounts of liability coverage: Property damage $1,000,000.00 Bodily injury, including death, each person $1,000,000.00 Bodily injury, including death, each accident $1,000,000.00 City may, in its sole discretion, require SCS to increase or revise the types and amounts of coverage by issuing a written request to SCS, and SCS covenants and agrees that it shall procure the revised types and amounts of coverage within thirty (30) days of receiving a written request from the City. B. Each policy of insurance required under this Agreement shall list the City of Fort Worth as a Certificate Holder and shall be endorsed to name the City is an additional insured. Reference to this endorsement shall be included in the "Description" section of each insurance certificate, and the City of Fort Worth shall be listed on the certificate as a Certificate Holder. 16. NOTICES Notices to be provided hereunder shall be sufficient if forwarded to the other party by hand -delivery or via U.S. Postal Service certified mail, postage prepaid, to the address of the other party shown below: To City: To SCS: Lease Management Property Management Department 900 Monroe #404 Fort Worth, Texas 76102 With copies to: City Attorney's Office 1000 Throckmorton Street Fort Worth, Texas 76102 Jerome H Mosman, Executive Director Senior Citizen Services of Greater Tarrant Co County, Inc. 1400 Circle Drive Suite 300 Fort Worth, Texas 76119 817-413-4949 extension 202 17. FUNDING LIMITATIONS. As to the City's performance of its obligations under this Agreement, SCS acknowledges and agrees that (i) the City is a governmental entity and (ii) License Agreement Between City and SCS Execution Copy 7/11/16 10of26 because of statutory, constitutional and City Charter provisions, the City cannot commit to the funding for the obligations described herein beyond the fiscal year. Therefore, the funding obligations of the City described herein are subject to and conditioned on the City Council appropriating for each fiscal year funds to satisfy such obligations. 18. ADDITIONAL FACILITIES. SCS and City may, by mutual written consent, agree to the addition of new facilities under the same terms and conditions of this Agreement. 19. ASSIGNMENT. SCS shall not assign or subcontract all or any part of its rights, privileges, or duties under this Agreement without the prior written consent of City. Any attempted assignment of subcontract without the City's prior written approval shall be void and constitute a breach of this Agreement. If City grants consent to an assignment, the assignee shall execute a written agreement with the City and SCS under which the assignee agrees to be bound by the duties and obligations of SCS under this Agreement. SCS and the assignee shall be jointly liable for all obligations under this Agreement prior to the assignment. If the City grants consent to a subcontract the subcontractor shall execute a written agreement with SCS referencing this Agreement under which the subcontractor shall agree to be bound by the duties and obligations of SCS under this Agreement as such duties and obligations may apply. SCS shall provide the City with a fully executed copy of any such subcontract. 20. COMPLIANCE WITH LAW. SCS, its officers, agents, servants, employees, volunteers, and subcontractors shall abide by and comply with all federal, state, and local laws, rules, and regulations, including, but not limited to, all ordinances, rules, and regulations of City. It is agreed and understood that if City calls to the attention of SCS any violation on the part of SCS or any of its officers, agents, servants, employees, volunteers, or subcontractors, then SCS shall immediately desist from and correct such violation. 21. NON-DISCRIMINATION. In the execution performance, or attempted performance of this Agreement, SCS will not discriminate against any person or persons because of disability, familial status, sex, race, religion, color, national origin, sexual orientation, or any other class of person protected by law nor will SCS permit its officers, agents, servants, employees, volunteers, or subcontractors to engage in such discrimination. This Agreement is made and entered into with reference specifically to the Code of Ordinances of the City of Fort Worth relating to discrimination in employment practices, and SCS hereby covenants and agrees that SCS, its officers, agents, employees, volunteers, and subcontractors have fully complied License Agreement Between City and SCS Execution Copy 7/11/16 11 of 26 with all provisions of same and that no employee or employee -applicant has been discriminated against by either SCS, its officers, agents, employees, volunteers, or subcontractors. 22. RIGHT TO AUDIT. SCS agrees that the City shall, until the expiration of three (3) years after final expiration or termination of this Agreement, have access to and the right to examine any directly pertinent books, documents, papers and records of SCS involving transactions relating to this Agreement. SCS agrees that the City shall have access during normal working hours to all necessary SCS facilities and shall be provided adequate and appropriate workspace in order to conduct audits in compliance with the provisions of this section. The City shall give SCS reasonable advance notice of intended audits. SCS further agrees to include in all of its subcontractor agreements hereunder a provision to the effect that the subcontractor agrees that the City shall, until the expiration of three (3) years after final payment under the subcontract have access to and the right to examine any directly pertinent books, documents, papers and records of such subcontractor involving transactions to the subcontract, and further that City shall have access during normal working hours to all subcontractor facilities and shall be provided adequate and appropriate workspace in order to conduct audits in compliance with the provisions of this section. City shall give subcontractor reasonable advance notice of intended audits. This section shall survive the expiration or termination of this Agreement. 23. NON -WAIVER. The failure of either party to insist upon the performance 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 or SCS's right to assert or rely on any such term or right on any future occasion. 24. DISCLOSURE OF CONFLICTS. SCS hereby warrants to the City that SCS has made full disclosure in writing of any existing or potential conflicts of interest related to SCS's execution of this Agreement and provision of services. In the event that any conflicts of interest arise after the execution of this Agreement, SCS hereby agrees to make full disclosure to the City in writing immediately on learning of such conflict. 25. GOVERNMENTAL POWERS. Both parties agree and understand that the City does not waive or surrender any of its governmental powers by execution of this Agreement. License Agreement Between City and SCS Execution Copy 7/11/16 12 of 26 26. SEVERABILITY. If any provision of this Agreement is held to be invalid, illegal, or unenforceable, the validity, legality, and enforceability of the remaining provisions shall not in any way be affected or impaired. 27. FORCE MAJEURE If either Party is unable, either in whole or part, to fulfill its obligations under this Agreement due to acts of God; strikes, lockouts, or other industrial disturbances; acts of public enemies; wars; blockades; insurrections; riots; epidemics; public health crises; earthquakes; fires; floods; restraints or prohibitions by any court, board, department, commission, or agency of the United States or of any state; declaration of a state of disaster or of emergency by the federal, state, county, or City government in accordance with applicable law; issuance of an Imminent Threat Alert or Elevated Threat Alert by the United States Department of Homeland Security or any equivalent alert system that may be instituted by any agency United States; any arrests and restraints; civil disturbances; or explosions; or some other reason beyond the party's reasonable control (collectively, "Force Majeure Event"), the obligations so affected by such Force Majeure Event will be suspended only during the continuance of such event. If a Force Majeure Event occurs, the City may, in its sole discretion close or postpone the opening of its community centers, parks, or any City -owned and operated properties and facilities in the interest of public safety and operate them as the City sees fit. SCS hereby releases the City from and against any and all claims for damages that it may have resulting from any Force Majeure Event. 28. GOVERNING LAW AND VENUE This Agreement shall be governed by and construed in accordance with the laws of the State of Texas. If any action, whether real or asserted, at law or in equity, arises on the basis of any provision of this Agreement, venue for such action shall lie in state courts located in Tarrant County, Texas or the United States District Court for the Northern District of Texas - Fort Worth Division. 29. HEADINGS NOT CONTROLLING. Headings and titles used in this Agreement are for reference purposes only and shall not be deemed a part of this Agreement. 30. REVIEW OF COUNSEL. The parties acknowledge that each party and its counsel have had the opportunity to review and revise this Agreement and that the normal rules of construction to the effect that any ambiguities are to be resolved against the drafting party shall not be employed in the interpretation of this Agreement or exhibits hereto. License Agreement Between City and SCS Execution Copy 7/11/16 13 of 26 31. AMENDMENT. No amendment, modification, or alteration of the terms of this Agreement shall be binding unless the same is in writing, dated subsequent to the date hereof, and duly executed by the parties hereto. 32. SIGNATURE AUTHORITY. The person signing this Agreement hereby warrants that he or she has the legal authority to execute this Agreement on behalf of his or her respective party, and that such binding authority has been granted by proper order, resolution, ordinance or other authorization of the entity. The other party is fully entitled to rely on this warranty and representation in entering into this Agreement. 33. ENTIRE AGREEMENT. This written instrument (together with any attachments, exhibits, and appendices) constitutes the entire understanding between the parties concerning the use of the Licensed Premises and the services to be performed, and any prior or contemporaneous, oral or written agreement that purports to vary from the terms hereof shall be void. EXECUTED in Fort Worth, Tarrant County,Texas on this the / dayof idt,e2,a016. CITY OF FORT WORTH SENIOR CITIZEN SERVICES OF GREATER TARRANT COUNTY, INC. By. s Jesus J. Chapa Assistant City Manager APPROVED AS TO FORM AND Lig ALITY: Jessica Sa.gsvan Assistant ity Attorney II Form 1295: 21- (n K� se City Secretary M&C: L Date: By: License Agreement Between City and SCS Execution Copy 7/11/16 4)/'5 <i J Jerome H. Mosman, Executive Director 14 of 26 STATE OF TEXAS COUNTY OF TARRANT § BEFORE ME, the undersigned, a Notary Public in and for the State of Texas, on this day personally appeared Jesus J . Chapa, Assistant City Manager, of City of Fort Worth, known to me to be the person and officer whose name is subscribed to the foregoing instrument and acknowledged to me that the same was the act of the said City of Fort Worth, and that she executed the same as the act and deed of the City of Fort Worth, a municipal corporation of Tarrant County, Texas and for the purposes and consideration therein expressed, and in the capacity therein stated. Subscribed to and sworn before me this day, 2016. of �. ,t:Y pcy4%,L LINDA M. HIRRLINGER • s Notary Public, State of Texas •• "�,'•. �.•�4 Comm, Expires :.�6•. #e 02-02-2018 „�i►,��o Notary ID t 24144 74-6 STATE OF TEXAS COUNTY OF TARRANT § %Lk _ �c).A. ijij fir Notary Public in and for the �J State of Texas My Commission Expires: (M • BEFORE ME, the undersigned, a Notary Public in and for the State of Texas, on this day personally appeared Jerome H. Mosman, Executive Director of Senior Citizen Services of Greater Tarrant County, Inc., known to me to be the person and officer whose name is subscribed to the foregoing instrument and acknowledged to me that the same was the act of the said Senior Citizen Services of Greater Tarrant County, Inc., and that he executed the same as the act and deed of the of Senior Citizen Services of Greater Tarrant County, Inc., a non-profit entity, for the purposes and consideration therein expressed, and in the capacity therein stated. Subscribed and sworn to before me this day of LE 0 lCIA A. SAUNAS NOTARY PUBUC STATE OF TEXAS My Comm. . ,i 2 1 8 V 18 License Agreement Between City and SCS )-11111110901170 2016. No j iy Public in and for the State of Texas My Commission Expires: /Pia? Execution Copy 7/11/16 OFFICIAL RECORD ("TY SFCRETARY T. WORTH, TX 15of26 • EXHIBIT A Como Community Center V JJ9IHX3 L m • n • • 1 j1J 1 ela 1 0 1 ate I� ,; :..�>�,. 1:Gi�:'.' w. .' . ,i. hiim►�� l�,L� f� �}'\ y�f L •4ri i• a 1' l� .J,r �,=d�ta,r-. • Licensed ' rea highlighted in Green a Et 1111111,E 6.41 I'1 LI. i L. License Agreement Between City and SCS Execution Copy 7/11/16 m n 0 W o LJ L cz D O E3oc 10 7U (~ m I -H W J m -H c X NJ n >mGo m o rn 16 of 26 • . • • WO- • • • • • • • • • • •• it . 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Execution Copy 7/11/16 T. 1 • • • • 4 • 1 n• • •;� eStt, ITc li wi ' : - •• et • 1 • • lel dd mar +• yL 11i'•�a i4. �/ • .� 1'' n'• 1 \• in n-• r, ¶ 1 t''` • kar t t it �. w� i i�1 • , .J • ••..: . .1)3+ S•9e I'. fi•_ i +Y y) F•st":0 • • .0 � i • • • Licensed Area - Highlighted in Green IXHiBIT A 17 of26 Handlev-Meadowbrook Community Center North Exit Plan North Weight Room a 0 Y Northeast " Exit ens Women s Resiroom Restroom oin tenonce Room ,—.•., Lobby Areo Center Offic 5 'check -in, "Communicotion I Post Office" Center 11 cc Lobby Areo Office "Command Center & Security Office" Activity 11 "Feeding Areo" S j ott 5 Computer Room "Distr but on" II Storage z , - Front Entrance Arts & Croats Room "Mled col, Children' Mold Storage Handley-Meadowbrook Community Center 6201 Beaty Fort Worth, Texas 76112 Kiln Room Storoge Kitchen Activity 12 'Collections, Services" Southeast Exit August 2". 2006 Execution Copy 7/ 11 / 16 License Agreement Between City and SCS tf 1181HX3 Northside Community Center . ka----kett -1- i -T--- --r- r_ni Al a I ;a1 V Pia] 14 F so • tea) I R Ft =V] g FE! ti . •n a.nli. wao + uo 1i (nIfer rq l P1* t�'n—bki art art �i'� Ysmg'42U, - License Agreement Between City and SCS rn U1Jfizip. CO N Pa Execution Copy 7/11/16 Licensed Area highlighted in Green .) ?CIL) Oat I H1V3H tilt re01-)M mem,. porn...cps, pi • w • 1• GYXIII H1OM �.i 01 Fru 0 0) JS33aI1S NO1DNIMdH TOE • 0 H 1 H 0 m c r 1 C 70 0 01 n m z m 70 19of26 d 1I9IHXai z -aln - 171 North Tri-Ethnic Community Center rZp yivU?"C (i7 Dry) ills Isis sprOniikT g J L _1 2 Aaiunj � j � �iN3Ndif103 N4:fle , tl 41. License Agreement Between City and SCS ' t03H 3DYW1S 39V2iois SIM • Execution Copy 7/ 11 / 16 rnru O LO 7CLfT -1 Licensed Area highlighted in Green rn IMF 0 i IT x cr) 0� O 20 of 26 Worth Heithts Community Center BM-11131 T m7-11 :xit A E t WORTH HEIGHTS `1U_TI-PUPOSE CE\TER 3551 \EbJ YO AVE\UE FORT WOTH TEXA5 78110 Head Start Dau Carer Area Exil Alarm Fire Extinguisher ki tchen Storage Long Hall Fire Alarm Pad - Res -croons - office (Licensed Area ION Sen 1 or A tiv, n-ter o n o .+ 3 • !RIR5tC F =117111.1c25..] R. Exit A Dartital Clinic a m AE Main EnIn ancc m Execution Copy 7/11/16 License Agreement Between City and SCS • List of area centers being used are highlighted in yellow CO Arlington Central 817/891-4207 Open Mon, WGd & Fri 9:00-2:00 Lunch 12:00 971 E Sanford Street Arlington 76011 Ralph Rhodes arlingtonc &scslc.ora * Arlington -New York 817/460-5009 Open Mon -Fri 8 30-1:30 Lunch 11:30 1815 New York Ave. Arlington 76010 Dan White srcnv(evarlinatontx. aov Azle 817/444-0070 Open Mon -Fri 9:00-3:00 Lunch 12:00 601 Southeast Pkwy Azle 76020 Kip Young a?te.seniorcenter(a�aol.com * Barnabas House 817/370-6242 Meals Mon, Wed & Fri 11:00-1:00 Lunch 11;30 4409 Sycamore School Road Fort Worth 76133 Tom Welches Casa 817/332-7276 x2509 Open Mon -Fri 8:00-1:00 Lunch 12:00 3201 Sondra Fort Worth 76107 Patricia Chambers casa( !scstc.orq Como 817/732-0951 Open Mon -Fri 8:30-1:30 Lunch 11:30 4900 Horne St Fort Worth 76107 lief Jenkins comoOscstc. orq License Agreement Between City and SCS SIcitizen e service, - 14C`O$t . ' AU'IYJ Src74,♦ ►1r+., • SENIOR CENTER LOCATIONS March 4, 2016 Crowley 817/297-9131 Open Mon -Fri 8:00-2:00 Lunch 11:30 900 E Glendale Crowley 76036 Ruby Harse CrowleyCa�scstc. orq :_ i.. Diamond Hill 817/625-4721 Open Mon -Fri 8'00-1:00 Lunch 11:30 1701 NE 36th St Fort Worth 76106 Patricia Miranda diamond.hilIc5?scstc.orq Eugene McCray 817/871-7156 Meals Mon-Thurs 9:00-1:00 Lunch 11 30 4932 Wilbarger St. Fort Worth 76119 Roy Mateen Bernistene Toleston CUCjCI ICI 1 Il.c..1 aYa kLuCrca1 IkJ . COJel di Fellowship Corner 817/921-9741 Open Mon -Fri 9:00-4 00 Lunch 11 30 1601 New York Ave. Fort Worth 76104 Alene Washington Fel lowshio6Ocscstc. orq. Forest Hill 817/293-8319 Open Mon -Fri 8:00-1:00 Lunch 11:30 7004 Forest Hill Dr Forest Hill 76140 Bettie Sheffield Foresthillscstc.orq * Goodrich Center for the Deaf 817/926-5305 Wellness Center 9:00-2:00 Tuesday 2500 Lipscomb Fort Worth 76110 Suzette Jones suzetteiCa�aoodrichcenter. org Execution Copy 7/11/16 * J.) Grapevine 817/410-3465 Open Mon -Fri 8:00-3:00 Lunch 12:00 1175 Municipal Way Grapevine 76051 Trent Kelley/Eileen Hinson tkelley[a�grapevinetexaseaov ehinson a@grapevinetexas.gov * @ Haltom City 817/834-8021 Open Mon -Fri 9:00-3:00 Lunch 12:00 5000 Bernice Haltom City 76117 Bobbi Arthur barthuga4haItomcitytx com Handley Meadowbrook 817/496-3986 Open Mon -Fri 8 00 - 1:00 Lunch 1 1 30 6201 Beaty Street Fort Worth 76112 Melvina Lenton Handley(c�scstc_org HomeTowne at Matador Ranch 817-568-9595 Open Mon -Fri 8:00- 1:00 Lunch 12:00 8500 Crowley Road Fort Worth 76134 Emmy Tadle emmv a auadco.orq *CO Jewish Family Svc- 817/296-3709 Open Mon -Fri 9.30-1:00 Lunch 12:00 4900 Briarhaven Rd Fort Worth 76109 Hedy Collins hedyifst&grnaii corn Kennedale 817/986-2131 Open Mon -Fri 8:30-1:30 Lunch 12:00 420 Corry A. Edwards Dr Kennedale 76060 Shanti Lechner Kennedale(Wscstc_orq 22 of 26 * C0 Mansfield 817/728-3680 ext. 3687 Open Mon -Fri 9:00-2:00 Lunch 12:00 106 S. Wisteria Mansfield 76063 Caprice Gollaway/Judy McGlothlin Suzanne Newman, Senior Coordinator suzapne.neyvma Omansfieldtexas.aov udpnce_qq y}�� v ma�sfieldtexas_oov_ y.mccti )Ilnmansfieldtexas 4ov Northside 817/626-3692 Open Mon -Fri 8: 30-1.30 Lunch 11.30 1100 N W. 18th Fort Worth 76164 Patricia Miranda northsideCciscstc.orq * t O Watauya 817/514-5892 Meals Mon-Thurs 9 00-3:00 Lunch 12:00 7857 Indian Springs Road Watauga 76 148 Vickie Vickers Vvickers(a.cowtx.orq *(i) White Settlement 817/246-6619 Open Mon -Fri 8.30-3:00 Lunch 12:00 8211 White Settlement Rd White Settlement 76108 Vickie Ford -Clements vford(Wwstx us 1) North Tri Ethnic 817-871-5850 or /626-6091 Meals Tues-Wed & Thurs 8:00-1 00 Lunch 1 1 30 2950 Roosevelt Ave Fort Worth 76106 Jorge Guerra Jorge.Guerra cAi. fortworthtexas.gov Vera Bacon -Cook *River Oaks 817/732-5885 Meals Wed Lunch *12:00 5300 Blackstone Fort Worth 76114 Candace Howard Shirley Bloomfield s_bloom rocccThsbcalobal.net * (i)Roosevelt Center (Vietnamese) 817/795-8066 Open Mon -Fri 8:00-2:00 Lunch 12:00 2117 Roosevelt Dr., Suite F Pantego 76013 Ashley Matheus Assistant to Director Ashlevcaadhc.orq Cheri Chong, Exec. Director Cheri.chonqPgmail.corn Saint Francis Village 817/565-5990 Meals Wed & Thurs 11:00-1:30 Lunch 11:30 4070 St. Francis Dr. Crowley 76036 Sue Craig sfvscraigOgmail.com CD Transportation Available t' Worth Heights 8'17/921-5881 Meals Tues -Fri 8:30-1:30 Lunch 12:00 3551 New York Ave. Fort Worth 76110 Tiel Jenkins worthheights&t scstc.orq Central Office 817/413-4949 1400 Circle Dr. #300 Fort Worth 76119 Fax # 817-413-4908 www.scste. c Central Kitchen 817/536-0777 5051 Resource Drive Fort Worth 76119 Abbe Martin, Manager tarrantcountyss@valleyservicesi corn �c Partner Agency License Agreement Between City and SCS Execution Copy 7/11/16 Transnofafion Available .101;t Transportation Arlington Central Arlington New York Nurthside North Tri-Ethnic Tfan.ngrtEtigp Available Happy to Help Como Eugene MeCray Handley Meadowbrook Trp�tsvo p pit Available [Diamond 11lill Fellowship Corner Field Trips Only: Crowley -Field Home Towne at Matador Ranch Worth Heights *Transportation Available Grapevine Haltom City Jewish Family Services Kennedale Senior Center Mansfield Roosevelt Center Watauga Senior Center White Settlement F�.tt t;Lf A.t7r_'tt��l Page 2 of 2 3/04/1 6 23 of 26 EXHIBIT B Additional Conditions Applicable to Each Center The following additional conditions shall apply to SCS's use of the various Centers under this Agreement. The parties may, with the approval of the assigned District Superintendent in the City's Neighborhood Services & Park and Recreation Department negotiate for temporary changes in the allocation of space, hours of operation, or enforcement of these procedures to allow for special events or unforeseen circumstances. Any permanent changes to these conditions shall require a formal signed, written amendment in accordance with Section 31 of the Agreement. 1. Space Utilization: a) Arrangements to use rooms or amenities outside of designated space must be made with Center staff within 5 business days of request; this includes but is not limited to computer lab, fitness area, gymnasium and activity rooms. b) City staff shall have mutual joint use of the Kitchen area at all times. 2. Holidays, Inclement Weather Days, and School Breaks: a) Holidays: SCS shall not have use of the Center on Christmas Eve on City holidays (New Year s Day, MLK Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day and the Friday following, and Christmas Day), or on other dates (including but not limited to, furlough days) on which the City is not open for business. b) Inclement Weather Days - Closure: SCS shall not have use of the Center on days when FWISD schools are closed due to inclement weather. c) Inclement Weather Days — Late Opening: On days on which the opening of FWISD schools is delayed due to inclement weather, the opening of the Center will be equally delayed, and SCS shall not have access to the Center before the delayed opening time. SCS shall contact the Center Director as soon as practicable to provide notice of whether SCS will be operating on a delayed -opening day. d) School Breaks: During FWISD in-service days and Fall/Winter/Spring Breaks, space usage and hours of operation will be negotiated with the assigned District Superintendent. 3. Paper supplies: SCS shall provide toilet paper, paper towels, hand towels and other paper products for the Center. 4. Building Conditions: SCS Staff will complete a Building Inspection checklist each day that SCS uses the Center and will inform Center staff that day of any problems discovered. City of Fort Worth facilities are ADA compliant, and the City shall License Agreement Between City and SCS Execution Copy 7/11/16 24 of 26 undertake reasonable measures to ensure that ADA accessibility is maintained and that repairs are performed as required. 5. Cleaning: Each day that SCS uses the Center, SCS agrees to maintain and police the areas it uses, performing minor housekeeping as necessary to keep these areas in a clean, orderly, and sanitary condition at all times. Minor housekeeping includes, but is not limited to, trash removal, sweeping, and mopping minor spills. 6. Calendars: SCS shall provide a copy of its monthly activity calendar to the Center staff by the first of each month and shall promptly notify Center staff of any schedule changes or additions. 7. Building Repair and Maintenance: If Center staff receives notification of any planned or scheduled building repair or maintenance, Center staff shall notify SCS that same day. Repair and maintenance may only occur when City staff is present in the building. The City will maintain contractual extermination services. SCS will promptly notify Center staff if emergency extermination services are needed. 8. Access; Deliveries: SCS may not giant access to any portion of the Center outside the Licensed Piemises. SCS shall be responsible for accepting all deliveries associated with SCS or its programs; all such deliveries must be made directly to SCS and may occur only during SCS's designated hours of operation. City staff shall not be responsible for accepting any deliveries on behalf of SCS. 9. City Keys: SCS will assist City staff in inventorying and receipting all keys in the possession of SCS and its staff. This inventory will be kept current and updated to reflect any changes in personnel. 10. Unauthorized Access: When the Center is open foi SCS activities, SCS staff shall be responsible for ensuring no unauthorized individual uses of access SCS's designated portions of the Center. In the event SCS discovers someone in its designated area who is not affiliated with SCS's services, SCS will notify the: (i) Center Director or Designee, (ii) Recreation Programmer, or (iii) Community Center Aide. License Agreement Between City and SCS Execution Copy 7/11/16 25 of 26 Activity Center 1. Como 2. Diamond Hill 3, Eugene MeCray 4. Fellowship Corner 5, Handley 6. Northside 7, North Tit-Ethni 8. Worth Heights Other Centers (18) Totals EXHIBIT C Sample Report Address 4900 Horne St. FW 76107 1701 NE 36th FW 76106 4932 Wilbarger FW 76119 1601 New York FW 76104 6201 Beaty St, FW 76112 1100 NW 18t FW 76164 2950 Roosevelt FW 76106 3551 New York FW 76110 FW (4) Arlington (2) Other (12) 26 Centers Open M-F M-F M-Thu M -F M- F M-F T-W-Thu T-F Meals Total 8,407 10,624 6,313 11,888 11,188 7,832 2,340 3,526 145,964 208,082 Participants 86 124 85 107 200 101 28 51 2,630 3,412 Program Outputs and Outcomes: 1) Last year SCS served over 208,000 meals at 26 centers valued at over $1.3M, with 62,118 meals (30%) at 8 FW recreation centers valued at $411,221. 2) Each meal provided 1/3 of the minimum Recommended Daily Intake for seniors. 3) Menus were prepared by a Registered Dietician after consultation with SCS. 4) Nutrition education was also provided to all meal participants each month. 5) 56% of frequent participants (3+ days a week) report that this meal is their most important source of nutrition. This is 6% over the performance standard 6) 84% of frequent participants (3+ days a week) report increased social interactions on the days they attend This is 14% over the performance standard. 7) 94% of seniors report living in the same residence over the past twelve months. 8) 35% of seniors report overall health has improved since participating. Client Population Served & Other Indicators: 1) Average age is 75; 25% were male; 75% were female; 46% live alone 2) 44% were Anglo; 28% were Black; 14% were Hispanic; 7% Asian 3% Am. Indian; 4% other 3) 69% were widowed/divorced/single; 31 % married 4) 87% are satisfied with the activities; 49% spend Tess than $125 a month on groceries 5) 57% come to share a meal; 89% come to socialize with others License Agreement Between City and SCS Execution Copy 7/11/16 26 of 26 M&C Review Page 1 of 2 Official site ,=of>the City of Fort, Worth Texas COUNCIL ACTION: Approved on 8/2/2016 FORT 1%ORTII DATE: 8/2/2016 REFERENCE **L-15936 LOG NAME: 21SCSOFTARRANTCOUNTY NO.: CODE: L TYPE: CONSENT PUBLIC NO HEARING: SUBJECT: Authorize Execution of a License Agreement Between the City of Fort Worth and Senior Citizen Services of Greater Tarrant County, Inc., to Use Various Area Community Centers to Provide Programs and Services to Area Senior Citizens and Authorize Less Than Market Value Fees (COUNCIL DISTRICTS 2, 3, 5, 8 and 9) RECOMMENDATION: It is recommended that the City Council: 1. Authorize the execution of a License Agreement with Senior Citizen Services of Greater Tarrant County, Inc., to use various area community centers to provide meals and activities to serve senior citizens in the community; 2. Authorize less than market value fees for the use of the area community centers; and 3 Find that authorizing less than market value fees serves to carry out the public purpose of providing meals, health and wellness programs to the aging population in the community, which promotes healthy aging, reduces senior hunger and prevents isolation and that adequate controls are in place through the Neighborhood Services and Park and Recreation Departments to carry out such public purpose DISCUSSION: For many senior citizens hunger, isolation and unhealthy aging is a way of life Senior Citizen Services of Greater Tarrant County, Inc. (SCS) has requested that the City of Fort Worth (City) partner with it to offer services to reduce hunger and provide a better quality of life for senior citizens within the Fort Worth community. This License Agreement between SCS and the City is for use of various area community centers to promote healthy aging, reduce hunger and isolation by providing meals, activities and health and wellness programs to area senior citizens within the community. SCS has requested a Tess than market value of the license fees of $1.00 per year for use of the area community centers in support of this public purpose to provide area seniors with quality meals and other services to increase safety and maintain independent living. The License Agreement term is for a period of five years, back dated beginning on April 1, 2016 and terminates on March 31, 2021 with the option to renew for one additional five year term to expire March 31, 2026 The following controls are in place to ensure the public purpose use is adequately being carried out: 1. Neighborhood Services and Park and Recreation Departments will meet regularly with SCS staff to review classes and activities; http://apps.cfwnet.org/council_packet/mc review.asp7ID=22431&councildate=8/2/2016 8/5/2016 M&C Review Page 2 of 2 2. Neighborhood Services and Park and Recreation Departments' databases will be used to programs, activities offered, attendance and number of people served; and 3. SCS will be required to provide a report detailing number of participants, breakdown of the population being served, meals served program outputs and outcomes. City staff will use this information to evaluate whether the public is being served by partnering on this endeavor with SCS and will regularly consider whether the Tess than market rate of the license fee is adequately supporting the aging population within the community. This program is located in COUNCIL DISTRICTS 2, 3, 5, 8 and 9. track FISCAL INFORMATION/CERTIFICATION: The Director of Finance certifies that the Property Management Department has the responsibility to collect fees as applicable under the Agreement. TO Fund Department ID 10100 0190500 FROM Fund Department ID Account 4800100 Account Project ID Project ID Program Program Activity Activity Budget Year 2016 Budget Year Submitted for City Manager's Office bv: Jay Chapa (5804) Originating Department Head: Steve Cooke (5134) Additional Information Contact: ATTACHMENTS 21SCSOFTARRANTCOUNTY MAP.pdf FORM 1295 (19NS SENIOR CITIZEN).pdf SCS EXHIBIT A LIST OF CENTERS.pdf SCS EXHIBIT B SAMPLE REPORT.pdf SOS for SCS of Tarrant Countv.pdf Mark Brown (5197) Jean Petr (8367) Reference # (Chartfield 2) Reference # (Chartfield 2) Amount stool Amount http://apps.cfwnet.org/council_packet/mc review.asp?ID=22431&councildate=8/2/2016 8/5/2016 CERTIFICATE OF INTERESTED PARTIES Complete Nos. 1 - 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Senior Citizen Services of Greater Tarrant Co. Inc. Fort Worth, TX United States 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Senior Citizen Services of Greater Tarrant County Inc. FORM 1295 1of1 OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2016-1345 Date Filed: 01/06/2016 Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the goods or services to be provided under the contract. 46316 Providing programming for seniors that includes meals and socialization, educational and health presentations and workshops, 4 Nature of interest (check applicable) Name of Interested Party City, State, Country (place of business) Controlling Intermediary 5 Check only if there is NO Interested Party. 6 AFFIDAVIT AFFIX Nu7ARY S1 AMP / SEAL ABOVE Swornto and subscribed before me, by the said / 20 / tP , to certify which, witness my hand and eal of office. ta I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. ignature of officer administering oath Signature of authorized agent of contracting business entity 1/ /ha c Printed name of officer administering oath Title o officer;'. ministering oath , this the LP day of Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.33598