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Contract 47288 (2)
STATE OF TEXAS COUNTY OF TARRANT e COLflPMT Me This contract ("Contract") is made and entered into by and between the City of Fort Worth (hereafter "City") and Day Resource Center for the Homeless (hereafter "Agency"), a Texas non-profit corporation. City and Agency may be referred to individually as a "Party" and jointly as "the Parties". The Parties state as follows: WHEREAS, City receives grant monies from the United States Department of Housing and Urban Development ("HUD") through Emergency Solutions Grant Program ("ESG"), Program No. S-15-MC-48-0006, Catalog of Federal Domestic Assistance No. 14.231; WHEREAS, the ESG program is intended to provide homeless persons or persons at risk of becoming homeless with financial assistance, basic shelter, essential supportive services, and/or operations, as applicable; WHEREAS, Agency submitted a proposal to use ESG funds for an eligible program under the ESG Regulations whereby Agency will provide services to low and moderate income City citizens; WHEREAS, City citizens, the Community Development Council, and the City Council have determined that ESG programs are needed by the City's citizens; NOW, THEREFORE, the Parties understand and agree as follows: 1. INCORPORATION OF RECITALS. City and Agency hereby agree that the recitals set forth above are true and correct and form the basis upon which the Parties have entered into this Contract. 2. DEFINITIONS. In addition to terms defined in the body of this Contract, the terms set forth below shall have the definitions ascribed to them as follows: Area Median Income or AMI means the median family income for the Fort Worth -Arlington metropolitan statistical area as established annually by HUD. The 2014 income limits are attached hereto as EXHIBIT "A-1" — 2015 HUD Income Limits. Business Diversity Enterprise Ordinance or BDE means the City's Business Diversity Ordinance, Ordinance No. 20020-12-2011. "_ - - �\ ". g0 ea Cr 45t: fat ESG PSA CONTRACT 2015-2016 Pa g� e 1 , \ Day Resource Center for the Homeless - Rev. 10.02.20 0 0.0 '0 COI-- \ ,,,,no OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX .11 I _r -2 ikt • 1 Complete Documentation means the following documentation as applicable: 0 Attachments I, II, and III, with supporting documentation including: o Proof of expense: copies of timesheets, invoices leases, service contracts or other documentation showing that payment is due by Agency. o Proof of payment cancelled checks, bank statements, or wire transfers necessary to demonstrate that amounts due by Agency were actually paid by Agency. o Proof of client eligibility* Source Documentation sufficient to show that clients participating in the Program are ESG Eligible Clients as described in Section 6. o Complete Documentation shall meet the standards described in the attached EXHIBIT "F"- Standards for Complete Documentation ® Any other document or record reasonably necessary to verify costs spent and client eligibility for the Program. Continuum of Care means the Tarrant Area Continuum of the Care. DBE means disadvantaged business enterprise in accordance with 49 CFR Part 26. Director means the Director of the City's Neighborhood Services Department Effective Date means October 1, 2015. ESG means Emergency Solutions Grant. ESG Eligible Client means an individual or household that meets the definition of "homeless" or "at risk of homelessness" as defined in the Heath Act. ESG Funds means the ESG grant funds supplied by City to Agency under the terms of this Contract. ESG Regulations means regulations found at 24 CFR Part 576 et seq. HEARTH Act means the Homeless Emergency Assistance and Rapid Transition to Housing Act of 2009, 42 U.S.C. 11302 et seq. HMIS means Homeless Management Information System required by HUD for client data collection HUD means the United States Department of Housing and Urban Development IDIS means Integrated Disbursement Information System, HUD's project tracking system. ESG PSA CONTRACT 2015-2016 Page 2 Day Resource Center for the Homeless Rev. 10 02 2015 Neighborhood Services Department means the City's Neighborhood Services Department OMB means the Office of Management and Budget. Program means the services described in EXHIBIT "A" - Program Summary. Reimbursement Request means all reports and other documentation described in Section 9. Source Documentation means documentation sufficient under ESG Regulations to establish an individual or household as an ESG Eligible Client Unduplicated Clients means a count of hSG Ehgible Clients served at least once in the Contract Term. ESG Eligible Clients served more than once in the Contract Term will only be counted the first time they are served when determining the total count of Unduplicated Clients. 3. TERM. The teuur of this Contract begins on October 1, 2015 and terminates on September 30, 2016 unless earlier terminated as provided in this Contract. 4. DUTIES AND RESPONSIBILITIES OF CITY. 4.1 Provide ESG Funds. City shall provide up to $141,092.00 of ESG Funds under the terms and conditions herein. 4.2 Monitor. City will monitor the activities and performance of Agency and any of its contractors, subcontractors or vendors as necessary, but no less than annually. Monitoring by City will include determining whether Agency is meeting the requirements of the ESG Regulations during the term of this Contract. 5. DUTIES AND RESPONSIBILITIES OF AGENCY. 5.1 Required Services. Agency shall perform the services described in EXHIBIT "A" - Program Summary in accordance with the terms and conditions of this Contract. 5.2 Use of ESG Funds. 5.2.1. Comnhance with ESG Regulations and Contract. Agency shall be reimbursed for eligible Program costs with ESG Funds only if City determines in its sole discretion that: 5.2.1.1 Costs are eligible expenditures in accordance with hSG Regulations. ESG PSA CONTRACT 2015-2016 Page 3 Day Resource Center for the Homeless Rev. 10 02 2015 5.2.1.2 Costs are in compliance with this Contract and are reasonable and consistent with industry norms. 5.2.1.3 Complete Documentation, as applicable, is submitted to City by Agency. 5.2.2 Budget. 5.2.2.1. The ESG Funds will be paid on a reimbursement basis in accordance with EXHIBIT "B' - Budget. 5.2.2.2 During the term of this Contract, Agency may submit written requests to increase or decrease line -item amounts in the Budget, including an explanation of why such increases or decreases are necessary All such requests must be approved by the Director in writing, with such approval being in the Director's sole discretion. If Director approves the Agency's proposed Budget amendment (as approved, the Amended Budget '), then the Amended Budget will take effect on the first day of the month following the month in which it was approved by Director, unless otherwise specified in the amendment. All requests for Budget amendments must be submitted by June 1, 2016. 5.2.3 Change in Program Budget. 5.2.3.1 Agency will notify City promptly of any additional funds it receives for operation of the Program, and City reserves the right to amend this Contract in such instances to ensure compliance with HUD regulations governing cost allocation 5.2.3.2 Agency agrees to utilize funds the 1-(,SG Funds to supplement rather than supplant funds otherwise available for the Program. 5.2.4 Payment of ESG Funds to Agency. ESG Funds will be disbursed to Agency upon City's approval of Reimbursement Requests including submission of Complete Documentation to City in compliance with Section 9. If Agency expends all funds budgeted for the Program prior to September 30, 2016, City may hold back a small amount of the ESG Funds until the end of the term. During this interim period, Agency must continue to submit Reimbursement Requests with an invoiced amount of $0. It is expressly agreed by the Parties that any ESG Funds not spent or not approved for reimbursement to Agency shall remain with City. 5.3 Program Performance Milestones. 5.3.1 Agency represents that the Program will achieve the following milestones in accordance with EXHIBIT "A" - Program Summary and the table below: ESG PSA CONTRACT 2015-2016 Day Resource Center for the Homeless Page 4 Rev. 10.02.2015 Month 3 6 8 12 Expenditures 25% 50% 75% 100% Unduplicated Clients as specified in EXHIBIT "A" — Program Summary 25% 50% 75% 100% 5.3.2 Failure of Agency to meet these milestones or a material deviation from them as outlined in this Section 5 3 is a breach of this Contract. For the purpose of this Section, material deviation' shall mean more than 10% lower than the specified goal In the event of such breach, City reserves the right in its sole option to delay or withhold payment of Reimbursement Requests, to lower Agency's allocation of ESG Funds, or to terminate this Contract. 5.3.3 Failure to meet at least 80% of its performance milestones or serve 2,231 Unduplicated Clients under this Contract will automatically disqualify Agency for consideration under the City's Request for Proposals for the 2016-2017 Program Year for ffederal grant funds 5.3.4 Amendments to performance milestones must be approved by the Director in writing, with such approval being in the Director's sole discretion. If Director approves the Agency's proposed amended performance milestones (as approved, the ` Amended Performance Milestones"), then the Amended Performance Milestones will take effect on the first day of the month following the month in which it was approved by Director, unless otherwise specified in the amendment All requests for amendments to performance milestones must be submitted by June 1, 2016. Notwithstanding the above, any amendments to this Contract shall not reduce the number of Unduplicated Clients stated in Section 5.3.3 and in EXHIBIT "A" — Program Summary. 5.4 Identify Program Expenses Paid with ESG Funds. Agency will keep accounts and records in such a manner that City may readily identify and account for Program expenses reimbursed with ESG Funds. These records shall be made available to City for audit purposes and shall be retained as required hereunder. 5.5 Match. Agency must match >-(,SG Funds dollar for dollar with other funding sources. Potential sources of match include any sources described at 42 U.S.0 11375(a). Some common sources include (i) Agency funding from non-federal sources and eligible federal grants, (ii) volunteer time, which may valued at $5/hour of time, and (iii) the value or fair rental value of any donated materials or space. The monetary values Agency assigns to all sources of match are subject to review and approval by City. 5.5.1 Prior to October 1, 2015, Agency must submit to City a completed Match Report on the form attached hereto as EXHIBIT "H"- Match Report detailing actual and anticipated match sources. ESG PSA CONTRACT 2015-2016 Day Resource Center for the Homeless Page 5 Rev. 10.02.2015 5.5.2 With each Reimbursement Request, Agency must submit a log of funds expended to date on the form provided in EXHIBIT `H" - Match Report, plus documentation of any match expenditures first reported in that month's Reimbursement Request. 5.5.3 Records regarding match funds must be kept by Agency in accordance with Section 8 5.5.4 If the expenditure of match funds and ESG Funds is not happening at approximately the same pace on a quarterly basis, then the City shall withhold ESG Funds until match expenditures are substantially the same as ESG Funds reimbursed to date. 5.6 Program Subcontracts. Agency shall not enter into a subcontract with another agency, contactor, or vendor to provide a service to clients for any part of the Program that will be paid with ESG Funds without City's written consent 6. CLIENT ELIGIBILITY VERIFICATION. 6.1 Client Eligibility. Agency will document the eligibility of all prospective clients Agency may redact the client's personal information and substitute a client number. Agency may use form attached hereto as EXHIBIT "I" - Staff ESG Certification Form to document the eligibility of all prospective clients that receive direct financial assistance as more particularly described as follows. 6.1.1 Agencies Receiving ESG Funds. 6.1.1.1 Coordination of Services. Agency must participate in the local Continuum of Care and enter data in HMIS. 6.1.1.2 Homelessness Status. Agency must verify that all new clients meet the definition of homeless or at risk of homelessness in the HEARTH Act, as amended from time to time. Acceptable forms of verification include: i. For emergency persons (shelter services for homeless including childcare for homeless clients): A signed, dated statement from the client stating that the client is homeless, or that the client is homeless by virtue of fleeing domestic violence. ii. For homelessness prevention- financial assistance services: 1. Documentation that the individual or family has an annual income at or below 30% of AMI, ESG PSA CONTRACT 2015-2016 Page 6 Day Resource Center for the Homeless Rev. 10.02.2015 2. Fvidence documenting that the client does not have sufficient resources or support networks immediately available to prevent them from moving to an emergency shelter or another place defined in Category 1 of the "homeless" definition under the HEARTH Act, 3. Documentation of client's reasonable prospects of resuming payment of rent or utilities, as applicable, within a reasonable time, and 4. Documentation supporting the type and amount of assistance provided including, but not limited to, invoices, past due notices, and/or executed leases, as applicable, and proof of payment by Agency iii. For rapid re -housing services- financial assistance: 1. Documentation that the individual or family meets the homeless definition in the HEARTH Act and that the client is eligible consistent with the definition of homelessness in 24 CFR Part 576.2 paragraphs 1 and 4, 2. Documentation of habitability of the housing unit, 3. Documentation of rent reasonableness, 4. Documentation of client's reasonable prospects of resuming payment of rent and/or utilities, as applicable, within a reasonable time, 5. Evidence documenting that the client is not receiving assistance from other rapid re-housing/homelessness prevention agencies or funding sources, and 6. Documentation supporting the type and amount of assistance provided, including but not limited to, invoices, past due notices, and/or executed leases, as applicable, and proof of payment by the agency. iv. For housing relocation and stabilization services: 1. Documentation that services are provided for eligible homeless and at risk of homelessness clients as defined in the HEARTH Act, and 2. Documentation that any staff costs and or relocation/stabilization services directly benefit the eligible individual and families and are clearly distinguished from the general administration of the Progi am. 6.1.2 Performance Standards. Agency must verify that the Program is tracking ESG accordance with the City's performance standards as described Performance Standards. ESG PSA CONTRACT 2015-2016 Day Resource Center for the Homeless activities and outcomes in in EXHIBIT "J" - ESG Page 7 Rev. 10.02.2015 6.1.3 Written Standards for ESG Assistance. Agency must verify that the Program is documenting Client Eligibility in accordance with the City's written standards as described in EXHIBIT "J-1" - Written Standards for ESG Assistance. Agency must maintain all records in accordance with Section 8. 6.2 Submission of Complete Documentation Agency must submit copies of documentation of client eligibility described in Section 6 1 with Attachment III in each month's Reimbursement Request for all Unduplicated Clients. 6.2 Maintain Documentation Agency must maintain copies of all documentation required by this Section 6 for 5 years following the expiration of the Contract term. This Section shall survive the earlier terminations or expirations of this Contract. 7. ADDITIONAL ESG REOUIREMENTS. Agency agrees to comply with all requirements of the ESG Program as stated in the ESG Regulations, including but not limited to the following: 7.1 Environmental Review. ESG Funds will not be paid, and costs cannot be incurred until City has conducted an environmental review and an Environmental Review Record as required by 24 CFR Part 58. The environmental review may result in a decision to proceed with modify, or cancel the funding for the Program. Further, Agency will not undertake or commit any funds to physical or choice limiting actions as described in any applicable federal regulations. Any violation of this provision will (i) cause this Contract to terminate immediately; and (ii) require Agency to repay City the ESG Funds it has already received and forfeit any future payments of ESG Funds. 7.2 Contract Not Constituting Commitment of Funds. Notwithstanding any provision of this Contract, the Parties agree and acknowledge that this Contract does not constitute a commitment of funds, and that such commitment of funds or approval may occur only upon (i) satisfactory completion of environmental review and receipt by City of an authorization to use grant funds from HUD under 24 CFR Part 58, (ii) approval of City's 2015-2016 Action Plan, and (iii) receipt by City of grant agreement from HUD. 7.3 Monitorin2. 7.3.1 Agency understands and agrees that it will be subject to monitoring by City for compliance with teinis and provisions of this Contract and the ESG Regulations for the term of this Contract. Agency is subject to such monitoring during the term of this Contract and for 5 years after the Contract term ends. Agency will provide reports and access to Program files as requested by City during this 5 year period. For purposes of this Contract, this 5 year period for monitoring is deemed to begin on October 1, 2016 and end on September 30, 2021 regardless of whether or not this Contract is earlier terminated. ESG PSA CONTRACT 2015-2016 Page 8 Day Resource Center for the Homeless Rev. 10.02.2015 7.3.2 Representatives of City, HUD, HUD Office of Inspector General, and the United States Comptroller General shall have access during regular business hours, upon 48 hours prior notice, to Agency's offices and records pertaining to the use of the ESG Funds, and to Agency's officers, directors, agents, employees, conti actors, subcontractors and vendors for the purpose of such monitoring. 7.3.3 In addition to other provisions of this Contract regarding frequency of monitoring, City reserves the right to perfouu desk reviews or on -site monitoring of Agency's compliance with the terms and conditions of this Contract. City shall provide Agency with a written report of the monitor's findings after each monitoring visit If the monitoring report notes deficiencies in Agency's performance, the report shall include requirements for the timely correction of said deficiencies by Agency. Failure by Agency to take the action specified in the monitoring report may be cause for suspension or termination of this Contract as provided herein. 7.3.4 Subsections 7.3.1 through 7.3.3 shall be applicable for the Contract term and for 5 years thereafter and shall survive the earlier termination or expiration of this Contract. 7.3.5 Agency shall provide City annually the results of any state or federal monitoring. Such results shall be submitted within 60 days of receipt of such state or federal monitoring report, or with the January Reimbursement Request, whichever is earlier. 7.4 Aaencv Procurement Standards. Agency shall comply with all applicable federal, state and local laws, regulations, and ordinances for making procurements under this Contract. In addition to the conflict of interest provisions in Section 14.13.3, Agency shall establish written procurement procedures to ensure that materials and services are obtained in a cost effective manner and that provides for full and open competition When procuring materials and services for this Contract Agency shall comply at a minimum with the procurement standards in 2 CFR Part 200.317 through 2 CFR Part 200.326. 7.4.1 Contracts in excess of $10,000.00 made by Agency using ESG Funds must address termination for cause and convenience including the manner by which such termination shall be effected and the basis for settlement of the teiurinated contract, if any, as required by Appendix II (B), 2 CFR Part 200. 7.4.2 Agency shall not make any contract with parties listed on the governmentwide System for Award Management, www.sam.gov ("SAM"). Agency must confirm by search of SAM that all contractors paid with ESG Funds are not listed by SAM as being debarred, both prior to hiring and prior to submitting a Reimbursement Request which includes invoices from any such contractor. Failure to submit such proofs of search shall be an event of default. 7.5 Cost Principles/Cost Reasonableness. Agency shall administer its use of ESG Funds in compliance with 2 CFR Part 200 as applicable. The eligibility of costs incurred for performance rendered shall be determined in accordance 2 CFR Part 200.400 through 2 CFR Part 200.475. ESG PSA CONTRACT 2015-2016 Page 9 Day Resource Center for the Homeless Rev. 10.02.2015 7.6 Accounting Standards. Agency agrees to comply with 2 CFR Part 200, as applicable. Agency also agrees to adhere to the accounting principles and procedures required therein, utilize adequate internal controls, and maintain necessary supporting and back-up documentation for all costs incurred in accordance with 2 CFR Part 200.302 and Part 200.303. 7.7 Uniform Administrative Requirements. Cost Principles. and Audit Reauirements Agency will comply with the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards in 2 CFR Part 200, as applicable, or any reasonably equivalent procedures and requirements that City may require 7.8 Terms Applicable to Contractors. Subcontractors and Vendors. Agency understands and agrees that all terms of this Contract, whether regulatory or otherwise, shall apply to any and all contractors, subcontractors and vendors of Agency which are in any way paid with ESG Funds or who perform any work in connection with the Program. Agency shall cause all applicable provisions of this Contract to be included in and made a part of any contract or subcontract executed in the performance of its obligations hereunder including its obligations regarding the ESG Regulations. Agency shall monitor the services and work performed by its contractors, subcontractors and vendors on a regular basis for compliance with the ESG Regulations and Contract provisions. Agency must cure all violations of the hSG Regulations committed by its contractors, subcontractors or vendors. City maintains the right to insist on Agency's full compliance with the terms of this Contract and the KSG Regulations and Agency is responsible for such compliance regardless of whether actions taken to fulfill the requirements of this Contract are taken by Agency or by Agency's contractors, subcontractors or vendors. Agency acknowledges that the provisions of this Section shall survive the earlier termination or expiration of this Contract and shall be applicable for 5 years after the termination of the Contract. 7.9 Copyright and Patent Rights. No reports, maps, or other documents produced in whole or in part under this Contract shall be the subject of an application for copyright by or on behalf of Agency. HUD and City shall possess all rights to invention or discovery, as well as rights in data, which may arise as a result of Agency's performance under this Contract. 7.10 Conflict of Interest Disclosure. In accordance with the requirements of Section 14.13.2 1 and 14.13 4, Agency shall establish conflict of interest policies for federal awards. Agency shall disclose to City in writing any potential conflict of interest. 7.11 Compliance with FFATA and Whistleblower Protections. Agency shall comply with the requirements of 2 CFR 300(b), including provisions of the Federal Funding Accountability and Transparency Act (` FFATA") governing requirements on executive compensation and provisions governing whistleblower protections contained in 10 U.S.C. 2409, 41 U.S.C. 4712, 10 U.S.C. 2324, 41 U.S.C. 4304 and 41 U.S.C. 4310. ESG PSA CONTRACT 2015-2016 Day Resource Center for the Homeless Page 10 Rev. 10 02 2015 7.11.1 Agency shall provide City with its DUNS number. 7.12 Internal Controls. In compliance with the requirements of 2 CFR Part 200.303, Agency shall: 7.12.1 Establish and maintain effective internal control over the ESG Funds that provides reasonable assurance that Agency is managing the ESG Funds in compliance with federal statutes, regulations, and the terms and conditions of this Contract. These internal controls shall be in compliance with guidance in "Standards for Internal Control in the Federal Government' issued by the Comptroller General of the United States or the "Internal Control Integrated Framework" issued by the Committee of Sponsoring Organizations of the Treadway Commission ("COSO"); 7.12.2 Comply with federal statutes, regulations, and the terms and conditions of this Contract; 7.12.3 Evaluate and monitor Agency's compliance with statutes, regulations and the terms and conditions of this Contract; 7.12.4 Take prompt action when instances of noncompliance are identified including noncompliance identified in audit findings; and 7.12.5 Take reasonable measures to safeguard protected personally identifiable information and other information that HUD or City designates as sensitive or Agency considers sensitive consistent with applicable federal, state, local and tribal laws regarding privacy and obligations of confidentiality. 8. RECORD KEEPING: REPORTING AND DOCUMENTATION REOUIREMENTS: AUDIT. 8.1 Record Keeping. Agency shall maintain a record -keeping system as part of its performance of this Contract and shall promptly provide City with copies of any document City deems necessary for the effective fulfillment of City's monitoring and evaluation responsibilities. Specifically, Agency will keep or cause to be kept an accurate record of all actions taken and all funds spent, with supporting and back-up documentation. Agency will maintain all records and documentation related to this Contract for 5 years after the Contract tell' ends. If any claim, litigation, or audit is initiated before the expiration of the 5 year period, the relevant records and documentation must be retained until all such claims, litigation or audits have been resolved. For purposes of this Contract, this 5 year period for record retention is deemed to begin on October 1, 2016 and end on September 30, 2021 regardless of whether or not this Contract is earlier terminated. 8.2 Access to Records. Representatives of City, HUD and any duly authorized officials of the federal government will have full access to, and the right to examine, audit, copy, excerpt and/or transcribe any of Agency's records pertaining to all matters covered by this Contract for 5 years ESG PSA CONTRACT 2015-2016 Day Resource Center for the Homeless Page 11 Rev. 10 02 2015 after the Contract term ends. Such access shall be during regular business hours and upon at least 48 hours prior notice. For purposes of this Contract, this 5 yeai period for access to records is deemed to begin on October 1, 2016 and end on September 30, 2021 regardless of whether or not this Contract is earlier terminated. 8.3 Reports. Agency will submit to City all reports and documentation described in this Contract in such form as City may prescribe. Agency may also be required to submit a final performance and/or final financial report if required by City at the termination of this Contract in such form and within such times as City may prescribe. Failure to submit to City any report or documentation described in this Contract shall be an event of default of this Contract and City may exercise all of its remedies for default under this Contract. 8.3.1 Additional Information. Agency shall provide City with additional information as may be required by state or federal agencies to substantiate Program activities and/or expenditure eligibility. 8.4 Change in Reporting Requirements and Forms. City retains the right to change reporting requirements and forms at its discretion City will notify Agency in writing at least 15 days prior to the effective date of such change, and the Parties shall execute an amendment to the Contract reflecting such change if necessary. 8.5 Audit. 8.5.1 Entities that Expend $750.000 or more in Federal Funds Per Year. All non-federal entities that expend $750,000 or more in federal funds within 1 year, regardless of the source of the federal award, must submit to City an annual audit prepared in accordance with specific reference to 2 CFR Part 200.501 through Part 200.521. The audit shall cover the Agency's fiscal years during which this Contract is in force. The audit must be prepared by an independent certified public accountant be completed within 6 months following the end of the period being audited and be submitted to City within 30 days of its completion. Agency's audit certification is attached hereto as EXHIBIT "C ' - "Audit Certification Form" and "Audit Requirements". The Audit Certification Form must be submitted to City prior to or with the first Reimbursement Request. Entities that expend less than $750,000 a year in federal funds are exempt from federal audit requirements foi that year, but records must be available for review or audit by appropriate officials of the federal agency, City, and General Accounting Office. 8.5.2 City Reserves the Right to Audit. City reserves the right to perfoiin an audit of Agency's Program operations and finances at any time during the term of this Contract and for 5 years after the Contract Term ends if City determines that such audit is necessary for City's compliance with the ESG Regulations or other City policies. Agency agrees to allow access to all pertinent materials as described herein for such audit. For purposes of this Contract, this 5 year period for City audit is deemed to begin on October 1, 2016 and end on September 30, 2021 regardless of whether or not this Contract is earlier terminated. If such audit reveals a questioned practice or expenditure, such questions ESG PSA CONTRACT 2015-2016 Page 12 Day Resource Center for the Homeless Rev. 10 02 2015 must be resolved within 15 business days after notice to Agency of such questioned practice or expenditure If questions are not resolved within this period, City reserves the right to withhold further funding under this Contract and/oi any other contracts with Agency IF AS A RESULT OF ANY AUDIT IT IS DETERMINED THAT AGENCY HAS FALSIFIED ANY DOCUMENTATION OR MISUSED, MISAPPLIED OR MISAPPROPRIATED ESG FUNDS OR SPENT ESG FUNDS ON ANY INELIGIBLE ACTIVITIES, AGENCY AGREES TO REIMBURSE CITY THE AMOUNT OF SUCH MONIES PLUS THE AMOUNT OF ANY SANCTIONS, PENALTY OR OTHER CHARGE LEVIED AGAINST CITY BY HUD BECAUSE OF SUCH ACTIONS. 9. REIMBURSEMENT REOUIREMENTS. 9.1 Deadline for Submittine Reimbursement Requests. 9.1.1 Reimbursement Requests shall be submitted monthly to the City and must be received by the City on or before the 15th day of the month following the month expenses were paid by Agency. For example, the Reimbursement Request for June expenses must be received by July 15. In the event the 15th falls on a weekend or City holiday, Reimbursement Requests shall be due the next day that the City is open for business. Failure to submit a Reimbursement Request in a timely fashion will result in City taking the actions outlined in Section 10.1. NOTWITHSTANDING ANYTHING ABOVE, THE REIMBURSEMENT REQUEST FOR EXPENSES INCURRED FOR SEPTEMBER 2016 MUST BE RECEIVED BY OCTOBER 1, 2016. COMPLETE DOCUMENTATION FOR ALL SEPTEMBER 2016 EXPENSES MUST BE SUBMITTED BY OCTOBER 15, 2016. FAILURE TO SUBMIT A FINAL REIMBURSEMENT REQUEST WITH COMPLETE DOCUMENTATION BY OCTOBER 15, 2016 WILL RESULT IN AUTOMATIC FORFEITURE OF PAYMENT OF THE SEPTEMBER REIMBURSEMENT REQUEST. 9.1.2 City will notify Agency by e-mail within 20 calendar days if a Reimbursement Request is lacking Complete Documentation or corrections are needed. Agency will have 10 business days from the date of the e-mail notice to submit any requested information or missing documentation Agency will be penalized in the Request for Proposal for the 2016-2017 Program Year for any notifications received under this Section If Agency fails to submit all the required information or missing documentation within 30 calendar days from the first e-mail, Agency shall forfeit any payments otherwise due that month and failure to submit any requested information will be considered an event of default as outlined in Section 10.1.2. 9.2 Submission of Reimbursement Requests. Agency shall provide City with Complete Documentation and the following reports as shown in EXHIBIT "D" - Reimbursement Forms with each Reimbursement Request. 9.2.1 Attachment I - Invoice. This report shall contain the amount requested for reimbursement each month, the cumulative reimbursement requested to date (inclusive of that month's request), and must be signed by an authorized signatory of Agency. By signing Attachment I, Agency is certifying ESG PSA CONTRACT 2015-2016 Page 13 Day Resource Center for the Homeless Rev. 10 02 2015 that the costs are valid, eligible, consistent with the terms and conditions of this Contract, and the data contained in the report is true and correct. This report must be submitted even if Agency is requesting $0 for a particular month 9.2.1.1 Agency must submit a separate invoice for each activity type, i.e. Shelter Operations, Homeless Prevention, Rapid Rehousing, and HMIS 9.2.2 Attachment II - Expenditure Worksheet. This report shall itemize each expense requested for reimbursement by Agency and shall include the Account corresponding the expense to a Budget line item. In order for this report to be complete the following must be submitted. 9.2.2.1 For payroll expenses, timesheets signed by employees and approved by supervisor for all payroll expenses listed. Timesheets must distinguish between ESG-funded time and non-ESG funded time and reflect actual time spent on ESG-funded activities. Agency may not submit payroll expenses dated 60 calendar days prior to the date of the Reimbursement Request. 9.2.2.2 For non -payroll expenses, invoices for each expense listed with an explanation as to how the invoiced expense pertains to the Program. Agency may not submit invoices dated 60 calendar days prior to the date of the Reimbursement Request. 9.2.2.3 Proof that each expense was paid by Agency, which proof can be satisfied by canceled checks wire transfer documentation, paid receipts or other appropriate banking documentation. 9.2.3 Attachment III - Client Data Report. This report shall list each Unduplicated Client served during the month along with his or her demographic information. The Client Data Report must maintain a list of all clients served during the Contract term. If Agency, receives funds from the United States Department of Justice then Agency is prohibited from submitting the Client Data Report to the City. However Agency must complete all required forms under this Section 9 2.3 and maintain in client files in accordance with Section 8. In order for this report to be complete the following must be submitted: 9.2.3.1 Documentation of income verification for each Unduplicated Client the first time the client is served, which either will be the completed form attached hereto as EXHIBIT `E"- Form of Income Self Certification or Source Documentation. 9.2.3.2 Agency may use the form attached hereto as EXHIBIT "I" - Staff ESG Certification Form to verify client eligibility as described in Section 6.1. ESG PSA CONTRACT 2015-2016 Day Resource Center for the Homeless Page 14 Rev. 10.02.2015 9.2.4 Delivery of Reimbursement Request. Reimbursement Requests can be mailed or delivered in person to Neighborhood Services Department, 908 Monroe Street, Fort Worth, Texas 76102 In addition, Agency can submit Reimbursement Requests via email to psa(aifortworthtexas Gov. but Agency must submit a signed original of Attachment I by the deadline in Section 9 1 1 9.2.5 Match Report. This report shall document actual expenditure of match funds, as further described in Section 5.5. 9.2.6 ESG Ouarterly HMIS Report. Agency shall submit the ESG Quarterly HMIS Report, attached hereto as EXHIBIT "K" Quarterly Report, with the January 15, April 15, July 15 and October 15 Reimbursement Requests to document Agency's participation in the local Continuum of Care s HMIS. A paper copy must be submitted with the Reimbursement Request, and an electronic copy must also be emailed to psa@fortworthtexas.gov. 9.3 Withholding Payment. CITY SHALL HAVE NO OBLIGATION TO PAY ON ANY REIMBURSEMENT REQUEST THAT IS NOT RECEIVED BY THE DUE DATE. Failure to timely submit Reimbursement Requests and Complete Documentation along with any required reports shall be an event of default. 10. DEFAULT AND TERMINATION. 10.1 Failure to Submit Reimbursement Request or Required Documentation. 10.1.1 If Agency fails to submit a Reimbursement Request in accordance with Section 9, Agency shall be in default of this Contract. City will notify Agency in writing of such default and the Agency will have 10 business days from the date of the written notice to submit such Reimbursement Request to cure the default If Agency fails to cure the default within such time, Agency shall forfeit any payments otherwise due that month 10.1.2 If Agency fails to submit requested information or missing documentation as set forth in Section 9.1.2, then Agency shall forfeit payment due that month and the failure to submit shall be considered an event of default that shall not be cured. 10.1.3 NOTWITHSTANDING THE PROVISIONS OF SECTION 10.1.1 OR 10.1.2, IF AGENCY FAILS TO SUBMIT THE REIMBURSEMENT REQUEST DUE OCTOBER 1, 2016, OR IF THE SUBMITTED REIMBURSEMENT REQUEST FOR OCTOBER 1, 2016 IS LATE, INCOMPLETE OR OTHERWISE NOT IN COMPLIANCE WITH THIS CONTRACT OR THE ESG REGULATIONS AS DETERMINED BY CITY IN ITS SOLE DISCRETION, THERE WILL BE NO CURE PERIOD AND ANY REIMBURSEMENT WILL BE FORFEITED. ESG PSA CONTRACT 2015-2016 Page 15 Day Resource Center for the Homeless Rev. 10.02.2015 10.1.4 In the event of (i) an uncured default under Section 10.1.1 or an event of default under 10.1.2 (ii) or more than 2 instances of default, cured or uncured, under these Sections, City reserves the right at its sole option to terminate this Contract effective immediately upon written notice of such intent with no penalty or liability to City. 10.1.5 Notwithstanding anything to the contrary herein, City will not be required to pay any ESG Funds to Agency during the period that any Reimbursement Request, report or documentation is past due or is not in compliance with this Contract or the 1-4 SG Regulations, or during any period during which Agency is in default of this Contract. 10.1.6 In the event of termination under this Section 10.1, all ESG Funds awarded but unpaid to Agency pursuant to this Contract shall be immediately forfeited and Agency shall have no further right to such funds. 10.2 Failure to Maintain Records or Submit Reports and Documentation. If Agency fails to maintain all records and documentation as required in Section 8, or if the maintained or submitted report or documentation is not in compliance with this Contract or the ESG Regulations as determined by City in its sole discretion City will notify Agency in writing and Agency will have 30 calendar days from the date of the written request to obtain or recreate the missing records and documentation or submit or resubmit any such report or documentation to City. If Agency fails to maintain the required reports or documentation, or fails to submit or resubmit any such report or documentation within such time, City shall have the right to terminate this Contract effective immediately upon written notice of such intent with no penalty or liability to City. 10.2.1 In the event of termination under this Section 10.2, all ESG Funds awarded but unpaid to Agency pursuant to this Contract shall be immediately forfeited and Agency shall have no further right to such funds, and any ESG Funds paid to Agency must be repaid to City within 30 days of termination If such IH SG funds are not repaid to City within the 30 day period, City shall exercise all legal remedies available under this Contract. 10.3 In General. 10.3.1 Subject to Section 10.2, and unless specifically provided otherwise in this Contract, Agency shall be in default under this Contract if Agency breaches any teen or condition of this Contract In the event that such a breach remains uncured after 30 calendar days following written notice by City (or such other notice period as may be specified herein) or, if Agency has diligently and continuously attempted to cure following receipt of such written notice but reasonably requires more than 30 calendar days to cure, as determined by both Parties mutually and in good faith, City shall have the right to elect in City's sole discretion to (i) extend Agency's time to cure, (ii) terminate this Contract effective immediately upon written notice of such intent to Agency, or (iii) pursue any other legal remedies available to City under this Contract. 10.3.2 City's remedies may include: ESG PSA CONTRACT 2015-2016 Day Resource Center for the Homeless Page 16 Rev. 10 02 2015 10.3.2.1 Direct Agency to prepare and follow a schedule of actions for carrying out the affected activities, consisting of schedules, timetables and milestones necessary to implement the affected activities. 10.3.2.2 Direct Agency to establish and follow a management plan that assigns responsibilities for carrying out the remedial activities. 10.3.2.3 Reprogram ESG Funds that have not yet been expended from affected activities to other eligible activities or withhold ESG Funds. 10.3.2.4 Any other appropriate action including but not limited to any remedial action legally available such as declaratory judgment, specific performance, damages, temporary or permanent injunctions, termination of this Contract or any other contracts with Agency, and any other available remedies. 10.3.3 In the event of termination under this Section 10.3, all I-4 SG Funds awarded but unpaid to Agency pursuant to this Contract shall be immediately forfeited and Agency shall have no further right to such funds, and any ESG Funds already paid to Agency must be repaid to City within 30 days of the termination Failure to repay such 1-4,SG Funds within the 30 day period will result in City exercising all legal remedies available under this Contract. 10.4 No Funds Disbursed while in Breach. Agency understands and agrees that no ESG Funds will be paid to Agency until all defaults are cured to City's satisfaction 10.5 No Compensation After Date of Termination. Agency shall not receive any compensation for work undertaken after the date of the termination 10.6 Rights of Citv Not Affected. Termination shall not affect or terminate any of the existing rights of City against Agency, or which may thereafter accrue because of Agency s default and this provision shall be in addition to any and all other rights and remedies available to City under the law. Such termination does not terminate any provisions of this Contract that have been expressly noted as surviving the term or termination of the Contract. No delay or omission by City in exercising any right or remedy available to it under this Contiact shall impair any such right or remedy or constitute a waiver or acquiescence in any Agency default. 10.7 Waiver of Breach Not Waiver of Subsequent Breach. The waiver of a default or breach of any tetur, covenant, or condition of this Contract shall not operate as a waiver of any subsequent default or breach of the same or any other term, covenant or condition hereof. ESG PSA CONTRACT 2015-2016 Day Resource Center for the Homeless Page 17 Rev. 10.02.2015 10.8 Civil, Criminal and Administrative Penalties. Failure to perform all the Contract terms may result in civil, criminal or administrative penalties, including, but not limited to those set out in this Contract. 10.9 Termination for Cause. 10.9.1 City may terminate this Contract in the event of Agency's default, inability, or failure to perform subject to notice, grace and cure periods. In the event City terminates this Contract for cause, all ESG Funds awarded but unpaid to Agency pursuant to this Contract shall be immediately rescinded and Agency shall have no further right to such funds and any 1i SG Funds already paid to Agency must be repaid to City within 30 days of termination. Failure to repay such ESG Funds within 30 days will result in City exercising all legal remedies available to City under this Contract. AGENCY ACKNOWLEDGES AND AGREES THAT IF CITY TERMINATES THIS CONTRACT FOR CAUSE, AGENCY OR ANY AFFILIATES OF AGENCY SHALL NOT BE CONSIDERED FOR ANY OTHER CITY CONTRACT FOR ESG FUNDS FOR A MINIMUM OF 5 YEARS FROM THE DATE OF TERMINATION. 10.9.2 Agency may terminate this Contract if City does not provide the ESG Funds substantially in accordance with this Contract. 10.10 Termination for Convenience. In terminating in accordance with 2 CFR Part 200, Appendix II, this Contract may be terminated in whole or in part only as follows: 10.10.1 By City with the consent of Agency in which case the Parties shall agree upon the termination conditions, including the effective date and in the case of partial termination, the portion to be terminated; or 10.10.2 By Agency upon at least 30 days written notification to City, setting forth the reasons for such termination, the effective date, and in the case of partial termination, the portion to be terminated In the case of a partial termination, City may terminate the Contract in its entirety if City deter nines in its sole discretion that the remaining portion of the Contract to be performed or 1-(SO Funds to be spent will not accomplish the purposes for which the Contract was made. 10.11 Dissolution of Atencv Terminates Contract. This Contract shall terminate in the event Agency is dissolved or ceases to exist. In the event of termination under this Section, all ESG Funds are subject to repayment and/or City may exercise all of its remedies under this Contract. 10.12 Reversion of Assets. In the event this Contract is terminated with or without cause, all assets acquired by Agency with the ESG Funds including cash, interest payments from loans or otherwise, all outstanding notes, mortgages or other security instruments, any accounts receivable attributable to the use of the ESG Funds, and any real or personal property owned by Agency that was ESG PSA CONTRACT 2015-2016 Day Resource Center for the Homeless Page 18 Rev. 10 02 2015 improved with the F,SG Funds shall automatically transfer to City or to such assignee as City may designate. 11. REPAYMENT OF ESG FUNDS. All ESG Funds ate subject to repayment in the event the Program does not meet the requirements of this Contract or in the ESG Regulations. If Agency takes any action that results in the City being required to repay all or any portion of the ESG Funds to HUD, Agency agrees it will reimburse City for such repayment. If Agency takes any action that results in City receiving a finding from HUD about the Program, whether or not repayment of all or any portion of the ESG Funds is required of City, Agency agrees it will pay City 10% of the ESG Funds as liquidated damages. The Parties agree that City's damages in the event of either repayment to HUD being required or receiving a finding fi om HUD are uncertain and would be difficult to ascertain and may include an impact on City's ESG grant or other federal grant funds, in addition to the finding by HUD or a required repayment of funds to HUD by City. Therefore, the Parties agree that payment under this Section of 10% of the ESG Funds by Agency to City is liquidated damages and not a penalty. 12. CHANGE IN NON-PROFIT STATUS. Agency must provide City with written notification of any changes to its non-profit status within 15 calendar days of being notified of the change If the non-profit status of Agency changes after the date of this Contract, City may but is not obligated to, terminate this Contract. City has 30 calendai days to make such determination after receipt of written notice from Agency and failure to make such determination will constitute a waiver. In the event of termination under this Section 12, all hSG Funds awarded but not yet paid to Agency pursuant to this Contract shall be immediately rescinded and Agency shall have no further right to such funds. Any ESG Funds already paid to Agency must be repaid to City within 30 calendar days of termination under this Section. 13. SURVIVAL. Any provision of this Contract that pertains to auditing, monitoring, client income eligibility, record keeping and reports, City ordinances, or applicable ESG requirements, and any default and enforcement provisions necessary to enforce such provisions shall survive the termination of this Contract for 5 years after the Contract term ends and shall be enforceable by City against Agency. For purposes of this Contract, this 5 year period for survival of certain Contract provisions is deemed to begin on October 1, 2016 and end on September 30, 2021 regardless of whether or not this Contract is earlier terminated. 14. GENERAL PROVISIONS 14.1 Agency an Independent Contractor. Agency shall operate hereunder as an independent contractor and not as an officer, agent, servant or employee of City. Agency shall have exclusive control of, and the exclusive right to control, the details of the work and services performed hereunder, and all persons performing ESG PSA CONTRACT 2015-2016 Day Resource Center for the Homeless Page 19 Rev. 10 02 2015 same, and shall be solely responsible for the acts and omissions of its officers, members, agents, servants, employees, contractors, subcontractors, vendors, clients, licensees or invitees. 14.2 Doctrine of Respondeat Superior. The doctrine of respondeat superior shall not apply as between City and Agency, or its officers, members, agents, servants, employees, contractors, subcontractors, vendors, clients, licensees or invitees, and nothing herein shall be construed as creating a partnership or joint enterprise between City and Agency. City does not have the legal right to control the details of the tasks performed hereunder by Agency, its officers, members, agents, employees, contractors, subcontractors, vendors, clients, licensees or invitees. 14.3 Agency Property. City shall under no circumstances be responsible for any property belonging to Agency, or its officers, members, agents, employees, contractors, subcontractors, vendors, clients, licensees or invitees that may be lost, stolen or destroyed or in any way damaged and AGENCY HEREBY INDEMNIFIES AND HOLDS HARMLESS CITY AND ITS OFFICERS, AGENTS, AND EMPLOYEES FROM ANY AND ALL CLAIMS OR SUITS PERTAINING TO OR CONNECTED WITH SUCH PROPERTY. 14.5 Religious Organization. No portion of the ESG Funds shall be used in support of any sectarian or religious activity. In addition, there must be no religious or membership criteria for clients of a ESG- funded service. 14.6 Venue. Venue shall he in Tarrant County, Texas for any action, whether real or asserted, at law or in equity, arising out of the execution, performance, attempted performance or non-performance of this Contract. 14.7 Governing Law. This Contract 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 out of the execution, performance or non-performance of this Contract or on the basis of any provision herein, for any issue not governed by federal law, the choice of law shall be the laws of the State of Texas. 14.8 Severabilitv. The provisions of this Contract are severable, and if for any reason a clause, sentence, paragraph or other part of this Contract shall be determined to be invalid by a court or federal or state agency, board or commission having jurisdiction over the subject matter thereof, such invalidity shall not affect other provisions which can be given effect without the invalid provision. 14.9 Written Agreement Entire Contract. This written instrument and the Exhibits, Attachments, and Addendums attached hereto, which are incorporated by reference and made a part of this Contract for all purposes, constitute the entire agreement by the Parties concerning the work and services to be performed under this ESG PSA CONTRACT 2015-2016 Page 20 Day Resource Center for the Homeless Rev. 10 02 2015 Contract. Any prior or contemporaneous oral or written agreement which purports to vary the terms of this Contract shall be void. Any amendments to the terms of this Contract must be in writing and executed by the Parties. 14.10 Paragraph Headings for Reference Only, No Legal Significance: Number and Gender. The paragraph headings contained herein are for convenience in reference to this Contract and are not intended to define or to limit the scope of any provision of this Contract. When context requires, singular nouns and pronouns include the plural and the masculine gender shall be deemed to include the feminine or neuter and the neuter gender to include the masculine and feminine. The words "include" and "including" whenever used herein shall be deemed to be followed by the words "without limitation". 14.11 Compliance With All Applicable Laws and Regulations. Agency agrees to comply fully with all applicable laws and regulations that are currently in effect or that are hereafter amended during the performance of this Contract. Those laws include, but are not limited to: ➢ IH,SG Regulations found in 24 CFR Part 576 ➢ SubtitleB of Title IV of the McKinney-Vento Homeless Assistance Act, as amended, (42 USC 11371) ➢ Title VI of the Civil Rights Act of 1964 (42 U.S.C. Sections 2000d et seq) including provisions requiring recipients of federal assistance to ensure meaningful access by person of limited English proficiency 9 The Fair Housing Act, Title VIII of the Civil Rights Act of 1968 (42 U.S.C. Sections 3601 et seq.) ➢ Executive Orders 11063, 11246 as amended by 11375 and 12086 and as supplemented by Department of Labor regulations 41 CFR Part 60 ➢ The Age Discrimination in Employment Act of 1967 ➢ The Age Discrimination Act of 1975 (42 U.S.C. Sections 6101 et seq.) ➢ The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (42 U.S.C. Sections 4601 et seq. and 49 CFR Part 24) (` URA") ➢ Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. Sections 794 et seq.) and 24 CFR Part 8 where applicable ➢ National Enviionmental Policy Act of 1969, as amended, 42 U.S.C. Sections 4321 et seq. ("NEPA") and the related authorities listed in 24 CFR Part 58. ➢ The Clean Air Act, as amended, (42 U.S C. Sections 1251 et seq.) and the Clean Water Act of 1977, as amended (33 U.S.C. Sections 1251 et seq.) and the related Executive Order 11738. In no event shall any amount of the assistance provided under this Contract be utilized with respect to a facility that has given rise to a conviction under the Clean Air Act or the Clean Water Act. ➢ Immigration Reform and Control Act of 1986 (8 U.S.C. Sections 1101 et seq.) specifically including the provisions requiring employer verifications of legal status of its employees ➢ The Americans with Disabilities Act of 1990 (42 U.S.C. Sections 12101 et seq.), the Architectural Barriers Act of 1968 as amended (42 U.S.C. Sections 4151 et seq.) and the Uniform Federal Accessibility Standards, 24 CFR Part 40, Appendix A ESG PSA CONTRACT 2015-2016 Day Resource Center for the Homeless Page 21 Rev. 10 02 2015 ➢ Regulations at 24 CFR Part 87 related to lobbying, including the requirement that certifications and disclosures be obtained from all covered persons ➢ Drug Free Workplace Act of 1988 (41 U.S.C. Sections 701 et seq.) and 24 CFR Part 23, Subpart F ➢ Executive Order 12549 and 24 CFR Part 5.105(c) pertaining to restrictions on participation by ineligible, debarred or suspended persons or entities ➢ Section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act ➢ Guidelines of the Environmental Protection Agency at 40 CFR Part 247 ➢ For contracts and subgrants for construction or repair, Copeland "Anti -Kickback" act (18 U.S.C. 874) as supplemented in 29 CFR Part 5 ➢ For construction contracts awarded by Agency in excess of $2,000, and in excess of $2,500 for other contracts which involve the employment of mechanics or laborers, Sections 103 and 107 of the Contract Work Hours and Safety Standards Act (40 U.S.C. 327A 300) as supplemented by 29 CFR Part 5 ➢ Lead -Based Paint Poisoning Prevention Act (42 U.S.C. 4801 et seq), as amended by the Residential Lead -Based Paint Hazard Reduction Act of 1992 (42 U.S.C. 4851 et seq.) and implementing regulations at 24 CFR Part 35, subparts A, B, M, and R ➢ Unifouu Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, 2 CFR Part 200 et seq. ➢ Federal Funding Accountability and Transparency Act of 2006 ("FFATA") (Pub L. 109-282, as amended by Section 6205(a) of Pub L 110-252 and Section 3 of Pub L 113-101) ➢ Federal Whistleblower Regulations as contained in 10 U.S.C. 2409, 41 U.S.C. 4712, 10 U.S.C. 2324, 41 U.S.C. 4304 and 41 U.S.C. 4310. 14.11 HUD -Assisted Protects and Employment and other Economic Opportunities: Section 3 Requirements. 14.11.1 Reauirement that Law Be Quoted in Covered Reauirements Pertaining to Section 3 of the Development Act of 1968 as Amended (12 U.S.C. and its Related Regulations at 24 CFR Part 135. Contracts. — Certain Housing and Urban Sections 1701 et seq.), If the Program results in the creation of new employment, training, or contracting opportunities on a contractor of subcontractor level resulting from the expenditure of the ESG Funds, Agency shall comply with the following and will ensure that its contractors also comply If the work performed under this Contract is on a project assisted under a program providing direct federal financial assistance from HUD, Section 3 of 24 CFR Part 135.38 ("Section 3") requires that the following clause, shown in italics, be inserted in all covered contracts ("Section 3 Clause"): Section to be quoted in covered contracts begins: "A. The work to be performed under this contract is subject to the requirements of Section 3 of Housing and Urban Development Act of 1968, as amended, 12 U.S.C. section 1701 u (Section 3). The purpose of Section 3 is to ensure that employment and other economic opportunities generated by HUD ESG PSA CONTRACT 2015-2016 Day Resource Center for the Homeless Page 22 Rev. 10 02 2015 assisted or HUD -assisted programs covered by Section 3, shall to the greatest extent feasible, be directed to low- and very -low income persons, particularly persons who are recipients of HUD assistance for housing. B. The parties to this contract agree to comply with HUD's regulations in 24 CFR Part 135, which implement Section 3. As evidenced by their execution of this contract, the parties to this contract certify that they are under no contractual or other impediment that would prevent them from complying with the Part 135 regulations. C. The contractor agrees to send to each labor organization or• representative of workers with which it has a collective bargaining agreement or other understanding, if any, a notice advising the labor organization or workers' representatives of the contractor's commitments under this Section 3 clause and will post copies of the notice in conspicuous places at the work site where both employees and applicants for training and ernployrnent positions can see the notice. The notice shall describe the Section 3 preference, shall set forth minimum number and job titles subject to hire, availability of apprentice and training positions, the qualifications for each; and the name and location of the person(s) taking applications for each of the positions; and the anticipated date the work shall begin. D. The contractor agrees that it will include this Section 3 clause in every subcontract to comply with regulation in 24 CFR Part 135, and agrees to take appropriate action, as provided in an applicable provision of the subcontract or in this Section 3 clause, upon finding that the subcontractor is in violation of the regulations in 24 CFR Part 135. The contractor will not subcontract with any subcontractor where it has notice or knowledge that the subcontractor has been found in violation of regulations in 24 CFR Part 135. E. The contractor will certify that any vacant employment positions, including training positions that are filed: (1) after the contractor is selected but before the contract is executed, and (2) with persons other than those to whom the regulations of 24 CFR Part 135. The contractor will not subcontract with any subcontractor where it has notice or knowledge that the subcontractor has been found in violation of regulations in 24 CFR Part 135. F. Noncompliance with HUD's regulation in 24 CFR Part 135 may result in sanctions, termination of this contract for default, and debarment or suspension from future HUD assisted contracts. G. With respect to work performed in connection with Section 3 covered Indian housing assistance, section 7(b) of the Indian Self -Determination and Education Assistance Act (25 U.S. C. Section 450(e) also applies to the work to be performed under this Contract. Section 7(b) requires that to the greatest extent feasible (i) preference and opportunities for training and employment shall be given to Indians, and (ii) preference in the award of contracts and subcontracts shall be given to Indian organizations and Indian -owned Economic Enterprises. Parties to this contract that are subject to the provisions of Section 3 and Section 7(b) agree to comply with Section 3 to the maximum extent feasible, but not in derogation of compliance with Section 7(b). " Section to be quoted in covered contracts ends. ESG PSA CONTRACT 2015-2016 Day Resource Center for the Homeless Page 23 Rev. 10 02 2015 14.11.2 Agency Responsibilities for Section 3 Requirements. City and Agency understand and agree that compliance with the provisions of Section 3, the regulations set forth in 24 CFR Part 135, and all applicable rules and orders of HUD shall be a condition of the federal financial assistance provided to the Piogram binding upon City and Agency and their respective successors, assigns contractors and subcontractors. Failure to fulfill these requirements shall subject Agency and its contractors and subcontractors and their respective successors and assigns to those sanctions specified by the grant agreement through which federal assistance is provided and to such sanctions as are specified by 24 CFR Part 135. Agency's responsibilities include: 14.11.2.1 Implementing procedures to notify Section 3 residents and business concerns about training, employment, and contracting opportunities generated by Section 3 covered assistance; 14.11.2.2 Notifying potential contractors working on Section 3 covered projects of their i esponsibilities; 14.11.2.3 Facilitating the training and employment of Section 3 residents and the award of contracts to Section 3 business concerns; 14.11.2.4 Assisting and actively cooperating with the HED Department in making contractors and subcontractors comply; 14.11.2.5 Refraining from entering into contracts with contractors that are in violation of Section 3 regulations; 14.11.2.6 Documenting actions taken to comply with Section 3; and 14.11.2.7 Submitting Section 3 Annual Summary Reports (Form HUD- 60002) in accordance with 24 CFR Part 135.90. 14.11.3 Section 3 Reporting Requirements. In order to comply with the Section 3 requirements, Agency must submit the forms attached hereto as EXHIBIT "G" - Section 3 Reporting Forms. 14.11.3.1 Report to the City on a quarterly basis all applicants for employment, and all applicants for employment by contractor and subcontractor. This shall include name, address, zip code, date of application, and status (hired/not hired) as of the date of the report. 14.11.3.2 Advertise available positions to the public for open competition and provide documentation to City with the quarterly report that demonstrates such open advertisement in the fotni of printout of Texas Workforce Commission posting, copy of newspaper advertisement, copy of flyers and listing of locations where flyers were distributed, and the like. ESG PSA CONTRACT 2015-2016 Day Resource Center for the Homeless Page 24 Rev. 10 02 2015 14.11.3.3 Report to the City on a quarterly basis all contracts awarded by contractor and subcontractor. This shall include name of contractor and/or subcontractor, address, zip code, and amount of award as of the date of the report. 14.12 Prohibition Against Discrimination. 14.12.1 General Statement. Agency shall comply in the execution, performance or attempted performance of this Contract, with all non-discrimination requirements of 24 CFR Part 5 as modified by 24 CFR Part 576.57(a) and Chapter 17, Article III, Division 4 — Fair Housing of the City Code. Agency may not discriminate against any person because of race, color, sex, gender, religion, national origin, familial status, disability or perceived disability, sexual orientation, gender identity, gender expression, or transgender, nor will Agency permit its officers, members, agents, employees, or clients to engage in such discrimination. This Contract is made and entered into with reference specifically to Chapter 17, Article III, Division 3 - Employment Practices of the City Code, and Agency hereby covenants and agrees that Agency, its officers, members, agents, employees and contractors, have fully complied with all provisions of same and that no employee, or applicant for employment has been discriminated against under the terms of such ordinances by either or its officers, members, agents, employees or contractors. 14.12.2 No Discrimination in Employment during the Performance of This Contract. During the performance of this Contract Agency agrees to the following provision, and will require that its contractors and subcontractors also comply with such provision by including it in all contracts with its contractors: [Contractor's, Subcontractor's or Vendor's name] will not unlawfully discriminate against any employee or applicants for employment because of race, color, sex, gender, religion, national origin, familial status, disability or perceived disability, sexual orientation, gender identity, gender expression or transgender. [Contractor's, Subcontractor's or Vendor's name] will take affirmative action to ensure that applicants are hired without regard to race color, sex, gender religion national origin, familial status, disability or perceived disability, sexual orientation, gender identity, gender expression or transgender and that employees are treated fairly during employment without regard to their race, color, sex, gender, religion, national origin, familial status, disability or perceived disability, sexual orientation, gender identity, gender expression or transgender. Such action shall include, but not be limited to, the following: employment, upgrading, demotion or transfer, recruitment or recruitment advertising, layoff or termination, rates of pay or other forms of compensation, and selection for training, including apprenticeship. [Contractor's, Subcontractor's or Vendor's _name] agrees to post in conspicuous places, available to employees and applicants for employment, notices setting forth the provisions of this nondiscrimination clause. [Contractor's Subcontractor's or Vendor s name] will, in all solicitations or advertisements for employees placed by or on behalf of [Contractor's, Subcontractor's or ESG PSA CONTRACT 2015-2016 Page 25 Day Resource Center for the Homeless Rev. 10 02 2015 Vendor's name], state that all qualified applicants will receive consideration for employment without regard to race, color, sex, gender, religion, national origin, familial status, disability or perceived disability, sexual orientation, gender identity, gender expression or transgender. [Contractor's, Subcontractor's or Vendor's name] covenants that neither it nor any of its officers members, agents, employees, or contractors, while engaged in performing this Contract, shall, in connection with the employment, advancement or discharge of employees or in connection with the terms, conditions or privileges of their employment, discriminate against persons because of their age or because of any disability or perceived disability, except on the basis of a bona fide occupational qualification, retirement plan or statutory requirement. [Contractor's, Subcontractor's or Vendor's name] further covenants that neither it nor its officers members, agents, employees, contractors, or persons acting on their behalf, shall specify, in solicitations or advertisements for employees to work on this Contract, a maximum age limit for such employment unless the specified maximum age limit is based upon a bona fide occupational qualification, retirement plan or statutory requirement 14.12.3 Agency s Contractors and the ADA. In accordance with the provisions of the Americans With Disabilities Act of 1990 ( `ADA"), Agency warrants that it and any of its contractors will not unlawfully discriminate on the basis of disability in the provision of services to the general public, nor in the availability, terms and/or conditions of employment for applicants for employment with, or employees of, Agency or any of its contractors. AGENCY WARRANTS IT WILL FULLY COMPLY WITH THE ADA'S PROVISIONS AND ANY OTHER APPLICABLE FEDERAL, STATE AND LOCAL LAWS CONCERNING DISABILITY AND WILL DEFEND, INDEMNIFY AND HOLD CITY HARMLESS AGAINST ANY CLAIMS OR ALLEGATIONS ASSERTED BY THIRD PARTIES, CONTRACTORS SUBCONTRACTORS, VENDORS OR AGENTS AGAINST CITY ARISING OUT OF AGENCY'S AND/OR ITS CONTRACTORS', SUBCONTRACTORS', VENDORS' OR AGENTS' OR THEIR RESPECTIVE EMPLOYEES' ALLEGED FAILURE TO COMPLY WITH THE ABOVE -REFERENCED LAWS CONCERNING DISABILITY DISCRIMINATION IN THE PERFORMANCE OF THIS CONTRACT. 14.13. Conflicts of Interest and Violations of Criminal Law. 14.13.1 Agency Safeguards. Agency shall establish safeguards to prohibit its employees, board members, advisors and agents from using positions for a purpose that is or gives the appearance of being motivated by a desire for private gain for themselves or others, particularly those with whom they have family, business or other ties. Agency shall disclose to City any such conflict of interest or potential conflict of interest, immediately upon discovery of such. 14.13.2 General Prohibition Against Conflicts of Interest. No employees, agents, consultants, officers or elected officials or appointed officials of City or of Agency who exercise or have exercised any functions or responsibilities with respect to activities assisted with F,SG funds or who are in a position to participate in a decision -making process or gain inside information with regard to these activities may utilize ESG services, may ESG PSA CONTRACT 2015-2016 Page 26 Day Resource Center for the Homeless Rev. 10 02 2015 obtain a financial interest or benefit from a ESG-assisted activity, or have an interest in any contract, subcontract or agreement with respect thereto, or the proceeds thereunder, either for themselves or those with whom they have family or business ties, during their tenure or for 1 year thereafter, unless they are accepted in accordance with the procedures set forth at 24 CFR Part 576.57(d). 14.13.2.1 Agency shall establish conflict of interest policies for federal awards including the I-4,SG Funds and shall disclose in writing potential conflicts of interest to City as authorized by 2 CFR Part 200.112. 14.13.3 Conflicts of Interest Involving Procurement. The conflict of interest provisions of 24 CFR Part 85.36 and 24 CFR Part 84.42, respectively, shall apply in the procurement of property and services by Agency In all cases not governed by those Sections, the provisions of 24 CFR Part 576.57(d) of the ESG Regulations shall apply. 14.13.3.1 As more particularly described in 2 CFR Part 200 318, Agency shall maintain and submit to City written standards of conduct covering conflicts of interest and governing the performance of its employees engaged in the selection, award, and administration of contracts. No employee, officer, or agent may participate in the selection, award, or administration of a contract supported by a federal award if he or she has a real or apparent conflict of interest. The standards of conduct must provide for disciplinary actions to be applied for violations of such standards by officers, employees, or agents of Agency. 14.13.3.2 The officers, employees, and agents of Agency shall neither solicit nor accept gratuities, favors, or anything of monetary value from contractors or parties to subcontracts. 14.13.3.3 Notwithstanding the prohibition contained in Section 14.13.3.2, Agency may set standards of conduct for situations in which the financial interest is not substantial or the gift is an unsolicited item of nominal value. Such standards of conduct must provide for disciplinary actions to be applied for violations of such standards by Agency's officers, employees or agents. 14.13.3.4 Agency shall maintain written standards of conduct covering organizational conflicts of interest. Organizational conflicts of interest means that because of relationships with a parent company, affiliate, or subsidiary organization, Agency is unable or appeals to be unable to be impartial in conducting a procurement action involving a related organization. 14.13.3.5 Agency must maintain records sufficient to detail the history of procurement. These records will include, but are not necessarily ESG PSA CONTRACT 2015-2016 Day Resource Center for the Homeless Page 27 Rev. 10.02.2015 limited to the following: rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract pike. 14.13.4 Disclosure of Conflicts of Interest. In compliance with 2 CFR Part 200.112, Agency is required to timely disclose to City in writing any potential conflict of interest. 14.13.5 Disclosure of Texas Penal Code Violations. Agency affirms that it will adhere to the provisions of the Texas Penal Code which prohibit bribery and gifts to public servants. 14.13.6 Disclosure of Federal Criminal Law Violations. In compliance with 2 CFR Part 200.113 Agency is required to timely disclose to City all violations of federal criminal law involving fraud, bribery or gratuity violations potentially affecting the Agency. 14.14 Subcontracting with Small and Minority Firms. Women's Business Enterprises and Labor Surplus Areas. 14.14.1 For procurement contracts $50,000.00 or larger that are paid for, in part of in full, with ESG Funds, Agency agrees to abide by City's policy to involve Minority Business Enterprises and Small Business Enterprises and to provide them equal opportunity to compete for contracts for construction, provision of professional services, purchase of equipment and supplies and provision of other services required by City. Agency agrees to incorporate the City's BDE Ordinance, and all amendments or successor policies or ordinances thereto, into all contracts and subcontracts foi procurement larger than $50,000.00 or larger that are paid for in part or in full, with the ESG Funds and will further require all persons or entities with which it so contracts to comply with said ordinance. 14.14.2 It is national policy to award a fair share of contracts to disadvantaged business enterprises ("DBEs' ), small business enterprises (` SBEs"), minority business enterprises ("MBEs"), and women's business enterprises ("WBEs"). Accordingly, affirmative steps must be taken to assure that DBEs, SBEs, MBEs, and WBEs are utilized when possible as sources of supplies, equipment, construction and services. 14.14.2.1 In order to comply with federal reporting requirements, Agency must submit the form attached hereto as EXHIBIT "L" — MBE Reporting Form for each contract or subcontract with a value of $10,000.00 or more paid or to be paid with the ESG Funds Agency shall submit this form by the date specified in EXHIBIT "L" — MBE Reporting Form. 14.15 Other Laws. The failure to list any federal, state or City ordinance, law or regulation that is applicable to Agency does not excuse or relieve Agency from the requirements or responsibilities in regard to following the law, nor from the consequences or penalties for Agency's failure to follow the law, if applicable. ESG PSA CONTRACT 2015-2016 Page 28 Day Resource Center for the Homeless Rev. 10 02 2015 14.16 Assignment. Agency shall not assign all or any part of its rights, privileges, or duties under this Contract without the prior written approval of City. Any attempted assignment of same without approval shall be void, and shall constitute a breach of this Contract. 14.17. Right to Insnect A2encv Contracts. It is agreed that City has the right to inspect and approve in writing any proposed contracts between Agency and any contractor or vendor engaged in any activity in conjunction with this ESG-funded Program prior to any charges bemg incurred. 14.18 Force Majeure If Agency becomes unable, either in whole or part, to fulfill its obligations under this Contract due to acts of God, strikes, lockouts, 01 other industrial disturbances, acts of public enemies, wars, blockades, insurrections riots, epidemics, earthquakes, fires, floods, restraints or prohibitions by any court, board, department, commission or agency of the United States oar of any States, civil disturbances, or explosions, or some other reason beyond Agency's control (collectively, "Force Majeure Event '), the obligations so affected by such Force Majeure I -went will be suspended only during the continuance of such event Agency will give City written notice of the existence, extent and nature of the Force Majeure Event as soon as reasonably possible after the occurrence of the event. Failure to give notice will result in the continuance of Agency's obligation regaldless of the extent of any existing Force Majeure Event Agency will use commercially reasonable efforts to remedy its inability to perform as soon as possible. 15. INDEMNIFICATION AND RELEASE. AGENCY COVENANTS AND AGREES TO INDEMNIFY, HOLD HARMLESS AND DEFEND, AT ITS OWN EXPENSE, CITY AND ITS OFFICERS, AGENTS, SERVANTS AND EMPLOYEES FROM AND AGAINST ANY AND ALL CLAIMS OR SUITS FOR PROPERTY LOSS OR DAMAGE AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF WHATSOEVER KIND OR CHARACTER, WHETHER REAL OR ASSERTED, ARISING OUT OF OR IN CONNECTION WITH THE EXECUTION, PERFORMANCE, ATTEMPTED PERFORMANCE OR NONPERFORMANCE OF THIS CONTRACT AND/OR THE OPERATIONS, ACTIVITIES AND SERVICES OF THE PROGRAM DESCRIBED HEREIN, WHETHER OR NOT CAUSED IN WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY; AND AGENCY HEREBY ASSUMES ALL LIABILITY AND RESPONSIBILITY OF CITY AND ITS OFFICERS, AGENTS, SERVANTS, AND EMPLOYEES FOR ANY AND ALL CLAIMS OR SUITS FOR PROPERTY LOSS OR DAMAGE AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF WHATSOEVER KINDS OR CHARACTER, WHETHER REAL OR ASSERTED, ARISING OUT OF OR IN CONNECTION WITH THE EXECUTION, PERFORMANCE, ATTEMPTED PERFORMANCE OR NONPERFORMANCE OF THIS CONTRACT AND/OR THE OPERATIONS, ACTIVITIES AND SERVICES OF THE PROGRAM DESCRIBED HEREIN, WHETHER OR NOT CAUSED IN WHOLE OR IN PART BY ALLEGED ESG PSA CONTRACT 2015-2016 Day Resource Center for the Homeless Page 29 Rev. 10 02 2015 NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY. AGENCY LIKEWISE COVENANTS AND AGREES TO AND DOES HEREBY INDEMNIFY AND HOLD HARMLESS CITY FROM AND AGAINST ANY AND ALL INJURY, DAMAGE OR DESTRUCTION OF PROPERTY OF CITY, ARISING OUT OF OR IN CONNECTION WITH ALL ACTS OR OMISSIONS OF AGENCY ITS OFFICERS, MEMBERS, AGENTS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, INVITEES, LICENSEES, OR CLIENTS, OR CAUSED, IN WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY. IT IS THE EXPRESS INTENTION OF THE PARTIES, BOTH AGENCY AND CITY, THAT THE INDEMNITY PROVIDED FOR THIS SECTION INCLUDES INDEMNITY BY AGENCY TO INDEMNIFY AND PROTECT CITY FROM THE CONSEQUENCES OF CITY'S OWN NEGLIGENCE, WHETHER THAT NEGLIGENCE IS ALLEGED TO BE THE SOLE OR CONCURRING CAUSE OF THE INJURY, DAMAGE OR DEATH. AGENCY AGREES TO AND SHALL RELEASE CITY, ITS AGENTS, EMPLOYEES, OFFICERS AND LEGAL REPRESENTATIVES FROM ALL LIABILITY FOR INJURY, DEATH, DAMAGE OR LOSS TO PERSONS OR PROPERTY SUSTAINED IN CONNECTION WITH OR INCIDENTAL TO PERFORMANCE UNDER THIS CONTRACT, EVEN IF THE INJURY, DEATH, DAMAGE OR LOSS IS CAUSED BY CITY'S SOLE OR CONCURRENT NEGLIGENCE. AGENCY SHALL REQUIRE ALL OF ITS CONTRACTORS AND SUBCONTRACTORS TO INCLUDE IN THEIR CONTRACTS AND SUBCONTRACTS A RELEASE AND INDEMNITY IN FAVOR OF CITY IN SUBSTANTIALLY THE SAME FORM AS ABOVE. 16. WAIVER OF IMMUNITY BY AGENCY., If Agency, as a charitable or nonprofit organization, has or claims an immunity or exemption (statutory or otherwise) from and against liability for damages or injury including death to persons or property, Agency hereby expressly waives its rights to plead defensively such immunity or exemption as against City. This Section shall not be construed to affect a governmental entity's immunities under constitutional, statutory or common law. 17. INSURANCE AND BONDING. Agency will maintain coverage in the form of insurance or bond in the amount of $141,092.00 to insure against loss from the fraud, theft or dishonesty of any of Agency's officers, agents trustees, directors or employees The proceeds of such insurance or bond shall be used to reimburse City for any and all loss of hSG Funds occasioned by such misconduct. To effectuate such reimbursement, such fidelity coverage shall include a cider stating that reimbursement for any loss or losses shall name the City as a Loss Payee. ESG PSA CONTRACT 2015-2016 Page 30 Day Resource Center for the Homeless Rev. 10 02 2015 Agency shall furnish to City in a timely manner, but not later than the Effective Date, certificates of insurance as proof that it has secured and paid for policies of commercial insurance as specified herein If City has not received such certificates by the Effective Date, Agency shall be in default of the Contract and City may, at its option, terminate the Contract. Such insurance shall cover all insurable risks incident to or in connection with the execution, performance, attempted performance or nonperformance of this Contact. Agency shall maintain the following insurance coverage and limits: Commercial General Liability (CGL) Insurance $ 500,000 each occurrence $1,000,000 aggregate limit Non -Profit Organization Liability or Directors & Officers Liability $1,000,000 Each Occurrence $1,000,000 Annual Aggregate Limit Business Automobile Liability Insurance $1,000,000 each accident on a combined single -limit basis, or $ 250,000 Property Damage $ 500,000 Bodily Injury per person per occurrence $2,000,000 Aggregate Insurance policy shall be endorsed to cover "Any Auto", defined as autos owned, hired, and non -owned. Pending availability of the above coverage and at the discretion of City, the policy shall be the primary responding insurance policy versus a personal auto insurance policy if or when in the course of Agency's business as contracted herein. Workers' Compensation Insurance Part A: Statutory Limits Part B: Employer's Liability $100,000 each accident $100,000 disease -each employee $500,000 disease -policy limit Note: Such insurance shall cover employees performing work on any and all projects including but not limited to construction, demolition, and rehabilitation. Agency or its contractors shall maintain coverages, if applicable In the event the respective contractors do not maintain coverage, Agency shall maintain the coverage on such contractor, if applicable, for each applicable contract. Additional Requirements Such insurance amounts shall be revised upward at City's reasonable option and no more frequently than once every 12 months, and Agency shall revise such amounts within 30 days following notice to Contractor of such requirements. ESG PSA CONTRACT 2015-2016 Page 31 Day Resource Center for the Homeless Rev. 10.02.2015 Agency will submit to City documentation that it has obtained insurance coverage and has executed bonds as required in this Contract prior to payment of any monies provided hereunder. Where applicable, insurance policies required herein shall be endorsed to include City as an additional insured as its interest may appear. Additional insured parties shall include employees, officers, agents, and volunteers of City. Any failure on part of City to request certificate(s) of insurance shall not be construed as a waiver of such requirement or as a waiver of the insurance requirements themselves. Insurers of Agency's insurance policies shall be licensed to do business in the state of Texas by the Department of Insurance or be otherwise eligible and authorized to do business in the state of Texas. Insurers shall be acceptable to City insofar as their financial strength and solvency and each such company shall have a current minimum A.M. Best Key Rating Guide rating of A-: VII or other equivalent insurance industry standard rating otherwise approved by City. Deductible limits on insurance policies shall not exceed $5,000 per occurrence unless otherwise approved by City. In the event there are any local, federal or other regulatory insurance or bonding requirements for the Program, and such requirements exceed those specified herein, the former shall prevail. Agency shall require its contractors to maintain applicable insurance coverages, limits, and other requirements as those specified herein, and Agency shall require its contractors to provide Agency with certificate(s) of insurance documenting such coverage. Also, Agency shall require its contractors to have City and Agency endorsed as additional insureds (as their interest may appear) on their respective insurance policies. Directors and Officers Liability coverage shall be in force and may be provided on a claims - made basis. This coverage may also be referred to as Management Liability, and shall protect the insured against claims arising out of alleged errors in judgment, breaches of duty and wrongful acts arising out of their organizational duties. Coverage shall protect not only the entity, but all past, present and future directors, officers, trustees, employees, volunteers and committee members. Notwithstanding any provision in this Contract to the contrary, when applicable, Agency shall comply with the requirements of 2 CFR 200.310 and shall, at a minimum, provide the equivalent insurance coverage for real property and equipment acquired or improved with ESG Funds as provided to property owned by Agency. 18. CERTIFICATION REGARDING LOBBYING. The undersigned representative of Agency hereby certifies, to the best of his or her knowledge and belief, that: ESG PSA CONTRACT 2015-2016 Day Resource Center for the Homeless Page 32 Rev. 10 02 2015 No federal appropriated funds have been paid or will be paid, by or on behalf of Agency, to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress in connection with the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan or cooperative agreement. If any funds other than federally appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, member of Congress in connection with this federal contract, grant, loan or cooperative agreement, Agency shall complete and submit Standard Form-LLL, "Disclosure Foul' to Report Lobbying," in accordance with its instructions. This certification is a material representation of fact upon which reliance was placed when this Contract was made or entered into Submission of this certificate is a prerequisite for making or entering into this Contract imposed by 31 U.S.C. Section 1352. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000.00 and not more than $100,000.00 for each such failure. Agency shall require that the language of this certification be included in all subcontracts or agreements involving the expenditure of federal funds 19. LITIGATION AND CLAIMS. Agency shall give City immediate notice in writing of any action, including any proceeding before an administrative agency, filed against Agency in conjunction with this Contract or the Program. Agency shall furnish immediately to City copies of all pertinent papers received by Agency with respect to such action or claim. Agency shall provide a notice to City within 10 days upon filing under any bankruptcy or financial insolvency provision of law. 20. NOTICE. All notices required or permitted by this Contract must be in writing and are deemed delivered on the earlier date of the date actually received or the third day following deposit in a United States Postal Service post office or receptacle; with proper postage, certified mail return receipt requested; and addressed to the other Party at the address set out below or at such other address as the receiving Party designates by proper notice to the sending Party. City: City Attorney's Office 1000 Throckmorton Street Fort Worth, TX 76102 Telephone' 817-392-7600 ESG PSA CONTRACT 2015-2016 Page 32-1 Day Resource Center for the Homeless Rev. 10 02 2015 Copy to: Neighborhood Services Department 1000 Throckmorton Street Fort Worth, TX 76102 Attention: Assistant Director Telephone: 817-392-7540 Copy to: Neighborhood Services Department 1000 Throckmorton Street Fort Worth, TX 76102 Attention: Program Coordinator Telephone: 817-3 92-63 42 Agency: Day Resource Center for the Homeless Bruce Frankel 1415 E. Lancaster Ave. Fort Worth, Texas 76102 Telephone: 817-83 8-005 5 21. AGENCY HAS LEGAL AUTHORITY TO ENTER INTO CONTRACT. Agency represents that it possesses the legal authority, pursuant to any proper, appropriate and official motion, resolution or action passed or taken, to enter into this Contract and to perform the responsibilities herein required. 22. COUNTERPARTS. This Contract may be executed in multiple counterparts, each of which shall be considered an original, but all of which shall constitute one instrument which may be sufficiently evidenced by one counterpart. [SIGNATURES APPEAR ON NEXT PAGE] ESG PSA CONTRACT 2015-2016 Day Resource Center for the Homeless Page 32-2 Rev. 10.02.2015 IN WITNESS WHEREOF, the Parties hereto have executed 4 duplicate originals of this Contract in Fort Worth, Tarrant County, Texas. ATTEST: CITY OF FORT WORTH City Secretary M&C: G-18521 Date: August 4, 2015 By: APPROVED AS TO FORM AND LEGALITY: Assistant City Attorney ESG PSA CONTRACT 2015-2016 Day Resource Center for the Homeless Fernando Costa, Assistant City Manager DAY RESOURCE CENTER FOR THE HOMELESS By: Name: Title: taces- �a/tee-re- OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Page 33 Rev. 09.01.2015 IN WITNESS WHEREOF, the Parties hereto have executed 4 duplicate originals of this Contract in Fort Worth, T.._Cs • Texas. .ter :j eri f� ==i Q City Siecretar' )/ M&C: G- 21 Date: August 4, 2015 CITY OF FORT WORTH BY: fl'fl44s44S Fernando Costa, Assistant City Manager APPRQVED AS TO FORM AND LEGALITY: 1%d-tC- Assistant City Attorney DAY RESOURCE CENTER FOR THE HOMELESS By: Name: Bruce Frankle Title: Executive Director OFFICIAL RECORD CITY SECRETARY T. WORTH, TX ESG PSA CONTRACT 2015-2016 Day Resource Center for the Homeless Page 33 Rev. 10.02.2015 EXHIBITS: EXHIBIT EXHIBIT EXHIBIT EXHIBIT EXHIBIT EXHIBIT EXHIBIT EXHIBIT EXHIBIT EXHIBIT EXHIBIT EXHIBIT EXHIBIT EXHIBIT • "A" — Program Summary "A-1" — 2015 HUD Income Limits "B" — Budget "C" — Audit Certification Form "D" — Reimbursement Forms "E" — Form of Income Self -Certification "F" — Standards for Complete Documentation "G" — Section 3 Reporting Forms "H" — Match Report "I" — ESG Staff Certification Form "J" - ESG Performance Standards "J-1" — Written Standards for ESG Assistance "K" — ESG Quarterly HMIS Report "L" — MBE Reporting Form ESG PSA CONTRACT 2015-2016 Page 34 Day Resource Center for the Homeless Rev. 10 02 2015 DAY RESOURCE CENTER FOR THE HOMELESS Homeless Day Shelter PROGRAM SUMMARY (ESG) October 1, 2015 to September 30, 2016 PERIOD EXHIBIT "A" PROGRAM SUMMARY $141,092.00 AMOUNT Capitalized terms not defined herein shall have meanings assigned them in the Contract. PROGRAM: The Program provides homeless persons access to daytime emergency shelter services, including basic personal facilities such as showers and laundry, and access to co -located counseling and case management services. ESG Funds will be used to pay for the salary for the salaries and fringe benefits of Program employees involved with case management and daily operations of the facility. Agency office and Program services will be provided at 1415 E Lancaster, Fort Worth, TX 76102 Monday through Saturday, 7:30 a m. to 4:30 p m , and on Sundays 12 30 p.m. to 4:30 p.m. Benefits Eligibility services will only be provided at the Mabee Center, 1855 E Lancaster Avenue, Fort Worth, TX 76102; Presbyterian Night Shelter, 2400 Cypress Street, Fort Worth, TX 76102; and Union Gospel Mission, 1331 E Lancaster Avenue, Fort Worth TX 76102, Monday through Friday, 9:00 a.m. to 4:00 p.m., with evening appointments upon request. REGULATORY CLASSIFICATION: Service Category (if more than one category, specify amount for each)* ESG Emergency Shelter Component Regulatory Citation(s): 24 CFR 576.102 Agency will maintain documentation which verifies that 100% of the clients served are homeless based on current HUD definitions. PROGRAM GOALS: Minimum Number of Fort Worth Clients to be Served: The Program must serve a minimum of 2,788 Unduplicated Clients from Fort Worth as shown by the monthly reports on Attachment III. ESG PSA CONTRACT 2015-2016 — EXHIBIT "A" — PROGRAM SUMMARY Page 1 Day Resource Center for the Homeless EMERGENCY SHELTER ESSENTIAL SERVICES Salaries Life Insurance Health Insurance Unemployment Worker's Compensation Retirement (FICA/Medicare) Office Supplies Postage Printing Craft Supplies Food Supplies Insurance Accounting Contract Labor (City needs copy of contract before expenses can be reimbursed.) SHELTER OPERATIONS Maintenance Rent Security Insurance Utilities Supplies Hotel/Motel Vouchers RENOVATIONS SUBTOTAL EMERGENCY SHELTER HOUSING RELOCATION AND STABILIZATION Salaries- Prevention FICA- Prevention Life Insurance- Prevention Health Insurance- Prevention Disability Insurance- Prevention Unemployment -State- Prevention Salaries- ReHousing FICA- ReHousing Life Insurance-ReHousing Health Insurance- ReHousing Disability Insurance- ReHousing Unemployment -State- ReHousing SUBTOTAL-HR&S FINANCIAL ASSISTANCE Rental Assistance- Prevention Rental Assistance- ReHousing Utility Payments- Prevention Utility Deposits- ReHousing Moving Costs- ReHousing Motel/Hotel Vouchers- ReHousing Security Deposits- ReHousing SUBTOTAL- FINANCIAL ASSISTANCE HMIS HMIS- Prevention HMIS- ReHousing SUBTOTAL- HMIS TOTAL ESG CONTRACT AMOUNT FUNDING A: FOUNDATIONS FUNDING B: CHURCHES FUNDING C: FUNDRAISING EXHIBIT "B" - BUDGET Account 1001 1002 1003 1004 1005 1006 1007 1008 1009 1110 1111 1112 1113 1114 1115 1116 1117 1118 1119 1120 1121 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 3001 3002 3003 3004 3005 3006 3007 4001 4002 Grant A Budget Foundations 135,858 5,234 12,532 27,308 1,570 2,624 6,118 7,661 58,000 10,400 141,092 126,213 141,092 126,213 ESG PSA CONTRACT 2015-2016 - EXHIBIT "B" - BUDGET Day Resource Center for the Homeless B Churches 8,700 3,700 12,400 12,400 C Fundraising 3,000 38,300 41,300 41,300 TOTAL 148,390 0 27,308 1,570 2,624 11,352 10,661 58,000 10,400 47,000 3,700 321,005 321,005 Page 1 The following tables were created for the purpose of preparing, negotiating, and determining the cost reasonableness and cost allocation method used by the Agency for the line item budget represented on the first page of this EXHIBIT "B" - Budget. The information reflected in the tables is to be considered part of the terms and conditions of the Contract. Agency must have prior written approval by the City to make changes to any line item in the Budget as outlined in Section 5.2.2 in the Contract. The deadline to make changes to EXHIBIT "B" - Budget is June 1, 2016. Position Facilities and Operations Manager Facility Operations Specialist — 1 Facility Operations Specialist-2 Case Manager Benefits Eligibility Case Manger Less salaries m Sept. due to early close of grant billing TOTAL Life Insurance Health Insurance Unemployment Workers Compensation Retirement (FICA/Medicare) TOTAL Office Supplies Office Equipment Rental Postage Printing TOTAL SALARY DETAIL Cost Type (Emergency Shelter Hourly / Stabilization Rate Services) Emergency Shelter Emergency Shelter Emergency Shelter Emergency Shelter Emergency Shelter Covered by foundation gifts 25.46 8.00 8.76 20.19 17.31 148,390 FRINGE DETAIL Percent of Payroll 7.65% SUPPLIES AND SERVICES Total Budget ESG PSA CONTRACT 2015-2016 — EXHIBIT `B" Day Resource Center for the Homeless BUDGET Annual Hours 2,080 1040 1040 2080 2080 Amount 11,352 11,352 Percent to Grant Percent to Grant 100% 100% 100% 100% 100% 91.55% Percent to Grant 46.1% 46.1% Amount to Grant 52,960 8,320 9,110 42 000 36 000 (12,532) 135,858 Amount to Grant 5,234 5,234 Amount to Grant 0 Page 2 Conference & Seminars Construction/Building Materials Contract Labor Craft Supplies Credit Reports Facility Fees — UTILITIES Field Trip Costs Food Supplies Mileage Teaching Aids TOTAL Telephone Electric Gas Water and Wastewater Solid Waste Disposal Rent Custodial Services Repairs Cleaning Supplies TOTAL Fidelity Bond (oi Equivalent) General Commeicial Liability Directors and Officers Legal Fees Conti act Accounting TOTAL Rapid Re -Housing Homelessness Prevention TOTAL Rapid Re -Housing Homelessness Prevention TOTAL MISCELLANEOUS Total Budget Percent to Grant FACILITY AND UTILITI>�,S Total Percent to Budget Grant LEGAL, FINANCIAL AND INSURANCE Percent to Grant Total Budget FINANCIAL ASSISTANCE Total Budget HMIS Total Budget Percent to Grant Percent to Grant Amount to Grant 0 Amount to Grant 0 Amount to Grant 0 Amount to Grant 0 Amount to Grant 0 ESG PSA CONTRACT 2015-2016 — EXHIBIT "B" — BUDGET Page 3 Day Resource Center for the Homeless ESG PSA CONTRACT 2015-2016 — EXHIBIT "B" — BUDGET Page 4 Day Resource Center for the Homeless EXHIBIT "C" AUDIT CERTIFICATION FORM ESG PSA CONTRACT 2015-2016 — EXHIBIT "C" — AUDIT CERTIFICATION FORM Page 1 Day Resource Center for the Homeless AUDIT CERTIFICATION FORM AND AUDIT REQUIREMENTS Agency: Day Resource Center for the Homeless Fiscal Year Ending: September 30, 2016 During the fiscal year in which funds will be received, we will exceed the federal expenditure threshold of $750,000. We will have our Single Audit or Program Specific Audit completed and will submit the audit report described in 2 CFR Part 200 within 7 months after the end of the audited fiscal year or 30 days within its completion, whichever is the earlier date. During the fiscal year in which funds will be received, we will not exceed the $750,000 federal expenditure threshold required for a Single Audit or a Program Specific Audit to be performed this fiscal year. (Fill out schedule below) Federal Expenditure Disclosure MUST be filled out if Single Audit or Program Audit is NOT required. Federal Grantor Pass Through Grantor Program Name & Contract CFDA Number Number Expenditures �.IG /f-fQO 4fC1 13 freD cA C G/�d 72e 7") Ncrco&- 6iVr Cirb JraitAc es-98 --000‘ 2s- resASCe t_t C ee0 410 it 4( coo 250 C,40-2._ e?- Ciao° 1 Total Federal Expenditures for this Fiscal Year: Lila EQC-e, 4 . Signatory and Title n8 71/41r aa Failure to submit this or a similar statement or failure to submit a completed single audit package as described in the federally required audit requirements described in 2 CFR Part 200, as applicable, by the required due date may result in suspension of funding and may affect eligibility for future funding. Notwithstanding the above, this certification acknowledges the agency's commitment to meet all other financial reporting, financial statements, and other audit requirements as may be set forth in the Contract. ESG PSA CONTRACT 2015-2016 EXHIBIT "C" — AUDIT CERTIFICATION FORM Page 2 Day Resource Center for the Homeless EXHIBIT "D" REPORTING FORMS ESG PSA CONTRACT 2015-2016 — EXHIBIT "D" — REPORTING FORMS Page 1 Day Resource Center for the Homeless A 1"1 ACHMENT I Invoice INVOICE Emergency Shelter Agency: Day Rersource Center Address: City, State, Zip• Program: Homeless Day Shelter Period of Service: Program Essential Services Amount This Invoice Cumulative to Date Agency's Certification: By signing this report, I certify to the best of my knowledge and belief that the report is true, complete, and accurate and the expenditures, disbursements and cash receipts are for the purposes and objectives set forth in the terms and conditions of the Federal award 1 am aware that any false fictitious or fraudulent information, or the omission of any material fact, may subject me to criminal civil, or administrative penalties for fraud, false statements, false claims, or otherwise. U.S. Code Title 18, Sec. 1001 and Title 31, Sec. 3729-3730 and 3801-3812 Signature and Date: Name: Title: ESG PSA CONTRACT 2015-2016 — EXHIBIT "D" — REPORTING FORMS Page 2 Day Resource Center for the Homeless Agency: Program. Line No. CleekNo. Payee 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 1 1 17 I I 18 I 19 I 20 21 22 23 24 25 26 27 28 I 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 Total ATTACHMENT II Expenditure Worksheet Emergency Shelter Salaries & Fringe Benefits Day Resource Center Homeless Day Shelter D scrirgion' City of Fort Worth Neighborhood Services Department Expenditure Worksheet Please group like account codes. Aceotmt Code (See Kev to Right) - Amount 'Payroll must identify employee. Rent must identify tenant. Other payments shouldidentify individuals, if applicable. Highlighted are the only relevant codes for this Program. Expense Llneltem I Acmwl EMERGENCYSHELTER FCSENITAL SERVICES Salaries IOOI Life Insurance 1002 Health Insurance 1003 Unemployment 1004 Worker's Comrensation 1005 Retirement (FICAIMedicarel 1006 Office Supplies I 1007 Postage 1 1008 Printing 1 1009 Craft Swolies 1 1110 Food Supplies 1 1111 Insurance 1112 Accounting 1 1113 Contract Labor {City needs cony of contract before expl 1114 SHELTER OPERATIONS Maintenance 1 1115 Rent 1 1116 Security 1117 Insurance 1118 Utilities 1119 Srmplies 1120 Hotel/Motet Vouchers 1121 HOUSINGRELOCATION AND STABILf7ATTON Salaries- Prevention 2001 FICA -Prevention 2002 Life Insurance -Prevention 2003 Health Insurance- Prewntion 2004 Disability Insurance- Prevention 2005 Unemployment -State -Prevention 2006 Salaries-ReHousing 2007 FICA-ReFlousrng 2008 Life Insurance-ReHousing 2009 Health Insurance- ReHousing 2010 Disability Insurance- ReHousing 2011 Unemployment -State- ReHousing_ 2012 FINANCIAL ASSISTANCE Rental Assistance- Prewntion 3001 Rental Assistance- Rel lousing 3002 Utility Payments -Prevention 3003 Utility Deposits- ReHousing 3004 Moving Costs- kefousing 3005 Motel/Hotel Vouchers-ReHousing3006 Security Deposits- ReHousing 3007 Utility Payments - Rehousing 3008 HOUS, . HMIS-Prevention 4001 HMIS- ReHousing 4002 ESG PSA CONTRACT 2015-2016 — EXHIBIT "D" — REPORTING FORMS Page 3 Day Resource Center for the Homeless lnttruct)bo1: 1 DATE a E'fl P a rca 2 FCea t c€Fll Etrfl- Tis Ca)D 2A 1 tk:.111_..1 1Tf M r11C-1.1 t£1 ll t 4 6 7 9 10 11 it i1 11 1 Is I 61 71 71 1191 �1 21 22 la 23 I7I i ?s 26 1 27 1 1 73 1 I29I 1-1 2 ATTACHMENT III Client Data Report ESJ Ezrc r•:.y st1--tr Acency: Dat• Resource Center Froprzen: homeless Dar Shelter Month: Tlftrt pal Irarr•Itsllrl all .' 1IcattJdlr_s .a tit! A.zlrq lie Ceetrad In (Odeter I,291Sta StjttaterJD, 3Q14 m tsar!, jfraetepsrt Ala lcctcr9u1 aril c2Ie:IfEnit Jlti.rltl Yea art rejsr4 Ls attz! df1l tin tyttMMind em dxv nisitIIe tack eer. dlat Kra r il1caltd tit tlr .S.• ddte11sIt!tel:e ac jrnteell t rpct It!t,7 1wtJs1 We..Rest sill s.1 r erill114tilly. Hew td)11ddl«istst doe dwtsi Ilellydaeolkthlt!grtcdre mot es. alrt1t try a rtd)t Prctrest tent tertt add Ntc-r_».cefy atd Is Uelleked cut d re_ Fd ts'r In eats sjrcjr1teetca ertua t3 t!s dlcts rn. a addrr, rare, etc PI tree llat refcacstrrst kr 14rlestll reels ttlat IN spiry sepal to the City ell Or Masts tkd rac eme•! tyt at jtCfd sr •tat(Qs.: t It I1aprc;re. L•<-snrtt to Li ,zkdlcttll adEtt or ant Errs the dtajrrptic l rtI cs-1ca ref nitJle edta‘1l urell. 3 1'Ftrcc Lit`11tacn. tit :II t:r tt:n.:'k •Fire) rr j C Ur* ree-11 Plr ('s drift r:`( tfln : ,t SDjV r2 rlrn1u tt ari ld.rinr eir ern atb rrir1, er'1-tti. 4 ST =?T CPC:r (act Mfrn' l 5 dCE 6 �-1 )irs C's) 71 ILE FF.111F. r1 7 EN'an' I Lzr.]1 Art) ESG PSA CONTRACT 2015-2016 — EXHIBIT "D" Day Resource Center for the Homeless NON- lrs'.Ati !satcAN P VAN c-z A111_1AN NATIVE j.7.14 NATTAE I t1KA? A H.111: Nca v2 01104 nenAIF!GVI P.1c C 8 (bk:Y• Cm) GIME Arrszu'1 WAN Cat AilA'SKAN N ATM A` % MITE 1 I Ater: w etter ca AIAssA FiAEN NATIVE ca AND Aa_:AN H.\t7, Ase3:CM is A)D AFRGAN a • 9 J 10 11 DiLNOUNa trT tl{ }F}I (t _so (cklyckveIacts Sc:L a fret t374 ALS 1 env 1 1 1 1 / 1 1111•Mll1 1Rl 71t7'3 AtJI t» ) ua,.;av AT-ars1 Ors cr. . .11 1 Ifl F,PORTING FORMS Page 4 EXHIBIT "E" INCOME CERTIFICATION FORMS ESG PSA CONTRACT 2015-2016 -- EXHIBIT "E" -- INCOME CERTIFICATION FORMS Day Resource Center for the Homeless Page 1 Day Resource Center for the Homeless CERTIFICATION OF INCOME STATEMENT Applicant Name. Current Address: Last Name First Name Phone : Household Members and Income, (Including Applicant) Age Monthly Source/Employer Name Income **PERSONAL INFORMATION: (Check one in each item. Optional Information for Federal Reporting Purposes) a. ❑ MALE b. ❑ WHITE ❑ BLACK/AFRICAN AMERICAN ❑ BLACK/AFRICAN AMERICAN & WHITE ❑ FEMALE ❑ AMERICAN INDIAN/ALASKAN NATIVE ❑ ASIAN AMERICAN INDIAN/ALASKAN NATIVE & WHITE ❑ ASIAN & WHITE NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER ■ BALANCE/OTHER AMERICAN 1ND1AN/ALASKAN NATIVE & BLACK/AFRICAN AMERICAN ■ c. ETHNICITY d. DISABLED e. IS CLIENT WOMEN HEAD OF HOUSEHOLD HISPANIC ❑ YES ❑ YES ❑ NON -HISPANIC ❑ NO ❑ NO ■ * TOTAL NUMBER OF HOUSEHOLD MEMBERS Total Anticipated Annual Household Income. (Include Yourself AND everyone who lives in the house.) Certification: I certify that the information I am providing is true and could be subject to verification at any time by a third party. I also acknowledge that the provision of false information could leave me subject to the penalties of Federal, State and local law WARNING. TITLE 18, SECTION 1001 OF THE U.S. CODE STATES THAT A PERSON IS GUILTY OF A FELONY FOR KNOWINGLY AND WILLINGLY MAKING FALSE OR FRAUDULENT STATEMENTS TO ANY DEPARTMENT OF THE UNITED STATES GOVERNMENT. Signature of Applicant Date For use by Agency staff only Household Size: Gross Annual Income• Applicable Income Limit: Is Applicant Eligible? Check if Applicant refused to provide demographic information: Staff Assessment of Demographics: I Person Making Determination: Date: NOTE: Address, Income amounts and sources for ALL household members are required. ESG PSA CONTRACT 2015-2016 -- EXHIBIT "E" -- INCOME CERTIFICATION FORMS Day Resource Center for the Homeless Page 2 Day Resource Center for the Homeless CERTIFICACION DE DECLARACION DE INGRESOS Nombre del Solicitante: Domicilio Actual: Niimero de Telefono: Miembros en el Hogar e Ingresos (Incluir el/la solicitante) Apellido Nombre Edad Ingreso Fuente de Ingresos/Nombre de Empleador Mensual * *INFORMACION PERSONAL: (Seleccione uno en cada categoria. Informacion opcional para propositos de informacion Federal) a. ❑ MASCULINO b. ❑ CAUCASICO ■ NEGRO/AFRICANO AMERICANO ❑ NEGRO/AFRICANO AMERICANO & CAUCASICO ❑ FEMININO ❑ INDIO AMERICANO/NATIVO DE ALASKA ❑ ASIATICO ❑ INDIO AMERICANO/NATIVO DE ALASKA & CAUCASICO ❑ ASIATICO & CAUCASICO NATIVO HAWATANO/OTRO DE LAS ISLAS PACIFICAS ❑ BALANCE/OTRO INDIO AMERICANO / NATIVO DE ALASKA & NEGRO/AFRICANO AMERICANO ■ ■ c. ETNICIDAD d. DTSCAPACITADO e. tES EL SOLICITANTE UNA MUJER Y CABECERA DEL HOGAR? HISPANO IN SI El si ❑ NO-HISPANO ❑ NO ❑ NO ■ * NUMERO TOTAL DE MIEMBROS EN EL HOGAR Ingreso total del hogar anual anticipado: (Incluye a si mismo y a todos los que viven en la casa) Certificacion: Certifico que la informacion que proporciono es verdad y podrfa ser susceptible a la comprobacion a cualquier tiempo por terceros. Yo tambien reconozco que la provision de informacion falsa me podrfa dejar sujeto a las penalidades Federales, Estatales y locales. ADVERTENCIA: TITULO 18, SECCION 1001 DEL CODIGO DE EE.UU. QUE UNA PERSONA ES CULPABLE DE UN DELITO POR SABER Y VOLUNTARIAMENTE RACER DECLARACIONES FALSAS 0 FRAUDULENTAS A CUALQUIER DEPARTAMENTO DEL GOBIERNO ESTADOUNIDENSE. Firma del Solicitante Fecha Para use de empleados de la agencia # De Miembros de Familia: Ingreso Anual: Limite de Ingreso: 6Es solicitante elegible? : Compruebe si el solicitante se nego a dar su informacion personals 1•valuacion del empleado sobre informacion personal: Persona haciendo la determinacion: Fecha: Note: La direccion de la casa y los ingresos (y sus origenes) para todos miembros del hogar son requeridos. ESG PSA CONTRACT 2015-2016 -- EXHIBIT "E" -- INCOME CERTIFICATION FORMS Day Resource Center for the Homeless Page 3 EXHIBIT "F" STANDARDS OF DOCUMENTATION ESG PSA CONTRACT 2015-2016 -- EXHIBIT "F" -- STANDARDS OF DOCUMENTATION Page 1 Day Resource Center for the Homeless Budget Line Items 2015-2016 Documentation Standards for ESG Public Service Contract Expenses NoteslOther Employee Salaries and Benefits - City will reimburse the salary and benefits of any employee(s) who work directly with the ESG Program, Amounts will be determined prior to the execution of the ESG Contract. Agencies must show calculation on how the ESG portion of employee salaries and benefits were calculated consistently with the ESG Contract. Salaries FICA/Medicare Life Insurance Health Insurance Disability Insurance Unemployment Insurance Retirement X X X X X X X X X X X X Materials, Equlpmen, Goods and Supplies reimbursement for these items will require the ESG Contract. Prior to the execution of the ESG Contract, the Agency will priovide the City with a written statement on how each employee's time will be allocated. If an employee works 100% of their time directly with the ESG-funded Program, then 100% of the employee's salary may be eligible for reimbursement. Agency must submit a written statement that 100% of the employee's time is spent working directly with the ESG-funded Program. Statements must be signed by a person authorized to sign on behalf of the Agency and will be submitted with the October invoice. Reimbursement requests must include a timesheet and work log that reflects the hours worked by the employee(s) working directly on the ESG-funded Program. For employees who are paid with multiple funding sources, timesheets must reflect all funding sources. If separate timesheets are kept for each funding source, all such timesheets must be submitted to City. Timesheets must be signed by employee and supervisor. Agency must show a calculation and documentation of how the employee's salary was calculated and invoiced to City. The duties for administrative personnel defined by the job descriptions must reflect eligible administrative costs. *If employees are paid by direct deposit rather than check, then the agency must submit both the direct deposit payment company's report (such as an ADT report) and a bank statement or check showing payment to the direct deposit company. If the City pays gross salary, this is already included. If the City pays the employer portion, the Agency must provide proof that the employee is enrolled in the benefit plan, must show a calculation and documentation of how the invoiced amount was calculated, and must provide documentation showing payment. If the City pays gross salary, this is already included. If the City pays the employer portion, the Agency must provide proof that the employee is enrolled in the benefit plan, must show a calculation and documentation of how the invoiced amount was calculated, and must provide documentation showing payment. - City will only reimburse for the amount spent on the direct support of the ESG-funded Program. Agencies requesting prior City approval, Agencies must show calculation on how the ESG portion of these expenses were calculated consistently with Office Supplies X X X Office Equipment X X X X Rental Postage X X X Printing/Copies X X X Rent, Utilities and Maintenance - City will only pay for a portion of these expenses. The portion will be determined by the square footage attributable to the ESG-funded Program and shall be cost -allocated in accordance with the amount of space used for the ESG-funded Program, These expenses may only be in support of the ESG-funded Program. The items listed below require prior City approval and the Agency Is required to identify any funding source that pays for the portion of the expenses that is not paid with City ESG funds. Agencies must show calculation on how the ESG portion of these expenses were calculated consistently with the ESG Contract. Telephone X X Gas X X Water/ X X Wastewater Electric X X Solid Waste X X Disposal Facility Maintenance X X X X and Repairs Rent X X X This item requires approval by the City prior to the execution of the ESG Contract. Repairs may be categorized as major/minor rehabilitation projects and must be approved through the full HUD Environmetal Review. City will pay for a portion of the rent for the Program facility so long as its in proportion to the square footage attributable to the ESG-funded program. Homeless Prevention Client Eligibi ity Documentation - Agency will submit documentation Indicating that (1) Client is at risk or imminent risk of homelessness, (2) Client lacks resources a id su sport networks, and (3) Clients' income is under 30% AMi, etc, Demograhic Information HMIS Report Lead -Based Paint Compliance Unit Inspection Rent Reasonableness/ FMR Rents Client documentation provided must reflect demographic & household/family composition. Agency will submit HMIS report for all Homeless Prevention Clients or comparable report for Domestic Violence Agencies. If Clients stay in housing longer than 100 days, Agency will be required to comply with Lead -Based Compliance. Lead -Based compliance will be triggered if the unit is built prior to 1978, and a child under the age of 6 lives in the unit. Habitability Inspection or Housing Quality Standard (HOS) Inspection: Agency will submit documentation that reflects that units were inspected and are in Compliance. Agency will submit documentation that reflects that unit rents were calculated and are reasonable. Agency will submit documentation that reflects that unit rents are under the local FMR for unit size. ESG PSA CONTRACT 2015-2016 Exhibit'F- — STANDARDS FOR COMPLETE DOCUMENTATION 1 Rental Agreement, X X X Lease, and/or Eviction Notice Other Financial X X Assistance X Rapid Re -housing Client Eiig bit ty resources and support networks, Demograhic Information HMIS Report Lead -Based Paint Compliance Unit Inspection Rent Reasonableness/ FMR Rents Rental Agreements Other Financial Assistance Miscellaneous City -required Insurance X X X X X X Procurement - X X X X Contract Labor Audit Services X Match Report/ X Invoice X X X X X Agency will submit a lease agreement or documentation that reflects the rental assistance agreement with the owner/property manager of the unit. Full lease agreements must be submitted. If clients are assisted by other types of financial assistance such as application fees, security deposits, utility deposits, last month's rent (if required by lease), or moving costs, Agency will be required to submit supporting documentation that includes but is not limited to agreements, leases, invoices, checks, proof of payments, etc. Documentation - Agency will submit documentation Indicating that (1) Client is homeless- living In a shelter or on the streets, and (2) lacks etc, X X X Client documentation provided must reflect demographic & household/family composition. Agency will submit HMIS report for all Homeless Prevention Clients or comparable report for Domestic Violence Agencies. If Clients stay in housing longer than 100 days, Agency will be required to comply with Lead -Based Compliance. Lead -Based compliance will be triggered if the unit is built prior to 1978, and a child under the age of 6 lives in the unit. Habitability Inspection or Housing Quality Standard (HQS) Inspection: Agency will submit documentation that reflects that units were inspected and are in Compliance. Agency will submit documentation that reflects that unit rents were calculated and are reasonable. Agency will submit documentation that reflects that unit rents are under the local FMR for unit size. Agency will submit a lease agreement or documentation that reflects the rental assistance agreement with the owner/property manager of the unit. Full lease agreements must be submitted. If clients are assisted by other types of financial assistance such as application fees, security deposits, utility deposits, last month's rent (if required by lease), or moving costs, Agency will be required to submit supporting documentation that includes but is not limited to agreements, leases, invoices, checks, proof of payments, etc. City will only pay for a percentage of the City -required insurance solong as it is in proportion to the square footage attributable to the ESG- funded program. This item requires prior approval by the City. Prior to the execution of the ESG Contract, the Agency must submit a written statement that lists the contract labor services to be used during the Contract term. Agency will submit a memo related to the procurement of such X services and will forward any information pertaining to the procurement process to City. This requirement applies to, but is not limited to, services retained for security services, legal, accounting, transportation providers, educational facilitators, custodial services, etc. Agencies may not use the contract services of any City of Fort Worth Department. If an audit is required because federal funds exceed $750,000, then the cost should be split evenly by all grant funding sources. Agency must show calculation on how the CDBG portion of the accounting services were calculated. For example, if the CDBG grant is 10% of your Agency's budget, then invoice shall not exceed 10% of the overall cost. Agency must show a calculation and documentation of how the invoiced amount was calculated, and must provide documentation showing payment. X Agency must submit a monthly match report. All match must be ESG eligibile and documentation standards apply. `Proof of payment effective October 1, 2013: Payments or Expenses must be documented in the following manner: A) Image of the check AND bank statement showing the check cleared the bank; OR, B) Image of the cancelled check (ex. At end of bank statement); OR, C) Payroll Check Stub, "Advice", or Statement AND Bank Statement indicating payroll; OR, D) For wire or e-transfers: Reciept or statement from payee/vendor OR bank statement. Final as of 08 28 20151hr ESG PSA CONTRACT 2015-2016 Exhibit "F" — STANDARDS FOR COMPLETE DOCUMENTATION 1 EXHIBIT "G" SECTION 3 REPORTING FORMS ESG PSA CONTRACT 2015-2016 -- EXHIBIT "G" -- SECTION 3 REPORTING FORMS Page 1 Day Resource Center for the Homeless EXHIBIT "G" o p, © o [ip 0A Fll fu ivon J o p © Economic Opportunities for Low — and Very Low -Income Persons Section back of page for Public Reporting Burden statement 1. Recipient Name & Address: (street, city, state, zip) 8. Date Report Submitted: U.S. Department of Housing and Urban Development Office of Fair Housing And Equal Opportunity 2. Federal Identification: (grant no.) 4. Contact Person 6. Length of Grant: 9. Program Code: (Use separate sheet for each program code) OMB Approval No: 2529-0043 (exp. 11/30/2010) HUD Field Office: 3. Total Amount of Award: 5. Phone: (Include area code) 7. Reporting Period: 10. Program Name: Part I: Employment and Training (** Columns B, C and F are mandatory fields. Include New Hires in E &F) A B C D E Number of Number of New % of Aggregate Number % of Total Staff Hours Job Category New Hires Hires that are of Staff Hours of New Hires for Section 3 Employees Sec. 3 Residents that are Sec. 3 Residents and Trainees Professionals Technicians Office/Clerical Construction by Trade (List) Trade Trade Trade Trade Trade Other (List) Total * Program Codes 1 = Flexible Subsidy 2 = Section 202/811 3 = Public/Indian Housing A = Development, B = Operation C = Modernization Page 1 of 2 4 = Homeless Assistance 5 = HOME 6 = HOME State Administered 7 = CDBG Entitlement F Number of Section 3 Trainees 8 = CDBG State Administered 9 = Other CD Programs 10 = Other Housing Programs form HUD 60002 (6/2001) Ref 24 CFR 135 Part II: Contracts Awarded 1. Construction Contracts: A. Total dollar amount of all contracts awarded on the project B. Total dollar amount of contracts awarded to Section 3 businesses C. Percentage of the total dollar amount that was awarded to Section 3 businesses D. Total number of Section 3 businesses receiving contracts 2. Non -Construction Contracts: A. Total dollar amount all non -construction contracts awarded on the project/activity $ B. Total dollar amount of non -construction contracts awarded to Section 3 businesses $ C. Percentage of the total dollar amount that was awarded to Section 3 businesses % D. Total number of Section 3 businesses receiving non -construction contracts Part III: Summary Indicate the efforts made to direct the employment and other economic opportunities generated by HUD financial assistance for housing and community development programs, to the greatest extent feasible, toward low -and very low-income persons, particularly those who are recipients of government assistance for housing. (Check all that apply.) Attempted to recruit low-income residents through: local advertising media, signs prominently displayed at the project site, contracts with the community organizations and public or private agencies operating within the metropolitan area (or nonmetropolitan county) in which the Section 3 covered program or project is located, or similar methods. Participated in a HUD program or other program which promotes the training or employment of Section 3 residents. Participated in a HUD program or other program which promotes the award of contracts to business concerns which meet the definition of Section 3 business concerns. Coordinated with Youthbuild Programs administered in the metropolitan area in which the Section 3 covered project is located. Other; describe below. Public reporting for this collection of information is estimated to average 2 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB number. Section 3 of the Housing and Urban Development Act of 1968, as amended, 12 U.S.C. 1701u, mandates that the Department ensures that employment and other economic opportunities generated by its housing and community development assistance programs are directed toward low- and very -low income persons, particularly those who are recipients of government assistance housing. The regulations are found at 24 CFR Part 135. The information will be used by the Department to monitor program recipients' compliance with Section 3, to assess the results of the Department's efforts to meet the statutory objectives of Section 3, to prepare reports to Congress, and by recipients as self -monitoring tool. The data is entered into a database and will be analyzed and distributed. The collection of information involves recipients receiving Federal financial assistance for housing and community development programs covered by Section 3. The information will be collected annually to assist HUD in meeting its reporting requirements under Section 808(e)(6) of the Fair Housing Act and Section 916 of the HCDA of 1992. An assurance of confidentiality is not applicable to this form. The Privacy Act of 1974 and OMB Circular A-108 are not applicable. The reporting requirements do not contain sensitive questions. Data is cumulative; personal identifying information is not included. Page 2 of 2 form HUD 60002 (11/2010) Ref 24 CFR 135 Form HUD-60002, Section 3 Summary Report, Economic Opportunities for Low- and Very Low -Income Persons. Instructions: This form is to be used to report annual accomplishments regarding employment and other economic opportunities provided to low- and very low-income persons under Section 3 of the Housing and Urban Development Act of 1968. The Section 3 regulations apply to any public and Indian housing programs that receive: (1) development assistance pursuant to Section 5 of the U.S. Housing Act of 1937; (2) operating assistance pursuant to Section 9 of the U.S. Housing Act of 1937; or (3) modernization grants pursuant to Section 14 of the U.S. Housing Act of 1937 and to recipients of housing and community development assistance In excess of $200,000 expended for: (1) housing rehabilitation (including reduction and abatement of lead -based paint hazards); (2) housing construction; or (3) other public construction projects; and to contracts and subcontracts in excess of $100,000 awarded in connection with the Section-3-covered activity. Form HUD-60002 has three parts, which are to be completed for all programs covered by Section 3. Part I relates to employment and training. The recipient has the option to determine numerical employment/training goals either on the basis of the number of hours worked by new hires (columns B, D, E and F). Part II of the form relates to contracting, and Part III summarizes recipients' efforts to comply with Section 3. Recipients or contractors subject to Section 3 requirements must maintain appropriate documentation to establish that HUD financial assistance for housing and community development programs were directed toward low- and very low-income persons.* A recipient of Section 3 covered assistance shall submit one copy of this report to HUD Headquarters, Office of Fair Housing and Equal Opportunity. Where the program providing assistance requires an annual performance report, this Section 3 report is to be submitted at the same time the program performance report is submitted. Where an annual performance report is not required, this Section 3 report is to be submitted by January 10 and, if the project ends before December 31, within 10 days of project completion. Only Prime Recipients are required to report to HUD. The report must include accomplishments of all recipients and their Section 3 covered contractors and subcontractors. HUD Field Office: Enter the Field Office name . 1. Recipient: Enter the name and address of the recipient submitting this report. 2. Federal Identification: Enter the number that appears on the award form (with dashes). The award may be a grant, cooperative agreement or contract. 3. Dollar Amount of Award: Enter the dollar amount, rounded to the nearest dollar, received by the recipient. 4 & 5. Contact Person/Phone: Enter the name and telephone number of the person with knowledge of the award and the recipients implementation of Section 3, 6. Reporting Period: Indicate the time period (months and year) this report covers. 7. Date Report Submitted: Enter the appropriate date. Submit one (1) copy of this report to the HUD Headquarters Office of Fair Housing and Equal Opportunity, at the same time the performance report is submitted to the program office. The Section 3 report is submitted by January 10. Include only contracts executed during the period specified in item 8. PHAs/IHAs are to report all contracts/subcontracts. * The terms "low-income persons" and very low-income persons" have the same meanings given the terms in section 3 (b) (2) of the United States Housing Act of 1937. Low-income persons mean families (including single persons) whose incomes do not exceed 80 percent of the median income for the area, as determined by the Secretary, with adjustments for smaller and larger families, except that Pagel 8. Program Code: Enter the appropriate program code as listed at the bottom of the page. 9. Program Name: Enter the name of HUD Program corresponding with the "Program Code" in number 8. Part I: Employment and Training Opportunities Column A: Contains various job categories. Professionals are defined as people who have special knowledge of an occupation (i.e. supervisors, architects, surveyors, planners, and computer programmers). For construction positions, list each trade and provide data in columns B through F for each trade where persons were employed. The category of "Other includes occupations such as service workers. Column B. (Mandatory Field) Enter the number of new hires for each category of workers Identified in Column A in connection with this award. New hire refers to a person who is not on the contractors or recipient's payroll for employment at the time of selection for the Section 3 covered award or at the time of receipt of Section 3 covered assistance. Column C. (Mandatory Field) Enter the number of Section 3 new hires for each category of workers identified in Column A in connection with this award. Section 3 new hire refers to a Section 3 resident who is not on the contractor's or recipient's payroll for employment at the time of selection for the Section 3 covered award or at the time of receipt of Section 3 covered assistance. Column D. Enter the percentage of all the staff hours of new hires (Section 3 residents) in connection with this award. Column E. Enter the percentage of the total staff hours worked for Section 3 employees and trainees (including new hires) connected with this award. Include staff hours for part-time and full-time positions. Column F. (Mandatory Field) Enter the number of Section 3 residents that were trained in connection with this award. Part II: Contract Opportunities Block 1: Construction Contracts Item A: Enter the total dollar amount of all contracts awarded on the project/program. Item B: Enter the total dollar amount of contracts connected with this project/program that were awarded to Section 3 businesses. Item C: Enter the percentage of the total dollar amount of contracts connected with this project/program awarded to Section 3 businesses. Item D: Enter the number of Section 3 businesses receiving awards. Block 2: Non -Construction Contracts Item A: Enter the total dollar amount of all contracts awarded on the project/program. Item B: Enter the total dollar amount of contracts connected with this project awarded to Section 3 businesses. Item C: Enter the percentage of the total dollar amount of contracts connected with this project/program awarded to Section 3 businesses. Item D: Enter the number of Section 3 businesses receiving awards. Part III: Summary of Efforts — Self -explanatory The Secretary may establish income ceilings higher or lower than 80 percent of the median for the area on the basis of the Secretary's findings such that variations are necessary because of prevailing levels of construction costs or unusually high- or low-income families. Very low-income persons mean low-income families (including single persons) whose incomes do not exceed 50 percent of the median family income area, as determined by the Secretary with adjustments or smaller and larger families, except that the Secretary may establish income ceilings higher or lower than 50 percent of the median for the area on the basis of the Secretary's findings that such variations are necessary because of unusually high or low family incomes. form HUD 60002 (11/2010) Ref 24 CFR 135 EXHIBIT "H" MATCH REPORT ESG PSA CONTRACT 2015-2016 — EXHIBIT "H" — MATCH REPORT Page 1 Day Resource Center for the Homeless CITY OF FORT WORTH NEIGHBORHOOD SEVICES DEPARTMENT EMERGENCY SOLUTIONS GRANT This attachment is designed to document proposed sources and to assess compliance with the required Emergency Shelter Grant (ESG) match portion at 24 CFR 576.51 ESG funds are matched dollar -for -dollar for each program year allocation. City of Fort Worth ESG Funds $ Agency ESG Match $ 1. SOURCES OF LOCAL MATCH: Other Federal (including pass -through funds, e.g., City CDBG, County FEMA, etc.) MATCH SOURCE MATCH AMOUNT $ $ TOTAL MATCH $ 2. STATE/LOCAL GOVERNMENT FUNDING: (e.g., State Housing Trust Funds, Local Assessment, etc.) MATCH SOURCE TOTAL MATCH $ $ $ 3. PRIVATE (including recipient) FUNDING: MATCH SOURCE Fund Raising/Cash $ Loans $ Building Value or Lease $ Donated Goods $ MATCH AMOUNT MATCH $ AMOUNT ESG PSA CONTRACT 2015-2016 — EXHIBIT "H" — MATCH REPORT Page 2 Day Resource Center for the Homeless Donated Computers New Staff Salaries Volunteers ($5/hr) Volunteer Medical/Legal TOTAL MATCH Comments: CERTIFICATION: The undersigned, hereby, gives assurance that to the best of my knowledge and belief, the data included in this report is true and accurate, and if submitted by a non-profit agency, has been approved by the governing body of the organization prior to submission. The match funds identified in this report are not included as contribution for any other federally assisted project or program as required by 24 CFR 84.23 (a) (2) Date: Submitted by: Phone Number: ESG PSA CONTRACT 2015-2016 — EXHIBIT "H" — MATCH REPORT Page 3 Day Resource Center for the Homeless EXHIBIT "I" ESG STAFF CERTIFICATION FORM ESG PSA CONTRACT 2015-2016 — EXHIBIT "I" — ESG STAFF CERTIFICATION FORM Page 1 Day Resource Center for the Homeless City of Fort Worth STAFF CERTIFICATION OF ELIGIBILITY FOR ESG FINANCIAL ASSISTANCE Instructions: In order for City to approve reimbursement for any client, agency must submit: (1) client documentation of income (source documentation or self -certification); (2) documentation of homelessness; (3) copy of lease; and (4) this completed form. (1) - (4) must be submitted upon initial reimbursement request for assistance for each client. HOMELESS PREVENTION ONLY: (1)-(4) upon agency request for reimbursement for the 4th month of rent for a client (excluding arrears). 1. General Information Head of Household Name. Names of Other Household Members: Age: Age: Age: Age: Age: Age: Household Income is less than 30% AMI? Yes Li No U N/A (Rapid Rehousing Initial Evaluation Only) L Client Lacks Resources/Support Networks? Yes El No ❑ Type(s) of ESG Financial Assistance: Rent ■ Rent Arrears ❑ Utility ■ Deposit(s) Unit Address (must be in City of Fort Worth): 2. Other ESG Requirements Lease in agency file? Yes ❑ No ❑ Client receives NO other rental subsidy (ie. Housing Choice Voucher)9 Yes ■ No Rental Assistance Agreement between landlord and agency in agency file? Yes Li No Unit Number of Bedrooms: Fair Market Rent (FMR) & Rent Reasonableness: Area FMR Limit (as published by HUD): Unit Rent per lease: Unit meets Habitability Standards? Yes ■ No E I Date of Inspection: 3. Lead -Safe Housing: Applicable when (1) providing ESG rental assistance for more than 3 months excluding arrears, (2) pre-1978 housing unit, AND (3) child under 6 in household. Not Applicable ❑ Number of Months Rental Assistance Provided (excluding arrears): Year Housing Unit Built: Name of Visual Assessor*: Visual Inspection Indicates Unit and Property Free of Deteriorated Paint? Yes ■ No ❑ *For named, agency must have on file a certificate of completion of HUD's Visual Assessment Course (httn://www.hud.eov/offices/lead/trainine/visualassessment/h00100.cfinl Required certifications: Each person signing below certifies to the following: (1) To the best of my knowledge, the program participant named above meets all requirements to receive assistance under the Emergency Solutions Grant (ESG). (2) To the best of my knowledge and ability, all of the information used in making this eligibility determination is true and complete. (3) I am not related to the program participant through family, business or other personal ties. (4) To the best of my knowledge, neither 1 nor anyone related to me has received or will receive any financial benefit for this eligibility determination. (5) I understand that fraud is investigated by the Department of Housing and Urban Development, Office of Inspector General, and may be punished under Federal laws to include, but not limited to, 18 U.S.C. 1001 and 18 U.S.C. 641 (6) I understand that if any of these certifications is found to be false, I will be subject to criminal, civil and administrative penalties and sanctions. ESG Staff Signature: ESG Supervisor Signature: Date: Date: ESG PSA CONTRACT 2015-2016 — EXHIBIT "I" — ESG STAFF CERTIFICATION FORM Page 2 Day Resource Center for the Homeless EXHIBIT "J" ESG PERFORMANCE STANDARDS Emergency Solutions Grant Performance Standards Activity Output/Outcome Street Outreach Number of persons: Placed in shelter or safe havens With more non -cash benefits at program exit Receiving case management Emergency Shelter Number of persons: Exiting to temporary/transitional housing destinations Exiting to permanent housing destinations - Receiving case management Homelessness Number of persons: Prevention - Who maintained their permanent housing for 3 months Exiting to permanent housing destinations With higher income at program exit With more non -cash benefits at program exit Receiving case management Rapid Re -Housing Number of persons: - Who maintained their permanent housing for 3 months Exiting to permanent housing destinations - With higher income at program exit - With more non -cash benefits at program exit - Receiving case management In order to successfully record performance outcomes, the CoC system requires that once a household is enrolled in an ESG program, non -domestic violence agencies must complete an initial HUD Intake Assessment within the HMIS system (ETO), the HUD Mid -Program Assessment and the HUD Exit Assessment upon program. Performance outcomes will be reported to the City using the HMIS genetated ESG reports. Domestic Violence Organizations will provide the same data utilizing their similar data systems. Reassessments are required for program participants receiving homelessness prevention assistance and rapid re -housing assistance. Participants receiving homeless prevention must be reassessed monthly; rapid re -housing participants must be reassessed at least quarterly. All participants must receive an exit assessment and enter it into HMIS or a comparable -level database. ESG PSA CONTRACT 2015-2016 — EXHIBIT "J" — ESG PERFORMANCE STANDARDS Page 1 Day Resource Center for the Homeless EXHIBIT "J-1" Written Standards for ESG Assistance Individuals and families eligibility. Households receiving either emergency shelter or rapid re -housing assistance must meet HUD's revised definition of homelessness. Households receiving homelessness prevention assistance must meet the definition of "at risk of homelessness", have incomes at or below 30% AMI, and lack sufficient resources and support networks to retain housing. Eligible ESG-assisted individuals and households must reside in the City of Fort Worth. Individuals receiving rapid re -housing assistance must be housed to a unit located in the City of Fort Worth. Agencies will conduct initial evaluation of clients to determine program eligibility, and kind of assistance needed. Agencies will re- evaluate quarterly the assistance provided to homelessness prevention recipients, and yearly, to rapid re- housing clients. Re-evaluation will ascertain that: r) annual incomes do not exceed 30% AMI; ii) clients lack resources and support networks to retain housing without ESG assistance. Annual incomes are established per 24 CFR 5.609. All clients must receive an exit assessment that will then be entered into HMIS or comparable database. Coordination among emergency shelter, homelessness prevention, rapid re -housing, and other homeless assistance and housing providers To receive ESG funds, an agency has to be an active member of the Continuum of Care (CoC). The CoC leads the coordination among agencies to assist the homeless and prevent homelessness. It also engages and coordinates resources to improve current programs and funding strategies. Determining and prioritizing homelessness prevention and rapid re -housing assistance. Rapid re- housing and homelessness prevention providers will determine prioritization among eligible clients. This should be based on a risk assessment. Prioritization should take into account: 1) families with children, and elderly and disabled persons who do not require permanent supportive housing; and 2) the share of rent and utilities costs that each client must pay, if any, while receiving homelessness prevention or rapid re-housmg assistance. The City recommends that clients share in rent and utility costs, unless there are reasons for receiving 100% ESG-assistance. Duration of rental assistance. Per §576.103 and §576.104, agencies shall provide clients for no more than 24 months, during any 3-year period with short-term rental assistance, medium -term rental assistance, payment of rental arrears, or any combination thereof. Short-term rental assistance is limited to 3 months. Medium -term rental assistance extends over 3 months but not more than 24 months Payment of rental arrears consists of a one-time payment for up to 6 months of rent in arrears, including any late fees on those arrears. Type, amount, and duration of housing stabilization and/or relocation assistance. Agencies will establish standards for the type, amount, and duration of housing stabilization and/or relocation services provided, acknowledging that services may not extend for more than 24 months within a 3-year period. Housing relocation and stabilization services include financial assistance (moving costs, rental application fees, security deposits last month's rent, utility deposits and utility payments), and services (housing search and placement housing stability and case management mediation, legal services, and credit repair.) The amount and type of assistance provided shall aim at clients becoming self-sufficient. The City shall have access to documentation that supports the amount and type of assistance provided. ESG PSA CONTRACT 2015-2016 — EXHIBIT "J 1" Day Resource Center for the Homeless Written Standards for ESG Assistance Page 1 EXHIBIT "K" ESG QUARTERLY HMIS REPORT ESG PSA CONTRACT 2015-2016 -- EXHIBIT "K"— ESG QUARTERLY HMIS REPORT Page 1 Day Resource Center for the Homeless City of Fort Worth Emergency Solutions Grant (ESG) Quarterly HMIS Report Agency Name: Reporting Period: From Contact Person: To This report is meant to collect data that is required for the HUD Consolidated Annual Performance and Evaluation Report (CAPER) This report is due each quarter, on January 15 April 15, July 15 and September 30 of each Contract year. Please fill out the report according to your Agency's accomplishments. If a particular activity does not apply to your Agency (for example, a shelter does not perform homeless prevention) please fill in all zeros for that particular column. This information should be collected from HMIS and the total number of persons should match comparable figures on the Citys Attachment III Report. If this report does not match the City's Attachment III Report, the Agency may be required to resubmit the report and provide an explanation for the discrepancy. Total Persons Served Total Persons Homelessness Rapid Re- Emergency Served This Prevention Housing Shelters Quarter Special Populations Served-AII Activities Veterans Victims of Domestic Violence Elderly HIV/AIDS Chronically Homeless Persons with Disabilities Severely Mentally III Chronic Substance Abuse (Drug, Alcohol) Other Disabilities (Physical, Developmental) Total Number of Persons in Household Adults Children Don't Know/Refused/Other Missing Information Total Gender -All Activities Male Female Transgender Don't Know/Refused/Other Missing Information Total Persons Served (Cumulative) Prepared by: D.C. and C.A. Updated: 2/11/2015 Page 1 of 2 Total Persons Served Total Persons Total Persons Homelessness Rapid Re- Emergency Served This Served Prevention Housing Shelters Quarter (Cumulative) Total Age -All Activities U nder 18 18-24 25 and over Don't Know/Refused/Other Missing Information Total Shelter Utilization N umber of New Units Rehabilitation N umber of New Units - Conversion Total Number of Bed Nights Available* Total Number of Bed -Nights Provided** Performance Standards Received Case Management Exited to transitional or permanent housing With higher cash income at exit With non -cash benefits at exit Exited to or maintained permanent housing at exit Did not enter CoC Shelter or Transitional Housing during remainder of ESG year * The total number of beds that are available in a year. For example, if they are all year-round beds, it would be 365 multiplied by the number of emergency shelter beds; if some are seasonal as well (e.g., only winter) then add in the number of nights each bed is available. Count all emergency shelter beds, whether or not they are ESG-funded. ** The number of beds that were filled each night. Count all emergency shelter beds, whether or not they are ESG-funded. Prepared by: D.C. and C.A. Updated: 8/31/2015 Page 2 of 2 EXHIBIT "L" MBE REPORTING FORM ESG PSA CONTRACT 2015-2016 -- EXHIBIT "L" -- MBE REPORTING FORM Page 1 Day Resource Center for the Homeless Contract and Subcontract Activity U.S Department of Ilmalrg and Urban Dee elmpment Public rcpmtng burden for thh collodion ofinformation is estimated to naag< .5 horn pa saponsc, including fiat tinmfmmi<uang vselnsaions, strains%bung data sass, gathering and maintaining ttn data maul, and mmpining and mica atrial this infrnutum and von are not so{uiml to aarg.iae this ferrn. arils itd'upla)s acwanly valid OMB Control\5euba. G>vineOrdandatd July It, 1933,dimds the bfismty➢minas Dcvelopmmt Planss1u116edevdapd by nth Palatal Ae a' and the them annual piata shallatablish minoritybusthwsdn e!opmad objcai'a. Thcmf limb tuna by HUD to monitor andctaluat< NIDE activities against do totalpmgram sanity and thcde igntd minaaybmmas mtaprise(\f11E) goals. The Departmadrryuim tho information to prom deguidann and oven ight for program for thedcvclopmmt of minorilybus"vus natal/rim mwemting Minority➢mims DCe!opmsl ifthcinf urns not collvtad %mild not be able to establuhmtaningfu) MBE goals. or ealuatm MBE pad m< ngainal that goats. Privacy Act NotIm bruited State Dcparbnmt of Housing and Lhban Ucelupmaa, Fdaal Honing Adminiababav is authorized to solicit OaInformton=nomtd in this form by Pam of Title12, Unita' State Cad<, Stdion 1701 airy, and regulation It ttdi net be disclosed or reload owldcthc Unitol States Dcpanmmt of Housing and Utban Dcr opmmtttithmut ymn comdry tempt n rcyuircil er panuud by Law. 1 ametTTmea »a,ldefyonSpnrolludda?AHaary City ofFcrt Worth 31 !lore et Cecol Pawn Sarah➢mkdt Jto dSut ND nr ctr r tat Asunt Carina enthasan. amaranth at et Strta-rad tyro arra& tc Sob es =tractor ItatlarEthole (Sees tow) d. 2I7-392-7533 te am 3 Dorms 7c4 Type efTrade Cade: a+dofryebtlr nand¢: Pretsltlorrt Anm..arar TsAHena] J.Rcporting Period then raerartar Ltharect.UDM Sec ttimmt )f 72. Oct 1-Sept. 30 (Annual-FY) attentions LkaarummODI See. 3 Th i ]d RaaalfElkNe Cadre: 6,4 Hanle legs Cheek if. PH CPI) (lousing 5 Pnop.n Coda { ::try,.cmpgu m Is CFD.t Cmlfata Submnbactor Nam and AdMaa Nano o,m Approval Na 257/LOSE OMB Aptemal No 2502-0355 <w!o--lion of info mati.m The Information is voluntary. HUD my not 2. I.aation (City. State Zip Code) 1000 Throvithorton. Fort Worth IN 76102 Strad le Dale Stroll -Ur mft.HOther City 5. Program Coder (Complete for lloml'p it Public and Indian Ifoming prtgnms onp): in-relorl..ttfett M 2"4---'s=h moment 3 Seta<r_-r„aS'HmA 3 trued form (IUD-25161191) ]J. State Zin ADV01 ADIV/01 YDIV/0! ADIV/O' YDI\''O! ADIV6O1 YDIVi01 YDIV0! ADI100' ADIVi0! ADIVO! YDI\'I0! ADIVi0! DIVO! YDIV'o' ADIVi0! YUIVO! YDIVia YDIV10! This report is to be completed by grantees, developers, sponsors, builders, agencies, and'or project owners for reporting contract and subcontract activities ofSI0,000 or more under the following pmgrams Community Den elopment Block Grants (entitlement and small cities); Urban Development Action Grants; }lousing Development Grants: Multifamily Insured and Noninsured; Public and Indian Housing Authorities and contracts entered into by recipients of CDBG rehabilitation assistance Contsucts'subcontruets of less than SI0,000 need be reported only if such contracts represent a significant portion of your total contracting activity. Include only contracts executed during this reporting period. This fonn has been modified to capture Section 3 contract dam in columns 7g and 7i Section 3 requires that the employment and other economic opportunities generated by HUD financial assistance for housing and community development programs shall, to the greatest extent feasible, be directed toward low- and very low-income persons, particularly those who arc recipients ofgoemment assistance for housing- Recipients using this form to report Section 3 contract data must also use Part I of form HUD60002 to report employment and training opportunities data. Fonn HUD-2516 is to be Community Development Progrann 1. Grantee: Enter the name of the unit of gm eminent submitting this report. 3. Contact Person: Enter name and phone of person responsible for maintaining and submitting contract/subcontract data 7a. Grant Number: Enter the }IUD Community Development Block Grant Identification Number (with dashes). For example: B-32-MC-25-0034. For Entitlement Programs and Small City multi -year comprehensive pmgmms, enter the latest approved grant number. 7b. Amount of Contract/Subcontract: Enter the dollar amount rounded to the nearest dollar. If subcontractor ID number is provided in 7C the dollar figure would be far the subcontract only and not for the prime contract. 7c. Type of Trade: Enter the numeric codes which best indicates the contractor's/subcontractor's service. If subcontractor ID number is provided in 7C, the type of trade code would be for the subcontractor only and not for the prime commetor. The "other' category includes supply, professional seniors and all other activities except construction and education/training activities. 7d. Business Racial/Ethnic/Gender Code: Enter the numeric code which indicates the racialiethnio'genderchamc ter of the owners) and controllcr(s) of5I% of the business. When 51%or mom is not owned and controlled by any single racial/ethnic/gender category; enter the code which scents most appropriate. lithe subcontractor ID number is provided, the code would apply to the subcontractor and not to the pnme contractor. 7e. Woman Owned Business: Enter Yes or No. 7f. Contractor Identification (ID) Number: Enter the Employer (IRS)Number of the Pnme Contractor as the unique identifier for prime recipient of HUD funds. Note that the Employer (IRS)Number must be provided far each contract/subcontract awarded. 7g. Section 3 Contactor: Enter Yes or No. 71t Subcontractor Identification (ID) Number: Enter the Employer (IRS) Number of the subcontractoras the unique identifier for each subcontract awarded from HUD funds. When the subcontractor ID Number is provided the respective Prime Contractor ID Number must also be provided. 7i. Section 3 Contractor: Enter Yes or No. 7j. Contractor/Subcontractor Name and Address: Enter this information for each firm recering contract/subcontract activity only one time on each report for each lnk completed for public and Indian housing and most community development programs- Fonn HUD 60002 is to he completed by all other HUD programs including State administered community development programs covered under Section3. A Section 3 Contractor/subcontractor is a business cuncem that provides economic opportunities to low and very Low-income residents of the metropolitan area (or nonmetropolitan county). including a business content that is 51 person or more owned by low-income residents, or pronides.ubconiracting or business development opportunities to businesses owned by low or low-income residents_ Low and very low-income residents include participants in Youthbuild programs established under Subtitle D of Title IV of the Cranston -Gonzalez National Affordable Housing Act. The tenns-low-income persons" and"very low-income persons" have the same meanings given the terms insectian3(bX2) of the United States Homing Act of 1937. Low-income persons mean families (including single persons) whose incomes do net exceed 80 per centum of the nnedian income for the area, as determined by the Secretary, with adjustments for smalleron larger families, except that the Secretary may establish income ceilings higher or lower than 80 per centum of the median for the area on the basis of the Secretary's findings that such variations are necessary because of prevailing lei els of construction Multifamily Housing Programs 1. Grantee/Project Owner: Enter the name of the unit of gm eminent, agency or mortgagor entity submitting this report. 3. Contact Person: Same as item 3 under CPD Programs 4. Reporting Period: Check only one period, 5.11rogram Code: Enter the appropriate program code 7a. Grant/Project Number. Enter the HUD Project Number or Housing Development Grantor number assigned. 7b. Amount of Contract/Subcontract: Same as item 7b. under CPD Progmmts 7c. Type of Trade: Same as item 7c. underCPD Pmgmms. 7d. Business Racial/Ethnic/Gender Code: Same as item 7d. under CPU Programs 7e. Woman Owned Business: Enter Yes or No 71: Contractor Identification (ID) Number. Same as item 7f underCPD Programs. 7g. Section 3 Contractor: Enter Yes or No 7h. Subcontractor Identification (ID) Number: Same as item 7h. under CPD Programs 7i. Section 3 Contractor: Enter Yes or No. 7j. Contractor/Subcontractor Name and Address: Same as item 7j. under CPD Programs costs or unusually high or low-income families Very low-income families (including single persons) whose incomes do not exceed 50 per centum of the median family income for the area, as determined by the Secretary with adjustments for smaller and larger families, except that the secretary may establish income ceilings higher or lover than 50 per centum of the median for the area on the basis of the Secretary's findings that such Nan:diens are necessary because of unusually high or low family incomes. Submit two (2)copies of this report to your local HUD Office within ten (10) days after the end of the reporting period you checked in item 4 on the front- Complete item 7h. Only once for each contractor/subcontractor on each semi-annual report. Enter the panne contractor's 1D in item 7C for all contracts and subcontracts. Include only contracts expected during this reporting period. PfHAs'HAs are to report all contracts/subcontracts Public Housing and Indian Housing Programs PHAsgHAs are to report all cantmcts'subcontmcts Include only contracts executed during this reporting period. 1. Project Owner: Enter the nave of the unit of government, agency or mortgagor entity submitting this report Check box as appropriate. 3. Contact Person: Same as item 3 under CPD Programs 4. Reporting Period: Check only one period 5. Program Code: Enter the appropriate program code 70. Grant/Project Number Enter the HUD Project Number or )lousing Dnelopment Grant or number assigned. 7b. Amount of ContracUSubcontractl Sante as item 7b. under CPD Pmgmms le. Type of Trade: Sane as item 7c. under CPD Programs- 7d. Business Racial/Ethnic/Gender Code: Some as item 7d. underCPD Pmgmms. le. Woman Owned Business: Enter Yes or No 7f. Contractor ldentifica lion (ID) Number. Same as item 7f under CPD Programs. 7g, Section Contactor: Enter Yes or No. 7h. Subcontractor Identification (ID) Number. Same as item 7h. under CPD Programs 71. Section 3 Contactor: Enter Yes or No 7j.Contractor/Subcontractor Name and Address: Same as item 7j. under CPD Programs M&C Review ITY COUNCIL AGENDA FORT WORTH CONTINUED FROM A PREVIOUS WEEK REFERENCE 17NS DATE 7/28/2015 NO : G-18521 LOG NAMEHUDACTIONPLANPY2015- 2016 CODE G TYPE NON- PUBLIC CONSENT HEARING: YES SUBJECT: Conduct Two Public Hearings and Approve the City's 2015-2016 Action Plan for the Use of Federal Grant Funds in the Amount of $9,820,979.00 from the United States Department of Housing and Urban Development from the Community Development Block Grant, HOME Investment Partnerships Program, Emergency Solutions Grant and Housing Opportunities for Persons with AIDS Grant Programs, Authorize Collection and Use of Program Income, Authorize Waiver of Application of Indirect Cost Rates Authorize Execution of Related Contracts and Adopt Appropriation Ordinance (ALL COUNCIL DISTRICTS) RECOMMENDATION: It is recommended that the City Council: 1. Conduct two public hearings to allow citizen input and consideration of the City's 2015-2016 Action Plan for use of federal grant funds from the United States Department of Housing and Urban Development in the amount of $9,820,979.00 from the Community Development Block Grant, HOME Investment Partnerships Program, Emergency Solutions Grant and Housing Opportunities for Persons with AIDS grant programs and for the use of program income from activities using prior years' federal grant funds; 2. Approve the City's 2015-2016 Action Plan for submission to the United States Department of Housing and Urban Development including allocations of grant funds to particular programs and activities as detailed below; 3. Authorize the collection and use of an estimated $50,000.00 of program income, which resulted from activities using prior years' Community Development Block Grant fund, for the reconstruction of City streets; 4. Authorize the collection and use of an estimated $200,000.00 of program income, which resulted from activities using prior years' HOME Investment Partnerships Program funds, for the City's Homebuyer Assistance Program; 5. Authorize the City Manager or his designee to execute contracts for a one-year term with the agencies listed in Tables 1, 2 and 3 below for Program Year 2015-2016 for Community Development Block Grant, Emergency Solutions Grant and Housing Opportunities for Persons with AIDS grant funds, contingent upon receipt of funding; 6. Authorize the City Manager or his designee to extend the contracts for up to one year if an agency or department requests an extension and such extension is necessary for completion of the program or to amend the contracts if necessary to achieve program goals provided any amendment is within the scope of the program and in compliance with City policies and all applicable laws and regulations governing the use of federal grant funds; http://apps.cfwnet.orglcouncil_packet/mc review.asp?ID=21233&councildate=8/4/2015[8/5/2015 8:44:59 AM] M&C Review 7. Authorize a waiver of indirect cost rates as applicable for the Grants Fund in accordance with the City's Administrative Regulations; and 8. Adopt the attached appropriation ordinance increasing the estimated receipts and appropriations to the Grants Fund in the total amount of $9,820,979 00 consisting of $6 332,270.00 in Community Development Block Grant funds, $1,934,447.00 in HOME Investment Partnerships Program funds, $552,108.00 in Emergency Solutions Grant funds and $1,002,154.00 in Housing Opportunities for Persons with AIDS grant funds, plus any program income, all subject to receipt of such funds. DISCUSSION: The City's 2015-2016 Action Plan summarizes the major housing and community development activities and proposed expenditures for the program year beginning October 1, 2015 and ending September 30, 2016 for use of federal grant funds totaling $9,820,979.00 from the United States Department of Housing and Urban Development (HUD) for Community Development Block Grant (CDBG), HOME Investment Partnerships Program (HOME), Emergency Solutions Grant (ESG) and Housing Opportunities for People with AIDS (HOPWA) grant programs. It also summarizes the use of program income resulting from activities using prior years' CDBG and HOME funds. The purpose of these grant funds is to primarily benefit low and moderate income City residents with ESG funds primarily benefiting homeless persons and HOPWA funds primarily benefiting persons with HIV/AIDS. Staff developed recommendations for the allocation of the estimated funding from HUD and presented them to the Community Development Council (CDC) on May 20, 2015 and to the City Council at its Pre -Council meeting on June 16, 2015. Notice of a 30-day public comment period from July 1 2015 to July 31, 2015 was published in the Fort Worth Star-Telearam on June 28 2015. Any comments received will be maintained by the Neighborhood Services Department in accordance with federal regulations. The City will hold two public hearings as part of the HUD - required citizen participation process, the first on July 28, 2015 and the second on August 4, 2015 at which time the City Council is scheduled to approve the Action Plan. In addition, public hearings were held on June 18, 2015 at 11:30 a m. and 6:00 p.m. for citizens to provide comment on the proposed list of neighborhood streets eligible for reconstruction using CDBG funds. A summary of the CDC's funding recommendations is provided below in Tables 1 2 and 3 and a spreadsheet of all specific funding recommendations is attached The 2015-2016 Action Plan must be submitted to HUD by August 14, 2015. CDBG For Program Year 2015-2016, it is recommended that the amount of $6,332,270.00 in CDBG funds and the estimated amount of $50,000.00 of CDBG program income be allocated as follows: Public Services - $949,840.00 This item includes social services for low to moderate income, disabled and disadvantaged populations. Housing Programs and Services - $2,175,600.00 This item includes funding for the City's Priority Repair Program, Cowtown Brush -Up, homebuyer and housing services, accessibility modifications to the homes of senior and/or disabled individuals and related project delivery costs for these programs. Infrastructure Services - $1,201,521.53 This item includes funding for the reconstruction of neighborhood streets. http://apps.cfivnet.org/council_packet/mc_review.asp7ID=21233&councildate-8/4/2015[8/5/2015 8:44:59 AM] M&C Review CDBG Economic Development - $738,854.47 This item is the City s annual payment on its Section 108 loan from HUD. CDBG Estimated Program Income - $50,000.00 This item includes funding for the reconstruction of City streets in addition to the funds listed above under Infrastructure Services. CDBG program income that is received which is over the estimated amount but not used for reconstruction of City streets will be allocated to priority activities in the City's Consolidated Plan subject to Council approval. CDBG General Administration - $1,266,454.00 This item includes costs for administering the CDBG grant including allocations for Financial Management Services, Internal Audit and Transportation and Public Works Departments. HOME For Program Year 2015-2016, it is recommended that the amount of $1,934,447.00 in HOME funds and the estimated amount of $200,000.00 of HOME program income be allocated as follows: Homebuyer Assistance Program (HAP) - $1,097,400.00 This item includes funding for down payment and/or closing cost assistance to low and moderate income homebuyers. Community Development Housing Organizations (CHDO) Set Aside - $290,168.00 HUD requires that a minimum of 15 percent of HOME funds be allocated to CHDOs for affordable housing projects and CHDO administrative operating costs. These funds will be used by Tarrant County Housing Partnership, Inc. (TCHP), a CHDO, to construct additional single family houses for the 21 lot Hardy Street Single Family Infill Development in the Diamond Hill -Jarvis neighborhood (Council District 2). The houses will be sold to homebuyers making at or below 80 percent of area median income set by HUD. Single -Family Development - $353,435.00 This item includes funding for construction by TCHP of additional single family houses for the Hardy Street Single Family Infill Development HOME General Administration - $193,444.00 This item includes costs for administering the HOME grant. HOME Estimated Program Income - $200,000.00 This item includes funding for the City's HAP for closing cost and/or down payment assistance in addition to the funds listed above HOME program Income that is received which is over the estimated amount but not used for HAP will be allocated to priority activities in the City's Consolidated Plan subject to Council approval. HUD allows the City to take 10 percent of any HOME program income to be used for the costs for administering the HOME grant. HOPWA For Program Year 2015-2016, it is recommended that the amount of $1,002,154.00 in HOPWA funds be allocated as follows: Non -Profit Service Providers - $972,090.00 HOPWA Program Administration - $30,064.00 ESG http://apps.cfwnet.org/councilsacket/mc review.asp?ID=21233&councildate=8/4/2015[8/5/2015 8:44:59 AM] M&C Review For Program Year 2015-2016, it is recommended that the amount of $552,108.00 in ESG funds be allocated as follows: Non -Profit Service Providers - $510,700.00 ESG Program Administration - $41,408.00 CONTRACT RECOMMENDATIONS The CDC and Staff recommend that contracts be executed with the listed agencies for the amounts shown in the following tables: Community Development Block Grant Contracts: Table 1 - CDBG Agencies Organization Program Cenikor Foundation Substance Abuse Senior Citizen Services of Greater Tarrant County Inc. YMCA of Metropolitan Fort Worth YWCA of Fort Worth and Tarrant County Clayton Child Care Inc. d/b/a Clayton YES! Girls Inc. of Tarrant County Camp Fire First Texas Lena Pope Home, Inc. The Ladder Alliance Tarrant County Housing Partnership, Inc. Presbyterian Night Shelter The Salvation Army, a Georgia Corporation Meals on Wheels, Inc. of Tarrant County CDBG Public Service Subtotal Rehabilitation, Education and Advocacy for Persons with Handicaps, dba REACH, Inc.** Total CDBG Contracts Senior Services Child Care Services Child Care Services Child Care Services Youth Services Youth Services Youth Services Employment/Job Training Housing Counseling and Education Case Management/Main Shelter Amount $ 75,000.00 $ 75,000.00 $ 75,000.00 $ 49,840.00 $ 75,000.00 $ 75,000.00 $ 75, 000.00 $ 75,000.00 $ 75,000.00 $ 75,000.00 $ 75,000.00 $ 75,000.00 $ 75,000.00 $ 949,840.00 $ 100,000.00 $1,049,840.00 **REACH will be funded from the CDBG Housing Programs and Services budget. Homeless Services Home delivered Meals Program Project Ramp http://apps.cfvvnet.org/council_packet/mc review.aspvID=21233&councildate=8/4/2015[8/5/2015 8:44:59 AM] M&C Review Housing Opportunities For Persons With AIDS Contracts: Table 2 - HOPWA Agencies Organization Program Amount Tarrant County Administration (seven percent) Supportive Services, $420,063.00 Samaritan and Facility Based Housing Subsidy Assistance Housing, Inc. AIDS Outreach Center, Inc. TOTAL HOPWA Contracts Organization S afeHaven of Tarrant County P resbyterian Night Shelter Day Resource Center for the Homeless The Salvation Army, a Georgia Corporation YWCA Fort Worth and Tarrant County TOTAL ESG Contracts Administration (seven percent), Supportive Services, Tenant Based Rental Assistance (TBRA), and Short Term Rent Mortgage and Utility Assistance (STRMU) Emeraencv Solutions Grant Contracts:. Table 3 - ESG Aaencies. Program S helter Services S helter Services S helter Services Homelessness P revention Rapid Re -Housing These programs are available in ALL COUNCIL DISTRICTS. $552,027.00 $972,090.00 Amount $104,265.00 $ 85,908.00 $141,092.00 $100,000.00 $ 79,435.00 $510,700.00 FISCAL INFORMATION/CERTIFICATION: The Financial Management Services Director certifies that upon approval of the above recommendations, adoption of the attached appropriation ordinance and receipt of grant funds, funds will be available in the current operating budget, as appropriated, of the Grants Fund. TO Fund/Account/Centers FROM Fund/Account/Centers 21001 4310013 019CDBG $6.332.270.00 http://apps.cfwnet.org/council packet/me review.asp9ID=21233&councildate-8/4/2015[8/5/2015 8:44:59 AM] M&C Review 21001 21001 21001 21001 21001 71001 71001 21001 21001 21001 21001 5XXXXXX 019CDBG 4310013 019HOMF 5XXXXXX 019HOMF 4310013 019ESG 5XXXXXX 019ESG 4921001 019CDBG 5XXXXXX 019CDBG 4310013 019HOPWP 5XXXXXX 019HOPWA 4921001 019HOME 5XXXXXX 019HOME $6.332.270.00 $1.934.447.00 $1.934.447.00 $552.108.00 $552.108.00 $50.000.00 $50.000.00, $1.002.154.00 $1.002.154.00 $200.000.00 $200.000.00 Submitted for City Manaaer's Office bv: Originating Department Head: Additional Information Contact: Fernando Costa (6122) Allison Gray (8030) Avis Chaisson (6342) Leticia Rodriguez (7319) ATTACHMENTS 17NS HUDACTIONPLabIPY2015-2016 GR76 AO FY2015.docx Action Plan 15 16 FINAL MandC Slides LHR.pdf Proposed 2015 CDBG Infrastructure Project MandC.ndf http://apps.cfwnet.org/council packet/mc review.asp7ID=2I233&couneildate=8/4/2015[8/5/2015 8:44:59 AM]