HomeMy WebLinkAboutContract 54272CSC No. 54272
STATE OF TEXAS §
COUNTY OF TARRANT §
This contract ("Contract") is made and entered into by and between the City of Fort
Worth (hereafter "City") and Center for Transforming Lives (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 the Community Development Block
Grant ("CDBG") Program, Program No. B-19-MC-48-0010, Catalog of Federal Domestic
Assistance No. 14.218;
WHEREAS, City has received an additional allocation of CDBG grant monies
under the Coronavirus Aid, Relief, and Economic Security Act ("CARES" Act), referenced
by HUD as "CDBG-CV";
WHEREAS, the CDBG regulations and related HUD guidance publications
establish all requirements for the CDBG-CV funds except for those specifically described
in this Contract as deriving from the CARES Act;
WHEREAS, a national objective of the CDBG program is to benefit low and
moderate income citizens in accordance with 24 CFR Part 570, as amended from time to
time;
WHEREAS, Agency submitted a proposal and was selected to use CDBG-CV
funds for a financial stability program to serve individuals and families, 51% of whom
must be low and moderate income;
WHEREAS, City citizens, the Community Development Council, and the City
Council have determined that CDBG 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:
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020
Center for Transforming Lives
OFFICIAL RECORD
CITY SECRETARY Page 1Rev.6/15/2020
FT. WORTH, TX
Area Median Income or AMI means the median family income for the Fort Worth -
Arlington metropolitan statistical area as established annually by HUD. The income
limits are attached hereto as EXHIBIT "A-1" — 2020 HUD Income Limits.
Business Diversity Enterprise Ordinance or BDE means the City's Business Diversity
Ordinance, Ordinance No. 20020-12-2011.
CDBG means Community Development Block Grant.
Complete Documentation means the following documentation as applicable:
• 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: either (i) verifiable self -certification of
income such as the City's Certification Income Statement attached as
EXHIBIT "E" — Form of Income Self -Certification or a similar
form approved by City, or (ii) Source Documentation and
documentation of client need directly related to and/or caused by the
Coronavirus Pandemic; and other eligibility documentation further
described in Exhibit "A" — Program Summary
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.
CDBG-CV Funds means the CDBG-CV grant funds supplied by City to Agency under
the terms of this Contract.
CDBG Regulations means regulations found at 24 CFR Part 570 et seq.
Countywide Agencies means agencies with 10% or more of clients that reside outside of
the boundaries of the City. All other agencies are considered Fort Worth agencies.
DBE means disadvantaged business enterprise in accordance with 49 CFR Part 26.
Director means the Director of the Neighborhood Services Department.
Effective Date means March 13, 2020.
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 2
Center for Transforming Lives Rev.6/15/2020
HUD means the United States Department of Housing and Urban Development.
IDIS means Integrated Disbursement Information System, HUD's project tracking
system.
Income Eligible Client means a client whose annual income adjusted for family size does
not exceed 80% of AMI using the most current HUD Income Guidelines and Technical
Guidance for Determining Income and Allowances. The definition of annual income to
determine client income eligibility shall be the definition contained in 24 CFR Part 5.609,
as amended from time to time.
National Objective means an activity that benefits low and moderate income persons. For
the purposes of this Contract, at least 51% of the clients served by the Program must be
Income Eligible Clients.
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 of full household income of any type
described under the definition of annual income in 24 CFR Part 5.609, including but not
limited to copies of paychecks, Social Security and disability verification letters, interest
or rental income statements, retirement income statements, child support and alimony
verification, unemployment benefit letters, and the like.
Unduplicated Clients means a count of all clients served by the Program at least once in
the Contract Term. Clients served by the Program 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 term of this Contract begins on the Effective Date and terminates eighteen (18)
months following the date of Contract execution unless earlier terminated as provided in
this Contract. This Contract may be extended if such extension is necessary for completion
of the program and is authorized by the CDBG Regulations and the City's Grant
Agreement with HUD. The Contract Term shall include any extension, if exercised, as
provided herein.
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 3
Center for Transforming Lives Rev.6/15/2020
4. DUTIES AND RESPONSIBILITIES OF CITY.
4.1 Provide CDBG-CV Funds.
City shall provide up to $121,754 of CDBG-CV Funds under the terms and
conditions of this Contract.
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 National Objective
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 CDBG-CV Funds.
5.2.1. Compliance with CDBG Regulations and Contract.
Agency shall be reimbursed for eligible Program costs with CDBG-CV Funds only
if City determines in its sole discretion that:
5.2.1.1 Costs are eligible expenditures in accordance with CDBG
Regulations.
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 CDBG-CV 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 requests shall be approved by
Director or Director's designee in writing, with such approval
being in the City's sole discretion. If the Agency's proposed
Budget amendment is approved (as approved, the "Amended
Budget"), then the Amended Budget shall be memorialized in
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 4
Center for Transforming Lives Rev.6/15/2020
a written amendment to this Contract. The Amended Budget will
take effect on the first day of the month following the month in
which the Contract amendment is executed, unless otherwise
specified in the amendment. All requests for Budget
amendments must be submitted no later than 90 days prior to the
date of the end of the term of this Contract.
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 the CDBG-CV Funds to supplement
rather than supplant funds otherwise available for the Program.
5.2.4 Payment of CDBG-CV Funds to Agency.
CDBG-CV 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 completion of 90% of performance goals, City may hold back a small amount of the
CDBG-CV funds until the end of the term to ensure completion of all performance goals.
During this interim period, Agency must continue to submit Attachment III — Client Data
Report in EXHIBIT "D" — Reimbursement Forms monthly. It is expressly agreed by
the Parties that any CDBG-CV Funds not spent or 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:
Unduplicated Clients as
specified in EXHIBIT
"A" — Program
Month
Ex enditures
Summary
3
15%
15%
6
30%
30%
9
50%
50%
12
65%
65%
15
80%
80%
18
100%
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.
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 5
Center for Transforming Lives Rev.6/15/2020
In the event of such breach, City reserves the right in its sole option to (i) delay or withhold
payment of Reimbursement Requests, (ii) lower Agency's allocation of CDBG-CV Funds,
or (iii) terminate this Contract.
5.3.3 Failure to meet at least 80% of its performance milestones or serve 36
Unduplicated Clients under this Contract may, in City's sole discretion, disqualify Agency
for consideration under future City's Requests for Proposals for federal grant funds.
5.3.4 Amendments to performance milestones regarding CDBG-CV Funds 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 shall be memorialized in a written amendment to this Contract.
The Amended Performance Milestones will take effect on the first day of the month
following the month in which the Contract Amendment is executed unless otherwise
specified in the amendment. All requests for amendments to performance milestones must
be submitted by six months prior to the date of the end of the term of this Contract.
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 CDBGCV Funds.
Agency will keep accounts and records in such a manner that City may readily
identify and account for Program expenses reimbursed with CDBG-CV Funds. These
records shall be made available to City for audit purposes and shall be retained as required
hereunder.
5.5 Meet National Objective.
Agency shall ensure that the activities carried out in the Program will meet the
National Objective.
5.6 Program Subcontracts.
Agency shall not enter into a subcontract with another agency, contractor, or vendor
to provide a service to clients for any part of the Program that will be paid with CDBG-CV
Funds without City's written consent.
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 6
Center for Transforming Lives Rev.6/15/2020
CLIENT ELIGIBILITY VERIFICATION.
6.1 Client Eligibility.
Agency will document client eligibility as follows:
6.1.1 Agency Clients.
Agency must verify all new clients' income with either a verifiable self -certification
of income such as the City's Certification of Income Statement attached as EXHIBIT "E"
— Form of Income Self -Certification or a similar form approved by City,. Agency must
use the annual income definition in 24 CFR Part 5.609 to establish client income and must
use the most current HUD Income Guidelines. The income of all Program clients must be
documented and at least 51 % of them must be Income Eligible Clients. In addition, Agency
must document client eligibility for CARES Act assistance by maintaining records of client
need directly related to and/or caused by the Coronavirus Pandemic, as well as other
eligibility documentation further described in Exhibit "A" — Program Summary.
6.1.1.1 If Agency serves both Fort Worth and non -Fort Worth clients,
the proportion of Program costs allocated to the CDBG-CV-
funded portion of the Program Budget must be consistent with
the proportion of Fort Worth clients to all clients.
6.1.1.2 All Program clients must be reported on EXHIBIT "D" —
Reimbursement Forms, Attachment III. All Program clients
whose income has not been verified will be deemed to not be
Income Eligible Clients and shall not be included in the 51 %.
6.1.2 Verification of Program Eligibility.
6.1.2.1 At the end of each quarter during the Contract term, Agency
shall verify CDBG-CV Program Eligibility by confirming that
at least 51 % of clients served by the Program to date are Income
Eligible Clients as reported on Attachment III.
6.1.2.2 If Agency fails to verify Program eligibility on a quarterly basis
in compliance with this Section, Agency will have 30 calendar
days or until the next monthly invoice to cure.
6.1.2.3 City will notify Agency by e-mail within 14 calendar days if the
Program performance milestones were not met within the
requirements outlined in this Section 6.1.2.2. Agency will have
an additional 7 calendar days from the date of the e-mail notice
to meet these requirements.
6.1.2.4 In the event the Agency fails to meet the Program performance
milestones, City reserves the right in its sole option to delay or
withhold payment of Reimbursement Requests, to lower
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 7
Center for Transforming Lives Rev.6/15/2020
Agency's allocation of CDBG-CV Funds, or to terminate this
Contract.
6.2 Submission of Complete Documentation.
Agency must submit copies of documentation of client eligibility described in
Section 6.1 with Attachment III with each month's Reimbursement Request for all
Unduplicated Clients.
6.3 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
termination or expiration of this Contract.
7. ADDITIONAL CDBG-CV REQUIREMENTS.
Agency agrees to comply with all requirements of the CDBG Program as stated in
the CDBG Regulations, as well as any further requirements established by HUD regarding
CDBG-CV funds upon receiving notification of such additional requirements from City,
including but not limited to the following:
7.1 Environmental Review.
CDBG-CV Funds will not be paid, and costs cannot be incurred until City has
conducted an environmental review and completed 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 CDBG-CV Funds it has already
received and forfeit any future payments of CDBG-CV 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 an environmental
review (ii) approval of City's Substantial Amendment to the 2019-2020 Action Plan
regarding CARES Act grant funds, and (iii) receipt by City of a grant agreement from
HUD.
7.3 Monitoring.
7.3.1 Agency understands and agrees that it will be subject to monitoring by
City for compliance with terms and provisions of this Contract and the CDBG
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 the
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 8
Center for Transforming Lives Rev.6/15/2020
date after the final date of the full eighteen -month contract term including any extensions
in term, and end on the date five full years after that date.
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 CDBG-
CV Funds, and to Agency's officers, directors, agents, employees, contractors,
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 perform 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 during the term of this contract.
7.4 A2ency 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 Part 200.326.
7.4.1 Contracts in excess of $10,000.00 made by Agency using CDBG-CV 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 terminated 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 government
wide System for Award Management, www.sam.gov ("SAM"). Agency must confirm
by search of SAM that all contractors paid with CDBG-CV 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.
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 9
Center for Transforming Lives Rev.6/15/2020
7.5 Cost Principles/Cost Reasonableness.
Agency shall administer its use of CDBG-CV Funds in compliance with 2 CFR
Part 200, as applicable. The eligibility of costs incurred for performance rendered shall be
determined in accordance with 2 CFR Part 200.400 through 2 CFR Part 200.475.
7.6 Financial Management 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
Requirements.
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 CDBG-CV 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 CDBG Regulations.
Agency shall monitor the services and work performed by its contractors, subcontractors
and vendors on a regular basis for compliance with the CDBG Regulations and Contract
provisions. Agency must cure all violations of the CDBG 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 CDBG 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 Contract term ends.
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 14.14.2.1 and 14.14.4, Agency shall
establish conflict of interest policies for federal awards. Agency shall disclose to City in
writing any potential conflict of interest.
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 10
Center for Transforming Lives Rev.6/15/2020
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.
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 CDBG-CV Funds
that provides reasonable assurance that Agency is managing the CDBG-CV 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
REQUIREMENTS; 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 term ends.
If any claim, litigation, or audit is initiated before the expiration of the 5 year period, the
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 11
Center for Transforming Lives Rev.6/15/2020
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 the date after the final date of the full eighteen month
contract term and end on the date five full years after that date 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 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 year period for
access to records is deemed to begin on the date after the final date of the full eighteen
month contract term and end on the date five full years after that date 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 Chanie 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
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 12
Center for Transforming Lives Rev.6/15/2020
requirements for that year, but records must be available for review or audit by appropriate
officials of the federal agency, City, and General Accounting Office.
8.5.2 City Reserves the Right to Audit.
City reserves the right to perform an audit of Agency's Program operations and
finances at any time during the term of this Contract and for 5 years after the Contract term
ends if City determines that such audit is necessary for City's compliance with the CDBG-
CV 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 the date after the final date of the full eighteen
month contract term and end on the date five full years after that date regardless of whether
or not this Contract is earlier terminated. If such audit reveals a questioned practice or
expenditure, such questions must be resolved within 15 business days after notice to
Agency of such questioned practice or expenditure. If questions are not resolved within
this period, City reserves the right to withhold further funding under this Contract and/or
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 CDBG-CV FUNDS OR
SPENT CDBG-CV-CV 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 REQUIREMENTS.
9.1 Deadline for Submitting 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 15t' 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 15t' falls on a weekend or City
holiday, Reimbursement Requests shall be due the next day that the City is open for
business. For expenses paid by Agency March 13, 2020 through June 30, 2020 exclusively,
the Reimbursement Request must be received no later than August 31, 2020. Failure to
submit a Reimbursement Request in a timely fashion will result in City taking the actions
outlined in Section 10.1. If expenditures exceed $20,000 per month, Agency may elect to
submit two reimbursement requests per month, with the first reimbursement request being
submitted on the 15th of the month covering expenses paid from the 16th through the end
of the preceding month, and the second reimbursement request being submitted on the 30th
of the month covering expenses paid in the first 15 days of the month. Agency must advise
City in writing no later than 15 days in advance, of their intent to submit two reimbursement
requests for any month during the contract term.
9.1.2 City will notify Agency by e-mail within 14 calendar days if a
Reimbursement Request is lacking Complete Documentation or corrections are needed.
Agency will have 7 calendar days from the date of the e-mail notice to submit any requested
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 13
Center for Transforming Lives Rev.6/15/2020
information or missing documentation. If Agency fails to submit all the required
information or missing documentation within 7 calendar days from the first e-mail, Agency
may, at the City's sole discretion, shall forfeit any payments otherwise due that month and
failure to submit any requested information may, at the City's sole discretion, 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).
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 CDBG-CV-funded time
and non-CDBG-CV funded time and reflect actual time spent on
CDBG-CV-funded activities. Agency may not submit payroll
expenses dated 60 calendar days prior to the date of the
Reimbursement Request. Payroll expenses dated March 13,
2020 through June 30, 2020 must be submitted for
Reimbursement no later than August 31, 2020.
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. Non -
payroll expenses dated March 13, 2020 through June 30, 2020
must be submitted for Reimbursement no later than August 31,
2020.
9.2.2.3 Proof that each expense was paid by Agency, which proof can
be satisfied by cancelled checks, wire transfer documentation,
paid receipts or other appropriate banking documentation.
9.2.3 Attachment III — Client Data Report.
This report shall list each 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. In order for this report to be complete, the
following must be submitted:
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 14
Center for Transforming Lives Rev.6/15/2020
9.2.3.1 Documentation of income verification for each Unduplicated Client
the first time the client is served by the Program, which will either be the
completed form of EXHIBIT "E" - Form of Income Self Certification or
similar form approved by City, or Source Documentation.
9.2.4 Delivery of Reimbursement Request.
Reimbursement Requests must be submitted through required software
system approved by City or in other manner required by City by the deadline(s) in
Section 9.1.1.
9.2.5 Countywide Agencies.
Countywide Agencies shall submit EXHIBIT "A-2" — Reporting Requirements
for Countywide Agencies quarterly with the December, March, June and September
Reimbursement Requests. Reports due under this section have the same due date as the
Reimbursement Request. .
9.3 Withholding Payment.
Failure to timely submit accurate and complete 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 5 calendar 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 may, at the City's sole discretion, 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 In the event of (i) an uncured default under Section 10.1.1 or an event
of default under 10.1.2 or (ii) 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.
10.1.4 Notwithstanding anything to the contrary herein, City will not be
required to pay any CDBG-CV 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 CDBG Regulations, or during any period during which Agency is in default of this
Contract.
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 15
Center for Transforming Lives Rev.6/15/2020
10.1.5 In the event of termination under this Section 10.1, all CDBG-CV 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 records maintained or submitted report or documentation is not in compliance with
this Contract or the CDBG 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 CDBG-CV 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 CDBG-CV Funds paid to Agency
must be repaid to City within 30 days of termination. If such CDBG-CV 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 term
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:
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.
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 16
Center for Transforming Lives Rev.6/15/2020
10.3.2.3 Reprogram CDBG-CV Funds that have not yet been
expended from affected activities to other eligible activities
or withhold CDBG-CV 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 CDBG-CV 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 CDBG-CV Funds already paid
to Agency must be repaid to City within 30 days of the termination. Failure to repay such
CDBG-CV 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 CDBG-CV 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 City Not Affected.
Termination shall not affect or terminate any of the existing rights of City against
Agency, or which may thereafter accrue because of 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 Contract 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 term, 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.
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.
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 17
Center for Transforming Lives Rev.6/15/2020
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 CDBG-CV 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 CDBG-CV Funds already paid to Agency must be repaid to
City within 30 days of termination. Failure to repay such CDBG-CV 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
CDBG-CV 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 CDBG-
CV 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 determines in its sole discretion that the
remaining portion of the Contract to be performed or CDBG-CV Funds to be spent will not
accomplish the purposes for which the Contract was made.
10.11 Dissolution of Ai!ency 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 CDBG-CV 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 CDBG-CV 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 CDBG-CV Funds, and any real or personal property
owned by Agency that was improved with the CDBG-CV Funds shall automatically
transfer to City or to such assignee as City may designate.
11. REPAYMENT OF CDBG-CV FUNDS.
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 18
Center for Transforming Lives Rev.6/15/2020
All CDBG-CV Funds are subject to repayment in the event the Program does not
meet the requirements of this Contract or in the CDBG-CV Regulations. If Agency takes
any action that results in the City being required to repay all or any portion of the
CDBG-CV 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 CDBG-CV Funds
is required of City, Agency agrees City may require that 10% of the CDBG-CV Funds
be repaid to City as liquidated damages. The Parties agree that City's damages in the
event of either repayment to HUD being required or receiving a finding from HUD are
uncertain and would be difficult to ascertain and may include an impact on City's CDBG-
CV 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 CDBG-CV 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. Regardless of notice by
Agency, if the non-profit status of Agency changes after the date of this Contract, City may
but is not obligated to, terminate this Contract. In the event of termination under this
Section 12, all CDBG-CV 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. City, in its sole discretion, may require that any CDBG-CV 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 CDBG-CV
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 the date
after the final date of the full eighteen month contract term and end on the date five full
years after that date 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 same, and shall be solely responsible for the acts and omissions of
its officers, members, agents, servants, employees, contractors, subcontractors, vendors,
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 19
Center for Transforming Lives Rev.6/15/2020
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.
Agency shall comply with all applicable requirements as more particularly
described in 24 CFR Part 5.109. No portion of the CDBG-CV 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 CDBG-CV-funded service.
14.5.1. Separation of Explicitly Religious Activities.
Agency retains its independence and may continue to carry out its mission,
including the definition, development practice, and expression of its religious beliefs,
provided that it does not use CDBG-CV Funds to support or engage in any explicitly
religious activities (including activities that involve overt religious content such as
worship, religious instruction, or proselytization), or in any other manner prohibited by
law.
14.5.2 Explicitly Religious Activities.
If Agency engages in explicitly religious activities (including activities that involve
overt religious content such as worship, religious instruction, or proselytization), the
explicitly religious activities must be offered separately, in time or location, from the
programs or activities supported by CDBG-CV Funds and participation must be voluntary
for clients of a CDBG-CV-funded service.
14.5.3 Required Notices.
If Agency constitutes a Faith -based organization under 24 CFR Part 5.109, Agency
must provide all clients of a CDBG-CV-funded service with the notice attached as
EXHIBIT "K"—Notice of Beneficiary Rights. Such notice shall be provided to the client
prior to enrollment in any CDBG-CV-funded program or activity. In addition, if a client
or prospective client of a CDBG-CV-funded service objects to the religious character of
Agency, then Agency must promptly undertake reasonable efforts to identify and refer the
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 20
Center for Transforming Lives Rev.6/15/2020
client or prospective client to an alternate provider to which the client or prospective client
has no such objection, as more particularly described in 24 CFR Part 5.109.
14.6 Venue.
Venue shall lie 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 Severability.
The provisions of this Contract are severable, and if for any reason a clause,
sentence, paragraph or other part of this Contract shall be determined to be invalid by a
court or federal or state agency, board or commission having jurisdiction over the subject
matter thereof, such invalidity shall not affect other provisions which can be given effect
without the invalid provision.
14.9 Written 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 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:
➢ CDBG-CV Regulations found in 24 CFR Part 570
➢ Coronavirus Aid, Relief, and Economic Security Act of 2020
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 21
Center for Transforming Lives Rev.6/15/2020
➢ Title I of the Housing and Community Development Act of 1974, as amended,
(42 USC 5301)
➢ 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 persons of limited English proficiency
➢ The Fair Housing Act, Title VIII of the Civil Rights Act of 1968 (42 U.S.C.
Sections 3601 et seq.)
➢ Executive Orders 11063, 11246 as amended by 11375 and 12086 and as
supplemented by Department of Labor regulations 41 CFR Part 60
➢ The Age Discrimination in Employment Act of 1967
➢ The Age Discrimination Act of 1975 (42 U.S.C. Sections 6101 et seq.)
➢ The Uniform Relocation Assistance and Real Property Acquisition Policies Act
of 1970 (42 U.S.C. Sections 4601 et seq. and 49 CFR Part 24) ("URA")
➢ Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. Sections 794 et seq.)
and 24 CFR Part 8 where applicable
➢ National Environmental Policy Act of 1969, as amended, 42 U.S.C. Sections
4321 et seq. ("NEPA") and the related authorities listed in 24 CFR Part 58.
➢ The Clean Air Act, as amended, (42 U.S.C. Sections 1251 etseq.) and the Clean
Water Act of 1977, as amended (33 U.S.C. Sections 1251 etseq.) and the related
Executive Order 11738. In no event shall any amount of the assistance provided
under this Contract be utilized with respect to a facility that has given rise to a
conviction under the Clean Air Act or the Clean Water Act.
➢ Immigration Reform and Control Act of 1986 (8 U.S.C. Sections 1101 et seq.)
specifically including the provisions requiring employer verifications of legal
status of its employees
➢ The Americans with Disabilities Act of 1990 (42 U.S.C. Sections 12101 et
seq.), the Architectural Barriers Act of 1968 as amended (42 U.S.C. Sections
4151 et seq.) and the Uniform Federal Accessibility Standards, 24 CFR Part 40,
Appendix A
➢ Regulations at 24 CFR Part 87 related to lobbying, including the requirement
that certifications and disclosures be obtained from all covered persons
➢ Drug Free Workplace Act of 1988 (41 U.S.C. Sections 701 et seq.) and 24 CFR
Part 23, Subpart F
➢ Executive Order 12549 and 24 CFR Part 5.105(c) pertaining to restrictions on
participation by ineligible, debarred or suspended persons or entities
➢ Section 6002 of the Solid Waste Disposal Act, as amended by the Resource
Conservation and Recovery Act
➢ Guidelines of the Environmental Protection Agency at 40 CFR Part 247
➢ For contracts and subgrants for construction or repair, Copeland "Anti -
Kickback" act (18 U.S.C. 874) as supplemented in 29 CFR Part 5
➢ For construction contracts awarded by Agency in excess of $2,000, and in
excess of $2,500 for other contracts which involve the employment of
mechanics or laborers, Sections 103 and 107 of the Contract Work Hours and
Safety Standards Act (40 U.S.C. 327A 300) as supplemented by 29 CFR Part 5
➢ Lead -Based Paint Poisoning Prevention Act (42 U.S.C. 4801 et seq.), as
amended by the Residential Lead -Based Paint Hazard Reduction Act of 1992
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 22
Center for Transforming Lives Rev.6/15/2020
(42 U.S.C. 4851 et seq.) and implementing regulations at 24 CFR Part 35,
subparts A, B, M, and R
➢ Uniform 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.
•
J•
14.13 Prohibition Against Discrimination.
14.13.1 General Statement.
Agency shall comply in the execution, performance or attempted performance of
this Contract, with all non-discrimination requirements of 24 CFR Part 570.607 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.
14.13.2 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.
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 23
Center for Transforming Lives Rev.6/15/2020
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
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.
14.13.3 Aiency'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.
14.14. Conflicts of Interest and Violations of Criminal Law.
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 24
Center for Transforming Lives Rev.6/15/2020
14.14.1 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.
14.14.2 General Prohibitions 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 CDBG-CV 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 CDBG-CV funded services, may obtain a financial interest
or benefit from a CDBG-CV-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.
14.14.2.1 Agency shall establish conflict of interest policies for federal
awards including the CDBG-CV Funds and shall disclose in
writing potential conflicts of interest to City as authorized by
2 CFR Part 200.112.
14.14.3 Conflicts of Interest Involving Procurement.
The conflict of interest provisions of 2 CFR Part 200.318 shall apply in the
procurement of property and services by Agency. In all cases not governed by this Section,
the provisions of 24 CFR Part 570.611 of the CDBG-CV Regulations shall apply.
14.14.3.1 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.
14.14.3.2 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.
14.14.3.3 Notwithstanding the prohibition contained in Section
14.14.3.2, Agency may set standards of conduct for
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 25
Center for Transforming Lives Rev.6/15/2020
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.
14.14.3.4 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 appears to be unable to be impartial in conducting
a procurement action involving a related organization.
14.14.3.5 Agency must maintain records sufficient to detail the history
of procurement. These records will include, but are not
necessarily limited to the following: rationale for the method
of procurement, selection of contract type, contractor
selection or rejection, and the basis for the contract price.
14.14.4 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.
14.14.5 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.
14.14.6 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.
14.15 Subcontracting with Small and Minority Firms, Women's Business
Enterprises and Labor Surplus Areas.
14.15.1 For procurement contracts $50,000.00 or larger that are paid for, in part
or in full, with the CDBG-CV 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 for procurement larger
than $50,000.00 or larger that are paid for, in part or in full, with the CDBG-CV Funds and
will further require all persons or entities with which it so contracts to comply with said
ordinance.
14.15.2 It is national policy to award a fair share of contracts to disadvantaged
business enterprises ("DBEs"), small business enterprises ("SBEs"), minority business
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 26
Center for Transforming Lives Rev.6/15/2020
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.
14.15.2.1 In order to comply with federal reporting requirements 24
CFR Part 570.506 (g)(6), Agency must submit the form
attached hereto as EXHIBIT "I" — MBE Reporting Form
for each contract or subcontract with a value of $10,000.00
or more paid or to be paid with the CDBG-CV Funds.
Agency shall submit this form by the date specified in
EXHIBIT "I" — MBE Reporting Form.
14.16 Other Laws.
The failure to list any federal, state or City ordinance, law or regulation that is
applicable to Agency does not excuse or relieve Agency from the requirements or
responsibilities in regard to following the law, nor from the consequences or penalties for
Agency's failure to follow the law, if applicable.
14.17 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.
14.18. Right to Inspect Agency Contracts.
It is agreed that City has the right to inspect and approve in writing any proposed
contracts between Agency and any contractor or vendor engaged in any activity in
conjunction with this CDBG-CV-funded Program prior to any charges being incurred.
14.19 Force Maieure
If Agency becomes unable, either in whole or part, to fulfill its obligations under
this Contract due to acts of God, strikes, lockouts, or other industrial disturbances, acts of
public enemies, wars, blockades, insurrections, riots, epidemics, earthquakes, fires, floods,
restraints or prohibitions by any court, board, department, commission or agency of the
United States or of any States, civil disturbances, or explosions, or some other reason
beyond Agency's control (collectively, "Force Maj eure Event"), the obligations so affected
by such Force Majeure Event will be suspended only during the continuance of such event.
Agency will give City written notice of the existence, extent and nature of the Force
Majeure Event as soon as reasonably possible after the occurrence of the event. Failure to
give notice will result in the continuance of Agency's obligation regardless of the extent of
any existing Force Majeure Event. Agency will use commercially reasonable efforts to
remedy its inability to perform as soon as possible.
14.20 IMMIGRATION NATIONALITY ACT.
City actively supports the Immigration & Nationality Act (INA) which includes
provisions addressing employment eligibility, employment verification, and
nondiscrimination. Agency shall verify the identity and employment eligibility of all
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 27
Center for Transforming Lives Rev.6/15/2020
employees who perform work under this Agreement. Agency shall complete the
Employment Eligibility Verification Form (I-9), maintain photocopies of all supporting
employment eligibility and identity documentation for all employees, and upon request,
provide City with copies of all I-9 forms and supporting eligibility documentation for each
employee who performs work under this Agreement. Agency shall establish appropriate
procedures and controls so that no services will be performed by any employee who is not
legally eligible to perform such services. Agency shall provide City with a certification
letter that it has complied with the verification requirements required by this Agreement.
Agency shall indemnify City from any penalties or liabilities due to violations of this
provision. City shall have the right to immediately terminate this Agreement for violations
of this provision by Agency.
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 HIND 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 HINDS OR
CHARACTER, WHETHER REAL OR ASSERTED, ARISING OUT OF OR IN
CONNECTION WITH THE EXECUTION, PERFORMANCE, ATTEMPTED
PERFORMANCE OR NONPERFORMANCE OF THIS CONTRACT AND/OR
THE OPERATIONS, ACTIVITIES AND SERVICES OF THE PROGRAM
DESCRIBED HEREIN, WHETHER OR NOT CAUSED IN WHOLE OR IN PART
BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS,
EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY. AGENCY
LIKEWISE COVENANTS AND AGREES TO AND DOES HEREBY INDEMNIFY
AND HOLD HARMLESS CITY FROM AND AGAINST ANY AND ALL INJURY,
DAMAGE OR DESTRUCTION OF PROPERTY OF CITY, ARISING OUT OF OR
IN CONNECTION WITH ALL ACTS OR OMISSIONS OF AGENCY, ITS
OFFICERS, MEMBERS, AGENTS, EMPLOYEES, CONTRACTORS,
SUBCONTRACTORS, INVITEES, LICENSEES, OR CLIENTS, OR CAUSED, IN
WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS,
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 28
Center for Transforming Lives Rev.6/15/2020
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
$121,754 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 CDBG-CV Funds occasioned by
such misconduct. To effectuate such reimbursement, such fidelity coverage shall include
a rider stating that reimbursement for any loss or losses shall name the City as a Loss Payee.
Agency shall furnish to City in a timely manner, but not later than the Date of
Execution of the Contract, 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 Date of Execution of the Contract, 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
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 29
Center for Transforming Lives Rev.6/15/2020
execution, performance, attempted performance or nonperformance of this Contract.
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.
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.
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 30
Center for Transforming Lives Rev.6/15/2020
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 CDBG-CV 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:
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
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 31
Center for Transforming Lives Rev.6/15/2020
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 Form to Report Lobbying," in accordance with its instructions.
This certification is a material representation of fact upon which reliance was
placed when this Contract was made or entered into. Submission of this certificate
is a prerequisite for making or entering into this Contract imposed by 31 U.S.C.
Section 1352. Any person who fails to file the required certification shall be subject
to a civil penalty of not less than $10,000.00 and not more than $100,000.00 for
each such failure.
Agency shall require that the language of this certification be included in all
subcontracts or agreements involving the expenditure of federal funds.
19. LITIGATION AND CLAIMS.
Agency shall give City immediate notice in writing of any action, including any
proceeding before an administrative agency, filed against Agency in conjunction with this
Contract or the Program. Agency shall furnish immediately to City copies of all pertinent
papers received by Agency with respect to such action or claim. Agency shall provide a
notice to City within 10 days upon filing under any bankruptcy or financial insolvency
provision of law.
20. NOTICE.
All notices required or permitted by this Contract must be in writing and are deemed
delivered on the earlier date of the date actually received or the third day following deposit
in a United States Postal Service post office or receptacle; with proper postage, certified
mail 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
200 Texas Street
Fort Worth, TX 76102
Telephone: 817-3 92-7600
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 32
Center for Transforming Lives Rev.6/15/2020
Copy to:
Neighborhood Services Department
200 Texas Street
Fort Worth, TX 76102
Attention: Director
Telephone: 817-392-7540
Copy to:
Neighborhood Services Department
200 Texas Street
Fort Worth, TX 76102
Attention: Senior Contract Compliance Specialist
Telephone: 817-3 92-73 3 3
Agency:
Center for Transforming Lives
Carol Klocek
512 W. 4th Street
Fort Worth, Texas 76102
Telephone: 817-332-6191
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.
23. PROGRAM INCOME
Parties agree that no program income as defined by HUD shall be earned as a result
of this contract.
[SIGNATURES APPEAR ON NEXT PAGE]
CDBG-CV 5 1 % PSA CONTRACT CARES ACT 2020 Page 33
Center for Transforming Lives Rev.6/15/2020
IV d
o o 0�.� d
des o=o
a�aa o
att nEaasap �d
IN WITNESS WHEREOF, the Parties hereto have executed 1 original of this
Contract in Fort Worth, Tarrant County, Texas.
ATTEST:
(Y'*V
CITY OF FORT WORTH
'�D—
By: Fernando Costa (Aug 10, 202017:06 CDT)
City Secretary Fernando Costa, Assistant City Manager
M&C: 20-0330
1295 Certification No. 2020-622390
Date: May 19, 2020
APPROVED AS TO FORM AND LEGALITY:
LG )Ilor Pari,-
Taylor Paris (Aug 10, 2020 17:02 CDT)
Taylor Paris, Assistant City Attorney
APPROVED BY:
Victor Turner
Director, Neighborhood Services Department
CONTRACT COMPLIANCE MANAGER:
By signing, I acknowledge that I am the person responsible
for the monitoring and administration of this contract, including
ensuring all performance and reporting requirements
aae-dara, AadAm
Barbara Asbury (Aug 7, 2020 7:53 CDT)
Barbara Asbury, Compliance and Planning Manager
CENTER FOR NSFORMING LIVES
By:
Carol Klocek, Chief Executive Officer
CDBG-CV 51%PSA CONTRACT CARES ACT 2020 OFFICIAL RECORD page 34
Center for Transforming Lives CITY SECRETARY Rev.6/15/2020
FT. WORTH, TX
EXHIBITS:
EXHIBIT
"A"
—Program Summary
EXHIBIT
"A-1"
— 2020 HUD Income Limits
EXHIBIT
"A-2"
— Reporting Requirements for Countywide Agencies
EXHIBIT
"B"
— Budget
EXHIBIT
"C"
— Audit Certification Form
EXHIBIT
"C-1"-
Duplication of Benefits Certification
EXHIBIT
"D"
— Reimbursement Forms
EXHIBIT
"E"
— Form of Income Self -Certification
EXHIBIT
"F"
— Standards for Complete Documentation
EXHIBIT
"G"
— Section 3 Reporting Forms (NOT APPLICABLE)
EXHIBIT
"H"
— Severely Disabled Certification Form
EXHIBIT
"I" —
MBE Reporting Form
EXHIBIT
"J" —
Duties of the Parties for Use of NSD Community Centers
EXHIBIT
"K"
— Notice of Beneficiary Rights
EXHIBIT
"L"-
Landlord /Property Manager Certification and Agreement
CDBG CV 51 % PSA CONTRACT 2020 - EXHIBITS
Center for Transforming Lives
CENTER FOR TRANSFORMING LIVES EXHIBIT "A"
MICROENTERPRISE SUPPORT PROGRAM PROGRAM SUMMARY
PROGRAM SUMMARY
(CDBG-CV)
MARCH 13, 2020 to SEPTEMBER 30, 2021 $121,754
PERIOD AMOUNT
Capitalized terms not defined herein shall have meanings assigned them in the Contract.
PROGRAM:
The Program will provide targeted outreach, coaching, education, and customized technical
assistance to Fort Worth households impacted by COVID-19 who are using entrepreneurship as a
strategy to generate/supplement income. Program will provide cohort -based services to assist
entrepreneurs with re -tooling their business model to comply with "Stay home, Work Safe"
practices, assist with informal/non-registered businesses to develop business plans, create legal
structures other services.
One on one sessions with an assigned Microenterprise and a Financial Coach will be provided as
participants develop and execute their economic mobility plans; and when applicable, childcare
and transportation assistance needed for employment/business-related services.
CDBG-CV funds will be used to pay for 100% salary for the Microenterprise Coach and 20% of
the salary for the Financial Coach. Fringe Details include FICA, SUTA, Health/Dental,
Retirement, and Workers' Compensation. CDBG funds will also be used to purchase a laptop with
accessories, monthly supplies, mileage, printer, software for electronic processes, marketing, and
printing. Funds will be paid to partners for subject matter expertise provided to participants, and
costs associated with certifications/licenses/trainings/Fees for business structure.
Agency's Program office is at 512 W. 0 Street, Fort Worth, TX 76102, Monday through Friday,
8:00 AM to 5:00 PM. to prevent the spread of COVID-19, services will primarily be provided
virtually. Services may also be offered during the evenings and/or weekends based on the needs
of participants.
REGULATORY CLASSIFICATION:
IDIS Matrix Code(s) and Service Category: 05H Employment Training
National Objective Citation: LMC Low/Mod Limited Clientele 24 CFR 570.208(a)(2)
Regulatory Citation(s): 24 CFR 570.201(e)
CDBG CV 51 % PSA CONTRACT 2020 - EXHIBIT "A" - PROGRAM SUMMARY Page 1
Center for Transforming Lives
REGULATORY CLASSIFICATION:
Coronavirus Aid, Relief, and Economic Security Act of 2020
Agency will maintain documentation which verifies that 51% of clients served by the Program are
LMI Households. CTL's outreach will prioritize (not exclude) services to populations across race
and gender where the greatest inequities exist. Coaching and small business training program for
unemployed and under employed residents.
In addition, Agency must document client eligibility for CARES Act assistance by maintaining
records of client need directly related to and/or caused by the Coronavirus Pandemic, as well as
other eligibility documentation further described in Exhibit "A" — Program Summary.
PROGRAM GOALS:
Minimum Fort Worth Agency Program Performance Outcome: At least 51% of all Program
clients must be Income Eligible Households. Agency must furnish City a Certification of Income
Statement from all clients served. For example, if the Program serves 1,000 clients, 510 must be
from Income Eligible Households. In this example, Agency would be required to furnish City
1,000 Certification of Income Statements that prove at least 510 of the clients served by the
Program are from Income Eligible Households.
Minimum Number of Clients to be Served: The Program must serve a minimum of 45
Unduplicated Clients as shown by the monthly reports on Attachment III. When determining the
number of clients which constitutes 51 %, HUD regulations require that partial numbers must be
rounded up.
CDBG CV 51% PSA CONTRACT 2020 - EXHIBIT "A" - PROGRAM SUMMARY Page 2
Center for Transforming Lives
EXHIBIT "A-1"
2020 HUD INCOME LIMITS
1 person
2 persons
3 persons
4 persons
5 persons
6 persons
7 persons
8 persons
30%AM1
$17,150
$19,600
$22,050
$24,450
$26,450
$28,400
$30,350
$32,300
50%AM1
$28,550
$32,600
$36,700
$40,750
$44,050
$47,300
$50,550
$53,800
60% AMI
1 $34,260
$39,120
$44,040
$48,900
$52,860
$56,760
$60,660
$641560
80% AMI
1 $45,650
$52,200
$58,700
$65,200
$70,450
$75,650
$80,850
$86,100
*Income limits are published at least annually by HUD.
CDBG CV 51 % CONTRACT 2020 - EXHIBIT "A-1" - 2020 HUD INCOME LIMITS
CENTER FOR TRANSFORMING LIVES Page 1
EXHIBIT "A-2"
REPORTING REQUIREMENTS FOR COUNTYWIDE AGENCIES
CDBG CV 5 1 % PSA CONTRACT 2020 - EXHIBIT "A-2"
REPORTING REQUIREMENTS FOR COUNTYWIDE AGENCIES
CENTER FOR TRANSFORMING LIVES
CENTER FOR TRANSFORMING LIVES
REPORTING REQUIREMENTS FOR COUNTYWIDE AGENCIES
Quarterly Report
The purpose of the Quarterly Report is for the Countywide Agencies to report the number of non -Fort
Worth clients who participate in the Program. The Quarterly Report must be submitted with the
September 2020, December 2020, March 2021, June 2021, and September 2021 Reimbursement
Requests. The report is due and is to be submitted with the corresponding Reimbursement Request as
indicated in the chart below. The information provided in the Quarterly Report will be reviewed and
monitored by the Neighborhood Services Department Compliance Division.
TOTALOF
CLIENTS
OF FORT
# OF NON -FORT
FORT WORTH
DUE DATE REPORTING#
WORTH
WORTH
THE
CLIENTS
CLIENTS
PROGRAM
A B
C
D
E
F
EXAMPLE:
250
200
450
250=450=55%
September 15, 2020
June 1, 2020 —
August 31, 2020
December 15, 2020
September 1, 2020—
November 30, 2020
March 15, 2021
December 1, 2020 —
February 28, 2021
June 15, 2021
March 1, 2021 —
May 31, 2021
September 15, 2021
June 1, 2021 —
August 31, 2021
TOTAL
I, Agency representative, certify that I verified the information I reported this quarter and it is correct
to the best of my knowledge.
Certified by:
Signature/Title:
CDBG CV 5 1 % PSA CONTRACT 2020 - EXHIBIT "A-2"
REPORTING REQUIREMENTS FOR COUNTYWIDE AGENCIES
CENTER FOR TRANSFORMING LIVES
Date:
EXHIBIT "B" - BUDGET
PROGRAM PERSONNEL
Salaries
Account
1001
Grant Budget
$ 64,300.00
$ 9,300.00
$ 2,790.00
$ 25,110.00
$ 101,500.00
FICA
1002
$ 4,918.95
$ 711.45
$ 213.44
$ 1,920.92
$ 7,764.76
Life/Disability Insurance
1003
$ -
Health/DentalInsurance
1004
$ 7,860.10
$ 1,310.00
$ 393.00
$ 3,537.04
$ 13,100.14
Unemployment -State
1005
$ 270.00
$ 45.00
$ 13.50
$ 121.50
$ 450.00
Worker's Compensation
1006
$ 803.75
$ 116.25
$ 34.88
$ 313.88
$ 1,268.76
Retirement
1007
$ 1,286.00
$ 186.00
$ 55.80
$ 502.20
$ 2,030.00
SUPPLIES AND SERVICES
Office/Program Supplies
2001
$ 2,232.00
$ 1,440.00
$ 1,080.00
$ 4,752.00
Postage
2002
$ -
Printing
2003
$ 2,500.00
$ 2,500.00
Computers
2004
$ 1,558.20
$ 1,558.20
Books
2005
$ -
MISCELLANEOUS
Contract Labor (City needs copy of
contract before expenses can be
reimbursed)
3001
$ -
Food Supplies
3002
$ -
Teaching Aids
3003
$ -
Craft Supplies
3004
$ -
Field Trip Expenses
3005
$ -
Mileage
3006
$ 1,035.00
$ 1,035.00
Other O
3007
$ -
OtherQ
3008
$ -
FACILITY AND UTILITIES
Telephone
4001
$ 410.00
$ 410.00
Electric
4002
$ -
Gas
4003
$
Water and Wastewater
4004
$ -
Solid Waste Disposal
4005
$ -
Rent (City needs copy of lease
before expenses can be reimbursed)
4006
$ -
Cleaning Supplies
4007
$ 660.00
$ 660.00
Other (Hot Spot and Data Plan) -
$50 purchase, $10/month
LEGAL, FINANCIAL AND
INSURANCE
Fidelity Bond or Equivalent
4008
5001
$ 170.00
$ 170.00
$ -
Directors and Officers
5002
$ -
General Commercial Liability
5003
$ -
OtherQ
DIRECT ASSISTANCE
5004
$ -
Other -
Certifications/Licenses/Trainings/Fe
es for Business Structure- estimated
$750/participant
6001
$ 33,750.0.
$ 33,750.00
BUDGET TOTAL
$ 121,754.0
$ 11,668.70
$ 3,500.62
$ 32,945.54
$ 1,080.00
$ 170,948.86
FUNDING A: Texas Financial Education Endowment (TFEE)
FUNDING B: City of Arlington CDBG-META
FUNDING C: Private (Fundraising/Foundation/Corporations)
FUNDING D: Other City of Fort Worth CDBG-CV Funding
Please cc
workshee
CDBG CV 51 % CONTRACT - EXHIBIT "B" -
CENTER FOR TRANSFORMING LIVES 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 01, 2021
SALARY DETAIL -PROGRAM PERSONNEL
Position Title
Annual Salary
Est. Percent to Grant
Amount to Grant
Microenterprise Coach - bilingual
$ 55,000.00
100%
$ 55,000.00
Financial Coach
$ 46,500.00
20%
$ 9,300.00
TOTAL
$ 101,500.00
63%
$ 64,300.00
FRINGE DETAIL -PROGRAM PERSONNEL
Percent of
Payroll
Amount
Est. Percent to Grant
Amount to Grant
Microenterprise Coach - FICA
7.65%
$ 4,207.50
100%
$ 4,207.50
Microenterprise Coach - SUTA
0.41%
$ 225.00
100%
$ 225.00
Microenterprise Coach - Health and Dental
11.91%
$ 6,550.08
100%
$ 6,550.08
Microenterprise Coach - Retirement
2%
$ 1,100.00
100%
$ 1,100.00
Microenterprise Coach - Work Comp
1.25%
$ 687.50
100%
$ 687.50
Financial Coach - FICA
7.65%
$ 3,557.25
20%
$ 711.45
Financial Coach - SUTA
0.48%
$ 225.00
20%
$ 45.00
Financial Coach - Health and Dental
14.09%
$ 6,550.08
20%
$ 1,310.02
Financial Coach - Retirement
2%
$ 930.00
1 20%
$ 186.00
Financial Coach - Work Comp
1.25%
$ 581.25
1 20%
$ 116.25
TOTAL
I $ 24,613.66
1 62%
$ 15,138.80
SUPPLIES AND SERVICES
Total Budget
Est. Percent to Grant
Amount to Grant
Laptop & accessories (stylus, mouse)
$
1,308.20
100%
$
1,308.20
Office supplies - $80/staff/month*1.2 FTE
$
1,152.00
100%
$
1,152.00
Printer
$
250.00
100%
$
250.00
Software for Electronic Processes - estimated S300/montl
$
3,600.00
30%
$
1,080.00
Marketing & Printing
I $
2,500.00
100%
$
2,500.00
TOTAL
I $
8,810.20
1 71%
1 $
6,290.20
MISCELLANEOUS
Total Budget
Est. Percent to Grant
Amount to Grant
Mileage - 125 miles/month *1.2 FTE * 57.5 cents/mile
$ 1,035.00
100%
$ 1,035.00
TOTAL
$ 1,035.00
100%
$ 1,035.00
CDBG CV 51 % PSA CONTRACT 2020 - EXHIBIT 'B" - BUDGET
CENTER FOR TRANSFORMING LIVES Page 2
FACILITY AND UTILITIES
Total Budget
Est. Percent to Grant
Amount to Grant
Telephone - $50 purchase, $30/month
$
410.00
100%
$
410.00
Electric
Gas
Water and Wastewater
Solid Waste Disposal
Rent
Cleaning Supplies- $55/month
$
660.00
100%
$
660.00
Other (Hot Spot and Data Plan) - $50 purchase,
$
170.00
100%
$
170.00
TOTAL
$
1,240.00
100%
$
1,240.00
LEGAL, FINANCIAL AND INSURANCE
Total Budget
Est. Percent to Grant
Amount to Grant
Fidelity Bond or Equivalent
Directors and Officers
General Commercial Liability
Other()
TOTAL
$ -
$ -
DIRECT ASSISTANCE
Total Budget
Est. Percent to Grant
Amount to Grant
Other - Certifications/Licenses/Trainings/Fees for
Business Structure- estimated $750/participant
$ 33,750.00
100%
$ 33,750.00
TOTAL
$ 33,750.00
100%
$ 33,750.00
BUDGET TOTALS I $ 170,948.86 1 71% 1 $ 121,754.00
CDBG CV 51 % PSA CONTRACT 2020 - EXHIBIT 'B" - BUDGET CENTER FOR TRANSFORMING LIVES
Page 3
EXHIBIT "C"
AUDIT CERTIFICATION FORM
CDBG 5 1 % CV PSA CONTRACT 2020 - EXHIBIT "C" - AUDIT CERTIFICATION
FORM CENTER FOR TRANSFORMING LIVES
AUDIT CERTIFICATION FORM AND AUDIT REQUIREMENTS
Agency: CENTER FOR TRANSFORMING LIVES
Fiscal Year Ending: September 30, 2021.
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 Prop -ram Audit is NOT required:
Federal Grantor
Pass Through
Grantor
Program Name &
CFDA Number
Contract
Number Expenditures
// Total Federal Expenditures for this Fiscal Year:
1// -j// IIJ
ief Executive Officer July 13, 2020
Signatory and Title Date
Failure to submit this or a similar statement or failure to submit a completed single audit package
as described in the federally required audit requirements described in 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.
CDBG 51% CV PSA CONTRACT 2020 - EXHIBIT "C" - AUDIT CERTIFICATION 2
FORM CENTER FOR TRANSFORMING LIVES
EXHIBIT 6(C-1"
CERTIFICATION REGARDING DUPLICATION OF BENEFITS
CDBG-CV 5 1 % PSA CONTRACT 2020 - EXHIBIT "C-1" - CERTIFICATION REGARDING DUPLICATION OF BENEFITS
CENTER FOR TRANSSFORMING LIVES
EXHIBIT C-1
CERTIFICATION REGARDING DUPLICATION OF BENEFITS
SELF CERTIFICATION:
The undersigned certifies the organization for which he/she is the approved signatory will comply
with Section 312 of the Robert T. Stafford Disaster Relief and Emergency Assistance Act and with
Section 1210 of the Disaster Recovery Reform Act of 2018, which require that duplication of
benefits will be prevented in provision of services funded under this contract. The undersigned
also certifies that he/she understands that this means that in providing assistance to eligible
populations, grant funds will not be used to pay costs if another source of financial assistance is
available to pay that cost. The undersigned further certifies that no person, household, business,
nonprofit organization or government entity will receive financial assistance from multiple
sources (including this contract) for the same purpose such that the total assistance received for
that purpose is more than the total need for assistance. The undersigned also certifies that as
subrecipient for CDBG-CV funds under this contract, the agency has not received other funds to be
used for the same purposes for the same clients. The undersigned further certifies, and agrees,
that if he/she subsequently receives a duplicative benefit, he/she will repay the funds he/she
received under this Agreement to City.
The undersigned certifies that, to date, he/she has received, or reasonably anticipates receiving,
the following potentially duplicative assistance (if none, leave blank):
Organization:
Center for Transforming Lives
Typed Name:
Car locek
Title:
Chief Executive Officer
Signature:
Date:
7/20/2020
EXHIBIT "D"
REPORTING FORMS
CDBG CV PB PSA CONTRACT 2020 - EXHIBIT "D" - REPORTING FORMS Page 1
CENTER FOR TRANSFORMING LIVES
ATTACHMENT I
Invoice
Attachment I
INVOICE
Agency:
Address:
City, State, Zip:
Program:
Period of Service:
Tax ID No.
P.O. No.
FID No.
Program
Amount
This Invoice I Cumulative to Date
CDBG CV PB PSA CONTRACT 2020 - EXHIBIT "D" - REPORTING FORMS Page 2
CENTER FOR TRANSFORMING LIVES
Agency:
Program
ATTACHMENT II
Expenditure Worksheet
ATTACHMENT II
City of Fort Worth
Neighborhood Services Department
Expenditure Worksheet
Please group like account codes
Line
No.
Check No.
Date
Payee
Description/Job Title*
Account
Code (See
Key to Right)
Amount
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
Total
S0.00
*For Salaries, state employee's title under Description/Job Title. Rent must identify tenant
Only highlighted codes can be reimburs ed
Expense line Item
Account
PROGRAM PERSONNEL
Salaries
1001
FICA
1002
Life/Disability Insurance
1003
Health/Dental Insurance
1004
Une to rnent-State
1005
Worker's Compensation
1006
Retirement
1007
SUPPLUN AND SERVICES
Office/PrograrnSuppfies
2001
Postage
2002
Printing
2003
Othero
2004
MISCELLANEOUS
Contract Labor
3001
Food Supplies
3002
Teaching Aids
3003
Craft Supplies
3004
Field Trip enses
3005
Mileage
3006
Othero
3007
Othero
3008
FACDITY AND UTR,ITIFS
Telephone
4001
Electric
4002
Gas
4003
Water and Wastewater
4004
Solid Waste Disposal
4005
Rent
4006
Cleaning Supplies
4007
Othero
4008
LEGAL, FINANCIAL, AND INS URANCE
Fidelity Bond or Equivalent
5001
Directors and Officers
5002
General Connnercial Liability
5003
Othen
5004
DUtWT ASSISTANCE
Other 6001
CDBG CV PB PSA CONTRACT 2020 - EXHIBIT "D" - REPORTING FORMS Page 3
CENTER FOR TRANSFORMING LIVES
ATTACHMENT III
Client Data Report
CDBG CV PB PSA CONTRACT 2020 - EXHIBIT "D" - REPORTING FORMS Page 4
CENTER FOR TRANSFORMING LIVES
EXHIBIT "E"
INCOME CERTIFICATION FORMS
CDBG CV 51 % CONTRACT 2020 - EXHIBIT "E" - INCOME CERTIFICATION FORMS Page 1
CENTER FOR TRANSFORMING LIVES
City of Fort Worth
Applicant Name:
Current Address:
City and Zip:
CERTIFICATION OF INCOME STATEMENT
Phone #:
Household Members and Income
(including applicant)
Last Name
First Name
Age
Monthly
Income $$
Source of Income
TOTAL NUMBER OF FAMILY MEMBERS
Total Gross Annual Household Income:
(Include Yourself, Spouse, Children, etc.)
PERSONAL INFORMATION: (Check one in each item. This Information is Required for Federal Reporting Purposes)
a. ❑ MALE b. ❑ WHITE ❑ BLACK/AFRICAN AMERICAN ❑ 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 INDIAN/ALASKAN NATIVE & BLACK/AFRICAN AMERICAN
c. ETHNICITY d. DISABLED e. IS HEAD OF HOUSEHOLD FEMALE?
❑ HISPANIC ❑ YES ❑ YES
❑ NON -HISPANIC ❑ NO ❑ NO
Certification: I certify that the information I am providing is true and could be subject to verification at any
time by a third party. I also acknowledge that the provision of false information could leave me subject to the
penalties of Federal, State and local law.
Signature of Applicant Date
WARNING: TITLE 18, SECTION 1001 OF THE U.S. CODE STATES THAT A PERSON IS GUILTY OF A FELONY
FOR KNOWINGLY AND WILLINGLY MAKING FALSE OR FRAUDULENT STATEMENTS TO ANY DEPARTMENT OF
THE UNITED STATES GOVERNMENT.
----------- P or use
Household Size: Gross Annual Income:
Applicable Income Limit:
Is Applicant Eligible?
Check if Applicant refused to provide demographic information: O
Staff Assessment of Demographics:
Person Making Determination:
Date:
NOTE: Address, income amounts and sources for ALL household members are required.
CDBG CV 5 1 % CONTRACT 2020 - EXHIBIT "E" - INCOME CERTIFICATION FORMS Pagc 2
CENTER FOR TRANSFORMING LIVES
Ciudad de Fort Worth
CERTIFICACION DE DECLARACION DE INGRESOS
Nombre del Solicitante:
Direcci6n de Actualidad:
Ciudad y C6digo Postal:
Telefono:
Miembros Del Hogar e In rg esos
(Incluyendo el/la Solicitante)
Apellido
Nombre
Edad
Ingreso
Mensual
Origen de Ingresos
* TOTAL NOMERO DE MIEMBROS DEL HOGAR
(Inclfiyase Usted.)
Total Anual de Ingresos del hogar:
**INFORMACIbN PERSONAL: (Seleccione uno en cada articulo. Esta informaci6n es requerida por el Gobiemo federal.)
a. ❑ MASCULINO b. ❑ BLANCO ❑ NEGRO/AFRICANO AMERICANO ❑ NEGRO/AFRICANO AMERICANO & BLANCO
❑ FEMININO ❑ INDIO AMERICANO/NATIVO DE ALASKA ❑ ASIATICO
❑ INDIO AMERICANO/NATIVO DE ALASKA & BLANCO ❑ ASIATICO & BLANCO
❑ NATIVO HAWAIANO/OTRO DE LAS ISLAS PACIFICAS ❑ BALANCE/OTRO
❑ INDIO AMERICANO / NATIVO DE ALASKA & NEGRO/AFRICANO AMERICANO
c. ETHNICIDAD d. INCAPACITADO e. DES LA CABEZA DEL HOGAR MUJER?
❑ HISPANO ❑ SI ❑ SI
❑ NO-HISPANO ❑ NO ❑ NO
Certificacion: Yo certifico que la informaci6n que yo estoy proporcionando es verdadera y puedo ser sujeto a
verificaci6n a cualquiera hora por tercera parte. Yo tambien reconozco que la provision de informaci6n falsa
puede dejarme sujeto a penalidades Federales, Estatales, y a ley local.
Firma del Solicitante
Fecha
ADVERTENCIA: TITULO 18, SECCION 1001 DEL CODIGO DE LOS ESTADOS UNIDOS INDICA QUE UNA
PERSONA ES CULPABLE DE UN DELITO POR SABER Y VOLUNTARIAMENTE HACER DECLARACIONES FALSOS O
FRAUDULENTAS A CUALQUIER DEPARTAMENTO DE GOBIERNO DE LOS ESTADOS UNIDOS.
-----------------Para use de
# De Miembros de Familia:
Limite de Ingreso:
de la
Ingreso Anual:
�Es solicitante elegible? :
Compruebe si el solicitante se neg6 a dar su informaci6n personal: O
Evaluaci6n del empleado sobre informaci6n personal:
Persona haciendo la determinaci6n: Fecha:
Note: La direccion de la casa y los ingresos (y sus origenes) para todos miembros del hogar son requerido
CDBG CV 5 1 % CONTRACT 2020 - EXHIBIT "E" - INCOME CERTIFICATION FORMS Page 3
CENTER FOR TRANSFORMING LIVES
EXHIBIT "F"
STANDARDS FOR COMPLETE DOCUMENTATION
CDBG- CV 51% PSA CONTRACT 2020 - EXHIBIT "F"—STANDARDS FOR COMPLETE DOCUMENTATION
CENTER FOR TRANSFORMING LIVES Page 1
2020 Documentation Standards for
CDBG Public Service Contract Expenses
M Notes/Other
a.
Employee Salaries and Benefits - City will only reimburse a percentage of any employee's salary and benefits who work directly with the CDBG-funded Program.
Percentages will be cost allocated and determined prior to the execution of the CDBG Contract. Agencies requesting the reimbursement of 100% of any Agency employee
will require prior City approval. Agencies must show calculation on how the CDBG portion of employee salaries and benefits were calculated consistently with the CDBG
Contract.
If an employee works on both a CDBG eligible and non-CDBG eligible program(s), the City will only reimburse for a reasonable portion
of the employee's salary. Prior to the execution of the CDBG 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 CDBG-funded Program, then 100% of
the employee's salary maybe eligible for reimbursement. Agency must submit a written statement that 100% of the employee's time is
spent working directly with the CDBG-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.
Salaries
X
X*
Reimbursement requests must include a timesheet and work log that reflects the hours worked by the employee(s) working directly on
the CDBG-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.
*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.
FICA/Medicare
X X
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
Life Insurance
x x
Health
Insurance
X X
Disability
Insurance
X X
must provide documentation showing payment.
Unemployment
x x
Insurance
If the City pays gross salary, this is already included. If the City pays the employer portion, the Agency must provide proof that the
Retirement
x x
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.
Materials, Equipment, Goods and Supplies - City will only reimburse for the cost allocated percent or amount spent in support of the CDBG-funded Program. Agencies
requesting reimbursement for these items will require prior City approval. Agencies must show calculation on how the CDBG portion of these expenses were calculated
consistently with the CDBG Contract.
Office Supplies
X X
X
Office
Equipment
X X
X
X
X
Rental
Postage
X X
X
Printing
X X
X
Construction &
Building
X X
X
X
This category is only available for the REACH Program.
Materials
Sport and
Recreation
X X
X
Equipment
Cleaning
X X
X
Supplies
Teaching Aids
X X
X
Craft Supplies
X X
X
Food Supplies
X X
X
Rent, Utilities and Maintenance - City will only pay for a portion of these expenses. The portion of these expenses will be determined by the square footage attributable to
the CDBG-funded Program and shall be cost -allocated in accordance with the amount of space used for the CDBG-funded Program. These expenses may only be in support
of the CDBG-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 CDBG funds. Agencies must show calculation on how the CDBG portion of these expenses were calculated consistently with the CDBG
Contract.
Telephone
X X
Gas
X X
Water/Wastew
X X
ater
Electric
X X
Solid Waste
X X
CDBG CV 51 % PSA CONTRACT 2020 Exhibit"IF" —STANDARDS FOR COMPLETE DOCUMENTATION
Facility
Maintenance
X X
X
X
This item requires approval by the City prior to the execution of the CDBG Contract. Repairs may be categorized as major/minor
and Repairs
rehabilitation projects and must be approved through the full HUD Environmetal Review.
Rent
X
X
X
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 CDBG-
funded program.
Miscellaneous
This item requires prior approval by the City. Prior to the execution of the CDBG 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
Contract Labor
X X
X
X
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.
City -required
X X
City will only pay for a percentage of the City -required insurance so long as it's in proportion to the square footage attributable to the
Insurance
CDBG-funded program.
City requires that the agency submit its fee schedule or formula on how the Agency calculates the childcare scholarship amount. The
fee schedule/formula should demonstrate a breakout of income levels, and for each income level the schedule should demonstrate
Childcare
X X
which portion of the expense is to be paid by the family and which portion of the expense is to be reimbursed by the City. A fee
Scholarships
schedule/formula must be submitted to the City prior to the first payment. Agency must submit documentation supporting that the client
is income eligible and that the household is being charged in conformance with the fee schedule. If the fee schedule/formula changes at
any time during the contract term, the Agency must immediately notify City on the date the new fee schedule/formula takes into effect.
"$0" Income
Agecies that are required to verify and provide proof of household income to determine eligibility, must require that anyone who is over
Certifications
the age of 18, living in the housohold, submit a $0 Income Certification.
If an audit is required because federal funds exceed $750,000, then the cost should be split evenly by all grant funding sources. Agency
Audit Services
X X
X
X
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.
*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 06/18/2020cm
CDBG-CV 51 % PSA CONTRACT 2020 Exhibit "F" -- STANDARDS FOR COM LETE DOCUMENTATION
EXHIBIT "G"
SECTION 3 REPORTING FORMS
NOT APPLICABLE
CDBG 51% CONTRACT 2020 - EXHIBIT "G"- SECTION 3 REPORTING FORMS
CENTER FOR TRANSFORMING LIVES Page 1
EXHIBIT "H"
SEVERELY DISABLED CERTIFICATION FORM
CDBG CV 5 1 % CONTRACT 2020 -- EXHIBIT "H" — SEVERELY DISABLED CERTIFICATION FORM Page 1
CENTER FOR TRANSFORMING LIVES
CENTER FOR TRANSFORMING LIVES
CERTIFICATION FORM
DOCUMENTING CLIENT STATUS AS "SEVERELY DISABLED ADULT"
Client Name:
Address:
City, State, Zip
Client Identification No.
CHECK ALL THAT APPLY
a
El
El
701
Has used a wheelchair, a walker, cane , crutches or other special aid for six
months or longer
Has been diagnosed with one of the following conditions: Alzheimer's disease,
mental retardation or other developmental disability, senility or dementia,
cerebral palsy, or autism; or has another mental or emotional condition that
seriously interferes with everyday tasks.
Is unable to perform one or more of the following "Functional Activities":
seeing, hearing, speaking and having one's speech understood, lifting or
carrying, using stairs, grasping small objects, or walking.
Is unable to perform or needs assistance to perform one or more of the following
Activities of Daily Living (ADL): getting around inside the home, getting in
or out of bed or a chair, bathing, dressing, eating, and toiletin .
Is unable to perform or needs assistance to perform one or more of the following
Instrumental Activities of Daily Living (IADL): going outside the home,
keeping track of money and bills, preparing meals, doing light housework,
taking prescription medications in the right amount and at the right time, and
using the telephone.
Has a condition that prevents them from working at a job or doing housework.
The undersigned Agency representative conducted a visual assessment of the client identified on this
form and certifies that the client meets at least one of the conditions indicated above, which determines
that he/ she meets the definition of "severely disabled" according to the U.S. Census Bureau.
Certified by:
Signature/Title:
CFW Neighborhood Services Dept.: Revised 08/29/2010
Date:
CDBG CV 51% CONTRACT 2020 -- EXHIBIT "H" — SEVERELY DISABLED CERTIFICATION FORM Page 2
CENTER FOR TRANSFORMING LIVES
EXHIBIT "I"
MBE REPORTING FORM
CDBG CV 51 % CONTRACT 2020 - EXHIBIT "I"- MBE REPORTING FORM Page 1
CENTER FOR TRANSFORMING LIVES
N
7
i,
`o
C
o m
E 'a N
t ° m o
76
c � J
N �
m J C
`ca a�
C C C N
O. N
N E
E E O n 3
na
o m
4) c
V N m a
m > Q a a
mCD 0
ro m N O
p Q O m
a
m C E U
ECL
ro
a �
p «m N
cad
>
S a ° C\0
ca XQ
E y m aa)
C C N F
ro E
> Q C
0Z .0o mo
J
vi 'C O
co '> J
N C C_ N O T O
M E C m L T
0 co L u E o
V N
JO m N 3
a N C, m a C
ro ro ro o
C` y 0 U N y
C C0 mE J a)
N J ro O
'x V O.'C O m C
a) y 6 E t C ro
m o n
c T c c Q 7
a ro' W Ea
ca Mn m a) m N ~O C
m a N� m ro
_ d
O N Y J C « J
c o- •- O
E y o
cTiEai° °aci
N C ro c a
E
N•• a -0 N ca
m o W E O�
m m m Q L.. p
of aF�aai cdw
o w N m
EY ti rnLL ro
_ � ro � m c0 (n
tC.,m Omc �
J, W E y N c
mQ amt cc 'E7
00 CD E t
c c m D` Q v
.-� >ac m.N
N ro a m o N J
C J m C m C J O
°o. o, m n m 2 aai
NC L N ro ro N
m N c��O cd
m
Q� '�oY m
o m a c a
ia a T�
O c
JE
C'000 mag
o E ti '.2
n a E o
cm m m x m m
N U c N
> N U C c O
ro Q vi m� Q1 L C
O
U
ao c�coi0 33
m e w Y a
66m c ma= m
E E �. m N C m C N 0 O C m O
m C a J 6
N > . c = O
2 O
coy m
° Z�mE o o CCro ro N ro C 0 c ro
o = d otm.-c Ea
m 'c
CO �a=L aw
O !a C6 m m 0
C C -0 O_ 0 m O m
m E!'
d O
U O T C_ > '
N� groom aaim
co -_
y a ro N
O H m N 4 C F
m .,O-C V m m
a.
ac c ? o H d
O N U m p is ct, co .0
m J
OD E w= Q m
w `o m o ro o
c
r ' -O a> 2 y Z
a
m e m J c Q
O ? N C C T m
U («JJ m W
— m a C L Q
a-0 wmQ IL`a
a
U
n
N
m
O
mm
IL
�
O
d
E
N
N
m
m
N
U
y
m
a
Q
a
o+ a
0
a � 0.
m
E
Z
n
U E
0 0
«
9
mm N
m m
L
n
N
o 0 o
a
°
U3
m U
0 0
«
d o m
U
U t°
m n
H
wm m
0
CL co D
E
LL
Z
m
7
Q
O
Cl)
a
U )
o
d m
m
L
IL
U
Q
o"
C
rp
U
mod
O❑
L
O U E h
Z
�
Na
d
n n
m
0
U
DO
d
Q
m
« O m
rn
-a
V2E `n
m-Z
E
-
a`M
d
E
E
w
° o
J
z
E 0 a
o 3'w d n
m
L
30 >z
a
° ° �
a
3
O t°`a iq t o
m
n
U �mQ h
V)
o m m m 3
00 U
F FUNan
m° U «
c o a
Jo oa r
QUA
0
r
m
5 m
p n
d E � c
d
o
a n J
E E 0 rn
m
ZZ.`o m
IL
m a n
.2-
0
ap m'm
5
c7=tom
E
Z
M
0 w
`o
E
c m
N E m
=O m y
2 m J
O
m ro2
C
N 2— %
c N a
m c m5
U O= U
a 0=1i
11 1111
[n ' o I`
h Q
o m o
= c 2
° c
m U o
m m Z
E o m
aU j T N Nm y0
0
Q �Z Co
U �N��
E J m C a 'a N O N
Ol C X
Q — m N N
a aLLU)
IO —NM't
N
c
ro
N U
c N
U V U m U N
(D < = N
E Q Q'Cd V
aiY�roca
U - dro y
L ro N N'N m
2i MZ2Q2
—N co V IO(O
N
_U ly Q
O y o m
y C N W
O m .o V L
aFw¢O
11 II a II u
(orncorno
Im
C
7co
o
m
V 2
V5 ro
7 c C
O m
a U v ia
` U U
tm 0J m a
a) d C m a 'O
m
'�zor cncna
Q II II II II II
i, N co V c o
mNro � «E5E
�« « °
O 0 U y U �a N t%) ro C `O
N c c rn N T m co
n
rn'
co=oo -mo E viE
a) O
N� ? N O C 0
0 N
E ro$ o N> L E
5. m f6 E d N co V.
D o t N o :Ew C c M¢
Ero>° E°rna°3 to ° 1_
w m Lo- W d d o (V Y m m¢
dU °NccNEE5 Zrn° 0. U J U
pNOCaVhin cco
E
0
co
M c 5 m
c N a c
C C C J O
C O N -O N m° O U O ^ O.
N U N 2 � N
L m O O N E ca !E
0. CAN U N « a) O T N C
a d a
N N O a C T N« 0, N
O) a/) N N O -° U ro N
ID
.N
Um
°E -Ew°) c
°'N 'EE-3 E i mLNO V
co
N0 " a O N
CZ nro UNr°>� NN
no0 a) E c�E O .N °
ht a 0 n3 x �c OL' o.E 0 o 3 L N 3 o a) N
TOroco>
k�m
ro' E° %>c
E c`o o n° �° um) h 0) E U w o °)
E m E o N co E co c« 0
min 0. E 3 E n m y� o >,d
E O a • 3c _ v U
a
a� ro o`o-a>)c y c L ° aa))om
•O ci N C c > o 0 E
A da N N N¢ o C N
E c> Q N E N CD E coc m
p N Q O n C N 0 `- ca_ > 0 N«
E O. - R N C N O c° O -O O_
N CAN ca E (q C O N °" f°A N 3 co a.).0 oa :5 :�a Ea¢ x
a c« L n o 0 'g m n ro c 2 N
Epo cmi a y mct 4 N1 2 ca aNi
E 2 N o Y N m c 3 0' ro o �_ 0.LN.E
O 0 U C C >` `°} N C C N w
N U O c ro
O O E O N N E U> N N O« U, N
E m e N o o" o r a C E R
N C Y N "(D N c°) a
MaC .0E" aJa)N co N 0$N UoEN .°
Nn m(aC cN•) cJ
E CR0ON 0
3m2 N Nc
yL0. .co nC? UN°EE O E U«N c
UNC J O O N
N > O N U V OO C rodNO
E N ro«
roN D°aa"iN2 E€EE
CO N ° N C N O N r N
ao$ o°ccy °E$Ep 3CN t
«M N M N O O U N V 'O N ni
a- C :- C c N °i E O
a�oi 2 N ° .E a o i cn E c c v
c u'caa 20 �.EcNd
E `o a n o 3 0 n� c z� o x0
VLLro¢oc0>o>>FE-,Nan
N B I- N N p a)
o c c ECa
o E y 0 0= o
o V n o c c E N mo ° « ° ° rn E a y c_c
a Y N> V U n
`V3 C N¢ U V >' N �CAE� Oto
>, 8 C 9� p m 2
co 0= ° 0 c 6 QE -OLa E
° ro c= m o v CU 0-0 o� 0
N LL
o N p a N -0 c ° N m E E c
'O Y U C7 N c` M N a c CO> C. ¢am N CL E m E co
N .0
'Oai rom c o 0o°
U E (D d O O c p.d
NroOGpN cro o ONcEOaO. °c o a)UN
14
m N c
NaaCoa°a
M
N 1nT
•NL L�N acco
-o a m w
°c0) E 0 (6 2-= aCm
N OC -0 N Nm 0) .2
a)0 (n.NN C N
0 O 0 'v « m m r E
Ec)iNoN a
ca
°«yO
mmN yt�aonT o°y'mN co)_p)�o-�4'0E'c
N N N "' U N J ro m C aNi « O d
O 'NO V N ro LMw F OO CL Cc
oV E
CD CD C � ca
.mYO N _T_O «NCA
cm
C«)
o «i O
:E o a) :EID
m E E N
F U ° a c c(o
D
m o si
ro E
°
a
E
ro
a
U
(L
U
a°
N
r > m
O p O)
p
d
rn
2
-°
E
N
c d
p
m
d
c
c
c O U
c
U
r
E
N x
N
E
N
c
'
-
m
ro
E
-o
aci 6 E o E
E R ai E
d
'-
n
E
N
E
°
U
Em a° m
N n 22 U Z E O`
N
ro
-
E
co
Cl)
C
> d
0
O n a-E°
N
.4mEL
ocua
m
Zp E
..aE
SD
R
E
O
°
x a)
U c
'a
z
4).
z
Z
o°nc
0
:
m
vR
C
a
O..
r°- V r
E
N
NO
NE
c 0
E-oW
ro U 'NEW
a
Z}
>-
m
O c
o m c o
C= R Y N w 'N U 'y
y
�
N C c
W C
Z
c
« -� m y E
c
c o w
w w
c
W �
m E_ d
m U d N .� E
L
'y R p
p
W
o a`)
«`N,
w« o W m E m
w
m E
v i
o
ar
m
.0
u9W
c
an o d
?
aCi
e
3 w j
r
OaRi
Q Me
U
C
Tgm
at
m
y0
c
E
cU
Ec0
O N
..D,
00c C N
E
-
GN
O C', 'R`
N
= 2N �
m
E'
M 6 E Q
m
O 0
c
U )
o o
e o
o a
c
Um
a
C;
-6
IL -'o
r ai a vi n n
n n n
n n
n
p
p
°
m N
m a
E
a
U
a
U
c
> p
rn
cma
p U
o
c
01 a
o
a
r
E
o c_
U
U
r
y
E
0
=
0 -LNo
y
E
d
=
C
'
m
o
E E aa))
m ai E m o=
n
E
N
N
m
C
o o Z E o c
«!
m
U
N
«
d U CL N
m
N
m
(!J
d o o O E
U
o f
..
d
0
U o 0 0. N U
o m
a
v
c
c 0. N Z) U) c 9
N
Z
Z
o
N is 2 0
U
} a
o z'
9
o c
:E N
M o a t 0 's
`N
E
w G
O R
N
:E
E o .o m n
-E N E a Q? c c E c
w Z
} ._.
c
}
m
N W m
.N o ro c m 0 a; N
m W
C
a? o
m Z
E .. c
R
3 E
U Y y m N
N N .. ro 7 ro U
y C
in U c a o E C
N C
N O
C
N w
W m
w
W O
a 0 c'n
v W E E E co) w
o
m i°
v
° c
o
°
R
w
j o ayCi
y a V 0 o V R OC
;
U 5
U vl
o a o
a m o ro o F N
Or$
M h
M a
m
r R .� (D 7 ° N vi
C
CR
O O R
O ` ro
E ` p
C 0. 0` R y E T 7 m
0 0
W 7 0
d C 0
w (D E
0¢ a C7 E¢ F m 0)
3 U
w w a`
m U a`
m a La P. n P.n
P.
n' n
•n n
:cEm
o�
r a °-
o c N
a 'R O
O
c 3
c«
a
Y O 0«
0 m
m N Y LL N
c a U
c
C ° 7 E
m
° °O
E O o d
a n c 0 m
E N
E«
N E N
mn
n
aci 0
E 2
E O N C
N N
a)
N p M N
«
° c
U
_ c
0 0
C n N
w�'E
E�-E
'c °-ro EE.0
-oR
•• �$
iam
om
p N
c
O) O E -= ll :
c
C,O
o N c w
o=
.00 a
o c
ca Z,
C C C N N r
Caf c°ia c
E Y W o W
o>
C. c..'omm
rco
UNm
> w wa° -0 U)
ON a m E
T N V c Z N co ro
0
C 0
7
7 Ny C E E E o
a
o N
E (7 U y (7 z '� 0
Q a)CA
E
O
0 aim n2a`mnc°
N- C N N U p N
v a) N «' E
O m L U m R'
U ta
c Q t c 0 Y
U .�.' ~ N U 10 R 0«
Y Y Q a) 3 0 y N 0
N C
N co -No :�. c « a
_ C
m C
U-U ro U O C Y O
c E t E o `c m
vl > 'O O C
N o a- C a a) o
a
� n N m m roC a o
L �) « •6 « E R O
L N O ca d i CO m N
3 a N c N U E«
aNi= c3c
°2 W 0a
-° c a> B O R E >.
00 m a 'a N d a
m U« c y m
d V p c '> Y) O O 0 "O
E c o c C °c 3°
N O O mo N y
N N U n C L L° N°
_ U
c J T W O
zE N E :F «
W N N a O S -O
•NO W a) cn aci a
E N oN
N aCCN c NCNCm 0
LL 41>>im
0
CD N md
oaN 0C- 0 N 0r
N
F O 3 O 5 m c°�a N N E N
U N m U
n o N 2 N w c c c
I� m 0 U rl n« .0m 0
«GI t N
-a o E
oo
E_•-
ro
3
- Ea
m
EZin�>-
o U
Z" E
C
U) 2 CO
N N
„'O O
N ro N
N
T
0 o m
w
c
a
E c
« U "O
U
N
d J O
.n
L
N
m
c j L n
wEo
a
dN
o .0 o
v
41
z E o z
>
w Z >
Z a}
p aci p a}
C N
- - N
O N
Gam
d o� :>
o
C N 0
w is 6° N w
O E
'C
w c m
la
N 0 .0r
N O j O
L
N E
w«
O N a E t)
O
m N
aNaz
o «oNE o
O
ti
>
C C p C
O O 022 O
C O
>>
V L> p U
V U E
N
m f/J
N M NN N
11J
E
« a c
`na«
owU 'n
n n O
EXHIBIT "J"
DUTIES OF THE PARTIES
USE OF NEIGHBORHOOD SERVICES DEPARTMENT
COMMUNITY CENTERS
CDBG CV 5 1 % CONTRACT 2020 - EXHIBIT "J"- DUTIES OF THE PARTIES -USE OF NEIGHBORHOOD
SERVICES DEPARTMENT COMMUNITY CENTERS
CENTER FOR TRANSFORMING LIVES
CENTER FOR TRANSFORMING LIVES
DUTIES OF THE PARTIES
USE OF NEIGHBORHOOD SERVICES DEPARTMENT
COMMUNITY CENTERS
Agency's Responsibilities:
Agency will perform the following in relation with the use of Community Center:
• Agency will furnish the Center Coordinator with a schedule of Program activities at least
four weeks prior to their occurrence.
• Agency will, at its sole expense, furnish materials, supplies, copies and conduct a structured
Program.
• Agency will ensure that the designated Community Center space is maintained in a neat
and orderly fashion.
• Agency will ensure that the City's standards are maintained regarding security; cleanliness
and communication between and among programs housed at the Community Center and
will ensure cooperation with other Community Center staff and agencies/programs.
• Agency will report to the Center Coordinator or designee for problems immediately
if/when problems occur.
• Agency will work with the Center Coordinator or designee to schedule any use of the
Community Center for related activities outside of agencies designated meeting time and/or
the Community Center's regular days and hours.
• Agency will maintain sole responsibility and liability for its employees, volunteers and
separate contractors for their actions.
• Agency shall ensure that each of its employees, volunteers and participants desiring to
participate in Community Center -sponsored programs/activities are aware of the
requirement to have a current community center membership card to participate.
• Agency agrees to perform background screenings and checks on staff and volunteers, with
such screenings and checks meeting or exceeding the requirements that the City imposes
for checks and screenings on staff, volunteers and participants in the City's own programs.
• Agency will provide the Center Coordinator with designated staff contact information for
the purposes of emergencies (center closing, schedule changes or scheduled maintenance)
CDBG CV 5 1 % CONTRACT 2020 - EXHIBIT "J"- DUTIES OF THE PARTIES -USE OF NEIGHBORHOOD
SERVICES DEPARTMENT COMMUNITY CENTERS
CENTER FOR TRANSFORMING LIVES
City's Responsibilities:
City will perform the following in relation with Agency's use of a Community Center:
• City will provide space for conducting the Program, including basic utilities and will also
supply the Agency with appropriate facility access. For purposes of this Contract, basic
utilities shall not include telephone or computer service, which shall remain the sole
responsibility of the Agency.
• City will ensure that the reserved space is set up with appropriate tables and chairs to
accommodate program and/or services.
• City will not be responsible for any additional security other than what is currently
available at the Community Center.
• City assumes no liability or responsibility for the loss of any personal property or office
contents of the Agency, its agents, employees, volunteers, participants or licensees while
at the Community Center.
• City will allow the Agency to conduct properly scheduled classes and other Program
related activities during the days and hours specified in Exhibit "A" PROGRAM
SUMMARY*. In addition, City may, but is not required, through the Center Coordinator,
allow Agency to schedule other classes and Program related activities outside of the days
and hours specified in Exhibit "A" PROGRAM SUMMARY.
• City will maintain sole responsibility and liability for its employees, volunteers and
separate contractors for their actions.
• City will have the discretion to put the Agency in any available room. If placed in a
different location, it is to be only one room.
*The City is closed in observance of the following holidays:
New Year's Day (January 1st)
M.L.K. Jr. Day (Third Monday of January)
Memorial Day (Last Monday in May)
Independence Day (July 0)
Labor Day (First Monday in September)
Thanksgiving Day (Fourth Thursday of November)
Day after Thanksgiving (Fourth Friday in November)
Christmas Day (December 25t')
"City of Fort Worth observes the above holidays on Friday if they fall on Saturday and on a Monday if they
fall on Sunday.
Additionally, the Community Centers are utilized as shelters during an emergency. If the
Community Center will be closed due to an emergency, Center Coordinator or designee will
inform Agency of the closure.
CDBG CV 5 1 % CONTRACT 2020 - EXHIBIT "J"- DUTIES OF THE PARTIES -USE OF NEIGHBORHOOD
SERVICES DEPARTMENT COMMUNITY CENTERS
CENTER FOR TRANSFORMING LIVES
EXHIBIT "K"
NOTICE OF BENEFICIARY RIGHTS
CDBG CV 51 % CONTRACT 2020 - EXHIBIT "K" —NOTICE OF BENEFICIARY RIGHTS Page I
CENTER FOR TRANSFORMING LIVES
Notice of Beneficiary Rights
Name of Agency: CENTER FOR TRANSFORMING LIVES
Name of Program: MICROENTERPRISE SUPPORT PROGRAM
Contact information for Program Staff (name, phone number, and e-mail address, if appropriate):
Because this program is supported in whole or in part by direct Federal financial assistance from
the Federal Government, we are required to let you know that:
• We may not discriminate against you on the basis of religion, religious belief, a refusal
to hold a religious belief, or a refusal to attend or participate in a religious practice;
• We may not require you to attend or participate in any explicitly religious activities that
are offered by us and any participation by you in these activities must be purely
voluntary;
• We must separate, in time or location, any privately funded explicitly religious activities
from activities supported by direct Federal financial assistance;
• If you object to the religious character of our organization, we must make reasonable
efforts to identify and refer you to an alternative provider to which you have no such
objection; and
• You may report an organization's violations of these protections, including any denial of
services or benefits, by contacting or filing a written complaint to HUD [or the
intermediary, if applicable].
We must give you this written notice before you enroll in our program or activity, as required by
24 CFR 5.109.
CDBG CV 51 % CONTRACT 2020 - EXHIBIT "K" —NOTICE OF BENEFICIARY RIGHTS Page 2
CENTER FOR TRANSFORMING LIVES
First
FORT WORT
CITY OF FORT WORTH
LANDLORD/PROPERTY MANAGER CERTIFICATION AND AGREEMENT
Last
M.l.
I understand that the City of Fort Worth ("City") is relying on these
statements in making its decision to provide assistance to
a tenant at
on behalf of:
enter legal entity (LandLord)
Tenant's Name
Enter the name of the property
Evidenced by my signature at the bottom of this document, I hereby certify that the following statements are true
and correct:
TENANT INFORMATION
Tenant
Tenant name
at
Property Name
• Tenant lease was
occupying unit #
Unit number
is delinquent on rent
executed on and provides for $
Date Amount
• Tenant has notified Landlord of his/her intent to seek emergency rental assistance from the City of Fort
Worth CARES Program
Tenant owes a total of $
in delinquent rent as of today's
date, for the period from
months/weeks/days
All partial payments made by Tenant are reflected in this amount.
Property management name
to
have authority to receive rental payments
and administer leases on behalf of
Landlord
months/weeks/days
1
I on behalf of Landlord, as evidenced by my signature at the bottom
Name
of this document, do hereby agree to be bound by the following terms and conditions in the event that I receive
any funds from City for the above listed Tenant's rent
I. The City, or a designee, shall be solely responsible for determining tenant eligibility for emergency rental assistance.
II. Landlord agrees to provide City with any documentation necessary to complete the application process, and, in the event
the tenant is selected for the program, any documents necessary to complete the payment process.
III. Landlord agrees to waive and fully forgive any late fees associated with Tenant's delinquent rent for any months for which
a portion of the rent is paid by the City using federal funds since late fees are not an eligible cost under federal cost
principles
IV. Landlord acknowledges and agrees that City is not liable to Landlord for any costs, fees, damages, or amounts of any kind
and that submission of this Certification and Agreement does not obligate City to provide any funds to Landlord. In the
event that City determines that funds are available to pay any portion of Tenant's rent, City will notify Landlord and all
payments made shall be subject to these terms and conditions.
V. Landlord agrees that it will not accept multiple payments from multiple emergency rental assistance programs for the rent
amounts paid by the City. In the event that Landlord receives a duplicate emergency rental assistance payment through
another such program, Landlord will reimburse City the full amount of any excess payments within thirty days of the
duplicate payment.
VI. Landlord agrees to abide by all applicable state and federal laws governing landlords, tenants, fair housing, and residential
leases in administering tenant's lease during the entire term of the tenant lease.
VII. In the event that Landlord violates any of these terms and conditions or is found to have made a misrepresentation on the
certification, Landlord shall forfeit City's payment of rent on behalf of Tenant and shall upon demand by City repay the full
amount of assistance paid by City in connection with this agreement to Landlord within five days of demand by the City.
Vill. If any part of this Agreement is found to be unenforceable by a court of competent jurisdiction, all other parts of this
Agreement will remain valid and binding.
IX. The City shall have the right to audit Landlord's pertinent books, records, files, and other documents related to the Tenant,
the Tenant's lease, payments made by the Tenant or any rental assistance program, including the City's for a period of
three years after the final payment made under this Agreement.
X. Amounts of payment, if any, shall be determined by the City in its sole discretion.
XI. This Agreement shall be interpreted in accordance with the laws of the State of Texas. Venue for resolving any disputes
shall lie exclusively in Tarrant County, Texas or the United States District Court for the Northern District of Texas, Fort
Worth Division.
XI I. The term of this agreement shall begin upon Landlord's acceptance of any payment made by City for emergency rental
assistance for the named Tenant and shall continue for the full term of the months for which rent is paid on behalf of
Tenant.
XI I I. It is understood and agreed that by execution of this Agreement, City does not waive or surrender any of its governmental
powers or immunities.
XIV. Landlord warrants the unit is in decent, safe, and sanitary condition as defined in 24 CFR Section 882.109, and that the
Landlord has the legal right to lease the dwelling unit covered by this Contract during the Contract term.
XV. The person signing this Agreement hereby warrants that he/she has the legal authority to execute this Agreement on
behalf of the respective party, and that such binding authority has been granted by proper order, resolution, ordinance or
other authorization of the entity.
Landlord Name
City Program
Representative
Signature/
Date
Signature/
Date
WARNING: 18 U.S.C. 1001 provides, among other things, that whoever knowingly and willingly makes or uses a document or writing containing any false,
fictitious, or fraudulent statements or entries, in any matter within the jurisdiction of any department or agency of the United States, shall be fined not more
than $10,000, or imprisoned for not more than five years, or both.
8/14/2020
M&C Review
CITY COUNCIL AGENDA
Official site of the City of Fort Worth, Texas
FORT IVORTH
'14__
DATE: 5/19/2020 REFERENCE M&C 20- LOG NAME: 19NS CARES ACT HUDFUNDS
NO.: 0330 SUBTSAMEND1
CODE: C TYPE: NOW PUBLIC NO
CONSENT HEARING:
SUBJECT. Approve a Substantial Amendment to the City's 2019-2020 Annual Action Plan for the Use
of Federal Grant Funds in the Amount of $6,810,056.00 to be Awarded by the U.S.
Department of Housing and Urban Development from the Coronavirus Aid, Relief, and
Economic Security (CARES) Act Community Development Block Grant, Emergency
Solutions Grant, and Housing Opportunities for Persons with AIDS Programs; Authorize
Amendment to Citizen Participation Plan to Reduce Public Comment Period for CARES
Act Related Activities from Thirty Days to Five Days; Authorize Execution of Related
Contracts; Adopt Attached Appropriation Ordinance (ALL COUNCIL DISTRICTS)
RECOMMENDATION:
It is recommended that City Council:
1. Approve a Substantial Amendment to the City's 2019-2020 Annual Action Plan for submission
to the U.S. Department of Housing and Urban Development for the use of federal grant funds
in the Amount of $6,810,056.00 to be awarded through the CARES Act Community
Development Block Grant, Emergency Solutions Grant, and Housing Opportunities for Persons
with AIDS programs, including allocations of grant funds to particular programs and activities
as detailed below;
2. Approve an amendment to the City's Citizen Participation Plan to reduce the public comment
period for CARES Act related activities from thirty days to five days;
3. Authorize the City Manager or his designee to execute contracts for eighteen -month terms
with the nonprofit agencies listed in Tables 1, 2 and 3 below for CARES Act Community
Development Block Grant (CDBG-CV), Emergency Solutions Grant (ESG-CV), and Housing
Opportunities for Persons with AIDS (HOPWA-CV) grant funds, contingent upon receipt of
funding and satisfactory completion of all regulatory requirements;
4. Authorize the City Manager or his designee to extend 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 contracts if necessary to achieve program goals, provided any
amendment is within the scope of the program and complies with City policies and all
applicable laws and regulations governing the use of federal grant funds; and
5. Adopt the attached appropriation ordinance increasing the estimated receipts and
appropriations to the Grants Operating Federal Fund in the amount of $6,810,056.00
consisting of $4,360,291.00 in CARES Act Community Development Block Grant (CDBG-CV)
funds, $2,202,959.00 in CARES Act Emergency Solutions Grant (ESG-CV) funds, and
$246,806.00 in CARES Act Housing Opportunities for Persons with AIDS (HOPWA-
CV) funds, all subject to receipt of such funds.
DISCUSSION:
The Coronavirus Aid, Relief, and Economic Security (CARES) Act was signed into law on March 27,
2020 to respond to the many impacts of the COVID-19 public health emergency. The CARES Act
includes provisions to help local governments prevent, prepare for and respond to the coronavirus,
including providing for additional allocations of formula grant funds under the Community Development
Block Grant (CDBG), Emergency Solutions Grant (ESG), and Housing for Persons with AIDS
(HOPWA) programs administrated by the U.S. Department of Housing and Urban Development
(HUD). The City was notified on April 9, 2020 of awards of $4,360,291.00 in CDBG-CV funds,
$2,202,959.00 in ESG-CV funds, and $246,806.00 in HOPWA-CV funds. All of these funds must be
used to prevent, prepare for, and respond to the coronavirus.
apps.cfwnet.org/council_packet/mc_review.asp? I D=27899&cou nciIdate=5/19/2020 1 /5
8/14/2020
M&C Review
In order to allow local governments to act quickly to use the funds, the CARES Act also provides for
certain waivers of federal statutes and regulations governing these programs, including a waiver of the
customary 30-day public comment period for Substantial Amendments to the Consolidated Plan and
Action Plan and a waiver of the standard 15\% limitation on public services activities for the CDBG
program. The CARES Act also instructed HUD to make additional awards of further CDBG-CV and
ESG-CV funds to state and local governments based on factors such as economic and housing market
disruption resulting from coronavirus, risk of transmission of the illness, number of coronavirus cases,
and rates of homelessness. It is anticipated that the second allocation of ESG-CV funds for local
governments will be announced by June 30, 2020, and the second allocation of CDBG-CV funds will
be announced later this year.
To receive the initial award of CARES Act funds from HUD, the City must revise its Citizen Participation
Plan to allow for a five-day public comment period for CARES Act related activities, and must prepare
and submit a Substantial Amendment to its 2019-20 Action Plan which tells how the CDBG-CV, ESG-
CV, and HOPWA-CV funds will be used. The proposed Citizen Participation Plan Amendment is
attached to this M&C.
On April 29, 2020, the Community Development Council (CDC) as the City's advisory body for the use
of CDBG, ESG and HOPWA funds, approved a recommendation that the City's Citizen Participation
Plan be revised to authorize a five-day public comment period for Substantial Amendments related to
the Coronavirus response. The CDC also approved a Substantial Amendment Action Plan for CARES
Act grant funds based on the following principles:
Addressing needs which HUD grant funds are uniquely qualified to meet and that other funding
sources cannot serve (housing).
Addressing the most urgent needs (food, shelter) and the needs of populations most sensitive to
COVID-19 (elderly).
Reliance on existing allocation processes and existing nonprofit partners to increase the speed and
simplicity of service delivery and to reduce administrative challenges and compliance concerns.
Consistency with local priority needs and goals previously established in the City's 2018-2022
Consolidated Plan.
Using these principles, three key activities were approved by the CDC for CARES Act funds:
emergency rental assistance, services for the elderly, and employment -related services. Emergency
rental assistance activities address both the Consolidated Plan goals for affordable housing and
homeless services and may include homelessness prevention and rapid rehousing for persons
already homeless. Services for the elderly address the Consolidated Plan goals for aging in place.
Employment -related services address the Consolidated Plan goal for poverty reduction.
The CDC also approved a two-tier process for allocation of these CARES Act funds. Tier One funds
totaling $2,546,754.00 are recommended to be awarded directly to agencies for the activities listed in
the Tables below so that services can begin as quickly as possible. Tier Two funds totaling
$2,924,143.00 ($457,664.00 in ESG-CV and $2,466,479.00 in CDBG-CV) will be awarded for the
three above -listed priority activities through a competitive Request for Proposal process that identifies
additional service -delivery partners by the end of May, for CDC review and approval in early June, and
subsequent City Council approval.
A 5-day public comment period was held from May 4, 2020 to May 10, 2020. Notice of this public
comment period was published in the Fort Worth Star -Telegram, posted on the City's website, and
distributed through the City News and other ongoing communications activities of the City Community
Engagement Office. Any comments received are maintained by the Neighborhood Services
Department in accordance with federal regulations.
A summary of funding recommendations approved by the CDC is provided below. A spreadsheet of
funding recommendations is also attached. This Substantial Amendment Action Plan for use of CARES
Act funds under the CDBG-CV, ESG-CV, and HOPWA-CV programs will be submitted to HUD following
City Council approval.
Indirect costs are not being charged to these grants, as the Neighborhood Services Department
Indirect Cost rate was zero in the City's most recent Cost Allocation Plan.
CARES ACT COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG-CV)
It is recommended that $4,360,291.00 of CDBG-CV funds be allocated as follows:
Emergency Rental Assistance Programs: $1,866,479.00
apps.cfwnet.org/council_packet/mc_review.asp? I D=27899&cou nciIdate=5/19/2020 2/5
8/14/2020
M&C Review
These funds will be awarded on a competitive basis to agencies that administer emergency rental
assistance consistent with a program model that provides up to three months of rental assistance
for households with incomes at or below 80\% of Area Median Income (AMI) who are late on their
rent or unable to pay next month's rent. Eligible clients will pay 30\% of current income toward
their rent, will provide proof of income for all household members, will provide proof of reduction
and/or loss of income due to the COVID-19 crisis; will provide a copy of their current lease; and will
obtain verification of landlord's acceptance of terms and conditions of City rental assistance.
Services for the Elderly: $300,000.00
These funds will be awarded on a competitive basis to agencies that provide services to elderly
persons to reduce their risk of COVID-19, such as in -home meals or other services, transportation,
health and wellness -related services, and the like.
Employment -related Services: $300,000.00
These funds will be awarded on a competitive basis to agencies that provide services addressing
COVID-related unemployment, such as job placement, training, coaching, and/or direct assistance
to support employment or remove barriers to employment, such as child care, certifications, work
clothing or tools, and related items.
General Administration: $872,058.00
Costs of planning for, administering, reporting on, and monitoring all activities paid for with CDBG-
CV funds.
Direct Awards to Public Services Agencies ($1,021,754.00): Contracts are recommended for the
following agencies and programs in the following amounts:
TABLE 1: CDBG-CV AGENCIES
AGENCY
PROGRAM
AMOUNT
Housing Channel
Emergency Rental Assistance
$350,000.00
Center for Transforming Lives
Emergency Rental Assistance
$350,000.00
Meals on Wheels
Home Delivery of Meals/Food
$200,000.00
Center for Transforming
Lives
Micro -Enterprise
Support
$121,754.00
TOTAL CDBG-CV CONTRACTS
$1,021,754.00
CARES ACT EMERGENCY SOLUTIONS GRANT (ESG-CV)
It is recommended that $2,202,959.00 of ESG-CV funds be allocated as follows:
Rapid Rehousing Programs: $457,664.00
These funds will be awarded on a competitive basis to agencies that provide rapid rehousing
assistance and accompanying support services to homeless persons living in shelters or on the
streets.
Administration: $220,295.00
Costs of planning for, administering, reporting on, and monitoring all activities paid for with ESG-CV
funds.
Direct Awards to Public Service Agencies: $1,525,000.00
Contracts are recommended for the following agencies and programs in the following amounts:
TABLE 2: ESG-CV AGENCIES
AGENCY
PROGRAM
AMOUNT
Presbyterian Night Shelter of Tarrant
Shelter Operations/Services
$230,000.00
County
True Worth Place
Day ShelterOperations/Services
$120,000.00
The Salvation Army, a Georgia
Homelessness Prevention
$75,000.00
Corporation
SafeHaven of Tarrant County
Rapid Re -Housing
$100,000.00
apps.cfwnet.org/council_packet/mc_review.asp? I D=27899&cou nciIdate=5/19/2020 3/5
8/14/2020
M&C Review
Day Resource Center
Rapid Re -Housing
$375,000.00
Presbyterian Night Shelter of Tarrant
County
Rapid Re -Housing
$300,000.00
The Salvation Army, a Georgia Corporation
Rapid Re -Housing
$325,000.00
TOTAL ESG-CV CONTRACTS
$1,525,000.00
CARES ACT HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS (HOPWA-CV)
It is recommended that $246,806.00 of HOPWA-CV funds be allocated as follows:
City's Neighborhood Services Department Community Action Partners (CAP) Program, Tenant Based
Rental Assistance (TBRA) $77,332.00
Grant Administration: $14,808.00
Costs of planning for, administering, reporting on, and monitoring all activities paid for with
HOPWA-CV funds.
Direct Awards to Public Service Agencies: $154,666.00
Contracts are recommended for the following agencies and progams in the following amounts:
TABLE 3: HOPWA-CV AGENCIES
AGENCY
PROGRAM
AMOUNT
Tarrant County Samaritan
Supportive Services, Facility -Based
$77,333.00
Housing, Inc.
Housing Operations, Administration
Short Term Rent Mortgage and Utility
AIDS Outreach Center
Assistance, Supportive Services,
$77,333.00
Administration
TOTAL HOPWA-CV
$154,666.00
CONTRACTS
All figures have been rounded to the nearest dollar for presentation purposes.
These programs are available in ALL COUNCIL DISTRICTS.
FISCAL INFORMATION/CERTIFICATION:
The Director of Finance certifies that upon approval of the above recommendations and adoption of the
attached appropriation ordinance, funds will be available in the current operating budget, as
appropriated, in the Grants Operating Federal Fund. The Neighborhood Services Department will be
responsible for the collection and deposit of funds due to the City. Prior expenditures being incurred the
Neighborhood Services Department has the responsibility to validate the availability of funds prior to an
expenditure being made. These are reimbursement grants.
TO
Fund
Department
ID
Account Project Program Activity Budget Reference # Amount
ID Year , (Chartfield 2) ,
Submitted for City Manager's Office by_ Fernando Costa (6122)
Originating Department Head: Victor Turner (8187)
Additional Information Contact:
apps.cfwnet.org/council_packet/mc_review.asp?ID=27899&councildate=5/19/2020 4/5
8/14/2020
M&C Review
Barbara Asbury (7331)
ATTACHMENTS
19NS CARES ACT HUDFUNDS SUBTSAMEND1 REC5.docx
CARES Act Citizen Participation Plan Amendmt 5day final.docx
CARES Act Proposed Budget Allocations.xlsx
apps.cfwnet.org/council_packet/mc_review.asp? I D=27899&cou nciIdate=5/19/2020 5/5