HomeMy WebLinkAboutContract 54364 CSC No. 54364
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-20-MW-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 an
emergency rental assistance program to serve individuals and families, 100% 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:
OFFICIAL RECORD
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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 2020 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: (i) Source documentation of household income, or
(ii) only if source documentation is not available, 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, 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.
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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.
HUD means the United States Department of Housing and Urban Development.
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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.
I 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.
4. DUTIES AND RESPONSIBILITIES OF CITY.
4.1 Provide CDBG-CV Funds.
City shall provide up to $1,006,358 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,
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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 a written
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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
I prior to the date of the end of the term of this Contract.
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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.
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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 Proj4ram 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. 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 172
Unduplicated Clients under this Contract may, in City's sole discretion, disqualify Agency for
consideration under future City 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
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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 CDBG-CV 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.
CLIENT ELIGIBILITY VERIFICATION.
6.1 Client Ehizibility.
Agency will document client eligibility as follows:
6.1.1 Agency Clients.
Agency must verify all new clients' income with Source Documentation, or, only if Source
Documentation is not available, with 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 100% 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.
6.2 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.
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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 REQUIREMENTS.
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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 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.
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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
t 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.
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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 Alzency 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.
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.
7.6.1 Prohibition of Duplication of Benefits
Agency agrees to comply with Section 312 of the Stafford Disaster Relief and
Emergency Assistance Act which prohibits the duplication of benefits or financial assistance to
people or entities affected by a Federally declared emergency. Agency agrees to establish and
maintain adequate procedures to prevent any duplications of benefits with CDBG-CV funds.
7.7 Uniform Administrative Requirements, Cost Principles, and Audit
Requirements.
Agency will comply with the Uniform Administrative Requirements, Cost Principles, and
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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.
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.
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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"
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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 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
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financial report if required by City at the termination of this Contract in such form and within such
times as City may prescribe. Failure to submit to City any report or documentation described in this
Contract shall be an event of default of this Contract and City may exercise all of its remedies for
default under this Contract.
8.3.1 Additional Information.
Agency shall provide City with additional information as may be required by state or federal
agencies to substantiate Program activities and/or expenditure eligibility.
8.4 Change in Reporting Requirements and Forms.
City retains the right to change reporting requirements and forms at its discretion. City will
notify Agency in writing at least 15 days prior to the effective date of such change, and the Parties
shall execute an amendment to the Contract reflecting such change if necessary.
8.5 Audit.
8.5.1 Entities that Expend $750,000 or more in Federal Funds Per Year.
All non-federal entities that expend $750,000 or more in federal funds within 1 year,
regardless of the source of the federal award, must submit to City an annual audit prepared in
accordance with specific reference to 2 CFR Part 200.501 through Part 200.521. The audit shall
cover the Agency's fiscal years during which this Contract is in force. The audit must be prepared
by an independent certified public accountant, be completed within 6 months following the end of
the period being audited and be submitted to City within 30 days of its completion. Agency's audit
certification is attached hereto as EXHIBIT "C" — "Audit Certification Form" and "Audit
Requirements". The Audit Certification Form must be submitted to City prior to or with the first
Reimbursement Request. Entities that expend less than$750,000 a year in federal funds are exempt
from federal audit requirements for that year, but records must be available for review or audit by
appropriate officials of the federal agency, City, and General Accounting Office.
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8.5.2 City Reserves the Rij4ht 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
E determines that such audit is necessary for City's compliance with the CDBG 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 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.
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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 15t1i 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 15' 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 301h 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 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, forfeit any
payments otherwise due that month and failure to submit any requested information may, at the
City's sole discretion, 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 or partial
month,the cumulative reimbursement requested to date(inclusive of that month's or partial 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, timeshects 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 unless approved in writing in advance by City as
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authorized under the CARES Act.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:
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.
9.3 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.
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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, 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.
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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.
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 reports submitted 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:
f 10.3.2.1 Direct Agency to prepare and follow a schedule of actions for carrying
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out the affected activities, consisting of schedules, timetables and
milestones necessary to implement the affected activities.
10.3.2.2 Direct Agency to establish and follow a management plan that assigns
responsibilities for carrying out the remedial activities.
10.3.2.3 Reprogram 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.
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10.6 Riizhts of City Not Affected.
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Termination shall not affect or terminate any of the existing rights of City against Agency,
I 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.
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Failure to perform all the Contract terms may result in civil, criminal or administrative
penalties, including, but not limited to those set out in this Contract.
10.9 Termination for Cause.
10.9.1 City may terminate this Contract in the event of Agency's default, inability, or
failure to perform subject to notice,grace and cure periods. In the event City terminates this Contract
for cause, all 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 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 A14ency 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.
j 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.
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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 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 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 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, 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
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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.
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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.
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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
E 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 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.
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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 Governiniz 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 Alzreement 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 Paralzraph Headin$zs for Reference Only, No Lelzal 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 Regulations found in 24 CFR Part 570
`' ➢ Coronavirus Aid,Relief, and Economic Security Act of 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
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➢ 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 etseq.
("NEPA") and the related authorities listed in 24 CFR Part 58.
➢ The Clean Air Act, as amended, (42 U.S.C. Sections 1251 et seq.) and the Clean Water
Act of 1977, as amended (33 U.S.C. Sections 1251 et seq.) and the related Executive
Order 11738. In no event shall any amount of the assistance provided under this Contract
be utilized with respect to a facility that has given rise to a conviction under the Clean
Air Act or the Clean Water Act.
➢ Immigration Reform and Control Act of 1986 (8 U.S.C. Sections 1101 et seq.)
specifically including the provisions requiring employer verifications of legal status of
its employees
➢ The Americans with Disabilities Act of 1990 (42 U.S.C. Sections 12101 et seq.), the
Architectural Barriers Act of 1968 as amended (42 U.S.C. Sections 4151 et seq.) and the
Uniform Federal Accessibility Standards, 24 CFR Part 40,Appendix A
➢ Regulations at 24 CFR Part 87 related to lobbying, including the requirement that
certifications and disclosures be obtained from all covered persons
➢ Drug Free Workplace Act of 1988 (41 U.S.C. Sections 701 et seq.) and 24 CFR Part 23,
Subpart F
➢ Executive Order 12549 and 24 CFR Part 5.105(c) pertaining to restrictions on
participation by ineligible, debarred or suspended persons or entities
➢ Section 6002 of the Solid Waste Disposal Act,as amended by the Resource Conservation
and Recovery Act
➢ Guidelines of the Environmental Protection Agency at 40 CFR Part 247
➢ For contracts and subgrants for construction or repair, Copeland"Anti-Kickback"act(18
U.S.C. 874) as supplemented in 29 CFR Part 5
➢ For construction contracts awarded by Agency in excess of $2,000, and in excess of
$2,500 for other contracts which involve the employment of mechanics or laborers,
Sections 103 and 107 of the Contract Work Hours and Safety Standards Act (40 U.S.C.
327A 300) as supplemented by 29 CFR Part 5
➢ Lead-Based Paint Poisoning Prevention Act(42 U.S.C. 4801 et seq.), as amended by the
Residential Lead-Based Paint Hazard Reduction Act of 1992 (42 U.S.C. 4851 et seq.)
and implementing regulations at 24 CFR Part 35, subparts A, B, M, and R
➢ Uniform 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)
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➢ Federal Whistleblower Regulations, as contained in 10 U.S.C. 2409, 41 U.S.C. 4712, 10
U.S.C. 2324, 41 U.S.C. 4304 and 41 U.S.C. 4310.
14.12 HUD-Assisted " d Employment a other Eeon mie Oppar ==iti
C ti 2 U ntom
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 durinI4 the Performance of This Contract.
During the performance of this Contract Agency agrees to the following provision, and will
require that its contractors and subcontractors also comply with such provision by including it in all
contracts with its contractors:
[Contractor's Subcontractor's or Vendor's name] will not unlawfully discriminate against
any employee or applicants for employment because of race, color, sex, gender, religion, national
origin, familial status, disability or perceived disability, sexual orientation, gender identity, gender
expression or transgender. [Contractor's Subcontractor's or Vendor's name] will take affirmative
action to ensure that applicants are hired without regard to race, color, sex, gender,religion,national
origin, familial status, disability or perceived disability, sexual orientation, gender identity, gender
expression or transgender and that employees are treated fairly during employment without regard
to their race, color, sex, gender, religion, national origin, familial status, disability or perceived
disability, sexual orientation, gender identity, gender expression or transgender. Such action shall
include, but not be limited to, the following: employment, upgrading, demotion or transfer,
f 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,
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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 Agency's Contractors and the ADA.
In accordance with the provisions of the Americans With Disabilities Act of 1990 ("ADA"),
Agency warrants that it and any of its contractors will not unlawfully discriminate on the basis of
disability in the provision of services to the general public, nor in the availability, terms and/or
conditions of employment for applicants for employment with, or employees of, Agency or any of
its contractors. AGENCY WARRANTS IT WILL FULLY COMPLY WITH THE ADA'S
PROVISIONS AND ANY OTHER APPLICABLE FEDERAL,STATE AND LOCAL LAWS
CONCERNING DISABILITY AND WILL DEFEND, INDEMNIFY AND HOLD CITY
HARMLESS AGAINST ANY CLAIMS OR ALLEGATIONS ASSERTED BY THIRD
PARTIES, CONTRACTORS SUBCONTRACTORS, VENDORS OR AGENTS AGAINST
CITY ARISING OUT OF AGENCY'S AND/OR ITS CONTRACTORS',
SUBCONTRACTORS', VENDORS' OR AGENTS' OR THEIR RESPECTIVE
EMPLOYEES' ALLEGED FAILURE TO COMPLY WITH THE ABOVE-REFERENCED
LAWS CONCERNING DISABILITY DISCRIMINATION IN THE PERFORMANCE OF
THIS CONTRACT.
14.14. Conflicts of Interest and Violations of Criminal Law,
14.14.1 Altency Safeguards.
E 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
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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 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 situations in which the
financial interest is not substantial or the gift is an unsolicited item of
j nominal value. Such standards of conduct must provide for
rdisciplinary 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.
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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 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.
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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.
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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-funded Program prior to any charges being incurred.
14.19 Force Majeure
If Agency becomes unable,either in whole or part,to fulfill its obligations under this Contract
due to acts of God, strikes, lockouts, 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
Majeure Event"), the obligations so affected by such Force Majeure Event will be suspended only
during the continuance of such event. Agency will give City written notice of the existence, extent
and nature of the Force Majeure Event as soon as 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 employees who perform work under this
Agreement. Agency shall complete the Employment Eligibility Verification Form (1-9), maintain
photocopies of all supporting employment eligibility and identity documentation for all employees,
and upon request,provide City with copies of all 1-9 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 KIND OR CHARACTER,WHETHER
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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, 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.
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AGENCY AGREES TO AND SHALL RELEASE CITY, ITS AGENTS,
E 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.
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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$1,006,358
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 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.
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CDBG CV 100%PSA CONTRACT CARES ACT 2020 Page 27
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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.
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.
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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.
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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
CDBG CV 100%PSA CONTRACT CARES ACT 2020 Page 28
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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 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 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.
CDBG CV 100%PSA CONTRACT CARES ACT 2020 Page 29
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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: 817-392-7600
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: 817-392-7333
A enc :
Center for Tranforming Lives
Carol Klocek
512 W. 4th Street
Fort Worth, TX 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.
CDBG CV 100%PSA CONTRACT CARES ACT 2020 Page 30
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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]
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CDBG CV 100%PSA CONTRACT CARES ACT 2020 Page 31
CENTER FOR TRANSFORMING LIVES Rev. 06/18/2020
IN WITNESS WHEREOF,the Parties hereto have executed I original of this Contract
in Fort Worth,Tarrant County,Texas.
*-7P
�R -o�°� ATTEST: CITY OF FORT WORTH
p�o
da 8l/ y0.*° �� (/ Fernando Costa(Aug 13,202012:31 CDT)
aaa�Lex
aSapp City Secretary Fernando Costa,Assistant City Manager
M&C: 20-0330
1295 Certification No. 2020-622393
Date: May 19,2020
APPROVED AS TO FORM AND LEGALITY:
Lw'ddt •
Taylor Paris(Aug 13,202012:28 CDT)
Taylor Paris,Assistant City Attorney
APPROVED BY:
Victor Turner(Aug 13,202012:26 CDT)
Victor Turner
Director,Neighborhood Services Department
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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
Barbara Asbury(Aug 12,202018:44 CDT)
Barbara Asbury, Compliance and Planning Manager
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CENTER FO TRANSFORMING LIVES
By:
Carol Klocek, Chief Executive Officer
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CDBG CV 100%PSA CONTRACT CARES ACT 2020 OFFICIAL RECORD Page 33
CENTER FOR TRANSFORMING LIVES CITY SECRETARY ev.06/18/2020
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
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CDBG CV 100%PSA CONTRACT CARES ACT 2020 Page 33
CENTER FOR TRANSFORMING LIVES Rev.06/18/2020
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CENTER FOR TRANSFORMING LIVES EXHIBIT "A"
EMERGENCY RENTAL ASSISTANCE PROGRAM SUMMARY
PROGRAM SUMMARY
(CDBG-CV)
MARCH 13,2020 to SEPTEMBER 30. 2021 $1,006,358
PERIOD AMOUNT
Capitalized terms not defined herein shall have meanings assigned them in the Contract.
PROGRAM:
The Program will provide all services related to administering the Emergency Rental Assistance
program for eligible Fort Worth families who have been impacted by COVID-19 and have incomes
at or below 80% of the area median income, including eligible participants discharging from the
Center for Transforming Lives' rapid rehousing (RRH) program. Participants will be required to
provide documentation of the impact of COVID on their household and pay no more than 30% of
their income toward their rental cost. Services will include up to three months of rental assistance
and economic mobility services for 215 households. Case Management for eligible discharging
RRH families include economic mobility services w h i c h consist of financial education,budget
management,credit improvement,and career readiness services to assist clients with short and long-
term financial sustainability. Participants taking advantage of the economic mobility services will
have the opportunity to redirect up to 30%of their income to savings instead of rent.
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CDBG-CV funds will be used to pay for the salaries and fringe benefits program employees.
Additional costs of the program will include staff mileage, office supplies for program employees,
purchase hardware with accessories software, telephone, cleaning supplies, and direct assistance
for rental assistance. CDBG-CV funds may also be used to cover employment-related costs for
participants receiving career coaching (Certifications, Trainings, Uniforms, Technology, and
Supplies for career coaching).No funding will be paid directly to participants.
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To the extent possible, applications will be accepted electronically to ensure social distancing.
Agency will utilize as many forms of media possible to communicate with clients ensuring social
distancing until further notice. In-person options will be on a case-by-case basis to increase access
for families in need.
CDBG CV 100%PSA CONTRACT 2020-EXHIBIT"A"-PROGRAM SUMMARY Page I
Center for Transforming Lives
Agency's Program office and services will be available at 512 W.41h Street,Fort Worth,TX 76102,
Monday through Friday, 8:00 AM to 5:00 PM. Some evening and weekend hours may be offered
based on applicant needs.
REGULATORY CLASSIFICATION:
Service Category (if more than one category, specify amount for each):
Regulatory Citation(s): 24 CFR 576.104, 24 CFR 576.105, and 24 CFR 576.106
REGULATORY CLASSIFICATION:
Coronavirus Aid Relief, and Economic Security Act of 2020
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.
Agency will maintain documentation that 100% of clients served are income eligible.
PROGRAM GOALS:
Minimum Number of Fort Worth Clients to be Served: The Program must serve a minimum of
215 households. Unduplicated Clients as shown by the monthly Attachment III.
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CDBG CV 100%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%AMI $17,150 $19,600 $22,050 $24,450 $26,450 $28,400 $30,350 $32,300
50%AM $28,550 $32,600 $36,700 $40,750 $44,050 $47,300 $50,550 $53,800
60%AM $34,260 $39,120 $44,040 $48,900 $52,860 $56,760 $60,660 $64,560
80%AM $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 100%CONTRACT 2020-EXIIIBIT"A-1"-2020 HUD INCOME LIMITS
CENTER FOR TRANSFORMING LIVES
Page I
EXHIBIT "A-2"
REPORTING REQUIREMENTS FOR COUNTYWIDE AGENCIES
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CDBG CV 100%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
#OF FORT #OF NON-FORT CLIENTS FORT WORTH
DUE DATE REPORTING RANGE WORTH WORTH SERVED BY CLIENTS
CLIENTS CLIENTS - THE
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.
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Certified by: Date:
Signature/Title:
CDBG CV 100%PSA CONTRACT 2020-EXHIBIT"A-2"
REPORTING REQUIREMENTS FOR COUNTYWIDE AGENCIES
CENTER FOR TRANSFORMING LIVES
EXHIBIT"B"-BUDGET
Account Grant Budget A B C D Total
PROGRAM PERSONNEL I
Salaries 1001 $ 160,970.00 $ 68,490.00 $ 44,100.00 $ 20,160.00 $ 293,720.00
FICA 1002 $ 14,876.96 $ 5,239.48 $ 3,373.65 $ 1,542.24 $ 25,032.33
Life/Disability Insurance 1003 $ -
Health/Dental Insurance 1004 $ 17,198.96 $ 9,707.22 $ 4,126.55 $ 1,886.42 $ 32,919.15
Unemployment-State 1005 $ 922.50 $ 333.45 $ 141.75 $ 64.80 $ 1,462.50
Worker's Compensation 1006 $ 2,196.88 $ 856.13 $ 551.25 $ 252.00 $ 3,856.26
Retirement 1007 $ 3,515.00 $ 1,369.80 $ 882.00 $ 403.20 $ 6,170.00
SUPPLIES AND SERVICES
Office/Program Supplies 2001 $ 7,986.00 $ 1,440.00 $ 1,080.00 $ 10,506.00
Postage 2002 $ "
Marketing/Printing 2003 $ 2,000.00 $ 2,000.00
Computers 2004 $ 2,600.00 $ 2,600.00
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 $ 10,522.50 $ 10,522.50
Other() 3007 $
OtherO 3008 $
FACILITY AND UTILITIES
Telephone 4001 $ 820.00 $ 820.00
Electric 4002 $ "
Gas 4003 $
Water and Wastewater 4004 $
Solid Waste Disposal 4005 $
Rent(City needs copy of lease
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before expenses can be reimbursed) 4006 $
Cleaning Supplies/PPE 4007 $ 864.00 $ 864.00
Other(Hotspot&WiFi) 4008 $ 340.00 $ 340.00
LEGAL,FINANCIAL AND
INSURANCE
Fidelity Bond or Equivalent 5001 $
Directors and Officers 5002 $
General Commercial Liability 5003 $
OtherO 5004 $
DIRECT ASSISTANCE
Other(Rental Assistance) 6000 $ 663,332.41 $ 663,332.41
Other(Directo Assistance for
Employment Related Costs:
certifications,uniforms,supplies,
technology,etc.) 6001 $ 118,203.50 $ 118,203.50
BUDGET TOTAL 1 1 $ 1,006,348.71 S 87,436.08 $ 53,175.20 S 24,308.66 $ 1,080.00 $ 1,172,348.65
FUNDING A:Private(Fundraising/Foundations/Corporations)
FUNDING B:HUD CoC
FUNDING C:Directions Home
FUNDING D:Other City of Fort Worth CDBG-CV Funding
CDBG CV CONTRACT -EXHIBIT"B"- 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
Est. Percent to Amount to
Position Title Annual Salary Grant Grant
Economic Mobility Program Coordinator $ 45,000.00 100% $ 45,000.00
Financial Coach $ 46,500.00 35% $ 16,275.00
Career Coach $ 46,500.00 15% $ 6,975.00
Case Manager $ 67,000.00 100% $ 67,000.00
Director of Housing $ 70,000.00 10% $ 7,000.00
Part Time Accounting Assistant $ 18,720.00 100% $ 18,720.00
TOTAL $ 293,720.00 55% $ 160,970.00
FRINGE DETAIL-PROGRAM PERSONNEL
Percent of Est.Percent to Amount to
Payroll Amount Grant Grant
Program Coordinator-FICA 7.65% $ 3,442.50 100% $ 3,442.50
Program Coordinator- SUTA 0.50% $ 225.00 100% $ 225.00
Program Coordinator-Health and 1 14.56% $ 6,550.08 100% $ 6,550.09
Program Coordinator-Retirement 2% $ 900.00 100% $ 900.00
Program Coordinator-Work Comp 1.25% $ 562.51 100% $ 562.50
Financial Coach-FICA 7.65% $ 3,557.25 35% $ 1,245.04
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Financial Coach-SUTA 0.48% $ 225.00 35% $ 78.75
Financial Coach-Health and Denta 14.09% $ 6,550.08 35% $ 2,292.53
Financial Coach-Retirement 2% $ 930.00 35% $ 325.50
Financial Coach-Work Comp 1.25% $ 581.25 35% $ 203.44
Career Coach-FICA 7.65% $ 3,557.25 15% $ 533.59
Career Coach- SUTA 0.48% $ 225.00 15% $ 33.75
Career Coach-Health and Dental 14.09% $ 6,550.08 15% $ 982.51
Career Coach-Retirement 2% $ 930.00 15% $ 139.50
Career Coach-Work Comp 1.25% $ 581.25 15% $ 87.19
Case Manager-FICA 7.65% $ 7,688.25 100% $ 7,688.25
Case Manager- SUTA 0.50% $ 337.50 100% $ 337.50
Case Manager-Health and Dental 10.03% $ 6,718.83 100% $ 6,718.83
Case Manager-Retirement 2% $ 2,010.00 100% $ 2,010.00
Case Manager-Work Comp 1.25% $ 1,256.25 100% $ 1,256.25
Dir of Hsg-FICA 7.65% $ 5,355.00 10% $ 535.50
Dir of Hsg - SUTA 0.32% $ 225.00 10% 1 $ 22.50
CDBG 51%PSA CONTRACT 2018-2019-EXHIBIT"B" BUDGET
Page 2
Dir of Hsg-Health and Dental 9.36% $ 6,550.08 10% $ 655.00
Dir of Hsg -Retirement 2% $ 1,400.00 10% $ 140.00
Dir of Hsg -Work Comp 1.25% $ 875.00 10% $ 87.50
Acct Asst-FICA 7.65% $ 1,432.08 100% $ 1,432.08
Acct Asst - SUTA 1.20% $ 225.00 1 100% $ 225.00
TOTAL 1 $ 69,440.24 56% $ 38,710.30
SUPPLIES AND SERVICES
Est. Percent to Amount to
Total Budget Grant Grant
Laptop&Accessories $ 2,600.00 100% $ 2,600.00
Office supplies-$80/staff/month*3.1 FTE $ 6,656.00 100% $ 6,656.00
Printer $ 250.00 100% $ 250.00
Software for Electronic Processes-estimated$300/m $ 3,600.00 30% $ 1,080.00
Marketing&Printing $ 2,000.00 100% $ 2,000.00
TOTAL $ 15,106.00 83% $ 12,586.00
MISCELLANEOUS
Est. Percent to Amount to
Total Budget Grant Grant
Mileage-610 miles/month *2.5 FTE * 57.5 cents/mili $ 10,522.50 100% $ 10,522.50
TOTAL $ 10,522.50 100% $ 10,522.50
FACILITY AND UTILITIES
Est.Percent to Amount to
Total Budget Grant Grant
Telephone-$50 purchase, $30/month $ 820.00 100% $ 820.00
Electric
Gas
Water and Wastewater
Solid Waste Disposal
Rent
Cleaning Supplies-$20/month*3.6 FTE $ 864.00 100% $ 864.00
Other(Hotspot&WiFi-$50 purchase, $10/month) $ 340.00 100% $ 340.00
TOTAL $ 2,024.00 100% $ 2,024.00
LEGAL, FINANCIAL AND INSURANCE
Est. Percent to Amount to
Total Budget Grant Grant
Fidelity Bond or Equivalent
Directors and Officers
General Commercial Liability
CDBG 51%PSA CONTRACT 2018-2019-EXHIBIT"B"-BUDGET
Page 3
OtherO
TOTAL 1 $ - $
DIRECT ASSISTANCE
Est.Percent to Amount to
Total Budget Grant Grant
Rental assistance $ 663,332.41 100% $ 663,332.41
Direct assistance for employment-
related costs(certifications,
uniforms, supplies,technology,
etc.) $ 118,203.50 100% $ 118,203.50
TOTAL $ 781,535.91 100% $ 781,535.91
TOTAL BUDGET $ 1,172,348.65 86% $ 1,006,348.71
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CDBG 51%PSA CONTRACT 2018-2019-EXHIBIT"B"-BUDGET
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EXHIBIT 6C
C95
AUDIT CERTIFICATION FORM
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CDBG CV 100%PSA CONTRACT 2020-EXHIBIT"C"-AUDIT CERTIFICATION 1
FORM CENTER FOR TRANSFORMING LIVES
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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 scheclule belmtt)
Federal Expenditure Disclosure
MUST be filled out if Single Audit or Program Audit is NOT requi ed.
Pass Through Program Name& Contract
Federal Grantor Expenditures
Grantor CFDA Number Number
Total Federal Expenditures for this Fiscal Year
Chief 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 fixture 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.
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CDBG CV 100% PSA CONTRACT 2020-F,XHIBIT"C"-AUDIT 2
CERTIFICATION FORM CENTER FOR TRANSFORMING LIVES
EXHIBIT "C-1"
CERTIFICATION REGARDING DUPLICATION OF BENEFITS
CDBG CV 100% PSA CONTRACT 2020-EXHIBIT"C-1"-CERTIFICATION REGARDING DUPLICATION OF BENEFITS
CENTER FOR TRANSFORMING 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 CD13G-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 Klocek Title: Chief Executive Officer
Signature: Date: 7/20/2020
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EXHIBIT "D"
REPORTING FORMS
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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.
Amount
Program
This Invoice Cumulative to Date
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CENTER FOR TRANSFORMING LIVES
ATTACHMENT II
Expenditure Worksheet
ATTACHM ENT II
City of Tort Worth
Neighborhood Services Department.
..Expenditure Worksheet '..
Agency: _.
Program
Only highlighted codes can be reimburs ed
Please 2rouplike account codes. '...
Account
Line'. Code(See Expense Lane Item
No. CheckNo Date Payee. Description/Job Title* Key to Right) Amount Accountl
I PROGRAMPEPSONNEL
2 Salaries 1001
3 FICA 1002
4 Life/Disabilit•Insurance 1003 '...
5 Health/Dental Insurance 1004 '...
6 Une lovnent-State 1005
7 Worker's Compensation 1006
8 Retirement 1007
9 SUPPLIES AND SERVICES
10 Office/Program Supplies 2001
11 Postage 2002
12 Printing2003
13 Otherf) 2004
14 NUS CELLANEOUS
15 Contract Labor 3001
r
Foodr Supplies 3002
TeachingAids 3003
Crat Supplies 3004
Field TripE enses 3005
Mileage 3006
OtherO 3007
Olhe0 3008
FACILITVAND IIIILIt'lES'
24 Telephone 4001
25 Electric 4002
26 Gas 4003
27 Water and Wastewater 4004
28 Solid Waste Disposal 4005
29 Rent 4006
30 Cleaning Supplies 4007
31 Othero 4008
32 LEGAL FINANC AND INSURANCE
33 Fidelity Bond or Exiuivalent 5001
34 Directors and Officers 5002
35 Ceneml Comnzrcial Liability 5003
36 Othero 5004
37 DLRECTASSISTANCE
38 Olhe 600E
39
40
41
43
44
45
46
47
48
49
r
50 '..
51
52
53
i 54
I 55
56
57 j
58 I
59
€. 60 ' '..
Total $0.00 ;
'For Salaries,state ernployee's title under Des cription/Job Title.Rentmustidentify tenant
CDBG CV 100%PSA CONTRACT 2020-EXHIBIT"D"-REPORTING FORMS Page 3
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ATTACHMENT III
Client Data Report
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1-1
1 ,®H'
ffimo
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EXHIBIT "E"
INCOME CERTIFICATION FORMS
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CDBG CV 100%PSA CONTRACT 2020-EXHIBIT"E"-INCOME CERTIFICATION FORM
CENTER FOR TRANSFORMING LIVES Page I
City of Fort Worth
CERTIFICATION OF INCOME STATEMENT
Applicant Name:
Current Address: Phone#:
City and Zip:
Household Members and Income
i lu ing applicant
Last Name First Name Age Monthly Source of Income
Income $$
TOTAL NUMBER OF FAMILY MEMBERS (Include Yourself,Spouse,Children,etc.)
Total Gross Annual Household Income:
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.
-----------------Foi-use by Agency staff only-----------------
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Household Size: Gross Annual Income:
Applicable Income Limit: Is Applicant Eligible?
Check if Applicant refused to provide demographic information: O
Staff Assessment of Demographics:
E Person Making Determination: Date:
NOTE: Address, income amounts and sources for ALL household members are required
CDBG CV 100%PSA CONTRACT 2020-EXHIBIT`E"-INCOME CERTIFICATION FORM
CENTER FOR TRANSFORMING LIVES Page 2
Ciudad de Fort Worth
CERTIFICACION DE DECLARAC16N DE INGRESOS
Nombre del Solicitante:
Direccion de Actualidad: Telefono:
Ciudad y Codigo Postal:
Miembros Del Ho ag r e Ingresos
Inclu endo el/la Solicitante
Apellido Nombre Had Ingreso Origen de Ingresos
Mensual
*TOTAL Ni WRO DE MIEMBROS DEL HOGAR (Incluyase Usted.)
Total Anual de Ingresos del hogar:
**INFORMACION PERSONAL:(Seleccione uno en cada articulo. Esta informacion es requerida por el 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
❑NAnVO 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 informacion que yo estoy proporcionando es verdadera y puedo ser sujeto a
verificacion a cualquiera hora por tercera parte. Yo tambien reconozco que la provision de informacion falsa
puede dejarme sujeto a penalidades Federales, Estatales, y a ley local.
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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 RACER DECLARACIONES FALSOS O
FRAUDULENTAS A CUALQUIER DEPARTAMENTO DE GOBIERNO DE LOS ESTADOS UNIDOS.
-----------------Para use de em leados de la a encia-----------------
#De Miembros de Familia: Ingreso Anual:
Limite de Ingreso: �Es solicitante elegible?:
Compruebe si el solicitante se nego a dar su informacion personal: O
Evaluacion del empleado sobre informacion personal:
Persona haciendo la determinacion: Fecha:
Note: La direccion de la casa y los ingmsos (y sus or•igenes)para todos miembros del hogar son mqueridos
CDBG CV 100%PSA CONTRACT 2020-EXHIBIT"E"-INCOME CERTIFICATION FORM
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EXHIBIT "F"
STANDARDS FOR COMPLETE DOCUMENTATION
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CDBG-CV 100% PSA CONTRACT 2020-EXHIBIT"F'—STANDARDS FOR COMPLETE DOCUMENTATION
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2020 Documentation Standards for
CDBG Public Service Contract Expenses
Budget Line E
> at d) Notes/Other
Employee Salaries and Benefits-Citywill only reimburse a percentage of any'e'mployee's salary and benefits who work directly with the CDBG-funded Program. -
Percentages will be cost allocated and determined prior to,the execution oithe CpBG Contract. Agenciesrequesting 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 may be 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
Life Insurance X X
Health 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
Insurance employee is enrolled in the benefit plan,must show a calculation and documentation of how the invoiced amount was calculated,and
Disability X X must provide documentation showing payment.
Insurance
Unemployment X X
Insurance
�lf the City pays gross salary,this is already included.If the City pays the employer portion,the Agency must provide proof that the
Retirement TXX
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
E Equipment X X X X X
Rental
( Postage X X X
Printing X X X
Ex
uction&
g X X X X This category is only available for the REACH Program.
als
nd
ation X X X
Equipment
ng X X X
es
ing Aids X XXt' u lies X X X
Supplies X X X
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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
i the CDBG-funded 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 100%PSA CONTRACT 2020 EWbit'F"—STANDARDS FOR COMPLETE DOCUMENTATION 1
Facility This Item requires approval by the City prior to the execution of the CDBG Contract. Repairs may be categorized as major/minor
Maintenance X X X i X rehabilitation projects and must be approved through the full HUD Environmetal Review.
and Repairs
Rent X X X City will pay fora 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 0611W020cm
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EXHIBIT "G"
SECTION 3 REPORTING FORMS
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EXHIBIT "H"
SEVERELY DISABLED CERTIFICATION FORM
CDBG CV 100%PSA CONTRACT 2020-EXHIBIT"H"-SEVERELY DISABLED CERTIFICATION FORM
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CERTIFICATION FORM
DOCUMENTING CLIENT STATUS AS "SEVERELY DISABLED ADULT"
Client Name:
Address:
City, State, Zip
Client Identification No.
CHECK ALL THAT APPLY
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.
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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: Date:
Signature/Title:
CFW Neighborhood Services Dept.: Revised 08/29/2019
CDBG CV 100%PSA CONTRACT 2020-EXHIBIT"H"-SEVERELY DISABLED CERTIFICATION FORM
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MBE REPORTING FORM
CDBG-CV 100%CONTRACT 2020-EXHIBIT"I"-MBE REPORTING FORM
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Contract and Subcontract Activity U.S.Department of Housing and Urban Development OMB Approval No: 2535.0117(exp.113112 0 1 3)
Public Reporting Burden for this collection of information is estimated to average.50 hours per response,including the time for reviewing instructions,searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the
collection of information.This information is voluntary. HUD may not collect this information,and you are not required to complete this form,unless it displays a currently valid OMB Control Number.
Executive Order 12421 dated July 14,1983,directs the Minority Business Development Plans shall be developed by each Federal Agency and that these annual plans shall establish minority business development objectives.The information is used by HUD to monitor
and evaluate MBE activities against the total program activity and the designated minority business enterprise(MBE)goals.The Department requires the information to provide guidance and oversight for programs for the development of minority business enterprise
concerning Minority Business Development.If the information is not collected HUD would net be able to establish meaningful MBE goals nor evaluate MBE performance against these goals.
While no assurances of confidentiality is pledged to respondents.HUD generally discloses this data only in response to a Freedom of Information request
Privacy Act Notice-The United States Department of Housing and Urban Development,Federal Housing Administration,is authorized to solicit the information requested in this form by virtue of Title 12,United States Code,Section 1701 at seq.,and regulations
promulgated thereunder at Title 12,Code of Federal Regulations. It will not be disclosed or released outside the United Stales Department of Housing and Urban Development without your consent,except as required or permitted by law.
1.Granlee/Pro)ad Owne,/Developer/Sponsor/Suiltler/Agency Check Ih. 12.L.-tion(City,State,ZIP Code)
PHA❑
IHA
3a.Neme of Contact Person 3b.Ph one Number(Including Area G d.) 4.Reporting Period 5. Program Code(Not applicable for CPD programs.) 6.Date Subminetl to Feld office '..
�Oct.t-Sept.30(Annual-FY) Seaexplanallonofcodasatbotlomo(page.
Use a separate sheet tar each program code.
Contractoror
GranVPmjectit—bror Amountof Type of Subcontractor Woman Prime Contractor Sec. Subcontractor Sac. Contractor/Subcontract,,Name and Address
HUD Case Numbero, Contract Trade Business 6wnetl Identification(ID) 3 IdenGflcaOon(ID) 3 T.
on,,'e ldsnbficationofprop r,y, or Subcontract Code RaclalfEthnic Business Numb., Number
subdivision,dwelling unit,etc. (See Code (yes or
below) (Sao below) No) Name Street cityState Zip Code
7a. 7b. 7c. 7d, 7e. 7f. 7g. 7h. 7L
7c:Type of Trade Codes: 7d: RaclallEthnlc Codes: 5:Program Codes(Complete for Housing and Public and Indian Housing programs only): '..
CPD: Housing/PUblIC Housing: 1=While Americans 1=All insured,including Section 8 5=Section 202
1=New Construction 1=New Construction 6=Professional 2=Black Americans 2=Flexible Subsidy 6=HUD-Held(Management)
2=Education/rraining 2=Substantial Rehab. 7=Tenant Services 3=Native Americans 3=Section 8 Noninsured,Non-HFDA 7=PubliclIndian Housing
3=Other 3=Repair 8=Educationlfraining 4=Hispanic Americans 4=Insured(Management
4=Service 9=Arch-fEngrg.Appraisal 5=Asian/Pacific Americans
5=Project Man t. 0=Other 6=Hasidic Jews
Previous editions are obsolete. form HUD-2516(6/98)
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This report is to be completed by grantees,developers,sponsors,builders,agencies, completed for public and Indian housing and most community development programs. may establish income ceilings higheror lowerthan 80 per centum of the median for the
and/or project owners for reporting contract and subcontract activities of$10,000 or Form HUD-60002 is to be completed by all other HUD programs including State area on the basis of the Secretary's findings that such variations are necessary
more under the following programs:Community Development Block Grants(entitle- administered community development programs covered under Section 3. because of prevailing levels of construction costs or unusually high or low-income
ment and small cities);Urban Development Action Grants;Housing Development A Section 3 contractor/subcontractor is a business concern that provides economic families. Very low-Income persons means low-income families(including single
Grants;Multifamily Insured and Noninsured;Public and Indian Housing Authorities; opportunities to low-and very low-income residents of the metropolitan area(or persons)whose incomes do not exceed 50 per centum of the median family Income
and contracts entered into by recipients of CDBG rehabilitation assistance. nor meimpolitan county),including a business concern that is 51 percent or more for the area,as determined by the Secretary with adjustments for smaller and larger
Contracts/subcontracts of less than$10,000 need be reported only if such contracts owned by low-or very low-income residents;employs a substantial numberof low-or families,except that the Secretary may establish income ceilings higher or lower than
represent a significant portion of your total contracting activity.Include only contracts very low-income residents;or provides subcontracting or business development 50 per centum of the median forthe area on the basis of the Secretary's findings that
executed during this reporting period. opportunities to businesses owned by low-or very low-income residents.Low-and such variations are necessary because of unusually high or low family Incomes.
This form has been modified to capture Section 3 contract data in columns 7g and 71. very low-income residents include participants in Youthbuild programs established Submit two(2)copies of this report to your local HUD Office within ten(10)days after
Section 3 requires that the employment and other economic opportunities generated under Subtitle D of Title IV of the Cranston-Gonzalez National Affordable Housing Act. the end of the reporting period you checked in item 4 on the front.
by HUD financial assistance forhousing and community development programs shall, The terms'low-income persons'and'very low-income persons"have the same Complete item 7h.only once for each contractor/subcontractor on each semi-annual
to the greatest extent feasible,be directed toward low-and very lour-income persons, meanings given the terms in section 3(b)(2)of the United States Housing Actof 1937. report.
particularly those who are recipientsof government assistance for housing.Recipients Low-income persons mean families(including single persons)whose incomes do not Enter the prime contractors ID In Item 7f.for all contracts and subcontracts.Include
using this form to report Section 3 contract data must also use Part I of form HUD- exceed 80 per centum of the median income for the area,as determined by the only contracts executed during this reporting period. PHAs/IHAs are to report all
60002 to report employment and training opportunities data.Form HUD-2516 is to he Secretary,with adjustments for smaller and larger families,except that the Secretary contracts/subcontracts.
Community Development Programs firm receiving contract/subcontract activity only one time on each report for each firm.
1. Grantee:Enter the name of the unit of government submitting this report. Multifamily Housing Programs Public Housing and Indian Housing Programs
3. Contact Person:Enter name and phone of person responsible for maintaining i. Grantee/Project Owner:Enter the name of the unit of government,agency or PHAOHAs are to report all contracls/subconiracts. Include only contracts executed
and submitting contract/subcontract data. mortgagor entity submitting this report. during this reporting period.
7a. Grant Number.Enter the HUD Community Development Block Grant Identifica- 3. Contact Person:Same as item 3 under CPD Programs. 1. Project Owner:Enter the name of the unit of government,agency or mortgagor
lion Number(with dashes). For example:13-32-MC-25.0034. For Entitlement 4- Reporting Period:Check only one period. entity submitting this report. Check box as appropriate.
Programs and Small City multi-year comprehensive programs,enter the latest 5. Program Code:Enter the appropriate program code. 3. Contact Person:Same as item 3 under CPD Programs.
approved grant number.
7a. Grant/Project Number: Enter the HUD Project Number or Housing Develop- 4. Reporting Period:Check only one period.
7b. Amount of Contract/Subcontract: Enter the dollar amount rounded to the 5. Program Code:Enter the appropriate program
nearest dollar.If subcontractor ID number is provided in 71,the dollar figure would be ment Grant or number assigned,
gram code.
for the subcontract only and not for the prime contract. 7b. Amount of Contract/Subcontract:Same as item 7b.under CPD Programs. 7a. Grant/Project Number: Enter the HUD Project Number or Housing Develop-
7c. Type of Trade:Enter the numeric codes which best indicates the contractors/ 7c. Type of Trade:Same as item 7c.under CPD Programs. ment Grant or number assigned.
subcontractoesservice.If subcontractor 10 number is provided in 7L,the type of trade 7d. Business RaciaVEthnic/Gender Code: Same as item 7d.under CPD Pro- 7b. Amount of Contract/Subcontract: Same as item 7b.under CPD Programs.
code would be for the subcontractor only and not for the prime contractor.The'olher grams. 7c. Type of Trade:Same as item 7c.under CPD Programs.
category includes supply,professional services and all other activities except con- 7e. Woman Owned Business:Enter Yes or No. 7d. Business RacIaVEthnic/Gender Code: Same as item 7d.under CPD Pro-
suuction and education/training activities. grams.
7d. Business RaciaVEthnlc/Gender Code:Enter the numericcode which indicates 7f. Contractor Identification(ID)Number:Same as item 7f.under CPD Programs.
the reciaiielhnic/gender character of the owner(s)and controller(s)of 51%of the 79• Section 3 Contractor: Enter Yes or No. 7e. Woman Owned Business:Enter Yes or No.
business.When 51%or more is not owned and controlled by any single mciayethnic/ 7h. Subcontractor Identification(ID)Number: Same as item 7h.under CPD 7f. Contractorldentification(ID)Number:Same as item 7f.under CPD Programs.
gender category,enter the code which seems most appropriate.If the subcontractor Programs. 7g. Section 3 Contractor:Enter Yes or No.
ID number is provided,the code would apply to the subcontractor and not to the prime 71. Section 3 Contractor:Enter Yesor No. 7h. Subcontractor Identification(10)Number: Same as item 7h.under CPD
contractor. Programs.
7e. Woman Owned Business:Enter Yes or No. 7J. Contractor/Subcontractor Name and Address: Same as item 71.under CPD
Programs. 71. Section 3 Contractor.Elver Yes or No.
711. Contractor Identification(ID)Number:Enter the Employer(IRS)Numberof the 71. Contractor/Subcontractor Name and Address: Same as item 7j.under CPD
Prime Contractor as the unique identifier for prime recipient of HUD funds.Note that Programs.
the Employer(IRS)Number must be provided for each contract/subconiract awarded.
7g. Section 3 Contractor:Enter Yes or No.
i 7h. Subcontractor Identification(ID)Number:Enter the Employer(IRS)Number
I of the subcontractor as the unique identifier for each subcontract awarded from HUD
! funds. When the subcontractor ID Number is provided,the respective Prime
Contractor ID Number must also be provided.
71. Section 3 Contractor:Enter Yes or No.
71.Contractor/Subcontractor Name and Address:Enter this Information for each
form HUD-2516(8/98)
Previous editions are obsolete.
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EXHIBIT "J"
DUTIES OF THE PARTIES
USE OF NEIGHBORHOOD SERVICES DEPARTMENT
COMMUNITY CENTERS
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CDBG CV 100%PSA CONTRACT 2020-EXHIBIT"J"-DUTIES OF THE PARTIES-USE OF
( NEIGHBORHOOD SERVICES DEPARTMENT COMMUNITY CENTERS
CENTER FOR TRANSFORMING LIVES
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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
j participate in Community Center-sponsored programs/activities are aware of the
requirement to have a current community center membership card to participate.
f • 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)
City's Responsibilities:
CDBG CV 100%PSA CONTRACT 2020-EXHIBIT"J"-DUTIES OF THE PARTIES-USE OF
NEIGHBORHOOD SERVICES DEPARTMENT COMMUNITY CENTERS
CENTER FOR TRANSFORMING LIVES
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 I")
M.L.K. Jr. Da a
Y(Third Monday of January)
Memorial Day(Last Monday in May)
Independence Day(July 4tn)
Labor Day (First Monday in September)
Thanksgiving Day (Fourth Thursday of November)
Day after Thanksgiving(Fourth Friday in November)
Christmas Day(December 25th)
"City of Fort Worth observes the above holidays on Friday if they fall on Saturday and on a Monday if they
fall on Sunday.
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Additionally,the Community Centers are utilized as shelters during an emergency. If the
I' Community Center will be closed due to an emergency, Center Coordinator or designee will
inform Agency of the closure.
CDBG CV 100%PSA 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
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CDBG CV 100%CONTRACT 2020-EXHIBIT"K"—NOTICE OF BENEFICIARY RIGHTS
CENTER FOR TRANSFORMING LIVES
Page I
Notice of Beneficiary Rights
Name of Agency: CENTER FOR TRANSFORMING LIVES
Name of Program: Emergency Rental Assistance
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.
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CDBG CV 100%CONTRACT 2020-EXHIBIT"K"—NOTICE OF BENEFICIARY RIGHTS
CENTER FOR TRANSFORMING LIVES
Page 2
FORTWO
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CITY OF FORT WORTH
LANDLORD/PROPERTY MANAGER CERTIFICATION AND AGREEMENT
I on behalf of:
First Last M.L enter legal entity(Landlord)
understand that the City of Fort Worth ("City") is relying on these
statements in making its decision to provide assistance to
Tenant's Name
a tenant at
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 occupying unit#
Tenant name Unit number
at is delinquent on rent
Property Name
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i • Tenant lease was
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
E
Worth CARES Program
Tenant owes a total of $ in delinquent rent as of today's to
date, for the period from
Amount months/weeks/days months/weeks/days
All partial payments made by Tenant are reflected in this amount.
E I have authority to receive rental payments
and administer leases on behalf of
Property management name Landlord
1
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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.
XIII. 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.
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I Landlord Name Signature/
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Date
City Program Signature/
Representative 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.
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M&C Review
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CITY COUNCIL AGENDA FiORTVORTH
DATE: 6/23/2020 REFERENCE**M&C 20- LOG NAME: 19NS CARES ACT HUDFUNDS
NO.: 0471 TIER2 AWARDS
CODE: C TYPE: CONSENT PUBLIC NO
HEARING:
SUBJECT: Authorize the Acceptance of Award of Federal Grant Funds in the Amount of
$2,924,143.00 from the U.S. Department of Housing and Urban Development
Coronavirus Aid, Relief, and Economic Security (CARES) Act Community Development
Block Grant and Emergency Solutions Grant Funds, and Authorize Execution of Related
Contracts (ALL COUNCIL DISTRICTS)
RECOMMENDATION:
It is recommended that City Council
1. Authorize the acceptance award of federal grant funds in the amount of$2,924,143.00 from the U.S.
Department of Housing and Urban Development Coronavirus Aid, Relief, and Economic Security
(CARES) Act for programs detailed below;
2. Authorize the City Manager or his designee to execute contracts with the agencies listed in Tables 1
and 2 below for up to eighteen-month terms for Coronavirus Aid, Relief, and Economic Security
(CARES) Act Community Development Block Grant (CDBG-CV) and Emergency Solutions Grant (ESG-
CV) funds, contingent upon receipt of funding and satisfactory completion of all regulatory
requirements; and
3. Authorize the City Manager or his designee to extend contracts for up to one year if an agency
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.
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 and Emergency Solutions Grant programs. The City was notified on April 9, 2020 of the award,
consisting of $4,360,290.00 in CDBG-CV funds and $2,202,929.00 in ESG-CV funds.. All funds must be
used to prevent, prepare for, and respond to the coronavirus.
On May 19,2020, City Council approved a Substantial Amendment to the City's 2019-20 Action Plan for
U.S. Department of Housing and Urban Development (HUD) grant funds stating how these CARES Act
grant funds were to be used, and amended the City's Citizen Participation Plan to reduce public comment
periods for CARES Act funds from 30 days to five days as authorized by the CARES Act (M&C 20-0330).
This 5-day public comment period was held from May 3, 2020 to May 9, 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 Community Engagement Office. Any comments received are maintained by
the Neighborhood Services Department in accordance with federal regulations.
The Substantial Amendment to the Action Plan for CARES Act funds was based on the following guiding
principles as approved on April 29, 2020 by the Community Development Council (CDC):
Addressing needs which HUD grant funds are uniquely qualified to serve and that other funding sources
cannot serve (housing).
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M&C Review
Addressing the most urgent needs (food, shelter) and the needs of populations most sensitive to the
Coronavirus (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 2018-2020 Consolidated
Plan.
Using these principles, three key activities were approved by the CDC for the use of CARES Act funds:
emergency rental assistance, services for the elderly, and employment related services. Emergency
rental assistance activities address both the affordable housing and homeless services Consolidated
Plan goals and may include homelessness prevention and rapid rehousing for persons already
homeless. All emergency rental assistance programs funded with CARES Act funds will provide up
to three months rental payments for income eligible applicants, and will require tenants pay no more than
30 percent of their income towards their rent. Services for the elderly address the Aging in Place
Consolidated Plan goal. Employment-related services address the Poverty Reduction Consolidated Plan
goal.
The CDC also approved a two-tier process for allocation of these HUD CARES Act funds. Tier One funds
totaling $2,546,754.00 were awarded to activities and agencies through M&C 20-0330 (which also
appropriated the entire award of$6,810,056.00). Tier Two funds totaling $2,924,143.00 ($457,664.00 in
ESG-CV and $2,466,479.00 in CDBG-CV) were to be allocated through a competitive Request for
Proposal (RFP)with the goal of identifying additional service delivery partners by the end of May. The
responses to the Tier Two RFP were received on May 25, 2020. The CDC reviewed the proposals and
approved recommendations for additional CARES Act funding awards on June 3, 2020.
As authorized by the CARES Act, for all CDBG-CV, ESG-CV, and HOPWA-CV contracts, the Effective
Date for reimbursement of eligible costs will be March 13, 2020, the date of the declaration of national
emergency due to COVID-19, provided such costs have been documented to have been incurred to
prevent, prepare for, or respond to the Coronavirus Pandemic.
A summary of these Tier Two funding recommendations approved by the CDC is provided below. A
spreadsheet of funding recommendations is also attached.
CARES ACT COMMUNITY DEVELOPMENT BLOCK GRANT: Tier II (CDBG-CV)
It is recommended that the $2,466,479.00 of CDBG-CV funds be awarded for public service agency
contracts as follows:
TABLE 1: CDBG-CV AGENCIES
AGENCY PROGRAM AMOUNT
Housing
Channel Emergency Rental Assistance $350,000.00
E
Center for
I Transforming Emergency Rental Assistance $656,358.00
Lives
Meals on
Wheels, Inc. Home Delivery of Meals/Food $100,000.00
of Tarrant
County
Family
Pathfinders of Emergency Rental Assistance $375,000.00
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Tarrant
County
�II
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M&C Review
The
Presbyterian
Night Shelter Clean Slate Employment Services $160,000.00
of Tarrant
County, Inc.
Recovery
Resource Employment Services for Veterans $54,900.00
Council
Sixty and Meal Delivery Program $200,000.00
Better, Inc.
Tarrant
County Emergency Rental Assistance $200,000.00
Samaritan
Housing, Inc
The Salvation Emergency Rental Assistance $250,000.00
Army
The Women's
Center of
Tarrant Employment Services $120,221.00
County, Inc.
TOTAL
CDBG-CV $2,466,479.00
CONTRACTS
CARES ACT EMERGENCY SOLUTIONS GRANT (ESG-CV)
It is recommended that the $457,664.00 ESG-CV funds be awarded for public service agency contracts
as follows:
TABLE 2: ESG-CV AGENCIES
AGENCY PROGRAM AMOUNT
The Presbyterian Night
Shelter of Tarrant County, Rapid Re-Housing $200,000.00
Inc.
Center for Transforming Lives Rapid Re-Housing $257,664.00
TOTAL ESG —CV $457,664.00
CONTRACTS
All figures have been rounded to the nearest dollar for presentation purposes.
These programs are available in ALL COUNCIL DISTRICTS.
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FISCAL INFORMATION/CERTIFICATION:
The Director of Finance certifies that upon approval of the above recommendations, adoption of the
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M&C Review
attached appropriation ordinance and receipt of grant funds, funds will be available in the current
operating budget, as appropriated, of the Grants Operating Federal Fund. These are reimbursement
grants. The Neighborhood Services Department has the responsibility to validate the availability of funds
prior to an expenditures being made.
TO
Fund Department Account Project Program Activity Budget Reference# Amount
ID ID Year (Chartfield 2)
FROM
Fund Department Account Project Program Activity Budget Reference# Amount
ID I I ID I I Year (Chartfield 2)
Submitted for City Manager's Office by: Fernando Costa (6122)
Originating Department Head: Victor Turner(8187)
Additional Information Contact: Barbara Asbury (7331)
ATTACHMENTS
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Official site of the City of Fort Worth,Texas
CITY COUNCIL AGENDA Ff)RTRTII
DATE: 5/19/2020 REFERENCE M&C 20- LOG NAME: 19NS CARES ACT HUDFUNDS
NO.: 0330 SUBTSAMEND1
CODE: C TYPE: NON- 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.
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 u waiver oTthe ez2MOard lorN limitation on public services activities for the CuoG
The CARES Act also instructed HUD to make additional oVV8nds of further CDBG-CV and �
EGG-C\J funds to state and local governmentsbased on factors such @s economic and housing market �
disruption resulting from corongVirUs, risk of transmission of the illness, number of CorOn8VirU8 C@geS,
and rates of homelessness. It is anticipated that the second allocation ofESG-C\/ funds for local
governments will be announced by June 80. 2020, and the second allocation ofCOBG-CV funds will
be announced later this year.
To receive the initial award of CARES Act funds from HU[}, the City must noVioe its Citizen Participation
Plan to allow for 8 five-day public comment period for CARES Act related octivibeS, and must prepare
and eUbDl\t 8 Substantial Amendment to its 2019-20 Action Plan which tells how the C[}BG-CV, ESG-
C\/ and HC)P\&4\ CV funds will be Used. The proposed Citizen Participation pl2D Amendment is
attached to this K8&C.
C]D April 29' 2O2O. theCo0nUnUnib/ DeVe|oprnertCoUnci| (CDC) oothoCib/'s advisory body for the use
of CDBG. ESG and H[]PVUAfuDd3. approved 8 recommendation that the Ci ' Citizen Participation
Plan be revised hz authorize o five-day public comment periodfor@Ubat@nb8| Anland0an1sre|otadto
the CoronoVirUeresponse. The CDC also approved@ Substantial Amendment Action Plan for CARES
Act grant funds based oU the following principles: �
Addressing needs which HUD grant funds are uniquely qualified to meet and that other funding
sources cannot serve /hoUg|ngl.
Addressing the most Urgent needs (food, shelter) and the needs of populations most sensitive to
COVID-19 (e|dor|y).
Reliance on existing allocation processes and existing nonprofit partners to increase the speed and
simplicity of service delivery and toreduce administrative challenges and compliance concerns.
Consistency with local priority needs and goals previously established in the C|ty`s 2018-2032
Consolidated Plan.
Using these principles, three key activities were approved by the CDC for CARES Act funds:
emergency rental @8Giat8Oue, services for the a|dar|}\ and employment-related services. Emergency
roOt8| assistance activities @ddMsSS both the Consolidated Plan goals for affordable housing and
homeless services and may include ho0nm|es8Deoa prevention and rapid rehousing for persons
already hoNna|moe. 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 ba|oVV So that services can begin as quickly as possible. Tier Two funds totaling
$2.924.143.00 /$457.864.00 in EGG-CV and $2.480.479.00 in CDBG-CV) will be awarded for the
three above-listed priority activities through 8 competitiveRequemtfor [»ro | 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 oomnnnmDt period was held from yWaV4' 2020 to May 10. 2020. Notice of this public
comment period was published in the Fort Worth Star-Telegram, posted on the Citv'8 Vvebsi1e' and
distributed through the City News and other ongoing communications activities of the City Community
EOQ@gemmM1 Office. Any oonn0neMts received are maintained by the Neighborhood Services
Department in accordance with federal regulations.
A aV0rn@ry of funding ornOnend81ioOa 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 submittedto 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 Cih/s most recent Cost Allocation Plan.
CARES ACT COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG~CV)
|tie recommended that$4.3GU.291.OUofCDBG-CV funds be allocated a8follows:
Emergency Rental Assistance Programs: $1,866,479.00
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\0/6 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 Micro-Enterprise
Lives 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
Day Resource Center Rapid Re-Housing $375,000.00
Presbyterian Night Shelter of Tarrant Rapid Re-Housing $300,000.00
County
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 pro gams 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
I
CONTRACTS
All figures have been rounded to the nearest dollar for presentation purposes.
These programs are available in ALL COUNCIL DISTRICTS.
i
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
i' expenditure being made. These are reimbursement grants.
TO
Fund Department Account Project Program JActivity Budget Reference# _ Amount
ID Year (Chartfield 2)
FROM _ _ _
Fund Department Account Project Program Activity Budget Reference# Amount
ID -- _- IDi i Year (Chartfield
Submitted for City Manager's Office by: Fernando Costa (6122)
Originating Department Head: Victor Turner(8187)
Additional Information Contact:
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
I
Official site of the City of Fort Worth,Texas
CITY COUNCIL AGENDA FORTWORT_II
DATE: 6/23/2020 REFERENCE **M&C 20- LOG NAME: 19NS CARES ACT HUDFUNDS
NO.: 0471 TIER2 AWARDS
CODE: C TYPE: CONSENT PUBLIC NO
HEARING:
SUBJECT: Authorize the Acceptance of Award of Federal Grant Funds in the Amount of
$2,924,143.00 from the U.S. Department of Housing and Urban Development Coronavirus
Aid, Relief, and Economic Security (CARES) Act Community Development Block Grant
and Emergency Solutions Grant Funds, and Authorize Execution of Related Contracts
(ALL COUNCIL DISTRICTS)
RECOMMENDATION:
It is recommended that City Council:
1. Authorize the acceptance award of federal grant funds in the amount of $2,924,143.00 from the
U.S. Department of Housing and Urban Development Coronavirus Aid, Relief, and Economic
Security (CARES) Act for programs detailed below;
2. Authorize the City Manager or his designee to execute contracts with the agencies listed in Tables 1
and 2 below for up to eighteen-month terms for Coronavirus Aid, Relief, and Economic Security
(CARES) Act Community Development Block Grant (CDBG-CV) and Emergency Solutions Grant
(ESG-CV) funds, contingent upon receipt of funding and satisfactory completion of all regulatory
requirements; and
3. Authorize the City Manager or his designee to extend contracts for up to one year if an agency
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.
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 and Emergency
Solutions Grant programs. The City was notified on April 9, 2020 of the award, consisting of $4,360,290.00
in CDBG-CV funds and $2,202,929.00 in ESG-CV funds.. All funds must be used to prevent, prepare for,
and respond to the coronavirus.
On May 19,2020, City Council approved a Substantial Amendment to the City's 2019-20 Action Plan for U.S.
Department of Housing and Urban Development (HUD) grant funds stating how these CARES Act grant
funds were to be used, and amended the City's Citizen Participation Plan to reduce public comment periods
for CARES Act funds from 30 days to five days as authorized by the CARES Act (M&C 20-0330). This 5-day
public comment period was held from May 3, 2020 to May 9, 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
Community Engagement Office. Any comments received are maintained by the Neighborhood Services
Department in accordance with federal regulations.
The Substantial Amendment to the Action Plan for CARES Act funds was based on the following guiding
principles as approved on April 29, 2020 by the Community Development Council (CDC):
Addressing needs which HUD grant funds are uniquely qualified to serve and that other funding sources
cannot serve (housing).
Addressing the most urgent needs (food, shelter) and the needs of populations most sensitive to the
Coronavirus (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 2018-2020
Consolidated Plan.
Using these principles, three key activities were approved by the CDC for the use of CARES Act funds:
emergency rental assistance, services for the elderly, and employment related services. Emergency rental
assistance activities address both the affordable housing and homeless services Consolidated Plan goals
and may include homelessness prevention and rapid rehousing for persons already homeless.All
emergency rental assistance programs funded with CARES Act funds will provide up to three months rental
payments for income eligible applicants, and will require tenants pay no more than 30 percent of their
income towards their rent. Services for the elderly address the Aging in Place Consolidated Plan
goal. Employment-related services address the Poverty Reduction Consolidated Plan goal.
The CDC also approved a two-tier process for allocation of these HUD CARES Act funds. Tier One funds
totaling $2,546,754.00 were awarded to activities and agencies through M&C 20-0330 (which also
appropriated the entire award of$6,810,056.00). Tier Two funds totaling $2,924,143.00 ($457,664.00 in
ESG-CV and $2,466,479.00 in CDBG-CV)were to be allocated through a competitive Request for
Proposal (RFP)with the goal of identifying additional service delivery partners by the end of May. The
responses to the Tier Two RFP were received on May 25, 2020. The CDC reviewed the proposals and
approved recommendations for additional CARES Act funding awards on June 3, 2020.
As authorized by the CARES Act, for all CDBG-CV, ESG-CV, and HOPWA-CV contracts, the Effective Date
for reimbursement of eligible costs will be March 13, 2020, the date of the declaration of national
emergency due to COVID-19, provided such costs have been documented to have been incurred to
prevent, prepare for, or respond to the Coronavirus Pandemic.
A summary of these Tier Two funding recommendations approved by the CDC is provided below. A
spreadsheet of funding recommendations is also attached.
CARES ACT COMMUNITY DEVELOPMENT BLOCK GRANT: Tier II (CDBG-CV)
It is recommended that the $2,466,479.00 of CDBG-CV funds be awarded for public service agency
contracts as follows:
TABLE 1: CDBG-CV AGENCIES
AGENCY PROGRAM AMOUNT
Housing
Channel Emergency Rental Assistance $350,000.00
Center for
Transforming Emergency Rental Assistance
Lives $656,358.00
Meals on
Wheels, Inc. Home Delivery of Meals/Food $100,000.00
of Tarrant
County
Family
Pathfinders of Emergency Rental Assistance $375,000.00
Tarrant
County
The
Presbyterian
Night Shelter Clean Slate Employment Services $160,000.00
of Tarrant
County, Inc.
Recovery
Resource Employment Services for Veterans $54,900.00
Council
Sixty and Meal Delivery Program $200,000.00
Better, Inc.
Tarrant
County Emergency Rental Assistance $200,000.00
Samaritan
Housing, Inc
The Salvation Emergency Rental Assistance $250,000.00
Army
The Women's
Center of
Tarrant Employment Services $120,221.00
County, Inc.
TOTAL
CDBG-CV $2,466,479.00
CONTRACTS
CARES ACT EMERGENCY SOLUTIONS GRANT (ESG-CV)
It is recommended that the $457,664.00 ESG-CV funds be awarded for public service agency contracts as
follows:
TABLE 2: ESG-CV AGENCIES
AGENCY PROGRAM AMOUNT
The Presbyterian Night Rapid Re-Housing $200,000.00
Shelter of Tarrant County, Inc.
Center for Transforming Lives Rapid Re-Housing $257,664.00
TOTAL ESG —CV
CONTRACTS $457,664.00
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, adoption of the attached
appropriation ordinance and receipt of grant funds, funds will be available in the current operating budget, as
appropriated, of the Grants Operating Federal Fund. These are reimbursement grants. The Neighborhood
Services Department has the responsibility to validate the availability of funds prior to an expenditures being
made.
TO _ _
FundT®epartment Account Project Program Activity Budge�F_Reference# Amount j
( J ID ID �� Year f (Chartfieid 2)
FROM
Fund part Account Project Program Activity Budget Reference# Amount
_Pa
ID ID � _ Year Chartfield 2v
Submitted for City Manager's Office by_ Fernando Costa (6122)
Originating Department Head: Victor Turner (8187)
Additional Information Contact: Barbara Asbury (7331)
ATTACHMENTS