HomeMy WebLinkAboutContract 47085 (2)\if
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CONTRACT r,
AGREEMENT FOR COMMUNITY BASED PROGRAM
NEWDAY SERVICES FOR CHILDREN AND FAMILIES
FISCAL YEAR 2016
In consideration of the mutual covenants, promises and agreements contained herein, THIS
AGREEMENT ("Agreement") is made and entered into between CITY OF FORT WORTH, a
home rule municipal corporation of the State of Texas, ("City") acting by and through Valerie R.
Washington, its duly authorized Assistant City Manager, and NEWDAY SERVICES FOR
CHILDREN AND FAMILIES, a Texas private non-profit corporation ("Contractor") acting by
and through Tommy L. Jordan, President and Chief Executive Officer, its duly authorized
representative.
RECITALS
WHEREAS, City has determined that Community Based Programs are necessary to
support crime prevention in City during Fiscal Year 2016 to meet one or more of the Crime
Control and Prevention District ("CCPD") goals, which are (1) to support efforts to reduce
violent crime and gang -related activities through enhanced enforcement activities and crime
prevention programs, (2) to support efforts to increase the safety of residents and to decrease
crime throughout Fort Worth neighborhoods, and (3) to support efforts to increase the safety of
youth and reduce juvenile crime through crime prevention and intervention programs; and
WHEREAS, Contractor has agreed to operate a Community Based Program called
Families Offering Children Unfailing Support (FOCUS) for Mothers Program, which will
support the police department's crime prevention efforts throughout the community; and
WHEREAS, City desires to enter into an agreement with Contractor to operate the
FOCUS for Mothers Program; and
WHEREAS, City, as consideration for the performance of Contractor, has appropriated
monies in the CCPD Budget as reimbursed by the CCPD in the amount of $49,241.00 ("Program
Funds") to provide to the Contractor for the operation of the FOCUS for Mothers Program;
NOW, THEREFORE, in consideration of the mutual covenants herein expressed, the
parties agree as follows:
AGREEMENT DOCUMENTS
The Agreement documents shall include the following:
1. This Agreement
2. Exhibit A — Proposal Abstract and Narrative
3. Exhibit B — Budget
4. Exhibit C — Request for Reimbursement
5. Exhibit D — Program Activities Report
OFFICIAL RECORD
CITY SECRETARY
F7'. WORTpi, TX
FY 2016 Community Based Program
Newday Services for Children and Families
Page 1 of 12
6 Exhibit E — Program Effectiveness Measurement Report
7. Exhibit F — Request for Budget Modification
Exhibits A through F, which are attached hereto and incorporated herein, are made a part of this
Agreement for all purposes. In the event of any conflict between the teinis and conditions of
Exhibits A through F and the terms and conditions set forth in the body of this Agreement, the
teiius and conditions of this Agreement control.
1. Responsibilities of Contractor.
AGREEMENT
Contractor covenants and agrees to fully perform, or cause to be performed, with good
faith and due diligence, all work and services described in Exhibit "A" — Proposal Narrative .
Contractor shall be responsible for day-to-day administration of the FOCUS for Mothers
Program. Contractor agrees to expend the Program Funds in accordance with the Budget as
described in Exhibit "B". Program activities shall be reported in accordance with Exhibit "D"
and effectiveness measures shall be reported in accordance with Exhibit "E"
2. Program Funds.
2.1 In no event shall the total distribution from City made to the Contractor during the Teini
of this Agreement exceed $49,241.00 ("Program Funds").
2.2 Payment of the Program Funds from City to Contractor shall be made on a cost -
reimbursement basis following receipt by City from Contractor of a signed Request for
Reimbursement (RFR), as described in Exhibit "C" along with supporting documentation.
Contractor shall deliver to City a written detailed Program Activities Report and Program
Effectiveness Measures Report as described in Section 4 2 below with each RFR to support
expenditure of Program Funds. Such reports shall be signed by the Contractor or duly authorized
officer of the Contractor. The RFR and monthly Program Activities Report shall be submitted to
City no later than the 15th day following the end of the month. Submittal of a monthly RFR and
Program Activities Report is required even if services are not provided.
The monthly RFR, with an original signature by an authorized representative, must be submitted
to the Research and Planning Section of the Fort Worth Police Department, ATTENTION
Grants Management Unit, Bob Bolen Public Safety Complex, 505 W Felix St., Fort Worth,
Texas, 76115 Reimbursements will not be made until after receipt of an acceptable and
approved RFR and a monthly Program Activities Report from the Contractor. Reimbursements
shall be made within 30 days receipt of said documents.
2.3 Contractor is authorized to modify up to five (5) percent of any budgeted line -item in the
original approved budget without prior written pennission from City. However, Contractor
must submit the Request for Budget Modification Foinu (Exhibit `F") to City, with the monthly
RFR, during the month the modification took place. The new modified budget cannot exceed the
total amount of Program Funds.
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2.4 Any modifications of more than five (5) percent of any budgeted line -item in the original
approved budget must have prior written permission from City before the modifications are
made. The Budget Modification Form (Exhibit F") must be submitted, and request must be
approved by City, before any money is moved to the line -item. Once the Budget Modification is
approved, the modified budget will take effect on the first day of the following month The new
modified budget shall not exceed the total amount of Program Funds.
2.5 Any modifications to zero line -items in the original approved budget must have prior
written permission from City before the modifications are made The Budget Modification Foini
(Exhibit "F") must be completed and approved by City before money is transferred into the new
line -item. Once the Budget Modification is approved the modified budget will take effect on the
first day of the following month. The new modified budget shall not exceed the total amount of
Program Funds.
2.6 Budget modification can only occur within the Direct and Indirect costs. Funds may not
be moved from a Direct line -item into an Indirect line -item, or vise versus. Modification of
Direct and Indirect approved budgets must follow the guidelines outlined in sections 2 3, 2.4. and
2.5.
Budget adjustments shall be submitted to the Grants Management Unit of the Fort Worth
Pohce Department at Bob Bolen Public Safety Complex at 505 W. Felix St., Fort Worth,
Texas, 76115.
3. Term. This Agreement shall commence upon October 1, 2015 ("Effective Date"), and
shall end on September 30, 2016 ("Tenn"). All of Contractor s expenditures under this
Agreement must be completed no later than September 30, 2016.
4. Program Performance.
4.1 Contractor agrees to maintain full documentation supporting the performance of the work
set forth in Exhibit "A."
4.2 Contractor agrees to provide a monthly Program Activities Report and quarterly Program
Effectiveness Measurement Report to document the performance of the work described in
Exhibit "D" and Exhibit "E," respectively. The Program Activities and Effectiveness Measures
shall document the program activity names, numbers of participants attending, details of the
activities, and a description of the goals achieved in support of the CCPD goals. Program
Effectiveness Measures shall be reported on a quarterly basis and included in the January, April,
July, and October RFR and Program Activities Report submittals. Additionally, the Program
Effectiveness Measurement Report must describe include any realized successes. The monthly
Program Activities and quarterly Program Effectiveness Measurement Reports shall be
submitted to City no later than the 15th day after the end of each month
4.3 Contractor agrees that the monthly Request for Reimbursement and Program Activities
Report and quarterly Program Effectiveness Measurement Report will be submitted to City no
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later than the 15th day after the end of each month Should Contractor not meet these
requirements, Contractor will be given an additional 15 days to submit the required reports to
City. If, at the end of this 15-day extension period, Contractor has not submitted the required
reports, City will send a non-compliance letter notifying Contractor's duly authorized
representative of a possible suspension of program funding.
4.4 A representative of the program shall attend quarterly meetings of the Crime Control and
Prevention District Board as requested.
5. Default and Termination.
5.1 Phis Agreement is wholly conditioned upon the actual receipt by City of Program Funds
from the CCPD. All monies distributed to Contractor hereunder shall be exclusively from
monies received from the CCPD, and not from any other monies of City. In the event that funds
from the CCPD are not timely received, in whole or in part, City may, at its sole discretion,
terminate this Agreement and City shall not be liable for payment for any work or services
performed by Contractor under or in connection with this Agreement
5.2 In the event no funds or insufficient funds are appropriated by the City in any fiscal year
for any payments due hereunder, City will notify Contractor of such occurrence and this
Agreement shall terminate on the last day of the fiscal period for which appropriations were
received without penalty or expense to the City of any kind whatsoever, except as to the portions of
payments herein agreed upon for which funds have been appropriated.
5.3 The City may terminate this Agreement at any time and for any reason by providing the
other party with thirty (30) days' written notice of termination.
5.4 Termination will be effected by delivering to Contractor written notice of termination.
Upon Contractor's receipt of notice of termination, Contractor shall:
(a) Stop work under the Agreement on the date and to the extent specified in the notice of
termination;
(b) Place no further order or subcontracts, except as may be necessary for completion of the
work not terminated;
(c) Terminate all orders and contracts to the extent that they relate to the performance of the
work terminated by the notice of termination; and
(d) Cease expenditures of Program Funds, except as may be necessary for completion of the
work not terminated.
5.5 In the event City suspends or terruinates this Agreement for cause, and the cause for such
suspension or termination is determined to be invalid, the Contractor's sole remedy shall be
reinstatement of this Agreement. Contractor expressly waives any and all rights to monetary
damages, including but not limited to actual, consequential, and punitive damages, court costs
and attorney's fees.
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5.6 Within thirty (30) days following the date of termination of this Agreement, Contractor
shall return to City any property provided hereunder. City will have no responsibility or liability
for Contractor's expenditures or actions occurring after the effective date of telniination of the
Agreement.
6. Equipment and Maintenance All equipment purchased with Program Funds must
meet all eligibility requirements of City. Contractor shall maintain all equipment used in the
administration and execution of the FOCUS for Mothers Program. Contractor shall maintain,
replace or repair any item of equipment used in support of the FOCUS for Mothers Program
and/or for use under the terms of this Agreement that no longer functions or is lost or stolen. The
cost for maintenance, replacement or repair of any equipment used in support of the FOCUS for
Mothers Program and/or for use under the terms of this Agreement is the sole responsibility of
Contractor. Contractor shall not use Program Funds or City funds to repair or replace said
equipment Contractor shall use any and all equipment purchased with Program Funds
exclusively in support of the FOCUS for Mothers Program Within 10 days following the
purchase of equipment, Contractor shall submit to City a detailed inventory of all equipment
purchased with Program Funds to the Grants and Contracts Management Section at the address
set forth in paragraph 2 2 above. The equipment inventory shall include an itemized description
of each piece of equipment, the date each piece of equipment was purchased, the cost of
purchase for each piece of equipment, and the location of each piece of equipment
7. Administrative Requirements.
7.1 Contractor agrees to keep sufficient records to document its adherence to applicable local, state, and
federal regulations, along with documentation and records of all receipts and expenditures of Program
Funds. Contractor agrees that the City shall, until the expiration of three (3) years after final payment
under this Agreement, have access to and the right to examine any directly pertinent books, documents,
papers and records of the Contractor involving transactions relating to this Agreement Contractor agrees
that the City shall have access during normal working hours to all necessary Contractor facilities and
shall be provided adequate and appropriate workspace in order to conduct audits in compliance with the
provisions of this section The City shall give Contractor reasonable advance notice of intended audits.
7.2 If any audit reveals a questioned practice or expenditure, City shall notify Contractor as
soon as reasonably practical. Contractor shall have fifteen (15) days to provide City with a
written explanation and any supporting documentation regarding the practice or expenditure. If
Contractor fails to resolve or cure the questioned practice or expenditure, to the City's
satisfaction, within the fifteen (15) day period, , City reserves the right to withhold further
Program Funds under this and/or future agreement(s) with Contractor.
7.3 If as a result of any audit it is determined that Contractor misused, misapplied or
misappropriated all or any part of the Program Funds, Contractor agrees to reimburse City the
amount of such monies so misused, misapplied or misappropriated, plus the amount of any
sanction, penalty, or other charge levied against City because of such misuse, misapplication or
misappropriation.
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7.4 Contractor's obligation to City shall not end until all closeout requirements are
completed. The closeout requirements shall include, but are not limited to: providing final
Program Activities Report and Program Effectiveness Measurement Reports making final
payments, and disposing of FOCUS for Mothers Program assets as appropriate.
7.5 Contractor covenants and agrees to fully cooperate with City in monitoring the
effectiveness of the services and work to be perfoiined by Contractor under this Agreement, and
8. Independent Contractor.
8.1 Contractor shall operate hereunder as an independent contractor and not as an officer,
agent, or servant or employee of City. Contractor shall have exclusive control of, and the
exclusive right to control, the details of the work and services performed hereunder, and all
persons perfoiniing same, and shall be solely responsible for the acts and omissions of its
officers, members, agents, servants employees, subcontractors, program participants, licensees,
or invitees The doctrine of respondent superior shall not apply as between City and Contractor,
its officers, members, -agents, servants, employees, subcontractors, program participants,
licensees, or invitees, and nothing herein shall be construed as creating a partnership or joint
enterprise between City and Contractor. It is expressly understood and agreed that no officer,
member, agent, employee, subcontractor, licensee, or invitee of the Contractor, nor any program
participant hereunder is in the paid service of City. City does not have the legal right to control
the details of the tasks perfoinied hereunder by Contractor, its officers, members, agents,
employees, subcontractors program participants, licensees, or invitees.
8.2 City shall in no way nor under any circumstances be responsible for any property
belonging to Contractor, its officers, members, agents, employees, subcontractors program
participants, licensees or invitees, which may be lost, stolen, destroyed, or in any way damaged.
9. Liability and Indemnification.
CONTRACTOR SHALL BE LL4BLE AND RESPONSIBLE FOR ANY AND ALL
PROPERTY LOSS, PROPERTY DAMAGE AND/OR PERSONAL INJURY,
INCLUDING DEATH, TO ANY AND ALL PERSONS, OF ANY KIND OR
CHARACTER, WHETHER REAL OR ASSERTED, TO THE EXTENT CAUSED BY
THE NEGLIGENT ACT(S) OR OMISSION(S), MALFEASANCE OR
INTENTIONAL MISCONDUCT OF CONTRACTOR, ITS OFFICERS, AGENTS,
SERVANTS OR EMPLOYEES.
CONTRACTOR AGREES TO DEFEND, INDEMNIFY, AND HOLD THE CITY, ITS
OFFICERS, AGENTS, SERVANTS, AND EMPLOYEES HARMLESS AGAINST
ANY AND ALL CLAIMS, LAWSUITS, ACTIONS, COSTS, AND EXPENSES OF
ANY KIND, INCLUDING, BUT NOT LIMITED TO, THOSE FOR PROPERTY
DAMAGE OR LOSS (INCLUDING ALLEGED DAMAGE OR LOSS TO OWNER'S
BUSINESS AND ANY RESULTING LOST PROFITS) AND/OR PERSONAL
INJURY (INCLUDING DEATH) THAT MAY RELATE TO, ARISE OUT OF, OR BE
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OCCASIONED BY (I) CONSULTANT'S BREACH OF ANY OF THE TERMS OR
PROVISIONS OF THIS AGREEMENT OR (II) ANY NEGLIGENT ACT OR
OMISSION OR INTENTIONAL MISCONDUCT OF CONTRACTOR, ITS
OFFICERS, AGENTS, ASSOCIATES, EMPLOYEES, CONTRACTORS (OTHER
THAN THE CITY), OR SUBCONTRACTORS RELATED TO THE PERFORMANCE
OF THIS AGREEMENT, EXCEPT THAT THE INDEMNITY PROVIDED FOR IN
THIS SECTION SHALL NOT APPLY TO ANY LIABILITY RESULTING FROM
THE SOLE NEGLIGENCE OF THE CITY OR ITS OFFICERS, AGENTS,
EMPLOYEES, OR SEPARATE CONTRACTORS, AND IN THE EVENT OF JOINT
AND CONCURRENT NEGLIGENCE OF BOTH CONSULTANT AND CITY,
RESPONSIBILITY, IF ANY, SHALL BE APPORTIONED COMPARATIVELY IN
ACCORDANCE WITH THE LAWS OF THE STATE OF TEXAS. NOTHING
HEREIN SHALL BE CONSTRUED AS A WAIVER OF THE CITY'S
GOVERNMENTAL IMMUNITY AS FURTHER PROVIDED BY THE LAWS OF
TEXAS.
Contractor shall require all of its subcontractors to include in their subcontracts a release
and mdemnity in favor of City in substantially the same fonlii as above.
This section shall survive the expiration or termination of this Agreement.
10. Non -Assignment. No assignment or delegation of duties under this Agreement by
Contractor shall be effective without City's prior written approval.
11. Prohibition Against Interest.
11.1 No member, officer or employee of City, or its designees or agents; no member of the
governing body of the locality in which the FOCUS for Mothers Program is situated; and no
other public official of such locality or localities who exercises any functions or responsibilities
with respect to the FOCUS for Mothers Program during his tenure or for one year thereafter,
shall have any interest, direct or indirect, in any contract or subcontract, or the proceeds thereof,
for work to be performed hereunder. Contractor shall incorporate, or cause to be incorporated,
like language prohibiting such interest, in all contracts and subcontracts hereunder.
11.2 No officer employee, member, or program participant of Contractor shall have a
financial interest, direct or indirect, in this Agreement or the monies transferred hereunder, or be
financially interested, directly or indirectly, in the sale to Contractor of any land, materials,
supplies, or services purchased with any funds transferred hereunder, except on behalf of
Contractor, as an officer, employee, member, or program participant Any willful violation of
this paragraph with the knowledge, expressed or implied, of Contractor or its subcontractors,
shall render this Agreement voidable by City of Fort Worth.
12. Nondiscrimination.
Contractor, for itself, its personal representatives assigns, subcontractors and successors in
interest, as part of the consideration herein, agrees that in the performance of Contractor's duties
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and obligations hereunder, it shall not discriminate in the treatment or employment of any
individual or group of individuals on any basis prohibited by law. IF ANY CLAIM ARISES
FROM AN ALLEGED VIOLATION OF THIS NON-DISCRIMINATION COVENANT
BY CONTRACTOR, ITS PERSONAL REPRESENTATIVES, ASSIGNS,
SUBCONTRACTORS OR SUCCESSORS IN INTEREST, CONTRACTOR AGREES TO
ASSUME SUCH LIABILITY AND TO INDEMNIFY AND DEFEND THE CITY AND
HOLD THE CITY HARMLESS FROM SUCH CLAIM.
This section shall survive the expiration or termination of this Agreement.
13. Compliance.
13.1 Contractor, its officers, members, agents, employees, program participants, and
subcontractors, shall abide by and comply with all laws, federal, state and local, including all
ordinances, rules and regulations of City. If City calls to the attention of Contractor any such
violation on the part of Contractor or any of its officers, members, agents, employees,
subcontractors or program participants, then Contractor shall immediately desist from and
correct such violation.
13.2 Contractor shall utilize Program Funds strictly for those purposes and goals intended
under the terms and conditions of this Agreement. If City calls the attention of Contractor to any
such violations on the part of Contractor or any of its officers, members, agents, employees,
program participants or subcontractors, then Contractor shall immediately desist from and
correct such violation.
14. Governmental Powers. It is understood that by execution of this Agreement, the City does not waive
or surrender any of it governmental powers. _
15. Waiver of Immunity. If Contractor is a charitable or nonprofit organization and has or
claims an immunity or exemption (statutory or otherwise) from and against liability for damages
or injury, including death, to persons or property; Contractor hereby expressly waives its rights to
plead defensively such immunity or exemption as against City This section shall not be
construed to affect a governmental entity's immunities under constitutional, statutory or common
law.
16. Insurance Requirement.
16.1 Coverages and Limits. Contractor shall provide the City with certificate(s) of
insurance documenting policies of the following minimum coverage limits that are to be in
effect prior to commencement of any work pursuant to this Agreement.
(a) Commercial General Liability (CGL)• $1,000,000 per occurrence, with a $2,000,000.00
annual aggregate limit, in a foun that is acceptable to the City's Risk Manager.
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Non -Profit Organization Liability or Directors & Officers Liability: $1,000,000 per
occurrence, with a $1,000,000 annual aggregate limit, in a foam that is acceptable to the
City's Risk Manager.
Automobile Liability: $1,000,000 each accident on a combined single limit basis OR
split limits are acceptable if limits are at least $250,000 Bodily Injury per person,
$500,000 Bodily Injury per accident and $100,000 Property Damage.
16.2 Contractor's insurer(s) must be authorized to do business in the State of Texas for the
lines of insurance coverage provided and be currently rated in terms of financial strength and
solvency to the satisfaction of the City's Risk Manager All insurers must have a minimum
rating of A- VII in the current A.M. Best Key Rating Guide, or have reasonably equivalent
financial strength and solvency to the satisfaction of Risk Management. If the rating is below
that required, written approval of Risk Management is required Evidence of self-insurance will
also be accepted.
16.3 Each insurance policy required herein shall be endorsed with a waiver of subrogation in
favor of the City. Each insurance policy required by this Agreement, except for policies of
worker's compensation or accident/medical insurance shall list the City as an additional
insured. City shall have the right to revise insurance coverage requirements under this
Agreement
16.4 Contractor further agrees that it shall comply with the Worker's Compensation Act of
Texas and shall provide sufficient compensation insurance to protect Contractor and City from
and against any and all Worker s Compensation claims arising from the work and services
provided under this Agreement
16.5 The commercial general liability policy shall name the City as an additional insured
thereon, as its interests may appear. The Willi City shall include its employees, officers, officials,
agents, and volunteers in respect to the contracted services.
16.6 A minimum of "Thirty (30) days notice of cancellation or reduction in limits of coverage
shall be provided to the City. Ten (10) days' notice shall be acceptable in the event of non-
payment of premium. Notice shall be sent to the Risk Manager, City of Fort Worth, 1000
Throckmorton, Fort Worth, Texas 76102, with copies to the City Attorney at the same address.
16.7 Any failure on the part of the City to request required insurance documentation shall not
constitute a waiver of the insurance requirement
16.8 Certificates of Insurance evidencing that the Consultant has obtained all required insurance
shall be delivered to the City prior to Consultant proceeding with any work pursuant to this
Agreement
17. Miscellaneous Provisions.
17.1 If any provision of this Agreement is held to be invalid, illegal or unenforceable, the validity,
legality and enforceability of the remaining provisions shall not in any way be affected or impaired.
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17.2 City's failure to insist upon the performance of any terra or provision of this Agreement
or to exercise any right herein conferred shall not be construed as a waiver or relinquishment to
any extent of City's right to assert or rely upon any such tend or right on any future occasion.
17.3 Should any action, whether real or asserted, at law or in equity, arise out of the execution,
performance, attempted performance or non-performance of this Agreement, venue for said
action shall lie in state courts located in Tarrant County, Texas or the United States District
Court for the Northern District of Texas, Fort Worth Division..
17.4 Contractor represents that it possesses the legal authority, pursuant to any proper
appropriate and official motion, resolution or action passed or taken, to enter into this Agreement
and to perforn the responsibilities herein required.
17.5 This written instrument and Exhibits A through F, constitute the entire agreement between
the parties concerning the work and services to be performed hereunder, and any pnor or
contemporaneous, oral or written agreement which purports to vary from the terms hereof shall
be void.
17.6 Any amendments to the terms of this Agreement must be in writing and must be signed by
authorized representatives of each Party.
17.7 None of the perforirrance rendered under this Agreement shall involve, and no portion of
the Program Funds received hereunder shall be used, directly or indirectly, for the construction,
operations, maintenance or administration of any sectarian or religious facility or activity, nor
shall said performance rendered or funds received be utilized so as to benefit, directly or
indirectly, any such sectarian or religious facility or activity.
17.8 Contractor certifies that it has obtained a 501 (c) (3) Certificate from the Internal
Revenue Service. Contractor shall notify City in writing of any changes to its 501 (c) (3) tax-
exempt status during the term of this Agreement.
17.9 Captions and headings used in this Agreement are for reference purposes only and shall
not be deemed a part of this Agreement.
17.10 The provisions and conditions of this Agreement are solely for the benefit of City and
Contractor and are not intended to create any rights, contractual or otherwise, to any other person
or entity.
18. Notice.
Notices to be provided hereunder shall be sufficient if forwarded to the other party by hand -delivery or
via U.S. Postal Service certified mail, postage prepaid, to the address of the other party shown below:
CITY: Valerie R. Washington, Assistant City Manager
City Manager's Office
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Copies To:
City of Fort Worth
1000 "1'hrockmorton Street
Fort Worth, TX 76102
Tiffany Hayes
Grants Management Unit
Bob Bolen Public Safety Complex
505 West Felix St.
Fort Worth, TX 76115
CONTRACTOR: Tommy L Jordan President and Chief Executive Officer
NEWDAY SERVICES FOR CHILDREN AND FAMILIES
6818 Camp Bowie Blvd. W.
Suite 112
Fort Worth, TX 76137
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IN WITNESS WHEREOF, the parties hereto have executed this agreement in mul 'pies in
Fort Worth, Tarrant County, Texas, to be effective this fisLay of /'°
20 .
APPROVED AND AGREED FOR
CITY OF FORT WORTH
Valerie R. Washington
Assistant City Manager
Date: 11)1Cit‘
APPROVAL RECOMMENDED
title/aTS
Rhonda K. Robertson
Chief of Police
Date: JC06.1S
APPROVED AS TO FORM AND
LEGALITY FOR CITY OF FORT
WORTH
iket
Victoria D. Honey
Assistant City Attorney
Date:l °/G l 24) j J
Tr
FY 2016 Community Based Program
Newday Services for Children and Families
APPROVED AND AGREED FOR
NEWDAY SERVICES FOR
CHILDREN AND FIES
aftt
Toriimy(ban
President and Chief Executive Officer
Date: Sept . 30, 2015
APPROVED AS TO FORM AND
LEGALITY FOR NEWDAY
SERVICES FOR CHILDREN AND
FAMILIES
Newday Services for Children and
Families Attorney
Date: Sept . 30, 2015
ATTEST
ary J.
City Secretary
Date:
M&C No.
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH) TX
_- -
Page 12 of 12
Exhibit A
Proposal Abstract and Narrative
FY 2014 CRIME CONTROL ANI) PREVENTION DISTRICT
PROPOSAI, COVER SHEET
CONTRACTOR: NcwDay Services for Children & Families
DIRECTOR: Mr. Tommy Jordan
PHONE NUIVD3ER: 817-926-9499
PHYSICAL ADDRESS: 6816 Camp Bowie W. St. 112, Fort Worth, TX 76116
CONTACT PERSON: Betsy Holland EMAIL ADDRESS: betsy@nesvdayservices.org
uewvdaysetvlees.org
PHONE NUMBER: 817-926-9499 FAX NUMBER: 817-332-1119
PROGRAM TITLE: Families Offering Children Unfailing Support (FOCUS) for Mothers
CCPD FUNDS REQUESTED: $49,241
CONTRACTOR STATUS;
Uer Private Nonprofit
D Public Nonprofit
Mark the goal(s) that your program addresses.
D
Support efforts to reduce violent crime and gang -related activities through enhanced enforcement activities and
crime prevention programs
Support efforts to Increase the safety of residents and to decrease crime throughout Fort Worth
neighborhoods; and
( t� Support efforts to increase the safety of youth and reduce fuvenite crime through crime prevention and
intervention Programs.
Additionally, does program address the priority consideration listed belotv'/
i d Program is a prevention or intervention Program for youth and/or family violence.
CERTIFICATION:
I certify that the information contained in this proposal fairly represents the above -named Contractor's operating
plans and budget for the proposed program. I 'tcknowledge that I have read and understand the requirements and
provisions of the Request for Proposal and them the above -named Contractor will compl) with all applicable roles
and regulations relating to the prtcttretuent process. I certify that I an authorized to sign this proposal and to enter
into and execute a contract with the City of Fort Worth to provide the services authorized.
TYPED NAME:
TITLE:
SIGNATURE:
Tommy Jordan
Executive Dire
1
1
DA'I'E: 5/ 1 4/2015
RFP No.15-0193, FY 2016 Comtuunity Based Programs, Page 3 of20
NewDay Services for Children & Families
Families Offering Children Unfailing Support (FOCUS) for Mothers
Abstract
Problem statement: Children that are removed or are at some risk of removal from their families
and put into substitute case will have already experienced Adverse Childhood Experiences (such
as domestic violence in the home, neglect or abuse), both of which lead to their engagement in
high risk behaviors including: being arrested as a juvenile and being involved in violent crime.
Families Offering Children Unfailing Support (FOCUS) —Mothers program s primary focus is to
reduce out -of -home placement for children. FOCUS —Mothers is about building key protective
factors that enable children to thrive. It rebuilds children s lives by helping their mothers gain
the tools they need to redirect their lives.
We are asking for funding to expand the FOCUS Mothers program to serve mothers referred
from the CCC#5- Judge Cummings —Domestic Violence, Child Support Courts and CCC #9—
Prostitutron—Judge Carr. Focus ----Mothers staff person will be Located in our office at the
Tarrant County Family Law Center. She will teach one class per week for 50 weeks beginning
October 1, 2015 and beginning in February 29, 2016, begin a second class for an additional 30
session. We will serve 100+ mothers and impact the lives of approximately 250 children.
PROGRAM ABSTRACT
Provide a short description of your program to be funded. Please summarize the problem and what your pragranr
will do to address it. (Roughly 2 paragraphs in length on a separate page)
PROPOSAL NARRATIVE:
Provide a 4»5 page description of your program to be funded. In this narrative, please respond to each of the following
questions:
1, Describe in detail the problem that your program addresses,
Problem statement: Children that are removed or are at some risk of removal from their families and put into substitute
care will have already experienced Adverse Childhood Experiences (such as domestic violence in the homely, both of
which lead to their engagement in high risk behaviors including: being arrested as a Juvenile and being involved in violent
crime,
Bye -opening statistics from the "Effects of Family Violence on Children" published by the Tarrant County Public Health
Department include: Children living with family violence use hitting as them initial method to solve problems; As children
mature in homes where family violence is occurring, sympathy towat d the mother is often replaced by overt hostility;
Regardless of their age, children living with family violence tend to have higher risks of alcohol/drug abuse and juvenile
delinquency; and boys who witness violence learn that violence IS an appropriate way of solving conflict.
According to the 2014 Department of Family and Protective Services (DFPS) Data Book, there wet° 28,523 Texas
Children in some type of substitute care including foster care, of which 2 104 were in Tarrant County. Moreover, in 2014
there were 673 Tarrant County children removed from their home. Children removed from their homes and placed in
substitute care have a difficult road ahead,
In order for the removal of a child less than 18 years, the child will have already experienced Adverse Childhood
Experiences (ACE) such as domestic violence, a family member being incarceiated or violence associated with abuse or
neglect. A child's exposure to ACE has been proven to affect lifelong adverse outcomes, These children are more likely
to late, engage in high -risk behaviors, such as abusing alcohol ind drugs, engaging in high -risk sexual behaviors,
becoming a teen patent, being arrested as a juvenile and being involved in violent erime2
As adults, we think that a child removed for neglect or abuse marks the end of the crisis, However for the child, the crisis
not only continues, but in fact, escalates When children at•e removed from a home and placed in substitute care, the
outcomes are disheartening. According to a study published in 2006 that reviewed the cases of 926 children who aged out
of substitute care (including foster care) systems More than a third had been arrested for a felony or misdemeanor crime
within three year s of leaving foster care A study in Utah in 2006, also provided similar outcomes: Rates of involvement
with the criminal justice system lot youth in foster care were disturbingly high, Seven out of ten males (68%) had been
arrested, 52.5% had been convicted of a crime and 62.3% had spent at least one night incarcerated. Adults, formerly foster
care have an unemployment rate of 19,9% and one-third live below the poverty line3.
2. What your program does to 1.) Support efforts to reduce violent crime and gang -related activities through
enhanced enforcement activities and crime prevention programs, 2) Support effoi is to Increase the safety of
residents and to decrease crime throughout Fort Worth neighborhoods, 3.) Support efforts to Increase the safety of
youth and reduce juvenile ciinne through crime prevention and intervention programs. Families Offering Children
Unfailing Support (FOCUS) --Mothers works to provide healthy mother involvement in the lives of their children. We
1 In 2014, 22% of FOCUS —Fathers referrals were for Domestic Violence and 20% of fathers were the perpetrator. In 2014, R% of
women referred were for Domestic Violence and 7.4% of those women were the perpetrator.
2 Felitti, V,J,, Anda R.P. Nordenberg, D.,1Villi imson, D la., Spitz, A.M., Edwards, V, ..Marks, J.S, (1998) Relationship of
childhood abuse and household dysflinction to many of the leading causes of death in adults. American Journal of Preventative
Medicine 14(4), 245-258.
3 http://www casey.org/resourees/publications/pdf/improvingfamllyfostercare es,pdf.
RFP No.15-0193, FY 2016 Community Based Programs, Page 4 of 20
partner with the Child Support Courts (Office of the Attorney General), Child Protective Services (CPS) and the County
Criminal Courts (CCC) along with other private and public entities. There are four program goals:
• Benefit children by increasing mothers' emotional and financial support and stability
• Provide tools to decrease tension on the child
• Strengthen co -parenting relationships
• Promote mothers' healthy parenting skills (i.e,, conflict resolution, decision making, and communication skills.)
Piloted in the CPS system in 2013, the 10-week FOCUS --Mothers program's primary focus is to reduce out -of -home
placement for children. Since then, NewDay has facilitated an additional 12 10-week sessions. For mothers involved with
CPS or the CCC system, this means that their children will be less likely to be placed in foster care, or if already in foster
care, the children will be returned to their mothers sooner rocus—Mothers is about building key protective factors that
enable children to thrive, NenvDay's FOCUS —Mothers rebuilds children's lives by helping their mothers gain the tools
they need to redirect their lives. The women targeted for this expansion will come from the Domestic Violence Courts,
Child Support Courts and /or Prostitution Courts. They are often victims or perpetrators of violence in the home, In 2014,
8% of FOCUS --Mother vere from the Domestic Violence Courts and were actually perpetrators of the violence,
Class topics/objectives are: maximizing the mother's influence in her child's life; relieving tension caused by family stress,
communicating constructively with the father of the child; growing into the kind of mother that she wants to be; planning
for the adult she wants her child to become; recognizing the difference between control and influence; identifying the
mother's positive traits; understanding self -value; learning to set boundaries; understanding the difference between anger,
rage and hostility; knowing how parental acts create a pat -tern for children; learning about the "circle of control"; choosing
attitudes and actions; and making a plan to raise a strong child. These positive parenting practices promote a mother's
healthy parenting skills. Due to the exponential growth of this program, NewDay has currently dedicated a full time staff
person (Dawn Sutherland) to handle all CPS court -mandated referrals.
We are asking for finding to place a certified FOCUS —Mother's staff person at the Tarrant County Family Law Center to
work with mothers mandated by the courts to have FOCUS classes. With your help, we are hoping to hire Ms. Donna Cole,
a certified voh-inieer chaplain and facilitator for FOCUS —Mothers. Donna has worked with men, women and families
coming out of abusive circumstances, substance abuse and reentry process from prison/jail. She has worked in Hood and
Sorrel veil County jails and cunently works part-time in Cold Springs pre-release jail assisting women on reentry to society
The demand for FOCUS —Mothers is growing and Donna would concentrate on court ieferrals from CCC#S (Domestic
Violence -Judge Curnmings) Child Support Courts and CCC #9 (Prostitution -Judge Can), Ms. Cole will teach one class per
week (Tuesday nights) for 50 weeks and beginning on Febnrary 290h, begin a second class cycle to run in tandem on Monday
nights, She will be available in the Family Law Center to provide other services including: anger management, individual
counseling, co -parenting, and reconciliation
3. Does your program address the CCPD priority/special emphasis of the prevention or Intervention of youth violence
and/or family violence? Describe how yam program addresses this priority? FOCUS —Mothers addresses both the
prevention of youth and family violence. NewDay works with Mothers to strengthen theft families by building protective
factors including: Parental resilience., social connections knowledge of patenting and child development, concrete stippett in
times of need, and social and emotional competence of their children. FOCUS classes deal with the parent's control issues,
anger problems, fear of loss, sense of failure, low self-worth, and low stress tolerance; all of which cif) be triggers for violent
behavior. They are taught the `Circles of Violence and Nonviolence". As mothers learn how to be a strong, valuable influence
in their children's lives they pave the way for completing their services plans and facilitate the return ofcluldien that have
been relegated to substitute caro—a pre -cursor for youth violence and later, adult violence.
Judge Glen Whitley, Tarrant County Commissioners Court, "IVe do not believe that the answer to
everything is Government It is collaboration with organizations like yours (NewDay) that Brakes the d Terence.
What you do for the children but also with the adults is something to be admired and shown as an example not
only Its this area but really throughout the state and throughout the country... You have proved lllronglu your
efforts and your determination that it works."
3. How will you measure the effectiveness of the program? Data will be obtained from pre- and post-tests administered
as a part of the program, Goals -on average mothers will report a: 1,) 50% increase in ability to respond calmly to conflict
RFP No.15-0193, FY 2016 Community Based Programs, Page 5 of 20
with the child's father, 2,) 45% increase in desire to relate peaceably with the child's father. 3.) 30% increase in understanding
of importance of mother's role in the child s life 4,) 35% increase in ability to remain under control in stressful situations.
Actual findings from FOCUS —Mothers in 2014 included on average, a; 1.) 76% increase in ability to respond calmly to
conflict with the father of their child 2,) 41% increase in desire to relate peaceably with the child s father. 3.) 30% inetease
in understanding of importance of mother's role in the child's life. 4) 48% increase in ability to remain under control in
stressful situations.
Here are the final comments made on the last night of a FOCUS —Mothers class held in Tarrant County in January 2014:
• 'found the class extremely resolrtcefrd.
• Only I can control me. No one else.
• 1 have applied the Circles of Control in sitessrll situations and I explain to family and friends who are stressed.
• Really great class. 1 have applied the circle to my life staying to the inner circle,
• I am vet,' gr defld to see myse f then and now and to know and believe in myself now, Thanksl
FOCUS Mothers was patterned after the evidence -based, successful FOCUS —Fathers progratn implemented by
NewDay in 2002. In 2014, NewDay's FOCUS for fathers impacted the lives of 665 fathers with 1,463 children. Outcomes
provided to us by CPS included: only 14% of graduates had a teunrnation of their parental rights to their children
compared to 40% for non -graduates, Children of FOCUS graduates also had significantly higher probability of family
involvement in their lives: 93% of children of graduates were placed with abet the father or a family member and 85% of
graduates were involved in their children's lives after CPS closed the case.
Teresa IYlorrow, CPS Program Director -- "We have excellent success with fathers who have attended
NewDay's FOCUS (fatherhood) groups. We have seen an increase in fathers' participation dui their children's
li vas... it excites me to see father s fur n the corner, This makes the job and decisions about the work we do with
families a lot easier when ,f pliers get excited about wanting their children returned back to them. The success is
remarkable" Moreover, CPS reported a NewDay quarterly satisfaction survey approwil rate of 99%frrom CPS
staff and caseworkers.
Furthermore, in 2014, The Journal of Adolescent and Family Health (Volume 6, Issue 2) published an evaluation of
Nets Day's Fatherhood programing entitled, An _Innovative Approach to Improving Father -Child Relationships for Fathers
Biro are Noncompliant with Child Support Pai merits' A Mixed Methods Evaluation, The conclusion based on the data
gathered from this program evaluation substantiated that the FOCUS urogramn is effective at meeting its goals. Stated
FOCUS —Fathers objective goals include; Benefits for children by increasing their fathers' emotional support; co -
patenting relationships; Bind father s parenting skills. The FOCUS --fathers offers a paradigm shift where noncompliance
with child support payments is being managed in a rehabilitative manner as compared to the traditional punitive
approich for incarceration.
4. Who will the program benefit? Children whose Mothers who have been court -ordered to attend this program as pint of
their case plan and have had children removed or at risk of having them removed fions their home will benefit, Target
Population' Mother's involved with Tarrant County Criminal Courts and Child Support Courts. In 2014 the FOCUS -
Mothers wete 3% Native American, 45% Caucasian, 14% African American 33% Hispanic and 5% multi -racial, their
education level: 29% college, 36% high school, 15% GI3D, 10% apprenticeship and 10% unemployed; and their income
was; 62% < $10K, 13% $10K-$19K, 9% $20K-$29K, 13% $30K-$39K and 3% > $40K. How many people? We will
serve motheis in eight, 10-class sessions with an average of 10-15 in each class --conservatively 100+ mothers impacting
the lives of approximately 250 children, What age group? Mothers of child-bearing age and their children under 18 years
of age. What geographic area Mint serve? Tarrant Coimty/Tarrant County Court System.
5, What makes this progr ant unique from any otirei crime prevention program In Fort worth? Nuwllay's
FOCUS —Mothers works to strengthen the child's tinnily seduce the incidence of children being removed f •ore the home or
lessening the time children are removed This NewDay Program will office at the Family Law Center and the program is
mandated by court ieferrals FOCUS —Mother's has a unique emphasis on parents as a person and a parent. 1 he curriculum
incorporates life skills with parenting at its core.
RFP No.15.0193, FY 2016 Community Based Programs, Page 6 of 20
6. Is fire program already in operation? Yes, we have been providing FOCUS —Mothers classes for mothers involved
with CPS since 2013. What resources are currently used to operate the program? We are currently being funded through
individual gifts and a grant from the Lockheed Martin Aeto Club. We are in contract negotiations with CPS for a 3-year
contract for mothers in the child welfare system, Why are CCPD funds necessary at this time? The program has been
successful for both fathers and mothers resulting in increased demands for the program in the Criminal Courts, including the
Domestic Violence Court #5 and Prostitution Court 119. This funding will enable NewDay to expand its reach to these
vulnerable populations impacting hundreds more children at risk of separation, risky behaviors and violence.
7. Is this a new program? No, this is a program expansion. A pilot FOCUS —Mothers program was first introduced
in 2013 and continued in 2014. If so, what other funds have you applied for? This is our first request for this expansion.
But, have received support lot FOCUS —Mothers. We currently have requests pending for the FOCUS —Mothers'
program Communities Foundation of Texas--$25,000 and Lockheed Martin AERO Club--$12,500 We also receive
regular donations from individuals supporting Dawn Sutherland, CPS FOCUS —Mothers Program Facilitator, Also, please
describe the sequence of steps needed to Implement your program and the timefr ame in which this will occur Our
target date for program implementation is October 2015. Since this is a program expansion and Ms. Cole is already a
certified FOCUS —Mothers program facilitator the irnpleinentation will be almost immediate upon her hire. She will work
as a part time volunteer facilitator until funding for the position comes to fruition Tlie funding of this expansion will also
enable Ms, Cole to work in the Family Law Center outside of class -tine offering counseling, accompanying participants to
court, maki ig necessary referrals to other agencies or providers and consulting with caseworkers, case managers probation
officers and judges. This funding will enable her to manage the expansion of the program —offering classes on more than
one day/time each week and to include more courts as requested.
8. Briefly describe the specific expenditures planned for CCPD funding. You MUST fully complete attached budget
forms. We are asking for funding to undenvtdte the compensation of Ms Cole and a small portion of the compensation for
her immediate supervisor al the Family Law Center. It will provide a laptop and projector foi her luSa during FOCUS -
Mothers sessions, and administrative duties. It will also provide for the supplies and tools needed to rim the program for a
total of 80 sessions in one year. A small stipend foi a part-time facilitator and translator is budgeted and less than 10%
indirect.
9, If funds are awarded, will this program continue beyond the CCPD funding period? Please explain your
plan to sustain this program. Yes, NewDay will plan to sustain this program, NewDay has just hired a seasoned
Development Director that will sit ive to grow and diversify operating revenue for FOCUS —Mothers through:
• State Grant through the Office of the Attoniey General. Grant will be renewed in August 2015 for $42,000. We
ha%e been awarded this grant every yeas since 2004,
• Department of Family & Protective Sere ices contract for CPS Region 3, FOCUS —fathers classes in Dallas,
Denton, Collin and Tarrant and FOCUS —Mothers classes in Tarrant. Current contract ends 8/31/2015 and will
need to be renewed with probable expansion of FOCUS —Fathers to additional Region 3 counties and addition of
FOCUS —Mothers in Tarrant County,
• Special Events (Golf tournament/Fashion Show: The Development Director will lead these efforts in 2015 and
has a king background of successful events (her last event, held in October 2014 raised over $450,000 in
revenue.)
o Grants Private -increased revenue and diversification. The addition of a professional development officer
whose efforts are dedicated to increasing revenue and diversifying sources will contribute to the success
of these efforts in the future,
o Individuals —increased retention and targeted increase in new donors, The new Development Director
will design and implement a plan to retain donors, increase giving and add new donors to the revenue
stream.
o Fifth is will be made through a new development plan, to retain, increase and diversify all fimdratsing
efforts.
RFP No,15-0193, FY 2016 Community Based Programs, Page 7 of 20
PROGRAM ACTIVTCIES & SCHEDULE
Organization: NewDay Services Program Title: FOCUS —Mothers
ACTIVITY OCT NOV DEC JAN FEB MAR APR MAY JUN DULY AUG SEPT
A Week I: This session is about listening to participants and X X X X X X X X
validating their feelings`
B Week 2: Begin to create "Circles of Coxatru1" model, and X X X X X X X X
explain difference between Control and Influence.
C Week 3: Exploring the past and how they can affect how X X X X X X X X
they act in the present.
D Week 4: Helping participants understand their value and
where it comes from X X X X X X X X
E Week 5: Identifying and setting boundaries. X X X X X X X X X
F Week 6: Identifying anger, rage and hostility. X X X X X X X
G Week 7: Identifying and setting boundaries X X X X X X X X
H Week 8: Building a strong child --choosing core values, X X X X X X X X
reduce tension and honor role of other parent.
I Week 9: How to communicate with their children and X X X X X X X X
what they need at different ages/stages.
X X X X X X X X
J Week 10: Celebrating change and verbalizing how to
change.
RFP No.15-0193, FY 2016 Community Based Programs, Page 8 of 20
Exhibit B
Budget
FORT WORTH
CRIME CONTROL
& PREVENTION DISTRICT
Budget Summary
Total Award: $49,241.00
DIRECT PROGRAM COSTS (90% Minimum)
A. PERSONNEL
Donna Cole- Program Staff ($16.82/hr @ 27hrs/wk x 52
wks)= $23 615 28
Don Mansfield- Program Supervisor ($29.80/hr. @ 3.2
hrs/week x 52 wks)= 4,958.72.
Total: $45,424.00
PERSONNEL TOTAL:
B. FRINGE BENEFITS
Donna Cole- Program Staff (17.9% of salary- no insurance)
— FICA, Medicare, outsourcing
1
Don Mansfield Program Supervisor (20% of salary)
— FICA Medicare, outsourcing
FRINGE BENEFITS TOTAL
C. TRAVEL AND TRAINING
None
TRAVEL AND TRAINING TOTAL
D. EQUIPMENT
Laptop and accessories
Projector and accessories
EQUIPMENT TOTAL
E. SUPPLIES Facilitators toolkit
Easels ($75/each x 3)
General Supplies (2% of cost allocation)
SUPPLIES TOTAL
$23,615.28
$4,958.72
$28,574.00
$ 4,250.00
$1,000.00
$5,250.001
$0.00
$0.00
$1,200.00
$1,500.00
F. CONTRACTS/CONSULTANTS •
FOCUS- Mothers co -facilitator stipend ($50 session per 80
sessions)
Translation service (2hr/wk x 20 wks @ $85/hr.)
CONTRACTS/CONSULTANTS TOTAL
INDIRECT PROGRAM COSTS (10% Maximum) Total: $3,589.66
A. PERSONNEL
Lisa Farmer- Finance ($15.86hr x 1 hr x 52wks)
PERSONNEL TOTAL: 1
Lisa Farmer- Finance (20% of salary)
— FICA, Medicare, outsourcing
FRINGE BENEFITS TOTAL
$2,700.00
$100.00
$225.00
$1,175.00
$1,500.00
$4,000.00
$3,400.00
$7,400.00
$824.72
$824.72
$164.94
$164.94
FORT WORTH
CRIME COt TROL.
& PRFVENnQN DISTRICT
Donna Cole- Program Staff cell phone ($50/mo. X 12
months)
Admin support (3% of annual budget for operating costs
allocation expenses of admin dissemination of evaluations,
surveys to stakeholders) Administration is approximately
12% of all program expense, CCPD funds are requested at a
lower rate with remaining 9% admin covered with other
agency funding.).
I OTHER APPROVED TOTAL
$600.00
$2,000.00
$2,600.00
Exhibit C
Request for Reimbursement
FORT WORTH:
Submit To:
Bob Bolan Public Safety Complex
Attn: Tiffany Hayes
Program Support Division
505 West Felix St.
Fort Worth, TX 76115
A
B
C
D
E
F
A
B
C
D
E
F
Budget Category
Personnel
Fringe Benefits
Travel & Training
Equipment
Supplies
Contracts/Consultants
Total Direct Costs
Budget Category
Personnel
Fringe Benefits
Travel & Training
Equipment
Supplies
Contracts/Consultants
Total InDirect Costs
S
S
A
Budget Amount
A
Budget Amount
Supporting documents required with monthly requests.
This includes, timesheets depicting CCPD funded activities,
copy of paychecks, invoices and receipts detailing all CCPD
funded expenditures.
Request for Reimbursement (RFR)
FY 2016
Submitting Agency:
Contact Name:
Phone Number.
Email:
Remit Address:
Invoice Number.
Month of Request:
DIRECT COSTS (90% Minimum)
B
Total of Previous
Reimbursements
Requested
C
This Month's
Request
S
S
S
D
(B+C)
Total Requested
To -Date
INDIRECT COSTS (10% Maximum)
Total of Previous
Reimbursements
Requested
C
This Month's
Request
D
(B+C)
Total Requested
To -Date
ANL
S
S
S
s
$
S
Summary:
Total Budget: $
Previous Requests: S
This Request: S
Total Requested To -Date $
Remaining Funds S
E
(A-D)
Remaining Balance
Available
(A-D)
Remaining Balance
Available
I have reviewed this request and certify that these listed expenses and support documentation are accurate.
Authorized Signatory
Purchase Order # - -
RFR Approved For Payment
Grant Staff Signature
Date
Finance Received Stamp Placed Below
Signatory Title
Fiscal Agent Use Only
Fund - 1 Dept. JD
Date
Exhibit D
Program Activities Report
FORT WORTH
CRIME Co: rack
& PNEVEM IUn DISTRICT
Current Reporting Month
Submitting Agency
Contact Name
Phone Number and Email
Remit Address
Fiscal Year 2016
Monthly Program Activities Report
New Day Services for Children and Families
Activity
1 Individuals served (non -duplicated)
2 Number of Classes held for the year (Week 1 — Week 10)
3 Number of hours of training taught for the year
11 Number of contacts with participants, case workers, judges, and probation
officers. May include individual counseling and referrals as needed and
also accompanying participants to court.
12 Number of mothers completing at least 8 weeks of classes
Current
Month
Total
To Date
Total
Year
End
Goal
100
80
160
100
I have reviewed this report and certify that the measures provided are accurate and appropriately reflect the
CCPD goals set forth in the contract.
Authorized Signatory Signatory Title
Date
70
Exhibit E
Program Effectiveness
Measurement Report
FORT WORTH
CRnME CONTROL.
8c PREVENnON DISTRICT
Current Reporting Quarter
Submitting Agency
Contact Name
Phone Number and Email
Remit Address
Fiscal Year 2016
Quarterly Program Effectiveness Measurement Report
New Day Services for Families and Children
Please include outcome narrative that describes how measure was accomplished for each quarter.
Effectiveness Measures and Quarterly Outcomes
Measure 1 A 50% increase in ability to respond calmly to conflict with the child's father.
Outcome
Measure 2
Outcome
Measure 3
Outcome
Measure 4
Outcome
A 45% increase in desire to relate peaceably with the child's father.
A 30% increase in understanding of importance of mother's role in the child's life.
A 48% increase in ability to remain under control in stressful situations
Measure 5 30 % of Graduates will indicate increase in access/visitation with children.
Outcome
I have reviewed this report and certify that the measures provided are accurate and appropriately reflect the
CCPD goals set forth in the contract.
Authorized Signatory
Signatory Title Date
Report due each quarter: 1st Quarter (Oct -Dec) due January 15 2nd Quarter (Jan -Mar) due April 15
3rd Quarter (Apr -June) due July 15 4th Quarter (Jul -Sep) due October 15
Exhibit F
Request for Budget Modification
FORT WORTH
•
•
CRIME CONTROL
& PREVENTION Dismnnr
Up to 5% of any budgeted line -item does not need prior approval but form must be sent to City with monthly RFR
More than 5% of any budgeted line -item must have prior City approval
An increase in a zero line -item must have prior City approval
Modifications cannot be made between Direct and Indirect costs
Date
Submitting Agency
Contact Name
Phone Number and Email
Remit Address
Budget Category
Personnel
Supplies & Equipment
Program Services
Travel and Training
Other Approved
Total Direct Costs
Budget Category
Personnel
Supplies & Equipment
Operational Services
Travel and Trainmg
Facilities & Utilities
Other Approved
Total Indirect Costs
Exhibit F
Request for Budget Modification
Fiscal Year 2016
DIRECT COSTS (90% minimum)
Approved Budget Change Requested
INDICT COSTS (10%maximum)
Approved Budget Change Requested
Revised Budget
Revised Budget
Modification Narrative (describe in detail what change is for)
I have reviewed this request and certify that the listed modifications are correct.
Authorized Signatory
Modification Approved
FWPD Staff Signature
Signatory Title
FWPD STAFF USE -ONLY
Date
QModification NOT Approved
Date