HomeMy WebLinkAboutContract 54899 STATE OF TEXAS § CSC No. 54899
COUNTY OF TARRANT §
This contract ("Contract") is made and entered into by and between the City of Fort
Worth (hereafter "City") and Girls Incorporated of Tarrant County (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 has received funding through the Coronavirus Relief Fund of
the Coronavirus Aid, Relief, and Economic Security Act ("CARES Act"), Title V ("CARES
Funds"), to pay for necessary expenditures that are incurred due to the public health emergency
posed by the COVID-19 pandemic and that meet eligibility criteria;
WHEREAS, the COVID-19 pandemic has negatively impacted nonprofit organizations and
disadvantaged populations in the City of Fort Worth;
WHEREAS, Tarrant County has established a Non-Governmental Organization (NGO)
Program to provide assistance to nonprofit organizations affected by the COVID-19 Pandemic;
WHEREAS, City desires, in collaboration with Tarrant County's process, to allot CARES
Funds to eligible NGOs that(i)provide direct social services programs within the City to individuals
who have demonstrated COVID-19-caused need (such as inability to pay for food, housing or other
basic necessities due to change in circumstances caused by the pandemic) and/or (ii) have necessary
expenditures associated with responding to the COVID-19 Pandemic (such as providing personal
protective equipment to NGO staff, the public, or both);
WHEREAS,City has reviewed NGO applications received by Tarrant County and referred to
City for consideration;
WHEREAS, NGOs that serve individuals within the City and outside the City but within
Tarrant County may receive funds from both entities with allocation based on population distribution
between the jurisdictions or other appropriate cost allocation method based on available data.
NOW, THEREFORE, in consideration of the mutual covenants and obligations and
responsibilities contained herein, including all Exhibits and Attachments, and subject to the terms
and conditions hereinafter stated, 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 recitals and the body of this Contract, the terms set forth
below shall have the definitions ascribed to them as follows:
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 1 OF 27
Girls Incorporated of Tarrant County
CARES Funds means funds provided to the City of Fort Worth through the Coronavirus Relief Fund
authorized under Title V of the Coronavirus Aid, Relief, and Economic Security Act(CARES)Act.
Complete Documentation means cost and performance documentation supporting expenditures for
provision of direct assistance to Fort Worth residents including:
• Proof of expense: copies of timesheets, invoices, leases, service contracts or other
documentation showing that payment is due by Agency.
• Proof of payment: cancelled checks, bank statements, wire transfers, or similar
financial records involving a third party and demonstrating amounts were actually
paid by Agency.
• Proof of Direct Assistance: list of beneficiaries of assistance with time and
location of service provision,in the format provided on Exhibit C or similar format
approved in writing by City.
• Any other document or record reasonably necessary to verify costs spent respond
to the public health emergency.
Complete Documentation must meet the standards described in the attached EXHIBIT"G"
- Standards for Complete Documentation.
NOTE-For the purposes of the Final Reimbursement Request,initial submission may consist
of Proof of Expense and Proof of Direct Assistance with remaining documentation to follow
no later than January 31, 2021.
Director means the Director of the Neighborhood Services Department.
Duplication of Benefits means receipt of 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 for that purpose. Duplication of Benefits includes, but is not limited to,
instances when the same costs are charged to both Tarrant County and the City of Fort Worth.
Effective Date means March 1, 2020,the earliest date to which an expense can relate and be eligible
for CARES Funds under the terms of the CARES Act.
Eligible Expense means one that is(1)incurred by the Agency between March 1,2020 and December
20, 2020; (2) not previously budgeted; and (3) necessary due to the COVID-19 public health
emergency and is made either(A)in providing social services programs within the City to individuals
who have demonstrated COVID-19-caused need (such as inability to pay for food, housing or other
basic necessities due to change in circumstances caused by the pandemic) and/or (B) in paying
necessary expenditures of the Agency in responding to the COVID-19 Pandemic (such as costs of
personal protective equipment provided to the public or to Agency's employees and volunteers).
Neighborhood Services Department means the City's Neighborhood Services Department.
Non-Profit Assistance Criteria means the criteria by which the City approves and rejects
applications, including the guiding principles for the use of CARES Funds as specified in M&C 20-
0587 approved by City Council of the City of Fort Worth on August 25, 2020 and applicable City
Nongovernmental Assistance program policies and procedures, which include the following:
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 2 OF 27
Girls Incorporated of Tarrant County
• CARES funds may not be not used for revenue replacement;
• CARES funds may not be used for duplication of benefits;
• CARES funds
o will be used to provide direct assistance to Fort Worth beneficiaries that is
needed due to the public health emergency; and/or
o are used for direct public-health-related costs of responding to the public
health emergency.
OIG means the Office of the Inspector General for the U.S. Department of the Treasury, the federal
entity authorized to receive performance reports on, and administer and oversee the Coronavirus
Relief Fund.
OMB means the Office of Management and Budget.
Performance Report means a document that is substantially in the form attached hereto as Exhibit
"C" and that lists each unique client or beneficiary served by the Program at least once during the
Eligibility Period. A client served by the Program more than once in the Eligibility Period may only
be counted the first time they are served when determining the total count of beneficiaries served on
the Agency's final Performance Report.
Program means the services described in EXHIBIT "A"—Program Summary.
Reimbursement Request means a form from the Agency seeking payment from the City and
accompanied by all necessary reports and other documentation described in Section 9.
3. TERM.
This Contract begins on execution and expires on December 20, 2020 unless earlier
terminated as provided in this Contract(the"Initial Term") and covers eligible expenditures incurred
between the Effective Date and December 20, 2020 (the "Eligibility Period"). At the City's sole
discretion based on Agency performance and changes in federal law, this Contract may be extended
for one or more Renewal Terms, with the duration of any such Renewal Term to be documented in a
mutually signed writing of the Parties. The Initial Term and all Renewal Terms may be referred to
collectively as the "Contract Term."
4. DUTIES AND RESPONSIBILITIES OF CITY.
4.1 Provide CARES Funds.
City shall provide up to $102,717.64 of CARES Funds under the terms and conditions of this
Contract.
CARES Funds will be provided to Agency for Eligible Expenses, up to a total of$102,717.64, upon
receipt of Complete Documentation. Final Reimbursement Request must be received by the City no
later than December 30, 2020. FAILURE OF AGENCY TO TIMELY SUBMIT THE FINAL
REIMBURSEMENT REQUEST WILL CONSTITUTE A BREACH OF THE CONTRACT
AND WILL RELIEVE CITY OF ANY RESPONSIBILITY TO REIMBURSE COSTS
ASSOCIATED WITH SUCH REQUEST. Funds will not be disbursed by City for Agency's
Final Reimbursement Request until remaining Complete Documentation items (Proof of
Payment and other applicable documentation) have been received by City.
4.2 Monitor.
City will monitor the activities and performance of Agency and any of its contractors,
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 3 OF 27
Girls Incorporated of Tarrant County
subcontractors or vendors as necessary. Monitoring by City will include review of Performance
Reports and cost documentation to verify that Agency is meeting the Non-Profit Assistance Criteria
and requirements of this Contract.
5. DUTIES AND RESPONSIBILITIES OF AGENCY.
5.1 Required Services.
Agency shall perform the services described in EXHIBIT"A"—Program Summary and in
accordance with the terms and conditions of this Contract.
5.2 Use of CARES Funds.
5.2.1. Compliance with CARES Act and Contract.
Agency shall be reimbursed for Program costs with CARES Funds only if City determines in
its sole discretion that:
5.2.1.1 Costs are Eligible Expenses;
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 CARES Funds will be paid on a reimbursement basis in accordance
with EXHIBIT `B" -Budget.
5.2.2.2 Duplication of Benefits
Agency will ensure that no Duplication of Benefits occurs in delivery of
Program. To the extent that costs of Agency Program are shared with the
Tarrant County CARE4Tarrant NGO Assistance Program or any other
funding source representing federal dollars, Agency will ensure (i) that
separate accounting codes are established for each funding source,
including separate codes for Coronavirus Relief Funds (CRF) received
from City and from County, and (ii) that expenses paid for with City of
Fort Worth CRF Funds are not paid with Tarrant County CRF funds or any
other funding source.
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 that Duplication of Benefits does not
occur in violation of the Stafford Act.
5.2.3.2 Agency agrees to utilize the CARES Funds to supplement rather than
supplant funds otherwise available for the Program.
5.2.4 Prerequisite to Payment
Agency must provide City with its DUNS number prior to the payment of any CARES Funds.
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 4 OF 27
Girls Incorporated of Tarrant County
5.2.5 Payment of CARES Funds to Agency.
CARES Funds will be disbursed to Agency upon City's approval of Reimbursement Requests
(accompanied by Complete Documentation in compliance with Section 9). It is expressly agreed by
the Parties that any CARES Funds not spent in compliance with this Contract or approved for
reimbursement to Agency shall remain with City.
5.3 Program Performance Milestones.
5.3.1 Agency represents that the Program will achieve the performance milestones
established in EXHIBIT "A"—Program Summary
5.3.2 Failure of Agency to meet the milestones established in Exhibit A 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 failing to meet the specified goal by a variance of 20%
or more. In the event of such breach, City reserves the right in its sole option to (i) delay or withhold
payment of Reimbursement Requests, or(ii)reduce funding, or(iii)terminate this Contract.
5.4 Identify Program Expenses Paid with CARES Funds.
Agency will keep accounts and records in such a manner that City may readily identify and
account for Program expenses reimbursed with CARES Funds. These records shall be made
available to City for audit purposes and shall be retained as required hereunder. Accounts and
records shall utilize separate account codes to clearly distinguish between Program expenses
reimbursed through City of Fort Worth CARES Funds and any other sources of funds (including,
but not limited to, Tarrant County CARES Funds).
5.5 Meet Non-Profit Assistance Criteria.
Agency shall ensure that the activities carried out in the Program meet the Non-Profit
Assistance Criteria.
5.6 Program Subcontracts.
Agency may 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 CARES Funds without City's
written consent. If Agency enters into a non-approved subcontract, expenses under such agreement
may be ineligible for reimbursement, regardless of whether they otherwise meet the criteria to be
considered Eligible Expenses.
6. PROGRAM AND CLIENT ELIGIBILITY VERIFICATION.
6.1.1 Program Eligibility.
Agency will document program eligibility for City CARES Funds by maintaining records that
demonstrate the need for the service was and is directly related to the Coronavirus Public Health
Emergency, as follows
• 1)Records showing that all expenses are in accordance with Non-Profit Assistance
Criteria, and
2) (a) Records showing a significant change in or increase in service levels
provided and service levels demanded, directly caused by the public health
emergency, compared to average service levels prior to March 2020, and/or
(b) Records showing a significant change in nature or method of service
provision compared to nature and method of service provision prior to March
2020, and
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 5 OF 27
Girls Incorporated of Tarrant County
• 3) Records showing that costs incurred were not in Agency's Board-approved
budget for the 2020 fiscal year, and
• 4)Records listing each unique Fort Worth beneficiary of direct assistance paid for
with City CARES Funds.
6.1.2 Client Eligibility.
Agency must maintain records documenting client eligibility for Program as required by
Agency's Program policies and procedures, and as further described in Exhibit "A" — Program
Summary. For programs providing direct financial assistance to clients, Agency must document
client eligibility for CARES Act assistance by maintaining records documenting how client need is
directly related to and/or caused by the Coronavirus Pandemic, as well as such other eligibility
documentation as required by Agency policies and procedures and further described in Exhibit "A"
—Program Summary.
6.2 Submission of Program or Client Eligibility Documentation.
Agency must submit copies of documentation of program or client eligibility as requested by
City for subrecipient and program monitoring purposes as required by 2 CFR 200.330 through 332.
To the extent that Agency is receiving CARES Funds from both City and Tarrant County for Program,
Agency may be required to submit program documentation demonstrating that allocation of costs is
appropriate based on the best information available regarding proportion of benefits received by
residents of Fort Worth and Tarrant County residents outside Fort Worth.
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 CARES FUNDS REQUIREMENTS.
7.1 Compliance with Federal Requirements
Agency agrees to comply with all requirements of the CARES Act and associated federal
regulations and guidance as of the date of contract execution as well as any future requirements
established by U.S. Department of the Treasury or other federal government agency regarding
CARES Funds, provided that compliance with future requirements shall be effective on Agency
receiving notification of such additional requirements from City. Failure to make good faith efforts
to comply with such future federal requirements shall be grounds for reduction of award or
termination of this Contract. Agency's failure to comply with requirements of the CARES Act and
associated federal regulations and guidance may result in Agency being required to repay the funds.
7.2 Monitoring.
7.2.1 Agency understands and agrees that its actions throughout the Contract Term
and Eligibility Period will be subject to monitoring by City for compliance with terms and provisions
of this Contract, the CARES Act, and federal regulations and guidance. Agency is subject to such
monitoring during the Contract Term and for a period 5 years following the end of the Contract Term.
Agency will provide reports and access to Program files as requested by City or federal auditors
during the Contract Term and 5 year period. For purposes of this Contract, the 5 year period is
deemed to begin on the first day after the date on which the Contract Term (both Initial Term and all
Renewal Terms) expires or is terminated and to end on the fifth anniversary of that date.
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 6 OF 27
Girls Incorporated of Tarrant County
7.2.2 Representatives of City, the U.S. Department of the Treasury, the Treasury
Department Office of Inspector General, the United States Comptroller General, and any other City
or federal auditors shall, upon 48 hours' prior notice, have access during regular business hours to
Agency's offices and records pertaining to the use of the CARES Funds and to Agency's officers,
directors, agents, employees, contractors, subcontractors and vendors for the purpose of such
monitoring.
7.2.3 In addition to other provisions of this Contract regarding monitoring, City
reserves the right to perform desk reviews or on-site monitoring of Agency's compliance with the
terms and conditions of this Contract. City shall provide Agency with a written report of the
monitor's findings after each monitoring visit. If the monitoring report notes deficiencies in Agency's
performance, the report shall include requirements for the timely correction of said deficiencies by
Agency. Failure by Agency to take the action specified in the monitoring report may be cause for
subsequent reimbursements to be forfeited and/or suspension or termination of this Contract as
provided herein.
7.2.4 Subsections 7.2.1 through 7.2.3 shall be applicable for the Contract Term and
for 5 years thereafter and shall survive the earlier termination or expiration of this Contract.
7.2.5 Agency shall provide City the results of any state or federal monitoring of this
Contract that is conducted during the Contract Term or the 5 year period. Such results shall be
submitted within 30 days of receipt of such state or federal monitoring report.
7.3 Agency Procurement Standards.
7.3.1 Agency shall document that it has established written procurement procedures
to ensure that materials and services purchased with CARES Funds are obtained in a cost effective
manner subject to full and open competition as feasible given the circumstances of the public health
emergency.
7.3.1 Contracts in excess of$10,000.00 made by Agency using CARES 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.
7.3.2 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 written
documentation of a search of SAM for each contractor paid with CARES Funds showing that the
individual or entity is 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 and may result in such costs not being subject
to reimbursement even if they otherwise meet criteria as Eligible Expenses.
7.4 Cost Principles/Cost Reasonableness.
Agency shall administer its use of CARES Funds in compliance with 2 CFR Part 200, as
applicable. The eligibility of costs incurred for performance rendered shall be determined in
accordance with Agency's established policies and procedures for procurement and cost
reasonableness, taking into account the nature of the public health emergency as a relevant factor for
consideration of reasonableness of particular costs.
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 7 OF 27
Girls Incorporated of Tarrant County
7.5 Financial Management Standards.
Agency agrees to comply with 2 CFR Part 200, as applicable. Agency also agrees to
maintain and utilize adequate internal controls as required by Section 7.12 of this Contract, including
such necessary accounting principles and procedures as are needed to maintain necessary supporting
and back-up documentation for all costs incurred as may be required in order to comply with 2 CFR
200 Subpart F regarding Audits.
7.5.1 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 CARES funds—including
duplication of benefits received through the Tarrant County CARE4Tarrant Program, and the City's
CDBG-CV, ESG-CV, or HOPWA-CV programs—or with any other federal funds.
7.6 Uniform Administrative Requirements, Cost Principles, and Audit
Requirements.
Agency will maintain adequate administrative and record-keeping systems sufficient to
provide the City with adequate documentation needed to comply with 2 CFR 200.330 regarding
Subrecipient Management and with the Audit Requirements for Federal Awards in 2 CFR Subpart F,
or any reasonably equivalent procedures and requirements that City may require.
7.7 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 CARES 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 CARES Act. Agency shall monitor the services and work performed by its contractors,
subcontractors and vendors on a regular basis for compliance with the CARES Act and Contract
provisions. Agency must cure all violations of the CARES Act 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 CARES Act,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.
7.8 Conflict of Interest Disclosure.
Consistent with the internal controls requirements to maintain ethical standards established as
required by Section 7.12 of this Contract, Agency shall establish conflict of interest policies for
federal awards including use of CARES Funds.
No member of Agency's governing body or management structure may receive personal
pecuniary benefit — directly or indirectly — from Agency's receipt of CARES Funds from the
City with the exception of reimbursement of expenditures or payment of salary that meets
criteria as an Eligible Expense, including the requirements that such costs were otherwise
unbudgeted. This restriction shall extend and apply to an individual who is related to a member
of Agency's governing body or management structure within the second degree of
consanguinity or affinity.
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 8 OF 27
Girls Incorporated of Tarrant County
Agency shall disclose to City in writing any potential conflict of interest regarding use of
CARES Funds or other federal funds.
7.9 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 41 U.S.C.
4712, 41 U.S.C. 4304 and 41 U.S.C. 4310.
7.10 Internal Controls.
In compliance with the requirements of 2 CFR Part 200.303, Agency shall:
7.10.1 Establish and maintain effective internal controls over the CARES Funds that provide
reasonable assurance that Agency is managing the CARES Funds in compliance with federal statutes,
regulations, and the terms and conditions of this Contract. These internal controls shall be in
compliance with guidance in "Standards for Internal Control in the Federal Government" issued by
the Comptroller General of the United States or the "Internal Control Integrated Framework" issued
by the Committee of Sponsoring Organizations of the Treadway Commission ("COSO");
7.10.2 Comply with federal statutes,regulations, and guidelines and the terms and conditions
of this Contract;
7.10.3 Evaluate and monitor Agency's compliance with statutes, regulations and the terms
and conditions of this Contract;
7.10.4 Take prompt action when instances of noncompliance are identified including
noncompliance identified in audit findings; and
7.10.5 Take reasonable measures to safeguard protected personally identifiable information
and other information that City or federal government 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 EOUIREMENTS;
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 that relate to this Contract,
with supporting and back-up documentation. Agency will maintain all records and documentation
related to this Contract for 5 years after the Contract Term (including any and all Renewal Terms)
ends. If any claim, litigation, or audit is initiated before the expiration of this 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 first day after the date on which the Contract Term (both Initial Term and all Renewal
Terms) expires or is terminated and to end on the fifth anniversary of that date.
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 9 OF 27
Girls Incorporated of Tarrant County
8.2 Access to Records.
City representatives and any duly authorized officials of the federal government will have full
access to,and the right to examine,audit,excerpt and/or transcribe any of Agency's records pertaining
to all matters covered by this Contract throughout the Performance Period and for 5 years thereafter.
Such access shall be during regular business hours upon at least 48 hours prior notice.
8.3 Reports.
Agency will submit to City all reports and documentation described in this Contract in such
form as City may prescribe. No later than January 31, 2021, Agency shall be required to submit a
final performance and a final financial report at the termination of this Contract in such form 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(s),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.
8.5.2 City Reserves the Right to Audit.
City reserves the right to perform an audit of Agency's Program operations and finances at
any time during the term of this Contract and for 5 years after the Contract Term (including any and
all Renewal Terms) ends if City determines that such audit is necessary for City's compliance with
the CARES Act or other federal or 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 first day after the date on which the Contract Term(both Initial Term
and all Renewal Terms) expires or is terminated and to end on the fifth anniversary of that date. If
such audit reveals a questioned practice or expenditure, such questions must be resolved within 10
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 OR OTHER
REVIEW, IT IS DETERMINED THAT AGENCY HAS FALSIFIED ANY
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 10 OF 27
Girls Incorporated of Tarrant County
DOCUMENTATION OR MISUSED, MISAPPLIED OR MISAPPROPRIATED CARES
FUNDS OR SPENT CARES FUNDS ON ANY INELIGIBLE ACTIVITIES, AGENCY
AGREES TO REIMBURSE CITY THE AMOUNT OF SUCH MONIES PLUS THE
AMOUNT OF ANY SANCTION, PENALTY, OR OTHER CHARGE LEVIED AGAINST
CITY BECAUSE OF SUCH ACTIONS.
9. REIMBURSEMENT REQUIREMENTS.
9.1.1 Deadline for Submitting Reimbursement Requests.
Reimbursement Requests shall be submitted to the City no less often than monthly and (with the
exception of the initial Reimbursement Request, which may include activities related back to the
beginning of the Eligibility Period) must be received by the City on or before the 15th day of the
month following the month expenses were paid by Agency. For example, the Reimbursement
Request for October expenses must be received by November 15. In the event the 15th falls on a
weekend or City holiday, Reimbursement Requests shall be due the next day that the City is open for
business. For reimbursement of previously incurred expenses paid by Agency from the beginning of
the Eligibility Period through September 30, 2020 exclusively, the Reimbursement Request must be
received no later than 30 days after the date of execution of this Contract. Failure to submit a
Reimbursement Request in a timely fashion will result in City taking the actions outlined in Section
10.2. If expenditures exceed $20,000 per month, Agency may elect to submit two reimbursement
requests per month, with the first reimbursement request being submitted on the 15th of the month
covering expenses paid from the 16th through the end of the preceding month, and the second
reimbursement request being submitted on the 30th of the month covering expenses paid in the first
15 days of the month. Agency must advise City in writing no later than 15 days in advance, of their
intent to submit two reimbursement requests for any month during the Contract Term.
9.1.2 City will notify Agency by e-mail if a Reimbursement Request is lacking Complete
Documentation or corrections are needed. If Agency fails to submit all the required information or
missing documentation by the seventh calendar day after receipt of such notice,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 D-1 —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 full or partial
request).
9.2.2 Attachment D-2—Expenditure Worksheet.
This report shall itemize each expense requested for reimbursement by Agency and shall
include the Account corresponding the expense to a Budget line item. In order for this report to be
complete the following must be submitted:
9.2.2.1 For payroll expenses, timesheets signed by employees and approved by
supervisor for all payroll expenses listed. Timesheets must distinguish
between CARES Funds-funded time and non-CARES Funds funded time
and reflect actual time spent on CARES Funds-funded activities. Payroll
expenses dated from the beginning of the Eligibility Period through
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 11 OF 27
Girls Incorporated of Tarrant County
September 30, 2020 must be submitted for Reimbursement no later than
30 days after the date of execution of this Contract. All such previously
incurred expenses must be listed as such on Exhibit B, Budget.
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. With
the exception of the initial Reimbursement Request, Agency may not
submit invoices dated 60 or more calendar days prior to the date of the
Reimbursement Request. Invoices for non-payroll expenses from the
beginning of the Eligibility Period through September 30, 2020 must be
submitted for Reimbursement no later than 30 days after the date of
execution of this Contract. All such previously incurred expenses must be
listed as such on Exhibit B, Budget.
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, bank
statements, or other appropriate documentation of a third party financial
entity.
9.2.2.3.1 Proof of payment and any other remaining documentation for
expenses incurred in the month of December, must be submitted by
Agency no later than January 31, 2021. Failure to submit such
documentation will be grounds for City to deny reimbursement of the
expense.
9.2.3 Exhibit C, Performance Report Form
By the fifteenth day of each month(or the first business day thereafter if the fifteenth falls on
a weekend or City holiday) and with the exception of the initial report, Agency shall submit
a monthly performance report in substantially the same form as the one attached hereto as
Exhibit"C." Each report shall list each Client, household, or entity served during the month
along with date of service and residency information or geographic location, and with
applicable demographic information,if available. Agency shall submit its initial performance
report for the period between the beginning of the Eligibility Period and the date on which the
Contract is executed no later than the 30th day after the date on which this Contract is executed.
Agency shall maintain a full listing of all clients or entities served throughout the Contract
period,combining all monthly reports and provide such full list with the final Reimbursement
Request or with proof of payment for the final Reimbursement Request. Agency Performance
Report may include additional information as applicable and as further described in Exhibit
A, Program Summary.
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 and may result in
payment being delayed or not made at all, as determined in City's sole discretion.
10. DEFAULT AND TERMINATION.
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 12 OF 27
Girls Incorporated of Tarrant County
10.1 Failure to Submit Reimbursement Request or Required Documentation.
10.1.1 If Agency fails to submit a Reimbursement Request in accordance with Section 9,
Agency shall be in default of this Contract. City will notify Agency in writing of such default, and
the Agency will have 5 calendar days from the date of the written notice to submit all necessary
documentation 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 may forfeit reimbursement for the costs not completely
documented, and the failure to submit shall be considered an event of default that cannot be cured.
10.1.3 In the event of(i) an uncured default under Section 10.1.1 or an event of default
under 10.1.2 or (ii) more than 2 instances of default, cured or uncured, under these Sections, City
reserves the right at its sole option to terminate this Contract effective immediately upon written
notice of such intent with no penalty or liability to City.
10.1.4 Notwithstanding anything to the contrary herein, City will not be required to pay
any CARES Funds to Agency for any Reimbursement Request (i) for which any report or
documentation is not in compliance with this Contract and/or the CARES Act and related federal
regulations or guidance or(ii) 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 CARES 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 the City determines, in its sole discretion, that the Agency fails to maintain and submit all
records, reports, and documentation as required under this Contract, or the records, reports, or
documentation are not in compliance with this Contract and/or the CARES Act and related federal
regulations and guidance, City will notify Agency in writing, and Agency will have 30 calendar days
from the date of the written notice 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 CARES 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 CARES Funds paid to Agency must be repaid to City within 30
days of termination. If such CARES 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 10.1, 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 15 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 both Parties
mutually and in good faith agree that Agency reasonably requires more than 15 calendar days to cure,
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 13 OF 27
Girls Incorporated of Tarrant County
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 with no
penalty or liability to City, or(iii)pursue any other legal remedy available to City under this Contract
or applicable law.
10.3.2 City's remedies may include, but are not limited to:
10.3.2.1 Directing Agency to prepare and follow a schedule of actions for
carrying out the affected activities, consisting of schedules, timetables
and milestones necessary to implement the affected activities.
10.3.2.2 Directing Agency to repay all CARES Funds previously paid to City,
or directing Agency to repay any CARES Funds previously paid to
Agency which are later found to be inadequately documented.
10.3.2.3 Declining to reimburse any further costs presented by Agency in
subsequent Reimbursement Requests;
10.3.2.4 Taking any other action the City deems appropriate, including but not
limited to any remedial action legally available such as seeking
declaratory judgment, recovery of payment, administrative remedies,
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 CARES 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 CARES Funds already paid to Agency must be repaid to City, in
accordance with written instructions from the City, within 30 days of the termination. Failure to
repay such CARES 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 Default.
Agency understands and agrees that no CARES Funds will be paid to Agency until all
outstanding defaults are cured to City's satisfaction.
10.5 No Compensation After Date of Termination.
Agency shall not receive any payment for work undertaken after the date of the termination.
10.6 Rights of City Not Affected.
Termination shall not affect or impair any of the existing rights of City against Agency under
provisions of this Contract that, by their terms, survive termination or otherwise, or which may
thereafter accrue as a result of Agency's default. This provision shall be in addition to any and all
other rights and remedies available to City under the law. 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.
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 14 OF 27
Girls Incorporated of Tarrant County
10.7 Waiver of Breach Not Waiver of Subsequent Breach.
The waiver of a default or breach of any term, covenant, or condition of this Contract shall
not operate as a waiver of any subsequent default or breach of the same or any other term, covenant
or condition hereof.
10.8 Civil, Criminal and Administrative Penalties.
Failure to perform all the Contract terms may result in civil, criminal or administrative
penalties, including,but not limited to those set out in this Contract.
10.9 Termination for Cause.
10.9.1 City may terminate this Contract in the event of Agency's default, inability, or
failure to perform - subject to notice and cure periods where specified. In the event City terminates
this Contract for cause, all CARES 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 CARES
Funds already paid to Agency must be repaid to City, in accordance with written instructions from
the City, within 30 days of termination. Failure to repay such CARES 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 MAY NOT BE CONSIDERED FOR
ANY OTHER CITY CONTRACT FOR CARES FUNDS FOR A MINIMUM OF 5 YEARS
FROM THE DATE OF TERMINATION.
10.9.2 Agency may terminate this Contract if City does not provide CARES Funds
substantially in accordance with this Contract.
10.10 Termination for Convenience.
In accordance with 2 CFR Part 200, Appendix II, this Contract may be terminated for
convenience, 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
CARES Funds to be spent will not accomplish the purposes for which the Contract was made.
10.11 Dissolution of Agency 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 CARES Funds are subject to repayment and/or City may
exercise of all of its remedies under this Contract.
10.12 Reversion of Assets.
In the event this Contract is terminated with or without cause, all assets acquired by Agency
with the CARES 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
CARES Funds, and any real or personal property owned by Agency that was improved with the
CARES Funds shall automatically transfer to City or to such assignee as City may designate.
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 15 OF 27
Girls Incorporated of Tarrant County
11. REPAYMENT OF CARES FUNDS.
All CARES Funds are subject to repayment in the event the Program does not meet the
requirements of this Contract or the CARES Act or applicable federal regulations or guidelines. If
Agency takes any action that results in the City being required to repay all or any portion of
the CARES Funds to the United States federal government, Agency agrees it will reimburse
City for such repayment. If Agency takes any action that results in City receiving a finding
from the Office of the Inspector General for the U.S. Treasury Department or other reviewing
entity with regard to the Program, whether or not repayment of all or any portion of the
CARES Funds is required of City, Agency agrees City may require that Agency pay, out of its
separate funds, an amount equal to 10% of the CARES Funds as liquidated damages. The
Parties agree that City's damages in the event of a finding by the federal government being are
uncertain and would be difficult to ascertain and may include an impact on City's other federal grant
Rinds as well as any required repayment of funds to the federal government by City. Therefore, the
Parties agree that payment to City under this Section of an amount of Agency's separate funds that
equals 10% of the CARES Funds provided under this Contract is appropriate as liquidated damages
and does not constitute 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 Agency's 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 CARES Funds
awarded but not yet paid to Agency pursuant to this Contract shall be immediately forfeited, and
Agency shall have no further right to such funds. City, in its sole discretion, may require that any
CARES 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 CARES requirements, and any default and
enforcement provisions necessary to enforce such provisions, shall survive the expiration or
termination of this Contract for 5 years after the Contract Term (including any and all Renewal
Terms) 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 first day after the
date on which the Contract Term (both Initial Term and all Renewal Terms) expires or is terminated
and to end on the fifth anniversary of that date.
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 Agency shall be solely responsible for the acts and omissions of its officers, members, agents,
servants, employees, contractors, subcontractors, vendors, clients, licensees or invitees.
14.2 Doctrine of Respondeat Superior.
The doctrine of respondeat superior shall not apply as between City and Agency, or its
officers, members, agents, servants, employees, contractors, subcontractors, vendors, clients,
licensees or invitees,and nothing herein shall be construed as creating a partnership or joint enterprise
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 16 OF 27
Girls Incorporated of Tarrant County
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 in connection with this Contract,
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.
14.4 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.
14.5 Governing Law.
This Contract shall be governed by and construed in accordance with the laws of the State of
Texas. If any action, whether real or asserted, at law or in equity, arises out of the execution,
performance or non-performance of this Contract or on the basis of any provision herein, for any
issue not governed by federal law, the choice of law shall be the laws of the State of Texas.
14.6 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.
14.7 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 enacted or amended during the performance of this Contract. Those laws
include,but are not limited to,the following, with each such statute encompassing and including any
and all applicable regulations, guidelines, and policies related thereto:
➢ Coronavirus Aid, Relief, and Economic Security Act of 2020
➢ Title VI of the Civil Rights Act of 1964 (42 U.S.C. Sections 2000d et seq.), including
provisions requiring recipients of federal assistance to ensure meaningful access by
persons of limited English proficiency
➢ The Fair Housing Act,Title VIII of the Civil Rights Act of 1968 (42 U.S.C. Sections 3601
et seq.)
➢ Executive Orders 11063, 11246 as amended by 11375 and 12086 and as supplemented by
Department of Labor regulations 41 CFR Part 60
➢ The Age Discrimination in Employment Act of 1967
➢ The Age Discrimination Act of 1975 (42 U.S.C. Sections 6101 et seq.)
➢ Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. Sections 794 et seq.) and 24
CFR Part 8 where applicable
➢ Immigration Reform and Control Act of 1986(8 U.S.C. Sections 1101 etseq.)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
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 17 OF 27
Girls Incorporated of Tarrant County
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 31 U. S Code 1352 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 702 et seq.)
➢ Executive Order 12549 and 24 CFR Part 5.105(c) pertaining to restrictions on
participation by ineligible, debarred or suspended persons or entities
➢ Uniform Administrative Requirements, Cost Principles, and Audit Requirements for
Federal Awards, 2 CFR Part 200 et seq.
➢ Federal Funding Accountability and Transparency Act of 2006 ("FFATA") (Pub. L. 109-
282, as amended by Section 6205(a) of Pub. L. 110-252 and Section 3 of Pub. L. 113-
101)
➢ Federal Whistleblower Regulations, as contained in 10 U.S.C. 2409, 41 U.S.C. 4712, 10
U.S.C. 2324, 41 U.S.C. 4304 and 41 U.S.C. 4310.
14.8 Prohibition Against Discrimination.
14.8.1 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.
14.8.2 No Discrimination in Employment during the Performance of This Contract.
During the performance of this Contract, Agency agrees to the following provision, and will
require that its contractors and subcontractors also comply with such provision by including it in all
contracts with its contractors:
[Contractor's, Subcontractor's or Vendor's name] will not unlawfully discriminate against
any employee or applicants for employment because of race, color, sex, gender, religion, national
origin, familial status, disability or perceived disability, sexual orientation, gender identity, gender
expression or transgender. [Contractor's, Subcontractor's or Vendor's name] will take affirmative
action to ensure that applicants are hired without regard to race, color, sex, gender, religion, national
origin, familial status, disability or perceived disability, sexual orientation, gender identity, gender
expression or transgender and that employees are treated fairly during employment without regard to
their race, color, sex, gender, religion, national origin, familial status, disability or perceived
disability, sexual orientation, gender identity, gender expression or transgender. Such action shall
include, but not be limited to, the following: employment, upgrading, demotion or transfer,
recruitment or recruitment advertising, layoff or termination, rates of pay or other forms of
compensation,and selection for training,including apprenticeship. [Contractor's, Subcontractor's or
Vendor's name] agrees to post in conspicuous places, available to employees and applicants for
employment, notices setting forth the provisions of this nondiscrimination clause.
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 18 OF 27
Girls Incorporated of Tarrant County
[Contractor's, Subcontractor's or Vendor's name] will, in all solicitations or advertisements
for employees placed by or on behalf of[Contractor's, Subcontractor's or Vendor's name], state that
all qualified applicants will receive consideration for employment without regard to race, color, sex,
gender, religion, national origin, familial status, disability or perceived disability, sexual orientation,
gender identity, gender expression or transgender.
[Contractor's, Subcontractor's or Vendor's name] covenants that neither it nor any of its
officers, members, agents, employees, or contractors, while engaged in performing this Contract,
shall, in connection with the employment, advancement or discharge of employees or in connection
with the terms, conditions or privileges of their employment, discriminate against persons because of
their age or because of any disability or perceived disability, except on the basis of a bona fide
occupational qualification, retirement plan or statutory requirement.
[Contractor's, Subcontractor's or Vendor's name] further covenants that neither it nor its
officers, members, agents, employees, contractors, or persons acting on their behalf, shall specify, in
solicitations or advertisements for employees to work on this Contract, a maximum age limit for such
employment unless the specified maximum age limit is based upon a bona fide occupational
qualification, retirement plan or statutory requirement.
14.8.3 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.
14.9. Conflicts of Interest and Violations of Criminal Law.
14.9.1 Agency Safeguards.
Agency shall establish safeguards to prohibit its employees, board members, advisors and
agents from using positions for a purpose that is or gives the appearance of being motivated by a
desire for private gain for themselves or others, particularly those with whom they have family,
business or other ties. Agency shall disclose to City any such conflict of interest or potential conflict
of interest, immediately upon discovery of such.
14.9.2 General Prohibitions Against Conflicts of Interest.
Agency shall establish conflict of interest policies for federal awards including the
CARES Funds and shall disclose in writing potential conflicts of interest to City as authorized
by 2 CFR Part 200.112.
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 19 OF 27
Girls Incorporated of Tarrant County
14.9.3 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.
14.9.3.1 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.
14.9.3.2 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.
14.9.3.3 Notwithstanding the prohibition contained in Section 14.9.3.2,Agency
may set standards of conduct for situations in which the financial
interest is not substantial or the gift is an unsolicited item of nominal
value. Such standards of conduct must provide for disciplinary actions
to be applied for violations of such standards by Agency's officers,
employees or agents.
14.9.3.4 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.
14.9.3.5 Agency must maintain records sufficient to detail the history of
procurement. These records will include, but are not necessarily
limited to the following: rationale for the method of procurement,
selection of contract type, contractor selection or rejection, and the
basis for the contract price.
14.9.4 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.
14.9.5 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.
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 20 OF 27
Girls Incorporated of Tarrant County
14.9.6 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.
14.10 Other Laws.
The failure to list any federal, state or City ordinance, law or regulation that is applicable to
Agency does not excuse or relieve Agency from the requirements or responsibilities in regard to
following the law, nor from the consequences or penalties for Agency's failure to follow the law, if
applicable.
14.11 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.
14.12. 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
CARES-funded Program prior to any charges being incurred.
14.13 Force Maieure
If Agency becomes unable, either in whole or part,to fulfill its obligations under this Contract
due to acts of God, strikes, lockouts, or other industrial disturbances, acts of public enemies, wars,
blockades, insurrections,riots, epidemics, earthquakes, fires, floods,restraints or prohibitions by any
court, board, department, commission or agency of the United States or of any States, civil
disturbances, or explosions, or some other reason beyond Agency's control (each a "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.
14.14 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 (I-9), maintain
photocopies of all supporting employment eligibility and identity documentation for all employees,
and upon request, provide City with copies of all I-9 forms and supporting eligibility documentation
for each employee who performs work under this Agreement. Agency shall establish appropriate
procedures and controls so that no services will be performed by any employee who is not legally
eligible to perform such services. Agency shall provide City with a certification letter that it has
complied with the verification requirements required by this Agreement. Agency shall indemnify
City from any penalties or liabilities due to violations of this provision. City shall have the right to
immediately terminate this Agreement for violations of this provision by Agency.
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 21 OF 27
Girls Incorporated of Tarrant County
15. INDEMNIFICATION AND RELEASE.
AGENCY COVENANTS AND AGREES TO INDEMNIFY,HOLD HARMLESS AND
DEFEND, AT ITS OWN EXPENSE, CITY AND ITS OFFICERS, AGENTS, SERVANTS
AND EMPLOYEES FROM AND AGAINST ANY AND ALL CLAIMS OR SUITS FOR
PROPERTY LOSS OR DAMAGE AND/OR PERSONAL INJURY, INCLUDING DEATH,
TO ANY AND ALL PERSONS, OF WHATSOEVER KIND OR CHARACTER, WHETHER
REAL OR ASSERTED, ARISING OUT OF OR IN CONNECTION WITH THE
EXECUTION, PERFORMANCE, ATTEMPTED PERFORMANCE OR
NONPERFORMANCE OF THIS CONTRACT AND/OR THE OPERATIONS,ACTIVITIES
AND SERVICES OF THE PROGRAM DESCRIBED HEREIN, WHETHER OR NOT
CAUSED IN WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF OFFICERS,
AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF
CITY; AND AGENCY HEREBY ASSUMES ALL LIABILITY AND RESPONSIBILITY OF
CITY AND ITS OFFICERS, AGENTS, SERVANTS, AND EMPLOYEES FOR ANY AND
ALL CLAIMS OR SUITS FOR PROPERTY LOSS OR DAMAGE AND/OR PERSONAL
INJURY,INCLUDING DEATH,TO ANY AND ALL PERSONS,OF WHATSOEVER KINDS
OR CHARACTER, WHETHER REAL OR ASSERTED, ARISING OUT OF OR IN
CONNECTION WITH THE EXECUTION, PERFORMANCE, ATTEMPTED
PERFORMANCE OR NONPERFORMANCE OF THIS CONTRACT AND/OR THE
OPERATIONS, ACTIVITIES AND SERVICES OF THE PROGRAM DESCRIBED
HEREIN, WHETHER OR NOT CAUSED IN WHOLE OR IN PART BY ALLEGED
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
*WN NE GLIGENCE, WHETHER THAT NEGLIGENCE IS ALLEGED TO BE THE SOLE OR
CONCURRING CAUSE OF THE INJURY,DAMAGE OR DEATH.
AGENCY AGREES TO AND SHALL RELEASE CITY,ITS AGENTS,EMPLOYEES,
OFFICERS AND LEGAL REPRESENTATIVES FROM ALL LIABILITY FOR INJURY,
DEATH, DAMAGE OR LOSS TO PERSONS OR PROPERTY SUSTAINED IN
CONNECTION WITH OR INCIDENTAL TO PERFORMANCE UNDER THIS
CONTRACT, EVEN IF THE INJURY, DEATH, DAMAGE OR LOSS IS CAUSED BY
CITY'S SOLE OR CONCURRENT NEGLIGENCE.
AGENCY SHALL REQUIRE ALL OF ITS CONTRACTORS AND
SUBCONTRACTORS TO INCLUDE IN THEIR CONTRACTS AND SUBCONTRACTS A
RELEASE AND INDEMNITY IN FAVOR OF CITY IN SUBSTANTIALLY THE SAME
FORM AS ABOVE.
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 22 OF 27
Girls Incorporated of Tarrant County
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 such amounts as
established by Agency Board of Director's policy 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 CARES 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.
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 calendar days
upon filing under any bankruptcy or financial insolvency provision of law.
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 23 OF 27
Girls Incorporated of Tarrant County
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.
Ow Agency.
City Attorney's Office Girls Incorporated of Tarrant County
200 Texas Street Jennifer Limas, President&CEO
Fort Worth, TX 76102 1226 E. Weatherford Street
Telephone: 817-392-7600 Fort Worth, TX 76102
Telephone: 817-259-1050
Email address (for communications
regarding Reimbursement Requests and
documentation):
insweda@girlsinctarrant.org
Copy to:
Neighborhood Services Department
200 Texas Street
Fort Worth, TX 76102
Attention: Director
Telephone: 817-392-7540
Copy to:
Neighborhood Services Department
200 Texas Street
Fort Worth, TX 76102
Attention: Senior Contract Compliance Specialist
Telephone: 817-3 92-73 3 3
21. AGENCY HAS LEGAL AUTHORITY TO ENTER INTO CONTRACT.
Agency represents that it possesses the legal authority, pursuant to any proper, appropriate
and official motion, resolution or action passed or taken, to enter into this Contract and to perform
the responsibilities herein required.
22. COUNTERPARTS.
This Contract may be executed in multiple counterparts, each of which shall be considered an
original,but all of which shall constitute one instrument which may be sufficiently evidenced by one
counterpart.
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 24 OF 27
Girls Incorporated of Tarrant County
23. WRITTEN AGREEMENT ENTIRE CONTRACT.
This written instrument and the Exhibits, Attachments, and Addendums attached hereto,
which are incorporated by reference and made a part of this Contract for all purposes, constitute the
entire agreement by the Parties concerning the work and services to be performed and payments to
be made 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.
[SIGNATURES APPEAR ON NEXT PAGE]
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 25 OF 27
Girls Incorporated of Tarrant County
IN WITNESS WHEREOF, the Parties hereto have executed 1 original of this Contract in Fort
Worth, Tarrant o nty, Texas.
CITY OF FORT WORTH GIRLS INCORPORATED OF
TARRANT COUNTY
"7DC&-
By:Fernando Costa(Nov 20,2020 09:45 CST) By:
Je i Limas ov18,202022:45CST)
Fernando Costa, Assistant City Manager Jennifer Limas, President&CEO
ATTEST: OR?-
�aoF F°Rr �a
A~ o
o o.,d
City Secretary Pia* 4(
Contract Authorization: �Q�nezpsbap
Ordinance 24166-04-2020
April 29, 2020
APPROVED AS TO FORM AND LEGALITY:
Taylor Paris,Assistant City Attorney
RECOMMENDED FOR APPROVAL BY:
Victor Turner, Director Neighborhood Services Department
CONTRACT COMPLIANCE MANAGER:
By signing, I acknowledge that I am the person responsible
for the monitoring and administration of this contract, including
ensuring all performance and reporting requirements
Ile,-,
Terrance Jines(Nov 19,202012:01 CST)
Terrance Jones, Sr. Contract Compliance Specialist
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 26 OF 27
Girls Incorporated of Tarrant County
EXHIBITS:
EXHIBIT "A"—Program Summary
EXHIBIT "B"—Budget
EXHIBIT "C"—Performance Report Form
EXHIBIT "D"—Reimbursement Forms
EXHIBIT "E"—Audit Certification Form
EXHIBIT "F"—Duplication of Benefits Certification
EXHIBIT "G"—Standards for Complete Documentation
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT PAGE 27 OF 27
Girls Incorporated of Tarrant County
GIRLS INCORPORATED OF TARRANT COUNTY EXHIBIT "A"
CARES FUNDS NONPROFIT ASSISTANCE PROGRAM SUMMARY
PROGRAM SUMMARY
March 13, 2020—December 20, 2020 $102,717.64
CONTRACT TERM AMOUNT
Capitalized terms not defined herein shall have meanings assigned them in the Contract.
PROGRAM:
The goal of the program is to provide social/emotion support programs and educational support
programs in virtual and in-person settings, food and hygiene distribution, and social service
referrals in response the COVID-19 health crisis and to Fort Worth residents who have been
impacted by COVID-19 in order to protect their mental wellbeing and physical health and give
them the tools to succeed academically.
The Program serves clients by:
Beginning in March 2020 and in response to the health pandemic, youth in Tarrant County
displayed an increasing need for services to support their growing social, emotional, and mental
health needs that accompanied the social isolation that children and youth were experiencing and
homes which were not safe,physically and/or emotionally. Girls Inc. has met and is continuing to
meet this need through one-on-one counseling and mentoring, group mentoring, and self-care
workshops. Most facilitated in virtual settings.
These social/emotional support services continued through the summer with an increasing need
and this trend is expected into Fall 2020 with the increasing insecurity that families are
experiencing with COVID-19's impact on their families and community.
Additionally, since March 2020, due to the COVID-19 health crisis, Girls Inc. has responded to
the needs of entire families as need increased. These activities include: food and hygiene
distribution, social services referrals, academic support, safety check-ins, and emotional health
support and referrals. Girls Inc. is a trusted partner who many families turned to first when they
were uncertain about the safety and security of their families. Food and hygiene delivery were and
will continue to be facilitated through pick-ups at Fort Worth locations and through porch drop
offs facilitated by Girls Inc. staff.
Educational Support: Educational Support programs included Reading Literacy and STEM and
were offered to confront the COVID-19 slide learning loss due to the combined out of school time
with COVID-19 related school closures and summer.
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT-EXHIBITS
GIRLS INCORPORATED OF TARRANT COUNTY
Reading literacy offered in-person and virtually to clients in grades K-3rd. STEM Programs
offered in-person and virtually to clients in grades 5th_8th grade.
The services described above are new and increased services offered by our organization and
will serve 300 clients/beneficiaries.
Agency's Program services will be provided at:
Food/Hygiene Distribution to Families to respond to food insecurity caused by the COVID-19
health crisis
—2x/monthly(3/20-12/20)
- Manual Jara Elementary School (2100 Lincoln Ave, Fort Worth)
- Northside Library(601 Park St, Fort Worth)
- Girls Inc. of Tarrant County(1226 E. Weatherford St., Fort Worth)
Virtual Social/Emotional Programing with a focus on youth's mental wellbeing in response the
COVID-19 Health Pandemic
—(3/20-12/20)
- Synchronous programs were and are being offered 2x/week
- Asynchronous programs were and are being offered 3x/week
Educational Support Programs (Confronting the COVID-19 Slide due to school closures during
the COVID-19 health pandemic)
—In-person (6/20-7/20) 3x/week
- Girls Inc. of Tarrant County(1226 E. Weatherford St., Fort Worth)
- Boys and Girls Club Panther Branch (1500 Hemphill St, Fort Worth) - Leased
One-on-One or Group Counseling and Mentoring and Social Service Referrals in response to
youth and family needs due to the COVID-19 health pandemic—Frequency based upon need
CARES Funds will pay for direct costs of delivering the program, including:
Payroll and fringe benefits for 1.5 Virtual Program Directors and I Virtual Program Director—
Senior, Office Supplies, Program Supplies, Food Supplies, Continuing Education/Training, Rent
for Summer Programming, and IT to deliver virtual programs.
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT-EXHIBITS
GIRLS INCORPORATED OF TARRANT COUNTY
GIRLS INCORPORATED OF TARRANT COUNTY EXHIBIT "B"
CARES FUNDS NONPROFIT ASSISTANCE Budget
PROGRAM BUDGET
Cost Line Item City of Fort Tarrant Other Funding Total
Worth County Sources Program
CARES CARES (Donations, etc.) Budget
Funds Funds
PREVIOUSLY
INCURRED COSTS
Salaries 29890.50 57,244.00 35,002.00 122136.50
FICA 2286.62 4379.17 6665.79
Benefits (list) 3146.00 8181.00 11327.00
Supplies 6514.12 6514.12
Occu anc /Rent 9100.00 13600.00 22700.00
IT 8870.36 8870.36
SEPTEMBER-
DECEMBER COSTS
Salaries 23137.50 26700.12 49837.62
FICA 1770.02 2042.56 3812.58
Benefits ist 1887.00 5663.00 7550.00
Supplies 22200.00 41900.00 64100.00
Continuing Ed/Training 1800.00 1800.00 3600.00
Occu anc /Rent
IT 7500.00 6000.00 13500.00
TOTAL 102717.64 1 162628.60 155267.73 1 320613.97
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT-EXHIBITS
GIRLS INCORPORATED OF TARRANT COUNTY
GIRLS INCORPORATED OF TARRANT COUNTY EXHIBIT "C"
CARES FUNDS NONPROFIT ASSISTANCE Performance Report Form
Agency shall submit a Performance Report on the beneficiaries served with CARES Funds with
each Reimbursement Request, in the form demonstrated below, or in alternate equivalent format
as approved in writing by City prior to initial submission. Performance Report accompanying
Reimbursement Request for Previously Incurred Costs must include a written narrative explaining
how these previous costs were incurred and what service outcomes resulted from their expenditure.
If Agency is providing multiple programs with the assistance of CARES Funds, each separate
program must also be indicated on the Performance Report, or separate Performance Reports must
be submitted for each Program.
Required Required Required Optional Optional
Date of Client Name/ Address Race/ Age
Service Entity Name Ethnicity (Youth=Y;
(B/W/H/A/O) Adult=A,
Elderly=E
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT-EXHIBITS
GIRLS INCORPORATED OF TARRANT COUNTY
GIRLS INCORPORATED OF TARRANT COUNTY EXHIBIT "D"
CARES FUNDS NONPROFIT ASSISTANCE Reimbursement Forms
Attachment I
INVOICE
Agency: Girls Incorporated of Tarrant County
Address:
City, State, Zip:
Program: Whole Girl Approach for At-Risk Youth
Period of Service:
Tax ID No. 75-1514683
P.O. No.
FID No.
Amount
Program Cumulative Balance
This Invoice Requested to Date Remaining
FW CARES Funds-
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT-EXHIBITS
GIRLS INCORPORATED OF TARRANT COUNTY
GIRLS INCORPORATED OF TARRANT COUNTY EXHIBIT "D"
CARES FUNDS NONPROFIT ASSISTANCE Reimbursement Forms
EXHIBIT D-2
EXPENDITURE WORKSHEET
Agency:
Program:
Description/Purpose
Line No. Check No. Date Payee or Job Title Amount
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Total $
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT—EXHIBITS
GIRLS INCORPORATED OF TARRANT COUNTY
GIRLS INCORPORATED OF TARRANT COUNTY EXHIBIT "E"
CARES FUNDS NONPROFIT ASSISTANCE Audit Certification Form
AUDIT CERTIFICATION FORM AND AUDIT REQUIREMENTS
Agency Name: GIRLS INCORPORATED OF TARRANT COUNTY
Fiscal Year Ending: June 30, 2021
❑ During the fiscal year in which funds will be received,we will exceed the federal expenditure
threshold of$750,000. We will have our Single Audit or Program Specific Audit completed
and will submit the audit report described in 2 CFR Part 200 within 7 months after the end
of the audited fiscal year or 30 days within its completion, whichever is the earlier date.
® During the fiscal year in which funds will be received,we will not exceed the$750,000 federal
expenditure threshold required for a Single Audit or a Program Specific Audit to be performed
this fiscal year. (Fill out schedule below)
Federal Expenditure Disclosure
MUST be filled out if Single Audit or Program Audit is NOT required.
Pass Through Program Name&CFDA Contract
Federal Grantor Grantor Number Number Expenditures
Total Federal Expenditures for this Fiscal Year:
Signatory and Title Date
This form must be completed by Agency Executive Director or Another Authorized Official.
Failure to submit this or a similar statement or failure to submit a completed single audit package
as described in the federally required audit requirements described in 2 CFR Part 200, as
applicable,by the required due date may result in suspension of funding and may affect eligibility
for future funding. Notwithstanding the above, this certification acknowledges the agency's
commitment to meet all other financial reporting, financial statements, and other audit
requirements as may be set forth in the Contract.
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT-EXHIBITS
GIRLS INCORPORATED OF TARRANT COUNTY
GIRLS INCORPORATED OF TARRANT COUNTY EXHIBIT "F"
CARES FUNDS NONPROFIT ASSISTANCE Duplication of Benefits 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 a subrecipient for CARES Funds under this contract, the agency has not received
other funds to be used for the same purposes for the same clients in excess of the total needed for provision
of that service. The undersigned further certifies, and agrees,that if he/she or the organization for which
he/she is certifying, subsequently receives a duplicative benefit,he/she or the organization will repay the
funds he/she received under this Agreement to City.
The undersigned further certifies that:
• Salary costs proposed to be reimbursed through this contract were not covered by, and will not
duplicate benefits provided by,the Paycheck Protection Loan Program.
• Costs proposed to be reimbursed through this contract were not covered through and will not
duplicate benefits provided by,an Economic Injury Disaster Loan.
• Food or related services costs to be reimbursed through this contract were not and will not be covered
through, and will not duplicate benefits provided by, the FEMA Public Assistance Program, the
FEMA Emergency Food and Shelter Program,the USDA Commodity Supplemental Food program,
the Child Nutrition Programs of the USDA (including the National School Lunch Program and the
Summer Food Services Program); the USDA Supplemental Nutrition for Women, Infants and
Children (WIC) Program, the USDA Pandemic EBT Program for school-age children affected by
school closures,the HHS Community Living Allocation program for older adults,Dislocated Worker
Grants from the U.S.Dept. of Labor,
• Costs to be reimbursed through this contract were not and will not also be reimbursed by the Tarrant
County Coronavirus Relief Fund CARE4Tarrant Nongovernmental Organization Program.
The undersigned certifies that, to date, he/she or the organization he/she represents, has
received, or reasonably anticipates receiving, the following potentially duplicative assistance (if
none, leave blank):
Organization:
Typed Name: Title:
Signature: Date:
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT—EXHIBITS
GIRLS INCORPORATED OF TARRANT COUNTY
GIRLS INCORPORATED OF TARRANT COUNTY EXHIBIT "G"
CARES FUNDS NONPROFIT ASSISTANCE Standards of Documentation
Documentation Standards
for
CARES Funds Contract
Expenses
Budget Line
Items
PCs 0
If an employee works on both a City CARES Funded Program and another
program funded through other sources(including the Tarrant County
CARES program),the City will only reimburse for a reasonably cost-
allocated portion of the employee's salary.Prior to the reimbursement of
CARES Fund salary expenses,the Agency will provide the City with a
written statement on how each employee's time was allocated(for
previously-incurred expenses)and how the time will be allocated for the
Salaries remaining term of the Contract.If an employee works 100%of their time
directly with the City's CARES-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 CARES-funded Program,with the first Reimbursement Request.
Statements must be signed by a person authorized to sign on behalf of the
Agency and should be submitted with the October invoice.
Reimbursement requests must include a timesheet and work log that reflects
the hours worked by the employee(s)working directly on the CARES-
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 If the City pays gross salary,the employee costs are already included.If the
City pays the employer portion,the Agency must provide documentation
Health or verifying that the employee is enrolled in the benefit plan,documentation of
Disability X X how the invoiced amount was calculated,and must provide documentation
Insurance verifying payment.
Retirement/
Pension Plan X X
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT—EXHIBITS
GIRLS INCORPORATED OF TARRANT COUNTY
Unemployment
Insurance X X
Materials,Equipment,Goods and Supplies-City will only reimburse for the approved cost-allocated percentage or
amount directly spent in support of the CARES-funded Program.As applicable,agencies must show calculation on how
the CARES portion of these expenses were cost-allocated consistently their use on the CARES-Funded program.
Office Supplies X X X
Office Equip.
Rental X X X X X
Postage X X X
Printing X X X
Supplies This may include cleaning supplies,program supplies such as teaching aids or
X X X craft materials,and food supplies
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 occupied by CARES-Funded Program staff and shall be cost-allocated in accordance
with the amount of space used for the CARES-funded Program.Agency Reimbursement Requests must demonstrate
calculation of the CARES portion of these expenses was cost-allocated consistently with the Contract.
Rent X X X X X City may pay for a portion of the rent for the Program facility so long as it is in
proportion to the square footage attributable to the CARES-funded program
and the cost was incurred in order to prevent,prepare for,or respond to the
Coronavirus Pandemic.
Facility X X X X This item requires approval by the City prior to the execution of the CARES
Maintenance Contract.
and Repairs
Miscellaneous
Contracted Labor This item requires prior approval by the City.Prior to the execution of the
or Services X X X X X CARES Contract,the Agency must provide a written statement that lists the
contractual labor or services to be used during the Contract term,including
services such as 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 requires that the agency submit its fee schedule or formula on how the
Childcare or Agency calculates the childcare scholarship amount. The fee
Youth Services schedule/formula should demonstrate a breakout of income levels,as
Scholarships X X applicable,and for each income level the schedule should demonstrate
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 schedule/formula must be
submitted to the City prior to or accompanying the first payment request. 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 and provide the updated schedule.
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT—EXHIBITS
GIRLS INCORPORATED OF TARRANT COUNTY
Proof of payment documentation means:
• Image of the check AND bank statement showing the check cleared the bank; OR,
• Image of the cancelled check(ex.At end of bank statement); OR,
• Payroll Check Stub,"Advice",or Statement AND Bank Statement indicating payroll;
OR,
For wire or e-transfers:Receipt or statement from payee/vendor OR bank statement.
CARES FUNDS NONPROFIT ASSISTANCE CONTRACT—EXHIBITS
GIRLS INCORPORATED OF TARRANT COUNTY