HomeMy WebLinkAboutContract 54936-A1 CSC No.54936-A1
FIRST AMENDMENT TO CITY SECRETARY CONTRACT NO. 54936
This Amendment("Amendment")is made and entered into by and between the City of Fort Worth
("City") and Presbyterian Night Shelter of Tarrant County, Inc. ("Agency") by and through their duly
authorized agents. City and Agency may be referred to individually as"Party"and jointly as "Parties."
WHEREAS, the City and Agency made and entered into City Secretary Contract No. 54936
("Contract")on October 1,2020;
WHEREAS,the Contract provides funding to Agency pursuant to a grant received by City from the
United States Department of Housing and Urban Development ("HUD") through the Community
Development Block Grant Program ("CDBG"), Program No. B-20-MC-48-0010, Catalog of Federal
Domestic Assistance No. 14.218;
WHEREAS,the Agency requested an increase in the cost of Health/Dental Insurance,from
$3,785.00 to $4,552.77,and a decrease in the cost of FICA,from$9,215 00 to $8,447.23;
WHEREAS,City believes that the requested amendment will help Agency meet the program's
goals and further the interests of both Agency and City;and
WHEREAS,it is the mutual desire of City and Agency to amend the Contract to complete the
Program and meet Contract objectives.
NOW,THEREFORE,City and Agency hereby agree to amend the Contract as follows:
I.
EXHIBIT`B"—BUDGET attached to the Contract is hereby amended and replaced in its
Entirety with EXHIBIT`B"Revised 7/2021,attached hereto.
II.
This Amendment is effective as of the effective date the Contract.
III.
All terms and conditions of the Contract not amended herein remain unaffected and in full force and effect,
are binding on the Parties and are hereby ratified by the Parties.Capitalized terms not defined herein shall have the
meanings assigned to them in the Contract.
[SIGNATURES APPEAR ON FOLLOWING PAGE]
OFFICIAL RECORD
Amendment 1 to CSC 54936 CITY SECRETARY
Presbyterian Night Shelter of Tarrant County,Inc. FT. WORTH, Tx
ACCEPTED AND AGREED:
PRESBYTERIAN NIGHT SHELTER OF CITY OF FORT WORTH
TARRAA�NT COUNTY,INC.
By: Toby Owen(Jul 8,2021 16:25 M DT) By: Fernando Costa(Jul 14,2021 09:22 CDT)
Toby Owen,CEO Fernando Costa,Assistant City Manager
0�'-pFOF�Rj a�
ATTEST: p.1 Gp 0 APPROVE AS TO FORM AND LEGALITY:
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By. �( °Oo000.0 a By:
Acting City Secretary a44 AEXASoAp Taylor Paris,Assistant City Attorney
M&C: G-20-0497
1295 Certification No. 2020-640747
Date: August 04,2020
RECOMMENDED:
By:
Victor Turner,Neighborhood Services Director
CONTRACT COMPLIANCE MANAGER:
By signing, I acknowledge that I am the person responsible
for the monitoring and administration of this contract,including
ensuring all performance and reporting requirements
Barbara Asbury(Jul 13,2021`17:44 CDT)
Barbara Asbury,Compliance and Planning Manager
OFFICIAL RECORD
Amendment 1 to CSC 54936 CITY SECRETARY
Presbyterian Night Shelter of Tarrant County,Inc.
FT. WORTH, TX
EXHIBIT "B" -BUDGET
Account
Grant Budget "ncrease Decrease Total
PROGRAM PERSONNEL
Salaries 1001 $ 132,000.00 $ 132,000.00
FICA 1002 $ 9,215.00 $ 767.77 $ 8,447.23
Life/Disability Insurance 1003 $ _
Health/Dental Insurance 1004 $ 3,785.00 $ 767.77 $ 4,552.77
Unemployment-State 1005 $ _
Worker's Compensation 1006 $ _
Retirement 1007 $ _
Staff Development 1008 $ _
SUPPLIES AND SERVICES
Office/Program Supplies 2001 $ _
Postage 2002 $ _
Printing 2003 $ _
Othero 2004 $ _
MISCELLANEOUS
Contract Labor Security(City needs
copy of contract before expenses can 3001
be reimbursed) $ -
Food Supplies 3002 $ _
Teaching Aids 3003 $ _
Craft Supplies 3004 $ _
Field Trip Expenses 3005 $ _
Mileage 3006 $ _
FACILITY AND UTILITIES
Telephone 4001 $ _
Electric 4002 $ _
Gas 4003 $ _
Water and Wastewater 4004 $ _
Solid Waste Disposal 4005 $ _
Rent(City needs copy of lease before 4006
expenses can be reimbursed) $ -
Cleaning Supplies 4007 $ _
Repairs 4008 is _
CDBG PRESUMED BENEFIT PSA CONTRACT 2020-2021-EXHIBIT"B"-BUDGET
Presbyterian Night Shelter-Amendment 1 Page I
Custodial Services 4009 $ _
other(security) 4010 $ _
LEGAL,FINANCIAL AND
SURANCE
Fidelity Bond or Equivalent 5001 $ _
Directors and Officers 5002 $ _
General Commercial Liability 5003 $ _
DIRECT ASSISTANCE
Client Rent/Utilities 6001 $ _
FBUDGETTOTAL S 145,000.00 S 767.77 S 767.77 S 145,000.00
CDBG PRESUMED BENEFIT PSA CONTRACT 2020-2021-EXHIBIT'B"-BUDGET
Presbyterian Night Shelter-Amendment 1 Page 2
The following tables were created for the purpose of preparing, negotiating, and determining the cost reasonableness
and cost allocation method used by the Agency for the line item budget represented on the first page of this
EXHIBIT `B"—Budget. The information reflected in the tables is to be considered part of the terms and
conditions of the Contract. Agency must have prior written approval by the City to make changes to any line item
in the Budget as outlined in Section 5.2.2 in the Contract.
SALARY DETAIL-PROGRAM PERSONNEL
Est. Percent to
Position Title Annual Salary Grant Amount to Grant
Case Manager $ 33,000.00 100.0% $ 33,000.00
Case Manager $ 33,000.00 100.0% $ 33,000.00
Case Manager $ 33,000.00 100.0% $ 33,000.00
Case Manager $ 33,000.00 100.0% $ 33,000.00
Other program and building staff $ 864,962.00 0.0% $ -
TOTAL $ 996,962.00 13.2% $ 132,000.00
FRINGE DETAIL-PROGRAM PERSONNEL
Percent of Est. Percent to
Payroll Amount Grant Amount to Grant
FICA 7.65% $ 76,268.00 11.1% $ 8,447.23
Life/Disability Insurance
Health/DentalInsurance $ 4,552.77 100.0% $ 4,552.77
Unemployment-State
Worker's Compensation $ -
Retirement $ -
Staff Development $ -
TOTAL $ 80,820.77 16.1% $ 13,000.00
SUPPLIES AND SERVICES
Est. Percent to
Total Budget Grant Amount to Grant
Office/Program Supplies $ - $ -
Postage
Printing
Other Q $ -
TOTAL $ - $ -
CDBG PRESUMED BENEFIT PSA CONTRACT 2020-2021 -EXHIBIT"B" -BUDGET
Presbyterian Night Shelter Page 3
MISCELLANEOUS
Est. Percent to
Total Budget Grant Amount to Grant
Contract Labor $ -
Food Supplies $ - $ -
Teaching Aids
Craft Supplies
Field Trip Expenses
Mileage $ -
TOTAL $ - $ -
FACILITY AND UTILITIES
Est. Percent to
Total Budget Grant Amount to Grant
Telephone $ -
Electric $ -
Gas $ -
Water and Wastewater $ - $ -
Solid Waste Disposal $ -
Rent
Cleaning Supplies $ -
Repairs $ -
Custodial Services
Security $ -
TOTAL $ - $ -
LEGAL, FINANCIAL AND INSURANCE
Est. Percent to
Total Budget Grant Amount to Grant
Fidelity Bond or Equivalent
Directors and Officers
General Commercial Liability $ -
TOTAL $ -
DIRECT ASSISTANCE
Est. Percent to
Total Budget Grant Amount to Grant
Client Rent/Utilities $ -
TOTAL $ -
TOTAL BUDGET $ 1,077,782.77 13.45% $ 145,000.00
CDBG PRESUMED BENEFIT PSA CONTRACT 2020-2021 -EXHIBIT"B" -BUDGET
Presbyterian Night Shelter Page 4