HomeMy WebLinkAboutContract 54267-A1 CSC No.54267-A1
FIRST AMENDMENT TO CITY SECRETARY CONTRACT NO. 54267
WHEREAS the City of Fort Worth("City")and AIDS Outreach Center,Inc.("Agency")made and
entered into City Secretary Contract No. 54267("Contract");
WHEREAS, City receives grant monies from the United States Department of Housing
and Urban Development (HUD) through the Housing Opportunities for Persons with AIDS
Program ("HOPWA-CV') Program, Program No. TX-H2O-FHW002, Catalog of Federal
Domestic Assistance No. 14.241;
WHEREAS,it is the mutual desire of the City and Agency to adjust the budget by increasing the
Short-term Mortgage Assistance line item and reducing the Short-term Rental Assistance line item by the
same amount to account for increase usage for mortgage assistance by participants.
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 replaced with the attached Exhibit`B"—
Budget revised 08/2021.
II.
Unless otherwise specified,this amendment is effective upon execution by the Assistant City
Manager below.
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
CITY SECRETARY
Amendment No.I to CSC No.54267 FT. WORTH, TX
AIDS Outreach Center,Inc.(HOPWA)
ACCEPTED AND AGREED:
AIDS OUTREACH CENTER,INC. CITY OF FORT WORTH
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By: Kelly Alle ray(Aug 27,202110:0 DT) By: Fernando Costa(Aug 31,202116:28 CDT)
Kelly A. Gray,Executive Director Fernando Costa,Assistant City Manager
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ATTEST: �l�o° '0 APPROVE AS TO FORM AND
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By: � ��ap5bpp By: Taylor P I�ug 31,20202116:06 CDT)
Ronald Gonzales,Acting City Secretary Taylor Paris,Assistant City Attorney
M&C: 20-0330
1295 Certification No.2020-613820
Date:May 19,2020
By:
Victor Turner,NSD 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(Aug 30,2021 :32 CDT)
Barbara Asbury
Compliance and Planning Manager
OFFICIAL RECORD
CITY SECRETARY
Amendment No.I to CSC No.54267 FT. WORTH TX
AIDS Outreach Center,Inc.(HOPWA)
EXHIBIT"B"-BUDGET
Account Grant Budget A IB C D Total
ADMINISTRATIVE
PERSONNEL Increase Decrease
Salaries 1001 $ $ 1,200.00 $ 1,200.00
FICA 1002 $ $ 91.80 $ 91.80
Life/Disability Insurance 1003 $ - $ - $ -
Health/Dental Insurance 1004 $ $ $
Unemployment-State 1005 $ - $ - $ -
Worker's Compensation 1006 $ - $ - $ -
Contract Labor(Accounting) 1007 $ $ 4,208.20 $ 4,208.20
Audit Fees 1008 $ $ - $ -
hvsurance-Commercial Umbrella
Liability 1009 $ $ $
Other-Admin. 1010 $ $ $
Insurance-Fidelity Bond or
Equivalent 1011 $ $ - $ -
TOTAL ADMINISTRATIVE
EXPENSES $ $ 5,500.00 $ $ $ $ 5,500.00
io Administrative Cost 1012 0%1 $ -
SUPPORTIVE SERVICES
PROGRAM PERSONNEL
Salaries 2001 $ $ 51,351.50 $ 51,351.50
FICA 2002 $ $ 3,928.39 $ 3,928.39
Life/Disability Insurance 2003 $ - $ - $ -
Health/Dental Insurance 2004 $ $ $
Unemployment-State 2005 $ - $ - $ -
Worker's Compensation 2006 $ - $ - $ -
PLIES AND SERVICES
Office/Medical Supplies 3001 $ $ $
Office Equipment Rental 3002 $ $ $
Postage 3003 $ $ $
Printing 3004 $ $ $
MISCELLANEOUS
Contract Labor-Nutritionist 4001 $ - $ - $ -
Other-Program 4002 $ $ $
Client Transportation 4003 $ - $ - $ -
FACILITY AND UTILITIES
Telephone 5001 $ $ $
Electric 5002 $ $ $
Gas 5003 $ $ $
Water and Wastewater 5004 $ - $ - $ -
Solid Waste Disposal 5005 $ $ - $
Rent(City needs copy of lease
before expenses can be
reimbursed) 5006 $ $ 5,220.11 $ 5,220.11
Custodial Services 5007 $ - $ - $ -
Maintenance/Repairs 5008 $ - $ - $ -
Building Security 5009 $ - $ - $ -
LEGAL,FINANCIAL AND
INSURANCE
Commercial Liability 6001 $ - $ - $ -
TOTAL SUPPORTIVE
SERVICE EXPENSES $ - $ 60,500.00 1$ $ $ $ 60,500.00
DIRECT ASSISTANCE-STRMU
Short-term Rent Assistance 7001 $ 53,333.00 $ 90,000.00 ($416.51) $ 142,916.49
Short-term Mortgage Assistance 7002 $ 12,000.00 $ 15,000.00 $ 416.51 $ 27,416.51
Short-term Utilities Assistance 7003 $ 12,000.00 $ 15,000.00 $ 27,000.00
Total Direct Assistance-STRMU $ 77,333.00 $ 120,000.00 $ 197,333.00
TENANT BASED RENTAL ASSISTANCE-TBRA
Tenant Based Rental Assistance
(TBRA)* 8001 $ $ $ $ $ $
Total Direct Assistance-TBRA $ _ $ _ $ _ $ _ $ _ $or _
FACILITY BASED OPERATIONS
PERSONNEL
Salaries 9001 $ - $ -
HOPWA PSA CONTRACT 2019-2020-EXHIBIT"B"-BUDGET
Tarrant County Samaritan Housing,Inc. Page 1
FICA 9002 $ $
Life/Disability Insurance 9003 $ - $Health/DentalInsurance 9004 $ $
Unemployment-State 9005 $ - $ -
Worker's Compensation 9006 $ - $Other:Operations 9007 $ - $ -
Telephone 9008 $ $
Electric 9009 $ $
Maintenance/Repairs 9010 $ - $ -
Cleaning Supplies 9011 $ $
TOTAL FACILITY BASED
OPERATION EXPENSES $ $ $ $ $ $
BUDGET TOTAL 1$ 77,333.00 $ 186,000.00 $ $ $ $ 263,333.00
FUNDING A: HOPWA
FUNDING B:
FUNDING C:
FUNDING D:
HOPWA PSA CONTRACT 2019-2020-EXHIBIT"B"-BUDGET
Tarrant County Samaritan Housing,Inc. 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. The deadline to make changes to EXHIBIT `B"—Budget is June 01, 2021
SALARY DETAIL - ADMINISTRATIVE
Est. Percent to Amount to
Position Title Annual Salary Grant Grant
Salaries $ 1,200.00 $ -
$ -
$ -
TOTAL $ 1,200.00 $ - $ -
FRINGE DETAIL-ADMINISTRATIVE
Percent of Est. Percent to Amount to
Payroll Amount Grant Grant
FICA 7.65% $ 91.80 $ -
Life/Disability Insurance
Health/Dental Insurance
Unemployment-State
Worker's Compensation
TOTAL 1 $ 91.80 $ - 1 $ -
MISCELLANEOUS - ADMINISTRATIVE
Est. Percent to Amount to
Total Budget Grant Grant
Contract Labor (Accounting) $ 4,208.20
Other - Admin Cost
Insurance-Commercial Umbrella Liability
Insurance-Directors and Officers
Insurance-Fidelity Bond or Equivalent
TOTAL Other Admin $ 4,208.20 $ - $ -
SALARY DETAIL- SUPPORTIVE SERVICES
Est. Percent to Amount to
Position Title Annual Salary Grant Grant
Salaries $ 51,351.50 $ -
HOPWA CV PSA CONTRACT 2020-EXHIBIT"B" -BUDGET Page 3
TOTAL I S 51,351.50 IS
FRINGE DETAIL- SUPPORTIVE SERVICES
Percent of Est. Percent to Amount to
Payroll Amount Grant Grant
FICA 7.65% $ 3,928.39 S - $ -
Life/Disability Insurance
Health/Dental Insurance
Unemployment-State
Worker's Compensation
TOTAL I I S 3,928.39 S
SUPPLIES AND SERVICES - SUPPORTIVE SERVICES
Est. Percent to Amount to
Total Budget Grant Grant
Postage
Printing
TOTAL
MISCELLANEOUS - SUPPORTIVE SERVICES
Est. Percent to Amount to
Total Budget Grant Grant
Contract Labor
Food Supplies
Client Transportation
TOTAL Is -
FACILITY AND UTILITIES - SUPPORTIVE SERVICES
Est. Percent to Amount to
Total Budget Grant Grant
Telephone
Electric
Gas
Water and Wastewater
Solid Waste Disposal
Rent(City needs copy of lease before $ 5,220.11
Custodial Services
Maintenance/Repairs
Building Security
TOTAL S 5,220.11 S -
LEGAL, FINANCIAL AND INSURANCE - SUPPORTIVE SERVICES
Est. Percent to Amount to
Total Budget Grant Grant
HOPWA CV PSA CONTRACT 2020-EXHIBIT"B" -BUDGET Page 4
Commercial Liability
TOTAL $ -
DIRECT ASSISTANCE - STRMU
Est. Percent to Amount to
Total Budget Grant Grant
Short-Term Rent Assistance $ 143,333.00 37% $ 53,333.00
Short Term Mortgage Assistance $ 27,000.00 44% $ 12,000.00
Short Term Utilities Assistance 1 $ 27,000.00 44% 1 $ 12,000.00
TOTAL $ 197,333.00 39% $ 77,333.00
DIRECT ASSISTANCE - TBRA
Total Budget I Grant Grant
Tenant Based Rental Assistance*
TOTAL -
*TBRA costs may be incurred and are eligible for reimbursement beginning October 3, 2017
SALARY DETAIL- FACILITY BASED OPERATIONS
Position Title Annual Salary Grant Grant
$ -
$ -
TOTAL I $ - Is - I $ -
FRINGE DETAIL- FACILITY BASED OPERATIONS
Percent of Est. Percent to Amount to
Payroll Amount Grant Grant
FICA $ - $ -
Life/Disability Insurance
Health/Dental Insurance
Unemployment-State
Worker's Compensation
TOTAL $ IS - I $ -
MISCELLANEOUS - FACILITY BASED OPERATIONS
Est. Percent to Amount to
Total Budget Grant Grant
Insurance-Commercial Property and
Telephone
Electric
Maintenance/Repairs
Cleaning Supplies
TOTAL
HOPWA CV PSA CONTRACT 2020-EXHIBIT"B" -BUDGET Page 5
TOTAL 1 $ 263,333.00 1 29% 1 $ 77,333.00
HOPWA CV PSA CONTRACT 2020-EXHIBIT"B" -BUDGET Page 6