HomeMy WebLinkAboutContract 54262-A3 CSC No.54262-A3
THIRD AMENDMENT TO CITY SECRETARY CONTRACT NO. 54262
This Amendment("Amendment") is made and entered into by and between the City of Fort Worth
("City")and Tarrant County Samaritan House,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. 54262
("Contract") on June 23, 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(CDBG).
WHEREAS, City has received an additional allocation of CDBG grant monies under the
Coronavirus Aid,Relief,and Economic Security Act("CARES"Act)referenced by HUD as"CDBG-CV";
WHEREAS, Section 5.2.2.2 of the Contract permits Agency to request an amendment of the
budget, subject to written approval by the Director of the City's Neighborhood Services Department;
WHEREAS, the Agency requested a budget amendment from City in order to adjust line item
amounts,to increase office and program supplies, in available CDBG-CV funds;
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 are hereby amended and replaced in its
entirety with EXHIBIT`B" Revised 11/19/2021,attached hereto.
II.
This Amendment is effective as of the date of execution of this Amendment.
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.
Amendment No. 3 to CSC No. 54262 Page 1
Tarrant County Samaritan House, Inc 100%(CDBG-CV)
[SIGNATURES APPEAR ON FOLLOWING PAGE]
Amendment No. 3 to CSC No. 54262 Page 2
Tarrant County Samaritan House, Inc 100%(CDBG-CV)
ACCEPTED AND AGREED:
TARR�AANT COUNTY SAMARITAN HOUSE,INC CITY OF FORT WORTH
/l� %BIG B/1i D CL
By: Kim Robinson(Nov 22,202110:47 CST) By: Fernando Costa(Nov 23,202116:19 CST)
Kimberly Robinson, Executive Director Fernando Costa,Assistant City Manager
ATTEST: APPROVE AS TO FORM AND
LEGALITY:
By: By:
Ronald Gonzales,Acting City Secretary Taylor Paris
M&C: G-20-0471 Assistant City Attorney
1295 Certification No. 2020-620841
Date: June 23, 2020
RECOMMENDED:
By: V �6ct.Ke.4_
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(Nov 22,2021 8:08 CST)
Barbara Asbury, Compliance and Planning Manager
Amendment No. 3 to CSC No. 54262 Page 3
Tarrant County Samaritan House, Inc 100%(CDBG-CV)
EXHIBIT "B" - BUDGET
Account Grant Budget Increase Decrease
PROGRAM PERSONNEL
Salaries 1001 $ 32,287.88 $ 6,512.86 $ 25,775.02
FICA 1002 $ 2,470.02 $ 587.95 $ 1,882.07
Life/Disability Insurance 1003 $ 16.00 $ 16.00
Health/Dental Insurance 1004 $ 1,159.37 $ 262.40 $ 1,421.77
Unemployment-State 1005 $ -
Worker's Compensation 1006 $ -
Retirement 1007 $ -
Staff Training 1008 $ -
SUPPLIES AND SE
Office/Program Supplies 2001 $ 1,085.73 $ 11,250.00 $ 12,335.73
Postage 2002 $ -
Printing 2003 $ -
Adv/Media,Dues/Pub,Printing,
Bank Fees $ -
other 2004 $ -
MIWELLANEOUS
AN-
Contract Labor Food
Supplies/Meals(City needs copy
of contract before expenses can be
reimbursed) 3001 $ -
Food Supplies 3002 $ -
Teaching Aids 3003 $ -
Craft Supplies 3004 $ -
Field Trip Expenses 3005 $ -
Mileage 3006 $ -
FACILITY AND UTILITIES
Telephone 4001 $ -
Electric 4002 $ -
Gas 4003 $ -
Water and Wastewater 4004 $ -
Solid Waste Disposal 4005 $ -
Rent(City needs copy of lease
before expenses can be
reimbursed) 4006 $ -
Cleaning Supplies 4007 $ -
Repairs 4008 $ -
Custodial Services 4009 $ -
Utilities, Transportation,PP &E 4010 $ -
LEGAL,FINANCIAL AND
INSURANCE __jU
Fidelity Bond or Equivalent 5001 $ -
Directors and Officers 5002 $ -
General Commercial Liability 5003 $ -
Bank fees $ -
Page 1
volunteer $ -
volunteer $ -
Prof Fees 5004 $ -
IRECT ASSISTANCE
Short-term Rental Assistance $ 228,200.00 3130.59 $ 225,069.41
Audit/IT/Legal Volunteer
Recruitment,Misc. 6001 $ 1,281.00 $ 1,281.00 $ -
BUDGET TOTAL $ 266,500.00 $ 11,512.40 $ 11,512.40 1 $ 266,500.00
FUNDING A:
FUNDING B:
FUNDING C:
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 1, 2021 .
SALARY DETAIL-PROGRAM PERSONNEL
Est. Percent to Amount to
Position Title Annual Salary Grant Grant
Prevention Specialist $ 17,680.00 100.0% $ 17,680.00
Vice President/COO $ 112,360.00 3.8% $ 4,242.06
Accounting Assistant $ 31,824.00 4.0% $ 1,272.96
Accounting Manager $ 64,500.00 4.0% $ 2,580.00
TOTAL $ 226,364.00 $ 25,775.02
FRINGE DETAIL-PROGRAM PERSONNEL
Percent of Est. Percent to Amount to
Payroll Amount Grant Grant
FICA 7.65% $ 17,316.85 10.9% $ 1,882.07
Life/Disability Insurance $ 228.60 7.0% $ 16.00
Health/DentalInsurance $ 16,562.40 8.6% $ 1,421.77
Unemployment-State
Worker's Compensation
Retirement
Staff Training
TOTAL $ 34,107.85 1 3,319.84
SUPPLIES AND SERVICES
Est. Percent to Amount to
Total Budget Grant Grant
Office/Program Supplies $ 12,335.73 100% $ 12,335.73
Postage
Printing
Adv/Media, Dues/Pub, Printing, Bank Fees
TOTAL $ 12,335.73 $ 12,335.73
Tarrant County Samaritan House Page 3
MISCELLANEOUS
Est. Percent to Amount to
Total Budget Grant Grant
Contract Labor #DIV/0!
Food Supplies
Teaching Aids
Craft Supplies
Field Trip Expenses
Mileage
TOTAL I $ - I #DIV/0! 1 $ -
FACILITY AND UTILITIES
Est. Percent to Amount to
Total Budget Grant Grant
Telephone
Electric
Gas
Water and Wastewater
Solid Waste Disposal
Rent
Cleaning Supplies
Repairs
Custodial Services
Utilities, Transportation, PP & E
TOTAL $ -
LEGAL, FINANCIAL AND INSURANCE
Est. Percent to Amount to
Total Budget Grant Grant
Fidelity Bond or Equivalent
Directors and Officers
General Commercial Liability
Prof Fees
TOTAL $ -
DIRECT ASSISTANCE
Est. Percent to Amount to
Total Budget Grant Grant
Short-term Rental Assistance $ 225,069.41 100% $ 225,069.41
Audit/IT/Legal Volunteer Recruitment, Misc. $ 19,500.00 0.0% $ -
TOTAL $ 19,500.00 $ 225,069.41
Tarrant County Samaritan House Page 4