HomeMy WebLinkAboutContract 54492-A2 CSC No.54492-A2
AMENDMENT 2 TO CITY OF FORT WORTH C NT
KT_WEEN THE CITY OF FORT WORTH AND MY HEALTH,MY RESOURCES OF
TARRANT COUNTY(MHMR)FOR MENTAL HEALTH SERVICES
This Contract Amendment (the"Amendment") is made and entered into by and between
the City of Fort Worth,a home-rule municipality of the State of Texas(hereinafter referred to as
the "City"), acting by and through Fernando Costa, its duly authorized Assistant City Manager,
and MY HEALTH, MY RESOURCES OF TARRANT COUNTY (MHMR), a unit of local
government in Texas. Each party shall be individually referred to herein as Party and collectively
as Parties.
RECITALS
WHEREAS, the City entered into an Agreement with Agency to provide services more
specifically described in the agreement,City Secretary Contract No. 54492,(the"Agreement");
WHEREAS,the Parties previously agreed to modify the budget using the process provided
in the Agreement on July 22, 2021 and August 27, 2021 in order to allocate funding to the
categories experiencing the highest demand;
WHEREAS, on October 11, 2021, the Parties amended the budget to increase funding
during renewal terms and updated reporting measures and the Request for Budget Modification
form;and
WHEREAS,the Parties agree to expand the definition of resident services in the budget
to include rent and related rental fees for clients who require assistance to maintain housing.
NOW THEREFORE City and Agency do hereby agree to the following:
I.
AMENDMENT TO AGREEMENT
A. EXHIBIT`B"Budget attached to the Agreement is hereby amended and replaced in its
entirety with the attached Exhibit B,which includes Part I addressing the initial term,and
Part 11 addressing any renewal terms.
II.
This amendment is effective September 30,2021.
III.
All terms and conditions of the Agreement 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 Agreement.
Amendment 2 to CSC 54492
CoFW and MY HEALTH,MY RESOURCES OF TARRANT COUNTY(MHMR) OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX
[THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK]
[SIGNATURE PAGE FOLLOWS}
Amendment 2 to CSC 54492 Page 2 of 9
CoFW and MY HEALTH,MY RESOURCES OF TARRANT COUNTY(MHMR)
IN WITNESS WHEREOF,the parties hereto have executed this agreement,to be effective this
day of .20
FOR CITY OF FORT WORTH: FOR AGENCY: MHMR of Tarrant
County
Fernando Costa(Nov 29,2021 09:53 CST)
Fernando Costa Susan Garnett
Assistant City Manager Chief Executive Offic
Date:
Nov 29,2021 Date: i 2,� 1202. 1
APPROVAL RECOMMENDED
Tara Perez(Nov 29,202109:41 CST)
Nov 29 2021 o�1-R 41oa�
Date: �PA,o
duo 0op�0j
APPROVED AS TO FORM AND ATTEST: 0, 000 000 41
0000000 A'
LEGALITY � anEXASoAp
Jo Ann Pate,Assistant City Attorney Ronald Gonzales,Acting City Secretary
Nov 29,2021 Nov 29,2021
Date: Date:
Contract Compliance Manager: M&C No.:20-0651
By signing 1 acknowledge that 1 am the
person responsible for the monitoring
and administration of this contract,
including ensuring all performance and
reporting requirements.
JO✓la"
Tara Perez(Nov 29,2021 09:41 CST)
Tara Perez
Manager, Directions Home
OFFICIAL RECORD
Amendment 2 to CSC 34492 CITY SECRETARY
CoFW and MY HEALTH,MY RESOURCES OF TARRANT COUNTY(MHMR)
FT.WORTH, TX
EXHIBIT"B"
BUDGET
Part I—Initial Term
Annev will submit an invoice for reimbursement by the 151 of the month following the
month services were provided.
This report shall itemize each monthly expense requested for reimbursement by the Agency and
shall be included in the Budget submitted. In order for this report to be complete the following
must be submitted:
For payroll expenses, timesheets signed and dated by both the employee and supervisor
with the program fund code of time being billed to City/Directions Home. Electronic time
sheets are acceptable but must show timestamp of employee submission and supervisor
approval. Paystub must include pay period,date paid,amount and expenses(salary,FICA,
benefits etc). if pay stubs are unavailable, payroll registries with applicable expenses
highlighted and labeled will suffice. Agency may not submit payroll expenses dated 60
calendar days prior to the date of the Reimbursement Request with the exception of the
first Reimbursement Request which may include items from the Effective Date of the
Agreement to the end of the reporting month or with written permission from Directions
Home staff so long as such changes are otherwise in accordance with the Agreement.
For non-payroll expenses, invoices for each expense listed. Agency may not submit
invoices dated 60 calendar days prior to the date of the Reimbursement Request with the
exception of the first Reimbursement Request which may include items from the Effective
Date of the Agreement to the end of the reporting month or with written permission from
Directions Home staff so long as such changes are otherwise in accordance with the
Agreement.
Proof that each expense was paid by the Agency,which proof can be satisfied by cancelled
checks.If a cancelled check is not possible,a bank statement with the expense highlighted
and labeled will suffice.
If allocations percentages are used, all documentation must be submitted with the first
month's invoice and if changes are made, new allocation documentation submitted with
invoice.
For the audit,bank statements showing payments,Form 941 s and allocation documentation
will be reviewed.
Amendment 2 to CSC S4492 Page 4 of 9
CoFW and MY HEALTH,MY RESOURCES OF TARRANT COUNTY(MHMR)
PROGRAM COSTS ~ Total '
$172,000.00
A.SALARIES(By title) _
Program Manager
Tenant Support Specialist
SALARIES TOTAL: $75,705.00
B.FRINGE BENEFITS
(Can include: Employer-paid Social Security,
Medicare,Health Insurance,Dental Insurance,Vision
Insurance, Life Insurance, Disability Insurance,
Unemployment Insurance, Workers Compensation
and Retirement expenses) W _
FRINGE BENEFITS TOTAL: $28.724.00
C. MILEAGE -�- -----T—��— -----
Mileage
MILEAGE TOTAL: , _ $2,750.00
D.CELL PHONES/EQUIPMENT
Cell Phone -�
Computer
CELL PHONES/EQUIPMENT TOTAL: $2,7".00
E. CLIENT EXPENSES
Resident Services* $29,471.00
CLIENT EXPENSES TOTAL: $29,471.00
F.OTHER APPROVED
Indirect Cost-Administrative Q 0%) $17,200.00
Office Supplies
Service Contractor
Office Space
Professional Insurance $15,384.00
OTHER APPROVED TOTAL: $32,594.00
TOTAL PROGRAM COST: $172,000.00
Amendment 2 to CSC 54492 Page S of
CoFW and MY HEALTH,MY RESOURCES OF TARRANf COUNTY(MHMR)
*Resident services include but are not limited to inpatient detoxtresidential substance use
treatment,bus passes,group supplies,group incentives,and those items or services which
are necessary for the client's success in housing. Incentives can include household items
(toilet paper,cleaning supplies)or gift cards. Services can include cleaning service if
needed to allow client to retain housing. Rental assistance and related fees can be paid if
needed for client to retain housing.
Amendment 2 to CSC 54492 Page 6 of 9
COFW and MY HEALTH,MY RESOURCES OF TARRANT COUNTY(MHMR)
Part H—Renewal Terms
Agency will gghmit invoices for reimbursement bXthe 151h of the month following the
month services were,provided.
This report shall itemize each monthly expense requested for reimbursement by the Agency and
shall be included in Budget submitted. In order for this report to be complete the following must
be submitted:
For payroll expenses,timesheets signed and dated by both the employee and supervisor
with the program fund code of time being billed to City/Directions Home. Electronic
time sheets are acceptable but must show timestamp of employee submission and
supervisor approval. Paystub must include pay period,date paid,amount and expenses
(salary, FICA, benefits etc). If pay stubs are unavailable, payroll registries with
applicable expenses highlighted and labeled will suffice. Agency may not submit
payroll expenses dated 60 calendar days prior to the date of the Reimbursement Request
with the exception of the first Reimbursement Request which may include items from
the Effective Date of the Agreement to the end of the reporting month or with written
permission from Directions Home stag so long as such changes are otherwise in
accordance with the Agreement.
For non-payroll expenses, invoices for each expense listed. Agency may not submit
invoices dated 60 calendar days prior to the date of the Reimbursement Request with
the exception of the first Reimbursement Request which may include items from the
Effective Date of the Agreement to the end of the reporting month or with written
permission from Directions Home staff so long as such changes are otherwise in
accordance with the Agreement.
Proof that each expense was paid by the Agency, which proof can be satisfied by
cancelled checks.If a cancelled check is not possible,a bank statement with the expense
highlighted and labeled will suffice.
If allocations percentages are used,all documentation must be submitted with the first
month's invoice and if changes are made,new allocation documentation submitted with
invoice.
For the audit, bank statements showing payments, Form 941s and allocation
documentation will be reviewed.
Amendment 2 to CSC 54492 Page 7 of 9
CoFW and MY HEALTH,MY RESOURCES OF TARRANT COUNTY(MHMR)
PROGRAM COSTS Total
A. SALARIES(By title)
Program Manager
Tenant Support Specialist
SALARIES TOTAL: $59,053.00
B.FRINGE BENEFITS ,
(Can include: Employer-paid Social Security,
Medicare,Health Insurance,Dental Insurance,Vision
Insurance, Life Insurance, Disability Insurance,
Unemployment Insurance, Workers Compensation
and Retirement expenses)
FRINGE BENEFITS TOTAL: $22,954.00
D. MILEAGE
Mileage _ $2,400.00
MILEAGE TOTAL: $2,400.00
D. CELL PHONESIEQUIPMENT
Cell Phone
Computer .,_.... ��__...._....._ .�.,_....w_._�....v._.�..__..._�___
CELL PHONES/EQUIPMENT TOTAL: .__ ___.$2,766.00
E. CLIENT EXPENSES
Resident Services* r»� ~ $119,000.00
CLIENT EXPENSES TOTAL: W _ �w ^�$119,000.00
F.OTHER APPROVED
Indirect Cost-Administrative(10%) f $249900.00
Office Supplies
Service Contractor
Office Space
Professional Insurance $18,027.00
OTHER APPROVED TOTAL: $42,927.00
TOTAL PROGRAM COST:_. _ _ $249,000.00
Amendment 2 to CSC 54492 Page a of 9
CoFW and MY HEALTH,MY RESOURCES OF TARRANT COUNTY(MHMR)
*Resident services include but are not limited to inpatient detox/residential substance use
treatment,bus passes,group supplies,group incentives,and those items or services which
are necessary for the client's success in housing. Incentives can include household items
(toilet paper,cleaning supplies)or gift cards. Services can include cleaning service if
needed to allow client to retain housing.Any expenses not listed must have prior written
authorization by Directions Home manager.Rental assistance and related fees can be paid
if needed for client to retain Dousing.
Amendment 2 to CSC 34492 Page 9 of 9
CoFW and MY HEALTH,MY RESOURCES OF TARRANT COUNTY(MHMR)