HomeMy WebLinkAboutContract 56877CSC No. 56877
NOW THEREFORE, the Parties for the mutual consideration included herein agree to enter into
the following Agreeinent.
AGI2EEMEI+IT DOCUMENTS:
The Agreement documents shall include the following:
1. This Agreement for Rental Assistance and Administration;
2. Exhibit "A" — Scope of Services;
3. Exhibit "B" — Budget;
4. Exhibit "C" — Reimbui•sement Request Form
5. Exhibit "D" — Reporting Forms
6. Exhibit "E" -- Request for Buaget Moclification Form
7, Exhibit "F" — Required Grant Provisions
8. Exhibit "G" — Executed Contract between Texas Department of Housing and
Community
9. Exhibit "H"
Affairs and City
- Certifications
Exhibits "A", "B", "C", "D", "E", "F", "G", and "H" which are attached hereto and
incoiporaied herein, are made a part of this Agi'een �en � fo�� all puiposes�� In�the e� ent of any�conflict
between the terms and conditions of Exhibits A, B, C, D, E, F, G or H and
the terms and conditions set foi�th in the body of this Agreeinent, the terms and conditions of this
Agreement shall conhol.
1. SCOPE OF SERVICES.
1.1 Agency shall provide City with rental assistance and administration in order to reduce
the City's population of homeless persons ("Services"), which are inore particularly described in
Exhibit "A" — Scope of Seivice.
1.2 Program Performance.
1.2.1 Agency agrees to maintain full documentation supporting the performance of the
worlc and fiilfillment of the objectives set forth in Exhibit "A."
1,2,2 Agency agrees to provide a monthly repol�t in the form attached as Exhibit "D"
to document the performance of the worlc described in Exhibit "A".
1.2,3 Agency agreed to provide a quarterly report in the form attached as Exhibit "D"
to document the performance of the worlc described in Exhibit "A".
1.2.4 Agency agrees that the Reimbursement Request Form and monthly report will be
submitted to City no later than the 15th day after the end of each month. Agency agrees that at the
end of each quarter (list out the inonths), Agency shall also provide a quarterly report with the
CITY OF FORT WORTH
AGREEMENT FOR HOMELESS HOUSING AND SERVICES PROGRAM FUNDS FOR YOUTH—
CITYSQUARE
Page 2 of 54
aggregate inforination requested therein along with its inonthly repoi-t and reimbursement request.
Should Agency not be able to meet these requirements in a given month, the Agency shall provide
written notification prior to the deadline that details the expected date of submission, If no
notification is received before the 15th day, tlle City may document for future corrective action.
If, by the last day of the same month, Agency has not submitted the required reports, City will
send a non-compliance letter notifying Agency's duly authorized representative of a possible
suspension of program funding.
1.2.5 Agency agrees to complete a Corrective Action Plan (CAP) in the event of three
(3) consecutive months or six (6) non-consecutive months with incomplete or incorrect
submissions of a Reimbursement Request Form or report. Agency also agrees to complete a
Corrective Action Plan for recut-�ing late submissions of a Reimbursement Request Form or report.
1.2.6. Agency agrees to comply with all requirements for performance, eligibility, and
reporting as described in Exhibit F—Grant Requirements.
2. TERM.
This Agreement shall begin on September l, 2021 ("Effective Date") and shall expire on
August 31, 2022 ("Expiration Date"), unless terminated earlier in accordance with this
Agreement. City shall have the option, in its sole discretion, to renew this Agreement under the
same terms and conditions, except for the compensation amount which shall be provided at the
time of the renewal, for 3 additional 1-year terms. Execution of this Agreement after the Effective
Date shall not impact the enforceability of this Agreement.
3, COMPENSATION.
3.1 City shall pay Agency in accordance with the provisions of this Agreement and Exhibit
"B" — Budget. Total payment made by City under this Agreement shall not exceed $223,565.00
("Program Ftiinds") and the FY 2021 funds inust be used first, and shall be paid to Agency on a
reimbursement basis. Agency shall not perform any additional services for City not speciiied by
this Agreement unless City requests and approves in writing the additional costs for such services.
Ciiy shall not be liable for any additional expenses incLured by Agency not specified by this
Agreeinent unless City first approves such expenses in writing. If City determines in its sole
discretion that this Agreement s�h Exh bit eB",7which shala n lude the noi to exceedl amount to be
the City shall provide an update
paid to Agency on a reimbursement basis during the renewal term.
3.2 Payment of the Program Funds fi•om City to Agency shall be made on a cost-
reimbursement basis following receipt by City from Agency of a signed Reimbursement Request
Form ("RRF") as described in Exhibit "C" along with copies of all receipts and other supporting
documentation. The RRF' and reports shall be submitted to City no later than the 15th day following
CITY OF FORT WORTH
AGREEMENT FOR HOMELESS HOUSING AND SERVICES PROGRAM FUNDS FOR YOUTH—
CITYSQUARE
Page 3 of 54
the end of the month. Submittal of a monthly RRF and repol-ts is required even if services are not
provided.
3.3 The inonthly IZRF' should be sequentially numbered and include expense
documentation that is detailed, clear and concise. All invoices should be sent electronically to
our centralized Accomzts Payable departinent invoice email address:
supplierinvoices@fortwoi�thtexas,gov. Programinatic submissions should now be submitted as
part of the invoice, as they are due on the same date.
Agency's emails shall include the following in the subject lilie: Vendor name, Invoice number,
and PO nuinber
(ex: Example, Inc._123456_FW002-00000001234)
Agency's subject line(s) shall read as follows:
HOUSING AUTHORITY OF THE CITY OF FORT WORTH_CITYSQUARE HHSP
YOUTH #### FW002_0000000###
Additionally, the following requirements apply to ensure the system can successfiilly
process invoices in an expedient manner:
.
.
.
attachment.
.
.
.
All invoices must be either a PDF or TIFF format.
Image quality must be at least 300 DPI (dots per inch).
Invoices must be sent as an attachment (i.e. no invoice in the body of the email).
One invoice per attachment (includes PDFs). Each invoice must be a separate
No handwritten invoices or invoices that contain handwritten notes.
Dot mah�ix invoice format is not accepted.
The invoice must contain the following information:
• Supplier Name and Address;
. Remit to Supplier Name and Address, if different;
. Applicable City Department business unit# (i.e, FW002)
. Complete City of Fo1�t Worth PO number (i.e. the PO number
must contain all preceding zeros);
• Invoice number;
. Invoice date; and
. Invoices to be submitted after delivery of the goods or services.
Reimbursements will not be made until after receipt of an acceptable and approved R.RF
and monthly report as required. Reimbursements shall be made within 30 days receipt of said
docuinents. Incoinplete or incorrect submissions will be returned to the Agency for resubmission,
restarting the 30-day reimbuisement schedule.
3.4 Any modifications in the original approved budget inust have prior written permission
from City before the inodifications are made, The Budget Modification Form (Exhibit "E") inust
be submitted, and request inust be approved by City, before any rnoney is moved to the line-item.
CITY OF FORT WORTH
AGREEMENT FOR HOMELESS HOUSING AND SERVICES PROGRAM FUNDS FOR YOTJTH—
CITYSQUARE
Page 4 of 54
Once the Budget Modification is approved, the modified budget will take effect on the first day of
the following month. The new modified budget shall not exceed the total amoLult of Program
Funds. Agency shall be solely responsible for any money spent in excess of the not to exceed
ainount included in this Agreement for the then-cui�ent term.
3.5 Agency will document cost allocations for all budgeted expenses tluoughout the
enti�ety of the Agreement and will be responsible for having a policy and proced�uo�eltinlef or
this documentation. Specifically, Agency will document how all shared costs, p �
equipment that was fiilly or partially paid for using City funds, were used in furtherance of the
program activities described in this Agreement. Documentation of these cost allocations, as well
as a copy of the Agency's policy and procedures for the docuinentation of the cost allocations shall
be made available to the City upon request.
3.6 The City reserves the right to reject any budget modification that the City believes, in
its sole discretion, is not clearly aligned with the program activities and any requests for
reimbursement expenses that the City believes, in its sole discretion, are not specified in Exhibit
"D" of this Agreement or an approved budget modification form.
3.7 Budget adjustments shall be submitted via either email to
Tara.Perez@fortworthtexas.gov or to the Tara Perez, Directions Home Manager, City Manager's
Office, 200 Texas Street, Fort Worth TX 76102.
4. TERMINATION.
4.1. Written Notice. City or Agency may terminate this Agreement at any time and for
any reason by providing the other Pai-ty with 60 days' written notice of terinination.
4.2 Duties and Obli�ations of the Parties. In the event that this Agreement is terininated
prior to the Expiration Date, City shall pay Agency for seivices actually rendered up to the
effective date of termination and Agency shall continue to provide City with services requested by
City and in accordance with this Agreement up to the effective date of termination. Upon
termination of this Agreement for any reason,
Agency sha11 provide City with copies of all
completed or pal�tially coinpleted documents prepared under this Agreement. In the event Agency
has received access to City data as a requirement to perform services hereunder, Agency shall
return all City-provided data to City in a inachine readable format or other format deemed
acceptable to City.
5, DISCLOSURE OF CONFLICTS AND CONFIDENTIAL INFORMATION.
5.1 Disclosure of Conflicts. Agency hereby represents and warrants to City ihat
Agency has made fiill disclosLue in writing of any ex venithapan ��c�onfli t�s of inte est arise �afte
to Agency's services undei this Agreement. In the Y
CITY OF FORT WORTH
AGREEMENT FOR HOMELESS HOUSING AND SERVICES PROGRAM FIJNDS FOR YOUTH—
CITYSQUARE
Page 5 of 54
the Effective Date of this Agreement, Agency hereby agrees to malce fiill disclosure of such
conflict of interest to City immediately in writing.
5,2 Confidential Information. Agency, for itself and its officers, agents and employees,
agrees that it shall treat all information provided to it (i) by City ("City Information") as
confidential and shall not disclose any such information to a thi�d party without City's prior written
approval, and (ii) shall abide by all of the standards of conf'identiality of client informaiion ("Client
Information") in its performance of its duties and obligations under this Agreement including birt
not limited to those standards, rules and regulations regarding confidentiality required by HMIS
and TCHC. Notwithstanding the above, the parties agree that Agency is subj ect to and will comply
with all requirements of the Texas Public Information Act, and disclosures made in compliance
with such Act involving City Inforination and Client Information will not be deemed a breach of
this paragraph, "Client Information" is define duals be pu�pe ved by the p o�g a ent as personal,
demographic, or treatment data about the indivi g
5.3 Unauthorized Access. Agency shall siore and maintain Ciiy Information and Clieni
Information in a secure manner and shall not allow unauthorized users to access, modify, delete or
otherwise corrupt City Information or Client Information in any way. Agency shall notify City
immediately if the security or integrity of any City Inforination or Client Information has been
compromised or is believed to have been compromised, in which event, Agency shall, in good
faith, use all commercially reasonable efforts to cooperate with City in identifying what
information has been accessed by unauth�i�ado�nfiom fu�he unauthorized disclosure, City to
protect such City Information or Client In
6, RIGHT TO AUDIT.
Agency agrees that City shall, until the ���ina�en ed during he�s d 3pyears, h ve�access
Agreement, or the final conclusion of any audi a ers
to and the right to examine at reasonable tiines any directly pertinent boolcs, documents, p p
and records, including, but not limited to, all electronic records, of Agency involving transactions
relating to this Agreement at no additional cost to City. Agency agrees that City shall ha�e access
during normal worlcing hours to all necessary Agency facilities and shall be provided adequate and
appropriate work space in order to conduct audits in compliance with the provisions of this section.
City shall give Agency reasonable advance notice of intended audits.
This provision shall survive the expiration or termination of this Agreement.
�, INDEpENDENT CONTRA.CTOR.
It is expressly understood and agreed that Agency shall operate as an independent
contractor as to all rights and privileges and worlc performed under this Agreeinent, and not as
agent, representative or employee of City. Subject to and in accordance with the conditions and
provisions of this Agreement, Agency shall have the exclusive right to control the details of its
operations and activities and be solely responsible for the acts and omissions of its officers, agents,
CITY OF�FORT WORTH
AGREEMENT FOR HOMELESS HOUSING AND SERVICES PROGRAM FUNDS FOR YOUTH—
CITYSQUARE
Page 6 of 54
servants, employees, consultants and sub vendors. Agenc� e s� a� nts�gervants and �en�ployeesf
r�espondent sztper�io�° shall not apply as between City, its off , g
and Agency, its officers, agents, einployees, servants, vendors and sub vendors. Agency further
agrees that nothing herein shall be construed as the c� Cit shall p nonway�be cons dered a Co-
between City and Agency, It is further understood that nts, servants, einployees or sub vendor
employer or a Joint employer of Agency or any officers, ag
of Agency. Neither Agency, nor any officers, agentslt e1A nenc shall be iespons bleda 1d 1 able fo
shall be entitled to any employment benefits from C y g Y ents,
any and all payinent and reporting of taxes on behalf of itself, and any of its off'icers, ag
servants, employees or sub vendors.
g, LIABILITY AND INDEMNIFICATION.
AGENCY COVENANTS AND AGREES TO INDOFFICERS, A E NTS, S RVAN �
DEFEND, AT IT S O W N E X P E N S E, C I T Y A N D I T S
AND EMPLDYEES FROM AND AGAINST ANY A� NJURY, INCLUDING DEATH, �O
PROPERTY LO S S O R D A M A G E A N D/ O R P E R S O N A
ANYAND ALL PERSONS, OF WHATSOEVER I�IND ECTION WITH THE EXECUTION,
OR ASSER TED, ARISING O UT OF OR IN CONN
PERFORM�I.NCE, ATTEMPTED PERFORM�].NCE � Tj S AND SER CES OF TTHE
CONTRACT AND/OR THE OPERATIONS, ACTIVI
PROGRAM DESCRIBED HEREIN, WHETHER OR � CERS,U AG NTS�HSERVANTS,
PART, BY ALLEGED NEGLIGENCE OF OF
EMPLOYEES, CONTRACTORS OR SUBCONTRA ONSIBILITY OF� C�� AND ITS
HEREBY ASSUMES ALL LIABILITY AND RESP
OFFICERS, AGENTS, SERVANTS, AND EMPLOYEES FOR ANYAND ALL CLAIMS OR
SUITS FOR PROPERTYLOSS OR DAMAGEANI��OR �PE� � IN�SJORYCHARA � ER,
DEATH, TO ANY AND ALL PERSONS, OF WHATS
WHETHER REAL OR ASSERTED, ARISING OUT OFJ OIR IN pE FORT IMA_NCEITH T OR
EXECUTION, PERFORMANCE, ATTEMP
NONPERFORMANCE OF THIS CONTRACT AND/ORn HEREIN�WHETHERC OR NOT
AND SERVICES OF THE PROGRAM DESCRIBE
CAUSED IN WHOLE OR IN PART BY ALLEGEDOR SUBCONTRACTORS OF CITY.
AGENTS, SERVANTS, EMPLOYEES, CONT.RACTOR
AGENCY LII�EWISE COVENANTS AND AM AND AGAIN� ANY ANDRALL
INDEMNIFY AND HOLD HARMLESS CITY FRO
INJURY, DAMAGE OR DESTR UCTION OF PROPEONS OF AGENCY,SIITS OFFOCERS,
IN CONNECTION WITH ALL ACTS OR OMISSI 1NV1'TEES,
MEMBERS, AGENTS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS,
LICENSEES, OR CLIENTS, OR CAUSED, IN WHOEMPLOYEES,4CONTRACTORS OR
NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS,
SUBCONTRACTORS OF CITY.
CITY OF FORT WORTH
AGREEMENT FOR HOMELESS HOUSING AND SERVICES PROGRAM FiINDS FOR YOUTH—
CITYSQUARE
Page 7 of 54
IT IS THE EXPRESS INTENTION OF THE PAR �� NCLUDESEINDEMNITY BY
THAT THE INDEM N I T Y P R O V I D E D F O R T H I S S E C T
AGENCY TO INDEMNIFY AND PROTECT CITY F GENCE SA�LEGQD TO BE THE
CITY'S OWNNEGLI ING CA� SE OF THE IN URYGDAMAGE OR DEATH.
SOLE OR CONCURR
AGENCYAGREES TO AND SHALL RELEASE �'I �LL LIABILITY� FOR INJURY,
OFFICERS AND LEGAL REPRESENTATIVES FROM
DEATH, DAMAGE OR LOSS TO PERSONS OR NCE UNDER THIS CONTRACT,
CONNECTION WITH OR INCIDENTAL TO PERFORMA
EVEN IF THE INJURY, DEATH, DAMAGE OR LOSS IS CAUSED BY CITY'S SOLE OR
CONCURRENT NEGLIGENCE.
AGENCY SHALL REQUIRE ALL OF ITS CONTIlACTORS AND
SUBCONTRACTORS TO INCLUDE IN THEIR CONTRASUBSTANTIALLY THE SAME
RELEASE AND INDEMNITY IN FAVOR OF CITY IN
FORMAS ABOVE.
This section shall survive the expiration or termination of this Agreement.
9, ASSIGNMEN'1' Aivi� aun��,1.11.�>� �__ ._-
9,1 Assi____�nment. Agency shall not assign or s�ubsent of C ty If City� grants boig ei t to
or rights under this Agreement without the prior written c
an assignment, the assignee shall execute a written agr
eement wiih City and Agency under which
the assignee agrees to be boluld by the duties and obllgaa��ons o Agencylundert his Agg e me Zt
Agency and Assignee shall be jointly liable for all ob g
prior to the effective date of the assignment.
9.2 Subc.__.__.ol?tia�t: If City grants consentteementunde wli �bco bc n°ac oalshall ag ee
written agreement wrth Agency ieferencing this Agi
to be bound by the duties and obligations of Agency under tlfillAgxecut d copy�of any�such
obligations may apply. Agency shall provide City with a y
subcontract.
10. INSURANCE.
Agency shall provide City with certificate(s) of uisurance documenting policies of the
following types and minimum coverage limits tllat are to be in effect prior to commencement of
any worlc pursuant to this Agreement:
10.1 Covera�e and Luluts
(a) Commercial General Liability:
CITY OF FORT WORTH
AGREEMENT FOR HOMELESS HOUSING AND SERVICES PROGRAM FUNDS FOR YOOTH—
CITYSQUARE
Page 8 of 54
�1,000,000 -
$2,000,000 -
(b)
Each Occurrence
Aggregate
Automobile Liability:
$300,000 - Each occui7ence on a coinbined single limit basis
Coverage shall be on any vehicle used by Agency, its employees, agents,
representatives in the course of providing services under this Agreement.
"Any vehicle" shall be aily vehicle owned, hired and non-owned.
��� Worlcer's Compensation:
Statutory liinits according to the Texas Worlcers' Compensation Act or any
other state worlcers' coinpensation laws where the work is being performed
Employers' liability
$100,000 - Bodily Injury by accident; each accident/occurrence
$100,000 - Bodily Injury by disease; each employee
$500,000 - Bodily Injury by disease; policy limit
10.2 General Requirements
(a) The commercial general liability and automobile liability policies
name City as an add lude 1 ts ei ployees�l� officerste offic a sy agents,
term City shall
volunteers in respect to the contracted services.
shall
The
and
(b) The worlcers' compensation policy shall include a Waiver of Subrogation
(Right of Recovery) in favor of City.
(�) A minimum of 30 days' notice °f Ten da s' notice sha 1 be a cep able n
coverage shall be provided to City. Y
the event of non-payment of of this A ree nent shall be sent to City as
provided in the Notice section g
(d) The insurers for all policies mu 1ebs must ha e��a minpmum�iating ob Ain���
u1 the State of Texas. All msu
in the current A.M. Best Key Rating Guide, or have reasonably equivalent
financial strength and solvency to the satisfaction of Rislc Management. If
the rating is below that required, written approval of Rislc Management is
required,
CITY OF FORT WORTH
AGR�EMENT FOR HOM�LESS HOUSING AND SERVICES PROGRAM FUNDS FOR YOUTH—
CITYSQUARE
Page 9 of 54
(e) Any failure on the part of City to request required insurallce docuinentation
shall not constitute a waiver of the insurance requirement.
(� Certificates of Insurance evidencing that Agency has obtained all required
insurance shall be delivered to the City prior to Agency proceeding with
any work pursuant to this Agreement.
11.
COMPLIANCE WITH LAWS, ORDII�tANCES, RULES AND REGULATIONS.
Agency agrees that in the performance of its obligations hereunder, it shall comply with all
applicable federal, state and 1oca1 1aws, ordinances, rules and regulations, the requirements in
Exhibit F pertaining to performance, reporting, and compliance, and that any worlc it produces in
connection with this Agreement will also comply with all applicable federal, state and local laws,
ordinances, rules and regulations. If City notifies Agency of any violation of such laws,
ordinances, rtiiles or regulatious, Agency shall immediaiely desist fiom and coi7�ect the violation.
12. NOl\1-DISCRIMINATION COVENANT.
Agency, for itself, its personal representatives, assigns, sub vendors and successors in
interest, as part of the consideration herein, agrees that in the performance of Agency's duties and
obligations hereunder, it shall not discriminate in the treatment, assistance provided under this
Agreement, or employment of any individual or group of individuals on any basis prohibited by
law. IF ANY CLAIIVI ARISES FROM AN ALLEGED VIOLATIOI�t OF THIS NON-
DISCRIMINATION COVENANT BY AGENCY, ITS PERSONAL REPRESENTATIVES,
ASSIGNS, SUB VENDORS OR SUCCESSORS IN INTEREST, AGENCY AGREES TO
ASSUME SUCH LIABILITY AND TO INDEMNIFY AND DEFEND CITY AND HOLD
CITY HARMLESS FROM SUCH CLAIM, TO THE EXTENT PERMITTED BY LAW.
This section shall survive the expiration or termination of this Agreement.
13. NOTICES.
Notices required pursuant to the provisions of this Agreement shall be conclusively
determined to have been delivered when (1) hand-delivered to the other Party, its agents,
employees, servants or representatives, (2) delivered by facsinule with electronic conf'irmaiion of
the transmission, or (3) received by the other Party by United States Mail, registered, return receipt
requested, addressed as follows:
To City:
City of Fort Worth
City Manager's Ofiice
Attll: Tara Perez, Dzrectio��s Ho»��e
To Agency:
CitySquare
Attn: Dr. John Sibui-t
1610 S. Malcolm X Blvd.
CITY OF FORT WORTH
AGREEMENT FOR HOMELESS HOUSING AND SERVICES PROGRAM FUNDS FOR YOUTH—
CITYSQUARE
Page 10 of 54
200 Texas Street
Fort Worth, TX 76102-6314
Phone: (817) 392- 2235
With copy to City Attorney's Office at same
address
14. SOLICITATION OF EMPLOYEES.
Dallas, TX 75214
Phone: (214) 823-8710
Neither City nor Agency shall, during the term of this Agreement and additionally for a
period of 1 year after its termination, solicit for employment, whether as employee or independent
contractor, any person who is employed by the other during the term of this Agreement, without
the prior written consent of the person's employer. Notwithstanding the foregoing, this provision
shall not apply to an employee of either Party who responds to a general solicitation of
advertisement of employment by either Party,
15. GOVERNMENTAL POWERS.
It is undeistood and agreed that by execution of this Agreement, neither the City not the
Agency waives or surrenders any of their governmental powers or immunities. Notwithstanding
the forgoing, FWHS agrees that if FWHS is a charitable or nonprofit organization and has or claims
an immunity or exemption (statutory or otherwise) from and against liability for damages or injury,
inchtding death, to pelsons or property, FWHS hereby expressing waives its rights to plead
defensively such inununity or exemption as against the City. This section shall not be constructed
to affect a governmental entity's immunities under constitutional, statutory or conunon law plead
against any other entity other than the City.
16. I�tO WAIVER.
The failure of City or Agency to insist upon the performance of any term or provision of
this Agreement or to exercise any right granted herein shall not constitute a waiver of City's or
Agency's respective right to insist upon appropriate performance or to asser-t any such right on any
future occasion.
17. GOVERNING LAW / VENUE.
This Agreement shall be construed in accordance with the laws of the State of Texas. If
any action, whether real or asserted, at law or in equity, is brought pursuant to this Agreement,
venue for such action shall lie in state courts located in Tarrant County, Texas or the United States
District Court for the Northern Dist�ict of Texas, Fort Worth Division.
18. SEVERABILITY.
CITY OF FORT WORTH
AGREEMENT FOR HOMELESS HOUSING AND SERVICES PROGRAM FUNDS FOR YOUTH—
CITYSQUARE
Page ll of 54
If any provision of this Agreement is held to be invalid, illegal or unenforceable, the
validity, legality and enforceability of the remaining provisions shall not in any way be affected or
impaired.
19. FORCE MAJEURE.
City and Agency shall exercise their best efforts to meet their respective duties and
obligations as set foi-th i�1 this Agreement, but shall not be held liable for any delay or omission in
performance due to force majeure or other causes beyond their reasonable control, inclltding, but
not limited to, compliance with any government law, ordinance or regulation, acts of God, acts of
the public enemy, fires, strilces, locicouts, natural disasters, wars, riots, epidemics or pandeinics,
material or labor restrictions by any governmental authority, transpol�tation problems, restraints or
prohibitions by any court, board, department, commission, or agency of the United States or of
any States, civil disturbances, other national or regional emergencies, and/or any other similar
cause not enumerated herein but which is beyond the reasonable control of the Party whose
performance is affected (collectively "Force Majeure Event"). The performance of any such
obligation is suspended during the period of, and only to the extent of, such prevention or
hindrance, provided the affected Party provides notice of the Force MajeLu�e Event, and an
explanation as to how it hinders the party's performance, as soon as reasonably possible, as
determined in the City's discretion, after the occurrence of the Force Majeure Event. The form of
notice required by this section shall be the same as section 13 above.
20. HEADINGS NOT COle1TROLLING.
Headings and titles used in this Agreement are for reference purposes only, shall not be
deemed a part of this Agreement, and are not intended to define or limit the scope of any provision
of this Agreement.
21. ItEVIEW OF COUNSEL.
The Parties acicnowledge that each Pai�ty and its counsel have reviewed and revised this
Agreement and that the normal rules of construction to the effect that any ambiguities are to be
resolved against the drafting party shall not be employed in the interpretation of this Agreement
or Exhibits "A", "B", "C", "D", "E", "I'" "G", and "H".
22. AMENDMENTS/ 1VIODIFICATIONS/ EXTENSIONS.
No amendment, inodification, or extension of tlus Agreement shall be binding upon a Party
hereto unless set forth u1 a written instrument, which is exectirted by an auihorized representative
of each Party.
23. ENTIRETY OF AGREEMEIVT.
CITY OF FORT WORTI-I
AGREEMENT FOR HOMELESS HOUSING AND SERVICES PROGRAM FDNDS FOR YOiJTH—
CITYSQUARE
Page 12 of 54
This Agreement, inchiding Exhibits "A", "B", "C", "D", "E", "F", "G" anci "H"
contains the entire under•standing and agreement between City and Agency, their assigns and
successors in interest, as to the matters contained herein. Any prior or contemporaneous oral or
written agreement is hereby declared null and void to the extent in conflict with any provision of
this Agreement.
24. COUNTERPARTS.
This Agreement may be executed in one or more counterparts and each counterpart shall,
for ali purposes, be deemed an ar�iginal, but all such counterpar•ts shall together constitute one and
the same instrument.
F��i:`/_�:77_�►i1 i1�L�7 �T.y��if[�l�f.�
Agency warrants that its services will be of a professional quality and conform to generally
prevailing industry siandards. City inust give written notice of any breach of this wai7anty witlun
30 days from the date that the ser•vices are completed. In such event, at Agency's option, Agency
shall either (a) use coinmercially reasonable efforts to re-perform the services in a manner that
conforms to the warranty, or (b) refund the fees paid by City to Agency for the nonconforming
services.
26. IMIVIIGRATION NATIONALITY ACT.
Agency shall verify the identity and employment eligibility of its employees who perfor•m
worlcing under this Agreement, including compleiing the Employment Eligibility Verification
Form (I-9). Upon request by City, Agency sliall provide City with copies of all I-9 forms and
supporting eligibility documentation for each einployee who perform worlc under this Agreeinent.
Agency shall adhere to all Federal and State laws as well as establish appropriate procedures and
controls so that no services will be performed by any Vendor employee who is not legally eligible
to perform such services. AGENCY SHALL, TO THE EXTENT ALLOWEED BY LAW,
INDEMNIFY CITY AI�iD HOLD CITY HARMLESS FROlVI ANY PENALTIES,
LIABILITIES, OR LOSSE� DUE TO VIOLATIONS OF THIS PARAGRAGH BY
AGEI�TCY, AGENCY'S ElVIPLOYEES, SUBCONTRACTORS, AGENCTS, OR
LICENSEES. City, upon written notice to Agency, shall have the right to immediately ter•minate
this Agreeinent for violations of this provision by Agency.
27. OWNERSHIP OF WORK PRODUCT.
City shall be the sole and exclusive owner of all reports, worlc papers, procedures, guides,
and documentation, created, published, displayed, and/or produced in conjunction with the
services provided under this Agreement (collectively, "Worlc Product"). Further, City shall be
CITY OF FORT WORTH
AGREEMENT FOR HOMELESS HOUSING AND SERVICES PROGRAM FUNDS FOR YOUTH—
CITYSQUAR�
Page 13 of 54
the sole and exclusive owner of all copyright, patent, trademarlc, trade secret and other proprietary
rights in and to the Worlc Product, Ownership of the Worlc Product shall inure to the benefit of
City froin the date of conception, creation or fixation of the Worlc Product in a tangible medium
of expression (whichever occurs first). Each copyrightable aspect of the Worlc Product shall be
considered a"worlc-made-for-hire" within the meaning of the Copyright Act of 1976, as amended.
If and to the extent such Worlc Product, or any part thereof, is not considered a"work-made-for•-
hire" within the meaning of the Copyright Act of 1976, as amended, Agency hereby expressly
assigns to city all exclusive right, title and interest in and to the Worlc Product, and all copies
thereof, and in and to the copyright, patent, tradeinarlc, trade secz•et, and all other proprietary rights
therein, that City may have or obtain, without further consideration, fi•ee from any claim, lien for
balance due, or rights of retention thereto on the part of City,
28. CHANGE IN COMPAI+IY NAME OR OWI�IERSHIP
Agency shall notify City's Assistant City Manager, in writing, of a company name,
ownership, or address change for the purpose of maintaining updated city records. The chief
executive officer of Agency or authorized official must sign the letter. A letter indicating changes
in a company name or ownership must be accompaiued with supporting legal documentation such
as an updated W-9, documents iiled with the state indicating such change, copy of the board of
director's resohition approving the action, or an executed mez•ger or acquisition agreeinent. Failure
to provide the specified documentation so may adversely impact fiiture invoice payments.
29. SIGNATUI2E AUTHORITY AND ELECTRONIC SI
The person signing this Agreement hereby warrants that he/she has the legal authority to
execute this Agreement on behalf of the respective Party, and that such binding authority has been
granted by proper order, resolution, ordinance or other authorization of the entity. This Agreement
and any amendment hereto, may be executed by any authorized representative of Agency, Each
Party is fully entitled to rely on these warranties and representations in eiliering iuto this
Agreement or any amendment hereto,
This Agreement may be executed by electronic signature, which will be considered as an
original signature for a11 purposes and have the same force and effect as an original signature. For
these purposes, "electronic signature" means electronically scanned and transmitted versions (e.g.
via pdf file or facsimile transmission) of an original signature, or signatures electronically insei�ted
via software such as Adobe Sign.
30. Y:
ISRAEL
��7►1
CTING WITH COMPANIES THAT BOYC
If Agency has less than ten einployees, this contract is for less than $100,000, or Agency
does not meet the deiinition of a"company" iulder the applicable section of the Texas Government
CITY OF FORT WORTH
AGREEMENT FOR HOMELESS HOUSING AND SERVICES PROGRAM FUNDS FOR YOUTH—
CITYSQUARE
Page 14 of 54
Code, this provision shall not apply. Agency acicnowledges that in accordance with Chapter 2270
of the Texas Govermnent Code, the City is prohibited from entering into a contract with a company
for goods or ser•vices ltnless the contract contains a written verification fi•oin the company that it:
(1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract. The
terms "boycott Israel" and "company" shall have the meanings ascribed to those terms in Section
808.001 of the Texas Govermllent Code. By signing this contract, Agency cei�tifies that Agency's
signature provides written verificatioiz to the City that Agency: (1) does not boycott Israel; and (2)
will not boycott Israel during the term of the contract.
31. PROHIBITION ON BOYCOTTING ENERGY COMPANIES
Agency acicnowledges that in accordance with Chapter 2274 of the Texas Government
Code, as added by Acts 2021, 87th Leg., R.S., S.B. 13, § 2, the City is prohibited from entering
into a contract for goods or seivices that has a value of $100,000 or more that is to be paid wholly
or pai�tly from public funds of the City with a company with 10 or more full-time employees unless
the contract contains a written veriiication from the coinpany that it: (1) does not boycott energy
companies; and (2) will not boycott eneigy companies during the term of the contract. The terms
"boycott energy company" and "coinpany" have the meaning ascribed to those terms by Chapter
2274 of the Texas Government Code, as added by Acts 2021, 87th Leg., R.S., S.B. 13, � 2. To the
extent that Chapter 2274 of the Government Code is applicable to this Agreement, by signing this
Agreement, Agency cei�tiiies that Agency's signature pr•ovides written verification to the City that
Agency: (1) does not boycott energy companies; and (2) will not boycott energy companies during
the term of this Agreement.
32. PROHIBITION ON DISCRIMINATION AGAINST FIREARM AND
AIVIMUNITION INDUSTRIES
Agency acicnowledges that except as other•wise provided by Chapter 2274 of the Texas
Government Code, as added by Acts 2021, 87th Leg., R.S., S.B. 19, § 1, the City is prohibited
fi•om entering into a contract for goods or services that has a value of $100,000 or more that is to
be paid wholly or partly fi•om public funds of the City with a coinpany with 10 or more fiill-time
einployees unless the contract contains a written verification fi•om the company that it: (1) does
not have a practice, policy, guidance, or directive that discriminates against a firearm entity or
iirearm trade association; and (2) will not discriminate during the term of the contract against a
fuearm entity or firearm trade association. The terms "discriminate," "firearm entity" and "fuearm
trade association" have the meaning ascribed to those terms by Chapter 2274 of the Texas
Governrrient Code, as added by Acts 2021, 87th Leg., R.S., S,B. 19, § 1. To the extent that Chapter
2274 of the Government Code is applicable to this Agreement, by signing this Agreement, Agency
certifies that Agency's signat�u e provides writteil verification to the City that Agency: (1) does not
have a practice, policy, guidailce, or directive that discriminates against a firearm entity or fn•earm
trade association; and (2) will not discriminate against a firearm entity or firearm trade association
dui�ing the term of this Agreement.
CITY OF FORT WORTH
AGREEMENT FOR HOMELESS HOUSING AND SERVICES PROGRAM FUNDS FOR YOUTH—
CITYSQUARE
Page 15 of 5�1
33. CONFIDEI�ITIAL II�IFORMATION
Agency aclulowledges that both the Agency and the City are a governtnental entity and is
subject to the Texas Public Information Act ("Act"). By executing this agreement, Agency
aclalowledges that this agreement will be publicly available on the City's website, and Agency is
therefore waiving any claim of confidentiality, whether based in statute or the coinmon law, to any
and a11 materials contained as pa1�t of this agreement including all documentis and information
referenced herein or attached hereto.
34. 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 coinmon law.
[SIGNATURE PAGE TO FOLLOW]
CITY OF FORT WORTFi
AGR�EMENT FOR HOMELESS HOUSING AND SERVICES PROGRAM FUNDS FOR YOUTH—
CITYSQUARE
Page 16 of 54
John Siburt (Dec 17, 2021 16:13 CST)
President/CEO
CitySquare
John Siburt
Dec 17, 2021
Tara Perez (Dec 17, 2021 16:15 CST)
Tara Perez (Dec 17, 2021 16:15 CST)
21-0512
Jo Pate (Dec 17, 2021 16:41 CST)
Fernando Costa (Dec 17, 2021 17:01 CST)
Dec 17, 2021
Jannette S. Goodall (Dec 20, 2021 06:49 CST)
Jannette S. Goodall
EXHIBIT "A"
�� � . -
. . . . � . � ., -
City�quare will do the following:
Agency shall comply with all requirements in the attached TDHCA contract, except for those that
require the City of Foi�t Worth to submit information to TDHCA, — including eligible expenses,
programmatic and financial reporting, and compliance — as set forth in Exhibits F and G.
Agency shall pay rental assistance to landlords of HHSP-Youih clients on a continuous basis,
Although the clients may change, Agency shall provide rental assistance and case management to
at least 10 clients during the term of this Agreement.
Eligible clients are those who are literally homeless in the City of Fort Worth, between the ages of
18-24 at program entry, have income at or below 50% of Area Median Income, have assets less
than $10,000 and lacic support networlcs, meet criminal bacicground requirements and be referred
by Tai-�•ant County Hoineless Coalition.
Agency shall pay application fees, apai�tment administrative fees, security deposits, high rislc fees
and opportunity fees as funds are available and in consultation with Directions Horne staff.
High risk fees are extra charges for tenants without a rental history, with an eviction history, with
a criminal justice histoiy and/or without income.
Agency will:
• Follow all provisions of the Standard Operating Procediues
• Receive referrals from Tarrant County Homeless Coalition (TCHC) and notify TCHC
when slots are open
• Conduct intalce to verify client qualifies for HHSP-Youth program
• Submit complete client pacicets for all new clients
• Assist clients in gathering necessary information for lease applications and completing
lease applications;
• If a client is not approved for a lease based on criminal history, credit histoiy, or
rental/tenant lustory, a case manager shall help the client, with good faitll and due
diligence, mitigate and resolve the issue as quicicly and to the extent possible.
• Attend all necessary interviews and meetings between the client and potential or current
property management.
Supportive Services Agreement — Exhibits Page 18 of 54
• As needed, provide assistance to IZRII clients to obtain necessary household items;
• Provide support and services consistent with Housing First practices to those RIZI-I
clients who voluntarily choose to utilize such services in the interest of housitig
retention, including bui not limited to:
o Providillg an initial needs assessment and development of individualized clieni-
based solution centered services plans for each consenting R.RI I client, including
periodic evaluation and modiiication of the tenaut housiug plan;
o Refer or facilitate appropriate suppoi�t services necessary for housing retention
and positive community integration may include, but not be liinited to, assistance
with:
■ Employment readiness and job search;
■ Obtaining employment or obtaining higher paying employment;
■ Educational and/or training opportunities;
■ Money management and paying rent on time;
■ Obtaining mainstream benefits;
■ Socialization suppoi-t;
• The case manager will worlc with RR.I-I Clients to develop a plan to increase income
within two weelcs of being housed. Increasing income can include obtaining
employment, obtaining higher paying einployment, and/or applying for mainstream
beneiits.
• The case manager will offer services once a week for the first tlu�ee (3) months of tenancy
and then assess client needs to determine level of continued support needed and provide
that level of support. However, at a minimum, the case manager must malce contact twice
each month with the client, including at least one in-person meeting.
• Enter client records in Homeless Management Information System (HMIS) within tluee
(3) days of service provision
• Submit on time monthly and quarterly reports
Evaluation:
Evaluation meetings will be held with Directions Home staff to continually evaluate progranl
and Agency shall coinply as necessary and in good faith.
Financial reporting:
Reimbursement Request aild any necessaiy supporting documentation and reports will be
submitted by the 15t�' of every month in format of Exhibit "C".
Supportive Seivices Agreement — E�hibits Page 19 of 54
Programmatic reporting:
Monthly reports will be submitted by the 15th of every month in for•mat of Eahibit "D".
Quarterly reports will be submitted by the 15t�' of December, March, June and September in the
format of Exhibit "D".
Supportive Sei•vices Agreement — Exhibits Page 20 of 54
EXHIBIT "B"
BUDGET
B-1 Term for TDHCA Contract # 1�216010006
Endin� February 28, 2022
A�ency will submit invoice for reimbursement by the 15tt' of the month followin� the month
services were provided.
This report shall itemize each monthly expense requested for reitnbursement by the Agency and
shall be included in Budget submitted. In order for this report to be complete the following inust
be submitted:
For payroll expenses, timesheets signed and dated by both the employee and supervisor
with the pr�og�°carn firi�d code of iiine being billed to City /D'u•ections Home. Electronic
time sheets are acceptable but must show c�c�te timestamp of employee submission and
supervisor approval. Paystub must inchide 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 Reimbtusement Request
with the exception of the first Reimbursement Request which may include items fi�om
the Effective Date of the Agreement to the end of the repol�ting 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 subinit
invoices dated 60 calendar days prior to the date of the Reimbursemeilt Request with
the exception of the first Reimbursement Request which may include items fi•oin the
Effective Date of the Agreement to the end of the reporting inonth or with written
permission fi•om 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 checics. If a cancelled checic is not possible, a banlc statement with the expense
highlighted and labeled will suffice,
If allocations percentages are used, all documentation must be subinitted with the first
month's invoice and if changes are made, new allocation documentation submitted with
invoice.
For the audit, bai�lc statements showing paymenis, Form 941s a�id allocation
documentation will be reviewed.
Suppoi•tive Selvices Agreement — Exhibits Page 21 of 54
PROGRAM COSTS ( Total $79,419.00
A. AI)MII�ISTRATION - SAI,ARIES (By title)
_ .
SALARIES TOTAL:
ADMINISTRATION - FRINGE BENEFIT�
(Can include: Employer-paid Social Security,
Medicare, Health Insurance, Dental Insurance, Vision
Insurance, Life Insurance, Disability Insurance,
Unernployment Insurance, Worlcers Compensation
and Retireinent expensesl
FRINGE BENEFITS TOTAL:
ADMINISTRATIONX TOTAL:
B. HOMELE�S ASSISTANCExx
0
�: � I 1
C. ESSENTIAL SERVICES**x
D. CASE MANAGEMENTx Y x x
E
33.00
TOTAL PROGRAM COST:
$79,419.00
_
xAdministration costs include employee compensation and related costs for staff performance of
manageinent, repol�ting and accounting of HHSP activities, including office space. Costs
associated with the pnrchase of licerising of HMIS or an HMIS-comparable databases are eligible
administrative costs.
X�'Homeless Assistance costs are associated with housing relocation, stabilizaiion and assistance
costs. Staff time entering information into HMIS or an HMIS-comparable database related to
homeless assistance is also an eligible cost. Homeless assistance costs include, but are not limited
to, hotel or motel costs; transitional housing; rental and utility assistance; rental arrears; Lrtility
reconnection fees; reasonable and customary security and utility deposits; and moving costs.
*xx Essential services costs are associated with finding and maintaining stable housing; and
include, but are not limited to, costs far•: out-patient medical seivices, child care, education
seivices, legal services, mental health services, local transportation assistance, and drug and
alcohol rehabilitation arld job training.
x*** Case inanagement costs include staff salaries related to assessing, arranging, coordinating
and monitoring the delivery of services related to illlding or maiutaiiung housing. Costs include,
but are not limited io, Household eligibility determination, counseling, coordinating services and
obtaining mainstream benefits for Program Participants, monitoring Program Participant
Supportive Services Agceement — Exhibits Page 22 of S�t
progress, providing safety plaruling for persons under VAWA, developing a housing and service
plan, and entry into HMIS or ai1 HMIS-comparable database.
Supportive Services Agreement — �lhibits
Page 23 of 54
EXHIBIT "B"
BUDGET
B-2 Term for TDHCA Contract 1\10. 18226010006
Endin� Au�ust 31, 2022
bmit
ror reimaux
ent by the 15t�' of the month followin� 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 pr�ogr�ccrn fi�r�cl code of time being billed to City /Directions Home. Electronic
time sheets are acceptable but must show c�ccte timestamp of employee submission and
supervisor approval. Paystub must include pay period, date paid, amount and expenses
(salary, FICA, benefits etc). If pay stlibs are unavailable, payroll registries with
applicable expenses highlighted and labeled will sufiice. 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 Reiinbursement Request with
the exception of the iirst 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 checics. If a cancelled checic is not possible, a bai�lc statement with the eYpense
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 inade, new allocation documentation submitted with
invoice.
For the audit, banlc statements showing payments, Forin 941 s and allocation
documentation will be reviewed.
Supportive Services Agceement — Exhibits Page 24 of 54
___ _. _ __ _ _
PROGRAI�I CO�TS j Total $144,156.00
A. ADIVIII�tISTRATIOlot - SALARIES (By title) �
Accounting Manager
Vice President Public Policy & Govet7unent Affairs
Staff Accountant _ __ __ .
_SALARIES TOTAL: . . __ _ � _ $5,045.00
ADMINI�TRATION - 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 BE101EFITS TOTAL: j $1,105.00
_ _ _ _ I __ _ ,
_ _ __ � __
ADMINISTRATION* TOTAL: $6,150.00
(_ . . _ _ _ __ _
B. HOMELESS ASSISTANCEX* � $103,586.00
- . , - _
i
� _ .
.._
_ .
_ . .
.
C. ESSENTIAL SERVICESYxx $750.00
.. . . _
_ _ �
D. CASE MANAGEMENTx*Xx I . $33,670.00
,
.
! . _
__ . . _ � _
TOTAL PROGRAM COST: __ ( $144,156.00_
XAdministration costs include elnployee coinpensation and related costs for staff performance of
management, reporting and accounting of HHSP activities, including office space. Costs
associated with the purchase of licensing of HMIS or an HMIS-comparable databases are eligible
administrative costs.
XxHomeless Assistance costs are associated with housing relocation, stabilization and assistance
costs. Staff time entering inforination into HMIS or an HMIS-comparable database related to
homeless assistance is also an eligible cost, Homeless assistance costs include, but are not linuted
to, hotel or motel costs; transitional housuig; rental and utility assistance; rental arrears; utility
reconnection fees; reasonable and customary security and utility deposits; and moving costs.
xX� Essential services costs are associated with finding and maintaining stable housing; and
include, but are not limited to, costs for: oirt-patient medical seivices, child care, education
services, legal services, mental health services, local transportation �ssistance, and drug asld
alcohol rehabilitation a11d job training.
SLipportive Services Agreenlent — E�hibits Page 25 of 54
Yxxx Case management costs include staff salaries related to assessing, arranging, coordinating
and moniioriug the deliveiy of services related to finding or maintaining housing. Costs inchtde,
but are not limited to, Household eligibility deterrnination, counseling, coordinating services and
obtaining mainstreain beneiits for Program Participants, monitoring Program Participant
progress, providing safety planning for persons under VAWA, developing a housing and service
plan, and entry into HMIS or an HMIS-comparable database.
Supportive Services Agi•een�ent — E�hibits Page 26 of 54
EXHIBIT "C"
REIMBURSEMEI+IT REQUEST FORM
Expenses Name of employee or Amount Date Checic
client Invoiced No.
Expense: Personnel
Salary
Salary
Salary
Salai•y Total:
FICA (Medicare/Social Security)
FICA (Medicare/Social Secut•ity)
FICA (Medicare/Social Security)
Health Insm•ance
Health Insurance
Health Insurance
Dental Insurance
Dental Insurance
Dental Insurance
Life Insui•ance
Life Insurance
LifeInsurance
Disability Insurance
Disability Instu•ance
Disability Insurance
Retu�ement
Retuement
Retirement
Unemployment Insurance
Unemployment Insurance
Unemployinent Insurance
Wol•1<ers Compensation
Worlceis Compeiisation
Workers Compensation
Total of all Benefits:
Mileage
Mileage
Mileage
Mileage Total:
Cell phone
Cell phone
Supportive Services Agreement — Eahibits Page 27 of 54
Cell phone
Cell Phone Total:
Type of Client
Ex ense/Vendor
Client Expense Total:
Operations/Vendor:
Operations Total:
Other
Other Total:
Total Invoiced Amount
Attestation
Contractor:
Program:
Name of Person submitting
re ort:
Date Range Covered by this
re ort:
I have reviewed tl�is report and
certify that it is a complete,
accurate, and up-to-date
reflection of the services
rendered under the terms of our
Agreeinent with the City of Fort
Worth.
Signahire:
Total
A B � p E
Budget Category
Admin - Salaries
Admin - Fringe
Benefits
Admin — Other
Essential Services
Case Management
Homeless
Assistance
Other
Total
Total Previous This
Budget Reimbursements Month's
Amount Requested Request
Total Request
to Date (B+D)
Remaining
Balance Available
(A-D)
Supportive Seivices Agreement — Exhibits Page 28 of 54
EXHIBIT "D"
REPORTING FORMS
Quarterly Report
Current Reporting
Quarter
Submitting Agency
Contact Name
Phone Number and
Email
Please include outcome narrative that desci•ibes how measure was accomplished for each
quarter.
Effectiveness Measures and Quarterl " Outcomes '
Measure 1 Agency will serve at least 10 clients with case management and rental assistance
duling the contraCt pellod (In the notes, list the clients' names (iirst initial, last name) who
were approved for rental assistance and case rnanagement each quarter)
Outcome
Measure 2 Of those who eYit the HHSP Youth Project, at least three will maintain housing
for thtee monihs aftei' exit. (In the notes, list the clients' names (first initial, last name) who
exited thi•ee �nonths prior and the milnber who were housed vs. the total numbei• who exited three
months rior
Oactconte
Measure 3 At least 90% of clients will sign a lease within 30 days of program enrollment (In
the notes, list the clients' nalnes (first initial, last name) who leased up and the number leased up
in 30 da s vs. the total number leased u that uarter .
Oactco�ne
Measure 4 Less than 15% of clients will return to homelessness one year after program exit
(List the clients who have exited at least one year ago and whether they returned to homelessness)
O[rtco»2e
I have reviel,t�ed this r•epo�°t and certify thczt the measi�t�•es p���oviclec� crr�e acci�rute a��c�
czppr��opr�iately r^eflect the Di�°ectio»s Home gocals set for�th in� the co��tr•ctct.
Authorized Signatory
Date
Signatoiy Title
Supportive Services Agreement — Exhibits Page 29 of 54
Monthly Report I
Texas Depai•tment of Housing and Community Affairs
Supplemental HHSP Monthly Report Collection Form
Subrecipient or
Vendor Name:
Conh�act
Number:
Contract Term:
HHSP Monthly
Performance R
Total Components
for Persons Enterin
Total Components
for Households
Enterin�
0 Persons Enteri
Households
0 Enterine
Month
Is this report
adjusting a prior
inonth?
If "Yes", what is
the reason for the
adjustment
request?
C�]
0
Suppoi•tive Sei•vices Ag1•eement — E�chibits Page 30 of 54
Persons in at
least one special
Victims of
Domestic
Violence
Unaccompanied
Children (Under
18)
Unaccompanied
Youth (18-24)
Parenting
Children and
Youth (24 and
Children of
Parenting Youth
(Under 18)
Veterans
Essential
Services -
Homeless
0 Pei•sous
Essential
Services - At
0 Risic Peisons
0 I HA Persons
I HP Assistance
0 Persons
Persons Using
Day/Night
0 Shelter
Case
Management-
Homeless
0 Persons
Case
Management-
At Risk
0 Persons
Essential
Services -
Homeless
0 Households
Essential
Services - At
Risk
0 Households
I HA
0 Households
HP
Assistance
0 Households
Households
Using
Day/Night
0 Shelter
Homeless
Persons
Maintained
0 3+ Months
Homeless
Households
Maintained
0 3+ Months
At Risk
Persons
Maintained
0 3+ Months
At Risk
Households
Maintained
0 3+ Months
0
Case
Management-
Homeless
0 Households 0
Case
Management-
At Risk
0 Households 0
I Sheltei• Beds
0 Consh�ucted
Shelter Beds
0 Rehabilitated
Shelter Beds
0 Converted
I TL Beds
0 Consh�ucted
TL Beds
Rehabilitated
TL Beds
Converted
n
�
�
[I;
�
�
Supportive Services Agreement — E�ibits Page 31 of 54
Monthly Report II
If the new Tarrant County Homeless Coalition software system is able to pull data included in
monthly repoi�ts included herein and Directions Hoine staff confirins and agrees in writing, those
reports can be substituted for repol�ts included herein.
Enter all clients on this report.
Name/HMIS Date Date Days to Income at Income at
�p Enrolled Housed Housed Enrollment Discharge
0
,,
Amount
increase
$
$
Y
n -
Y
n -
iJ
n -
Y
n -
�
n -
u
Supportive Services Agreement — Eahibits
Page 32 of 54
n -
Date
discharged Agen
Returns at
3 months
Returns at
6 months
Returns at
1 vr
Date
Returned
Supporiive Services Agreeinent — E��ibits
Page 33 of 54
EXHIBIT "E"
ItEQUEST FOR BUDGET MODIFICATION I'ORM
I hc�ve reviel-ned th�is reqi�est ancl cey°tify tlzat th�e listed modificcrtions crr�e correct.
Authorized Signatoiy
Date
0 Modification Approved
Staff Signature
Title
0 Modification NOT Approved
Date
Page 34 of 54
Suppoi•tive Services Agreement — EYhibits
• All proposed changes must have prior written City approval
EXHIBIT "F"
GRANT REQUIREIVIENTS
Agency must comply with TDHCA regulations contained or referenced in this Exhibit "F"
or Exhibit "G". As Subgrantee, Agency assumes all responsibilities of the City as
subrecipient with the exception of expenditure and performance reporting and drawing funds
through the TDHCA Contract System.
Sections from TDHCA Contract No. 18226010006
Section 6. COST PRINCIPLES, ADMINISTRATIVE REQUIREMENTS, AND AUDIT
REQUIREMENTS
a, COST PRINCIPLES, ADMINISTRATIVE REQUIREMENTS. Except as
expressly modiiied by law or the terms of this Contract, Subrecipient shall comply
with the cost principles and uniform administrative requirements set foi•th in
UGMS. All references therein to "local government" shall be construed to mean
Subrecipient. Subrecipient agrees that if funds are added to this Contract, UGMS
will remain the administrative requirement.
b. AUDIT. In accordance with 10 TAC §1.403(e), if Subrecipient expends
$750,000.00 or more in state awards, or has an outstanding loan balance associated
with state resources of $750,000 or more with continuing compliance requirements,
or a combination thereof must have a Single Audit.
c. COSTS. Department shall not be liable to Subrecipient for certain costs, including
but not limited to costs which:
1. have been reimbuised to Subi•ecipient
reimburseinent to Subrecipient by any
Department;
or are subject to
source other than
2. are not allowable costs, as set forth in the provisions of the HHSP
State Rules and Section 8(B) of tllis Contract;
3. are not strictly in accordance with the terms of this Contract,
including the exhibits;
�
5.
have not been repoi•ted to Depai•tment within the Close-Out Period
of this Contract; or
are not incurred during the Contract Term.
d. ACCESS. Department reserves the right to conduct additional audits of the funds
received andperformances rendered under this Contract, Subrecipient agrees to
permit Department or its authorized representative to audit Subrecipient's records
Page 35 of 54
Supportive Services Agreement — EYhibits
and io obtain any documents materials,or information necessary to facilitate such
audit upon written request by the Department to Subrecipient.
e. SUBAWARDS. The Subrecipient shall include language in any subcontract or
subgrant that provides the Department the ability to directly review, monitor, and/or
audit the operational andfinancial performance and/or records of worlc performed
under this Contract,
f. AUDIT CERTIFICATION FORM. For any fiscal year ending within or
immediately after the Contract Term, Subrecipient must submit an "Audit
Certification Form" (available from the Department) within two (2) months after
the Subrecipient's fiscal year end in accordance with 10 TAC § 1.403.
Section 9. RECORDKEEPING REQUIREMENTS
a. GENERAL, Subrecipient shall comply with all the recordlceeping requireinents and
shall maultaiiifiscal and programmatic records and suppoi�ting documentation for all
expenditures made under this Contract in accordance with the UGMS Section III,
Common Rule: State Uniform AdministrativeRequirements for Grants and Cooperative
Agreeinents, Subpart C—Post Award Requirements, _.42. Subrecipient agrees to
comply with any changes to the UGMS' recordkeeping requirements and 10 TAC §7.8
b. WRITTEN POLICIES AND PROCEDURES. Subrecipient must have written policies
and procedures toensure that sufficient records are established and maintained to enable
a determination that HHSP requirements are being met. The written standards must be
applied consistently for all Program Participants. The written standards must include,
but are not limited to Inclusive Marlcetingas identified in 10 TAC �7.10.
c. PROGRAM PARTICIPANT FILES. In accordance with 10 TAC �7.28(g),
Subrecipient sha11 inaintain Program Participant files, for non-emergency activities
providing direc� subsidy to a Program Participant regardless if the client is directly
receiving the funds:
d. ACCESS TO RECORDS. Subrecipient agrees that Department, the Auditor of the
State of Texas, the Comptroller of the State of Texas, or any of their duly authorized
i•epresentatives, shall have theright to access and to examine and to copy, on or off the
premises of Subrecipient, all boolcs, accounts, records, reports, files, and other papers
or property belonging to or in use by Subrecipient pertaining to this Contract.
Subrecipient agrees to inaintain such records in an accessible location.
e. RECORD RETENTION. Records regarding Program Participant eligibility shall be
retained by Subrecipient for a period of five (5) years. Activities that require a LURA,
must maintaul the records until the eXpiration of the LURA. All other records pertinent
to this Contract shall be retained by Subrecipient for a period of three (3) yeais that
Page 36 of 54
Suppoi•tive Sei•vices Agreement — E��ibits
starts on the day the Single Audit is due or would bedue if the Single Audit requirements
are not triggered, except if any litigaiion, claim, negotiation, audit, monitoring,
inspection or other action has started before the expiration of the required record
retention period. In this case, records must be retained until coinpletion of the action
and resohition of all issues which arise from it, or until the end of the required
recordlceeping period as described herein, whichever is later.
f. OPEN RECORDS. Subrecipient acicnowledges that all information collected,
assembled, or maintained by Subrecipient pertaining to this Contract is subject to the
Texas Public Information Act(Chapter 552 of Texas Government Code) and must
provide citizens, public agencies, and other interested parties with reasonable access to
all records pertaining to this Contract subject to and in accordance with the Texas Public
Information Act.
g. SUBAWARDS. Subrecipient shall include the substance of this Section 9 in all of its
subcontractsand subgrants.
Section 15. SUBAWARDS
a. Subrecipient may not subcontract the primary responsibilities of this Contract, including
but not limited to expenditure and perforinance repoi-ting and drawing fi.inds through the
Contract System.
b. Subrecipient may subcontract or subgrant for the delivery of client assistance without
obtaining Department's prior approvaL HHSP Subrecipient is responsible for ensuring that
subcontractors and Subgrantees adhere to the same program requirements and regulations
as apply to the subrecipient including, but not liinited to having documentation that
Subrecipient checiced the appropriate federal and state records for debarred and suspended
parties in accordance with UGMS Subpai�t C— Post Award Requirements, 35, Subrecipient
must have processes and procedures in place to monitorsubcontractors or subgrantees. Any
subcontract or subgrant for the delivery of client assistance will be subject to monitoring
by the Department pursuant to 10 TAC §7, ll.
a. Subrecipient will notify the Department and provide contact information for subgrants or
subcontractors within thirty (30) calendar days of the effective date of subcontract. Contact
information for the entities with which the Subrecipient subgrants or subcontracts must be
providedto the Department, inchiding; organization name, naine and title of authorized
person who entered into the subgrant or subcontract, phone number, e-mail address, and
type of services provided.
b. In no event shall any provision of this Section be construed as relieving Subrecipient of the
Page 37 of 54
Supportive Services Agi•een7ent — Exhibits
responsibility for ensuring that the performances under all subcontracts and subgrants are
renderedso as to comply with all of the terms of this Contract, as if such performances
rendered were rendered by Sub�•ecipient, Department maintains the right to monitor and
require Subrecipient's full compliance with the terms of this Contract. Department's
approval under this Section does not waive any right of action which may exist or which
may subsequently accrue to Department under this Contract.
SECTION 25. CONFLICT OF INTEREST
a. Subrecipient shall maintain written standards of conduct governing the performance of its
employees engaged in the award and administration of contracts. Failure to inaintain
written standards of conduct and to follow and enforce the written standards is a condition
of default underthis Contract and may result in termination of the Contract or deobligation
of funds.
b. No employee, officer, or agent of Subrecipient shall participate in the selection, award, or
administration of a contract supported by federal funds if a real or apparent conflict of
interest would be involved. Such a conflict would arise when the employee, officer, or
agent, any member ofhis or her immediate family, his or her partner, or an organization
which employs or is about to employ alry of the Parties indicated herein, has a financial or
other interest in the firm selected for an award.
c. The officers, employees, and agents of the Subrecipient shall neither solicit nor accept
gratuities, favors, or anything of monetary value fi•om contractors, or parties to
subagreeznents. Subrecipients may set standards for situations in which the financial
interest is not substantial or the gift is an unsolicited item of nominal value. The standards
of conduct sha11 provide for disciplinary actions to be applied for violations of such
standards by officers, einployees, or agents of the Subrecipient
d. The provision of any type or amount of HHSP assistance may not be conditioned
on an individual's or family's acceptance or occupancy of emergency shelter or
housing owned by the Subrecipient, Subgrantee or a parent or subsidiary of the
Subrecipient.
e. No Subrecipient may, with respect to individuals or families occupying housing
owned by the Subrecipient, or any parent or subsidiary of the Subrecipient, carry
out the initial intalce requued forProgram Participant files under Seciion 9(C) of
this Contract \
f. For transactions and activities other than the procurement of goods and services, no
officers, employees, and agents, including consultants, ofiicers, or elected or appointed
officials of the Subrecipient, Subgrantee, or subcontractor who exercises or has exercised
any functions or responsibilities with respect to activities assisted under HHSP contracts,
or who is in a position toparticipate in a decision-malcing process or gain inside information
with regard to activities assisted under the program, may obtain a financial interest or
benefit from an assisted activity; have a financial interest in any contract, subcontract, or
Page 38 of 54
Supportive Services Agreement — Exhibits
agreeinent with respect to an assisted activity; or have a financial interest in the proceeds
derived fi•om an assisted activity, either for him or herself or for those with whom he or she
has fanuly or business iies, during his or her ienure or during the one-year period following
his or her tenure
SECTIOI�127. NONDISCRIIVIINATION, FAIR HOUSING, EQUAL ACCESS AI�D
EQUAL OPPORTUNITY
a. NON-DISCRIMINATION. A person shall not be excluded from participation in, be denied
the benefits of, be subjected to discrimination under, or be denied employment in the
administration ofor in connection with any prograin or activity funded in whole or in part
with funds made available under this Contract, on the grounds of race, color, religion, sex,
national origin, age, or disability,
b. EQUAL OPPORTLTNITY. Subrecipient agrees to carry out an Equal Employment
OpportunityProgram in lceeping with the principles as provided in President's Executive
Order 11246 of
September 24, 1965. Subrecipient must comply with the Equal Opportunity in Housing
(Executive Order 11063 as amended by Executive Order 12259) and it implementing
regulations at 24 CFR Pai-t 107
c. ACCESSIBILITY AND FAIR HOUSING. Subrecipient must meet the accessibility
standards and fair housing requirements under (i) Section 504 of the Rehabilitation Act of
1973 (5 U.S.C. §794) and itsimplementing regulations at 24 CFR Part 8, (ii) the Fair
Housing Act (42 U.S.C. §3601 et seq.) as implemented by HUD at 24 CFR Parts 100-115,
24 CFR §92.250, 24 CFR §92.202 and 24 CFR
§5.105(a), (iii) Texas Fair Housing Act (Chapter 301 of the Texas Property Code), (iv)
Title VI of the Civil Rights Act of 1964, as amended (42 U.S.C. �2000d et seq.), and
irnplementing regulations at 24 C.F.R. Part 1, and (v) Titles II and III of the Americans
with Disabilities Act of 1990 (42 U.S.C.
§§12131-12189; 47 U.S.C. §�155, 201, 218 and 255) as implemented by U. S. Depai•tment
of Justiceat 28 CFR Parts 35 and 36.
d. REASONABLE ACCOMODATIONS. Subrecipients shall operate each prograin or
activity receivingHHSP financial assistance so that the program or activity, when viewed
in its entirety, is readily accessible and usable by individuals wiih disabilities.
Subrecipients are also required to provide reasonable accommodations for persons with
disabilities.
e. GENERAL. Subrecipient shall make lalown that use of the facilities and services funded
Lulder this Connact are available to all on a nondiscriminatory basis. Subrecipient also must
adopt and implement procedures designed to malce available to interested persons
information concerning the existence and location of services and facilities that are
accessible to persons with a disability.
Page 39 of 54
Supportive Seivices Agreement — Exhibits
£ SUBCONTRACTS. Subrecipient shall include the substance of this Section 27 in all of
itssubcontracts and subgrants.
SECTION 2�.DEBAItRED AND SUSPENDED PARTIES
By signing this Contract, Subrecipient certifies that neither it nor its current principal
employees, board members, agents, or contractors are presently debarred, suspended, proposed
for debarment, declared ineligible, or voluntarily excluded by any federal department or
agency as provided in the Certiiication Regarding Debarment, Suspension and Other
Responsibility Matters attached hereto as Addendum C and incoiporated herein for all relevant
purposes. The terms "covered trailsaction", "debai7ed", "suspended", "ineligible", "lower tier
covered transaction", "pai�ticipant", "person", "primary covered transaction", "principal",
"proposal", and "voluntarily excluded", as used in the certification attached as Addendum C,
have the meaning set out in the Definitions and Coverage sections of rules implementing
Executive Order 12549. Subrecipient also certiiies that it will not award any funds provided
by this Contract to any person who is proposed for debarment under 48 CFR Pai�t 9, subpart
9.4 or that is debarred, suspended, or otherwise excluded from or ineligible for participation in
federal assistance programs under Executive Order 12549. Subrecipient agrees that, prior to
entering into any agreement with a potential subcontractors procured by Subr•ecipient or prior
to awarding funds under this Contract to a potential subgrantee, that the verification pr•ocess to
comply with this requirement will be accomplished by checking the System for Award
Management ("SAM") at www.sam.gov and including a copy of the results in its project files.
Subrecipient may decide the frequency by which it deterinines the eligibility of its
subcontractors. Subrecipient may rely upon a certification of a prospective subcontractor that
is not proposed for debarment under 48 CFR Pai�t 9, subpart 9.4, debarred, suspended,
ineligible, or voluntarily excluded from the covered transaction, unless Subrecipient lcnows
that the certification iserroneous. Faihire of Subrecipient to furnish the certification attached
hereto as Addendum C or an explanation of why it cannot provide said certification shall
disqualify Subrecipient from participationunder this Contract. The certification or explanation
will be considered in connection with the Department's determination whether to continue with
this Contract. Subrecipient shall provide immediate written notice to Department if at any time
Subrecipient learns that the certification was erroneous when submitted or has become
erroneous by reason of changed circumstances. Subrecipientfiu•ther agrees by executing this
Contract that it will include the certiiication provision titled "Certification Regarding
Debarment, Suspension, Ineligibility and Voluntary Exclusive-Subcontracts," as set out in
Addendum C, without modification, and this language under this Section 28, in all its
subawards.
Page 40 of 54
Suppoi•tive Services Agreement — Exhibits
Trafiicl�ing Section 106(g) of the Trafficl�ing Victims Protection Act of 2000 as amended
(22 U.S.C.7104)
�7104. Prevention of hafficldng
(cr) Ecorrorr��ic c�lte�°natives to prevent and deter� t�°cafficl�ing
The President shall establish and carry out international initiatives to enhance econoinic opportunity for
potential victims of trafficicing as a method to deter trafficicing. Such initiatives may include—
(1) microcredit lending programs, training in business development, slcills training, and job counseling;
(2) programs to promote women's participation in economic decision inalcing;
(3) programs to keep children, especially girls, in elementary and secondaiy schools, and to educate
persons who have been victims of trafficicing;
(4) development of educational curricula regarding the dangers of trafficicing; and
(5) grants to nongovernmental organizations to accelerate and advance the political, economic, social,
and educational roles and capacities of women in their countries.
(b) Publr.'c alvcn°eness crr�d infor�rnatzon
(1) In ge���er�al
The President, acting through the Secretary of Labor, the Secretary of Health and Human Services, the
Attorney General, and the Secretary of State, shall establish and cai7y out programs to increase public
awal�eness, pai�ticularly among potential victims of trafiicicing, of the dangers of trafficicing and the
protections that are available for victims of trafficicing.
(2) G��crnts to assist in tl�e r°ecognition of t�°crfficicing
(A) Definitions
In this paragraph:
(i) ESEA ter•n�s
The terms elementaiy school", "local educational agency",
ha�e the meanings given the terms in section 7801 of title 20.
trafficking.
"other staff', and "secondary school"
(ii) High-inter�sit�� ch�ilcl sex h°a�cki���g crrea
The term high-intensity child sex trafficicing area" means a metropolitan area designated by the
��
Director of the Federal Blueau of Investigation as having a high rate of children involved in sex
(zti) L�abo��° t�°a�cking
The term "labor trafficking" means conduct described in section 7102(9)(B) i of this title.
(zv) School staff
The term "school staff' means teachers, nurses, school leaders and administrators, and other staff
at elementary schools and secondary schools.
(v) Sex t�°afficlzr.�rg
The term "sex trafiicicing" means the conduct described in section 7102(9)(A) 1 of this title.
Page 41 of 54
Supportive Services Agree�nent — Eahibits
(B) h2 genei^ul
The Secretary of Health and Human Services, in consultation with the Secretary of Education and
the Secretary of Labor, may award grants to local educational agencies, in partnership with a nonprofit,
nongovermnental agency, to establish, expand, and support programs—
(i) to educate school staff to recognize and respond to signs of labor trafficicing and sex trafficicing;
and
(ii) to provide age-appropriate information to students on how to avoid becoming victims of labor
irafficicing and sex trafficicing.
(C) Pr•og�°c��n r�elitif°ements
Ainounts awarded under this paragraph shall be used for
(i) education regarding—
(I) avoiding becoming victims of labor trafficicing and sex trafficking;
(II) indicators that an individual is a victim or potential victim of labor trafficking or sex
t�afficl�ing;
(III) options and procedures for refet-�ing such an individual, as appropriate, to information on
such trafficl�ing and seivices available for victims of such nafficicing;
(IV) reporting requirements and procedures in accordance with applicable Federal and State
law; and
(V) how to carry out activities authorized under subparagraph (A)(ii); and
(ii) a plan, developed and implemented in consultation with local law enforcement agencies, to
ensure the safety of school staff and students reporting such trafficicing.
(D) PJ^ioi^it��
In awarding gi•ants under this paragraph, the Secretary shall give priority to local educaiional agencies
serving a high-intensity child sex trafficicing area.
(c) Bord.er• zr7te�°diction �
The President shall establish and carry out programs of border interdiction outside the United States. Such
programs shall include providing grants to foreign nongoverrunental organizations that provide for transit
shelters operating at key border crossings and that help train survivors of trafiicicing in persons to educate
and train border guards and officials, and other• local law enforcement officials, to identify ti•afficicers and
victims of severe forms of trafiicicing, and the appropriate manner in which to treat such victims. Such
programs shall also include, to the extent appropriate, monitoring by such survivors of trafficking in persons
of the implementation of border interdiction programs, including helping in the identiiication of such victims
to stop the cross-border transit of victims. The President shall ensure that any program established under this
subsection provides the opportunity for any trafficicing victim who is fi•eed to return to his or her previous
residence if the victiin so chooses.
(d) b��ter°ncrtioncrl n��edia
The President shall establish and carry out programs that support the production of television and radio
programs, including documentaries, to inform vulnerable populations overseas of the dangers of trafficicing,
and to inerease awareness of the public in countries of destination regarding the slave-lilce practices and
other human rights abuses involved in traffielcing, ineluding fostering linlcages between individuals worlcing
in the media in different countries to determine the best methods for informing such populations through
such media.
Page 42 of 54
Suppoi•tive Seivices Agreement — Etihibits
(e) Com�batir2g inter�nationc[I sex toz[r�ism.
(1) Development and disse�ni��cltion of rr��crterials
The Pr•esident, pursuant to such regulations as may be prescribed, shall ensure that materials are
developed and disseminated to alert tra�elers that sex tourism (as described in subsections (b) tluough (fl
of section 2423 of title 18) is illegal, will be prosecuted, and presents dangers to those involved. Such
materials shall be disseminated to individuals traveling to foz•eign destinations where the President
determines that sex tourism is signiiicant.
(2) Nlonito���ing of complia»�ce
The President shall monitor compliance with the requirements of paragraph (1).
(3) Feasibilit�� r�epo�°t
Not later than 180 days after December 19, 2003, the P�•esident shall transmit to the Coinmittee on
International Relations of the House of Representatives and the Corrunittee on Foreign Affairs of the
Senate a report that describes the feasibility of such United States Governrrient inaterials being
disseminated through public-private partnerships to individuals traveling to foreign destinations.
(� Conszrltation req�ir•em�e���t
The President shall consult with appropriate nongovernmental organizations with respect to the
establishnient and conduct of initiatives and programs described in subsections (a) tluough (e).
(g) Termznatio��. of cey°tcrin g�°unts, co�2tr°czcts and cooper��ati��e ag�°een2en�ts
The President shall ensure that any grant, contract, or cooperative agreement provided or entered into by
a Federal department or agency under which fitnds are to be provided to a private entity, in whole or in pai�t,
shall include a condition that authorizes the department or agency to terminate the grant, contract, or
cooperative agreement, or talce any of the other remedial actions authorized under section 7104b(c) of this
title, without penalty, if the graniee or any subgrantee, or the contractor or any subcontractor, engages in, or
uses labor recruiters, brolcers, or oiher agents who engage in—
(1) severe forms of trafiicicing in persons;
(2) the procurement of a commercial sex act during the period of time that the grant, contract, or
cooperative agreement is in effect;
(3) the use of forced labor in the performance of the grant, contract, or cooperative agreement; or
(4) acts that directly support or advance trafficicing in persons, including the following acts:
(A) Destroying, concealing, removing, confiscating, or otherwise denying an employee access to that
employee's identity or immigration documents.
(B) Failing to provide return transportation or pay for return transportation costs to an employee from
a country outside the United States to the country from which the employee was recruited upon the end
of employment if requested by the employee, unless—
(i) exempted froin the requirement to provide or pay for such return transpo�-tation by the Federal
department or agency providing or entering into the gr•ant, contract, or cooperative agreement; or
(ii) the employee is a victim of human traificking seelcing victim services or legal redress in the
country of employment or a witness in a human trafficicing enforcement action.
(C) Soliciting a person for ihe purpose of employment, or offering employment, by means of
materially false or fiaudulent pretenses, representations, or promises r•egarding that employment.
(D) Charging recruited employees placement or recruitment fees.
(E) Providing or arranging housing that fails to ineet the host country housing and safety standards.
Page 43 of 54
Supportive Services Agreement — Exhibits
(l�) Pr•evention of'tr�afficlzzng in cor�jir��ction 1-nit1� post-conflict and hziman�itca�°icrn. e�nergen�cy assistc�nce
The United States Agency for International Development, the Department of State, and the Department
of Defense shall incorporate anti-trafiicking and protection measures for vulnerable populations, particularly
women and children, into their post-conflict and humanitarian emergency assistance and program activities.
(i) Aclditioncrl �r�.ec�sit�°es to pr�eve�zt anc� deter• tr•uff clzir�g
The President shall establish and cai7y out programs to prevent and deter h•afficicing in persons,
including—
(1) technical assistance and other support to improve the capacity of foreign governments to investigate,
identify, and cariy out inspections of private entities, including labor recruitment centers, at which
trafficicing victinzs may be exploited, particularly exploitation involving forced and child labor;
(2) technical assistance and other support for fo�•eign governments and nongovernmental organizations
to provide immigrant populations with information, in the native languages of the maj or immigrant groups
of such populations, regarding the rights of such populations in the foreign country and local in-country
nongoverrunental organization-operated hotlines;
(3) technical assistance to provide legal frameworlcs and other programs to foreign governments and
nongovernmental organizations to ensure that—
(A) foreign nugrant worlcers are provided the saine protection as nationals of the foreign country;
(B) labor recruitment firms are regulated; and
(C) worlcers providing domestic seivices in households are provided protection under labor rights
laws; and
(4) assistance to foreign governments to register vulnerable populations as citizens or nationals of the
country to reduce the ability of trafficicers to exploit such populations.
(j) P�°evention of chzld t�°afficl�ir�.g th�r�oitgh chzld nza�°r°ictge
The Secretary of State shall establish and implement a multi-year, multi-sectoral strategy—
(1) to prevent child marriage;
(2) to promote the empowerment of giris at rislc of child marriage in developing countries;
(3) that should address the unique needs, vltlnerabilities, and potential of girls younger than 18 years of
age in developing countries;
(4) that targets areas in developing countries with high prevalence of child marriage; and
(5) that includes diplomatic and programmatic initiatives.
(k) Agency cactio�z to p�°event firndirrg of hi�rnan tr�cr�cl�ing
(1) In gene�°ccl
At the end of each fiscal year, the Secretaly of State, the Secretary of Labor, the Administrator of the
United States Agency for International Developinent, and the Director of the Ofiice of Management and
Budget shall each submit a report to the Adminishator of General Seivices that illchides—
(A) the name and contact information of the uidividual within the agency's Office of Legal Counsel
or Office of Acquisition Policy who is responsible for overseeing the implementation of—
(i) subsection (g);
(ii) title XVII of t11e National Defense Authorization Act for Fiscal Year 2013 (22 U.S.C. 7104a
et seq.); and
(iii) any regulation in the Federal Acquisition Regulation (48 C.F.R. 1 et seq.) that is related to any
subject matter referred to in clause (i) or (ii);
Page 44 of 54
Supportive Services A��eement — EYhibits
(B) agency action to ensure that contractors are educated on the applicable laws and regulations listed
in subparagraph (A);
(C) agency action to ensure that the acquisition workforce and agency officials understand
implementation of the laws and regulations listed in subparagraph (A), including best practices for—
(i) ensuring compliance with such laws and regulations;
(ii) assessing the serious, repeated, willful, or pervasive nature of any violation of such laws or
regulations; and
(iii) evahiating steps contractois ha�e talcen to correct any such violation;
(D)(i) the number of contracts containing language referring to the laws and regulations listed in
subparagraph (A); and
(ii) the number of contracts that did not contain any language referring to such laws and regulations;
(E)(i) the number of allegations of severe forms of trafficking in persons received; and
(ii) the source type of the allegation (such as contractor, subcontractor, employee of contractor or
subcont�acior, or an individual outside of the contract);
(F)(i) the number of such allegations investigated by the agency;
(ii) a summary of any findings from such investigations; and
(iii) any improvements recommended by the agency to prevent such conduct fi•om recurring;
(G)(i) the number of such allegations referred to the Attorney General for prosecution under section
3271 of title 18; and
(ii) the outcomes of such referrals;
(H) any remedial action talcen as a result of such investigation, including whether—
(i) a contractor or subcontractor (at any tier) was debarred or suspended due to a violation of a law
or regulation relating to severe forms of trafficicing in persons; or
(ii) a contract was terininated pursuant to subsection (g) as a result of such violation;
(I) any other assistance offered to agency contractors to ensure compliance with a law or regulation
relating to severe forms of trafiicicing in persons;
(J) any interagency meetings or data sharing regarding suspended or disbarred contractors or
subcontractors (at any tier) for severe forms of trafficicing in persons; and
(K) any contract with a contractor or subcontractor (at any tier) located outside the United States and
the country location, where safe to reveal location, for each such contractor or subcontractor.
(2) App���opriate con.g�°essioncrl comnzittees
In this subsection, the term "appropriate congressional coinmittees" ineans—
(A) the Committee on Foreign Affairs of the House of Representatives;
(B) the Coinmittee on Armed Services of the House of Representatives;
(C) the Committee on Education and the Worlcforce of the House of Representatives;
(D) the Cormnittee on the Judiciary of the House of Representatives;
(E) the Committee on Oversight and Governtnent Reform of the House of Representatives;
(F) the Committee on Foreign Relations of the Senate;
(G) the Committee on Armed Services of the Senate;
(H) the Committee on the Judiciaiy of the Senate; and
Page 45 of 54
Supportive Services Agreement — E�hibits
(I) the Coininittee on Health, Education, Labor, and Pensions of the Senate.
(l) hzfor•mation r�egctrc�in�g I�.t�r��Un tr°ctffr.c7�inga°elcrted visc� den�icrls
(1) h�. gene�•al
The Secretary of State shall ensure that the Office to Monitor and Combat Trafficicing in Persons and
the Bureau of Diplomatic Security of the Department of State receive timely and regular information
regarding United States visa denials based, in whole or in part, on grounds related to huinan trafficicing.
(2) Decisao��s �°egarc�ing c�lloccrtion.
The Secretary of State shall ensure that decisions regarding the allocation of resources of the
Department of State related to combating human trafficicing and to law enforcement presence at United
States diplomatic and consular posts appropriately talce into account—
(A) the infoi�rnation described in paragraph (1); and
(B) the information included in the most recent report submitted in accordance with section 7107(b)
of this title.
Personal Responsibility and Work Opportunity Act of 1996
By executing this agreement, Agency agrees it will comply with the following:
If an individual is applying for HHSP funds, a Subrecipient must verify thai the individual applying for
HHSP funds is a qualified recipient for funding under the Personal Responsibilityand Work Opportunity
Act of 1996 (I l PRWORA 11 Pub. L. 104'-193, 110 Stat. 2105, codified at 8 U.S.C.
§1601 et. seq., as amended by the Omnibus Appropriations Act, 1997, Pub. L. 104-208.
To ensure that a non-qualified applicant does not receive "public benefits," a political subdivision that
administers "public benefit programs" is required to determine, and to verify, the individual's alienage status
before granting eligibility. 8 U,S.C. �1642 (a) and (b). Subrecipient must use the SAVE verificationsystem
to verify and document qualified alien eligibility once access to the system is provided by the Department.
There are certain types of assistance that are not subject to the Act's restriction on access to public benefits
based on iminigration status. This includes activities that: (1) deliver in-lcind services at the community
level, (2) are necessary for the protection of life or safety, and (3) do not condition the provision of
assistance on the applicant's income or resources. Generally, under the HHSP State Rules, an activity that
provides a public benefit to a Household that is Homeless is exempt, while an activity that is provided to a
Household that is At-Rislc of Homelessness is not exempt. However, if Subrecipient has adopted income-
based criteria for the provision of assistance, than that activity may be subject to the Act. Yet, some
activities do not provide a public benefit to a Household such as a case manager perforining a Household
eligibility determination or purchase of an HMIS database. Section 401(b)(1)(C) of the PRWORA also
exempts "public health assistance for iinmunizations with respect to immunizable diseases and for testing
and treatment of symptoms of communicable diseases whether or not such symptoms are caused by a
communicable disease."
Page 46 of 54
Supportive Seivices Agreement — Exhibits
If Subrecipient is unsure of whether or not an activity is exernpt from the Act, it should contact the
Department before beginning the activity to receive a written deterinination
CERTIFICATION REGARDING USE OF THE SYSTEMATIC ALIEN VERIFICATION FOR ENTITLEMENTS (SAVE)
SYSTEM
Subrecipient shall:
System Use
Establish the identity of the applicants and require each applicant to present the applicant's immigration or
naturalization documenlation that contains the information (e.g., alien registration number) required by the
SAVE Program;
Physically examine the documentation presented by the applicant and determine whetherthe document(s)
reasonably appear(s) to be genuine and to relate to the individual;
Provide to the SAVE Program the infoi7nation the SAVE Program requires to respond to Subrecipient
requests for vei•ification of iminigration or naturalized or derived citizenship status information, including
(1) information from the applicant's iinmigration or naturalization documentation for initial autoinated
verification, (2) additional infoi7nation obtained from the alien's immigration or naturalization
documentation for automated additional verification, and
(3) completed Forms G-845 and other documents and information required for manual additional
verification. For manual only verification, ensure that Forrns G-845 and other documents and inforination
required for manual verification are provided;
Ensure that, prior to using the Veriiication Information System, all employees designated by Subrecipient to
use SAVE on behalf of the Subrecipient (Users) perforining verification procedLires complete SAVE
required training including: reading the SAVE Prograin Guide, talcing the latest version of Web tutorial(s),
http://www.uscis.gov/save/what-save/save-webinars, and maintaining a worlcing knowledge of requirements
contained therein and in this Contract as updated. Documentation of training must be maintained by the
Subrecipient for monitoring review;
Ensure that Users are
verification procedures;
provided with and maintain User lds only while they have a need to perform
Ensure all Users performing veriiication procedures comply with all requirements containedin the SAVE
Program Guide, web-based tutorial, this Contract, and updates to these requirements;
Ensure that all Users performing verification procedures ha�e contact information for the SAVE Program
and SAVE Monitoring and Coinpliance. Contact information can be found at
http://www.uscis.gov/portal/sitehiscis/menuitem.eb 1 d4c2a3 e5b9ac89243 c6a7543 f6d 1 a/?vgne
xtoid=0d37dffd79029310VgnVCM100000082ca 60aRCRD&vgnextcha nne1=0d37dffd79029310Vg
nVCM100000082ca60aRCRD
Page 47 of 54
Supportive Services Agreement — Exhibits
Ensure all Users perform any additional verification procedures the SAVE Program requires and/or the
applicant requests after the Subrecipient initiates a request for verification;
Use any information provided by DHS-USCIS under this Contract solely for the purpose of deterinining the
eligibility of persons applying for the benefit issued by the Subrecipient and limit use of such information
in accordance with this and a11 other provisions of this Contrac�
Comply with the requirements of the Federal Information Security Management Act ("FISMA") (PL-107-
347), Title Ill, Section 301 and OMB guidance as applicable to elect�•onic siorage, transport of records between
agencies, and the internal processing of records received by either agency under the terms of this Contract;
Safeguard such information and access methods to ensure that it is not used for any other purpose than
described in this Contract and protect its confidentiality; including ensuring that it is not disclosed to any
unauthorized person(s) witholrt the prior written consent of DHS-USCIS. Each applicant seeing access to
information regarding him/herself may do so by submitting a written signed request to DHS-USCIS.
Instructions for submitting request may be found at
http://www.uscis.gov/USCIS/Vei•ification/SAVE/SAVE_Native_Docu
i7ectYourRecordswithUSCIS.pdf (subject to revision and reposting
Resources);
ments/Fact Sheet HowToCo
on the SAVE Website and Online
Comply with the Privacy Act, 5 U,S.C. §552a, the Texas Public Information Act and other applicable laws,
regulations, and policies, including but not limited to al10MB and DHS privacy guidance, in conducting
verification procedures pursuant to this Contract, and in safeguarding,maintaining, and disclosing any data
provided or received pursuant to the Contract;
Comply with federal laws prohibiting discrimination against applicants and discriminatory use of the SAVE
Program based upon the national origin, color, race, gender, religion, or disability of the applicant;
Provide all beneiit-applicants who are denied benefits based solely or in part on the SAVE response with
adequate written notice of the denial and the information necessaly to contact DHS-USCIS so that such
individual may correct their records in a timely manner, if necessary. A Fact Sheet that includes the process
by which applicants may contact DHS-USCIS is posted at
http://www.uscis.gov/USCISlVerification/SAVE/SAVE Native_Documents/Fact Sheet HowToCo
rrectYourRecordswithUSCIS,pdf, (subject to revision and reposting on the SAVE Website and Online
Resources);
Provide all benefit-applicants who are denied benefits based solely or in part on the SAVE response with the
opportunity to use the Subrecipient's existing process to appeal the denial and to contact DHS-USCIS to
correct their records prior to a final decision, if necessasy; and
Refiain fiom using SAVE, or assisting any person or entity, to comply with the employment eligibility
verification requirements of Section 274A of the Immigration and Nationality Act, 8
U,S,C. §1324a.
Monitoring and Compliance.
Page 48 of 54
Suppoi•tive Services Agreement — Exhibits
Allow Department and SAVE Monitoring and Compliance to monitor and review all records and documents
related to the use, abuse, misuse, fraudulent use or improper use of SAVE by the Subrecipient, including,
but not limited to original applicant consent documents required by the Privacy Act, 5 U.S.C, §552a or
other applicable authority;
Notify the Depai-tment's Compliance Division immediately whenever there is reason to believe a violation
of this agreement has occurred;
Notify the Department's Compliance Division immediately whenever there is reason to believe an
information breach has occurred as a result of User or Subrecipient action or inaction pursuant to Office of
Management and Budget (OMB) Memorandum M-07-16, "Safeguarding Against and Responding to the
Breach of Personally Identifiable Information;"
Allow Depai-tment and SAVE Monitoring and Compliance to monitor and review all recordsand documents
related to the use, abuse, misuse, fiaudulent use or improper use of SAVE by any User, including, but not
limited to original applicant consent docuinents required by the Privacy Act, 5 U.S.C. §552a or other
applicable authority;
Allow Department and SAVE Monitoring and Compliance to conduct desk audits and/or sitevisits to review
Subrecipient's compliance with this Addendum D and all other SAVE-related policy, procedures, guidance
and law applicable to conducting verification and safeguarding, maintaining, and disclosing any data
provided or received pursuant to this Contract;
Allow Departinent and SAVE Monitoring and Compliance to perform audits of Subrecipient's User lds use
and access, SAVE Training Records, SAVE financial records, SAVE biographical information, system profiles
and usage patterns and other relevant data;
Allow Department and SAVE Monitoring and Compliance to interview any and a11 Users and any and all
contact persons or other personnel within the Subrecipient's organization or relevant contractors regarding
any and all questions or problems which inay arise in connectionwith t11e Subrecipient's pai-ticipation in
SAVE;
Allow Department and SAVE Morutoring and Compliance to monitor system access and usage and to assist
SAVE users as necessary to ensure compliance with the terms of this Addendum D and the SAVE Program
requirements by its authorized agents or designees; and
Talce coi-��ective measures in a timely manner to address all lawful requirements and recommendations on
every written finding including but not limited to those of the Departmentor SAVE Monitoring and
Compliance regarding waste, fiaud, and abuse, and discrimination or any misuse of the system, non-
compliance with the terins, conditions and safeguards of this Addendum D, SAVE Program procedures or
other applicable law, regulation or policy.
Criminal Penalties.
DHS-USCIS reserves the right to use information from the Department or Subrecipient forany purpose
permitted by law, including, but not limited to, the prosecution of violations of Federal adininistrative
or criminal law.
Page 49 of 54
Supportive Services Agi•eement — E�hibits
The Subrecipient acicnowledges that the information it receives from DHS-USCIS is governed by the Privacy
Act, 5 U.S.C. �552a(i)(1 }, and that any person who obtains this information under false pretenses or uses it
for any purpose other than as provided for in this Contract may be subject to criminal penalties.
Third Pai-ty Liability.
Each party to this Contract shall be solely responsible for its own defense against any claimor action by third
parties arising out of or related to the execution and/or perforrnance of this Contract, whether civil or
criminal, and retain responsibility for the payinent of any corresponding liability.
Nothing in this Contract is intended, or should be construed, to create any right or benefit, substantive or•
procedural, enforceable at law by any third party against the United States, its agencies, officers, or
employees, the State of Texas, its agencies, officers, or employees, or the Subrecipient.
Page 50 of 54
Supportive Services Agreement — E�hibits
EXAIBIT "G"
EXECUTED COl�tTRACT BETWEEN TEXAS DEPARTMENT OF HOU�ING AND
COMMUNITY AFFAIRS AND THE CITY
Page 51 of 54
Supportive Services Agreement — E�hibits
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
TEXAS DEPARTMENT OF HOUSING AND COMMUNITY AFFAIRS
FY 2022 TEXAS HOMELESS HOUSING AND SERVICES PROGRAM
YOUTH SET-ASIDE
GENERALREVENUE
CONTRACT NUMBER 18226010006
WITH
City of Fort Worth,
a political subdivision of the State of Texas
SECTION 1. PARTIES TO THE CONTRACT
This 2022 Texas Homeless Housing and Services Program ("HHSP") Youth Set-Aside Contract Number
18226010006 ("Contract") is made by and between the Texas Department of Housing and Community
Affairs, a public and official agency of the State of Texas ("Department"), and City of Fort Worth, a political
subdivision of the State of Texas ("Subrecipient").
SECTION 2. CONTRACT TERM FOR PERFORMANCE AND CLOSE-OUT PROCESS
This Contract shall commence on September 1, 2021 and, unless earlier terminated as provided herein,
terminate as follows: (1) the Subrecipient is permitted to incur allowable expenses under this Contract
until August 31, 2022 ("Contract Term"), and (2) the Department's obligations under the Contract upon
the completion of Subrecipient's perFormance shall end on November 14, 2022, and is conditioned on the
Subrecipient's successful completion of the terms herein ("Close-Out Process").
SECTION 3. SUBRECIPIENT PERFORMANCE
A. Subrecipient agrees to administer a HHSP award in accordance with, but not limited to, Section
2306.2585 of the Texas Government Code (hereafter, "State Act"), Rider 16 from Tex. H.B. 1, Article
VII, 86th Leg., R.S. (2019)("Rider 16"), and the implementing rules under Title 10, Part 1, Chapter 1,
Chapter 2, and Subchapters A and B of Chapter 7, of the Texas Administrative Code ("HHSP State
Rules"), and representations made as part of the Previous Participation and Executive Award Process.
B. Subrecipient agrees to perform all activities in accordance with the terms of the Performance
Statement attached hereto as Exhibit A and the Budget attached hereto as Exhibit B. Subrecipient
further agrees to comply with the Certification Regarding Lobbying for Contracts, Grants, Loans, and
Cooperative Agreements attached hereto as Addendum A; the Certification Regarding Drug-Free
Workplace Requirements attached hereto as Addendum B; the Certification Regarding Debarment,
Suspension and Other Responsibility Matter attached hereto as Addendum C; the PRWORA
requirements attached hereto as Addendum D; and the assurances, certifications, and all other
statements made by Subrecipient in its application for the project funded under this Contract, and
with all other terms of this Contract. All exhibits and addendums are attached hereto and
incorporated herein for all relevant purposes.
City of Fort Worth
18226010006 1
DocuSign Envelope ID: B8755690-DF1C-4A11-B252-FE3D25722A78
C. Except for changes that are required because of changes described in Section 11(A) of this Contract
or as otherwise specifically described in this Contract, Subrecipient shall implement HHSP in
accordance with the requirements ofthe HHSP State Rules in effect on June 11, 2020.
D. Performance related to established targets will be reported by Subrecipient in the HHSP Monthly
Performance Report and meeting targets may be considered for future funding opportunities with
the Department.
E. All funds must be fully expended within the Contract Term and reported within the Close-Out
Process in accordance with all Exhibits and Addendums ofthis Contract. The Department reserves the
right to request an Expenditure plan if it appears funds will not be expended within the Contract Term
at the Department's reasonable discretion.
F. Subrecipient activities related to construction, rehabilitation, or conversion of a building or
buildings may require that Subrecipient enter into a Land Use Restriction Agreement ("LURA") in
accordance with 10 TAC §7.3.
SECTION 4. DEPARTMENT FINANCIAL OBLIGATIOIVS
A. In consideration of Subrecipient's satisfactory performance of this Contract, Department shall
reimburse Subrecipient for the actual, allowable, and approved costs that are consistent with
amounts specified in the Budget and are incurred during the Contract Term by Subrecipient.
B. Department's obligations under this Contract are contingent upon the actual receipt and availability
by the Department of adequate HHSP funds from the legislature. If sufficient HHSP funds are not
available to malce payments under this Contract, Department shall notify Subrecipient in writing
within a reasonable time after such fact is determined. Department may then terminate this Contract
and will not be liable for the failure to mal<e any payment to Subrecipient under this Contract.
C. Department reserves the right to obligate additional funds or deobligate funds and shall notify the
Subrecipient in writing of its decision. Department may consider such factors as the ability to use grant
funds under the HHSP State Rules in a timely manner or Subrecipient's overall compliance with the
terms of this Contract.
D. Department shall not be obligated to pay Subrecipient for any costs incurred by Subrecipient which
are not allowable costs.
E. Notwithstanding any other provision of this Contract, the total payments and obligations incurred
by Department under this Contract shall not exceed the sum of ONE HUNDRED FORTY-FOUR
THOUSAND ONE HUNDRED FIFTY-SIX DOLLARS ($144,156.00).
F. Notwithstanding any other provision of this Contract, Department shall only be liable to
Subrecipient for eligible costs incurred or performances rendered for activities specified in the HHSP
State Rules.
City of Fort Worth
18226010006 2
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
SECTION 5. METHOD OF PAYMENT/CASH BALANCES
A. Subrecipient shall establish procedures to minimize the time elapsing between the transfer offunds
from Department to Subrecipient and the disbursement of such funds by Subrecipient.
B. Subrecipient will use a Cost Reimbursement method of payment for all funds whereby
reimbursement of costs incurred by a Subrecipient is made only after the Department has reviewed
and approved bacl<up documentation provided by the Subrecipient.
C. All funds paid to Subrecipient pursuant to this Contract are paid in trust for the exclusive benefit of
the eligible Program Participants of HHSP services and for the payment of allowable expenditures.
D. At its sole discretion, Department may offset or withhold any amounts otherwise owed to
Subrecipient under this Contract against any amount owed by Subrecipient to Department arising
under this Contract.
E. Subrecipient shall refund to the Department any funds which Department determines has not been
spent strictly in accordance with the terms of this Contract. Subrecipient shall malce such refund no
later than the date specified in the notice that repayment is required, but if no date is specified within
five (5) business days in accordance with 10 TAC §1.21(e).
SECTION 6. COST PRINCIPLES, ADMINISTRATIVE REQUIREMENTS, AND AUDIT REQUIREMENTS
A. COST PRINCIPLES ADMINISTRATIVE REQUIREMENTS. Except as expressly modified by law or the
terms of this Contract, Subrecipient shall comply with the cost principles and uniform administrative
requirements set forth in Chapter 783 of the Texas Government Code and the Uniform Grant
Management Standards ("UGMS"). All references therein to "local government" shall be construed to
mean Subrecipient.
B. AUDIT. In accordance with 10 TAC §1.403(e), if Subrecipient expends $750,000.00 or more in state
awards, or has an outstanding loan balance associated with state resources of $750,000.00 or more
with continuing compliance requirements, or a combination thereof must have a Single Audit.
Subrecipient agrees to comply with any applicable UGMS updates that may be released during the
Contract Term. Updates to UGMS may be found this website:
https://comptroller.texas.gov/purchasing/grant-management/.
C. COSTS. Department shall not be liable to Subrecipient for certain costs, including but not limited
to costs which:
(1) have been reimbursed to Subrecipient or are subject to reimbursement to Subrecipient by any
source other than Department;
(2) are not allowable costs, as set for-th in the provisions of the State Act and the HHSP State Rules
and Section 8(B) of this Contract;
(3) are not strictly in accordance with the terms of this Contract, including the Exhibits;
City of Fort Worth
18226010006 3
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
(4) have not been reported to Department within the Close-Out Process of this Contract; or
(5) are not incurred during the Contract Term.
D. ACCESS. Department reserves the right to conduct additional audits of the funds received and
performances rendered under this Contract. Subrecipient agrees to permit Department or its
authorized representative to audit Subrecipient's records and to obtain any documents, materials, or
information necessary to facilitate such audit upon written request by the Department to
Subrecipient.
E. SUBAWARDS. Subrecipient shall include language in any subcontract or subgrant that provides the
Department the ability to directly review, monitor, and/or audit the operational and financial
performance and/or records ofwork performed underthis Contract.
F. AUDIT CERTIFICATION FORM. For any fiscal year ending within or immediately after the Contract
Term, Subrecipient must submit an "Audit Certification Form" (available from the Department) within
two (2) months after the Subrecipient's fiscal year end in accordance with 10 TAC §1.403.
SECTION 7. TERMINATION AND SUSPENSION
A. TERMINATION OR SUSPENSION. Pursuant to 10 TAC Chapters 2 and 7, Department may terminate
or suspend this Contract, in whole or in part, at any time Department determines that there is cause
for termination. If Subrecipient fails to submit within forty-five (45) calendar days of its due date, any
report in accordance with 10 TAC §7.5 or responses to monitoring reports, Department may, in its
sole discretion, suspend payments, place Subrecipient on Cost Reimbursement method of payment,
and initiate proceedings to terminate any active Contract. In accordance with 10 TAC §2.202(b)(6),
cause for termination includes, but is not limited to, fraud, waste, abuse, fiscal mismanagement, or
other serious Findings in the Subrecipient's performance.
B. WITHHOLDING OF PAYMENTS. Nothing in this Section shall be construed to limit Department's
authority to withhold payment and immediately suspend this Contract if Department identifies
possible instances of fraud, abuse, waste, fiscal mismanagement, or other deficiencies in
Subrecipient's performance. Suspension shall be a temporary measure pending either corrective
action by Subrecipient or a decision by Department to terminate this Contract.
C. DEPARTM ENT LIABILITY. Department shall not be liable for any costs incurred by Subrecipient after
termination of this Contract.
D. SUBRECIPIENT LIABILITY. Notwithstanding any exercise by Department of its right of termination
or suspension, Subrecipient shall not be relieved of any liability to Department for damages by virtue
of any breach of this Contract by Subrecipient.
City of Fort Worth
18226010006 4
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
E. FUNDS. Upon termination of this Contract, all funds remaining on hand on the date of termination,
and all accounts receivable attributable to the use of funds received under this Contract shall transfer
bacl< to Department. Subrecipient shall return the remaining funds to Department within sixty (60)
calendar days after the date this Contract terminates.
SECTION 8. ALLOWABLE EXPENDITURES
A. Whether the Subrecipient's costs incurred in the performance of this Contract are considered
allowable, shall be determined in accordance with the provisions ofthe State Act and the HHSP State
Rules, subject to the limitations and exceptions set forth in this Contract.
B. HHSP General Revenue funds may be used for administrative activities as well as allowable
expenditures underthis Contract, to include activities outlined in 10TAC §7.21, provided Subrecipient
receives prior written approval from the Department.
SECTION 9. RECORDKEEPING REQUIREMENTS
A. GENERAL. Subrecipient shall comply with all the recordkeeping requirements and shall maintain
fiscal and programmatic records and supporting documentation for all expenditures made under this
Contract in accordance with the UGMS Section III, Common Rule: State Uniform Administrative
Requirements for Grants and Cooperative Agreements, Subpart C—Post Award Requirements, _.42.
Subrecipient agrees to comply with any changes to the UGMS' recordkeeping requirements and 10
TAC §7.8.
B. WRITTEN POLICIES AND PROCEDURES. Subrecipient must have written policies and procedures to
ensure that sufficient records are established and maintained to enable a determination that HHSP
requirements are being met. The written standards must be applied consistently for all Program
Participants. The written standards must include, but are not limited to Inclusive Marketing as
identified in 10 TAC §7.10.
C. PROGRAM PARTICIPANT FILES. In accordance with 10 TAC §7.28(g), Subrecipient shall maintain
Program Participant files, for non-emergency activities providing direct subsidy to a Program
Participant regardless if the client is directly receiving the funds, that contain the following:
(1) An HHSP Intalce Application including an area for execution by all adult Household members
(which may include an electronic signature), certifying the validity of information provided and an
area to identify the staff person completing the intal<e application, and must provide a space for
applicants to indicate if they are a veteran as required by Section 434.212 of the Texas
Government Code. In addition, the application must include the following statement: "Important
Information for Former Military Services Members. Women and men who served in any branch
of the United States Armed Forces, including Army, Navy, Marines, Coast Guard, Reserves or
National Guard, may be eligible for additional benefits and services. For more information please
visit the Texas Veterans Portal at https•//veterans.portal.texas.�ov/ ;
City of fort Worth
18226010006 5
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
(2) Certification whereby the Applicant certifies whether they meet the definition of Homeless or
Homeless Individual or At-risl< of homelessness pursuant to 10 TAC §7.2. The certification must
include the Program Participant's signature or legally identifying mark (which may include an
electronic signature);
(3) Documentation which demonstrates that the Program Participant meets income eligibility, if
applicable, or, if proof of income is unobtainable, a Declaration of Income Statement as defined
in 10 TAC §7.2;
(4) Documentation of recertification, as applicable, including income eligibility and that the
Program Participant lacl<s sufficient resources and support networks necessary to retain housing
without assistance;
(5) Documentation of determination of ineligibility for assistance when assistance is denied.
Documentation must include the reason forthe determination of ineligibility;
(6) Copies of all leases and rental assistance agreements for the provision of rental assistance,
documentation of payments made to owners for the provision of rental assistance, and
supporting documentation
Participants;
for these payments, including dates of occupancy by Program
(7) Documentation of the monthly allowance for utilities used to determine compliance with the
rent restriction; and
(8) Documentation that the Dwelling Unit for Program Participants receiving rental assistance
complies with the Housing Standards in 10 TAC §7.29, Shelter and Housing Standards.
D. ACCESS TO RECORDS. Subrecipient agrees that Department, the Auditor of the State of Texas, the
Comptroller of the State of Texas, or any of their duly authorized representatives, shall have the right
to access and to examine and to copy, on or off the premises of Subrecipient, all bool<s, accounts,
records, reports, files, and other papers or property belonging to or in use by Subrecipient pertaining
to this Contract. Subrecipient agrees to maintain such records in an accessible location.
E. RECORD RETENTION. Records regarding Program Participant eligibility shall be retained by
Subrecipient for a period of five (5) years. Activities that require a LURA, must maintain the records
until the expiration of the LURA. All other records pertinent to this Contract shall be retained by
Subrecipient for a period of three (3) years that starts on the day the Single Audit is due or would be
due if the Single Audit requirements are not triggered, except if any litigation, claim, negotiation,
audit, monitoring, inspection or other action has started before the expiration of the required record
retention period. In this case, records must be retained until completion of the action and resolution
of all issues which arise from it, or until the end of the required recordl<eeping period as described
herein, whichever is later.
City of Fort Worth
6
18226010006
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
F. OPEN RECORDS. Subrecipient acknowledges that all information collected, assembled, or
maintained by Subrecipient pertaining to this Contract is subject to the Texas Public Information Act
(Chapter 552 of Texas Government Code) and must provide citizens, public agencies, and other
interested parties with reasonable access to all records pertaining to this Contract subject to and in
accordance with the Texas Public Information Act.
G. SUBAWARDS. Subrecipient shall include the substance of this Section 9 in all of its subcontracts
and subgrants.
SECTION 10. REPORTING REQUIREMENTS
A. DATA COLLECTION. In accordance with 10 TAC §7.6, Subrecipient must ensure that data on all
persons served and all activities assisted under Homeless Programs is entered into the applicable
HMIS, or HMIS-comparable database for domestic violence or legal service providers.
B. REPORTS. Subrecipient shall submit to Department such reports on the performance of this
Contract as may be required by Department including, but not limited to, the reports specified in this
Section.
C. MONTHLY REPORTS. In accordance with 10 TAC §7.5(b), Subrecipient must submit a Monthly
Performance Report and a Monthly Expenditure Report through the Contract System not later than
the last day of each month which reflects performance and expenditures conducted in the prior
month.
D. BIENNIAL REPORTING. In accordance with 10 TAC §7.5(h)(2), NHSP Subrecipient will submit
information to the Department for biennial reporting to the Texas Legislature.
E. CONSTRUCTION ACTIVITIES. In accordance with 10 TAC §7.3, if Subrecipient intends to eKpend
funds for new construction, rehabilitation, or conversion, Subrecipient must submit a copy of the
activity budget inclusive of all sources and uses of funding, documents for a construction plan review,
and identification of the entity and signature authorization of the individual (name and title) that wiil
execute the LURA. These documents must be submitted no less than ninety (90) calendar days prior
to the end of the Contract Term under which funds for the activity are provided.
F. FINAL INSPECTION REPORT. A Subrecipient must request a final construction inspection within
thirty (30) calendar days of construction completion. The inspection will cover the Shelter and Housing
Standards, Uniform Physical Construction Standards, 2015 International Residential Code (or
municipality adopted later version), Minimum Energy Efficiency Requirements for Single Family
Construction Activities, and the Accessibility Standards in Title 10, Part 1, Chapter 1, Subchapter B, of
the Texas Administrative Code, as applicable for the activity.
City of Fort Worth
�
18226010006
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
SECTION 11. CHANGES AND AMEIVDMENTS
A. AMENDMENTS AND CHANGES REQUIRED BY LAW. If a change in federal law or regulation or state
law or regulation occurs that requires a change, addition, or deletion to the terms of this Contract,
the change is automatically incorporated in this Contract and is effective on the date designated by
such law or regulation without the requirement of a written amendment hereto. Said changes,
additions, or deletions referenced under this Subsection A of Section 11 may be further evidenced by
a written amendment.
B. GENERAL. Except as specifically provided otherwise in this Contract, any changes, additions, or
deletions to the terms of this Contract shall be in writing and executed by both Parties to this Contract.
C. FACSIMILE SIGNATURES. If any Party returns an executed copy by facsimile machine or electronic
transmission, the signing party intends the copy of its authorized signature printed by the receiving
machine or the electronic transmission, to be its original signature.
D. REQUESTS. Amendment requests may be considered at the discretion of the Department in
accordance with 10 TAC §7.4(e).
SECTION 12. PROGRAM INCOME
A. In accordance with 10 TAC §7.25, program income includes but is not (imited to: income from fees
for services performed, the use or rental or real or personal property acquired under this award, the
sale of commodities or items fabricated under this award, license fees and royalties on patents and
copyrights, and principal and interest on loans made with this award. Security and utility deposits paid
should be a grant to the Program Participant and are not considered program income if they remain
with the Program Participant, and are returned only to the Program Participant.
B. Program income that is received during the Contract Term must be used for allowable expenditures
as described in Section 8 ofthis Contract.
C. Program income that is received after the Contract Term, or not expended within the Contract Term
must be returned to the Department within ten (10) calendar days of receipt.
SECTION 13. INDEPENDENT SUBRECIPIENT
It is agreed that Department is contracting with Subrecipient as an independent contractor. To the extent
authorized by law, Subrecipient agrees to indemnify Department against any disallowed costs or other
claims which may be asserted by any third party in connection with the services to be performed by
Subrecipient under this Contract. The Department aci<nowledges governmental entities cannot create an
unfunded debt pursuant to the Texas Constitution.
SECTION 14. PURCHASE AND PROCUREMENT STANDARDS
Subrecipient shall comply with 10 TAC §1.404, this Contract, and all applicable state, and local laws,
regulations, and ordinances for mal<ing procurements under this Contract.
City of Fort Worth
18226010006 8
DocuSign Envelope ID: B8755690-DF1C-4A11-B252-FE3D25722A78
SECTION 15. SUBAWARDS
A. Subrecipient may not subcontract the primary responsibilities of this Contract, including but not
limited to expenditure and performance reporting and drawing funds through the Contract System.
B. Subrecipient may subcontract or subgrant for the delivery of client assistance without obtaining
Department's prior approval. HHSP Subrecipient is responsible for ensuring that subcontractors and
subgrantees adhere to the same program requirements and regulations as apply to the Subrecipient
including, but not limited to having documentation that Subrecipient checiced the appropriate federal
and state records for debarred and suspended parties in accordance with UGMS Subpart C—Post
Award Requirements, 35. Subrecipient must have processes and procedures in place to monitor
subcontractors or subgrantees. Any subcontract or subgrant for the delivery of client assistance will
be subject to monitoring by the Department pursuant to 10 TAC §7.11.
C. In accordance with 10 TAC §7.7(b), Subrecipient will notify the Department and provide contact
information for subgrants or subcontractors within thirty (30) calendar days of the effective date of
subcontract. Contact information for the entities with which the Subrecipient subgrants or
subcontracts must be provided to the Department, including: organization name, name and title of
authorized person who entered into the subgrant or subcontract, phone number, e-mail address, and
type of services provided.
D. In no event shall any provision of this Section be construed as relieving Subrecipient of the
responsibility for ensuring that the performances under all subcontracts and subgrants are rendered
so as to comply with all of the terms of this Contract, as if such performances rendered were rendered
by Subrecipient. Department maintains the right to monitor and require Subrecipient's full
compliance with the terms of this Contract. Department's approval under this Section does not waive
any right of action which may exist or which may subsequently accrue to Department under this
Contract.
SECTION 16. MANAGEMENT OF EQUIPMENT AND INVENTORY
A. In accordance with 10 TAC §1.407, Subrecipient shall submit to Department no later than forty-five
(45) calendar days after the termination of this Contract a cumulative inventory report of all real
property and equipment acquired in whole or in part with funds received under this Contract or
previous HHSP contracts. Upon the termination of this Contract, Department may demand the
transfer of title to any equipment to the Department orto any other entity receiving HHSP funds from
the Department.
B. When the 5ubrecipient no longer needs equipment purchased with HHSP grant funds, regardless
of purchase price, or upon the termination of this Contract, Department may tal<e possession and
demand the transfer of title to any such property or equipment to the Department or to a third party
or may seel< reimbursement from Subrecipient of the current unit price of the item of equipment, in
Department's sole determination. Subrecipient must request permission from the Department to
transfer title or dispose of equipment purchased with HHSP grant funds.
City of Fort Worth
9
18226010006
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
SECTION 17. TRAVEL
Subrecipient shall abide by travel policies that adhere to UGMS and the State of Texas travel rules and
regulations found on the Comptroller of Public Accounts website at www.cpa.state.tx.us for any travel
funded by this Contract either directly or indirectly.
SECTION 18. BONDING AND INSURANCE REQUIREMENTS
A. INSURANCE REQUIREMENTS. Subrecipient shall maintain evidence of current and adequate
insurance coverage in accordance with UGMS Section II, Cost Principles for State and Local
Governments and Other Affected Entities, Attachment B. Subrecipient agrees to notify the
Department immediately upon receipt of notification of the termination, cancellation, expiration, or
modification of any required insurance coverage or policy endorsements. Subrecipient agrees to
suspend the performance of all wori< performed under this Contract until the Subrecipient satisfies
the required coverage requirements, obtains the required policy endorsements and delivers to
Department certificates of insurance evidencing that such coverage and policy endorsements are
current and effective, and receives notification from Department that the performance ofworl<under
this Contract may recommence. Notwithstanding hereinabove, Subrecipient is a self-funded entity in
accordance with Chapter 2259 of the Texas Government Code subject to statutory tort laws and, as
such, generally, it does not maintain commercial general liability insurance and/or worker's
compensation claims.
B, BONDING REQUIREMENTS. Subrecipient must comply with the bond requirements Articles 2252,
2253, and 5160 of Texas Civil Statutes, and §252.044 and Section 262.032 of the Local Government
Code. If Subrecipient will enter into a public worl<s contract with a third-party in the amount of
$50,000.00 or greater, Subrecipient must execute with the contractor a payment bond in the full
amount of the contract. If the Subrecipient will enter into a contract with a prime contractor in excess
of $100,000.00, a performance bond in the full amount of the contract is also required. These bonds
must be executed by a corporate surety authorized to do business in Texas, a list of which may be
obtained from the State Insurance Department. Such assurances of completion will run to the
Department as obligee and must be documented prior to the start of construction. This bonding
requirement applies as set forth in 10 TAC §1.405 and to the extent required by federal or state law.
SECTION 19. LITIGATION AND CLAIMS
Subrecipient shall give Department immediate written notice of any claim or action filed with a court or
administrative agency against Subrecipient arising out of the performance of this Contract or any
subcontract or subgrant hereunder. Subrecipient shall furnish to Department copies of all pertinent
papers received by Subrecipient with respect to such action or claim.
City of Fort Worth 10
18226010006
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
SECTION 20. TECHNICALASSISTANCE AIVD MONITORING
A. Department may provide technical guidance to explain the rules and provide directions on terms
of this Contract.
B. Department or its designee may conduct periodic on- or off-site monitoring and evaluation of the
efficiency, economy, and efficacy of Subrecipient's performance of this Contract in accordance with
the HHSP State Rules. Department will advise Subrecipient in writing of any deficiencies noted during
such monitoring. Department will suggest or require changes in Subrecipient's program
implementation or in Subrecipient's accounting, personnel, procurement, and management
procedures in order to correct any Observations, Concerns, or Findings. Department may conduct
follow-up visits to review and assess the efforts Subrecipient has made to correct previously-noted
Observations, Concerns, or Findings.
C. Department may suspend or terminate this Contract, or involce other remedies in the event
monitoring or other reliable sources reveal material deficiencies in Subrecipient's performance or if
Subrecipient fails to correct any deficiency within the time allowed by federal or state law or
regulation, or by the terms of this Contract.
SECTION 21. LEGAL AUTHORITY
A. LEGAL AUTHORITY. Subrecipient assures and guarantees that it possesses the legal authority to
enter into this Contract, to receive and manage the funds authorized by this Contract, and to perform
the services Subrecipient has obligated itself to perform hereunder. The execution, delivery, and
performance of this Contract will not violate Subrecipient's constitutive documents or any
requirement to which Subrecipient is subject and represents the legal, valid, and binding agreement
of Subrecipient, enforceable in accordance with its terms.
B. DULY AUTHORIZED• GOOD STANDING. Subrecipient is and will continue to remain organized,
validly existing and in good standing under the laws governing its creation and existence, and will
continue to be duly authorized and qualified to transact any and all applicable business contemplated
hereunder in the State of Texas. Subrecipient possesses and will continue to possess all requisite
authority, power, licenses, permits and franchises to conduct its business and to execute, deliver and
comply with its obligations under the terms of this Contract, the execution, delivery and performance
of which have been or will be duly authorized by all necessary action.
C. SIGNATURE AUTHORITY. The person signing this Contract on behalf of Subrecipient hereby
warrants that he/she has been duly authorized by Subrecipient's governing body to execute this
Contract on behalf of Subrecipient and to validly and legally bind Subrecipient to the terms, provisions
and performances herein.
City of Fort Worth
18226010006 11
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
D. TERMINATION• LIABILITY. Department shall have the right to terminate this Contract if there is a
dispute as to the legal authority of either Subrecipient or the person signing this Contract on behalf
of Subrecipientto enter into this Contract orto render performances hereunder. Subrecipient is liable
to Department for any money it has received from Department for performance of the provisions of
this Contract, if the Department has terminated this Contract for reasons enumerated in this Section
21.
E. MERGER; DEFAULT. Subrecipient understands that it is an event of default under this Contract if
the Subrecipient liquidates, terminates, dissolves, merges, consolidates or fails to maintain good
standing in the State of Texas, and such is not cured prior to causing material harm to Subrecipient's
ability to perform under the terms of this Contract.
SECTION 22. COMPLIANCE WITH LAWS
A. FEDERAL, STATE AND LOCAL LAW. Subrecipient shall comply with the State Act, the HHSP State
Rules, and all federal, state, and local laws and regulations applicable to the performance of this
Contract, including, but not limited to the program requirements and fair housing laws. Upon request
by Department, Subrecipient shall furnish satisfactory proof of its compliance therewith. Subrecipient
shall not violate any federal, state, or local laws, stated herein or otherwise, nor commit any illegal
activity in the performance of or associated with the performance of this Contract. No funds under
this Contract shall be used for any illegal activity or activity that violates any federal, state or local
laws.
B. DRUG-FREE WORKPLACE ACT OF 1988. The Subrecipient affirms by signing this Contract and the
certification attached as Addendum B that it is implementing the Drug-Free Workplace Act of 1988
(41 USC §701 etseq).
C. LIMITED ENGLISH PROFICIENCY ("LEP"). Subrecipients that interact with program participants must
create a Language Access Plan to provide program applications, forms, and educational materials in
English, Spanish, and any appropriate language, based on the needs of the service area and in
compliance with the requirements in Executive Order 13166 of August 11, 2000. To ensure
compliance, the Subrecipient must take reasonable steps to insure that persons with LEP have
meaningfu) access to the program. Meaningful access may entail providing language assistance
services, including oral and written translation, where necessary.
D. REHABILITATION ACT OF 1973. Section 504 of the Rehabilitation Act of 1973 and HUD regulation
24 CFR Part 8 apply to all programs or activities under this Contract.
City of Fort Worth
18226010006 12
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
E. INFORMATION SECURITY AND PRIVACY REQUIREMENTS. Subrecipient shall comply with the
information security and privacy requirements under 10 TAC §1.24 to ensure the security and privacy
of Protected Information (as said term is defined under 10 TAC §1.24). Prior to beginning any work
under this Contract, Subrecipient shall either (i) have an effective, fully executed Information Security
and Privacy Agreement ("ISPA"), as required by 10 TAC §1.24, on file with the Department, or (ii) will
execute and submit to the Department an ISPA in accordance with instructions found on the
Department's website at the "Information Security and Privacy Agreement" link."
F. AGE DISCRIMINATION. Subrecipient must comply with the Age Discrimination Act of 1975 (42 U.S.C.
§§ 6101-6107).
G. AFFIRMATIVE OUTREACH. Subrecipient shall affirmatively reach out to populations that are least
likely to apply for services as further outlined in 10 TAC §7.10(c)(3).
H. LEAD-BASED PAINT. Subrecipient shall comply with the Lead-Based Paint Poisoning Prevention Act,
42 U.S.C. §4821 et seq. and 24 CFR Part 35.
SECTION 23. PREVEIVTION OF WASTE, FRAUD, AND ABUSE
A. Subrecipient shall establish, maintain, and utilize systems and procedures to prevent, detect, and
correct waste, fraud, and abuse in activities funded under this Contract. The systems and procedures
shall address possible waste, fraud, and abuse by Subrecipient, its employees, clients, vendors,
subcontractors and administering agencies. Subrecipient's internal controls systems and all
transactions and other significant events are to be clearly documented, and the documentation is to
be readily available for monitoring by Department.
B. Subrecipient shall give Department complete access to all of its records, employees, and agents for
the purpose of monitoring or investigating HHSP. Subrecipient shall immediately notify Department
of any discovery of waste, fraud, or abuse. Subrecipient shall fully cooperate with Department's
efforts to detect, investigate, and prevent waste, fraud, and abuse.
C. Subrecipient may not discriminate against any employee or other person who reports a violation
of the terms of this Contract, or of any law or regulation, to Department or to any appropriate law
enforcement authority, if the report is made in good faith.
SECTION 24. CERTIFICATION REGARDING UNDOCUMENTED WORI<ERS
Pursuant to Chapter 2264 of the Texas Government Code, by execution of this Contract, Subrecipient
hereby certifies that Subrecipient, or a branch, division, or department of Subrecipient does not and will
not Icnowingly employ an undocumented worl<er, where "undocumented worker" means an individual
who, at the time of employment, is not lawfully admitted for permanent residence to the United States
or authorized under law to be employed in that manner in the United States. If, after receiving a public
subsidy, Subrecipient or a branch, division, or department of Subrecipient is convicted of a violation under
8 U.S.C. §1324a(f), Subrecipient shall repay the public subsidy with interest, at the rate of five percent
City of Fort Worth 13
18226010006
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
(5%) per annum, not later than the one hundred twentieth (120th) day after the date the Department
notifies Subrecipient of the violation.
SECTION 25. CONFLICT OF INTEREST UNDER 10 TAC §7.26
A. Subrecipient shall maintain written standards of conduct governing the perFormance of its
employees engaged in the award and administration of contracts. Failure to maintain written
standards of conduct and to follow and enforce the written standards is a condition of default under
this Contract and may result in termination of the Contract or deobligation of funds.
B. No employee, officer, or agent of Subrecipient shall participate in the selection, award, or
administration of a contract supported by federal funds if a real or apparent conflict of interest would
be involved. Such a conflict would arise when the employee, officer, or agent, any member of his or
her immediate family, his or her partner, or an organization which employs or is about to employ any
of the Parties indicated herein, has a financial or other interest in the firm selected for an award.
C. The officers, employees, and agents of the Subrecipient shall neither solicit nor accept gratuities,
favors, or anything of monetary value from contractors, or parties to subagreements. Subrecipients
may set standards for situations in which the financial interest is not substantial or the gift is an
unsolicited item of nominal value. The standards of conduct shall provide for disciplinary actions to
be applied for violations of such standards by officers, employees, or agents of the Subrecipient.
D. The provision of any type or amount of HHSP assistance may not be conditioned on an individual's
or family's acceptance or occupancy of emergency shelter or housing owned by the Subrecipient,
Subgrantee or a parent or subsidiary of the Subrecipient.
E. No Subrecipient may, with respect to individuals or families occupying housing owned by the
Subrecipient, or any parent or subsidiary of the Subrecipient, carry out the initial intal<e required for
Program Participant files under Section 9(C) of this Contract.
F. For transactions and activities other than the procurement of goods and services, no officers,
employees, and agents, including consultants, officers, or elected or appointed officials of the
Subrecipient, Subgrantee, or subcontractor who exercises or has exercised any functions or
responsibilities with respect to activities assisted under HHSP, or who is in a position to participate in
a decision-mal<ing process or gain inside information with regard to activities assisted under the
program, may obtain a financial interest or benefit from an assisted activity; have a financial interest
in any contract, subcontract, or agreement with respect to an assisted activity; or have a financial
interest in the proceeds derived from an assisted activity, either for him or herself or for those with
whom he or she has family or business ties, during his or her tenure or during the one-year period
following his or her tenure.
City of Fort Worth
14
18226010006
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
SECTION 26. POLITICALACTIVITY AND LEGISLATIVE WFLUENCE PROHIBITED
A. None of the funds provided under this Contract shall be used for influencing the outcome of any
election, or the passage or defeat of any legislative measure. This prohibition shall not be construed
to prevent any state official or employee from furnishing to any member of its governing body upon
request, or to any other local or state official or employee or to any citizen information in the hands
of the employee or official not considered under law to be confidential information.
B. No funds provided under this Contract may be used directly or indirectly to hire employees or in
any other way fund or support candidates for the legislative, executive, or judicial branches of
government, the State of Texas, or the government of the United States.
C. None of the funds provided under this Contract shall be used to pay any person or organization for
influencing or attempting to influence an officer or employee of any agency, a member of Congress,
officer or employee of Congress, or an employee of a member of Congress in connection with
obtaining any Federal contract, grant or any other award governed by the Byrd Anti-Lobbying
Amendment (31 U.S.C. §1352) as the Development Owner and each of its tiers have certified by their
execution of the "Certification Regarding Lobbying for Contracts, Grants, Loans, and Cooperative
Agreements" attached hereto as Addendum A and incorporated herein for all relevant purposes.
SECTION 27. NONDISCRIMINATION, FAIR HOUSING, EQUAL ACCESS AND EQUAL OPPORTUNITY
A. NON-DISCRIMINATION. A person shall not be excluded from participation in, be denied the benefits
of, be subjected to discrimination under, or be denied employment in the administration of or in
connection with any program or activity funded in whole or in part with funds made available under
this Contract, on the grounds of race, color, religion, sex, national origin, age, or disability.
B. EQUAL OPPORTUNITY. Subrecipient agrees to carry out an Equal Employment Opportunity
Program in I<eeping with the principles as provided in President's Executive Order 11246 of September
24, 1965. Subrecipient must comply with the Equal Opportunity in Housing (Executive Order 11063 as
amended by Executive Order 12259) and it implementing regulations at 24 CFR Part 107.
C. ACCESSIBILITY AND FAIR HOUSING. Subrecipient must meet the accessibility standards and fair
housing requirements under (i) Section 504 of the Rehabilitation Act of 1973 (5 U.S.C. §794) and its
implementing regulations at 24 CFR Part 8, (ii) the Fair Housing Act (42 U.S.C. §3601 et seq.) as
implemented by HUD at 24 CFR Parts 100-115, 24 CFR §92.250, 24 CFR §92.202 and 24 CFR §5.105(a),
(iii) Texas Fair Housing Act (Chapter 301 of the Texas Property Code), (iv) Title VI of the Civil Rights Act
of 1964, as amended (42 U.S.C. §2000d etseq.), and implementing regulations at 24 C.F.R. Part I, and
(v) Titles II and III of the Americans with Disabilities Act of 1990 (42 U.S.C. §§12131-12189; 47 U.S.C.
§§155, 201, 218 and 255) as implemented by U. S. Department of Justice at 28 CFR Parts 35 and 36.
City of Fort Worth
15
18226010006
DocuSign Envelope ID: B6755690-DF1C-4A11-B252-FE3D25722A78
D. REASONABLE ACCOMODATIONS. Subrecipient shall operate each program or activity receiving
HHSP financial assistance so that the program or activity, when viewed in its entirety, is readily
accessible and usable by individuals with disabilities. Subrecipient is also required to provide
reasonable accommodations for persons with disabilities.
E. GENERAL. Subrecipient shall make Icnown that use of the facilities and services funded under this
Contract are available to all on a nondiscriminatory basis. Subrecipient also must adopt and
implement procedures designed to mal<e available to interested persons information concerning the
existence and location of services and facilities that are accessible to persons with a disability.
F. AFFIRMATIVELY FURTHERING FAIR HOUSING. By Subrecipient's execution of the Contract,
Subrecipient agrees to affirmatively further fair housing by using funds in a manner that follows the
"State of Texas' Analysis of Impediments" and will maintain records in this regard.
G. SUBCONTRACTS. Subrecipient shall include the substance of this Section 27 in all of its
subcontracts.
SECTION 28. DEBARRED AND SUSPENDED PARTIES
By signing this Contract, Subrecipient certifies that neither it nor its current principa) employees, board
members, agents, or contractors are presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded by any federal department or agency as provided in the Certification
Regarding Debarment, Suspension and Other Responsibility Matters attached hereto as Addendum C and
incorporated herein for all relevant purposes. The terms "covered transaction", "debarred", "suspended",
"ineligible", "lower tier covered transaction", "participant", "person", "primary covered transaction",
"principal", "proposal", and "voluntarily excluded", as used in the certification attached as Addendum C,
have the meaning set out in the Definitions and Coverage sections of rules implementing Executive Order
12549. Subrecipient also certifies that it will not award any funds provided by this Contract to any person
who is proposed for debarment under 48 CFR Part 9, subpart 9.4 or that is debarred, suspended, or
otherwise excluded from or ineligible for participation in federal assistance programs under Executive
Order 12549. Subrecipient agrees that, prior to entering into any agreement with a potential
subcontractors procured by Subrecipient or prior to awarding funds under this Contract to a potential
subgrantee, that the verification process to comply with this requirement will be accomplished by
checking the System for Award Management ("SAM") at www.sam.gov and including a copy of the results
in its project files. After said verification, Subrecipient may decide the frequency by which it determines
the eligibility of its subcontractors during the term of subcontractor's agreement. Subrecipient may
subsequently rely upon a certification of a subcontractor that is not proposed for debarment under 48
CFR Part 9, subpart 9.4, debarred, suspended, ineligible, or voluntarily excluded from the covered
transaction, unless Subrecipient I<nows that the certification is erroneous. Failure of Subrecipient to
furnish the certification attached hereto as Addendum C or an explanation of why it cannot provide said
certification shall disqualify Subrecipient from participation under this Contract. The certification or
explanation will be considered in connection with the Department's determination whether to continue
with this Contract. Subrecipient shall provide immediate written notice to Department if at any time
City of Fort Worth
18226010006 16
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
Subrecipient learns that the certification was erroneous when submitted or has become erroneous by
reason of changed circumstances. Subrecipient further agrees by executing this Contract that it will
include the certification provision titled "Certification Regarding Debarment, Suspension, Ineligibility and
Voluntary Exclusive-Subcontracts," as set out in Addendum C, without modification, and this language
under this Section 28, in all its subawards.
SECTION 29. SPECIAL CONDITIONS
A. DIRECT DEPOSIT AUTHORIZATION. Department shall not release any funds under this Contract
until Department has received a properly completed deposit authorization form from Subrecipient.
B. CONSTRUCTION STANDARDS. Notwithstanding and subject to Chapter 3000 of the Texas
Government Code, Subrecipient shall ensure that any building for which HHSP funds are used for
renovation, conversion, or major rehabilitation must meet Shelter and Housing Standards, Uniform
Physical Construction Standards, 2015 International Residential Code (or municipality adopted later
version), Minimum Energy Efficiency Requirements for Single Family Construction Activities, and the
Accessibility Standards in Chapter 1, Subchapter B, and any standards required by state or local
statute, ordinance, or other regulation, as applicable for the Homeless Program and activity.
C. NATIONAL FIRE PROTECTION. None of the funds provided under this Contract may be used in
connection with any dwelling unit unless the unit is protected by a hard-wired or battery-operated
smoke detector installed in accordance with National Fire Protection Association Standard 74.
D. OTHER CONDITIONS. Not applicable.
SECTION 30. NO WAIVER
Any right or remedy given to Department by this Contract shall not preclude the existence of any other
right or remedy, nor shall any action taken in the exercise of any right or remedy be deemed a waiver of
any other right or remedy. The failure of Department to exercise any right or remedy on any occasion
shall not constitute a waiver of Department's right to exercise that or any other right or remedy at a later
time.
SECTION 31. ORAL AND WRIITEN AGREEMENTS
A. All oral and written agreements between the parties of this Contract relating to the subject matter
of this Contract have been reduced to writing and are contained in this Contract and attachments.
B. The attachments enumerated and denominated below are a part of this Contract and constitute
promised performances under this Contract:
(1) Addendum A- Certification Regarding Lobbying for Contracts, Grants, Loans, and Cooperative
Agreements
(2) Addendum B- Certification Regarding Drug-Free Workplace Requirements
City of Fort Worth 17
18226010006
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
(3) Addendum C- Certification Regarding Debarment, Suspension and Other Responsibility
Matters
(4) Addendum D — PRWORA Requirements
(5) Exhibit A - Performance Statement
(6) Exhibit B - Budget
SECTION 32. SEVERABILITY
If any section or provision of this Contract is held to be invalid or unenforceable by a court or an
administrative tribunal of competent jurisdiction, the remainder shall remain valid and binding.
SECTION 33. COPYRIGHT
Subrecipient may copyright materials developed in the performance of this Contract or with funds
expended underthis Contract. Department and the State shall each have a royalty-free, nonexclusive, and
irrevocable right to reproduce, publish, or otherwise use, and to authorize others to use, the copyrighted
worl<for government purposes.
SECTION 34. USE OF ALCOHOLIC BEVERAGES
Funds provided under this Contract may not be used for the payment of salaries to any Subrecipient's
employees who use alcoholic beverages while on active duty, for travel expenses expended for alcoholic
beverages, or for the purchase of alcoholic beverages.
SECTION 35. FAITH BASED AND SECTARIAN ACTIVITY
Funds provided under this Contract may not be used for sectarian or explicitly religious activities such as
worship, religious instruction or proselytization, and must be for the benefit of persons regardless of
religious affiliation.
SECTION 36. FORCE MAJURE
If the obligations are delayed by the following, an equitable adjustment will be made for delay or failure
to perForm hereunder:
A. Any of the following events: (i) catastrophic weather conditions or other extraordinary elements of
nature or acts of God; (ii) acts of war (declared or undeclared), (iii) acts of terrorism, insurrection,
riots, civil disorders, rebellion or sabotage; and (iv) disease pandemics, quarantines, embargoes and
other similar unusual actions of federal, provincial, local or foreign Governmental Authorities; and
B. The non-performing party is without fault in causing or failing to prevent the occurrence of such
event, and such occurrence could not have been circumvented by reasonable precautions and could
not have been prevented or circumvented through the use of commercially reasonable alternative
sources, workaround plans or other means.
City of Fort Worth
18
18226010006
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
SECTION 37. ASSIGNMENT
This Contract is made by Department to Subrecipient only. Accordingly, it is not assignable without the
written consent and agreement of Department, which consent may be withheld in Department's sole
discretion.
SECTION 38. TIME IS OF THE ESSENCE
Time is of the essence with respect to Subrecipient's compliance with all covenants, agreements, terms
and conditions ofthis Contract.
SECTION 39. COUNTERPARTS AND FACSIMILE SIGNATURES
This Contract may be executed in one or more counterparts each of which shall be deemed an original
but all of which together shall constitute one and the same instrument. Signed signature pages may be
transmitted by facsimile or other electronictransmission, and any such signature shall have the same legal
effect as an original.
SECTION 40. NUMBER, GENDER
Unless the context requires otherwise, the words of the masculine gender shall include the feminine, and
singular words shall include the plural.
SECTION 41. NOTICE
A. If a notice is provided concerning this Contract, notice may be given at the following (herein
referred to as "Notice Address"):
As to Department:
TEXAS DEPARTMENT OF HOUSING AND COMMUNITY AFFAIRS
P. O. Box 13941
Austin, Texas 78711-3941
Attention: Abigail Versyp, Director of Single Family and Homeless Programs Division
Telephone: 512-475-0908
Fax: 512-475-0220
abigail.versyp@tdhca.state.tx.us
As to Subrecipient:
City of Fort Worth
200 Texas Street
Fort Worth, Texas 76102
Attention: Fernando Costa
Telephone: 817-392-6122
fernando.costa@fortworthtexas.gov
City of Fort Worth
18226010006
M�:]
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
B. All notices or other communications hereunder shall be deemed given when delivered, mailed by
overnight service, or five (5) calendar days after mailing by certified or registered mail, postage
prepaid, return receipt requested, addressed to the appropriate Notice Address as defined in the
above Subsection A of this Section 41.
SECTION 42. VEIVUE AND JURISDICTION
This Contract is delivered and intended to be performed in the State of Texas. For purposes of litigation
pursuant to this Contract, venue shall lie in Travis County, Texas.
SECTION 43. ALTERNATIVE DISPUTE RESOLUTION
In accordance with Section 2306.082 of the Texas Government Code, it is the Department's policy to
encourage the use of appropriate alternative dispute resolution procedures ("ADR") under the
Governmental Dispute Resolution Act and the Negotiated Rulemaking Act (Chapters 2009 and 2006
respectively, Texas Government Code), to assist in the fair and expeditious resolution of internal and
external disputes involving the Department and the use of negotiated rulemal<ing procedures for the
adoption of Department rules. As described in Chapter 154, Civi) Practices and Remedies Code, ADR
procedures include mediation. Except as prohibited by Department's ex parte communications policy,
Department encourages informal communications between Department staff and the Subrecipient, to
exchange information and informally resolve disputes. Department also has administrative appeals
processes to fairly and expeditiously resolve disputes. If at any time the Subrecipient would lil<e to engage
Department in an ADR procedure, the Subrecipient may send a proposal to Department's Dispute
Resolution Coordinator. For additional information on Department's ADR policy, see Department's
Alternative Dispute Resolution and Negotiated Rulemal<ing at 10 TAC §1.17.
SECTION 44. LIMITATION ON ABORTION FUNDING
A. Pursuant to Chapter 2272 of the Texas Government Code, to the extent allowed by federal and
state law, the Department may not enter into this Contract with an "abortion provider" or an
"affiliate" of an abortion provider, as said terms are defined thereunder, if funds under this Contract
are appropriated from state or local tax revenue.
B. By execution of this Contract, the Subrecipient hereby certifies that, as a condition of receipt of any
funds under this Contract from state or local tax revenue, it is eligible to receive said funds, and that
it will not utilize said funds in any way contrary to this Section 44 during the Contract Term.
SECTION 45. PREVENTION OF TRAFFICKING
A. Subrecipient and its contractors must comply with Section 106(g) of the Trafficl<ing Victims
Protection Act of 2000, as amended (22 U.S.C. §7104 et seq,). If Subrecipient or its subcontractor
engages in, or uses labor recruiters, brol<ers or other agents who engage in any of the prohibited
activities under Section 106(g) of the Trafficking Victims Protection Act of 2000, the Department
may terminate this Contract and Subrecipient hereby agrees and acl<nowledges that upon
termination, Subrecipient's rights to any funds shall be terminated.
City of Fort Worth
18226010006 20
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
WITNESS OUR HAND EFFECTIVE:
SUBRECIPIENT:
City of Fort Worth,
a political subdivision of the State of Texas
—DocuSigned by:
F�.a.�.dn Car�F.
By: �
Name
Title:
Date:
Fernando Costa
Assistant City Mana�er
10/27/2021 � 12:03:15 PM CDT
THIS CONTRACT IS NOT EFFECTIVE UNLESS SIGNED BY THE EXECUTIVE DIRECTOR OF THE TEXAS
DEPARTMENT OF HOUSING AND COMMUNITY AFFAIRS, OR HIS/HER AUTHORIZED DESIGNEE.
THIS CONTRACT IS APPROVED, ACCEPTED AND MADE TO BE EFFECTIVE ON SEPTEMBER 1, 2021 ON
BEHALF OF:
DEPARTMENT:
TEXAS DEPARTMENTOF HOUSING AND COMMUNITYAFFAIRS,
A PUBLIC AND OFFICIAL AGENCY OF THE STATE OF TEXAS
DocuSigned by:
B �. c'l� ?�YP
y� D9F"043DB64A044F...
Name: Abi�ail Versyp
Title: Its duly authorized officer or representative
Date: 11/1/2021 � 10:11:09 AM COT
City of Fort Worth
18226010006 2 1
IN WITNESS WHEREOF, the Parties hereto have executed this Agreement in inultiple
originals on the date written below their respective signatures to be effective on the Effective Date.
CITY OF FORT WORTH:
ACCEPTED AND AGREED:
CITY OF FORT WORTH:
��
B�Finrnando Costa (Nov 1, 202116:44 CDT)
J
Name: Fernando Costa
Title: Assistant City Manager
Date: Nov l, 2021
APPROVAL RECOMMENDED:
Jo+�tu rR+�—
Tara Perez (Nov 1, 202110:40 CDT)
By:
Name: Tara Perez
Title: Directions Home Manager
ATTEST:
, � . ,����. � .
i
CONTRACT COMPLIANC� MANAGER:
By signing I aclrnowledge that I am the person
responsible for the monitoring and administration of
this contract, including ensuring all performance and
reporting requirements.
r°�``.�
Tara Perez (Nov 1, 202110:40 CDT)
By:
Name: Tara Perez
Title: Directions Home Manager
APPROVED AS TO FORM AND LEGALITY:
�
B�Jp Pate (No 1, 02113:15 CDT�
,Y
Name: Jo Pate
Title: Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: 21-0512
1295:
Name: Ronald Gonzales
Title: Acting City Secretai•y
DocuSign Envelope ID: BB755690-DF1C-4A11-8252-FE3D25722A78
TEXAS DEPARTMENT OF HOUSING AND COMMUNITY AFFAIRS
FY 2022 TEXAS HOMELESS HOUSING AND SERVICES PROGRAIVI
YOUTH SET-ASIDE
GENERAL REVENUE
CONTRACT 18226010006
ADDENDUM A
CERTIFICATION REGARDING LOBBYING FOR
CONTRACTS, GRANTS, LOANS, AND COOPERATIVE AGREEMENTS
City of Fort Worth,
a political subdivision of the State of Texas
The undersigned certifies, to the best of its I<nowledge and belief, that:
1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned,
to any person for influencing or attempting to influence an officer or employee of an agency, a
Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress
in connection with the awarding of any Federal contract, the making of any Federal grant, the malcing
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.
2. If any funds other than Federal 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, a Member of Congress,
an officer or employee of Congress, or an employee of a Member of Congress in connection with this
Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit
standard form -LLL, "Disclosure Form to Report Lobbying", in accordance with its instructions.
3. The undersigned shall require that the language of this certification be included in the award
documents for all sub-awards at all tiers (including subcontracts, subgrants, and contracts under
grants, loans, and cooperative agreements) and that all sub-recipients shall certify and disclose
accordingly.
This certification is material representation of fact on which reliance was placed when this transaction
was made or entered into. Submission ofthis certification is a prerequisite for making or entering into this
transaction imposed by Section 1352, Title 31, U. S. Code. 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.
Statement for Loan Guarantees and Loan Insurance
The undersigned states, to the best of its knowledge and belief, that:
City of Fort Worth
18226010006 22
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
If any funds have been paid or will be paid 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, or an
employee of a Member of Congress in connection with this commitment providing for the United States
to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, "Disclosure
Form to Report Lobbying," in accordance with its instructions. Submission of this statement is a
prerequisite for mal<ing or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any
person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000.00
and not more than $100,000.00 for each such failure.
City of Fort Worth,
a political subdivision of the State of Texas
DocuSigned by:
By; �vi.s•�.s•,(n C�
Name: e��i�a'r���5�'$s�a
Title: Assistant City Manager
Date: 10/27/2021 � 12:03:15 PM CDT
City of Fort Worth
18226010006 23
DocuSign Envelope ID: BB755690-DF1C-4A11-8252-FE3D25722A78
TEXAS DEPARTMENT OF HOUSING AND COMMUNITY AFFAIRS
FY 2022 TEXAS HOMELESS HOUSING AND SERVICES PROGRAM
YOUTH SET-ASIDE
GENERALREVENUE
CONTRACT 18226010006
ADDENDUM B
CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS
City of Fort Worth,
a political subdivision of the State of Texas
This certification is required by the regulations implementing the Drug-Free Worl<place Act of 1988: 45
CFR Part 76, Subpart, F. Sections 76.630(c) and (d)(2) and 76.645 (a)(1) and (b) provide that a Federal
agency may designate a central receipt point for STATE-WIDE AND STATE AGENCY-WIDE certifications,
and for notification of criminal drug convictions. For the Department of Health and Human Services, the
central point is: Division of Grants Management and Oversight, Office of Management and Acquisition,
Department of Health and Human Services, Room 517-D, 200 Independence Avenue, SW Washington, DC
20201.
The undersigned certifies that it will or will continue to provide a drug-free workplace by:
(a) Publishing a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the grantee's worl<place and
specifying the actions that will be taken against employees for violation of such prohibition;
(b) Establishing an ongoing drug-free awareness program to inform employees about-
(1) The dangers of drug abuse in the worl<place;
(2) The grantee's policy of maintaining a drug-free worl<place;
(3) Any available drug counseling, rehabilitation, and employee assistance programs; and
(4) The penalties that may be imposed upon employees for drug abuse violations occurring in the
workplace;
(c) Mal<ing it a requirement that each employee to be engaged in the performance of the grant be
given a copy of the statement required by paragraph (a);
(d) Notifying the employee in the statement required by paragraph (a) that, as a condition of
employment under the grant, the employee will-
(1) Abide by the terms of the statement; and
City of Fort Worth
24
18226010006
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
(2) Notify the employer in writing of his or her conviction for a violation of a criminal drug statute
occurring in the wori<place no later than five (5) calendar days after such conviction;
(e) Notifying the agency in writing, within ten (10) calendar days after receiving notice under
paragraph (d)(2) from an employee or otherwise receiving actual notice of such conviction. Employers
of convicted employees must provide notice, including position title, to every grant officer or other
designee on whose grant activity the convicted employee was worl<ing, unless the Federal agency has
designated a central point for the receipt of such notices. Notice shall include the identification
number(s) of each affected grant;
(f) Taking one of the following actions, within thirty (30) calendar days of receiving notice under
paragraph (d)(2), with respect to any employee who is so convicted-
(1) Taking appropriate personnel action against such an employee, up to and including
termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or
(2) Requiring such employee to participate satisfactorily in a drug abuse assistance or
rehabilitation program approved for such purposes by a Federal, State, or local health, law
enforcement, or other appropriate agency;
(g) Mal<ing a good faith effort to continue to maintain a drug-free worl<place through implementation
of paragraphs (a), (b), (c), (d), (e) and (f).
Place(s) of Performance [site(s) for the performance of work done in connection with the specific
grant] (include street address, city, county, state, zip code):
1.
2.
3.
C�
Worl<place identifications must include the actual address of buildings (or parts of buildings) or other
sites where worl< under the grant tal<es place. Categorical descriptions may be used (e.g., all vehicles
of a mass transit authority or State highway department while in operation, State employees in each
local unemployment office, perFormers in concert halls or radio studios). If Subrecipient does not
identify the workplaces at the time of application, or upon award, if there is no application, the
Subrecipient must keep the identity of the worl<place(s) on file in its office and mal<e the information
available for Federal inspection. Failure to identify all I<nown workplaces constitutes a violation of the
Subrecipient's drug-free worl<place requirements.
City of Fort Worth
18226010006 25
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
This certification is a material representation of fact upon which reliance is placed when the
Department awards the grant. If it is later determined that Subrecipient knowingly rendered a false
certification, or otherwise violates the requirements of the Drug-Free Workplace Act, Department, in
addition to any other remedies available to the Federal Government, may tal<e action authorized
under the Drug-Free Workplace Act.
City of Fort Worth,
a political subdivision ofthe State ofTexas
By: 1
Name
Title:
—DocuSigned by:
�UId�O�t+� l%4?�k
Fernando Costa
Assistant City Mana�er
10/27/2021 � 12:03:15 PM CDT
Date:
City af Fort Worth
18226010006 26
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
TEXAS DEPARTMENT OF HOUSING AND COMMUNITY AFFAIRS
FY 2022 TEXAS HOMELESS HOUSING AND SERVICES PROGRAM
YOUTH SET-ASIDE
GENERALREVENUE
CONTRACT 18226010006
_��_►� l
CERTIFICATION REGARDING DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS
City of Fort Worth,
a political subdivision of the State of Texas
The undersigned certifies, to the best of its knowledge and belief, that it and its principals:
(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily
excluded by any Federal or state department or agency;
(b) Have not within a three-year period preceding this proposal been convicted of or had a civil
judgment rendered against them for commission of fraud or a criminal offense in connection with
obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract
under a public transaction; violation of Federal or State antitrust statutes or commission of
embezzlement, theft, forgery, bribery, falsification or destruction of records, mal<ing false statements,
or receiving stolen property;
(c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity
(Federal, State or local) with commission of any of the offenses enumerated in section (b) of this
certification;
(d) Have not within a three-year period preceding this application/proposal had one or more public
transactions (Federal, State or local) terminated for cause or default; and
(e) Will submit to the Department information about each proceeding that occurs during this Contract
Term or during the recordl<eeping period that:
(1) Is in connection with this award;
(2) Reached its final disposition during the most recent five year period; and
(3) Is one of the following:
i. A criminal proceeding that resulted in a conviction, as defined below;
ii. A civil proceeding that resulted in a finding of fault and liability and payment of a monetary
fine, penalty, reimbursement, restitution, or damages of $5,000.00 or more;
iii. An administrative proceeding, as defined below, that resulted in a finding of fault and liability
and your payment of either a monetary fine or penalty of $5,000.00 or more or
reimbursement, restitution, or damage in excess of $100,000.00; or
City of Fort Worth
18226010006
2%
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
iv. Any other criminal, civil, or administrative proceeding if:
1. It could have led to an outcome described in this section (e) paragraph (3) items (i) —(iii)
of this award term and condition;
2. It had a different disposition arrived at by consent or compromise with an
acknowledgment of fault on your part; and
3. The requirement in this award term and condition to disclose information about the
proceeding does not conflict with applicable laws and regulations.
(4) For purposes of section (e) of this certification the following definitions apply:
i. An "administrative proceeding" means a non-judicial process that is adjudicatory in nature in
order to make a determination of fault or liability (e.g., Securities and Exchange Commission
Administrative proceedings, Civilian Board of Contract Appeals proceedings, and Armed
Services Board of Contract Appeals proceedings). This includes proceedings at the Federal and
State level but only in connection with performance of a Federal contract or grant. It does not
include audits, site visits, corrective plans, or inspection of deliverables.
ii. A"conviction", for purposes of this award term and condition, means a judgment or
conviction of a criminal offense by any court of competent jurisdiction, whether entered upon
a verdict or a plea, and includes a conviction entered upon a plea of nolo contendere.
Where the undersigned Subrecipient is unable to certify to any of the statements in this certification, such
Subrecipient shall attach an explanation of why it cannot provide said certification to this Contract.
The undersigned Subrecipient further agrees and certifies that it will include the below clause titled
"Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-
Subcontracts/Lower Tier Covered Transaction," without modification, in all subrecipient contracts,
subcontracts and in all solicitations for subcontracts:
"CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION —
SUBCONTRACTS/ LOWER TIER COVERED TRANSACTIONS
(1) The prospective lower tier participant/subcontractor certifies, by submission of this proposal, that
neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible,
or voluntarily excluded from participation in this transaction by any Federal department or agency.
(2) Where the prospective lower tier participant/subcontractor is unable to certify to any of the
statements in this certification, such prospective participant shall attach an explanation to this proposal.
city of Fort worth
28
18226010006
John Siburt (Dec 17, 2021 16:13 CST)
President/CEO
John Siburt
Dec 17, 2021
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
TEXAS DEPARTMENT OF HOUSING AND COMMUNITY AFFAIRS
FY 2022 TEXAS HOMELESS HOUSING AND SERVICES PROGRAM
YOUTH SET-ASIDE
GENERALREVENUE
CONTRACT 18226010006
ADDENDUM D
PRWORA REQUIREMENTS
City of Fort Worth,
a political subdivision of the State of Texas
If an individual is applying for HHSP funds, a Subrecipient must verify that the individual applying for HHSP
funds is a qualified recipient for funding under the Personal Responsibility and Worl< Opportunity Act of
1996, ("PRWORA") or ("Act"), Pub. L. 104-193, 110 Stat. 2105, codified at 8 U.S.C. §1601 et. seq., as
amended by the Omnibus Appropriations Act, 1997, Pub. L. 104-208.
To ensure that a non-qualified applicant does not receive "public benefits," a political subdivision that
administers "public benefit programs" is required to determine, and to verify, the individual's alienage
status before granting eligibility. 8 U.S.C. §1642 (a) and (b). Subrecipient must use the SAVE verification
system to verify and document qualified alien eligibility once access to the system is provided by the
Department.
There are certain types of assistance that are not subject to the Act's restriction on access to public
benefits based on immigration status. This includes activities that: (1) deliver in-I<ind services at the
community level, (2) are necessary for the protection of life or safety, and (3) do not condition the
provision of assistance on the applicant's income or resources. Generally, under the HHSP State Rules, an
activity that provides a public benefit to a Household that is Homeless is exempt, while an activity that is
provided to a Household that is At-Risl< of Homelessness is not exempt. However, if Subrecipient has
adopted income based criteria for the provision of assistance, than that activity may be subject to the Act.
Yet, some activities do not provide a public benefit to a Household such as a case manager performing a
Household eligibility determination or purchase of an HMIS database. Section 401(b)(1)(C) of the Act also
exempts public health assistance for immunizations with respect to immunizable diseases and for testing
and treatment of symptoms of communicable diseases whether or not such symptoms are caused by a
communicable disease.
If Subrecipient is unsure of whether or not an activity is exempt from the Act, it should contact the
Department before beginning the activity to receive a written determination.
City of Fort Worth
30
18226010006
DocuSign Envelope ID: BB755690-DF1C-4A11-8252-FE3D25722A78
CERTIFICATION REGARDING USE OF THE SYSTEMATIC ALIEN VERIFICATION FOR ENTITLEMENTS ("SAVE")
SYSTEM
Subrecipient shall:
(1) System Use.
(a) Establish the identity of the applicants and require each applicant to present the applicant's
immigration or naturalization documentation that contains the information (e.g., alien
registration number) required by the SAVE Program;
(b) Physically examine the documentation presented by the applicant and determine whetherthe
document(s) reasonably appear(s) to be genuine and to relate to the individual;
(c) Provide to the SAVE Program the information the SAVE Program requires to respond to
Subrecipient requests for verification of immigration or naturalized or derived citizenship status
information, including (1) information from the applicant's immigration or naturalization
documentation for initial automated verification, (2) additional information obtained from the
alien's immigration or naturalization documentation for automated additional verification, and
(3) completed Forms G-845 and other documents and information required for manual additional
verification. For manual only verification, ensure that Forms G-845 and other documents and
information required for manual verification are provided;
(d) Ensure that, prior to using the Verification Information System, all employees designated by
Subrecipient to use SAVE on behalf of the Subrecipient ("Users") performing verification
procedures complete SAVE required training including: reading the SAVE Program Guide, tal<ing
the latest version of Web tutorial(s), http://www.uscis.gov/save/what-save/save-webinars, and
maintaining a worl<ing knowledge of requirements contained therein and in this Contract as
updated. Documentation of training must be maintained by the Subrecipient for monitoring
review;
(e) Ensure that Users are provided with and maintain User lds only while they have a need to
perform verification procedures;
(f) Ensure all Users perForming verification procedures comply with all requirements contained in
the SAVE Program Guide, web-based tutorial, this Contract, and updates to these requirements;
(g) Ensure that all Users perFormingverification procedures have contact information forthe SAVE
Program and SAVE Monitoring and Compliance. Contact information can be found at
http://www.uscis.gov/portal/site/uscis/menuitem.eb1d4c2a3e5b9ac89243c6a7543f6d1a/?vgne
xtoid=0d37dffd79029310VgnVCM 100000082ca60aRCRD&vgnextchanne1=0d37dffd79029310Vg
nVCM 100000082ca 60a RCRD;
(h) Ensure all Users perform any additional verification procedures the SAVE Program requires
and/or the applicant requests after the Subrecipient initiates a request for verification;
City of Fort Worth
18226010006 3 1
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
(i) Use any information provided by DHS-USCIS under this Contract solely for the purpose of
determining the eligibility of persons applying for the benefit issued by the Subrecipient and limit
use of such information in accordance with this and all other provisions of this Contract;
(j) Complywith the requirements ofthe Federal Information Security Management Act ("FISMA")
(PL-107-347), Title III, Section 301) and OMB guidance as applicable to electronic storage,
transport of records between agencies, and the internal processing of records received by either
agency under the terms of this Contract;
(k) Safeguard such information and access methods to ensure that it is not used for any other
purpose than described in this Contract and protect its confidentiality; including ensuring that it
is not disclosed to any unauthorized person(s) without the prior written consent of DHS-USCIS.
Each applicant seeing access to information regarding him/herself may do so by submitting a
written signed request to DHS-USCIS. Instructions for submitting request may be found at
http://www.uscis.gov/USCIS/Verification/SAVE/SAVE_Native_Documents/Fact_Sheet_HowToCo
rrectYourRecordswithUSCIS.pdf (subject to revision and reposting on the SAVE Website and
Online Resources);
(I) Comply with the Privacy Act, 5 U.S.C. §552a, the Texas Public Information Act and other
applicable laws, regulations, and policies, including but not limited to all OMB and DHS privacy
guidance, in conducting verification procedures pursuant to this Contract, and in safeguarding,
maintaining, and disclosing any data provided or received pursuant to the Contract;
(m) Comply with federal laws prohibiting discrimination against applicants and discriminatory use
of the SAVE Program based upon the national origin, color, race, gender, religion, or disability of
the applicant;
(n) Provide all benefit-applicants who are denied benefits based solely or in part on the SAVE
response with adequate written notice of the denial and the information necessary to contact
DHS-USCIS so that such individual may correct their records in a timely manner, if necessary. A
Fact Sheet that includes the process by which applicants may contact DHS-USCIS is posted at
http://www.uscis.gov/USCIS/Verification/SAVE/SAVE_Native_Documents/Fact_Sheet_HowToCo
rrectYourRecordswithUSCIS.pdf, (subject to revision and reposting on the SAVE Website and
Online Resources);
(o) Provide all benefit-applicants who are denied benefits based solely or in part on the SAVE
response with the opportunity to use the Subrecipient's existing process to appeal the denial and
to contact DHS-USCIS to correct their records prior to a final decision, if necessary; and
(p) Refrain from using SAVE, or assisting any person or entity, to comply with the employment
eligibility verification requirements of Section 274A of the Immigration and Nationality Act, 8
U.S.C. §1324a.
City of Fort Worth
18226010006 3 2
DocuSign Envelope ID: B8755690-DF1C-4A11-B252-FE3D25722A78
(2) Monitoring and Compliance.
(a) Allow Department and SAVE Monitoring and Compliance to monitor and review all records
and documents related to the use, abuse, misuse, fraudulent use or improper use of SAVE by the
Subrecipient, including, but not limited to original applicant consent documents required by the
Privacy Act, 5 U.S.C. §552a or other applicable authority;
(b) Notifythe Department's Compliance Division immediately wheneverthere is reason to believe
a violation of this agreement has occurred;
(c) Notify the Department's Compliance Division immediately whenever there is reason to believe
an information breach has occurred as a result of User or Subrecipient action or inaction pursuant
to Office of Management and Budget ("OMB") Memorandum M-07-16, "Safeguarding Against
and Responding to the Breach of Personally Identifiable Information;"
(d) Allow Department and SAVE Monitoring and Compliance to monitor and review all records
and documents related to the use, abuse, misuse, fraudulent use or improper use of SAVE by any
User, including, but not limited to original applicant consent documents required by the Privacy
Act, 5 U.S.C. §552a or other applicable authority;
(e) Allow Department and SAVE Monitoring and Compliance to conduct desk audits and/or site
visits to review Subrecipient's compliance with this Addendum D and all other SAVE-related
policy, procedures, guidance and law applicable to conducting verification and safeguarding,
maintaining, and disclosing any data provided or received pursuant to this Contract;
(f) Allow Department and SAVE Monitoring and Compliance to perform audits of Subrecipient's
User lds use and access, SAVE Training Records, SAVE financial records, SAVE biographical
information, system profiles and usage patterns and other relevant data;
(g) Allow Department and SAVE Monitoring and Compliance to interview any and all Users and
any and all contact persons or other personnel within the Subrecipient's organization or relevant
contractors regarding any and all questions or problems which may arise in connection with the
Subrecipient's participation in SAVE;
(h) Allow Department and SAVE Monitoring and Compliance to monitor system access and usage
and to assist SAVE users as necessary to ensure compliance with the terms of this Addendum D
and the SAVE Program requirements by its authorized agents or designees; and
(i) Tal<e corrective measures in a timely manner to address all lawful requirements and
recommendations on every written finding including but not limited to those of the Department
or SAVE Monitoring and Compliance regarding waste, fraud, and abuse, and discrimination or any
misuse of the system, non-compliance with the terms, conditions and safeguards of this
Addendum D, SAVE Program procedures or other applicable law, regulation or policy.
City of Fort Worth
33
18226010006
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
(3) Criminal Penalties.
(a) DHS-USCIS reserves the right to use information from the Department or Subrecipient for any
purpose permitted by law, including, but not limited to, the prosecution of violations of Federal
administrative or criminal law.
(b) The Subrecipient acknowledges that the information it receives from DHS-USCIS is governed
by the Privacy Act, 5 U.S.C. §552a(i)(1), and that any person who obtains this information under
false pretenses or uses it for any purpose other than as provided for in this Contract may be
subject to criminal penalties.
(4) Third Party Liability.
(a) Each party to this Contract shall be solely responsible for its own defense against any claim or
action by third parties arising out of or related to the execution and/or performance of this
Contract, whether civil or criminal, and retain responsibility for the payment of any corresponding
liability.
(b) Nothing in this Contract is intended, or should be construed, to create any right or benefit,
substantive or procedural, enforceable at law by any third party against the United States, its
agencies, officers, or employees, the State of Texas, its agencies, officers, or employees, or the
Subrecipient.
(5) Points of Contact.
Abigail Versyp
Director of Single Family and Homeless Programs Division
Texas Department of Housing and Community Affairs
P.O. Box 13941
Austin, TX 78711-3941
Phone: (512) 475-0908
Email: abigail.versyp@tdhca.state.tx.us
USCIS SAVE Program MS 2620
U.S. Citizenship and Immigration Services
Department of Homeland Security
Washington, DC 20529-2620
A�N: SAVE Operations
Phone: (888) 464-4218
Email: saveregistration@dhs.gov
City of Fort Worth
34
18226010006
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
USCIS SAVE Monitoring and Compliance MS 2640
U.S. Citizenship and Immigration Services
Department of Homeland Security
Washington, DC 20529-2640
Phone: (888) 464-4218
Email: save.monitoring@dhs.gov
(6) Certification.
The undersigned hereby certifies to the Texas Department of Housing & Community Affairs that
all information herein is true and correct to the best of their I<nowledge and belief. The purpose
of this statement is to certify that City of Fort Worth:
� Is NOT a private nonprofit charitable organization and is an entity created by State Statute and
affiliated with or is a state or governmental entity (such as a housing finance agency, public
housing authority, unit of local government, council of governments, county, etc.)
Certification must have the signature from a representative with authority to execute documents
on the Subrecipient's behalf.
SUBRECIPIENT:
City of Fort Worth,
a political subdivision of the State of Texas
—DocuSigned by:
�e�s.r�s•o(o Ca��.
By:
Name:
Title:
Fernando Costa
Assistant CitV Mana�er
10/27/2021 � 12:03:15 PM CDT
Date:
City of Fort Worth
18226010006
35
DocuSign Envelope ID: B8755690-DF1C-4A11-B252-FE3D25722A78
TEXAS DEPARTMEfVT OF HOUSIIVG AND COMMUNITY AFFAIRS
FY 2022 TEXAS HOMELESS HOUSING AND SERVICES PROGRAM
YOUTH SET-ASIDE
GENERALREVENUE
CONTRACT 18226010006
EXHIBIT A
PERFORMANCE STATEMENT
City of Fort Worth,
a political subdivision of the State of Texas
Subrecipient shall carry out the following activities identified herein by implementing a Texas Homeless
Housing and Services Program ("HHSP") in accordance with the State Act and its implementing rules under
the HHSP State Rules.
Close-Out Process: Ends November 14, 2022
Contract Term: September 1, 2021— August 31, 2022
Service Area: City of Fort Worth
Program Activities
Subrecipient agrees to perform the
Households, as defined in §7.2(b)(58):
A. Persons Served
following measurable activities for Homeless Youth Headed
1. Essential Services for Persons experiencing Homelessness in
Youth- Headed Households (only eligible in conjunction with a
street outreach, case management, emergency shelter, or
housing through a Transitional Living activity)
2. Street Outreach for Persons experiencing Homelessness in
3
Youth-Headed Households
Transitional Living for Persons experiencing Homelessness in
Youth-Headed Households
4. Persons experiencing Homelessness in Youth-Headed
Households in an HHSP-Youth funded day/night Shelterl
5. Case management for Persons experiencing Homelessness in
Youth-Headed Households
B. Outcomes
1 This number may include the all persons assisted through the operations of the shelter.
�❑
[I�
iIl]
�
fI1',
DS
�
City of Fort Worth
36
18226010006
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
1. Persons in Youth-Headed Households who were Homeless 3
and have maintained housingforthree months after HHSP
exit
C. New Beds
1. New Shelter beds created through Construction: 0
2. New Shelter beds created through Rehabilitation: 0
3. New Shelter beds created through Conversion: 0
4. New Transitional Living beds created through Construction 0
5. New Transitional Living beds created through Rehabilitation 0
6. New Transitional Living beds created through Conversion 0
City of Fort Worth
18226010006 3 �
DocuSign Envelope ID: BB755690-DF1C-4A11-B252-FE3D25722A78
TEXAS DEPARTMENT OF HOUSING AND COMMUNITY AFFAIRS
FY 2022 TEXAS HOMELESS HOUSING AND SERVICES PROGRAM
YOUTH SET-ASIDE
GENERAL REVENUE
CONTRACT 18226010006
EXHIBIT B
BUDGET
City of Fort Worth,
a political subdivision of the State of Texas
DEPARTMENT FINANCIAL OBLIGATIONS
Additional funds may be obligated via Amendment(s) during the Contract Term. Funds may only be
obligated and expended during the current Contract Term, and reported during the Close-Out Process.
Unexpended fund balances will be recaptured.
II. BUDGET FOR AVAILABLE ALLOCATIONS
ADMINISTRATION $6,150.00
CASE MANAGEMENT SALARY $33,670.00
CONSTRUCTION/REHABILITATION/CONVERSION $0.00
ESSENTIAL SERVICES (only eligible in $750.00
conjunction with a street outreach, case
management, emergency shelter, street
outreach, or housing through a Transitional
Living activity)
HOMELESS ASSISTANCE through a street $103,586.00
outreach, emergency shelter, or Transitional
�iving Activity
OPERATIONS $0.00
TOTAL FUNDS AWARDED $144,156.00
III. FOOTNOTES TO BUDGET FOR AVAILABLE ALLOCATIONS:
DS
�
Denotes that the Subrecipient must request in writing any adjustment needed to a budget category before
the Department will mal<e any adjustments to the budget categories. Only those written requests from
the Subrecipient that are received at least thirty (30) calendar days prior to the end of the Contract Term
will be reviewed. The Department may decline to review written requests received during the final thirty
(30) calendar days of the Contract Term.
City of Fort Worth
18226010006
:
John Siburt (Dec 17, 2021 16:13 CST)
President/CEO
John Siburt
Dec 17, 2021
CERTIFICATION REGARDING LOBBYIIVG FOR COI�TRACTS, GRAI�ITS,
LOANS, AND COOPERATIVE AGREElVIENTS
By executing this Agreeinent, Agency certii"ies, to the best of its lcnowledge and belief, that:
1. No I'ederal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or
einployee of an agency, a Member of Congress, an officer or employee of Congress, or
an employee of a Member of Congress in connection with the awarding of any Federal
contract, the making of any Federal grant, the malcing 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.
2. If any fiuids other than Federal appi•opriated funds have been paid or will be paid 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, or an employee of
a Member of Congress in coimection with this Federal contract, grant, loan, or
cooperative agreement, the undersigned shallcomplete and submit standard form -LLL,
"Disclosure Form to Report Lobbying", in accordance withits instructions.
3. The undersigned shall require that the language of this certification be included in the
award documents for ail sub-awards at all tiers (including subcontracts, subgrants, and
contracts undergrants, loans, and cooperative agreements) and that all sub-recipients
shall certify and disclose accordingly.
This certification is material representation of fact on which reliance was placed when this
transactionwas made or entered into. Submission of this certification is a prerequisite for
malcing or entering into this transaction imposed by Section 1352, Title 31, U. S. Code. Any
person who fails to file the requiredcertification shall be subject to a civil penaity of not less
than $10,000 and not more than $100,000 foreach such failure.
Statement for Loan Guarantees and Loan Insurance
Agency states, to the best of its laiowledge and belief, that:
If any funds have been paid or will be paid 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, or an employee of a Member of Congress in connection with
this commitment providing for the United Statesto insure or guarantee a loan, the Luldersigned
shall complete and submit Staildard Form-LLL,"Disclosure Form to Report Lobbying," in
accordance with its instructions. Submission of this statementis a prei•equisite for making or
entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who
fails to file the requued statement shall be subject to a civil penalty of not less than $10,000
and not more than $100,000 for each such failure.
Page 53 of 54
Supportive Sei•vices Agreemeut— Eshibits
John Siburt (Dec 17, 2021 16:13 CST)
President/CEO
John Siburt
Dec 17, 2021
. . .
.;. • . �
DATE: 08/03/21
LOG NAME
SUBJECT
M&C FILE NUMBER: M&C 21-0512
02ACCEPTING HOMELESS HOUSING AND SERVICES PROGRAM FUNDS
(ALL) Authorize Acceptance of Grants from the Texas Department of Housing and Communiry Affairs for Homeless Housing and Services
Program Funds in the Amount of $453,572.00 and Homeless Housing and Services Program-Youth Set Aside in the Amount of $144,156.00,
Authorize Execution of Related Agreements, Authorize Execution of Subgrant Agreements with The Housing Authority of the City of Fort Worth
Doing Business As Fort Worth Housing Solutions to Provide Rental Assistance and with CitySquare to Provide Youth Rental Assistance and Case
Management, Authorize Rollover of Remaining Fiscal Year 2021 Funds for HHSP-Youth Set Aside in an Amount up to $115,000.00 to CirySquare,
Find that the Subgrant Agreements Serve a Public Purpose, and Adopt Attached Appropriation Ordinance
RECOMMENDATION:
It is recommended that the City Council:
1.
2.
3.
4.
5.
6.
Authorize acceptance of grants and execution of contracts with the Texas Department of Housing and Community Affairs for the Homeless
Housing and Services funds in the amount of $453,572.00 (General) and $144,156.00 (Youth);
Authorize the execution of subgrant agreement with Fort Worth Housing Solutions in the amount of $453,572.00 to provide rental assistance
to at least 40 permanent supportive housing clients (General);
Authorize the execution of subgrant agreement with CitySquare in the amount of $144,156.00 to provide rental assistance and case
management to at least 10 youth (Youth);
Authorize the rollover of remaining Fiscal Year 2021 funds for HHSP-Youth Set Aside in an amount up to $115,000.00 to be included in the
subgrant agreement with CitySquare;
Find that the subgrant agreements serves the public purpose of ending chronic and youth homelessness and that adequate controls are in
place; and
Adopt the attached appropriation ordinance increasing estimated receipts and appropriations in the Grants Operating State Fund in the
amount of $597,728.00, subject to the receipt of the grant for the purpose of reducing chronic and youth homelessness.
DISCUSSION:
The State of Texas provides grant funding for the Homeless Housing and Services Program (HHSP) administered by the Texas Department of
Housing and Community Affairs (TDHCA) to nine municipalities with a population of 285,500 or greater, including the City of Fort Worth (City).
The HHSP amount allocated to the City is $453,572.00. The HHSP funds may be used to provide rental assistance, case management and other
services or housing options to reduce homelessness. The HHSP grant funds are currently subcontracted to used by Fort Worth Housing Solutions
to provide rental assistance to 40 persons for permanent supportive housing annually.
The Texas Legislature passed an increase in funding for HHSP over the 2020-2021 biennium with additional funds to address homelessness
among young adults 18 to 24 years of age. The HNSP-Youth amount allocated to the City is $144,156.00. Eligible services include case
management, emergency shelter, street outreach and transitional living. The HHSP-Youth grant funds will be used to provide rental assistance and
case management for 10 youth annualiy.
By approval of this Mayor and Council Communication, the City Council finds that funding the subgrant agreements will meet the public purpose of
helping to end chronic and youth homelessness and that adequate controls are in place through the contracts to ensure that the public purpose is
carried out,
Upon acceptance, the grant will begin on September 1, 2021. The City Manager's Office will administer the HHSP and HHSP-Youth funds and
monitor the sub-grantees, Fort Worth Housing Solutions and CirySquare. The subgrant agreements will be from September 1, 2021 to August 31,
2022.
Last year, the City received HHSP and HHSP-Youth funds, which were set to expire on August 31, 2021. However, the City received an extension
that allows the City to use the funds until February 28, 2022. FWHS will continue to provide services under its current HHSP agreement until all
2020-2021 funds are expended, at which point, FWHS will begin billing against the 2021-2022 HHSP funds. Tarrant County Homeless Coalition
(TCHC) previously contracted to provide services using the HHSP-Youth funds. The City recommends moving any remaining 2020-2021 HHSP-
Youth funds in an amount up to $115,000.00 from TCHC to CitySquare at the end of TCHC's current agreement and wiil require that CitySquare to
use those funds prior to the new 2021-2022 funds.
An Assistant City Manager is authorized to execute the contracts.
exas
� � . •
A Form 1295 is not required for these contracts because: These contracts will be with a governmental entity, state agency or public institution of
higher education: TDHCA and Fort Worth Housing Solutions. A Form 1295 is required for CitySquare.
FISCAL INFORMATION / CERTIFICATION:
The Director of Finance certifies that, upon acceptance of the above recommendations, and adoption of the attached appropriation
ordinance, funds will be available in the current operating budget, as appropriated, in the Grant Operating State Fund. The City Manager's Office
(and Financial Management Services) will be responsible for the collection and deposit of funds due to the City. Prior to an expenditure being
incurred, the City Manage�'s Office has the responsibility to validate the availabiliry of funds. This is a reimbursement grant.
Submitted for City Manager's Office bv:
Originating Business Unit Head:
Fernando Costa 6122
Tara Perez
2235
Additional Information Contact: Tara Perez 2235