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HomeMy WebLinkAboutContract 42550 CITY SECRETARY CONTRACT NO. STATE OF TEXAS § COUNTY OF TARRANT § This contract ("Contract") is made and entered into b and b ' Fort Worth (hereafter " " y etvveen the City of City ) and The Salvation Army, a Georgia Corporation « �? .y g porat ion for the S.T.A.R.T. Program (hereafter "Contractor"), a Georgia non ) g profit corporation. City and Contractor may be referred to individually as a"Party"and jointly "y as the Parties". The Parties state as follows: WHEREAS, City receives grant monies from the United States Department of Housin and Urban D evelopment ("HUD") through th�e Community Development Bloc Grant Program ("CDBG"), Pro ram p � g No. B-I I-MC-48-0010 Catalog of Federal ' Assistance No. 14.218; g Domestic WHEREAS, a national objectives of the CDBG program is to • P g benefit low and moderate income citizens (the "National Objective"); WHEREAS, Contractor submitted a proposal to use CDBG fund Program (defined bel s for an ellg�ble Pro g ow) under the CDBG Regulations defined ( below) whereby Contractor will provide services as further described in Exhibit "A"- S Program Summary; WHEREAS, City citizens, the Community Development Council,cal, and the City Council have determined that CDBG programs are needed by the City's citizens; , NOW, THEREFORE, the Parties understand and agree as follows: ows. 1• INCORPORATION OF RECITALS. City and Contractor hereby agree that the recitals set forth above are true and correct and form the basis upon which the Parties have entered into this Contract. 2. DEFINITIONS. In addition to terms defined in the body of this Contract the following terms shall have the definitions ascribed to them as follows. Area Median Income (AMI)means the median family ncome for - y o the Fort Worth Arlington metropolitan statistical area as established b HUD.y The 2011 income limits are attached hereto as Exhibit F. Complete Documentation means a report or reports in a form rm acceptable to City that contains a summary of all CDBG eligible costs gi expended for the Program p am with the supporting documentation as appropriate: (i) copies of invoices for all l expenses and other CDBG SUBRFCIPIFNT CONTRACT __..... .. Pei 0910 I!?0 I i The Salvation Arne � � OFF��"��;, 3��`* I },a Georgia Corporation for the S.T.A.R.T. Program �'�`' �� CITY SECRETARY t t FT-V T H, Tx documents such as an approved check request, cancelled checks bank statements, or wire transfers necessary to demonstrate that such amounts were actuall aid • ' roved timesh Y paid Cz z} copies of approved eets and other documents such as cancelled checks, bank statements direct deposit forms necessary to demonstrate that such amounts were actually paid; (iv) sufficient proof to shove client income eligibility; and (v) an y other document or records reasonably necessary to verify costs spent and client eligibility for such Program. m. CDBG Eligible Client means a client that can be documented as a member of a presumed benefit category as defined by 24 CFR 570.208 a 2 i A on cat C }C }C }C �� e of these categories will be identified in Exhibit A of this contract. CDBG Funds means City's CDBG funds supplied b City to Contractor of this Contract. Y Y under the terms CDBG Regulations means regulations found in 24 CFR Part 570. Program shall mean the service(s) described in Exhibit A—Program Summary. g Reimbursement Request shall mean all reports and other documentation Section 9. described in Source Documentation means documentation sufficient under CDBG regulations to establish an individual or household as an eligible client. 3. TERM. 3.1 Term. The term of this Contract begins on October 1, 201 1 " the Effective Date") C and terminates Hates on September 30, 2012 unless terminated as provided to this Contract. This contract is contingent upon receipts of CDBG funds by City. If CDBG funds are not received or if City's allocation of CDBG funds changes, Ci ty reserves the right to amend or terminate this Contract. Also, no funds will be available for reimbursement to agencies until City's 2011-2012 Action Plan is approved b HUD and a r ' received by City. Y grant agreement is 4. DUTIES AND RESPONSIBILITIES OF CITY. r 4.1 Reimbursement of CDBG Funds. City shaII pay up to Twenty Five Thousand and No/100 $25 000.00 C � ) of CDBG Funds on a reimbursement of expenses basis, under the terms and conditions herein. 4.2 CitY Will Monitor. City wiII monitor the activities and performance of Contractor and any of its contractors or subcontractors as necessary, but no Iess than annually. Y 5. CONTRACTOR OBLIGATIONS. CDBG S['BRHIP[ENT UONTRACT Rev 09/01/201 l The Salvation Army,a Georgia Corporation for the S.T.A.R.T. Program 5.1 Required Services. In accordance with the terms and conditions of this Contract, Contractor shall perform the service as described in Exhibit"A"—Program Summary. ry. 5.2 Use of CDBG Funds. 5.2.1. Expenditures in Co mpfiance with CDBG Re ulations and Contract. Contractor shall be reimbursed for the Program costs with CDBG Funds only if: 5.2.1.1 Costs are eligible expenditures In accordance with CDBG Regulations as determined by the City in its sole discretion. 5.2.1.2 Costs are in compliance with this Contract as determined by the City in its sole discretion and are reasonable and consistent with industry norms. 5.2.1.3 Contractor must submit Complete Documentation as determined by the City in its sole discretion. 5.2.2. Bud et. CDBG Funds will be reimbursed in accordance with Exhibit "B" - Budget. During the Term, Contractor may submit written ro osals to increase ' p p se or decrease line- item amounts in the Budget; such approvals are subject to approval ' � pp by the director of the City's Housing and Economic Development Department ("Director").p �f Director gives written approval of Contractor's proposed Budget amendment g (as approved, the "Amended Budget"), then the Amended Budget will take effect on the first day of the month following the month in which it was approved b Director.y rector. Amended Budgets will be approved after August 15, 2012. 5.2.3. Payment of CDBG Funds to Contractor. CDBG Funds will be disbursed to Contractor on a reimbursement basis upon Contractor's written and signed request for reimbursement and submission of Complete Documentation to City, 5.3 Lro2ram Performance Milestones. Contractor warrants that t will achieve the following he Program wing milestones. x k 1 f t -Fx 1 9.09% 9.09% o 9.09/0 2 18.18% 18.18°/v 18.I 8% 3 27.27% 27.27% 27.27% 4 36.36% 36.36% 36.36% 5 45.45% 45.45% 45.45% 6 54.54% 54.54% 54.54% 7 63.63% 63.63% 63.63% 8 72.72% 72.72% 72.72-% (D13() St jBRFC'1P1F•:NJ CON"1-RA[."1 ___ -- ---- --- ------ Rev 09/0 1,11-2-0 1 1 The Salvation Amy, a Georgia Corporation for the S.T.A.R.T. Program 9 81.81% 81.81% 81.81% 10 90.90% 90.90% 90.90% 11 100% l00% 100% Failure of Contractor to meet or material deviation from the milestones outlined in this Section 5.3 is a breach of the Contract. In the event of such breach City reserves t right � Y he g at its sole option to delay or withhold reimbursement payments, to lower the allocation of CDBG Funds, or to terminate this Contract. 5.4 Change in Contractor's Program Budget. 5.4.1 Contractor will notify City promptly of any additional funds it receives for operation of the Program, and City reserves the right to amend this contract in such r instances to ensure compliance with HUD regulations governin g cost allocation. 5.4.2 Contractor agrees to utilize funds available under this Contract to supplement rather than supplant funds otherwise available for use in the Program. 5.5 Commingled Funds. Contractor will not commingle CDBG Funds with any other funds in any manner that would prevent City from readily identifying Y Y g expenditures for operation of the Program. 6. CLIENT ELIGIBILITY VERIFICATION. 6.1 Client Eligibility. Contractor agrees that prior to offerin g an services to a Y prospective client, Contractor will document the eligibility of the client in one of the following ways. only one of the following methods will apply to this Contract- Pp Y , the relevant method for this contract is Section 6.1.3. All other subsections of Section 6.1 are not applicable to this Contract. In all instances below, Contractor may redact the client's personal information and substitute a client number. 6.1.1 Contractors Receiving HOPwA Funds. 6.1.1.1 Income. Contractor must verify all new clients' income eligibility g Y with either Source Documentation or the form attached as Exhibit E — Form of Self Certification. Contractor must use the annual income definition used by 24 CFR 5.609 to establish client income eligibility. Contractor shall use the most current HUD Income Guidelines. 6.1.1.2 Diagnosis. Contractor must submit a signed, dated statement that the client's file contains documentation of the clients' diagnosis of HIV/AIDS. The HIV/AIDS diagnosis must be made by a licensed health care provider; a client's self certification of diagnosis is not sufficient. Contractor should not submit the actual diagnosis to City. Rev 09!()11[}1 l The Salvation Army, a Georgia Corporation for the S.T.A.R.T. Program i 6.1.1.3 Emergency Need. For clients receiving short term rental mortgage, or utility assistance, Contractor must also verify and document that the client has an emergency need, such as sudden loss of income, eviction, utility shutoff, or extraordinary and unexpected healthcare costs. 6.1.2 Contractors Receiving ESG Funds. 6.1.2.1 Homelessness Status. Contractor must verify that all new clients meet or are at imminent risk of meeting the definition of homelessness described in 42 U.S.C. 11302, as amended from time to time. Acceptable forms of verification include: i. For emergency shelter or essential services for homeless persons (including childcare for homeless clients): 1. a signed, dated statement from the client stating that the client is homeless, or that the client is homeless by virtue of fleeing domestic violence. rr. For transitional housing services: 1. a signed, dated statement from the client stating that the client is homeless, 2. a signed referral from an emergency shelter, or 3. evidence documenting that the client was evicted within one week of receiving service from Contractor, such as a formal eviction notice or a signed and dated statement from the family member displacing the client. iii. For prevention services: 1. documentation of sudden reduction in income, 2. one of the following: documentation of formal eviction proceedings, utility termination notice, or signed and dated statement from family member displacing client, 3. documentation of client's reasonable prospects of resuming payment of rent or utilities, as applicable, within a reasonable time, and 4. evidence documenting that the client is not receiving assistance from other homelessness prevention agencies or funding sources. 6.1.3 Contractors Receiving CDBG Funds and Serving a Presumed Benefit Clientele. 6.1.3.1 Presumed Benefit Status. Contractor must document that all clients served fall under a "presumed benefit" category as defined in 24 CFR 570. Relevant categories of presumed benefit are: CONTRA('] � Rev 09/'01,'2-[)1 1 The Salvation Armv,a Georgia Corporation for the S.T.A.R.T. Program 3 severely disabled adults, homeless persons, or abused or neglected children and youth. Eligible forms of documentation include: (a) Severely Disabled Adults. Written, signed and dated diagnosis of a severe disability from a licensed diagnostic professional. (b) Homeless Persons. A signed, dated statement from the client stating that the client is homeless, or a referral from a homeless service provider. (c) Abused or Neglected Children and Youth. A written, signed, and dated certification of abuse or neglect from a court or an agent of the Texas Department of Family and Protective Services. 6.1.4 Contractors Receiving CDBG Funds and Servin g a 51% Client Program. 6.1.4.1 Income. Contractor must verify all new clients' income eligibility g Y with either Source Documentation or the form attached as Exhibit E — Form of Self Certification. Contractor must use the annual income definition used by 24 CFR 5.609 to establish client income eligibility. Contractor shall use the most current HUD Income Guidel ines. A I I cl ients' income m ust be docum en ted, but on I Y 5 1% of clients must meet income eligibility requirements described in 24 CFR 5.609. 6.1.5 Contractors Receiving CDBG Funds and Servin g a 100% Client Program. 6.1.5.1 Income. Contractor must verify all new clients' income eligibility g Y with either Source Documentation or the form attached as Exhibit E --- Form of Self Certification. Contractor must use the annual income definition used by 24 CFR 5.609 to establish client income eligibility. Contractor shall use the most current HUD Income Guidelines. All clients' income must be documented, and 100% of clients must meet income eligibility requirements described in 24 CFR 5.609. 6.2 Elidbility Documentation. Contractor must submit copies of all relevant components of the eligibility verification p g y ification documentation described under Section 6.1 with Attachment III in each month's reimbursement request, and must maintain copies p s of such documentation as required under this Contract. Contractor is only required to s y q submit the eligibility verification documentation for any given client the first month that the client appears on Attachment III. 7. Additional CDBG Re uirements. (J)13G S I'13 R 1`1(1 P1 F'N]-CON-FRA("V 0 Rev 09/01; 01 1 The Salvation Army,a(aeorgia Corporation for the S.T.A.R.T. Program Contractor agrees to comply with all requirements of the CDBG Program g as stated in the CDBG Regulations, including, but not limited to the followin g 7.1 Environmental Review. CDBG Funds will not be paid, and costs cannot be incurred until Cit y has conducted and completed an environmental review as required under 24 CFR Part art 5S. The environmental review may result in a decision to proceed with modify, c Pro a fy, cancel the Program. Further, Contractor will not undertake or commit any funds to physical or choice limiting ctions. An Violate p Y g y on of this provision will result in the denial of any funds under this Contract. 7.2. Contract Not Constitutin Commitment of Funds. Notwithstanding any provision of this Contract, the Parties agree and acknowledge that this Contract does not g • constitute a commitment of funds, and that such commitment of funds or approval may occur only upon (1) satisfactory completion of p environmental review and receipt by City of an authorization to use rant funds ds from HUD under 24 CFR Part 58, (2) approval of City's 2011-2012 Action Plan and receipt b City of grant agreement from HUD. p Y 7.3. Monitorin . 7.3.1 Contractor understands and agrees that it will be subject to monitoring b fiance with the C � Y City for compliance CDBG Regulations for the duration of this Contract and until the Program is closed in HUD's IDIS system. Contractor will rovide reports ports and access to Program files as requested by City for 5 years after closeout of this Contract in HUD's IDIS system, and will meet aII the reporting requirements set out in this Contract. This Section shall survive the termination or expiration of this Contract. 7.3.2 City, HUD, and the United States ComptroIIer General or their respective p ve representatives shall have access at aII reasonable hours to the Contractor's offices and records dealing with the use of the CDBG Funds that are the basis of this Contract, and its officers, directors, agents, employees, and contractors for the u o p rp se of such monitoring. 7.3.3 In addition to other provisions of this Contract din frequency regarding g g uenG q y of monitoring, city reserves the right to perform desk reviews or on-site i monit r o ng of Contractor's compliance with the terms and conditions of this Contract and of the adequacy and timeliness of Contractor's performance under this Contract. After each monitoring Visit, City shall provide Contractor with a written report of the monitor's p on itor s findings. If the monitoring report notes deficiencies in Contractor's erfo p rmance, the report shall include requirements for the timely correction of said deficiencies by Contractor. Failure by Contractor to take the action specified in the monitoring report may be cause for suspension or termination of this Contract as P rovided herein. 7.3.4 Contractor will maintain all records related to this Contract for a minimum of five years after termination of the Contract. ('DBC; St'BRFIUl P 1FNT CO NTRA 1 7 Rev 09/01/201 1 The Salvation Army,a Georgia Corporation for the S.T.A.R.T. Program 7.4 Contractor Procurement Standards. Contractor shall establish procurement procedures to ensure that materials and services are obtained in a cost effective manner. When procuring services to be provided under this Contract, Contractor shall comply at a minimum with the r p ocurement standards at 24 CFR Part 84.40 through 24 CFR Part 84.48. 7.5 Cost Prince leslCost Reasonableness. Contractor shall administer its use of CDBG Funds in compliance with OMB MB Circular A-122, "Cost Principles for Non-Profit Organizations" as amended f ' from time to time. The allowability of costs incurred for performance rendered shall be determ i ned '�n accordance with OMB Circular A-122 as supplemented by the provisions p of this Contract. 7.6 Accounting Standards. Contractor agrees to comply with OMB Circular A-110, "Uniform Administrative Requirements for Grants and Agreements with Institutions of Higher Hi h ' g Education, Hospitals and other Non-Profit Organizations", and agrees to adhere to the accounting ccounting principles and procedures required therein, utilize adequate internal controls,troll, and maintain necessary source documentation for all costs incurred. 7.7 Terms Applicable to Contractors and Subcontractors. Contractor understands and agrees that all terms of this Contract shall apply pp y to any and all contractors and subcontractors of Contractor which are in any way paid with CDBG Funds or who perform any work in connection with Contractor's r s Program. Contractor shall monitor the services and work erformed b its P y contractors and subcontractors for compliance with the CDBG Regulations. Contractor is liable for all violations of the CDBG Regulations committed by its contractors or subcontractors. 8. REPORTING AND DOCUMENTATION RE UIREMENTS. Contractor shall maintain a record-keeping system as er art of its performance p p e of this Contract and shall promptly provide City with co ies of an document p y City deems necessary for the effective fulfillment of City's monitoring nd evaluation on responsibilities. Specifically, Contractor will keep or cause to be kept an accurate record ecord of all actions taken and all funds spent, with source and back-up documentation. on. 9. REIMBURSEMENT REQUIREMENTS. 9.1 Each Reimbursement Request shall be received by the City on or before the 15th day of the month following he month g expenses were paid. For example, Reimbursement Requests for June expenses must be received b Jul 15. In the Y Y event the 15th falls on a weekend or City holiday, Reimbursement Requests shall be due the next business day. Failure to submit a Reimbursement Request in a timely fashion q y on VVi Il result in City initiating procedures as outlined in Section I O.l. NOTWITHSTANDING ANYTHING ABOVE, EXPENSES FOR SEPTEMBER 2012 MUST BE RECEIVED BY SEPTEMBER 20, 2012, FAILURE TO SUBMIT A COMPLETE REIMBURSEMENT REQUEST BY SEPTEMBER 20, 2012 WILL RESULT IN AN AUTOMATIC FORFEITURE OF THE SEPTEMBER PAYMENT. (1)BG St IBRECIPIENT CONT RA[A Rev 09/ 1/201 1 The Salvation Anny.a Georgia Corporation for the S.-f.A.R."I. Program 9.2 With each Reimbursement Request, Contractor shall rovide City with the P y following reports (found in EXHIBIT D -- REPORTING FORMS and. � Complete Documentation.* 9.2.1 Attachment I---Invoice. This report shall contain the amount requested for reimbursement each month, and the cumulative reimbursement requested to date (inclusive of that month's request). Even if Contractor is requesting $0 for a particular month, this report must be submitted. This report must be signed by an authorized signatory of the Contractor (authorized signatories of Contractor are: Beckie Wach Operations Director Deborah Bullock Program Manager. By signing Attachment I, Contractor is certifying that the costs are valid eligible, and consistent with the terms and conditions of this Contract, and the data contained in the report is true and correct. 9.2.2 Attachment II -- Expenditure Worksheet. This report shall itemize each expense requested for reimbursement by Contractor and shall include the Account corresponding the expense to a budget line item in Attachment II. Expenses must comply with the rates and allocations described in Exhibit B—Budget. In order for this report to be complete the following must be submitted: 9.2.2.1 Timesheets signed by employees and approved by supervisor for P all payroll expenses listed. Timesheets must distinguish between CDBG funded time and non-CDBG funded time and reflect actual time spent on CDBG funded activities. 9.2.2.2 Invoices for all non-payroll expenses listed — the invoice must clearly show it pertains to the Program described in the Program description. 9.2.2.3 Proof that the expenses were paid by Contractor, which P roof can be satisfied by cancelled checks, wire transfer documentation, P aid receipts or other appropriate banking documentation. 9.2.3 Attachment III -- Client Data Report. This report shall list each client served during the month along with their demographic information. Clients served in multiple months should be listed each month. The report shall be cumulative P m lative throughout the Program, with new clients added to the form each month. In order for this report to be complete the following must be submitted: 9.2.3.1 Documentation of income verification for each client which will either be the Source Documentation described in Section 6.2.1, or the completed Form of Self Certification attached hereto as Exhibit E. This documentation shall only e submitted the he first time a client is listed on Attachment III —Client Data Report. The City retains the right to change reporting requirements and forms at its discretion. Upon such change, then the Parties shall execute an amendment to the Contract. ('1)13(1 S( Rey �) 011201 1 The Sak"atr[�n Arn)y. a Georgia Corporation for the S-T A.RA'. Program 9.3 Withholdin2 Pa meet, IF THE REQUIRED REPORTS AND APPROPRIATE SUPPORTING DOCUMENTATION ARE NOT RECEIVED BY THE DUE DATE, CITY SHALL WITHHOLD PAYMENTS REQUESTED Q STED UNDER THIS CONTRACT. Failure to submit required reports shall be an even of default. p t 10. DEFAULT AND TERMINATION. 10.1 Failure to Submit Required Documentation 10.1.1 If Contractor fails to submit a Reimbursement Request b the deadline stated in Section Q y 9.1, or if the submitted Reimbursement Request is incomplete or otherwise not in compliance with this Contract or CDBG Regulations as determined by City, Contractor shall be in default of this Contract. City will notify Contractor in writing of such default and the Contractor will have 10 calendar days from the date of the written notice to submit or resubmit an such Reimbursement Request to cure the y Q default. If the Contractor falls to cure the default within such time, Contractor shall forfeit an payments otherwise du yp Y e that month. 1 0.1.2 NOTWITHSTANDING 10,1.19 FOR THE REIMBURSEMENT REQUEST DUE SEPTEMBER 20 2012 IF CONTRACTOR FAILS TO SUBMIT A REIMBURSEMENT R } EQUEST, OR IF THE SUBMITTED REIMBURSEMENT REQUEST IS IN COMPLETE OR OTHERWISE NOT IN COMPLIANCE WITH THIS CONTRACT OR CDBG REGULATIONS AS DETERMINED BY CITY THERE WILL BE NO CURE PERIOD AND ANY REIMBURSEMENT WILL BE AUTOMATICALLY FORFIETED. 1 0.1.3 In the event of more than two instances of default, cured or uncured, City reserves the right at its sole option to terminate this Contract effective immediately upon written notice of such intent with no enalt p y or liability to City. 10.1.4 Notwithstanding anything to the contrary herein, City ill not be required to a CDBG y pay any Funds to Contractor during the period that any report or documentation is past due or is not In compliance with this Contract or the CDBG Regulations, or during any period during which Contractor is in default of this Contract. In the event of termination under this Section 10.1 all CDBG Funds awarded but unpaid to Contractor pursuant to this Contract shall be immediate) forfeited and Contractor shall have no further right to such funds y . 10.2 In General. Subject to Section 10.1, and unless specifically provided otherwise in this Contract, Contractor shall be in default under this Contract if Contractor breaches any term or condition of this Contract. In the event that such a breach remains uncured after Rev 09,.iO 1/2011 The Salvation Army,a Georgia Corporation for the S.T.A.P.-I. Program thirty (30) calendar days following written notice b City such other Y Y notice period as may be specified herein) or, if Contractor has diligently and continuously attempted to cure following receipt of such written notice but reasonably required ired mor y q e than thirty (30) calendar days to cure, as determined by both Parties mutual) and in ' shall have Y good faith, City the right to elect, as determined in City's sole discretion to terminate this is Contract effective immediately upon written notice of such intent to Contractor, or to pursue any other legal remedies available to City. in the event of termination under this Section 10.2, all CDBG Funds awarded but unpaid to Contractor pursuant to this Contract shall be immediately rescinded and Contractor shall have no further er right to such funds, and any CDBG Funds already paid to Contractor must be repaid to City within 30 days of the termination. 10.3 No Funds Disbursed while in Breach. Contractor understands and agrees that no CDBG Funds will be paid to Contractor until all defaults are cured to the satisfaction of City. 10.4 No Compensation After Date of Termination. In the event of termination, Contractor shall not receive an compensation y for work undertaken after the date of the termination. 10.5 Ri hts of City Not Affected. Termination shall not affect or terminate any of the existin rights of C it against Contractor, or which may thereafter accrue because of such default. Such ' termination does not terminate any applicable provisions of this Contract that have been expressly noted as surviving the term or termination of the Contract. 10.6 Waiver of Breach Not Waiver of Subsequent Breach. The waiver of a breach of any term, covenant, or condition of this Contract shall not operate as a waiver of any subsequent breach of the same or an other term covenant or condition hereof. Y nt 10.7 Civil Criminal and Administrative Penalties. Failure to perform all the Contract terms may result in civil criminal or administrative penalties, including, but not limited to those set out in this Contract. 10.8 Termination for Cause. City may terminate this Contract in the event of Contractor's default inability, or failure to perform, or otherwise whenever such termination is determined by City to be in City's best interest. Likewise, Contractor may terminate this Contract if City does not provide the CDBG Funds substantially in accordance with this Contract. 10.9 Termination for Convenience. In terminating in accordance with 24 C.F.R. 55.44 this Contract may be terminated in whole or in part only as follows: ( 1)[16 -�11 BRI.( P11:N!1 ('0NTkA(-1 Rev 09/0 l 1 � The Salvation Army,a Georgia Corporation for the S.T.A.R.1'. Program 10-9.1 By City with the consent of Contractor in which case the Parties shall agree upon the termination conditions, including the effective date and in the case of partial termination,the portion to be terminated, or 10.9.2 By the Contractor upon written notification to City, setting forth the � g reasons for such termination, the effective date, and in the case of p artial termination, the portion to be terminated. However, if, in the case of a p artial termination, City determines that the remaining portion of the Contract to be performed or CDBG Funds to be spent will not accomplish the p �u oses for which the Contract was made, City may terminate the Contract in its entirety. y 10.10 Dissolution of Contractor Terminates Contract. In the event Contractor is dissolved or ceases to exist, all assets acquired with CDBG Funds including cash, interest payments from loans or otherwise all outstanding notes, mortgages or other security instruments used to secure CDBG Funds, an accounts receivable attributable to the use of y CDBG Funds, and any real or personal property owned by Contractor that was acquired or improved with CDBG Funds shall automatically transfer to City and this Contract shall terminate. 11. REPAYMENT OF CDBG FUNDS. All CDBG Funds are subject to repayment in the event the Program does not meet the requirements as set out in this Contract or in the CDBG Regulations. 12. CHANGE IN NON-PROFIT STATUS. If the non-profit status of Contractor changes after the date of this Contract city may but is not obligated t y g o, terminate this Contract. Contractor must provide City with written notification of any changes to its non-profit status within 15 days of being notified of the change. City has 3 y g g y 0 days to make such determination after receipt of notice from Contractor and failure to make such determination will constitute a waiver. In the event of termination under this Section 12, all CDBG Funds awarded but unpaid p to Contractor pursuant to this Contract shall be immediately rescinded and Contractor shall have no further right to such funds, and any CDBG Funds already id to Con y p tractor must be repaid to City within 30 days of the termination. 13. SURVIVAL. Any provision of this Contract that pertains to auditing, monitoring, client income eligibility, record keeping and reports, City ordinances, or applicable CDBG G requirements, and any default and enforcement provisions necessary to enforce such provisions, shall survive the termination of this Contract for five (5) y ears after the termination date and shall be enforceable by City against Contractor. 14. GENERAL PROVISIONS 14.1 Independent Contractor. CDBG SL!BRI':('IPIF.�'N'I'('()NTRA("F 12 Rev 09/0112-0 1 1 The Salvation Anny, a Georgia Corporation for the S.T.A.R.T. Program k. Contractor shall operate hereunder as an independent contractor and not as an officer, agent, servant or employee of City. Contractor shall have exclusive control of, and the exclusive right to control, the details of the work and services erf p orm ed hereunder, and aIJ persons performing same, and shall be solel responsible f y p or the acts and omissions of its officers, members, agents, servants, employees, �contractors clients, Iicensees or invitees. 14.2 Doctrine of Res ondeat Su erior. The doctrine of respondeat superior shaII not apply as between City and Contractor, its officers, members, agents, servants, employees, contractors clients,, licensees or invitees, and nothing herein shall be construed as creating partnership g a p ership or joint enterprise between City and Contractor. City does not have the legal ga right to control the details of the tasks performed hereunder by Contractor, its officers members, agents, employees, contractors, licensees or invitees. 14.3 Contractor Proper . City shall under no circumstances be responsible for any property belonging to Contractor, P Y g g .t actor, its officers, members, agents, employees, contractors, clients, licensees or invitees that may be Iost, stolen or destroyed or i n an ed and CONTRACT Y y way damaged OR HEREBY INDEMNIFIES AND HOLDS HARMLESS CITY AND ITS OFFICERS, AGENTS, AND EMPLOYEES FROM ANY AND ALL CLAIMS OR SUITS PERTAINING TO OR CONNECTED WITH SUCH PROPERTY. 14.4 Religious OrLyanization. No portion of the CDBG Funds shall be used in support of any sectarian or religious activity. In addition, there must be no religious or membership criteria to for clients of a CDBG--funded service. 14.5 Audit. 14,5.1 Entities that Expend $500,000 or more in Federal Funds Per Year. All non--federal entities that expend $500,000 or more in Federal funds within one year, regardless of the source of the Federal award, must submit to City an annual audit prepared in accordance with specific reference to OMB Circular A--133. The audit shall cover the Contractor's fiscal years during which this Contract is in force. The audit must be prepared by an independent certified public accountant, be completed within following e P � months g t end of the period being audited and be submitted to City within 30 days of its completion. Contractor's audit certification y cation is attached hereto as Exhibit "C" -- "Audit Certification Form" and "Audit Requirements". The Audit Certification Form must be submitted to City within 60 days of the end of period being udited (Contractor's g � for s fiscal year). Entities that expend less than $500,000 a year in Federal funds are re exempt from Federal audit requirements for that year, but records must be available for review or audit by appropriate officials of the Federal agency, City, and General Accounting off ce. Y unting 14.5.2 City Reserves the Ri ht to Audit. C1)11G St 1BRF(]1)1F:NJ t.ON-I-RA(.'I l Rev 09/01 1?01 i The Salvation Army,a Georgia Corporation for the SA'.A.R.T. Program City reserves the right to perform an audit of Contractor's Program g m operations and finances at any time during the term of this Contract and for five (5) years after the termination thereof. Contractor agrees to aIIow access to all erti p Went materials as described herein. If such audit reveals a questioned practice or expenditure such questions must be resolved within 15 business days after notice t y o Contractor of such questioned practice or expenditure. If questions are not resolved within this period, City reserves the right to withhold further funding under this and/or future c ontract(s) with Contractor. IF AS A RESULT OF ANY AUDIT IT IS DETERMINED THAT CONTRACTOR HAS FALSIFIED ANY DOCUMENTATION OR MISUSED, MISAPPLIED OR MISAPPROPRIATED CDBG FUNDS OR SPENT CDBG FUNDS ON ANY INELIGIBLE ACTIVITIES CONTRACTOR AGREES To REIMBURSE CITY THE AMOUNT OF SUCH MONIES PLUS THE AMOUNT OF ANY SANCTIONS, PENALTY OR OTHER CHARGE LEVIED AGAINST CITY BY HUD BECAUSE OF SUCH ACTIONS. 14.6 Venue. Venue for any action, whether real or asserted, at law or in equity, ' q y, artsrng out of the execution, performance, attempted performance or non-performance p ance of this Contract, shall lie in Tarrant County, Texas. 14.7 Governing Law. In any questions involving state law, for any action whether real or asserted, at law or in equity, arising out of the execution, performance or - p non performance of this Contract, in any issue not governed by federal law, the choice of Iaw shall be the Iaw from the State of Texas. 14.8 Severabi'lity. The provisions of this Contract are severable, and if for any reason a clause 5 sentence, paragraph or other part of this Contract shall be determined to be invalid alid by a court or Federal or state agency,cy, board or commission having jurisdiction over the subject matter thereof, such invalidity shall not affect other rov' ' p lstons which can be given effect without the invalid provision. 14.9 written ALlreernent Entire Contract. This written instrument and the Addendums, Attachments and Exhibits� xhibits attached hereto, which are incorporated by reference and made a part of this Contract for all purposes, constitute the entire agreement by the Parties hereto concerning he performed under g work and services to be P der this Contract. Any prior or contemporaneous oral or written agreement, which purports to vary the terms of this Contract, shall be void. Any amendments to the terms of this Contract must be in writing nd each Part to this Co g must be executed by Party Contract. 14.10. Para ra h Headin s for Reference Only, No Legal Si ni ficance. The paragraph headings contained herein are for convenience in reference-to this Contract and are not intended to define or to Iimit the scope f Contract. p o any provision of this ('DBG SJ!Bk1_(`1P1F:NT('()NTRAGI Rev 09/0�.",0 I I 14 The Salvation Arm).a Georgia Corporation for the S.T.A.R.T. Program 14.1 1 Compliance With All Applicable Laws and Regulations. By signing this Contract, Contractor certifies that it complies with all applicable p pp laws and regulations that are currently in effect or that are hereafter amended durin g the performance of this Contract. Those laws include, but are not limited to: ➢ CDBG Regulations found in 24 CFR Part 570. ➢ Title I of the Housing and Community Development Act of 1974 as amended (42 USC 5301 ➢ Title VI of the Civil Rights Act of 1964 (42 U.S.C. Sections 2000d et seq.) including provisions requiring recipients of federal assistance to ensure meaningful access by person of limited English proficiency ➢ The Fair Housing Act, Title VIII of the Civil Rights Act of 1968 (42 U.S.C. Sections 3601 et seq.} ➢ Executive Orders 11063, 11246 as amended by 11375 and 12086 and as supplemented by Department of Labor regulations 41 CFR, Part 60 ➢ The Age Discrimination in Employment Act of 1967 ➢ The Age Discrimination Act of 1975 (42 U.S.C. Sections 6101 et seq.) The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (42 U.S.C. Sections 4601 et seq. and 49 CFR Part 24) "URA" ➢ Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. Sections 794 et se . q) and 24 CFR Part 8 where applicable ➢ National Environmental Policy Act of 1969, as amended, 42 U.S.C. sections 4321 et seq. ("NEPA'3)and the related authorities listed in 24 CFR Part 58. ➢ The Clean Air Act, as amended, (42 U.S.C. Sections 1251 et se q) and the Clean Water Act of 1977, as amended (33 U.S.C. Sections 1251 et se q) and the related Executive Order 11 738. In no event shall any amount of the assistance provided under this Contract be utilized with respect to a facility that has given rise to a conviction under the Clean Air Act or the Clean Water Act. ➢ Immigration Reform and Control Act of 1986 (8 U.S.C. Sections 1101 et seq.)ec�f s specifically including the provisions requiring employer verifications of legal status of its employees ➢ The Americans with Disabilities Act of 1990 (42 U.S.C. Sections 12101 et seq.), the Architectural Barriers Act of 1968 as amended (42 U.S.C. sections 4151 et seq.) and the Uniform Federal Accessibility Standards, 24 CFR Part 40, Appendix A ➢ Regulations at 24 CFR Part 87 related to lobbying, includin g re the uirement a that certifications and disclosures be obtained from all covered p ersons ➢ Drug Free Workplace Act of 1988 (41 U.S.C. Sections 701 et se q) and 24 CFR Part 23, Subpart F ➢ Executive Order 12549 and 24 CFR Part 5.105(c) pertainin g to restrictions on participation by ineligible, debarred or suspended persons or entities ➢ Section 6002 of the Solid Waste Disposal Act, as amended b y the Resource Conservation and Recovery Act ➢ Guidelines of the Environmental Protection Agency at 40 CFR Part 247 ➢ For contracts and subgrants for construction or r,re ai Copeland "Anti- Kickback"act(18 U.S.C. 874)as supplemented in 29 CFR Part 5 (F)BG SUBRECIPIF NI-CONTRACT 15 Rev 09/01/2011 The Salvation Army,a Georgia Corporation for the S.T.A.R.T. Program ➢ For construction contracts awarded b Contractor in Y excess of$2,000, and in excess of $2,500 for other contracts which involve the employment of mechanics or laborers, Sections 103 and 107 of the Contract Work Hour Safety Standards Act (40 sand U.S.C. 327A 300) as supplemented b 5 Y 29 CFR Part ➢ Lead-Based Paint Poisoning Prevention Act 42 � U.S.C. 4801 et seq. , as amended by the Residential Lead-Based Paint Hazard Reduction Act of 1992 (42 U.S.C. 4851 et seq.) and implementing regulations at 24 CFR Part 35 subparts A, B, M, and R ' ➢ Uniform Administration Requirements of 24 CFR Part 85 Re uirement that Law Be noted in Covered Contracts. _ Certain Re uirements Pertainin to Section 3 of the HousinR and Urban D evelo meat Act of 1955 as amended 12 U.S.C. Sections 1701 et se and its related re ulations at 24 CFR Part 135 If the work performed under this Contract is on a r program providing irect Fe program assisted under a g? Federal financial assistance from HUD, Section 3 of 24 C 135.38 ("Section 3") requires that the f FR q allowing clause, shown in italics, be inserted in all covered contracts ("Section 3 Clause").- Section to be quoted in covered contracts be ins: "14. The work to g be performed under this contract is subject to the requirements of Section 3 of Housing and Urban Development Act o 1958, as amended 12 U. f S.C. section 1701 u (Section 3). The o` � purpose P Section 3 is to ensure that employment and other economic opportunities generated by HUD assisted or HUD-assisted ro rams covered Section 3, shall to the g eyed by e greatest extent feasible, be directed to low- and very-low income persons,particularly persons who are recipients p nts of HUD assistance for housing. B. The parties to this contract agree to comply g p y with HUD s regulations in 24 CFR Part 135, which implement Section 3. As evidenced by their execution of this contract, the arties to this contract ntract certify that they are under no contractual or other impediment that at would prevent them from complying with the Part 135 regulations. C. The contractor agrees to send to each labor organization or representative of workers with which it has a collective bargaining i an g ng agreement or other understanding, f y, a notice advising the labor organization or workers' representatives of the contractor's commitments under this section 3 clause and will ost copies o .p p f the notice in conspicuous places at the work site where both employees and a applicants for training and employment positions can see the notice. The notice shall describe the Section 3 preference, shall set forth minimum. .� m number and job titles subject to hire, availability of apprentice and training positions, the qualifications for each; and the name and location o f the p er son(s) taking applications for each of the positions; and the anticipated date the work shall begin. p D. The contractor agrees that it will include this Sect Section n 3 clause in CDBG SUBUC IP1FNT C WRACT Rev 09lo l l?o 1 1 16 The Salvation Amy,a Georgia Corporation for the 5.T.A.R.T. rangy Pro g every subcontract to comply with regulation in 24 CFR Part 135 and agrees to take appropriate action, as provided in an applicable p rovision of the subcontract or in this Section 3 clause, upon finding p that the subcontractor is in violation of the regulations in 24 CFR Part 135. The contractor will not subcontract with any subcontractor where it has notice or knowledge that the subcontractor has been found in violation of regulations in 24 CFR 135. E The contractor will certify that any vacant employment to positions, p p y including training positions that are filed: (1) after the contractor is selected but before the contract is executed, and (2) with persons other than those to whom the regulations of 24 CFR Part 135. The contractor will not subcontract with any subcontractor where it has notice or knowledge that the subcontractor has been found in violation of regulations in 24 CFR 135. F. Noncompliance with HUD's regulation in 24 CFR Part 135 may result in sanctions, termination of this contract for default, and debarment or suspension from future.HUD assisted contracts. G. With respect to work performed in connection with Section 3 covered Indian housing assistance, section 7(b) of the Indian Self- Determination - .f Determination and Education Assistance Act(25 U.S.C. section 450e also applies to the work to be performed under this Contract. Section 7(b) requires that to the greatest extent feasible (i) preference and opportunities for training and employment shall be given to Indians, and (ii)preference in the award of contracts and subcontracts shall be g iven to Indian organizations and Indian--owned Economic Enterprises. Parties to this contract that are subject to the provisions of Section 3 and Section 79b) agree to comply with Section 3 to the maximum extent easible but .f not in derogation of compliance with Section 7(b). " Section to be quoted in covered contracts ends. City and Contractor understand and agree that, if applicable to the Program, r gam, compliance with the provisions of Section 3, the regulations set forth in 24 CFR Part 135, and all applicable rules and orders of HUD shall be a condition of the Federal financial assistance provided to the Program binding upon City nd Contractor,, and their respective successors, assigns and the contractors. Failure to fulfill these requirements shalt subject Contractor and its contractor q s and their respective successors and assigns to those sanctions specified by the grant agrebment through which Federal g assistance is provided and to such sanctions as are specified by 24 CFR Part 135. 14.12 Prohibition Against Discrimination. 14.12.1 General Statement. Contractor, in the execution, performance or er attempted performance p P of this Contract, shall comply with all non-discrimination requirements of 24 CFR q 570. 07 and the ordinances codified at Chapter 17, Article III, Division 4 — Fair Housing of the City Code . Contractor may not discriminate against any erson because of race,,, color, sex, gender, religion, national origin, familial status, disability or erceived disability.,1 itv p , sexLjal Rev 09/01/2011 The Salvation Army,a Georgia Corporation for the S_T.A.R.T. Program orientation, gender identity, gender expression, or transgender,g nor will Contractor permit its officers, members, agents, employees, or clients to engage in such discrimination. 14.1 2.2 No Discrimination i this Contract. n Em Io ment during the Performance of During the performance of this Contract Contractor • agrees to the following p rovision and will require that its contractors and subcontractors also comply with provision b including it in all p Y such Y g l contracts with its contractors: The Salvation Army, a Georgia Corporation for the S.T.A.R.T. Program will not unlawfully discriminate against any employee or applicants for employment ployment because of race, color, sex, gender, religion, national origin, familial status disabili ty or perceived disability, sexual orientation, gender Identity, ender expression � g or transgender. The Salvation Army, a Georgia Corporation for the S.T.A.R.T. Program ' • g m will take affirmative action to ensure that applicants are hired without regard to race,, color, sex, gender, religion, national origin, familial status, disability or perceived disability, sexual orientation, gender identity, gender expression or transgender and d that employees are treated fairly during employment without regard to their race, color, sex, gender, religion,national origin, familial status, disability or perceived disability, sexual orientation gender identity, gender expression or transgender. Such action shall include, but not be limited to the following: employment, upgrading, demotion or transfer,ansfer, recruitment or recruitment advertising, layoff or termination, rates of a or other f compensation, and selection for training, P Y arms of including apprenticeship. The Salvation Army, a Georgia Corporation for the S.T.A.R.T. Program post agrees to in g p conspicuous places, available to employees and applicants for employment, notices setting forth the provisions of this nondiscrimination clause. The Salvation Army, a Georgia Corporation for the S.T.A.R.T. Program will, in all solicitations or advertisements for employees laced b behalf p y or on al f of The Salvation Army, a Georgia Corporation for the S.T.A.R.T. Program g state that all qualified applicants will receive consideration for employment without regard t g o race, color, sex, gender, religion, or national origin, familial status, disability perceived ed disability, sexual orientation, gender identity, gender expression or transgender. The Salvation Army, a Georgia Corporation for the S.T.A.R.T. Program covenants that neither it nor any of its officers, members agents,g employees, or contractors, while engaged in performing this Contract, shall, in connection with the employment, advancement or discharge of employees or in connection with the terms, conditions or privileges of their employment, discriminate against g persons because of their age or because of any disability or perceived disabilit y, except p on the basis of a bona fide occupational qualification, retirement plan or statutory ry The Salvation Army, a Georgia Corporation for the S.T.A.R.T. Program further covenants that neither it nor its officers, members, agents, employees, contractors, or persons acting on their behalf, shall specify, in solicitations or advertisements for employees to work on this Contract, a maximum age limit for such employment mployment unless the specified maximum age limit is based upon a bona fide occu pational qualification, ('F)BG St'I Rev 09/:01!?()1 1 18 The Salvation Army, a Georgia Corporation for the S.T.A.R.T. Program retirement plan or statutory requirement. 14.12.3 Contractor's Contractors and ADA. In accordance with the provisions of the Americans With Disabilities' Act of 1990 ("ADA"), Contractor warrants that it and an of its contractor • • • Y s will not unlawfully discriminate on the basis of disability In the rovision of services • P es to the general public, nor in the availability, terms and/or conditions of employment for applicants for employment with, or employees of Contractor or an of its contractor WARRANTS Y s• CONTRACTOR S IT WILL FULLY COMPLY WITH ADA'S PRO VISI ANY OTHER AP ONS AND PLICABLE FEDERAL, STATE AND LOCAL LAW CONCERNING DISABILITY A S AND WILL DEFEND, INDEMNIFY AND HOLD CITY HARMLESS AGAINST ANY CLAIMS OR ALLEGATIONS ASSERTED BY THIRD PARTIES OR CONTRACTORS AGAINST CITY ARISING OUT OF CONTRACTOR'S AND/OR ITS CONTRACTORS' s AGENTS OR EMPLOYEES' ALLEGED FAILURE TO COMPLY WITH THE ABOVE- REFERENCED LAWS CONCERNING DISABILITY DISCRIMINATION IN THE PERFORMANCE OF THIS CONTRACT. This Contract is made and entered into with reference specifically p ly to the ordinances codified at Chapter 17, Article 111, Division 3 -Employment Practice ' s of the City Code, and Contractor hereby covenants and agrees that Contractor, its officers, members, agents, employees and contractors, have fully complied with all rovisions applicant P of same and that no employee, pp cant or client has been discriminated against under the terms of such ordinances by either or its officers, members, agents, employees g � or contractors. 14.13. Prohibition A ainst Interest/Conflict of Interest. 14.13.1 Contractor shall establish safeguards to prohibit employees, board members advisors g P t its isors and agents from using positions for a purpose that is or gives the appearance of being motivated by a desire for rivate gain articular) p g for themselves or others particularly those with whom they have family, business or other ties. Contractor interest shall disclose to City any conflict t rest or potential conflict of interest described above, immediately upon discovery of such. 14.13.2 No persons who are employees, agents, consultants or elected officials or officials cials of City or , of Contractor who exercise or have e 'ercised any functions or responsibilities with respect • CDBG funds or w P to activities assisted with who are in a position to participate in a decision-making inside information with regard to these a • process o r gain g activities utilize CDBO services, may obtain a financial interest or benefit from a CDBC-assisted activity,y or have an interest In any contract, subcontract or agreement with respect thereto, or the roceeds thereunder,eunder, either for themselves or those with whom they have family or business ties, during their tenure or for 1 year thereafter, unless the g y are accepted in accordance with the procedures set forth at 24 CFR 570.611. 14.13.3 Contractor affirms that it will adhere to the provisions the Texas Penal Code which prohibits p s�on5 of p bits bribery and gifts to public servants. ('I B S BRI-(APII~:NT CONTRA("F Rev 09/01/201 I I The Salvation Anny,a Georgia[corporation for the S.T.A.R.T. Program 14.13.4. In the procurement of property d services b Co the conflict of interest provisions �' y Contractor provisions of 24 CFR Part 85.36 and 24 CFR Part 84.42 respectively, shall apply. In all cases not governed by those sections the provisions ' CFR 570-611 of the CDBC R � p ov�s�ons of 24 Regulations shall apply. 14.13.5 For procurement contracts larger than $25000.00 Contractor agrees to abide by City's policy to involve Minority nd ' Enterprises Women Business rp rises a nd to provide them equal opportunity to compete for contracts for construction, provision of professional services, purchase of equipment ' provision of other and supplies and P services required by City. Contractor agrees to incorporate City Ordinance No. 15530, and all amendments ents or successor policies thereto, into all contracts and subcontracts for procurement larger than $25,000.00 and will further require all persons or entities with whom it so contracts to comply with said ordinance. 14.16 other Laws. The failure to list any federal, state or City ordinance law or regulation that is applicable to Contractor does not excuse or relieve Contractor from the requirements or responsibilities in regard to following the law, nor from the consequences ' q s or penalties for Contractor's failure to follow the law, if applicable. 14.17 Assignment. Contractor shall not assign all or any part of its rights, privileges,g � p g , or duties under this Contract without the prior written approval of City. Any attempted assignment same royal shall be void, p g of without approval d, and shall constitute a breach of this Contract. 14.18. Right to Ins ect Contractor Contracts. It is agreed that City has the right to inspect and approve in writing Pp � g any proposed contracts between Contractor and any contractor engaged in an activity i with this CDBG funded g Y y n conjunction Program. 14.19 Force Mp eure If Contractor becomes unable, either in whole or art to fulfill ' under this Contract part, ill its obligations act due to acts of God, strikes, lockouts, or other industrial disturbances acts of public enemies, wars, blockades insurrec ' , trans, riots, epidemics, earthquakes, fires, floods, restraints or prohibitions by any court, board de partment, commission or agency of the United States or of any States, civil disturbances or explosions, or some other reason beyond such Contractor's control ective)coll » control (collectively, "Force Ma�eure Event"), the obligations so affected by such Force Majeure Event will be suspended speeded only during the continuance of such event. Contractor will give City written notice of the existence, extent and nature of the Force Ma'eure Event as soon as reasonably possible after the occurrence of the event. Failure to give notice will result in the continuance of the Contractor's obligation regardless of the extent of an existing y g Majeure Event. Contractor will use commercially reasonable efforts to remed y inability• ' lity to perform as soon as possible. IS. Indemnification and Release. CDBG St-MRI-VIPIENT CONTRACT 2 Rev 09/01/2011 �) The Salvation Army, a Georgia Corporation fior the S.T.A.R.T. Program CONTRACTOR COVENANTS AND AGREES TO INDEMNIFY HOLD HARMLESS AND DEFEND, AT ITS OWN EXPENSE9 CITY AND ITS OFFICERS, AGENTS, SERVANTS AND EMPLOYEES FROM AND AGAINST ANY AND ALL CLAIMS OR SUITS FOR PROPERTY LOSS OR DAMAGE AND/OR PERSONAL INJURY, INCLUDING DEATH TO ANY AND ALL PERSONS, OF WHATSOEVER KIND OR CHARACTER WHETHER REAL OR ASSERTED, ARISING OUT OF OR IN CONNECTION WITH THE EXECUTION, PERFORMANCE, ATTEMPTED PERFORMANCE OR NONPERFORMANCE OF THIS CONTRACT AND/OR THE OPERATIONS, ACTIVITIES AND SERVICES OF THE PROGRAM DESCRIBED HEREIN, WHETHER OR NOT CAUSED IN WHOLE OR IN PART BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS9 EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY• AND CONTRACTOR HEREBY ASSUMES ALL LIABILITY AND RESPONSIBILITY OF CITY AND ITS OFFICERS, AGENTS, SERVANTS, AND EMPLOYEES FOR ANY AND ALL CLAIMS OR SUITS FOR PROPERTY LOSS OR DAMAGE ANDIOR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF WHATSOEVER KINDS OR CHARACTER, WHETHER REAL OR ASSERTED, ARISING OUT OF OR IN CONNECTION WITH THE EXECUTION, PERFORMANCE, ATTEMPTED PERFORMANCE OR NONPERFORMANCE OF THIS CONTRACT AND/OR THE OPERATIONS9 ACTIVITIES AND SERVICES OF THE PROGRAM DESCRIBED HEREIN WHETHER OR NOT CAUSED IN WHOLE OR IN PART BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES9 CONTRACTORS OR SUBCONTRACTORS OF CITY. CONTRACTOR LIKEWISE COVENANTS AND AGREES TO AND DOES HEREBY INDEMNIFY AND HOLD HARMLESS CITY FROM AND AGAINST ANY AND ALL INJURY9 DAMAGE OR DESTRUCTION OF PROPERTY OF CITY, ARISING OUT OF OR IN CONNECTION WITH ALL ACTS OR OMISSIONS OF CONTRACTOR, ITS OFFICERS, MEMBERS, AGENTS, EMPLOYEES CONTRACTORS, SUBCONTRACTORS, INVITEES, LICENSEES, OR CLIENTS OR CAUSED, IN WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF OFFICER S, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY. IT IS THE EXPRESS INTENTION OF THE PARTIES9 BOTH CONTRACTOR AND CITY, THAT THE INDEMNITY PROVIDED FOR THIS SECTION INCLUDES INDEMNITY BY CONTRACTOR TO INDEMNIFY AND PROTECT CITY FROM THE CONSEQUENCES OF CIT ' Y S OWN NEGLIGENCE, WHETHER THAT NEGLIGENCE IS ALLEGED TO BE THE SOLE OR CONCURRING CAUSE OF THE INJURY DAMAGE OR DEATH. CONTRACTOR AGREES TO AND SHALL RELEASE CITY ITS AGENTS, EMPLOYEES, OFFICERS AND LEGAL REPRESENTATIVES FROM ALL LIABILITY FOR INJURY, DEATH, DAMAGE OR LOSS TO PERSONS OR PROPERTY SUSTAINED IN CONNECTION WITH OR INCIDENTAL TO (D13 6 S[IBREC'IPIEN1 C )NTRAC U Rev 0th/01,/-101 1 The Salvation Army, a Georgia Corporation for the S.T.A.R.T. Program PERFORMANCE UNDER THIS CONTRACT, EVEN IF THE INJURY, DEATH DAMAGE OR LOSS IS CAUSED BY CITY'S SOLE OR CONCURRENT NEGLIGENCE. CONTRACTOR SHALL REQUIRE ALL OF ITS CONTRACTORS AND SUBCONTRACTORS TO INCLUDE IN THEIR CONTRACTS AND SUBCONTRACTS A RELEASE AND INDEMNITY IN FAVOR OF CITY IN SUBSTANTIALLY THE SAME FORM AS ABOVE. 15. warier of Immune by Contractor. or-e3temoat16e.a. (0Qt-1LatL%AL16%JA,7 %J1 %jLjj%.oj VV10%.0, s Wr 17. Insurance and Bondin . Contractor will maintain blanket fidelity coverage in the form of insurance or bond in the amount of $25.000.00 to insure against loss from the fraud, theft or dishonesty of any of Contractor's officers, agents, trustees, directors or employees. The proceeds of such bond shall be used to reimburse City for any and all loss of CDBG Funds occasioned by such misconduct. To effectuate such reimbursement, such fidelity y coverage shall include a rider stating that reimbursement for any loss or losses thereunder shall be made directly to City. Contractor shall furnish to City in a timely manner, but not later than the Effective Date, certificates of insurance as proof that it has., secured and paid for policies of commercial insurance as specified herein. If City has not received such certificates by the Effective Date, Contractor shall be in default of the Contract and City may, at its y option, terminate the Contract. Such insurance shall cover all insurable risks incident to or in connection with the execution, performance, attempted performance or nonperformance of this Contract. Contractor shall maintain, or- require its general contractor to maintain, the following coverages and limits thereof Commercial General Liabilit-y (CGL) insurance $500,000 each occurrence $1,0001,000 aggregate limit Non-Profit Organization Liability or Directors & Officers Liabilit $1,000,000 Each Occurrence $19000,000 Annual Aggregate Limit s ['I)13�; S�!13R :C'IE'll�I�'1 CONTRA(']R.�t'I or' °. `'►�. :�k.R � Rev 09/01/-)o i l L ' U Y �JJARY The Salvation Army, a Georgia Corporation for the S.T.A.R.T. Program � FT O RT H` TX Business Automobile Liability Insurance $1,000,000 each accident on a combined single-limit basis or $250,000 Property Damage $500,000 Bodily Injury per person per occurrence $2,000,000 Aggregate Insurance policy shall be endorsed to cover"Any Auto" Pending availability of the above coverage and at the discretion of City, e policy shall be the primary re Y p y sponding insurance policy versus a personal auto insurance olic if or as contracted herein when in the course of Contractor's business P Y . Workers' Com ensation Insurance Part A: Statutory Limits Part B: Employer's Liability $100,000 each accident $100,000 disease-each employee $500,000 disease-policy limit Note: Such insurance shall cover employees performing g wor on any and all Programs including but not limited to construction, demolition and rehabilitation. Contractor or its contractors shall maintain coverages, if applicable. In the PP event the respective contractors do not maintain coverage, Contractor shall maintain the coverage on such contractor, if applicable, for each applicable contract. Additional Requirements Such insurance amounts shall be revised upward at City's reasonable option Y p n an d no more frequently than once every 12 months, and Contractor shall revise such amounts within thirty(30) days following notice to Contractor of such requirements. Contractor will submit to City documentation that it has obtained insurance coverage and has executed bonds as required in this Contract rior to payment of any monies provided hereunder. p p y Each insurance policy shall be endorsed to provide Cit with a minimum sixty xty � days notice of cancellation, non-renewal, and/or material change in of is terms or g p y coverage. Insurance policies required herein shall be endorsed to include City as an additional insured as its interest may appear. Additional insured parties shall include employees, officers, agents, and volunteers of City. The Workers' Compensation Insurance policy shall be endorsed to include a waiver of subrogation, also referred to as a waiver of rights of recovery, i n favor of City. t Y y Any failure on part of City to request certificate(s) of insurance shall not be construed as a waiver of such requirement or as a waiver of the insurance requirements themselves. es. BRIJ 1 I'[I"NT GON RAGI 2 3 Rev 09/0 1 i2o[ i The Salvation Army,a[aeorgia Corporation for the S.T.A.R.T. Program Insurers of Contractor's insurance policies shall be licensed to do business in the state of Texas by the Department of Insurance or be otherwise eligible and authorized to do business in the state of Texas. Insurers shall be acceptable to City insofar as their financial strength and solvency and each such company shall have a current minimum A.M. Best Key Rating Guide rating of A: VII or other equivalent insurance industry standard rating otherwise approved by City. Deductible limits on insurance policies shall not exceed $5,000 p er occurrence unless otherwise approved by City. In the event there are any local, federal or other regulatory insurance or bonding requirements for the Program, and such requirements exceed those specified herein the former shall prevail. , Contractor shall require its contractors to maintain applicable insurance coverages, limits, > and other requirements as those specified herein; and, Contractor shall require its contractors to provide Contractor with certificate(s) of insurance documentin g such coverage. Also, Contractor shall require its contractors to have City and Contractor endorsed as additional insureds (as their interest may appear) on their respective . P ) p insurance policies. 18. Certification-Regarding Lobbying. The undersigned representative of Contractor hereby certifies, to the best of his or her knowledge and belief, that: No Federal appropriated funds have been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to P g influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress in connection with the awarding f g any Federal contract, the making of any Federal grant, the making f g 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. If any funds other than federally appropriated funds have been p aid or will 4 be paid to any person for influencing or attempting to influence an officer or employee of any agency, member of Congress in connection with this Federal contract, grant, loan or cooperative agreement, Contractor shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. This certification is a material representation of fact upon which reliance was placed when this Contract was made or entered into. Submission of this certificate is a prerequisite for making or entering into this Contract imposed by 31 U.S.C. Section 1352. Any person who fails to file the C DBG SUBRECIPIF:NT UONTRAC'T 24 Rev 09/01/2011 The Salvation Army,a Georgia Corporation for the S.T.A.R.T. Program required certification shall be subject to a civil penalty of not less than $10,000.00 a p Y an and not more than $1 00,000.00 for each such failure. Contractor shall require that the language of this certification be included to all subcontracts or agreements involving the expenditure of Federal funds. unds. 19. Litiguation and Claims Contractor shall give City immediate notice in writing of any action,proceeding befor e an administrative agency, fled against Contractor in conjunction with this Contract or the Program. Contractor hall furnish immediately to City copies of all pertinent papers received by Contractor with respect to such ch action or claim. Contractor shall provide a notice to City within 10 on days u filing i n Y p g un der any bankruptcy or financial insolvency provision of law. 20. Notice. All notices required or permitted by this Contract must be in writing and are deemed delivered on the earlier date of the date actually received ' following e Y �ved or the third day g posit in a United States Postal Service post office or receptacle; with er ro postage, certified mail return receipt requested;. a p p P q and addressed to the other Party at the address set out below or at such other address as the receiving Party designates by proper notice to the sending Party. City:. City Attorney's Office 1000 Throckmorton Street Fort Worth, TX 76102 Telephone: 817-392-7600 Copy to: Director of Housing and Economic Development 1 000 Throckmorton Street Fort Worth, TX 76102 Telephone: 817-392-7540 Copy to: Program Coordinator • 000 Throckmorton Street Fort Worth, TX 76102 Telephone: 817-392-6342 Contractor: The Salvation Army, a Georgia Corporation for the S.T.A.R.T. Program g am 1855 East Lancaster Fort Worth, TX 76134 Telephone: 817-344-1811 CDB(; SIJBRF('IPIVN'I ('()N I RM I -) Rev 09/0 l i'20 I I �5 The Salvation Army.a Georgia Corporation for the S.T.A.R.T. Program Zl. Contractor Has Legal Authorit y to Enter Into Contract. Contractor represents that it possesses the legal authority, pursuant to an proper,, Y appropriate and official motion, resolution or action passed or taken, to enter into this Contract and to perform the responsibilities herein required. [SIGNATURES APPEAR ON NEXT PAGE] �6 Rev 09/1011?o i 1 `� The Salvation Army,a Georgia Corporation for the S.T_A.R.T. Program i IN WITNESS WHEREOF, the Parties hereto have executed three copies of this Contract in Fort Worth, Tarrant County, Texas, this da y of 201 1. 1� , ATTEST: CITY OF FORT WORTH oaaaOoc�� By. n ► ity Secreta O�Y 1�t�Y1 • a a , Assistant City Manager 4 Q s q 0 &C.C -25066 C�sT� Q v ate: August 2, 2011 0 0 � *00()OC) OUO0 APP ROVED AS TO FORM LEGALITY. jU Assistant City Attorney THE SALVATION ARMY, A GEORGIA CORPORATION FOR THE S.T.A.R.T. PROGRAM By' TONES TRFASURFR STATE OF TEXAS § COUNTY OF TARRANT § This instrument was acknowledged before me on • � , 2011 by �r�►"Ic�a eDS4-ql , Assistant City M ' y anager of the City of Fort Worth, on behalf the City of Fort Wo ,•R`�rA.Y pU •, EVONIA DANIELS ' ;. *: �= NAY COMMISSION EXPIRES otary Public, State of Texas July 10,2013 i7Tfi••SF+T STATE OF YVXA9 . GEORGIA COUNTY OF § GWINNETT This instrument w s acknowledged before me on 0CT 1 S � 1 JOHN NS by *TON of The Salvation Army, a Georgia Corporation for the S.T.A.R.T. Pro g a non-profit t cor oration on behalf of P corporation, said corporation. 0�,��t����t►,�, 1 q4N.0 APRIL Votair�y Public, State of r RGIA 2014 t� � RENEE B!UFFINGTON _ y:a A zn oFf RAC 7 I Rey [)9i0 1:'?0 11 I-V r .TJ `r The Salvation Army,a Georgia Corporation for the S.T.A.R.T. Program , The Salvation Army, a Georgia Corporation EXHIBIT A for the S.T.A.R.T. Program Stabilizing to Achieve Richer Tomorrows PROGRAM SUMMARY (S.T.A.R.T.) PROGRAM SUMMARY Community Development Block Grant (CDBG) October 1,2011 to September 30, 2012 $25s000.00 PERIOD AMOUNT f PROGRAM SUMMARY The agency will provide short-term shelters case managements mental health referrals random urine drug screens, life-skills classes, lodging, and meals to homeless individuals and families. Services are available at 1855 E. Lancaster, Fort Worth, TX 76134 24 hours er day, seven days per week. p y CDBC funds will be used to pay a portion of salaries for Case Managers associated with the program. REGULATORY CLASSIFICATION: IDIS Matrix Code(s) and Service Category: 05 Public Services National Objective Citation: 570.208(a)(2) Regulatory Citation(s): 24 CFR 570.201(e) Based on the nature of the service provided, The Salvation Army, a Georgia Corporation for the S.T.A.R.T. Program will maintain documentation that verifies that 100% of clients served by the Stabilizing to Achieve Richer Tomorrows (S.T.A.R.T.) Program are homeless as established or defined by the United States Department of Housing and Urban Development(HUD). GEOGRAPHICAL LOCATION: Site Address: 1855 East Lancaster, Fort Worth, TX Client Beneficiary Location (Neighborhood Name, Council District Number, or Citywide): 8 PROGRAM GOALS: ('DBG �J I,BR1=('1P1FN 1 CONTRA(—[ 28 Rev 09.:"o 1 x'1201 1 The Salvation Army,a Georgia Corporation f'or the S.T.A.R_T. Program Provide short-term shelter, case management, and other services to 120 eligible clients. PROGRAM OBJECTIVES: Reduce instances of homelessness in the City of Fort Worth. xr--:- 45. # `e qc " s�" �^ "..".r•c"""" "" .....:1�. ...... ........... ...:...""":.."..""..".... "'J"."-2C?-"",. w.:h•::�",� ::'r•: ,\•Yvn :`k�.. i.�'iiii•:i•k:•,,.c:i�}".�\, :+Y..Y.C•....:" •... :. �� �..,.""..�i..""",:"""",."".v."�"�[""..�.�?�.J'.SY..r...,.Y.....Y.M1...4..�.....3...��.,.-.""..."""""""...""....""".." ...".."".....". Unduplicated Clients 120 Nights of Loqging 3550 Meals Served 14100 Case Management Hours 29700 CDBG Sl]BRF(`I1'II:N'I'(�()N'I'RA("I 29 Rev 09/01/2011 The Salvation Army,a Georgia Corporation for the S.T.A.R.`I-. Program EXHIBIT B-BUDGET _K7 x.._,. -:..::--- .,� ��q[r�}• yo .. ]..P .. ... .. , , ....nn..w",",..",�"....r.F.,,...,..xa�„�.".",.,..,.�r,..r....""",.,,"...""........................6........ .... n�.:.'-r.;..::.:i':,\:'�::,`_.:..:;: ".�.''J.:c•.C''':i:::- r.�}.} , c "ter. ,. ."".".".....""..".",.."....."."""""""."..""""""......".......... ,A,+ '{••-.\. ./c, ,L..:.. '::fi] "�' ,.j:•,. 'off,. ';.,-::;, �:•� .•{ ".z.:..,.:".tea"".....".........." ..:.:" ,ss y sr S W.n R �� ` `w w.. .."",.�.........""". .."..."......... . ................".". r^ ;� :z . 4 \. �--.z-- '>:�;:a.� "-3'.-,-.<""..-....r..;,•&,J"•xo::;:""" :;-4,. Salaries 1001 FICA/Medicare 1402 Life Insurance 1003 Health Insurance 1004 Disability Insurance 1005 Unem to ment-State 1006 Workers Compensation 1007 Le al&Accountin 1008 TOTAL A DMIN EXPENSES %Administrative Cost ON FF n:�•�. `=;ter;- °:�'�. ti a:- k..".,.. ..".."" " A' . r ..•�.. , .,. n ,.,[i:.k c.2 ...,..,i.,r..i.i .�i ...rF.v......J.t",...".."".,..""".... .z"........ ..� ,.. ":� ".."" ............".................".""",......""..""t...".".... "".."".,"".".. ".,"""."".............." \� ..R.. <""M-:. -::3;.:r-tt Win,'"Y..r.'S•.,..-�..-:.n":,[^[--rC+:[-:-:"r"<-�.}Q-",<-.<?-.'Y4. :R•"" Salaries 2001 25000 $51,696.00 $ 20,619.00 FICA/Medicare 2002 $ 9,357.10 Life Insurance 2003 $ 304.00 Health Insurance 2004 $ 151)580.90 Unemployment 2005 Worker's Compensation 2006 $ 6,438.00 Retirement 2007 $ 41)380.00 .e 'i:,t •;r.a �:z' •F 3 � ..i •� AM �.. x`• �a �, `a.V Office Supplies 3001 $ 11)634.40 Office Equipment Rental 3002 $ 2,097.00 Postage 3003 $ 1 123.00 Printin 3004 $ 1,350.00 VIA s-.'r`--::; �}.� '•$;}`•e,<.$i:•x i:;:?;>°}y::.'.: r `-iF: X.�:• ,;v• �. 4 Y. >`^s'::. _ :•sS..;};}.':.t}•:;;•}`.:.Y.},o.••s••s:;•:.sr.•.,+N. �".• :_`7-"`e>�zcv:::� 3,, �,•.' F •mac- 8 " n"" fX• t q t' ];3: ..."""""...... �.c.i. ` S r r Conference&Seminars 4001 $ 845.00 Construction/Buildin Materials 4002 Contract Labor 4003 $ 781)945.40 Craft Supplies 4004 Credit Reports 4005 Facility Fees 4006 Field Trip Costs 4007 Food Supplies 4008 Mileage 4009 $ 51)204.00 Teaching Aids 4010 Trai n in Costs 4011 o ,areyv •<• ,@• .Y+>"xr' '+x. :7} 1: T A' ??r •`f• 'n • � a ,. �� Sgt y� ,5' x n<,]. "9w.......N 5 .."`.,.'.... r:t. n`C..`.r�'..^.�'.�`.,..,.• •%��. ,L.•$. .1R-,5,.","""",q, ,!.�":"�. ,y w ktr Telephone 5001 $ 4,240.00 Electric 5002 $ 72,373.00 Gas 5003 $ 16 987.00 Water and Wastewater 5004 $ 151)465.00 Solid Waste Disposal 5005 Rent 5006 Custodial Services 5007 $ 17,850.00 Repairs 5008 $ 81)450.00 Cleaning Supplies 5009 },_ �. ..mot .F w. i , � :•gin : .""""!v" ...".."""" ..":.�,.. 9C..'•n;:. •.,."".1.".""�.Lr7�:�;",Y-";:•A'_.�,......."""",L:" ".P-"�" --'2-".•:.a`.-Ci.....",-.:".: -t,+l...".n Fide ity Bond or Equivalent 6401 4,620.00 Directors and Officers 6002 General Commercial Liability 6403 $ 1,830.00 Le al Fees 6004 $ 1,728.00 Contract Accounting 6005 n x:w^ .'`r n ,,io- +�s� '�a » �}� x x i u F•r '.c' � ,,'�.yF :.Y ....M ,,n""•„ r. < ?S�4,. .. .,,a. } 3 ^'`�r Fl �r .., . .. ... •r...�`>�,,.. ..,.3.. o-:�[ f..::;.......n.»"..:..--�---��----.........".."fit:.: 'r?z:.� ^:: cv��`":!"". .'�.;:,,..". Childcare Scholarships 7001 Counseling—Individual Session 7002 Counsel in --Group Session 7003 Short-term Rent Assistance 7004 Short-term Mort a e Assistance 7005 Short-term Utilities Assistance 7006 Tenant Based Rental Assistance 7007 Volunteer Trainin 7008 ..:::..... n #} .." , � � �� iy......v........'}.'.fi.r?.'.\.t....v..c...."".r..."...3.�r....n... ..... .; ??>>::::"": ...... . r .:»€;•.8 r s.�. ..sa.. ( Y ....... ...". a } . E:.;:::r•. Furniture,Fixtures 8001 Com uters 8002 Off-ice E ui meat 8003 Sport and Recreation E ui illent 8004 H'NPIN(;A LINI.1.1•I)WAY 1-I APING 13 (;I-NI-RAI I)()NA 1 10N'� f l 1Nl)IN(j C N/A FUNDING D: NIA THE SALVATION ARMY- S.T.A.R.T. SALARY DETAIL Position Rate Annual Hours Percent to Grant Amount to (Annual Grant Estimated) Case Manager-S.T.A.R.T-Women 15.$7 2080 75 25000 The Salvation Army,a Georgia Corporation for the S.T.A.R.T.Program Stabilizing to Achieve Richer Tomorrows(S.T.A.R.T.) FRINGE DETAIL Percent of Payroll Amount Percent to Grant Amount to Grant Annual Estimated FICA/Medicare Life Insurance Health Insurance Disabili Insurance Unemployment Workers Compensation Retirement SUPPLIES AND SERVICES Total Budget Percent to Grant Amount to Grant Office Supplies (Annual Estimated Office Equipment Rental Postage Printing__ MISCELLANEOUS Total Budget Percent to Grant Amount to Grant Conference&Seminars (Annual Estimated) Construction/Building Materials Contract Labor Craft Supplies Credit Reports Facility Fees Field Trip Costs Food Supplies Mileage Teaching Aids FACILITY AND UTILITIES Total Budget Percent to Grant Amount to Grant Annual Estim ated Telephone Electric Gas Water and Wastewater Solid Waste Disposal Rent Custodial Services Re airs Cleaning Supplies LEGAL, FINANCIAL AND INSURANCE Total Budget Percent to Grant Amount to Grant Fidelity (Annual Estimated)Bond(or E uivalent General Commercial Liabi l it Directors and Officers Le al Fees Contract AccOuntin DIRECT ASSISTANCE OR PER UNIT RATE CHARGES Total Budget Basis Percent to Grant Amount to Grant (Annual Estimated) Childcare 104 Scholarships Counseling 100 -Individual Session Counseling 100 —Group Session Short-Term 100 Rent Assistance Short Term 100 Mortgage Assistance Short Term 140 Utilities Assistance Tenant 100 Based Rental Assistance Volunteer 100 Training CAPITAL OUTLAY Total Budget Description Percent to Amount to Grant Grant (Annual Estimated) Furniture,Fixtures Computers Office E ui ment Sport and Recreation Equipment EXHIBIT C—AUDIT CERTIFICATION FORM AND AUDIT REQUIREMENTS Agency: -F � l t► r� N� ?�? [' ,.z--t Fiscal Year Ending: During the fiscal year in which funds will be received, we will exceed the federal expenditure threshold of$500,000. We will have our Single Audit or Program Specific Audit completed and will submit the A-133 audit report within seven (7) months after the end of the audited fiscal year or thirty (30)days within its completion, whichever is the earlier date. ❑ During the fiscal year in which funds will be received, we will not exceed the $500,000 federal expenditure threshold required for a Single Audit or a Program Specific Audit to be performed this fiscal year. (Fill out schedule below) ....." ." ;:,r::';:::x; ..¢i` .tom- _•:%�--];3-" ,-0, .*::.:: nJkl `-,der:-::.,.• ''so• t] ir 1•. x ,V t} r. r , r t c<a•-r .1.; :C Y/•''k• ."hi)%. :Y:-"" tit.. r , i• r x l: r" } i.. 0. , .. ..- t Total Federal Expenditures for this Fiscal Year: FAURER OCT 18 2011 Sign r-y and Title Date JOH IONES ilure to submit this or a similar statement or failure to submit a completed single audit package as described in the federally required audit requirements described in OMB Circulars A-133 by the required due date may result in suspension of funding and ma y affect eligibility for future funding. Notwithstanding the above, this certification acknowledges the agency's commitment to meet all other financial reporting,financial statements, and other audit requirements as may be set forth in the Contract. EXHIBIT D--REPORTING FORMS INVOICE Agency: Address: City, State, Zip: program: period of Service: MWU • 9 '• -'.*i.t..??:.... .::+<-. .,.. .. >-�:s."?;."-";, _ S'i`�.�r,?` ••}:�. -" ��t•T. -mac-`4-rt`ir s .e.".�"""""".:"" <is;�:.;::. 4 ,s••. ,"s> ..}....�."."".". .."..+"""""�§-" �nnt, ...J''� k.,:?R.? `��, +���2�"� '�:;r?"� ' ..t' _ fig t•:4:� QG^ w= ..i n ""r e: �F RsC.�.:.:::::::::. its• ::�'i';.'-+- `�II:'�'�.. • +.�..,• k •�-:..::.--.-:::i ':''x4,• ,fir. �F. i= .min. """�."+",;"""L�-"-". .. ""L."."".... .," + ,. ... f�....."..."..."."". •..... -..,,.:...,, 1....+�r...."..,"".""""""""s��.r.-.uv":fir,-�•T:T::-T:s>+Yi:.'�1s./Tj....". 'S..."".."..."..:...,••!•�\� -,-,...:. •i?::-- .;•,. '.�:............. " "�""""--`' .?�.?�---......""..".....n.....,.;.:�.�-a:,ac..J�"",,.:5:?` .4c:.r....�..-.;i;.::�,k?:,'�:his=:R:Y�":;�',�''•„'?i.•'�5} 0- iy;�;�br 3ib�; '°�?�� ............. Contractor's Certification: I certify that the costs incurred are valid and consistent with the terms and conditions of the contract between City and Agency. By signing this invoice, I certify hat to the best of m knowledge fY Y and belief the data Included in this report is true and accurate. It is acknowledged that the provision of false information could leave the certifying official subject to the penalties of federal, state, and local law. Signature and Date.- Name: Title.- Attachment li City of Fort Worth Housing and Economic Development Department Expenditure Worksheet Agency: Pfogram: s r 2 Salaries 1001 3 FICA 1002 4 Ufe Insurance 1003 5 Health Insurance 1084 6 Disability Insurance 1005 7 Une ment-;fate 1006 8 Legal&Accounl2p 1007 9 10 Salaries 2001 11 FICA 2002 12 Ufe Insurance 2043 13 Health Insurance 2404 14 Unemployment 2005 15 Worker's Lion 2006 16 RetiretT rd 2007 17 18 Office SuPPkM 3001 19 Office E u' nt Rental 3802 20 Post a 3803 21 Printino 3004 22 23 Confefence Seminars 4001 24 Con-struction/Builkirg Materials 4002 25 Contrad Labor 4003 26 Craft Supplies 4004 27 Cfedd Reports 4405 28 Facie Fees 4006 29 Field Trie Costs 4007 30 Food Su es 4008 31 Mileage 4009 32 Tear-hi 29 Aids 4010 33 34 Tele one 5001 35 Electric 5002 36 Gas 5003 37 Wasef and Wastewater 5004 38 Solid Waste I 5005 39 Rent 5DD6 40 Custodial Services 5007 41 Repairs 50M 42 CleaNN Su es 5009 43 44 Fiderity Bond of E uhmlent x001 45 Directors end Of icem 8002 46 General Conwrm xial Liabifty 6003 47 L IFees 8404 46 Contract Accounting 6405 49 50 Childcare Scholarships 7001 51 Counsels -Individual Sesslons 7002 52 Counsels -Gne Sessions 7003 53 Short-term Rent Assistance 7004 54 Short-term Mortgage Assistance 7005 55 Short-term Utilities Assistance 7048 56 Tenant Based Rental Assistance 7007 57 Volunteef Training 7008 MOM 59 3x- Fumitufe,Fixtures 8401 60 Comwers 5002 Total Ofke Eopment 8803 rt and Recfeation E ui nt 8004 'Payr(A must identity employee. Rent must identify tenant Other payments should identify individuals,if appheataie i °n��� u�nnW�iiO�i uii� �i�iun � n�� �nn�mi�u�uY�uu�iAi�miAi�uN �HII�I�WI�NI�dYVAIAIIAII�IIAI� mi�� ��ii �i�mi�� iin ��� m ���� i ����i � �� � in � n i i inn�n INII�IIIII�IWI�fl�uIIIII�AIIIIIlA1�0 ii�mi���nnmm�nI �n�ian�nnu�iiil�iun�mii IN EXHIBIT E- INCOME SELF-CERTIFICATION FORMS 4 CERTIFICATION OF INCOME STATEMENT Applicant Name: Current Address: Phone #: Household Members and Income (including-app Ilcant) Last Name First Name Age Monthly Source Income "PERSONAL INFORMATION:(Check one in each item. optional Information for Federal Reporting Purposes) a. ❑MALE b.❑WHITE ❑BLACK/AFRICAN AMERICAN ❑BLACK/AFRICAN AMERICAN&WHITE ❑FEMALE ❑AMERICAN INDIANIALASKAN NATIVE ❑ASIAN ❑AMERICAN INDIANIALASKAN NATIVE&WHITE ❑ASIAN&WHITE ❑NATIVE HAWAIIANIOTHER PACIFIC ISLANDER ❑BALANCE/OTHER ❑AMERICAN INDIAN/ALASKAN NATIVE&BLACKIAFRICAN AMERICAN c. ETHNICITY d. DISABLED e. IS CLIENT WOMEN HEAD OF HOUSEHOLD ❑HISPANIC ❑YES ❑YES ❑NON-HISPANIC ❑NO ❑NO TOTAL NUMBER OF FAMILY MEMBERS (Include Yourself,Spouse,Children,etc.) Total Anticipated Annual Household Income: Certification: I certify that the infon-nation I am providing is true and could be subject to verification at any time by a third party. I also acknowledge that the provision of false information could leave me subject to the penalties of Federal, State and local law. Signature of Applicant Date WARNING: TITLE 18,SECTION 1001 OF THE U.S.CODE STATES THAT A PERSON IS GUILTY OF A FELONY FOR KNOWINGLY AND WILLINGLY MAKING FALSE OR FRAUDULENT STATEMENTS TO ANY DEPARTMENT OF THE UNITED STATES GOVERNMENT. For use by funding agency: Household Size: Annual Income: Income Limit: Is Applicant Eligible: Person Making Determination: Date: CERTIFICACIGN DE DECLARACION DE INGRESGS Nombre del Solicitante: Direccion de Actual idad: Telefono: Miembros Del Ho gar e In resos (incluir el1Ia solicitante) Apellido Nombre Edad Ingreso Fuente de Ingresos Mensual "INFORMACION PERSONAL:(Seleccione uno en cada articulo. Infarmacian opcional) a. ❑MASCULINO b.❑BLANCO ❑NEGROIAFRICANO AMERICANO ❑NEGROIAFRICANO AMERICANO&BLANCO ❑FEMININO ❑INDIO AMERICANO/NATIVO DE ALASKA ❑ASIATICO ❑INDIO AMERICANOINATIVO DE ALASKA&.BLANCO ❑ASIATICO&BLANCO ❑NATIVO HAWAIANOIOTRO DE LAS ISLAS PACIFICAS ❑BALANCEIOTRO ❑INDIO AMERICANO 1 NATIVO DE ALASKA&.NEGROIAFRICANO AMERICANO c. ETHNICIDAD d. INCAPACITADO e. GES EL SOLICITANTE MWER CABACERA DEL HOGAR? ❑HISPANO ❑SI ❑SI ❑NO-HISPANO ❑NO ❑NO *TOTAL NUMERO DE MIEMBROS DE LA FAM I L1A (Incluirse usted mismo,esposo/a,ninos,etc.) Total Acual de Ingresos del hogar por anticipado: Certificacion: Yo certifico la informacion que yo estoy proporcionado es verdadero y puede ser sujeto a verificacinn a cualquiera Nora por tercera parte. Yo tambie"n reconozco que la provision de informacinn falsa puede dejarme sujeto a penalidades Federates, Estatales, y a ley local. Firma del Solicitante Fecha ADVERTENCIA:TITULD 1$,SECCIQN 1001 DEL CODIGO DE LOS E.U.A.DICE QUE UNA PERSONA ES CULPABLE DE UN DELITO POR SABER Y VOLUNTARIAMENTE HACER FALSO O FRAUDALENTAS DECLARACIONES A CUALQUIER DEPARTAMENTO DE GOVIERNO DE LOS ESTADOS UNIDOS. Para use de fondos de la agencia: # De Miembros de Fam it ia: Ingreso AnuaI: Limite de Ingreso: �Es solicitante elegible? Persona haciendo la determinacion: Fecha: o 4) k N OQ ° � MOaoh 0 d' `D 6q 46oq p C) ►n C= 00 `0 n h h Q] M 01\ C� h a *--� a 0 N `c Ql� 4� �&S 4Goq 6+4 a C C) � � a a ►n ►n 171- 71- 6q sq 4Goq 1 ,_, w .".4 � o a a a ►n a Cd 0 00 a C\ � M CIA � aaa a �r, ►r-, a M 00 r—r r-r r-r Q v o a a a rn kr) 00 1�■ OQ AN 4 J � � pQ �4L VAT%0"*' THE SALVATION ARMY POLICY STATEMENT ON RELATIONSHIPS WITH OTHER GROUPS AND ORGANIZATIONS The Salvation Army in the United States works cooperatively with many groups -- governmental, social service, civic, religious, business, humanitarian, educational, health, character building, and other groups-- in the pursuit of its mission to preach the Christian Gospel and meet human need. Any agency, governmental or private, which enters into a contractual or cooperative relationship with The Salvation Army should be advised that: 1. The Salvation Army is an international religious and charitable movement organized on a quasi-military/ pattern and is a branch of the Christian church. 2. All programs of The Salvation Army are administered by Salvation Army Officers who are ministers of the Gospel. 3. The motivation of the organization is love of God and a practical concern for the needs of humanity. 4. The Salvation Army's provision of food, shelter, health services, counseling, and other physical, social, emotional, psychological and spiritual aid, is given to persons in need simply because they are in need, regardless of race, color, religion, sex, age, national origin or handicap. Organizations contracting and/or cooperating with The Salvation Army may be assured that because The Salvation Army is rooted in Christian compassion and is governed by Judeo-Christian ethics, the provisions of its contracts and agreements will be strictly observed. Commissioners Conference: February, 1993 The Salvation Army-Mabee Center City of Fort Worth, Texas Mayor and Council Communication COUNCIL ACTION: Approved on 8/2/2011 —Ordinance No. 19824-08-2011 DATE: Tuesday,August 02, 2011 REFERENCE NO.: C-25066(Revised) LOG NAME: 17HUDACTPLAN—REVISED SUB�: Approve City's 2011-2012 Action Plan for the Use of Program Income Totaling$75,000.00 and Federal Grant Funds Totaling$10,218,616.00 from the United States Department of Housing and Urban Development Under the Community Development Block Grant, HOME Investment Partnerships Program,Emergency Solutions Grant and Housing Opportunities for Persons with AIDS Grant Programs,Authorize Application of Indirect Cost Rates,Authorize Execution of Related Contracts and Interdeparnnental Letters of Agreement and Adopt Appropriation Ordinance(ALL COUNCIL DISTRICTS) BECOMMENDATION: REVI ww , �g A.m `i�� ON &I N A _u oz S IRS 1-11 N; ...... W Mgt I g,\x-:W... a Q� "UNKM R, -1�g 5 A ....... 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'OKII 11 1 d CERTIFICATIQ Submitted foL!Lity Manager's OfUe Susan Alanis (8180) Jay Chapa (5804) Additional Mark Folder (8634) Robin Bentley (7315) AITA.CHMENTS I.I HUD`TPLAN AO I I Revised.dor,