HomeMy WebLinkAboutContract 55398-A1R1 CSC No. 55398-AlR1
FIRST AMENDMENT AND FIRST RENEWAL OF
CITY SECRETARY CONTRACT NO. 55398,
A SUMMER FOOD SERVICE PROGRAM AGREEMENT BETWEEN
THE CITY OF FORT WORTH AND CITY SQUARE FOOD
This FIRST AMENDMENT AND FIRST RENEWAL("First Amendment and First Renewal")
is made and entered into by and between the CITY OF FORT WORTH("City"),a home-rule municipal
corporation and CITYSQUARE,a Texas nonprofit corporation("Sponsor"),each individually referred to
as a("Party") and collectively as the("Parties").
WHEREAS, on March 11, 2021, the Parties entered into a Summer Food Service Program
Agreement to allow Sponsor to provide meal service through funding from the Texas Department of
Agriculture and the U.S. Department of Agriculture, at no cost to participating sites or the children
participating,the same being City Secretary Contract("CSC")Number 55398 ("Agreement");
WHEREAS, the Agreement provides an initial term of one year and four (4) one-year renewal
periods(each a"Renewal Term");
WHEREAS, the Parties desire to amend the Agreement to provide an updating listing of
participating site for calendar year 2022;
WHEREAS,the initial term has expired and it is the collective desire of the Parties to exercise the
first renewal term("First Renewal Term"); and
NOW,THEREFORE,in consideration of the mutual covenants and agreements contained herein,
the City and Sponsor do mutually covenant and agree to amend and renew and extend the Agreement as
follows:
I.
The City and Sponsor hereby agree to amend the Agreement to provide an updated listing of
participating sites for calendar year 2022, as set forth in Exhibit A-1, attached hereto and incorporated
herein by reference.
II.
The City and Sponsor hereby agree to renew and extend the Agreement for a one-year period,
effective beginning on March 11,2022 and expiring on March 10,2023 ("First Renewal Term").
III.
1. All terms in this First Amendment and First Renewal that are capitalized but not defined
shall have the same meanings assigned to them in the Agreement.
2. All terms and conditions of the Agreement that are not expressly amended pursuant to this
First Amendment and First Renewal shall remain in full force and effect.
(Signature page follows)
OFFICIAL RECORD
CITY SECRETARY
First Amendment and First Renewal of CSC 55398 FT. WORTH, TX
IN WITNESS WHEREOF, the Parties hereto have executed this First Amendment and First
Renewal in multiples in Tarrant County,Fort Worth,Texas.
City: Sponsor:
By: Valerie Washington(Mar17,2 211:06CDT) By: S a rai Ferreira(M a r17,2022 09:54CDT)
Name: Valerie Washington Name: Sarai Ferreira
Title: Assistant City Manager Title: Child Nutrition Program Manager
Date: M a r 17, 2022 Date: M a r 17, 2022
FOR CITY OF FORT WORTH INTERNAL PROCESSES:
Approval Recommended: Contract Compliance Manager:
/,,
By signing I acknowledge that I am the person
1&h" y l/z�'ya4? responsible for the monitoring and administration
By: Richard Zavala(Mar 17,202210:52 CDT) of this contract,including ensuring all
Name: Richard Zavala performance and reporting requirements.
Title: Director
Park&Recreation Department
By:
Name: Sheri Endsley
By: Title: District Superintendent
Name: Kelli Pickard Park&Recreation Department
Title: Assistant Director
Park&Recreation Department City Secretary:
By: Sandra Youn d(Mar 16,202213:27 CDT) ®®
Name: Sandra Youngblood By: ette S.Goodall(Mar 17,2022 15 CDT)
Title: Assistant Director Name: Jannette S. Goodall
Park&Recreation Department Title: City Secretary d4n�
�po�oF OR toad
Approved as to Form and Legality: X o
0
o, d
, o 0
By: NicoAriaS(N1aC16,202210:04CDT) �d� o00 °�cA,
°-00000° ,✓
Name: Nico Arias �a4rj ASoAp
Title: Assistant City Attorney
Contract Authorization:
M&C: N/A
Form 1295:N/A
OFFICIAL RECORD
First Amendment and First Renewal of CSC 55398 CITY SECRETARY
FT. WORTH, TX
Exhibit A-1
CitySquare
Food
2022 CitySquare Summer Food Service Program Agreement- Partner Sites
Site Details
Name of organiaation:City of Fort VVorth
Site blame:Andrew "Doc' Session Community Gender
Physical Address: 201 South Sylvania Avenue
City: Fort Worth Zip: 76111
On-Site Contact Name: Teresa Magana Leach
Phone: 817-392-828 Email: teresa-maganaC fortworthtexas.gov
Summer Program Dates Start: 6113 0 End:811 J2022
Daily Hours of Operation Start: 7:30 AM End: 6-00 PM
#of Children Enrolled: 40 Earliest Time for Delivery, 10:00 AM
Breakfast Lunch S r a:k
No#eli ibl a for sna€k'rl sele€ted Required Not eli ible for breakfas4 if seleccedi
Start: Start: Start;
End: End: End:
Days of Wee< Meals Served: ■ Monday A Tuesday S Wednesday I Thursday a Fri.-2-
Does this site have refrigeration? it Yes ❑ No
Does this site have internet access? N Yes ❑ No
Will this site require meals for field trips? - Yes i No
For questions,contact:
Sara Ferreira email:sferreira@citysquare.org phone:469-904-7037
This institution is an equal opportunity provider-
First Amendment and First Renewal of CSC 55398 Page 3 of 22
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Food
2022 CitySquare Summer Food Service Program Agreement — Partner Sites
Site Details
Name of Organization:C ity of Fork Worth
Site Name:Como Community Center
Physical Address:460 Horne Street
City:Fort Worth zip:76107
On-Site contact Name: lara Kirby
Phene:817_ 92-b80p IEm all:Clara-kirb Mort orthte as_gov
Summer Program Dates Stark: June 13, 2022 End: August 12, 2022
Daily Hours of Operatro- Start:730am End:6pm
Of children Enrolled:76 Earliest Time for Delivery: 11 am
Breakfast Lunch Snack
Not el i -ble for snack if sele€ted (Required Not eligible for brea kfast if selected
Start: Start:11:30am Start:a:aop„
End: End:12:3Opm End:3;3opm
Days of Week Meals Served: ; Monday ; Tuesday ; Wednesday •_ Thursday - Friday
Does this site have refrigeration? 8 Yes ❑ No
Does this site have internet acoess? a Yes o No
Will this site require meals for field trips? = Yes •_ No
For questions,contact:
Sara Ferreira email:sferreira9citysqua•re_org phone:469-904-7037
This institution is an equal opportunity provider.
First Amendment and First Renewal of CSC 55398 Page 4 of 22
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CitySquare
Food
2022 Cityaquare Summer Food Service Program Agreement — Partner Sites
Site Details
Name of organization:C ity cf Fort Worth
Site Name: hisholm Trail Community Center
Physical Address:4938 McPherson Blvd
City:Fort Worth I Zip:7 'I 2 3
On-Site Contact Name: Tanana Butler
Phone:817- 0 -8070 Email:Taniaria_Bull er fortworthtexa _gov
Summer Program Dates Start:6)13/22 End:8/1 )22
Daily Hours cf Operation start:7:30am End:6:OOpm
9 of Children En rolled:100 Earliest Time for Delivery,BAM
Breakfast Lunch Snack
Not eli ible for snack'rf se e€ted (Required) Not eligible for breakFast if sele€-ec',
Start: Start:I l aFn Start:2:-Vom
End: End:12:30pm End:3:aoprn
Days of Week Meals Served: -- Monday 8 Tuesday -- Wednesday • -h�.,sd'-f- • Fri.: 'r
Does this site have refrigeration? -_Yes ❑ No
Does this site have internet acoess? -_Yes - No
Will this site require meals for field trips? - Yes -_ No
For questions,contact:
Sara Ferreira email:sferreira@citysquare_org phone:469-904-7037
This institution is an equal opportunity provider.
First Amendment and First Renewal of CSC 55398 Page 5 of 22
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Food
2022 OitySquare Summer Food Service Program Agreement— Partner Sites
.Site Details
Name of organization:City of Fort Worth PARD
Site Na me:Dia rno nd Hill Cornrnunity Center
Physical Address:1701 NE 36th St
City:Fort Worth I zip:76104
On-site Contact Name:Me'S hellia A ILjm -Davis
Phone:817- 9 -5485 Email:Me'Shellia-Allums-Davis@forhyerthte)cas.gov
as.gov
Summer Program Dates Start:6113/22 End:8/1 122
Daily Hours of Operation start:7:30am End:6:60pm
9 Of Children En rolled:60 Earliest Time for Delivery:8:60am
Breakfast Lunch Snack
Nox eli ible for snack'rf se e€ted (Required) Not eligliblEfor breakFast if sel-?c-�c
Start: start:11:3aarn Start:2:3Opm
End: End:12:3aprn End:3,00nrn
Days of Week Meals Served: ' Monday in Tuesday -_ Wednesday M Thursday * Fri
aoesthis site have refrigeration? ± Yes a No
Does this site have internet access? - Yes :: No
Will this site require meals for field trips? } Yes :: No
For questions,contact:
5arai Ferreira email:sferreira@citysquare_org phone:459-9m-7037
This institution is an equal opportunity provider.
First Amendment and First Renewal of CSC 55398 Page 6 of 22
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Food
2022 CitySquare Summer Food Service Program Agreement — Partner Sites
Site Details
Name of organization:City of Fort Worth
Site Name:Eugene Mc ray Community Center
Physical Address:4932 Wilharger Street
City:Fort Worth I Zip;76119
On-Site Contact Name:Krysta Diaz
Phone:817" 9 "7146 1Ern a ill:krysta"diazl forhmorthlexas"gov
Summer Program Dates Start:6113l22 End:811 f22
Daily Flours of Operation Start:7:30 am End.6=90 pm
#Of Children En rolled:60 Earliest Time far Delivery,8:00 am
Breakfast Lunch Snack
Nat el iijble for snack'rl selected (Required) Not er ible for breakfast if selected
Start: Start:11:.30 am Start:2:3Up
End: End:12:30 pm, End:3-oo pm
Days of Week Meals Served: -- Monday 8 Tuesday -- Wednesday -- Thursday s Fric:'r
Does this site have refrigeration? c Yes :: No
Does this site have internet access? —Yes : No
Will this site require meals for field trips? } Yes :: No
For q uestio ns,contact:
Sara Ferreira email:sferreira@citysquare"orgphone:469-904-7037
This institution is an equal opportunity provider-
First Amendment and First Renewal of CSC 55398 Page 7 of 22
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Food
2022 CitySquare Summer Food Service Program Agreement — Partner Sites
Site Details
Name of organization:C ity cf Fort Worth
site Name:Fire Station Community Center
Physical Address:1601 Lipscomb St-
City:Fort Worth Zip;76104
On-site Contact name;Tondranika Johnson
Phone:817 92-2240 1 Email:Tandranika.Johnson@fortwortht,exas.gov
Summer Program Dates start:June 13 2022 End;August 12 2022
Daily Hours of Operation start:7: 0 am End;6:00 pm
9 Of Children E n rolled-.100 Earliest Time for Delivery,7:30 am
Breakfast Lunch Snack
Not eligible far snack f selected (Required) Not eligible for breakfas= =sales-}c
Start: Start:11:3a am Start;s:3o prn
End: End:12:30 pm End;4.30 prn
Days of Week Meals Served: -_ Monday a Tuesday •_ Wednesday in Thursday in Friday
Does this site have refrigeration? --Yes ❑ No
Does this site have internet acoess? n Yes = No
Will this site require meals for field trips? -- Yes :: No
For questions,contact:
Sara Ferreira emai1:sferreira@citysquare_org phone:469-9C4-7037
This institution is an equal opportunity provider.
First Amendment and First Renewal of CSC 55398 Page 8 of 22
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Food
2022 CitySquare Summer Food Service Program Agreement — Partner Sites
Site Details
Name of OrganizatiGn:C ity of Fort Worth
Site Name: reenhriar Community Center
Physical Address:5 00 Hemphill Street
city:Fort Worth, Texas Zip:76115
On-site Contact Name:James Turner, Daniel Duncan
Phone:$J 7 39 -6 70 1Email:James_Tumer@fort Worthtexas_gov
Summer Program Dates Start:,June 13th End:August 1th
Daily Hours of Operation Start:7:30 AM End:6:00 PIVII
9 Of children Enrolled: 100 Earliest Time for Delivery: 10:00 AM
Breakfast Lunch Smack
(Not eligible for snack H selected (Required Mat eligible for brea kfast if selected
Start; Start:11:30 AM Start:2:30 PM
End: End:12:W PM End:3-oo PM
Days of Week MeaIs Served: -_ Monday -_Tuesday •_ Wednesday •_ Thursday ; Fri
Does this site have refrigeration? --Yes ❑ No
Does this site have internet access? - Yes ❑ No
Will this site require meals for field trips? -- Yes :: No
For questions,contact:
Sara Ferreira email:sferreira@citysquare_orgphone:469-904-7037
This institution is an equal opportunity provider.
First Amendment and First Renewal of CSC 55398 Page 9 of 22
CitySquare
Food
2022 CitySquare Summer Food Service Program Agreement — Partner Sites
Site Details
Name of organization: CIty Of Fort Worth
Site Name:Handley Meadowbrook Community Center
Physical Address:601 Beaty Street
City:Fort Worth JX I zip:7611
On-site Contact Name:Fobble Samuel
Phone:817- 0 - 830 1 Email:rohhie_samuel afortworthtexas_gov
Summer Program Dates Start:61131202 End:9l110
Daily Hours of operation start:7:30am End:6:DOpm
#Of Children Enrolled:{] Earliest Time for Delivery:8:00am
Breakfast Lunch Snack
Not eli ible for snack'rf selected (Required) Not er ible for breakfast if selected
Start: Start:1 lam Start:3pm
End: End:12pm End:4pm
days of Week Meals Served: -_ Monday 8 Tuesday •_ Wednesday -_ Thursday s FridM.
Doesthis site have refrigeration? -_Yes - No
Does,this site have internet acoess? -_Yes - No
Will this site require meals for field trips? -- Yes - No
For q uestio ns,contact_
Sara Ferreira email:sferreira0cityscluare_orgphone:459-904-7037
This institution is an equal opportunity provider.
First Amendment and First Renewal of CSC 55398 Page 10 of 22
CitySquare
Food
2022 CitySquare Summer Food Service Program Agreement — Partner Sites
Site Details
Name of organization:C ity of Fort Worth
Site Name:Highland Hills Community Center
Physical Add ress:1600 Glasgow Rai.
City:Fort Worth. Texas I Zip:761 4
On-site Contact Name: Rashad Jackson, Joya Henderson
Phone:817 g - 850 1 Email:rashad_jac on a fora orthtexas_gov
Summer Program Dates Start:June 1 th End:August 12th
Daily Hours of Operation Start:7:30 AM End:0:00 PIVI
#Of Children En rolled:80 Earliest Time for Delivery: 10:00 AM
Breakfast Lunch Snack
Not eli ible for snack'rf selected (Required) Not er ible for breakfast if selected
Start: Start:11:30 AMStart:3-00PM
End: End:12:W PM End:3;3o Pm
days of Week Meals Served: -_ Monday 8 Tuesday •_ Wednesday -_ Thursday s Fridn.
Doesthis site have refrigeration? -_Yes - No
Does,this site have internet acoess? F Yes = No
Will this site require meals for field trips? -- Yes - No
For q uestio ns,contact_
Sara Ferreira email:sferreira0cityscluare_orgphone:469-904-7037
This institution is an equal opportunity provider.
First Amendment and First Renewal of CSC 55398 Page 11 of 22
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Food
2022 CitySquareSummer Food Service Program Agreement — Partner Sites
Site Details
Name of organization: City of Fort Worth
Site flame: Hillside Community Center
Physical Address: 1201 E_ Maddox Ave.
City: Fort Worth tip.:7 `l04
On-Site Contact Name: Odavian Davis
Phone: 817- 9 -76 0 Email: octavian_davis( fort orthtexas_gov
Summer Program Dates Start:June 13 End:August 12
Daily Hours of Operation start:7: 0 am End;0:00 pm
9 Of Children Enrolled: 45 Earliest Time for Delivery, 9-00 am
Breakfast Lunch Snack
Not eligible for snack'rf selected (Required) Not er ihle for brealdast if se lec-ec
Start: Start: 11:0❑am Stark: 2:30 pm
End: End: 12-00 pm End:3:3o pm
Days of Week Meals Served: -_ Monday 8 Tuesday •_ Wednesday &_ Thursday * Fri.,2
Does this site have refrigeration? '_Yes ❑ No
Does this site have internet access? --Yes ❑ No
Will this site require meals for field trips? - Yes -- No
For questions,contact:
Sarai Ferreira email:sferreira@city square_org phone:469-904-7037
Thi€imairirtinn it an Pnual rinnnrmnHv nrnvOF r
First Amendment and First Renewal of CSC 55398 Page 12 of 22
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2022 City Square Summer Food Service Program Agreement — Partner Sites
Site Details
Name of organization.:City of Fort Worth
Site NameVartin Luther King Jr Community Center
Physical Address:5565 Truman Drive
city:Fork ;North Izip:7611
On-Site Contact Name:Kayren Davis
Phone:81 7- 9 -596 Email;Ka►}ren.Davis( fortworthtexa -gov
summer Program Dates start:6.18. 02 End:7.2-2.2022
Daily Hours of Operation start:8:06 a-m- End:3:00 p_m-
a Of Children En rolled:30 Earliest Time for Delivery,7:45 a-m-
Breakfast Lunch Snack
Not eligible for snack H selected (Required Not eligible for breakfast if selected
Start:8:00 am Start:12:00 Stark:
End:8:30 pm End:12:30 End:
Days of Week Meals Served: -_ Monday n Tuesday '_ Wednesday '_ Thursday •_ Friday
Does this site have refrigeration? • Yes - No
Does this site have Internet access? -Yes - No
Will this site require meals for field trips? --Yes = No
For questions,contact:
Sarai Ferreiraernail:sferreira@citysquare-org phone:459-9Q4-7037
This institution is an equal opportunity provider-
First Amendment and First Renewal of CSC 55398 Page 13 of 22
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2022 CitVSquare Summer Food Service Program Agreement — Partner Sites
Site Detaft
Name of 0rganizatinn:C ity of Fort Worth
Site NameNorthside Community Center
Physical Add ress:1100 NW 18th St
City:Fort Worth zip:76164
On-Site Contact Name:1) Rosy Perez ) Daniel Leal
Phone:817 92-599 Email:msy_perea@forNvrr&texas.Pm.daniel.leaf fcrtworlhtexas.gm
Summer Program Dates Start:6A 0 End:8/12/2022
Daily Hours of Operation Start:7: 0 a-m_ End:6:00 p-m.
it Of Children En rolled:75 Earliest Time for Del ivery:8:00 a_m_
Breakfast Lunch Snack
Not eli ible for snack H selected (Required) Not eligible for breakfast if selec-ec'I
Start: Start:1o:3a a-m. Start:2:30
End: End:12:01)p.m. End:3;3o p.m.
Days of Week Meals Served: -_ Monday a Tuesday •_ Wednesday •_ Thursday i Fri.:;'r
Does this site have refrigeration? -*Yes ❑ No
Does this site have internet access? - Yes :: No
Will this site require meals for field trips? - Yes -- No
For questions,contact:
Sara Ferreira email:sferreira@citysquare.org phone:469-904-7037
This institution is an equal opportunity provider.
First Amendment and First Renewal of CSC 55398 Page 14 of 22
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Food
2022 City Square Summer Food Service Program Agreement — Partner Sites
Site Details
Name of organisation: City of Fort Worth
Site Name: North Tri-Ethnic Community Center
Physical Address: 250 Roosevelt Ave_
City: Fork Wordh I Zip;761 06
On-site Contact Name: Marcus Hatcher
Phone: 817_392-52011 Email: Marcus-Hatcher@fort worthtexas_gov
Summer Program Dates start:June 13 End:August 1
Daily Hours of Operation Start:7:30 am End:6:00 pm
#Of Children Enrolled: 60 Earnest Time for Delivery, 8:00 am
Brea kfast Lunch Snack
Not eligible for snack'rf se e€ted (Required) Not el' -NE for breakfarst irselerbedll
Start: Start: '11:00 am Start: 2:30 pm
End: End: 12-06 pm End:3:30 pm
days of Week Meals Served: -_ Monday a Tuesday -_ Wednesday -_ Thursday -_ Friday
Does this site have refrigeration? -_Yes - No
Does this site have internet acoess? -_Yes - No
+NII this site require meals for field trips? = Yes '_ No
For q uestio ns,contact:
Sara Ferreira email:sferreiraLDcitysquare_org phone:469-904-7037
This institution is an equal opportunity provider.
First Amendment and First Renewal of CSC 55398 Page 15 of 22
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2022 City5quare Summer Food Service Program Agreement — Partner Sites
Site Detai Is
Name of 4rganixatinn: ity of Fort Worth
Site Name:R_D_ Evans Community Center
:-hysical Address:3242 Lackland Rd
rity:Fort Worth zip:76116
On-Site Contact Name: White
Phone:817-392-7400 Email:kyle.white@fortworthtexas_gov
Summer Program Dates start:June 13 End:August 12
Daily Hours of Operation Start:7:30A End:6:60R
4 Of Children En rolled:l(10 Earliest Time far D: liv4 rv:7:30A
Breakfast Lunch Snack
Hat eligible far snadk f selected) ((Required) Not eligible for breakfas: =salac:ac."
Start: Sta rt:11.30am Sta rt:2:30 pm
End: End:12.30pm End:3=00p
Days of Week Meals Served: a— Monday i Tuesday •_ Wednesday •_ Thursday •_ Fri 3
Does this site have refrigeration? • Yes = No
Does this site have internet access? - Yes = No
Will this site require meals for field trips? = Yes -- No
For questions,contact:
Sara Ferreira email:sferreira@citysquare_org phone:469-904-7037
This institution is an equal opportunity provider.
First Amendment and First Renewal of CSC 55398 Page 16 of 22
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2022 CitySquare Summer Food Service Program Agreement — Partner Sites
.Site Details
Name of organization:C ity of Fort Worth
Site Name:Riverside Community Center
Physical Address:3700 E_ Belknap St
City:Fort Worth Zip:76111
On-site contact Name: Frances Efiong
Phone:817- 9 _7 4 IEmail:Frances_Efiong forMorthte as_gov
Summer Program Dates Start:6)13l22 End:$/1 122
Daily Hours of operation Start:7:30 am End:6:00 pm
#Of Children En rolled:80 Earliest Time for Delivoery: 8:00 am
Breakfast Lunch Snack
Ho[eligible far snack f selected (Required) Hot eligible for breakfast_'s�lec:a•_
Sta rt: rva Start:11:30 arc, Start:z:3D pm
End: rda End:12:3a pry End:3-co Pm
Days of Week Meals Served: -_ Monday n Tuesday •_ Wednesday •_ Thursday •_ Fric-2 y
does this site have refrigeration? 8 Yes ❑ No
Does this site have internet access? --Yes; :: No
Will this site require meals for field trips? -- Yes = No
For questions,contact:
Sarai Ferreira email:sferreiraLDcitysquare_org phone:469-904-7037
This institution is an equal opportunity provider_
First Amendment and First Renewal of CSC 55398 Page 17 of 22
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Food
2022 CitySquare Summer Food Service Program Agreement — Partner Sites
Site Detai Is
Name of Organization:C ity of Fort Worth
Site Name:Southside Community Center
Physical Address:959 E. Rosedale Street
City:Fort Worth Zip.:76'104
On-site Contact name:Felicia Johnson
Phone:817_ 0 _6606 1Email:felicia_johnson@fortorthtexas_gov
Summer Program Dates Start:June 13, 2022 End:August 12, 2022
Daily Hours of Operation Start:8:00 am End:5:00 pm
a Of Children Enrolled:30 Earliest Time for Delivery:8:00 am
Breakfast Lunch Snack
No[eligible far snack if selected Required) Not eligible for breakfast if selec-ac
Start: Start:11:K am Start:2:W pm
End: End:12:W pm End:3�0pm
Days of Week Meals Served: 8 Monday 8 Tuesday •_ Wednesday •_ Thursday i Fri.-,s'r
Does this site have refrigeration? 8 Yes ❑ No
Does this site have internet access? 8 Yes ❑ No
Will this site require meals for field trips? --Yes = No
For questions,contact:
Sara Ferreira email:sferreira@citysquare_org phone:469-904-7037
This institution is an equal opportunity provider.
First Amendment and First Renewal of CSC 55398 Page 18 of 22
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Food
2022 CitVSquare .Summer Food Service Program Agreement — Partner Sites
.Site Details
Name of 4rganizatian:C ity of Fort Worth
Site Name:Southwest Community Center
Physical Address:8300 Welch Ave
city:Fort Worth, TX Zip:7618
On-site contact Name:Brittney Jackson
Phone:817- 9 -7 13 Email:bditney_jackson@fortworthtexas_gov
Summer Program Dates Star::June 18 End:August 1
Daily Hours of operation Start:7:30 AM End:6:00 PIVI
9 Of children Enrolled:100 Ea0iest Time for Delivery,8 AM
Breakfast Lunch Snack
Nox eligible far snack if selected Required) Not eligible for breakfast if selected
Start: Start:11:00 AM Start:3:00PM
End: End:12:W PM End:4:0n PM
Days of Week Meals Served: -_ Monday a Tuesday •_ Wednesday -_ Thursday •_ Friday
Does this site have refrigeration? a Yes o No
Does this site have internetaccess? G Yes ❑ No
WiII this site require meals for field trips? •_Yes = No
For q uestio ns,contact
Sara Ferreira email:sferreira@citysquare_org phone:469-904-7037
This institution is an equal opportunity provider_
First Amendment and First Renewal of CSC 55398 Page 19 of 22
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2022 CitySquare Summer Food Service Program Agreement — Partner Sites
Site Details
Name of Organization: City of Fort Worth- P►4RD
Site Name:Thomas Place Community Center
Physical Address:4 '37 Lafayette Ave
city:Fort Worth Izip:76107
On-site Contact Na me:Brlttney Sanders
Phone:817- -74 7 1 Email:hrittney_sandersl fortworthtexas_gov
Summer Program Dates Start:June 13 2022 EnclAugust 12 2022
Daily Hours of operation Start:7: 0 AM End:6:00 PM
9 Of Children Enrolled:$0 Earliest Time for Delivery:9:OOAM
Breakfast Lunch Snack
Not eligible for snack if sele€ted Required)( Not eligible for breakFast'if selected
Start: Start:11:a0PM Start:2:30PM
End: End:12:30PM End:3:30PM
Days of Week Meals Served: 'Monday LdTuesday .--'Wednesday Thursday ,�'Fri s s
Does this site have refrigeration? Zryes ❑ No
Does this site have internet access? z- Yes = No
Will this site require meals for field trips? --Ides = No
For questions,contact:
Sara Ferreira email:sferreira@citysquare.org phone:469-904-7037
This institution is an equal opportunity provider.
First Amendment and First Renewal of CSC 55398 Page 20 of 22
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2022 CitySquare Summer Fowl Service Program Agreement — Partner Sites
Site Details
Name of organization:City of Fort Worth
Sit-2 NameNictory Forest COMMUnity Center
Physical Address:3427 Hemphill St.
City:Fort Worth Zip:76110
On-site Contact rya-e; BFbn TenEvck
Phone:817- 92-8200 Email:brian_teneyck forLworthtexas_gov
Summer Program Dates Start:6113122 End:8}12)1 2
Daily Hours of Operation Start:7:30am End:6:00pn}
#Of children Enrolled:100 Earliest Time far Delivery;9:00alTI
Breakfast Lunch Snack
Not eligible for snack it selected (Required) Not eli ible for brea kfa54,;sel ec -?.-
Start: Start:l h;son Start:3:00
End: End:iyno End:3:ao
Days of Week Meals Served: -_ Monday a Tuesday •_ Wednesday -_ Thursday •_ Friday
Does this site have refrigeration? -_Yes ❑ No
Does this site have internet access? a Yes ❑ No
Will this site require meals for field trips? --Yes - No
For q uestio ns,contact:
Sarai Ferreira email:sferreira@citysquare_org phone:469-904-7037
This institution is an equal opportunity provider_
First Amendment and First Renewal of CSC 55398 Page 21 of 22
000
90
90e CitySquam
Food
2022 Cityaquare Summer Food Service Program Agreement — Partner Sites
Site Details
Name of Organization: City of Fort forth
Site Name:Worth Heights Community Center
Physical Add ress:3551 New York Avenue
City:Fort Worth zip:7 110
On-site Contact Name:Deierdre Jimerson
Phone:817. _372 =mail;deierdro_jimerson@fortwor-litexas.gov
Summer Program Dates Start:June 13, 2022 End:August 12, 2022
Daih Hours of Operation start:7:30 AM End:6:00 P
ig Of Children En rolled:75 Earliest Time for DeIivery:8:30 AM
Breakfast Lunch Snack
Hot eligible for snack if selected (Required) Hotel' ible for breakfast
Start: Start:11:00 AM Start:2:OD PM
End: End:12:ao PU End:3�0 F,Mi
days of Week Meals Served: -_ Monday n Tuesday •_ Wednesday •_ Thursday n Friday
does this site have refrigeration? _t Yes , No
Does this site have internet access? --Yes = No
Will this site require meals for field trips? -- Yes :: No
For questions,contact:
Sara Ferreira email:sferreira@citysquare_org phone:469-904-7037
This institution is an equal opportunity provider.
First Amendment and First Renewal of CSC 55398 Page 22 of 22