HomeMy WebLinkAboutContract 57265 CSC No.57265
UNIVERSITY OF � LOCKHEED MARTIN
TEXAS ( CAREER DEVELOPMENT CENTER
ARLINGTON DIVISION OF STUDENT AFFAIRS
BOX 19695,University Center•300 W. 1st St.,Suite 180S•Arlington, Texas 76019-0695
Phone: (817)272-2932•Fax: (817)272-0268• Website:hill>:!/iviviv.uta.edu/careers E-mail: ollcainpus vorkstudi(7uta.edu
WORK-STUDY AGREEMENT
This agreement is entered into between The University of Texas at Arlington, hereinafter
called the"University"and
City of Fort Worth, 200 Texas Street, Fort Worth TX 76102
Agency Name and Address listed here will be used for reimbursement purposes
hereinafter known as the "Agency,"for the purpose of providing work to students eligible to
participate in the Work-Study Program. The Agency is either(check category that applies):
A. ®Public, an organization supported by tax money from the following source or
sources:
❑ Federal ❑Regional (Interstate) ()
❑ State ❑County or multi-county
m Local, city or town
B. ❑Non-profit, an organization engaged in (enter agency's mission statement here):
C. ❑For-profit company.
1. The Agency agrees to provide employment for students certified by the University and
accepted by the Agency.
2. The Agency agrees that the employment of students under the Work-Study Program will
not result in the displacement of employed workers or impair existing contracts for services.
3. The Agency agrees that the work performed by students will not, in any way, either directly
or vicariously, be used to further activity of a sectarian, religious or political nature.
4. Dependent upon eligible applicants having means of transportation or residing in the
proximity of the Agency, students will be made available by the University for performance of
specified work assignments. The Agency or the University, either on its own initiative or at the
request of the Agency, may remove students from the Agency or from work on a particular
assignment.
5. The Agency agrees that no student will be denied employment or subjected to different
treatment under this Agreement because of race, color, creed, sex or national origin, and that it
will comply with the provisions of the Civil Rights Act of 1964 and Title IX of the Education
Amendments of 1972, and subsequent amendments relating to each.
6. Transportation for students will not be provided by the Agency or the University.
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
7. The Agency shall be responsible for the supervision of work performed by students
participating in any project under this Agreement and will make available to the University the
names of Agency supervisors.
8. No student shall be appointed to work in excess of nineteen (19) hours per week.
9. The Agency shall be deemed the employer for the purpose of this Agreement and shall
disburse the compensation payable to students under this Agreement, subject to the following
terms and conditions:
a. If a Public or Non-profit entity, the University shall pay to the Agency, from Work-
Study Program funds, seventy-five percent (75%) of the gross compensation of
wages payable to each student. If a For-profit company, the University shall pay
to the Agency, from Work-Study Program funds, fifty percent (50%) of the gross
compensation of wages payable to each student. Because Work-Study students
must be paid at least once per month, the Agency must bill the University through
its standard procedures at least once per month upon completion of its payroll and
paycheck distribution to students.
b. If a Public or Non-profit entity, the Agency shall match from its own funds twenty
percent (25%) of the gross compensation payable to each student during the
period. If a For-profit company, the Agency shall match from its own funds fifty
percent (50%) of the gross compensation payable to each student during the
period.
C. When the University determines the Agency has eligible reading tutor positions at
the elementary school level or within a family literacy program, or math tutor
positions at the kindergarten through ninth grade level, the University shall pay to
the Agency, from Work-Study program funds, one hundred percent (100%) of the
gross compensation of wages payable to each student. Because Work-Study
students must be paid at least once per month,the Agency must bill the University
through its standard procedures at least once per month upon completion of its
payroll and paycheck distribution to students.
d. The University shall make its remittance of total gross compensation of wages for
all students employed by the Agency, payable to the Agency within thirty(30) days
of receipt of original and correct billing statements, Off-Campus Work-Study
Timesheet and paystub copies for students so employed. In some instances, the
University may require the Agency provide statements signed by the students to
verify they have received their paychecks.
e. The Agency shall withhold and remit taxes and social security contributions where
applicable, and take other measures as are the responsibility of the employer
under Federal, State and local laws. The Agency shall also furnish Worker's
Compensation insurance where applicable. NOTE: Work-Study funds can never
be used by the Agency to pay the Agency's contributions to social security, taxes
and/or Worker's Compensation. Also, Work-Study wages cannot be garnished.
f. The relationship between Agency and Student is that of an employer-employee
relationship, not a contract labor relationship. Students so employed will be paid
on a wage per hour basis and as such are not entitled to receive any benefits such
as sick leave, paid vacation, holiday pay, etc. Work-Study funds, therefore, can
never be used by the Agency to pay benefits to Work-Study students.
g. The Agency shall furnish such other information as may be necessary for the
University to comply with the regulations of the Department of Education pertaining
to the Work-Study Program.
10. The Agency will permit the University to inspect the premises where students are working
under this Agreement and will review with the University the working conditions and job duties of
all such students.
11. The Agreement shall take effect on the date approved by the University below.
12. This Agreement may be terminated at any time by the University or the Agency upon two
weeks prior written notice to the other party.
IN WITNESS WHEREOF, the parties hereto have executed this agreement.
Agency Name:
City of Fort Worth
Printed Name of Agency Director: _Chris Harder
ChAs-fo her dar4er
Agency Director's Signature: J Date:
The iversity f Te as at Arlington
Date:
Name
Title
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
A UNIVERSITY OF L O C K H E E D MARTIN
&1`4k TEXAS CAREER DEVELOPMENT CENTER
ARLINGTON DIVISION OF STUDENT AFFAIRS
BOX 19695,University Center•300 W. 1st St.,Suite 180S•Arlington, Texas 76019-0695
Phone: (817)272-2932 •Fax: (817)272-0268• Website:hllt)://iviviv.uta.eduicareers E-mail: oflcanLtwsivorkstudir&uta.edu
Work-Study (WS) Program
Off-Campus Agreement Supplemental Form
8/24/2021 City of Fort Worth
Date Agency Name (to whom reimbursement checks will be made payable)
200 Texas Street Fort Worth Texas 76102
Street Address City State Zip
Fort Worth Texas 76102
Mailing Address(if different) City State Zip
Nikki Dacy 817-392-8402
Name of Contact Person Telephone Number
nikki.dacy@fortworthtexas.gov
E-Mail Address of Contact Person
CFW 75-6000528
TX Exempt ID Number TX Charter Number(if applicable)
Please Indicate Ownership Type Below:
Individual Recipient(not owning a business)
State Employee ❑ Sole Ownership of Business
Partnership(must complete partners' names and SSNs below)
❑_*Texas Corporation(must complete TX Charter Number above)
❑ *Professional Association(must complete TX Charter Number above)
*Professional Corporation(must complete TX Charter Number above)
❑ Out of State Corporation ❑ State Agency/University
Government Entity ❑_ Financial Institution
Owner/Partner Name: SSN:
AUNIVERSITY OF ILOCKHEED MARTIN
'14 TEXAS CAREER DEVELOPMENT CENTER
ARLINGTON I DIVISION OF STUDENT AFFAIRS
BOX 19695,University Center-300 W. 1st St., Suite 180S•Arlington, Texas 76019-0695
Phone: (817)272-2932-Fax: (817)272-0268•Website:htin:!/iviviv.uta.edzdcareers-E-mail: oilcamnusivorksiudi(a�uta.edu
Work-Study (WS) Program
JOB DESCRIPTION FORM
To Be Completed By the Hiring Agency
Today's Date 8/24/2021
Job Title/Department Engineering Technician /Water
Hourly Pay Rate $18/hour
How Pay Rate is Determined pay is consistent with City of Fort Worth's pay structure
Agency Name City of Fort Worth
Agency Address 200 Texas Street, Fort Worth, TX 76102
Hours Per Week(max 19) maximum 19 hrs/week
Start Date/End Date 08/26/2021 /05/31/2022
Student Work Location Address 200 Texas Street, Fort Worth,TX 76102 and Water/Wastewater Treatment Plants
Payroll Contact/Phone# Nikki Dacy / 817-392-8402
Payroll's E-Mail Address nikki.dacy@fortworthtexas.gov
Supervisor Name/Phone# Nikki Dacy / 817-392-8402
Supervisor's E-Mail Address nikki.dacy@fortworthtexas.gov
Supervisor's Signature
Secondary Contact Name/Phone# TBD
Secondary Contact E-Mail Address
Preferred Classification/Major: Engineering, Civil Engineering
Application Instructions:
❑ Through website:
® Through Handshake (cover letter and resume emailed directly to designated contact):
Nikki Dacy (nikki.dacy@fortworthtexas.gov)
CONTINUED ON THE NEXT PAGE
The University of Texas at Arlington is an Equal Opportunity Employer and Institution.
Be sure to keep a copy for your records. CDC Movember018
JOB DESCRIPTION CONTINUED Agency Name: City of Fort Worth
***IF YOU HAVE A MORE EXTENDED DESCRIPTION OR QUALIFICATIONS, FEEL FREE TO SUBMIT
AN ATTACHMENT OR A PRE-WRITTEN DESCRIPTION IN LIEU OF FILLING OUT THIS PAGE***
Job Description (PLEASE BE SPECIFIC) Performs a variety of tasks in support of assigned
area in the Water Utility, including design, mapping, drafting and related areas. Assists
engineering staff in the preparation of engineering designs, drawings, specifications and
construction estimates. Applies survey information and field notes to create designs and
drawings for various engineering and planning projects. Provides technical assistant to
professional level engineering staff. Performs other duties as assigned.
Job Qualifications(PLEASE BE SPECIFIC) Working towards a specialization in a vocational
field, or a Bachelor's, Master's or Doctorate's degree from an accredited college or university
with major course work in a related field of study. No previous work experience is required.
The incumbent must be enrolled in a formal course of vocational or college related field of
study and cannot be in the position longer than 12 months.
CONTINUED ON THE NEXT PAGE
The University of Texas at Arlington is an Equal Opportunity Employer and Institution.
Be sure to keep a copy for your records. CDC 30Novemberol s
JOB DESCRIPTION CONTINUED Agency Name: City of Fort Worth
Community Service Work-Study Eligibility Checklist
How does your agency improve the quality of life for community residents?
Enable our community to thrive with dean water done right every time. The City of Fort Worth Water Utility provides clean drinking water and disposes of
wastewater for the City and Customer Wholesale Cities.
How will the Work-Study position above enable your agency to achieve this purpose?
The Engineering student will work with Engineering professionals to assist with reviewing drawings,specifications and construction
estimates for Water and Wastewater Treatment Plants.
Student worker evaluation procedure and schedule: The student will have bi-weekly conversations/evaluations
with their supervisor.
Agency services include,but are not limited to(please check all that apply):
✓ emergency/disaster preparedness&response child care social services
✓ civic education&participation recreation health care welfare
✓ public safety _transportation crime prevention/control other
If the position above is that of:
• A Reading Tutor for children in pre-school or elementary school OR
• A Reading Tutor in a Family Literacy Program that provides services to children from infancy through
Elementary school or to their parents or caregivers OR
• A Math Tutor for children in grades K-9,
Then also provide:
Tutoring assignment information(name of school or other location,name of on-site supervisor,grade
level of children):
FOR CAREER DEVELOPMENT CENTER USE ONLY
I verify that the Federal Work-Study position does) does not)meet the Community Service component of the Work-Study Program as
mandated by the Higher Education Act of 196 ,as amend y the Higher Education Amendments through 2008. I further verify that this WS position
does)(_does not)meet the criteria for classification as Tutor above.
UTA 7LD and Work Study Coordinator Date Fall Spring Summer
CDC 30November2018
Addendum Signature Page
CITY OF FORT WORTH
19ana doAc
Dana Burghdoff ar17,202217:42 CDT)
Dana Burghdoff
Assistant City Manager
APPROVAL RECOMMENDED:
Christopher arder(Mar 14,202211:16 CDT)
Chris Harder,P.E.
Water Department Director
APPROVED AS TO FORM AND LEGALITY:
Jessika Williams
Assistant City Attorney
ATTEST: I OiOFORT4aa�
:7�`I`IG��G c1 C7000��GG ° °�'p�
Jannette S.Goodall(Mar 18,2022 09:23 CDT) O O
Jannette S.Goodall 00
°*�d�
City Secretary �� o
O °00 00000000
Date: Mar 18,2022 ���nEXAso�p
No M&C Required
Contract Compliance Manager:
By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract,
including ensuring all performance and reporting requirements.
Nikki Day, Ad istrative Service
Coordinator
Date: 1.19.22
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX