HomeMy WebLinkAboutContract 58248 CSC No. 58248
AGREEMENT FOR COMMUNITY BASED PROGRAMS
STRATEGIC ENHANCEMENT PROJECTS
Alliance Child & Family Solutions
FISCAL YEAR 2023
In consideration of mutual covenants,promises, and agreements contained herein, this agreement
("Agreement") is made and entered into between CITY OF FORT WORTH, a home rule
municipal corporation of the State of Texas, ("City") acting by and through Fernando Costa, its
duly authorized Assistant City Manager, and ALLIANCE CHILD & FAMILY SOLUTIONS,
a Texas non-profit corporation ("Contractor") acting by and through Anastasia Taylor, its duly
authorized Chief Executive Officer.
RECITALS
WHEREAS, City has determined that Community-Based Programs are necessary to
support crime prevention in City during Fiscal Year 2023 to meet one or more of the Crime Control
and Prevention District ("CCPD") goals, which are (1) to support efforts to reduce violent crime
and gang-related activities through enhanced enforcement activities and crime prevention
programs,(2)to support efforts to increase the safety of residents and to decrease crime throughout
Fort Worth neighborhoods, and (3) to support efforts to increase the safety of youth and reduce
juvenile crime through crime prevention and intervention programs; and
WHEREAS, Contractor has agreed to operate a Community-Based Program called
"Alliance Afterschool" (Program), which will support the police department's crime prevention
efforts throughout the community; and
WHEREAS, City desires to enter into an agreement with Contractor to operate the
Program; and
WHEREAS, City, as consideration for the performance of the Contractor, has
appropriated monies in the CCPD Budget in the amount of $50,000.00 ("Program Funds") to
provide to Contractor on a reimbursable basis for the operation of the Program subject to and in
accordance with this agreement.
NOW, THEREFORE, in consideration of the mutual covenants herein expressed, the
parties agree as follows:
AGREEMENT DOCUMENTS
The Agreement documents shall include the following:
1. This Agreement between City and Contractor
2. Exhibit A— Scope of Work: ZoomGrants Narrative & Project Plan
3. Exhibit B—Budget Form
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
4. Exhibit C—Request for Reimbursement(RFR)
5. Exhibit D—Monthly Project Plan Status Report
6. Exhibit E—Quarterly Outcomes Report and Zip Code Spreadsheet
7. Exhibit F—Request for Budget Modification
8. Exhibit G—Corrective Action Plan Form
9. Exhibit H—Previous Year's Corrective Action Plan—if applicable
Exhibits "A" through "H", which are attached hereto and incorporated herein, are made a part of
this Agreement for all purposes. In the event of any conflict between the terms and conditions of
Exhibits A through H and the terms and conditions set forth in the body of this Agreement, the
terms and conditions of this Agreement control.
DEFINITIONS
The term"City"shall include City, and its officers, agents, employees, and representatives.
The term "Contractor" shall include Contractor, and its officers, agents, employees,
representatives, servants, contractors, and subcontractors.
The term"Party" shall refer to either City or Contractor.
The term"Parties" shall refer to both City and Contractor.
AGREEMENT
1. Responsibilities of Contractor
Contractor covenants and agrees to fully perform,or cause to be performed,with good faith
and due diligence, all work and services described in Exhibit "A" — Scope of Work and Project
Plan. Contractor shall be responsible for the day-to-day administration of the Program. Contractor
agrees to expend the Program Funds in accordance with the Budget Narrative Form as described
in Exhibit `B". Program activities shall be reported in accordance with Exhibit "D"- Project Plan
Status Report and quarterly measures shall be reported in accordance with Exhibit"E"- Quarterly
Outcomes Report.
2. Program Funds
2.1 In no event shall the total distribution from City made to the Contractor during the Term
of this Agreement exceed the total sum of$49,640.40 ("Program Funds").
2.2 Payment of the Program Funds from City to Contractor shall be made on a cost-
reimbursement basis following receipt by City from Contractor of a signed Request for
Reimbursement (RFR), as described in Exhibit "C" along with copies of all receipts and other
supporting documentation. Contractor shall deliver to City a written detailed Project Plan Status
Report and Quarterly Outcomes Report as described in Section 4.2 below with each RFR to support
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expenditure of Program Funds. Such reports shall be signed by the Contractor or duly authorized
officer of the Contractor.
2.3 Due Dates Contractor agrees that the RFR with supporting documentation will be
submitted to the City no later than the 15th of each month. If this obligation of the Contractor falls
due on a weekend or Federal holiday, then that obligation shall be due the next business day
following such weekend day or Federal holiday. Should the Contractor not be able to meet these
requirements in the given month, the Contractor shall provide written notification prior to the
deadline that details the justification and expected date of submission. If no notification is received
by the 15th, the City may document for future corrective action. If, by the last day of the same
month, Contractor has not submitted the required reports, the City will send a non-compliance
letter notifying Contractor duly authorized representative of a possible suspension of program
funding. Submittal of a monthly RFR is required even if expenses do not occur.
2.4 The last day for the City to receive RFRs and supporting expense documentation from the
Contractor for this agreement is October 15, 2023. No corrections or additional documentation
will be allowed after this date. Any discrepancies on the final RFR or expense documentation will
be adjusted from the final reimbursement amount.
2.5 Each monthly RFR should be sequentially numbered and include expense documentation
that is legible, detailed, clear and concise. The submitted RFR shall include monthly and quarterly
reports as applicable. Submissions must be scanned and submitted to the Grants and Program
Management Section of the Fort Worth Police Department. Submissions should be titled"Agency
Name-RFR Month"and sent either via email to PSMLfortworthtexas.gov, or via mail addressed
as such: ATTENTION: Contract Compliance Specialist, Financial Management Division,
Bob Bolen Public Safety Complex, 505 W. Felix St., Fort Worth, Texas, 76115.
Reimbursements will not be made until after receipt of an acceptable and approved RFR and a
monthly Project Plan Status Report from the Contractor. Additionally, a Quarterly Outcomes
Report is required as described in section 4.4 and must be approved prior to reimbursements.
2.6 Reimbursements shall be made within 30 days of receipt of said documents. With the
exception of final reimbursements as outlined in Section 2.4, incomplete or incorrect submissions
shall be returned to the District for revision, restarting the 30-day reimbursement schedule.
2.7 Contractor is authorized to modify up to five (5) percent of any budgeted line-item in the
original approved budget without prior written permission from City. However, Contractor must
submit the Request for Budget Modification Form (Exhibit "F") to City, with the monthly RFR,
during the month the modification took place. The request must include justification for
modification to the budget, and the new modified budget cannot exceed the total amount of
Program Funds.
2.8 Any modifications of more than five (5) percent of any budgeted line-item in the original
approved budget must have prior written permission from City before the modifications are made.
The Budget Modification Form(Exhibit"F")must be submitted, and request must be approved by
City, before any money is moved to the line-item. Once the Budget Modification is approved, the
modified budget will take effect on the first day of the following month. The new modified budget
shall not exceed the total amount of Program Funds.
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2.9 Any modifications to zero line-items in the original approved budget must have prior
written permission from City before the modifications are made. The Budget Modification Form
(Exhibit "F") must be completed and approved by City before money is transferred into the new
line-item. Once the Budget Modification is approved, the modified budget will take effect on the
first day of the following month. The new modified budget shall not exceed the total amount of
Program Funds. The last day the City will approve a budget modification for this agreement is
August 1, 2023.
2.10 Budget modification can only occur within the Direct and Indirect costs. Funds may not be
moved from a Direct line-item into an Indirect line-item, or vise versus. Modification of Direct
and Indirect approved budgets must follow the guidelines outlined in sections 2.7, 2.8, 2.9.
2.11 Contractor will document cost allocations for all budgeted expenses throughout the entirety
of the Agreement and will be responsible for having a policy and procedure in place for this
documentation. Specifically, Contractor will document how all shared costs, personnel time, or
equipment that was fully or partially paid for using CCPD funds, were used in furtherance of the
program activities described in this Agreement. Documentation of these cost allocations, as well
as a copy of the Contractor's policy and procedures for the documentation of the cost allocations
shall be made available to the City upon request.
2.12 The City reserves the right to reject any budget modification that the City believes, in its
sole discretion, is not clearly aligned with the program activities and any requests for
reimbursement expenses that the City believes, in its sole discretion, are not specified in Exhibit
"B" of this Agreement or an approved budget modification form.
2.13 Request for Budget Modification Form(Exhibit"F") shall be submitted via either email to
PSM cr,fortworthtexas.Rov or via mail addressed to the Contract Compliance Specialist,
Financial Management Division, Bob Bolen Public Safety Complex at 505 W. Felix St., Fort
Worth, Texas, 76115.
3. Term
This Agreement shall commence upon October 1, 2022 (`Effective Date"), and shall end
on September 30, 2023 (`End Date"). All of Contractor's expenditures under this Agreement must
be completed no later than September 30, 2023. The City reserves the right to withhold the final
Request for Reimbursement until all required documents have been received by the Contractor.
4. Program Performance
4.1 Contractor agrees to maintain full documentation supporting the performance of the work
and fulfillment of the objectives set forth in Exhibit"A."
4.2 Due Dates Contractor agrees that all program reports will be submitted to the City no
later than the 15th of each month. If this obligation of the Contractor falls due on a weekend or
Federal holiday, then that obligation shall be due the next business day following such weekend
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day or Federal holiday. Should the Contractor not be able to meet these requirements in the given
month, the Contractor shall provide written notification prior to the deadline that details the
justification and expected date of submission. If no notification is received by the 15th, the City
may document for future corrective action. If, by the last day of the same month, Contractor has
not submitted the required reports, the City will send a non-compliance letter notifying
Contractor's duly authorized representative of a possible suspension of program funding.
Submittal of a monthly RFR is required even if expenses do not occur.
4.3 Monthly Reports Contractor agrees to provide a Monthly Project Plan Status Report
("Exhibit D") to document performance of work. The Monthly Project Plan Status report shall
document program activity names, numbers of participants attending, details of activities, and a
description of goals achieved in support of CCPD goals. Submission of an Exhibit D report is
required even if services do not occur.
4.4 Quarterly Reports In addition to the requirements outlined in Section 4.3, Contractor
agrees to provide a Quarterly Outcomes Report and Zip Code Spreadsheet to document
performance of work ("Exhibit E"). The Quarterly Outcomes Report and Zip Code Spreadsheet
shall be included in the January, April, July and October report submissions. The Quarterly
Outcomes Report shall document details of the quarterly progress toward outcome objectives
achieved in support of CCPD goals. The Zip Code Spreadsheet shall reflect new/unduplicated
participant data for that quarter. Submission of an Exhibit E and Zip Code report is required even
if services do not occur.
4.5 Contractor agrees to complete a Corrective Action Plan ("CAP") in the event of three (3)
consecutive months or six (6) non-consecutive months with incomplete or incorrect submissions
of an RFR, Project Plan Status, or Quarterly Outcomes Report. Contractor agrees to complete a
Corrective Action Plan for recurring late submissions of an RFR, Project Plan Status, or Quarterly
Outcomes Report, or for failing to take corrective actions and responding to audit reports by the
City. The CAP will contain the identified issue found by the City,how the Contractor will correct
that issue, who the responsible person will be to ensure completion, and a target completion date.
An example of this form is attached as Exhibit"G".
4.6 A representative of the Program from the Contractor shall attend quarterly meetings of the
Crime Control and Prevention District Board as requested.
4.7 Final program reports will be due with the final RFR submission on October 15, 2023.
5. Default and Termination
5.1 This Agreement is wholly conditioned upon the actual receipt by City of Program Funds
from the CCPD. All monies distributed to Contractor hereunder shall be exclusively from monies
received from the CCPD, and not from any other monies of City. In the event that funds from the
CCPD are not received in whole or in part, City may, at its sole discretion, terminate this
Agreement and City shall not be liable for payment for any work or services performed by
Contractor under or in connection with this Agreement.
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5.2 In the event no funds or insufficient funds are appropriated by the City in any fiscal year
for any payments due hereunder, City will notify Contractor of such occurrence and this
Agreement shall terminate on the last day of the fiscal period for which appropriations were
received without penalty or expense to the City of any kind whatsoever, except as to the portions
of payments herein agreed upon for which funds have been appropriated.
5.3 The City may terminate this Agreement at any time and for any reason by providing the
other party with thirty(30) days' written notice of termination.
5.4 Termination will be effected by delivering to Contractor written notice of termination.
Upon Contractor's receipt of notice of termination, Contractor shall:
(a) Stop work under the Agreement on the date and to the extent specified in the notice of
termination;
(b) Place no further order or subcontracts, except as may be necessary for completion of the
work not terminated;
(c) Terminate all orders and contracts to the extent that they relate to the performance of the
work terminated by the notice of termination; and
(d) Cease expenditures of Program Funds, except as may be necessary for completion of the
work not terminated.
5.5 In the event City suspends or terminates this Agreement, Contractor expressly waives any
and all rights to monetary damages,including but not limited to actual, consequential, and punitive
damages, court costs and attorney's fees.
5.6 Within thirty (30) days following the date of termination of this Agreement, Contractor
shall return to City any property provided hereunder. City will have no responsibility or liability
for Contractor's expenditures or actions occurring after the effective date of termination of the
Agreement.
6. Equipment and Maintenance
All equipment purchased with Program Funds must meet all eligibility requirements of the
City. Contractor shall maintain all equipment used in the administration and execution of the
Program. Contractor shall maintain, replace, or repair any item of equipment used in support of
the Program , or for use under the terms of this Agreement that no longer functions or is lost or
stolen. The cost for maintenance, replacement or repair of any equipment used in support of the
Program and/or for use under the terms of this Agreement is the sole responsibility of Contractor.
Contractor shall not use Program Funds to repair or replace said equipment. Contractor shall use
any and all equipment purchased with Program Funds exclusively in support of the Program .
Within 10 days following the purchase of equipment, Contractor shall submit to City a detailed
inventory of all equipment purchased with Program Funds to the Grants and Program Management
Section at the address set forth in paragraph 2.2 above. The equipment inventory shall include an
itemized description of each piece of equipment, the date each piece of equipment was purchased,
the cost of purchase for each piece of equipment, and the location of each piece of equipment.
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7. Administrative Requirements
7.1 Contractor agrees to keep sufficient records to document its adherence to applicable local,
state, and federal regulations, along with documentation and records of all receipts and
expenditures of Program Funds and to allow for reasonable audits of such records during regular
business hours, at the expense of the City or Contractor, with such audit to be performed by an
auditor selected by the City or the Board. All records shall be retained for three(3) years following
the termination or completion of this Agreement. City or its representatives shall have the right to
investigate, examine, and audit at any time any and all such records relating to operations of
Contractor under this Agreement. Contractor, its officers, members, agents, employees, and
subcontractors, upon demand by City, shall make such records readily available for investigation,
examination, and audit. In the event of such audit by City, a single audit of all Contractor's
operations will be undertaken and may be conducted either by City (performed by staff in the
Police Department or the City's Internal Audit Department) or an independent auditor approved
by the City or Board. Contractor shall submit a copy of any audit performed by their independent
auditor within 30 days of receipt of the final audit report.
In addition, if the Contractor receives $300,000.00 or more during any fiscal year, the Contractor
shall also be required, at its own cost, to engage an independent third-party to perform an audit
regarding the receipt and use of CCPD funding and to provide a copy of such audit report to City
staff.If funding recipient is already obtaining a general audit of its financial matters by independent
third-party, that audit may be used to satisfy this requirement so long as it specifically includes
separate review of the records of CCPD funds. Because the independence of external audit firms
is best maintained by changing firms regularly, if a funding recipient continues to use the same
audit firm for more than three consecutive fiscal years, that fact will be reported to the Board and
may result in the amount of funding to the recipient being reduced or eliminated.
7.2 If any audit reveals a questioned practice or expenditure, such questions must be resolved
within fifteen(15) days after notice to Contractor by City. If questions are not resolved within this
period, City reserves the right to withhold further funding under this and/or future agreement(s)
with Contractor.
7.3 If, as a result of any audit, it is determined that Contractor misused, misapplied or
misappropriated all or any part of the Program Funds, Contractor agrees to reimburse City the
amount of such monies so misused, misapplied or misappropriated, plus the amount of any
sanction, penalty, or other charge levied against City because of such misuse, misapplication or
misappropriation.
7.4 Contractor's obligation to City shall not end until all closeout requirements are completed.
The closeout requirements shall include, but are not limited to: providing final Project Plan Status
Report and Quarterly Outcomes Report, making final payments, and disposing of the Program's
assets as appropriate, if deemed required by the City in its sole discretion.
7.5 Contractor covenants and agrees to fully cooperate with City in monitoring the
effectiveness of the services and work to be performed by Contractor under this Agreement, and
work to be performed by Contractor under this Agreement and City shall have access at all
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reasonable hours to offices and records of Contractor, its officers, members, agents, employees,
and subcontractors for the purpose of such monitoring.
7.6 Throughout the term of this Agreement and for up to three months after its expiration, the
City may periodically request, and the Contractor will be required to provide, information for the
purposes of evaluating the overall effectiveness of Crime Control and Prevention District(CCPD)
funding. This information will include, but may not be limited to, the zip-codes of participating
individuals of the program(s)receiving CCPD funding. Requested information will consist solely
of aggregated data without any personal identifiers. Further, any information requested will not
be used in a way that would violate local, state, or federal statutes,regulations, or policies.
7.7 If the Contractor maintains the information the City is requesting, the Contractor shall
provide the requested information to the City within 30 days of receipt of the request. If the
Contractor does not maintain the requested information as of the date it receives the City's request,
the Contractor shall begin collecting such information as of that date, shall provide an initial
response regarding that information within sixty days, and shall thereafter update that information
on request.
7.8 If necessary, an amendment may be brought forward to identify additional specific metrics
that Contractor will be required to maintain and provide to the City to evaluate the effectiveness
of the Crime Control and Prevention District Funding.
Section 7 shall survive the expiration or termination of this Agreement.
8. Independent Contractor
8.1 Contractor shall operate hereunder as an independent contractor and not as an officer,
agent, or servant or employee of City. Contractor shall have exclusive control of, and the exclusive
right to control, the details of the work and services performed hereunder, and all persons
performing same, and shall be solely responsible for the acts and omissions of its officers,
members, agents, servants,employees, subcontractors,program participants,licensees,or invitees.
The doctrine of respondent superior shall not apply as between City and Contractor, its officers,
members, agents, servants,employees, subcontractors,program participants,licensees,or invitees,
and nothing herein shall be construed as creating a partnership or joint enterprise between City and
Contractor.No federal, state,or local income tax,nor any payroll tax of any kind, shall be withheld
or paid by City on behalf of Contractor. Contractor shall not be treated as an employee with respect
to the services performed pursuant to this Agreement for federal or state tax purposes. It is
expressly understood and agreed that officers, members, agents, employees, subcontractors,
licensees, or invitees of Contractor, and any program participants hereunder are not eligible for,
and shall not participate in any employer pension, health, or other fringe benefit plan provided by
City. It is expressly understood and agreed that City does not have the legal right to control the
details of the tasks performed hereunder by Contractor, its officers, members, agents, employees,
subcontractors, program participants, licensees, or invitees.
8.2 City shall in no way nor under any circumstances be responsible for any property belonging
to Contractor, its officers, members, agents, employees, subcontractors, program participants,
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licensees or invitees, which may be lost, stolen, destroyed, or in any way damaged.
9. Liability and Indemnification
ONLY TO THE EXTENT PERMITTED BY THE CONSTITUTION AND LAWS OF THE
STATE OF TEXAS AND LIMITED BY THE LIMITS OF LIABILITY AS SET FORTH
IN THE TEXAS TORT CLAIMS ACT (TEXAS CIVIL PRACTICE AND REMEDIES
CODE CHAPTER 101), CONTRACTOR SHALL BE LIABLE AND RESPONSIBLE FOR
ANY AND ALL PROPERTY LOSS, PROPERTY DAMAGE AND/OR PERSONAL
INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF ANY KIND OR
CHARACTER,WHETHER REAL OR ASSERTED,TO THE EXTENT CAUSED BY THE
NEGLIGENT ACT(S) OR OMISSION(S), MALFEASANCE OR INTENTIONAL
MISCONDUCT OF CONTRACTOR, ITS OFFICERS, AGENTS, SERVANTS OR
EMPLOYEES.
ONLY TO THE EXTENT PERMITTED BY THE CONSTITUTION AND LAWS OF THE
STATE OF TEXAS AND LIMITED BY THE LIMITS OF LIABILITY AS SET FORTH
IN THE TEXAS TORT CLAIMS ACT (TEXAS CIVIL PRACTICE AND REMEDIES
CODE CHAPTER 101), CONTRACTOR AGREES TO DEFEND, INDEMNIFY, AND
HOLD THE CITY, ITS OFFICERS, AGENTS, SERVANTS, AND EMPLOYEES
HARMLESS AGAINST ANY AND ALL CLAIMS,LAWSUITS,ACTIONS, COSTS,AND
EXPENSES OF ANY KIND, INCLUDING, BUT NOT LIMITED TO, THOSE FOR
PROPERTY DAMAGE OR LOSS (INCLUDING ALLEGED DAMAGE OR LOSS TO
OWNER'S BUSINESS AND ANY RESULTING LOST PROFITS) AND/OR PERSONAL
INJURY (INCLUDING DEATH) THAT MAY RELATE TO, ARISE OUT OF, OR BE
OCCASIONED BY (I) CONTRACTOR'S BREACH OF ANY OF THE TERMS OR
PROVISIONS OF THIS AGREEMENT OR(II) ANY NEGLIGENT ACT OR OMISSION
OR INTENTIONAL MISCONDUCT OF CONTRACTOR, ITS OFFICERS, AGENTS,
ASSOCIATES, EMPLOYEES, CONTRACTORS (OTHER THAN THE CITY), OR
SUBCONTRACTORS RELATED TO THE PERFORMANCE OF THIS AGREEMENT;
EXCEPT THAT THE INDEMNITY PROVIDED FOR IN THIS SECTION SHALL NOT
APPLY TO ANY LIABILITY RESULTING FROM THE SOLE NEGLIGENCE OF THE
CITY OR ITS OFFICERS, AGENTS, EMPLOYEES, OR SEPARATE CONTRACTORS,
AND IN THE EVENT OF JOINT AND CONCURRENT NEGLIGENCE OF BOTH
CONTRACTOR AND CITY, RESPONSIBILITY, IF ANY, SHALL BE APPORTIONED
COMPARATIVELY IN ACCORDANCE WITH THE LAWS OF THE STATE OF TEXAS.
NOTHING HEREIN SHALL BE CONSTRUED AS A WAIVER OF THE CITY'S
GOVERNMENTAL IMMUNITY AS FURTHER PROVIDED BY THE LAWS OF TEXAS.
This section shall survive the expiration or termination of this Agreement.
10. Non-Assignment
No assignment or delegation of duties under this Agreement by Contractor shall be
effective without City's prior written approval.
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11. Prohibition against Interest
11.1 No member, officer, or employee of the City, or its designees or agents; no member of the
governing body of the locality in which the Program is situated; and no other public official of
such locality or localities who exercises any functions or responsibilities with respect to the
Program during this tenure or for one year thereafter, shall have any interest, direct or indirect, in
any contract or subcontract, or the proceeds thereof, for work to be performed hereunder.
Contractor shall incorporate, or cause to be incorporated, like language prohibiting such interest,
in all contracts and subcontracts hereunder.
11.2 No officer, employee, member, or program participant of Contractor shall have a financial
interest, direct or indirect, in this Agreement or the monies transferred hereunder, or be financially
interested, directly or indirectly, in the sale to Contractor of any land, materials, supplies, or
services purchased with any funds transferred hereunder, except on behalf of Contractor, as an
officer, employee, member, or program participant. Any willful violation of this paragraph with
the knowledge, expressed or implied, of Contractor or its subcontractors, shall render this
Agreement voidable by City of Fort Worth.
12. Nondiscrimination
12.1 In accordance with the federal, state, and local laws and ordinances, Contractor covenants
that neither it nor any of its officers, members, agents, employees, program participants, or
subcontractors, while engaged in performing this Agreement shall in connection with the
employment, advancement, or discharge of employees, in connection with the terms, conditions
or privileges of their employment, discriminate against persons because of their age, except on the
basis of a bona fide occupational qualification, retirement plan, statutory requirement, or statutory
or ordinance exception.
12.2 Contractor will not unlawfully discriminate against any person or persons because of age,
race, color, religion, sex, disability, national origin, or sexual orientation, nor will Contractor
permit its officers,members, agents, employees, subcontractors, or program participants to engage
in such discrimination.
ONLY TO THE EXTENT PERMITTED BY THE CONSTITUTION AND LAWS OF THE
STATE OF TEXAS AND LIMITED BY THE LIMITS OF LIABILITY AS SET FORTH
IN THE TEXAS TORT CLAIMS ACT (TEXAS CIVIL PRACTICE AND REMEDIES
CODE CHAPTER 101),IF ANY CLAIM ARISES FROM AN ALLEGED VIOLATION OF
THIS NON-DISCRIMINATION COVENANT BY CONTRACTOR, ITS PERSONAL
REPRESENTATIVES, ASSIGNS, SUBCONTRACTORS OR SUCCESSORS IN
INTEREST, CONTRACTOR AGREES TO ASSUME SUCH LIABILITY AND TO
INDEMNIFY AND DEFEND THE CITY AND HOLD THE CITY HARMLESS FROM
SUCH CLAIM.
This section shall survive the expiration or termination of this Agreement.
13. Compliance
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13.1 Contractor, its officers, members, agents, employees, program participants, and
subcontractors, shall abide by and comply with all laws, federal, state and local, including all
ordinances, rules and regulations of City. If City calls to the attention of Contractor in writing to
any such violation on the part of Contractor or any of its officers, members, agents, employees,
subcontractors or program participants, then Contractor shall immediately desist from and correct
such violation.
13.2 Contractor shall utilize Program Funds strictly for those purposes and goals intended under
the terms and conditions of this Agreement. If City calls the attention of Contractor in writing to
any such violations on the part of Contractor or any of its officers, members, agents, employees,
program participants or subcontractors, then Contractor shall immediately desist from and correct
such violation.
14. Governmental Powers
It is understood that be execution of this Agreement, the City does not waive or surrender any of
its governmental powers.
15. Waiver of Immunity
If Contractor is a charitable or nonprofit organization and has or claims an immunity or
exemption (statutory or otherwise) from and against liability for damages or injury, including
death, to persons or property; Contractor hereby expressly waives its rights to plead defensively
such immunity or exemption as against City. This section shall not be construed to affect a
governmental entity's immunities under constitutional, statutory or common law.
16. Insurance Requirement
16.1 Coverages and Limits — Contractor shall provide the City with certificate(s) of insurance
documenting policies of the following minimum coverage limits that are to be in effect prior to
commencement of any work pursuant to this Agreement:
(a) Commercial General Liability (CGL): $1,000,000 per occurrence, with a $2,000,000.00
annual aggregate limit, in a form that is acceptable to the City's Risk Manager.
(b) Non-Profit Organization Liability or Directors & Officers Liability: $1,000,000 per
occurrence, with a $1,000,000 annual aggregate limit, in a form that is acceptable to the
City's Risk Manager.
(c) Automobile Liability: $1,000,000 each accident on a combined single limit basis OR split
limits are acceptable if limits are at least $250,000 Bodily Injury per person, $500,000
Bodily Injury per accident and $100,000 Property Damage.
(d) Any other insurance the City may reasonably require to protect the interest of the City.
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16.2 Contractor's insurer(s)must be authorized to do business in the State of Texas for the lines
of insurance coverage provided and be currently rated in terms of financial strength and solvency
to the satisfaction of the City's Risk Manager. All insurers must have minimum rating of A-VII in
the current A.M. Best Key Rating Guide, or have reasonably equivalent financial strength and
solvency to the satisfaction of Risk Management. If the rating is below that required, written
approval of Risk Management is required.
16.3 Each insurance policy required by this Agreement, except for policies of worker's
compensation or accident/medical insurance shall list the City as an additional insured. City shall
have the right to revise insurance coverage requirements under this Agreement.
16.4 Contractor further agrees that it shall comply with the Worker's Compensation Act of
Texas and shall provide sufficient compensation insurance to protect Contractor and City from and
against any and all Worker's Compensation claims arising from the work and services provided
under this Agreement. Contractor will furnish a Certificate of Self-Insurance in lieu of the required
Worker's Compensation insurance certificate.
16.5 A minimum of Thirty (30) days' notice of cancellation or reduction in limits of coverage
shall be provided to the City. Ten(10)days' notice shall be acceptable in the event of non-payment
of premium. Notice shall be sent to the Risk Manager, City of Fort Worth, 200 Texas Street, Fort
Worth, Texas 76102, with copies to the City Attorney at the same address.
16.6 Any failure on the part of the City to request required insurance documentation shall not
constitute a waiver of the insurance requirement.
16.7 Certificates of Insurance evidencing that the Contractor has obtained all required insurance
shall be delivered to the City prior to Contractor proceeding with any work pursuant to this
Agreement.
17. Miscellaneous Provisions
17.1 The provisions of this Agreement are severable, and, if for any reason a clause, sentence,
paragraph, or other part of this Agreement shall be determined to be invalid by a court or Federal
or state agency, board, or commission having jurisdiction over the subject matter thereof, such
invalidity shall not affect other provisions which can be given effect without the invalid provision.
17.2 City's failure to insist upon the performance of any term or provision of this Agreement or
to exercise any right herein conferred shall not be construed as a waiver or relinquishment to any
extent of City's right to assert or rely upon any such term or right on any future occasion.
17.3 Should any action, whether real or asserted, at law or in equity, arise out of the execution,
performance, attempted performance or non-performance of this Agreement,venue for said action
shall lie in state courts located in Tarrant County, Texas or the United States District Court for the
Northern District of Texas, Fort Worth Division.
17.4 Contractor represents that it possesses the legal authority, pursuant to any proper,
FY23 Community Based Programs Agreement 12
Between CFW and Alliance Child&Family Solutions
appropriate and official motion, resolution or action passed or taken, to enter into this Agreement
and to perform the responsibilities herein required.
17.5 This written instrument and Exhibits "A" through "H" constitute the entire agreement
between the parties concerning the work and services to be performed hereunder, and any prior or
contemporaneous, oral or written agreement which purports to vary from the terms hereof shall be
void.
17.6 Any amendments to the terms of this Agreement must be in writing and must be signed by
authorized representatives of each Party.
17.7 None of the performance rendered under this Agreement shall involve, and no portion of
the Program Funds received hereunder shall be used, directly or indirectly, for the construction,
operations,maintenance or administration of any sectarian or religious facility or activity,nor shall
said performance rendered or funds received be utilized so as to benefit, directly or indirectly, any
such sectarian or religious facility or activity.
17.8 The parties acknowledge that each party and its counsel have reviewed this Agreement and
that the normal rules of construction to the effect that any ambiguities are to be resolved against
the drafting party shall not be employed in the interpretation of this Agreement or exhibits hereto.
17.9 Captions and headings used in this Agreement are for reference purposes only and shall
not be deemed a part of this Agreement.
17.10 The provisions and conditions of this Agreement are solely for the benefit of City and
Contractor and are not intended to create any rights, contractual or otherwise, to any other person
or entity.
17.11 Contractor certifies that it has obtained a 501 (c) (3) Certificate from the Internal Revenue
Service. Contractor shall notify City in writing of any changes to its 501 (c) (3) tax-exempt status
during the term of this Agreement.
17.12 Contractors are required to conduct criminal background screenings for all volunteers or
employees who will be working with children under the proposed program. All criminal
background checks shall be in compliance with Texas Department to Family and Protective
Services standard, the Texas Administrative Code and all other applicable law. Contractors will
be responsible for conducting criminal background screening and for maintain appropriate records,
which will be subject to review by the City. CONTRACTORS SHALL INDEMNIFY CITY AND
HOLD HARMLESS FROM ANY PENALTIES, LIABILITIES, OR LOSSES DUE TO
VIOLATIONS OF THIS PARAGRAPH BY CONTRACTOR, CONTRACTOR'S
EMPLOYEES, SUBCONTRACTORS, AGENTS, OR LICENSEES.
18. Notice
Notices to be provided hereunder shall be sufficient if forwarded to the other party by hand-
delivery or via U.S. Postal Service certified mail, postage prepaid,to the address of the other party
shown below:
FY23 Community Based Programs Agreement 13
Between CFW and Alliance Child&Family Solutions
CITY: Fernando Costa, Assistant City Manager
City Manager's Office
City of Fort Worth
200 Texas Street
Fort Worth, TX 76102
Copies To: Contract Compliance Specialist
Financial Management Division
Bob Bolen Public Safety Complex
505 West Felix St.
Fort Worth, TX 76115
City Attorney's Office
Attn: Police Contracts
200 Texas Street
Fort Worth, TX 76102
CONTRACTOR: Alliance Child & Family Solutions
Anastasia Taylor
Chief Executive Officer
1307 8th Ave. Ste 310
Fort Worth TX 76104
19. Counterparts: Electronically Transmitted Signature
This Agreement, as well as any associated documents to this Agreement, including RFR's and
Budget Modifications may be executed in one or more counterparts, each of which when so
executed and delivered shall be considered an original, but such counterparts shall together
constitute one and the same instrument and agreement. Any signature delivered by a party by
facsimile or other electronic transmission (including email transmission of a portable document
file (pdf) or similar image) shall be deemed to be an original signature hereto.
20. Immigration Nationality Act
Contractor shall verify the identity and employment eligibility of its employees who perform work
under this Agreement, including completing the Employment Eligibility Verification Form (I-9).
Upon request by City, Contractor shall provide City with copies of all I-9 forms and supporting
eligibility documentation for each employee who performs work under this Agreement. Contractor
shall adhere to all Federal and State laws as well as establish appropriate procedures and controls
so that no services will be performed by any Contractor employee who is not legally eligible to
perform such services. CONTRACTOR SHALL INDEMNIFY CITY AND HOLD CITY
HARMLESS FROM ANY PENALTIES, LIABILITIES, OR LOSSES DUE TO VIOLATIONS
OF THIS PARAGRAPH BY CONTRACTOR, CONTRACTOR'S EMPLOYEES,
SUBCONTRACTORS,AGENTS,OR LICENSEES. City,upon written notice to Contractor,shall
have the right to immediately terminate this Agreement for violations of this provision by
Contractor.
FY23 Community Based Programs Agreement 14
Between CFW and Alliance Child&Family Solutions
[REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK]
[SIGNATURE PAGE FOLLOWS]
FY23 Community Based Programs Agreement 15
Between CFW and Alliance Child&Family Solutions
IN WITNESS WHEREOF, the parties hereto have executed this agreement in multiples in Fort
Worth, Tarrant County, Texas, to be effective this day of , 20
[Executed effective as of the date signed by the Assistant City Manager below.] /
[ACCEPTED AND AGREED:]
City: Vendor:
�
By: By:— AN�I R(Oct 10,2022 13:07 CDT)
Name: Fernando Costa Name: Anastasia Taylor
Title: Assistant City Manager Title: Chief Executive Officer
Date: Oct 14, 2022 Date: Oct 10, 2022
CITY OF FORT WORTH INTERNAL ROUTING PROCESS:
Approval Recommended: Contract Compliance Manager:
By signing I acknowledge that I am the
person responsible for the monitoring
2 and administration of this contract,
By.R°�hlldre ge(Oct 14,2022 08:49 CDT) including ensuring all performance and
Name: Neil Noakes reporting requirements.
Title: Chief of Police
Approved as to Form and Legality: By:
Name: Sarah Shannon
Title: Supplemental Funding Manager
L
By:Nico Arias(Oct 11,202213:33 CDT)
Nan�l�0 Arias City Secretary: o�°F 00000'
d
Title: Assistant City Attorney �-�0 %0,
V° ° 0.
o=
o ° d
Tgvrvre�fe S. Goo�1gll �p� 0 °°
Contract Authorization: By:Jannette S.Goodall(Oct 14,202215:28 CDT) aa� °o°oo°o ,oa
M&C: N/A Name: Jannette S. Goodall nEXASbaa
Title: City Secretary
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
FY23 Community Based Programs Agreement 16
Between CFW and Alliance Child&Family Solutions
FORT WORTH® Email This Preview Save as PDF Print Close Window AAV
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Fort Worth Police Department
FY23 - Development Grants (Community Based Programs)
Deadline: 4/15/2022
Alliance Child & Family Solutions
Alliance Afterschool
Jump to: Agency Info & Narrative Section Project Plan & Budget Uploaded Documents
$ 49,640.40 Requested Alliance Child & Family
Solutions
Submitted: 4/15/2022 7:56:24 PM (Pacific) — Telephone817-851-2042
1307 8th Ave Ste 310 Fax 817-405-3364
Project Contact Fort Worth, TX 76104 Web www.acfstexas.com
Anastasia Taylor United States EIN 462117819
stas.taylor(o-)acfstexas.com
Tel: 682-302-2237 CEO
Anastasia Taylor
Additional Contacts Stas.Taylor(d)acfstexas.com
Johnreynolds@countkeepers.com
Agency Info & Narrative Section too
Some answers will not be presented because they are not part of the selected group of questions based on the answer to
#2.
1. Please select an Eligible CCPD Goal.
Refer to List of Defined Terms in RFP guides when making your selection.
r- Reduce crime through prevention projects
F_ Reduce crime through intervention project
F Increase safety through Direct Neighborhood Projects
✓ Increase safety through youth crime prevention projects
Increase safety through youth crime intervention projects
2. Please select which Development Grant category you are applying for:
See instructions for descriptions and eligibility requirements.
Capacity Building Project
Planning Project
✓ Strategic Enhancement Project
3. Please select tht. eligible target program/group(s) your agency addresses.
-answer not presented because of the answer to#2-
4. Do you have a required Letter of Commitment for your project?
-answer not presented because of the answer to#2-
5. Select Entity Type.
See instructions for descriptions and eligibility requirements
Private Non-Profit 501c3
V,FYF;i&-8,M NXfPased Programs Agreement 17
T3erwecn CV VV an lance CMM M FaMy o u ions
Individual (Capacity Projects Only)
6. If applicable, will you be working with a fiscal sponsor?
-answer not presented because of the answer to#2-
7.What is your organization's annual revenue?
Less than $100,000
More than $100,000
✓ More than $500,000
8.Are you funded through any other CCPD Partners with a Shared Mission programs
(i.e. After School Programs, Alliance for Children, etc.)
Yes
✓ No
9.Will your project address Special Emphasis: Police/Community Relations?
Projects must have measurable activities or outcome objectives that "increase existing or create new collaborations between
Fort Worth Police Department and minority community members/stakeholders."See RFP guide for more information.
✓ Yes
No
10.What Council Districts will this project serve?
Mark all that apply.
✓ District 2
✓ District 3
✓ District 4
✓ District 5
✓ District 6
✓ District 7
✓ District 8
✓ District 9
11.What do you believe is the most significant crime/safety problem the community faces?What causes it? How
do you know?
MOST SIGNIFICANT CRIME/SAFETY ISSUE: untreated youth mental health issues- proper juvenile crime prevention occurs
through adequate mental health care
CAUSE: lack of available services, inaccessible care, lack of providers, and lack of funding for services to treat mental health
symptoms and improve community-police relations
HOW WE KNOW: "The vast majority of children and youth in the juvenile justice system have histories of exposure to trauma
and mental health conditions that go ignored, leading to worsening mental health and long-term involvement in the criminal
justice system." (Ref: https://www.mhanational.org/issues/mental-health-and-criminal-justice-issues)
A 2015 study by the Treatment Advocacy Center notes, "People with untreated mental illness are 16 times more likely to be
killed during a police encounter than other civilians
approached or stopped by law enforcement."
LACK OF AVAILABLE SERVICES: "On average, [Tarrant County] organizations reported waits of seven weeks to 6 months or
longer, for mental health services. System vulnerabilities ranked as the most concerning included workforce shortages and
waitlists, lack of funding for needed services, and the lack of highly qualified mental health providers and seasoned
supervisors." (Ref: Mental Health Connection of Tarrant County January 2022 Report-
https://files.constantcontact.com/df7de85bOOl/35aOlOca-efl 3-4b4a-a2f5-086a4d3591 d6.pdf)
INACCESSIBLE MENTAL HEALTH CARE: The overall ranking for access to mental health care and prevalence of mental
illness in Texas fell from 38 to 44 in the most recent rankings published by Mental Health America. (Source: Reinert, M,
Fritze, D & Nguyen, T, "The State of Mental Health in America 2022.")
"On the outpatient side, finding a licensed therapist to see a child can take months. The waitlist just to see a counselor at
Cook Children's can be as high as 250 days at any given time. Even with easier access to appointments with virtual visits,
the"Tgt1 %Mgyh ,qfi *to meet the need." (Source: https://www.wbap.com/2021/04/07/clvk-
T3crwecn CP V7 an lance i ami y o u ions
child rens-aunt es-suicide-prevention-campaign-after-record-number-of-suicida-kids-teens
LACK OF PROVIDERS: In the third quarter of the fiscal year 2021, Texas ranked 50 out of 51 states/DC in the ratio of mental
health providers to residents at 1 provider for every 830 residents (Source: Health Resources and Services Administration
(HRSA), "Third Quarter of Fiscal Year 2021 Designated Health Professional Shortage Area Quarterly Summary.")
LACK OF FUNDING FOR SERVICES: "Kristen Pyrc, M.D., co-medical director of Psychiatry at Cook Children's: ""There are
just not enough resources in general [...] We need more funding and we need more mental health professionals to care for
these patients." (Source: https://www.wbap.com/2021/04/07/cook-childrens-launches-suicide-prevention-campaign-after-
record-number-of-su icidal-kids-teens/)
12.What is the situation your agency faces in order to respond to this crime/safety problem?
SITUATION / NEED: ACFS needs funding as a strategic improvement to program operations. Funding will expand our
agency's ability to provide direct mental health services for youth to expand prevent juvenile crime in a way that makes
services accessible, increases the number of mental health providers, and funds services that directly treat mental health
symptoms and improve community-police relations. Without funding, our agency is limited in how quickly we can get services
to youth in the most underserved areas of Fort Worth.
OUR AGENCY faces the following SITUATIONAL CHALLENGES:
1. Lack of available services to vulnerable youth due to the delays of the Medicaid System to credential mental health
providers. From the time a Therapist is hired to serve children or adults on Medicaid, it can take UP TO 430 days before they
are cleared to see low-income youth on Medicaid. Receiving CCPD funding for services would allow us to immediately hire
providers to see low-income youth rather than waiting unknown timeframes for Medicaid insurance credentialing to be
approved.
2. Inaccessible Care due to long waitlists for services. The above delays in onboarding providers (for reasons outside of ACFS
control or abilities) mean that providers' schedules are full with private pay or private insurance clients (all of which credentials
quicker than Medicaid). This, in turn, increases waitlists in services and causes care to be inaccessible for the most
vulnerable of residents because providers are now serving those with quicker means and access.
3. Lack of providers to complete mental health services. There is a nationwide shortage of mental health providers; however,
the shortage in Texas is even greater. Of the mental health providers that are graduating with the applicable degree and
training, these individuals are being steered away from serving vulnerable residents because Medicaid will not a Midlevel
Therapist, i.e. a qualified, experienced therapist who has graduated with a Master's Degree and is under Clinical Supervision
for a minimum two year period for Clinical Licensure. This leads any potential mental health providers that are entering the
field in Texas to establish private practices serving those with greater financial means rather than serving the most vulnerable
of residents.
Because funding would remove the immediate need for insurance credentialing for services, ACFS can utilize qualified
Midlevel Mental Health Providers for services. This solution both significantly decreases wait times for at-risk Clients and
works to expand the pool of licensed mental health providers in Texas.
4. Funding these strategic improvements to program operations allows UNinsured and UNDERinsured Fort Worth youth to
receive critical services that they would otherwise be unable to afford. Funding would expand services to treat mental health
symptoms and improve community-police relations, thus providing adequate juvenile crime prevention.
13.What is your experience with the identified crime/safety problem(s), and what is the target group/program?
EXPERIENCE: Alliance Child & Family Solutions currently provides or has historically completed all of the services outlined in
the proposal for the Alliance Afterschool Program and has done so efficiently and effectively.
However, the strategic enhancement to program operations would have a tremendous impact on the ability to address
untreated youth mental health issues, thus providing proper juvenile crime prevention through adequate mental health care.
The permanent EXPANSION of services within the Alliance Afterschool Program to treat mental health symptoms and improve
community-police relations is DEPENDENT on receiving this funding.
TARGET GROUP/PROGRAM: The goal of the Alliance Afterschool program is to provide these services in low-income areas
(Title I schools) in which there are high rates of poverty and a high rate of need as indicated on the CDC/ATSDR Social
Vulnerability Index (SVI). The SVI measures social vulnerability which refers to the potential negative effects on communities
caused by external stresses on human health. Such stresses include natural or human-caused disasters or disease
outbreaks. Reducing social vulnerability can decrease both human suffering and economic loss.
Participants will be 100% City of Fort Worth Students, primarily those enrolled in the Fort Worth Afterschool Program in
grades 3-8. At least 51% -83% of students served in this program proposal will be from low-to moderate-income
households. The racial and ethnic demographics of participants will be similar to that of FWISD 2020-2021 enrollment:
' Ni' 64.5%.
_A ���tXy2�al d Programs Agreement 19
H
1-5CLWCCn Cr w an lance Cnitu a ramny o u ions
-White: 10.8%
-Asian: 1.7%
-Two or more races: 1.7%
-American Indian/Alaskan: 0.1%
- Hawaiian/Pacific Islander: 0.1%
Of the total enrolled students, approximately 83.8%, are classified as being eligible for free or reduced lunches due to being
from households with low or moderate income. The exact location for the Alliance Afterschool site will be jointly determined
between ACFS and FWAS upon receiving the grant. Participating locations will be determined based on the highest number of
low-income student enrollment to ensure that educational and socioeconomic needs are addressed where most needed. The
full list of participating locations is at https://www.fwisd.org/Page/434. Each participating site is made up of at least 51% of
students from low-income households, though most sites average closer to 70% of enrollment considered low-income.
14.What is your strategy to address the crime/safety problem(s) you identified in Question #11?
Alliance Afterschool directly addresses the crime/safety issue of untreated youth mental health issues by addressing the root
causes of the issue. Specifically addressing each root cause:
LACK OF AVAILABLE SERVICES: Funding would improve program operations and directly expand the availability of services.
Group programming would be on-site at FWISD Afterschool Program or at local community centers in low-income areas.
Individual mental health services would be provided at the ACFS Fort Worth Office (off the bus line), FWISD Family Resource
Centers, Community Centers, or via telehealth. This increases access to care by removing the barrier of transportation for low-
income families.
INACCESSIBLE CARE: Expanding operations would positively impact the ability to address crime or safety by ensuring the
permanence of the program. Group programming increases the ability to positively impact more individuals in areas of general
mental health and improves community-police relations. Individual counseling would have a focused impact in treating mental
health symptoms.
LACK OF PROVIDERS: Using Midlevel Therapists (who are licensed but pursuing clinical hours to be able to bill Medicaid
and insurance) helps reduces the mental health provider shortages experienced in Texas as a whole. Funds would also
supplement fully licensed clinical providers to begin providing services immediately rather than having to wait to be
credentialed on Medicaid. These providers, without support, would likely be assigned to private insurance clients, leaving the
most vulnerable of communities without access to care.
CCPD funding would directly address the root causes of this crime/safety issue. Through these methods, the Alliance
Afterschool program can shorten waitlists, serving vulnerable communities sooner with critical services.
In summary, the program would increase safety through youth crime prevention projects through individual and group
programming that focuses on improving youth mental health functioning by decreasing negative mental health symptoms,
improving attitudes toward police and willingness to seek police intervention, and improving the knowledge of the role of police
and when to seek police intervention. This is accomplished by providing the Alliance Afterschool program in a method that
directly adds to the availability of services in a way that increases access to critical mental health care by utilizing mental
health providers that are trained in working with vulnerable populations, thus resolving the lack of providers with the funding
provided by CCPD.
15.What will change if you receive funding? How will you measure this project's success?
CHANGE IF WE RECEIVE FUNDING: We can fund direct programming to permanently expand our 4-week Summer Pilot
Program to ensure the most vulnerable Fort Worth youth can receive critical mental health services.
The success will be measured as an expansion of available services that directly treat mental health symptoms and improve
community-police relations. Specifically, participants should see the following outcomes: 1. Measurable (positive) change to
the level of mental health functioning for youth participants as evidenced by a decrease in negative mental health symptoms.
2. Measurable (positive) change in attitudes toward police and willingness to seek police intervention. 3. Measurable (positive)
change in the knowledge of the role of police and when to seek police intervention. 4. Measurable (positive)change in the
availability of services, accessibility of programs, and addition of providers to create a lasting impact on the ability of the
agency to address crime and safety issues for vulnerable, low-income residents.
To assess basic mental health functioning baseline and subsequent improvement, ACFS utilizes the DSM-5 Level 1 Cross-
Cutting Symptom Measure for Children and Guardians. Affirmative scores in the "Mild", "Moderate", or"Severe" Categories will
then be further assessed to evaluate the extent of mental health issues and/or risk factors. Clinicians will complete the same
DSM-5 Level 1 Cross-Cutting Symptom Measure for Children and Guardians at the very end of treatment to determine overall
long-term improvements in mood/behavior. Shorter assessment tools that are more individualized to the areas of concern will
be completed at least bimonthly to monitor progress; these tools may include: Patient Health Questionnaire-9 (PHQ-9), Mood
Disorder Questionnaire (MDQ), General Anxiety Disorder-7 (GAD-7), Adaptation of the Florida Obsessive-Compulsive
InvPY2§/dFoRg� !Oanp?LppRrky l gad ASSIST, and the Child &Adolescent Trauma Screening (CATS)20
73 erwecn CP V7 an lance i ami y o u ions
ACFS will complete a Pre-Assessment (prior to any intervention and again on the day of receiving information on this targeted
outcome objective) and a Post-Assessment(the end of the day interventions are provided and at the final date of the program)
to measure lasting changes from the intervention. The assessments utilized will be the ACFS 5-Point Likert Assessment
Scale to measure progress in changing attitudes toward police and willingness to seek police intervention. ACFS Quantitative
Measure of Domain Knowledge will be utilized to assess the frequency and expanse of knowledge specifically related to the
role of police and when to seek police intervention.
Measurable (positive) change in the availability of services, accessibility of programs, and addition of providers to create a
lasting impact on the ability of the agency to address crime and safety issues for vulnerable, low-income residents will be
done through quantitative and smaller subset qualitative stud
16.Who will help you make these changes? If your project requires collaboration with a Consultant/Contractor,
what is their experience and how will they support this project's success?
There are multiple Key Staff Members within Alliance Child & Family Solutions (ACFS)to assist with the implementation of
this project and relevant changes. In addition, this program is in partnership with the Fort Worth ISD Family Resource
Centers, the Fort Worth ISD Afterschool Program, and their designated providers such as YMCA.
Though our project does not require collaboration with a Consultant/Contractor, we have independently reached out to Dr. Kary
Johnson of The Reading Connection and Literacy United to be an independent consultant of services. Dr. Johnson has an
extensive background in education; she received her Doctorate in Education in 2013 from Texas Wesleyan University. She
also has a Master's in Education from Texas Wesleyan and a Bachelor of Arts in political science, international relations, and
Spanish from Texas Christian University. She has published numerous papers on various topics in the field of education
including educational testing, children with ADHD, dyslexia, and special considerations for boys and literacy.
17. If applicable, describe how your project will address the CCPD Special Emphasis: Police/Community Relations.
For Capacity and Planning Projects, describe how this project will benefit the Target Group/Program focus.
To receive points for Special Emphasis, agency must include a Special Emphasis outcome or activity in the Project Plan
section. If this is not applicable to this project, please list N/A
In our Alliance Afterschool programming, topics may include any of the following critical skills and more: social-emotional
learning, positive self-image, antibullying, civic service and leadership, health and hygiene, life skills, personal development,
substance abuse education and prevention, healthy relationships, dating (for teens), and how to regulate stress and emotions
in a healthy manner. As part of this, we hope to forge even stronger Police/Community Relations by helping children learn at a
young age that police serve and protect, as well as how to interact with police, even when scared. Ensuring that Fort Worth
Police Department and minority/underserved community members can discuss healthy encounters and form a positive view
and alliance will increase safety through youth crime prevention and improved interactions.
FY23 Community Based Programs Agreement 21
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Crime Control and Prevention District
Partners with a Shared Mission
EXIIIBIT B-BUDGET NARRATIVE
FY23 Development Grant-Alliance Child&Family Solutions
DESCRIPTION/IUSTIFICATION QUANTITY QUANTITY RATE TOTAL
MEASURE
REVENUE
mik-
Total Funds Needed-Proof of leveraged funds uploaded to show ACFS's comartur nL
to the launch of the program.However,CCPD funding is crucial for a strategic
enhancement to make the 4-Week Alliance Afterschool Program a permanclu solution.
1.00 REVENUE $137,031.00 $137,031.00
Other grants arc currently in process to seek additional funding to fits tier the goals and
objectives of this mental heaHh/youth trine prevention program and to sustain the
program after lire project period.
Total Revenue $137,031.00
A.SALARY
Midlevel Therapist-Gant dollars arc primarily spent toward PERSONNEL
SERVICES/SALARY with the largest portion to the Midlevel Therapist as the Dircct
Service Provider.This funding for salaries in this specific program will enhance ACFS' 1.00 FEE 540,000.00 $40,000.00
ability to continue to effectively address cruise and safely issues uLdizing an evidence-
based and ttawna-informed approach.
TOTAL SALARY $40,000.00
B.FRINGE
Midlevel Therapist:FICA,Unemployment Insurance,Worker's Compensation, 1.00 FRINGE $5,91 S.00 $5,918.00
Employee Benefits-Necessary based on Lire need listed above.
TOTAL FRINGE $5,918.00
C.TRAVEL
$0.00
TOTAL TRAVFLI $0.00
D.EQUIPMENT
$0.00
TOTAL EQUIPMENT $0.00
E.SUPPLIES
$Q00
TOTAL SUPPLIES $0.00
F.CONSULTING/ TRACTIN
Contract Software-Items will allow us to efficiently and effectively track data and
evaluate success in order to demonstrate the measurable impact within the project and 1.00 SOFTWARE 53,722.40 $3,722.40
to continue beyond the project period. The software is billed on a monthly basis
(subscription-based).
TOTAL CONSULTING/CONTACTING $3,722.40
G.SUB-GRANTS R
$000
TOTAL.SUB-GRANTS1 $O.00
H.00CUPANCY
$0.00
TOTAL OCCUPANCY1 $0.00
INDIRECT
$0.00
Total Expense $49,640.40
Tot.]Requested $49,640.40
TOTAL INDIRECT $0.00
FY23 Community Based Programs Agreement 25
Between CFW and Alliance Child&Family Solutions
FORT WORTH:, Exhibit C
Request for Reimbursement(REP.)
FY 2023
(RIVE CONTROL
AND PREATNTION DISTRICT
By Email: Submit To: Submitting Agency: Alliance Child&Family Solutions
PS M(a),fortworthtexas.gov Contact Name: Anastasia Taylor
Phone Number: 682-302-2237
Mail
Bob Bolen Public Safety Complex Email stas.tavlor(Nacfstexas.com
Attn: Conn act Compliance Specialist Remit Address: 1307 sth Ave,Ste 310;Full worth,Tx 76104
Financial Management Division Invoice Number:
505 West Felix St. Month ofRequesC
Fort Worth, TX 76115
DIRECT COSTS(9n%Nimintunr)
A B C D E
Total of Previous (B+C) (A-D)
This Mouth's
Budget Category Budget-Amount Reimbursements Total Requested Remaining Balance
Requested Request To-Date Available
A Personnel $40,000.00 $ - $ 40,000.00
B Fringe Benefits $5,918.00 $ - $ 5,918.00
C 1 Tra—I&Training S - $ -
D Equipincnt S - S -
E Supplies S - $ -
F ConuactS/Consuhants- $3,722.40 S - $ 3,722.40
G Sub-Awards $ - $ -
H Occupur y -
TotalM-etC.osts $ 49,6411.40 $ $ $ $ 49,6411.411
INI)iRFCT COSTS(10%Maximum)
A B C D E
Total of Previous (B+C) (A-D)
Budget Category Budget Amount Reimbursements This Month's Total Requested Remaining Balance
Reque
sted ted Request To-Date Available
Total lnDirect Costs $ $ $
Supporting documents rcquacd with monthly requests. Summary.:
See Reyu—fir r Reio,hur o—,lnslrucrions for refer�„-ne„ Total Budget $ 49,640.40
Previous Requests: $
This Request: $
Total Requested To-Date $
Remaining Funds $ 49,640.40
I have reviewed this request rind certift that these listed expenses and support documentation are accurate.
Authrowd Signatory Signatory Title Date
Fiscal Agent Use Only
Purchase Order# Fmrd Depi ID Account
RFR Approved For Payn—t(Forth Worth Police Depatonent CCPD Staff Use Only)
Reviewed hy: Approved hy:
Grant StatfSignaturc Datc (aan t Staff Signature Datc
Finance Received Stamp Placed Below
FY23 Community Based Programs Agreement 26
Between CFW and Alliance Child&Family Solutions
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Exhibit E
Crime Control and Prevention District
Partners with a Shared Mission
Quarterly Outcomes Report
Date:
Agency Name: Alliance Child&Family Solutions
Program/Project Title: Alliance Afterschool
Fiscal Period: Reporting Period:
Contact Name: Anastasia Taylor Email: stas.taylor@acfstexas.com
1. Report outcome measure data and respond to the questions below to provide more detailed commentary on the
implementation of the project. Complete the following questions in a brief 2-3 page narrative format.
Outcome Outcome Description This Year to Date Goal
Measure# uarter Cumulative
DSM5 Level 1/Pediatric Symptom Checklist:384 out of 512
Participants(75%)will show a decrease in negative mental health
symptoms(domains/subscales of Depression,Anger,Mania, 384 out
1.1 Anxiety,Somatic Symptoms,Suicidal Ideation,Psychosis,Sleep of 512
Problems,Memory problems,Repetitive Thoughts Behaviors,and (75%)
ADHD symptoms),as demonstrated by the DSM5 Level 1 Cross-
Cutting S m tom Measure or Pediatric Symptom Checklist(PSC).
256 out of 512 participants(50%)will show an increase in positive
perceptions of police(domains/subscales of general attitudes 256 out
1.2 toward police and perceptions of police bias),as demonstrated by of 512
the Perceptions of Police Scale(POPS)—ACFS Youth Edition (50%)
(English/Spanish).
384 out of 512 Participants(75%)will show an increase in the 384 out
knowledge of the role of police and when to seek police
1.3 12
intervention as demonstrated by the ACFS Quantitative Measure (75o )
of Domain Knowledge.
384 out of 512 Caregivers(75%)will show an increase in views 384 out
about the quality and accessibility of treatment as demonstrated
1.4 by the Accountable Health Communities(AHC)Health-Related (75%)
Social Needs(HRSN)Screening Tool.
2. Describe major accomplishments achieved in implementing the project. Highlight specific aspects of the
project contributing to its success.
3. Describe any challenges(i.e.frustrations,barriers,disappointments)in implementing the project and how they
were addressed or resolved.
4. What has the project revealed about the organization's capacity to address the identified CCPD goals outlined
in the contract?
5. Attach a copy of the Zip Code Spreadsheet to the Exhibit E form.
Certification: I have reviewed the above financial and program requirements. I verify that the enclosed report materials
accurately reflect the status of the aforementioned program/project.
Name: Date:
Title:
FY23 Community Based Programs Agreement 29
Between CFW and Alliance Child&Family Solutions
E shib it E
C rhm a Control and Prevention District
Partners with SharedXlission
Zin Code Spreadsheet
rlgettcy Name: Project Title:
Fiscal Y eat: Repwtmg Period:
Cmuct Nacre: Emaii:
Iuururtians:Plea arpro-rideundupHcated(news)participant data by*eadesexTed thiaqusTter, Repart ahauld
rdlectFart Wart6Par&ipanIaoA-. Thisapreadahwt ahouldb¢inrhmded wilhy w•agm:CF'a Quarkwl�-
Outcomee depart.
Niumb er uf Number er o
ZipChde Par"anb Zip03de Participants
76101 76132
76102 76133
76103 7b134
76104 76135
76105 76136
76106 76137
76107 76140
76108 76148
76109 76150
745110 76155
76111 76262
76112 76162
76113 76163
76114 ?6164
76115 761-.7
76116 76178
76118 76179
76119 76131
1612.0 761 S5
76121 76191
76M 76192
76123 76193
7612.4 76195
76126 76196
7612.9 7b197
76130 76199
76131 76199
Cefhifiratim:I have ra-iE c m the abase financial and prngmm requizamaata. I that the anala=Ad reprttt materials
aecuiatelyref,ect the sta=o`tbe ai++imimtimed pragramrprnlect.
Signature: Date:
FY23 Community Based Programs Agreement 30
Between CFW and Alliance Child&Family Solutions
Exhibit F:
Crime Control and Prevention District
Partners with a Shared Mission
REQUEST FOR BUDGET MODIFICATION
Fiscal Year 2023
Date
Submitting Agency Alliance Child&Family Solutions
Contact Name Anastasia Taylor
Phone Number and Email 682-302-2237; stas.ta for acfstexas.com
Remit Address 1307 8th Ave, Ste 310;Fort Worth,TX 76104
DIRECT COSTS 90% minimum
Budget Category Approved Budget Change Requested Revised Budget
A. Personnel $40,000
B. Fringe Benefits $5,918
C. Travel and Training
D. Equipment
E. Supplies
F. Contracts/Consultants $3,722.40
G. Sub-Awards
H. Occupancy
Total Direct Costs $49,640.40
INDIRECT COSTS 10% maximum
Approved Budget Change Requested Revised Budget
Modification Narrative describe in detail what change is for)
I have reviewed this request and certift that the listed modifications are correct.
Authorized Signatory Signatory Title Date
FWPD STAFF USE ONLY
❑Modification Approved ❑Modification NOT Approved
FWPD Staff Signature Date
FY23 Community Based Programs Agreement 31
Between CFW and Alliance Child&Family Solutions
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