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Gaver sheet Inquiry IO No 1377U p
Contract Number 587089 Amendment D LON 18 Routing No 975177 ��� Y S��,���P��Y „�
Contrac'tor 000136 CITY OF FORT WORTH ��!"l�J'T'�A�� �� �'; �� �
SUPERIiVTENDAN7 OF C.S.
Fbii7 WORTH 76115
Begin 6ate 01�01/1997 End �ate 12/31�20�1
Purpase of Contract:
THROUCaH THE CEAI' f'R6GRAM ASSIST I.OW INCfli�IE PERSONS WITH THE ENERGY CRISIS
COMPONEN7, HEATING�CflOLING COMPaNENT, CASE MANAGEMENT GaMP4NENT, CO PAYMENT
COMPONENT AlVD ELDERLY ASSIS7ElVCE COMP4N£NT .
Purpose of Amendment:
TD AD� $493,628 i0 THE CEAP CON7RAC7 TO A35TST LpW INCOM� P�RS6N8
BUDGET: Federal 1,357,864.00
State .00
To#al 1,357,864.4p
Press ENTER fior centract approval
�ata6ase: PRO Appl: AP1 61
Ke�mau: OATA EiVTRY
Max TDHCA Ob1 1359034.40
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COMPREH�NSIVE ENERGY ASSISTANGE PRDGRAM
A77ACHMENT A - BU�6ET
CONTRACTOR NAME: CI7Y OF FORT WORTH
CONTRACT NUMBER: 587039
ALLOCATTON YEAR: 581
ALLacATIa� P�RY00: D11a1�2aa1 - 12�31/2001
�EPARTMEN7 FINANGIAL 08LIGATIaNS
$1,357,864.6D CEAP FUNpS CURRENTLY AVAILA6LE
$1,170.00 TRAINING TRAVEL ALLOWANCE FUN�S CURRENiLY AVAILABLE
$1,557,864,00 T�TAL ANTICIPATED CEAP FUN�S
$1,170.D� TOTAL ANTICTPATED TRAINING TRAV�L ALLOWANCE FUN05
Additional funds may be obligated via Le�ter pf Notifiication, Funds may anly
be obligated and expended during the current allocat�on period. Unexpended
fund halances will be recaptured.
BU�G�T FOR AVAILABLE ALLOCATIONS
6Ua�ET CA7EGORY FU�AS �
---------------------------- ---------------- ------
Administratian $71,613.DU 5.274�
Case Management $85,930.00 6.328�
nirect Services $1,2U0,322,00 88.396�
T�TAL BU�GET $1,357,865.00 i00�
Energy Crisis $280,065.04 .00
Co-Payment $302,854.00 ,00
Elderly and Risab�ed $459,400.04 .00
Heating and Cooling Systems $97,987.ao .00
�irect Services Support �64,016.U0 5.00
TUTAL DIREGT S�RVICES $1,200,322.4D 10U�
Contractor's service area cnnsists ofi the following Texas counties;
7arrant County
NOTES:
Adminis�rative costs, salarzes, fringe benefiits, non-train�ng travel,
�
equipment, supplies, audit and ofifice space are limited to 5,27A� of the
contrac# expenditures, axcluding Training Travel costs. Case Management
cos'ts are limited to 6.328`� ofi the contract expenditures excluding
Training 7ravel costs. Oirect Services Support costs are limiked to 5.U0�
of total Direcfi Serviaes expenditures.
Contractor may adjust dolJ.ar amnunts within the fo�.l.nwing components at
levels nat to exceed 14� of said components: Energy Crisis (may nat
exceed 10� of Direct Service dallars expended}, Co-Payment, Elderly (may
no't exceed 50� of �irect Service dollars expended), Heating/Cooling Systems
{may not be less �han 10�a of ❑irect Servace dollars expended), and �irect
Services Su�port (may not exceed 5� of �irect Services dollars expended).
Department's prior written approval for purchase or Iease o# equipment
wifih acquisition cost of $�,aoa and over is required. Approval of this
6udget does not constitute prior approVal.
Funds may not he used for the purchase or improvemertt of land, or the
purchase, constructian, or permanent improvement of any bui7.ding ar
facility.
For other than additional funding added to the Allocation Pera.od, Contractor is
limited to only one budget revision during the fiirst 6 months of the Allocation
Period. A secand and final 6udget revision may be considered hy the pepartment
6U days prior to the end o'f the Allpcation Period.
Whi1e Contractor may chonse to use funds other than "Direct 5ervice Support° to
conduct o�treach, documen'ta.ti.on is required. Cantractor shaJ.�. provide services
under all components in this category. Failure to do so may resu�t in contract
termination.
EFFECTIVE 07/Qi/2001
TEXAS �EPARTMEIdi aF HOUSING AND C0�{MUNITY AFFAIRS
BY: Daisy Stiner on OB/20/2001
daisy 5tiner, �xecutive Director
7his contract i.s not effective unless signed by ihe Executive Director
ofi the Department or her authorized desagnee,
SIGNATUR,E PAGE
Approved as to farm
and legaliiy
AT'TEST:
�' ]* i�N"�"�wrG�
Assistant�i Attorne
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City ecretary
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�on�ract Anthorizatian