HomeMy WebLinkAboutContract 39236 (2)STATE OF TEXAS
COUNTY OF TARRANT
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CITY SECRETARY J} 3 le
CONTRACT NO . ff>
THIS contract ("Contract") is made and entered into by and between the City of Fort Worth ("City"),
whose address is 1000 Throckmorton St., Fort Worth Texas 76102, acting by and through T.M. Higgins, its
duly authorized Assistant City Manager, and AIDS Outreach Center, Inc. ("Contractor"), whose address is
400 North Beach St., Fort Worth, Texas, 76111, acting by and through Mr. Allan Gould, Jr., its duly
authorized Executive Director. (Sometimes City and Contractor are referred to individually as a "Party"
and collectively as the "Parties".)
WHEREAS, City has received grant monies from the United States Department of Housing and
Urban Development ("HU D") under the A IDS Housing Opportunity Act, as amended, (42 USC 12901 et
seq.) for utilization in connection with the Housing Opportunities for Persons with AIDS ("HOPWA'')
program, Grant No. TXH-09-F002, for Year 2009-2010;
WHEREAS, the objective of he HOPWA program is to address the needs of eligible persons
associated with the challenge of living with HIV/ AIDS and their families;
WHEREAS, City has been designated by HUD to service Tarrant, Johnson, Hood and Parker
Counties through HOPWA;
WHEREAS, City citizens, the Community Development Council, and the City Council have
determined that HOPWA programs are needed by the City's low and moderate-income citizens with
documented HIV/ AIDS status and their families as defined in 24 CFR 574.3(2).
NOW, THEREFORE, THIS AGREEMENT FURTHER WITNESSETH:
THAT, the Parties covenant and agree as follows:
1. S cope of Services
a. Contractor will administer HOPWA services to citizens of the City of Fort Worth for the purpose
of preventing homelessness of low-income persons with HIV/ AIDS and their families under the
program name Outreach ("Program"), for the term June 1, 2009 to May 31, 2010. Contractor
agrees to ensure the confidentiality of the name of any Program participant assisted under the
Program and any other information regarding individuals receiving assistance.
b . Contractor will provide the services and activities as se t forth in Exhibit A-Program Summary in
accordance with Exhibit B-Program Services Schedule.
c. Contractor agrees to abide by the HOPWA Regulations, 24 CFR 24 574 et seq .) and will utilize
HOPWA funds to benefit low income individuals with documented HIV/ AIDS status and their
families . Contractor agrees to conduct an annual assessment of the housing assistance and assure
the adequate provision of the supportive services described in 24 CRR 574.300 (b)(7) to Program
participants assisted with housing under this Contract. No fee except rent shall be charged of any
Program participant for any housing or services provided with funds from this Contract.
Contractor will comply with 24 CFR 574.310(e) regarding any termination of assistance.
Contractor agrees to maintain full documentation supporting fulfillment of these requirements in
its files. A ll such documentation shall be furnished to City upon req if necessw ·
fulfill its obligations under its Federal grant. If this documentation is n<Dt aintained an
to City on request, City may exercise all remedies available under this
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to withhold payment to Contractor on this Contract or any other contract with Contractor , or
terminate this Contract as described herein.
d. City will monitor and evaluate Contractor's performance using the goals and performance standards
required in this Contract . Subs tandard performance as determined by City monitoring, including
noncompliance with any applicable regulation of the U.S. Department of Housing and Urban
Development, will constitute non-compliance with this Contract. If action to correct such
substandard performance is not taken b y Contractor within a reasonable period of time after being
notified in writing by City, procedures to suspend or terminate the Contract will be initiated.
e. If applicable, Contractor shall comply and assist City in complying with the provisions of 24 CFR
574.630 regarding displacement, relocation and real property acquisition; uniform administrative
requirements and cost principles; employment and contracting opportunities; use of debarred,
suspended, or ineligible contractors or subrecipients; eligibility restrictions for certain resident
aliens; conflict of interest, and other requirements
f. Contractor agrees to take reasonable steps to ensure meaningful access to the program and
associated activities by limited English proficient person.
2 . Compensation and Method of PC!Jment
a. City will disburse HOPWA Year 2009-2010 funds ("HOPWA Funds") in an amount up to FOUR
H UNDRED TWENTY E IGHT THOUSAND, NINE HUNDRED FIFTY TWO AND
N0/100 DOLLARS ($428,952) to Contractor on a reimbursement of expenses b asis. HOPWA
Funds may b e used to assist all forms of housing designed to prevent h omelessness including
emergency housing, shared housing arrangements, apartments, single room (SRO) occupancy
dwellings, community residences, and supportive housing services such as case management, in
accordance with 24 CFR 574 .3 00. Contractor shall not use any HOPWA F unds for any
prohibited activities as set forth in 24 CFR 574. Contractor is acting as a Project Sponsor for the
purposes of this Contract in carrying out the agreed-upon eligible activities as set forth in Exhibit
A-Program Summary.
b. Payment will be processed by City fo ll owing receipt from Contractor of the following monthly
financial documents: (1) Attachment I-Request For Funds, (2) A ttachment II-Detail Statement of
Costs, and (3) Attachment III-Expenditures Worksheet. Payment by City to Contractor shall
require completion of all City forms and copies of adequate supporting documentation verifying
eligibility of expenses as well as, where applicable, eligibility of Program participants.
Reimbursement for the payment of eligib le expenses shall b e made against the budget specified in
Exhibit C-Program Operating Budget and in accordance with performance specified in Exhibit
B-Program Services Schedule . City will not disburse funds for expenditur es that occurred prior
to the beginning date of the term of this Contract.
c. Contractor agrees to utilize all disbursed HOPWA Funds for the benefit of the Program. Contractor
agrees that all funds will be expended in accordance with Exhibit C-Program Operating Budget.
Contractor may not increase or decrease line-item amounts in the approved HOPWA F unds
portion of Exhibit C-Program Operating Budget without City's prior written a pproval.
Contractor acknowledges and agrees that any HOPWA Funds not used in accordance with the
HOPWA Regulations and terms of this Contract must be repaid to City.
d. It is understood tha t the total cost for operation of this Program is $970,774 and that Contractor
will o btain from other sources the remaining funds in excess of the HOPWA Funds as detailed in
Exhibit C-Program Operating Budget. Contractor will notify City promptly of any additional
funds it receives for operation of the Program, and City reserves the right to amend Exhibit C-
Program Operating Budget in such instances to ensure compliance with HUD regulations
governing cost all ocation.
e . Contractor agrees to keep all HOPWA Funds on hand in interest bearing accounts. A ll interest
earned shall be reported to City on a monthly basis, at the same time as submission of the monthly
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report following the end of the Contract month during which the interest was earned. Interest in an
amount of $25 .00 or less per month may be used for authorized Program expenses. These amounts
must be reported on the monthly financial statements filed pursuant to this Contract. Interest
earned in excess of $25.00 per month is subject to remittance to City as directed by City.
f. Contractor will not commingle HOPWA Funds with any other funds in any manner that would
prevent City from readily identifying expenditures for operation of the Program.
3. Uniform Administrative Requirements and Program Management Standards
a. Financial Management
1. Accounting Standards
The Contractor agrees to comply with 0MB Circular A-110, "Uniform Administrative
Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals and
other Non-Profit Organizations", and agrees to adhere to the accounting principles and
procedures required therein, utilize adequate internal controls, and maintain necessary source
documentation for all costs incurred.
11. Cost Principles·
Contractor shall administer the Program in conformance with 0MB Circular A-122, "Cost
Principles for Non-Profit Organizations" and attachments and revisions thereto, regarding
principles for determining eligible and allocable costs for the Program.
b. Documentation and Record Keeping
1. Requirement
Contractor shall maintain all records pertinent to the activities to be funded under this Contract
required in 24 CFR § 574.530. In addition, Contractor agrees to keep records to fully document
all expenditures charged to the HOPWA portion of the Program, including records
documenting the eligibility of Program participants as more particularly described herein. The
documentation must support the amounts charged to the Program, the eligibility of the Program
participants, and demonstrate that the expenditures were appropriate to the stated goals of the
Program and allowable and/ or eligible under applicable Federal, state and City guidelines.
11. Record Retention
(1) All records pertaining to Program shall be retained for four (4) years following the
termination of this Contract. Contractor may destroy Program records at the end of this
four ( 4) year period if no outstanding audit finding exists.
(2) Contractor will retain any Program loan records until four (4) years after the expiration of
any loan.
111. Real Property Records
Contractor shall maintain real property inventory records that clearly identify properties
purchased, improved, or sold. Properties retained shall meet eligibility criteria and shall conform
to the requirements of 24 CFR § 574.630.
1v. Closeouts
Contractor's obligation to City shall not end until all closeout requirements are completed.
Activities during this closeout period shall include, but are not limited to: making final
payments, disposing of Program assets (including the return of all unused materials, equipment,
unspent cash advances, Program income balances, and accounts receivable to City), and
determining the custodianship of records and verification of compliance with record retention
requirements.
v. Audits and Inspections
(1) City, HUD, and the United States Comptroller General, or their respective representatives,
shall have access to any books, documents, records and papers relating to the operations of
Contractor under this Contract for the purpose of audit, examination, exception and
transcription at all of Contractor's offices at all reasonable hours.
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(2) All non-federal entities that expend $500,000 or more in Federal funds within one (1) year,
regardless of the source of the Federal award, must submit to City an annual audit
prepared in accordance with 24 CFR Sections § 570.502-570.503 generally, (known as a
Single Audit), with specific reference to 0MB Circulars (with attachments) A-122, "Cost
Principles for Non-Profit Organizations", and A-133, "Audits of States, Local
Governments, and Non-Profit Organizations", as appropriate. The audit may cover either
Contractor's fiscal year during which this Contract is in force or cover the period of this
Contract. The audit must be prepared by an independent certified public accountant, be
completed within nine (9) months following the end of the period being audited and be
submitted to City within thirty (30) days of its completion. Contractor's audit certification
is attached hereto as Exhibit D -Audit Certification Form. The Audit Certification
Form must be submitted to City within sixty (60) days of the end of the period being
audited (Contractor's fiscal year). Costs of preparation of this audit may be an allowable
expenditure of HOPWA Funds in an amount proportional to that of the HOPWA Funds
used in Contractor's total agency operating budget. Non-profit entities that expend less
than $500,000 a year in Federal funds are exempt from Federal audit requirements for that
year, but records must be available for review or audit by appropriate officials of the
Federal agency, City, and General Accounting Office ("GAO").
(3) All non-federal entities acting as a Subrecipient for City grant funds that expend less than
$500,000 in any federal funds within one year shall provide City with a copy of any other
financial audit or audited financial statements prepared during the contract term, if
available.
(4) City reserves the right to perform an audit of Contractor's agency operations and finances
at any time during the term of this Contract, if City determines that such audit is necessary
for City's compliance with 0MB Circular A-133. Contractor agrees to allow access to all
relevant books, records and materials. If such audit reveals a questioned practice or
expenditure, such questions must be resolved within thirty (30) days after notice to
Contractor. If questions are not resolved within this period, City reserves the right to
withhold further funding under this Contract and/ or any other contract(s) with Contractor.
(5) If as a result of any audit it is determined that Contractor has misused, misapplied or
misappropriated all or any part of the HOPWA Funds, Contractor agrees to reimburse the
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.
4. Reporting Procedures
a. Financial Reports
Contractor will submit to City on a monthly basis: (1) Attachment I-Request for Funds, (2)
Attachment II-Detailed Statement of Costs, (3) Attachment III-Expenditures Worksheet, as
applicable, for expenses incurred for services and activities accomplished by Contractor in
performance of this Contract. Actual cash receipts for claimed expenditures must be provided at
the time the request for funds is presented. The reports must be signed by a duly authorized agent
of the Contractor and submitted by the 15'h of the month following the month being reported.
City is under no obligation to disburse funds for expenditures that occurred prior to the first day
of the month for which the report is submitted.
b. Progress Reports
Contractor will submit to City on a monthly basis as applicable to Program: (1) Attachment IVa-
Program Services Report, (2) Attachment Nb-Tenant Based Rental Assistance-Direct Benefit Data
Report, (3) IVc-Short-Term Rent/Mortgage and Utility Assistance-Direct Benefit Data Report, (4)
Attachment IV cl-Living Situation Counts (5) Ne-Supportive Services Report (6) IVf-Supportive
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Services-Direct Benefit Data (7) Attachment VI-Client Data Report for services and activities
undertaken by Contractor in performance of this Contract. The report will be signed by a duly
authorized agent of Contractor and submitted by the 15th of the month following the month that is
reported. City will not disburse funds for expenditures that occurred prior to the beginning date of
the term of this Contract.
c. Procurement
1. Compliance
Contractor shall comply with City policy concerning the purchase of equipment and shall
maintain inventory records of all non-expendable personal property, as defined by such policy,
procured with funds provided under this Contract.
ii. 0MB Standards
Contractor shall procure all materials, property, or services in accordance with the requirements
of 24 CFR Part 84, Procurement Standards and Property Standards
d. Program Participant Records
i. Contractor will keep or cause to be kept an accurate record of all actions taken and all HOPWA
Funds expended, with source documents, in performance of this Contract. Such records shall
be kept for the time period mandated by the HOPWA Regulations and this Contract.
ii. Contractor will obtain and keep on file and furnish to City on request the following information
and/ or documentation on each Program participant served by the Program demonstrating such
participant's eligibility for services provided:
a. Participant's name, documented HIV/ AIDS status, address, annual income level or other
basis for determining income eligibility, and family size of participant's household.
b . Source documentation used for income verification including but not limited to pay check
stubs, food stamp award letters, income tax returns, SSI award letters, letters awarding
unemployment benefits, W2s and the like.
c. Necessary documentation to support expenditures related to Tenant-Based Rental
Assisantance (TBRA), and/ or Short-Term Rent, Mortgage, and Utility Assistance,
including current, applicable Fair Market Rent (FMR), utility allowances, enforceable lease
agreements, housing inspections, and other requirements set forth in 24 CFR 574 related to
specific activities administered.
d. City shall have the final determination, in its sole discretion, as to whether source
documentation used for income verification is adequate.
5. R eversion of A ssets
a. Contractor agrees to return to City any HOPWA Funds remaining on hand at the end of the
Contract.
b. All property purchased with HOPWA Funds under this Contract will be used solely for operation
of the Program. Contractor agrees to obtain City approval prior to purchase of property and
Contractor agrees to notify City upon receipt of property so that it may be properly tagged and
inventoried. Title to such property will be vested in City, and Contractor will deliver all such
property to City for disposition at City's sole discretion at the termination of the Program.
6. A pplicable Laws
a. Federal
Contractor agrees to comply with the following laws and the applicable regulations as they are
currently written or are hereafter amended during performance of this Contract:
• AIDS Housing Opportunity Act, as amended, (42 USC 12901 et seq.)
• Regulations at 24 CFR Part 574 pertaining to HOPWA ("HOPWA Regulations")
• Title VI of the Civil Rights Act of 1964 ( 42 USC 2000d et seq.)
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• Title VIII of the Civil Rights Act of 1968 (42 USC 3601 et seq .)
• Executive Orders 11063, 11246, as amended by Executive Orders 11375 and 12086 and as
supplemented by 41 CFR Part 60
• The Age Discrimination in Employment Act of 1967 (29 USC 621)
• The Age Discrimination Act of 1975 (42 USC 6101 et seq.)
• Section 504 of the Rehabilitation Act of 1973 (29 USC 794 et seq.) and 24 CFR Part 8 where
applicable
• The Americans with Disabilities Act of 1990 (42 USC 12101 et seq)
• National Environmental Policy Act of 1969, as amended, 42 USC 4321 et seq. ("NEPA'') and
the related authorities listed 24 CFR Part 58
• The Clean Air Act, as amended (42 USC 7401 et seq.), the Clean Water Act of 1977, as amended
(33 USC 1251 et seq .) and the related EPA regulations at 40 CFR Part 15, as amended from time
to time, and Executive Order 11738. In no event shall any amount of the assistance provided
under this Contract be utilized with respect to a facility that has given rise to a conviction under
the Clean Air Act or the Clean Water Act.
• The Immigration Reform and Control Act of 1986 (8 USC 1101 et seq.), specifically including
the provisions requiring employer verification of the legal status of its employees
• The Americans with Disabilities Act of 1990 ( 42 USC 12101 et seq.)
• Drug Free Workplace Act of 1988 (41 USC 701 et seq .) and 24 CFR Part 23, Subpart F
• Regulations as 24 CFR Part 87 related to lobbying, including the requirement that certifications
and disclosures be obtained from all covered persons
• Executive Order 12549 and 24 CFR Part 5.105 (c) pertaining to restrictions on participation by
ineligible, debarred, or suspended persons or entities.
b. Section 3 of the Housing and Urban Development Act of 1968, as amended, (12 USC 1701 u et seq .)
and its related regulations at 24 CFR Part 135
If the work to be performed under this Contract is on a project assisted under a program
providing direct Federal financial assistance from HUD, Section 3 of 24 CFR 135.38 ("Section 3")
requires that the following clause be inserted in all covered contracts ("Section 3 Clause"). Such
covered contracts or activities include CDBG-funded construction, reconstruction, conversion or
rehabilitation of housing as set forth in 24 CFR 135.5.
''A. The work to be performed under this contract is subject to the requirements of se ction 3 of
the Housing and Urban Development Act of 1968, as amended, 12 U.S.C. 1701 u (section 3).
The purpose of Section 3 is to ensure that employment and other economic opportunities
generated by HUD assistance or HUD-assisted projects covered by Section 3, shall, to the
greatest extent feasible, be directed to low-and very low-income persons, particularly persons
who are recipients of HUD assistance for housing.
B. The Parties to this contract agree to comply with H U D's regulations in 24 CFR Part 135,
which implement Section 3. As evidenced by their execution of this contract, the Parties to
this contract certify that they are under no contractual or other impediment that would prevent
them from complying with the Part 135 regulations.
C. The contractor agrees to send to each labor organization or representative of workers with
which the contractor has a collective bargaining agreement or other understanding, if any, a
notice advising the labor organization or workers' representative of the contractor's
commitments under this section 3 clause, and will post copies of the notice in conspicuous
places at the work site where both employees and applicants for training and employment
positions can see the notice. The notice shall describe the Section 3 preference, shall set forth
minimum number and job titles subject to hire, availability of apprenticeship and training
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pos1t:1ons, the qualifications for each; and the name and location of the person(s) taking
applications for each of the positions; and the anticipated date the work shall begin.
D. The contractor agrees to include this section 3 clause in every subcontract subject to
compliance with regulations in 24 CFR Part 135, and agrees to take appropriate action, as
provided in an applicable provision of the subcontract or in this Section 3 clause, upon a
finding that the subcontractor is in violation of the regulations in 24 CFR Part 135. The
contractor will not subcontract with any subcontractor where the contractor has notice or
knowledge that the subcontractor has been found in violation of the regulations in 24 CFR
Part 135.
E. The contractor will certify that any vacant employment positions, including training positions,
that are filled (1) after the contractor is selected but before the contract is executed, and (2)
with persons other than those to whom the regulations of 24 CFR Part 135 require
employment opportunities to be directed, were not filled to circumvent the contractor's
obligations under 24 CFR Part 135 .
F. Noncompliance with HUD's regulations in 24 CFR Part 135 may result in sanctions,
termination of this contract for default, and debarment or suspension from future HUD
assisted contracts.
G . With respect to work performed in connection with Section 3 covered Indian housing
assistance, section 7(b) of the Indian Self-Determination and Education Ass istance Act (25
U.S.C. 450e) also applies to the work to be performed under this contract. Section 7(b) requires
that to the greatest extent feasible (i) preference and opportunities for training and
employment shall be given to Indians, and (ii) preference in the award of contracts and
subcontracts shall be given to Indian organizations and Indian-owned Economic Enterprises.
Parties to this contract that are subject to the provisions of section 3 and section 7 (b) agree to
comply with Section 3 to the maximum extent feasible, but not in derogation of compliance
with section 7(b)."
City and Contractor understand and agree that compliance with the provisions of Section 3, the
regulations set forth in 24 CFR Part 135, and all applicable rules and orders of HUD shall be a
condition of the Federal financial assistance provided to the Program, binding upon City and
Contractor, and their respective successors, assigns and subcontractors. Failure to fulfill these
requirements shall subject Contractor and its subcontractors, and their respective successors and
assigns, to those sanctions specified by the Grant Agreement through which Federal assistance is
provided and to such sanctions as are specified b y 24 CFR Part 135.
c. Other Laws
Contractor covenants and agrees that its officers, members, agents, employees, Program
participants and subcontractors shall abide by and comply with all other laws, Federal, state and
local, relevant to the performance of this Contract, including all applicable City ordinances, rules
and regulations and the AIDS Housing Opportunity Act, as amended, (42 USC 12901 et seq.) and
the HOPWA Regulations, as amended, (24 CFR Part 574 et seq.). Contractor further promises and
agrees that it has read, and is familiar with, the terms and conditions of the Housing Opportunities
for Persons with Aids program, and the HOPWA Regulations, under which HOPWA Funds are
granted and that it will fully comply with them. It is agreed and understood that, if City notifies
Contractor of any such violation 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.
7. Nondiscrimination
a. Contractor will not unlawfully discriminate against any person or persons because of sex, race,
religion, age, disability, color, national origin, or familial status, nor will Contractor permit its
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officers, members, agents, employees, subcontractors o r Program participants to engage in such
discrimination.
b. Contractor covenants that neither it nor any of its officers, members, agents, employees, Program
participants or subcontractors, while engaged in performing this Contract, shall, in connection with
the employment, adva ncement or discharge of employees o r in connection with the terms,
conditions or privileges of their employment, discriminate against persons because of their age
except on the basis of bona fide occupational qualification, retirement plan or statutory
requirement.
c. Contractor further coven ants that neither it nor its officers, members, agents, employees,
subcontractors, Program participants, or persons acting on their behalf, shall specify, in solicitations
or advertisements for employees to work on this contract, a maximum age limit for such
employment unless the specified maximum age limit is based upon a bona fide occupational
qualification, retirement plan or statutory requirement.
d. In accordance with the provisions of the A mericans With Disa bilities A ct of 1990 ("A DA"),
Contractor warrants that it and any and all of its subcontractors will not unlawfully discriminate on
the basis of disability in the provision of services to the general public, nor in the availability, terms
and/ or conditions of employment for applicants for employment with Contractor, or employees of
Contractor or any of its subcontractors. Contractor warrants it will fully comply with A D A 's
provisions and any other applicable Federal, state and local laws concerning disability and will
defend, indemnify and hold City harmless against any claims or allegations asserted b y third parties
or subcontractors against City arising o ut of Contractor's and/ or its subcontractors' alleged failure
to comply with the above-referenced laws concerning disability discrimination in the performance
of this Contract.
e . This Contract is made and entered into with reference specifically to the ordinances codified at
Chapter 17, A rticle III, Div i sion 3 "Discrimination in Employment Practices", of the City Code,
and Contractor hereby covenants and agrees that Contractor, its officers, members, age nts,
employees and subcontractors, have fully complied with all provisions of same and that no
employee, employee-applicant or Program participant has been discriminated agains t by the terms
of such ordinances b y either the Contractor or its officers, members, agents, employees o r
subcontractors.
8. Prohibition Against Interest
a . No member, officer or employee of City or its designees or agents; no member o f the governing
body of the locality in which the Program is situated; and no other public official of such locality o r
localities, who exercises any functions or responsibilities with respect to the Program funded
hereunder during his or her 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 entered into in connection with the Program.
b. No member, officer, employee, or Program participant of Contractor or its subcontractors shall
have a financial interest, direct or indirect, in this Contract or the HOPWA Funds transferred
hereunder or be financially interested, directly or indirectly, in the sale to Contractor of any land,
materials, supplies o r se rvices purchased with any HOPWA Funds transferred hereunder, except on
behalf of Contractor, as an o fficer, employee, member or Program participant. A n y willful
v iolation of this paragraph with the expressed or implied knowledge of Contractor or its
subcontractors shall render this Contract voidable by City.
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9. Minoriry and Women Busin ess Enterprise Commitment
Contractor agrees to abide by City's policy to involve Minority and Women Business Enterprises
("MWBEs") in all phases of its procurement practices and to provide them an equal opportunity to
compete for contracts for construction, provision of professional services, purchase of equipment and
suppli es and provision of other services required by City. Contractor agrees to incorporate City
Ordinance No. 15530, and all amendments or successor policies thereto, into all contracts and will
further require all persons or entities with whom it contracts to comply with said MWBEs policy.
10. Non-Assignment
No assignment or delegation of duties under this Contract by Contractor shall b e effective without
City's prior written approval. If such assignment occurs, Contractor shall ensure that all requirements
of this Contract are enforced and maintained by any such Subcontractor or Assignee by means of a
currently executed written agreement covering the Contract Terms, a copy of which shall be made
available to City.
11. Independent Contractor
a . Contractor shall operate hereunder as an independent contractor and not as an officer, agent,
servant or employee of City. Contractor shall have exclusive control of, and the exclusive right to
control, the details of the work and services 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 invitee. T h e doctrine of
respondeat 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. It is
expressly understood and agreed that no officer, member, agent, employee, subcontract or, licensee
or invitee of the Contractor, nor any Program participant hereunder, is in the paid service of City
and 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.
b. City shall in no way nor under any circumstances be responsible for any property belonging to
Contractor, its officers, members, agents, employees, subcontractor s, Program participants,
licensees or invitees, which may be lost, stolen, destroyed or in any way damaged; and Contractor
hereby indemnifies and holds harmless City and its officers, agents, and employees from and against
any and all claims or suits.
12. Indemnification, Insurance and Bonding
a. CONTRACTOR COVENANTS AND AGREES TO INDEMNIFY, HOLD HARMLESS
AND DEFEND, AT ITS OWN EXPENSE, CITY AND ITS OFFICERS, AGENTS,
SERVANTS AND EMPLOYEES FROM AND AGAINST ANY AND ALL CLAIMS OR
SUITS FOR PROPERTY LOSS OR DAMAGE AND/OR PERSONAL INJURY,
INCLUDING DEATH, TO ANY AND ALL PERSONS, OF WHATSOEVER KIND OR
CHARACTER, WHETHER REAL OR ASSERTED, ARISING OUT OF OR IN
CONNECTION WITH THE EXECUTION, PERFORMANCE, ATTEMPTED
PERFORMANCE OR NONPERFORMANCE OF THIS CONTRACT AND/OR THE
OPERATIONS, ACTIVITIES AND SERVICES OF THE PROGRAM DESCRIBED
HEREIN, WHETHER OR NOT CAUSED, IN WHOLE OR IN PART, BY ALLEGED
NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES,
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CONTRACTORS OR SUBCONTRACTORS OF CITY; AND CONTRACTOR HEREBY
ASSUMES ALL LIABILITY AND RESPONSIBILITY OF CITY AND ITS OFFICERS,
AGENTS, SERVANTS, AND EMPLOYEES FOR ANY AND ALL CLAIMS OR SUITS
FOR PROPERTY LOSS OR DAMAGE AND/OR PERSONAL INJURY, INCLUDING
DEATH, TO ANY AND ALL PERSONS, OF WHATSOEVER KINDS OR
CHARACTER, WHETHER REAL OR ASSERTED, ARISING OUT OF OR IN
CONNECTION WITH THE EXECUTION, PERFORMANCE, ATTEMPTED
PERFORMANCE OR NON-PERFORMANCE OF THIS CONTRACT AND
AGREEMENT AND/OR THE OPERATIONS, ACTIVITIES AND SERVICES OF
THE PROGRAMS DESCRIBED HEREIN, WHETHER OR NOT CAUSED IN
WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS,
SERVANTS, EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY.
CONTRACTOR LIKEWISE COVENANTS AND AGREES TO AND DOES HEREBY
INDEMNIFY AND HOLD HARMLESS CITY FROM AND AGAINST ANY AND ALL
INJURY, DAMAGE OR DESTRUCTION OF PROPERTY OF CITY, ARISING OUT OF
OR IN CONNECTION WITH ALL ACTS OR OMISSIONS OF CONTRACTOR, ITS
OFFICERS, MEMBERS, AGENTS, EMPLOYEES, SUBCONTRACTORS, INVITEES,
LICENSEES, OR PROGRAM PARTICIPANTS, OR CAUSED, IN WHOLE OR IN
PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS,
EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY.
CONTRACTOR AGREES TO AND SHALL RELEASE CITY, ITS AGENTS,
EMPLOYEES, OFFICERS AND LEGAL REPRESENTATIVES FROM ALL LIABILITY
FOR INJURY, DEATH, DAMAGE OR LOSS TO PERSONS OR PROPERTY
SUSTAINED IN CONNECTION WITH OR INCIDENTAL TO PERFORMANCE
UNDER THIS CONTRACT, EVEN IF THE INJURY, DEATH, DAMAGE OR LOSS IS
CAUSED BY THE CITY'S SOLE OR CONCURRENT NEGLIGENCE.
CONTRACTOR SHALL REQUIRE ALL OF ITS SUBCONTRACTORS TO INCLUDE
IN THEIR SUBCONTRACTS A RELEASE AND INDEMNITY IN FAVOR OF THE
CITY IN SUBSTANTIALLY THE SAME FORM AS ABOVE.
b. Contractor will maintain blanket fidelity coverage in the form of a bond in the amount of
($428,9 52), to insure against loss from the fraud, theft or dishonesty of any of Contractor's
officers, agents, trustees, directors or employees. The proceeds of such bond shall be used
to reimburse City for any and all loss of HOPWA Funds occasioned by such misconduct.
To effectuate such reimbursement, such bond shall include a rider stating that
reimbursement for any loss or losses thereunder shall be made directly to City for the uses
and benefit of Contractor.
c. Contractor shall furnish certificates of insurance as proof that it has secured and paid for
policies of workers' compensation, public liability and automobile liability insurance
covering all risks incident to or in connection with the execution, performance, attempted
performance or nonperformance of this Contract. The amounts of such insurance shall
not be less than the maximum liability that can be imposed on City under the laws of the
State of Texas. Contractor understands and agrees that such insurance amounts may be
revised upward at City's option and that Contractor shall revise such amounts within thirty
(30) days following notice to Contractor of such requirements.
d. Contractor will submit documentation to City that it has obtained insurance coverage and
has executed bonds as required in this contract within thirty (30) days of the execution of
this Contract and prior to payment of any monies hereunder.
HOPWA YEAR 2009-2010 CONTRACT
AIDS Outreach Center, Inc.
Rev. 08-25-09
Page 10
e. Any failure on part of the City to request certificate(s) of insurance shall not be construed as
a waiver of such requirement or as a waiver of the insurance requirements themselves.
Insurers of Contractor insurance policies shall be licensed to do business in the State of
Texas by the Department of Insurance or be otherwise eligible and authorized to business
in the state of Texas. Insurers shall be acceptable to City insofar as their financial strength
and solvency and each such company shall have a current minimum A.M. Best Key Rating
Guide rating of A: VII or other equivalent insurance industry standard rating unless
otherwise approved by City. Deductible limits on insurance policies shall not exceed $5,000
per occurrence unless otherwise approved by City.
f. Any local, federal or other regulatory insurance or bonding requirements for the Program
that exceed those specified herein shall prevail.
g . Contractor shall agree to require its subcontractors to maintain applicable insurance
coverages, limits, and other requirements as those specified herein; and, Contractor shall
require its subcontractors to provide Contractor with certificate(s) of insurance
documenting such coverage. Also, Contractor shall require its subcontractors to have City
and Contractor endorsed as additional insured (as their interests may appear) on their
respective insurance policies . Contractor shall require its subcontractors to maintain
builders risk insurance at the limit of applicable project(s) costs when the value of materials
involved exceeds $10,000 or at a different limit value limit as specified by City.
13. Waiver of Immuniry
If Contractor is a ch arita ble or nonp rofit o rga niz ation and h as o r claims an immunity or exemptio n
(statuto r y o r o therwise) fr o m and agains t liability for d am ages o r injury, including death, to p er son s o r
proper ty; Contrac to r h er eb y express ly waives its rights to p lead d e fen sive ly such immunity o r
exemptio n as agains t City. This section sh all n o t b e co n strued to a ffect a governmental entity 's
immunities u nder co n stitutio n al, statuto r y o r co mmo n law.
14. Remedies for Breach of Contract
U p o n id entificatio n o f possible b reach es o f co n trac t , and p ri o r t o exerc1 sm g its Terminatio n
Rights under this Contract, City m ay elect to exer cise an y o f the fo llowing R em edies : a) iss u ance o f
a warning le tter indicating that fu rther fail ure t o comply with applicable re quirem en ts will result in
serious sa nctio n and giving the Subrecipient a limited time to co rrect the d e ficienc y; b) placing
conditions upo n awa rd o f fu ture gr ants; c) directing the Subrecipient to sto p incurring cos ts un til
the defic ie n cy is corr ec ted and the co rrectio n is verifie d ; d) r equiring r ep ay m ent of p revio u sly
reimburse d gr ant fund s; o r e) r educing in the am o unt o f future grant awards o r disa ll owing o f
futur e award s to the Con tractor.
15 . Termination
a. In additio n to, and n o t in substitutio n for, o ther provis io n s of thi s Contrac t regarding the p rovisio n
of public se r vices with H O PWA F unds, pursu ant to the A IDS H o u sing O pportunity A ct, as
am ended , (4 2 USC 129 0 1 et seq .) the HOP WA Regulati o n s, it is ex press ly under st ood and agr ee d b y
and b etween the Parties tha t this Contract is w h o lly conditio n ed upo n the actual receipt by City o f
Fe d eral H O PWA Yea r 2009-2010 funds; that all m o nies distributed to Contracto r h ereunder sh all
b e exclu sively fro m Fe d eral m o nies received under said grant and n o t fr o m any o th er m o nies o f
City ; and tha t if su ch fu nds under City's g rant ar e no t timely fo rthco ming, in wh o le o r in p art, City
m ay, at its sole di screti o n , ter minate this Contract and City sh all n o t b e liable fo r p ay m ent for an y
work o r se rv ic es performed by Contracto r under o r in connectio n with this Contract.
HOPWA YEAR 2009-2010 CONTRACT
AIDS Outreach Center, Inc.
Rev. 08-25-09
Page 11
b. City may terminate this Contract whenever such termination is determined to be in City's best
interest, in event of Contractor's default, inability or failure to perform or to comply with any of
the terms herein, or, for other good cause.
c. The Parties acknowledge that HOPWA Funds paid hereunder are intended to provide only partial
funding for Contractor's agency operations. City may terminate this Contract if non-HOPWA
funds included in the Operating Budget are not forthcoming to Contractor during the Contract
term.
d. HOPWA Funds provided hereunder may not be used as collateral for loans to Contractor to defray
agency operation expenses, and any attempted use of HOPWA Funds for this purpose will result in
termination of this Contract by City.
e. Termination will be effected by written notice to Contractor, specifying the portions of the Contract
affected and the effective date of termination. Upon Contractor's receipt of such termination
notice, Contractor will:
• Stop work under the Contract on the date and to the extent specified by City;
• Cease expenditures of HOPWA Funds, except as necessary for completion of the portions of
the Contract not terminated; and
• Terminate all orders and contracts to the extent that they relate to portions of the Contract
being terminated.
f. Contractor will return to City any unused HOPWA Funds previously advanced by City under this
Contract within thirty (30) days of the effective date of Contract termination. City will have no
responsibility or liability for Contractor's expenditures or actions occurring after the effective date
of Contract termination.
16. Certification Regarding Lob~ing
a. The undersigned representative of Contractor hereby certifies, to the best of his or her knowledge
and belief, that: No federal appropriated funds have been paid or will be paid, by or on behalf of
Contractor, to any person for influencing or attempting to influence an officer or employee of any
agency, a member of Congress, an officer or employee of Congress or an employee of a member
of Congress in connection with the awarding of any Federal contract, the making of any Federal
grant, the making of any Federal loan, the entering into of any cooperative agreement and the
extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan
or cooperative agreement. Contractor shall require that the language of this certification be
included in all subcontracts or agreements involving the expenditure of Federal funds.
b. If any funds other than Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a member of
Congress, an officer or employee of Congress, or an employee of a member of Congress in
connection with this Federal contract, grant, loan or cooperative agreement, Contractor shall
complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance
with its instructions.
c. This certification is a material representation of fact upon which reliance was placed when this
Contract was made or entered into. Submission of this certificate is a prerequisite for making or
entering into this Contract imposed by 31 USC Section 1352. Any person who fails to file the
required certification shall be subject to a civil penalty of not less than $10,000.00 and not more
than $100,000.00 for each such failure.
1 7. Miscellaneous Provisions
a . All terms of this Contract shall apply to any and all subcontractors of Contractor who are in any
way paid with HOPWA Funds or who perform any work in connection with Contractor's program.
HOPWA YEAR 2009-2010 CONTRACT
AIDS Outreach Center, Inc.
Rev. 08-25-09
Page 12
b. The provisions of this Contract are severable, and, if for any reason a clause, sentence, paragraph or
other part of this Contract 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.
c. City's failure to insist upon the performance of any term or provision of this Contract 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.
d. Should any action, whether real or asserted, at law or in equity, arise out of the execution,
performance, attempted performance or nonperformance of this Contract, venue for action shall
lie in Tarrant County, Texas.
e. This written instrument and the exhibits attached hereto, which are incorporated by reference and
made a part of this Contract for all purposes, 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. Any
amendments to the terms of this Contract must be in writing and must be approved by each Party.
f. All notices required or permitted by this Contract must be in writing and are deemed delivered on
the earlier of the date actually received or the third day following (i) deposit in a United States
Postal Service post office or receptacle; (ii) with proper postage (certified mail, return receipt
requested); and (iii) addressed to the other Party at the address set out in the preamble of this
Contract or at such other address as the receiving Party designates by proper notice to the sending
Party.
g. In accordance with the requirements of 24 CFR Part 574.300, none of the performance rendered
under this Contract shall involve, and no portion of the HOPWA 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.
h. Contractor represents that it possesses the legal authority, pursuant to any proper, appropriate and
official motion, resolution or action passed or taken, to enter into this Contract and to perform the
responsibilities herein required.
1. 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 Contract.
[SIGNATURES APPEAR ON FOLLOWING PAGE]
H O PWA YEAR 20 09-2010 CONTRACT
AIDS Outreach Center, Inc .
Rev. 08-25-09
Page 13
IN WITNES S WHE RE OF, the Parties hereto h av e executed three duplicate o riginal s of~this Contract
in Fort Worth, Tarrant County, Texas, this k "°~ da y of C) ~);QA , 200_\.
CITY OF FORT WORTH
By Jf7n~
T.M. Higgins ::(""~
Assistant City Manager
A PPROVE D AS TO FORM AND LEGALITY:
~s.~
City Attorney
ATTEST:
(Y\~~ City Secretary
Contract Au thor izati o a
. ___ CJ I g l oj
Da t e
STATE OF TEXAS §
COUNTY OF TARRANT §
This instrument was acknowledged before me on ~ (
T.M. Higgins, the Assistant City Manager of the City of Fo rt Worth, o n behalf of the Ci
STATE OF TEXAS §
COUNTY OF TA RRA NT
This in strument was acknow led ge d before me o n J.~ 1 &pkt)ll.6-ey' , 200 .!J.. by All an
Gould, Jr., the Executive Director, a Te xas non-profit corporation, o n behalf of sai d co rporation.
NQRYAMEYSER N ~~~~
MY COMMISSION EXPIRES
August 28, 2012
HOPWA YEAR 2009-2010 CONTRACT
AIDS Outreach Center, Inc.
OFFICIAL RECORD
ITV SECRETARY
FT. WORTH, T Rev . 08-25-09
age 14
AIDS Outreach Center, Inc .
OUTREACH PROGRAM
PROGRAM SUMMARY
EXHIBIT A
SCOPE OF SERVICES
HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS (HOPWA)
CONTRACT NO .
SCOPE OF SERVICES
June 1, 2009 -May 31 , 2010
PERJOD
$428,952
AMOU T
T hi s Scope of Services is ba se d o n the prop osa l prepared and s ubmitt ed by the Subrecipient throu g h th e City o f Fort
Wo11h 's annu a l Requ es t for Propo sa l (RFP) proc ess. The Subrecipient agrees to operate this Housing Oppo11unities fo r
Persons With AID S (HO PWA ) pro gram in a manner consistent with th e program de liv e ry state d in th e a ppro ve d
proposal. Howeve r, in th e eve nt of any co nflict betw ee n the prop osa l a nd any provi s ion contained , here in , thi s
Agree ment sha ll co ntr o l.
AIDS Outreach Ce nt er w ill pro v id e HOPWA services to low /moderate in co me (LMI) perso ns li v in g with HIV /AIDS
(PLWHA) at AIDS Outreach Center. The Outr eac h pro gram will include the following tasks a nd ac tivitie s: Tenant-
Based Rental Assistance (TBRA), Sho11-Term R ent , Mortgage , Ut ility (STRMU) assistance , Case ma nage ment
su pp o rti ve se rv ic es and Administrative activities. All services will be pro vid ed at 400 North Beac h St., Fo 11 Worth , TX
76 111 from 8:00 a.111. to 5 :00 p .m., Monday -Friday.
The purp ose of the program will be to provide hou s ing and supportive se rvic es to low/mode rat e in co me per so ns livin g
w ith HN/AIDS. T he s pec ifi c o bj ect iv es , goa ls and leve l of se rv ices to be pr ov id ed are li sted be low a lo ng w ith the
geogra phi ca l loca ti o n of c li ent s se rv ed. All se rvic es will be provided from Jun e I , 2009-May 31 ,2 010
T he HOPW A fu nd s w ill be use d to pay for administrative expenses not to exceed 7%, case mana ger ex pe nses, and
fin ancial ass ista nc e for clients which is consistent with Exhibit C-Detailed Budget.
REGULA TORY CLASSIFI CA TI ON:
Regulatory Citation & Activity
24 CFR 574.300(b)(5) TBRA
24 CFR 574.300(b)(6) STRMU
24 CFR 574.300(b)(7) Supportive Services
24 CFR 574.300(b)(10) Admin
Allocated Funds
$329,583
$23,893
$51,562
$23,914
% of Total Allocation
76.8%
5.6%
12%
5.6%
Based on th e nature of the se rvice provid ed, AIDS Outreach Ce nter, Inc . wi 11 ma int a in doc um ent ati o n th at ver ifi es th at
100 % of c li e nt s served by the Outreach progra m are dia gnose d with HIV /A IDS and are inc ome e li gib le with current
ho use ho ld inc omes at o r be low 80 % of Area Median Inc o me (AMI) as estab li shed by th e De pa11111 ent of Ho us in g and
Urba n Development (HUD). Agency sho uld a lso doc um ent th e numb e r of c li ents placed o n jobs as a res ult of 1-IOPW A
s upp o rti ve se rv ices pro v id ed.
GEOGRAPHICAL LOCATION:
Site Address: 4 00 o rth Beac h St., Fo 11 Wort h, TX 7611 I
Client Beneficiary Location (Neighborhood, District, Citywide ... ): Tarra nt , Johnson , Parker, and Hood
Counties
PROGRAM GOALS:
The program goal is to provide financial ass istan ce and sup porti ve serv ices to low/m oderate income persons li vi ng w ith
HIV/ AIDS to a ll ev iate or prevent ho m e lessn ess a nd increase client's access to care.
PROGRAM OBJECTIVES:
Provide tenant-b ased rental assistance to e li gib le clients
Provide s hort-term, rent, m o rtgage, a nd utility assistance to e li gib le clients who may become ho m e less but for
this assistance
Provide case management services to a ll HOPWA c li ents including t he development of a housing plan that wi ll
address barriers to housing stabi li ty and self-suffic iency
PROGRAM SERVICES and ACTIVITIES Total Units of Services for Year
Nu mber of Undup li cated C li ents Served with TBRA 92
Number of Undup lic ated C li ents Served with STRMU 56
Number of Duplicated C l ients Served w ith Supportive Services Only 148
Tota l U nduplicated C li ents Served 148
AIDS Outreach Center
Outreach Program
PROJECTED PERFORMANCE
A. Number o f U nduplicated
C li ent s S e rved
B . Sh o n-Te rm Rent, Mongage
& Utility Payments
C. T e na nt-b ased Renta l
A ssi stanc e Payments
JUN JUL
2009 2009
60 5
5 7
55 0
HOPW A YEAR 2009 -2010
PROGRAM SERVICES SCHEDULE
AVG SEP OCT NOV DEC JAN .
2009 2009 2009 2009 2009 2010
5 6 6 6 7 7
7 8 8 8 9 9
0 0 0 0 0 0
EXHIBIT B
SCOPE OF SERVICES
FEB MAR APR MAY
TOTAL
2010 2010 2010 2010
7 8 8 8 148
7 8 8 8 92
0 0 0 0 56
Organization : AIDS Outreach Center
June 1, 2009 through May 31, 2010
PROGRAM BUDGET
Total Grant
Budget Budget
Expense Category A )
ADMINISTRATIVE SERVICES
Salaries 62 ,345
FICA 4,769
Life Insurance 100
Hea lth Insurance 7,297
Disa bility Insurance 100
Unemployment-State 274
Legal & Accounting 29 ,552
Office Supplies 0
Postage 0
Telephone 0
TOTAL ADMIN EXPENSES 104,437
% Administrative Cost 10.76%
SUPPORTIVE SERVICES
Salaries 340 ,939
FICA 26 ,082
Life Insurance 144
Health Insurance 53 ,778
Disability Insurance 500
Unemployment-State 2 ,045
Teach ino Aids 0
Other Security 13 ,836
Electric/Gas/Water (Utilities) 12 ,276
Rent (Building) 29,477
Office Equipment Rental * 5 ,805
Pr intino 1,138
Repairs 1,290
Postaoe 1,174
Building Maintenance 8 ,856
Office Supplies 7 ,278
Telephone 5 ,233
Fidelity Bond *** 0
Corporate Insurance•••• 6 ,991
Private Auto Allowance 3 ,350
Conference & Seminars 1,276
TOTAL SUPPORTIVE SERVICES 521,468
SHORT TERM RENT, MORTGAGE,
UTILITY ASSISTANCE 22,447
TENANT-BASED RENTAL ASSISTANCE 322.422
TOTAL 970,774
Note: Column A should be the total of Columns B through F
*Specify on Budget Detail (following pages)
B)
16,465
1,260
49
2 ,007
122
96
3 ,915
0
0
0
23,914
5.58%
35 ,589
2 ,723
108
4,428
270
211
0
254
1,140
3 ,600
509
20
55
102
652
319
720
0
862
0
0
51,562
23,893
329,583
428,952
Tarrant Cnty
Pass-through
'C)
12 ,385
947
0
1,978
0
85
23 ,310
0
0
0
38,705
9.72%
237 ,622
18 ,178
0
38 ,212
0
1,650
0
1,055
10,441
24,479
4 ,791
243
1,220
1,060
4 ,014
989
3,997
0
4 ,702
0
1,276
353 ,929
5,715
0
398,349
Program T itle : HOPWA
Private
Funding
D) (E) 'F)
0 0 33,495
0 0 2 ,562
0 0 51
0 0 3 ,312
0 0 (22'
0 0 93
0 0 2 ,327
0 0 0
0 0 0
0 0 0
0 0 41,818
0 0 26.50%
0 0 67 ,728
0 0 5 ,181
0 0 36
0 0 11 ,138
0 0 230
0 0 184
0 0 0
0 0 12 ,527
0 0 695
0 0 1,398
0 0 505
0 0 875
0 0 15
0 0 12
0 0 4 ,190
0 0 5 ,970
0 0 516
0 0 0
0 0 1,427
0 0 3 ,350
0 0 0
0 0 115 ,976
0 0 0
0 0 0
0 0 157,794
**Use One column for each non-grant funding source; note below which column equates to each source (from Leverage of Funds ):
••• Fidelity bond and liability insurance are required of all subcontractors and may be pa id from grant funds or other funds.
(C) Tarrant County (RWI , RWII , TDH State Svcs)
(D) Supportive Housing Program (SNAPS) (F) Other (Private funding, etc.)
Organization: AIDS Outreach Center Program T itle : HOPWA
GRANT BUDGET DETAIL
(GRANT FUNDED ITEMS ONLY )
STAFF SALARIES -ADMINISTRATIVE SERVICES
(A ) (B)** (C)
Salary Annual % of Time
Pos iti on/Title Hourly Rate Hours X =
Associate Executive Di rect or $ 30.20 2 ,080 1.80 %
Office Manager $ 17.17 2 ,080 1.80 %
Executive D irector $ 33 .65 2 ,080 1.80 %
Staff Accountant $ 20 .88 2 ,080 1.80 %
Director of Administrative Services $ 19.01 2 ,080 1.80 %
Receptionist $ 10 .50 2 ,080 1.80 %
Case Manager $18.50 2 ,080 30 .00 %
!TOTAL STAF_F SALARIES
** Note: 2 ,080 hours annually comprise a f ull-time position
FRINGE BENEFITS -ADMINISTRATIVE SERVICES
% of % Paid by
Category Payroll Amount Employer
FICA 7 .65% $ 1,2 60 0.00 %
Life Insurance 40 .80% $ 49 0.00 %
Heal th Insurance 40 .80% $ 2 ,00 7 0.00%
D isabil ity Insurance 40 .80% $ 122 0 .00%
Unemployment Insurance 40 .80% $ 96 0.00 %
TOTAL FRINGE BENEFITS
ITOTAL PERSONAL SERVICES (Total Staff Salaries+ Total Fringe Benefits)
% Pa id by
Grant
100.00%
100 .00%
100 .00%
100 .00 %
100.00 %
(D)
Total
Amount
$ 1,131
$ 643
$ 1,260
$ 782
$ 712
$ 393
$ 11 ,544
$ 16,465 I
Total
Amoun t
$ 1,260
$ 49
$ 2 ,007
$ 122
$ 96
$ 3 ,535
$ 20 .0001
Organization : A IDS O utreach Center
Category
Telephone
Gas , W ater, Electric
Other (Specify)
!TOTAL UTILITIES
Building Location
1. 80 1 W Cannon . Fort Wo rth, TX
2 .
3 .
!TOTAL B UI LD ING RENT
Category
Le gal & Accounting
Supplies
Postage
Copying & Printing
Building Maintenance
Corporate In surance
Office Equipment Renta l
Other -Building Security Guard & Monitoring
Repairs
Other
ITOTAL OTHER EXPENSES
Event
1 .
2 .
3 .
!T OT AL CON FE R E NCES & S E MI NARS
Item
1.
2 .
3 .
ITOTAL OFFICE EQUIPMENT RENTAL
GRANT BUDGET DE TAIL
(GRANT FUNDED ITEMS ONLY)
(CONT INUED)
UTILITIES
Average Cost
Pe r Month
60
95
BUILDING RENTAL
Number of
Square Feet
9,600
Program Title : H O PWA
Number of
Months
12
12
Cost Per Numbe r of
Square Foot Months
$7.50
OTHER EXPENSES (S ee Note Be low)
Tota l % Cha rged
Cha rge to Grant
87 ,000 4 .50%
7 ,095 4 .50 %
2 ,276 4 .50%
436 4 .50%
14,493 4 .50%
19 ,156 4 .50%
11 ,30 1 4 .50 %
4,423 4 .50 %
1,220 4 .50 %
-4 .50 %
147 ,400
CONFERENCES & SEMINARS
Tota l % C harged
Charg e to Grant
OFFIC E EQUIPMENT REN T AL
Total % Charged
C ha rge to Grant
Note : % charge to CDBG cannot exceed 20% of CDBG budget allocation or 7% of HOPWA budget allocation
Total
Amo unt
$720
1 ,140
$1 .860 I
Total
Amount
12 $3 ,600
$3,600 I
Tota l
Amount
3 ,915
3 19
102
20
6 5 2
862
509
199
55
-
$6 ,633 1
Total
Amount
$01
Total
Amount
$0 I
Organization : AIDS Outreach Cent er Program : HOPWA
LEVERAGE OF FUNDS
The City of Fort Worth , through its CDBG , ESG and HOPWA funds , does not provide 100% of the funding for programs Please
indicate below the funding source and amount of funds that will be used to leverage the request ed CDBG ,ESG and HOPWA
funds for the en tire period of the program . Letters of commitment shou ld be attached in support of all le veraged funds .
FUNDING SOURCE
Ta rrant Co unty Pas s-throu g h g rant s (RWI, II & State Svcs )
Oth er (Private fund inQ , etc .)
TOTAL ALL ESTIMATED CONTRIBUT IONS :
ANTICIPATED DATE
OF RECEIPT
Current
Curre nt
AMOUNT
398,3 4 9
157 ,794
$556,14 3
EXHIBITD
CITY OF FORT WORTH HOUSING & ECONOMIC DEVELOPMENT
Audit Certification Form
Subrecipient: A !D5 QJ7i?m:f,\ ~~Fiscal Year Ending: 03 /.i?.l_/ U) 10
Mo Day Yr
~uring the fiscal year in which funds will be received, we will exceed the federal
expenditure threshold of $500,000 . We will have our Single Audit or Program Specific Audit
completed and will submit the A-133 audit report within nine (9) months after the end of the
audited fiscal year or thirty (30) days within its completion, whichever is the earlier date.
D During the fiscal year in which funds will be received, we will not exceed the
$500,000 federal expenditure threshold required for a Single Audit or a Program Specific Audit
to be performed this fiscal year. (Fill out schedule below)
Must be filled out if Single Audit or Program Audit is not required:
Pass Through Program Name & Contract
Federal Granter Granter CFDA Number Number Ex[!enditures
Total Federal Expenditures for this Fiscal Year $ ___ _
Tit le (Must be CFO , CEO or equivalent)
~Z-~3S-l15'( ~
Phone Number t
Failure to submit this or a s1 · atement or failure to submit a completed single
audit package as described in the federally required audit requirements described in 0MB
Circulars A-133 by the required due date may result in suspension of funding and may
affect eligibility for future funding. Notwithstanding the above, this certification
acknowledges the agency's commitment to meet all other financial reporting, financial
statements, and other audit requirements as may be set forth in the contract.
AIDS Outreach Center
Housing
EXHIBIT E
CONFLICT OF INTEREST
All Applicants
The standards in 0MB Circular A-110, Subpart C, provide that no employee, officer, or agent shall participate in the
selection, award, or administration of a contract supported by Federal funds if real or apparent conflict of interest would
be involved. Such a conflict would arise when an employee, officer, or agent, any member of his or her immediate
family, his or her partner, or an organization which employs or is about to employ any of the parties indicated herein, has
a financial or other interest in the firm selected for an award.
CDBG and HOME Applicants Only
The CDBG regulations at 24 CFR 570 570.611 and HOME regulations at 24 CFR 92.356 provide that no person who is
an employee, agent , consultant, officer, or elected official or appointed official of the recipient or Subrecipient that are
receiving CDBG or HOME funds and (1) who exercises or has exercised any functions or responsibilities with respect to
activities assisted with CDBG funds; or (2) who is in a position to participate in a decision-making process or gain inside
information with regard to these activities, may obtain a financial interest from a CDBG-assisted or HOME-assisted
activity, or have any interest in any contract, subcontract, or agreement with respect thereto, or the proceeds thereunder,
either for themselves or those with who they have family or business ties, during their tenure or for one (1) year
thereafter.
IF NO CONFLICTS EXIST, COMPLETE THE FOLLOWING:
I certify that no conflict of interest exists between The City of Fort Worth and
(Name of Organization)
I certify that no conflict of interest exists between the subcontractors of and
(Name of Organization)
IF THERE IS A CONFLICT, COMPLETE THE FOLLOWING:
I certify that a conflict of interest does exist between The City of Fort Worth and
(Name of Organization)
I certify that a conflict of interest does exist between
and ---------------------------(Name of subcontractor)
(Name of Organization)
Desc rib e the nature of the conflict of interest below: (Pl ease identify the individual, emp loyment, and the conflict or potential conflict [their affiliation with your
Date t:)
CITY OF FORT WORTH
HOUSING AND ECONOMIC DEVELOPMENT DEPARTMENT
COMPLIANCE DIVISION
REQUEST FOR FUNDS
HOPWA 2009-2010
AGENCY : AIDS Outreach Center
ADDRESS: 801 W . Cannon
Fort Worth , TX 76104
SECTION I (AGENCY)
1. Reimbursement Request
A. Admin ist rative Expenditures :
B. Su pportive Service Expenditures:
C. STRMU Expenditures :
D. TBR A Expenditu res :
E. Tota l Rei mburseme nt:
2. Requested By:
A . Age ncy
SECTION II {CITY)
MerriGay Fritz
(Name)
1. BUYSPEED -Purchasing Request
A . BUYSP EED INPUT : Vendo r/PO Numbe r/Requisition Numbe r:
B. Fund/AccounVCenter :
Adm in istration
Su pp ort ive Services
STR MU
TB RA
C. Total Amou nt of this Request:
SECTION Ill (CITY)
1. Verification
A . Contract Compli ance Specia list Charletra Hurt
B. Acco unting
2. Authorization
A. Grants Manager
B. Di recto r
Distri bution:
1 Co py - Accounting
1 Co py -Co mp liance
(Na me)
(Na me)
Barbara Asbury
(Name)
Jesus "Jay" Chapa
(Name)
PROGRAM:
CONTRACT NUMBER:
CONTRACT AMOUNT :
CONTRACT DATE :
DATE OF REQUEST:
IDIS NUMBER:
CURRENT MONTH
$
$
$
$
$0 .00
(Signature)
$0 .00
(Signature)
(Signature)
(Signature)
(Signature)
Note: Any Request for Funds that exceed $8500 requires the signature of both Grants Manager/Designee and Di rector
Attach ment I
Outreach
$428 ,952
6/1/2009
CUMULATIVE
$
$
$
$
$0.00
(Date)
(Date)
(Date)
(Date)
(Date)
CITY OF FORT WORTH ATT ACHME NT II
HOUSING AND ECONOMIC DEVELOPMENT DEPARTMENT
COMPLIANCE DIVISION
AIDS Outreach Center
AG EN CY
Outreac h
PROGRAM
COS T CAT EGORY
ADMINISTRATIVE EXPENSES
Sal aries
FICA
Li fe In surance
Health In suran ce
Disability Ins urance
Unem ployment
Legal and Acco unti ng
Office Suppli es
Postage
Teleph one
ACCOUNT
516 010
518 010
5 18 050
5 18 060
518040
518090
538050
521010
521020
535040
ADMINISTRATIVE EXPENSES SUB-TOTAL
DETAILED STATEMENT OF COSTS
PROGRAM MONTHLY
BUDGET EX PENDITURES
$16,465.00
$1,260.00
$49.00
$2 ,007.00
$122.00
$96.00
$3 ,915.00
$0 .00
$0.00
$0 .00
$23 ,914.00 -
!ADMINISTRATIVE EXPENSES PERCENT OF TOTAL COST= 5.5 7%
SUPPORT SERVICES
Sal aries 516 010 $35,589 .00
FICA 518 010 $2,72 3.00
Li fe In s urance 518 050 $108.00
Health In su ran ce 518 060 $4,428.00
Disability Insurance 508070 $270.00
Un empl oyme nt -State 535 020 $211.00
Teachi na A id s 535 010 $0.00
Other (Security) 535 030 $254.00
Electric/ Gas /Water / Utilities 537 010 $1,140.00
Re nt (Bu il d ina ) 539 220 $3 ,600.00
Office Eq ui pm ent Rental 537 030 $509.00
Printi na 533 030 $20.00
Reoai rs 536 010 $55.00
Pos taa e 538 210 $102.00
Bui ld ina Ma inte na nce 534 020 $652 .00
Office Su pplies 538 050 $319.00
Tele oh one 532 130 $720.00
Corporate In sura nce 534020 $862.00
Priv ate Auto A llowance 532130 0
Confere nce & Seminars 539120 0
TOTAL SUPPORT SERVICES $51 ,562.00
SHORT-TERM RENT,
MORTGAGE, & UTILITY
ASSISTANCE 539120 $23,893.00
TENANT-BASED RENTAL
ASSISTANCE 539120 $329,583.00
TOTAL $428,952.00
CONTRACT NO. DATE
TO -R-E-PO_R_T_P_E_R-IO_D_ -------
CU M ULATIVE
TO DATE BALANCE
I
Contracto rs Certification : I certify that the costs incurred are take n from t he books of account and that su ch costs are vali d an d consistent with t he te rm s of
the agreement.
NAME and T ITLE OF AUTHORIZED OFFICER SIGNATURE and DATE
AIDS Outreach Center
Agency
Outreach
Program
NO DATE CHECK NO
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
TITLE OF AUTHORIZED OFFICER
CITY OF FORT WORTH
HOUSING & ECONOMIC DEVELOPMENT DEPARTMENT
COMPLIANCE DIVISION
EXPENDITURES WORKSHEET
PAYEE DESCRIPTION
Attachment Ill
Date
To
Report Period
ACCOUNT NO. AMOUNT
TOTAL $0.00
SIGNATURE AND DATE
CITY OF FORT WORTH
HOUSING AN D ECONOMIC DEVELOPMENT DEPARTMENT
COMPLIANCE DIVISION
HOPWA 2009-2010
1. Name and Address of Subgrantee : 2. Project Name:
AIDS Outreach Center 3. Contract Number:
801 W. Cannon St. 4. Contract Date :
Fort Worth , TX 76104
Month & Year
5. Program Services and Activites (Report Clients, Not Payments)
HOPWA
CURRENT
MONTH ONLY Cumulative
a.# of Tenant-Based Rental Assistance (TBRA)
b.# of Short-Term Rental, Mortgage and Utility Assistance (STRMU)
c.# of STRMU clients that have moved to TBRA
d .Total # of Unduplicated Clients (a+b)-c
Number of Households
HOPWA
CURRENT
MONTH AMOUNT OF
ONLY CUMULATIVE HOPWAFUNDS
6. Suooortive Services
7. Resource ldentificationrrechnical Assistance
8. Housing Information Services
9. Permanent Housing Placement Services
10 . Monthly Income Groups of Households for all Unduplicated Client,
Tenant Based Rental Assistance (TBRA)
$0-250 $251-500 $501-1000 $1001-1500 $1501-2000
Current Month
Cumulative
Short, Tenn, Rent, Mortgage, Utility Asst. (STRMU)
$0-250 $251-500 $501-1000 $1001-1500 $1501-2000
Current Month
Cumulative
fFor Clients Receiving Supportive Services Only (unduplicated)
$0-250 $251-500 $501-1000 $1001-1500 $1501-2000
Current Month
Cumulative
Ou treach
June 1 2009-May 31 , 2010
# Assisted
With Other Amount of
Funds Other Funds
#ASSISTED AMOUNT OF
W/OTHER OTHER
FUNDS FUNDS
Over $2000 TOTAL
0
0
Over $2000 TOTAL
0
0
Over $2000 TOTAL
0
0
Certification : The undersigned , hereby, gives assurance that to the best of my knowledge and belief, the data included in this report is true and
acc ura te. It is also acknowledged that the provision of false information could leave the certifying official subject to the penalties of federal , state ,
and local law.
DATE: Submitted b Phone Number: -----.__________________ ----------
Signature Required
Attachment IVa
1. Name and Address of Sub-Grantee
CITY OF FORT WORTH
HOUSING AND ECONOMIC DEVELOPMENT
COMPLIANCE DIVISION
HOPWA 2009-2010
2. Project Name _O_u_t_re_a_c_h ___ _
AIDS Outreach Center
801 W . Cannon St.
Fort Worth , TX 76104
Month & Year
Tenant Based Rental Assistance-TBRA
Race : Section Must be Completed!
White
Black/African American
Asian
American Indian/Alaskan Native
Native Hawaiian/Other Pacific Islander
Indian/Alaskan Native & White
Asian & Wh ite
Black/African American&White
American Indian/Alaskan Native & Black
African American
Other Multi-Racial
TOTAL
Undu licated Beneficia Data
Number of persons (Adults and
Children with HIV/AIDS who
received Housin Assistance
Number of Other Persons in Family
unit who received Housing
Assistance
Households Previous! Homeless
Of Previously Homeless
Households, number of those who
were Chronicall Homeless
This da ta relates to participants
Current Month
Cumulative
Current Month
0
Total
Female Head
of Household
I I
Cumulative
Current Month
Unduplicated AQe
17 and Under
18 to 30 Years
31 to 50 Years
51 Years and Older
Total
3. Contract No.
Ethnicity: ISectlon
Must be Completed)
Hispanic
Current Month
FemaleTBRA
Participants
0
Hispanic
Cumulative
Male TBRA
Participants
Attachment IVb
Non-
Hispanic
Current
Month
0
Non-
Hispanic
Cumulative
Certification: The undersigned, hereby, gives assurance that to the best of my knowledge an d belief, the data included in this report is true and accurate. It is also acknowledged that the
provision of false information could leave the certifying official subject to the penal ties of federal, state, and local law.
Date : _______ Submitted by : _________________ Phone No. _______ _
Signature Required
1. Name and Address of Sub-Grantee
AIDS Outreach Center
CITY OF FORT WORTH
HOUSING AND ECONOMIC DEVELOPMENT
COMPLIANCE DIVISION
HOPWA 2009-2010
2. Project Name _O_u_t_re_a_c_h _______ _
... a_o_1_w_. _c_a_nn_o'-n _________________ 3. Contract No.
Fort Worth , TX 76104
Month & Year
Short-Term Rent Mortgage Utility Assistance-STRMU
Race : Section Must be Completed)
White
ack/African American
Asian
American Indian/Alaskan Native
Native Hawaiian/Other Pacific Islander
Indian/Alaskan Native & White
Asian & White
Black/African American&White
American Indian/Alaskan Native & Black
African American
Other Multi-Racial
TOTAL
Undu licated Beneficia Data
Number of persons (Adults and
Children with HIV/AIDS who
received Housin Assistance
Number of Other Persons in family
unit who received Housing
Assistance
Number Assisted with Mortgage
Assistance
Households Previous! Homeless
Of Previously Homeless
Households, number of those who
were Chronicall Homeless
This data relates to participants
Current Month
Cumulative
Current Month Cumulative
Total
Female
Head of
Household
0
E=3
Current Month
Unduplicated Aae
17 and Under
18 to 30 Years
31 to 50 Years
51 Years and
Older
Total
Ethnicity : {Section
~
Completecll
Hispanic
Current Month
Female
STRMU
Participants
0
Hispanic
Cumulative
Male STRMU
Participants
Non-
Hispanic
Current
Month
0
Attachment !Ve
Non-Hlspani
Cumulative
Ce rt ification: The un ders igned , hereby, gives assurance that to the best of my knowledge and be lief, the data included in this repo rt is true and accurate. It is also acknowledged that the
provision of false in format ion could leave the cert ifying official su bject to the penal ties of federal , st ate , and loca l law .
Date: ______ Submitted by: _________________ Phone No . ______ _
Signature Required
1. Name and Address of Sub-Grantee
AIDS Outreach Center
801 W. Cannon
Fort Worth, TX 76104
Tenant Based Rental Assistance
Based on data from Attachment
Recent Living Situation Counts /Va , Section 6a
Participant Counts/From ... Current# Cumulative
Homeless/Streets
Transitional Housing
Emergency Shelter
Psychiatric Facility
Substance Abuse Treatment
Hospital/Medical
Jail/Prison
Domestic Violence
Living w/Relatives/Friends
Rental Housing
Participant-Owned Housing
Other Situations
City of Fort Worth
Housing and Economic Development
Compliance Division
HOPWA 2009-2010
2. Project Name
3. Contract No.
Month & Year
Short Term Rental Assistance
Recent Living Situation Counts
Participant Counts/From ...
Homeless/Streets
Transitional Housing
Emergency Shelter
Psychiatric Facility
Substance Abuse Treatment
Hospital/Medical
Jail/Prison
Domestic Violence
Living w/Relatives/F riends
Rental Housing
Participant-Owned Housing
Other Situations
Outreach
Based on data from Attachment
/VA , Section 6b
Current# Cumulative
Ce rt ifi ca ti on: Th e und ersig ned, hereby, gives ass urance th at to the best of my knowledg e and beli ef, th e data inclu ded in thi s report is tru e an d acc urate . It is also ac knowle dged that the
pro v isio n of fa lse inform ation co uld lea ve the ce rt ifyin g offi cial subj ect to the penaltie s of fe deral, state , and loca l law.
Date: Submitted by : Phone No.
Signature Required
Attachment IVd
1. Name and Address of Sub-Grantee
AIDS Outreach Center
801 W. Cannon
Fort Worth , TX 76104
Ci ty of Fort Worth
Housing and Econom ic Development
Compliance Div isi on
HOPWA 2009-2010
2. Project Name
3 . Contract No .
Month & Year
Outreach
**All data reported should be undup/icated for the current month
Number of Number of
households Cu"enl Month households with Amount of Other
with Expenditures Other funds (whether funds (whether
HOPWA Amount of HOPW A from G rantee or from Grantee or
Suooortive Services funds funds other sources) other sources)
a. Outreach
b . Case Management
C. Life Management
d . N utritional Services/Meals
e . Adult Day Care and Personal Assistance
f. Child Care and other Children's Services
g. Edu cation
h. Employment Assistance
i. Alcoho l and Drug Abuse Services
j. Mental Health Services
k. Health/Medical/Intensive Care Services
I. Transportation
m. Other (specify)
n . Other (specify)
0. Number of Jobs that resulted from g. and h .
TOTAL
(current month HOP WA expenditure column
should equal total in supportive service section
on Attachment II)
Receiving
Supportive
Services w/ Receivi ng
Housing Supportive Services
Current Month Undu olicmed Only Assista nc e Onl y
Persons with HIV/AIDS
Other Persons in Family Unit
Certification : The undersigned , hereby , gives assurance that to the best of my knowledge and belief. the data included in this report is true and
accurate. It is also acknowledged that the provision of false information could le ave the certifying official subject to the penalties of federal , state, and
local law.
Date: Submitted by: Phone No .
Signature Required
Attachment !Ve
1. Name and Address of Sub-Grantee
AIDS Outreach Center
801 W . Cannon
Fort Worth , TX 76104
City of Fort Worth
Housing and Economic Development
Compliance Division
2. Project Name _O_u_t_re_a_c_h ___ _
3. Contract No.
Month & Year
Attachment IVf
Supportive Services (Unduplicated data only; clients reported on Attachment /Vb & /Ve should not be reported here.)
Race : Section Must be Completed)
White
Black/African American
Asian
American Indian/Alaskan Native
Native Hawaiian/Other Pacific Islander
Indian/Alaskan Native & White
Asian & White
Black/African American&White
American Indian/Alaskan Native & Black
African American
Other Multi-Racial
TOTAL
Unduplicated Beneficia .Data
Number of persons (Adults and
Children with HIV/AIDS who
received Housin Assistance
Number of Other Persons in Family
unit who received Housing
Assistance
Households Previous! Homeless
Of Previously Homeless
Households, number of those who
were Chronicall Homeless
This data relates to participants
Current Month
Cumulative
Current Month
0
Total
Female Head of
Household
Cumulative
Current Month
Ud r tdA n up1ca e ,ge
17 and Under
18 to 30 Years
31 to 50 Years
51 Years and Older
Total
Ethnicity: (Section
Must be Completed)
Hispanic
Current Month
Female TBRA
P rt" · t a 1c1pan s
0
Hispanic
Cumulative
Male TBRA
p art1c1pants
Non-
Hispanic
Current
Month
0
Non-
Hispanic
Cumulative
Certification: The undersigned , hereby, gives ass urance tha t to the best of my knowledge and belief, the data included in this report is true and accurate . It is also acknowledged that the provision of
false information could leave the certifying official su bject to the penalties of federal , state, an d local law.
Date: _______ Submitted by: _________________ Phone No. _______ _
Signature Required
City of Fort Worth
Hous ing and Economic Development
Compl iance Divis ion
HOPWA 2009-2010
Agency/Address 2. Program Name: Outreach
Attachment V
_A_I_D_S_O_ut_re_a_c_h_C_e_nt_e_r ________ 3. Contract No: _____ _ Contract Date: June 1, 2009
801 W . Cannon
_F_o_rt_W_ort_h....:.,_T_X_7_61_0_4 ________ 4. Date of Request:
Month & Year
5. PROGRAM SERVICES AND ACl"IVITIES:
**Goals listed on Contract Exhibits A&B should be listed here.
Unduplicated Clients for Tenant-Based Rental Assistance {TBRA)
Unduplicated Clients for Short-Term Rent , Mortgage , Utility Asst. (STRMU)
Total Unduplicated Cl ients Served
6 . SCOPE OF WORK NARRATIVE:
7. PROBLEMS ENCOUNTERED/ SOLUTIONS PROPOSED:
8. ANTICIPATED ACTIVITY DURING THE NEXT MONTH:
Contract Amount: $428 ,952
CURRENT CUMULATIVE
Ce rt ificatio n: T he undersigned , hereby, gives ass urance that to t he best of my knowledge and belief, the data included in this report is true and
accurate . It is also acknowledged that the provision of false information co uld leave the certifying offic ial subject to the penalties of federal ,
state , and local law.
Date: Submitted By: Phone No.
Signature Required
1. Name and Address of Sub-Grantee:
AIDS Outreach Center
801 W . Cannon
Fort Worth, TX 76104
Name/Client Number Sex Race
City of Fort Worth
Hous ing and Economic Development
Compl iance Division
HOPWA 2009-2010
CLIENT DATA REPORT
Sh ort-erm H OUSln';/ A ss,stance
2. Project Name:
Outreach
Month & Year
Cumulative
#of #of Weeks
Family of
Ethnicity Members Income Assistance Street Address
Total Mortgage Assistance Expenditure for Current Month: $ ____ _
Certification: The undersigned , hereby, gives assu rance that to the best of my knowledge and belief, the data included in this report is true and accurate. It is
also acknowledged that th e provision of false information could leave the certifying official subject to the penalties of federal, state, and local law.
3. Contract #
Date: ______ Submitted by : _______________________ _ Phone Number: _________ _
Signature Required
Attachment Via
Type of .
Assistance Amount
TOTAL:
1. Name and Address of Sub-Grantee:
AIDS Outreach Center
801 W . Cannon
Fort Worth , TX 76104
City of Fort Worth
Housing and Economic Development
Compliance Division
HOPWA 2009-2010
CLIENT DATA REPORT
Tenant-Based Rental Assistance
2. Project Name:
Outreach
Month & Year
# of
Family
Name/Client Number Sex Race Ethnicity Members Income Street Address
Certificatio n: The undersigned , hereby, gives assurance that to the best of my knowledge and belief, the data included in this report is
true and accurate . It is also acknowledged that the provision of fa lse information could leave the certifying official subject to the
penalties of federal , state , and local law.
3. Contract # -----
Amount
TOTAL:
Date : _____ _ Submitted by : ______________________ _ Phone Number: _________ _
Signature Required
Attachment Vlb
1. Name and Address of Sub-Grantee:
AIDS Outreach Center
801 W . Cannon
Fort Worth , TX 76104
Name/Client Number Sex Race Ethnicity
City of Fort Worth
Housing and Economic Development
Compliance Division
HOPWA 2009-2010
CLIENT DATA REPORT
Tenant-Based Rental Assistance
2. Project Name:
Outreach
Month & Year
#of Family
Members Income Street Address
.
Certification: The undersigned, hereby, gives assu rance that to the best of my knowledge and belief , the data included in this report is true
and accu rate. It is also acknowledged that the prov ision of fa lse information could leave the certifying official subject to the penalties of
fede ral, state , and loca l law.
Date : ______ Submitted by : ______________________ _ Phone Number :
Signature Required
Attachment Vic
3. Contract #: --------------
Type of Supportive Service See
Attachment /Ve for typ es
----------
M&C Revi e w Page l of 3
Officia l site of the City of Fort Worth, Texas
CITY COUNCIL GENOA FORT WORTH
~
DATE:
CODE:
9/8/2009
C
COUNCIL ACTION: Approved on 9/8/2009
REFERENCE NO.: C-23766
TYPE: NON-
CONSENT
LOG NAME:
PUBLIC
HEARING:
17091 OGRANTACT
NO
SUBJECT: Authorize the Execution of Contracts and Interdepartmental Letters of Agreement for
Social and Housing Services for Program Year 2009-2010 Funded with Grant Funds from
the United States Department of Hous i ng and Urban Development Under its Community
Development Block Grant, Emergency Shelter Grant and Hous ing Opportunities for
Persons with AIDS Program
RECOMMENDATION:
It is recommended that the City Council:
1. Authorize the City Manager, or his designee, to execute contracts for federal grant funds for
Program Year 2009-2010 for Community Development Block Grant, Emergency Shelter Grant and
Housing Opportunities for Persons with AIDS grant funds, contingent upon receipt of adequate
funding from the United States Department of Housing and Urban Development;
2 . Authorize the City Manager, or his designee , to extend or renew the contracts for up to one year if
an agency requests an extension and such extension is necessary for completion of the program;
and
3 . Authorize the City Manager, or his designee, to amend the contracts , if necessary, to achieve
program goals, provided any amendment is within the scope of the program and in compliance with
all applicable laws and regulations governing the use of federal grant funds .
DISCUSSION:
On April 15 , 2009, the City's Act ion Plan for use of federal grant funds under the Community
Development Block Grant Program (CDBG), HOME Investment Partnerships Program (HOME),
Emergency Shelter Grant (ESG), and Housing Opportunities for Persons W ith AIDS Program
(HOPWA) (M&C G-16513) was subm itted to the United States Department of Housing and Urban
Development (HUD). On May 1, 2009 , HUD requested a revised Action Plan that provided more
detail on the programs to be undertaken . The City's revised Action Plan (M&C G-16600) was
submitted to HUD on June 23 , 2009 , and approved on June 27 , 2009.
The revised Action Plan allocated $1,043,688 .00 in CDBG funds to publ ic services activities including
child care, youth and senior services and other housing related services that benefit primarily low and
moderate income or d isabled and disadvantaged populations . It also allocated $865 ,754 .00 in
HOPWA funds to non-profit organizations providing housing and supportive services to persons with
AIDS and awarded $279 ,757 .00 in ESG funds to homeless services providers and local emergency
shelters. The City's Commun ity Development Council rev iewed grant fund proposals and heard
presentations i n public meetings and recommended grant awards as part of the Act ion Plan
development process . Contracts w ill be executed with the agencies listed below and in accordance
with HUD recommendation , interdepartmental letters of agreement executed by the respective
department heads will be used to govern all grant funded activities implemented by City departments.
All contracts and interdepartmental letters of agreement will authorize reimbursement of eligible costs
htt p://a pp s .cfwn et.org/co un cil _packet/m c _rev iew.as p?ID = l l 724 &co unci ld ate =9 /8/2009 9/9/2009
M&C Review
as of their initial dates.
In order to approve the revised Action Plan , HUD required that the eight programs listed below have
a contract term of 11 months from July 1, 2009 , to May 31, 2010, for their full grant award. Each
agency or department was notified of the shortened contract period and agreed with the adjustment.
Organization Amount
Senior Citizen Services-Como Senior Citizens $18,000 .00
Senior Citizen Services-Diamond Hill Senior Center $18,000 .00
Senior Citizen Services-Doc Session Senior Citizens $16,000 .00
YWCA Fort Worth and Tarrant County-Child Development Program $135 ,000.00
The Salvation Army-S.T .A.R.T. $20,000 .00
CFW-PACSD-Northside Community Action Partners (CAP) Rehabilitation $6,431.00
CFW-PACSD-Northside Community Action Partners (CAP) Utility Payments $19,293 .00
CFW-PACSD-Como Kids $25,000.00
CFW-PACSD-Woodhaven After School Enrichment $16 ,200.00
TOTAL CDBG $ 273,924.00
The agencies implementing the programs and activities listed below will be awarded contracts for a full
12 month term .
Community Development Block Grant (CDBG):
Organization
AB Christian Learning Center-Stop Six Community Go Center
Boys and Girls Club of Greater Fort Worth-Estrellas
Cenikor Foundation-Substance Abuse Saves/Homeless
Child Care Associates-Child Care
CJ's Studio of Performing Arts-Dance Studio
Clayton YES-Greenbrier Preschool
Clayton YES-School Aged Child Care
Cook Children's Health Care System-Save a Smile
Cornerstone Assistance-New Life Center
Cultural Center of Americas-GED/Adult Literacy in Spanish
Day Resource Center for the Homeless
EFW Montessori School , lnc .-Montessori Child Care
Fort Worth Housing Authority-Amaka Child Care Center
Girls , Inc., of Tarrant County-Girl Power
CFW-HED Housing Counseling and Foreclosure Prevention
JMAC Youth Center of Tarrant County
The Ladder Alliance-Employment Training
Latin Arts Assoc iation , d/b /a Artes de la Rosa-After School Drama Program
Meals on Wheels , Inc., of Tarrant County-Home Delivered Meals
Mental Health Association of Tarrant County-Ombudsman Program
Mental Health Association of Tarrant County-Mental Health Advocate
Northside lnterChurch Agency-Good Works/Buenas Obras
REACH , Inc. -Project Ramp
Tarrant Area Food Bank-Community Kitchen
United Community Centers-Crisis Intervention Program
UNT Health Science Center-Community Go Center
YMCA of Metropolitan-School Age Ch ild Care
YWCA -My Own Place
http ://a pps .cfw net.o rg/co un cil _packet/mc_review .as p?ID =l l 724&co un cild ate=9 /8/200 9
Amount
$20,000 .00
$14,400 .00
$21,000.00
$117 ,000 .00
$10 ,886 .00
$18,000.00
$54 ,000 .00
$21,870 .00
$15 ,297.00
$18,070.00
$50 ,000.00
$20 ,000.00
$27 ,000.00
$12,600 .00
$45 ,000 .00
$25 ,000.00
$20 ,000.00
$20 ,000 .00
$33 ,696 .00
$15 ,750 .00
$22 ,275 .00
$21 ,092 .00
$50 ,000 .00
$18 ,000 .00
$16 ,200 .00
$20 ,000 .00
$25 ,000 .00
$17 ,628 .00
Page 2 of 3
9 /9 /2009
M&C Rev iew
TOTALCDBG
Emergency Shelter Grant (ESG):
Organization
Presbyterian Night Shelter-Emergency Shelter
SafeHaven of Tarrant County-Shelter Operations
SafeHaven of Tarrant County-Supportive Childcare
YWCA Fort Worth and Tarrant County-Supportive Living
City of Fort Worth PACSD-SHIPP
TOTAL ESG
Housing Opportunities For Persons With A IDS (HOPWA):
Organzation
~IDS Outreach Center-HOPWA
AIDS Resources of Rural Texas-HOPWA
Catholic Charities-Lady Hogan Project
Tarrant County Samaritan Housing, lnc.-Supportive Services
TOTAL HOPWA
FISCAL INFORMATION/CERTIFICATION:
$769,764.00
Amount
$181 ,561 .00
$20 ,000 .00
$15 ,157.00
$13 ,039.00
$50 ,000 .00
$279,757.00
Amount
$428,952.00
$102 ,778 .00
$64 ,652.00
$269 ,372 .00
$865,754.00
The Financial Management Services Director certifies that upon approval of the above
recommendations funds will be ava i lable i n the current operating budget, as appropriated, of the
Grants Fund , contingent upon approval and receipt of adequate funding from HUD for the term
beginning June 1, 2009 , and ending May 31 , 2010.
TO Fund/Account/Center
Submitted for City Manager's Office by :
Originating Department Head:
Additional Information Contact:
ATTACHMENTS
FROM Fund/Account/Centers
GR76 539120 017206353XXX $279 . 757.00
GR76 539120 017206354XXX $865 . 754 .00
GR76 539 120 017206350XXX 1 043 688.00
Tom M. Higgins (6192)
Jesus "Jay " Chapa (5804)
Barbara Asbury (7331)
http://a pps.cfwnet.org/counci l_packe t/mc _review.a sp?ID =l l 724&co un c il date=9/8/2009
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9/9/2009