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HomeMy WebLinkAboutContract 60964a FORT WORTFL CSC No. 60964 LANDLORD PERMISSION AND FINANCIAL PARTICIPATION FORM AND AGREEMENT FOR THE CITY OF FORT WORTH WEATHERI7.ATION ASSISTANCE PROGRAM LANDLORD PERMISSION TO PERFORM ASSESSMENT & INSPECTIONS FOR RENTAL UNITS Your multifamily or single family building(s), as applicable, is under consideration to receive services from the Weatherization Assistance Program ("WAP"). The City of Fort Worth ("City") is under contract with the Texas Department of Housing and Community Affairs ("TDHCA") to administer the WAP in Tarrant County. The WAP operates under Federal and State rules which have certain requirements of which you, as a multi -family building landlord, should be aware. At the bottom of this page is a PERMISSION TO ENTER PREMISES section granting your permission for the Citv of Fort Worth to enter your buildings) to perform energy audits, collect eligibility documentation from your tenants, and complete applications. Before work begins on your building(s), you will be required to sign a Landlord Agreement, a copy of which is attached for your review. Please be aware that only residential units may be weatherized. Meeting rooms, game rooms, laundry rooms, maintenance rootns, daycare centers, office areas or commercial business areas, and non-residential facilities are not eligible for weatherization services. The City may request a financial commitment from the building's landlord(s) based on the estimated cost for each building containing multi -family rental units. Exceptions to this requirement can be made when the owner is an income -eligible applicant or a non-profit entity. The financial commitment may be in the form of monetary contributions (checks or money orders), materials, or labor provided to install eligible measures. All monetary contributions provided by landlords will be used for labor and materials. The estimated cost of each building will be based on an energy audit that is performed on each individual unit within the building. When the energy audits are completed, the City will contact you to discuss the proposed weatherization measures for each building and your financial commitment to the project and the Landlord Agreement. After weatherization services have been provided, the City is required to conduct a quality control inspection to ensure that work was completed in accordance with the standards set forth by the WAP. It is your responsibility to assist the local City staff in gaining entrance to your property. PERMISSION TO ENTER PREMISES I K Derek Lamont Grimes Jr and Dominic Dunlap , as landlord/authorized agent for building(s) located at K 8848 Highland Orchard Dr, Fort Worth TX 76179 , have read and understand the above and hereby grant permission for representatives from the Citv of Fort Worth to enter these premises for the purposes of conducting energy audits and collecting eligibility documentation front the residents, including appliations,'and to perform the weatherization work. K Kit LandlortUAgen �orr4nic `tvAlah K Owners Title 01l0912024 Date / I /a9 lay ►emu mI n; c. 17v etIct p Derck I alnnnt (ivirmslr. Print Name of Landlord/Agent weathenzaltnn Assistance Program - Landlord Permission and Participation Form and Agreement OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX I1. LANDLORD FINANCIAL PARTICIPATION FORM Date of Transaction or Initial Contact: I City of Fort Worth Neighborhood Services Responsible Landlord or Agent for Owners of property currently under consideration for weatherization services: Derek Lamont Grimes Jr and Dominic Dunlap Physical address or location of property under consideration: 8848 Highland Orchard Dr, Fort Worth, TX 76179 Number of multifamily building(s): 0 Number of eligible dwelling units: 1 The WAP requires the City to obtain financial commitment information from the Landlord for the weatherization services that the City intends to perform on the building(s). The landlord or agent for this building(s) has indicated that he/she fully understands this policy and has decided to take the following course of action: (AGENCY SHALL COMPLETE AS REQUIRED. LANDLORD INITIALS APPROPRIATE LINE.) Landlord/Owner will invest S 0.00 for the cost of the weatherization work. This amount represents °jof the total estimated cost of the work. V1 Landlord/Owner is unable to make any financial investment. ❑ Landlord/Owner refuses to make an investment, fl Owner is a 501(C)(3) non-profit organization. ut ro9/2024 / O I / a 9 /14 ndlord/A • e ature Date • Owners Title „ 4 47arhiA L ▪ Derck Lamont (,rime.. lir. Print Name of Landlord/Agent Weatherintian Assistance Program -,Landlord Permission and Participation Form and Agreement 1Dvni ? FORT WORTH entity. Each party is fully entitled to rely on these warranties and representations in entering into this Agreement or any amendment hereto. 15. This Agreement ctnnlot be modified or amended without the written consent of all the parties hereto and attached and made a part of this Agreement. lb, This written instrument constitutes the entire Agreement by the parties hereto and obligations of the parties and any prior or contemporaneous oral or written agreement that purports to vary from the terms hereof shall be void. Signatures: Landlord / Agent: i 1 Rr_ / Landlord > eat Signature ^� / 17 arhiti c V un15 1) Owners Title 01 /09/2024 Date ►7 nlg1 vfn:nt t v K Derek Lamont Grimes Ir. Print Name of Landlord / Agent / 0( /a9/a3 City of Fort Worth: By: "` Name: Victor Turner Title: Director, Neighborhood Services Department Approved as to Form and Legality: By: Name: Jessika Williams Title: Assistant City Attorney Attest: By: Name: Jannette Goodall Title: City Secretary Contract Compliance Manager: By signing 1 acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. By: Jo Cain 15, 2024 8:14 CST) Name: John Cain Title: Neighborhood Development Manager, Neighborhood Services Department Weatheriztiol Assistance Program - Landlord Permission and Participation Fonn and Agreement 3Lit6 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX l FORT WORTH. P\ State of T-e, County of TTttttt BeforeI�me ��Vk � 15)PeASC on this L{ day of 5.661C`� , 20��, personally appeared 7O r iris ciN. c& & t)L t o 2 (Title) known to me or proved to me to be the person described in and who executed the within and foregoing instrument, and acknowledged that he/she signed the same as his/her voluntary act and deed, for the uses and purposes therein mentioned. (Notary Public) My Commission Expires: (Notary Seal) old9 ALEX ITKIS su m} COMM r 2378028 T. Los Angeles Counry %California Notary Publie7" Corrtm Exp Oct. 9, 2025 A notary pubic or other otytcer completing this certificate mitres only to identity on the indrvdual who signed the document to which this certificate is attached, and not the 001.M/tr ess. accuracy. or vabdity of that dacwmnt. State of California L p\h er el e$ 1 County jZ5 jZoz`a A_\)tk, _--o i , �aC5 On belays frier, (Hem 1,,, Insan Nutt. and Title of the Officer) personalpersonalty) r - appeared `l k-C, 9-s `► °kwh D(.4t, ` 0, p (Name(s) of Signer(,)) who proved to me on the basis of satisfactory evidence to be the persons) whose names) isJare subscribed to (he within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capactirype5) and that by hisTherfthehr signature(s) on the instrument the person(s), or the entity upon behalf of which the personls) acted. executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State o1 California that the foregoing paragraph is true and correct. WITNESS my fend and official seal. Signature (Seal) (Signature of Notary Public) Wcathcrization Assistance Program - Landlord Permission and Participation Form and Agrcemettt State off ©RlO County of 1iit RAo K ...1 k) Before rncC CI�Q MOn1tA& on this c\ day of , 2044, personally appeared DV QE V- L W1- ] R ,Lim.) b t_Qt. co (Title) known to me or proved to me to be the person described in and who executed the within and foregoing instrument, and acknowledged that he/she signed the same as his/her voluntary act and deed, for the uses and purposes therein mentioned, (Notary Public) My Commission Expires: Y3- . tt - ri.t 4 (Notary Seal) ``a 1111 I rr�,f00NR OE Wcalheriratlon Assistance Program - Landlord t'ermtssfnn and Pcrlicipption Form and Agrecmenl