HomeMy WebLinkAboutContract 60271-A1CSC No. 60271-A1
FIRST AMENDMENT TO CITY SECRETARY CONTRACT NO. 60271
This Amendment ("Amendment") is made and entered into by and between the City of Fort
Worth ("City") and Cancer Care Services ("Agency"). City and Agency may be referred to
individually as "Party" and jointly as "Parties."
WHEREAS, the City and Agency made and entered into City Secretary Contract No.
60271 ("Contract") on October 1, 2023;
WHEREAS, City receives grant monies from the United States Department of Housing
and Urban Development through the Community Development Block Grant ("CDBG") Program,
Program No. B-23-MC-48-0010, Catalog of Federal Domestic Assistance No. 14.218;
WHEREAS, due to a misunderstanding of how to calculate the number of unduplicated
clients that will be served, the Agency is requesting to amend the number of unduplicated clients
as listed in Section 5.3.3 of the Agreement and within Exhibit A of the Agreement to a total of
100 unduplicated clients;
WHEREAS, the Agency requested a budget amendment to Exhibit B to add a VP of
Operations to its program. The addition of this position will contribute to the agency's success
in executing grant reporting;
WHEREAS, City believes that the requested amendments will help Agency meet the
program's goals and further the interests of both Agency and City; and
WHEREAS, it is the mutual desire of City and Agency to amend the Contract to complete
the Program and meet Contract objectives.
NOW, THEREFORE, City and Agency hereby agree to amend the Contract as follows:
I.
AMENDMENTS
1. Section 5.3.3 of the Agreement is hereby amended and replaced in its entirety with the
following language: "Failure to comply with the Corrective Action Plan (CAP), meet the Program
Goals, or otherwise comply with serving 100 unduplicated clients may, in City's sole
discretion, disqualify Agency from consideration under the City's Request for Proposals for the
2024-2025 Program Year for federal grant funds.
2. EXHIBIT "A" — PROGRAM SUMMARY attached to the Contract is hereby amended
and replaced in its entirety with EXHIBIT "A" Revised 01/23/2024, attached hereto.
3. EXHIBIT `B" — BUDGET attached to the Contract is hereby amended and replaced in
its entirety with EXHIBIT "B" Revised 02/21/2024, attached hereto.
II.
This Amendment is effective as of the effective date of the Contract.
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
All terms and conditions of the Contract not amended herein remain unaffected and in full
force and effect, are binding on the Parties and are hereby ratified by the Parties. Capitalized terms
not defined herein shall have the meanings assigned to them in the Contract.
ACCEPTED AND AGREED:
CANCER CARE SERVICES
Melanie Wilson, President & CEO
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By:
Jannette Goodall, City Secretary
M&C: 23-0631
1295 Certification No. 2023-993769
Date: August 8, 2023
RECOMMENDED:
Victor Turner, Neighborhood Services Director
CITY OF FORT WORTH
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Fernando Costa, Assistant City Manager
APPROVE AS TO FORM AND
LEGALITY:
By:
Jessika Williams
Assistant City Attorney
CONTRACT COMPLIANCE MANAGER:
By signing, I acknowledge that I am the person responsible
for the monitoring and administration of this contract, including
ensuring all performance and reporting requirements
Mabi Tackett, Human Services Coordinator
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
CANCER CARE SERVICES
EXHIBIT "A"
PROGRAM SUMMARY
(CDBG FUNDS)
OCTOBER 1, 2023 — SEPTEMBER 30, 2024 $50,000.00
Capitalized terms not defined herein shall have meanings assigned them in the Contract.
PROGRAM:
Cancer shouldn't devastate one's finances, 100% of our programs are FREE.
• Cancer Care provides financial assistance with health insurance, medication, nutrition, and
even emergency funds for crisis needs for low-income cancer patients. We also have a Financial
Advocate to help with health insurance issues — as well as providing guidance and support for
financial issues like medical billing errors and helping negotiate payment plans with providers.
• Cancer Care provides a team of Cancer Advocates (community health workers and social
workers) who serve as a bridge between our clients and the complicated health care system. We
advocate for our clients, while also helping them understand cancer -related issues including
terminology, health insurance, treatment expenses, coping with fear, family and job changes,
caregiver needs, plus anything else that they are facing as a result of a cancer diagnosis. We also
have Spanish-speaking staff to minimize language barriers.
• Cancer Care empowers patients to access the care they need by helping them navigate the
health care system. Our comprehensive services include providing case management to help
clients identify and reduce barriers to care, providing financial assistance for health insurance
premiums, providing transportation to treatment, providing resources and referrals, and other
financial and practical services.
• Cancer Care invests tremendous resources in providing transportation to and from treatment
so that geography is no longer a barrier to care. Solving transportation issues requires a great deal
of time from our Cancer Advocates, as well as the expense we incur by purchasing gas cards and
Lyft rides for low-income clients. Our Financial Advocates also help clients find affordable
insurance, answer insurance questions, explain benefits, review medical bills, and anything else
relating to paying for cancer care.
• Cancer Care has two primary programs focused on community outreach and connection
(community -building is a vital way Cancer Care improves quality of life, which can positively
affect health outcomes):
1. When it comes to working within socially and economically vulnerable communities to
provide culturally -appropriate education, resources, and cancer support — our Outreach and Health
I I Page
CDBG CONTRACT 2023-2024-EXHIBIT "A" -PROGRAM SUMMARY
Cancer Care Services
Equity team is there! We also collaborate with cancer screening partners to increase early
detection, which subsequently increases positive health outcomes among communities with lower
cancer survival rates. Our Outreach and Health Equity team has a cancer screening schedule in
place for 2024 with multiple addresses. Additional outreach programs will also take place during
the year.
2. When thinking of community in terms of one's social group, we have staff dedicated to
providing psychosocial support and relationship -building activities to help clients build a circle of
support among others who share a cancer experience.
Cancer Care Services is a local, innovative nonprofit that provides holistic support for cancer
patients, survivors, and caregivers with all cancer types, of all ages, and all income levels (but 81 %
of our clients are considered low to very -low income). The poorer you are, the more likely you are
to GET and DIE from cancer, and a study revealed that financial distress resulting from out-of-
pocket cancer treatment costs increases the risk of death by 79%. Consequently, our navigation
services and financial assistance programs for impoverished cancer patients, like health insurance
payments and transportation to treatment, are especially impactful.
Our office is located at 623 South Henderson St. 76104 in the hospital district. We are open
Monday -Friday from 8 a.m. - 5 p.m., but our social workers and community health workers may
vary their schedules to meet the needs of clients.
REGULATORY CLASSIFICATION:
IDIS Matrix Code(s) and Service Category: 05Z Other Public Services Not List in 03T and 05A-
05Y
National Objective Citation: LMC — Low/Mod Limited Clientele 24 CFR 570.208 (a)(2)
Regulatory Citation(s): 24 CFR 570.201 € or 42 USC 5305(a)(8) + 24 CFR 570.482(c)(2)
Agency will maintain documentation that verifies that 5 1 % of clients served by the Program are
Income Eligible Clients.
PROGRAM GOALS:
Minimum Number of Clients to be served: The Program must serve a minimum of
100 Unduplicated Clients from Fort Worth as shown by the monthly reports on Attachment
III -Client Data Report.
Minimum Countywide Agency Program Performance Outcome: At least 51% of Fort Worth
clients must be Income Eligible Clients. For example, if 800 clients out of 1,000 clients served by
the Countywide Agency are from Fort Worth, 408 of those Fort Worth clients must also be
Income Eligible Clients. In this example, Agency would be required to furnish City 800
Certification of Income Statements that prove at least 408 of the Fort Worth clients served by the
Program are Income Eligible Clients. The 200 Non -Fort Worth clients will be reported in the
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CDBG CONTRACT 2023-2024-EXHIBIT "A" -PROGRAM SUMMARY
Cancer Care Services
quarterly reports through EXHIBIT "A-2" — Reporting Requirements for Countywide
Agency Programs.
Agencv is a Countywide Agencv that provides services to Fort Worth and Non -Fort Worth
clients through a Fort Worth program and Non -Fort Worth program. Non -Fort Worth clients
constitute at least 10% of total clients served. The Program serves Tarrant County clients only,
and Agency will submit documentation which verifies that 51 % of Program clients are Income
Eligible Clients with current household incomes at or below 80% of AMI. Agency will also
submit quarterly reports as required through EXHIBIT "A-2" — Reporting Requirements for
Countywide Agency Programs.
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CDBG CONTRACT 2023-2024-EXHIBIT "A" -PROGRAM SUMMARY
Cancer Care Services
EXHIBIT "B" - BUDGET
Account I Grant Budget I Balance I Increase I Decrease I Total
PROGRAM PERSONNEL I
I A
I
Salaries
1001
$ 50,000.00
FICA
1002
$ -
Life/Disability Insurance
1003
$ -
Health/DentalInsurance
1004
$ -
Unemployment -State
1005
$ -
Worker's Compensation
1006
$ -
Retirement
1007
Staff Training
1008
SUPPLIES AND SERVICES
Office/Program Supplies
2001
Postage
2002
Printing
2003
Adv/Media, Dues/Pub, Printing,
Bank Fees
other
2004
MISCELLANEOUS
Contract Labor Food
Supplies/Meals (City needs copy
of contract before expenses can be
reimbursed)
3001
Food Supplies
3002
Teaching Aids
3003
Craft Supplies
3004
Field Trip Expenses
3005
Mileage
3006
FACILITY AND UTILITIES 1-1
Telephone
4001
Electric
4002
Gas
4003
Water and Wastewater
4004
Solid Waste Disposal
4005
Rent (City needs copy of lease
before expenses can be
reimbursed)
4006
Cleaning Supplies
4007
Repairs
4008
Custodial Services
4009
Utilities, Transportation, PP &E
4010
INSURANCE
Fidelity Bond or Equivalent 5001
Directors and Officers 5002
General Commercial Liability 5003
Page 1
Bank fees
volunteer
volunteer
Prof Fees 5004
DIRECT ASSISTANCE
Audit/IT/Legal Volunteer
Recruitment, Misc. 6001
BUDGET TOTAL $ 50,000.00 $ - $ - $ - $ 50,000.00
FUNDING A: CDBG
FUNDING B: Cancer Care
Services
FUNDING C:
Page 2
The following tables were created for the purpose of preparing, negotiating, and determining the cost
reasonableness and cost allocation method used by the Agency for the line item budget represented on
the first page of this EXHIBIT "B" — Budget. The information reflected in the tables is to be
considered part of the terms and conditions of the Contract. Agency must have prior written approval
by the City to make changes to any line item in the Budget as outlined in Section 5.2.2 in the
Contract. The deadline to make changes to EXHIBIT "B" — Budget is.
SALARY DETAIL -PROGRAM PERSONNEL
Est. Percent to Amount to
Position Title Annual Salary Grant Grant
Client Program Manager $ 31,000.00 60.0% $ 31,000.00
VP of Operations $ 19,000.00 23.0% $ 19,000.00
TOTAL $ 50,000.00 $ 0.83 $ 50,000.00
FICA
Life/Disability Insurance
Health/Dental Insurance
Unemployment -State
Worker's Compensation
Retirement
Staff Training
TOTAL
Office/Program Supplies
Postage
Printing
FRINGE DETAIL -PROGRAM PERSONNEL
Percent of Est. Percent to Amount to
Payroll Amount Grant Grant
- 0.0%
$ -
- 0.0%
$ -
- 0.0%
$ -
- 0.0%
$ -
- 0.0%
$ -
$
SUPPLIES AND SERVICES
Est. Percent to
Total Budget Grant
Adv/Media, Dues/Pub, Printing, Bank Fees
TOTAL $ -
Amount to
Grant
MISCELLANEOUS
Est. Percent to
Amount to
Total Budget
Grant
Grant
Contract Labor
#DIV/0!
Food Supplies
Teaching Aids
Craft Supplies
Field Trip Expenses
Mileage
TOTAL
$ -
#DIV/0!
$ -
FACILITY AND UTILITIES
Est. Percent to
Amount to
Total Budget
Grant
Grant
Telephone
Electric
Gas
Water and Wastewater
Solid Waste Disposal
Rent
Cleaning Supplies
Repairs
Custodial Services
Utilities, Transportation, PP & E
TOTAL $ -
LEGAL, FINANCIAL AND INSURANCE
Est. Percent to Amount to
Total Budget Grant Grant
Fidelity Bond or Equivalent
Directors and Officers
General Commercial Liability
Prof Fees
TOTAL $ -
DIRECT ASSISTANCE
Est. Percent to Amount to
Total Budget Grant Grant
Audit/IT/Legal Volunteer Recruitment, Misc.
TOTAL $ -