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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 4ggqUpn�� ATTEST: ds FORr % 0 009�0 o=° aka* o, o o*�a /VT""""1` _ �n�nnaago 0.0100000 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 '5;4C...r — 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 2 1 P a g e 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. 3 1 P a g e 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 $ -