HomeMy WebLinkAboutContract 62349-A1FIRST AMENDMENT TO MEMORANDUM OF
UNDERSTANDING
CITY SECRETARY CONTRACT NO. 62349
Neighborhood Services Department NSD the Fire Department of the City
of Fort Worth, herein referred to collectively as the
WHEREAS, in March 2023, the City received a settlement payment from the Opioid
Abatement Fund Council in the amount of $665,760.73 and approved use of the funds in
April 2023 (Mayor & Council Communication (M&C) 23-0255);
WHEREAS, NSD is designated as the lead City Department to oversee allocation
and use of these funds and issued a Request for Proposal from nonprofit and social service
agencies offering direct social services for the intervention, prevention, and treatment of
opioid use disorder (OUD) and any co-occurring Substance Use Disorder or Mental Health
(SUD/MH) conditions;
WHEREAS, Fire was selected to provide these services and entered into a
with NSD on March 1, 2024 for $157,505.64 of
; M&C 23-1051);
WHEREAS, Fire completed its participation in the program in accordance with the
Agreement and has expended only $59,649.12 of Opioid Use Funds;
WHEREAS, Section 8 of the General Provisions allows NSD to deobligate a portion
of the Funds at risk of not being expended due to the completion of the Program; and
WHEREAS, the Parties mutually agree to amend the MOU to reflect that, due to the
completion of the Program and fulfillment of Contract objectives, there will be a
deobligation of $97,856.52 of Opioid Use Funds.
NOW, THEREFORE, NSD and Fire hereby agree to amend the Agreement as follows:
I.
The first sentence of Section 4 of the Agreement will be amended to read as follows:
6
BUDGET attached to the contract is hereby amended and replaced
in its 2/05/2025, attached hereto.
II.
This amendment shall be effective as of February 18, 2025. Fire is not entitled to any
future reimbursement for allowable costs related to the Interventions of Opioid Use Funds
as the Program has been completed and all reimbursements have been paid.
III.
All terms and conditions of the Agreement not amended herein remain unaffected
and in full force and effect, are binding on the Parties and are hereby ratified by the Parties.
Capitalized terms not defined herein shall have the meanings assigned to them in the
Contract.
ACCEPTED AND AGREED:
ATTEST:
By:______________________________
Jannette Goodall, City Secretary
M&C: 23-1051
1295 Certification No. N/A
Date: December 12, 2023
____________________________________
Kacey Bess
Director, Neighborhood Services Department
_______________________________
James Davis
Fire Chief
Grant Budget
Remaining
Balance Increase Decrease
Total of funds
spent
PROGRAM PERSONNEL
Staff Training 9,485.00$ 9,485.00$ -$ (9,485.00)$ -$
CFW Admin 5.64$ 5.64$ (5.64)$
SUPPLIES AND SERVICES
Naloxone Kits 59,715.00$ 26,632.28$ -$ (26,632.28)$ 33,082.72$
Harm Reduction Kits 26,650.00$ 83.60$ -$ (83.60)$ 26,566.40$
Overdose prevention kits 16,650.00$ 16,650.00$ -$ (16,650.00)$ -$
EQUIPMENT
Response Vehicle 45,000.00$ 45,000.00$ -$ (45,000.00)$ -$
BUDGET TOTAL 157,505.64$ 97,856.52$ -$ (97,856.52)$ 59,649.12$
FUNDING A:
FUNDING B:
FUNDING C:
EXHIBIT "C" - BUDGET
Page 1
Est.
Percent
to
Grant
Amount to
Grant
100.00% $ 2,800.00
100.00% $ 2,800.00
100.00% $ 1,125.00
100.0% $ 2,760.00
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 . The information reflected in
the tables is to be considered part of the terms and conditions of the Agreement. Agency must
have prior written approval by the City to make changes to any line item in the Budget as
outlined in Section 8 of the General Provisions in the Agreement. The deadline to make changes to
PROGRAM PERSONNEL- STAFF TRAINING
Administartion and Training Cost
Request for Two (2) to attend the EMS World
Expo held in Las Vegas, NV , September 9- 13
2024. Cost includes registartion fee, per diem,
lodging, airfare and other allowable travel
expenses. Estimated amount per person will
$1400x2.
$ 2,800.00
Request for Two (2) to attend the FDIC
International Conference held in Indianpolis, IN
, April 15-20 2024. Cost includes registartion
fee, per diem, lodging, airfare and other
allowable travel expenses. Estimated amount
per person will $1400x2.
$ 2,800.00
Request for Five (5) to attend the Layperson
Naloxone (NARCAN) training course (Train the
Trainer) held locally at the Bob Bolen Training
Center. Date TBD. Cost includes registartion
fee ONLY. Estimated amount per person will
$225x5.
$ 1,125.00
Request for Two (2) to attend the 20th Annual
International Street Medicine Symposium held
in Kanasas City, MI , September 15-18 2024.
Cost includes registartion fee, per diem, lodging,
airfare and other allowable travel expenses.
Estimated amount per person will
$1380x2.
$ 2,760.00
100.0%
Est.
Percent
to
Grant
Amount to
Grant
100.0% $ 45,000.00
Est.
Percent
to
Amount to
Grant
100.00%$ 26,650.00
100.00%$ 59,715.00
100.00%$ 16,650.00
Est.
Percent
to
Grant
Amount to
Grant
TOTAL $ 103,015.00
ADMINISTRATION AND TRAINING
Total
Budget
CFW Admin Costs
$ 5.64 $ 5.64
Amount
Request for One (1) Response Vehicles. The
acquisition of the response vehicles is pivotal to
enhance the mobility and reach of the HOPE
team. This vehicle will serve as a mobile base
for paramedics during outreach, allowing swift
response to emergency situations along with the
ability to do follow- ups and continued care of
our opioid clients. The allocated funds will
cover the purchase, customization, and outfitting
of this vehicle with essential medical equipment
such as overdose prevention kits, harm
reduction kits, ensuring they meet the unique
needs of homeless and high-utilizer populations
with opioid- related emergencies.
$ 45,000.00
TOTAL $ 9,490.64
EQUIPMENT
Overdose Prevention Kits @$10/kit $ 16,650.00
SUPPLIES AND SERVICES
Total
Budget
TOTAL $ 45,000.00
Harm Reduction Kits @$13/kit $ 26,650.00
Naloxone Kits @$45/kit $ 59,715.00
$ -
Est.
Percent
Amount to
Grant
Est.
Percent
to
Grant
Amount to
Grant
Est.
Percent
to
Grant
Amount to
Grant
Audit/IT/Legal Volunteer Recruitment, Misc.
TOTAL $ -
DIRECT ASSISTANCE
Total
Budget
Total
Budget
Fidelity Bond or Equivalent
Directors and Officers
General Commercial Liability
Prof Fees
TOTAL $ -
LEGAL, FINANCIAL AND INSURANCE
Custodial Services
Utilities, Transportation, PP & E
Total
Budget
TOTAL $ -
Craft Supplies
Field Trip Expenses
Mileage
TOTAL $ -
FACILITY AND UTILITIES
Food Supplies
Teaching Aids
Contract Labor
Rent
Cleaning Supplies
Repairs
City of Fort Worth,
Mayor and
DATE: 12/12/23
Texas
Council Communication
M&C FILE NUMBER: M&C 23-1051
LOG NAME: 191NTERVENTIONS OF OPIOID USE PROGRAM FUNDING ALLOCATIONS
SUBJECT
(ALL) Approve the Allocation of Texas Opioid Settlement Funds in the Amount Up to $664,944.64 for the Purpose of Mitigating Harms Caused by
Opioid Distribution and Use and Authorize Execution of Contracts with the University of North Texas Health Science Center at Fort Worth Health
Systems in the Amount of $310,339.00 and My Health My Resources of Tarrant County in the Amount of $197,100.00
RECOMMENDATION:
It is recommended that the City Council:
1. Approve the allocation of Texas Opioid Settlement Funds in the amount of $664,944.64 for the purpose of mitigating harms caused by opioid
distribution and use;
2. Authorize the City Manager or his designee to execute contracts for a one-year term with the University of North Texas Health Science Center
at Fort Worth Health Systems in the amount of $310,339.00 and My Health My Resources of Tarrant County in the amount of $197,100.00;
and
3. Authorize the City Manager or his designee to extend the contracts for up to one year if an agency or department requests an extension and
such extension is necessary for completion of the program, or to amend the contracts if necessary to achieve program goals provided any
amendment is within the scope of the program and in compliance with City policies and all applicable laws and regulations governing the use
of these funds.
DISCUSSION:
The State of Texas and certain Political Subdivisions, through their elected representatives and counsel, seek to hold the entities responsible for
the opioid use and distribution within the State of Texas accountable for damage caused and share a common desire to abate and alleviate the
impacts of the opioid epidemic throughout the State of Texas.
Through the adoption of Resolution 5499-11-2021 adopted November 9, 2021, City Council joined the opioid settlement negotiated by the Texas
Attorney General, affirmed its support for the adoption and approval of the Texas Opioid Abatement Fund Council and Settlement Allocation
Term Sheet (Term Sheet) in its entirety, and found that there is a substantial need for repayment of opioid-related expenditures and payment to
abate opioid-related harms in and about Fort Worth.
On March 1, 2023, the City received the first settlement payment from the Opioid Abatement Fund Council in the amount of $665,760.73 and
approved use of the funds with Mayor & Council Communication (M&C) 23-0255 on April 11, 2023. The Neighborhood Services Department has
been designated as the lead department to oversee allocation and use of these funds.
A Request for Proposals (RFP) from nonprofit and social service agencies and City departments offering similar direct social services to respond
for the intervention, prevention, and treatment of opioid use disorder (OUD) and any co-occurring Substance Use Disorder or Mental Health
(SUD/MH) conditions through evidence-based or evidence-informed programs or activities was published on October 19, 2023. A Public Notice
was published in the Fort Worth Star-Telegram on October 11, 2023, notifying potential applicants of the RFP, which resulted in an expense of
$816.09 charged to this account. The remaining available balance to allocate is $664,944.64 (City Project No. 104782).
This program is named Interventions Of Opioid Use (IOU). All proposals were received by November 15, 2023. Staff reviewed three (3) proposals
and developed recommendations for allocation of funding based on the capacity of applicant organizations.
Eligible Activities under this RFP included but were not limited to:
• Intervention
• Prevention
• Treatment
• Anything listed as eligible in Exhibit E-List of Opioid Remediation Uses (attached)
FUNDING RECOMMENDATIONS
Neighborhood Services Department staff recommends that funding be allocated as shown in the below table and contracts be executed with the
following organizations:
PROGRAM IRECOMMENDE
AGENCY NAME NAME PROGRAM DESCRIPTION FUNDING
AMOUNT
INIVERSITY OF
IORTH TEXAS
IEALTH SCIENCE
;ENTER AT FORT
VORTH HEALTH
�YSTEMS (HSC)
�Y HEALTH MY
;ESOURCES OF
'ARRANT COUNTY
'OTAL
�Community-based intervention operating the SaferCare Texas with
clinical executives comprised of nurses and nurse practitioners to
SaferCare distribute 600 naloxone kits and 1,500 drug disposal bags including 25 $310,339.
Texas organizational readiness kits accompanied by educational training of
trainers among students within HSC and Fort Worth based organizations
and aroups respondina to this opportunitv
Office-
Based
Opioid
(OBOT)
Office-Based Opioid Treatment (OBOT) provides services to alleviate the
adverse physiological effects of withdrawal from the use of opioids as
required to meet the individualized needs of the patient. Patients will also $197,100.
receive wraparound group, individualized counseling, and peer
supportive services in this extended program.
$507,439.
Fort Worth Fire Department - Home, Outreach, Prevention and Education (HOPE) Team
In addition to the above recommendations, the Neighborhood Services Department also recommends allocating $157,505.64 to the Fort Worth
Fire Department for the Fort Worth Fire Department HOPE Team. The proposed program within the HOPE initiative aims to address the critical
issue of opioid-related incidents within our community. Leveraging the expertise of the HOPE team, the Fire Department will implement a
comprehensive outreach and support service specifically tailored for individuals struggling with opioid addiction among the homeless population
and high utilizers of emergency services. The program will involve proactive engagement with individuals affected by opioid addiction, providing
them with access to resources such as addiction counseling, harm reduction strategies, and connections to rehabilitation services.
The Fire Department submitted a$230,000.00 budget request for the following:
• Response Vehicles (2 vehicles -$90,000.00): The acquisition of two response vehicles is pivotal to enhance the mobility and reach of the
HOPE team. These vehicles will serve as a mobile base for paramedics during outreach, allowing swift response to emergency situations
along with the ability to do follow-ups and continued care of opioid clients. The cost of the vehicles will cover the purchase, customization,
and outfitting of the vehicles with essential medical equipment such as overdose prevention kits, harm reduction kits, ensuring they meet the
unique needs of homeless and high-utilizer populations with opioid-related emergencies.
• Overdose Prevention Kits (OPK -$70,000.00): Addressing the opioid crisis is a priority for the HOPE team. The budget for overdose
prevention kits includes the procurement of naloxone, training materials, and community outreach initiatives. These kits will be distributed to
team members, enabling them to respond effectively after opioid-related emergencies where the team can give the client a kit and provide
training to at-risk individuals and community partners.
• Harm Reduction Kits ($50,000.00): The harm reduction kits are designed to minimize the risks associated with high-risk behaviors. The
budget will be utilized to procure harm reduction supplies, educational materials, and resources. These kits will be distributed during opioid
outreach activities, promoting safer practices and providing valuable information on reducing health risks.
• Administration and Training ($20,000.00): Efficient program administration and continuous training are essential for the success of the
HOPE team. The budget will support administrative costs, including staff training, community engagement events, and program evaluation.
This ensures that the team remains well-equipped, informed, and capable of delivering high-quality services.
The Neighborhood Services staff recommended an allocation amount to the Fire Department that is less than the requested amount. The Fire
Department has the discretion to determine which of the above requested line items will be funded based on the recommended allocation.
Since no City salaries will be charged, indirect cost recovery does not apply.
These programs are available in ALL COUNCIL DISTRICTS.
FISCAL INFORMATION / CERTIFICATION:
The Director of Finance certifies that funds are available in the current operating budget, as previously appropriated, in the Grants Operating Other
Fund for the TX Opioid Abatement Fund project to support the approval of the above recommendations and execution of contracts. Prior to any
expenditure being incurred, the Neighborhood Services Department has the responsibility to validate the availability of funds.
Submitted for City Manager's Office bk Fernando Costa 6122
Originating Business Unit Head: Victor Turner 8187
Additional Information Contact: Sharon Burkley 5785
Terrance Jones 7563