HomeMy WebLinkAboutContract 63541CSC No. 63541
WORKSITE TRAINING AGREEMENT
This WORKSITE TRAINING AGREEMENT ("Agreement") is made and entered into by and between
the CITY OF FORT WORTH ("City"), a Texas home rule municipality, and Child Study Center at
Cook Children's ("CSC), each individually referred to as a "Party" and collectively referred to as the
"Parties."
WHEREAS, CSC conducts an unpaid work experience program ("Program"), in order to provide
students with disabilities ("Participants") the opportunity to develop job readiness skills, engage in
volunteering, and participate in job shadowing. This program combines employability skills training with
hands-on experience to better prepare students for future employment opportunities; and
WHEREAS, City believes that certain opportunities exist within the City to provide a worksite for
Participants to participate in the Program; and
WHEREAS, CSC and City believe that executing this agreement will provide a meaningful
opportunity for a number of Participants while raising awareness of City functions and the programs offered
by CSC.
NOW THEREFORE, CSC and City hereby enter into the following Agreement:
AGREEMENT DOCUMENTS:
The Agreement documents include the following:
1. This Worksite Training Agreement;
2. Exhibit A — Scope of Services; and
3. Exhibit B — Participant Waiver
Exhibits A and B which are attached hereto and incorporated herein, are made a part of this Agreement for
all purposes. In the event of any conflict between the terms and conditions of Exhibits A and/or B and the
terms and conditions set forth in the body of this Agreement, the terms and conditions of this Agreement
will control.
1. SCOPE OF SERVICES.
City will allow up to 24 participants to engage in specific assignments under the Child Study Center
unpaid work experience program ("Program") at specified City of Fort Worth facilities, in accordance with
this Agreement. Exhibit "A," - Scope of Services more specifically describes the services to be provided
hereunder.
2. TERM.
This Agreement will begin on June 1, 2025 ("Effective Date") and will expire on May 31, 2026
("Expiration Date"), unless terminated earlier in accordance with this Agreement. City will have the option,
in its sole discretion, to renew this Agreement under the same terms and conditions, for up to four (4) one-
year renewal options.
3. COMPENSATION AND CONSIDERATION. OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
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Neither Party will owe any amount of money for any reason whatsoever to the other Party for
services rendered in connection with this Agreement. City will not be liable for, nor owe, any payment, fee,
cost, penalty, or money for any other reason whatsoever to CSC or any Participant in CSC's program who
performs any services in connection with this agreement. CSC will be solely responsible for any payment,
cost, fee, or other benefit provided to the Participants in its Program and who provide services in connection
with this Agreement. This includes providing Worker's Compensation and insurance coverage.
The Parties agree that there is good and valuable consideration from each party to the other and
that each Party is providing a benefit through its performance of its duties hereunder to the other. In
consideration for its performance, City recognizes that more people will become aware of City functions,
and Participants will gain work and life experience which will benefit the City overall. In consideration for
its performance, CSC recognizes that its Participants will receive valuable work experience and become
more familiar with City programs, departments, and functions.
4. TERMINATION.
4.1. Written Notice. City or CSC may terminate this Agreement at any time and for any reason
by providing the other party with 30 days' written notice of termination without any penalty of any kind.
4.2 Duties and Obligations of the Parties. In the event that this Agreement is terminated prior
to the Expiration Date, all services in connection with this Agreement will stop immediately.
5. DISCLOSURE OF CONFLICTS AND CONFIDENTIAL INFORMATION.
5.1 Disclosure of Conflicts. CSC hereby warrants to City that CSC has made full disclosure in
writing of any existing or potential conflicts of interest related to CSC's services under this Agreement. In
the event that any conflicts of interest arise after the Effective Date of this Agreement, CSC hereby agrees
immediately to make full disclosure to City in writing.
5.2 Confidential Information. CSC, for itself and its officers, agents and employees, agrees that
it will treat all information provided to it by City ("City Information") as confidential and will not disclose
any such information to a third party without the prior written approval of City. City Information shall not
include any information that is already in the public domain or is otherwise discoverable by the general
public.
5.3 Unauthorized Access. CSC must store and maintain City Information in a secure manner
and will not allow unauthorized users to access, modify, delete or otherwise corrupt City Information in
any way. CSC must notify City immediately if the security or integrity of any City Information has been
compromised or is believed to have been compromised, in which event, CSC will, in good faith, use all
commercially reasonable efforts to cooperate with City in identifying what information has been accessed
by unauthorized means and will fully cooperate with City to protect such City Information from further
unauthorized disclosure.
6. RIGHT TO AUDIT.
CSC agrees that City will, until the expiration of three (3) years after expiration of this contract, or
the final conclusion of any audit commenced during the said three years, have access to and the right to
examine at reasonable times any directly pertinent books, documents, papers and records, including, but
not limited to, all electronic records, of CSC involving transactions relating to this Agreement at no
additional cost to City. CSC agrees that City will have access during normal working hours to all necessary
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CSC facilities and will be provided adequate and appropriate workspace in order to conduct audits in
compliance with the provisions of this section. City will give CSC reasonable advance notice of intended
audits.
This provision will survive the expiration or termination of this Agreement.
7. INDEPENDENT CONTRACTOR.
It is expressly understood and agreed that CSC and all participants in CSC's Program will operate
as independent contractors as to all rights and privileges and work performed under this Agreement, and
not as agents, representatives or employees of City. Subject to and in accordance with the conditions and
provisions of this Agreement, CSC will have the exclusive right to control the details of its operations and
activities and be solely responsible for the acts and omissions of its officers, agents, participants, servants,
employees, consultants and subcontractors. CSC acknowledges that the doctrine of respondeat superior
will not apply as between City, its officers, agents, servants and employees, and CSC, its officers, agents,
participants, employees, servants, contractors and subcontractors. CSC further agrees that nothing herein
will be construed as the creation of a partnership or joint enterprise between City and CSC. Neither CSC,
nor any officers, agents, participants, servants, employees, students or subcontractors of CSC will be
entitled to any employment benefits from City. CSC will be responsible and liable for any and all payment
and reporting of taxes on behalf of itself, and any of its officers, agents, participants, servants, employees
or subcontractors.
8. NO JOINT EMPLOYMENT.
The Participants selected by CSC shall not be employees of City, but shall be and remain students
enrolled at CSC, reporting solely to CSC. CSC's personnel performing services shall have a duty of loyalty
to CSC. CSC shall determine the terms of participation in the Program for its respective personnel in
accordance with its standard practices. All CSC's personnel assigned to perform services under this
agreement shall be required to sign an acknowledgement in form reasonably acceptable to CSC and City
that provides that although such personnel may work with employees of City, (i) they are students of CSC
only and (ii) they are expected to follow the policies, procedures and direction of CSC. Such direction may
include that Participants are required by CSC to comply with the policies of the City while working at City
facilities; however, that direction will not change the status of such Participants, as set out specifically in
this paragraph.
9. LIABILITY AND INDEMNIFICATION.
9.1 LIABILITY - EMPLOYERCSC WILL BE LIABLE AND RESPONSIBLE FOR ANY
AND ALL PROPERTY LOSS, PROPERTY DAMAGE AND/OR PERSONAL INJURY,
INCLUDING DEATH, TO ANY AND ALL PERSONS, OF ANY KIND OR CHARACTER,
WHETHER REAL OR ASSERTED, TO THE EXTENT CAUSED BY THE NEGLIGENT
ACT(S) OR OMISSION(S), MALFEASANCE OR INTENTIONAL MISCONDUCT OF
EMPLOYERCSC, ITS OFFICERS, PARTICIPANTS, AGENTS, SERVANTS OR
EMPLOYEES.
9.2 GENERAL INDEMNIFICATION - CSC HEREBY COVENANTS AND AGREES TO
INDEMNIFY, HOLD HARMLESS AND DEFEND CITY, ITS OFFICERS, AGENTS,
SERVANTS AND EMPLOYEES, FROM AND AGAINST ANY AND ALL CLAIMS OR
LAWSUITS OF ANY KIND OR CHARACTER, WHETHER REAL OR ASSERTED, FOR
PROPERTY DAMAGE OR LOSS (INCLUDING ALLEGED DAMAGE OR LOSS TO CSC'S
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BUSINESS AND ANY RESULTING LOST PROFITS), CONTRACTUAL DISPUTES FROM
PARTICIPANTS, AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL
PERSONS, ARISING OUT OF OR IN CONNECTION WITH THIS AGREEMENT. THIS
SPECIFICALLY INCLUDES ANY LIABILITY. CLAIMS. LAWSUITS. DAMAGES. OR
OTHER COSTS OF ANY KIND OR CHARACTER THAT ARE CAUSED BY ANY ACTION
OR OMISSION BY CITY. CITY'S OFFICERS. EMPLOYEES. OR SUBCONTRACTORS IN
CONNECTION WITH THIS AGREEMENT..
9.3 This section will survive the expiration or termination of this Agreement.
10. ASSIGNMENT AND SUBCONTRACTING.
10.1 Assisnment. CSC will not assign or subcontract any of its duties, obligations or rights
under this Agreement without the prior written consent of City. If City grants consent to an assignment, the
assignee will execute a written agreement with City and CSC under which the assignee agrees to be bound
by the duties and obligations of CSC under this Agreement. CSC and Assignee will be jointly liable for all
obligations of CSC under this Agreement prior to the effective date of the assignment.
10.2 Subcontract. If City grants consent to a subcontract, subcontractor must execute a written
agreement with CSC referencing this Agreement under which subcontractor will agree to be bound by the
duties and obligations of CSC under this Agreement as such duties and obligations may apply. CSC must
provide City with a fully executed copy of any such subcontract.
11. INSURANCE.
CSC must provide City with certificate(s) of insurance documenting policies of the following types
and minimum coverage limits that are to be in effect prior to commencement of any work pursuant to this
Agreement:
11.1 Coverage and Limits
(a) Commercial General Liability:
$1,000,000 - Each Occurrence
$2,000,000 - Aggregate
(b) Automobile Liability:
$1,000,000 - Each occurrence on a combined single limit basis
Coverage will be on any vehicle used by CSC, its employees, agents, or
representatives in the course of providing services under this Agreement. "Any
vehicle" will be any vehicle owned, hired and non -owned.
(c) Worker's Compensation:
Statutory limits according to the Texas Workers' Compensation Act or any other
state workers' compensation laws where the work is being performed
CSCs' liability
$100,000 - Bodily Injury by accident; each accident/occurrence
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$100,000 - Bodily Injury by disease; each employee
$500,000 - Bodily Injury by disease; policy limit
(d) Professional Liability (Errors & Omissions):
$1,000,000 - Each Claim Limit
$1,000,000 - Aggregate Limit
Professional Liability coverage may be provided through an endorsement to the
Commercial General Liability (CGL) policy, or a separate policy specific to
Professional E&O. Either is acceptable if coverage meets all other requirements.
Coverage must be claims -made, and maintained for the duration of the contractual
agreement and for two (2) years following completion of services provided. An
annual certificate of insurance must be submitted to City to evidence coverage.
11.2 General Reauirements
(a) The commercial general liability and automobile liability policies must name City
as an additional insured thereon, as its interests may appear. The term City includes
its employees, officers, officials, agents, and volunteers in respect to the contracted
services.
(b) The workers' compensation policy must include a Waiver of Subrogation (Right
of Recovery) in favor of City.
(c) A minimum of Thirty (30) days' notice of cancellation or reduction in limits of
coverage must be provided to City. Ten (10) days' notice will be acceptable in the
event of non-payment of premium. Notice must be sent to City of Fort Worth, Attn:
Victor Escobedo, Human Resources Manager, 100 Fort Worth Trail, Fort Worth,
Texas 76102, with copies to the Fort Worth City Attorney at the same address.
(d) The insurers for all policies must be licensed and/or approved to do business in the
State of Texas. All insurers must have a minimum rating of A- VII in the current
A.M. Best Key Rating Guide, or have reasonably equivalent financial strength and
solvency to the satisfaction of Risk Management. If the rating is below that
required, written approval of Risk Management is required.
(e) Any failure on the part of City to request required insurance documentation will
not constitute a waiver of the insurance requirement.
(f) Certificates of Insurance evidencing that CSC has obtained all required insurance
will be delivered to the City prior to CSC proceeding with any work pursuant to
this Agreement.
12. COMPLIANCE WITH LAWS, ORDINANCES, RULES AND REGULATIONS.
CSC agrees that in the performance of its obligations hereunder, it will comply with all applicable
federal, state and local laws, ordinances, rules and regulations and that any work it produces in connection
with this Agreement will also comply with all applicable federal, state and local laws, ordinances, rules and
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regulations. If City notifies CSC of any violation of such laws, ordinances, rules or regulations, CSC must
immediately desist from and correct the violation.
13. NON-DISCRIMINATION COVENANT.
CSC, for itself, its personal representatives, Participants, assigns, subcontractors and successors in
interest, as part of the consideration herein, agrees that in the performance of CSC's duties and obligations
hereunder, it will not discriminate in the treatment or employment of any individual or group of individuals
on any basis prohibited by law. IF ANY CLAIM ARISES FROM AN ALLEGED VIOLATION OF
THIS NON-DISCRIMINATION COVENANT BY CSC, ITS PERSONAL REPRESENTATIVES,
PARTICIPANTS, ASSIGNS, SUB CSCS OR SUCCESSORS IN INTEREST, CSC AGREES TO
ASSUME SUCH LIABILITY AND TO INDEMNIFY AND DEFEND CITY AND HOLD CITY
HARMLESS FROM SUCH CLAIM.
14. NOTICES.
Notices required pursuant to the provisions of this Agreement will be conclusively determined to
have been delivered when (1) hand -delivered to the other party, its agents, employees, servants or
representatives, (2) delivered by facsimile with electronic confirmation of the transmission, or (3) received
by the other party by United States Mail, registered, return receipt requested, addressed as follows:
To CITY:
City of Fort Worth
Attn: Dianna Giordano
100 Fort Worth Trail
Fort Worth, TX 76102-6314
Facsimile: (817) 392-8654
With copy to Fort Worth City Attorney's Office at
same address
15. GOVERNMENTAL POWERS.
To CSC:
Cook Children's Healthcare System
Attn: Chief Legal Officer
801 Seventh Avenue
Fort Worth, TX 76102
It is understood and agreed that by execution of this Agreement, City does not waive or surrender
any of its governmental powers or immunities.
16. NO WAIVER.
The failure of City or CSC to insist upon the performance of any term or provision of this
Agreement or to exercise any right granted herein does not constitute a waiver of City's or CSC's respective
right to insist upon appropriate performance or to assert any such right on any future occasion.
17. GOVERNING LAW / VENUE.
This Agreement will be construed in accordance with the laws of the State of Texas. If any action,
whether real or asserted, at law or in equity, is brought pursuant to this Agreement, venue for such action
will lie in state courts located in Tarrant County, Texas or the United States District Court for the Northern
District of Texas, Fort Worth Division.
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18. SEVERABILITY.
If any provision of this Agreement is held to be invalid, illegal or unenforceable, the validity,
legality and enforceability of the remaining provisions will not in any way be affected or impaired.
19. FORCE MAJEURE.
City and CSC will exercise their best efforts to meet their respective duties and obligations as set
forth in this Agreement, but will not be held liable for any delay or omission in performance due to force
majeure or other causes beyond their reasonable control, including, but not limited to, compliance with any
government law, ordinance, or regulation; acts of God; acts of the public enemy; fires; strikes; lockouts;
natural disasters; wars; riots; epidemics or pandemics; government action or inaction; orders of government;
material or labor restrictions by any governmental authority; transportation problems; restraints or
prohibitions by any court, board, department, commission, or agency of the United States or of any States;
civil disturbances; other national or regional emergencies; or any other similar cause not enumerated herein
but which is beyond the reasonable control of the Parry whose performance is affected (collectively, "Force
Majeure Event"). The performance of any such obligation is suspended during the period of, and only to
the extent of, such prevention or hindrance, provided the affected Party provides notice of the Force Maj eure
Event, and an explanation as to how it prevents or hinders the Parry's performance, as soon as reasonably
possible after the occurrence of the Force Majeure Event, with the reasonableness of such notice to be
determined by the City in its sole discretion. The notice required by this section must be addressed and
delivered in accordance with Section 14 of this Agreement.
20. HEADINGS NOT CONTROLLING.
Headings and titles used in this Agreement are for reference purposes only, will not be deemed a
part of this Agreement, and are not intended to define or limit the scope of any provision of this Agreement.
21. REVIEW OF COUNSEL.
The parties acknowledge that each party and its counsel have reviewed and revised this Agreement
and that the normal rules of construction to the effect that any ambiguities are to be resolved against the
drafting party will not be employed in the interpretation of this Agreement or Exhibits A, B, and C.
22. AMENDMENTS/ MODIFICATIONS/ EXTENSIONS.
No amendment, modification, or extension of this Agreement will be binding upon a party hereto
unless set forth in a written instrument, which is executed by an authorized representative of each party.
23. COUNTERPARTS.
This Agreement may be executed in one or more counterparts and each counterpart will, for all
purposes, be deemed an original, but all such counterparts will together constitute one and the same
instrument.
24. IMMIGRATION NATIONALITY ACT.
CSC must verify the identity and employment eligibility of its employees who perform work under
this Agreement, including completing the Employment Eligibility Verification Form (I-9). Upon request
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by City, CSC will provide City with copies of all I-9 forms and supporting eligibility documentation for
each employee who performs work under this Agreement. CSC must adhere to all Federal and State laws
as well as establish appropriate procedures and controls so that no services will be performed by any CSC
employee who is not legally eligible to perform such services. CSC WILL INDEMNIFY CITY AND
HOLD CITY HARMLESS FROM ANY PENALTIES, LIABILITIES, OR LOSSES DUE TO
VIOLATIONS OF THIS PARAGRAPH BY CSC, CSC'S EMPLOYEES, SUBCONTRACTORS,
PARTICIPANTS, AGENTS, OR LICENSEES. City, upon written notice to CSC, will have the right to
immediately terminate this Agreement for violations of this provision by CSC.
25. OWNERSHIP OF WORK PRODUCT.
City will be the sole and exclusive owner of all reports, work papers, procedures, guides, and
documentation, created, published, displayed, and/or produced in conjunction with the services provided
under this Agreement (collectively, "Work Product"). Further, City will be the sole and exclusive owner
of all copyright, patents, trademark, trade secret and other proprietary rights in and to the Work Product.
Ownership of the Work Product will inure to the benefit of City from the date of conception, creation or
fixation of the Work Product in a tangible medium of expression (whichever occurs first). Each
copyrightable aspect of the Work Product will be considered a "work -made -for -hire" within the meaning
of the Copyright Act of 1976, as amended. If and to the extent such Work Product, or any part thereof, is
not considered a "work -made -for -hire" within the meaning of the Copyright Act of 1976, as amended, CSC
hereby expressly assigns to City all exclusive right, title and interest in and to the Work Product, and all
copies thereof, and in and to the copyright, patent, trademark, trade secret, and all other proprietary rights
therein, that City may have or obtain, without further consideration, free from any claim, lien for balance
due, or rights of retention thereto on the part of City.
26. SIGNATURE AUTHORITY.
The person signing this Agreement hereby warrants that he/she has the legal authority to execute
this Agreement on behalf of the respective party, and that such binding authority has been granted by proper
order, resolution, ordinance or other authorization of the entity. This Agreement and any amendment hereto,
may be executed by any authorized representative of CSC whose name, title, and signature is affixed on
the Verification of Signature Authority Form, which is attached hereto as Exhibit `B". Each party is fully
entitled to rely on these warranties and representations in entering into this Agreement or any amendment
hereto.
27. CHANGE IN COMPANY NAME OR OWNERSHIP.
CSC must notify City's Purchasing Manager, in writing, of a company name, ownership, or address
change for the purpose of maintaining updated City records. The president of CSC or authorized official
must sign the letter. A letter indicating changes in a company name or ownership must be accompanied
with supporting legal documentation such as an updated W-9, documents filed with the state indicating
such change, copy of the board of director's resolution approving the action, or an executed merger or
acquisition agreement. Failure to provide the specified documentation so may adversely impact future
invoice payments.
28. PROHIBITION ON CONTRACTING WITH COMPANIES THAT BOYCOTT ISRAEL.
If CSC has fewer than 10 employees or this Agreement is for less than $100,000, this section
does not apply. CSC acknowledges that in accordance with Chapter 2271 of the Texas Government Code,
the City is prohibited from entering into a contract with a company for goods or services unless the contract
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contains a written verification from the company that it: (1) does not boycott Israel; and (2) will not boycott
Israel during the term of the contract. The terms "boycott Israel" and "company" has the meanings ascribed
to those terms in Section 2271 of the Texas Government Code. By signing this Agreement, CSC certifies
that CSC's signature provides written verification to the City that CSC: (1) does not boycott Israel;
and (2) will not boycott Israel during the term of the Agreement.
29. PROHIBITION ON BOYCOTTING ENERGY COMPANIES.
CSC acknowledges that in accordance with Chapter 2276 of the Texas Government Code, City is
prohibited from entering into a contract for goods or services that has a value of $100,000 or more that is
to be paid wholly or partly from public funds of the City with a company with 10 or more full-time
employees unless the contract contains a written verification from the company that it: (1) does not boycott
energy companies; and (2) will not boycott energy companies during the term of the contract. To the extent
that Chapter 2276 of the Government Code is applicable to this Agreement, by signing this
Agreement, CSC certifies that CSC's signature provides written verification to City that CSC: (1)
does not boycott energy companies; and (2) will not boycott energy companies during the term of this
Agreement.
30. PROHIBITION ON DISCRIMINATION AGAINST FIREARM AND AMMUNITION
INDUSTRIES.
CSC acknowledges that except as otherwise provided by Chapter 2274 of the Texas Government Code,
City is prohibited from entering into a contract for goods or services that has a value of $100,000 or more
that is to be paid wholly or partly from public funds of the City with a company with 10 or more full-time
employees unless the contract contains a written verification from the company that it: (1) does not have a
practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade
association; and (2) will not discriminate during the term of the contract against a firearm entity or firearm
trade association. To the extent that Chapter 2274 of the Government Code is applicable to this
Agreement, by signing this Agreement, CSC certifies that CSC's signature provides written
verification to City that CSC: (1) does not have a practice, policy, guidance, or directive that
discriminates against a firearm entity or firearm trade association; and (2) will not discriminate
against a firearm entity or firearm trade association during the term of this Agreement.
31. ELECTRONIC SIGNATURES.
This Agreement may be executed by electronic signature, which will be considered as an original
signature for all purposes and have the same force and effect as an original signature. For these purposes,
"electronic signature" means electronically scanned and transmitted versions (e.g. via pdf file or facsimile
transmission) of an original signature, or signatures electronically inserted via software such as Adobe Sign.
32. ENTIRETY OF AGREEMENT.
This Agreement, including Exhibits A, B and C, contains the entire understanding and agreement
between City and CSC, their assigns and successors in interest, as to the matters contained herein. Any
prior or contemporaneous oral or written agreement is hereby declared null and void to the extent in conflict
with any provision of this Agreement. Nothing herein is intended and should not be construed to create any
third -party beneficiaries to this Agreement.
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(signature page follows)
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ACCEPTED AND AGREED:
CITY OF FORT WO TH:
By: Dianna Giordano (Jun 26, 202513:01 CDT)
Name: Dianna Giordano
Title: Assistant City Manager
Date: 06/26/2025
APPROVAL RECO NDED:
By:
Name: Holly Moyer
Title: Interim Director, Human Resources
ATTEST: onn
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By:
Name: Jannette Goodall
Title: City Secretary
Child Study Center — Cook Children's
CONTRACT CO LIANCE 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.
Name: Victor Escobedo
Title: Human Resources Manager
APPROVED AS TO FORM AND LEGALITY:
By:
Name: Jessika Williams
Title: Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: N/A
1295: N/A
mancw Cyd'�i
By: Nancy Cychol (Jun 11, 2025 08:06 CDT)
Name: Nancy Cychol
Title: Executive Vice President, Hospital Services
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
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EXHIBIT A
SCOPE OF SERVICES
A. Worksite availability:
1. Participant placement will be based upon identified needs.
2. All work will take place at City of Fort Worth Facilities or properties.
3. Only Participants ages 16-21 are eligible for placement at City worksites.
4. Participants will not participate in the experience more than twenty (20) hours per week
and twelve (12) weeks per worksite assignment.
B. City requirements prior to participant's arrival:
1. Unless Participant has completed all CJIS requirements, the Participant must be
escorted by a City employee at all times when in any CJIS secured area —regardless of
whether a computer terminal is present.
2. Participant must provide a signed and notarized waiver included as Exhibit B. For
participants younger than 18, their parent and/or legal guardian will be required to sign
the Waiver on their behalf.
3. In the event that a background check or drug screening is required of Participant, CSC
will be responsible for providing these services and will solely be responsible for any
related fees and will be responsible for providing to a Participant any notices or copies
of documents required by law.
C. City's Requirements:
1. Provide a meaningful, well supervised, safe experience for Participants
2. Assure sufficient work to occupy the Participant
3. Provide appropriate and sufficient instruction and equipment/materials/tools, as
appropriate, for Participants to conduct their job duties
4. Assure that any Participant receives safety training provided to employees performing
same job duties
5. Assure that all Participants are supervised at all times by a qualified supervisor. No
Participant may be placed in an employment activity where a member of that person's
immediate family is directly supervised by or directly supervises that individual
6. Assure compliance with state and federal Employee Right -to -Know and Child Labor
laws, Americans with Disabilities Act, Fair Labor Standards Act and Equal
Employment Opportunity laws and regulations, to the extent such laws are applicable
7. Assure that Participants' participation in the experience will be supplemental and will
in no way affect status of regular employees or seasonal employees normally hired
8. Cooperate with Child Study Center staff in monitoring the progress of Participants
9. Adhere to the regulations and conditions as outlined in this Agreement
10. Assure that all work is conducted in a sanitary and drug -free environment, under safe
working conditions in compliance with OSHA standards
11. Inform Participants of employment rules including grievance procedures and non-
discrimination policy
12. Notify Child Study Center of any Participant terminations
13. Notify Child Study Center within one business day of any workplace injury of a
Participant and submit appropriate forms
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D. CSC's Requirements:
1. Provide group or individual orientation to the City's Direct Supervisor/Mentor and the
Alternate Supervisor/Mentor, prior to the assignment of a participant to a work site.
Such orientation will include the objectives of the program, supervisory responsibilities,
training responsibilities, record keeping and DOL regulations.
2. Assign a single point of contact that will assist the City with the identification and
resolution of training issues and any questions/concerns.
3. Monitor work sites for compliance with all objectives of the program, supervisor
responsibilities, training responsibilities, record keeping, and DOL regulations
including Child Labor Laws when applicable.
4. Maintain appropriate insurance coverage for all participants (copy of report provided in
Supervisor Handbook)
5. Prior to placement, CSC will require each participant who will be placed with the City
to execute a Waiver, as attached as Exhibit B, and will provide the original copy to the
City. For participants younger than 18, or participants that are otherwise unable
to execute a Waiver, their parent and/or legal guardian will be required to sign the
Waiver on their behalf.
6. Provide a Job Coach for all Participants- the Job Coach will be onsite with the
Participants at all times
E. Termination of Participant from Worksite:
Participants may be terminated from the worksite by the CSC at any time and for any reason
whatsoever without any penalty to the City. City will notify CSC of any participant whose participation
under this agreement the City wants CSC to end, as soon as practicable once that decision has been made
by the City. CSC may remove any participant from the worksite at any time for any reason whatsoever
without any penalty to CSC. The decision to terminate the employment of a Participant is solely the decision
of CSC. CSC will notify City of removal or termination of employment as soon as practicable once the
decision has been made by CSC.
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EXHIBIT B
PARTICIPANT WAIVER
Each Participant who is an adult and legally able will sign the waiver below and return a
signed, notarized original to the City prior to beginning any work at the City.
CITY OF FORT W TH
WAIVER, RELEASE, AND INDEMNITY AGREEMENT
I, . am at least 18 years of age and, for myself, my heirs
and assigns, hereby affirm that I am aware that my participation in the unpaid work experience program
("Program") solely managed by the Child Study Center at Cook Children's, but partly taking place at a
worksite location owned by the City of Fort Worth ("City") primarily at <INSERT
PRIMARY LOCATION> ("Facility") in Fort Worth, Texas and other City -owned locations, has inherent
risks which may result in serious injury or death. As a condition precedent to participating in the Program
and entering onto the City's property, I confirm that I understand and accept all risks, dangers and hazards
presented by my participation in the Program, and I am participating in these activities freely and
voluntarily. In consideration of being permitted to participate in the Program specifically at a City Facility,
I hereby assume all risk of harm and injury to myself and others, as well as to the property of others, which
may result from my participation in the Program, regardless of the cause or blame. I agree to act in a
reasonable and cautious manner in all aspects of my participation in the Program.
Further, I, for myself, my heirs and assigns, in consideration of being able to utilize the Facility and
participate in the Program, do hereby FOREVER RELEASE AND WAIVE all claims against the City of
Fort Worth, its officers, agents and employees, for injuries, death or property damage which may arise from
my use or presence at the Facility. This waiver and release is intended to release and forever discharge
the Citv of Fort Worth, its officers. servants. agents and emulovees from anv and all claims. actions,
causes of action, damages, losses or exuenses, including attornev's fees whether real or asserted, of
every kind or character, arising out of my use of the Facilitv, including going to and from such
Facilitv. I, for myself, my heirs and assigns, hereby assume the risk of all conditions of the Facility,
dangerous or otherwise, all occurrences that may be encountered while using or going to or from such
Facility and waive any and all specific notice of the existence of such conditions or occurrences. This
waiver is intended to release the Citv of Fort Worth, its officers, servants, agents and emulovees even
if said iniuries. death or other damages are caused in whole or in uart by the alleged acts of
commission, omission, negligence or fault of the Citv of Fort Worth, its officers, servants, agents or
emulovees. I, for myself, and my heirs and assigns hereby assume all responsibility and liability for such
injuries or damages, including death, and hereby covenant not to sue the entities and parties named above
for such injuries or damages.
I FURTHER AGREE TO INDEMNIFY AND DEFEND THE CITY AND HOLD THE CITY
HARMLESS FROM ALL CLAIMS, TOGETHER WITH ALL COSTS, EXPENSES, AND LEGAL
FEES IN DEFENDING ALL CLAIMS DIRECTLY OR INDIRECTLY ATTRIBUTABLE TO MY
USE OF THE FACILITY. THIS INDEMNITY PROVISION (INCLUDING, W THOUT
LIMITATION, INDEMNITY FOR COSTS, EXPENSES AND LEGAL FEES) IS SPECIFICALLY
INTENDED TO OPERATE AND BE APPLICABLE EVEN IF IT IS ALLEGED OR PROVED THAT
ALL OR SOME OF THE DAMAGES BEING SOUGHT WERE CAUSED AS A W E OR IN
PART BY ANY ACT, OMISSION, NEGLIGENCE, GROSS NEGLIGENCE, BREACH OF
CONTRACT, INTENTIONAL CONDUCT, VIOLATION OF STATUTE OR COMMON LAW,
BREACH OF WARRANTY, PRODUCT DEFECT, STRICT PRODUCT LIABILITY, OR ANY
OTHER CONDUCT W TSOEVER OF THE CITY. I REALIZE THAT BY SIGNING THIS
Worksite Training Agreement Page 14 of 17
AGREEMENT, I AM GIVING UP MY RIGHT TO SUE THE CITY FOR INJURY, DEATH OR
DAMAGE I MAY SUFFER AT THE EVENT. IF ANY COURT FINDS A PORTION OF THIS
AGREEMENT TO BE INVALID, THE REMAINDER OF THE AGREEMENT WILL NOT BE
AFFECTED.
I have read this Waiver, Release, and Indemnity Agreement and fully understand its terms,
provisions and conditions. I have not been influenced to any extent whatsoever by any representations,
agreements, promises, or statements not contained within this agreement.
Dated this day of 20
Participant's Signature
Address
City, State and Zip Code
Telephone
State of Texas
County of Tarrant
This document was acknowledged before me on by
Notary Public
Date
[REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK]
Worksite Training Agreement Page 15 of 17
Each Participant who is either not an adult or otherwise legally unable to complete a waiver
individually, will have a legal parent or guardian complete a copy of the waiver below and return a
signed, notarized original copy to the City prior to beginning any work at the City.
CITY OF FORT WORTH
WAIVER. RELEASE. AND INDEMNITY AGREEMENT
I, , on behalf of , for whom I am a the legal guardian,
for myself, , my heirs and assigns, hereby affirm that I am aware that is
participation in the unpaid work experience program ("Program") solely managed by the Child Study
Center at Cook Children's, but partly taking place at a worksite location owned by the City of Fort Worth
("City") primarily at ("Facility") in Fort Worth, Texas and other City -owned
locations, has inherent risks which may result in serious injury or death. As a condition precedent to
participating in the Program and entering onto the City's property, I confirm that I understand and accept
all risks, dangers and hazards presented by 's participation in the Program, and I am
allowing to participate in these activities freely and voluntarily. In consideration of being
permitted to participate in the Program specifically at a City Facility, I hereby assume all risk of harm and
injury to , myself and others, as well as to the property of others, which may result from
's participation in the Program, regardless of the cause or blame. I agree to require that
act in a reasonable and cautious manner in all aspects of is
participation in the Program.
Further, I, for , myself, my heirs and assigns, in consideration of
being able to utilize the Facility and participate in the Program, do hereby
FOREVER RELEASE AND WAIVE all claims against the City of Fort Worth, its officers, agents and
employees, for injuries, death or property damage which may arise from 's use or
presence at the Facility. This waiver and release is intended to release and forever discharge the Citv
of Fort Worth, its officers, servants, agents and emDlovees from anv and all claims, actions, causes of
action, damages, losses or expenses, including attornev's fees whether real or asserted, of every kind
or character. arising out of 'sl use of the Facilitv. including going to and from such
Facilitv. I, for myself, , my heirs and assigns, hereby assume the risk of all
conditions of the Facility, dangerous or otherwise, all occurrences that may be encountered while using or
going to or from such Facility and waive any and all specific notice of the existence of such conditions or
occurrences. This waiver is intended to release the Citv of Fort Worth. its officers. servants, agents
and emplovees even if said iniuries, death or other damages are caused in whole or in part by the
alleged acts of commission, omission, negligence or fault of the Citv of Fort Worth, its officers,
servants. agents or emDlovees. I, for myself, , and my heirs and assigns hereby
assume all responsibility and liability for such injuries or damages, including death, and hereby covenant
not to sue the entities and parties named above for such injuries or damages.
I FURTHER AGREE TO INDEMNIFY AND DEFEND THE CITY AND HOLD THE CITY
HARMLESS FROM ALL CLAIMS, TOGETHER WITH ALL COSTS, EXPENSES, AND LEGAL
FEES IN DEFENDING ALL CLAIMS DIRECTLY OR INDIRECTLY ATTRIBUTABLE TO
's USE OF THE FACILITY. THIS INDEMNITY PROVISION (INCLUDING,
WITHOUT LIMITATION, INDEMNITY FOR COSTS, EXPENSES AND LEGAL FEES) IS
SPECIFICALLY INTENDED TO OPERATE AND BE APPLICABLE EVEN IF IT IS ALLEGED OR
PROVED THAT ALL OR SOME OF THE DAMAGES BEING SOUGHT WERE CAUSED AS A
WHOLE OR IN PART BY ANY ACT, OMISSION, NEGLIGENCE, GROSS NEGLIGENCE,
BREACH OF CONTRACT, INTENTIONAL CONDUCT, VIOLATION OF STATUTE OR
COMMON LAW, BREACH OF WARRANTY, PRODUCT DEFECT, STRICT PRODUCT
Worksite Training Agreement Page 16 of 17
LIABILITY, OR ANY OTHER CONDUCT WHATSOEVER OF THE CITY. I REALIZE THAT BY
SIGNING THIS AGREEMENT, I AM GIVING UP MY RIGHT TO SUE THE CITY FOR INJURY,
DEATH OR DAMAGE I MAY SUFFER AT THE EVENT. IF ANY COURT FINDS A PORTION
OF THIS AGREEMENT TO BE INVALID, THE REMAINDER OF THE AGREEMENT WILL
NOT BE AFFECTED.
I have read this Waiver, Release, and Indemnity Agreement and fully understand its terms,
provisions and conditions. I have not been influenced to any extent whatsoever by any representations or
statements not contained within this agreement.
Dated this day of , 20
Legal Guardian's Signature
Address
City, State and Zip Code
Telephone
State of Texas
County of Tarrant
This document was acknowledged before me on by
Notary Public
Date
[REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK]
Worksite Training Agreement Page 17 of 17