HomeMy WebLinkAboutContract 62556-A1CSC No. 62556-Al
FIRST AMENDMENT TO CITY SECRETARY CONTRACT NO.62556
This Amendment ("Amendment") is entered into by and between the City of Fort Worth
("City") and The Women's Center of Tarrant County ("Agency"). City and Agency may be
referred to individually as "Party" and collectively as "Parties."
WHEREAS City receives grant monies from the United States Department of Housing and
Urban Development ("HUD") through the Community Development Block Grant Program
("CDBG"), Program No. B-24-MC-48-0010, Catalog of Federal Domestic Assistance No. 14.218;
WHEREAS, Section 5.2.2.2 of the Contract permits Agency to request an amendment of
the budget, subject to written approval by the Director of the City's Neighborhood Services
Department;
WHEREAS, the Agency requested a contract amendment from City to adjust funds from
underutilized salary line items to cover necessary grant -related expenses, specifically for health
insurance and retirement contributions;
WHEREAS, City believes that the requested amendment 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.
EXHIBIT `B" - Budget attached to the Contract is hereby amended and replaced in its
entirety with the REVISED EXHIBIT `B" — Budget, updated as of April 12, 2025, attached
hereto.
II.
This amendment is effective as of April 1, 2025.
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.
[SIGNATURES APPEAR ON FOLLOWING PAGE] OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Amendment No. 1 to CSC No. 62556
THE WOMEN'S CENTER OF TARRANT COUNTY - CDBG 5 1 % PSA CONTRACT 2024-25
Page 1
ACCEPTED AND AGREED:
The Women's Center of Tarrant County
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By: [aura Hilgart (Jun 18',7�025 09:57 CDT)
Laura Hilgart, Executive Officer
ATTEST:
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By:
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Jannette Goodall, City Secretary
M&C: 24-0552
1295 Certification No. 2024-1132800
Date: June 25, 2024
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By:
Kacey Bess, Neighborhood Services Director
CITY OF FORT WORTH
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By: Dana Burghdoff (Jul 2025166/CDT)
Dana Burghdoff, Assistant City Manager
APPROVED AS TO FORM AND
LEGALITY:
By:
Jessika Williams,
Assistant City Attorney
CONTRACT COMPLIANCE ADMINISTRATOR:
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
Charletta Moaning, Senior Contract Compliance Specialist
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Amendment No. 1 to CSC No. 62556
THE WOMEN'S CENTER OF TARRANT COUNTY - CDBG 5 1 % PSA CONTRACT 2024-25
Page 2
EXHIBIT "B" - BUDGET
Account Grant Budget Increase Decrease Total
PROGRAM PERSONNEL
_
J
Salaries
1001
$ 53,975.14
$
(3,500.00) $
50,475.14
FICA
1002
$
2,255.52
$
1,180.00
$
3,435.52
Life/Disability Insurance
1003
$
213.26
$
75.00
$
288.26
Health/DentalInsurance
1004
$
2,888.20
$
1,625.00
$
4,513.20
Unemployment -State
1005
$
-
$
-
$
-
Worker's Compensation
1006
$
54.46
$
20.00
$
74.46
Retirement
1007
$
613.42
$
600.00
$
1,213.42
Staff Training
1008
SUPPLIES AND SERVICES
on
0
Office/Program Supplies
2001
Postage
2002
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
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
LEGAL, FINANCIAL No
INSURANCE
Fidelity Bond or Equivalent 5001
Directors and Officers 5002
General Commercial Liability 5003
Bank fees
IRECT ASSISTANCE
One Way Trips 1011
Audit/IT/Legal Volunteer
Recruitment, Misc. 6001
BUDGET TOTAL $ 60,000.00 $ 3,500.00 $ (3,500.00) $ 60,000.00
Page l
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
Position Title Annual Salary Grant
Career Coach #1 53,998.00 35%
Career Coach #2 51,450.00 40%
Program Support Specialist 45,872.00 10%
Director of Employment Solutions 101,500.00 7%
TOTAL
Column 1
FICA
Life/Disability Insurance
Health/Dental Insurance
Unemployment -State
Worker's Compensation
Retirement
Staff Training
TOTAL
Office/Program Supplies
Postage
Printing
$ 252,820.00
FRINGE DETAIL -PROGRAM PERSONNEL
Percent of
Est. Percent to
Payroll
Amount
Grant
7.32%
$
18,509.80
18.6%
0.70%
$
1,777.07
16.2%
8.84%
$
22,347.50
20.2%
0.18%
$
462.66
16. l %
3.00%
$
7,584.60
16.0%
$
50,681.63
SUPPLIES AND SERVICES
Total Budget
Adv/Media, Dues/Pub, Printing, Bank Fees
TOTAL $ -
MISCELLANEOUS
Total Budget
Contract Labor
Food Supplies
Est. Percent to
Grant
Est. Percent to
Grant
#DIV/0!
$
Amount to
Grant
18899.3
20322.75
4357.84
6895.25025
50,475.14
Amount to
Grant
3,435.52
288.26
4,513.20
74.46
1,213.42
9,524.86
Amount to
Grant
Amount to
Grant
Teaching Aids
Craft Supplies
Field Trip Expenses
Mileage
TOTAL $ - #DIV/0! $
FACILITY AND UTILITIES
Est. Percent to
Total Budget 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
Total Budget Grant
Fidelity Bond or Equivalent
Directors and Officers
General Commercial Liability
Prof Fees
TOTAL $ -
DIRECT ASSISTANCE
Est. Percent to
Total Budget Grant
Audit/IT/Legal Volunteer Recruitment, Misc.
TOTAL $ -
Amount to
Grant
Amount to
Grant
Amount to
Grant
M&C Review Page 1 of 6
Official site of the City of Fort Worth, Texas
CITY COUNCIL AGENDA FoRTWORT11
Create New From This M&C
DATE: 6/25/2024 REFERENCE NO.: M&C 24-0552 LOG NAME: 192024-2025
ACTION PLAN
CODE: C TYPE: NON -CONSENT PUBLIC YES
HEARING:
SUBJECT: (ALL) Conduct Public Hearing and Approve the City of Fort Worth's 2024-2025 Annual
Action Plan for the Use of Federal Grant Funds in the Amount of $13,036,747.00 to be
Awarded by the United States Department of Housing and Urban Development from the
Community Development Block Grant, HOME Investment Partnerships Program,
Emergency Solutions Grant, and Housing Opportunities for Persons with AIDS Program,
Authorize Collection and Use of Program Income, Authorize Execution of Related
Contracts, Adopt Appropriation Ordinance, and Authorize Waiver of Indirect Costs
(PUBLIC HEARING - a. Report of City Staff: Sharon Burkley; b. Public Comment c.
Council Action: Close Public Hearing and Act on M&C)
RECOMMENDATION:
It is recommended that City Council:
1. Conduct a public hearing to allow citizen input and consideration of the City's 2024-2025 Annual
Action Plan for use of federal grant funds to be awarded by the United States Department of
Housing and Urban Development in the amount of $13,036,747.00 from the Community
Development Block Grant, HOME Investment Partnerships Program, Emergency Solutions Grant,
and Housing Opportunities for Persons with AIDS grant programs;
2. Approve the City's 2024-2025 Annual Action Plan for submission to the United States Department
of Housing and Urban Development, including allocations of grant funds to particular programs
and activities as detailed below;
3. Authorize the collection and use of an estimated $50,000.00 of program income which is
expected to result from activities using prior years' Community Development Block Grant funds
for the City's Priority Repair Program;
4. Authorize the collection and use of an estimated $50,000.00 of program income which is
expected to result from activities using prior years' HOME Investment Partnerships Program grant
funds for the City's Homebuyer Assistance Program, and authorize the use of 10 percent of the
program income for administrative costs;
5. Authorize the City Manager or his designee to execute contracts for one-year terms with the
agencies listed in Tables 1, 2, and 3 below for Program Year 2024-2025 for Community
Development Block Grant, Emergency Solutions Grant, and Housing Opportunities for Persons
with AIDS grant funds, contingent upon receipt of funding, and satisfactory completion of all
federal regulatory requirements;
6. Authorize the City Manager or his designees 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 federal grant funds;
7. Adopt the attached appropriation ordinance increasing estimated receipts and appropriations in
the Grants Operating Federal Fund in the total amount of $13,136,747.00 consisting of
$7,006,875.00 in Community Development Block Grant funds, $2,763,144.00 in HOME
Investment Partnerships Program funds, $614,768.00 in Emergency Solutions Grant funds, and
$2,651,960.00 in Housing Opportunities for Persons with AIDS grant funds, plus estimated
program income in the amount of $100,000.00, all subject to receipt of such funds; and
8. Authorize a waiver of the Neighborhood Services Department indirect cost of 28.10\%, estimated
total of $341,260.45.
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DISCUSSION:
The City's 2024-2025 Annual Action Plan summarizes the major housing and community development
activities and proposed expenditures for the program year beginning October 1, 2024 and ending
September 30, 2025 for use of federal grant funds totaling $13,036,747.00 from the United States
Department of Housing and Urban Development (HUD) from the Community Development Block Grant
(CDBG), HOME Investment Partnerships Program (HOME), Emergency Solutions Grant (ESG), and
Housing Opportunities for Persons with AIDS (HOPWA) grant programs. It also summarizes the use of
program income resulting from activities using prior years' CDBG and HOME funds, the primary purpose
of which is to benefit low -and moderate -income persons in Fort Worth. ESG funds primarily benefit
persons experiencing homelessness, and HOPWA funds primarily benefit low -and moderate -income
persons with HIV/AIDS.
A Request for Proposals from social service agencies and nonprofit organizations seeking grant funding
was published on February 1, 2024. All proposals were received on March 15, 2024. Staff reviewed all
proposals and developed recommendations for the allocation of estimated funding from HUD based on
the capacity of applicant organizations, grant experience, fiscal stability, and compliance with applicable
federal regulations. One public hearing was held on April 10, 2024, to provide citizens the opportunity to
participate in the development of the Annual Action Plan. Recommendations for award amounts were
considered and adopted by the Community Development Council on May 8, 2024.
A 30-day public comment period was held from May 15, 2024 to June 14, 2024. Notice of this public
comment period was published in La Vida News on May 9, 2024; in the Fort Worth Star -Telegram on May
13, 2024; in Wise County Messenger on May 16, 2024; and in the Cleburne Times Review and the
Weatherford Democrat on May 18, 2024.
Any comments received are maintained by the Neighborhood Services Department in accordance with
federal regulations. The City held two public hearings as a part of the HUD required citizen participation
process. The first public hearing was held by staff on May 29, 2024, and the second public hearing is
scheduled for the City Council on June 25, 2024.
A summary of staffs final funding recommendations is provided below in Tables 1,2, and 3. A PowerPoint
presentation listing funding recommendations is also attached. The 2024-2025 Annual Action Plan will be
submitted to HUD by August 15, 2024.
Indirect costs totaling approximately $341,260.45 could be charged to the CDBG grant, as the
Neighborhood Services Department indirect cost rate is 28.10\% in the City's most recent Cost Allocation
Plan. A waiver of these costs is requested to allow allocation of these funds to further support the
programs and services to assist low -to -moderate income citizens. This amount is calculated based on the
estimated salary expenses and other administrative costs for the CDBG program totaling $1,214,450.00.
This amount multiplied by the indirect cost rate of 28.10\% equals $341,260.45.
COMMUNITY DEVELOPMENT BLOCK GRANT
For Program Year 2024-2025, it is recommended that the amount of $7,006,875.00 in CDBG funds and
an estimated amount of $50,000.00 in CDBG program income totaling $7,056,875.00 be allocated as
follows:
Public Service Agencies - $1,051,031.00: Includes social services for low- and moderate -income
persons, persons with disabilities, and disadvantaged persons
Housing Programs - $2,930,000.00: Includes funding for the City's Priority Repair Program, Cowtown
Brush -Up, and accessibility modifications for seniors and persons with disabilities
Major Projects - $644,469.00: Includes funding for multifamily rental rehabilitation
Program Delivery - $980,000.00: Includes program delivery costs for housing programs
Administration - $1,401,375.00: Includes costs for administering the CDBG grant, including allocations
for the Financial Management Services Department
Estimated Program Income - $50,000.00: Includes up to $50,000.00 in funding for the City's Priority
Repair Program. Any CDBG program income over the estimated amount not used for the Priority Repair
Program will be allocated to priority activities in the City's Consolidated Plan, subject to the City Council
approval.
HOME INVESTMENT PARTNERSHIPS PROGRAM
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For Program Year 2024-2025, it is recommended that the amount of $2,763,144.00 in HOME funds and
an estimated amount of $50,000.00 in HOME program income totaling $2,813,144.00 be allocated as
follows:
Homebuyer Assistance Program - $72,358.00: Includes funding for down payment and closing cost
assistance for low- and moderate -income homebuyers
Community Housing Development Organizations (CHDOs) for affordable housing projects -
$414,471.60: These funds will be used by Housing Channel for an affordable housing development in
southeast Fort Worth called Mason Heights. Funds will be used for the acquisition of land and new
construction of 248 residential units comprised of the following: 125 Single Family attached
townhomes, 106 Single Family detached homes, and 17 cottages. An estimated 104 units
(approximately 42\%) will be sold to low to moderate income households at or below 80\0/0 Area
Median Income (AMI). This funding is part of a multi -year commitment to Housing Channel for a total
of five years.
Major Projects - $2,000,000.00: Includes $1,000,000.00 allocated to the affordable housing project to
be developed by Fort Worth Housing Solutions (FWHS) as a part of its Choice Neighborhood Initiative
(CNI) grant and $1,000,000.00 allocated to the multifamily housing project, Columbia Renaissance -
Phase III
Administration - $276,314.40: Includes costs for administering the HOME grant
Estimated Program Income - $50,000.00: Includes funding for the Homebuyer Assistance Program and
HOME grant administrative costs. HUD allows the City to use 10 percent of any HOME program income
towards the cost of administering the HOME grant. HOME program income over the estimated amount
not used for the Homebuyer Assistance Program will be allocated to priority activities in the City's
Consolidated Plan, subject to City Council approval.
HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS
For Program Year 2024-2025, it is recommended that the amount of $2,651,960.00 in HOPWA funds be
allocated as follows:
Public Service Agencies - $1,626,781.00
Neighborhood Services Department - $945,620.00
Administration - $79,559.00
EMERGENCY SOLUTIONS GRANT
For Program Year 2024-2025, it is recommended that the amount of $614,768.00 in ESG funds to be
allocated as follows:
Public Service Agencies - $568,660.00
Administration - $46,108.00
CONTRACT RECOMMENDATIONS
The Community Development Council and Neighborhood Services Department staff recommend that
contracts be executed with the public service and CDBG subrecipient agencies for the amounts shown in
the following tables:
Community Development Block Grant Contracts
TABLE 1: CDBG AGENCIES
AGENCY CONSOLIDATED PLAN I PROGRAM AMOUNT
GOAL
Housing Channel (Affordable Housing (Housing Counseling & $111,000.00
Education
Meals -On -Wheels, Inc. of Aging In Place Nutrition Program $75,000.00
Tarrant County
Increasing Access to
Sixty and Better, Inc. Aging In Place Basic Needs for Senior $50,000.00
Adults
AB Christian Learning Center Children and Youth Out of School Time $90,000.00
Services Program
II $80,000.001
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Boys & Girls Clubs of Greater IChildren and Youth Youth Development at
(Tarrant County, Inc.
IServices
Eastside Branch
Camp Fire First Texas
Children and Youth
Services
Teens In Action
$78,300.00
Girls Incorporated of Tarrant
Children and Youth
Girls Inc. of Tarrant
$100,000.00
County
Services
County
Junior Achievement of the
Children and Youth
Cradle to Career
$50,000.00
Chisholm Trail, Inc.
Services
Initiative
United Community Centers,
Children and Youth
Holistic Educational
$90,000.00
Inc.
Services
Literacy Program
(Easter Seals North Texas, Inc.
Economic Empowerment
and Financial Resilience
Employment Services
$60,000.00
Taste Project
Economic Empowerment
Culinary Workforce
$25,000.00
and Financial Resilience
Development Program
The Ladder Alliance
Economic Empowerment
Tarrant County
Workforce
$81,731.00
and Financial Resilience
Development
(The Women's Center of Tarrant Economic Empowerment
Employment Solutions
I
I $60,000.00
County, Inc.
and Financial Resilience
Your Harvest House, Inc.
Economic Empowerment
and Financial Resilience
Client Aid Services
I
$25,000.00
Healthy Living and
Increasing Health
Cancer Care Services
Wellness
Equity by Decreasing
$50,000.00
Health Disparities
Tarrant Area Food Bank
Healthy Living and
Wellness
Home Delivery
$25,000.00
ICDBG Public Services Agencies Total
$1,051,031.001
Rehabilitation, Education and
Accessibility
Advocacy for Citizens with
Improvements
Project Ramp
$165,000.00
Handicaps dba REACH, Inc.
Fort Worth Area Habitat for
Housing Preservation
Humanity, Inc. DBA Trinity
and Rehabilitation
Cowtown Brush Up
$455,000.00
Habitat for Humanity
1CDBG Subrecipient Agencies Total
11 $620,000.001
TOTAL CDBG CONTRACTS
I1$1,671,031.001
Housing Opportunities for Persons with AIDS Contracts
TABLE 2: HOPWA AGENCIES
AGENCY CONSOLIDATED PLAN I PROGRAM
AMOUNT
GOAL l
AIDS Outreach Homelessness
Prevention The Housing
Assistance
$326,781.00
Center, Inc. and Special
Needs Program
Support
- Administration, Tenant -
Based Rental
Assistance
(TBRA), Short -Term
Rent, Mortgage, and
Utility Assistance
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(STRMU), Supportive
I
Services
HOPWA Program -
Administration, Tenant -
Based Rental Assistance
Tarrant County Homelessness
Prevention (TBRA), Short -Term
Samaritan Housing, and Special Needs Rent, Mortgage, and
$1,300,000.00
Inc. Support
Utility Assistance
(STRMU), Supportive
Services, Facility -Based
Operations (FBO)
TOTAL HOPWA CONTRACTS
$1,626,781.00
Emergency Solutions Grants Contracts
TABLE 3: ESG AGENCIES
AGENCY
CONSOLIDATED PLAN
PROGAM
I
AMOUNT
GOAL
The Presbyterian Night
Homelessness Prevention and Shelter
Shelter of Tarrant County,
Special Needs Support Operations/Services
$127,345.00
Inc.
Lighthouse for the
Homeless dba True Worth
Homelessness Prevention and Day Shelter
$138,851.00
Place
Special Needs Support Operations/Services
SafeHaven of Tarrant
Homelessness Prevention and
Shelter
I�Operations/Services
$75,000.00
County
Special Needs Support
II
Center for Transforming
Homelessness Prevention and
Rapid Re -Housing
$75,901.00
Lives
Special Needs Support
The Salvation Army
Homelessness Prevention and
Homelessness
$151,563.00
I I
Special Needs Support
Prevention
TOTAL ESG CONTRACTS
11$568,660.001
All figures have been rounded
to the nearest dollar for presentation purposes.
Each of these grants is an entitlement grant rather than a competitive grant received from the United
States Department of Housing and Urban Development (HUD). Entitlement grants provide funds to
agencies based on a formula, prescribed in legislation or regulation, rather than based on review. These
specific grants are allocated to the City of Fort Worth based on population size and per capita income
each year. The grants have been consistently awarded to the City since 1974 with the inception of the
Community Development Block Grant (CDBG) through the Housing and Community Development Act of
1974. The Emergency Shelter (renamed Solutions) Grant (ESG) was authorized in 1987 through the
McKinney-Vento Homelessness Assistance Act. The HOME Investment Partnerships Program (HOME)
and the Housing Opportunities for Persons with AIDS (HOPWA) Program were authorized through the
Cranston -Gonzales National Affordable Housing Act of 1990. With these grants, administrative and
program delivery allocations support approximately 72 FTE positions in the Neighborhood Services
Department, which is funded nearly 70\% with various grants including these entitlement grants.
Positions funded with HUD Entitlement grants are subject to grant availability. In the event of a grant
award being decreased or eliminated, Neighborhood Services Department would review programs and
services funded by the grants and determine a level of service and staffing that aligns with the available
funding. Alternatives to consider may include staff and program reductions or eliminations.
These programs are available in ALL COUNCIL DISTRICTS.
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FISCAL INFORMATION/CERTIFICATION:
The Director of Finance certifies that upon approval of the above recommendations and adoption of the
attached appropriation ordinance, funds will be available in the current operating budget, as appropriated,
of the Grants Operating Federal Fund. The Neighborhood Services Department (and Financial
Management Services) will be responsible for the collection and deposit of funds due to the City. Prior to
an expenditure being incurred, the Neighborhood Services Department has the responsibility to validate
the availability of funds. These are reimbursement grants.
TO
Fund Department Account Project Program Activity Budget Reference # Amount
ID ID Year (Chartfield 2)
FROM
Fund Department Account Project Program Activity Budget Reference # Amount
ID ID Year (Chartfield 2)
Submitted for Citv Manaqer's Office bv: Fernando Costa (6122)
Oriainatina Department Head: Kacey Bess (8187)
Additional Information Contact: Sharon Burkley (5785)
Rhonda Hinz (2573)
ATTACHMENTS
19NS ACTION PLAN 2024 Aaencv Form 1295 Forms.Ddf (CFW Internal)
2024-2025 Action Plan Secretary of State Filinas.Ddf (CFW Internal)
Action Plan Budaet-Staff Recommendations 052924.DDtx (CFW Internal)
IR 2024-2025 ACTION PLAN.docx (CFW Internal)
ORD.APP192024-2025 ACTION PLANFY24 AO(r7).docx (Public)
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CERTIFICATE OF INTERESTED PARTIES FORM 1295
1of1
Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos.1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING
1 Name of business entity filing form, and the city, state and country of the business entity's place Certificate Number:
of business. 2024-1132800
The Women's Center of Tarrant County
Fort Worth, TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 03/08/2024
being filed.
City of Fort Worth Date Acknowledged:
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a
description of the services, goods, or other property to be provided under the contract.
NSD24-001
2024-2025 PSA RFP (CDBG)
4 Nature of interest
Name of Interested Party City, State, Country (place of business) (check applicable)
Controlling Intermediary
5 Check only if there is NO Interested Party.
X
6 UNSWORN DECLARATION
My name is /. �►sY� �1 i ial�
V— -
My address isAll , n .
(street)
I declare under penalty of perjury that the foregoing is true and correct.
, and my date of birth is
(city) (state)
nk )
Executed in i /, 4, r ra County, State of NQpC on the day of �A ar CV 1 , 20 jt.
--4 (month) (year)
Signature of th riz Cf6�M�vf�htracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1.5b35d027
FORTWORTH.
PSA Budget Amendment Request Form
Section I — Agencv Information
• Agency Name: The Women's Center of Tarrant Countv. Inc.
• Authorized Representative: Laura Hileart
• Title: President & CFO
• Email Address: lhilgart(a womenscentertc.ore
• Phone Number: 817-927-4006
Section II — Contract Information
• Contract Number: CSC No. 62556
• Project Title: Emnlovment Solutions
• Contract Term: 10/1/2024-9/30/2025
Section III — Summary of Reauested Budget Revisions
Please specify the exact budget line items to be adjusted. Attach a copy of the current
approved budget (Exhibit B) with all proposed revisions clearly highlighted. Note that City
staff will reevaluate the Agency's cost allocation plan and discuss any fair share concerns.
Budget Line
Current
Proposed
Item
Budgeted
Revised Amount Increase Decrease
Amount
(Salaries
$53,975.14
$50,475.14 $3,500.00
IFICA
$2,255.52
$3,435.52 $1,180.00
Life/Disability
$213.26
$288.26 $75.00
Insurance
Attach additional pages if necessary.
Section IV — Justification for Budeet Amendment
Provide a clear and detailed explanation of the reason(s) for each proposed budget revision.
Include any relevant background or programmatic changes that necessitate this
amendment.
We are projecting_to have funds remaining in the Salaries line item and would like to move the excess funds
to cover projected overages in FICA, Life/Disability Insurance, Health Insurance, Worker's Compensation, and
Retirement. See additional page for added lines.
Pagel of 2
Section V — Agencv Certification
By signing below, the undersigned certifies that the above information is accurate and that
the requested amendment is necessary for the effective and compliant administration of the
contract.
Authorized Agency Representative
• Name: Laura Hilgart
• Title: President & CEO
• Signature:.- _Laura Ffilaar+
• Date:
Sections VI & VII must be completed by the City of Fort Worth prior to preparation of any
contract amendment.
Section VI — ComMiance Review
X Compliance Review Completed
Comments/Remarks:
Compliance Staff or Designee Signature:
Printed Name: Charletta Moaning
Date: 6/10/2025
Section VII — CitvAnproval
❑ Approved
❑ Denied
Director or Designee Signature:
Printed Name: KaceV Bess
Title: Neighborhood Services DirE
Date: Jun 17. 2025
Section VIII —Administrative Use Only
(Will be completed after amendment is executed)
• Amendment Number:
• Date Request Received:
• Date of Budget Amendment Execution:
• Reviewed By:
Page 2 of 2
Document Created: May 29, 2025 Last Revised: May 29, 2025
Current Budgeted
Proposed
Budget Line Item
Amount
Revised Amount
Increase
Health/Dentallnsurance
$2,888.20
$4,513.20
$1,625.00
Worker's Compensation
$54.46
$74.46
$20.00
Retirement
$613.42
$1,213.42
$600.00
Decrease
EXHIBIT "B" - BUDGET
The Women Center of Tarrant County
Account
Grant Budget
A
B
C
D
E
Total
PROGRAM PERSONNEL
Salaries
1001
$ 53,975.14
$ 2,240,956.26
$ 1,763,731.02
$ 609,131.58
$
4,667,794.00
(FICA
1002
$ 2,255.52
$ 165,764.10
$ 129,128.66
$ 44,596.56
$
341,744.84
Life/Disability Insurance
1003
$ 213.26
$ 15,917.84
$ 12,397.29
$ 4,281.58
$
32,809.97
IHealth/DentalInsurance
1004
$ 2,888.20
$ 199,967.51
$ 155,901.35
$ 53,842.92
$
412,599.98
(Unemployment -State
1005
$ 5,309.84
$ 4,080.79
$ 1,409.36
$
10,799.99
I Worker's Compensation
1006
$ 54.46
$ 4,145.26
$ 3,227.62
$ 1,114.70
$
8,542.04
Retm ireent
1007
$ 613.42
$ 45,082.36
$ 35,117.73
$ 12,128.79
$
92,942.30
SUPPLIES AND SERVICES
Office/Program Supplies
2001
$ 31,712.41
$ 24,372.04
$ 8,417.25
$
64,501.70
(Postage
2002
(Printing
2003
$ 2,064.94
$ 1,586.97
$ 548.09
$
4,200.00
Adv/Media, Dues/Pub, Printing,
Bank Fees
$ 53,187.73
$ 40,876.55
$ 14,117.34
$
108,181.62
Other (Staff Travel and Training)
4,424.87
$ 3,400.65
$ 1,174.48
$
9,000.00
MISCELLANEOUS
Contract Labor Food
Supplies/Meals (City needs copy
of contract before expenses can be
reimbursed)
3001
$
Food Supplies
3002
(Teaching Aids -Skills Training
3003
$
-
Craft Supplies
3004
I Field Trip Expenses
3005
Mileage
3006
$
15 201.40
$ 11,682.78
$ 4,034.82
$
30 919.00
FACILITY AND UTILITIES
Telephone
4001
$
23,825.90
$ 18,311.06
$ 6,324.01
$
48,460.97
(Electric
4002
$
13,766.45
$ 10,579.97
$ 3,653.95
$
28,000.37
Gas
4003
$
1,240.33
$ 953.23
$ 329.23
$
2,522.79
I Water and Wastewater
4004
$
7,375.14
$ 5,668.04
$ 1,957.55
$
15,000.73
Solid Waste Disposal
4005
$
-
$ -
$ -
Rent (City needs copy of lease
before expenses can be
reimbursed)
4006
$
12,291.37
$ 9,446.35
$ 3,262.43
$
25,000.15
I Cleaning Supplies
4007
$
-
$ -
$ -
IRepairs
4008
$
-
$ -
$ -
ICustodialServices
4009
$
31,713.11
$ 24,372.58
$ 8,417.45
$
64,503.14
Utilities, Transportation, PP &E
4010
Equivalent, Directors and
Officers, General Commercial
Liability) 5001-3
I Bank fees
I volunteer
I volunteer
I Prof Fees 5004
32,793.20 $ 25,202.66 $
8,704.14
IBUDGET TOT1AL I 6001 I $ 60,000.00 I $ 3.223,26195 I $ 2,523,294 97 I $ 871,458.98 I $ - I $
FUNDING A: Government Grants
FUNDING B: Contributions
FUNDING C: Other fundraising
$ 66,700.00
$ 317,503.57
$ 6,678,015.90
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
Career Coach #1
$
53,998.00
40.000%
$ 21,597.94
Career Coach #2
$
51,450.00
40.000%
$ 20,580.00
Program Support Specialist
$
45,872.00
10.000%
$ 4,587.20
Director of Employment Solutions
$
103,000.00
7.000%
$ 7,210.00
All other positions -Regular
$
4,119,874.00
Variable Hour Employees
$
293,600.00
TOTAL
$
4,667,794.00
1.1%
$ 53,975.14
FICA
(Life/Disability Insurance
Health/Dental Insurance
IUnemployment -State
(Worker's Compensation
IRetirement
TOTAL
FRINGE DETAIL -PROGRAM PERSONNEL
Est. Percent to
Amount to
Percent of Payroll
Amount
Grant
Grant
7.3213349%
$
341,744.83
0.6600%
$ 2,255.52
0.7029010%
$
32,809.97
0.6500%
$ 213.26
8.83929312448531%
$
412,599.99
0.7000%
$ 2,888.20
0.2313725%
$
10,799.99
$ -
0.1829995%
$
8,542.04
0.6375%
$ 54.46
1.9911398%
$
92,942.30
0.6600%
$ 613.42
$
899,439.12
$ 6,024.86
SUPPLIES AND SERVICES
IOffice/Program Supplies
i Postage
j Printing
Adv/Media, Dues/Pub, Printing, Bank Fees
Other (Staff Travel and Training)
TOTAL
Contract Labor
Food Supplies
Teaching Aids
Total Budget
$ 64,501.70
$ 4,200.00
$ 108,181.62
$ 9,000.00
$ 185,883.32
MISCELLANEOUS
Est. Percent to Amount to
Grant Grant
Est. Percent to Amount to
Total Budget Grant Grant
Craft Supplies
Field Trip Expenses
Mileage $ 30,919.00
TOTAL $ 30,919.00
FACILITY AND UTILITIES
Total Budget
Telephone
$
48,460.97
Electric
$
28,000.37
lGas
$
2,522.79
Water and Wastewater
$
15,000.73
1Solid Waste Disposal
$
-
IRent (City needs copy of lease before expenses can be $
25,000.15
Cleaning Supplies
$
-
lRepairs
$
-
lCustodial Services
$
64,503.14
Utilities, Transportation, PP &E
$
-
ISecurity
$
77,303.74
TOTAL
$
260,791.89
LEGAL, FINANCIAL AND INSURANCE
Total Budget
Insurance (Fidelity Bond or Equivalent, Directors and Officers,
General Commercial Liability) $ 66,700.00
TOTAL $ 66,700.00
DIRECT ASSISTANCE
Skills Training/Client Assistance
Financial Coaching
TOTAL
lAudit/IT/Legal Volunteer Recruitment, Misc.
TOTAL
(Total Women's Center Budget 2024-2025
0.0% $ -
Est. Percent to Amount to
Grant Grant
Est. Percent to
Grant
Est. Percent to
Total Budget Grant
$ 159,500.00
$ 89,485.00
$ 248,985.00
Professional Contracts
$ 317,503.57I
$ 317,503.57
$ 6,678,015.90
Amount to
Grant
Amount to
Grant
$ 60,000.00
EXHIBIT "B" - BUDGET
Account Grant Budget Increase Decrease Total
PROGRAM PERSONNEL
J
Salaries
1001
$
53,975.14
$
(3,500.00) $
50,475.14
FICA
1002
$
2,255.52
$
1,180.00
$
3,435.52
Life/Disability Insurance
1003
$
213.26
$
75.00
$
288.26
Health/DentalInsurance
1004
$
2,888.20
$
1,625.00
$
4,513.20
Unemployment -State
1005
$
-
$
-
$
-
Worker's Compensation
1006
$
54.46
$
20.00
$
74.46
Retirement
1007
$
613.42
$
600.00
$
1,213.42
Staff Training
1008
SUPPLIES AND SERVICES
Office/Program Supplies 2001
Postage 2002
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
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
LEGAL, FINANCIAL No
INSURANCE
Fidelity Bond or Equivalent 5001
Directors and Officers 5002
General Commercial Liability 5003
Bank fees
IRECT ASSISTANCE
One Way Trips 1011
Audit/IT/Legal Volunteer
Recruitment, Misc. 6001
BUDGET TOTAL $ 60,000.00 $ 3,500.00 $ (3,500.00) $ 60,000.00
Page l
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
Position Title Annual Salary Grant
Career Coach #1 53,998.00 35%
Career Coach #2 51,450.00 40%
Program Support Specialist 45,872.00 10%
Director of Employment Solutions 101,500.00 7%
TOTAL
Column 1
FICA
Life/Disability Insurance
Health/Dental Insurance
Unemployment -State
Worker's Compensation
Retirement
Staff Training
TOTAL
Office/Program Supplies
Postage
Printing
$ 252,820.00
FRINGE DETAIL -PROGRAM PERSONNEL
Percent of
Est. Percent to
Payroll
Amount
Grant
7.32%
$
18,509.80
18.6%
0.70%
$
1,777.07
16.2%
8.84%
$
22,347.50
20.2%
0.18%
$
462.66
16. l %
3.00%
$
7,584.60
16.0%
$
50,681.63
SUPPLIES AND SERVICES
Total Budget
Adv/Media, Dues/Pub, Printing, Bank Fees
TOTAL $ -
MISCELLANEOUS
Total Budget
Contract Labor
Food Supplies
Est. Percent to
Grant
Est. Percent to
Grant
#DIV/0!
$
Amount to
Grant
18899.3
20322.75
4357.84
6895.25025
50,475.14
Amount to
Grant
3,435.52
288.26
4,513.20
74.46
1,213.42
9,524.86
Amount to
Grant
Amount to
Grant
Teaching Aids
Craft Supplies
Field Trip Expenses
Mileage
TOTAL $ - #DIV/0! $
FACILITY AND UTILITIES
Est. Percent to
Total Budget 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
Total Budget Grant
Fidelity Bond or Equivalent
Directors and Officers
General Commercial Liability
Prof Fees
TOTAL $ -
DIRECT ASSISTANCE
Est. Percent to
Total Budget Grant
Audit/IT/Legal Volunteer Recruitment, Misc.
TOTAL $ -
Amount to
Grant
Amount to
Grant
Amount to
Grant
FORT WORTH
Routing and Transmittal Slip
Neighborhood Services Department
DOCUMENT TITLE: Contract Amendment No. 1 — The Women's Center of Tarrant Countv
M&C 48-0010 CPN
DATE:
TO:
1. Laura Hilgart — Chief Executive Officer
2. Charletta Moaning — Compliance Division
3. Kacey Bess — NSD Director
4. Jessika Williams — Asst. City Attorney
5. Dana Burghdoff— Asst. City Manager
6. Ronald Gonzales — City Sec.
7. Jannette Goodall — City Sec.
8. Allison Tidwell — City Sec.
CSO # 62556
DOC#
DATE OUT
06/18/2025
06/18/2025
07/01 /2025
07/02/2025
07/02/2025
07/02/2025
07/03/2025
DOCUMENTS FOR CITY MANAGER'S SIGNTURE: All documents received from any and all
City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE
APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, Jay Chappa
will review and take the next steps.
NEEDS TO BE NOTARIZED: ❑Yes X No
RUSH: ❑ Yes X No SAME DAY: ❑ Yes X No NEXT DAY: ❑Yes X No
ROUTING TO CSO: X Yes ❑ No
Action Required:
❑ As Requested ❑ Attach Signature, Initial and Notary
Tabs
❑ For Your Information ❑ Attach Signature
X Signature/Routing and or Recording
o Comment
❑ File
Return to: Please call Charletta Moaninq at ext. 7333 or email questions. Thank you.