HomeMy WebLinkAbout062216-A1 - General - Contract - Boys and Girls Club of Greater Tarrant, Inc.CSC No. 62216-Al
FIRST AMENDMENT TO
FORT WORTH CITY SECRETARY CONTRACT NO. 62216
This First Amendment to Fort Worth City Secretary Contract No. 62216 ("Agreement") is
made between the CITY OF FORT WORTH ("City") a Texas home-rule municipal corporation
acting by and through its duly authorized Assistant City Manager, and BOYS & GIRLS CLUBS
OF GREATER TARRANT COUNTY, INC. ("Contractor") acting by and through Daphne
Barlow-Stigliano, Chief Executive Officer and President, its duly authorized representative, each
individually referred as a "Party" and collectively as the "Parties".
WHEREAS, City and Contractor entered into an Agreement identified as Fort Worth City
Secretary Contract No. 62216 beginning October 1, 2024 ("Agreement");
WHEREAS, the Parties wish to amend the Agreement to replace the Budget Narrative in
Exhibit B with a new Budget Narrative that includes the Fiscal Year 2026 Budget;
WHEREAS, the Parties wish to amend the Agreement to replace the Request For
Reimbursement (RFR) form in Exhibit C with a new Request For Reimbursement (RFR) form that
includes the Fiscal Year 2026 Budget;
WHEREAS, the Parties wish to amend the Agreement to replace Exhibit A with an
updated Scope of Work for Fiscal Year 2026;
WHEREAS, the Parties wish to amend the Agreement to provide for future FY-specific
budget documentation without amending the Agreement;
WHEREAS, the Parties wish to amend the Agreement to provide for 4 % annual
increases to the Program Funds in accordance with M&C 25-1013; and
WHERAS, the Parties wish to amend the Agreement to increase the annual amount by
$71,835.17 for Fiscal Year 2026 with a new total program fund of $1,867,714.39.
NOW THEREFORE the Parties do hereby agree to the following:
I.
AMENDMENT TO AGREEMENT
The Agreement is hereby amended to be and read as follows:
A.Exhibit B-Budget Narrative, which is attached hereto and incorporated herein, is
made a part of this Agreement for all purposes, replacing the previous Exhibit B's Budget
Narrative.
First Amendment to Fort Worth City Secretary Contract No. 62216 Page 1 of9
B.Section 2.14 of the Agreement is hereby added to be and read as follows:
The Parties agree that the compensation amount ("Program Funds") payable each fiscal
year is subject to appropriation by the relevant governing body(s) expending funds under
the Agreement. Each fiscal year, City agrees to update the exhibits in accordance with the
amount authorized under the relevant M&C. Such updates shall be provided to Contractor
and incorporated by reference herein without necessitating an amendment to the
Agreement. All documentation provided hereunder shall be retained for the three-year
audit period pursuant to Section 7.
C.Section 2.1 of the Agreement is amended as follows:
2.Program Funds
2.1 In no event shall the total distribution from City made to the Contractor
during the Term of this Agreement exceed the total sum of $1,867,714.39
FY2026, and $1,942,422.96 FY2027, as appropriated annually per fiscal year
("Program Funds").
D.Exhibit C -Request For Reimbursement (RFR), which is attached hereto and
incorporated herein, is made a part of this Agreement for all purposes, replacing the
previous Exhibit C's Request For Reimbursement (RFR).
E.Exhibit A-Scope of Work -Project Plan, which is attached hereto and incorporated
herein, is made a part of this Agreement for all purposes, replacing the previous Exhibit
A's Scope of Work -Project Plan.
II.
ALLOTHERTERMS SHALLREMAINTHESAME
All other provisions of Agreement which are not expressly amended herein shall remain in
full force and effect.
III.
ELECTRONI C SIGNATURE
This Amendment and Renewal may be executed in multiple counterparts, each of
which shall be an original and all of which shall constitute one and the same instrument.
A facsimile copy or computer image, such as a PDF or tiff image, or a signature, shall be
treated as and shall have the same effect as an original.
[SIGNATURE PAGE FO L LOWS]
First Amendment to Fort Worth City Secretary Contract No. 62216 Page 2 of9
IN WITNESS WHEREOF, the Parties hereto have executed this amendment to be effective the
day the Assistant City Manager signs it.
ACCEPTED AND AGREED:
CITY OF FORT WORTH
By:
Name: William Johnson
Title: Assistant City Manager
Date: 11/14/2025
APPROVAL RECOMMENDED:
By: Ro�ov 14, 202510:27:50 CST)
Name: Robert A. Alldredge Jr.
Title: Executive Assistant Chief
ATTEST:
By:
Na.me: Jannette S. Goodall
Title: City Secretary
BOYS & GIRLS CLUBS OF GREATER
TARRANT COUNTY, INC.
By: ��.u�
Name: Daphne Barlow Stigliano
Title: Chief Executive Officer
Date: 11/10/2025
CONTRACT COMPLIANCE MANAGER:
By signing I acknowledge that I am the person
responsible for the monitoring and
administration of this contract, including
ensuring all performance and reporting
requirements.
Cbr--= Sbu By: LL_
Name: Jaycee Shane
Title: CCPD Partners Manager
APPROVED AS TO FORM
AND LEGALITY:
A� � By:
Name: Amarna Muhammad
Title: Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: 25-1013
Date Approved: 10/28/2025
Form 1295 Certification No.: NIA
First Amendment to Fort Worth City Secretary Contract No. 62216 Page 3 of9
FY26 EXHIBIT A: SCOPE OF WORK-PROJECT PLAN
Agency Name: BOYS & GIRLS CLUBS OF GREATER TARRANT COUNTY, INC.
Project Title: Comin' Up Gang Intervention
CCPD Emerging Priority
Please check all that apply.
CCPD Mission Priority
Please check all that apply.
D Police Community Relations
X Violent Crime Prevention
D Afterschool Program
X Gang Intervention □Foster Care □Victim Services□Adjudicated Youth & Adults
Outcome 1
Outcome 2
Outcome3
Outcome4
160 out of638 (25%) program participants will make positive life changes as defined by (1) grade progression, (2) enrolled in dual credit or AP course, (3) enroll in TRIO program (Talent Search, Upward Bound), (4) graduate high school, (5) complete GED, (6) return to school, (7) enroll in college or trade school, (8) completion of a semester of college, (9) enlist in the military, (10) complete 30 days of employment, (11) completion of probation, (12) completion driver's license, (13) completion ofan anger management course, (14)complete workbased learning experience (development programs, jobshadowing, career mentoring, internships, apprenticeships or servicelearning).Life Changes will be tracked with monthly reporting via a Google
Document. Supporting documents will be obtained and filed with
monthly reports.
606 out of 638 (95%) program participants will not engage in behavior
that results in an arrest on an annual basis.
Arrests will be tracked with monthly reporting via a Google
Document. Supporting documents will be obtained and filed with
monthlv revorts.
96 out of 128 (75%) eligible participants will improve or maintain
positive attitudes and perceptions toward needs-based topics
including, but not limited to: education, legal employment,
workforce readiness, community service, handling conflict, healthy
living, being a leader, decision-making, and peer influence.
Reporting via a Google Forms survey with a 20% minimum
respondent rate.
312 of the 3,125 program participants served through expansion
programming will receive additional intervention services. Of the
312 participants that receive targeted interventions, 280 (90%) will
report an understanding of the consequences associated with gang
involvement, community partnerships and resources available to
them, and opportunities that can lead to a healthier lifestyle as
measured by an annual survey.
First Amendment to Fort Worth City Secretary Contract No. 62216 Page 4 of9
Activity Summary Activity Goals People/Persons Responsible Timeline
Comin' U� Gani:; 1)638 unduplicated Senior VP October 2025 -
Intervention program participants. Senior Director September 2026
Proi:;ram 2)702 unduplicated Program Outcomes Director
Participants will program participants in CU Coordinator
participate in activities FY26.Site Director
that reduce risk factors for Outreach Specialist
gang involvement. 3)415 unduplicated early Case Manager
intervention and Teen and Early Intervention
Activities include intervention participants.Specialist
Character Development
Services, Leadership 4)14,000 programmingDevelopment Services, delivery units ( caseSocial Emotional management, academicServices, Healthy assistance, groupLifestyle Services, programming, outreach,Academic Tutoring etc.)Services, Career
Navigation Services, 5)20% of programWorkforce Readiness participants will completeServices, Case a needs-based survey.Management Sessions,
Outreach Visits, 6)75% of eligibleCounseling Sessions, participants will improveCourt Assistance, and or maintain positiveReferral Services. attitudes and perceptions
regarding needs-based
topics.
Participants and activities
will be tracked in our
participant management
system.
Case Manai:;ement 7)150 unduplicated Senior VP October 2025 -
program participants Senior Director September 2026
Case management -work enrolled in case CU Coordinator
with participants on management� Program Outcomes Director Daily-
individual needs and/or Site Director Primarily the
life change goals. Participants/Units of Outreach Specialist responsibility of
service will be tracked in Case Manager the Case
our participation Teen and Early Intervention Manager, but all
management system. Specialist Staff will
Academic Instructor contribute to the
success of case
management
Monday-Friday.
Case
management
groups -once a
week, as
scheduled by the
First Amendment to Fort Worth City Secretary Contract No. 62216 Page 5 of9
Violent Crime Strate!!V
Participants will
participate in activities
that reduce risk factors for
gang involvement.
Activities include needs
based groups/ workshops
with topics related to
gang
prevention/intervention,
mentoring, intake
assessments to identify
needed resources,
referrals, and follow-up.
Comin' Up Gang
Intervention Program will
directly target specific zip
codes and school
pyramids, which have
been identified by CCPD
as having the highest
level of criminal activity
(76133, 76112, 76116,
and 76119). The program
expands on the successful
traditional Comin' Up
Program, which has
operated in the City of
Fort Worth for the past 31
years.
8)93 community and
school-based events.
Provide 93 targeted gang
prevention/intervention
program events to ISD
school and community
based groups in targeted
zip codes.
Programs will be tracked
using sign-in sheets.
9)3,125 participants ages
6 to 18.
Conduct gang prevention
and intervention activities
for 3,125 youth ages 12 to
18.
Participants will be
tracked using sign-in
sheets.
16)312 intervention
youth.
Facilitate interventions
with 312 youth identified
by the school and CU staff
as being high-risk and/or
gang-involved.
Interventions will be
tracked using intake forms
and surveys. Data will be
entered into spreadsheets.
Senior VP
Senior Director
CU Coordinator
Program Outcomes Director
Community Outreach Director
Community Outreach Specialist
First Amendment to Fort Worth City Secretary Contract No. 62216
Site Director and
Case Manager.
October 2024-
September 2025
Daily as
scheduled by the
Community
Outreach
Director and
Community
Outreach
Specialist
Activity
Tracking and
Outcome Surveying:
Participants are
surveyed as
youth
interventions are
completed by the
Community
Outreach
Director and
Community
Outreach
Specialist
Page 6 of9
EXHIBIT B - BUDGET NARRATIVE
Crime Control :ind Pre,·e:orion Di�tri�t
�li.ssi.on Partnt-n
L\:HIBIT B -Budge-t ?lial'r:adn
Boy�{\; Girh Clubs ofGreruu T:1rrant County, In<". - Com.in' rp Gang focernnrion DESCRIPTION/fu"SIIFICATION SALARYS SAL',RY SAURYCU SAI..ARYPro !>AL',RYC•· f«Y:'2 SALARY 5fmYr.! SALARYC SALARY Ac., TO5-farYr2 �AL.ARY Teen ) -?.ED1:CEDT0:5Yr'2 S.AlARY Dm-er; _ Pm-cme-�1tiaru, (Nm-CDL �t CDL -?t,,,'EW for Yr� 5.AL.ARYColMllSl:im(l Part-Ttmi!PO':.ttioa)-NEWb-Yr2 VIKl!DC}' Alktwru:ic.e Based aa b:isturial dam.. B_FRINGE FRINGE CU Pro FRINGE Cellular Fringe CelluL'1I' fnci.udes· :11 stiper.d of'S:13.85 to con.mbme tO\\'a.rd cell.ula!' s:eni� Swf�filei.g_e:R.ei!DJJursem&.1. T:m.-elliliqlli'Mfm"s:e.!.ectpm.itioru.�jobdf.;,crip,iml.Sca£ftri1.-.'i!loee:t: i.ntlad.� s.il'o:" m.augemem. meeting;., sprill IP\'5Ui.. cra.ioing. pwming, piepmciOil. recri.li.tment ('ipecific to OIJlrff.Ch rafi). and c001dll:.iui.009!� aai.-.;ties. Btu �fil:....J.ge,-Bus:sm Cli:(�_H,aryfirp.miriJ:,,lnc innspor1illlOILprogr.im m:.;:!:m.entlnon. a.nd m esx!lltiai to CCll!lp1.lter Tedmology/Progrummng Equipment QUA.NTITY 312.00 :lOS0.00 '2030.00 2080.00 10400.00 124&0.00 12480.00 4100.00 1152.00 6240.00 20.tlO.OQ !'08000 ::i:osooo 155000 1040.00 --0.15 24.65�� 24.65% 14.65% 24.65�1. 24.65�{. 24.65�, 14.65�-i 24.65�, 9.IS�; 9.15% 24.65�1, 14.65�0 14.65�0 si.1s· � 9.15". -<U5 22.15 28656.00 35081.00 1.00 1.00 QUANTITY !>.iE.ASliR.E Hom; Hoo,; Hoo,; H°'""
Hou,, Hou,s Hom; H= Houn
Hours H""" Haun Hows Hom; H.ow:!i. --Perc"'1 Per,.., P;,nce,tt Perc,m -!!ll
-,m -"" Per,em -"" --_.,,, Percem Percem _.., Per,em _,,,, Emplai,,e, �file, �files. First Amendment to Fort Worth City Secretary Contract No. 62216 RAIB $67.85 $21,]@.20 S39.83 182.846.-IO �18.27 US,001.60 1.33.04 $68,72:3.20 ,US.54 $296,816.00 U0.28 S.-253,094AO 1-17.86 ttll.892.80 -S:17.86 �H 97.60 l"20.5S $23,708.16 $15.56 S9J,09-UO l27.65 S57,512.00. 126.19 116.19 1-18.50 \.35 00 $1,136,l.55.76 -$.185,41336 .$21.169..:20 1.5..218�1 $82846_-IO $20,421.6-1 �8,001.60 $9,36139 $68,123.20 S'l6.,940.21 l296,816.00 �l,165.14 $153 094.40 S61.,3S7.77 S222,892.80 S->4.,9-H.08 S/4,29 .60 SIS,314..36 S.23 708.16 1,2169.JO i97,094_-I() $8.884.1--1-i57,5!2_00 lH,176_71 Sl3.426 16 \.11.426 l6 S2,-62J.77 S3,330.60 i285,9BS.OO -$41,898.20 $1.3.:!15 $"1,916.:22 $0.67 ll9,199.52 Sl.74 $61,040.94 U2,000.00 Sl2,CCM>.OO U,000.00 U-000.00 121,59?..S.S S84.SOU3 S38,761.63 $70,097.66 $302.752..32 s.:::i:5.130.24 'Si89...ti&.88 $15,783.55 120,151.94 U�.530.24 $58.662.24 l54.-i67 00 S5H6700 �:8.675.00 136,..J.0000 -1189,ULB.J 1-S322.57 \20,83-0.07 ,S:9,.55-1.14 $11,279.07 $74,628.45 $53.029.ISO S.46,70 .-01 Sl8�680.65-\1.843.90 \7.551.:).� $1-1460.24 113.426.16 $12,426.16 l-2.6�3 n \3.330.60 -�l,756_]6 $8.696.-U $20,059.20 $61,0-!0.94 S-12,000.0D $12,000.00 Page 7 of9
INDIRECT TOTAL
x fur propmn �!Aff- Coit bill.Ed.directly per li!le.}
DH & Hillside)
gsmOffiC£:Spaa- Urilil:y& C:!reofBuildmg-:ill. OurComi:n'Up
Fan Wanb Club br:m:h
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.?.00
12.00
)2.00
12.00. 12.00
12-00
0.10
Va.'1au; Sc::reeli:ngs S-7,000.00
Va..tjou; � $5,000.00
Various Shirts $3 000.00
�{Ember Assi;u::nce U0.iJ00.00
Varirus & lies .$&6.000.00
Va..-icm. S lie. U.240.00
Cam=ts
CocllJllCG
!l,loiwhly �
Momhly
Mmchly
�'Eon;
1!ombly
lmrect
$11,160.00
U-0.000.00
SS70.00
$600.00 $100.00
s-210.00 $5:50.00
$624.88
Sl.631.617.47
11,qH51,dTobl
.Allorati.oo Tot:11 DIFFERENCE
First Amendment to Fort Worth City Secretary Contract No. 62216
.\7,000.00 \7,000.00
$5.00000 SS,000.00
.U,000.00 SHI00.00
s,0,000.00 S22.1n.,s
$86,000.00 $60,000.00 $1,240.00 $2 '1'40.0G
Sil 160.00 S�JJ00.00
SS0,000.00 $4-0000.00 $1044-0.00 $8,-400.00
Page 8 of9
EXHIBIT C -REQUEST FOR REIMBURSEMENT (RFR)
B'J"Em.-ail: P ottw.i.tht:lii!;;_,g:01.'
Mail: Boll Bo.sn Pulil:k Safeti,· Compleis Attn: Com.,ct COlllplimc� � Finm!riai �.;,m,mt Divi;.ion 50i Weil Fe • St FmWo.rtl:I, IX7olI5
�it
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1:1
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'lm,;I ,l '.fIZiniiu!. -$ !JJN'.H
Equipm;ot $ U.-..00 �· $: �28
Caiin<;a,,•� $ 61,,SOl.OO
&:;\,-� $ -
e«:uron,,,-$ 10,'1.JUO T<fal.lln,,t,C'o,b S' 18'7'1:D]
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lwj_u.est foi:-Rfim.lJlmelll.mt CRI'R)
FY!Ol6'
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First Amendment to Fort Worth City Secretary Contract No. 62216 Page 9 of9
CSC 62216 BGC Comin Up A 1
Final Audit Report
Created:
By:
Status:
Transaction ID:
2025-11-10
Jean Goodwin-Grisham ijgrisham@bgcgtc.org)
Signed
CBJCHBCAABMC6D8IhEENQupd5Hv3uzjP _r2xq0yaL TD
revised
2025-11-10
"CSC 62216 BGC Comin Up A1 -revised" History
'El Document created by Jean Goodwin-Grisham Ugrisham@bgcgtc.org)
2025-11-10 -2:40:14 PM GMT
g Document emailed to Daphne Stigliano (daphne@bgcgtc.org) for signature
2025-11-10 -2:40:19 PM GMT
'El Email viewed by Daphne Stigliano (daphne@bgcgtc.org)
2025-11-10 -7:07:44 PM GMT
0'o, Document e-signed by Daphne Stigliano (daphne@bgcgtc.org)
Signature Date: 2025-11-10 -7:10:26 PM GMT -Time Source: server
e Agreement completed.
2025-11-10 -7:10:26 PM GMT
fl Adobe Acrobat Sign
Official site of the City of Fort Worth, Texas
CITY COUNCIL AGENDA
Create New From This M&C
DATE:10/28/2025 REFERENCE
NO.:
**M&C 25-
1013 LOG NAME:
35CCPD GRANT
AMENDMENTS GANG
INTERVATION PRIORITY
PRGMS
CODE:C TYPE:CONSENT PUBLIC
HEARING:NO
SUBJECT: (CD 2, CD 3, CD 5, CD 8, and CD 9) Authorize Execution of an Amendments to the
Agreements with Boys & Girls Club of Greater Tarrant County, Inc. and Violence
Intervention and Prevention Fort Worth to Allow a 4% Annual Increase of Funding in
the Combined Amount of $190,671.55, for a Yearly Amount up to $2,430,127.67 for Fiscal
Year 2026 and $2,527,332.77 for Fiscal Year 2027 for a Total Program Amount up to
$4,957,460.44 to Continue Operation of Gang Intervention Programs for Fiscal Years
2026 and 2027
RECOMMENDATION:
It is recommended that the City Council authorize execution of an amendment with Bo ys & Girls Club
of Greater Tarrant County, Inc. and Violence Intervention and Prevention Fort Worth to allow a 4\%
annual increase of funding in the amount up to $190,671.55, for a yearly amount up to $2,430,127.67
for Fiscal Year 2026 and $2,527,332.77 for a total program amount up to $4,957,460.44 to continue
operation of gang intervention programs for Fiscal Years 2026 and 2027.
DISCUSSION:
On September 17, 2024, Council approved the execution of two Mayor & Council Communications
(M&C), executing contracts between two agencies to continue their respective programs related to
gang intervention initiatives.
M&C 24-0765 executed a contract between Fort Worth Police Crime Control and Prevention District
(CCPD) and Boys & Girls Club of Greater Tarrant County, Inc. (Boys & Girls Club) in amount up to
$1,795,879.22 to continue operation of the Comin Up Gang Intervention program.
M&C 24-0769 executed a contract between CCPD and Violence Intervention and Prevention Fort
Worth (VIP FW) in an amount up to $540,782.00 to continue operation of the Violence Intervention
Program.
The approved agreements affected a 3-year contract set to begin October 1, 2024, and end on
December 31, 2027. The parties may extend the agreements by mutual amendment to accomplish
administrative closeout activities associated with the programs.
The Boys & Girls Club and VIP FW are two of CCPDs Mission Partners, agencies which are identified
by both the Fort Worth Police Department and the CCPD Board to have priorities requiring ongoing
development and investment. Due to this, these contracts receive base grant fund amount with a 4\%
annual increase of funding each Fiscal Year (FY) of the contract term. When M&C's 24-0765 and 24-
0679 were approved, the 4\% annual increase was not included.
The purpose of this Mayor and Council communication is to authorize an amendment to these
Contracts to account for the 4\% annual increase for Fiscal Years 2026 and 2027. The 4\% annual
increase to be added to VIP FW's base grant funding amount is $21,631.28 for FY 2026 and
$22,496.53 for FY 2027, in the total amount up to $44,127.81. The 4\% annual increase to be added
to Boys & Girls Club's base grant funding amount is $71,835.17 for FY 2026 and $74,708.57 for FY
2027, in the total amount up to $146,543.74.
Page 1 of 2M&C Review
10/29/2025http://apps.cfwnet.org/council_packet/mc_review.asp?ID=33875&councildate=10/28/2025
Fund Department
ID
Account Project
ID
Program Activity Budget
Year
Reference #
(Chartfield 2)
Amount
Fund Department
ID
Account Project
ID
Program Activity Budget
Year
Reference #
(Chartfield 2)
Amount
The table below shows the breakdown of total grant funding costs between each Agency and Fiscal
Year, including the base amounts with their annual increases:
Funding is budgeted in the CCPD Community Based Fund for the FY26 Mission Partners Program
project. Funding for Fiscal Year 2027 will be verified for availability when budgets for the Fiscal Year
are determined.
FISCAL YEAR GRANT AMOUNT
Boys & Girls Club
FY2026 $1,867,714.39
FY2027 $1,942,422.96
Program Total $3,810,137.35
VIP FW
FY2026 $562,413.28
FY2027 $584,909.81
Program Total $1,147,323.09
Fiscal Year Totals
FY2026 $2,430,127.67
FY2027 $2,527,332.77
GRAND TOTAL $4,957,460.44
FISCAL INFORMATION/CERTIFICATION:
The Director of Finance certifies that upon approval of the above recommendation funds are available
in the current operating budget, as previously appropriated, and upon adoption of the Fiscal Year
2027 Budget by the City Council, funds will be available in the Fiscal Year 2027 Operating Budget, as
appropriated, in the CCPD Community Based Fund for the FY26 Mission Partners Program. Prior to
an expenditure being incurred, the Police Department has the responsibility to validate the availability
of funds.
TO
FROM
Submitted for City Manager's Office by:William Johnson (5806)
Originating Department Head:Eddie Garcia (4212)
Additional Information Contact:Keith Morris (4243)
ATTACHMENTS
VIP FW Form 1295.pdf (CFW Internal)
Page 2 of 2M&C Review
10/29/2025http://apps.cfwnet.org/council_packet/mc_review.asp?ID=33875&councildate=10/28/2025
f ORT WORTH®
City Secretary's Office
Contract Routing & Transmittal Slip
Contractor's Name: Boys & Girls Clubs of Greater Tarrant, Inc.
Subject of the Agreement: Contractor will operate the Comin' Up Gang Intervention Program, which
will support the police department's crime prevention efforts throughout the community. (CCPD)
M&C Approved by the Council?* Yes ii No D
If so, the M&C must be attached to the contract.
Is this an Amendment to an Existing contract? Yes ii No D 62216-A1-----------If so, provide the original contract number and the amendment number.
Is the Contract "Permanent"? *Yes □ No ii
If unsure, see back page for permanent contract listing.
Is this entire contract Confidential? *Yes D No ii If only specific information is
Confidential, please list what information is Confidential and the page it is located.
Effective Date: 10/1/2024 Expiration Date: 12/31/2027 --------------------If different from the approval date. If applicable.
Is a 1295 Form required? * Yes D No ii
* If so, please ensure it is attached to the approving M&C or attached to the contract.
Project Number: If applicable.
*Did you include a Text field on the contract to add the City Secretary Contract (CSC)
number? Yes ii No D
Contracts need to be routed for CSO processing in the following order:
1.Katherine Cenicola (Approver)
2.Jannette S. Goodall (Signer)
3.Allison Tidwell (Form Filler)
*Indicates the information is required and if the information is not provided, the contract will be
returned to the department.