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CoFW and SMITH PORPERTY MANAGEMENT L.L.C.
RENEWAL SIX AND AMENDMENT SIX
TO CITY OF FORT WORTH CONTRACT NO. 53260
This Contract Renewal and Amendment is made and entered into by and between
the City of Fort Worth (“City”), and SMITH PROPERTY MANAGEMENT L.L.C.
(“Landlord”), each individually referred to as a “Party” and collectively referred to as the
“Parties.”
RECITALS
WHEREAS, on DECEMBER 13, 2019, the City entered into an agreement with
the Landlord for rental assistance for a named tenant, City Secretary Office (CSO)
Contract No. 53260 (the "Agreement");
WHEREAS, (“Tenant”) is a participant in the City’s
rental assistance program; and
WHEREAS,the Parties wish to renew the Agreement for its Sixth Renewal Term and
amend the Agreement to: (1) restructure Section 3.2.1 of the Agreement (Rent) and incorporate
rental obligations for the Sixth Renewal Term and (2) incorporate Section 4.2.3 HUD Program
Year Funding to the Agreement.
NOW THEREFORE, City and Landlord do hereby agree as follows:
I
RENEWAL OF AGREEMENT
The Parties agree to renew this Agreement beginning on NOVEMBER 1, 2025 and shall
expire on OCTOBER 31, 2026, (“Sixth Renewal Term”) unless earlier terminated in accordance
with the terms of the Agreement.
II
AMENDMENTS TO AGREEMENT
1. Section 3.2.1 of the Agreement is hereby deleted in its entirety and replaced
with the following:
3.2.1 Rent.
Initial Term:
The City has been notified that the Tenant’s Total Rent during the Initial Term
is $1,408.00 per month for the Unit.
Tenant shall be responsible for $220.00 of rent per month.
City shall be responsible for $1,188.00 of rent per month.
CSC No. 5321- Renewal Six and Amendment Six Page 2 of 5
CoFW and SMITH PORPERTY MANAGEMENT L.L.C.
First Renewal Term:
The City has been notified that the Tenant’s Total Rent during the First
Renewal Term is $1,408.00 per month for the Unit.
Tenant shall be responsible for $220.00 of rent per month.
City shall be responsible for $1,188.00 of rent per month.
Second Renewal Term:
The City has been notified that the Tenant’s Total Rent during the Second
Renewal Term is $1,661.00 per month for the Unit.
Tenant shall be responsible for $500.00.00 of rent per month.
City shall be responsible for $1,610.00 of rent per month.
Third Renewal Term:
The City has been notified that the Tenant’s Total Rent during the Third
Renewal Term is $1,800.00 per month for the Unit.
Tenant shall be responsible for $498.00 of rent per month.
City shall be responsible for $1,302.00 of rent per month.
Fourth Renewal Term:
The City has been notified that the Tenant’s Total Rent during the Fourth
Renewal Term is $1,831.00 per month for the Unit.
Tenant shall be responsible for $353.00 of rent per month.
City shall be responsible for $1,478.00 of rent per month.
Fifth Renewal Term:
The City has been notified that the Tenant’s Total Rent during the Fifth
Renewal Term is $1,910.00 per month for the Unit.
Tenant shall be responsible for $437.00 of rent per month.
City shall be responsible for $1,473.00 of rent per month.
Sixth Renewal Term:
The City has been notified that the Tenant’s Total Rent during the Fifth
Renewal Term is $2,095.00 per month for the Unit.
Tenant shall be responsible for $340.00 of rent per month.
City shall be responsible for $1,755.00 of rent per month.
A complete history of rental obligations due under this Agreement, per lease term, is
included in Attachment A. Neither City nor HUD assumes any obligation for the Tenant’s
Portion of the rent, or for payment of any claim by Landlord against Tenant. The City’s sole
obligation is limited to paying the City Portion of the Rent in accordance with this Agreement.
Tenant shall be liable for rent, payments, and other fees associated with the Unit and City shall not
be obligated by law or in equity for any amount other than the City Portion.
CSC No. 5321- Renewal Six and Amendment Six Page 3 of 5
CoFW and SMITH PORPERTY MANAGEMENT L.L.C.
2. Section 4.2 of the Agreement, Termination of Landlord Services Agreement, has
been restructured to incorporate subsection 4.2.3, HUD Program Year Funding. Section
4.2.3 will read as follows:
4.2.3 HUD Program Year Funding. The City agrees to commit funding for rental assistance
for a period of up to twelve (12) months, subject to the availability of funds allocated in the current
program year’s budget. The City shall not commit to providing rental assistance beyond this 12-
month period unless and until additional funding is received from the U.S. Department of Housing
and Urban Development for the subsequent program year. In the event that future funding is not
secured, the City shall provide written notification to both the tenant and landlord at least ninety
(90)days prior to the end of the contract term, advising them that rental assistance will not continue
beyond the 12-month commitment. The City shall not be held liable for rental payments beyond
the 12-month commitment and any lease agreements exceeding the 12-month term are entered into
at their own risk regarding the continuation of rental assistance.
III.
All terms and conditions of the Agreement not amended herein remain unaffected and in
full force and effect, are binding on the Parties and are hereby ratified by the Parties.
[SIGNATURE PAGE FOLLOWS]
IN WITNESS WHEREOF, the parties hereto have executed this agreement, to be effective
November 11 2025.
FOR CITY OF FORT WORTH:
FORLANDLORD:
Dana surhdoff
-_.. ____ _..__._ __.,
Rossana S�7202510:25:25 CSTI
Name: Daoa Bmghdoff
Name: Rossana Smith
Title: Assistant City Manager
Title: Property Manager
11/21/2025
11/17/2025
Date:
Date:
APPROVAL yRE,C_OaMMENDED
Pft
Me: Hance§ 1 ❑O&Vsay 11:5b:U3 CbT
Title: Neighborhood Services Director
APPROVED AS TO FORM AND
ATTEST:
LEGALITY
&s
a°
Spue
(1
-{i°-`�kFaow
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Name: Sophie Mathews
Name: Jannette Goodall
Title: Assistant City Attorney
Title: City Secretary
11/21/2025
Date:
Contract Compliance Manager: M&C No.: 25-0676
By signing I acknowledge that I am the
person responsible for the monitoring
and administration of this contract,
including ensuring all performance and
ree/p��o���rting requirements.
Nam✓✓✓e: Cyndee Ginza
Title: Sr. Human Services Specialist
OFFICIAL RECORD
CITY SECRETARY
CSC No 5321-R al Six aadAncadmcat Six FT. WORTH, TX Page a of
CoFW and SMITH PORPERTY MANAGEMENT L.L.C.
CSC No. 5321- Renewal Six and Amendment Six Page 5 of 5
CoFW and SMITH PORPERTY MANAGEMENT L.L.C.
Attachment A
History of Rental Obligations by Lease Term
Lease Term Total Rent Tenant’s Portion City’s Portion
Initial Contract $1,408..00 $220.00 $1,188.00
First Renewal $1,408.00 $220.00 $1,188.00
Second Renewal $1,661.00 $500.00 $1,161.00
Third Renewal $1,800.00 $498.00 $1,302.00
Fourth Renewal $1,831.00 $353.00 $1,478.00
Fifth Renewal $1,910.00 $437.00 $1,473.00
Sixth Renewal $2,095.00 $340.00 $1,755.00
EXHIBIT A
Copy of Lease Agreement
Official site of the City of Fort Worth, Texas
CITY COUNCIL AGENDA
Create New From This M&C
DATE:8/12/2025 REFERENCE NO.:M&C 25-0676 LOG NAME:
192025-2026 HUD
ANNUAL ACTION
PLAN
CODE:C TYPE:NON-
CONSENT
PUBLIC
HEARING:YES
SUBJECT: (ALL) Conduct Public Hearing and Approve the City of Fort Worth's 2025-2026 Annual
Action Plan for the Use of Federal Grant Funds in the Amount of $13,273,355.77 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. Staff Available for Questions: Juliet Moses; 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 2025-2026 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 $13,273,355.77 for 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 2025-2026 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 $30,000.00 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 $30,000.00 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 2025-2026 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. Adopt the attached appropriation ordinance increasing estimated receipts and appropriations in
the Grants Operating Federal Fund in the total amount of $13,273,355.77 consisting of
$7,116,438.00 in Community Development Block Grant funds, $2,814,431.77 in HOME
Investment Partnerships Program funds, $615,818.00 in Emergency Solutions Grant funds, and
$2,726,668.00 in Housing Opportunities for Persons with AIDS grant funds, all subject to receipt
of such funds; and
7. Authorize a waiver of the Neighborhood Services Department indirect cost of 21.05\%, estimated
total of $264,698.00.
DISCUSSION:
The City's 2025-2026 Annual Action Plan summarizes the major housing and community development
activities and proposed expenditures for the program year beginning October 1, 2025 and ending
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September 30, 2026 for use of federal grant funds totaling $13,273,355.77 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, plus program income from the
CDBG and HOME grant programs totaling $60,000.00. 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 January 15, 2025. All proposals were received on March 3, 2025. 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 July 14, 2025, to provide citizens with 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 June 11, 2025.
A 30-day public comment period was held from June 16, 2025, through July 16, 2025. Notice of this public
comment period was published in the Cleburne Times Review on June 10, 2025; in the Fort Worth Star
Telegram and Weatherford Democrat on June 11, 2025; and in La Vida News and the Wise County
Messenger on June 12, 2025.
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 July 14, 2025, and the second public hearing is
scheduled for the City Council Meeeting on August 12, 2025.
A summary of staff's final funding recommendations is provided below in Tables 1, 2, and 3. The 2025-
2026 Annual Action Plan will be submitted to HUD by August 15, 2025.
Indirect costs totaling approximately $264,698.00 could be charged to these grants, as the Neighborhood
Services Department indirect cost rate is 21.05\% 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.
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG)
For Program Year 2025-2026, it is recommended that the amount of $7,116,438.00 in CDBG funds and an
estimated amount of $30,000.00 in CDBG program income totaling $7,146,438.00 be allocated as follows:
Public Service Agencies - $1,067,465.00 (Limited to 15\% of the grant allocation): Includes social services
for low- and moderate income persons, persons with disabilities, and disadvantaged persons; Housing
Programs - $2,665,000.00: Includes funding for the City's Priority Repair Program, Cowtown Brush-Up, and
accessibility modifications for seniors and persons with disabilities; Major Projects - $1,000,685.00:
Includes funding for street improvements; Program Delivery - $960,000.00: Includes program delivery
costs for housing programs; Administration - $1,423,288.00 (Limited to 20\% of the grant allocation):
Includes costs for administering the CDBG grant; Estimated Program Income - $30,000.00: Includes up to
$30,000.00 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 (HOME)
For Program Year 2025-2026, it is recommended that the amount of $2,814,431.77 in HOME funds and an
estimated amount of $30,000.00 in HOME program income totaling $2,844,431.77 be allocated as follows:
Homebuyer Assistance Program - $1,110,824.77: Includes funding for down payment and closing cost
assistance for low- and moderate-income homebuyers through the Fort Worth Community Land Trust, the
City of Fort Worth and Trinity Habitat for Humanity; Community Housing Development Organizations
(CHDOs) for affordable housing projects - $422,164.00: These funds will be used by Housing Channel for
the Mason Heights affordable housing development in southeast Fort Worth. Funds will be used for the
acquisition of land and the new construction of 236 units. An estimated 183 units (approximately 77\%) will
be sold to low to moderate income households at or below 80\% Area Median Income (AMI); Major
Projects - $1,000,000.00 allocated to Fort Worth Housing Solutions (FWHS) as a part of Phase Six of the
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M&C Review
Page 3 of 5
Choice Neighborhood Initiative (CNI) grant benefiting low -moderate come residents in the Stop Six
Neighborhood of Fort Worth; Administration - $281,443.00 (Limited to 10\0/oof the grant allocation):
Includes costs for administering the HOME grant; Estimated Program Income - $30,000.00: 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 (HOPWA)
For Program Year 2025-2026, it is recommended that the amount of $2,726,668.00 in HOPWA funds be
allocated as follows: Public Service Agencies - $1,670,868.00; Neighborhood Services Department -
$974,000.00; Administration - $81,800.00 (Limited to 3\0/oof the grant allocation)
EMERGENCY SOLUTIONS GRANT (ESG)
For Program Year 2025-2026, it is recommended that the amount of $615,818.00 in ESG funds to be
allocated as follows: Public Service Agencies - $569,632.00; Administration - $46,186.00 (Limited
to 7.5\%
of the grant allocation)
CONTRACT RECOMMENDATIONS
The Community Development Council and Neighborhood Services Department staff recommend
that
contracts be executed with the public service and subrecipient agencies listed below for the amounts
shown in the following tables:
Community Development Block Grant Contracts
TABLE 1: CDBG AGEN
:IES
AGENCY CONSOLIDATED PLAN
PROGRAM
AMOUNT
GOAL
[Housing Channel Affordable Housing
Housing Counseling &
$111,000.00
Education
(Meals -On -Wheels, Inc. of Healthy Living and
arrant County Wellness
Nutrition Program
$120,000.00
Money Smart+ Elder
Guardianship Services Inc. Aging In Place
F
Financial Fraud
$80,000.00
Prevention Workshops
United Community Centers, Inc Children and Youth
Education Literacy
$125,000.01
Services
Program
&Girls Club of Greater Children and Youth
Youth Development at
rs
arrant County Services
Eastside Branch
$72 000.00
(Girls Inc of Tarrant County Children and Youth
Whole Girl Program
$90,281 0
Services
ICampFire First Texas Children and Youth
Teens In Action
$62,184 00
Services
unior Achievement of the Children and Youth
Cradle to Career
$50,000.01
Chisholm Trail, Inc. Services
Initiative
Women's Center of Tarrant Economic Empowerment
(The
County and Financial Resilience
Employment Solutions
$90,000.00
(Easter Seals North Texas, Inc. Economic Empowerment
Employment Services
$92,000.00
and Financial Resilience
Homelessness
Presbyterian Night Shelter Prevention and Special
Moving Home Program
$175,000
Needs Support
CDBG Public Services Agent: es Total
1,0673465.001
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M&C Review Page 4 of 5
Rehabilitation, Education and Accessibility
dvocacy for Citizens with Improvements Project Ramp $165,000.00
Handicaps dba REACH, Inc.
"Fort Worth Area Habitat for Housing Preservation and
Humanity, Inc. DBA Trinity Rehabilitation Cowtown Brush Up $500,000.00
Habitat for Humanity
CDBG Subrecipient Agencies otal $665,000.001
OTAL CDBG CONTRACTS $137321465.00
"REACH and Trinity Habitat will be funded from the CDBG Housing Programs and Services budget.
Housing Opportunities for Persons with AIDS Contracts
TABLE 2: HO�WA AGENCIES
AGENCY CONSOLIDATED PLAN PROGRAM AMOUNT
GOAL
IHOPWA Program -
dministration, Tenant -
Based Rental Assistance
Tarrant County Homelessness Prevention (TBRA), Short -Term
ISamantan Housing, and Special Needs Rent, Mortgage, and $1,406,188.00
Inc. Support Utility Assistance
Assistance
- Administration, Tenant-
JAIDS Outreach �-Iomelessness Prevention
Based Rental Assistance
'Center, Inc. and Special Needs
(TBRA), Short -Term
Support
Rent, Mortgage, and
Utility Assistance
(STRMU), Supportive
Services
TOTAL HOPWA CONTRACTS
Emergency Solutions Grants Contracts
TABLE 3: ESG AGENCIES
AGENCY
CONSOLIDATED PLAN
GOAL
he Presbyterian Night
Homelessness Prevention and
Sh
Shelter of Tarrant County,
Special Needs Support
Op
Inc.
Lighthouse for the
Homelessness Prevention and
Da
Homeless dba True Worth
Special Needs Support
Op
LLLPlace
Homelessness Prevention and
Ho
I I ne Salvation Army
Special Needs Support
Pre
nter for Transforming
Homelessness Prevention and
Ra
(Lives
I
Special Needs Support
UkTONTI9
Shelter
Re -Housing
$1,6703868.001
AMOUNT
$139,491.00
$150,000.00
$127,141.00
$73,000.01
$80,000_01
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M&C Review Page 5 of 5
of Tarrant IlHomelessness Prevention and
All figures have been rounded to the nearest dollar for presentation purposes.
Each of these grants are 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 90 FTE positions in the Neighborhood Services
Department, which is funded nearly 60\%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, the 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.
The City of Fort Worth has certified that all programs receiving funding through the HOPWA, HOME, ESG,
and CDBG grants comply with applicable Executive Orders.
These programs are available in ALL COUNCIL DISTRICTS.
FISCAL INFORMATIONMERTIFICATION:
The Director of Finance certifies that upon approval of the above recommendations and adoption of the
attached appropnafion 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.
Fund
Department
Account
Project
Program
Activity
Budge[
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 Manaaers Office Inv:
Dana Burghdoff (8018)
Orioinatinc Department Head:
Kacey Bess (8187)
Additional Information Contact:
Juliet Moses (6203)
ATTACHMENTS
http://apps.efwret.org/comcil_pwket/mc_review.asp?IIk33536&comcildate 8/12/2025 9/9/2025
wnwa:iW Io-
R TEXAS REALTORS
EXTENSION OF RESIDENTIAL LEASE
USE OF THIS FORMBY PERSONS WHO ME NOT MEMBERS OF THE TEXNS ASSOCIATION OF RE TORSe, INC. IS NOT AUTHORQED.
NOTE. This extension form is intended to be used to extend a lease written on the most current version of the lease form.
If you am extending a lease that is written on a prior version of the form, it is recommended that you enter into a new
lease on the updated form to ensure compliance with changes in Texas law.
CONCERNING THE RESIDENTIAL LEASE OF THE PROPERTY AT 1320 Pine Lane. Fort Worth. TX 76140
between
Smith Property Management (Landlord) and
(Tenant)
A. Amendments to Lease! Effective November 1. 2025 , Landlord and Tenant extend and amend the
above -referenced lease as follows.
(1) The Expiration Date in Paragraph 3 is changed to: October 31. 2026
(2) The monthly rent in Paragraph 5A is: ❑X changed to $ 2.095.00 ❑ remains the same.
(3) The named person andior contact information in Paragraph 34F ❑X remains the same ❑ is changed to:
Name: Phone
Address Email:
(4) Other: Paragraph(s)
of the lease are amended as follows:
B. Ohlication to Return thte Extension: If Tenant does not sign and return this extension to Landlord on or before
October 31. 2025 , Landlord notifies Tenant that
❑ (1) the lease, in accordance with Its terms, will renew on a month -to -month basis, and Landlord notifies Tenant
that the monthly rent will: ❑ (a) be $ , effective
❑ (b) remain the same.
X❑ (2) the lease will terminate on October 31. 2025 and Tenant must vacate the Property by the
date of termination.
CCq`Na (, 10r30r2u5 10r30rzu0
ndloLa rd Date Date
Smith Property Management
Landlord Date Tenant Date
Or signed for Landlord under written property management
Agreement or power of attorney:
By:
Printed Name:
Firm Name:
Tenant
Tenant
Tenants Phone & E-Mail.
Home Work
E-Mail: andersonteresa1970bamail.com
(TXR-2005) 2-1-18
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6oevvov Si Pmd"d wlY, Lone MV TanswBonf hii Ei 01 Shi Cl. CmGicie, Oni Ciii NIT US w WoLoom
Date
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Page 1 of 1
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FORT WORTH.
City Secretary's Office
Contract Routing & Transmittal Slip
Contractor's Name: SMITH PROPERTY MANAGEMENT L.L.C.
Subject of the Agreement: Aggrement for additional 1 year term beginning NOVEMBER 1, 2025 tc
OCTOBER 31, 2026, R1A1. TBRA rental assistance for HOPWA client.
M&C Approved by the Council? * Yes ® No ❑
If so, the M&C must be attached to the contract.
Is this an Amendment to an Existing contract? Yes ❑ No
If so, provide the original contract number and the amendment number.
Is the Contract "Permanent"? *Yes ❑ No
If unsure, see backpage for permanent contract listing.
Is this entire contract Confidential? *Yes ® No ® Ifonlyspeck information is
Confidential, please list what information is Confidential and the page it is located.
Client's name on the first page and last page (lease agreement)
Effective Date: 11/1/2025 Expiration Date: 10/31/2026
If diereni from the approval date. If applicable.
Is a 1295 Form required? * Yes ❑ No
*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 ® No ❑
Contracts need to be routed for CSO Drocessine in the followine 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.