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HomeMy WebLinkAbout064551 - General - Contract - My Health, My Resources of Tarrant County (MHMR)CSC No. 64551 AGREEMENT BETWEEN THE CITY OF FORT WORTH AND MY HEALTH, MY RESOURCES OF TARRANT COUNTY FOR PSYCHIATRIC AND HOUSING CASE MANAGEMENT SERVICES FOR THE HIGH IMPACT PROGRAM This AGREEMENT for psychiatric and housing case management services for the High ImpACT Program ("Agreement") is made and entered into by and between the CITY OF FORT WORTH, a Texas home rule municipality ("City"), and MY HEALTH, MY RESOURCES OF TARRANT COUNTY, a unit of local government in Texas ("Agency"). City and Agency are referred to individually as a"Party" and sometimes collectively referred to as the "Parties." RECITALS: WHEREAS, concentrations of homelessness are reported by citizens in various parts of the City; WHEREAS, some people experiencing homelessness also have mental and physical health care needs; WHEREAS, the City conducted a 17-month pilot program, High ImpACT, to see if unsheltered referrals from target areas could be housed and if so, could sustain housing; WHEREAS, after 12 months of the pilot the results indicated a very high percentage of those referrals accepted housing and maintained that housing; WHEREAS, the City Council voted to continue High ImpACT past its pilot stage; WHEREAS, the Agency provided psychiatric and housing case management services for the High ImpACT pilot; WHEREAS, the Parties believe that these services will further the goal of the High ImpACT program and desire to enter into this Agreement in order to set out the terms, goals and responsibilities of each party; NOW THEREFORE, the Parties for the mutual consideration included herein agree to enter into the following Agreement. AGREEMENT DOCUMENTS: The Agreement documents shall include the following: L This Agreement far psychiatric and housing case management services for High ImpACT; 2. Exhibit "A" — Scope of Services CITY OF FORT WORTH OFFICIAL RECORD Agreement for MHMR — ffiGH IMPACT SERVICES CITY SECRETARY FT. WORTH, Tx Page 1 of 29 3. Exhibit "B" — Budget 4. Exhibit "C" — Reimbursement Request Form 5. Exhibit "D" — Reporting Forms 6. Exhibit "E" -- Request for Budget Modification Form Exhibits "A", "B", "C", "D", and "E" 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" "B" "C" "D" or "E" and the terms and conditions set forth in the > > > > body of this Agreement, the terms and conditions of this Agreement shall control. SCOPE OF SERVICES. 1.1 Agency shall provide City with psychiatric and housing case management services ("Services"), which are more particularly described in Exhibit "A" — Scope of Services. 1.2 Pro�ram Performance. 1.2.1 Agency agrees to maintain full documentation supporting the performance of the work and fulfillment of the objectives set forth in Exhibit "A." 1.2.2 Agency agrees to provide a monthly report in the form attached as Exhibit "D" to document the performance of the work described in Exhibit "A." 1.2.3 Agency agrees to provide a quarterly report in the form attached as Exhibit "D" to document the performance of the work described in Exhibit "A." 1.2.4 Agency agrees that the Reimbursement Request Form and monthly report will be submitted to City no later than the 15th day after the end of each month. Agency agrees that at the end of each quarter (December, March, June, September) Agency shall also provide a quarterly report with the aggregate information requested therein along with its monthly report and reimbursement request. Should Agency not be able to meet these requirements in a given month, the Agency shall provide written notification prior to the deadline that details the eXpected date of submission. If no notification is received before the 15th day, the City may document for future corrective action. If, by the last day of the same month, Agency has not submitted the required reports, City may send a non-compliance letter notifying Agency's duly authorized representative of a possible suspension of program funding. 1.2.5 Agency agrees to complete a Corrective Action Plan (CAP) in the event of three (3) consecutive months or six (6) non-consecutive months with incomplete or incorrect submissions of a Reimbursement Request Form or report. Agency also agrees to complete a CAP for recurring late submissions of a Reimbursement Request Form or report. City may elect to allow CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Page 2 of 29 Agency to correct minor errors in submissions without requiring a CAP, but reserves the right to require a CAP upon the above stated conditions. 2. TERM. This Agreement shall begin on October 1, 2025 ("Effective Date") and shall expire on September 30, 2026 ("Expiration Date"), unless terminated earlier in accordance with this Agreement ("Initial Term"). City shall have the option, in its sole discretion, to renew this Agreement under the same terms and conditions, except for the compensation amount which shall be provided at the time of the renewal, for 3 additional 1-year terms. Execution of this Agreement after the Effective Date shall have no bearing on the enforceability of the Agreement. 3. COMPENSATION. 3.1 City shall pay Agency in accordance with the provisions of this Agreement and Exhibit "B" — Budget. Total payment made by City under this Agreement for the Initial Term shall not eXceed One Million Two Hundred Sixty-Nine Thousand Five Dollars ($1,269,005.00) ("Program Funds"), and shall be paid to Agency on a reimbursement basis. Agency shall not perform any additional services for City not specified by this Agreement unless City requests and approves in writing the additional costs for such services. City shall not be liable for any additional expenses incurred by Agency not specified by this Agreement unless City first approves such expenses in writing. If City determines in its sole discretion that this Agreement should be renewed as provided under Section 2 of this Agreement, the City shall provide an updated Exhibit "B", which shall include the not to exceed amount to be paid to Agency on a reimbursement basis during the renewal term. 3.2 Payment of the Program Funds from City to Agency shall be made on a cost- reimbursement basis following receipt by City from Agency of a signed Reimbursement Request Form ("RRF") as described in Exhibit "C" along with copies of all receipts and other supporting documentation. The RRF and reports shall be submitted to City no later than the 15th day following the end of the month. Unless advance written permission from City is provided to Agency, Submittal of a monthly RRF and reports is required even if services are not provided. 3.3 The monthly RRF should be sequentially numbered and include expense documentation that is detailed, clear and concise. Agency agrees that the Reimbursement Request Form as well as monthly and quarterly reports will be submitted to the City no later than the 15tn day after the end of each month. Agency will submit monthly and quarterly reports through the Neighborly Services portal. Agency will need to sign up, if not already a user, for access to reporting in the Neighborly system. Homeless Strategies staff will provide agency access to necessary program(s) to upload monthly and quarterly reports. The invoice must contain the following information: CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Page 3 of 29 • Supplier Name and Address; • Remit to Supplier Name and Address, if different; • Applicable City Department business unit# (i.e. FW002) • Complete City of Fort Worth PO number (i.e. the PO number must contain all preceding zeros); • Invoice number; • Invoice date; and • Invoices to be submitted after delivery of the goods or services. Reimbursements will not be made until after receipt of an acceptable and approved RRF and monthly report as required. Reimbursements shall be made within 30 days receipt of said documents. Incomplete or incorrect submissions will be returned to the Agency for resubmission, restarting the 30-day reimbursement schedule. 3.4 Any modifications in the original approved budget that eXceed 5% must have prior written permission from City before the modifications are made. The Request for Budget Modification Form (Exhibit "E") must be submitted, and request must be approved by City before any money is moved to the line-item. Once the Request for Budget Modification is approved, the modified budget will take effect on the first day of the following month. The new modified budget shall not exceed the total amount of Program Funds. Agency shall be solely responsible for any money spent in excess of the not to exceed amount included in this Agreement for the then-current term. 3.5 Agency will document cost allocations for all budgeted expenses throughout the entirety of the Agreement and will be responsible for having a policy and procedure in place for this documentation. Specifically, Agency will document how all shared costs, personnel time, or equipment that was fully or partially paid for using City funds, were used in furtherance of the program activities described in this Agreement. Documentation of these cost allocations, as well as a copy of the Agency's policy and procedures for the documentation of the cost allocations shall be made available to the City upon request. 3.6 The City reserves the right to reject any budget modification that the City believes, in its sole discretion, is not clearly aligned with the program activities and any requests for reimbursement expenses that the City believes, in its sole discretion, are not specified in Exhibit "B" of this Agreement or an approved budget modification form. 3.7 Requests for Budget Modifications shall be submitted via email to Tara.Perez@fortworthtexas.gov. 4. TERMINATION. 4. L Written Notice. City or Agency may terminate this Agreement at any time and for any reason by providing the other Party with 60 days' written notice of termination. CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Page 4 of 29 4.2 Duties and Obli�ations of the Parties. In the event that this Agreement is terminated prior to the EXpiration Date, City shall pay Agency for services actually rendered up to the effective date of termination and Agency shall continue to provide City with services requested by City and in accordance with this Agreement up to the effective date of termination. Upon termination of this Agreement for any reason, Agency shall provide City with copies of all completed or partially completed documents prepared under this Agreement. In the event Agency has received access to City data as a requirement to perform services hereunder, Agency shall return all City-provided data to City in a machine-readable format or other format deemed acceptable to City. 4.3 Non-appropriation of Funds. In the event no funds or insufficient funds are appropriated by City in any fiscal period for any payments due hereunder, City will notify Agency of such occurrence as soon as practicable and this Agreement shall terminate on the last day of the fiscal period for which appropriations were received without penalty or expense to City of any kind. 4.4 Termination Related to Violation of Confidentialitv. If City has violated a material term of the protected health information provisions contained herein, and has failed to cure or implement corrective or remedial measures to prevent subsequent violations of the protected health information provisions within 30 days after written notice from Agency, Agency shall have the right to request amendment to remove the protected health information provisions and any inclusion of protected health information in reporting to the City. In event of such request for amendment, the City shall work in good faith to incorporate such revisions. If City and Agency cannot agree to an amendment, Agency shall have the right to immediately suspend disclosure of protected health information to City. 5. DISCLOSURE OF CONFLICTS AND CONFIDENTIAL INFORMATION. 5.1 Disclosure of Conflicts. Agency hereby represents and warrants to City that Agency has made full disclosure in writing of any existing or potential conflicts of interest related to Agency's services under this Agreement. In the event that any conflicts of interest arise after the Effective Date of this Agreement, Agency hereby agrees to make full disclosure of such conflict of interest to City immediately in writing. 5.2 Confidential Information. Agency, for itself and its officers, agents and employees, agrees that it shall treat all information provided to it (i) by City ("City Information") as confidential and shall not disclose any such information to a third party without City's prior written approval, and (ii) shall abide by all of the standards of confidentiality of client information ("Client Information") in its performance of its duties and obligations under this Agreement including but not limited to those standards, rules and regulations regarding confidentiality required by HMIS and the HMIS Lead/System Administrator. "Client Information" is defined for the purposes of this Agreement as personal, demographic, or treatment data about the individuals being served by the program. 5.3 Unauthorized Access. A�encv shall store and maintain Citv Information and Client CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Page 5 of 29 Information in a secure manner and shall not allow unauthorized users to access, modify, delete or otherwise corrupt City Information or Client Information in any way. Agency shall notify City immediately if the security or integrity of any City Information or Client Information has been compromised or is believed to have been compromised, in which event, Agency shall, in good faith, use all commercially reasonable efforts to cooperate with City in identifying what information has been accessed by unauthorized means and shall fully cooperate with City to protect such City Information or Client Information from further unauthorized disclosure. 5.4 Protected Health Information. To the extent Client Information received from A�encv includes protected health information, Citv a�rees to: (a) Not use or further disclose Client Information other than as permitted or required by this Agreement or as required by law; (b) Use appropriate safeguards and comply, where applicable, with 45 C.F.R. subpart C with respect to electronic protected health information, to prevent use or disclosure of the information other than as provided for herein; (c) Report to Agency any discovery of use or disclosure of the Client Information not provided for by this Agreement, including breaches of unsecured protected health information, and provide sufficient information to respond to breaches in accordance with 45 C.F.R. §§ 164.404 and 164.410; (d) In accordance with 45 C.F.R. § 164.502(e)(1)(ii), ensure that any subcontractors that create, receive, maintain, or transmit protected health information on behalf of the City agree to the same restrictions and conditions that apply to the City with respect to such information; (e) Make available protected health information in accordance with 45 C.F.R § 164.524; (� Make available protected health information for amendment and incorporate any amendments to protected health information in accordance with 45 C.F.R § 164.526; (g) Make available the information required to provide an accounting of disclosures in accordance with 45 C.F.R § 164.528; (h) To the extent the City is to carry out Agency's obligation under 45 C.F.R. subpart C, comply with the requirements that apply to the Agency in the performance of such obligation. (i) Make its internal practices, books, and records relating to the use and disclosure of protected health information received from, or created or received by the City on behalf of, the Agency available to the Secretary of Health and Human CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Page 6 of 29 Services for purposes of determining the Agency's compliance with 45 C.F.R. subpart C;and (j) At termination of this Agreement extend the protections of this Agreement with respect to protected health information and limit further uses and disclosures to those purposes that make the return or destruction of the information infeasible. 6. RIGHT TO AUDIT. Agency agrees that City shall, until the expiration of 3 years after final payment under this Agreement, or the final conclusion of any audit commenced during the said 3 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 Agency involving transactions relating to this Agreement at no additional cost to City. Agency agrees that City shall have access during normal working hours to all necessary Agency facilities and shall be provided adequate and appropriate work space in order to conduct audits in compliance with the provisions of this section. City shall give Agency reasonable advance notice of intended audits. This provision shall survive the expiration or termination of this Agreement. 7. INDEPENDENT CONTRACTOR. It is expressly understood and agreed that Agency shall operate as an independent contractor as to all rights and privileges and work performed under this Agreement, and not as agent, representative or employee of City. Subject to and in accordance with the conditions and provisions of this Agreement, Agency shall 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, servants, employees, consultants and sub vendors. Agency acknowledges that the doctrine of respondeat superior shall not apply as between City, its officers, agents, servants and employees, and Agency, its officers, agents, employees, servants, vendors and sub vendors. Agency further agrees that nothing herein shall be construed as the creation of a partnership or joint enterprise between City and Agency. It is further understood that City shall in no way be considered a Co- employer or a Joint employer of Agency or any of�cers, agents, servants, employees or sub vendor of Agency. Neither Agency, nor any officers, agents, servants, employees or sub vendor of Agency shall be entitled to any employment benefits from City. Agency shall be responsible and liable for any and all payment and reporting of taXes on behalf of itself, and any of its officers, agents, servants, employees or sub vendors. 8. LIABILITY AND INDEMNIFICATION. 8.1 LIABILITY— TO THE EXTENT PERMITTED BYLA W, AGENCYSHALL BE LIABLE AND RESPONSIBLE FOR ANY AND ALL PROPERTY LOSS, PROPERTY DAMAGE AND/OR PERSONAL INJURY. INCLUDING DEATH. TO ANY AND ALL CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Page 7 of 29 PERSONS, OFANYKIND OR CHARACTER, WHETHER REAL OR ASSERTED, TO THE EXTENT CAZISED BY THE NEGLIGENT ACT(S) OR OMISSION(S), MALFEASANCE OR INTENTIONAL MISCOND UCT OF A GENCY, ITS OFFICERS, A GENTS, SER VANTS OR EMPLOYEES. 8.2 GENERAL INDEMNIFICATION— TO THE EXTENT PERMITTED BYLAW, A GENCY HEREB Y CO VENANTS AND A GREES TO INDEMNIFY, HOLD HARMLESS AND DEFEND CITY, ITS OFFICERS, AGENTS, SERVANTSAND EMPLOYEES, FROM ANDAGAINSTANYANDALL CLAIMS OR LAWSUITS OFANYKIND OR CHARACTER, WHETHER REAL OR ASSERTED, FOR EITHER PROPERTY DAMAGE OR LOSS (INCLUDING ALLEGED DAMAGE OR LOSS TO AGENCY'S BUSINESS AND ANY RESULTING LOST PROFITS) AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, ARISING OUT OF OR IN CONNECTION WITH THIS AGREEMENT, TO THE EXTENT CA tISED BY THE NEGLIGENT ACTS OR OMISSIONS OR MALFEASANCE OF AGENCY, ITS OFFICERS, AGENTS, SERVANTS OR EMPLOYEES. This section shall survive the expiration or termination of this Agreement. 9. ASSIGNMENT AND SUBCONTRACTING. 9.1 Assi�nment. Agency shall 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 shall execute a written agreement with City and Agency under which the assignee agrees to be bound by the duties and obligations of Agency under this Agreement. Agency and Assignee shall be jointly liable for all obligations of Agency under this Agreement prior to the effective date of the assignment. 9.2 Subcontract. If City grants consent to a subcontract, subcontractor shall execute a written agreement with Agency referencing this Agreement under which subcontractor shall agree to be bound by the duties and obligations of Agency under this Agreement as such duties and obligations may apply. Agency shall provide City with a fully executed copy of any such subcontract. 10. INSURANCE. Agency shall 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: 10.1 Covera�e and Limits (a) Commercial General Liability: $1,000,000 - Each Occurrence CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Page 8 of 29 $2,000,000 - Aggregate (b) Automobile Liability: $1,000,000 - Each occurrence on a combined single limit basis Coverage shall be on any vehicle used by Agency, its employees, agents, representatives in the course of providing services under this Agreement. "Any vehicle" shall 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 Employers' liability $100,000 - Bodily Injury by accident; each accident/occurrence $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 shall be claims-made, and maintained for the duration of the contractual agreement and for 2 years following completion of services provided. An annual certificate of insurance shall be submitted to City to evidence coverage. 10.2 General Requirements (a) The commercial general liability and automobile liability policies shall name City as an additional insured thereon, as its interests may appear. The term City shall include its employees, officers, officials, agents, and volunteers in respect to the contracted services. (b) The workers' compensation policy shall include a Waiver of Subrogation (Right of Recovery) in favor of City. (c) A minimum of 30 days' notice of cancellation or reduction in limits of coverage shall be provided to City. Ten days' notice shall be acceptable in CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Page 9 of 29 the event of non-payment of premium. Notice shall be sent to City as provided in the Notice section of this Agreement. (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 shall not constitute a waiver of the insurance requirement. ( fl Certificates of Insurance evidencing that Agency has obtained all required insurance shall be delivered to the City prior to Agency proceeding with any work pursuant to this Agreement. 11. COMPLIANCE WITH LAWS, ORDINANCES, RULES AND REGULATIONS. Agency agrees that in the performance of its obligations hereunder, it shall 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 regulations. If City notifies Agency of any violation of such laws, ordinances, rules or regulations, Agency shall immediately desist from and correct the violation. 12. NON-DISCRIMINATION COVENANT. Agency, for itself, its personal representatives, assigns, sub vendors and successors in interest, as part of the consideration herein, agrees that in the performance of Agency's duties and obligations hereunder, it shall 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 AGENCY, ITS PERSONAL REPRESENTATIVES, ASSIGNS, SUB VENDORS OR SUCCESSORS IN INTEREST, AGENCY AGREES TO ASSUME SUCH LIABILITY AND TO INDEMNIFY AND DEFEND CITY AND HOLD CITY HARMLESS FROM SUCH CLAIM, TO THE EXTENT PERMITTED BY LAW. This section shall survive the expiration or termination of this Agreement. 13. NOTICES. Notices required pursuant to the provisions of this Agreement shall be conclusively determined to have been delivered when (1) hand-delivered to the other Party, its agents, employees, servants or representatives, (2) delivered by email with confirmation of receipt by the CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Page 10 of 29 receiving party, or (3) received by the other Party by United States Mail, registered, return receipt requested, addressed as follows: To City: City of Fort Worth City Manager's Office Attn: Tara Perez, Homeless Strategies Manager To Agency: My Health, My Resources of Tarrant County Attn: Susan Garnett 3840 Hulen Street, Suite 603 CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Page 11 of 29 100 Fort Worth Trail Fort Worth, TX 76102 Phone: (817) 392- 2235 Email: Tara.Perez@fortworthtexas.gov With copy to City Attorney's Office at same address 14. SOLICITATION OF EMPLOYEES. Fort Worth TX 76107 CEO@mhmrtc.org Neither City nor Agency shall, during the term of this Agreement and additionally for a period of 1 year after its termination, solicit for employment or employ, whether as employee or independent contractor, any person who is or has provided services to the other Party during the term of this Agreement, without the prior written consent of the person's employer. Notwithstanding the foregoing, this provision shall not apply to an employee of either Party who responds to a general solicitation of advertisement of employment by either Party. 15. GOVERNMENTAL POWERS. It is understood and agreed that by execution of this Agreement, neither the City nor the Agency waives or surrenders any of their governmental powers or immunities. Notwithstanding the forgoing, Agency agrees that if Agency is a charitable or nonprofit organization and has or claims an immunity or exemption (statutory or otherwise) from and against liability for damages or injury, including death, to persons or property, Agency hereby eXpressing waives its rights to plead defensively such immunity or exemption as against the City. This section shall not be constructed to affect a governmental entity's immunities under constitutional, statutory or common law plead against any other entity other than the City. 16. NO WAIVER. The failure of City or Agency to insist upon the performance of any term or provision of this Agreement or to exercise any right granted herein shall not constitute a waiver of City's or Agency's respective right to insist upon appropriate performance or to assert any such right on any future occasion. 17. GOVERNING LAW / VENUE. This Agreement shall 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 shall lie in state courts located in Tarrant County, Texas or the United States District Court for the Northern District of TeXas, Fort Worth Division. 18. SEVERABILITY. CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Page 12 of 29 If any provision of this Agreement is held to be invalid, illegal or unenforceable, the validity, legality and enforceability of the remaining provisions shall not in any way be affected or impaired. 19. FORCE MAJEURE. City and Agency shall eXercise their best efforts to meet their respective duties and obligations as set forth in this Agreement, but shall 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, 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, and/or any other similar cause not enumerated herein but which is beyond the reasonable control of the Party 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 Majeure Event, and an explanation as to how it hinders the party's performance, as soon as reasonably possible, as determined in the City's discretion, after the occurrence of the Force Majeure Event. The form of notice required by this section shall be the same as section 13 above. 20. HEADINGS NOT CONTROLLING. Headings and titles used in this Agreement are for reference purposes only, shall 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. 22. AMENDMENTS/ MODIFICATIONS/ EXTENSIONS. No amendment, modification, or extension of this Agreement shall be binding upon a Party hereto unless set forth in a written instrument, which is executed by an authorized representative of each Party. CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Page 13 of 29 23. ENTIRETY OF AGREEMENT. This Agreement, including EXhibits "A," "B," "C," "D," and "E." contains the entire understanding and agreement between City and Agency, 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. 24. COUNTERPARTS AND ELECTRONIC SIGNATURES. This Agreement may be executed in one or more counterparts and each counterpart shall, for all purposes, be deemed an original, but all such counterparts shall together constitute one and the same instrument. 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 or facsimile transmission) of an original signature, or signatures electronically inserted via software such as Adobe Sign. 25. WARRANTY OF SERVICES. Agency warrants that its services will be of a professional quality and conform to generally prevailing industry standards. City must give written notice of any breach of this warranty within 30 days from the date that the services are completed. In such event, at Agency's option, Agency shall either (a) use commercially reasonable efforts to re-perform the services in a manner that conforms to the warranty, or (b) refund the fees paid by City to Agency for the nonconforming services. 26. IMMIGRATION NATIONALITY ACT. Agency shall verify the identity and employment eligibility of its employees who perform working under this Agreement, including completing the Employment Eligibility Verification Form (I-9). Agency is enrolled in and uses the U.S. Department of Homeland Security's E-Verify system and, upon request, can provide confirmation of eligibility. Agency shall adhere to all Federal and State laws as well as establish appropriate procedures and controls so that no services will be performed by any Vendor employee who is not legally eligible to perform such services. AGENCY SHALL, TO THE EXTENT ALLOWED BY LAW, INDEMNIFY CITY AND HOLD CITY HARMLESS FROM ANY PENALTIES, LIABILITIES, OR LOSSES DUE TO VIOLATIONS OF THIS PARAGRAGH BY AGENCY, AGENCY'S EMPLOYEES, SUBCONTRACTORS, AGENCTS, OR LICENSEES. City, upon written notice to Agency, shall have the right to immediately terminate this Agreement for violations of this provision by Agency. CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Page 14 of 29 27. CHANGE IN COMPANY NAME OR OWNERSHIP Agency shall notify City's Assistant City Manager, in writing, of a company name, ownership, or address change for the purpose of maintaining updated city records. The chief executive officer of Agency 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. SIGNATURES. 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 Agency. Each Party is fully entitled to rely on these warranties and representations in entering into this Agreement or any amendment hereto. 29. PROHIBITION ON CONTRACTING WITH COMPANIES THAT BOYCOTT ISRAEL If Agency has fewer than 10 employees or this Agreement is for less than $100,000.00 this section does not apply. Agency 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 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" have the meanings ascribed to those terms in Chapter 2271 of the Texas Government Code. By signing this Agreement, Agency certifies that Agency's signature provides the written verification to the City that Agency: (1) does not boycott Israel; and (2) will not boycott Israel during the term of this Agreement. 30. PROHIBITION ON BOYCOTTING ENERGY COMPANIES Agency 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. The terms "boycott energy company" and "company" have the meaning ascribed to those terms by Chapter 2276 of the Texas Government Code. To the extent that Chapter 2276 of the Government Code is applicable to this Agreement, by signing this CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Page 15 of 29 Agreement, Agency certifies that Agency's signature provides written verification to the City that Agency: (1) does not boycott energy companies; and (2) will not boycott energy companies during the term of this Agreement. 31. PROHIBITION ON DISCRIMINATION AGAINST FIREARM AND AMMUNITION INDUSTRIES Agency acknowledges that except as otherwise provided by Chapter 2274 of the TeXas Government Code, the 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. The terms "discriminate," "firearm entity" and "firearm trade association" have the meaning ascribed to those terms by Chapter 2274 of the TeXas Government Code. To the extent that Chapter 2274 of the Government Code is applicable to this Agreement, by signing this Agreement, Agency certifies that Agency's signature provides written verification to the City that Agency: (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. 32. CONFIDENTIAL INFORMATION Agency acknowledges that the City is a governmental entity and is subject to the Texas Public Information Act ("Act"). By executing this agreement, Agency acknowledges that this Agreement will be publicly available on the City's website, and Agency is therefore waiving any claim of confidentiality, whether based in statute or the common law, to any and all materials contained as part of this Agreement including all documents and information referenced herein or attached hereto. [SIGNATURE PAGE TO FOLLOW] CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Page 16 of 29 IN WITNESS WHEREOF, the Parties hereto have executed this Agreement in multiple originals on the date written below their respective signatures to be effective on the Effective Date. ACCEPTED AND AGREED: CITY OF FORT WORTH: ����� Dianna Giordano (Jan 12, 2026 08:32:14 CST) By: Name: Dianna Giordano Title: Assistant City Manager oi�i2�2o26 Date: APPROVAL RECOMMENDED: ����� Bethany Warner (Jan 9, 2026 16:47:53 CST) By: 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. �� ��� By: Name: Tara Perez Title: Homeless Strategies Manager APPROVED AS TO FORM AND LEGALITY: Name: Bethany Warner Title: Intergovernmental Relations By; Manager ATTEST� / Name: Gavin Midgley Title: Assistant City Attorney . 9FOR�n4 p°�`� ��°�d' CONTRACT AUTHORIZATION: ,� �Aa o,.o as o � .���-� pp,°°000 00 =° M&C: �(���� °'°° oEaps4ti` 1295: 25-0658 By: Name: Jannette S. Goodall Title: City Secretary AGENCY: My Health Resources of rrant Cou ,t ����('��'/1.N�0 �: Susan Garnett (Jan 9, 20 6:38:41 CST) By: Name: Susan Garnett Title: Chief Executive Officer O1/09/2026 Date: QFFICIAL RECORD CITY SECRETARY FT. WORTH, TX CITY OF FORT WORTH Agreement for MHMR — ffiGH IMPACT SERVICES Page 17 of 29 EXHIBIT "A" SCOPE OF SERVICES HIGH IMPACT PROGRAM MY HEALTH, MY RESOURCES OF TARRANT COUNTY will do the following: Agency shall provide psychiatric and housing case management services for the High ImpAct Team which is based on the model of an Assertive Community Treatment Team. A. In General • High ImpACT Team - Eligible households are either on the High ImpACT Cohort in Partnership Home's Homeless Management Information System or are referred by a permanent supportive housing case manager. • Eligible households for tenant support/therapist services include High ImpACT clients as well as any previous tenant support services clients as needed. B. Definitions A general Assertive Community Treatment Team ("ACT Team") is a well-documented community mental health program for treating those with severe mental disorders. A multidisciplinary team which delivers a full range of inedical, psychosocial and rehabilitative services to clients in a community setting (as opposed to treatment in an institution). The team provides support in community that is modeled after the staffing patterns on inpatient psychiatric units. The "hospital without walls" consists ofpeople from multiple disciplines who work together, meet daily and coordinate care for clients. Background information from "Housing First: The Pathways Model to End Homelessness for People with Mental Health and Substance Use Disorders" by Sam Tsemberis. Key features of an ACT Team: • Interdisciplinary staffing that includes expertise in psychiatry, nursing, social work, vocational functioning and substance use treatment • Team approach (shared caseloads and daily team meetings) • Low staff-client ratios (1:10) • Locus of contact in the community • Intensive and frequent contacts with clients • Assertive outreach • 24 hour availability • Time unlimited services CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Page 18 of 29 High Impact Cohort — The list of individuals who have been referred to the High Impact Program. High Impact Target Areas: • Camp Bowie West/Las Vegas Trail (CD 3) • Seminary/La Gran Plaza/Hemphill (CD 9, 11) • Downtown (CD 9) • Near Southside (CD 9) • Historic Southside/Near Eastside (CD 8) • Northside/Stockyards (CD 2) • Beach Street intersections — from E. Lancaster to N. Tarrant Parkway (CD 2, 4, 8 and 11) The program will also include City-wide HOPE referrals. Referrals will be made based on being located in these target areas and either having been in the location over two years or are suspected of having severe mental illness. Referrals for the High ImpACT Cohort will be made by neighborhood patrol officers, the Homeless Outreach Program and Enforcement (HOPE) Team of the City's Police Department and street outreach teams. C. Agency Responsibilities Agency will: Hire for these positions for the High ImpACT Team (which can be modified as agreed to by the Parties in writing): o Physician Assistant — Psychiatric o Tenant Support Specialist/Therapist o Case Managers o Housing Specialists o Program Manager/Director The City is contracting with Partnership Home to provide landlord engagement and master leasing for the High ImpACT Program. The City is contracting with ACCLAIM PHYSICIAN GROUP, INC., DBA Acclaim Health JPS Physician Health Network ("Acclaim") for an advanced practice provider or physician assistant services for the High ImpACT Program. The goal is for the High ImpACT Team to work as one integrated team. The High ImpACT Team will work with severely mentally ill clients who are homeless or formerly homeless. Literally homeless clients will be referred through the High ImpACT Cohort. Formerly homeless clients will be referred through permanent supportive housing case managers. CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Page 19 of 29 The High ImpACT Team will build rapport by continuing to engage and offer services to individuals on the High ImpACT Cohort with a goal of assisting the individual to exit homelessness into permanent housing. This includes but is not limited to — working to establish a client's chronicity if at all possible, obtaining a client's verification of disability if at all possible, understanding where the client prefers to live, trying to meet any immediate needs the client has in order build the relationship, attempt to engage client at least once a week, offer to show clients apartments that are pre-leased, assist clients in choosing furniture packages, guide clients through the apartment application process, transport clients to potential apartment units and anything else that assists the client's transition from homelessness to housing. The High ImpACT Team will also build rapport by engaging and offering services to referred individuals in permanent supportive housing with severe mental illness and the need of additional supports to retain housing. The High ImpACT Team will work to: • Assist clients in obtaining documentation of disability and homelessness as well as securing identification documents • Assist clients in stabilizing to retain housing • Secure mainstream benefits or other income for clients • Support client's goals related to health and recovery • Assist clients to integrate into the community • Assist clients in developing housekeeping habits, provide advice on nutrition and meal preparation, as well as money management and paying rent on time The ACT Team will have a weekly case conference to focus on clinical needs of all clients. All new clients should be seen, at minimum, daily for the first 30 days regardless of level of compleXity. After 30 days, clients will be seen on a weekly basis at a minimum. Level of client need will determine how often they are seen. The High ImpACT Team will have daily team meetings on weekdays Monday through Thursday to ensure all members of the team are informed and on task and create schedule for the day. The High ImpACT Team will meet for a weekly case conference meeting on Fridays will review the following: • Review every client • Note significant interactions • Discuss follow-ups • Create schedule for day • Update weekly plan • Update monthly plan CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Page 20 of 29 • Share information and maintain transparency The High ImpACT Team will provide services where the client is — there will be no requirement for client to visit an office eXcept in rare circumstances. The High ImpACT Team will be available 24 hours a day, 7 days a week to clients who need assistance. MHMR will coordinate with Partnership Home to establish some master lease agreements in order to quickly be able to house clients who choose that location. The program manager/director will work closely to integrate two other High ImpACT team members who are not MHMR employees. Agency agrees to ensure that the Acclaim advanced practice provider/physician assistant will not be part of the required on-call response. Agency agrees to provide medical supplies needed by clients and approved by the City on the High ImpACT program. There is not an expectation the Acclaim advanced practice provider or physician assistant or Acclaim purchase medical supplies needed by clients on the High ImpACT program. Agency will ensure the Acclaim advanced practice provider or physician assistant will have another team member accompany them on all client visits when notified. To the extent Agency receives monthly reports from the Acclaim advanced practice provider or physician assistant, Agency will compile information from the report and submit a comprehensive report to the City MHMR will work to incorporate ongoing recommendations by WalRhon, a technical assistance provider. As the program expands rental assistance, for every 10 rental assistance sources secured there will be one High ImpACT team member added. Agency will work with City to determine best position to hire when this occurs, and City will provide an amended Budget reflecting the additional team members as agreed upon. Agency responsible for maintaining a ratio of 1 team member per 10 clients. This ratio excludes the program manager/director and the landlord engagement specialist. Evaluation: Evaluation meetings will be held with Homeless Strategies staff to continually evaluate program and Agency shall comply as necessary and in good faith. CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Page 21 of 29 Financial reporting: Reimbursement Requests and any necessary supporting documentation and reports will be submitted by the 15th of every month in format of Exhibit "C." Programmatic reporting: Monthly reports will be submitted by the 15th of every month in format of Exhibit "D." Quarterly reports will be submitted by the 15th of July, October, January and April in the format of Exhibit «D» CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Page 22 of 29 EXHIBIT "B" BUDGET Agencv will submit invoice for reimbursement bv the 15t" of the month following the month services were provided. This report shall itemize each monthly expense requested for reimbursement by the Agency and shall be included in Budget submitted. In order for this report to be complete the following must be submitted: For payroll eXpenses, timesheets signed and dated by both the employee and supervisor with the program fund code of time being billed to City /Homeless Strategies. Electronic time sheets are acceptable. Paystub must include pay period, date paid, amount and eXpenses (salary, FICA, benefits etc). If pay stubs are unavailable, payroll registries with applicable expenses highlighted and labeled will suffice. Agency may not submit payroll eXpenses dated 60 calendar days prior to the date of the Reimbursement Request with the exception of the first Reimbursement Request which may include items from the Effective Date of the Agreement to the end of the reporting month or with written permission from Homeless Strategies staff so long as such changes are otherwise in accordance with the Agreement. For non-payroll expenses, invoices for each expense listed. Agency may not submit invoices dated 60 calendar days prior to the date of the Reimbursement Request with the exception of the first Reimbursement Request which may include items from the Effective Date of the Agreement to the end of the reporting month or with written permission from Homeless Strategies staff so long as such changes are otherwise in accordance with the Agreement. Proof that each expense was paid by the Agency, which proof can be satisfied by cancelled checks. If a cancelled check is not possible, a bank statement with the expense highlighted and labeled will suffice. If allocations percentages are used, all documentation must be submitted with the first month's invoice and if changes are made, new allocation documentation submitted with mvoice. For the audit, bank statements showing payments, Form 941 s and allocation documentation will be reviewed. CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Page 23 of 29 PROGRAM COSTS A. SALARIES (By title) Advanced Practice Provider — Psychiatric Tenant Support Specialist Rehabilitation Case Manager(s) Housing Specialist(s) Network Director of Housing On Call stipend SALARIES TOTAL: B. FRINGE BENEFITS FRINGE BENEFITS TOTAL: C. MILEAGE MILEAGE TOTAL: D. CELL PHONES/EQUIPMENT Cell Phone Computer Fees CELL PHONES/EQUIPMENT TOTAL: E. CLIENT EXPENSES CLIENT EXPENSES TOTAL: F. OTHER APPROVED Office Supplies Software Insurance Building Overhead Vehicle expenses CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Total $1,269,005.00 $189,838.00 $15,000.00 $5,540.00 $59,098.00 $64,638.00 �127,220.00 Page 24 of 29 $616,906.00 Training Indirect expenses OTHER APPROVED TOTAL: TOTAL PROGRAM COST: CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES $165,522.00 $255,403.00 $1,269,005.00 Page 25 of 29 EXHIBIT "C" REIMBURSEMENT REOUEST FORM Expenses Name of employee or Amount Date client Invoiced Expense: Personnel Salary Salary Salary Salary Total: FICA (Medicare/Social Security) FICA (Medicare/Social Security) FICA (Medicare/Social Security) Health Insurance Health Insurance Health Insurance Dental Insurance Dental Insurance Dental Insurance LifeInsurance Life Insurance LifeInsurance Disability Insurance Disability Insurance Disability Insurance Retirement Retirement Retirement Unemployment Insurance Unemployment Insurance Unemployment Insurance Workers Compensation Workers Compensation Workers Compensation Total of all Benefits: Mileage Mileage Mileage CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Check No. Page 26 of 29 � Mileage Total: � Cell phone � Cell phone � Cell phone � Cell Phone Total: Type of Client Expense/Vendor � Client Expense Total: IOperations/Vendor: � Operations Total: � Other � Other Total: � Total Invoiced Amount Attestation Contractor: Program: Name of Person submitting report: Date Range Covered by this report: I have reviewed this report and certify that it is a complete, accurate, and up-to-date reflection of the services rendered under the terms of our Agreement with the City of Fort Worth. Signature: Total A Budget Budget Category Amount Salaries Fringe Benefits Mileage Cell phone/Equipment Client Costs Other Total 0 Total Previous Reimbursements Requested CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES C This Month's Request D Total Request to Date (B+D) C Remaining Balance Available (A-D) Page 27 of 29 EXHIBIT "D" REPORTING FORMS Quarterly Report Current Reporting Quarter Submitting Agency Contact Name Please include outcome narrative that describes how measure was accomplished for each quarter. Effectiveness Measures and Quarterly Outcomes Measure 1 At least 70% of those offered housing enter housing within six months Outcome Measure 2 . After one year of entering housing, at least 70% are still housed (can be in a different unit, but must be housed) Outcome I have reviewed this report and certify that the measures provided are accurate and appropriately reflect the Homeless Strategies goals set forth in the contract. Authorized Signatory Date CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Signatory Title Page 28 of 29 Monthlv Report The monthly report template will be sent to Agency in excel format with the following categories: Tab- Housed: Last name, First name, household size, date leased signed, Property name, master lease, income at move in, type of income, income at 6 months, income at 12 months, income at repeating 6 month intervals, other members of the household, number of times seen by psychiatric physician assistant, number of times seen by medical physician assistant, number of times seen by tenant support specialist/therapist, number of times seen by case manager, number of times seen by housing specialists, total number of visits per month. Tab — Motel: Last name, First name, date started at motel, unit identified, has identification, has chronicity documented, has disability documented, next steps Tab — Receiving Outreach: Area, last name, first name, has identification, chronicity documented, disability documented, accepted housing offer, selected unit, number of visits, next steps Tab — No Contact: Area, last name, first name, dates of attempted contact, has NPO, ministries, outreach seen Date Submitting Agency Contact Name CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Page 29 of 29 EXHIBIT "E" Budget Category Salaries Fringe Benefits Mileage Cell Phones/Equipment Client Costs Other Approved Indirect Total Costs REOUEST FOR BUDGET MODIFICATION PROGRAM COSTS Approved Budget Change Requested Revised Budget • Up to 5% of any budgeted line-item does not need prior approval but form must be sent to City with monthly RFR • More than 5% of any budgeted line-item must have prior City approval • An increase in a zero line-item must have prior City approval Modification Narrative (describe in detail what change is for) I have reviewed this request and certify that the listed modifications are correct. Authorized Signatory Date 0 Modification Approved Staff Signature STAFF USE ONLY CITY OF FORT WORTH Agreement for MHMR — HIGH IMPACT SERVICES Signatory Title 0 Modification NOT Approved Date Page 30 of 29 City of Fort Worth, Texas Mayor and Council Communication DATE: 08/12/25 M&C FILE NUMBER: M&C 25-0658 LOG NAME: 02CONTINUATIONHIGHIMPACTPROGRAM SUBJECT (CD 2, CD 3, CD 4, CD 8, CD 9 and CD 11) Authorize Execution of Agreements with Listed Service Agencies for High ImpACT Program Services in an Amount Up to $2,178,303.00 and Authorize Three Annual Renewal Options in a Combined Amount Up to $6,534,909.00 RECOMMENDATION: It is recommended that the City Council: 1. Authorize the City Manager or his designee to execute agreements with agencies listed below in a combined amount up to $2,178,303.00 for a term commencing October 1, 2025 and terminating September 30, 2026 for High ImpACT Program services; 2. Authorize the City Manager or his designee to renew the agreements for Fiscal Years 2027, 2028 and 2029 with the agencies listed below in a combined amount of up to $6,534,909.00 for High ImpACT Program services dependent on funds being appropriated for Homeless Strategies; 3. Authorize the City Manager or his designee to amend the agreements if necessary to achieve program goals provided that the amendment is within the scope of the program and in compliance with City policies and applicable laws and regulations; and 4. Find that such contract renewals and any amendments thereto serve a public purpose of reducing homelessness and that adequate controls are in place. DISCUSSION: On March 19, 2024, the City Council approved Mayor & Council Communication (M&C) 24-0200 to fund the first five months of a 17-month High ImpACT Pilot Program in the amount of $1,096,847.00. On December 10, 2024, the City Council approved M&C 24-1032 to allocate $2,178,304.00 to fund the remaining 12 months of the 17-month pilot. While many areas of Fort Worth have seen an uptick in unsheltered homelessness and the issues associated with it, there are seven areas that have been hit especially hard. The High ImpACT Program aims to direct mental health and housing resources to reduce issues related to unsheltered homelessness in those seven areas: • Camp Bowie West/Las Vegas Trail (CD 3) • Seminary/La Gran Plaza/Hemphill (CD 9 and 11) • Downtown (CD 9) • Near Southside (CD 9) • Historic Southside/Near Eastside (CD 8) • Northside/Stockyards (CD 2) • Beach Street Intersections—from East Lancasterto North Tarrant Parkway (CD 2, 4, 8 and 11) • City-wide HOPE referrals are also considered This unique program houses the "hardest to house" clients who frequently interact with law enforcement and are highly visible to businesses and neighborhoods. The High ImpACT Program has two components and associated goals for the first 17 months of the pilot: 1. Housing Assistance: Housing assistance for at least 40 eligible High ImpACT clients. Leverage existing housing vouchers with a goal of providing housing assistance for up to 40 more people. 2. Housing First Assertive Community Treatment Team (Housing First ACT Team): Services for at least 80 severely mentally ill unsheltered and housed clients by a mobile, high-level team, including psychiatric and medical professionals. More than 70% of clients for the program were referred by Neighborhood Police Officers in the target areas based on considerations of both the length of time someone has been unsheltered in that target area or if he or she is an unsheltered individual who may have severe mental illness. As stated in M&C 24-0200, the 17-month pilot program's performance measures will be that at least 70°/o of those offered housing enter housing within six months and after one year of entering housing, at least 70% are still housed (can be different unit, but must be housed). After one year of the pilot, the program is showing success in meeting performance objectives. Goals by Sept. 30, 2025 Progress as of April 30, 2025 ACT Team services provided to 80 ACT Team services clients provided to 79 clients House 40 clients with High ImpACT assistance At least 70% of those offered housing acceptwithin 6 months Housed 41 clients with High ImpACT assistance 89% housing acceptance rate At least 70% still housed after one 92% still housed after year one year Based on the success so far, it is recommended that the City Council continue funding the program in order to provide medical, psychiatric and case management services as well as housing assistance. These intensive services combined with housing assistance have enabled many unsheltered individuals with severe mental illness in target areas to obtain and retain housing. The City contracted with My Health, My Resources of Tarrant County (MHMR) to provide High ImpACT services. MHMR contracted with Partnership Home (formerly Tarrant County Homeless Coalition) and Acclaim Health to provide master lease/landlord engagement services and physician assistant services. For Fiscal Year 2026, the proposal is for the City contract directly with all three agencies as follows. Agency My Health, My Resources of Tarrant County Acclaim Health Partnership Home ITOTAL Services Provision of psychiatric services, therapy, housing case management, client costs etc Provision of physician assistant services Master leasing and landlord engagement services $1,269,005.00 $201, 094.00 $708,204.00 $2,178,303.00 Funding will be budgeted within the General Fund for the City Managers office for Fiscal Year 2026. This project was approved for a waiver per the Chapter 252 exemption, for Professional Services by the Legal Department. FISCAL INFORMATION / CERTIFICATION: The Director of Finance certifies that upon approval of the above recommendations and adoption of the Fiscal Year 2026 Budget by the City Council, funds will be available in the Fiscal Year 2026 operating budget, as appropriated, in the General Fund. Prior to an expenditure being incurred, the City Manager's Office has the responsibility to validate the availability of funds. Submitted for Citv Manaaer's Office bv: Dianna Giordano 7783 Oriainatina Business Unit Head: Bethany Warner 6121 Annual Contracted Amount Additional Information Contact: Tara Perez 2235 ��R'���RTHa City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: My Health, My Resources of Tarrant County SUbjeCt Of tile 1�gI'eerilerit: This is an agreement for housing and psychiatric services for the High ImpACT program. 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 8 If so, provide the original contract number and the amendment number. Is the Contract "Permanent"? *Yes ❑ No 8 If �unsure, see back page for permanent contract listing. Is this entire contract Confidential? �Yes ❑ No ❑■ Ifonlyspecific information is Confidential, please list what information is Confidential and the page it is located. Effe�tlVe Date: October 1, 2025 ExplratlOn Date: September 30, 2026 If �different fr�om the approval date. If �applicable. Is a 1295 Form required? * Yes ❑ No 0 *If so, please ensure it is attached to the approving M&C or attached to the contract. Project Number: Ifapplicable. *Did you include a Text field on the contract to add the City Secretary Contract (CSC) number? Yes 0 No ❑ Contracts need to be routed for CSO processin� in the followin� 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.