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HomeMy WebLinkAbout064626 - General - Contract - Camp Fire First TexasCSC No. 64626 STATE OF TEXAS § § COUNTY OF TARRANT § This contract ("Contract") is made and entered into by and between the City of Fort Worth (hereafter "City") and Camp Fire First Texas (hereafter "Agency"), a Texas non-profit corporation. City and Agency may be referred to individually as a"Party" and jointly as "the Parties". The Parties state as follows: WHEREAS, City receives grant monies from the United States Department of Housing and Urban Development through the Community Development Block Grant ("CDBG") Program, Program No. B-25-MC-48-0010, Catalog of Federal Domestic Assistance No. 14.218; WHEREAS, a national objective of the CDBG program is to benefit 1ow and moderate income citizens in accordance with 24 CFR Part 570, as amended from time to time; WHEREAS, Agency submitted a proposal to use CDBG funds for a program to serve individuals and families, 51% of whom must be low and moderate income; WHEREAS, City citizens, the Community Development Council, and the City Council have determined that CDBG programs are needed by the City's citizens. NOW, THEREFORE, the Parties understand and agree as follows: 1. INCORPORATION OF RECITALS. City and Agency hereby agree that the recitals set forth above are true and correct and form the basis upon which the Parties have entered into this Contract. 2. DEFINITIONS. In addition to terms defined in the body of this Contract, the terms set forth below shall have the definitions ascribed to them as follows: Area Median Income or AMI means the median family income for the Fort Worth-Arlington metropolitan statistical area as established annually by HUD. The 2025 income limits are attached hereto as EXHIBIT "A-1" — 2025 HUD Income Limits. CDBG means Community Development Block Grant. Complete Documentation means the following documentation as applicable: • Attachments I, II, and III within Exhibit "D", with supporting documentation including: OFFICIAL RECORD CITY SECRETARY c�BG sl�io Psa coNTxACT 2o2s-2o26 Camp Fire First Texas FT. WORTH, TX o Proof of expense: copies of timesheets, invoices, leases, service contracts or other documentation showing that payment is due by Agency. o Proof of payment: cancelled checks, bank statements, or wire transfers necessary to demonstrate that amounts due by Agency were actually paid by Agency. o Proof of client eligibility: either (i) verifiable self-certification of income such as the City's Certification Income Statement attached as EXHIBIT "E" — Form of Income Self-Certification or a similar form approved by City, or (ii) Source Documentation and, if applicable, confirmation of eligibility through the Systematic Alien Verification for Entitlements (SAVE) program. Complete Documentation shall meet the standards described in the attached EXHIBIT "F" - Standards for Complete Documentation. • Any other document or record reasonably necessary to verify costs spent and client eligibility for the Program. CDBG Funds means the CDBG grant funds supplied by City to Agency under the terms of this Contract. CDBG Regulations means regulations found at 24 CFR Part 570 et seq. Countywide Agencies means agencies with 10% ar more of clients that reside outside of the boundaries of the City. All other agencies are considered Fort Worth agencies. DBE means disadvantaged business enterprise in accordance with 49 CFR Part 26. Director means the Director of the Neighborhood Services Department. Effective Date means October 1, 2025. HUD means the United States Department of Housing and Urban Development. IDIS means Integrated Disbursement Information System, HUD's project tracking system. Income Eligible Client means a client whose annual income adjusted for family size does not exceed 80% of AMI using the most current HUD Income Guidelines and Technical Guidance for Determining Income and Allowances. The definition of annual income to determine client income eligibility shall be the definition contained in 24 CFR Part 5.609, as amended from time to time. National Objective means an activity that benefits low- and moderate-income persons. For the purposes of this Contract, at least 51% of the clients served by the Program must be Income Eligible Clients. Neighborhood Services Department means the City's Neighborhood Services Department. CDBG 51% PSA CONTRACT 2025-2026 Camp Fire First Texas Neighborly Software — Online database for Agency to submit monthly reimbursement requests. OMB means the Office of Management and Budget. Program means the services described in EXHIBIT "A" — Program Summary. Reimbursement Request means all reports and other documentation described in Section 9. Source Documentation means documentation of full household income of any type described under the definition of annual income in 24 CFR Part 5.609, including but not limited to copies of paychecks, Social Security and disability verification letters, interest or rental income statements, retirement income statements, child support and alimony verification, unemployment benefit letters, and the like. Unduplicated Clients means a count of all clients served by the Program at least once in the Contract Term. Clients served by the Program more than once in the Contract Term will only be counted the first time they are served when determining the total count of Unduplicated Clients. 3. TERM. The term of this Contract begins on the Effective Date and terminates on September 30, 2026, unless earlier terminated as provided in this Contract. This Contract may be extended by mutual agreement of the Parties in writing if such extension is necessary for completion of the program. Extensions will be memorialized in an amendment to the Agreement so long as the amendment is in compliance with City policies and all applicable laws and regulations governing the use of federal grant funds. The Contract term shall include any extension, if exercised, as provided herein. 4. DUTIES AND RESPONSIBILITIES OF CITY. 4.1 Provide CDBG Funds. City will provide up to $62,184.00 of CDBG Funds under the terms and conditions of this Contract. 4.2 Monitor. City will monitor the activities and performance of Agency and any of its contractors, subcontractors or vendors as necessary, but no less than annually. Monitoring by City will include determining whether Agency is meeting the National Objective during the term of this Contract. 5. DUTIES AND RESPONSIBILITIES OF AGENCY. 5.1 Required Services. CDBG 51% PSA CONTRACT 2025-2026 3 Camp Fire First Texas Agency shall perform the services described in EXHIBIT "A" — Program Summary in accordance with the terms and conditions of this Contract. 5.2 Use of CDBG Funds. 52.1. Comnliance with CDBG Regulations and Contract. Agency shall be reimbursed for eligible Program costs with CDBG Funds only if City determines in its sole discretion that: 5.2.1.1 Costs are eligible expenditures in accordance with CDBG Regulations. 5.2.1.2 Costs are in compliance with this Contract and are reasonable and consistent with industry norms. 5.2.1.3 Complete Documentation, as applicable, is submitted to City by Agency. 5.2.2 Bud�et. 5.2.2.1 The CDBG Funds will be paid on a reimbursement basis in accordance with EXHIBIT "B" - Budget. 5.2.2.2 During the term of this Contract, Agency may submit written requests to increase or decrease line-item amounts in the Budget, including an explanation of why such increases or decreases are necessary. All requests shall be approved by Director ar Director's designee in writing, with such approval being in the City's sole discretion. If the Agency's proposed Budget amendment is approved (as approved, the "Amended Budget"), then the Amended Budget shall be memarialized in a written amendment to this Contract. The Amended Budget will take effect on the first day of the month following the month in which the Contract amendment is executed, unless otherwise specified in the amendment. All requests for Budget amendments must be submitted by April 15, 2026. 5.2.3 Change in Pro�ram Bud�et. 5.2.3.1 Agency will notify City promptly of any additional funds it receives for operation of the Program, and City reserves the right to amend this Contract in such instances to ensure compliance with HUD regulations governing cost allocation. 5.23.2 Agency agrees to utilize the CDBG Funds to supplement rather than supplant funds otherwise available for the Program. CDBG 51°/a PSA CONTRACT 2025-2026 4 Camp Fire First Texas 5.2.4 Pavment of CDBG Funds to Agencv. CDBG Funds will be disbursed to Agency upon City's approval of Reimbursement Requests including submission of Complete Documentation to City in compliance with Section 9. If Agency expends all funds budgeted for the Program prior to September 30, 2026, City may hold back a small amount of the CDBG Funds until the end of the term. During this interim period, Agency must continue to submit Attachment III — Client Data Report in EXHIBIT "D" — Reimbursement Forms monthly. It is expressly agreed by the Parties that any CDBG Funds not spent or approved for reimbursement to Agency shall remain with City. 5.3 Pro�ram Performance Milestones, Review and Corrective Action . 5.3.1 Agency represents that the Program will achieve the following milestones in accordance with EXHIBIT "A" — Program Summary and the table below: Month 6 9 12 25% 50% 75% 100% % of Unduplicated Clients Served (as speciiied in EXHIBIT "A" — Program Summary) 25% 50% 75% 100% 5.3.2 Failure of Agency to meet these milestones or a material deviation from them as outlined in this Section 5.3 is a breach of this Contract. For the purpose of this Section, "material deviation" shall mean more than 10% lower than the specified goal. In the event of such breach, City reserves the right in its sole option to delay or withhold payment of Reimbursement Requests, (ii) institute a Corrective Action plan as described below, (iii) to lower Agency's allocation of CDBG Funds, or terminate this Contract. 5.3.2.1 Corrective Action. Corrective action will be unique to the Agency and the Program and wi11 be designed to ensure that the Agency (i) expends the funds allocated to it by the City, and (ii) serves the required number of unduplicated clients through the Program. The City may issue verbal or informal directive requiring the Agency to take corrective action. A corrective action may require additional outreach or marketing, additional reporting, additional monitoring, or any other mechanism that will reasonably ensure the Program goals are met and that expenditures are roughly proportional to the number of eligible, unduplicated clients served. Informal corrective action shall not be considered a formal written corrective action plan or amendment to this Contract. Formal written corrective action shall be required only when expressly stated in writing by the City. CDBG 51% PSA CONTRACT 2025-2026 Camp Fire First Texas 5.3.3 Failure to meet at least 80% of its performance milestones or serve 180. Unduplicated Clients under this Contract may, in City's sole discretion, disqualify Agency for consideration under the City's Request for Proposals for the 2026-2027 Program Year for federal grant funds. 5.3.4 Amendments to performance milestones must be approved by the Director in writing, with such approval being in the Director's sole discretion. If Director approves the Agency's proposed amended performance milestones (as approved, the "Amended Performance Milestones"), then the Amended Performance Milestones will take effect on the first day of the month following the month in which it was approved by the Director, unless otherwise specified in the amendment. All requests for amendments to performance milestones must be submitted by June 1, 2026. Except in extreme circumstances, notwithstanding the above, any amendments to performance milestones shall not reduce the number for serving 180 Unduplicated Clients stated in Section 5.3.3. 5.4 Identifv Program Expenses Paid with CDBG Funds. Agency will keep accounts and records in such a manner that City may readily identify and account for Program expenses reimbursed with CDBG Funds. These records shall be made available to City for audit purposes and shall be retained as required hereunder. 5.5 Meet National Obiective. Agency shall ensure that the activities carried out in the Program will meet the National Obj ective. 5.6 Pro�ram Subcontracts. Agency shall not enter into a subcontract with another agency, contractor, or vendor to provide a service to clients for any part of the Program that will be paid with CDBG Funds without City's written consent. 6. CLIENT ELIGIBILITY VERIFICATION. 6.1 Client Eli�ibilitv. Agency will document client eligibility as follows: 6.1.1 A�encv Clients. Agency must verify all new clients' income with either a verifiable self-certification of income such as the City's Certification of Income Statement attached as EXffiBIT "E" — Self- Certification of Income Form or a similar form approved by City, or Source Documentation. Agency must use the annual income definition in 24 CFR Part 5.609 to establish client income and must use the most current HUD Income Guidelines. The income of all Program clients must be documented and at least 51% of them must be Income Eligible Clients. CDBG 51% PSA CONTRACT 2025-2026 Camp Fire First Texas If applicable, the Agency must comply with the eligibility and verification requirements that apply under title IV of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, as amended (8 U.S.C. 1601-1646) (PRWORA) and use the Systematic Alien Verification for Entitlements (SAVE) or an equivalent verification system approved by the Federal government, to prevent any Federal public benefit from being provided to an ineligible alien who entered the United States illegally or is otherwise unlawfully present in the United States, unless the Agency is a nonprofit charitable organization exempt from this requirement under 8 U.S.C. § 1642(d). 6.1.11 If Agency serves both Fort Worth and non-Fort Worth clients, the proportion of Program costs allocated to the CDBG-funded portion of the Program Budget must be consistent with the proportion of Fort Worth clients to all clients. 6.1.1.2 All Program clients must be reported on EXHIBIT "D" — Reimbursement Forms, Attachment III. All Program clients whose income has not been verified will be deemed not to be Income Eligible Clients and shall not be included in the 51%. 6.1.1.3 Both the City's Certification of Income Statement attached as EXHISIT "E" — Self-Certification of Income Form or a similar form approved by City, or Source Documentation and, if applicable, such confirmation of eligibility through the SAVE program are required to verify the eligibility of Program clients. 6.1.2 Verification of Program Eligibilitv. 6.1.2.1 At the end of each quarter during the Contract term, Agency shall verify CDBG Program Eligibility by confirming that at least 51 % of clients served by the Program to date are Income Eligible Clients as reported on Attachment III. 6.1.2.2 If Agency fails to meet the requirements of Section 6.1.2.1, Agency will have thirty (30) calendar days, or until the next monthly invoice, to cure. 6.1.2.3 City will notify Agency by e-mail within fourteen (14) calendar days if the client eligibility requirements outlined in this Section are not cured within the timeline outline in 6.1.2.2. Agency will have seven (7) calendar days from the date of the e-mail notice to meet these requirements. If Agency fails to meet the requirements, Agency may forfeit any payments otherwise due that month and failure to meet the client eligibility requirements will be considered an event of default as outlined in Section 10.1. 6.1.2.4 In the event the Agency fails to meet the client eligibility requirements, City reserves the right in its sole option to delay or withhold payment of CDBG 51% PSA CONTRACT 2025-2026 Camp Fire First Texas Reimbursement Requests, to lower Agency's allocation of CDBG Funds, or to terminate this Contract. 6.2 Submission of Complete Documentation. Agency must submit copies of documentation of client eligibility described in Section 6.1 with Attachment III with each month's Reimbursement Request for all Unduplicated Clients. 6.3 Maintain Documentation. Agency must maintain copies of all documentation required by this Section 6 for 7 years following the expiration of the Contract term. This Section shall survive the earlier termination or expiration of this Contract. 7. ADDITIONAL CDBG REOUIREMENTS. Agency agrees to comply with all requirements of the CDBG Program as stated in the CDBG Regulations, including but not limited to the following: 7.1 Environmental Review. CDBG Funds will not be paid, and costs cannot be incurred until City has conducted an environmental review and completed an Environmental Review Record as required by 24 CFR Part 58. The environmental review may result in a decision to proceed with, modify, or cancel the funding for the Program. Further, Agency will not undertake or commit any funds to physical or choice limiting actions as described in any applicable federal regulations. Any violation of this provision will (i) cause this Contract to terminate immediately, and (ii) require Agency to repay City the CDBG Funds it has already received and forfeit any future payments of CDBG Funds. 7.2 Contract Not Constituting Commitment of Funds. Notwithstanding any provision of this Contract, the Parties agree and acknowledge that this Contract does not constitute a commitment of funds, and that such commitment of funds or approval may occur only upon (i) satisfactory completion of an environmental review and receipt by City of an authorization to use grant funds from HUD under 24 CFR Part 58, (ii) approval of City's 2025-2026 Action Plan, and (iii) receipt by City of a grant agreement from HUD. 7.3 Monitorin�. 7.3.1 Agency understands and agrees that it will be subject to monitoring by City for compliance with terms and provisions of this Contract and the CDBG Regulations for the term of this Contract. Agency is subject to such monitaring during the term of this Contract and for 7 years after the Contract term ends. Agency will provide reports and access to Program files as requested by City during this 7 year period. CDBG 51% PSA CONTRACT 2025-2026 Camp Fire First Texas 7.3.2 Representatives of City, HUD, HUD Office of Inspector General, and the United States Comptroller General shall have access during regular business hours, upon 48 hours prior notice, to Agency's offices and records pertaining to the use of the CDBG Funds, and to Agency's off'icers, directors, agents, employees, contractors, subcontractors and vendors for the purpose of such monitoring. 7.3.3 In addition to other provisions of this Contract regarding frequency of monitoring, City reserves the right to perform desk reviews or on-site monitoring of Agency's compliance with the terms and conditions of this Contract. City shall provide Agency with a written report of the monitor's findings after each monitoring visit. If the monitoring report notes deficiencies in Agency's performance, the report shall include requirements for the timely correction of said deficiencies by Agency. Failure by Agency to take the action specified in the monitoring report may be cause for suspension or termination of this Contract as provided herein. 7.3.4 Subsections 7.3.1 through 7.3.3 shall be applicable for the Contract Term and for 7 years thereafter and shall survive the earlier termination or expiration of this Contract. 7.3.5 Agency shall provide City annually the results of any state or federal monitoring. Such results shall be submitted within 60 days of receipt of such state or federal monitoring report, or with the January Reimbursement Request, whichever is earlier. 7.4 A�encv Procurement Standards. Agency shall comply with all applicable federal, state and local laws, regulations, and ordinances for making procurements under this Contract. In addition to the conflict of interest provisions in Section 14.13.3, Agency shall establish written procurement procedures to ensure that materials and services are obtained in a cost effective manner and that provides for full and open competition. When procuring materials and services for this Contract, Agency shall comply at a minimum with the procurement standards in 2 CFR Part 200.317 through Part 200.326. 7.4.1 Contracts in excess of $10,000.00 made by Agency using CDBG Funds must address termination for cause and convenience including the manner by which such termination shall be effected and the basis for settlement of the terminated contract, if any, as required by Appendix II(B), 2 CFR Part 200. 7.4.2 Agency shall not make any contract with parties listed on the government wide System for Award Management, www.sam.gov ("SAM"). Agency must confirm by search of SAM that all contractors paid with CDBG Funds are not listed by SAM as being debarred, both prior to hiring and prior to submitting a Reimbursement Request which includes invoices from any such contractor. Failure to submit such proofs of search shall be an event of default. 7.5 Cost Principles/Cost Reasonableness. Agency shall administer its use of CDBG Funds in compliance with 2 CFR Part 200, as applicable. The eligibility of costs incurred for performance rendered shall be determined in accordance with 2 CFR Part 200.400 through 2 CFR Part 200.475. CDBG 51% PSA CONTRACT 2025-2026 9 Camp Fire First Texas 7.6 Financial Mana�ement Standards. Agency agrees to comply with 2 CFR Part 200, as applicable. Agency also agrees to adhere to the accounting principles and procedures required therein, utilize adequate internal controls, and maintain necessary supporting and back-up documentation for all costs incurred in accordance with 2 CFR Part 200.302 and Part 200.303. 7.7 Uniform Administrative Requirements, Cost Principles, and Audit Reauirements. Agency will comply with the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards in 2 CFR Part 200, as applicable, or any reasonably equivalent procedures and requirements that City may require. 7.8 Terms Annlicable to Contractors, Subcontractors and Vendors. Agency understands and agrees that all terms of this Contract, whether regulatory or otherwise, shall apply to any and all contractors, subcontractors and vendors of Agency which are in any way paid with CDBG Funds or who perform any work in connection with the Program. Agency shall cause all applicable provisions of this Contract to be included in and made a part of any contract or subcontract executed in the performance of its obligations hereunder including its obligations regarding the CDBG Regulations. Agency shall monitor the services and work performed by its contractors, subcontractors and vendors on a regular basis for compliance with the CDBG Regulations and Contract provisions. Agency must cure all violations of the CDBG Regulations committed by its contractors, subcontractors or vendors. City maintains the right to insist on Agency's full compliance with the terms of this Contract and the CDBG Regulations and Agency is responsible for such compliance regardless of whether actions taken to fulfill the requirements of this Contract are taken by Agency or by Agency's contractors, subcontractors or vendors. Agency acknowledges that the provisions of this Section shall survive the earlier termination or expiration of this Contract and shall be applicable for 7 years after the Contract term ends. 7.9 Copvri�ht and Patent Ri�hts. No reports, maps, or other documents produced in whole or in part under this Contract shall be the subject of an application for copyright by or on behalf of Agency. HUD and City shall possess all rights to invention or discovery, as well as rights in data, which may arise as a result of Agency's performance under this Contract. 7.10 Conflict of Interest Disclosure. In accordance with the requirements of Section 14.13.2.1 and 14.13.4, Agency shall establish conflict of interest policies for federal awards. Agency shall disclose to City in writing any potential conflict of interest. CDBG 51% PSA CONTRACT 2025-2026 10 Camp Fire First Texas 7.11 Compliance with FFATA and Whistleblower Protections. Agency shall comply with the requirements of 2 CFR 300(b), including provisions of the Federal Funding Accountability and Transparency Act ("FFATA") governing requirements on executive compensation and provisions governing whistleblower protections contained in 10 U.S.C. 2409, 41 U.S.C. 4712, 10 U.S.C. 2324, 41 U.S.C. 4304 and 41 U.S.C. 4310. 7.11.1 Agency shall provide City with its DLJNS number. 7.12 Internal Controls. In compliance with the requirements of 2 CFR Part 200.303, Agency shall: 7.12.1 Establish and maintain effective internal control over the CDBG Funds that provides reasonable assurance that Agency is managing the CDBG Funds in compliance with federal statutes, regulations, and the terms and conditions of this Contract. These internal controls shall be in compliance with guidance in "Standards for Internal Control in the Federal Government" issued by the Comptroller General of the United States or the "Internal Control Integrated Framework" issued by the Committee of Sponsoring Organizations of the Treadway Commission ("COSO"); 7.12.2 Comply with federal statutes, regulations, and the terms and conditions of this Contract; 7.12.3 Evaluate and monitor Agency's compliance with statutes, regulations and the terms and conditions of this Contract; 7.12.4 Take prompt action when instances of noncompliance are identified including noncompliance identified in audit findings; and 7.12.5 Take reasonable measures to safeguard protected personally identifiable information and other information that HUD or City designates as sensitive or Agency considers sensitive consistent with applicable federal, state, local and tribal laws regarding privacy and obligations of confidentiality. 8. RECORD KEEPING; REPORTING AND DOCUMENTATION REOUIREMENTS; AUDIT. 8.1 Record Keeuing. Agency shall maintain a record-keeping system as part of its performance of this Contract and shall promptly provide City with copies of any document City deems necessary for the effective fulfillment of City's monitoring and evaluation responsibilities. Specifically, Agency will keep or cause to be kept an accurate record of all actions taken and all funds spent, with supporting and back-up documentation. Agency will maintain all records and documentation related to this Contract for 7 years after the Contract term ends, regardless of whether or not this Contract is CDBG 51°/a PSA CONTRACT 2025-2026 ll Camp Fire First Texas earlier terminated. If any claim, litigation, or audit is initiated before the expiration of the 7 year period, the relevant records and documentation must be retained until all such claims, litigation or audits have been resolved. 8.2 Access to Records. Representatives of City, HUD and any duly authorized officials of the federal government will have full access to, and the right to examine, audit, copy, excerpt and/or transcribe any of Agency's records pertaining to all matters covered by this Contract for 7 years after the Contract term ends, regardless of whether or not this contract is earlier terminated. Such access shall be during regular business hours and upon at least 48 hours prior notice. 8.3 Renorts. Agency will submit to City all reports and documentation described in this Contract in such form as City may prescribe. Agency may also be required to submit a final performance and/or final financial report if required by City at the termination of this Contract in such form and within such times as City may prescribe. Failure to submit to City any report or documentation described in this Contract shall be an event of default of this Contract and City may exercise all of its remedies for default under this Contract. 8.3.1 AdditionalInformation. Agency shall provide City with additional information as may be required by state or federal agencies to substantiate Program activities and/or expenditure eligibility. 8.4 Chan�e in Reporting Repuirements and Forms. City retains the right to change reporting requirements and forms at its discretion. City will notify Agency in writing at least iifteen (15) days prior to the effective date of such change, and the Parties shall execute an amendment to the Contract reflecting such change if necessary. 8.5 Audit. 8.5.1 Entities that Expend $1,000,000.00 or more in Federal Funds Per Year. All non-federal entities that expend $1,000,000.00 or more in federal funds within 1 year, regardless of the source of the federal award, must submit to City an annual audit prepared in accordance with specific reference to 2 CFR Part 200.501 through Part 200.521. The audit shall cover the Agency's fiscal years during which this Contract is in force. The audit must be prepared by an independent certified public accountant, be completed within nine 9 months following the end of the period being audited and be submitted to City within thirty 30 days of its completion. Agency's audit certification is attached hereto as EXHIBIT "C" —"Audit Certification Form" and "Audit Requirements". The Audit Certification Form must be submitted to City prior to or with the first Reimbursement Request. Entities that expend less than $1,000,000.00 a year in federal funds are exempt from federal audit requirements for that year, but records must be available for review or audit by appropriate officials of the federal agency, City, and General CDBG 51°/a PSA CONTRACT 2025-2026 12 Camp Fire First Texas Accounting Office. 8.5.2 Citv Reserves the Right to Audit. City reserves the right to perform an audit of Agency's Program operations and finances at any time during the term of this Contract and for 7 years after the Contract term ends, regardless of whether or not this Contract is earlier terminated, if City determines that such audit is necessary for City's compliance with the CDBG Regulations or other City policies. Agency agrees to allow access to all pertinent materials as described herein for such audit. If such audit reveals a questioned practice or expenditure, such questions must be resolved within fifteen (15) business days after notice to Agency of such questioned practice or expenditure. If questions are not resolved within this period, City reserves the right to withhold further funding under this Contract and/or any other contracts with Agency. IF AS A RESULT OF ANY AUDIT IT IS DETERMINED THAT AGENCY HAS FALSIFIED ANY DOCUMENTATION OR MISUSED, MISAPPLIED OR MISAPPROPRIATED CDBG FUNDS OR SPENT CDBG FUNDS ON ANY INELIGIBLE ACTIVITIES, AGENCY AGREES TO REIMBURSE CITY THE AMOUNT OF SUCH MONIES PLUS THE AMOUNT OF ANY SANCTIONS, PENALTY OR OTHER CHARGE LEVIED AGAINST CITY BY HUD BECAUSE OF SUCH ACTIONS. 9. REIMBURSEMENT REOUIREMENTS. 9.1 Deadline for Submittin� Reimbursement Reauests. 9.1.1 Reimbursement Requests shall be submitted monthly to the City and must be received by the City on or before the 15tb day of the month following the month expenses were paid by Agency. For example, the Reimbursement Request for June expenses must be received by July 15. In the event the 15th falls on a weekend or City holiday, Reimbursement Requests shall be due the next day that the City is open for business. Failure to submit a Reimbursement Request in a timely fashion will result in City taking the actions outlined in Section 10.1. NOTWITHSTANDING ANYTHING ABOVE, THE REIMBURSEMENT REQUEST FOR EXPENSES INCURRED FOR SEPTEMBER 2026 MUST BE RECEIVED BY OCTOBER 4, 2026. COMPLETE DOCUMENTATION FOR ALL SEPTEMBER 2026 EXPENSES MUST BE SUBMITTED BY OCTOBER 15, 2026. FAILURE TO SUBMIT A FINAL REIMBURSEMENT REQUEST WITH COMPLETE DOCUMENTATION BY OCTOBER 15, 2026 WILL RESULT IN FORFEITURE OF PAYMENT OF THE SEPTEMBER REIMBURSEMENT REQUEST. 9.1.2 City will notify Agency by e-mail within fourteen (14) calendar days if a Reimbursement Request is lacking Complete Documentation or corrections are needed. Agency will have seven (7) calendar days from the date of the e-mail notice to submit any requested information or missing documentation. At City's sole discretion, Agency may be penalized, in the Request for Proposal for the 2026-2027 Program Year for any notifications received under this Section. If Agency fails to submit all the required information or missing documentation within seven (7) calendar days from the first e-mail, Agency may forfeit any payments otherwise due that month and failure to submit any requested information will be considered an event of default as outlined in Section 10.1.2. CDBG 51% PSA CONTRACT 2025-2026 13 Camp Fire First Texas 9.2 Submission of Reimbursement Requests. Agency shall provide City with Complete Documentation and the following reports as shown in EXHIBIT "D" —Reimbursement Forms with each Reimbursement Request: 9.2.1 Attachment I— Request Summarv. This report shall contain the amount requested for reimbursement each month, and the cumulative reimbursement requested to date (inclusive of that month's request). 9.2.2 Attachment II — Expenditure Worksheet. This report shall itemize each expense requested for reimbursement by Agency and shall include the Account corresponding the expense to a Budget line item. In order for this report to be complete the following must be submitted: 9.2.2.1 For payroll expenses, timesheets signed by employees and approved by supervisor for all payroll expenses listed. Timesheets must distinguish between CDBG-funded time and non-CDBG funded time and reflect actual time spent on CDBG-funded activities. Agency may not submit payroll expenses dated sixty (60) calendar days prior to the date of the Reimbursement Request. 9.2.2.2 For non-payroll expenses, invoices for each expense listed with an explanation as to how the invoiced expense pertains to the Program. Agency may not submit invoices dated sixty 60 calendar days prior to the date of the Reimbursement Request. 9.2.2.3 Proof that each expense was paid by Agency. Proof can be satisfied by cancelled checks, wire transfer documentation, paid receipts or other appropriate banking documentation. 9.2.3 Attachment III — Client Data Report. This report shall list each Unduplicated Client served during the month along with his or her demographic information. The Client Data Report must maintain a list of all clients served during the Contract term. In order for this report to be complete, the following must be submitted: 9.2.3.1 Documentation of income verification for each Unduplicated Client the first time the client is served by the Program, which will either be the completed form of EXHIBIT "E" — Self- Certification of Income Form or similar form approved by City, and Source Documentation. 9.2.4 Delivery of Reimbursement Reauest. Reimbursement Requests must be submitted through Neighborly Software or other reporting software as approved by the City by the deadline in Section 9.1. CDBG 51°/a PSA CONTRACT 2025-2026 14 Camp Fire First Texas 9.2.5 Countvwide A�encies Countywide Agencies shall submit EXHIBIT "A-2" — Reporting Requirements for Count�vide Agencies quarterly with the December, March, June and September Reimbursement Requests. Reports due under this section have the same due date as the Reimbursement Request. 9.3 Withholding Pavment. CITY SHALL HAVE NO OBLIGATION TO PAY ANY REIMBURSEMENT REQUEST THAT IS NOT RECEIVED BY THE DUE DATE AS OUTLINED HEREIN. Failure to timely submit accurate and complete Reimbursement Requests and Complete Documentation along with any required reports shall be an event of default. 10. DEFAULT AND TERMINATION. 10.1 Failure to Submit Reimbursement Reauest or Reauired Documentation. 10.1.1 If Agency fails to submit a Reimbursement Request in accordance with Section 9, Agency shall be in default of this Contract. City will notify Agency in writing of such default and the Agency will have seven (7) calendar days from the date of the written Default Notice to submit such Reimbursement Request to cure the default. If Agency fails to cure within such time, Agency shall forfeit any payments otherwise due that month. 10.1.2 NOTWITHSTANDING THE PROVISIONS OF SECTION 10.1.1, IF AGENCY FAILS TO SUBMIT THE REIMBURSEMENT REQUEST DUE OCTOBER 4, 2026 OR IF THE SUBMITTED REIMBURSEMENT REQUEST DUE OCTOBER 4, 2026 IS LATE, INCOMPLETE OR OTHERWISE NOT IN COMPLIANCE WITH THIS CONTRACT OR THE CDBG REGULATIONS AS DETERMINED BY CITY IN ITS SOLE DISCRETION, THERE WILL BE NO CURE PERIOD AND ANY REIMBURSEMENT WILL BE FORFEITED. 10.1.3 In the event of an uncured default under this Section, City reserves the right at its sole option to terminate this Contract effective immediately upon written notice of such intent with no penalty or liability to City. 10.1.4 Notwithstanding anything to the contrary herein, City will not be required to pay any CDBG Funds to Agency during the period that any Reimbursement Request, report or documentation is past due or is not in compliance with this Contract or the CDBG Regulations, or during any period during which Agency is in default of this Contract. 10.1.5 In the event of termination under this Section 10.1, all CDBG Funds awarded but unpaid to Agency pursuant to this Contract sha11 be immediately forfeited and Agency shall have no further right to such funds. 10.2 Failure to Maintain Records or Submit Reports and Documentation. CDBG 51°/a PSA CONTRACT 2025-2026 15 Camp Fire First Texas If Agency fails to maintain all records and documentation as required in Section 8, or if the maintained or submitted report or documentation is not in compliance with this Contract or the CDBG Regulations as determined by City in its sole discretion, City will notify Agency in writing and Agency will have thirty (30) calendar days from the date of the written request to obtain or recreate the missing records and documentation or submit or resubmit any such report or documentation to City. If Agency fails to maintain the required reports or documentation, or fails to submit or resubmit any such report or documentation within such time, City shall have the right to terminate this Contract effective immediately upon written notice of such intent with no penalty or liability to City. 10.2.1 In the event of termination under Section 10.2, all CDBG Funds awarded but unpaid to Agency pursuant to this Contract shall be immediately forfeited and Agency shall have no further right to such funds. 10.2.2 In the event of termination under Section 10.2, any CDBG Funds paid to Agency must be repaid to City within thirty (30) days of termination. If such CDBG Funds are not repaid to City within the thirty (30) day period, City shall exercise all legal remedies available under this Contract. 10.3 In General. 10.3.1 Subject to Section 10.2, and unless specifically provided otherwise in this Contract, Agency shall be in default under this Contract if Agency breaches any term or condition of this Contract. In the event that such a breach remains uncured after thirty (30) calendar days following written notice by City (or such other notice period as may be speciiied herein) or, if Agency has diligently and continuously attempted to cure following receipt of such written notice but reasonably requires more than thirty (30) calendar days to cure, as determined by both Parties mutually and in good faith, City shall have the right to elect in City's sole discretion to: (i) extend Agency's time to cure, (ii) terminate this Contract effective immediately upon written notice of such intent to Agency, or (iii) pursue any other legal remedies available to City under this Contract. 10.3.2 City's remedies may include: 10.3.2.1 Direct Agency to prepare and follow a schedule of actions for carrying out the affected activities, consisting of schedules, timetables and milestones necessary to implement the affected activities. 10.3.2.2 Direct Agency to establish and follow a management plan that assigns responsibilities for carrying out the remedial activities. 10.3.2.3 Reprogram CDBG Funds that have not yet been expended from affected activities to other eligible activities or withhold CDBG Funds. 10.3.2.4 Any other appropriate action including but not limited to any CDBG 51% PSA CONTRACT 2025-2026 16 Camp Fire First Texas remedial action legally available such as declaratory judgment, specific performance, damages, temporary or permanent injunctions, termination of this Contract or any other contracts with Agency, and any other available remedies. 10.3.3 In the event of termination under this Section 10.3, all CDBG Funds awarded but unpaid to Agency pursuant to this Contract shall be immediately forfeited and Agency shall have no further right to such funds, and any CDBG Funds already paid to Agency must be repaid to City within thirty (30) days of the termination. Failure to repay such CDBG Funds within the thirry (30) day period will result in City exercising all legal remedies available under this Contract. 10.4 No Funds Disbursed while in Breach. Agency understands and agrees that no CDBG Funds will be paid to Agency until all defaults are cured to City's satisfaction. 10.5 No Comnensation After Date of Termination. Agency shall not receive any compensation for work undertaken after the date of the termination. 10.6 Rights of Citv Not Affected. Termination shall not affect or terminate any of the existing rights of City against Agency, or which may thereafter accrue because of Agency's default and this provision shall be in addition to any and all other rights and remedies available to City under the law. Such termination does not terminate any provisions of this Contract that have been expressly noted as surviving the term or termination of the Contract. No delay or omission by City in exercising any right or remedy available to it under this Contract shall impair any such right or remedy or constitute a waiver or acquiescence in any Agency default. 10.7 Waiver of Breach Not Waiver of Subseauent Breach. The waiver of a default or breach of any term, covenant, or condition of this Contract shall not operate as a waiver of any subsequent default or breach of the same or any other term, covenant or condition hereof. 10.8 Civil, Criminal and Administrative Penalties. Failure to perform all the Contract terms may result in civil, criminal or administrative penalties, including, but not limited to those set out in this Contract. 10.9 Termination for Cause. 10.9.1 City may terminate this Contract in the event of Agency's default, inability, or failure to perform subject to notice, grace and cure periods. In the event City terminates this CDBG 51°/a PSA CONTRACT 2025-2026 17 Camp Fire First Texas Contract for cause, all CDBG Funds awarded but unpaid to Agency pursuant to this Contract shall be immediately rescinded and Agency shall have no further right to such funds and any CDBG Funds already paid to Agency must be repaid to City within thirty (30) days of termination. Failure to repay such CDBG Funds within thirty (30) days will result in City exercising all legal remedies available to City under this Contract. AGENCY ACKNOWLEDGES AND AGREES THAT IF CITY TERMINATES THIS CONTRACT FOR CAUSE, AGENCY OR ANY AFFILIATES OF AGENCY SHALL NOT BE CONSIDERED FOR ANY OTHER CITY CONTRACT FOR CDBG FUNDS FOR A MINIMUM OF 7 YEARS FROM THE DATE OF TERMINATION. 10.9.2 Agency may terminate this Contract if City does not provide the CDBG Funds substantially in accordance with this Contract. 10.10 Termination for Convenience. In terminating in accordance with 2 CFR Part 200, Appendix II, this Contract may be terminated in whole or in part only as follows: 10.10.1 By City with the consent of Agency in which the Parties agree upon the termination conditions, including the effective date and in the case of partial termination, the portion to be terminated; or 10.102 By Agency upon at least thirty (30) days written notification to City, setting forth the reasons for such termination, the effective date, and in the case of partial termination, the portion to be terminated. In the case of a partial termination, City may terminate the Contract in its entirety if City determines in its sole discretion that the remaining portion of the Contract to be performed or CDBG Funds to be spent will not accomplish the purposes for which the Contract was made. 10.11 Dissolution of Agencv Terminates Contract. This Contract shall terminate in the event Agency is dissolved or ceases to exist. In the event of termination under this Section, all CDBG Funds are subject to repayment and/or City may exercise all of its remedies under this Contract. 10.12 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 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 whatsoever, except as to the portions of the payments herein agreed upon for which funds have been appropriated. 10.13 Reversion of Assets. In the event this Contract is terminated with or without cause, all assets acquired by Agency CDBG 51% PSA CONTRACT 2025-2026 18 Camp Fire First Texas with the CDBG Funds including cash, interest payments from loans or otherwise, all outstanding notes, mortgages or other security instruments, any accounts receivable attributable to the use of the CDBG Funds, and any real or personal property owned by Agency that was improved with the CDBG Funds shall automatically transfer to City or to such assignee as City may designate. 11. REPAYMENT OF CDBG FUNDS. All CDBG Funds are subject to repayment in the event the Program does not meet the requirements of this Contract or in the CDBG Regulations. If Agency takes any action that results in the City being required to repay all or any portion of the CDBG Funds to HUD, Agency agrees it will reimburse City within thirty (30) days of notice from the City for such repayment. Additionally, if Agency takes any action that results in City receiving a finding from HUD about the Program, whether or not repayment of all or any portion of the CDBG Funds is required of City, Agency agrees City may require that 10% of the CDBG Funds be repaid to City as liquidated damages. The Parties agree that City's damages in the event of either repayment to HUD being required or receiving a finding from HUD are uncertain and would be difficult to ascertain and may include an impact on City's CDBG grant or other federal grant funds, in addition to the finding by HUD or a required repayment of funds to HUD by City. Therefore, the Parties agree that payment under this Section of 10% of the CDBG Funds by Agency to City is liquidated damages and not a penalty. 12. CHANGE IN NON-PROFIT STATUS. Agency must provide City with written notification of any changes to its non-profit status within fifteen (15) calendar days of being notified of the change. Regardless of notice by Agency, if the non-profit status of Agency changes after the date of this Contract, City may but is not obligated to, terminate this Contract. In the event of termination under this Section 12, all CDBG Funds awarded but not yet paid to Agency pursuant to this Contract shall be immediately rescinded and Agency shall have no further right to such funds. City, in its sole discretion, may require that any CDBG Funds already paid to Agency must be repaid to City within thirty (30) calendar days of termination under this Section. 13. SURVIVAL. Any provision of this Contract that pertains to auditing, monitoring, indemnity obligations, client income eligibility, record keeping and reports, City ordinances, or applicable CDBG requirements, and any default and enforcement provisions necessary to enforce such provisions, shall survive the termination of this Contract for 7 years after the Contract term ends, regardless of whether or not this Contract is earlier terminated, and shall be enforceable by City against Agency. 14. GENERAL PROVISIONS 14.1 Agencv an Indeuendent Contractor. Agency shall operate hereunder as an independent contractor and not as an officer, agent, CDBG 51% PSA CONTRACT 2025-2026 19 Camp Fire First Texas servant or employee of City. Agency shall have exclusive control of, and the exclusive right to control, the details of the work and services performed hereunder, and all persons performing same, and shall be solely responsible for the acts and omissions of its officers, members, agents, servants, employees, contractors, subcontractors, vendors, clients, licensees or invitees. 14.2 Doctrine of Resnondeat Sunerior. The doctrine of respondeat superior shall not apply as between City and Agency, or its officers, members, agents, servants, employees, contractors, subcontractors, vendors, clients, licensees or invitees, and nothing herein shall be construed as creating a partnership or joint enterprise between City and Agency. City does not have the legal right to control the details of the tasks performed hereunder by Agency, its officers, members, agents, employees, contractors, subcontractors, vendors, clients, licensees or invitees. 14.3 Agencv Propertv. City shall under no circumstances be responsible for any property belonging to Agency, or its off'icers, members, agents, employees, contractors, subcontractors, vendors, clients, licensees or invitees that may be lost, stolen or destroyed or in any way damaged and AGENCY HEREBY INDEMNIFIES AND HOLDS HARMLESS CITY AND ITS OFFICERS, AGENTS, AND EMPLOYEES FROM ANY AND ALL CLAIMS OR SUITS PERTAINING TO OR CONNECTED WITH SUCH PROPERTY. 14.4 Religious Organization. Agency shall comply with all applicable requirements as more particularly described in 24 CFR Part 5109. No portion of the CDBG Funds shall be used in support of any sectarian or religious activity. In addition, there must be no religious or membership criteria for clients of a CDBG-funded service. 14.4.1. Separation of Explicitiv Reli�ious Activities. Agency retains its independence and may continue to carry out its mission, including the definition, development practice, and expression of its religious beliefs, provided that it does not use CDBG Funds to support or engage in any explicitly religious activities (including activities that involve overt religious content such as worship, religious instruction, or proselytization), or in any other manner prohibited by law. 14.4.2 Exulicitiv Reli�ious Activities. If Agency engages in explicitly religious activities (including activities that involve overt religious content such as worship, religious instruction, or proselytization), the explicitly religious activities must be offered separately, in time or location, from the programs or activities supported by CDBG Funds and participation must be voluntary for clients of a CDBG-funded service. 14.4.3 Required Notices. CDBG 51% PSA CONTRACT 2025-2026 20 Camp Fire First Texas If Agency constitutes a Faith-based organization under 24 CFR Part 5.109, Agency must provide all clients of a CDBG-funded service with the notice attached as EXHIBIT "I"—Notice of Beneficiary Rights. Such notice shall be provided to the client prior to enrollment in any CDBG-funded program or activity. In addition, if a client or prospective client of a CDBG-funded service objects to the religious character of Agency, then Agency must promptly undertake reasonable efforts to identify and refer the client or prospective client to an alternate provider to which the client or prospective client has no such objection, as more particularly described in 24 CFR Part 5.109. 14.5 Venue. Venue shall lie in state courts in Tarrant County, Texas or the United States District Court for the Northern District of Texas, Fort Worth Division for any action, whether real or asserted, at law or in equity, arising out of the execution, performance, attempted performance or non-performance of this Contract. 14.6 Governing Law. This Contract shall be governed by and construed in accordance with the laws of the State of Texas. If any action, whether real or asserted, at law or in equity, arises out of the execution, performance or non-performance of this Contract or on the basis of any provision herein, for any issue not governed by federal law, the choice of law shall be the laws of the State of Texas. 14.7 Severabilitv. The provisions of this Contract are severable, and if for any reason a clause, sentence, paragraph or other part of this Contract shall be determined to be invalid by a court or federal or state agency, board or commission having jurisdiction over the subject matter thereof, such invalidity shall not affect other provisions which can be given effect without the invalid provision. 14.8 Written A�reement Entire Contract. This written instrument and the Exhibits, Attachments, and Addendums attached hereto, which are incorporated by reference and made a part of this Contract for all purposes, constitute the entire agreement by the Parties concerning the work and services to be performed under this Contract. Any prior or contemporaneous oral or written agreement which purports to vary the terms of this Contract shall be void. Any amendments to the terms of this Contract must be in writing and executed by the Parties. 14.9 Paragraph Headin�s for Reference Onlv, No Le�al Significance; Number and Gender. The paragraph headings contained herein are for convenience in reference to this Contract and are not intended to define or to limit the scope of any provision of this Contract. When context requires, singular nouns and pronouns include the plural and the masculine gender shall be deemed to include the feminine or neuter and the neuter gender to include the masculine and feminine. CDBG 51% PSA CONTRACT 2025-2026 21 Camp Fire First Texas The words "include" and "including" whenever used herein shall be deemed to be followed by the words "without limitation". 14.10 Compliance with All Applicable Laws and Regulations. Agency agrees to comply fully with all applicable laws and regulations that are currently in effect or that are hereafter amended during the performance of this Contract. Those laws include, but are not limited to: ➢ CDBG Regulations found in 24 CFR Part 570 ➢ Title I of the Housing and Community Development Act of 1974, as amended, (42 USC 5301) ➢ Title VI of the Civil Rights Act of 1964 (42 U.S.C. Sections 2000d et seq.) including provisions requiring recipients of federal assistance to ensure meaningful access by persons of limited English pro�ciency ➢ The Fair Housing Act, Title VIII of the Civil Rights Act of 1968 (42 U.S.C. Sections 3601 et seq.) ➢ Executive Orders 11063, 11246 as amended by 11375 and 12086 and as supplemented by Department of Labor regulations 41 CFR Part 60 ➢ The Age Discrimination in Employment Act of 1967 ➢ The Age Discrimination Act of 1975 (42 U.S.C. Sections 6101 et seq.) ➢ The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (42 U.S.C. Sections 4601 et seq. and 49 CFR Part 24) ("URA") ➢ Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. Sections 794 et seq.) and 24 CFR Part 8 where applicable ➢ National Environmental Policy Act of 1969, as amended, 42 U.S.C. Sections 4321 et seq. ("NEPA") and the related authorities listed in 24 CFR Part 58. ➢ The Clean Air Act, as amended, (42 U.S.C. Sections 1251 et seq.) and the Clean Water Act of 1977, as amended (33 U.S.C. Sections 1251 et seq.) and the related Executive Order 11738. In no event shall any amount of the assistance provided under this Contract be utilized with respect to a facility that has given rise to a conviction under the Clean Air Act or the Clean Water Act. ➢ Immigration Reform and Control Act of 1986 (8 U.S.C. Sections 1101 et seq.) specifically including the provisions requiring employer verifications of legal status of its employees ➢ The Americans with Disabilities Act of 1990 (42 U.S.C. Sections 12101 et seq.), the Architectural Barriers Act of 1968 as amended (42 U.S.C. Sections 4151 et seg.) and the Uniform Federal Accessibility Standards, 24 CFR Part 40, Appendix A ➢ Regulations at 24 CFR Part 87 related to lobbying, including the requirement that certifications and disclosures be obtained from all covered persons ➢ Drug Free Workplace Act of 1988 (41 U.S.C. Sections 701 et seq.) and 24 CFR Part 23, Subpart F ➢ Executive Order 12549 and 24 CFR Part 5.105(c) pertaining to restrictions on participation by ineligible, debarred or suspended persons or entities ➢ Section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act CDBG 51°/a PSA CONTRACT 2025-2026 22 Camp Fire First Texas ➢ Guidelines of the Environmental Protection Agency at 40 CFR Part 247 ➢ For contracts and subgrants for construction or repair, Copeland "Anti-Kickback" act (18 U.S.C. 874) as supplemented in 29 CFR Part 5 ➢ For construction contracts awarded by Agency in excess of $2,000, and in excess of $2,500 for other contracts which involve the employment of inechanics or laborers, Sections 103 and 107 of the Contract Work Hours and Safety Standards Act (40 U.S.C. 327A 300) as supplemented by 29 CFR Part 5 ➢ Lead-Based Paint Poisoning Prevention Act (42 U.S.C. 4801 et seq.), as amended by the Residential Lead-Based Paint Hazard Reduction Act of 1992 (42 U.S.C. 4851 et seq.) and implementing regulations at 24 CFR Part 35, subparts A, B, M, and R ➢ Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, 2 CFR Part 200 et seq. ➢ Federal Funding Accountability and Transparency Act of 2006 ("FFATA") (Pub.L. 109-282, as amended by Section 6205(a) of Pub.L. ll 0-252 and Section 3 of Pub.L. 113-101) ➢ Federal Whistleblower Regulations, as contained in 10 U.S.C. 2409, 41 U.S.C. 4712, 10 U.S.C. 2324, 41 U.S.C. 4304 and 41 U.S.C. 4310. ➢ The Build America, Buy America Act (BABA) enacted under Division G, Title IX of the Infrastructure Investment and Jobs Act (IIJA, Pub. L. No. 117-58) signed into law on November 15, 2021. ➢ General Administrative, National, and Departmental Policy Requirements and Terms for HUD's Financial Assistance Programs (2025), as referenced in the Notice of Funding Opportunity (NOFO) for this award. ➢ Compliance with OMB requirements on the Unique Entity Identifier (UEI) and SAM.gov registration, as well as reporting under 2 CFR Part 25 and Part 170. ➢ Adherence to all applicable requirements related to noncompliance and termination, as described in 2 CFR §§ 200.339-200.340. ➢ Report suspected fraud, waste, and abuse to HUD and the Office of Inspector General (OIG), and to inform employees of their protections under 41 U.S.C. § 4712. 14.11 urm � ��;�+„a u,.�;,.,.+� .,,,a �,.,,.�,,.,,,.,.,,+ .,,,a �+�,,,,. �,.,,,,,,,,,;,, n,.,,,,,.+.,,,;+;,,�. , . 14.12 Prohibition Against Discrimination. 14.12.1 General Statement. Agency shall comply in the execution, performance or attempted performance of this Contract, with all non-discrimination requirements of 24 CFR Part 570.607 and Chapter 17, Article III, Division 4— Fair Housing of the City Code. Agency may not discriminate against any person because of race, color, sex, gender, religion, national origin, familial status, disability or perceived disability, sexual orientation, gender identity, gender expression, or transgender, nor will Agency permit its off'icers, members, agents, employees, or clients to engage in such discrimination. This Contract is made and entered into with reference specifically to Chapter 17, Article III, Division 3- Employrnent Practices of the City Code, and Agency hereby covenants and agrees that Agency, its officers, members, agents, employees and contractors, have fully complied with CDBG 51% PSA CONTRACT 2025-2026 23 Camp Fire First Texas all provisions of same and that no employee, or applicant for employment has been discriminated against under the terms of such ordinances by either or its officers, members, agents, employees or contractors. 14.12.2 No Discrimination in Emplovment durin� the Performance of This Contract. During the performance of this Contract Agency agrees to the following provision, and will require that its contractors and subcontractors also comply with such provision by including it in all contracts with its contractors: �Contractor's, Subcontractor's or Vendor's name� will not unlawfully discriminate against any employee or applicants for employment because of race, color, sex, gender, religion, national origin, familial status, disability or perceived disability, sexual orientation, gender identity, gender expression or transgender. [Contractor's, Subcontractor's or T�endor's name] will take affirmative action to ensure that applicants are hired without regard to race, color, sex, gender, religion, national origin, familial status, disability or perceived disability, sexual orientation, gender identity, gender expression or transgender and that employees are treated fairly during employment without regard to their race, color, seX, gender, religion, national origin, familial status, disability or perceived disability, sexual orientation, gender identity, gender expression or transgender. Such action shall include, but not be limited to, the following: employment, upgrading, demotion or transfer, recruitment or recruitment advertising, layoff or termination, rates of pay or other forms of compensation, and selection for training, including apprenticeship. [Contractor's, Subcontractor's or Vendor's name] agrees to post in conspicuous places, available to employees and applicants for employment, notices setting forth the provisions of this nondiscrimination clause. [Contractor's, Subcontractor's o� Vendor's name] will, in all solicitations or advertisements for employees placed by or on behalf of [Contractor's, Subcontractor's o� Vendor's name], state that all qualiiied applicants will receive consideration for employment without regard to race, color, sex, gender, religion, national origin, familial status, disability or perceived disability, sexual orientation, gender identity, gender expression or transgender. �Contractor's, Subcontractor's or T�endor's name� covenants that neither it nor any of its officers, members, agents, employees, or contractors, while engaged in performing this Contract, shall, in connection with the employment, advancement or discharge of employees or in connection with the terms, conditions or privileges of their employment, discriminate against persons because of their age or because of any disability or perceived disability, except on the basis of a bona fide occupational qualification, retirement plan or statutory requirement. [Contractor's, Subcont�actor's or Vendor's name] further covenants that neither it nor its officers, members, agents, employees, contractors, or persons acting on their behalf, shall specify, in solicitations or advertisements for employees to work on this Contract, a maximum age limit for such employment unless the specified maximum age limit is based upon a bona fide occupational qualification, retirement plan or statutory requirement. 14.12.3 A�encv's Contractors and the ADA. CDBG 51°/a PSA CONTRACT 2025-2026 24 Camp Fire First Texas In accordance with the provisions of the Americans With Disabilities Act of 1990 ("ADA"), Agency warrants that it and any of its contractors will not unlawfully discriminate on the basis of disability in the provision of services to the general public, nor in the availability, terms and/or conditions of employment for applicants for employment with, or employees of, Agency or any of its contractors. AGENCY WARRANTS IT WILL FULLY COMPLY WITH THE ADA'S PROVISIONS AND ANY OTHER APPLICABLE FEDERAL, STATE AND LOCAL LAWS CONCERNING DISABILITY AND WILL DEFEND, INDEMNIFY AND HOLD CITY HARMLESS AGAINST ANY CLAIMS OR ALLEGATIONS ASSERTED BY THIRD PARTIES, CONTRACTORS SUBCONTRACTORS, VENDORS OR AGENTS AGAINST CITY ARISING OUT OF AGENCY'S AND/OR ITS CONTRACTORS', SUBCONTRACTORS', VENDORS' OR AGENTS' OR THEIR RESPECTIVE EMPLOYEES' ALLEGED FAILURE TO COMPLY WITH THE ABOVE-REFERENCED LAWS CONCERNING DISABILITY DISCRIMINATION IN THE PERFORMANCE OF THIS CONTRACT. 14.13 Conf7icts of Interest and Violations of Criminal Law. 14.13.1 A�encv Safe�uards. Agency shall establish safeguards to prohibit its employees, board members, advisors and agents from using positions for a purpose that is or gives the appearance of being motivated by a desire for private gain for themselves or others, particularly those with whom they have family, business or other ties. Agency shall disclose to City any such conflict of interest or potential conflict of interest, immediately upon discovery of such. 14.13.2 General Prohibitions Against Conflicts of Interest. No employees, agents, consultants, officers or elected officials or appointed officials of City or of Agency who exercise or have exercised any functions or responsibilities with respect to activities assisted with CDBG funds or who are in a position to participate in a decision-making process or gain inside information with regard to these activities may utilize CDBG services, may obtain a financial interest or benefit from a CDBG-assisted activity, or have an interest in any contract, subcontract or agreement with respect thereto, or the proceeds thereunder, either for themselves or those with whom they have family or business ties, during their tenure or for 1 year thereafter. 14.13.2.1 Agency shall establish conflict of interest policies for federal awards including the CDBG Funds and shall disclose in writing potential conflicts of interest to City as authorized by 2 CFR Part 200.112. 14.13.3 Conflicts of Interest Involving Procurement. The conflict of interest provisions of 2 CFR Part 200.318 shall apply in the procurement of property and services by Agency. In all cases not governed by this Section, the provisions of 24 CFR Part 570.611 of the CDBG Regulations shall apply. CDBG 51°/a PSA CONTRACT 2025-2026 25 Camp Fire First Texas 14.13.3.1 As more particularly described in 2 CFR Part 200.318, Agency shall maintain and submit to City written standards of conduct covering conflicts of interest and governing the performance of its employees engaged in the selection, award, and administration of contracts. No employee, officer, or agent may participate in the selection, award, or administration of a contract supported by a federal award if he or she has a real or apparent conflict of interest. The standards of conduct must provide for disciplinary actions to be applied for violations of such standards by officers, employees, or agents of Agency. 14.13.32 The officers, employees, and agents of Agency shall neither solicit nor accept gratuities, favors, or anything of monetary value from contractors or parties to subcontracts. 14.13.3.3 Notwithstanding the prohibition contained in Section 14.13.3.2, Agency may set standards of conduct for situations in which the financial interest is not substantial or the gift is an unsolicited item of nominal value. Such standards of conduct must provide for disciplinary actions to be applied for violations of such standards by Agency's officers, employees or agents. 14.13.3.4 Agency shall maintain written standards of conduct covering organizational conflicts of interest. Organizational conflicts of interest means that because of relationships with a parent company, affiliate, or subsidiary organization, Agency is unable or appears to be unable to be impartial in conducting a procurement action involving a related organization. 14.13.3.5 Agency must maintain records sufficient to detail the history of procurement. These records will include, but are not necessarily limited to the following: rationale for the method of procurement, selection of contract type, contractor selection or rejection, and the basis for the contract price. 14.13.4 Disclosure of Conflicts of Interest. In compliance with 2 CFR Part 200.112, Agency is required to timely disclose to City in writing any potential conflict of interest. 14.13.5 Disclosure of Conflicts of Interest for Agencv Clients. Agency understands that its clients will be receiving assistance partially or fully funded utilizing Housing and Urban Development (HUD) funds received by City. Agency will assist City in determining whether eligible clients have a potential relationship to the City that constitutes a conflict of interest by having clients fill out the Conflict of Interest Disclosure Form, attached CDBG 51% PSA CONTRACT 2025-2026 26 Camp Fire First Texas hereto as Exhibit "J". In the event a conflict of interest exists, this may affect the client's eligibility to receive services. As a result, if a potential client provides information on the form that a conflict may exist, Agency must notify City for a determination prior to providing services. 14.13.6 Disclosure of Texas Penal Code Violations. Agency affirms that it will adhere to the provisions of the Texas Penal Code which prohibit bribery and gifts to public servants. Agency will timely disclose to City all violations. 14.13.7 Disclosure of Federal Criminal Law Violations. In compliance with 2 CFR Part 200.113, Agency is required to timely disclose to City all violations of federal criminal law involving fraud, bribery or gratuity violations potentially affecting the Agency. 14.14 Subcontractin� with Small and Minoritv Firms, Women's Business Enterqrises and Labor Surplus Areas. 14.14.1 For procurement contracts $100,000.00 or larger that are paid for, in part or in full, with the CDBG Funds, Agency agrees to abide by City's policy to involve Minority Business Enterprises and Small Business Enterprises and to provide them equal opportunity to compete for contracts for construction, provision of professional services, purchase of equipment and supplies and provision of other services required by City. To the extent applicable, Agency agrees to comply with all City Ordinances, and all amendments or successor policies or ordinances thereto, for all contracts and subcontracts for procurement larger than $100,000.00 or larger that are paid for, in part or in full, with the CDBG Funds and will further require all persons or entities with which it so contracts to comply with said ordinance. 14.14.2 It is national policy to award a fair share of contracts to disadvantaged business enterprises ("DBEs"), small business enterprises ("SBEs"), minority business enterprises ("MBEs"), and women's business enterprises ("WBEs"). Accordingly, affirmative steps must be taken to assure that DBEs, SBEs, MBEs, and WBEs are utilized when possible as sources of supplies, equipment, construction and services. 14.14.2.1 In order to comply with federal reporting requirements 24 CFR Part 570.506 (g)(6), Agency must submit the form attached hereto as EXHIBIT "H" — MBE Reporting Form for each contract ar subcontract with a value of $25,000.00 or more paid or to be paid with the CDBG Funds. Agency shall submit this form by the date specified in EXHIBIT "H" — MBE Reporting Form. 14.15 Other Laws. The failure to list any federal, state or City ordinance, law or regulation that is applicable to Agency does not excuse or relieve Agency from the requirements or responsibilities in regard to following the law, nor from the consequences or penalties for Agency's failure to follow the CDBG 51°/a PSA CONTRACT 2025-2026 27 Camp Fire First Texas law, if applicable. 14.16 Assignment. Agency shall not assign all or any part of its rights, privileges, or duties under this Contract without the prior written approval of City. Any attempted assignment of same without approval shall be void, and shall constitute a breach of this Contract. 14.17 Right to Inspect Agencv Contracts. It is agreed that City has the right to inspect and approve in writing any proposed contracts between Agency and any contractor or vendor engaged in any activity in conjunction with this CDBG-funded Program prior to any charges being incurred. 14.18 Force Maieure. If Agency becomes unable, either in whole or part, to fulfill its obligations under this Contract due to acts of God, strikes, lockouts, or other industrial disturbances, acts of public enemies, wars, blockades, insurrections, riots, epidemics, pandemics, earthquakes, fires, floods, restraints or prohibitions by any court, board, department, commission or agency of the United States or of any States, civil disturbances, or explosions, or some other reason beyond Agency's control (collectively, "Force Majeure EvenY'), the obligations so affected by such Force Majeure Event will be suspended only during the continuance of such event. Agency will give City written notice of the existence, extent and nature of the Force Majeure Event as soon as reasonably possible after the occurrence of the event. Failure to give notice will result in the continuance of Agency's obligation regardless of the extent of any existing Force Majeure Event. Agency will use commercially reasonable efforts to remedy its inability to perform as soon as possible. 14.19 IMMIGRATION NATIONALITY ACT. Agency shall verify the identity and employment eligibility of its employees who perform work under this Contract, including completing the Employment Eligibility Verification Form (I- 9). Upon request by City, Agency shall provide City with copies of all I-9 forms and supporting eligibility documentation for each employee who performs work under this Contract. 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 Agency employee who is not legally eligible to perform such services. AGENCY SHALL INDEMNIFY CITY AND HOLD CITY HARMLESS FROM ANY PENALTIES, LIABILITIES, OR LOSSES DUE TO VIOLATIONS OF THIS PARAGRAPH BY AGENCY, AGENCY'S EMPLOYEES, SUSCONTRACTORS, AGENTS, OR LICENSEES. City, upon written notice to Agency, shall have the right to immediately terminate this Contract for violations of this provision by Agency. 15. INDEMNIFICATION AND RELEASE. AGENCY COVENANTS AND AGREES TO INDEMNIFY, HOLD HARMLESS AND DEFEND, AT ITS OWN EXPENSE, CITY AND ITS OFFICERS, AGENTS, CDBG 51% PSA CONTRACT 2025-2026 28 Camp Fire First Texas SERVANTS AND EMPLOYEES FROM AND AGAINST ANY AND ALL CLAIMS OR SUITS FOR PROPERTY LOSS OR DAMAGE AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF WHATSOEVER KIND OR CHARACTER, WHETHER REAL OR ASSERTED, ARISING OUT OF OR IN CONNECTION WITH THE EXECUTION, PERFORMANCE, ATTEMPTED PERFORMANCE OR NONPERFORMANCE OF THIS CONTRACT AND/OR THE OPERATIONS, ACTNITIES AND SERVICES OF THE PROGRAM DESCRIBED HEREIN, WHETHER OR NOT CAUSED IN WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY; AND AGENCY HEREBY ASSUMES ALL LIABILITY AND RESPONSIBILITY OF CITY AND ITS OFFICERS, AGENTS, SERVANTS, AND EMPLOYEES FOR ANY AND ALL CLAIMS OR SUITS FOR PROPERTY LOSS OR DAMAGE AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF WHATSOEVER KINDS OR CHARACTER, WHETHER REAL OR ASSERTED, ARISING OUT OF OR IN CONNECTION WITH THE EXECUTION, PERFORMANCE, ATTEMPTED PERFORMANCE OR NONPERFORMANCE OF THIS CONTRACT AND/OR THE OPERATIONS, ACTIVITIES AND SERVICES OF THE PROGRAM DESCRIBED HEREIN, WHETHER OR NOT CAUSED IN WHOLE OR IN PART BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY. AGENCY LIKEWISE COVENANTS AND AGREES TO AND DOES HEREBY INDEMNIFY AND HOLD HARMLESS CITY FROM AND AGAINST ANY AND ALL INJURY, DAMAGE OR DESTRUCTION OF PROPERTY OF CITY, ARISING OUT OF OR IN CONNECTION WITH ALL ACTS OR OMISSIONS OF AGENCY, ITS OFFICERS, MEMBERS, AGENTS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, INVITEES, LICENSEES, OR CLIENTS, OR CAUSED, IN WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS OR SUBCONTRACTORS OF CITY. IT IS THE EXPRESS INTENTION OF THE PARTIES, BOTH AGENCY AND CITY, THAT THE INDEMNITY PROVIDED FOR THIS SECTION INCLUDES INDEMNITY BY AGENCY TO INDEMNIFY AND PROTECT CITY FROM THE CONSEQUENCES OF CITY'S OWN NEGLIGENCE, WHETHER THAT NEGLIGENCE IS ALLEGED TO BE THE SOLE OR CONCURRING CAUSE OF THE INJURY, DAMAGE OR DEATH. AGENCY AGREES TO AND SHALL RELEASE CITY, ITS AGENTS, EMPLOYEES, OFFICERS AND LEGAL REPRESENTATIVES FROM ALL LIABILITY FOR INJURY, DEATH, DAMAGE OR LOSS TO PERSONS OR PROPERTY SUSTAINED IN CONNECTION WITH OR INCIDENTAL TO PERFORMANCE UNDER TffiS CONTRACT, EVEN IF THE INJURY, DEATH, DAMAGE OR LOSS IS CAUSED BY CITY'S SOLE OR CONCURRENT NEGLIGENCE. AGENCY SHALL REQUIRE ALL OF ITS CONTRACTORS AND SUBCONTRACTORS TO INCLUDE IN THEIR CONTRACTS AND SUBCONTRACTS A RELEASE AND INDEMNITY IN FAVOR OF CITY IN SUBSTANTIALLY THE SAME CDBG 51% PSA CONTRACT 2025-2026 29 Camp Fire First Texas FORM AS ABOVE. 16. WAIVER OF IMMUNITY BY AGENCY. If Agency, as a charitable or nonprofit organization, 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 expressly waives its rights to plead defensively such immunity or exemption as against City. This Section shall not be construed to affect a governmental entity's immunities under constitutional, statutory or common law. 17. INSURANCE AND BONDING. Agency will maintain coverage in the form of insurance or bond in the amount of $62,184.00 to insure against loss from the fraud, theft or dishonesty of any of Agency's officers, agents, trustees, directors or employees. The proceeds of such insurance or bond shall be used to reimburse City for any and all loss of CDBG Funds occasioned by such misconduct. To effectuate such reimbursement, such fidelity coverage shall include a rider stating that reimbursement for any loss or losses shall name the City as a Loss Payee. Agency shall furnish to City in a timely manner, but not later than the Effective Date, certificates of insurance as proof that it has secured and paid for policies of commercial insurance as specified herein. If City has not received such certificates by the Effective Date, Agency shall be in default of the Contract and City may, at its option, terminate the Contract. Such insurance shall cover all insurable risks incident to or in connection with the execution, performance, attempted performance or nonperformance of this Contract. Agency shall maintain the following insurance coverage and limits: Commercial General Liabilitv (CGL) Insurance $ 500,000 each occurrence $1,000,000 aggregate limit Non-Profit Or�anization Liabilitv or Directors & Officers Liabilitv $1,000,000 Each Occurrence $1,000,000 Annual Aggregate Limit Business Automobile Liabilitv Insurance $1,000,000 each accident on a combined single-limit basis, or $ 250,000 Property Damage $ 500,000 Bodily Injury per person per occurrence $2,000,000 Aggregate Insurance policy shall be endorsed to cover "Any Auto", defined as autos owned, hired, and non-owned. Pending availability of the above coverage and at the discretion of City, the policy shall be the primary responding insurance policy versus a personal auto insurance policy if or when in the course of Agency's business as contracted herein. CDBG 51% PSA CONTRACT 2025-2026 30 Camp Fire First Texas Workers' Compensation Insurance Part A: Statutory Limits Part B: Employer's Liability $100,000 each accident $100,000 disease-each employee $500,000 disease-policy limit Note: Such insurance shall cover employees performing work on any and all projects including but not limited to construction, demolition, and rehabilitation. Agency or its contractors shall maintain coverages, if applicable. In the event the respective contractors do not maintain coverage, Agency shall maintain the coverage on such contractor, if applicable, for each applicable contract. Additional Reauirements Such insurance amounts shall be revised upward at City's reasonable option and no more frequently than once every 12 months, and Agency shall revise such amounts within thirry (30) days following notice to Contractor of such requirements. Agency will submit to City documentation that it has obtained insurance coverage and has executed bonds as required in this Contract prior to payment of any monies provided hereunder. Where applicable, insurance policies required herein shall be endorsed to include City as an additional insured as its interest may appear. Additional insured parties shall include employees, officers, agents, and volunteers of City. Any failure on part of City to request certificate(s) of insurance shall not be construed as a waiver of such requirement or as a waiver of the insurance requirements themselves. Insurers of Agency's insurance policies shall be licensed to do business in the state of Texas by the Department of Insurance or be otherwise eligible and authorized to do business in the state of Texas. Insurers shall be acceptable to City insofar as their financial strength and solvency and each such company shall have a current minimum A.M. Best Key Rating Guide rating of A-: VII or other equivalent insurance industry standard rating otherwise approved by City. Deductible limits on insurance policies shall not exceed $5,000 per occurrence unless otherwise approved by City. In the event there are any local, federal or other regulatory insurance or bonding requirements for the Program, and such requirements eXceed those specified herein, the former shall prevail. Agency shall require its contractors to maintain applicable insurance coverages, limits, and other requirements as those specified herein; and Agency shall require its contractors to provide Agency with certificate(s) of insurance documenting such coverage. Also, Agency shall require its contractors to have City and Agency endorsed as additional insureds (as their interest may appear) on their respective insurance policies. CDBG 51% PSA CONTRACT 2025-2026 31 Camp Fire First Texas Directors and Officers Liability coverage shall be in force and may be provided on a claims-made basis. This coverage may also be referred to as Management Liability, and shall protect the insured against claims arising out of alleged errors in judgment, breaches of duty and wrongful acts arising out of their organizational duties. Coverage shall protect not only the entity, but all past, present and future directors, officers, trustees, employees, volunteers and committee members. Notwithstanding any provision in this Contract to the contrary, when applicable, Agency shall comply with the requirements of 2 CFR 200.310 and shall, at a minimum, provide the equivalent insurance coverage for real property and equipment acquired or improved with CDBG Funds as provided to property owned by Agency. 18. CERTIFICATION REGARDING LOBBYING. The undersigned representative of Agency hereby certifies, to the best of his or her knowledge and belief, that: No federal appropriated funds have been paid or will be paid, by or on behalf of Agency, to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress in connection with the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan or cooperative agreement. If any funds other than federally appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, member of Congress in connection with this federal contract, grant, loan or cooperative agreement, Agency shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. This certification is a material representation of fact upon which reliance was placed when this Contract was made or entered into. Submission of this certificate is a prerequisite for making or entering into this Contract imposed by 31 U.S.C. Section 1352. Any person who fails to file the reguired certification shall be subject to a civil penalty of not less than $10,000.00 and not more than $100,000.00 for each such failure. Agency shall require that the language of this certification be included in all subcontracts or agreements involving the expenditure of federal funds. 19. LITIGATION AND CLAIMS. Agency shall give City immediate notice in writing of any action, including any proceeding before an administrative agency, filed against Agency in conjunction with this Contract or the Program. Agency shall furnish immediately to City copies of all pertinent papers received by Agency with respect to such action or claim. Agency shall provide a notice to City within 10 days upon iiling under any bankruptcy or financial insolvency provision of law. 20. NOTICE. CDBG 51% PSA CONTRACT 2025-2026 32 Camp Fire First Texas All notices required or permitted by this Contract must be in writing and are deemed delivered on the earlier date of the date actually received or the third day following deposit in a United States Postal Service post office or receptacle; with proper postage, certified mail return receipt requested; and addressed to the other Party at the address set out below or at such other address as the receiving Party designates by proper notice to the sending Party. City City Attorney's Office 100 Fort Worth Trail Fort Worth, TX 76102 Telephone: 817-392-7600 Copy to: Neighborhood Services Department 100 Fort Worth Trail Fort Worth, TX 76102 Attention: Kacey Thomas Telephone: 817-392-7540 Copy to: Neighborhood Services Department 100 Fort Worth Trail Fort Worth, TX 76102 Attention: Jaylon Scott Telephone: 817-392-5118 AgencV: Agency Name: Camp Fire First Texas Contact: Brian Miller Address: 2700 Meacham Boulevard Fort Worth, TX 76137 Telephone: 817-831-2111 21. AGENCY HAS LEGAL AUTHORITY TO ENTER INTO CONTRACT. Agency represents that it possesses the legal authority, pursuant to any proper, appropriate and official motion, resolution or action passed or taken, to enter into this Contract and to perform the responsibilities herein required. 22. COLINTERPARTS. This Contract may be executed in multiple counterparts, each of which shall be considered an original, but all of which shall constitute one instrument which may be sufficiently evidenced by one counterpart. 23. PROGRAM INCOME CDBG 51% PSA CONTRACT 2025-2026 33 Camp Fire First Texas Parties agree that no program income as deiined by HUD shall be earned as a result of this contract. 24. PROHIBITION ON CONTRACTING WITH COMPANIES THAT BOYCOTT ISRAEL If Agency has less than ten employees, this contract is for less than $100,000, or Agency does not meet the definition of a"company" under the applicable section of the Texas Government Code, this provision shall not apply. Agency acknowledges that in accordance with Chapter 2270 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" shall have the meanings ascribed to those terms in Section 808.001 of the Texas Government Code. By signing this contract, Agency certifies that Agency's signature provides written verification to the City that Agency: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract. 25. PROHIBITION ON BOYCOTTING ENERGY COMPANIES Agency acknowledges that in accordance with Chapter 2276 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 boycott energy companies; and (2) will not boycott energy companies during the term of the contract. To the extent that Chapter 2276 of the Government Code is applicable to this Agreement, by signing this Agreement, 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. 26. PROHIBITION ON DISCRIMINATION AGAINST FIREARM AND AMMUNITION INDUSTRIES Agency acknowledges that except as otherwise provided by Chapter 2274 of the Texas Government Code, as added by Acts 2021, 87th Leg., R.S., S.B. 19, § l, the Agency is prohibited from entering into a contract for goods or services that has a value of $100,000 or more that is to be paid wholly or partly from public funds of the City with a company with 10 or more full-time employees unless the contract contains a written verification from the company that it: (1) does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association; and (2) will not discriminate during the term of the contract against a firearm entity or firearm trade association. To the extent that Chapter 2274 of the Government Code is applicable to this Agreement, by signing this Agreement, 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. CDBG 51% PSA CONTRACT 2025-2026 34 Camp Fire First Texas 27. ELECTRONIC SIGNATURES. This Contract may be executed by electronic signature, which will be considered as an original signature for all purposes and have the same force and effect as an original signature. For these purposes, "electronic signature" means electronically scanned and transmitted versions (e.g. via pdf file or facsimile transmission) of an original signature, or signatures electronically inserted via software such as Adobe Sign. [SIGNATURES APPEAR ON NEXT PAGE] CDBG 51% PSA CONTRACT 2025-2026 35 Camp Fire First Texas IN WITNESS WHEREOF, the Parties hereto have executed this Contract in Fort Worth, Tarrant County, Texas. 4F�n� FORr °°a CP�o°���oo ��'pA( ATTEST: °~° °�° �Q _ ��� QQ *o�o p ��� � �s�';" aan° nezAsad Jannette Goodall City Secretary CITY OF FORT WORTH: �r' ,, .�� �GG n,n,a��rnh�ir,fFn,n�ti�n�tiia� rar� Dana Burghdoff Assistant City Manager M&C: 25-0676 Date: August 12, 2025 1295 Certification No. 2025-1271568 RECOMMENDED BY: �,-����`� Kacey Thomas Neighborhood Services Director APPROVED AS TO FORM AND LEGALITY: so�l�re MatGcew,t Sophie Mathews Assistant City Attorney II CONTRACT COMPLIANCE ADMINISTRATOR: By signing, I acknowledge that I am the person responsible far the monitaring and administration of this contract, including ensuring all performance and reporting requirements ��r� �ce�t Jaylon Scott, Neighborhood Development Specialist CAMP FIRE FIRST TEXAS .�.___, �i_!!� �FFICIAL RECORD CITY SECRETARY Brian Miller, CEO/President FT. WORTH, TX CDBG 51% PSA CONTRACT 2025-2026 Camp Fire First Texas 36 EXHIBITS: EXHIBIT "A" —Program Summary EXHIBIT "A-1" — 2025 HUD Income Limits EXHIBIT "A-2" — Reporting Requirements for Countywide Agencies EXHIBIT "B" — Budget EXHIBIT "C" — Audit Certification Form EXHIBIT "D" — Reimbursement Forms EXHIBIT "E" — Self-Certi�cation of Income Form EXHIBIT "F" — Standards for Complete Documentation EXHIBIT "G" — Severely Disabled Certification Form (only applicable to Presumed Benefit contracts) EXHIBIT "H" — MBE Reporting Form EXHIBIT "I" — Notice of Beneficiary Rights EXHIBIT "J" — Conflict of Interest Disclosure Form EXHIBIT "K" — Certificate of Compliance: Additional Program-Specific Policy Requirements CDBG 51°/a PSA CONTRACT 2025-2026 37 Camp Fire First Texas Camp Fire First Texas Teens in Action Program Exhibit "A" Program Summary PROGRAM SUMMARY Community Development Block Grant (CDBG) October l, 2025 to September 30, 2026 $62,184.00 PERIOD AMOUNT Capitalized terms not defined herein shall have meanings assigned them in the Contract. PROGRAM: Camp Fire First Texas provides services to youth through their program. Teens in Action, a curriculum-based life skills training to youth attending middle and high schools in the city of Fort Worth. Weekly program components include: Structured Executive Functioning Skills Curriculum, S.T.E.A.M., Healthy Relationships with Family, College and Scholarship Readiness, Career Speakers and Site Visits, and Social Responsibility. CDBG funds will be allocated to cover expenses related to salaries, fringe benefits, payroll platform fee (TriNet), and cell phone allowance for staf£ CDBG will partially fund the following positions: one (1) Program Director, three (3) Program Specialists, and one (1) VP of Youth Development. Days/Times/Locations Camp Fire's Teen in Action program serves middle and high school students ages 13-19 during the school year at the schools listed below. Each school has program times at lunch, between 11:30 AM and 1:30 PM, and after school, 3:30 PM — 6:30 PM. Mondays Northside High School — 2211 McKinley Avenue, Fort Worth, TX 76164 Jean McClung Middle School — 3000 Forest Avenue, Fort Worth, TX 76112 Forest Oak Middle School — 3221 Pecos Street, Fort Worth, TX 76119 Trimble Tech High School —1003 West Cannon Street, Fort Worth, TX 76104 Tuesdays O.D. Wyatt High School — 2400 East Seminary Drive, Fort Worth, TX 76119 J.P. Elder Middle School — 709 NW 215r Street, Fort Worth, TX 76164 Dunbar High School — 5700 Ramey Avenue, Fort Worth, TX 76112 Wednesdays Diamond Hill Jarvis High School — 1411 Maydell Street, Fort Worth, TX 76106 Kirkpatrick Middle School — 3201 Refugio Avenue, Fort Worth, TX 76106 Leadership Academy @ Forest Oak 6�" — 4801 Esterline Drive, Fort Worth, TX 76119 Thursdays W.A. Meachum Middle School — 3600 Weber Street, Fort Worth, TX 76106 Texas Academy of Biomedical Science (Fort Warth ISD at Tarrant County College) — 300 Triniry Campus Circle, Fort Worth, TX 76102 Jacquet Middle School — 2501 Stalcup, Fort Worth, TX 76ll9 Eastern Hills High School — 5701 Shelton Street, Fort Worth, TX 76112 CDBG 51 °/a PSA CONTRACT 2025-2026 — EXHIBIT "A" — PROGRAM SUMMARY Camp Fire First Texas Page � 1 The program is offered weekly during out-of-school time at each school during the school year and part of the summer. City of Fort Worth Agency shall not change any locations without prior written City approval. Coasts incurred at any locations that have not been approved by City shall not be reimbursed. Service location revisions will trigger the City's Citizen Participation Plan and will require a 30- day public notice. Agencv is a Fort Worth Agencv: At least 90% of clients served by the Program are Fort Worth residents. Documentation: Based on the nature of the service provided, Agency will maintain documentation that verifies that 51% of clients served by the Program are income eligible with current household incomes at or below 80% of Area Median Income (AMI) as established or defined by the United States Department of Housing and Urban Development (HUD). Agency must furnish the City with a Certification of Income Statement for all clients served. For example, if the Program serves 1,000 clients, 510 must be Income Eligible Clients. In this example, Agency would be required to furnish City 1,000 Certification of Income Statements that prove at least 510 of the clients served by the Program are Income Eligible Clients. REGULATORY CLASSIFICATION: IDIS Matrix Code(s) and Service Category: OSD — Youth Development Services National Objective Citation: LMC Low/Mod Limited Clientele 24 CFR 570.208(a)(2) Regulatory Citation(s): 24 CFR 570.201(e) PROGRAM GOALS: Minimum Number of Clients this Program will serve: The Program must serve a minimum of 180 Unduplicated Clients, as shown by the monthly reports on Attachment III-Client Data Report. Per HUD regulations, any fractional results when calculating the 51% income eligibility requirement must be rounded up. OTHER AGENCY REOUIREMENTS: Upon completion of the program year, Agency will provide, with the final reimbursement request, the results of the measures used to assess the program benefits to the client. Upon completion of the program year, Camp Fire First Texas will submit with the final reimbursement request a summary of client outcomes measured through attendance and demographic data, biannual impact surveys, academic data from local ISDs, and results from internal and third-party research, demonstrating progress in executive functioning, college and career readiness, social responsibility, and overall program effectiveness. CDBG 51 °/a PSA CONTRACT 2025-2026 — EXHIBIT "A" — PROGRAM SUMMARY Camp Fire First Texas Page � 2 EXHIBIT "A-1" 2025 HUD INCOME LIMITS AMI 30% 50% 80 % 1 person 2 people 3 people $22,400 $25,600 $28,800 $37,350 $42,700 $48,050 $59,750 $68,300 $76,850 4 people $32,200 $53,350 $85,350 5 people $34,600 $57,650 $92,200 *Income limits are published at least annually by HUD. 6 people $37,150 $61,900 $99,050 7 people $39,700 $66,200 $105,850 8 people $42,250 $70,450 $112,700 Effective 6/01/2025 PERSONNEL �ricn �Life/llisability lnsnrance � Health/Dental Insurance �Unemployment-State � Worker's Coinpensation � Rctircmcnt I Staff Training Othcr (TriNct): Payroll platform fee �Othcr (Ccll Phonc allowancc): Account Grant Budg� CDBG 1001 S 63,355.03 iooz s4,sa6.66 1003 S 436.77 1004 $ 5,881.74 1005 S 489.06 1006 S 633.55 1007 S 551.06 1008 1009 S 1,677.13 1010 S 429.00 EXHIBIT "B" - BUDGET A B Foundations Unitcd Wa� S 79,213.72 S 9,333.80 S 6,059.R5 S 714.04 S 1,356.07 S 25.10 S 6,737.49 $ 1,767.91 $ 600.14 S 102.86 $ 792.14 S 114.29 S 3,75727 $ 891.44 S 439.00 S 333.00 C CCPD S 65,355.03 S 4,999.66 S 458.21 $ 6,063.11 S 155.42 S 653.55 S 400J7 S 1,G78.04 S 420.00 D CYD S 74,443.90 S 2,062.13 Total S 291,701.48 S I R,68234 S 2,276.15 S 20,450.25 S 1,347.48 S 2,193.53 S 4,709.I0 S 4,6R5.61 S 1,182.00 �Ot�icc/Program Supplics 2001 �Postagc 2002 �Printing 2003 $ 420.00 S 420.00 �Adv/Mcdia, Ducs/Pub, Printing 2004 S 6,807.00 S 6,807.00 Bank Fccs othcr 2005 S 100.00 S 100.00 MISCELLANEOUS Contract Labor �ood Supplics/Mcals (City nccds copy of contract bcforc cxpcnscs can bc reimbursed) 3001 � Food Supplics 3002 $ 4,155.10 S 4, I 55. I 0 �Teaching Aids 3003 $ 5,200.00 S 5,200.00 �Craft Supplics 3004 �Field Trip Expenses 3005 S 2,419.00 S 6,450.00 S 8,869.00 �Mileage 3006 S 4,011.00 S 4,01 1.00 FACILITY AND UTILITIES � Elcctric �Gas � Watcr and Wastcwatcr �Solid Waste Disposal Rent (City needs copy of lease before expenses can be reimbursed) � Cleaning Supplies � Repairs �Custodial Scrviccs PP &E 4001 4002 4003 4004 4005 4006 4007 4008 4009 4010 S 1,465.35 S 1,565.00 S 339.00 $ 660.00 $ 178.80 $ 165.00 S 1,689.60 �['idcliry [3ond or Hqui��alcnt 5001 �Dircctors and Officcrs 5002 $ 215.40 �Genera] Commercial Liability 5003 S 2,173.05 �Bank fccs �volunteer �voluntccr Prof Fccs 5004 DIRECT ASSISTANCE AuditQT/Legal Volunteer 6001 S 2,275.00 Recruitment, Misc. �BUDGET TOTAL $ 62,184.00 $ 120,213.32 $ 12,497.00 FUNDING A: Foundations FUNDING B: Uniicd Way FUNDING C: CCPD FUNDING D: CYD 99,999.89 �$ 76,506.03 S 1,46535 S 1,565.00 S 339.00 $ 660.00 $ 178.80 $ 165.00 S 1,689.60 $ 215.40 S 2,173.05 387,516.24 The following tables were created for the purpose of preparing, negotiating, and determining the cost reasonableness and cost allocation method used by the Agency far the line item budget represented on the first page of this EXHIBIT Budget. The information reflected in the tables is to be considered part of the terms and conditions of the Contract. Agency must have prior written approval by the City to ��iii�ake changes to any line item in the Budget as outlined in Secrion 5.2.2 in the Contract. The deadline to make changes to 1?XIIIBI"1' "13"— Budget SALARY DETAIL-PROGRAM PERSONNEL Position Title � VP Youth Development IProgram Director �Program Specialist 1 IProgram Specialist 2 �Program Specialist 3 IOther Staff � TOTaL Percent of Payroll Amount 7.65% $ 18,682.34 $ 2,276.15 $ 20,450.25 0.46% $ 1,347.48 0.75% $ 2,193.53 $ 4,70910 FRINGE DETAIL-PROGRAM PERSONNEL � FICA �Life/Disability Insurance I Health/Dental Insurance � Unemployment-State I Warker's Compensation � Retirement I Staff Training �Payroll Platforrrl�« ( � ��i�ct) �Celll'I��°��� Allowance I TOTAL �Of6ce/Program Supplies I Printing �Adv/Media, Dues/Pub, Printing, Bank Fees � Other I TOTAL � Contract Labor IFood Supplies ITeaching Aids � Craft Supplies �Field Trip Expenses � Mileage I TOTAL Annual Salary $ 100,000.00 $ 61,799.62 $ 40,809.90 $ 35,596.80 $ 35,596.80 $ 17,898.36 $ 291,701.48 $ 4,685.61 $ 1,182.00 $ 55,526.46 SUPPLIES AND SERVICES Total Budget $ - MISCELLANEOUS Total Budget $ - Est. Percent to Grant 6% 33% 33% 33% 33% 0% Est. Percent to Grant 26% 19% 29% 36% 29% 11% Amount to Grant $ 6,000.00 $ 20,393.97 $ 13,467.17 $ ll,746.95 $ 11,746.94 $ - $ 63,355.03 Amount to Grant $ 4,846.66 $ 436.77 $ 5,881.74 $ 489.06 $ 633.55 $ 551.06 36% $ 1,677.13 36% $ 429.00 $ 14,944.97 Est. Percent to Amount to Grant Grant $ - Est. Percent to Grant Amount to Grant $ - FACILITY AND UTILITIES Total Budget ITelephone � Electric IGas � Water and Wastewater � Solid Waste Disposal I Rent �Cleaning Supplies I Repairs � Custodial Services �Utilities, Transportation, PP & E I TOTAL $ - LEGAL, FINANCIAL AND INSURANCE �Fidelity Bond or Equivalent IDirectars and Officers �General Commercial Liability IProf Fees I TOTAL Total Budget Est. Percent to Amount to Grant Grant $ - Est. Percent to Amount to Grant Grant $ - $ DIRECT ASSISTANCE Est. Percent to Total Budget Grant Amount to Grant �Audit/IT/Legal Volunteer Recruihnent, Misc. I TOTAL $ - $ - Total � 62.184.00 EXHIBIT "C" AUDIT CERTIFICATION FORM PSA CONTRACT - EXHIBiT "C" - AUDIT CERTIFICATION FORM -- AUDIT CERTIFICATION FORM AND AUDIT REQUIREMENTS Agency: Fiscal Year Ending: September 30, 2025 ❑ During the fiscal year in which funds will be received, we will exceed the federal expenditure threshold of $1,000,000.00. We will have our Single Audit or Program Specific Audit completed and will submit the audit report described in 2 CFR Part 200 within 7 months after the end of the audited fiscal year or 30 days within its completion, whichever is the � earlier date. During the fiscal year in which funds will be received, we will not exceed the $1,000,000.00 federal expenditure threshold required for a Single Audit or a Program Specific Audit to be performed this fiscal year. (Fill out schedule below) Federal Expenditure Disclosure MUST be iilled out if Single Audit or Program Audit is NOT required. Pass Through Program Name & Contract Federal Grantor Grantor CFDA Number Number Expenditures Total Federal Expenditures for this Fiscal Year: Signatory and Title Date Failure to submit this or a similar statement or failure to submit a completed single audit package as described in the federally required audit requirements described in 2 CFR Part 200, as applicable, by the required due date may result in suspension of funding and may affect eligibility for future funding. Notwithstanding the above, this certi�cation acknowledges the agency's commitment to meet all other financial reporting, �nancial statements, and other audit requirements as may be set forth in the Contract. PSA CONTRACT - EXHIBIT "C" - AUD1T CERTIFICATION FORM 2 I ` Camp Fire First Texas and Affiliate Consolidated Financial Statements with Compliance Reports and Supplementary Information December 31, 2024 � Certified Public Accountants Camp Fire First Texas and Affiliate Contents Independent Auditors' Report 1 Consolidated Financial Statements: Consolidated Statement of Financial Position 4 Consolidated Statement of Activities 5 Consolidated Statement of Functional Expenses 6 Consolidated Statement of Cash Flows 7 Notes to Consolidated Financial Statements 8 Compliance Reports and Supplementary Information: Independent Auditors' Report on Internal Control over Financial Reporting and on Compliance and Other Matters Based on an Audit of Financial Statements Performed in Accordance with Government Auditing Standards 25 Independent Auditors' Report on Compliance for Each Major Federal Program and on Internal Control over Compliance Required by the Uniform Guidance 27 Schedule of Findings and Questioned Costs 30 Schedule of Expenditures of Federal Awards 31 Notes to Schedule of Expenditures of Federal Awards 32 �ertified P��lic Accaur�ta�ts Independent Auditors' Report To the Boards of Directors of Camp Fire First Texas and Affiliate Report on the Audit of the Consolidated Financial Statements Opinion We have audited the accompanying consolidated financial statements of Camp Fire First Texas and Affiliate (nonprofit organizations) (collectively, the Organization), which comprise the consolidated statement of financial position as of December 31, 2024, and the related consolidated statements of activities, functional expenses, and cash flows for the year then ended and the related notes to the consolidated financial statements. In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of the Organization as of December 31, 2024, and the changes in their net assets and their cash flows for the year then ended in accordance with accounting principles generally accepted in the United States of America (GAAP). Basis for Opinion We conducted our audit in accordance with auditing standards generally accepted in the United States of America (GAAS) and the standards applicable to financial audits contained in Government Auditing Standards, issued by the Comptroller General of the United States. Our responsibilities under those standards are further described in the Auditors' Responsibilities for the Audit of the Consolidated Financial Statements section of our report. We are required to be independent of the Organization and to meet our other ethical responsibilities in accordance with the relevant ethical requirements relating to our audit. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinions. The financial statements of EI Tesoro Foundation (Affiliate) were not audited in accordance with Government Auditing Standards. Correction of Error As discussed in Note 2 to the consolidated financial statements, certain errors resulting in an understatement of revenue and contributions receivable as of December 31, 2023, were discovered by management of the Organization in the current year. Accordingly, net assets without donor restrictions as of January 1, 2024 have been restated to correct the errors. Our opinion is not modified with respect to this matter. SFC LLP www.sfcllp.com 200 E Front St., Suite 200, Arlington, Texas 76011 Phone 817.649.8083 Responsibilities of Management for the Consolidated Financial Statements Management is responsible for the preparation and fair presentation of the consolidated financial statements in accordance with GAAP, and for the design, implementation and maintenance of internal control relevant to the preparation and fair presentation of consolidated financial statements that are free from material misstatement, whether due to fraud or error. In preparing the consolidated financial statements, management is required to evaluate whether there are conditions or events, considered in the aggregate, that raise substantial doubt about the Organization's ability to continue as a going concern within one year after the date that the consolidated financial statements are available to be issued. Auditors' Responsibilities for the Audit of the Consolidated Financial Statements Our objectives are to obtain reasonable assurance about whether the consolidated financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditors' report that includes our opinion. Reasonable assurance is a high level of assurance but is not absolute assurance and therefore is not a guarantee that an audit conducted in accordance with GAAS and Government Auditing Standards will always detect a material misstatement when it exists. The risk of not detecting a material misstatement resulting from fraud is higher than for one resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations or the override of internal control. Misstatements, including omissions, are considered material if there is a substantial likelihood that, individually or in the aggregate, they would influence the judgment made by a reasonable user based on the consolidated financial statements. In performing an audit in accordance with GAAS and GovernmentAuditing Standards, we: � Exercise professional judgment and maintain professional skepticism throughout the audit. • Identify and assess the risks of material misstatement of the consolidated financial statements, whether due to fraud or error, and design and perform audit procedures responsive to those risks. Such procedures include examining, on a test basis, evidence regarding the amounts and disclosures in the consolidated financial statements. • Obtain an understanding of internal control relevant to the audit in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Organization's internal control. Accordingly, no such opinion is expressed. • Evaluate the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by management, as well as evaluate the overall presentation of the consolidated financial statements. � Conclude whether, in our judgment, there are conditions or events, considered in the aggregate, that raise substantial doubt about the Organization's ability to continue as a going concern for a reasonable period of time. We are required to communicate with those charged with governance regarding, among other matters, the planned scope and timing of the audit, significant audit findings and certain internal control related matters that we identified during the audit. Supplementary Information Our audit was conducted for the purpose of forming an opinion on the consolidated financial statements as a whole. The accompanying schedule of expenditures of federal awards, as required by Title 2 U.S. Codes of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, is presented for purposes of additional analysis and is not a required part of the consolidated financial statements. Such information is the responsibility of management and was derived from and relates directly to the underlying accounting and other records used to prepare the consolidated financial statements. This information has been subjected to the auditing procedures applied in the audit of the consolidated financial statements and certain additional procedures, including comparing and reconciling such information directly to the underlying accounting and other records used to prepare the consolidated financial statements or to the consolidated financial statements themselves, and other additional procedures in accordance with GAAS. In our opinion, such information is fairly stated, in all material respects, in relation to the consolidated financial statements. Other Reporting Required by Government Auditing Standards In accordance with Government Auditing Standards, we have also issued our report dated September 16, 2025 on our consideration of the Organization's internal control over financial reporting and on our tests of its compliance with certain provisions of laws, regulations, contracts and grant agreements and other matters. The purpose of that report is to describe the scope of our testing of internal control over financial reporting and compliance and the results of that testing, and not to provide an opinion on internal control over financial reporting or on compliance. That report is an integral part of an audit performed in accordance with Government Auditing Standards in considering the Organization's internal control over financial reporting and compliance. -.���7"7 ���� A Limited Liability Partnership Arlington, Texas September 16, 2025 Camp Fire First Texas and Affiliate Consolidated Statement of Financial Position December 31, 2024 Current assets: Cash and cash equivalents Accounts receivable Contributions receivable Grants receivable Investments Due from affiliate I nve nto ri e s Prepaid expenses Total current assets Noncurrent assets: Assets restricted for investment in property and equipment: Camp Fire First EI Tesoro Texas Foundation ASSetS $ 526,188 $ 115,064 ; 113,059 5,020 369, 625 - 334,008 - - 766,733 886,820 - 24, 548 - 77, 534 - 2,331,782 886,817 Consolidated Eliminations Total - $ 641,252 - 118,079 - 369,625 - 334,008 - 766,733 (886,820) - - 24,548 - 77,534 (886,820) 2,331,779 Contributions receivable 5,000 - - 5,000 Cash 30,949 - - 30,949 Investments restricted for endowment - 4,842,829 - 4,842,829 Property and equipment, net 1,307,082 8,654,955 - 9,962,037 Right-of-use asset - operating lease, net 95,931 - - 95,931 Total noncurrent assets 1,438,962 13,497,784 - 14,936,746 Total assets $ 3,770,744 $ 14,384,601 $ (886,820) $ 17,268,525 Liabilities and Net Assets Current liabilities: Accounts payable Accrued expenses Due to affiliate Deferred revenue and refundable deposits Right-of-use liability-operating lease Total current liabilities Noncurrent liabilities: Right-of-use liability- operating lease, net Total liabilities Net assets: Without donor restrictions With donor restrictions Total net assets Total liabilities and net assets $ 117,892 $ - $ 169,032 - - 886,820 179,081 - 21, 312 - 487,317 886,820 74, 619 - 561,936 886,820 2,340,187 13,308,349 - 15,648,536 868,621 189,432 - 1,058,053 3,208,808 13,497,781 - 16,706,589 $ 3,770,744 $ 14,384,601 $ (886,820) $ 17,268,525 - $ 117,892 - 169,032 (886,820) - - 179,081 - 21,312 (886,820) 487,317 - 74,619 (886,820) 561,936 See notes to consolidated financial statements. 4 Camp Fire First Texas and Affiliate Consolidated Statement of Activities Year Ended December 31, 2024 Revenue and support: Contributions of financial assets Contributions of nonfinancial assets Government grants Corporate contracts Program fees Rental income Special events (net of direct costs of $202,687) Investment income, net Mineral income Other Net assets released from restrictions Total revenue and support Operating expenses: Program services: Youth development Outdoor connections Professional growth Total program services Supporting services: Management and general Fundraising Total operating expenses Excess (deficit) of revenue and support over operating expenses Non-operating activity: Intercompany transfers Loss on disposal of asset Total non-operating activity Change in net assets Net assets at beginning of year, as restated Net assets at end of year Camp Fire First Texas EL Tesoro Foundation Without Donor With Donor Without Donor With Donor Restrictions Restrictions Total Restrictions Restrictions $ 1,735,510 $ 278,266 $ 2,013,776 $ - $ - $ 69,200 - 69,200 - - 933,428 - 933,428 - - 268,607 - 268,607 - - 2,690,162 - 2,690,162 - - 88,900 - 88,900 - - 285,103 - 285,103 - - 20,896 - 20,896 611,188 11,037 - - - 61,190 - 164,346 - 164,346 - - 162,170 (162,170) - - - 6,418,322 116,096 6,534,418 672,378 11,037 1,551,324 1,758,824 1,453,922 4,764,070 1,985,317 480,427 7,229,814 (811,492) - 1,551,324 24,630 - 1,758,824 316,614 - 1,453,922 23,087 - 4,764,070 364,331 - 1,985,317 99,976 - 480,427 4,618 - 7,229,814 468,925 116,096 (695,396) 203,453 11,037 354,434 (25,414) 329,020 (482,472) 2,822,659 $ 2,340,187 $ - 354,434 (319,490) - (25,414) - - 329,020 (319,490) 116,096 (366,376) (116,037) 752,525 3,575,184 13,424,386 868,621 $ 3,208,808 $ 13,308,349 $ Consolidated Tota I Tota I - $ 2,013,776 - 69,200 - 933,428 - 268,607 - 2,690,162 - 88,900 - 285,103 622,225 643,121 61,190 61,190 - 164,346 683,415 7,217,833 24, 630 1, 575, 954 316,614 2,075,438 23,087 1,477,009 364, 331 5,128,401 99,976 2,085,293 4,618 485,045 468,925 7,698,739 214,490 (480,906) (34,944) (354,434) - - - (25,414) (34,944) (354,434) (25,414) (23,907) (139,944) (506,320) 213,339 13,637, 725 17,212,909 189,432 $ 13,497,781 $ 16,706,589 See notes to consolidated financial statements. 5 Salaries Assistance to individuals Awards to others Bad debt Bankfees Charterfees Conferences Contractlaborand professionalfees Depreciation Employee benefits Equ i pment Insurance Membership dues Miscellaneous Occupancy Outside printing Postage Special events Subscriptions and advertising Supplies Telephone Transportation Total operating expenses by function Less expenses not included in operating expenses on the consolidated statement of activities Direct costs of special events Total operating expenses included in the expense section on the consolidated statement of activities $ Camp Fire First Texas and Affiliate Consolidated Statement of Functional Expenses Year Ended December 31, 2024 Programs Youth Outdoor Professional Development Connections Growth $ 1,049,540 $ 722,814 $ 685,193 $ 1,372 - - 220,660 27,747 32,028 1,439 959 8,097 21,367 63,118 104,967 205,104 28,435 365,527 26,654 184,138 147,213 142,169 1,235 23,248 21,459 23,470 2,072 - 3,305 4,997 7,879 2,382 2,363 14,820 30,989 257,916 - 4,714 6,482 829 87 2,358 547 4,443 9,070 18,349 101,333 360,660 97,011 9,910 4,469 7,978 40,149 19,785 5,551 1,575,954 2,075,438 1,477,009 Support Services Managementand Total General Fundraising 2,457,547 $ 925,228 $ 338,683 $ 1,372 220,660 - - - 1,649 61,214 26,090 646 - 77,781 - 30,423 10,757 5,562 373,189 289,946 6,237 420,616 54,074 5,331 473,520 183,614 74,049 45,942 140,937 1Q269 25,542 53,543 - 16,181 13,475 1,739 19,565 1,248 1,350 288,905 167,769 - 12,025 3,578 5,979 2,992 3,631 2,481 - - 234,411 31,862 74,565 370 559,004 16,145 387 22,357 38,543 - 65,485 2,720 238 5,128,401 2,085,293 687,732 - - - - - (202,687) 1,575,954 $ 2,075,438 $ 1,477,009 $ 5,128,401 $ 2,085,293 $ 485,045 $ See notes to consolidated financial statements. 6 Tota I 1,263,911 $ 1,649 26,736 77,781 16,319 296,183 59,405 257,663 151,206 53,543 15,214 2,598 167,769 9,557 6,112 234,411 74,935 16,532 38,543 2,958 2,773,025 (202,687) 2,570,338 $ Consolidated Total 3,721,458 1,372 220,660 1,649 87,950 77,781 46,742 669,372 480,021 731,183 197,148 79,085 31,395 22,163 456,674 21,582 9,104 234,411 106,797 575,536 60,900 68,443 7,901,426 (202,687) 7,698,739 Camp Fire First Texas and Affiliate Consolidated Statement of Cash Flows Year Ended December 31, 2024 Cash flows from operating activities: Change in net assets Adjustments to reconcile change in net assets to net cash used by operating activities: Change in discount on contributions receivable Amortization of right-of-use asset Deprecuation Realized and unrealized gains on investments Loss on disposal of property and equipment Contributions restricted for property and equipment Annuity expense Changes in assets and liabilities: Accounts receivable Contributions receivable Grants receivable Due to/from affiliate Invenmries Prepaid expenses Accounts payable Accrued expenses Deferred revenue and refundable deposits Operating lease liability Net cash used by operating activities Cash flows from investing activities: Purchases of property and equipment Proceeds from sales of investments Purchases ofinvestments Net cash provided by investing activities Cash flows from financing activities: Payment on annuity Change in cash and cash equivalents Cash and cash equivalents at beginning of year Cash and cash equivalents at end of year Reconciliation of cash and cash equivalents and restricted cash reported within the consolidated statement of financial position to the consolidated statement of cash flows: Cash and cash equivalents Restricted cash Cash and cash equivalents and restricted cash reported on the consolidated statement of cash flows Supplemental cash flow information: Right of use asset obtained in exchange for operating lease liability Camp Fire First EI Tesoro Consolidated Texas Foundation Total 2023 $ (366,376) $ (139,944) $ (506,320) $ 318,512 (7,650) 47,965 64,234 (3,939) 25,414 (5,000) 415,787 (504,594) 15,930 (5,020) (497,288) (715,129) (2,578) 1,139,431 (752,460) 384,393 (15,930) (346,666) 461,730 115,064 $ (7,650) 7,650 47,965 16,753 480,021 475,042 (508,533) (396,510) 25,414 (7,500) (5,000) (189,392) 15,930 15,930 (36,784) (31,059) 143,057 53,289 (95,751) (109,347) (2,110) (4,585) (9,729) 2,415 (293,625) 24,050 20,306 (7,917) 41,136 9,236 (47,965) (16,753) (739,638) (213,838) (414,100) (332,261) 1,778,731 608,403 (785,568) (419,128) 579,063 (135,486) (15,930) (15,930) (176,505) (679,921) 848,706 1,766,435 672,201 $ 1,086,514 (31,764) 143,057 (95,751) 497,288 (2,110) (9,729) (293,625) 20,306 41,136 (47,965) (24,509) (411,522) 639,300 (33,108) 194,670 170,161 386,976 $ 557,137 $ $ 526,188 $ 30,949 $ 557,137 $ $ 100,102 5 115,064 $ 641,252 $ 818,030 - 30,949 30,676 115,064 $ 672,201 $ 848,706 - $ - $ - See notes to consolidated financial statements. 7 Camp Fire First Texas and Affiliate Notes to Consolidated Financial Statements 1. Organization Camp Fire First Texas and Affiliate (collectively, the Organization) include the accounts of Camp Fire First Texas (Council) and EI Tesoro Foundation (Foundation). The Council is organized to promote, supervise, and administer the programs of Camp Fire, a national youth development agency. The Council provides programs for children, youth, and adults primarily in its chartered territory of Tarrant County and the surrounding five counties, including after school services, truancy prevention programs for at-risk students, resident and day camps, outdoor education, family camping, school readiness programs, and professional training for childcare providers. The Council's programs focus on development of the whole child, service learning, and respect for the environment. The Foundation's purpose is to hold, manage and administer assets, including a permanent endowment, for the benefit of the Council in order to help ensure the Council's continued financial well-being and ability to carry out its mission. 2. Restatement of Previously Audited Consolidated Financial Statements During 2024, the Organization became aware of an accounting error in its 2023 consolidated financial statements that was determined to be material and relates to a contribution of financial assets. The Organization has restated its 2023 consolidated financial statements to reflect the modifications to correct this error which consist of an increase to net assets and contributions receivable totaling $237,808. 3. Summary of Significant Accounting Policies Consolidated Financial Statements In accordance with the provisions of FASB ASC 958-810 Not for-Profit Entities/Consolidations, the financial statements of the Organization have been consolidated and all inter-organization transactions and accounts have been eliminated. Basis of Accounting The Organization prepares the consolidated financial statements on the accrual basis of accounting in accordance with accounting principles generally accepted in the United States of America (GAAP). � Camp Fire First Texas and Affiliate Notes to Consolidated Financial Statements Consolidated Financial Statement Presentation Net assets and revenues, expenses, gains and losses are classified based on the existence or absence of donor or grantor-imposed restrictions. Accordingly, net assets and changes therein are classified as follows: Net assets without donor restrictions - Net assets not subject to donor or grantor-imposed stipulations. Net assets without donor restrictions may be designated for specific purposes by action of the board of directors. Net assets with donor restrictions - Net assets subject to donor or grantor stipulations that will be met by actions of the Organization and/or the passage of time. Some net assets with donor restrictions include a stipulation that assets provided be maintained permanently (perpetual in nature) while permitting the Organization to expend the income generated by the assets in accordance with the provisions of additional donor-imposed stipulations or a board approved spending policy. Contributions are reported as increases in net assets without donor restrictions unless use of the related assets is limited by donor-imposed restrictions. Expenses are reported as decreases in net assets without donor restrictions. Expirations of net assets with donor restrictions (i.e., the donor-stipulated purpose has been fulfilled and/or the stipulated time period has elapsed) are reported as reclassifications between the applicable classes of net assets. Contributions received with restrictions that are met in the same reporting period and conditional contributions for which the conditions and restrictions are met in the same period are reported as support increasing net assets without donor restrictions. Contributions with donor restrictions for the purchase or construction of property expire when the assets are placed in service. Financial lnstruments and Credit and Market Risk Concentrations Financial instruments which are potentially subject to concentrations of credit risk consist principally of cash, cash equivalents, contributions receivable, accounts receivable, grants receivable and investments. Cash is placed with high credit quality financial institutions to minimize risk. Contributions receivable are unsecured and are due from various donors. Accounts receivable are unsecured and are due from various customers. Grants receivable are unsecured and are due from various government agencies. The Organization continually evaluates the collectability of contributions receivable, accounts receivable, and grants receivable and maintains allowances for potential losses, if considered necessary. Marketable securities are subject to various risks, such as interest rate, credit and overall market volatility risks. � Camp Fire First Texas and Affiliate Notes to Consolidated Financial Statements The Organization maintains cash balances at various financial institutions located in Texas. Accounts at these institutions are insured by the Federal Deposit Insurance Corporation up to $250,000. At December 31, 2024, the Organization's uninsured balances totaled $351,777. At December 31, 2024, 91% of total contributions receivable was due from two donors. At December 31, 2024, 25% of total accounts receivable was due from two customers. At December 31, 2024, 68% of total grants receivable was from one agency. Cash and Cash Equivalents Management considers all liquid investments with original maturities of three months or less to be cash equivalents. Management does not consider uninvested cash held in investment accounts as cash or cash equivalents. At December 31, 2024, cash equivalents consisted primarily of money market accounts. Investments The Organization's investments in marketable securities consist of fixed income and equity mutual funds that are stated at fair value in the consolidated statement of financial position. Interest, dividends and realized and unrealized gains and losses are reported in the consolidated statement of activities as increases or decreases in net assets without donor restrictions unless their use is restricted by explicit donor stipulations or by law. Receivables Accounts receivable, contributions receivable and grants receivable are stated at the amount of consideration from customers, donors and grantors, of which the Organization has an unconditional right to receive. The Organization continually evaluates the collectability of all receivables and maintains allowances for potential losses, if considered necessary. For accounts receivable, allowance for credit losses is estimated based upon historical account write-off trends, facts about the current financial condition of the customer, forecasts of future operating results based upon current trends and macroeconomic factors. Credit quality is monitored through the timing of payments compared to payment terms and known facts regarding the financial condition of inembers. Accounts receivable balances are charged off against the allowance for credit losses after recovery efforts have ceased. No allowance for credit losses was considered necessary as of December 31, 2024. 10 Camp Fire First Texas and Affiliate Notes to Consolidated Financial Statements Inventory Inventory consists of inerchandise held for resale. Inventory is stated at the lower of cost or net realizable value. Costs are determined using the first-in, first-out (FIFO) method. Property and Equipment Property and equipment purchased by the Organization are recorded at cost or if acquired by gift, fair market value at the date of the gift. The Organization follows the practice of capitalizing all expenditures for property and equipment in excess of $2,500; the fair value of donated property and equipment is similarly capitalized. Depreciation is calculated using the straight-line method based upon the estimated useful lives of 20 to 40 years for buildings and improvements and 5 to 10 years for vehicles, furniture and equipment. Impairment of Long-Lived Assets Management of the Organization periodically reviews the carrying value of its long-lived assets, including property and equipment, whenever events or changes in circumstances indicate that the carrying value may not be recoverable. An impairment loss is recognized to the extent fair value of a long-lived asset is less than the carrying amount. Fair value is determined based on the estimated future cash inflows attributable to the asset less estimated future cash outflows. No such loss was recognized during the year ended December 31, 2024. Deferred Revenue Revenue from fees for program services is deferred and recognized over the periods to which the fees relate. Revenue Recognition The Organization recognizes contributions when cash, securities, other assets, rental income, an unconditional promise to give, or a notification of a beneficial interest is received. Conditional promises to give, that is, those with a measurable performance or other barrier and a right to return, are not recognized until the conditions on which they depend have been met. At December 31, 2024, there were no conditional contributions that had not been recognized or received by the Organization. A portion of the Organization's revenue is derived from cost-reimbursable federal contracts and grants, which are conditioned upon certain performance requirements and/or the incurrence of allowable qualifying expenses. Amounts received are recognized as revenue when the Organization has incurred expenditures in compliance with specific contract or grant provisions. Amounts received prior to incurring qualifying expenditures are reported as refundable advances in the statement of financial position. No such refundable advances existed as of December 31, 2024. 11 Camp Fire First Texas and Affiliate Notes to Consolidated Financial Statements As of December 31, 2024, the Organization has approximately $933,428 of unrecognized conditional grants from governmental agencies. The grants will be recognized as revenue when all the conditions, which include performance of allowable activities and incurring allowable expenses, are met. Revenue from contracts with participants for camps, retreats, outdoor education, trainings and childcare services is recognized as the Organization satisfies performance obligations under its contracts. Corporate contract revenue is recognized as the Organization satisfies performance obligations under its contracts. Revenue is reported at the estimated transaction price of amount that reflects the consideration to which the Organization expects to be entitled in exchange for providing goods and services. The Organization determines the transaction price based on standard charges for goods and services provided. The Organization records special events revenue equal to the fair value of direct benefits to donors and contribution income for the excess received when the event takes place. Rental revenue is recognized when the rental service is performed. Deposits for rents are recorded as deferred revenue until the rental service is performed. The Organization recognizes donated services meeting certain requirements (as defined by GAAP) as contributions at the time the service is performed at the estimated fair value of such service. Donated goods are reported as contributions at their estimated fair value at the time of receipt. Mineral income is recognized when received. Federal lncome Taxes The Council and the Foundation are recognized by the Internal Revenue Service as exempt from federal income tax under section 501(c)(3) of the Internal Revenue Code (IRC) and are not private foundations as defined in the IRC. Income generated from activities unrelated to the Council and the Foundation's exempt purposes is subject to tax under IRC Section 511. Neither the Council or Foundation had a material unrelated business income tax liability as of December 31, 2024. Therefore, no tax provision or liability has been reported in the accompanying consolidated financial statements. The Council and the Foundation had no significant uncertain tax positions for the year ended December 31, 2024. 12 Camp Fire First Texas and Affiliate Notes to Consolidated Financial Statements Allocation of Functional Expenses Directly identifiable expenses are charged to programs and supporting services. Expenses related to more than one function are charged to programs and supporting services on a pro rata time basis. Management and general expenses include those expenses that are not directly identifiable with any other specific function but provide for the overall support and direction of the Organization. Accordingly, certain costs have been allocated amount the programs and supporting services benefitted. Estimates and Assumptions The preparation of consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimated. Advertising Costs Advertising costs are expensed as incurred and totaled $24,764 for year ended December 31, 2024. 4. Contributions Receivable Contributions to the Organization are recognized when the donor makes a promise to give that is, in substance, unconditional. All contributions receivable as of December 31, 2024 are expected to be collected within one year. Reconciliation to the consolidated statement of financial position: Contributions receivable $ 369,625 Contributions receivable, restricted for investment in property and equipment 5,000 Contributions receivable $ 374,625 13 Camp Fire First Texas and Affiliate Notes to Consolidated Financial Statements 5. Assets Restricted for Investment in Property and Equipment Assets restricted for investment in property and equipment represent donations restricted for improvements at Camp EI Tesoro and are comprised of the following at December 31, 2024: Contributions receivable Cash Tota I 6. Property and Equipment $ 832,809 Property and equipment consist of the following at December 31, 2024: Counci I Building and improvements Land Furniture and fixtures Equipment Vehicles Construction in progress Less accumulated depreciation Property and equipment, net 418,254 1,033,732 206,797 64,406 2,555,998 (1,248,916) $ 5,000 30,949 $ 35,949 Foundation $ 15,307,165 1,691,763 16,998,928 (8,343,973) $ 1,307,082 $ 8,654,955 Depreciation expense totaled $480,021 for the year ended December 31, 2024. 7. Investments Under the Fair Value Measurements and Disclosures topic of the Codification, ASC 820, disclosures are required about how fair value is determined for assets and liabilities and a hierarchy for which these assets and liabilities must be grouped is established, based on significant levels of inputs as follows: Level 1 Inputs to the valuation methodology are quoted prices available in active markets for identical investments as of the reporting date; Level 2 Inputs to the valuation methodology are other than quoted prices in active markets, which are either directly or indirectly observable as of the reporting date, and fair value can be determined through the use of models or other valuation methodologies; 14 Camp Fire First Texas and Affiliate Notes to Consolidated Financial Statements Level 3 Inputs to the valuation methodology are unobservable inputs in situations where there is little or no market activity for the asset or liability and the reporting entity makes estimates or assumptions related to the pricing of the asset or liability including assumptions regarding risk. A financial instrument's level within the fair value hierarchy is based on the lowest level of any input that is significant to the fair value measurement. The following is a description of the valuation methodologies used for instruments measured at fair value, including the general classification of such instruments pursuant to the valuation hierarchy: Mutual funds These investments are public investment vehicles valued using the net asset value (NAV) provided by the administrator of the fund. The NAV is based on the value of the underlying assets owned by the fund, minus its liabilities, and then divided by the number of shares outstanding. The NAV is a quoted price in an active market and classified within level 1 of the valuation hierarchy. The methods described above may produce fair value estimates that may not be indicative of net realized value or reflective of future values. Furthermore, although the Organization believes its valuation methods are appropriate and consistent with other market participants, the use of different methodologies or assumptions to determine the fair value of certain financial instruments could result in a different fair value measurement at the reporting date. The Organization's investments are valued using Level 1 inputs and their fair values are as follows at December 31, 2024: Mutual funds: Fixed i ncome Equity Total investments $ 1,530,233 4,079,329 $ 5,609,562 Net investment income consists of the following for the year ended December 31, 2024: Interest and dividend income Realized gains Unrealized gains Investment income $ 134,588 245, 274 263,259 $ 643,121 15 Camp Fire First Texas and Affiliate Notes to Consolidated Financial Statements 8. Gift Annuities During 2009, the Foundation entered into a charitable gift annuity in which they received $250,000. Based on actuarial calculations, a fixed sum is to be paid to the donors over their remaining lives. Using a discount rate of 3.4%, a contribution of $136,142 was recognized in 2009. Payments totaling $15,930 were made during 2024 and are reflected in the consolidated statement of activities. There was no estimated remaining liability at December 31, 2024. 9. Lease In evaluating its contracts, the Organization separately identifies lease and nonlease components, such as common area and other maintenance costs, in calculating the right-of-use (ROU) assets and lease liabilities for its office equipment. The Organization has elected the practical expedient to not separate lease and nonlease components and classifies the contract as a lease if consideration in the contract allocated to the lease component is greater than the consideration allocated to the nonlease component. Leases result in the recognition of ROU assets and lease liabilities on the consolidated statement of financial position. ROU assets represent the right to use an underlying asset for the lease term, and lease liabilities represent the obligation to make lease payments arising from the lease, measured on a discounted basis. The Organization determines lease classification as operating or finance at the lease commencement date. At lease inception, the lease liability is measured at the present value of the lease payments over the lease term. The ROU asset equals the lease liability adjusted for any initial direct costs, prepaid or deferred rent, and lease incentives. The Organization uses the implicit rate when readily determinable. As most of the leases do not provide an implicit rate, the Organization uses the risk-free rate based on the information available at the commencement date to determine the present value of lease payments. Risk-free rates used to determine the present value of lease payments were derived by reference to the interest paid on short-term government debt. The lease term may include options to extend or to terminate the lease that the Organization is reasonably certain to exercise. Lease expense is generally recognized on a straight-line basis over the lease term. The Organization has elected not to record leases with an initial term of 12 months or less on the consolidated statement of financial position. Lease expense on such leases is recognized on a straight-line basis over the lease term. 16 Camp Fire First Texas and Affiliate Notes to Consolidated Financial Statements Nature of Lease In October 2024, the Organization entered into an operating lease agreement to lease its office equipment that expires in December 2029. The lease contains renewal options and requires the Organization to pay all executory costs (maintenance and insurance). Termination of the lease is generally prohibited unless there is a violation under the lease agreement. Future minimum lease payments and reconciliation to the consolidated statement of financial position at December 31, 2024 are as follows for the years ending December 31: 2025 2026 2027 2028 2029 $ 21,312 21,312 21,312 21,312 19,769 Total future undiscounted lease payments Less present value discount Operating lease liability 105,017 (9,086) $ 95,931 The following is the lease cost and other required information for the year ended December 31, 2024: Total operating lease cost Cash paid for amounts included in the measurement of lease liability: Operating cash flows from operating lease Right-of-use asset obtained in exchange for new operating lease liability Weighted-average remaining lease term: Operating lease Weighted-average discount rate: Operating lease 10. Defined Contribution Plan $ 19, 704 $ (47,965) $ 100,102 4.93 years 3.82 % The Organization has established for its employees a defined benefit contribution plan (Plan) which covers substantially all permanent employees after they have met certain eligibility requirements. Contributions to the Plan by the Council are based on 3% of qualified employee compensation plus a matching contribution up to 4% of qualified employee compensation and approved by the board of directors. Contributions to the Plan totaled $72,537 for the year ended December 31, 2024. 17 Camp Fire First Texas and Affiliate Notes to Consolidated Financial Statements 11. Net Assets With Donor Restrictions Net assets with donor restrictions are restricted for the following purposes at December 31, 2024: Building project Educational programs Accumulated earnings on endowment Restricted in perpetuity Tota I 12. Net Assets Designated by the Board of Directors $ 35,949 832,672 2,048 187,384 $ 1,058,053 During 2015, the Foundation made a pledge of $500,000 to the Council for improvements at Camp EI Tesoro. As of December 31, 2024, $415,000 has been paid to the Council. The remaining $85,000 is reflected as designated net assets of the Council, and is included in due to/from affiliate in the consolidated statement of financial position. The Foundation's board of directors has designated an endowment as detailed in Note 15. 13. Revenue from Contracts with Customers Contract Balances The following table provides information about the Council's contract assets and contract liabilities from contracts with customers: Accounts receivable, beginning of year Accounts receivable, end of year Deferred revenue and refundable deposits, beginning of year Deferred revenue and refundable deposits, end of year S si,29s $ 113,059 $ 137,945 $ 179,081 � Camp Fire First Texas and Affiliate Notes to Consolidated Financial Statements Disaggregation of Revenue The composition of program fees, corporate contracts and rental income based on types of services and method of reimbursement for the year ended December 31, 2024 is as follows: Afterschool and summer program Early education program Outdoor education Resident and day camp Retreats and rentals Room rental Tota I Reconciliation to the Consolidated Statement of Activities Program fees Corporate contracts Renta I i ncome Tota I 14. Related Party Transactions $ 1,279,773 300,107 290,447 809,969 278,373 88,900 $ 3,047,569 $ 2,690,062 268,607 88,900 $ 3,047,569 The Organization received contributions totaling $26,110 during the year ended December 31, 2024 from members of the board of directors. 15. Contributions of Nonfinancial Assets The Organization received contributions of nonfinancial assets consisting of inedia totaling $69,200 during the year ended December 31, 2024. The amount was fully allocated to management and general. Contributed media is valued proportionally to the value of inedia exposure received as a result of the gift based on sales of similar media. There were no donor restrictions on the contributed nonfinancial assets received for the year ended December 31, 2024. � Camp Fire First Texas and Affiliate Notes to Consolidated Financial Statements 16. Endowment The Foundation's endowment consists of two funds established for general operating needs of the Council. The endowment includes both donor-restricted endowment funds and funds designated by the board. As required by GAAP, net assets associated with endowment funds, including board-designated endowment funds, are classified and reported based on the existence or absence of donor-imposed restrictions. The Foundation's board is subject to Texas Uniform Prudent Management of Institutional Funds Act (TUPMIFA), and thus, classifies amounts in its donor-restricted endowment funds as net assets with donor restrictions because those net assets are time restricted until the governing body appropriates such amounts for expenditures. Additionally, in accordance with TUPMIFA, the Foundation considers the following factors in making a determination to appropriate or accumulate donor-restricted endowment funds: • The duration and preservation of the fund • The purposes of the Foundation and the fund � General economic conditions � The possible effect of inflation or deflation • The expected total return from investment income and appreciation or depreciation of investments • Other resources of the Foundation • Investment policies of the Foundation The composition of net assets by type of endowment fund as of December 31, 2024: Without Donor Restrictions Board-designated endowment funds Donor-restricted endowment funds: Original donor-restricted gift amount and amounts required to be maintained in perpetuity by donor Purpose restricted for future periods Accumulated investment losses $ 4,653,397 $ With Donor Restrictions Total - $ 4,653,397 187,384 187,384 21,503 21,503 (19,455) (19,455) Total endowment funds $ 4,653,397 $ 189,432 $ 4,842,829 2� Camp Fire First Texas and Affiliate Notes to Consolidated Financial Statements Changes in endowment net assets for the year ended December 31, 2024 were: Without Donor Restrictions Endowment net assets, beginning of year Investment gain, net Mineral income Appropriation of endowment assets for expenditures Otherexpenses Endowment net assets, end of year $ 4,356,221 $ 611,188 61,190 (337,994) (37,208) $ 4,653,397 $ With Donor Restrictions Total 213,339 $ 4,569,560 11,037 (19,014) (15,930) 622,225 61,190 (357,008) (53,138) 189,432 $ 4,842,829 The Foundation has adopted investment and spending policies for endowment assets that attempt to provide a predictable stream of funding for the Council. The board recognizes that this objective can be met overtime if the purchasing power of the portfolio is increased on a inflation-adjusted basis. The total real rate of return goal of the portfolio is a premium of 3% over the rate of inflation as measured by the Consumer Price Index over a five-year time period. It is also expected that the portfolio's return will compare favorably with the portfolio benchmark over a full market cycle. To satisfy its long-term rate-of-return objectives, the Foundation relies on a total return strategy in which investment returns are archived through both capital appreciation (realized and unrealized) and current yield (interest and dividends). The Foundation has the following guidelines with respect to the proportions of equities and fixed income securities held in the portfolio: • The maximum for equity exposure is 75% of the portfolio at market value. The minimum equity exposure will be 50% at market value. • The goal for fixed income exposure (bonds and/or other interest vehicles with maturities of one year or longer) is 20% of the portfolio at market value. The total invested in bonds may exceed this percentage based on the investment manager's outlook. • The cash goal is 5% of the portfolio at market value The board of directors recognizes that there may be times when the investment manager elects to hold more in cash equivalents, based on the short-term market outlook. The manager has the discretion to do so within the context of the long-term allocation policy. 21 Camp Fire First Texas and Affiliate Notes to Consolidated Financial Statements Other than the annual distribution and mineral income distribution as noted below, distribution of the board-designated funds of the Foundation shall be made to the Council only under extreme conditions and if: (a) all reserve funds of the Council are exhausted; (b) 80% of the entire board of the Council authorize the Council to make a written request for the direction of Foundation assets; and (c) the board of directors of the Foundation approves the request for distribution, but should the first two conditions occur, the board of directors shall not act unreasonably in refusing to distribute Foundation assets, but shall only act to ensure that the request by the Council is in good faith. On an annual basis, the Foundation shall make available to the Council from board-designated funds an amount of cash or other assets of value not in excess of 5% of the three year rolling average of the market values of the Foundation assets computed as of the last day of each calendar year. This policy will ensure that the movement of the market value of the Foundation assets and the expenditure of Foundation income are correlated. By using a three year rolling average, the operating budget of the Council will be cushioned from the impacts of sharp changes in the value of the assets in the Foundation which may occur within a single year. The distribution policy is based on the assumption that, over the long run, the total inflation adjusted rate of return on the assets, including current yield and appreciation, will be equal to or greater than 5%. The Foundation retains 30% of any bonus and production income from mineral interest and makes available to the Council the remaining 70% upon request of the Council board of directors and approval by the Foundation board of directors. Should the Council not request any or all of the 70% in any year, it will have two additional years in which to request a distribution. Earnings from donor restricted assets will be distributed to the Council in accordance with the donor's instruction at the time of the donor's gift to the Foundation. In an absence of such instruction, earnings from permanently restricted assets shall be distributed annually to the Council as part of the total annual distribution described above. Underwater Endowments On occasion, the fair value of assets associated with individual donor-restricted endowment funds may fall below the level that the donor or UPMIFA requires the Foundation to retain as a fund of perpetual duration. The Foundation shall be fully empowered to accumulate income to replenish any decline in the value of its assets. The Foundation is specifically directed to maintain the objective of retaining the value of its assets at not less than $1,000,000. There were no such deficiencies as of December 31, 2024. 22 Camp Fire First Texas and Affiliate Notes to Consolidated Financial Statements 17. Liquidity and Availability of Resources The following is a schedule of the Organization's financial assets available to meet cash needs for general expenditures within one year at December 31, 2024: Cash and cash equivalents Accounts receivable Contributions receivable Grants receivable I nvestments Total financial assets Less amounts not available for general expenditures within one year: Donor restricted for educational programs Donor restricted endowment Board designated funds (see Note 12) Board designated endowment, net of expected annual distribution Financial assets available to meet cash needs for general expenditures within one year $ 641,252 118,079 369,625 334,008 5,609,562 7,072,526 (832,672) (189,432) (85,000) (4,362,489) $ 1,602,933 The Organization receives significant contributions restricted by donors, and considers contributions restricted for programs which are ongoing, major and central to its annual operations to be available to meet cash needs for general expenditures within one year. The Foundation's endowment funds consist of donor-restricted endowments and funds designated by the board of directors as endowments. Income from donor-restricted endowments is restricted for specific purposes, with the exception of the amounts available for general use. Donor-restricted endowment funds are not available for general expenditure. The board-designated endowment of $4,362,489, which does not include $290,908 to be distributed in 2025, is subject to an annual spending rate as described in Note 15. Although the Foundation does not intend to spend from this board-designated endowment (other than amounts appropriated for general expenditure as part of the board of director's annual budget approval and appropriation), these amounts could be made available if necessary. The Organization manages its liquidity and reserves following three guiding principles: operating within a prudent range of financial soundness and stabilities, maintaining adequate liquid assets to fund near-term operating needs and maintaining sufficient reserves to provide reasonable assurance that long-term obligations will be discharged. During the year ended December 31, 2024, the level of liquidity and reserves was managed within the policy requirements. 23 Camp Fire First Texas and Affiliate Notes to Consolidated Financial Statements 18. Subsequent Events In May 2025, the Foundation opened a new line of credit with a financial institution totaling $750,000. The line of credit accrues interest at the Secured Overnight Financing Rate plus 3.7%. The line of credit matures in May 2026 and is guaranteed by the EI Tesoro Foundation assets. The Organization evaluated subsequent events through September 16, 2025, the date the consolidated financial statements were available to be issued and concluded that no additional disclosures are required. 24 Certi�ied P�abli� Accaur�ta�ts Independent Auditors' Report on Internal Control over Financial Reporting and on Compliance and Other Matters Based on an Audit of Consolidated Financial Statements Performed in Accordance with Government Auditing Standards Board of Directors of Camp Fire First Texas and Affiliate We have audited, in accordance with the auditing standards generally accepted in the United States of America and the standards applicable to financial audits contained in Government Auditing Standards issued by the Comptroller of the United States, the consolidated financial statements of Camp Fire First Texas (a nonprofit organization) (Organization), which comprise the consolidated statement of financial position as of December 31, 2024, and the related consolidated statements of activities, functional expenses and cash flows for the year then ended, and the related notes to the consolidated financial statements and have issued our report thereon September 16, 2025. The financial statements of EI Tesoro Foundation (Affiliate) were not audited in accordance with GovernmentAuditingStandards, and accordingly, this report does not include reporting on internal control over financial reporting or instances of reportable noncompliance associated with the Affiliate. Report on Internal Control over Financial Reporting In planning and performing our audit of the consolidated financial statements, we considered the Organization's internal control over financial reporting (internal control) to determine the audit procedures that are appropriate in the circumstances for the purpose of expressing our opinion on the consolidated financial statements, but not for the purpose of expressing an opinion on the effectiveness of the Organization's internal control. Accordingly, we do not express an opinion on the effectiveness of the Organization's internal control. A deficiency in internal control exists when the design or operation of a control does not allow management or employees, in the normal course of performing their assigned functions, to prevent, or detect and correct, misstatements on a timely basis. A material weakness is a deficiency, or a combination of deficiencies, in internal control, such that there is a reasonable possibility that a material misstatement of the Organization's consolidated financial statements will not be prevented, or detected and corrected on a timely basis. A significant deficiency is a deficiency, or a combination of deficiencies, in internal control that is less severe than a material weakness, yet important enough to merit attention by those charged with governance. SFC LLP www.sfcllp.com 200 E Front St., Suite 200, Arlington, Texas 76011 Phone 817.649.8083 Our consideration of internal control was for the limited purpose described in the first paragraph of this section and was not designed to identify all deficiencies in internal control that might be material weaknesses or significant deficiencies. Given these limitations, during our audit we did not identify any deficiencies in internal control that we consider to be material weaknesses. However, material weaknesses may exist that have not been identified. Report on Compliance and Other Matters As part of obtaining reasonable assurance about whether the Organization's consolidated financial statements are free from material misstatement, we performed tests of its compliance with certain provisions of laws, regulations, contracts and grant agreements, noncompliance with which could have a direct and material effect on the determination of consolidated financial statement amounts. However, providing an opinion on compliance with those provisions was not an objective of our audit, and accordingly, we do not express such an opinion. The results of our tests disclosed no instances of noncompliance or other matters that are required to be reported under Government Auditing Standards. Purpose of this Report The purpose of this report is solely to describe the scope of our testing of internal control and compliance and the results of that testing, and not to provide an opinion on the effectiveness of the Organization's internal control or on compliance. This report is an integral part of an audit performed in accordance with Government Auditing Standards in considering the Organization's internal control and compliance. Accordingly, this communication is not suitable for any other purpose. Arlington, Texas September 16, 2025 �� ������ A Limited Liability Partnership 26 �erti�ied P�blic Accour�ta�ts Independent Auditors' Report on Compliance for Each Major Federal Program and on Internal Control Over Compliance Required by the Uniform Guidance Board of Directors of Camp Fire First Texas and Affiliate Report on Compliance for Each Major Federal Program Opinion on Each Major Federal Program We have audited Camp Fire First Texas' (a nonprofit organization) (Organization) compliance with the types of compliance requirements identified as subject to audit in the OMB Compliance Supplement that could have a direct and material effect on each of the Organization's major federal programs for the year ended December 31, 2024. The Organization's major federal programs are identified in the summary of auditors' results section of the accompanying schedule of findings and questioned costs. In our opinion, the Organization complied, in all material aspects, with the types of compliance requirements referred to above that could have a direct and material effect on each of its major federal programs for the year ended December 31, 2024. Basis for Opinion on Each Major Federal Program We conducted our audit of compliance in accordance with auditing standards generally accepted in the United States of America (GAAS); the standards applicable to financial audits contained in Government Auditing Standards, issued by the Comptroller General of the United States; and the audit requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Our responsibilities under those standards are further described in the Auditors' Responsibilities for the Audit of Compliance section of our report. We are required to be independent of the Organization and to meet our other ethical responsibilities, in accordance with relevant ethical requirements relating to our audit. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion on compliance for each major federal program. Our audit does not provide a legal determination of the Organization's compliance with the compliance requirements referred to above. SFC LLP www.sfcllp.com 200 E Front St., Suite 200, Arlington, Texas 76011 Phone 817.649.8083 Responsibilities of Management for Compliance Management is responsible for compliance with the requirements referred to above and for the design, implementation and maintenance of effective internal control over compliance with the requirements of laws, statutes, regulations, rules and provisions of contracts or grant agreements applicable to the Organization's federal programs. Auditors' Responsibilities for the Audit of Compliance Our objectives are to obtain reasonable assurance about whether material noncompliance with the compliance requirements referred to above occurred, whether due to fraud or error, and express an opinion on the Organization's compliance based on our audit. Reasonable assurance is a high level of assurance but is not absolute assurance and therefore is not a guarantee that an audit conducted in accordance with GAAS, Government Auditing Standards, the Uniform Guidance will always detect material noncompliance when it exists. The risk of not detecting material noncompliance resulting from fraud is higher than for that resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations or the override of internal control. Noncompliance with the compliance requirements referred to above is considered material if there is a substantial likelihood that, individually or in the aggregate, it would influence the judgment made by a reasonable user of the report on compliance about the Organization's compliance with the requirements of each major federal program as a whole. In performing an audit in accordance with GAAS, Government Auditing Standards and the Uniform Guidance, we: • Exercise professional judgment and maintain professional skepticism throughout the audit. � Identify and assess the risks of material noncompliance, whether due to fraud or error, and design and perform audit procedures responsive to those risks. Such procedures include examining, on a test basis, evidence regarding the Organization's compliance with the compliance requirements referred to above and performing such other procedures as we considered necessary in the circumstances. � Obtain an understanding of the Organization's internal control over compliance relevant to the audit in order to design audit procedures that are appropriate in the circumstances and to test and report on internal control over compliance in accordance with the Uniform Guidance, but not for the purpose of expressing an opinion on the effectiveness of the Organization's internal control over compliance. Accordingly, no such opinion is expressed. : We are required to communicate with those charged with governance regarding, among other matters, the planned scope and timing of the audit and any significant deficiencies and material weaknesses in internal control over compliance that we identified during the audit. Report on Internal Control over Compliance A deficiency in internal control over compliance exists when the design or operation of a control over compliance does not allow management or employees, in the normal course of performing their assigned functions, to prevent, or detect and correct, noncompliance with a type of compliance requirement of a federal program on a timely basis. A marerial weakness in internal control over compliance is a deficiency, or a combination of deficiencies, in internal control over compliance, such that there is a reasonable possibility that material noncompliance with a type of compliance requirement of a federal program will not be prevented, or detected and corrected, on a timely basis. A significant deficiency in internal control over compliance is a deficiency, or a combination of deficiencies, in internal control over compliance with a type of compliance requirement of a federal program that is less severe than a material weakness in internal control over compliance, yet important enough to merit attention by those charged with governance. Our consideration of internal control over compliance was for the limited purpose described in the Auditors' Responsibilities for the Audit of Compliance section above and was not designed to identify all deficiencies in internal control over compliance that might be material weaknesses or significant deficiencies in internal control over compliance. Given these limitations, during our audit, we did not identify any deficiencies in internal control over compliance that we consider to be material weaknesses, as defined above. However, material weaknesses or significant deficiencies in internal control over compliance may exist that were not identified. Our audit was not designed for the purpose of expressing an opinion on the effectiveness of internal control over compliance. Accordingly, no such opinion is expressed. The purpose of this report on internal control over compliance is solely to describe the scope of our testing of internal control over compliance and the results of that testing based on the requirements of the Uniform Guidance. Accordingly, this report is not suitable for any other purpose. ���"? �r�-`�'��'� � A Limited Liability Partnership Arlington, Texas September 16, 2025 29 Camp Fire First Texas Schedule of Findings and Questioned Costs Year Ended December 31, 2024 Section I— Summary of Auditors' Results Consolidated Financial Statements Type of auditors' report issued: Internal control over financial reporting: • Material weaknesses identified? • Significant deficiencies identified? Noncompliance material to consolidated financial statements noted? Federal Awards Internal control over major programs: � Material weaknesses identified? � Significant deficiencies identified? Type of auditors' report issued on compliance for major programs: Any audit findings disclosed that are required to be reported in accordance with 2 CFR 200.516(a)? Identification of Major Federal Program: Coronavirus State and Local Fiscal Recovery Funds Dollar threshold used to distinguish between type A and type B programs for federal awards Auditee qualified as low-risk auditee? Section II — Consolidated Financial Statement Findin�s None Section III —Federal Award Findin�s and Questioned Costs None Unmodified No None reported No No None reported Unmodified 1►C.'. Assistance Listin� Number 21.027 $750,000 No Section IV —Prior Federal Award Findin�s and Questioned Costs None reported 30 Camp Fire First Texas Schedule of Expenditures of Federal Awards Year Ended December 31, 2024 Federal Grantor/Pass-through Grantor/Cluster or Program Title U.S. Department of Housing and Urban Development: CDGB - Entitlement/Special Purposes Grants Cluster: City of Fort Worth: Community Development Block Grant/Entitlement Grants Community Development Block Grant/Entitlement Grants Total CDGB - Entitlement/Special Purposes Grants Cluster Total U.S. Department of Housing and Urban Development U.S. Department of Labor: WIOA Cluster: Texas Workforce Commission: WIOA Dislocated Worker Formula Grants WIOA Dislocated Worker Formula Grants Total WIOA Cluster Total U.S. Department of Labor U.S. Department of Health and Human Services: Tarrant County: MaryLee Allen Promoting Safe and Stable Families MaryLee Allen Promoting Safe and Stable Families Total Promoting Safe and Stable Families Texas Workforce Commission: Child Care and Development Block Grant Total U.S. Department of Health and Human Services U.S. Department of Treasury: Tarrant County: COVID-19 Coronavirus State and Local Fiscal Recovery Funds Total U.S. Department of Treasury Total Expenditures of Federal Awards Assista n ce Listing Number 14.218 14.218 17.278 AA-36348-21-55-A-48/23-24 17.278 AA-36348-21-55-A-48/22-23 93.556 CYD 24-25--2101TXFPSS 93.556 CYD 23-24--2101TXFPSS 93.575 2101TXCDC6 21.027 30133 Pass-through Entity Identifying Number B-23-MC-48-0010 $ B-24-MC-48-0010 Total Federal Expenditures 31 36,201 13,391 49,592 49,592 21,002 2,220 23,222 23,222 23,782 53,510 77,292 55,480 132,772 654,513 654,513 $ 860,099 Camp Fire First Texas Notes to Schedule of Expenditures of Federal Awards Year Ended December 31, 2024 1. Basis of Presentation The accompanying schedule of expenditures of federal awards (Schedule) includes the federal grant activity of Camp Fire First Texas (Organization) and is presented on the accrual basis of accounting. The information in this Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, andAuditRequirementsforFederalAwards (Uniform Guidance). Becausethe Schedule presents only a selected portion of the operations of the Organization, it is not intended to and does not present the financial position, changes in net assets or cash flows of the Organization. 2. Summary of Significant Accounting Policies Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. The Organization has elected to use the 10 percent de minimis indirect cost rate as allowed under the Uniform Guidance. 3. Reconciliation of Schedule to Consolidated Statement of Activities The Organization received grants totaling $73,329 that were included in government grant revenue on the consolidated statement of activities that were not subject to the audit requirements of the Uniform Guidance and therefore were not included on the Schedule. 32 EXHIBIT "D" REIMBURSEMENT FORMS Exhibit D Attachment I- Request Summary Agency: Address: City, State, Zip: Program: Month of Service: Tax ID Number: Contract Number: Case ID: P.O. Number: FID Number: IDIS Number: Program Account Amount OriQinal Amount This Invoice Cumulative to Date Remaining Balance (Program Name) Case ID Salaries FICA Life/Disability Insurance H ealth/Dental Insurance Unemployment-State Worker's Coinpensation Office Supplies Food Supplies Inswance Accounting ConhactLabor 1001 1002 1003 1004 1005 1006 1007 IOOA 1009 1010 1011 $ $ $ $ $ $ $ $ $ $ $ $ $ S S S $ $ $ $ $ $ ToraL � - � $ S S S $ $ $ $ $ $ � $ S S S S $ $ $ $ $ $ $ $ � ATTACHMENTII Cify of Fort Worth Neighborhood Services Department Ezpenditure Worksheet Aee�cv: Pro n. � ' � 3 � a � 5 I F � � � � � y � 10 � 11 � 12 � 13 � 14 � 15 � I fi � 17 � ix � iy I z� � zi I zz I z� � 21 � 25 � 26 � 27 � 28 � 29 � 70 � 31 � ;2 � 33 � ;� � 35 � ;( � 37 � 1R � i9 � �n � ai � 42 � 3; � 33 � 45 � 36 � a7 � 3R � 49 � � To�l *For Salaries, state employee's title under Deseriptionqob Trtle. Reut must �deut `ry teuaut Only highlighted codes cau be reiuiburecd Expcnsc Linc Itcm Ac�ouot EMERGENCYSHELTER I:SSI�:NTI:1I. SF.RVICI�:S I Salance� 1001 � P[C� 1002 � � e�ee�n�sand� ms��a�co ioos I � x�imi�e�r���d� �e iooa I � uncmplopnrnt-statc� loos � � Worke� s Compencation 1006 � � orroosuuu�;oy �om I � � � � � Food Supplies 1008 � � InSurance 1009 � � Accouuti�� 1010 � � ConhxctLbor 1011 � � OLhcrQ 1012 � � SHELTER OPERATIONS I � M���vc�a�cc zooi � � s��dry zooz � � [n5u�ao� zoos I � ummes Zooa � � s��pp��� zoos I I Rgpp�cs 2006 I OthuQ 2007 HOUSING RELOCATION AND STABILIZATIOY PREVENTION � Salarics 3U01 � � FIC9 3002 � � LiCc/DisabiG�ylnsurancc 3003 � � Heaflh/Dentallnsueance 3004 � � UJ}��p to_@nenbStat� 3005 � � Worker s 2�ompenset�on 3006 � � OthuQ 3007 � � RCHOUSING I � Salaries 4001 � � FICA 4002 � � Life/Disabili�y I�mra�ce d003 � � llcahh/Dcme insurancc ��� I I ugg� �o e�i-siaee �oos I � �orker's�umpencation -1006 � OtherQ i007 FINANCIAL ASSISTA.VCE PRI�:VI�:NTIOV � Re�tal Assista�ce 5001 � � � � UtiliryPa�nnents 5002 � � REHO[151NG I � Re�ral Ass�sta�ce 6001 � � Secu�ityDeposf�s 6002 � � Un1�vDeposits 6003 � � Ucihiy�a�nncnts 6004 � � Moving Cosls 6005 � Motcl/Ilotcl Vouchcrs 6006 HMIS HMISSoltwamCosts 7001 ZI vHi�" x OI an6 n v B a aaav» 6 YZ Z I .s o��Jn��su I .iwa.�� �. w�+r..ie��.e��,e�n+�n.�a... � . +ew�.�,an�r.n.,�v:�.��n�w�.•:u��.i+a.•r+..,����u.�•+w�v �uN.Lri�:e+mm��n...��e.,.,. nv� . .,,,nw.nn»�•�u�w,��.�.a�u�a�a�m�arw al�zuzu.ww,�e,v��sr.or.,..em.u)w,.���.n.��.r�a�,�vv,....,,�.,�v:�.�9umw����.m��..wnu��w.v�. 4iiiuN ua�fln�J C u�9y illJ III I.N'iWHJV.I l.\' EXHIBIT "E" CERTIFICATION FORMS INCOME CERTIFICATION (NOT SUBJECT TO CITIZENSHIP AND IMMIGRATION VERIFICATION) INCOME AND CITIZENSHIP/IMMIGRATION CERTIFICATION (SUBJECT TO CITIZENSHIP AND IMMIGRATION VERIFICATION) City of Fort Worth CERTIFICATION OF INCOME STATEMENT Applicant Name: Current Address: Last Name Phone #: City and Zip: Household Members and Income (including applicant) First Name Age � Monthly Income � � � � � Total Gross Annual Household Income: TOTAL NUMBER OF FAMILY MEMBERS �$ (Include Yourself, Spouse, Children, etc.) Source of Income PERSONAL DEMOGRAPHIC INFORMATION: (Check one box in each category. This information is required forfederal reporting underHUD guidelines.) a. ❑ MALE ❑ FEMALE c. ETHNICITY ❑ HISPANIC ❑ NON-HISPANIC b. ❑ AMERICAN INDIAN/ALASKAN NATIVE ❑ ASIAN ❑ BLACK/AFRICAN AMERICAN ❑ NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER ❑ WHITE ❑ AMERICAN INDIAN/ALASKAN NATIVE & WHITE ❑ ASIAN & WHITE ❑ BLACK/AFRICAN AMERICAN & WHITE ❑ AMERICAN INDIAN/ALASKAN NATIVE ❑ OTHER MULTI-RACIAL & BLACK/AFRICAN AMERICAN d. DISABLED e. IS HEAD OF HOUSEHOLD FEMALE? ❑ YES ❑ YES ❑ NO ❑ NO Certification: I certify that all information I provide is true and may be subject to verification at any time by a third party. I agree to furnish accurate and truthful information when applying for and receiving services. I understand that providing false or misleading information may subject me to penalties under applicable Federal, State, and local laws. Signature of Applicant Date WARNING: T�T�E 18, SECTION 1001 OF THE U.S. CODE STATES THAT A PERSON IS GUILTY OF A FELONY FOR KNOWINGLY AND WILLINGLY MAKING FALSE OR FRAUDULENT STATEMENTS TO ANY DEPARTMENT OF THE UNITED STATES GOVERNMENT. -----------------For use by Agency staff only----------------- Household Size: Applicable Income Limit: Gross Annual Income: Is Applicant Eligible? Check if Applicant refused to provide demographic informafion: Staff Assessment of Demographics: Person Making Determination: Date: NOTE: Agency staff are required to verify all information provided in this Certificafion of Income Statement. This form must include the address, income amounts, and income sources for all household members, and all information must be verified. City of Fort Worth CERTIFICATION OF INCOME & U.S. CITIZENSHIPIIMMIGRATION STATEMENT Applicant Name: Current Address: Name (First & Last Name) Total Gross Annual Household Income: TOTAL NUMBER OF FAMILY MEMBERS Phone #: City and Zip: Household Members and Income (including applicant) DOB Monthly Income $ Source of Income (Include Yourself, Spouse, Children, etc.) With/out U.S. Citizenshipl Immigration Verification ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO PERSONAL DEMOGRAPHIC INFORMATION: (Check one box in each category. This information is required forfederal reporting underHUD guidelines.J a. ❑ MALE b. ❑ AMERICAN INDIAN/ALASKAN NATIVE ❑ ASIAN ❑ FEMALE ❑ BLACK/AFRICAN AMERICAN ❑ NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER ❑ WHITE ❑ AMERICAN INDIAN/ALASKAN NATIVE & WHITE ❑ ASIAN & WHITE ❑ BLACK/AFRICAN AMERICAN & WHITE ❑ AMERICAN INDIAN/ALASKAN NATIVE ❑ OTHER MULTI-RACIAL & BLACK/AFRICAN AMERICAN c. ETHNICITY d. DISABLED e. IS HEAD OF HOUSEHOLD FEMALE? ❑ HISPANIC ❑ YES ❑ YES ❑ NON-HISPANIC ❑ NO ❑ NO Certification: I certify that all information I provide is true and may be subject to verification at any time by a third party. I agree to furnish accurate and truthful information when applying for and receiving services. I understand that providing false or misleading information may subject me to penalties under applicable Federal, State, and local laws. Signature of Applicant Date WARNING: T�T�E 18, SECTION 1 OO1 OF THE U.S. CODE STATES THAT A PERSON IS GUILTY OF A FELONY FOR KNOWINGLY AND WILLINGLY MAKING FALSE OR FRAUDULENT STATEMENTS TO ANY DEPARTMENT OF THE UNITED STATES GOVERNMENT. -----------------For use by Agency staff only----------------- Household Size: Gross Annual Income: $ Applicable Income Limit: $ Is applicant income eligible? ❑YES ❑NO Is everyone in the household a U.S. citizen or able to provitle immigration verification? ❑YES ❑NO Applicant citizenship/immigration status verification method used: ❑SAVE Documentation ❑Government-issued Documents ❑ Check if Applicant refused to provide demographic information: Staff Assessment of Demographics: Person Making Determination: Date: NOTE: Agency staff are required to verify all information provided in this Certification of Income Statement. This form must include the address, income amounts, and income sources for all household members, citizenship status and all information must be verified. EXHIBIT "F" STANDARDS OF DOCUMENTATION CDBG 51 % PSA CONTRACT -- EXHIBIT "F" -- STANDARDS OF DOCUMENTATiON 2024-25 Documentation Standards for CDBG Public Service Contract Expenses Employee Salaries and Benefits - City will only reimburse a percentage of any employee's salary and benefits who work directly with the CDBG-funded Program. Percentages will be cost allocated and determined prior to the execution of the CDBG Contract. Agencies requesting the reimbursement of 100% of any Agency employee will require prior City approval. Agencies must show calculation on how the CDBG portion of employee salaries and benefits were calculated consistently with the CDBG Contract. Salaries If an employee works on both a CDBG eligible and non-CDBG eligible program(s), the City will only reimburse for a reasonable portion of the employee's salary. Prior to the execution of the CDBG Contract, the Agency will priovide the City with a written statement on how each employee's time will be allocated. If an employee works 100% of their time directly with the CDBG-funded Program, then 100% of the employee's salary may be eligible for reimbursement. Agency must submit a written statement that 100°/ of the employee's time is spent working directly with the CDBG-funded Program. Statements must be signed by a person authorized to sign on behalf of the Agency and will be submitted with the October invoice. X X Reimbursement requests must include a timesheet and work log that reflects the hours worked by the employee(s) working directly on the CDBG-funded Program. For employees who are paid with multiple funding sources, timesheets must reflect all funding sources. If separate timesheets are kept for each funding source, all such timesheets must be submitted to City. Timesheets must be signed by employee and supervisor. Agency must show a calculation and documentation of how the employee's salary was calculated and invoiced to City. � FICAIMedicare X X X � Life Insurance X X X Health x x x Insurance Disability x x x Insurance Unemployment x x x Insurance *If employees are paid by direct deposit rather than check, then the agency must submit both the direct deposit payment company's report (such as an ADT report) and a bank statement or check showing payment to the direct deposit company. If the City pays gross salary, this is already included. If the City pays the employer portion, the Agency must provide proof that the employee is enrolled in the benefit plan, must show a calculation and documentation of how the invoiced amount was calculated, and must provide documentation showing payment. Invoice and proof of payment are only required with the first reimbursement request and at any time there are changes to amounts, enrollments, disenrollments, etc. If the City pays gross saiary, this is already included. If the City pays the employer portion, the Agency must provide proof that the Retirement x x x employee is enrolled in the benefit plan, must show a calculation and documentation of how the invoiced amount was calculated, and must provide documentation showing payment. Invoice and proof of payment are only required with the first reimbursement request and at any time there are changes to amounts, enrollments, disenrollments, etc. Materials, Equipment, Goods and Supplies - City will only reimburse for the cost allocated percent or amount spent in support of the CDBG-funded Program. Agencies requesting reimbursement for these items will require prior City approval. Agencies must show calculation on how the CDBG portion of these expenses were calculated consistently with the CDBG Contract. Office Supplies X X X Office Equipment X X X X X Rental Postage X X X Printinq X X X Construction & Building X X X X This category is only available for the REACH Program and Habitat for Humanity. Materials Sport and Recreation X X X Equipment Cleaning X X X Supplies Teaching Aids X X X I Craft Supplies X X X Food Supplies X X X This category is only available to the Program provided by Meals on Wheels. Rent, Utilities and Maintenance - City will only pay for a portion of these expenses. The portion of these expenses will be determined by the square footage attributable to the CDBG-funded Program and shall be cost-allocated in accordance with the amount of space used for the CDBG-funded Program. These expenses may only be in support of the CDBG-funded Program. The items listed below require prior City approval and the Agency is required to identify any funding source that pays for the portion of the expenses that is not paid with CDBG funds. Agencies must show calculation on how the CDBG portion of these expenses were calculated consistently with the CDBG Contract. Telephone X X I Gas X X Water/Wastew X X ater I Electric X X, I Solid Waste X � CDBG 51 % PSA CONTRACT 20242025 Exhlbit "F" — STANDARDS FOR COMPLETE DOCUMENTATION Facility This item requires approval by the City prior to the execution of the CDBG Contract. Repairs may be categorized as major/minor Maintenance X X X X rehabilitation projects and must be approved through the full HUD Environmetal Review. and Repairs Rent X X X City will pay for a portion of the rent for the Program facility so long as its in proportion to the square footage attributable to the CDBG- funded program. Miscellaneous I This item requires prior approval by the City. Prior to the execution of the CDBG Contract, the Agency must submit a written statement that lists the contract labor services to be used during the Contract term. Agency will submit a memo related to the procurement of such Contract Labor X X X X X services and will forward any information pertaining to the procurement process to City. This requirement applies to, but is not limited to, services retained for security services, legal, accounting, transportation providers, educational facilitators, custodial services, etc. Agencies may not use the contract services of any City of Fort Worth Department. City-required X X City will only pay for a percentage of the City-required insurance so long as iYs in proportion to the square footage attributable to the Insurance CDBG-funded program. City requires that the agency submit its fee schedule or formula on how the Agency calculates the childcare scholarship amount. The fee schedule/formula should demonstrate a breakout of income levels, and for each income level the schedule should demonstrate Childcare X X which portion of the expense is to be paid by the family and which portion of the expense is to be reimbursed by the City. A fee Scholarships schedule/formula must be submitted to the City prior to the first payment. Agency must submit documentation supporting that the client is income eligible and that the household is being charged in conformance with the fee schedule. If the fee schedule/formula changes at any time during the contract term, the Agency must immediately notify City on the date the new fee schedule/formula takes into effect. "$0" Income Agecies that are required to verify and provide proof of household income to determine eligibility, must require that anyone who is over Certifications the age of 18, living in the housohold, submit a$0 Income Certification. If an audit is required because federal funds exceed $1,000,000.00, then the cost should be split evenly by all grant funding sources. Audit Services X X X X Agency must show calculation on how the CDBG portion of the accounting services were calculated. For example, if the CDBG grant is 10% of your Agency's budget, then invoice shall not exceed 10°/ of the overall cost. Agency must show a calculation and documentation of how the invoiced amount was calculated, and must provide documentation showing payment. 'Proof of payment effective October 1, 2024: payments or Expenses must be documented in the following manner: A) Image of the check AND bank statement showing the check cleared the bank; OR, B) Image of the cancelled check (ex. At end of bank statement); OR, C) Payroll Check Stub, "Advice", or Statement AND Bank Statement indicating payroll; OR, D) For wire or e-transfers: Reciept or statement from payee/vendor OR bank statement. Revised as of 08/07/2024 TJ CDBG 51 % PSA CONTRACT 2024-2025 Exhibil "F"— STANDARDS FOR COMPLETE DOCUMENTATION EXffiBIT "G" SEVERELY DISABLED CERTIFICATION FORM CDBG 51 % PSA CONTRACT - EXHIBIT "G" - SEVERELY DISABLED CERTTFICATION FORM CERTIFICATION FORM DOCUMENTING CLIENT STATUS AS "SEVERELY DISABLED ADULT" Client Name: Address: City, State, Zip Client Identification No. CHECK ALL THAT APPLY � Has used a wheelchair, a walker, cane , crutches or other special aid for six months or longer Has been diagnosed with one of the following conditions: Alzheimer's disease, � mental retardation or other developmental disability, senility or dementia, cerebral palsy, or autism; or has another mental or emotional condition that seriously interferes with everyday tasks. Is unable to perform one or more of the following "Functional Activities": ❑ seeing, hearing, speaking and having one's speech understood, lifting or carrying, using stairs, grasping small objects, or walking. Is unable to perform or needs assistance to perform one or more of the following ❑ Activities of Daily Living (ADL): getting around inside the home, getting in or out of bed or a chair, bathing, dressing, eating, and toileting. Is unable to perform or needs assistance to perform one or more of the following Instrumental Activities of Daily Living (IADL): going outside the home, ❑ keeping track of money and bills, preparing meals, doing light housework, taking prescription medications in the right amount and at the right time, and using the telephone. ❑ Has a condition that prevents them from working at a job or doing housework. The undersigned Agency representative conducted a visual assessment of the client identified on this form and certifies that the client meets at least one of the conditions indicated above, which determines that he/ she meets the deiinition of "severely disabled" according to the U.S. Census Bureau. Certified by: Signature/Title: Date: CFW Neighborhood Services Dept.: Revised 08/29/2019 CDBG 51 % PSA CONTRACT - EXHIBIT "G" - SEVERELY DISABLED CERTIFICATION FORM EXHIBIT "H" MBE REPORTING FORM CDBG 51 % PSA CONTRACT -- EXHIBIT "H" -- MBE REPORTING FORM Page 1 COntraCt and SUbCOntraCt ACtiVity U.S. Department of Housing and Urban Developmeot OMB Approval No.: 2577-0088 OMB Approval No.: 2502-0355 Public reporting burden for this collection of infonnation is estimated to average .5 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The infom�ation is vol�.mtary. HUD may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB Control Number. P.xecutive Orders dated July 14, 19R3, directs the Minoriry Business Development Plans shall be developed by each Federal Agency and the these annual plans shall establish minority business development objectives. The information is used by HUD to monitor and evaluate MBE activides against the totaL prograin activity and the designated inii�ority business enterprise (MBE) goals. The Deparhnent reqnires the infonnation to provide guidance a�d oversight for prograins fo� the developinent of minoriry business enterprise co�cerning Minority Business Development. If the information is not eollected HUD would not be able to establish meaningful MBE goals nor evaluate MBE performance against these goals. Privacy Act Notice = The United STates Department of Housing and Urban Development, Federal Housing AdministraTion, is authorized to solicit Uie Information requested in this fonn by virtue of Title 12, United States Code, Section 1701 et seq., and regulation. It will not be disclosed or relesed outside the United States Department of Housing and Urban Development without your conseM, except as required or permitted by Law. 7. Grantee/Project Owner/Developer/SponsorBuilder/Agency Checkif: 2� Location(City,StatcZip Codc) PH IH CPD Housing 3a. Name ofCon[act Nerson 36. Phone Number pncluding Area Code) 4. Reporting Period 5. Nrograin Code (No[applicable for CND programs.) � 6. Date Submiucd to Cicld O�ec See explanntion ofCodes at bottom of Page Use a ❑ Oct I- Sept. 30 (Anntrl -F� sepaiate sheer For each progrem code. Conhac[or or Granl/Projcct numbc� or HUD Subcontraclor Case Number or other Amounc of Type of Trade Bus .. Subcontracmr ContraetodSubcontractor Name a��d Address idcnlificationoCpropcny. Conuzctor Codc Racial/I[ihnic WomanOmmcdRusiness VrimcConiroctorlAcmifcation(ID) IdcmificaiionpD) 'j. subdfvfrSon, dwcllfng unil, elc. Subcantuct (Scc bdo�s) (Scc hdo�v) (Ycs orNo) Sumbcr SCC. 3 Sumbcr SCC. 3 7a. 76. 7c. 7d. 7e. 7f. 7g. 7h 71. � Name Sh�et City 7c Type nf Trade Cndes: CPD: Housing/Public Housiug: I �cwConslruciion 1=NewConstruction 6 Profcssional 2— Cducaliod/Tcaining �= Subs[antial Rehab. 7= 7'cnanl Scn Iccs 3=0ther }=Rcpair 8=L;duca[ion/"fraining 4 Service 9=AmhJEngrg.Apprau�d 5— Proi�� Manrzt. 0= Other 7d: Racial/Ethnic Codes: I — \Nhilc Amcricans 2 = Black Americans 3 — Nntive Amencnns 4 = H ispanic Amcncans 5 Asfan/Pacific Ameucans b — I Iasidic Jews 5: Program Cudes (Cumplete for Huusing and Public and Indian Huusing programs unly): 1— All Insurcd, inclucLing Scclion8 5— Scction 202 2= Flexible Subsidy 6= HUD-Held (Management) 3=Sec[ionBNoninsured,Non-HYI>� 7=Vublic/InJinHousing 4=lns�rod (Managcmcn[) 8=Scc[ion 81 I State Zip Prcvious cAitions acc obsolac. focm HUD-2516 (8/98) EXHIBIT "I" NOTICE OF BENEFICIARY RIGHTS CDBG PSA CONTRACT- EXHIBIT "I" - NOTICE OF BENEFICIARY RIGHTS Notice of Beneficiary Ri�hts Name of Agency: Name of Program: Contact information for Program Staff (name, phone number, and e-mail address, if appropriate): Because this program is supported in whole or in part by direct Federal financial assistance from the Federal Government, we are required to let you know that: • We may not discriminate against you on the basis of religion, religious belief, a refusal to hold a religious belief, or a refusal to attend ar participate in a religious practice; • We may not require you to attend or participate in any explicitly religious activities that are offered by us and any participation by you in these activities must be purely voluntary; • We must separate, in time or location, any privately funded explicitly religious activities from activities supported by direct Federal financial assistance; • If you object to the religious character of our organization, we must make reasonable efforts to identify and refer you to an alternative provider to which you have no such obj ection; and • You may report an organization's violations of these protections, including any denial of services or benefits, by contacting or filing a written complaint to HUD [or the intermediary, if applicable]. We must give you this written notice before you enroll in our program or activity, as required by 24 CFR 5.109. CDBG PSA CONTRACT- EXHIBIT "I" - NOTICE OF BENEFICIARY RIGHTS F���r ����x CONFLICT OF INTEREST DISCLOSURE: FOR CITY OF FORT WORTH PROGRAMS ONLY The assistance you are applying for is funded using Housing and Urban Development (HUD) funds and because of this our office is requesting the following information in order to comply with the funding requirements. Please complete this form to the best of your ability, sign it, and return it to this Agency at your earliest convenience. NAME: TELEPHONE: ADDRESS: E-MAIL ADDRESS (if applicable) L Are you employed by the City of Fort Worth? 1 a. If yes, by which Department and Division: 2. Were you employed by the City of Fort Worth within the most recent 12-month period? 2a. If yes, by which Department and Division: I❑YES ��NO � n YES � NO 3. Are any members of your immediate family currently employed by the City of Fort Worth? (`7mmedia[e Family"includes (whether by blood or adoption): the spouse, parent (including a stepparent), � j�ES ❑ NO child (including a stepchild), brother, sister (incl�uding a stepbrother or stepsister), grandparent, grandchild, and in-laws.) 3a. If yes, please provide relative's name(s), Department(s), and Division(s): 4. If No, were any members of your immediate family employed by the City of Fort Worth yES NO within the most recent 12-month period? � � 4a. If yes, please provide relative's name(s), previous Department(s), and Division(s): 5. Are you an elected or appointed official, or agent or consultant, of the City of Fort Worth? I YES � NO Sa. If yes, by which Department and Division: � � 6. Are any immediate family members an elected or appointed official, or agent or consultant yES NO of the City of Fort Worth? � � 6a. If yes, please provide relative's name(s), Department(s), and Division(s): CeNtifcation: I understand and agree that the City may/will contact the City of Fort Worth department including all supervisors in order to determine whether any of these persons' employment or official functions are or were related to the City's use of federal grant funds and whether federal funds can be provided. I certify that the information I am providing is true and could be subject to verification at any time by a third party. I also acknowledge that the provision of false information could leave me subject to the penalties of Federal, State and local law. WARNING: TITLE IH, SECTION IOOI OF THE U.S. CODE STATES THAT A PERSON IS GUILTY OF A FELONY FOR KNOWINGLY AND WILLINGLY MAKING FALSE OR FRAUDULENT STATEMENTS TO ANY DEPARTMENT OF THE UNITED STATES GOVERNMENT. Applicant/Prospective Applicant Signature Date -------------------------------------- --------------------------- --------------------------- --- For_City_Staff Only: Once this farm is completed and if "Yes" is marked on any of the above questions, please return it to your Compliance Specialist as soon as possible for processing. if you have any questions, please contact Leticia Rodriguez, Compliance Administrator, Compliance Division, at 817-392-7319, or Charletta Moaning, Sr. Contract Compliance Specialist, at 817-392-7333 or at charlettamoaning�fortworthtexas.gov. Neighborhood Services Department-Conflict Disclosure Form, Dated September 23, 2024-City Only EXHIBIT "J" CONFLICT OF INTEREST DISCLOSURE: FOR CITY OF FORT WORTH PROGRAMS ONLY CDBG 51% PSA CONTRACT -- EXHIBIT "J" -- CONFLICT OF INTEREST DISCLOSURE EXHIBIT "K" CERTIFICATE OF COMPLIANCE: ADDITIONAL POLICY REQUIREMENTS CERTIFICATE OF COMPLIANCE: ADDITIONAL POLICY REQUIREMENTS The following policy requirements set forth in "EXHIBIT "K" — Certificate of Compliance: Additional Policy Requirements" are dictated by the Department of Housing and Urban Development (HUD) and are imposed upon the City of Fort Worth as the named Recipient of the Federal award agreement. The terms outlined in this addendum are hereby incorporated by reference into this Contract and shall be binding upon the Agency as a subrecipient of this award. The Agency shall comply with all applicable provisions of EXHIBIT "K" — Certificate of Compliance: Additional Program-Specific Policy Requirements as if fully stated herein. This compliance is subject to new guidance, court decisions, or new regulatory actions that could change the interpretation, application, or enforcement of these requirements. By signing this certification, the Subrecipient is certifying that they have read and will comply with these requirements and will monitor HUD guidance and other actions that may require changes or updates to their own program policies. Any contractual requirement contained herein determined to be unenforceable by a legal opinion, directive from a federal agency, court order, or executive order (the "Determination"), shall be performed in a manner that complies with the Determination to the greatest extent possible even if such compliance means non-performance. In addition to all applicable federal statutes and regulations, the Subrecipient certifies that it has read and agrees to comply with the attached policy requirements, if applicable, established under the federal award agreement between the Department of Housing and Urban Development and the City of Fort Worth, and which are a material condition of this Agreement: +�aa�N[11��1 �, PCILIC'�R�QLIIREM�INIT� If appli�abl�: 1, Th� Re�lpien�t shaLL not us� �r�r�t fi�.ir}ds t�o �aRomate "�cn�er� I�evBo�,�r," �� defined i� Ex��utl� �r�d�r {E,�.] 14i��, D�f�eldl�l,� U'4rc�men ir€�m ��nder I�Jr.�il�g� ��s#rerrii�rru and Re�tnrir�� Fll�lt�gi�alTruth to tt�� �f�d�r��l ��pwernm�nt; �, Th�� F#e�i�ient agree� that �t� �orr�pllatice ir� all re�pe�ts wlth a�l �p�a�ic�ble F�d�ral. �ntl- �i�criminaCion IawS 15 ilro�t��i2l k� khe U,S: �rr1���rtiK's ���ment decisions fnr �4��pr�s�� of secli�an 3729�b}(�� �� tdt�a �1. Ur►ik�d 5tates Cod�; :�, �he F��Cip�enk certifies tht�t it �c�es r��at ujpera�k.�e any pra�Cams th�k wic�late any ap�li�c.��ilp Feili�r�[ �riti-di�crcmiination 17ti��,, I��ludin�7i�leVl afthc��i�ll Rl�hlseA�;to11964; Th� R��eiplent sY��ll n�t use an� �rar�t funds k�U fund or prflmotr. e1��:tl�re �b�rti�an�, ��. re�uir�ed by F.�, i.�18�,. �nf�rcin� tF�� H�le �4�er7tlm�ntF and t�at, 5. Nc�tt�ritl�s�,�ncJin;� ar7ythir�� in thie N�f ��r �,����t��afi�rn, this �rant sF�aLl ne�t t�� ���efned iby Exe�uti+�� C�r�ers rev�4���1 Y�y �.�. Y�i75�4, in�IM,a[flr3� �.[�. i40(�8, �r hJa�FC� rn�i,ilrerT�eriC� implementiitig �xec��t��� �r��rs that h��r� �t��n ���nk�d, �6_ Th� Recipi�nt rni.iSK 2��Irtlinw��er its g�ant irti ��t�nr�cJ.drtce wuiikh alL app�Li��L�L�� i�nir��i�,r��GI�I� re�tricti�r�s and r�c�qt�ire�7�,i1t5, ir�Clut�ingthe �li�it�ilit�r ���i tr�rifi�;�ii�an r��quircrr��nts �h�k 3��1y uradertit9�e I�! c�f x�le Pers+�nal R��p�rnsit�ilit�� �7�7�1 ��rk �pporkuruity Re�e�r��il�i�kiorl ��k �rf 19�6, as �rnenci�d (#_U �,(;, 1��1-16�}�};PR5,5�'�ORA� ��nc� ��r7y applieabl� r�qu�ram�nts tr7ai WU[i, th� Aiforn�� G�en�r�l, irr th� U,S, �iki�enship r���rJ (ri1�11�r��ian Ser�i€��s m�y ��k�l�listt Pr�rm time �� tirnc ta c�it��l�wi[li R�k�►V�FkA, E���:�,1ir,�N C}rti�r �q�1�F or ath�r Cx����t�1e C�rders �r irr�m�gratoon lr�u�, 7', h�Jn s���� ar unit of �en�r�2l I�c�l ��vernrnent tho�t �re..�iu�s tur��lar�� ur�der thi� �rG,mt n��y u�e 4fia# fundin� in � m{��r��� th�t byde�ign �r effcct f��illt�C�3 Ch� subsidiaation or pr���[��Ic�tt a1 ille�3l in�rt���r�tl�rt� �r �fnields ille�a{ �Li�r�� fr�r�t rJe�arta4ic�n, in�clu�iiin� hy m�lr�t�lr�lr�� �oli�i�s �r practi�.�� Ch�k m�k�rialty�imped� r.nfnt��r�1�ri# �fif�der�! �mmi�r��tir�� sl�tlit�� �nci regu[ati�ra�. The P�€�crpir.r7t�Tl�dslus��AWE,�ra� r�c�ui��l�r�e��n�lic:�tia�system�ppr��J ha�th7� ��eci�ral ��i�+erno7i�,lx. �� �1r��nt �rry Feder,°�� �3u1}IrC F���1�fit frvrn �eiu�g pr�,�i�ir�i te� �� �r1e4i�iial� ali�r� u�rhrs rn��r�d th� Unite� 5t�t�es ilile�T�ll�r t�r I� aih�rv�ise un'law►t(�ull.y pr�s��[ ifl� lfi� lJniied �tatcs_ F�i[I�•�ased nr��ni��tl�ntls rl��yr h�e suk�r��i�i�rttS� t�r flln�is �n th� �arn� b�sis a� �fl'� �i�hM�r �r��r�i�atl��1, F�eci�i�rp�ts ma� r��t, ir� #F1e sele�tir�n c�f sutar�cipi�ent}, di��rirtaln�[� �g�in�t ar� �:r�T�r�ic�iirJn t�a�ed on th� nr���r,ia�tir•�n's r�;i�'ou� char���:t�}r, ��fi�.i�ti��r�, rtr �xer�i;e. Certification and Acknowledgement This certification shall be deemed incorporated by reference into the main Contract. By signing below, the Agency hereby certifies, acknowledges, and agrees that: • Agency has read and understands all terms and conditions set forth in this EXHIBIT "K" — Certificate of Compliance: Addifional Program-Specific Policy Requirements; • Agency shall comply with these requirements in both program practice and written policies and procedures; • Agency agrees to be in compliance with these requirements as a material condition of this Contract and a prerequisite to the receipt and continued use of grant funds; and • Agency understands that any violation of these terms may result in the suspension or termination of funding, repayment of funds, or other remedies available under law or regulation. Authorized Certification Name ofAgency: Camp Fire FirstTexas Name of Authorized Official: grian Miller Title: President and CEO Signature: a,�,y�,,�, Date: O1/15/2026 M&C Review CITY COUNCIL AGENDA Create New From This M&C DATE: 8/12/2025 REFERENCE NO.: M&C 25-0676 LOG NAME: CODE: C TYPE: NON- PUBLIC CONSENT HEARWG: Page 1 of 5 Offlclal site of the City of Fort Worth, Texas FJRT��ORTH _�_ 192025-2026 HUD ANNUAL ACTION PLAN 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 http://apps.cfwnet.org/council_packet/mc_review.asp?ID=33536&councildate=8/12/2025 9/26/2025 M&C Review Page 2 of 5 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\°/o 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 http://apps.cfwnet.org/council_packet/mc_review.asp?ID=33536&councildate=8/12/2025 9/26/2025 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\% of 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\°/a of 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 AGENCY Housing Channel Meals-On-Wheels, Inc. of Tarrant County TABLE 1: CDBG AGENCIES ICONSOLGOAL D PLAN I pROGRAM IAffordable Housing IHousing Counseling & Education IHealthy Living and INutrition Program Wellness Guardianship Services Inc. Aging In Place �United Community Centers, Inc IChildren and Youth Services �Boys & Girls Club of Greater IChildren and Youth Tarrant County Services IGirls Inc of Tarrant County IChildren and Youth � Services ICamp Fire First Texas IChildren and Youth � Services �Junior Achievement of the IChildren and Youth Chisholm Trail, Inc. Services �The Women's Center of Tarrant IEconomic Empowerment County and Financial Resilience IEaster Seals North Texas, Inc. IEconomic Empowerment � and Financial Resilience Money Smart+ Elder Financial Fraud Prevention Workshops IEducation Literacy Program IYouth Development at Eastside Branch IWhole Girl Program ITeens In Action ICradle to Career Initiative IEmployment Solutions IEmployment Services AMOUNT $111,000.00 $120,000.00 '�:1 111 11 $125,000.00 $72,000.00 $90,281.00 $62,184.00 $50,000.00 $90,000.00 $92,000.00 Homelessness Presbyterian Night Shelter Prevention and Special Moving Home Program $175,000.00 Needs Support �CDBG Public Services Agencies Total II$1,067,465.00I http://apps.cfwnet.org/council_packet/mc_review.asp?ID=33536&councildate=8/12/2025 9/26/2025 M&C Review **Rehabilitation, Education and Accessibility Advocacy for Citizens with Improvements Project Ramp Handicaps dba REACH, Inc. **Fort Worth Area Habitat for Housing Preservation and Humanity, Inc. DBA Trinity Rehabilitation Cowtown Brush Up Habitat for Humanity �CDBG Subrecipient Agencies Total �TOTAL CDBG CONTRACTS Page 4 of 5 $165,000.00 $500,000.00 � $665,000.00� �$1,732,465.00� **REACH and Trinity Habitat will be funded from the CDBG Housing Programs and Services budget. Housing Opportunities for Persons with AIDS Contracts TABLE 2: HOPWA AGENCIES AGENCY CONSOLIDATED PLAN GOAL Tarrant County Homelessness Prevention Samaritan Housing, and Special Needs Inc. Support AIDS Outreach Center, Inc. Homelessness Prevention and Special Needs Support TOTAL HOPWA CONTRACTS Emergency Solutions Grants Contracts PROGRAM HOPWA Program - Administration, Tenant- Based Rental Assistance (TBRA), Short-Term Rent, Mortgage, and Utility Assistance (STRMU), Supportive Services, Facility-Based Operations (FBO) 'The Housing Assistance Program - Administration, Tenant- Based Rental Assistance (TBRA), Short-Term Rent, Mortgage, and Utility Assistance (STRMU), Supportive Services TABLE 3: ESG AGENCIES AGENCY CONSOLIDATED PLAN pROGAM GOAL The Presbyterian Night Homelessness Prevention and Shelter Shelter of Tarrant County, Special Needs Support Operations/Services Inc. Lighthouse for the Homelessness Prevention and Day Shelter Homeless dba True Worth Special Needs Support Operations/Services Place IThe Salvation Army � �Center for Transforming Lives Homelessness Prevention and Homelessness Special Needs Support Prevention Homelessness Prevention and Rapid Re-Housing Special Needs Support �� �� AMOUNT $1,406,188.00 $264,680.00 $1,670,868.00� AMOUNT $139,491.00 $150,000.00 $127,141.00 $73,000.00 II $80,00O.00I http://apps.cfwnet.org/council_packet/mc_review.asp?ID=33536&councildate=8/12/2025 9/26/2025 M&C Review �SafeHaven of Tarrant Homelessness Prevention and Shelter County Special Needs Support Operations/Services �TOTAL ESG CONTRACTS All figures have been rounded to the nearest dollar for presentation purposes. Page 5 of 5 ��$569,632.00� 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. �6��_1��7:7Ji/_��[�PIL��:i�l�C�_��[�]`F The Director of Finance certifies that upon approval of the above recommendations and adoption of the attached appropriation ordinance, funds will be available in the current operating budget, as appropriated, of the Grants Operating Federal Fund. The Neighborhood Services Department (and Financial Management Services) will be responsible for the collection and deposit of funds due to the City. Prior to an expenditure being incurred, the Neighborhood Services Department has the responsibility to validate the availability of funds. These are reimbursement grants. TO Fund Department Account Project Program Activity Budget Reference # Amount ID ID � Year (Chartfield 2) FROM Fund Department Account Project ID , I ID Submitted for Citv Manaqer's Office bv: Program Activity Budget � Reference # Amount Year (Chartfield 2) Dana Burghdoff (8018) Oriqinatinq Deaartment Head: Additional Information Contact: ATTACHMENTS Kacey Bess (8187) Juliet Moses (6203) http://apps.cfwnet.org/council_packet/mc_review.asp?ID=33536&councildate=8/12/2025 9/26/2025 CERTIFICATE OF INTERESTED PARTIES Complete Nos. 1- 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Camp Fire First Texas Fort Worth, TX United States 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. City of Fort Worth FORM 1295 1 of 1 OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2025-1271568 Date Filed: 02/19/2025 Date Acknowledged: g Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. N SD25-001 2025-2026 PSA RFP (CDBG) Nature of interest 4 Name of Interested Party City, State, Country (place of business) (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. 6 UNSWORN DECLARATION My name is Brian Miller My address is 2700 Meacham Blvd. (street) ❑X , and my date of birth is September 19, 1972 , Fort Worth (city) , TX , 76137 , USA (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in Tarrant County, State of Texas , on the � 9 day of February , 20 25 . (month) (year) � ,I� / �i �V� Signature of auNiorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V4.1.0.5dd2ace2 ��RT�OI�TH�� City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name Camp Fire FirstTexas Subject of the Agreement: This agreement is between the City and the above mentioned agency who has been awarded $62,184.00 fortheirYouth Development Services program, Teens in Action, to serve 180 unduplicated low-to-moderate income Fort Worth clients from October 1, 2025 to September 30, 2026 M&C Approved by the Council? * Yes ❑✓ No ❑ If so, the M&C must be attachecl to the cont�act. Is this an Amendment to an Existing contract? Yes ❑ No ❑✓ N/A If so, p�ovide the original contract nurnber and the amendment number. Is the Contract "Permanent"? *Yes ❑ No 0 If unsuNe, see back page fo� permanent cont�^act listing. Is this entire contract Confidentiial? *Yes ❑ No ❑✓ Ifonly specific info�mation is Confidentzal, please list what information is Confidential and the page it is loeated. N/A Effective Date: 01 october 2025 Expiration Date: 3o September 2026 If �different 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: Ifapplicable. N�A *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 nrocessin� 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 �eturned to the department.