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Home My WebLink About062209-A1 - General - Contract - Fort Worth Independent School District (FWISD)CSC No. 62209-A1 FIRST AMENDMENT TO FORT WORTH CITY SECRETARY CONTRACT NO. 62209 This First Amendment to Fort Worth City Secretary Contract No. 62209 ("Agreement") is made between the CITY OF FORT WORTH ("City") a Texas home-rule municipal corporation acting by and through its duly authorized Assistant City Manager, and FORT WORTH INDEPENDENT SCHOOL DISTRICT ("District") acting by and through its duly authorized Superintendent, each individually referred as a"Party" and collectively as the "Parties". WHEREAS, City and District entered into an Agreement identified as Fort Worth City Secretary Contract No. 62209 beginning October 1, 2024 ("Agreement"); WHEREAS, the Parties wish to amend the Agreement to replace the Budget Narrative in Exhibit B with a new Budget Narrative that includes the Fiscal Year 2026 and 2027 Budget; WHEREAS, the Parties wish to amend the Agreement to replace the Request For Reimbursement (RFR) form in Exhibit C with a new Request For Reimbursement (RFR) form that includes the Fiscal Year 2026 Budget; WHEREAS, the Parties wish to amend the Agreement to provide for future FY-specific budget documentation without amending the Agreement; WHEREAS, the Parties wish to amend the Agreement to provide for 4% annual increases to the Program Funds in accordance with M&C 25-1079; and WHEREAS, the Parties wish to amend the Agreement to increase the annual amount by $62,192.00 for Fiscal Year 2026 with a new total program fund of $1,616,992.00. NOW THEREFORE the Parties do hereby agree to the following: I. �FFICIAL RECORD AMENDMENT TO AGREEMENT CITY SECRETARY The Agreement is hereby amended to be and read as follows: FT. WORTH, TX A. Exhibit B— Budget Narrative, which is attached hereto and incorporated herein, is made a part of this Agreement for all purposes, replacing the previous Exhibit B's Budget Narrative. B. Section 5.16 of the Agreement is hereby added to be and read as follows: The Parties agree that the compensation amount ("Program Funds") payable each fiscal year is subject to appropriation by the relevant governing body(s) expending funds under the Agreement. Each iiscal year, City agrees to update the exhibits in accordance with the amount authorized under the relevant M&C. Such updates shall be provided to First Amendment to Fort Worth City Secretary Contract No. 62209 Page 1 of 16 Contractor and incorporated by reference herein without necessitating an amendment to the Agreement. All documentation provided hereunder shall be retained for the three-year audit period pursuant to Section 7. C. Section 5 of the Agreement is amended as follows: 5. Pr��ram Funds 5.1 In no event shall the total distribution from City made to the District during the Term of this Agreement exceed the total sum of $1,616,992.00 F Y 2 0 2 6 an d $1,681,671.68 FY2027, as appropriated annually per fiscal year ("Program Funds"). D. Exhibit C— Request For Reimbursement (RFR), which is attached hereto and incorporated herein, is made a part of this Agreement for all purposes, replacing the previous Exhibit C's Request For Reimbursement (RFR). II. ALL OTHER TERMS SHALL REMAIN THE SAME All other provisions of Agreement which are not eXpressly amended herein shall remain in full force and effect. III. ELECTRONIC SIGNATURE This Amendment and Renewal may be executed in multiple counterparts, each of which shall be an original and all of which shall constitute one and the same instrument. A facsimile copy or computer image, such as a PDF or tiff image, or a signature, shall be treated as and shall have the same effect as anoriginal. [SIGNATURE PAGE FOLLOWS] First Amendment to Fort Worth City Secretary Contract No. 62209 Page 2 of 16 IN WITNESS WHEREOF, the Parties hereto have executed this amendment to be effective the day the Assistant City Manager signs it. ACCEPTED AND AGREED: CITY OF FORT WORTH �� By: Name: William Johnson Title: Assistant City Manager Date: 02�� 0�2�26 APPROVAL RECOMMENDED: B�7; Davjd C�arabaJ'7(�b 1Q 2026 04:39:37 CST) Name: David Carabajal Title: Executive Assistant Chief ATTEST: � /, � By. �. Name: Jannette S. Goodall Title: City Secretary FORT WORTH INDEPENDENT SCHOOL DISCTRICT B � a� C. r��.a-cZ Name: Dr. aren Molinarl Title: Superintendent Date: 01 /21 /2026 �FFICIAL RECORD CITY SECRETARY FT. WORTH, TX CONTRACT COMPLIANCE MANAGER: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. By: � s� Name: Jaycee Shane Title: CCPD Partners Manager APPROVED AS TO FORM AND LEGALITY: By: �� Name: Keanan M. Hall Title: Sr. Assistant City Attorney CONTRACT AUTHORIZATION: M&C: 25-1079 Date Approved: 11/18/2025 nn 4FORr°°ca �a �°°o eoa�oada 0 �'= 09�10 OV= o=d pdp* o 0o sd OdaIl nE4p5o4a Form 1295 Certification No.: N/A AA 12/9/2025 First Amendment to Fort Worth City Secretary Contract No. 62209 Page 3 of 16 EXHIBIT B — BUDGET NARRATIVE {'r�e C o-atra soo rre�e¢nao �]lstrirr li�ss:o� P�rmees ��I7 H - Sodgel � arratise _kGEtif �" w �itfE __.r-Rg�__'_.l_T7__.iTT�". :_?11_T_'i %.�_�: 1�.._Sr.=.•� �iTG l�aP] 3�Lk3. }�]l-C3 � ... .- ,�.-. : i�.: .� .. ..:�i... - :i.._.�.� -. . - � i :i_...i_.�. iM1�_. .-i:.._..-.. ... .. _.,ii�aq�:s�..!kf.ic..".�__.:,.i,:a., n...i_' 'c.l�nc_.I�_.i rn��Sn�a�t�u��i�r.uclr_v�� u[ar,:J�K;.-_..��o'.c�u.u. :yhr�.,_::..II'7 '� r��:�,� ,�,.,�,m.i,.�5��r,�.� .s � .�.: ��,��.,,,W��s�e��,R,��,�ll�l' �x� ��x �,rsx.+��,o.�m r,vc,��rxo:,�,�rm�nm��sF�� +s.r �:� 58.'!p.qC 536S.G04.aG saa�,�r.o-: ��;.cc:.:;. iri�c f 1'.: wJuib ve i�� [:Ir4c tti H�LIirC FkySi� Fti i�ud 'L 7LUud F_S W l Tctc F_i.Tn Sm.:4� RY.a k.xi.E5�19. 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S`,S.L�� I 4?i,?:5=•_� I i?:.Si%.;r 5�"C:� � SSi":'.^. ili.`,iC^m c::.'��! 5�.�_:'J.' �_ 5:1.'�'s �}� 5:�..zl __' :�. _Y'.. � �� 31.C68.�-FE..�P I 36i6.^_ �i.ti+P I 5&'S.'_';.:; First Amendment to Fort Worth City Secretary Contract No. 62209 Page 4 of 16 First Amendment to Fort Worth City Secretary Contract No. 62209 Page 5 of 16 r�cv�i�u� DESCRIPTION/JUSTIFICATION A: SALARY 1 Slte Supervisor (59,600), 3 Specialisls ($16,200) and 1 Certified. FWISD Teacher($3,955): Sile supervisor hourly rate of $20.00; Specialists Hourly rate of $15; Teacher hourly rate of 835 113 Direct Prog2m Oays from Tuesday, September 2, 2025 - May 14, 2026; 2.5 hour from Sthoo! dismissal; 120 days for Slte Supervisor & Specialists; 113 days for Teachers 3 sites (LAN JT White ES, LAN Foresl Oak MS and Charles Nash ES) will recerve 530K and leverage the funds with additional funds from LAN; LAN will allocate $40K per site; will utilize funds for Teacher and Specialist Compensation; 3 Specialists (3 PT X$15Ihr x 3 hourslday x 120 days inlcuding training =$16,200) and 1 Certified, FW ISD Teacher (1 teacher x 1 hour x113 days = 83.9551 This eKpense relates to Projett Plan activities 1 1-1.4. B. FRINGE Fringe for employees Usted above. Rate may be cbser to 20% tor Sile Supervisor and Spetialisls; Rate forTeacher may be closer to 13 % for avergaing. This expense relates to Pro�ect Plan activit�es 1.1-1.4. C.TRAVEL Educal(onalexcursions for students f 13x5500= 565001; Trips to City Hall lor Councii meetings and FW ISD Board Room for Trustees meetings; FW Zoo, FW Museum of Science and History, BRIT, etc. This expense supports CCMR and otherclassroom lessons by albwing students to meetl expenence various professional indvivals and activites. This ��j�e�s8f��N�lo Prolect Plan activilies 1.1-1.4. atr�- E. SUPPLIES Counsumable supplies for students (S40 per sludent X 50 participants per site) for program year, supplies might include balls for various sports; discs for disc golf and other sporting supphes. This expense inlcudes items such as paper, pencils, markers, papertowels, lissues, palnt, eta This may also include sports equipment such as footballs, soccer balls, volieyballs, eta This expense supports project plan activiites of daily program delivery, CCMR. Parent Engagement and Homewrok Asslstance. This expense relates to Project Plan Acfivi�ies 1.1-1.4. \F. CONSULTINGlCONTRACTING Various partial providers for Fine arts, perfwming arts, STEM activities, SEL activilies, etc. Vetted Vendors will provide partial services such as fine arts, college preparedness, Social and Emotional Leaming courses. Each Full Service provider has utilized their own procurement processes to identify partial service providers. Full Service providers utilize many of the same provlders as FW ISD such as Unlimited Education and Sports, En Pointe Muvmen� Dance, Pura Vida and other small organizations. Program costs range from $45/ hour to $245/ hour and typically depend on the number of participants, duration of activity, Irequency and range of activilies. All these factors are considered when making a program decision to contract with a vendor. This expense supports CCMR and Daily Program DeliveN Ca, SUB-GRANTS H.00CUPANCY - - —:. ._. INDIRECT This expense covers all indirect costs. Sub-grantee's allowable percent for indirect expenses. Follows Federal and State grant guldelines allowable for HCM, Accounting, Payroll and olher consumable o�ce supplies. This expense relates to project plan activities 1.1- 1.4. YMCA Sites (12 Sites): O, McRae ES, Rufino Mendoza ES, Sam Rosen ES. LAN Forest Oak MS, LAN JT White ES, MH Moore ES, Charles Nash ES, Luella Merrett ES, Washington Heights ES, Lowery Road ES, Van ZandbGuinn ES, Carroll Peak ES 9.00 School Sites $29,755.00 � $267,795.00 3.00 19.96% Site 12.00 Site 12.00 Site 12.00 Site i 1 — i � 0.101 $0.00 $20,155.00 $60,465.00 � �o.o� 80.00 $ 328,260.00 565,523.94 50.00 $ 500.00 $6,000,00 I sa.oc so.oc $ 2,000.00 $24,000.00 $ 2,000.00 S24,000.00 I so.00 � 50.00 $ 447,783.94 I $44,778.06 ' Crime Control and Prevention District Sua vrcrvv �HIscNCY NAME (Partners wim a ahared Missio�l Insfreictions: Complele with itemrzed detail each expense requiring CCPD fi�nds for each D-Gianf Awa�d reauesfed. Agencies may utilize this spreadshee! and copy into separa[e tabs for multiple awards. Submitting a Sub-Granf Award 8udget also requves a Memorandum of Understand/no thaf outlines the roleshesponsibildies, budget, and controls in place to ensure compliance wifh CCPD policy and procedure FY26 School Site List Instructions: Please list each FY2026 CCPD funded site under the sub-grant agreements. Provide the full name of the school, site contact name, email, and phone number for each funded site. Carroll Peak ES Rufino Mendoza ES � Luella Merrett ES MH Moore ES Nash, Charles E. ES I Washington Heights ES � D. McRae ES Lowery Road ES Sam Rosen ES lA @ lohn T White ES LA @ Forest Oak MS Van Zandt-Guinn ES ._ "—'_s. . '"i`'P`r�'iF:'�-l�•:iiK_.e�.A�_'_�"'_' �_ erenda Martinez Srnariiner(avmca.org erenda Martinez BmartmezCa�vmca.org Brenda Martinez Bmarunez� mv__ ca•Qrg Brenda Martinez Bmartinez(a�vmca.org Brenda Martinez Bmartinez(dvmca.org Brenda Martinez BmartinezCa)vmca.org Brenda Martinez Bmartinez a�ymca�olg Brenda Martinez Bmartinez a�yrt�ca.org Brenda Martinez Bmartinez alymca.org Brenda Martinez Bmartinez(dvmca.org Brenda Martinez BmartinezCa�y rr ita.o� Brenda Martinez Bmartmez mc rg . . ' ti "' �' � _ _' 817.814.0700 817.814.4700 817.815.6600 817.815.0600 817.814.9400 817.815.0700 817.814.0400 817.815.4700 817.815.4500 817.814.7900 817.815.8200 817.815.2000 1 FWAS Maintains a"Live" list of all sub-grantee staff. Site supervisors for each of the sites listed on this and subsequent pages are likely to change for the fall semester. Crirne Contral ancl Peeventkork Districc SIIB GRANT AGENCY NAME {Partnefs with a 5hared Missionj fnatruc[ions: Ccmpfete wiFh ifemrzed defaileach exFenae r�quieing CCPrJ fvnds for each.Suh-GranEAward retraested. Agencve� rrray u:ifze Olris ❑,v.�eadcheef ard �ropfrnfoseparafe taba forr.�vfrrple aNardc. �vbmrt?inga Su6-GFarf.4ward 8udgs'afry requ�res a Memorandum oFU.adeestandina !hat au!J�ne: 4re rore.:•i�,:ponar6rir!ias, cuage., ano aanincla rn pfaca tc e�cura eompNance w+h CCP� po7ioy a,�o araa=dura. DES C F�� PT� ON �J LST 1= I C�,T 104 ::L.4`1Ti � - CUA4T!TY qiE45L�E �.47E TO-A.L RE V� R. SAL..4��r � ;�te 3 ;=_r;=�-!$g.��y, 3 Soec�a:istsi3�3.2C�land 7CerJfied,=yVi56Te�cher f53,AE5:; 5€[e =_�cer:;=.c�r ho�riy rate of �-C�.CC; 3pecialisL= Hau�y ra�e cf 515: Teacher ho��riy ra;e af S35 1'3 �irect'ro7ram Qaps Yam 7uesday, Sep'ember2. 2'�25 - M.;y 1a, 2�28; �.F hourfram scS�ool dismissai: 12� days �rSite Supervis�r 3, Spacialists; 112 daysforTeachers 1 sRE IL�,N Como E3l will receiwz 53UYi and laveragetha funds wi�h additianai fundsfrQm L4N; LAh will a!IoaaSe S4�a15 per si;.e; w�ll ualize �ends forTeacher �� gpQGiaiisi Cvmpensat�on; 3 Speciaiists f3 �T SC S 1 Elhr x 3 hoursfday x 1�0 days inlcuding trainina = S;B,"c6'�y and 1 Cer'.ifirJ, �'NISQ Teacher i`[eaoherx ? hvur zF13 days =53 2�51 `his experse relates ta �rc;ec: Plan acEivi'.�as 1.1-1.4 Z.VC 52G,15�.�❑ 52�,155..C�6 SO_06 C�C � 8. FRIFdGE Frmga "roram.p!a��ees i�sned aho+.�e. Rate map be aloser :c 2'�4fr "r.srSi-e Supen�=_crana Spec�aiists: Ra:e forTe�a�ermay 6e claser�o 1�9E forat�erga�ng. This expense ralates to- PfVIBC? �12r1 dC4V14�5 1.1-1.A. c_ 7�.avFi EdUca:anal excursions Far s'udEnts f 13x��CC= S�5GG1: 7rips [o City �-lall �or Counvil meeangs and F'JUIS� @oard Room for ��vs-ees meet�ngs; FW Zoo, FW Museum of Scienae and His:ory, 6�17, eto. -M1i=_ =_kpans= s�pport=_ CCM� and oherala=_s�cam Jessons by aiiowing stUden-s -o �reet� s�pe: ierae a�a�ous pro�rss�onal indvwals and activites. �:�is expense relatesta PralPc-''an aa7vitie=_ 1.1-1. S. D_ EQ411Pk�f£iJ'F 58.�2964 Site 3 ?9.885.�3G � I 3.�0 Sit=_ E. S:JPPLJES � Cv�nsuma6:e supp�ies for s[udenss �54� per studen:X E� oa�i�ioans per siSe}for p�ogram y=_ar, supplies rrigh.inclUde hails 5orvar.ous spars, disas rord�ac gol.`anri other sponng supp�ies. Tnis expanse irlcudes items such as paper. penoi!s. markers. paper towe!s. vssues, pain:. eto Tr:i=_ may a�so includa sparts equipm�-nt such as Faom:.:�s, socoer balls, vollzy6alls. etc. This axpense supports project plan actiViites of daily pmgrarr delivery. CCM�, Parent �ngagemenc and Fomewrok Assistance This expe�se �ela=.es :o Fmject PIan.4oLwGes'.1 '.9. �, C4NSUL�INGfC4HiRRCTiHG L'arious par�al providers;cr=ine ars. perfortn�ng a s. STEM aoc�vi�es. SEL act•ritcs. eta. Ve<—.ea Vendorewill pravide par_�ai sErr��s suoh a=_ Flr.e ars, college p�eparedness Soc�ai and Emobonal Leamir,g cour=_e=_. Ea�h Full Sarric� pmwder ha=_ uiilixed their vxn procurercent p+-ooesses to ident�fy partial seR��oa proriders. F�all Serviae pravidere �:iiize mar.yof the same provider=_ as FW15�1 such as Unlimi�d Ed�cation and Sports. En Pointe Muvmen� �ance. �ura V�da and othnr small organ�xatiors. Fmgram casts range Fro:n 34Fr hour� $i9�� hourand typicallydepentl on the numberof partic:pants, tluration Of3CIIYlIy, frequency and range vf activities_ All ihese ractors are cansidered when making a program. decision �o oortract wi�F� a vendor. Thia E%pE'154 5URR0!l5 CCw1R and �aiiy �eo�ram Deliver� G. SU6�RANYS 3-L OCCL]PANCY � � lµ�lR�CT --` 7hi� exoens= aouers all inairectacs�s. �Wh-�7ra�tee's ai�cwaci=_ peraem ior �ra�rect axpenses. Fe�lows Fn�eral ano S�te �rant guideiines aliawable far ��hS. ,Aacounting, Payroll and ct�er consumable ofFae supplies. 7his axpense reiates to prajec! plara ac�viEies �',F4'a' S,��s r3 Sitesi= LAN �.�on�o. G+�uala E�, �reen2�riar ES 3_90 Site Sohool S2ea 529.7°5.�0 S?9.5'O.CC 3A0 Site � � f fl_10F 5c. SO.00 5G_6G 514.3° 6.9� .�i�.� a S 9�0.00 515CC.�� "aO.00 SC' V C � $ 2,6��_00 $6AL*�.C� f S 2.6�'�.00 Sd,OG�.Q{] � � SC.Ca I I �c.ea 8'C6.�89_92 S10_60C.�R First Amendment to Fort Worth City Secretary Contract No. 62209 Page 8 of 16 FY26 School Site List Instructions: Please list each FY2026 CCPD funded site under the sub-grant agreements. Provide the full name of the school, site contact name, email, and phone number for each funded site. � ' �� `'=..iu�- ^��.,�i:i:�_ � -_ � �_ .., _ • . ' . LA @ Como ES �Monique Hill Monicauc. WiIILu�frot:roitlitexas.�;uv 817.392.5773 GreenbriarES Sheri Endsley ISh�r�.Er�dsb_v+«r,nT;�,"iri,cc::;,, eo�: 817342.5726 � DeZa�ala ES Sheri Endsley �Sheri.Endslev@frotworthtexas.t�ov 817392.5726 CriEne Conerol ai�d Prevention DisErict SUB Gi�ANT AGENCY NAME jPartners with a Shared Missian� Jnstruclrons: Camp�eie riah ifaem¢erf rietarl e3ch expense reQu�nnp CCPG f�,:xis for eac� 3ub-GrsneAwartr reqrrested, A,gencies Fr,ny uv�ize tf�is spreadsheet arul co�yinto se�3ra!e !abs tor mi7op� awarc{s. Suhr.ritbng � Su�GrantA4+vvd 8lcigei a?so riequrres a Ade�roratadum a{ Undersrsr�dir�o, rhar ouJrfes t'�e m+eshesponsibrli�es, budpe[, and cnnlro�s in p�aee .'0 Cf]SiJr� C4Ft7pif3P.L'2 wi:fi CCPC7 po+rey a�cf procedu�- d E � C RI?740hUJ 1J57! FI�A710Fi RE'JEFlUE QlJAP171T•� `�la �IvTI-�' FAEnSL1R� 1 Si:e S•�peav�sar; : FTx �2�]�our:�4 hou �i day:t S20 days including tra�nin•3 =�9.6�]OJ, 3 Speeialis� i3 P7 �: $15+hr x 3 hours+dayx 1?{}days inlcuding �ain�r� _�5G.�00; and I 4.4� Cartified, F4'4'IS� Teache-+1 �acher x 1 hour x1?3 dayg =$3.955; 113 6irecl Progran3 �ays �*om Tuasday, =�eptember 2, �fb25 - May 14, 2026; 2.5 hour from schoal dismis��i: 1?C• days for Sita Supen•isar & Speciatisis- 1 13 da;�s for Teacher.; Thts expense relanes to Project P{an actiti•iues 1.1-1.d_ B. FR3NGE F�inge for am��oyee� IisteC alpva. Ra[e r�ay ae clo ;ar to 20°G �or Site Supe�; isor and Special's�: #�ate for Teacher may be Goser m 43iG for avergaing. 7his expense rztate ; w Pralect r lan actix�ities 1.1-1.d. C.TRAVEL Educatonal excu:..�ns f�rst iderts [1x55�0=55001; 7rp� :o �ity Hall fcr Council meatirrgs erd FJriSL' Eoarc' Roarr: far 7Nstees n�4ng�: f'1'1 ?oo, FSN M.iseum �f Sderrce and His6ory, B�I'+. etc. This axpense aupports CCMR and other classroom lassons 4ty alio�n�ng sAiden�to n;�U'experience variou; professfona� indw•ivalv and aevr,tes. This expense reSatesio ProIect Flan acSiviCes i!-1? 6. EOUIPMEKF I E SffPPLIES Counsumak� � surp4ies far stu�ents ;$40 Rer student 7S 50 pardeipan� per si;ei for program yeae supplies might include 6ailv fbf 4'�fIOUs sports: di�cs ior disc golf �n� ather �por�rr� supp[ies. This exQense inlc4ides i[ems such �s paper, penc>Is, rnarlters, paper aowels. tissues, pairrt. etc. This n•�ay als� include rparts equipmen; such as footlaalss. socr�r 6alls. MolleyLalls, etc. Tl+is expense supparts project pJan activiines af dairy pra�ram de[ivery. CCMR, Parent En�3gemen2 and iiomewrok ?-ssi;lance. Tn�s expense relaSew ta Pro;ec1 Plan rctiviies 1. z-1 6. F_ COKiSllLTlIVG1COHTRACTII�FG '•;arou� �3fa1I Pf6•ridsrs For Fine arts. pertorn:r; ar�. �:TE41 �cbwi:es, SE� actiwities. etc. ':ett� :�endors will G'o�: ide partial �en�ces s�c� aa �rF arts, coileae preparadness, �ocial 3ryd EmotionaF Lzarning courses. Each F��I Servirr Yr��rideFhas u:li�ed their own procuren�,:nt processes � lderrtiiy partial �rvioe providers. full SeR•ice pro•riders u�li�e n3any oi tl�e same provide� as FW1Sff such as tJnlimaed Educaaon snd Sparts. En Pointe Mu,rmentz �artce. Pura �rida and otner small Qrgani�atlons. Prograrn c�sts range irom $4� hour to 5�4`J hovr and fypicaSly deper�l ort the nun;l}er of participants. duration oi acfi�it�j, frt�uency an¢ range of ac[ivities. All [f��.se fac[ors ara conside� ed when makirrg a program 3ecrsian ta contract u�ith a vendor. This expense s�pparis CCMR and Daily Program ❑�live.' �.. G. 5UB-�"RAJ+ITS H. 4iCCU�AhlCY �ao��c�€ This expens� erners all indirect ms�. �ul}gran[ee's allowable percent €or indiract expen;�s. Faflawwfedaral and S'.aie g�ant auiVe?inev ei'o�e!>le Por HCM.?vco°.intinq Pa�ol� ar�.: other consumable offic� � c�� i e„ -:' �'`rs :•.: z: s cc �;�:;�; r r.:c.�� :,�_.. �:i�; �.. �- G�ayton (4 �i�e�; �� °:1�.�, �i=i7 Fa-R ��, �,'.,::�•:��.�;�-c�s.. _:�. �:�ak, �,�ti°,�7 =�� 94.4G c 4.�{} 4.OU 4.�a C.1 R.:� -C?a_ 5�.�� 29,755A0 �119.424.04 56_C�6 �o_oo �4.04 S 115 ��.�� 5�3.'�a 1�. 5�. C�.• � soo.00 S=,C•GL'.G� � t � $d.OG� $O.QG� $ 2.{}Q�.DO �S.L�7[}.�{} � z.�ffo.00 sa,�.�a i � � �J.�' _ I I s� �� s,:�.��ak� s��,a��.e� First Amendment to Fort Worth City Secretary Contract No. 62209 Page 10 of 16 FY26 Sthavl Site tisi €nstructions: Please list ea�h FY2CZ6 tiCad funded site undeethe su6-grant ageeernentr_ Pro+nde ti�eful� �ar.ie of :F.e s�hoo4, site conta�t nari�, email, and pho�e .__'.� each funded site. . . . - ;,�t "... _.,.�,.,._�.. ..,:. ...:�'. .. - _-... ::. _ . .. ._ . , � �. , Glen Park €S �Laura Stem :stern��!aytamouk�.or� 817_4�3.8888 x33�5 Meadot•1�rooa LS 'Laura 3tern .stern��Eavtonvouth ore 817_923.888$ x3345 OakEatUn ES Lau-aStern 'K�m±�t�a•�+or�vst` ord 817_a23.8888 x�345 YtvTLA Lauea 5terr -_ --- :ci dc�c, o ulr .��.doa�i x;�45 First Amendment to Fort Worth City Secretary Contract No. 62209 Page 11 of 16 Crirne Concrol and Preveniian �istrici SlFB Gl�ANT AGENCY NANEE (Partners wit#� a 5hared Mission� frrstruetro�rs; Cor�rafe� �vrfh i0ernized deta�! eaefir axpense requrn��g GCP� funds Y�r eacfi Sub-Grsnt Award reques#ed. Ageneies may uh7ize this sp�eadsheetar,n v�;y r+ate sa,carale?abs Far mul5p� awarc�s. Sutrrnitti�g a Su�Gra�tAv.+c�d 8u�1 �lso reqc�rres a A9emorandum af Ut�cfersia�adu�a ttrat vu[iines :he m;e:Jr�svonsibrlraes, bunpet, and conrrn�s rn place to ensur� carr;orrance wi�h CC�� pvtr�� mi �rocedure_ ��;C R I PTI OhL'JilS7iFICA i I DN REVEJVLEE 1 rita Su�ervisor? 5 FTx 520lho�rXd nou^s! dayx ��0 days i�rd�d�rr� tra�ning =�9,600�, 3 Special�s� (3 P7 �$15,'hr x 3 fr,�urslday x 1�^ �a�s inlcudi�g L�i�:rrg =$ 36.200; ar.e 1 i.MMfed. FW'ISJ Teacher 1�acher x`- hour x��3 daycY = i3.U55� 1 13 �irect Progran� aays �om Tu�day; ::epterr.ber 2, 2025 - May 14, �428: 2.5 houefrom schaal disrnis�aE: 1�6 daysfar5ite Superrisnr & Specia�i�ts- 113daysforTeachers This ekpense rels�s to Projec: Plan actiti�i6es 1.1-i_4 8. �R]NGE Fri�ge far ernpi��rees listed also:re. �ate ma;� 4.a cic�r �a 20� .`or �ite Supe-ri�or and Speci�l:s�: Ra�e for Teacher may be �loser io 13 ;6 for avergaing. This Expens�e relates 90 Prolect Plan ac�vities 1.1-1.d. C. TRA'.+FL Educa�onal axcv��ans fcr st�derts i 1 xS500=T�59�1; 7rips fo Cit� Hall fer Council niaebr�s anc FJk+!Sa Boaru Room for Trustses maetngs; f'1'J Zoa, FS^r' Mue,eun; �f SGer•ce and Hisfory, BR17, atc. This expertsa suppoits GCMR art3 ather da.sroom lessons I>y al6o+rring snidencs ta nsmt+ experience varitxis prnfes�ional indvivals and aca�ites. This =Npense rahateu� P�oec[ Pl�n atti.iues'±.?-1.4 6. EdU1PAA�F �]li+:hTl � � ME�ASLJ4E R.;� 'C7A't 5�. �•G •i � $25,755.�0 $29.?55_00 �IJANTff Y t.00� ;9.9G`t t.�{} � J_ E..Sf1PPLiES Caunsurnat�le aupolies far students E$dd per studena K 50 aarticica�r� per si�e) for pmgram year supplies might includa �a{Is far various �ports; discs �or disc golf and vtt�r vporlin� suppii�s. This expense inlc�des iter�s such as p�per, pencrls, rnarkers, pap�rb�,vets, tissue�, paint. etc. This may al� include sparts equiprnentsuch as foatl�alks. saccer balls, y�alleyl}alls_ etc. Thisexpen;�suppar� project plan acti4ii�sof daiiy progran•,detivery CCMR, Parent Engagemeni and Hornaw�uk A:,sis#a�ve. T'iis e;:Aense ralates Na F�}ac# Plsn Activiues 1.1-1.4. F. CONSULTINGfCO�T�C�]NG 'rariouv pardal proy� �ars [or Rr� arts, �riomuny ars. SIzM acdvi�es, SE� actiaitie� etc. 'v'etteb'�'endors �hiil provide partial sen�:ces such as �.r.e ar�; co�lege preparzdness, Sacial and Emotional Learning eousses. Each Fu415ervice �rovide� hauu�lizedtl�ei'4V.T. prncuren�nt prnce;ses tai�antliy partal serriae pro��iders. Full Serv�ce p�ro4iders uuliza n3any m the san� pro�didzr� w FV4'ISff such as Un�rn�ed �du�,tian a�� rparts_ En Pointe hfuvmentz �ance, Pura �.ida and a-�er small on�an�ations. Prngrarn cacts .�nge hom $451 frour 60 $�45+hour and t{�ica4ly depen� on the numl�er Qf participan#s, durzhon o� aerivity. freGuency arrd range of activi9es. .all these fs,tirors ara cansidered vrhert makin� a prngram decksion to corrtrac: widh a 4endor. This ex�ense �ppar� CCMft and Oaily Progran3 ❑..liue . _ G85��A#ITS � H. 4CCUPAPJCY � INd1FiECT This ex�nsa ca,rers all �nCirec4 ca:�. SuL-grarrtee's allowai�le percei7t For indirect expenses_ � Fo!lewy Federal a�d ��,:��e g-ant pui�e'ines 2!�t �5a1>le `or HC',�, 3ccrl��t,no P�}�ol� �nA oU-er c��sumabla �aflfe� �tq�� •! .s - : �:.-. . : : . t: � :. �. . . _, . c.- :.. t . :i �c '. . - �an;p ��re f' ��;:=, G 4�°��:,�;ci r i�� 1AQ � 5i�_6C �0.40 $0_dd � ��.7`5 G4 55,53�.5C SG.� a soo_aa sson_oa �0. dd � �0. dd E ! $ 2.{}6Q.40 52,06�.04 � 2. a?C�.44 52, U[}6.06 � � � S�.r.�. � � � SL."v6 � 44154.44 S=.G1�.4C �.ae� � First Amendment to Fort Worth City Secretary Contract No. 62209 Page 12 of 16 Frxbsrh000 sPte ust =nstructions: Please IrskeacE� Fh ,.... a.. ��.�ncled site und�er tha su�grant agreeinenis. Provide t�r,z ivil name ai the st[000l, site torna€t name, �r.;ad. and �ho:�e numhee for ea€h funded sike. IiamandFsiii�s j:azm�neiewis Jaamine�[ampfirefw.or� ¢L7.R31.2�11x14� � I First Amendment to Fort Worth City Secretary Contract No. 62209 Page 13 of 16 �rime Control �i�d Prevention Oistrict SUS G�2ANT AGENCY NAI4�E jPartners with �e Shared �4lission� +ns[ructrans: Camp�er� wr+h itenu*eri der�;1 eac"rr expense reQurrrnp CCPLI h�frds far each 5ub•Gr�sr�[Awar�7 rep�ested. Ayencies mo-y u�1ze 8fus s�•earisheet arrd copy rnto separ��e 1�bs R�rm,r,��e awar�a_ S�bmitt+rp s Sub-GrntAw�rd 8�•ci�er als� rt�qur�es a Memorandc�m of (lndeeslarrdirio thst out��nes t�7e ro+eshespons�Grriries, budget aruf c�omin�s in p�ace ;o ensure camp+rance x4a`a CCPO pvlr�y aref ��oeedu�. dESCRIP?EON1JlJSiIFIC.414h4 •�U.;I•171T'r' :�UAf:TI-" Rµ� 7U?AL F.IEASUR� I�EVQ�JUE I I I I � C•. � A. SAu1RY I Six Sti�,arvisar;' FT3 520�ourX4 hou=sld3�x E2� days incl�idin; training =59.8�]Oi, 3 Specialis� i3 ?T ti 5'Srhr �E 3 haur�+day x 1�G da�� inlcuding �ain�i:= _�;6 200; anv 1 1.0"v Certrfied, FS^lISD Teac�er f1 �acher x� hour .� 1 i3 da�� _�3.955! 113 6irecz Program �ays ixom Tiresday, °.eptemiser 2, _b25 - May 1d, 2028; 2_5 hour from school dismissaf: 12U days for Si[e Supentiscr & Speciali;.�. 113 days for �eaehers This e:t�rse rela�es to Pro�ect Plan 3c�vi�es 1.1-7.4. B. Fft3NGE F�inge for eniployees iisted al�av�. Ra[e may be clo ;�.r 60 2�]96 for Site Suparvisor and Speciali��: ftaYe fee Teacher may ue Goser �0 1�°a far a.ergaing. ihis expense ret3tes io Pra�ectPlan actvities 1.1-i.d. C. TRA1+Fi Educa�onal exctir�;�ns forshidents i1x$SOd=;500i, �rp� ��iiy Hall for Coun:il rneeangs ar.d F�N!SD 6oar� R�n:far-n;�tees n;�Engs; F'A' =oo. F4N Mu:yevn; af Scierce and HisL�r+, BRI-, etc. This axpense supports CCMR ar� other clausroom lessons lryr al.owin� s:�den� to n;�U' experience various professionai indt�ivals and actintes. This eKpense rebatesro ProI'ect Plan 3ctivitles S 1-1.4 f}. EOUIPMEFFf E S€IPPLiES Caunsuma4y:� supp4iev far st��ents {$4d per student?C 5a partieipan� per si;e � for program year supplies migh[ include bally f4f k�3fI0U,", sports: divcs For disc golf an� other spar�rry su�p[ies. This expense inlctides items such �s paper, percrls, niarkers, paper bowe�s, tissues, pairrt. e[c. This n•�ay als� include spar4s equi�men; sucY� as footl�lks. ;occae ball�. ualley4�alls, etc. Tl�is expense supports project plan activii�s of daify pra�n� de�r,+ery. CCMR, parent Engagemeni and i iomewrok Ps: dstance. This e�p=nse relates ta Pro;ec� Plan Acfivi#�; 1.�_1.4. F. con�su�n�crcon�r�,acr�r�� 'Jariouupar�31 prrniders Eor Fine arts, �rforrnir.g arw, S7EM activi�es, SEL acti4i[ies. e[c. 'v'ett� :�endors will provide partal sen�ceu such as ��re arts, college praparedness, Social and Ernotiona4 Lzarning cour:Ps. Each Fuil Serviex �ro•lider ha, utihzed their own procuran�,:nt proce;ses a� iderrbiy partial :�:vice providers. full Sen�ice providers ualiie n3any oitl7e same provide� as FW1S9 such astJnlim�led Educaaan an� Sports. En Pointe Muvmentz �3rtce, Pura'�ida �nd omer small agan�atlon�. Program c�sts �unge hom $4�+ haur fc 5�4�J ho�r and fypi�-�Sly deper�l art the nun;la=r of partici��nts. ��ration of acfr,riry, frt�uency an¢ range of activities. All [hP,.se factors are considered wher. makirtg a progeam dec>sian ta contract u�iln a vendor. This expense s�p�ar� CCMR and �aily Program ❑elive.' �.. G. 5UB-URAJ+fTS H: OCCIJPA[+lCY �eo�REcr Tnis expersa raw�ers all �ndir=ct oos�. �ulkgrantee'^ allowable percent for indiract expen:�s_ Fohlows Federal 3.7d 5'3-a �-ant gui�a�i�e� ;I�aSuaLle `or HCF�1. ��x,i�t�nq Pa;.�oP ar� other consumabla offir_ : , � . ; — _ - � -.._ - - :._. . , _. _ .. .. . -.... . _ . ..- - ��if�S �fIC. {� �:l'.v . i��3:' _�.,. tt�i':� � _ � 39.96:k � 1.�0 � � � � �.00 1.� G � i � $29,'S5_00 �2P.755.Od Sa.�{} $0 00 � �0_00 � �5."_�`..OG S`..v39.80 �C.CL� 5 504.�0 S5ffL.4� 50.00� $d.Cd� � z_�aa_oo �,oaa_�a I s �.�ffa.00 S?,6aG.aCr � �J.� � �L.�a F� dt� 1=dC�C� 4:,�19.d+J First Amendment to Fort Worth City Secretary Contract No. 62209 Page 14 of 16 Frzb schooi site l.ist Instructiona: Please Irst,.:,_, . ,_. �,._�_ funded s:te under the suFrarant agreernenCs. Peat�ide #hr iull name oi the s�[bool, s.ite �antact oame. �I!531I, 3f1� }I50•Lz numher'vreach funded sike. . . � . — :.�..._. ' � k7anu�l `ara ES�----- is�rar�atnEgada�sa�,� ada��adoErati��Eir�sinriarFant.a-=_ 3r}.6'9.5Ti55 � � I I First Amendment to Fort Worth City Secretary Contract No. 62209 Page 15 of 16 EXHIBIT C— REQUEST FOR REIMBURSEMENT (RFR) F(?RT ��lR'f �1 i'HI?kl i i rk I Hi �L .�II�iBki 76: B3 Eina�l: PS`: f ., farh� oQthtesas. �cti� liail: Roh $olen F4:6�c 5afet�� Can�3e� �tm C:��act Coni, La�ce 5pe:ialist Fu�ncial ��fana�en�ut Di•,i3icn 50i lz: est Feli� St. Fort T��artu T_ti +�:15 _� ;�e�s�e] � �^;L'L��Efi3 L �Ira:�l.YiM,� � =q�y�= ��yR�i� _�._�ts t��5 � 3� .�n�d� H �Ot�tsan- otai Ruere C'nsr E�n;n�; c Request Far �eirnb�•sement (i�FR) F-4- ti�3=6 .�7Il�D73i[1R� _i1�FOC4': �OIlt3Ct �V ama Plwne �itmtber: Fmul: Remit .�d�e�ss: Iu�roace �ti�nber: �i��n �� ti�:t: Fort ii-orth Endependent St�aol Dis h�€t ��}3if� �.ki'fl7 di. alti._� �� h. �el.Ga:oiai4:3�innsa.Ga � . .., tlt� \��Rm114 �a�� R"arth 3� To112 _3 li;; .. 5 ^45,Odd.00 � S 91,S13A9 j S 11,S3dA0 I , s :i.i:o_�a ': s ii,iao-Ao7 S S?6,27d_OU � 5 1 616 u42� S EoagerLste�orr f an�det_�mn�[ I}IRE[r Go5T5 [aU�n �ra�a�, B �� IotsL of Fi¢siaas - - - I (�-f? nILE ��09[}1�5 FiP�G6.R�2aC3 p,„ TO[.YE RP1]YPSEL'd i�OF� �y0lS[ =��3iB �� S s � s 5 S - � - L ��c z c osrs �i�ati az�� g [ r�orr�;a� ��, Re�6�emene � f2e9oe#�ed °� � � {_�-D) �Q� �8�80[F �F91�9GLF - 5 a95,46U_OL� - S 91,818.00� - � s ii�=a_ne _ '$ _ - � 5 31,1 W.40 - S 11r44_GG - S 87E�?1.OG D E C$� h � �-�-n7 r8mi��.��a �� io-Ua[t �r�bLe lu«,,,�..��.1� tu�� i i � 5 5t�oc[�edocu . _ i� ....:�i9hls'xecw�. S�rs: SBeRN7PdP:f�Fi.' F.L'�^I�':T=Q.'.7P':L1A712�G� fi��e -a-f]Bud�c � 1.SF�}.Od Preivas� F�que>3 �. ' T�is I��quEs;. � - To-�lPet�ie>�eaIo-7sae � - gcMuin;�a F�; S i.414.992.Od Ihm-e a�zawad ., i.�, . �? c��trfj r�eaf rhas� iisred axpieru�s m�d ��.... � ,. � a�ranori ax�e nrc�iml� �a-ixed S,�atcz�}- S� �aror.c ii`� Axt=_ �isra l _5igen t L�;e Ooh- Purr�asr �rder � i Fared D_pc � .i:a9xn? I I av ent or� not •ae J Rvi ic.uad bs: .}a�rrnai Ln : C�rm 5 sff "s�fxanue aa.e Cfi-�s Sw'.FSi�rurE Dsre =:naa�z 1Z�13-ad Snr� Flz�ed��on� First Amendment to Fort Worth City Secretary Contract No. 62209 Page 16 of 16 M&C Review CITY� COUNCIL AGEND Create New From This M&C DATE: 11/18/2025 REFERENCE **M&C 25- N O.: 1079 LOG NAME: CODE: C TYPE: CONSENT PUBLIC HEARING: Page 1 of 3 Official site of the City of Fort Worth, Texas FO RT'��'0 RT H �"T,�- 35CCPD GRANT AMENDMENTS AFTER- SCHOOL PRIORITY PROGRAMS NO SUBJECT: (ALL) Authorize Execution of Amendments to the Agreements with Fort Worth, Keller, Crowley, and White Settlement Independent School Districts, the Boys & Girls Club of Greater Tarrant County, and United Community Centers, Inc. to Allow a 4% Annual Increase of Funding for Operation of After-School Programs for Fiscal Years 2026 and 2027 in a Combined Additional Amount Up to $200,201.65, Consisting of Up to $98,138.06 for Fiscal Year 2026 and $102,063.59 for Fiscal Year 2027, for a New Combined Total of $5,205,242.81 RECOMMENDATION: It is recommended that the City Council authorize execution of amendments to the agreements with Fort Worth, Keller, Crowley, and White Settlement Independent School Districts, the Boys & Girls Club of Greater Tarrant County, and United Community Centers, Inc. to allow a 4\% annual increase of funding for the operation of after-school programs for Fiscal Years 2026 and 2027, in a combined additional amount up to $200,201.65, consisting of up to $98,138.06 for Fiscal Year 2026 and $102,063.59 for Fiscal Year 2027, for a new combined total of $5,205,242.81. I �] E.'�d�I+'�.'i [�] `F On September 17, 2024, Council approved three Mayor & Council Communications (M&C) authorizing Crime Control and Prevention District (CCPD) funded contracts with six agencies to continue their respective programs related to after-school program initiatives. M&C 24-0763 authorized contracts with Fort Worth, Keller, Crowley, and White Settlement Independent School Districts (ISDs) in a combined amount up to $1,911,300.00 to continue operation of after-school programs at selected schools within City boundaries. M&C 24-0764 authorized a contract with the Boys & Girls Club of Greater Tarrant County, Inc. (Boys & Girls Club) in an amount up to $367,189.94 to continue operations of the Safe Haven Youth Program at its facilities. M&C 24-0766 authorized a contract with United Community Centers, Inc. (UCC) in an amount up to $174,961.61 to continue operation of the Safe Haven Youth Program at the Bethlehem Community Center. The approved agreements allowed for a 3-year contract set to begin October 1, 2024, and end on December 31, 2027. The Fort Worth, Keller, Crowley, and White Settlement ISDs, the Boys & Girls Club, and UCC are six of CCPD's Mission Partners, agencies which are identified by both the Fort Worth Police Department and the CCPD Board to have priorities requiring ongoing development and investment. Due to this status, these contracts receive a base grant fund amount with a 4\% annual increase of funding each Fiscal Year (FY) of the contract term. When M&C's 24-0763, 24-0764 and 24-0766 were approved, the 4\% annual increase was not included. The purpose of this M&C is to authorize amendments to each of these Contracts to account for the 4\°/o annual increase for Fiscal Years 2026 and 2027. http://apps.cfwnet.org/council�acket/mc review.asp?ID=33941&councildate=ll/18/2025 2/3/2026 M&C Review The 4\% annual increases and resulting contract amounts for each entity are as follows Page 2 of 3 Combined FY26 FY26 FY27 FY27 total Combined Entity Increase Revised increase up Revised increase total (both up to Total to Total (both FYs) FYs) up to IFSoD WorthIl�62,192.0011$1,616,992.00II$64,679.68 II$1,681,671.68II$126,871.68II$3,298,663.68 �Keller ISD ��$5,980.00 ��$155,480.00 ��$6,219.20 ��$161,699.20 ��$12,199.20 ��$317,179.20 I Sro�wley II�5,980.00 $155,480.00 II$6,219.20 II$161,699.20 II$12,199.20 II$317,179.20 White Settlement $2,300.00 $59,800.00 $2,392.00 $62,192.00 $4,692.00 $121,992.00 ISD IBoys and $14,687.60II$381,877.54 I$15,275.10 II$397,152.64 II$29,962.70 II$779,030.18 Girls Club �UCC ��$6,998.46 ��$181,960.07 ��$7,278.41 ��$189,238.48 ��$14,278.41 ��$371,198.55 �Total ��$98,138.06��$2,551,589.61��$102,063.59��$2,653,653.20�� $200,201.65��$5,205,242.81 Funding is budgeted in the CCPD Community Based Fund for the FY26 Mission Partners Program project. Funding for Fiscal Year 2027 will be verified for availability when budgets for the Fiscal Year are determined. FISCAL INFORMATION/CERTIFICATION: The Director of Finance certifies that upon approval of the above recommendation funds are available in the current operating budget, as previously appropriated, and upon adoption of the Fiscal Year 2027 Budget by the City Council, funds will be available in the Fiscal Year 2027 Operating Budget, as appropriated, in the CCPD Community Based Fund for the FY26 Mission Partners Program. Prior to an expenditure being incurred, the Police Department has the responsibility to validate the availability of funds. � t�] Fund Department Account Project ID ID FROM Fund Department Account Project ID ID Submitted for Citv Manaaer's Office bv: Oriqinatinq Deaartment Head: Additional Information Contact: ATTACHMENTS BGC Safe Haven Form 1295.pdf (CFW Internal) Program Activity Budget Reference # Year (Chartfield 2) Program � Activity � Budget Year William Johnson (5806) Eddie Garcia (4212) Keith Morris (4243) Reference # (Chartfield 2) Amount Amount http://apps.cfwnet.org/council�acket/mc review.asp?ID=33941&councildate=ll/18/2025 2/3/2026 M&C Review Page 3 of 3 CCPD Mission Partners - After School Prioritv Proarams FY26 FID Table.xlsx (CFW Internal) S00188 FY26 Mission Partners Proaram PBS.pna. (CFw �nterna�) UCC Form 1295.qdf (CFW Internal) http://apps.cfwnet.org/council�acket/mc review.asp?ID=33941&councildate=ll/18/2025 2/3/2026 F�RT ��RTH�k� � City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: FORT WORTH INDEPENDENT SCHOOL DISTRICT Sub�eCt Of the Agreement: After School Program between 3 pm and 6 pm are necessary to support crime prevention in the City of Fort Worth during Fiscal Year 2025-2027 M&C Approved by the Council? * Yes 8 No ❑ If �so, the M&C must be attached to the contract. Is this an Amendment to an Existing contract? Yes 8 No ❑ 622o9-A� If �so, provide the original contract numbe� and the amendment numbe�. Is the Contract "PermanenY'? *Yes ❑ No 8 If �unsure, see back page for permanent contract listing. Is this entire contract Confidential? *Yes ❑ No 8 If only specific information is Confidential, please list what information is Confidential and the page it is located. Effective Date: 10/1/2024 Expiration Date: 12/31/2027 If different from the approval date. If applicable. Is a 1295 Form required? * Yes ❑ No 8 *If �so, please ensure it is attached to the approving M&C or attached to the contract. Proj ect Number: If applicable. *Did you include a Text field on the contract to add the City Secretary Contract (CSC) number? Yes � No ❑ Contracts need to be routed for CSO processin� in the followin� order: 1. Katherine Cenicola (Approver) 2. Jannette S. Goodall (Signer) 3. Allison Tidwell (Form Filler) *Indicates the information is required and if the information is not provided, the contract will be returned to the department.