HomeMy WebLinkAbout064739 - General - Contract - My Health, My Resources (MHMR) of Tarrant CountyDocusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
CSC No. 64739
5i1BGRA�IT AGREEM�NT BETWCEN TH� CITY �F F�RT WUHTH ANU MY
��EALTH, MY RESUURCES OF TARRANT C�UNTY F'�R ItEN�TAL ASSISTANCE
ANU ADMI:NISTRAT�QN
Ttiis SL]BGRANT AGR�;EMENT foi� renta! assistance artid aciministration �"Agreement"} is
rr�ade and erltered �nta �y and heiwee�� the �JTY aF FQRT Wi7RTI�, a Texas home rule
municipaiity {"City" or "Ham�less Strategies"}, and MY HEI�LTH, MY ItESUURCES DF
TAILItANT CUUNTY, a ur�it of lo�al ga�er:�ment in Texas {"Agency"}. City and Agen�y are
referred to indi�idually aS a"Party" and s�metimes coliectiveiy refe�•�•ed to as the "Parkies,"
RECITALS:
WHCRF�AS, it is a Lity goa4 t�� reduee horrtelessness;
VVHCREAS, tt�e City af I=aM Wonh i�ece:ved an award of $458,�25.OQ fi•flm the Texas
i3epat�trnent af �Iausir�g� and Carnmunity Af�'airs {"TDHCA"} through its Homeless
I-iausin� artd �er�ices P�•ogram ("i-I�-1SP");
WHEREAS, the purpnse afthe K�-ISP award is ta pravide assistance to reduce oi• pre�er�t
hamelessi�ess f'or adults;
i�HEREAS, the p�-avision of rental assistance is an eligible activity and in kine witii
Nameless Strategies gaals;
WHEREAS, the Agency csn pravide rer�taf assistance and �drninistratinn throu�h Hl-�5P
f�r at leasi 44 adults experie��ci�ig hn3nelessness during the cont�•act te3•m;
WHER�AS, tl�e Pa�-ties believe that the services will furtheE• the goals af Hnmeless
Strategies and desi��e [o �n�er �nto this Agi•eement i:i ❑rder ta set aut the terms, goals, and
:•es�onsihiiities of za�h Pai�ty,
N�W THERI:Ia�RE, the 1'arties for the mutuai considet•at'son in�luded hci•eir� agree to ente�• into
the f�j�lawing Ag�•eement.
AGREEMEIVT D�C[IMENTS:
The Ag:•eement d�cuments shall include t11e fallowing:
l. This Agreement far Rei�tal Assistai�ce and Adminisiratior•
2. i:xhibit "A" — Scope niSei-vices; QFFICIAL RECORD
3. CxE�ihit "B" — B�dget;
4. C:�hihit "C" — Reimhursement Itequest Farr�n CITY SECRETARY
FT. WORTH, TX
CiTY i]F F�R'� WUR'i'H
Agreemenf far MY NEALTH, MY 1��SQURCF U�' TAIZRANT CUIJNTY — RENTA[. ASSISTANC� ANI]
.ADM�IY�ST�tA7'1DN
P�ge 1 of 4G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
S. Exhi�it "D" --- Reporting Forms
b. Exhihit "E" -- Request fnr Sudget Modi�catian F�rm
7. Cxhit�it "F" -- Granf Requirements
8. �x!=i��it "G" — Executed Canh•act hetween Texas Ile�artrr�e�# of Housing and
Community AFfairs and City
9. Exl;i�i# "H" - Cer#ificatiar�
Exhihits "A", "B", "C", "D", "�", `'F", "G", and "H" which as•e attached he:'eta and
incarpoi�ated herein, are made a part ofthis Agre�ment fa�• all puip�fses. ln the event of any confliut
between the terms and canditions of Exhibits E�f�IT} i�B'� "�" �tD�� �iT" "�'°� ���x74 ai' "y�� d]]d
� v e e > >
the terms and conditions set farth in th� body of this Agreement, the terms and �onditions af this
Agreement shall c�ttt:•ol.
l. SC�IPE �F SERVICES.
l.l Agency shall p�•ovide City with rental assistance ar�d administrat'son in oi�der to reduce
tEte [:'sty's populaiion of homeless persans �"See-�ices"), w�i�h are more particu4arly described in
Exhih�r �°A" — Scape of Ser�i�e.
l :? Program Performan�e.
l.2.1 Agency agrees to maintaii� fulf documentation su}�po�-ting the perf��-mance of the
wa�-�C and fult7�Ii�ent af the ❑k�jecti�es set fo�•ih in �xhi�iit "A."
1.Z.2 Agency agrees ta provide a mQnt�fy re}�ort in #he form atlac�sed xs �xhibit "D"
tu dacument the pex•fo3•mance oFthe wGrlc described in Cxhibit "A".
1.2.3 A�e�cy agree� to provide a qua�-terly repor-t in t�e form attached as Ext�ihit °{U"
ta document the perfarmance ofthe wai•k described in Exhihit "A".
1.2.4 Agen�y agrees t�at the I�eimbursement Reqi�est Farm f"RF�F"} ancf rna��thly
repart wil] be st��:nitted ta City na later tiian the 1 Sth day after the end af ea�h �nonth. Agency
agrees that at the end of each quartei• {No�ember, Fehrua�y, May and August j, Agen�y shail a3so
pi�ovicie a quartei•ty t�epa:t with the ag�regatc infa�•maEian requested #ilerein a1Qng with its m�nthly
repoi�t a�ld reimhursement �-eques#. S�ou1d Agency nat be able t� meet these re�Eui�'ements in a
given mQ�rtth, the Agency shali p�'avide wr'itfen natification prior ta the deadline fhat cietails the
expected date of subm�ssion. [f no nati�cation is received befs��•e the � 5th clay, ti�e City �nay
document for future carre�tive action. If, 6y the �ast day a� the same month, Agency has not
subsr�itteti the rcq�iired repat-ts, Ci#.y wii3 send a non-complian�e lettes� notifyin� Agency's duly
authorized rep�•esentati�e af a passi6le sus�ensian of pi•ogram funding.
c�T�' Of+ TORT WORTH
Agreement for MY HCALTII, MY RFSaURC� �F TARRAiVT COUI�TY— ACNTAL ASS[STANCE Ai�U
ADMINiSTItA'I'�Q�f
�age Z of g5
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
I.2.5 Agency agrees to cti�r��ete a Correcti�e A�tion Plan {CAP} in the everit t�f t�c•ee
[3) conse�utave monti�s or six [5} non-�ansecutive ma�lths wifli in�amplete or ir�correcl
st�hmissians af a Reimhii�•se�ne�it ReqUest F�orrri ar repatrt. Agency a1sQ agrees ta carnplete a
Carrect�ve la,ct'son i'lan for reG;�2-rin� Iate st�btnissiasls of a Reimburser�t�ent Request Form or repart.
1.Z.G. Agency agrees to carr�ply with a�l requirements far perfarmance, elig�bikity, and
r�por�ing as desc�-ibed in Exhibit F—Grant Requieements.
a. TERM.
'Chis I�greement sizall I�egin on September 1, 2025 �"Effecti�e Date"} at�d shall expirc ar�
Aug�st 3l, �[72fa ["Lxpira�ion �3ate"}, uEilcss terminated ea►•l�es• in accordance with this
Ags-eement. City shalt ha�e the option, in its so�e discs•etias�, to i�enew this Agreement urider #he
same te�•sns a:ici coi�ditior�s, except Fo�• the carnpensatian am�unt which shall �e pro�ic�ed at the
time of the ret�ewa�, far 3 additional �-yeai� terms.
3. CUMPENSATIUN.
3. f City shall pay Age��cy in accordan�e with the provisions af this Agreement and
Tx�tibit "B" --- F3udget. Tatal payment made by City under this Elgreement shall nat exceed Four
Hundred Fifty-Eight Thausand and Four Hundred Twenty-Six Dollars (�45$,42G.4D}.
{"1'rogranr� Cunds"}, and sha�l he paid to Agen�y on a reimburs�ment basis. Agency shafl ��ot
perfo�•m any a�ditinnaf service5 for City ncrt spe�ified ioy this Agreement unless City requests and
app�•oves in w�-iting tl�e aciditional costs fo�• such sei•v��es. City shall not 6e iiable for any addit:o�iai
expenses inc��rred by Agency nat spec.i�ed by this Agreement ilnless �ity f:�-st a�pro�es such
expenses in w�•iting, IfCity dete�-rr�ines in its sole discretion that this Agreement shauld be re«ewed
as �rovicfed under Section 2 af t�lis A�reernent, ihe City shall provide an upc�ated �xhibit "B",
w]�ich sl�ali include tlte naf tr� exceed amount to be �aid ta 1lgency �n a reimbiirsernent basis during
ti�e renewal tes�m.
3.� Payment af' thc PE•ogi•am FUnds from �ity to Agen�y shal l�e made an a GQSt-
reim6ursement 6asks falfowing t�eceipt 6y City fi•arn Agen�y of a signed Reim6ui•semei}t Requesl
Form ("RRF"} as des�rii�ed in Exhi6it "C" along with copies oi all receipts and other suppo��ting
dac�mentiatioil. The RRF anci repaz-ts shalE he subrr�itted lo City na fater t}�an the I 5th day following
the end of'the month. Su�amittal af a rnanthly R]Z�' and �-epai�ts is required even if se�vices a�•e not
pravided.
3.3 The rnanthly RRF si�oufd be sequentially numbere� and incl�:de expense
docume��tatios� that is detailed, cfear and cc�ncise. All invaices shauid be sent ele�trQni�ally to thc
�irections Haine coa�'dinatoc• a�zd manages'. The invaice must contain the Follawing info�•rrtatian:
CiTY dF �'Q[2T WQ12TH
Agi•eement fnr MY H�AL,TH, MY ItESCI[1RCE Ui� TARHANT C�UNTY — RCIVTAL ASSI5TANLE A�VD
ADMINIS'['1tATlON
�age 3 of �G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
• Sup�lier Name ai�d A�€d:'ess;
• R�rnit to Su�z�lie�• Na�7�e atid 11ddr•ess, if�dif�fei•e�it;
+ ApplicaUle City Qe}�art�nc�it husiiless iinit# (i.e. FWd�ZJ
•�a�nplete City ❑F }�art Woi�th P❑ n�rnber {i.e, the PD n�smber
musl cc�c3cain all ��-ecedi�3� �e�•os};
• In�oice ��u�nber;
• lnvoice date; and
• lnvoices to be szib�nitted after de4i�ery af ti�e goocis ❑�- services.
I�eimburs�rnents wifl noi �e �nade ��s�til aftet• re�eipt af an acceptaE�le an� approved RRF
and rnnr�thiy repa�•t as re��}ired. Reimburse�nents shall k�� ir�ade within 3t7 days receipt of' said
documents. Incampletc or inc��rrect stiibmissians wi13 be c�eturr�ed to the Age��cy for restibmissian,
z�estarting the 3(]-day reimhursement scl�ediile.
3.4 AEzy modifi�ations ii� the ariginal a��3ro�ed bLtd�el rnust have prior written permissiars
from City befure tf�e �nodiiications as•e mad�. "f'he Budgei Madificati�n F�rm (Cxhib�t "r"} must
�e su6mitted, and �•eqt�est must �ae aJ�p�•a�e� �y City �nd'I�I7HCA as applicable, bef��-e a�iy motzey
€s movcd t❑ the 3ine-itcm. Unce the B►�dget Mac3i#�cation is appra�ed, the modificd bt�dgzt will
taite cff�ci on thc first day of t�e follo��vi�1� manth. Tlie ilew �nodified hudget shall nQt exs.eed t}tie
total xmotFnt c�f �ro�raE7z �'uiids. Agency shali be solely �•csponsiblc #'a�• any mor�ey s�ent in cxcess
❑f the nat to exceed amaunt incfuded i�1 this Agreement fos- thc tHet�-�uc•rcnt tei•En.
3.5 A�ency will docu�nent cost alloc�tions far aEl budgeted �xpe��s�s thraugf�aut the
er�tirety of tlte Elgreeme��t and will �e respar�si�le #'ot� having a pulEcy ar�ci procediire in place far
this dacument�ttion. Specif ically, �lgency �vilS �i�cument i�ow all shaz-ed costs, persannei time, or
ec�uip�net7t tl�tit was fuliy ar �a:•tially paid (or �tsii�g Cily f�unc�s, w���e used in fin'therance of the
p;•o�ra�n act'svities desc�'il�ed i�1 this Agreci�eiii. Dc�cumec�tatiori c�f t}�ese cast �Ilocatsqns, as well
as ri cr�}�y cafth� Agc.ncy's pnlicy ai�d proce�ures for the dncur�ie�it�tir�n afthe cost aIIQGatir3�i5 shal!
be ir�adc a�ailah3e to ilie: Lity «�S�i� ret�uest,
3,�, ��'iic Cily re5ervc:s the rigl7t ln rt�jeci any hudget m�dificatiUn thai the City believes, in
its sole �IlSCi'�LIOIl, is not clearly aiigned with the p:•o�;�•am activiti�s a�id aizy requests fo�•
reimburser�irnt �xpeilses that t��c City i�elieves, ii} its sole disc�•�tiU:i, are nuc speGified in �x��il�it
"D" Qf this �1g�•eement or an appro��d budget il�odif ica[ion farm.
3.7 Budgel adjustments shal] be si�bmi�tec� via emaii l0 1'ara.Pei�ez,Ccc�,forlwa�l��texas.go�.
a. 'I'EItM[NAT�[]N.
4. i. W�-itte�� N�tice. C ity ❑r A�eitcy may [e�'minate t}tis flgrce:rscitit at a��y ti�T�e artd for
ariy reasac� E�y pc•aviding tf7e ntl�er P�rty witk� GO days' written notice af te�•miFlation.
crrY nr �ra��r wa�zrti
Agreeme�t Tur MY HEAI,TN, MY R1150fJNCE �[� �'ARFtAN'l' C�UI�'!'Y — k2ENTAL ASS{S1`ANC'G ANQ
ADVI l N [STR�17'IlIN
P�ge � af �4fi
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
4,2 Dut€es and �f�li�ati�ns a1 tlte Pac-ties, li� the e�ent ti�at this Agrcc3ne:it is t�s��iiinatecJ
priar ta th� L;xpiration Date, City sltafl ��ay Agency fot� se�-vices actually rendei•ed up to the effe�tive
tiate of terrninatinn an�i Agency siiaZf �ontinue t� pravi�ie Cily with serviccs req��ested Uy �:it3� ai�d
i�i accardance with tf�is �l�reeinent up to the effecti�e date of lerniinatioi�, Upon teri��iriatiori nf
tl�is Agreerncz�t for any reasan, Age�tcy s��all ps-o�ide C:ity wiih copies of all c�7mpteted a�•partial�y
cai��pleted doctimeiits pt•�par�d un�e�• tliis A�:-eeirtent. ir� tf3e eve��l Agency i�as recei�ed a��ess to
City data as a �'et��rire��ent to per��rm ser�Fe�s hei•ctuzde�•, Agency st�all i�eti�rti all City-ps-��ided
dat� to City in a machi�le-�-eadahfe forinat or atl�es• iorrnat deerlicd a�ccptabl� to CiEy.
4.3 Non-a�prn�riation of l�tii�ds. En the e�eiil r7a tiinds o�- insuf€icie«t funds a�-e
a��prapriated �y (;ity in asly fiscal periQd far any ��ay�T7er�ts dtie lie��euizr�cz�, �r if �['T7i-iCA r'educes
tiie amount of f�u�ds �Ilocated ta City forttiis pro��•am, City wiil notify Agen�y oFsuch ❑ccus-rcr�ce
as sqon as �racticable and this Agreemcnt si�all terir�inate on the last day ❑f'tlze tis�al pc:•iod fo�•
which appro�riatior�s were rcCeiv�d with�rut penalty or ex�ense t� City �f�ar�y kind w��atsoevcr,
except as ta the partions af the payments hcrein agr�ed u�fan fot' whic4i izin�s have been
a�}�ropriated and 2•eceived l�y `C'�HCA.
�I.�4 Tet�minatian Relatet� lo Violatioi� afCanfide�itia�ity. If'�:ity i�as vio�ated �i rnatei-iai
terrn of' tile protected health i��formation p�•avisians conEa�ned herein, and }ias fai[ed ta cure or
irnples�ent c��rrect�ve or reir�e�ii�tl measu3-es to prcvent subseq��ent violatiuns af tlze prote�ted hcalth
infari�zatio�7 p�-ovisians wit�iiri 3fl days �ft�r �vs'itien notice #'rn�r� Agertcy, Agen�y shhlf ha�e the
i'ight ta i�eq�test amendi�ent to r�inn�e the p�•c�t�cted health inforii�atinn provisicsns anci any
inc�usian of protect�c� fiea�ih iitf��•matioi3 in ��e�crrting tr� the City. [n the evenl af sucf� reqticst to:�
amendrrse�lt, the Ciiy shall war•l� in gaad faitlz to incc�rporate sucl� revisians. !f City and Agency
cannot agree to a�z amendment, Agency sh�ll Izave the righl to immediately sus�end discl�sure of'
proiected health in#�ormation tci �ity.
5. DISCLDSUR�' (}f C�NFLICTS AND CL]i�FIDCNTIAL INF[]RMATI�N.
5.1 ❑iscio�t�re of Co��f�icls. Ag�Fi�y hereby re}�resents a:id war�•aitts tt� C'ity tl�at
A�en�y �zas made full disclasure in writing af any �xistin� or potential �t�ntlicis of interest related
io Ag�ncy's set'vices «r�der this AgreemerSt. in khe e�ent ihat any cant�icts aF inte�•est arise after
tiie Etfecti�e Datc ai� tliis Agrccc�ier�t, Age-ncy fle�•ek�y agrees ta �nake 1u11 discic�sui�e af� su�i�
conf7ict uf interest to City im�T�ediatcly ir� w:•itiizg.
S.� Con�identia! Infor�»ati«ri. Agency, fos- itseif and its officei•s, agerils and ernployees,
agi�ees t��at it shall [reat all infarmatiai-� pravided ta it (i} by City ["City Int'ormatia�"} as
confidei�tial a�id sllall e��t �isclose a�zy su�l� inforr-nation to a ti�irci pas-€y withaut City's pri���-written
appr�»al, arzd �ii} sha[I abide by a!l aftf�e standards of canfideiitiality of cliei�t infi3rmatin�i �"C�icnt
Inf'��•mati[�n"} in its �erForin<<►icc of its dutics a�id af�ligatinc�s tinder t11is Agreem���t in�[iidiil� 6u!
nac limited t� ch❑sc s�andards, riiles and regulations regarc�in�; con�de��tiaiity s'equire�i �y NMIS
aiid TCHC. Notwitl�st�3Fi{�lil� tI1C iii3QW�, lll� ]7�i1't1�5 &�C�C tjliiE �I�El14y ES Sllb��Ct iQ al7i� WlII L'�1T7�7IY
with all 3-cqt�ireme�ll5 af the Tcxas PuE�iic Irrfarmation Act, c31}ti (�ISCI�SU['�5 11TaC�e 111 GC7IIl�7Il'r1T1C�
witl� s�rr11 Act in�olvii}g City Informaiian and ClieFit i�lti�rmatioi� will itot be deemed a breacf� of
c�•rY ar•� roRT tivo�tT•�i
Agreerrient Tar NSY FlEAl�3'I�, MY RI:SCILIRCf UI� �ARRAN`f' C�UN`E'Y -- I7E's1�7'AL ASSESTANCL AiVD
AFJMIf�fSTR.A`fl�IV
Pa�+c 5 c�f �16
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
tiiis f�arag�'aph. "�lient ]nft�t�matiar�" is ciefinec� far t��e ��u3-�t�ses ai� this Agc�eeme��t as person�l,
demographic, �r ti�eat�nes�t da[a a6otEt the indi�iduais 6eing served by tiie prag�•air�.
S.3 []na�ath�rized Access. A�enGy sl�►afl store and �naintain City Ii�fns�mation and �lient
Informatiot� i�� a secure manner• arzci shall �1ot all�w Lulauthai•ited t�sers to access, modify, C��IEtC DI'
nt}ie��wise cort•�ipl Ciry ln£ormation or Client Inforsnatias� in �ny way. Ageil�y slial� notiTy Gity
immediately if tlie security oi' integ�-ity of any City Infarmatian or Client lnfai-matian has been
�ompromised nr is �elizved to have been compromised, in which event, Agency shall, in good
faith, use all commercially ��easa��able cfi'orts tn cooperatc with �ity iii i�entiFying what
information has been a��essed by unauthari�ed mcans ai�d shall fully con�aerate witli City ln �Srotect
such City fnf�rmatian a�- Client [nfarniat'son from further una�itharized disclosure.
5.4 Protccted I-leaitli lnfo�7r�atic�n. To the extent Client Intoi•m�tian rece�ved fram A�,ency inc�ud�s
ps•atected health infarrrlatioil, Ci1y a��•ees to:
�a} Nat use or fus•ther disciase Client [�7i'orinKtiQn nti,er than as permitted ar required by this
Agree�nenl or as rec�uired hy law;
(�} Use apprs�pr�ate safe�uards and comply, where a��pl ica�Ze, with 45 C.F.R. subpar[ C with
respe�t to e�ectranic prate�ted I�ea�th inta�•mation, to pi•e�er�t use ❑r discl�sure of the
infoi-mation otherthan as provic�ed for l�ei-ein;
(c] Kepot�t fa Agency any disco�e3•y of tise �r discIosure c�f ti�e Clieiit Infar�i�nati��i nat p��o�ided
far by this Agreement, including breaches af unsecured pratected hea��f� infn�•�natson, and
provic�e sufticient infnr�natiois to respai�c� to hreacl�es in accardazice wit1145 C.l�.R, §§ 1 G4.4Q4
and 16�.41 U;
(ci) ln accardance with �}5 C.F.f�. § 1b4.5��(c}�1}(ii), erisure fl�at any su��oniractors that Create,
i�eccive, maintain, or transini� p�•atected hcalt}i infarmatia�i an befzaif af the City agrec to the
same resirictions and canclitinns that a�ply to the City ��vit�� res�ect to such infar�nation;
{e) Make avai[able pt'otected i7ealih ittfnr�i�atign in accaa-dance with 45 C.�'.R � I d4.S24;
(f� Ma�Ce availablc p2-ote�ted hcafth infor�nation fo�� arr�endrne��t and incas•porate any ajnendr��e��ts
to ps�c�te�ted health infor�natio�z in a�cardaizce with 45 C.F.R § 16�1.526;
��;} Malce a�ailable the informa�ion requil•ed tn pro�ide an accotiiz�tir�g af disclasures in accarda�i�e
wiih 45 C.F,R � 164.5?R;
(h} To ty�e extent the City is to carry o�rt A�ei�c,y's �bli�atian uncler 45 C.F,R. sul�part C, c��npfy
witk� the �•eqtiirerrse��ts t}iat apply in the ngc��cy in tl�e �crforma3��e af such �bli�atiai}.
[i} Make iis intc��nai p�•aGtiues, btiaks, a�id recai•ds a•elati���; t� tl�c zisc arsd disclosure of p:•c�tected
hcaith i�lformati�:� :-eceived fram, or creatc� o:• reccived by tk�e City ali bek�alf af, thc A��i�cy
available tQ the Se�retary nf i{ealth and H«inan Sei-�ices far purpose5 uf determining the
ciT� or w or�•i� wo�-r�
Agreejneut far MY H@;Al.'fH, MY RCS�UR[:f: Ul� "i'ARRAN'C C[7L1N`I'Y — RfaN'E'E#L ASS153'ANCl� A1tiD
A DM1 N [S�RATION
Page G ni 4U
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Agen�.y's c�mpliance with 4S C.F.R. subpas-t C; and
�j} At termir�atiot� ❑f this A�r•ecment exter�d tl�e pi•�te�tions of this Agreerrtent with rr.s�ect tn
protecteti �ealt� infos-ination and liinit fuither uses and disclastires to those pu�'�as�s tkiat rrtake
the return �r destrUction of'the i�ii'orir,ation infeasib�e.
6. H�GHT T� AVD1T.
Agen�y agrees €hat City sha![, unti� the e�:piration of 5 yeas-s afier �nal payment under t}iis
Agreement, ar the fina[ conclusio:l of any audit oammencecE d�aring the said 5 years, ha�e a�c�ss
t� and the �'ight to exatni�te at reasa��aiale titt�es any dis'ectly pertinenk books, da�uments, papers
and rec�eds, in�luding, 4��t not limited to, aIl elect��as�ic x�ecaras, of A�ency in�olving tra�ssaitians
i'elating to tllis Agreement at. n❑ acfditianal �ost to City. Agency ag�•ees that Cily sha!! itave access
during normaf waa•�Cir�g hQus-s to a1! tie�essary Agency fa�ilities and shalE i�e provided adeqiFate ar�d
apprapriate w�i'ic space in o�'dei' ta �an�us.t audit� in campl iance with the pro�isions �f ihis sectian.
City si�a�f gi�e Ager�cy reasonable acivan�c notice of intendec� audits.
Tt�is �rovisian shail survive the expiratio�l or te�•minat'snn of this Agree�nent.
7. 1NDtiPT1VDENT C�NTRACTCIR.
[t is expressly und�rstood and agreed that A�es��y sha�l operate as an independent
❑arttractar as t� al� rigiits ar�d pri�i�eges and wark perfUs•:ned undei• this Agreement, and not as
agent, represe«tative or em�loyee of City. Subject ta a��d in aceai•dance wit�1 the G�ndit'sons asid
pra�isions af this Agreement, Agency shail have th� exclusive right to contrQi the details of' its
operati�ns and acli�ities anci be solefy responsible forthe ac�s and Qmissions of its officers, ager�ts,
servants, er�lployees, cansuitants and suU �enclors. Agen�y a�icnowledges that tiie doetrine ❑f'
1•es��at�rlerrt srrperior• sha�E nat apply as between City, its af�cez�s, a�;ents, servan[s and employees,
and Agency, its aFficers, agcnts, cmplfly�:es, scrvants, �endo��s and st�6 ver�d�,��s. Agenc.y furti�e�•
agi'ees tlSat nathing herein shali i�e construed as t�e creation oF a paitne}-ship ❑r joint enterprise
betweeri City and Agency. it is Put-thei• u��des'stood [hat Gity s�talE in rio way 6e canside�-ed a Co-
etnp��yer o3• a.iosnt emplayer of�Agency or sny af(ic�rs, agents, servants, ei��foyees or suh vendar
❑f Agency. Neithe3• Agency, nor any of�icers, agents, s�rvants, c:mployees ar sub vendor nfAgency
shall [�e entikletf to any e�riploymer�t k�enefits frorr► City. Agency shal! 6e res�onsible and liable for
any ar�d a�l payment and rep�rting of taxes Un behalf af itself, and any ❑f fts ❑ffiLers, agents,
se�-vants, err��layees o�• sub vendo��s,
8. LTABiLITY AND INDEMNIFICATIQN.
8.1 LIAB�LITY-- TD THEEXTENT PER�lIT7ED RYLA��, AGENCYS�SfALL BE
LIr�BLE AND RESPaNSIl3�.� FD�t ANY .�4ND ALL PRQPERTY LnSS; PR�P�CRTY
D,9ILIAG� �IYD/�I� PERSUN�9L INJ�IRY, IIVCLUDI'NG I3EA�hi, T� AN�' AIYD �i�L
crTv o� rauT wo��•�i
Agreeinent For MY HEAL'rlt, MY R�S�URCE DI' 7'A�tHA.iVT C�«NTY — REiV'FAl, ASSI5TANCE AiVD
AUMIN1STf�ATE03V
Page 7 flf 4G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
PE'I�SDNS, OF,�NY K11YD �R CHAR�C7'ER, N'HET�IER R�AL �R ASS�RT'ED, T'� T'HE
EXI'�'NT CA USED BY ?'HE NEG�IGENT r1 CT{S} OR aMISSI�N{S}, �VIALFEASANCE �R
INTENTICjNA� MISCn1V�LI�"T' �FAGENCY, ITS DFFI�ERS,I9GENTS, SERV�INT'S �R
�MPL�YF.Is�S.
$,2 GEIVERAL JIVDEMNIFI�ATICi1V — TO THE E��'�1VT PL�'RMIT'T�D B�'LAW,
A GENCY HEf�E�3 Y CO Y'EIY� NTS �41YD �i GREL�'S T4 IN�DE�IIVIFY, HOLD Jr1ARMLESS
AND DEFEIVD C.i�'Y, I�'S OFFTCERS, ,�GENTS, SERNAIVTS A1VD E1NPLaYEES, FROM
AND AGAINSTAIVYAND ALL CLAIMS aR �AWSUITS UFANY.�'�`ND DR CI�ARACTER,
N'HETH�R REAL nR r#SSERTED, .�'nR EITHE.R PROPERTY D�#tN�iG,� OR LnS>5'
(71VC�[ID.ING ALL�'�ED DA1�l�#GE QR LQSS T'Q AGEIVCY'S BUSINESS A1VD .�i1VY
RESUL�IIVG LQST PlidFfTS} AIYD/OR PERSQIVAL IIYJURY, INCLUDIIVG DEAThF, TD
�1NY AND ALL P�E'�SON.S', ARISIIYG �IIT aF �.R IN C�NNECTIDIV WITN THIS
AGREEMENT, �"� THE �CXTEIVT GALISED BY THE 1VEGLIGENTACTS �R OMISSI�NS
nR MALFE�tSfi1V�'E d�' A+GENCY, ITS QFF�CERS, AGENTS, SEI�VAIVTS �R
EMP�QYEES
Ti�is sectiori sha!! su�•�ive tFse expirativr� nr• termxnatian af #his Agreement.
9. ASSIGNMENT AND SLJSCUNTRACTING.
9,1 Ass��nment. Agency si�ail not assign ar subcantract any af its dutics, obligatians
or rights ursdei• #liis Agreenier�t witho�ii the prior writte�t cansent of City. lf City grarits consent ta
an assigr�ment, the assignee shail execute a written agreement with Gity and Agency uttder which
khe assignee agrees t❑ be boui�d �y the duties and ❑bligations af' Agency under this Agreernent.
Agency and Assignee shal� he jainily �iable for a�l o�ligations af Agency unde�• this Agreement
prior to tt�e effccti�e date ❑f ti�e assignr�enl.
9.? Subcontract, If CiEy �E'ants consent #a a su6�antract, subcaniraciat- s}tali exe�Lrte a
w�-itten agreer►�eri1 with Agen�y referenG'sng this Agreernent under whic� suhcontraCtt��' shalf agt�ee
to 6e E�ound �y the duties and abiigations of Agency unde�• this Agreement as such duties and
obligatians ir�ay apply. Agency shall pr�vide City wit€� a fully executed copy �f any su�h
sul�contract upon request.
lU. INSURANC�.
Agency shall pr�vide City with ce��tificate(s) of insurance documenting pnlicies of t�e
fo��awing types and miriim��m ca�crage limits that are to be in eftect priar to �onunencement ❑f
ar�y work purs«ant to this Agreemerzt;
3 �].1 Covera�e and Limits
(a} Commercial General Lia�aility:
cITY oF raR•r woRT�i
Agre.ement fnr MY HEAZ"�'H, Ml' HE��[1RCE OF TARRAiVT COiJNT� —�iENT'AL ASSESTA�fCE AN�
AfJMXNfS`1'RATIDN
Page S af 4fi
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
�1,�4U,aUU - �ach �ccu:•:•en�e
'.�2r4fl��Q0U - Aggregate
{L�) Autamabile Liahility:
�3a4,�[![i - Each occui•rence on a combined singfe limit basis
Caverage sha[! l�e on any vek�icle used by Agency, its em��ayees, agents,
representati�es in the caurse of p�•aviding se�•vices under this Agrecment.
"Any vehicle" shall be any vei�icle �wi3ed, hired and non-owne�.
{c} Workes-'s Campensatic�n:
5tatutoiy limits according to the Texas Wal•ket's' Ga►npe��sati�n Aci oi• any
other siate worlcei-s' cam�ensatian laws where Ehe was�k is bein� pe:-fortned
Empiayers' liabiiity
�1�d,Q�i� - Sadily Injury by aGcident; each �ecidentloccur��ence
�14�,OU6 - Bodily 1njLiry by disease; ea�h emplt�yee
$54d,aDQ - Bocfily lnjuiy by discase; policy l�mit
lf].2 Genei•�Ilteaui�'en�ents
{a} Ti�e comir�ei��ial ges�eral �iabifily and autornobile lia6ility pali�ies shall
name City as an addit'sonai insured thei-e�n, as its interests rr�ay appea�•. The
term City shali include its e�nplqyees, of'�cers, aff�c'sa�s, agents, and
�of�nteers irt �•espect ta the contracted ser�ices.
{t�} The wa!•kers' compensation policy s#�all inc�rade a Waive�• �f 5ubragatian
�Rigl�t af Reco�ery} in �'avar fl� Gity.
�c} A minisnurn of 34 days' natice af canceilatian ❑r reduofian in limits of
coaerag� shall be pravided tv City. "I'en days' notice shail be a�ceptable in
the event of non-payment af �aremium, Notice shali be sent to Gity as
pravided in tite Natice sectian o�this A�reement.
{d) Tl�e sns��rers for al! policies �nust #a� lice�Zsed andl�r app��oved ta do �a�asiness
in the State of Texas. All ir�surers must �ave a minimum rating af�A- Vii iEi
tfie curreztt A.M. Best I{ey Rating Guicie, ❑r have reasanably equi�alenk
�raancial strer�gth and sotver�cy to the satisfaction of Risk Management. If
the rating is below that �•equii•ed, written appi•aval of Rfsk Mana�ement is
i-ec�uieed.
�e} Any faii�are on ti�e part af City to requesl required insurance dacume�iiation
shal! not corisiitute a wai�er af tl�e insurance req�sirerr3e�lt.
C1TY QF F�RT WORT1i
Agreement fnr MY kl�Ai�`fH, MY RCSOUltCE ��"�'ARRANT COl1NTY — REIVTAL A5S[STANCE AiVU
AUMfN[ST[�AT10f�
Page 9 af �4G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
(� Certificates of' �nsurance evidencitig that Agency has obtained alI i•equired
insu►•ance shall be delivei•ed to the City prior to Agency pi•oceeding with any
wark pursuant to this Agreement.
l l. COMPLIANC� WITH LAWS, ORDINANCE5, RULES AND REGULATIONS.
Agency agrees that in the perf'ormance of its abligations hereunde�•, it shall can�ply with aff
applicable federal, state and local laws, oi•dinances, i•ules and c•egu[ations, the requi�•eme»ts in
Exhibit F� pertaining to performance, reporting, and compliance, and that any wock it produces in
connection with this Agreement will also comply with al! applicable federal, state and local laws,
ordinances, rules and regulations, lf City notifies Agency of any violation of suc3t laws,
ordinances, rules or regulatians, Agency shall immediately desist fi•om and coryect the �io�ation.
12. NON-DiSCRIMINATI�N COVENANT.
Agency, for itself, its pecsonal representatives, assigns, sub vendors and successors in
interest, as pa��t of the consideration herein, age•ees that in the performance of Agency's duties and
obligations hereunder, it shaU n�t disceimis�ate in the treatment, assistance provided under this
Agceement, or employment of any individual or group of individuals on any basis prahibited by
law. IF ANY CLAIM ARISES FROM AN ALLEGED VIOLATION OF THIS NON-
DISCRIMINATION COV�NANT BY AGENCY, ITS PERSONAL REPRESENTATIVES,
ASSIGNS, SUB VENDOI2S OR SUCCESSORS IN INTEI2�ST, AGL:NCY AGItEES TO
ASSUME SUCH LIABILITY �IVD TO INDEMIVIFY AND D�FEND CITY AND HOLD
CITY HARMLESS FROM SUCH CLAIM, TO THE E7�TENT PERMITTED BY LAW.
This sectian shall survive the expiration or terminatian of this Agreement.
13. NOTICES.
Notices �•equired puisuant to the pravisions of this Agreement shal) be conclttsi�ely
detei•mined to have beeil delivered when (1) hand-delivered to the other Party, its agents,
employees, se►�vants or representatives, (2) delivered by facsimile witl� electronic canfirmation of
the tz•ansmission, or (3) received by the other Pai-ty by United States Mail, registered, retu�•n receipt
requested, addressed as follows:
To City:
City of Fort Worth
City Manager's Officc
To Agency;
My Health, My Resources of Tarrant County
Attn; Susan Garnett
CI"TY OP' i�ORT WORTH
Ag►•eement for MY HCALTH, MY RESOURCE OF TARRANT COUNTY -- RENTAL ASSISTANCE Ai�U
ADMINISTRATIUN
Pxge 1Q Qf 46
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Attn: Tara Perez, Hasneless
Manager
l0U Fa��t Worth Trail
Far�t W��'th, T.� 7G 1�Z
Pi�one: {$ l 7} 392- �235
Strategies Chief �xe�utive �ffice�•
�384fl Hule�� St�•eet
Fc�rt W o�•th, TX 75l [}7
CE��c7rnhmrtc.org
With copy t� City Attarney's Office at same
ad�s•ess
1�4. S�LICITATIUN �F EMPLUYEES.
Neither City nor Ager��y s�ali, dui•ing the term ❑f this Agree��ent and additioitally f'nr a
pei•iad of 1 year atter its tet�miization, salicit for em�Ioymcnt, whethea• as �mployee or inde�endent
cflnts'actor, any person who is employed by the other during t�e term ❑f this Agreement, withaut
the priar wi•i�ters cansesit of tile persan's employer. N�twit�standing the faregoing, this pravisian
shafl not ap�ly to an �mployee of either i'a�ty who 1'�5j]�il{�5 �o a general soEi�itatian of
advei•Eisement of emplayment by either Party.
�5. GUVERNMENTAL P(]W�RS.
Jt is tanderstood and agreed that 6y execut'san ❑f t.his Agreeme�t, neither the City nar the
Agency wai�es ❑�• surrenders any of their gQvernmental pawers or i�nmunities. "i'his section shal]
not 6e const�•ucted to affect a governmental entity's imrr�unities unde3• constitutianal, statutory or
cQmmnn law plead a�a+nst any ather enti[y other than the Ciry.
f 6. NU WAT VER.
Tl�c failure of' City ❑r• Agen�y to insisi upan the pe�•fot•n7ance ❑i any tes-m Ur �rovision of
this Ag:•ee�nes�t or to exer�ise any right gra�zted hes'ein shall nat canstilute a wai�er of Gity's or
A�en�y's res�ective right to insist up�n appropriate perfor�t�ance or ta assert any suG� i•ight an any
future nccasion.
f7. G�VERNTNG LAW 1 VENUE.
This Agreernent si�ali �e construeci in ac�ordance wit�► the laws of the State of Texas. If
any aGtEo«, whefhe�• real or assei�ted, at �aw nr in ec�uity, is brought pursuant to t�tis Agreemcnt,
ClTY �F f+'ORT WaRTF�
Agreement tor MY HCALTH. iNY RCSOURCE �F TARRAiVT CUUiV"['Y — REiVTAL AS515TANCE AN❑
A aM 1 N �S'1'RA`F[DIV
Page 1 I ❑f 4G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
vec�ue for such actian s4�a11 lie in state coti�•ts lo�ated ir� Tarrat�t County, `I'exas or the �lnited States
Dist�•i�t Cotii� for the Northern Disirict of Texas. Fo�-t Worth Qi�ision.
l8. SEVF.RAI3ILITY.
I#� any ps•o�isi�rn �f this Agreemea�t is held t� �e invalid, illegal or uneilforcea6le, tfye
validity, lcgality and eninrceainility nfthe rerrxai�ing provisions s�all rjnt in any way be affected ar
impai�•ed.
�9. FDRCE MA,T�URE.
City and Agency shall exercise thcir best efforts ta meet t�eir respeccive duties and
obligati�ns as set #nrth in this Ag:•eement, �aut shall ilat �ae hefd I iable far any deiay ar 4missi�n :n
perforinance due to fo�•ce sna�eure ar ol:her caiFses lqeyond their rcasonahle �pntrol, including, hut
not !'srnited ta, compliance witti any ga�ernment law, ordina�3ce or ��egulatson, acts of Gad, acts of
the public enemy, €ires, stril.es, IaGlcouts, natura� disasters, wars, riats, epidemics or pandemics,
��aterial ar labor res[��ictians by any gaverrsmenlal auti�ority, transpartati�n prablems, restraints or
ps-ohibitior�s by any cQtirt, board, department, cammission, o�• agency �f the United States c�r ot
any States, civil distt�3•ban�es, other nationaf ar regianal emez-gencies, andlor any othei� simi4ar
�ause nat enumerated herein but G�hi��� is bey�nd thc reasar�abie control of the Pas•ty whose
�erfarmance is affe�ted �callecti�ely "Fa�•c� Majeti�•e Evcnt"}. The performan�e af asly s�ch
ai�ligaEian is suspended during the periad af and only to the extent of, su�h pre�ention Qr
hindrance, pro�idcd t��e affcctcd Party pravides notice ❑f the Force Majeut�e E�ent, an� an
explar�atian as to haw it hinders tt�e pa��ty's perfai•manGe, as saat3 as r�as�nab�y possible, as
determined in the City's discretion, ai�cr Che occurrence of the �'or�e Majeure Event, The farm af
nati�e rec�uired by this sectian sha�l be the same as se�tion ] 3 abave.
20. HEADINGS NOT CDNTK�LLING.
I�eadings and titles used in this Agreement ai•e for reference purposes only, shall nat be
deemecf a pa�•t af this Agrcement, and a�•e �iot intes�ded to define or I imit the scope of any pravision
❑f this Agr�ement.
21, REVIEW DF CaUNSEL.
`['he Parties acknowledge t�at each Party and its cnu��sel have reviewed and revised tliis
Agreement and that the narmat rules of canstru�ti�n to t�e ef%ct that an}� ambigUities are to �e
resolved agains� the draf�ing party s�ail not �e err�ployed in the interpretation ❑f this Agreement
or Exhib':ts G4 A 77' GiB�,� «�f,� «v��� «�„� «F,} ��G'�, anct ��H��.
ti�
22, AM�NDM�FVTSI MQDIF'ICAT�ONSI C�T�NSI[)NS.
CITY �F FaRT WORT��
Agrecment For MY H�,ALTH, MY �i�;S�URCE DT' TAR1tA�[T CUL]NTY - E'iE3VTAL ASSISTANCF AND
ADMllY15TRAT10iV
Page I Z af 4G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Na ar��endi�ent, maditication, �r eatension of tl�'ss Elgree�nent s�1a11 '�e bindi:ig upoi� a�'arty
hcreto unless set forth in a written instrumen#, whi�f� is executed t�y an authariLed rep;-esentative
af each Pa��ty.
23. ENTIRETY ai' AGR�EMCNT.
'T'his Agrcement, including Exhil�its "A'•, "�3", "C" `:ll", "F", "F", "G" and "H"
contains the ei�tirc Gnde�•sEar�din� and agreernent between City atYd Agency, tl�eir assi�;ns and
st�ccessars in interest, as ta the matters contained hereiz�. Ar;y �riQr ar contemgaraite�us aral or
w�•itten ag�'eement is herehy declared n��ll attd vt�id to the extent in confii�i with ariy pr�visir��� Qf�
this A�reeme��t.
�4. G�UNTCRPARTS.
`fh'ss A�reemei�t may he exec�ited i�1 one a�� more cotinte�-p3i-ts arlci each cour�te-rpa��: shail,
t�r ail pur�aoses, l�� deeiried an a�•igfnal, but al} sucl� co��nt�i'par�s sl�all taget�tes• car�stite�#e ai�e an�i
the same inst�•�fm�:i}t.
Z5. WARRANTY �F SERVICES.
Agency wai-t•anis that its servi�es will be of a p�•afessiai�al quality arid co�1%rm tn gcnei•aEly
p�'e�ailing ind�tstry standa�'ds. City must giv� writlen nat'sce ❑f any breach aftt�is warranty within
3� cEays from the date that the servi�es at'e cpmpleted. In such event, at A�ency's aptiaii, 11ger�cy
shall cithcr (a} use co��nmer�ially reasanable effoi�.s to re-�erf'�rir� the se;•vices in a�nai�i�e�• that
canfarms to �he wai�ranty, Q:- (b} t�efui�d thc f�es paid by CEty ta Agency fo�• the �Zoncon#�orming
services,
2�. IMMIC�RATION NATI(}NALITY AC`T.
A�ency shall verify tiie id�ntity and employ�r�ent eligif�ility �f its ct�ployees wha �e�•farm
wo�•kis7g under th}s Agree�nent, �31CILl�Irig camp[elir�g tlie �mpinyment Eligibifity Verification
Fos•m �f-9}. Agen�y is cnralied in ar�d uses the U.S. Depafir�ient af f-Iomeland 5ectis•ity's E-Verif`y
system and, �ipan rec�«cst, �an p3�avide Gonfiriz�atinn of eligibiiity. Agen�y sl�a[I adiiet•e to all
Federal a�id State laws as w�ll as esta�lish appropriate pr•ocedures and cor�trols sQ that no serviCes
will be pct•Fnt�tner� by any Ver�cfar enip3oyee whn is iiot le�;a�ly eligit�le ta parfarm su�h scrvi�es.
AGENGY S1�lALL, '1�� "�H� EXTE.N1' ALLdWEEU BY L,AW, 1NDLMNIFY CITY ANU
H��.0 Cl'I'Y f iARM1,FSS FR�M ANY �'ENAL'�'i�S, L1AB1L1`I'I�:S, OR r.(�SSLS ❑CIE �'�
VI�LAT[CJNS OF TI-iI5 PARAGRAGI-I I3Y AGENCY, AGf�NCY'S i?M�'I,QYEFS,
SUI3CONTR�CTC3it5, AGENC:'['S, QR LIC�NSEES. City, upan wrifi.tef� natice
CiTY ClF F�F�T 1Vf}RTH
Agreemcnt fr�r MY HEAI;i'H, MY R�50Ui�CE OF'1'ARRAn''T Ct]L]�TY — �trN7'AL ASSfS'TA�lCF AND
A i�M I N[5"I'RATI DI�
Page 13 � i JG
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
ta Agency, shaii have the rig�t to imm�diately terminate this Ag�•eement for violations of this
pra�isian by Agen�y.
27. �WN�RSHrY �I' W�R.� PR�DUCT.
City shall be tl�e sale and exclusi�e awner of ali repo:�ts, wark pap��'s, pracedUi�es, guides,
anc� dacumer�tati�n, c3-eated, published, disp�ayed, ancllor pradu�ed in canj�n�ti�n wit� the
se3•vices pra�ided under this Agreement {collecti�ely, "Warlt P�•oduct"}. f'urther, City siiall be
the soie and ex�ltisi�� �wner of all copyright, patenf, tE•ademat•k, irade secret and ottze�• propr�etary
rights i�� and to ti�e Wor�C �'roduot. Uwnership af the Work Product shall inut•e to the ber�efit ❑f
City fram the date af concepti�n, creati�n ❑_• fixfttifln oFt11e War€c Pr�duct in a tangi�t� medium
af expressior: (whichever accurs �i•st}. Eaci� copyrightable aspect af the Vl�orlc Pra�uct shail be
considered a"work-made-for-hij-e" witl�in the meaning af the Capy�•ight Act af 1975, as amended.
[f and ta the extent such Work Prodisct, or any part thereaf, fs not conside3-ecf a"worlc-made-far-
hic•e" within the meaning af t�e Co�yi•ight Act of 197b, as amended, Agen�y hereby expressly
assigns to �ity all exc��is�ve rfght, title and inte�•est in ana� to the Warlc Pr•aduct, an� all capies
thereof, and in and to the aopyright, patent, trademark, trade secret, and ail othet� proprietai-y rights
therein, that �ity may ha�e ❑r ak�iasn, withaut furthe�' c�nsideration, free frairi any claim, lien for
balance due, Qr �'ights aT �•et�ntion thereto on the pa�-C ❑f City.
�S. CHANG� IN G�MPANY NAME �R DWNC�SHIP
Agency shall natify City's Assistant Ci�y Ma»ager, in w��iting, nf a company nar3-Ee,
owne�-ship, ❑r address change for the purpose a�' main4aini��g updated c'sty records. The chief
execUtive of�ce3• a{�Agency ❑r aulhoriaed of�cia[ must sign th� letter. A Ictter indicatin� chartges
in a company izame a�• ownership musk be acc�mpa�lied with supp�rting lega� dacumentati�n such
as an updated W-9, documents f�le[f with the state indi�ating such change, Gapy of the boa!-d of
directar's resolution approving #he a�tiUn, or an exeGuted me�•ger or ac�uisition agreernent. Failure
to p�•avide the s}�ecified docusnentatian sa may ad�ersely impa�t future invoice payme�lts.
�9. SIGNATURC AUTH�RITY.
The persan signing this Agreement hereby warrarits that helshe has tlze iegal autharity ta
exectrte this Agreement an bef�alt af�thc respective �'arty, and ti�at such binding authority has hecn
g�•anted by pro�ei• oi•der, resoitilion, o:-dinance at- othe�• autl�orizatinn af l}�e eritity. This Agreesnent
and any amendment hereto, Enay be executed by any autharized �•�presentative af Agency. Each
I'ai-ty 'ss #'ully entitled ta rely nn #klese warranties and repi•eseiztatians in cnte�•ing inta tni�
Agreement or any ar�endme�it hereta.
3�. PR�HIBITIUN flN �ONTRACTING WITH CDMPAN�ES THAT BDYC�TT
I5R AEL
ciT�r o� �v��r wat��r�f
Ag:'eemeztif fa:• MY Hl�ALT}I, MY RCSOURCE UF TARRANT COCi�'1'Y -- ItENTAL ASSI51'A�lCE ANfl
ADMiI��STRATION
Page t 4 Qf 45
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Agency acicnawlcdgcs tihat iz� accardance witli Chapter 227U of the 1'exas Go�ern�nent
Code, the City is pc•ollibited from ente�•ing inta a cont�'act tvith a company for goods or services
ut3fess the caritract contains a written �erification ii•om ti�e company fhat it: {l) does nat boycott
Israel; and (2) will nat boycott �s�•ael during the term of the cantract. The terms "baycoti Israel"
and "company" shall have the mcanings ascribed t� those terms in Section 808.401 of the Texas
Go�ernment Code. i3y signing this confract, Agency cei•tifies that Agency's signature provides
written verification to the City tizat Agency: (1) does not 6oycott Israel; and (2) will not boycott
Israe! during tl�e term of the contract,
31. PROHIBITI�N �N B�YC�TTING EN�RGY CUMPANI�S
Agency acknowledges that in accarcfance with Chapter 2274 of the Texas Government
Code, as actded by Acts 2021, 87th Leg., R.S., S.B. 13, § 2, the Gity is prohibited from entering
into a contract for gooc�s or services that has a value of $ i DO,fl00 or mare that is to be paid wholly
ar partly fi•am �ublic funds of th� City with a company with 10 or mai•e fuil-time e�nployees unless
the cantract contains a wi•itten verification f'rorn the corrtpany that it: {1) daes nat baycott energy
companies; and (2) will not boycott energy companies during the term af the cont;•act. The terms
"baycott energy company" and "campany" have the meanin� ascribed to thase terms by Chapter
2274 of the TeYas Go�ernment Code, as added by Acts 202I, 87th Leg., R.S., S.B. 13, § 2. To the
exte:it that Chapter 2274 of the Go�ernrnent Code is applicable to this Agreement, by signing this
Agreement, Agency certifies that Age�icy's signature pro�ides written verificatian to tlie City that
Agency: {1) dnes not boycott energy con�panies; and (2) wi{I not boycott energy companies during
the term of this Agreement.
32. PROHIBITION ON DISCRIMINATION AGAINST FIR�ARM AND
AMMUNITION INDUSTRIES
Agency acl<nowledges that except as otheE•wise pra�ided by Chapter 2274 af the Texas
Govei•nment Code, as added by Acts 2421, 87th Leg., R.S., S.Q. 14, § 1, the City is prahibited
fi�om ente�•ing inta a contract fa' gaods or services that has a �alue of' $10�,0�0 ox' more that is t�
be paid wh�fly or partly from public funds of the City with a company with 14 or mare full-time
employees imless the contract cantains a written �erificat'san from the ca►npany that it: (1} does
nat have a pr•actice, palicy, guidance, or directi�e that discricninates against a fireai•m entity or
firearm trade association; and (2) wili not discriminate during the term of the contract against a
freai-m entity ar firea�•m trade association. The terms "discriminate," "firearm ent�ty" and "�rearm
t�•ade association" have the meaning ascribed ta those terms by Chapter 2274 of the Texas
Goverr�ment Cade, as added hy Acts 2Q21, 87th Leg., R.S., S. B. 19, S]. To the extent that Chapter
2274 of the Go�ernment Code is applicable ta this Ag�-eement, by signing this Agreement, Agency
cei�tific:s that Agency's signature p�•ovides written v�rification to the City that Agency: (1 } daes «�t
ha�e a�ractice, pali�y, guidance, oE• di�•ective that dis�t-imii�ates against a firearm entity or firearm
C1TY QT' F�FtT W�RTI�
Agreeinent for MY HCALTI3, MY RESaURCC OF TARRANT CDUi�[TY — RENTAL ASSISTANCE ANb
AUM[NISTRATIU�V
Page 15 af �G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
trade assa�iatian; xnd {2} wEll not discri�r�ii�ate against a firearm entsty or Firearin trade associatio�t
du�•ing t}�e terni af'this 1�greement.
33. C�NFIDrNTIAL I�'F[7AMATION
A�ency acicnc�wledges that bot� the Agency and the �ity a:•e a gavernmental entity a�z�i is
s«bject io t�e Texas I'uf�lic Infarmatian A�t ("Act"}, Qy cxecuting this a�reernel�t, Age:lcy
acicnowledges tf�at this agreement will be pub[icly availa6�e ❑n the C:ity's wehsite, and Agency is
ti�ei•e#'��-e waiving ar�y c[aii�7 c�fcQi�fidei�tialitV, W�1�i�l�r' bdSeC� IC1 5taiilt� �t't21� CatTlf!'l�n I�W, tn any
and all �i�atez�i��ls contai�icd as pa�•t qf this agreeme�7t inciuding all doc�ime�its and iriforr��atian
rcferenced he��ein Ur attaGhed hereto.
[SIGNATURL PAGE Tfl F�L1�OW]
czxv nr rn�iz wai�TF�
A�i•eeme+ii fnr MY f[FAI,T��, MY R�:50�ffZCL O[' TARRAIV� CDUiY�'Y — RI:NT'AL A5S�51'AI�CE AN[l
AL]M1Nl5'I'KA'1'IUiV
Page i G nf' �#G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
IN WITNESS W1�%1REnF, the 1'artic.s }ierett� have excc�itec! tl�is Agre�mcnt in mLEit'spie
ariginals on the date wi•itten beiaw thei!' respective signat�ires to �e effe�tive on the �ffective I]ate.
ACC�P'i'�ll ANU At=REED;
CI'TY OF I+�RT WQRTH:
����
Dianna Giordano (Feb 17, 2026 08:34:24 CST)
8y:
Name; ❑ians�a Gini•dana
Title: Assistant Ciiy Manager
02/17/2026
o�f�:
AYPFtOVAL R�CUIVIMI+,IVDED:
���t��..,,��
��; Bethany Warner (Feb 16, 2026 16:25:26 CST)
Na�ne; Bethany Warner
`1'itle: Iniergoverninental i�elations
Manager Name: Ga�in Midgley
4FORj �B
;o �°° °���odaA Titic: AssistaT�t City Attoraey
eFo o�d
P�%o 0=0
�°oa �°ro o�s q4' CDIVTRACT Ai]THURIZATI�N:
IIpn EXp.aa.
M&C: 2�3-��174
2 295:
ATTEST:
1� .�.�z=�
C �����SL..
Qy:
Na�rte: ,lannette S. Gaadall
Title: City Secr�taiy
AG�Nt'Y:
�'DNTRACT C�MPLiANC� MANAGER:
By signiFtg 1 acicnflwlcdge ttiat 1 am ih� pe�•son
responsi6lc for ttse mniiitorin�; and �drzlinistratian of this
contraci, including ensuri=ig all p��'foiznanc� and
�-epar[ing rGqa�irernents.
�� ���
�3y:
Name; Tara Pere'r.
Title: Hoi��eless 5trategies Manager
APPRUVEU AS T� FURM AIVD LEGALITY;
/
�y:
MY H�ALTH, MY HESO[1RC:E5 ❑i'
TARHAI�[T CDUNTY:
Signed by:
13y: Su.sa.v�, �avrn.t,{�-
�i�51�i��t4�arnett
`�'itle: Chie!'Cxe�uti�a Ufficer
2/13/2026
I]ate:
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
cE��v ClT' F[]It7' W[]RTH —
A[.RE�MCI+[T 1'V[�H MY Hf�AI:I'il, M1' R�SflURCFS�F'['AR�iANTC�f1�i"1'Y - f�i:i�f'['AL
ASSIS'T'ANC� ANU ADM1fV1STfL4TfDN I'age 1G of'4G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Ex�-irB�T �s�„
scaPE or �ER��cEs
RENTAL ASSISTAIVCE AND ADMINISTRATIUI�
MHMR will do the fvll4►�ving:
Agency shail co�npfy witl� all requi�•em��ts in the attaci�eci TDI-ICA cantraci, except for thase t}iat re�uire
l�l� �T�y Q�� T'Q�'l WQt'�Il fd SL1�71171t ini'nc•mation to TDI-1CA, ir�cluding efigible expenses, programrnatic and
f�nancial repa�-ting, and campliance — as set fo��tii in Exhit�ifs F and G.
Agency si�all pay renta! assistance tc� landlards of pei�manent s�ipportive housing clients on a continunus
basis, Altllouglz t�e cltents may change, Agency sfiafl p:•ovide ren#al assistance to at ic:ast 44 cl�ents during
the terrr� of this Agreement.
�'nr rerital assista.nce, eligible ciients are th�se who as•� curc•ently on �he I�HSP pex'r�aner�t suppo�•tive housing
prog�•ain and tiiose wh4 are e�roi�icasly hameless in the City af Fort Wo�•th, ha�e �ncome at oc• belaw 5�% of
Area Median �n�ome, ha�e assets less than $1 [l,0[�a anci [a�k suppart netwtrrks, meet criminal bac�Cg:-ound
rec��ir�errtents and �e r�ferred �y Pa�-tne:•shi� Hame.
For Ysameless preventEan rer�ta! assistance, eligihle clients are t�ase wha are at risk of hrrmelessness, have
incame ai or belaw 5[�°/a �f' Area Median Incame, have assets less than $ F�,i3�U and lack suppo��t netwo=•ks,
meet ���ii�inai �ackground requir�ments.
Agency shall pay a�plication fees, apac�.ment administf�ati�e fees, security depasits, �igh risk fees and
oppoi�unity fees as funcis arc: avaslahle and in c���sultation wit}i 1-larne�ess St�•ategies staff.
I-f igll risk fees a�•e ext.ra cl}arges far tenants witho��t a rental i�istory, with an eviction i�istory, with a c��iminal
j�.�stice histo�•y andlor wit}tout En�came.
Agency will:
� Follow a21 provisi�ns af the Scan�a�•d �pe:•ating Prace�u:•es
� 5ubmit cornp�ete ciier�t pacicets fo�• al� new clients
� Facilitate initial aild subsequent apartment inspe�fEons,
• Q�ersee the res�[�tior� of inspe�tion de#'iGiencies,
• Natify client's case manager within three (3) days af a client's unit fa��s �ns�e�tion,
• Maintain a11 docume�its and recarc�s For the pragram ta ettsure compliance wifl� a�dit req�ireirients.
Cl'Tr o� �o�� wou��
Agr•eement fa�• MY HEAL'['H, MY RGSOLlRCCS 0�' TAR[�Al�'f C�UNTY —�tL�Y'fAL AS5I5'I'ANCL A�fC]
ADMI�![SR'C'ATtON Page 17 of �fi
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
■ Re�:ertify clients annually spe�ifically maki��g sui'e clie�its n�eet tl�e inet�me eli�;il�ilfty requis�ecne�ts
and lack stifficient resaui-��s and stip��rt r�etwarks necessary ta retain iiausing without assistan�e.
� 0 TAC 7.28(e}
■ Enter client records in 1-Iomeless Managemcnt Infarmatian 5ystem �HM15} witi�in th2�ee {3} days of
sct•vice pro��sia�i
■ Pravide names of all clients
Evaluatian:
Evaluatian nieetings will �e held wit4, Hameless Strategies staff'tn cantinuaily e�aluate �rogram aild
Agency shal! comply as necessary and in goad faith.
Financial reparting:
Reimbursernent Request and any necessary stipporting dacumentation and i�eports will be submitt�d by the
15s�' ❑f every rr�onth irt format af Exhihit "�".
PrQgrammatic repa�•ting:
Montk�ly repoi7s wifl be s�a�rnitted by the 1 S`�' af eve�y monti� in farmat af Exhibit "D". Quarterly reports
will i�e suiarnitted by the � 5��' pf November, Febrt3ary, May and Au�ust in the format af Exiiibit "I)".
�:aT�' UF FditT WORTii
Ag�•eernent i'ai• MY FIEALTh1, MY R�SaURC�S OF TARRA�IT COU�V'FY — REIV"i'Al, A55ISTAiVCE AhD
AAh�INlSRTATIQIY Page 18of4G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
�xxi�iT =��s,
�r�ncrT
A�enr.v wifl subniit in�oice f'ai� reimburseme�t 6v the 15t�' of'the moayth fall4win� the. month seevices
we3•e nru�ided.
`f'his re�or� sha�l itemi7c eac� morzt�ly experise i•equ�sted fa�• rcimh�irsemejtt hy the Agency and s4�a21 be
ir�cluded is� Budget su6�nittec�. ]n or�fer Far this repari ta be complete tlic fallowing musk bc subrnitted:
F�r pay3•oll expenses, timeshe�ts sigirted and ciated by Unth the em�4ayee and super�isor with the
l�rogrcrf�z firtzc�' c�ode o4'time i��iiig b'slled io �ity IE-loi�iel�ss Str'ategies. C;leotronic tiine sheets �rt
acce�tai�le. Paystuh rniist iricl�de pay period, date paid, �maunt and expenses (salary, F'IC.A,
i�c;ne�ts etc}, lf pay stubs as�e tmavailahle, pay:-all i•egist�-ies with applicahfe exper�ses highlighted
and la��eled will sufCce. 1lgcncy may not subn�ii payroll eapenscs ciate� GO ca�endar days pric�r
to the date of the Reim����sement Request witi7 t��e exceptios� ❑f the first Rcimhurse�nent Req��cst
w�ici� �nay is��lt�[�e items fi•orn the �f'fective C]atu of'the AgreetTient ta the end af the i•ep��-tii�g
St1031t�1 os• wilh writien perrniss'son fram Hq�T7�.IC55 �tl'����185 Sfaf� 50 IC1il� aS SLiGi7 C}1817��5 3i'C
othes•wise i� accardar�ce wikh the Agreemei�t.
Far noii-payr•ol� expe�lses, in�aices �as- ea�}t expense listed. Agency :nay nat subm�t invoi�es dated
GU calenr�ar days prinr to t�e c�at� ai�tl�e R�iml�ursement rteq�Eest with the ex��ption of the first
Rcinzhurse�rent Rcquest whscl� �T3ay in�lude itecns fi•oFn t�ie Lffective �ate ❑f tlle Agi•eement to
tl�e cnd nf tl�e repo�•ting ir�onth c��• with written �re�'mission frorn H�meless Strategies staff sa lang
as s�Fch cha�lges are atl�erwise ii� a�carda�lce with tlxe Agi•eeErent.
Pf-oc�i'that eaCh e�pes�se was paid by tl�e Agency, wE�ich praof �an be satisfied by can�e�[ed cf�e�ks.
lf a ca«ccllcd �hecic is ilot �ossibfe, a bank state�r�er�t with the expense higf�lighteci and labeled
will suf�'fce.
If'allocati��ri� �ercentagcs arc t�sed, Rll dc}c:uir�c�7tatio� must be submitted witli the first rno�ith's
inva':ce and if olianges are ir�ade, �iew ailacatioi� clncumentatian submitted witE� invaice.
l�or the audit, �ank state�nents showin� payments, Fa��m 9�1s and alfacation doc�imentati�n will
be reviewed.
C1TY �I� I�f]RT WDRTH
A�reernent for M�' HEALTH, iNY RE50tsRCES OF'TARRAMT COUNTY — RC�'TAI, tiSS15'1'ANCi: AN�
A!]M1[�15i�7'AT3C1�! �'age I�nf�iG
Docusign Envelope ID: 601144DB-275A-4ED8-8DD3-CA220D2C12CF
I PROGRAM COSTS
� A. ADMIMSTRATION - SALARIES (By title}
Total
$458,426.00 �
Billing Cooc•dinator
�, Cantracts Manager
SALARIES TOTAL:
� ADMINISTRATION - FRINGE BENEFITS
(Can include: Employer-paid Social Security,
Medicare, Health Insurance, Dental Insurance, Visian
Insurance, Life Insurance, Disability Insurance,
Unemployment Insurance, Woi•lcers CoEnpensation
and Retirement expenses)
FRINGE BENEFITS TOTAL:
i
ADMINISTRATION TOTAL:x
B. CASE MANAG�MENT**
C. ESSENTIAL SERVICES *X*:
D. HOMELESS ASSISTANCE**%*:
E. HOMELESSN�SS PRFVCNTION****:
TOTAL PROGRA.M COST:
$45,842.00
; $4,OQ.00 i
$357,584.00 �
� $S1,U00.00 �
$458,426.00
*Administration costs include employee compensation and c�elated costs for staff perfoirnance of
management, reporting and accnunting of HHSP acti�ities, inc4uding office space. Costs associated with the
purchase of licensing of HMIS or an HMIS-comparable databases are eligible adminisU•ative costs.
**Case management casts include staff salaries related to assessing, arranging, coordinating and monitocing
the delivery of seivices related to finding or mainlaining hot:sing. Costs include, but are not limited to,
Household eligibility deterinination, counseli�lg, coord'snating services and obtaining mainstream benefits
for Peagram participants, monitoring Program participant pc•ocess, providing safety planning for persons
under VAWA, developing a j1pUSi]lg and service p1an, and esit�y into HMIS or an HMIS-comparable
database.
*** Essential se�vices costs are associated with tinding and rnaintaining stable housing, and include, but are
not limited to, costs fo�:
1) Out-patient medical services;
2) Child care;
CITY OF FORT WORTH
Agreement for MY HEALTH, MY R�SOi1RCES OF TARRANT COUNTY — RLNTAL ASSIS'iANC� AND
ADMINISRTATION Page 20 oF4G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
3) Ediicafion seivices;
4} Legal services;
S} Mcntal health ser�ices;
5} Loca4 transportatian assistance;
7} D�-ug and �lcohol rehabilitation; and
8} ��b training
"*** I-1o�nc�essness p:•e��ntion arid Ha3neless Assistan�e casts are assacialed with kiousing reloGa#ioz�,
sta�iilization and ass€stan�e costs. Stafi'time ente�•ing i«foi•mation into HMIS or an ��MIS-eompara�le
database rekated ta homeless ass'sstance is also a� eligible cos#. Han3eless assEstar�ce costs include, but a�-e
�lnt limited ta, hatel �r motel cnsts; traizsitionai hausing; rental and utility assistai�ce; �•ental arrears; utifity
�•econnecti�n fees; reasonahle and Gustoma�•y security and «tility deposits; and mnving casfs.
�1TY �F FORT WORTii
Agi•eement for MY HEALTii, iVIY [tESOIIRC�'.S DF TARRA�IT L'OLI�ITY — R�NTAI, ASSISTANCE ANQ
AUMINIS�tTAT[UN �'xge Z1 ❑f 4G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
ExHz�zT �<c„
REIMBUR5�MENT REOUEST F'�HM
Expenses Narne af ert►ployee ar Amnurit Date Check
elient In�oiced Na.
IExpense: Salaries
ISa�ary
I SalarY
ISalarY
ISalary Total:
� FICA �Medi�arelSoci�l Se�urity}
� FICA (Medicarel5acial 5ec�ariry}
� FI�A {MedicarelSocisl Se�Urity)
Hea14h insurance
Health Insurance
� Healt�i lnsurance
IDental Insurance
1 Qe��tal Insurance
Dental Insurance
� Life Insuran�e
� Lifelnsurance
� I.ife Insuran�e
� Disabisity fnsurance
� �isabiiity Insu�•ance
I�isability [nsurance
I Retir�ment
IRetiremeni
fRetirement
fLJnempl�ytnent fnsu2'ance
� Llnem�l�yinent Insurance
ILlnemploy�nenf �nsurance
IWo:�kers Campensatian
IWo�•ke�•s Coxnpensatian
I Wo��kers Compensation
I Tntal nf all Benefits:
I Mileage
I Mileage
I Mileage
� Mileage Tat�l:
CITY �F F�HT WDR'I'Ii
Agreement fo:• MY IiEALTFI, MY R�5QURC�S fJ�' TARRA�►IT CDl]IVTY — RCiYTAL ASS15TAlYCE A�lD
A[3MI1+lISRi'A7'[�N Page 22 af 4G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
I Cel! ptiQne
� Celf phone
� Geli Phone Toiai:
Type of Client
Cx�enselVendnr
Client Expense Tatal:
I UperatiansNendor:
� d�erafians Tatal:
I Uther
I Dther Tata1:
� Ta#al In�oi�ed Amo�nt
Attestation
ICantractor:
IFrogram:
Name ofFersan sis�mitting
repart:
��ate Range Co�ered hy this
repart:
i have reviewed this repoi�t and
�ertify that if is a complete,
accurate, and up-to-date
s�ef�ectian �ftlie ser�i�es
rendered «s�der the tes��ns nf our
Agi•eement with the City of Fo�•t
Worth,
ISignatuF�e:
I Tota1
A
Budget
8udget Category Amount
Admin - 5alaries
Adm�n - Fringe
8enefits
Case Management
Fssentiat 5ervi�es
Hameless
Assistance
iatal
0
tatal Previnus
Reimbursements
Requested
C D
This
Mnnth's Total Request
Request ta �ate �B�+�j
E
f�emaining
8alance� A�a9labie
�A-�y
CITY [7�' FQRT W�RTH
Agi'ee�nent fnr MY FIEA[�TH, MY RESOURCTS 4F TAHRANT CQL11�iTY -- ItFNTA1J ASSISTAIVCG AiV"D
ADMIiV15RTATIQN Page 23 of 46
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
�x�i�����r «�„
REPQRTjNG F(}RM�
Quarterly Re�snrt
C�ar�•ent Repa�•ting
Qtiarter
Submitiing A�ei�cy
Cfl�itact i�lame
Ylease inctude outcome narE•ative #hat descrihes haw measure was accomplis3�ed for ca�h � iEarter.
1:ffe�ti�eness Measures and C�i�a�•[e��ly �utcames
Measui•e � A�ency will er�stsre ai lcast 40 clients ente�• [lte Hk�SP prQject during tile �ailtract
tel'171 (]n ihe nates, list the cfienEs' nasnes �first initial, Iast iianic} who leased up}
D1t14(lYitB
Measu�•e 2 Agency will ensure at least 2� c[ients under the Hf-�SP projec� will be served with
essentiai servi�es ��n t3,e :,otes, list the clien[s' names [firsi initial, last name} whn reGei�ed
essential servic�s fnr [hc first time in th� contract year.}
�ulcofrae
Measure 3 Agency wiEl ensure ai least 35 clients under the J-IHSP �r�je�t will Ue served with
homeless assistance during the ca»tract term (ln the nates, list ti�e clients' r�arnes (tirst
initial, last name] wh�s re�ei�ed Itinineicss assistar�ce far ti►e first tirne in the �ontract year.}
�irPCUYIt�
Measure 4 Agency w':ll ensure a! least 5 clients under the HHSP project will fioe served with
k�omelessness preventit�n during the �anfract te:'m (fn tl�e nntes, list the clients' names
[first initi��l, last name] wlio r�cei�sd homeless prevez�tion fa�' tl�e fiist ti�ne in the cvntract year.}
�la��cvfrrc�
Measure S Qft}i�se who eiit tl�e HI-I5P Project, at least three will maintain l}�using for three
tT�ar�tk75 aftcr exit, [[n tl�e nutes, list ti�e �iients' names [f`srst initiaY, last name} who exited three
mai3ths prior and th� number who were hvused �s. the tatal r�urtiUet' wl�a exited [lu'ee m�nths
prior}
Orrtcor�ae
c�T�� o� r��T woxTH
Agreemerit fvr MY ff FAIa'i'H, MY Ri'.SDLIRL L5 [iF TARRAi�T CUCINTY — Ri.IYTAL ASSiS7"Ah� E AND
.�DM=N�SRTATfU�f P�g� Z4 af 4G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
I hane ,•eviewed this ��ep��•t arrd ce�'t� tl�at 11�e nteustn•es provrc�ed ar�e acc�u�ate arrd upprnpr�ialely reflec�
tire Hanaeless Sti�ategies goals set forfh irT Ilae cot7h•act.
Authorized Signato�y Signatoiy Title
Date
CITY OF TORT WORi'H
Agreement for M1' HEALTH, MY R�SOURCES Of TARRANT CDUIVTY — RENTAL ASSISTANC� AND
AQMINISRTATION Page 25 of 46
Docusign Envelope ID: 601144DB-275A-4ED8-8DD3-CA220D2C12CF
MonthiY Jj�nort I
`Cexas Department of 1lousing and Community Affairs
HHSP Monthly Perfprmance Report
NNSi Manlhy P��fernunn R�pa1
........_......_....._........_......_........._,.__.... _ ....................._.._"__........_._......_"Y'�'_'_'_.....__....._.._' _'_ _'.........._......_.................
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�a�v c.�.r.� a.ia.a. R.pero�p
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IRIlP You1h b�t�Aslo� RepoNrq
v+�.r �nn�-......... ��.-�rwr...+�r.vwmn
...... . ......o .,,_. ..,. „ �:o �,.... �y.,..,�,..�.,o
,.,... ,�..o ....w.,...,�. ,o ...�,...,. ...,..o
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„.....e:.�:o
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...�.�»M.,..�.w�.,, �,..o �.�........,..o
v.. . ^.,�o
W.�.,o
",.:.�.�e....�
HI1SP Mont6ly Expenditure Report (ex�mple)
4.,......_ ...�
su��/ '((111` ..�i:��
� �w� nan�n ��. ,
"�If iiY
( �
_ ',.IN>A: .,,lyl.LJi/�_ " .,!'l��1'
. �w.�,.�� . ._ .T . �� ��..q...... `>
C! O .: s:
� ,� ' ' �
CITY Oi' FORT WORTH
Agreement for M1' HEALTH, MY RF.SOURCES OI' TARRANT CDUNTY — RLNTAL ASSISTANCE AND
A..i� v.., �.a.�.. A"I'ION Pagc 2G of 46
Docusign Envelope ID: 601144DB-275A-4ED8-8DD3-CA220D2C12CF
r.lininIT "E"
REQU�ST I'OR BUDGET MODIFICATIaN FORM
YROGItAM COSTS
i3ud�et Cate�ory
Salaries
Ft•inge Benefits
Case �j�a�ement
Essentia �ervices
t-Iomeless Assistance
Approved Budget _ Chan�e Reqaested
; �tevised Budgct
_�
.. i . _.. ..
i
�
Totaf Costs ;
• All proposed changes must have prior written City approval
MQdification Naerative (describe in detail what change is for)
1 have reviewed this request and cerlify thnl Il7e listed r����c�ifrcations arc coj�rect.
Autharized Signatoty
lla te
Title
STAFF USE ONLY
0 Modificatian Ap�ra�ed 0 Modification NOT Approved
StaFf Signature
Uate
. . . .
cr�r�r o� �a�z•r woH�rH
Age•eement for MY HCAL'I'}I, MY EtES�URCI'sS OF TARRANT C.UUN1'Y— RENTAL A5SI5TAl�lC� AiVD
ADMlNISRTATTOr! Page 27 of 4G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
�xz�xB�T «r„
GR.ANT REQC11 �EMENTS
Agency rr�ust camp�y with T�HCA regtElations �ontained at• referen�ed in t}�is �xhibit "F" and
Cxhibit "G". As 5ubgi•antee, Agency assumes al� respnnsibilities oft€�e City as subrecipient with the
exception of expenditua�e and performance repo3'ting and drawing fur�ds thraugh ti�e TDI-ICA Cantract
System. The fallowing are se�tians fram the contract hetween ihe Cify and T�3HCA attached in
Exhibit "G", and all cross-z•e%:•ences ':ri this Exhibit refez• to the sectians in that c�r�tract.
Sections from TDHCA Confract No. 632fi�O1�UUb
Sectian G. C�ST PRINCIPLES, A�MIIVISTRATJVE RE�UIREMENTS, AN� AUi�IT
REQ[] I REM EN TS
A. COST PRIN�i�'LES AND AI7MIN] STRATIVE RF,QllIREMENTS. �xcept as �xpress�y
rx�odi�ed by law or tl�►e ter:ns af� this Cantract, 5ubreci�ient shall camply with the cast
��•inctples and uniform a�ministrati�e requirements set foz•th in Chapte�• 783 of tk�e Texas
Gave:'n�x�cnt �ade and the Tcxas Grant Mana�emeni Standards {"TXGM 5"}. A I1
reFerences therei:� ta "locai governmer�t" shal! be construed to mean Subrecipient.
�, AllD[T REDiJIREMENTS. ]n acco�•dance with i� TAC §1.4a3{e}, if 5uhre�ipient
expends Seven Hund��ed Fifty Thausand and Nol] DO Dollars ($75[�,�OU.00} or mare in
state awa:�ds, or }�as an outstanding Ioan �alance assaGiaCed with state t�esaurces ofSeven
Hundred Fi�ty Thousand and Nc�ll�� �ollax�s {$75�,��4.4D} ar ma�•e with contin�aing
�ampiiance requfr�ments, or a cotni�inatior� thereof, must ha�e a Single Audit.
Su��•ec'spient agi�ees to �omply with any applicable 'T'XGMS updates ihat may be releasea
during the Contract `f erm. LJpdates to T�GMS may be f'a�and this we6site:
htt�s;ll�omptro I le:•.texas. go�lpu:•chas i nglgrant-managementl.
C. AllD�T REVIEW. De�arttt�eni reses'ves the i•ight ta canduct additional ai�dits afthe fimds
received and performances rendered undei• this Co��tract. Subrecipieait agrees to pei-rrtit
I]epa��tme2lt ar its aut��orized i-eprese�ltative to audit SUbr�cipient's reGoi•ds and tn nbtain
ar�y d�Guments, mate�'ials, o�• inforrrtatian necessary ta faoi�itate such audit.
[3. AU[3IT CFRTiF1GATI0N F�RM. For a:7y f'rscal y�ar e�ding within ar irnmediatcly atter
the Contract ierm, Subrecfpient must submit an "Audit Certification F'oz•m" (a�ailahle
fi•olt� the �e�artment} witiiili sixty (60] days aite�• che Subrecipient's fiscal year er�d. !f the
ciTY o� �oRT wor�•l�E� -
Agreement Far MY HEALTH, MY RES�LiRCES QF TARRANT COUIVTY -- R�NTAL ASSISTA�'CE AND
ADMlNISRTATIDN Page 2� af4G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Subrecipient's Single Audit is required by 2 CFR Patrt 20Q, Subpart F, the repoi�t musi be
submitted to the Federal Audit Clearinghouse ("FAC") the eaelier of thirty (30) calendat�
days after receipt of the auditor's report ot• nine (9) months after the end of its respective
fiscal year. As noted in 10 TAC § 1.4�3(�, S�2brecipient is requit•ed to submit a
notification to Department within five (5) business days of submission to the FAC. Along
with the notice, indicate if the auditor issued a management letter. If there is a
management letter, a copy of the letter must be sent to the Department. Both the notice
and the copy of the management letter, if applicab(e, must be subm'stted to
SAandACF(i�tdhca.state.tx.us.
E. STATE AUDITOR'S RIGHT TO AUDIT. Pursuant to Section 2262.154 of the Texas
Governtnent Code, the state auditoi• may conduct an audit oz• investigation of any
entity i•eceiving funds from the state directly undei• any contract or indirectly tivc�ugh
a subeontract undei• the Cantract. The acceptance of fiinds by the Subrecipient or any
other entity �t• person directly under the Contract oi� indirectly through a subcnntract
under the Contract acts as ac�eptance of the autharity af the state auditor, under the
direction of the legislative audit committee, to conduct an audit or investigation 'sn
connection with those funds. Under the direction of the legislative audit cammittee,
the Subrecipient or othe►• entity tliat is the subject of an audit oc investigation by the
slate auditor must provide the state auditor with access to any inf'armation tl�e state
auditar cansiders relevant to the investigation or audit. Subrecipient shall ensure that
this paragraph cancerning the autharity ta audit funds received indirectly by
subcontractors through the conti•act and the requirement to caoperate is included in
any subcontract it awards.
F. SUSCONTRACTS. Subrecipient shall includc language in any subcontract or subg�•ant
that provides the Depa►�tment the abi(ity to directly review, monitor, and/or audit the
aperational and tinancial perfQrmance and/or records af work perfoimed under this
Contract.
Section 9. R�C�R.DKEEPING RCQUIR�MENTS
A. GENFRAI�. Suhrecipient shall camply with all the recarc�lceeping requit•ements set forth below and
CITY OF FORT WORTH
Agreement f'or MY HEALTI#. MY R8SOLIRCGS OF TARRAf�T COLlNTY -- RENTAL ASSISTAIVCE AND
ADMINISRTATION Page 29 of 45
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
shall maintain fisca� a�3� peagr•amrnati� �•ecords artd supparting dactim�ntatiUn for all expenditu�•es
af funds m�de u��der tllis Contract in accordance with the TXGMS. Subrecipient agrees ta cnmply
with any ohanges ta the TXGMS recordlceeping req�irements and 3� TAC §7.8, Far purposes of
comp�ia�lce monita�-ing, all associated docurrtentatian must 6e readily available, whetl}er stare�
ele�i�•onica�ly or ha�•d copy ta demor�strate compliance with Sui�recipient Perfai•mance as outlined in
Section 3.
I3. WRITTCN P[7LIClES AND PRQCE�URES. Su�r•ecipieni must have written palicses a�d praGedures
ta ensure Ehat sufficient records are eslablished and maintained to enahle a de�er3ni�iation that HHSP
requix�enzer�ts are being met. The written standards tnust be appiied consistentfy far alI Pragi•am
Pa:-ticipants. The written standards m�st in�lude, but are n�t li�nitecf ta Inclusive Ma��iceting as
identi�ied in � (� TAC �7.10.
C. PROGi�AM PARTIGIPANT F'ILES. In accardance with 1 Q TAC §7.28�g}, Subrecipient shall
maintain P�•agram Participant f�l�s, for� r�an-erne3•�ency activities �raviding d's€-ect subsidy ta a
Program Pai�.i�ipant regardless if the client is directiy re�eiving the t'unds, that cantain the
foflowing:
a. An HHSP lntake Application includir�g an area for execu#ion t�y all aduit Household
member� �which may includ� an eiectrnnic signature}, certifying the validity ❑f
i�farmation p�•a�ided and an area ta id��ltify the staff persan ��mpleting the intake
appli�ation, anti must pravide a space for applicants to in�icate if they are a �etera» as
reguircd �y 5ection 434.2�2 o�'the Texas Gavernment Code. In additian, the ap�licativn
must include the fallowing state�nent: "Important Inforination for F'armei� Militai•y
Services Memhe�•s, W�men and men whn se�•ved in any �ranch af tl�e Llnited States
Ai'med Foe•ces, inGluding Aic• Foi•ce, Ar�r�y, Navy, Marines, Caas! Guas'd, Reser�es or
Natianal Gua:•d, may �e eligible fo�- additior�a� benefits and services. I�or more
iniarmaEion pkease �isit tl�e Texas Veterans Par�tai at i�ttt�s:llveterans.an�tal.texas.�avl;
l�, Certification wherel�y the �Appli�ant certifies whet�er they meet the definitiQn of
l�ameiess or 1-Iome�ess lndi�idual gr At-risk a�' homelessr�ess pu;'suant ta �� TAC y�7.�.
The cGrtif Ecatiar� must include the Program Pac�ticipant's sigstatui•e ar tegally
ide�tifying, rriari� (wllicf� may include an elec�t�'onic si�naiure};
c. Daci�mentation which deinanstrates ti�at the Pi'ogram Pat�ticipant meets income
CI'1"Y OF F(]RT WUR'fi�
Agreemer�t fo�' MY ii[;ALTH, MY RESOURCES OF TARRANT COLINTY — RG{�fTAL ASSISTANCE A�ID
ADMIIYISRTATiQN �age 3U vf 46
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
cligihility, if appli�a��ie, o:-, i#�proof af i���ame is u��oL�tainable, a De�la:-ation af
lncazne State���enE as cie�ned in 1 f] "i`�1C: §7.2;
d. I7c�c�uzierltation af arintral :•eces-cifis:ation, as ap���ica��e, 111L'ILICjtTl� ir�come
eligibility and that tlie Pi-agi-am i'artscipant lacics suffi�ient resaurces and suppQ�-t
netwflrl:s ne�essaty ta retain housing without assistance;
e. D�7cumentatioci o!'detc��itiinatior� of in�:ligibility fo�� assistai��e whe�1 assistance is
denied. Docu��lentatian f�lust include thc rcasa« far t11e r�ciei•mination nF
inel igi€�il ity;
f. Copies of all leases and rental ass�stance a�reeiner�ts fa�• the pro�isian af rental
assistan�e, da�umentatian ❑f payments made ta awners far the pi•a�isian af reritaf
ass'sstari�e, and su�po�•ting documentation for these payn�ents, inclucfir�g dates ctf�
D�cu�a��cy k�y Pra�ram Pa�fiici��ai�t5;
g. Dacume»tatio�� of the s-noi�tlily allar.va�ice for i�tilities used tc� detet•���ine
contpliance witf�t the re��t restricti�ri; and
f�. �acumen#ation that the Dws�liii�� [Jitiit (as s�c}� tei•rn is tietined in !� TAG §
7.�(l4}) #'oi� Prc�gr-am Pa�-t'sci�atiis recei�ing renYa[ assista�tce coEnpfies �vitl� tkie
11c�usir�g Standa=�ds in ��} 7'AC� ,�,'7.�9, Sheltes• ai�d l-Icausing Standards.
D. ACCESS TC3 RCCDF�D�. 5uh�•ecipient shal! give t�e ❑e�a�•tment, the Audit�r of the State of
Texas, [t�� Conlptroller at the State ❑f Texas, o�� any ot� their du�y authari�ed rep�•esentati�es,
access to ar�d tiie r'sgh# to exarnine ai�d ta �opy, an ar nft t13e pi•etnises of Subs-e�ipiertt, all rccords
pertaining to [hss Cantract. Suc� rsgl�t ta ac�ess s�all eQ�lt�nue as long as the records are retained
by Suk�recipie�f. Stxk�recipient ags'ees to coapei�ate with aEiy exa�rsiriation conducted pui-ss�anf to
[i1iS SllhS£C�14i7 D, 5+�brecipic:nt agrees ln mairitain such re�ords in an accessible Iocatiar�.
E, RECQRD RETENTIC]N. Re�ards re�ar�iing Prag�•am i'�s-ticiparit eligibi�ity shal! be i•etained
by Suhreci�ie��t f'ar a�eriod of fi�e (5) years. Acti�ities tflat re�uire a LLIRA, must maintain
the t-ecc�rds urtti[ tiie expiratiosi ❑f'the LC]FtA, nll ❑the�- records pe�'tinent to this Cant�•act s��all
he i•etai��ed hy St�bs�ecipie��t ti�:• a}�e�•ir�d �f tf�ree {37 yea3�s tl�at stai•ts an the day t��e Singie Audit
is d�e a�� woiiid i�e duc if' t��e 5'srzgl� Audit rcqti€rements arc nat ti�igget•ed, exce�t if �izy
liti�atian, �iairri, negatiatio:i, audit, n�anitai•ing, insp�ction or ntile:• actian has stat�tcc! Uefore
ciTr ar �or�T wo�z-r�s
Agreeenent f�r 117Y f1EALTFI, ll'1Y RESUCERCL+'S aP TAi�RAN7' CQIiN"TY — RCfYTA�, A55ESTANC:E AND
A[]M11Vi5R'TATI(l� P�ge31 of4G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
tfic cxpi�-atior� of t��e f-eq�ired i-ecord �-ctetltinn �iet•iod. In tl�is casc, records must he retained
until ca�n}�letion afthe action and i•esolutic�n af all issues wizich ai-ise ti-om it, oi- ur�Cil the end of
i�1C 1'�C]U1I'�C� 3'�(:i31'C�I:eeping period as desc�•ibed �ierein., w}�i�he�er is later.
F. DPEN RECQIZDS. Subrecipient acknowled��s that all inf�rmation written, praduced, callected,
assembled, nr nzaintain�d by 5ubrecipient pursuant ta this Coniract is subject ta the Texas Piiblic
inf�t�rr�ation A�t t�hapter 552 t�f Texas �avernmenl Cade] a�id �i�ust �e �i•nvided t❑ citi�ens,
public a�;encies, and ather interested �arties in a�co�•dance with tl�e `I'exas Public �nformatian Act.
5ubt'G�ipiei�t uncieF•stands tliat the ❑cpar�menf w�l1 �ainply with the 'f exas PuUfic Inforitiation Act
[Chapier 552 of the Tex�s GaWernrTieni Code� as i�lterpreted hy _judi�ial j•ulin�s and ❑pinions af
[he Attorney Gene�-al oC ti�e State nf Texas. Informati�n, do�umei�tation, and oti�er mate�-iai in
conne�tion with this CQntra�t oi• any res�ilting contract �r grant may bc subje�t to public
disctosure pui�staant ta t�te �I'exas Nu�lic Irtformation Act. ]n accarda�lce with Section 2252.�07 of
lhe �I'�xas Go�ernment C.ade, 5ul�i�ecipient is rer{uired to make any infarn}ation created ar
ex�l�anged with the 5tate a#'Texas pursuani to this Cr�ntr-act, available ia� a format that is acccssible
iay the ptibEi� at no additic�nal charge t� the State. A reqiiest to tkle Sub�•eci�ient foi' puf�lic
information shall be crrmmui�icated to Depa�tinent's �antac# identifed in this Agreement, by the
clase of i���sincss an fl�e follawing business day af[e�• the request is s•eccived. Subrecipicnt sha�l
not p�-�vide to tk3e requestoi• any infor��ation that was wri��ten, produced, Cn[lected, asse�rthled, ar
maintained t�ElC��I' L}l!5 Cants•act, hut shall respc�nd ta the requesta�- tiiat the request has been
furwarded [o Depar�mezit for processing. Afte�- gathe:-ing all i�lfoi�mation ihat is respansive to t11e
request, bL�t iFi no event 1atGr than �ve �S} Uusir�ess days af'te�• receiving the iiifarmatia�l req�E�st,
Subrecipient sf�all scnd t}ie iriformation t4 F�epartment. St�b:-ecipie�lt shali ti�r�ely contact
Depaitment if th�;�e will be any delay in se3�ding tl�e ii3f�rmation request or respansive docurrients
lo Qepa��tmerit,
�. StIk3Ct7NTRA�TS. Suhrecipient sh�ll includ� th� siEbstance af this Se�tion 9 iri al! of its
subcontracts anci subgrac�ts.
Sectiaii 15. SUBC�NTRACTS
c���Y or roN�i• wor��r•�
Agrecrnerit for MY Fi[:ALTfi, MY RE:SC3lJRC�S Dr TARRAIYT C;i7�fiV'i'Y — RCiVTAL ASSiS`['AI�fCE AN17
AdM1�V[SRTATIDN Pa�e 32 flf �LG
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
�1. Subrecipienl may not subcontract the p:•imary respnnsibilities of t11is Canti•act, includii�g but noi
limited to expenditure and pei-formance i•eporting and drawic�g fur�ds thc•ough the Department's
systems, and only may �nter into properiy procured c�nti•actual agree.ments For cansulting and
oth��• prafessional services if Subrecipient has recei�ed Depat�tment's prior w�•itten approval,
B. Subrecipient may subcontract ar su6grant for the delivery of client assis[ance withaut abtaining
Department's p�•ioa• approval. HHSP Subrecipient is responsible for ensuring that suhcanti•actors
and subgrantees adltere to t��e sars-Ee progra�n requirements and re�ulations as apply to the
Subrecipient including, but not limited ta having documentatian that Sub�•ecipierzt checked the
appropriate federal and state recards for debarre.d and suspended parties in accordance with
TXGMS. Subrecipient rnust have processes and procedures in place ta monitor subcontractors ar
subgrantees. Subrecipient �•epresents and warrant tE�at it will monitor the activi#.ies of the
subrecipient as necessaiy to ensure that the subaward is used for authot�ized purposes, in
compl iance witE� applicable statutes, regulations, and the terms and conditions c�f the subaward,
and that subaward pei•formance goals are achieved. Any subcontracl or subgrant far the deli�eiy
of client assistance will be subject to mdnitaring by the Department pu�-suanf ta 10 TAC §7. I 1.
C. In accoi•dance with I 0 TAC §7.7{c), 5ub►•ecipient will notify the Depai-tment and pi•a�ide contact
infaimation for subg:•ants o�• subcontractors within thirty (34) calendar• days ofthe effecti�e date
of subcontract. Contact informatian fo�• the entities with which the Subrecipient subgrants a�•
subeontracts cnust be pro�ided to the Depai•t��ent, ir�cluding: ot-ganization name, name and titie
of authai•ized pei•san who entez•ed ii�to t}1e subgrant ar subcantract, phane number, e-mail
address, and ty�ae of services p:�o�ided.
D. In no event shall any pi•ovision of th'ss Section 1 S be construed as relieving Sub1•ecipient of the
respansibility far ensu�•ing that the perfarmances under all subcontracts and subgi�ants ai-e
rende�•ed so as to comply with alE of the terms of this Cantract, as if su�h pex•farmances rendered
were �•endered by Subrecipient, Deparcment maintains the right to monitor and require Subrecipient's
full compliance with the tei•ms of t}tis Contract. Department's approval under this Section does not
wai�e any right of action which may exist �r which may subsequently accrue to Department under
this Contract.
SECTION 22. COMPLIANC� WITH LAWS
ciTv or roR�r wourH
Agreement for MY HEALTFI, Ml' RESi]URC�S OF TARRANT CUUNTY — RE�ITAL ASSISTA�ICE AND
ADMINISRTATiON Page 33 nf 46
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
11. FEL?ERAL. STA"I'E., ANIJ LDCAL LE1W. Sut�recipient shali casnpty with
the Stale �1ct, the HHSP 5tate Ru�es, and al] f'ederai state, and loca� laws,
�•ules, i-e�uiatians, and �nliCies iiy eiTect ai- hei•eaftcr establisfted
applicabfe ta tlle perfartna�lcG af i}iis C;ant3'act, in�luding, �i�:t nat
limitcd to the �ro�ram requirements and fair hausing laws.
S�threcipient rcpresents and warrants that it will camply with all
requirements impased by tl}e awardin� ag,ency conce�•niitig special
rec�uirements of law, pragram require���ents, and nther ad�x�inist�-ativ�
�-eqLiiE-ei�le�its. ln iiistan�es ��vt�ei-e tnti�tiple requirements ap�ly to
4�ihz•e�ipient, fhe irore z'esti'icti�e i'equi;•�;���rst a�piies. LlFaon requcst
b}� �epai�ir�e�si, SLli7k'�C1�,7lEI7t sfial[ furnish satisfactory proof af its
�amplian�e ti�ei•er�ith. Su6i•eci�aient shafl not �iolate ai�y fedei�a�,
state, or iacai laws, stated herein ar athei•wise, nor cainmit any illegal
actiWity in t�e perFor�r�ance af or assUciated with the performance of
this Contract. No f"uiids ui�dei- tk�is Co�it�•act shall i�e used fo�• any
ill�gai aGtivity cri•actiWity that violates any fede�•al, stat� or lo�a� laws.
B. DRLJ�-FREF W�]R[CPI_.AC:I? ACT �l�' 1988. �'1�e Subres�ipien[ affrn�s
k�y signin� tliis Cant�•act and the "Gei�titicatinn Regac•ding Drug-Free
Wc��•kpla�e Requiremer�ts" atta�lied hereti� as Addendum A that it is
implementing ti�e Dru�-I=ree Warttplace Act af 1988 (�ll LISC �7U1 e!
sec�j and the regulatians promu�gated there�inder in�luding, without
limitatian, ? CFR 1'arts i$? and ?�29.
�. INF�RMA'T'lDN SF:Cl1Rl'-1'Y ANI7 PR[VAGY REC}vIREM�NTS.
{�} Gene�-al. Sub�-e�ipient shall cai��ply with lk�e information
securiry ar�d p1-i�acy requiren7en#s under I� TAC � 1.�4 Co ensure
t�e secu�-ity a��d �arivacy of P�-ote�ted inforiziation �as sa'sd ter��i is
d�� ned under 10 'I'AC § I.?�4 j.
r��r u�� rau��� war�7'ri
A�rec�nent fn�• MY }1�ALT[i, MY 1t�S�ClnC:CS Oi' TARRANi' CaL11�fTY — H�N'E'AL ASSISTAI�'CE AND
.A�171iV1SR1'A'I'lUf� f age 34 of'�fi
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
�2� Information Securitv and Pri�ac-� Aet�eement ("�SPA''1. Pri4�•
ta [�eginnir�g any wai�lc under tliis Cor�tract, Subrecipient shall
eithe�� (�j ha�e an effective, fully executed ISPA, as i�equii-ec�
Uy 1❑ TAC �1.?�, an file with the Department, a:• (ii) will
ex�cute and submit to tl�e Depa2-�ment an I5PA in accordance
with inst�-u�tians found on the I]epa�-tment's website at the
"Inf�rmation Security and Pri�acy Agreemer�t" lin�c.
D. AE�FIRMATIVE �l1TREACH. Sizhrecipient shalf affii•mati�ely reach ❑ut
to papuiatinns that are least lilceiy to apply f�r ser�ices as f►zs•the�-
outiined in 14 TAC �7.1 Q(c){3}.
E. L.EAD-BASED PAINT. Subrecipient shall comply with the Lead-
Based Paini Poisani«g �'re�er�tion Act, 4� L�.�.C. ��$21 et seg, artd 24
CrFt Pairt 35,
F. E�CECUT�VE HCAD DF A STATE AGENCY A�'FIRMATION. In
accardance wi#h Section b59A03 ❑i t�e Texas G�vernment Cade, re�ating
ta coiStt•acting with the executive head of a state agency, Subreaipieitt
ce:tifies that it is n�t �1} the executi�e head of the ❑epa2•tmenf, �2) a persan
wha at an}+ time durin� the four yea��s befare the date of t�e Cor�tract was
the executive h�.ad of`tf�e Depa:•tment, o�• {3} a person wha emplays a current
or former executivc i�ead of the Departsr�e�lt.
G, PF�aHIS�TED EXPEND1TiJI�ES ON CERTAiN TELECflMMUNICATIDNS
AND VIDEQ Sf�RVEIi,I�ANC� S1�RV�C�S AN� E4�IPMENT,
(i} Geneial. Pursuant ta 2 CFR �2a4.2 ��, Subrecipient and its
cont��actors ar-e }�i•al�ibited f�•osn usirsg tunds unde:• this Coriti•a�t
for equipmes3t, ser�i�es, or systeins that use the following ca�es•ed telecommuriicatians
equi�acnent �r se�•vices as a sut�s#antia� vr essential
cosnpanent of any syste�n, ar as Griti�al te�lltloiogy as pai�t of a��y system
CI`C'Y OF FURT WORTH
Agreerstcnt fnr Ml' H�A11T�1, MY [tESOURC�5 DF TARRAN'�' C�L7�fTY — RE�ITAL A5S15TANCE AN❑
A1]IVl[1�I5RTAT[Dl� Page 35 of �G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
is� ac�at•dance with Sec#ian 889 oi Pu�lic Law 1 15-�32 �Natintlal �efense A�ithas�':zation �
2419} ar ent�r int�, extend ot� renew a caniract #a p�'acure i��e fol�awing covere�i
fefec�mmunicaTionS ec�uipment or ser�ice5:
n� Telecommu��icatiar�s equEpment produced by flttawei Tec�tnologies
Company or Z,TE Car�oration �ar a�y subsidFaty ❑r affil iate of such
entities}.
�] For the put-pose af public safety, secu�'�ty af go�er�v�net�t iacilit�es,
phys��al secur•iry sua•�eillar�ce af crit'scal infi•ast�•uc#ure, and ather
national secui•ity �urpases, �ide❑ sur�ei I lance and
telecc�snmunications e�uipment �roduced by Hytera
GnmmunicaC�ons Go�•p�ratir�n, Hattg�hou Hilcvision Digital
Te�hx�olQgy Company, Qr D�hua Technalogy Carnpany �a�- any
subsidiar•y a�� affiliat� �f suc}i entities}.
�} Tele�ammunications or video ssarveillance services providcd �y su�}t
entities oi� using su�h eq�zipment.
d} T'elecamm�ni�atian5 oi• videa surveillance equipm�nt oi• serv��es
pi•aduced oz• prar�ided by an entity that the Sec�•eta�y of Defense, in
c�r�sultation w�th tf�e Dit•e�tai• of #he National Intelligence ❑r the
Qi�•ectoc• of thc Federal Bureau af 3n�estigatian, reasona�ly �elieves
to be an entity owried ar cantra]!ed by, a�• otherwise s:or�nected Fa,
the �o�e�'n�nent of a cq�ei•ed foreign counti'y,
e] Systems that use co�ered feiecommuriicatians equipsnent ni- ser�ices
as a substantia� vr essential compQnent af any systetn, or as c:-itical
tectinalogy as part aF any system.
(2) SL�bcontracts. S�b�•e�ipi�nt must incor�arate ihis p�•ohibitiQn in any
conts•act and s•equ�re 'sts subgrantees or sukacoittt-actoi's ta incor�ar�ate
this i•equiretz�ent inta any conti'act,
�i. CYBERS�;CURITY "1'RAINING PRUGRAM
I} Su€�t•ecipient re�resents and war�'ants its cosnpliance with Sectian 2Q54.519I or
ZQ54.5192 of#he Texas Ga�ernment C�de relxcing to the cyhe��se�ti�rity tr�aining }�rogram
for lacaC ga�ernment em��nyees wha �ave ac�ess to a loca{ gavernrrtent �omputer systetn
�r database.
c��rY o� �aRT waRT�
Agi•eemer�t Fai• MY �lEAI,TH, MY R�S4[�RCES QF TARRANT CQ[�N'�'Y — RErilTAL ASSISTANCE A�YU
ADMli�[SRTATf0�1 Page 3G af 4b
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
2) lf Se�brecipient has access ta any state computer syskem n�' datat�ase, Sub�•eci�aierit shall
�Qrnplete cyberseciir':ty ta�aining and verify campleti�n af fhe #raining pi•agram ta t�e
Depa��ment puz'suai�t ta and in accordar�ce with 5ection 2Q54,51 �2 nF the Cinves�nment
Code.
1. DiSCLC3SUitE PR[71'ECT[4N5 FC�R CERTAIN �HARITAHLE ClRGANILAT[�NS. C��ARITASI.E TRUS`�'S.
AND PRf VATE FC]UN�ATiONS. Suhrecipi�nt t•epz•esents a�7d wari•ants that it wiEl comply witl�
Section 2252.9D6 Of fhe 'I'exas Gaver:�mer�t Code relating to disclos���•e protectinns for cei�tain
charitahle ❑rganiaations, �haritable t�-usts, and pri�ate foundations.
J. PR�CUI�EME�'+�T �F REC�VERED MATERIALS, Su6recipiciit represents and warrants that it
will c��mp]y wit�t the rzquirernestts of Sectian ���2 of the Solid Waste Disppsal Act (Chapter
3b [�f'the Texas ]�ealtil & 5afety Code, farme:•ly Tex. Rev. Civ. 5tat. Ar�n, Art. �477-7}, as
amended 6y the Resaur�e Conses•vation and Recave�•y Act.
K. REC�RI7S R1�TENTION. Subre�ipie��t represents and wa�•rants �ts campliance wEt�3
the re�ords retention rcquirements of � CFR � 24fl.333. T 1� e Department reserves
the rigi�t ta direct a Subrecipient t� retain dc�cume��ts far a lange�� �erin� of time crr
transfer cei�tain recnrds ta Department custc�dy when it is determined the i-ecords possess
longet• term rete��tion �altie. Suhrecipient must includc the substance af ihis �lause in
a!� su�awards and subco��tracts.
L. NDT�FICATI�N OF' INVESTIGATIQN, Subrecipient must r�atify the ❑epartment
if 5u�recipient is unde�• federa! ❑r state in�estigation �i�y, fai• eYample, including, bui not
limited to, Qffice af I:ispecto�• G�ne:•al and t�e O['�ce nf 5ta�e Inspecto�• �ene3•a1].
St�hrecipient musl inform the Uepastmerit ':n writing af this invest�gation in acc�3•dance
with the Notice Provisi�ns in Sectian 41, Stib��e�ipient must also infgrrn the Depa3-tment
in writing, in aGco��dance with tf�e Not��e �rQvisi�ns in Section 41, ❑f any writteri
i'ec�uests far information i�y t�e 5tate Auditar's Office, the Office af ti�e Attorney
G�neral, or any ather in�estigative age�icy, unless ❑the�-wise ��•ohibited by
law,
M. R�M��I�S. Upon an occu�•rence ofan e�enc ofdefault, the Depaf-tment, in its sale
discretiQn may, [i} apply to any cou�t l�aving jurisdictiors ❑f ttie subje�t matiei• for
c:ir� o� �on•i' W(3RTH
Agreemc�t far MY HCAl,TH, MY RESQURCGS �F TARRANT C;QR1iVTY -- RCivTAL ASS[STANCF A�iD
AElM1NISFtTAT�ON Page 37 nf4G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Sj7�Cl�iC �7e['fdl'117t1i1C� Of L�715 C'[711i1'iiC�, af1CII()1' �C11' 3n 1T1�L�f�G�IUII �1�iiiil5i dily V1Qt�ikOi7 ilf
this Cantraci, or tii} take any actian authorized sander ��'itle 1�, Part 1, Cha�at�r l Q,
SLibcha�tca•s F at�d � ofthe `I'eaas Administratsve Gade Qr Titie 10, i'art 1, Ctiapte�• � of
the Texas Administrative Code, or {iii} tal:e any ai�d all actian ai law, in equity, ar
ntherwise for such at�e�- relief as may bc a�propriate, it t�eing aclrnowles�ged
t}3at the bene#i�iaries of 5ubrecipient's abligations the�•eunde�' Ga�7not be adequately
compei�sated hy i�unetary daEi�a�es in the c�e�it af Su�are�:ipient's default. "I�he
I]epartment sl�ail �e entitled to its reasonak�le attorneys' fees in any sucl� judicia� action
in w�ich the Department shalf pre�aii. The Depat�tmesit shall alsa be c�mpe»sated for
fees assa�iateci w�tt� additi�rial
complian�e monitari�g d�ring co:•rective periods ofnoci-coir�plian�e eipan a default �y
Subrecipient he:-eunder.
SCCTIDN 25. C�NI+LXCT nF IMTER[+:STJIVEPDTISM
A. SUlarecipient s�all maintai3� written standards of canductgo�c:•nis�g the.perfarman�e ufits emplayees
engaged in the awa�'d a�1d administratioi� ❑f contracts. Faift�rc: ta maintain wc•itten standards ❑f
conduct an� [� failaw az7d en#'arce tlse written stattdards is a conditian of defati[t underthis Contraot
a:1d may resuli ii� tes-3nination ❑Fthe C�r�tract or denhligatiUii flf fu��ds.
B. No employee, �fficer, a�' aget�t af Subrecipiettt shall pai�ticipate in the se(ection, award, or
adrt�inists-at'son af a contra�t supported i�y Fecleral tt�nds if a reai ❑r appat'ent canflict oi':nterest waGilc�
be i��v�lved. S�sch a conilict wauld a�-ise when the ernployee, af#i�er, ❑r agent, any member afhis o��
l��r immediate family, his ar her partne:•, or an nrganiLation which employs oe is about to einp[oy any
❑fthe Parties i�ldicated �yercin, has a fiilancial or other ir3te:'est in t�e fi�•m se[ected fo�• an awa�-d,
C. "fhe officers, e�nployees, and agenfs of tkte SLibrecipienl shall ileither salicit 31ar a�cept gratuities,
favars, ar anyth'rng af m�n�tary Waltfe frosn co:7tractos's, ar pariies ta subagreements. S��brecipients
�nay set standar�s far situafio�is in which t}�e tician�iai interesl is nat substantial pr the gift is an
ts��solicitetf ite�n af ilost�irial value. The sta�tdards ❑f �onduct si�al! �t•o�ide fa:• dis�ipkinary acti�ns ic�
k�e appiied for vi��lations ofstich stai�dards hy �ff�cers, employees, ❑r agents oftE�e Subrecipient
I7. `I'he pra�ision ❑f a�zy type ai• amount of HHSP assistance may not be car�ditioiied r�n ar� itldi�id�tal's
tir famiiy's acceptarsce ar acGupancy af ernergen�y shelier ar hausing awned by the5uf�recipient,
5�ibgrantee ar a pa�•cnt or su�isidiary af t}te Subreripient.
i;. Nn Subrecipient inay, wit�� res�ect to iiidi�idtials or fami�Ees oc�upyin� hatising owne�f by t}te
5ubreci�ier�t, ��• any pas•cnt or suhsidiary of the Su�recipierit, cat•ry out the initiai ir�talce reqtiired foE•
Program Participarst files under 5�ction 9{C} of t}zis Cantract.
CiTY OE� rORT WORTF�
Ap�•eet��er�t !'o�' MY HEAi,Ti{� MY RESnURCi�S f)F TAlZFtAhT' C�UN'T'Y - RENTAI� ASSIS'f�NC� AIVD
A[]i1�Ili�IS[�'i'A'I'[ON Pagc38 of 4G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
�. Far transa�tians and activitics atlier than t€ie �:•o�ui•ernent ❑f gaads and services, �lo officers,
e�nployees, and agents, including cansultants, officex•s, or elected or ap�aointed off7cials of the
Subrecip':e;zt, Siibgi�antee, or subc�ant:•actar who exercises ar has exercised any functions ar
responsibi�itEes wit� respeci to aC#ivities assisted un�er HHSP, nr who is in a positian tapart':cipate
in a decisiQn-makin�; pracess or gain inside informatinn with regard t� activities assisted ur�det' the
program, may oh#ain a�inancial intet•est ar bene�it from an assisted acti�ity; �a�e a financial interest
+�Z any cantract, subcat�tract, ot• agt'eement wit11 respe�t to an assistetf activity; or have a financial
interest in the pro�eeds deri�ed f�•om an assisted activity, either for him �r herself or fai• thas� with
wham he ❑r she has famiiy ar business ties, during his or her tenure ❑r du�-ing the �ne-year pe�•iad
fallawing his ar her tenure.
G. �ubrecipient re�resents and war�•ants that perforrnance under the Contract wi31 nat �onstitute an
actual ar p4tential cnnflict af int�rest ai• x�ea,sorzabiy ci•eate ar� appeaz•ance of imprapriery. Furtl�er,
Sub�-ecipient represents and wa�•rants that in the administration of the grant, it will comply wilh
alI canflict of intet•est prohibitions and discfosure requii•e�ients r�equired by app3icabEe law, rules,
a31d policies, in�luding Cl�apter l7� af the Texas L.ocal Governrr�ent Code. if cis-cumstances change
dur'sngthe cau�-se of t�1e Cont!•aci, Subrecipfent sliall �ro�nptly notify the L]epaf�snent.
SECTIaN Z7. 1tiT�NDISCRIMINATIQN, FAiR HD[3SI�fG AND EQUAL ACCESS
A. ACCE55IBILITY AND F'A[1� HDCISING. Subrecipient must meet the accessik�iiity sta��das•ds aT�d
fair housing req�iiremei�ts under �ij Sectian 5Q4 of the Rchabi[itation Act oF �973 {S U.S.C. §794}
and its implesnenting regulatiorts af 24 C�'� Pai� 8, [ii} the Fair��ousing Act �4� E�.S.C. §36�i ef seq.)
as irr�pleinented �y I �LI❑ at 24 CFR Parts ] QQ-1 i 5, (iii} Texas Fair k-Ious�ng Act �Chapie�• 3U 1 af the
'Texas Property Cod�}, {iv} Tit�e VI aithe Givil Rights AGt af i 964, as amended t4� LJ.S.C. �ZOUOd
et secf.j, and implementing re�ulatinns at �4 C.F.ft. Part I, and {v} Titles [i and ��I of t�re Ame�•icans
with Disat�ilities Aot ❑f' i�9U (4Z L].S.C. §� 1213I - l� 1$9; 47 U.S.C. §§ 155, 2d �, 2 t$ and 2S5} as
implemented hy U.S. Department af.iustice at �$ CFR Parts 3S and 36.
e, REASQNABLE ACC�MC}DATICJNS. Subrecipient shall operate each program al•activity re�eivin�
HHSP fnancial assistance so that t4�e pra��-am ar aotivity, when viewed in its entirety, is readily
accessi�le and �asa�afe 9ay individuals with d'ssabilities. Suhreci�aient is als❑ rec�uired to pro�ide
reasanab[e accommadations for persons with disaf�ili#ies.
CETY �F F�R'� W[]RTH
Agreen�ent fnr MY F�EAGTH, MY R�SOURC�;S OF TARRANT C�UNTY— fi�1�TAL ASSISTAi+ICE Ai�fU
ADM il�i lSR7'A'i'f ON Page 39 of 4G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
C. GrNERAL. S�shrecipicnt shall make ]cnawn lhat use af tl�e facilities an� ser�iaes funded under this
Contract as•e a�ai�able !Q al! on a n�nclisci-i�ninatory basis. Subrecipient also must adopt and
implement pro�edures designed to make a�ailahle ta ir►terested persons irtfQrmatior� c�nces-ning
the existence and locatian of serv4ces and facilities lhat are a�cessibfe ta persons with a aisa�iiity.
D. AI�FIRMATIVLLY FiJR`1'H�RING FAIR 1�0115iNG. By 5ubrecipient's exe�utign of the C❑ntracl,
Subi•ecipieni ag�-ees ta ai�'irtnati�ely fuither fair housing 6y using funds in a manne�- that Follows
the "5tate of'T'exas' Analysis n�'Impediments" and will maintain recard5 in this regard.
E. AGE DISCRiMfNAT[�N. Subrecipient must cornply with the Age Discrimination Act at 1975
(�2 u.s.c. §§ 610i-fi�47}.
F, SUBCDNTRACTS. Sii�reci�ient will incfude the st�bstance o� this 5ection �7 in a!k af its
suhcontracts.
Persnna! Responsibility and Work agpartunity Act ot 195i6
By executir�g this agree:nent, Ageilcy agrees it will comply with the fallowing:
If an indi�idual is a�plyin� tos• I-iHSP tunds, a 5ub�•ecipient rnust �erify t)iat the indi�idual �ppfying far
H�-iSP fisrtds is a c�uaii�ed recipient for funding ui�de�� the Pei-sonal Responsil�ilityand Worlc C]pportunity
Act of 1996 (���R W�RA �� Pub. L. 1��4- � 93, l 10 Stat. � 1�5, cadified at S i].S.C.§ ] 6� ! e�. seq., as
amended by the Drnnibus Appropriations Act, 1997, �ub. I�. l Q4-248.
To ensure that a non-qualified appiicant d�es not re�ei�e "��ublic hene�ts," a political subdiWisic�n that
administei•s "3aub[ic ber�elit progra��s" is required to deterir�ir�e, ai}d Ca verify, tlle indiv'sdual's alienage status
�efnre grar�tin�; eligiUility. S[].S.C. §I542 [a} and [E�). Subrecipient must use the SAVE veriiicationsyst�m
ta ve�-ify and dacument qualified alien eligibility on�e access to the system is pra�ided by the F3epar#�7�erit.
There are certain ty�pes of assistance that �re not s►�bject to the Act's restriction on access ta publi� bene�its
€aased on isr�mag��atian stati:s, This includes a�ti�ities that: [1} deli�er in-kind servEces a# the communiEy
level, [�) are ��ecessai'y fae ihe protection af life o:• safety, and {3} do nat condition khe prnvssion ❑T
assistance on the applicant's incc�me or �•esources. Genet•ally, undex� ihe EH Fu��d State [Zules, a�� activity
that pravides a public benefit ta a 2�atisehold that is Hameless is exempt, while an acti�ity thal is �rovided
to a H�uset�old that is At-F�isk ❑f Homelessness is r�ot exempt. Howe�er, if 5uk�re�i�ient has adrrpted
incnme-based crite�'ia far the provision ofas5istance, tl�an that aclivity may be s�ibject ta thc Act. Yet, sa�ne
acti�it'ses do not �ru�ide a public bene�t ta a I-lo�tse��old s«�l� as a case manages• pea•for�ning a f�o�iseha3d
eligit�ility tleterminat'san or pu�•ct�ase of art HM�S �ata�ase, Se�tiarz 40l{i�j�l;}{C) oftlze PRWC]RA also
exe�npts "ptcblic heaith assistance f'or im�r►unixations with �•es�ect ta i��mt�ni�able disease� and foi• tcsting
C�TY DF F(7RT WURTH
Agr•eement fn�• MY H�ALTH. MY RESDURCi�S Or TAR�iANT C�C��1TY - REN7'Ai. ASS1STAiVCE ANU
AilMIN[SRTATifIN Page• 40 ot'4G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
anci treatment ai' symptoms ❑f cammunicable diseases wheti3er ar r�ot such symptott�s a�•e cat�sed �y a
communicable disease,"
�f SUbrecipier�t is unsure af whether or not an activity is exempt fi•om the Act, it shauld c���tact the
I]epartment f�efor� heginning t�e acti�ity ta receive a wriiten �eterrninatian
CER7'IFICAi'IDN I�ECiAR�ING C1SE OF T'H� SYST�MATfC AL�N �IERIFICA�'I�N F�R EN'CIZ'LFMFNTS �SAV�]
SYSTEM
Subrecipient shall;
System Use
�stablish ihe identity of tE�e appli�ants and re9uire eacli appli�ant t❑ present the applicant's immigratian ai•
natural�zati�n documentatian that �ontai��s tl�e informati�n (e.g., alien i•egistration num�Oer} required by the
SAVE Prngram;
Physically exa�nine the docur�entation pi-esented by tl}e applicant and dete�-mine whethert�te document{s}
reasona�ly appear{s} to �e genuine and ta relate ta the individua�;
Pro�ide t� the SAVE Program the informatian tiie SAVr Pr�gram i•equires to resportd t4 Subrecipient
re�Juests for �ersfi�ation of immigratian ar naturali�ed oz• deri�ed cttiaenshi� status information, inclucfing
� 1} information from tPie applicant's imrtligl�atian oi' naturalization dac�mer�tatian f�r in'stial autamated
veri�catian, {2} additi4nal informatian ob#ained from the alien`s immi�ratian or naturalizatian
doc+�mentatia:� for automated additianal verificatinn, and
t3} ct�mpieted Farms G-845 arid otf,er doc��ments and informa[ian rcquired fQ�• Enanual additianai
verification. Fnr manual only v�rificatiori, ensure that Porms G-845 ar�d other documents ai�d i�iforana[io�i
required %i� manua! �erifiGation are pro�ided;
T:nsGtre that, priar ta t�sing the Veri�catian infoi�mation System, aIl emp�oyees designated by 5uhrecipient to
�ase SAVE Qn bchalf of the Subre�ipies�t �Users} perfoi�ming �erif�cation pt�acedtEres camplete SAVE
rec�uired training Encltiding; readiiig t�e SAV� Program Guide, taking the late�t version af Web tutax'ial{s},
http:llwww.uscis.gavlsavelwhat-sa�elsave-weh'snars, and rnaintaining a working ]cnowledge ot requirernents
contained therein and in this Contract as updated. D�cumentation ❑f trainiizg must he mairitained 6y the
5ub�•�ci�ient for monitoring i•e�iew;
Ci�sure that Users are ps'ovided wikh and mainiain LJser lds o�ify while ti�ey have a need ta perfor�n
veriiicatiQn ��•ocedures;
Ensure all Users perfarming vet•ificatio�� pracedures cQmply with all requirements containedin the SAVE
Pragram Guide, web�based tutai�ial, th'ss Contra�t, and updates t❑ t#�ese requirerrteitts;
c��i•v o� �o�� waRTii
Ag�•eernent far M7' HEALTi�, MY R�5DE1ltCES Or TARRANT CDr1iVTY — RENTAL ASS[STA�iC� AND
AUM1�fIS�TATiOIY Page4I of4G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
�;r�su�-e that all llse�-s p�rforming ve:-ifcati�n }��-ocedu3-es have contact information fnr the SAVE Pr•ogE•am
and SAVI: Monitc�ring and Campliance. Canta�t infcarmaticm can be found at
htip;llwww.uscis.gavlportallsitelt�s�islmer�tiite�n,ebl d�c2a3e5�9ac'89?43cGa7543f6d 1 al?�gne
xtoid=Qd37dffd79�2931nV�nVCM 10U4�40$2ca 5[]aRCi�]_7&�gnextcha n�e1=�d37dffd79a293 l�1V�
nVCMl44U�0�8��a50aRCRf]
�nsure ali i]sers perForm any additio3�a1 �erificatian pra�edures the �AVE Progratn requires andlor the
a��licant requcsts af�er the Subs•ecipient initiates a req�est fUr �eriiication;
Use any information p�•avided by DHS-USGIS ur�de�• this Contx•act solely for the purpose of deteE•:nining tl�e
eligi6ility of persons applying for� the 6cnefit �ssued hy the Subrecipient and iimiE use Qf su�h informatiari
irt accordar��e with this and alf o#her pmvisions af this CQntract
��m��ly with the requirernents ❑fthe Federal �nfn�•rr�at�on Security Mana�emettt AGt {"FISMA"} �PL-107-
347}, Title Ill, Secfion 3D1 a��d �MB guidan�� as applicabie ta �€ectrani� siorage, transport ❑f recards between
agencies, and the intet•nal processirzg af reGorcis re�ei�ed by either agen�y under the terms of tklis Canfit�act;
5afegiiai•d such infnrmatinn and a�cess methads to ensure that it is not us�d �ar any othe�� p�irpose thar�
described in this Contract and protect its �onficientiality; i�1�I«ding ensuring that it is not disclosed Eo any
unautharired person[s} w�t�»ut th� prinr written corisent ni17HS-llSCIS, Fach ap�iica��t seeing a�cess ta
infar�nation t'egai•din� himlherself may do sa i�y submitting a written signed request to �FIS-llSCIS,
Instructions fai- submiriing reqiiesi may be lounci ai
http:ll�vww.uscis.ga�lUSC1SlVe:-if:cationiSAVE15AV�:_i'Jative_Dacu mcntslFar�t Sheet__HawTaCv
:•��ectYou�•RecordswithUSCiS.pdf' {subject ta revfsion and repasting Qn tfie SAVE Website and ❑nline
Reso�as•ces};
C��rtply w�th the Privacy Aci, 5[J.S.C, §55�a, the Texas Puhlic Inforrr�atian Act and oti�er applicai�ie laws,
r�gi�lai�ans, and ��licies, �ncluding but not �imited ta all �MF3 and DHS priva�y guidance, in candiicting
verifioation procedures pursuant !o this �ontra�t, and in safeguarding,maintainin�, and disct�sing any data
pro�ided o�• z•ecei�ved pursiiant to t��e Conti•act;
Comply wit� fedes�a� laws pi�ai�ibiting disci'iminatio�l agai�lst appiicants and c�isc:•ii��inat��•y use ofthe SAVE
Progra�n based upan the naEi�nal aE'igin, col�r, race, gender, religic�n, or disability nfthe applicant;
Provide all bene�t-appli�ants wha az•e denied 6enetits based solely ar in part on the SAVE� �-esponse with
adequate written n�tice of the deniai and the informalior� necessary to cQntact D]-�S-USCIS s❑ thai sucfl
individual may carrect their recards in a timely manner, if ne�essar•y. A Fact Sheet that irzcludes the process
by which appli�ants �nay �ontact ❑HS-USC1S is posted a#
http,llwww.us�is,go�IUSCISIVerifica#ianISAVEISAV�_Native_I3oc�amentslFact_Sheet HowToC�
rrectYourRecordswithUSG�S,pdf, {subject ta revisic�n :�nd repasting an the �AV� We�site and �nline
Resources);
CITY O1� FDR'l' W�RTH
Agreen�ent for MY f��ALTH, iN!' i�ES�I]��CS f3F TARRANI' CUUNTY -- �iENTAi, ASS1STAiVCE ANI]
AbMI�115RTA'T'[�h F'a4e 42 o'F�#fi
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Provide all henefit-appl iGants wh� are deniet� bene�ts baseci s�lely �r in part on tf�e SAVE respo�se with the
opportunity ta �ise the S�ib��ecipie:�t`s exists�lg pra�ess ta a��eal the denial and ta contact I]I-�S-LISC:IS to
correct their recards px'iar�a a fnal decision, if necessary; a��d
Refrain frorrs using SAVE, or assisting ar�y pe�•son n3� entity, tn camply wfth the emplQy�rtent eligibility
vc:�ificati�n require�rtents of Seutinn 274A ❑f the Immig�•atEon and Natianality Act, 8
Li.S.C. § 1324a.
Monito�-in� and Carnplian�e.
Allow Department and SAVE Manitaring a�id CampI�as��e to man�tar ac�d r�eview a!4 re�ards and do�umeiits
related ta the use, at�use, �nisuse, fi•audu4ei�t use o!• improper use ❑f SAVE by tlte Sub�-ecipient, including,
but na# fimited ta ❑rigir�al app�scartt L'[7115B1it t�QCu3nel�tS require� Uy tl�e Privacy Act, 5 ll.S.C. §552a ar
other applicable auth�riiy;
Notify the Depa�tment's Compliance Di�isian immediately wher�eve�� there �s reason to believe a �ialation
❑f th is ag:•eenteni Y�as �cci�rred;
Notity the Department's +Cn1Ti�7Ila�1C� Division imrnediateiy wf3eriever there is reasan to believe an
inf'or�tiation h�•each has accui-red as a resuli af Clser ar Su��•ecipient actiori nr inaction pursuarit ta Qf�ce af
Managerrsent and gudget {�MS} Memorandum M-�7-i6, "Safeguai•d�ng Against and Res�onding ta the
B:•eaoh af� Personaliy ]deniiiiab[e Inf'ormation;"
Allow Department and SAVE Monitoring and Campliance to �na�litot• and i�eview a[1 reco:'dsand doc��ments
related to the use, al�use, 3nis�se, fi-audufen[ use ar impt•ape�• use o�' SAVE by any Use�', includEri�, hut nc�t
limited fa arigina� �ppli�ant c�nsent dacuments reyuired E�y the Pri�acy Act, S[J.S.C. §552a a�• other
ap��ficabi� authnrity;
Atlaw Depas-tment and SAV� Monitaring and Corr�plian�e to condu�t desk audits andlQr s"ste�isits ta re�iew
5ubrecipient's compiia:�ce with this Adds.:ndum D a��d al1 at�er SAVE-�-elated �oiicy, pi�ocedures, guidance
and law applicahie to GOI]CI[]CLEII� verif'scation and safeguarding, maintaining, and disclosing any data
�ai�o�ided o2• s•eceived pursua��t ka tl�is ��ntract;
Allow Depaz'tmenl and SAVE Man':toring and Cam�liance to perfoz•m audits of 5ubrecip�ent's L1se:• Ids use
and ac�ess, SAVE Training Recards, SAVE finan�ial recas•ds, SAVE hiagrapi�ica! inforrnation, system praf �es
and usage }�atLe�•ns and othe�- relevant data;
Allow Department and SAVE Manitorin�; arid Compliance ta iittes•view any and al� L]sers and any ar�d all
cantact persons or ather persr�nne� within ti�e SuE�i•ccipient's o:•ganizatian ar rele�ant cont��actors rega�'ding
aiiy and all questiUns ❑i' prafalems wl�ich ntay arise in connectionwith the Subr�cipient's pat•ti�ipatinn in
SAVG;
ciTY oF �oR� wor���H
Agreement Far MY H�ALTH, MY [tES�I�RC�:S UF TARRANT CUIIrITY — ftE1�ETAL ASSiSTANC�: AiVD
ADIVI�[�1SR`I�ATI�IY Page �43 of 4G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Allow Depa��tment and SAVE Monitoring and Compliance to monit�r system access and usage and to assist.
SAVE users as nccessary to �ns�ire conlpliance with the terms of this Addendum D and the SAVE Program
i•equirements by its authot'ized agerits or designees; and
Take corrective measures in a timely marine�'to address all lawful requirements acid recommendations on
eveiy weitten finding including but �iot limited to those of the Depa►�tmentor SAVE Monitoring and
Compliance regarding waste, fraud, and abuse, and cliscriminaCian oi• any misuse of the system, non-
compliance with the terms, conditiaris and safegtiards of� this Addendum D, SAVE Pr�gram procedures or
other appiicable law, regulation or palicy.
Criminal Penalties.
DHS-USCIS reserves the right ta use 'snformation fi•om the llepartrnent or Subrecipient forany purpose
pei-mitted by law, including, but not limited to, the prosecutson of violations of Federal administrative
or criminal law.
The Subrecipient acknowledges that the inforrnation it �•eceives from DHS-USCIS is governed by the Privacy
Act, 5 U.S.C. §552a{i�(1 }, and that any persas� who obtains this information under false pretenses o►• uses it
for any purpose other than as pro�ided for in this Contraci may be sub�ject to criminal penalties.
Third Party Liability.
Cach party to this Contract shall be solely respansible for its own defense against any claimor• action by third
pac-ties arising out of or related to the execution andlor perfo�•mance of thisContract, whether civil or
ceimiclal, and 1•etain responsibiliry for the payment of any carresponding liability.
Nothing in this Contract is intended, or should be co��strued, ta crcate any right or benefit, substantive or
procedural, enforceable at !aw by any third pai�ty against the United States, its agencie5, officers, or
employees, the State of Texas, its agencies, officers, or ert�ployees, or the Subrecipient.
CITY O�' FORT WORTIi
Agreement for MY HCALTIi, MY RESDURCES �F TARRANT C�U�ETY — RENTAL ASSISTANCE AND
ADMINISRTATION Page 44 a£46
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
EXHIBIT "G"
EXCCUTED CONTRACT BETWEEN TEXAS DEPARTMENT OF HOUSING AND
C(3MMUNITY AFFAIRS AND THE CITY
CITY OF �'ORT WOR'1"H
Agreement fot• MY HEALTH, MY RL50L1RCGS �F TARRAIVT COUNTY — RCNZ'AL ASSISTANCE AND
ADMINISR'I'AT10N Page 45 af 46
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
[�ocusign Cnvelape ID: AOFA39i1-88f-D-A3E3E-B385-AA427E3C1�JOF
CSC No. 64Q32
TEXAS DEPARTMENT OF HOUSING AND COMMUfVITY AFFAIRS
FY 2026 TEXAS HOMELESS HOUSING AND SERVICES PROGRAM
GENERAL S�T-ASIOE
GENERALREVENUE
CONTRAC7 NUMBER G3266010Q06
W ITH
City of Fort Worth,
a political subdivision of the state of Texas
SECTION 1. PARTIES TO TH� CONTRACT
This 2026 Texas Homeless Housing and Services Program ("HHSP") Generai Set-Asicle Contract Number
63z66010006 ("Contract") is made by and between the Texas Department of Housing and Community
Affairs, a public and official agency of the State of Texas ("Department"), and City of Fort Warth, a political
subdivision of the state of Texas ("subrecipient"), hereinafter the "Parties".
SECTION 2. CONTRACT TERM FOR PERFORMANCE AND CL�SE-Oi1T PROC�SS
This Cnntract shall commence on 5epternber 1, 2025, and, unl�ss earlier terminated as provided herein,
terminate as follows: (1) the Subracipient is permitted to incur allowahle expenses under this �ontract
until August 31, 2026 ("Contract 7erm"), and (2} the Department's obligations under the Contract upon
the completion of Subrer.ipfent's performance shall end on November 14, 2025, and is conditioned on the
5ubrecipient's successful completion of the terms herein {"Close-Dut Process"J.
SEC710N 3, SUBRECIPIENT PERFORMANCE
A. Subrecipient agrees to adminlster a HHSP awar•d in accordance with, but nat limfied to, Section
2306.2585 af the Texas Government Code {"State Act"j, the impiementing rules under Title 10,
Part 1, Chapter 1, Chapter 2, and 5ubchapters A and B of Chapter 7, of the Texas Administrative
Code ("HHSP State Rules"), and representations made as part of the Pre�inus Participation and
Executive Award Process, as defined in the HHSP State Rules.
B. 5ubrecipient agrees to perForm all activities in accordance w1tf� the terms of the Performance
Statement attached liereto as Exhibit A and the Budget attached hereto as Exhibit B, Subrecipient
further agrees to comply with the Certification Regarding ❑rug-Free Workplace Requirements
attached hereto as Addendum A; the Certification Regarding Qebarment, 5uspension and Other
Responsibility Matter attached hereto as Addendum 6; the PRWCIRA requirements attached
hereto as Addendum C; and the assurances, certifications, and al! other statements made by
Subrecipient in its appllcation for the project funded under thls Contract, and with all other terms
of this Contract. All exhibits and addendums are attached hereta and fncorporated herein For all
relevant purposes.
Clty of Fort Worth
G3266010006
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
DocusEyn Envelape lD: AOFA3911-88FD-43BE-B3B5-AA427E3C19DF
C, �xcapt for changes that are required because of changes described in 5ection 11(A) of this
Contract, or as otherwise specificalty descrihed in this Cantract, Suhrecipient shall implement
HHSP in accordance with the requirements of Yhe HHSP State Ru1es in effect on February 27, 2024.
Q. Subrecipient shall provide hotneless assistance and perform homeless pre�ention activities in
Subre�ipient's 5ervice Ai'ea in accordance with the Performance Statement attached hereto as
Exhibit A and the Budget attached hereto as Exhibit B,
E. Performance related to estabiished targets will be reparted 6y5ubrecipient in t�ie HHSP Mcnthly
Perforrnance Report, as such term is defined in 10 TAC §7.2(37j and Sectfon 1fl(c) ofthis Contract,
and meetin� targets may be considered for future funding appartunities wi#h the Departmeni.
F. All funds must be fully expended within the Contract Term and reported within the Close-�ut
Process in accordance with all �xhibits and Addendums nf this Contract, ihe De�aartment reserves
the right to request an Expenditure plan if it appears funds will not be expended w)thin the
Contract ierm at the Department's r�asonable discretion,
G, Subrecipient activities related to construction, rehahilitation, or con�ersion a€ a building or
buildings may require that Subrecipient enter into a Land Use Restrictian Agreernent ("LURA") in
accordance with 1.0 TAC §73.
SECTION 4. f7EPARTMENT FINANCIAL OBLIGATIONS
A. Iri consideration of Subrecipient's satisfactory performance af this Contract, Departmsnt may
reimburse Subrecipient for the actual, aflowable, and approved costs incurred by 5ubrecipient in
the amount specified in the Budget, attached hereto as Exhibit B,
B. 7he Contract shall not be construed as creating a debt on behalf af Department in violatlon of
Article III, 5ectian 49a af the iexas Constitution. Department's obligat9ons under this Contract
are contingent upon the actual r'eceipt and availability bythe Department of adequate HNSP funds
from the legislature, If sufficient HHSP funds are not a�ailabie to mal<e payments under this
Contract, pepartment may notify Subrecipient in writing within a reasanable time after such fact
is determined. Department shall then terminate this Contract and will not be liabfe for the failure
to make any payment to 5ubrecipient under this Contract,
C. Department is not llable for any cost incurred by Subrecipient which:
(1) has been reimbursed to 5ubre�ipient or fs subject ta reimbursement to Suhrecipient by
any source other than Departmsnt;
(2) Is not all4wable costs, as set forth in the provisians of the State Act and the HHSP State
Rules and Section 8(B) of this Contract;
(3) is not strictly in accardance with the terms of this Contract, including the Exhibits;
(a) has nat been reported to Department within the Ciase-Out Process of this Contract; or
C{ty of Fort Worth
6326G010006
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
❑oausign Enveiope ID; ADFA3911-88F0-438E-83B5-AA427E3C19DF
(5) is not Incurred during the Contract Term.
D. Department reserves the right to obligate additional funds or deobligate func�s and may notify the
Subrecipient in writing of its decision. Departrnent may consider such factors as the ability to use
grant funds under the HHSP State Rules in a timely manner ar Subrecipient's overall compiiance
with the terms of this Contract.
E, bepartment shall not be obtigated to pay Subrecipient for any costs incurred by Subreciplent
which are not allowable costs.
F. Notwithstanding any other provisi�n of this Contract, the total of all payments and other
obligations incurred by Department under this Contract shall not exceed the sum of FOUR
HUNDRED FIFTY-EIGHTTHOUSAND FOUR HUNRED TWENTY-S!X �OLLARS {$458,426.00).
G. Notwithstanding any oti�er provisian of this Contract, Deparkment shall only be liable to
5ubrecipient far allowable costs actually incurred or perFarmances rendered for activities
specified in the HHSP State Rules.
SECTION 5. METHOD OF pAYMENT/CASH BALANCES
A. DISBURSEMENT PROCEDURE5. Subrec{pient shall establish procedures ta minimize the time
between the transfer of funds from bepartment to Subrecipient and the disbursement nf such
funds by Subrecipient,
B. METHOD OF PAYMENT. The Depar-tment will reimburse Subrecipient for eligible costs in�urred
by the Subrecipient during the Contract Term so long as 5ubrecipient submits the Monthly
Performance Report and Monthly Expenditure Report in accordance with the requirements of 10
7AC §7.5. The bepartment reserves the right ta utilize a cost reimbursement method of payment,
as ciefined by 10 TAC §7.2(12), if the Subrecipient violates any af the terms af this Contract or
other Department contract.
C. AILOWABLE EXPENSES. Ai) funds paid tn Subrecipient pursuant to this Contract are paid in trust
for the exclusive benefit of the eligik�le Pragram Participants of HNSP services and for the payment
of allowable expenditures.
D. DFFSET, At its sole discretion, Department may offset or withhold any amdunts otherwise owed
to 5ubrecipfent under this Contract against any amount owed hy Subrecipient ta Department
arising under this Contract,
E, REFUND. Subrecipient shall refund to the Qepartment any funds which Department determines
has nat been spent strictly ln accordance with the terms of this Contract. Subrecipient shall malce
sucfi refund no later than the date specified in the notice that repayment is required, but if no
City ot Fort Worth
63'L66D10U06 3
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
❑o�usfgn En�elo�+e I[7; A�FA391-i-8i3�C1-43BE-�3S5-AA427F3C'19C7F
date is specified in the natice, then 5ubrecipfent shaH repay the fur�ds within se�en {7j days in
accordance with 1� 7AC §7..2I{eJ.
SECTIQf� 6. C�5T PRlNClP[.�5, A�MINISTRRTIV� REp,UIR�MENTS� AND AU�1T REQUIR�M�NTS
A, CD57 �F�INCIpLES A�30 A�MI�li5TRAfiIVE �t�C�U1REM�N75. Exce�t as expressiy rnadified by law ol'
the terrrts af tf�is Cvntra�t, 5ul�re�ipient shall eom�fy with the cast �rinciples and �inlform
adrr�inistrative reauirements set f❑rth in the Texas GranY Managernent Stas�dards under Chapier
783 of the Texas Go�ernment Code ["TxGMS"} in affect an the effective date Qf this C❑ntract. AI!
r'eferer�ces therein ta "iacal government" s�all be constr�ed to rnean 5u6recipient.
F3. A1JQ1T REQl1lREMEN7'S. In a��ordance with 7.a "TAC §1.G03[e}, if a 5ubrecipiei�t far a fistal year
that began an or after Dctok�er 1, 2C1�4, expends one Million ar�d N��1fli} �ollars {$�,C1�U,C1�d.a0y
ar mare in state awards, ❑r has an autstandir�g #oan t�alance asso�ia#ed with state resaur�es of
ane Mil4ion and Na/7�� I�nllars �$7.,afl�,ao�.oa7 ❑r r-nare with �antintaing cornpiiance
requirements, ot' a comtsinativ� thereof, must ha�e a Single Audit. Fai� a Subrec3pient's fis�al year
that �egan hef�re �ctoher 1, 2�24, this ievel is 5even Hundred Fifty �housand i�a�1�� �ollars
($750,oa�,Ufl} Sui�recipient agrees to comply with any a�piiGabie TxGMS updates that may he
released during thE Contract ierm. �pdates t❑ 7l[GMS rnay be faund thls weYrsite:
htt ps:��co rn qti'o l!e �',texas .�o�l nti r�has i i7�l�ra nt-m a i� a�e n ie �� tl.
C. RU�IT RFVI�IN. ❑epartment reserves the right to canduct addEtionai audits c�f th� funds received
and perfarmances rerrde�'ed under th�s Contract. 5ubrecipient agrees t4 permit aepartment or its
autharized representative to auclit Suhrecfpient's records and to ❑btai� any documents,
materiais, ❑r �nformation ne�essary ta fa�ilitate sueh audit.
�. ALJb17 CER�`IF�CA�fIDN FORM and AU{71T RL�POR7. Fvr any fiscaf year endirsg within or imm�diately
a#ter t[ne �ontract "ferm, 5ubre�ipient must submit an "Audit Certkficatian Form" �a�ailabfe from
the Repartmentj within sixty �50J days afterthe 5ubrecipient's fisca! year end. !f the5ub3-e�ipient's
5ing[e A��it is required �y � CFR Part 2Q0, 5ubpart F. the repart must �e suhmitted tc� the Federal
Audit Clearing�ause {"�AC") the earl�er Qf thirty �30} calendar days after receipt of the auditor's
report Qr nine �9} mQnths after the end af its respecti�e fiscal year. As noted in 1{� TAC §1.4f}3�fy,
5u�reclpient is required to su�nmit a natiFicaklon tv ❑epartment within five {5} �usfrress days ❑f
submissl�n to the FAC. Alang with the natice, ind�cate iF the auditar issued a management letter.
1f there is a management let�er, a �opy of the letter must k�e s�nt to the F}epar-tment. 6oth tha
not€ce and the capy af t�e mai7ager�ent fetter, if appl�cal�le, must be suhrnitted to
5AandACF nC�tdhca.texas.�av,
�. STRT� ALJbIT��'S RIG4i'��C] AkJ�fT. Pursuant to 5ectlon 2�52.15�4 of tt�e Texas Goverr�ment
Code, tl�e state aud'+tor may condu�t an audit or in�estigatian of any entity re�elvi�g f�nds from
the state dire�tly under ai�y �ontract or indirectly thraugh a su6�antract under the Cantract. 'Che
ac�eptance of funds hy the 5ubrecipient ar arsy other entity ar person direetly under the Cor�tract
ar indirectly thr❑ugh a s�bcnntract under khe Contract acts as a�ceptanGe af the autharity af the
C}ty pf Fort Worth
63iG6fl10flpS �i
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
C�acusign E��eiope IL�: A�FA391i-B[�f�-43BE-63[35-EIA�27E3C19L�F
state auditor, un�er the direction of t�e legislative audlt cnmhtittee, to �andu�! an audit ❑r
investlgatlan in caf�nectEan with thase funds. Under khe direr.tion ❑f ti�e legislative auciit
cammittee, the 5ul�r�cipient ar other entlty th7t is the subje�t o€ ai� audit ar� investigati4n 6y tl�e
state audltar must provide tl�e state auditor� with a��ess ta any infarma#�on the state auditor
cansiders reEevant t❑ tl�e in�estigatian or audit, Su6re�iplent shall ensure that thfs paragraph
c�ncernl�g the authorfiyto auditfunds recei�ed ii�directiy �Oy su�cantractors thraugh the contract
and the requirement ta r,oQperate is included in any sudr:dntract it awards.
f-. SUfiCaN7RACT5, 5uhrecipient sh�ll i�sclucle language ii7 any su�contrar.t o�-s�hgrant that presvides
tl�e �3epartment tt�e ability to directly review, monitor, anci�or audit the Qperational and fin�ncial
performance ar�d�or recor�s of worlc performed under this Crrntra�t.
SECTIDN 7, T�RMINATi�N AN� 5U5PE1�51�1�
A. 7�RMINA7I�N. Pursuanl to 10 TAC Chapters 2 and 7, Q�partment may ierminate or sus�end this
Cantract, 'sn whoie ar in part, at any time �epar-tment determines that t�ere is cause f4r
terminatian. If 5ubre�ipient fails t� su�mit wit�iin forty-five �45j calendar days af its due date, any
report in ac�grdance wit�ti 1� iAC §7,5 ❑r �-espoi�ses to rnonitarin� reports, Repartment may, In
ils sale dfscretion, suspei7d payments, place 5uf�re�ipient �n Cost Reim6ursement method af
payt�'ient, ar�d i�ltiate proceed}r�gs to te� minate any active Co�tra�C, In accordancE witl� 1� TAC
§2.��2{b}�6j, cause €or termirsa#ion 9ncludes, but is ioot limited ta, fraud, waste, at�use, fiscal
misrrsarsag�ment, or nther serious Findings in the 5ubrecipient's performance, Department may
suspend nr termlr�ate this Contract ar in�nlce other remedie5 in the event m�nit�ring ❑r oth�r
reliable sQurces reveal materia� deficiencies in Suhrecipl�nt's perfcrrmance ar if 5uhrecipi�nt fails
ta carrect any deficiency within thE tirne allawed by federal ar state law or regutation, ar hy the
terms of this Cantract.
6. SUSPEfV510N. Nathing in this Section shall t�e �onstrued t❑ lir�iit �epartnti�nt's autl�ority to
withhald payment and immediately suspenc3 this Cont��act if Department ic}entifies passihl�
instances af fraud, abuse, waste, fisca! mismanagerriant, ar a#her deficierrcies in 5u6recipient's
perfarmarice, 5uspension s�all he a temporary measure pending eititer corre�tive �sction �ay
5u�recipient ar a decision �y Repartmettt to term�nate this Cantract.
C, o�PAR7MEiVi LIABiLI7Y. department shall n�t be liabfe for any cost� incurred hy 5ubreeipleiit
after'terrninatin�t tif this Cantract �r far any casts thak are disailowed,
❑, WITfiNDLDING C]F f'AVMEN7S. IVotwithstanding any exercise �y �epat'#rn�nt �f its ri�}�t �f
#errrsination o� suspension, 5ubrecipient shall not be relieved of any liapility t❑ Department for
damages by vfrtue af any breach oF t�}Is Cnntract k�y 5ubrecipient. ❑epar#mer�t rrfay withhnlc� any
payment due to 5ubr�clpient unti� s�c� time as the exact amount �f dar�ages due fia departmer�t
is agreed u{�ori or is atherwise deterinined in writing beiween Parties.
Clty �f Fort Worlh
63�6Ga14a05 S
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Docusign Cnvelope IU: AOFA3fl11-88FD-43BE-63�5-AA427E3C190F
E. FUNDS. Upon termination of this Cantract, all funds rernaining on hand on the date vf
terminatlon, and all accounts receivable attrlbutable to the use of funds received under this
Contract shall transfer bacic to aepartment. 5ubrecipient shall return the remainin� funds to
Department within sixty (60) calendar days after the date this Contract terminates.
SECTION 8. ALLOWABLE EXPENDITURES
A, The ali4wability of 5ubrecipient's costs incurred in the performance ot this Cantra�t shalf be
determined in accordance with the provisions of the 5tate Act and the HHSP State Rules, subject
to the limitations and exceptions set forth in this Contract.
s, HHSP General Revenue funds may be used far administrative activities as well as alkowab{e
expenditures under this Contract, to include activities outlined in 10 7AC §7.21, provided
5ubrecipient receives prior written approval from the Department.
SECTION 9. RECORDKEEPING REQUIREMENTS
A. GENERAL Subrecipient shall comply with all the recordlceeping requirements set forth beiow and
shall maintain fiscal and programmatic records and supporting ctocumentation for al�
expetiditures of funds made under this Contract in accordance with the TXGMS, Subrecipient
agrees ta comply with any changes to the TXGMS recordlceeping requlrements and 10 TAC §7,8,
For purposes of compliance monitoring, all associated documentation must be readily available,
whether stored electronically or hard copy to demonstrate compliance with Subrecipient
Performance as outiined in 5ection 3,
B. WRITi�IV POLICfES AND PROCEbURES. 5ubrecipient must have written policies and procedures
to ensure that sufficient records are established and maintained to enable a det�rminativn that
HHSP requirements are being met. The written standards must be applied consistentfy for all
Program Participants, The written standards must include but are not limited to inclusi�e
Marlceting as identified in 1� TAC §7.10.
C, PROGRAM PARTICIPANT FIl.ES, In accordance wfth 1Q 7AC §7.28(gj, Subrecipient shall maintafn
Prograrn Participant files, for non-emergency activities providing direct subsidy to a Program
Participant regardless if the client is directly recelv{ng the funds, that contain the following:
(1) {1n HHSP Intalce Applir.ation including an area for execution by all adult Household
members (which may include an electronic signature), certifying th� validity of
information prnvided and an area to identify the staff person completing the intalce
application, and must provide a space for applicants to indicate iF they are a veteran as
required by 5ection �434.212 af the 7exas Government Code. In addition, the application
must include the following statement: "Important Information for Former Mllitary
Services Members. Wornen and men who served in any branch of the United States
Gcy of rort Worth
63266010006 fi
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
❑oruslgrt �nve�ape IU: AOFA3J94-C1}3FE]-q3i3�-133gG-Af1+17.7[3C190F
Armed l�arces, in�luding AiE' Force, Arrny, Navy, Marines, Caast Guard, Heserves of
�Vational G�iard, rnay be eflgihle for additional benefits and services. Far mare
informatian, pfease visit tlie 7exas Veterans Partal at i}tLps:�jveterai7s,p�rtal.texas,�Gv1;
(2] Certificatian wher-el3y the Applicanl certiFies whether they m�et the deCinitipn Qf
F�orrieless nr fiameless lndividual or At�rislc af hon�eiessness pi+rsuant to 10 �fAC §7�2, Tha
certificati�n must inclu�£e the Program Participant's signature or legafly 1der�tiFying rnarlc
�which may in�lude an electro�iic sigr�attirej;
�3) bncumentation which demonstrates thak ti7e Prograrn Participant meets incr�me
e�igit�ility, i{ applica�le, ❑r, 'sf propf pf incarne is ung�tainable, a fJeclaration nf Incame
5laten�ent as ciefined in 1{} TAC §7.2(13j;
{Rj p4cumei7tation of annual re�ertification, as appli�ab3e, including income eNgibflity and
that the Program Parti�ipant iaclts sufficien{ resour�es and supp�rt nPtworics ne�essary
to retaiz� hausing witl�out assistan�e;
(5j pocumentatian nf determination af i�eligibility for assistance when assistance is denied.
pacUrnentation rriust irielude t�ie reason for ti�e determination ❑f in�!}g�k�ility;
(Gj Capies of all leases and rental assistance agreerr�ents fat- the prQvision Qf rental
assistance, dacumentatian of payments mede to owners for the provision Qf rental
assistance, and supporting d❑�umer+tatfon far these payrnents, inciuding dates of
oecu�aan�y hy Prograr� PartPcipants;
(7j pocum�ntation ofti}e inonti�ly al#owance for utilities used ta determine c❑mpliance with
ti�e rent restrictior�; and
�8y pocur�etitation that the CJweliir�� Unit for Program Participants recefving rental
assistance �amplies with the �-fousing Standards in 1❑ TAC §7,29, 5helter �nd Hausir�g
5tandards.
D, RCCESS i� H�CORpS, Subrecipient shal! give the Qe}�artment, the Auditar af the 5tate af 7exas,
the Cpi�ptrofler of the 5ta#e of Texas, a�' any ❑f their d�iy authorixed representatives, access ta
anci the ri�ht io �xamicle and tn copy, an or aff tiie prerr-rises vf Suhrecipient, aEl records pertaining
to this Contr'act. 5u�t� righi t� access shall cflnCintie as lang as the re�ords are retained by
5uhreci{�fent. 5iihre�ipient agrees to eaaperate wi#h any ex�minatian �ni�ducted pursuant ta this
5uhse�tion Q, Sul�recipient agrees to tr�aintain sur,Y� records in �tt accessibie IQcatian.
E. RL-C�RD R�TClV�ioN, Records regarding program Participant eligibility shal! i�e retair�ed �y
5ubrecl�ieni for a periad ❑f five {5) ya�rs, Aetiviti�s thal req«ire a LURA, rnust maintaln the
re�ords un#ii the expiration aS fhe LURA. All ot#�er records pe�tinertt ta tEtis Cotttract sh�ll be
retained Y�y Subrecipier�t far a E�eriod o{ tl7ree �3j years that starts ari the day ttie 5ingle Aiidit is
due or would be ciue if #he 5ingle Audit requiren►ents are nQt triggered, except if any litigation,
claim, negotiat4on, a�idit, nianitoring, ins{�ection ar ot}��r a�tion has starked hefore the expirativn
c�f the rec}uired re�ord retention periad, In this case, recards must �e retained until eQm�letion
❑f tf�e aetion and resolution aF all iss�ies whicl� arise frarn it, or until the end of the required
reGarc3(ceeping perigd as desc��i6ed i,ereii�, wfiichever �s later.
City of iart Wnitft
&32GGU10fl06 7
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Oa�usign Envafope ICJ; ApFA3911-8BF�-�3BE-F33Q5-AA427E3C79OF
F. ❑�EN R�C�R45. 5ubrec�pient aclsnawledges tf�at all ir�formatidn c�llected, assembl�d, ❑r
maintained �iy 5ubrecipient peTtaining to this Contra�t, except recards made cnnfidential by laW,
fs sub�ect to the 3exas Pubiic Information Act �Cha{�ter 5SZ of Texas Government Code} and must
pra�ide �iti�ei}s, pu6lic agencies, and ather interested partles with reasanai�le access ta all
recards pertaining to this Contract su6ject ta and in accor�lance with tk�e Texas Puhlic Infvrmatir�r�
Act. 5ui�reci��ent understands that the Departme��t wiil complywith the 7exas Publi� lnfarniation
Act �Chapter 552 of the 7exas Go�ernment Codej as inter�reted t�y judicial rulings and opin�ons
n# the Att�rney General af the 5tate of Texas. Ittformation, documentation, and other material In
connection with this Car�tra�t may �e subject tn public disc#osure �ursuant ta the Texas Pubifc
Informatir�n A�i, In accordance with 5e�tion 225�.907 of the Texas Gavernment Cflde,
Sui�reciplent is required to make any information created or ax�hanged with the 5tate pursuant
tv #he Cvntract, and not atherwise excepteci fram disclasure under the Texas Public Informatian
Act, available in a farmat that is access}{�le by the public at na additiona! charge t� the 5tate. A
request to the 5ubreclpi�nt far pu�li� information shall be c❑mrr�u�ricated ta pepartment's
�oi�ta�t identified in this Agreer-nent, 5y the close af business on the fpllowing k�usiness day after
tha request is received. 5u�recipient shall ttat provide tn tiie requestot any infarmatian that was
written, produ�ed, collected, assembled, or maintained underthis Contract, but shali respvnd ta
the requestarthat ihe request h�as t�een forwarded to Departmant for pro�essi�g. After gathering
ali inf�rmatian thak is respflnsive ta the request, but in na e�ent later ttian five �5} business days
after re�ei�ing th� infvrmatian request, 5�brecipient shall send the informatian ta Qepartment.
5ubreci�i�nt sl�all timely cantact oepartment if tt�ere will be any deiay in ser�dir�g the infarmation
r�quest or responsive dncuinents to peparEment.
Ci. SUBC�NTRACTS. 5ubrecipient shali include the suhstanee af this Sectian 9 in aH af its
sub�ot�t�acts and sulagrants,
SECrI�N 10. i��PtiR71i�G R�qUlft�ME�Ui�S
A. QA7A C���.ECfI�N. In ac�ardance with 14 TAC §7.6, Subrecipient must ensure that daia ❑n all
persor�s served and a�1 activities assisted under iiomeless programs is entered inta the appiicable
HM15, r�r HM15-comparabie database for t4ames#ic vlalence or lega} seTvfce pro�iders.
B. REPn127:NG COMPLIANCE. 5u�recipient shall s�Ehmit ta Department su�h regarts an the
�erforman�e af this Contract as may be requfred 6y bepartrrtent including, hut nat fimiteci to, the
reparts speciF]ed in this Sertior�. Subrecipient represents and warrants that it wilf submit timely,
cnrriplete, and accurate reparis in accardance with the Contract and mai3itain apprvps'iate 6aelcup
doeumentation to st�pport the reports.
C. MflNTFlLY REP��75. In a�cordance with 1❑ 7AC §7.5{�], 5u�recip}ent rrtust submit a Mpntf�ly
Performanca Report and a Mvnthiy Expend}ture Raport thraugh the Contract 5ystem not later
thar} the last day af each rnantft which rafleets perforn�ance and expenditures canc�ucted in #I�e
priar tnonth.
City of Fort Warth
6a�fi6A1�U[15 8
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
E]ncusigi� Envelope IC1, AOFA3911-5l3fl3-93FiE-133F35-AA4Z7fr3C1�Df-
�, BlEi�NIAL fi£P�Ft�'ING. in acr.orciance with 10 TAC §7.5(hj(2}, HHSP 5u�rreclpie�st wNl submlt
infarrnatinn ta the i3epartm�nt for biennial repnr#ing ta the'iexas legislat�rre.
E. CONSTRLICTi�N ACTIVITiES. In accordance with 1.0 TAC §7.3(cj, if 5ubrecipient ir�tends to expend
iunds for new �or�stru�tinn, rehaiailitation, o�' canversion, 5�a}�recipfent must suk�mit a ca�y of the
activity budget ineiusi�e of all sour�es ai�d �ses ❑f fundin�, c#�cuments for a constructian plan
review, ar�d '€dentificatio�� of the entity and signature authoritatian af the individual {r�ame and
title} tnat will exectite the WRA. 7hese �la�umenls must Ese su��nitted no le�s tltan ��inety (90}
�alentiar days pr�ior to the end of the Cantract Term tander wE�ich fEinds far the activity are
pravi�ied. 7he De�artrrrent may elect ta reconsider award amo�nts if finan�ial resoifrces other
than thtise presented in the Applicatian are subsequently camrrritted ta an activity.
F. F�NAL IiVSP�CTI[]N REP�RT. A 5uk�reci�sienl must request a final construr.tian ins�ectir�n within
thirty �3�j caEendar days ❑f �anstruction �ompletifln, �h�e insper.tivn wi4i cover the 5helter and
Hausin� 5tandards, Uniforrri Physical CanstrucEion 5tandards, �Q17_ inter�iatla��a1 Residential C�de
�ar mvnici�ality adopted lat�r �ersionj, Minimum En�rgy Efficiency Re�uiren�ents for 5if�gle
Family Corzstructiori Acti�ities, a�d the Accessihiiity 5tandards in Title 10, P���t 1, Chapter 1,
Subchapter �, of the'iexas Administrati�e Code, as a�splicab�e fot� the a�tivity.
G. REPUE�`�5 aN DI5A5TER ��C�V[RY PLAN A�Q CO�V71_NUTlTY. Upon request of the
C7epartment, 5uhi�ecipient shall �rovitfe copies of its most recent 6lisiness �antin«ity and c�isaster
recavery pla��s.
��lf�C�7��F���1:ls�►���YeZ►�7�P►i��E7►TTX► i�
A, AMEN[7MEN1�5 AiV[] E!-IANG�S fiEQIJIREQ BY �AW. Any change, addition or deletia� ta the terms
❑f this Contract required by a change In federal ar state law or regulatiQn is autamaticaily
ir��arporated herein and is effective on the cfate r3esignated �y suc}� #aw ar regulatfor� without the
f'�quirernent af a wrktten ainendmen# hereto. 5aid cltianges, addltions, ❑r deietions reFe�enceci
under this 5ui�sectian A�f 5ectian 11 noay be furlher evidenced by a written amerrdment.
B. GENERA�, Except as specifkcaliy provided ❑therwisg In this Cantra�t, dny c}�ang�s, additions, ❑r
deletians t❑ thc terms af this C�ntract shall be in writir�g and exec�ted by bath Parties ta this
Contract,
C. FI�CSlMILE 51GfVATLJR�5. I�any Party returns an exe�uted copy by Facsimil� ma�hirie or e�ectronlc
lr�ansmission, the sigr�irig party intends tf�e capy of ifs authorize�! signature printed by the
re�eiving i�taci�i�ie or tiie ele�tr�nic transmissiar�, ta be its ariginaf signature.
❑. REt�l1ESTS. Amendments r'equests may i�e considei'�d at tiie discretion of the ❑ep�rtm�iit in
a�cvrdance with 1� 7AC §7,4�ej,
City oF �art Wor[h
63�G6D300Qb 9
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
[�ncusign Enveiope jiJ' AdTA39f 1-8BFp-h3B�-8385-,4A417E3Ct9C1F
s�crior� �.z. p�o���ann in�coM�
A. In ac�or�ance with 1� TAC §7.�5 anci THGMS� pi°ograr� inc❑me includes but is nat limite� t�:
income from fees for• services perfarmed, the use ar rental ❑f real or personai praperty acquired
under ti�is award, the sale af cammod'st{es or itetns �a�Orlcated Ursder this award, and frarr�
payments of prii�cipal and interest an 1oar�s rnade w'rth this award, where authorized. ���terest
earned in excess af $25❑ �n grants ar loans frc�m purely state sources is cansider�d pra�ram
income. 5e�urfty and utility deposits must be reirnhursed ta the Pragram Participant and are nak
considered program in�ome if fihey remain with the Program Particlpant and are returned �niy to
the Pr4gram �articipant.
e, Pragram incnme that is rec�iv�d during the Cantract Term i�ust be used for a�IQwaf�le
expenditures as descrii�ed in 5ection 8 of t�is Contract.
C. Pr-agram in��rne that is re�ei�ed after the Cnnts'act Term, ar not expended within the Cont�act
Term must i�e returned to the [�e�artm�nt w�thin ten �7.4) ca�endar days af receipt.
S�CTION 7.3, kI�DEP�IVflENT CONTRACTQEi
It is agreed that Departrt}ent is contracCing with Siihrecipient a� an independent �ontra�tor, io the extent
autharixed by Eaw, 5u6reciplent agrees t❑ irtidemnify �e�aartment a�ainst any disal�owed cvsts ar �ther
claims which may be asserted by any third party in �onneetion with the services ta be �erFormed by
Subrecipient ur�der this Contra�t. �he Qepartment aGEmawledges go�ernmental entities cannvt create an
unfunded dekrt pursuant to the Texas Cunstitutior�,
SEG�IaN 14. PURCiiRSE A�Va PROCLJfiEMEiV`f 5TAN6ARD5
5u�re�ipienl shall comply witft �7fGMS, 1a TAC §1,404, tnis C¢n#ract, and ali app{icable state, ar�d laGa!
laws, regulativns, and ordfnances for malcing procurement transactions and pur�hases under this
ContrSCt.
s�criaru �5, suacaNr�acrs
!�, Sui�recipient may not subcantract the primary responsl�ilities of this Contract, includ�ng but not
limited to expenditure and pe�farmance reporting and drawing funds ti�rougl� the �epartment's
systems, and ❑nly may enter i:tto proper�y procured �ontractual agreernents for cvnsulting and
other professianal services if 5ubrecip�ent has r-eceived bepartment's pr}ar written approval.
a. Sui�re�ipient may su�Gontract or sul�grant far the delivery df Ciient assistanGe wsthout vhtair�ing
pe�artment's prior approvaf. H1i5P Subrecipient is respansl�ile for ensuring that subcontractors
and subg►'antees adl�ere t❑ the same program requirements and regu4a#ions as apply t❑ the
5u�recipient includir�g, but not limited to having documentatian that Subrecipient che�lced the
appropriate f�deral anc! state re�ords for deUarred and suspended }�arties in aecordan�e with
TxGMS. 5u6re�ipient must ha�e prQcesses and ps'ocedures in ��a�e to manitor subcuntraciors nr
City af Fart Worth
63�65fli0006 10
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
On�usiqr� Enve�o�ie i�l: A4FA391�-88Fa-A38E-S385-AAA�TF.3{;19Gf
subgrantees. Subreci�ient represer�ts and warrant that it will mr�nitar the activitles ❑f the
subr�cipient as necessary t❑ ensure that the suhaward is used far autharized �urposes, in
camplian�� with appli�ai�le statutes, regulatians, and the terms and conditians af the suhaward,
and that suhaward perfarmance goals are achie�ed. Any suh�ontract or suhgrant f�r the deiivery
o# client assistan�e wiil 6e suhject tQ rr�an'storing hy the []epartmeni pursuant Eo 1� TAC g7.1.1.
C. 1�� ac�ordance witf� 1� 7�1C §7,7�cy, 5ubrecipient will n�tify the Deparimei7t and �rovide cantact
{�iformation for suk�grants o� sui�cantra�tnrs withir7 thirty �3a} caiertdar days of the efFective date
of sub�ontract. Conta�t infarmation for the �ntities with which the 5uk�recipient subgrants or
subcontracts must k�e provit3�d tn the aepartrrier�t� inciudin�: �rga�tization name, nam� and titfe
of autharized �ersan wh❑ entered ir�ka the st�Ugrant or subcdr�tract, pttone nurni�er, e-mail
address, and type Qf ser�iees pravicied.
a. I� r�❑ eveht shall any prnvisian af this 5ection 15 be canstrued as relieving 5uk�rer.i�ieni of the
responsi�ility far ensuring that the perforrnances under all SLli�C011ti8Ct5 and supgrants are
renr�ered s❑ �s to cc+mply with al1 af the terms of this Contract, as if su�h perforrnanr,es rendered
were rendered by 5uhrecipient. Department maintains the ri�ht ta m�nitor a�d require
5u�rer.ipient's full �omp�iance with th� terms of tl�is C�ntra�t. ��partn�ent's approval under this
Section daes r�ot wa}ve any right of action whic.h n�ay exist ar wl�ici� may sut�sequentiy aecrue ta
De�artmerit under this (:antract.
SECii�N 16, MANAG�MENT Q� EqUiPMEIVT ANp INV�iV7�RY
A. In accnrdancP witi� 1[7 TAC §1.AQl� anc! 10 7AC §]..4(37, 5uf�recipient shall su6mlt fa Uepartrnent
r�a latei� than farty-five {4Sj calendar days a#ter the ter�nination ❑f this Car�tra�t a cu�riulative
inventory re�ort af a1� rea! property and eqUipn�ent with a unit acquisitian cast af 7en 7�iousand
and fVo�10� Dallars {$1[},�D�.C��j ar more and�vr a useful iife af more than aE7e �1j year, if
purchased csr acquired in whale or in part wit�i funds received t�nde�' this Cantract or previous
H1i5P c❑ntracts. Aggregate 5up}�lies af aver $10,QQ0 rn�s# L�e reparted to the Department at #f�e
end af the Contract 1"�rrn. upon the terminati❑n ❑f this Contract, Repartment may dema�id the
tiransf�r o€ titfe to any equipment to tl�e Qepartment or ta any ather entity receiving HHSP f�nds
frnm tite aepartment.
�, When the 5uhrec�piar�t na longer i7eeds equipment pui�chased witli ffHSP grant funds, reg7rdl�ss
❑f purchase pri�e, or upan the terinlr�ation Qf this Caritract, Department may ta�te passessian and
r3ernand the transfer of title to any such praperty or eq�ii�rnent ta trti� De�artrr�ent ar to a th'srd
party ❑r niay seelc reimb��rseme�it �rc+rn 5u#�recipiei7t ❑f tl�e r_urrent unit �rice ❑f the item of
equipmPnt, in Deparlment's sale deterrninati❑n. 5u8re�ipierit must request perrnission from ihe
C]eparttnent to transfer title or cfis{�oss of equiFrnent purchased wiih HFISP g�ant funds,
�ily oF Fort Wartlt
6326G410flp6 11
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Eiacuslgn Cslveiope IR: A4FA3�i 1-88FD-436E-B3H5-AAq27F3C:19flF
SECf'kflN 77. �RAVEL
SuL�re�ipient sf�af# afi�Vde by #ravel pQli�ies that adhere to `f}[GM5 and the State of �exas fra�el ru�es and
�'egulat�orts founcf an the Coni�trailer ai Puhlic Accounts wet�site at www,�s�a,state.tx.us fvr any trave!
funded by tF�is Contraet either directly or indirectly.
S�CTlON 18. 60NpING AND 11�5liRAiVC£ R�4il4ft�M�N'I'5
A, IN5�lRAfVCE RECtl11REME�}T5. Natwithstanding hereinabove, 5tibrecipient is a self-funded entity
in ac�ord�nce with Chapter 2259 of the Texas Gnvernment Cade subje�t to statutory tort laws
and, as such, generaliy, it daes not maintain cammercial general liah"s3ity insurance attd�or
worlcer's com�ensatian claims,
B. 6�N�lNG ftEQLIIREMFNTS. 5ubrecipier�t s�►ust �omply with ti�e bond requiremet�ts Articles 2252,
2253, and 5360 af Texas Civ�! Statutes, �nd §�5�.Q4�i and 5ectian 262,032 ❑f the Locai
Gaverr�ment Code. If Suforecipient will enter is�t� a puhiic warl�s coniract with a third-party in the
amaunt of FiRy Thousand and i�a�1C1t] aoliars �$5o,��a.OQ) or greater, 5u�racipient musf exe�ute
with the cor�trar.tor a payment borsc{ in the full amou�t af the cantracfi, If the 5ubrecipient wiN
enter inka a contra�t with a�rime cant��actar in excess of �ne Hundred 7hausand and No/].flQ
F]ollars ($100,OQ�.04y, a perfortt�ance bond ir, the full amount of tfre cantract fs a�sa required,
These bands must be executed f�y a carporate surety autharized ta dQ business in 7exas, a 4st of
wl7ich may be ahtained fram the 5tate Insurance �epartment. 5uch assurances vf cvmpletion will
run to the pepartmer7# as �f�ligee and must i�e documented priar to the start of constr�ctios�, This
banding requiremet-st a�plies as set farth iri �.� Z"AC §�..�L�5 and tfl the extent re�{uired by federai
ar state iaw.
SECTI�N 19. LITEGRTIOI�f AND CLAIMS
5ubrec��ient st►all �ive Depart��ent im�nediate wriiten notice o# any claim or action filed with a court or
administrative agen�y against S�bre�ipierit aris'sng aut o# the perforinance of this Contract or any
subcQntract or su�grant I�ereun�er. Stil�recipient slt�l! furnish t❑ Qepartment copies of all �ertir�ent
papers received by 5ubrecipient with respe�t to such action ar �laim.
SECTIQN 2�, TECHNICAL ASSISTANCE ANa M[7NiTnRIfVG
A, ❑epartment may Issue techniGal guidance to �xpiain the rules and pro�ide directians on terms of
this Contract-
B. ❑epartment ar its desfgnee rnay eonduct �eriodf� on- ar otf-siie monfto�'irrg and e�aluation af the
eFFlcien�y, e��norny, artid effi�acy pf Subrecipient's performance af this Cantrar.t in a�cardance
with the FiHSP St�te Rules. D�parkrnent will a�vise Subrecipient in writing of any defic'sei7cfes
noted during such rt�anitaring. pepartment will suggest ❑r require �hanges in 5ubrecipient's
Cilyof Fart WortE�
63266U1UU0& 3.�
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
C]acuslln Enveiope ILi; ACiFA3911-88FC1-�36E-8385•EIA��IE3[:19OF
pragr�m implementatian ar in 5uhrecipient's a�counting, personnel, �r'ar.ur�tnetlt, and
rnanagemei�t p�-ocedures in r�rderto ca�rect any i7hservations, Coneeri7s� ar f�indings. Uepartr�nent
�nay canduct fiallvw-up visits to review and assess the effarts Suforecipic�nt Izas madc to �orrect
previaus�y-natEd �bservations, Can�erns, ar �ind'+ngs.
SEC710N 21. I�GAL ALl7fiQR17Y
A. t�GAI AUili�iil7Y. 5u�re�ipient represents that it p�ssesses legal authority to apply for the
grar7t. A resaiutian, motion or sirnilar action has �een dufy aci�pted ar �asseci as ari official act of
the 5ubrecipient's gavernir�g body, autharizii�g tl�e filing af the Contract, iEi��uding all
understandings and assuranr.e; c�ntained there�n, and c�irer.ting and authorizing the person
identified as the of{icial representati�e, nr the designee af 5uhrecipient t❑ act in con�ection with
the Contract and t4 pravide such additional in€ormatio�t as may 6e ret�uired. 5uk�recipient assures
and guaracitees that it possesses the Iegal authority to enter inta ihis Car�trac#, to recei�e and
marsage t#�e furids authQrized t�y this Cantract, and ta perfarm the services 5ubreCipient has
crbl'sgated itself tQ perform hereun�er. Tf�e execution, cieiivery, and performance af this �ontract
wiN not �iolate Subrecipient's constitutive docume�ts or any requiremeitit to whi�h 5ubre�ipier�t
is suhjec# and represer�ts khe I�gal, valicl, and hir�ding agreement of 5ubrec{pient, e��farceabfe in
accardance with its tertns.
B. �U�Y IIiJ�HCJRl2Ea AND GflDD STANi}iNG, Subrecipient is and will cantinue to rernain orgai�iz�d,
validly existing and in gaacf stand'tng unrier the faws governing its creatian and existence, ai�d will
cantinue t❑ be duly autharized and quaiified to transact any and ali appaica#�le ��siness
�asltefnplaked hereu►lder in the 5tate af TeKas, Subrecipient passess�s and will cQntiriue ta
possess ail r�quisit� authority, pdwer, licenses, {�errr►its and franclzises to conduct its �iusiness and
to execute, deli�erand r.omply wlth its abligatians unde�-the t�rms of this Cantract, fhe exec�tion,
delive�y and perfar►nance of wiiich ha�e hean or w+ll he duly aukhorized i�y ali r�ecessary action.
C. SI��lA7l1R� AU7HORI7Y. The person sagning this Contract ar� heh�lf af 5ubrecipient heret�y
warrants that he�shie has heer� duly authol'ized hy 5ubrecipfent's governing bady ta execute tftfs
Contract an �Sehalf of 5ubrecipi�nt and ta �alldiy and legally bind 5ubte�lp{ent to ihe terms,
pravisians and perfarmances Y�erein.
�. T�RMIf�AiiO1V AiV� LIABILI7Y. Qepartment shall have #he right ta terittinate this Cnntra�t i� ther�
is a dispute as ta the legal au#hat'ity nf either 5ui�r'e�i{�ient or the person signirtig this Cnntract an
behalf of 5i�breci�sient t❑ enter into tf�is Cpntract flr ta render perfarmanGes hereunder,
Suhre�ipient is liab;e ta aepartment for any money it has re�eived from �epartrnent for
perfarmance ❑f the pro�i�l�ns of this Cantract, if the �eparkment has terminate� this Contr�act
Far reas�ns enurnerated in this 5eciion Z1,
E. MERG�R AND Q�FAliL7. 5uk�reciplent unde�'stanc{s khat it is an e�ent af �lefault iinder this
CQntra�t 3f the 5ubrecip'sent liq�idates, terminates, ciissolves, merges, cansoliriates ar fails tv
City of Fort Worth
G3256Q1.flf5tl6 13
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Oa�uslgn Erive{ope I�: AdFA3991-$BFp-q38�-8385-AA4P7�3C99t7F
maintain gaod standing in the 5tate af Texas, and such is not �ured priorta �ausing material harm
to 5u4�recipient's a�ifity to perFarm under the terms af tE7is Cantra��.
SECTiQiV 22. C�MPLIAiVCE WI7H LAWS
A, FED�RAI., STAi�, Af�� L�CAL LAW, 5ubrecipkent shall camply with the 5fate A�t, tY�e iiHSP 5tate
Rules, and a!� faciera! state, and local Isws, rules, reguiatians, and poEicies in effect ❑r hereafter
�stablished app!lcable to the perfarmance ❑f this Contract, inelud[ng, 6ut nvt limited to the
program requireme�ts and fair hvus'sng laws. Su6rec'spient represents and warrants that it will
comply, and assure the �omp1'sanc� �f aN lts suk�recipients and contractnrs, wit{� all applicalale
federal and state laws, r��es, regulatians, and paHcies in effect or hereinafter esta6lished. In
additior�, Subrecip�ei�t represents and warrants that it wiil �omply with all requirements imposed
hy the Department Goncerning speciaf requfrernes�ts of law, pra�ram requirements, and at}�er
adrninFstrative requirements, In instan�es where multiple requirements apply to 5uhr�cipient, the
m�re resfirictive r-eq�irement ap}�lies, lJpan request k�y C]epartment, 5utare�i�ient shal! furnis�
sat�sfactvey proof of its �ompliance therewith. 5uhre�ipient sY�ali r�ot �ialate any federa�, state, ar
local laws, stated her�ln ar atF�erwise, nor �nmmlt any illegal a�tivity in khe perf�rmanc� Qf pr
associated with the perfar•mance af thfs Cantract. Na funds under this Contract shall be us�� far
7ny i�lega3 activity or ��tivity that violakas any federal, stat� ar focal #�ws.
6, i3RUG-FREE WORICPLACE ACT i7F 7.gF38, �he 5ubrecipient afFirrns by sigriing this C❑ntra�fi and ti�e
"Certifi�ati❑n Reg�rding Qrug-Free W�rl�piace Requirements" attached hereto as Addend�rn A
t�at it is imp[ementing the ❑rug-�ree Warltplace A�t at 1988 (47. lJSC §7�1 et ser�j and the
regulations promtilgate� thereunder inciuding, witfrout limitatian, � CFR Parts 1IIz and �4�9.
C, INFORMA�I�N S�CURITY Af�❑ PRlVACY REQUiR�MEN75.
[IJ Gen�ral. 5u4�recipient shall comply with the infv�'mation security and prlvacy
requirements under 1� TAC §1.24 to ensure the security and pri�aey of Prot�cted
Infvrmatian �as said term is deflned under 1� 7AC §1.74j.
�2j Infarmation 5ecuritv and Pr�vacv A�r�ement {"ISPA"1. Arinr #o �eginning any w�rk under
#his Contract, 5ubre�ipient shal! eith�r jiJ Itav� an �ffective, fui�y exe�uted 15PA, as
requsred try 1� TAC §2.�4, on file with the �epartment, ar (ii} will execute and submit tv
the pe�aartment an 15PA in aceordance with iiistructions foun�i an the �epartment's
website at the "Irzformatian 5eeurity and Privacy Rgreement" linl�,"
❑. AFFIRMATIVE �UTREACH. 5ubre�ipient shafi affirmativeiy reach aut to populatfans that a►e least
lilcely tQ ap�ly for services as fut't#ter outlirsed in 7�� �AC §7.1Q��}�3j.
E. ��Aa-SAS�❑ PAINT. 5sahrecigi�n# s�all comply with the Lead-Based Paint poisonii7g l�re�ention
Act, 4Z U,5,C, §4821 etseq. and �4 CF�{ Part �5.
CI[y of Fart Worth
6326601a066 �R
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
ppcuslgn Envalope ip: AOFA39i9-88Fa-�i3BE-8385-AAd27�3C19[7F
F. EXECi}7iVE HEAa �F !1 STATE AGENCY AFFIRMATiDN, in accordance with Secti�n fi69.C}�3 of
the 7exas G�vernment C�de, re�ating to cantra�ting with the execuilve head of a state agency,
5ub�'e�ipi�nt �er[ifFes t�iat it is nat (3� tfie exe�utiv� f�ead af the ��partment, �2j a p�rson whv at
arry time during the faur years hefore the date of the Contra�t wa� th� executive head of the
Department. or �3) a persan whn employs a Gurr�nt ar forrner executive head af the Qep�rtment.
G, PR�H181iE� ExF�NE7iiURES ON CER7AIN 7�LECOMM�JNICRTI�NS AND
Vlti�❑ S!lRVEILLANCE SEftVICES ANR �QURPMEiVT.
�1} General. 5ubre�fpient and its cantractars are prahi�ited frvm us'sng funds uruier this
Cantract for equipment, services, ar systems that use the fallowing cavered
t�fecammunicativns equ'spment arservices as a substantial or essential com�aanent of any
system, or as �ritical technolpgy as part of any system in accardan�e �r,+'sth 5ectian 889 �f
Fublic l.aw 115-�32 [Natianaf Defense Authoriration Act 2�19j ar enter inta, extend or
renew a contract tv pracure the fallowing covered te�ecommunicatia�s equipment or
services;
a} Telecammunlcatfons equipi-nent produced hy Huawe� Techno3Qgies Campany nr
2TE Carporatfon (ar any su�sidiary or affiliate of such ent�ties.
h} For ihe purpase af pulaiie safety, securlty af gavernment faciEities, physical
security surve111ance vf �ritical ir�frastructure, and other natiana! securi#y
purposes, vVdeo surveiHance and telecommunicatians e�uiprr:ent pr���ced by
Nytera Communica#ians Cnrpvration, Nan�xhou Hilcvision ❑igita4 �echnolagy
Company, or �ahua Technalogy Company (or any sut�sidiary ar affiliate of such
entities}.
c� iekecvmmunications or vide❑ surveillance services provided by such e�#ities or
using such equipment.
dj 'ie€ecammunicatians or videa surveillar�ce equipment ar services prac�u�ed or
pro�ided by an entity that the Secretary of �efense, in cansulkation wsth the
(7ii'ect�r of the Natianal Intel�igen�e vr the Rire�tor nf the Fecferal Bureau ❑f
Investigation, reasana�ly befieves tv he an entity owned or cantrQifed by, ar
otherwise connpcted to, the government of a cavere� for�ign cauntry.
e� Systetns that use cvvered tekecommunicatiorts equipm�nt ar servic�s as a
suhstantial ar essential camponent af any system, ar as �rikical teclinafogy as part
�f any system,
[2) 5u6contracts. Suhrecipient must fncorparate this prohi�itian in any �ontract and require
its subgrantees ar subr.ontract�rs ta InGnrp�rate th3s requirement inta any contracr.
C{ty nf Fort Worth
632560Z0006 15
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Qoauslgn ErlveloE�e IfJ: AOFA39� i-tiE3FU-h3E3C-E33l35-AAq27L'3L'1 JC]F
Fi. CY[3ER5�CL}Rf7Y �RA4N1lVG PRaGfZAM.
{1} 5ubreci�ient represents and warrants its �QmpEian�e with Se�tion 2454,5191 of the Texas
Gavernment Cade relating ta tlie cyberse�urify training program for In�ai ga�ernn�ent
emplvyees wit� have access ta a local gavernment c�mputer sysf�rn �r datahase.
(?.} If Subrecipieiit has access to any state �om�uter system or data6ase, Sut�Cecipient shall
com�iete cy6ersecuriiy iraining and verify �ampletian of the trainii�g program to the
De�sartment puesuant to and In ac�ordan�e with 5ectlan 2�54.5192 of the Ga�ernrrse��t
Cpde.
i, 1715CL�5URE PRfl7EC�IDNS F�R C�RTAI�1 CNARI7ABLE ORGAN[2AT{aIVS, CHARIABL� TRU5T5, ANa
PRIVA7E FaU�}bATI0N5. Subrecipient represents and warrants that it wilf �omply with
5ectivn �?57.9�5 nf t{�e �fexas Covernnaent Code relating t❑ dis�losure }�r-otectiflns far certain
�haritable arganizations, charita�le trs�sts, and private foundatfons,
PR�CUREMEN'i-�]F REC�VEREb MA�CRIALS. Sut�re�ipieitl represents anc� warrants tf�at it will
Camp}y with the requirements af 5ection 50Q2 of the 5olid Waste aisposal A�t �Chapter 36x of tiie
iexas Health and Safety Cvde, formerly Tex. Rev. Civ. Stat. Ai�n. Art. 4477-7j, as amended i�y the
Res�urce Conservatian and Hecovery Act,
R. R�CaRQS R�TEI��iI�N. 5uhre�i�rient represents and warrants its co;npliance with the re�ords
retentlan requirements of T7(GMS. ❑epartrraent rese;ves ti�e right ta direct a 5u6rec�plent t❑
retain dactimes�ts for a ionger peri❑d ❑f tfine �r transfer certain re�ards ta ❑epa�tment custady
when it is determined the re�ords �aossess longerterr-n retention value� SUE7i�Cl#]iEni I'I'iLiSi I{SC�LiCIE
the substan�e of this �lause in a}i sul�awards and suhcai�tra�ts.
5, f�OTfFECATfON �F INVESTIGATfflN. Suk�recipient must natify the Repartment if Su�recipfent is
ur�der federal ar statc investi�ati❑n �hy, for example, including, �ut not fimited t❑, affice af
Iraspector General and t�e �fFice of 5tate inspector General). 5ubrecipient mt�st inform the
bepartment in writing of this i3�vestigafian iFi aec�rdarice with the Notice Pr�visians ir� 5e�kian
Ai. 5uhre�ipient must aiso infarm the �]epartme�t in writing, ir� accordance with ti�e Notice
Provksians iri Section A1., af any written requests fo�- inforrr�ation by the 5#ate Audit�r's �ffi�e, t#re
�fFice of the Rttorney General, nr any vlher in�estigative agei��y, unless otherwlse prohibited hy
law.
T. R�ME�IES, Upon an ac�urrence ofan event of de#ault, the �epartmer+t, in Its sale discretfan may,
�iJ apply t❑ any court havin� j►�risdictiatt �f the suhjcct rriatter '{or specific perfqrmance �f this
Contract, and�or fa�' an injunction a�alnst any �iaEation of this Cantract, ar {ii} kalce any action
autliorized ui�der Titie 10, Part 1, Cllapter 10, Subchapters F and G of t�ie Texas Adrninistrative
Cade or Titie :LO, Part !., Chapter 2 nf the i�xas Fldministrative C�de, ar {iiij ta<<e any and all actiQn
at iaw, in equity, or a#herwise far such� atl�er rellef as may l�e appro�oriate, it i�eing acltnowledged
#hat t�ie heneFiciar ies af Subrecipient's ❑hliga#ians therew7dQt cannnt be adequately
campensated by rnUnetary damag�s in tF�e event of 5ubrecipierit's defa�ilt, The �epartmer�t s}ia!!
CEYy af Fprt Wortlt
532664200fl6 ]b
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Oacusign �nvefope IQ: AOFA3911-aB�O-438E-83$5-AAd27�3C19C�F
l�e e�tfiled ta its reasanable attarr�eys' fEes i» any such judlcial a�tian in wh��h the �epartment
sha�l prevail. The Departir�ent siiall als❑ be compensa#ed for fees assQciated with addiliar�al
compiiance manitaring during carrective periads af nan-�omp�ianee upon a default by
5ul�re�€pient here�rnd�r.
S�C71DN 23, PREVEI�zfON D� WASiE� FHAUD� AN� A61JS�
A. 5ubre�ipient shall estat�lisFi, maintairi, and utilixe syste�ns antf pracedures ta prevent, tletect, ai7d
correct waste, fraud, and ahuse in activities funded under this CantraGt. The systems and
pr'ocedures shall adciress possi�le waste, fraucl, and a�use by Suk�r'eeipient, its employees, clients,
�endors, su6cantractors and administering age�r�ies, Sutrrecip'tent's internal contrQls systems and
att transactions and othersignifica�t e�ents are to t�e clearly documented, a�d the documentatian
is to he rea�ily availahle far monitoring by �epartment,
B, 5ubrecipient shafl give �epartment �omplete access to all of its records, emplayees, and agents
for t;e purpase ❑f mvnitaring ❑r investigating NliSP, 5u6re�ipient shall immediate�y noti{y
�epartment ❑f any discavery vf waste, fraud, ❑r ahuse. Suk�reeipie��t sha41 fully r:oaperate with
aeparkment's efforts ta detect, 'sn�estigate, and prevent waste, fraud, ar�d abuse,
C. 5uhrecipient represents and warrants that it will corr�ply wi[h 5�ctian 321.Q22 ❑f the TeKas
Govcrnrr�ent iode which requfres that sus�ected fraud and unlawfu! car�duct be repprted to the
State Auditar's �fFice.
D, 5i�brecipient may rtiot d'ssc��iminate against any emplayee o� other person wha reports a �iolatlon
�f the terms af this Car�tract, ar of any law ar regulatian, to bepartment ar ta any apprQ�riate law
enfor�ement authority, if the report is made ir� good faith.
5ECTInI� 24. CERTIFICAiI�N REGARDING UI�DOCLIMENFED WORf(ERS
Pursuant t❑ �Itia�Ot�r 7_�54 of the TPxas Gavernrrsent Cade, k�y executfan of this Contraet, 5uhr�c�pient
hereby certifies t'hat 5ubrecipient, or a bran�t�, division, ❑r de�artrt3ent af S�brecipient does not anri wfll
not icnowingly empioy an �ndacumented wortter, wt�ere "undo�umented warlcer" means an indivi�lual
who, at ti�e time of employment, is not lawfufiy admitted fQr permar��nt residence to #he Llnited Sta#es
or authQriz�d under law to he emp�oyed in tnat manner in the llnited States. If, after receiving a pu6iic
subsidy, Su6recipient ora branch, divisivn, vr tlepartment of 5ubreeip'ser�t is �anvicted nf a vialativn under
8 U.S.C. §1324a�f}, Subreci�ient shali repay the pudlic suias�dy with interest, at the rate af fi�e percent
{5g5} per ar�num, not later than the ane hundred twentieth �32Qt1�} day a€ter the date the Department
nptifies SuhrecipiPnt �f the violation,
S�CTIO�1 25. C�NFLICI' QF 1N7�ft�5T�i1i£POTISM
A. Subrecipier�t shall maintain written standards ❑f �onduci governing the perforrnance af its
emplayees engaged in the award and administratian of �ontracts. Failure to maintain wt'itten
City o€ Fort Warth
63Z6Fi410[]f16 17
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Daetislt�n Enueiqpe IU; A�FA3fl11-8BFC]-�f38E-[33B5-l�427E3C14�F
standards af conduct and ta folkow and enf�rce the written standards is a conditian af defau�t
under Chis Cantrack and may resulC in termination of ti�e Cai�tract vr devbligatioii vf ff�n�is.
E3, f�n erFtployee, ofiicer, ❑r agent of 5ubreeipfent shal! p�1`ticipate in the seiecticrn, award, ❑r
administration of a contract suppnrked i�y federal funds if a real or apparent conflict of interest
wauld be invalved. Such a cor�fli�t wo�ald arise when the cmployee, afficer', or agent, any rrrernhel'
of his or he�' immediate family, hi� or her �aartner, or an ❑rganization whi�h ernpinys or is aboui
ta ernp�ay any oithe Parties h�dicated he� ein, tias a financial or otl�er interest irs ti►e firm selected
for an awara,
C. 7he offi�ers, employees, and a�ents of th� 5ubr�cipient siiall neither salicit nar accept gratuities,
#avors, or any#hing aF inanetary �alue fram �antractors, or parties to suhagreernents.
53a�recipients may set stan�ards for siEuatians ii� witich tl�e financial interest is nat sub5tantial 03'
the gift is a� unsolicfted item af nnrninal v��ue. ihe star�dards af can�uct shali p;vvi�e for
tlisciplir�ary a�tior�s ta be applied fnrviolatians af suclt stand�rds by officers, emplayess, aragents
of tl�e 5u4�recipient.
E]. �fhe provisi�n �f any type nr amaunt of HHSR assistance may not he condiri�r��d or� an �ndividuai's
ar farniiy's a��eptance or oc�upar�cy af en�ergency shalter or housing owned by the Subre�i�3erit,
Suhgrantee ar a parent or su�sidiary Qf the Subrecip}ent.
E. Na 5ut�recipi�r�t rnay, with respect t❑ individ�lals ar farr�iiies occupying housirig awned by the
5ubre�ipient, ar any parent ar su6sidiaiy of the 5ubrecipient, carry out the initial intalce requ�red
for Program Farticipant fiies unciQr Se�tion 9(C} �f this Ccrntrar.t.
�. �or transactions and a�tivities other than the procurement of goods and services, n❑ afficers,
emp{oyees, and agents, ir��luding constaltants, a'fficers, or �lected ar appainted officials vf the
Sutrrecipient, Subgrantee, ar subcantractor w}�t� exercises ar I�as exercised any functiar�s 4r
responsibiiities witE� respect ta act+vities assisted u�ider HNSP, �rwhv is ii� a pasitiorti to participate
itt a decisian-ma3t'sng pracess or �ain insidQ inf�r�nation with regard tn acti�ities assisted under
tf7e pragram, may obtain a finan�ial ir�terest or benefit frQm an assisted activfty; ha�e � financfal
interest in any contra�t, sub�nntraci, nr agr�entent with res�ect ta an assistet# activity; ar have a
finar�ciai interest in the p��oceeds derived fr�rn an assisted activity, either far hirn or herself ar for
those with wh�m he orshe has family ar husiness ties, dur�ing his or her tenure ar durir�g tiie arse-
year p�rlod following his ar her tenure.
G. Subrecipient re�reser�ts and war'ranis th�t perForman�e under the Conkract will nvt constitutt� an
actu�l ar potent+al canflict of interesl or reasonahly ereate an appearance of fmprapriety. F��rther,
Sul�recipient represents and warrants that In the administr�tion af the grant, it will �vmpiy with
ali canfEl�t of interest pral�ibitlons and disclosure requirentents required by appli�able faw, rules,
and policies, includin� Cl�apter 17fi af tfi� Texas Local Gavernment Code. If circumstanees �ha��ge
during the caurse of the Contract, 5uhrecipient sk�aii pr'�rnptly i�otify t�s �epartment.
Cfiy u1 Fart Warth
Fi32660Zt]OQS 1p
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Qocuslgn Envelope iC1; A[7FI139i1-Sf�FR-A3BC-B3A5-AA427E3C99��
SEC710�1 �6. POLI71CAl.AC�IVITY AND L�GiSLAilUE iNFLUEf�CE PR�HIBITE�
A. Nr�ne of #he funds }�ro�ided under this Cantract shall he used fr�r �nflu�ncing the outcame of any
election, or the passage ❑r rlefeat ❑f any leg'sslative measure. T�ris prahibition shai! r�ot he
�onstrued to prevent any state affiGia! or employe� from furnishing ta any memt�er ❑i its
gnveri7ing t�ndy u�on request, ar to any vther local or state r�fficial ar ernployee ar ta any citizen
infarmation in the hands vf t�e employee or afficial nai cansider�d untfer !aw to be confidential
inf�rmati�n.
B, IVa fun8s prvvided under this Cnntrar.t m�y be used dire�tly or indirectsy t❑ hire emplayees or in
any other way fund or suppart candidates for the legislative, exeeut€ve, ar judi�ial brancf�es of
�overnment, the 5tate af Texas, or tf�e government of the United States.
�. LIMITATI�N ON GRANTS T� L1N1T5 QF LOCFI�GQVk17NMF.N7, 5u�re�ipient re�aresents and
warrants t�at C3epartment's paytnc�nts to 5uk�re�ip'tent anc! 5ubrec'spier�t's receipt af a�propriated
or other funds under the Contract are r�at prahit�iteci hy 5eclians 4U3,I�67 ar 556.�C]55 of the
Texas G�vernr�ent Code whicf� reskrict Iqkr6ying expenditures,
a, P�LITICAL POLI.ING PR�HlBITfai�. If Su4�recipient is a politscal suhdivisir�n or pt�f�lic
carparatian, 5uk�re�ipient re�rasents and warrants that 4t daes rsot perform po�kt{cal poNing and
acknowledges that appr�priated funds may not f�e granted ta, r�r expended by, any entity tl3at
per{orms palitical pollfng.
SECTiaN Z7, [ItQNDESCRIMINAT1�fV, FAER HOU5ING AN❑ EqUAI. ACGE55 R
A, ACC�551BILI�Y AN[7 FAIR HOLFSING. 5ubre�ipi�nt must meet the accessibility standards and �air
housing requirements ur�der �if 5e�tion S�4 af tite Rehabilitation Ar.t af 1973 �29 U.S.C. §794) and
its imple�nenting regulatians at �4 CFR Part 8, �i3} the Fair Housing Act (42 U.S.C. §3fi�1 etse�.} as
in3plerr�ented 6y HL1[3 at 2�4 CFR Parts l0E]-115, ,(iii} 7exas Fair Hausing Act �Chapter 3�1 of #he
1'exas Praperty C�de), �iV} Title VI of tk�� Civil Ri�hts Act of 196�}, as amende� (4Z U.S.C, §2��4d e[
seq,j, ar�d implernenting regulations ak 24 CF�. Part I, aiid �vj 7itles II and lil ofthe Ameri��ns with
pisabilities Act ❑f 7.99Q {4z L1,S.C, §§12I3�.-12189; 47 U.S,C. §§155, 2�1, �1B and 2557 as
impleme�ted hy lJ, 5. aepartme�it o# Justiee at �8 CFR Parts 35 and 35.
H. REASaNABLE ACC�MC]aA71�N5. 5ubre�ipient shall operate each pragram flt' activity re�eiving
HFlSP fina�►cial assistance sa that the program ❑r a�tivity, when viewed in fts ei�tfrety, is readlly
ac�essihle and usable by individuaks with disatsilitfes, 5ubrecipient 4s als❑ required to provide
reasonable accor-nmadati❑ns far persans with disabilities,
C. G�NEftAL 5uk�re�ipient s��ail malce knowr� that use af the facliities and selvices funded tintier this
Cantra�t are availat�le to all an a nondiscrim9natory hasis. 5u6reciplent als❑ rnust ad�pt and
implement pr�cediires desig�ied tv make ava"slable to interested persar►s in€armation canceri�ing
the exist�nce and lacatican of services and facilities that are accessibl� to persc�ns witl� a disabiisty.
City oF Fflrt worth
63zG5�1q0(16 19
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Dacus(gn �nvelope IU: AOFA3J11-88F�-43BE-83B5-AA427E3C19�F
U. AGE DISCRIMINATION, Subre�ipient must comply with the Age DiscriminaYipn Act of 1975 �42
U.S.C. §§ 6101-6107}.
E. SUaCONTRACTS. 5ubrecipient wlll {nclude the substance af this Section 27 in all of its
subco�itracts and subgrants.
SECTION 28. DEBARFtED AND SUSPEND�D PARTIES; EXCLUDED PARTIES
A. DEBARRED AND SUSPENDFD. By signingthis Con#ract, Suhrecipient certifies that neither it nor its
current principal empioyees, board members, agents, or contractors are presently debarred,
suspended, proposed for debarmer�t, declared ineligihle, or �oluntarify excluded by any #ederal
department or agency as provided on the State of Texas Debarred Vendor List mainta ined by the
Texas Comptroller of Public Accounts and the System forAwarci Mr�nagement (SAMJ maintained
by the General Services Administration and in tl�e Certification Regarding Debarment, Suspension
and Other Responsibility Matters attached hereto as Addendum B and incorporated i�erein forall
relevant purposes. The terms "covered transactian", "debarred", "suspended", "ineligible.",
"lower tier covered transaction", "participant", "person", "primary covered transaction",
"principal", "proposal", and "voluntarily excluded", as used in the certiffcation attached as
Addendum B, have the meaning set out in the Definitions and Co�erage sections of rules
implementing Executive Order 12549. Subrecipient also certifies that it will not award any funds
provided by this Contract to any person wha is proposed fnr debarment under a8 CFR Part 9,
subpart 9.4 or that is debarred, suspended, or otherwise excluded fr�m or ineligible for'
particlpation in federal assistance prograrns under Executive Order 12549. SubrecipienC agrees
that, prior to entering into any agreement with a potential subcantractors procured by
Subrecipient or prior to awarding funds under tfiis Contract to a potential subgrantee, that the
verification process to comply with this requirement will l�e accomplished by checking the System
forAward Management ("SAM") at www,sam.go� and including a copy of the results in its project
files, After sald verificatian, Subrecipient may decide the frequency by which it determines the
cligibil(ty of its subcontractors during the term of subcontractor's agreen�ent, 5ubrecipient may
subsequently rely upon a certificatlon of a subcontractor that is not proposed for debarment
under 48 CFR Part 9, subpart 9.4, debarred, suspended, ineligible, or voluntarily excluded from
the covered transaction, unless Subrecipient I<nows that the certifica#ion is erroneous, Failure of
Subrecipient to furnish the certification attached hereto as Addendum B or an explanation oFwhy
it cannot provide said certification shall disqualify Subrecipient fram participation under this
Contract, The certiFication or explanation wifl be considered in connection with the DepartmenYs
determination whether to continue with this Contract. Subrecipient shall provide immsdiate
written notice to Department if at any time Subrecipient learns that the certification was
erroneous when submitted or has becorT�e erroneQus by reason of c�anged circumstances,
Subrecipient further agrees by executing this Contract that it will include the certificatiori
provision titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary
Excluslve-Subcontracts," as set out in Addendum B, without modification, and this language under
this Section 28, in all its su6awards.
City of Forc Worth
6326GO1OD06 ?.0
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Ciacusigrl �nUelrspe id: AflFA3991-Ii6Fb-43EiE-83f35•AA�27E3G143E1f=
E3. �XCLIi[}Ep PAR71E5. By signing this Contract, 5ubrecip�ent furkhe� certifies that it is not fisted in
the prohibite�i vendars �ist autharized 6y Executive ❑rder �lo. 13224, "Blaclrrng Praperty and
Prahiblting iransacriarrs wfth Persans Who �c�r�-�mit, 7hr�eQterr to Cammit, nr SUpport Terrorism,"
pub�ished by the United 5tat�s aepartrrier�t of the 7reasury, �#fice of �arelgn Ass�ts Cantral.
5�CTIof� 29. 5P�ClAL C�NiiiTI0N5
A. []1RECT QEP4SIT AiJTH�]RI2ATlDN.
until [3epartment has received
5ubrecipiet�t.
bepartment shall not release any funds under this �ontract
i praperiy e�mpleted depQsit authorizatian farm �ror-n
B, C�N57RUCTfaN 5TANC�AR�S. iVatwithstanding arsd subject tn Chapter 3�0� of the `�exas
Gavernment Cade, 5ubreciptent shali ensure that any huilding €ar which FiHSP funds are useci far
renovation, conversi�n, or major rehafqilitation must meet Sheiter and Nausing Stand�rds,
llniforn� Physical Constructian 5tandards, 2Dz5 International ResidPntial Cade �or munir.ipality
adopted iater verslonj, Minimum �nerby �fficiency Requirements far 5ingle Family Canstructir�n
Activities, and the Accessi�llity 5tandards in Cf�apter 1, 5u�chapter B, and any standards required
by state or lo�al s#atute, vrdinance, or other regulatian, as applicab}e fvr the l��meless Program
and aCtivlty.
�. NA7I�NAL F1f:E PR�TECTIflN. �lone ❑# the furids provi�led under this Contract may �e used in
can�ection wlth any dweliing unit u�less the unit is prQtected t�y a hard-wlred ot' battery-opel'aked
srnQlce d�te�tor installed i� accardance with #Vationa1 Fire prote�tiQn Asso�iati�+� 5tandard 74.
�. �7�EER C�NDi71QN5. Not app#icab�e.
SECTiQN �U. iV� WAIVER
A. RIGFii OR REM�aY, Itny right ar remedy given to Department by this Co�tract s�zall nat
preclude the existence of any ather rigl�t ar remedy, nor shall any actian tak�r� ir� the exercise of
any righl or remedy 6e deemed a waiver af any �#her right Qr remedy. 7he failure of bepaCtm�nt
ta exercise any right ar remedy �n any occasiofl shaall not �onstltute a waiver af �epartrr�ent's
right to exercise tf�at ar any otY�er right ar remedy at a kater time,
B. S�VE�iEIGN IMMl1Nf7Y, The Parties expressly agree that n❑ pravisian of the Contract is in any
way intended to canstitute a wai�er by the i]e�artment ar tlze 5t�te of �exas of any immunities
from suit ❑r fram lia�i4ity that the �apartment or the 5tate ❑f Texas may have by ❑peration af
law.
5ECTIO{V 3�. ❑iiALAl�p WRITT�N RGREEM�NTS
A� All aral and written agreer�ents between the parties af this Cantra�t relating ta the suhje�t maiier
of thls Contract }�a�e been redu�ed to writing anti are contaii�ed in this Contra�t and attachments.
City of Fort warth
632G50100p6 21
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Docuslyn �nvelape ID: AOFA3911-8BFD-43BE-B3F35-�tA427E3C19DF
B. The attachments enumerated and denominated k�elow are a part of this Contract and constitute
promised performances under this Contract:
(1) Atldendum A- Certification Regarding Drug-Free Warkplace Requlrements
(2) Addendum B- Certiflcatlon Regarding Debarment, 5uspension and Other Responsibility
Matters
j3) Addendum C— PRWORA Requirements
(4) Exhibit A - Performance Statement
(5) [xhibit B - Budget
SECTION 3Z. SEVERABILITY
IF any section or provision of this Contract is held to be in�alid or unenforceahle by a court or an
administrative tribunal of campetent jurisdiction, the remainder shall remain vaiid and binding.
S£CTION 33. COPYRiGHT
Subrecipient may copyright materials developed in the perF�rmance of this Cantract or with fu+ids
expended under this Contract. Department and the State sha11 each have a royalty-free, nonQxdusive, and
irrevocable right to reproduce, pubUsh, or otherwise use, and to authorize others to use, the copyrighted
worl< for government purposes.
SECTION 34. USE O� ALCOHOLIC BEVERAGES
Funds provided under this Contract may not be used fvr the payment of salaries to any Subrecipient's
employees who use alcoholic beverages while on active duty, for tra�el expenses expended for alcaholic
Ueverages, a' for� the purchase of alcoholic beverages.
SECTION 35. FAITH BASED AND SECTARIAN ACTIVITY
Funds provided under this Contract may not be used far sectarian or explicitly religious a�tivitles such as
worship, religious instruction or proselytixation, and must be for the benefit of persans regardfess af
religious affiliation. If Subreclpient conducts such activities, the activities rriust be offered separately, in
time or location, from the programs or services funded with direct financia( assistance from ❑epar#ment,
and participation must be voluntary for beneficiaries of the programs or services funded with such
assistance,
SECTION 36. FORCE MAJUf�E
If the obligations are delayed 6y the fallowing, an equitable ad}ustment wfll be made for delay or fai►ure
to perform hereunder:
A. Any of the fallnwing events: {i} catastrophic weather canditions or other extraordinary elements
of nature or acts of God; (fij acts of war {declared or undeclaredj, (lii] acts of tert-orism,
insurrection, riots, civfl disarders, rebellion or sabotage; and (iv} disease pandemics, quarantines,
Gty of Fort Worth
63Z66010006 22
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
pocuslgn Cn�aio�ie fd: AaFA39i9-fl8FQ-k3�dE-8385-AA427E3Ci9QF
embar�oes arsd other similar unusuaf actions of federal, provincial, local or fareign Governrnental
Autitnritics; and
6, Yhe non-performing party is without fault fn causin� ar failing ta �revent the accur'rence af su�h
e�ent, and such occurre�ice �ouloi not have loeen r,ircumvented 6y reasonahfe precautions and
could not �a�e �aeen prevented ar circuznven#ed thraugh the use ❑F �ommerciaEiy reasonable
alte�native sources, warftarnund plans or atfrer mearss.
S�CiI�N 37. AS5IGNM�1�7
This Cvntract is made �y pepartment ta Su�recipient ❑niy. A�cardingiy, it is not assigr7a61e without t�e
written consent and ag�eement of ❑epartment, wHir,h consent may �e withheld in ❑epartmer�t'� sale
dlscretian.
s�cria�u 3s. riM� is o� r�� �s��n�c�
Time is of the essence with respeet ta 5ubrecipient's campliance with all covenants, agreements, terms
anci conditior�s of thls Contract.
S�CTI�N 39, C�UNT�RpART5 Ai�b FACSIMkLE 51GNATUR�S
This Contract may be executed in s�ne ❑r mare cvunter�arts eaclt ❑f wl�ich sl�ali t�e deemed an arfginal
hut all af whi�}i #agetfier sha11 constitute one and the sair+e ins#rument. Signer� signature pages may �e
transmitted by facsirrii�e orother eiectranic iransmission, and any such sigrsatureshall have the sarne legal
effect as an original.
S�CTION Aa. NUMBER, GENDER
Unfess fihe evntext requfres ati�erwise, t��e wards af the masctiiine �ender shall fnclude the feminine, and
�ingular wnrds shall Include the piural,
SECTI�N 41. NQ7�CE
A, If a nati�e is pravided cancernir�g tfiis Contract, nQtice t-nay he given at t��e folloWing {herefn
referred ta as "Natice Address"j;
As to Qepartrnent:
1"F7(A5 DF.PARTMEi�T C]F HC]USfiVG ANp CC]MMUEVITY AFFAIRS
F. �. Box �.3941
Austin, Texas 78711-3541
AttentEon: Ak�igai� Versyp, a�rector aF 5ingle FamHy and hfomefess Progcams QivistoF�
i'elephane: 5�2-475-�9C3$
�ax: 512-475-U22�
a I��a il^ve rsy p{r� �d h ca, texas,�ov
Clty s�f Fort Warth
G32CifiD1L1f7fIG 13
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
❑oeusign #=nveia�e II); AOFA3�1'l-8�3�1�-43E3C-F33ii'.5-AA427�3C1!7hf-
As t� 5ubrecipient;
City af Fart Warth
10� Fort Warth Trail
Fort Warth, Texas 761�2
Aliention: dianna Gir�rdann
Telephot�e; 817-392-2235
dianna.�iorc�anoC�io� twcartl�tcxas.�ov
�. nll ��atices or other cvmmunications her��nder shall k�e deei�esf given w},eri dclivered, mailed k�y
a�ernlght service, or five (S} �alendar days after rnai€ing �y certiffed ❑r registered mail, postage
�arepaid, re#t�t-n receipt requested, addresset� to khe appropr-iate Notice Address as defined in the
al�ove Su6se�tioiti A of this 5ectEan 4].
C:. 5ubrecipient shaif provide �ontact infarmatiQr� and rec�uireci i1t7C1�1CatidflS t[7 �IIE'. �epartment
thro��gt� the Conlra�t 5ystern in a��ordance wit}� 7a "iAC §7.7.
S�CiIC7N 41. UENUE AN[]lLfRl5DICTInfU
This Contract shall be governed by ar�d canstrucied in a�cardance with th3e �aws of the 5tate af "�exas,
without re�ard to the �anfli�ts af law prvvisions, The venue Qfi any suit arisir�g undet'this Cantrar.t is fixed
in any caurt �f cQnipetent �urisdiction of -�ra�is County, �-exas.
SECTI�N 42. ALTERNRTIVE Q15PUT� #�ESQL�lTIaN
The disput�: resalutiUn process pravided in �hapter 7a[]9 of t�a lexas Ciover��ment Code is available ta
the parCies to resofve any riispute arising under the Cantract. �f at ariy tirne tne 5u6recipienf would lilse to
enga�e E]epartn�ent in an ADR pracetiure, the Subrecipient may send a proposa! ta l7epartment's Qispute
Resalutia� C�ardinator. For additiar�al ir�fQrmation an Qepartrr�ent'S ADR palicy, see Qepartm�i7t'S
AlLeri�ati�e Dispute �Resoiuiior� and �legotiated RuiemaEcing at 10 TAC §1,17.
SECTfON a3. IritentionaHy defeterl.
SEC�"!DN 4a. flP�iV MEfTING5
if the Su�arecip�ent is a ga�err�m�ntal e��tiiy, 5ubr�e�ipient re�resents and wa�-rants its compliance with
Cliaptee 55i of the Texas Governn�ent Cacfe, whic� requires all re�ular, special or called meetirigs 4f a
�o�ernmental �ody to be open to the pubii�, except as atherwise provided 6y iaw,
SECTIafV 45. I(VI]FMNIF[CATIQN
T[J ThiE ExTENT�ILl.�WE:[3 6Y I..AW, SU�iRi�CIPI[:N1 SHAt.L UCF�:NI], IN�EMNIl=Y ANI� IiUl.l7 HAi�MI_C55�fH�
STATE ❑F 7ExAS ANU THE p�PI�R7M�N'�', ANDj�E� TFiEIR OFFkCERS, AG�NTS, EMPl.i7YF£S,
REPR�5�fV7A71VE5, COIVTRACT�RS, A55iGNEES, ANC7/�R DESIGI�EES FRflM ANY ANa Al.l. l_IABl�ITY,
AC�I�N5, CLAlMS, QEMANdS, fl� 5U175, AN❑ AL.L REL{IiEE3 CQ575, ATfQ�iN�Y FEES, AN� ExPCN5E5
AR451N6 �l�T �F, ❑R RESUL7ING Ff��M ANY AC75 ❑R OM1551�N5 C3F StIBRECIPIEfV1' OR IT5 AGENTS,
Ckty af Fort Worth
fi37.6607[]�05 �4
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
❑oet±sFgn �nuelape I�; ROFA39i9-SBFD-A3E�E-B3�5-AA427�3C99QF
EMPLflY��S, 5UBCflNTRACY�RS, ❑RbER FL1tFILL�RS, QR SUPPLI�RS DF SU�CQIV7RACTQRS IiV TH�
E7{�CUTIOiV OR P�RFORMANCE OF TFiE CQNiRACf A�� ANY PURCHASE C3RDER5 ISSU�G U�}DER TH�
CON7ftACi. �'HE DCF�fUS� SHAiL 6E CpQRaINAI-E£� BY R�SP�NOCNT WITN �ME �FFfCE �F `�I-�E �EXAS
A7i�RN�Y GENCRAL WH�N �FxAS STAT� IIGENCfES A�tE NFIMED ❑EFENDAN75 I�! AhiY LI�W5U1T ANL�
SUBRECIPlENT MAY IVaT AGREE T� ANY S�T-fI.EMEN7 WiTH�i1T FIRST pB�AINI�lG iH� CONCt1RRENCE
FR�M THE OFFICE aF �'HE 7�i[AS ATTOftIVEY GENERAL.. 5�BRECIpI�Nt AN6 DEPARl"ME�i'i AGRf�� 7U
FURNISH TRM�tY WRI7TEIv �vo7lcE 7� �A�H aTHEI� aF A�VY sUCH CzA�M,
SECiIaN 4fi. H�ADlNGS
Headings are in�iuded so�ely for ti�e ease of IQ�ating subjects and shall nat �Se epnsidered as a part oi this
Cor�tract fo�- purposes of interpretaticrn, to er�large ortQ limit any term af this Contract,
S�CTION 47. LiiVIITA�I�N ON ABDR`i'IDN FUNL11�lG
5ubrecipient re�resents and warrants that the Contract �s nat a taxpayer resaurce trar�sacti�n pr❑hi�ited
�y 5ectians 227�.0�3 ar �273,0031 af the T�xas cavernrrtei�t C�de and that payments made by
E3�partment to 5u6re�ipient and 5ubre�i�Eer�t's receipt of appropriated funds und�r Contra�t are rsat
prQhibited by Article Ix, 5ection 5.24 of the Generai Appropr�atfons A�t,
[Rest� c�f page intentiflr�rrlly left bl�r�lc. 5ignpture perges faflaw,]
�
City of FQrt Worth
53255�10a05 25
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Docusign �nvelope ID: AaFA3311-BBFd-436�-C�305-AA427E3C19DF
W17NESS OUR HAND EFFECTIVE:
SUBRECIPIEN'f:
City of Fort Worth,
a political subdivisfon of the state of Texas
(---SVnN hy,
Ry: I �.awnn. Ciordau.e
Name: Dlanna Giardano
1'itle: Assistant Citv Mana�er
[?ate: 9�25/2b25 � 9:29:02 AM CDl'
THIS CONTRACT IS NOT EFFECTIVE UNL.ESS SIGNE� 8Y THE EX�CUTIVE DIRECTOR OF THF TEXAS
pFPAR7MENTOF HOUSING AND COMMUNITYAFFAIRS, OR HIS/H�R AUTFI�RIZED D[51GNEE.
THIS C�NTRACT 15 APPROVED, ACCEPTEO AND MADE TO SE �FFECTIVE ON SEPTEMBER 1, 2025, ORf
B�HALF QF:
DEPARTM�IVT:
TEXAS DEPARTMENT OF HaUSING ANC7 CaMMUNlTY AFFAIR5,
a public and afficial agency of the State of 7exas
(� oewaa�.a ny.
Ky: I ��` �W
_,��„v�„�,��
Name: Abi�all Versvp
Title: Its dulv authorized officer or reqresentative
Qate: 9125/`1025 � 10:44:47 AM CQT
Clty of Fort Worth
63266010006 26
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
IN WITN�SS WI��REOF, the Parties hereto have executed this Agrecrrient in multiple
originals on the date written below tfieir i•espective signatures to be efCective o►� the Effective Uafe,
ACC�PT�D AND AGI2��D:
CITY OI+ FORT WORTH:
CUiVTRAC:T COMPLIANCC MANAGCR:
By signing 1 acknawledge that f acn the person
responsible for the monitoring and administratian of this
APPROVAL I2�COMM�ND�D: contract, including ensueing all perFormance and
reporting requirements.
�'�--� %a�.� �a�.�
By: Beth� ny 1Narner {Sep 25, 2025 I235:5G C[)T) By: �
Name; Bethany Warner Name: Tara Perez
T'itle: Intergnvei•runental Relations Title; Homeless 5trategies Manager
Mana�er
ATT�ST:
13y:
'�� ,,,�.1� .,�F-�
Name; lannette S. Goodall
Title; City Scc��etacy
APPR�V�D AS TO FORM AND LI;GALITY:
, 1 �{ \__ I
� y �%..
Name: Gavin Midgley
Title: Assistant City Attorney
CONTRACT AUTHORIZATI�N:
M&C; �5-0557
1295:
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Docusign �nvelape ID� /1QFA39�I1-aBFCl-43BE-83Bb-AA427E3C19DF
TEXA5 DEPARTM�NT QF HOUSING AND CQMMUIVITY AF�AIRS
FY 2026 TEXAS HOMELESS HOUSING AND SERVlCES PR�GRAM
GENERAI. S�i-ASiDE
G�NERALREVENUE
COIVTRACT 632b601QOD6
ADbENbUM A
CERTIFICATION REGARDING DRUG-FREE WORICPLACE REQUIHEMEN75
City of Fort Worth,
a�olitical subdi�ision of the state of Texas
7his certification is required by the regulations implementing the Drug-Free Wprl<place Act of 1988.
The undersigned certifies that it will or will continue ta pr�vide a drug-free wor{cplace by:
(a) Publishing a statement notifying employees that the unVawful manufacture, distrit►ution,
dispensing, possession, or use of a controlled substance is prohlbited in the grantee's worlcplace and
specifying the a�tions that will be talcen against employees for �iolation of such prohibition;
{b} Establishing an ongoing drug-free awareness program to infarm empioyees about-
(1) The dangers of drug abuse in the wor(cplace;
(Z) The grantee's policy of maintaining a drug-free worlcplace;
(3) Any availabie drug counseling, rehabilitation, and errtiployee assistanca �rograms; and
(4) The penalties that may be imposed upon employees far drug abuse viokations ❑ccurring in th�
worlcplace;
(ej Malcing it a requirement that each empioyee to be engaged in the perFormance oi the grant be
given a copy of the statement required by paragraph (aJ;
(dj Notlfying the employee in the statement requfred by paragraph {a} that, as a condition of
employment under the grant, the employee will-
(1) Abide by the terms of the statement; and
(2) Notliy the employer in writing of his ar her conviction for a vioiatian of a criminal drug statute
occurring +n the worlcpla�e no later tlian five (5) calendar days after such conviction;
(e} Notifying the agency Ir� writing, within ten (10} cafendar days after receiving notice under
paragraph (d)(2) from an employee or otherwise receiving actual notice of sucit convictio�ti. Employers
of convicted employees must provide notice, including position t'ttle, to every �;rant officer o�• other
designee on whose grant activity the convicted emplayee was worlcirsg, unless the f=ederal agency has
City of fort Worth
63266q1Q00b 77
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Docuslgn Envelope IC]: A4F'A391i-SBFC]-d3BF.-B3H&-AA4�7�;iCi9[7F
designated a c�ntral point for the �•ecei�t of st�ch notices. Notice shall in�fude the identificati�n
numher{sj of each a#�eGted grant;
�fj Talt+ng ana af the following a�tions, w�#hin tf�irty (3Uj ealendar days of receiving notice uttder
paragraph tdj(Z}, with respect to any emplayee who is so cvnvicted-
j1J �aking apprapriaie personne! actian against such an ernployee, up to and in�fuding
terminatipn, c�nsist�nt with ihe requirements af tl�� Re#�at�ilitation A�t of 1973, as amended; ar
(7_j fiequir3ng such ernployee tn participate satlsfactorily in a drug abuse assistance ar
rPhak�ii'ttatian program approved far su�h purposes by a Federal, 5tate, ar lacal heaEth, iaw
enf�s-cement, or c�#her apprapt��ate agen�y;
�gj Makfng a good falth efSart to c�ntlnue t� mainta3n a drug-free wQt�lspfaee thraugh imple�er�tation
�f �aragraphs (aj, {bj, {cj, �d], �ej and �f},
Pla�e[sj af Rerformance [sitets) far the perFormance of worl( done in connectian with the specific
grant} {frrclude stree# address, �ity, �aunty, siate, xip codej:
10� Fart Worth Trail, Fort Wor[h, Tarcant, i}(, 73ia2
1.
F�
3.
4,
Wor�tpface identiflcatians rriust inclu�e the actua{ address of buiid'tngs (�r parts of bui�dings) or ath�r
sltes where worlc under the grant talc�s place. Categarical descripti�ns may 6e used {e,g,, al� �ehicles
of a mass transit autharity or 5tate higi�way department wh�le in aperatian, 5tate empioyees in each
local ttnem}�loyment office, p�rformers in cQncert halls or radio studiosy. It 5uhreciplent does nQt
identify the worl�p�aces at the tirne af applicatior�, nr upan award, if there is n❑ application, the
5uhrecipient must keep the ident'sty af the workplace{sj an file itt its office and ma#�e the InfartnatEbn
a�affa�le for �edera� inspect?on. Failure to identify aff knawn warltplaces canstitutes a viofation af the
Suhreclplent's drug-fr'ee wortcplace requirements.
7ffis certificatian 'ss a�nateriai representatian of f�ct u�ron whi�h reliance is pla�ed whe� the
bepartm�nt awards th� grant, !f it is fater determined that 5uhre�ipient Icnawingly rer�dered a false
�ertifi�ation, �r otherwise vialates the requirements af the Drug-Free Worltplace A�t, �epartment, ir�
addition ta any other remedies available ta the Fec3era4 Gvvernment, r-riay take a�ti�n authot'ized
under t�e Rrug-Free Workp�ace A�t.
Cf[y a( Fart 4V4ith
632 Fi5010QCifi 28
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Dncusign Envelope ID: AOFA3�J11-UBFD-43BE-83B5-nA427G3C19D�
City of Fort Woith,
a political subdivision of the state of Texas
py: �sn�.� eY
inwnN ror�ia�o
-ew/.7h7N�91�A9 .
Name: Dianna Giordano
Title: Assistant CitV Mana�er
Date: 9/25/2025 � 9:29:02 AM Cb7
City of Fort Wo�th
6326601QU06 29
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
f7ncuslr}n F.nvelape li}: A41FA3911-AEi��J-43BF-R3Ci5-I�Fl4?7�3CiBf]F
7�]lAS �EPARTM�N7 n� N�lJ51NG ANC] C�MMUNITY AFI�A4R5
�Y ZQ26 TEHAS N�M�tLESS }iQilS�I�G AiV� 5£RViCE5 PROGRAM
GEIVCRALSET-A51QE
GEN�RAL. REVEf�UE
CQN7RAC7 63Z6fi07.(}��6
AD[3ENpl1M S
CERT�FiCAYl��1 R£GARp1NG D�BAi�M�NT, SUSp�f�SION AN[] OTH�fi R�SP�iVSIBIk.ITY MA7TERS
City vf Fart Warth,
a pali#ical suhdivision Qf the state af 7exas
T��e undersigned ceitifies, ta ti�e l�est af its Icnawledge and belief, that kt and its principals;
�a} Are not preseiitly deharred, suspended, proposed for debar�r�ent, decl�red ineli�lblP, arvnfuntarily
ex�Fuded by any Federal �r state department ar agency;
[bj Have not withirr a three ��} year period preceding this proposa4 heen canvicted ❑f or had a ci�il
judgment rencierec# against them far commission �� fraud or a crlrt�inal offense in col�nectiorr with
o�taining, atte�riptfi�g ta ahtain, or perfarming a pulolac �Federal, State ar lacal} transaction ar c4ntra�t
ur�der a puhlic transactian; vigkatlon af Fetleral a►' State antitrust statutes ar camrnission of
embeazsernr�nt, theft, �orgery, bribery, fa#sificativn vr destr�tction af rec�rds, mal�ing false state�-rsents,
or r�ceiving stalen pra�erty;
(c] Are not pres�n#ly indicted for- or att►erwise criminally ❑r Givilly cl�arged hy a go�ernrnental ettiity
{Federal, 5tate ar iacal) wsth eomrrifssion of a�iy of ihe offPns�s enumerated in se�tion ��} Qf this
cartificativn;
(d} }iav� nat within a ti►ree-year period precetiing this application/�raposal I�ad ❑ne or rnnre put�lic
transactis�ns (f=ederal, State or lacai} terminated fQr cause or defauit; and
�ej Will submlt t� the �eparki�►ent inforn�ation ��out each proceedir�g tl�at occilrs during this Cantra�t
Terrn or during the recordkeepir�g period that;
�1y Is in �annection wit� tf�is award;
�2j �eached its f}nal dlspositian during the most recent five (S} year period; and
�3� !s ane �f the foliawing:
i� A cri�ninal pra�eed'€ng that resulted i�7 a canvi�tian, as r}efined helow;
ii� A cf�il pro�eedin� that resulted in a findir�g of fauit and lial�ility a��d payme��t af a n3anetary
fine, pe��alty, relmbtir'ser�ient, restitutian, ur dan7ages nf F�ve 1'hausand and {Vo��40 Doliars
{$5,40[].�a} ar more;
iii, An administrative proreeding, as deffi�ed l�elow, that resulted in a fin�lin� offaiilt and liahility
ai��i your payment of eikhes' a motietary fi3ie or �renaity of Five �'housand and No�3.OQ pQNars
C{ty ai Far t Wprth
53'LfifiR7UUUG 3�
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Roeusigrti �ii�elope �C]: AGf=A3911-i3l3F [3-4313I�-#33G5-FlA�117E3C19DF
t$5,R4�.�Q1 ❑r mvr� ❑r reimu��rse�r�ent, restitution, or darnage in cxcess af Qr�e Hundred
Thousand and Nur1(3� Doilars ($7.�C1,0(70.�0}; or
Iv� Any other cril�7i�a1, civii, ur administrative �roceeding if;
1. It cauld 1�ave 1ed to an outcome clescribed in this sectinn (e} paragra�h �3] items �iy -- {iii)
af tl7is award term and r.�nditican;
2, It had a dltFerent disposition arr}ved at by cQnsent or eQm�romise with an
acltnawledgmer�t of fault un your part; and
3, 7he req�Eirement in this award term and cond#tion ta dis�lase infarrnatias� abaui the
proceeding drses not confiict with applicabie laws and regukations.
�qj For purpases of section �e} �f this certificatian the fvi}owing definitinns a�y�ly:
i, An "adm�nist�ative praceeding" m�ans a non-judicial pracess that is adJudicatary in nature in
r�rder t� m�Zce a daterminatian o# fauit ar liab3lity (e.g., 5ecurities and Ex�hange CQmmission
AdmFnislrativ� pro�e�dings, Civilian f3aard of Contract Appeaks pr�ceedings, and Arrrsed
5ervices Soar�! of Contra�t Aup�als praceedings}. Tl�is includes praceedings at the Federal a�d
5tate leve! t�ut anly ici coilnect�on with �erFormance of a fes�eral contract or grant. ft daes i�ot
include aurlfts, site visits, corrective plans, �r inspection of deliverahles.
i't, A"c_onvictian", for pur��oses of this award #erm and c❑nditi❑n, means a judgment ❑r
canvi�tian nf a crimina3 offense �Oy �ny court �f competent jurisdictfon, whether �ntered upon
a vet'd'!Ct or 8 ple�, and includes a convictian entered upan a plea af nnla contendere.
Where the undersigned Su�r�cipier�t is unabl� ta certify ta any af the statements in this certffication, su�h
5tihreciplenlshall atta�h an explanat{on of why it cannot pravicle said cerkifir.3tion ta th'ts Caiitra�#.
The �mdersigned 5ubrecipie�t fu�ther agrees and certifies that it will inr,Iude the beiaw cfause titled
��C�ltkflCc�tk4fl Regarding Dabarment, 5uspensivn, Ineligibility �nd Vo{untary Exclusion-
SubCantr'actsf LaWe�' �{er C❑ver�d Trar�sactian," withaut modifscation, in all subrecipient cantracts,
suhcoiitracts ancf in alf solicitations far� sul�co3itra�ts:
"CER71FlCATION }i�GAR�I�G aEE3AfZM�NT, 5U5l��N51aN, INEl.IG1�311.17Y AN� V�LLIN7ARY ExCLUSi�N --
SUBCUNTi�ACT5/ L�WER TIER C�VERf{) TRANSACl-[t]#VS
(1j 7he praspecti�e lower tier partir.,i�ant�stit�cQntractat' certifies, by submissian ❑f tl�is prop4s�l, that
�either it nor its prin�ipais is presentfy de�arred, suspended, propos�d fqr debarme�it, cieclared inefigib�e,
ar voluntarily exciuded fram particip�tion in this transar.tian t�y any Federal department or �gency,
(Z) Where the prospective lower tier part{cipant�su�contractar is unablc tn certify to any oF the
statem�r�ts in tt�ls cerkification, such praspective participant s}iall attach an explanatfon to this p�aposal.
Ckty nf Fort Warlh
63�G5�]fl��6 31
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Q4cusig� Envelape I[�: A�FA391 i-SBFf7-43BE-839F-AF1++27E3Ci 9�F
LaiNfR T1ER PARTICiPAIV�/ SIJBCON7RAC�'UR:
Entity �4arrie, EntityTy}�e
MHMR of Tarrant County
gy: �Signed by:
u.sa.rn, �ai.vrn.�.{ l
Name:�as�RP���;��t
7j#le: CEO
�ate: Z�13/2026 „
This �ert"sfieation is a materkal re�resentatior� af fact upan whlch relian�e is placed when the Repartment
awards the grant. If it is laterdetermined that 5u�recipient knowingly rendered an erroneous certificativn,
in additian to any ati�er remedies avallable, ti�e Qe�artment finay terrrsinate this Contract far cause or
tEefauii.
SUBR�ClPi�NT:
City nf Fart Warth,
a��alitica! subdivlsion o�the state af Texas
i� d6y:
gl'; �10.1h.kP. .rsfdYp.A4+�
�•glnl{}N1911N..
Name: �ianna Giordano
Title: Assistant Citv Mana�er
Qate; 912512�25 j 9:�9:�2 AM C�T
Cityflf Fart Warth
532660104fl5 3z
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
da�usign En�efope I[J: AOfA3911-L3aF�-A3F3E-E33E35-AFlA27E3G190F
7E3[A5 p��Alt'f'MLNT �F HOU5ING AND CaMMllI�ITY AFFAIRS
FY 2U2fi T�HAS H�M�L�SS Fi0U51NG AND 5�RVICES PRflGRAM
Cv�NERAL S£T-A5[�E
G�N�RALR�VENUE
CONTRACF 53�65�1aQ06
ApaENDt1M C
PRWnRA REQUlREM£NT5
City of Fert Worth,
a politicaf subdivision af the state of �'exas
if an individua! is applying for NHSP funds, a Subrecipient must verffy tha# the indivlduai appiying for HFiSP
funds is a qualif�ed re�ipiEnt fnr funding under the Persanal Responsihility and Worlc Dpp❑rtunity A�t of
1996, ["PRW�RA"j or �"Act"). Puk�. L. 104-193, 12Q 5tat. 21�5, codified at 8 U.S.C. §�.6p� et. seq., as
amended hy the �n�nibus Appropriations Act, 1997, Pub. L, 144-2d8,
Ta ensure that a non-qualified applicant does nat receive "pul�iic Uenefits," a poiiticai suhdivision that
administers "pubi+c benefit prvgrams" is required to d�termine, and to �erify, the indi�icluaf's alienage
status #�efore granting eligi6flity. 8 i1,5,C, �7.642 {aJ and [k�}. Subr'ecipient must use t�se SAV� vPrification
syste�ri to verify and document qua�iFied alien eligihNity ❑nce access to the syst'sm is pravir�ed t�y the
�epartment,
There are certain types af assistance that �re nvt su�ject to the Act's restrictfon an access ta pubftc
benefits t�as�d on immigratian status. This inc�udes ar,tivities tF�at: 41j deliver 'sn-ltind services at the
eommunity level, [2j are i�e�essary for tfie protectinn ❑f life or safety, and ��] do nvt conditian the
pra�ision af assistance on the a�plicant's income or resvurces, Generaily, unde�-tile NHSP 5t�te Rules, an
aCtivity that provides a puhli� i�enefit to a H�usehofd that is Florrteless is exempt, w�ile an activity tiiat is
pra�ided to a Hausehakd that is At-Rislt af Hvmelessness is nat exempt. Hawever, if 5uiarecipienk has
adopted i�ears�e hased �riteria far the prvvision QT assistarrce, than that arti�ity may be su�ject to the Act.
Yet, some acti�ities do nat provi[fe a pu}��ic ben�fit to a Flausehoid such as a case manager perfoo'ming a
Hous�t�old el}gibfi�ty determinativn or purchas� of an HM15 dalahase. Section 4Q1(bjt3j(Cj nf the Aet ais❑
exempts publlc heafth assistar�ce for immunizatior�s wfth resp��t to irrimunizabie diseases and fnr testing
and treatrnent of symptoms �f comrr�unicahle diseases whether or nat su�h symptoms are �aused �y a
communi�able diseas�,
if 5uh�'ecipient is unsure of whether or not an actl�ity is exernpt frarn t�e Act, it should �ontaet the
Qepar�meiit i�efore beginning the activity tv receive a written determknat'san.
tity of Fort Wo�tf�
fi326601�0�6 33
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
17ocusign Envela�e 10: �1GFI�391i-B8FCl-43flE-636G-AA427�:iCi9C]F
CERTIF�CATION REGARDING Lf5E �FTHE SYSTEMATI�ALIEN VFHIf'ICA"fI�N FtiR ENTITLEMENTS ("SAVE"�
5Y5TEM
S�hrec��'sent shall�
(1j 5ystem tlse,
(a) �sta6lish #he ideritity of the applicants and requfre each a�plicant ta present the appli�ant's
immigration ❑r naturalitatian docume�station khat cor�tai�s the it�formation (e,g,, alien
r'egisiratior� nuintaer} r�equired by the 5AVE Prugram;
(�} P3iysicaliy exarnine th� documentation presented by the applicant and deter�nine whether t�e
do�ument(s) �easona6ly ap�ea= (sy ta be genuine artd to re}ate to the i�dividual;
(c} Frovide t❑ �he SAVE Program the infc�rma#ion the 5AV� PragTarri requires to respvnd t�
Su6recipient requests fQr �er'sficatian of immigratian �r naturaliz�d ❑r ri�ri�ed citizenship s#atus
inf�rmatian, incl�ding {r} information from the a�plicant's immigr'ation ar naturalizatian
ciacumentatian for initial automated verification, {2j additional information obtained from the
alies�'s immigratian ❑r naturaiiza#ion documer�tatian For automated additiana! verification, and
�3} com�rleted For'ms G-f345 ar�d ather docur�ents and informatifln r�c{uired far manuai additianal
verificatios�. Far manual anly verificat's�n, ensure that For-ms �-845 and other dacuments �nd
Inf�rrrratian required for manual verifi�ati�n are prQvided;
(dj Ensure that, priar to using the Verificatian InfQrmation 5ystem, all en��a€oyees designated by
5ti6recipient to use SAVE on behalF of the 5ubrecipient �"Uset's"j pet#vrming verificatior�
pracedures c❑mplete SAV� required kraii�ing incfudhig: readin� the SRVE �'ragram Guide, t�l�ing
lhe f�test �ersion of Weh tu�arial{sj, an�3 maintaining a wor�cing lcnawledge nf requirements
cantained therein arid in this C:untra�t as updated. �oeurnentatian of training must be malr�tained
hy the Subrecip'tent far m�nitoring revieW;
�e} Ei�sure tliar l�sers are pr�vided wit� and maintain L►ser lds on�y wliile they hav� a need to
perforin verificatian procedures;
�f} Ensure all lJsers �erFar�ning verificatian pracedures co�nply with all re�uirements contail�ed ir�
the SAV� Pragram Guide, web-hased tiitorfal, this Contract, and ugdates to these requirements;
(gj �nsure that all Users perFormingverif9eation procedures have c❑ntact infvrmation fr�rthe SAVF
I�rogram and SAVE Mvnitoring a�d Compiiance;
�hj Er�sure all l�sers perFarrn ai�y additional verification prvicedures the SAVE Program requires
ai�d�oT the applicar�t requests after the 5uhre�#{aient initiates a request For �erification;
�i) Use any informat}an provided hy [31i5-115C15 under this Cari1�'act solely for the purpose of
[�etermining the eligi�ility af persons applyingfor tl�e �enefit issued �y ti�e 5u�t'ecipient and lin�It
us� of sucll informatiQn in a�cnrdance with this ai�d aIV ntlier pravisinns of i�is Cai�tra�t;
a�y 4F rart wortl�
ssz6saiovas 3a
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
❑acuslgn Cnvefape 10; A�FA39� 1-88FQ-43BE-fl3B5-I�Aq27E3C19[7F
jjj Compiy witl� the raquirements af the Federaf El�farmation Securlty Management Act ["F15MA"j
(PL-3.07-347j, Yitie III, Sectian 3�.1] and flMB guidance as applicah4e to eleckronic stvra�e,
transport a'f recarr�s betwe�n agerscies� and tl�e internal �raeessii�g vf recards received k�y eith�r
agency under the terms a� #his Cantract;
(It] 5afeguard such information and access methads to ensure that it is nat used for any ot}►er
purpase than descrihed in this Contract and prQtect �ts cor�fidentiality; inc�uding er�surirrg #hat it
is no# disciRsed to any unauthariied persop[s) wi#haut the prior written c4nsent of DN5-U5Cl5.
Each appli�a�t who wants to gain access to informatian regarding him�hevself rr�ay da so hy
suhmitting a wrftten slgned request to pH5-USCIS;
(ij Comply with the Pr'ivacy Act, 5 U.S.C. §552a, the 7exas Pu�fic Information A�t and ❑tlter
appl'scable laws, regulatians. and pa�icies, inciuding �ut n❑t limited to all DMB and dH5 privacy
guidance, in c�nducting v�riflcation procedures purs�ant ta this Contract, and in safeguard'sng,
maintaining, and dis�losing any data prov'sded ar rece}�ed pu�suant to tltie Contract;
�mj Comply witf7 federal laws prol3ihiting diserirnination against app�icants and discrimir�atory use
of the SAVE Program k�ased upan t�e national origin, color, race, gender, feligian, vr disability oF
the ap�li�ant;
(nj Provide al� benefit-apqlicants whp are denied benefits based soiely or in part an the SAVE
respnnse with adeyuate written natice of the derrial and the information necessary tU contact
�FiS-�SCIS s❑ tl�at such indi�idual rnay corre�t their r�eords in a fiimely manner, if necessary. A
Fa�t 5heet that includes ti�e process by which appii�ants may cantact �IiS-U5Ci5 is pvsted on their
wek�s[t�;
�oj Provide all henefit-appli�ants wha are denied �enefiks based saleiy ❑r in part nr� the SAVE
respor►se with the oppp�tunity to use the �ubre�ipient's existing pracess to appeal the denia] and
ta contact aH5-U5CI5 to corre�t their records priar to a finaf decislon, if necessary; and
(p} Refrain frum using SAVL, ❑r assisting any person or entfty, to cvmply with ti�e emplflyment
eligibllity verification requfrements of Section 274A of the Imrnigration and Nativna[ity Act, �
U,S.C. �13��}a.
(7j M�niTvring and Compliance.
�a} All�w pepartmeiit and SAV£ Monitaring and Compliance to monitor and review all recards
ant! docsaments re�ated to tlte use, abuse, rriisuse, fraudulent use or improper use of SAVE by the
Sut�re�ip�ent, including, 6«t not iimited ta orFgina� a�plicant consent do�uments re��airec! by tite
Priva�y Act, 5 U.S.C. §S52a ar other applicahie authQrity;
[b� Notify the �]epartment's �ampiiance Divisian irr�mediately wher�everthere is reason t� befieve
a vinlatian of tt�is agreement has accurred;
City af Fart Warth
E32569100a6 35
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
pnGusign Envelope la: A4FA3911-8BF�-q3BE-B3B5-AA427�3C19i7F
��} IV�tify the De�artrnent's Ca�pliance di�isian fmm�diately whene�erthere ls reason to #�efie�e
an informatian breach has occurred as a result of User or 5ubrecipient action or inactian pursuant
l❑ �ffice af Managemeni at�d Budget {"dMS"} Memarandum M-47-15, "5afeguard'+ng Agaittst
and Responding ta the Breach oi Personally atienti#iable Infarmatian;'
(dj A11ow �eparCment and SAV� Mon�toring and Camplian�e t❑ monitor and review all records
and do�uments rela�ed ta the use, a�use, misuse, fraudulent use or impro�er use oi SAVE by any
User, in�luding, but not limiteti to original applicahfi consent dact�ments required 6y the privacy
Act, 5 U,S,C, §SSZa or other appfica6le autharity;
(e} Aliaw De�artment and SAVE Monitaring and Cqrr�pliance k❑ candu�t deslc audlts and�or site
visits to review Su6recipient's Cam�liance with this Adden�lum C and a!I otherSAVE-refated poli�y,
pr�cedures, guidance and law applicab�e t❑ c�ndu�tirrg vetification and safeguarding,
maintaining, and dis�losirig any data prnvided or rer,eived pursuant to this Contract;
tf} Allaw ❑epartment and SAVi: Monitaring and Campliance to perform audits of Su6recipient's
User lds t�se and access, SAVE 1"raining Records, 5AV� fi�ancial re�ords, SAVE �fographical
{nformatiUn, system profiles and usage patterns and other r'elevant data;
[g} A��Qw aepartrr�ent and SAV� MQnitoring and Compliance ta ir�terview any and all llsers and
any and all canCact persons ar vth�r pe�sanne� within the Suhrecipient's organizatian or relevar�t
contractars regarding any and all questians or prablems whi�h may arise in connection wit� #he
Subrecipient's participatipn ir� 5AV�;
(hj Allaw Department and SAVE Monitorir�g and Compliance ta manitor systein acGess and usage
and to assist SAV� users as necessary t� ensure compliance with the terms of this Adden�fum C
and the SAV� Program requ+rements 6y its autY�orized ag�nts nr designees; and
(ij Talce �arrective rneasures in a#iinely manner to address ai! lawful requiretrients and
recommendations on e�ery written finding i�rcludi�g b�t no# lirnited to those of the t�epartrsient
nr SAVE Nionitoring and Cam�liance regarding waste, fraud. and abuse, and discrim9�i�tian arany
misuse of the system, n�n-campliar�ce witi� #he terms, c�ndlt}ans and safeguards of tk�is
Addendum C, SAVE Program pro�ed�res �r ather appfi�able law, regulation ar poiicy,
�3} Criminal Penalties.
�a} �HS-lJ5CI5 res�rves tite rlght to use infor'rnat�o►1 from the ❑epartment or 5ubreci�ient far any
purpose permifited kay law, iricluding, but nvt Nmited tv, the prosecutian af vialatio�s Qf Federal
administrative nr �riminal law.
�hj The Su�arecipient acltnawl�dges that the inf�rrr►at�as� i1 re�eives from aH5-USCIS is gvverned
by the Arivacy Act, 5 l].S.C. §552aar�d that any persan wh❑ abtains this informatian under false
pretenses ar uses lt far any purpvse other than as pravided far in this Cvntract rnay he suk�ject ta
criminal pena�kies.
city af Fort Worth
5326fi�100Q6 3fi
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
�lacusign Envefope f�: A�FFl39� 1-B��Q-438E-83B5-AAA27�3C1 ���
[4] �hird Party Liability.
(a) Each party ta this Contract sh�{I be solely r�spansi�le for its awn defense agairist any clairri nr
actian by #hird parties aris'sng out o# ❑i� rela#ed ta the execut�on and�or performance af this
Contract, whethercivil or criminal, and retain res�ansibility fort�e payment of any �Qrresponding
liability.
(by IVoth3ng in this Cantract is Intended, oC sl�ould he construed, ta create any right or benefit,
substanti�e ❑r praceclural, enforeeable at faw by any third party against tlie United 5tates, its
agencies, afficers, or �mployees, the 5tate of Texas, its agenc'ses, officers, �r emp#ay��s, pr the
5ubrecipient.
{Sj Paints Qf Cantact.
Abigail Versyp
T3irectar af 5ingle Family and Fl�mefess Pro�rams ❑i�isiar�
Texas �epartment af E-lousing and Cammunity Affairs
P,fl, B�x 139q1
Austin, �7L 7�711-3941
Phone: {512} 475-09D8
E�nail: ahigail.versyp@tdhca.state.tx.us
1.15C�5 SAVC Program M5 �.520
U.S. Citfz�nship ar�d Imn�igrat4on Services
Department af Fiarneland 5e�urity
Washingtoii, bC Za5�9-2520
ATTN: SAVE Qperatia�s
PhQne: (SSS} 464-42�.8
Emaf{: saveregistration@dhs.gov
U5CI5 5AVE Monitor�ng and Campfiance M5 7_64U
U,S. Citizenshi� and immigration 5ervir.es
❑epartment af Fiome€and SeGurity
Washingtan, DC za529-�54fl
I'hori�: �SgSj 464-4218
Etnail: save.manftaring@dhs.gov
City nf Fort Worth
5325fi01i300G 37
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
pocusfgn Envelope 10; AOFA3811-SBFO-43BE-93p5-AAq27E3C1�JQF
(6) Certification.
The undersigned herehy certifies ta ti�e Texas Repartment af Housing and Community Affairs that
all information herein is true and correct to the best of their I<nowledge and belief. The purpose
of thls statement is to certify that City of Fart Worth:
� Is NbT a private nonprofit charitable organizatian and is an entity created by State Statute and
affiliated with or fs a state or governmental entity (such as a housing finance agency, public
housing authority, unit of lo�al government, council of governments, county, atc,)
Certlfication must have the signature from a representative with authority to execute documents
on the Sub►'ecipient's behalf.
SUBRECIPIENT;
City of Fort Worth,
a political subdivision of the state of Texas
By: �ab�.mar
(�ioinN.ti Giar�nwo
`�a�N�„�,}��N .
Name: Dianna Giordana
Title: Assistant Citv Mana�er
Dale; 9/25l2025 � 9:29:02. AM CDT
Clty of Fprt Worth
631.6fiU1p006 3R
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
DocusfAn Envelope 10: �OF�13911-8BFD•438E-Ei385-AA427E3C1JDF
TEXAS dEPARTMENT OF NOUSING AND COMMUNITY AFFAIRS
FY 2026 TEXAS NOMELESS HOUSING AND SERVICES PROGRAM
GENERAL SET-ASIDE
GENERALREVENUE
CONTRACT 63266010006
E)(HIBIT A
PERFORMANCE STATEMENT
City of Fort Worth,
a political subdivision of the state of Texas
Subrecipient shall carry out the followin� activities identified herein by implementing a Texas Homeless
Housing and Services Program ("HHSP") in accordance with the State Act and its implementing rules under
the HHSP State Rules.
Close-Out Process
Contract Term:
Servi�e Area:
Pragram Activities
Ends November 1A, 2026
os
Septembar 1, 2025 — August 31, 2026 I{ Y
��
City o{ Fort Worth
Subrecipient agrees ta perform the follawing measurab►e activities:
A. Person Served
1, Persons entering HHSP projects;
2. Pcrsons experiencing Homelessness served with essential services:
3, Persons At-risl< of Nomelessness served with essential services:
4, Persons served with Homeless Assistance ("hll�");
5, Persons served with Homelessness Prevention ("Hf'");
6. Persons who used a day or night shelter:
7. Persons served with Case Management:
B. Outcomes
1. Persons experiencing Homelessness who maintained housing
for three months after HHSP exit:
2. Persons At-rislc of Homelessness who maintained housing For
three months after HH5P exil,
City of Fort Worth
63266010006
��
20
0
3S
5
D
0
3
;7
39
�
�
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
flacusign Envelape I�: AOFA3911-SSFC7-43SE-B3B5-AA427�3C19DF
C, NeW BeCI5
z. I�ew beds �reated tk�raugh 5helter Canstructian:
2, New heds �reated #i�rough 5helt�r Rehabilltatfon:
3. I�ew beds Greated thraugh 5helt�r Cbnversion:
�
f
�
Clty nf Fvrt Wdrth
6325G610tlb5 4fY
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Docusign Envelope ID: AOFA3911-ABFD-438E-B3F35-AA427E.3C19DF
TEXAS DEPARTMENT OF HOU5ING AND COMMUNITY AF�AIRS
FY 2026 7EXAS HOMELESS HOUSING AND SERVICES PROGRAM
GENERALSET-ASIDE
GENERALREVENUE
CONTRACT 63266010006
EXHIBIT B
BUQGET
City of �ort Worth,
a�olitical subdivision of the state of Texas
I. DEPARTME:NT FINANCl/�L OBLIGATIONS
Additi�nal funds may be obligated via Amendment(s) during the Contract Term. Funds may only be
ohli�ated and expended during the current Contract Term, and reported during the Close-Out Process.
Unex��ended fund balances will be recaptured.
II, BUDGCT FOR AVAILABLE ALLOCA�f_IUNS
ADMINISTRATION
CASE MANAGEMENT SALARY
CONSTRUCTION/REI-IABIUTATION/CONV�RSIQN
ESSENiIAI. SERVICES
FI NANCIAL ASSISTANCE - HUMELESS
A55►STANCE
FINANCIALASSISTANCE - HOMELC-SSNESS
PRFVENTION
OP�RATIONS
TOTAL FUNDS AWARDED
$ 45,842.QU
$Q.00
Sa.ao
$ 4,OQ0.00
$357,5F34.00
$ 51,000,00
$�,00
ns
$ 458,426,OQ �
III, FO�TNOTES TO BU�G[T FbR AVAILABLE ALLOCA�f10NS:
Denotes that the 5ubrecipient must request in wriCing any adjustment needed to a t�udget category before
the bepartment will malce any adjustments to the budget categories, Only those written requests from
the Subrecipient that are received at I�ast thirty (30� calendar days prior to the end of the Contract Term
City of �ort Worth
63ZE6010(106 41
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Qo�us{gn En�ekflpe I�: AO�Fl3819-fSE3Fa-43BE-B3B5•1�/14�7E3C19C]F
will be review�d. The Department inay �fe�lin� ta review writken requests recei��d during the final thirty
{34j r_alendar days of the Contr'a�t Term.
City o( fart Worth
fi32G6�1f30[]6 4�
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
Ex�ihit "H"
Ge�ti�caticr3�
CEItTIFICAT.��N RFGARllXNG DCBARMENT, SUSPENSIQN, I�iCLIGIEILITY
ANQ V�LUNTAI�YEXCLUSIDN — Si1BCUNTRACT51 L�WCIt TIER CC?VCREU
TRANSAC'�'IU�IS
T��e ��rospe�ti�e lower tier ��artici�a�itls�abcot�t�'ac[ar ce��ifies, by submissinn af this �rnpasal,
that neither it n�r its p3'incipals is prese�tly de�arred, suspen�cd, propascd for de�arirsent,
cleclared ineligi��e, ar valuntarily exciuded it-nm partici�ation in this ti�ansacti�n by any
F�ederal depa��tinci�t or agen�y,
Whe�•i tl�e prospective lawe�- tier paz-ti�ipan#lsul�contra�toi' is �=izaUle t� ce�-tify ta any of the
stateme�its in this ces�itication, su�h prospective pa��ticipant shall attacf� an expianation to this
praposal.
This cec�tificatiuil is a �naterial i•epresentatiar� ❑f faGt up�n which �•elia��ce is placed whe�i the City
awards the subgrant, li' i� is later dete�'tnined tE�at Agericy ]tnawingly �-endered an erraneaus
�erti�cati�n, in addition to a�1y other:-e�ner�ies avaiiable, the City may terminate this Agreement fa�•
cause or defa�alt.
LC�WER TIER P�IRTICIPANTI SURCOIVTRAG'1'OIt:
�Signed by:
�SQ.:/l. �� �/�1l
�yq���f�F��EJV1 F4C1...
��f �� � � Susan Garnett
Printe� Name:
Tit�e: cEo
D�{�: 2/13/Z026
C[i'l' Cll� l�ar�-r waEi�r•i�
Agrcement Fvr MY Hi�ALTH, M7` RESOLJi�CFS �I' TARFZAf►z`I' CUl1�lTY — Rl�NTAi. A5SZ57'Al4CG AN[]
AF3Mlf�ISHTATIUN Page 4G af�3G
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
City of Fort Worth, Texas
Mayor and Council Communication
pA7�: OG/24/25 M&C FIL.E NUMBEF2: M&C 25-05."i7
LOG NAME: 02ACGGPTING 2026 f-IOM�LFSS HQUSING AND SERVIC�S FUNDS
SUBJECT
(ALI�) Aulhorize Acceplance of Grants irom the Texas Deparlmenl of Housing and Gommunily Affairs for Homeless Flousing and Serv(c.es
Program Punds in the Ap�roximate Amount of $45fl,426,00 and Homeless Housing and Servi�es Prograrn-Youth Scf Aside in 1he Approximate
Amount of $155,551 A0, Authorize �xeculion of Related Agreements, Authorize Execution nf Subyrant Agreements with My Neallh, My Resources
of Tarrant Co�mty to Provide Rental Assistance and with Transition Resource Aclion Center to Provide Yauth Rental Assislance and CasE
Management, Find thal iho Subgrant �yreemenls 5erve a Public Purpose and that Adequate Controls are in Place, and Adopt Appropriaiion
drdinance
RECOMMENDATION:
It is recammended that the City Councll:
1. Authorize acceptance of grants irom Ihe texas Depa�lmenl of Housing and Communily Affairs for the Hamelsss Housing and Services
Prograi�i funds in the approximate amounts of $45�,A?_8.00 (Generalj and $155,551.Q0 (Youth);
2, Aulhorize execution of granl agreements, including the ability to adjust the yrant amounts in such agreements;
3. Authorize Ihe execution of a subgranl agreement with My !-leallh, My Hesources of T'arrani County in the approximate amowit of $458,426.00
lo provide rental assistance to at least 40 permanent supporlive housing clients (Generai);
4, Authorize ihe execution of a subgrant agreement with Transitian Resource Action Center in the approximate amounl of $155,551 AO lo
provide rental assistance and case management to at least eight (S) youlh (Youlh);
5. Flnd that the sub,yrant agreements serve the public purpose oi reducing chranic and youih homelessness and that adeyuate controis are in
place through the subc�ranl agreements; and
6. Adopt the atlached appropriation ordinanr,e inereasing eslimated recelpts and appropriations in the G�ants Operating Staie Fund in the
approximate amounl of $613,977.00, subject lo the receipt of ihe grant, for 1he purpose of reducing chronfc and youth homelessness.
DISCUSSION:
The purpose a( th�s Mayor and Caur�cil Communication (M&C) is to approve lhe acceptance of grant fundfng and related agreemenis for two
ca[egories (general and youth) of se�vices directed to Indivitluals experiencing homelessness,
The State of Texas provides grant funding for the Homeless Hausing and Services Pro�ra�Ti (FINSP) administered by the Texas Department of
Housing and Communily Affairs (7[]HCA) to municipalilies wifh a population of 285,540 or great�:r, including the City of Fort Worth {Cily).
General -
The 2026 HHSP amount allocated to Ihe City is appi�oXimately $458,42C,.OD. The HHSP funds may be used to provide renlal assistance, case
management and other seivices or housiny optfons to reduce homelessness. My Health, My Resources af Tarrant Coui�ty (MHMR) is the City's
2025 I IHSP subgrantee and provides c.ase managei�ient to the pennanenl supporlive housing {PSH) clieiils. Pending a risk assessmenl and Cily
Councfl approval, tha City wi(I enter Into a subgrant agresmeni with MHMR for rental asslstance for at least AO PSti clienls for the 2026 term.
Youth -
7he 2026 HHSP-Youth amount allocate,d td the City is approximately �155,55�1.00. Ellgible services include casc management, emergency
shelter, slreet oulreach and transiiional living. 'fransilion ftesource Action Genter (TRAC) is the City's 2025 HHSP-Youth subgrantee and provides
both rentai assislance and case managemenl to young adulls age 14-2�. Pe�iding a risk assessmenl and Cfly Council approval, th� Cily wlll enter
into a subgrant ayreement wilh TRAC for rental assistanca and case management for at I�ast eight (8) youlh for Ihe 2026 term.
By approval of thfs Mayor and Council Communication, lhe City C�Uncil finds that funding 1he subgrant agreements will itieet the pu6lic purpose o(
help(rtg to reduce citronic and yputh home�essness and lhat adequate corttrols are in place U�fough the subgrant agreemenls to ensure lhat !he
public. purpnse is carried out,
Llpon acceplance, the grant will begin on September 1, 2025, 7he City Managers Office Homeless Slrategies divisioh will administor the HHSP
and IiHSP-Yauth funds and monitor the sub-granless, MHMR and TRAC. The subgrant agreenients w+�l be fron� September 1, Z�25 to August 31,
zo2s.
An Assistant City Manager is aulhorized to execute the contracts.
No Cily salaries will be ch�rged to this grant; lherefore, indirect cost recovery does not apply. The�e is no grant a�plication repository numbel, as
the City Manager's Office did not apply for (his gr�nt.
Docusign Envelope ID: B01144DB-275A-4ED8-8DD3-CA220D2C12CF
A Farrn 'f295 is nol rPquirP� for 1he canlracls witf� 7L7E�CA attd ME�Mf2 because; thase conlra�ts WiH be Wi1fi a govornrnenkal enlify, state agency or
p�3hlic insfiEutiQn of f�Egltar erlucaiion. A Form �I z95 is required for the car�tract wiih 7i�AC.
FISCAL INFURMA71�h11 CEf�7iF1CA71nN-
ihe Qirectar af Flnanne �erfifles f{�ak u�o� appro�a! of tl�e a�io�e Fecominendaiipns and adnpiion nf t��e attaclzed apf�roptiatian ardinance, tunds
wil! �e availah�e in fhe currenl aporating b�dget, as a�propriated, in llie Gran[s �peraling 5faie Fun�i. The City Manag�r's �ff�e �and Financia!
Manegemeiil5ervices} will b� respansihle for the cvlle�fion and deposil af f�nds due tn the City. Prior to an expendlfure b�ing i�3curred, tFie Ci[y
Managers affice has tti� responsihiliiy ta validate lhe availahility o( funds. TI�{s is a rei�nbur'semenl grant.
Su6inftted for Ciiv Manaaer's �ffice k�v: Qianna Giordano i7B3
flrfainatlna Busin[:ss Unit Head: 8athany Warner [3�21
Addltional lnfarmation Contac�: Tara Pere� %�35
Docusign Envelope ID: 601144DB-275A-4ED8-8DD3-CA220D2C12CF
F�4RTWORTHo
City Secretary's Office
Contract Routing & Transmittal Slip
Contractor's Name: My Health, My Resources of Tarrant County
SubjeCt of tile Agl'eemerit: This is a subagreement with My Health, My Resources for rental
assistance for 40 permanent supportive housing clients. TDHCA funded.
M&C Approved by the Council? * Yes 8 No ❑
If ,so, Ihe A1c� C,��u.�v bc nrtuchc�d iu the cof�trucr.
Is this an Amendment to an Existing contz•act? Yes ❑ No B
If,c��, ��roi�ic�c� t{re oriXir�al c•or7lracl rrrrinber and !he ru�7Errr�n�ej71 j�iul�ber�.
Is the Contract "Per•manent"? *Yes ❑ No 8
If'tr��.cure, sec� huck 1�a�re for ��e�vrru�7ent cunfraCl 11.SIli1�,l.
Is this entire contract Confidential? xYes ❑ No 8 Ij'c„�l��sl�ec fc tr�jornraiiarr r.s
COiTtlCIC'i11![!I, ��Ic�a,se /i.��! it�{�ul inJorniulron i.s C'UI?flCICl11!(!I Q111� /�1E: 17C1�C 11 ls localed.
Effective Date: September 1, 2025 Expiration Date: August 31, 2026
Irdifferer�l fro�r� !he c�pJn�ova/ dnle�. I��rr��plicablc.
Is a 1295 Form rec�uired? * Yes ❑ No E3
'�lf�sn, l�le�r.c� cirsrrr•c il i.s' cNtuche�ilu 1/�c� �r/�J��•ui�i���;� �1Ic�(' r»� u!!uc'l�c°cllo Ih�� �n�tli•crc�l.
Project Numbei': 1/ upplicnhlc.
*Did you include a Text field on the contract to add the City Secreta�•y Contract (CSC}
number? Yes B No ❑
Cantracts need to bc routed for CSO pracessin� in the fallawin� order:
l. Kathei�ine Cenicola (Appraver)
2. Jannette S. Uoodall (Signet•)
3. Allison Tidwell (Form Fillei•)
"Irrclrecr��.s� rl�e infa•malio» is �•cyrrir�ed and rJ�Jl�e i�7/oi•mcilirar� i,s ��n1 Jn•nviclerl, rh� cor,n�c,cr �►�ill hc�
r•ettu•�7ec� 1c� !he deJ�nrhne��t.