HomeMy WebLinkAboutContract 40909-A2 AMENDMENT TO CITY SECRETARY CITY SECRETARY
CONTRACT NO. 40909 CONTRACT NO. �-
WHEREAS, the City of Fort Worth ("City") and Mental Health Association of Tarrant
County ("Contractor")made and entered into City Secretary Contract No. 40909 (the
"Contract");
WHEREAS, the Contract provided funding to Contractor pursuant to a grant received by
City from the United States Department of Housing and Urban Development("HUD");
WHEREAS, Contractor desires to reallocate One Thousand Three Hundred Eighty Six
and No/100 ($1,386.00) of funds by increasing FICA but leaving the total grant award at Twenty
Two Thousand Two Hundred Seventy Five and No/100 Dollars ($22,275.00)by decreasing
Salaries; and
WHEREAS, it is the mutual desire of City and Contractor to amend the Contract to meet
Contract objectives.
NOW, THEREFORE, City, whose address is 1000 Throckmorton St., Fort Worth TX
76102, acting by and through Susan Alanis, its duly authorized Assistant City Manager, and
Contractor, whose address is 3136 W. 4th St., Fort Worth, TX, acting by and through Lee
LeGrice, its duly authorized Executive Director, do hereby agree as follows:
I.
a. Exhibit Cis deleted in its entirety and replaced with the attached Exhibit C—Revised.
b. This amendment is effective April 1, 2011.
[REMAINDER OF PAGE LEFT INTENTIONALLY BLANK]
OFFICIAL RECORD
CITY SECRETARY
14 FT� WORTH,TX
CONTRACT AMENDMENT CSC NO 40909 Page 1
Mental Health Association of Tarrant County --
IN WITNESS WHEREOF,the Parties hereto have executed three duplicate originals of
this Contract Amendment in Fort WQIi : exas, this day of , 2011.
ATTEST: C it)F FORT WORTH
kcby� a
V\ ° Bye
City Secretary cG �� " n Al is, Assistant City Manager
M&C: C- 23 -- rt�:
APPROVED AS TO FORM AND LEGALITY:
Assistant City Attorney
MENTAL HEALTH ASSOCIATION OF TARRANT COUNTY
STATE OF TEXAS §
COUNTY OF TARRANT §
This instrument was acknowledged before me on 2011
by Susan Al of the City of Fort Worth, Ai behalf of the City of
Fort Worth. UNDAM.HIRRUNGER
*s MY COMMISSION EXPIRES
�' r FAbnlary 2,2014 G
N RY PUBLIC, STATE O EXAS
STATE OF TEXAS §
COUNTY OF TARRANT §
hi ent was acknowledged b #� a me on, '�, , 2011
b ' : � ��� (Name), ��Cbc �L t of Mental Health
Association of Tarrant County, a Texas non-profit-es ration, n b0alf of said corporation.
rFFI.CIA L RECORD NO PUBLIC, STATE OF TEXAS
SECRETARY
WORTH,TX PEGGY S. HOELSCHER
. A
Note
�- ry Public
STATE Of TEXAS
CONTRACT AMENDMENT CSC NO.40909 � MY COMM.Ev•a12.1013 Page 2
Mental Health Association of Tarrant County --
CITY OF FORT WORTH EXHIBIT C-REVISED
CDBG YEAR XXXVI
Pagel of 3
CONTRACT PERIODI From 6/1/2010 To: 5/31/2011
Name of Sub Grantee Mental Health Association of Tarrant County Name of Program: Mental Health Advocate
Program CDBG
Cost Category Budget Funds a b c d
PERSONNEL SERVICES
Salaries $ 32,635.20 $ 18,110.24 $ 14,524.96
FICA $ 1,243.13 $ 1,386.00 $ (142.87)
Life Insurance $ 191.00 $ - $ 191.00
Health Insurance $ 11,540.00 $ 749.76 $ 10,790.24
Employment Tax-State $ 246.00 $ - $ 246.00
Employment Tax-Federal $ - $ - $ -
Worker's Comp $ 150.00 $ - $ 150.00
Retirement $ 1,100.00 $ - $ 1,100.00
SUPPLIES
Office Supplies $ 332.00 $ - $ 332.00
Postage $ 198.00 $ - $ 198.00
Teaching Aids $ - $ - $ _
Food Supplies $ - $ - $ _
Other Operating Expenses $ - $ - $ -
CONTRACTUAL SERVICES
Telephone $ 392.00 $ - $ 392.00
Electric $ 749.00 $ - $ 749.00
Gas $ _ $ _ $ _
Water/Waste Disposal $ - $ - $ _
Rent[Building] $ - $ _ $ _
Custodial Services $ 242.00 $ - $ 242.00
Office Equipment Rental $ 942.00 $ - $ 942.00
Printing $ 268.00 $ - $ 268.00
Repairs $ 294.00 $ - $ 294.00
Fidelity Bond $ 7.00 $ - $ 7.00
Liability Insurance $ 361.00 $ - $ 361.00
Legal&Accounting $ 698.00 $ - $ 698.00
Private Auto Allowance-Local $ 1,200.00 $ 2,029.00 $ (829.00)
Advertising $ - $ _ $ _
Conference&Seminars $ - $ _ $ _
Contractual Services $ -
Miscellaneous $ -
CAPITAL OUTLAY $
Office Furniture -
Computer Equipment $ -
Other: Described $ -
TOTAL $52,788.33 $22,275.00 $30,513.331 $0.001 $0.001 $0.00
MATCHING FUND SOURCES
[a] United Way
[b]
[c]
[d]
BUDGET DETAIL Page 2 of 3
PERSONNEL SERVICES
Hourly Annual %of
Position/Title Rate Hours Time Amount
1 Staff Ombudsman 17.41 2080 50% 18,106.40
2
3
4
5
6
7
8
TOTAL STAFF SALARIES 18,106.40
FRINGE BENEFITS
%of % Paid % Paid
CATEGORY Payroll Amount by Agency by CDBG Amount
FICA 7.65% 1,386.00 100% 0%
Life Insurance 1.05% - 100% 0%
Health Insurance Age based rate - 48% 52%
Employment Tax 4.26% - 100% 0%
Worker's Comp 81.00% - 100% 0%
Retirement 6.00% - 100% 0%
TOTAL FRINGE BENEFITS -
TOTAL PERSONNEL SERVICES $ 18,106.40
BUDGET DETAIL Page 3 of 3
UTILITIES
AVERAGE COST PER NUMBER OF MONTHS AMOUNT
CATEGORY MONTH
Telephone
Electric
Gas
Waste/Water Disposal
Other
Total Utilities $
BUILDING LEASE
BUILDING COST PER SQUARE
LOCATION NO. SQUARE FOOT FOOT AMOUNT
1
2
3
TOTAL BUILDING LEASE 0
OTHER EXPENSES
CATEGORY TOTAL CHARGE %CHARGED TO CDBG AMOUNT
Fidelity Bond 0%
Liability Insurance 0%
Legal&Accounting 0%
Office Supplies 0%
Postage 0%
Printing 0%
Mileage 2029 $ 0.50 100% $ 2,029.00
Advertising 0%
TOTAL OTHER EXPENSES $ 2,029.00
CONFERENCES AND SEMINARS
EVENT TOTAL CHARGE % CHARGED TO CDBG AMOUNT
1
2
3
TOTAL CONFERENCES AND SEMINARS $ -
OFFICE EQUIPMENT RENTAL
ITEM TOTAL CHARGE % CHARGED TO CDBG AMOUNT
1 Copier Lease 0%
2
TOTAL OFFICE EQUIPMENT RENTAL $ -