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HomeMy WebLinkAbout064551-A1 - General - Contract - My Health, My Resources (MHMR) of Tarrant CountyDocusign Envelope ID: C771E168-2810-82O3-8001-721C8989F7E9 CSC No. 64551 -Al FIRST AMENDMENT TO CITY OF FORT WORTH CONTRACT 64551 BETWEEN THE CITY OF FORT WORTH AND MY HEALTH, MY RESOURCES OF TARRANT COUNTY FOR PSYCHIATRIC AND HOUSING CASE MANAGEMENT SERVICES FOR THE HIGH IMPACT PROGRAM This first amendment (the "Amendment") is made and entered into by and between the City of Fort Worth, a home -rule municipality of the State of Texas (hereinafter referred to as the "City"), acting by and through Dianna Giordano, its duly authorized Assistant City Manager, and My Health, My Resources of Tarrant County, a unit of local government in Texas ("Agency"). Each party shall be individually referred to herein as Party and collectively as Parties. RECITALS WHEREAS, the City entered into an Agreement with Agency to provide services more specifically described -in the agreement, City Secretary Contract No. 64551, (the "Agreement"); WHEREAS, the. Parties desire to amend the Scope of Services, Budget, Reporting Forms and ratify a prior budget modification; NOW THEREFORE City and Agency do hereby agree to the following: I. AMENDMENT TO AGREEMENT NOW THEREFORE,•.for valuable consideration, the receipt and sufficiency of which are hereby, acknowledged, the Parties agree as follows: A. EXHIBIT "A" SCOPE OF SERVICES is hereby deleted and replaced with the attached EXHIBIT "A" SCOPE OF SERVICES. B. EXHIBIT•"B".`BUDGET is hereby deleted and replaced with the attached EXHIBIT "B" BUDGET. C. EXHIBIT "D"REPORTING FORMS is hereby deleted and replaced with the attached EXHIBIT ``D".REPORTING FORMS. H. All terms and conditions of the Agreement not amended herein remain unaffected and in full force and effect,.•are binding on the Parties and are hereby ratified by the Parties. Capitalized terms not defined herein shall shave -the meanings assigned to them in the Agreement. OFFICIAL RECORD [SIGNATURE PAGE FOLLOWS] CITY SECRETARY FT. WORTH, TX Docusign Envelope ID: C771E168-2810-82C3-8001-721C8989F7E9 IN WITNESS WHEREOF, the parties hereto have executed this agreement, to be effective this day of , 20_ FOR CITY OF FORT WORTH: Dianna Giordano (Sep 2, 2026 15:35:41 CDT) Dianna Giordano Assistant City Manager FOR AGENCY: MY HEALTH, MY RESOURCES OF TARRANT COUNTY FSigned by: VSain, G Ll1,tt f Susan Garnett Chief Executive Officer Date: 09/02/2026 Date: 9/1/2026 APPROVAL RECOMMENDED Beth ny Warner (Sep 2, 2026 11:11:56 CDT) Bethany Warner, Assistant to the City Manager, Special Projects Date: 09/02/2026 APPROVED AS TO FORM AND LEGALITY Gavin Midgley, Senior Assistant City Attorney Date: 09/02/2026 Contract Compliance Manager: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. / A � a4 Tara Perez Manager, Homeless Strategies 400vvvUU F FORT ATTEST: a°�o �"•�°o °ovo o=d° id' Jannette S. Goodall, City Secretary 09/02/2026 Date: 26-0318 M&C No.: OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Docusign Envelope ID: C771El68-2810-82C3-8001-721C8989F7E9 FIRST AMENDMENT TO CITY OF FORT WORTH CONTRACT 64551 BETWEEN THE CITY OF FORT WORTH AND MY HEALTH, MY RESOURCES OF TARRANT COUNTY FOR PSYCHIATRIC AND HOUSING CASE MANAGEMENT SERVICES FOR THE HIGH IMPACT PROGRAM ATTACHMENT I TO FIRST AMENDMENT Docuslgn Envelope ID: C771E168-2810-82C3-8001-721C8989F7E9 HIGH IMPACT PROGRAM MY HEALTH, MY RESOURCES OF TARRANT COUNTY will do the following: Agency shall provide psychiatric and housing case management services for the High ImpACT Team which is based on the model of an Assertive Community Treatment Team. A. In General • High ImpACT Team - Eligible households are either on the High ImpACT Cohort in Partnership Home's Homeless Management Information System or are referred by a permanent supportive housing case manager. • Eligible households for tenant support/therapist services include High ImpACT clients as well as any previous tenant support services clients as needed. B. Definitions A general Assertive Community Treatment Team ("ACT Team") is a well -documented community mental health program for treating those with severe mental disorders. A multidisciplinary team which delivers a full range of medical, psychosocial and rehabilitative services to clients in a community setting (as opposed to treatment in an institution). The team provides support in community that is modeled after the staffing patterns on inpatient psychiatric units. The "hospital without walls" consists of people from multiple disciplines who work together, meet daily and coordinate care for clients. Key features of an ACT Team: • Interdisciplinary staffing that includes expertise in psychiatry, nursing, social work, vocational functioning and substance use treatment • Team approach (shared caseloads and daily team meetings) • Low staff -client ratios (1:10) • Locus of contact in the community • Intensive and frequent contacts with clients • Assertive outreach • 24 hour availability • Time unlimited services Docusign Envelope ID: C771El68-2810-82C3-8001-721C8989F7E9 High Impact Cohort — The list of individuals who have been referred to the High Impact Program. High Impact Target Areas: • Camp Bowie West/Las Vegas Trail (CD 3) • Seminary/La Gran Plaza/Hemphill (CD 9, 11) • Downtown (CD 9) • Near Southside (CD 9) • Historic Southside/Near Eastside (CD 8) • Northside/Stockyards (CD 2) • Beach Street intersections — from E. Lancaster to. N. Tarrant Parkway (CD 2, 4, 8 and 11) The program will also include City-wide HOPE referrals. Referrals will be made based on being located in these target areas and either having been in the location over two years or are suspected of having severe mental illness. Referrals for the High ImpACT Cohort will be made by neighborhood patrol officers, the Homeless Outreach Program and Enforcement (HOPE) Team of the City's Police Department and street outreach teams. C. Agency Responsibilities Agency will: • Hire for these positions for the High ImpACT Team (which can be modified as agreed to by the Parties in writing): o Physician Assistant — Psychiatric o Tenant Support Specialist/Therapist o Case Managers o Housing Specialists o Program Manager/Director o Licensed Chemical Dependency Counselor or similar The City is contracting with Partnership Home to provide landlord engagement and master leasing for the High ImpACT Program. The City is contracting with ACCLAIM PHYSICIAN GROUP, INC., DBA Acclaim Health JPS Physician Health Network ("Acclaim") for an advanced practice provider or physician assistant services for the High ImpACT Program. The goal is for the High ImpACT Team to work as one integrated team. The High ImpACT Team will work with severely mentally ill clients who are homeless or formerly homeless. Literally homeless clients will be referred through the High ImpACT Cohort. Formerly homeless clients will be referred through permanent supportive housing case managers. Docusign Envelope ID: C771 El66-2810-82C3-8001-721C8989F7E9 The High ImpACT Team will build rapport by continuing to engage and offer services to individuals on the High ImpACT Cohort with a goal of assisting the individual to exit homelessness into permanent housing. This includes but is not limited to — working to establish a client's chronicity if at all possible, obtaining a client's verification of disability if at all possible, understanding where the client prefers to live, trying to meet any immediate needs the client has in order build the relationship, attempt to engage client at least once a week, offer to show clients apartments that are pre -leased, assist clients in choosing furniture packages, guide clients through the apartment application process, transport clients to potential apartment units and anything else that assists the client's transition from homelessness to housing. The High ImpACT Team will also build rapport by engaging and offering services to referred individuals in permanent supportive housing with severe mental illness and the need of additional supports to retain housing. The High ImpACT Team will work to: • Assist clients in obtaining documentation of disability and homelessness as well as securing identification documents • Assist clients in stabilizing to retain housing • Secure mainstream benefits or other income for clients • Support client's goals related to health and recovery • Assist clients to integrate into the community • Assist clients in developing housekeeping habits, provide advice on nutrition and meal preparation, as well as money management and paying rent on time The ACT Team will have a weekly case conference to focus on clinical needs of all clients. All new clients should be seen, at minimum, daily for the first 30 days regardless of level of complexity. After 30 days, clients will be seen on a weekly basis at a minimum. Level of client need will determine how often they are seen. The High ImpACT Team will have daily team meetings on weekdays Monday through Thursday to ensure all members of the team are informed and on task and create schedule for the day. The High ImpACT Team will meet for a weekly case conference meeting on Fridays will review the following: • Review every client • Note significant interactions • Discuss follow-ups • Create schedule for day • Update weekly plan • Update monthly plan Docusign Envelope ID: C771E168-2810-82C3-8001-721C8989F7E9 Share information and maintain transparency The High ImpACT Team will provide services where the client is — there will be no requirement for client to visit an office except in rare circumstances. The High ImpACT Team will be available 24 hours a day, 7 days a week to clients who need assistance. MHMR will coordinate with Partnership Home to establish some master lease agreements in order to quickly be able to house clients who choose that location. The program manager/director will work closely to integrate two other High ImpACT team members who are not MHMR employees. Agency agrees to ensure that the Acclaim advanced practice provider/physician assistant will not be part of the required on -call response. Agency agrees to provide medical supplies needed by clients and approved by the City on the High ImpACT program. There is not an expectation the Acclaim advanced practice provider or physician assistant or Acclaim purchase medical supplies needed by clients on the High ImpACT program. Agency will ensure the Acclaim advanced practice provider or physician assistant will have another team member accompany them on all client visits when notified. To the extent Agency receives monthly reports from the Acclaim advanced practice provider or physician assistant, Agency will compile information from the report and submit a comprehensive report to the City MHMR will work to incorporate ongoing recommendations by WalRhon, a technical assistance provider. As the program expands rental assistance, for every 10 rental assistance sources secured there will be one High ImpACT team member added. Agency will work with City to determine best position to hire when this occurs, and City will provide an amended Budget reflecting the additional team members as agreed upon. Agency responsible for maintaining a ratio of I team member per 10 clients. This ratio excludes the program manager/director and the landlord engagement specialist. Recently Homeless Strategies was awarded opioid settlement funds in the amount of $236,635.00 for up to two years. Homeless Strategies will be using these funds to support High ImpACT clients with opioid substance use disorder and those in recovery through wrap around services. These funds will be added to the High ImpACT program through a separate purchase order. These funds will not expire at the end of this contract term. The opioid funds will expire in April 28, 2028. Evaluation: Docusign Envelope ID: C771E168-2810-82C3-8001-721C8989F7E9 Evaluation meetings will be held with Homeless Strategies staff to continually evaluate program and Agency shall comply as necessary and in good faith. Financial reporting: Reimbursement Requests and any necessary supporting documentation and reports will be submitted by the 15`i' of every month in format of Exhibit "C." Programmatic reporting: Monthly reports will be submitted by the 15'Iof every month in format of Exhibit "D." Quarterly reports will be submitted by the 15`I' of July, October, January and April in the format of Exhibit "D» Docusign Envelope ID: C771E168-2810-82C3-8001-721C8989F7E9 FIRST AMENDMENT TO CITY OF FORT WORTH CONTRACT 64551 BETWEEN THE CITY OF FORT WORTH AND MY HEALTH, MY RESOURCES OF TARRANT COUNTY FOR PSYCHIATRIC AND HOUSING CASE MANAGEMENT SERVICES FOR THE HIGH IMPACT PROGRAM ATTACHMENT 2 TO FIRST AMENDMENT Docusign Envelope ID: C771E168-2810-82C3-8001-721C8989F7E9 EXHIBIT "B" BUDGET Agency will submit invoice for reimbursement by the 15t11 of the month following the month services were provided. This report shall itemize each monthly expense requested for reimbursement by the Agency and shall be included in Budget submitted. In order for this report to be complete the following must be submitted: For payroll expenses, timesheets signed and dated by both the employee and supervisor with the program fund code of time being billed to City /Homeless Strategies. Electronic time sheets are acceptable. Paystub must include pay period, date paid, amount and expenses (salary, FICA, benefits etc). If pay stubs are unavailable, payroll registries with applicable expenses highlighted and labeled will suffice. Agency may not submit payroll expenses dated 60 calendar days prior to the date of the Reimbursement Request with the exception of the first Reimbursement Request which may include items from the Effective Date of the Agreement to the end of the reporting month or with written permission from Homeless Strategies staff so long as such changes are otherwise in accordance with the Agreement. For non -payroll expenses, invoices for each expense listed. Agency may not submit invoices dated 60 calendar days prior to the date of the Reimbursement Request with the exception of the first Reimbursement Request which may include items from the Effective Date of the Agreement to the end of the reporting month or with written permission from Homeless Strategies staff so long as such changes are otherwise in accordance with the Agreement. Proof that each expense was paid by the Agency, which proof can be satisfied by cancelled checks. If a cancelled check is not possible, a bank statement with the expense highlighted and labeled will suffice. If allocations percentages are used, all documentation must be submitted with the first month's invoice and if changes are made, new allocation documentation submitted with invoice. For the audit, bank statements showing payments, Form 941s and allocation documentation will be reviewed. Docusign Envelope ID: C771E168-2810-82C3-8001-721C8989F7E9 PROGRAM COSTS Total __-1- $1,269,005.00 A. SALARIES (By title) Advanced Practice Provider — Psychiatric Tenant Support Specialist Rehabilitation Case Manager(s) Housing Specialist(s) Licensed Chemical Dependency Counselor or similar Network Director of Housing On Call stipend SALARIES TOTAL: B. FRINGE BENEFITS FRINGE BENEFITS TOTAL: 1 __ C. MILEAGE MILEAGE TOTAL: D. CELL PHONES/EQUIPMENT Cell Phone Computer Fees $524,906.00 $165,838.00 $20,000.00 CELL PHONES/EQUIPMENT TOTAL: j $60,638.00 E. CLIENT EXPENSES CLIENT EXPENSES TOTAL: 1 $231,276.00 F. OTHER APPROVED Office Supplies Software-- - - — — Insurance Docusign Envelope ID: C771E168-2810-82C3-8001-721C8989F7E9 Building Overhead Vehicle expenses Training Indirect expenses OTHER APPROVED TOTAL: TOTAL PROGRAM COST: $133,944.00 $132.403.00 $1,269,005.00* *Note: Awarded opioid settlement funds are $236,625.00 with a program period of April 28, 2026 to April 28, 2028. When available for use, a separate purchase order will be issued. Invoices will contain a cover sheet with two purchase orders — one for the general funds and another for the opioid funds. In order to invoice for opioid funds, the following attestation regarding the percentage of clients with opioid use disorder and/or in recovery versus the total number of High ImpACT clients served must be included. Docusign Envelope ID: C771E168-2810-82C3-8001-721C8989F7E9 Mnvoice Attestation Invoice Reporting Period: During the month of , the High AT team served a total of __ clients with psychiatric, medical and housing services and supports. Of those clients, _ clients received services related to maintaining their recovery from opioids, services supporting entering recovery services or medicines to assist with treatment for oploid use disorder. Percentage__ of _ or % % of invoice can be billed to oploid settlement funds. Name and Signature of medical or psychiatric professional attesting to number of clients served with oploid use disorder Name and Signature of High ImpACT Program Manager attesting to number of clients served with oploid use disorder Docusign Envelope ID: C771E168-2810-82C3-8001-721C8989F7E9 FIRST AMENDMENT TO CITY OF FORT WORTH CONTRACT 64551 BETWEEN THE CITY OF FORT WORTH AND MY HEALTH, MY RESOURCES FOR TARRANT COUNTY FOR PSYCHIATRIC AND HOUSING CASE MANAGEMENT SERVICES FOR THE HIGH IMPACT PROGRAM ATTACHMENT 3 TO FIRST AMENDMENT Docusign Envelope ID: C771E168-2810-82C3-8001-721C8989F7E9 EXHIBIT "D" REPORTING FORMS Quarterly Report Current Reporting Quarter Submitting Agency Contact Name Please include outcome narrative that describes how measure was accomplished for each quarter. Effectiveness Measures and Quarterly Outcomes Measure 1 • At least 70% of those offered housing enter housing Outcome Measure 2 . After one year of entering housing, at least 70% are still housed (can be in a different unit, but must be housed) Outcome I have reviewed this report and certify that the measures provided are accurate and appropriately reflect the Homeless Strategies goals set forth in the contract. Authorized Signatory Signatory Title Date Docusign Envelope ID: C771E168-2810-82C3-8001-721C8989F7E9 Monthly Report The monthly report template will be sent to Agency in excel format with the following categories: Tab- Housed: Last name, First name, household size, date leased signed, Property name, master lease, income at move in, type of income, income at 6 months, income at 12 months, income at repeating 6 month intervals, other members of the household, number of times seen by psychiatric physician assistant, number of times seen by medical physician assistant, number of times seen by tenant support specialist/therapist, number of times seen by case manager, number of times seen by housing specialists, total number of visits per month. Tab — Motel: Last name, First name, date started at motel, unit identified, has identification, has chronicity documented, has disability documented, next steps Tab — Receiving Outreach: Area, last name, first name, has identification, chronicity documented, disability documented, accepted housing offer, selected unit, number of visits, next steps Tab — No Contact: Area, last name, first name, dates of attempted contact, has NPO, ministries, outreach seen First Amendment to CSC 64551 CoFW and MY HEALTH, MY RESOURCES OF TARRANT COUNTY Docusign Envelope ID: C771 E168 -2810-82C3-8001 -721 C8989F7E9 City of Fort Worth, Texas Mayor and Council Communication DATE: 04/28/26 M&C FILE NUMBER: M&C 26-0318 LOG NAME: 19INTERVENTIONS OF OPIOID USE FUNDING ALLOCATIONS 2026 SUBJECT (ALL) Approve the Allocation of Texas Opioid Settlement Funds in the Amount Up to $648,136.56 to the City of Fort Worth Fire Department, the City of Fort Worth Homeless Strategies Division, and the City of Fort Worth Neighborhood Services Department; Authorize the Use of Interest Earnings in an Amount Up to $75,000.00, and Adopt Appropriation Ordinance RECOMMENDATION: It is recommended that the City Council: 1. Approve the allocation of Texas Opioid Settlement Funds to implement opioid mitigation activities for the City of Fort Worth Fire Department in the amount of $410,204.00; the City of Fort Worth Homeless Strategies Division to increase the High ImpACT services contract with My Health, My Resources of Tarrant County in the amount of $236,625.00; and to the City of Fort Worth Neighborhood Services Department in the amount of $1,307.56 for administrative costs, 2. Authorize the use of Interest earnings in an amount up to $75,000.00, all subject to receipt of interest earned from the award, 3. Authorize execution of an amendment to City Secretary Contract 64551 with My Health, My Resources of Tarrant County to increase funding by $236,625.00, to be spread over the remainder of Fiscal Year 2026, Fiscal Year 2027, and a portion of Fiscal Year 2028; 4. Adopt the attached appropriation ordinance increasing receipts and appropriations in the Grants Operating Other Fund for the Texas Opioid Abatement Fund project in an amount up to $75,000.00 (City Project No. 104782); and 5. Authorize the City Manager or his designee to administer and allocate the funds to the departments for eligible opioid mitigation activities in accordance with the Texas Oploid Settlement requirements and City policies. DISCUSSION: The purpose of the Mayor and Council Communication (M&C) is to approve the allocation of Texas Opioid Settlement Funds to implement opioid mitigation activities for the City of Fort Worth Fire Department, the City of Fort Worth Homeless Strategies Division and to the City of Fort Worth Neighborhood Services Department. Through the adoption of Resolution 5499-11-2021 on November 9, 2021, the City Council approved the City of Fort Worth (City) joining the opioid settlement negotiated by the Texas Attorney General, affirmed its support for the Texas Oplold Abatement Fund Council and Settlement Allocation Term Sheet, and recognized the need for resources to address opioid-related harms in the City of Fort Worth. On March 1, 2023, the City received its first opioid settlement payment from the Texas Opioid Abatement Fund Council in the amount of $665,760.73. On April 11, 2023, M&C 23-0255 approved the use of these funds and designated the Neighborhood Services Department as the lead department to oversee the allocation and administration of the opioid settlement funds. The settlement program is expected to last approximately 18 years, and the City anticipates receiving an estimated total of nearly $2.6 million from the Initial settlement and nearly $2 million from a subsequent settlement. On April 16, 2024, the City received its second settlement payment in the amount of $129,518.88. On April 10, 2025, the City received its third settlement payment in the amount of $631,860.97. These funds were deposited into the Grants Operating Other Fund for allowable expenses related to opioid remedlation activities as defined by the Texas Opioid Abatement Fund Council for the Texas Opioid Abatement Fund project (City Project No. 104782). Staff recommends allocating these funds to support opioid mitigation activities administered by City departments as outlined below: DEPARTMENT PROGRAM PROGRAM DESCRIPTION RECOMMEND FUNDING AMOUNT Peer Support, Expanded Supports overdose response through peer support services, expanded FIRE Treatment Access, and medication -assisted treatment on advanced life support ambulances, and $410,204.00 Community Engagement community outreach to improve recovery and reduce opioid related harm. Docusign Envelope ID: C771E168-2810-82C3-8001-721C8989F7E9 OFFICE iIuPPUI is a ie niyi i ImpACT program by providing substance abuse - HOMELESS High ImpACT Icounseiing and medications for individuals experiencing opioid addiction I $236,625. STRATEGIES who are High ImpACT clients. II EIGHBORHOOD Supports administrative expenses for the Neighborhood Services ERVICES Admin Expenses IDepartment to oversee and manage opioid settlement -funded programs ii $1,307 and activities. II 'AL $648,136 The High ImpACT program addresses the intersection of severe mental illness and unsheltered homelessness by providing mobile psychiatric services and housing assistance and is managed by My Health, My Resources of Tarrant County (MHMR). On March 19, 2024, City Council approved M&C 24-0200 to fund the first five months of the 17 -month High ImpACT Pilot Program in the amount of $1,096,847.00. On December 10, 2024, City Council approved M&C 24-1032 allocating $2,178,304.00 to fund the remaining 12 months of the pilot program. On August 12, 2025, City Council approved M&C 25-0658 authorizing the execution of a $1,269,005.00 contract with MHMR, along with contracts with Acclaim Health and Partnership Home, to continue the program in Fiscal Year 2026 with options to renew through Fiscal Years 2027, 2028, and 2029. The City Manager's Office Homeless Strategies Division will utilize the opioid settlement funds allocated through this M&C to increase the MHMR contract through a two-year agreement spanning three fiscal years to provide substance use counseling and medication services for Individuals experiencing opioid addiction who are enrolled in the High ImpACT program. In addition, Interest earnings associated with the Texas Opioid Abatement Fund project have accrued and continue to accrue. Currently, $15,240.10 in interest earnings have been recorded, with additional estimated interest earnings expected to be received. This M&C authorizes the use of interest earnings In an amount up to $75,000.00, subject to receipt of interest earned, and adopts an appropriation ordinance to increase receipts and appropriations in the Grants Operating Other Fund for the Texas Opioid Abatement Fund project (City Project No. 104782). The departments will implement eligible opioid remediation activities and establish program timelines necessary to carry out program goals in accordance with the Texas Opiold Settlement requirements and City policies. Awarded funds should be spent within a 24 -month timeframe, The City was notified that a fourth distribution from the Texas Opioid Abatement Fund is forthcoming; however, the amount and timing of the distribution have not been confirmed. Staff will monitor the receipt of these funds and will return to City Council with a future M&C to appropriate and allocate the funds in accordance with applicable requirements. The programs will be available in ALL COUNCIL DISTRICTS. A Form 1295 is not required because: This contract will be with a governmental entity, state agency or public institution of higher education: Fire Department and Homeless Strategies FISCAL INFORMATION / CERTIFICATION: The Director of Finance certifies that upon approval of the above recommendations and adoption of the attached appropriation ordinance, funds will be available in the current operating budget In the Grants Operating Other Fund and that funds are available In the current operating budget, as previously appropriated, in the Grants Operating Other Fund for the TX Opioid Abatement Fund project to support the opioid mitigation activities and execute the contract. Prior to any expenditure being incurred, the Neighborhood Services Department has the responsibility to validate the availability of funds. Submitted for City Manager's Office by: Dana Burghdoff 8018 Originating Business Unit Head: Kacey Thomas 8187 Additional Information Contact: Keisha Light 5749 Docusign Envelope ID: C771 E168 -2810-82C3-8001-721 C8989F7E9 FORT WORTH® City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: My Health, My Resources of Tarrant County Subject of the Agreement: First amendment to contract - adds a position funded by opi of d settl emer funds and shifts funding between budget line items M&C Approved by the Council? * Yes l] No ❑ If so, the M&C inttst be attached to the contract. Is this an Amendment to an Existing contract? Yes ® No ❑ If so, provide the original contract nuinber and the amendment number. Is the Contract "Permanent"? *Yes ❑ No EI If unsure, see back page for permanent contact listing. 64551 Is this entire contract Confidential? *Yes ❑ No El If only specific information is Confidential, please list what information is Confidential and the page it is located. Effective Date: Expiration Date: If different from the approval date. If applicable. Is a 1295 Form required? * Yes ❑ No El *If so, please ensure it is attached to the approving M&C or attached to the contract. Project Number: If applicable. ':Did you include a Text field on the contract to add the City Secretary Contract (CSC) number? Yes No ❑ Contracts need to be routed for CSO processing in the following order: 1. Katherine Cenicola (Approver) 2. Jannette S. Goodall (Signer) 3. Allison Tidwell (Form Filler) *Indicates the information is required and if the information is not provided, the contract will be returned to the department.