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HomeMy WebLinkAboutContract 45990 CITY SECRETAN/ COWRACT NO. AGREEMENT FOR COMMUNITY BASED PROGRAM SAFEHAVEN OF TARRANT COUNTY FISCAL YEAR 2015 In consideration of the mutual covenants, promises and agreements contained herein, THIS AGREEMENT ("Agreement") is made and entered into between CITY OF FORT WORTH, a home rule municipal corporation of the State of Texas, ("City") acting by and through Charles W. Daniels, its duly authorized Assistant City Manager, and SAFEHAVEN OF TARRANT COUNTY, a Texas private non-profit corporation ("Contractor") acting by and through Mary Lee Hafley, President and Chief Executive Officer, its duly authorized representative. RECITALS WHEREAS, City has determined that Community Based Programs are necessary to support crime prevention in City during Fiscal Year 2015 to meet one or more of the Crime Control and Prevention District ("CCPD") goals, which are (1) to support efforts to reduce violent crime and gang-related activities through enhanced enforcement activities and crime prevention programs, (2) to support efforts to increase the safety of residents and to decrease crime throughout Fort Worth neighborhoods, and (3) to support efforts to increase the safety of youth and reduce juvenile crime through crime prevention and intervention programs; and WHEREAS, Contractor has agreed to operate a Community Based Program called "SafeChoices," which will support the police department's crime prevention efforts throughout the community; and WHEREAS, City desires to contract with Contractor to operate the SafeChoices program; and WHEREAS, City, as consideration for the performance of Contractor, has appropriated monies in the CCPD Budget as reimbursed by the CCPD in the amount of $44,521.00 ("Program Funds") to provide to the Contractor for the operation of the SafeChoices program; NOW, THEREFORE, in consideration of the mutual covenants herein expressed, the parties agree as follows: CONTRACT DOCUMENTS The contract documents shall include the following: 1. This Agreement for the SafeChoices program OFFICIAL RECORD 2. Exhibit A— Program Abstract and Proposal Narrative CITY SECRETARY 3. Exhibit B—Budget FT.WORTH, TX FY 2015 Community Based Program h � SafeHaven of Tarrant County RECEIVED SEP 2 i7 u Page I of 11 4. Exhibit C —Request for Reimbursement 5. Exhibit D—Program Activities Report 6. Exhibit E—Program Effectiveness Measurement Report 7. Exhibit F— Request for Budget Modification All exhibits attached hereto are incorporated herein and made a part of this Agreement for all purposes. In the event of any conflict between the documents, the terms and conditions of this Agreement shall control. AGREEMENT 1. Responsibilities of Contractor. Contractor covenants and agrees to fully perform, or cause to be performed, with good faith and due diligence, all work and services described in Exhibit "A" — Program Abstract and Narrative, attached, and incorporated herein for all purposes incident to this Agreement. Contractor shall be responsible for day-to-day administration of the SafeChoices program. Contractor agrees to expend the Program Funds in accordance with its SafeChoices program budget, described in Exhibit "B," attached. Program activities shall be reported in accordance with Exhibit "D," attached and effectiveness measures shall be reported in accordance with Exhibit"E," attached. 2. Program Funds. 2.1 In no event shall the total distribution of Program Funds from City made to the Contractor during the term of this Agreement exceed the total sum of$44,521.00. 2.2 Payment of the Program Funds from City to Contractor shall be made on a cost- reimbursement basis following receipt by City from Contractor of a signed Request for Reimbursement (RFR), as described in Exhibit "C," attached, and copies of all receipts. Contractor shall deliver to City a written detailed Program Activities Report and Program Effectiveness Measures Report as described in Section 4.2 below with each RFR to support expenditure of Program Funds. Such reports shall be signed by the Contractor or duly authorized officer of the Contractor. The RFR and monthly Program Activities Report shall be submitted to City no later than the 15th day following the end of the month. Submittal of a monthly RFR and Program Activities Report is required even if services are not provided. The monthly RFR, with an original signature by an authorized representative, must be submitted to the Grants and Contracts Management Section of the Fort Worth Police Department, ATTENTION: JACOB BROWNING, 350 W. Belknap St., Fort Worth, Texas, 76102. Reimbursements will not be made until after receipt of an acceptable and approved RFR and a monthly Program Activities Report from the Contractor. Reimbursements shall be made within 30 days receipt of said documents. 2.3 Contractor is authorized to adjust any categories in the budget in an amount not to exceed 5% of those particular categories without prior approval of City, as long as the FY 2015 Community Based Program SafeHaven of Tarrant County Page 2 of 11 total sum does not exceed the amount of the Program Funds; however, Contractor must notify City in writing of any such adjustments. Any adjustment of more than 5% of each category must have written permission from City prior to any budget adjustment being made which shall be described in Exhibit "F." if the City gives written approval of the Contractor's proposed Budget amendment, then the Amended Budget will take effect on the first day of the month following the month in which it was approved by City, unless otherwise specified in the amendment. Budget adjustments shall be submitted to the Grants and Contracts Management Section of the Fort Worth Police Department, ATTENTION: JAM1 HOFFMAN, 350 W. Belknap Street, Fort Worth, Texas, 76102. 3. Terrm, This Agreement shall commence upon October 1, 2014, or the date that the City has executed this Agreement ("Effective Date"), whichever occurs later, and shall end on September 30, 2015. All of Contractor's expenditures under this Agreement must be completed no later than September 30, 2015. 4. Program Performance. 4.1 Contractor agrees to maintain full documentation supporting the performance of the work set forth in Exhibit"A." 4.2 Contractor agrees to provide a monthly Program Activities Report and quarterly Program Effectiveness Measurement Report to document the performance of the work described in Exhibit "D" and Exhibit "E," respectively. The Program Activities and Effectiveness Measures shall document the program activity names, numbers of participants attending, details of the activities, and a description of the goals achieved in support of the CCPD goals. Program Effectiveness Measures shall be reported on a quarterly basis and included in the January, April, July, and October RFR and Program Activities Report submittals. Additionally, the Program Effectiveness Measurement Report must include any successes realized in descriptive detail. The monthly Program Activities and quarterly Program Effectiveness Measurement Reports shall be submitted to City no later than the 15th day after the end of each month. 4.3 Contractor agrees that the monthly Request for Reimbursement and Program Activities Report and quarterly Program Effectiveness Measurement Report will be submitted to City no later than the 15th day after the end of each month. Should Contractor not meet these requirements, Contractor will be given an additional 15 days to submit the required reports to City. If, at the end of this 15-day extension period, Contractor has not submitted the required reports, City will send a non-compliance letter notifying Contractor's duly authorized representative of a possible suspension of program funding. 4.4 A representative of the program shall attend quarterly meetings of the Crime Control and Prevention District Board as requested. FY 2015 Community Based Program SafeHaven of Tarrant County Page 3 of 11 5. Default and Termination. 5.1 This Agreement is wholly conditioned upon the actual receipt by City of Program Funds from the CCPD. All monies distributed to Contractor hereunder shall be exclusively from monies received from the CCPD, and not from any other monies of City. In the event that funds from the CCPD are not timely received, in whole or in part, City may, at its sole discretion, terminate this Agreement and City shall not be liable for payment for any work or services performed by Contractor under or in connection with this Agreement. 5.2 If for any reason at any time during any term of this Agreement, City Council of City fails to appropriate funds sufficient for City to fulfill its obligations under this Agreement, City may terminate this Agreement to be effective on the later of(i) thirty(30) days following delivery by City to Contractor of written notice of City's intention to terminate or (ii) the last date for which funding has been appropriated by City Council for the purposes set forth in this Agreement. 5.3 This Agreement may be terminated by City, in whole or in part, whenever such termination is determined by City to be in the best interest of City; in event of Contractor default, inability to perform or to comply with the terms herein; or for other good cause. 5.4 Termination will be effected by delivering to Contractor a notice of termination, specifying the portion of the Agreement affected and the effective date of termination. Upon Contractor's receipt of notice of termination, Contractor shall: (a) Stop work under the Agreement on the date and to the extent specified in the notice of termination; (b) Place no further order or subcontracts, except as may be necessary for completion of the work not terminated; (c) Terminate all orders and contracts to the extent that they relate to the performance of the work terminated by the notice of termination; and (d) Cease expenditures of Program Funds, except as may be necessary for completion of the work not terminated. 5.5 In the event City suspends or terminates this Agreement for cause, and the cause for such suspension or termination is determined to be invalid, the Contractor's sole remedy shall be reinstatement of this Agreement. Contractor expressly waives any and all rights to monetary damages, including but not limited to actual, consequential, and punitive damages, court costs and attorney's fees. 5.6 Within thirty (30) days following the date of termination of this Agreement, Contractor shall return to City any property provided hereunder. City will have no responsibility or liability for Contractor's expenditures or actions occurring after the effective date of termination of the Agreement. FY 2015 Community Based Program SafeHaven of Tarrant County Page 4 of 11 6. Equipment and Maintenance. All equipment purchased with Program Funds must meet all eligibility requirements of City. Contractor shall maintain all equipment used in the administration and execution of the SafeChoices program. Contractor shall maintain, replace or repair any item of equipment used in support of the SafeChoices program and/or for use under the terms of this Agreement that no longer functions or is lost or stolen. The cost for maintenance, replacement or repair of any equipment used in support of the SafeChoices program and/or for use under the terms of this Agreement is the sole responsibility of Contractor. Contractor shall not use Program Funds or City funds to repair or replace said equipment. Contractor shall use any and all equipment purchased with Program Funds exclusively in support of the SafeChoices program. Within 10 days following the purchase of equipment, Contractor shall submit to City a detailed inventory of all equipment purchased with Program Funds to the Grants and Contracts Management Section at the address set forth in paragraph 2.2 above. The equipment inventory shall include an itemized description of each piece of equipment, the date each piece of equipment was purchased, the cost of purchase for each piece of equipment, and the location of each piece of equipment. 7. Administrative Requirements. 7.1 Contractor agrees to keep sufficient records to document its adherence to applicable local, state, and federal regulations, along with documentation and records of all receipts and expenditures of Program Funds. All records shall be retained for three (3) years following the termination or completion of this Agreement. City or its representatives shall have the right to investigate, examine and audit at any time any and all such records relating to operations of Contractor under this Agreement. Contractor, its officers, members, agents, employees, and subcontractors, upon demand by City, shall make such records readily available for investigation, examination, and audit. In the event of such audit by City, a single audit of all Contractors' operations will be undertaken and may be conducted either by City or an independent auditor of City's choice. Contractor shall submit a copy of any audit performed by their independent auditor within 30 days of receipt of the final audit report. 7.2 If any audit reveals a questioned practice or expenditure, such questions must be resolved within fifteen (15) days after notice to Contractor by City. If questions are not resolved within this period, City reserves the right to withhold further funding under this and/or future contract(s) with Contractor. 7.3 If, as a result of any audit, it is determined that Contractor misused, misapplied or misappropriated all or any part of the Program Funds, Contractor agrees to reimburse City the amount of such monies so misused, misapplied or misappropriated, plus the amount of any sanction, penalty, or other charge levied against City because of such misuse, misapplication or misappropriation. 7.4 Contractor's obligation to City shall not end until all closeout requirements are completed. Activities during this closeout period shall include, but are not limited to: FY 2015 Community Based Program SafeHaven of Tarrant County Page 5 of 11 providing final Program Activities Report and Program Effectiveness Measurement Reports, making final payments, disposing of SafeChoices program assets as appropriate. 7.5 Contractor covenants and agrees to fully cooperate with City in monitoring the effectiveness of the services and work to be performed by Contractor under this Agreement, and City shall have access at all reasonable hours to offices and records of the Contractor, its officers, members, agents, employees, and subcontractors for the purpose of such monitoring. 8. Independent Contractor. 8.1 Contractor shall operate hereunder as an independent contractor and not as an officer, agent, or servant or employee of City. Contractor shall have exclusive control of, and the exclusive right to control, the details of the work and services performed hereunder, and all persons performing same, and shall be solely responsible for the acts and omissions of its officers, members, agents, servants, employees, subcontractors, program participants, licensees, or invitees. The doctrine of respondeat superior shall not apply as between City and Contractor, its officers, members, agents, servants, employees, subcontractors, program participants, licensees, or invitees, and nothing herein shall be construed as creating a partnership or joint enterprise between City and Contractor. It is expressly understood and agreed that no officer, member, agent, employee, subcontractor, licensee, or invitee of the Contractor, nor any program participant hereunder is in the paid service of City and that City does not have the legal right to control the details of the tasks performed hereunder by Contractor, its officers, members, agents, employees, subcontractors, program participants, licensees, or invitees. 8.2 City shall in no way nor under any circumstances be responsible for any property belonging to Contractor, its officers, members, agents, employees, subcontractors, program participants, licensees or invitees, which may be lost, stolen, destroyed, or in any way damaged. 9. Liability and Indemnification. CONTRACTOR SHALL BE LIABLE AND RESPONSIBLE FOR ANY AND ALL PROPERTY LOSS, PROPERTY DAMAGE AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF ANY KIND OR CHARACTER, WHETHER REAL OR ASSERTED, TO THE EXTENT CAUSED BY THE NEGLIGENT ACT(S) OR OMISSION(S), MALFEASANCE OR INTENTIONAL MISCONDUCT OF CONTRACTOR, ITS OFFICERS,AGENTS, SERVANTS OR EMPLOYEES. CONTRACTOR AGREES TO DEFEND, INDEMNIFY, AND HOLD THE CITY, ITS OFFICERS, AGENTS, SERVANTS, AND EMPLOYEES HARMLESS AGAINST ANY AND ALL CLAIMS, LAWSUITS, ACTIONS, COSTS, AND EXPENSES OF ANY KIND, INCLUDING, BUT NOT LIMITED TO, THOSE FOR PROPERTY DAMAGE OR LOSS (INCLUDING FY 2015 Community Based Program SafeHaven of Tarrant County Page 6 of 11 ALLEGED DAMAGE OR LOSS TO OWNER'S BUSINESS AND ANY RESULTING LOST PROFITS)AND/OR PERSONAL INJURY(INCLUDING DEATH) THAT MAY RELATE TO, ARISE OUT OF, OR BE OCCASIONED BY (I) CONSULTANT'S BREACH OF ANY OF THE TERMS OR PROVISIONS OF THIS AGREEMENT OR (II) ANY NEGLIGENT ACT OR OMISSION OR INTENTIONAL MISCONDUCT OF CONTRACTOR, ITS OFFICERS, AGENTS, ASSOCIATES, EMPLOYEES, CONTRACTORS (OTHER THAN THE CITY), OR SUBCONTRACTORS RELATED TO THE PERFORMANCE OF THIS AGREEMENT, EXCEPT THAT THE INDEMNITY PROVIDED FOR IN THIS SECTION SHALL NOT APPLY TO ANY LIABILITY RESULTING FROM THE SOLE NEGLIGENCE OF THE CITY OR ITS OFFICERS, AGENTS, EMPLOYEES, OR SEPARATE CONTRACTORS, AND IN THE EVENT OF JOINT AND CONCURRENT NEGLIGENCE OF BOTH CONSULTANT AND CITY, RESPONSIBILITY, IF ANY, SHALL BE APPORTIONED COMPARATIVELY IN ACCORDANCE WITH THE LAWS OF THE STATE OF TEXAS. NOTHING HEREIN SHALL BE CONSTRUED AS A WAIVER OF THE CITY'S GOVERNMENTAL IMMUNITY AS FURTHER PROVIDED BY THE LAWS OF TEXAS. Contractor shall require all of its subcontractors to include in their subcontracts a release and indemnity in favor of City in substantially the same form as above. This section shall survive the expiration or termination of this Agreement. 10. Non-Assignment. No assignment or delegation of duties under this Agreement by Contractor shall be effective without City's prior written approval. 11. Prohibition Against Interest. 11.1 No member, officer or employee of City, or its designees or agents; no member of the governing body of the locality in which the SafeChoices program is situated; and no other public official of such locality or localities who exercises any functions or responsibilities with respect to the SafeChoices program during his tenure or for one year thereafter, shall have any interest, direct or indirect, in any contract or subcontract, or the proceeds thereof, for work to be performed hereunder. Contractor shall incorporate, or cause to be incorporated, like language prohibiting such interest, in all contracts and subcontracts hereunder. 11.2 No officer, employee, member, or program participant of Contractor shall have a financial interest, direct or indirect, in this Agreement or the monies transferred hereunder, or be financially interested, directly or indirectly, in the sale to Contractor of any land, materials, supplies, or services purchased with any funds transferred hereunder, except on behalf of Contractor, as an officer, employee, member, or program participant. Any willful violation of this paragraph with the knowledge, expressed or implied, of Contractor or its subcontractors, shall render this Agreement voidable by City of Fort Worth. FY 2015 Community Based Program SafeHaven of Tarrant County Page 7 of 11 12. Nondiscrimination. 12.1 In accordance with the federal, state and local laws and ordinances, Contractor covenants that neither it nor any of its officers, members, agents, employees, program participants, or subcontractors, while engaged in performing this Agreement shall in connection with the employment, advancement, or discharge of employees, in connection with the terms, conditions or privileges of their employment, discriminate against persons because of their age, except on the basis of a bona fide occupational qualification, retirement plan, statutory requirement, or statutory or ordinance exception. 12.2 Contractor will not unlawfully discriminate against any person or persons because of age, race, color, religion, sex, disability, national origin, or sexual orientation, nor will Contractor permit its officers, members, agents, employees, subcontractors or program participants to engage in such discrimination. 13. Compliance. 13.1 Contractor, its officers, members, agents, employees, program participants, and subcontractors, shall abide by and comply with all laws, federal, state and local, including all ordinances, rules and regulations of City. If City calls to the attention of Contractor any such violation on the part of Contractor or any of its officers, members, agents, employees, subcontractors or program participants, then Contractor shall immediately desist from and correct such violation. 13.2 Contractor shall utilize Program Funds strictly for those purposes and goals intended under the terms and conditions of this Agreement. If City calls the attention of Contractor to any such violations on the part of Contractor or any of its officers, members, agents, employees, program participants or subcontractors, then Contractor shall immediately desist from and correct such violation. 14. Waiver of Immunity. If Contractor is a charitable or nonprofit organization and has or claims an immunity or exemption (statutory or otherwise) from and against liability for damages or injury, including death, to persons or property; Contractor hereby expressly waives its rights to plead defensively such immunity or exemption as against City. This section shall not be construed to affect a governmental entity's immunities under constitutional, statutory or common law. 15. Insurance Requirement. 15.1 Contractor shall procure and shall maintain during the term of this Agreement the following insurance coverage: (a) Commercial General Liability (CGL): $1,000,000 per occurrence, with a $2,000,000.00 annual aggregate limit, in a form that is acceptable to the City's FY 2015 Community Based Program SafeHaven of Tarrant County Page 8 of 11 Risk Manager. (b) Non-Profit Organization Liability or Directors & Officers Liability: $1,000,000 per occurrence, with a $1,000,000 annual aggregate limit, in a form that is acceptable to the City's Risk Manager. (c) Automobile Liability: $1,000,000 each accident on a combined single limit basis OR split limits are acceptable if limits are at least $250,000 Bodily Injury per person, $500,000 Bodily Injury per accident and $100,000 Property Damage. 15.2 Contractor's insurer(s) must be authorized to do business in the State of Texas for the lines of insurance coverage provided and be currently rated in terms of financial strength and solvency to the satisfaction of the City's Risk Manager. 15.3 Each insurance policy required herein shall be endorsed with a waiver of subrogation in favor of the City. Each insurance policy required by this Agreement, except for policies of worker's compensation or accident/medical insurance shall list the City as an additional insured. City shall have the right to revise insurance coverage requirements under this Agreement. 15.4 Contractor further agrees that it shall comply with the Worker's Compensation Act of Texas and shall provide sufficient compensation insurance to protect Contractor and City from and against any and all Worker's Compensation claims arising from the work and services provided under this Agreement. 16. Miscellaneous Provisions. 16.1 The provisions of this Agreement are severable, and, if for any reason a clause, sentence, paragraph or other part of this Agreement shall be determined to be invalid by a court or Federal or state agency, board or commission having jurisdiction over the subject matter thereof, such invalidity shall not affect other provisions which can be given effect without the invalid provision. 16.2 City's failure to insist upon the performance of any term or provision of this Agreement or to exercise any right herein conferred shall not be construed as a waiver or relinquishment to any extent of City's right to assert or rely upon any such term or right on any future occasion. 16.3 Should any action, whether real or asserted, at law or in equity, arise out of the execution, performance, attempted performance or non-performance of this Agreement, venue for said action shall lie in Tarrant County, Texas. 16.4 Contractor represents that it possesses the legal authority, pursuant to any proper, appropriate and official motion, resolution or action passed or taken, to enter into this Agreement and to perform the responsibilities herein required. 16.5 This written instrument and the exhibits attached hereto, which are incorporated by reference and made a part of this Agreement for all purposes, constitute the entire FY 2015 Community Based Program SafeHaven of Tarrant County Page 9 of 11 agreement between the parties concerning the work and services to be performed hereunder, and any prior or contemporaneous, oral or written agreement which purports to vary from the terms hereof shall be void. Any amendments to the terms of this Agreement must be in writing and must be signed by authorized representatives of each party. 16.6 All notices required or permitted by this Agreement must be in writing and are deemed delivered on the earlier of the date actually received or the third day following (i) deposit in a United States Postal Service post office or receptacle; (ii) with proper postage (certified mail, return receipt requested); and (iii) addressed to the other party at the address as follows or at such other address as the receiving party designates by proper notice to the sending party. CITY: Charles W. Daniels, Assistant City Manager City Manager's Office City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76102 Copies To: Jacob Browning, Planner Fort Worth Police Department 350 W. Belknap Street Fort Worth, TX 76102 CONTRACTOR: Mary Lee Hafley, President and Chief Executive Officer SAFEHAVEN OF TARRANT COUNTY 8701 Bedford Euless Road, Suite 600 Hurst, TX 76053 16.7 None of the performance rendered under this Agreement shall involve, and no portion of the Program Funds received hereunder shall be used, directly or indirectly, for the construction, operations, maintenance or administration of any sectarian or religious facility or activity, nor shall said performance rendered or funds received be utilized so as to benefit, directly or indirectly, any such sectarian or religious facility or activity. 16.8 Contractor certifies that it has obtained a 501 (c) (3) Certificate from the Internal Revenue Service. Contractor shall notify City in writing of any changes to its 501 (c) (3) tax-exempt status during the term of this Agreement. 16.9 Captions and headings used in this Agreement are for reference purposes only and shall not be deemed a part of this Agreement. 16.10 The provisions and conditions of this Agreement are solely for the benefit of City and Contractor and are not intended to create any rights, contractual or otherwise, to any other person or entity. FY 2015 Community Based Program SafeHaven of Tarrant County Page 10 of 11 IN WITNESS WHEREOF, the parties hereto have exe*�y agreement in multi les in F Worth, Tarrant County, Texas,to be effective thi of 20 CITY OF FORT WORTH SAFEHAVEN OF TARRANT COUNTY a Texas Private Non-Profit Corporation By: Xr harles W. Daniels Mary Lee afley Assistant City Manager President and Chief Executive Lcer cu. ?ela�tv J fry W. Halsteadp Chief of Police APPROVED AS TO FORM AND LEGALITY: Lt Charlene Sanders Assistant City Attorney ORT�° � ATTEST: ° 8 o 1?&'k, I�C� °° Mary K e, °°°0000°°°0 City Secretary TEX N ICIAL RECORD Y SECRETARY T.WORTH,TX FY 2015 Community Based Program SafeHaven of Tarrant County Page 11 of 11 EXHIBIT A Proposal Abstract SafeHaven of Tarrant County respectfully requests $44,521 from the City of Fort Worth CCPD to support the SafeChoices project. SafeChoices is a dating violence prevention and intervention program designed to reduce relationship abuse among at-risk youth. It specifically targets 12-18 year old at- risk adolescents attending schools within the City of Fort Worth or Fort Worth teens receiving services through Tarrant County Juvenile Services. This program addresses the CCPD's goal to support efforts to increase the safety of youth and reduce juvenile crime through crime prevention and intervention programs. Additionally, SafeChoices addresses the CCPD's priority as a prevention and intervention program for youth and/or family violence. SafeChoices is intended for youth already exposed to or at risk of engaging in violent behavior and educates at-risk youth on the contributing factors and lasting consequences of dating violence. It intends to change norms, attitudes and behaviors associated with relationship abuse. During the course of the grant year, 1000 male and female youth between the ages of 12-18 will participate in multi-session interactive educational groups designed to help youth recognize healthy versus abusive relationships, improve conflict resolution skills and identify available community resources. This approach has been proven to reduce teen dating violence thus decreasing delinquent behaviors. It can be extrapolated that this will also reduce violence in the home and in the adult lives and families of participating teens. EXHIBIT A PROPOSAL NARRATIVE 1) Describe in detail the problem that your program addresses. While often thought of as physical abuse, domestic violence encompasses emotional, psychological, sexual and financial abuse and manipulation utilized to maintain power over another person within an intimate relationship. The Texas Department of Public Safety reported 198,366 family violence incidents in Texas in 2012, 13,201 in Tarrant County alone. This is an increase of 11.5% over 2011(Texas Dept. of Public Safety, 2012; Crime in Texas, 2013). Further, in 2012,there were six confirmed deaths in Tarrant County due to domestic violence with the youngest 19 and three victims under age of 22. Half of these murders ended in suicide for the perpetrator(Honoring Texas Victims,Texas Council on Family Violence, 2014). Teen dating violence includes a range of behaviors occurring within a past or present romantic or dating relationship. It includes physical, sexual and psychological abuse usually perpetrated by control or through coercion. It can be experienced face to face or through technology. One in three teen girls are victims (National Council on Crime and Delinquency, 2008). Teen intimate partner violence is associated with increased risk of substance use, unhealthy weight control behaviors, sexually risky behaviors, pregnancy and suicide. (National Center for Injury Prevention and Control, 2001). When violence is witnessed at home as the primary way to solve problems, teens bring few problem solving skills into their romantic relationships. When relationship norms in the home demonstrate the male's role is to control and the female's role is to please, this limits exposure to healthy relational roles. Violence seems to be the only way to solve problems and to interact with the opposite sex. The lack of skills to resolve differences and the lack of positive role models regarding healthy relationships put Fort Worth youth at risk of becoming both victims and perpetrators. Therefore, exposure to violence, few positive examples of conflict resolution and a demonstrated lack of respect for women and girls endangers the safety of Fort Worth teens and the neighborhoods where they live. Further, Ron Snipe reported in Criminal Justice &Behavior(1998)that nearly half of adult sex offenders report committing their first sexual offenses prior to the age of 18. A study of 1,600 juvenile sexual assault offenders across the U.S. indicated that only about 33% of the juveniles perceives sex as a way to demonstrate love or caring for another person; 24% perceived sex as a way to feel power and control; others considered it a way to handle anger or punish the another person (California Coalition Against Sexual Assault, 2002). SafeChoices addresses these issues where high risk populations are identified — selected traditional school campuses, alternative schools, pregnant and parenting teen programs and Tarrant County Juvenile Detention Center programs. Family violence or intimate partner violence and appropriate male/female relationships are not addressed in alternative school classrooms or probation groups due to lack of expertise and available resources. This ignores a significant root cause of teen delinquency, victimization and perpetration. Health Education Research reports that patterns of dating violence carry forward into adult relationships (1996); Murray Strauss in Criminology reports that the severity of violence among intimate partners has been shown to increase if the pattern has been established in adolescence (1989). 2) Describe what your program does to 1) support efforts to reduce violent crime and gang-related activities through enhanced enforcement activities and crime prevention programs, 2)support efforts to increase the safety of residents and to decrease crime throughout Fort Worth neighborhoods; and 3) support efforts to increase the safety of youth and reduce juvenile crime through crime prevention and intervention programs. In a report released by the World Health Organization in late 2010, Preventing Intimate Partner Violence and Sexual Violence Against Women, the authors conclude that "there is currently only one strategy for the prevention of intimate partner violence that can be classified effective at preventing actual violence. This is the use of school-based programs to prevent violence within dating relationships." SafeChoices reduces teen dating violence, increases youth safety and increases the safety of families and neighborhoods by providing a combination prevention/intervention services approach that targets at-risk Fort Worth youth through evidenced based curriculum in group settings. The program uses Safe Dates as a curriculum model and guide. Designated as a Model Program by the Substance Abuse and Mental Health Services Administration in 2006, Safe Dates was selected for the National Registry of Evidence- based Programs and Practices and received high ratings on all criteria. It is designed to interrupt, stop and/or prevent the initiation of emotional, physical, and sexual abuse on dates or between individuals involved in a dating relationship. Intended for male and female students, the goals of the program include: (1)changing adolescent dating violence and gender-role norms, (2) improving peer help-giving and dating conflict-resolution skills, (3) promoting victim and perpetrator beliefs in the need for help and seeking help through the community resources that provide it, and (4) decreasing dating abuse victimization and perpetration. EXHIBIT A Safe Dates is interactive in its application and allows for tailoring the messages to the specific audience, e.g., pregnant/parenting teens,juvenile offenders or more general at-risk populations. Topics are covered through multiple sessions offering flexibility to the host school or organization. Sessions include role-play, media analysis, small and large group discussion, art projects, writing exercises and other active learning modalities. Using Safe Dates,the trained facilitator/instructor covers warning signs of abusive relationships, safety planning, healthy vs. unhealthy relationships, technology and other issues relevant to the particular group. Ideally, this is presented in seven sessions which is the number research believes to be necessary for knowledge retention and behavior changes to occur. However, single sessions are available for environments where multiple sessions aren't possible. Effective participation and completion of this program within the SafeChoices context positively impacts the safety of not only dating teens, but their current and future families. If families are safer in their homes, then Fort Worth neighborhoods are safer as well. If relationships and attitudes change, then relationship violence will decrease thus decreasing crime in Fort Worth. 3) Does your program address the CCPD priority/special emphasis of the prevention or intervention of youth violence and/or family violence?Describe how your program addresses this priority? SafeChoices addresses prevention of and intervention in both dating (youth) and family violence. SafeChoices takes a holistic approach to dating violence prevention and intervention for youth already exposed to or at risk of engaging in violent behavior. In multi-session educational groups, program staff educates high-risk youth on the contributing factors and lasting consequences of dating violence. SafeChoices utilizes Safe Dates, an evidence-based curriculum proven to be effective in reducing the risk of dating abuse. This curriculum helps youth distinguish between relationships that are caring and supportive and those that are controlling, manipulative, and/or abusive. Each 50-minute session is interactive and appeals to various learning styles. Targeted populations include middle and high school age youth residing in the City of Fort Worth who attend alternative schools or Fort Worth youth receiving services through Tarrant County Juvenile Services. Youth may attend alternative for various reasons designated by the local school district. Generally,these include truancy, inappropriate behaviors on the traditional school campus, inability to"fit in" at their normal campus or pregnant and parenting teens. Those served through Tarrant County Juvenile Services may be on probation or involved in some type of court diversion program. Program staff educates as many youth as campus staff or probation officers deem necessary although seven coordinated, connected sessions create the optimal environment for knowledge and behavioral changes. 4) How will you measure the effectiveness of the program? You must include specific performance measures within the Activities and Outcomes Summary and describe evaluation tools and the method of data collection that you will use. If awarded funding, these performance measures will be included as an exhibit in the contract, and you will be required to report progress towards these measures, which will be reported to the CCPD Board. After participation in the SafeChoices program, participants will exhibit the following outcomes: • 75% of program participants completing 7 sessions of curriculum will be able to correctly identify types of abuse. • 75% of program participants completing 7 sessions of curriculum will exhibit increased knowledge of available resources. • 75%of program participants completing 7 sessions of curriculum will demonstrate increased understanding of the interpersonal skills necessary for healthy relationships. SafeChoices staff will conduct pre and posttests measuring participants' knowledge and skills gained in several categories: violence dynamics and consequences, anger management and improved social skills. Middle and high school students test using a 5-point Likert Scale model at the beginning and end of the 7 session programs. The specialists examine the pre and post-test scores to determine behavioral changes in the indicated categories. These outcomes, along with total number served, are tracked in an agency database. At the conclusion of the last session, SafeChoices program staff is also evaluated by the classroom teacher or group leader using a survey that measures answers on a 5-point Likert scale. In addition to the survey, teachers have the option of adding comments at the end of the form, one of which asks for areas of improvement. These methods provide an accurate evaluation of the program from the teachers/leader and students/participant points of view. EXHIBIT A 5) Who will the program benefit? How many people? What age group? What geographic area will it serve? Please include geographic boundaries. SafeChoices benefits not only the teens involved in program instruction, but their families as well. If it ends relationship violence, then it breaks the generational cycle and improves the entire community's health. SafeChoices will serve 1000 at-risk teens, ages 12-18, who are enrolled in alternative education programs or juvenile justice programs in the City of Fort Worth. 6) Is the program already in operation? if so, how long have you operated the program? What resources are currently used to operate the program? Why are CCPD funds necessary at this time? SafeChoices operated from 2009-2012 supported through funding from the Office of the Governor's Criminal Justice Division (CJD). Other funding has provided some support for services to at-risk youth, but it is currently designated for schools outside the City of Fort Worth. Although the SafeChoices project is not currently in full operation, SafeHaven has continued to provide services to Fort Worth at-risk students as resources permit. CCPD funds are necessary to sustain the current services as well as expand services to ensure at-risk students in Fort Worth are offered opportunities for education about abusive behaviors and provided the tools to make healthy choices. 7) Is this a new program? If so, what other funds have you applied for?Also, please describe the sequence of steps needed to implement your program and the timeframe in which this will occur. SafeChoices operated from 2009-2012, but the loss of funding for the project disabled it from operating at the previous capacity. SafeHaven has not secured specific funding for these services to Fort Worth at-risk students, but has utilized time limited resources from general operating funds to sustain minimal services to date. If funded, SafeChoices will be positioned to begin providing services immediately as programs will be scheduled and in progress by the start of a contract with the CCPD. If selected for funding, staff will immediately begin to work on expanding services by scheduling programs at additional sites for the 2014-2015 school year and summer of 2015. 8) Briefly describe the specific expenditures planned for CCPD funding. You MUST fully complete attached budget forms. CCPD funding will be used to support two Prevention Specialists at 50% each. Funds will be used to cover the cost of salary and benefits for staff delivering direct service in the SafeChoices program. Using two staff allows broader coverage for the same cost. 9) If funds are awarded, will this program continue beyond the CCPD funding period? Please explain your plan to sustain this program. SafeHaven of Tarrant County (SHTC) is committed to sustaining prevention services for youth in Fort Worth. SHTC will actively seek funding to sustain services provided in the SafeChoices program through funds from private foundations or governmental sources. If necessary, the agency can also support this program through unrestricted private funds. SafeHaven has a diversified fundraising plan in place that includes funds from individuals, faith-based organizations, civic organizations, corporations, foundations, and other governmental entities. EXHIBIT B BUDGET NARRATIVE FY 2015 Please attach a detailed budget narrative that explains the need for all proposed expenditures by individual item. The budget narrative should clearly explain how funds will be used and why expenditures are necessary for successful implementation of your program. Please explain how costs are calculated. A. Program Personnel— Prevention Specialist- .5FTE $18.56/hr. x 1040 hrs. $19,302 Prevention Specialist-.5 FTE $18.30/hr. x 1040 hrs. $19,032 FICA $38,334 x .0765 $ 2,932 Life Insurance $480/yr. X .50 FTE $ 240 Health Insurance $4,840/yr. X .50 FTE $ 2,420 Worker Compensation $316/yr. X.50 FTE $ 158 B. Supplies and Services— 0 C. Miscellaneous— Prevention Specialist-Local Mileage-.53/mile x 825 miles $437 D. Facility and Utilities— 0 E. Direct Assistance— 0 F. Indirect Costs—Administrative— 0 G. Indirect Costs—Legal,Financial, and Insurance— 0 Total $44,521 EXHIBIT B-BUDGET SUMMARY Contract TOTAL - 'Budot Salaries 38,334 38,334 FICA 2,932 2,932 Life Insurance 240 240 Health Insurance 2,420 2,420 Unemployment Worker's Compensation 158 158 Retirement �ST�.R��IC.FS Office Supplies Office Equipment Rental/Purchase Postage Printing I AM OU. Contract Labor(City needs copy of contract before expenses can be reimbursed Craft Supplies Field Trip Admission Expenses Other Field Trip Expenses Food Supplies Teaching Aids Travel 437 437 I ,�I Y iNil UTHXYIES Telephone Electric Gas Water and Wastewater Solid Waste Disposal Rent(City needs copy of lease before expenses can be reimbursed Custodial Services Repairs Cleanin Su lies ATE Childcare Scholarships COSTS-ADMINISTRATIVE Salaries FICA Life Insurance Health Insurance Unemployment Worker's Compensation Retirement G. OMMWT COSTS-LEGAL,FINANCIAL, III_SCE Fidelity Bond or Equivalent Directors and Officers General Commercial Liability Contract Accounting TOTAL INDIRECT COSTS +G TOTAL BUDGET 44,521 44,521 EXHIBIT B—BUDGET DETAIL Contractor may make changes to any column except the "Position Name" column in the "Salary Detail" table without the City's consent so long as the total amounts charged to the grant do not exceed the line items on the first page of the EXHIBIT B—BUDGET. Changes to the column labeled"Position Name" may only be made with the prior written consent of the City. SALARY DETAIL Position Name Rate Annual Hours Percent to Grant Amount to Grant Prevention Specialist 18.56 1040 100 19,302 Prevention Specialist 18.30 1040 100 19,032 FRINGE DETAIL Percent of Payroll Amount Percent to Grant Amount to Grant FICA .0765 2,420 100 2,420 Life Insurance .006 240 100 240 Health Insurance .0631 2,420 100 2,420 Unemployment Worker's Compensation .004 158 100 158 Retirement SUPPLIES AND SERVICES Total Budget Percent to Grant Amount to Grant Office Supplies Office Equipment Rental/Purchase Postage Printing MISCELLANEOUS Total Budget Percent to Grant Amount to Grant Contract Labor Craft Supplies Field Trip Admission Expenses Other Field Trip Expenses Food Supplies Teaching Aids Travel 825 miles x.53/mile 100 437 FACILITY AND UTILITIES Total Budget Percent to Grant Amount to Grant Telephone Electric Gas Water and Wastewater Solid Waste Disposal Rent Custodial Services Repairs Cleaning Supplies DIRECT ASSISTANCE Total Budget Percent to Grant Amount to Grant Childcare Scholarships INDIRECT COSTS—ADMINISTRATIVE Total Budget Percent to Grant Amount to Grant Salaries FICA Life Insurance Health Insurance Unemployment Worker's Compensation Retirement INDIRECT COSTS—LEGAL,FINANCIAL,AND INSURANCE Total Budget Percent to Grant Amount to Grant Fidelity Bond or Equivalent Directors and Officers General Commercial Liability Contract Accounting Exhibit C Monthly Request for Reimbursement (RFR) FY 2015 Community Based Program Program Period 10/01/14 to 09/30/15 Submit to: Fort Worth Police Department Submitting Agency: SafeHaven of Tarrant County Attn:Jami Hoffman Agency Contact Name: Stephanie Storey Program Support Division Phone Number: (817)535-6462 ext. 117 350 West Belknap Street Email: sstorevtc)safehaventc.org Fort Worth,TX 76102 Remit Address: 8701 Bedford Euless Road Hurst,TX 76053 Invoice Number: Period covered by this request: 10/01/14 to 09/30/15 mm/dd/yy mm/ddyy A B C D E Total of Previous (B+C) (A-D) Reimbursements This Total Balance Budget Category Budget Amount Requested Request Requested Available 1 Program Personnel $ 44,084.00 $ - $ - $ - $ 44,084.00 2 Supplies and Services $ - $ - $ - $ - $ - 3 Miscellaneous $ 437.00 $ - $ - $ - $ 437.00 4 Facility and Utilities $ - $ - $ - $ - $ - 5 Direct Assistance $ - $ - $ - $ - $ - 6 Indirect Costs- Administrative $ - $ - $ - $ - $ - 7 Indirect Costs-Legal, Financial, and Insurance $ - $ - $ - $ - $ - Total Costs I $ 44,521.00 $ - I $ - $ - 1 $ 44,521.00 Please Attach: 1. Copies of invoices and the receipts on all expenditures 2. For Personnel Cost, copies of signed times sheets 3. Copy of Monthly Performance Report Summary Total Budget: $ 44,521.00 Previous Requests: $ - This Request: $ - have reviewed this request and certify that the listed Total Spent: $ - expenses and support documentation are accurate. Balance left in grant: $ 44,521.00 - Fiscal ent use 061 Grantee Authorized Official Date FFutld Account Cantar Title Exhibit D FY 2015 Program Activities Report Program Period 10/01/14 to 09/30/15 Submit to: Fort Worth Police Department Agency: SafeHaven of Tarrant County Jacob Browning Contact Name: Stephanie Storey 350 West Belknap Street Email: sstoreY a safehaventc.org 2nd Floor Phone Number: (817)535-6462 ext. 117 Fort Worth,TX 76102 Address: 8701 Bedford Euless Road Hurst,TX 76053 Period covered: 10/01/14 to 09/30/15 Cumulative Total 4 Activities Monthly Total Oct 1st-Present Year End Goal 1 Total number of unduplicated students/program participants served with family 1000 violence prevention program sessions/presentations 2 Total number of family violence curriculum sessions/presentations conducted 250 3 Number of unduplicated students/program participants completing 7 or more 200 sessions/presentations of family violence prevention program I have reviewed this report and certify that the measures provided are accurate and appropriately reflect the CCPD goals set forth in the contract. Authorized Official Signature Date Title Exhibit E FY 2015 Program Effectiveness Measurement Report Program Period 10/01/14 to 09/30/15 Due Quarterly: Ist Qtr(Oct-Dec)due Jan 15th,2nd Qtr(Jan-Mar)due Apr 15th,3rd Qtr(Apr-Jun) due Jul 15th,and 4th Qtr(Jul-Sep)due Oct 15th Submit to: Fort Worth Police Department Agency: SafeHaven of Tarrant County Jacob Browning Contact Name: Stephanie Storey 350 West Belknap Street Email: sstorev�?safehaventc.or 2nd Floor Phone Number: (817)535-6462 ext. 117 Fort`V'Vorth,TX 76102 Address: 8701 Bedford Euless Road Hurst,TX 76053 Period covered: 10/01/14 to 09/30/15 4 Effectiveness Measurements 1 20%of program participants will complete all 7 sessions of curriculum. Please include a narrative of events and accomplishment that occurred during the reporting period. 2 75%of program participants completing 7 or more sessions will demonstrate the ability to identify the types of abuse. Please include a narrative of events and accomplishment that occurred during the reporting period. 3 75%of program participants completing 7 or more sessions will exhibit an increase in knowledge of available resources. Please include a narrative of events and accomplishment that occurred during the reporting period. 4 75%of program participants completing 7 or more sessions will demonstrate an increased understanding of the interpersonal skills necessary for healthy relationships. Please include a narrative of events and accomplishment that occurred during the reporting period. Please include a narrative of any success stories during the reporting period. Use additional pages if necessary. I have reviewed this report and certify that the measures provided are accurate and appropriately reflect the CCPD goals set forth in the contract. Authorized Official Signature Date Title EXHIBIT F REQUEST FOR BUDGET MODIFICATION DATE: TO: FROM: REASON: Budget Category Approved Budget Change Requested Revised Budget A. Program Personnel B. Supplies & Services C. Miscellaneous D. Facility & Utilities E. Direct Assistance F. Indirect Costs - Administrative G. Indirect Costs - Legal, Financial, and Insurance TOTAL COST Signature Date BUDGET NARATIVE (DESCRIBE IN DETAIL WHAT THE GRANT FUNDS WILL PURCHASE) JUSTIFICATION: