HomeMy WebLinkAboutContract 30240 STATE OF TEXAS § CITY SECRETARY3
CONTRACT NO.
COUNTY OF TARRANT §
THIS contract is made and entered into by and between the City of Fort Worth ("City"), acting and
through Charles Boswell, its duly authorized Assistant City Manager, and YWCA of Fort Worth and
Tarrant County(Supportive Living)("Contractor"),by and through,Ms. Judi Bishop,its duly authorized
Executive Director, Contractor's business address is, 512 West 4th Street, Fort Worth, TX 76102.
WHEREAS,the City of Fort Worth has been notified that it will receive grant monies from the United
States Department of Housing and Urban Development ("HUD") through the Emergency Shelter Grant
("ESG") contained in Title IV of Stewart B. McKinney Homeless Assistance Act (PL 100-77) for Year
2004-2005 ; and,
WHEREAS, the Catalog of Federal Domestic Assistance (CFDA) assigned Emergency Shelter
Grant/Entitlement Grants number 14.231; and
WHEREAS,the purposes of the ESG are to provide for the benefit of homeless citizens of Fort Worth;
and,for the rehabilitation or conversion of buildings for use as emergency shelter for the homeless,for the
payment of certain operating and social service expenses in connection with emergency shelter for the
homeless,and for homeless prevention activities.The Emergency Shelter Grants program authorized by the
Homeless Housing Act of 1986 is contained in 24 CFR Part 575.
WHEREAS, the citizens of Fort Worth and the City Council of Fort Worth have determined that
homeless assistance services are needed in Fort Worth;
NOW,THEREFORE,THIS AGREEMENT FURTHER WITNESSETH:
THAT, the parties covenant and agree as follows:
1. Scope of Services
a. Contractor will administer services to citizens of the City of Fort Worth under the program name
Supportive Living ("Program"), for the term June 1, 2004 to May 31, 2005.
b. Contractor will provide the services and activities delineated in Exhibit A, Program Summary in
accordance with Exhibit B,Program Services Schedule.
c. City will monitor the performance of the Contractor against the goals and performance standards
required herein. Substandard performance as determined by City will constitute non-compliance with t
this Agreement. If action to correct such substandard performance is not taken by Contractor within a
reasonable period of time after being notified in writing by City, contract suspension or termination
procedures will be initiated. 4
2. Funds-Disbursement
City will disburse ESG Year 2004-2005 monies in an amount up to $13,500 to Contractor on a
reimbursement of expenses basis. s
XXX ESGCNT July l9,2004 1 f� +;✓ ` ~✓
3. Funds -Requirements
a. Payments will be processed by City following receipt from Contractor ofAttachment I,Sub-Grantees
Request For Funds and applicable supporting documents described in paragraph 5.Reimbursement for
the payment of eligible expenses shall be made against the line item budget specified in Exhibit C,
Program Operating Budget.
b. Contractor must provide the matching funds specified in Exhibit C in accordance with 24 CFR Ch.
V, §576.51.
c. Contractor agrees to utilize all disbursed ESG funds for the benefit of the Program.Contractor agrees
that funds will be expended in accordance with the Program Operating Budget. Contractor may not
increase or decrease line-item amounts in the approved ESG Program Operating Budget without prior
written approval by the City.
d. It is understood that the total cost for operation of this program is$334,404 and that Contractor will
obtain the remaining funds in excess of the ESG amount as detailed in the Program Operating Budget.
Contractor will notify City promptly of any additional funding it receives for operation of the Program,
and City reserves the right to amend the Program Operating Budget in such instances.
e. Contractor agrees to keep all ESG monies on hand in interest bearing accounts. All interest earned
shall be reported to City on a monthly basis, at the same time as submission of the monthly report
following the end of the contract month during which the interest was earned. Interest in an amount of
$25.00 or less per month may be used for authorized program expenses. These amounts must be
reported on the monthly financial statements filed pursuant to this contract.Interest earned in excess of
$25.00 per month is subject to remittance to City as directed by City.
f. Contractor will not commingle ESG monies with any other funds in any manner which would
prevent City from readily identifying program expenditures for operation of the Program.
g. Contractor agrees that all program income from operation of the Program in proportion to the
amount of ESG funds received hereunder will be expended prior to expending ESG monies and that any
such program income is subject to the terms of this contract. ESG monies may be expended by the
Contractor only if program income is insufficient to meet all eligible program activity expenses.
Contractor agrees to return to City at the end of the Contract any remaining program income earned
from operation of the Program in proportion to the amount of ESG funds in the overall operating
budget.
h. The Contractor shall comply with City policy concerning the purchase of equipment and shall
maintain inventory records of all non-expendable personal property,as defined by such policy,procured
with funds provided herein. The Contractor shall procure all materials, property, or services in
accordance with the requirements of OMB circular A-110, Procurement Standards.
4. Uniform Administrative Requirements and Program Management Standards
a. Financial Management
i. Accounting Standards
The Contractor agrees to comply with OMB Circular A-110 and agrees to adhere to the accounting
principles and procedures required therein,utilize adequate internal controls,and maintain necessary
source documentation for all costs incurred.
ii. Cost Principles
Contractor shall administer the Program in conformance with OMB Circular A-122, "Cost
Principles for Non-Profit Organizations"and attachments and revisions reto,re ci les
for determining costs for the Program.
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XXX ESGCNT July 13,2004 2 i _
b. Documentation and Record Keeping
i. Contractor shall maintain all records pertinent to the activities to be funded under this Agreement
as required by HUD regulations specified in 24 CFR § 576.65 for four(4)years following the date
of termination of this contract. Contractor may destroy Program records at the end of this four(4)
year period if no outstanding audit finding exists. In addition, Contractor agrees to keep records to
fully document all expenditures charged to the ESG program.The documentation must support the
amounts charged to Program and demonstrate that the expenditures were appropriate to the stated
goals of the Program and allowable under applicable federal, state and City guidelines.
ii. Close Outs
The Contractor's obligation to City shall not end until all close-out requirements are completed.
Activities during this close-out period shall include,but are not limited to: making final payments,
disposing of program assets(including the return of all unused materials, equipment,unspent cash
advances, program income balances, and accounts receivable to City), and determining the
custodianship of records.
iii. Audits and Inspections
(1) City, HUD, and the United States Comptroller General, or their representatives, shall have
access to any books, documents,records and papers relating to the operations of Contractor under
this Agreement for the purpose of audit, examination, exception and transcription at all reasonable
hours at all offices of Contractor.
(2) For all contracts in which Contractor is cumulatively receiving federal monies in the amount of
$300,000 or more, Contractor must submit to City an annual audit prepared in accordance with 24
CFR Sections § 570.502-570.503 generally, with specific reference to OMB Circulars (with
attachments)A-122 and A-133 as appropriate. The audit may cover either Contractor's fiscal year
during which this contract is in force or cover the period of this contract.The audit must be prepared
by an independent certified public accountant,be completed within twelve(12)months following
the end of the period being audited and be submitted to City within thirty (30) days of its
completion. Contractor's audit schedule is attached hereto as Exhibit D-Audit Schedule. Costs of
preparation of this audit may be an allowable expenditure of ESG funds in an amount proportional
to that of the ESG funds used in contractor's total agency operating budget.
(3) City reserves the right to perform an audit of Contractor's program operations and finances at
any time during the term of this contract, if City determines that such audit is necessary for City's
compliance with OMB Circular A-128. City will perform six(6)month and year-end financial and
programmatic audits with periodic site visits as appropriate. Contractor agrees to allow access to all
pertinent materials. If such audit reveals a questioned practice or expenditure, such questions must
be resolved within fifteen(15) days after notice to Contractor. If questions are not resolved within
this period, City reserves the right to withhold further funding under this and/or future contract(s).
(4) If, as a result of any audit, it is determined that Contractor has misused, misapplied or
misappropriated all or any part of the grant funds described herein, Contractor agrees to reimburse
the 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.
5. Reporting Procedures
a.Financial Reports
Contractor will submit to City on a monthly basis: (1)Attachment II,Detailed Statement of Costs;and
(2)Attachment III,Expenditures Worksheet Report,as applicable,for expenses incurred for services and
activities accomplished by Contractor in performance of this Contract.The reports must be signed by a
i
XXX ESGCNT July 13,2004 3
duly authorized agent of Contractor and submitted by the 15th of the month following the month being
reported.The City is under no obligation to authorize payments for expenditures which occurred prior to
the first day of the month for which the report is submitted.
b. Performance Reports
Contractor will submit to City on a monthly basis: (1) Attachment IV and (2) Attachment IV(A),
Program Services Report to City for services and activities accomplished by Contractor in performance
of this contract. The report will be signed by a duly authorized agent of Contractor and submitted by the
15th of the month following the month which is reported.
6. Reversion of Assets
a. Contractor agrees to return to City any ESG funds remaining on hand at the end of the Contract.
b. All property purchased with ESG funds under this contract will be used solely for operation of the
Program. Contractor agrees to obtain City approval prior to purchase of property. Contractor agrees to
notify City upon receipt of property so that it may be properly tagged and inventoried. Title to such
property will be vested with the City, and,at the termination of the Program for which ESG funds have
been received, Contractor will deliver all such property to City for disposition at City's sole discretion.
7. Applicable Laws
a. Federal
Contractor agrees to comply with the following laws and the regulations issued thereunder as they are
currently written or are hereafter amended during performance of this contract:
• Title VI of the Civil Rights Act of 1964 (42 USC 2000d et seq)
• Title VIII of the Civil Rights Act of 1968 (42 USC 3601 et seq)
• Executive Orders 11063, 11246, as amended by 11375 and as supplemented by Department of
Labor regulations (41 CFR , Part 60)
• The Age Discrimination Act of 1975 (42 USC 6101-07 and implementing regulations at 24
CFR part 146
• Section 504 of the Rehabilitation Act of 1973 (29 USC 794)
• The Immigration Reform and Control Act of 1986(Pub.L. 99-603, 100 Stat. 3359,as amended),
specifically including the provisions requiring employer verification of the legal status of its
employees
• The Housing and Community Development Act of 1987 (Pub. L. 100-242, 101 Stat. 1815, as
amended)
• The Americans with Disabilities Act of 1990 (42 USC 12101 et seq)
• The Drug Free Workplace Act of 1988 (24 CFR part 23, subpart F)
• The Fair Housing Act (42 use 3601-20 and implementing regulations at 24 CFR part 100
• Section 3 of the Housing and Urban Development Act of 1968 (12 USC 1701) and the
regulations in 24 CFR part 135
• Executive Orders 11625, 12432, 12138, and 12372
b. Other Laws
Contractor covenants and agrees that its officers,members,agents,employees,program participants and
subcontractors shall abide by and comply with all other laws, federal, state and local, relevant to the
performance of this contract, including all ordinances,rules and regulations of the City of Fort Worth
and the Housing and Community Development Act of 1974 (Pub. .L 93=383, 885 Stat. 633,), as
amended, and all regulations pertaining thereto. Contractor further promises and agrees that it has read,
XXX ESGCNT July 13,2004 4
and is familiar with, terms and conditions of the Emergency Shelter Grant under which funds are
granted and that it will fully comply with same. It is agreed and understood that, if City calls the
attention of Contractor to any such violation 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.
8. Nondiscrimination
a. Contractor,in the execution,performance or attempted performance of this contract and agreement,
will not unlawfully discriminate against any person or persons because of sex, race, religion, age,
disability,color or national origin,nor will Contractor permit its officers,members,agents, employees,
subcontractors or program participants to engage in such discrimination.
b. In accordance with the policy of the Executive Branch of the federal government, Contractor
covenants that neither it nor any of its officers, members, agents, employees, program participants or
subcontractors, while engaged in performing this contract, shall, in connection with the employment,
advancement or discharge of employees or in connection with the terms,conditions or privileges of their
employment, discriminate against persons because of their age except on the basis of bona fide
occupational qualification, retirement plan or statutory requirement.
c. Contractor further covenants that neither it nor its officers, members, agents, employees,
subcontractors,program participants,or persons acting on their behalf, shall specify,in solicitations or
advertisements for employees to work on this contract, a maximum age limit for such employment
unless the specified maximum age limit is based upon a bona fide occupational qualification,retirement
plan or statutory requirement.
d. In accordance with the provisions of the Americans with Disabilities Act of 1990 ("ADA"),
Contractor warrants that it and any and all of its subcontractors will not unlawfully discriminate on the
basis of disability in the provision of services to the general public,nor in the availability,terms and/or
conditions of employment for applicants for employment with Contractor,or employees of Contractor
or any of its subcontractors. Contractor warrants it will fully comply with ADA's provisions and any
other applicable federal,state and local laws concerning disability and will defend,indemnify and hold
City harmless against any claims or allegations asserted by third parties or subcontractors against City
arising out of Contractor's and/or its subcontractors'alleged failure to comply with the above-referenced
laws concerning disability discrimination in the performance of this agreement.
e. This agreement is made and entered into with reference specifically to the ordinances codified at
Chapter 17,Article III,Division 3 ("Discrimination in Employment Practices"),of the City Code of the
City of Fort Worth, and Contractor hereby covenants and agrees that Contractor, its officers,members,
agents, employees and subcontractors, have fully complied with all provisions of same and that no
employee, employee-applicant or program participant has been discriminated against by the terms of
such ordinances by either the Contractor or its officers,members,agents,employees or subcontractors.
9. Prohibition Against Interest
a. No member,officer or employee of City or its designees or agents;no member of the governing body
of the locality in which the Program is situated;and no other public official of such locality or localities,
who exercises any functions or responsibilities with respect to the Program funded hereunder during his
or her 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.
1�?4' \�;7 L
XXX ESGCNT July 13,2004 5 y
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b. No member,officer,employee,or program participant of Contractor or its subcontractors shall have a
financial interest,direct or indirect,in this contract 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 contract voidable by the City of Fort
Worth.
10. Minority and Women Business Enterprise Commitment
Contractor agrees to abide by the City of Fort Worth's policy to involve Minority and Women Business
Enterprises(M/WBE)in all phases its procurement practices and to provide them an equal opportunity
to compete for contracts for construction,provision ofprofessional services,purchase of equipment and
supplies and provision of other services required by City. Therefore, Contractor agrees to incorporate
City Ordinance No. 11923, and all amendments or successor policies thereto,into all contracts and will
further require all persons or entities with whom it contracts to comply with said Policy.
11. Non-Assignment
Contractor will not assign any or all of its rights or responsibilities under this contract without the prior
written approval of City. Any purported assignment without such approval will be a breach of this
contract and void in all respects.
12. Independent Contractor
a. Contractor shall operate hereunder as an independent contractor and not as an officer,agent,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 invitee. The doctrine ofrespondeat 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.
b. 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; and Contractor hereby
indemnifies and holds harmless City and its officers,agents,and employees from and against any and all
claims or suits.
13. Insurance and Bonding
a. Contractor covenants and agrees to indemnify, hold harmless and defend, at its own_expense, City
and its officers, agents, servants and employees from and against any and all claims or suits for property
loss or damage and/or personal injury, including death, to any and all persons, of whatsoeverikind or
character, whether real or asserted, arising out of or in connection with the execution, performance,
XXX ESGCNT July 13,2004 6
attempted performance or nonperformance of this contract and agreement and/or the operations,
activities and services of the Program described herein, whether or not caused, in whole or in part,by
alleged negligence of officers, agents, servants, employees, contractors or subcontractors of City; and
Contractor hereby assumes all liability and responsibility of City and its officers, agents, servants, and
employees for any and all claims or suits for property loss or damage and/or personal injury, including
death,to any and all persons, of whatsoever kinds or character,whether real or asserted,arising out of or
in connection with the execution, performance, attempted performance or non-performance of this
contract and agreement and/or the operations,activities and services of the programs described herein,
whether or not caused in whole or in part,by alleged negligence of officers,agents,servants,employees,
contractors or subcontractors of City. Contractor likewise covenants and agrees to and does hereby
indemnify and hold harmless City from and against any and all injury,damage or destruction ofproperty
of City, arising out or in connection with all acts or omissions of Contractor, its officers, members,
agents,employees, subcontractors,invitees,licensees,or program participants,or caused,in whole or in
part, by alleged negligence of officers, agents, servants, employees, contractors or subcontractors of
City.
b. Contractor will maintain a blanket fidelity coverage in the form of a bond in the amount of$13,500,
to insure against loss from the fraud,theft or dishonesty of any of Contractor's officers,agents,trustees,
directors or employees. The proceeds of such bond shall be used to reimburse City for any and all loss
of ESG monies occasioned by such misconduct. To effectuate such reimbursement, such bond shall
include a rider stating that reimbursement for any loss or losses thereunder shall be made directly to City
for the uses and benefit of Contractor.
c. Contractor shall furnish certificates of insurance as proof that it has secured and paid for policies of
workers'compensation,public liability and automobile liability insurance covering all risks incident to
or in connection with the execution, performance, attempted performance or nonperformance of this
contract and agreement. The amounts of such insurance shall not be less than the maximum liability
which can be imposed on City under the laws of the State of Texas. Contractor understands and agrees
that such insurance amounts may be revised upward at City's option and that Contractor shall revise
such amounts within thirty(30) days following notice to Contractor of such requirements.
d. Contractor will submit documentation to City that it has obtained insurance coverage and has
executed bonds as required in this contract within thirty(30)days of the execution of this contract and
prior to payment of any monies hereunder.
14. Waiver of Immunity
If Contractor, as a charitable or nonprofit organization, 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. Termination
a. In addition to, and not in substitution for,other provisions of this Agreement regarding the provision
of public services with ESG funds,pursuant to Title I of the Housing and Community Development Act
of 1974, as amended, it is expressly understood and agreed by and between the parties hereto that this
agreement is wholly conditioned upon the actual receipt by City of Federal ESG Year 2004-2005 funds;
that all monies distributed to Contractor hereunder shall be exclusively from 1 ed eived
under said grant and not from any monies of City;and that if such funds under.said grantot time
forthcoming, in whole or in part, City may, at its sole discretion,terminate this contract and agr ement
XXX ESGCNT July 13,2004 7 J'�'�
and City shall not be liable for payment for any work or services performed by Contractor under or in
connection with this contract.
b. City may terminate this contract whenever such termination is determined to be in the best interest of
City, in event of Contractor's default, inability or failure to perform or to comply with any of the terms
herein, or for other good cause.
c. The parties acknowledge that ESG funds paid hereunder are intended to provide only partial funding
for Contractor's program operations. If non-ESG funds included in the Operating Budget are not
forthcoming to Contractor during the contract term, City may terminate this contract.
d. ESG funds provided hereunder may not be used as collateral for loans to Contractor to defray
program operation expenses, and any attempted use of ESG funds for this purpose will result in
termination of this contract by City.
e. Termination will be effected by written notice to Contractor, specifying the portions of the contract
affected and the effective date of termination. Upon Contractor's receipt of such termination notice,
Contractor will:
• Stop work under the contract on the date and to the extent specified by City;
• Cease expenditures of ESG monies, except as necessary for completion of the portions of the
contract not terminated; and
• Terminate all orders and contracts to the extent that they relate to terminated portions of the
contract.
f. Contractor will return to City any unused monies previously advanced by City under this contract
within thirty(30)days of the effective date of contract termination. City will have no responsibility or
liability for Contractor's expenditures or actions occurring after the effective date of contract
termination.
16. Certification Regarding Lobbying
a. The undersigned representative of Contractor hereby certifies,to the best of his or her knowledge and
belief,that: No federal appropriated funds have been paid or will be paid,by or on behalf of Contractor,
to any person for influencing or attempting to influence an officer or employee of any agency,a member
of Congress, an officer or employee of Congress or an employee of a member of Congress in connection
with the awarding of any federal contract, the making of any federal grant, the making of any federal
loan, the entering into of any cooperative agreement and the extension, continuation, renewal,
amendment, or modification of any federal contract, grant, loan or cooperative agreement. Contractor
shall require that the language of this certification be included in all subcontracts or agreements
involving the expenditure of federal funds.
b. If any funds other than federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a member of Congress,an
officer or employee of Congress, or an employee of a member of Congress in connection with this
federal contract, grant, loan or cooperative agreement, Contractor shall complete and submit Standard
Form-LLL, Disclosure Form to Report Lobbying," in accordance with its instructions.
17. Miscellaneous Provisions
a. All terms of this contract shall apply to any and all subcontractors of Contractor who are in any way
paid with ESG funds or who perform any work in connection with Contractor's program.
b. The provisions of this agreement are severable,and,if for any reason a clausesenteMnpf.12ffagraph or
other part of this agreement shall be determined to be invalid by a court or federal or stato-ageticy,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.
XXX ESGCNT July 13,2004 8
c. The failure of the City 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.
d. Should any action, whether real or asserted, at law or in equity, arise out of the execution,
performance,attempted performance or nonperformance of this contract and agreement,venue for said
action shall lie in Tarrant County, Texas.
e. This written instrument and the exhibits attached hereto, which are incorporated by reference and
made a part of this contract for all purposes,constitute the entire agreement between the parties hereto
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 contract must be in writing and must be approved by each party to this contract.
XXX ESGCNT July 13,2004 9
IN WITNESS WHEREOF, the p rtie4hereto have e t d ee (3) copies of this co tract in Fort
Worth, Tarrant County, Texas, this � day of ,A.D. 20 .
CITY OF FORT WORTH YWCA of Fort Worth and Tarrant County
(Supportive Living)
By: VL By: �
Charles R. Boswell Ms. Judi Bishop
Assistant City Manager Executive Director
APPROVED AS TO FORM AND LEGALITY:
City Att�'m"
Date
ATTEST:
' �hSecretary
'CiCant act tho
Date
XXX ESGCNT July 13,2004 10
STATE OF TEXAS §
COUNTY OF TARRANT §
BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this day
personally appeared Charles Boswell, known to me to be the person whose name is subscribed to the
foregoing instrument, and acknowledged to me that the same was the act of the City of Fort Worth and that
he executed the same as the act of said City of Fort Worth for the purposes and consideration therein
expressed and in the capacity therein stated.
tt
GIVEN UNDER MY HAND AND SEAL OF OFFICE this v?6 day of ,A.D. 20 Q.
:,.;Q7v PG9`• ROSELLA BARNES n
NOTARY PUBLIC
z*t }*` State of Texas Notary Public in and for
ti�TFOF'C�:f Comm.Exp.03-31-2005
the State of Texas
STATE OF TEXAS §
COUNTY OF TARR-ANT §
BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this day
personally appeared Ms. Judi Bishop, known to me to be the person whose name is subscribed to the
foregoing instrument, and acknowledged to me that he\she executed the same for the purposes and
consideration therein expressed, as the act and deed for YWCA of Fort Worth and Tarrant County
(Supportive Living) and in the capacity therein stated as its duly authorized officer or representative.
GIVEN UNDER MY HAND AND SEAL OF OFFICE this day o D. 20
cuNTow sou- l
WT0yPie 5FATE0F tary Publi and for
» CONNISSiON EXPIRE&*
' a ° sEPMeE;R 7,mos the State of'Texas
L'If
XXX ESGCNT July 13,2004 11
APPENDIX A—CONSTITUTIONAL PROVISION
Contractor represents that it is, or may be deemed to be, a religious or denominational institution or an organization
operated for religious purposes which is supervised or controlled by or in connection with a religious or
denominational institutional or organization. Pursuant to Title 24 CFR CH.V § 576.23 (a)(i). Contractor agrees that
in connection with this contract:
a. The organization will not discriminate against any employee or applicant for employment on the basis
of religion, and will not limit employment or give preference in employment on the basis of religion;
b. The organization will not discriminate against, limit services provided to, or give preference to any
person obtaining shelter, other service(s) offered by the project, or any eligible activity permissible
under the ESG program on the basis of religion and will not limit such service provision or give
preference to persons on the basis of religion;and
c. The organization will not provide religious instruction, counseling, religious services, worship (not
including voluntary nondenominational prayer before meetings), engage in religious proselytizing, or
exert other religious influences in the provision of shelter or other eligible ESG activities under this
part.
EXHIBIT A
PROGRAM SUMMARY
YWCA of Fort Worth and Tarrant County (Supportive Living)
AGENCY
Supportive Living
PROGRAM
00000 June 1, 2004-May 31, 2005 $13,500
CONTRACT NO. PERIOD AMOUNT
PROGRAM DESCRIPTION
ESG funds allocated by the City will be used to reimburse a portion of the maintenance and operations
costs incurred by the Supportive Living Program. The program provides transitional housing, case
management and information and referral services at the YWCA facility for homeless women.
COUNCIL DISTRICT (S)
ALL
PROGRAM GOALS
To empower transitionally homeless women with the skills they need to become self-sufficient.
PROGRAM OBJECTIVES
Provide clients with essential services to meet the objectives of becoming self-sufficient.
PROGRAM SERVICES and ACTIVITIES GOALS
Number unduplicated clients served 25
Number nights housing provided for clients 4,740
Number hours case management provided for clients 1,344
Hours of Counseling 84
* One night of housing is one unit of service per client
EXHIBIT B
ESG YEAR XXX
PROGRAM SERVICE SCHEDULE
YWCA of Fort Worth and Tarrant County
AGENCY
Supportive Living
PROGRAM
Activity un July NugSet Oct ov Oec Jan eb mar r May Total
Number of Unduplicated Clients
Served 3 2 2 2 2 2 2 2 2 2 2 2 25
Number nights housing provided 395 395 395 395 395 395 395 395 395 395 395 395 4,740
or clients
umber hours case management
rovided for clients 112 112 112 112 112 112 112 112 112 112 112 112 1,344
our of Counseling 7 7 7 7 7 7 7 7 7 7 7 7 84
*One night of housing is one unit of service per client.
PROGRAM BUDGET EXHIBIT C
ESG
2004-2005 Page 1 of 3
CONTRACT PERIOD From: 6/1/2004 To: 5/31/2005
Name of Sub Grantee Name of Program
YWCA of Fort Worth and Tarrant County Supportive Livin
Program ESG
Cost Category Budget Funds a b c d
ESSENTIAL SERVICES
Salaries 162,980 29,574 19,995 16,488 96,923
FICA 13,040 - 13,040
Life Insurance -
Health Insurance 11,095 - - 11,095
Employment Tax-State -
Worker's Comp 1,580 - 1,580
Retirement 6,410 - 6,410
OPERATIONS AND MAINTENANCE
Food Supplies 2,000 - - 2,000
Telephone 2,600 - - 2,600
Electric 32,825 10,000 - - 22,825
Gas[Utilities] 2,400 - - - 2,400
Water/Waste Disposal 1,100 1,100 - -
Building Lease - -
Custodial Services - - -
Office Equipment Rental 1,910 - - 1,910
Printing 350 - - 350
Repairs 10,375 2,400 7,975
Fidelity Bond 150 150
Liability Insurance 2,850 2,850
Professional Services -
Legal&Accounting 1,265 1,265
Auto Allowance 150 150
Advertising 500 - - 500
Conferences&Seminars 500 500
Contractual Services
Other" 80,324 80,324
Other Funds Sources
CAPI T AL OUT LAY
Furniture, Fixtures -
Office Equipment,Computers
Other Equipment - -
TOTALI 334,404 13,5001 29,574 1 19,995 16,488 254,847
MATCHING FUND SOURCES
[a] Special Events
[b] Ballroom Rental
[c] United Way
[d] Fund Raising
Other" Admin.$40444;Non-Capital equipment$9610;misc.$30270
:r
BUDGET DETAIL Page 2 of 3
PERSONAL SERVICES
Hourly Annual % % Charged
Position /Title Rate Hours Match to ESG Amount
1 N/A 2080 0.0%
2
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
TOTAL STAFF SALARIES -
FRINGE BENEFITS
% of % Paid % Paid
CATEGORY Payroll Amount by Agency by Fund Amount
FICA 7.65% - 0 0% -
Life Insurance 0.0% - 0 0% -
Health Insurance 0.00% - 0 0% -
Employment Tax-State 0.00% - 0 0% -
Employment Tax-Federal 0.00% - 0 0% -
Worker's Comp 0.00% - 0 0% -
Retirement 0.00% - 0 0% -
TOTAL FRINGE BENEFITS -
TOTAL PERSONAL SERVICES -
BUDGET DETAIL Page 3 of 3
OTHER OPERATING EXPENSES
Total Matchii Total % Charged
Category Cost Funds Matching Funds ESG ESG
Electricity $ 32,825.00 70% 22825 30% $ 10,000.00
Gas $ 2,400.00 0% 0 0% $ -
Water/Waste Disposal $ 1,100.00 0% 0 100% $ 1,100.00
Repairs $ 10,375.00 77% 7975 23% $ 2,400.00
0 0 -
Total Operations &
Maintenance $ 46,700.00 $ 30,800.00 $13,500.00
BUILDING LEASE
No. Squa Cost Per
Building Location Foot Square Foot Amount
1 0 0 -
2 0 0 -
3 0 0 -
TOTAL BUILDING LEASE -
OTHER EXPENSES
Total % Charged
Category Charge To ESG Amount
Fidelity Bond 0 0.0% -
Liability Insurance 0 0.0% -
Legal &Accounting 0 0.0% -
TOTAL OTHER EXPENSES 0
CONFERENCES &SEMINARS
Total % Charged
Event ChargeE to CDBG Amount
1 0 0.0% 0
2 0 0.0% 0
3 0 0.0% 0
TOTAL CONFERENCES &SEMINARS 0
OFFICE EQUIPMENT RENTAL
Total % Charged
Item Charge to CDBG Amount
1 0
2 0
3 0
TOTAL OFFICE EQUIPMENT RENTAL 0
EXHIBIT "D"
AUDIT SCHEDULE
INDEPENDENT AUDIT REQUIREMENT
BUSINESS/AGENCY NAME: YWCA of Fort Worth and Tarrant County
PROGRAM: Supportive Living Program
ESG YEAR: XXX
AMOUNT FUNDED: $13,500
Name of Independent Auditor who will perform agency audit:
Independent Auditor to be contracted during ESG contract period.
Date audit is to be performed:
Within 60 days of completion of ESG funded project.
The following language is a condition of your contract with the City:
(1) For all contracts in which Contractor is cumulatively receiving federal
monies in the amount of$300,000 or more, Contractor must submit to City an
annual audit prepared in accordance with 24 CFR Sections § 570.502-570.503
generally, with specific reference to OMB Circulars (with attachments) A-122
and A-133 as appropriate. The audit may cover either Contractor's fiscal year
during which this contract is in force or cover the period of this contract. The
audit must be prepared by an independent certified public accountant, be
completed within twelve (12) months following the end of the period being
audited and be submitted to City within thirty (30) days of its completion.
Contractor's audit schedule is attached hereto as Exhibit D - Audit Schedule.
Costs of preparation of this audit may be an allowable expenditure of ESG
funds in an amount proportional to that of the ESG funds used in contractor's
total agency operating budget.
This form is to be completed and submitted to the Intergovernmental Affairs and Grants
Management Division at the beginning of each contract year.
Signature
CITY OF FORT WORTH Attachment I
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
CONTRACT MANAGEMENT DIVISION
REQUEST FOR FUNDS
AGENCY: PROGRAM:
ADDRESS: CONTRACT NUMBER:
CONTRACT AMOUNT:
CONTRACT DATE:
DATE OF REQUEST:
SECTION I (AGENCY) CURRENT MONTH CUMULATIVE
I. Reimbursement Request
1. Expenditures: $ $
2. Income
A. Program Income $ $
B. City of Fort Worth $ $
C. Interest Earned CDBG Funds $ $
3. Reimbursement(1 minus 2) $ $
11.Advance Pay Requests/Repayment $ $
III. Reporting Interest
1. Interest over$25 per quarter returned to City of Fort Worth $ $
SECTION II (CITY)
I. BYSPEED -Purchasing Request
A.BYSPEED INPUT:Vendor/PO Number/Requisition Number:
B. Fund/Account/Center:
C.Total Amount of this Request: $
SECTION III
I. Verification
A. Contract Compliance Specialist
(Name) (Signature) (Date)
B. BYSPEED-Purchasing
(Name) (Signature) (Date)
C. Accounting
(Name) (Signature) (Date)
II.Authorization
A. Agency
(Name) (Signature) (Date)
B. Contract Manager D.Emerson.
(Name) (Signature) (Date)
C. Budget Director B. Garrett
(Name) (Signature ❑ (Date)
1 EIS
Distribution:
1 Copy-Accounting
1 Copy-IAGM 3 .��r .e 'ct U�rL'o
1 Copy-Agency 1
-- -- :- _-__..__CITY-OF-FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT ESGATTACHMENT2
CONTRACT MANAGEMENT DIVISION
ESG 2004-2005
Agency
Period
rogram
Contract Numer
Date eques
ESG EXPENDITURES MATCHING FUNDS
ACCOUNT PROGRAM MONTHLY CUMULATIVE PROGRAM MONTHLY CUMULATIVE
COST CATEGORY Number BUDGET EXPENDITURES TO DATE Balance BUDGET EXPENDITURES TO DATE Balance
ESSENTIAL SERVICES
Salaries 516 010
FICA 518 010
Life Insurance 518 050
Health Insurance 518 060
Employment Tax-State 518 090
Workers Comp 518 040
Retirement 518 070
OPERATIONS AND MAINTENANCE
Salaries 516 010 _
FICA 518 010
Life Insurance 518 050
Health Insurance 518 060 -
Employment Tax-State 518 090 - -
Workers Comp 518 040
Retirement 518 070
Food Supplies 552 030
Telephone 535 040 -
Electric 535 020
Gas[Utilities] 535 010 -
Water/Waste Disposal 535 030
Building Lease 537 010 -
Custodial Services 539 220
Office Equipment Rental 537 030
Printing 533 030
Repairs 536 010 -
Fidelity Bond 538 210
Liability Insurance 534 020
Prfessional Services 531 200
Legal&Accountng 538 050 -
Auto Allowance 532 130 -
Advertising 533 010 -
Conferences&Seminars 531 180
Contractual Services 539 120
CAPITAL OUTLAY
Furniture,Fixtures 541 330
Office Equipment,Computers 541 370
Other Equipment 541 320
TOTAL - - - - - - -
Contractor Certification: I certify that the costs incurred are taken from the books of account and that such costs are valid and consistent with the terms of the agreement
NAME and TITLE OF AUTHORIZED OFFICER SIGNATURE and DATE
DISTRIBUTION: 770,
1 Copy-Accounting ,
1 Copy-IAGM
1 Copy-Agency �t
ATTACHMENT 3
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
--- CONTRACT MANAGEMENT DIVISION -
EXPENDITURES WORKSHEET
I
Agency Contract Number Date
To
Program Report Period
NO DATE CHECK NO PAYEE DESCRIPTION ACCOUNT NO. AMOUNT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19 k
20
21 is
22
23
24
25
26
TOTAL
TITLE OF AUTHORIZED OFFICER SIGNATURE AND DATE
IAC
Distribution:
1 copy-Accounting
1 copy-IAGM
1 copy-Agency
ATTACHMENT 4
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS_MANAGEMENT
ESG XXX
1.NAME AND ADDRESS OF SUB-GRANTEE 2. PROJECT NAME:
3. CONTRACT No:
4. DATE OF
REQUEST:
MONTH&YEAR
.3
5. PROGRAM SERVICES AND ACTIVITIES
CURRENT
Iv1Qhmi CUM liAMM
Residential Services:
Average Number Served Daily Adults:
Children:
Average Number Served Yearly(Unduplicated):
Non-Residential Services:
Average Number Served Daily:
6. RESIDENTIAL SERVICES DATA(Beneficiaries)
Enter Approximate Percentages of:
Unaccompanied 18 and Over Male: % Female: %
Unaccompanied under 18 Male: % Female: %
Families With Children Headed By:
Single 18 and Over Male: % Female: %
Youth 18 and Under: Male: % Female: %
Two Parents 18 and Over: %
Two Parents Under 18: %
Families With No Children: %
On An Average Day,Percentage Of The Population Served Who Are:
Battered Spouse: %
Runaway1nnv away Youth: %
Chronically Mentally Ill: %
Developmentally Disabled: %
HIV/AIDS: %
Alcohol Dependent Individuals: %
Drug Dependent Individuals: %
Elderly: %
Veterans: %
Physically Disabled: %
Other: %
8. CERTIFICATION: The undersigned hereby gives assurance that to the best of my knowledge_and b-lief tha-data included in
this report is true and accurate, and if a non-profit agency, has been approved by the governing bad yvf`T 1. en"tlon prior to
submission. ]]
Ilk
Date: Submitted by: flp.*P�",-
IAGM/April 2002
ATTACHMENT 4
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
ESG XXX
1.NAME AND ADDRESS OF SUB-GRANTEE 2. PROJECT NAME:
3. CONTRACT N0:
4. DATE OF
REQUEST:
MONTH&YEAR
7. HOUSING SERVICES DATA(Data Associated with Residential Services)
Number of
Shelter Tyne Persons Housed
Barracks:
Group/Large House:
Scattered Site Apartment:
Single Family Detached House:
Single Rom Occupancy:
Mobile Home/Trailer:
Hotel/Motel:
Other:
Total:
8. ESG FUNDING SOURCES
Source of Funds Funding Amount Current Month Cumulative Total
ESG:
Other Federal:
Local Government:
Private:
Fees:
Other:
8. CERTIFICATION: The undersigned hereby gives assurance that to the best of my knowledge and belief, the data included in
this report is true and accurate, and if a non-profit agency, has been approved by the governing body of the organization prior to
submission.
Date: Submitted by: Phone Num:
IAGM/April 2002
ATTACHMENT 5
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
1.Agency/Address 2.Project Name:
3.Contract No: Contract Date:
Contract Amount:
4.Date of Request:
MONTH&YEAR
5. PROGRAM SERVICES AND ACTIVITIES: CURRENT CUMULATIVE
6. SCOPE OF WORK NARRATIVE:
7. PROBLEMS ENCOUNTERED / SOLUTIONS PROPOSED:
8. ANTICIPATED ACTIVITY DURING THE NEXT MONTH:
9. CERTIFICATION: The undersigned hereby gives assurance that to the best of my knowledge and belief,the data included in this report is true
and accurate,and if a non-profit agency,has been approved by the governing body of the organization prior to submission.
Date: Submitted by: Phone Num:
Attachment 6
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
CLIENT DATA REPORT
1. Name and Address of Sub-Grantee:
2.Project Name:
3.Contract No:
Contract Amount:
4.Date of Request:
MONTH&YEAR
NAME AGE SEX RACE HJC #FAM INCOME FHOH STREET ADDRESS ZIP
8.CERTIFICATION: The undersigned hereby gives assurance that to the best of my knowledge and belief,the data included in this report are true and
accurate,and if,a non-profit agency, has been approved by the governing body of the organization prior to submission.
Date: Submitted by: Phone Num:
IAGMtAprii 2002
Attachment 6
CLIENT DATA REPORT
(CONTINUATION SHEET)
AGENCY PROGRAM CONTRACT#
MONTH&YEAR
NAME AGE SEX RACE H(C #FAM INCOME FHOH STREET ADDRESS ZIP
�Y
•A fnY.i
Page 1 of 3
City of Fort Worth, Texas
Mayor and Council Communication
COUNCIL ACTION: Approved on 6/8/2004
DATE: Tuesday, June 08, 2004
LOG NAME: 02ACTIVITY REFERENCE NO.: **C-20095
SUBJECT:
Community Development Block Grant Year XXX, Emergency Shelter Grant Year 2004-2005, and
Housing Opportunities for Persons with AIDS 2004-2005 Contract Activities
RECOMMENDATION:
It is recommended that the City Council:
Authorize the City Manager to execute Community Develoment Block Grant (CDBG) Year XXX,
Emergency Shelter Grant (ESGZYear 2004-200. 5 and Housing ortunities for Person with AIDS
(HOPWA)Year 2004-2005, contracts with the following organizations to administer their respective
programs, contingent upon approval and receipt of adequate funding from the U.S. Department of Housing
and Urban Development (HUD), for a term beginning June 1, 2004, and ending May 31, 2005:
I. Community Development Block Grant (CDBG)
Contract with the listed agencies for an amount not to exceed the following:
Southside Area Ministries (SAM'S Kids) $ 4 ,610
Habitat for Humanity $14,762.00
REACH, Inc. $19,683.00
Centro Cultural de las Americas $27,540.00
Boys and Girls Clubs (NINOS) $19,829.00
Boys and Girls Club(KEYS) $18,266.00
JMAC Yough Center of Tarrant County $25,000.00
East Fort Worth Montessori $22,385.00
Latin Arts Associaton $17,250.00
Summerbridge Fort Worth $27,338.00
CJ's Studio of Perfuming Arts $9,000.00
.Women's Center of Tarrant County $27,000.00
YWCA of Fort Worth (AIM) $20,986.00
YWCA of Fort Worth (Child Care) $150,000.00
Child Care Associates $130,000.00
Fort Worth Housing Authority (AMAKA) $30,000.00
YMCA $120,375.00
Clayton Child Care $60,000.00
Southside Area Ministries (Mid South Seniors) $2,570.00
Senior Citizen Services of Tarrant County (COMO) $17,597.00
http://www.cfwnet.orq/council_packet/Reports/mc_print.asp 6/14/2004
Page 2 of 3
Meals on Wheels $33,696.00
Senior Citizen Services of Tarrant County (RIVERSIDE) $15,271.00
Mental Health Association (OMBUDSMAN) $17,500.00
Mental Health Associstion (Advocate) $24,750.00
Northside Inter-Church Agency $28,933.00
Southside Area Ministries (Adult ESL) $3,500.00
Day Resource Center $30,000.00
Presbyterian Night Shelter (Bottle Deposit) $30,000.00
Job, Inc. $73,198.00
Fort Worth SER $72,224.00
A-PREP Center of Tarrant County $71,745.00
Fort Worth Economic Development Corp. (RLF) $51,908.00
TOTAL CDBG $1,216,916.00
II. Emergency Shelter Grant (ESG)
YWCA (Supportive Living) $13,500.00
Cornerstone Assistance Network $13,568.00
Presbyterian Night Shelter(Shelter) $151,308.00
Bridge Emergency Youth Services $7,082.00
Women's Haven of Tarrant County, Inc. $21,683.00
Presbyterian Night Shelter(Infirmary) $15,040.00
MHMR of Tarrant County $16,117.00
YWCA (My Own Place) $19,794.00
TOTAL ESG $258,092.00
III. Housing Opportunities for Persons with HIV/AIDS (HOPWA)
AIDS Outreach Center, Inc. $462,620.00
Tarrant County Samaritan Housing, Inc. $242,539.00
AIDS Resources of Rural Texas $104,791.00
TOTAL HOPWA $809,950.00
DISCUSSION:
On April 6, 2004, the City Council approved and adopted the budgets and the appropriation ordinance
increasing estimated receipts and appropriations for the Thirtieth (30th) Year Community Development
Block Grant (CDBG), (2004-2005), Emergency Shelter Grant (ESG), and (2004-2005) Housing
Opportunities for Persons with AIDS (HOPWA), grant funds as part of the City's Consolidated Action Plan.
The Consolidated Action Plan, as adopted by the City Council, included program descriptions for each of
the above funded programs.
The above programs are consistent with the City's approved priorities and the City Council's prior policies
and meet the requirements of the Department of Housing and Urban Development (HUD) regulations
concerning eligible "activities."
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Page 3 of 3
FISCAL INFORMATION/CERTIFICATION:
The Finance Director certifies that funds will be available in the current operating budget, as appropriated,
of the Grants Fund contingent upon approval and receipt of adequate funding from the U.S. Department of
Housing and Urban Development (HUD) for the term beginning June 1, 2004, and ending May 31, 2005.
TO Fund/Account/Centers FROM Fund/Account/Centers
GR76 5 $258,092.00
(VARIOUS) XXX206931XXX
GR76 5 $809,950.00
(VARIOUS) XXX206932XXX
GR76 5 $1,216,916.00
(VARIOUS) XXX206929XXX
Submitted for City Manager's Office by Charles Boswell (8511)
Originating Department Head: Bridgette Garrett (6183)
Additional Information Contact: Deidra Emerson (7563)
http://www.cfwnot.org/council_packet/Reports/mc_print.asp 6/14/2004