HomeMy WebLinkAboutContract 29070 STATE OF TEXAS § CITY SECRETARY
CONTRACT NO .
09-09-03 A09 : 23 I !
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 Hemphill Presbyterian Church
("Contractor"),by and through Mr.Michael D. Cooley,its duly authorized Treasurer. Contractor's business
address is 1701 Hemphill, Fort Worth, TX 76110.
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 Community Development
Block Grant ("CDBG") for Year XXIX; and,
WHEREAS, the primary purpose of the CDBG Program is to benefit low and moderate income citizens
of Fort Worth; and,
WHEREAS,the citizens of Fort Worth,the Community Development Council, and the City Council of
Fort Worth have determined that Public Service Programs are needed by low and moderate income citizens
of Fort Worth;
NOW, THEREFORE, THIS AGREEMENT FURTHER WITNESSETH:
THAT, the parties covenant and agree as follows:
1. Scope of Services
a. Contractor will administer After School Program services to citizens of the City of Fort Worth under
the program name After School Program ("Program"), for the term August 1, 2003 to May 31, 2004.
b. Contractor will provide the services and activities delineated in Exhibit A-Program Summary in
accordance with Exhibit B-Program Services Schedule.
c. Contractor agrees to meet the National Objective of activities benefiting low and moderate income
individuals and to maintain full documentation supporting fulfillment of this National Objective in its
files.
d. 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
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.
2. Compensation and Method of Payment
a. City will disburse CDBG Year XXIX monies in an amount up to $31,003 to Contractor on a
reimbursement of expenses basis.
XXIX CDBGCNT September 8,2003 I �� ';'1w� i Y EKI
b. Payment will be processed by City following receipt from Contractor of the following monthly
financial documents: (1) Attachment I-Sub-Grantee's Request For Funds, (2) Attachment II-Detail
Statement of Costs, and (3) Attachment III-Expenditures Worksheet Report. Reimbursement for the
payment of eligible expenses shall be made against the line item budget specified in Exhibit C-Program
Operating Budget and in accordance with performance specified in Exhibit B-Program Services
Schedule. The City is under no obligation to disburse funds for expenditures which occurred prior to
the first day of the month for which the report is submitted.
c. Contractor agrees to utilize all disbursed CDBG 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 CDBG Program Operating Budget without
prior written approval by the City.
d. It is understood that the total cost for operation of this program is $56,129.00 and that Contractor
will obtain the remaining funds in excess of the CDBG 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 CDBG 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.
£ Contractor will not commingle CDBG monies with any other funds in any manner which would
prevent City from readily identifying program expenditures for operation of the Program.
3. 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 thereto,regarding principles
for determining costs for the Program.
b. Documentation and Record Keeping
i. Requirement
Contractor shall maintain all records pertinent to the activities to be funded under this Agreement
required by HUD regulations specified in 24 CFR§ 570.506. In addition,Contractor agrees to keep
records to fully document all expenditures charged to the CDBG 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. Retention
(1) All records pertaining to Program shall be retained 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.
(2) Contractor will retain Program loan records until four(4)years after the expiration of the loan.
XXTX CDBOCNT August 14,2003 2
ill. Property Records
The contractor shall maintain real property inventory records which clearly identify properties
purchased, improved, or sold. Properties retained shall meet eligibility criteria and shall conform
with 24 CFR § 570.505.
iv. 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.
v. 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 CDBG funds in an amount
proportional to that of the CDBG 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. 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.
4. Reporting Procedures
Financial Reports
a. Contractor will submit to City on a monthly basis: (1) Attachment I, Attachment II, Detailed
Statement of costs; and (2) Attachment III, Expenditures worksheet as applicable, for expenses
incurred for services and activities accomplished by Contractor in performance of this contract,and
(3)Actual cash receipts for claimed expenditures must be provided at the time the request for funds
is presented. The reports must be signed by a duly authorized agent of the Contractor submitted by
the 15th of the month following the month being reported.
XXX CDBGCNT August 14,2003 3
b. Progress Reports
Contractor will submit monthly Attachment IV- Program Services Report to City for services and
activities undertaken 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.
c. Program Income
Contractor agrees that all program income from operation of the Program in proportion to the amount of
CDBG funds received hereunder will be expended prior to expending CDBG monies and that any such
program income is subject to the terms of this contract. CDBG 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 CDBG funds in the overall operating
budget.
d. Procurement
i. Compliance
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.
ii. OMB Standards
The Contractor shall procure all materials,property,or services in accordance with the requirements
of OMB CircularA-110,Procurement Standards,and shall subsequently comply with Attachment N,
Property Management Standards as modified by 24 CFR 570.502(b)(6), covering utilization and
disposal of property.
5. Reversion of Assets
a. Contractor agrees to return to City any CDBG funds remaining on hand at the end of the Contract.
b.All property purchased with CDBG 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 CDBG funds
have been received, Contractor will deliver all such property to City for disposition at City's sole
discretion.
6. 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 in Employment Act of 1973 (29 USC 794)
• 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
XXIX CDBGCNT August 14,2003 4
• 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 sec)
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,
and is familiar with, terms and conditions of the Community Development Block 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.
7. 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.
xXTX CDBGCNT August 14,2003 5
8. 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.
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.
9. 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(MWBEs)in all phases its procurement practices and to provide them an equal opportunity
to compete for contracts for construction,provision of professional 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.
10. 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.
11.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 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.
XX1X CDBGCNT August 14,2003 6
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.
12. 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 whatsoever kind or
character, whether real or asserted, arising out of or in connection with the execution, performance,
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 ori 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 of property
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$31,003,
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 CDBG 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.
13. 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
)XIX CDBGCNT August 14,2003 7
exemption as against City. This section shall not be construed to affect a governmental entity's
immunities under constitutional, statutory or common law.
14. Termination
a. In addition to, and not in substitution for,other provisions of this Agreement regarding the provision
of public services with CDBG 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 CDBG Year XXIX
funds; that all monies distributed to Contractor hereunder shall be exclusively from Federal monies
received under said grant and not from any monies of City; and that if such funds under said grant are
not timely forthcoming, in whole or in part,City may, at its sole discretion,terminate this contract and
agreement 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 CDBG funds paid hereunder are intended to provide only partial
funding for Contractor's program operations. If non-CDBG funds included in the Operating Budget are
not forthcoming to Contractor during the contract term, City may terminate this contract.
d. CDBG funds provided hereunder may not be used as collateral for loans to Contractor to defray
program operation expenses, and any attempted use of CDBG 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 CDBG 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.
15. 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.
XXIX CDBGCNT August 14,2003 8
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.
16. Miscellaneous Provisions
a. All terms of this contract shall apply to any and all subcontractors of Contractor who are in any way
paid with CDBG 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 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.
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 awaiver 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 anyprior 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.
XXIX CDBGCNT August 14,2003 9
DsT WITNESS WHEREOF the parties hereto have executed four copies of this contract in Fort Worth,
Tarrant County, Texas, this day of ,A.D. 20 _.
CITY OF FORT WORTH Hemphill Presbyterian Church
By: 9By:
Charles R. Boswell Mr. Michael D. Cooley
Assistant City Manager Treasurer
APPROVED AS TO FORM AND LEGALITY:
WityAmrney
Date
ATTES
City Secretary
C- Iq 09
Contrrct Authorization
Date
5.
XXIX CDBGCNT August 14,2003 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/she 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.
GIVEN UNDER MY HAND AND SEAL OF OFFICE this Pd day of
A.D. 20 P-3
_.
ROSELLA BARNES i "4-- �4A"L' �
NOTARY PUBLIC
Notary Public in and for
lN� f"r state of Texas
4 ��ComIn.Exp.03-31-2005 the State of Texas
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 Mr.Michael D. Cooley,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 Hemphill Presbyterian Church and in the capacity
therein stated as its duly authorized officer or representative.
GIVEN UNDER MY HAND AND SEAL OF OFFICE this��% day of
A.D. 20 .
WINTON sPRLNLL a Publ in and for
NDTA1nM/JC STA1EOf TfJIA/
cossisstos ixrlRit: the tate of Texas
0i fi� 8EPTEM=tR 7,�
XXIX CDBGCNT August 28,2003 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§ 570.2000). Contractor agrees that in
connection with this contract:
a. It will not discriminate against any person applying for such public services on the basis of religion
and will not limit such services or give preference to persons on the basis of religion,and;
b. It will not discriminate against any person applying for such public services on the basis of religion
and will not limit such services or give preference to persons on the basis of religion,and;
c. It will provide-no religious instruction or counseling, conduct no religious worship or services, engage
in no religious proselytizing, and exert no other religious influence in the provision of such public
services,and;
d. Where public services provided under paragraph 0)(3) of section 24 CFR 500.200 are carried out on
property owned by the primarily religious entity, CDBG funds may also be used for minor repairs to
such property which are directly related to carrying out the public services where the cost constitutes in
dollar terms only an incidental portion of the CDBG expenditure for the public services.
EXHIBIT A
PROGRAM SUMMARY
Hemphill Presbyterian Church
AGENCY
After School Program
PROGRAM
September 1, 2003-May 31, 2004 $31,003
CONTRACT NO. PERIOD AMOUNT
PROGRAM DESCRIPTION
The program is an after school service for 45 children who attend De Zavala Elementary. The program
will provide game-time,homework help, group reading and various activities in center time. CDBG
funds are used for staff salaries, supplies, and contractual services.
COUNCIL DISTRICT (S) 9
PROGRAM GOALS
Improve Quality of life and provide a safe environment for 45 neighborhood children.
PROGRAM OBJECTIVES
Help students improve reading,writing, and mathematics skills by providing homework assistance and
other educational opportunities
To provide a safe, supervised environment for students 5 days a week for 36 weeks
Provide life enrichment activities for neighborhood children
PROGRAM SERVICES and ACTIVITIES GOALS
Number of unduplicated students served 45
Number of community service project opportunities 4 Projects
Conduct meetings with parents to encourage them to be more involved
in children's education 2 Meetings
Provide activity at least 3 times a week for 36 weeks 108*
*Total Events/Activities
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CITY OF FORT WORTH EXHIBIT C
CDBG YEAR XXIX
Page 1 of 3
CONTRACT PERIOD From: 6/1/2003 To: 5/31/2004
Name of Sub Grantee Name of Program
Hemphill Presbyterian Church Afterschool Program
Program CDBG
Cost Category Budget Funds [a] [b] [c] [d
PERSONAL SERVICES
Salaries $ 37,000.00 $ 25,000.00 $12,000.00
FICA $ 2,830.50 $ 1,912.50 $ 918.00
Life Insurance $ -
Health Insurance $ -
Employment Tax-State $ -
Employment Tax-Federal $ -
Worker's Comp $ 275.00 $ 275,00
Retirement $ -
SUPPLIES
Office Supplies $ 400.00 $ 250.50 $ 149.50
Postage $ 370.00 $ 370.00
Teaching Aids $ 923.50 $ 923.50
Food Supplies $ 2,000.00 $ 2,000.00
Other Operating Expenses $ -
CONTRACTUAL SERVICES
Telephone $ -
Electric $ 5,000.00 $ 1,640.00 $ 3,360.00
Gas $ 750.00 $ 750.00
Water/Waste Disposal $ 200.00 $ 200.00
Rent[Building] $ -
Custodial Services $ 1,350.00 $ 600.00 $ 750.00
Office Equipment Rental $ -
Printing $ 1,800.00 $ 800.00 $ 1,000.00
Repairs $ -
Fidelity Bond $ 250.00 $ 250.00
Liability Insurance $ 580.00 $ 580.00
Legal&Accounting $ -
Private Auto Allowance- Local $ -
Advertising
Field Trips
Contractual Services
Transportation $ 2,400.00 $ 800.00 $ 1,600.00
CAPITAL OUTLAY $ -
Office Furniture $
Computer Equipment $ -
Other: [Described] $ -
TOTAL $56,129.00 $31,003.00 $25,126,001 $0.001 $0.00 $0.00
MATCHING FUND SOURCES
[a] 1st Presbyterian
c
BUDGET DETAIL Page 2 of 3
PERSONAL SERVICES
Hourly Annual % of
Position/Title Rate Hours Time Amount
1 Program Director 20.00 625 100% 12500.00
2 Program Assistant 10.00 1000 100% 10000.00
3 Administrative Assistant 10.00 250 25% 2500.00
4
5
6
7
8
TOTAL STAFF SALARIES 25,000
FRINGE BENEFITS
%of % Paid % Paid
CATEGORY Payroll Amount by Agency by CDBG Amount
0 0
FICA 2830.5 7.65% 2,203 32 68% 1,912.50
Life Insurance 0 0
Health Insurance 0 0
Employment Tax 0 0
Worker's Comp 0 0
Retirement 0 0
TOTAL FRINGE BENEFITS 1,912.50
TOTAL PERSONAL SERVICES 26,913
BUDGET DETAIL Page 3 of 3
UTILITIES
AVERAGE COST PER NUMBER OF MONTHS AMOUNT
Category MONTH
Telephone
Electric $ 1,640.00
Gas
Waste/Water Disposal
Other
Printing
Total Utilities $ 1,640.00
BUILDING LEASE
Building
Location No. Square Foot Const Per Square Foot Amount
1
2
3
TOTAL BUILDING LEASE
OTHER EXPENSES
Category Total Charge % Charged to CDBG Amount
Fidelity Bond
Custodial Services $ 800.00
Printing $ 600.00
Office Supplies $ 250.50
Transportation $ 800.00
TOTAL OTHER EXPENSES $ 2,450.50
CONFERENCES AND SEMINARS
Event Total Charge % Charged to CDBG Amount
1
2
3
TOTAL CONFERENCES AND SEMINARS
OFFICE EQUIPMENT RENTAL
Item Total Charge % Charged to CDBG Amount
1
TOTAL OFFICE EQUIPMENT RENTAL
ATTACMVIENT I
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
CONTRACT MANAGEMENT DIVISION
REQUEST FOR FUNDS
AGENCY:Hemphill Presbyterian Church
1701 Hemphill PROGRAM NAME: After School Program
Fort Worth,TX 76110 CONTRACT NUMBER:
CONTRACT AMOUNT. $31,003
CONTRACTDATE: June 1,2003
DATE OF REQUEST:
SECTION I(AGENCY) CURRENT MONTH CUMULATIVE
1. Reimbursement Request
1. Expenditures: $ $
2. Income
A. Program Income $ $
B. City of Fort Worth $ $
C. Interest Earned CDBG Funds $ $
3. Reimbursement(1 minus 2) $ $
R.Advance Pay Requests/Repayment $ $
III.Reporting Interest
1.Interest over$25 per quarter returned to City of Fort Worth $ $
SECTION II(CITY)
1.BYSPEED—Purchasing Request
A. BYSPEED INPUT:Vendor/PO Number/Requisition Number:
B. Fund/Account/Center: GR76/539120002206845310
C. Total Amount of this Request: $
SECTION III
I. Verification
A. Contract Manager Tamika Miller
(Name) (Signature) (Date)
B.BYSPEED—Purchasing
(Name) (Signature) (Date)
C.Accounting
(Name) (Signature) (Date)
H.Authorization
A. Agency
(Name) (Signature) (Date)
B. IAGM Supervisor D.Emerson
(Name) (Signature) (Date)
C. Budget Administrator B.Garrett
(Name) (Signature) (Date)
DISTRIBUTION:
I Copy-Accounting
I Copy-IAGM
1 Copy-Agency
1
Z
CITY OF FORT WORTH ATTACHMENT[]CDBG
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
CONTRACT MANAGEMENT DIVISION
DETAIL STATEMENT OF COSTS
Hemphill Presbyterian _
AGENCY CONTRACT NO. DATE
After School _ TO
PROGRAM REPORT PERIOD
PROGRAM MONTHLY CUMULATIVE
COST CATEGORY ACCOUNT BUDGET EXPENDITURES TO DATE BALANCE
PERSONAL SERVICES
Salaries 516 010
FICA 518 010
Life Insurance 518 050
Health Insurance 518 060
Unemployment Tax-State 518 090
Worker's Comp 518 040
Retirement 518 070
SUPPLIES
Office Supplies 521 010
Postage 521 020
Teaching Aids(Equipment) 522 030
Food Supplies 522 030
Other Operating Supplies 523 300
CONTRACTUAL SERVICES
Telephone 535 040
Electric 535 020
Gas(Utility) 535 010
WaterMaste Disposal 535 030
Rent[Building] 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
Legal&Accounting 538 050
Private Auto Allowance-Local 532 130
Advertising 533 010
Conferences&Seminars 531 180
Contractual Services 539 120
CAPITAL OUTLAY
Furniture,Fixtures 541 330
Office Equipment,Com uters 541 370
Other Equipment 541 320
TOTAL
Contractors Certrrcation: 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
NAME and TITLE OF AUTHORIZED OFFICER SIGNATURE and DATE
PREPARE ONE FORM FOR EACH SOURCE OF FUNDS
DISTRIBUTION:
1 Copy-Accounting
1 Copy-tAGM
I Copy-Ag-cy 2 IABGM FORM May 2003
ATTACIL LENT III
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
CONTRACT MANAGEMENT DIVISION
EXPENDITURES WORKSHEET
Hemphill Presbyterian Church _
Agency Contract Number Date
After School Program TO
Program REPORT PERIOD
NO DATE CHECK PAYEE DESCRIPTION ACCOUNT NO. AMOUNT
NO.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
26
TOTAL
TITLE OF AUTHORIZED OFFICER SIGNATURE and DATE
DISTRIBUTION
1 Copy-Accounting
1 Copy -IAGM
Copy -Agency IAGM FORM 2003
3
ATTACEUNffNT IV
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
1. Hemphill Presbyterian Church 2.Project Name: After School Program
1701 Hemphill 3.Contract No: Contract Date: June 1,2003
Fort Worth,TX 76110 Contract Amount. $31,003
4.Date of Request:
MONTH&YEAR
1. PROGRAIM SERVICES AND ACTIVITIES: CURRENT CUMULATIVE
2. SCOPE OF WORK NARRATIVE:
3. PROBLEMS ENCOUNTERED/SOLUTIONS PROPOSED:
4. ANTICIPATED ACTIVITY DURING TAE NEXT MONTH:
CERTTFTCATION: The undersigned hereby gives assurance that to the best of my knowledge andbelief,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:
YAGNI/A4ay 2003
ATTACHMENT IV(A)
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
CDBG Year X'IY
Public Service
1.NA iE AND ADDRESS OF SUB-GRANTEE 2.PROJECT NAME: <<Program»
<,A.-ency»
«Address»
<<City»,«State»oftstalCode>> 3.CONTRACT N0: <<CoMractNumben>
4.DATE OF
REQUEST:
MONTH&YEAR
5. PROGRAM SERVICES AND ACTIVITIES
C IJRRF.NT MC)NTH CSTMITY.ATM
Number of New Households and/or persons Served
6. DIRECT BENEFIT CONTINUED
Low/Mod Low Income
Beneficiaries Beneficiaries
CURRENT MONTH
CUMULATIVE
7. AGE
0-4 5-17 18-24 25-54 55-64 64+
CURRENT MONTH
CUMULATIVE
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/IDIS-RPT FORM 3
May 2003
ATTACIEgENT TV(A)
CITY OF FORT WORTH
INTERGOVERNMENTAL AFFAIRS AND GRANTS MANAGEMENT
CDBG Year X)aX
Public Service
1.NAmE AND ADDRESS OF SUB-GRANTEE 2.PROJECT NA,-,m: ((Program»
«Agency»
((Address>>
«City>>,«State»<<PostalCode>> 3.CONTRACT NO: «ContractNumben>
A.DATE OF
REQUEST:
MONTH&YEAR
8. DIRECT BENEFIT DATA(New Household and/or Persons Served)
White Black/ Asian American Indian/ Native Hawaiian/ American Indian/ Asian
African Alaskan Native Other Pacific Islander Alaskan Native &White
American &White
#of Hispanic
Current
Month
Cumulative
Black/African Am.Indian Other Multi-racial Asian/Pacific Islander Hispanic
American&White Alaskan Native
&Black/African
American
#of Hispanic
Current
Month
Cumulative
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:
[AGM/IDIS-RPT FORM 3
May 2003
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City of Fort Worth, Texas
"Agar And cou"Cil commu"icatio"
DATE REFERENCE NUMBER LOG NAME PAGE
5/21/02 C-19096 02ACTIVITY 1 of 3
SUBJECT COMMUNITY DEVELOPMENT BLOCK GRANT (CDGB) YEAR XXVIII, EMERGENCY
SHELTER GRANT (ESG) YEAR 2002-2003, AND HOUSING OPPORTUNITIES FOR
PERSONS WITH AIDS (HOPWA) YEAR 2002-2003 CONTRACT ACTIVITIES
RECOMMENDATION:
It is recommended that the City Council authorize the City Manager to execute CDBG Year XXVIII,
ESG Year 2002-2003 and HOPWA Year 2002-2003 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, for a term beginning June 1, 2002, and
expiring May 31, 2003:
COMMUNITY DEVELOPMENT BLOCK GRANT
Contract with the listed agencies for an amount not to exceed the following:
• Da Village $ 33,154
• Habitat for Humanity $ .18,225
• REACH, Inc. $ 21,870
• Centro Cultural de las Americas $ 34,000
• Southside Area Ministries (Sam's Kids) $ 5,692
• Boys and Girls Clubs (NINOS) $ 24,480
• Boys and Girls Clubs (KEYS) $ 22,959
• Boys and Girls Clubs (PASS) $ 21,870
• J MAC Youth Center of Tarrant County $ 25,000
• East Fort Worth Montessori $ 27,635
• Latin Arts Association $ 22,500
• Booker T. Sparks School of the Performing Arts $ 29,160
• Bridge Emergency Youth Services $ 36,450
• Stone Soup Connection $ 16,297
• Camp Fire $ 21,870
• Summerbridge Fort Worth $ 33,750
• YWCA of Fort Worth (AIM) $ 25,908
• YWCA of Fort Worth (Child Care) $150,000
• Child Care Associates $130,000
• Fort Worth Housing Authority $ 30,000
• YMCA $120,375
• Clayton Child Care $ 60,000
• Southside Area Ministries (Seniors) $ 2,570
• Senior Citizens Services of Tarrant County (COMO) $ 17,597
• Meals on Wheels $ 33,696
• Senior Citizens Services of Tarrant County (RIVERSIDE) $ 15,271
• Mental Health Association (OMBUDSMAN) $ 17,500
w
City of Fort Worth, Texas
"Cogor And Council Communication
DATE REFERENCE NUMBER LOG NAME 73�
5/21/02 C-19096 02ACTIVITY 2 of 3
SUBJECT COMMUNITY DEVELOPMENT BLOCK GRANT (CDGB) YEAR XXVIII, EMERGENCY
SHELTER GRANT (ESG) YEAR 2002-2003, AND HOUSING OPPORTUNITIES FOR
PERSONS WITH AIDS HOPWA YEAR 2002-2003 CONTRACT ACTIVITIES
• AMISTADES $ 17,100
• NSEAM $ 17,100
• Women's Center of Tarrant County $ 9,623
• Northside InterChurch Agency $ 35,815
• Mental Health Association (Advocate) $ 24,750
• JOB, Inc. $ 90,368
• Fort Worth SER $ 89,164
• A-PREP Center of Tarrant County $ 88,574
• Fort Worth Economic Development Corporation (Micro Loan) $ 16,403
• Fort Worth Economic Development Corporation (RLF) $ 51,908
• Man Made Mentoring $ 20,250
• Near Southeast Inc. $ 50,000
EMERGENCY SHELTER GRANT
• YWCA (Supportive Living) $ 15,000
• Cornerstone Assistance Network $ 15,075
• Presbyterian Night Shelter $151,308
• Bridge Emergency Youth Services $ 7,862
• Women's Haven of Tarrant County, Inc. $ 24,092
• Salvation Army $ 9,730
• MHMR of Tarrant County $ 12,500
• YWCA (My Own Place) $ 21,993
HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS
• AIDS Outreach Center, Inc. $450,657
• Tarrant County Samaritan Housing Inc. $230,576
• AIDS Resources of Rural Texas - A.R.R.T $ 92,827
DISCUSSION:
OnApril 2, 2002 (M&C G-13565), the City Council approved and adopted the budgets and appropriation
ordinance increasing estimated receipts and appropriations for the CDGB Year XXVIII, Emergency
Shelter Grant Year 2002-2003 and Housing Opportunities for Persons with AIDS Year 2002-2003
contract activities 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.
City of Fort Worth, Texas
"elgor And Council Communication
DATE REFERENCE NUMBER LOG NAME PAGE
5/21/02 C-19096 02ACTIVITY 3 of 3
SUBJECT COMMUNITY DEVELOPMENT BLOCK GRANT (CDGB) YEAR XXVIII, EMERGENCY
SHELTER GRANT (ESG) YEAR 2002-2003, AND HOUSING OPPORTUNITIES FOR
PERSONS WITH AIDS (HOPWA) YEAR 2002-2003 CONTRACT ACTIVITIES
The above programs are consistent with the City's approved priorities and the City Council's prior
policies and meet the requirements of the U.S. Department of Housing and Urban Development
regulations concerning "eligible activities".
FISCAL INFORMATION/CERTIFICATION:
The Finance Director certifies that upon approval of the above recommendations, funds will be
available in the current operating budget, as appropriated, of the Grants Fund.
CB:n
Submitted for City Manager's FUND ACCOUNTI CENTER I AMOUNT CITY SECRETARY
Office by: (to)
Charles Boswell 6183
Originating Department Head:
Charles Boswell 6183 (from) APPROVED 05/21/02
Additional Information Contact:
Deidra Emerson 7563