HomeMy WebLinkAboutContract 31974 CITY SECRETARY
STATE OF TEXAS § CONTRACT NO.
COUNTY OF TARRANT §
THIS contract ("Contract") is made and entered into by and between the City of Fort
Worth ("City"), whose address is 1000 Throckmorton St., Fort Worth Texas 76102, acting
by and through Richard Zavala, its duly authorized Acting Assistant City Manager, and
NSEAM ("Contractor"), whose address is 1150 South Freeway, Ste130, Fort Worth, TX
76104, acting by and through Ms. Gwendaline Diggs, its duly authorized Program
Director. (Sometimes City and Contractor are referred to individually as a "Party" and
collectively as the "Parties".)
WHEREAS, City has received grant monies from the United States Department of
Housing and Urban Development ("HUD") under Title 1 of the Housing and Community
Development Act of 1974, as amended, (42 USC 5301 et seq.) for utilization in
connection with its Community Development Block Grant ("CDBG"), Program No. B-
05-MC-48-0010, for Year XXXI;
WHEREAS, one of the national objectives of the CDBG program is to benefit low
and moderate income citizens (the "National Objective");
WHEREAS, the assigned Catalog of Federal Domestic Assistance (CFDA) number is
14.218 for this Federal program; and
WHEREAS City citizens, the Community Development Council, and the City
Council have determined that CDBG programs are needed by the City's low and
moderate-income citizens.
NOW, THEREFORE, THIS AGREEMENT FURTHER WITNESSETH:
THAT, the Parties covenant and agree as follows:
1. Scope of Services
a. Contractor will administer Senior Citizen services to citizens of the City of Fort
Worth under the program name Living at Home Block Nurse ("Program"), for the term
June 1, 2005 to May 31, 2006.
b. Contractor will provide the services and activities as set forth 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 and evaluate Contractor's performance using the goals and
performance standards required in this Contract. Substandard performance as
determined by City monitoring will constitute non-compliance with this Contract. If
action to correct such substandard performance is no by~Contractor within a
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reasonable period of time after being notified in writing by City, procedures to
suspend or terminate the Contract will be initiated.
2. Compensation and Method of Payment
a. City will disburse CDBG Year YM1 funds ("CDBG Funds") in an amount up to
$17,000 to Contractor on a reimbursement of expenses basis.
b. Payment will be processed by City following receipt from Contractor of the
following monthly financial documents: (1) Attachment I- Request For Funds, (2)
Attachment II-Detail Statement of Costs, and (3) Attachment III-Expenditures
Worksheet. Reimbursement for the payment of eligible expenses shall be made against
the budget specified in Exhibit C-Program Operating Budget and in accordance with
performance specified in Exhibit B-Program Services Schedule. City is under no
obligation to disburse funds for expenditures that occurred prior to the first day of the
month for which the reports are submitted.
c. Contractor agrees to utilize all disbursed CDBG Funds for the benefit of the
Program. Contractor agrees that all funds will be expended in accordance with Exhibit
C-Program Operating Budget. Contractor may not increase or decrease line-item
amounts in the approved CDBG Funds portion of Exhibit C-Program Operating
Budget without City's prior written approval.
d. It is understood that the total cost for operation of this Program is $84,067.00
NSEAM and that Contractor will obtain from other sources the remaining funds in
excess of the CDBG Funds as detailed in Exhibit C-Program Operating Budget.
Contractor will notify City promptly of any additional funds it receives for operation
of the Program, and City reserves the right to amend Exhibit C-Program Operating
Budget in such instances.
e. Contractor agrees to keep all CDBG Funds 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 CDBG Funds with any other funds in any manner
that would prevent City from readily identifying 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, "Uniform
Administrative Requirements for Grants and Agreements with Institutions of
Higher Education, Hospitals and other Non-Profit Organizations", and agrees to
adhere to the accounting principles and procedures required therein, utilize
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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 Contract required in 24 CFR § 570.506. In addition, Contractor agrees to keep
records to fully document all expenditures charged to the CDBG portion of the
Program. The documentation must support the amounts charged to the 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 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 any Program loan records until four (4) years after the
expiration of any loan.
iii. Real Property Records
Contractor shall maintain real property inventory records that clearly. identify
properties purchased, improved, or sold. Properties retained shall meet eligibility
criteria and shall conform to the requirements of 24 CFR § 570.505.
iv. Closeouts
Contractor's obligation to City shall not end until all closeout requirements are
completed. Activities during this closeout period shall include, but are not limited
to: 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 respective
representatives, shall have access to any books, documents, records and papers
relating to the operations of Contractor under this Contract for the purpose of
audit, examination, exception and transcription at all of Contractor's offices at all
reasonable hours.
(2) All non-federal entities that expend $500,000 or more in Federal funds within
one (1) year, regardless of the source of the Federal award, 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,
"Cost Principles for Non-Profit Organizations", and A-133, "Audits of States,
Local Governments, and Non-Profit Organizations", 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
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its completion. Contractor's audit certification is attached hereto as Exhibit D -
Audit Schedule Independent Audit Requirement. The Audit Schedule Form must
be submitted to City within sixty (60) days of the end of the period being audited
(Contractor's fiscal year). 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. Non-profit entities that
expend less than $500,000 a year in Federal funds are exempt from Federal audit
requirements for that year, but records must be available for review or audit by
appropriate officials of the Federal agency, City, and General Accounting Office
("GAO").
(3) City reserves the right to perform an audit of Contractor's agency 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-133.
Contractor agrees to allow access to all relevant books, records and 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) with Contractor.
(4) If as a result of any audit it is determined that Contractor has misused,
misapplied or misappropriated all or any part of the CDBG Funds, 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
a. Financial Reports
Contractor will submit to City on a monthly basis: (1) Attachment I-Request for
Funds, (2) Attachment II-Detailed Statement of Costs, (3) Attachment III-
Expenditures Worksheet, as applicable, for expenses incurred for services and
activities accomplished by Contractor in performance of this Contract. 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 and submitted by the 15`h of the month following the month being
reported. City is under no obligation to disburse funds for expenditures that
occurred prior to the firs day of the month for which the report is submitted.
b. Progress Reports
Contractor will submit to City on a monthly basis: (1) Attachment IVa-Program
Services Report, (2) Attachment IVb-Direct Benefit Data Report, (3) Attachment
V-Performance Report, and (4) Attachment VI-Client Data Report 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 15'h
of the month following the month that is reported. City is under no obligation to
disburse funds for expenditures that occurred prior to the firs day of the month for
which the report is submitted.
c. Program Income
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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 Funds and that any such program income is subject to the
terms of this Contract. Contractor may expend CDBG Funds 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 Exhibit A-Program Summary and Exhibit C-Program Operating Budget.
d. Procurement
i. Compliance
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 under this Contract.
ii. OMB Standards
Contractor shall procure all materials, property, or services in accordance with the
requirements of 24 CFR Part 84, Procurement Standards and Property Standards,
as modified by 24 CFR Part 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 and 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 in
City, and Contractor will deliver all such property to City for disposition at City's sole
discretion at the termination of the Program.
6. Applicable Laws
a. Federal
Contractor agrees to comply with the following laws and the applicable regulations 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 seg.)
• Title VIII of the Civil Rights Act of 1968 (42 USC 3601 el seg.)
• Executive Orders 11063, 11246, as amended by Executive Orders 11375 and
12086 and as supplemented by 41 CFR Part 60
• The Age Discrimination in Employment Act of 1967 (29 USC 621)
• The Age Discrimination Act of 1975 (42 USC 6101 et seg.)
• Section 504 of the Rehabilitation Act of 1973 (29 USC 794 et seq.) and 24 CFR
Part 8 where applicable
• National Environmental Policy Act of 1969, as amended, 42 USC 4321 el seq.
("NEPA' and the related authorities listed 24 CFR Part 58
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• The Clean Air Act, as amended (42 USC 7401 et .req.), the Clean Water Act of
1977, as amended (33 USC 1251 et .req.) and the related EPA regulations at 40
CFR Part 15, as amended from time to time, and Executive Order 11738. In no
event shall any amount of the assistance provided under this Contract be utilized
with respect to a facility that has given rise to a conviction under the Clean Air
Act or the Clean Water Act.
• The Immigration Reform and Control Act of 1986 (8 USC 1101 et .req.),
specifically including the provisions requiring employer verification of the legal
status of its employees
• The Housing and Community Development Act of 1987 (42 USC 5301 et seq.)
• The Americans with Disabilities Act of 1990 (42 USC 12101 et seq.)
• Drug Free Workplace Act of 1988 (41 USC 701 et seq.) and 24 CFR Part 23,
Subpart F
• Regulations as 24 CFR Part 87 related to lobbying, including the requirement that
certifications and disclosures be obtained from all covered persons
• Executive Order 12549 and 24 CFR Part 5.105 (c) pertaining to restrictions on
participation by ineligible, debarred, or suspended persons or entities.
b. Section 3 of the Housing and Urban Development Act of 1968, as amended, (12
USC 170lu et seq.) and its related regulations at 24 CFR Part 135
As the work to be performed under this Contract is on a project assisted under a
program providing direct Federal financial assistance from HUD, Section 3 of 24
CFR 135.38 ("Section 3") requires that the following clause be inserted in all covered
contracts ("Section 3 Clause"):
"A. The work to be performed under this contract is subject to the requirements of
section 3 of the Housing and Urban Development Act of 1968, as amended, 12
U.S.C. 1701u (section 3). The purpose of Section 3 is to ensure that employment and
other economic opportunities generated by HUD assistance or HUD-assisted
projects covered by Section 3, shall, to the greatest extent feasible, be directed to low-
and very low-income persons, particularly persons who are recipients of HUD
assistance for housing.
B. The Parties to this contract agree to comply with HUD's regulations in 24 CFR
Part 135, which implement Section 3. As evidenced by their execution of this
contract, the Parties to this contract certify that they are under no contractual or other
impediment that would prevent them from complying with the Part 135 regulations.
C. The contractor agrees to send to each labor organization or representative of
workers with which the contractor has a collective bargaining agreement or other
understanding, if any, a notice advising the labor organization or workers'
representative of the contractor's commitments under this section 3 clause, and will
post copies of the notice in conspicuous places at the work site where both
employees and applicants for training and employment positions can see the notice.
The notice shall describe the Section 3 preference, shall set forth minimum number
and job tides subject to hire, availability of apprenticeship and training positions, the
qualifications for each; and the name and location of the person(s) taking applications
for each of the positions;and the anticipated date the work shall begin.
D. The contractor agrees to include this section 3 clause in every subcontract subject
to compliance with regulations in 24 C fart 135, and agrees to take appropriate
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action, as provided in an applicable provision of the subcontract or in this Section 3
clause, upon a finding that the subcontractor is in violation of the regulations in 24
CFR Part 135. The contractor will not subcontract with any subcontractor where the
contractor has notice or knowledge that the subcontractor has been found in
violation of the regulations in 24 CFR Part 135.
E. The contractor will certify that any vacant employment positions, including
training positions, that are filled (1) after the contractor is selected but before the
contract is executed, and (2) with persons other than those to whom the regulations
of 24 CFR Part 135 require employment opportunities to be directed, were not filled
to circumvent the contractor's obligations under 24 CFR Part 135.
F. Noncompliance with HUD's regulations in 24 CFR Part 135 may result in
sanctions, termination of this contract for default, and debarment or suspension
from future HUD assisted contracts.
G. With respect to work performed in connection with Section 3 covered Indian
housing assistance, section 7(b) of the Indian Self-Determination and Education
Assistance Act (25 U.S.C. 450e) also applies to the work to be performed under this
contract. Section 7(b) requires that to the greatest extent feasible (i) preference and
opportunities for training and employment shall be given to Indians, and (ii)
preference in the award of contracts and subcontracts shall be given to Indian
organizations and Indian-owned Economic Enterprises. Parties to this contract that
are subject to the provisions of section 3 and section 7(b) agree to comply with
Section 3 to the maximum extent feasible, but not in derogation of compliance with
section 7(b)."
City and Contractor understand and agree that compliance with the provisions of
Section 3, the regulations set forth in 24 CFR Part 135, and all applicable rules and orders
of HUD shall be a condition of the Federal financial assistance provided to the Program,
binding upon City and Contractor, and their respective successors, assigns and
subcontractors. Failure to fulfill these requirements shall subject Contractor and its
subcontractors, and their respective successors and assigns, to those sanctions specified
by the Grant Agreement through which Federal assistance is provided and to such
sanctions as are specified by 24 CFR Part 135.
c. 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
applicable City ordinances, rules and regulations and the Housing and Community
Development Act of 1974 (42 USC 5301 et seq.), as amended, and all related
regulations. Contractor further promises and agrees that it has read, and is familiar
with, terms and conditions of the Community Development Block Grant under which
CDBG Funds are granted and that it will fully comply with them. It is agreed and
understood that, if City notifies Contractor of 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.
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7. Nondiscrimination
a. Contractor will not unlawfully discriminate against any person or persons because
of sex, race, religion, age, disability, color, national origin, or familial status, nor will
Contractor permit its officers, members, agents, employees, subcontractors or Program
participants to engage in such discrimination.
b. 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 Contract.
e. This Contract 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, 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.
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
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shall incorporate, or cause to be incorporated, like language prohibiting such interest
in all contracts and subcontracts entered into in connection with the Program.
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
CDBG Funds transferred hereunder or be financially interested, directly or indirectly,
in the sale to Contractor of any land, materials, supplies or services purchased with
any CDBG Funds transferred hereunder, except on behalf of Contractor, as an officer,
employee, member or Program participant. Any willful violation of this paragraph
with the expressed or implied knowledge of Contractor or its subcontractors shall
render this Contract voidable by City.
9. Minority and Women Business Enterprise Commitment
Contractor agrees to abide by City's policy to involve Minority and Women Business
Enterprises (MWBEs) in all phases of 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. Contractor agrees to incorporate City Ordinance No. 15530,
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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
No assignment or delegation of duties under this Contract by Contractor shall be
effective without City's prior written approval.
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.
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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/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 OF
PROPERTY OF CITY, ARISING OUT OF 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.
CONTRACTOR AGREES TO AND SHALL RELEASE CITY, ITS AGENTS,
EMPLOYEES, OFFICERS AND LEGAL REPRESENTATIVES FROM ALL
LIABILITY FOR INJURY, DEATH, DAMAGE OR LOSS TO PERSONS OR
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PROPERTY SUSTAINED IN CONNECTION WITH OR INCIDENTAL TO
PERFORMANCE UNDER THIS CONTRACT, EVEN IF THE INJURY,
DEATH, DAMAGE OR LOSS IS CAUSED BY THE CITY'S SOLE OR
CONCURRENT NEGLIGENCE.
CONTRACTOR SHALL REQUIRE ALL OF ITS SUBCONTRACTORS TO
INCLUDE IN THEIR SUBCONTRACTS A RELEASE AND INDEMNITY IN
FAVOR OF THE CITY IN SUBSTANTIALLY THE SAME FORM AS ABOVE.
b. Contractor will maintain blanket fidelity coverage in the form of a bond in the
amount of$17,000, 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 Funds 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. The
amounts of such insurance shall not be less than the maximum liability that 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.
e. Any failure on part of the City to request certificate(s) of insurance shall not be
construed as a waiver of such requirement or as a waiver of the insurance
requirements themselves. Insurers of Contractor insurance policies shall be licensed
to do business in the State of Texas by the Department of Insurance or be otherwise
eligible and authorized to business in the state of Texas. Insurers shall be acceptable
to City insofar as their financial strength and solvency and each such company shall
have a current minimum A.M. Best Key Rating Guide rating of A: VTI or other
equivalent insurance industry standard rating unless otherwise approved by City.
Deductible limits on insurance policies shall not exceed $5,000 per occurrence unless
otherwise approved by City.
f. Any local, federal or other regulatory insurance or bonding requirements for the
Program that exceed those specified herein shall prevail.
g. Contractor shall agree to require its subcontractors to maintain applicable insurance
coverages, limits, and other requirements as those specified herein; and, Contractor
shall require its subcontractors to provide Contractor with certificate(s) of insurance
documenting such coverage. Also, Contractor shall require its subcontractors to have
City and Contractor endorsed as additional insured (as their interests may appear) on
their respective insurance policies. Contractor shall require its subcontractors to
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maintain builders risk insurance at the limit of applicable project(s) costs when the
value of materials involved exceeds $10,000 or at a different limit value limit as
specified by City.
13. Waiver of Immunity
If Contractor is a charitable or nonprofit organization and has or claims an immunity
or exemption (statutory or otherwise) from and against liability for damages or injury,
including death, to persons or property; Contractor hereby expressly waives its rights
to plead defensively such immunity or exemption as against City. This section shall
not be construed to affect a governmental entity's immunities under constitutional,
statutory or common law.
14. Termination °
a. In addition to, and not in substitution for, other provisions of this Contract
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 that this Contract is wholly
conditioned upon the actual receipt by City of Federal CDBG Year XXXI funds; that
all monies distributed to Contractor hereunder shall be exclusively from Federal
monies received under said grant and not from any other monies of City; and that if
such funds under City's grant are not timely forthcoming, in whole or in part, City
may, at its sole discretion, terminate this Contract 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
City's best interest, 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. City may terminate this
Contract if non-CDBG funds included in the Operating Budget are not forthcoming to
Contractor during the Contract term.
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 Funds, 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 portions of the
Contract being terminated.
f. Contractor will return to City any unused CDBG Funds previously advanced by
City under this Contract within thirty (30) days of the effective date of Contract
CDBG YEAR XXXI CONTRACT :�' �:- { ::_ _ _ :•' Rev.05-17-05
NSEAM
12
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.
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.
c. This certification is a material representation of fact upon which reliance was
placed when this Contract was made or entered into. Submission of this certificate is a
prerequisite for making or entering into this Contract imposed by 31 USC Section
1352. Any person who fails to file the required certification shall be subject to a civil
penalty of not less than $10,000.00 and not more than $100,000.00 for each such
failure.
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 Contract are severable, and, if for any reason a clause,
sentence, paragraph or other part of this Contract 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. City's failure to insist upon the performance of any term or provision of this
Contract 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,
venue for action shall lie in Tarrant County, Texas.
CDBG YEAR XXXI CONTRACT Rev.05-17-05
NSEAM
13
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 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.
f. All notices required or permitted by this Contract must be in writing and are deemed
delivered on the earlier of the date actually received or the third day following (i)
deposit in a United States Postal Service post office or receptacle; (ii) with proper
postage (certified mail, return receipt requested); and (iii) addressed to the other Party
at the address set out in the preamble of this Contract or at such other address as the
receiving Party designates by proper notice to the sending Party.
g. In accordance with the requirements of 24 CFR Part 570.200 ( j ), none of the
performance rendered under this Contract shall involve, and no portion of the CDBG
Funds received hereunder shall be used, directly or indirectly, for the construction,
operations, maintenance or administration of any sectarian or religious facility or
activity, nor shall said performance rendered or funds received be utilized so as to
benefit, directly or indirectly, any such sectarian or religious facility or activity.
h. Contractor represents that it possesses the legal authority, pursuant to any proper,
appropriate and official motion, resolution or action passed or taken, to enter into this
Contract and to perform the responsibilities herein required.
i. Contractor certifies that it has obtained a 501 (c) (3) Certificate from the Internal
Revenue Service. Contractor shall notify City in writing of any changes to its 501 (c)
(3) tax-exempt status during the term of this Contract.
[SIGNATURES APPEAR ON FOLLOWING PAGE]
CDBG YEAR XXXI CONTRACT Rev.05-17-05
NSEAM
14
IN WITNESS WHEREOF, the Parties hereto haypsu
ted three (3
copies,,of this
Contract in Fort Worth, Tarrant County, Texas,this day of ,
20 '- .
CITY OF FORT WORTH NSEAM
By: Bt t
hard Zavala Ms. NSEAM NSrLA
Acting Assistant City Manager Program Director WeNeL61-6Aj
APPROVED AS TO FORM AND LEGALITY:
City Attorney
Contract Authorization
ATTEST: 9
�J-1.x'1- On
Date
City Secretary
STATE OF TEXAS §
COUNTY OF TARRANT §
This instrument was acknowledged before me on �{� , 200 �5
by Richard Zavala, the Acting Assistant City Manager of the City of Fort Worth, on
behalf of the City of Fort Worth.
ROSELLA BARNES
MY COMMISSION EXPIRES
� ,st,Zoos Notary Public, State of Texas
STATE OF TEXAS §
COUNTY OF TARRANT §
This instrument was acknowledged before me on 2005
by Ms.Gwendaline Diggs the Program Director of N AM, a Texas non-profit
corporation, on behalf of said corporation.
'°1a CATHE''MARIE KA
RNES
'y MY coma;!SS!0N Ei,PIRES il
/zsNovember 24 Notar P State of Texas
„ ,20 8 Y
CDBG YEAR XXXI CONTRACT _ Rev.05-17-05
NSEAM
15
CITY OF FORT WORTH Attachment
BUDGET AND MANAGEMENT SERVICES DEPARTMENT
CONTRACT MANAGEMENT DIVISION
REQUEST FOR FUNDS
AGENCY: NSEAM (Near Southeast and Morningside) PROGRAM: NSEAM
ADDRESS: 1150 South Freeway Ste. 130 CONTRACT NUMBER:
Fort Worth, TX 76104 CONTRACT AMOUNT: $17,000
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) $ $
II. 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: GR76/539120/003206005730
C.Total Amount of this Request: $
SECTION III
I. Verification
A. Contract Compliance Specialist Sherry Johnson
(Name) (Signature) (Date)
B. BYSPEED-Purchasing
(Name) (Signature) (Date)
C. Accounting
(Name) (Signature) (Date)
II.Authorization
A. Agency Gwendaline Diggs
(Name) (Signature) (Date)
B. Contract Manager D.Emerson
(Name) (Signature) (Date)
C. Budget Director B. Garrett
(Name) (Signature) (Date)
Distribution:
1 Copy-Accounting
1 Copy-IAGM
1 Copy-Agency
CITY OF FORT WORTH CDBG ATTACHMENT II
BUDGET AND MANAGEMENT SERVICES DEPARTMENT
CONTRACT MANAGEMENT DIVISION
DETAIL STATEMENT OF COSTS
NSEAM(Near Southeast and Morningside)
AGENCY CONTRACT NO. DATE
NSEAM TO
PROGRAM REPORT PERIOD
PROGRAM MONTHLY CUMULATIVE
COST CATEGORY ACCOUNT BUDGET EXPENDITURES TO DATE BALANCE
PERSONAL SERVICES
Salaries 516 010 $10,336
FICA 518 010 $1,118
Life Insurance 518 050
Health Insurance 518 060
Unemployment Tax-State 518 090
Workers Comp 518 040 $100
Retirement 518 070
SUPPLIES
Office Supplies 521 010 $210
Postage 521 020
Teaching Aids(Equipment) 522 030
Food Supplies 522 030 $600
Other Operating Supplies 523 300
CONTRACTUAL SERVICES
Telephone 535 040 $800
Electric 535 020
Gas lUblityl 535 010
Water/Waste Disposal 535 030
Rent Buildin 537 010 $2,136
Custodial Services 539 220
Office Equipment Rental 537 030
Printinq 533 030 $400
Repairs 536 010
Fidelity Bond 538 210 $100
Liability Insurance 534 020 $800
Le al&Accounting 538 050
Private Auto Allowance-Local 532 130 $400
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 $17,000.00
Contractors 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
NAME and TITLE OF AUTHORIZED OFFICER SIGNATURE and DATE
PREPARE ONE FORM FOR EACH SOURCE OF FUNDS
DISTRIBUTION:
I Copy-Accounting
I Copy-IAGM
I Copy-Agency 2 IA&GM FORM April 2002
ATTACHMENT III
CITY OF FORT WORTH
BUDGET AND MANAGEMENT SERVICES DEPARTMENT
CONTRACT MANAGEMENT DIVISION
EXPENDITURES WORKSHEET
NSEAM (Near Southeast and Morningside)
Agency Contract Number Date
N S EAM 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
20
21
22
23
24
25
26
TOTAL
TITLE OF AUTHORIZED OFFICER SIGNATURE AND DATE
Distribution:
1 copy-Accounting
1 copy-IAGM
1 copy-Agency
CDBG ATTACHMENT IVA
CITY OF FORT WORTH
BUDGET AND MANAGEMENT SERVICES DEPARTMENT
CDBG YEAR XXXI
Public Service
1. Name and Address of Sub-Grantee
2. Project Name NSEA M
NSEAM (Near Southeast and Morningside)
1150 South Freeway Ste. 130 3. Contract No.
Fort Worth, TX 76104 4. Date of Request
Month & Year
5. Program Services and Activities
Current Month Cumulative
Number of New Households and/or Persons Served
6. Direct Benefit(Continued)
Low/Mod Low Income
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 aurate, and if a non-profit agency, has been approved by the governing body
of the organization prior to submission.
Date: Submitted by: Phone No.
CITY OF FORT WORTH Attachment IVB
CONTRACT MANAGEMENT DIVISION
CDBG YEAR XXX
PUBLIC SERVICE
1. Name and Address of Sub-Grantee
2. Project Name NSEAM
NSEAM Near Southeast and Morningside)
1150 South Freeway Ste. 130 3. Contract No.
Fort Worth, TX 76104 4. Date of Request
Month&Year
8. Direct Benefit Data(New Household and/or Persons Served)
Ethnicity:(Section
Must be Completed) Hispanic Non-Hispanic
Current Month
Cumulative
American
Race:Section Must be Black Indian/Alaskan Native Hawaiian/Other American Indian/Alaskan
Completed) White African/American Asian Native Pacific Islander Native and White
Current Month
Cumulative
American
Indian/Alaskan Native
Asian and Black/African &Black African Black/African American
White American&White American Other Multi-Racial &White Total
Current Month
Cumulative
Female Head of Household
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 No.
Step 1:Ethnicity-Report whether client identifies themselves as Hispanic or Non-Hispanic
Step 2:Race-Identify the category chosen by the clientt
ATTACHMENT V
CITY OF FORT WORTH
BUDGET AND MANAGEMENT SERVICES DEPARTMENT
CONTRACT MANAGEMENT
1.Agency/Address 2.Project Name: NSEAM
3.Contract No: Contract Date:
NSEAM(Near Southeast and Morningside) June 1,2005
Contract Amount:
1150 South Freeway Ste.130 $17,000
4.Date of Request:
Fort Worth,TX 76104
MONTH&YEAR
5. PROGRAM SERVICES AND ACTIVITIES: CURRENT CUMULATIVE
6. SCOPE OF WORIL 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:
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CITY OF FORT WORTH Attachment I
BUDGET AND MANAGEMENT SERVICES DEPARTMENT
CONTRACT MANAGEMENT DIVISION
REQUEST FOR FUNDS
AGENCY: NSEAM (Near Southeast and Morningside) PROGRAM: NSEAM
ADDRESS: 1150 South Freeway Ste. 130 CONTRACT NUMBER:
Fort Worth, TX 76104 CONTRACT AMOUNT: $17,000
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) $ $
II.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: GR76/539120/003206005730
C.Total Amount of this Request: $
SECTION III
I. Verification
A. Contract Compliance Specialist Sherry Johnson
(Name) (Signature) (Date)
B. BYSPEED- Purchasing
(Name) (Signature) (Date)
C. Accounting
(Name) (Signature) (Date)
II.Authorization
A. Agency Gwendaline Diggs
(Name) (Signature) (Date)
B. Contract Manager D.Emerson
(Name) (Signature) (Date)
C. Budget Director B. Garrett
(Name) (Signature) (Date)
Distribution:
1 Copy-Accounting
1 Copy-IAGM
1 Copy-Agency
CITY OF FORT WORTH CDBG ATTACHMENT II
BUDGET AND MANAGEMENT SERVICES DEPARTMENT
CONTRACT MANAGEMENT DIVISION
DETAIL STATEMENT OF COSTS
NSEAM(Near Southeast and Morningside)
AGENCY CONTRACT NO. DATE
NSEAM TO
PROGRAM REPORT PERIOD
PROGRAM MONTHLY CUMULATIVE
COST CATEGORY ACCOUNT BUDGET EXPENDITURES TO DATE BALANCE
PERSONAL SERVICES
Salaries 516 010 $10,336
FICA 518 010 $1,118
Life Insurance 518 050
Health Insurance 518 060
Unemployment Tax-State 518 090
Worker's Comp 518 040 $100
Retirement 518 070
SUPPLIES
Office Supplies 521 010 $210
Postage 521 020
Teaching Aids(Equipment) 522 030
Food Supplies 522 030 $600
Other Operating Supplies 523 300
CONTRACTUAL SERVICES
Telephone 535 040 $800
Electric 535 020
Gas[Utility] 535 010
Water/Waste Disposal 535 030
Rent[Building] 537 010 $2,136
Custodial Services 539 220
Office Equipment Rental 537 030
Printing 533 030 $400
Repairs 536 010
Fidelity Bond 538 210 $100
Liability Insurance 534 020 $800
Legal&Accounting 538 050
Private Auto Allowance-Local 532 130 $400
Advertising 533 010
Conferences&Seminars 531 180
Contractual Services 539 120
CAPITAL OUTLAY
Furniture,Fixtures 541 330
Office Equipment, Com uters 541 370
Other E ui ment 541 320
TOTAL S 17,000.00
Contractors 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
NAME and TITLE OF AUTHORIZED OFFICER SIGNATURE and DATE
PREPARE ONE FORM FOR EACH SOURCE OF FUNDS
DISTRIBUTION:
I Copy-Accounting
I Copy-IAGM
1 Copy-Agency 2 IA&GM FORM Apnl 2002
ATTACHMENT III
CITY OF FORT WORTH
BUDGET AND MANAGEMENT SERVICES DEPARTMENT
CONTRACT MANAGEMENT DIVISION
EXPENDITURES WORKSHEET
NSEAM (Near Southeast and Morningside)
Agency Contract Number Date
NSEAM 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
20
21
22
23
24
25
26
TOTAL
TITLE OF AUTHORIZED OFFICER SIGNATURE AND DATE
Distribution:
1 copy-Accounting
1 copy-IAGM
1 copy-Agency
CDBG ATTACHMENT IVA
CITY OF FORT WORTH
BUDGET AND MANAGEMENT SERVICES DEPARTMENT
CDBG YEAR XXXI
Public Service
1. Name and Address of Sub-Grantee
2. Project Name NSEA IVA
NSEAM (Near Southeast and Morningside)
1150 South Freeway Ste. 130 3. Contract No.
Fort Worth, TX 76104 4. Date of Request
Month&Year
5. Program Services and Activities
Current Month Cumulative
Number of New Households and/or Persons Served
6. Direct Benefit(Continued)
Low/Mod Low Income
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 aurate, and if a non-profit agency, has been approved by the governing body
of the organization prior to submission.
Date: Submitted by: Phone No.
CITY OF FORT WORTH Attachment IVB
CONTRACT MANAGEMENT DIVISION
CDBG YEAR XXX
PUBLIC SERVICE
1. Name and Address of Sub-Grantee
2, Project Name NSEAM
NSEAM (Near Southeast and Morningside)
1150 South Freeway Ste. 130 3. Contract No.
Fort Worth, TX 76104 4. Date of Request
Month&Year
8. Direct Benefit Data(New Household and/or Persons Served)
Ethnicity'(Section
Must be Completed) Hispanic Non-Hispanic
Current Month
Cumulative
American
Race:Section Must be Black Indian/Alaskan Native Hawaiian/Other American Indian/Alaskan
Completed) White African/American Asian Native Pacific Islander Native and White
Current Month
Cumulative
American
Indian/Alaskan Native
Asian and Black/African &Black African Black/African American
White American&White American Other Multi-Racial &White Total
Current Month
Cumulative
Female Head of Household
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 No.
Step 1:Ethnicity-Report whether client identifies themselves as Hispanic or Non-Hispanic
Step 2:Race-Identify the category chosen by the,client
\TT\CHtkiLNT V
CITY OF FORT WORTH
BUDGET AND MANAGEMENT SERVICES DEPARTMENT
CONTRACT MANAGEMENT
1.Agency/Address 2.Project Name: NSEAM
3. Contract No: Contract Date:
NSEAM(Near Southeast and Morningside) June 1,2005
Contract Amount:
1150 South Freeway Ste.130 $17,000
4.Date of Request:
Fort Worth,TX 76104
MONTH&YEAR_
5. PROGRAM SERVICES AND ACTIVITIES: CURRENT CUMULATIVE
6. SCOPE OF WoRI<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:
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EXHIBIT A
PROGRAM SUMMARY
NSEAM
AGENCY
Living at Home/Block Nurse Program
PROGRAM
June 1, 2005-May 31, 2006
CONTRACT NO. PERIOD AMOUNT
PROGRAM DESCRIPTION
Coordinate and provide services (friendly home visits, transportation, grocery shopping, telephone calls,minor
home repairs, household chore services and/or linking to community resources) to any person 65 years and older
living in the Near Southeast and Morningside area.
COUNCIL DISTRICT (S)
5
PROGRAM GOALS
To assist seniors citizen to live as independently as possible in their own homes and communities
PROGRAM OBJECTIVES
To provide essential health, social Services, and enrich the quality of life for senior citizens of the Near Southeast
and Morningside area.
PROGRAM SERVICES and ACTIVITIES GOALS
Home Visit & Enroll Seniors 300
Volunteer Recruit/Training 300
Match volunteers with Seniors 180
Community Outreach/ Communication 960
Administration/ Assessments 300
Health Education Classes 300
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CITY OF FORT WORTH EXHIBIT C
CDBG YEAR XXXI
Page 1 of 3
CONTRACT PERIO From: To:
Name of Sub Grantee Name of Program
NSEAM NSEAM
Program CDBG Other Sources"
Cost Category Budget Funds a b c d]
PERSONAL SERVICES
Salaries $54,580.00 $10,336.00 $44,244.00
FICA $4,137.00 $1,118.00 $3,019.00
Life Insurance
Health Insurance
Employment Tax- State $350.00 $350.00
Employment Tax- Federal $350.00 $350.00
Worker's Comp $500.00 $100.00 $400.00
Retirement
SUPPLIES
Office Supplies $1,800.00 $210.00 $1,090.00 $500.00
Postage $900.00 $550.00 $350.00
Teaching Aids $300.00 $300.00
Food Supplies $600.00 $600.00
Other Operating Expenses
CONTRACTUAL SERVICES
Telephone $900.00 $800.00 $100.00
Electric $1,800.00 $1,800.00
Gas $600.00 $600.00
Water/Waste Disposal $600.00 $600.00
Rent[Building] $6,000.00 $2,136.00 $3,364.00 $500.00
Custodial Services $2,400.00 $2,400.00
Office Equipment Rental*
Printing $600.00 $400.00 $100.00
Repairs $500.00 $500.00
Fidelity Bond*** $150.00 $100.00 $50.00
Liability Insurance*** $850.00 $800.00 $50.00
Legal &Accounting $3,000.00 $1,500.00 $1,500.00
Private Auto Allowance- Local $800.00 $400.00 $400.00
Advertising
Conference &Seminars $850.00 $850.00
Contractual Services
Miscellaneous
CAPITAL OUTLAY
Office Furniture $500.00 00.00
Computer Equipment $1,000.00 $1,000.00
Other: [Described] $ -
TOTAL $84,067.001 $17,000.001 $59,9671 $500.001 1 $6,500.00
'Specify on Budget Detail(following pages)
"Use one column for each non-grant funding source;note below which column equates to each source(from Leverage of Funds)
"Fidelity bond& liability insurance are required of all subcontractors& may be paid from grant funds or other funds.
MATCHING FUND SOURCES
[a] Special Events other sources
[b] Ballroom Rental Doris Stewart
[c] United Way
[d] Fund Raising State Farm Insurance
BUDGET DETAIL Page 2 of 3
PERSONAL SERVICES
Salary
Hourly Annual % of
Position /Title Rate Hours Time Amount
1 Program Director $16.00 516 100% $8,266.00
2 Volunteer Coordinator $10.00 208 100% $2,080.00
3
4
5
6
7
8
TOTAL STAFF SALARIES $10,346.00
FRINGE BENEFITS
of % Paid % Paid
CATEGORY Payroll Amount by Agency by CDBG Amount
FICA 7.65 $1,118.00 100% $1,118.00
Life Insurance
Health Insurance
Employment Tax
Worker's Comp 0.0092 $100.00 100% $1,118.00
Retirement
TOTAL FRINGE BENEFITS $1,218.00
TOTAL PERSONAL SERVICES $11,554.00
"Note 2080 hours annually comprise a full-time position
BUDGET DETAIL Page 3 of 3
UTILITIES
AVERAGE COST PER NUMBER OF MONTHS AMOUNT
CATEGORY MONTH
Telephone $67.00 12 $800.00
Electric
Gas
WasteA/Vater Disposal
Other
Total Utilities $ 800.00
BUILDING LEASE
BUILDING COST PER SQUARE
LOCATION NO. SQUARE FOOT FOOT AMOUNT
1 Guinn School Complex 1150 S. Freeway#130 flat rate X12 $2,136.00
2
3
TOTAL BUILDING LEASE $2,136.00
OTHER EXPENSES
CATEGORY TOTAL CHARGE %CHARGED TO CDBG AMOUNT
Fidelity Bond $100.00 67% $100.00
Liability Insurance $800.00 94% $800.00
Legal &Accounting 0%
Office Supplies $200.00 11% $200.00
Postage 0%
Printing $400.00 83% $400.00
Mileage $400.00 50% $400.00
Food Supplies $600.00 100% $600.00
TOTAL OTHER EXPENSES $2,500.00
CONFERENCES AND SEMINARS
EVENT TOTAL CHARGE % CHARGED TO CDBG AMOUNT
1
2
3
TOTAL CONFERENCES AND SEMINARS $ -
OFFICE EQUIPMENT RENTAL
ITEM TOTAL CHARGE %CHARGED TO CDBG AMOUNT
1
2
TOTAL OFFICE EQUIPMENT RENTAL $ -
City of Fort Worth, Texas
Mayor and Council Communication
COUNCIL ACTION: Approved on 5/10/2005
DATE: Tuesday, May 10, 2005
LOG NAME: 0305ACTIVITY REFERENCE NO.: C-20722
SUBJECT:
Authorize Execution of Community Development Block Grant Year XXXI, Emergency Shelter Grant
Year 2005-2006 and Housing Opportunities for Persons with AIDS 2005-2006 Contract Activities
RECOMMENDATION:
It is recommended that the City Council.-
Authorize
ouncil:Authorize the City Manager to execute Community Development Block Grant (CDBG) Year XXXI,
Emergency Shelter Grant (ESG) Year 2005-2006 and Housing Opportunities for Persons with AIDS
(HOWPA) Year 2005-2006, 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, 2005, and ending May 31, 2006:
I. Community Development Block Grant(CDBG)
Contracts with the following agencies for them not to exceed listed amount.
Organization Amount
United Community Center $250,000.00
Habitiat for Humanity $13,287.00
REACH, Inc-Project Ramp $17,715.00
Southside Area Ministries-SAM's Kids After School $4,563.00
Boys & Girls Club- NINOS $17,486.00
Boys & Girls Club- KEYS $16,439.00
East Ft. Worth Montessori -After School Program $20,146.00
Latin Arts Association -Theatre Skills Program $15,525.00
Summerbridge Fort Worth - Summerbridge Program $24,605.00
CJ's Studio of Performing Arts- Performing Arts $8,000.00
Women's Center- Play It Safe $24,300.00
Cooks Childrens Hospital- Project Smile $30,000.00
Bridge Emergency Youth Services - Buffalo Soldiers $20,000.00
Parents & Children Together, Inc. - SKIP $20,396.00
YWCA- Child Development Program $135,000.00
Child Care Associates $117,000.00
FWHA-AMAKA Child Care Center $27,000.00
YWCA-AIM $18,887.00
YMCA- School Aged Child Care $108,338.00
Clayton YES - School Aged Child Care $54,000.00
JMAC Youth Center of Tarrant County $22,500.00
Logname: 0305ACTIVITY PaaP 1 of I
Southside Area Ministries-Mid-South Seniors $2,570.00
Seniors Citizen Services-Como Senior Citizens $17,597.00
Meals on Wheels $33,696.00
Senior Citizen Services- Riverside Senior Citizens $15,271.00
NSEAM $17,000.00
Mental Health Association - Mental Health Advocate $24,750.00
Centro Cultural De Las Americas -Job Training $24,786.00
Mental Health Association - Long Term Ombudsman $17,500.00
Northside InterChurch Agency - Good Works $26,040.00
Presbyterian Night Shelter Bottle Bounty Deposits $30,000.00
Day Resource Center Security $27,000.00
Learn Education Center- Learn Even Start Program $20,000.00
United Community Centers - Crisis Intervention Program $20,000.00
Sickle Cell Disease Association - Health Outreach, $23,640.00
Fort Worth SER - Northside Resource Center $65,001.00
A-Prep Center of Tarrant County $64,571.00
YWCA- Ben &Jerry's Job Training/Job Placement $18,207.00
TOTAL CDBG $1,412,816.00
II. Emergency Shelter Grant(ESG)
Organization Amount
YWCA-Supportative Living $12,150.00
Cornerstone Assistance- New Life Center $12,211.00
Presbyterian Night Shelter- Homeless Shelter $151,308.00
Bridge Emergency Services -Emergency Youth Shelter $6,374.00
Women's Haven of Tarrant County $19,515.00
MHMR of Tarrant County $14,505.00
YWCA- My Own Place $17,184.00
Presbyterian Night Shelter- Elderly & Infirmary Program $13,536.00
Salvation Army $10,580.00
Woman's Haven of Tarrant County-Supportive Child Care $13,000.00
TOTAL ESG $270,363.00
III. Housing Opportunities for Persons with HIV/AIDS (HOPWA)
Organization Amount
AIDS Outreach Center $460,970.00
Tarrant County Samaritan Housing, Inc. $240,889.00
AIDS Outreach Rural Texas $103,141.00
TOTAL HOPWA $805,000.00
DISCUSSION:
On April 5, 2005, the City Council adopted the budgets and the appropriation ordinance increasing
estimated receipts and appropriations for the Year XXXI (June 1, 2005 to May 31, 2006) Community
Logname: 0305ACTIVITY Page 2 of 3
6
Development Block Grant (CDBG) grant funds, (2005-2006) Emergency Shelter Grant (ESG) grant funds
and (2005-2006) Housing Opportunities for Persons with AIDS (HOPWA) grant funds as part of the City's
Consolidated Plan and Consolidated Action Plan. The Consolidated Plan, as adopted by the City Council,
included program descriptions on each program listed above.
The above programs are consistent with the City's approved funding policies and priorities. Each program
meets the requirements of the Department of Housing and Urban Development (HUD) regulations
defining "eligible activity." These programs prove services citywide.
FISCAL INFORMATION/CERTIFICATION:
The Finance Director certifies that funds will be available in the current operating budget as appropriated, in
the Grants Fund contingent upon approval and receipt of adequate funding from the U.S. Departmental of
Housing and Urban Development (HUD) for the term beginning June 1, 2005, and ending May 31, 2006.
TO Fund/AccountlCenters FROM Fund/Account/Centers
GR76 539120 005206007XXX $270.363.00
GR76 539120 005206008XXX $805.000.00
GR76 539120 005206005XXX $1 Al2.816.00
Submitted for City Manager's Office by: Richard Zavala (Acting) (6222)
Originating Department Head: Bridgette Garrett (6183)
Additional Information Contact: Deidra Emerson (7563)
Logname: 0305ACTIVITY Pana 7 of 2