HomeMy WebLinkAboutC2005-147 - 2/22/2005 - ApprovedPage I of 8
Weed & Seed Subrecipient Agreement
between the
City of Corpus Christi
and
Corpus Christi Metro Ministries, Inc.
THE STATE OF TEXAS §
KNOW ALL BY THESE PRESENTS:
COUNTY OFNUECES §
This Agreement ("Agreement") is made and entered into by and between the City of
Corpus Chdsti ("City"), a Texas home rule municipal corporation, acting through its duly
authorized City Manager or his designee ("City Manager"), and Corpus Chdsti Metro
Ministries, Inc., ("Subrecipient"), a Texas non-profit corporation, acting through its duly
authorized representative.
WHEREAS, City has allocated $8,000 from the Cites fiscal year 2004 - 200_5 Weed and
Seed Program ("Program") for implementation of Weed and Seed services ("Services");
and,
WHEREAS, City wishes to encourage the Services provided by Subrecipient because
there is a genuine need for these Services in the City.
NOW, THEREFORE, the City and Subrecipient agree as follows:
Section 1. Purpose and Consideration. Subrecipient has applied to the City for
certain funds that are to be utilized by the Subrecipient in connection with and for
purposes of fudhedng the Program and, in particular, to provide the Services described
in the attached Exhibit A that is incorporated in this Agreement by reference.
Subrecipient, in consideration of being extended funds to accomplish the purpose of this
Agreement, shall accomplish this purpose and shall comply with all rules and
regulations applicable to the Program funds as set out in this Agreement and as may
be required by Federal and State law.
Section 2. Receipt of Funds. The Subrecipient hereby acknowledges a sub-grant
award from the City in the amount of $8,000 ("Funds") that is designated for use in the
Program. The Subrecipient shall submit a Subrecipient Payment Voucher/Report, a
copy of which is attached to this Agreement and incorporated in this Agreement by
reference as Exhibit B, and additional appropriate documentation, as detailed below, to
the City by the last day of each month dudng the term of this Agreement. The
Subrecipient agrees to use the Funds in accordance with the terms and conditions of
this Agreement and in accordance with Subrecipient's general understanding of the
purposes of the Program.
C C Metro Ministries
2005-147
02/22/05
M2005-055 ~'C Met ro. Mlnis Ldeslr~.WeedSeed Protec.tedgorm.dot
Page 2 of 8
Section 3. Services. In exchange for the Funds, the Subrecipient agrees to perform
those Services and functions listed and described on the attached and incorporated
Exhibit A.
Section 4. Term of Performance. The Services shall be performed and the Funds
shall be allocable to the period from the Ist day of October, 2004, to the 30~ day of
September, 2005.
Section 5. Reports.
A. The Services shall be performed promptly, efficiently, and in accordance with the
description listed on the attached and incorporated Exhibit A. The Subrecipient shall
submit written reports ("Performance Reports") to the City, through the Weed and
Seed Program, describing the actual performance of the Services and including: the
number of individuals served, the progress of the stated objectives, and anecdotal
information that supports the progress of the Program. Performance Reports shall be
submitted to the City, through the Weed and Seed Program, on a monthly,
quarterly, and yearly basis.
B. Additionally, the Subrecipient shall submit a financial report to the City, through the
Weed and Seed Program, on the last day of each month, that identifies any Funds
expended and attach supporting documentation, such as timecards and receipts, for
those expenditures. The Subrecipient Payment Voucher/Report (Exhibit B) shall serve
as the financial report for Subrecipient.
C. The City reserves the dght, upon reasonable notice to the Subrecipient, to have
City's accountants, attomeys, and other agents audit the books and records of the
Subrecipient to ensure the proper application of the Funds for the purpose set forth in,
and in accordance with, this Agreement. The Subrecipient shall participate in the
Weed and Seed formal evaluation by cooperating with the City. The Subrecipient shall
meet with the evaluation team, agree on an evaluation process, and accommodate site
visits from the evaluation team.
Section 6. Insurance.
A. Subrecipient must secure and maintain, at Subrecipient's expense dudng the term of
this Agreement, a Commercial General Liability insurance policy, from an insurer that
City approves, with the limits and requirements shown on the attached Exhibit E that is
incorporated in this Agreement by reference. The Certificate(s) of Insurance must be
sent to the City's Risk Management Department ("Risk Manage¢') at least ten (10) days
pdor to the start of services. Subrecipient shall provide the Risk Manager with
Certificate(s) of Insurance reflecting all of the required coverages and shall, upon
request of the City Manager dudng the term of this Agreement, promptly provide the
City Manager with copies of all insurance policies.
B. Subrecipient shall require its insurance policies to provide that the Risk Manager
shall be given at least thirty (30) days advance written notice by the insurer pdor to
cancellation, intent to not renew, or material change of the insurance policies mentioned
Page 3 of 8
in Section 6.A. above. Failure of Subrecipient to maintain the insurance coverage(s)
required by this Agreement shall be cause for the City to withhold Funds, cancel any
and all claims that Subrecipient may have, and shall be grounds for termination of this
Agreement.
C. The City Manager, or the City Manager's designee, retains the dght, dudng the
term of this Agreement, to reevaluate and adjust the insurance requirements and limits
specified in this Agreement. The City shall give the Subrecipient thirty (30) days
advance written notice of the City's intent to exercise the right. Insurance limits shall be
adjusted no more frequently than once per the City's fiscal year.
Section 7. Indemnification. Subreclpient agrees that it will Indemnify and hold
harmless the City, Its officers, employees, representatives, and agents
(hereinafter, "lndemnitees") from and against all claims, demands, actions,
damages, losses, costs, liabilities, expenses, and judgments recovered from or
asserted against Indemnitees on account of Injury or damage to person or
property to the extent the damage or injury may be incident to, arise out of, or be
caused, either proximately or remotely, wholly or in par by an act omission, or
negligence on the part of Subreciplen~ Its officers, employees, representatives or
agents, Indemnitees, or any of them, acting pursuant to this Agreement with the
express or implied invitation or permission of Subrecipient, or on the part of
Subrecipient or any of its agents, servants, employees, conb'actors, patrons,
guests, licensees, or invitees engaging or participating in the Program or
Services being provided pursuant to this Agreement, or when the Injury or
damage is the result, proximate or remote, of the violation by Indemnltees, or any
of them, Subrecipien~ or any of its agents, servants, employees, contractors,
patrons, guests, licensees, or invitees of any law, ordinance, or governmental
order of any kind, or when the injury or damage may in any other way arise from
or out of the Services being provided herein by Indemni~ees, or any of them,
Subrecipien~ Its agents, servants, employees, contractors, patrons, guests,
licensees, or Invitees, including without limitation, any damages or costs which
may occur as a result of the Services themselves, regardless of whether the
injury or damage results from the contributory negligence or concurrent
negligence of lndemnltees, or any of them, including if the damage or injury may
result from the gross negligence of lndemnltees, or any of them, unmixed with
the fault of any other person or entity. The terms of this indemnification shall be
effective upon the date of execution of this Agreement. Subrecipient covenants
and agrees tha~ if City is made a party to any litigation against Subreclpient or in
any fltigation commenced by any pert]/other than the Subrecipient relating to this
Agreement the Subreclplent shall, upon receipt of reasonable notice regarding
commencement of litigation and at Its own expense, investigate all claims and
demands, attend to their settlement or other disposition, defend City in ali actions
based thereon with legal counsel acceptable to City, and pay all charges of
attorneys and all other costs and expenses of any kind whatsoever arising from
any said liability, damage, loss, demand, claim, or action.
Page 4 of 8
Section 8. EPA Compliance. The Subrecipient shall ensure that the facilities under its
ownership, lease, or supervision, which are to be utilized in the accomplishment of the
Services, are not listed on the United States Environmental Protection Agency's ("EPA")
list of Violating Facilities and shall notify the City of the receipt of any communication
from the Director of the EPA Office of Federal Activities indicating that a facility to be
used for the Services is under consideration for listing by the EPA.
Section 9. Federal Compliance. The Subrecipient shall comply with the applicable
provisions of Title I of the Omnibus Cdme Control and Safe Streets Act of 1968, as
amended; the Juvenile Justice and Delinquency Prevention Act; and the Victims of
Cdme Act, each as amended and as applicable; the provisions of the current edition of
the Office of Justice Programs Financial and Administrative Guide for Grants, M7100.1;
and, all other applicable Federal laws, orders, circulars, and regulations. Additionally,
the Subrecipient shall be in compliance with the Certifications Regarding Lobbying;
Department, Suspension, and other Responsibility Matters; and Drug-Free Workplace
Requirements, as detailed in the attached Exhibit C that is incorporated in this
Agreement by reference; and shall submit a completed Exhibit C form to the City upon
execution of this Agreement. The Exhibit C form shall be completed and signed by a
duly authorized representative of the Subrecipient.
Section 10. Non-Discrimination. The Subrecipient shall comply with the
nondiscrimination requirements of the Omnibus Cdme Control and Safe Streets Act of
1968, as amended, and the Victims of Cdme Act, as amended; Title VI of the Civil
Rights Act of 1964, as amended; Section 504 of the Rehabilitation Act of 1973, as
amended; Subtitle A, Title 11 of the Americans with Disabilities Act ("ADA") (1990), as
amended; Title IX of the Education Amendments of 1972, as amended; the Age
Discrimination ACt of 1976, as amended; Department of Justice Non-Discrimination
Regulations, 28 Code of Federal Regulations ("CFR") Part 42, Subparts C, D, E, and G,
as amended; and the Department of Justice regulations on disability discriminations, 26
CFR Parts 35 and 39, as amended.
Section 11. Other Governmental Compliance. The Subrecipient shall also comply
with those obligations contained in Exhibit D, entitled "Assurances", OJP Form 4000/3,
and in Exhibit F, entitled "Certification Regarding Federal Lobbying", both of which are
attached to this Agreement and incorporated in this Agreement by reference.
Subrecipient shall submit completed Exhibit D and Exhibit F forms to the City upon
execution of this Agreement. The Exhibit D and Exhibit F forms shall be completed
and signed by a duly authorized representative of the Subrecipient.
Section 12. Binding Agreement. This Agreement shall be binding upon, inure to the
benefit of, and be enforceable by and against the respective parties and their
successors and assigns.
Section 13. Notice. All notices, demands, requests, or replies provided for or
permitted under this Agreement, by either party, must be in writing and must be
delivered by one of the following methods: (1) by personal delivery; (2) by deposit with
the United States Postal Service as certified or registered mail, retum receipt requested,
H:\L EG-DIR~Oiga R~Doyte\Park&Rec\We~a~Seed~3005~O30405OC.CCMe ~ro. Minisl.d eslnc.WeedSe~d Protec.ted Form.dot
Page 5 of 8
postage prepaid; (3) by prepaid telegram; (4) by deposit with an overnight express
delivery service, for which service has been prepaid; or (5) by fax transmission. Notice
deposited with the United States Postal Service in the manner described above will be
deemed effective two (2) business days after deposit with the United States Postal
Service. Notice by telegram or overnight express delivery service will be deemed
effective one (1) business day after transmission to the telegraph company or overnight
express carder.
Notice by fax transmission will be deemed effective upon transmission, with proof of de-
livery. All these communications must only be made to the following:
IF TO CITY:
City of Corpus Christi
At'tn: Weed and Seed
P. O. Box 9277
Corpus Chdsti, Texas 78469-9277
(361) 880-3461
(361) 680-3864 Fax
IF TO SUBRECIPIENT:
Corpus Chdsti Metro Ministries, Inc. [Subrecipient's Name]
Attn: President
1919 Leopard Street [Address]
Corpus Chdsti, Texas 78408
(361) 887-0151
(361) 887-7900 Fax
Section 14. Waiver. Any waiver by the parties of a breach of any covenants, terms,
obligations, or events of default shall not be construed to be a waiver of any subsequent
breach; and the failure to require full compliance with this Agreement shall not be
construed as changing the terms of this Agreement or estopping the parties from
enforcing the terms of this Agreement.
Section 15. Modifications. No provision of this Agreement shall be changed,
modified, or waived except by wdtten document signed by persons authorized to sign
agreements on behalf of each party.
Section 16. Applicable Law and Venue. This Agreement is entered into in the State
of Texas and shall be construed and interpreted in accordance with the laws of Texas.
Venue lies in Nueces County, Texas, where this Agreement was entered into and will
be performed.
Section 17. Conflicts of Interest. No official or employee of the unit of local
govemment or a non-governmental recipient/subrecipient shall participate personally
through decisions, approval, disapproval, recommendation, the rendering of advice,
investigation, or otherwise in any proceeding, application, request for a ruling or other
H/LEG-DIR~OlgaR~Doy~Park&F~c\We~dSeed~2005~030405DC CCMetro. Minis[ rleslnc. We~Se~d Pro[ec.tedForrn.dot
Page 6 of 8
determination, contract, award, cooperative Agreement, claim, controversy, or other
particular matter in which award Funds (including Program income or other funds
generated by Federally-funded activities) are used, where to his or her knowledge, he or
she, or his or her immediate family, partner, organization other than a public agency in
which he or she is serving as an officer, director, trustee, partner, or employee, or any
person or organization with whom he or she is negotiating, has any arrangement
conceming prospective employment, has a financial interest, or less than an arms-
length transaction.
Section 18. Appearance. Subrecipient acknowledges that, in the use of agency
Program Funds, officials and employees of the local units of govemment and of non-
govemmental recipients/subrecipients shall avoid any action that might result in, or
create the appearance of, using an office or position for pdvate gain, giving preferential
treatment to any person, losing complete independence or impartiality, making an
official decision outside official channels, or affecting adversely the confidence of the
public in the integrity of the government or the Program. Subrecipient agrees to ensure
compliance with this covenant by its officers, employees, representatives, and agents.
Section 19. Assignment. This Agreement may not be, in whole or in part, assigned
or transferred directly or indirectly without the prior written consent of the City.
Section 20. Suspension and Termination. The City may suspend or terminate this
Agreement in accordance with 28 CFR Sec. 66.43, as amended, if Subrecipient
materially fails to comply with any term of this Agreement. This Agreement may be
terminated, by the City, for convenience in accordance with 28 CFR Sec. 66.44, as
amended.
Section 21. Captions. The captions employed in this Agreement are for convenience
only and do not in any way limit or amplify the terms or provisions hereof.
Section 22. Entirety Clause. This Agreement and the attached and incorporated
Exhibits constitute the entire Agreement between the City and Subrecipient for the
purpose stated. All other Agreements, promises, and representations, unless
contained in this Agreement, are expressly revoked as the parties intend to provide for
a complete understanding within the provisions of this Agreement and its Exhibits of
the terms, conditions, promises, and covenants relating to the Program and the
Services to be rendered.
Section 23. Severabillty.
A. If, for any reason, any section, paragraph, subdivision, clause, provision, phrase, or
word of this Agreement is held invalid, illegal, unenforceable, or unconstitutional by
final judgment of a court of competent jurisdiction, it does not affect any other section,
paragraph, subdivision, clause, provision, phrase, or word of this Agreement, for it is
the definite intent of the parties to this Agreement that every section, paragraph,
subdivision, clause, prevision, phrase, or word hereof be given full force and effect for
its purpose.
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B. To the extent that any clause or provision is held illegal, invalid, or unenforceable
under present or future law effective dudng the term of this Agreement, in lieu of the
illegal, invalid, or unenforceable clause or provision, a clause or provision, as similar in
terms to the illegal, invalid, or unenforceable clause or provision as may be possible and
be legal, valid, and enforceable, will be added to this Agreement automatically.
EXECUTED IN DUPLICATE, each of which shall be considered an original, on
the ~lay of ~ ,2005.
ATTEST: CITY/~CO.(.~S CHRISTI
Arm and~o'~C~ G~or~ K. Nee, City Manager, or his
designee
~S TO LEGAL FORM 2 March 2005
Chief, Administrative Law Section
Senior Assistant City Attorney
For City Attorney
STATE OF TEXAS §
COUNTY OF NUECES §
This instrument was acknowledged before me on r'..J [[ bi.J,._ (. ,2005, by
George K. Nee, or his designee
City Manager of the City of Corpus._,Christi, a Texas home rule municipal corporation, on
Notary Public, State of Texas
Printed Name
Commission expires:
H \LEG-DIR~Olga RSD~yte~P ark&Rec\Wee(IS eec1~2005\030405 DC.CCMet~ Mlnlst r'~slnc. Wee~Se~d pmtec,tedFo~.det
Page 8 of 8
SUBRECIPIENT:
STATE OF TEXAS §
COUNTY OF NUECES §
/
This [ostrument .was acknowledged before me on ~' ,
2O05,
by ;Y:.~'-*~ ~,(' ~ ~ , an authorized representative of Corpus Chdsti
Metro Ministd&s, Inc., a Texas corporation [b/pe of entity1, on behalf of said corporation
[type ~of e ,n~tvl.
No. fy 'Public,t~tate of Texas
?
Commission expires: ~,,, ~./ ~.,/ ~.. -
Weed and Seed Grant Program
For the City' of Corpus Christi, Texas
Delegate Agency Application Submission Cover Sheet
Applicant [nt'ormation:
Org~mization: Corpus Christi Metro Ministries, Inc.
Address: 1919 Leopard Street Comus Christi, Texas 78408
P.O. Box 4899 Comus Christi. Texas 784069-4899
Authorized official:
Name: Betsy Carrell
Title: Board President
Contact Person:
Name: Ginger Flewellin~ Leeds Title: Administrative Director
Phone: 361-887-0151 Fax: 361-887-7900
Checklist: Please use this checklist to ensure the completeness of the application. Please submit two originals
and fifteen copies of the application materials by submission deadline.
Application Materials Check List:
X
X
X
X
X
X
X
X
X
__Two original Applications with signed Signature Page, by Chairman of the Governing
Body or Authorized Official and 15 copies
Budget
__Budget Justification
Community Needs Assessment
__Project Narrative
Applicant History and Capability
Roster of Governing Body, indicating addresses and phone numbers for each member
Program Assurances signed by the Chairman of the Governing Body or Authorized
Official
Must have two signed original applications and 15 copies
Weed and Seed Grant Program
For the City of Corpus Christi, Texas
Grant Application
Signature Page
1. Name of Applicant Organization: Comus Christi Metro Ministries, Inc (CCMM)
2. Address of Applicant Organization: 1919 Leopard Street Comus Christi, Texas 78408
3. Phone: 361-887-015l
Fax: 361-887-7900
4. Name of Proposed Project: Gabbard Memorial Health Room
5. Address of Proposed Project: 1919 Leopard Street Corpus Christi, Texas 78408
6. Name of Project Director: Ann Walters, Director of Health and Human Services
7. Name of Board/Commission Chairman: Betsy Carrell, President
8. ProJect Period Beginning:March 1, 2005
Ending: Februaw 28, 2006
Project Summary: CCMM is seeking funds in the Weed and Seed Site I North category. Located in census
tract 11, the Gabbard Memorial Health Room addresses the tour Weed & Seed identified risk factors
including extreme economic deprivation, family management problems/conflict, early academic failure, and
early initiation of problem behavior. The Health Room provides clients with access to the basic health care
services that help to fill the gap in services, stabilize the client's health situation and allow them the
opportunity to focus on the social and financial problems that typically accompany homelessness.
Established in 1989, the Gabbard Memorial Health Room is a primary care medical clinic, for the residents
of our shelters, other CCMM clients and for individuals living on the street. Ali services are provided at no
charge without regard to race, color, ethnic origin, age, sex, religion, sexual preference, political beliefs or
disabilities. Staffed by volunteer doctors and nurses from the community, the goal of this vital program is to
provide either primary care for acute problems or to supply appropriate referrals for chronic needs. As
funding allows, prescriptions are filled at no charge.
Specifically, we are requesting funds for a portion of the salary of the Director of Health and Human
Services and underwriting for a por~inn of our operating expenses.
Terms and Conditions
It is understood and agreed by the undersigned that:
I. Funds granted as a result of this request are to be expended for the purposes set tbrth herein and in accordance with all State and
Federal Regulations and res~-ictions.
2. Any proposals for changes to this project as approved and awarded will be submitted in writing by the applicant and upon
notification of approval by the Weed and Seed Steering Comrni~ee, shall be deemed incorporated into and become part of the
award agreement.
3. The undersigned HEREBY GIVES ASSURANCES THAT he/she will immediately take any measures necessary to effectuate
any award agreement.
4. Typed Name and Title of Authorized Official: Betsy Carrell, Board President
Signature: ~l'~a~ ~[l~C~
Date: February25,2005
Corpus Christi Metro Ministries, Inc. - Gabbard Health Room
Weed & Seed Budget
(~ubmitted with 2005 proposal)
Annual %
Salary # Time
(Budgeted) Months {~"='"~)
PERSONNEL:
Director -Health & Human Services 544,844
HHS AssistanrJResidential Manager 52 ] .074
Case Manager- Rainbow House 528,874
Admthistrative Supporl (5 FTE) ** $254,519
*Eyclud~x HHS Asst posltton budgeted not funded ** esttmated at l%
FRINGE BENEFITS:
FICA (estimated rate=,0765 per dollar per year)
Director -Health & Human Services (.0765 x $4,484)
HHS Resource Assistant (.0765 x $3,161 )
Case Manager Rainbow House (.0765x55,774)
Administrative Support (,0765 x $2,545)
SIIS
Unemployment Ins.:
Health Ins.: (estimated cost- $3,870 per person per year)
Director Health & Human Services (10% x $3,870)
HHS Resource Assistant (15% x $3.870)
Case Manager Rainbow House (20% x $3,870)
Administrative Support (1% x $3,870 x 5 employees)
Other: Workers Compensation: (estimated rate= ,0078 {>er dollar per year)
Director Health & Human Services (.0078 × $4,484)
HHS Resource Assistant (,0078x $3.161)
Case Manager Rainbow House (.0078x $5,774)
Administrative Support (.0078x $2,545)
CONSULTANTS/CONTRACT SERVICES:
Consultants/Professionals
TRAVEL:
In-State:
Out-of-State:
OPERATING:
Gabbard Health Room Insurance
Other Insurance (D&O, Compulers, & Volunteer)
Supplies & Services
Postage Expense
Building Occupancy Expense
Printing Expense
EQUIPMENT:
Computer Software & Repairs
OTHER COSTS:
Professional Fees - Annual Audit
Meeting Expenses
12 10%
12 15%
12 20%
12 1%
CA TEGORY TOTALS
CA TEGORY TOTALS:
CATEGORY TOTALS'
CA TEGOR Y TOTALS:
CA TEGORY TOTALS:
CA T£GORY TOTALS'
Direct Assistance to Individuals (pending funding availability)
Misc. Items - Unexpected repairs and/or purchase of medical equipment
CA TEGORY TOTALS:
Total Amount
(Budgeted *)
$4,484
$3.161
$5,774
$2.545
$15,964
Total
W&S
Request
$2,852
$0
$0
$0
$2,852
5343
5242 $0
$442 $0
5195 $0
$0 $0
$0 $0
$387 $0
$580
$774 $0
$193
$35 $0
$25 $0
$45 $0
$19 $0
$3~80 $0
$1,170 $0
$1,170 $0
$I,000 $0
$0 $0
$1,000 $0
$6,527 $5,148
$350 $0
$2,050 $0
$25 $0
$2,000 $0
$1,000 $0
$11,952 $5,148
$0 $0
$0 $0
$974 $0
$1,050 $0
$14~00 $0
$200 $0
$16,424 $0
TOTAL GRANT REQUEST: $49,790 $8,000
Corpus Christi Metro Ministries
Weed & Seed Budget Justification
Over-view:
Using the $8,000 Weed & Seed investment, Corpus Christi Metro Ministries will pay for the
support of basic medical services fur an estimated 600 patient visits during the 12-month grant
period. In FY2004, the Health Room recorded 728 free patient visits, successfully serving 455
clients seeking assistance. The average value of each patient visit was $159 30; the average cost
was $59.57; and the value-added was $99. 72.
Weed & Seed"s investment offers the homeless and very low income person who has no
insurance coverage access to at least one private visit with a State licensed physician; the support
of other appropriate medical staff (such as nurses who take the patient's temperature and blood
pressure and assist the physician); access to the cost of medications when not available from
donated samples or other sources; appropriate referral and follow-up services; and the office
space and equipment necessary for the physician to provide services and to store donated
medical supplies and drug samples.
Patients normally wait less than an hour (substantially less than required in a hospital emergency
room or emergency clinic) and receive a face-to-face visit with the attending physician. The visit
usually lasts 10 to 15 minutes. When a donated medical supply or drag sample is available, the
doctor may immediately fill an individual's medical needs at the Gabbard Health Room; or the
doctor may elect to refer the patient to a pharmacy and~or other medical service provider
(including hospitals, emergency clinics, and other health professionals) for appropriate treatment
and/or additional services. Often Metro Ministries can pay fur referral appointments with
additional funding it receives from other funding sources (i.e. Christus Fund, when available).
Specific sections of the budget are justified below.
Personnel Costs:
Doctors and nurses from our community volunteer all professional labor and hands-on medical
activity within the Gabbard Health Room. In fact, Fire & Wheeler, PC reported in our year-
ending September 30, 2004 Annual Audit that donated medical services amounted to $40,304.
Paid staff also helps with hands-on support within the Gabbard Health Room. Metro Ministries
provides up to 3 paid staff in direct support of the clerical duties related to the health room. This
ensures continuous and consistent service delivery to all area agencies who refer patients and to
the street clients who need the services of the Gabbard Health Room. Paid staff document each
client/doctor visit; schedules professionals ~vho work in the Gabbard Health Room, and handle
all paperwork associated with foundation expenditures that help pay for referrals and doctor-
prescribed non-donated medical needs.
Metro Ministries' administrative staff assists with the production of monthly service and
programmatic reports that support the medical activities, backs up reimbursement requests, and
promotes the positive impact of the Gabbard Health Room on the community.
Olaeratin~ Costs and Other Costs:
Metro Ministries will use Weed & Seed funds to pay for any insurance costs associated directly
with the Gabbard Health Room which is the program's second largest out-of-pocket cost other
than personnel.
Corpus Christi Metro Ministries
CommuniW Needs Assessment
The 2002 Homeless Issues Partnership Gap Analysis contained in their annual application to the U.S.
Department of Housing and Urban Development point in time survey estimated that 1,896 individuals were in
need of health care services with a current inventory o£ services of only 948, leaving a gap/unmet need o£ 948.
The survey went on to estimate that 1,104 persons in t'amilies with children were in need of health care services
with a current inventory of services of only 552, Ieaving a gap/unmet need of 552. The Gabbard Memotdal
Health Room, providing 600+ free patient visits annually, is a vital part of the health care system for the
homeless population of Corpus Chr/sti.
More recently, the 2004 United Way of the Coastal Bend sponsored the Coastal Bend 12 County Needs
Assessment and found that:
· the 12-county region has an increased incidence of several health problems such as low birth weight babies,
diabetes, hypertension and obesity
· almost 10% of the households surveyed reported being unable to immunize their children.
· residents in the 12 ~:ounty region have far fewer opportunities for access to qualified medical personnel.
· the high number of children and adults that do not have adequate healthcare insurance coverage results in
many unmet medical needs that worsen without timely care.
Corpus Christi Metro Ministries
Project Narrative
1. Problem Statement
Corpus Christi Metro Ministries (CCMM) is seeking funds in the Weed and Seed Site I North category.
Located in census tract 11, the Oabbard Memorial Health Room helps to increase access to social and health
programs and provides for the economic development and enhancement of the homeless of our community.
Established in 1989, the Gabbard Memorial Health Room is a primary care medical clinic, for the residents of
our shelters, other CCMM clients and for individuals living on the street. Staffed by volunteer doctors and
nurses l'rom the corrtmunity, the goal of this vital program is to provide either primary care for acute problems
or to supply appropriate referrals fl0r chronic needs. As funding allows, prescriptions for our health room
patients are filled at no charge.
This proposal seeks funds for four specific categories of activities in our Gabbard Memorial Health Room, a
primary care medical clinic for residents oI' our shelters, other CCMM clients, area homeless providers, and for
those living on the street. Specifically, we are requesting funds for a portion of the salary of the Director and
Residential Manager of Health and Hmnan Services; and underwriting for a portion of the operating expenses.
CCMM is an active member of the Homeless issues Partnership (HIP). Each year, HIP conducts a point in time
needs survcy in our community. The most recent survey indicated a gap in health care services for the homeless
population. In their year 2003 submission to the US Department of Housing and Urban Development, HiP
ranked health care Ibr individuals and persons in families with children as a need in our community. The
Gabbard Memorial Health Room helps to fill this gap in services to the homeless of our community.
Director of Health and Human Services
CCMM is requesting funds to undepa'rite 6.36% of the annual salary of Ann Walters, the Director of Health and
Human Services.
A nineteen-year employee of CCMM, Ms. Walters has an extraordinao' awareness of the homeless population
and their needs. An integral part of the Health Rooms' success, Ms Walters' duties include but are not limited
to coordinating the weekly health clinics and monthly eye clinics; working side by side with the volunteer
doctors and nurses; matching donated medical supplies with clients needs; coordinating outreach programs such
as health lairs and screenings; and she is one of the few employees licensed handle prescription drugs on the
premises.
Operating
CCMM is requesting funds to help underwrite the operating costs of the Gabbard Memorial Health Room.
Specifically, insurance costs which include general and liability insurance.
2. Goals of the Project
The goal of the proposed project is to help underwrite the ever increasing cost of operating the Gabbard
Memorial Health Room. It is estimated that CCMM will provide 600+ free patient visits in 2005. In 2004, the
Health Room recorded 728 free patient visits, successfully serving nearly 455 clients seeking assistance. The
average value of each patient visit was $159.30; the average cost was $59.57; and the value-added was $99.72.
The general goal of the Gabbard Memorial Health Room is to provide either primary care for acute problems, or
appropriate referral for chronic needs. As funding and in-kind donations allow, prescriptions for health room
patients are filled at no charge. At least 95% of the estimated 400 patients who come to CCMM for medical
attention will share their medical history, described their symptoms or health needs, and see a State-licensed
doctor of medicine or optometry. Where indicated, patients will leave the Health Room with a physician's
advice, instructions, written prescription or with medication provided under a physician's direction at the time
of treatment. CCMM estimates that we will provide 600+ tree patient ,,isits in the next year. Over 50% of the
patients will require repeat visits to the Health Room.
This goal is a first step towards the ultimate goal self-sufficiency and permanent housing. In order to address
the other problems that typically accompany homelessness, the clients must first stabilize their health. The
majority or' the homeless population does not have access to consistent, reliable health care. Therefore, the
hmneless ol:ten suffer ftom a lack of preventative health care services and/or often suffer from untreated ckronic
illnesses.
The Gabbard Health Room helps to alleviate the four risk i'actors identified by the Weed & Seed Grant Program
including extreme economic deprivation, family trmnagement problems/conflict, early academic failure, early
initiation of problem behavior. The Gabbard Memorial Health Room provides clients with access to the basic
health care services that help to fill the gap in services, stabilize the client's health situation and allow them the
opportunity to focus on the social and financial problems that typically accompany homelessness. With their
health stabilized, the homeless clients are then able to access the other services offered at CCMM. Specifically,
clients may then access our Vineyard Employment Program that matches clients with jobs allowing for the
economic development and enhancement of the client as well ~ the community. Additionally, clients may also
access educational opportunities with other service providers in the local continuum of care.
The Kaiser Commission on Medicaid and the Uninsured recently reported on the sociological effects of health
care and health insurance. Three major findings of the Commission include:
1) that the uninsured receive less preventative care, are diagnosed at more advanced disease stages and
once diagnosed, they receive less therapeutic care;
2) having health insurance would reduce the mortality rates of'the uninsured by 10%-15%; and
3) better health would improve annual earnings by about 10%-30% and would also increase educational
attainment.
3. Objectives
Gabbard Health Room strives to provide the homeless and uninsured poor people with free and accessible
health care with counseling for personal wellness and prevention, and with a vision clinic in a setting
conveniently co-located with other, familiar human services. These services further an individual's likelihood
to find permanent employment, become independent, and maintain stability in the community.
4_ Strategies or Methods to be Used
The Gabbard Memorial Health Room provides the homeless and uninsured poor people with free and accessible
health care~ with counseling for personal wellness and prevention, in a setting conveniently co-located with
other, familiar human services. As the Gabbard Memorial Health Room is an established and successful
program of CCMM, we will continue to operate the weekly health clinic, monthly eye clinic, and special
screening and educational opportunities as needed. Clients may be referred by other CCMM programs, other
area human service providers, or self-referred to the Health Room.
In terms of the involvement of clients in the program, CCMM hms a formerly homeless individual currently
serving on our board of directors. To the extent that we are able, we encourage clients to participate in various
projects of the agency. We also make an effort to utilize the skills of our clients, rather than hiring outside
contractors. The clients benefit from the opportunity to earn an income, develop work habits, and be assessed
by the employment director, who may then recommend them to prospective employers.
5. Target Population
The Gabbard Memorial Health Room is a primary care medical clinic for residents of our shelters, other CCMM
clients, area homeless providers, and lbr those living on the street.
6. Continuation and Replication
The concept of the Gabbard Health Room could be easily replicated with the appropriate resources. In its
fourteen years of operation, the success of the Gabbard Memorial Health Room is due in large part to the
generous donation of time from area doctors and nurses and donated medical supplies. Additionally, CCMM
actively solicits public and private grants and donations as well as hosting special fundraising events.
7_ Expected Benefits to Individuals and Families and Self-Evaluation Methods
The individuals and families served by the CCMM Gabbard Memorial Health Room will benefit in that they are
provided with increased access to social and health programs and the opportunity to stabilize their health
thereby enhancing their economic development and becoming contributing, self-sufficient members of the
community. This year, CCMM estimates that we will provide 600+ free patient visits.
CCMM regularly evaluates the success of the Gabbard Memorial Health Room. Our objective is that at least
95% of the estimated 400 patients who come to CCMM tbr medical attention will share their medical history,
described their symptoms or health needs, and see a State-licensed doctor of medicine or optometry Where
indicated, patients will leave the Health Room with a physician's advice, instructions, written prescription or
with medication provided under a physician's direction at the time of treatment. CCMM estimates that we will
provide 600+ free patient visits in the next year. Nearly 50% of the patients will require repeat visits to the
Health Room.
Since 1989, doctors and nurses have voluntarily provided 9,135 patient visits to 2,559 individuals.
Corpus Christi Metro Ministries
History and Capability
Mission Statement Established in 1983, Corpus Christi Metro Ministries, Inc. (CCMM) is a non-profit
501(c)(3) organization that provides an integrated spectrum of services to the hungry,, homeless and
unemployed of our community. CCMM keeps administrative costs to a minimum. Eighty-five cents of each
dollar raised go directly to client services. Our mission is to help create a community that is free from hunger
and homelessness. All services are provided at no charge without regard to race, color, ethnic origin, age, sex,
religion, sexual preference, political beliefs or disabilities.
Brief Historv In 1982, acting on the concern of Mayor Luther Jones, local religious leaders both lay and clergy
organized to meet a growing city-wide demand for basic humanitarian assistance to the poor of Corpus Cl-u-isti.
At this time, the city did offer a broad spectrum of human services funded either with tax dollars or through
charitable giving. Unfortunately, a tragic combination of arbitrary rules, the imposition of religious doctrines
and narrow specialization coupled with often daunting requirements for documenting one's need excluded
many of the poor from accessing these much-needed services. Despite the obvious and urgent demand,
entrenched agencies resisted appeals to relax their requirements on clients Corpus Christi was ripe for an
innovative, open-door approach to helping its less fortunate neighbors. This dream became a reality when
Corpus Christi Metro Ministries (CCMM) was founded in late 1982.
Through its varied programs, CCMM evolved over the years to effectively serve the broad range of needs faced
by the homeless cornnmnity. Since its founding, CCMM has rapidly become the preeminent service provider to
the homeless population of the Coastal Bend. In its wide range of services and facilities, CCMM is unparalleled
in its outreach to the least fortunate members of our local communities. Through its compassionate service and
effective programs, CCMM is making Corpus Christi a safer, healthier and better place for all who call it home.
Sources of Suoport CCMM enjoys broad-based financial and volunteer support from throughout the region.
Due to the rapidly increasing demand l:br our services over the last few years, our budget must be supplemented
in order to continue to best serve the public. Specifically, we actively pursue private and public grants and
donations, participate in area speaker's bureaus, and sponsor an annual fundraising dinner. All funds raised
through this program are used to support our projects to feed and shelter the homeless and how-income people in
Corpus Christi and the surrounding five-county area.
CCMM enjoys broad-based financial support. CCMM actively pursues private and public grants and donations,
participates in area speaker's bureaus, and sponsors two major annual fundraisers: a fall dinner and a spring
dance. CCMM keeps administrative costs low, investing 85% (84.6¢ of each $1 raised) on direct client services.
In the FY2004 audit, the cash revenue received of $1,188,924 came from government grants I3.7%, individual
donors 23.9%, special events 20.2%. charitable foundations 23.6%, United Way 8.1%, religious organizations
5.9%, business 4. I%, and civic groups .5%.
In FY2004. 18 of the 21 CCMM board members supported the agency mission with financial contributions
totaling $56,411. This represents an 1 l% increase in cash support over the previous fiscal year. All 21 board
members offered many hours each month in their time and talents. The FY2004 audit reflected total volunteer
services valued at $282,355, the equivalent of 21 entry-level full-time employees.
Corpus Christi Metro Ministries
Program Profiles
In Fiscal Year 2004, Corpus Christi Metro Ministries (CCMM) served 3,797 individuals who were either
homeless or very low-income. Over 96.8% of CCMM clients are Nueces County residents, 8% are residents of
the 4 surrounding counties and 2.4 are from outside the 5-county area.
1. Loaves and Fishes
Loaves and Fishes is a full-service free cafeteria, a member of the Texas Restaurant Association and The
Coastal Bend Restaurant Association. We serve three hot meals each weekday to homeless individuals. Lunch
and dinner are served on Saturdays, and one large meal is served on Sunday afternoon.
Goal By satisf~ving peoples basic needs for food, clothing, safety, and work, reduce the incidence of
unacceptable social behavior that is driven by people's instinct to satis~ those most basic needs.
Objective a minimum of 98% of the estimated 3,200 individuals who approach CCMM asking for food will
accept a prepared meal as an alternative to finding their fbod in ways the community does not accept. Based on
meals servcd in the past 3 years, CCMM estimates that 142,000-152,000 meals will be served in 2005.
Outcome During FY2004, Loaves and Fishes successfully served the 98.8% of the 3,009 new people that
approached CCMM for a nutritious meal. Since 1983, nearly 3.1 million meals have been prepared and served
by Loaves and Fishes to the hungry of the community. A total of 160,546 plates of food were served. No more
than 36 individuals were refused service, all for justified causes. In FY2004, the average value of each meal (i.e.
plate of food) was $3.40 and the average value ['or each individual served was $I81.16. The average cost of
each meal ,,vas $1.88 and the average cost for each individual served was $ I00.30. The value-added was $1.52
per meal and $80. 86 per individual served
2. Rainbow House
Rainbow House initially provides emergency shelter to homeless women and children. After demonstrating
serious desire to break free from homelessness, the women are then eligible to participate in our transitional
housing program. Spouse-abuse and abandonment are prevalent among the women seeking shelter. Through
various programs of CCMM women have access to job matching and referrals, meals and clothing, pre-school
child care, primary health care and other services. When ready to transition back into the community, women
are assisted with locating affordable permanent housing, money management and budgeting strategies,
parenting classes, and other appropriate referrals.
Goal Formerly homeless women and children will live as normal people do in the community of their choice.
Low-income people with permanent limitations on their ability to live independently will live in monitored,
supervised or semi-independent housing arrangements.
Objective CCMM estimates that 225 homeless women and children will seek emergency shelter in 2005. Of
these women and children, 60% will sign a transitional housing program contract. Of those signing the contract,
60% will become self-sufficient and enter into independent or cooperative living arrangements. Of the 225
women, 40% will remain in the emergency shelter progratn, of which 50% will take a minimum of two
significant actions to increase the likelihood of independent or interdependent living, or to gain better control of
their mental illness or substance abuse.
Outcome Since 1985, 6,805 women and children have found an opportunity to begin rebuilding their lives
while living at Rainbow House. In FY2004, Rainbow House provided shelter to 130 women and 83 children
(6,491 nights of shelter), while turning away 97 women and 58 children for a variety of reasons including lack
of bed space, male children over the age of 14, program ineligibility and prior non-compliance. The average
value of each night of shelter was $35.76; the average cost was $32.50; and the value-added was $3.26.
3. Rustic House
Rustic House is an emergency shelter for mentally and physically disabled homeless men and homeless men
over 60 years of age with an optimum capacity of i6 beds, and a peak of 28. These sub-groups of the homeless
population are as vulnerable on the streets as are women and children. In Rustic House, men are provided with
all the services available throughout CCMM and the conmmnity. No other shelter in the city readily accepts the
mentally-impaired homeless. Additionally, via co-case management between agencies, CCMM offers Rustic
House's transitional support services both in-house or through the continuum of care.
Goal Formerly homeless physically /mentally disabled men and men over the age of 60 will live as normal
people do in the community of their choice. Low-income people with permanent limitations on their ability to
live independently will live in monitored, supervised or semi-independent housing arrangements
Objective CCMM estimates that 170 homeless men will seek emergency shelter in 2005. Of these men, 60%
will sign a transitional housing program contract. Of those who sign the contract, 60% will enter self-sufficient,
independent or cooperative living arrangements upon completing their program. Of the 170 men, 40% will
remain in emergency shelter, of which 75% will take a minimum of two significant actions to increase the
likelihood of independent or interdependent living, or to gain control of their mental illness or substance abuse.
Outcome In FY2004, Rustic House was home to 125 mentally ill, physically disabled or aged homeless men
(4,341 person nights). Since 1988, Rustic House has sheltered 3,395 men, providing meals and clothing, hot
showers, employment referrals, primary health and dental care, and professional case management to meet both
the emergency shelter needs and work individually with each man to transition him into permanent housing and
independence. In FY2004, CCMM, for a variety of reasons were unable to serve 35 men. They either did not
meet the shelter criteria, had mental or physical disabilities beyond the scope of services offered at CCMM, or
had prior noncompliance issues. The average value of each night of shelter was $78 55; the average cost was
$70.38; and the value-added was $8. 17
4. Vineyard Employment
Since 1983, Vineyard Employment, a job matching service, connects homeless people with employers, day
labor jobs, long term temporary jobs and permanent jobs. At Vineyard Employment, individuals regain self-
respect through renewed confidence in the market value of their skills and earn wages to restore their
independence in the community.
Goal By satisfying peoples' basic needs for food, clothing, safety, and work, we reduce the incidence of
unacceptable social behavior that is driven by peoples' instincts to satisfy those most basic needs.
Objective A minimum of 65% of the estimated 525 people who approach CCMM looking for help finding
work will accept the offer ora paying job at or above minimum wage, subject to reasonable conditions set forth
by CCMM. In 2004, CCMM estimates that 1,900+ clients will be matched with temporary positions, including
10 that will result in permanent jobs.
Outcome In FY2004, CCMM successfully served 497 individuals 98% who were actively seeking work,
matching them with 1,867 temporary placements and 10 permanent jobs. CCMM successfully served 52% of
the individuals who requested employment matching services. The annual projected economic impact of these
full-time positions plus the temporary positions amounted to an infusion of about $195,520 into the community.
The average value of each job match was $51.3l; the average cost was $45.05; and the value-added was $6.26.
5. Vineyard Services
Vineyard Services serves as the primary screening and intake point t'or persons needing assistance beyond
meals and employment. All CCMM programs refer individuals to this program, as do other agencies throughout
our five county service area Through Vineyard Services clients receive clean donated clothing, hygiene
products, and household items so that they may begin solving many of the problems that accompany
homelessness, in addition, Vineyard Services connects clients to other CCMM and community programs based
upon the individual needs of the clients.
Goal By satisfying peoples basic needs for food, clothing, safety, and work, reduce the incidence of
unacceptable social behavior that is driven by people's instinct to satisfy those most basic needs.
Objective In 2005, 98% of the estimated 1,000 families and individuals who approach CCMM asking for
clothing, blankets, or other basic personal articles will be provided with 2,100+ service units and accept these
items at no cost, as an alternative to acquiring them in ways that the community does not accept. 98% who ask
for information or referral will leave with knowledge of at least one reasonable step they can take toward
solving their problem.
Outcome In operation since 1983, Vineyard Services has reached out 59,800 times in response to requests for
help Over 15,030 clients have used Vineyard Services to secure benefits, referred clients for medical, dental,
and opthomological services and connect with volunteer legal guidance and other help available through the
continuum of care. Additionally, Vineyard Services provided a fixed address for mail delivery, assisted in
obtaining person identification, helped clients complete paperwork required to access other services, and
distributed clothing, shoes, coats, blankets and basic hygiene items to those who need them. In FY2004, CCMM
providing 2,130 units of service to 903 individuals and families. The average value of each service contact is
$93.60; the average cost was $36.99; and the value-added was $56 61.
6. Gabbard Memorial Health Room
The Gabbard Memorial Health Room is a primary care medical clinic for residents of our shelters, other CCMM
clients, area homeless providers, and for those living on the street. Since 1989, the Health Room has been
staffed by volunteer doctors and nurses from the community. Under the continuum of care system, other non-
profit social service agencies with no access to medical assistance arrange referrals through the Health Room's
program director.
Goal Provide the homeless and uninsured poor people with free and accessible health care, with counseling for
personal wellness and prevention, and with a vision clinic in a setting conveniently co-located with other,
familiar human services. These services further an individual's likelihood to find permanent employment,
become independent, and stability in the community.
Objective In 2005 at least 95% of the estimated 400 patients who come to CCMM for medical or vision
attention will share their medical history, described their symptoms or health needs, and see a State-licensed
doctor of medicine or optometry. Where indicated, patients will leave the Health Room with a physician's
advice, instructions, written prescription or with medication provided under a physician's direction at the time
of treatment. CCMM estimates that 600+ tree patient visits will be provided. About 50% of the patients will
require repeat visits to the Health Room.
Outcome Since 1989, doctors and mtrses have voluntarily provided 9,135 patient visits to 2,559 individuals.
Ox, er the years, physicians have also provided generous in-kind donations of pharmaceutical drags and medical
equipment. The goal of the program is to offer either primary care for acute problems or appropriate referral for
chronic needs. As funding and in-kind donations allow, prescriptions for health room patients and for vision
prescriptions are filled at no charge. In FY2004, the Health Room recorded 728 free patient visits, successfully
serving nearly 455 clients seeking assistance. The average value of each patient visit was $159.30; the average
cost was $59.57; and the value-added was $99. 72.
CORPUS CHRISTI METRO MINISTRIES
2005 BOARD OF DIRECTORS
(updated January 10, 2005)
CLASS OF 2005
1. Mrs, Betsy Carrell, President (1/03)
(Homemaker/Communi~ Volunteer)
4966 Cherry Hills Drive
Corpus Christi, TX 78413
H: 992-1239
mcarrel175@msn.com
(Asbury United Methodist Church)
2, Mrs. Jan Clark (6/02)
(Homemaker/Community Volunteer)
209 Wilshire Place
Corpus Christi, TX 78411
H: 852-3829
clarkjnc@aol.com
(St. Thomas More Catholic Church)
3. Mrs. Susan (Sue) H. Hoyt(11/03) H: 991-7785 W: 991-1667
(Bookkeeper/Retired DMC Business Tech Professor) Fax: 991-3931
6002 Pinehurst Drive SueHovt~..aol.com
Corpus Christi, TX 78413-2727 (St. John's United Methodist Church)
Mr. Bill Otton (1/03) W: 825-3507
Executive Director, South Texas Institute for [he Arts Fax: 825-3520
Hm: 458 Coral Place Wk: 1902 N. Shoreline Blvd. william.otton@mail.tamucc.edu
Corpus Christi, TX 78411 Corpus Christi, TX 78401
(First United Methodist Church)
5. Vacant
Ms. Tracey Smith (8/02) H: 884-4884
Proprietor, George Blucher House Bed & Breakfast Inn Fax: 884-4885
211 N. Carrizo Street BlucherHouseBnB@sbcglobal.net
Corpus Christi, TX 78401 (Good Shepherd Episcopal Church)
Mr. Dan Viola (7/01)
Director of Athletics
Texas A&M University - Corpus Christi
6300 Ocean Drive, Corpus Christi, TX 78412
H: 808-9633 W: 825-5542
Fax: 825-3218
dviola@falcon.tamucc edu
(Most Precious Blood Catholic Church)
CLASS OF 2006
8. Mrs. Kathryn F. Green (1/01)
Attorney W: 866-8033
800 N. Shoreline Blvd., 2000 North Tower H: 994-5453
Corpus Christi, TX 78401 (St. Plus X Catholic Church)
Fax: 866-8039
Cell: 779-1734
kfgreen@stx.rr.com
Mr. Tony J. Hall (1/01)
C.P.A., Turnbull Crow
802 N. Carancahua St., Sui[e 580
Corpus Christi, TX 78470
W: 881-9140
Fax: 881-9143
turncrow@swbell.net
(First Christian Church)
10. Mrs. Jennifer LaMantia (11/03)
(HomemakedCommunity Volunteer)
14721 Attoyac Drive
Corpus Christi, TX 78410-5693
H: 387-8381 Cell: 765-7592
via L&F Distributors: F: 887-0436
sud77:,77@aol.com
(St. Thomas Catholic Church)
11. Mrs. Julie McNeil, Vice President (1/01) H: 992-0861 Cell: 813-0082
(Homemaker/Community Volunteer) Fax: 992-3103
263 Cape Aron Drive jmcneil@sb<.rT.com
Corpus Christi, TX 78412 (Good Shepherd Episcopal Church)
12. Ms. Lillian Riojas (1/05) W: 242-8042 H: 765-1499
Public Relations Manager at Lyondell Chemical Company/Equistar) Fax: 242-8051
250 Rosebud #-4 hm: lillianriojas072@hotmail.com
Corpus Christi, TX 78404 (Bay Area Fellowship) wk: lillian-riojas@lyondell.com
13. Rev. B. J. Rogers (8/03)
(Senior Pastor)
3429 Picadilly, Corpus Christi, TX 78414
(Asbury United Methodist Church)
W: 992-7501 Fax: 992-1688
H: 980-0147 Cell: 563-0403
bjrogers@grandecom.net
14. Mr. Joseph C. "Jay" Wise (2/00) W: 887-4306
Senior Resident Director, Merrill Lynch Fax: 887-4380
800 N. Shoreline Blvd., 17th Floor North Tower joseph_wisejr@ml.com
Corpus Christi, TX 78401 (Grace Presbyterian Church)
CLASS OF 2OO?
I 5. Mrs. Michelle "Missy" Birmingham (1/05) H: 992-1533
(HomemakedCommunity Volunteer) Fax: 886-3780
5202 Greenbriar Drive mbirmingham4343@sbcglobal.net
Corpus Christi, TX 78413 (St. Plus X Catholic Church)
16. Dr. J. T. "Jack" Dugan (1/05) W: 884-8878
(Eye Surgeon / Opthomalogist) Fax: 884-2020
1333 3® Street #100, Corpus Christi, TX 78404 (First Baptist Church) Duganeye@swbell.net
17. Mr. John Flood, Attorney, Treasurer (11/03) W: 654-8877
Flood & Flood Fax: 654-8879
802 N. Carancahua, Suite 900 H: 882-1803
Frost Bank Plaza john@floodandflood.com
Corpus Chdsti, TX 78470 (St. Thomas More Catholic Church)
18. Mrs. Sylvia Ford, Director of Communit'/Development, Secretary (10/01) W: 844-1213
Frost Bank (Downtown branch:-802 N. Carancahua) Fax: 844-1025
P. O. Drawer 749 Cell: 537-1965
Corpus Christi, TX 78469-0749 sford@frostbank.com
(Our Lady of Perpetual Help Catholic)
19. Mrs. GIoda Hicks (2/02)
C.P.A., Ed Hicks Imports
3026 S. Padre Island Ddve, Corpus Christi, TX 78415
(Yorktown Baptist Church)
W: 854-1955
Fax: 855-0025
ghicks5226@aol.com
20. Mr. Tom Murphy (1/05) W: 883-1966
(Carpenter; works at Zarsky Lumber Company) Cell: 443-7003
6402 Weber Road, #Fl 1 emaih tomcctx@myway.com
Corpus Christi, TX 78413 (Greater Faith Pentecostal Church)
21. Mrs. Sheila Senterfitt Cell: 537-1095
(Personal Bookkeeper/Community Volunteer) H: 991-3964 Fax: 991-6355
6722 Sahara, Corpus Christi, TX 78412 (All Saints Episcopal Church) sheilamom@stx.rr.com
Weed and Seed Grant Program
For the City of Corpus Christi, Texas
PROGRAM ASSURANCES
The applicant, by signature of the authorized official below, hereby provides the following
assurances regarding any grant, which may be received by the applicant under the Weed and
Seed Program.
1. Any proposals for changes in the original project will be submitted to the Weed and Seed
Program Manager in writing who will then tbrward it to the Weed and Seed Steering Corm-nittee.
Upon notification of approval, the changes will be deemed incorporated into the original grant.
2. Subrecipients will comply with Title V1 of the civil Rights Act of 1964 (P.L. 88-352), the
Americans with Disabilities Act (P.L. 101-336), the Drug Free Workplace Act of 1988 (P.L.
100-690, title V, subtitle D), and all applicable local, state, or pursuant to these laws.
3. All necessary measures will be taken by the Applicant to effectuate the agreement contained
in the Grant Application, the Delegate Agency Agreement, and the Notice of Grant Award.
4. All grant expenditures will be made in accordance with the approved budget.
5. The Applicant shall submit to the Weed and Seed Program Manager month/y, quarterly, and
yearly Program Progress Reports describing progress on the project in accordance with the
schedule set out in the Delegate Agency Agreement. The Applicant is required to promote the
Weed and Seed Program during its funding, with the use of signs, flyers, harmers, letterhead
paper or how ever appropriate to advertise the funded program and the Weed and Seed Program.
6. Funds from this grant will not be used for religious or sectarian purposes.
7. The Applicant will permit and cooperate with any Weed and Seed investigations by assuring
the availability of all records and the availability and cooperation of staff.
8. Applicants will be required to cooperate, at no cost to the grantee, with local and federal
representatives from the Weed and Seed Project who will conduct a comprehensive evaluation of
all Weed and Seed activities in the City of Corpus Christi Weed and Seed targeted
neighborhoods. Additionally, applicants must agree, if requested, to participate in any national
evaltmtion of the Weed and Seed initiative.
Name and Title of Authorized Official: Betsy Can-ell, Board President
Signature: '~"~'5~ q~(Q,.,Q.Q
Date: February 25, 2005
RFP FY 03/04
EXHIBIT B
WEED & SEED PROGRAM
Subreciplent PAYMENT VOUCHER/REPORT
Reimbursement Request for the month of:
Date Submitted:
Aqency Name and Address:
Amount
Proqram Name:
Description of Exoenditure:
Please attach copies of payroll documentation and receipts to support expenditures
itemized above.
Retum to:
Weed & Seed Program
P.O. Box 9277
Corpus Christi, TX 78469-9277
The Subrecipient certifies that: (1) the above expenditures were actually incurred and paid
for by the Subreclplent; (2) the above expenditures were incurred In accordance with the
Weed and Seed Program Subreclplent Agreement; and (3) the Subreclpient is in
compliance with and not in default under the Weed and Seed Program Subreciplent
Agreement.
Signature
Title
1
CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS
EXHIBIT C
This certification is required by the regulations implementing the Drug-Free Workplace Act of
1988:45 CFR Part 76, Subpart, F. Sections 76.630(c) and (d)(2) and 76.645(aX1) and (b) provide
that a Federal agency may designate a central receipt point for STATE-WIDE AND STATE
AGENCY-WIDE certifications, and for notification of criminal drug convictions. For the
Department of Health and Human Services, the central pint is: Division of Grants Management and
Oversight, Office of Management and Acquisition, Department of Health and Human Services,
Room 517-D, 200 Independence Avenue, S W Washington, DC 20201.
Certification Regarding Drug-Free Workplace Requirements (Instructions for Certification)
1. By signing and/or submitting this application or grant agreement, the grantee is providing the
certification set out below.
2. The certification set out below is a material representation of fact upon which reliance is placed
when the agency awards the grant. If it is later determined that the grantee knowingly rendered a
false certification, or otherwise violates the requirements of the Drag-Free Workplace Act, the
agency, in addition to any other remedies available to the Federal Government, may take action
authorized under the Drug-Free Workplace Act.
3. For grantees other than individuals, Alternate I applies.
4. For grantees who are individuals, Alternate II applies.
5. Workplaces under grants, for grantees other than individuals, need not be identified on the
certification. If known, they may be identified in the grant application. If the grantee does not
identify the workplaces at the time of application, or upon award, if there is no application, the
grantee must keep the identity of the workplace(s) on file in its office and make the information
available for Federal inspection. Failure to identify all known workplaces constitutes a violation of
the grantee's drag-free workplace requirements.
6. Workplace identifications must include the actual address of buildings (or parts of buildings) or
other sites where work under the grant takes place. Categohcal descriptions may be used (e.g., all
vehicles ora mass transit authority or State highway department while in operation, State
employees in each local unemployment office, performers in concert halls or radio studios).
7. If the workplace identified to the agency changes during the performance of the grant, the grantee
shall inform the agency of the change(s), if it previously identified the workplaces in question (see
paragraph five).
8. Definitions of terms in the Nonprocurement Suspension and Debarment common rule and Drug-
Free Workplace common rule apply to this certification. Grantees' attention is called, in particular,
to the following definitions from these rules:
2
Controlled substance means a controlled substance in Schedules I through V of the Controlled
Snbstances Act (21 U.S.C. 812) and as further defined by regulation (21 CFR 1308.11 through
1308.15);
Conviction means a finding of guilt (iucluding a plea of nolo contendere) or imposition of sentence,
or both, by any judicial body charged with the responsibility to determine violations of the Federal
or State criminal drug statutes;
Criminal drug statute means a Federal or non-Federal criminal statute involving the manufacture,
distribution, dispensing, use, or possession of any controlled substance;
Employee means the employee of a grantee directly engaged in the performance of work under a
grant, including: (i) All dh-ect charge employees; (ii) All indirect charge employees unless their
impact or involvement is insignificant to the performance of the grant; and, (iii) Temporary
personnel and consultants who are directly engaged in the performance of work under the grant and
who are on the grantee's payroll. This definition does not include workers not on the payroll of the
grantee (e.g., volunteers, even if used to meet a matching requirement; consultants or independent
conlxactors not on the grantee's payroll; or employees ofsubrecipients or subcontractors in covered
workplaces).
Certification Regarding Drug-Free Workplace Requirements
Alternate I. (Grantees Other Than Individuals)
The grantee certifies that it will or will continue to provide a drug-free workplace by:
(a) Publisking a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the grantee's workplace
and specifying the actions that will be taken against employees for violation of such
prohibition;
(b) Establishing an ongoing drug-free awareness program to inform employees about --
(1)The dangers of drug abuse in the workplace;
(2) The grantee's policy of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation, and employee assistance programs; and
(4) The penalties that may be imposed upon employees for drug abuse violations occurring in
the workplace;
c) Making it a requirement that each employee to be engaged in the performance of the grant be
given a copy of the statement required by paragraph (a);
(d) Notifying the employee in the statement required by paragraph (a) that, as a condition of
employment under the grant, the employee will --
(1) Abide by the terms of the statement; and
(2) Notify the employer in writing of his or her conviction for a violation of a criminal drug
statute occurring in the workplace no later than five calendar days after such conviction;
(e) Notifying the agency in writing, within ten calendar days after receiving notice under
paragraph (d)(2) from an employee or otherwise receiving actual notice of such conviction.
Employers of convicted employees must provide notice, including position title, to every grant
officer or other designee on whose grant activity the convicted employee was working, unless
the Federal agency has designated a central point for the receipt of such notices. Notice shall
include the identification number(s) of each affected grant;
(f) Taking one of the following actions, within 30 calendar days of receiving notice under
paragraph (d)(2), with respect to any employee who is so convicted --
(1) Taking appropriate personnel action against such an employee, up to and including
termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or
(2) Requiring such employee to participate satisfactorily in a drug abuse assistance or
rehabilitation program approved for such purposes by a Federal, State, or local health, law
enforcement, or other appropriate agency;
(g) Making a good faith effort to continue to maintain a drug-free workplace through
implementation of paragraphs (a), (b), (c), (d), (e) and (f).
(B) 'I~e grantee may insert in the space provided below the site(s) for the performance of work
done in connection with the specific grant:
Place of Performance (Street address, city, county, state, zip code)
Check if there are workplaces on file that are not identified here.
Alternate II. (Grantees Who Are Individuals)
(a) The grantee certifies that, as a condition of the grant, he or she will not engage in the
unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance in
conducting any activity with the grant;
(b) If convicted ora criminal drug offense resulting from a violation occurring during the
conduct of any grant activity, he or she will report the conviction, in writing, within 10 calendar
days of the conviction, to every grant officer or other designee, unless the Federal agency
designates a central point for the receipt of such notices. When notice is made to such a central
point, it shall include the identification number(s) of each affected grant.
Si~nature
Title
Organ~ization
Exhibit D
ASSURANCES
I[ possesses legal aulhority ta apply for the grant; that a
resolution motion or similar action has been duly adopted or
passed as an official act of [he applicant's governing body,
authorizing the t~ling of the apetioallen including all
understandings and assurances contained Iherein, and direcling
and acthonzing the person idenbfied as [he official representative
of the applicant to act in connection with [he application and to
provide soch additional inforrna[len as may be required
it will comply with requirements of the prows~ons of the Uniform
Relocabon Assbstanc~ and Real Pregedy Aogu~sitions Act of 1970
(PL 91-646) which provides for fair and equitable trealment of
persons displaced as a result of Federal and lederally-assisted
programs
It will assisl the Federal grantor agency in its complianc~ with
Section 106 of the National Historic Preservation Act of 1966 as
amended (16 USC 470) Executive Order 11599, and the
Archeological and Historical Preservation Act of 1966 (16 USC
569a-1 at seq) by la) consulting with [he State Hletonc
Preservation Officer on the conduct of investigations, as
necessary, to identify properties listed in or eligible for inclusion
in the National Register of Historic Places that are subject to
adverse effects (see 36 CFR Part 8008) by the activity, and
notrfyiog the Federal grantor agency of the ezistence at any such
propedles, and by lb) complying with all reguiremen[s established
by the Federal grantor agency le avoid or mdigate adverse effects
upon such properties.
6
9
It wiiI comply with provisions of Federal law which limit cedain
political activities of employees of a State or local unit of
government whose principal employment is in connection with an
achvity ~nanced in whole or in part by Federal grants
(5 USC 1501, at seg)
It will comply with the minimum wage and maximum hours
provisions of the Federal Fair Labor Standards Act if applicable
It will establish safeguards to prohibd empleyees rrom using their
positions for a purpose that is or g~ve [he appearanc~ of being
motivated by a desire for private gain for rbemselves or others,
particulady those with whom they have family, business, or other
ties
It will give the sponsodeg agency or the Comptroller General,
through any authorized representative, acx::~ss to and the right to
examine all records, books, papers, or documents related to the
grant
It will comply with all reguirements imposed by Lhe Federal
Sponsedng agency conoemieg special reguirements of law,
program requirements, and other administrative requirements
It will insure that the facildies under its ownership, lease or
supervision which shall be utilized in the accomplishment of the
project are not listed in the Environmental Protection Agency's
(EPA) list of Violating Facilities and that it will notily the Federal
grantor agency of the receipt of any communication from the
Director Of the EPA Offtce of Federal Activities indicating that a
facility to be used in the project is under consrderation for listing
by Ihe EPA
It will comply with the Nood insurance purchase requirements of
Section 102(a) of the Flood Disaster Protection Act of 1973,
Public Law 93-234, 07 Stat. 975, approved Dec~mper 31, 1976
Section 102(a) requires, on and a~er March 2, 1975, the
purchase of fi~oeg insurance in communities where sued insurance
is available ~s a condition for Ihe receipt of any Federal financial
assistance for construction or acquisition purposes Ior use in any
area that had been identified by the Secretary of the Department
at Housing and Urban Development as an area having special
flood hazards, The phrase "Federal financial assistant" includes
any form of loan, granL guaranty, insurance payment, rebate,
subsidy, disaster assistance loan or grant, or any other form of
direct or indirect Federal assistance.
Signature
OJP FORM 4000/3 (Rev. 1-93) PREVIOUS EDITIONS ARE OBSOLETE
A'I-rACHMENT TO 5F~24
It will comply, and assure the compliance of all its subgrantees
and contractors, with the applicable provisions of Title I of the
Omnibus Crime Control and Safe Streets Act of 1968, as
amended, the Juvenile Justice and Delinquency Prevention ACt,
or the '~ctims of Crime Act, as egprophele; the provisions of the
current edition of the Office of Justice Programs Financial and
Administrative Guide for Grants M7100.1; and all other
applicable Federal laws, orders, circulars, or regulations
It will comply with the provisions of 28 CFR applicable to grants
and cooperative agreemenls including Part 18, Administrative
Review Procedure; Part 20. Cdminal Justice Information
Systems; part 22, Cont~dentiality ol Identifiable Research and
Statistical Information; Part 23, Criminal leteltigence Systems
Operating Polices; Part 30, IntercJovemmental Review of
Departrnenl of Justioa Programs and Activities; Part 42,
Nondiscrimination/Equal Employment Opportunity Policies and
Procedures; Part 61, Procedures for Implementing the National
Environmental Policy Act; Part 63, Floodplain Managerf~nt and
Wetland Protection Procedures; and Federal law~ or regulations
applicable to Federal Assistance Programs
It will comply, and all its contractors will comply WTth the
noediscnmination requirements of the Omnibus Crime Control
and Sate Streets Act of 1968, as amended, 42 USC 3789(d), or
Victims of Crime Act (as appropriate); Title VI of the Civil Rights
Act of 1964, as amended; Section 504 of the Rehabilitation ACt of
1973, as amended; Subtitle A, Title II of the Americans V~dh
DisabtiitJes ACt (ADA) (1990); Title IX of the Educ. ation
Amendments of 1972; the Age Discdmination Act of 1975;
Department of Justice Non-Discrimination Rogulatlons, 28 CFR
Part 42, Subparts C, D, E, and G; and Department of Justice
regulations on disability discrimination, 28 CFR Part 35 and Part
39.
14¸
In the event a Federal or State court or Federal or State
administrative agency makes a finding of discrimination after a
due process heanng an the grounds of race, color, religion,
national origin, sex, or disability against a recipient of AJnds, the
recipient will forward a copy of the finding to the Office for Civil
Rights, Office of Jusdce Programs.
15.
It will provide an Equal Employment Opportunity Program if
rc~luired to maintais or~, where the applicabon is fi~r $500,000 or
16.
It will comply with the provisions of the Coastal Barndr Resources
Act (PL 97-348) dated October 19, 1982 (16 USC 3901 et seq.)
which prohibits the expenditure of most new Federal funds w~thin
the units of the Coastal Barher Resources System.
Date
E×tlmlT E
INSURANCE I;tEQUTREMENTS
Subre~ipient's Liability Insurance
The Subrecipiem must not commence work under this agreement until he/she has obtained all insurmce
required hexe/n and such insurance has been approved by the City. Nor may the Subredpient allow any
subconh~:tor to comm~ace w~rk until all similar insurance required of the subcontractor has been so
obtained.
Th~ Subrecipi~t n~,~ rurni~ to the City's Risk Manager, 2 copies of Certificates of Insurance, with
the City named as an addifioml insurod for all liability poficic% and a blanket waiver of subrogation on
nil ~pplic~le policies, showing the following minimum coverage by an insurance company(s)
aee.~table to th~ City's Ri.~lc Manager.
,ryplt OF IX~U~A~Cg
MINIMUM INSURANCE COVERAGE
COMMERCIAL GENERAL LIABILITY mclndi~$:
l. ~ Fon~
O~lr~mal Insmm~
5. ~-'- ;--~,,~ ~
$1.000.000 COMTtINED SINGt.E I,rMIr
infll~ eveatt of n~id~ts of any kind, the Subrecipient n~t, furnish the Risk Mnnnge~ with copies of
nil reports of ~ nccidents at the same time that the r~ nrc forwnrded to any other imerested
H. ADDITIONAl. IlFDLI1RI:ZMI~qTS
Ce, tltle, aie of Innnan~:
The Ci~ ~ C~lms ~ nmt be named as an addl~lmal insured on the liability coverage,
~md a blank~ waive' of mbro?tlon on all applical~ policies
and ddetin$ the words, "endeavor to", and deletin8 the wording af~ 'qe~'.
* The nnme of the pr~ieet must be listed und~ "Description of Operations"
· At a minim,,m, a SO-day written n?~e of change or camellafi~m is required.
If the Certificate of Insurance on its face does not show on its fi~e the existence of the
~n~ra~ ~ by itm~s I.B (1)-(6), an mthorized ~n~ntntive of the ht=n~ce company
nmst include a letter specifically ~muin~ wheth~ ~ I_B. (1)-6) n~e ineJn&.d or excluded.
W'"a& 8endSutalmtmmFY'00-oI m. l~q.
11-1~00 np R.ink Id?
rex~ Uep~r~.t ATTACHMENT F Form 2047E
of Protective and Regulalory Services CERTIFICATION REGARDING FEDERAL LOBBYING O~tnber t990
(Certification fur Contracts. Grants. Loans. and Cooperative Agreements)
PREAMBLE
Federal legislation. Section 319 of Public Law 10 I-121 generally pmhthits enlities fi.om using federally apprnpfiated funds to lobby the execulive or legislative branches of the federa
guvemmem Section 319 specifically requires disclosure ut certain lobbying activities A federal govemment-v, ide rate. "New Restricfion3 on Lobbying,' published in the Feder~
RcgisleL February 26 1990. requires certification and disclosure in specific instances and defines terms:
Covered Awards and Subawards - Contracts. grams, and cooperafive agreemems over the gl00.000 threshold need (D certifications, and (2) disclosures, il' required. (See
certification term number 2 concerning disclosure )
Lobbying - fo lobby means 'to influence or atlcmpt lo influence an oflScer or employee ol any agency Okderal). a member of Congress. an trtllcer or employee ol'Congress, or a
employee ara member of Congress in connection with any of the fullo~ing covered federal actions:
the awarding of any federal contract.
thc making of any faderal grant.
the making of any federal loan.
the entering into of any cooperative agreement, and
the extension, conlthuation, renewal, amendment or modification of any fedgral contract, grant, loan or cooperative agreement.'
Limited Use of Appropriated Fund~ Not Prohibited - The prohibition on using appropriated funds does not apply to activities by one's own cmpthyees with resp~c~ Io:
liaison activities with federal agencies and Congress not directly related to a covered [kderal action;
providing any thfonnatinn specifically requested by a federal agency or Congress;
discuss and/or demonstrmion of products or services if not related to a specific solicitation lbr a covered action; or
professional and technical services in preparing, submitting or nego~iatthg any bid. proposal or application fur a federal contract, grant loan
Professional sad Tech~lt~l Ser'/Ices - Professional and technical services shall be advice and maalysks directly applying any professional or technical expm'tise. Note that the
professional and technical 5ervices exemption is specifically limited to thc m~fi.ts of tho ma~ter.
Other Allowable Activitle~ - The pmhibitinn on use of federally appropriated funds does rmt apply to influencing a~ivitles not in connection with a s~cific covered fciC'al
Th~ ~ctlvifiea include those related to legislation and ~gulations for a program versus a specific covered federal action.
AppHcabllity of Other Slate and Federal Requlrement~ - Neither lbo government-wide rulc nor the law affect either (I) the applicabtlity of cos~ principles in OMB cimul~t A-§
and A-122. or (2) rldem to the Texas Slate Appropfiaxinns Acts which disallow use of state funds for lobbying.
TERMS OF CERTIFICATION
Thts certification applies only to the instant federal acnon for which the certification is being obtained and Ls a material representation of fact upon which reliance was planed
this transaction was made or entered into. Sufamgsion of the certification is a prerequisil~ for making or ~nt~rmg inlo this trans, at:tlon imposed by seelion 1352. rifle 31. U.S.
Any person who f~ils to file the requtmd certification shall be subject to a civil penalty of not less thru Sl0.000 and not more than $100,000 for each such falhue.
The undersigned certifies, to the best of his or her knowledge and belief, that:
1. No federally ~t~prOpnaterl funds have N~n paid or will b~ paid, by or on behalf of the undemgued, to any pemon fm influencing or atl~mpfing m in flu~w.~ mn o ffie. m- or emplo~
of any agency, a member of Congn~s, an offi~r or employee of Congress, or an employee ora m~mber of Congres~ in connection with the awarding of any federal contrac~
the making o£any f~deral gumk the making of any federal loan, tbe entering into of any cooperative ag~eemenk or the extension, continuation, renewal, ~nendment,
modification of any federal conlt~'t gr~nt loan, or c. oopemtiYe agr~emenL
2. If any funds other titan federally appm~iat~l funda have berm paid or will be imid ~o any pemon for thfluencmg or attcrn~thg to thfluence an officer or employee of my ~n~y
a member of Cong~:ss, an officm- or cmploye~ uf Cong~ss, or an employee of a member of Congu:ss in conn¢¢fion with this federally funded mntm~ sut, c~mnact
or eoopm'~ave ~$~nent tbe und m'~ignm:l ~lmll eon~inte and submit St~derd Fonn-LLL, 'Disclosure Form to 1~ Lobbying," in m:crm:hn~ with its imCmacthm~
contact your Texas l~pt. Of Pmtecfive and Regulatory Sen'ices procurement uffio~r or conli'~ct manager to obtain a copy of Sthndard Form-ELL.}
The undemign~d slmll requir~ that the language o£this certification be included in th~ award documents for all covered subawards al all tiem {including suhoonm~.qx,
and contracts under grants, loans, and cooperatiw ~rcements} and th~ all covered sub,'~¢ipinnts shall certify and disclnse accm-dingly.
[] No
Do you have or do you ~llicipate having covered subawards under this tr'~saction? ............................................................ [] y~
Nm. ne of Contra~:tor/F'otential Contr~t~r Vendor ID No or Soci. I Securiry No PRS Conlta~ No.
N~me of Authorlzed Repr~entatlve
H:~hc dq:li~Sm ar th a\*..~Joca \weexl&.s~\ ~ ,n e h. £ wlxl
Title
Signature - Authorized Representative - Da~