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HomeMy WebLinkAboutC2015-524 - 7/14/2015 - Approved CDBG SUBRECIPIENT AGREEMENT ORIGINAL BETWEEN THE CITY OF CORPUS CHRISTI AND THE SALVATION ARMY THE STATE OF TEXAS § § KNOW ALL BY THESE PRESENTS: COUNTY OF NUECES § This agreement ("Agreement") is made and entered into between the City of Corpus Christi, a Texas home-rule municipal corporation ("City"), acting through its City Manager or the City Manager's designee ("City Manager"), and The Salvation Army ("Subrecipient"), a foreign nonprofit corporation organized under the laws of the State of Georgia. WHEREAS, the City has allocated Twenty-Five Thousand Dollars ($25,000) from the FY2015-16 Community Development Block Grant ("CDBG") Program for The Salvation Army, which will provide public shelter and food program services to individuals and families who are homeless or at risk of homelessness ("Services"); WHEREAS, the City desires to reduce homeless and at risk homelessness hunger in the community; WHEREAS, the Subrecipient desires to promote awareness to individuals and families who are homeless or at risk of homelessness within the City of Corpus Christi and throughout the community in conformity with 24 CFR 570.208, as amended; and WHEREAS, the City wishes to encourage the services provided by the Subrecipient, there being a genuine need for these services in the City of Corpus Christi. NOW, THEREFORE, the City and the Subrecipient agree as follows: SECTION 1. TERM OF AGREEMENT 1.1 Term of Agreement. This Agreement commences on the date of execution by Subrecipient and the City and terminates on September 30, 2016. SECTION 2. SCOPE, BUDGET, SCHEDULE, AND PAYMENT REQUIREMENTS. 2.1 Scope of Work. The Subrecipient shall complete the work outlined in the funding proposal that was submitted and approved by the City's City Council for FY2015-16, such proposal being incorporated into this Agreement by reference as if fully set out in this Agreement. The Subrecipient shall provide services by September 30, 2016 to wit: will provide homeless individuals and familiesgiMeti s lmo'r at risk of hnmalpssness with meals through the Shelter and Food Program. ("Services"). 2015-524 NOV 0 2 2015 7/14/15 ' Ord. 030544 \greement BY: Page 1 of 15 Salvation Army ' RECEIVED FEB 12 2016 INDEXED 2.2 Subrecipient Capital Contribution Funds Requirement. The Subrecipient shall provide Zero Dollars ($0) as capital contribution funds for the public shelter and food program services. If the Subrecipient is required under this Agreement to meet a capital contribution requirement and fails to meet any portion of the requirement, the Subrecipient's allocation will not be disbursed, but is automatically forfeited and reverts to the City for inclusion in future CDBG Programs. 2.3 Budget and Program Schedule. The Subrecipient has provided an estimated project budget and project program schedule ("Project Budget and Program Schedule") based upon the proposed public services listed above and as are described within this Agreement, which Project Budget and Program Schedule is attached to this Agreement as Exhibit A and is incorporated into this Agreement by reference. 2.5 Requests for Payment. (A) All requests for payment made pursuant to this Agreement must be submitted to the Administrator. (B) Payments for expenses incurred and to be paid with CDBG funds will be made based upon the Subrecipient submitting payment requests with appropriate documentation, including itemized cost breakdowns. (C) No payments will be made without Administrator or designee affirming the costs incurred are eligible and in relation to the scope of work noted in 2.1. (D) If there is a delay, the Administrator or the Administrator's designee may require that the Subrecipient provide a written explanation to the delay of the services and activities. (E) All payments will be adjusted according to actual costs, supported by sufficient documentation, and approval of Administrator, and in no event may any payment exceed the amount of Twenty-Five Thousand Dollars ($25,000). 2.6 Periodic Performances Reports. The Subrecipient shall submit quarterly perfor- mance reports to the HCD Department that recite progress for the period and advising of any problems encountered. A quarterly performance report must be provided with each request for payment and/or quarterly, whichever comes first. SECTION 3. RECORDKEEPING, UNIFORM ADMINISTRATIVE REQUIREMENTS AND OTHER PROGRAM REQUIREMENTS. 3.1 Program and Operations Records. The Subrecipient shall maintain and provide access to all original records, reports, and audits including, without limitation, all agreements; invoices; payment and payroll records; bank records; change orders; contracts between the Subrecipient and its consultant(s) and or staff, and communications and correspondence with regard to any services or activities pertaining to this Agreement; affidavits executed pursuant to this Agreement; documentation of clientele being benefited (i.e., individuals served, sign-in sheets, etc.) which pertains to the CDBG funds; and all written obligations pursuant to this Agreement, including, but The Salvation Army FY15-16 CDBG Agreement Page 2 of 15 not limited to, all information on leveraging of funds required under this Agreement, if any, during regular business hours for any purposes of the City, the United States' Department of Housing and Urban Development ("HUD"), Inspector General, the Comptroller of the United States, or any of their authorized representatives, to conduct audits and monitoring. 3.2 Equal Participation Documentation. The Subrecipient shall maintain and provide access to records documenting compliance with Section 109 of the Housing and Community Development Act of 1974 [42 United States Code ("U.S.C.") §5309], as amended, which requires that no person shall, on the ground of race, color, national origin, religion, or sex, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity funded in whole or in part with community development funds made available pursuant to the Act. Any prohibition against discrimination on the basis of age under the Age Discrimination Act of 1975, as amended, or with respect to an otherwise qualified disabled individual, as provided in 29 U.S.C. §794, as amended, also applies to this Agreement. 3.3 Information and Reports. The Subrecipient shall maintain and provide any information, reports, data, and forms pertinent to this Agreement as the Administrator or staff of HCD, HUD, Inspector General, the Comptroller of the United States, or any of their authorized representatives, may, from time to time, request for the proper administration of this Agreement. The Subrecipient shall adhere and comply with the reporting requirements mandated for the Performance Measurement System, administered by the City, as a condition of receiving funds under this Agreement. 3.4 OMB Circulars 2 CFR Part 200. The Subrecipient shall comply with the requirements and standards of United States' Office of Management and Budget ("OMB") Circulars 2 CFR Part 200, as each may be amended, as follows: a. All of Subpart A, Acronyms and Definitions; b. All of Subpart B, General provisions, except for §§ 200.111, 200.112 and 200.113. However Subrecipient must comply with the Conflict of Interest provisions in 24 CFR 570.611; c. All of Subpart C, Pre-Federal Award Requirements and Contents of Federal Awards, except for §§ 200.202 and 200.206; d. All of Subpart D, Post Federal Award Requirements, except for §§ 200.303, 200.306, 200.307, 200.311, 200.313, 200.330-332, 200.327 and 200.339. In lieu of § 200.307 Subrecipient shall follow Program Income requirements in 2 CFR 570.504. In lieu of §200.311 Subrecipient shall follow Real Property provisions in 24 CFR 570.505. In lieu of § 200.313 Subrecipient will follow Section 5.4 of this Agreement as it relates to Equipment. In lieu of § 200.333 Subrecipient will follow the Records Retention requirements in Section 3.6 of this Agreement. In lieu of the provisions of § 200.339 Subrecipient will comply with the Termination provisions listed in Section 4 of this Agreement and 24 CFR 250.503(b)(7). e. All of Subpart E, Cost Principles; and f. All of Subpart F, Audit Requirements. The Salvation Army FY15-16 CDBG Agreement Page 3 of 15 3.5 Compliance Documentation. The Subrecipient shall maintain and provide access to records documenting compliance with the rules and regulations contained in Title 24, Chapter 570, et. seq., of the Code of Federal Regulations ("CFR"), including, but not limited to, Subpart K, Sections 570.603, Labor Standards; 570.607, Employment and Contracting Opportunities; 570.608, Lead-Based Paint; 570.609, Use of Debarred, Suspended, or Ineligible Contractors or Subrecipients; 570.610, Uniform Administrative Requirements and Cost Principles; and 570.611, Conflict of Interest. If there is a con- flict of interest with any employee, agent, consultant, officer, or member of the Board of Directors of the Subrecipient, the person with the conflict and the nature of the conflict must be identified, by name and title, and submitted to the Administrator prior to any costs being incurred at, in, or on the Facilities with respect to construction of the Improvements. 3.6 Records Retention. The Subrecipient shall retain all financial records, supporting documents, statistical records and all other records pertinent to this Agreement for a period of four (4) years. The retention period begins on the date of the submission of the Grantee's annual performance and evaluation report to HUD in which the activities assisted under this Agreement are reported on for the final time. Notwithstanding the above, if there is litigation, claims, audits, negotiations or other actions that involve any of the records cited that have started before the expiration of the four year period, then such records must be retained until completion of the actions and resolution of all issues, or the expiration of the four year period, whichever occurs later. 3.7 Equal Employment Opportunity. The Subrecipient shall comply with all appli- cable Federal Equal Employment Opportunity regulations, including, but not limited to, Executive Order 11246, as amended, and Section 3 of the Housing and Urban Develop- ment Act of 1968 as set forth in 24 CFR 570.607, as amended, and shall require compli- ance with the aforementioned laws and regulations in all contracts the Subrecipient enters into with respect to construction of the Improvements. 3.8 Accessibility. The Subrecipient shall comply with the Americans with Disabilities Act of 1990, as amended, the Architectural Barriers Act of 1968, as amended, and with the rules and regulations published in 28 CFR Part 36, as amended, and all State and local requirements regarding disabled accessibility. 3.9 Religious Activities. The Subrecipient agrees that funds provided under this Agreement will not be utilized for inherently religious activities prohibited by 24 CFR 570.200(j), as amended, such as worship religious instruction, or proselytization. 3.10 Political Activities. The Subrecipient agrees that CDBG funds shall not be used to finance the use of facilities or equipment for political purposes or to engage in other partisan political activities, such as candidate forums, voter transportation, or voter registration. However, a facility originally assisted with CDBG funds may be used on an incidental basis to hold political meetings, candidate forums, or voter registration campaigns, provided that all parties and organizations have access to the facility on an equal basis, and are assessed equal rent or use charges, if any. 3.11 Close-outs. The Subrecipient's obligation to the City shall not end until all close- out requirements are completed. Activities during this close-out period shall include, but The Salvation Army FY15-16 CDBG Agreement Page 4 of 15 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 the City), and determining the custodianship of records. Notwithstanding the foregoing, the terms of this Agreement shall remain in effect during any period that the Subrecipient has control over CDBG funds, including program income. SECTION 4. SUSPENSION AND TERMINATION. 4.1 Termination by the City. The City may terminate this Agreement in whole or in part in accordance with 2 CFR 200.339(a)(1) and (2), as amended, if the Subrecipient materially fails to comply with any term of the CDBG Program award or this Agreement or for other cause. 4.2 Termination for Convenience. This Agreement may be terminated in whole or in part for convenience in accordance with 2 CFR 200.339(a)(3) and (4), as amended. This Agreement may be terminated by the City with the consent of the Subrecipient, in which case the two parties must agree upon the termination conditions, including the effective date and, in case of partial termination, the portion to be terminated. The Subrecipient may terminate this Agreement by sending the City written notification setting forth the reasons for such termination, the effective date, and, in the case of partial termination, the portion to be terminated. However, if the City determines in the case of partial termination that the reduced or modified portion of the award will not accomplish the purposes for which the award was made, the City may terminate the Agreement in its entirety. 4.3 Remedies for Non-compliance. Pursuant to the provisions cited in Section 4 of this Agreement, to Federal rules and regulations applicable to the Subrecipient, HUD guidelines, and 2 CFR 200.338 if any deficiencies are discerned by or through monitoring of this Agreement, the City may impose additional conditions, as described in 2 CFR 200.207. If the City determines that noncompliance cannot be remedied by imposing additional conditions then the Administrator may take one or more of the following actions, as appropriate in the circumstances: temporarily withhold cash payments pending correction of the deficiencies, disallow all or part of the cost of the activity or action not in compliance, wholly or partly suspend or terminate the current award, withhold further awards, or take any other remedies that may be legally available. 4.4 Termination Notice. Either party may terminate this Agreement, during the term of this Agreement, as of the last day of any month upon thirty (30) days prior written no- tice. The party terminating this Agreement must comply with subsections 4.1 and 4.2 of this Agreement and all other provisions of this Agreement providing responsibilities in the event of termination. Additionally, the City must comply with the notification of termination requirements in 2 CFR 200.340. 4.5 Effects of Suspension and Termination. Costs to the Subrecipient resulting from obligations incurred by the Subrecipient during a suspension or after termination of a Federal award or subaward are not allowable unless the City expressly authorizes The Salvation Army FY15-16 CDBG Agreement Page 5 of 15 them in the notice of suspension or termination or subsequently. However, costs during suspension or after termination are allowable if: (a) The costs result from obligations which were properly incurred by the Subrecipient before the effective date of suspension or termination, are not in anticipation of it; and (b) The costs would be allowable if the Federal award was not suspended or expired normally at the end of the period of performance in which the termination takes effect. 4.6 Termination. Upon a termination of this Agreement, the Subrecipient agrees to refund to the City all CDBG Program funds expended on construction of the Facilities and Improvements. If the Subrecipient cannot refund all such money within thirty (30) days of the termination notice, the City may take whatever action is necessary to reimburse the City as set out in 2 CFR 200.338 and 200.339, as each may be amended. Notwithstanding this provision, the Reversion of CDBG Funds provision, set out in Section 5 of this Agreement, also applies to the Subrecipient's CDBG Program funds on hand, accounts receivable, and real property under the Subrecipient's control. SECTION 5. REVERSION OF CDBG ASSETS. 5.1 Meeting National Objective. The Subrecipient shall ensure national objectives set forth in 24 CFR Part 570 Subparts J and K; 24 CFR 570.201(e) and 24 CFR 570.208, during the term of this Agreement. Subrecipient shall submit demographics within thirty (30) days after all FY2015 CDBG funds are expended or as requested by Administrator. 5.2 Reversion of CDBG Funds. The Subrecipient shall transfer to the City any CDBG funds on hand and any accounts receivable attributable to the use of funds under this Agreement at the time of expiration, cancellation, or termination. 5.3 Services and Activities Not Used to Meet National Objective. In the event that the Subrecipient fails to meet the National Objective outlined in Section 5.1 regarding services provided or CDBG funds are not used to meet one of the national objectives as specified in subsection 5.1 of this Agreement, then the Subrecipient shall reimburse the City for the total award of CDBG funds received by the Subrecipient under this Agreement. 5.4 No Election of Remedies. Resort, by the City, to a remedy under subsection 5.2 of this Agreement, or another remedy provision set out in this Agreement, does not bar the application and use of any other remedy allowed by law or that may be enforced by the City pursuant to 24 CFR 570.503, as amended. SECTION 6. PROGRAM INCOME. 6.1 Disposition of Program Income. Program income received by the Subrecipient as a result of this Agreement, if any, may be retained by the Subrecipient. Any such program income must be used to operate public facilities to provide services to low and moderate income individuals and individuals with disabilities within the City of Corpus Christi and throughout the community served by the Subrecipient in conformity with 24 CFR 570.208, as amended. The provisions of this Agreement shall apply to the The Salvation Army FY15-16 CDBG Agreement Page 6 of 15 activities/services for which program income is used. Transfers of grant funds by the City to the Subrecipient shall be adjusted according to the principles described in 24 CFR 570.504(b)(2)(i) and (ii). Any program income on hand when this Agreement expires, or received after the Agreement's expiration shall be paid to the City as required by 24 CFR 503(b)(7). 6.2 Accounting for Program Income. The receipt and expenditure of program income as defined in 24 CFR 570.500 shall be recorded as part of the financial transactions. The Subrecipient shall report program income to the City annually, during the term of this Agreement, not later than October 1 for the previous year ending September 30. The Subrecipient shall comply with OMB Circular 2 CFR 200.307, as amended, with reference to program income, if applicable. SECTION 7. INSURANCE AND INDEMNITY PROVISIONS. 7.1 Insurance. The Subrecipient shall have in force, throughout the term of this Agree- ment, insurance that complies with the standards in Exhibit B, a copy of which is at- tached to this Agreement and is incorporated in this Agreement by reference. A certifi- cate to that effect must be provided to the City's Risk Manager ("Risk Manager") and the Administrator at least ten (10) days prior to the commencement of the program. Failure to maintain any of the types and limits of the insurance required by Exhibit B is cause for the City to terminate this Agreement and cancel any and all reimbursements of CDBG funds to the Subrecipient. 7.2 Notice to City. The Subrecipient shall require its insurance companies, written policies, and certificates of insurance to provide that the City must be given thirty (30) days advance notice by the insurer prior to cancellation, nonrenewal, or material change of the insurance policies required by Exhibit B. 7.3 Right to Re-evaluation and Adjustment of Limits. The Risk Manager retains the right to re-evaluate the insurance requirements during the term of this Agreement and adjust the types and limits of such insurance upon thirty (30) days written notice to the Subrecipient. Insurance types and limits may not be adjusted more frequently than once per year. 7.4 Indemnification. (A) The Subrecipient covenants and agrees that it will indemnify and hold City harmless of, from, and against all claims, demands, ac- tions, damages, losses, costs, liabilities, expenses, and judgments recovered from or asserted against the City on account of injury or damage to persons or property (including, without limitation on the foregoing, workers' compensation, death, and premises de- fects) to the extent any such damage or injury may be incident to, arise out of, or be caused, either proximately or remotely, wholly or in part, by an act or omission, negligence, or misconduct on the part of the City, its officers, employees, or agents ("Indemnitees"), The Salvation Army FY15-16 CDBG Agreement Page 7 of 15 acting pursuant to this Agreement and with or without the express or implied invitation or permission of the Subrecipient, or on the part of the Subrecipient or any of its agents, servants, employees, contractors, patrons, guests, licensees, or invitees entering upon the Facilities being improved or used pursuant to this Agreement, or when any such injury or damage is the result, proximate or re- mote, wholly or in part, of the violation by Indemnitees, the Subre- cipient 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 any such injury or dam- age may in any other way arise from or out of the use or occupancy of the Facilities by the Indemnitees, the Subrecipient, or any of its agents, servants, employees, contractors, patrons, guests, licensees, or invitees. (B) These terms of indemnification are effective upon the date of exe- cution of this Agreement and whether such injury or damage may result from the contributory negligence or concurrent negligence of Indemnitees, but not if such damage or injury may result from the sole negligence or willful misconduct of Indemnitees. (C) The Subrecipient covenants and agrees that, in case the City is made a party to any litigation against the Subrecipient or in any litigation commenced by any party other than the Subrecipient relating to this Agreement, the Subrecipient shall, upon receipt of reasonable notice and at its own expense, investigate all claims and demands, attend to their settlement or other disposition, defend the City in all actions based thereon with legal counsel satisfactory to the City Attorney, and pay all charges of at- torneys and all other costs and expenses of any kind whatsoever arising from any said claims, demands, actions, damages, losses, costs, liabilities, expenses, or judgments. (D) The provisions of this section survive the termination or expiration of this Agreement. SECTION 8. SUBRECIPIENT'S REQUIREMENTS. 8.1 Pre-contracting Meeting. The Subrecipient must attended a pre-contracting conference with City representatives. The Salvation Army FY15-16 CDBG Agreement Page 8 of 15 8.2 Project Technical Assistance Meeting. The Subrecipient and all of its identified consultant(s) and or staff, must attend a technical assistance meeting with HCD staff prior to any services and/or activities to be paid with CDBG funds. Failure to do so may result in the Subrecipient being ineligible to receive the CDBG funds awarded and allocated to the Subrecipient under this Agreement. 8.3 Staff and Administrative Support. The Subrecipient shall provide sufficient staff and administrative support to supervise the construction of the Improvements to the Facilities. 8.4 Use of Funds. The Subrecipient covenants that all CDBG funds expended under this Agreement will be used solely for the activities described in this Agreement. The Subrecipient shall reimburse the City for all funds expended for activities not related to the purpose and activities described in this Agreement or that violate Federal or State laws. 8.5 Accounting and Audit. The Subrecipient shall record financial transactions ac- cording to approved accounting procedures and provide an independent audit of the expenditures in accordance with OMB Circular 2 CFR Part 200.501, as amended. Such audit must be completed within ninety (90) days after the completion of the public services. A copy of the audit must be provided to the City within thirty (30) days of completion of the audit. If the audit shows discrepancies between amounts charged the Subrecipient and amounts reimbursed to the Subrecipient by the City, a resolution of the discrepancies must be made within sixty (60) days from receipt of the audit by the City. If the Subrecipient owes the City money in resolution of the discrepancies, the money must be paid within ninety (90) days from receipt of the audit by the City or the Subrecipient is in default pursuant to this Agreement. External Audits must be submitted to the City no later than 30 days after received until five (5) years after the projects has been closed. 8.6 Completion Date of CDBG Project. The Subrecipient shall complete CDBG project in accordance with Section 2.1 by September 30, 2016. If the Subrecipient is rendered unable to carry out the terms of this subsection, the Subrecipient shall promptly give the City written notice of such delay together with reasonable particulars concerning it. The Administrator may extend the term of this Agreement, as may be deemed necessary and justified. (An extension of the term is addressed in Section 10.) 8.7 Civil Rights Compliance. The Subrecipient agrees to comply with all local ordinances and State laws relating to civil rights and with Title VI of the Civil Rights Act of 1964 as amended and implementing regulations in 24 CFR part 1, Title VII of the Civil Rights Act of 1968 as amended, Section 104(b) and Section 109 of Title I of the Housing and Community Development Act of 1974 as amended, Section 504 of the Rehabilitation Act of 1973, the American with Disabilities Act of 1990, the Age Discrimination Act of 1975, Executive Order 11063 as amended by Executive Order 12259 and implementing regulations in 24 CFR part 107, and Executive Order 11246 as amended by Executive Orders 11375, 11478, 12107 and 12086. 8.8 Labor Standards. The Subrecipient agrees to comply with the requirements of the Secretary of Labor in accordance with the Davis-Bacon Act as amended, the The Salvation Army FY15-16 CDBG Agreement Page 9 of 15 provisions of Contract Work Hours and Safety Standards Act (40 U.S.C. 327 et seq.) and all other applicable Federal, state and local laws and regulations pertaining to labor standards insofar as those acts apply to the performance of this Agreement. The Subrecipient agrees to comply with the Copeland Anti-Kick Back Act (18 U.S.C. 874 et seq.) and it's implementing regulations of the U.S. Department of Labor at 29 CFR Part 5. The Subrecipient shall maintain documentation that demonstrates compliance with hour and wage requirements of this part. Such documentation shall be made available to the Grantee for review upon request. SECTION 9. CITY'S REQUIREMENTS. 9.1 Commitment of Funding for Public Services. The City shall provide the Subrecipient up to Twenty-Five Thousand Dollars ($25,000) from the FY2015-16 CDBG Program for services as described in Section 2 of this Agreement and within budget and program schedule made as part of this Agreement, subject to the Subrecipient's compliance with the provisions of this Agreement. 9.2 Additional Funds. Nothing in this Agreement may be construed as requiring the City to provide additional funds to the Subrecipient at any time in the future. SECTION 10. GENERAL PROVISIONS. 10.1 Term. This Agreement terminates September 30, 2016. Extensions to the term of this Agreement may be requested by the Subrecipient and approved by the City Manager or designee. However, the Subrecipient is bound by all covenants, terms, and conditions of this Agreement including, without limitation, recordkeeping, for a period of four (4) years commencing on the date of the Subrecipient's execution of this Agreement, unless a specific bound period is shorter or longer as may be stated in this Agreement. 10.2 National Objectives. The Subrecipient shall meet a National Objective of the Housing and Community Development Act as outlined in 24 CFR 570.200 and 570.208, as each may be amended, and will continue to provide public services thru September 30, 2016, and provide programs to help low and moderate income individuals improve the quality of their lives and at all times in accordance with HUD's Community Development Block Grant regulations and guidelines and all local, State, and Federal requirements and laws. The Subrecipient certifies that the activities carried out under this Agreement will be eligible and comply with national objectives and will establish and maintain records demonstrating eligibility and compliance with national objectives. 10.3 Licensing and Permits. The Subrecipient shall obtain and maintain any licenses, permits, certificates and other documentation that are required of the Subrecipient, for services and activities to be rendered under this Agreement, and as required by the United States, the State of Texas, the City, and any other agencies having regulatory jurisdiction over the Subrecipient. 10.4 Maintenance. The Subrecipient shall continue to provide assistance to clients as necessary, under Subrecipient's Program guidelines. The Salvation Army FY15-16 CDBG Agreement Page 10 of 15 10.5 Default. In the event the Subrecipient ceases to meet all the requirements, in accordance with the terms of this Agreement or commits any other default in the terms of this Agreement, the City is herein specifically authorized to demand reimbursement of the CDBG funds paid to the Subrecipient and, in the event the City is not promptly repaid, the City may seek legal action in any manner the City deems necessary towards Subrecipient for reimbursement of all or portion of the FY15 CDBG funds to the City. 10.6 No Liability. In no event is the City liable for any contracts made by or entered into by the Subrecipient with any other person, partnership, association, firm, corporation, or governmental entity. 10.7 Notices. (A) 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, return receipt requested, 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. (B) 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 com- pany or overnight express carrier. Notice by fax transmission will be deemed effec- tive upon transmission, with proof of confirmed delivery. (C) All such communications must only be made to the following: If to the City: If to the Subrecipient: City of Corpus Christi The Salvation Army Attn: Administrator Attn: Corps Officer or Designee Housing and Community Development 521 Josephine St. 1201 Leopard Street Corpus Christi, Texas 78401 Corpus Christi, Texas 78401-2825 (361) 884-9497 (361) 826-3186 Office (361) 826-1740 Fax With a copy to: City of Corpus Christi Attn: Director Housing and Community Development Dept. P.O. Box 9277 Corpus Christi, TX 78469-9277 (361) 826-3044 Office (361) 826-3011 Fax The Salvation Army FY15-16 CDBG Agreement Page 11 of 15 (D) Either party may change the address to which notice is sent by using a method set out above. The Subrecipient shall notify the City of an address change within 10 working days after the address is changed. 10.8 Nonassignment. The Subrecipient may not assign, mortgage, pledge, or transfer this Agreement or any interest in the Facilities or Improvements without the prior written consent of the City. 10.9 Nonexclusive Services. Nothing in this Agreement may be construed as prohibi- ting the Subrecipient from entering into contracts with additional parties for the perfor- mance of services similar or identical to those enumerated in this Agreement, and no- thing in this Agreement may be construed as prohibiting the Subrecipient from receiving compensation from such additional contractual parties, provided that all other terms of this Agreement are fulfilled. 10.10 Breach of Agreement. Notwithstanding any other provisions of this Agreement, should the Subrecipient breach any section or provision of this Agreement including, without limitation, the failure to pay taxes, assessments, or other government charges, the breach shall be remedied in accordance with subsection 4.3 of this Agreement and any other applicable subsections. If repayment is required as a remedy, other remedies may be pursued, as deemed necessary by the City Manager, if repayment is not made. The City is entitled to reasonable attorneys fees in any court action arising out of this Agreement. 10.11 Modifications. Modifications to this Agreement are not effective unless signed by a duly authorized representative of each of the parties to this Agreement. Modifications which do not change the essential scope and purpose of this Agreement may be approved on behalf of the City by the City Manager. 10.12 Validity. If, for any reason any section, paragraph, subdivision, clause, phrase, word, or provision of this Agreement is held invalid or unconstitutional by final judgment of a court of competent jurisdiction, it shall not affect any other section, paragraph, sub- division, clause, phrase, word, or provision of this Agreement, for it is the definite intent of the parties to this Agreement that every section, paragraph, subdivision, clause, phrase, word, and provision of this Agreement be given full force and effect for its pur- pose. 10.13 Jurisdiction and Venue. The laws of the State of Texas govern and are appli- cable to any dispute arising under this Agreement. Venue is in Corpus Christi, Nueces County, Texas, where this Agreement was entered into and must be performed. 10.14 Copies of Rules and Regulations. Copies of some of the Federal rules and regulations referenced in this Agreement have been provided to the Subrecipient at the precontracting conference as evidenced by the Subrecipient's CDBG Compliance Affidavit, which is attached to this Agreement as Exhibit C and incorporated in this Agreement by reference. Any failure, by the City, to supply the Subrecipient with any other Federal rules and regulations which may be applicable to the Subrecipient, its Facilities, the Improvements, CDBG funding, or to recipients of Federal funds does not waive the Subrecipient's required compliance in accordance with Federal law. The Salvation Army FY15-16 CDBG Agreement Page 12 of 15 10.15 Disclosure of Interests. In compliance with Section 2-349 of the City's Code of Ordinances, the Subrecipient shall complete the City's Disclosure of Interests form, which is attached to this Agreement as Exhibit D, the contents of which, as a completed form, are incorporated in this document by reference as if fully set out in this Agreement. 10.16 Acknowledgment of Funding Source. The Subrecipient shall give credit to the City's CDBG Program as the project funding source in all presentations, written docu- ments, publicity, and advertisements regarding the Improvements. The Subrecipient agrees to acknowledge the sponsorship of the City of Corpus Christi at any event promoting the project or any other project sponsor. 10.17 Certification Regarding Lobbying. In compliance with federal law, the Subrecipient shall execute Exhibit E, the contents of which, as a completed form, are incorporated in this document by reference as if fully set out in this Agreement. (EXECUTION PAGES FOLLOW) The Salvation Army FY15-16 CDBG Agreement Page 13 of 15 Executed in quadruplicate originals this day of _ I 1 c:_,1,. (L , 201 ATTEST: CITY OF CORPUS CHRISTI T2d2-Liz.,C.X.C.• 41.-‘41/17-‘ r 4 - - /- Rebecca Huerta Ro- a • I Olso ( . City Secretary Ci y • anager Approved as to form: I; l'1"3, 2015 " 0: _ 035-1( T yr: /In, _, _AC . •__ n WWII......... Y tte A A. .istan _ a ttorn- , .........� for the City Attorney SECRETARY rk— ACKNOWLEDGMENT STATE OF TEXAS § § KNOW ALL BY THESE PRESENTS: COUNTY OF NUECES § This instrume t w-s ac nowle.. -d before me on &C l i- ), 201 , („0by ` 'er capac y,as the • i S • 0.47 - 3 :' t of Corpus Christi, a Texas home- rule municipal corporation, on behalf o)f the corporation. I 0 4".7 ONIQUE TAMEZ LERMA > A'`-"' J�Ll i LAI; 4 1,f l Notary Public \ 1, STATE OF TEXAS > Not. ry Publi' , State • Texa'S .... ••,.••• ,g.=`' My Comm. Exp. 01-23-2017 ` The Salvation Army FY15-16 CDBG Agreement Page 14 of 15 SUBRECIPIENT: THE SALVATION ARMY, A GEORGIA CORPORATION will comply with all applicable laws associated with the Application and Agreement. \ • FEB 42016 Ve)ctel#ivq Dirla or sir Qesig =e TREASURER Date JAMES K.SEILER Printed name ACKNOWLEDGMENT CTurci STATE OFTOMS § KNOW ALL BY THESE PRESENTS: COUNTY OF NIJI¢IF$ § This instrument was acknowledged before me on Ahruary , $Xp// 2J to by JAMES K SEIl.ER i;,... ., �'c , o¢u{/Q' iiVeyt917Wp9igriO ) of The Salvation Army, Inc., a Georgia foreign non-profit corporation, on behalf of the corporation. ``���ttiisii��r� .��� SLA D. '9t�#°SSI ON ` .�e F ',� �;'o OT .�r ARI- �,• Q_ (_ /( (Seal) _o; • • 9 w�•,� 'O�Bt�o I otary Public, State of TO�t� C�o' 10-- Go o�•' Qe .*-; o •� UN-T-\?. 6(1\‘‘‘ The Salvation Army FY15-16 CDBG Agreement Page 15 of 15 EXHIBIT A PRELIMINARY BUDGET & PROGRAM SCHEDULE PUBLIC SERVICES Funding: FY 2015 (CDBG) Funding Project Name: The Salvation Army Shelter and Food Program Organization: The Salvation Army Total Project Cost: $25,000.00 Prepared by: Jesse Elizondo Date: September 30, 2015 PRELIMINARY BUDGET Project Financial Resources: (Funds available to complete your project) AMOUNT • Fund FY 2015 CDBG Program $25,000.00 • Other Committed Funding $-0- • Capital Contribution from Agency $-0- • Other... (Specify) $-0- • TOTAL FUNDS AVAILABLE FOR PROJECT $25,000.00 Estimated Expenses: Funded Agency staff needs to set up the program funded eligible expenses cost,to be part of the program budget such as: Purchase of Supplies; Educational Materials;Advertisement; Publications; Insurance ; Transportation & Mileage, Training, Temp. Staff Salary, Etc., AMOUNT • Staff Salaries $ .00 • Supplies $ .00 • Postage. $ .00 • Printing and Publications $ .00 • Travel and Training $ .00 • Other Expenses (Specify) $ .00 TOTAL PROJECT COST $25,000.00 INOTE: "Total Funds Available for Project" shall be equal to "Total Project Cost"' PRELIMINARY PUBLIC SERVICE PROGRAM SCHEDULE Public Service Program To Be Completed in 12 Months Enter Projected dates for completion of key project phases) Provide the key proiected dates for completion of important key phases or milestones to implement your Program or project, (in approximate logic sequence)from Commencement to 100%completion date. Such as: Drug Awareness Educational School Presentations for Youth; Parents Awareness Meetings, Anti-drugs/Anti-crime Events; or other planned activities. KEY PROGRAM PHASES PROJECTED DATE* Enter month day and year: (mid or end of month) • Purchase goods and material • Program at 100% Completion September 30, 2016 A FINALIZED Budget& Program Schedule shall be submitted within ten (10)days prior to start any program activities, which must include a budget with detailed cost of project and a detailed program schedule. MW 15 EXHIBIT B INSURANCE REQUIREMENTS Subrecipient's Liability Insurance A. Subrecipient must not commence work under this agreement all insurance required herein has been obtained and such insurance has been approved by the City. Subrecipient must not allow any subcontractor to commence work until all similar insurance required of the subcontractor has been obtained. B. Subrecipient must furnish to the City's Risk Manager and to the Department or Division responsible for this agreement, copies of Certificates of Insurance with applicable policy endorsements, showing the following minimum coverage by insurance company(s)acceptable to the City's Risk Manager. The City must be named as an additional insured for all liability policies, and a blanket waiver of subrogation is required on all applicable policies. TYPE OF INSURANCE MINIMUM INSURANCE COVERAGE 30-Day written notice of cancellation,material Bodily Injury and Property Damage change,non-renewal or termination is required on all certificates COMMERCIAL GENERAL LIABILITY including: $1,000,000 Per Occurrence 1. Commercial Form 2. Premises- Operations 3. Products/Completed Operations Hazard 4. Contractual Liability 5. Independent Contractors 6. Broad Form Property Damage 7. Personal Injury PROPERTY INSURANCE (including) At a minimum,amount sufficient to cover the All Perils Coverage replacement cost of facilities and/or building City to be named as loss payee using standard loss payee clause. BUILDERS RISK INSURANCE (when applicable) Full value of any improvements constructed with 1. All Risks of Physical Loss; including collapse. CDBG Funds provided under this agreement, so long as work remains to be completed on such improvements C. In the event of accidents of any kind,Subrecipient must furnish the Risk Manager with copies of all reports of such accidents within 10 days of the accident. II. ADDITIONAL REQUIREMENTS A. Certificate of Insurance: * The City of Corpus Christi must be named as an additional insured on the liability coverage, and a blanket waiver of subrogation on all applicable policies. * The City of Corpus Christi must be named as loss payee using a standard loss payee clause on the Fire and Extended Coverage coverage. * The name of the project must be listed under "Description of Operations" * At a minimum, a 30-day written notice of cancellation, non-renewal, material change or termination is required. Community Development Block Grant Program Subrecipient Agreements ins. req. October 2015 Risk Management. EXHIBIT C CDBG COMPLIANCE AFFIDAVIT STATE OF TEXAS § § KNOW ALL BY THESE PRESENTS: COUNTY OF NUECES § Date: 1005- Affiant: The sw(va-t.,,, /rr,wy (GrlO;;s Chn,;J-i Community Development Block Grant Subrecipient Affiant organization representative on oath swears the following statements are true: TcriI /l am the ( res Olt fr (title) of Tti� s�w ►,,N, A- �,, :,; (��sk , a Texas nonprofit corporation, which has applied for and been awarded Community Development Block Grant ("CDBG") Program funds administered by the City of Corpus Christi ("City"). Prior to the start of the project for which CDBG funds have been awarded, as the representative of the above-named subrecipient organization ("Subrecipient"), I met with City staff and received copies of the following federal rules and regulations: OMB Circular 2 CFR Part 200 24 CFR 85.43 and 85.44 24 CFR 570.200, 500, and 600 et. seq. CFR Part 84 49 CFR Part 24, 24.101-24.104 24 By execution of this affidavit, I attest that I have received the above-listed federal rules and regulations, I have been provided with a general explanation of this information, and I understand the Subrecipient's obligations of performance under the rules and regulations. Furthermore, I acknowledge that there may be additional federal rules and regulations, beyond the rules and regulations listed above, to which the Subreci•ient may be subject and with which the Subrecipient must comply. 414, By: Name: Twp\ 2 ( Organization: The 4-nmAi loos CtM1ci, SWORN TO AND SUBSCRIBED before me the'dday of NtV'eI 1015. r . AILL Notary Public, State of Texas rPus,� ICHEL E L.HOLCOMB �P/ kI Notary Public 1 ky* STATE OF TEXAS -VtoriV My Comm.Exp.08105/2018 fig;1 SUPPLIER NUMBER TO BE ASSIGNED BY CITY PURCHASING DIVISION CorEXHIBIT Corpus DISCLOSURE OF INTEREST us Christi City of Corpus Christi Ordinance 17112, as amended, requires all persons or firms seeking to do business with the City to provide the following information. Every question must be answered. If the question is not applicable, answer with"NA". See reverse side for Filing Requirements, Certifications and definitions. COMPANY NAME: .]-`,L s'A,I4whavi • / GL (-eclik, Lino-dk> n irc Corp.* (3,.(1..4-; P. O. BOX: STREET ADDRESS: 52t 'S e1mrk.e S4- CITY: :(Vvist-► STATE: TX ZIP: viol - FIRM IS: 1. Corporation e 2. Partnership 3. Sole Owner ❑ 4. Association 5. Other Z. N.1 -erail.-I' DISCLOSURE QUESTIONS If additional space is necessary,please use the reverse side of this page or attach separate sheet. 1. State the names of each "employee" of the City of Corpus Christi having an `ownership interest" constituting 3%or more of the ownership in the above named"firm." Name Job Title and City Department(if known) NIA' 2. State the names of each "official" of the City of Corpus Christi having an "ownership interest" constituting 3% or more of the ownership in the above named"firm." Name Title 3. State the names of each "board member" of the City of Corpus Christi having an "ownership interest" constituting 3%or more of the ownership in the above named"firm." Name , Board, Commission or Committee WA 4. State the names of each employee or officer of a"consultant" for the City of Corpus Christi who worked on any matter related to the subject of this contract and has an "ownership interest" constituting 3% or more of the ownership in the above named"firm." Name Consultant di4 FILING REQUIREMENTS If a person who requests official action on a matter knows that the requested action will confer an economic benefit on any City official or employee that is distinguishable from the effect that the action will have on members of the public in general or a substantial segment thereof,you shall disclose that fact in a signed writing to the City official, employee or body that has been requested to act in the matter,unless the interest of the City official or employee in the matter is apparent. The disclosure shall also be made in a signed writing filed with the City Secretary. [Ethics Ordinance Section 2-349 (d)] CERTIFICATION I certify that all information provided is true and correct as of the date of this statement, that I have not knowingly withheld disclosure of any information requested; and that supplemental statements will be promptly submitted to the City of Corpus Christi,Texas as changes'occur. Certifying Person: JAMES K.SEILER Title: TRErtSURFP (Type or Print) Signature of Certifying Person: 71116,/ Date: FEB 4 2016 DEFINITIONS a. "Board member." A member of any board, commission, or committee appointed by the City Council of the City of Corpus Christi,Texas. b. "Economic benefit". An action that is likely to affect an economic interest if it is likely to have an effect on that interest that is distinguishable from its effect on members of the public in general or a substantial segment thereof. c. "Employee." Any person employed by the City of Corpus Christi, Texas either on a full or part-time basis, but not as an independent contractor. d. "Firm." Any entity operated for economic gain, whether professional, industrial or commercial, and whether established to produce or deal with a product or service, including but not limited to, entities operated in the form of sole proprietorship, as self-employed person, partnership, corporation, joint stock company, joint venture,receivership or trust,and entities which for purposes of taxation are treated as non-profit organizations. e. "Official." The Mayor, members of the City Council, City Manager, Deputy City Manager, Assistant City Managers, Department and Division Heads,and Municipal Court Judges of the City of Corpus Christi,Texas. f. "Ownership Interest." Legal or equitable interest, whether actually or constructively held, in a firm, including when such interest is held through an agent, trust, estate, or holding entity. "Constructively held" refers to holdings or control established through voting trusts, proxies, or special terms of venture or partnership agreements." g. "Consultant."Any person or firm, such as engineers and architects, hired by the City of Corpus Christi for the purpose of professional consultation and recommendation. Exhibit E CERTIFICATION REGARDING LOBBYING CERTIFICATION FOR CONTRACTS, GRANTS, LOANS, AND COOPERATIVE AGREEMENTS The undersigned certifies, to the best of his or her knowledge and belief, that (1) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or an 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 (2) 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, the undersigned shall complete and submit with this a Standard Form-11, "Disclosure Form to Report Lobbying," in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements)and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352. Title 31, U. S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. 1 gu Signature _ Date JAMES K.SEILER Print Name of Authorized Individual THE SALVATION ARMY,A GEORGIA CORPORATION Organization Name ACORO® CERTIFICATE OF PROPERTY INSURANCE DATE(MNVDD/YWY) `.----- 02/02/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. If this certificate is being prepared for a party who has an insurable interest in the property,do not use this form. Use ACORD 27 or ACORD 28. PRODUCER (330)896-7639 X 8123 NADEANNA CIPRIANO WC,,PHONEN,Ext>: (330)896-7639 X 8123 I FAX No): 330-896-6548 CHESTERFIELD INSURANCE AGENCY, INC. E-MAIL ADDRESS: P. O. BOX 237 PRODUCER CUSTOMER ID: GREEN, OH 44232-0237 INSURER(S)AFFORDING COVERAGE NAICE INSUREDINSURERA: ZURICH AMERICAN INS. CO 16535 INSURER B: THE SALVATION ARMY,A GEORGIA CORP. INSURER C: 1424 NORTHEAST EXPRESSWAY INSURER D: ATLANTA, GA 30329-2088 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: LOCATION OF PREMISES/DESCRIPTION OF PROPERTY(Attach ACORD 101,Additional Remarks Schedule,if more space is required) COVERAGE APPLIES TO THE SALVATION ARMY EMPLOYEES WORKING AT 501 JOSEPHINE ST,CORPUS CHRISTI,TX 78401 AS RESPECTS HUD CDBG 15 CITY OF CORPUS CHRISTI-SHELTER OPERATIONS LOCATION#389-522-003 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR! TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION COVERED PROPERTY LIMITS LTR' I DATE(MNYDD/YYYY) DATE(MM/DD/YYYY) PROPERTY r BUILDING $ CAUSES OF LOSS DEDUCTIBLES 1 PERSONAL PROPERTY $ BASIC BUILDING I BUSINESS INCOME !II$ -.--- BROAD — i EXTRA EXPENSE $ CONTENTS ----_ , I SPECIAL RENTAL VALUE $ EARTHQUAKE , BLANKET BUILDING $ WIND BLANKET PERS PROP I $ - -_ r FLOOD BLANKET BLDG&PP I $ 1—r - — ---__-- , - I - - -- — i ----- , - ill-$ INLAND MARINE TYPE OF POLICY !�' $ CAUSES OF LOSS $ I • NAMED PERILS I POLICY NUMBER '. $ ! i I I $ A ' X CRIME FID 5235110-08 01/01/14 01/01/17 X EMPLOYEE $ _ 2,500,000 $ DISHONESTY TYPE OF POLICY ._ ---- BLANKET FORMA $ BOILER&MACHINERY/ $ I-- EQUIPMENTBREAKDOVVN is $ SPECIAL CONDITIONS/OTHER COVERAGES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF CORPUS CHRISTI ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 9277 CORPUS CHRISTI,TX 78401 AUTHORIZED REPRESENTATIVE ©1995-2009 ACORD CORPORATION. All rights reserved. ACORD 24(2009/09) The ACORD name and logo are registered marks of ACORD vI' V BOOfr- \s, l.,l` . ,, Pte/ S4�,AATjON THE SALVATION ARMY POLICY STATEMENT ON RELATIONSHIPS WITH OTHER GROUPS AND ORGANIZATIONS The Salvation Army in the United States works cooperatively with many groups — governmental, social service, civic, religious, business, humanitarian, educational, health, character building, and other groups — in the pursuit of its mission to preach the Christian Gospel and meet human need. Any agency, governmental or private, which enters into a contractual or cooperative relationship with The Salvation Army should be advised that: 1. The Salvation Army is an international religious and charitable movement, organized and operated on a quasi-military pattern, and is a branch of the Christian church. 2. All programs of The Salvation Army are administered by Salvation Army Officers,who are ministers of the Gospel. 3. The motivation of the organization is love of God and a practical concern for the needs of humanity. 4. The Salvation Army's provision of food, shelter,health services, counseling, and other physical, social, emotional,psychological and spiritual aid, is given on the basis of need, available resources and established program policies. Organizations contracting and/or cooperating with The Salvation Army may be assured that because The Salvation Army is rooted in Christian compassion and is governed by Judeo-Christian ethics, The Salvation Army will strictly observe all provisions of its contracts and agreements. Commissioners Conference: May 1996 1 } i- i i 1 1 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1 of 1 Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING 1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number: of business. 2016-24859 The Salvation Army Corpus Christi,TX United States Date Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form is 03/10/2016 being filed. City of Corpus Christi Date Acknowledged: 3Iv71Z0,40 (tiR. 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a description of the goods or services to be provided under the contract. 80617504 Meals served to homeless individuals living at Salvation Army. 4 Nature of interest(check applicable) Name of Interested Party City,State,Country(place of business) Controlling Intermediary 5 Check only If there is NO Interested Patty. X 6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct. • r 700WI1AM1IMA • ,� N i� try SNC '►oN •TATEO.TEtltllff �'!�----- —_- f•s ' My Comm.Ilfq`tlfifleral9 Signature of authoritd agent of contracting business entity AFFIX NOTARY STAMP/SEAL ABOVE /� / ,/y� Sworn to and subscribed before me,by the said -.7e S$'Z (A(.tuj c'L(2�4 ,this the /q' day of r/!6-/`Oh 20 / C. ,to certify which,witness my hand and seal of office. )(:-/-)0114/1/idtts/44;r:le.Axl oVY)Q,tl7C-1 AJoi4 CL.7 Signature of officer administering oath Printed name of officer administering oath Title of officer adMmistering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.312