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HomeMy WebLinkAboutRES 091118-N - Fund Agmt Community ServRESOLUTION NO. 01111 $ — N A Resolution authorizing funding agreements between the City of Georgetown and Backpack Buddies, Boys and Girls Club of Georgetown, Boy Scouts of America, Capital Area Council, San Gabriel District, Pack 2935, Brookwood in Georgetown Vocational, Inc. (BIG), CASA of Williamson County, Texas, Faith In Action Georgetown, Girls Empowerment Network (GEN), Georgetown Caring Place aka The Caring Place, Georgetown Project, Helping Hands of Georgetown, Inc., Literacy Council of Williamson County, Lone Star Circle of Care, Ride on Center for Kids (R.O.C.K.), Sacred Heart Community Clinic, Inc., Samaritan Center for Counseling and Pastoral Care, Senior Center at Stonehaven, Opportunities for Williamson & Burnet Counties, Inc. (OWBC), and Williamson County Crisis Center dba Hope Alliance, and for these agencies and organizations to continue to provide services for the citizens of Georgetown, and authorizing the Mayor to execute same and the City Secretary to attest. WHEREAS, the City Council finds that the City of Georgetown values partnerships with organizations that are committed to addressing our community's greatest public challenges; and WHEREAS, the purpose of City funding to the nonprofit sector is to cultivate and sustain partnerships with 501(c)3 organizations that strengthen the City's key priorities in the following areas: Public Safety, Transportation, Housing, Parks & Recreation, Veteran Services, and Safety Net; and WHEREAS, the Key Priority areas are defined as follows: Public Safety. • While the City is Georgetown's Public Safety leader (Fire & Police), public safety also encompasses a broad scope of work that makes this community safe for all. ■ Eligible organizations and programs may include those that contribute to safe neighborhoods such out of school time, youth empowerment, and neighborhood community centers. Transportation. • Eligible organizations include those that assist in meeting the transportation needs of Georgetown residents unable to access private transportation such as homebound seniors and youth under the age of 16 years. Housing. • Eligible organizations include those that offer emergency shelter, transitional or temporary housing, and affordable housing. Parks & Recreation. • Eligible organizations include those that provide affordable, accessible activities that enhance Georgetown residents' health and well-being, including sports, fitness, and other recreational programs. Resolution No. Description: 2018/19 Strategic Partnerships for Community Services Funding Agreements Date of Approval: September 11, 2018 Page 1 of 5 Veteran's Services ■ Support veteran programs and services within the community. Safety Net. ■ The City recognizes its responsibility to support efforts to address this community's most pressing basic needs. Examples of basic needs include food insecurity, emergency financial assistance, mentallbehavioral health care, substance abuse, domestic/family violence, and health care. Safety Net priorities will be based on ongoing analysis of unmet existing needs and emerging needs in this community, and may change over time; and WHEREAS, the City Council finds that the provision of such services as defined above accomplishes a public purpose and benefits the community of Georgetown, Texas as they enhance the quality of life and the overall economic development of the city per Chapter 380 of the Local Government Code; and WHEREAS, the City of Georgetown and Georgetown Backpack Buddies desire to enter into an agreement to provide Safety Net Services for the purchase of food for children in Grades K-12 who are eligible for the free/reduced GISD breakfast/lunch program and who register for the Georgetown Backpack Buddies Program (GBBP) to take home on Friday to supplement their family's weekend food supply; WHEREAS, the City of Georgetown and the Boys and Girls Club of Georgetown desire to enter into an agreement in the provision of Safety Net services to assist the Boys and Girls Club of Georgetown to provide after school youth programs during the school year and full day youth programs during the summer that provide safe places for children and youth in the community by providing recreationally and educationally based programs that increase members' abilities to interact positively with other youth and adults, ensure on time grade progression, increase levels of physical activity, and increase levels of civic engagement; and WHEREAS, the City of Georgetown and Boy Scouts of America, Capital Area Council, San Gabriel District, Pack 2935 (Boy Scouts) desire to enter into an agreement to assist the Boy Scouts provide Safety Net Services to provide the Scoutreach Program to lower income Georgetown youth who have limited or no access to leadership programs due to cost, location, parent work schedule(s) and/or access to transportation through partnerships with the Boys & Girls Club of Georgetown, the After School Action Program (ASAP) sponsored by GISD, the Georgetown Project, Georgetown Rotary Club, Boy Scouts of America and other local community organizations; and to also enhance the Scoutreach Program by adding a Science Technology, Engineering, and Math (STEM) aspect to the program; WHEREAS, the City of Georgetown and Brookwood in Georgetown Vocational, Inc. (BIG) desire to enter into an agreement in the provision of Safety Net Services to assist BIG to provide scholarships for adults with functional disabilities who no longer receive services from the public schools to participate in high quality programs that will provide an educational environment that Resolution No. 00111 l Description: 2018/19 Strategic Partnerships for Community Services Funding Agreements Date of Approval: September 11, 2018 Page 2 of 5 creates meaningful jobs, builds a sense of belonging and promotes dignity and respect for adults with special needs and create opportunities to develop their talents and strengths in order to celebrate, empower, and engage these Georgetown citizens and their families to lead healthy and active lives that give back to their community through volunteerism and entrepreneurial work activities; and WHEREAS, the City of Georgetown and CASA of Williamson County desire to enter into an agreement in the provision of Safety Net Services to assist CASA of Williamson County provide trained, court-appointed volunteers who advocate for the best interest of abused or neglected children in court on their journey to a safe, permanent home and increase the number of children served in the community; and WHEREAS, the City of Georgetown and Faith in Action Georgetown desire to enter into an agreement in the provision of Safety Net, Transportation, and Public Safety Services to assist Faith in Action to provide and support volunteer driver recruitment and training programs to ensure the continuance of providing timely, reliable, door -through door, assisted transportation to help seniors remain independent and improve their quality of life; and WHEREAS, the City of Georgetown and Girls Empowerment Network (GEN) desire to enter into an agreement to assist GEN in the provision of Safety Net and Public Safety Services through its 180 Program for girls who are entering the juvenile justice system or who are at risk for entering the system with goals to decrease rates of juvenile delinquency and increase in -school functioning, critical thinking skills, and self- sufficiency.; and WHEREAS, the City of Georgetown and the Georgetown Caring Place dba The Caring Place desire to enter into an agreement in the provision of Safety Net Services to assist The Caring Place to serve as a central, coordinated safety net location to help families in crisis who live in Georgetown and provide basic needs that include, but are not limited to, food, shelter, clothing, household items, financial assistance for utility bills, rent or mortgage payments, and employment assistance; and WHEREAS, the City of Georgetown and The Georgetown Project desire to enter into an agreement in the provision of Safety Net, Public Safety, Parks & Recreation, Housing and Transportation Services to assist The Georgetown Project provide youth development and youth activity programs for children, youth, and families in Georgetown through the Kid City Program (summer food and enrichment for economically disadvantaged students), ASAP (After School Action Program), and the NEST (provides assistance to homeless teens, including basic needs, supportive services, and overnight emergency/temporary shelter),including the Summer Youth Employment Program (SYEP); and WHEREAS, the City of Georgetown and Helping Hands of Georgetown, Inc. (Helping Hands) desire to enter into an agreement in the provision of Safety Net Services to assist Helping Hands in the utilization of its Mobile Canteen to provide brown bag lunches four (4) days a week to the population segments of Georgetown who have little or no money for food, including, but not limited to, the underserved, working poor, homeless, and couch surfing youth of Georgetown; and Resolution No. Description: 2018/19 Strategic Partnerships for Community Services Funding Agreements Date of Approval: September 11, 2018 Page 3 of 5 WHEREAS, the City of Georgetown and the Literacy Council of Williamson County desire to enter into an agreement in the provision of Safety Net Services to provide adult literacy, ESL classes, GED tutoring and newly added Vocational Classes; and WHEREAS, the City of Georgetown and Lone Star Circle of Care desire to enter into an agreement to assist LSCC in the provision of Safety Net Services to provide adult dental care services for City of Georgetown citizens who are uninsured and underserved, regardless of patients' insurance status or ability to pay; and WHEREAS, the City of Georgetown and Ride on Center for Kids (R.O.C.K.) desire to enter into an agreement in the provision of Veteran Services to Georgetown veterans and their families to promote full integration into family and community life by improving each veterans independence and life skills through an intensive therapeutic horsemanship program (ROCK On Veterans); and WHEREAS, the City of Georgetown and Sacred Heart Community Clinic, Inc. (Sacred Heart) desire to enter into an agreement to assist Sacred Heart in the provision of Safety Net and Veteran Services to expand the capacity of its "Help Them Smile Again" Program and to provide free basic medical & dental services for City of Georgetown citizens who are uninsured and underserved, regardless of patients' insurance status or ability to pay; and WHEREAS, the City of Georgetown and Samaritan Center for Counseling and Pastoral Care (Samaritan Center) desire to enter into an agreement to assist Samaritan Center in the provision of Safety Net and Veteran Services to provide mental health and integrative medicine services, including the Healthy Minds Program, to residents of the Georgetown Community regardless of their ability to pay and with priority given to vulnerable populations such as the uninsured, under -insured, members of low-income families, and also veterans and their families; and WHEREAS, the City of Georgetown and the Senior Center at Stonehaven desire to enter into an agreement to assist the Stonehaven in the provision of Safety Net Services to meet the health, educational, social, recreational and creative needs of the senior citizen population of Georgetown area; and WHEREAS, the City of Georgetown and Opportunities of Williamson & Burnet Counties, Inc. (OWBC) desire to enter into an agreement in the provision of Safety Net Services to assist OWBC to provide comprehensive child and family development programs at the Mary Bailey Head Start Center that prepare children from birth to five years of age to become successful school students and productive members of society, continue serving low income, disabled and foster children with school readiness preparations, and to also provide consistent and healthy meals to seniors in need each day with meals being offered at the Madella Hilliard Neighborhood Center and also provide home - delivered meals to those seniors in the community whose mobility is limited; and WHEREAS, the City of Georgetown and Williamson County Crisis Center dba Hope Alliance desire to enter into an agreement for the provision of Safety Net Services to assist the Williamson County Crisis Center to provide support intervention services to survivors of family violence, sexual Resolution No. Description: 2018/19 Strategic Partnerships for Community Services Funding Agreements Date of Approval: September 11, 2018 Page 4 of 5 assault, child abuse, including a 24 hour hotline, emergency shelter, transitional housing, crisis intervention, legal advocacy, counseling, support groups, supportive housing and community education crisis and support services to the victims of sexual assault and family violence for the citizens of Georgetown; and NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF GEORGETOWN, TEXAS, THAT: SECTION 1. The facts and recitations contained in the preamble of this resolution are hereby found and declared to be true and correct, and are incorporated by reference herein and expressly made a part hereof, as if copied verbatim. SECTION 2. The Mayor is hereby authorized to execute, and the City Secretary to attest thereto, funding agreements with Backpack Buddies, Boys and Girls Club of Georgetown, Boy Scouts of America, Capital Area Council, San Gabriel District, Pack 2935, Brookwood in Georgetown Vocational, Inc. (BIG), CASA of Williamson County, Texas, Faith In Action Georgetown, Girls Empowerment Network (GEN), Georgetown Caring Place aka The Caring Place, Georgetown Project, Helping Hands of Georgetown, Inc., Literacy Council of Williamson County, Lone Star Circle of Care, Ride on Center for Kids (R.O.C.K.), Sacred Heart Community Clinic, Inc., Samaritan Center for Counseling and Pastoral Care, Senior Center at Stonehaven, Opportunities for Williamson & Burnet Counties, Inc. (OWBC), and Williamson County Crisis Center dba Hope Alliance, and on behalf of the City of Georgetown in substantially the same form as denoted in the attached exhibits. SECTION 3. This resolution shall be effective immediately upon adoption. RESOLVED this day of September, 2018. ATTEST: THE CITY OF GEORGETOWN: Shelley No i , City Secreta y Dale Ross, Mayor APPROVED AS TO FORM: Charlie K cNabb City Attorney Resolution No. Description: 2018/19 Strategic Partnerships for Community Services Funding Agreements Date of Approval: September 11, 2018 Page 5 of 5 COUNTY OF WILLIAMSON § AGREEMENT § BETWEEN THE § CITY OF GEORGETOWN AND STATE OF TEXAS § GEORGETOWN BACKPACK BUDDIES This is an agreement between the City of Georgetown, a Texas Home Rule Municipal Corporation (City), and Georgetown Backpack Buddies (Backpack Buddies), for the fiscal year from October 1, 2018, through September 30, 2019 (Agreement). The City of Georgetown values partnerships with organizations that are committed to addressing our community's greatest public challenges, and the purpose of City funding to the non-profit sector is to cultivate and sustain partnerships with 501(c)3 organizations that strengthen the City's key priorities in the following areas: Public Safety, Transportation, Housing, Parks & Recreation, Veteran Services, and Safety Net, further defined as follows: Public Safety. ■ While the City is Georgetown's Public Safety leader (Fire & Police), public safety also encompasses a broad scope of work that makes this community safe for all. ■ Eligible organizations and programs may include those that contribute to safe neighborhoods such out of school time, youth empowerment, and neighborhood community centers. Transportation. ■ Eligible organizations include those that assist in meeting the transportation needs of Georgetown residents unable to access private transportation such as homebound seniors and youth under the age of 16 years. Housing. * Eligible organizations include those that offer emergency shelter, transitional or temporary housing, and affordable housing. Parks & Recreation. ■ Eligible organizations include those that provide affordable, accessible activities that enhance Georgetown residents' health and well-being, including sports, fitness, and other recreational programs. Veteran's Services ■ Support veteran programs and services within the community. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Backpack Buddies Page 1 Safety Net. • The City recognizes its responsibility to support efforts to address this community's most pressing basic needs. Examples of basic needs include food insecurity, emergency financial assistance, mental/behavioral health care, substance abuse, domestic/family violence, and health care. Safety Net priorities will be based on ongoing analysis of unmet existing needs and emerging needs in this community, and may change over time. 1. The City finds that Backpack Buddies provides Safety Net and Public Safety Services for the community, as defined above; Backpack Buddies accomplishes a public purpose and benefits the community of Georgetown, Texas as it enhances the quality of life and the overall economic development of the City per Chapter 380 of the Local Government Code. The City finds that the services Backpack Buddies will provide pursuant to this Agreement are services that the City would provide, absent this Agreement, within the vision and limitations otherwise placed upon the City. 2. In consideration for the services Backpack Buddies provides pursuant to this Agreement, the City agrees to pay Backpack Buddies an amount not to exceed a total of $15,000 to be paid in a one-time lump sum payment by October 15, 2018. 3. As consideration for the funds to be paid by the City, Backpack Buddies agrees to provide the following as a condition of this Agreement: A. To purchase food for children in Grades K-12 who are eligible for the free/reduced GISD breakfast/lunch program and who register for the Georgetown Backpack Buddies Program (GBBP) to take home on Friday to supplement their family's weekend food supply; B. coordinate as appropriate with the City and other community service providers in the provision of services to Georgetown residents; C. provide a final report to the City in the format prescribed in the attached Exhibit A to this Funding Agreement on or before October 31, 2019 that specifically identifies and includes: 1. how the City's funds were used; 2. an analysis of the goal set forth in the evaluation section of the grant application, including outputs and outcomes; 3. the total numbers served and the total number Georgetown citizens served; and D. provide to the City a copy of Backpack Buddies' annual independent auditor's report based upon its fiscal year (as soon as one has been completed) or the organization's Form 990. 4. This Agreement shall not be altered, waived, amended or extended, without the written consent of both parties. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Backpack Buddies Page 2 5. Backpack Buddies may not assign this Agreement to another party without the written consent of the City. 6. Either party may terminate this Agreement for any reason with written notice to the other party. Notice of termination shall be hand -delivered or sent by certified mail, return receipt requested, to the following addresses: David Morgan, City Manager City of Georgetown P. O. Box 409 Georgetown, TX 78627-0409 John Carnes, Board President Georgetown Backpack Buddies 116 West 81h Street Georgetown, Texas 78626 All obligations under this Agreement shall cease, and the City shall only fund those expenses that actually were expended, up to the date the notice of termination is received. EXECUTED this day of September, 2018. THE CITY OF GEORGETOWN GEORGETOWN BACKPACK BUDDIES Dale Ross, Mayor ATTEST: Shelley Nowling, City Secretary STATE OF TEXAS COUNTY OF WILLIAMSON John Carnes, Board President APPROVED AS TO FORM: Charlie McNabb, City Attorney § § CORPORATE ACKNOWLEDGMENT This instrument was acknowledged before me on this the day of , 2018, by John Carnes, a person known to me, in his capacity as Board President of Georgetown Backpack Buddies, on behalf of said organization. SEAL Notary Public, in and for the State of Texas 2018/2019 Strategic Partnerships for Community Services Funding Agreement Backpack Buddies Page 3 CHECKLIST OF ATTACHMENTS ❑Budget Information. How were the City's funds used? Include: ❑Actual Expenditures compared to Planned Budget ❑ An analysis of the goal(s) set forth in the evaluation section of the grant application, including outputs and outcomes. ❑ The Total numbers served and the total number of Georgetown Citizens served. Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 1 Organization Name Mailing Address CEO or Executive Director (include title if other than "CEO" or "ED") Phone Number & Email Address Organization Mission Organization Vision Total Grant Awarded Program Name Primary Grant Writer Name, Title Email, Phone Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 2 GOAL: What will this funding help you accomplish? Inputs: What resources (human, financial, organizational, and/or community) were committed to this grant request? Activities: What activities supported or accomplished your goal(s)? Outputs: Did your activities produce the expected outputs? Outputs are often quantitative measures (# of participants, # of sessions held, # of encounters). Outcomes: What benefits, impacts, or changes in behavior, knowledge, skills, and/or attitudes for participants resulted from the completion of the activities? Performance Measures: Did you accomplish your goal(s)? How did you measure your result(s)? How did your monitoring methods help you correct errors, remedy problems and/or refine your work? GOAL: Inputs Activities Outputs Outcomes Performance Measures GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures GOAL: Inputs Activities Outputs Outcomes Performance Measures Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Planned Program Budget vs. Actual Program Expenditures City of Georgetown 2018-19 Annual Report This format is required. Please enter your information into the shaded cells for rows applicable to your grant request. Use the "Other" sections to provide data for other types of revenue or expense in your program or project budget. Show specifically how our grant was used. Include narrative at the bottom to explain your numbers & assumptions, as needed. Name of Organization: Budget Period From: To: Revenue/Support for this Grant Request Planned Budget Actual Expenditures Individual contributions $ - $ - Fundraisers & Special Events $ - $ - Program/Service Revenues $ - $ - Government, Foundation, Corporate Grants or Other (list below; describe in narrative/notes if more space is needed) Total Revenue/Support (calculated for you or enter your own total) Expenses for this Grant Request Salaries, benefits and related taxes Consultants and professional fees Professional development including travel, lodging Equipment Supplies and supporting materials Printing, copying, phone, internet, fax, postage Mortgage or Rent, and Utilities Fundraising Expenses Other (list below and describe in narrative/notes if more space is needed) Total Amount Grant Request Total Expense (calculated for you or enter your own total) $ - Difference (Revenue/Support less Expense) $ - Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 COUNTY OF WILLIAMSON § AGREEMENT § BETWEEN THE § CITY OF GEORGETOWN AND STATE OF TEXAS § BOYS AND GIRLS CLUB OF GEORGETOWN This is an agreement between the City of Georgetown, a Texas Home Rule Municipal Corporation (City), and Boys and Girls Club of Georgetown (Boys and Girls Club), for the fiscal year from October 1, 2018, through September 30, 2019 (Agreement). The City of Georgetown values partnerships with organizations that are committed to addressing our community's greatest public challenges, and the purpose of City funding to the non-profit sector is to cultivate and sustain partnerships with 501(c)3 organizations that strengthen the City's key priorities in the following areas: Public Safety, Transportation, Housing, Parks & Recreation, Veteran Services, and Safety Net, further defined as follows: Public Safety. • While the City is Georgetown's Public Safety leader (Fire & Police), public safety also encompasses a broad scope of work that makes this community safe for all. ■ Eligible organizations and programs may include those that contribute to safe neighborhoods such out of school time, youth empowerment, and neighborhood community centers. Transportation. + Eligible organizations include those that assist in meeting the transportation needs of Georgetown residents unable to access private transportation such as homebound seniors and youth under the age of 16 years. Housing. • Eligible organizations include those that offer emergency shelter, transitional or temporary housing, and affordable housing. Parks & Recreation. Eligible organizations include those that provide affordable, accessible activities that enhance Georgetown residents' health and well-being, including sports, fitness, and other recreational programs. Veteran's Services Support veteran programs and services within the community. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Boys and Girls Club of Georgetown Page 1 Safety Net. • The City recognizes its responsibility to support efforts to address this community's most pressing basic needs. Examples of basic needs include food insecurity, emergency financial assistance, mentalibehavioral health care, substance abuse, domestic/family violence, and health care. Safety Net priorities will be based on ongoing analysis of unmet existing needs and emerging needs in this community, and may change over time. 1. The City finds that the Boys and Girls Club provides Safety Net, Public Safety, Parks & Recreation, and Transportation Services for the community, as defined above; Boys and Girls Club accomplishes a public purpose and benefits the community of Georgetown, Texas as it enhances the quality of life and the overall economic development of the City per Chapter 380 of the Local Government Code. The City finds that the services the Boys and Girls Club will provide pursuant to this Agreement are services that the City would provide, absent this Agreement, within the vision and limitations otherwise placed upon the City. 2. In consideration for the services the Boys and Girls Club provides pursuant to this Agreement, the City agrees to pay the Boys and Girls Club an amount not to exceed a total of $25,000 to be paid in a one-time lump sum payment by October 15, 2018. 3. As consideration for the funds to be paid by the City, Boys and Girls Club agrees to provide the following as a condition of this Agreement: A. provide after school youth programs during the school year and full day youth programs during the summer that provide safe places for children and youth in the community by providing recreationally and educationally based programs that increase members' abilities to interact positively with other youth and adults, ensure on time grade progression, increase levels of physical activity, and increase levels of civic engagement; B. coordinate as appropriate with the City and other community service providers in the provision of services to Georgetown residents; C. provide a final report to the City on or before October 31, 2019 that specifically identifies and includes: 1. how the City's funds were used; 2. an analysis of the goal set forth in the evaluation section of the grant application, including outputs and outcomes; 3. the total numbers served and the total number Georgetown citizens served; and D. provide to the City a copy of the Boys and Girls Club's annual independent auditor's report based upon its fiscal year. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Boys and Girls Club of Georgetown Page 2 4. This Agreement shall not be altered, waived, amended or extended, without the written consent of both parties. 5. Boys and Girls Club may not assign this Agreement to another party without the written consent of the City. 6. Either party may terminate this Agreement for any reason with written notice to the other party. Notice of termination shall be hand -delivered or sent by certified mail, return receipt requested, to the following addresses: David Morgan, City Manager City of Georgetown P. O. Box 409 Georgetown, TX 78627-0409 Daniel Anstee, Branch Director Boys and Girls Club of Georgetown 1200 West 17th Street Georgetown, Texas 78626 All obligations under this Agreement shall cease, and the City shall only fund those expenses that actually were expended, up to the date the notice of termination is received. EXECUTED this day of September, 2018. THE CITY OF GEORGETOWN BOYS AND GIRLS CLUB OF GEORGETOWN Dale Ross, Mayor ATTEST: Shelley Nowling, City Secretary STATE OF TEXAS COUNTY OF WILLIAMSON Daniel Anstee, Branch Director APPROVED AS TO FORM: Charlie McNabb, City Attorney § CORPORATE ACKNOWLEDGMENT This instrument was acknowledged before me on this the day of �� 2018, by Daniel Anstee, a person known to me, in his capacity as Branch Director of the Boys and Girls Club, on behalf of said organization. SEAL Notary Public, in and for the State of Texas 2018/2019 Strategic Partnerships for Community Services Funding Agreement Boys and Girls Club of Georgetown Page 3 CHECKLIST OF ATTACHMENTS ❑Budget Information. How were the City's funds used? Include: ❑Actual Expenditures compared to Planned Budget ❑ An analysis of the goal(s) set forth in the evaluation section of the grant application, including outputs and outcomes. ❑ The Total numbers served and the total number of Georgetown Citizens served. Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 1 Organization Name Mailing Address CEO or Executive Director (include title if other than "CEO" or "ED") Phone Number & Email Address Organization Mission Organization Vision Total Grant Awarded Program Name Primary Grant Writer Name, Title Email, Phone Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 2 GOAL: What will this funding help you accomplish? Inputs: What resources (human, financial, organizational, and/or community) were committed to this grant request? Activities: What activities supported or accomplished your goal(s)? Outputs: Did your activities produce the expected outputs? Outputs are often quantitative measures (# of participants, # of sessions held, # of encounters). Outcomes: What benefits, impacts, or changes in behavior, knowledge, skills, and/or attitudes for participants resulted from the completion of the activities? Performance Measures: Did you accomplish your goal(s)? How did you measure your result(s)? How did your monitoring methods help you correct errors, remedy problems and/or refine your work? GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Planned Program Budget vs. Actual Pro ram Expenditures City of Georgetown 2018-19 Annual Report This format is required. Please enter your information into the shaded cells for rows applicable to your grant request. Use the "Other" sections to provide data for other types of revenue or expense in your program or project budget. Show specifically how our grant was used. Include narrative at the bottom to explain your numbers & assumptions, as needed. Name of Organization: Budget Period From: To: Revenue/Support for this Grant Request Planned Budget Actual Expenditures Individual contributions $ - $ - Fundraisers & Special Events $ - $ - Program/Service Revenues $ - $ - Government, Foundation, Corporate Grants or Other (list below; describe in narrative/notes if more space is needed) Total Revenue/Support (calculated for you or enter your own total) Expenses for this Grant Request Salaries, benefits and related taxes Consultants and professional fees Professional development including travel, lodging Equipment Supplies and supporting materials Printing, copying, phone, internet, fax, postage Mortgage or Rent, and Utilities Fundraising Expenses Other (list below and describe in narrative/notes if more space is needed) Total Expense (calculated for you or enter your own total) Difference (Revenue/Support less Expense) Total Amount Grant Request Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 COUNTY OF WILLIAMSON § AGREEMENT § BETWEEN THE § CITY OF GEORGETOWN AND STATE OF TEXAS § BOY SCOUTS OF AMERICA, § CAPITAL AREA COUNCIL, STATE OF TEXAS § SAN GABRIEL DISTRICT, PACK 2935 This is an agreement between the City of Georgetown, a Texas Home Rule Municipal Corporation (City), and Boy Scouts of America, Capital Area Council, San Gabriel District, Pack 2935 (Boy Scouts) for the fiscal year from October 1, 2018, through September 30, 2019 (Agreement). The City of Georgetown values partnerships with organizations that are committed to addressing our community's greatest public challenges, and the purpose of City funding to the non-profit sector is to cultivate and sustain partnerships with 501(c)3 organizations that strengthen the City's key priorities in the following areas: Public Safety, Transportation, Housing, Parks & Recreation, Veteran Services, and Safety Net, further defined as follows: Public Safety. • While the City is Georgetown's Public Safety leader (Fire & Police), public safety also encompasses a broad scope of work that makes this community safe for all. ■ Eligible organizations and programs may include those that contribute to safe neighborhoods such out of school time, youth empowerment, and neighborhood community centers. Transportation. • Eligible organizations include those that assist in meeting the transportation needs of Georgetown residents unable to access private transportation such as homebound seniors and youth under the age of 16 years. Housing. • Eligible organizations include those that offer emergency shelter, transitional or temporary housing, and affordable housing. Parks & Recreation. • Eligible organizations include those that provide affordable, accessible activities that enhance Georgetown residents' health and well-being, including sports, fitness, and other recreational programs. Veteran's Services ■ Support veteran programs and services within the community. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Boy Scouts of America, Capital Area Council, San Gabriel District, Pack 2935 Page 1 Safety Net. ■ The City recognizes its responsibility to support efforts to address this community's most pressing basic needs. Examples of basic needs include food insecurity, emergency financial assistance, mental/behavioral health care, substance abuse, domestic/family violence, and health care. Safety Net priorities will be based on ongoing analysis of unmet existing needs and emerging needs in this community, and may change over time. 1. The City finds that Boy Scouts provides Safety Net for the community, as defined above; Boy Scouts accomplishes a public purpose and benefits the community of Georgetown, Texas as it enhances the quality of life and the overall economic development of the City per Chapter 380 of the Local Government Code. The City finds that the services Boy Scouts will provide pursuant to this Agreement are services that the City would provide, absent this Agreement, within the vision and limitations otherwise placed upon the City. 2. In consideration for the services Boy Scouts provides pursuant to this Agreement, the City agrees to pay Boy Scouts an amount not to exceed a total of $12,000 to be paid in a one-time lump sum payment by October 15, 2018. 3. As consideration for the funds to be paid by the City, Boy Scouts agrees to provide the following as a condition of this Agreement: A. Provide the Scoutreach Program to lower income Georgetown youth who have limited or no access to leadership programs due to cost, location, parent work schedule(s) and/or access to transportation through partnerships with the Boys & Girls Club of Georgetown, the After School Action Program (ASAP) sponsored by GISD, the Georgetown Project, Georgetown Rotary Club, Boy Scouts of America and other local community organizations; B. Enhance the Scoutreach Program by adding a Science Technology, Engineering, and Math (STEM) aspect to the program; C. coordinate as appropriate with the City and other community service providers in the provision of services to Georgetown residents; D. provide a final report to the City in the format prescribed in the attached Exhibit A to this Funding Agreement on or before October 31, 2019 that specifically identifies and includes: 1. how the City's funds were used; 2. an analysis of the goal set forth in the evaluation section of the grant application, including outputs and outcomes; 3. the total numbers served and the total number Georgetown citizens served; and E. provide to the City a copy of Boy Scouts' annual independent auditor's report based upon its fiscal year (as soon as one has been completed) or the organization's Form 990. 4. This Agreement shall not be altered, waived, amended or extended, without the written consent of both parties. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Boy Scouts of America, Capital Area Council, San Gabriel District, Pack 2935 Page 2 Boy Scouts may not assign this Agreement to another party without the written consent of the City. 6. Either party may terminate this Agreement for any reason with written notice to the other party. Notice of termination shall be hand -delivered or sent by certified mail, return receipt requested, to the following addresses: David Morgan, City Manager Jon Yates, Executive Director City of Georgetown Boy Scouts of America, Capital Area P. O Box 409 Council, San Gabriel District, Pack 2935 Georgetown, TX 78627-0409 12500 North IH 35 Austin, Texas 78753 All obligations under this Agreement shall cease, and the City shall only fund those expenses that actually were expended, up to the date the notice of termination is received. EXECUTED this day of September, 2018. THE CITY OF GEORGETOWN BOY SCOUTS OF AMERICA, CAPITAL AREA Dale Ross, Mayor ATTEST: COUNCIL, SAN GABRIEL DISTRICT, PACK 2935 Jon Yates, Executive Director APPROVED AS TO FORM: Shelley Nowling, City Secretary Charlie McNabb, City Attorney STATE OF TEXAS § § CORPORATE ACKNOWLEDGMENT COUNTY OF WILLIAMSON § This instrument was acknowledged before me on this the day of , 2018, by John Yates, a person known to me, in her capacity as Executive Director of Boy Scouts of America, Capital Area Council, San Gabriel District, Pack 2935, on behalf of said organization. SEAL Notary Public, in and for the State of Texas 2018/2019 Strategic Partnerships for Community Services Funding Agreement Boy Scouts of America, Capital Area Council, San Gabriel District, Pack 2935 Page 3 CHECKLIST OF ATTACHMENTS ❑Budget Information. How were the City's funds used? Include: ❑Actual Expenditures compared to Planned Budget ❑ An analysis of the goal(s) set forth in the evaluation section of the grant application, including outputs and outcomes. ❑ The Total numbers served and the total number of Georgetown Citizens served. Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 1 Organization Name Mailing Address CEO or Executive Director (include title if other than "CEO" or "ED") Phone Number & Email Address Organization Mission Organization Vision Total Grant Awarded Program Name Primary Grant Writer Name, Title Email, Phone Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 2 GOAL: What will this funding help you accomplish? Inputs: What resources (human, financial, organizational, and/or community) were committed to this grant request? Activities: What activities supported or accomplished your goal(s)? Outputs: Did your activities produce the expected outputs? Outputs are often quantitative measures (# of participants, # of sessions held, # of encounters). Outcomes: What benefits, impacts, or changes in behavior, knowledge, skills, and/or attitudes for participants resulted from the completion of the activities? Performance Measures: Did you accomplish your goal(s)? How did you measure your result(s)? How did your monitoring methods help you correct errors, remedy problems and/or refine your work? GOAL: GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Proposed... Inputs Activities Outputs Outcomes Performance Measures GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Planned Program Budget vs. Actual Pro ram Expenditures City of Georgetown 2018-19 Annual Report This format is required. Please enter your information into the shaded cells for rows applicable to your grant request. Use the "Other" sections to provide data for other types of revenue or expense in your program or project budget. Show specifically how our grant was used. Include narrative at the bottom to explain your numbers & assumptions, as needed. Name of Organization: Budget Period From: To: Revenue/Support for this Grant Request Planned Budget Actual Expenditures Individual contributions $ - $ - Fundraisers & Special Events $ - $ - Program/Service Revenues $ - $ - Government, Foundation, Corporate Grants or Other (list below; describe in narrative/notes if more space is needed) Total Revenue/Support (calculated for you or enter your own total) Expenses for this Grant Request Salaries, benefits and related taxes Consultants and professional fees Professional development including travel, lodging Equipment Supplies and supporting materials Printing, copying, phone, internet, fax, postage Mortgage or Rent, and Utilities Fundraising Expenses Other (list below and describe in narrative/notes if more space is needed) Total Expense (calculated for you or enter your own total) Difference (Revenue/Support less Expense) $ Total Amount Grant Request Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 COUNTY OF WILLIAMSON § AGREEMENT § BETWEEN THE § CITY OF GEORGETOWN AND § BROOKWOOD IN STATE OF TEXAS § GEORGETOWN VOCATIONAL, INC. This is an agreement between the City of Georgetown, a Texas Home Rule Municipal Corporation (City), and Brookwood in Georgetown Vocational, Inc. (BIG), for the fiscal year from October 1, 2018, through September 30, 2019 (Agreement). The City of Georgetown values partnerships with organizations that are committed to addressing our community's greatest public challenges, and the purpose of City funding to the non-profit sector is to cultivate and sustain partnerships with 501(c)3 organizations that strengthen the City's key priorities in the following areas: Public Safety, Transportation, Housing, Parks & Recreation, Veteran Services, and Safety Net, further defined as follows: Public Safety. • While the City is Georgetown's Public Safety leader (Fire & Police), public safety also encompasses a broad scope of work that makes this community safe for all. • Eligible organizations and programs may include those that contribute to safe neighborhoods such out of school time, youth empowerment, and neighborhood community centers. Transportation. • Eligible organizations include those that assist in meeting the transportation needs of Georgetown residents unable to access private transportation such as homebound seniors and youth under the age of 16 years. Housing. • Eligible organizations include those that offer emergency shelter, transitional or temporary housing, and affordable housing. Parks & Recreation. * Eligible organizations include those that provide affordable, accessible activities that enhance Georgetown residents' health and well-being, including sports, fitness, and other recreational programs. Veteran's Services • Support veteran programs and services within the community. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Brookwood in Georgetown Vocational, Inc. (BIG) Page 1 Safety Net. • The City recognizes its responsibility to support efforts to address this community's most pressing basic needs. Examples of basic needs include food insecurity, emergency financial assistance, mental/behavioral health care, substance abuse, domestic/family violence, and health care. Safety Net priorities will be based on ongoing analysis of unmet existing needs and emerging needs in this community, and may change over time. 1. The City finds that BIG provides Safety Net Services for the community, as defined above; BIG accomplishes a public purpose and benefits the community of Georgetown, Texas as it enhances the quality of life and the overall economic development of the city per Chapter 380 of the Local Government Code. The City finds that the services BIG will provide pursuant to this Agreement are services that the City would provide, absent this Agreement, within the vision and limitations otherwise placed upon the City. 2. In consideration for the services BIG provides pursuant to this Agreement, the City agrees to pay BIG an amount not to exceed a total of $28,249 to be paid in a one-time lump sum payment by October 15, 2018. 3. As consideration for the funds to be paid by the City, BIG agrees to provide the following as a condition of this Agreement: A. provide scholarships for adults with functional disabilities who no longer receive services from the public schools to participate in high quality programs that will provide an educational environment that creates meaningful jobs, builds a sense of belonging and promotes dignity and respect for adults with special needs and create opportunities to develop their talents and strengths in order to celebrate, empower, and engage these Georgetown citizens and their families to lead healthy and active lives that give back to their community through volunteerism and entrepreneurial work activities; B. coordinate as appropriate with the City and other community service providers in the provision of services to Georgetown residents; C. provide a final report to the City in the format prescribed in the attached Exhibit A to this Funding Agreement on or before October 31, 2019 that specifically identifies and includes: 1. how the City's funds were used; 2. an analysis of the goal set forth in the evaluation section of the grant application, including outputs and outcomes; 3. the total numbers served and the total number Georgetown citizens served; and D. provide to the City a copy of BIG's annual independent auditor's report based upon its fiscal year (as soon as one has been completed) or the organization's Form 990. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Brookwood in Georgetown Vocational, Inc. (BIG) Page 2 4. This Agreement shall not be altered, waived, amended or extended, without the written consent of both parties. 5. BIG may not assign this Agreement to another party without the written consent of the City. 6. Either party may terminate this Agreement for any reason with written notice to the other party. Notice of termination shall be hand -delivered or sent by certified mail, return receipt requested, to the following addresses: David Morgan, City Manager City of Georgetown P. O. Box 409 Georgetown, TX 78627-0409 Erin Kiltz, Executive Director Brookwood In Georgetown Vocational, Inc. 905 N. Church Street Georgetown, Texas 78626 All obligations under this Agreement shall cease, and the City shall only fund those expenses that actually were expended, up to the date the notice of termination is received. EXECUTED this day of September, 2018. THE CITY OF GEORGETOWN BROOKWOOD IN GEORGETOWN VOCATIONAL, INC. Dale Ross, Mayor ATTEST: Erin Kiltz, Executive Director APPROVED AS TO FORM: Shelley Nowling, City Secretary Charlie McNabb, City Attorney STATE OF TEXAS § § CORPORATE ACKNOWLEDGMENT COUNTY OF WILLIAMSON § This instrument was acknowledged before me on this the day of , 2018, by Erin Kiltz, a person known to me, in her capacity as Executive Director of Brookwood in Georgetown Vocational, Inc. on behalf of said organization. SEAL Notary Public, in and for the State of Texas 2018/2019 Strategic Partnerships for Community Services Funding Agreement Brookwood in Georgetown Vocational, Inc. (BIG) Page 3 CHECKLIST OF ATTACHMENTS ❑Budget Information. How were the City's funds used? Include: ❑Actual Expenditures compared to Planned Budget ❑ An analysis of the goal(s) set forth in the evaluation section of the grant application, including outputs and outcomes. ❑ The Total numbers served and the total number of Georgetown Citizens served. Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 1 Organization Name Mailing Address CEO or Executive Director (include title if other than "CEO" or "ED") Phone Number & Email Address Organization Mission Organization Vision Total Grant Awarded Program Name Primary Grant Writer Name, Title Email, Phone Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 2 GOAL: What will this funding help you accomplish? Inputs: What resources (human, financial, organizational, and/or community) were committed to this grant request? Activities: What activities supported or accomplished your goal(s)? Outputs: Did your activities produce the expected outputs? Outputs are often quantitative measures (# of participants, # of sessions held, # of encounters). Outcomes: What benefits, impacts, or changes in behavior, knowledge, skills, and/or attitudes for participants resulted from the completion of the activities? Performance Measures: Did you accomplish your goal(s)? How did you measure your result(s)? How did your monitoring methods help you correct errors, remedy problems and/or refine your work? GOAL: GOAL: Inputs ...Update/Results Inputs Activities Outputs Outcomes Outcomes Performance Measures Performance Measures Performance Measures GOAL: Inputs Proposed... Activities Outputs Outcomes Performance Measures GOAL: Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Proposed... Inputs Activities Outputs Outcomes Performance Measures Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Planned Program Budget vs. Actual Program Expenditures City of Georgetown 2018-19 Annual Report This format is required. Please enter your information into the shaded cells for rows applicable to your grant request. Use the "Other " sections to provide data for other types of revenue or expense in your program or project budget. Show specifically how our grant was used. Include narrative at the bottom to explain your numbers & assumptions, as needed. Name of Organization: Budget Period From: To: Revenue/Support for this Grant Request Planned Budget Actual Expenditures Individual contributions $ - $ - Fundraisers & Special Events $ - $ - Program/Service Revenues $ - $ - Government, Foundation, Corporate Grants or Other (list below; describe in narrative/notes if more space is needed) Total Revenue/Support (calculated for you or enter your own total) Expenses for this Grant Request Salaries, benefits and related taxes Consultants and professional fees Professional development including travel, lodging Equipment Supplies and supporting materials Printing, copying, phone, internet, fax, postage Mortgage or Rent, and Utilities Fundraising Expenses Other (list below and describe in narrative/notes if more space is needed) Total Expense (calculated for you or enter your own total) Difference (Revenue/Support less Expense) $- $ Total Amount Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 Grant Request COUNTY OF WILLIAMSON § AGREEMENT § BETWEEN THE § CITY OF GEORGETOWN AND STATE OF TEXAS § CASA OF WILLIAMSON COUNTY, TEXAS This is an agreement between the City of Georgetown, a Texas Home Rule Municipal Corporation (City), and CASA of Williamson County, Texas (CASA) for the fiscal year from October 1, 2018, through September 30, 2019 (Agreement). The City of Georgetown values partnerships with organizations that are committed to addressing our community's greatest public challenges, and the purpose of City funding to the non-profit sector is to cultivate and sustain partnerships with 501(c)3 organizations that strengthen the City's key priorities in the following areas: Public Safety, Transportation, Housing, Parks & Recreation, Veteran Services, and Safety Net, further defined as follows: Public Safety. • While the City is Georgetown's Public Safety leader (Fire & Police), public safety also encompasses a broad scope of work that makes this community safe for all. + Eligible organizations and programs may include those that contribute to safe neighborhoods such out of school time, youth empowerment, and neighborhood community centers. Transportation. ■ Eligible organizations include those that assist in meeting the transportation needs of Georgetown residents unable to access private transportation such as homebound seniors and youth under the age of 16 years. Housing. ■ Eligible organizations include those that offer emergency shelter, transitional or temporary housing, and affordable housing. Parks & Recreation. • Eligible organizations include those that provide affordable, accessible activities that enhance Georgetown residents' health and well-being, including sports, fitness, and other recreational programs. Veteran's Services • Support veteran programs and services within the community. 2018/2019 Strategic Partnerships for Community Services Funding Agreement CASA of Williamson County, Texas Page 1 Safety Net. ■ The City recognizes its responsibility to support efforts to address this community's most pressing basic needs. Examples of basic needs include food insecurity, emergency financial assistance, mental/behavioral health care, substance abuse, domestic/family violence, and health care. Safety Net priorities will be based on ongoing analysis of unmet existing needs and emerging needs in this community, and may change over time. 1. The City finds that CASA provides Safety Net Services for the community, as defined above; CASA accomplishes a public purpose and benefits the community of Georgetown, Texas as it enhances the quality of life and the overall economic development of the City per Chapter 380 of the Local Government Code. The City finds that the services CASA will provide pursuant to this Agreement are services that the City would provide, absent this Agreement, within the vision and limitations otherwise placed upon the City. 2. In consideration for the services CASA provides pursuant to this Agreement, the City agrees to pay CASA an amount not to exceed a total of $18,200 to be paid in a one-time lump sum payment by October 15, 2018. 3. As consideration for the funds to be paid by the City, CASA agrees to provide the following as a condition of this Agreement: A. provide trained, court-appointed volunteers who advocate for the best interest of abused or neglected children in court on their journey to a safe, permanent home and increase the number of children served in the community; B. coordinate as appropriate with the City and other community service providers in the provision of services to Georgetown residents; C. provide a final report to the City in the format prescribed in the attached Exhibit A to this Funding Agreement on or before October 31, 2019 that specifically identifies and includes: 1. how the City's funds were used; 2. an analysis of the goal set forth in the evaluation section of the grant application, including outputs and outcomes; 3. the total numbers served and the total number Georgetown citizens served; and D. provide to the City a copy of CASA's annual independent auditor's report based upon its fiscal year (as soon as one has been completed) or the organization's Form 990. 4. This Agreement shall not be altered, waived, amended or extended, without the written consent of both parties. 2018/2019 Strategic Partnerships for Community Services Funding Agreement CASA of Williamson County, Texas Page 2 5. CASA may not assign this Agreement to another party without the written consent of the City. 6. Either party may terminate this Agreement for any reason with written notice to the other party. Notice of termination shall be hand -delivered or sent by certified mail, return receipt requested, to the following addresses: David Morgan, City Manager Marissa A. Austin, Executive Director City of Georgetown CASA of Williamson County, Texas P. O. Box 409 P.O. Box 1904 Georgetown, TX 78627-0409 Georgetown, Texas 78627-1904 All obligations under this Agreement shall cease, and the City shall only fund those expenses that actually were expended, up to the date the notice of termination is received. EXECUTED this day of September, 2018. THE CITY OF GEORGETOWN CASA OF WILLIAMSON COUNTY, TEXAS Dale Ross, Mayor ATTEST: Shelley Nowling, City Secretary STATE OF TEXAS COUNTY OF WILLIAMSON Marissa A. Austin, Executive Director APPROVED AS TO FORM: Charlie McNabb, City Attorney § CORPORATE ACKNOWLEDGMENT This instrument was acknowledged before me on this the day of , 2018, by Marissa A. Austin, a person known to me, in her capacity as Executive Director of CASA of Williamson County, Texas, on behalf of said organization. SEAL Notary Public, in and for the State of Texas 2018/2019 Strategic Partnerships for Community Services Funding Agreement CASA of Williamson County, Texas Page 3 CHECKLIST OF ATTACHMENTS ❑Budget Information. How were the City's funds used? Include: ❑Actual Expenditures compared to Planned Budget ❑ An analysis of the goal(s) set forth in the evaluation section of the grant application, including outputs and outcomes. ❑ The Total numbers served and the total number of Georgetown Citizens served. Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 1 Organization Name Mailing Address CEO or Executive Director (include title if other than "CEO" or "ED") Phone Number & Email Address Organization Mission Organization Vision Total Grant Awarded Program Name Primary Grant Writer Name, Title Email, Phone Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 2 GOAL: What will this funding help you accomplish? Inputs: What resources (human, financial, organizational, and/or community) were committed to this grant request? Activities: What activities supported or accomplished your goal(s)? Outputs: Did your activities produce the expected outputs? Outputs are often quantitative measures (# of participants, # of sessions held, # of encounters). Outcomes: What benefits, impacts, or changes in behavior, knowledge, skills, and/or attitudes for participants resulted from the completion of the activities? Performance Measures: Did you accomplish your goal(s)? How did you measure your result(s)? How did your monitoring methods help you correct errors, remedy problems and/or refine your work? GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Planned Program Budget vs. Actual Program Expenditures City of Georgetown 2018-19 Annual Report This format is required. Please enter your information into the shaded cells for rows applicable to your grant request. Use the "Other" sections to provide data for other types of revenue or expense in your program or project budget. Show specifically how our grant was used. Include narrative at the bottom to explain your numbers & assumptions, as needed. Name of Organization: Budget Period From: To: Revenue/Support for this Grant Request Planned Budget Actual Expenditures Individual contributions $ - $ - Fundraisers & Special Events $ - $ - Program/Service Revenues $ - $ - Government, Foundation, Corporate Grants or Other (list below; describe in narrative/notes if more space is needed) Total Revenue/Support (calculated for you or enter your own total) Expenses for this Grant Request Salaries, benefits and related taxes Consultants and professional fees Professional development including travel, lodging Equipment Supplies and supporting materials Printing, copying, phone, internet, fax, postage Mortgage or Rent, and Utilities Fundraising Expenses Other (list below and describe in narrative/notes if more space is needed) Total Expense (calculated for you or enter your own total) $ - Difference (Revenue/Support less Expense) $ Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 Total Amount Grant Request Total Expense (calculated for you or enter your own total) $ - Difference (Revenue/Support less Expense) $ Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 COUNTY OF WILLIAMSON § AGREEMENT § BETWEEN THE § CITY OF GEORGETOWN AND STATE OF TEXAS § FAITH IN ACTION GEORGETOWN This is an agreement between the City of Georgetown, a Texas Home Rule Municipal Corporation (City), and Faith in Action Georgetown (Faith in Action), for the fiscal year from October 1, 2018, through September 30, 2019 (Agreement). The City of Georgetown values partnerships with organizations that are committed to addressing our community's greatest public challenges, and the purpose of City funding to the non-profit sector is to cultivate and sustain partnerships with 501(c)3 organizations that strengthen the City's key priorities in the following areas: Public Safety, Transportation, Housing, Parks & Recreation, Veteran Services, and Safety Net, further defined as follows: Public Safety. • While the City is Georgetown's Public Safety leader (Fire & Police), public safety also encompasses a broad scope of work that makes this community safe for all. ■ Eligible organizations and programs may include those that contribute to safe neighborhoods such out of school time, youth empowerment, and neighborhood community centers. Transportation. • Eligible organizations include those that assist in meeting the transportation needs of Georgetown residents unable to access private transportation such as homebound seniors and youth under the age of 16 years. Housing. + Eligible organizations include those that offer emergency shelter, transitional or temporary housing, and affordable housing. Parks & Recreation. • Eligible organizations include those that provide affordable, accessible activities that enhance Georgetown residents' health and well-being, including sports, fitness, and other recreational programs. Veteran's Services • Support veteran programs and services within the community. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Faith In Action Georgetown Page 1 Safety Net. • The City recognizes its responsibility to support efforts to address this community's most pressing basic needs. Examples of basic needs include food insecurity, emergency financial assistance, mentalibehavioral health care, substance abuse, domestic/family violence, and health care. Safety Net priorities will be based on ongoing analysis of unmet existing needs and emerging needs in this community, and may change over time. 1. The City finds that Faith in Action provides Transportation, Safety Net, and Public Safety, Services for the community, as defined above; Faith in Action accomplishes a public purpose and benefits the community of Georgetown, Texas as it enhances the quality of life and the overall economic development of the City per Chapter 380 of the Local Government Code. The City finds that the services Faith in Action will provide pursuant to this Agreement are services that the City would provide, absent this Agreement, within the vision and limitations otherwise placed upon the City. 2. In consideration for the services Faith in Action provides pursuant to this Agreement, the City agrees to pay Faith in Action an amount not to exceed a total of $36,600 to be paid in a one-time lump sum payment by October 15, 2018. 3. As consideration for the funds to be paid by the City, Faith in Action agrees to provide the following as a condition of this Agreement: A. provide and support volunteer driver recruitment and training programs to ensure the continuance of providing timely, reliable, door -through door, assisted transportation to help seniors remain independent and improve their quality of life; B. coordinate as appropriate with the City and other community service providers in the provision of services to Georgetown residents; C. provide a final report to the City in the format prescribed in the attached Exhibit A to this Funding Agreement on or before October 31, 2019 that specifically identifies and includes: 1. how the City's funds were used; 2. an analysis of the goal set forth in the evaluation section of the grant application, including outputs and outcomes; 3. the total numbers served and the total number Georgetown citizens served; and D. provide to the City a copy of Faith in Action's annual independent auditor's report based upon its fiscal year (as soon as one has been completed) or the organization's Form 990. 4. This Agreement shall not be altered, waived, amended or extended, without the written consent of both parties. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Faith In Action Georgetown Page 2 5. Faith in Action may not assign this Agreement to another party without the written consent of the City. 6. Either party may terminate this Agreement for any reason with written notice to the other party. Notice of termination shall be hand -delivered or sent by certified mail, return receipt requested, to the following addresses: David Morgan, City Manager City of Georgetown P. O. Box 409 Georgetown, TX 78627-0409 Vickie Orcutt, Executive Director Faith in Action Georgetown P.O. Box 743 Georgetown, Texas 78627-0743 All obligations under this Agreement shall cease, and the City shall only fund those expenses that actually were expended, up to the date the notice of termination is received. EXECUTED this day of September, 2018. THE CITY OF GEORGETOWN FAITH IN ACTION GEORGETOWN Dale Ross, Mayor ATTEST: Shelley Nowling, City Secretary STATE OF TEXAS COUNTY OF WILLIAMSON Vickie Orcutt, Executive Director APPROVED AS TO FORM: Charlie McNabb, City Attorney § § CORPORATE ACKNOWLEDGMENT This instrument was acknowledged before me on this the day of , 2018 by Vickie Orcutt, a person known to me, in her capacity as Executive Director of Faith in Action Georgetown, on behalf of said organization. SEAL Notary Public, in and for the State of Texas 2018/2019 Strategic Partnerships for Community Services Funding Agreement Faith In Action Georgetown Page 3 CHECKLIST OF ATTACHMENTS ❑Budget Information. How were the City's funds used? Include: ❑Actual Expenditures compared to Planned Budget ❑ An analysis of the goal(s) set forth in the evaluation section of the grant application, including outputs and outcomes. ❑ The Total numbers served and the total number of Georgetown Citizens served. Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 1 Organization Name Mailing Address CEO or Executive Director (include title if other than "CEO" or "ED") Phone Number & Email Address Organization Mission Organization Vision Total Grant Awarded Program Name Primary Grant Writer Name, Title Email, Phone Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 2 GOAL: What will this funding help you accomplish? Inputs: What resources (human, financial, organizational, and/or community) were committed to this grant request? Activities: What activities supported or accomplished your goal(s)? Outputs: Did your activities produce the expected outputs? Outputs are often quantitative measures (# of participants, # of sessions held, # of encounters). Outcomes: What benefits, impacts, or changes in behavior, knowledge, skills, and/or attitudes for participants resulted from the completion of the activities? Performance Measures: Did you accomplish your goal(s)? How did you measure your result(s)? How did your monitoring methods help you correct errors, remedy problems and/or refine your work? GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Planned Program Budget vs. Actual Program Expenditures City of Georgetown 2015-19 Annual Report This format is required. Please enter your information into the shaded cells for rows applicable to your grant request. Use the "Other" sections to provide data for other types of revenue or expense in your program or project budget. Show specifically how our grant was used. Include narrative at the bottom to explain your numbers & assumptions, as needed. Name of Organization: Budget Period From: To: Revenue/Support for this Grant Request Individual contributions Fundraisers & Special Events Program/Service Revenues Government, Foundation, Corporate Grants or Other (list below; describe in narrative/notes if more space is needed) Total Revenue/Support (calculated for you or enter your own total) Expenses for this Grant Request Salaries, benefits and related taxes Consultants and professional fees Professional development including travel, lodging Equipment Supplies and supporting materials Printing, copying, phone, internet, fax, postage Mortgage or Rent, and Utilities Fundraising Expenses Other (list below and describe in narrative/notes if more space is needed) Planned Budget Actual Expenditures Total Expense (calculated for you or enter your own total) $ - $ - Difference (Revenue/Support less Expense) $ - $ - Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 Total Amount Grant Request Total Expense (calculated for you or enter your own total) $ - $ - Difference (Revenue/Support less Expense) $ - $ - Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 COUNTY OF WILLIAMSON § AGREEMENT § BETWEEN THE § CITY OF GEORGETOWN AND STATE OF TEXAS § GIRLS EMPOWERMENT NETWORK (GEN) This is an agreement between the City of Georgetown, a Texas Home Rule Municipal Corporation (City), and Girls Empowerment Network (GEN), for the fiscal year from October 1, 2018, through September 30, 2019 (Agreement). The City of Georgetown values partnerships with organizations that are committed to addressing our community's greatest public challenges, and the purpose of City funding to the non-profit sector is to cultivate and sustain partnerships with 501(c)3 organizations that strengthen the City's key priorities in the following areas: Public Safety, Transportation, Housing, Parks & Recreation, Veteran Services, and Safety Net, further defined as follows: Public Safety. ■ While the City is Georgetown's Public Safety leader (Fire & Police), public safety also encompasses a broad scope of work that makes this community safe for all. ■ Eligible organizations and programs may include those that contribute to safe neighborhoods such out of school time, youth empowerment, and neighborhood community centers. Transportation. Eligible organizations include those that assist in meeting the transportation needs of Georgetown residents unable to access private transportation such as homebound seniors and youth under the age of 16 years. Housing. ■ Eligible organizations include those that offer emergency shelter, transitional or temporary housing, and affordable housing. Parks & Recreation. ■ Eligible organizations include those that provide affordable, accessible activities that enhance Georgetown residents' health and well-being, including sports, fitness, and other recreational programs. Veteran's Services ■ Support veteran programs and services within the community. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Girls Empowerment Network (GEN) Page 1 Safety Net. • The City recognizes its responsibility to support efforts to address this community's most pressing basic needs. Examples of basic needs include food insecurity, emergency financial assistance, mental/behavioral health care, substance abuse, domestic/family violence, and health care. Safety Net priorities will be based on ongoing analysis of unmet existing needs and emerging needs in this community, and may change over time. 1. The City finds that GEN provides Safety Net and Public Safety Services for the community, as defined above; GEN accomplishes a public purpose and benefits the community of Georgetown, Texas as it enhances the quality of life and the overall economic development of the City per Chapter 380 of the Local Government Code. The City finds that the services GEN will provide pursuant to this Agreement are services that the City would provide, absent this Agreement, within the vision and limitations otherwise placed upon the City. 2. In consideration for the services GEN provides pursuant to this Agreement, the City agrees to pay GEN an amount not to exceed a total of $10,000 to be paid in a one-time lump sum payment by October 15, 2018. 3. As consideration for the funds to be paid by the City, GEN agrees to provide the following as a condition of this Agreement: A. to provide its 180 Program for girls who are entering the juvenile justice system or who are at risk for entering the system with goals to decrease rates of juvenile delinquency and increase in -school functioning, critical thinking skills, and self- sufficiency; B. coordinate as appropriate with the City and other community service providers in the provision of services to Georgetown residents; C. provide a final report to the City in the format prescribed in the attached Exhibit A to this Funding Agreement on or before October 31, 2019 that specifically identifies and includes: 1. how the City's funds were used; 2. an analysis of the goal set forth in the evaluation section of the grant application, including outputs and outcomes; 3. the total numbers served and the total number Georgetown citizens served; and D. provide to the City a copy of GEN's annual independent auditor's report based upon its fiscal year (as soon as one has been completed) or the organization's Form 990. 4. This Agreement shall not be altered, waived, amended or extended, without the written consent of both parties. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Girls Empowerment Network (GEN) Page 2 5. GEN may not assign this Agreement to another party without the written consent of the City. 6. Either party may terminate this Agreement for any reason with written notice to the other party. Notice of termination shall be hand -delivered or sent by certified mail, return receipt requested, to the following addresses: David Morgan, City Manager City of Georgetown P. O. Box 409 Georgetown, TX 78627-0409 Julia Cuba Lewis, Executive Director Girls Empowerment Network (GEN) P.O. Box 3122 Austin, Texas 78764-3122 All obligations under this Agreement shall cease, and the City shall only fund those expenses that actually were expended, up to the date the notice of termination is received. EXECUTED this day of September, 2018. THE CITY OF GEORGETOWN GIRLS EMPOWERMENT NETWORK (GEN) Dale Ross, Mayor ATTEST: Shelley Nowling, City Secretary STATE OF TEXAS COUNTY OF WILLIAMSON Julia Cuba Lewis, Executive Director APPROVED AS TO FORM: Charlie McNabb, City Attorney § CORPORATE ACKNOWLEDGMENT § This instrument was acknowledged before me on this the day of '2018, by Julia Cuba Lewis, a person known to me, in her capacity as Executive Director of Girls Empowerment Network (GEN), on behalf of said organization. SEAL Notary Public, in and for the State of Texas 2018/2019 Strategic Partnerships for Community Services Funding Agreement Girls Empowerment Network (GEN) Page 3 CHECKLIST OF ATTACHMENTS ❑Budget Information. How were the City's funds used? Include: ❑Actual Expenditures compared to Planned Budget ❑ An analysis of the goal(s) set forth in the evaluation section of the grant application, including outputs and outcomes. ❑ The Total numbers served and the total number of Georgetown Citizens served. Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 1 Organization Name Mailing Address CEO or Executive Director (include title if other than "CEO" or "ED") Phone Number & Email Address Organization Mission Organization Vision Total Grant Awarded Program Name Primary Grant Writer Name, Title Email, Phone Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 2 GOAL: What will this funding help you accomplish? Inputs: What resources (human, financial, organizational, and/or community) were committed to this grant request? Activities: What activities supported or accomplished your goal(s)? Outputs: Did your activities produce the expected outputs? Outputs are often quantitative measures (# of participants, # of sessions held, # of encounters). Outcomes: What benefits, impacts, or changes in behavior, knowledge, skills, and/or attitudes for participants resulted from the completion of the activities? Performance Measures: Did you accomplish your goal(s)? How did you measure your result(s)? How did your monitoring methods help you correct errors, remedy problems and/or refine your work? GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Planned Program Budget vs. Actual Program Expenditures City of Georgetown 2018-19 Annual Report This format is required. Please enter your information into the shaded cells for rows applicable to your grant request. Use the "Other" sections to provide data for other types of revenue or expense in your program or project budget. Show specifically how our grant was used. Include narrative at the bottom to explain your numbers & assumptions, as needed. Name of Organization: Budget Period From: To: Revenue/Support for this Grant Request Planned Budget Actual Expenditures Individual contributions $ - $ - Fundraisers & Special Events $ - $ - Program/Service Revenues $ - $ - Government, Foundation, Corporate Grants or Other (list below; describe in narrative/notes if more space is needed) Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 Total Revenue/Support (calculated for you or enter your own total) - Expenses for this Grant Request Total Amount Grant Request Salaries, benefits and related taxes $ - $ - Consultants and professional fees $ - $ - Professional development including travel, lodging $ $ - Equipment $ - $ - Supplies and supporting materials $ - $ - Printing, copying, phone, internet, fax, postage $ - $ - Mortgage or Rent, and Utilities $ - $ - Fundraising Expenses $ - $ - Other (list below and describe in narrative/notes if more space is needed) Total Expense (calculated for you or enter your own total) $ - $ - Difference (Revenue/Support less Expense) $ - $ - Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 COUNTY OF WILLIAMSON § AGREEMENT § BETWEEN THE § CITY OF GEORGETOWN AND § GEORGETOWN CARING PLACE STATE OF TEXAS § AKA THE CARING PLACE This is an agreement between the City of Georgetown, a Texas Home Rule Municipal Corporation (City), and Georgetown Caring Place aka the Caring Place (the Caring Place), for the fiscal year from October 1, 2018, through September 30, 2019 (Agreement). The City of Georgetown values partnerships with organizations that are committed to addressing our community's greatest public challenges, and the purpose of City funding to the non-profit sector is to cultivate and sustain partnerships with 501(c)3 organizations that strengthen the City's key priorities in the following areas: Public Safety, Transportation, Housing, Parks & Recreation, Veteran Services, and Safety Net, further defined as follows: Public Safety. While the City is Georgetown's Public Safety leader (Fire & Police), public safety also encompasses a broad scope of work that makes this community safe for all. + Eligible organizations and programs may include those that contribute to safe neighborhoods such out of school time, youth empowerment, and neighborhood community centers. Transportation. + Eligible organizations include those that assist in meeting the transportation needs of Georgetown residents unable to access private transportation such as homebound seniors and youth under the age of 16 years. Housing. + Eligible organizations include those that offer emergency shelter, transitional or temporary housing, and affordable housing. Parks & Recreation. + Eligible organizations include those that provide affordable, accessible activities that enhance Georgetown residents' health and well-being, including sports, fitness, and other recreational programs. Veteran's Services + Support veteran programs and services within the community. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Georgetown Caring Place aka the Caring Place Page 1 Safety Net. • The City recognizes its responsibility to support efforts to address this community's most pressing basic needs. Examples of basic needs include food insecurity, emergency financial assistance, mental/behavioral health care, substance abuse, domestic/family violence, and health care. Safety Net priorities will be based on ongoing analysis of unmet existing needs and emerging needs in this community, and may change over time. 1. The City finds that the Caring Place provides Safety Net Services for the community, as defined above; the Caring Place accomplishes a public purpose and benefits the community of Georgetown, Texas as it enhances the quality of life and the overall economic development of the City per Chapter 380 of the Local Government Code. The City finds that the services the Caring Place will provide pursuant to this Agreement are services that the City would provide, absent this Agreement, within the vision and limitations otherwise placed upon the City. 2. In consideration for the services the Caring Place provides pursuant to this Agreement, the City agrees to pay the Caring Place an amount not to exceed a total of $36,400 to be paid in a one-time lump sum payment by October 15, 2018. 3. As consideration for the funds to be paid by the City, the Caring Place agrees to provide the following as a condition of this Agreement: A. serve as a central, coordinated safety net location to help families in crisis who live in Georgetown and provide basic needs that include, but are not limited to, food, shelter, clothing, household items, financial assistance for utility bills, rent or mortgage payments, and employment assistance; B. coordinate as appropriate with the City and other community service providers in the provision of services to Georgetown residents; C. provide a final report to the City in the format prescribed in the attached Exhibit A to this Funding Agreement on or before October 31, 2019 that specifically identifies and includes: 1. how the City's funds were used; 2. an analysis of the goal set forth in the evaluation section of the grant application, including outputs and outcomes; 3. the total numbers served and the total number Georgetown citizens served; and D. provide to the City a copy of the Caring Place's annual independent auditor's report based upon its fiscal year (as soon as one has been completed) or the organization's Form 990. 4. This Agreement shall not be altered, waived, amended or extended, without the written consent of both parties. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Georgetown Caring Place aka the Caring Place Page 2 5. The Caring Place may not assign this Agreement to another party without the written consent of the City. 6. Either party may terminate this Agreement for any reason with written notice to the other party. Notice of termination shall be hand -delivered or sent by certified mail, return receipt requested, to the following addresses: David Morgan, City Manager City of Georgetown P. O. Box 409 Georgetown, TX 78627-0409 Ginna O'Connor, Executive Director Georgetown Caring Place aka the Caring Place P.O. Box 1215 Georgetown, Texas 78627-1215 All obligations under this Agreement shall cease, and the City shall only fund those expenses that actually were expended, up to the date the notice of termination is received. EXECUTED this day of September, 2018. THE CITY OF GEORGETOWN GEORGETOWN CARING PLACE AKA THE CARING PLACE Dale Ross, Mayor ATTEST: Shelley Nowling, City Secretary STATE OF TEXAS COUNTY OF WILLIAMSON Ginna O'Connor, Executive Director APPROVED AS TO FORM: Charlie McNabb, City Attorney § CORPORATE ACKNOWLEDGMENT This instrument was acknowledged before me on this the day of , 2018, by Gina O'Connor, a person known to me, in her capacity as Executive Director of Georgetown Caring Place aka the Caring Place, on behalf of said organization. SEAL Notary Public, in and for the State of Texas 2018/2019 Strategic Partnerships for Community Services Funding Agreement Georgetown Caring Place aka the Caring Place Page 3 CHECKLIST OF ATTACHMENTS ❑Budget Information. How were the City's funds used? Include: ❑Actual Expenditures compared to Planned Budget ❑ An analysis of the goal(s) set forth in the evaluation section of the grant application, including outputs and outcomes. ❑ The Total numbers served and the total number of Georgetown Citizens served. Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 1 Organization Name Mailing Address CEO or Executive Director (include title if other than "CEO" or "ED") Phone Number & Email Address Organization Mission Organization Vision Total Grant Awarded Program Name Primary Grant Writer Name, Title Email, Phone Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 2 GOAL: What will this funding help you accomplish? Inputs: What resources (human, financial, organizational, and/or community) were committed to this grant request? Activities: What activities supported or accomplished your goal(s)? Outputs: Did your activities produce the expected outputs? Outputs are often quantitative measures (# of participants, # of sessions held, # of encounters). Outcomes: What benefits, impacts, or changes in behavior, knowledge, skills, and/or attitudes for participants resulted from the completion of the activities? Performance Measures: Did you accomplish your goal(s)? How did you measure your result(s)? How did your monitoring methods help you correct errors, remedy problems and/or refine your work? GOAL: Inputs Activities Outputs Outcomes Performance Measures GOAL: Proposed Inputs Activities Outputs Outcomes Performance Measures GOAL: Proposed Inputs Activities Outputs Outcomes Performance Measures Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Planned Program Budget vs. Actual Program Expenditures City of Georgetown 2018-19 Annual Report This format is required. Please enter your information into the shaded cells for rows applicable to your grant request. Use the "Other" sections to provide data for other types of revenue or expense in your program or project budget. Show specifically how our grant was used. Include narrative at the bottom to explain your numbers & assumptions, as needed. Name of Organization: Budget Period From: To: Revenue/Support for this Grant Request Planned Budget Actual Expenditures Individual contributions $ - $ - Fundraisers & Special Events $ - $ - Program/Service Revenues $ - $ - Government, Foundation, Corporate Grants or Other (list below; describe in narrative/notes if more space is needed) Total Revenue/Support (calculated for you or enter your own total) Expenses for this Grant Request Salaries, benefits and related taxes Consultants and professional fees Professional development including travel, lodging Equipment Supplies and supporting materials Printing, copying, phone, internet, fax, postage Mortgage or Rent, and Utilities Fundraising Expenses Other (list below and describe in narrative/notes if more space is needed) Total Expense (calculated for you or enter your own total) Difference (Revenue/Support less Expense) Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 Total Amount Grant Request Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 COUNTY OF WILLIAMSON § AGREEMENT § BETWEEN THE § CITY OF GEORGETOWN AND STATE OF TEXAS § THE GEORGETOWN PROJECT This is an agreement between the City of Georgetown, a Texas Home Rule Municipal Corporation (City), and The Georgetown Project, for the fiscal year from October 1, 2018, through September 30, 2019 (Agreement). The City of Georgetown values partnerships with organizations that are committed to addressing our community's greatest public challenges, and the purpose of City funding to the non-profit sector is to cultivate and sustain partnerships with 501(c)3 organizations that strengthen the City's key priorities in the following areas: Public Safety, Transportation, Housing, Parks & Recreation, Veteran Services, and Safety Net, further defined as follows: Public Safety. ■ While the City is Georgetown's Public Safety leader (Fire & Police), public safety also encompasses a broad scope of work that makes this community safe for all. ■ Eligible organizations and programs may include those that contribute to safe neighborhoods such out of school time, youth empowerment, and neighborhood community centers. Transportation. • Eligible organizations include those that assist in meeting the transportation needs of Georgetown residents unable to access private transportation such as homebound seniors and youth under the age of 16 years. Housing. ■ Eligible organizations include those that offer emergency shelter, transitional or temporary housing, and affordable housing. Parks & Recreation. ■ Eligible organizations include those that provide affordable, accessible activities that enhance Georgetown residents' health and well-being, including sports, fitness, and other recreational programs. Veteran's Services ■ Support veteran programs and services within the community. 2018/2019 Strategic Partnerships for Community Services Funding Agreement The Georgetown Project Page 1 Safety Net. • The City recognizes its responsibility to support efforts to address this community's most pressing basic needs. Examples of basic needs include food insecurity, emergency financial assistance, mentalibehavioral health care, substance abuse, domestic/family violence, and health care. Safety Net priorities will be based on ongoing analysis of unmet existing needs and emerging needs in this community, and may change over time. 1. The City finds that The Georgetown Project provides Safety Net, Public Safety, Parks & Recreation, Housing, and Transportation Services for the community, as defined above; The Georgetown Project accomplishes a public purpose and benefits the community of Georgetown, Texas as it enhances the quality of life and the overall economic development of the City per Chapter 380 of the Local Government Code. The City finds that the services The Georgetown Project will provide pursuant to this Agreement are services that the City would provide, absent this Agreement, within the vision and limitations otherwise placed upon the City. 2. In consideration for the services The Georgetown Project provides pursuant to this Agreement, the City agrees to pay The Georgetown Project an amount not to exceed a total of $32,000 to be paid in a one-time lump sum payment by October 15, 2018. 3. As consideration for the funds to be paid by the City, The Georgetown Project agrees to provide the following as a condition of this Agreement: A. provide youth development and youth activity programs for children, youth, and families in Georgetown through the Kid City Program (summer food and enrichment for economically disadvantaged students), ASAP (After School Action Program), and the NEST (provides assistance to homeless teens, including basic needs, supportive services, and overnight emergency/temporary shelter),including the Summer Youth Employment Program (SYEP); B. coordinate as appropriate with the City and other community service providers in the provision of services to Georgetown residents; C. provide a final report to the City in the format prescribed in the attached Exhibit A to this Funding Agreement on or before October 31, 2019 that specifically identifies and includes: 1. how the City's funds were used; 2. an analysis of the goal set forth in the evaluation section of the grant application, including outputs and outcomes; 3. the total numbers served and the total number Georgetown citizens served; and D. provide to the City a copy of The Georgetown Project's annual independent auditor's report based upon its fiscal year (as soon as one has been completed) or the organization's Form 990. 2018/2019 Strategic Partnerships for Community Services Funding Agreement The Georgetown Project Page 2 4. This Agreement shall not be altered, waived, amended or extended, without the written consent of both parties. 5. The Georgetown Project may not assign this Agreement to another party without the written consent of the City. 6. Either party may terminate this Agreement for any reason with written notice to the other party. Notice of termination shall be hand -delivered or sent by certified mail, return receipt requested, to the following addresses: David Morgan, City Manager City of Georgetown P. O. Box 409 Georgetown, TX 78627-0409 Leslie Janca, Chief Executive Officer The Georgetown Project P.O. Box 957 Georgetown, Texas 78627-0957 All obligations under this Agreement shall cease, and the City shall only fund those expenses that actually were expended, up to the date the notice of termination is received. EXECUTED this day of September, 2018. THE CITY OF GEORGETOWN THE GEORGETOWN PROJECT Dale Ross, Mayor ATTEST: Leslie Janca, Chief Executive Officer APPROVED AS TO FORM: Shelley Nowling, City Secretary Charlie McNabb, City Attorney STATE OF TEXAS § § CORPORATE ACKNOWLEDGMENT COUNTY OF WILLIAMSON § This instrument was acknowledged before me on this the day of , 2018, by Leslie Janca, a person known to me, in her capacity as Chief Executive Officer of The Georgetown Project, on behalf of said organization. SEAL Notary Public, in and for the State of Texas 2018/2019 Strategic Partnerships for Community Services Funding Agreement The Georgetown Project Page 3 CHECKLIST OF ATTACHMENTS ❑Budget Information. How were the City's funds used? Include: ❑Actual Expenditures compared to Planned Budget ❑ An analysis of the goal(s) set forth in the evaluation section of the grant application, including outputs and outcomes. ❑ The Total numbers served and the total number of Georgetown Citizens served. Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 1 Organization Name Mailing Address CEO or Executive Director (include title if other than "CEO" or "ED") Phone Number & Email Address Organization Mission Organization Vision Total Grant Awarded Program Name Primary Grant Writer Name, Title Email, Phone Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 2 GOAL: What will this funding help you accomplish? Inputs: What resources (human, financial, organizational, and/or community) were committed to this grant request? Activities: What activities supported or accomplished your goal(s)? Outputs: Did your activities produce the expected outputs? Outputs are often quantitative measures (# of participants, # of sessions held, # of encounters). Outcomes: What benefits, impacts, or changes in behavior, knowledge, skills, and/or attitudes for participants resulted from the completion of the activities? Performance Measures: Did you accomplish your goal(s)? How did you measure your result(s)? How did your monitoring methods help you correct errors, remedy problems and/or refine your work? GOAL: GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures GOAL: Activities Outputs Outcomes Performance Measures Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Proposed... Inputs Activities Outputs Outcomes Performance Measures GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures GOAL: Activities Outputs Outcomes Performance Measures Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Planned Program Budget vs. Actual Program Expenditures City of Georgetown 2018-19 Annual Report This format is required. Please enter your information into the shaded cells for rows applicable to your grant request. Use the "Other" sections to provide data for other types of revenue or expense in your program or project budget. Show specifically how our grant was used. Include narrative at the bottom to explain your numbers & assumptions, as needed. Name of Organization: Budget Period From: To: Revenue/Support for this Grant Request Planned Budget Actual Expenditures Individual contributions $ - $ - Fundraisers & Special Events $ - $ - Program/Service Revenues $ - $ - Government, Foundation, Corporate Grants or Other (list below; describe in narrative/notes if more space is needed) Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 Total Revenue/Support (calculated for you or enter your own total) $ - $ - Expenses for this Grant Request Total Amount Grant Request Salaries, benefits and related taxes $ $ - Consultants and professional fees $ - $ - Professional development including travel, lodging $ $ - Equipment $ - $ - Supplies and supporting materials $ - $ Printing, copying, phone, internet, fax, postage $ - $ - Mortgage or Rent, and Utilities $ $ - Fundraising Expenses $ - $ - Other (list below and describe in narrative/notes if more space is needed) Total Expense (calculated for you or enter your own total) $ - $ - Difference (Revenue/Support less Expense) $ - $ - Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 COUNTY OF WILLIAMSON § AGREEMENT § BETWEEN THE § CITY OF GEORGETOWN AND STATE OF TEXAS § HELPING HANDS OF GEORGETOWN, INC. This is an agreement between the City of Georgetown, a Texas Home Rule Municipal Corporation (City), and Helping Hands of Georgetown, Inc. (Helping Hands), for the fiscal year from October 1, 2018, through September 30, 2019 (Agreement). The City of Georgetown values partnerships with organizations that are committed to addressing our community's greatest public challenges, and the purpose of City funding to the non-profit sector is to cultivate and sustain partnerships with 501(c)3 organizations that strengthen the City's key priorities in the following areas: Public Safety, Transportation, Housing, Parks & Recreation, Veteran Services, and Safety Net, further defined as follows: Public Safety. • While the City is Georgetown's Public Safety leader (Fire & Police), public safety also encompasses a broad scope of work that makes this community safe for all. ■ Eligible organizations and programs may include those that contribute to safe neighborhoods such out of school time, youth empowerment, and neighborhood community centers. Transportation. • Eligible organizations include those that assist in meeting the transportation needs of Georgetown residents unable to access private transportation such as homebound seniors and youth under the age of 16 years. Housing. • Eligible organizations include those that offer emergency shelter, transitional or temporary housing, and affordable housing. Parks & Recreation. • Eligible organizations include those that provide affordable, accessible activities that enhance Georgetown residents' health and well-being, including sports, fitness, and other recreational programs. Veteran's Services • Support veteran programs and services within the community. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Helping Hands of Georgetown, Inc. Page 1 Safety Net. ■ The City recognizes its responsibility to support efforts to address this community's most pressing basic needs. Examples of basic needs include food insecurity, emergency financial assistance, mental/behavioral health care, substance abuse, domestic/family violence, and health care. Safety Net priorities will be based on ongoing analysis of unmet existing needs and emerging needs in this community, and may change over time. 1. The City finds that Helping Hands provides Safety Net Services for the community, as defined above; Helping Hands accomplishes a public purpose and benefits the community of Georgetown, Texas as it enhances the quality of life and the overall economic development of the City per Chapter 380 of the Local Government Code. The City finds that the services the Helping Hands will provide pursuant to this Agreement are services that the City would provide, absent this Agreement, within the vision and limitations otherwise placed upon the City. 2. In consideration for the services the Helping Hands provides pursuant to this Agreement, the City agrees to pay the Helping Hands an amount not to exceed a total of $10,000 to be paid in a one-time lump sum payment by October 15, 2018. 3. As consideration for the funds to be paid by the City, Helping Hands agrees to provide the following as a condition of this Agreement: A. Utilize its Mobile Canteen to provide brown bag lunches four (4) days a week to the population segments of Georgetown who have little or no money for food, including, but not limited to, the underserved, working poor, homeless, and couch surfing youth of Georgetown; B. coordinate as appropriate with the City and other community service providers in the provision of services to Georgetown residents; C. provide a final report to the City in the format prescribed in the attached Exhibit A to this Funding Agreement on or before October 31, 2019 that specifically identifies and includes: 1. how the City's funds were used; 2. an analysis of the goal set forth in the evaluation section of the grant application, including outputs and outcomes; 3. the total numbers served and the total number Georgetown citizens served; and D. provide to the City a copy of the Helping Hands' annual independent auditor's report based upon its fiscal year (as soon as one has been completed) or the organization's Form 990. 4. This Agreement shall not be altered, waived, amended or extended, without the written consent of both parties. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Helping Hands of Georgetown, Inc. Page 2 5. Helping Hands may not assign this Agreement to another party without the written consent of the City. 6. Either party may terminate this Agreement for any reason with written notice to the other party. Notice of termination shall be hand -delivered or sent by certified mail, return receipt requested, to the following addresses: David Morgan, City Manager City of Georgetown P. O. Box 409 Georgetown, TX 78627-0409 Robert Weimer, President Helping Hands of Georgetown, Inc. P.O. Box 443 Georgetown, TX 78627 All obligations under this Agreement shall cease, and the City shall only fund those expenses that actually were expended, up to the date the notice of termination is received. EXECUTED this day of September, 2018. THE CITY OF GEORGETOWN HELPING HANDS OF GEORGETOWN, INC. Dale Ross, Mayor ATTEST: Shelley Nowling, City Secretary STATE OF TEXAS COUNTY OF WILLIAMSON Robert Weimer, President APPROVED AS TO FORM: Charlie McNabb, City Attorney § CORPORATE ACKNOWLEDGMENT This instrument was acknowledged before me on this the day of , 2018, by Robert Weimer, a person known to me, in his capacity as President of the Helping Hands of Georgetown, Inc., on behalf of said organization. SEAL Notary Public, in and for the State of Texas 2018/2019 Strategic Partnerships for Community Services Funding Agreement Helping Hands of Georgetown, Inc. Page 3 CHECKLIST OF ATTACHMENTS ❑Budget Information. How were the City's funds used? Include: ❑Actual Expenditures compared to Planned Budget ❑ An analysis of the goal(s) set forth in the evaluation section of the grant application, including outputs and outcomes. ❑ The Total numbers served and the total number of Georgetown Citizens served. Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 1 Or anization Name Mailing Address CEO or Executive Director (include title if other than "CEO" or "ED") Phone Number & Email Address Organization Mission Organization Vision Total Grant Awarded Program Name Primary Grant Writer Name, Title Email, Phone Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 2 GOAL: What will this funding help you accomplish? Inputs: What resources (human, financial, organizational, and/or community) were committed to this grant request? Activities: What activities supported or accomplished your goal(s)? Outputs: Did your activities produce the expected outputs? Outputs are often quantitative measures (# of participants, # of sessions held, # of encounters). Outcomes: What benefits, impacts, or changes in behavior, knowledge, skills, and/or attitudes for participants resulted from the completion of the activities? Performance Measures: Did you accomplish your goal(s)? How did you measure your result(s)? How did your monitoring methods help you correct errors, remedy problems and/or refine your work? rAeUx Inputs Activities Outputs Outcomes Performance Measures GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures GOAL: Inputs Proposed... Activities Outputs Outcomes Performance Measures Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Planned Program Budget vs. Actual Program Expenditures City of Georgetown 2018-19 Annual Report This format is required. Please enter your information into the shaded cells for rows applicable to your grant request. Use the "Other" sections to provide data for other types of revenue or expense in your program or project budget. Show specifically how our grant was used. Include narrative at the bottom to explain your numbers & assumptions, as needed. Name of Organization: Budget Period From: To: Revenue/Support for this Grant Request Planned Budget Actual Expenditures Individual contributions $ - $ - Fundraisers & Special Events $ - $ - Program/Service Revenues $ - $ - Government, Foundation, Corporate Grants or Other (list below; describe in narrative/notes if more space is needed) Total Revenue/Support (calculated for you or enter your own total) Expenses for this Grant Request Salaries, benefits and related taxes Consultants and professional fees Professional development including travel, lodging Equipment Supplies and supporting materials Printing, copying, phone, internet, fax, postage Mortgage or Rent, and Utilities Fundraising Expenses Other (list below and describe in narrative/notes if more space is needed) Total Expense (calculated for you or enter your own total) Difference (Revenue/Support less Expense) $ Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 $ Total Amount Grant Request Difference (Revenue/Support less Expense) $ Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 COUNTY OF WILLIAMSON § AGREEMENT § BETWEEN THE § CITY OF GEORGETOWN AND § LITERACY COUNCIL OF STATE OF TEXAS § WILLIAMSON COUNTY This is an agreement between the City of Georgetown, a Texas Home Rule Municipal Corporation (City), and Literacy Council of Williamson County (Literacy Council) for the fiscal year from October 1, 2018, through September 30, 2019 (Agreement). The City of Georgetown values partnerships with organizations that are committed to addressing our community's greatest public challenges, and the purpose of City funding to the non-profit sector is to cultivate and sustain partnerships with 501(c)3 organizations that strengthen the City's key priorities in the following areas: Public Safety, Transportation, Housing, Parks & Recreation, Veteran Services, and Safety Net, further defined as follows: Public Safety. ■ While the City is Georgetown's Public Safety leader (Fire & Police), public safety also encompasses a broad scope of work that makes this community safe for all. is Eligible organizations and programs may include those that contribute to safe neighborhoods such out of school time, youth empowerment, and neighborhood community centers. Transportation. ■ Eligible organizations include those that assist in meeting the transportation needs of Georgetown residents unable to access private transportation such as homebound seniors and youth under the age of 16 years. Housing. ■ Eligible organizations include those that offer emergency shelter, transitional or temporary housing, and affordable housing. Parks & Recreation. ■ Eligible organizations include those that provide affordable, accessible activities that enhance Georgetown residents' health and well-being, including sports, fitness, and other recreational programs. Veteran's Services ■ Support veteran programs and services within the community. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Literacy Council of Williamson County Page 1 Safety Net. ■ The City recognizes its responsibility to support efforts to address this community's most pressing basic needs. Examples of basic needs include food insecurity, emergency financial assistance, mental/behavioral health care, substance abuse, domestic/family violence, and health care. Safety Net priorities will be based on ongoing analysis of unmet existing needs and emerging needs in this community, and may change over time. 1. The City finds that Literacy Council provides Safety Net Services for the community, as defined above; Literacy Council accomplishes a public purpose and benefits the community of Georgetown, Texas as it enhances the quality of life and the overall economic development of the City per Chapter 380 of the Local Government Code. The City finds that the services Literacy Council will provide pursuant to this Agreement are services that the City would provide, absent this Agreement, within the vision and limitations otherwise placed upon the City. 2. In consideration for the services Literacy Council provides pursuant to this Agreement, the City agrees to pay Literacy Council an amount not to exceed a total of $17,800 to be paid in a one-time lump sum payment by October 15, 2018. 3. As consideration for the funds to be paid by the City, Literacy Council agrees to provide the following as a condition of this Agreement: A. To provide adult literacy, ESL classes, GED preparation, and Vocational Classes; B. coordinate as appropriate with the City and other community service providers in the provision of services to Georgetown residents; C. provide a final report to the City in the format prescribed in the attached Exhibit A to this Funding Agreement on or before October 31, 2019 that specifically identifies and includes: 1. how the City's funds were used; 2. an analysis of the goal set forth in the evaluation section of the grant application, including outputs and outcomes; 3. the total numbers served and the total number Georgetown citizens served; and D. provide to the City a copy of Literacy Council's annual independent auditor's report based upon its fiscal year (as soon as one has been completed) or the organization's Form 990. 4. This Agreement shall not be altered, waived, amended or extended, without the written consent of both parties. 5. Literacy Council may not assign this Agreement to another party without the written consent of the City. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Literacy Council of Williamson County Page 2 6. Either party may terminate this Agreement for any reason with written notice to the other party. Notice of termination shall be hand -delivered or sent by certified mail, return receipt requested, to the following addresses: David Morgan, City Manager Kimberly Goode, M.Ed., Executive Director City of Georgetown Literacy Council of Williamson County P. O. Box 409 2411 Williams Drive, Suite 1 Georgetown, TX 78627-0409 Georgetown, TX 78628 All obligations under this Agreement shall cease, and the City shall only fund those expenses that actually were expended, up to the date the notice of termination is received. EXECUTED this day of September, 2018. THE CITY OF GEORGETOWN LITERACY COUNCIL OF WILLIAMSON COUNTY Dale Ross, Mayor ATTEST: Shelley Nowling, City Secretary STATE OF TEXAS COUNTY OF WILLIAMSON Kimberly Goode, M.Ed., Executive Director APPROVED AS TO FORM: Charlie McNabb, City Attorney § CORPORATE ACKNOWLEDGMENT § This instrument was acknowledged before me on this the day of , 2018, by Kimberly Goode, M.Ed., a person known to me, in her capacity as Executive Director of Literacy Council of Williamson County, on behalf of said organization. SEAL Notary Public, in and for the State of Texas 2018/2019 Strategic Partnerships for Community Services Funding Agreement Literacy Council of Williamson County Page 3 CHECKLIST OF ATTACHMENTS ❑Budget Information. How were the City's funds used? Include: ❑Actual Expenditures compared to Planned Budget ❑ An analysis of the goal(s) set forth in the evaluation section of the grant application, including outputs and outcomes. ❑ The Total numbers served and the total number of Georgetown Citizens served. Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 1 Organization Name Mailing Address CEO or Executive Director (include title if other than "CEO" or "ED") Phone Number & Email Address Organization Mission Organization Vision Total Grant Awarded Program Name Primary Grant Writer Name, Title Email, Phone Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 2 GOAL: What will this funding help you accomplish? Inputs: What resources (human, financial, organizational, and/or community) were committed to this grant request? Activities: What activities supported or accomplished your goal(s)? Outputs: Did your activities produce the expected outputs? Outputs are often quantitative measures (# of participants, # of sessions held, # of encounters). Outcomes: What benefits, impacts, or changes in behavior, knowledge, skills, and/or attitudes for participants resulted from the completion of the activities? Performance Measures: Did you accomplish your goal(s)? How did you measure your result(s)? How did your monitoring methods help you correct errors, remedy problems and/or refine your work? GOAL: Inputs Activities Outputs Outcomes Performance Measures GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Planned Program Budget vs. Actual Program Ex pendilures Citj of Geor ictown 2018-19 Annual Report This format is required. Please enter your information into the shaded cells for rows applicable to your grant request. Use the "Other" sections to provide data for other types of revenue or expense in your program or project budget. Show specifically how our grant was used. Include narrative at the bottom to explain your numbers & assumptions, as needed. Name of Organization: Budget Period From: To: Revenue/Support for this Grant Request Planned Budget Actual Expenditures Individual contributions $ - $ - Fundraisers & Special Events $ - $ - Program/Service Revenues $ - $ - Government, Foundation, Corporate Grants or Other (list below; describe in narrative/notes if more space is needed) Total Revenue/Support (calculated for you or enter your own total) Expenses for this Grant Request Salaries, benefits and related taxes Consultants and professional fees Professional development including travel, lodging Equipment Supplies and supporting materials Printing, copying, phone, internet, fax, postage Mortgage or Rent, and Utilities Fundraising Expenses Other (list below and describe in narrative/notes if more space is needed) Total Expense (calculated for you or enter your own total) Difference (Revenue/Support less Expense) Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 $ - $ - Total Amount Grant Request Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 COUNTY OF WILLIAMSON § AGREEMENT § BETWEEN THE § CITY OF GEORGETOWN AND STATE OF TEXAS § LONE STAR CIRCLE OF CARE This is an agreement between the City of Georgetown, a Texas Home Rule Municipal Corporation (City), and the Lone Star Circle of Care (LSCC), for the fiscal year from October 1, 2018, through September 30, 2019 (Agreement). The City of Georgetown values partnerships with organizations that are committed to addressing our community's greatest public challenges, and the purpose of City funding to the non-profit sector is to cultivate and sustain partnerships with 501(c)3 organizations that strengthen the City's key priorities in the following areas: Public Safety, Transportation, Housing, Parks & Recreation, Veteran Services, and Safety Net, further defined as follows: Public Safety. • While the City is Georgetown's Public Safety leader (Fire & Police), public safety also encompasses a broad scope of work that makes this community safe for all. Eligible organizations and programs may include those that contribute to safe neighborhoods such out of school time, youth empowerment, and neighborhood community centers. Transportation. + Eligible organizations include those that assist in meeting the transportation needs of Georgetown residents unable to access private transportation such as homebound seniors and youth under the age of 16 years. Housing. + Eligible organizations include those that offer emergency shelter, transitional or temporary housing, and affordable housing. Parks & Recreation. + Eligible organizations include those that provide affordable, accessible activities that enhance Georgetown residents' health and well-being, including sports, fitness, and other recreational programs. Veteran's Services • Support veteran programs and services within the community. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Lone Star Circle of Care Page 1 Safety Net. ■ The City recognizes its responsibility to support efforts to address this community's most pressing basic needs. Examples of basic needs include food insecurity, emergency financial assistance, mental/behavioral health care, substance abuse, domestic/family violence, and health care. Safety Net priorities will be based on ongoing analysis of unmet existing needs and emerging needs in this community, and may change over time. 1. The City finds that LSCC provides Safety Net Services for the community as defined above; LSCC accomplishes a public purpose and benefits the community of Georgetown, Texas as it enhances the quality of life and the overall economic development of the City per Chapter 380 of the Local Government Code. The City finds that the services LSCC will provide pursuant to this Agreement are services that the City would provide, absent this Agreement, within the vision and limitations otherwise placed upon the City. 2. In consideration for the services LSCC provides pursuant to this Agreement, the City agrees to pay LSCC an amount not to exceed a total of $30,000 to be paid in a one-time lump sum payment by October 15, 2018. 3. As consideration for the funds to be paid by the City, LSCC agrees to provide the following as a condition of this Agreement: A. LSCC will utilize the funds to provide adult dental care services for City of Georgetown citizens who are uninsured and underserved, regardless of patients' insurance status or ability to pay; B. coordinate as appropriate with the City and other community service providers in the provision of services to Georgetown residents; C. provide a final report to the City in the format prescribed in the attached Exhibit A to this Funding Agreement on or before October 31, 2019 that specifically identifies and includes: 1. how the City's funds were used; 2. an analysis of the goal set forth in the evaluation section of the grant application, including outputs and outcomes; 3. the total numbers served and the total number Georgetown citizens served; and D. provide to the City a copy of LSCC's annual independent auditor's report based upon its fiscal year (as soon as one has been completed) or the organization's Form 990. 4. This Agreement shall not be altered, waived, amended or extended, without the written consent of both parties. 5. LSCC may not assign this Agreement to another party without the written consent of the City. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Lone Star Circle of Care Page 2 6. Either party may terminate this Agreement for any reason with written notice to the other party. Notice of termination shall be hand -delivered or sent by certified mail, return receipt requested, to the following addresses: David Morgan City Manager City of Georgetown P. O. Box 409 Georgetown, TX 78627-0409 Rhonda Mundhenk, JD, MPH Chief Executive Officer Lone Star Circle of Care 205 E. University Ave., Suite 200 Georgetown, TX 78626 All obligations under this Agreement shall cease, and the City shall only fund those expenses that actually were expended, up to the date the notice of termination is received. EXECUTED this day of September, 2018. THE CITY OF GEORGETOWN LONE STAR CIRCLE OF CARE Dale Ross, Mayor ATTEST: Shelley Nowling, City Secretary STATE OF TEXAS COUNTY OF WILLIAMSON Rhonda Mundhenk, JD, MPH Chief Executive Officer APPROVED AS TO FORM: Charlie McNabb, City Attorney § CORPORATE ACKNOWLEDGMENT This instrument was acknowledged before me on this the day of , 2018, by Rhonda Mundhenk, JD, MPH a person known to me, in her capacity as Chief Executive Officer of the Lone Star Circle of Care, on behalf of said organization. SEAL Notary Public, in and for the State of Texas 2018/2019 Strategic Partnerships for Community Services Funding Agreement Lone Star Circle of Care Page 3 CHECKLIST OF ATTACHMENTS UBudget information. How were the City's funds used? Include: ❑Actual Expenditures compared to Planned Budget ❑ An analysis of the goal(s) set forth in the evaluation section of the grant application, including outputs and outcomes. ❑ The Total numbers served and the total number of Georgetown Citizens served. Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 1 Organization Name Mailing Address CEO or Executive Director (include title if other than "CEO" or "ED") Phone Number & Email Address Organization Mission Organization Vision Total Grant Awarded Program Name Primary Grant Writer Name, Title Email, Phone Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 2 GOAL: What will this funding help you accomplish? Inputs: What resources (human, financial, organizational, and/or community) were committed to this grant request? Activities: What activities supported or accomplished your goal(s)? Outputs: Did your activities produce the expected outputs? Outputs are often quantitative measures (# of participants, # of sessions held, # of encounters). Outcomes: What benefits, impacts, or changes in behavior, knowledge, skills, and/or attitudes for participants resulted from the completion of the activities? Performance Measures: Did you accomplish your goal(s)? How did you measure your result(s)? How did your monitoring methods help you correct errors, remedy problems and/or refine your work? 'CIfLI9 Inputs Activities Outputs Outcomes Performance Measures GOAL: Inputs Activities Outputs Outcomes Performance Measures GOAL: Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Proposed... Inputs Activities Outputs Outcomes _ w Performance Measures Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Planned Program Budget vs. Actual Program Expenditures City of Georgetown 2018-19 Annual Report This format is required. Please enter your information into the shaded cells for rows applicable to your grant request. Use the "Other" sections to provide data for other types of revenue or expense in your program or project budget. Show specifically how our grant was used Include narrative at the bottom to explain your numbers & assumptions, as needed. Name of Organization: Budget Period From: To: Revenue/Support for this Grant Request Planned Budget Actual Expenditures Individual contributions $ - $ - Fundraisers & Special Events $ - $ - Program/Service Revenues $ - $ - Government, Foundation, Corporate Grants or Other (list below; describe in narrative/notes if more space is needed) Total Revenue/Support (calculated for you or enter your own total) - Expenses for this Grant Request Total Amount Grant Request Salaries, benefits and related taxes $ - $ - Consultants and professional fees $ - $ - Professional development including travel, lodging $ - $ - Equipment $ - $ - Supplies and supporting materials $ $ - Printing, copying, phone, internet, fax, postage $ - $ - Mortgage or Rent, and Utilities $ - $ - Fundraising Expenses $ $ - Other (list below and describe in narrative/notes if more space is needed) Total Expense (calculated for you or enter your own total) $ - $ - Difference (Revenue/Support less Expense) $ - $ - Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 COUNTY OF WILLIAMSON § AGREEMENT § BETWEEN THE § CITY OF GEORGETOWN AND § RIDE ON CENTER FOR KIDS STATE OF TEXAS § (R.O.C.K.) This is an agreement between the City of Georgetown, a Texas Home Rule Municipal Corporation (City), and Ride On Center for Kids (R.O.C.K.), for the fiscal year from October 1, 2018, through September 30, 2019 (Agreement). The City of Georgetown values partnerships with organizations that are committed to addressing our community's greatest public challenges, and the purpose of City funding to the non-profit sector is to cultivate and sustain partnerships with 501(c)3 organizations that strengthen the City's key priorities in the following areas: Public Safety, Transportation, Housing, Parks & Recreation, Veteran Services, and Safety Net, further defined as follows: Public Safety. • While the City is Georgetown's Public Safety leader (Fire & Police), public safety also encompasses a broad scope of work that makes this community safe for all. ■ Eligible organizations and programs may include those that contribute to safe neighborhoods such out of school time, youth empowerment, and neighborhood community centers. Transportation. ■ Eligible organizations include those that assist in meeting the transportation needs of Georgetown residents unable to access private transportation such as homebound seniors and youth under the age of 16 years. Housing. • Eligible organizations include those that offer emergency shelter, transitional or temporary housing, and affordable housing. Parks & Recreation. • Eligible organizations include those that provide affordable, accessible activities that enhance Georgetown residents' health and well-being, including sports, fitness, and other recreational programs. Veteran's Services • Support veteran programs and services within the community. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Ride On Center for Kids (R.O.C.K.) Page 1 Safety Net. ■ The City recognizes its responsibility to support efforts to address this community's most pressing basic needs. Examples of basic needs include food insecurity, emergency financial assistance, mental/behavioral health care, substance abuse, domestic/family violence, and health care. Safety Net priorities will be based on ongoing analysis of unmet existing needs and emerging needs in this community, and may change over time. 1. The City finds that R.O.C.K. provides Safety Net Services for the community, as defined above; R.O.C.K. accomplishes a public purpose and benefits the community of Georgetown, Texas as it enhances the quality of life and the overall economic development of the City per Chapter 380 of the Local Government Code. The City finds that the services R.O.C.K. will provide pursuant to this Agreement are services that the City would provide, absent this Agreement, within the vision and limitations otherwise placed upon the City. 2. In consideration for the services R.O.C.K. provides pursuant to this Agreement, the City agrees to pay R.O.C.K. an amount not to exceed a total of $30,000 to be paid in a one-time lump sum payment by October 15, 2018. 3. As consideration for the funds to be paid by the City, R.O.C.K. agrees to provide the following as a condition of this Agreement: A. provide a range of services to Georgetown veterans and their families to promote full integration into family and community life by improving each veteran's independence and life skills through an intensive therapeutic horsemanship program (ROCK On Veterans); B. coordinate as appropriate with the City and other community service providers in the provision of services to Georgetown residents; C. provide a final report to the City in the format prescribed in the attached Exhibit A to this Funding Agreement on or before October 31, 2019 that specifically identifies and includes: 1. how the City's funds were used; 2. an analysis of the goal set forth in the evaluation section of the grant application, including outputs and outcomes; 3. the total numbers served and the total number Georgetown citizens served; and D. provide to the City a copy of R.O.C.K.'s annual independent auditor's report based upon its fiscal year (as soon as one has been completed) or the organizations Form 990. 4. This Agreement shall not be altered, waived, amended or extended, without the written consent of both parties. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Ride On Center for Kids (R.O.C.K.) Page 2 5. R.O.C.K. may not assign this Agreement to another party without the written consent of the City. 6. Either party may terminate this Agreement for any reason with written notice to the other party. Notice of termination shall be hand -delivered or sent by certified mail, return receipt requested, to the following addresses: David Morgan, City Manager Nancy Krenek, Chief Executive Officer City of Georgetown Ride On Center for Kids (R.O.C.K.) P. O. Box 409 P.O. Box 2422 Georgetown, TX 78627-0409 Georgetown, Texas 78627-2422 All obligations under this Agreement shall cease, and the City shall only fund those expenses that actually were expended, up to the date the notice of termination is received. EXECUTED this day of September, 2018. THE CITY OF GEORGETOWN RIDE ON CENTER FOR KIDS (R.O.C.K.) Dale Ross, Mayor ATTEST: Nancy Krenek, Chief Executive Officer APPROVED AS TO FORM: Shelley Nowling, City Secretary Charlie McNabb, City Attorney STATE OF TEXAS § § CORPORATE ACKNOWLEDGMENT COUNTY OF WILLIAMSON § This instrument was acknowledged before me on this the day of , 2018, by Nancy Krenek, a person known to me, in her capacity as Chief Executive Officer of Ride On Center for Kids (R.O.C.K.) in Georgetown, on behalf of said organization. SEAL Notary Public, in and for the State of Texas 2018/2019 Strategic Partnerships for Community Services Funding Agreement Ride On Center for Kids (R.O.C.K.) Page 3 CHECKLIST OF ATTACHMENTS ❑Budget Information. How were the City's funds used? Include: ❑Actual Expenditures compared to Planned Budget ❑ An analysis of the goal(s) set forth in the evaluation section of the grant application, including outputs and outcomes. ❑ The Total numbers served and the total number of Georgetown Citizens served. Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 1 Organization Name Mailing Address CEO or Executive Director (include title if other than "CEO" or "ED") T Phone Number & Email Address Organization Mission Organization Vision Total Grant Awarded Program Name Primary Grant writer Name, Title Email, Phone Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 2 GOAL: What will this funding help you accomplish? Inputs: What resources (human, financial, organizational, and/or community) were committed to this grant request? Activities: What activities supported or accomplished your goal(s)? Outputs: Did your activities produce the expected outputs? Outputs are often quantitative measures (# of participants, # of sessions held, # of encounters). Outcomes: What benefits, impacts, or changes in behavior, knowledge, skills, and/or attitudes for participants resulted from the completion of the activities? Performance Measures: Did you accomplish your goal(s)? How did you measure your result(s)? How did your monitoring methods help you correct errors, remedy problems and/or refine your work? GOAL: Inputs Activities Outputs Outcomes Performance Measures GOAL: Proposed Inputs Activities Outputs Outcomes Performance Measures GOAL: Inputs Activities Outputs Outcomes Performance Measures Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Planned Program Budget vs. Actual City of Georgetown 2018- Pro2ram Expenditures 19 Annual Report This format is required. Please enter your information into the shaded cells for rows applicable to your grant request. Use the "Other" sections to provide data for other types of revenue or expense in your program or project budget. Show specifically how our grant was used. Include narrative at the bottom to explain your numbers & assumptions, as needed. Name of Organization: Budget Period From: To: Revenue/Support for this Grant Request Planned Budget Actual Expenditures Individual contributions $ - $ - Fundraisers & Special Events $ - $ - Program/Service Revenues $ - $ - Government, Foundation, Corporate Grants or Other (list below; describe in narrative/notes if more space is needed) Total Revenue/Support (calculated for you or enter your own total) Expenses for this Grant Request Salaries, benefits and related taxes Consultants and professional fees Professional development including travel, lodging Equipment Supplies and supporting materials Printing, copying, phone, internet, fax, postage Mortgage or Rent, and Utilities Fundraising Expenses Other (list below and describe in narrative/notes if more space is needed) Total Amount Total Expense (calculated for you or enter your own total) $ Difference (Revenue/Support less Expense) $ - Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 Grant Request COUNTY OF WILLIAMSON § AGREEMENT § BETWEEN THE § CITY OF GEORGETOWN AND STATE OF TEXAS § SACRED HEART COMMUNITY CLINIC This is an agreement between the City of Georgetown, a Texas Home Rule Municipal Corporation (City), and the Sacred Heart Community Clinic, Inc. (Sacred Heart), for the fiscal year from October 1, 2018, through September 30, 2019 (Agreement). The City of Georgetown values partnerships with organizations that are committed to addressing our community's greatest public challenges, and the purpose of City funding to the non-profit sector is to cultivate and sustain partnerships with 501(c)3 organizations that strengthen the City's key priorities in the following areas: Public Safety, Transportation, Housing, Parks & Recreation, Veteran Services, and Safety Net, further defined as follows: Public Safety. • While the City is Georgetown's Public Safety leader (Fire & Police), public safety also encompasses a broad scope of work that makes this community safe for all. ■ Eligible organizations and programs may include those that contribute to safe neighborhoods such out of school time, youth empowerment, and neighborhood community centers. Transportation. • Eligible organizations include those that assist in meeting the transportation needs of Georgetown residents unable to access private transportation such as homebound seniors and youth under the age of 16 years. Housing. • Eligible organizations include those that offer emergency shelter, transitional or temporary housing, and affordable housing. Parks & Recreation. ■ Eligible organizations include those that provide affordable, accessible activities that enhance Georgetown residents' health and well-being, including sports, fitness, and other recreational programs. Veteran's Services • Support veteran programs and services within the community. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Sacred Heart Community Clinic, Inc. Page 1 Safety Net. • The City recognizes its responsibility to support efforts to address this community's most pressing basic needs. Examples of basic needs include food insecurity, emergency financial assistance, mental/behavioral health care, substance abuse, domestic/family violence, and health care. Safety Net priorities will be based on ongoing analysis of unmet existing needs and emerging needs in this community, and may change over time. 1. The City finds that Sacred Heart provides Safety Net Services for the community as defined above; Sacred Heart accomplishes a public purpose and benefits the community of Georgetown, Texas as it enhances the quality of life and the overall economic development of the City per Chapter 380 of the Local Government Code. The City finds that the services Sacred Heart will provide pursuant to this Agreement are services that the City would provide, absent this Agreement, within the vision and limitations otherwise placed upon the City. 2. In consideration for the services Sacred Heart provides pursuant to this Agreement, the City agrees to pay Sacred Heart an amount not to exceed a total of $20,000 to be paid in a one- time lump sum payment by October 15, 2018. 3. As consideration for the funds to be paid by the City, Sacred Heart agrees to provide the following as a condition of this Agreement: A. Expand the capacity of its "Help Them Smile Again' Program and to provide free basic medical & dental services for City of Georgetown citizens who are uninsured and underserved, regardless of patients' insurance status or ability to pay; B. coordinate as appropriate with the City and other community service providers in the provision of services to Georgetown residents; C. provide a final report to the City in the format prescribed in the attached Exhibit A to this Funding Agreement on or before October 31, 2019 that specifically identifies and includes: 1. how the City's funds were used; 2. an analysis of the goal set forth in the evaluation section of the grant application, including outputs and outcomes; 3. the total numbers served and the total number Georgetown citizens served; and D. provide to the City a copy of Sacred Heart's annual independent auditor's report based upon its fiscal year (as soon as one has been completed) or the organization's Form 990. 4. This Agreement shall not be altered, waived, amended or extended, without the written consent of both parties. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Sacred Heart Community Clinic, Inc. Page 2 5. Sacred Heart may not assign this Agreement to another party without the written consent of the City. 6. Either party may terminate this Agreement for any reason with written notice to the other party. Notice of termination shall be hand -delivered or sent by certified mail, return receipt requested, to the following addresses: David Morgan Liz Burton -Garcia City Manager Executive Director City of Georgetown Sacred Heart Community Clinic, Inc. P. O. Box 409 620 Round Rock West Drive, Bldg. 8 Georgetown, TX 78627-0409 Round Rock, Texas 78681 All obligations under this Agreement shall cease, and the City shall only fund those expenses that actually were expended, up to the date the notice of termination is received. EXECUTED this . day of September, 2018. THE CITY OF GEORGETOWN SACRED HEART COMMUNITY CLINIC, INC. Dale Ross, Mayor ATTEST: Shelley Nowling, City Secretary STATE OF TEXAS COUNTY OF WILLIAMSON Liz Burton -Garcia, Executive Director APPROVED AS TO FORM: Charlie McNabb, City Attorney § CORPORATE ACKNOWLEDGMENT This instrument was acknowledged before me on this the day of ! ' 2018, by Liz Burton -Garcia a person known to me, in her capacity as Executive Director of the Sacred Heart Community Clinic, Inc., on behalf of said organization. SEAL Notary Public, in and for the State of Texas 2018/2019 Strategic Partnerships for Community Services Funding Agreement Sacred Heart Community Clinic, Inc. Page 3 CHECKLIST OF ATTACHMENTS ❑Budget Information. How were the City's funds used? Include: ❑Actual Expenditures compared to Planned Budget ❑ An analysis of the goal(s) set forth in the evaluation section of the grant application, including outputs and outcomes. ❑ The Total numbers served and the total number of Georgetown Citizens served. Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 1 Organization Name Mailing Address CEO or Executive Director (include title if other than "CEO" or "ED") Phone Number & Email Address Organization Mission Organization Vision Total Grant Awarded Program Name Primary Grant Writer Name, Title Email, Phone Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 2 GOAL: What will this funding help you accomplish? Inputs: What resources (human, financial, organizational, and/or community) were committed to this grant request? Activities: What activities supported or accomplished your goal(s)? Outputs: Did your activities produce the expected outputs? Outputs are often quantitative measures (# of participants, # of sessions held, # of encounters). Outcomes: What benefits, impacts, or changes in behavior, knowledge, skills, and/or attitudes for participants resulted from the completion of the activities? Performance Measures: Did you accomplish your goal(s)? How did you measure your result(s)? How did your monitoring methods help you correct errors, remedy problems and/or refine your work? GOAL: Inputs Proposed... Activities Outputs Outcomes Performance Measures GOAL: 1 48 11144 ... Inputs Activities Outputs 777 Outcomes _ Performance Measures GOAL: Inputs Activities Outcomes Performance Measures Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Planned Program Budget vs. Actual Pro ram Expenditures City of Georgetown 2018-19 Annual Report This format is required. Please enter your information into the shaded cells for rows applicable to your grant request. Use the "Other " sections to provide data for other types of revenue or expense in your program or project budget. Show specifically how our grant was used. Include narrative at the bottom to explain your numbers & assumptions, as needed. Name of Organization: Budget Period From: To: Revenue/Support for this Grant Request Planned Budget Actual Expenditures Individual contributions $ - $ - Fundraisers & Special Events $ - $ - Program/Service Revenues $ - $ - Government, Foundation, Corporate Grants or Other (list below; describe in narrative/notes if more space is needed) Total Revenue/Support (calculated for you or enter your own total) Expenses for this Grant Request Salaries, benefits and related taxes Consultants and professional fees Professional development including travel, lodging Equipment Supplies and supporting materials Printing, copying, phone, internet, fax, postage Mortgage or Rent, and Utilities Fundraising Expenses Other (list below and describe in narrative/notes if more space is needed) Total Expense (calculated for you or enter your own total) Difference (Revenue/Support less Expense) Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 Total Amount Grant Request Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 COUNTY OF WILLIAMSON § AGREEMENT § BETWEEN THE § CITY OF GEORGETOWN AND § SAMARITAN CENTER FOR STATE OF TEXAS § COUNSELING AND PASTORAL CARE This is an agreement between the City of Georgetown, a Texas Home Rule Municipal Corporation (City), and Samaritan Center for Counseling and Pastoral Care (Samaritan Center) for the fiscal year from October 1, 2018, through September 30, 2019 (Agreement). The City of Georgetown values partnerships with organizations that are committed to addressing our community's greatest public challenges, and the purpose of City funding to the non-profit sector is to cultivate and sustain partnerships with 501(c)3 organizations that strengthen the City's key priorities in the following areas: Public Safety, Transportation, Housing, Parks & Recreation, Veteran Services, and Safety Net, further defined as follows: Public Safety. • While the City is Georgetown's Public Safety leader (Fire & Police), public safety also encompasses a broad scope of work that makes this community safe for all. ■ Eligible organizations and programs may include those that contribute to safe neighborhoods such out of school time, youth empowerment, and neighborhood community centers. Transportation. • Eligible organizations include those that assist in meeting the transportation needs of Georgetown residents unable to access private transportation such as homebound seniors and youth under the age of 16 years. Housing. Eligible organizations include those that offer emergency shelter, transitional or temporary housing, and affordable housing. Parks & Recreation. ■ Eligible organizations include those that provide affordable, accessible activities that enhance Georgetown residents' health and well-being, including sports, fitness, and other recreational programs. Veteran's Services Support veteran programs and services within the community. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Samaritan Center for Counseling and Pastoral Care Page 1 Safety Net. ■ The City recognizes its responsibility to support efforts to address this community's most pressing basic needs. Examples of basic needs include food insecurity, emergency financial assistance, mental/behavioral health care, substance abuse, domestic/family violence, and health care. Safety Net priorities will be based on ongoing analysis of unmet existing needs and emerging needs in this community, and may change over time. 1. The City finds that Samaritan Center provides Safety Net and Veterans Services for the community, as defined above; Samaritan Center accomplishes a public purpose and benefits the community of Georgetown, Texas as it enhances the quality of life and the overall economic development of the City per Chapter 380 of the Local Government Code. The City finds that the services Samaritan Center will provide pursuant to this Agreement are services that the City would provide, absent this Agreement, within the vision and limitations otherwise placed upon the City. 2. In consideration for the services Samaritan Center provides pursuant to this Agreement, the City agrees to pay Samaritan Center an amount not to exceed a total of $18,800 to be paid in a one-time lump sum payment by October 15, 2018. 3. As consideration for the funds to be paid by the City, Samaritan Center agrees to provide the following as a condition of this Agreement: A. provide mental health and integrative medicine services, including the Healthy Minds Program, to residents of the Georgetown Community regardless of their ability to pay and with priority given to vulnerable populations such as the uninsured, under -insured, members of low-income families, including veterans and their families; B. coordinate as appropriate with the City and other community service providers in the provision of services to Georgetown residents; C. provide a final report to the City in the format prescribed in the attached Exhibit A to this Funding Agreement on or before October 31, 2019 that specifically identifies and includes: 1. how the City's funds were used; 2. an analysis of the goal set forth in the evaluation section of the grant application, including outputs and outcomes; 3. the total numbers served and the total number Georgetown citizens served; and D. provide to the City a copy of Samaritan Center's annual independent auditor's report based upon its fiscal year (as soon as one has been completed) or the organization's Form 990. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Samaritan Center for Counseling and Pastoral Care Page 2 4. This Agreement shall not be altered, waived, amended or extended, without the written consent of both parties. 5. Samaritan Center may not assign this Agreement to another party without the written consent of the City. 6. Either party may terminate this Agreement for any reason with written notice to the other party. Notice of termination shall be hand -delivered or sent by certified mail, return receipt requested, to the following addresses: David Morgan, City Manager Cindy Long, Executive Director City of Georgetown Samaritan Center for Counseling and P. O. Box 409 Pastoral Care Georgetown, TX 78627-0409 8956 Research Blvd., Bldg. #2 Austin, TX 78758 All obligations under this Agreement shall cease, and the City shall only fund those expenses that actually were expended, up to the date the notice of termination is received. EXECUTED this day of September, 2018. THE CITY OF GEORGETOWN SAMARITAN CENTER FOR COUNSELING AND PASTORAL CARE Dale Ross, Mayor ATTEST: Shelley Nowling, City Secretary STATE OF TEXAS COUNTY OF WILLIAMSON Cindy Long, Chief Executive Officer APPROVED AS TO FORM: Charlie McNabb, City Attorney § CORPORATE ACKNOWLEDGMENT This instrument was acknowledged before me on this the day of ; 2018, by Cindy Long, a person known to me, in his capacity as Chief Executive Officer of Samaritan Center for Counseling and Pastoral Care, on behalf of said organization. SEAL Notary Public, in and for the State of Texas 2018/2019 Strategic Partnerships for Community Services Funding Agreement Samaritan Center for Counseling and Pastoral Care Page 3 CHECKLIST OF ATTACHMENTS ❑Budget Information. How were the City's funds used? Include: ❑Actual Expenditures compared to Planned Budget ❑ An analysis of the goal(s) set forth in the evaluation section of the grant application, including outputs and outcomes. ❑ The Total numbers served and the total number of Georgetown Citizens served. Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 1 Organization Name Mailing Address CEO or Executive Director (include title if other than "CEO" or "ED") Phone Number & Email Address Organization Mission Organization Vision Total Grant Awarded Program Name Primary Grant Writer Name, Title Email, Phone Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 2 GOAL: What will this funding help you accomplish? Inputs: What resources (human, financial, organizational, and/or community) were committed to this grant request? Activities: What activities supported or accomplished your goal(s)? Outputs: Did your activities produce the expected outputs? Outputs are often quantitative measures (# of participants, # of sessions held, # of encounters). Outcomes: What benefits, impacts, or changes in behavior, knowledge, skills, and/or attitudes for participants resulted from the completion of the activities? Performance Measures: Did you accomplish your goal(s)? How did you measure your result(s)? How did your monitoring methods help you correct errors, remedy problems and/or refine your work? GOAL: GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures GOAL: Inputs Activities Outputs Outcomes Performance Measures Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Proposed... Inputs Activities Outputs Outcomes Performance Measures GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures GOAL: Inputs Activities Outputs Outcomes Performance Measures Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Planned Program Budget vs. Actual Program Expenditures City of Georgetown 2018-19 Annual Report This format is required. Please enter your information into the shaded cells for rows applicable to your grant request. Use the "Other" sections to provide data for other types of revenue or expense in your program or project budget. Show specifically how our grant was used. Include narrative at the bottom to explain your numbers & assumptions, as needed. Name of Organization: Budget Period From: To: Revenue/Support for this Grant Request Planned Budget Actual Expenditures Individual contributions $ - $ - Fundraisers & Special Events $ - $ - Program/Service Revenues $ - $ - Government, Foundation, Corporate Grants or Other (list below; describe in narrative/notes if more space is needed) Total Revenue/Support (calculated for you or enter your own total) Expenses for this Grant Request Salaries, benefits and related taxes Consultants and professional fees Professional development including travel, lodging Equipment Supplies and supporting materials Printing, copying, phone, internet, fax, postage Mortgage or Rent, and Utilities Fundraising Expenses Other (list below and describe in narrative/notes if more space is needed) Total Expense (calculated for you or enter your own total) Difference (Revenue/Support less Expense) Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 $ - $ - Total Amount Grant Request $ - $ - Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 COUNTY OF WILLIAMSON § AGREEMENT § BETWEEN THE § CITY OF GEORGETOWN AND § SENIOR CENTER AT STONEHAVEN STATE OF TEXAS § This is an agreement between the City of Georgetown, a Texas Home Rule Municipal Corporation (City), and Senior Center at Stonehaven (Stonehaven), for the fiscal year from October 1, 2018, through September 30, 2019 (Agreement). The City of Georgetown values partnerships with organizations that are committed to addressing our community's greatest public challenges, and the purpose of City funding to the non-profit sector is to cultivate and sustain partnerships with 501(c)3 organizations that strengthen the City's key priorities in the following areas: Public Safety, Transportation, Housing, Parks & Recreation, Veteran Services, and Safety Net, further defined as follows: Public Safety. ■ While the City is Georgetown's Public Safety leader (Fire & Police), public safety also encompasses a broad scope of work that makes this community safe for all. ■ Eligible organizations and programs may include those that contribute to safe neighborhoods such out of school time, youth empowerment, and neighborhood community centers. Transportation. ■ Eligible organizations include those that assist in meeting the transportation needs of Georgetown residents unable to access private transportation such as homebound seniors and youth under the age of 16 years. Housing. • Eligible organizations include those that offer emergency shelter, transitional or temporary housing, and affordable housing. Parks & Recreation. ■ Eligible organizations include those that provide affordable, accessible activities that enhance Georgetown residents' health and well-being, including sports, fitness, and other recreational programs. Veteran's Services ■ Support veteran programs and services within the community. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Senior Center at Stonehaven Page 1 Safety Net. • The City recognizes its responsibility to support efforts to address this community's most pressing basic needs. Examples of basic needs include food insecurity, emergency financial assistance, mental/behavioral health care, substance abuse, domestic/family violence, and health care. Safety Net priorities will be based on ongoing analysis of unmet existing needs and emerging needs in this community, and may change over time. 1. The City finds that Stonehaven provides Safety Net Services for the community, as defined above; Stonehaven accomplishes a public purpose and benefits the community of Georgetown, Texas as it enhances the quality of life and the overall economic development of the City per Chapter 380 of the Local Government Code. The City finds that the services Stonehaven will provide pursuant to this Agreement are services that the City would provide, absent this Agreement, within the vision and limitations otherwise placed upon the City. 2. In consideration for the services Stonehaven provides pursuant to this Agreement, the City agrees to pay Stonehaven an amount not to exceed a total of $12,000 to be paid in a one- time lump sum payment by October 15, 2018. 3. As consideration for the funds to be paid by the City, Stonehaven agrees to provide the following as a condition of this Agreement: A. meet the health, educational, social, recreational and creative needs of the senior citizen population of Georgetown area; B. coordinate as appropriate with the City and other community service providers in the provision of services to Georgetown residents; C. provide a final report to the City in the format prescribed in the attached Exhibit A to this Funding Agreement on or before October 31, 2019 that specifically identifies and includes: 1. how the City's funds were used; 2. an analysis of the goal set forth in the evaluation section of the grant application, including outputs and outcomes; 3. the total numbers served and the total number Georgetown citizens served; and D. provide to the City a copy of the Stonehaven's annual independent auditor's report based upon its fiscal year (as soon as one has been completed) or the organization's Form 990. 4. This Agreement shall not be altered, waived, amended or extended, without the written consent of both parties. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Senior Center at Stonehaven Page 2 5. Stonehaven may not assign this Agreement to another party without the written consent of the City. 6. Either party may terminate this Agreement for any reason with written notice to the other party. Notice of termination shall be hand -delivered or sent by certified mail, return receipt requested, to the following addresses: David Morgan, City Manager Pat Schneider, Senior Center Director City of Georgetown Senior Center at Stonehaven P. O. Box 409 1704 Hart Street Georgetown, TX 78627-0409 Georgetown, Texas 78626 All obligations under this Agreement shall cease, and the City shall only fund those expenses that actually were expended, up to the date the notice of termination is received. EXECUTED this day of September, 2018. THE CITY OF GEORGETOWN SENIOR CENTER AT STONEHAVEN Dale Ross, Mayor ATTEST: Shelley Nowling, City Secretary STATE OF TEXAS COUNTY OF WILLIAMSON Pat Schneider, Senior Center Director APPROVED AS TO FORM: Charlie McNabb, City Attorney § CORPORATE ACKNOWLEDGMENT § This instrument was acknowledged before me on this the day of , 2018, by Pat Schneider, a person known to me, in her capacity as Senior Center Director of Senior Center at Stonehaven, on behalf of said organization. SEAL Notary Public, in and for the State of Texas 2018/2019 Strategic Partnerships for Community Services Funding Agreement Senior Center at Stonehaven Page 3 CHECKLIST OF ATTACHMENTS ❑Budget Information. How were the City's funds used? Include: ❑Actual Expenditures compared to Planned Budget ❑ An analysis of the goal(s) set forth in the evaluation section of the grant application, including outputs and outcomes. ❑ The Total numbers served and the total number of Georgetown Citizens served. Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 1 Organization Name Mailing Address CEO or Executive Director (include title if other than "CEO" or "ED") Phone Number & Email Address Organization Mission Organization Vision Total Grant Awarded Program Name Primary Grant Writer Name, Title Email, Phone Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 2 GOAL: What will this funding help you accomplish? Inputs: What resources (human, financial, organizational, and/or community) were committed to this grant request? Activities: What activities supported or accomplished your goal(s)? Outputs: Did your activities produce the expected outputs? Outputs are often quantitative measures (# of participants, # of sessions held, # of encounters). Outcomes: What benefits, impacts, or changes in behavior, knowledge, skills, and/or attitudes for participants resulted from the completion of the activities? Performance Measures: Did you accomplish your goal(s)? How did you measure your result(s)? How did your monitoring methods help you correct errors, remedy problems and/or refine your work? GOAL: Inputs Activities Outputs Outcomes Performance Measures GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures GOAL: Inputs Activities _ Outputs Outcomes Performance Measures Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Planned Program Budget vs. Actual Program Expenditures City of Geor gctuwn 2018-19 Annual Report This format is required. Please enter your information into the shaded cells for rows applicable to your grant request. Use the "Other" sections to provide data for other types of revenue or expense in your program or project budget. Show specifically how our grant was used. Include narrative at the bottom to explain your numbers & assumptions, as needed. Name of Organization: Budget Period From: To: Revenue/Support for this Grant Request Planned Budget Actual Expenditures Individual contributions $ - $ - Fundraisers & Special Events $ - $ - Program/Service Revenues $ - $ - Government, Foundation, Corporate Grants or Other (list below; describe in narrative/notes if more space is needed) Total Revenue/Support (calculated for you or enter your own total) Expenses for this Grant Request Salaries, benefits and related taxes Consultants and professional fees Professional development including travel, lodging Equipment Supplies and supporting materials Printing, copying, phone, internet, fax, postage Mortgage or Rent, and Utilities Fundraising Expenses Other (list below and describe in narrative/notes if more space is needed) Total Expense (calculated for you or enter your own total) $ Difference (Revenue/Support less Expense) $ Total Amount Grant Request Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 COUNTY OF WILLIAMSON § AGREEMENT § BETWEEN THE § CITY OF GEORGETOWN AND § OPPORTUNITIES FOR WLLIAMSON & STATE OF TEXAS § BURNET COUNTIES, INC. This is an agreement between the City of Georgetown, a Texas Home Rule Municipal Corporation (City), and Opportunities for Williamson & Burnet Counties, Inc. (OWBC), for the fiscal year from October 1, 2018, through September 30, 2019 (Agreement). The City of Georgetown values partnerships with organizations that are committed to addressing our community's greatest public challenges, and the purpose of City funding to the non-profit sector is to cultivate and sustain partnerships with 501(c)3 organizations that strengthen the City's key priorities in the following areas: Public Safety, Transportation, Housing, Parks & Recreation, Veteran Services, and Safety Net, further defined as follows: Public Safety. • While the City is Georgetown's Public Safety leader (Fire & Police), public safety also encompasses a broad scope of work that makes this community safe for all. ■ Eligible organizations and programs may include those that contribute to safe neighborhoods such out of school time, youth empowerment, and neighborhood community centers. Transportation. • Eligible organizations include those that assist in meeting the transportation needs of Georgetown residents unable to access private transportation such as homebound seniors and youth under the age of 16 years. Housing. • Eligible organizations include those that offer emergency shelter, transitional or temporary housing, and affordable housing. Parks & Recreation. • Eligible organizations include those that provide affordable, accessible activities that enhance Georgetown residents' health and well-being, including sports, fitness, and other recreational programs. Veteran's Services • Support veteran programs and services within the community. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Opportunities for Williamson & Burnet Counties, Inc. (OWBC) Page 1 Safety Net. The City recognizes its responsibility to support efforts to address this community's most pressing basic needs. Examples of basic needs include food insecurity, emergency financial assistance, mental/behavioral health care, substance abuse, domestic/family violence, and health care. Safety Net priorities will be based on ongoing analysis of unmet existing needs and emerging needs in this community, and may change over time. 1. The City finds that OWBC accomplishes a public purpose and benefits the community of Georgetown, Texas as it enhances the quality of life and the overall economic development of the city per Chapter 380 of the Local Government Code. The City finds that the services OWBC will provide pursuant to this Agreement are services that the City would provide, absent this Agreement, within the vision and limitations otherwise placed upon the City. 2. In consideration for the services OWBC provides pursuant to this Agreement, the City agrees to pay for utility services at the Mary Bailey Head Start Center (601 N. College Street) and Madella Hilliard Neighborhood Center (803 W. 811, Street) during the term of this Funding Agreement. The City also agrees to pay OWBC an amount not to exceed a total of $10,000, restricted for the Meals on Wheels Program to be paid in a one-time lump sum payment by October 15, 2018. 3. As consideration for the funds to be paid by the City, OWBC agrees to provide the following as a condition of this Agreement: A. comprehensive child and family development programs at the Mary Bailey Head Start Center that prepare children from birth to five years of age to become successful school students and productive members of society; B. continue serving low income, disabled and foster children with school readiness preparations; C. provide consistent and healthy meals to seniors in need each day with meals being offered at the Madella Hilliard Neighborhood Center and also provide home - delivered meals to those seniors in the City of Georgetown whose mobility is limited; D. coordinate as appropriate with the City and other community service providers in the provision of services to Georgetown residents; E. provide a final report to the City in the format prescribed in the attached Exhibit A to this Funding Agreement on or before October 31, 2019 that specifically identifies and includes: 1. how the City's funds were used; 2. an analysis of the goal set forth in the evaluation section of the grant application, including outputs and outcomes; 3. the total numbers served and the total number Georgetown citizens served; and 2018/2019 Strategic Partnerships for Community Services Funding Agreement Opportunities for Williamson & Burnet Counties, Inc. (OWBC) Page 2 F. provide to the City a copy of OWBC's annual independent auditor's report based upon its fiscal year (as soon as one has been completed) or the organization's Form 990. 4. This Agreement shall not be altered, waived, amended or extended, without the written consent of both parties. 5. OWBC may not assign this Agreement to another party without the written consent of the City. 6. Either party may terminate this Agreement for any reason with written notice to the other party. Notice of termination shall be hand -delivered or sent by certified mail, return receipt requested, to the following addresses: David S. Morgan, City Manager Marco Cruz CITY OF GEORGETOWN Executive Director P. O. Box 409 604 High Tech Drive Georgetown, TX 78627-0409 Georgetown, TX 78626 All obligations under this Agreement shall cease, and the City shall only fund those expenses that actually were expended, up to the date the notice of termination is received. EXECUTED this day of September, 2018. THE CITY OF GEORGETOWN OPPORTUNITIES FOR WILLIAMSON & BURNET COUNTIES, INC. Dale Ross, Mayor ATTEST: Shelley Nowling, City Secretary STATE OF TEXAS COUNTY OF WILLIAMSON Marco Cruz, Executive Director APPROVED AS TO FORM: Charlie McNabb, City Attorney § CORPORATE ACKNOWLEDGMENT Marco Cruz, a person known to me, in his capacity as Executive Director of the Opportunities for Williamson & Burnet Counties, Inc. on behalf of said organization. SEAL Notary Public, in and for the State of Texas 2018/2019 Strategic Partnerships for Community Services Funding Agreement Opportunities for Williamson & Burnet Counties, Inc. (OWBC) Page 3 CHECKLIST OF ATTACHMENTS ❑Budget Information. How were the City's funds used? Include: ❑Actual Expenditures compared to Planned Budget ❑ An analysis of the goal(s) set forth in the evaluation section of the grant application, including outputs and outcomes. ❑ The Total numbers served and the total number of Georgetown Citizens served. Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 1 Organization Name Mailing Address CEO or Executive Director (include title if other than "CEO" or "ED") Phone Number & Email Address Organization Mission Organization Vision Total Grant Awarded Program Name Primary Grant Writer Name, Title Email, Phone Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 2 GOAL: What will this funding help you accomplish? Inputs: What resources (human, financial, organizational, and/or community) were committed to this grant request? Activities: What activities supported or accomplished your goal(s)? Outputs: Did your activities produce the expected outputs? Outputs are often quantitative measures (# of participants, # of sessions held, # of encounters). Outcomes: What benefits, impacts, or changes in behavior, knowledge, skills, and/or attitudes for participants resulted from the completion of the activities? Performance Measures: Did you accomplish your goal(s)? How did you measure your result(s)? How did your monitoring methods help you correct errors, remedy problems and/or refine your work? GOAL: Inputs Activities Outputs Outcomes Performance Measures GOAL: GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Proposed... Inputs Activities 1 Outputs Outcomes Performance Measures j GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Planned Program Budget vs. Actual Program Expenditures City of Georgetown 2018-19 Annual Report This format is required. Please enter your information into the shaded cells for rows applicable to your grant request. Use the "Other" sections to provide data for other types of revenue or expense in your program or project budget. Show specifically how our grant was used. Include narrative at the bottom to explain your numbers & assumptions, as needed. Name of Organization: Budget Period From: To: Revenue/Support for this Grant Request Planned Budget Actual Expenditures Individual contributions $ - $ - Fundraisers & Special Events $ - $ - Program/Service Revenues $ - $ - Government, Foundation, Corporate Grants or Other (list below; describe in narrative/notes if more space is needed) Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 Total Revenue/Support (calculated for you or enter your own total) $ - $ . - Expenses for this Grant Request Total Amount Grant Request Salaries, benefits and related taxes $ $ - Consultants and professional fees $ $ - Professional development including travel, lodging $ - $ - Equipment $ - $ Supplies and supporting materials $ - $ - Printing, copying, phone, internet, fax, postage $ - $ - Mortgage or Rent, and Utilities $ $ - Fundraising Expenses $ - $ - Other (list below and describe in narrative/notes if more space is needed) Total Expense (calculated for you or enter your own total) $ - $ - Difference (Revenue/Support less Expense) $ - $ - Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 COUNTY OF WILLIAMSON § AGREEMENT § BETWEEN THE § CITY OF GEORGETOWN AND § WILLIAMSON COUNTY CRISIS CENTER STATE OF TEXAS § DBA HOPE ALLIANCE This is an agreement between the City of Georgetown, a Texas Home Rule Municipal Corporation (City), and Williamson County Crisis Center dba Hope Alliance (Hope Alliance), for the fiscal year from October 1, 2018, through September 30, 2019 (Agreement.) The City of Georgetown values partnerships with organizations that are committed to addressing our community's greatest public challenges, and the purpose of City funding to the non-profit sector is to cultivate and sustain partnerships with 501(c)3 organizations that strengthen the City's key priorities in the following areas: Public Safety, Transportation, Housing, Parks & Recreation, Veteran Services, and Safety Net, further defined as follows: Public Safety. • While the City is Georgetown's Public Safety leader (Fire & Police), public safety also encompasses a broad scope of work that makes this community safe for all. Eligible organizations and programs may include those that contribute to safe neighborhoods such out of school time, youth empowerment, and neighborhood community centers. Transportation. ■ Eligible organizations include those that assist in meeting the transportation needs of Georgetown residents unable to access private transportation such as homebound seniors and youth under the age of 16 years. Housing. • Eligible organizations include those that offer emergency shelter, transitional or temporary housing, and affordable housing. Parks & Recreation. • Eligible organizations include those that provide affordable, accessible activities that enhance Georgetown residents' health and well-being, including sports, fitness, and other recreational programs. Veteran's Services • Support veteran programs and services within the community. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Williamson County Crisis Center dba Hope Alliance Page 1 Safety Net. r The City recognizes its responsibility to support efforts to address this community's most pressing basic needs. Examples of basic needs include food insecurity, emergency financial assistance, mental/behavioral health care, substance abuse, domestic/family violence, and health care. Safety Net priorities will be based on ongoing analysis of unmet existing needs and emerging needs in this community, and may change over time. 1. The City finds that Hope Alliance provides Safety Net Services for the community, as defined above; Hope Alliance accomplishes a public purpose and benefits the community of Georgetown, Texas as it enhances the quality of life and the overall economic development of the city per Chapter 380 of the Local Government Code. The City finds that the services Hope Alliance will provide pursuant to this Agreement are services that the City would provide, absent this Agreement, within the vision and limitations otherwise placed upon the City. 2. In consideration for the services Hope Alliance provides pursuant to this Agreement, the City agrees to pay Hope Alliance an amount not to exceed a total of $38,000 to be paid in a one-time lump sum payment by October 15, 2018. 3. As consideration for the funds to be paid by the City, Hope Alliance agrees to provide the following as a condition of this Agreement: A. provide support intervention services to survivors of family violence, sexual assault, child abuse, including a 24 hour hotline, emergency shelter, transitional housing, crisis intervention, legal advocacy, counseling, support groups, supportive housing and community education crisis and support services to the victims of sexual assault and family violence for the citizens of Georgetown; B. coordinate as appropriate with the City and other community service providers in the provision of services to Georgetown residents; C. provide a final report to the City in the format prescribed in the attached Exhibit A to this Funding Agreement on or before October 31, 2019 that specifically identifies and includes: 1. how the City's funds were used; 2. an analysis of the goal set forth in the evaluation section of the grant application, including outputs and outcomes; 3. the total numbers served and the total number Georgetown citizens served; and D. provide to the City a copy of the Hope Alliance's annual independent auditor's report based upon its fiscal year (as soon as one has been completed) or the organization's Form 990. 2018/2019 Strategic Partnerships for Community Services Funding Agreement Williamson County Crisis Center dba Hope Alliance Page 2 4. This Agreement shall not be altered, waived, amended or extended, without the written consent of both parties. 5. Hope Alliance may not assign this Agreement to another party without the written consent of the City. 6. Either party may terminate this Agreement for any reason with written notice to the other party. Notice of termination shall be hand -delivered or sent by certified mail, return receipt requested, to the following addresses: David Morgan, City Manager Patty Conner, LCSW, Chief Executive Officer City of Georgetown Williamson County Crisis Center P. O. Box 409 dba Hope Alliance Georgetown, TX 78627-0409 1011 Gattis School Road, Suite 106 Round Rock, Texas 78664 All obligations under this Agreement shall cease, and the City shall only fund those expenses that actually were expended, up to the date the notice of termination is received. EXECUTED this day of September, 2018. THE CITY OF GEORGETOWN WILLIAMSON COUNTY CRISIS CENTER DBA HOPE ALLIANCE Dale Ross, Mayor ATTEST: Shelley Nowling, City Secretary STATE OF TEXAS COUNTY OF WILLIAMSON Patty Conner, LCSW, Chief Executive Officer APPROVED AS TO FORM: Charlie McNabb, City Attorney § CORPORATE ACKNOWLEDGMENT This instrument was acknowledged before me on this the day of , 2018, by Patty Conner, LCSW, a person known to me, in her capacity as Chief Executive Officer of Williamson County Crisis Center dba Hope Alliance, on behalf of said organization. SEAL Notary Public, in and for the State of Texas 2018/2019 Strategic Partnerships for Community Services Funding Agreement Williamson County Crisis Center dba Hope Alliance Page 3 CHECKLIST OF ATTACHMENTS (Budget Information. How were the City's funds used? Include: ❑Actual Expenditures compared to Planned Budget ❑ An analysis of the goal(s) set forth in the evaluation section of the grant application, including outputs and outcomes. ❑ The Total numbers served and the total number of Georgetown Citizens served. Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 1 Organization Name Mailing Address CEO or Executive Director (include title if other than "CEO" or "ED") Phone Number & Email Address Organization Mission Organization Vision Total Grant Awarded Program Name Primary Grant Writer Name, Title Email, Phone Exhibit A 2015/2019 Strategic Partnerships for Community Services Funding Agreement Page 2 GOAL: What will this funding help you accomplish? Inputs: What resources (human, financial, organizational, and/or community) were committed to this grant request? Activities: What activities supported or accomplished your goal(s)? Outputs: Did your activities produce the expected outputs? Outputs are often quantitative measures (# of participants, # of sessions held, # of encounters). Outcomes: What benefits, impacts, or changes in behavior, knowledge, skills, and/or attitudes for participants resulted from the completion of the activities? Performance Measures: Did you accomplish your goal(s)? How did you measure your result(s)? How did your monitoring methods help you correct errors, remedy problems and/or refine your work? GOAL: Proposed... Inputs Activities Outputs Outcomes Performance Measures GOAL: Proposed Inputs Activities Outputs Outcomes Performance Measures GOAL: Proposed... j Inputs Activities Outputs Outcomes Performance Measures Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 3 Planned Program Budget vs. Actual Program Ex enditures City of Georgetown 2018-19 Annual Ite pori This format is required. Please enter your information into the shaded cells for rows applicable to your grant request. Use the "Other" sections to provide data for other types of revenue or expense in your program or project budget. Show specifically how our grant was used. Include narrative at the bottom to explain your numbers & assumptions, as needed. Name of Organization: Budget Period From: To- Revenue/Support for this Grant Request Planned Budget Actual Expenditures Individual contributions $ - $ - Fundraisers & Special Events $ - $ - Program/Service Revenues $ - $ - Government, Foundation, Corporate Grants or Other (list below; describe in narrative/notes if more space is needed) Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4 Total Revenue/Support (calculated for you or enter your own total) - Expenses for this Grant Request Total Amount Grant Request Salaries, benefits and related taxes $ - $ _ Consultants and professional fees $ - $ Professional development including travel, lodging $ $ - Equipment $ - $ - Supplies and supporting materials $ - $ - Printing, copying, phone, internet, fax, postage $ _ $ - Mortgage or Rent, and Utilities $ $ - Fundraising Expenses $ $ - Other (list below and describe in narrative/notes if more space is needed) Total Expense (calculated for you or enter your own total) $ - $ - Difference (Revenue/Support less Expense) $ - $ - Narrative/Notes: Please use as many lines as needed for further explanation of budget items above. 1 2 3 4 Exhibit A 2018/2019 Strategic Partnerships for Community Services Funding Agreement Page 4