HomeMy WebLinkAboutRES 092617-F - 2017/18 Comm Fund AgmtRESOLUTION NO. 001 a� V1 — P
A Resolution authorizing funding agreements between the City of Georgetown and A Gift of Time
Adult Day Care, Brookwood in Georgetown Vocational, Inc. (BIG), Backpack Buddies, CASA of
Williamson County, Texas, Faith In Action Georgetown, Girls Empowerment Network (GEN),
Georgetown Caring Place aka The Caring Place, Georgetown Project, Habitat for Humanity of
Williamson County, Literacy Council of Williamson County, Lone Star Circle of Care, Ride on
Center for Kids (R.O.C.K.), Samaritan Center for Counseling and Pastoral Care, Senior Center at
Stonehaven, the Locker, 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. —IT
Description: 2017/18 Strategic Partnerships for Community Services Funding Agreements
Date of Approval: September 26, 2017
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, 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; 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 A Gift of Time Adult Day Care desire to enter into an
agreement in the provision of Safety Net, to assist A Gift of Time Adult Day Care establish a licensed
adult day care facility focusing on a dementia care program that specializes in care for persons with
mild to moderate dementia; 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-8 who are
eligible for the free/reduced GISD breakfast/lunch program and who register for the Georgetown
Backpack Buddies Program (GBBP) with packs of 5 nutritious, nonperishable food items to take home
for the weekends to supplement their family's food supply.
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
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
Resolution No.
Description: 2017/18 Strategic Partnerships for Community Services Funding Agreements
Date of Approval: September 26, 2017
Page 2 of 5
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); and
WHEREAS, the City of Georgetown and Habitat for Humanity of Williamson County, Inc.
desire to enter into an agreement in the provision of Housing Services to assist Habitat for Humanity
of Williamson County, Inc. with the provision of home repair services to qualified low-income
Georgetown homeowners that also include increasing outreach and awareness of repair opportunities
for low-income families in Georgetown.;
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.
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;
Resolution No. O9.a(e I,
Description: 2017/18 Strategic Partnerships for Community Services Funding Agreements
Date of Approval: September 26, 2017
Page 3 of 5
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);
WHEREAS, the City of Georgetown and Samaritan Center for Counseling and Pastoral Care
desire to enter into an agreement 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, as well as veterans
and their families;
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 the Locker desire to enter into an agreement in the
provision of Safety Net Services to target at -risk population of Georgetown students to participate in
Service Learning projects as outlined in the grant application that will integrate meaningful community
service with instruction and reflection to enrich learning experiences, teach civic responsibility, and
strengthen communities, including the provision of necessities and also non-essential items to help at
risk -students succeed by creating a sense of normalcy for every child.
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, and 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.
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 services to survivors of family violence, sexual assault, child abuse,
including 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
Resolution No. 0`1 .6Lo1 f — h
Description: 2017/18 Strategic Partnerships for Community Services Funding Agreements
Date of Approval: September 26, 2017
Page 4 of 5
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 A Gift of Time Adult Day Care, Brookwood in Georgetown Vocational, Inc.
(BIG), Backpack Buddies, CASA of Williamson County, Texas, Faith In Action Georgetown, Girls
Empowerment Network (GEN), Georgetown Caring Place aka The Caring Place, Georgetown Project,
Habitat for Humanity of Williamson County, Literacy Council of Williamson County, Lone Star Circle
of Care, Ride on Center for Kids (R.O.C.K.), Samaritan Center for Counseling and Pastoral Care, Senior
Center at Stonehaven, the Locker, 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 C k�a day of September, 2017.
ATTEST:
f)
Shelley Nowling, OYSecretary
APPROVED AS TO FORM:
Charlie McNabb
City Attorney
THE CITY OF GEORGETOWN:
(�l ake Qm-'�
Dale Ross, Mayor
Resolution No. -
Description: 2017/18 Strategic Partnerships for Community Services Funding Agreements
Date of Approval: September 26, 2017
Page 5 of 5
COUNTY OF WILLIAMSON § AGREEMENT
§ BETWEEN THE
§ CITY OF GEORGETOWN AND
STATE OF TEXAS § A GIFT OF TIME ADULT DAYCARE
This is an agreement between the City of Georgetown, a Texas Home Rule Municipal
Corporation (City), and A Gift of Time Adult Daycare (A Gift of Time), for the fiscal year from
October 1, 2017, through September 30, 2018 (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.
2017/2018 Strategic Partnerships for Community Services Funding Agreement
A Gift of Time Adult Day 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 A Gift of Time provides Safety Net Services for the community, as
defined above; A Gift of Time 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 A Gift of Time 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 A Gift of Time provides pursuant to this Agreement,
the City agrees to pay the A Gift of Time an amount not to exceed a total of $17, 000 to be
paid in two (2) equal installments, the first to be paid in the amount of $8,500 by October 15,
2017 and the 2nd to be paid in the amount of $8,500 by April 15, 2018 with the stipulation
that A Gift of Time will provide to the City a Progress and Status Report of its operations by
April 1, 2018 prior to releasing the 2nd installment.
3. As consideration for the funds to be paid by the City, A Gift of Time agrees to provide the
following as a condition of this Agreement:
A. Establish a licensed adult day care facility focusing on a dementia care program that
specializes in care for persons with mild to moderate dementia;
B. coordinate as appropriate with the City and other community service providers in
the provision of services to Georgetown residents;
C. provide a progress and status report in the format prescribed in the attached Exhibit
A to this Funding Agreement to the City on or before April 1, 2018 and a final report
on October 31, 2018 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 A Gift of Time's annual independent auditor's
report based upon its fiscal year (as soon as one has been completed) or the
organizations Form 990.
2017/2018 Strategic Partnerships for Community Services Funding Agreement
A Gift of Time Adult Day Care
Page 2
4. This Agreement shall not be altered, waived, amended or extended, without the written
consent of both parties.
5. A Gift of Time 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
Josie Zamora, President
A Gift of Time Adult Day Care
P.O. Box 427
Georgetown, TX 78247-0427
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, 2017.
THE CITY OF GEORGETOWN A GIFT OF TIME ADULT DAY CARE
Dale Ross, Mayor
ATTEST:
Shelley Nowling, City Secretary
STATE OF TEXAS
COUNTY OF WILLIAMSON
Josie Zamora, President
APPROVED AS TO FORM:
Charlie McNabb, City Attorney
§ CORPORATE ACKNOWLEDGMENT
This instrument was acknowledged before me on this the day of _ , 2017, by
Josie Zamora, a person known to me, in her capacity as President of the A Gift of Time Adult
Day Care, on behalf of said organization.
SEAL
Notary Public, in and for the State of Texas
2017/2018 Strategic Partnerships for Community Services Funding Agreement
A Gift of Time Adult Day 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
2017/2018 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
2017/2018 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
2017/2018 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
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 3
Planned Program
Budget vs. Actual City of Georgetown 2017 -
Program Expenditures IS 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
2017/2018 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
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 4
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, 2017, through September 30, 2018 (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.
2017/2018 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, 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 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 $20,000 to be
paid in a one-time lump sum payment by October 15, 2017.
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-8 who are eligible for the free/reduced
GISD breakfast/lunch program and who register for the Georgetown Backpack
Buddies Program (GBBP) with packs of 5 nutritious, nonperishable food items to
take home for the weekends to supplement their family's 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, 2018 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.
2017/2018 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 Chair
Georgetown Backpack Buddies
116 West 8t" 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, 2015.
THE CITY OF GEORGETOWN GEORGETOWN BACKPACK BUDDIES
Dale Ross, Mayor
ATTEST:
Jessica Brettle, City Secretary
STATE OF TEXAS
COUNTY OF WILLIAMSON
John Carnes, Board Chair
APPROVED AS TO FORM:
Bridget Chapman, City Attorney
§ CORPORATE ACKNOWLEDGMENT
This instrument was acknowledged before me on this the day of , 2015, by
John Carnes, a person known to me, in his capacity as Director of Georgetown Backpack
Buddies, on behalf of said organization.
SEAL
Notary Public, in and for the State of Texas
2017/2018 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
2017/2018 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
2017/2018 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
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 3
Planned Program
Budget vs. Actual City of Georgetown 2017 -
Program Expenditures 18 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
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 4
Grant Request
Exhibit A
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 5
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, 2017, through September 30, 2018 (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.
2017/2018 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, 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 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 $30,000 to be paid in a one-time lump sum
payment by October 15, 2017.
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, 2018 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.
2017/2018 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.
P.O. Box 845
Georgetown, Texas 78627-0845
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, 2017.
THE CITY OF GEORGETOWN BROOKWOOD IN
GEORGETOWN VOCATIONAL, INC.
Dale Ross, Mayor
ATTEST:
Shelley Nowling, City Secretary
STATE OF TEXAS
COUNTY OF WILLIAMSON
Erin Kiltz, Executive Director
APPROVED AS TO FORM:
Charlie McNabb, City Attorney
§ CORPORATE ACKNOWLEDGMENT
This instrument was acknowledged before me on this the day of , 2017, 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
2017/2018 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
2017/2018 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
2017/2018 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
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 3
Planned Program
Budget vs. Actual City of Georgetown 2017 -
Program Expenditures 18 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
2017/2018 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
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 4
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, 2017, through September 30, 2018 (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.
2017/2018 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 $20,000 to be paid in a one-time
lump sum payment by October 15, 2017.
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, 2018 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.
2017/2018 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, 2017.
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 _ , 2017, 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
2017/2018 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
2017/2018 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
2017/2018 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:
Exhibit A
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 3
Proposed...
Inputs
Activities
—.....
Outputs
Outcomes
Performance Measures
Exhibit A
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 3
Planned Program
Budget vs. Actual City of Georgetown 2017 -
Program Expenditures 18 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
2017/2018 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
2017/2018 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, 2017, through September 30, 2018 (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.
2017/2018 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, 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 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 $35,000 to be paid in a
one-time lump sum payment by October 15, 2017.
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, 2018 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 Actions 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.
2017/2018 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, 2017.
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 , 2017 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
2017/2018 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
2017/2018 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
2017/2018 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
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 3
Planned Program
Budget vs. Actual City of Georgetown 2017 -
Program Expenditures 18 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
2017/2018 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
2017/2018 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, 2017, through September 30, 2018 (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.
2017/2018 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, 2017.
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, 2018 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.
2017/2018 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, 2017,
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 , 2017, 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
2017/2018 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
2017/2018 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
2017/2018 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:
Inputs
Activities
Outcomes
Performance Measures
GOAL:
Proposed...
Inputs
Activities
Outputs
Outcomes
Performance Measures
Exhibit A
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 3
Planned Program
Budget vs. Actual City of Georgetown 2017 -
Program Expenditures 18 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
2017/2018 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
2017/2018 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, 2017, through September 30, 2018 (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.
in 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.
r 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,
2017/2018 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 $50,000 to be paid in
a one-time lump sum payment by October 15, 2017.
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, 2018 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.
2017/2018 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, 2017.
THE CITY OF GEORGETOWN GEORGETOWN CARING PLACE
Dale Ross, Mayor
ATTEST:
AKA THE CARING PLACE
Ginna O'Connor, 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 , 2017, 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
2017/2018 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
2017/2018 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
2017/2018 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:
Inputs
Proposed...
Activities
Outputs
Outcomes
Performance Measures
GOAL:
Exhibit A
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 3
Proposed...
Inputs
Activities
Outputs
.......................... I ....................... ..........................
Outcomes
T...
Performance Measures
I
Exhibit A
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 3
Planned Program
Budget vs. Actual City of Georgetown 2017-
Pro2ram E'xnenditures 18 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
2017/2018 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
2017/2018 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, 2017,
through September 30, 2018 (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
a Support veteran programs and services within the community.
2017/2018 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, 2017.
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);
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, 2018 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.
2017/2018 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, 2017.
THE CITY OF GEORGETOWN THE GEORGETOWN PROJECT
Dale Ross, Mayor
ATTEST:
Shelley Nowling, City Secretary
Leslie Janca, Chief Executive Officer
APPROVED AS TO FORM:
Charlie McNabb, City Attorney
STATE OF TEXAS §
§ CORPORATE ACKNOWLEDGMENT
COUNTY OF WILLIAMSON §
This instrument was acknowledged before me on this the day of , 2017, 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
2017/2018 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
2017/2018 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
2017/2018 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:
FORMTEXT
Proposed...
Inputs
Activities
Outputs
Outcomes
Performance Measures
GOAL:
Proposed...
Inputs
Activities
Outputs
Outcomes
Performance Measures
Exhibit A
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 3
Planned Program
Budget vs. Actual City of Georgetown 2017-
Proeram Expenditures 18 Annual Resort
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 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
2017/2018 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
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 4
COUNTY OF WILLIAMSON § AGREEMENT
§ BETWEEN THE
§ CITY OF GEORGETOWN AND
§ HABITAT FOR HUMANITY
STATE OF TEXAS § OF WILLIAMSON COUNTY
This is an agreement between the City of Georgetown, a Texas Home Rule Municipal
Corporation (City), and Habitat for Humanity of Williamson County (Habitat for Humanity),
for the fiscal year from October 1, 2017, through September 30, 2018 (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.
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Habitat for Humanity 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 Habitat for Humanity provides Housing Services for the community, as
defined above; Habitat for Humanity 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 Habitat for Humanity 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 Habitat for Humanity provides pursuant to this
Agreement, the City agrees to pay Habitat for Humanity an amount not to exceed a total of
$23,000, which is restricted for use in Habitat's Home Re air Pro rangy for qualified low-
income Georgetown homeowners to be paid in a one-time lump sum payment by October
15, 2017.
3. As consideration for the funds to be paid by the City, Habitat for Humanity agrees to
provide the following as a condition of this Agreement:
A. home repair services to qualified low-income Georgetown homeowners that also
include increasing outreach and awareness of repair opportunities for low-income
families in Georgetown.
B. 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, 2018 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
C. provide to the City a copy of Habitat for Humanity'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.
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Habitat for Humanity of Williamson County
Page 2
5. Habitat for Humanity 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 Debbie Hoffman, Executive Director
City of Georgetown Habitat for Humanity of Williamson County
P. O. Box 409 P.O. Box 737
Georgetown, TX 78627-0409 Georgetown, Texas 78627-0737
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, 2017.
THE CITY OF GEORGETOWN HABITAT FOR HUMANITY
OF WILLIAMSON COUNTY
Dale Ross, Mayor
ATTEST:
Shelley Nowling, City Secretary
STATE OF TEXAS
COUNTY OF WILLIAMSON
Debbie Hoffman, Executive Director
APPROVED AS TO FORM:
Charlie McNabb, City Attorney
§ CORPORATE ACKNOWLEDGMENT
This instrument was acknowledged before me on this the day of , , 2017, by
Debbie Hoffman, a person known to me, in her capacity as Executive Director of Habitat for
Humanity of Williamson County, on behalf of said organization.
SEAL
Notary Public, in and for the State of Texas
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Habitat for Humanity 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
2017/2018 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
2017/2018 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
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 3
Planned Program
Budget vs. Actual City of Georgetown 2017 -
Program Expenditures 18 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
2017/2015 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
2017/2015 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, 2017, through September 30, 2018 (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.
2017/2018 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 $15,000 to be paid in
a one-time lump sum payment by October 15, 2017.
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 tutoring and newly added 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, 2018 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.
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Literacy Council of Williamson County
Page 2
5. Literacy Council 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 Robert Pinhero, 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, 2017.
THE CITY OF GEORGETOWN LITERACY COUNCIL OF
Dale Ross, Mayor
ATTEST:
Shelley Nowling, City Secretary
STATE OF TEXAS
COUNTY OF WILLIAMSON
WILLIAMSON COUNTY
Robert Pinhero, Executive Director
APPROVED AS TO FORM:
Charlie McNabb, City Attorney
§ CORPORATE ACKNOWLEDGMENT
This instrument was acknowledged before me on this the day of . 2017, by
Robert Pinhero, a person known to me, in his 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
2017/2018 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
2017/2018 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
2017/2018 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
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 3
Planned Program
Budget vs. Actual City of Georgetown 2017 -
Program Expenditures 18 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
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 4
Grant Request
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,
2017, through September 30, 2018 (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.
2017/2018 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 $34,000, which is restricted for the
provision of adult dental care services for City of Georgetown citizens, to be paid in a one-
time lump sum payment by October 15, 2017.
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, 2018 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.
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Lone Star Circle of Care
Page 2
5. LSCC 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
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, 2017.
THE CITY OF GEORGETOWN LONE STAR CIRCLE OF CARE
Dale Ross, Mayor Rhonda Mundhenk, JD, MPH
Chief Executive Officer
ATTEST: 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 , 2017, 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
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Lone Star Circle of 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
2017/2018 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
2017/2018 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
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 3
Planned Program
Budget vs. Actual City of Georgetown 2017 -
Program Expenditures 18 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
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 4
Grant Request
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,
2017, through September 30, 2018 (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.
2017/2018 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 $36,000 to be paid in a one-time
lump sum payment by October 15, 2017.
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, 2018 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 organization's Form
990.
4. This Agreement shall not be altered, waived, amended or extended, without the written
consent of both parties.
2017/2018 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, 2017.
THE CITY OF GEORGETOWN RIDE ON CENTER FOR KIDS (R.O.C.K.)
Dale Ross, Mayor
ATTEST:
Shelley Nowling, City Secretary
STATE OF TEXAS
COUNTY OF WILLIAMSON
Nancy Krenek, Chief Executive Officer
APPROVED AS TO FORM:
Charlie McNabb, City Attorney
§
§ CORPORATE ACKNOWLEDGMENT
This instrument was acknowledged before me on this the day of , 2017, 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
2017/2018 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
2017/2018 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
2017/2018 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
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 3
Planned Program
Budget vs. Actual City of Georgetown 2017 -
Program Expenditures 18 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
2017/2018 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, 2017, through September 30, 2018 (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.
2017/2018 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 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 $15,800 to be
paid in a one-time lump sum payment by October 15, 2017.
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, as well as 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, 2018 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.
2017/2018 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 Carlos Rivera, Chief Executive Officer
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, 2017.
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
Carlos Rivera, Chief Executive Officer
APPROVED AS TO FORM:
Charlie McNabb, City Attorney
§
§ CORPORATE ACKNOWLEDGMENT
This instrument was acknowledged before me on this the day of , 2017, by
Carlos Rivera, 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
2017/2018 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
2017/2018 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
2017/2018 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:
Activities
Outcomes
Performance Measures
Exhibit A
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 3
Planned Program
Budget vs. Actual City of Georgetown 2017 -
Program Expenditures 18 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.
l
2
3
4
Exhibit A
2017/2018 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, 2017, through September 30, 2018 (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.
2017/2018 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, 2017.
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, 2018 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.
2017/2018 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, 2017.
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 , 2017, 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
2017/2018 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
2017/2018 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
2017/2015 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:
Inputs
Activities
Outputs
Outcomes
Performance Measures
Exhibit A
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 3
Planned Program
Budget vs. Actual City of Georgetown 2017 -
Program Expenditures 18 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
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 4
Grant Request
COUNTY OF WILLIAMSON § AGREEMENT
§ BETWEEN THE
§ CITY OF GEORGETOWN AND
§ THE LOCKER
STATE OF TEXAS §
This is an agreement between the City of Georgetown, a Texas Home Rule Municipal
Corporation (City), and The Locker for the fiscal year from October 1, 2017, through September
30, 2018 (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.
2017/2018 Strategic Partnerships for Community Services Funding Agreement
The Locker
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 Locker provides Safety Net Services for the community, as defined
above; The Locker 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
of The Locker 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 Locker provides pursuant to this Agreement, the City
agrees to pay The Locker an amount not to exceed a total of $10,000 to be paid in a one-time
lump sum payment by October 15, 2017.
3. As consideration for the funds to be paid by the City, The Locker agrees to provide the
following as a condition of this Agreement:
A. provides services to target at -risk population of Georgetown students to participate
in Service Learning projects as outlined in the grant application that will integrate
meaningful community service with instruction and reflection to enrich learning
experiences, teach civic responsibility, and strengthen communities, including the
provision of necessities and also non-essential items to help at risk -students succeed
by creating a sense of normalcy for every child.
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, 2018 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 Locker's annual independent auditor's report
based upon its fiscal year (as soon as one has been completed) or the organization's
Form 990.
2017/2018 Strategic Partnerships for Community Services Funding Agreement
The Locker
Page 2
4. This Agreement shall not be altered, waived, amended or extended, without the written
consent of both parties.
5. The Locker 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
Karen Crosby, Executive Director
The Locker
2705 Cedar Hollow Road
Georgetown, Texas 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, 2017.
THE CITY OF GEORGETOWN THE LOCKER
Dale Ross, Mayor
ATTEST:
Shelley Nowling, City Secretary
STATE OF TEXAS
COUNTY OF WILLIAMSON
Karen Crosby, Executive Director
APPROVED AS TO FORM:
Charlie McNabb, City Attorney
§ CORPORATE ACKNOWLEDGMENT
§
This instrument was acknowledged before me on this the day of , 2017, by
Karen Crosby, a person known to me, in her capacity as Executive Director of The Locker in
Georgetown, on behalf of said organization.
SEAL
Notary Public, in and for the State of Texas
2017/2018 Strategic Partnerships for Community Services Funding Agreement
The Locker
Page 3
CHECKLIST OF ATTACHMENTS
iJ!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
2017/2018 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
2017/2018 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
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 3
Planned Program
Budget vs. Actual City of Georgetown 2017-
Pro2ram Expenditures 18 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
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 4
Grant Request
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, 2017, through September 30, 2018 (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.
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Williamson County Crisis Center dba Hope Alliance
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 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 $40,000 to be paid in a
one-time lump sum payment by October 15, 2017.
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 services to survivors of family violence, sexual assault, child abuse,
including 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, 2018 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.
2017/2018 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, 2017.
THE CITY OF GEORGETOWN WILLIAMSON COUNTY CRISIS CENTER
Dale Ross, Mayor
ATTEST:
Shelley Nowling, City Secretary
STATE OF TEXAS
COUNTY OF WILLIAMSON
DBA HOPE ALLIANCE
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 1 2017, 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
2017/2018 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
2017/2018 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
2017/2018 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:
1111 illi�llilli III
... ...
Inputs
Activities
Outputs
Outcomes
Performance Measures
Exhibit A
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 3
Planned Program
Budget vs. Actual City of Georgetown 2017 -
Program Expenditures 18 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
2017/2018 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
2017/2018 Strategic Partnerships for Community Services Funding Agreement
Page 4