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HomeMy WebLinkAboutC2005-395 - 5/10/2005 - ApprovedDEPARTMI~4T OF STATE I~LTH RI~.i/VICES 1101 ~ 4~TH STRICT AUSTIN, Tl~q ~-~1~ STA rE OF 'I'EXA& COUNTY OI- TRAVI8 I~H3 Do~mmmt No. 74~'~'~741 ~ PI~.f'ORMINO AOENCY. T"n~ ps.dm tlm~o mw dmt~ m mmnd mx:h cmU~ .,,..-~ '{-) as tb~mws: SUMMARY O~ TRAN~AC'~ON: A'f'r ."40. OTB: CPS-BIOTERRORISM PRE~ARmNE~ DNHN FI'El) IN' DUPUCATE ORIGINAT .q ON ~ DATES SHOWN. CORPUS Cl4nLqTl ¢CITY OF) BECE/VING AGENCY: 200S-395 M2005-130 Cover Pa~ ! DETAILS OF ATTACHMENTS Amd I')SI~ Ptu'ctm~l, No. Onk:r Nu~i~r OI 02C ir] O4 0090001621 [M M/I .(3CAI .S 0000001760 DI~ 00O0002261 C038605000___ Hrv/suRv C0391310(]0 OPHP/LPt~ C03928~X10 BNS/W'IC-CARD DSHS D~rn~m No.746~ff~741 2005 Ch~ No. 12 lam&' 01/01/04 12/31,04 93.116 01~b~4 08/31~ 8m~93.268 07A)1/04 ~ 93.988 0~01~04 08/3 I~ 0~) iJ~4 0~/'31/~ ~t-*~ ~.~ l 91,523.00 0~ 91,,~23D0 240,383.00 0.~O 240,383.00 89,010.00 0.00 89,010.0O 149,797.00 0.G0 149,'N7.00 39,716.00 0X}0 39,716.00 ToIII~ $1 ~q~o'/.~ $ o.oo $1,m)6,0o7.0o *Federal fund~ ~ lmlk:~ by t number fnxu the C"' k,S of F,'a-,'al Dom~ic Am~mmo (C~'DA), ff .~{a. ~TO BI~XIET SI~TION OF ANY 72~0 AMOUNT A~'I'ACHM]~T POR DErAil -~ Co P e 2 ~ NO. 74450(}~741-2005 A'I'I'ACH1Mg:NT NO. 07B PURCHASE ORDER NO. O0OO3(}0752 PEB. F'OR_MING AGENCY: CORPUS CHR]S'I2-1'q'UF_L-'E~ CX3UN'I'Y PUBLIC ]-IRALT'rI OISTR~CT (crrY) RECEIVING AGENCY PROORAJVI: C'ObiWiUI'~FI'Y Pit. EPA.RI:~f~I',~I~..qS S]~-'I'ION TERM: Septm~ber01,2O04 THRU: August31,2005 It ,s m,m,,,Uy ~ by and betw _,~ the eoutn~d~ pm'tim to amend the eonditiom of Document No. 7460005741 2005 -07A aa written below. All other condiflom not hei'eby amended axe to ~-.main in full force and effect. SECTION L SCOPE OF WORK:, ia mvi~d to include time following: PER, POR.M ANI~. PERPORMINO A(]I]3VCY ~hall comple~ Ih~ ~RMANCE MI~UI~-~I ~ ~ in tho Revisions to FY2005 Local Public l-leal~ ~ Work Plnn, nmi as agreed upon by RECEIVINO AGENCY, and h~.by attnched as Exhibit B, An~mtmeut 1. In cases where both F. xhibit B nnd Exhibit B, Armmdm~t I contnin nctivifies mini tire,lines for time aame d~ivernble, the ~tivitiea and timeHnes ~ in Exl'dbit B, Amendment 1 supercede nmi ro[nm~ the ATI'ACIIMENT - Pag~ 1 DEPA~ OF 5'rATE I~ALTH SF_,RVICI~ DSHS DO/' NO. 74//)f~__741 200507B CH(3. 12 NEW O~ I~VI~D BIJDu~r (C) 5~97~0 To, Cml I~n'a Indirect t'lmrg,-., 0.00 0.00 0.00 TOTA]. $637245JX) -t~J~ .800JX) $863D45.00 PERFmOR MI~O AGENCY Pr~rsm Im~ ~a~ 0.~0 0~0 0~0 Otl~r Ma~ch 0.00 0.00 0.00 RECEIVING AGENCY SHARE PERI~3RMINO AGENCY SHARE D~tnil ,~n Inditer Corn $637245.00 $0.00 $0.00 Ra~ Typ~: R~ 0.(~ Bmse 50.00 Totil Bud~ J,m,lfic~ae: Imm:me is m todd am-vlam outlined in ~ FY O~ W~k ~ E~I~IMt B, ~ 1. * Fxlmpmem lin a DSHS DO{'. NO:. 7-,~00[~741 ATTACI-I~I~IT NO' 07 ]3 Chan~ No I~ ITEM DESCRll~ON NO.O~ UNfr UNn~ COST I 37,000.00 7~___m_ $ SOO_nO $ 1,ooo.oo 300.00 $ 1,OO0,(X) 1,000.00 10~___00 $ l_fl,~_s_~_O0 fqgq.(X) $ 625.00 1,200.00 $ 1,20000 3,f~O_._flO_ $ 2,flO0.O0 1,5'70.00 $ 6,28O.0O 14,763~0 $ 14,763.00 Items rrm) ~e brard mm~ if spe~f~4, or equivnlem.