Loading...
HomeMy WebLinkAboutC2005-476 - 8/30/2005 - ApprovedDEPA~ OF STATE HEALTH 8ERVICR8 1100 WEST 49TH ~ AUSTIN, TEXAS STALE OF I-E~,~.~ COUNTY OF TRAVIS No. 746000~141.~'m05 T~ ~ of ~ tlealth ~m. ~ ~'ermd m m RECEIVING AGENCY, did ~ ,~ ~ a ~ ~ wrying ~ CORPU~ CHimISTI-~ILq CO~ PuBm JC ~_4I.TH DI.~"IIIICT ¢CITY3 ~ mimnmd m ~ PERPORMIHG AGF_.NCY. SUMMARY OF TRANSACTION: A'l'r NO. 03B C'I~FI~ POR SERV.-FAMILY Pi~kNNII~ R~'med Contr~t'l'o~l: 31'/782.00 E~(BctfrED IN DUPLICATE ORIGINALS ON THE DATE~ SHOWN. Autho~ C--".~ult, I~.n,i,y (lype ~ if~ from PERFORMING AGENCY) f~r ami I~ behalf of: AGENCY: · gCEIV1NG AG~: COJPU8 ~.4MUECE8 CO~.'N'I'Y PUBLIC HEiI.'rH INSTRICT (CITY) frmu p~m,.m ,l~re~,~d to s~n coulter) O,-v For City ~dlnm~ DSHS Res026413 . DFTAII. S OF ATTACHMENTS DSH~ Documem No.7460005741A2{X~ '~,~00.00 0.00 22,5OO.O0 162,30~.00 0.00 162,_30~.00 317."/82.00 0.00 317,"/~L00 126,281.00 0.00 126,281.00 *F'ederal roads m~ indicamt tO- a -u-,hex from the ~ of ln,,a,~ l::k~nesttc ~ (CI~A), g apgiic~l~. RI~ER TO BUDGE? SECTION OF ANY ZERO AMOUNT A ~-I ACHMI~RT POR DETAILS. Page 2 DOCUMENT NO. 7460005741A-2005 A'I'FACHMENT NO. 03B PERFORMING AGENCY: CORPUS CHRISTI-NUECES COUNTY PUBLIC I-II?,ALTH DISTRICT (CITY) RECEIVING AGENCY PROGRAM: COMMUNITY HF. ALTH SERVIC'E~ SEC'TION TERM: SelXember 01, 2004 THRU: __Dee~_ her 31, 2005 It ia mutually ~ by and between the contracfin~ partita to ~ tbe condilio~a of Documem No. 7460005741A2005 -03A aa wrille~ below. All other oomllllona not ~ amended are to remain in full force and effect. SECTION I. SCOPE OF WORK ia rmd~l to inelud~ tbe following: PERFORMING AGENCY ahall perform no elective abortion p~uc~lurm, ahall with nor provid~ funda to any individual or emity for the performance of e~-tiv~ abortion& sad shall submit no claims to RECEIVING AGENCY for r~m~ of dir~t or Oncludin8 ovm~aead, r~nt, phones, and utilities) of abortion If PERFORMING AGENCY ~s affiliatod with ~n ~mtity that perfortna ale~dvo almrtima pro~dur~ or b~:omes affiliated with an ~tity that p~anna eloCdw abortim~ ~t any ~ during the t~,u, ofthia contract, PERFORMING &GENCY and its abortion-se~ces ~ must be legally separate corl~L~ons, with ~ srticlm of ~tlon stat separ~o bylaws. If PERFORMING AGENCY is a State or ~ governmental entity, thc aberfion-mxvice~ afflli~ mu~ be · l~gally PERFORMING AGENCY ,ma its abortion-aervices ~ mu~t hav~ easily diatinsui~hablo nmnea. PERFORMING AGENCY and it~ aborfion-~c~ ~ ma~t hav~ aepar~__-, board~ of' direc~ or I~veming bedies which m~t ~aarat~y and maimain separme m:ords. PERFORMING AGENCY may not tnm~r ~ny funda di~a'~ nnr~ RECEIVING AGENCY' S~ B.1.3 to Jla ab~rtion-aervi~ affzliat~ PERFORMING AGENCY mu~ assu~ that its affili~-~ e~tity apportions fair value for ~ny slun'~d expezm~ or ooam (including ovmimad, ~ accounting principles. A~ACHML:~IT-~I PEPd:ORMING AGENCT sfiall amn~ that any person employ~l pm't- time by PERFORMING AGRNCY and by itn alaorti~ ~ shall contemporaneously maintain accurate tirrm rts:orda. ~i,~i~r to ~ records maintained by attorneys, though not nn::e~u~'ily by menna of an .momafic recording device such as a *time clock", tim clearly r~flect I~ work l~d'ormed for each employc"r. IfPERFORMING AGENCY tnd ita abortion-nervices n:ffxliate am kw. gt~l at the same physical location, PERFORMING AGENCY nhall ~ that the existence and separate natt~ of the ~ffiliate relationship is ¢legrly reflected by atapro~nte sign~e in areas ~ccesm~ole to tl~ Imblic. PERFORMING AGENCY and ira abortion-services ~ nmnt emah maintain records adequate to ~ c,,~,liance with th~ Eoregoing requirements SECTION II. SPECIAL PROVISIONS is t~-vined to include the following: RECEIVING AGENCY shall include in any financial audits of s~e funds receiv~l by PERFORMING AGENCY under thi. a~[~e,l~m~ a review m enm~ compliance wi~ requirernems of Department ofSl.t~ Henlth ,~vieea Rid~' 30, ~ ~A~ I egislalure Gcuexnl Provisionn. Child Abuse ~ Req~ts AFficle, fxrst Jcntnx~ in nsplnc~ i~ its entirety: PERFORMING AGENCY is requk~ to COu~,ly with this m~dele only ns r~st,nd to servic~ provided under the followinE Attnchment~: Human Immuno~ficimey Virus and Sexually Trans~tted Diseasc~ (all direct elie~t care services for HIV and otl~r s=a~lly transmitted d~r~nes f-traded under the Rynn White CARE Act Title ll or gmeral rm,~nn~), T'~.~ V Fnmily PlmzninE (CHS/FEE-FP), Title X F~mily Planning (CHS, rlTYI.~ X). Title XX F~y plnnning (CHS~I'FL.XX), Primary Health Ca~ (CHS/PHC), Title V Mntn-nnl nnd Ctfild Henllh {CHS/I~.~). Special Supplemental Nutrition Pro~um f~ Women, ~ smd Childxm {NSS.'WlC-CARD), and the Services Delivm-y Integratio~ project (SDI/FF~). Germ~ Provisions. Terms and Condiflo~ of Payment Article, is ~ to inglud~ th~ following: Funds made available in the initial cc~,tt~-'t term of Selmanber 1, 2004 I.h, uagh Angnst 31, 2005 must be used for servicea performed on or a/ret September 1, 2004 through ~ 31, 2005. Any fund~ ttmt are not expemted for i~rvice~ performed during ttmt period m'e not nvail~le ilar services performed afmr August 3 I, 2005. PERFORMING AOEN~ shall subr~ ail claims and st]~porl~r~ chacumenlmion for cl~_~ of sa~rice between S~ptnnlxr l, 2004 and August 31, 2~J5 to RECEIVING AGEN~ no later thnn C~ber 15, 2005. ATTACHMENT Pag~ 2 l-umts made avail,Sic by this contract amendm{mt for tile i}~riod of l~mlb~ 1,200~ ~ December ~ 1. 2005 must be ~ for servicm pwform~ on or stb:r S~:pt~nl~r 1,200~ tlmmgh D~--exnb~ 31, 2~5. Any ftmda that ,u ~ not m:l~mded for aervie~ i~q-m'm~ d~iug tl~t ~ arc nol available. PERFORMING AGENCY shall ~uu~it all ¢li~u~ and ~pportiag clocumentanon for 6~t~ of ~erviee between Septeml~x 1, 2005 ~xi El~n~ttmr 31. 2005 RECEIVING AGENCY no liner tlum February 28. 2006. S[-CTION Ill. BUDGET: PERFORMII~IG AGENCY r, hall adhere to tho currmt ~ of allowable aanticm ~nd mm aa referenced in SECTION II. SPECIAL PROVISIONS, aa ~mencl~ and aplaxnn~l by th~ RECEI%'ING AGENCY. Totl i~ym~m~ will not excc~l $317,782.00. 3