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