HomeMy WebLinkAboutC2006-122 - 3/21/2006 - Approved
.
DEP,\RTMENT OF STATE HEALTH SERVICES
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756-3199
STYIT. OF TEXAS
DSHS Document No. 74600057412006
C01i\:TY OF TR AVIS
Contract Change Notice No. 09
rhe Department ot State Health ServLces. hereinafter referred to as RECEIVING AGENCY, did heretofore enter into a contract in
wnting WIth CORPUS CHRISTI-NUECES COUNTY PUBLIC HEALTH DISTRICT (CITY) hereinafter referred to as
PERFORMING AGENCY. The arties thereto now desire to amend such contract attachment(s) as follows:
SV'vfMARY OF TRANSACTION:
HT NO OhA' CPS-BIOTERRORISM PREPAREDNESS-LAB
"--___".' '_'_'__'__~__U'_'_'__" _ _.' .,~.__._._____.._._ ~.~~'__._____~_.__.~_
Al!!e!:.ms and condItIons not hereb~l1ended remaIn In full force and effect
EXH'UTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN.
CORPUS CHRIST I ( CITY OF I
Authonzed Contracting Entity \ type ahove if different
from PERFORMING AGENCY) for ,md in behalf of
PERFORMING AGENCY:
RECEIVING AGENCY:
CORPUS CHRISTI-NUECES COUNTY PUBLIC
HEAL TH DISTRICT (CITY)
DEPARTMENT OF STATE HEALTH SERVICES
B)
) \..-
-.., ----.--- -.',--- ----
f person authonzed to sign)
By
~
(Signature of person authorized to sign)
,-
I'lL
_'C~;zof 1.k J( tv ~<.~Ct~ I/YIWAj:'_i
(Name and Titlet
Date ~ /;/ \ i t ~.
...- -.----L-L=--.!..J____ _.___
Bob Burnette, Director
Client Services Contracting Unit
(Name and Title)
Date:
4-/1()/O~
REC()M~NDED )
By .#'i/U .-tt11 1\.. .iLip /tUII
{PERFORM NG AGENCY Director, ii~ifferent ., .~,
from person authorized to sign contract
:~ ';"",J. i
2006-122 I
03/21/06
Res026678
JC CSCU - Rev. 6/05
Kt ">.L~~J..~... AU I 1'1 Vl\I L\...
., COU"tll._~~.I1-(~~
A:L-
~E7in"A;V--(~
--
Cover Page 1
DSJIS
DETAILS OF ATTACHMENTS
~tU I DSHS Program ID/ Tt~rm I
\md DSHS Purchase -- +
'\0. I Order 'lumber Sepn I Fnd i Source oj '\mount
- -- .t---- -- ~...-- t---- ._~---~unds*-----
l)~ t?~~0~i0237?_ _~Oi~~li/05 ~~/-~~1~4~' l_l~___-+_____~09,52~00
02 : ,)IAB/CDSP ; 04/0 1/05 03/29/1)6 i tn 988 89,78200
__1000030467_~_ -- ---i---- - --------+- - ----+-------
~I )~~~ ~~~;~~~~_ _ _ t)9~) I /05 ~/~~(~_~~tate93 ,99~__l-----u~56,50~00
04 ! ;~~~{:,~l S I 0<)10 !fO:' 08/31106 State 93,268! 144,35000
-- 1.---- t- - -- - ... ,..--- -------+ ------
(.)'i I fBIPC I 1)9/0 1I0~ 08/31/1)6 State i 142,30700
~~ +!:0003094~4 __u_ +-_ __ ~ f-- _-;--_ _ _+
O_6~ 1:)?g~:~l-~fB __~)9~~1/05_~=-:_~1~~_~: 003 93:~~t __:50,00000
__ 07 _ i ~=~~6(8 ARD ; l~)fOI/OS_~~~~~~_~O 5~7 :~OO
DSHS Document No 7460005741 2006 Totals !
Change No. 09 i
Financial Assistance
Direct
Assistance
Total Amount
(DSHS Share)
$892,474.00
0,00 109,526.00
0.00 89,782.00
0.00 156,509.00
0.00 144,350.00
0.00 142,307.00
0.00 250,000.00
0.00 0.00
$ 0.00 $892,474.00
'Federai tunds are indIcated by a number from the Catalog of Federal Domestic Assistance (CFDA), if applicable. REFER TO
BUD(iFT SECTION OF ANY ZERO AMOUNT ATTACHMENT FOR DETAILS.
Cover Page 2
BEP A RTMENT OF ST ATE HEALTH SERVICES
RECEIVING AGENCY PROGRAM: COMMUNITY PREPAREDNESS SECTION
PERFORMING AGENCY CORPUS CHRISTI-NlJECES COUNTY PUBLIC HEALTH DISTRICT (CITY)
CONTRACT TERM: 09/01/05 THRU: OS/31/06 BUDGET PERIOD 09/01/05 THRU 08/31/06
DSHS Dele NO "'460005741 200606A CHG <19
REVISED CONTR!\CT Bl'DGFI
FINANCIAL ASSISTANCE
ClBJECT CLASS CATEGORIES CURRENT APPROVED CHANGE NEW OR REVISED
BUDGET (A) REQUESTED (B) BUDGET (C)
Personnel $40,000.00 $25,000.00 $65,000.00
----
Frmge Benefib 12,000.00 7,500.00 19,500.00
----.
rra\c! 11,000.00 3,300.00 14,300.00
--- -----.
L.qUJpmenl* 21,500.00 8,100.00 29,600.00
-.- --.---.-
SUPP! I"~ 27 .000.00 6,100.00 33,100.00
-.---- --- -- -
(-'{)ntra~-tdaj 0.00 0.00 0.00
----_._-
{ )rht', 88.500.00 0.00 88,500.00
i-------
1---- --- ....
rot<J! I )llect Chari!es $200,000.00 $50,000.00 $250,000.00
~-- -.--- ..-.
Indirect ('harges 0.00 0.00 0.00
f---- ---'-
TO f \: $200,000.00 $50,000.00 $250,000.00
~---
PER f.( )RMING AGFNC\ SHARF
1--.----.-
Pn \~Llm Income 0.00 0.00 0.00
~..._-----
()th,'! Match ~---_.. 0.00 0.00 0.00
------_. $250,000.00
RECEIVING AGENC'Y SHARE $200,000.00 $50,000.00
-----... $0.00
PERFORMING AGENCY SHARE $0.00 $0.00
Detail on Indired ("ost Rate Type
!
! Rate lO( Base $0.00 Total $0.00
.
,
Budget TustificatlilO Amendment is to add funds for work already Identified in the Scope of Work but not included in the original
hudger
Form No. GC-9 ECPS - Rev. 10/04
FinanCial status reports are due the 30th l ,f December, 30th of March. 30th of June, and the 30th of November.
" EqUipment list anached.
PFRFOR\-fING A( iENCY CORPU'-; CHRISTI-NlfECFS COUNTY PUBLIC HEALTH DISTRICT (CITY)
RECFl\ING AGENCY PROGRAM C< lMMUNITY PREPAREDNESS SECTION
DSHS DOC NO: 7--+60005741 2006
,\TTACHMENT NO 06 ,~
Change 'J"o 09
L-
ITEM
REVISED EQUIPMENT LIST
001
! DESCRIPTION -'
NO. OF UNIT EXTENSION
UNITS COST
- ..-+- ------
Clinical Microscope BX4 J TF plan achwmat 10 40, 50. loox objectives I 7,000.00 $ 7,000.00
! Leeds State Contract I yr warranty.
Class II Type A2 Biological Safety Cabinet Delta Purifier and stand. 1 7,000.00 $ 7,000.00
Labconco VWR 3 yr warranty --.-,---..-
- I
_. I Refrigerated Centrifuge, 120v, Eppendorf Model 5804R. 1 7,500,00 $ 7,500.00
.1 Refrigerator. Under-counter, 110 V, NTE 20 Cubic Liters 1 2,000.00 $ 2,000.00
~._-
i Freezer Upright, -20C, Manual Defrost. NTE .sO cubic liters. 1 2,000.00 $ 2,000.00
-+ . $
Laptop Dell Latitude 0410, Pentium M Processor 740. ] ,73 GHz; 12.1 in I 2,100.00 2,100,00
XGA Display, Windows Xl' Pmfessional. SP2. with media; 1.0 GB DDR2
533 MHz DSRAM. 2 DIMMS. enhanced multimedia keyboard, 80 GB Hard
Drive, 9 5 mm, 5400 RPM. Office Professional Edition 2003 with Adobe
Acrobat 6.2, 2-buthm Optical Mouse; Internal 56K modem; d-bay w/8X
DVD-RIM Drive ,^ith Cyberlink PowerDVD; Wireless 350 Bluetooth; 9-cell
extended lite pnmary battery; "' year limited ,^arranty plus 3 year NBD on-
.. ! site servIce; Intel PRO/wireless 2200 802.11 big WLAN miniPCI Card.
: Projector - Dell Digital Proiector - Model 2300 MP with remote. 1 2,000.00 $ 2,000.00
1----
. 002
r003
'----.
i 004*
005*
006*
~--
, 007*
TOTALS I $ 29,600.00
Items rnav be brand name. If speCified. o. equivalent
rhis Iransaction appr,.ves the changes to the equipment list marked WIth an asterisk (*)
EqUipment List Page I