HomeMy WebLinkAboutC2006-419 - 9/12/2006 - Approved
CONTRACT
Cover Sheet)
nTlE OF (,ONTRACl
::;ONTRAC~' "JO
:ommu!1!ty r outh Development
~YD 2007,~
This contract ('Contract') is Eontered Into by the City ;)f Corpus Christi ("City" or "Fiscal Agent") and
the folowing named Subcontractor
CITY
Cit\, of Corpus 'hnsti
P Box 92T
Corpus Chnstl, ~'X 78469-927
Telephone (361) 826,3466
FA,x (361 826,,3864
Contact Person Reba George
SUBCONTRACTOR:
Planned Parenthood of South Texas, Inc,
3536 Holly Rd,
Corpus Christi, TX 78415
Telephone (361) 361-855-9107
FAX (361) 361-855-6822
Contact Person: Amanda Stukenberg
Subcontractor agrees '0 provde services n, accordance With the provisions of this Contract and under
the Community Youth Development Program ("CYD') funded by the Texas Department of Family and
Protective Services f'DFPS'" ThiS C )ntract consists of the following attached documents which are
incorporated herein by refere'lce
Contract (Cover Sheet)
Pertormance Measures (Attachmenl ,A-1)
Statement of Work (Attachment A-2)
Budget, Reimbursement Request Form & Budget Narrative (Attachments B-1, B-2, and B-3)
Standard Terms and '::;onditions (Attachment C)
Subcontractor A.ssurances with Certification (Attachment D)
Certification Regarding Debarment (Attachment E)
Certification Regardirg Federal Lobbying (Attachment F)
Subcontractor agrees to abide by all terms and conditions specified herein, and it certifies that the
Information provided to the City IS true and correct In all respects to the best of its knowledge,
information and belle.
The 4tb'igations of the City of Corpus Chr\sti under this Contract are expressly contingent upon the
availability of funds for such purpose under the funding sources
CONTRA(::T PERIOD I=rom September 1 2006 Through: August 31, 2007
FUNDING OBLlGA nON
Not to exceed $ 29,713.00 for FY 2007 for Contract Period
stated above,
Exeouted in triplicate eact> of which recognized as an original.
i~ TTEST
ArmllndOCh~~
City Secretary
~:Chri~i
e e K Noe
, City Manager
a _':-"~ )
Legal form approved ._,_-L,,~ __ 2006
By
Name' (:,.~\
Title:
"ft =. -lrJ W..-t5I~AU I ~II'I".
Davie C' ':'urtls 1 t .J)
Serl!or il.Ss,,,tarr c:'tJtGlltCIL ~ i J ~ f QL
'--. At ."
sfii;.T~~~iV
Subcontractor:
Planned Parenthood of South Texas, Inc.
By t\(\\.(~,~ ('~">\'-\...:.~:~ \ -
Name ,', \ \ (\ ,.
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Title: (' ><.c
Date: r; \.:
2006-419
09/12/06
M2006-283
Planned Parenthood of So. Texas
Approved is rc ~,rm
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78415 COMMUNITY YOUTH DEVELOPMENT PROGRAM
Planned Parenthood of South Texas
TABLE OF CONTENTS
Contract Cover Sheel
Page No.
Table of Contents
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Contracted Performance Measures (Attachment A-I)
. . . .. .. . . . . . .. . . . . . . . . .. 1
Statement of Work (Attachment A-2)..
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Budget Information Forms (Attachment B-1 )
.........................14
Reimbursement Request Form (Attachment B-2)
. ............................ 21
Budget Narrative (Attachment B-3)
. ................................22
Standard Terms and Conditions (Attachment C)
Sections
(.
23
24
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Legal Authority
Independent Contractor
Financial LImitation
Liability for Payment
Changes and Amendments
Accounting Requirements
Record Keeping/Reporting Requirements
Subcontracting
Publicity
Technical Assistance
Monitoring and Assessment
Property
Year 2000 Compliance
Taxt's
Disputes
Independent Audit
Prevention of Conflicting Interests
Fraud and Abuse Prevention
Indemnification
Sectarian Involvement Prohibited
Political Activity/Lobbying
Non-Discrimination and Equal Opportunity
Health and Safety Standards
Insurance
.;
x
('
\0
II
;~
I'::'
13
14
15
16
7
18
19
20
21
22
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2:;
26
,~7
28
29
Debarment and Suspension
Notice and Assistance Regarding Patent and Copyright Infringement
Disclosure of Confidential Information
Communications
General Standards of Performance
EntIre Agreement
Contmgent on Funding
Trainer Qualifications
Termination
Foree Majeure
,0
:; I
Q
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,4
Subcontractor Assurances with Certification (Attachment D)
Certification Regarding Debarment (Attachment E)
Certification Regarding Federal Lobbying (Attachment F)
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Attachment A-1
Planned Parenthood
CONTRACTED PERFORMANCE MEASURES
( Community Youth Development Program Contracts)
Performance measures typically include outputs and outcomes. Output measures
demonstrate performance m terms of the quantity or volume of services provided, for
example the number of clients served, number and types of services, etc. Outcome
measures demonstrate performance in terms of the quality and impact of services and
whether or not they have met intended goals/objectives. Outcomes relate to behavior,
skills, knowledge. attitudes. values, etc
fhe CIty of Corpus Christl will contract with Service Providers to meet the following
performance measures for contract period, September 1, 2006 thru August 31, 2007.
Output #1: Number of youth served
Indicator: Number of unduplicated registered youth served during the contract
period as reported through participation data entered into the Prevention and Early
Intervention Servi ces database, which wi II be September 1, 2006 through August 3 1,
2007 for the initial contract penod as established through this RFP. Unduplicated
means partIcipants will be counted once only during the contract period to determine
this output regardless of the number of programs in which they participate or the
number of times they attend each program. A youth is counted the first time s/he
receives a service during the contract period Any participant who was registered and
counted in previous years must be counted again when s/he receives her/his first
service during the new contract period.
Target: 350 YOUV1/ 7S adults
"'ote: If adults wi 1I be served, a separate output measure will be included in the
contract for those participants
Output #2: Timely submission of Billings and Monthly Reports
Indicator: Percent of monthly billings and reports submitted within 7 days after the
close of a month of service
Target: 9()(}/o
Output #3: Youth served under the age of 10 years.
Indicator: Percent of youth under the age of 10 years served does not exceed the
contracted percentage cap fhis cap must be met each month by each individual
service If the cap is exceeded. those youth may be considered ineligible and costs
may be disallowed
Target: 2~%
Output #4: Participants involved in mentoring services
Indicator: Percent of youth involved in mentoring services are within the targeted
grades (4th 8th)
Target: 90%
Output #5: Completed Asset Survey
Indicator: Percent of youth registered by a service provider that complete an initial
(pre) asset survey and a follow-up (post) asset survey. Only those youth who are
mitially registered by a provider will be included in the calculation for this output.
Youth served by a provider. but whom another provider initially registered for the
CYD program. will not be included in the calculation for this output.
Target: 800/0
Output #6: Completed Satisfaction Questions
Indicator: Percent of CYO youth that complete the five satisfaction questions at the
end of the follow-up (post) asset survey Note that the follow-up survey, and not the
mitial asset survev. contains the satisfaction questions.
Target: 50%
Outcome #1: CY D youth have increased assets
Indicator: Average increase in the absolute number of assets for youth receiving
CYD services. Data collected from Protective Factor Surveys (see Output #4) will be
used to calculate this outcome The initial (pre) Protective Factor survey, to be
completed by youth at the beginning of the contract period or when services are
initiated. will be compared to the follow-up (post) Protective Factor survey. Follow-
up (post) Protective Factor surveys will be completed Follow-up (post) Protective
Factor surveys will be completed between 15 days prior to and 15 days after the four
month anmversarv of the youth having completed the initial asset inventory or when
the youth leaves the program, whichever comes first
Target: Minimum net 10% increase in youth protective factors.
Outcome #2: CYD Participants Perceive Services as Effective
Indicator: Percent of youth that report eYD services had a positive impact. For
youth that participate in multiple services, one survey should be completed
corresponding to the first program service in which they participated.
Target: 80%
Outcome #3: Non-referred CYD youth
Indicator: Percent of CYD youth report not referred to juvenile probation.
Target: 95%
Note: Performance measures, mdicators and targets are set at the discretion of
DFPS and may be changed at at~V time, hut will not be changed without due notice to
Fiscal Agents.
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Attachment A-2
STATEMENT OF WORK
Sabcontractor
Planned Parenthood of South Texas
Program Name:
Youth Responsibility Program
I. SERVICES TO BE PROVIDED
1) Describe the service to be provided in detail:
Planned Parenthood of South Texas (PPST) will provide education, mentoring and
recreational activities for 350 youth aged 10- 1 7 with a goal of improving life skills and
reducing juvenile violence The programs would be offered at the agency's two offices, 3536
Holly Road, Corpus Christi, Texas 784 15 and 44 I 0 Dillon Lane, Suite 1, Corpus Christi,
Texas 7841 5, and at elementary, middle and high schools within 78415. All programs would
be voluntary The programs would be provided one on one or in small groups of 15 or less.
Five strategies would be offered.
Young Men United rhe Young Men United (YMU) project uses the Stay SMART, SMART
Leaders model program to provide before and after school activities, support group, and life
skills training for young males at elementary (fifth grade) and middle schools in the 78415 zip
code The programs are held on the school campuses, and are limited to approximately 15
YOllth per site The curriculum includes a broad spectrum of social and personal competence
skills to help youths identity and resist peer and social pressures to smoke, drink, and engage
in sexual activity The program includes information, discussion and activities to improve
youth's skills in goal setting, decision making, communication, assertiveness and refusal skills,
budgeting and planning for employment/college, and building healthy relationships. Topics
covered will include taking responsibility for one's actions, peer pressure, bullying, hazing,
harassment, coercion, date rape, smoking, alcohol and drug abuse. Health issues covered will
include prevention of teen pregnancy, obesity, diabetes, handling stress, coping with change,
self-image and self-improvement t\ctivities will include field trips, parent-child events,
community service, and graduation recognition
SheIhing The She Thing project will provide before and after school life skills training,
support group, and activities for female adolescents at elementary (fifth grade) and middle
schools in the 78415 ;:ip code The program uses Stay SMART, an "Effective" evidence-
based comprehensive drug and sexual activity prevention program. In addition to Stay
SMART, the program draws from Girls' Circle, a "Promising" Model program addressing the
specialized needs of girls ages 9- 18 that integrates relational-cultural theory (ReT), resiliency
practices and skills training to increase personal and collective strengths and competence in
girls The Texas Network of Youth Services Model Program report, March 26,2006 by
Marla Miller lists Girls' Circle as a HAY evidence-based model out-of-school program. The
ten week curriculum-based program includes a broad spectrum of social and personal
competence skills to help girls identify and resist peer and social pressures to smoke, drink,
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and engage In sexual activity. The program includes information, discussion and activities to
improve skills in goal setting, decisIOn making, communication, assertiveness and refusal
skills. budgeting and planning for employment/college, and building healthy relationships.
ActIvities include group discussion and role playing Gender-specific themes and topics are
introduced that relate to the girls' lives, such as body image, goals, sexuality, drugs, alcohol,
tobacco, competition. decision-making, friendships, and trusting oneself Topics covered will
include taking responsibility for one" s actions, peer pressure, bullying, hazing, harassment,
fighting, coerCIOn, dale rape, smoking, alcohol and drug abuse Health issues covered will
include prevention of teen pregnancy, obesity, diabetes, handling stress, and coping with
change. Activities will include field trips, parent-child events, community service and
graduation recognition
Teen Talk: The Teen Talk program uses the SMART Leaders and Girl's Circle programs
referenced above at the high school level, providing weekly after school or lunch time
programs on campus for students at Carroll and Ray High Schools. The ten week curriculum-
based program includes a broad spectrum of social and personal competence skills to help
male and female adolescents identify and resist peer and social pressures to smoke, drink, or
engage in delinquent behaviors or sexual activity The program includes information,
discussion and activitIes. The program improves youth skills in goal setting, decision making,
communication skills. assertiveness and refusal skills, budgeting and planning for
employment/college, building healthy relationships, peer pressure, coercion, bullying, hazing,
harassment, fighting, date rape, smoking, alcohol and drug abuse. The program specifically
focuses on preventing teen dating violence, encourages taking responsibility for one's actions,
paternity laws, and child support/costs of childraising. The program also focuses on male
responsibility in reducing violence and sexual activity. Health issues covered will include
prevention of teen pregnancy, obeSIty, diabetes, handling stress, coping with change, self-
image and self-improvement. "-ctivities will include field trips, parent-child events,
community service and graduation recognition
Baby Think It Over: The Baby Think It Over (BTO) is an infant simulation program that
modifies attitudes towards teen pregnancy and parenting. The program consists of 62 hours
of "child care" using a computerized doll, two hours of training and parent/child orientation,
two budgeting exercises, pre and post tests, and written feedback. The program has been
evaluated and lts effectiveness reported in Adolescence, Fall, 2004, "BTIO is an intelligent
simulation that assesses student behavior, diagnoses problem-solving performance, and
remediates performance deficienCIes Students who use the infant enter a structured, model-
based reality in a setting designed to elicit specific, appropriate behaviors. As a training
strategy, it allows students to practIce effective behaviors and learn from errors." Adolescents
enroll in the Baby Think It Over for the weekend The program is designed to require family
involvement, but only the youth participant can care for the "infant". Participants and their
parents receive an orientation on household budgeting, child abuse, domestic violence, and
positive parenting skills. From Friday evening through Monday morning, the youth take home
a Baby Think It Over doll which is programmed to cry when it needs to be cuddled or fed or if
mishandled, shaken, abused The BTO doll is equipped with a computer that gives a read-outwat the end of the "parenting weekend" on how often the infant cried, the length of time it
cried. and whether it was shaken or abused Special emphasis is placed on raising awareness
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of "Shaken Baby Syndrome" (SBS) In addition to learning the physical demands of caring
for an "infant. ,- youth must complete two budgets one of general household expenses and
one for baby expense~ They keep a diary of the weekend, write a one page feedback form
about what they learned from the experience, and participate in a one-on-one feedback session
with our educators to give closure to the experience_ A parent must participate in the initial
orientation and parents are asked to complete a feedback form at the end of the weekend.
The "parenting experience" is used by both parents and by PPST educators to help teens
explore their goals. including finishing school, college, job training, and becoming financially
independent The program also explores how well the teen tolerated the frustrations of
parenting, and helps the teen set a goal for avoiding those behaviors that lead to early
parenting
Studies show that In addition to increasing knowledge about parenting and parenting skills and
raising awareness of most teens' unrealistic expectations about their ability to parent, the
program reduced students' belief in the need for corporal punishment (Roberts et al, 2004).
"Teaching students parenting skills may be the most cost-effective way to reduce violent and
abusive behaviors and prevent the transfer of violent behaviors from generation to
generation" The program also increased empathy for the child's needs, and participants
demonstrated increased knowledge in more effective and human ways to discipline a child.
In addition to providing the BTO program at its two locations, Planned Parenthood's Baby
Think It Over dolls are available on loan to school counselors and teachers in the 78415 area
to use with their students. in order to maximize the number of youth who have access to the
experience
Health Literacv, This program is designed to reduce juvenile crime by presenting at-risk
behaviors from a health perspective. with a goal of empowering youth to choose healthier
lifestyles that reduces their participation in at-risk behaviors and also increases protective
factors to avoid victimization The program IS provided to youth on a one-on-one basis.
Each participant receives an orientation session in the agency library with an educator to
discuss at-risk behaviors_ Based on the teen's history or interest, the teen and educator then
select up to 20 pamphlets approved by the Community Education Committee. The topics
covered include smoking, chewing tobacco, smoking and sports, drug abuse, prescription
drug abuse, steroid abuse, alcohol abuse, drinking and driving, drinking and HIV, bullying,
hazmg, harassment. coercion and emotional abuse, date rape, date rape drugs, STDs and HIV,
domestic violence, and fighting, along with positive information on communication skills, goal
setting. decision making, building healthy relationships with peers and parents, and refusal
skills After reading and studying the information, the adolescent provides written narrative
feedback (minimum one full page per pamphlet) about what the pamphlet is about, what
audience it would be appropriate for, how it should be used, and what its message means to
them. After completing the written assignment, they meet with an educator to review what
they have learned and discuss the Implications of the risk behaviors studied. Strategies for
avoiding at-risk situations are reviewed_ Participants may work at the agency, or take the
pamphlets home with them
The Health Literacy is recognized by the Agency for Healthcare Research and Quality as an
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eVIdence-based program that improves the participant's ability to read, understand and act on
information about delinquent or at-risk behaviors that have health consequences, with
particular emphasis on self-efficacy and motivation. Violence including harassment, date rape,
bullying, coercion, hazing, emotional and physical abuse, drug, alcohol and tobacco use are
viewed in this context not just as delinquency issues, but as public health issues. The project
IS also draws on a SAMHSA Effective Program called Message Framing which shows that
communication that emphasizes the benefits of adopting healthier behaviors (gain-frames) that
avoid risk are more effective than those that emphasize the costs of not adopting those
behaviors (loss-trames). Gain-framed interventions are better accepted by participants both
immediately and in longitudinal studies. (http.//modelprograms.samhsa.gov/templatecfcfin)th
immediately and in longitudinal studies. s that avoid risk are more effective
2) Lo~ation where services will beJ2[9yided.
The two PPST service sites are 3536 Holly Road, Corpus Christi, Texas 78415 (at the comer
of Carrot] Lane and Holly) and 441 0 Dillon Lane, Suite 1, Corpus Christi, Texas 78415 (in the
Commerce II office park where Ayers and Port divide, across from the Department of Human
Services office and behind the Juvenile Justice Center on GolIihar). The Ayers (Dillon) site is
centrally located, accessible by bus because there is a large bus transfer station at the entrance
to our parking lot, and provides easy access, and the Holly location is accessible by bus and
will serve youth in that segment of 78415. Both locations have libraries open to the public
and areas where youth can participate in Baby Think It Over and Health Literacy programs
and be supervised. Both sites have computer kiosks available to youth so they can research
health Issues on the \\ieb. In addition, the Teen Talk, Young Men United, and She Thing
Programs will be offered at Carroll High School (Weber Road, 78415), Ray High School
(1002 Texan Trail 78411). South Park Middle School (3001 McArdle 78415), Baker Middle
School 3445 Pecan (78411), and Kostoryz (3602 Panama 78415) and Central Park (3602
McCardle 78415) elementary schools
a) lJwore than one jocatiQ1Li~ utili...zed, list oiher Iocations here: See question #2 above.
3) InQlusive datesof Service: From September L 2006 to August 31, 2007
4) Days and Hours of provided seryj~_es
The Teen Talk YMU and She rhing programs are offered at school sites before and after school,
providing participants with safe and accessible activities. The Baby Think It Over activities are
offered from Friday afternoon through Monday morning. The Health Literacy activities are
offered after school, on the weekends and over school vacations, giving youth access to
information and programs at times when they might otherwise be unsupervised. Both PPST
office sites are open year round The Holly office is open 8:30-5 Monday through Friday, and
8:30-700 p.m. on Thursdays. The Dillon office is open 830-5 on Monday, 8:30-8 on Tuesdays,
8:30-7-00 on Thursday, and 8:30-5 on Wednesdays and Fridays. By providing the Baby Think It
Over project as a weekend experience that they complete at home with their parents, the program
provides activities for youth on Saturdays and Sundays. The health literacy activities can be
completed at the office or taken home. allowing youth to work on their projects both onsite or at
home throughout the week
I.
5) Number of un duplicated youth toJ)_~$erved/adults to_be served (if applicable): 350 youth/75
adult~
6 ) Describe the target population. to be served. Youth ages 10 -- I 7 years of age.
7) Describe how this service meets evidence-based requirements as defined in the cm RFP-
Addendum. released 05/19/2006
a. The Young Men United proiect uses the Stay SMART and SMART Leaders model
program (based on age of participants) rated "Effective" by the OJJDP Model Programs
Guide for Delinquency: Prevention It is an after schooVrecreation program that focuses on
conflict resolution and interpersonal skills for ages 13 -17. The risk factors it addresses are
antI-social behavior and alienation; delinquent beliefs; general delinquency involvement and
drug dealing, favorable attitude towards early use of alcohol or drug use and early sexual
involvement It follows the OJJDP Model Program Guides for after schooVrecreation and for
leadership and youth development programs and the HAY Model Guide for Extended-Service
Schools Initiative
b. TheShe ThIng proJect also uses the Stay SMART and SMART Leaders model program
rate~"Effective" by OJJDP but also draws on Girls' Circle. a HAY evidence-based model
program rated "promising" that integrates relational-cultural theory, resiliency practices and
skills training to increase personal and collectIVe strengths and competence in girls. The
theoretical underpinning of Girls' Circle and the She Thing Program is that a girl's
connections with others is a central organizing feature in her psychological makeup. The
quality of these connections detennines her overall psychological health, self-image and
relationships Within this framework, the model aims to reduce risk factors for delinquent
behavior and increase protective factors for resiliency It follows the OJJDP Model Program
GUides for after school/recreation and for leadership and youth development programs and the
HA Y Model Guide for Extended-Service Schools Initiative.
c. The Teen Talk program is the name used for the Young Men United and She Thing
proiects offered at the high school level. It uses the SMART Leaders program rated by
OJJDP as "Effective" and also draws on the Girls' Circle program rated "promising" by HAY.
Researched & Compiled by TNOYS March 26, 2006). The Teen Talk program follows the
OJJDP Model Programs Guide for after school/recreation and youth leadership and develop
programs and the HA Y Model Guide for Extended-Service Schools Initiative.
d. I'he Baby Think It Over program has been evaluated and studies demonstrating its
effectiveness published in Adolescense.Fall. 2001. Childhood ~aucation. Winter 2004/2005.
and Adolescensu'all, 2004. and Public Health Nurs. 2004 Julv-Aug(4)331-7 Studies
concluded that the program is an effective tool for changing attitudes towards early parenting.
Sixty-eight percent of students stated program helped them realize how unrealistic their
expectations about their abilities to parent had been. Students showed strong increase in
knowledge about parenting skills. The program reduced students' belief in corporal
punishment--a key to reducing Shaken Baby Syndrome and other child abuse problems. The
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simulated experiences are a powerful strategy for effective learning about complex decisions
regarding the risks of sexual activity and realities of parenting
e. The Health ~lteracy program is recognized by the Agency for Healthcare Research and
Quality as an evidence-based program that improves the participant's ability to understand and
act on information about at-risk behaviors that have health consequences. with particular
emphasis on self-efficacy and motivation for behavior change.. The project also draws on the
SAMHSA Model Program "Message Framing" which has been proven effective in reducing
at-risk behaviors.
8) Describe each goal of the service and/or program. including the impact on juvenile crime:
I) Participants 'Will demonstrate a 30% increase in knowledge and awareness of the factors
leading to and risks of coercion, abusive relationships, sexual assault, date rape drugs, and the
relationship between alcohol & drug abuse and at-risk behavior using post evaluation tools.
2) Participants will demonstrate a 30% increase in awareness of the responsibilities of
parenting, including the time and money involved in caring for an infant (household budgeting
skills), and the benefits of preventing teen pregnancy. The assessment tools used to measure
these outcomes include a pre and post test, a parenting contract, a dairy of parenting
actIvities, written feedback (narrative) by participants about the topics, completion of a
monthly household budget and Baby's monthly budget worksheet, and a parent evaluation.
Prevention approaches that educate youth about a broad spectrum of positive behaviors
(based on developmental assets) offer opportunities for protection. The Young Men United,
She Thing and Teen Talk programs are OJJDP Model Programs which provide leadership and
youth development and after school recreation programs that will reduce or prevent the
impact of juvenile crime by helping youth develop competencies that improve their ability to
be productive at tasks and activities that others value They will improve students' social
skills and self confidence and sense of personal control. give them higher aspirations, improve
school attendance ane1 reduce dropout rates, prevent negative influences that lead to risky
behaviors. all of which reduces or prevents involvement in risky behaviors, such as drug use,
delinquency and violent victimization The programs will provide adolescents with
information on the physical, emotional and legal consequences of at-risk behaviors, help them
develop interpersonal skills, and offer them support group and access to young adult role
models The programs provide before and after school activities in safe environments that will
encourage responsibk behavior. A special focus is placed on reducing domestic and partner
violence. The program helps young girls and young men identify factors in unhealthy
relationships that lead to coercion, emotional and physical abuse, avoid dangerous dating
situations that lead to date rape, and develop skills that result In reduced incidence of violence,
teen pregnancy 0 alcohol and dmg abuse, and other behaviors that lead to dropping out of
school
The Baby Think It Over program helps teen understand the consequences of risky behavior
that leads to teen pregnancy, encourages positive parenting skills, and helps students
recognize how child abuse, neglect and "shaken baby syndrome" can occur. The BTO
program also helps young people understand how much money they will need to manage a
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household, encouraging them to stay in school and avoid dropping out, which helps prevent a
range of juvenile crime Youth who remain in school are less likely to become victims or
perpetrators of juvenile crime
The Health Literacy program gives youth basic information on a wide range of positive
behaviors that reduce risk, along with one-on-one discussion of skills to avoid and/or cope
with at -risk situations or problems It includes information on smoking, drugs, and alcohol
abuse, hazing, bullying, coercion, stereotyping, rape, date rape, date rape drugs, healthy
relationships, obesity, diabetes, teen pregnancy, STDs and illV. By engaging each
participant in first written feedback on the risks, and then in one-on-one verbal feedback, the
program will assist each adolescent in recognizing their individual exposure to the at-risk
behavIOrs which result in juvenile crime, and m making better lifestyle choices based on health
and empowerment
9) How.will this s~rvice be available to families without transportation:
The Ayers (Dillon) site is centrally located, accessible by bus because there is a large bus
transfer station at the entrance to our parking lot, and provides easy access. The Ayers
(Dillon) location will draw youth from across the 78415 area The Holly location is not easily
accessible by bus, but will serve youth in that segment of 7841 5.
10) Describe the "safe passage" plan for youth/families without transportation:
Youth will arrive safely at proposed service sites by bus or car at the Holly Lane Office or by
bus or car at the Dillon Lane Office For Young Men United, She Thing or Teen Talk
programs which are held before school, during lunch hours, or after school, participants will
already be on campus. where they will be supervised by PPST educators until they are picked
up by a parent or designated person Off site field trips and activities will be provided only
with parental participation, with parents providing transportation. In the Baby Think It Over
project, parents and youth must attend the orientation meeting together, so the parent is
responsible for transportation.
11) Staffing: Describe the staffing planJor. FY07. including staff supervision and support and how
adequate staffing in the case of vacancies or extended absences will be ensured:
Staff and volunteers for the program will be recruited, screened and hired by the Executive
Director who has 14 years of experience in hiring and supervising staff. All staff complete a
criminal background check and criminal history affidavits and are then screened for criminal
background checks, which are renewed every two years All references will be contacted, and
no staff person is left alone to supervise a minor without other adults present. Volunteers are
held to the same standards as paid staff All staff and volunteers are evaluated after a three
month probationary period, and then annually
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n. CYD CLIENT REGISTRATION AND TRACKING SERVICES
a) ~ ('onsentForm must be explained to every individual participating in every CYD Program.
fhis form authorizes participation in CYD Programs and allows the Fiscal Agent,
subcontractor(s), TDFPS, and the state agency responsible for evaluating the Community
Youth Development Program to use the information provided by the participants for
evaluation purposes
b) A Registration Form must be completed for every individual participating in any CYD
Program for each fiscal year. The Registration Forms must be submitted monthly to the
Fiscal Agent with the monthly billing.
c) ~ Monthly Participant Summary Sheet must be completed for every participant receiving
services(s) on a monthly basis. The Monthly Participant Summary Sheet must be submitted
monthly to the Fiscal Agent with the monthly billing.
Registration forms and Monthly Participant Summary Sheets must be submitted for each
menth for which the subcontractor(s) request reimbursement for service/program costs.
III. DOCUMENT A TION OF SERVICES
Documentation of all services provided to each Community Youth Development participant must
be maintained All of the services listed on a Monthly Participant Summary Sheet must be
documented
IV. BILLING REQUIREMENTS
The Subcontractor will submit monthly billings specifying the costs incurred for each month of
service to the City representative listed belo\\;
Parks & Recreation Department
A TTN: CYD Project Coordinator
City of Corpus Christi
P O. Box 9277
Corpus Christi, Texas 78469-9277
The monthly billing will consist of the following documents:
a. Budget Information Summary and Reimbursement Request.
b. Copies of invoices and bills
c. Monthly Participant Summary Sheet.
d. Registration/Consent Form (to include accurate and complete information prior to submitting
to the Fiscal Agent)
e. Any Change ofInfonnation to participants registration/consent form
- I 1 -
....."... ,,""'.
Subcontractor \NiB adhere to the following billing schedule
i --_.,.~.- .---.-.....-..-.-....-...'--. ----.-"--.. '~'-'---,...---
EXPENDITURES THROUGH I MONTHLY BILLING DUE DATE
I
j September 30, 2006 October 7, 2006
I I
! ----"-- _.----- -...,-.--,-- I
i October 31, 2006 November 7, 2006
I -.....,,-.---.----.-.-.-"-- ,,-----,_..__._.._~-_.,.~ i
I November 30, 2006 i December 7, 2006
I
I December 3 \, 2006 I January 7, 2007
,.._-,---,..._._._- .._~~._-_.,_._._-,._.._.-
I January 3\, 2007 I February 7, 2007
f---...,."----.-.--- -.------ -.--,--"".
I
I February 28, 2007 i March 7, 2007
I I
I -.-----..-..-.-. -._--._..-_._----
I
I March 3 \, 2007 I April 7, 2007
........n.__'_""~,_.,.~,._. ..._.,~__._.. ~_._____ '_'~_'__"_ ._
i April 30. 2007 I May 7, 2007
I
~-~~--~-~--- ~"'- i
May 3 \, 2007 I June 7, 2007
-'-'~'-'-'---"'-"'-'-" -,--..---.-..-.-
,
I June 30, 2007 I July 7, 2007
-,"-~--"-""--""-"-'--"- .-.----.--.---- "" i
I
i July 31, 2007 August 7, 2007
I
I --..-....-....-.--.-.-- I
i August September
I 31, 2007 .__L 7, 2007
-_._.~-_._--_._-- ..-..-'.- ..,--.------ - ----
V. EXPENDITURE SCHEDULE
Subcontractor agrees that if funds are not expended in accordance with Schedule A -
Suhco/ltractor Estimate of FY 2006-2007 Expenditures by June 30,2007, Subcontractor will lose
any uncommitted funds in excess of$2,500, subject to reinstatement through the appeals process
set out below Fiscal Agent will notify Subcontractor in writing ofthe pending budget reduction
in Subcontractor's budget and give Subcontractor ten (10) business days to respond, If
Subcontractor does not respond within ten (10) business days, then the budget adjustment will be
made and Subcontractor must submit an adjusted budget to Fiscal Agent that reflects the reduced
budget amount within ten (10) business days thereafter. However, if Subcontractor disagrees that
excess funds are available, then Fiscal Agent and Subcontractor will meet at an agreed upon time
and Subcontractor will be given the opportunity to present their case. Fiscal Agent will make the
final decision \vhether to reinstate or forfeit any of Subcontractor's excess uncommitted funds.
Am excess funds forfeited by any Subcontractor will be used for other CYD programs.
- 12 -
"B!"'.....:---:.."
Stlhedule A - Subcontractor Estimate of FY2007 Expenditures
---------1---- -----~
Month Estimated
Exnenditures
September 2006
October 2006
$2,475
$2,475
Percent of Total
Bud2et
8.3%
8_3%
November 2006
$2,475
83%
April 2007
May 2007
$2,475
$2,475
$2,475
$2,475
$2,475
8.3%
December 2006
January 2007
8.3%
February 2007
March 2007
8.3%
8.3%
8.3%
$2,475
8.3%
June 2007
$2,475
83%
August 2007 ___-.1
$2,475
$2,488
8.3%
July 2007
8.3%
- 13 -
.......".,....""""".
Attachment B-1
Planned Parenthood
Budget Information Forms
Contract Period: Sept. I, 2006 - Aug. 31, 2007
Summary Budget
FY07
COST CATEGORY TOTAL
1. (A) Personnel - Salaries $22,904.00
(B) Personnel - Fringe Benefits 5,409.00
(C) Personnel - Travel
,., Materials and Supplies
....
~ Equipment
-'.
4. Other Costs 1,400.00
TOTAL BUDGET $29.713.00
Cash Match
$0.00
In-kind Match
$33,940.00
-14-
Attachment B-1
Planned Parenthood
Budget Information Forms
Contract Period: Sept. 1,2006 - Aug. 31, 2007
( 1 a) Personnel - Salaries
FY07
A I B C 0 E F
Position or Title Number of Average Full Percent of Number of Cost
Staff for Time MontWy Time on Months (BxCxDxE)
Position Salary Budgeted Employed (Total)
Position
EdU4lllltion Director ! I 3,250.00 10% 12 3,900.00
MaI<<Program (YMU Director) I 2,708.00 20% 12 6,499.00
She 'bing Coordinator 1 2,033.00 lO% 12 2,440.00
Heal b. Educator i I 2,135.00 20% 12 5,124.00
HeaJIh Educator i I 2,059.00 20010 12 4,941.00
-.---- I
"'"~ I
"-..--.---- ..- ,I
! ._- -
j
I -- -- .
TOTAL SALARIES _. Total 22,904.00
----
-15-
~""":<-
Attachment B-1
Planned Parenthood
Budget Information Forms
Contract Period: Sept. 1,2006 - Aug. 31,2007
(lb) Personnel- Fringe Benefits (Employer's Share)
FY07
Fringe Benefits Based
Fringe Benefits Based on (la) Salaries Paid* on (la) Salaries Paid
I alucation Director $806.00
INlaIe Program (YMU) Director 1,348.00
. Thing Coordinator 662.00
:~tb Educator 1,283.00
lItaltb Educator 1,310.00
~--
~-_..-
roTAL FRINGE BENEFITS ,--,
$5,409.00
-16-
-
Attachment B-1
Planned Parenthood
Budget InformationF orms
Contract Period: Sept. 1,2006 - Aug. 31, 2007
( 1 c) Personnel - Travel
FY07
Type of Expense (transportation, Purpose (Destination and Total
food, 10d2in2, mileale) Benefits to Program)
No. $0.00
-- --
-
----
TOtAL TRAVEL =t $0.00
___-1...__
.17-
~".-"""""'"
Attachment B-1
Planned Parenthood
Budget Information Forms
Contract Period: Sept. 1,2006 - Aug. 31, 2007
(2) Materials and Supplies
FY07
Description and Basis for Cost Total
None $0.00
TOTAL CONSUMABLE SUPPLIES $0.00
-18-
-
Attachment B-1
Planned Parenthood
Budget Information Forms
Contract Period: Sept. 1,2006 - Aug. 31, 2007
(3) Rental. Lease, or Purchase of Equipment
FY07
Method Used
Description and Basis for Valuation (lease, rent, purchase, Total
etc. )
NOlle $0.00
I TIlT AL RENTAL, LEASE, OR PURCHA~: $0.00
..19-
Attachment B-1
Planned Parenthood
Budget Infonnation Forms
( ontract Period: Sept. 1, 2006 - Aug. 31, 2007
(4) Other Costs
FY07
DescriDtion and Basis for Cost Total
Meeting/activitv suoolies $1,000.00
Printing/ohoto cooies 400.00
----
.,-.
--
---
-- -
TOTAL OTHER COSTS - $1.400.00
-20-
SUBceNTRACTOR:
CONTRACT PERIOD:
TITLE:
Planned Parenthood of South Texas
09/01/2006 to 08/31/2007
Community Youth Development Program
Request No.
Reporting Month
Attachment B-2
BIIDGETED INFORMATION SUMMARY AND REIMBURSEMENT REQUEST
(1) - (2) *City Use
Amount Only
Requested* Amnt. Paid
Amount
Budgeted
(l)YTD
Expended
(2) YTD
Invoiced
personnq - Salanes
EducatiOll Director
Male Prasram Director
She ThiJIg Coordinator
Health E4ucator
Health B4ucator
TOTAL
3,900.00
6,499.00
2,440.00
5,124.00
4,941.00
22.90400
Perso~ - Fnnge
Educatioi Director
Male P~ Director
She Thiag Coordinator
Health Educator
Health Educator
TOTAL
806.00
1348.00
6620(1
L283 00
1,310.00
5.409.00
PersoIm41 - Travel
TOTAL
0.00
0.00
Materi~ and Supplies
TOTAL
0.00
0.00
Rental, Lease or Purchase
of EquiJlllp.ent
TOTAL
O.ou
000
Other Ofts
Meetin~ctivity Supplies
PrintingtlPhoto Copies
TOTAL
1,000.01 j
400.00
L40000
TOTAL
29,713.0U
* Amounts expended cannot exceed amount budgeted
I certifY that the expenditures shown above are true and that supporting documentation
is attacled to substantiate them
Subcontractor's Authorized Signature
Date
Payment Authorization Signature
Date
21
~""_"'__""4-
Attachment B-3
Planned Parenthood
BUDGET NARRATIVE
Personnel - Salaries, $22,904
Five (5) different staff persons are assigned to work part-time on this Project.
The Education Director and She Thing Coordinator will spend 10% of their time
each on the project. The Young Men United Coordinator and two health
educators will spend 20% of their time on the project. Together, a total of 32 hrs
per week are allocated to the CYD program. The Education Director provides
direct classroom Programs at targeted schools. The She Thing Coordinator
provides She Thing Programs at targeted locations. The Young Men United
Coordinator provides YMU programs at targeted sites. The two health educators
supervise Baby Think It Over, community service, and Health Literacy
participants at the two PPST sites in 78415. By utilizing five part-time staff
persons, the program can employ a diverse group of educators from different
cultural backgrounds, of different age groups, different genders, and with
different specialties. Some are parents, some not, some are college age, some
are married and some single. The five staff persons are able to reach a broader
range of schools and agencies, and more CYD participants than if the project
employed one full time person. In Kind 10% of the Male Research Project
Director's time will be spent on CYD activities
Personnel - Fringe Benefits, $ 5,409
Fringe benefits are based on the salary expense allocated to the
CYD project
Education Director
Young Men United Dir.
She Thing Coordinator
Health Educator
Health Educator
FICA
298
497
187
392
378
W/C lWC
30 39
48 79
26 39
42 79
41 79
Health
349
724
410
661
700
Retmt
90
o
o
109
112
=
Total
806
1.348
662
1 .283
1.310
=
=
=
=
Personnel- Travel, $0
In Kind: $2,640 PPST will assume responsibility for all travel costs which are
anticipated to be $2,640 for reimbursing staff for local travel.
(5 staff persons x 100 miles per month x 12 months x $.44)
- 22 -
~--_._-~
Materials and supplies, $0
In Kind $4,200 PPST will provide $4,200 worth of educational pamphlets and
supplies, or $12 per participant ($12 x 350 = $4,200)
Equipment, $0
In Kind $7,500 PPST is providing 18 dolls as part of our in kind match. The dolls
cost $500 apiece. The total in kind match in equipment is $500 x 18 = $9,000
Other costs, $ 1,400
$1.000 is requested for meeting and activity supplies such as drinks, paper, t-
shirts, materials to use during youth meetings, and $400 is requested for printing
and photocopying of materials to be used during youth meetings.
In Kind $15,000 PPST is providing all facility (rent, maintenance, security)
telephone, utility, costs at 2 sites along with liability insurance, accounting and
audit expenses for the CYD project.
- 23 .
'- ~
Attachment C
STANDARD TERMS AND CONDITIONS
(Community Youth Development Program Contracts)
Parties F or the purposes of this document, the Texas Department of Family and
Protective Services will hereinafter be referred to as the Department. The City of
Corpus Christi will hereinafter be referred to as the Fiscal Agent. Planned Parenthood
of South Texas will hereinafter be referred to as tHe Subcontractor. The Community
Youth Development Program will hereinafter be referred to as CYD Program.
SICTION 1. LEGAL AUTHORITY
Subcontractor assures and guarantees that it possesses the legal authority to enter
Ink> this Contract, to receive the funds authorized by this Contract, and to perform the
services Subcontractor has obligated itself to perform under this Contract. The person
signing this Contract on behalf of Subcontractor hereby warrants that helshe has been
fully authorized by Subcontractor to execute this Contract on behalf of Subcontractor
and to validly and legally bind the Subcontractor to all the terms, performances, and
provisions herein set forth.
Acceptance of funds under this contract acts as acceptance of the authority of the State
Auditor's Office, HHSC Office of Inspector General, or any successor agency, to audit
or investigate the expenditure of funds under this contract or any subcontract.
Subcontractor further agrees to cooperate fully with the State Auditor's Office or its
successor, including providing all records requested. Subcontractor will ensure that
this clause concerning the authority to audit funds received indirectly by subcontractors
through Subcontractor and the requirements to cooperate is included in any
subcontract it awards.
The Subcontractor agrees to be in compliance with all applicable Federal, State and
local laws, including but not limited to, the following: 45 Code of Federal Regulations
(UeFR") Part 92, Office of Management and Budget ("OMS") Circulars A-8?, A-122, A-
110, and 40 Texas Administrative Code (UTAC") 732.240-256 as applicable and
amended. In the event of any conflict or contradiction between or among the
regulations referenced In this Contract, the regulations shall control in the following
order of precedence: 45 CFR Part 92. OMS Circulars A-8?, A-122, A-110, and 40 TAC
732.240-256
SECTION 2. INDEPENDENT CONTRACTOR
It is expressly understood and agreed that the Fiscal Agent is contracting with
Subcontractor as an independent contractor. No provision of this Contract or act of the
Fiscal Agent in performance of this Contract shall be construed as making
Swbcontractor the agent, servant, or employee of the Fiscal Agent; employees of
Swbcontractor are not employees of the Fiscal Agent; and Subcontractor is solely
..................-."
responsible for employee payrolls and claims arising therefrom.
SECTION 3. FINANCIAL LIMITATIONS AND CONSIDERA TJONS
A. This Contract is at all times contingent upon the availability and receipt of State or
Federal funds that has been allocated to the Fiscal Agent of this Contract and1 if
funds for this Contract become unavailable during any budget period, this
Contract may be immediately terminated or reduced at the discretion of the Fiscal
Agent.
B. The Fiscal Agent agrees to pay the Subcontractor from available funds for each
service rendered in accordance with the terms of this Contract upon receipt of a
proper and verified statement and after deducting any known previous
overpayment made by the Fiscal Agent. If program income accrues, the
Subcontractor agrees to return to the Fiscal Agent any income that exceeds actual
costs incurred for services rendered under this Contract. In no event shall
payments exceed the total budgeted amount as originally approved in this
Contract or as subsequently amended by both parties
C. The basis for payment for services rendered under this Contract is indicated in the
service terms ;n the budget. The Subcontractor agrees to this basis for payment
and to adhere to the fiscal and billing policies and procedures of the Fiscal Agent.
The Fiscal Agent is not obligated to pay unauthorized costs or to pay more than
the Subcontractor's allowable and actually incurred costs consistent with Federal
and State regulations.
The method of payment is cost reimbursement. This means that costs should only
be billed after they have actually been incurred and have been paid by the
Subcontractor. Costs should be billed to the month in which they were incurred,
either on the primary billing voucher for that month or on a supplemental billing, if
they are not paid in time to include them on the primary voucher. Costs should
not be billed to the Fiscal Agent if they have not yet been paid.
D. Payment for services rendered under this Contract will be made in accordance
with the documentation outlined in the Budget Information Summary and
Reimbursement Request, as set out in Attachment B-2 to this Contract. Payment
shall be authorized only upon the submittal of an appropriate invoice and
supporting documentation to the Fiscal Agent.
E. Invoices must be submitted at least once a month as set forth in the Payment
Schedule as per Attachment A-2 of this Contract. Failure to comply with this
requirement will result in a delay in payment and will be subject to the provisions
concerning changes and amendments in this Contract
F. Funds under this Contract cannot be earned prior to the first day nor after the last
-
day of the Contract Period
G. The Fiscal Agent shall not be liable to Subcontractor for any charges under this
Contract which exceed the total funding amount specified.
H. All funds unearned or unexpended in the performance of this Contract shall be
retained by the Department
The Subcontractor is responsible for submitting bills in an accurate and timely
manner by the 7th day following the month in which services are provided. The
Fiscal Agent will make reasonable efforts to process all bills received in an
accurate and timely manner but does not warrant immediate payment.
Reimbursements to Subcontractor will be paid by the Fiscal Agent when payment
is received from the Department
J. The Subcontractor understands and agrees that prior written approval must be
secured:
1 For transfers between line items for any dollar amount. Lack of prior
approval In these instances will be grounds for nonpayment of the item or
items involved:
2. When transfers, regardless of the amount, would result in a significant
change in the character or scope of the programs. Lack of prior approval
in these instances will be grounds for recovery of unapproved payments
and termination of this Contract at the option of the Fiscal Agent; and
3 When needing to add a line item, cost, or expenditure to the budget.
Approval must be obtained in writing prior to incurring the expense/cost.
K. For unit rate Contracts only: The Subcontractor shall provide the Fiscal Agent a
total bill each month in the format prescribed by the Fiscal Agent and shall accept
as payment in full the Contracted unit rate reduced by an amount equivalent to the
required percentage of certified local resources as applicable.
SECTION 4. LIABILITY FOR REPAYMENT
A. Fiscal Agent retains the fight to suspend financial assistance, in whole or in part,
to protect the integrity of funds or to ensure proper operation of programs,
provided Subcontractor is given prompt notice and the opportunity for a hearing
within thirty (30) days from such suspension
B. All payments under this Contract are subject to audit by the Department and the
Fiscal Agent. Subcontractor shall assume liability for repayment of funds
disbursed where such disbursement is subsequently determined to be improper or
~,~.)
......
unauthorized. Subcontractor shall provide the Fiscal Agent with a feasible plan
for repayment of disallowed costs with non-Federal funds. Repayment of Such
funds to the Fiscal Agent shall be in accordance with the Prompt Payment Act.
Subcontractor shall also repay to the Fiscal Agent any funds found to have been
paid for the same service from funds other than CYD Program funds. In the case
of duplicate payments, the Fiscal Agent may also withhold any earned funds of
Subcontractor under this Contract or any other Contract pending satisfaction of
any repayment obligations under this Contract or any other Contract due to
payments which were improper or unauthorized.
SECTION 5. CHANGES AND AMENDMENTS
The Subcontractor agrees to notify the Fiscal Agent immediately of any significant
change affecting the Subcontractor including, but not limited to, change of
Subcontractor's name or identity, ownership or control, governing board membership,
personnel, or payee identification number. Subcontractor shall provide notice in writing
to Fiscal Agent within ten (10) working days of change.
No changes or amendments to this Contract shall be made except in writing and signed
by both parties hereto, unless such change is in the form of a written notice of
modification or directive issued by the Fiscal Agent as described below.
A. The Fiscal Agent may give a notice of modification or directive in the event any
alterations, deletions, or additions are required due to changes in Federal or State
laws or regulations applicable to CYD programs, which changes shall take effect
automatically upon the effective date of such Federal or State laws or regulations.
B. Reimbursement made to the Subcontractor shall not exceed the Subcontractor's
actual costs to provide the services under this Contract and that the
Subcontractor's actual costs, both direct and indirect, must be allowable,
reasonable and allocable according to 45 CFR Part 92, OMB Circulars A-8?, A-
122, A-11 0 40 TAC 732.240-256, and any other applicable regulations.
C. The Fiscal Agent may give a notice of modification or directive to reduce the level
of funding under the Contract in the event of a reduction of funding to the Fiscal
Agent under any Federal State or local program.
D. The Fiscal Agent may Issue a policy directive that shall have the effect of
establishing, interpreting. clarifying or qualifying the terms of this Contract. Such
policy directives may not alter the terms of this Contract in order to relieve the
Fiscal Agent of any obligation to pay for performance rendered or costs incurred
by Subcontractor prior to the date of such directive.
E. The Fiscal Agent may give a notice of modification to increase the amount of
funds available under this Contract if such funds become available and it is in the
best interest of the Fiscal Agent to do so without the solicitation of additional
proposals
SECTION 6. ACCOUNTING REQUIREMENTS
The Subcontractor agrees to adhere to Generally Accepted Accounting Principles
promulgated by the American Institute of Certified Public Accountants and to follow
Fiscal Agent and Department fiscal management policies and procedures in submitting
timely billing and maintaining financial records required to be kept under this Contract.
SECTION 7. RECORD KEEPING/REPORTING REQUIREMENTS
A. The Subcontractor agrees to submit service delivery reports required by this
Contract, self-evaluations of performance, and other reports requested by the
Fiscal Agent or Department in appropriate format and on a timely basis; and make
available at reasonable times and for reasonable periods client records and other
programmatic or financial records, books, reports, and supporting documents for
reViewing and copying by the Fiscal Agent, the Department, the U.S. Department
of Health and Human Services ("DHHS"), or their authorized representatives.
B. The Subcontractor agrees to maintain financial, programmatic, and supporting
documents, statistical records, inventories of nonexpendable property acquired,
and other records pertinent to claims submitted during the Contract Period for a
mInimum of five (5) years after the termination of the Contract Period, or for five
(5) years after the end of the Federal fiscal year in which services were provided if
thiS Contract has no specific termination date. If any litigation, claim, or audit
involving these records begins before the five (5) year period expires, the
Subcontractor will keep the records and documents for not less than five years
and until all litigation, claims, or audit findings are resolved. The case is
considered resolved when a final order is issued in litigation, or a written
agreement is entered into between the DepartmenUFiscal Agent and the
Subcontractor. Contract Period means the beginning date through the ending
date specified in the original Contract; extensions are considered to be separate
Contract periods.
C. Subcontractor shall complete and submit all necessary data on participants
enrolled in its program and must do so according to instructions and definitions
prescribed by the Department and the Fiscal Agent.
D. Failure to submit required reports to the Fiscal Agent may result in withholding by
the Fiscal Agent of any payments otherwise due until such time as the
Subcontractor meets the delinquent obligations.
E. Subcontractor shall submit a self-evaluation report within 45 days following the
end of the Contract Period. The self-evaluation report should address the
,....... ....''''''
accomplishments of the program/services, the effectiveness of the services
provided, and the attainment of output measures, evidence-based performance
measures and program goals listed in this Contract.
SECTION 8. SUBCONTRACTING
A. Subcontractor agrees not to sublet, assign, transfer, conveyor otherwise dispose
of this Contract or any right, title, obligation or interest it may have therein to any
third party without prior written approval of the Fiscal Agent, which includes full
disclosure of the particulars of such agreement and special assurances that such
third party shall comply with all provisions of the governing laws, the terms and
conditions of this Contract, State of Texas policies, Federal regulations and Fiscal
Agent policies, including the qualifications of the Subcontractor to perform and
meet standards of this Contract and the Community Youth Development Plan of
Operation A non-governmental Subcontractor shall assume full liability for any
third party actions and shall hold harmless the Fiscal Agent, the Department, and
the State of Texas from the actions of any third party, Failure by a non-
governmental Subcontractor to inform the Fiscal Agent of the intent to involve any
third party shall relieve the Fiscal Agent, the Department, and the State of Texas
of any and all liability and may result in initiation of procedures to terminate this
Contract, among other remedies that Fiscal Agent or Department may be entitled
to seek The Fiscal Agent shall not be obligated or liable under this Contract to
any party other than Subcontractor for payment of any monies or for provisions of
any goods or services unless the Fiscal Agent in writing specifically agrees to
such liabilitv
B. The Subcontractor further agrees to provide statements from Sub-subcontractors
signed by an offiCial duly authorized to legally obligate the Sub-subcontractor and
attest to the fact that it shall provide the services as represented in this Contract,
including the incorporated documents, with no disruption to service delivery. A
similar statement must be signed by each Sub-subcontractor who will provide
services as part of this Contract. Each Sub-subcontractor may be required to
submit ownership information and other information related to this Contract. The
Subcontractor must disclose to Fiscal Agent any and all information regarding the
Sub-subcontractors as it pertains to this Contract, during the Contract Period.
C. Subcontractor shall have protest procedures in place to handle and resolve
disputes relating to its procurement
D. Any of the work or services specified in this Contract which shall be performed by
other than Subcontractor shall be evidenced by a written Contract specifying the
terms and conditions of such performance. Subcontractor shall maintain and
adhere to an appropriate system, consistent with Federal, State, and local law, for
the award and monitoring of Contracts which contain acceptable standards for
ensuring accountability
~
E. Subcontractor shall ensure that the performances rendered under all subcontracts
are rendered so as to comply with all the terms and provisions of this Contract as
if the performances rendered were rendered by Subcontractor.
SECTION 9. PUBLICITY
The Subcontractor agrees to place prominent notices acknowledging the funding it
receives from the Fiscal Agent and Department in all of its literature that describes
services covered by this Contract This notice will also appear in the Subcontractor's
annual financial report, if any is issued. Additionally, the Subcontractor agrees to the
following:
A. When Issuing statements, press releases, requests for proposals, bid solicitations,
and other documents describing projects or programs funded in whole or in part
With CYD Program funds, Subcontractor shall state the percentage of the total
costs of the program or project which will be financed with those CYD Program
funds.
B. Subcontractor shall give credit to the Department and Fiscal Agent as the funding
source in all oral representations, written documents, publicity and advertisements
regarding any CYD activities. Wording shall be as follows: A Program Funded
through the City of Corpus Christi by the Texas Department of Family and
Protective Services.
C. Subcontractor shall not publish or cause to have published the results of its
function and participation in the program activity without prior review and approval
by the Fiscal Agent and Department.
SECTION 10. TECHNICAL ASSISTANCE
A. The Fiscal Agent will provide a central information system for complete
Information on each participant and will maintain a central communication system
for the proper and timely disbursement of information and resource documents.
The Fiscal Agent will provide technical assistance found to be needed through
performance reviews or monitoring reports.
B. The Fiscal Agent may schedule staff meetings, other meetings or training
sessions to assist in the administration of this Contract. Subcontractor shall
ensure the attendance of its director or other specified personnel at such
meetings
SECTION 11. MONITORING AND ASSESSMENT
A. The Subcontractor agrees to provide services in accordance with the provisions of
n -
"'IWIIF"""-"'+
this Contract and to allow the Fiscal Agent and Department, and their
representatives, to monitor, audit, evaluate, and otherwise review the services
provided and related documentation.
B. The Subcontractor agrees to cooperate fully in any social studies or fiscal and
programmatic monitoring, auditing, evaluating, or other reviews pertaining to
services rendered by the Subcontractor which may be conducted by the Fiscal
Agent, the Department or DHHS, or their authorized representatives; and to be
responsible for any audit exception or other payment irregularity regarding this
Contract or subcontracts, which may be found after review by the Fiscal Agent, the
Department or DHHS; and to be responsible for the timely and proper collection
and reimbursement to the Fiscal Agent and the Department of any amount paid in
excess of the proper billing amount.
C. Representatives of the Fiscal Agent and Department may periodically, without
advance notice, monitor Subcontractor for compliance, financial management and
performance of the terms and conditions of this Contract. The monitoring process
will include an analysis of program data provided by the Subcontractor to assess
the performance of this Contract and the quality of services. Monitoring shall
include review of results of criminal background checks and affidavits required
under this Contract of all Subcontractor employees or volunteers in direct client
contact
D. Upon conclusion of a monitoring review, the Fiscal Agent or Department will
present all findings and recommended corrective actions, if applicable, to
Subcontractor.
E. Unless otherwise directed, Subcontractor shall respond in writing to the Fiscal
Agent within thirty (30) calendar days after receipt of the monitoring report with all
corrective actions planned or taken and specific detailed procedures and actions
initiated to preclude any recurrence of the practices, discrepancies, and
irregularities identified in the monitoring report.
F. The Fiscal Agent or Department, as may be applicable, upon receipt of
Subcontractor's written response to the monitoring report, shall evaluate the
corrective action plan and determine whether the corrective action plan shall be
undertaken. whether an alternative plan is needed, or whether the goals or
standards need to be modified Regardless of the course of action taken, the
FIscal Agent shall ensure that positive actions, procedures, and practices are
Initiated to preclude recurrence or non-compliance. Upon written request, the
Fiscal Agent shall provide technical assistance to Subcontractor in correcting the
deficiencies noted. Fiscal Agent shall conduct follow-up visits to review pending
deficiencies and to assess the efforts made to correct them. If such deficiencies
persist. Fiscal Agent may withhold funds and move to terminate this Contract.
-' -
G. All such corrective actions shall remain open pending completion and issuance of
a written statement of closure by the Fiscal Agent or Department, as applicable.
SECTION 12. PROPERTY
A. The Subcontractor agrees to assume responsibility for the protection of all
physical property and equipment used at facilities being maintained to carry out
this Contract and take appropriate measures to meet this obligation. All such
property will be adequately safeguarded against vandalism, loss, damage, or theft.
Subcontractor must acquire and maintain property insurance for any and all
equipment purchased with CYD Program funds. The Fiscal Agent, the
Department. and the appropriate authorities shall be notified in writing in the case
of theft or suspected theft, within twenty-four (24) hours of discovery. Any
missing, damaged, or destroyed property will be reported immediately in writing to
the Fiscal Agent and the Department and will include the circumstances
concerning the loss. An investigation shall be conducted by the Subcontractor to
determine the cause, and the results shall be reported in writing to Fiscal Agent
and the Department Any property missing, damaged or destroyed shall be
replaced by the Subcontractor. at Subcontractor's own expense. In addition, in
the event of any theft, vandalism, or other offense against the property or
equipment, the Subcontractor shall notify the appropriate local law enforcement
authorities.
B. The Subcontractor agrees to adhere to the provisions of 45 CFR Part 92
regarding the return to the Department of any equipment bought under this
Contract with funds allocated to the Fiscal Agent or the Subcontractor. The
Subcontractor agrees that it will not give any security interest, lien, or otherwise
encumber any item of equipment purchased with Contract funds. The
Subcontractor agrees to permanently identify all equipment with appropriate tags
or labels affixed to the equipment and to maintain a current inventory record of the
equipment which must be made available to the Fiscal Agent and the Department
upon request
C. The property shall be maintained in good condition at all times. Unless waived by
the Fiscal Agent and Department, all maintenance and repair costs associated
with any property shall be borne by the Subcontractor. All property must be
returned to original condition, except for normal wear and tear, prior to return of
the property to the Fiscal Agent
SECTION 13. YEAR 2000 COMPLIANCE
Subcontractor has full responsibility to anticipate and mitigate any four-digit-year
related events that could adversely affect the timely performance of this Contract
or the date-related operations of any goods, files, or services provided pursuant to
It Subcontractor warrants the fault free performance in the processing of date
and date-related data by any product developed and delivered to Fiscal Agent
pursuant to this Contract Fault-free performance includes manipulation of data
with dates prior to; through, and beyond January 1, 2000, and during leap years.
Subcontractor agrees that all software developed and delivered pursuant to the
contractual requirements herein shall use four-digit-year elements. Subcontractor
further agrees that four-digit-year elements will be used in any electronic data
Interchange that may occur With the Fiscal Agent as a result of this Contract.
Subcontractor shall not be entitled to additional compensation or additional time to
perform these obligations
SECTION 14. TAXES
The Fiscal Agent and the Department will not be liable for Federal, State, or local
excise taxes incurred by or assessed against Subcontractor. The Subcontractor must
be able to demonstrate on-site compliance with the Federal Tax Reform Act of 1986,
Section 1706, amending Section 530 of the Revenue Act of 1978, dealing with the
issuance of Internal Revenue Service Form W-2s to common law employees. The
Subcontractor is responsible for both Federal and State unemployment insurance
coverage and standard workers' compensation insurance coverage. The Fiscal Agent
and Department will not be liable to the Subcontractor or its employees for any
unemployment or workers' compensation coverage, or Federal or State withholding
requirements. The Subcontractor must comply with all Federal and State tax laws and
withholding requirements. The Subcontractor shall indemnify the Fiscal Agent and
Department and pay to the Fiscal Agent or Department all costs, penalties, or losses
whatsoever occasioned by the Subcontractor's omission or breach of this section.
SECTION 15. DISPUTES
The Fiscal Agent is responsible for hearing any grievances, including disputes, claims
or protests, arising out of the administration and operations of programs funded under
CYD Program Non-discrimination complaints alleging a violation of the CYD Program
must be initiated by filing a Grievance Information Form within 365 days of the action
complained of Non-discrimination complaints that do not allege a violation of the CYD
Program may be Initiated by filing a Grievance Information Form within 30 days of the
action complained of. Correspondence regarding a complaint or grievance should be
directed to the attention of the Fiscal Agent
SECTION 16. INDEPENDENT AUDIT
The Subcontractor agrees to submit an annual financial and compliance audit of the
Subcontractor's fiscal year-end in accordance with the Single Audit requirements of
OMS Circular A-133 (Audits of State, Local Government, and Non-Profit
Organizations)
A. Subcontractor understands and agrees that it shall be liable for all costs
~
associated with said audit
B. Subcontractor understands and agrees that it shall be liable to the Fiscal Agent for
any costs disallowed as a result of said audit in accordance with the "Liability for
Repayment" provisions of this Contract, as set out in Section 4 of these Standard
Terms and Conditions
C. The Fiscal Agent and Department reserve the right to conduct an independent
audit of all funds received under this Contract. The audit may be performed by the
Fiscal Agent. a certified public accounting firm, or other auditors as designated by
the Fiscal Agent or the Department. Such audit will be conducted in accordance
with applicable professional standards and practices.
D. In the event a final audit has not been performed prior to termination of this
Contract, the Fiscal Agent shall retain the right to recover funds atter fully
considering the recommendations on disallowed costs resulting from such final
audit.
E. Subcontractor and auditors performing monitoring or audits of Subcontractor or its
Sub-Subcontractors shall immediately report to the Fiscal Agent and the
Department any incidents of fraud, abuse, or other criminal activity in the relation
to the provisions of this Contract or applicable State Regulations.
SECTION 17. PREVENTION OF CONFLICTING INTERESTS
A. Every reasonable course of action shall be taken by the Subcontractor to maintain
the integrity of this expenditure of public funds and to avoid favoritism and
questionable or improper conduct. This Contract shall be administered in an
impartial manner, free from personal, financial, or political gain. Subcontractor, its
executive staff, and employees, in administering this Contract, shall avoid
SItuations that give an appearance or suggestion that any decision was influenced
by prejudice bias. special interest or desire for personal gain.
B. No member. officer, agent, or employee of the Fiscal Agent or the Department
who exercises any functions or responsibilities in the review or the approval of the
undertaking or carrying out of this Contract shall participate in any decision
relating to this Contract which affects his/her financial interest.
C. Executives and employees of Subcontractor shall be particularly aware of the
varying degrees of influence that can be exerted by personal friends and
associates and shall exercise due diligence to avoid situations which give rise to
an appearance or assertion that favorable treatment is being granted by friends
and associates who are also members, officers, agents, or employees of the
Fiscal Agent or the Department. A permanent record of any transaction involving a
Subcontractor who is also a friend or associate of a member, officer, agent, or
employee of the FIscal Agent or the Department shall be retained when it is in the
-.-
public Interest for the Fiscal Agent or the Department to conduct business with
such person
D. Members, officers, agents, and employees of the Fiscal Agent or the Department
and elected officials shall not solicit nor accept money or any other consideration
from Subcontractor or any other third person for the performance of an act
reimbursed in whole or in part by the Fiscal Agent or the Department. Supplies,
materials, equipment, or services purchased with Contract funds shall be used
solely for the purposes allowed under this Contract. No member of the Fiscal
Agent or the Department shall cast a vote on the provision of services by that
member or by any organization which that member represents or vote on any
matter which would provide direct financial benefit to that member or any business
or organization which the member directly represents
SECTION 18. FRAUD AND ABUSE PREVENTION
A. Subcontractor shall establish, maintain, and utilize internal program management
procedures sufficient to provide for proper and effective management and the
prevention of fraud and abuse in all activities funded under this Contract.
B. Failure on the part of Subcontractor to comply with the provisions of this Contract
or with the Department, or applicable regulations, when such failure involves fraud
or misappropriation of funds, may result in immediate withholding of funds and
termination of this Contract for cause.
C. Subcontractor shall ensure diligence in maintaining programs under this Contract
including the carrying out of appropriate monitoring activities and in taking
immediate corrective action against known violations of Department regulations.
D. Subcontractor shall notify the Fiscal Agent and Department immediately, by the
fastest means available, upon discovery of any incident of fraud, or suspected
fraud, involving this program
SECTION 19. INDEMNIFICATION
Ttle Subcontractor shall indemnify and hold harmless the Fiscal Agent
afld the Department, their officers, agents, representatives, and
employees, from and against any and all claims or losses for physical
dJJmage to property or injury to persons resulting from negligence,
misconduct, or any act or omission on the part of the Subcontractor,
ifB officers, agents, employees, representatives, or Sub-
SIIbcontractors. In the event of loss, damage, or destruction of any
property due to the negligence, misconduct, act or omission of the
Subcontractor, the Subcontractor shall indemnify and pay full cost of
repair, reconstruction, or replacement, at the discretion of the Fiscal
Agent and Department. Such cost shall be due and payable by the
Subcontractor within ten (10) calendar days after the date of receipt of
_itten notice from the Fiscal Agent or Department of the amount due.
The State of Texas, Department, and Fiscal Agent, and their respective
employees, officers, agents, and representatives can neither agree to
hold the Subcontractor harmless nor agree to indemnify the
Subcontractor and any provisions to the contrary are void.
SECTION 20. SECTARIAN INVOLVEMENT PROHIBITED
Subcontractor shall ensure that no funds under this Contract shall be used directly or
indirectly in the support of any religious or anti-religious activity, worship, or instruction.
SECTION 21. POLITICAL ACTIVITY/LOBBYING
The Subcontractor will not use any funding under this Contract to influence the
outcome of elections or the passage or defeat of any legislative measures.
No funds provided under this Contract may be used in any way to influence or attempt
to influence In any manner a member of Congress to favor or oppose any legislation or
appropriation by Congress or for lobbying with State or local legislators. Subcontractor
shall comply with the requirements of New Restrictions on Lobbying imposed by 29
CFR 93, dated February 26, 1990, clarified by Notice in the Federal Register, Vol. 55,
No. 116. dated June 15, 1990, and codified at 31 United States Code ("USC") 1352, as
amended. Subcontractor shall comply with the certification and disclosure requirements
in Attachment F to this Contract
SECTION 22. NON-DISCRIMINATION AND EQUAL OPPORTUNITY
A. Subcontractor shall comply with all applicable Federal and State regulations and
with Department policies and procedures regarding services delivered under this
Contract Including, but not limited to, the following:
1 Title VI of the Civil Rights Act 1964 (Public Law 88-352), Section 504 of the
Rehabilitation Act of 1973 (Public Law 93-112), The Americans with
Disabilities Act of 1990 (Public Law 101-336), and all amendments to each,
and all requirements imposed by the regulations issued pursuant to these
Acts. In addition, the Subcontractor agrees to comply with Title 40, Chapter
73, of the Texas Administrative Code, as amended. These laws provide in part
that no persons in the United States shall, on the grounds of race, color,
national origin. sex, age. physical/mental disability, drug or alcohol abuse or
....'
,..."""..,,,,,,
alcoholism, political beliefs, or religion be excluded from participation in or
denied any aid, care, service or other benefits provided by Federal or State
funding or otherwise be subjected to discrimination;
2 Texas Health and Safety Code, Section 85.113, as amended, relating to
workplace and confidentiality guidelines regarding AIDS and HIV);
3 Immigration Reform and Control Act of 1986, as amended, regarding
employment verification and retention of verification forms for any individuals
who will perform any labor or services under this Contract;
4 Establish a method to ensure the confidentiality of records and other
information relating to clients according to applicable Federal and State laws,
rules, and regulations This provision does not limit the Fiscal Agent's or the
Department's right of access to client case files or other information relating to
clients served under this Contract. The Department shall have an absolute
right of access to and copies of such information, upon request;
5 Promptly report any suspected case of child abuse or neglect to the
appropriate Child Protective Services offices within the Department as
required by the Texas Family Code, Chapter 261, as amended. All reports
must be made within 24 hours of the discovery of abuse or neglect;
6 If specific qualifications are set forth in job descriptions required by the
Department, only personnel with the required qualifications will be assigned to
fill functions unless a written waiver is granted by the Department;
-;' Verify and disclose, or cause its employees and volunteers to verify and
disclose criminal history and any current criminal indictment involving an
offense against the person, an offense against the family, or an offense
Involving public indecency under the Texas Penal Code as amended, or an
offense under Chapter 481 of the Texas Health and Safety Code. This
verification and disclosure will be required of all who have direct contact with
clients or who have access to personal client information prior to such contact
or access, and shall be accomplished through use of (a) a criminal history
background check and (b) a signed declaration by each employee or
volunteer testifying to this information, both of which shall be maintained by
the Subcontractor available for review by the Fiscal Agent or the Department
and renewed every two years
8 Comply with Federal ,State and local licensing and certification requirements,
health and safety standards, and regulations prescribed by the DHHS and
TOPRS:
9 All applicable standards, orders, or regulations issued pursuant to the Clean
Air Act, 42 USC 7401 et seq., as amended, and the Federal Water Pollution
Control Act 33 USC 1251 et seq., as amended;
10 Immediately remove any agent, officer, employee, representative, or volunteer
from direct client contact who is alleged to have committed child abuse,
neglect, or exploitation. or an offense against the person, an offense against
the family, or an offense Involving public indecency under the Texas Penal
Code, as amended, or an offense under the Texas Controlled Substances Act.
If it is determined that the employee or volunteer has not com~itted such
offenses, the employee or volunteer may again be assigned to direct client
contact; provided however. the Subcontractor shall notify the Fiscal Agent and
the Department of its intent to reassign within ten (10) working days prior to the
reassignment The Subcontractor must provide the Fiscal Agent and the
Department with further information concerning the reasons for the
reassignment upon the request of the Fiscal Agent or the Department. If the
employee or volunteer is found to have committed any of the offenses listed in
this paragraph. the employee or volunteer shall not be reassigned to duties
InvolVing any direct contact with clients. Subcontractor may request that the
Fiscal Agent and Department waive this Contract provision with respect to a
specifiC employee or volunteer and specific misdemeanor charges;
11 Federal Financial Participation (FFP) requirements in accordance with Titles
45 and 48 of the Code of Federal Regulations and Federal circulars, as
amended
12. Allow any of Subcontractor's employees to testify in judicial proceedings and
administrative hearings, at the request of the Department or Fiscal Agent; and,
13. Mandatory standards and policies relating to energy efficiency which are
contained in the State energy conservation plan issued in compliance with the
Energy Policy and Conservation Act (Public Law 94-163), as amended.
B. The Subcontractor shall have written participant and employee grievance
procedures consistent with applicable Federal and State requirements. The
Subcontractor shall establish and maintain complaint procedures to resolve all
complaints arising directly or indirectly out of this Contract.
C. As subcontracts and supplier contracts become necessary to carry out the
requirements of this Contract, Subcontractor covenants to make a good faith effort
to contract with historically underutilized or disadvantaged businesses certified as
such by the State of Texas. Subcontractor shall make a good faith effort to
contract at least thirty (30) percent of the total value of all subcontracts and
supplier contracts for the performance of the activities required by this Contract to
historically underutilized or disadvantaged businesses.
........
SECTION 23. HEALTH AND SAFETY STANDARDS
Health and safety standards established under Federal, State and local laws are
applicable to working conditions of participants in programs under this Contract. With
respect to any participant in a program conducted under this Contract who is engaged
in activities which are not covered by health and safety standards under the
Occupational Safety and Health Act of 1970, as amended, the Fiscal Agent and the
Department may prescribe such standards as may be necessary to protect the health
and safety of such partIcipants
SECTION 24. INSURANCE
A. When Subcontractor is not a governmental entity with taxing authority, the
following provisions shall apply: Insurance shall be provided for direct delivery of
protective services and other services under this Contract. The Subcontractor
shall obtain and furnish proof of the following bonding and insurance coverage
within forty-eight (48) hours of the award of this Contract or at such other time as
may be specified by the Fiscal Agent or the Department:
1 Dishonesty bonding under a commercial crime policy or business services
bonding at a $10,000 00 minimum or up to the Contract amount, whichever is
greater:
2 Commercial General Liability Coverage at a five hundred thousand dollar
($500,000) minimum for each occurrence limit and one million dollars
($1,000,000) minimum aggregate limit. The Fiscal Agent and Department shall
be provided with at least 30 days notice of policy or bond cancellation, intent to
not renew, or material change in the policy or bond;
3 Automobile liability insurance in the broad form, applicable if Subcontractor
uses an automobile, whether owned, leased, or non-owned in conducting its
performance under this Contract, is required which shall have a minimum
required coverage of $500,000 combined single limit. In the event
Subcontractor requires its employees, trainees, volunteers, or other agents to
utilize their own automobiles in the performance of this Contract, Subcontractor
shall secure and maintain on file from all such persons a self-certification of
such coverage: and
4 Workers' compensation and adequate on-site medical and accident insurance
shall be required for all of Subcontractor's employees and enrolled
participants, respectively, appropriate to participant activity. Workers'
compensation coverage shall be required of all organizations serving as
employers of record for any participant, whether that organization is the
Subcontractor or a third party; on-site medical and accident insurance shall be
required for all non-work setting and classroom training activities for
.~
participants not qualifying as employees under the workers' compensation
laws. Participants who are employees must be given comparable benefits
afforded by the employer to other employees of similar standing in the
employer's workforce.
B. All coverage must be with insurance companies or carriers rated for financial
purposes "A" or better whose policies cover risks located in the State of Texas.
All bonds. policies, and coverage described above shall be maintained during the
entire term of Contract awarded, Lapse of any coverage or bond required herein
shall be considered breach of Contract and Contract awarded shall be
immediately cancelled.
C. The Department may waive all or part of these insurance requirements at its
discretion
D. When Subcontractor is a governmental entity with taxing authority, Subcontractor
shall be required to provide only the workers' compensation insurance coverage,
as set out above, but shall also be subject to the indemnification provisions
contained in Section 19 (Indemnification) of these Standard Terms and
Conditions.
E. The Fiscal Agent shall be named as a Certificate Holder on all policies named
above and such coverage shall not be canceled or materially changed unless, 30
days prior to the effective date, a written notice is sent to the Fiscal Agent at the
address specified in this Contract. Unless waived by the Fiscal Agent, the Fiscal
Agent shall not be responsible for the payment of premiums or assessments on
such policies.
SECTION 25. DEBARMENT AND SUSPENSION
A. The Subcontractor shall comply with the Federal regulations implementing
Executive Order 12549, Debarment and Suspension, 29 CFR Part 98, as
amended, and, in so doing, provide to the Fiscal Agent and the Department, upon
Subcontractor's signature and execution of this Contract and prior to Fiscal
Agent's execution of this Contract, a certification bearing the following statement:
Subcontractor certifies that neither it nor its principals are presently
debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from participation in this transaction by any Federal
department or agency.
A copy of this certificate and regulations shall be provided to Subcontractor by
Fiscal Agent.
B. Additionally, the Subcontractor shall comply with this regulation and requirement
with regards to its subcontractors. Subcontractor shall require the same
certification from its subcontractors, which shall be forwarded to Fiscal Agent
along with the request for Sub-subcontractor approval as required by Section 8
(Subcontracting) of these Standard Terms and Conditions.
SlCTION 26. NOTICE AND ASSISTANCE REGARDING PATENT AND COPYRIGHT
~RINGEMENT
A. In developing, copying, and disseminating reports or other information under this
Contract, the Subcontractor agrees to the following:
1 Grant to the Department the right to copyright, use, reproduce, and distribute any
material written or produced by the Subcontractor that is the subject of this
Contract and
2 Defend any claims, suits, or proceedings brought against the State of Texas,
the Department or the Fiscal Agent on the issue of infringement of any
copyright by any product, or any product part, supplied by the Subcontractor
to the Fiscal Agent or Department under this Contract. The Subcontractor will
pay, subject to limitations specified in this section, any final judgment entered
against the State of Texas, the Department, or the Fiscal Agent on this issue
In any suit or proceeding defended by the Subcontractor. The Subcontractor
will be relieved of this obligation if, within 30 days after the Fiscal Agent and
Department receive notice. the Fiscal Agent or Department fails to notify the
Subcontractor in writing of any claim, suit, or proceeding and, at the
Subcontractor's expense, give the Subcontractor all information needed to
defend any claim, suit or proceeding subject to the jurisdiction of the Attorney
General of Texas
B. With respect to any invention resulting from this Contract, the Fiscal Agent and
the Department have a nonexclusive, non-transferable, irrevocable, paid-up
license to practice or have practiced the subject invention throughout the world.
C. The Subcontractor shall report to the Fiscal Agent and the Department within 30
days and In reasonable written detail each notice or claim of patent or copyright
Infnngement based on the performance of this Contract of which the
Subcontractor has knowledge
D. In the event of any claim or suit against the Fiscal Agent or the Department on
account of any alleged patent or copyright infringement arising out of the
performance of this Contract or out of the use of any supplies furnished or work or
services performed under this Contract, the Subcontractor shall furnish to the
Fiscal Agent and the Department, when requested, all evidence and information at
the expense of the Fiscal Agent or the Department except where the
Subcontractor has agreed to indemnify the Fiscal Agent or the Department.
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E. The Subcontractor agrees to include, and require inclusion of, this clause in all
subcontracts at any tier for supplies or services expected to exceed $15,000.
SECTION 27. DISCLOSURE OF CONFIDENTIAL INFORMATION
Subcontractor agrees to maintain the confidentiality of any information regarding
applicants, program participants, and their immediate families which may be obtained
through application forms, interviews, tests, reports from public agencies or counselors,
or any other source. Without the permission of the applicant or participant, such
information may be disclosed only as necessary for purposes related to the
performance or evaluation of this Contract and to persons having responsibilities under
this Contract. However. Subcontractor's information mav be subiect to reauired public
disclosure under the Texas Public Information Act. Chapter 552 of the Texas
Government Code.
SECTION 28. COMMUNICATIONS
AU notices and requests given to or made to the parties must, except as otherwise
specified, be in writing and delivered or mailed at the notice addresses specified on the
Cover Sheet of this Contract. The parties may change their notice addresses upon five
(5) written days notice to the other party. Any notices or requests are deemed given
upon actual delivery or depositing the same with the U.S. Postal Service, properly
addressed, postage prepaid, certified mail, return receipt requested.
SECTION 29. GENERAL STANDARDS OF PERFORMANCE
A. Subcontractor agrees that the level of services and activities performed shall be
maintained in accordance with the terms and conditions of this Contract.
B. The Performance Measures, Attachment A-1 to this Contract, Statement of Work,
Attachment A-2 to this Contract, Budget, Attachment B-1 to this Contract, and
Budget Narrative. Attachment B-3 to this Contract, constitute promised
performance under this Contract If Subcontractor fails to meet the performance
goals for any monthly period as specified under this Contract, this Contract is
subject to obligation or termination in accordance with this Contract.
SECTION 30. ENTIRE AGREEMENT
A. All oral or written agreements between the parties relating to the subject matter of
this Contract made prior to the execution of this Contract have been incorporated
herein
B. Subcontractor understands and agrees that the Attachments designated on the
Cover Sheet of this Contract are a part of this Contract and constitute promised
performance by Subcontractor under this Contract.
SECTION 31. CONTINGENT ON FUNDING
This Contract is at all times contingent upon the availability and receipt of Federal or
Stete funds that the Fiscal Agent and Department have allocated to this Contract; and if
funds for this Contract become unavailable during any budget period, this Contract may
be immediately terminated or reduced at the discretion of the Fiscal Agent or
Department.
The Fiscal Agent's obligation is contingent upon the availability of funds from which
payment for the Contract can be made. No legal liability on the part of the, Fiscal Agent
for payment of any money arises unless and until funds are made available to the
Fiscal Agent
SECTION 32. TRAINER QUALIFICATIONS
A. Subcontractor agrees to ensure that instructors, trainers, counselors and other
profeSSional and paraprofessional staff shall be properly certified where required
by the Federal, State or local laws. Subcontractor agrees to ensure that
instructors, I trainers, counselors professional and paraprofessional and other staff
shall possess education, training, and or experience to provide the skills,
knowledge, and abilities necessary to perform the duties of the position. The
Fiscal Agent or Department reserves the right to review and approve all staff
qualifications and certifications
B. Staffing personnel must be maintained at the level negotiated and contracted for
between the Subcontractor and the Fiscal Agent. Changes in staff positions or
reduction in hours shall be immediately reported to Fiscal Agent for review and
approval
C. Subcontractor agrees and understands the performance of work proposed"
negotiated, and contracted for must be maintained at the level agreed upon at
Initiation of this Contract. Any deviation from these requirements must be reported
to Fiscal Agent. Failure to maintain qualified personnel, the required level of
performance, approved curriculum, and other pertinent quality control standards
required by the Fiscal Agent and Department may constitute a breach of this
Contract, grounds for termination of thiS Contract by the Fiscal Agent or the
Department. and refund of amounts to Fiscal Agent or Department.
SECTION 33. TERMINATION
A. If the Subcontractor fails to provide services according to the provisions of this
Contract, the Fiscal Agent or Department may, upon written notice of default to the
Subcontractor, terminate all or any part of the Contract. Termination may be
exercised in addition to any other rights and remedies provided by law or under
this Contract
B. The Fiscal Agent or the Department, based on information from monitoring or
other verifiable sources, may terminate this Contract for cause or take other
actions, including, but not limited to:
1 requiring the Subcontractor to take specific corrective actions in order to
remain in compliance with any contractual provision;
2 to recoup payments made to the Subcontractor or impose administrative error
sanctions based on audit findings of violations of Contract requirements; and,
3 to suspend, place into abeyance or remove any contractual rights to include,
but which are not limited to, withholding of payment, cessation of placement
and removal of all Contract rights,
C. If Federal or State laws or other requirements are amended or judicially
interpreted so that either party cannot reasonably fulfill this Contract, and if the
parties cannot agree to an amendment that would enable substantial continuation
of the services, the parties shall be discharged from any further obligations under
this Contract
D. This Contract may be terminated at any time by mutual consent. In addition,
either party to this Contract may consider it to be canceled by giving 30 days
advance written notice to the other party This Contract will be terminated at the
end of the 30 day period Nothing in this section shall be construed to prohibit
immediate termination of the Contract pursuant to the sections above. This
Contract shall otherwise terminate by the date specified in the Contract Cover
Sheet.
E. At the end of the Contract term or other Contract termination or cancellation, the
Subcontractor, in good faith and in reasonable cooperation with the Fiscal Agent
and the Department, shall aid in the transition to any new arrangement or provider
of services, The respective accrued interests or obligations incurred to date of
termination must also be equitably settled.
F, The Department shall suspend or revoke this Contract if the Subcontractor is
found liable for or has a contract, license, certificate or permit of any kind revoked
for Medicaid fraud The Fiscal Agent shall also suspend or revoke this Contract if
the Subcontractor's license, certificate or permit has been revoked by any agency
listed in ArtIcle II of the General Appropriations Act passed by the 75th Legislature
of the State of Texas, as It may be amended.
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SICTION 34. FORCE MAJEURE
The Subcontractor agrees to be financially liable for undue delays or failures in
Contract performance except for any delay in or failure of performance of any
r~uirement caused by force majeure (i.e., those causes generally recognized under
Texas law as constituting impossible conditions). Such delays or failures to perform
shell extend the period of performance at the discretion of the Department, in the
exercise of reasonable diligence, until these exigencies have been removed. The
Subcontractor shall inform the Fiscal Agent and the Department in writing of proof of
such force majeure within three (3) business days or otherwise waive this right as a
defense The Subcontractor agrees that breach of this provision entitles the Fiscal
Agent or Department to reduce or stop payments, immediately terminate this Contract,
collect partial or whole payment for services not timely delivered, collect other
liquidated damages including the amount of any bond for Contract amount, and any
other remedies available to the Fiscal Agent and Department under the terms of this
Contract In equity, or under Texas law.
.~......T-.,,",*
Planned Parenthood of South Texas - 24 -
Attachment 0
SUBCONTRACTOR ASSURANCES
If awarded funds through the Community Youth Development (CYD) program, the proposer will be required to
cerlty the following to be true
Has legal authority to operate under state and federal financial assistance, including the managerial and
financial capacity to ensure proper administration, planning, and completion of service provisions.
Have no unresolved audit exceptions with the Texas Department of Family and Protective Services (DFPS),
the United States Department of Health and Human Services (DHHS), or other legal governing agency
concerned. An unresolved audit exception is an exception for which all administrative or judicial remedies
have been exhausted and resulting demand for payment has not been met. List any unresolved audit
exceptions on a separate sheet if applicable.
Has no outstanding debts that could result in Iien(s) or levy(s) placed on payments made by DFPS or the
City under the proposed contract.
The Subcontractor staff or governing authorities have not participated in the development of specific criteria
for award of contract and will not participate in the selection process for award of contract.
Has not retained, or promised to retain, an agent, utilized, or promised to utilize, an agent to provide an
interest to any person or entity participating in the development of specific criteria for award of contract or
selection of any successful offer.
Will give the City, DFPS, DHHS. the State of Texas or Federal Comptroller, or other legal governing agency
concerned through any authorized representative access to and the right to examine all records, books,
papers, or documents related to application and award; this may include, but is not limited to, verifying
information with third parties.
Understands that a failure to substantiate any statements made in the application when the City or DFPS
requests substantiation may disqualify proposal to provide services. which could cause failure to receive
award or lesser amount 01 award.
Agrees to comply with regulations, policies, and procedures specified by the City, DFPS, DHHS, and other
governing agency concerned regarding particular programs or services for contract award; including
refraining from any conflicts of interests or improper uses of funds awarded.
Has sufficient resources available to operate for at least two (2) months while waiting for initial
reimbursement from Fiscal Agent for operating expenses covered by this proposed contract, and sufficient
cash reserves will be maintained to provide two (2) months of service during the entire term of any contract
resulting from this RFP
10 Will submit reimbursement requests and program reports on a monthly basis using approved
documentation, and otherwise adhere to State of Texas, DFPS, and City fiscal policies and procedures; and
will promptly reimburse the City or DFPS for any losses suffered for undue delay in performance,
misconduct or negligence, or overpayment
11 Will submit a Self Evaluation Report within 45 days following the end of the contract period.
12 Will cooperate fully with the City, DFPS, DHHS, or other governing agency concerned in any reporting,
monitoring, auditing. training and technical assistance. researching, evaluating, or other analyzing of
information or data related to the contract under award
13 Will have written personnel poliCies by the effective date of contract that comply with federal and state
regulations and policies and that will successfully initiate and complete the work for the contract within
applicable periods of time
14 Will verify and disclose or cause its em ployees, subcontractors, and volunteers who have any direct contact
with CYD clients to verify and disclose, criminal history and any current criminal indictment involving an
offense against the person an offense against the family, or an offense involving public indecency under the
Texas Penal Code as amended or an offense under the Texas Controlled Substance Act, Chapter 481,
Texas Health and Safety Code. These policies will include a process for obtaining criminal background
checks for employees and/Or volunteers who have direct contact with CYD participants.
15 Will have written plans for the handling of client complaints and grievances by the effective date of the
contract.
Will obtain and furnish proof of bonding and insurance coverage within forty-eight (48) hours of the award of
the contract or at such other time as may be specified by the City or DFPS.
17 Will comply with applicable federal and state laws, executive orders, regulations, and policies governing this
contract; including complying with federal statutes providing in part that no persons in the United States
shall, on the grounds of race, colorlational origin sex disability. age drug or alcohol abuse or alcoholism,
2
3
4
5
6
-,
8
9
16
-
Planned Parenthood of South Texas - 25 -
political beliefs or religion be excluded from participation in or denied any aid, care, service or other benefits
provided by federal or state funding or otherwise be subjected to discrimination; and further agrees to
comply with Health and Safety Code Section 85.113 relating to work place and confidentiality guidelines
regarding AIDS and HIV and the Public Health Act of 1912 as amended regarding confidentiality of alcohol
and drug abuse patient records; and to comply with Title 40. Chapter 73, of the Texas Administrative Code,
pertaining to social services and assistance. *
18. Will adhere to generally accepted accounting standards and DFPS and DHHS directives for fiscal
management of federal and state financial assistance; will comply with Office of Management and Budget
circulars, will not supplant local funds with federal funds or apply funds awarded for the contract to other
federally or state funded programs
19. Certifies that no federal or state financial assistance or contract award or renewal of contract award has
been terminated or denied for noncompliance with policies or regulations of any state or federally funded
program within the past five years; nor is the offeror currently prohibited from contracting with a government
agency
20. Certifies that no funding under this subcontract will be used to influence the outcome of elections or the
passage or defeat of any legislative measures.
21. Will maintain records and Information as required by DFPS under contract terms for a minimum of five (5)
years or until resolution of any audit exception, litigation, or outstanding issues; and will make available at
reasonable times, places, and for reasonable periods, records, books, and supporting documents pertaining
to services prOVided for inspecting, monitoring, auditing, or evaluating by the City, DFPS or DHHS personnel
or their representatives
22 Will seek advance approval from the City or DFPS tor any subcontract awards and will have written
requirements with the Subcontractor to comply with the same terms as the City of Corpus Christi (City) in
adhering to generally accepted accounting standards, state and federal laws and regulations, and DFPS,
DHHS, or other concerned government agency directives.
23 Will hold the City and DFPS harmless from negligence, misconduct, or other improper actions of offeror's
agents. representatives, employees, or subcontractors.
24. Will establish a method to ensure confidentiality of records or other information relating to clients according
to applicable federal and state laws and regulations and City, DFPS, DHHS, or other concerned agency
directives. This provision does not limit the right of the City and DFPS to have access to any records for
contract services The City and DFPS shall have access to such documents upon request.
25 Will fully comply with all thR terms of the contract award
I individually, or as an authorized representative of the organization submitting this proposal, do hereby
cert~, warrant, and assure that I have read all assurances and do hereby bind myself and my
orgaaization to abide by them.
Am;la Stukenbera__
Prin.' Name of Authorized Representative
3/6/06
Date
\'-\\,,\
ExeClttive Director
Title
Planned Parenthood of South Texas. Inc.
Full legal Name of Organization or Agency
"The following federal laws are applicable but not an exclusive listing: Title VI Civil Rights Act of 1964 (PL 88-
352), Title IX Education Amendments of 1972 as amended (20 USC, Subsection 1681, at seq.), Section 504 of
the ~habilitation Act of 1973 as amended (29 USC, Section 794), Age Discrimination Act of 1975 as amended
(42 USC, Subsection 6101-6107), and the Drug Abuse and Treatment Act of 1972 as amended (PL 92-255), the
Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 as
amencled (PL 91-616), Public Health Service Act of 1912 as amended (42 USC, 290 dd-3 and 290 ee-3); Office
of Management and Budget Circulars A-37. 1\122: Code of Federal Regulations Title 45.
-
Planned Parenthood of South Texas - 26 -
Attachment E
Certification Regarding Debarment, Suspension, Ineligibility
and Voluntary Exclusion For Covered Contracts
i=ederaf Executive Order 12549 requires the Texas Department of Family and Protective Services (DFPS) to screen each covered potential
contractor to determine whether each has a right to obtain a contract in accordance with federal regulations on debarment, suspension,
meligibHity. and voluntary exclusion Each covered contractor must also screen each of its covered subcontractors.
In this certification "contractor" refers te both contractor and subcontractor .contract" refers to both contract and subcontract.
By signing and submitting this certification the potential contractor accepts the following terms
The certification herein below is a material representation of fact upon which reliance was placed when this contract was entered into. If it
is liter determined that the potential contractor knowingly rendered an erroneous certification, in addition to other remedies available to the
federal government, the Department of Health and Human Services, United States Department of Agriculture or other federal department
or agency, or the Texas Department of Family and Protective Services, may pursue available remedies, including suspension and/or
debarment
The potential contractor shall provide immediate written notice to the person to which this certification is submitted if at any time the
potential contractor learns that the certification was erroneous when submitted or has become erroneous by reason of changed
circumstances
The words .covered contract: "debarred," "suspended," "ineligible." "participant: "person," "principal," "proposal," and 'voluntarily
excluded," as used in this certification have meanings based upon materials in the Definitions and Coverage sections of federal rules
implementing Executive Order 12549. Usage is as defined in the attachment
The potential contractor agrees by submitting this certification that, should the proposed covered contract be entered into, it shall not
knowingly enter into any subcontract with a person who is debarred. suspended. declared ineligible, or voluntarily excluded from
participation in this covered transaction. unless authorized by the Department of Health and Human Services, United States Department of
Agriculture or other federal departfTlent or agency, and/or the Texas Department of Family and Protective Services, as applicable.
Do you have or do you anticipate havim; subcontractors under this proposed contract?
Yes
No X
The potential contractor further agrees by submitting this certification that it will include this certification titled "Certification Regarding
D.arment, Suspension. Ineligibility, and Voluntary Exclusion for Covered Contracts. without modification, in all covered subcontracts; and
in solicitations for all covered subcontracts
A contractor may rely upon a certification of a potential subcontractor that It is not debarred. suspended, ineligible, or voluntarily excluded
from the covered contract unless it knows that the certification is erroneous, A contractor must, at a minimum, obtain certifications from its
covered subcontractors upon each subcontract's initiation and upon each renewal.
Nothing contained In all the foregOing shall be construed to require establishment of a system of records in order to render in good faith the
certification required by this certification document The knowledge and information of a contractor is not required to exceed that which is
normally possessed bv a prudent person in the ordinary course of business dealings
Except for contracts authorized under paragraph 4 of these terms, if a contractor in a covered contract knowingly enters into a covered
subcontract with a person who is suspended. debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to
other remedies available to the federal government, Department of Health and Human Services, United States Department of Agriculture,
or other federal department or agency, as applicable. and/or the T',xas Department of Family and Protective Services may pursue available
remedies including suspension and/or debarment
:ERTlFICATlON REGARDING DEBARMENT SUSPENSION. INELIGIBILITY AND VOLUNTARY EXCLUSION FOR COVERED CONTRACTS.
ndicate in the appropriate box which statement applies to tr18 covered potential contractor:
tKI The potential contractorertifies, ty submission of l,hlS certification, that neither it nor its principals is presently debarred, suspended,
proposed for debarment declared ineligible, or voluntarily excluded frorn participation in this contract by any federal department or agency or by
the State of Texas
D The potential contractor IS unable tl' certify to one or more of the terms in this certification. In this instance, the potential contractor must
,lttach an explanation for each ot the abc,ve terms to which s/he IS unabte to make certification. Attach the explanation(s) to this certification.
Name of"otential Contractor Vendor 10 No. Or Social Security No. DFPS Contract No. (If applicable)
74-1460204
Planned Parenthood of South Texas, Inc,
Name of Authorized Representative r.Ue Signature - Authorized Representive/Oate
Executive Director \\fY\crck ~ckr&5 ~J'6 )tJb
Amanda Stukenberg
-,
'"IlilI!IP-~
Planned Parenthood of South Texas - 27 _
Attachment F
Certification Regarding Federal LObbying
(Certification for Contracts, Grants, loans, and Cooperative Agreements)
PREAMBLE
Federall.slation, Section 319 of Public Law 101-121 generally prohibits entities from using federally appropriated funds to lobby the executive or
legislslve branches of the federal govemment. Section 319 specifically requires disclosure of certain lobbying activities. A federal government-
wide rule, "New Restrictions on Lobbying: published in the Federal Register, February 26, 1990, requires certification and disclosure in specific
instances and defines terms:
Covered Awards and Subawards . Contracts, grants. and cooperative agreements over the $100,000 threshold need (1) certifications, and (2)
disclosures, if required (See certification term number 2 concerning disclosure.)
LObbying. To lobby means "to Influence or attempt to influence an officer or employee of any agency (federal), a member of Congress, an officer
or emptoyee of Congress, or an employee of a member of Congress in connection with any of the following covered federal actions:
X the awarding of any federal contract,
X the making of any federal grant,
X themaklng of any federal loan.
X the entering into of any cooperative agreement. and
X the extension, continuation renewal. amendment. or modification of any federal contract. grant, loan or cooperative agreement
limited UlIe of Appropriated Funds Not Prohibited - The prohibition on using appropriated funds does not apply to activities by one's own
employees with respect to
X lialt!on activities with federal agencies and Congress not directly related to a covered federal action;
X prcMding any information specifically requested by a federal agency or Congress;
X diSQJssion and/or demonstration of products or services if not related to a specific solicitation for a covered action; or
X prolessional and technical services in preparing. submitting or negotiating any bid, proposal or application for a federal contract, grant loan
or cooperative agreement or for meeting legal requirements conditional to receipt of any federal contract, grant, loan or cooperative
agreement (The prohibition also does not apply to such services provided by nonemployees for the same purposes.)
Professioftlll and Technical Services - ProfeSSional and technical services shall be advice and analysis directly applying any professional or
technical expertise Note that the professional and technical services exemption is specifically limited to the merits of the matter.
Other Allowable Activities - The prohibition or use of federally appropriated funds does not apply to influencing activities not in connection with a
specific covered federal action These activities include those related to legislation and regulations for a program versus a specific covered
federal action
Funds Othtr Than Federal Appropriations - There I,; no federal restriction on the use of nonfederal funds to lobby the federal government for
contracts, grants, and cooperative agreements
Applicabilitt' of Other State and Federal Requirements. Neither the government-wide rule nor the law affect either (1) the applicability of cost
principles in OMS circulars A-87 and A-122. or (2) riders to the Texas State Appropriations Acts which disallow use of state funds for lobbying.
TERMS OF CERTIFICATION
This certification applies only to the instant federal action for which the certification is being obtained and is a material representation of fact upon
\'\!hich r'-ance was placed vvhen this transaction was made or entered into. Submission of this certification is a prerequisite for making or
entering into this transaction imposed by section 1352. title 31. U.S. Code. Any person who fails to file the required certification shall be subject
a civil penalty of not less than $10.00n and not more than $100.000 for each such failure.
The undersigned certifies, to the best of hisJr her knowledge and belief. theft
No federWIy appropriated funds have been paid or will be paid, by or on behalf of the undersigned. to any person for influencing or attempting to
Influence an officer or employee of any agency. a member of Congress an officer or employee of Congress. or an employee of a member of
Congress in connection with the awarding of any federal contract, the making of an federal grant, the making of any federal loan, the entering
Into of any cooperative agreement, or the extension continuation, renewal. amendment. or modification of any federal contract, grant, loan, or
cooperative agreement.
l.. any fUl!ds other than federally appropnated funds have been paid or will be paid to any person for influencing or attempting to influence an
officer or employee of any agency. member of Congress an officer 01 employee of Congress. or an employee of a member of Congress in
conneclM1ln 'ofo'ith this federally funded contract, subcontract. subgrant, or cooperative agreement, the undersigned shall complete and submit
Standard Form-LLL. "Disclosure Form to Report Lobbying," in accordance with its instructions, (If needed. contact your Texas Department of
Familyafld Protective Services procurement officer ')r contract manager to obtain a copy f Standard Form-LLL.)
3, The undersigned shall reqUIre that the language of this certification be Included in the award documents for all covered subawards at all tiers
(including subcontracts, subgrants, and contracts under grants. loans, and cooperative agreements) and that all covered subrecipients shall
certify ani! disclose accordingly
00 you hav."or do you anticipate having covered subawards under this transaction?.......,. ................................. 0 Yes ~ No
Name of .-otential Contractor
Planned Parenthood of South Texas, Inc.
Vendor 10 No. Or Social Security No
OFPS Contract No. (If applicable)
74-1460204
Name of Authorized Representative
Amanda Stukenberg
Tit'e Executive ')irector