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HomeMy WebLinkAboutC2008-088 - 2/12/2008 - Approved~ ~ ~}r,~1,i : ~ ti~ y~ ~~ .~. ,~ 's:" ~ .~ DAVID L. ~,AKI;Y, N].D. CO~I~IISI~N~R ll~arch I~, 200 {. ~ ~~ r~ r~~~ ~-~ TEXAS DEPARTMENT OF STATE HEALTH SERVICES Annette Radr~guez, Director corpus Christi - Nueces Jaunty E~~l~lic health District 170 ~Iorne load at~pus Christi T 784 1 Dear NIs. Rodriguez: 1 lOD . ~9`~ street • Austin, Texas 78750 ] -888-93-? 1 ] 1 • htt :Ilww~~r.dshs,st~te.tx.us TDD: 5 - 7~8 ~~ ~ ~~~ ~~ ~ ~ ~~ ~. ~~ ~~ #~~ ~ ~~ ~~ ~ U~; ~' ~C~i=~~r~~~t'~ ~ ~ ~rfi~l~ ' ~ . ~~~~~ ~~,~' Enclosed is an approved copy of your Departnnent of State Health Services {DSHS} contract. Please file it with the offce of record for your agency. ~rhe pra~risions of this contract requite submittal of quarte~'ly financial reports no later than ~0 days after the end of the first three quarters and a final report no later than ~0 da~rs after the end of the contract term. Attached are preprinted Financial status Reports {~'~R 2b9a} for the entire tee of yout• contract. Please forward the ~'R forms to the Person in your agency responsible for completion of fir~anci~l reports. If this is a contract atnetldn~ent, l~'~Rs are provided only for the rernaining term of your contract. ~'hese reports are required regardless of whether or not expenses ara incurred. DSI~ will not pay for ~•eimbursements submittedlpastmarkd more than ~ days after the end of the contract Attachment term. Additional information regarding this policy is available on the DSI~ wel~site at l~:llwww.dshs.state,tx.~~s. 'lease reference the DSHS contract and attachment number in ail future correspondence. If you have questions, please contact 3anet Childers at 512-458-7111 ext. 6386 or via email at Janet.Childe~•s cr,dshs.state.tx.us. ~ incerely, Bab Burnette, Director Client Service Contracting Unit BB:~dc Enclosures ZUOS-ASS ~~~121~5 Rey. 4~7G9 TX De t. ~f State Heatth v~S. f Employmartt ~ppor-~ur~ify employer and Provider exisr. rf~ Dep~r~t~rtz~t of State Health ~r~i~es Fit~ar~cia~ Status Report FR269A 11 U0 west 49th Street Fiscal I~ivisio~~lAccaul~#~ Payable A>~tstin, Texas 7875-3199 Phone {512}458-7435 Contractor Name: CORPUS CHRISTI-NUI~CE DSHS Program: CPSIBIC~LAB C~UNT~ PUBLIC HEALTH DISTRrCT CITY} DSH Coiatxact #: 2008-0229b 1 Payee Account #: Attachment #: OOIA Payee ~etrdor ID: 17460~0574~027 Basis: [ ]Cash ~ ] Acc~l~al Payee >~Ia~ie: CITY aF CARPUS CHRISTI Con~•act Term: From: 0910112007 To: D7131I20~8 Addrl~ss: PC BCC 9277 Pez~od Covered in Report: City, ST, dip: CARPUS CHRISTI, TX 784699277 From: I210I12007 To: 0212912008 P~ Number: O~OD330343 Final Report [ ]Yes [ ] No Pro~eet CosE pex ~er~eral Ledger B>adget Categories Approved Budget Tlris Pex~od Cumulative Remaining Budget Balance ~ii minus iv} a. Persorntel 76,96~.D0 ~). Fringe BenefltS ~~,~~.~Q c. Travel 23,50.00 d. Equipment ~ 1,7$0.00 e. Supplies 55,434.00 ~. Colltractual Q,~Q ~. ether 4J,SS2.0~ h. Total Direct Charges 250,351.00 i. Indizect Charges 0.00 j. Total Charges 25D,351.00 Less: k. Prograixi Inco~r~e Collected ~ } ~ ~ i. ~[or~-DSHS Funding { } 117. ~4~'~A~l~~: l~~C~1V~l~ ~CO~, lll~~~l~pa1~ Col. lV~ { Bala~lce ~~ved (Col. v) n. Total Reimbursement Requested o. Total Reirr~bursernent Received Prepared 13y; Tltle; Pl~o~~e #: ERT~F~CAT~~N: I certify to the best of ~Y~y k~lowledge and belie#'that this report is con~ect and complete and that all outlays and unliquidated obligations arc for the pu>:poses set for th ~><>< the award documents. Signat~,re of Aut~~orized Cer#ifying ~tf icial llate 5ubmitt~d 1 1 `hyped Ol' Pr:~~ted Name a~~d Tithe of Certifying Qt~ciak '[~e~e~hone: D~H~ Farm GC-4a (2G9a} Revised G1~4 Dep~tl~ne~t ~f state ~ea~~h et~~ces ~'ir~ancra~ status Deport FR2b9A 1 100 hest 49t~ street Austin, Texas 78756~3I99 Fiscal DivisionlAccount~ Payable Phone ~512)458~74~5 ColYt~•actor Name; CORPL]S CI~RI~TI-NUECBS DSI~ Program: CP~fBIO-LAB COUNT' PUBLIC HEALTH DISTRICT CITY} DOHS Contract ##: 2008-022961 Payee Account #: Attachment #; 001 Payee vendor ID: 17460005741027 Basis; [ ]Cash [ ]Accrual Payee Name: CITY OF CORPI•<1S CI-IRITI Contract Term: From; 09!011200? Ta: 0?13112008 Address: PO BOA 92?7 Period Covered in Report: City, ST, dip: CORPUS CHRYSTI, T~ 784G9-92?? From: 0310112008 Ta: 0513112008 PO Number: 0000330343 Final Report ~ 1 Yes ~ 7 Na Project host per ener~l Ledger ~1~ Budget Categories {11~ Approved Budget ~111~ This Period ~1~1 Cumulative ~~'~ Rernairling Budget Balance ~ii minus iv} a. Person.~el 76,966.00 b. Fringe Benefits 23,089.00 c. Travel 23,500.00 d. Equipment ~I,780.D0 e. Supplies 55,434.00 f. Cantxactual 0.00 g. Other 49,58.00 h. Total Direct Charges 250,351.00 i. Indv~ect Charges 0.00 j. Total Charges 250,351.00 Less: k. Program Income Collected ~ } ~ } 1. Non-DOHS Funding ~ } ~. AD'UAI~~~: Received Col. iii~IRepaid Col. iv) Ba~~r~ce Owed ~C~l. v~ n. Total Reimbursement Requested a. Total Reimbursement Received ~ ~ ~repare~ ~y: Title: Phone #: ERTIF~~AT~~N: I certify to the best of my l~naw~edge and belief that this report is correct and complete and that all outlay ar~d unl~ uidated obligations are far tl~e pur aces set forth in the award docurlaents. Signat-~~e of Aut~~~'ized Certifying D~`ficial Date Submitted ~ ~ Typed ar Pri~~ted Name a~~c~ title ofCertifying ~f~cial Telephone: ~~~-I~ h"orm ~C-4a (~~i9a~ Revised 6104 D~partn~ent of state Heath services Fin~ncia~ status Report FR2~A 1100 hest 49`h Street A~~stirt, Texas 7$?~~-3199 Fiscal DivisionlAccounts Payable Pha~~e {~ 1 ~}458µ743S Contractor Name: CARPUS C~.RISTI-N[J1~CB~ COUNTY Pt]BLIC HBALTH DI~`TRICT {CITY} DSHS Program: CPSIBI~-LAB DSHS Contract #: 2008-022961 Payee Accaun# #: Attachment #: 001 A Payee ~cndar I1~: 174b0005741027 Basis: [ ]Cash [ ]Accrual Payee Name; CITY ~F CORPUS CI~RrSTI Address: PO B~~ 9277 City, ST, dip: C~RPU CHRISTI, T~ 78469-9277 Contract Term: From: 0910112007 Period Coveted in Report; From: DGI0112008 To: 0713112005 To: 0713112008 P~ Number: 000033~~43 Final Report [ ]Yes [ ] No ~ro~ec~ Cost per General Il,edger ~1~ Budget Categories {1~~ Approved Budget {111 This Period ~~~~ Cuamulative ~~~ Remaining Budget Balance {~1 rrnnus 1V} a. Persan:~el 7~,96.0~ b. Fringe Benelits 23,089.00 c. Travel 23,500.00 d. Bgnipment 21,750.00 e. Supplies 55,434.00 Con#ract~al o.ao ~. Other 49, 5 ~2.0~ h. Total Birect Charges 250,351.00 i. Indirect Charges 0.00 j. Total Charges 250,351.00 Less: k. Program Income Collected { } ~ } 1. Non-I~SI~S Funding { } m. AD'~ANCE: Received Col. iii}IRepaid {Col. ivy balance ~~~e~ {Col. v} { n. Total Relmhuzsernent Requested o. Total Reimbursement Received Prepared By: Title: Phone #: GEI~TIIw ICATION: I certify to the best of r~7y lulawledge a~~d belief that #his report is correct and complete and that all outlays and unliquidated obli ations are for the p~~~ oses set forth in the award documen#s. Sig~7ature ~f Autha~~~ed Cert~fy~ng O~fic~al Date Submitted I 1 ~fyped or Pri~~ted Name and Title ofCertifyi~~g aff~cial TeI~~~E~~~le: DSHS Furrr~ CC-4a {269a) Revised f~f04~ DEPARTMENT OF STATE HEALTH SERVICES p~ E r Amendment To The Department of State Health Services {DSHS} and CORPUS CHRISTI-NUECES COUNTY PUBLIC HEALTH DISTRICT (CITY}_ (Contractor) agree to amend the Program Attachment # 001 (Program Attachment) to Contract # 2008-422961- (Contract) in accordance with this Amendment No. 001A : CPS- BIOTERRORISM PREPAREDNESS-LAB ,effective 09/O1/2Q07 Thls Amendrnent 1s necessary to lncrease 1n fund~n due to addition of ren~a~nin PY~B ful~ds and revisions to ~ and fork lens as er nevi ADC uidance. This Amendment has a retroact~~e effective date because: The fiscal Year 208 ~D guidance and ~ a~°/o of allocated fundin is to be a 11ed to the entire term ~~ thls Pra ram ~ttachm~ent~ Therefore, ~~ and contractor agree as fol~o~~us. The Program Attachment berm a.s hereby revised as follows. T~~1VI: a91a ~ I~007 THRU: ~ D"~1;~1 I~~~ SEC~ZON' I. ~TAT~MEN~' ~F WORD; paragraph 1 is revised as follows: contractor shall assist DH in the in~plernentation of DHS's: • ~~'-~-~~'~~~~7" renters fer Disease control and Pre~entian ~D}--~~e~r~~~~~'~~~~ ~ B~€~~et Period S con~zuat~un Public Health Preparedness and Ennergel~cy ~esponse~~ ". ~ ~ oanera~x~fe A~ree~n~~t ,~to lxpgrade state and local public health~urisdictions' preparedness for end response to terrorism and other pubic health threats and emergencies; and ~ecre#a ~ .f r Pre aredn and ~~e n ~ A ~' Hosp~fal Preparedness Prarar~ "W _~-~.~~.~~~,.~~.~.~.,} ~~, ~_i ~~n_n~ nn~ ~ to enhance the ability of hospitals and health care s~ste~ns to prepare for and respond to biaterrarisn~ and other public health emergencies. SECTION I. STATEMENT OF WDRK: paragraph ~,~t~, 8th'and nth ~ulleted items, are revised as (allows: ~ Provide copies ofa~l near ar revised ~Pslls related to preparedness to DH ~ ` ' ~~ ~;- ~~~~~ reaue,~t; • Present laboratory-oriented training to hospitals and reference laboratories in the identified service -area on the LIEN sentinel protocols to incl~~de pacl~aing and shipping ofboth biological and chet~aical samples according to published ADC protaca's .~ ° end re~~ort nu~nl~e~~ ~o f+"°~~ ~"~~},~=,}r~~=f,.. ~,~,~,~ facilit~e~ ;~~d~~a-n_ne~ t~~~ -received this instruction duril~ the term of this Pro ram Attaclln~ent; g g _-~ ~ ~ Rcr~r~se ~"otoco~s for safe specirr~en transport Pram loco( laboratories; - Page - 1 of3 SECTION T . ~ iAT~I++~~~.~T aF WORD : paragraph 7 is reprised as f o~.lows -e~ter~~1~ t .Pcri~c~ _ $ fund~n -for ~ , c~n~~~~~atinn ~~ the -Public I~ealtb ~rnergenc~ Preparedness-r_ ' .~~.•~u~.N,,~;~~,~~, • ti, r i ~ ~~ {~ w a i ~ • . • F ~, ~ . .~ PAP ~'oo erat~~re A~~re~~~nent ~uida~~c~ ~~atec~ entcmhc~r Z1y ~~{~7~,~ -- - -- --- ...... ~ fpy~ y 7 ~ 1 +. ___ _---_ Secs{star ~ foci Pre ~~~•edness ~~~ad Res once ~ ~P~ -~~o~pi~al Prepared~ne Progran~~.~~ ~ ~ . T k i~n~e l~tt :Il~~~v~~~.dsh~.~tate.t~..usleom re lstak~~o~dersl~ 4~ Hos xta~ Pre C~~~i~a~r~:e ~~nal, cl# • r 'ect .~'eri Public health Emergonc~ Preparedness Nark Plan for Laboratory Respcnse- •` ; .l~etorks ~Ii'4'~D'7-~~~Ul~$],attache~ as :~~hibit~4~3: * ~antractor's FYoB Applicant information and budget Detail for F~~S base _~c€~aertiv_e a~reementt ~'~OS an e~nzc~ ~nf~ucn~a~ Wand • ~~ Pre a~•edne~s Pro rangy ~u~danc ~~ as ~ro~~~ded v DS, ., ,.,.....-.... SECTION I. STATEMENT ~F WORK: paragraph ~ is revised as follows; contractor shall cooperate v~ith DSS to coordinate all planning, training and exercises performed under this- ~ c~ntr~ct -itla the Governor's Division of Ernergenc~ Management of tl~e State ofTexas, or other points of contact at the discretion of the division, to ensure consistency and coordination of requirements at the local level and eliminate duplication of effort between the various don~estic preparedness funding sources in the state. SECTION II. PERFORMANCE MEASURES: paragraph I ~.s revised as follows; contractor shall complete the PE'~RA~NE MEASURES as stated In the attached ~xhib~t ~ ~3. SECTION Z~I. RENEWA~,S: paragraph 1 is deleted and replaced with the following: ~ , • x ~.~~~~~- ~~t~n~ SECTION ~TIZ, BUDGBT:1 S~i3RCE ~F FUNDSs, is revised as follows: S~UR~E OF FUNDS: 9~.?; 9.8~ SECTION ~YIZ. SPECTRE PROVISIONS: is revised to add the faXlowing: e~zeral Pro~isi~ns Tcrl~s and ~'onclltions v~ Pa~frnent Article, Pra~nr~t Pa~+ex~~ Scct~on, ~s re~is~tl to inct~~c~e; ~t~~trac~r~r shall e ~ r; el identif f ~~ n e~~c lu#~uen~a e~ ~n~Ytures axe the manth~~~ rein~~~urserne~t re nest Mate of'~e~as Purchase ~' chcr, Pandemle ~n~~uen~a ex end~tures shall be ~~u~~orte~ h-~r ~ocun~ei~tat~on that eta~~s these es n itures xn a for~nat ~ ee~fled b DSH. /5 Page - ~ 0#` ~ Dep ~ # o#' a H~al# erv .~ ~ ~ ~- ignat~zre of Aathori~ed Official ~~.I~ Date: ~ ' ~ Bob Barnette, Q.P.M., CTPM Dlrectox, Client ~ervlces ~Dlltra~tlll j]i11t ~ ~ Do BEST 49TH ~TRE~T AU~TrN, TE 787~G Bob.Burnette cdshs.state.tx.us ~~ AU~~U~i ~~ ~~kF~~ ~f ~ a Mw~M*IiM~~ ~~~~ ~ Can#ractor Signat~fre o(AUthorized Offcial N,m ~evr~e K. Nun Twee ~/~ m4 ~~~/ Address: 1 •V• ~Uu- ~ Z~ r C~r~tD45 ~ ~' ~1~'~9 Phone 3 ~) ~2(~-32z~ emaa:~~ r~~~-~~y~S,cam App~o~u~ed as t~ ~arrc ~` °8 ,{~~ ~ n U ~ uqy Assiatant City At~omey "~ For City Attorney ~~ ~ . ~ ~~~ Pago-3 of3 DEPARTMENT OF STATE HEALTH SERVICES ~~ r~ 1100 WEST 49TH STREET AUSTIN, TEXAS 78756-3199 CATEGORICAL BUDGET HAhI~E R~IJBT DSHS Pi~OGRAM; PwBIQTE~~ORIM PRFPARFDNE~LAB GONTRATOR: CORPUS CHRISTI-NI~FCF COUNTY PUBLIC HEAf~TH ~IfiRI~`i~ ~ITY~ CONTRAST NO: 2aa8-a2~91 GNTRACT r~~r~ : a~~a ~~~ aa~ rH ~u ~ o~~~ ~~zaa~ BUDGET PEr~~D: 09Ja1J~0a7 THRU, a7~31~~~08 GHG~ a01A .......... . .. ~~ D~I R~~` T~ ~J~T:CLA~~ ~ .: ..... { . ,.::. .. .... ~AT~.~1 E} .. :. .. .. current Approved Budget ~A} revised Budget ~B} Change Requested Personnel 3~,fiaa,0a ~~,9~fi.0D 4g,Gfi.00 Fringe Benefts $~ 0,~8Q.aD $~3,a89.gD ~~,1 o9.a0 Travel $~,Oa4.aa 2~,5g0.OD ~4,5DD.og Equipment $a,aa ~1,780.DD ~~,l8g.go supplies $~3=97a.oa $55,4~4.aa $41,44.00 Contractual ~a.00 D.00 g.o0 Other ~9,9~5,D~ $49,58Z.aa X0,34.00} Total Direct Charges ~ 50,45.00 X0,35 ~ , 0Q $99,875.aa .. _ .. ,. ..~ ~~~~~} a.ao a.ao ~a.ao Rate ~°l~~ 0.00°l0 0.00°lo a.oo°lo Indirect Total D.OD 0,4~ $o,oo .. . . .. P , ,.... ~F~AM l.N::~;.:~~ ..: . , Program income $a.00 $O.DO X0,00 Other Match $D,00 $0.00 0,0p income Total $a.a0 $0.00 0.0U .. .. ....... ~ ....s,.... ... .. .. .. .... .~ . .... lr~ ... .. , . .~ ~' . .: . ............... , . ., ~. ... . .....: . ...... v•4' .d.. ,. -,.~~ .. ,. ..~ i .,, ~ , ,.. ~ . 't.; .. ,..> ... . ... :.. .~. .,L .. . YS ..~ .....~..,.. . ..~ .... .. ..,...... ~.o- .:: :.iN . . ~ Advance Limit a.00 X0,00 $O.Og - Restricted Budget a. DO X0.00 $O,Oo ..~ . ;: .... .. .. Y .. ~ ;:: ~~. SUMMA ~~: ,, ..... ,y, ,. ..,.. . ~~~ ~ ~ x ~ ~ . Cost Total ~~ 50,475.OD ~~5a,~~1.00 ~9~,$a~.aa Performing Agency share $000 $~.~~ $p,g0 Receiving Agency share $150,4?5.D0 ~50,35~ ~OQ gg,876.00 Total Reimbursements Limit $~ 50,475.00 ~~50,35~1.D0 09,S7fi.a0 JUriF~ATi~N: ~ k;: ~ ~ : ~ ~ . ~ ~ ~ . Increase in funding due to a~ditian of remaining FYQB finds and rev~sians to VII and UVorkplan as per new ~~ guidance. Financiai status re~arts are due: 1~J3~,/~807, a~~3~J~0aS, a~J3a~~0a8, a~3a~~aa8 DEPARTMENT OF STATE HEALTH SERVICES ~, E 1100 WEST 49TH STREET AUSTIN, TEXAS 78756-3199 EQUIPMENT LIST CHAFE RE~U~T DH PR~RAM; CPS-~IOTE~RRIM PREPAREDNE-LAB ~NTRACT~R: ~RPU CHRISTI-NUECE COUNTY PUB~fC HEALTH p~TR~GT {CITY} ~NTRAT TERM: ~9J~1J~~~~ THRU: 48~3~~~ga~ ~UDET PERIOD; 09~01~~~~7 THRU; 47JB~~~00~ OONTRACT N0: ~Q~S-~~29~I CH QD~A N~ ~~UIP~E~VT LIST ... /r~{ C .,. ....,.. ... ., . .~ ..:~ ... .., q~Npr~ent Ds.~~p#~oh ,.. ., .. . . , ~~i~~s' .: ~ ~ ~~:::;:: :.U.r~it ~ ~. . 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