HomeMy WebLinkAboutC2008-195 - 5/27/2008 - Approved
DAVID L. LAKEY, M.D.
COMMISSIONER
June 9, 2008
Anette Rodriguez, Acting Director
Corpus Christi-Nueces County Public Health District
1702 Horne Road
Corpus Christi TX 78401
Dear Ms. Rodriguez:
1100 West 49th Street • Austin, Texas 78756
P.O. Box 149347 • Aus[in, Texas 78714-9347
1-888-963-7111 • www.dshs.state.tx.us
TTY: 1-800-735-2989
Enclosed is an approved copy of your Department of State Health Services (DSHS) contract.
Please file it with the office of record for your agency.
The provisions of this contract require submittal of quarterly financial reports no later than 30
days after the end of the first three quarters and a final report no later than 60 days after the end
of the contract term. Attached are preprinted Financial Status Reports (FSR 269a) for the entire
term of your contract. Please forward the FSR forms to the person in your agency
responsible for completion of financial reports. If this is a contract amendment, FSRs are
provided only for the remaining term of your contract. These reports are required regardless of
whether or not expenses are incurred.
DSHS will not pay for reimbursements submitted/postmarked more than 60 days after the end of
the contract Attachment term. Additional information regarding this policy is available on the
DSHS website at htty://www.dshs.state.tx.us.
Please reference the DSHS contract and attachment number in all future correspondence. If you
have questions, please contact Janet Childers at 512-458-7111 ext. 6386 or via email at
ianet.childersQa,dshs. state.tx.us
Sincerely,
Bob Burnette, Director
Client Service Contracting Unit
Enclosures
2008-195
Res. 027712
05/27/08
Dept, Of State Health Svcs. 1 Employment Opportunity Employer and Provider
TEXAS DEPARTMENT OF STATE HEALTH SERVICES
This contract is considered
"confidential"and should not be
released. Contact the Legal
department (Elizabeth Hundley).
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 # 2008-022961 (Contract) in accordance with this Amendment No. OO1B CPS-
BIOTERRORISM PREPAREDNESS-LAB ,effective 02/08/2008.
This Amendment is necessary because new discretionary funds have been awarded by CDC.
Therefore, DSHS and Contractor agree as follows:
SECTION I. STATSMENT OF WORR:, paragraph 7 is revised to add the following:
• iscretionarv Funding Proiect Work Plan Y2008 attached a Exhibit ~ the remainder o
Exhibit B is unchanged as previously attached:
SECTION II. PERFORMANCB MEASUR83: is revised to add the following:
Additional funding under thi contract amendment is for completion of activities and nerfnrmanre
measures as outlined in the attached Exhibit C Discretionary Fundin Proiect FY 2008
SECTIONVIII. SPECIAL PROVISIONS: is revised to add the following:
eneral Provisions General Busine Operation of ontractor Article Eauinment and Controlled
Assets Purchases Section is amended to allow the nor hase of eauinment at any time during the entire
term of this Program Attachment
D nt of St. ealth Servic
Signature of Autho ized/ Offi :al
Date: ~ ~~ I~$
Bob Bumette, C.P.M., CTPM
Director, Client Services Contracting Unit
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756
(512)458-7470
Bob. Bumette@dshs.sta[e.tx.us
IlT CatlliCll
SECRETARY
Contra r
Si afore of Authorized Official
Date
Name:
Title:
Address:
Phone: _
Email:
Page - 1/,q~f~2
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City Attorney
CATEGORICAL BUDGET CHANGE REQUEST
DSHS PROGRAM: CPS-BIOTERRORISM PREPAREDNESS-LAB
CONTRATOR: CORPUS CHRISTI-NUECES COUNTY PUBLIC HEALTH DISTRICT (CITY)
CONTRACT NO: 2008-022961
CONTRACT TERM: 09/01/2007 THRU: 07/31/2008
BUDGET PERIOD: 09/01/2007 THRU: 07/31/2008 CHG: OO1B
Current Approved Budget (A) Revised Budget (B} Change Regj
Personnel $76,966. 00 $76,966. 00 $0.00
Fringe Benefits $23,089. 00 $23,089. 00 $0.00
Travel $23,500. 00 $23,500. 00 $0.00
Equipment $21,780. 00 $66,780. 00 $45,000.00
Supplies $55,434. 00 $56,934. 00 $1,500.00
Contractual $0.00 $80,750. 00 $80,750.00
Other $49,582. 00 $49,582. 00 $0.00
Total Direct Charges $250,35 1.00 $377,60 1.00 $127,250.00
Base ($) $0.00 $0.00 $0.00
Rate (%) 0.00% 0.00% 0.00%
Indirect Total $0.00 $0.00 $0.00
Program Income $0.00 $0.00 $0.00
Other Match $0.00 $0.00 $0.00
Income Total $0.00 $0.00 $0.00
~ ~4 ~'i r~~?*2 T=~
Advance Limit $0.00 $0.00 $0.00
Restricted Budget $0.00 $0.00 $0.00
Cost Total $250,351.00 $377,601.00 $127,250.00.
Performing Agency Share $0.00 $0.00 $0.00
Receiving Agency Share $250,351.00 $377,601.00 $127,250.00
Total Reimbur~~s,~~ements Limit $250,351.00 $377,601.00 $127,250.00
,wcrr, ~ ~~'~W'+ ~tx~*` -~'~+ '~'' 4
Increase in funding due to FY08 Discretionary Funding Projects.
Financial status reports are due: 12/31/2007, 03/31/2008, 06/30/2008, 09/30/2008
EQUIPMENT LIST CHANGE REQUEST
DSHS PROGRAM: CPS-BIOTERRORISM PREPAREDNESS-LAB
CONTRACTOR: CORPUS CHRISTI-NUECES COUNTY PUBLIC HEALTH DISTRICT (CITY)
CONTRACT TERM: 09/02/2007 THRU:- 07/3-1/2008 - - - -
BUDGET PERIOD: 09/01/2007 THRU: 07/31/2008
CONTRACT N0:2008-022961 CHG: OO1B
PREVIOUS EQUIPMENT LIST
~ k
1 CCTV system cameras Total Protection 1 $13,580.00 $13,580.00
Dell Optiplex 320, Intel pent 4 processor,
2 wintows vista, 17 in flat panel monitor, 1 $950.00 $950.00
DVD/CDRW drive
refrigerated microcentrifuge VWR 18R model
3 with 24 place rotor 1 $4,895.00 $4,895.00
4 waterbath, precision model 253 with cover 1 $2,355.00 $2,355.00
$ $ 21,780.00
NEW EQUIPMENT LIST
~5~
1
CCTV system cameras Total Protection
1 ..
$13,580.00
$13,580.00
Dell Optiplex 320, Intel pent 4 processor,
2 wintows vista, 17 in flat panel monitor, 1 $950.00 $950.00
DVD/CDRW drive
ROOF MOUNTED CENTRAL STATION AIR
HANDLING UNITS
A. Configuration: Fabricate for outdoor
application with fan and coil section plus
3 accessories, including: 1 $45,000.00 $45,000.00
1.Coil section with cooling coil.
2.Fan section.
3.Filter section.
4.Motorized outs
5.Motor
4 refrigerated microcentrifuge VWR 18R model
with 24 place rotor
1
$4,895.00
$4,895.00
5 waterbath, precision model 253 with cover 1 $2,355.00 $2,355.00
$ $66,780.00
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Department of State Health Services
Financial Status Report
FSR269A
1100 West 49`h Street
Austin, Texas 78756-3199
Fiscal Division/Accounts Payable
Phone (512)'158-7435
Contractor Name: CORPUS CHRISTI-NUECES
COUNTY PUBLIC HEALTH DISTRICT CIT DSHS Program: CPSlBIO-LAB
DSHS Contract #: 2008-022961
Payee Account #: Attachment #: OO1B
Payee Vendor ID: 17460005741027 Basis: [ ]Cash [ ] Accmal
Payee Name: CITY OF CORPUS CHRISTI
Address: PO BOX 9277
City, ST, Zip: CORPUS CHRISTI, TX 78469-9277 Contract Term:
From: 09/01/2007
Period Covered in Report:
From: 03/01/2008
To: 07/31/2008
To: 05/31/2008
PO Number: 0000330343 Final Report [ ]Yes [ ] No
Project Cost per General Ledger
(i)
Budget Categories (ii)
Approved Budget (iii)
This Period (iv)
Cumulative (v)
Remaining Budget
Balance (ii minus iv
a. Personnel 76,966.00
b. Fringe Benefits 23,089.00
c. Travel 23,500.00
d. Equipment 66,780.00
e. Supplies 56,934.00
f. Contractual 80,750.00
g. Other 49,582.00
h. Total Drrect Charges 377,601.00
i. Indirect Charges 0.00
j. Total Charges 377,601.00
Less: k. Program Income Collected
1. Non-DSHS Funding ( ) ( )
m. ADVANCE: Received (Col. iii~Repaid (Col. iv)
Balance Owed (Col. v)
n. Total Reimbursement Requested
o. Total Reimbursement Received ( )
Prepared By: Title: Phone #:
CERTIFICATION: I certify to the best of my knowledge and belief that this report is correct and complete and that all outlays
and unli uidated obli afions are for the ores set forth in the awazd documents.
Signature of Authorized Certifying Official Date Submitted
/ /
Typed or Printed Name and Title of Certifying Official Telephone:
DSHS Form GCAa (269a) Revised 6/04
Department of State Health Services
Financial Status Report
FSR269A
1100 West 49'" Street
Austin, Texas 78756-3199
Fiscal Division/Accounts Payable
Phone (512)'158-7435
Contractor Name: CORPUS CHRISTI-NUECES
COUNTY PUBLIC HEALTH DISTRICT CIT DSHS Program: CPSBIO-LAB
DSHS Contract #: 2008-022961
Payee Account #: Attachment #: OO1B
Payee Vendor ID: 17460005741027 Basis: [ ]Cash [ ] Accmal
Payee Name: CITY OF CORPUS CHRISTI
Address: PO BOX 9277
City, ST, Zip: CORPUS CHRISTI, TX 78469-9277 Contract Term:
From: 09/01/2007 To
Period Covered in Report:
From: 06/01/2008 To
: 07/31/2008
: 07/31/2008
PO Number: 0000330343 Final Report (]Yes [ ] No
Project Cost per General Ledger
(i)
Budget Categories (ii)
Approved Budget (iii)
This Period (iv)
Cumulative (v)
Remaining Budget
Balance ii minus iv
a. Personnel 76,966.00
b. FringaBenefits 23,089.00
c. Travel 23,500.00
d. Equipment 66,780.00
e. Supplies 56,934.00
f. Contractual 80,750.00
g. Other 49,582.00
h. Total Direct Charges 377,601.00
i. Indirect Charges 0.00
j. Total Chazges 377,601.00
Less: k. Program Income Collected
1. Non-DSHS Funding ( ) (
( )
)
m. ADVANCE: Received (Col. iii)/Repaid (Col. iv)
Balance Owed (Col. v)
n. Total Reimbtrsement Requested
o. Total Reimbursement Received ( )
Prepared By: Title: Phone #:
CERTIFICATION: I certify to the best of my knowledge and belief that this report is correct and complete and that all outlays
and unli uidated obli ations are for the oses set forth in the awazd documents.
Signature of Authorized Certifying Of7icial Date Subndtted
/ /
Typed or Printed Name and Title of Certifying Official Telephone:
vana rorm rn.-ra t~ora~ rcevraeu oiur