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HomeMy WebLinkAboutC2009-587 - 10/20/2009 - Approved DEPARTMENT OF STATE HEALTH SERVICES This contract, number 2010-031537 (Contract), is entered into by and between the Department of State Health Services (DSHS or the Department), an agency of the State of Texas, and CITY OF CORPUS CHRISTI (Contractor), a Government Entity, (collectively, the Parties). 1. Pur ose of the Contract. DSHS agrees to purchase, and Contractor agrees to provide, services or goods to the eligible populations as described in the Program Attachments. 2. Total Amount of the Contract and Pa rnent Methods . The total amount of this Contract is $5,000.00, and the payment method{s) shall be as specified in the Program Attachments. 3. Funding Obligation. This Contract is contingent upon the continued availability of funding. If funds become unavailable through lack of appxopriations, budget cuts, transfer of funds between programs or health and human services agencies, amendment to the Appropriations Act, health and human services agency consolidation, or any other disruptions of current appropriated funding far this Contract, DSHS may restrict, reduce, or terminate funding under this Contract. 4. Term of the Contract. This .Contract begins on 09/01/2009 and ends on 08/31/2010. DSHS has the option, in its sole discretion, to renew the Contract as provided in each Program Attachment. DSHS is not responsible for payment under this Contract before both parties have signed the Contract or before the start date of the Contract, whichever is later. 5. Authority. DSHS enters into this Contract under the authority of Health and Safety Code, Chapter 1001. 6. Documents Forming Contract. The Contract consists of the following: a. Care Contract (this document} b. Program Attachments: 2010-031537-001 Infectious Disease Control Unit/FLU-LAB c. General Provisions (Sub-recipient) d. Solicitation Document(s), and e. Contractor's response(s) to the Solicitation Document(s). f. Exhibits Any changes made to the Contract, whether by edit or attachment, do not form part of the Caniract unless expressly agreed to in writing by DSHS and Contractor and~incorporated herein. ~o09-ss~ Res. 028361 10/20/09 Dept. of State Health Svcs. ~1~0~~ 7. Conflicting Terms. In the event of conflicting terms among the documents forming this Contract, the order of control is first the Care Contract, then. the Program Attachment(s), then the General Provisions, then the Solicitation Document, if any, and then Contractor's response to the Solicitation Document, if any. 8: P,a,~,,ee. The Parties agree that the following payee is entitled to receive payment for services rendered~by Contractor or goods received under this Contract: Name: CITY OF CORPUS CHRISTI Address: PO BOX 9277 CORPUS CHRISTI; TX 78469-9.277 Vendor Identification Number: 17460005741027 9. Entire A~reeYnent. The Parties acknowledge that this Contract is the entire agreement of the Parties and that there are no agreements or understandings, written or oral, between them with respect to the subject matter of this Contract, other than as set forth in this Contract. By signing below, the Parties acknowledge that they have read the Contract and agree to its terms, and that the persons whose signatures appear below have the requisite authority to execute this Contract on behalf of the named party. DEP NT OF ST E HEALT ERVICES By. Signature of Authorized Official Date Bob Burnette, C.P.M., CTPM Director, Client Services Contracting Unit CITY OF OPUS CHRtS'rI By: ~ ~~:? Sign re ~~~~~~ Date ~seo Printed me and Title ~ ~.d~~S-~-~ Address 1100 WEST 49TH STREET AUSTIN, TEXAS 78756 (512} 458-7470 Bob.Burnette @ dshs.state.tx. us ~~ ClfflP~Cll... l.~y~~~,~ ~~? .,..,..~ 926A 8-1 City, tate, Zip TeIeplione Number E-mail Address for`Official Correspondence ~s to toi ~r P,ss~artt Cry A~tomey Por City Attpmey CONTRACT NO. 2010.031537 PROGRAM ATTACHMENT NO. 001 PURCHASE ORDER NO. 0000353992 CONTRACTOR: CITY OF CORPUS CHRISTI DSHS PROGRAM: Infectious Disease Control Unit/FLU-LAB TERM: 09/01/2009 THRU: 08/31/2010 SECTION I. STATEMENT OF WORK: Contractor shall identify submitters of clinical specimens through discussions and a mutual agreement with local health departments in the Contractor's service area. Contractor may contact vanessa.teller@dshs.state.tx.us, lesle .bullion C~dshs.state.tx.u.s or neil.~ascoeCdshs.state.tx.us for guidance on appropriate submitters. Contractor shall test up to two hundred (200) clinical specimens meeting Clinical Laboratory Improvement Act (CLIA'88) and received on Monday through Wednesday from designated submitters within the Contractor's service area. Contractor shall perform an each specimen the Centers for Disease Control and Prevention (CDC) Real Time (RT) Polymerase Chain Reaction Method (FCR) for typing of influenza viruses. Contractor shall appropriately submit half of each specimen received to the Laboratory Services Section, Texas Department of State Health Services, Austin, Texas. Contractor shall comply with Department of State Health Services (DSHS) Infectious Disease Control Unit (1DCU} Program established flu surveillance protocol. DSHS IDCU Program will ensure Contractor receives a copy of this protocol no later than 2009 Mortality and Morbidity Weekly Report (MMWR) week ~0. Contractor must comply with Health and Safety Cade Chapter §81.046 .http:l/tlo2.tlc. state.tx.uslstatutes/hs. toc.htm SECTION II. PERFORMANCE MEASURES: The following performance measure will be used to assess in part Contractor's effectiveness in providing the services described in this Contract without waiving the enforceability of any of the other terms of the Contract: Contractor shall: Report to the submitter within forty-eight (48) hours of receipt at least seventy-five percent (75% } of RT-PCR results; PROGRAM ATTACHMENT -Page 1 2. Send samples of all specimens tested to the Laboratory Services Section, Department of State Health Services (DSHS}, Austin, Texas within ten {10) business days of testing; and 3. Provide and submit written weekly reports each Monday, or if a holiday the next business day, beginning Monday, October 5, 2009 by electronic mail to vanessa.teliesC~dshs.state.tx.us, lesley.li~illion@dshs.state.tx.us and nei].pascoe@clshs.statc.tx.us on the RT-PCR results in the format provided by DSHS. SECTION III. SOLICITATION DOCUMENT: Governmental Entity SECTION IV. RENEWALS: NIA SECTION V. PAYMENT METHOD: Cost Reimbursement Funding is further detailed in the attached Categorical Budget and, if applicable, Equipment List. SECTION Vi. BILLING INSTRUCTIONS: Contractor shall request payment using the State of Texas Purchase Voucher (Form B-13) and acceptable supporting documentation for reimbursement of the required servicesldelzverables. Vouchers and supporting documentation should be mailed or submitted by fax or electronic mail to the addresses/number below. Claims Processing Unit, MC 1940 Texas Department of State Health Services 1140 West 49'h Street PO Box 14934'7 Austin, TX 7$714-9347 The fax number for submitting State of Texas Furchase Voucher (Form B-13) to the Claims Processing Unit is (512) 458-7442. The email address is invoices@dshs.state.tx.us. SECTION VII. BUDGET: Cost reimbursement SOURCE OF FUNDS: State PROGRAM ATTACHMENT -Page 2 SECTION VIII. SPECIAL PROVISIONS: General Provisions,Article XZII. General Terms,..Section 13.1 Amendment, is amended to include the following: Contractor must submit all amendment and revision requests in writing to the Division Contract Management Unit at least 90 days prior to the end of the term of this Program Attachment. PROGRAM ATTACHMENT -Page 3 X010-033.537-001 Categorical Budget: ~, r' ' PERSOl~NE4 ~ $Oy.O~ ._ , FRINGE BENEFITS $0.::00 ,, .,.. TRAVEL ~ _ ~ $0 .00 ,~ ~ ' - , .:,. t _. , .,,r :_ ;EQUIPMENT $0.00 5lJPPL~IES ~ $~,€IOD a'Oy~~: CONTRACTUAL $0.'.00 ~ - OTHER ~ $0,x 0 F r:t ..~ . .f ~ ~~ i~.i -- .~4 , t ..- ._h~ TOTAL' DIRE=CT CHARGES $S,Og0.00 If~DIRECT~ CHARGES rr s $0 i00 TOTAL ''' $5,000.0 DSHSrSt~ARE ~54DD (~~' CONTRACTOR SHARE $0.00 ': OTH~R~ MATCH' > ~ .i„ p $(~ X30 ..-.. - ~ ... T x ,.,, ,..,s:r.~N,~ ~ .,.a, uu .... Tata! reimbursements will not exceed $5,000.00 Financial status reports are cEue: 12/30/2009, 03/30/2010, 06/30/2010, 11/01/2010 TEKAS DEPARTMENT OF STATE ~$EALTH 5ER'VYCES CERTIFICATION REGARDING LOBBYING CERTIFICATION FOR CONTRACTS GRANTS LOANS AND COOPERATIVE AGREEMENTS The undersigned certifies, to the best of his or her knowledge and belief that: (1) No federal 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 an 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 any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. (2} If any. funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer ar 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 this federal contract, grant. loan, or cooperative agreement, the undersigned shall complete and submit Standard Form LLL, "Disclosure Farm to Report Lobbying," in accordance with its instructions. (3} The undersigned shal{ require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans and cooperative agreements} and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when 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 to a civil penalty of not less that $10,0{}0 and not mare than $100,000 for each such failure. a Si t Print ame of Authorized lndivi ua1 _ ~l~ --D3~~37 - - Applicatian or Contract Number CORPUS CHRISTI-NUECES COUNTY PUBLIC HEALTH DISTRICT {CITY) Organization Name U ~1 Date ~ ved as to form; ~ `~ ~ t .liz t R. un ey .~1ss' ant City Attorney Y~~r City Attomey CSCU # EF29-12374 -Revised 08.10.07 .,~~~.