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
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Date
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Printed me and Title
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Address
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756
(512} 458-7470
Bob.Burnette @ dshs.state.tx. us
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926A 8-1
City, tate, Zip
TeIeplione Number
E-mail Address for`Official Correspondence
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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
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