HomeMy WebLinkAboutC2012-109 - 4/10/2012 - ApprovedThe Department of State Health Services (DSHS) and CORPUS CHRISTI- NUECES COUNTY
PUBLIC HEALTH DISTRICT (CITY) (Contractor) agree to amend .Program Attachment # 001
(Program Attachment) to Contract # 2012 - 040001 (Contract) in accordance with this
Amendment No. 001A: NSS/WIC LOCAL AGENCY effective 01/27/2912.
The purpose of this amendment is to extend contract period from 3/31/2012 to 9/30/2012 and
increase funding.
Wherefore, DSHS and Contractor agree as follows:
Change Program Attachment Number as ,follows:
PROGRAM ATTACHMENT NO. 991 Qom_ A
Contract Term /Budget Period and date is revised as follows:
TERM: 10 /01 /2011 THRU 3 13W201 09/30/2012
SECTION VII. BUDGET, is revised as follows;
SOURCE OF FUNDS: CFDA # 10.557; 10.557.013
All categories of costs billed to DSHS WIC Program, and allocation of such costs, shall be in
accordance with the "Plan to AIlocate Direct Costs" (PADC) submitted by Contractor and
approved by the DSHS WIC Program. This document is incorporated herein by reference and
made a part of this Program Attachment.
Total reimbursements will not exceed $940,708.00
2012 -109 Page - I of 2
Res029433
4110112
DSHS INDEXED
All other terms and conditions not hereby amended are to retrain in full force and effect, In the
event of a conflict between the terms of this contract and the terms of this Amendment, this
Amendment shall control.
Department of State Health Services
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Signature of Authorized Official
Contractor
Signature of Authorized OFlicial
Date: /- /' J 7
Bob Burnette, C,P.M., CTPM
Director, Client Services Contracting Unit
1 100 WEST 49TH STREET
AUSTIN, TEXAS 78756
(512) 458 -7470
Bob.13urnctte @dshs,state.tx.us
Date: ZV
Name: k o in &H ?'1 +ems
Title � �'� ��� k 1( -
Address: 4olr n e- De.e
"Y ue, C666 , Q
Phone; g?o Scxc- ! at V
Email: AA
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Assam City Attorney
For City Attorney
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