HomeMy WebLinkAboutC2016-521 - 5/31/2016 - NA DEPARTMENT OF STATE HEALTH SERVICES
Contract 2016-003808
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Amendment Summary
The Department of State Health Services(DSHS)and Corpus Christi-Nueces County Public Health District(City)(Contractor)agree
to amend Contract 2016-003808 in accordance with this Amendment 01: Texas Healthy Communities
Previous Contract Amount: $50,000.00
Change Amount: $0.00
Amended Contract Amount: $50,000.00
Amendment effective date: 05/03/2016
Purpose for the amendment:
The purpose of the amendment is to redirect the budget within the direct cost categories. The total contract amount of$50,000 is
unchanged.
Change No:01 Direct Cost Categories(Budget Summary)
Current: Revised:
Personnel:$31,200 Personnel: $22,442
Fringe Benefits:$14,976 Fringe Benefits: $6,620
Travel:$1,470 Travel: $1,593
Equipment: $0.00 Equipment: $0.00
Supplies: $2,354 Supplies: $4,848
Contractual: $0.00 Contractual: $14,497
Other:$0.00 Other: $0.00
Total Direct Costs: $50,000 Total Direct Costs: $50,000
Indirect Costs: $0.00 Indirect Costs: $0.00
Totals: $50,000 Totals: $50,000
All other terms and conditions not hereby amended are to remain 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.
Contractor Signature
I certify that I am authorized to sign this document and I have read and agree to all parts of the contract, including any
attachments and addendums.
Signed by:Apaitt � ' Date Signed: s
DSHS Signature
I certify that I am authorized to sign this document and I have read and agree to all parts of the contract, including any
attachments and addendums.
Signed by: Date Signed:
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2016-521 Approved as to form:
5/31/16 f
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TX Dept of State Health Services Ass
For ity Attorney INDEXED
DEPARTMENT OF STATE HEALTH SERVICES
Contract 2016-003808
Amendment Summary
The Department of State Health Services(DSHS)and Corpus Christi-Nueces County Public Health District(City)(Contractor)agree
to amend Contract 2016-003808 in accordance with this Amendment 01: Texas Healthy Communities
Previous Contract Amount: $50,000.00
Change Amount: $0.00
Amended Contract Amount: $50,000.00
Amendment effective date: 05/03/2016
Purpose for the amendment:
The purpose of the amendment is to redirect the budget within the direct cost categories.The total contract amount of$50,000 is
unchanged.
Change No:01 Direct Cost Categories(Budget Summary)
Current: Revised:
Personnel:$31,200 Personnel:$22,442
Fringe Benefits:$14,976 Fringe Benefits:$6,620
Travel:$1,470 Travel:$1,593
Equipment:$0.00 Equipment:$0.00
Supplies:$2,354 Supplies:$4,848
Contractual:$0.00 Contractual:$14,497
Other:$0.00 Other:$0.00
Total Direct Costs: $50,000 Total Direct Costs:$50,000
Indirect Costs:$0.00 Indirect Costs:$0.00
Totals:$50,000 Totals:$50,000
All other terms and conditions not hereby amended are to remain 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.
Contractor Signature
X I certify that I am authorized to sign this document and I have read and agree to all parts of the contract, including any
attachments and addendums.
Signed by: Ms. Margie Rose Date Signed:06/02/2016
DSHS Signature
X I certify that I am authorized to sign this document and I have read and agree to all parts of the contract, including any
attachments and addendums.
Signed by:Janna Zumbrun Date Signed:06/07/2016
6/14/2016