HomeMy WebLinkAboutC2016-678 - 12/13/2016 - Approved DEPARTMENT OF STATE HEALTH SERVICES
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AMENDMENT#: 03
The Department of State Health Services(DSHS)and Corpus Christi-Nueces County Public Health District
(Contractor)agree to amend Contract ID#2016-003808-00(Contract),which was effective on October 1,
2015. This Contract has been amended twice prior to this Amendment.This amendment is denominated
as 2016-003808-03.
I. The Parties agree to amend Section 2 of this Contract to increase the total amount of Contract to ONE
HUNDRED THOUSAND DOLLARS($100,000.00).
II. The Parties agree to amend Section 4 of this Contract to extend the end of the Contract term to
September 30,2017.
III. The Parties agree to amend Section 7 of this Contract to add the following:
Contractor Shall:
7. Develop,complete and submit a draft Project Work Plan for the period of October 1, 2016 through
September 30,2017, in conjunction with DSHS.The draft Work Plan must include objectives with
supporting activities that address indicators identified in the FY 2016 TXHC assessment as needing
improvement. A Project Work Plan Draft must be submitted, reviewed and approved by DSHS prior to the
final version submission date. The draft Project Work Plan must be submitted to DSHS on or before
October 17,2016 and the final Project Work Plan submission is due to DSHS on or before October 31,
2016.
8. Develop and submit an Evaluation Plan to DSHS. A draft Evaluation Plan must be reviewed and
approved by DSHS prior to the final version submission date. The draft Evaluation Plan must be submitted
on or before November 16,2016 and the final Evaluation Plan is due to DSHS on or before November 30,
2016.
9. Submit a draft Interim Progress Report for the period of October 1,2016—March 16, 2017 to DSHS for
review on or before March 17,2017.The Report will include summary of all items/activities conducted to
date;detailed description of progress toward achieving objectives and activities;and barriers.Submission
of the final Interim Report must fully address any feedback from DSHS based on the draft Interim Report
and must be submitted on or before March 31,2017.
10.Conduct,complete and submit the draft Texas Healthy Communities Assessment in the Performance
Management and Tracking System by May 16,2017. DSHS will review and approve the draft submission
prior to submission of final report in Performance Management and Tracking System(PMATS)on or before
May 31,2017.
11.Submit a Final Progress Report Draft for the period of October 1,2016—August 31,2017 to DSHS for
review and approval on or before August 31,2017. The report will include summary of all items/activities
conducted to date;detailed description of progress toward achieving objectives and activities; plans for
sustaining activities once funding has ended;and barriers/lessons learned. Submission of Final Report
must fully address any feedback from DSHS based on draft final report and must be submitted on or before
September 14,2017.
12. Participate in twelve(12)monthly feedback calls(monthly project status reports)with DSHS Program
to be conducted on or before the following dates:October 31st, November 28th, December 31st,January
30th, February 28th, March 31st,April 30th, May 29th,June 30th,July 31st,August 31st,and September
30th.Contractor will submit written monthly reports as requested by DSHS.
IV.The Parties agree to amend Section VIII.Special Provisions of this Contract to add the following:
C2016-678 on-Exclusive List of Applicable Laws is amended by deleting it in its
12/13/16 owing:
Ord. 031012
Tx Dept of State Health Services Page 1 of 2
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DEPARTMENT OF STATE HEALTH SERVICES
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AMENDMENT#: 03
When applicable,federal statutes,regulations and/or federal grant requirements applicable to funding
sources and any updates to such will apply to this Contract, Contractor agrees to comply with applicable
laws,executive orders, regulations and policies,as well as Office of Management and Budget(OMB)
Circulars(as codified in Title 2, 200 of the Code of Federal Regulations(CFR)and 45 CFR 75)the Uniform
Grant and Contract Management Act of 1981 (UGMA),Tex,Gov. Code Chapter 783,and Uniform Grant
Management Standards(UGMS),as revised by federal circulars and incorporated in UGMS by the
Comptroller of Public Accounts,Texas Procurement and Support Services Division. UGMA and UGMS can
be located through web links on the DSHS website at http://www.dshs.state.tx,us/contracts/links.shtm.
Contractor also shall comply with all applicable federal and state assurances contained in UGMS, Part III,
State Uniform Administrative Requirements for Grants and Cooperative Agreements§_.14. If applicable,
Contractor shall comply with the Federal awarding agency's Common Rule,and the U.S.Health and
Human Services Grants Policy Statement,both of which may be located through web links on the DSHS
website at http://www.dshs.state.tx.us/contracts/links.shtm. For contracts funded by block grants,
Contractor shall comply with Tex.Gov.Code Chapter 2105.
V. Except as provided in this Amendment,all other terms and conditions in the Contract will remain and be
in full effect.
VI.This Amendment is effective on October 1,2016.
By signing this Amendment,the undersigned certify that they have the authority to bind their respective
party to this Amendment's terms and conditions.
Department Of State Health Services Contractor
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Date: Date: /a. A7, /tb a
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REBECCA HUERTA
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DEPARTMENT OF STATE HEALTH SERVICES
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AMENDMENT#: 03
When applicable,federal statutes, regulations and/or federal grant requirements applicable to funding
sources and any updates to such will apply to this Contract. Contractor agrees to comply with applicable
laws,executive orders,regulations and policies,as well as Office of Management and Budget(OMB)
Circulars(as codified in Title 2,200 of the Code of Federal Regulations(CFR)and 45 CFR 75)the Uniform
Grant and Contract Management Act of 1981 (UGMA),Tex.Gov.Code Chapter 783,and Uniform Grant
Management Standards(UGMS),as revised by federal circulars and incorporated in UGMS by the
Comptroller of Public Accounts,Texas Procurement and Support Services Division. UGMA and UGMS can
be located through web links on the DSHS website at http://www.dshs.state.tx,us/contracts/links.shtm.
Contractor also shall comply with all applicable federal and state assurances contained in UGMS, Part III,
State Uniform Administrative Requirements for Grants and Cooperative Agreements§_.14. If applicable,
Contractor shall comply with the Federal awarding agency's Common Rule,and the U.S. Health and
Human Services Grants Policy Statement, both of which may be located through web links on the DSHS
website at http://www.dshs.state.tx.us/contracts/links.shtm. For contracts funded by block grants,
Contractor shall comply with Tex.Gov.Code Chapter 2105.
V. Except as provided in this Amendment,all other terms and conditions in the Contract will remain and be
in full effect.
VI.This Amendment is effective on October 1,2016.
By signing this Amendment,the undersigned certify that they have the authority to bind their respective
party to this Amendment's terms and conditions.
Department Of State Health Services Contractor
By: Janna Zumbrun By: Ms. Margie Rose
Title: Associate Commissioner Title: City Manager
Date: December 31,2016 Date: December 22, 2016
Page 2 of 2
1/5/2017 IntelliGrants TXDSHS-Document Page
FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT(FFATA) CERTIFICATION
The certifications enumerated below represent material facts upon which DSHS relies when reporting information to the federal government required under
federal law.If the Department later determines that the Contractor knowingly rendered an erroneous certification, DSHS may pursue all available remedies
in accordance with Texas and U.S.law.Signor further agrees that it will provide immediate written notice to DSHS if at any time Signor learns that any of the
certifications provided for below were erroneous when submitted or have since become erroneous by reason of changed circumstances.If the Signor cannot
certify all of the statements contained in this section,Signor must provide written notice to DSHS detailing which of the below statements it cannot certify
and why.
Organization Name Corpus Christi-Nueces County Public Health District(City)
Address 1702 Home Road
City Corpus Christi State Texas Zip Code(9 digit) 78416
Payee Name City of Corpus Christi
Address PO BOX 9277
City Corpus Christi State TX Zip Code(9 digit) 78469-9277
Vendor identification No. 17460005741 MailCode 027
Payee DUNS No.* 1+1 069457786
1.Did your organization have a gross income,from all sources,of more than$300,000 in your previous tax year?*
Yes • No
Identify contact persons for FFATA Correspondence.*
FFATA Contact Person#1
Name* Constance Sanchez
Email* Constancep@cctexas.com
Telephone* (361)826-3227
FFATA Contact Person#2
Name* Blandina Costley
Email* BlandinaC@cctexas.com
Telephone* (361)826-7252
As the authorized representative of the Organization, I hereby certify that the statements made by me in this certification form are true,complete and
correct to the best of my knowledge.
E-Signature Ms.Annette Rodriguez Date 10/19/2016
•
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