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HomeMy WebLinkAboutPR 19369: CONTRACT WITH THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION Energy City of Cin c� () rt rthrrr "Texas DATE: April 20, 2016 To: Brian McDougal, City Manager From: Judith A Smith, RN, BSN /o RE: Approval of the FY 2016 Contract between the City of Port Arthur and the Texas Health and Human Service Commission in the not to exceed amount of$140,000. Nature of the Request: The State Partnership Initiative to Address Health Disparities (SPIAHD)program identified as having a high prevalence of obesity, diabetes, and hypertension to implement the State Partnership Initiative to Address Chronic Disease Health Disparities through use of evidence-based and promising practice (Project). This community based Project is aimed at reducing the rate of obesity among African Americans and Hispanic/Latino adults (age 20+) within the county of interest by 5% to meet the Healthy People 2020 goal of 30.5%. The contract is to be paid on a cost reimbursement basis in accordance with the following financial limitations: • Contract execution through July 31, 2016; not to exceed $20,000. • August 1, 2016 through July 31, 2017; not to exceed $30, 000. • August 1, 2017 through July 31, 2018; not to exceed $30,000. • August 1, 2018 through July 31, 2019; not to exceed $30,000. • August 1, 2019 through July 31, 2020; not to exceed $30,000. Staff Analysis, Considerations: This grant covers one (1)part-time employee. Recommendations: It is recommended that the City Council approve P.R. No.19369, which is for the FY 2016 contract between the City of Port Arthur and the Texas Health and Human Service Commission in the amount not to exceed $140,000 to initiate a grant specifically for (SPIAHD) State Partnership Initiative to Address Health Disparities servicing the African American Community and the Hispanic-Latino Community in Port Arthur and surrounding areas in regards to Hypertension and Diabetes treatment. Budget Considerations: Reimbursements for SPIAHD services covers the costs of personnel, travel, equipment, and supplies to operate the program for 12 month. "REMEMBER WE ARE HERE TO SERVE THE CITIZENS OF PORT ARTHURP.O.BOX 1089•PORT ARTHUR,TX 77641-1089• 409/983-810I.FAX 409/982-6743 P.R. NO. 19369 04/20/2016 js RESOLUTION NO. A RESOLUTION APPROVING THE FY 2016 CONTRACT BETWEEN THE CITY OF PORT ARTHUR AND THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION NOT-TO-EXCEED THE AMOUNT OF$140,000.00. WHEREAS, the contract between the City of Port Arthur and the Texas Health and Human Services Commission, will provide financial assistance to the Port Arthur City Health Department to supplement the delivery of public health services; and, WHEREAS, the State Partnership Initiative to Address Health Disparities (SPIAHD) will provide education and counseling to enhance good health care of Chronic Disease such as having high prevalence of obesity, diabetes, and hypertension; and WHEREAS, this community based project is aimed at reducing the rate of obesity among African Americans and Hispanic/Latino adults (age 20+) within Jefferson County of interest by 5%to meet the Healthy People 2020 goal of 30.5%; and WHEREAS,this program is at no cost to participants. NOW THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PORT ARTHUR: Section 1. That, the facts and opinions in the preamble are true and correct. Section 2. That, the City Council of the City of Port Arthur hereby approves the contract renewal between the City of Port Arthur and the Texas Health and Human Service Commission for the period May 1, 2016 through July 31, 2020. The Contract shall be paid on a reimbursement basis in accordance with the following financial limitations: P.R.NO. 19369 04/20/2016 js • Contract execution through July 31, 2016; not to exceed $20,000. • August 1, 2016 through July 31, 2017; not to exceed $30,000. • August 31, 2017 through July 31, 2018; not to exceed $30,000. • August 1, 2018 through July 31, 2019; not to exceed $30,000. • August 1, 2019 through July 31, 2020; not to exceed $30,000. Section 3. That, the City Council deems it is in the best interest of the City to approve and authorize the City Manager and the Director of the City's Health Department to execute the Contract between the Texas Health and Human Service Commission and the City of Port Arthur, Texas, to initiate the State Partnership Initiative to Address Health Disparities (SPIAHD) Program as delineated in Exhibit"A". Section 4. That, a copy of the caption of this Resolution be spread upon the Minutes of the City Council. READ,ADOPTED,AND APPROVED, this day of 2016 at a Regular Meeting of the City Council of the City of Port Arthur, Texas by the following Vote: AYES: Mayor: Councilmembers: NOES: P.R. NO. 19369 04/20/2016 js Mayor ATTEST: Sherri Bellard, City Secretary APPROVED AS TO FORM: Valecia Tizenet City Attorney APPROVED FOR ADMINISTRATION: udk1b Jflik) RIO ,3s J Brian McDougal, City Manager Judith Smith, R.N., Director of Health EXHIBIT "A" INTERLOCAL COOPERATION CONTRACT BY AND BETWEEN THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION AND PORT ARTHUR HEALTH DEPARTMENT CONTRACT No. THE HEALTH AND HUMAN SERVICES COMMISSION ("System Agency") and THE PORT ARTHUR HEALTH DEPARTMENT("Local Government"),each a"Party"and collectively the"Parties,"enter into the following contract for services associated with the Department of Health and Human Services State Partnership Initiative to Address Chronic Disease Health Disparities' grant ("Contract") pursuant to the provisions of the "Interlocal Cooperation Act," Chapter 791 of the Texas Government Code and the terms and conditions of the State Partnership Initiative to Address Chronic Disease Health Disparities Notice of Award. I. PARTIES System Agency Local Government 1. Name: Texas Health and Human Services Name: City of Port Arthur Public Commission Health Department Address: 6330 Hwy 290 East, Suite 350 Address: 449 Austin Ave City and Zip: Austin, Texas 78752 City and Zip: Port Arthur, Texas 77641 Contact Person: Rosanna Barrett Contact Person: LaTasha Mayon RN, BSN Telephone: 512-380-4318 Telephone: 409-983-8862 Fax number: 512-380-4350 Fax number: 409-984-9093 E-Mail Address: rosanna.barrett@hhsc.state.tx.us E-Mail Address: latasha.mayon@portarthurtx.gov Agency Number: 529 Agency Number: II. STATEMENT OF SERVICES TO BE PROVIDED The Parties agree to provide the services and resources described in "Attachment A— Statement of Work", which is attached hereto and incorporated herein by this reference. The Parities also agree that the Local Government shall perform the activities identified in Attachment A to enable the Local Government to achieve the Project objectives identified in Attachment "A-1 — Project Objectives",which is attached hereto and incorporated herein by this reference. Additionally,the Parties agree to perform all services in accordance with the terms and conditions of the State Partnership Initiative to Address Chronic Disease Health Disparities grant contained in Attachment B, which is attached hereto and incorporated herein by this reference. Local Government shall complete the requirements and Project Objectives contained in Attachments A and A-1 no later than July 31, 2020. III. CONTRACT PERIOD AND RENEWAL Page 1 of 4 The Contract is effective on the signature date of the latter of the Parties to sign the Contract and terminates on July 31, 2020, unless sooner terminated by either Party with 30 days prior written notice to the other Party. The System Agency, at its own discretion,may extend the term of this Contract to ensure compliance with the terms and conditions of the State Partnership Initiative to Address Chronic Disease Health Disparities grant contained in Attachment B. IV. AMENDMENT The Parties to this Contract may modify this contract only through the execution of a written amendment signed by both parties. V. CONTRACT AMOUNT AND PAYMENT FOR SERVICES The total amount of this Contract shall not exceed $140,000 as described in "Attachment C — Budget", which is attached hereto and incorporated herein by this reference. This Contract is contingent upon the continued availability of funding. If funds become unavailable during the term of this Contract,the System Agency may terminate this Contract without penalty. This Contract shall be paid on a cost reimbursement basis in accordance with the following financial limitations: • Contract execution through July 31, 2016: the Local Government shall not invoice the System Agency more than $20,000; • August 1,2016 through July 31, 2017: the Local Government shall not invoice the System Agency more than $30,000; • August 1, 2017 through July 31,2018: the Local Government shall not invoice the System Agency more than $30,000; • August 1,2018 through July 31,2019: the Local Government shall not invoice the System Agency more than $30,000; and • August 1,2019 through July 31, 2020: the Local Government shall not invoice the System Agency more than$30,000. Local Government shall submit invoices to the System Agency for the expenses incurred. Local Government must submit invoices by the 15th of the month following the month in which the expenses were incurred and services were provided. System Agency will pay for services received from appropriation items or accounts of System Agency from which like expenditures would normally be paid, based upon invoices submitted by Local Government for allowable expenses as contained in Attachment C. HHSC reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. HHSC will monitor Contractor's expenditures on a quarterly basis. If expenditures are below that projected in Contractor's total contract amount, Contractor budget may be subject to a decrease for the remainder of the Contract term. Page 2 of 4 VI. LEGAL NOTICES For Legal Notices under this Contract shall be deemed delivered when deposited either in the United States mail, postage paid, certified, return receipt requested; or with a common carrier, overnight, signature required,to the appropriate address below: System Agency Texas Health and Human Services Commission 4900 Lamar Blvd. Austin, Texas 78751 Attention: HHSC Chief Counsel—Karen Ray Local Government Port Arthur Health Department 449 Austin Ave. Port Arthur, Texas 77640 Attention: LaTasha Mayon Notice given in any other manner shall be deemed effective only if and when received by the Party to be notified. Either Party may change its address for receiving legal notice by notifying the other Party in writing. VII. ADDITIONAL GRANT INFORMATION Grant No.: 1 STTMP 151120-01-00 Federal Award Date: 08/10/2015 Name of Federal Awarding Agency: Department of Health and Human Services CFDA Number: 93.296 Grants Management Officer: Alice M. Bettencourt Grants Management Specialist: Deborah Speight Federal Project Officer: Victor Olano VIII. CERTIFICATIONS The undersigned contracting parties certify that: (1) the services specified above are necessary and essential for activities that are properly within the statutory functions and programs of the affected agencies of state government; (2) Each Party executing this Contract on its behalf has full power and authority to enter into this Contract. (3) the proposed arrangements serve the interest of efficient and economical administration of state government; and (4) The services contracted for are not required by Section 21, Article XVI of the Constitution of Texas to be supplied under a contract awarded to the lowest responsible bidder. Page 3 of 4 The System Agency further certifies that it has statutory authority to contract for the services described in this contract under chapters 531 and 771, Texas Government Code. The Local Government further certifies that it has statutory authority to contract for the services described in this contract under City of Port Arthur Public Health Department. SYSTEM AGENCY LOCAL GOVERNMENT Signature Signature Rolando Garza Brian McDougal Printed Name Printed Name Deputy Executive Commissioner City Manager Title Title Date Date To ENSURE COMPLIANCE WITH THE REQUIREMENTS OF THE STATE PARTNERSHIP INITIATIVE TO ADDRESS CHRONIC DISEASE HEALTH DISPARITIES NOTICE OF AWARD, THE FOLLOWING ATTACHMENTS ARE ATTACHED HERETO AND INCORPORATED HEREIN BY THIS REFERENCE: ATTACHMENT A—STATEMENT OF WORK ATTACHMENT A-1—PROJECT OBJECTIVES ATTACHMENT B—SPECIAL CONDITIONS ATTACHMENT C—BUDGET AND JUSTIFICATION ATTACHMENT D—UNIFORM TERMS AND CONDITIONS ATTACHMENT E—NON-EXCLUSIVE LIST OF APPLICABLE FEDERAL LAWS ATTACHMENT F—ASSURANCES-NON-CONSTRUCTION PROGRAMS ATTACHMENT G—LIST OF CERTIFICATIONS Page 4 of 4 Attachment A Statement of Work I* TEXAS Community-Based Implementation Plan Cmkr(or flimination of[licpnpMxtionarh a11/1!Toronto., State Partnership Initiative to Address Health Disparities office of Minonty Health and Health Equity Grant Number: STTMP 151120-01-00 ATTACHMENT A--STATEMENT OF WORK Section I. The Office of Minority Health and Health Equity (OMHHE)within the Health and Human Services Commission(System Agency), Center for Elimination of Disproportionality and Disparities enter into this Contract with the City Health Department(Local Government) in the targeted area of the state of Texas identified as having high prevalence of obesity, diabetes, and hypertension to implement the State Partnership Initiative to Address Chronic Disease Health Disparities through use of evidence-based and promising practices (Project). This community- based Project is aimed at reducing the rate of obesity among African American and Hispanic adults (age 20+) within the county of interest by 5%to meet the Healthy People 2020 goal of 30.5%. The Local Government will implement the community-based component of the Project with guidance and support from OMHHE project staff. Parties Responsibilities: During the contracted period the Local Government shall: 1. Designate an existing staff member or team responsible for conducting and/or coordinating the Project. Assign one person to serve as main programmatic point of contact for HHSC; 2. Mobilize, support, and foster community-clinical linkages through community screenings for BMI, diabetes, and hypertension, via community engagement and collaboration with local partners. This includes: • Coordinating with community partners to conduct community wellness events that provide screening for BMI, diabetes, and hypertension and connect community members with public and private health providers; • Ensuring that preventive health screenings, disease intervention, and management are conducted by certified health providers in the local community. Local Government will not conduct the screenings directly unless the organization has the authority and capacity to conduct the screenings. • Ensuring and documenting that community members that receive screening services are referred to local health and healthcare services for follow-up if needed. Links to supporting social services is also encouraged; 3. Enhance and promote city health department Facebook page, or other locally based social media platform,to inform community members of local resources, upcoming wellness events, and educational health information related to obesity, diabetes, or hypertension; 4. Assist System Agency evaluation staff and Texas A&M International University, System Agency's contracted external evaluator, in coordination of Project evaluation activities as needed; Page 1 of 6 1* -TEXAS Health and Human Services rommit.mn Community-Based Implementation Plan Center In,EEimin lson of DiAptoporhonabh and Dtsparilk State Partnership Initiative to Address Health Disparities Office of M,,w.ty hearth.,nd Health equety Grant Number: STTMP 151120-01-00 5. Promote efforts to increase knowledge and awareness of health disparities and health status of local community, to increase cultural responsiveness of local service providers receiving referred Project participants, and to incorporate culturally and linguistically appropriate healthy lifestyle educational resources into local community; and 6. Establish and maintain multi-sector and multi-level partnerships to improve health outcomes, address health disparities, and reduce barriers to health access. Encourage improvement of public health, healthcare, and social services through local partnership networks of stakeholders at the system and community levels. During the term of the contracted period the System Agency shall: 1. Provide Monthly Community Project Progress Report template within 15 days of the executed Contract to use in completion of Local Government reporting protocol; 2. Provide Annual Community Project Report template to Local Government 60 days before due date to use in completion of Local Government reporting protocol; 3. Provide End of Contract Report template to Local Government by June 1, 2020 to use in completion of Local Government reporting protocol; 4. Approve educational health information for enhancement of Local Government Facebook within 15 days of receipt; 5. Provide promotional materials for the National Standards for Culturally and Linguistically Appropriate Services(CLAS) and the Office of Minority Health and Health Equity (OMHHE) online CLAS course,Advancing Health Equity in Texas through Culturally Responsive Care within 15 days of the executed Contract for use in quarterly promotional activities; 6. Provide System Agency content and resources related to healthy lifestyle education, obesity reduction initiatives, and diabetes and hypertension educational and management information within 15 days of the executed contract for use in quarterly promotional activities; and 7. Provide current Health Disparities Profile within 15 days of the executed Contract for use in quarterly promotional activities. Updated Health Disparities Profiles to be provided to Local Government within 15 days of completed update. SECTION II.PERFORMANCE MEASURES The following performance measures will be used to assess, in part, Local Government's effectiveness in providing the Services described in this Contract, without waiving the enforceability of any of the other terms of the contract: Page 2 of 6 �* 1TEXAS Health and Human Senictr<G)mmiwon Community-Based Implementation Plan Center for Eliminates of t$,propottenafih and Disparitic* State Partnership Initiative to Address Health Disparities Office of Mina ty Health and Health Equity Grant Number: STTMP 151120-01-00 Start Up Activities • Submit to System Agency within 30 days of executed Contract, a work plan that spans the entire Contract period, detailing outcome objectives, activities to achieve objectives, timelines, measures (process and/or outcome), responsible party(ies), and partners (if required) for implementing and meeting Contract deliverables. • Submit to System Agency within 30 days of executed Contract, an evaluation plan detailing how activities will be assessed/monitored during the term of the Contract based on the Monthly Community Project Progress Report template provided by the System Agency. Contract Activities • Coordinate with community partners, community wellness events that provide screening for BMI, diabetes, and hypertension and connect community members with public and private health providers. Refer to table below for number of events required for each contract year. Operational Start Date End Date Minimum Event Year Requirement 1 Contract execution date by July 31, 2016 At least 1 both Parties 2 August 1, 2016 July 31, 2017 At least 4 3 August 1, 2017 July 31, 2018 At least 4 4 August 1, 2018 July 31, 2019 At least 4 5 August 1, 2019 July 31, 2020 At least 3 Options for Community Wellness Event Activities: o Recruit local provider(s) to provide culturally specific group exercise opportunities/demonstrations such as Zumba, Jazzercise, or other culturally appropriate forms of exercise. o Recruit local provider(s) to provide culturally appropriate food demonstrations (using plastic food models or donated food only)to show recommended portion sizes and healthy meal options. o Recruit local health educators or community health workers with knowledge on obesity, diabetes and/or hypertension to provide opportunities for community members to meet with them. • At community wellness events provide/coordinate BMI, diabetes, and/or hypertension screenings for African American and Hispanic adults (20+years). Refer to table below for number of events required for each contract year. Page 3 of 6 titoTEXAS Health and Human Services commission Community-Based Implementation Plan Center for EEimimibn of n„p.p„ti.ndrth ami n$ap.ioa. State Partnership Initiative to Address Health Disparities Olfice of Minority Health and Health Equity Grant Number: STTMP 151120-01-00 Operational Start Date End Date Minimum Screening Year Requirement 1 Contract execution date by July 31, 2016 At least 50 both Parties 2 August 1, 2016 July 31, 2017 At least 265 3 August 1, 2017 July 31, 2018 At least 265 4 August 1, 2018 July 31, 2019 At least 265 5 August 1, 2019 July 31, 2020 At least 155 • Link Project participants of community wellness events to public health, healthcare, and social services as needed. Provide documentation that the community members who tested positive for obesity, diabetes, and/or hypertension received onsite referral to local services. Report actions taken in Monthly Community Project Progress Reports. • Conduct and document follow up with project participants who received referral services at community wellness events through Local Government conducted follow up calls or other standard follow up procedures to identify obtainment of services. Report results in Monthly Community Project Progress Reports. • Enhance and promote city health department Facebook page, or other locally based social media platform,to inform community members of local resources, upcoming wellness events, and educational health information related to obesity, diabetes, or hypertension reduction and management. Enhancement content must be approved by System Agency prior to posting by Local Government. o In Monthly Community Project Progress Report, provide documentation of at least two (2) local health, clinical and/social services resource or health education social media posts per month and at least one (1)promotional activity per month that was made available to Project participants. Options for Local Social Media Enhancement: o Fliers for community wellness events promoting preventive screening and disease management o Local healthy eating and active living opportunities: exercise classes, cooking classes, walking trails,parks, or farmers markets o Recipes that are culturally appropriate, budget friendly, and healthy o Recipes that are specific to chronic disease prevention and management and weight loss o Culturally appropriate healthy options that take into account social determinants of health(e.g., socioeconomic status and availability of neighborhood amenities) o Mental wellness support resources to address the challenges of losing weight and navigating daily life stressors o Reminders such as water intake, annual wellness checks, and chronic disease screenings Options for Local Promotion of Social Media Resource: o Distribute health prevention and resource materials at local health offices and Page 4 of 6 LiTEXAS Health and Human Services Commission Community-Based Implementation Plan Cato ku Elimm.tn. p,tlunalth em}nnpudm. State Partnership Initiative to Address Health Disparities ,f,nonty Health and fleafib[gwty Grant Number: STTMP151120-01-00 clinics, community wellness events, or community, staff, or stakeholder meetings regularly attended by Local Government o Distribute health-promoting lifestyle and culturally appropriate Facebook ads to target users in local geographic area o Conduct promotional activities at community wellness events (e.g. ask participants to "like" the local health department Facebook page or "check in" at the local health department. Nominal incentives may be provided to draw visitors to the Facebook page to enter in drawing for an HEB gift card) • Quarterly promotion of Office of Minority Health and Health Equity's (OMHHE) online course Advancing Health Equity in Texas through Culturally Responsive Care and materials that promote the adoption of the National Standards for Culturally and Linguistically Appropriate Services(CLAS) . Promotional materials to be provided by System Agency. Provide documentation of promotional activities in Monthly Community Project Progress Reports. • Quarterly promotion of System Agency resources related to healthy lifestyle education, obesity reduction initiatives, and diabetes and hypertension educational and management information. Content and materials related to the promotion of these resources to be provided by System Agency. Provide documentation of promotional activities in Monthly Community Project Progress Reports. • Quarterly promotion of project Health Disparities Profile, as developed by OMHHE,to increase knowledge and awareness of health disparities and health status for target communities. System Agency has developed and will continually update Health Disparities Profiles for each target community identifying disparities related to obesity, diabetes, and hypertension to be disseminated at the state level and through Local Government promotional activities. Options for promotion include local health offices and clinics, community wellness events, meetings regularly attended by Local Government, Facebook page, and stakeholder list-serves. • Assist System Agency evaluation staff and Texas A&M International University in coordination of Project evaluation activities. • Establish and maintain multi-sector and multi-level partnerships to improve health outcomes, address health disparities, and reduce barriers to health access. Encourage improvement of public health, healthcare, and social services through local partnership networks of stakeholders at the system and community levels. List partnering entities and focus of partnership in Monthly Community Project Progress Reports. Local Government Reporting Protocol • Local Government is required to provide Project annual financial reports during the term of the ILC. Reports are due 30 days after the end of each Contract year. Reports are required regardless of whether or not expenses are incurred. Local Government financial template must include the reporting of all expenses according to the categories below (include subcategories as needed) Page 5 of 6 I* TEXAS Health and Human Services Commission Community-Based Implementation Plan Cadet for tiff,: ,.,1...,,,.,1 InsprmdN t omahh and nispvitic+ State Partnership Initiative to Address Health Disparities Office o/Minority Health and Health Equity Grant Number: STTMP 1 5 1 1 20-0 1-00 Personnel Fringe Benefits Equipment Supplies Contractual Other Total Direct Total Indirect Charges TOTAL • Submit a monthly report of Local Government's activities using the Monthly Community Project Progress Report template by the 15th of the following month. There may be adjustments to monthly reporting requirements if there are changes in federal reporting requirements. The monthly report may be disseminated to System Agency internal and external partners, as well as the funding agent. • Submit annual report of Local Government's activities using the Annual Community Project Report template by the last day of the following month. There may be adjustments to monthly reporting requirements if there are changes in federal reporting requirements. The monthly report may be disseminated to System Agency internal and external partners, as well as the funding agent. • Submit an End of Contract Term Report of Local Government's activities using System Agency-developed End of Contract Term Report template by September 31,2020. The End of Contract Term Report may be disseminated to System Agency internal and external partners, as well as the funding agent. Page 6 of 6 Attachment A- 1 Project Objectives • • 4 cl- o.. . F * P N T n N `t b b 4. m m Q: n n p' W o A 3 n° •yN = .-#) . . r4, aps _ CD ¢ 0 0 ' - • t SN vp -r .a CDel. 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P CD 0 0. c•.5' � � � '� 0go' - ccp vD cr CD _ .5•E. ~ �•F Cu U°Q N hcn -0 :r ar Ct�Q n 0 UQ - o " �, a VI = CDC 0 � � �, 8 � o o " ' 0 0-' 4 '� fi r'.",. •I ° 0" �. c� . 0 U°Q CD ,y„.... ° o C ° - o C C CM: 1u x CD -. ° (ACD NO' 0-' p Z o O ` `c N cc) .•• ,--,- =o ccl co O o •�' Cil n� i cru ate. .� x ? o > ca pp. ' ° p' p' '0 5. 0 `� o 0 °: a �° . o C -Js G:aQ D AD 0. 0 . Lv ATTACHMENT B—SPECIAL CONDITIONS The Department of Health and Human Services' Office of Minority Health's State Partnership Initiative to Address Chronic Disease Health Disparities grant consist of the following documents: 1. The State Partnership Initiative to Address Chronic Disease Health Disparities Notice of Initial Competitive Grant, Funding Opportunity Number: MH-STT-15-001; 2. The State Partnership Initiative to Address Chronic Disease Health Disparities Notice of Award, Grant No. 1 STTMP 151120-01-00; 3. HHS Grants Policy Statement --http://www.hhs.gov/asfr/ogapa/aboutog/hhsgps107.pdf; and 4. HHSC's Grant Application Package including the following: • Application for Federal Assistance • Project Narrative • Budget Narrative • Project Abstract Summary • Budget Information for Non-Construction Programs • Assurances for Non-Construction Programs • Disclosure of Lobbying Activities Attachment C Budget and Justification 1111:14"TEXAS Health and Human Services Commtssion Port Arthur Health Department Budget (rmlrr un FlimnuI,n of Dr.protrorGrmatih and Di.paritie, State Partnership Initiative to Address Health Disparities Office o/AI moldy Health and Health Equity Grant Number: STTMP 1 5 1 120-0 1-00 Five Year Budget Summary Year 1 Year 2 Year 3 Year 4 Year 5 Personnel $8197 $12295 $17935 $17920 $18455 Travel $946 $1771 $946 $946 $946 Equipment $1600 $2948 $869 $1050 $970 Supplies $1700 $2476 $1625 $1100 $1145 Contractual $6000 $8000 $7900 $7500 $7000 Other/Promotional $1557 $2510 $1250 $1500 $1500 Material Total Direct/Fridge Total Indirect/ $0 $0 $0 $0 $0 TOTAL $20,000 $30,000 $30,000 $30,000 $30,000 Year 1 Budget(02/01/2016-07/31/2016) A. Personnel . $ 8197 B. Travel $ 946 C. Equipment $1600 D. Supplies $1700 E. Contractual $ 6000 F. Other $1557 Total Year 1: $ 20,000 A. Personnel $8196.88 Description of Costs: Project Coordinator salary/wage per hour is$14.2307. This staff member will work Monday, Wednesday, and Friday (M/W/F)for four hours per day; three days per week $56.92/day, $170.77/wk., $683.07/month, a salary of$8196.88 per year. This employee will receive a 3%salary increase per year according to City of Port Arthur yearly cost of living increase. No fringe benefits will be provided for this position. The Project Coordinator will be responsible for administrative task related to the coordination and oversight of the SPIAHD project to ensure timely and effective project development and completion. Port Arthur Health Department to provide 2 in-kind staff members, a Nurse Practitioner and Nurse. The Nurse Practitioner will provide medical assessments/screenings in addition to direct involvement with patient care and activities. Both staff members will be directly involved in conducting wellness events. tdpTEXAS Health and Human Services Commission Port Arthur Health Department Budget State Partnership Initiative to Address Health Disparities carne of Mmonty Health and IIeatl6 qua Grant Number: STTMP 1 5 1 120-0 1-00 B. Travel $946. Description of Costs: Primary Area of concern is in or near Port Arthur Texas. The staff will be able to attend 2 in-services for update information/education on the target areas from Port Arthur to Galveston Texas and possibly Houston Texas. Mileage from Port Arthur to Galveston there and back is (81.7miles-2h 2min) 163.4 Miles. Mileage from Port Arthur to Houston round trip is (89.7miles-1 h 24min) 179.4 Miles. 2 individuals to Galveston 163.4 x 2= 326.8 Miles x 0.54(rate/miles) = $176.50. 2 individuals to Houston 179.4 x 2= 358.8 Miles x 0.54(rate/miles) = $193.75. Per Diem $36 x 4 trips x4 days= $576. (Individuals will go on separate trips) total cost$946.25. Galveston has a medical branch with Nurse Practitioners programs, Medical and Nursing Schools; this would be one of the two areas with the best up to date educational information on the target areas. The second area would be in Houston; that could provide the same types of education. These educational services will be on topics related to obesity, diabetes, and hypertension in order to contribute to the SPIAHD community-based project. These services will be accessed out of the Port Arthur area due to a lack of such resource in town. In-town travel for contract activities will be funded through the Port Arthur Health Department as in-kind service. C. Equipment $ 1600 Description of Costs: Hypertension Trackers: 20 @$23.99 each = $479.80 Heart Healthy Trackers: 175 @ $0.57 each = $99.75 Glucose Machines: 6 @$50 each = $300.00 Cholesterol Machines: 4 @$100 each = $400.00 Blood Pressure Equipment: 4 @$80 each =$320.00 (See attached information on equipment one and two.) D. Supplies $ 1700 Description of Costs: Blood collection kits: 5 @$83.95 each =$419.75 Band-Aids: 6 boxes@ $13.88 each = $83.28 Tongue Blades: 6 boxes @$11.54 each = $69.24 Cotton balls: 3 containers @$3.09 each =$9.27 Alcohol Containers: 4 @$9.09 each = $36.36 Alcohol Preps: 20 boxes @ $3.19 each =$63.80 Lancets for Blood Sugar Machines: 6 @$13.12 each =$78.72 Sharps Containers: 4 @ $4.19 =$16.76 Urine Test Strips: 6 boxes @ $96.99 =$581.94 Strips for Glucose Machines: 4 boxes @ $85each = $340 !I. .fiTEXAS Health and Human SerVICeS COmmi\,iim Port Arthur Health Department Budget center,,^wn„n.lti„n„t th.pnitwntnaudit%and t>i,pvifie, State Partnership Initiative to Address Health Disparities office el Minority Health and Health Equity Grant Number: STTMP 1 5 1 1 20-0 1-00 Strips for Cholesterol machines: 4 boxes @$85each = $340.00 Measuring Cups: 10 packets @ $28 = $280 (See attached information on medical office supplies.) E. Contractual $ 6000. a. Name of Contractor: Lab Corp b. Method of Selection: Contract currently in place (See attached) c. Period of Performance: Beginning of contract period to August 31, 2020 d. Scope of Work: Contracted laboratory services such as specimen pick up and report delivery, some laboratory supplies, consultation provided as needed, and use of accredited testing sites. Lab Corp is a nationwide lab testing facility with a history of working with the health department and local hospitals/health facilities. e. Method of Assessment: Meeting contract needs/deliverables f Cost: $6000 of funds to be used for contract year one. (See attached information on Lab Corp pricing procedures.)Specific lab testing are not offered in-house and therefore need to be contracted with outside agency, if service is to be provided. The cost of services vary depending on the number of labs preformed. The first year of the grant is our trial/test year. This will determine the number of clients per year and what we need to do to increase the number of participants; after this year the cost of the program will increase year by year. Justification: We subcontract with an outside laboratory because the Port Arthur Health Department is not currently providing the required testing that goes with this program. F. Other/Promotional Materials $1556 Incentives; Health-related magazines, Diabetes pamphlets, Obesity pamphlets, Hypertension educational materials, enhancement and promotional efforts of Port Arthur Health Department Facebook page, and other promotional materials (See attached information on Positive Promotions). Description of cost; Healthy Style press-Blood Pressure information cards 100 x$0.90= $90.00 Cholesterol information cards 100 x$0.90= $90.00 Diabetes information cards 100 x$0.90= $90.00 Obesity information cards 100 x$0.90= $90.00 Pre-diabetic information cards 70 x$0.90= $63.00 Know your numbers for men 100 x$0.59= $59.00 Be wise about portion size 200 x$0.59= $118.00 Know your numbers unisex 200 x$0.59= $118.00 tipTEXAS Health and Human Services Commission Port Arthur Health Department Budget (4 ntrr,nr tlimmatn.n of l)1.pr,,Iw vtrona6A and IAst>.,rqu State Partnership Initiative to Address Health Disparities Offae oI Minoaity Health and Health Equity Grant Number: STTMP 151120-01-00 Blood pressure/Cholesterol/weight control pocket guides English 200 x$0.59=$118.00 Heart Healthy pocket Guide to fast food 200 x$0.59= $118.00 Heart Attack and Stroke; know the signs 200 x$0.59= $118.00 First Aid Kits 100 x$2.79= $279.00 Two-tone totes with City of Port Arthur and SPIAHD logo 100 x$2.05= $205.00 , 1556.00 Year 2 Budget(08/01/2016-07/31/2017) A. Personnel $12,295 B. Travel $1771 C. Equipment $2948 D. Supplies $2476 E. Contractual ..$ 8000 F. Other .$2510 Total Year 2: $30,000 A. Personnel $12,295 Description of Costs: Project Coordinator salary/wage per hour is $14.2307. This staff member will work M/W/F for four hours per day; three days per week $56.92/day, $170.77/wk., $683.07/month, a salary of$8196.88 per year. This employee will receive a 3%salary increase per year according to City of Port Arthur yearly cost of living increase. No fringe benefits will be provided for this position. The Project Coordinator will be responsible for administrative task related to the coordination and oversight of the SPIAHD project to ensure timely and effective project development and completion. Port Arthur Health Department to provide 2 in-kind staff members, a Nurse Practitioner and Nurse. The Nurse Practitioner will provide medical assessments/screenings in addition to direct involvement with patient care and activities. Both staff members will be directly involved in conducting wellness events. B. Travel $1771 Description of Costs: Primary Area of concern is in or near Port Arthur Texas. The Nurse Practitioner and Nurse will be able to attend 3 in-services for update information/education on the target areas from Port Arthur to Galveston Texas and possibly Houston Texas. Mileage from Port Arthur to Galveston there and back is (81.7miles-2h 2min) 163.4 Miles. Mileage from Port Arthur to Houston round trip is (89.7miles-Ih 24min) 179.4 Miles. 2 individuals to Galveston 163.4 x 3= 492 Miles x rsh(ipTEXAS Health and Human Services Commission Port Arthur Health Department Budget and a.,.°'''C' State Partnership Initiative to Address Health Disparities Office of M;nairy Health and!kcrhh fgwt Grant Number: STTMP 151120-01-00 0.54(rate/miles) = $266. 2 individuals to Houston 179.4 x 3 = 538 Miles x 0.54(rate/miles) = $210. Per Diem $36 x 6 trips x 6 days= $1296. (Individuals will go on separate trips) total cost$1771. Galveston has a medical branch with Nurse Practitioners programs, Medical and Nursing Schools; this would be one of the two areas with the best up to date educational information on the target areas. The second area would be in Houston; that could provide the same types of education. These educational services will be on topics related to obesity, diabetes, and hypertension in order to contribute to the SPIAHD community-based project. These services will be accessed out of the Port Arthur area due to a lack of such resource in town. In-town travel for contract activities will be funded through the Port Arthur Health Department as in-kind service. C. Equipment $2948 Description of Costs: Hypertension Trackers: 40 @ $23.99 each = $959.6 Heart healthy trackers: 400 @$0.57 each = $228 Glucose Machines: 10 @ $50 each = $700 Cholesterol Machines: 7 @ $100 each = $700 Blood Pressure Equipment: 7 @$80 each = $560 (See attached information on equipment one and two.) D. Supplies $2476 Description of Costs: Blood collection kits: 2 @ $83.95 each =$167.9 Band-Aids: 4 boxes@$13.88 each = $55.52 Tongue Blades: 5 boxes @$11.54 each = $57.70 Cotton balls: 6 containers @$3.09 each = $18.54 Alcohol Containers: 10 @$9.09 each = $72.72 Alcohol Preps: 30 boxes @ $3.19 each = $95.70 Lancets for Blood Sugar Machines: 7 @$13.12 each = $91.84 Sharps Containers: 6 @ $4.19 = $25.14 Urine Test Strips: 6 boxes @ $96.99 = $579.96 Strips for Glucose Machines: 6 boxes @ $85each = $510 Strips for Cholesterol machines: 6 boxes @ $85each =$510 Measuring Cups: 10 packets @$28 = $560 (See attached information on medical office supplies.) E. Contractual $ 8000 I* )HealTEtXASHuman j. Services Commission Port Arthur Health Department Budget State Partnership Initiative to Address Health Disparities Office of Mtn«,ty Health Jnd rreJun/quay Grant Number: STTMP 151120-01-00 a. Name of Contractor: Lab Corp b. Method of Selection: Contract currently in place (See attached) c. Period of Performance: Beginning of contract period to August 31, 2020 d. Scope of Work: Contracted laboratory services such as specimen pick up and report delivery, some laboratory supplies, consultation provided as needed, and use of accredited testing sites. Lab Corp is a nationwide lab testing facility with a history of working with the health department and local hospitals/health facilities. e. Method of Assessment: Meeting contract needs/deliverables f Cost: $8000 of funds to be used for contract year one. (See attached information on Lab Corp pricing procedures.)Specific lab testing are not offered in-house and therefore need to be contracted with outside agency, if service is to be provided. The cost of services vary depending on the number of labs preformed The first year of the grant is our trial/test year. This will determine the number of clients per year and what we need to do to increase the number of participants; after this year the cost of the program will increase year by year. Justification: We subcontract with an outside laboratory because the Port Arthur Health Department is not currently providing the required testing that goes with this program. F. Other $2510 Incentives. Health-related magazines, Diabetes pamphlets, Obesity pamphlets, Hypertension educational materials, enhancement and promotional efforts of Port Arthur Health Department Facebook page, and other promotional materials (See attached information on Positive Promotions). Description of cost: Healthy Style press-Blood Pressure information cards 150 x$0.90= $135.00 Cholesterol information cards 150 x$0.90= $135.00 Diabetes information cards 150 x$0.90= $135.00 Obesity information cards 150 x$0.90= $135.00 Pre-diabetic information cards 150 x$0.90= $135.00 Know your numbers for men 100 x$0.59= $59.00 Be wise about portion size 300 x$0.59= $177.00 Know your numbers unisex 250 x$0.59= $177 Blood pressure/Cholesterol/weight control pocket guides English 250 x$0.59=$147.50 Heart Healthy pocket Guide to fast food 250 x$0.59= $147.50 Heart Attack and Stroke; know the signs 250 x$0.59= $147.50 First Aid Kits 100 x$2.79= $279.00 I* TEXAS Health Jnd Human Services Commission Port Arthur Health Department Budget Center t,„Elimmat.n.,1 fh.prnix,rti.,n..hh and Disparilie% State Partnership Initiative to Address Health Disparities office ot nsno ty Health and Health tquay Grant Number: STTMP 151120-01-00 Two-tone totes with City of Port Arthur and SPIAHD logo 200 x$2.05= $410.00 $2510 Year 3 Budget(08/01/2017-07/31/2018) A. Personnel ....$17,935 B. Travel $ 946 C. Equipment $ 869 D. Supplies ..$1625 E. Contractual $7900 F. Other $1250 Total Year 3: $ 30,000 A. Personnel $17,395 Description of Costs: Project Coordinator salary/wage per hour is$14.2307. This staff member will work M/W/F for four hours per day; three days per week $56.92/day, $170.77/wk., $683.07/month, a salary of$8196.88 per year. This employee will receive a 3%salary increase per year according to City of Port Arthur yearly cost of living increase. No fringe benefits will be provided for this position. The Project Coordinator will be responsible for administrative task related to the coordination and oversight of the SPIAHD project to ensure timely and effective project development and completion. Port Arthur Health Department to provide 2 in-kind staff members, a Nurse Practitioner and Nurse. The Nurse Practitioner will provide medical assessments/screenings in addition to direct involvement with patient care and activities. Both staff members will be directly involved in conducting wellness events. B. Travel $946 Description of Costs: Primary Area of concern is in or near Port Arthur Texas. The Nurse Practitioner and Nurse will be able to attend 2 in-services for update information/education on the target areas from Port Arthur to Galveston Texas and possibly Houston Texas. Mileage from Port Arthur to Galveston there and back is (81.7miles-2h 2min) 163.4 Miles. Mileage from Port Arthur to Houston round trip is (89.7miles-1 h 24min) 179.4 Miles. 2 individuals to Galveston 163.4 x 2= 326.8 Miles x 0.54(rate/miles) = $176.50. 2 individuals to Houston 179.4 x 2= 358.8 Miles x 0.54(rate/miles) = $193.75. Per Dies$36 x 4 trips x4 days= $576. (Individuals will go on separate trips) total cost$946.25. Galveston has a medical branch with Nurse Practitioners programs, Medical and Nursing Schools; this would be one of the two I* 'TEXAS Health,d Human +(�commicskm Port Arthur Health Department Budget Center Int Elimm.rin n tot Ih.propodnmalih and ITAp,vd.es State Partnership Initiative to Address Health Disparities Office or Minority Health and tle,ith Equ tb Grant Number: STTMP 151120-01-00 areas with the best up to date educational information on the target areas. The second area would be in Houston; that could provide the same types of education. These educational services will be on topics related to obesity, diabetes, and hypertension in order to contribute to the SPIAHD community-based project. These services will be accessed out of the Port Arthur area due to a lack of such resource in town. In-town travel for contract activities will be funded through the Port Arthur Health Department as in-kind service. C. Equipment $869 Description of Costs: Hypertension Trackers: 8 @$23.99 each = $191.92 Heart healthy trackers: 100 @ $0.57 each = $57.00 Glucose Machines: 2 @ $50 each =$100 Cholesterol Machines: 2 @ $100 each = $200 Blood Pressure Equipment: 4 @$80 each = $480 (See attached information on equipment one and two.) D. Supplies $1625 Description of Costs: Blood collection kits: 2 @ $83.95 each = $167.90 Band-Aids: 2 boxes @$13.88 each = $27.76 Tongue Blades: 6 boxes @$11.54 each = $69.24 Cotton balls: 6 containers @ $3.09 each = $18.54 Alcohol Containers: 4 @$9.09 each = $36.36 Alcohol Preps: 40 boxes @$3.19 each = $36.81 Lancets for Blood Sugar Machines: 3 @$13.12 each = $39.36 Sharps Containers: 2 @$4.19 = $8.38 Urine Test Strips: 4 boxes @$96.99 = 387.96 Strips for Glucose Machines: 4 boxes @$85each = $340 Strips for Cholesterol machines: 4 boxes @$85each = $340 Measuring Cups: 5 packets @ $28 = $140 (See attached information on medical office supplies.) E. Contractual $7900 a. Name of Contractor: Lab Corp b. Method of Selection: Contract currently in place (See attached) c. Period of Performance: Beginning of contract period to August 31, 2020 1* 'TEXAS lidHealth Sand ervicesHuman Commission Port Arthur Health Department Budget Center for Eiir„mai,,,n n,(11,,,,,, State Partnership Initiative to Address Health Disparities Office of Minority Health and Health Equity Grant Number: STTMP 151120-01-00 d. Scope of Work: Contracted laboratory services such as specimen pick up and report delivery, some laboratory supplies, consultation provided as needed, and use of accredited testing sites. Lab Corp is a nationwide lab testing facility with a history of working with the health department and local hospitals/health facilities. e. Method of Assessment: Meeting contract needs/deliverables f Cost: $7900 of funds to be used for contract year one. (See attached information on Lab Corp pricing procedures.)Specific lab testing are not offered in-house and therefore need to be contracted with outside agency, if service is to be provided. The cost of services vary depending on the number of labs preformed. The first year of the grant is our trial/test year. This will determine the number of clients per year and what we need to do to increase the number of participants; after this year the cost of the program will increase year by year. Justification: We subcontract with an outside laboratory because the Port Arthur Health Department is not currently providing the required testing that goes with this program. F. Other $1250 Incentives; Health-related magazines, Diabetes pamphlets, Obesity pamphlets, Hypertension educational materials, enhancement and promotional efforts of Port Arthur Health Department Facebook page, and other promotional materials (See attached information on Positive Promotions). Description of cost; Healthy Style press-Blood Pressure information cards 100 x$0.90= $90.00 Cholesterol information cards 100 x$0.90= $90.00 Diabetes information cards 100 x$0.90= $90.00 Obesity information cards 100 x$0.90= $90.00 Pre-diabetic information cards 80 x$0.90= $63.00 Know your numbers for men 100 x$0.59= $59.00 Be wise about portion size 200 x$0.59= $118.00 Know your numbers unisex 200 x$0.59= $118.00 Blood pressure/Cholesterol/weight control pocket guides English 100 x$0.59=$59.00 Heart Healthy pocket Guide to fast food 100 x$0.59= $59.00 Heart Attack and Stroke; know the signs 100 x$0.59= $59.00 First Aid Kits 50 x$2.79= $139.50 Two-tone totes with City of Port Arthur and SPIAHD logo 100 x$2.05= $205.00 $1489.50 I TEXAS Health and Human Services Commission Port Arthur Health Department Budget tItmmatnm ut I)npnoItxtsmaih And 1)14)4 111w% State Partnership Initiative to Address Health Disparities office o(Mino di,Ilea drd ledithtrtd'h Grant Number: STTMP151120-01-00 Year 4 Budget(08/01/2018-07/31/2019) A. Personnel ....$ 17920 B. Travel $ 946 C. Equipment $1050 D. Supplies ..$ 1100 E. Contractual $ 7500 F. Other $1500 Total Year 4: $30,000 A. Personnel $ 17920 Description of Costs: Project Coordinator salary/wage per hour is $14.2307. This staff member will work M/W/F for four hours per day; three days per week $56.92/day, $170.77/wk., $683.07/month, a salary of$8196.88 per year. This employee will receive a 3%salary increase per year according to City of Port Arthur yearly cost of living increase. No fringe benefits will be provided for this position. The Project Coordinator will be responsible for administrative task related to the coordination and oversight of the SPIAHD project to ensure timely and effective project development and completion. Port Arthur Health Department to provide 2 in-kind staff members, a Nurse Practitioner and Nurse. The Nurse Practitioner will provide medical assessments/screenings in addition to direct involvement with patient care and activities. Both staff members will be directly involved in conducting wellness events. B. Travel $ 946 Description of Costs: Primary Area of concern is in or near Port Arthur Texas. The Nurse Practitioner and Nurse will be able to attend 2 in-services for update information/education on the target areas from Port Arthur to Galveston Texas and possibly Houston Texas. Mileage from Port Arthur to Galveston there and back is (81.7miles-2h 2min) 163.4 Miles. Mileage from Port Arthur to Houston round trip is (89.7miles-1 h 24min) 179.4 Miles. 2 individuals to Galveston 163.4 x 2= 326.8 Miles x 0.54(rate/miles) = $176.50. 2 individuals to Houston 179.4 x 2= 358.8 Miles x 0.54(rate/miles) = $193.75. Per Dies$36 x 4 trips x4 days= $576. (Individuals will go on separate trips) total cost$946.25. Galveston has a medical branch with Nurse Practitioners programs, Medical and Nursing Schools; this would be one of the two areas with the best up to date educational information on the target areas. The second area would be in Houston; that could provide the same types of education. These Lit.TEXAS Health and Human Services Commission Port Arthur Health Department Budget (enlcr w,f liminaG,,,ul lihpmp,nhmalih a,:411,1.111,111.. State Partnership Initiative to Address Health Disparities Office o1 Minon(y?With Jnd r('aun Egwry Grant Number: STTMP 151120-01-00 educational services will be on topics related to obesity, diabetes, and hypertension in order to contribute to the SPIAHD community-based project. These services will be accessed out of the Port Arthur area due to a lack of such resource in town. In-town travel for contract activities will be funded through the Port Arthur Health Department as in-kind service. C. Equipment $1050 Description of Costs: Hypertension Trackers: 11 @$23.99 each = $263.89 Heart Healthy Trackers: 100 @$0.57 each = $57.00 Glucose Machines: 4 @ $50 each =200.00 Cholesterol Machines: 2 @ $100 each = $200.00 Blood Pressure Equipment: 4 @ $80 each =$320.00 (See attached information on equipment one and two.) D. Supplies $ 1100 Description of Costs: Blood collection kits: 2 @ $83.95 each = $167.9 Band-Aids: 4 boxes@ $13.88 each = $55.52 Tongue Blades: 4 boxes @$11.54 each = $46.16 Cotton balls: 6 containers @$3.09 each = $18.54 Alcohol Containers: 4 @ $9.09 each = $36.36 Alcohol Preps: 10 boxes @ $3.19 each = $31.90 Lancets for Blood Sugar Machines: 4 @$13.12 each = $52.48 Sharps Containers: 8 @ $4.19 = $33.52 Urine Test Strips: 1 boxes @ $96.99 = $96.99 Strips for Glucose Machines: 2 boxes @$85each = $170 Strips for Cholesterol machines: 8 boxes @ $85each $170 Measuring Cups: 5 packets @$28 = $140 (See attached information on medical office supplies.) E. Contractual $ 7500 a. Name of Contractor: Lab Corp b. Method of Selection: Contract currently in place (See attached) c. Period of Performance: Beginning of contract period to August 31, 2020 d. Scope of Work: Contracted laboratory services such as specimen pick up and report delivery, some laboratory supplies, consultation provided as needed, and use of accredited testing sites. Lab Corp is a nationwide lab testing facility with a history of working with the health department and local hospitals/health facilities. L./TEXAS Health and Human Services commission Port Arthur Health Department Budget E Gmnubw, rt t3,.tmq„„t„,i,.,,E,.,niE State Partnership Initiative to Address Health Disparities Office of Minority Hcalth and Health Equity Grant Number: STTMP 151120-01-00 e. Method of Assessment: Meeting contract needs/deliverables f Cost: $7500 of funds to be used for contract year one. (See attached information on Lab Corp pricing procedures.)Specific lab testing are not offered in-house and therefore need to be contracted with outside agency, if service is to be provided. The cost of services vary depending on the number of labs preformed. The first year of the grant is our trial/test year. This will determine the number of clients per year and what we need to do to increase the number of participants; after this year the cost of the program will increase year by year. Justification: We subcontract with an outside laboratory because the Port Arthur Health Department is not currently providing the required testing that goes with this program. F. Other $1500 Incentives; Health-related magazines, Diabetes pamphlets, Obesity pamphlets, Hypertension educational materials, enhancement and promotional efforts of Port Arthur Health Department Facebook page, and other promotional materials (See attached information on Positive Promotions). Description of cost: Healthy Style press-Blood Pressure information cards 100 x$0.90= $90.00 Cholesterol information cards 100 x$0.90= $90.00 Diabetes information cards 100 x$0.90= $90.00 Obesity information cards 100 x$0.90= $90.00 Pre-diabetic information cards 70 x$0.90= $63.00 Know your numbers for men 100 x$0.59= $59.00 Be wise about portion size 100 x$0.59= $59.00 Know your numbers unisex 200 x$0.59= $118.00 Blood pressure/Cholesterol/weight control pocket guides English 200 x$0.59=$118.00 Heart Healthy pocket Guide to fast food 200 x$0.59= $118.00 Heart Attack and Stroke; know the signs 200 x$0.59= $118.00 First Aid Kits 100 x$2.79= $279.00 Two-tone totes with City of Port Arthur and SPL4HD logo 100 x$2.05= $205.00 $1500 Year 5 Budget (08/01/2019-07/31/2020) A. Personnel .$18455 B. Travel $ 946 C. Equipment $ 970 LoTEXAS Health and Human Services Commission Port Arthur Health Department Budget r tor(Ii m,njINM UI DtsproporhonAlt%anti Dip.Nltars State Partnership Initiative to Address Health Disparities Orrice or M no,,y Health and I(with Equity Grant Number: STTMP 151120-01-00 D. Supplies $1145 E. Contractual $ 7000 F. Other $1500 Total Year 5: $30,000 A. Personnel $18455 Description of Costs: Project Coordinator salary/wage per hour is$14.2307. This staff member will work M/W/F for four hours per day; three days per week $56.92/day, $170.77/wk., $683.07/month, a salary of$8196.88 per year. This employee will receive a 3%salary increase per year according to City of Port Arthur yearly cost of living increase. No fringe benefits will be provided for this position. The Project Coordinator will be responsible for administrative task related to the coordination and oversight of the SPIAHD project to ensure timely and effective project development and completion. Port Arthur Health Department to provide 2 in-kind staff members, a Nurse Practitioner and Nurse. The Nurse Practitioner will provide medical assessments/screenings in addition to direct involvement with patient care and activities. Both staff members will be directly involved in conducting wellness events. B. Travel $ 946 Description of Costs: Primary Area of concern is in or near Port Arthur Texas. The Nurse Practitioner and Nurse will be able to attend 2 in-services for update information/education on the target areas from Port Arthur to Galveston Texas and possibly Houston Texas. Mileage from Port Arthur to Galveston there and back is (81.7miles-2h 2min) 163.4 Miles. Mileage from Port Arthur to Houston round trip is (89.7miles-Ih 24min) 179.4 Miles. 2 individuals to Galveston 163.4 x 2= 326.8 Miles x 0.54(rate/miles) = $176.50. 2 individuals to Houston 179.4 x 2= 358.8 Miles x 0.54(rate/miles) = $193.75. Per Dies $36 x 4 trips x4 days= $576. (Individuals will go on separate trips) total cost$946.25. Galveston has a medical branch with Nurse Practitioners programs, Medical and Nursing Schools; this would be one of the two areas with the best up to date educational information on the target areas. The second area would be in Houston; that could provide the same types of education. These educational services will be on topics related to obesity, diabetes, and hypertension in order to contribute to the SPIAHD community-based project. These services will be accessed out of the Port Arthur area due to a lack of such resource in town. In-town travel for contract activities will be funded through the Port Arthur Health Department as in-kind service. 1* TEXAS Health and Human Services Commission Port Arthur Health Department Budget l,:l,1.1t I muo o ul Ih.pngerttfohrti And rnsp.uAie, State Partnership Initiative to Address Health Disparities Ofike of Mint:way Health and!twill)lqurt y Grant Number: STTMP 1 5 1 120-01-00 C. Equipment $ 970 Description of Costs: Hypertension Trackers: 8 @$23.99 each = $191.92 Heart Healthy Trackers: 100 @$0.57 each = $57.00 Glucose Machines: 4 @$50 each = 200.00 Cholesterol Machines: 2 @$100 each = $200.00 Blood Pressure Equipment: 4 @ $80 each =$320.00 (See attached information on equipment one and two.) D. Supplies $1145 Description of Costs: Blood collection kits: 2 @$83.95 each = $167.90 Band-Aids: 4 boxes@$13.88 each = $55.52 Tongue Blades: 4 boxes @$11.54 each = $46.16 Cotton balls: 6 containers @$3.09 each = $18.54 Alcohol Containers: 4 @ $9.09 each = $ 36.36 Alcohol Preps: 10 boxes @$3.19 each = $31.90 Lancets for Blood Sugar Machines: 4 @$13.12 each = $52.48 Sharps Containers: 8 @$4.19 = $33.52 Urine Test Strips: 1 boxes @$96.99 = $96.99 Strips for Glucose Machines: 2 boxes @$85each = $170 Strips for Cholesterol machines: 8 boxes @$85each $170 Measuring Cups: 6 packets @$28 = $168 (See attached information on medical office supplies.) E. Contractual $7000 a. Name of Contractor: Lab Corp b. Method of Selection: Contract currently in place (See attached) c. Period of Performance: Beginning of contract period to August 31, 2020 d. Scope of Work: Contracted laboratory services such as specimen pick up and report delivery, some laboratory supplies, consultation provided as needed, and use of accredited testing sites. Lab Corp is a nationwide lab testing facility with a history of working with the health department and local hospitals/health facilities. e. Method of Assessment: Meeting contract needs/deliverables tipTEXAS Health ind Human Services Commission Port Arthur Health Department Budget (enter for Eilrntood o of Pipt4.pnrhonAlth And o„hState Partnership Initiative to Address Health Disparities Office of Minority Health and tieJlth Equity Grant Number: STTMP 151120-01-00 f Cost: $7000 of funds to be used for contract year one. (See attached information on Lab Corp pricing procedures.) Specific lab testing are not offered in-house and therefore need to be contracted with outside agency, if service is to be provided The cost of services vary depending on the number of labs preformed The first year of the grant is our trial/test year. This will determine the number of clients per year and what we need to do to increase the number of participants; after this year the cost of the program will increase year by year. Justification: We subcontract with an outside laboratory because the Port Arthur Health Department is not currently providing the required testing that goes with this program. F. Other $1500 Incentives; Health-related magazines, Diabetes pamphlets, Obesity pamphlets, Hypertension educational materials, enhancement and promotional efforts of Port Arthur Health Department Facebook page, and other promotional materials (See attached information on Positive Promotions). Description of cost: Healthy Style press-Blood Pressure information cards 100 x$0.90= $90.00 Cholesterol information cards 100 x$0.90= $90.00 Diabetes information cards 100 x$0.90= $90.00 Obesity information cards 100 x$0.90= $90.00 Pre-diabetic information cards 70 x$0.90= $63.00 Know your numbers for men 100 x$0.59= $59.00 Be wise about portion size 100 x$0.59= $59.00 Know your numbers unisex 200 x$0.59= $118.00 Blood pressure/Cholesterol/weight control pocket guides English 200 x$0.59=$118.00 Heart Healthy pocket Guide to fast food 200 x$0.59= $118.00 Heart Attack and Stroke; know the signs 200 x$0.59= $118.00 First Aid Kits 100 x$2.79= $279.00 Two-tone totes with City of Port Arthur and SPIAHD logo 100 x$2.05= $205.00 $1500 Attachment D Uniform Terms and Conditions HHSC Uniform Terms and Conditions Version 2.12 Published and Effective: November 30, 2015 Responsible Office: Chief Counsel rir TEXAS Health and Human Services Commission 11li, Health and Human Services Commission HHSC Uniform Terms and Conditions - Local Governmental Body Version 2.12 TABLE OF CONTENTS ARTICLE I DEFINITIONS AND INTERPRETIVE PROVISIONS 4 1.01 Definitions 4 1.02 Interpretive Provisions 5 ARTICLE II CONSIDERATION 6 2.01 Expenses 6 2.02 Funding and Payment 6 2.03 Final Billing Submission 7 2.04 Financial Status Reports (FSRs) 7 2.05 Use of Funds 7 2.06 Use for Match Prohibited 8 2.07 Program Income 8 2.08 Nonsupplanting 8 ARTICLE III WARRANTY, AFFIRMATIONS, ASSURANCES AND CERTIFICATIONS 8 3.01 Federal Assurances 8 3.02 Federal Certifications 8 ARTICLE IV INTELLECTUAL PROPERTY 9 4.01 Intellectual Property 9 ARTICLE V ALLOWABLE COSTS AND AUDIT REQUIREMENTS 9 5.01 Allowable Costs. 9 5.02 Independent Single or Program-Specific Audit 10 5.03 Submission of Audit 11 ARTICLE VI RECORDS, AUDIT, AND DISCLOSURE 11 6.01 Access to records, books, and documents 11 6.02 Response/compliance with audit or inspection findings 12 6.03 SAO Audit 12 6.04 Recapture of Funds 12 6.05 Public Information and Confidentiality 12 6.06 Data Security 13 ARTICLE VII CONTRACT MANAGEMENT AND EARLY TERMINATION 13 7.01 Contract Management 13 7.02 Termination for Convenience 14 7.03 Termination for Cause 14 Page 2of17 7.03 Equitable Settlement 14 ARTICLE VIII MISCELLANEOUS PROVISIONS 14 8.01 Technical Guidance Letters 14 8.02 Survivability 14 8.03 No Waiver 14 8.04 Standard Terms and Conditions 14 8.05 Civil Rights 16 Page 3 of 17 ARTICLE I DEFINITIONS AND INTERPRETIVE PROVISIONS 1.01 Definitions As used in this Contract, unless the context clearly indicates otherwise or defined in the Signature Document,the following terms and conditions have the meanings assigned below: "Amendment" means a written agreement, signed by the parties hereto, which documents changes to the Contract other than those permitted by Technical Guidance Letters, as herein defined. "Attachment" means documents, terms, conditions, or additional information physically added to this Contract following the execution page or included by reference,as if physically, within the body of this Contract. "Contract"means the Signature Document,these Uniform Terms and Conditions,along with any Attachments, and any Amendments,purchase orders,or Technical Guidance Letters that may be issued by the System Agency,to be incorporated by reference herein for all purposes if issued. "Deliverables" means any item, report, data, document, photograph, or other submission required to be delivered under the terms of this Contract, in whatever form. "Effective Date" means the date agreed to by the Parties as the date on which the Contract takes effect. "Federal Assurances" means Standard Form 424B (Rev. 7-97), as prescribed by OMB Circular A-102 (non-construction projects); or Standard Form 424D (Rev. 7-97), as prescribed by OMB Circular A-102 (construction projects). "Federal Certifications" means U.S. Department of Commerce Form CD-512 (12-04), "Certifications Regarding Lobbying—Lower Tier Covered Transactions." "Federal Fiscal Year"means the period beginning October 1 and ending September 30 each year, which is the annual accounting period for the United States government. "GAAP"means Generally Accepted Accounting Principles. "GASB"means the Governmental Accounting Standards Board. "Health and Human Services Commission" or "HHSC" means the administrative agency established under Chapter 531, Texas Government Code or its designee. "Intellectual Property" means patents, rights to apply for patents, trademarks, trade names, service marks, domain names, copyrights and all applications and worldwide registration of such, schematics,industrial models,inventions,know-how,trade secrets,computer software programs, and other intangible proprietary information. "Local Government" means the Party to this Contract that meets the definition of this term under Tex. Gov't Code § 791.003(4). "Parties"means the System Agency and Local Government, collectively. Page 4 of 17 "Party" means either the System Agency or Local Government, individually. "Project" means the goods and/or Services described in the Signature Document or an Attachment to this Contract. "Public Information Act" or"PIA"means Chapter 552 of the Texas Government Code. "Services" means the tasks, functions, and responsibilities assigned and delegated to Local Government under the Contract. "Signature Document" means the document executed by both Parties that specifically sets forth all of the documents that constitute the Contract. "System Agency"means HHSC or any of the agencies of the State of Texas that are overseen by HHSC under authority granted under State law and the officers,employees,and designees of those agencies. These agencies include: the Department of Aging and Disability Services, the Department of Assistive and Rehabilitative Services, the Department of Family and Protective Services, and the Department of State Health Services. "State Fiscal Year" means the period beginning September 1 and ending August 31 each year,which is the annual accounting period for the State of Texas. "State of Texas Textravel" means Texas Administrative Code, Title 34, Part 1, Chapter 5, Subchapter C, Section 5.22, relative to travel reimbursements under this Contract, if any. "Subcontractor" means an individual or business that performs part or all of the obligations of Local Government under this Contract. "Technical Guidance Letter" or"TGL" means an instruction, clarification, or interpretation of the requirements of the Contract, issued by the System Agency to the Local Government. "Work" means all Services to be performed, goods to be delivered, and any appurtenant actions performed and items produced, conceived, or developed, including Deliverables. 1.02 Interpretive Provisions A. The meanings of defined terms are equally applicable to the singular and plural forms of the defined terms. B. The words "hereof," "herein," "hereunder," and similar words refer to this Contract as a whole and not to any particular provision, section, Attachment, or schedule of this Contract unless otherwise specified. C. The term "including" is not limiting and means "including without limitation" and, unless otherwise expressly provided in this Contract: (i) references to contracts (including this Contract) and other contractual instruments shall be deemed to include all subsequent Amendments and other modifications thereto, but only to the extent that such Amendments and other modifications are not prohibited by the terms of this Contract;and(ii)references to any statute or regulation are to be construed as including all statutory and regulatory provisions consolidating, amending, replacing, supplementing, or interpreting the statute or regulation. Page 5 of 17 D. Any references to "sections," "appendices," or "Attachments" are references to sections, appendices, or Attachments of the Contract. E. Any references to agreements,contracts, statutes, or administrative rules or regulations in the Contract are references to these documents as amended, modified, or supplemented from time to time during the term of the Contract. F. The captions and headings of this Contract are for convenience of reference only and shall not affect the interpretation of this Contract. G. All Attachments within this Contract, including those incorporated by reference, and any Amendments are considered part of the terms of this Contract. H. This Contract may use several different limitations,regulations, or policies to regulate the same or similar matters. All such limitations, regulations, and policies are cumulative and each shall be performed in accordance with its terms. I. Unless otherwise expressly provided, reference to any action of the System Agency or by the System Agency by way of consent, approval, or waiver shall be deemed modified by the phrase "in its sole discretion." J. Time is of the essence in this Contract. ARTICLE II CONSIDERATION 2.01 Expenses Except as otherwise provided in the Contract, no ancillary expenses incurred by the Local Government in connection with its provision of the Services or Deliverables will be reimbursed by the System Agency. Ancillary expenses include, but are not limited to costs associated with transportation, delivery, and insurance for each Deliverable. When the reimbursement of travel expenses is authorized by the Contract, all such expenses shall be reimbursed in accordance with the rates set by the State of Texas Textravel. 2.02 Funding and Payment A. This Contract shall not be construed as creating any debt on behalf of the State of Texas or the System Agency in violation of Article III, Section 49,of the Texas Constitution. In compliance with Article VIII, Section 6 of the Texas Constitution,it is understood that all obligations of the System Agency hereunder are subject to the availability of funds. If such funds are not appropriated or become unavailable,this Contract may be terminated. In that event, the Parties shall be discharged from further obligations, subject to the equitable settlement of their respective interests, accrued up to the date of termination. B. Furthermore, any claim by Local Government for damages under this Contract may not exceed the amount of funds appropriated for payment, but not yet paid to Local Government, under the annual budget in effect at the time of the breach. Nothing in this provision shall be construed as a waiver of sovereign immunity. C. This Contract is contingent upon the availability of sufficient and adequate funds. If funds become unavailable through lack of appropriations,budget cuts,transfer of funds Page 6of17 between programs or agencies, amendment of the Texas General Appropriations Act, agency consolidation, or any other disruptions of current funding for this Contract, the System Agency may restrict, reduce, or terminate funding under this Contract. This Contract is also subject to immediate cancellation or termination, without penalty to the System Agency, if sufficient and adequate funds are not available. Local Government will have no right of action against the System Agency if the System Agency cannot perform its obligations under this Contract as a result of lack of funding for any activities or functions contained within the scope of this Contract. In the event of cancellation or termination under this Section, the System Agency shall not be required to give notice and shall not be liable for any damages or losses caused or associated with such termination or cancellation. D. Except as otherwise provided by the provisions of the Contract,the payment method will be cost reimbursement. This payment method is based on an approved budget and submission of a request for reimbursement of expenses the Local Government has incurred at the time of the request. E. Local Government shall bill the System Agency in accordance with the Contract and shall maintain all documentation that substantiates invoices and make the documentation available to the System Agency upon request. 2.03 Final Billing Submission Unless otherwise provided by the System Agency, Local Government shall submit a reimbursement or payment request as a final close-out invoice not later than sixty(60) calendar days following the end of the term of the Contract. Reimbursement or payment requests received in the System Agency's offices more than sixty(60)calendar days following the termination of the Contract may not be paid. 2.04 Financial Status Reports (FSRs) Except as otherwise provided in these General Provisions or in the terms of any Program Attachment(s) that is incorporated into the Contract, for contracts with categorical budgets, Local Government shall submit quarterly FSRs to Accounts Payable by the last business day of the month following the end of each quarter of the Program Attachment term for System Agency review and financial assessment. Local Government shall submit the final FSR no later than forty-five (45) calendar days following the end of the applicable term. 2.05 Use of Funds Local Government shall expend funds provided under this Contract only for the provision of approved Services and for reasonable and allowable expenses directly related to those Services. Page 7 of 17 2.06 Use for Match Prohibited Local Government shall not use funds provided under this Contract for matching purposes in securing other funding without the written approval of the System Agency. 2.07 Program Income Income directly generated from funds provided under this Contract or earned only as a result of such funds is Program Income. Unless otherwise required under the Program, Local Government shall use the addition alternative,as provided in UGMS §_.25(g)(2),for the use of Project income to further the Program, and Local Government shall spend the Program Income on the Project. Local Government shall identify and report this income in accordance with the Contract and applicable law Local Government shall expend Program Income during the Program term and may not carry forward to any succeeding term. Local Government shall refund program income not expended in the term in which it is earned to the System Agency. The System Agency may base future funding levels, in part, upon Local Government's proficiency in identifying, billing, collecting,and reporting Program Income,and in using it for the purposes and under the conditions specified in this Contract. 2.08 Nonsupplanting Local Government shall not use funds from this Contract to replace or substitute for existing funding from other sources but shall use funds from this Contract to supplement existing state or local funds currently available. Local Government shall make a good faith effort to maintain its current level of support. Local Government may be required to submit documentation substantiating that a reduction in state or local funding, if any, resulted for reasons other than receipt or expected receipt of funding under this Contract. ARTICLE III WARRANTY, AFFIRMATIONS, ASSURANCES AND CERTIFICATIONS 3.01 Federal Assurances Local Government further certifies that,to the extent Federal Assurances are incorporated into the Contract under the Signature Document, the Federal Assurances have been reviewed and that Local Government is in compliance with each of the requirements reflected therein. 3.02 Federal Certifications Local Government further certifies, to the extent Federal Certifications are incorporated into the Contract under the Signature Document that the Federal Certifications have been reviewed, and that Local Government is in compliance with each of the requirements reflected therein. In addition,Local Government certifies that it is in compliance with all applicable federal laws,rules,or regulations, as they may pertain to this Contract. Page 8 of 17 ARTICLE IV INTELLECTUAL PROPERTY 4.01 Intellectual Property A. To the extent any Work results in the creation of Intellectual Property, all right,title, and interest in and to such Intellectual Property shall vest in the System Agency upon creation and shall be deemed to be a"work made for hire" and made in the course of the services rendered pursuant to this Contract. B. To the extent that title to any such Intellectual Property may not by law vest in the System Agency, or such Intellectual Property may not be considered a"work made for hire," all rights, title, and interest therein are hereby irrevocably assigned to the System Agency. The System Agency shall have the right to obtain and to hold in its name any and all patents, copyrights, trademarks, service marks, registrations, or such other protection as may be appropriate to the subject matter, including extensions and renewals thereof. C. Local Government must give the System Agency and the State of Texas, as well as any person designated by the System Agency or the State of Texas, all assistance required to perfect the rights defined herein without any charge or expense beyond the stated amount payable to Local Government for the services authorized under this Contract. ARTICLE V ALLOWABLE COSTS AND AUDIT REQUIREMENTS 5.01 Allowable Costs. System Agency will reimburse the allowable costs incurred in performing the Project that are sufficiently documented. Local Government must have incurred a cost prior to claiming reimbursement and within the applicable term to be eligible for reimbursement under this Contract. The System Agency will determine whether costs submitted by Local Government are allowable and eligible for reimbursement. If the System Agency has paid funds to Local Government for unallowable or ineligible costs, the System Agency will notify Local Government in writing, and Local Government shall return the funds to the System Agency within thirty(30) calendar days of the date of the written notice. The System Agency may withhold all or part of any payments to Local Government to offset reimbursement for any unallowable or ineligible expenditure that Local Government has not refunded to the System Agency, or if financial status report(s)required under the Financial Status Reports section are not submitted by the due date(s). The System Agency may take repayment (recoup) from funds available under this Contract in amounts necessary to fulfill Local Government's repayment obligations. Applicable cost principles, audit requirements, and administrative requirements include: Page 9 of 17 Applicable Entity Applicable Cost Audit Administrative Principles Requirements Requirements State, Local and Tribal 2 CFR, Part 225 2 CFR Part 200, 2 CFR Part 200 and Governments Subpart F and UGMS UGMS Educational 2 CFR, Part 220 2 CFR Part 200, 2 CFR Part 200 and Institutions Subpart F and UGMS UGMS Non-Profit 2 CFR, Part 230 2 CFR Part 200, 2 CFR Part 200 and Organizations Subpart F and UGMS UGMS For-profit 48 CFR Part 31, 2 CFR Part 200, 2 CFR Part 200 and Organization other Contract Cost Subpart F and UGMS than a hospital and an Principles UGMS organization named in Procedures, or OMB Circular A-122 uniform cost (2 CFR Part, 230) as accounting not subject to that standards that circular. comply with cost principles acceptable to the federal or state awarding agency 5.02 Independent Single or Program-Specific Audit If Local Government, within Local Government's fiscal year, expends a total amount of at least SEVEN HUNDRED FIFTY THOUSAND DOLLARS ($750,000) in federal funds awarded, Local Government shall have a single audit or program-specific audit in accordance with the 2 CFR 200. The $750,000 federal threshold amount includes federal funds passed through by way of state agency awards. The HHSC Office of Inspector General (OIG) will notify Local Government to complete the Single Audit Status Registration Form. If Local Government fails to complete the Single Audit Status Form within thirty(30) calendar days after notification by OIG to do so, Local Government shall be subject to the System Agency sanctions and remedies for non-compliance with this Contract. The audit must be conducted by an independent certified public accountant and in accordance with applicable OMB Circulars and Government Auditing Standards, and UGMS. Page 10 of 17 Local Government shall procure audit services in compliance with this section and in accordance with state procurement procedures and the provisions of UGMS. 5.03 Submission of Audit Within thirty (30) calendar days of receipt of the audit reports required by the Independent Single or Program-Specific Audit section, Local Government shall submit one copy to the HHSC Contract Manager, and one copy to the OIG, at the following addresses: HHSC Contract Manager: Maribel Juarez Administrative Assistant III, Office of Border Affairs 601 West Sesame Dr. Harlingen, Texas 78550 Maribel.Juarez@hhsc.state.tx.us Health and Human Services Commission Office of Inspector General Compliance/Audit, Mail Code 1326 P.O. Box 85200 Austin, Texas 78708-5200 If Local Government fails to submit the audit report as required by the Independent Single or Program-Specific Audit section within thirty (30) calendar days of receipt by Local Government of an audit report, Local Government shall be subject to System Agency sanctions and remedies for non-compliance with this Contract. ARTICLE VI RECORDS, AUDIT, AND DISCLOSURE 6.01 Access to records, books, and documents In addition to any right of access arising by operation of law, Local Government and any of Local Government's affiliate or subsidiary organizations, or Subcontractors shall permit the System Agency or any of its duly authorized representatives, as well as duly authorized federal, state or local authorities, unrestricted access to and the right to examine any site where business is conducted or Services are performed,and all records,which includes but is not limited to financial, client and patient records, books, papers or documents related to this Contract. If the Contract includes federal funds, federal agencies that shall have a right of access to records as described in this section include:the federal agency providing the funds,the Comptroller General of the United States, the General Accounting Office, the Office of the Inspector General, and any of their authorized representatives. In addition, agencies of the State of Texas that shall have a right of access to records as described in this section include: the System Agency, HHSC, HHSC's contracted examiners, the State Auditor's Office, the Texas Attorney General's Office, and any successor agencies. Each of these entities may be a duly authorized authority. If deemed necessary by the System Agency or any duly authorized authority,for the purpose of investigation or hearing, Local Government shall produce original documents related to this Contract. The System Agency and any duly authorized authority shall have the right to audit billings both before and after payment, and all documentation that substantiates the billings. Local Government shall include Page 11 of 17 this provision concerning the right of access to, and examination of, sites and information related to this Contract in any Subcontract it awards. 6.02 Response/compliance with audit or inspection findings A. At Local Government's sole expense, Local Government must take action to ensure its or a Subcontractor's compliance with a correction of any finding of noncompliance with any law, regulation, audit requirement, or generally accepted accounting principle relating to the Services and Deliverables or any other deficiency contained in any audit, review, or inspection conducted under the Contract. Whether Local Government's action corrects the noncompliance shall be solely the decision of the System Agency. B. As part of the Services, Local Government must provide to HHSC upon request a copy of those portions of Local Government's and its Subcontractors' internal audit reports relating to the Services and Deliverables provided to the State under the Contract. 6.03 SAO Audit Local Government understands that acceptance of funds directly under the Contract or indirectly through a Subcontract under the Contract acts as acceptance of the authority of the State Auditor's Office (SAO), or any successor agency, to conduct an audit or investigation in connection with those funds. Under the direction of the legislative audit committee, an entity that is the subject of an audit or investigation by the SAO must provide the SAO with access to any information the SAO considers relevant to the investigation or audit. Local Government agrees to cooperate fully with the SAO or its successor in the conduct of the audit or investigation, including providing all records requested. Local Government will ensure that this clause concerning the authority to audit funds received indirectly by Subcontractors through Local Government and the requirement to cooperate is included in any Subcontract it awards. 6.04 Recapture of Funds The System Agency may withhold all or part of any payments to Local Government to offset overpayments made to the Local Government. Overpayments as used in this Section include payments(i)made by the System Agency that exceed the maximum allowable rates;(ii)that are not allowed under applicable laws, rules, or regulations; or(iii)that are otherwise inconsistent with this Contract, including any unapproved expenditures. Local Government understands and agrees that it shall be liable to the System Agency for any costs disallowed pursuant to financial and compliance audit(s)of funds received under this Contract. Local Government further understands and agrees that reimbursement of such disallowed costs shall be paid by Local Government from funds which were not provided or otherwise made available to Local Government under this Contract. 6.05 Public Information and Confidentiality Information related to the performance of this Contract may be subject to the Public Information Act and will be withheld from public disclosure or released to the public only in accordance therewith. Local Government shall make any information required under the Public Information Act available to the System Agency in portable document file(".pdf')format or any other format agreed between the Parties. Page 12 of 17 To the extent permitted by law, Local Government and the System Agency agree to keep all information confidential, in whatever form produced, prepared, observed, or received by Local Government or the System Agency. The provisions of this section remain in full force and effect following termination or cessation of the services performed under this Contract. Each Party and its Subcontractors will maintain reasonable and appropriate administrative, physical, and technical safeguards to ensure the integrity and confidentiality of information exchanged in the performance of Services pursuant to this Contract and protect against any reasonably anticipated threats or hazards to the security or integrity of the information and unauthorized use or disclosure of the information in accordance with applicable federal and state laws, rules, and regulations. Upon notice,either Party will provide, or cause its Subcontractors and agents to provide,the other Party or its designee prompt access to any information security records, books, documents, and papers that relate to services provided under this Contract. 6.06 Data Security Each Party and its Subcontractors will maintain reasonable and appropriate administrative, physical, and technical safeguards to ensure the integrity and confidentiality of information exchanged in the performance of services pursuant to this Contract and protect against any reasonably anticipated threats or hazards to the security or integrity of the information and unauthorized use or disclosure of the information in accordance with applicable federal and state laws, rules, and regulations. Upon notice, either Party will provide, or cause its subcontractors and agents to provide,the other Party or its designee prompt access to any information security records, books, documents, and papers that relate to services provided under this Contract. ARTICLE VII CONTRACT MANAGEMENT AND EARLY TERMINATION 7.01 Contract Management To ensure full performance of the Contract and compliance with applicable law,the System Agency may take actions including: A. suspending all or part of the Contract; B. requiring the Local Government to take specific corrective actions in order to remain in compliance with term of the Contract; C. recouping payments made to the Local Government found to be in error; D. suspending and/or limiting any services and placing conditions on any such suspensions and/or limitations of services; E. imposing any other remedies authorized under this Contract; and F. imposing any other remedies, sanctions or penalties permitted by federal or state statute, law,regulation,rule. Page 13 of 17 7.02 Termination for Convenience The System Agency may terminate the Contract at any time when, in its sole discretion, the System Agency determines that termination is in the best interests of the State of Texas. The termination will be effective on the date specified in HHSC's notice of termination. 7.03 Termination for Cause The System Agency will have the right to terminate the Contract in whole or in part if the • System Agency determines, at its sole discretion, that Local Government has materially breached the Contract or has failed to adhere to any laws, ordinances, rules, regulations or orders of any public authority having jurisdiction and such violation prevents or substantially impairs performance of Local Government's duties under the Contract. 7.03 Equitable Settlement Any early termination under this article shall be subject to the equitable settlement of the respective interests of the Parties up to the date of termination. ARTICLE VIII MISCELLANEOUS PROVISIONS 8.01 Technical Guidance Letters In the sole discretion of the System Agency, and in conformance with federal and state law, the System Agency may issue instructions, clarifications, or interpretations as may be required during Work performance in the form of a Technical Guidance Letter. A TGL must be in writing, and may be delivered by regular mail, electronic mail, or facsimile transmission. Any TGL issued by the System Agency shall be incorporated into the Contract by reference herein for all purposes when it is issued. 8.02 Survivability All obligations and duties of the Local Government not fully performed as of the expiration or termination of this Contract will survive the expiration or termination of the Contract. 8.03 No Waiver Neither failure to enforce any provision of this Contract nor payment for services provided under it constitute waiver of any provision of the Contract. 8.04 Standard Terms and Conditions A. In the performance of this Contract, each Party shall comply with all applicable federal, state, and local laws, ordinances, and regulations. Each Party shall make itself familiar with and at all times shall observe and comply with all federal, state, and local laws, ordinances, and regulations that in any manner affect performance under this Contract. Each Party will be deemed to have knowledge of all applicable laws and regulations and be deemed to understand them. B. All records relevant to this Contract shall be retained for a minimum of seven (7) years. The period of retention begins at the date of final payment by the System Agency, or from the date of termination of the Contract, whichever is later. The period of retention shall be extended for a period reasonably necessary to complete an audit or to complete any administrative proceeding or litigation that may ensue. Page 14 of 17 C. The System Agency shall own, and Local Government hereby assigns to the System Agency, all right, title, and interest in all tangible Work. D. Local Government shall keep and maintain under GAAP or GASB,as applicable,full,true, and complete records necessary to fully disclose to the System Agency, the Texas State Auditor's Office, the United States Government, and/or their authorized representatives sufficient information to determine compliance with the terms and conditions of this Contract and all state and federal rules,regulations, and statutes. E. This Contract and the rights and obligations of the Parties hereto shall be governed by, and construed according to, the laws of the State of Texas, exclusive of conflicts of law provisions. Venue of any suit brought under this Contract shall be in a court of competent jurisdiction in Travis County, Texas. Local Government irrevocably waives any objection,including any objection to personal jurisdiction or the laying of venue or based on the grounds of forum non conveniens, which it may now or hereafter have to the bringing of any action or proceeding in such jurisdiction in respect of this Contract or any document related hereto. NOTHING IN THIS SECTION SHALL BE CONSTRUED AS A WAIVER OF SOVEREIGN IMMUNITY BY THE SYSTEM AGENCY. F. If any provision contained in this Contract is held to be unenforceable by a court of law or equity,this Contract shall be construed as if such provision did not exist and the non- enforceability of such provision shall not be held to render any other provision or provisions of this Contract unenforceable. G. Except with respect to the obligation of payments under this Contract, if either of the Parties, after a good faith effort, is prevented from complying with any express or implied covenant of this Contract by reason of war;terrorism;rebellion; riots; strikes; acts of God; any valid order, rule, or regulation of governmental authority; or similar events that are beyond the control of the affected Party (collectively referred to as a "Force Majeure"), then,while so prevented,the affected Party's obligation to comply with such covenant shall be suspended, and the affected Party shall not be liable for damages for failure to comply with such covenant. In any such event, the Party claiming Force Majeure shall promptly notify the other Party of the Force Majeure event in writing and, if possible, such notice shall set forth the extent and duration thereof. The Party claiming Force Majeure shall exercise due diligence to prevent,eliminate,or overcome such Force Majeure event where it is possible to do so and shall resume performance at the earliest possible date. However, if non-performance continues for more than thirty (30) days, the System Agency may terminate this Contract immediately upon written notification to Local Government. H. This Contract, its integrated Attachment(s), and any purchase order issued in conjunction with this Contract constitute the entire agreement of the Parties and are intended as a complete and exclusive statement of the promises, representations, negotiations, discussions,and other agreements that may have been made in connection with the subject matter hereof. Any additional or conflicting terms in such Attachment(s) and/or purchase order shall be harmonized with this Contract to the extent possible. Unless such integrated Page 15 of 17 Attachment or purchase order specifically displays a mutual intent to amend a particular part of this Contract, general conflicts in language shall be construed consistently with the terms of this Contract. I. Neither party shall assign or subcontract the whole nor any part of the contract, including any right or duty required under it, without the other party's prior written consent. Any assignment made contrary to this shall be void. J. This Contract may be executed in any number of counterparts, each of which shall be an original,and all such counterparts shall together constitute but one and the same Contract. If the Contract is not executed by the System Agency within thirty(30)days of execution by the other Party, this Contract shall be null and void. K. Pursuant to Chapter 2259 of the Texas Government Code entitled, "Self-Insurance by Governmental Units," Each Party is self-insured and, therefore, is not required to purchase insurance. 8.05 Civil Rights a. Local Government agrees to comply with state and federal anti-discrimination laws,including: 1. Title VI of the Civil Rights Act of 1964 (42 U.S.C. §2000d et seq.); 2. Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. §794); 3. Americans with Disabilities Act of 1990 (42 U.S.C. §12101 et seq.); 4. Age Discrimination Act of 1975 (42 U.S.C. §§6101-6107); 5. Title IX of the Education Amendments of 1972 (20 U.S.C. §§1681-1688); 6. Food and Nutrition Act of 2008 (7 U.S.C. §2011 et seq.); and 7. The System Agency's administrative rules, as set forth in the Texas Administrative Code, to the extent applicable to this Contract. Local Government agrees to comply with all amendments to the above-referenced laws, and all requirements imposed by the regulations issued pursuant to these laws. These laws provide in part that no persons in the United States may, on the grounds of race, color, national origin, sex, age, disability, political beliefs, or religion, be excluded from participation in or denied any aid, care, service or other benefits provided by Federal or State funding, or otherwise be subjected to discrimination. b. Local Government agrees to comply with Title VI of the Civil Rights Act of 1964, and its implementing regulations at 45 C.F.R. Part 80 or 7 C.F.R. Part 15, prohibiting a contractor from adopting and implementing policies and procedures that exclude or have the effect of excluding or limiting the participation of clients in its programs, benefits, or activities on the basis of national origin. State and federal civil rights laws require contractors to provide alternative methods for ensuring access to services for applicants and recipients who cannot express themselves fluently in English. Local Government agrees to take reasonable steps to provide services and information, both orally and in writing, in appropriate languages other than English, in order to ensure that persons with limited English proficiency are effectively informed and can have meaningful access to programs, benefits, and activities. Page 16 of 17 c. Local Government agrees to post applicable civil rights posters in areas open to the public informing clients of their civil rights and including contact information for the HHS Civil Rights Office. The posters are available on the HHS website at: http://www.hhsc.state.tx.us/about hhsc/civil-rights/brochures-posters.shtml d. Local Government agrees to comply with Executive Order 13279, and its implementing regulations at 45 C.F.R. Part 87 or 7 C.F.R.Part 16.These provide in part that any organization that participates in programs funded by direct financial assistance from the United States Department of Agriculture or the United States Department of Health and Human Services shall not discriminate against a program beneficiary or prospective program beneficiary on the basis of religion or religious belief. e. Upon request, Local Government will provide HHSC Civil Rights Office with copies of all of the Local Government's civil rights policies and procedures. f. Local Government must notify HHSC's Civil Rights Office of any civil rights complaints received relating to its performance under this Contract.This notice must be delivered no more than ten (10) calendar days after receipt of a complaint. Notice provided pursuant to this section must be directed to: HHSC Civil Rights Office 701 W. 51st Street, Mail Code W206 Austin, Texas 78751 Phone Toll Free: (888) 388-6332 Phone: (512) 438-4313 TTY Toll Free: (877) 432-7232 Fax: (512)438-5885 REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK Page 17 of 17 Attachment E Non-Exclusive List of Applicable Federal Laws ATTACHMENT E—NON-EXCLUSIVE LIST OF APPLICABLE FEDERAL LAWS • 2 CFR Part 200 as codified by 45 CFR Part 75 -- Requirements, Cost Principles, and Audit Requirements for HHS Awards • 42 CFR Part 2 -- Confidentiality of Alcohol and Drug Abuse Client Records • 42 CFR Part 413 -- Principles of Reasonable Cost Reimbursement • 42 CFR 433.32 -- Fiscal Policies and Accountability • 22 U.S.C. 7104, §106(g) -- Trafficking Victims Protection Act of 2000 • Protecting Access to Medicare Act of 2014 Section 223(c)(1) -- https://www.congress.gov/113/plaws/pub193/PLAW-113pub193.pdf ATTACHMENT E—NON-EXCLUSIVE LIST OF APPLICABLE FEDERAL LAWS • 2 CFR Part 200 as codified by 45 CFR Part 75 --Requirements, Cost Principles, and Audit Requirements for HHS Awards • 42 CFR Part 2 -- Confidentiality of Alcohol and Drug Abuse Client Records • 42 CFR Part 413 -- Principles of Reasonable Cost Reimbursement • 42 CFR 433.32 -- Fiscal Policies and Accountability • 22 U.S.C. 7104, §106(g) -- Trafficking Victims Protection Act of 2000 • Protecting Access to Medicare Act of 2014 Section 223(c)(1) -- https://vvww.congress.gov/113/plaws/pub193/PLAW-113pub193.pdf Attachment F Assurances - Non-Construction Programs ASSURANCES - NON-CONSTRUCTION PROGRAMS Note: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant I certify that the applicant: 1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability(including funds sufficient to pay the non-Federal share of project costs) to ensure proper planning, management and completion of the project described in this application. 2. Will give the awarding agency,the Comptroller General of the United States, and if appropriate, the State, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the award; and will establish a proper accounting system in accordance with generally accepted accounting standard or agency directives. 3. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 4. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 5. Will comply with the Intergovernmental Personnel Act of 1970(42 U.S.C. §§4728-4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standard for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 6. Will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a)Title VI of the Civil Rights Act of 1964 (P.L. 88-352)which prohibits discrimination on the basis of race, color or national origin; (b)Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§1681-1683, and 1685- 1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. §§794), which prohibits discrimination on the basis of handicaps; (d)the Age Discrimination Act of 1975, as amended (42 U.S.C. §§6101-6107), which prohibits discrimination on the basis of age; (e)the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f)the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) §§523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h)Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as amended, relating to non-discrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and (j)the requirements of any other nondiscrimination statute(s)which may apply to the application. 7. Will comply, or has already complied, with the requirements of Title II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal or federally assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. 8. Will comply with the provisions of the Hatch Act(5 U.S.C. §§1501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. 9. Will comply, as applicable, with the provisions of the Davis-Bacon Act(40 U.S.C. §§276a to 276a-7), the Copeland Act(40 U.S.C. §276c and 18 U.S.C. §874), and the Contract Work Hours and Safety Standards Act(40 U.S.C. §§327- 333), regarding labor standards for federally assisted construction subagreements. 10. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234)which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is$10,000 or more. 11. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order(EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetland pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Costal Zone Management Act of 1972 (16 U.S.C. §§1451 et seq.); (f) conformity of Federal actions to State (Clear Air) Implementation Plans under Section 176(c) of the Clear Air Act of 1955, as amended (42 U.S.C. §§7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-523); and (h) protection of endangered species under the Endangered Species Act of 1973, as amended, (P.L. 93-205). 12. Will comply with the Wild and Scenic Rivers Act of 1968(16 U.S.C. §§1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. §470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. §§469a-1 et seq.). 14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related activities supported by this award of assistance. 15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. §§2131 et seq.) pertaining to the care, handling, and treatment of warm blooded animals held for research, teaching, or other activities supported by this award of assistance. 16. Will comply with the Lead-Based Paint Poisoning Prevention Act(42 U.S.C. §§4801 et seq.)which prohibits the use of lead based paint in construction or rehabilitation of residence structures. 17. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984. 18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and policies governing this program. Attachment G List of Certifications LIST of CERTIFICATIONS 1. CERTIFICATION REGARDING LOBBYING Title 31, United States Code, Section 1352, entitled "Limitation on use of appropriated funds to influence certain Federal contracting and financial transactions," generally prohibits recipients of Federal grants and cooperative agreements from using Federal (appropriated) funds for lobbying the Executive or Legislative Branches of the Federal Government in connection with a SPECIFIC grant or cooperative agreement. Section 1352 also requires that each person who requests or receives a Federal grant or cooperative agreement must disclose lobbying undertaken with non-Federal (non- appropriated) funds. These requirements apply to grants and cooperative agreements EXCEEDING $100,000 in total costs (45 CFR Part 93). By signing and submitting this application, the applicant is providing certification set out in Appendix A to 45 CFR Part 93. 2. CERTIFICATION REGARDING PROGRAM FRAUD CIVIL REMEDIES ACT(PFCRA) The undersigned(authorized official signing for the applicant organization) certifies that the statements herein are true, complete, and accurate to the best of his or her knowledge, and that he or she is aware that any false, fictitious, or fraudulent statements or claims may subject him or her to criminal, civil,or administrative penalties. The undersigned agrees that the applicant organization will comply with the Department of Health and Human Services terms and conditions of award if a grant is awarded as a result of this application. 3. CERTIFICATION REGARDING ENVIRONMENTAL TOBACCO SMOKE Public Law 103-227, also known as the Pro-Children Act of 1994 (Act), requires that smoking not be permitted in any portion of any indoor facility owned or leased or contracted for by an entity and used routinely or regularly for the provision of health, day care, early childhood development services, education or library services to children under the age of 18, if the services are funded by Federal programs either directly or through State or local governments, by Federal grant, contract, loan, or loan guarantee. The law also applies to children's services that are provided in indoor facilities that are constructed, operated, or maintained with such Federal funds. The law does not apply to children's services provided in private residence, portions of facilities used for inpatient drug or alcohol treatment, service providers whose sole source of applicable Federal funds is Medicare or Medicaid, or facilities where WIC coupons are redeemed. Failure to comply with the provisions of the law may result in the imposition of a civil monetary penalty of up to $1,000 for each violation and/or the imposition of an administrative compliance order on the responsible entity. The authorized official signing for the applicant organization certifies that the applicant organization will comply with the requirements of the Act and will not allow smoking within any portion of any indoor facility used for the provision of services for children as defined by the Act. The applicant organization agrees that it will require that the language of this certification be included in any sub-awards which contain provisions for children's services and that all sub-recipients shall certify accordingly. The Department of Health and Human Services strongly encourages all grant recipients to provide a smoke-free workplace and promote the non-use of tobacco products. This is consistent with the DHHS mission to protect and advance the physical and mental health of the American people.