HomeMy WebLinkAboutPR 14911: CONTRACT WITH THE DEPARTMENT OF STATE HEALTH SERVICES, IMMUNIZATION BRANCH-LOCALSMemorandum
City of Port Arthur, Texas
Health Department
TO: Stephen Fitzgibbons, City Manager
FROM: Yoshi D. Alexander, MBA-HCM, Health Director
DATE: September 3, 2008
SUBJECT: Proposed Resolution No. 14911
Contract Approval between the City of Port Arthur and the
Department of State Health Services Immunization Branch
RECOMMENDATION
It is recommended that the City Council approve P.R. No. 14911, to approve the FCC' 2009
contract between the City of Port Arthur and the Department of State Health Services,
Immunization Branch-Locals.
BACKGROUND
This contract approval will allow the Healtlr Department to continue its immunization
program for children, adolescents and adults to eliminate barriers, expand immunization
delivery, and establish uniform policies. The award is the same as FY 2009.
BUDGETARY AND FISCAL EFFECT
The total grant award is $162,630 for personnel, fringe benefits, supplies and travel.
STAFFING EFFECT
The grant funds 4 full-time employees.
CTIMMARV
The Health Department recommends the City Council's approval of P.R. No. 14911 to
approve the FY 2009 contract between the City of Port Arthur and the Department of
State Health Services, Immunization Branch-Locals, to continue the immunization
program for children, adolescents, and adults.
P. R. NO. 14911
9/3/08-yda
RESOLUTION NO.
A RESOLUTION APPROVING THE FY 2008-09
CONTRACT BETWEEN THE CITY OF PORT ARTHUR
AND THE DEPARTMENT OF STATE HEALTH
SERVICES, IMMUNIZATION BRANCH-LOCALS
WHEREAS, the contract between the City of Port Arthur and the Department of
State Health Services provides financial assistance to the Port Arthur City Health
Department to supplement the delivery of public health services; and,
WHEREAS, this contract renewal will allow the City's Health Department to
continue an immunization program for children, adolescents, and adults to eliminate
barriers, expand immunization delivery, and establish uniform policies.
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 Department of State Health
Services;
Section 3. That, the City Council deems it is in the best interest of the (:ity to
approve and authorize the City Manager and the Director of the City's Health
Department to execute the contract between the Department of State Health Services and
P. R. NO. 14911
Page 2 - 9/3/08
the City of Port Arthur, TX to continue the immunization 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 September
2008 A.D., at a Regular Meeting of the City Council of the City of Port Arthur, Tea:as by
the following Vote:
AYES: Mayor:
Council members:
NOES:
Mayor
ATTEST:
Terri Hanks, Acting City Secretary
APPROVED AS TO FORM:
(oN ~~,L~ DF)
P. R. NO. 14911
Page 3 - 9/3/08
APPROVED FOR ADMINISTRATION:
` (~. CC~
oshi D. Alexander, MBA-HCM
Director of Health Services
Stephen Fitzgibbons, City Manager
EXHIBIT "A"
DEPARTMENT OF STA'CE HEALTH SERVICES
This contract, number 2009-029159 (Contract), is entered into by and between the Department
of State Health Services (DSHS or the Departme:nt), an agency of the State of Texas, and CITY
OF PORT ARTHUR (Contractor), a Government Entity, (collectively, the Parties).
1. Purpose of the Contract. DSHS agrees to purchase, and Contractor agrees to provide,
services or goods to the eligible populations as de;scribed in the Program Attachments.
2. Total Amount of the Contract and Payment Method(s). The total amount of this Contract
is $162,630.00, and the payment method(s) shall be as specified in the Program Attachments.
3. Funding Obligation. This Contract is contingent upon the continued availability o:f funding.
If funds become unavailable through lack of appropriations, budget cuts, transfer of funds
between programs or health and human services agencies, amendment to the Appropriations A<;t,
health and human services agency consolidation, or any other disruptions of current appropriatE;d
funding for this Contract, DSHS may restrict, reduce, or terminate funding under this Contract.
4. Term of the Contract. This Contract begins on 09/01/2008 and ends on 08/31/2009. DSHS
has the option, in its sole discretion, to renew the Contract as provided in each Program
Attachment. DSHS is not responsible for paymE;nt under this Contract before both parties have
signed the Contract or before the start date of the Contract, whichever is later.
5. Authority. DSHS enters into this Contract sunder the authority of Health and Safety Code,
Chapter 1001.
6. Documents Forming Contract. The Contract consists of the following:
a. Core Contract (this document)
b. Program Attachments:
2009-029159-001 IMMUNIZATION BRANCH -LOCALS
c. General Provisions (Sub-recipient)
d. Solicitation Document(s), and
e. Contractor's response(s) to the Solicitation Document(s).
f. Exhibits
Any changes made to the Contract, whether by edit or attachment, do not form part of the
Contract unless expressly agreed to in writing by DSHS and Contractor and incorporated herein.
92648-1
7. Conflicting Terms. In the event of conflicting terms among the documents forming this
Contract, the order of control is first the Core Contract, then the Program Attachment(s), then the
General Provisions, then the Solicitation Docume-nt, if any, and then Contractor's response to the
Solicitation Document, if any.
8. Pa ee. The Parties agree that the following payee is entitled to receive payment for services
rendered by Contractor or goods received under this Contract:
Name: PORT ARTHUR CITY HEAL7CH DEPT
Address: 603 5TH ST
PORT ARTHUR, TX 77640-6540
Vendor Identification Number: 17460018850011
9. Entire Agreement. The Parties acknowledge that this Contract is the entire agreement of
the Parties and that there are no agreements or understandings, written or oral, between them
with respect to the subject matter of this Contract,. other than as set forth in this Contract.
92648-1
By signing below, the Parties acknowledge that: they have read the Contract and agree to iits
terms, and that the persons whose signatures appear below have the requisite authority to execute
this Contract on behalf of the named party.
DEPARTMENT OF STATE HEALTH SERVICES
C1:TY OF PORT ARTHUR
By:
Signature of Authorized Official
Date
Bob Burnette, C.P.M., CTPM
Director, Client Services Contracting Unit
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756
(512) 458-7470
Bob.Burnette@dshs. state.tx.us
B;y:--
Si.gnature
Date
Stephen Fitzgibbons, City Manager
Printed Name and Title
P.O. Box 1089
Address
Port Arthur, TX 77641
Ciity, State, Zip
409 983-8101
Tf;lephone Number
E-:mail Address for Official Correspondence
92648-1
Fiscal Year 2009 Department of State Health Services Contract
General Provisions
(Core/lSubrecipient)
TABLE OF CONTENTS
ARTICLE I COMPLIANCE AND REPCIRTING ......................................................................1
Section 1.01 Compliance with Statutes and Rules ...................................................................1
Section 1.02 Compliance with Requirements of Solicitation Document ...............................1
Section 1.03 Reporting ...........................,....................................................................................1
Section 1.04 Client Eligibility ................,....................................................................................1
Section 1.05 Applicable Contracts Law and Venue for Disputes ...........................................1
Section 1.06 Applicable Laws and Regulations Regarding Funding Source.- ......................1
Section 1.07 Statutes and Standards of General Applicability ...............................................2
Section 1.08 Applicability of General Provisions to Interagency and Interlc-cal Conntracts..
...................................................................................................................................4
Section 1.09 Civil Rights Policies and C'omplaints ....................................................................5
ARTICLE II SERVICES
...................................................................................................................5
Section 2.01 Education to Persons in Residential Facilities ..
5
Section 2.02 ...............................,,..,,,,,,,,,,,,,,,,,
Disaster Services
Section 2.03 ......................................................................................................5
Consent to Medical Care o~f a Minor
Section 2.04 ........................................................,... .5
.......
Telemedicine Medical Services
Section 2.05 .............................................................................6
Fees for Personal Health Services
Section 2.06 .......................................................................6
Cost Effective Purchasing of Medications
Section 2.07 ..........................................................6
Services and Information for Persons with Limited English Proficien~ey.......6
ARTICLE III FUNDING ..........
.....................,...................................................................................7
Section 3.01 Debt to State and Corporate Status .........................:..........................................7
Section 3.02 Application of Payment Due ................................................................................7
Section 3.03 Use of Funds ..........................................................................................................7
Section 3.04 Use for Match Prohibited .....................................................................................7
Section 3.05 Program Income ...................................................................................................7
...
Section 3.06 Nonsupplanting .......................................................... .............8
ARTICLE IV PAYMENT METHODS ANI) RESTRICTIONS .........
8
...........................................
Section 4.01 Payment Methods .........................................................
.
8
Section 4.02 .........................
.................
Billing Submission .......................................................
8
Section 4
03 ............................................
Final Billin
Sub
i
i
. g
m
ss
on .........................................................................................8
Section 4.04 Working Capital Advance ......................................................
8
Section 4
05 ................................
Financial Status R
t
FSR
.
Section 4.06 epor
s (
s) ...................................................... , .........9
............
Third Party Payors
.................................................................................................9
ARTICLE V TERMS AND CONDITIONS' OF PAYMENT ...........
9
.............................................
Section 5.01 Prompt Payment ................,.......................................
9
Section 5.02 ............................................
Withholding Payments
Section 5.03 ......,, ..................................................................................9
Condition Precedent to Requesting Payment
10
...................................................
General Provisions (Core Subrecipient2009) Table of Contents 6/5/08 Page 1 of 4
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Section 12.03 Insurance .............................................................................................................20
Section 12.04 Fidelity Bond ..................................................................................
.
20
.
...................
Section 12.05 Liability Coverage ...............................................................................
20
................
Section 12.06 Overtime Compensation ..................................................................
20
...................
Section 12.07 Program Site .......................................................................................
20
.................
Section 12.08 Cost Allocation Plan ................................................................
20
...........................
Section 12.09 Reporting for Unit Rate anal Fee For Service Contracts .................................21
Section 12.10 Historically Underutilized :Businesses (HUBs) .................................................21
Section 12.11 Buy Texas .............................................................................................................21
Section 12.12 Contracts with Subrecipient Subcontractors ...................................................21
Section 12.13 Status of Subcontractors ....................................................................................22
Section 12.14 Incorporation of Terms ......................................................................................22
Section 12.15 Independent Contractor .....................................................................................22
Section 12.16 Authority to Bind ................................................................................................22
Section 12.17 Tax Liability ........................................................................................................22
Section 12.18 Notice of Organizational Change ......................................................................23
Section 12.19 Quality Management ..........................................................................................23
Section 12.20 Equipment (Including Controlled Assets) Purchases ......................................23
Section 12.21 Supplies ................................................................................................................23
Section 12.22 Changes to Equipment Lisit ................................................................................23
Section 12.23 Property Inventory and Protection of Assets ...................................................23
Section 12.24 Bankruptcy ..........................................................................................................24
Section 12.25 Title to Property ..................................................................................................24
Section 12.26 Property Acquisitions .........................................................................................24
Section 12.27 Disposition of Property .......................................................................................24
Section 12.28 Closeout of Equipment .....................................................................................:.24
Section 12.29 Assets as Collateral Prohibited ..........................................................................24
ARTICLE XIII GENERAL TERMS ............................................................................................25
Section 13.01 Assignment ...........................................................................................................25
Section 13.02 Lobbying ..............................................................................................................25
Section 13.03 Conflict of Interest ..............................................................................................25
Section 13.04 Transactions Between Related Parties ..............................................................25
Section 13.05 Intellectual Property ...........................................................................................26
Section 13.06 Other Intangible Property .................................................................................27
Section 13.07 Severability and Ambiguitr ...............................................................................27
Section 13.08 Legal Notice .........................................................................................................27
Section 13.09 Successors ............................................................................................................27
Section 13.10 Headings ...............................................................................................................27
Section 13.11 Parties ...................................................................................................................27
Section 13.12 Survivability of Terms ........................................................................................27
Section 13.13 Direct Operation .................................................................................................27
Section 13.14 Customer Service Informa~tion ..........................................................................28
Section 13.15 Amendment .........................................................................................................28
Section 13.16 Contractor's Notification of Change to Certain Contract Proviisions. ..........28
Section 13.17 Contractor's Request for ]R:evision of Certain Contract Provisi~ons ..............28
Section 13.18 Immunity Not Waived ........................................................................................29
General Provisions (Core Subrecipient 2009) Table of Contents 6/5108 Page 3 of 4
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Fiscal Year 2009 Department of State Health Services Contract
General Provisions
(Core/Subrecipient)
ARTICLE I COMPLIANCE AND REPORTING
Section 1.01 Compliance with Statutes and Rules. Contractor shall comply, and shall require its
subcontractor(s) to comply, with the requirements of the Department's rules of general applicability
and other applicable state and federal statutes, regulations and rules as such statutes, regulations and
rules currently exist and as they may be lawfully amended. The Department rules are located :in the
Texas Administrative Code, Title 25 (Rules). To the extent this Contract imposes a higher standard,
or additional requirements beyond those required by applicable statutes, regulations oi• the Rules, the
terms of this C'~ntract shall control.
Section 1.02 Compliance with Requirements of Solicitation Document. Except a.s specified in
these General Provisions or the Program Attachment(s), Contractor shall comply with the
requirements, eligibility conditions, assurances, certifications and program requirements of the
Solicitation Document, if any, (including any revised or additional terms agreed to in writing lby
Contractor and DSHS prior to execution of this (:ontract) for the duration of this Contaract or any
subsequent renewals. The Parties agree that the ]Department has relied upon the Contractor's
response to the Solicitation Document. The Parties agree that any misrepresentation a~ntained in the
Contractor's response to the Solicitation Document shall constitute a breach of this Contract.
Section 1.03 Reporting. Contractor shall subunit reports in accordance with the reporting
requirements established by the Department and shall provide any other information re;quested by the
Department in the format required by DSHS. Failure to submit a required report or additional
requested information by the due date specified i:n the Program Attachment(s) or upon request
constitutes a breach of contract, may result in delayed payment and/or the imposition c-f sanctions and
remedies, and, if appropriate, emergency action; and may adversely affect evaluation c-f Contractor's
future contracting opportunities with the Department.
Section 1.04 Client Eligibility. Where applicable, Contractor shall use financial eligibility criteria,
financial assessment procedures and standards developed by the Department to determine client
eligibility.
Section 1.05 Applicable Contracts Law and ~~enue for Disputes. Regarding all issues related to
contract formation, performance, interpretation, and any issues that may arise in any dispute between
the Parties, this Contract shall be governed by, ar.-d construed in accordance with, the laws of the
State of Texas. In the event of a dispute between the Parties, venue for any suit shall bye Travis
County, Texas.
Section 1.06 Applicable Laws and Regulations Regarding Funding Sources. Where applicable,
federal statutes and regulations, including federal grant requirements applicable to funding sources,
shall apply to this Contract. Contractor agrees to comply with applicable laws, executive orders,
regulations and policies as well as Office of Management and Budget (OMB) Circulars, the Uniform
Grant and Contract Management Act of 1981 (U(JMA), Tex. Gov. Code Chapter 783, as amended,
and Uniform Grant Management Standards (UGMS), as amended, by revised federal circulars and
incorporated in UGMS by the Governor's Budget, Planning and Policy Division. UGI`/IA is lc-cated
on the Internet at http://tlo2.tlc.state.tx.us/statutes/statutes.html; the UGMS are located on the
General Provisions (Core Subrecipient 2009) 6/5/'08 Page 1 oiF38
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k) Texas Workers' Compensation Act, Tex. Lab. Code, Chapters 401-406 and 28 Tex. Admin.
Code Part 2, regarding compensation for employees' injuries;
1) The Clinical Laboratory Improvement Amendments of 1988, 42 USC § 263a, regarding the
regulation and certification of clinical laboratories;
m) The Occupational Safety and IIealth Administration Regulations on Blood Borne Pathogens,
29 CFR § 1910.1030, or Title 25 Tex. Admin. Code Chapter 96 regarding safety standiards for
handling blood borne pathogens;
n) Laboratory Animal Welfare Act of 1966, 7 USC §§ 2131 et seq., pertaining to the treatment
of laboratory animals;
o) environmental standards pursuant to the iPollowing: 1) Institution of environmental quality
control measures under the National Environmental Policy Act of 1969, 42 USC §§ 4321-
4347 and Executive Order 11514 (35 Fecl. Reg. 4247), "Protection and Enhancement of
Environmental Quality;" 2) Notification of violating facilities pursuant to Executive Order
11738 (40 CFR Part 32), "Providing for Administration of the Clean Air Act and the Federal
Water Pollution Control Act with respect to Federal Contracts, Grants, or Loans;" 3)
Protection of wetlands pursuant to Executive Order 11990, 42 Fed. Reg. 26961.; 4) Evaluation
of flood hazards in floodplains in accord~mce with Executive Order 11988, 42 :Fed. Reg.
26951 and, if applicable, flood insurance purchase requirements of Section 102(a) of tlhe
Flood Disaster Protection Act of 1973 (P:L 93-234); 5) Assurance of project consistency with
the approved State Management program developed under the Coastal Zone Managemient Act
of 1972, 16 USC §§ 1451 et seq.; 6) Federal Water Pollution Control Act, 33 L1SC § 1251 et
seq.; 7) Protection of underground sources of drinking water under the Safe Drinking Water
Act of 1974, 42 USC §§ 300f-300j; 8) Protection of endangered species under the Endangered
Species Act of 1973, 16 USC §§ 1531 et seq.; 9) Conformity of federal actions to state clean
air implementation plans under the Clean Air Act of 1955, 42 USC §7401 et se:q.; 10) 'Wild
and Scenic Rivers Act of 1968 (16 USC §§ 1271 et seq.) related to protecting certain rivers
system; and 11) Lead-Based Paint Poisondng Prevention Act (42 USC §§ 4801 et seq.)
prohibiting the use of lead-based paint in residential construction or rehabilitation;
p) Intergovernmental Personnel Act of 1970 (42 USC §§4278-4763) regarding personnel merit
systems for programs specified in Appendix A of the federal Office of Prograni
Management's Standards for a Merit Sysl:em of Personnel Administration (5 C:FR Part 900,
Subpart F);
q) Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies
Act of 1970 (PL 91-646), relating to fair treatment of persons displaced or whose property is
acquired as a result of Federal or federally-assisted programs;
r) Davis-Bacon Act (40 USC §§ 276a to 27fia-7), the Copeland Act (40 U.S.C. § 276c and 18
USC § 874), and the Contract Work Hours and Safety Standards Act (40 USC §§ 327-333),
regarding labor standards for federally-assisted construction subagreements;
s) National Historic Preservation Act of 1966, §106 (16 USC § 470), Executive Order 11593,
and the Archaeological and Historic Preservation Act of 1974 (16 USC §§ 469a-1 et seq.)
regarding historic property to the extent necessary to assist DSHS in complying; with the Acts;
t) financial and compliance audits in accordance with Single Audit Act Amendments of 11996
and OMB Circular No. A-133, "Audits of~ States, Local Governments, and Non-Profit
Organizations;" and
General Provisions (Core Subrecipient 2009) 6/5/08 Page 3 o:F38
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Department, whether that date is prior to or after the date of any ratification by Contractor's
governing board.
Section 1.09 Civil Rights Policies and Complaints. Upon request, Contactor shall provide the
Health and Human Services Commission (HHSC) Civil Rights Office with copies of all Contractor's
civil rights policies and procedures. Contractor must notify HHSC's Office of Civil R:ig~ts oFany
civil rights complaints received relating to performance under this Contract no more than ten (10)
calendar days after Contractor's receipt of the claim. Notice must be directed to -
HHSC Civil Rights Office
701 W. 51 st St., Mail Code W206
Austin, Texas 78751
Toll-free phone (888) 388-6332
Phone (512) 438-4313
TTY Toll-free (877) 432-7232
Fax (512) 438-5885
ARTICLE II SERVICES
Section 2.01 Education to Persons in Residential Facilities. If applicable, Contras;tor shalll ensure
that all persons, who aze housed in Department licensed and/or funded residential facilities and who
are twenty-two (22) years of age or younger, have access to educational services as required b~y Tex.
Educ. Code § 29.012. Contractor shall notify the; local education agency or local early intervention
program as prescribed by Tex. Educ. Code § 29.012 not later than the third calendar day after the date
a person who is twenty-two (22) years of age or ;younger is placed in Contractor's residential facility.
Section 2.02 Disaster Services.
In the event of a local, state, or federal emergency, including natural, man-made, criminal, ten~or7st,
and/or bioterrorism events, declared as a state di:>after by the Governor, or a federal disaster b;y the
appropriate federal official, Contractor may be celled upon to assist DSHS in providing services, as
appropriate, in the following azeas: community evacuation; health and medical assistance; assessment
of health and medical needs; health surveillance; medical care personnel; health and medical
equipment and supplies; patient evacuation; in-hospital caze and hospital facility status; food, drug,
and medical device safety; worker health and safety; mental health and substance abuse; public health
information; vector control and veterinary services; and victim identification and mortuary services.
Disaster services shall be carried out in the manner most responsive to the needs of the emergency, be
cost effective, and be least intrusive on the primary services of the Contractor.
Section 2.03 Consent to Medical Care of a Minor. If Contractor provides medical„ dental,
psychological or surgical treatment to a minor under this Contract, either directly or through contracts
with subcontractors, the treatment of a minor shall be provided only if informed consent to treatment
is obtained pursuant to Tex. Fam. Code, Chapter 32 relating to consent to treatment of a child by a
General Provisions (Core Subrecipient 2009) 6/5/08 Page 5 o~F38
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:s~uautastnbat ~utnnoiio3 atp apniaui }snuff uotstnoad aa-ntas
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~~ql ~uautdmba ~utztit;n pun .to~aattp i~atpaut s~.zo;a~.z;uo~ ati; ~Cq panotdd~ ioao;oid ~3utsn pL~
sampaaoid ua~ttnn u;inn aau~paoaaE ut pa~uautaidutt a~.re saatntas aq;;~q; ~uiga~Csdaia~/auiatpauzaia~
sass .tapino.td ¢ 31 iugl amsua ii~us .to~aE.~uo~ •saain.tas i~a~payv aacaipattlaiay },0•;~ uoi~aa~S
•nn~i a~~~s apastadns iiEus n~ej i~.tapa3 `Z£ .za~d~ti~ apo~ •u.re,~ •xaZ q~cnn lati~uo:a ~(i~aa.trp
luasuoa o~ ~ut~Eia.t nn~i intapa3 3o s~uautaimbat 3i •nn~ei a~r;~s .zati~o o~ ~uunsmd .zo pitga so ~ua.t~d-uo~u
any family member or friend of the client as an iinterpreter for essential communications with. a client
with limited English proficiency unless the client has requested that person and the use of such a
person would not compromise the effectiveness of services or violate the client's coni'identiaility and
the client is advised that a free interpreter is avaiilable.
ARTICLE IIl[ FUNDING
Section 3.01 Debt to State and Corporate Stratus. Pursuant to Tex. Gov. Code § 403.055, the
Department will not approve and the State Comptroller will not issue payment to Contractor iif
Contractor is indebted to the State for any reason, including a tax delinquency. Contractor, if a
corporation, certifies by execution of this Contract that it is current and will remain cuirrent in its
payment of franchise taxes to the State of Texas or that it is exempt from payment of franchise taxes
under Texas law (Tex. Tax Code §§ 171.001 et seq., as amended). Contractor, if a corporation,
further certifies that it is and will remain in good. standing with the Secretary of State's office. A
false statement regarding franchise tax or corporate status is a material breach of this Contract. If
franchise tax payments become delinquent during the Contract term, all or part of the :payments under
this Contract may be withheld until Contractor's delinquent franchise tax is paid in fu]!.1.
Section 3.02 Application of Payment Due. (:ontractor agrees that any payments due under this
Contract will be applied towards any debt of Contractor, including but not limited to delinquent taxes
and child support that is owed to the State of Tee:as.
Section 3.03 Use of Funds. Contractor agrees that it shall expend Department funds only for the
provision of approved services and for reasonable and allowable expenses directly related to those
services.
Section 3.04 Use for Match Prohibited. Contractor agrees funds provided through this Contract
shall not be used for matching purposes in securing other funding unless directed or approved by the
Department in writing.
Section 3.05 Program Income. Gross income directly generated from Department iFunds through a
project or activity performed under a Program Attachment and/or earned only as a result of a
Program Attachment during the term of the Program Attachment are considered program income.
Unless otherwise required under the terms of the grant funding this Contract, the addition alternative,
as provided in UGMS § _.25(g)(2), for the use of program income shall be used by Contractor to
further the program objectives of the state or fedE;ral statute under which the Program ,attachment
was made, and it shall be spent on the same Program Attachment project in which it was generated.
Contractor shall identify and report this income i:n accordance with the Compliance and Reporting
Article of these General Provisions and the provisions of the Program Attachment(s). Contras;tor
shall expend program income during the Program Attachment term and may not carry forward to the
succeeding term. Program income not expended :in the term in which it is earned shall be refunded to
DSHS. DSHS may base future funding levels, in part, upon Contractor's proficiency in identif=ying,
General Provisions (Core Subrecipient 2009) 6/5008 Page 7 o:f 38
8 £ ~° 8 a$Ed 80/S/'9 (6002 ;uaidiaazgns azo~) suo~sino.td i~zaua~
;itzn ;uauxa~~u>?y~ ;a~z;uo~ uotstntQ atl; o; uota~E;uaumaop ;iuzgns ;snuz zo;a~z;uo~ •~uot;azastp
s~;uautazEdaQ atj; lt? pa;u~z~ aq ~ivtu;uatugat?~d ut~z;~ozd ati;~o tuza; zad aauEnp>? i~id~a ;~utxzonn
aunt;-auo ai;~uts a `;aEZ;uo~ snp zapun pannoip?~I •aaugnPy [B;tdg~ ~unlzoM ~0•I, not;aaS
•uogaaS but;unoaad SHSQ atp o; p;nozddt? puE nnatnaz zoo pa~tutgns
aq ;snot ;uatuasmgtutaz zoo ;sanbaz ;sei atp pug aau~;suamazTa Sug~nua;xa atp ~utquasap ;uatua;~;s
ua~ttnn d •spzoaaz zo/pttiv ssautsnq ~o aa~id t? ~o not;aru;sap zo a~Etttup sasnea zo `soot;uzado ssautsriq
p;uzzou tpinn saza3za;ut ~iprt;u~;sgns ;etp ~;tni;a~ p;utuzua zo `za;sesip inmalt?u `;uana ap~~doz;s~t,a
~ `st Hans `aatt~suamazta but;unua;xa u~ zoo ~iuo pun `~utpttn~~o ~;iitgEit~n~ atj; o;;aafgns `stsr;q
asea-~Cq-as~a ~ uo apt?ua: aq iitnn not;daaxa tre zoo s:~sanbaz ~o uoq>ezapisuo~ •pi~d aq ;ou Ii?^~ tuna;
aiq~acidde atp~o pua atj; ~uinnoiio~ s~Cep z>?puai~a (i~9) ~;xis uutj; azotu saag~o s~SHSQ ur pantaaaz
s~sanbaz ;uatu~nd zo ;uauiasmquttag •uotssttusu~z; aiitutsau~ ~q s;sanbaz ;uauilC~d zo ;uatuasmgtutaz
;ttugns ~C~tu zo;a~z;uo~ `autip~ap sTtp ;aatu o; ,~ssaaau ~I •tuza; atp ~utznp pazapuaz saatnzas
pue pantaaaz spoof zo3 ;uatugat~~ urez;~ozd atp 3o uzza; atp ~o pua aq; ~uinnoiio~ s~np z>vpuait:a
(09) ~;xis untp za;~i ;ou iitq ;no-asoia ia2ug ~ s>? ;sanbaz ;uatu,~~d zo ;uatuasmgtuiaz ~ ;tu~gns ip;tis
zo;a~z;uo~ `;uatuyredaQ atp,Cq papTnozd astnnzatpo ssaiun •uoissimgnS ~uil[Ig [~IIt,~ £0•b not;aaS
•Ii?q atp,~q pazanoa tpuotu atg~o pua atp ~utnnoiio~ s~~p repual~a (0£) ~l~ uttp~,~n
,Citpuotu ;uauuC~d zo ;uaua:asmqua<taz zoo s;sanbaz ;tutgns Tinos zo;anz;uo~ `(s);uatutjat?~d ure.z~ozd aid
ut pagtaads astnnzau;o ssaiufl 'SHSQ ~q Pagizasazd;ntuzo~ pun tuzo~ atp ut (s)}uauaalat~~ ure.t~ozd
atp tpinn aaunpzoaan ut ;uaua~redaQ aq; Iiiq Iings sz:o;a~z;uo~ •uolssirugns ~ui[I!g ZO•~b not;aaS
•(s)aignzantiap zo/pun stuzo~ pazmbaz iin~:o
uotssttugns aign;daaan pun (s);uauniat~d tunz~ozd atp ut pa;mss sn `aatnzas ~o (s);ion pagtaads
~ zoo (s)aa~ zo (s)a;nz pagtaads ~ uo pasnq st potj;atu ~uatu~Cnd sttQ, •aatnzas zoo aa~/a~nz;tram (q
zo `.~uatuasmgtuiaz zoo;sanbaz ~~o uotsstuzgns aiq~;daaan put? (s)aluatutian~~d
uanz;~ozd aql ui ;a~pnq panozddae un uo pasnq st poga~auz ;uaut,ind stt11, •a!uautasznquttaz ;soa (~
:spotpauz ;~utnnoiio~ atg~o auo aq ip;tjs utnz~ozd tuna zoo potpatu;uatu~Cnd atp `(s);uauaaiat'~~~
tttnz~ozd atj; ~o suotstnozd atp ,Cq papinozd as~nn.tagao~ s~ ;daaxg •spoq;aye ;uaua<,fed I0•ib notlaaS
SI~iOI.L~I?I.LS~2I QI~i~ SQOH.L~IAI .LAI~I~II1L~'d AI ~'I~I.L2I~'
-a.aez;uo~ sttj; zapun ;~u~puag ~o ;dtaaaz pa;aadx:a
zo ~diaaaz ungat zaglo suosnaz zoo pa~~nsaz `,Con ~i `~utpurt~ i~aoi ut uoi;anpaz n ait?q; but;nt;un;sgns
notlnaiuatunaop ~ttugns o} pazmbaz aq ,Cnut zoatanz~.uo~ •altoddns 3o lanai luazma sa`t ~reluretu
of ~o33a tpiu~ poo`~ n aqua: Tinos zo;anz~uo~ •~;tnTla~~ zuinat;.red ~ zoo aigniinn8 ,Ci;uazzna spunk i~aoi
zo a;~;s but;stxa;uatuaiddns o;;anz;uo~ stti; tuoz~ sptam~ asn Tinos zatpnz;nq (~at:z;uo~ stti;~o;aafgns
at[~ azn ~nq1 sal;tntata~ aq~ sa.toddns osin }~tp saamos zati;o tuoz~ ~utpun~ ~utasixa a;nltisgns zo aanidaz
o; ~anz~uo~ stti; tuoz~ spttn3 asn `•a•t);ueiddns loo iintis zola~z;uo~ •~ul;uelddnsuou 90•~~ uot~aaS
'1anz~UO~ Situ ui ti~.IO~ ~aS
suot~tpuoa pun sasodznd aq~ zoo ~t ~utziit;n ut pun `am.oaut tunz~ozd ;~ut~.todaz pus `hut;aaiioa "~utiiiq
assigned to the Program Attachment to justify the need for a working capital advance. The working
capital advance must be liquidated as directed b:y the Department. The requirements i:or the
documentation justifying the need for an advance and the directions for liquidating the advance are
found in the Contractor's Financial Procedures Pvlanual located at
http://www.dshs. state.tx.us/contracts.
Section 4.05 Financial Status Reports (FSRs~). Except as otherwise provided in these General
Provisions or in the terms of the Program Attachment(s), for contracts with categorical budgets,
Contractor shall submit quarterly FSRs to Accounts Payable by the thirtieth calendar clay of the
month following the end of each quarter of the Program Attachment term for Department reviiew and
financial assessment. The final FSR must be submitted not later than sixty (60) days following the
end of the applicable term.
Section 4.06 Third Party Payors. A third party payor is any person or entity who leas the legal
responsibility for paying for all or part of the services provided, including commercial health nor
liability insurance carriers, Medicaid, or other federal, state, local, and private funding sources.
Except as provided in this Contract, Contractor shall screen all clients and shall not bi111 the
Department for services eligible for reimbursement from third party payors. Contractor shall: (a)
enroll as a provider in Children's Health Insurance Plan and Medicaid if providing approved services
authorized under this Contract that may be covered by those programs, and bill those plans fo:r the
covered services; (b) provide assistance to individuals to enroll in such programs when the screening
process indicates possible eligibility for such programs; (c) allow clients that are otherwise eligible
for Department services, but cannot pay a deductible required by a third party payor, to receive
services up to the amount of the deductible and to bill the Department for the deductible; (d) not bill
the Department for any services eligible for thirds party reimbursement until all appeal:> to thirci party
payors have been exhausted; (e) maintain appropriate documentation from the third party payor
reflecting attempts to obtain reimbursement; (f J bill all third party payors for services providedi under
this Contract before submitting any request for reimbursement to Department; and (g) provide third
party billing functions at no cost to the client.
ARTICLE V TERMS A.ND CONDITIONS OF PAYMENT'
Section 5.01 Prompt Payment. Upon receipt of a timely, undisputed invoice pursuant to this
Contract, Department will pay Contractor. Payrr.~ents and reimbursements are contingc;nt upon a
signed Contract and will not exceed the total amount of authorized funds under this Cc-ntract.
Contractor is entitled to payment or reimbursement only if the service, work, and/or product has been
authorized by the Department and performed or provided pursuant to this Contract. If those
conditions are met, Department will make payment in accordance with the Texas prorript paynnent
law (Tex. Gov. Code Chapter 2251). Contractor must comply with Tex. Gov. Code Chapter 2:?51
regarding its prompt payment obligations to subcontractors. Payment of invoices by the Department
shall not constitute acceptance or approval of Conntractor's performance, and all invoices and
Contractor's performance is subject to audit or review by the Department.
Section 5.02 Withholding Payments. Department may withhold all or part of any payments to
Contractor to offset reimbursement for any ineligible expenditures or overpayments that Contractor
General Provisions (Core Subrecipient 2009) 6/5108 Page 9 o:E38
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s;uauza.~m a~ s;uauza.Tm a~ sai Tauud
ant;E~siutuzp~ ;ipny ;sod aiq~aTidd~ ~;i;ug a~~q~aTidd[~
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•suoT;~~Tigo;uaua~fuda~ s~.TO;a~x;uo~ IIgid3 0; ~a~ssaaau s~unoTUe uT `pa.TTdxa .TO anT;a~ `la~.qua~
sTq;~o uua; ~iu~ .zapun aigsitT:nT; spunk uzo.r~;uauzf~da:c a~ ~T;uT SHSQ 'anp (s)a;gyp aT.g ~Cq pa~TUTgns
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(0£) ~u?~ uiTginn SHSQ o; spunk aTp u.m;a.T iiT:T~s .zo;aEx;uo~ pug `hut;unn uT .zoia~Auo~ ~~t;ou
iIi^~ SHSQ `s;soa aigt~tiauT zo aigennoiiuun .zoo ao;a~:quo o; spunk pfd s~Ti SHSQ 3I 'aiq~:s.TnquTTa~
puT; aigEnnoii~ a~ zo;an.T;uo~ ~Cq pa~iuigns s;soa a:aTgaT~nn auTUUa;ap Iluus SHSQ ';uauxasmgTZTTa.z
~uTUxreia o~ aoud pun ;aT:.T;uo~ sTTg ~zapun ;uauzasmquTTa.z .TO3 aigt~tia aq o; uzTa; aigT:aTidd~
aTi; uiTpTnn ;soa ~ pazmaut anT:Ti ;snuff io;a~.z;uo~ •s;soa aiq~nnoiiu zoo .zo~a~.T;uo~ asmquzTa.z Ii'~ SHSQ
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S.LI\I~L1i~If1a~2I ,LIQIl~ Ql~Id S.LSO~ ~~['I~'MO'I'I~' IA ~'I~I.L~'
•ure.T~o~d aauT:;sTSSn uE BuT;anpuoa
uT parmauT a.T~ ~~T{1 s;soa aignnnoi~ i~n~a~ ~o ssaaxa uT_ lunouT~ u~ aq o; pa.zapisuo:a sT ;goad
so aa~ d •~a~.quo~ aT.g o~ ~aadsa.T T.gtnn;go.Td ~ a~ru zo aa~ ~ aB.T~ga;ou iiET.is .TO~.a~.z;uo~ `saaTnaaS
TpiuaH i~uos.Tad .ro3 saa3 `SO•Z uoT;oaS uT paptno.Td sr. ~daaxg •;goad .~o aa3 ou SO' S uoT;aaS
•s;uaTia Tuo.z~ spoof .TO saaTn~as .ro3 ~uauT,C~d ao
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IITg ut ;uauT~Cud sE SHSQ u.TOa~ ;uau,T~Ed .TO ;uau~as~nquz~aa }daaae IiEus .TO~a~.t;uo~ •uot;aas saaTn.TaS
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•;uauza.T~daQ uao.z~ s;uauT~CEd aaunnp~ ~Cu~ ~uTpniaut s;uau.Tri~d T{sna but;sanb~a.T aio~aq
spun3 T{ans uo paurea }sa.Ta~ui pue `sat.Tanoaa.z ~~pn~~ `s;uauzai~~as ~aE.T}uoa `sputT~a.T `sa;~qa.c `auzoauT
utT:i~o.Td as.mgstp ip;gs .zo~a~.T;uo~ •;uau~~fed dui;sanbag o;;uapaaa.~d not;~puo~ £0•S notlaaS
•suogn~tigo luauz~C~daz s~.TO;a~z;uo~ Ilgin~ o; ~C.nessaaau s~unouzT: uT `pa.Ttdxa so anT~a~ `~ae.T;uo~
s~Ti~ .Tapun aiq~itT:n~ spunk uzo.z3;uauT~C~da.T ax~~ ~iuuT ~uauzuEdaQ •anp (s)a~$p aTi} ~q pa~tu.Tgns
you a.TE ~uauza.TedaQ aT~; ~Cq pa~mbaz (s)}.TOdai sn~T;~s inTausug3i .TO `;uauzyredaQ o; papun~a.T;ou s~.~Ti
Non-Profit
Organizations OMB Circular
A-122 OMB Circular
A-133 and UGMS UGMS; OMB
Circular A-110 ,and
applicable Federal
awarding agency
common rule
For-profit 48 CFR Part 31, 1?rogram audit UGMS and applicable
Organization other Contract Cost c:onducted by an Federal awarding
than a hospital and an Principles independent agency commons rule
organization named in Procedures, or c:ertified public
OMB Circular A-122 uniform cost accountant in
as not subject to that accounting accordance with
circular. standards that Governmental
comply with cost Auditing
principles Standards.
acceptable to the
federal or state
awarding agency
A chart of applicable common rules is located on the Internet at
http://www.whitehouse.gov/omb/grants/chart htrnl. OMB Circulars will be applied wiith the
modifications prescribed by UGMS with effect given to whichever provision imposes the more
stringent requirement in the event of a conflict.
Section 6.02 Independent Single orProgram-Specific Audit. If Contractor within. Contractor's
fiscal year expends a total amount of at least $500,000 in state funds awarded or at least $500,000 in
federal funds awarded, Contractor must have a single audit or program-specific audit i:n accordance
with the Office of Management and Budget (OMB) Circ. No. A-133, the Single Audit Act of :1984, P
L 98-502, 98 Stat. 2327, and the Single Audit Act Amendments of 1996, P L 104-156, 110 Stat.
1396. The $500,000 federal threshold amount includes federal funds passed through by way of state
agency awards. The HHSC Office of Inspector General. (OIG) will notify the Contractor to complete
the Single Audit Determination Registration Forrn. If Contractor fails to complete the Single ,Audit
Determination Form within thirty (30) days after notification by OIG to do so, Contractor shall be
subject to DSHS sanctions and remedies for non-compliance with this Contract. The audit shall be
conducted by an independent certified public accountant and in accordance with applicable OMB
Circulars, Government Auditing Standards, and iJniform Grant Management Standards (UGM[S)
located on the Internet at
httn://www.eovernor.state.tx.us/divisions/state rants/guidelines/files/UGMS062004 doc. Contractor
shall procure audit services in compliance with tYiis section, state procurement procedures, as well as
with the provisions of UGMS. Contractor, unles:> Contractor is a governmental entity, shall
competitively re-procure independent single audit services every five (5) years and shall not u:>e the
same lead or coordinating audit partner (having primary responsibility for the audit) to conduct the
independent audit for more than five (5) consecutive years. Procurement of audit services must
comply with the procurement standards of 45 CFR Part 74 or 92, as applicable, including obtaiining
General Provisions (Core Subrecipient 2009) 6/5/08 Page 11 of~38
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`nn~I ~aq;o ~Cq pa;ign{o.td su ;daaxg •uoi;gm.to,Iul ~at~t;uapl-;uag~ ~o a~uggax~ £0'L not;oaS
•snnui ~ounud puu ~~tlui;uapgttoa iu~apa~ puu a;~;s aiquatiddu .tap~m
pa~tuuad sasodmd .zoo puu `uzu.t~o~d ;uu.t~ aq; ~o not;ugstututpu puu ;uaut~iud `~utpun~ .toy `sa;uiaz
IHd atp uzognn o; iunpiniput ay; ~o ;uasuoa acp ;noq;rnn `;auRuo~ s~ .tapun not;utzuo~ttt iut~uapgttoa
,zaq;o puu IHd antaaat pug ;aaiioa `;sanbai o; ;uauz~.tudaQ nnoi~ o; ;uaux~.tudaQ q;tnn .a;utadooa
Bugs .to;oE~uo~ •uoi;~ai.~o;ul Ist;uapgao~ .~aq;p puB ~d o; ssaaa~;aaTU~gdaQ ZO'L not;aaS
•saing aiquaiiddu iIu
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puu ~liitqu~.tod aauumsuI ~IuaH) ti9t P~ 09i std 2I3~ Sty ~Z ~d 2Id~ Zb `•9tiZ ~d 2I,~:~
L o; pa;tutu ;ou ;nq ~utpniaut `saing puu snnul a;~;s pttu iu~apa~ aiquatiddu q~inn aau~paoaau gut `SHSQ
~q pantas ;uatia ~iuu sat~i~uapt so not;uuuo~ttt iuuosa:ad Iui;uapt3ttoa sasolasip ;uq; not;uuuo~ut .taq~o
~~ P~ `(IHd) uoquuuo~ut tpluaq pa}aa;o.td utu;uoa 1urp sp.zoaa.t;uatia puu;oat;ud 8utpnlaut `~au.z;uo~
snp ~o aauuuuo~.tad aq; o; pa;uia~ .to ~uunp pantaaat sp.zoaaa puu not;uuuo~tzi ~o ~;tlul~uapguoa
puu ~aunud att~ utu~utuut;snot .to;aut;uo~ •~gei;uapguo~;o aau~ua;ui$y~ i0•L not;aaS
A.LI'I~I,LI~I~QI~I~iO~ IIA ~'I~I,L2i~
•~aut~uo~ stq; u}tnn aauutidutoa-uou .IO~.
satpauta~ puu soot;au~s SHSQ o;;oafgns ag hugs ~o;au.~uo~ `uoda.t itpnu uu ~o ~o;au.~uo~ ~Cq;dtaaa.z
~o s~Cup (0£) ~C~.tiq; unpins not;aas sitp,Cq pa.zmbaa: su ytoda.t;tpnu atp;iutgns o; sltu~ .to;~~u.z;uo~ ~i
OOZS-80L8L suxal `uttsnd
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iutaua~ so;aadsul ~o aag~p
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L~£6-biL8L sexal `u~~snd
Lb£6b[ xog 'O'd
9Z£L aP°;J [iuL~I `~toddnS puu;q~is.tanp~ iaut~uo~
saatn.taS ~iEaH a;~S ~o ~uaut~.tudaQ
:sassa.tppu ~utnnotTot at{1 ~~ `(rJIO) Iutaua~ .to;aadsul~o aag~p
`(~SHH) uotsstuzuzo~ saain.zaS uutzmH puu q~IuaH suxaZ aq; o~ ~doa auo puu `uopaaS ;zoddnS prau
~g3ts.tanp ~au.t~uo~ s~~uautuudaQ ati~ o~ ~Cdoa auo ~tutgns hugs .zo~au.t~uo~ `uot~aas sttp ~Cq pa.tmbat
s;zodat;tpnu aq~~o ~dtaaa.t~o s~Cup .repualua CO£) ~u~q~ uitpiM •;Ipn~,Io uoissltagnS £0'9 uoi~aaS
•sasudta~ua
ssautsnq paunno-uauzonn puu `paunno-~i~uoutut `iiuuts ass o~ sa.to~a ant~TSOd ~utxuuz puu uot~t~aduzoa
Safety Code § 614.017(a)(2) relating to special :needs offenders, to an agency described in Tex.
Health & Safety Code § 614.017(c) upon request of that agency, unless Contractor dc,cumen~ts that
the information is not allowed to be disclosed under 45 CFR Part 164 or other applicable law.
Section 7.04 Security of Patient or Client Records. Contractor must maintain patient anti client
records in compliance with state and federal law relating to security and retention of medical or
mental health and substance abuse patient records. Department may require Contractor to tr~msfer
original or copies of patient and client records to Department, without the consent or authorisation of
the patient or client, upon termination of this Contract or a Program Attachment to this Contract, as
applicable, or if the care and treatment of the individual patient or client is transferred. to another
entity. Prior to providing services funded under this Contract to a patient or client, Contractor shall
attempt to obtain consent from the patient or client to transfer copies of patient or client records to
another entity funded by DSHS upon termination of this Contract or a Program Attaclunent to this
Contract, as applicable, or if care or treatment is transferred to another DSHS-funded contractor.
Section 7.05 HIV/AIDS Model Workplace Guidelines. if providing direct client care, services,
or programs, Contractor shall implement Depart:ment's policies based on the HIV/AIDS (human
immunodeficiency virus/acquired immunodeficiency syndrome) Model Workplace G~uideline:s for
Businesses, State Agencies, and State Contractors, Policy No. 090.021, and Contractor shall educate
employees and clients concerning HIV and its related conditions, including AIDS, in accordance with
the Tex. Health & Safety Code § 85.112-114. A link to the Model Workplace Guidelines can be
found at httn://www.dshs.state.tx us/hivstd/polic~/pdf/090021_pdf.
ARTICLE VIII l1tECORDS RETENTION
Section 8.01 Retention. Contractor shall retain records in accordance with applicable state and
federal statutes and regulations. At a minimum, Contractor shall retain and preserve all other records,
including financial records that are generated or collected by Contractor under the provisions of this
Contract, for a period of four (4) years after the termination of this Contract. If services are fimded
through Medicaid, the federal retention period, if' more than four (4) years, shall apply„ Contractor
shall retain all records pertaining to this Contract that are the subject of litigation or an audit until the
litigation has ended or all questions pertaining to the audit are resolved. Legal requirements fir
Contractor may extend beyond the retention schedules established in this section. Contractor shall
retain medical records in accordance with Tex. Admin. Code Title 22, Part 9, § 165.1(lb) and (c) or
other applicable statutes and regulations governing medical information. Contractor shall ensure that
this provision concerning records retention is included in any subcontract it awards. If Contractor
ceases business operations, it shall ensure that records relating to this Contract are secicrely stc-red and
are accessible by the Department upon Department's request for at least four (4) years :from the date
Contractor ceases business or from the terminaticm date of this Contract, whichever is ;sooner.
Contractor shall provide the name and address of the party responsible for storage of records to the
Division Contract Management Unit assigned to the Program Attachment.
General Provisions (Core Subrecipient 2009) 6/5/08 Page 13 of 38
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st ssautsnq azagnn a~TS ~CuE auturexa o~ ~q~tz age puE~ o~ ssaaaE pa~au~sazun `(OFFS) aa?I30 's~zo~tpn~
a;E}S a~ P~ `JIO `sa~E~S pa}tun atp~o IEZattaO .zalloz;duzo~ atl; ~utpnlaui `sat~ttorl~nE IEaol
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I~IOI.L~~dSI~tI QI~I~' SS~~~F~ XI ~'I~I.L2I~'
Nutrition Services. Contractor shall make a good faith effort to comply with child abuse reporting
guidelines and requirements in Tex. Fam. Code Chapter 261 relating to investigations of reports of
child abuse and neglect. Contractor shall develop, implement and enforce a written policy that
includes at a minimum the Department's Child Abuse Screening, Documenting, and Reporting Policy
for Contractors/Providers and train all staff on reporting requirements. Contractor shall use the
DSHS Child Abuse Reporting Form as required by the Department located at
www.dshs.state.tx.us/childabusereporting. Contractor shall retain reporting documenl:ation on site
and make it available for inspection by DSHS.
Section 10.02 Significant Incidents. In addition to notifying the appropriate authorities, C'~~ntractor
shall report to the Division Contract Managemerrt Unit assigned to the Program Attachment
significant incidents involving substantial disruption of program operation or potentiallly affecting
Depau-tment-funded clients or participants within seventy-two (72) hours of discovery.
Section 10.03 Litigation. Contractor shall notii:y the Division Contract Management Unit assigned
to the Program Attachment of litigation related to or affecting this Contract and to which Contractor
is a party within seven (7) calendar days of becoming aware of such a proceeding. This includes, but
is not limited to an action, suit or proceeding before any court or governmental body, including
environmental and civil rights matters, professional liability, and employee Iitigation.:Notification
shall include the names of the parties, nature of the litigation and remedy sought, including amount of
damages, if any.
Section 10.04 Action Against the Contractor. Contractor shall notify the Division Contract:
Management Unit assigned to the Program Attachment if Contractor has had a contract suspended or
terminated for cause by any local, state or federal department or agency or nonprofit entity within
three (3) working days of the suspension or termination. Such notification shall include the reason
for such action; the name and contact information of the local, state or federal department or agency
or entity; the date of the contract; and the contract or case reference number. If the Contractor, as an
organization, has surrendered its license or has had its license suspended or revoked by any local,
state or federal department or agency or non-proi~it entity, it shall disclose this information within
three (3) working days of the surrender, suspension or revocation to the Division Contaract
Management Unit assigned to the Program Attachment by submitting a one page description ghat
includes the reason(s) for such action; the name and contact information of the local, state or federal
department or agency or entity; the date of the license action; and a license or case reference number.
Section 10.05 Insolvency. Contractor shall notify in writing the Division Contract Management
Unit assigned to the Program Attachment of Contractor's insolvency, incapacity, or outstanding
unpaid obligations to the Internal Revenue Service (IRS) or Texas Workforce Commission (T'WC)
within three (3) working days of the date of determination that Contractor is insolvent or
incapacitated, or the date Contractor discovered an unpaid obligation to the IRS or TWC. Contractor
shall notify in writing the Division Contract Management Unit assigned to the Program Attacl:~rnent
of its plan to seek bankruptcy protection within three (3) working days of such action by the
Contractor's board of directors.
Section 10.06 Misuse of Funds. Contractor shall report to the Division Contract Management Unit
assigned to the Program Attachment and to the S,AO, any knowledge of debarment, suspected fraud,
program abuse, possible illegal expenditures, unlawful activity, or violation of financial laws, rules,
General Provisions (Core Subrecipient 2009) 6/5/'08 Page 15 oi~38
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uosEa.I so aSpajMOUx sEil .TO~aE.I~uo~ ails 1ELI1 a~Ep aq~ Cuo.T~ s~CEp SuTxioM (£) aa~il~ uECI; .Ia;Ej ou ].~oda.z
gans axsul ilEgs .IO;aE~~uo~ •~aE.T~uo~ siq~ zapun aauEUUO~.Iad o~ pa~Ela.T sampaaoid pug: `sataijod
e) it is in good standing with all state and/or federal agencies that have a contracting or
regulatory relationship with Contractor;
f) that no person who has an ownership or controlling interest in Contractor or wlio is an agent
or managing employee of Contractor has been convicted of a criminal offense related to
involvement in any prograni established under Medicare, Medicaid, or a federal block grant;
g) neither it, nor its principals have within the three-yeas period preceding this Contract, ]has
been convicted of or had a civil judgment. rendered against them for commission of fraud or a
criminal offence in connection with obtaining, attempting to obtain, or performing a private or
public (federal, state or local) transaction or contract under a private or public transactiion,
violation of federal or state antitrust statutes (including those proscribing price fixing between
competitors, allocation of customers betvveen competitors and bid rigging), or commission of
embezzlement, theft, forgery, bribery, falsification or destruction of records, making false
statements or false claims, tax evasion, obstruction of justice, receiving stolen property or any
other offense indicating a lack of business integrity or business honesty that seriously and
directly affects the present responsibility of Contactor or its principals;
h) neither it, nor its principals is presently indicted or otherwise criminally or civi]'.ly charged by
a governmental entity (federal, state or local) with the commission of any of thc: offenses
enumerated in subsection g) of this section; and
i) neither it, nor its principals within athree-year period preceding this Contract has had one or
more public transaction (federal, state or local) terminated for cause or default.
Contractor shall include the certifications in this section, without modification (except as requiired to
make applicable to the subcontractor), in all subcontracts and solicitations for subcontracts. V~There
Contractor is unable to certify to any of the statements in this Article, Contractor shall ;submit ,an
explanation to the Division Contract Management Unit assigned to the Program Attachment. 1[f
Contractor's status with respect to the items certified above changes during the term of~this Contract,
Contractor shall immediately notify the Division Contract Management Unit assigned 1:o the Program
Attachment.
Section 11.02 Child Support Delinquencies. As required by Tex. Fam. Code § 231.(106, a child
support obligor who is more than thirty (30) calendar days delinquent in paying child support and a
business entity in which the obligor is a sole proprietor, partner, shareholder, or owner with an
ownership interest of at least twenty-five percent (25%) is not eligible to receive payments from state
funds under a contract to provide property, materials, or services or receive astate-fancied grant or
loan. If applicable, Contractor agrees to maintain. its eligibility to receive payments unifier this
Contract, certifies that it is not ineligible to receive the payments specified in this Contract, anti
acknowledges that this Contract may be terminated and payment may be withheld if thiis certification
is inaccurate.
Section 11.03 Authorization. Contractor certifies that it possesses legal authority to contract for the
services set forth in this Contract and that a resolution, motion or similar action has been duly
adopted or passed as an official act of the Contractor's governing body, authorizing the binding; of the
organization under this Contract including all understandings and assurances contained in this
Contract, and directing and authorizing the person identified as the authorized representative of the
General Provisions (Core Subrecipient 2009) 6/5/08 Page 17 of'38
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.zou `saa~Coiduxa s~T zou `~o;an~uo~ iaT.tlTau ~nTi~ sagt~aao so;on.T;uo~ •pasnq sT;aE.Tauo~ sTTp ctaTgM uo
~uaumaoQ uoT}n~TatioS .TO x.TOnn ~o (s)~uauza~nls `s}uauzaimba.T `suoT~~ogiaads aTp ~uunda.Td .TO ~uT~n.rp
`~uTdoianap ut a;ndTOTa.Tnd o; SHSQ uio.z~ uoi;nsuaduzoo pantaaa.T oTinn uos.Tad n ~q uoTa~ndiaT;znd
intaunug sapniaut ~anz~uo~ sill;~i ~an.T;uo~ siTi} aniaoa.T o; aigi~tiaui st .TO;an.T;uo~ `Mni in.Tapa~ pun
~00•SSIZ § apo~ •nocJ •xa•L o;;unnsmd (n) •;an.~;ao~ aq; antaaag o; ~Iltgt~t[aaI SO•T i uoT~oaS
•}on.T~uo~ sTTi~ TpTM uoT~oauuoo uT aa~Cojduza 1o inTO~o ~SHH i0 S:HSQ n 0~
aniT:n ~Cin}auouT ~o quit{~iun zo aoTn.Tas `zonn~ `du; `;unoasTp inioads `gym;n.T~ `unoi `~t~ `;uaru~Coiduaca
a.Tn~n~ .zo luasa.Td `~;TUnuoddo arTUOUOOa ~Cun `.za~na.TaTi aunt; ~(un ~n anti o; spua~ui .TOU `anT~
o} paia~~o `uanT~ you snTi It ~nT.p sayca.zaa .ro~anx~uo~ •pa;igigo.~d s~t~auag pan s;~t~ ~0• I I u0claaS
•pa.Tmba.T aq
~inuz sn uogeuuo3ui inuoT;Tppn T{ans apino.~d o~ pun ~aex~uo~ sTT{~ Ti~cM uoi~aauuoa uT }on o~ .TO~lae.z~uo~~
for all funds and materials received from Deparl:ment. Within thirty (30) days of the beginning of the
term of each Contract (including each renewal of the Contract, if any), each member of Contractor's
board shall sign a statement affirming his or her acknowledgement of personal accour-tability for
Contract funds on a farm supplied by Department. New members of the board shall sign the
statement within thirty (30) days of becoming a board member. Contractor shall maintain the; signed
form for inspection by DSHS. The responsibility of Contractor's governing board shall also iinclude
accountability for compliance with Department Rules, policies, procedures, and applicable federal
and state laws and regulations; and correction oil fiscal and program deficiencies identified through
self-evaluation and Department's monitoring processes. Further, Contractor's governing board shall
ensure separation of powers, duties, and functions of board members and staff. Staff members,
including the executive director, shall not serve as voting members of the Contractor's governing
board. No member of Contractor's governing board, or officer or employee of Contractor shall vote
for, confirm or act to influence the employment, compensation or change in status of any person
related within the second degree of affinity or the third degree of consanguinity (as defined in Tex.
Gov. Code Chapter 573) to the member of the governing body or the officer or any employee
authorized to employ or supervise such person. This prohibition does not prohibit the continuied
employment of a person who has been continuously employed for a period of two (2) years prior to
the election, appointment or employment of the officer, employee, or governing body member related
to such person in the prohibited degree. These restrictions shall also apply to the governing board,
officers and employees of Contractor's subcontractors. Ignorance of any Contract provisions or other
requirements contained or referenced in this Contract shall not constitute a defense or basis for
waiving or appealing such provisions or requirements.
Section 12.02 Management and Control Systems. Contractor shall comply with all the
requirements of the Department's Contractor's Financial Procedures Manual, and any of its
subsequent amendments, which is available at the Department's web site:
http:/1www.dshs.state.tx.us/contracts. Contractor shall maintain an appropriate contract
administration system to insure that all terms, conditions, and specifications are met. Contractor shall
develop, implement, and maintain financial management and control systems that meet or exceed the
requirements of UGMS and adhere to procedure:> detailed in Department's Contractor"s Financial
Procedures Manual. Those requirements shall include at a minimum:
a) financial planning, including the development of budgets that adequately reflect all functions
and resources necessary to carry out authorized activities and the adequate determination of
costs;
b) financial management systems that include accurate accounting records that arc; accessible
and identify the source and application of funds provided under each Program ,Attachment of
this Contract, original source documentation substantiating that costs are specifically and
solely allocable to the Program Attachment and are traceable from the transaction to th.e
general ledger; and
c) effective internal and budgetary controls; comparison of actual costs to budget; determination
of reasonableness, allowableness, and allocability of costs; timely and appropriate audits and
resolution of any findings; billing and collection policies; and a mechanism caF-able of billing
and making reasonable efforts to collect from clients and third parties.
General Provisions (Core Subrecipient 2009) 6/5008 Page 19 oiF38
8 £ 3° OZ a$Ed 80/S/'9 (6002 3uaidtaaignS a.TO~) suorsino.Id Ie.iaaa~
sagt~.Taa .IO~ae~~uo~ `'~~e.I~uO~ STTI~ ~uIU~iS ,Cq `1ea~C snoina.Td aip ui se auzes aTl~ si ueld s~.TO~aex~uo~
.II •~id uot~eaoll~' ~so~ algeatldde aTl~ nnollo~ pue ~uauzalduTt IleTls .TO~aequo~ •~uauz~.TedaQ aTl~ Tl~in~
aly uo ueld uot~eaoll~' }sod ~uauna a sell .TO~ae.T~uo~ ~ aiaTlnn aaue~suzna.Tta aTl~ .Tapun ~da,~xa `Ltif'6
-fiIL8L sexaZ `ut~snd `Lti£6t~t xog •O•d `9Zf:t aP°~ IteL~i le `uot~aaS ~zoddnS pue ~Tl~is.Tanp~ ~ae~uo~
s~~uauia.TedaQ aTl~ o~ Ienuey~I sampaao.Td IetaueuT3 s~.TO~oe.T~uo~ s~~uauT~.TedaQ aTl~ ut papinoad
~euuo~ aTl~ ui ueld uogeaoll~' }sod a ~tuzgns Ilegs .TO~aer~uo~ •ueld Qot;eaoli~;sod 80'Zi uol~aaS
•sp.Tepue~s ,S;~a~es pTTe
`a.Tg `TI~Ieall `;~uiplmq `~uiuoz Ie.Tapa~ pue a~e~s `Ieaol algeoTldde Iie TRIM aauetlduTOa ui si papino.Id
a.Ie saoin.Tas a.TaTlnn uoi~eaol aTl~ ~eTl1 amsua Veils szo~ae.z~uo~ III' •a;iS cag.~~oad LO•ZI uot~aas
•~Insa.T IItM SHSQ o~ ~soa IIe.Tano .Ta~~nol uaTl,nn
(S .TO `pa~alduzoa asinn.Tacl~o ~o pa~dTUTa~ui aq ~Igeuoseai ~ouuea pue am~eu uT snonuT~u°~a a.Te ~ei;p
suoi~ezado .ieliuzTS so `sampaoo.Td ~~o}e.TOgeI `s~sa~ ~o aaueuuo~.Tad ui (}, `~ul~unoooe so `aaaeua~uteru
`uogex~stuiuipe se Tlans `suoi~aun~ ~aa~iput ~uluuo~iad a.Te saa~Colduza uaTlnn (£ `~Iaaual~o~q
Ieuot~e.zado Ieuoiseaao ue .zo ~aua;~.TauTa ue ~o asea aTl~ uI `,~It.Te.TOduTa~ (Z `• SHSQ ~o Ieno~dc[e
.TOUd aTl~ TI'~IM (I : suot~ipuoa ;~utmollo~ ally .Tapun ~Cluo au.Ti~.Tano ~o uoi~.IOd uTttTUZazd aTj~ ,fed o~ pasn
aq ~eu~ ~aex~uo~ slTl~ .Tapun papino.zd spun3 •smoq ~unl.TOnn Ieuuou~o ssaaxa uI pa~I.tonn smoTl .TO3
~Ced3o a~e.T Ieuuou s~aa~foldu.Ta aTl~ o~ uoT~ippe ui Ienpintput ue o~ pied uoi~esuaduzoa Cue se pau~ap,st
fed auTT~.iano uTntuia.zd •saa~olduza anp ,Ced auna.zano umTUZa.Td~o suol~e~Tlgo due .TOE algisuodsas aq
Ilegs .TO~aex~uo~ •auTT~Tano ~o uot~.TOd umiuza.Td aTl~ ,Ced o~ ~aex~uo~ stir ,Cq papino.Td spuT13 aTI~ ~o ~iv~E
asn lou IIeTIs .IO~ae.T~uo~ `uol~oas stir ut papino.Td se ~daaxg •uoi;esuadTUO~ auiyaan0 90•ZI uol~aas
•s~sa.Ia~uT s~~uaul~IedaQ sa~euTep .TO~ae.T~uo~ ~o .taal~o .zo ~o~aa.zip
e ~Cq uoissiuio .TO tae algeuoi~ae ue }uana aTl} uI a.uaux~iedaQ ~o s~saza~uT ally ~aa~o~d o~ ;~uala~ris
sI lE1l~ pue ~aez~uo~ sllll ~o amen Ie3o1 aTl~ ueTl~ ssal you ~unouze ue ut a~ezanoa aauemsut ~~tltgeti
ule~uteuz Ilegs .zo~ae~uo~ •s.zaoT~~o .TO/pue sio~aazlp aneq o~ noel sexaZ .Tapun pa.Tmbaz sI ~e~ ~C~qua
Ie;~al ~all~o Cue pue `.~a~ suol~ezod.TO~ ssauisng sexaZ aTl~ zapun pazlue~.io suoT~ezod~oa :~go.zd-~o3
`dad uot~e.zod.TO~ igozd-uoN sexaZ aTl~ ~zapun suoge.TOd~oa ~~o.Td-uou se paztue~.TO are ~eTg sat~I~ca:a
o~ salldde uotsino~d sTTIZ •s.Tao~o .zo/pue sio~aa.TTp aneq o~ pa~mba.T sI ~eTl~ ,C~t~ua Ie~al a st .io~aei}uo;~
a.Ialln~ «`a~e~anoa ~~tltgetl .Taog~o pue .TO~aazip„ se `ZO i' I9ZZ § apo~ •norJ •xaZ uT o~ pa~.Ta~az
`a~e.Tanoa aauemsui,~~titgeti ute~uleuT osie Begs ao~aex~uo~ •a~e.Tano~ ~gigetZ SO•Zi uogaaS
•~uauT,iolduia zo uoi~isod a~aTl/stTl~o
ana.Iin ~Cq panraaai ~ylado.Td pue satuouT IIe .IOC ~Cliado.Id ~unoaae o~ ~o sai~np .Iail/st~I ~II~~1e~~ uuo~.iad
o~ saa~Colduza ski ~o due ~o .IO~aex~uo~ ~o amlte.I (c",) .io/pue `s.Tall~o q~inn ~Iaauoo uT so ~Ilenptniptit
.Iaq~~a •saariolduia s~.TO~oei~uo~~o Cue ~q pa~iuTUZaa sae so tae ~sauogsip ao ~ualnpne.T~ due (I) ~Cq
pauotseoao sassol ~o uoi}eagtuuzapul ao~ apinoid hells aauemsuT so puoq ~C~Ilapt~ aclZ •spun~ Mans ~o
~uauT,Ced ~uizl.TOlpne (s)uosiad ~uipnlaul `~aer~uo~ slilx .iapun spunk ~uilpueTl ~olae.T~uo~ ~o aa~Coldma
gaea s.zanoa ~eTl~ 000`00 i $ o~ do ~ae~~uo~ std ~zapun papinoid ~uipun~ ~o ~unouTe aTl:t o~ Ienb~a
a~eianoa aauemsul .TO puoq ~C~tlapg e ~Ea o~ pa.Tinba.T sT io~aei~uo~ •puog ~i9api3 b0•ZI uol~aaS
•spuil~ luaui~.TedaQ q~tnn p~aseilamd
slasse ~ulaelda.13o sueaur .zaq~o .TO aaTle.znsul ule~uteui Ilegs .TO~ae.rauo~ •aaue.TnsTij £0'Z I uot~aas
that its current Cost Allocation Plan for the current year is the same as that submitted to DSHS for the
previous year. In the event that the Cost Allocation Plan changes during the Contract term, Contractor
must submit a new Cost Allocation Plan to the Contract Oversight and Support Section within thirty
(30) calendar days after the effective date of the change. Cost Allocation Plan must c:omply with the
guidelines provided in the Department's Contractor's Financial Procedures Manual located a.t
httn://www. dshs. state. tx. us/contracts
Section 12.09 Reporting for Unit Rate and Fee For Service Contracts. Contractor shall submit
reports concerning unit rate and fee-for-service contracts to the Department in accordance with the
requirements stated in the Department's Contrac;tor's Financial Procedures Manual located apt
h_,p://www.dshs.state.tx.us/contracts.
Section 12.10 Historically Underutilized Businesses (HUBS). If Contractor was not required to
submit a HUB subcontracting plan and if subcontracting is permitted under this Program Attachment,
Contractor is encouraged to make a good faith effort to consider subcontracting with ]HUBS as set
forth in Tex. Gov. Code Chapter 2161 and 34 Tex. Admin. Code § 20.14 et seq. Contractors may
obtain a list of HUBS at http://www.window.state.tx.us/procurement/prog/hub. If Contractor has
filed a HUB subcontracting plan, the plan is incorporated by reference in this Contract. If Contractor
desires to make a change in the plan, Contractor must obtain prior approval from the Department's
HUB Coordinator of the revised plan before proposed changes will be effective under this Ccntract.
Contractor agrees to make a good faith effort to subcontract with HUBs during the performar.-ce of
this Contract and shall report HUB subcontract activity to the Department's HUB Coordinator by the
15th day of each month for the prior month's activity, if there was any such activity, in accordance
with 34 Tex. Admin. Code § 20.16(c).
Section 12.11 Buy Texas. Contractor shall purchase products and materials produced in Te~:as when
the products and materials are available at a price and time compazable to products and materials
produced outside of Texas as required by Tex. C;ov. Code § 2155.4441.
Section 12.12 Contracts with Subrecipient Subcontractors. Contractor may enter into contracts
with Subrecipient subcontractors unless restricted or otherwise prohibited in a specific Program
Attachment(s). Prior to entering into an agreement equaling or exceeding $100,000, Contractor shall
obtain written approval from DSHS. Contracts with subcontractors shall be in writing and include the
following:
a) name and address of all parties;
b) a detailed description of the services to be provided;
c) measurable method and rate of payment and total amount of contract;
d) cleazly defined and executable terminatian clause;
e) beginning and ending dates that coincide with the dates of the applicable Program
Attachment(s) or that cover a term withir- the beginning and ending dates of the applicable
Program Attachment(s);
f) access to inspect the work and the premises on which any work is performed, in accordance
with the Access and Inspection Article in these General Provisions; and
g) a copy of these General Provisions and a copy of the Statement of Work and aJny other
provisions in the Program Attachment(s) applicable to the subcontract.
Contractor is responsible to DSHS for the performance of any subcontractor. Contractor shall
monitor subcontractors for both financial and prc-grammatic performance and shall mziintain pertinent
General Provisions (Core Subrecipient 2009) 6/5/08 Page 21 oaf 38
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s~ zapun uot~suiuua~ ~asx~uo~ ~o Juana aq~ uI •uoi~aiasip s~~uau~sdaQ aq~ ~s uoi~suiuua~ a~~stpauzuit
~utpniauT `~asz~uo~ snp zapun suogauss pus sa~pauza~ o~ ~aafgns aq iiinn ~as.quo~ shpt `Sgi aid
off. ~C~tiigsii ~ uo ~uauna ureuia~ o~ paired s~q .~o~osr~uo~ ~~~ s.zanoasip ~uauz~sdaQ aq~ ~sq~ Juana aip
uI •s~uauz~Csd xs~ ip; ~upisuz pus suuo~ xs~ is~apa~ pus a~.s~s parmbai tis ~urig ion aigisuodsa.z ~taic-s
sr pus snnsi xe~ piaPa3 pus aluls tis cpTnn ~Ciduroa tisus zo~as~uo~ •~~pgg~Z xg.L Li'Zi uot~aas
•suua~ sir ~o tis o~ .zo~a~r~uo~ purq ~Ciis~ai pus ~Ciptisn o~ pus .ro~ostauo~ ~o~ ~asx~uo;~
sniff a~noaxa o~ ~o~aer~uo~ ~q pazuori~ns ,Crop uaaq ansq ~iaq~ ~srg aa~us.isn~ pus }us,usnn `.ro~asr~uo;~
~o ~isgaq uo ~as.z~uo~ sniff ~ur~naaxa pus ~utu~rs ss saniasurari~ ~ur~uasa.zda~ so `~o~asquo~ ,~0 3lEriaq
uo ~asx~uo~ sniff ~ut~naaxa pus ~ucu~is suos.zad .zo uos.rad au•I, •puig o~ ~~oq;nH 9I •ZI uot~aas
•sBxaZ ~o a~s~s aq~ ~o ~uauz~asdaQ ari; uroq uogssuaduzoa
~uauUCoiduzaun .rod aigi~tia aq you ijinn s~ua~s so s~usdtar~.rsd am~uan ~utoC `s.ro}as~uoagns `saa~Coiduaa
ski ~sria sa~pajnnouxas io~asquo~ `~asnuo~ snp ~o sasodmd ~o,~ •.ranaos~srinn asod~nd ~Cus ~:o~ sexa,L
,~o a~s~s aq~ zo ~uaur~.rsdaQ ari~~o aa~Coiduza ~o ~ua~s us you si io~as~uo~ •s~ua~s .~o s~usdtaT~d
am~uan ~utof `s.zo~as.~uoagns `saa~Coiduza sic ~o aausuuo~.rad aq~ .zoo aigisuodsar aq pus ~aazip
tisus .~o~asquo~ •zo~as.quoa ~uapuadaput us sr zo~aE.t~uo~ •.~o;ag.~;ao~ ~aapaadapuI ST'Z1[ uoT~aa~,S
'OHS aq~ P~ ~SHH `SHSQ ~q ~~pne o~ aaaCgns st
io~asi~uoagns ark ~sri~ apinozd pus `~as.zluo~ stri~~o sua~ra~ acp a~slodioaur s.zolosquoagns ~uai~dTaaigns
ri~tnn s~uauzaa~s ua~unn tis ~sq~ amsua tieus zo~as.z~uo~ •sui.ca,L3o uo~;s.~odaoaaI tii'Zl[ uot~aa~S
•~uaur~.redaQ
aq~ ,Cq panssr asuaoti ~fus s~sa~C (~) aa.~ri~ ~ssd aril utglinn pa.~apuarms ~Cius~union you an~q ~Caq~ ~eLl[~
~C31~zaa s.~o~ae.~~uoagns ;sq~ armbai .zac{a.zt~ 11e45 slo~ae~uo~ •~uaui~daQ aq~ ~Cq pa~~utuua~ ~:~si~uoa e
psi you ansq pus `paxona.~ uot~sa~i~aa .zo asuaaci pa.~mba.z s psq you aneq `s~uauzaa.~~g ~uauz~(sdaz Cue
uo ~uanburiap you a.is ,Caq~ ~sqx ~t~aa of szolas.z~uoagns tip a.ztnba.z osis tisus .rolasuuo~ •su-otsino.r,3
isiaua~ asari~~o atat~ suot~sogt~a~ pus saaus.znssH aq~ ut pa~sls suoi~sai~~~aa a~ `s.~o~a~.~uoagns
cgin~ slas.~~uoa ski tip ui apniaui tieus .zo~ae.z~uo~ •s.~o~as.~;aoagns;o sn~s~S £ i'Z 1[ uoi~aa,S
•suzs.r~o.~d aaus~sisss is.zapa~ ui uot~edtaia.red .~o~ aigi~itaut .ro uro~~ papniaxa so papuadsns
zo pa.usgap si ~sq~ `.zar~ ~Cus }s `.zo~as.~~uoagns e q~inn ~a~z~uoa you tieus .zo~as.~uo~ •~as.~uo~ s~~~q~ .zapun
pus suotlsin~a.r pug `saicu `sa~n~s~s isiapa~~a~s~s ~Cq uzaci~ uodn paasid sluauza~mbaz acp~o a.n~nns ~itin~
a.re s~olas.z~uoagns i~~j~ amsua tisris zo~as.~luo~ 'SHSQ ~q uoi~aadsut .zoo aigsitens aq tieus le[il spioaa.~
Section 12.18 Notice of Organizational Change. Contractor shall submit written notice to the
Division Contract Management Unit assigned to the Program Attachment within ten (10) business
days of any change to the following: Contractor's name; contact information; key personnel, officer,
director or partner; organizational structure; legal standing; or authority to do busines:> in Texas. A
change in Contractor's name requires an amendment to this Contract in accordance with the
Amendments section of these General Provisions.
Section 12.19 Quality Management. Contractor shall comply with quality management
requirements as directed by the Department.
Section 12.20 Equipment (Including Controlled Assets) Purchases. Equipment means an article
of nonexpendable, tangible personal property having a useful lifetime of more than one year and an
acquisition cost of $5,000 or more, and "controlled assets." Controlled assets include firearms
regardless of the acquisition cost, and the following assets with an acquisition cost of $500 or more:
desktop and laptop computers, non-portable prirrters and copiers, emergency management equipment,
communication devices and systems, medical and laboratory equipment, and media equipment.
Contractors on a cost reimbursement payment method shall inventory all equipment. If the puurchase
of equipment is approved in writing by the Department, Contractor is required to initiate the purchase
of that equipment in the first quarter of the Contract or Program Attachment term, as applicable.
Failure to initiate the purchase of equipment ma;y result in loss of availability of funds for the
purchase of equipment. Requests to purchase previously approved equipment after the first qualrter of
the Program Attachment must be submitted to the Division Contract Management Unit assigned to
the Program Attachment.
Section 12.21 Supplies. Supplies are defined as consumable items necessary to carry out the:
services under this Contract including medical supplies, drugs, jalnitorial supplies, office supplies,
patient educational supplies, software, and any items of tangible personal property other than those
defined as equipment above.
Section 12.22 Changes to Equipment List. All items of equipment purchased with funds under this
Contract shall be itemized in Contractor's equipment list as fmally approved by the Department in the
executed Contract. Any changes to the approved equipment list in the executed Contract must be
approved in writing by Department prior to purchase of equipment. Contractor shall submit to the
Division Contract Management Unit assigned to the Program Attachment, a written description
including complete product specifications and need justification prior to purchasing an.y item of
unapproved equipment. If approved, Department will acknowledge its approval by mf;ans of ,a
written amendment or by written acceptance of C;ontractor's Contract Revision Request, as
appropriate.
Section 12.23 Property Inventory and Protection of Assets. Contractor shall maintain a
nonexpendable personal property (equipment and controlled assets) inventory and submit an annual
cumulative report to the Department's Contract Oversight and Support Section, Mail Code 13:26, P.O.
Box 149347 Austin, Texas 78714-9347, no later than October 15th of each year. The ;Form fo:r this
report (Form GC-11) is located on the DSHS website at
httn://www.dshs.state.tx.us/contracts/forms shtm. Contractor shall administer a program of
General Provisions (Core Subrecipient 2009) 6/5,/08 Page 23 o:f 38
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~uauzfsd ;uauiasmquzTaz ;soa s uo szo;ot?z;uo~ •pa;~gigo~d in.~a;ei~o~ sB s;asst 6Z•Z; t uoT~aaS
•asuadxa s~zo;asz;uo~ aT{11~ ~uauT~Tec[aQ aTp,~o
~sanbaz aq; ~~ zo suogaTU;suT not;isodsTp s~;uauT~.TSdaQ aTJ; ~fq pazmbaz ss ~uauzazsdaQ aq; o; pauma.az
aq iisgs pus ~noasoi~ ~o auzT~ aTJ~ ~s zo;asz~uo~ aTJ; ~fq pamaas aq IJsiJs spunk ;uauTaz~:daQ TJ;inn
passTJamd ~f~iadozd iid •~i~.Tadozd Bans zoo suoT;aTLT;sui uoT;isodsip ;sanbaz pus spun3 ~uauzaz~:daQ Tprnn
passTJamd ~f~.Tadozd ~o ~f.TO;uanuT ue `~uauzTJas~d uTSZ~ozd aTp o; pau~tsss ;tTTn ;uauTa~susy~~ ;asz;uo~
uoTSTnTQ aTJ; o; ;TUigns Jistjs zo;osz;uo~ `(;noasoi~) pannauaz aq ;ou iJinn ;sTp zo sJsnnauaz ~~uoT~Tpps
ou seTJ ;sTp ;uauzTJas~y uzsz~ozd s ~o uua; aTJ; ~o pua aTJ; ;~ •;aaaTdin6~ ~o ;noasot~ 8Z•Z t uoi;aaS
•aauspiTT~ iszapa3 aigsaiJdds ~fue pus `saidTaur.Td
~uT~unoaad pa~daaa~ ~fiiszauarJ TJiinn aauspzoaas uT si ;uau~dinba ~fus ~o uoc;TSOdsip 1~:ij; amsiza
~snuz zo;asz~uo~ `a~ii Jri~asn s;T ~o pua aq; saTJasaz uTa;T us za~~ •;uauzT{as~d uTSZ~ozd aq; oar pau~isss
iiun }uauza~susy~J ;asz~uo~ uotsinTQ aTJ; uioz~ ~uT;rznn ui suoT;anz~suT pus Jsnozdds uogtsodstp
~sanbaz JJsgs zo~asz~uo~ `000`0 I $ ~q'i za~saz~ zo o~ Jsnba aaud •uOT~TSTnbas us psq z0 uoTjEZ~ST~az
zo amsuaaTJ sazmbaz ;uauTdmba aT~ 3T zo `aJgszadouT sauioaaq zo `~asz~uo~ sTTJ~ zapun saaTnzas uuo3zad
o~ papaau za~uoi ou sT ;uauidmba ~o uza;T ~fus `a~Tj jtt~asn aTJ; ~o pua aq~ o~ zoud `~j •;;y~j~n ~Fo
s~uauiazmbaz aTJ} ,fq paiioz~uoa aq Iisus (000`0 I $ Dui za~saz~ zo o; Isnba ~soa uogTSmbas ue ssTJ ;s~~
zo uoT~szlsT~az zo amsuaaTJ sazmbaz ;sTJ; ~uauzdmba u~Tp zaTJ;o) aauaza~az ~Hd aTp uT pa~sti ;you s~asss
paJioz~uoa pus ~uauzdTnba zaTJ~o iid '000`0 I $ usTJ~ za~saz~ zo o~ Jsnba sT ~asss paiioz~uoa zo ~TZauTdmba
aTJ~~o aaud uoT~TSTnbas aT,p uaTJnn zo `a~s~s aT,p ~fq uoT~sz~sT~az zo amsuaaTJ sazmbaz ~uauidmba a~~
uaTJnn .TO sapaszadns s~uauiazmbaz ~fzo~n~s~s a~s~s zo iszapa~ uagnn ~daaxa `spuTT~ iuauxazsda~~ aTJ~ tJ;Lnn
passgamd s~asss paiioz~uoa zo ;uauzdmba ~o `uua~ ~asz;uo~ aq; zags zo ~uunp au~T~ bus ~s "~uTSOdsTp
uT «s~ass~ Js~tdsoH aigsiaazdaQ~o sane-; ITT~asn pa~suzi;sg„ (s~~H~) s~uoT~sTaossd is}TdsoH
usauauzd aTJ~ ui sampaaozd aTJ~ nnoito~ I[sTJs zo~asz~uo~ •,f~.iado.~d;o aoi;~sods~Q LZ•ZI uogaaS
•aJgsnnoJ Js
you azs ~fuadozd Jsaz zo s~uTpimq aTp ~o uogismb7s Isi~iuT aq; o~ pa~siaz s~soa ~fu~ •~f~iadozd Isaz
zo s~uTpimq assTJamd o; pasn aq you ~tsuz spunk luauTazsdaQ •sao~;~srnba~ ~aadoid 9Z•ZI uoT~aaS
•zo;asz~uo~ o~ ~f~.Tadozd TJans o~ ~saza~uT ~f.TSUOTSZanaz aq~ za~sus.Ta `nnsi ,S;q
pannoJis ~ualxa aTJ~ o~ pus uot~do s~T is `~fEUT ~uauT~zsdaQ aT{Z •~uauTa.TSdaR ~q pa~EU~TSap ~fa~isd zaTJato
~Cus o~ Pazza~suez~ aq ~CsuT al;t,I, •~uauz~.TSdaQ o~ s~zanaz ~asz~uo~ stTJ~ .spun spTrn~ TJ~inn passT{aznd
saTiddns pus ~uau.Tdmba ~uTUlsuTaz ~Cus o~ aj~i~ `uossaz ~Cus zo3 `zo~asz~uo~ aTg pus ~uauIa.TSda,Q
aq~ uaann~aq dtTJsuot~siaz jsn~asz~uoa aq~~o uo~sniauoa aT.p ~y •~adoad o; a~;t,I, SZ•ZI uot~aa~S
•~uauz~.TSdaiQ
o; ~zanaz jleT{s ai~t~ pus `~Ca;dnnJTZSq aTJl u~oz~ zo~asz~uo~~o uoissassod u~ saTlddns puE `~uauzdmE>a
`~f~.Tadozd ~uauza.zedaQ zanas iisgs zo~asz~uo~ `~a~dnz~JTreq~o Juana aql ui •.fa;dn.T~aeg bZ•ZI uoT~aaS
•s~asss asoTJ~ aasidaz zo zTSdaz o~ spaaaozd a~:J~
asn iisgs zo~asz~uo~ `~asz~uo~ sTq; zapun papinozd s~asss aTp o~ a~suzsp zo `~o uoilatuisap `~o ssoi ~CT;:s
zoo pa~ssuaduzoa asTnn.TaTJ~o zo `pasmgTUTaz `pagiuuTaput sT zo;aszluo~ Juana aTJ~ ui •ssaulT~asn pv:s
~C~iJigeitens Iin3 ztatj~ amsss o~ ss os ~asz}uo~ sTq~ zapun s~asss ~o uot~aa~ozd pug `ztsdaz `aaueua~ureizz
ARTICLE XIII GENERAL TERMS
Section 13.01 Assignment. Contractor shall not transfer, assign, or sell its interest, in whole: or in
part, in this Contract, or in any equipment purchased with funds from this Contract, without the prior
written consent of the Department.
Section 13.02 Lobbying. Contractor shall comply with Tex. Gov Code § 556.0055, which prohibits
contractors who receive state funds from using those funds to pay lobbying expenses. Further,
Contractor shall not use funds paid under this Contract to pay any person for influenciing or
attempting to influence an officer or employee of any federal or state agency, a member of Congress,
an officer or employee of Congress, or an employee of a member of Congress in connection with the
awarding of any contract or the extension, continuation, renewal, amendment, or modification of any
contract (31 USCA § 1352, as amended, and UGMS). If at any time this Contract exceeds $100,000
of federal funds, Contractor shall file with the Division Contract Management Unit assigned to the
Program Attachment a declaration containing the name of any registrant under the Lobbying
Disclosure Act of 1995 who has made lobbying contacts on behalf of Contractor in connection with
this Contract, a certification that none of the funds provided by Department have been or will be used
for payment to lobbyists, and disclosure of the names of any and all registered lobbyists with whom
Contractor has an agreement. Contractor shall file the declaration, certification, and disclosure at the
time of application for this Contract; upon execution of this Contract unless Contractor previously
filed a declaration, certification, or disclosure form in connection with the award; and at the end of
each calendar quarter in which there occurs any event that materially affects the accuracy of tlhe
information contained in any declaration, certification, or disclosure previously filed. Contractor shall
require any person who requests or receives a subcontract to file the same declaration, certification,
and disclosure with the Division Contract Management Unit assigned to the Program ,Attachment.
Contractor shall also comply, as applicable, with the lobbying restrictions and requirements iri OMB
Circulars A-122 Attachment B paragraph 25; A-87 Attachment B section 27; A-110 sE:ction__.27 and
A-21 paragraphs 17 and 24. Contractor shall include this provision in any subcontracts.
Section 13.03 Conflict of Interest. Contractor represents to the Department that it does not ]lave nor
shall it knowingly acquire any financial or other interest that would conflict in any manner with the
performance of its obligations under this Contract. Potential conflicts of interest include, but ;are not
limited to, an existing or potential business or personal relationship between Contractor, its principal
(or a member of the principal's immediate family), or any affiliate or subcontractor and Department
or HHSC, their commissioners, officers or employees, or any other entity or person imvolved in any
way in any project that is the subject of this Contract. Contractor shall 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.
Section 13.04 Transactions Between Related Parties. Contractor shall identify and report to
DSHS any transactions between Contractor and a related party that is part of the work that the
Department is purchasing under this Contract before entering into the transaction or inunediately
upon discovery. Contractor shall submit to the Division Contract Management Unit a;>signed to the
Program Attachment the name, address and telephone number of the related party, how the party is
related to the Contractor and the work the related party will perform under this Contract. A related
General Provisions (Core Subrecipient 2009) 6/5008 Page 25 of 38
8£3~ 9Z a~~d 80/5,/9 ~6OOZ qua?d?aatgns a.to~) suo?s?Hord j~.tauaJ
(Z) pue `~u~et~gns ro ~u~r~ u spun ~a~r~uoa ro `~u~r~gns `~ust~ >? spun padojanap ajronn ~iu~ ut
`a.t>?nn}~os ra~nduzoa puu `s~araas apux~ `uot~uuuo~u? ag?~uatas `~~ojougoa~ `s~anpord `ra~~uz 30
uor~tsoduzoa ro `am~aE~nuuuz `au?tja~ut `ssaaord ~Cuu o~ ~.uauzanordutt ro `~Cranoastp `uot~uanu?
ue uo ~ua~ud ro/puE `ajreut as?nras `ajreutap~x~ `~tj~tr~Cdoa atj~ (j) sasodmd j~?araututoauou
j~~uauzurano~ a~~s pu>' `tj~j~aq atjgnd `SHSQ rod `asn o~ sratj~o azuotj~n~ o~ pun `asn astnntatpo
ro qs?jgnd `aanpordar o~ asuaatj ajq~aona.u? puu ap?nnpjronn `an?snjaxauou `aa.t~-~C~ju~S;or
~ sanrasar SHSQ `ro~au.quoJ o~ ~q~?.uCdoa atp pr>?nnn ~uur~ jnrapa~ u ~o suua~ atj~ Juana atj~ ui (p
«•( aua n u?pxennn j~rapa3 atj~~o snnatn j~?at~o atj~ ~uasardar ~Cj?r~ssaaau you op
pug srotj;ne atp~o ~?j?q?suodsar atj~ ~Cjajos are s~ua~uoa s~I„ pug « aua n utpr~nn~ jerapa~)
uzor~ raqumu ~uur~ ~Cq pa~toddns s~nn paquasap ~aaford atjs„ ro «( aua ~ utp.~~~ne
j~rapa~ utor~ raqumu ~u~.t~ ~Cq ajq?ssod apEUr senn uo~~atjgnd s?Lj,I,,, ~~~ ~aa~a atj~ of
aq jjngs ~uatzt~pajnnouaja~ ~v' •~~?n?tau pa~toddns-~uEr~ ~ ~utq?rasap ro ~o s~jnsar auk ~ut~toc[ar
uot~eatjgnd ~Cu~ uo `ajq?seal ~? `puu ~toddns tjans tp?nn patjs?jgnd ro ua~jtnn uot~Eatjgnd ~Cu~ ~uo
`a~eudorddn se `rauttejastp ~ puu ~toddns ~uer~ ~Caua~e ~utprenne jerapa~ ~o ~uaut~pajnnou~jae
ue aaejd jjegs ro~aer~uoJ •spun~ ~ae.t~uoa ~?nn dttjsraunno sasegarnd ro~ae.~uoJ ~ ganlnn
o~ ~tj~wCdoa ~o s~tj`du Niue (Z) puu `.~aer~uoagns Cue ~utpnjaut `~aet~uoJ stt~ spun padojanap
~i~radord jen~aajja~u? Cue ut ~tj~wCdoa atp (j) sasodrnd ~uaunuano~ jerapa~ rod `asn o~ srat~~o
azuoq~ne o~ puu `asn astnn.tatj~o ro `qs?jgnd `aanpordar o~ asuaatj ajgeaonarrt pue `antsnjaxauou
`aa.z~-~C~je~Cor a sanrasar ~Caua~e ~utprenne jerapa~ a~ `~C~.tadord jen~aajja~ut ~o uoganpord
atj~ u? ~jnsar ~utp ~aet~uoJ s~ ~Cq pa~zoddns sagtnt~ae aaueug o~ pasn are sputt~ jerapa~ ~I (a
•iaez~uoJ s~ spun parapuar saa?nras ro paptnord spoof rod ro~ae.~uoJ o~ ajge~C~ed
s~unoute asotj~ puo~iaq asuadxa ro a~retja ~notj~?nn utaraq paugap s~tj~?r atj~ ~aa~rad o~ parmbar
aau~stsse jje `sexa,j, ~o a~e~S a~ p~ SHSQ ~q pa~eu~tsap uosrad Cue se jjann se `sexaZ
~o a~e~S atj~ puE SHSQ anti ~snut ro~aex~uoJ ~oaratp sjennauar pue suo?sua~xa Cue pun `ra~eut
~aafgns atj~ o~ a~eudordde aq ~feut s~e suot~aa~ord Bans ratj~o ro suot~egs?far `}tj~?ridoa `s~ua~~ed
jje pue Cue au.teu sit ut pjotj pue u?e~qo o~ }q~u atj~ aneq Ileus SHSQ •SHSQ o~ utaratjl ~saraaut
puE aj~t~ `s~tjSu atj~ sub?sse ~Cjgeaonarr? ro~aerluoJ `arttj rod apeuz ajronn ~ parap?suoa aq
you ~Ceuz ajronn Bans ro `SHSQ u? }san `nnej ~o uotlerado ~Cq `you ~Ceut ajronn tjans Cue o~ ~sara~ut
pue ajl?~ ~etji ~ua~xa atj~ oZ •~aer~uoa ,Cq as?nnratpo saar~e ~t ssajun arttj rod apeut sajronn suh~o
SHSQ «•arnj rod apeut ajronn„ s? asn SHSQ rod 1aer~uoa a tj~nortj~ pauotss?ututoa ro parapro
~Cjje?aads ajronn a ro `asn SHSQ ro3 pa.redard ~Catadord jen~aajja~ut lae.~uoJ sttj~~o sasodmd ro,~ (q
•nnej ajreut as?nras/ajreuzapez~ ,zo
`lua~ed `~tj~?r,Cdoa spun pa~aa~ord aq ~Ceuz letj~ ,C~tadord pa~eara sueaut «~Cuadord jen~aajja~ui„ (~
•~aer~uoJ stq~ ~o ~jnsar ~ se padojanap ~C~tadord jen~aajja~ut laa~ord
o~ SHSQ sazrrotj~ne OZO•ZT § apo~ ~;a3pS ag tj~jeajq •xaZ •~jaadold Ien~aalla;uI SO•£T uo?~aaS
'SL~IJfI PUS `Zb•Si.Z
§ 2IdJ Z `0I [-~ 'o~j •artJ gY~jO `bL ~d 2IdJ Sb apnjaut ~Ceut qa?tjm `stejnar?a ro suot~ein~ar `nnej
jerapa3 ro a~e~s ajgeatjdde o~ ~u~nsrnd uogaesuer~ aq~~o ssaua~eudordde atp autuua~ap o~ luautaredaQ
atj~ ajgeua o~ papaau `sat~zed pa~ejar uaann~aq uo?~aesuer~ >? ~utpre~ar `~uaut~.tedaQ atj~ ~Cq pa~sanbar
uot~eutro3ut jeuot~?ppe Cue ~ijddns ptte sp.toaar u?e~uteuz jjetjs ro~aer~uo~ •£LS ra~detjJ apoJ
•no~ •xas, q~tn~ ~Cjdutoa jjegs ro~aer~uo~ •rolaerluoJ atj~~o ro~aartp uzer~ord pue raag~o je?aueu:3
~a?qa `raag~o ant~naaxa ~a?qa atp se jjan~ se ~aex~uoJ sttj~ spun ~uauz~.tedaQ atj~ u~?nn Ott?~aer~uoa
~Cl?1ua atj~ sapnjaut `satared pa~ejar uaannlaq suo?~aesuer~ du?~zodar~o sasodmd rod `ro~aer~uoJ atjZ
~raq~o atjl~o satatjod ro suogae aq~ ~aartp ro aauanj~ut ~Cj~ueagtu3ts o~ ratj~ta s~tuuad ~eq~ uo?~etaosse
,Cue ro dttjsraunno uoututoa `a~errreut ro poojq ~Cq .to~aer~uoJ atj~ o~ pa~ejar ~~?qua ro uosrad e st ,C~:d
any rights of copyright, service or trade marks or patents to which a grantee, subgrantee or a
Contractor purchases ownership with contract funds.
e) If the results of the contract performance are subject to copyright law, the Contractor cannot
publish those results without prior review and approval of DSHS. Contractor shall submit
requests for review and approval to the Division Contract Management Unit assigned to the
Program Attaclunent.
Section 13.06 Other Intangible Property. At the conclusion of the contractual relationship
between Department and the Contractor, for any reason, Department shall have the sole owne;rship
rights and interest in all non-copyrightable intangible property that was developed, produced or
obtained by Contractor as a specific requirement under this Contract or under any grant that funds
this Contract, such as domain names, URLs, etc. Contractor shall cooperate with Department: and
perform all actions necessary to transfer ownership of such property to the Department or its
designee, or otherwise affirm Department's ownership rights and interest in such property. Tr-is
provision shall survive the termination or expiration of this Contract.
Section 13.07 Severability and Ambiguity. If any provision of this Contract is construed to be
illegal or invalid, the illegal or invalid provision will be deemed stricken and deleted to the same
extent and effect as if never incorporated, but all other provisions will continue. Parties represent and
agree that the language contained in this Contract is to be construed as jointly drafted, proposed and
accepted.
Section 13.08 Legal Notice. Any notice required or permitted to be given by the provisions of this
Contract shall be deemed to have been received by a Party on the third business day ai:ter the date on
which it was mailed to the Party at the address first given above (or at such other address as tree Party
shall specify to the other Party in writing) or, if sent by certified mail, on the date of receipt.
Section 13.09 Successors. This Contract shall be binding upon the Parties and their successors and
assignees, except as expressly provided in this Contract.
Section 13.10 Headings. The articles and section headings used in this Contract are f'or convenience
of reference only and shall not be construed in any way to define, limit or describe the scope or intent
of any provisions.
Section 13.11 Parties. The Parties represent to each other that they are entities fully i:amiliar with
transactions of the kind reflected by this document, and are capable of understanding the terminology
and meaning of its terms and conditions and of obtaining independent legal advice pertaining to this
Contract.
Section 13.12 Survivability of Terms. Termination or expiration of this Contract or a Program
Attachment for any reason shall not release either Party from any liabilities or obligations set forth in
this Contract that (a) the Parties have expressly agreed shall survive any such terminatiion or
expiration, or (b) remain to be performed or (c) by their nature would be intended to bf: applicable
following any such termination or expiration.
Section 13.13 Direct Operation. The Department may temporarily assume operations of a
Contractor's program or programs funded under this Contract when the continued operation o:f the
General Provisions (Core Subrecipient 2009) 6/5/08 Page 27 o:f 38
8£30 8Z a$Ed 80/5/9 (6002 ~uaidtaazgnS azo~) suo~s~no.~d ~EZaua~
:aiai~ siq~~o uogaas ~uauzpuauz~ atp ut paquas,ap ssaaozd
~uauzpuaure auk tI`dnonp u~cp zar~EZ `~sanbag uoistnag s~io~a~.z;uo~ ~ q`dnozip apuuz aq ~~vu ~a~z~uo~
sib o~ sa~u~ga ~uinnoiIo3 auZ •SHSQ ~q panozdd~ aq ~snuz ~nq `.zo~anx;uo~ acp ~q pa~~i;iut sr ~U~
~au.z}uo~ siq~~o suoisinozd pagiaads ure~aa ~uipuauzu zoo poc~auz ani~EUZa~~ u~ si ~sanbaZi uotsinag
s~.zo~a~.z;uo~ d •suoisinozd ;a~a;ao~ IItg~a~;o IIoisinag ao; ;san6ag s~.~o;aua;IIO~ L I •!~ i uoi~aaS
•ii~~uza zo }~~
`.za~ai ~Cq aq ~C~ut uoi~~a~i~ou aqs •uoi~aas sib ut pa;E.zaumua a~uEua ~iu~3o ~uauzga~~ unez~o.~d a~
o~ pau~iss~ ~iun ~.uauza~~u~y~ ;a~z;uo~ uoistniQ aq~ dui;win ut ~C3gou i~qs s~Ep ua~ utq;inn a.o~a~.r~uo~
•sP~ SHSQ ~uqueiddns you si zo~a~z~uo~ `~a~pnq a~
~uiSu~ua ui ;uq~ papinozd `a~uuga atp ~o ~unouzu acp ~o ssaipre~a~ `ua~~uz pug auzodui uz~~~ozd
uuq~ .zaq~o 3utpun~ SHSQ-uou ~unuaauoa ~a~pnq a~~o a.z~us s~zo~a~.z~uo~ aq~ ui a~u~ga ~ (a
pug `.samsEauz aaueuzzo~.zad zo sangaafgo `x~oM~o adoas
~a~r~uo~ a~ za~i~ ~C~nn ou ui ~~cp a~~n~u~i ~aez~uo~ atp o~ suot~~a~i.~ia zo suoi~aa.uoa zou~uz (p
`pa~u~gaun si ~unouze ~a~pnq iu~o~ aq~ ~uq; papinozd `000 00 i ~-u~
ssai ~o s~uauzga~~ uz~~~ozd ~au.~~uoa ~uauzasmquzta.z ~soa ~o `~o~a~~a ~uauzdmba auk ut;cg
zaq~o `sauo~a~~a ~soa ~aazip ~uoun? %0 i paaaxa ~~q; sza3su~.z~ uza~i auti ~a~pnq anq~inuana (a
`~u~ 3i `~uauznaoQ
uot~~iatioS a~ o} asuodsai s~zo~a~.uuo~ ui pa~~s s~ `iauuos.zad ~a~ .zoo uoi~uuzzo~ui ~a~~uoa (q
`uoi~~uzzo~ui ~a~~uoa pug uos~ad ~a~uoa s~.~o~a~z~uoa (~
:i~nozdd~ zoud s~~uauz~daQ
aq~ zo ~uauzpuauzs uauunn ~ ~noglinn ~a~r~uo~ siu; o~ ap~uz aq ,~~uz sa~u~ua ~uinnoiio~ atiZ
'SIIOISiAO.Id ;,L'.I;IIO~ IIiB;.ia~ O; A~IIL'q~ ~O IIOI;L'~I~I;O j~ S~dO;a~.z;IIO~ 9 I • f: i uOl~aaS
•uot~aas sttp ~i^n aau~iiduzoa ui asinn.zaq~o ~o ~uauzpuauzE ~q ssaiun ~a~uuo~
siga. ~o uot~ipuoa .zo `~u~uanoa `uzia~ ~Cuu anrenn 1ou ~Cuuz SHSQ P~ `uogaas sib cpinn aauETiduzoa
ut palnaaxa st ~u~ la~z~uo~ si~.To ~uauipuauz~ uu o~ ~u~nsmd ~daaxa s~anpozd so xionc- `saatn~as
`spoof i~uoi;ippe zo luala~~ip `~o uot~anpozd so aau~uzzo~zad atp .zo3 ~C~d you ii~us SHSQ Pte' `aanpozd
zo uuo~iad you ii~gs zo~a~.z~uo~ `aiai~ sT~ ui papinozd asrnuatpo s~ ~daaxg 'SHSQ3o uogazasip
aq~ lE pa~u~z~ aq ~C~uz s~sanbaz ~uauzpuaure zo uotsina~ •~sanbaz aq; ~ui~uz ut_ ,C~iap aq~ .io3 uos~az
~ apniaut ~snuz uo~~uagi~snf ua~iznn s~zo~a~z~uo~ `aiq~aiidd~ s~ `uzza~ ~uauzua~~ urez~o.zd zo ~aEZ~uo~
atp ~o za~.z~nb ~sEi auk ~utznp pa~sanbaz s~ }uauzpuaure zo uoisinaz }a~pnq ~ 3i pug `~uauzua~~~
urez~ozd auk o~ pau~iss8 itun luauza~~u~y~ ~a~z~uo~ uotsiniQ atp. o~ `~sanbaz aq1 zoo uot~~ai~t~snC
~ ~uipniaui `~ui~rznn ui pa~cuzgns aq ~snuz s~uauxpuauzu zaq~o zo suotsinaz ~a~pnq ui~~.zaa zoo ~sanbaz
s~zo~a~z~uo~ •aiai~ stip~o uogaas suoisinozd ~a~.~uo~ ui~aza~ o~ uoisinag zoo ~sanba~ s~zo~a~z~ua~
atp zo uot~aas suoisinozd ~a~z~uo~ ure~za~ o~ a~usq~3o uoi~~a~i;oK s~zo~a~z~uo~ aq~ ui pagiaads
asinnza~{lo s~ ~daaxa `satyred uloq ~Cq o~ paaz~u pug ~ui~r_tnn ut aq ~snuz ;a~.~uo~ siq~ o~ sluauzpuaau~
zaq~o iid •zo~aez~uo~ ~o ~uauzaaz~~ ua~~iznn aq~ ~noq~inn ;a~r~uo~ siq~ ~o suzza~ aq~ o:~ ~uEnsmd
spun3 aanpaz ~Ci~za~~iiun ,CEUZ luauxa.redaQ a[p ~Etp aaz~E sated •;IIaiIIpuaIIrd S i • f; i uoi~aaS
•s~anzns aatnzaS zauzo~sn~ ~uipzz~az }, i i Z
za~d~q~ apo~ •norJ •xaZ ~o suoisinozd aq~ cpinn ~Ciduzoa o~ ~uauz~daQ acp ~q pazmbaz s~ uoc~~uzzo~ui
cans ~Ciddns Ii~us zo~a~z~uo~ `pa~sanbaz~i •IIOi;em.~o3aI aain.tas.zauto;sn~ bi'f:i uoi~aaS
•aiq~iiene sanc~~uza~I~ aiq~uos~az ou az~ azaq~ puE `zo1aez~ua~
auk ~q panzas s~uudiai~.red zo/puu sluaiia ~o ~i~a~ES pug q~iEau atp xsu i~ send zo~a~z~uo~ ~Cq uzez~ozd
a) cumulative budget line item transfers among direct cost categories, other than the equiipment
category, that exceed 10% of Program Attachments of $100,000 or more, provided that the
total budget amount is unchanged;
b) line item transfer to other categories of funds for direct payment to trainees for training
allowances;
c) change in clinic hours or location;
d) change in equipment list substituting an item of equipment equivalent to an item of equipment
on the approved budget, (For example, purchase of XYZ brand computer instead of approved
ABC brand computer with essentially identical features as the XYZ computer);
e) changes in the equipment category of a previously approved equipment budget (other Ethan
acquisition of additional equipment, which requires an amendment to this Conract);
f) changes specified in applicable OMB Circular cost principles as requiring prior approval,
regardless of dollar threshold (e.g., foreign travel expenses, overtime premium:>, membership
fees); and
g) changes to community sites, independent school districts or schools, in substance abuse
Progran~ Attachments.
In order to request a revision of any of the enumerated provisions, Contractor shall obtain a Contract
Revision Request form from the DSHS website and complete the form as directed by the Dep,~rtment.
Two copies of the completed form must be signed by Contractor's representative who is authorized to
sign contracts on behalf of Contractor, and both original, signed forms must be submil7ted to tl:ie
Division Contract Management Unit assigned to the Program Attachment. Any approved revision
will not be effective unless signed by the DSHS Director of Client Services Contracting Unit. A
separate Contractor Revision Request is required for each Program Attachment to be revised.
Circumstances of a requested contract revision may indicate the need for an amendment descriibed in
the Amendment section of this Article rather than a contract revision under this section.
Section 13.18 Immunity Not Waived. THE PARTIES EXPRESSLY AGREE THAT NO
PROVISION OF THIS CONTRACT IS IN ANY WAY INTENDED TO CONSTITUTE A
WAIVER BY DEPARTMENT OR THE STATE OF TEXAS OF ANY IMMUNITIES FROM SUIT
OR FROM LIABILITY THAT DEPARTMENT OR THE STATE OF TEXAS MAY ]HAVE ]BY
OPERATION OF LAW.
Section 13.19 Hold Harmless and Indemnification. Contractor, as an independent contractor,
agrees to hold Department, the State of Texas, individual state employees and officers, and the
federal government harmless and to indemnify them from any and all liability, suits, claims, losses,
damages and judgments, and to pay all costs, fees, and damages to the extent that such costs, fires,
and damages arise from performance or nonperformance of Contractor, its employees,
subcontractors, joint venture participants or agents under this Contract.
Section 13.20 Waiver. Acceptance by either Party of partial performance or failure to compl~~in of
any action, non-action or default under this Contract shall not constitute a waiver of eithher Party's
rights under this Contract.
Section 13.21 Technology Accessibility. If performance under this Contract includes the
development, modification or maintenance of a website or other electronic information resources for
General Provisions (Core Subrecipient 2009) 6/5/08 Page 29 of'38
8£.Io 0£ a~Ed 80/S/9 (600Z ~uatdTaaignS a.io~) suocsinoid ~naaua~
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il~oq ~o~ .TO~an.T~uo~ ao~tuouz Iltnn ~uauz~.indaQ ailZ •saoi~aunS pun satpawag Igraaa~ ZO•t~ I uogaaS
•(S'Id~) uTa~s~S ~siZ sata.Tnd papnlaxg atp o~ pappn st .io uo sT io~an.r~uo~ (TI
~o `~an.z~uo~ siTp ui so ~uaumaoQ uot~~iailoS ails o~ asuodsa~
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(~
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pun `~C~iandna uaa~as ilano~ `spunuiuioa aaTOn `uoiilsn~ ~o~ipnn paaunilua un uT papino.id: Innaixia~
u0ijnuLlO~uI `s~CnldsTp InaTildna~ ~uT~n~innu ~o sunauz ~aipo pun spununzioa asnoui o~ sani~nu.ia~:~n
pinoq~Caal `off pa~iunl you ain ~nq `apnlauT paptno.id aq ~q~iuz ssaaan ~ualnnmba T{aiTIM ~q spoTpai~.u
~o salduznxg •sMnl In.Tapa~ .io a~n~s .inltuits ao dad sat~TlignsiQ Tl~inn sunauauz~ In.iapa~ ,atl~ aapun
suoTlnpouiuioaan algnuosna.i a~n~T~suoa plnoM ~.nil~ saaTn.Tas .io saainap anT~sissn sn gans `zo~an.t~uo~
P~ SHSQ ~q o~ paaa~n ,Cl~uiof sunauz algnuosnai .iail~o ~Cq .io ~C~olougaa~ aip uTTI~~M pa~niodzoaiTT
sa.zn~na~ ~(q ~Ilaa.Ttp .iaq~ia `aamosa.z uognuuo~ui aiuo.i~aala aTl~ ~o asn a~lnui .zo il~iM a~na~~unuiuzoa
o1,~~tl~ge .inltuzts ~IInT~un~sgns ~ sunaui «ssaaan ~ualnnmba„ asnnld aq~ `uoT~aas sttj~ ~o sasodmd .io~3
•uoi~nuuo~iTt ~ui~nutuzassip pun `~uinaulaa `~uiure~go .ion salioMlau out pa~n~a~ui ~uiaq (a
pun `.suoT~naiunuxuioa ani~an~a~ui .ion pasn siduioid ~uipnlauT `uognuuo~ui ~ut~uasaa~d (q
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- ~o `~~olougaa~ .iaTl~o Tl~inn asn
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`algndna a.re asnTla.znd .ion SHSQ of .zo~anx~uo~ .~Cq papino.Td saa.znosa.i uoi~nuT~o~ut aruo.~aal,a ails snip
SHSQ o~ s~ununM pun s~uasaida.T ~o~anuuo~ `~Cl~uip.zoaa~ •papuauzn sn `£L6 T 30 ~a~ uo~~n~~ilignila~g
aill,lo gOS uot~aaS ~q paugap sn sat~Tlignsip ~uiu.inal ant~cu~oa pun `Ina~s~Cild/.io~ouz `~utanail `Innsrn
T{1iM suosiad ~Cq .C~iligissaaan o~ ~ut~nla.T s~uauiairnba.z ~.zo~nln~a.i pun ~C.zoin~n~s ure~.Taa ~aauz saa~nosa.i
asoTl~ ssalun saa.Tnosa.i uoT~nuxto~uT acuo.z~aaia ~o asngamd ails TI;iM uoT~aauuoa uT papuadxa aq ~o~u
~Cnur spunn~ a~n~s ~nil~ sa~palnnoualan ~ilssaidxa .io~ana~uo~ `SHSQ 303inilaq uo ailgnd aq~ .ion ,io SHS~~
services or goods. HHSC OIG may investigate, audit and impose or recommend impc-sition of
sanctions to Department for any breach of this Contract and may monitor Contractor for financial
compliance. The Department may impose one or more remedies or sanctions for each item oaf
noncompliance and will determine sanctions on a case-by-case basis. Contractor is re:>ponsible for
complying with all of the terms of this Contract. The listing of or use of one or more of the remedies
or sanctions listed below does not relieve Contractor of any obligations under this Contract. A state
or federal statute, rule or regulation, or federal guideline will prevail over the provisions of this
Article unless the statute, rule, regulation, or guideline can be read together with the provision(s) of
this Article to give effect to both. If the Contractor breaches this Contract by failing to comply with
one or more of the terms of this Contract, including but not limited to compliance witl~~ applics~ble
statutes, rules or regulations, the Department may take one or more of the actions listed below:
a) terminate this Contract or a Program Attachment of this Contract as it relates to a specific
program type. In the case of termination, the Department will inform Contractor of the
termination no less than thirty-one (31) calendar days before the effective date of the
termination in a notice of termination. The notice of termination will state the effective date
of the termination, the reasons for the ternination, and, if applicable, alert the Contractor of
the opportunity to request a hearing on the termination pursuant to Tex. Gov. Code Chapter
2105 regarding administration of Block CTrants. The Contractor agrees that it shall not make
any claim for payment or reimbursement for services provided from the effective date of
termination;
b) suspend all or part of this Contract. Suspension is, depending on the context, either (1;) the
temporary withdrawal of Contractor's authority to obligate funds pending corrective action by
Contractor or its subcontractor(s) or pending a decision to terminate or amend this Conrtract,
or (2) an action. taken by a suspending official in accordance with Department rules to
immediately exclude a person from participating in contract transactions for a F-eriod of time,
pending completion of an investigation and such legal or debarment proceedin€;s as may
ensue. Contractor may not bill DSHS for services performed during suspension, and
Contractor's costs resulting from obligations incurred by Contractor during a suspension are
not allowable unless expressly authorized by the notice of suspension;
c) deny additional or future contracts or renewals with Contractor;
d) reduce funding if the Contractor fails to provide services or goods consistent wiith
performance expectations described in this Contract;
e) disallow costs and credit for matching funds, if any, for all or part of the activities or action
not in compliance;
f) temporarily withhold cash payments. Temporarily withholding cash payments means ithe
temporary withholding of a working capital advance, if applicable, or reimbursements or
payments to Contractor for proper charges or obligations incurred, pending resolution of
issues of noncompliance with conditions of this Contract or indebtedness to the United States
or to the State of Texas;
g) permanently withhold cash payments. Permanent withholding of cash payment: means that
Department retains funds billed by Contractor for (1) unallowable, undocumented, disputed,
inaccurate, improper, or erroneous billings; (2) material failure to comply with Contract
provisions; or (3) indebtedness to the United States or to the State of Texas;
General Provisions (Core Subrecipient 2009) 6/5/08 Page 31 of'38
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:io~a~.~uo~
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`~o~aEr;uo~ ~Cq spunk ~o am;ipuadxa zoo si~no~ddn roud Ieuoi~ippe ustlq~sa (Lu
`.aau~sisse I~ua~nu~ux io I~aTUuaa~ ut~go o~ ro~aex~uo~ a.zmbai (I
:pagstiduzoaa~ aq ,Ciaut~no.~ pino,~n
ueq~ ~uauz~daQ ,~q pauuo~rad aq ii?M 3uuo~tuouz anisua}xa a~oui ro ~uanbai~ azoui su~aizz
~uuo~iuouc pa~eraiaaa~ •.zo~a~.~uo~ ~Cq unnogs ~uauianoiduit Iet;ue~sgns .to paniosa.z aq ~sniu
aauetlduzoauou ;o suia~T auiti gan{nn ~e suluouz (q) xis paaaxa o~ you pouad ~ .to; ~uuo~tuo~~z
pa~ecaiaaae uo paaeld aq iltnn ro;aer~uo~ 1~~{i suEaux uoq~gord •uot;ngord uo .zo~aE.~uo~ aa~~d (x
`uoc~njosaz ~utpuad air suot~au~s pasodord
.zo pasoduzi .~a~o aitunn ro~aE.z~uo~ [~tnn IEn~aua.~ ~aei~uoa ro ~aez~uoa nnau a ~o uo~~naaxa ~C~Iap (f
`.sexaZ ~o a~e~S
acp q~tnn satltun~roddo ~ui~ae.z~uoa am~n~ ut ~ui~edtai~d uzoz~ parz~q pug `~sti piq a~~s .~aga.o
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`.~ae.z~ua~
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.~o ie~aliT senn ~ansluo~ stu; ~e~ uoi~eutuualap s~luauz~redaQ acp uodn ro ~Cl~uainpne.z~ paut~~go
s~nn ~a~.z~uo~ siq~ ~eq~ uot~eutuua~ap s~luauz~redaQ aq~ uodn pion laEiiuo~ stuff a.~iaa~p (u
reconsideration of the remedies and sanctions imposed. Other than in the case of repayment or
recoupment, Contractor is required to file, within fifteen (15) calendar days of receipt of notice, a
written response to Department acknowledging receipt of such notice. If requested by the
Department, the written response shall state how Contractor shall correct the noncompliance .or
demonstrate in writing that the findings on which the remedies or sanction(s) are based are either
invalid or do not warrant the remedies or sanction(s). If Department determines that a. remedy or
sanction is warranted, unless the remedy or sanction is subject to review under a federal or state
statute, regulation, rule, or guideline, Department's decision is final. Department shall provide written
notice to Contractor of Department's decision. If required by the Department, Contractor shall take
corrective action. If DSHS determines that repayment is warranted, DSHS will issue a demand letter
to Contractor for repayment. If full repayment is not received within the time limit stated in t:he
demand letter, and if recoupment is available, DSHS will recoup the amount due to DSHS from funds
otherwise due to Contractor.
Section 14.04 Emergency Action. In an emergency, Department may immediately terminate or
suspend all or part of this Contract, temporarily or permanently withhold cash payments, deny
contract renewal or future contract awards, or delay contract execution by delivering v~rritten notice to
Contractor, by any verifiable method, stating the reason for the emergency action. An "emerg;ency"
is defined as the following:
a) Contractor is noncompliant and the noncompliance has a direct adverse impact on the public
or client health, welfare or safety. The direct adverse impact may be programmatic or
financial and may include failing to provide services, providing inadequate services,
providing unnecessary services, or utilizing resources so that the public or clients do not
receive the benefits contemplated by the scope of work or performance measures; or
b) Contractor is expending funds inappropriately.
Whether Contractor's conduct or noncompliance is an emergency will be determined by Depaurtment
on a case-by-case basis and will be based upon the nature of the noncompliance or conduct.
ARTICLE XV CLAIMS AGAINST THE DEPARTMENT
Section 15.01 Breach of Contract Claim. The process for a breach of contract claim against the
Department provided for in Tex. Gov. Code Chapter 2260 and implemented in Department Rules § §
1.431-1.447 shall be used by DSHS and Contractor to attempt to resolve any breach of contract claim
against DSHS.
Section 15.02 Notice. Contractor's claims for breach of this Contract that the Parties cannot resolve
in the ordinary course of business shall be submitted to the negotiation process provided in Tee:. Gov
Code Chapter 2260, subchapter B. To initiate the process, Contractor shall submit written notice, as
required by subchapter B, to DSHS's Office of General Counsel. The notice shall specifically state
that the provisions of Chapter 2260, subchapter B, are being invoked. A copy of the notice shall also
be given to all other representatives of DSHS and Contractor. Subchapter B is a condition precedent
to the filing of a contested case proceeding under Tex. Gov. Code Chapter 2260, subchapter C.
General Provisions (Core Subrecipient 2009) 6/5/08 Page 33 of 38
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competing or noncompeting continuation, renewal, extension, or supplemental award; or (4) voiding
of a contract upon determination that the award was obtained fraudulently, or was otherwise illegal or
invalid from inception.
Section 16.04 Termination Without Cause.
a) Either Party may terminate this Contractor a Program Attachment, as applicable, with at least
thirty (30) calendar days prior written notice to the other Party, except that if Contractor seeks
to terminate a Contract or Program Attachment that involves residential client services,
Contractor must give the Department at least ninety (90) calendar days prior v/ritten notice
and must submit a transition plan to ensure client services are not disrupted.
b) The Parties may terminate this Contract or a Program Attachment by mutual agreement.
c) Either Party may terminate this Contract or a Program Attachment with at least thirty (30)
calendar days prior written notice to the other Party in the event funds become unavailable
through lack of appropriations, budget cuts, transfer of funds between programs or health and
human services agencies, amendments to the Appropriations Act, health and human services
consolidations, or any disruption of current appropriated funding for this Contract or program
Attachment.
d) Department may terminate this Contract or a Program Attachment immediately when., in the
sole determination of Department, termination is in the best interest of the State of Texas.
Section 16.05 Termination For Cause. Either Party may terminate for material breach of this
Contract with at least thirty (30) calendar days written notice to the other Party. Department may
terminate this Contract, in whole or in part, for breach of contract or for any other conduct that
jeopardizes the Contract objectives, by giving at least thirty (30) calendar days written notice to
Contractor. Such conduct may include one or more of the following:
a) a court of competent jurisdiction finds that Contractor has failed to adhere to any laws,
ordinances, rules, regulations or orders of any public authority having jurisdiction;
b) Contractor fails to communicate with Department or fails to allow its employees or those of
its subcontractor to communicate with Department as necessary for the performance of this
Contract;
c) Contractor breaches a standard of confidentiality with respect to the services provided under
this Contract;
d) Department determines that Contractor is without sufficient personnel or resources to :perform
under this Contract or that Contractor is otherwise unable or unwilling to fulfill any of its
requirements under this Contract or exercise adequate control over expenditures or assets;
e) Department determines that Contractor, its agent or another representative offered or gave a
gratuity (e.g., entertainment or gift) to an official or employee of DSHS or HHSC for t:he
purpose of obtaining a contract or favorable treatment;
f) Department determines that this Contract includes financial participation by a person who
received compensation from DSHS to participate in developing, drafting or preparing the
specifications, requirements or statement(s) of work or Solicitation Document on which this
Contract is based in violation of Tex. Gov. Code § 2155.004;
g) Contractor appears to be financially unstable. Indicators of financial instability may include
one or more of the following:
1) Contractor fails to make payments;
2) Contractor makes an assignment for the benefit of its creditors;
General Provisions (Core Subrecipient 2009) 6/5/08 Page 35 of 38
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terminated for cause is not eligible for expansion of current contracts, if any, or new contract;> or
renewals until the Department has determined that Contractor has satisfactorily resolved the issues
underlying the suspension or termination. Additionally, if this Contract is found to be void, any
amount paid is subject to refund.
Section 17.03 Appeals Rights. Pursuant to Tex. Gov. Code § 2105.302, after receiving notice from
the Department of termination of a contract with DSHS funded by block grant funds, Contractor may
request an administrative hearing under Tex. Gov. Code Chapter 2001.
ARTICLE XVIII CLOSEOUT AND CONTRACT RECONCILIA7'lON
Section 18.01 Cessation of Services At Closeout. Upon expiration of this Contract or Program
Attachment, as applicable, (and any renewals of this Contract or Program Attachment 1 on its own
terms, Contractor shall cease services under this Contract or Program Attachment and shall cooperate
with DSHS to the fullest extent possible to ensure the orderly and safe transfer of responsibilities
under this Contract to DSHS or other entity designated by DSHS. Upon receiving notice of Contract
or Program Attachment termination or non-renewal, the Contractor agrees to immediately begin to
transition recipients of services to alternative service providers, as needed. Contractor also agrees to
completely cease providing services under this Contract or Program Attachment by the date specified
in the termination or non-renewal notice. Contractor shall not bill DSHS for services performed after
termination or expiration of this Contract or Program Attachment, or incur any additional expenses
once this Contract or Program Attachment is terminated or has expired. Upon termination, expiration
or non-renewal of this Contract or a Program Attachment, Contractor shall immediately initiaite
Closeout activities described in this Article.
Section 18.02 Administrative Offset. The Department shall have the right to administratively offset
amounts owed by Contractor against billings.
Section 18.03 Deadline for Closeout. Contractor shall submit all financial, performance, and other
Closeout reports required under this Contract within sixty (60) calendar days after the Contract or
Program Attachment end date. Unless otherwise provided under the Final Billing Submission. section
of the Payment Methods and Restrictions Article, the Department is not liable for any claims ghat are
not received within sixty (60) calendar days after the Contract or Program Attachment end date.
Section 18.04 Payment of Refunds. Any funds paid to the Contractor in excess of the amount to
which the Contractor is finally determined to be entitled under the terms of this Contract constitute a
debt to the Department and will result in a refund due. Contractor shall pay any refund amount due
within the time period established by the Department.
Section 18.05 Disallowances and Adjustments. The Closeout of this Contract or Program
Attachment does not affect the Department's right to disallow costs and recover funds on the basis of
a later audit or other review or the Contractor's obligation to return any funds due as a result oaf later
refunds, corrections, or other transactions.
Section 18.06 Contract Reconciliation. If Contractor is required to annually reconcile multi-year
contracts, Contractor, within sixty (60) calendar days after the end of each year of this Contract, shall
General Provisions (Core Subrecipient 2009) 6/5/08 Page 37 oaf 38
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CONTRACT NO. 2009-029159-
PROGRAM ATTACHMENT NO. 001
PURCHASE ORDER NO. 0000342055
CONTRACTOR: CITY OF PORT ARTHUR
DSHS PROGRAM: IMMUNIZATION BRANCH -LOCALS
TERM: 09/01/2008 THRU: 08/31/2009
SECTION I. STATEMENT OF WORK:
Contractor shall implement an immunization program for children, adolescents, and
adults, with special emphasis on accelerating interventions to improve the immunization
coverage of children two (2) years of age or younger (up to 35 months of age).
Contractor shall incorporate traditional and non-traditional systematic approaches
designed to eliminate barriers, expand immunization capacity, and establish uniform
operating policies, as described herein.
Contractor shall plan and implement community-based activities to accomplisl- the
required tasks as specified in the final, approved work plan (Exhibit A) and according to
guidelines specified in the DSHS Immunization Contractors Guide for Local Health
Departments (located at
http://www.dshs. state.tx.us/immunize/providers.shtm#resources).
Contractor shall be enrolled as a provider in the Texas Vaccines for Children Program
(TVFC) by the effective date of this program attachment, and must adhere to the TVFC
Operations Manual and associated TVFC policy guidelines provided by DSHS (located at
http://www.dshs.state.tx.us/immunize/tvfc/tvfc manual shtm). Contractor shall comply
with written policies and procedures provided by DSHS in managing vaccines supplied
through the TVFC program, including guidelines for proper storage and handling of
vaccines and for safeguarding vaccine in the event of natural disaster.
Contractor shall report all reportable conditions as specified in 25 Texas Administrative
Code (TAC) Part I §§97.1-97.6 and §§97.101-97.102, and as otherwise required by law.
Contractor shall report all vaccine adverse event occurrences in accordance with the 1986
National Childhood Vaccine Injury Act (NCVIA) 42 U.S.C. § 300aa-25 (locate;d at
http://vaers.hhs.gov/default.htm).
Contractor shall inform and educate the public about vaccines and vaccine-preventable
diseases, as described in the DSHS Immunization Local Health Department (L,HD)
Contractor's Guide.
ATTACHMENT -Page 1
Contractor shall work to promote a health care workforce within the Local b][ealth
Department's service area (including Contractor's staff) that is knowledgeable .about
vaccines, vaccine safety, vaccine-preventable diseases, and delivery of immuni~:ation
services.
Contractor shall implement DSHS's new vaccine management systerri, the
Pharmacy Inventory Control System (PIGS), as the system becomes avaiilable
throughout the state. Implementation will include using PIGS in Contractor's
clinics, promoting the use of the system in non-health department TVFC
provider offices, and performing updates to the system on behalf of TVFC
provider offices that submit monthly doses administered and vaccine
accounting reports in hardcopy. Contractors shall notify providers of changes
to PIGS ,and present updates and training on PIGS to providers, as requested
by DSHS ,when PIGS is implemented within the Contractor's service area.
Contractor shall not charge a fee for vaccines supplied through the TVFC program. All
TVFC-supplied vaccines shall be used solely for purposes of this Program Attachment
and shall not be sold.
In accordance with 25 TAC § 1.91, Contractor shall not collect vaccine administration
fees from Medicaid and Children's Health Insurance Program (CHIP) recipients. Vaccine
administration fees collected from non-Medicaid patients shall not exceed those
established in Section Two, Part Four of the TVFC Operations Manual. Fee schedules
shall not be based on vaccine type, formulation, or dose in series.
Contractor shall not deny vaccinations to recipients because they do not reside within
Contractor's jurisdiction or because of an inability to pay an administration fee.
All equipment used by Contractor which is provided by DSHS shall be accounted l:or as
public property. The DSHS Program will investigate equipment loss, destruction, or
other waste and may require (at its discretion) Contractor to replace or reimburse the
DSHS Program. This provision does not waive any other remedies legally available to
DSHS regarding contract breaches.
Contractor shall comply with all applicable federal and state regulations and statutes,
including but not limited to:
• Human Resources Code §42.043, VTCA;
• Education Code §§38.001-38.002, VTCA;
• Health and Safety Code §§12.032, 81.023 and 161.001-161.009, VTCA;
• 25 TAC Chapter 97;
• 25 TAG, Chapter 96;
• 25 TAG, Chapter 100;
• 42 USC §§247b and 300 as-25; and
• Omnibus Budget Reconciliation Act of 1993, 26 USC §4980B.
ATTACHMENT -Page 2
Contractor shall comply with current applicable state and federal standards, policies and
guidelines, including but not limited to DSHS's Standards for Public Health Clinic
Services, revised August 31, 2004 (located at
http://www.dshs. state.tx.us/qmb/default. shtm#public).
Contractor shall be responsible for conducting outreach regarding vaccinations for
children 19 through 35 months of age in the Contractor's jurisdiction, who are included
on the list that will be distributed to Contractor by DSHS at the start of each tri-annual
reporting period (September 1, 2008, January 1, 2009, and May 1, 2009).
Contractor shall complete all required activities listed in the final, approved work plan, at
attached Exhibit A.
SECTION II. PERFORMANCE MEASURES:
The following performance measure(s) will be used, in part, to assess Contractor's
effectiveness in providing the services described in this Program Attachment, without
waiving the enforceability of any of the terms of the Contract:
LHDs shall investigate and document, in accordance with DSHS Texas Vaccine-
Preventable Disease Surveillance Guidelines (located at
http://www.dshs.state.tx.us/idcu/health/vaccine~reventable_diseases/resourc:es/v
pd_guide.pdf) and NBS Data Entry Guidelines, 100% of suspected reportable
vaccine-preventable disease cases within thirty (30) days of notification.
• LHDs shall complete 100% of the follow-up activities, designated by DSHS, for
TVFC provider quality assurance site visits assigned by DSHS.
• LHDs shall contact and provide case management to 100% of the number of
hepatitis B surface antigen-positive pregnant women identified.
• LHDs shall contact 100% or 400 per FTE (whichever is fewer) families of
children who are not up-to-date on their immunizations according to the
ImmTrac-generated list provided to the LHD by DSHS at the beginning of each
reporting period.
• LHDs shall review 100% of monthly biological reports, vaccine order i:orms
(when applicable), and temperature logs for accuracy to ensure the vaccine supply
is within established maximum stock levels.
• LHDs shall complete 100% of child-care facility and Head Start center
assessments, in accordance with the Immunization Population Assessment
Manual, as assigned by DSHS.
ATTACHMENT -Page 3
LHDs shall complete 100% of public and private school assessments,
retrospective surveys, and validation surveys, in accordance with the
Immunization Population Assessment Manual, as assigned by DSHS.
Contractor shall utilize the AFIX (Assessment, Feedback, Incentives, and eXchange)
methodology, found in the Immunization Quality Assurance Tool Resource Manual,
(located at http://www.dshs.state.tx.us/immunize/docs/OA site visit pdf) to conduct
quality assurance site-visits for all sub-contracted entities and non-local health
department Women, Infant and Children (WIC) .clinics. Assessment shall be done
using the DSHS Immunization Quality Assurance Site Visit tool provided by DSHS
and the Comprehensive Clinic Assessment Software Application (Co-CASt~-), as
specified by the DSHS Program. Contractor shall submit assessment results t:o the
designated DSHS Regional Immunization Program manager within two (2) vveeks
after completion.
Contractor is required to complete and submit the following tri-annual reports, utili2:ing a
format provided by the DSHS Program:
Re ort T e Re ortin Period Re ort Due Date
Pro aromatic 9/1/08 -12/31/08 1/30/09
Pro aromatic 1/1/09 - 4/30/09 5/30/09
Programmatic 5/1/09 - 8/31/09 09/30/09
Tri-annual reports should be submitted electronically to
immunizationcontracts@dshs.state.tx.us, the Contract Management Unit in Austin,
Texas.
Contractor must receive written approval from DSHS before varying from applicable
policies, procedures, protocols, and/or work plans, and must update and disseminate its
implementation documentation to its staff involved in activities under this contract vrithin
forty-eight (48) hours of making approved changes.
SECTION III. SOLICITATION DOCUMENT:
NA
SECTION N. RENEWALS:
DSHS may renew the Program Attachment for up to four (4) twelve month terms at
DSHS's sole discretion.
ATTACHMENT -Page 4
SECTION V. PAYMENT METHOD:
Cost Reimbursement
Funding is further detailed in the attached Categorical Budget and, if applic;able,
Equipment List.
SECTION VI. BILLING INSTRUCTIONS:
Contractor shall request payment using the State of Texas Purchase Voucher (Form 13-13)
and acceptable supporting documentation for reimbursement of the required
services/deliverables. Vouchers and supporting documentation should be mailf;d or
submitted by fax or electronic mail to the addresses/number below.
Department of State Health Services
Claims Processing Unit
1100 West 49~h Street
P. O. Box 149347
Austin, Texas 78714-9347
The fax number for submitting State of Texas Purchase Voucher (Form B-13) t~o the
Claims Processing Unit is (512) 458-7442. The email address; is
invoices(a~dshs.state.tx.us.
SECTION VII. SPECIAL PROVISIONS:
General Provision, Funding Article, Use of Funds Section, is revised to include:
Funds shall not be used for purchase of vaccines, inpatient care, construction of
facilities, or debt retirement.
Travel expenses shall be reimbursed according to Contractor's written travel policy,
as submitted and approved with Contractor's FY09 Application for Immunisation
Funds. If no written travel policy was submitted, or if the submitted policy i.s not
approved by DSHS, travel expenses shall be reimbursed according to current state
travel regulations located at http://www.window.state.tx.us/comptrol/texastra.html.
For immunization activities performed under this Program Attachment, General
Provisions, General Business Operations of Contractor Article, Overtime
Compensation Section, is replaced with the following paragraphs:
Contractor is authorized to pay employees who are not exempt under the; Fair
Labor Standards Act (FLSA), 29 USC, Chapter 8, §201 et seq., for overtime or
compensatory time at the rate of time and one-half per FLSA.
ATTACHMENT -Page 5
Contractor is authorized to pay employees who are exempt under FLSA on a
straight time basis for work performed on a holiday or for regular compensatory
time hours when the taking of regular compensatory time off would be disruptive
to normal business operations.
Authorization for payment under this provision is limited to work directly related
to immunization activities and shall be in accordance with the amount budgeted in
this contract Attachment. Contractor shall document proper authorization or
approval for any work performed by exempt or non-exempt employees in e:KCess
of forty (40) hours per work week.
SECTION VIII. BUDGET:
SOURCE OF FUNDS: CFDA #93.268 and STATE
ATTACHMENT -Page 6
2009-02.9159-001
Categorical Budget:
PERSONNEL
FRINGE BENEFITS
TRAVEL
EQUIPMENT
SUPPLIES
CONTRACTUAL
OTHER
TOTAL DIRECT CHARGES
INDIRECT CHARGES
TOTAL
DSHS SHARE
CONTRACTOR SHARE
OTHER°MATCH
$107,$48.00
$45,533.00
$2,275.00:
$0.00
$1,500.OQ
$0.00
$5,474, 00
$162,630,00
$0,00
$162,630,00
$162,630'00
$0.00
$0.00
Total reimbursements will not exceed $162,630.00
Financial status reports are due: 12/30/2008, 03/30/2009, 06/30/2009, 10/30/2009
TE ~,,
~;.~ ~ TEXAS DEPARTMENT OF STATE HEALTH SERVICES
CERTIFICATION REGARDING LOBBYING
CERTIFICATION FOR CONTRACTS GRANTS LOANS AND COOPERATIVE
AGREEMENTS
The undersigned certifies, to the best of his or her knowledge and belief that:
(1) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to
any person for influencing or attempting to influence an officer or an employee of any agency, a
member of Congress, an officer or employee of Congress, or an employee of a member of Con€zess in
connection with the awarding of any federal contract, the making of any federal grant, the makking of
any federal loan, the entering into of any cooperative agreement, and the extension, continuation,
renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a member of Congress,
an officer or employee of Congress, or an employee of a member of Congress in connection with this
federal contract, grant. loan, or cooperative agreement, the undersigned shall complete and submit
Standard Form LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the award
documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants,
loans and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction
was made or entered into. Submission of this certification is a prerequisite for making or entering into this
transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required
certification shall be subject to a civil penalty of not less that $10,000 and not more than $100,000 for each
such failure.
Signature Date
Stephen Fitzgibbons, City Manager
Print Name of Authorized Individual
2009-029159
Application or Contract Number
CITY OF PORT ARTHUR
Organization Name
CSCU # EF29-12374 -Revised 013.10.07
Exhibit A
WORK PLAN
Contractors are required to perform all activities of the annual Work Plan in compliance with all
documents referenced in this Work Plan.
1. PROGRAM PLANNING AND EVALUATION
General Requirement IA: Implement a comprehensive immunization program. Activities under this
requirement shall be conducted in accordance with the DSHS Immunization Contractors Guide for i:ocal
Health Departments.
Activities lA:
• Adhere to Standards for Child and Adolescent Immunization Practices and Standards for Adult
Immunization Practices found at:
http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/H/standards-pediatric.pdf and
http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/H/standards-adu It.pdf.
• Maintain staffing levels to meet required activities of the contract.
• Lapse no more than 5% of total funded amount of the contract.
• Submit required tri-annual reports by January 30, May 30, and October 15 of each contract term..
• Maintain current policies in compliance with the DSHS Immunization Contractors Guide for 1vocal
Health Departments and have them available to Contractor's staff.
2. VACCINE MANAGEMENT
(http://www.dshs.state.tx.us/immunize/tvfc/tvfc_manual . shtm)
General Requirement 2A: Ensure that expired, wasted, and unaccounted-for vaccines do not exceed 5%
in Contractor clinics. Activities under this requirement shall be conducted in accordance with the DSHS
Immunization Contractors Guide for Local Health Departments and TVFC Operations Manual.
Activity 2A:
• Maintain storage and handling polices and procedures according to the TVFC Operations Manual.
General Requirement 2B: Assist all other TVFC providers in local jurisdiction with maintaining
appropriate vaccine stock levels. Activities under this requirement shall be conducted in accordance with
the DSHS Immunization Contractors Guide for Local Health Departments and TVFC Operations Manual.
Activities 2B:
• Evaluate maximum vaccine stock levels twice a year in all TVFC provider clinics under Contractor
jurisdiction and assess providers' inventories during site visits.
• Review vaccine orders, monthly biological reports, and. monthly temperature logs for accuracy and to
ensure that the vaccine supply requested is within established maximum stock utilizing the Pharmacy
Inventory Control System (PIGS) as it becomes available.
3. REGISTRIES
(http://www.dshs.state.tx.us/immunize/providers.shtm and
http://dshs.state.tx.us/immunize/immtrac/default.shtm)
General Requirement 3A: Effectively utilize ImmTrac (the DSHS on-line immunization registry) in
Contractor clinics. Activities under this requirement shall be conducted in accordance with the DSHS
Immunization Contractors Guide for Local Health Departments.
EXHIBIT -Page 1
Activities 3A:
• Search for the child's immunization history at every client encounter.
• Review the client's record for vaccines due and overdue according to the CDC Recommended
Schedule at http://www.cdc.gov/vaccines/recs/schedules/child-schedule.htm#printable.
• Report to ImmTrac all immunizations administered in Contractor clinics, either directly into
ImmTrac online or through TWICES.
• Update demographic information as needed.
• Follow recommended guidelines for obtaining and submitting ImmTrac consent forms according to
the instructions found at http://www.dshs.state.tx.us/immunize/docs/consent_guidelines.pdf and
verify that a child does not already have a record in ImmTrac prior to sending consent fornns to
DSHS Austin.
• Implement changes to the consent process as directed by DSHS.
• Offer updated Immunization History Report to the child's parent or guardian at every client
encounter.
• At every client encounter, compare all immunization histories (ImmTrac, TWICES, validated
parent-held records, clinic medical record) and enter into ImmTrac or TWICES any historical
immunizations not in ImmTrac.
General Requirement 3B: Work in good faith, and as described herein, to increase the number of children
less than six years of age who participate in ImmTrac by 5%. Activities under this requirement shall be
conducted in accordance with the DSHS Immunization Contractors Guide for Local Health Departmem!s.
Activity 3B:
• Verbally, and with DSHS produced literature, inform parents presenting at Contractor's clinics
about ImmTrac and the benefits of inclusion in ImmTrac.
General Requirement 3C: Work in good faith, and as specified herein, to ensure ImmTrac-registered
private providers use ImmTrac effectively as defined in the DSHS Immunization Contractors Guide for
Local Health Departments. Activities under this requirement shall be conducted in accordance withh the
DSHS Immunization Contractors Guide for Local Health Departments.
Activities 3C:
• Provide orientation to all ImmTrac providers at least once a year and maintain documentation of all
technical assistance provided (e.g. telephone logs).
• Explain and demonstrate the effective use of ImmTrac according to the instructions located i:n the
DSHS Immunization Contractor's Guide for Local Health Departments.
• Explain guidelines for obtaining and submitting ImmTrac consent forms according to the
instructions found at http://www.dshs.state.tx.us/immunize/docs/consent guidelines.pdf.
• Conduct follow-up with registered ImmTrac providers who are inactive or not using ImmTrac
effectively.
General Requirement 3D: Ensure that ImmTrac data, entered by Contractor's staff, is complete, cwrrent,
and accurate. Activities under this requirement shall be conducted in accordance with the DSHS
Immunization Contractors Guide for Local Health Departments.
Activities 3D:
• Train Contractor staff on ImmTrac data entry and quality standards.
• Update all demographic information, including address and telephone number, at every client
encounter.
4. PROVIDER QUALITY ASSURANCE (http://www.dshs.state.tx.us/immunize/tvfc/tvfc_manual.shtm)
EXHIBIT -Page 2
General Requirement 4: Complete 100% of follow-up site visits assigned by DSHS Austin or H~°alth
Service Region staff. Activities under this requirement shall be conducted in accordance with the DSHS
Immunization Contractors Guide for Local Health Departments.
Activities 4:
• Conduct follow-up visits and submit results within deadlines established in the TVFC Operations
Manual.
Conduct site visits in 100% of subcontracted entities as listed in the Inter-Local Application and
non-Local Health Department WIC immunization clinics, if applicable.
5. PERINATAL HEPATITIS B PREVENTION
(l~ttp: //www. dshs. state. tx. us/idcu/disease/hepatitis/hepatitis_b/perinatal/manual/ )
General Requirement SA: 100% of the number of HBsAg-positive pregnant women identified (through
contacts by prenatal health care providers, hospitals, electronic laboratory reporting, regional and Local
Health Departments) will be reported to DSHS. Activities under this requirement shall be conducted in
accordance with the DSHS Immunization Contractors Guide,for Local Health Departments and Perinatal
Hepatitis B Prevention Manual.
Activity SA: Contractor staff nurses will participate in targeted training to providers and delivery
hospitals.
General Requirement 5B: Work in good faith, and as described herein, to ensure that 100% of the
number of infants born to HBsAg-positive women will receive appropriate and required
immunoprophylaxis including hepatitis B immune globulin (HBIG), the hepatitis B vaccine birth dose and
will complete the Hepatitis B vaccine series. Activities under this requirement shall be conducted in
accordance with the DSHS Immunization Contractors Guide,for Local Health Departments and Perinatal
Hepatitis B Prevention Manual.
Activity 5B: Conduct Perinatal Hepatitis B case management according to the Perinatal Hepatitis B
Prevention Manual.
General Requirement 5C: Work in good faith, and as described herein, to ensure that 100% oi' the
number of identified infants born to HBsAg-positive women will complete post-vaccination serology
testing or staff will document appropriately if lost to follow-up. Activities under this requirement shall be
conducted in accordance with the DSHS Immunization Contractors Guide for Local Health Departments
and Perinatal Hepatitis B Prevention Manual.
Activity 5C: Conduct Perinatal Hepatitis B case management according to the Perinatal Hepatitis B
Prevention Manual.
General Requirement 5D: 100% of the number of household and sexual contacts to HBsAg-positive
women will be identified. Activities under this requirement shall be conducted in accordance withi the
DSHS Immunization Contractors Guide for Local Health Departments and Perinatal Hepatitis B
Prevention Manual.
Activity 5D: Conduct Perinatal Hepatitis B case management according to the Perinatal Hepatitis B
Prevention Manual.
General Requirement 5E: 100% of the number of household and sexual contacts to HBsAg-positive
women will complete the Hepatitis B vaccine series or staff will document appropriately if lost to follow-
EXHIBIT -Page 3
up. Activities under this requirement shall be conducted in accordance with the DSHS Immuni,~ation
Contractors Guide for Local Health Departments and Perinatal Hepatitis B Prevention Manual.
Activity SE: Conduct Perinatal Hepatitis B case management according to the Perinatal Hepatitis B
Prevention Manual.
6. EDUCATION, INFORMATION, TRAINING, AND COLLABORATIONS
(http://www.dshs. state.tx.us/immunize/providers. shtm)
General Requirement 6A: Conduct educational, promotional, and outreach activities for the general
public to enhance immunization awareness, including distribution of DSHS-provided materials. Activities
under this requirement shall be conducted in accordance with the DSHS Immunization Contractors Guide
for Local Health Departments.
Activities 6A:
• Inform and educate the public about vaccines for all age groups and vaccine-preventable diseases.
Information should include the importance and benefits of being fully vaccinated, vaccine
recommendations, and the location(s) of community vaccination clinics.
• Conduct at least one monthly immunization education activity, document activity (note number &
type of participants), and evaluate activity by obtaining feedback from participants.
• Plan and implement specific activities to promote the importance of Immunizations during National
Infant Immunization Week (NIIW) National Adult Immunization Week (NA1W), and National
Influenza Week.
• Implement written procedures in Contractor clinics to assure that telephone callers who request
information about immunizations receive consistent and correct information.
• Participate in statewide media campaigns by distributing DSHS-developed and produced public
service announcements and materials.
• Participate in special initiatives as directed by DSHS.
• Distribute immunization literature for the public in Contractor's clinic(s), including specific F-SHS
materials as directed.
• Provide information to clients, families, and the general public on the purpose of ImmTrac:, the
benefits of ImmTrac participation, and the importance of maintaining a complete immunization
history in the ImmTrac. Distribute DSHS ImmTrac educational materials during this process.
• Provide ImmTrac public education and ImmTrac literature (including DSHS ImmTrac educational
materials) to community groups and the general public.
• Inform the general public about TVFC, verbally and by distributing TVFC educational materials.
General Requirement 6B: Educate, inform, and train the medical community and local providers within
contractor's jurisdiction on Immunization activities listed below: Activities under this requirement shall be
conducted in accordance with the DSHS Immunization Contractors Guide for Local Health Departments.
Activities 6B: Educate providers on the process to order immunization literature from DSHS
(https://secure.'immunizetexasorderform.com/default.aspweb site).
• Inform providers about the annual CDC Epidemiology and Prevention of Vaccine-Preventable
Disease (EPI--VAC) training by referring them to http:/www.cdc.gov/vaccines/ed/broadcast.htm#1.
• Provide training on TVFC requirements and updates (as described in the TVFC Operations Manual)
to TVFC providers annually at a minimum.
• Ensure that the TVFC providers have the most up-to-date DSHS produced immunization
information in their offices.
• Provide training, information, and technical assistance to promote the effective use of ImmTra.c by
private providers (which includes education regarding the benefits of ImmTrac participation).
• Educate private providers about the ImmTrac enrollment process and the statutory requirement to
EXHIBIT -Page 4
report immunizations.
• As directed by DSHS, identify first responders and their immediate family in the community and
inform them of the opportunity to be included in ImmTrac.
• Conduct educational training for hospital and health care providers within the Contrac;tor's
jurisdiction, to increase mandatory screening and reporting of I-IBsAg-positive women.
• Provide training on the prevention of Perinatal Hepatitis B to providers within the Contras;tor's
jurisdiction.
• Educate physicians, laboratories, hospitals, schools, child-care staff, and other health providers on
VPD reporting requirements.
• Educate and update providers on the most current Advisory Committee on Immunization Prac;tices
(ACID) recommendations for all age groups, as well as on applicable regulatory vaccination
requirements.
• Provide training relating to Standards for Child and Adolescent Immunization Practices, and
Standards for Adult Immunization Practices
(http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/H/standards-pediatric.pdf and
http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/H/standards-adult.pdf) to all
immunization providers within Contractor's jurisdiction.
• Inform all private providers on the federal requirement that the most current Vaccine Information
Statements (VIS) must be distributed to patients
(http://www.cdc.gov/vaccines/pubs/vis/default. htm).
• Promote a health care workforce that is knowledgeable about vaccines, vaccine recommendations,
vaccine safety, vaccine-preventable diseases, and the delivery of immunization services.
• Provide information to community health care employers (hospitals, clinics, doctor's offices, }.ong-
term care facilities) about the importance of vaccination of health care workers.
• Educate private providers to send NIS surveys to the Contractor for research prior to returning the
survey to CDC, if applicable.
• Coordinate educational and other activities with local WIC programs to assure that children
participating in WIC are screened and referred to their "medical home" for vaccination using a
documented immunization history in accordance with the Standards for Child and Adolescent
Immunization Practices
(http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/H/standards-pediatric.pdf).
• Offer educational opportunities to all WIC programs in the service area, including information about
on-line and satellite-broadcast continuing education opportunities from the Centers for Disease
Control and Prevention (CDC) Continuing Education web site
(http://www.cdc.gov/vaccines/ed/default.htm).
General Requirement 6C: Conduct outreach to targeted groups for the promotion of best practice:; and
special activities related to immunizations. Activities under this requirement shall be conducted in
accordance with the DSHS Immunization Contractors Guide for Local Health Departments.
Activities 6C:
• Conduct outreach (including, but not limited to, the specific outreach described in the L)SHS
Immunization Contractors Guide for Local Health Departments) to families of children 19 to 35
months of age who are not up to date on their immunizations according to ImmTrac; locate additional
immunization histories; and enter history data into ImmTrac.
• Collaborate with prenatal health care providers, birth registrars, hospital staff, pediatricians, and other
entities to educate parents, expectant parents, and providers about ImmTrac and the benefits of
participation. Includes the dissemination of DSHS educational materials as appropriate.
• Identify and contact families of children for whom ImmTrac consent has been granted but who do
not have complete immunization records in ImmTrac.
EXHIBIT -Page 5
General Requirement 6D: Conduct recruitment to increase the number of ImmTrac providers, 'I'VFC
providers, and Perinatal Hepatitis B providers. Activities under this requirement shall be conducted in
accordance with the DSHS Immunization Contractors Guide for Local Health Departments.
Activities 6D:
• Conduct recruitment activities as defined in the TVFC Operations Manual with 100% of providers
on the DSHS-supplied provider recruitment list.
• Target adolescent health care providers for recruitment and emphasize adolescent vaccine
requirements and recommendations.
• Recruit new private provider sites for ImmTrac.
• Participate with DSHS regional staff in recruitment of hospitals and providers conducting
surveillance and reporting of Perinatal Hepatitis B.
General Requirement 6E: Establish collaborative efforts with appropriate community entities regarding
promoting immunizations and the reduction of vaccine-preventable diseases. Activities under this
requirement shall be conducted in accordance with the DSHS Immunization Contractors Guide for ~:ocal
Health Departments.
Activities 6E:
• Identify providers, hospitals, schools, child care facilities, social service agencies, and community
groups involved in promoting immunizations and reducing vaccine-preventable diseases.
• Maintain a list and contact information for the entities identified under the previous bullet item.
• Summarize all such collaborative efforts, including the specific groups involved, on the tri-annual
report.
7. EPIDEMIOLOGY AND SURVEILLANCE
(http: //u~ww. dshs.state. tx. us/idcu/health/vaccine~reventable_diseases/resources/vpd~uide.pd~
General Requirement 7: Investigate and document at least 90% of reportable suspected varcine-
preventable disease cases within 30 days of notification in accordance with DSHS Texas Vaccine-
Preventable Disease Surveillance Guidelines
(http://www.dshs.state.tx.us/idcu/health/vaccine~reventable_diseases/re.sozrrces/vpd~zride.pdf) and
National Electronic Disease Surveillance System (NE'DSS)
(http://www.cdc.gov/nedss/Archive/Supporing_Public_Health_Surv.pdf ). Activities under this require;ment
shall be conducted in accordance with the DSHS Immunization Contractors Guide for Local health
Departments.
Activities 7:
• Adhere to the DSHS Vaccine-Preventable Disease (VPD) Surveillance Guidelines, NEDSS Data
Entry Guidelines, and Epi Case Criteria Guide in conducting this General Requirement and the
associated activities.
• Complete all data entry into National Electronic Disease Surveillance System (NEDSS) follc-wing
the NBS Data Entry Guidelines (http://www.itl.nist.gov/fipspubs/fip74.htm).
• Routinely review and follow up on electronic lab reports (ELRs) sent from DSHS.
• Report on steps taken by Contractor to ensure the completeness of VPD reporting vvithin
Contractor's jurisdiction.
8. POPULATION ASSESSMENT
(Immunization Population Assessment Manual (Stock No. 11-12550, Revised 01/08) available upon request
from DSHS)
EXHIBIT -Page 6
General Requirement/Activity 8A: When assigned by DSHS, complete 100% of child-care facility and
Head Start center assessments. Activities under this requirement shall be conducted in accordance wi1:h the
DSHS Immunization Contractors Guide for Local Health Departments and Population Assessment Manual.
General Requirement/Activity 8B: When assigned by DSHS, complete 100% of public and private
school assessments, retrospective surveys, and validation surveys. Activities under this requirement shall be
conducted in accordance with the DSHS Immunization Contractors Guide for Local Health Departments
and Population Assessment Manual.
9. SERVICE DELIVERY
General Requirement 9: Provide immunization services and ACID-recommended vaccines in Contractor
clinics to children, adolescents and adults to maximize vaccine coverage levels within contrac;tor's
jurisdiction. Activities under this requirement shall be conducted in accordance with the DSHS
Immunization Contractors Guide for Local Health Departments.
Activities 9:
• Ensure that all ACID-recommended vaccines are routinely available to patients who want them.
• Recommend the simultaneous administration of all needed vaccines for the patient.
• Follow only medically supportable contraindications to vaccination.
• Verbally educate patients and parents/guardians about the benefits and risks of vaccination., and
distribute DSHS educational materials as applicable as part of this conversation.
• Discuss, and attempt to schedule, the next immunization visit at each client encounter.
• Explain the benefits of a "medical home" and assist the parentlguardian in obtaining or identifying
the child's medical home.
• Use aReminder/Recall system (manual, TWICES, ImmTrac, or other system).
• Establish "standing orders" for vaccination in Contractor clinics, consistent with legal requirennents
for standing order (including, but not limited to, those found in the Texas Medical Practice Act)..
• Implement an employee immunization policy according to CDC recommendations in Contras;tor's
clinics.
EXHIBIT -Page 7