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HomeMy WebLinkAboutPR 21879: EXTENSION TO THE PUBLIC HEALTH PREPAREDNESS GRANT ADDING GRANT FUNDS FOR FY 2022 'LY )1c ..... City of c'! ort rtfiu�~ Texas Date: April 05, 2021 To: Ron Burton, City Manager From: Judith A. Smith,RN, BSN, Director of Health Services RE: Approval for Extension to the Public Health Preparedness Grant adding grant funds for FY 2022. This Grant requires a 10% match of$10,351.00 Nature of the Request: The Department of State Health Services provides funding to local health departments so each facility can perform activities that plans an prepares for natural and man-made disasters. The City of Port Arthur Health Department has received this funding since 2011. The Department provides services which includes community preparedness, community recovery, emergency public information, information sharing, fatality management, etc. Staff Analysis, Considerations: This grant covers the salary and fringe for one (1) epidemiologist who provides surveillance and case reporting. Recommendations: It is recommended that the City Council approve P.R. No. 21879, approving the contract amendment between the City of Port Arthur and the Department of State Health Services for the FY 2022 grant. Budget Considerations: The amendment adds $103,507.00 for FY 2022 with a 10% match of $10,351.00. The total not to exceed amount of the Contract is $561,120.00 "REMEMBER WE ARE HERE TO SERVE THE CITIZENS OF PORT ARTHUR"P.O.BOX 1089•PORT ARTHUR,TX 77641-1089- 409i983-8101•FAX 409/982-6743 P. R. No. 21879 04/05/2021-js RESOLUTION NO. A RESOLUTION APPROVING THE FY 2022 CONTRACT AMENDMENT BETWEEN THE CITY OF PORT ARTHUR AND THE DEPARTMENT OF STATE HEALTH SERVICES FOR THE PUBLIC HEALTH EMERGENCY PREPAREDNESS PROGRAM BY ADDING $103,507.00 IN FEDERAL FUNDING WITH A 10% CITY MATCH OF $10,351.00 AND EXTENDING THE CONTRACT TO END JUNE 30, 2022. 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 including responding to bioterrorism, outbreaks of infectious disease, and other public health threats and emergencies in accordance with an established set of public health preparedness capabilities; and, WHEREAS, pursuant to Resolution No. 17-067, Council approved the FY 2017- 2018 contract, and pursuant to Resolution No. 18-137, Council approved FY 2018-2019 contract, and pursuant to Resolution No. 19-177, Council approved FY 2020-2021 contract, and pursuant to Resolution No. 20-081, the Council approved FY 2021-2022, now the Department of State Health Services desires to amend the contract to add $103,507.00 to cover contract period July 1, 2021 through June 30, 2022, and with a 10% city match of$10,351. NOW THEREFORE BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PORT ARTHUR: Section 1. That, the facts and opinions are true and correct. P. R. No. 21879 04/05/2021-js Section 2. That, the City Council of the City of Port Arthur hereby approves the contract amendment between the City of Port Arthur and the Department of State Health Services for the Public Health Preparedness Program. Section 3. That, the City Council deems it is in the best interest of the City to approve and authorize the City Manager and the Director of the City's Health Department to execute the contract amendment between the Department of State Health Services and the City of Port Arthur, TX in substantially the same form as attached hereto as 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 April, 2021 A.D., at a Regular Meeting of the City Council of the City of Port Arthur, Texas by the following Vote: AYES: Mayor: Councilmembers: NOES: Mayor, Thurman Bartie ATTEST: • Sherri Bellard, City Secretary P. R. No. 21879 04/05/2021-js APPROVED AS TO FORM: '176-11 1/A - J -a_J Val Tizeno, City Attorney APPROVED FOR ADMINISTRATION: Ron Burton, City Manager 49-uct666 441,r(<4 Judith A. Smith, RN, BSN Director of Health Services APPROVED AS TO AVAILABILITY OF FUNDS: Kandy Dan , Interim Finance Director DocuSign Envelope ID:3FD32230-A847-4C70-9789-32BCF3C4B8C0 DEPARTMENT OF STATE HEALTH SERVICES CONTRACT No.537-18-0120-00001 AMENDMENT No. 5 The DEPARTMENT OF STATE HEALTH SERVICES ("System Agency") and CITY OF PORT ARTHUR("Grantee"), each a"Party" and collectively the "Parties" to that certain Public Health Emergency Preparedness ("PHEP") contract effective July 1, 2017 and denominated as System Agency Contract No. 537-18-0120-00001 the "Contract"), as amended, now want to further amend the Contract. WHEREAS, the Parties desire to amend the Contract in accordance with ATTACHMENT C, UNIFORM TERMS AND CONDITIONS,ARTICLE IX,SECTION 9.01(AMENDMENT)of the Contract; WHEREAS, System Agency elects to extend the term of the Contract in accordance with ARTICLE III,DURATION; WHEREAS,the Parties desire to revise the Budget to add funds to the Contract for the period from July 1,2021,through June 30,2022 ("Fiscal Year 2022"or"FY2022"); WHEREAS,the Parties desire to revise the Statement of Work; WHEREAS,the Parties desire to modify the Notice to Proceed provision of the Contract; and WHEREAS, the Parties desire to incorporate ATTACHMENT C.5-FFATA CERTIFICATION FORM into the Contract. Now THEREFORE,the Parties amend and modify the Contract as follows: 1. ARTICLE III, DURATION, of the Signature Document is amended to reflect a revised termination date of June 30,2022. 2. ARTICLE IV, BUDGET, of the Signature Document is amended to add$103,507.00 in federal funding to the Contract and with the Grantee providing a total of$10,351.00 in matching funds for FY2022. The total not-to-exceed amount of the Contract is therefore increased to $561,120.00, of which $510,109.00 represents federal funding and $51,011.00 represents matching funds. All expenditures under the Contract will be in accordance with the revised budget set forth herein. Funds provided in support of one Contract activity may only be used for that activity and may not be comingled with other funds provided under this Contract. 3. ARTICLE VIII,NOTICE TO PROCEED,of the Signature Document is deleted in its entirety and replaced with the following: VIII.NOTICE TO PROCEED System Agency Contract No.537-18-0120-00001 DocuSign Envelope ID:3FD32230-A847-4C70-97B9-32BCF3C4B8C0 Funding for this Contract is dependent on the award of the applicable federal grant.No FY2022 work may begin and no charges may be incurred until the System Agency issues a written Notice to Proceed to Grantee. This Notice to Proceed may include an amended or ratified budget which will be incorporated into this Contract by a subsequent amendment,as necessary. Notwithstanding the preceding, at the discretion of the System Agency, Grantee may be eligible to receive reimbursement for eligible expenses incurred during the period of performance as defined by 2 CFR §200.309. 4. ATTACHMENT B,BUDGET,is amended by deleting the budget table in its entirety and replacing it with the following: FY18 FY19 FY20 FY21 FY22 Budget Budget Budget Budget Budget Total Budget Budget Categories Summary Summary Summary Summary Summary (7/1/17- (7/1/18- (7/1/19- (7/1/20- (7/1/21- Summary 6/30/18) 6/30/19) 6/30/20) 6/30/21) 6/30/22) Personnel $66,984.00 $69,384.00 $70,800.00 $74,376.00 $70,081.00 $351,625.00 Fringe Benefits $32,085.00 $30,912.00 $29,496.00 $29,131.00 $30,836.00 $152,460.00 Travel $0.00 $0.00 $0.00 $0.00 $370.00 $370.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $1,227.00 $0.00 $1,300.00 $0.00 $600.00 $3,127.00 Contractual $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other $0.00 $0.00 $907.00 $0.00 $1,620.00 $2,527.00 Sum of DSHS $100,296.00 $100,296.00 $102,503.00 $103,507.00 $103,507.00 $510,109.00 Direct Costs Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Sum of DSHS Direct Costs and $100,296.00 $100,296.00 $102,503.00 $103,507.00 $103,507.00 $510,109.00 Indirect Costs Plus,Required Match(Cash or In- $10,030.00 $10,029.00 $10,250.00 $10,351.00 $10,351.00 $51,011.00 Kind) Total Contract $110,326 00 $110,325.00 $112,753.00 $113,858.00 $113,858.00 $561,120.00 Amount The Parties agree that Grantee shall provide total matching funds in the amount of$51,011.00. 5. ATTACHMENT A.5,FY2021 STATEMENT OF WORK, is amended and replaced in its entirety with ATTACHMENT A.6,FY2022 STATEMENT OF WORK. 6. ATTACHMENT C.5, FFATA CERTIFICATION FORM is attached to this Amendment and incorporated into the Contract as if fully set forth therein. 7. This Amendment shall be effective on July 1, 2021, or the date last signed below, whichever is later. 8. Except as amended or modified by this Amendment No. 5, all terms and conditions of the Contract,as amended, shall remain in full force and effect. 9. Any further revisions to the Contract shall be by written agreement of the Parties. System Agency Contract No.537-18-0120-00001 DocuSign Envelope ID:3FD32230-A847-4C70-97B9-32BCF3C4B8C0 SIGNATURE PAGE FOLLOWS System Agency Contract No.537-18-0120-00001 DocuSign Envelope ID:3FD32230-A847-4C70-97B9-32BCF3C4B8C0 SIGNATURE PAGE FOR AMENDMENT NO.5 SYSTEM AGENCY CONTRACT No.537-18-0120-00001 DEPARTMENT OF STATE HEALTH SERVICES CITY OF PORT ARTHUR By: By: Date of Signature: Date of Signature: THE FOLLOWING DOCUMENTS ARE ATTACHED'TO THIS AMENDMENT AND THEIR RESPECTIVE TERMS ARE HEREBY INCORPORATED INTO THE CONTRACT BY REFERENCE: ATTACHMENT A.6- FY2022 STATEMENT OF WORK ATTACHMENT C.5- FFATA CERTIFICATION FORM System Agency Contract No.537-18-0120-00001 DocuSign Envelope ID:3FD32230-A847-4C70-97B9-32BCF3C4B8C0 ATTACHMENT A.6 FY2022 STATEMENT OF WORK July 1,2021 through June 30,2022 I. GRANTEE RESPONSIBILITIES Grantee will: A. Perform activities in support of the Public Health Emergency Preparedness ("PREP") Cooperative Agreement from the Centers for Disease Control and Prevention ("CDC") to advance public health preparedness. B. Perform the activities required under this Contract in the following county/ies: Jefferson. C. Provide System Agency with situational awareness data generated through interoperable networks of electronic data systems. D. Address the following public health emergency preparedness capabilities: 1. Capability 1 — Community preparedness is the ability of communities to prepare for, withstand, and recover from public health incidents in both the short-and long-term.. 2. Capability 2—Community recovery is the ability of communities to identify critical assets, facilities, and other services within public health, emergency management, health care, human services,mental/behavioral health,and environmental health sectors that can guide and prioritize recovery operations. 3. Capability 3 — Emergency operations coordination is the ability to coordinate with emergency management and to direct and support an incident or event with public health or health care implications by establishing a standardized, scalable system of oversight, organization, and supervision that is consistent with jurisdictional standards and practices and the National Incident Management System("NIMS"). 4. Capability 4 — Emergency public information and warning is the ability to develop, coordinate, and disseminate information, alerts, warnings, and notifications to the public and incident management personnel. 5. Capability 5 —Fatality management is the ability to coordinate with partner organisations and agencies to provide fatality management services to ensure the proper recovery and preservation of remains; identification of the deceased;determination of cause and manner of death;release of remains to an authorized individual;and provision of mental/behavioral health assistance for the grieving. The role also may include supporting activities for the identification, collection, documentation, retrieval, and transportation of human remains, personal effects, and evidence to the examination location or incident morgue. 6. Capability 6 — Information sharing is the ability to conduct multijurisdictional and multidisciplinary exchange of health-related information and situational awareness data among federal, state, local, tribal, and territorial levels of government and the private sector. This capability includes the routine sharing of information as well as issuing of public health alerts to all levels of government and the private sector in preparation for and System Agency Contract No. 537-18-0120-00001 Page 1 DocuSign Envelope ID:3FD32230-A847-4C70-9789-32BCF3C4B8C0 ATTACBMENT A.6 FY2022 STATEMENT OF WORK July 1,2021 through June 30,2022 in response to events or incidents of public health significance. 7. Capability 7 — Mass care is the ability of public health agencies to coordinate with and support partner agencies to address, within a congregate location (excluding shelter-in- place locations), the public health, health care, mental/behavioral health, and human services needs of those impacted by an incident. This capability includes coordinating ongoing surveillance and public health assessments to ensure that health needs continue to be met as the incident evolves. 8. Capability 8 — Medical countermeasure dispensing and administration is the ability to provide medical countermeasures to targeted population(s)to prevent,mitigate,or treat the adverse health effects of a public health incident, according to public health guidelines. This capability focuses on dispensing and administering medical countermeasures, such as vaccines, antiviral drugs, antibiotics, and antitoxins. 9. Capability 9 — Medical materiel management and distribution is the ability to acquire, manage,transport, and track medical materiel during a public health incident or event and the ability to recover and account for unused medical materiel, such as pharmaceuticals, vaccines, gloves,masks,ventilators, or medical equipment after an incident. 10. Capability 10 — Medical surge is the ability to provide adequate medical evaluation and care during events that exceed the limits of the normal medical infrastructure of an affected community. It encompasses the ability of the health care system to endure a hazard impact, maintain or rapidly recover operations that were compromised,and support the delivery of medical care and associated public health services, including disease surveillance, epidemiological inquiry, laboratory diagnostic services, and environmental health assessments. 11. Capability 11 —Nonpharmaceutical interventions are actions that people and communities can take to help slow the spread of illness or reduce the adverse impact of public health emergencies.. This capability focuses on communities, community partners, and stakeholders recommending and implementing nonpharmaceutical interventions in response to the needs of an incident,event,or threat.Nonpharmaceutical interventions may include isolation; quarantine; restrictions on movement and travel advisories or warnings; social distancing; external decontamination; hygiene; and precautionary protective behaviors. 12. Capability 12 — Public health laboratory testing is the ability to implement and perform methods to detect, characterize, and confirm public health threats. It also includes the ability to report timely data,provide investigative support, and use partnerships to address actual or potential exposure to threat agents in multiple matrices, including clinical specimens and food, water, and other environmental samples. This capability supports passive and active surveillance when preparing for, responding to, and recovering from biological, chemical, and radiological (if a Radiological Laboratory Response Network is established)public health threats and emergencies. 13. Capability 13 —Public health surveillance and epidemiological investigation is the ability to create,maintain, support, and strengthen routine surveillance and detection systems and System Agency Contract No. 537-18-0120-00001 Page 2 DocuSign Envelope ID:3FD32230-A847-4C70-97139-32BCF3C4B8C0 ATTACHMENT A.6 FY2022 STATEMENT OF WORK July 1,2021 through June 30,2022 epidemiological investigation processes.It also includes the ability to expand these systems and processes in response to incidents of public health significance. 14. Capability 14—Responder safety and health is the ability to protect public health and other emergency responders during pre-deployment,deployment, and post-deployment. 15. Capability 15 — Volunteer management is the ability to coordinate with emergency management and partner agencies to identify, recruit, register, verify, train, and engage volunteers to support the jurisdictional public health agency's preparedness,response, and recovery activities during pre-deployment, deployment, and post-deployment. E. Match funds awarded under this Contract with costs or third-party contributions that are not paid by the federal government under another award, except where authorized by federal statute to be used for cost sharing or matching. The non-federal contributions (match)may be provided directly or through donations from public or private entities and may be in cash or in-kind donations, fairly evaluated,including plant,equipment, or services. The costs that the Grantee incurs in fulfilling the matching or cost-sharing requirement are subject to the same requirements, including the cost principles, that are applicable to the use of federal funds, including prior approval requirements and other rules for allowable costs as described in 45 CFR 74.23 and 45 CFR 92.24,as amended. Grantee will provide matching funds in the amount of ten percent (10%) of the Contract amount as set forth in Attachment B,Budget.Cash match is defined as an expenditure of cash by the Grantee on allowable costs of this Contract that are borne by the Grantee.In-kind match is defined as the dollar value of non-cash contributions by a third party given in goods, commodities,or services that are used in activities that benefit this Contract's project and that are contributed by non-federal third parties without charge to the Grantee. The criteria for match must: 1. Be an allowable cost under the applicable federal cost principle; 2. Be necessary and reasonable for the efficient accomplishment of project or program objectives; 3. Be verifiable within the Grantee's (or subgrantee's)records; 4. Be documented, including methods and sources, in the approved budget(applies only to cost reimbursement contracts);. 5. Not be included as contributions toward any other federally-assisted project or program (match can count only once); 6. Not be paid by the federal government under another award, except where authorized by federal statute to be used for cost sharing or match; 7. Conform to other provisions of governing circulars/statutes/regulations as applicable for the Contract; 8. Be adequately documented; 9. Follow procedures for generally accepted accounting practices as well as meet audit System Agency Contract No.537-18-0120-00001 Page 3 DocuSign Envelope ID:3FD32230-A847-4C70-97B9-32BCF3C4B8C0 ATTACHMENT A.6 FY2022 STATEMENT OF WORK July 1,2021 through June 30,2022 requirements; and 10. Value the in-kind contributions reported and be supported by documentation reflecting the use of goods and/or services during the Contract term. F. In the event of a local, state, or federal emergency, the Grantee has the authority to utilize approximately five percent (5%) of the Grantee's staffs time supporting this Contract for response efforts. System Agency will reimburse Grantee up to five percent of this Contract funded by the CDC for personnel costs responding to an emergency event. Grantee will maintain records to document the time spent on response efforts for auditing purposes. Allowable activities also include participation in drills and exercises in the pre-event time period. Grantee will notify the Assigned Contract Manager in writing when this provision is implemented. G. In the event of a public health emergency involving a portion of the state,mobilize and dispatch staff or equipment purchased with funds from previous PREP cooperative agreements,and not currently performing critical duties in the jurisdiction served,to the affected area of the state upon receipt of a written request from System Agency. H. Coordinate activities and response plans within the jurisdiction with the state, regional, and other local jurisdictions, among local agencies, and with hospitals and major health care entities,jurisdictional Metropolitan Medical Response Systems,and Councils of Government. I. Inform System Agency in writing if Grantee will not continue performance under this Contract within thirty (30) days of receipt of an amended standard(s) or guideline(s). System Agency may terminate this Contract immediately or within a reasonable period of time as determined by System Agency. J. Develop,implement,and maintain a timekeeping system for accurately documenting staff time and salary expenditures for all staff funded through this Contract, including partial full-time employees and temporary staff. K. Complete and submit programmatic reports as directed by System Agency in a format specified by System Agency and as needed to satisfy information-sharing requirements set forth in Texas Government Code,Sections 421.071 and 421.072(b)and(c),as amended.Grantee will provide System Agency other reports, including financial reports, that System Agency determines necessary to accomplish the objectives of this Contract and to monitor compliance. L. Submit the Work Plan and Vulnerable Populations Plan that encompass the Contract term to the System Agency to the Department of State Health Services ("DSHS") Center for Health Emergency Preparedness and Response ("CHEPR") within an established timeframe and submission method designated by the Contractual Requirements Schedule. System Agency Contract No. 537-18-0120-00001 Page 4 DocuSign Envelope ID:3FD32230-A847-4C70-9789-32BCF3C4B8C0 ATTACHMENT A.6 FY2022 STATEMENT OF WORK July 1,2021 through June 30,2022 M. Submit a current Integrated Preparedness (Plan("IPP"; formerly the Multi-Year Training and Exercise Plan ["MYTEP"]), which must include at least four years of progressive exercise planning, to the System Agency within an established timeframe and submission method designated by the Contractual Requirements Schedule,using the template provided by System Agency. N. Submit at least one After Action Review/Improvement Plan ("AAR/IP"). All AAR/IPs must be submitted to the System Agency within 60 calendar days, or 90 calendar days for Real World Incident ("RWI"), of the completion of the exercise/response within an established timeframe and submission method designated by the Contractual Requirements Schedule. AAR/lPs must be completed in accordance with Notification and Reporting of Exercise Grant. O. Complete and submit the Expanded Operational Readiness Review ("ORR") to CDC and upload supporting documentation to the System Agency via the DSHS CHEPR External SharePoint site by April 1, 2022. Documentation is required within an established timeframe designated by the Contractual Requirements Schedule. P. Submit the End-of-Year Performance Report to the System Agency within an established timeframe and submission method designated by the Contractual Requirements Schedule. Q. Designate a member of the PREP program to attend two regional healthcare coalition meetings during the Contract term, if meetings resume during the Contract term. Submit evidence of attendance, within an established timeframe designated by the Contractual Requirements Schedule. R. Immediately notify System Agency in writing if Grantee is legally prohibited from providing any report under this Contract. S. Have plans,processes, and training in place to meet NIMS compliance requirements. T. When using volunteers during the Contract term,the Grantee must designate a Texas Disaster Volunteer Registry•("TDVR") State Emergency System for the Advanced Registration of Volunteer Health Professionals("ESAR VHP") System Administrator,participate in required administrator trainings, and utilize the system to identify volunteers. U. Grantee may not use funds for research, clinical care, fund-raising activities or lobbying, construction or major renovations,reimbursement of pre-award costs,to supplant existing state or federal funds for activities,payment or reimbursement of backfiluing costs for staff,purchase of vehicles of any kind,uniforms or furniture,or funding an award to another party or provider System Agency Contract No.537-18-0120-00001 Page 5 DocuSign Envelope ID:3FD32230-A847-4C70-97B9-32BCF3C4B8C0 ATTACHMENT A.6 FY2022 STATEMENT OF WORK July 1,2021 through June 30,2022 who is ineligible. V. None of the funds made available under this agreement may be used to promote or advocate the legalization or practice of prostitution or sex trafficking.Nothing in the preceding sentence shall be construed to preclude the provision to individuals of palliative care,treatment,or post- exposure pharmaceutical prophylaxis, and necessary pharmaceuticals and commodities, including test kits, condoms,and,when proven effective,microbicides. W.Cooperate with System Agency to coordinate all planning, training and exercises performed under this Contract with the Texas Division of Emergency Management("TDEM"), or other points of contact at the discretion of the Division for Regional and Local Health Operations, to ensure consistency and coordination of requirements at the local level and eliminate duplication of effort between the various domestic preparedness funding sources in the state. X. Coordinate all risk communication activities with the System Agency Communications Unit by using System Agency's core messages posted on the System Agency website and submitting copies of draft risk communication materials to System Agency for coordination prior to dissemination. Y. Initiate the purchase of all equipment approved in writing by the System Agency in the first quarter of the Contract term,as applicable. Failure to timely initiate the purchase of equipment may result in the loss of availability of funds for the purchase of equipment. Requests to purchase previously approved equipment after the first quarter in the Contract must be submitted to the assigned System Agency contract manager. Z. Maintain an inventory of equipment, supplies defined as Controlled Assets,and real property. Grantee shall submit an annual cumulative report of the equipment and other property on HHS System Agency Grantee's Property Inventory Report to the assigned System Agency contract manager by email not later than October 15 of each year. Controlled Assets include firearms, regardless of the acquisition cost, and the following assets with an acquisition cost of$500 or more, but less than $5,000: desktop and laptop computers (including notebooks, tablets and similar devices), non-portable printers and copiers, emergency management equipment, communication devices and systems,medical and laboratory equipment,and media equipment. Controlled Assets are considered Supplies. AA. Not use System Agency funds to purchase buildings or real property without prior written approval from the System Agency. Any costs related to the initial acquisition of the buildings or real property are not allowable without written pre-approval. BB. At the expiration or termination of this Contract for any reason, title to any remaining equipment and supplies purchased with funds under this Contract reverts to System Agency. System Agency Contract No. 537-18-0120-00001 Page 6 DocuSign Envelope ID:3FD32230-A847-4C70-97B9-32BCF3C4B8C0 ATTACHMENT A.6 FY2022 STATEMENT OF WORK July 1,2021 through June 30,2022 Title may be transferred to any other party designated by System Agency.The System Agency may, at its option and to the extent allowed by law, transfer the reversionary interest to such property to Grantee. CC. Comply with all applicable federal and state laws, rules, and regulations, as amended, including,but not limited to,the following: 1. Public Law 109-417, Pandemic and All-Hazards Preparedness and Advancing Innovation Act("PAHPAI"); 2. Texas Health and Safety Code Chapter 81;and 3. Section 319C-1 of the Public Health Service (PHS) Act (47 USC § 247d-3a), as amended. DD. Comply with all applicable regulations, standards and guidelines in effect on the beginning date of the term of this Contract. EE. Submit other reports as required by System Agency. The initial reporting schedule for the requirements is subject to change as System Agency and CDC may modify requirements and due dates. FF. Work with the Regional Health Care Coalition to develop comprehensive preparedness strategies. Plans will be submitted to System Agency by the Health Care Coalition. II. PERFORMANCE MEASURES A. The System Agency will monitor the Grantee's performance of the requirements in this Attachment A.6 and compliance with the Contract's terms and conditions. B. Grantee will meet and report Performance Measures based on requirements that are developed in coordination with System Agency for the Grantee's project as provided in Section I.Grantee must also demonstrate adherence to PHEP reporting deadlines and the capability to receive, stage,store,distribute,and dispense materiel during a public health emergency.Failure to meet these requirements may result in withholding a portion of the current fiscal year PREP base award. C. System Agency will send a Contractual Requirements Schedule for reporting these Performance Measures within thirty(30)days of the Contract start date. III. INVOICE AND PAYMENT A. Grantee will request payment using the State of Texas Purchase Voucher(Form B-13)monthly and acceptable supporting documentation for reimbursement of the required services/deliverables. The Grantee will submit the Financial Status Report (FSR-269A). System Agency Contract No. 537-18-0120-00001 Page 7 DocuSign Envelope ID:3FD32230-A847-4C70-97B9-32BCF3C4B8C0 ATTACHMENT A.6 FY2022 STATEMENT OF WORK July 1,2021 through June 30,2022 Additionally,the Grantee will submit the Match Certification Form(B-13A),at the end of the fourth quarter. Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit,MC 1940 1100 West 49th Street P.O. Box 149347 Austin,TX 78714-9347 FAX: (512)458-7442 EMAIL: invoicesAdshs.texas.gov&CMSInvoices@,dshs.texas.gov B-13s and supporting documentation should be sent to: invoices@dshs.texas.gov & CMSlnvoices@,dshs.texas.gov&cc your Assigned Contract Manager. FSRs should be sent to: FSRGrantsl`a7,dshs.texas.gov&CMSInvoices@,dshs.texas.gov&cc your Assigned Contract Manager. B. Grantee will be reimbursed on a monthly basis and in accordance with ATTACHMENT B, BUDGET of the Contract. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor Grantee's expenditures on a quarterly basis. If expenditures are below that projected in Grantee's total Contract amount, Grantee's budget may be subject to a decrease for the remainder of the Contract term. Vacant positions existing after ninety(90)days may result in a decrease in funds. D. Grantee may request a one-time working capital advance not to exceed twelve percent(12%) of the total amount of the Contract funded by System Agency.All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. Grantee will repay all or part of advance funds at any time during the Contract's term. However,if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months' reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one-third of the remaining balance of the advance. System Agency Contract No. 537-18-0120-00001 Page 8 DocuSign Envelope ID:3FD32230-A847-4C70-97B9-32BCF3C4B8C0 Attachment C.5 Fiscal Federal Funding Accountability and Transparency Act (FFATA) CERTIFICATION The certifications enumerated below represent material facts upon which DSHS relies when reporting information to the federal government required under federal law. If the Department later determines that the Contractor knowingly rendered an erroneous certification, DSHS may pursue all available remedies in accordance with Texas and U.S. law. Signor further agrees that it will provide immediate written notice to DSHS if at any time Signor learns that any of the certifications provided for below were erroneous when submitted or have since become erroneous by reason of changed circumstances. If the Signor cannot certify all of the statements contained in this section, Signor must provide written notice to DSHS detailing which of the below statements it cannot certify and why. Legal Name of Contractor: FFATA Contact#1 Name,Email and Phone Number: city of Port Arthur Erika Flores, Health Grant Coordinator erika.flores@portarthurtx.gov (409) 983-8864 Primary Address of Contractor: FFATA Contact#2 Name,Email and Phone Number: 449 Austin Avenue Kandy Daniel, Finance Director Port Arthur, TX, 77640 kandy.daniel@portarthurtx.gov (409) 983-8174 ZIP Code:9-digits Required www.usps.com DUNS Number:9-digits Required www.sam.gov 77640-5802 - 137434909 State of Texas Comptroller Vendor Identification Number(VIN)14 Digits 1740018850011 1 Printed Name of Authorized Representative ragnatampfAuthorized Representative Judith Smith ,jIA Sniik �__FB4B504AED30471... Title of Authorized Representative Date Director of Health Services March 28, 2021 -1- Department of State Health Services Form 4734—June 2013 DocuSign Envelope ID:3FD32230-A847-4C70-97B9-32BCF3C4B8C0 Attachment C.5 Fiscal Federal Funding Accountability and Transparency Act (FFATA) CERTIFICATION As the duly authorized representative(Signor)of the Contractor, I hereby certify that the statements made by me in this certification form are true,complete and correct to the best of my knowledge. Did your organization have a gross income, from all sources, of less than $300,000 in your previous tax year?Q Yes El No If your answer is"Yes",skip questions "A", "B",and "C" and finish the certification. If your answer is"No", answer questions"A" and "B". A. Certification Regarding%of Annual Gross from Federal Awards. Did your organization receive 80% or more of its annual gross revenue from federal awards during the preceding fiscal year?❑Yes Q No B.Certification Regarding Amount of Annual Gross from Federal Awards. Did your organization receive $25 million or more in annual gross revenues from federal awards in the preceding fiscal year?[]Yes xQ No If your answer is"Yes"to both question "A" and "B",you must answer question "C". If your answer is "No" to either question "A" or "B", skip question "C" and finish the certification. C.Certification Regarding Public Access to Compensation Information. Does the public have access to information about the compensation of the senior executives in your business or organization (including parent organization, all branches, and all affiliates worldwide) through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986?0 Yes a No If your answer is"Yes"to this question,where can this information be accessed? This has to be accessed by Public Record Request with the City Secretary's office. If your answer is "No" to this question, you must provide the names and total compensation of the top five highly compensated officers below. For example: John Blum:500000;Mary Redd:50000;Eric Gant:400000;Todd Platt:300000; Nfihlly Tom:300000 Provide compensation information here: -2- Department of State Health Services Form 4734—June 2013 Docu5ipn,, iifiCURib Certificate Of Completion Envelope Id:3FD32230A8474C7097B932BCF3C4B8C0 Status:Sent Subject:Amending$561,120.00;537-18-0120-00001;City of Port Arthur A-5;DSHS CPS/HAZARDS Source Envelope: Document Pages:20 Signatures:1 Envelope Originator. Certificate Pages:2 Initials:0 Texas Health and Human Services Commission AutoNav:Enabled 1100 W.49th St. Envelopeld Stamping:Enabled Austin,TX 78756 Time Zone:(UTC-06:00)Central Time(US&Canada) PCS_DocuSign@hhsc.state.tx.us IP Address:167.137.1.14 Record Tracking Status:Original Holder:Texas Health and Human Services Location:DocuSign 3/23/2021 11:00:25 AM Commission PCS_DocuSign@hhsc.state.tx.us Signer Events Signature Timestamp Ron Burton Sent:3/23/2021 11:28:04 AM ron.burton@portarthurtx.gov City Manager City of Port Arthur Security Level:Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Judith Smith Sent 3/23/2021 11:28:04 AM judith.smith@portarthurbc.gov Sact{�c. Viewed:3/28/2021 8:39:39 PM Director of Health Services �`�0'AEO30"' Signed:3/28/2021 8:48:34 PM City of Port Arthur Security Level:Email,Account Authentication Signature Adoption:Pre-selected Style (None) Using IP Address:72.176.238.200 Electronic Record and Signature Disclosure: Not Offered via DocuSign David Gruber david.gruber©dshs.texas.gov Security Level:Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Carbon Copy Events Status Timestamp CMS Inbox COPIED Sent:3/23/2021 1128:04 AM cmucontracts@dshs.texas.gov Security Level:Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Quynh-Nhi Ge COPIED Sent:3/23/2021 11:28:03 AM Quynhnhi.Ge@dshs.texas.gov Viewed:3/23/2021 1128:45 AM Security Level:Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/23/2021 11:28:04 AM Payment Events Status Timestamps