HomeMy WebLinkAboutPR 21883: TEXAS DEPARTMENT OF STATE HEALTH SERVICES AND THE CITY OF P.A., FOR HEALTHY BABIES COMMUNITY COLITION INITIATIVE GRANT City of ` 2C
01-1 rt h u Texas
www.PortArthurTx.gov
INTEROFFICE MEMORANDUM
Date: April 05, 2021
To: The Honorable Mayor and City Council
Through: Ron Burton, City Manager
From: Judith A. Smith,RN, BSN, Director of Health Services
RE: Authorization to amend the Contract between the Texas Department of State
Health Services and the City of Port Arthur for a Healthy Babies Community
Coalition Initiative Grant for an additional $117,500.
Introduction:
The intent of this Agenda Item is to seek the City Council's approval for the City of Port Arthur
Health Department to receive additional funding in the amount of$117,500.00 not to exceed
$466,875 over a five-year period in order to ensure that our community has a decrease in infant
mortality.
Background: The Healthy Texas Babies initiative was developed to help Texas communities
decrease infant mortality using evidence-based interventions. It involves community
stakeholders,healthcare providers,and insurance companies.A reduction in infant mortality will
improve the health of Texas babies and mothers and has the potential to save millions of dollars
in healthcare costs. Jefferson County has been recognized as a high-risk area for infant mortality.
The goal is to reduce disparities in poor birth outcomes and maternal and infant mortality among
Texans using participatory models of programming.
The City of Port Arthur Health Department will utilize the local partnerships that we have
already, and we will establish a coalition to set up goals to help this community reduce the rate
of infant deaths. The goal is also reduced preterm births in our community by 8% over a two
year period.
"Remember,we are here to serve the Citizens of Port Arthur"
P.O.Box 1089 X Port Arthur,Texas 77641-1089 X 409.983.8101 X FAX 409.982.6743
City of
art mbar
Texas
www.PortArthurTx.gov
Budiet Impact: Total payments received from this contract will be $349,375.00 over the four-
year period. For year one the funding amount is$39,375.00,for year two the funding amount is
$75,000.00, for year three the funding amount is $117,500.00, and for year four the funding
amount is $117,500 through August 31, 2021. These funds will cover operation of the program,
salaries, fringe, travel, and supplies.
Recommendation:
It is recommended that City Council approve P.R. No. 21883 between the Texas Department
of State Health Services and the City of Port Arthur for a Texas Health Babies Community
Coalition grant.
"Remember,we are here to serve the Citizens of Port Arthur"
P.O.Box 1089 X Port Arthur,Texas 77641-1089 X 409.983.8101 X FAX 409.982.6743
P. R. No.21883
04/05/2021-js
RESOLUTION NO.
A RESOLUTION AUTHORIZING AMENDMENT NO. 3 TO
THE CONTRACT BETWEEN TEXAS DEPARTMENT OF
STATE HEALTH SERVICES AND THE CITY OF PORT
ARTHUR FOR A HEALTHY TEXAS BABIES COALITION
GRANT, TO REVISE THE BUDGET AND ADD $117,500 IN
FUNDS FOR FISCAL YEAR 2022 FOR A TOTAL NOT TO
EXCEED $466,875 THROUGH AUGUST 31, 2022. NO
MATCH REQUIRED.
WHEREAS, the Healthy Texas Babies Initiative was developed to help Texas
communities decrease infant mortality using evidence-based intervention. This initiative
involves community stakeholders, healthcare providers, and insurance companies; and,
WHEREAS, Jefferson County has been recognized as a high infant mortality
county and these grant funds will help to reduce disparities in poor birth outcomes and
maternal and infant mortality with the potential to save millions of dollars in healthcare
costs; and,
WHEREAS, pursuant to Resolution No. 18-154, council approved the FY 2018-
FY 2020 contract on April 24, 2018, on May 07, 2019 council approved Resolution No.
19-176, amending the contract to add $57,500 for FY 2020, and on March 31, 2020
council approved Resolution No. 20-101, amending the contract to add $117,500 for FY
2021, now the Texas Department of State Health Services desires to amend the contract
(Amendment No. 3) to add $117,500 to cover the contract period September 01, 2021
through August 31, 2022. The total grant award will not exceed $466,875.
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.21883
04/05/2021-js
Section 2. That, the City Council of the City of Port Arthur hereby approves
the Amendment No. 3 to the contract between the City of Port Arthur and the Department
of State Health Services for the Healthy Mothers and Babies Coalition.
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 Amendment No. 3 to the contract 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.21883
04/05/2021-js
APPROVED AS TO FORM:
,A6A-4
Val Tizeno City Y Attorne
APPROVED FOR ADMINISTRATION:
Ron Burton, City Manager
Judith Smith, RN, BSN
Director of Health Services
APPROVED AS TO AVAILABILITY OF FUNDS:
Scott oore, irector of Finance
DocuSign Envelope ID:COBDBA26-E22B-4679-A3E9-4EAC62862AFC
DEPARTMENT OF STATE HEALTH SERVICES
CONTRACT NO. HHS000094000001
AMENDMENT NO.3
The Department of State Health Services ("System Agency"or"DSHS") and City of Port Arthur
("Grantee"), each a "Party" and collectively the "Parties" to DSHS Contract
No. HHS000094000001 effective April 4, 2018 (the "Contract"), now want to amend the
Contract further.
Whereas, DSHS wants to renew the Contract for the period of September 1, 2021, through
August 31, 2022 ("FY 2022");
Whereas, the Parties want to increase the Contract amount for FY 2022 and revise the Budget
accordingly; and
Whereas,the Parties want to amend Sections I and III of the Statement of Work.
The Parties therefore agree as follows:
1. The Contract is hereby amended by replacing all references to "Healthy People 2020
goals"with"Healthy People 2030 goals".
2. Section III of the Contract, Duration, is hereby amended to extend the termination date
to August 31,2022.
3. Section IV of the Contract, Budget, is hereby amended by adding $117,500.00 to the
Contract ($67,500.00 in federal funds and $50,000.00 from general revenue) for a total
amount not to exceed $466,875.00. All expenses incurred during FY 2022 must be in
accordance with Attachment B-3—Budget(FY 2022).
4. Section VII of the Contract, Grant Information, is hereby deleted in its entirety and
replaced with_the following:
VII. GRANT INFORMATION
Federal Award Identification Number(FAIN): B0440164
Federal Award Date: October 28, 2020
Name of Federal Awarding Agency: U.S. Department of Health and Human
Services,Health Resources and Services Administration (HRSA)
CFDA Name and Number: 93.994
Awarding Official Contact Information: Crystal Howard at chowardAhrsa.gov
DUNS: 807391511
5. Attachment A—Statement of Work, Section I(G)(4) is hereby deleted in its entirety and
replaced with the following:
DocuSign Envelope ID:COBDBA26-E22B-4679-A3E9-4EAC62862AFC
4. Annual report due October 15, 2022 to update System Agency on assessments,
activities carried out, and intervention impact using guidelines and deadlines set
forth by System Agency.
6. Attachment A— Statement of Work, Section III(A) is hereby deleted in its entirety and
replaced with the following:
A. Grantee must request monthly payments using the State of Texas Purchase Voucher
(Form B-13) http://www.dshs.texas.gov/grants/forms.shtm. Voucher and all
supporting documentation must be emailed both to invoices(2i dshs.texas.gov and
cmsinvoices@dshs.texas.gov. Grantee must electronically submit a final close-out
voucher and final financial status report no later than thirty(30) days following the
end of the fiscal year. Vouchers received more than thirty (30) days following the
end of fiscal year are subject to denial of payment.
7. This Amendment shall be effective upon September 1, 2021.
8. Except as modified by this Amendment, all terms and conditions of the Contract shall
remain in effect.
9. Any further revisions to the Contract shall be by written agreement of the Parties.
SIGNATURE PAGE FOLLOWS
DSHS Contract No.HHS000094000001 Page 2 of 3
Amendment No.3
DocuSign Envelope ID:COBDBA26-E22B-4679-A3E9-4EAC62862AFC
SIGNATURE PAGE FOR AMENDMENT No. 3
DSHS CONTRACT No.HHS000094000001
DEPARTMENT OF STATE HEALTH SERVICES CITY OF PORT ARTHUR
By: By:
Signature of Authorized Representative Signature of Authorized Representative
Name: Name:
Title: Title:
Date: Date:
THE FOLLOWING DOCUMENTS ARE ATTACHED TO THIS AMENDMENT, AND THEIR TERMS ARE
HEREBY INCORPORATED INTO THE CONTRACT BY REFERENCE:
ATTACHMENT B-3 Budget(FY 2022)
ATTACHMENT G-2 Fiscal Federal Funding Accountability and
Transparency Act Certification (FFATA)
---0----
ATTACHMENTS FOLLOW
DSHS Contract No.HHS000094000001 Page 3 of 3
Amendment No.3
DocuSign Envelope ID:COBDBA26-E22B-4679-A3E9-4EAC62862AFC
ATTACHMENT B-3
BUDGET(FY 2022)
CATEGORY AMOUNT
Personnel $53,635.00
Fringe Benefits $23,331.00
Travel $3,130.00
Equipment $0.00
Supplies $2,504.00
Contractual $6,500.00
Other $28,400.00
Sum of Direct Costs $117,500.00
Indirect Costs $0.00
Sum of Total Direct Costs and $117,500.00
Indirect Costs
TOTAL $117,500.00
DocuSign Envelope ID:COBDBA26-E22B-4679-A3E9-4EAC62862AFC
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 Danie, 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
V7640-5802 - 137134909
State of Texas Comptroller Vendor Identification Number WIN) 14 Digits
174600138SC011
Printed Name of Authorized Representative Signature of Authorized Representative
r—DocuSigned by:
Judith Smith DA'' jj''
.
\—FBABscaAED'od71
Title of Authorized Representative Date
Director of Health Services April 2, 2021
- 1 -
Department of State Health Services Form 4734-June 2013
DocuSign Envelope ID:COBDBA26-E22B-4679-A3E9-4EAC62862AFC
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? Yes Ix I 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? Ti Yes Ix I 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? I I Yes x 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? n Yes n No
If your answer is"Yes"to this question,where can this information be accessed?
If your answer is "No" to this question, you must provide the names and total
compensation of the top five highly compensated officers below.
Provide compensation information here:
-2-
Department of State Health Services Form 4734—June 2013
Docu ,
- SECURED
Certificate Of Completion
Envelope Id:COBDBA26E22B4679A3E94EAC62862AFC Status:Sent
Subject:Amending$466,875.00;HHS000094000001;City of Port Arthur A-3;DSHS/CMS
Source Envelope:
Document Pages:12 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: 167.137.1.12
Record Tracking
Status:Original Holder:Texas Health and Human Services Location:DocuSign
4/1/2021 3:37:31 PM Commission
PCS_DocuSign@hhsc.state.tx.us
Signer Events Signature Timestamp
Judith Smith pD000SSI',gnedb, ��11 Sent:4/2/2021 7:36:42 PM
Judith.smith@portarthurtx.gov S�+mti Resent:4/2/2021 7:42:11 PM
Director of Health Services —Fa<ssoeaE°'°"' Viewed:4/2/2021 8:34:43 PM
City of Port Arthur Signed:4/2/2021 11:10:39 PM
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
Ronald Burton Sent:4/2/2021 7:36:42 PM
Ronald.burton@portarthurtx.gov
Security Level:Email,Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Manda Hall
manda.hall@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
CMS Inbox Sent:4/2/2021 7:36:41 PM
cmucontracts@dshs.texas.gov COPIED
Security Level:Email,Account Authentication
(None)
Electronic Record and Signature Disclosure:
Carbon Copy Events Status Timestamp
Not Offered via DocuSign
Kevin Ruiz COPIED Sent:4/2/2021 7:36:41 PM
Kevin.ruiz@dshs.texas.gov Viewed:4/5/2021 8:10:45 AM
Program Specialist and Contract Manager
Texas Health and Human Services Commission
Security Level:Email,Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Christina Patteson COPIED Sent:4/2/2021 7:36:42 PM
Christina.patteson@portarthurtx.gov Viewed:4/5/2021 10:30:14 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 4/2/2021 7:36:41 PM
Payment Events Status Timestamps
TEXAS
~Smart Choices•Healthy Families
(pcionessahias•Famihassanas Lista de compras de WIC en Texas
Padre, madre o tutor: VIRIDIANA SANTANA Fecha: Apr 05,2021
PAN: 5077171028502566026 Flora: 2:31 PM
Proxima cita: Clinica : Cityof Port Arthur Health Dept.
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Para reportar una tarjeta perdida o robada, Ilame al: 1-800-942-3678.
Para hacer preguntas sobre sus beneficios o si su tarjeta no funciona en la tienda.11ame a la clinica: (409) 983-8875
Para informacion acerca de WIC de Texas:Visite TexasWlC.org
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598-ALIMENTUM PWD 12.10Z 8.00 can 8.00 can 8.00 can
BABY FOOD FRUIT OR VEG 4 OZ 32.00 container 32.00 container 32.00 container
BREAD/TORTILLAS/RICE/OAT/PASTA 2.00 lb 2.00 lb 2.00 lb
CEREAL ' 36.00 ounce 36.00 ounce 36.00 ounce
CHEESE 1.00 lb 1.00 lb
DRY OR CAN BEANS/PEANUT BUTTER 1.00 item 1.00 item 1.00 item
i
EGGS SM/MED/LG/XLG/JUMBO 1.00 dozen 1.00 dozen
FRUITS and/OR VEGETABLES 3.96 value 9.00 value 9.00 value
GERBER INF CEREAL NO FRUIT 24.00 ounce 24.00 ounce 24.00 ounce
---
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SKM 1%MLK OR LOW/NONFAT YOGRT i 1.00 qt 1.00 qt 1.00 qt
Solo para use del personal
WICCAT/PRI/FOOD PKG/FORMULA/QTY
CLIENT/CID April,2021 May,2021 June, 2021
ELISSAQUIROGA/ Child/5/2001 Child/5/2001 Child/5/2001
00001154158
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00 00 00
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