HomeMy WebLinkAboutPR 18525: FY 2014-2015 PUBLIC HEALTH EMERGENCY PREPAREDNESS PROGBRAM IN THE AMOUNT OF $99,079.00 WITH A NON-CASH MATCH OF $9,908.00 Memorandum
City of Port Arthur, Texas
Health Department
TO: John Comeaux, P.E., Interim City Manager
FROM: Judith A. Smith, RN, BSN, Director of Health 21
DATE: August 27, 2014
SUBJECT: Proposed Resolution No. 18525
Approval of a Contract Renewal between the City of Port Arthur and the
Department of State Health Services Public Health Emergency
Preparedness program
RECOMMENDATION
It is recommended that the City Council approve Proposed Resolution No.18525
authorizing the City Manager to approve the FY 2014-2015 Contract between the City of
Port Arthur and the Department of State Health Services Public Health Emergency
Preparedness Program in the amount of$99,079 with a non-cash match of$ 9,908.
BACKGROUND
This contact renewal will allow the City of Port Arthur Health Department to perform
and support activities and develop interventions to prevent human illness from chemical,
biological, radiological agents, naturally occurring health threats and other public health
emergencies. The contract term is from September 1, 2014 through August 31, 2015.
BUDGETARY/FISCAL EFFECT:
This award is for $99, 079.00 which includes a 10% non-cash match of$9,908 which can
be in the form of in-kind services. The Health Department will keep records and
documentation to support the in-kind contribution. Since this match is non-cash, it will
not affect the city's budget.
STAFFING/EMPLOYEE EFFECT:
The funding supports salaries/fringe for one full time employee.
SUMMARY:
It is recommended that the City Council approve Proposed Resolution No.18525
authorizing the City Manager to approve the FY 2014-2015 Contract between the City of
Port Arthur and the Department of State Health Services Public Health Emergency
Preparedness Program in the amount of$99,079.00 with a non-cash match of$9,908.
P. R. NO. 18525
8/27/2014-js
RESOLUTION NO.
A RESOLUTION APPROVING THE FY 2014-2015 CONTRACT
BETWEEN THE CITY OF PORT ARTHUR AND THE
DEPARTMENT OF STATE HEALTH SERVICES FOR THE
PUBLIC HEALTH' EMERGENCY PREPAREDNESS PROGRAM
IN THE AMOUNT OF $99,079.00 WITH A NON-CASH MATCH
OF $9,908.00
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, the FY 2014-2015 contract will allow the City of Port Arthur to
prepare and respond 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, the total contract award is $99,079 for the period September 1, 2014
through August 31, 2015 which includes a 10%non-cash match of$9,908.
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.
Section 2. That, the City Council of the City of Port Arthur hereby approves
the contract between the City of Port Arthur and the Department of State Health Services
for the Public Health Preparedness Program.
P.R.NO.18525
8/27/2014-js
Section 3. That, the City Council deems it is in the best interest of the City to
approve and authorize the City Manager and the Director of the City's Health
Department to execute the contract between the 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 September,
2014. A.D., at a Regular Meeting of the City Council of the City of Port Arthur, Texas by
the following Vote:
AYES: Mayor:
Council members:
NOES:
Mayor
ATTEST:
Sherri Bellard, City Secretary
P. R. NO. 18525
Page 3
APPROVED AS TO FORM:
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Val Tizeno, City A T ey
APPROVED FOR ADMINISTRATION:
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John Comeaux, P.E., Interim City Manager Judith A. Smith, RN, BSN
Director of Health Services
EXHIBIT "A"
DEPARTMENT OF STATE HEALTH SERVICES
CONTRACT 2015-001230-00
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This Contract is entered into by and between the Department of State Health Services (DSHS or
the Department), an agency of the State of Texas, and Port Arthur Health Department (Contractor),
a Governmental, (collectively, the Parties) entity.
1. Purpose of the Contract: DSHS agrees to purchase, and Contractor agrees to provide,
services or goods to the eligible populations.
2. Total Amount: The total amount of this Contract is $99,079.00.
3. Funding Obligation: This Contract is contingent upon the continued availability of 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 Act, health
and human services agency consolidation, or any other disruptions of current appropriated funding
for this Contract, DSHS may restrict, reduce, or terminate funding under this Contract.
4. Term of the Contract: This Contract begins on 09/01/2014 and ends on 08/31/2015. DSHS
has the option, in its sole discretion, to renew the Contract. DSHS is not responsible for payment
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 under the authority of Health and Safety Code,
Chapter 1001.
6. Program Name: CPS/HAZARDS Public Health Emergency Preparedness (PHEP)
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7. Statement of Work:
STATEMENT OF WORK:
A. Contractor will perform activities in support of the PHEP Cooperative Agreement (Funding Opportunity
Number CDC-RFA-TP12-120102CONT14) from the Centers for Disease Control and Prevention (CDC).
CDC's five-year PHEP— Hospital Preparedness Program (HPP) Cooperative Agreement seeks to align
PHEP and HPP programs and advance public health and healthcare preparedness and:
1. Identify the appropriate jurisdictional partners to address the emergency preparedness, response and
recovery needs of older adults regarding public health, medical and mental health behavioral needs and
address processes and accomplishments to meet the needs of older adults;
2. Describe processes for solicitation of public comment on emergency preparedness plans and their
implementation such as the establishment of an advisory committee or similar mechanism to ensure
ongoing public comment on emergency preparedness and response plans;
3. Provide DSHS with situational awareness data generated through interoperable networks of electronic
data systems,
B. Contractor will address the following CDC PHEP Capabilities by prioritizing the order of the fifteen (15)
public health preparedness capabilities in which the Contractor intends to invest based upon the Texas
Public Health Jurisdictional Risk Assessment Tool (TxPHRAT) and the Capabilities Planning Guide (CPG)
to assess the current capabilities and gaps.
1. Capability 1 —Community Preparedness is the ability of communities to prepare for, withstand, and
recover— in both the short and long terms—from public health incidents.
2. Capability 2 —Community Recovery is the ability to collaborate with community partners, e.g., healthcare
organizations, business, education, and emergency management)to plan and advocate for the rebuilding
of public health, medical, and mental/behavioral health systems to at least a level of functioning comparable
to pre-incident levels and improved levels where possible.
3. Capability 3— Emergency Operations Center Coordination is ability to direct and support an event or
incident with public health or medical implications by establishing a standardized, scalable system of
oversight, organization, and supervision consistent with jurisdictional standards and practices with the
National Incident Management System.
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
responders.
5. Capability 5— Fatality Management is the ability coordinate with other organizations (e.g., law
enforcement, healthcare, emergency management, and medical examiner/coroner)to ensure the proper
recovery, handling, identification, transportation, tracking, storage, and disposal of human remains and
personal effects; certify cause of death, and facilitate access to mental/behavioral health services to the
family members, responders, and survivors of an incident.
6. Capability 6— Information Sharing is the ability to conduct multijurisdictional, multidisciplinary exchange
of health-related information and situational awareness data among federal, state, local, territorial, and
tribal levels of government, and the private sector. This capability includes the routine sharing of information
as well as issuing of public health alerts to federal, state, local, territorial, and tribal levels of government
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and the private sector in preparation for and in response to events or incidents of public health significance.
7. Capability 7—Mass Care is the ability to coordinate with partner agencies to address the public health,
medical, and mental/behavioral health needs of those impacted by an incident at a congregate location.
This capability includes the coordination of ongoing surveillance and assessment to ensure that local health
needs to continue to meet as the incident evolves.
8. Capability 8— Medical Countermeasure Dispensing is the ability to provide medical countermeasures
(including vaccines, antiviral drugs, antibiotics, antitoxin, etc.) in support of treatment or prophylaxis (oral or
vaccination)to the identified population in accordance with public health guidelines and/or
recommendations.
9. Capability 9— Medical Materiel Management and Distribution is the ability to acquire, maintain (e.g.,
cold chain storage or other storage protocol), transport distribute, and track medical materiel (e.g.,
pharmaceuticals, gloves, masks, and ventilators) during an incident and to recover and account for unused
medical materiel, as necessary, 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 healthcare system to survive a hazard impact and maintain or rapidly recover operations
that were compromised.
11. Capability 11 — Non-Pharmaceutical Interventions is the ability to recommend to the applicable lead
agency (if not public health) and implement, if applicable, strategies for disease, injury, and exposure
control. Strategies include the following: isolation and quarantine; restrictions on movement and travel
advisory/warnings; social distancing; external decontamination; hygiene; and precautionary behaviors.
12. Capability 12— Public Health Laboratory Testing is the ability to conduct rapid and conventional
detection, characterization, confirmatory testing, data reporting, investigative support, and laboratory
networking to address actual or potential exposure to all-hazards. Hazards include chemical, radiological,
and biological, and biological agents in multiple matrices that may include clinical samples, food, and
environmental samples (e.g., water, air, and soil). This capability supports routine surveillance, including
pre-event incident and post-exposure activities.
13. Capability 13— Public Health Surveillance and Epidemiological Investigations is the ability to create,
maintain, support and strengthen routine surveillance and detection systems and epidemiological
investigation processes, as well as to expand these systems and processes in response to incidents of
public health significance.
14. Capability 14— Responder Safety and Health describes the ability to protect public health agency staff
responding to an incident and the ability to support the health and safety needs of hospital and medical
facility personnel, if requested.
15. Capability 15—Volunteer Management is the ability to coordinate the identification, recruitment,
registration, credential verification, training and engagement of volunteers to support the jurisdictional
public health agency's response to incidents of public health significance.
C. A written amendment increasing the amount of this Contract will be required to be executed by the
Parties before the total amount of this Contract can be increased.
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D. Contractor will comply with all applicable federal and state laws, rules, and regulations including, but not
limited to, the following:
1. Public Law 107-188, Public Health Security and Bioterrorism Preparedness and Response Act of 2002;
2. Public Law 113-05, Pandemic and All-Hazards Preparedness Reauthorization Act; and
3. Texas Health and Safety Code Chapter 81.
E. The Parties have the authority under Texas Government Code Chapter 791 to enter into this Interlocal
Cooperation Contract.
F. Texas Government Code §421.062 provides that since this Contract is for a homeland security service
that neither party is responsible for any civil liability that may arise from this Contract.
G. The following documents and resources are incorporated by reference and made a part of this Contract:
1. DSHS and CDC Public Health Emergency Preparedness Cooperative Agreement, Funding Opportunity
Number: CDC-RFA-TP12-120102CONT14;
2. Public Health Preparedness Capabilities: National Standards for State and Local Planning, March
2011:
http://www.cdc.gov/phpr/capabilities/DSLR_capabilities_July.pdf;
3. Presidential Policy Directive 8/PPD-8, March 30, 2011:
http://www.hlswatch.com/wp-content/uploads/2011/04/PPD-8-Preparedness.pdf;
4. Homeland Security Exercise and Evaluation Program (HSEEP) Documents:
https://hseep.dhs.gov/pages/1001_HSEEP7.aspx;
5. Ready or Not? Have a Plan; Surviving Disaster: How Texans Prepare (videos):
http://www.texasprepares.org/survivingdisaster.htm;
6. DSHS Exercise Guide:
http://www.dshs.state.tx.us/commprep/exercises.aspx; and
7. Preparedness Program Guidance(s) as provided by DSHS and CDC.
H. Funds awarded for this Contract must be matched by 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 Contractor 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.
I. The Contractor is required to provide matching funds for this Program Attachment not less than
ten-percent of total costs. Refer to the DSHS Contractor's Financial Procedures Manual, Chapter 9
(http://www.dshs.state.tx.us/contracts/cfpm.shtm)for additional guidance on match requirements, including
descriptions of acceptable match resources. Documentation of match, including methods and sources
must be included in the Contractor's Contract budget and Contractor must follow procedures for generally
accepted accounting practices as well as meet audit requirements.
J. In the event of a public health emergency involving a portion of the state, Contractor will mobilize and
dispatch staff or equipment purchased with funds from the previous PHEP cooperative agreements and
that are not performing critical duties in the jurisdiction served to the affected area of the state upon receipt
of a written request from DSHS.
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K. Contractor will inform DSHS in writing if Contractor will not continue performance under this Program
Attachment within thirty days of receipt of an amended standard(s) or guideline(s). And after receipt of this
notice, DSHS may terminate this Contract immediately or within a reasonable period of time as
determined by DSHS.
L. Contractor will 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.
M. DSHS reserves the right, where allowed by legal authority, to redirect funds in the event of financial
shortfalls. DSHS will monitor Contractor's expenditures on a quarterly basis. If expenditures are below that
projected in Contractor's total Contract amount, Contractor's budget may be subject to a decrease for the
remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease
in funds.
N. The Contractor will:
1. Submit programmatic reports as directed by DSHS in a format specified by DSHS. Contractor will
provide DSHS other reports, including financial reports, and any other reports that DSHS determines
necessary to accomplish the objectives of this contract and to monitor compliance;
2. Submit the Capabilities Planning Guide assessment due to DSHS within an established timeframe
designated by DSHS;
3. Submit Strategic Map due to DSHS within an established timeframe designated by DSHS;
4. Submit Performance Measures to DSHS within an established timeframe designated by DSHS;
5. Update the Texas Public Health Jurisdictional Risk Assessment Tool (TxPHRAT) by September 30,
2014;
6. Submit the Emergency Support Function 8 plans developed in accordance with the Texas Department of
Emergency Management(TDEM) and DSHS Planning Standards within 30 days of request from DSHS;
7. Submit a monthly list of all reported clusters and information on investigation findings on the tracking
sheet provided by the DSHS Emerging and Acute Infectious Disease Branch by the 15th of the following
month;
8. Submit documentation of all required NIMS training to DSHS within an established timeframe
designated by DSHS;
9. Submit a current Multi-Year Training & Exercise Plan that covers FY15 through FY20 to DSHS by
September 2, 2014, using the template provided by DSHS. In accordance with HSEEP guidelines,
contractors must conduct or participate in a Multi-year Training and Exercise Workshop with all applicable
agencies and submit an agenda and a participant roster as documentation of attendance;
10. Complete and submit the Operational Readiness Review (ORR)to SharePoint two-weeks prior to
review in a report in a format specified by DSHS;
11. Perform and submit metrics on three Strategic National Stockpile (SNS) operation drills and submit
After Action Report/Improvement Plan 60 days after completion of the drill. Drills should be conducted to
allow for After Action Reports with accompanying data collection metric sheets to be submitted no later
than April 1, 2015;
12. Demonstrate compliance with current programmatic medical countermeasure guidance through
submission of point of dispensing (POD) standards data by April 1, 2015;
13. Complete the Joint Training Report due to DSHS within an established timeframe designated by
DSHS pending release of the report template from CDC;
14. Submit the Mid-Year Report to DSHS by December 2014;
15. Complete an end-of-year performance report in a format specified by DSHS no later than August 14,
2015;
16. Conduct or participate in, at least, one Preparedness Exercise in accordance to the Contractor's
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exercise plan and developed in accordance with Homeland Security Exercise and Evaluation Program
(HSEEP) standards. Contractor will submit to DSHS an exercise notification following the Concept and
Objectives meeting in accordance with timeframes established in DSHS Exercise Guidance. A joint after
action report/improvement plan must be submitted within 60 days of the exercise to DSHS. The After
Action Report must also include a Corrective Action Plan. These exercises may include a tabletop
exercise, a functional exercise, or a full-scale exercise to test preparedness and response capabilities, but
not associated with SNS;
17. Designate a member of the PHEP program to attend, in person, the PHEP first quarterly meeting of the
contract term and either in person or via webinar for the subsequent meetings. If the designee is unable to
attend the first meeting in person, the Contractor must petition DSHS in writing requesting an exemption
and proposal for attending a subsequent quarterly meeting;
18. Designate a member of the Contractor's financial team to participate in the fiscal portion of each of the
four quarterly meetings in person or via webinar;
19. Participate in the Annual Intermedix Autumn Charge Exercise to evaluate the use of the Texas Disaster
Volunteer Registry during a simulated disaster and to evaluate overall readiness;
20. Report as requested by DSHS to satisfy information-sharing requirements set forth in Texas
Government Code, Sections 421.071 and 421.072 (b) and (c); and
21. Complete all additional reporting requirements. Due dates will be listed in the most current DSHS
reporting schedule, to be released no later than September 30, 2014. If Contractor is legally prohibited
from providing such reports, Contractor will immediately notify DSHS in writing.
O. In the event of a local, state, or federal emergency the Contractor has the authority to utilize
approximately five percent of the Contractor's staffs time supporting this Program Attachment for response
efforts. DSHS will reimburse Contractor up to five percent of this Program Attachments funded by CDC for
personnel costs responding to an emergency event. Contractor will maintain records to document the time
spent on response efforts for auditing purposes. Allowable activities also include participation of drills and
exercises in the pre-event time period. Contractor will notify the Assigned Contract Manager in writing
when this provision is implemented.
P. For the purposes of this Contract, the Contractor may not use funds for fundraising activities, lobbying,
research, construction, major renovations and reimbursement of pre-award costs, clinical care, purchase of
vehicles of any kind, funding an award to another party or provider who is ineligible, backfilling costs for
staff or the purchase of incentive items.
Q. Contractor will cooperate with DSHS to coordinate all planning, training and exercises performed under
this Program Attachment with local emergency management and the Texas Division of Emergency
Management (TDEM) District Coordinators assigned to the contractor's sub-state region, 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.
R. Contractor will coordinate all risk communication activities with the DSHS Communications Unit by using
DSHS's core messages posted on the DSHS website, and submitting copies of draft risk communication
materials to DSHS for coordination prior to dissemination.
S. For Volunteer Management (Capability 15), if Contractors are using volunteers, such as Medical
Reserve Corps or Strategic National Stockpile (SNS) point of dispensing volunteers, and then Contractors
must use the Texas Disaster Volunteer Registry (TDVR), Texas' version of the Emergency System for the
Advanced Registration of Volunteer Health Professionals (ESAR-VHP) system as their main volunteer
management tool.
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T. If using volunteers as provided in Section S above during FY15, the Contractor will be required to take
DSHS training on the TDVR system. Within 60 days of this training, Contractors must either:
1. Request access to the TDVR from DSHS Medical Reserve Corp (MRC) and Emergency System to
State ESAR-VHP System Administrator; and enter all volunteer data into the Intermedix Data Input Form
and submit the form to the State ESAR-VHP System Administrator; or
2. Petition DSHS in writing for an exemption from using the TDVR. Successful petitioners must be currently
using a fully operational, ESAR-VHP compliant, web-based volunteer management system.
PERFORMANCE MEASURES:
A. Contractor will meet and report performance measures based on milestones that are developed in
coordination with DSHS for the Contractor's project as provided in the Section I and demonstrated
adherence to PHEP reporting deadlines; and demonstrated capability to receive, stage, store, distribute,
and dispense materiel during a public health emergency. Failure to meet these deliverables may result in
withholding a portion of any subsequent PHEP base awards.
B. DSHS will send a schedule for the reporting these Performance Measures within 30 days of the contract
start date, which is subject to change as DSHS and CDC modify performance measures and due dates.
C. Contractor will provide services in the following counties:
BILLING INSTRUCTIONS:
Contractor will request payment using the State of Texas Purchase Voucher(Form B-13) on a monthly
basis and acceptable supporting documentation for reimbursement of the required services/deliverables.
Additionally, the Contractor will submit the Financial Status Report (FSR-269A) and the Match
Reimbursement Certification (B-13A) on a quarterly basis. Vouchers, supporting documentation, Financial
Status Report, and B-13A should be mailed or emailed to the addresses below.
Claims Processing Unit, MC1940
Texas Department of State Health Services
1100 West 49th Street
PO Box 149347
Austin, TX 78714-9347
Email: invoices @dshs.state.tx.us
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8. Service Area
Jefferson County
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10. Procurement method:
Non-Competitive Interagency/Interlocal
GST-2012-Solicitation-00043 RLHS GOLIVE HAZARDS PROPOSAL
11. Renewals:
Number of Renewals Remaining: 2 Date Renewals Expire: 08/31/2017
12. Payment Method:
Cost Reimbursement
13. Source of Funds:
93.069, 93.069
14. DUNS Number:
137134909
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16. Special Provisions
A. Contractor will submit final close-out bill or revisions to previous reimbursement request(s) no later than
August 14, 2015, for costs incurred between the services dates of September 1, 2014 to June 30, 2015. No
expenditures with service dates from September 1, 2014 to June 30, 2015 will be paid after August 14,
2015 from the Budget Period 3 (BP3) allocation. This Subsection supersedes Section 4.03 of the Fiscal
Year 2015 Department of State of Health Services General Provisions (Core/Sub Recipient).
B. General Provisions, Funding Article IV, Use of Funds Section 4.03, is amended to include the following:
Contractor is allocated ($ 84,254.00) from September 1, 2014 to June 30, 2015.
Contractor is allocated ($ 14,825.00)from July 1, 2015 to August 31, 2015.
Expenditures may not exceed the above allocated amounts within the specified timeframes.
C. General Provisions, Terms and Conditions of Payment Article VI, is revised to include:
DSHS will monitor Contractor's billing activity and expenditure reporting on a quarterly basis. Based on
these reviews, DSHS may reallocate funding between contracts to maximize use of available funding.
D. General Provisions, Access and Inspection Article XI, Access Section 11.01 is hereby revised to
include the following:
In addition to the site visits authorized by this Article of the General Provisions, Contractor will allow DSHS to
conduct on-site quality assurance reviews of Contractor. Contractor will comply with all DSHS
documentation requests and on-site visits. Contractor will make available for review all documents related to
the Statement of Work and Exhibit A, upon request by the DSHS Program staff.
E. General Provisions, General Business Operations of Contractor Article XIV, Equipment Purchases
(Including Controlled Assets), Section 14.20, is revised as follows:
Contractor is required to initiate the purchase of approved equipment no later than August 31, 2015 as
documented by issue of a purchase order or written order confirmation from the vendor on or before August
31, 2015. In addition, all equipment must be received no later than 60 calendar days following the end of the
Program Attachment term.
F. General Provisions, General Terms Article XV, Amendment Section 15.15, is amended to include the
following:
Contractor must submit all amendment and revision requests in writing to the Division Contract Management
Unit at least 90 days prior to the end of the term of this Program Attachment.
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17. Documents Forming Contract. The Contract consists of the following:
a. Contract (this document) 2015-001230-00
b. General Provisions Subrecipient General Provisions
c. Attachments Budgets
d. Declarations Certification Regarding Lobbying, Fiscal Federal Funding
Accountability and Transparency Act (FFATA) Certification
e. 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.
18. Conflicting Terms. In the event of conflicting terms among the documents forming this Contract, the
order of control is first the Contract, then the General Provisions, then the Solicitation Document, if any, and
then Contractor's response to the Solicitation Document, if any.
19. Payee. 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 Health Dept
Vendor Identification Number: 17460018850
20. 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.
I certify that I am authorized to sign this document and I have read and agree to all parts of the contract,
Department of State Health Services Port Arthur Health Department
By: By:
Signature of Authorized Official Signature of Authorized Official
Date Date
Name and Title Name and Title
1100 West 49th Street
Address Address
Austin, TX 787-4204
City, State, Zip City, State, Zip
Telephone Number Telephone Number
E-mail Address E-mail Address
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Budget Summary
Organization Name: Port Arthur Health Department Program ID: CPS/HAZARDS
Contract Number: 2015-001230-00
Budget Categories
Budget Categories DSHS Funds Cash Match In Kind Match Category Total
Requested Contributions
Personnel $64,800.00 $0.00 $0.00 $64,800.00
Fringe Benefits $29,821.00 $0.00 $0.00 $29,821.00
Travel $1,240.00 $3,260.00 $0.00 $4,500.00
Equipment $0.00 $0.00 $0.00 $0.00
Supplies $788.00 $6,648.00 $0.00 $7,436.00
Contractual $0.00 $0.00 $0.00 $0.00
Other $2,430.00 $0.00 $0.00 $2,430.00
Total Direct Costs $99,079.00 $9,908.00 $0.00 $108,987.00
Indirect Costs $0.00 $0.00 $0.00
Totals $99,079.00 $9,908.00 $0.00 $108,987.00
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