HomeMy WebLinkAboutPR 11715: TOBACCO PREVENTION MEMORANDUM
CITY OF PORT ARTHUR
TO: Steve Fitzgibbons, City Manager
FROM: Ernestine Wade, RN, Director(~__--~)
SUBJECT: Proposed Resolution No. 11715
Amendment to the Contract between the City of
Pod Arthur for Tobacco Prevention and
Control Activities
DATE: March 26, 2002
FILE: z:\data\wp5 ld\tdh01-02\
tob add.cam
FOR
ADMINISTRATION
USE
ONLY
COMMENTS
* REQUESTED BY: Ernestine Wade, RN, Director
* PURPOSE EXPRESSED BY REQUESTOR:
* Approval of a Contracts Amendment between the
* City of Port Arthur and Texas Department of Health
* to perform additional tobacco prevention and
* control activities
* LOCATION: N/A
RECOMMENDATION
It is recommended that the City Council adopt Proposed Resolution No. 11715 authorizing the
City Manager to execute a contract amendment between the City of Port Arthur and Texas
Department of Health to provide tobacco prevention and control activities.
BACKGROUND
The purpose of the contract amendment between the City of Port Arthur and Texas Department
of Health is to promote implementation of effective tobacco use prevention and control programs
in Port Arthur. Specific activities should include:
* subcontracting with local community groups and organizations;
* participating in community wide events;
* increase awareness and educate the community on tobacco issues;
* preventing initiation of youth tobacco use;
* promoting cessation for current users of tobacco products;
* protecting the public from involuntary exposure to environmental tobacco smoke; and,
* decreasing tobacco use in at-risk priority population groups.
An increase in funds will support the health department in performing these wide range of
activities.
Port Arthur Health Department
MEMORANDUM
CITY OF PORT ARTHUR
Stephen Fitzgibbons, City Manager
March 26, 2002
Page 2
BUDGETARY/FISCAL EFFECT:
The existing budget is for $67,000. The additional $61,314 will bring the total award to $128,314.
The funds are used for personnel and fringe for two employees, to purchase supplies, travel, and
to subcontract with local organizations.
STAFFING/EMPLOYEE EFFECT:
The grant funds two employees, a health educator and community service aide.
SUMMARY:
It is recommended that.the City Council adopt P.R. No. 11715, authorizing the City Manager to
accept and execute a contract amendment between the City of Port Arthur and Texas Department
of Health to increase funds to provide additional tobacco prevention and control activities to the
citizens of Port Arthur.
Port Arthur Health Department
P.R. NO. 11715
3/26/02-YDA
RESOLUTION NO.
A RESOLUTION APPROVING AN AMENDMENT (ATTACHMENT 5)
TO THE CONTRACT BETVVEEN THE CITY OF PORT ARTHUR AND
TEXAS DEPARTMENT OF HEALTH TO INCREASE THE
FINANCIAL ASSISTANCE BY $61,314 FOR ADDITIONAL TOBACCO
AND CONTROL ACTIVITIES
WHEREAS, a contract between the City of Port Arthur and Texas Department of
Health was approved on September 4, 2001, Resolution No. 01-248 to provide for tobacco
prevention and control activities; and,
WHEREAS, the Texas Department of Health wishes to amend Atttachment 5, Office
of Tobacco Prevention and Control, to increase the amount of FY 2002 funding by
$61,314, to provide for additional tobacco prevention and control activities;
WHEREAS, this increase in funds will bring the total grant award to $128,314 for FY
2002; now therefore,
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PORT ARTHUR:
THAT the Contract Amendment, a copy of which is attached hereto and made a part
hereof as Exhibit "A" is hereby approved; and,
THAT said Contract Amendment is an exact duplicate of a City Standard Form
Contract except for the changes described in the Certificate of Standard Form Contract,
a copy of which is attached hereto as Exhibit "B" and is hereby incorporated by reference,
and said changes are hereby approved; and,
P.R. No. 11715
Page 2
THAT the City Manager of the City of Port Arthur and Ernestine Wade, RN, Director
of the City's Health Depadment are hereby authorized and directed to execute said
Contract Amendment on behalf of the City of Port Arthur; and,
THAT a copy of this Resolution be spread upon the Minutes of the City Council.
READ, ADOPTED AND APPROVED THIS DAY OF
A.D., 2002, at a Meeting of the City Council of the City of Port
Arthur, Texas, by the following vote: Mayor: ,
Councilmembers: .,
NOES:
ATTEST:
Mayor
Acting City Secretary
APPROVED AS TO FORM:
Mark Sokolow, City Attorney
APPROVED FOR ADMINISTRATION:
Stephen Fitzgibbons, City Manager
Ernestine Wade, RN, Director
TEXAS DEPARTMENT OF HEALTH
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756-3199
EXHIBIT "A"
STATE OFTEXAS
COUNTY OFTRAVIS
TDH DocUment No. 7460018850 2002
Contract Change Notice No. 04
The Texas Department of Health, hereinafter referred to as RECEIVING AGENCY, did heretofore enter into a contract in writing
with PORT ARTHUR CITY HEALTH DEPARTMENT hereinafter referred to as PERFORMING AGENCY. The parties thereto
now desire to amend such contract attachment(s) as follows:
SUMMARY OF TRANSACTION:
ATT NO. 05A: TOBACCO PREVENTION AND CONTROL
All terms and conditions not hereby amended remain in full force and effect.
EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN.
CITY OF PORT ARTHUR
Authorized Contracting Entity (type above if different
from PERFORMING AGENCY) for and in behalf of:
PERFORMING AGENCY:
RECEIVING AGENCY:
PORT ARTHUR CITY HEALTH DEPARTMENT
By:
(Signature of person authorized to sign)
Stephen Fitzgibbons, City Manager
(Name and Title)
Date:
TEXAS DEPARTMENT OF HEALTH
( 'g e of person authorized to sign)"
RECOMMENDED: Ernestine Wade, RN, Director
Melanie A. Doyle, Director
Grants Management Division
(Name and Title)
By:
(PERFORMING AGENCY Director, if different
from person authorized to sign contract
SB GMD - Rev. 12/0
Cover Page l
DETAILS OF ATTACHMENTS
Att/ TDH Term Financial Assistance Direct Total Amount
Amd Program Assistance (TDH Share)
No. ID Begin End Source of Amount
· Funds*
01 PHR 6/5S 01/01/01 12/31/01 93.977 44,719.00 0.00 44,719.00
02A OPHP 09/01/01 08/31/02 State 93.991 175,188.00 14,472.00 189,660.00
03 IMM/LOCALS 09/01/01 08/31/02 State 93.268 80,618.00 0.00 80,618.90
04 BNS/WIC-CARD 10/01/01 09/30/02 10.557 0.00 0.00 0.00
05A TPC 09/01/01 08/31/02 State 128,314.00 0.00 128,314.0G
06 ACFH/POP 09/01/01 08/31/02 State
TDH Document 15,000.00 0.00 15,000.0G
No. 7460018850 2002 Totals
Change No. 04 $443,839.00 $14,472.00 $458,311.00
*Federal funds are indicated by a number from the Catalog of Federal Domestic Assistance (CFDA), if applicable· REFER TO
BUDGET SECTION OF ANY ZERO AMOUNT ATTACHMENT FOR DETAILS.
Cover Page 2
DOCUMENT NO. 7460018850-2002
ATTACHMENT NO. 05A
PERFORMING AGENCY: PORT ARTHUR CITY HEALTH DEPARTMENT
RECEIVING AGENCY PROGRAM: OFFICE OF TOBACCO PREVENTION AND
CONTROL
TERM: September01,.2001 THRU: August 31, 2002
It is mutually agreed by and between the contracting parties to amend the conditions of
Document No. 7460018850 2002-05 as written below. All other conditions not hereby
amended are to remain in full force and effect.
SECTION I. SCOPE OF WORK:
PROJECT 1
PERFORMING AGENCY shall distribute tobacco settlement funds to local community
groups, organizations, and coalitions to conduct tobacco prevention and control activities as
part of the tobacco prevention initiative developed by RECEIVING AGENCY.
PERFORMING AGENCY staff shall work with RECEIVING AGENCY staff to provide
technical assistance and training for funded projects, and shall provide city/county-level
coordination for tobacco prevention and/or cessation initiative activities.
Community groups, organizations, and coalitions receiving funding shall provide
community, school, and/or cessation activities as outlined in the attached Exhibit A, focusing
on prevention of youth tobacco use, protection of the public to environmental tobacco smoke
(ETS), and elimination of disparities among diverse and special populations.
PERFORMING AGENCY shall actively coordinate with Education Service Center staff and
RECEIVING AGENCY staff working with schools on tobacco prevention activities.
PERFORMING AGENCY shall actively involve youth in the planning and implementation
of youth-oriented activities.
PERFORMING AGENCY shall ensure that at least 33% of funding is used to conduct
community and cessation activities for groups representing minority and diverse populations,
including minorities, people in rural communities, the elderly, and gay communities.
PERFORMING AGENCY shall cooperate with researchers contracted by RECEIVING
AGENCY to evaluate the overall effectiveness of the Texas Tobacco Initiative Pilot Project
and the current capacity of funded entities to implement tobacco-related initiatives.
PERFORMING AGENCY shall actively coordinate with the media agency contracted by the
RECEIVING AGENCY for media and public relations activities.
ATTACHMENT - Page
PERFORMING AGENCY shall coordinate at least one (1) event for TEXAS DUCK DAYS
to b'e held between November 11-17, 2001. An event is defined as any public activity that
involves 9-12 year olds in a manner that raises awareness of tobacco prevention issues using
messages already identified by the Office of Tobacco Prevention and Control for this
audience.
PERFORMING AGENCY shall register their event(s) online at www.txduckdays, org or by
faxing the information to the Information Specialist of the Office of Tobacco Prevention and
Control at (512) 458-7240.
PERFORMING AGENCY shall use DUCK and "Tobacco is Foul" images without any
modification.
PROJECT2
GOALS
The purpose of this contract is for PERFORMING AGENCY to promote implementation of
effective tobacco use prevention and control programs in Port Arthur, Texas. The goal is to
achieve a 6% reduction in tobacco use in all funded areas per year through programs that:
1) Prevent initiation of youth tobacco use;
2) Promote cessation for current users of tobacco products;
3) Protect the public from involuntary exposure to environmental tobacco smoke
(ETS);
4) Decrease tobacco use in at-risk priority population groups.
The CDC Best Practices for Comprehensive Tobacco Control Programs, August 1999,
specifies that community programs include activities which: increase the number of
organizations and individuals involved in planning education and training programs; use state
and local counter-marketing campaigns to place pro-health messages on tobacco control;
promote the adoption of public and private tobacco control policies; and monitor program
implementation.
DIRECT PROGRAM DELIVERY
PERFORMING AGENCY shall coordinate at least one (1) event for TEXAS DUCK DAYS
to be held between November 11-17, 2001, and shall register the event(s) online at
www.txduckdays.org or by faxing the information to the Information Specialist of the Office
of Tobacco Prevention and Control at (512) 458-7240. An event is defined as any public
activity that involves 9-18 year-olds in a manner that raises their awareness of tobacco
prevention issues using messages already identified by the Office of Tobacco Prevention and
Control for this audience.
PERFORMING AGENCY shall use DUCK and "Tobacco is Foul" and "Worth It?" images
without any modification.
ATTACHMENT - Page 2
PROGRAM RESPONSIBILITIES OF PERFORMING AGENCY WITH
SUBCONTRACTORS
PERFORMING AGENCY shall involve and make funds available to community groups or
coalitions, which are representative of the ethnic, geographic and socio-economic diversity in
Beaumont. Funds shall be used to conduct effective tobacco prevention and control activities
as part of a comprehensive approach to community tobacco use prevention and cessation.
PERFORMING AGENCY shall:
1) Provide training for subcontractors on tobacco use prevention and control and Texas
tobacco laws.
2) Develop a memorandum of understanding for each subcontractor requiring it to
perform the following functions and activities:
Community Mobilization and Training Activities
a) Actively participate in a county-wide anti-tobacco coalition or create a new
coalition to carry out tobacco use prevention activities;
b) Train and educate a minimum of eight (8) key leaders on tobacco issues including
local tobacco control policies and ordinances and Texas tobacco laws. The key
leaders may include city council members, civic leaders, religious/spiritual
leaders, health professionals, minority community leaders, law enforcement,
school officials and business leaders;
Policy and Regulatory Activities
c) Build support for stronger tobacco control policies and ordinances by conducting
three (3) of the following environmental tobacco smoke (ETS) activities:
· Conduct a campaign to educate communities on the benefits of smoke-
free bars, ETS issues and provide tobacco education materials and
resources;
· Educate a minimum of five (5) work sites, including restaurants and
bars, on ETS issues and provide tobacco education materials and
resources;
· Increase awareness and educate the community on local tobacco-free
ordinances, and/or educate on the need for local ordinances for
tobacco-free worksites and public areas;
· Visit a minimum of ten (10) day care centers in the community to
educate workers on the benefits of a smoke-flee environment and
provide materials and resoumes;
· Work with schools to educate parents on the dangers of ETS through
activities that may include Parent-Teacher Associations, school nurses,
and school counselors.
Counter-marketing/Educational Activities
d) Increase awareness and educate the community on key tobacco issues including
ETS, tobacco use cessation, state and local tobacco laws and ordinances;
e) Promote a tobacco-flee message at community events, such as fairs, dances,
sporting events, cultural events;
ATTACHMENT - Page 3
f) Counteract tobacco industry marketing and advertising in the community;
g) Involve youth ages 9-18 in the planning and implementation of tobacco
prevention activities, in collaboration with the schools and the Statewide Tobacco
Education Program (STEP);
h) Involve young adults, age 18-24, in tobacco control activities, through local
institutions of higher learning, junior colleges, trade schools, recreational entities,
and the workplace;
i) Conduct at least one (1) major community tobacco prevention event (i.e. marking
the Gmat American Smoke Out, Kick Butts Day, World No Tobacco Day, Duck
Days), and coordinate the event with Tuerff-Davis, PERFORMING AGENCY'S
advertising contractor;
j) Promote community tobacco use cessation among adults and youth, through
referrals to the Quitline and health cam providers, and educate providers, health
cam organizations, and health insurers in accordance with the I-IHS Clinical
Practice Guidelines on Treating Tobacco Use and Dependence (June 2000);
k) Conduct media advocacy activities such as letter-writing campaigns, billboards
created by local citizens, murals addressing tobacco issues, and activities directly
involving youth.
Administrative Functions
I) Report activities to PERFORMING AGENCY on a quarterly basis;
2) Submit an action plan to PERFORMING AGENCY within one (1) month of
receipt of contract describing how and when above activities am to be
accomplished.
NETWORKING AND COORDINATION RESPONSIBILITIES
PERFORMING AGENCY shall:
1) Coordinate community activities with subcontractors, Office of Tobacco Prevention
and Control (OTPC) regional and headquarters staff, Educational Service Center
staff, and Tuerff-Davis to maximize the impact of the activities;
2) Maintain ongoing communication with the subcontractors to ensure timely delivery of
information on area tobacco coalition activities;
3) Participate as an active member of the local tobacco control coalitions.
ADMINISTRATIVE AND STAFFING RESPONSIBILITIES
PERFORMING AGENCY:
1) Is responsible for ensuring that approximately one third (1/3) of the funding
distributed to local community groups or coalitions is used toward activities that
serve diverse and high-risk priority populations;
2) Will receive funding from RECEIVING AGENCY to staff one (I) FTE position to
coordinate the distribution of funds to local community groups or coalitions, train
staff and community members, provide technical assistance for funded projects, and
provide updates and reports to RECEIVING AGENCY program regarding funded
tobacco prevention activities. The staff shall participate in the RECEIVING
AGENCY'S training activities and periodic coordinating activities;
ATTACHMENT - Page 4
3) Shall cooperate with mseamhers contracted by RECEIVING AGENCY to evaluate
overall effectiveness of the Texas Tobacco Project and the current capacity of
funded entities to implement tobacco-related initiatives;
4) Shall review action plans of subcontractors and provide technical assistance to assure
effective and timely implementation of program activities.
SECTION Ih SPECIAL PROVISIONS
PERFORMING AGENCY shall not develop individual media campaigns (radio, television,
cable, billboards, newspaper or merchandise). PERFORMING AGENCY shall concentrate
their media efforts on activities that reinforce the advertising campaign messages developed
by TDH. .
PERFORMING AGENCY shall send a minimum of one (1) stSff member to participate in
the State Tobacco Conference on best practices being conducted in the pilot area.
PERFORMING AGENCY shall have a minimum of one (1) staff person assigned to the
implementation of the activities of this contract. PERFORMING AGENCY shall provide the
RECEIVING AGENCY with the name(s) of any key personnel changes that impact the
implementation of this contract.
General Provisions, Reports Article, is revised to include the following:
PROJECT1
PERFORMING AGENCY shall provide monthly reports and quarterly updates to
RECEIVING AGENCY Program regarding tobacco community and cessation activities.
PROJECT2
PERFORMING AGENCY shall provide monthly reports and quarterly updates to
RECEIVING AGENCY program regarding comprehensive tobacco prevention activities.
PROJECTS 1 & 2
PERFORMING AGENCY shall maintain specific, detailed documentation of all funded
activities including number of people served, type of population served, activity details,
training agendas, and' outcome evaluations conducted. PERFORMING AGENCY shall
submit these reports by the 15th working day of the month, in a format required by
RECEIVING AGENCY.
For services satisfactorily rendered pursuant to the Scope of Work set out in Section I above
and for meeting the Special Provisions set out in Section II above, the RECEIVING
AGENCY will pay the PERFORMING AGENCY for actual costs upon receipt and approval
of itemized monthly statements of the costs incurred.
ATTACttMENT - Page 5
TEXAS DEPARTMENT OF ItEALTI!
RECEIVING AGENCY PROGRAM: OFFICE OF TOBACCO PREVENTION AND CONTROL
PERFORMING AGENCY: PORT ARTHUR CITY HEALTH DEPARTMENT
CONTRAC'I~ TERM: 09/01/2001 THRU: 08/31/2002 BUDGET PERIOD: 09/01/2001 THRU 08/31/2002
TDH DOC. NO. 7460018850 200205A CHG. 04
REVISED CONTRACT BUDGET
FINANCIAL ASSISTANCE
OBJECT CLASS CATEGORIES CURRENT APPROVED CHANGE NEW OR REVISED
Personnel BUDGET (A) RE(~UESTED (B) BUDGET (C)
$33,600.00 $5,010.00 $38,610.00
Fringe Benefits 13,655.00 1,793.00 15,448.00
Travel 2,232.00 86.00 2,318.00
Equipment 0.00 0.00 0.00
Supplies 1,500.00 500.00 2,000.00
Contractual 0.00 0.00 0.00
Other 16,013.00 53,925.00 69,938.00
Total Direct Charges $67,000.00 $61,314.00 $128,314.00
Indirect Charges 0.00 0.00 0.00
TOTAL $67,000.00 $61,314.00 $128,314.00,
PERFORMING AGENCY SHARE:
Program Income 0.00 0.00 0.00
Other Match 0.00 0.00 0.00
RECEIVING AGENCY SHARE $67,000.00 $61,314.00 $128,314.00
PERFORMING AGENCY SHARE $0.00 $0.00 $0.00
Detail on Indirect Cost Rate Type:
Rate 0.00 Base $0.00 Total $0.00
Budget Justification: Change in Scope of work. Expansion of comprehensive program area due to add'l funds.
Form No. GC-9
Financial status reports are due the 30th of December 30th of March, 30th of June, and lhe 30th of November.
EXHIBIT A
PERFORMI~NG AGENCY shall provide the following activities in the geographical areas
listed below.
City of Port Arthur
A. Focus on community activities that:
· Prevent initiation of youth tobacco use including increasing the unity of youth
with schools, family and community,
· Protect the public from involuntary exposure to environmental tobacco smoke
(ETS); and,
· Eliminate disparities among diverse/special population groups.
Community activities shall include the following on a monthly basis:
· Strengthen an existing coalition or create a new coalition to carry out tobacco-
use prevention activities;
· Increase awareness and educate the community on tobacco issues. Train and
educate a minimum of eight (8) key leaders on tobacco issues. These key
leaders may be city council members, civic leaders, religious/spiritual leaders,
health professionals, minority community leaders, law enforcement, schools
officials, or business leaders;
· Promote a tobacco-free message at community events and with media contacts;
· Counteract tobacco industry marketing and advertising through media
advocacy;
Use youth to plan and implement activities in the communities;
· Participate in a community-wide event to promote tobacco prevention and
education efforts;
· Involve institutions of higher learning in tobacco-free activities including
minorities, people in rural communities, the elderly, and gay communities;
· Conduct three (3) of the following environmental tobacco smoke-related
activities:
o Conduct RECEIVING AGENCY campaign to educate communities on
the benefits of smoke-free bars, on ETS issues, and provide tobacco
education materials and resources
o Educate a minimum of five (5) work sites, including restaurants and bars,
on ETS issues and provide tobacco education materials and resources
o Increase awareness and educate the community on local tobacco-free
ordinances, and/or educate on the need for local ordinances for tobacco-
free work sites and public areas
o Visit a minimum often (10) day care centers in tile community to educate
workers on the benefits of a smoke-free environment and provide
materials and resources
EXHIBIT - Page I
o Work with schools to educate parents on the dangers of ETS through
activities that may include Parent-Teacher Associations (PTAs), school
nurses, and school counselors
· Promote cessation for current users of tobacco products;
· Educate a minimum of ten (10) health care providers on the American Cancer
Society Quit Line;
· Distribute "Tobacco-Free Texas: Clinicians Guide to Tobacco Prevention and
Cessation" to clinicians in Port Arthur;
.. Conduct merchant education activities such as compliance surveys and position
reinforcement campaigns among merchants that are in compliance with state
tobacco laws;
· Conduct a media event in coordination with RECEIVING AGENCY'S media
campaign; and,
· Conduct media advocacy activities such as a letter writing campaign, billboards
created by local citizens, murals addressing tobacco issues, and activities
directly involving youth.
B. Focus on cessation activities for current users of tobacco products.
Cessation activities shall include the following on a monthly basis:
· Work with the local county medical and dental societies to promote the American
Cancer Society Quit Line to a minimum of twenty-five (25) health care and dental
workers for patient referrals;
· Dissemination of information about the American Cancer Society Quit Line to a
minimum of ten (10) work sites and health care facilities;
· Distribution of a minimum of twenty-five (25) "Tobacco-Free Texas: Clinicians Guide
to Tobacco Prevention and Cessation" to clinicians in the city of Port Arthur; and
· Conduct a minimum of ten (10) activities to educate work sites and health care
providers on tobacco issues regarding cessation.
EXHIBIT - Page 2
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 in connection with the awarding of any
federal contract, the making of any federal grant, the making 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-Ill, "Disclosure Form to Report Lobbying," in accordance with it's
instructions.
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 ali
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 impose, d 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 than $I0,000 and not more than $100,000 for each such failure.
Signature
Stephen Fitzgibbons, City Mana§er
Print Name of Authorized Individual
Date
7460018850 2002-05
Application or Contract Number
PORT ARTHUR CITY HEA~TH DEPARTMENT
Organization Name and Address
603 5TH ST
PORT ARTHUR, TX 77640-6540
(Law Oepmlmenl)
(Required Form)
(7/8/88)
(10/5/89)
(3/15/90)
(9-8-94)
CERTIFICATE OF STANDARD FORM CONTRACT FOR LAW
DEPARTMENT REVIEW AND CITY COUNCIL AGENDA
No.I c~.r¥[~ 15 is an exact duplicale of an applicable slandmd form contract (Urn title el which is shown below)
previously approved by the Law department and adopted as a standard form by City Council Resolution, except [or the
blanks thai have been lifted in with all necessary inlormallon and except lot the changes described below.
l'he lille of the applicable standard form conhact is:
Fedolally Funded Construction Contract, Revised 1/5/88, 7/09, 8/89; 4/28/94
Non-Federally Funded Constmclion Contract, Revised 1/5/88, 7/89, 8/88; 4/28/94
Federal - P~ofesslonal Services o Engineering Conhact, Revised t/5/88, 5/89 (§10) 7/89/(~8); 10/89; 2/9t (§8)
Non-Federal - Prolessional Services - Engineering Conl~act, Revised 1/5/88, 5/89(§10), 7/99({8), 10/89; 2/9t ({8)
COBG - Professional Services - Engineering Conlract, Revised 1/5/88, 5/89 {§10), 7/89{§8), 10/89; 2/9t (~8)
Federal - Prolesslonal Services -
Non-Engineering (Consullanl) ContCact, Revised 1/5/88, 5/89 (§10), 7/89 (~8); 10/89; 2/91 (~8)
Non-Federal - Professional Services -
Non-Engineering (Consullant) Conlract, Revised 1/5/88, 5/89 (§10), 7/89 ({8); 10/89; 2/91 (~8)
CDBG - Prolessional services -
Non Engh)eering (Consultant) Contract, Revised 1/5/88, 5/89 (§10), 7/09 ({8); 10/89; 2/91 ({8)
[X] Oilier Standard Form Conl~act, described as tallows:
FY2001-02 CONTRACT BETWEEN THE CITY OF PORT ARTHUR AND TEXAS
DEPARTNENT OF HEALTH, RESOLUTION NO. 01-248 DATED 9/4/01.
The changes are ~s follows: (Put an 'X' in the appropdale [ ])
[~ None.
[ ] The followir~g described provisions at Ihe Indicated page, seclion, elc. of the standard Iorm have been deleted
from said conaact:'
DELETIONS
Page Number Section or Paragraph No. Subsoclion or
Where and Caption Subparagraph No.
Oeleted Provis~on Which and Caplion
Is Contains Provision Which Contains provision Description
Found On Slandard Facto peleled From Form Oeleted From Form Provision Deleted
P~ge 1 of 2
(p.2 Revised 0/f 8/90)
(Cerllfcate el Standard Form Contract, page 2)
i ) The following described provisions at Ihe indicated page, section, etc. el Ihe standmd loire have been altered,
modified, repl8ced or othe~vlse change[l:
ALTERATIONS, MODIFICATIONS, REPLACEMENTS, ETC.
Page § & capllon
sub § & caption, etc.
Sub § or Sub ¶ No. of s~ld contract
Page No. § or I] No. & Caplioa & Caption Description which contains
Where o! ol of altered, etc.
Provision Found Slandard'Form Slande, rd Form Provision provision; &
on which which in Description et
Standard Form Conlelns Provision Conlains Provision .Stand~rd Form .Alleralion elc.
[ ] The fofowing provisions have been added to Said Conlract:
Page, Section and Caption
Subsection and Caption, etc. el Said Contract Which
Contains the Added Provision and Description Thereof
I turlher cerlily Ihal se[d atlached proposed Ciiy Council Resolullon contains Ihe Iollowing provision:
'q'hat said conllac~ is an oxacl duplicate et a Cily Slandard Form Contracl except lot lbo changes described in tile
Cerilfcale el Slandmd Form Contract, a copy el which is allached herelo as Exhibil 'B" and is hereby incorporated by
relorence, ~nd said changes are hereby approved.'
t unde[slund Umt Ihis certificate will be relied on Uy lbo L~w Deparlmenl in reviewing and approving (or rejecting)
~s to form and by Ihe Ciiy Council in reviewing and sdopling (or rejecting) said Resolution and Conhact.
Signed,his A?~t'- dayo, ~/~{~ '
Deperlmenl Head or
Assistant City Manger
Page 2 of 2