2005-036-RES CONTRACT CHANGE ORDER NOTICE NO 7 PUBLIC HEALTH SERVICES TDH DOC NO. 7560022067-2005 (ATTACHMENT NO 02A)
RESOLUTION NO. 2005-036
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF PARIS,
PARIS, TEXAS, APPROVING AND AUTHORIZING THE EXECUTION OF
CONTRACT CHANGE ORDER NOTICE NO.7 FOR PUBLIC HEALTH
SERVICES, TDH DOCUMENT NO. 7560022067-2005 (ATTACHMENT NO.
02A) CHS - PRIMARY HEAL TH CARE; MAKING OTHER FINDINGS AND
PROVISIONS RELATED TO THE SUBJECT; AND PROVIDING AN
EFFECTIVE DATE.
WHEREAS, the State of Texas is a funding partner with the County of Lamar and the
City of Paris for the Paris-Lamar County Health Department; and,
WHEREAS, the Contract for Public Health Services, Contract Change Notice No, 7,
TDH Document No, 7560022067-2005 (Attachment No. 02A) CHS - Primary Health Care, is
the conduit through which the state funds are received; and,
WHEREAS, it is appropriate that the form of said Contract Change Notice No.7,
attached hereto as Exhibit A, be approved, and that the City Manager be authorized to execute
the same on behalf of the City of Paris, which is the authorized contracting entity for the
performing agency, the Paris-Lamar County Health Department; NOW, THEREFORE,
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PARIS, PARIS,
TEXAS:
Section 1. That the findings set out in the preamble to this resolution are hereby in all
things approved,
Section 2. That the form of the Contract for Public Health Services, Contract Change
Notice No.7 DH Document No, 7560022067-2005 (Attachment No. 02A) CHS - Primary
Health Care, attached hereto as Exhibit A, be, and the same is hereby, approved,
Section 3. That the City Manager be, and he is hereby, authorized and directed to
execute, on behalf of the City of Paris, which is the authorized contracting entity for the
performing agency, the Paris-Lamar County Health Department, the Contract for Public Health
Services, Contract Change Notice No. 07, under the terms and conditions and in the form shown
in Exhibit A, attached hereto.
Section 4. That this resolution shall be effective from and after its date of passage.
PASSED AND APPROVED this 14th day of March, 2005.
Curtis Fendley, Mayor
TTEST:
. Schenk, City Attorney
-
DEPARTMENT OF STATE HEALTH SERVICES
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756-3199
STATE OF TEXAS
COUN YOFTRAVIS
DSHS Document No. 7560022067 2005
Contract Change Notice No. 07
The Dep tment of State Health Services, hereinafter referred to as RECEIVING AGENCY, did heretofore enter into a contract in
writing ith PARIS-LAMAR COUNTY HEALTH DEPARTMENT hereinafter referred to as PERFORMING AGENCY. The
. arties reto now desire to amend such contract attachment(s) as follows:
ARY OF TRANSACTION:
ATI NO. 02A: CHS - PRIMARY HEALTH CARE
s and conditions not hereb amended remain in full force and effect.
TED IN DUPLICATE ORIGINALS ON THE DATES SHOWN.
Autho ized Contracting Entity (type above if different
from ERFORMING AGENCY) for and in behalf of:
RECEIVING AGENCY:
PARI -LAMAR COUNTY HEALTH DEPARTMENT
DEPARTMENT OF STATE HEALTH SERVICES
By:
(S gnature of person authorized to sign)
By:
(Signature of person authorized to sign)
na er
Bob Burnette, Director
Procurement and Contractine: Services Division
(Name and Title)
Date:
March 14. 2005
Date:
REC
KR peSD - Rev. 6/04
Cover Page 1
EXHIBIT .A.
'.
DETAILS OF ATTACHMENTS
AliI SHS Program IDI Term Financial Assistance Direct Total Amount
Amd DSHS Purchase Assistance (DSHS Share)
No. Order Number Begin End Source of Amount
Funds"
OIC I "M/LOCALS 01/01/04 08/31/05 State 93.268 83,433.00 0.00 83,433.00
01782 .
02A HS/PHC 09/01/04 08/31/05 State 179,463.00 0.00 179,463.00
038917000
03 PHP/LPHS 09/01104 08/31/05 State 93.991 120,519.00 0.00 120,519.00
039254000
04 NS/WIC-CARD 10/01/04 09/30/05 10.557 93.268 0.00 0.00 0.00
039512000
DSHSI ocument No.7560022067 2005 Totals $383,415.00 $ 0.00 $383,415.00
Change 0.07
"Federal 'unds are indicated by a number from the CatalCll of Federal Domestic Assistance (CFDA), if applicable. REFER TO
BUDGE' SECTION OF ANY ZERO AMOUNT ATIACHMENT FOR DETAILS.
Cover Page 2
, ^
DEPARTMENT OF STATE HEALTH SERVICES
RECE~:; ~GENCY PROGRAM: COMMUNITY HEALTH SERVICES SECTION
PERFO G AGENCY: PARIS-LAMAR COUNTY HEALTH DEPARTMENT
CONTRAC r TERM: 09/01/04 THRU: 08/31/05 BUDGET PERIOD: 09/01/04 THRU 08/31/05
DSHS DOl . NO. 7560022067 200502A CHG.07
REVISED ONTRACT BUDGET
FINANCIAL ASSISTANCE
OBJE T CLASS CATEGORIES CURRENT APPROVED CHANGE NEW OR REVISED
BUDGET (A) REQUESTED (B) BUDGET (C)
Personnel $80,160.00 $0.00 $80,160.00
Fringe B, efilS 19,840.00 0.00 19,840.00
Travel 1,477.00 0.00 1,477.00
Equipme't 0.00 0.00 0.00
Supplies 10,940.00 20,546.00 31,486.00
Contractu I 30,500.00 0.00 30,500.00
Other 8,641.00 7,359.00 16,000.00
Total Dir ct Charges $151,558.00 $27,905.00 $179,463.00
Indirect C harges 0.00 0.00 0.00
TOTAl $151,558.00 $27,905.00 $179,463.00
PERFOR oIING AGENCY SHARE:
Progran Income 0.00 0.00 0.00
Other W atch 0.00 0.00 0.00
RECEIVI '1G AGENCY SHARE $151,558.00 $27,905.00 $179,463.00
PERFOR oIING AGENCY SHARE $0.00 $0.00 50.00
Detail ( n Indirect Cost Rate Type:
Rate 0.00 Base $0.00 Total $0.00
Budget Ie titication: Increase contract to provide more services to current clients.
Form No. GC-9 ECPS - Rev. 10/04
Financial s atus reports are due the 30th of December, 30th of March, 30th of June, and-lhe 30th of November.