09-C DSHS Contract Change Order Notice No. 002A
DRAFT
fattorneylresworklcurrentlHealth Contract 7560022067-2007-02 Change Notice No. 002A
January 2, 2007
RESOLUTION NO.
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF PARIS,
PARIS, TEXAS, APPROVING AND AUTHORIZING THE EXECUTION OF
CONTRACT CHANGE ORDER NOTICE NO. 002A FOR PUBLIC HEALTH
SERVICES, DSHS DOCUMENT NO. 7560022067-2007-02 (ATTACHMENT
NO. 002A) IMMUNIZATION BRANCH - LOCALS; 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. 002A,
DSHS Document No. 7560022067-2007-02 (Attachment No. 002A) ,Immunization Branch-
Locals is the conduit through which the state funds are received; and,
WHEREAS, it is appropriate that the form of said Contract Change Notice No. 002A,
attached hereto as Exhibit A, be approved, and that the Mayor 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. 002A DSHS Document No. 7560022067-2007-02 (Attachment No. 002A)
Immunization Branch - Locals, attached hereto as Exhibit A, be, and the same is hereby,
approved.
Section 3. That the Mayor 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. 002A, 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.
DEPARTMENT OF STATE HEALTH SERVICES
I\\')'\ E OJ:'
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756-3199
STATE OF TEXAS
COUNTY OF TRAVIS
Legacy Contract No. 7560022067-2007-02
Contract No. 2007-021290
Contract Change Notice No. 002A
The TEXAS DEPARTMENT OF STATE HEALTH SERVICES, hereinafter referred to as DSHS, did heretofore enter into a contract
in writing with PARIS-LAMAR COUNTY HEALTH DEPARTMENT hereinafter referred to as Contractor. The parties thereto
now desire to amend such contract attachment(s) as follows:
SUMMARY OF TRANSACTlON: ATT NO. 002A: IMMUNIZATION BRANCH - LOCALS
All terms and conditions not hereby amended remain in full force and effect.
EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN.
Authorized Contracting Entity for and in behalf of:
DEPARTMENT OF STATE HEALTH SERVICES
PARIS-LAMAR COUNTY HEALTH DEPARTMENT
By:
Signature of Authorized Official
By:
Signature
January 8, 2007
Date
Date
Bob Burnette, C.P.M., CTPM
Richard Manning, Mayor
Printed Name and Title
Director, Client Services Contracting Unit
P. O. Box 9037
Address
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756
Paris, TX 75461-9037
City, State, Zip
(512) 458-7470
(903) 785-7511
Telephone Number
Bob. Bu rnette@dshs.state.tx.us
E-mail Address for Official Correspondence
CSCU - Rev. 6/06
~Xl:frBlTl A.
DOCUMENTCONTRACT -NO. 2007-021290-
PROGRAM A TT ACHMENT NO. 002A
PURCHASE ORDER NO. 0000320765
CONTRACTOR: PARIS-LAMAR COUNTY HEALTH DEPARTMENT
DSHS PROGRAM: IMMUNIZATION BRANCH - LOCALS
TERM: 09/01/2006 THRU: 08/31/2007
It is mutually agreed by and between the contracting parties to amend the conditions of
Contract No. 2007-021290-002 as written below. All other conditions not hereby
amended are to remain in full force and effect.
Addition of supplemental activities at SECTION I. STATEMENT OF WORK:
Contractor shall oerform suoolemental activities described in aooroved Strateg:v
Imolementation Plans. See Exhibit A. Part 1.
Contractor shall increase staff caoacitv as described in Exhibit A. Part 2 to accomolish
the following functions:
· Utilize a variety of methods to identify and contact the families of children for
whom consent has been !!ranted to be included in ImmTrac. but who do not
have comolete immunization records in the re!listrv:
· Provide information to clients. families. and oroviders on the oumose of
ImmTrac and the imoortance of maintainin!l comolete immunization histories
in the re!!istrv:
· Enter records of newly identified vaccinations into ImmTrac:
· Maintain documentation of all contacts and education orovided:
· Present ImmTrac information to oroviders. schools. and other community
grouos:
· Present Pharmacy Inventorv Control System (PICS) information to oroviders:
and
· Provide technical assistance to oroviders as requested bv oroviders when PICS
is imolemented within the Contractor's service area.
The new contract number shown below replaces the DSHS Legacy Contract
Number:
DOCUMENTCONTRACT -NO. 2007-021290-
DEPARTMENT OF STATE HEALTH SERVICES
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756-3199
CATEGORICAL BUDGET CHANGE REQUEST
DSHS PROGRAM: IMMUNIZATION BRANCH - LOCALS
CONTRATOR: PARIS-LAMAR COUNTY HEALTH DEPARTMENT
CONTRACT NO: 2007-021290 LEGACY CONTRACT NO. 7560022067-2007-02
CONTRACT TERM: 09/01/2006 THRU: 08/31/2007
BUDGET PERIOD: 09/01/2006 THRU: 08/31/2007 CHG: 002A
DIRECT COST
Revised Budget (B)
$75,923.00
$15,063.00
$3,800.00
$0.00
$0.00
$0.00
$0.00
$94,786.00
Change Requested
$31,873.00
$9,090.00
$3,800.00
$0.00
$0.00
$0.00
$0.00
$44,763.00
Current Approved Budget (A)
Personnel $44,050.00
Fringe Benefits $5,973.00
Travel $0.00
Equipment $0.00
Supplies $0.00
Contractual $0.00
Other $0.00
Total Direct Charges $50,023.00
1..NDIRi;;CmC
Base ($)
Rate (%)
Indirect Total
Advance Limit
Restricted Budget
SUM.MARY
$0.00 $0.00
0.00% 0.00%
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$50,023.00 $94,786.00
$0.00 $0.00
$50,023.00 $94,786.00
$50,023.00 $94,786.00
$0.00
0.00%
$0.00
Program Income
Other Match
Income Total
LIMITS/RES
$0.00
$0.00
$0.00
Cost Total
Performing Agency Share
Receiving Agency Share
Total Reimbursements Limit
JUSTIFICATION
This amendment is to add additional funds to implement innovative immunization promotion strategies and to fund ImmTrac/PICS
Outreach Specialist staff.
$0.00
$0.00
$44,763.00
$0.00
$44,763.00
$44,763.00
CONTRACT NO. 2007-021290-
PROGRAM ATTACHMENT NO. 002A
PURCHASE ORDER NO. 0000320765
EXHIBIT A
STRA TEGIES TO INCREASE VACCINE COVERAGE LEVELS
IMPLEMENTATION PLAN
Part 1:
Approved Strategy Implementation Plan is the 1 received by DSHS Program on November 8,
2006.
Part 2:
Contractor shall add additional ImmTrac/PICS Outreach Specialist staff capacity by one (1) FTE
positions. Contractor shall be responsible for the following:
1. Increase vaccination coverage levels among children 19 through 35 months of age in the
Contractor's service area from the level measured by DSHS and reported to the Contractor at
the Call to Action meeting held in Austin on September 13-14, 2006.
Level Reported: 41 %
2. Transition 100% of enrolled TVFC providers to the Pharmacy Inventory Control System
(PICS) according to the schedule provided by DSHS Program.
EXHIBIT A - Page 1