2008-057-RES APPROVING AND AUTHORIZING THE EXECUTION OF AN AMENDMENT TO THE CONTRACT WITH THE DEPARTMENT OF STATE HEALTH SERVICES ("DSHS") DOCUMENT NO. 2008-024359-001 CHSRESOLUTION NO. 2008-057
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF PARIS, TEXAS,
APPROVING AND AUTHORIZING THE EXECUTION OF AN AMENDMENT
TO THE COIVTRACT WITH THE DEPARTMENT OF STATE HEALTH
SERVICES ("DSHS") DOCUMENT NO. 2008-024359-001 CHS - PRIMARY
HEALTH CARE, FOR REGIONAL AND LOCAL MEDICAL SERVICES; MAKING
OTHER FINDINGS AND PROVISIONS RELATED TO THE SUBJECT; AND
PROVIDING AN EFFECTIVE DATE.
WHEREAS, the State of Texas is a funding partner with Lamar County and the City
of Paris for the Paris-Lamar County Health Department; and,
WHEREAS, the amendment to Contract for Regional and Local Services, DSHS
Document No. 2008-024359-001 CHS - Primary Health Care, is necessary because of an
increase due to realignment of FY 08 funds to the Paris Lamar-County Health Department,
revising the Budget to reflect an increase in total payments from $100,000.00 to
$135,145.00; and,
WHEREAS, it is appropriate that the Contract attached hereto as Exhibit A, be
approved, and that the Ciry 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 Contract for Regional and Local Services, DSHS Document No.
2008-024359-001 CHS - Primary Health Care for regional and local medical services
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 amendment to
Contract for Regional and Local Services, DSHS Document No.2008-024359-001 CHS -
Primary Health Care, under the terms and conditions and in substantially the same 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 28th day of July, 2008.
ATTEST:
nice Ellis, City Clerk
APPROVED AS TO FORM:
~
W. Kent McII City Attorney
esse Jam s Freelen, Mayor
DEPARTMENT OF STATE HEALTH SERVICES
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Amendment
To
The Department of State Health Services (DSHS) and PARIS-LAMAR COtTNTY HEALTH DEPARTMENT
(Contractor) agree to amend the Program Attachment # 001 (Program Attachment) to Contract # 2008-
024359 (Contract) in accordance with this Amendment No. OOIA : CHS - PRIMARY HEALTH CARE ,
effective 06/11/2008 .
This Amendment is necessary because of an increase due to realignment of FY08 funds.
Therefore, DSHS and Contractor agree as follows: SECTION VII. BUDGET: Budget is revised as attached.
Total payments will not exceed $199,090.88 $135,145.00. .
Department of State Health Services
Signature of Authorized Officia]
Date:
Bob Burnette, C.P.M., CTPM
Director, Client Services Contracting Unit
1] 00 WEST 49TH STREET
AUSTIN, TEXAS 78756
(512) 458-7470
Bob.Burnette@dshs.state.tx.us
Contractor
Signature of Authorized Official
Date: July 28, 2008
Name: Revin Carruth
Title: City Manager
Address: P. 0• Bog 9037
Paris, T% 75461-9037 Phone: (903) 785-7511
Email: kcarruth@paristezas.gov
Page- 1 of 1 EXHIBIT A-
DEPARTMENT OF STATE HEALTH SERVICES
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1100 WEST 49TH STREET
AUSTIN, TEXAS 78756-3199
CATEGORICAL BUDGET CHANGE REQUEST
DSHS PROGRAM: CHS - PRIMARY HEALTH CARE
CONTRATOR: PARIS-LAMAR COUNTY HEALTH DEPARTMENT
CONTRACT NO: 2008-024359
CONTRACT TERM: 09/01/2007 THRU: 08/31/2008
BUDGET PERIOD: 09/01/2007 THRU: 08/31/2008 CHG: OOlA
DIRECT COST (OBJECT CLASS CATEGORIES)
Current Approved Budget (A)
Revised Budget (B)
Change Requested
Personnel
$53,300.00
$69,290.00
$15,990.00
Fringe Benefits
Travel
$13,325.00
$0.00
$17,322.00
$1,000.00 ,
$3,997.00
$1,000.00
Equipment
Supplies
Contractual
Other
Total Direct Charges
$0.00
$3,600.00
$25,695.00
$4,080.00
$100,000.00
$0.00
$10,933.00
$30,000.00
$6,600.00
$135,145.00
$0.00
$7,333.00
$4,305.00
$2,520.00
$35,145.00
IMDIRECT COST
Base
$0.00
$0.00
$0.00
Rate
Indirect Total
0.00%
$0.00
0.00%
$0.00
0.00%
$0.00
PROGRAM INCOME
Program Income
Other Match
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Income Total
$0.00
$0.00
$0.00
LIMITS/RESTRICTIONS
Advance Limit
$0.00
$0.00
$0.00
Restricted Budget
$0.00
$0.00
$0.00
SUMMARY
CostTotal
$100,000.00
$135,145.00
$35,145.00
Performing Agency Share
Receiving Agency Share
Total Reimbursements Limit
$0.00
$100,000.00
$100,000.00
$0.00
$135,145.00
$135,145.00
$0.00
$35,145.00
$35,145.00
JUSTIFICATION
Financial status reports are due: 12/31/2007, 03/31/2008, 06/30/2008, 10/31/2008