2004-127-RES CONTRACT CHANGE ORDER NOTICE NO. 1 FOR PUBLIC HEALTH SERVICES, TDH DOCUMENT NO 7560022067-2005 (ATTACHMENT NO. 01)
RESOLUTION NO. 2004-127
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF PARIS,
PARIS, TEXAS, APPROVING AND AUTHORIZING THE EXECUTION OF
CONTRACT CHANGE ORDER NOTICE NO.1 FOR PUBLIC HEALTH
SERVICES, TDH DOCUMENT NO. 7560022067-2005 (ATTACHMENT NO.
01 IMMUNIZATION DIVISION - 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.
1,TDH Document No. 7560022067-2005 (Attachment No. 01) Immunization Division - 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.1,
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 forms of the Contract for Public Health Services, Contract Change
Notice No. 1 TDH Document No. 7560022067-2005 (Attachment No. 01) Immunization
Division - Locals, 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. 0 I, 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 12th day of July, 2004.
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ATTEST:
A~u ~0'Y1
Sherian Dixon, Assistant City Clerk
APPROVED AS TO FORM:
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TEXAS DEPARTMENT OF HEALTH
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756-3199
STATE OF TEXAS
COUNTY OF TRAVIS
TDH Document No. 7560022067 2005
Contract Change Notice No. 01
The Texas Department of Health, hereinafter referred to as RECEIVING AGENCY, did heretofore enter into a contract in writing
with PARIS-LAMAR COUNTY 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. OIA: IMMUNIZATION DIVISION - LOCALS
All terms and conditions not hereb amended remain in full force and effect.
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EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN.
CITY OF PARIS
Authorized Contracting Entity (type above if different
from PERFORMING AGENCY) for and in behalf of:
PERFORMING AGENCY:
RECEIVING AGENCY:
PARIS-LAMAR COUNTY HEALTH DEPARTMENT
TEXAS DEPARTMENT OF HEALTH'
By:
(Signature of person authorized to sign)
By:
(Signature of person authorized to sign)
(Name and Title)
Bob Burnette, Director
Procurement and Contractinl!: Services Division
(Name and Title)
~/tD/otf
Date:
Date:
RECO
ORMING AGENCY Director, if different
person authorized to sign contract
JC PCSD - Rev. 6/04
Cover Page 1
EXHIBIT .A
lJET-AILS OF A TT ACHMENTS
Attl Program ill/ Term Financial Assistance Direct Total Amount
Amd Purchase Order Assistance (TDH Share)
No. Number Begin End Source of Amount
Funds *
01A IMMILOCALS 01/01/04 12/31/04 State 93.268 33,389.00 0.00 33,389.00
o00ooo1782
TDH Document No.7560022067 2005 Totals $ 33,389.00 $ -_.- $ 33,389.00
ChanJ!:e No. 01 0.00
*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.
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Cover Page 2
DOCUMENT NO. 7560022067-2005
AITACHMENT NO. 01A
PURCHASE ORDER NO. 0000001782
PERFORMING AGENCY: PARIS-LAMAR COUNTY HEALTH DEPARTMENT
RECEIVING AGENCY PROGRAM: IMMUNIZATION DIVISION
TERM: January 01,2004 THRU: December 31,2004
It is mutually agreed by and between the contracting parties to amend the conditions of
Document No. 7560022067 2005 -01 as written below. All other conditions not hereby
amended are to remain in full force and effect.
SECTION I. SCOPE OF WORK is replaced with the following:
The goal of RECEIVING AGENCY Program is to prevent; control, and eliminate
vaccine-preventable diseases by providing and administering biologicals, promoting
immunizations, conducting vaccine-preventable disease surveillance, assessing vaccine
coverage levels, and applying principles of epidemiology and outbreak control measures
within budgetary constraints.
PERFORMING AGENCY will provide essential public health services as specified in
PERFORMING AGENCY'S approved 2004 Inter/ocal Application for Immunization
Services, dated June 16, 2003, incorporated herein and made part of this contract
Attachment. Any revisions to these documents shall be approved by RECEIVING
AGENCY Program and transmitted in writing to PERFOMING AGENCY.
PERFORMING AGENCY shall implement an immunization program for children,
adolescents, and adults, with special emphasis on accelerating interventions to improve
the immunization coverage of children two years of age or younger (less than 36 months
of age). PERFORMING AGENCY shall incorporate traditional and non-traditional,
systematic approaches designed to eliminate barriers, expand immunization delivery, and
establish uniform policies.
PERFORMING AGENCY shall report all reportable conditions as specified in 25 T AC
Part I ~~97.1 - 97.6 and 97.101 - 97.102.
. PERFORMING AGENCY shall report all vaccine adverse event occurrences in
accordance with the National Childhood Vaccine Injury Act of 1986.
PERFORMING AGENCY shall inform and educate the public about vaccines and
vaccine-preventable diseases.
A IT ACHMENT - Page 1
PERFORMING AGENCY shall develop policies and plans that support individual and
community-based immunization strategies and evaluate effectiveness, accessibility, and
quality of personal and population-based immunization services and program activities.
PERFORMING AGENCY shall ensure a health care workforce that is knowledgeable
about vaccines, vaccine-preventable diseases, and delivery of vaccination services.
PERFORMING AGENCY shall comply with written policies and procedures provided
by RECEIVING AGENCY Program in managing state-supplied vaccines, including
guidelines for proper storage and handling of vaccines.
PERFORMING AGENCY shall not deny vaccinations to recipients because they do not
reside within PERFORMING AGENCY'S jurisdiction.
PERFORMING AGENCY shall maintain an accurate, up-to-date list of clinics and sites
where public sector (free or low cost) immunization services are offered in
PERFORMING AGENCY'S local area.
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PERFORMING AGENCY shall not charge a fee for vaccines provided by RECEIVING
AGENCY Program. All vaccines obtained from RECEIVING AGENCY Program shall
be used solely for purposes of this contract Attachment and shall not be sold to agencies
or individuals.
PERFORMING AGENCY shall not collect vaccine administration fees from Medicaid
recipients. Vaccine administration fees collected from non-Medicaid patients shall be
kept within guidelines established by RECEIVING AGENCY. In accordance with 25
TAC ~1.91, no one shall be denied immunization services in public clinics because of
inability to pay the administration fee. Fee schedules shall not be based on vaccine type,
formulation, or dose in series. A copy of PERFORMING AGENCY'S fee schedule shall
be submitted to RECEIVING AGENCY Program by April! st.
All equipment and vaccine used by PERFORMING AGENCY which are provided by
RECEIVING AGENCY Program, shall be accounted for as public property.
RECEIVING AGENCY Program will investigate equipment or vaccine loss, destruction,
spoilage, or other waste and may require PERFORMING AGENCY to replace or
reimburse RECEIVING AGENCY Program.
PERFORMING AGENCY shall provide the parent, managing conservator, or guardian
of each patient with a form that is approved by RECEIVING AGENCY Program in
compliance with 25 T AC, Chapter 100 to authorize participation in the statewide
immunization registry (ImmTrac).
PERFORMING AGENCY shall provide RECEIVING AGENCY Program weekly data
transfers of all vaccines administered in a format that is compatible for inclusion in the
statewide immunization registry (ImmTrac).
A IT ACHMENT - Page 2
PERFORMING AGENCY shall comply with all applicable federal and state laws, rules,
regulations, standards, and guidelines in effect on the beginning date of this contract
Attachment unless amended. The following documents are incorporated by reference and
made a part of this contract Attachment.
. PERFORMING AGENCY'S approved 2004 Interloeal Application for
Immunization Services, and any revisions;
. Human Resources Code ~42.043, VTCA;
. Education Code ~~38.001-38.002, VTCA;
. Health and Safety Code ~~81.023 and 161.001-161.009, VTCA;
. 25 TAC Chapter 97;
. 25 T AC, Chapter 96;
. 25 T AC, Chapter 100;
. 42 USC ~~247b and 300 aa-25;
. Omnibus Budget Reconciliation Act of 1993, 26 USC ~4980B;
. RECEIVING AGENCY'S Client Services Standards for Public Health and
Community Clinics, revised June 1997; .
. RECEIVING AGENCY'S Vaccine-Preventable Disease.! Surveillance guidelines,
http://www.tdh.state.tx.us/immunize/docs/guide.htm;
. RECEIVING AGENCY'S Pharmacy guidelines;
. Centers for Disease Control and Prevention's Advisory Committee on
Immunization Practices (ACIP) guidelines, including the statement:
"Immunization of Health-Care Workers"; and
. Standards for Pediatric Immunization Practices, February 1996, recommended by
the National Vaccine Advisory Committee, approved by the United States Public
Health Service, and endorsed by the American Academy of Pediatrics.
Within thirty (30) days of receipt of an amended standard(s) or guideline(s),
PERFORMING AGENCY shall inform RECEIVING AGENCY Program, in writing, if
it will not continue performance under this Attachment in compliance with the amended
standard(s) or guideline(s). RECEIVING AGENCY may terminate the contract
Attachment immediately or within a reasonable period of time as determined by
RECEIVING AGENCY.
PERFORMANCE MEASURES:
All activities shall be performed in accordance with PERFORMING AGENCY'S Annual
Plan and detailed budget as approved by RECEIVING AGENCY Program based on the
Interloeal Application for Immunization Services, dated June 16, 2003. The following
performance measures will be used, in part, to assess PERFORMING AGENCY'S
effectiveness in providing the services described in this contract Attachment to the
service area, without waiving the enforceability of any of the terms of the contract:
PERFORMING AGENCY shall submit to RECEIVING AGENCY Program the
monthly reports of doses administered and the monthly biologicals order form in
A IT ACHMENT - Page 3
accordance with the schedule provided to PERFORMING AGENCY by
RECEIVING AGENCY Program.
PERFORMING AGENCY shall implement an immunization reminder and/or
recall system to notify parents or guardians of children less than 36 months of age
when immunizations are due. The notifications may be automated or manual and
may consist of mail or telephone contacts.
PERFORMING AGENCY shall complete 100% of annual assessments in sub-
contracted entities and WIC clinics using the Assessment, Feedback, Incentives,
and eXchange (AFIX) methodology as assigned by RECEIVING AGENCY.
PERFORMING AGENCY shall submit assessment results to RECEIVING
AGENCY Program within two (2) weeks after completion.
PERFORMING AGENCY will perform the following applicable required activities:
1. By December 31,2004, PERFORMING AGENCY will implement a plan to
improve vaccine coverage levels. .1
2. During 2004, PERFORMING AGENCY will work with the local WIC
agencies for referral of under-vaccinated WIC enrollees.
3. By December 31, 2004, PERFORMING AGENCY will ensure that expired,
wasted, and unaccounted for vaccines do not exceed 5% for DTaP, Rib,
hepatitis B, IPV, MMR, PCV7, and varicella vaccines.
4. By December 31, 2004, PERFORMING AGENCY will decrease the
proportion of duplicate records or questionable matches in ImmTrac by a
minimum of 5%.
5. By December 31, 2004, PERFORMING AGENCY will increase the
percentage of children less than six years of age participating in ImmTrac by a
minimum of 5%.
6. By December 31,2004, PERFORMING AGENCY will increase the number
of registered provider sites for ImmTrac by a minimum of 5%.
7. By December 31, 2004, PERFORMING AGENCY will increase TVFC
provider enrollment by a minimum of 5%.
8. By December 31, 2004, PERFORMING AGENCY will increase the
educational opportunities on vaccine-preventable diseases to public and
pri vate providers.
9. By December 31, 2004, PERFORMING AGENCY will complete 100% of
TVFC follow-up site visits as assigned by RECEIVING AGENCY Program
A IT ACHMENT - Page 4
using the RECEIVING AGENCY'S monitoring tool and methodology.
PERFORMING AGENCY shall submit monitoring report to RECEIVING
AGENCY Program within two (2) weeks after completion of monitoring
activities or site visits.
10. During 2004, PERFORMING AGENCY will promote and- ensure
immunization services are provided for all age groups with emphasis on
pockets of need.
11. By December 31,2004, PERFORMING AGENCY will increase the reporting
of varicella cases by a minimum of 10%.
12. During 2004, PERFORMING AGENCY will complete 90% of vaccine-
preventable disease investigations within 30 days from date reported.
13. By December 31, 2004, PERFORMING AGENCY will identify all infants
born to hepatitis B surface antigen-positive pregnant women. PERFORMING
AGENCY shall investigate 100% of suspected hcwatitis B infections in
pregnant women to assure appropriate treatment and follow-up as directed by
Health and Safety Code ~81.090 and RECEIVING AGENCY'S Vaccine-
Preventable Disease Surveillance Guidelines.
14. During 2004, PERFORMING AGENCY will ensure all reported infants born
to HBsAg positive women receive hepatitis B vaccine and HBIG within seven
(7) days of birth.
15. By December 31, 2004, PERFORMING AGENCY will complete 100% of
assigned childcare facility assessments or surveys.
16. By December 31, 2004, PERFORMING AGENCY will complete 100% of
assigned public or private school assessments or surveys.
Activities may be subsequently amended as directed by the Centers for Disease Control
and Prevention and RECEIVING AGENCY Program. RECEIVING AGENCY Program
must approve, in writing, any revisions to the PERFORMING AGENCY'S Annual Plan.
SECTION II. SPECIAL PROVISIONS is replaced with the following:
PERFORMING AGENCY shall comply with Texas Health and Safety Code, Chapters 81
and 161.
Funds shall not be used for purchase of vaccines, inpatient care, construction of facilities,
or debt retirement in accordance with RECENING AGENCY lnterlocal Application for
Immunization Services, dated June 16,2003.
Travel expenses shall be reimbursed according to State of Texas travel regulations.
A IT ACHMENT - Page 5
Monthly billings must be submitted on a State of Texas Voucher Request form no later
than the close of the following month.
Programmatic reports shall be completed in the format provided by RECEIVING
AGENCY Program and submitted within thirty (30) days from the end of each quarter of
the contract Attachment term. A final summary report detailing all programmatic activity
that occurred during the contract term shall be submitted to RECEIVING AGENCY
Program within sixty (60) days from the end date of the contract Attachment.
For immunization activities performed under this contract Attachment, General
Provisions, Overtime Compensation Article is not applicable. In addition,
PERFORMING AGENCY shall comply with the following paragraphs:
PERFORMING AGENCY is authorized to pay employees who are not exempt
under the Fair Labor Standards Act (FLSA), 29 USC, Chapter 8, ~201 et seq., for
overtime or compensatory time at the rate of time and one-half per FLSA.
PERFORMING AGENCY is authorized to pay employee} who are exempt under
FLSA on a straight time basis for work performed on a holiday or for regular
compensatory time hours when the taking of regular compensatory time off would
be disruptive to normal business operations.
Authorization for payment under this provision is limited to work directly related
to immunization activities and shall be in accordance with the amount budgeted in
this contract Attachment. PERFORMING AGENCY shall document proper
authorization or approval for any work performed by exempt or non-exempt
employees in excess of forty (40) hours per work week.
A'IT ACHMENT - Page 6
TEXASDEPARTMENTOFHEAL~H
RECEIVING AGENCY PROGRAM: IMMUNIZATION DIVISION
PERFORMING AGENCY: PARIS-LAMAR COUNTY HEALTH DEPARTMENT
CONTRACT TERM: 01/01/04 THRU: 12/31/04 BUDGET PERIOD: 01/01/04 THRU 12/31/04
TDH DOC. NO. 7560022067 200501A CHG. 01
REVISED CONTRACT BUDGET
FINANCIAL ASSISTANCE
OBJECT CLASS CATEGORIES CURRENT APPROVED CHANGE NEW OR REVISED
BUDGET (A) REQUESTED (B) BUDGET(C)
Personnel $14,541.00 $4,998.00 $19,539.00
Fringe Benefits 4,362.00 2,488.00 6,850.00
Travel 1,090.00 ( 423.00 ) 667.00
Equipment 0.00 0.00 0.00
..
Supplies 3,464.00 536.00 4,000.00
Contractual 250.00 83.00 333.00
Other 1,305.00 695.00 2,000.00
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Total Direct Charges $25,012.00 $8,377.00 $33,389.00
Indirect Charges 0.00 0.00 0.00
TOTAL $25,012.00 $8,377 .00 $33,389.00
PERFORMING AGENCY SHARE:
Program Income 0.00 0.00 0.00
Other Match 0.00 0.00 0.00
RECEIVING AGENCY SHARE $25,012.00 $8,377.00 $33,389.00
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: Increase is to budget additional funds to conduct services through 08/31/2004.
Financial status reports are due the 30th of April, 30th of July, 30th of October, and the 30th of March.
Form No. GC-9