08-F TDH Contract CO #5DRAFT
RESOLUTION NO.
H:\JANICE\RESOLUTIONS\HEALTH\CO #5
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF PARIS,
PARIS, TEXAS, APPROVING AND AUTHORIZING THE EXECUTION OF
CONTRACT CHANGE NOTICE NO. 05 (ATTACHMENT NO. O1B) TO
THE CONTRACT FOR PUBLIC HEALTH SERVICES, TDH DOCUMENT
NO. 7560022067-2005; 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 City Council of the City of Paris did heretofore, on the 12th day of July,
2004, in Resolution No. 2004-126, authorize the execution of a Contract for Public Health
Services, TDH Document No. 7560022067-2005, which is the conduit through which the state
funds are received; and,
WHEREAS, the City Council of the City of Paris did heretofore, on the 12th day of July,
2004, in Resolution No. 2004-127, authorize the execution of Contract Change Notice No. 01
(Attachment No. 01B); and,
WHEREAS, the City Council of the City of Paris did heretofore, on the 9th day of
August, 2004, in Resolution No. 2004-139, authorize the execution of Contract Change Notices
No. 2(Attachment No. 02) and No. 3(Attachment 03); and,
WHEREAS, the City Council of the City of Paris did heretofore, on the 13th day of
September, 2004, in Resolution No. 2004-158, authorize the execution of Contract Change Notice
No. 4(Attachment No. 04); and,
WHEREAS, said contract is in need of further amendment, and it is deemed appropriate
that the forms of Contract Change Notice No. OS (Attachment No. 0 1B) 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 COLTNCIL 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 for the Contract for Public Health Services, TDH Document
No. 7560022067-2005, Contract Change Notice No. OS (Attachment No. 01B) attached hereto
as Exhibit A be, and the same are 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, Contract Change Notice No. OS
(Attachment No. 01B), 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 l lth day of October, 2004.
Curtis Fendley, Mayor
ATTEST:
Sherian Dixon, Assistant City Clerk
APPROVED AS TO FORM:
Larry W. Schenk, City Attorney
0
TEXAS DEPARTMENT OF E
1100 WEST 49TH STRE]
AUSTIN, TEXAS 78756-3
STATE OF TEXAS
COUNTY OF TRAVIS
The Texas Department of Health, hereinafter referred to as RECEIVING
with PARIS-LAMAR COUNTY HEALTH DEPARTMENT hereinafter :
theretn nnw clecire tn amenci cuch cnntract attachmentfcl ac fnllnwc•
TH
TDH Document No. 7560022067 2005
Contract Change Notice No. OS
:Y, did heretofore enter into a contract in writing
to as PERFORMING AGENCY. The parties
SUMMARY OF TRANSACTION:
ATT NO. 01B : IMMUNIZATION DIVISION - LOCALS
All terms and conditions not hereb amended remain in full force and effect.
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: RECEIVIN
AGENCY :
PARIS-LAMAR COUNTY HEALTH DEPARIMEENT TEXAS
ARTMENT OF HEALTH
By: BY:
(Signature of person authorized to sign) (Signa
e of person au orized to sign)
Bob B
ette, Director
Procure
ent and Contractin Services Division
(Name and Title) (Name
d Title)
Date: Date:
%k)-'o I b ^
RECOM DED: oe-I
By:
4.
(P O ING AGE CY Director, if different
rom person authorized to sign contract
DL PCSD - Rev. 6/04
EXHIBITL
Cover Page 1
,
. , ^
- DETAILS OF ATTACHMENTS
Att/
TDH Program ID/
Term
Financial Assistanc
Direct
A
i
Total Amount
TDH Sh
Amd
TDH Purchase Order
stance
ss
are)
(
No
Number
BeB~
End
Source of
Am
unt
.
Funds*
O1B
IMM/LOCAI.S
O1/O1/04
12/31/04
State 93.268
5
,084.00
0.00
50,084.00
0000001782
02
ACFH/PHC
09/O1/04
08/31/O5
15
,558.00
0.00
151,558.00
C038917000
03
OPHP/LPHS
09/O1/04
08/31/O5
12
,519.00
0.00
120,519.00
C039254000
04
BNS/WIC-CARD
10/01/04
09/30/05
0.00
0.00
0.00
C039512U00
TDH Document No.7560022067 2005 Totals
$3
,161.00
$ 0.00
$3221161.00
Chan e No. OS
*Federal funds are indicated by a number from the Catalog of Federal Domestic.
BUDGET SECTION OF ANY ZERO AMOUNT ATTACHMENT FOR DETA]
(CFDA), if applicable. REFER TO
Cover Page 2
TEXAS DEPARTMENT OF
RECEIVING AGENCY PROGRAM: IMMUNIZATION DIVISION
PERFORMING AGENCY: PARIS-LAMA3 0O~ BG T PERI DRO10 04
CONTRACT TERM: O 1/0 1/04 THRU. 12
TDH DOC. NO. 7560022067 200501B CHG. OS
REVISED CONTRACT BUDGET
OBJECT CLASS CATEGORIES
Personnel
Fringe Benefits
Travel
Equipment
Supplies
Contractual
Other
Total Direct Charges
Indirect Charges
TOTAL
PERFORMING AGENCY SHARE:
Program Income
Other Match
TH
.U 12/31/04
F
INANCIAL ASSI
STA
CE
CURRENT APPROVED
BUDGET (A)
RE
CHANGE
Q_ UESTED (B)
00
770
9
$19,539.00
.
,
$
6,850.00
3,425.00
667.00
333.00
0.00
0.00
4,000.00
2,000.00
333.00
167.00
2,000.00
1,000.00
$33,389.00
0.00
$33,389.00
$16,695.00
0.00
$16,695.00
NEW OR REVISED
BUDGET (C)
$29,309.00
10,275.00
1,000.00
0.00
6,000.00
500.00
3,000.00
$50,084.00
0.00
$50,084.00
0.00 0.00 0.00
0.00 0.00 0.00
RECEIVING AGENCY SHARE $33,389.00 $16,695.00 $50,084.00
PERFORMING AGENCY SHARE $0'00 ~ 00
Detail on Indirect Cost Rate Type:
Rate 0.00 Base $0.04 Total $0.00
Budget Justification: Increase to budget remainder of funds to enable contractor o continue services through the end of the
contract term.
Form No. GC-9
Financial status reports are due the 30th of April, 30th of July, 30th of October, ~nd the 30th of March.
I