09-B Health Serv Contr CO
DRAFT
F:A ITORNEY\RESWORK\CURRENT\ Health Contract Change Order No.1, A IT 02A - 2005
August 17,2005
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. 01 FOR PUBLIC HEALTH
SERVICES, DSHS DOCUMENT NO. 7560022067 A-2005 (A TT ACHMENT
NO. 02A) CHS-FEE FOR SERVICE-FAMIL Y PLANNING; 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. 01,
DSHS Document No. 7560022067 A-2005 (Attachment No. 02A) CHS-Fee for Service-Family
Planning, is the conduit through which the state funds are received; and,
WHEREAS, it is appropriate that the form of said Contract Change Notice No. 01,
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. 01 DSHS Document No. 7560022067A-2005 (Attachment No. 02A) CHS-Fee for
Service-Family Planning, 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. 01, 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.
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PASSED AND APPROVED this 22nd day of August, 2005.
ATTEST:
Janice Ellis, City Clerk
APPROVED AS TO FORM:
Larry W. Schenk, City Attorney
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Curtis Fendley, Mayor
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D EP AR TMENT OF S T ATE HEALTH SER VI CES
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756-3199
STATE OF TEXAS
COUNTY OF TRAVIS
DSHS Document No. 7560022067 A2005
Contract Change Notice No. 01
The Department of State Health Services, 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. 02A CHS-FEE FOR SERV.-FAMILY PLANNING
Revised Contract Total: 14,375.00
REVISED TERM: September 01,2004 THRU: December 31,2005
All terms and conditions not hereby 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:
RECEIVING AGENCY:
PARIS-LAMAR COUNTY HEALTH DEPARTMENT
DEPARTMENT OF STATE HEALTH SERVICES
By:
(Signature of person autOOrized to sign)
CITY OF PARIS, PARIS, TEXAS
Tony N. Williams, City Manager
(Name and Title)
By:
(Signature of person auth>rized to sign)
Bob Burnette, Director
Client Services Contracting Unit
(Name and Title)
Date:
August 22,2005
Date:
::COM¡~-
(PERFORMING AGENCY Director, if different
from person authorized to sign contract)
KR
CSCU - Rev. 6/05
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EXHIBIT A
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DETAILS
OF
A TT ACHMENTS
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Att/ DSHS Program ID! Term Financial Assistance Direct Total Amount -
Amd DSHS Purchase Assistance (DSHS Share)
No. Order Number Begin End Source of Amount
Funds.
01 ACFH/FEE 09/01/04 08/31/05 State 93.994 20,000.00 0.00 20,000.00
C038765000
02A CHS/FEE-FP 09/01/04 12/31/05 State 14,375.00 0.00 14,375.00
DSHS Document No. 7560022067 A2005 Totals $ 34,375.00 $ 0.00 $ 34,375.00
Change No. 01
.
*Federal funds are indicated by a number from the Catalcg of Federal Domestic Assistance (CFDA), jf applicable. REFER TO
BUDGET SECTION OF ANY ZERO AMOUNT ATTACHMENT FOR DETAILS.
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DOCUMENT NO. 7560022067 A-2005
ATTACHMENT NO. 02A
PERFORMING AGENCY: PARIS-LAMAR COUNTY HEALTH DEPARTMENT
RECEIVING AGENCY PROGRAM: COMMUNITY HEALTH SERVICES SECTION
TERM: September 01, 2004 THRU: December 31, 2005
It is mutually agreed by and between the contracting parties to amend the conditions of
Document No. 7560022067A2005 -02 as written below. All other conditions not hereby
amended are to remain in full force and effect.
SECTION I. SCOPE OF WORK is revised to include the following:
PERFORMING AGENCY shall perfonn no elective abortion procedures, shall neither contract
with nor provide funds to any individual or entity for the perfonnance of elective abortions, and
shall submit no claims to RECEIVING AGENCY for reimbursement of direct or indirect costs
(including overhead, rent, phones, and utilities) of abortion procedures.
If PERFORMING AGENCY is affiliated with an entity that perfonns elective abortion
procedures or becomes affiliated with an entity that perfonns elective abortions at any time
during the tenn of this contract,
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1.
PERFORMING AGENCY and its abortion-services affiliate must be
legally separate corporations, with separate articles of incorporation and
separate bylaws. If PERFORMING AGENCY is a State or local
governmental entity, the abortion-services affiliate must be a legally
separate organization with a separate governing structure.
2.
PERFORMING AGENCY and its abortion-services affiliate must have
easily distinguishable names.
3.
PERFORMING AGENCY and its abortion-services affiliate must have
separate boards of directors or governing bodies which meet separately
and maintain separate records.
4.
PERFORMING AGENCY may not transfer any funds distributed under
RECEIVING AGENCY Strategy B.l.3 to its abortion-services affiliate.
PERFORMING AGENCY must assure that its affiliated entity apportions
fair value for any shared expenses or costs (including overhead, rent,
phones, equipment, and utilities) in accordance with generally accepted
accounting principles.
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5.
PERFORMING AGENCY shall assure that any person employed part-
time by PERFORMING AGENCY and by its abortion-services affiliate
shall contemporaneously maintain accurate time records, similar to time
records maintained by attorneys, though not necessarily by means of an
automatic recording device such as a "time clock", that clearly reflect the
work perfonned for each employer.
6.
If PERFORMING AGENCY and its abortion-services affiliate are located
at the same physical location, PERFORMING AGENCY shall assure that
the existence and separate nature of the affiliate relationship is clearly
reflected by appropriate signage in areas accessible to the public.
7.
PERFORMING AGENCY and its abortion-services affiliate must each
maintain records adequate to show compliance with the foregoing
requirements.
SECTION II. SPECIAL PROVISIONS is revised to include the following:
RECEIVING AGENCY shall include in any financial audits of state funds received by
PERFORMING AGENCY under this attachment a review to ensure compliance with the
requirements of Department of State Health Services Rider 30, General Appropriations Act, 79th
Legislature.
General Provisions, Child Abuse Reporting Requirements Article, first sentence, is replaced in
its entirety:
PERFORMING AGENCY is required to comply with this article only as related to services
provided under the following Attachments: Human Immunodeficiency Virus and Sexually
Transmitted Diseases (all direct client care services for HIV and other sexually transmitted
diseases funded under the Ryan White CARE Act Title II or general revenue), Title V Family
Planning (CHS/FEE-FP), Title X Family Planning (CHS/TITLE X), Title XX Family Planning
(CHS/TTLXX), Primary Health Care (CHS/PHC), Title V Maternal and Child Health
(CHS/FEE), Special Supplemental Nutrition Program for Women, Infants, and Children
(NSS/WIC-CARD), and the Services Delivery Integration project (SDIIFFS).
General Provisions, Terms and Conditions of Payment Article, is revised to include the
following:
Funds made available in the initial contract tenn of September 1, 2004 through August 31, 2005
must be used for services performed on or after September 1, 2004 through August 31, 2005.
Any funds that are not expended for servi~es performed during that period are not available for
services performed after August 31, 2005. PERFORMING AGENCY shall submit all claims
and supporting documentation for dates of service between September 1, 2004 and August 31,
2005 to RECEIVING AGENCY no later than October 15,2005.
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Funds made available by this contract amendment for the period of September 1, 2005 through
December 31, 2005 must be used for services perfonned on or after September 1, 2005 through
December 31, 2005. Any funds that are not expended for services performed during that period
are not available. PERFORMING AGENCY shall submit all claims and supporting
.documentation for dates of service between September 1, 2005 and December 31, 2005 to
RECENING AGENCY no later than February 28, 2006.
SECTION III. BUDGET:
PERFORMING AGENCY shall adhere to the current schedule of allowable services and rates as
referenced in SECTION II. SPECIAL PROVISIONS, as amended and approved by the
RECENING AGENCY.
Total payments will not exceed $14,375.00.
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