05-B Health Contract CO4DRAFT
F:kAttorney\LisakResolutions\CURRENTkHealth Contract 2003 CO4 Res.wpd
August 7, 2003
RESOLUTION NO.
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF PARIS,
PARIS, TEXAS, APPROVING AND AUTHORIZING THE EXECUTION OF
CONTRACT CHANGE NOTICE NO. 04 (ATTACHMENT NO. 04A) TO
THE CONTRACT FOR PUBLIC HEALTH SERVICES, TDH DOCUMENT
NO. 7560022067 2003; 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 8th day of July,
2002, in Resolution No. 2002-119, authorize the execution of a Contract for Public Health
Services, TDH Document No. 7560022067-2003, 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
August, 2002, in Resolution No. 2002-131, authorize the execution of Contract Change Notice
No. 01 (Attachments Nos. 02, 03, and 04) to said contract; and,
WHEREAS, the City Council of the City of Paris did heretofore, on the 13th day of
January, 2003, in Resolution No. 2003-006, authorize the execution of Contract Change Notice
No. 02 (Attachment No. 05) to said contract; and,
WHEREAS, the City Council of the City of Paris did heretofore, on the 9th day of June,
2003, in Resolution No. 2003-105, authorize the execution of Contract Change Notice No. 03
(Attachment No. 05A) to said contract; and,
WHEREAS, said contract is in need of further amendment, and it is deemed appropriate
that the form of Contract Change Notice No. 04 (Attachment No. 04A), 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 Change Notice No. 04 to the Contract for Public
Health Services, TDH Document No. 7560022067 2003, 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, Contract Change Notice No.
04 (Attachment No. 04A), 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 1 lth day of August, 2003.
Curtis Fendley, Mayor
ATTEST:
Mattie Cunningham, City Clerk
APPROVED AS TO FORM:
Larry W. Schenk, City Attorney
TEXAS DEPARTMENT OF HEALTH
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756-3199
STATE OF TEXAS TDH Document No. 7560022067 2003
COUNTY OF TRAVIS Contract Change Notice No. 0._~4
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. 04A: IMMUNIZATION DIVISION - LOCALS
All terms and conditions not hereby amended remain in full force and effect.
EXECUTED IN DUPLICATE ORIGINALS ON TI-IE DATES SHOWN.
CITY OF PARIS
Authorized Contracting Entity (type above if different
from PERFORMING AGENCY) for and in behalf of:
PERFORMING AGENCY: RECEIVING AGENCY:
By: By: ""--'~' ....
(Signature of person authorized to sign) (Signature of person authorized to sign)
Bob Burnette, Director
Procurement and Contractin~ Services Division
(Name and Title) (Name and Title)
Date: Date: t~"/~ t>t/O-5
RECOMIv~NDED: , ~
(P~I~O~ING'AGENCY Dir[cJ,~r, if different
{~ from person authorized~ sign contract
SC PCSD- Rev.
Cover Page 1
EXHIBIT A
DETAILS OF ATTACHMENTS
At{/ TDH Program ID/ Term Financial Assistance Direct Total Amount
Amd TDH Purchase Order Assistance (TDH Share)
No. Number Begin End Source of Amount
Funds*
02 ACFH/PHC 09/01/02 08/31/03 State 180,000.00 0.00 180,000.00
000C011270
OPI-[P/LPHS 09/01/02 08/31/03 State 93.991 120,519.00 0.00 120,519.00
03 000C011397
IMM/LOCALS 09/01/02 12/31/03 State 66,697.00 0.00 66,697.00
04A 000(2011588
BNS/WIC-CARD 10/01/02 09/30/03 93.268 10.557 0.00 0.00 0.00
05A 0000000362
TDH Document No.7560022067 2003 Totals $367,216.00 $ 0.00 $367,216.00
Chan~e No. 04
*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.
Cover Page 2
TEXAS DEPARTMENT OF HEALTH
RECEIVING AGENCY PROGRAM: IMMUNIZATION DIVISION
PERFORMING AGENCY: PARIS-LAMAR COUNTY HEALTH DEPARTMENT
CONTRACT TERM: 09101/2002 THRU: 12/31/2003 BUDGET PERIOD: 09~01/2002 THRU 12/31/2003
TDH DOC. NO. 7560022067 200304A CHG. 04
REVISED CONTRACT BUDGET
FINANCIAL ASSISTANCE
OBJECT CLASS CATEGORIES CURRENT APPROVED CHANGE NEW OR REVISED
BUDGET (A) REQUESTED (B) BUDGET (C)
Personnel $2%081.00 $9,694.00 $38,775.00
Fringe Benefits 8,724.00 2,908.00 11,632.00
Travel 2,180.00 726.00 2,906.00
Equipment 0.00 0.00 0.00
~ Supplies 6,928.00 2,309.00 9,237.00
Contractual 500.00 167.00 667.00
Other 2,610.00 870.00 3,480.00
Total Direct Charges $50,023.00 $16,674.00 $66,697.00
Indirect Charges 0.00 0.00 0.00
TOTAL $50,023.00 $16,674.00 $66,697.00
PERFORMING AGENCY SHARE:
Program Income 0.00 0.00 0.00
Other Match 0.00 0.00 0.00
RECEIVING AGENCY SHARE $50,023.00 $16,674.00 $66,697.00
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 in funds and number to be served due to extending contract end date from 8/31/03 to 12/31/03.
Revised Number to be Served/Units of Service: 6,474
Form No. GCL9
Financial status reports are due the 30th of December, 30th of March, 30th of June, 30th of September, and the 30th of March.