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Home My WebLink AboutResolution - 2024-R0083 - Amendment #3, DSHS Contract HHS001019500024, Vaccination Capacity Grant Prog - 02/27/2024Resolution No. 2024-R0083 Item No. 7.2.1 February 27, 2024 RESOLUTYON BE I1' RESOLVLD BY TII� CI1'Y COUNCIL OI' TIIL CI'fY OF LUBI30CK: 1'I IAT the Mayor of thc City of Lubbock is hereby authorized and directed to cxecute for and on bchalf of thc City of Lubbock, Amcndment No. 3 to thc Dcpartmcnt of State Hcalth Services (DSIIS) Contract Na IIIIS001019500024, under the Vaccination Capacity Grant Program, by and between the City of Lubbock and thc State of "1'exas, acting by and through DSIIS, and all related documents. Said Amcndment is attached hercto and incorporated in this resolution as if fully set forth herein and shall bc included in thc minutes of the City Council. Passcd by the City Council on _ Februar�7i2024____. _._ __ _ "TRAY A1"1'F '1': Court ey Paz, City Sccrc ry APPROV�D AS 'I'O CON"1'I;N"1': � � -- I3ill IIo on, Dcputy C' agcr APPROVLD AS 1'O 1�ORM: _� I achacl I�ostcr, ssistant City �lttorncy Rl:S.DSI-IS Contract No. I II IS001019500024 nmcndmcnt No.3 1.30.24 DocuSign Envelope ID: FOCFFF97-7B6A-4EA8-B652-673BD0254011 Resolution No. 2024-R0083 TEXAS Health and Human Services The Honorable Tray Payne, Mayor City of Lubbock PO Box 2000 Lubbock, Texas 79408 Texas Department of State Health Services Jennifer A. Shuford, M.D., M.P.H. Commissloner Subject: Vaccination Capacity Grant Contract Contract Number: HHS001019500024, Amendment No. 3 Contract Amount: $3,451,133.00 Contract Term: 05/14/2021 through 06/30/2024 Dear Mayor Payne: Enclosed is Amendment No. 3 to the Vaccination Capacity Contract between the Department of State Health Services and City of Lubbock. This amendment adds $200,000.00 to the contract amount and reallocates funds among the budget categories. Please let me know if you have any questions or need additional information. Sincerely, Michelle Hilscher, CTCM Contract Manager 512-776-6550 cros_covidimm@dshs.texas.gov DocuSign Envelope ID: FOCFFF97-7B6A-4EA8-B652-673BDO254011 DEPARTMENT OF STATE HEALTH SERVICES CONTRACT No. HHS001019500024 AMENDMENT No. 3 The DEPARTMENT OF STATE HEALTH SERVICES ("System Agency"), a pass -through entity, and CITY OF LUBBOCK ("Grantee"), each referred to as a "Party," and collectively as the "Parties," to that certain grant agreement to provide funding for the Vaccination Capacity Program, effective May 14, 2021, and denominated DSHS Contract No. HHS00 10 19500024 ("the Contract"), now desire to further amend the Contract. WHEREAS, the Parties desire to add $200,000.00 to the Contract and redistribute funds among the budget categories; WHEREAS, System Agency desires to update the contact information associated with its Contract Representative; and WHEREAS, System Agency desires to amend its legal notice information. Now, THEREFORE, the Parties amend and modify the Contract as follows: 1. SECTION IV, BUDGET, of the Contract is deleted in its entirety and replaced with the following: IV. BUDGET The total amount of this Contract will not exceed $3,451,133.00. Grantee is not required to provide matching funds. All expenditures under the Contract will be in accordance with ATTACHMENT B-2, REVISED BUDGET. 2. SECTION V, CONTRACT REPRESENTATIVES, of the Contract is amended to replace System Agency's designated Contract Representative's name and contact information as follows: System Agency Department of State Health Services P.O. Box 149347, Mail Code 1990 Austin, TX 78714-9347 Attention: Michelle Hilscher 3. SECTION VI, LEGAL NOTICES, of the Contract is amended to replace System Agency's legal notice information as follows: System Agency Health and Human Services Commission Attn: Office of Chief Counsel DSHS Contract No. HHS001019500024 Amendment No. 3 Page 2 of 4 DocuSign Envelope ID: FOCFFF97-7B6A-4EA8-B652-673BDO254011 4601 W. Guadalupe St., Mail Code 1100 Austin, Texas 78751 With copy to: Department of State Health Services Attn: Office of General Counsel 1100 W. 49th Street, Mail Code 1919 Austin, Texas 78756 4. SECTION III(B) OF ATTACHMENT A-2, REVISED STATEMENT OF WORK, is deleted and replaced with the following: B. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT B-2, REvISED BUDGET to this Contract and shall maintain all documentation that substantiates invoices and make the documentation available to System Agency upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable, then Grantee will reimburse System Agency for that cost. 5. ATTACHMENT B, BUDGET, and B-1, SUPPLEMENTAL BUDGET, of the Contract are deleted in their entirety and replaced with ATTACHMENT B-2, REVISED BUDGET. 6. The following Attachment is attached hereto and is incorporated as part of the Contract: ATTACHMENT B-2 — REVISED BUDGET 7. This Amendment No. 3 shall be effective upon the date of the last signature. 8. Except as amended and modified by this Amendment No. 3, all terms and conditions of the Contract, as previously amended, shall remain in full force and effect. 9. Any further revisions to the Contract shall be by written agreement of the Parties. 10. Each Party represents and warrants that the person executing this Amendment No. 3 on its respective behalf has full power and authority to enter into this Amendment No. 3. SIGNATURE PAGE FOLLOWS DSHS Contract No. HHS001019500024 Amendment No. 3 Page 3 of 4 DocuSign Envelope ID: FOCFFF97-7B6A-4EA8-B652-673BD0254011 SIGNATURE PAGE FOR AMENDMENT No. 3 DEPARTMENT OF STATE HEALTH SERVICES CONTRACT No. HHS001019500024 DEPARTMENT OF STATE HEALTH SERVICES CITY OF LUBBOCK Signature Printed Name: Signature Printed Name: Mayor Tray Payne Title: Title: Mayor Date of Execution: Date of Execution: DSHS Contract No. HHS001019500024 Amendment No. 3 Page 4 of 4 DocuSign Envelope ID: FOCFFF97-7B6A-4EA8-8652-673BD0254011 ATTACHMENT B-2 REVISED BUDGET Budget Categories Round 3 Round 4 Total Amount Personnel $32,400.00 $249,100.00 $281,500.00 Fringe $13,819.00 $106,241.00 $120,060.00 Travel $2,800.00 $0.00 $2,800.00 Equipment $132,196.00 $4,997.00 $137,193.00 Supplies $70,306.00 $0.00 $70,306.00 Contractual $2,509,854.00 $329,420.00 $2,839,274.00 Other $0.00 $0.00 $0.00 Total Direct $2,761,375.00 $689,758.00 $3,451,133.00 Indirect $0.00 $0.00 $0.00 Total $2,761,375.00 $689,758.00 $3,451,133.00 DSHS Contract No. HHS001019500024 Attachment B-2 — Revised Budget Page 1 of 1 DocuSign- Certificate Of Completion Envelope Id: FOCFFF977B6A4EA8B652673BD0254011 Status: Sent Subject: Please DocuSign: HHS001019500024- CITY OF LUBBOCK IMM COVID-19 - A-3 Sign Doc.docx.pdf Source Envelope: Document Pages: 5 Signatures: 0 Envelope Originator: Certificate Pages: 2 Initials: 0 CMS Internal Routing Mailbox AutoNav: Enabled 11493 Sunset Hills Road Envelopeld Stamping: Enabled #100 Time Zone: (UTC-06:00) Central Time (US & Canada) Reston, VA 20190 CMS.IntemalRouting@dshs.texas.gov IP Address: 167.137.1.14 Record Tracking Status: Original 12/18/2023 12:02:10 PM Signer Events Mayor Tray Payne traypayne@mylubbock.us Mayor City of Lubbock Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Helen Whittington helen.whiftington@dshs.texas.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Patty Melchior Patty. Melchior@dshs.texas.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Kirk Cole kirk.cole@dshs.texas.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Editor Delivery Events Agent Delivery Events Intermediary Delivery Events Certified Delivery Events Carbon Copy Events Holder: CMS Internal Routing Mailbox Location: DocuSign CMS.InternalRouting@dshs.texas.gov Signature Timestamp Sent: 12/18/2023 12:14:21 PM Resent: 1/18/2024 12:07:33 PM Resent: 1/24/2024 10:24:06 AM Viewed: 1/24/2024 10:47:29 AM Signature Status Status Status Status Status Timestamp Timestamp Timestamp Timestamp Timestamp Timestamp Carbon Copy Events Status Timestamp Gloria Diaz gdiaz@mylubbock.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Katherine Wells kwells@mylubbock.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Michelle Hilscher michelle.hiischer@dshs.texas.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign CMS Internal Routing cms.internalrouting@dshs.texas.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 12/18/2023 12:14:22 PM Payment Events Status Timestamps No Text