HomeMy WebLinkAboutResolution - 2004-R0018 - Contract With TX Dept. Of Health For Immunization Service - 01_08_2004Resolution No. 2004 R0018
January 8, 2004
Item No. 43
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the Mayor of the City of Lubbock is hereby authorized and directed to
execute for and on behalf of the City of Lubbock a Contract with the Texas Department
of Health (TDH Document No. 7560005906 2005) for Immunization Services and any
associated documents by and between the City of Lubbock and the Texas Department of
Health, a copy of which Contract and associated documents are attached hereto and which
shall be spread upon the minutes of this Council and as spread upon the minutes of this
Council shall constitute and be a part hereof as if fully copied herein in detail.
Passed by the City Council this 8th day of
ATTEST:
Rebe ca Garza, City Secretary
APPROVED AS TO CONTENT:
Tommy Camden, HealtR Pirector
APPROVED AS TO FO
r
10
1 ,
Wald G. andiver, Attorney of Counsel
DDresrrDHconlmmRes
December 15, 2003
CONTRACT FOR PUBLIC HEALTH SERVICES
Resolution No. 2004—ROOIB
January 8, 2004
Item No. 43
s
TDH DOCUMENT NO.7560005906 2005
Contract Issued by: TEXAS DEPARTMENT OF HEALTH TP
(RECEIVING AGENCY) 1100 WEST 49TH STREET
AUSTIN, TEXAS 78756-3199
Legal Authority to Contract: Chapters 12 and 121, Health and Safety Code.
Venue: The provisions of this Contract shall be interpreted in accordance with Texas law. Venue for any court disputes shall be in Travis County,
Texas.
PERFORMING AGENCY NAME: LUBBOCK CITY HEALTH DEPARTMENT
MAILING ADDRESS: PO BOX 2548 LUBBOCK TX 79457-0000
STREET ADDRESS: 1902 TEXAS AVENUE LUBBOCK TX 79457-0000
NAME OF AUTHORIZED
CONTRACTING ENTITY: CITY OF LUBBOCK HEALTH DEPARTMENT
(If different from PERFORMING AGENCY)
PAYEE DATA (If not the same as PERFORMING AGENCY or AUTHORIZED CONTRACTING ENTITY; must be on file with the Texas State
Comptroller's Office.):
NAME: CITY OF LUBBOCK
ADDRESS: PO BOX 2000 LUBBOCK TX 79408-2000
(City, State, Zip)
State of Texas Vendor Identification No. (14 digits)
PAYEE AGENCY Fiscal
17560005906001
Year Ending Month: December
PAYEE BUSINESS INFORMATION FOR STATISTICAL REPORTING: Please check the categories that apply to your business.
_ Small Business - A corporation, sole proprietorship, or other legal entity formed for the purpose of making a profit which is
independently owned and operated and has fewer than 100 employees or has less than $1,000,000 in annual gross receipts.
Historically Underutilized Business (HUB) - A corporation, sole proprietorship, or joint venture formed for the purpose of making a
profit in which at least 51 % of all classes of the shares of stock or other equitable securities are owned by one or more persons who have
been historically underutilized (socially disadvantaged) because of their identification as members of certain groups: Black American,
Hispanic American, Asian Pacific American, Native American, and Women. The HUB must be certified by General Services
Commission or another entity.
For Profit Organization
SUMMARY OF CONTRACT DOCUMENTATION:
COVER PAGE l - Receiving and Performing Agency Data GENERAL PROVISIONS—11/2003
COVER PAGE 2 - Details of Attachment(s) ATTACHMENT(S)
COVER PAGE 3 - Authorized Signatures EXHIBITS, IF APPLICABLE
Cover Page 1
^, DETAILS OF ATTACHMENTS
Att/
TDH Program ID/
Term
Financial Assistance
Direct
Total Amount
Amd
TDH Purchase Order
Assistance
(TDH Share)
No.
Number
Begin
End
Source of
Amount
Funds"
01
IMM/LOCALS
01/01/04
12/31/04
State 93.268
53,577.00
0.00
53,577.00
1 0000001776
1
TDH Document No.7560005906 2005 Totals
$ 53,577.00
$ 0.00
$ 53,577.00
*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.
Cover Page 2
EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN.
CITY OF LUBBOCK HEALTH DEPARTMENT
Authorized Contracting Entity (type above if different
from PERFORMING AGENCY) for and in behalf of:
PERFORMING AGENCY NAME:
LUBBOCK CITY HEAL DEPARTMENT
By:
( ignature of person authorized to sign contracts)
mam PAD XWI I Nlw
(Name and Title)
Date: January 8, 2004
RECOMMENDED:
By: at� A7
(PERFORMING AGENCY Director, if 6&ent
from person authorized to sign contract)
Ap roved as to fo
City Atto, my
RECEIVING AGENCY NAME:
TEXAS DEPARTMENT OF HEALTH
By:
(Signature of person authorized to sign contracts)
Bob Barnette, Director
Procurement and Contracting Services Division
(Name and Title)
Date: � '°—v Y3 ` f
TDH Document No: 7560005906 2005
Cover Page 3
P
Resolution No. 2004—R 0018
GENERAL PROVISIONS FOR
TEXAS DEPARTMENT OF HEALTH SUBRECIPIENT GRANT CONTRACTS
TABLE OF CONTENTS
ARTICLE 1
- PREAMBLE
2
- TERM
3
- FUNDING
4
- AMENDMENTS
5
- APPLICABLE LAWS AND STANDARDS
6
- DEBARMENT AND SUSPENSIONS
7
- ASSURANCES
8
- CHILD ABUSE REPORTING REQUIREMENTS
9
- INTELLECTUAL PROPERTY
10
- HISTORICALLY UNDERUTILIZED BUSINESSES
11
- CONFLICT OF INTEREST
12 -
CERTIFICATION OF SOFTWARE, HARDWARE, FIRMWARE, AND
MICRO CODE PRODUCTS
13 -
STANDARDS FOR FINANCIAL AND PROGRAMMATIC MANAGEMENT
14 -
BONDING
15 -
FUNDING PARTICIPATION REQUIREMENT
16 -
ALLOWABLE COSTS AND AUDIT REQUIREMENTS
17 -
TERMS AND CONDITIONS OF PAYMENT
18 -
ADVANCE PAYMENTS
19 -
PROGRAM INCOME
20 -
OVERTIME COMPENSATION
21 -
EQUIPMENT AND SUPPLIES
22 -
CONTRACTS WITH SUBRECIPIENTS
23 -
CONTRACTS FOR PROCURMENT
24 -
REPORTS
25 -
INSPECTIONS
26 -
RECORDS RETENTION
27 -
CONFIDENTIALITY OF PROTECTED HEALTH INFORMATION
28 -
SANCTIONS
29 -
SANCTION REVIEW
30 -
BREACH OF CONTRACT CLAIM
31 -
TERMINATION
32 -
VOID CONTRACT
33 -
SEVERABILITY
34 -
LOCAL HEALTH DEPARTMENT PERSONNEL
35 -
SURVIVAL OF TERMS
36 -
CONSTRUCTION OF AMBIGUITIES
37 -
NO WAIVER OF SOVEREIGN IMMUNITY
38 -
CERTIFICATION
Paper Publications Number: 29-11834, Revised November 2003
�qj
GENERAL PROVISIONS 11/2003
Any alteration to this document constitutes a counter-offer and must be approved in writing by the Texas Department of Health.
GENERAL PROVISIONS FOR
TEXAS DEPARTMENT OF HEALTH SUBRECIPIENT GRANT CONTRACTS
ARTICLE 1. Preamble
PERFORMING AGENCY and RECEIVING AGENCY (the parties) agree to make and enter into this grant contract
(contract), to faithfully perform the duties prescribed by this contract, and to uphold and abide by its terms and
provisions. This contract consists of:
• RECEIVING and PERFORMING AGENCY identifying data,
• Details of Attachment(s),
• authorized signatures,
• General Provisions, and
• Attachment(s).
Attachments may include the following elements as applicable:
• detailed Scope(s) of Work,
• Special Provisions,
• budget(s), and
• exhibit(s).
This contract represents the complete and entire understanding and agreement of the parties. No prior agreement or
understanding, oral or otherwise, of the parties or their agents will be valid or enforceable unless embodied in this
contract. The terms "shall" and "will" are used interchangeably in this contract.
The person or persons signing and executing this contract on behalf of PERFORMING AGENCY, or representing
themselves as signing and executing this contract on behalf of PERFORMING AGENCY, warrant and guarantee that
he, she, or they have been duly authorized by PERFORMING AGENCY to execute this contract for PERFORMING
AGENCY and to validly and legally bind PERFORMING AGENCY to all of its terms, performances, and provisions.
PERFORMING AGENCY assures compliance with this contract, including these General Provisions unless
otherwise specified in any Special Provisions of the Attachment(s) to this document. If these General Provisions are
revised or replaced during the term of this contract and PERFORMING AGENCY does not consent to comply with
the modified General Provisions, PERFORMING AGENCY may exercise its termination options in accordance with
the General Provisions, Termination Article.
ARTICLE 2. Term
The term (time period) of this contract shall be governed by the term(s) of the Attachment(s). No commitment of
contract funds is permitted prior to the first day or subsequent to the last day of the term. The term may be renewed,
extended or shortened by amendment(s).
aw) GENERAL PROVISIONS 11/2003 Page 1
ARTICLE 3. Funding
This contract is contingent upon the continued availability of funding. If funds become unavailable through lack of
appropriations, budget cuts, transfer of funds between programs or agencies, amendment of the appropriations act,
health and human services agency consolidations, or any other disruption of current appropriations, provisions ofthe
Termination Article shall apply.
ARTICLE 4. Amendments
Amendments to this contract must be in writing and signed by individuals with authority to bind the parties.
Uniform Grants Management Standards and RECEIVING AGENCY procedures authorize limited changes to a
contract attachment with prior written approval from RECEIVING AGENCY. PERFORMING AGENCY must
submit request in format prescribed by RECEIVING AGENCY Program. RECEIVING AGENCY will consider the
request and document approval or disapproval in writing. PERFORMING AGENCY is responsible for ensuring that
any modification to a contract Attachment becomes a part of the contract file.
RECEIVING AGENCY may not waive any tern, covenant, or condition of this contract unless by amendment
executed in compliance with this Article. PERFORMING AGENCY shall not perform and RECEIVING
AGENCY will not pay for the performance of different or additional services, work, or products except pursuant
to an amendment that is executed in compliance with this Article.
PERFORMING AGENCY shall plan expenditures so that any necessary budget revisions or amendments are
executed no later than ninety (90) days prior to the expiration of the Attachment term. PERFORMING AGENCY
shal I provide a written justification for any budget revisions and/or amendments. If a budget revision or amendment
is requested during the last quarter of the Attachment term, the written justification shall include a reason for the
delay. Revision or amendment requests may be granted at the discretion of RECEIVING AGENCY.
ARTICLE 5. Applicable Laws and Standards
This contract shall be interpreted under and in accordance with the laws ofthe State of Texas and enabling state rules.
Where applicable, federal statutes and regulations, including federal grant requirements applicable to funding
sources, shall apply to this contract. PERFORMING AGENCY agrees to comply with the Uniform Grant
Management Act (UGMA), Texas Government Code, Chapter 783, as amended, and the Uniform Grant Management
Standards (UGMS) as amended by revised federal circulars and incorporated in UGMS by the Govemor's Budget and
Planning Office. UGMA is located on the Internet at http://www.capitol.state.tx.us/statutes/statutes.httnl; the UGMS
are located on the Internet at hLtp://www.governor.state.tx.us/stategmatsl.
PERFORMING AGENCY shall not use funds granted under this contract to pay any person for influencing or
attempting to influence an officer or employee of any agency, federal or state, a Member of Congress, an officer or
employee of Congress, or an employee of a Member of Congress in connection with the awarding of any contract or
grant or the extension, continuation, renewal, amendment, or modification of any contract or grant (31 USC § 1352, as
amended, and UGMS). If at anytime this contract exceeds $100,000 of federal funds, PERFORMING AGENCY
shall file with RECEIVING AGENCY a declaration containing the name of any registrant under the Lobbying
Disclosure Act of 1995 who has made lobbying contacts on behalf of PERFORMING AGENCY in connection with
that contract or grant, a certification that none of the funds provided by RECEIVING AGENCY have been or will be
used for payment to lobbyists, and disclosure of the names of any and all registered lobbyists with whom
PERFORMING AGENCY has an agreement. PERFORMING AGENCY shall require any person who requests or
receives a subgrant or subcontract to file the same declaration, certification and disclosure with RECEIVING
AGENCY. PERFORMING AGENCY shall file the declaration, certification, and disclosure at the time of
application for the contract or grant; upon execution of a contract or grant unless PERFORMING AGENCY
(LGS) GENERAL PROVISIONS 11/2003 Page 2
previously filed a declaration, certification or disclosure form in connection with the award; and at the end of each
calendar quarter in which there occurs any event that materially affects the accuracy of the information contained in
any declaration, certification or disclosure previously filed. RECEIVING AGENCY will supply the certification form
to PERFORMING AGENCY upon request.
ARTICLE 6. Debarment and Suspension
PERFORMING AGENCY certifies by execution of this contract to the following:
• It is not ineligible for participation in federal or state assistance programs under Executive Order 12549,
Debarment and Suspension, Feb. 18, 1986, 51 Fed. Reg. 6370;
• Neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from participation in this transaction by any federal department or agency;
• It has not knowingly failed to pay a single substantial debt or a number of outstanding debts to a federal or
state agency; and,
• It is not subject to an outstanding judgment in a suit against PERFORMING AGENCY for collection of the
balance of a debt.
Where PERFORMING AGENCY is unable to certify to any of the statements in this Article, PERFORMING
AGENCY shall attach an explanation. If PERFOR ING AGENCY'S status with respect to the items certified above
changes during the contract term, PERFORMING AGENCY shall notify RECEIVING AGENCY, immediately.
PERFORMING AGENCY shall not contract with a subrecipient nor procure goods or services from a subcontractor,
at any tier, which is debarred or suspended or is otherwise excluded from or ineligible for participation in federal
assistance programs under Executive Order 12549.
ARTICLE 7. Assurances
PERFORMING AGENCY shall establish safeguards to prohibit employees from using their positions fora purpose
that constitutes or presents the appearance of personal or organizational conflict of interest or personal gain.
To the extent such provisions are applicable to PERFORMING AGENCY, PERFORMING AGENCY agrees to fully
comply with the following:
• Title VI of the Civil Rights Act of 1964,42 USC §§2000d el seq., as amended (P.L. 88-352), which prohibits
discrimination on the basis of race, color or national origin, and includes the provision for effective
communication and equal access to programs, services and activities to persons with Limited English
Proficiency (LEP);
• Title IX of the Education Amendments of 1972, 20 USC §§ 1681-1683, and 1685-1686, as amended, which
prohibits discrimination on the basis of sex;
• Section 504 of the Rehabilitation Act of 1973, 29 USC §794(a), which prohibits discrimination on the basis of
disabilities and the Americans with Disabilities Act of 1990,42 USC §§ 12101 el seq., including the provision
for effective communication and equal access to programs, services and activities to persons with sensory and
speech impairments;
• The Age Discrimination Act of 1975,42 USC §§6101-6107, as amended, which prohibits discrimination on
the basis of age;
• The Drug Abuse Office and Treatment Act of 1972, 21 USC §§I101 el seq., as amended, relating to
nondiscrimination on the basis of drug abuse;
• The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970,
42 USC §290dd (b)(1), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism;
(LGS) GENERAL PROVISIONS 11/2003 Page 3
• Public Health Service Act of 1912, §§523 and 527, 42 USC §290dd-2, as amended, relating to
confidentiality of alcohol and drug abuse patient records;
• Title VIII of the Civil Rights Act of 1968, 42 USC §§3601 et seq., as amended, relating to nondiscrimination
in the sale, rental or financing of housing;
• The requirements of any other nondiscrimination statute(s); and
• RECEIVING AGENCY Policy XO-0119, Non -Discrimination Policies and Procedures for TDH Programs,
relating to nondiscrimination in the delivery of contracted services on the basis of race, color, national origin,
religion, age, sex, sexual orientation or disability. The policy is located on the Internet at
ligp://www.tdh.state.tx.us/otolxo-O 119.htm.
Collectively, such requirements obligate RECEIVING AGENCY to provide services without discrimination on the
basis of race, color, national origin, religion, age, sex, sexual orientation or disability. PERFORMING AGENCY
shall carry out the terms of this contract in a manner which will assist RECEIVING AGENCY in complying with
such obligations to the fullest extent of PERFORMING AGENCY'S ability.
PERFORMING AGENCY agrees to comply with all or part of the following, as applicable:
A. Texas Labor Code, Chapter 21, which requires that certain employers not discriminate on the basis of race,
color, disability, religion, sex, national origin, or age.
B. Immigration Reform and Control Act of 1986, 8 USC § 1324a, as amended, regarding employment
verification and retention of verification forms for any individual(s) hired on or after November 6, 1986,
who will perform any labor or services under this contract.
C. Pro -Children Act of 1994,20 USC § §6081-6084, regarding the provision of a smokefree workplace and
promoting the non-use of all tobacco products.
D. The National Research Service Award Act of 1971,42 USC §§289a-1 et seq., as amended, and 6601 (P.L.
93-348 and P.L. 103-43), as amended, regarding the protection of human subjects involved in research,
development, and related activities supported by any applicable award of federal assistance, as
implemented by 45 CFR Part 46, Protection of Human Subjects.
E. The Clinical Laboratory Improvement Amendments of 1988,42 USC §263a, as amended, which establish
federal requirements for the regulation and certification of clinical laboratories.
F. The Occupational Safety and Health Administration Regulations on Blood Borne Pathogens, 29 CFR
§ 19I0.1030, which set safety standards for those workers and facilities in the private sector who may
handle blood borne pathogens, or Title 25 Texas Administrative Code (TAC), Chapter 96, which affects
facilities in the public sector.
G. Laboratory Animal Welfare Act of 1966, 7 USC §§2131 et seq. (P.L. 89-544), as amended, pertaining to
the care, handling, and treatment of warm-blooded animals held for research, teaching, or other activities
supported by this award of assistance.
H. Texas Government Code, Chapter 469, as amended, pertaining to standards which eliminate architectural
barriers for persons with disabilities.
I. Health and Safety Code, Chapter 165, relating to the rights of mothers to breast-feed and the promotion of
breast-feeding. RECEIVING AGENCY will support PERFORMING AGENCY in complying by
providing promotional material and information that encourages breast-feeding to program participants
(WS) GENERAL PROVISIONS 1 I/2003 Page 4
who are pregnant women or mothers with infants. Promotional material may be requested from
RECEIVING AGENCY by calling (512) 458-7796.
Environmental standards pursuant to the following:
(1) Institution of environmental qualitycontrol measures under the National Environmental Policy Act
of 1969, 42 USC §§4321-4347 and Executive Order 11514 (35 Fed. Reg. 4247), "Protection and
Enhancement of Environmental Quality."
(2) Notification of violating facilities pursuantto Executive Order 11738 (40 CFR Part 32), "Providing
for Administration of the Clean Air Act and the Federal Water Pollution Control Actwith Respectto
Federal Contracts, Grants, or Loans."
(3) Protection of wetlands pursuant to Executive Order 11990, 42 Fed. Reg. 26961.
(4) Evaluation of flood hazards in floodplains in accordance with Executive Order 11988, 42 Fed. Reg.
26951.
(5) Assurance of project consistency with the approved State Management program developed under the
Coastal Zone Management Act of 1972, 16 USC §§ 1451 et seq., as amended.
(6) Conformity of federal actions to state clean air implementation plans under the Clean Air Act of
1955, as amended, 42 USC §§7401 et seq.
(7) Protection of underground sources of drinking water under the Safe Drinking WaterActof 1974,42
USC §§300f 300j, as amended.
(8) Protection of endangered species under the Endangered Species Act of 1973, 16 USC §§1531 et
seq., as amended.
K. The Hatch Political Activity Act, 5 USC §§7321-26, which limits the political activity of employees whose
principal employment activities are funded in whole or in part with federal funds.
L. The Fair Labor Standards Act, 29USC §§201 et seq., and the Intergovernmental Personnel Act of 1970,42
USC §§4701 et seq., as applicable, concerning minimum wage and maximum hours.
M. General Appropriations Act, Regular Session, 78th Legislature, 2003, Article §9-6.13, page IX-35,
"Limitation on Grants to Units of Local Government." For the purpose of §9-6.13, "unit of local
government" shall mean a council of governments, a regional planning commission, or a similar regional
planning agency created under Chapter 391, Local Government Code; a local workforce development
board; or an MHMR community center.
N. Texas Government Code, Chapter 573, relating to nepotism.
O. Texas Government Code, Chapter 552, relating to open records and public information.
P. Texas Government Code, Chapter 551, relating to open meetings.
Q. Texas Occupations Code, Chapter 1701, as amended, and all rules adopted by the Texas Commission on
Law Enforcement Officer Standards and Education pursuant to Chapter 1701, as amended, relating to
regulated law enforcement agencies.
PERFORMING AGENCY shall ensure that the facilities under its ownership, lease or supervision which will be
utilized in the accomplishment of the project are not listed on the Environmental Protection Agency's (EPA) list of
Violating Facilities and shall notify the Federal grantor agency of the receipt of any communication from the Director
of the EPA Office of Federal Activities indicating that a facility to be used in the project is under consideration for
listing by the EPA (Executive Order 11739).
(LOS) GENERAL PROVISIONS 11/2003 Page 5
PERFORMING AGENCY shall comply with the flood insurance purchase requirements of 102(a) of the Flood
Disaster Protection Act of 1973, 42 USC §§4001-4003, as amended. Section 102(a) requires the purchase of flood
insurance in communities where the insurance is available as a condition for the receipt of any federal financial
assistance for construction or acquisition proposed for use in any area that has been identified by the Secretary of the
U. S. Department of Housing and Urban Development as an area having special flood hazards.
If PERFORMING AGENCY provides medical, dental, psychological or surgical treatment to a minor under this
contract, either directly or through contracts with subrecipients, the treatment of a minor shall be provided only if
consent to treatment is obtained pursuant to Chapter 32 ofthe Texas Family Code relating to consent to treatment ofa
child by a non -parent or child. If requirements of federal law relating to consent directly conflict with Chapter 32 of
the Family Code, federal law shall supersede state law.
If PERFORMING AGENCY provides immunizations, PERFORMING AGENCY shall comply with all
immunization reporting guidelines and requirements set forth in the Health and Safety Code, Chapter 161, Subchapter
A. This requirement shall also apply to subrecipients or subcontractors of PERFORMING AGENCY, if any.
PERFORMING AGENCY shall comply with the requirements of the Texas Workers' Compensation Act, Labor
Code, Chapters 401-406, and rules promulgated thereunder found at 28 Texas Administrative Code (TAC), Part 2,
which cover compensation for employees' injuries.
When incorporated into an Attachment, standard assurances contained in the application package, if any, become
terms or conditions for receipt of RECEIVING AGENCY funds. PERFORMING AGENCY and its subrecipients
shall maintain an appropriate contract administration system to insure that all terms, conditions, and specifications are
met.
PERFORMING AGENCY shall comply with all federal tax laws and is solely responsible for filing all required state
and federal tax forms.
PERFORMING AGENCY assures it shall not transfer, assign or sell its interest in this contract, or in any equipment
purchased with funds from this contract, without the written consent of RECEIVING AGENCY.
ARTICLE 8. Child Abuse Renortine Requirements
[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 11 or
general revenue), Title V Family Planning (ACF1-YFEE--FP, Title X Family Planning (BWHITITLE Xj, Title XX
Family Planning (BWHITTLXX), Primary Health Care (ACFHIFHC), Title V Maternal and Child Health
(ACFHIFEE), Special Supplemental Nutrition Program for Women, Infants, and Children (BNSIWIC-CARD,
and the Services Delivery Integration project (SDIIFFS).] PERFORMING AGENCY and each of its
subrecipients shall make a good faith effort to comply with child abuse reporting guidelines and requirements in
Chapter 261 of the Texas Family Code relating to investigations of reports of child abuse and neglect.
PERFORMING AGENCY and each of its subrecipients shall develop, implement and enforce a written policy
that includes at a minimum the TDH Child Abuse Screening, Documenting, and Reporting Policy for
Contractors/Providers and train all staff on reporting requirements. PERFORMING AGENCY and its
subrecipients shall use the Checklist for TDH Monitoring as required by RECEIVING AGENCY. (The policy
and checklist are available at each of the above -referenced programs' websites.)
(LS) GENERAL PROVISIONS 11/2003 Page 6
ARTICLE 9. Intellectual Pro e
Texas Health and Safety Code §12.020, as amended, authorizes RECEIVING AGENCY to protect intellectual
property developed as a result of this contract.
"Intellectual property" means created property that may be protected under copyright, patent, or trademark/service
mark law.
"Work made for hire" is a copyrightable work prepared for RECEIVING AGENCY use, or a work specially ordered
or commissioned through a contract for RECEIVING AGENCY use. RECEIVING AGENCY owns works made for
hire unless it agrees otherwise by contract.
If federal or state funds are used to finance activities supported by this Contract that result in the production of
original material, the federal or state awarding agency reserves a royalty -free, nonexclusive, and irrevocable license to
reproduce, publish, or otherwise use, and to authorize others to use, for federal or state government purposes (1) the
copyright in any work developed under a grant, subgrant, or contract under a grant or subgrant; and (2) any rights of
copyright to which a PERFORMING AGENCY or its subrecipient purchases ownership with grant support.
PERFORMING AGENCY shall place an acknowledgment of federal or state awarding agency grant support and a
disclaimer, as appropriate, on any publication written or published with such support and, if feasible, on any
publication reporting the results of or describing grant -supported activity. An acknowledgment shall beto the effect
that "This publication was made possible by grant number firm (federal or state awarding agency)" or "The
project described was supported by grant number from (federal or state awarding agency)" and "Its contents
are solely the responsibility of the authors and do not necessarily represent the official views of the (federal or state
awarding agency).°'
In the event the terms of a federal or state grant award the copyright to PERFORMING AGENCY, RECEIVING
AGENCY reserves a royalty -free, nonexclusive, worldwide and irrevocable license to reproduce, publish or otherwise
use, and to authorize others to use, for RECEIVING AGENCY, public health, and state governmental noncommercial
purposes (1) the copyright, trademark, service mark, and/or patent on an invention, discovery, or improvementto any
process, machine, manufacture, or composition of matter; products; technology; scientific information; trade secrets;
and computer software, in any work developed under a grant, subgrant, or contract under a grant or subgrant; and (2)
any rights of copyright, service or trade marks or patents to which a grantee, subgrantee or a PERFORMING
AGENCY purchases ownership with grant support.
If the results of the contract performance are subject to copyright law, the PERFORMING AGENCY cannot publish
those results without prior review and approval of RECEIVING AGENCY.
ARTICLE 10. Historically Underutilized Businesses
If PERFORMING AGENCY subcontracts a portion of this contract, PERFORMING AGENCY agrees to make a
good faith effort to subcontract with HUBS during the performance of its contract Attachment(s) with RECEIVING
AGENCY and will report HUB subcontract activity on a quarterly basis to RECEIVING AGENCY.
ARTICLE 11. Conflict of Interest
PERFORMING AGENCY does not have nor will it acquire any interest that would conflict in any manner with the
performance of its obligations under this contract. Potential conflicts of interest include an existing business or
personal relationship between PERFORMING AGENCY, its principal, or any affiliate or subrecipient with
RECEIVING AGENCY, its board members, officers or employees, or any other entity or person involved in anyway
in any project that is the subject of this contract.
(LGS) GENERAL PROVISIONS 11/2003 Page 7
ARTICLE 12. Certification of Software. Hardware. Firmware and Micro Code Products
PERFORMING AGENCY certifies that any supplied or supported software, hardware, firmware, and micro code
products used individually or together as a system to comply with RECEIVING AGENCY contract requirements shall
operate "accurate) -' in the manner in which they were intended when given a "valid date" containing century, year,
month, and day.
For purposes of this Article, "supplied or supported software, hardware, firmware, and micro code products" does not
include software supported by RECEIVING AGENCY or an agency of the federal government.
PERFORMING AGENCY is responsible for installing and implementing any versions of any software provided by
RECEIVING AGENCY or an agency of the federal government which is used in performance of this contract.
For purposes of this Article,
A) "accurately" is defined to include the following:
1) calculations shall be correctly performed using four -digit year processing;
2) functionality -on-line, batch including entry, inquiry, maintenance and updates shall support four -
digit year processing;
3) interfaces and reports shall support four -digit year processing;
4) processing with a four -digit year shall occur without human intervention;
5) correct results in forward and backward date calculation spanning century boundaries shall be
provided;
6) correct leap year calculations shall be performed; and,
7) processing correct results in forward and backward date calculation spanning century boundaries
shall occur;
B) "date integrity' shall mean all manipulations of time -related data (dates, durations, days of week, etc.) shall
produce desired results for all valid date values within the application domain;
C) "explicit century" shall mean date elements in interfaces and data storage permit specifying century to
eliminate date ambiguity,
D) "extraordinary actions" shall be defined to mean any action outside the normal documented processing
steps identified in the product's reference documentation;
E) "general integrity" shall mean no value for current date will cause interruptions in desired operation;
F) "implicit century" shall mean for any data element without century, the correct century is unambiguous for
all manipulations involving that document;
G) "product" or "products" shall be defined to include, but is not limited to, any supplied or supported
hardware, software, firmware and/or micro code;
H) "valid date" shall contain a two -digit month, a two -digit day and a four -digit year.
PERFORMING AGENCY and its subrecipient(s) shall obtain a warranty from any vendor/licensor from which it
obtains product(s), that product(s) delivered and installed under the contract/license shall accurately process valid date
data when used in accordance with the product documentation provided by the contractor/licensor and require no
extraordinary actions on the part of PERFORMING AGENCY, its personnel, or its subrecipient(s). Products under
the contract/license shall possess general integrity, date integrity, explicit and implicit century capabilities. If the
aGS) GENERAL PROVISIONS 11/2003 Page 8
contracttlicense requires that specific products shall perform as a system in accordance with the foregoing warranty,
then the warranty shall apply to those listed products as a system. The duration of this warranty and the remedies
available to PERFORMING AGENCY or its subrecipient(s) for breach of the warranty shall be defined in, and
subject to, the terms and conditions of the contractor's standard commercial warranty or warranties contained in the
contracttlicense; provided, that notwithstanding any provision to the contrary in such commercial warranty or
warranties, the remedies available to PERFORMING AGENCY or its subrecipient(s) shall include repair or
replacement of any supplied product if its noncompliance is discovered and made known to the contractor/licensor in
writing within ninety (90) days after final acceptance. Nothing in the warranty shall be considered to limit any rights
or remedies PERFORMING AGENCY or its subrecipient(s) may otherwise have under the contract/license.
RECEIVING AGENCY will not hold PERFORMING AGENCY responsible if the information coming to
PERFORMING AGENCY'S product/software from RECEIVING AGENCY is inaccurate or corrupt.
ARTICLE 13. Standards for Financial and Programmatic Management
PERFORMING AGENCY shall develop, implement, and maintain financial management and control systems that
meet or exceed the requirements of UGMS and adhere to procedures detailed in RECEIVING AGENCY'S Financial
Administrative Procedures Manual (documents available at http://www.tdh.state.tx.us/grants/form_doe.htm). Those
requirements shall include at a minimum:
A. Financial planning, including the development of budgets that adequately reflect all functions and
resources necessary to carry out authorized activities and the adequate determination of costs;
B. Financial management systems including accurate, correct, and complete accounting records, that identify
the source and application of funds provided under each Attachment, and that support the information
contained in required financial reports; cost source documentation; effective internal and budgetary
controls; determination of reasonableness, allowableness, and allocability of costs; and timely and
appropriate audits and resolution of any findings; and,
C. Billing and collection policies, including a fee schedule, a system for discounting or adjusting charges
based on a person's income and family size, and a mechanism capable of billing and making reasonable
efforts to collect from patients and third parties.
PERFORMING AGENCY shall bill all third party payers for services provided under the Attachment(s) before
submitting any request for reimbursement to RECEIVING AGENCY. A third party payer is any person or entity who
has the legal responsibility for paying all or part of the services provided, including commercial health or liability
insurance carriers, Medicaid, or other federal, state, local and private funding sources. Third party billing functions
shall be provided by PERFORMING AGENCY at no cost to the client. PERFORMING AGENCY or its
subrecipient shall become a Medicaid provider if performing approved Texas Medicaid services authorized by the
Attachment(s).
PERFORMING AGENCY and its governing body shall bear full responsibility for the integrity of the fiscal and
programmatic management. Such responsibility shall include: accountability for all funds and materials received
from RECEIVING AGENCY; compliance with RECEIVING AGENCY rules, policies, procedures, and applicable
federal and state laws and regulations; and correction of fiscal and program deficiencies identified through self -
evaluation and RECEIVING AGENCY'S monitoring processes. Ignorance of any contract provisions or other
requirements contained or referenced in this contract shall not constitute a defense or basis for waiving or appealing
such provisions or requirements.
{} $) GENERAL PROVISIONS 11/2003 Page 9
ARTICLE 14. Bondine
PERFORMING AGENCY is required to carry a fidelity bond, insurance coverage or self-insurance equal to the
amount of funding provided under the contract Attachment(s) up to $100,000 that covers each employee of
PERFORMING AGENCY handling funds under this contract, including person(s) authorizing payment of such
funds. The fidelity bond, insurance, or self-insurance shall provide for indemnification of losses occasioned by: 1)
any fraudulent or dishonest act or acts committed by any of PERFORMING AGENCY'S employees, either
individually or in concert with others, and/or 2) failure of PERFORMING AGENCY or any of its employees to
perform faithfully his/her duties or to account properly for all monies and property received by virtue of his/her
position or employment.
ARTICLE 15. Funding Participation Requirement
PERFORMING AGENCY agrees funds provided through this contract shall not be used for matching purposes in
securing other funding unless directed or approved by RECEIVING AGENCY.
ARTICLE 16. Allowable Costs and Audit Requirements
Only those costs allowable under UGMS and any revisions thereto plus any applicable federal cost principles are
eligible for reimbursement under this contract. Applicable cost principles, audit requirements, and administrative
requirements are as follows:
Applicable Cost Principles* I Audit Requirements* I Administrative Requirements*
OMB Circular A-87, State, I OMB Circular A-133 and UGMS I UGMS
Local and Tribal Governments
The OMB circulars cited above shall be applied with the modifications prescribed by UGMS.
PERFORMING AGENCY or the AUTHORIZED CONTRACTING ENTITY shall arrange for a financial and
compliance audit (Single Audit) if required by OMB Circular A-133 and/or UGMS, Part IV, "State of Texas Single
Audit Circular." The audit shall be of PERFORMING AGENCY'S or the AUTHORIZED CONTRACTING
ENTITY's fiscal year. The audit shall be conducted by an independent certified public accountant and in accordance
with applicable OMB Circulars, Government Auditing Standards, and UGMS. PERFORMING AGENCY shall
procure audit services in compliance with state procurement procedures, as well as with the provisions of UGMS.
If PERFORMING AGENCY is not required to have a Single Audit, a limited scope audit may be required.
RECEIVING AGENCY will provide PERFORMING AGENCY with written audit requirements if a limited scope
audit is required.
Within thirty (30) days of receipt of the audit reports required by this section, PERFORMING
AGENCY/AUTHORIZED CONTRACTING ENTITY shall submit a copy to RECEIVING AGENCY's Internal
Audit Division.
ARTICLE 17. Terms and Conditions of Payment
For services satisfactorily performed pursuant to this contract, RECEIVING AGENCY will reimburse
PERFORMING AGENCY for allowable costs. Reimbursements are contingent on a signed contract and will not
exceed the total of each Attachment(s). PERFORMING AGENCY is entitled to payment only ifthe service, work,
and/or product has been authorized and satisfactorily performed. If those conditions are met, RECEIVING AGENCY
will make payment in accordance with the Texas prompt payment law (Texas Government Code, Chapter 2251).
(LGS) GENERAL PROVISIONS 11/2003 Page 10
PERFORMING AGENCY is entitled to exercise remedies for nonpayment in accordance with Texas Government
Code, Chapter 2251, Subchapter D.
PERFORMING AGENCY shall have incurred a cost within the applicable Attachment term to be eligible for
reimbursement under this contract and prior to claiming reimbursement. PERFORMING AGENCY shall submit
requests for reimbursement on a State of Texas Purchase Voucher (TDH Form 13-13) or any other form designated by
RECEIVING AGENCY monthly within thirty (30) days following the end of the month covered by the bill.
PERFORMING AGENCY shall submit a reimbursement request as a final close-out bill not later than ninety (90)
days following the end of the applicable Attachment term(s) for goods received and services rendered during the
Attachment term. Reimbursement requests received in RECEIVING AGENCY'S offices more than ninety (90) days
following the end of the applicable Attachment term will not be paid. If necessary to meet this deadline,
PERFORMING AGENCY may submit reimbursement request by facsimile transmission. Consideration ofrequests
for an exception will be made on a case -by -case basis and only for an extenuating circumstance such as a catastrophic
event, natural disaster, or criminal activity that substantially interferes with normal business operations, or causes
damage or destruction of the place of business and/or records. A written statement describing the extenuating
circumstance and the last request for reimbursement must be submitted for review and approval to the RECEIVING
AGENCY Program sponsoring the Attachment.
PERFORMING AGENCY shall disburse program income, rebates, refunds, contract settlements, audit recoveries,
and interest earned on such funds before requesting cash payments including advance payments from RECEIVING
AGENCY.
Funding from this contract may not be used to supplant [i.e., use in place of funds dedicated, appropriated or
expended for activities funded through the Attachment(s)] state or local funds, but PERFORMING AGENCY shall
use the funds from this contract to increase state or local funds currently available for a particular activity.
PERFORMING AGENCY shall make a good faith effort to maintain its current level of support. PERFORMING
AGENCY may be required to submit documentation substantiating that a reduction in local funding, if any, resulted
for reasons other than receipt or expected receipt of funding under the Attachment(s).
RECEIVING AGENCY shall determine whether costs submitted by PERFORMING AGENCY are allowable and
reimbursable. If RECEIVING AGENCY has paid funds to PERFORMING AGENCY for unallowable or ineligible
costs, PERFORMING AGENCY shall return the funds to RECEIVING AGENCY within thirty (30) days of written
notice.
RECEIVING AGENCY may withhold all or part of any payments to PERFORMING AGENCY to offset
reimbursement for any ineligible expenditures that PERFORMING AGENCY has not refunded to RECEIVING
AGENCY, or if financial status report(s) required under the Reports Article are not submitted by the date(s) due.
RECEIVING AGENCY may take repayment from funds available under any Attachment, active or expired, in
amounts necessary to fulfill PERFORMING AGENCY repayment obligations.
ARTICLE 18. Advance Payments
PERFORMING AGENCY may request a one-time advance for each Attachment only to meet immediate need for
cash disbursement. PERFORMING AGENCY shall make the request on a State of Texas Purchase Voucher,
accompanied by written justification and supporting documentation as specified in RECEIVING AGENCY'S
Financial Administrative Procedures Manual. The advance shall be requested at the beginning of the applicable
Attachment period or at a later time in the applicable Attachment period if circumstances so warrant. Approval of the
request for advance will beat the discretion of RECEIVING AGENCY. If the request is approved, the voucher will
be processed; if disapproved, RECEIVING AGENCY will provide written notification to PERFORMING AGENCY.
(LGS) GENERAL PROVISIONS 11/2003 Page I
RECEIVING AGENCY will determine the amount ofthe advance, if any, bythe amount and term of the applicable
Attachment(s). For each Attachment, the amount of the advance shall not exceed the amount of the Attachment
divided by the number of months covered by the Attachment multiplied by two (2). Advance funds shall be expended
during the applicable Attachment term; any unexpended funds must be refunded to RECEIVING AGENCY.
If the Attachment is amended to increase or decrease the total amount of funding, RECEIVING AGENCY may
adjust the amount of allowable advance in accordance with the above formula. If PERFORMING AGENCY is
requesting an upward adjustment, PERFORMING AGENCY shall submit a written justification and State of Texas
Purchase Voucher in the amount necessary to correct the ratio. If the adjustment is downward, RECEIVING
AGENCY will determine the amount of adjustment to the advance and the method of repayment.
ARTICLE 19. Proeram Income
PERFORMING AGENCY may, but if a local health department shall, develop a fee -for -service system and a
schedule of fees for personal health services in accordance with the provisions of Health and Safety Code § 12.031;
the Texas Board of Health rules covering Fees for Clinical Health Services, 25 TAC § 1.91; and other applicable laws.
No patient may be denied a service due to inability to pay.
All revenues directly generated by an Attachment(s) supported activity or earned only as a result ofthe Attachment(s)
during the term of the Attachment(s) are considered program income. Program income will be used by
PERFORMING AGENCY to further the program objectives of the state/federal statute under which the
Attachment(s) was/were made, and it shall be spent on the same project in which it was generated. PERFORMING
AGENCY shall identify and report this income utilizing the forms and time frames specified in the Reports Article of
these provisions or the Special Provisions of the Attachment.
PERFORMING AGENCY shall utilize one of the following methods for applying program income:
A. Additive method - add the program income to the funds already committed to the project by both
parties.
B. Deductive method - deduct the program income from the total allowable costs to determine the net
allowable costs.
PERFORMING AGENCY shall expend program income during the Attachment term in which it is earned, and may
not carry forward to the succeeding term. Program income not expended in the term in which it is earned shall be
refunded to RECEIVING AGENCY.
RECEIVING AGENCY may base future funding levels, in part, upon PERFORMING AGENCY'S proficiency in
identifying, billing, collecting, and reporting program income, and in utilizing it for the purposes and conditions ofthe
applicable Attachment(s).
ARTICLE 20. Overtime Compensation
PERFORMING AGENCY shall not use any of the funds provided by the Attachment(s) to pay the premium portion
of overtime. PERFORMING AGENCY shall be responsible for any obligations of premium overtime pay due
employees. Premium overtime pay is defined as any compensation paid to an individual in addition to the normal rate
of pay for hours worked in excess of normal working hours.
(LGS) GENERAL PROVISIONS 11/2003 Page 12
ARTICLE 21. Equipment and Supplies
In accordance with Health and Safety Code, § 12.053, title to all equipment and supplies purchased from funds from
this contract shall be in the name of PERFORMING AGENCY throughout the Attachment(s) term(s) or until the
Attachment is terminated.
Equipment is defined as tangible nonexpendable personal property with an acquisition cost of more than $1,000 and a
useful life of more than one year, with the following exceptions: fax machines, stereo systems, cameras, video
recorder/players, microcomputers, software, printers, microscopes, oscilloscopes, centrifuges, balances, and
incubators. If the unit cost of these exception items is more than $500, they will be considered equipment, shall be
approved for purchase by RECEIVING AGENCY, and are considered capital assets for inventory purposes. The
acquisition cost is the net invoice unit price of an item of equipment, including the cost of any necessary
modifications, attachments, accessories or auxiliary apparatus necessaryto make the property usable for the purpose
for which it was acquired. Supplies are defined as consumable items necessary to carry out the Attachment including
medical supplies, drugs, janitorial supplies, office supplies, patient educational supplies, software, and any items of
tangible personal property other than those defined as equipment above.
All items of equipment purchased with Attachment funds shall be itemized in the budget. Any changes to the
equipment list contained in the budget shall be approved in writing by RECEIVING AGENCY. PERFORMING
AGENCY shall submit a written description including complete product specifications and need justification priorto
purchasing any item of unapproved equipment. If approved, RECEIVING AGENCY will notify PERFORMING
AGENCY by means of a written amendment or Attachment Change Notice.
PERFORMING AGENCY shall maintain a nonexpendable personal property (equipment) inventory and submit an
annual cumulative report (TDH Form GC-11) to RECEIVING AGENCY no later than October 15th of each year.
PERFORMING AGENCY shall administer a program of maintenance, repair, and protection of assets under this
contract so as to assure their full availability and usefulness. In the event PERFORMING AGENCY is indemnified,
reimbursed, or otherwise compensated for any loss of, destruction of, or damage to the assets provided under this
contract, it shall use the proceeds to repair or replace said assets. If any item of equipment is no longer needed to
perform services under the Attachment(s) or becomes inoperable, PERFORMING AGENCY shall request disposition
instructions in writing from RECEIVING AGENCY.
Upon termination or expiration of applicable Attachment(s) that are not renewed, title to any remaining equipment
and supplies purchased from funds under this contract reverts to RECEIVING AGENCY. Title may be transferred to
any other party designated by RECEIVING AGENCY. RECEIVING AGENCY may, at its option and to the extent
allowed by law, transfer the reversionary interest to such property to PERFORMING AGENCY.
ARTICLE 22. Contracts with Subrecipients
PERFORMING AGENCY may enter into contracts with subrecipients unless restricted or otherwise prohibited in
specific Attachment(s). Prior to entering into an agreement equaling $25,000 or twenty-five percent (25%) of an
Attachment, whichever is greater, PERFORMING AGENCY shall obtain written approval from RECEIVING
AGENCY.
Contracts with subrecipients shall be in writing and include the following:
• Name and address of all parties;
• A detailed description of the services to be provided;
• Measurable method and rate of payment and total amount of the contract;
• Clearly defined and executable termination clause;
(LCS) GENERAL PROVISIONS 11/2003 Page 13
• Beginning and ending dates which coincide with the dates of the applicable contract Attachment(s) or cover a
term within the beginning and ending dates of the applicable contract Attachment(s);
• Records retention requirements consistent with UGMS;
• Access to inspect the work and the premises on which any of the work is performed, in accordance with the
Inspections Article contained in this contract;
• All clauses required by state/federal statutes, executive orders, and their implementing regulations; and
• Where applicable, federal statutes and regulations, including federal grant requirements applicable to funding
sources, Uniform Grant Management Standards issued by the Governor's Office, applicable Office of
Management and Budget Circulars, and applicable Code of Federal Regulations.
PERFORMING AGENCY agrees that all contracts with other subrecipients containing a categorical budget shall
include audit requirements referenced in the Allowable Costs and Audit Requirements Article of this contract, as
appropriate.
PERFORMING AGENCY is responsible to RECEIVING AGENCY for the performance of any subrecipient.
PERFORMING AGENCY shall monitor both financial and programmatic performance and maintain pertinent
records that shall be available for inspection by RECEIVING AGENCY.
PERFORMING AGENCY shall ensure that:
• Subrecipients are fully aware of the requirements imposed upon them by state/federal statutes and regulations
including prompt payment of any subcontractors pursuant to Texas Government Code, Chapter 2251,
Subchapter D;
• Subrecipients comply with all financial management requirements as defined by RECEIVING AGENCY,
UGMS and the applicable OMB circulars;
• Subrecipients complete required audits;
• An adequate tracking system is maintained to ensure timely receipt of any subrecipient's required audit
reports and the resolution of any findings and questioned costs cited by these reports; and, that
• RECEIVING AGENCY is immediately notified in writing of alleged or actual misuse or misappropriation of
contract funds by subrecipients.
ARTICLE 23. Contracts for Procurement
PERFORMING AGENCY may enter into contracts for procurement of goods and services unless restricted or
otherwise prohibited in specific Attachment(s). PERFORMING AGENCY agrees that it shall be responsible to
RECEIVING AGENCY for the performance of any subcontracted activity.
Contracts for procurement of goods and services shall be in writing and contain the following provisions:
• Administrative, contractual, or legal remedies in instances where contractors violate or breach contract terms,
and provide for such sanctions and penalties as may be appropriate (contracts other than small purchases).
• Remedies for prompt payment of any subcontractor pursuant to Texas Government Code, Chapter 2251,
Subchapter D.
• Termination for cause and for convenience by PERFORMING AGENCY including the manner by which it
will be effected and the basis for settlement (all contracts in excess of $10,000).
• Compliance with the Copeland "Anti -Kickback" Act (18 USC §874) as supplemented in Department of
Labor regulations (29 CFR Part 3) (all contracts and subgrants for construction or repair).
• Compliance with §§ 103 and 107 of the Contract Work Hours and Safety Standards Act (40 USC §§327-330)
as supplemented by Department of Labor regulations (29 CFR Part 5) (construction contracts awarded by
{LGSI GENERAL PROVISIONS 11/2003 Page 14
grantees and subgrantees in excess of $2,000, and in excess of $2,500 for other contracts which involve the
employment of mechanics or laborers).
• Notice of RECEIVING AGENCY requirements and regulations pertaining to reporting.
• Notice of RECEIVING AGENCY requirements and regulations pertaining to trademarks, service marks,
copyrights, and patent rights with respect to any discovery or invention which arises or is developed in the
course of or under such contract.
• RECEIVING AGENCY requirements and regulations pertaining to copyrights and rights in data.
• Access by RECEIVING AGENCY, the federal grantor agency, the Comptroller General of the United States,
the State of Texas or any of their duly authorized representatives to any books, documents, papers, and
records of the contractor which are directly pertinent to that specific contract for the purpose of making audit,
examination, excerpts, and transcriptions.
• Retention ofall required records for the required retention period after RECEIVING AGENCY makes final
payments and all other pending matters are closed.
• Compliance with all applicable standards, orders, or requirements issued under, §306 ofthe Clean Air Act (42
USC §7401), §508 of the Clean Water Act (33 USC §1368), Executive Order 11738, and Environmental
Protection Agency regulations (40 CFR Part 15) (contracts, subcontracts, and subgrants of amounts in excess
of $100,000).
• Mandatory standards and policies relating to efficiency which are contained in the state energy plan issued in
compliance with the Energy Policy and Conservation Act (P. L. 94-163), 42 USC §§6201, et seq., as
amended.
ARTICLE 24. Reports
Financial reports are required as provided in UGMS, and PERFORMING AGENCY shall file them regardless of
whether expenses have been incurred.
For each Attachment, PERFORMING AGENCY shall submit a Financial Status Report, State of Texas Supplemental
Form 269A (TDH Form GC-4a) within thirty (30) days following the end of each of the first three (3) quarters.
PERFORMING AGENCY shall submit a final financial report on State of Texas Supplemental Form 269A (TDH
Form GC4a), not later than ninety (90) days following the end of the Attachment term(s). PERFORMING
AGENCY shall submit a State of Texas Purchase Voucher (TDH Form B-13), or any other form designated by
RECEIVING AGENCY, with the final financial report if all costs have not been recovered, or PERFORMING
AGENCY shall refund excess monies if costs incurred were less than funds received.
PERFORMING AGENCY shall submit program and progress reports required by RECEIVING AGENCY in the
format agreed to by the parties. PERFORMING AGENCY shall provide RECEIVING AGENCY other reports
including financial reports RECEIVING AGENCY determines necessaryto accomplish the objectives of this contract
and to monitor compliance. If PERFORMING AGENCY is legally prohibited from providing such reports, it shall
immediately notify RECEIVING AGENCY.
ARTICLE 25. Inspections
RECEIVING AGENCY and, when federal funds are involved, any authorized representative(s) of the federal
government have the right, at all reasonable times, to inspect or otherwise evaluate the work (including reviews of
client or patient records and discussions with staff) performed by PERFORMING AGENCY and its subrecipient(s), if
any, and the premises on which the work is being performed. PERFORMING AGENCY and its subrecipient(s) shall
participate in inspections and provide reasonable access, facilities, and assistance to the representatives. All
inspections and evaluations will be conducted in such a manner as will not unduly interfere with the work.
PERFORMING AGENCY and its subrecipient(s), if any, shall give RECEIVING AGENCY, the federal government,
and the Texas State Auditor, or any of their duly authorized representatives, access to any pertinent books, documents,
(LGS) GENERAL PROVISIONS 11/2003 Page Is
papers, and client or patient records, if any, for the purpose of making audit, examination, excerpts, and transcripts of
transactions related to this contract. RECEIVING AGENCY will have the right to audit billings both before and
after payment. Payments will not foreclose the right of RECEIVING AGENCY to recover excessive or illegal
payments.
Any deficiencies identified by RECEIVING AGENCY upon examination of PERFORMING AGENCY'S records
will be conveyed in writing to PERFORMING AGENCY. PERFORMING AGENCY'S resolution of findings will
also be conveyed in writing to RECEIVING AGENCY within thirty (30) days of receipt of RECEIVING
AGENCY'S findings. A RECEIVING AGENCY determination of either an inadequate or inappropriate resolution
of the findings may result in sanctions which will remain in effect until RECEIVING AGENCY determines the
deficiencies are properly remedied.
ARTICLE 26. Records Retention
PERFORMING AGENCY and its subrecipients and subcontractors shall retain medical records in accordance with
22 Texas Administrative Code (TAC), Part 9, §165.1(b)(c) or other applicable statutes and regulations governing
medical information. PERFORMING AGENCY shall retain and preserve all other records, including financial
records, which are generated or collected by PERFORMING AGENCY or its subrecipients or subcontractors under
the provisions of this contract, for a period of four (4) years after the termination of the Attachment(s). If an
Attachment is funded through Medicaid, the federal retention period, if more than four (4) years shall apply.
PERFORMING AGENCY and its subrecipients shall retain all records for an Attachment that is the subject of
litigation or an audit until the litigation is ended or all questions pertaining to the audit are resolved.
Legal requirements for PERFORMING AGENCY may extend beyond the retention schedules established herein.
ARTICLE 27. Confidentiality of Protected Health Information
PERFORMING AGENCY is required to comply with state and federal laws relating to the privacy and
confidentiality of patient and client records that contain protected health information, or other information made
confidential by law.
PERFORMING AGENCY is required to disclose protected health information of patients or clients provided
services funded through this contract to RECEIVING AGENCY upon request, or as otherwise required in other
contract provisions.
RECEIVING AGENCY is authorized to request, collect and receive protected health information under this
contract, without the consent of the individual to whom the protected health information relates, for funding,
payment and administration of the grant program.
RECEIVING AGENCY is also authorized to request, collect and receive protected health information under this
contract, without the consent of the individual to whom the protected health information relates, under exceptions
to state confidentiality laws and federal privacy laws, including the Health Insurance Portability and
Accountability Act (HIPAA) and the Privacy Standards adopted to implement HIPAA at 45 CFR Parts 160 and
164, at §164.512, and Occupations Code, Chapter 159, at §§ 159.003 and 159.004.
PERFORMING AGENCY must maintain patient and client records in compliance with state laws relating to the
security and retention of medical or patient records. RECEIVING AGENCY may require PERFORMING
AGENCY to transfer original or copies of patient and client records to another entity, without the consent or
authorization of the patient or client, upon termination of this contract, or if the care and treatment of the
individual patient or client is transferred to another entity.
(LGS) GENERAL, PROVISIONS 11/2003 Page 16
If providing direct client care, services, or programs, PERFORMING AGENCY shall implement RECEIVING
AGENCY'S policies based on the model HIV/AIDS (human immunodeficiency virus/acquired immunodeficiency
syndrome) workplace guidelines, and PERFORMING AGENCY shall educate employees and clients concerning HIV
and its related conditions, including AIDS, in accordance with the Health and Safety Code §85.112-114.
ARTICLE 28. Sanctions
RECEIVING AGENCY may impose sanctions for any breach of this contract and will monitor PERFORMING
AGENCY for both programmatic and financial compliance. RECEIVING AGENCY may, at its own discretion,
impose one or more sanctions for each item of noncompliance and will determine sanctions on a case -by -case basis. A
state or federal statute, rule, regulation, or federal guideline will prevail over the provisions of this Article unless the
statute, rule, regulation, or guideline can be read together with the provision(s) of this Article to give effect to both.
RECEIVING AGENCY may:
A. Terminate all or a part of this contract. See the Termination Article in these provisions.
B. Suspend all or part of this contract. Suspension is, depending on the context, either (1) the temporary
withdrawal of PERFORMING AGENCY'S authority to obligate funds pending corrective action by
PERFORMING AGENCY or its subrecipient(s) or pending a decision to terminate or amend the contract,
or (2) an action taken by a suspending official in accordance with agency regulations implementing
Executive Order 12549 to immediately exclude a person from participating in contract transactions for a
period, pending completion of an investigation and such legal or debarment proceedings as may ensue.
PERFORMING AGENCY costs resulting from obligations incurred by PERFORMING AGENCY during
a suspension are not allowable unless expressly authorized by the notice of suspension;
C. Disallow (deny both use of funds and matching credit for) all or part of the activities or action not in
compliance;
D. Temporarily withhold cash payments. Temporarily withholding cash payments means the temporary
withholding of advances or reimbursements to PERFORMING AGENCY or its subrecipient(s) for proper
charges or obligations incurred, pending resolution of issues of noncompliance with contract conditions or
indebtedness to the United States or to the State of Texas;
E. Permanently withhold cash payments. Permanent withholding of cash payment means that RECEIVING
AGENCY retains funds billed by PERFORMING AGENCY or its subrecipient(s) for a) unallowable,
undocumented, disputed, inaccurate, improper, or erroneous billings; b) failure to comply with contract
provisions; or c) indebtedness to the United States or to the State of Texas;
F. Deny contract renewal or future contract awards to a PERFORMING AGENCY;
G. Delay contract execution with PERFORMING AGENCY while other imposed or proposed sanctions are
pending resolution;
H. Place PERFORMING AGENCY on probation. Probation means that PERFORMING AGENCY will be
placed on accelerated monitoring for a period not to exceed six (6) months at which time items of
noncompliance shall be resolved or substantial improvement shown by PERFORMING AGENCY;
I. Conduct accelerated monitoring of PERFORMING AGENCY. Accelerated monitoring means more
frequent or more extensive monitoring will be performed by RECEIVING AGENCY than would routinely
be accomplished;
(LGS) GENERAL PROVISIONS 1112003 Page 17
Require PERFORMING AGENCY to obtain technical or managerial assistance;
K. Disallow requests for reimbursement by disapproving costs or fees submitted for payment or
reimbursement by PERFORMING AGENCY;
L. Establish additional prior approvals for expenditure of funds by PERFORMING AGENCY;
M. Require additional, more detailed, financial and/or programmatic reports to be submitted by
PERFORMING AGENCY;
N. Demand repayment from PERFORMING AGENCY;
O. Reduce the funding amount for failure to achieve or maintain the proposed level of service, to expend
funds appropriately and at a rate which will make full use of the award, or to provide services as set out in
the Attachment(s); and,
P. Impose other remedies provided by law.
RECEIVING AGENCY will formally notify PERFORMING AGENCY in writing when a sanction is imposed (with
the exception of accelerated monitoring, which may be unannounced), stating the nature of the sanction(s), the
reasons for imposing them, the corrective actions which shall be taken before they will be removed and the time
allowed for completing the corrective actions, and the method, if any, of requesting reconsideration of the sanctions
imposed. PERFORMING AGENCY is required to file, within fifteen (15) days of receipt of notice, a written
response to RECEIVING AGENCY'S program/division that sent the notice, acknowledging receipt of such notice
and stating how PERFORMING AGENCY will correct the noncompliance or demonstrating in writing that the
findings on which the sanctions are based are either invalid or do not warrant the sanction(s). If RECEIVING
AGENCY determines that a sanction is warranted, and unless the sanction is subject to review (see Sanction Review
Article), RECEIVING AGENCY'S decision is final and PERFORMING AGENCY shall take corrective action.
In an emergency, RECEIVING AGENCY may immediately terminate or suspend all or part of this contract,
temporarily or permanently withhold cash payments, deny contract renewal or future contract awards, or delay
contract execution by delivering written notice to PERFORMING AGENCY, by any verifiable method, stating the
reason for the emergency action.
An "emergency" is defined as the following:
• PERFORMING AGENCY is noncompliant and the noncompliance has a direct adverse impact on the public or
client health or safety. The direct adverse impact maybe programmatic or financial, impacting health or safety by
failing to provide services, providing inadequate services, providing unnecessary services, or utilizing resources
so that the public or clients do not receive the benefits contemplated by the scope of work or performance
measures;
• PERFORMING AGENCY fails to achieve a performance measure;
• PERFORMING AGENCY is reimbursed or requesting reimbursement for expenditures which are not in
accordance with applicable federal or state laws and regulations or the provisions of this contract; or
• PERFORMING AGENCY is expending funds inappropriately.
Whether PERFORMING AGENCY'S conduct or inaction is an emergency will be determined by RECEIVING
AGENCY on a case -by -case basis and will be based upon the egregious nature of the noncompliance or conduct.
W%v GENERAL PROVISIONS 11/2003 Page 18
ARTICLE 29. Sanction Review
PERFORMING AGENCY may request a review of the imposition of the following sanctions: termination of all or
part of the contract, suspension of all or part of the contract, permanent withholding of cash payments, reduction of
contract funding or other contract amendment resulting from noncompliance, and denial of contract renewal or future
contract awards.
PERFORMING AGENCY shall make the request for review in writing to RECEIVING AGENCY within fifteen (15)
days from the date of notification by providing written notice of the dispute to the person who signed the notification.
PERFORMING AGENCY'S notice shall contain the following: (1) a copy ofthe letter from RECEIVING AGENCY
notifying PERFORMING AGENCY of the sanction; (2) a specific description of each act that is the basis for the
dispute; (3) the grounds upon which PERFORMING AGENCY bases the complaint; (4) an identification ofthe issue
or issues to be resolved; (5) a precise statement of the relevant facts; (6) any documentation in support of
PERFORMING AGENCY'S position; and (7) a statement and authorities in support of PERFORMING AGENCY'S
position.
Evidence that PERFORMING AGENCY properly notified RECEIVING AGENCY consists of any of the following
documents: (1) signature on delivery card; (2) confirmation of a facsimile to the correct telephone number; or (3)
signed acknowledgment of delivery.
RECEIVING AGENCY'S representative will schedule a meeting or a conference call to attempt to resolve the issues
in dispute. If the dispute is resolved, any resolution will be in writing and will be signed by all parties. Ifthe dispute
is not resolved, RECEIVING AGENCY'S representative will notify PERFORMING AGENCY in writing.
RECEIVING AGENCY will appoint a reviewer(s), who will review the information, who may permit or require
additional information and who may grant, deny, or modify all relief requested in the written notice of dispute. The
reviewer(s)'s decision will be in writing and will contain a discussion ofthe reason for the decision and the remedial
action, if any. The reviewer(s) will send copies of the decision to all parties by any verifiable means. The decision of
the reviewer(s) is final and is the final action of RECEIVING AGENCY for purposes of further proceedings.
A state statute or rule or a federal statute, regulation or guideline will prevail over the provisions ofthis Article unless
the statute, rule, regulation or guideline can be read together with the provision or provisions of this Article to give
effect to both.
ARTICLE 30. Breach of Contract Claim
Any remedies set out in this contract are in addition to rights and remedies for breach of contract provided by law.
ARTICLE 31. Termination
Each Attachment shall terminate upon its expiration date unless extended by written amendment in accordance with
the Amendments Article. Prior to completion of the Attachment term, all or a part of this contract may be terminated
with or without cause as set out below.
A. Termination is the permanent withdrawal of PERFORMING AGENCY'S authorityto obligate previously
awarded funds before that authority would otherwise expire or the voluntary relinquishment by
PERFORMING AGENCY of the authority to obligate previously awarded funds. PERFORMING
AGENCY costs resulting from obligations incurred by PERFORMING AGENCY after termination ofan
award are not allowable unless expressly authorized by the notice of termination. Termination does not
include: (1) withdrawal of funds awarded on the basis of the PERFORMING AGENCY'S underestimate
of the unobligated balance in a prior period; (2) withdrawal of the unobligated balance as of the expiration
(LGS) GENERAL PROVISIONS 1 I/2003 Page 19
of an Attachment; (3) refusal to extend an Attachment or award additional funds, to make a competing or
noncompeting continuation, renewal, extension, or supplemental award; or (4) voiding of a contract upon
determination that the award was obtained fraudulently, or was otherwise illegal or invalid from inception.
B. Termination without cause.
(1) Either party may terminate this contract with at least ninety (90) days prior written
notice to the other party.
(2) The parties may terminate this contract by mutual agreement.
(3) Either party may terminate this contract with at least thirty (30) days prior written notice to the other
party in the event state and/or federal funding for this contract is terminated, limited, suspended,
withdrawn, or discontinued.
(4) RECEIVING AGENCY may terminate this contract when, in the sole determination of RECEIVING
AGENCY, termination is in the best interest of the State of Texas.
C. Termination for cause.
(1) Either party may terminate for material breach of this contract with at least thirty (30) days written
notice to the other party.
(2) RECEIVING AGENCY may terminate this contract, in whole or in part, for breach of contract or for
any other conduct that jeopardizes the contract objectives, by giving at least thirty (30) days written
notice to PERFORMING AGENCY. Such conduct may include one or more of the following:
(a) A court of competent jurisdiction finds that PERFORMING AGENCY has failed to adhere
to any laws, ordinances, rules, regulations or orders of any public authority having
jurisdiction;
(b) PERFORMING AGENCY fails to communicate with RECEIVING AGENCY or fails to
allow its employees or those of its subrecipients to communicate with RECEIVING
AGENCY as necessary to the performance of this contract;
(c) PERFORMING AGENCY breaches a standard of confidentiality with respect to the
services provided under this contract;
(d) RECEIVING AGENCY determines that PERFORMING AGENCY is without the
personnel or resources to perform under this contract;
(e) RECEIVING AGENCY determines that PERFORMING AGENCY, its agent or another
representative offered or gave a gratuity (e.g., an entertainment or gift) to an official or
employee of RECEIVING AGENCY for the purpose of obtaining a contract or favorable
treatment;
(f) PERFORMING AGENCY'S management system does not meet the UGMS management
standards; or
(g) PERFORMING AGENCY appears to be financially unstable. Indicators of financial
instability may include one or more of the following:
(i) PERFORMING AGENCY fails to make payments;
(ii) PERFORMING AGENCY makes an assignment for the benefit of its creditors;
(iii) PERFORMING AGENCY admits in writing its inability to pay its debts generally
as they become due; or
(iv) If judgment for the payment of money in excess of $50,000 (which is not covered
by insurance) is rendered by any court or governmental body against
PERFORMING AGENCY, and PERFORMING AGENCY does not (a) discharge
the judgment or (b) provide for its discharge in accordance with its terms, or (c)
procure a stay of execution within thirty (30) days from the date of entry thereof,
&GS) GENERAL PROVISIONS 11/2003 Page 20
and within the thirty (30)-day period or a longer period during which execution of
the judgment shall have been stayed, appeal therefrom and cause the execution
thereof to be stayed during such appeal while providing such reserves therefore as
may be required under generally accepted accounting principles.
D. Emergency termination. In emergency circumstances, RECEIVING AGENCY may terminate this contract
immediately upon notice to PERFORMING AGENCY by any verifiable means. "Emergency" is defined
in the Sanctions Article.
Either party may deliver written notice of intent to terminate by any verifiable method. If either party gives notice of
its intent to terminate all or a part of this contract, RECEIVING AGENCY and PERFORMING AGENCY will
attempt to resolve any issues related to the anticipated termination in good faith during the notice period. Upon
termination of all or part of this contract, RECEIVING AGENCY and PERFORMING AGENCY will be discharged
from any further obligation created under the applicable terms of this contract except for the equitable settlement of
the respective accrued interests or obligations incurred prior to termination. Termination does not, however,
constitute a waiver of any remedies for breach of this contract. In addition, the obligations of PERFORMING
AGENCY to retain records and maintain confidentiality of information shall survive this contract.
ARTICLE 32. Void Contract
RECEIVING AGENCY may hold this contract void upon its determination that the contract award was obtained
fraudulently or was otherwise illegal or invalid from its inception.
ARTICLE 33. Severability
If any provision of this contract is construed to be illegal or invalid, the illegal or invalid provision will be deemed
stricken and deleted to the same extent and effect as if never incorporated, but all other provisions will continue.
ARTICLE 34. Local Health Department Personnel
All local health department personnel funded by Attachment(s) to this contract are employees of PERFORMING
AGENCY which shall be responsible for their direction and control and liable for any of their acts or omissions.
PERFORMING AGENCY shall have in place legally sufficient due process hearing procedures for all of its
employees filling state -budgeted positions.
PERFORMING AGENCY shall have full authority to employ, promote, suspend, demote, discharge, and transfer
within its organization any and all state -budgeted personnel funded by Attachment(s) to this contract provided,
however, that any demotion, suspension, or discharge of such state -budgeted employees shall be in accordance with
the due process hearing procedures as set out above. The only distinction between state -budgeted and local paid
employees is that employees on state budgeted positions receive state benefits and are subject to certain duties,
obligations, and restrictions as state employees as contained in state law. One such restriction, as contained in the
State Appropriations Act, is that no employee paid on a state -budgeted position may receive a salary supplement from
any source unless specifically authorized in the Appropriations Actor other state law. This prohibition includes the
payment to such employee of a so-called "flat rate" car allowance or travel allowance. Any travel or per diem
allowance to these employees shall be on a reimbursement basis, supported by appropriate records, and shall not
exceed the reimbursement for mileage and/or per diem allowed under the Appropriations Act and current state travel
regulations. This restriction shall apply whether travel funds are provided in Attachment(s) under this contract or
from any other source.
(LGS9 GENERAL PROVISIONS 11/2003 Page 21
PERFORMING AGENCY shall utilize RECEIVING AGENCY'S policies and procedures for hiring and promoting
individuals into state -budgeted positions funded by this contract. Qualifications of any individuals filling these
positions will be subject to approval of RECEIVING AGENCY'S Bureau of Human Resources. The purpose ofthe
approval is to ensure that individuals occupying these positions meet minimum educational and experience
requirements.
PERFORMING AGENCY shall maintain required records and submit documents necessary to process personnel,
payroll, leave and time records, and travel costs on state -budgeted positions. RECEIVING AGENCY will furnish
documentation regarding salary compensation or travel reimbursement for employees on state -budgeted positions.
An independent audit is not required as a condition of this contract if the contract Attachment provides assistance
through assignment of state -budgeted positions and no funds are budgeted for local costs.
PERFORMING AGENCY may be reimbursed for local personnel costs or other categories of expense used to fulfill
the scope of work of applicable Attachment(s) in lieu of being furnished state payroll warrants after a state- budgeted
position becomes vacant. Reimbursement will not exceed the balance of funds on the state -budgeted position after all
benefits, obligations, and/or other entitlements are met. PERFORMING AGENCY'S Director, or other person(s)
authorized elsewhere in this contract, may submit a request for conversion. RECEIVING AGENCY will transmit
formal approval and a revised budget to PERFORMING AGENCY to complete the conversion if the request is
granted.
ARTICLE 35. Survival of Terms
Termination or expiration of this contract for any reason shall not release either party from any liabilities or
obligations set forth in this contract that (a) the parties have expressly agreed shall survive any such termination or
expiration, or (b) remain to be performed or by their nature would be intended to be applicable following any such
termination or expiration.
ARTICLE 36. Construction of Ambiguities
The parties expressly agree that they have each independently read and understood this contract. Any ambiguities in
this contract shall not be construed against the drafters.
ARTICLE 37. No Waiver of Sovereign Immunitv
THE PARTIES EXPRESSLY AGREE THAT NO PROVISION OF THIS CONTRACT IS IN ANY WAY
INTENDED TO CONSTITUTE A WAIVER OF ANY S FROM SUIT OR FROM LIABILITY
THAT THE PARTIES OR THE STATE OF TEXAS MAY HAVE BY OPERATION OF LAW.
ARTICLE 38. Certification
The governing body of each party has authorized this contract. RECEIVING AGENCY is paying for the
performance of governmental functions and services from current revenues available to RECEIVING AGENCY. The
payment is in an amount that fairly compensates PERFORMING AGENCY for the services or functions performed
under this contract.
aGs) GENERAL PROVISIONS 11 /2003 Page 22
Resolution No. 2004 R0018
DOCUMENT NO.7560005906-2005
ATTACHMENT NO. 01
PURCHASE ORDER NO. 000000 1776
PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT
RECEIVING AGENCY PROGRAM: IMMUNIZATION DIVISION
TERM: January 01, 2004 THRU: December 31, 2004
SECTION I. SCOPE OF WORK:
PERFORMING AGENCY will provide essential public health services as specified in
PERFORMING AGENCY'S approved 2004 Interlocal Application for Immunization Services,
dated June 16, 2003, incorporated herein and made part of this contract Attachment.
Immunization public health services include one or more of the following eight immunization
core component areas:
1. Program management activities to include program planning, staffing and training, and
partnerships and collaborations.
2. Vaccine management activities to include ordering, storage, and vaccine accountability.
3. Immunization registry activities to include provider participation and training.
4. Provider quality assurance activities to include provider education, site visits, and access
to information on perinatal hepatitis B prevention.
5. Service delivery activities to include targeting under -served populations and promoting a
medical home.
6. Consumer information to include information development and dissemination and
vaccine benefit and risk education.
7. Surveillance activities of vaccine preventable diseases to include surveillance, response,
and reporting, screening for perinatal hepatitis B, and vaccine safety.
8. Population assessment activities to include assessment of communities, child-care
facilities, Head Start Programs, Kindergarten, and 7`' grade entrants.
PERFORMING AGENCY shall perform the following activities to comply with the National
Childhood Vaccine Injury Act of 1986, and the Omnibus Budget Reconciliation Act of 1993 and
Section 1928 of the Social Security Act:
1. Distribute Vaccine Information Statements (VIS) to clients.
2. Record required information regarding vaccine administration in permanent medical
record
3. Report adverse events relating to vaccine administration.
4. Recruit and enroll providers into the Texas Vaccines For Children (TVFC) program.
5. Obtain a signed provider enrollment form from each provider participating in the TVFC
program that includes name, medical license number and Medicaid provider number (if
applicable) of each provider practicing at an enrolled site.
6. Maintain TVFC provider enrollment records and provider profiles for at least three (3)
years.
ATTACHMENT - Page 1
PERFORMING AGENCY agrees that alterations, variations or additions to the important
vaccine information statements may not be made without the prior written approval of
RECEIVING AGENCY Program.
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 Interlocal
Application for Immunization Services, dated June lb, 2003. 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.
2. During FY 2004, PERFORMING AGENCY will work with the local WIC program
to implement documentation criteria 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, Hib, 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%.
b. 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, PERFORMIlVG 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 private providers.
9. By December 31, 2004, PERFORMING AGENCY will complete 100% of assigned
TVFC follow-up site visits.
10. During FY 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 FY 2004, PERFORMING AGENCY will complete 90% of vaccine -
preventable disease investigations within 30 days from date reported.
ATTACHMENT - Page 2
13. By December 31, 2004, PERFORMING AGENCY will identify all infants born to
hepatitis B surface antigen -positive pregnant women.
14. By June 30, 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.
16. By December 31, 2004, PERFORMING AGENCY will complete 100% of assigned
private school assessments.
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:
PERFORMING AGENCY shall comply with Texas Health and Safety Code, Chapters 81 and
161.
Funds shall not be used for administering vaccines, inpatient care, construction of facilities, or
debt retirement in accordance with RECEIVING AGENCY Interlocal Application for
Immunization Services, dated June 16, 2003.
Travel expenses shall be reimbursed according to State of Texas travel regulations.
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.
ATTACHMENT - Page 3
SECTION III. BUDGET:
PERSONNEL
$40,048.00
FRINGE BENEFITS
13,529.00
TRAVEL
0.00
EQUIPMENT
0.00
SUPPLIES
0.00
CONTRACTUAL
0.00
OTHER
0.00
TOTAL $53,577.00
Total reimbursements will not exceed $53,577.00.
Financial status reports are due the 30th of April, 30th of July, 30th of October, and the 30th of
March.
ATTACHMENT - Page 4
0
TEXAS DEPARTMENT OF HEALTH
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756-31"
STATE OF TEXAS
COUNTY OF TRAVIS
Resolution No. 2004-R0018
TDH Document No. 7560005906 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 LUBBOCK CITY HEALTH DEPARTMENT hereinafter referred to as PERFORMING AGENCY. The parties thereto now
desire to amend suctl
SUMMARY OF TRANSACTION:
ATT NO. OIA : IMMUNIZATION DIVISION - LOCALS
All terms and
remain in full force and
EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN.
CITY OF LUBBOCK HEALTH DEPARTMENT
Authorized Contracting Entity (type above if different
from PERFORMING AGENCY) for and in behalf of. -
PERFORMING AGENCY:
LUBBOCK CITY HEALTH DEPARTMENT
By:
authorized to sign)
RECEIVING AGENCY:
TEXAS DEPARTMENT OF HEALTH'
By:
(Signature of person authorized to sign)
Bob Burnette, Director
N I�j1Cr Procurement and Contracting Services Division
(Name and Title) (Name and Title)
Date: June 16, 2004 Date: 6
RECOMMENDED:
By: � P"
(PERVORMING6&N& Director, if different
from person authorized to sign contract
A ved 35 to form: `, `
City Attorney
ATTEST: Q a ')-�
ItebeEca Garza, City Secreta
Cover Page 1
DETAILS OF ATTACHMENTS
AtV
Program ID/
Term
Financial Assistance
Direct
Total Amount
Amd
Purchase Order
Assistance
(TDH Share)
No.
Number
Begin
End
Source of
Amount
Funds*
01A
01/01/04
12/31/04
State 93.268
92,176.00
0.00
92,176.00
1 0000001776
TDH Document No.7560005906 2005 Totals
$ 92,176.00
$ 0.04
$ 92,176.00
Change No. 01
*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
DOCUMENT NO. 7560005906-2005
ATTACHMENT NO. 01A
PURCHASE ORDER NO.0000001776
PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT
RECEIVING AGENCY PROGRAM: UVRAUNIZATION 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. 7560005906 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 Interlocal 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 PERFOMNG 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 TAC
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.
ATTACHMENT — 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.
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 I".
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 TAC, 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).
ATTACENIENT — 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.
a PERFORM NG AGENCY'S approved 2004 Interlocal Application for
Immunization Services, and any revisions;
a Human Resources Code §42.043, VTCA;
a Education Code §§38.001-38.002, VTCA;
a Health and Safety Code §§81.023 and 161.001-161.009, VTCA;
a 25 TAC Chapter 97;
a 25 TAC, Chapter 96;
a 25 TAC, Chapter 100;
a 42 USC §§247b and 300 as-25;
a Omnibus Budget Reconciliation Act of 1993, 26 USC §4980B;
a RECEIVING AGENCY'S Client Services Standards for Public Health and
Community Clinics, revised June 1997;
a RECEIVING AGENCY'S Vaccine -Preventable Disease Surveillance guidelines,
http:llwww.tdh.state.tx.us/immunizeJdocs/guide.htm;
a RECEIVING AGENCY'S Pharmacy guidelines;
a Centers for Disease Control and Prevention's Advisory Committee on
Immunization Practices (ACID) guidelines, including the statement:
"Immunization of Health -Care Workers"; and
a 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
Interlocal 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
ATTACHMENT — 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.
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, Hib,
hepatitis B, IPV, MAR, 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
private providers.
9. By December 31, 2004, PERFORMING AGENCY will complete 100% of
TVFC follow-up site visits as assigned by RECEIVING AGENCY Program
ATTACHMENT — 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 hepatitis 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 H. 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 RECEIVING AGENCY Interlocal Application for
Immunization Services, dated June 16, 2003.
Travel expenses shall be reimbursed according to State of Texas travel regulations.
ATTACHMENT — Page 5
Z- %-I - r r--- -- , V
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 (FISA), 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 employees 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.
ATTACHMENT — Page 6
TEXAS DEPARTMENT OF HEALTH
RECEIVING AGENCY PROGRAM: IMMUNIZATION DIVISION
PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT
CONTRACT TERM: 01/01/04 THRU: 12/31/04 BUDGET PERIOD: 01/01/04 THRU 12/31/04
TDH DOC. NO.7560005906 200501A CHG. 01
REVISED CONTRACT BUDGET
FINANCIAL ASSISTANCE
OBJECT CLASS CATEGORIES
CURRENT APPROVED
BUDGET (A
CHANGE
REQUESTED (B)
NEW OR REVISED
BUDGET (C)
Personnel
Fringe Benefits
Travel
Equipment
Supplies
Contractual
Other
Total Direct Charges
Indirect Charges
TOTAL
PERFORMING AGENCY SHARE:
Program Income
Other Match
RECEIVING AGENCY SHARE
PERFORMING AGENCY SHARE
$40,048.00
$22,619.00
$62,667.00
13,529.00
7,064.00
20,593.00
0.00
1,200.00
1,200.00
0.00
0.00
0.00
0.00
3,020.00
3,020.00
0.00
4,696.00
4,696.00
0.00
0.00
0.00
$53,577.00
$38,599.00
$92,176.00
0.00
0.00
0.00
$53,577.00
$38,599.00
$92,176.00
0.00
0.00
0.00
0.00
0.00
0.00
$53,577.00
$38,599.00
$92,176.00
$0.00
$0.001
$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.
Form No. GC-9
Financial status reports are due the 30th of April, 30th of July, 30th of October, and the 30th of March.