HomeMy WebLinkAboutResolution - 2007-R0032 - Amendment To Contract - TX DSHS - Fund Health Outreach Position - 01_25_2007Resolution No. 2007-R0032
January 25, 2007
Item No. 5.22
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 an Amendment No. 003A to Contract
No_ 2007-021282 (Legacy Contract No. 7560005906-2007-03) with the Texas
Department of State Health Services and any associated documents for funding a Health
Outreach Position, a copy of which Amendment and any 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 frilly copied
herein in detail.
Passed by the City Council this 25th day of January , 2007.
DAVID A. MILLER, MAYOR
ATTEST:
Rebecca Garza, City Secretary
APPROVED AS TO CONTENT:
/,;:: /o5t�
Tommy a den, Health Director
APPROVED AS TO, FORM:
Donald G. Vandiver, Attorney of Counsel
DDres/TDS I IconAmte end lmmkcs
December 14, 2006
DEPARTMENT OF STATE HEtp.LTH.SERVICES
Resolution No. 2007—R0032
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756-3199
Legacy Contract No. 7560005906-2007-03
STATE OF TEXAS Contract No. 2007-021282
COUNTY OF TRAVIS Contract Change Notice No. 003A
The TEXAS DEPARTMENT OF STATE HEALTH SERVICES, hereinafter referred to as DSHS, did heretofore enter into a contract
in writing with LUBBOCK CITY HEALTH DEPARTMENT hereinafter referred to as Contractor. The parties thereto now desire
to amend such contract attachment(s) as follows:
SUMMARY OF TRANSACTION: ATT NO. 003A : IMMUNIZATION BRANCH - LOCALS
All terms and conditions not hereby amended remain in full force and effect.
EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN.
Authorized Contracting Entity for and in behalf of:
DEPARTMENT OF STATE HEALTH SERVICES
By:
Signature of Authorized Offlcial
Date
Bob Burnette, C.P.M., CTPM
Director, Client Services Contracting Unit
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756
(512) 458-7470
Bob. Bumette@dshs. state.tx. us
LUBBOCK CITY HEALTH DEPARTMENT
Signature
January 25, 2007
Date
David A. Miller
Printed Name and Title
1902 Texas Avenue
Address
Lubbock, Texas 79411
City, State, Zip
(806) 775-2899
Telephone Number
E-mail Address for Official
Tommy Comden Health Director
ATTEST: 2 Cover Page 1
e ca Garza, City Slibretary
CSCU - Rev. 6106
�} xj as to t' rm:� �
_Qay Attorngy.
DOGUMRN�NT -NO. 2007-021282-
PROGRAM ATTACHMENT NO. 003A
PURCHASE ORDER NO.0000320750
CONTRACTOR: LUBBOCK CITY HEALTH DEPARTMENT
DSHS PROGRAM: IMMUNIZATION BRANCH - LOCALS
TERM: 09/01/2006 THRU: 08/31/2007
It is mutually agreed by and between the contracting parties to amend the conditions of
Contract No. 2007-021282-003 as written below. All other conditions not hereby
amended are to remain in full force and effect.
Addition of supplemental activities at SECTION I. STATEMENT OF WORK:
ImplcmentationExhibit
-WIM, • =•
whom consgut has beoL2rwftd to be included in ImmTrac, but
• + • ' •.. +Mil • a l +clients,'_•.1- and r • • ` r ! the • . �•i• +
Enterin the registry;
• • • gLimlyidentified vaccinations int
• I ImmIrac infix=tion to proAdm, schools,.-1 • _! • 11 1! :_!-.
• r •
• Present Pharmacy InventQa Control Sy5tem (PICS)information t• • iand
is implemented within the Contrag-t—oj�s�i
The new contract number shown below replaces the DSHS Legacy Contract Number:
POCUMEN CONTRACT -NO. 2007-021282-
DEPARTIMENT OF STATE HEALTH SERVICES
4
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756-3199
CATEGORICAL BUDGET CHANGE REQUEST
DSHS PROGRAM: IMMUNIZATION BRANCH - LOCALS
CONTRATOR: LUBBOCK CITY HEALTH DEPARTMENT
CONTRACT NO: 2007-021282 LEGACY CONTRACT NO. 7560005906-2007-03
CONTRACT TERM: 09/01/2006 THRU: 08/31/2007
BUDGET PERIOD: 09/01/2006 THRU: 08/31/2007 CHG: 003A
DIRECT COST LOBJECT CLASS CATEGORIES
Current Approved Budget (A)
Revised Budget (B)
Change Requested
Personnel
$95,337.00
$117,781.00
$22,444.00
Fringe Benefits
$42,345.00
$56,233.00
$13,888.00
Travel
$0.00
$4,225.00
$4,225.00
Equipment
$0.00
$0.00
$0.00
Supplies
$0.00
$0.00
$0.00
Contractual
$0.00
$0.00
$0.00
Other
$582.00
$20,246.00
$19,664.00
Total Direct Charges
$138,264.00
$198,485.00
$60,221.00
INDIRECT COST
Base ($)
$0.00
$0.00
$0.00
Rate (%)
0.00%
0.00%
0.00%
Indirect Total
$0.00
$0.00
$0.00
PROGRAM INCOME
Program Income
$0.00
$0.00
$0.00
Other Match
$0.00
$0.00
$0.00
Income Total
$0.00
$0.00
$0.00
LIMITS/RESTRICTIONS
Advance Limit
$0.00
$0.00
$0.00
Restricted Budget
$0.00
$0.00
$0.00
SUMMARY
Cost Total
$138,264.00
$198,485.00
$60,221.00
Performing Agency Share
$0.00
$0.00
$0.00
Receiving Agency Share
$138,264.00
$198,485.00
$60,221.00
Total Reimbursements Limit
$138,264.00
$198,485.00
$60,221.00
JUSTIFICATION
This amendment is to add additional funds to implement innovative immunization promotion strategies and to fund ImmTrac/PIGS
Outreach Specialist staff.
Resolution No. 2007-R0032
CONTRACT NO. 2007-021282-
PROGRAM ATTACHMENT NO. 003A
PURCHASE ORDER NO. 0000320750
EXHIBIT A
STRATEGIES TO INCREASE VACCINE COVERAGE LEVELS
IMPLEMENTATION PLAN
Part 1:
Approved Strategy Implementation Plans is the 1 received by DSHS Program on October 11,
2006.
Part 2:
Contractor shall add additional ImmTrac/PIGS Outreach Specialist staff capacity by one (1) FTE
position. Contractor shall be responsible for the following:
I. Increase vaccination coverage levels among children 19 through 35 months of age in the
Contractor's service area from the level measured by DSHS and reported to the Contractor at
the Call to Action meeting held in Austin on September 13-14, 2006.
Level Reported: 21 %
2. Transition 100% of enrolled TVFC providers to the Pharmacy Inventory Control System
(PIGS) according to the schedule provided by DSHS Program.
EXHIBIT A — Page I
City of Lubbock
InterOffice Memo
To: Lee Ann Dumbauld, City Manager
From: Tommy Camden, Health Director
Date: January 10, 2007
Subject: Agenda Item for January 25, 2007 City Council Meeting, Consent Agenda
CITY OF LUBBOCK
AGENDA ITEM SUMMARY
ITEM #/ SUMMARY:
Consider a resolution authorizing and directing the Mayor to execute a contract for and on behalf of the City of
Lubbock, an Amendment No. 003A to Contract No. 2007-021282 (Legacy Contract No. 7560005906-2007-03) with
the Texas Department of State Health Services and any associated documents for funding a Health Outreach
Position.
BACKGROUND/DISCUSSION:
This contract amends Legacy Contract No. 7560005906-2007-03 between the City of Lubbock Health Department
and the Department of State Health Services originally approved by Council on September 13, 2006 with Resolution
No. 2006-R0438. The current contract No. 2007-021282 replaces the legacy Contract No. 7560005906-2007-03.
This amendment is to add additional funds to implement innovative immunization promotion strategies and to fund
one (1) FTE ImmTrac/PICS Outreach Specialist staff.
A partial listing of the new activities associated with the additional ImmTrac/PICS Outreach Specialist staff include:
• Increase vaccination coverage levels among children 19 through 35 months of age in the Lubbock
service areas from the level measured by DSHS and reported to be 21%.
• Transition 100% of enrolled Texas Vaccine for Children (TVFC) providers to the Pharmacy Inventory
Control System (PIGS) according to the schedule provided by DSHS Program.
• Present ImmTrac information to providers, schools, and other community group.
The contract term and the budget period is between September 1, 2006 thru August 31, 2007,
FISCAL IMPACT:
The total amount approved for the entire contract year amounts to $198,485.00, which is $60,221.00 above the
amount of $138,264.00 originally approved on September 13, 2006. The increase covers full personnel salary and
fringe benefits for 1 FTE, travel, and other expenses. There is no additional impact to the General Fund.
SUMMARYIRE COMMENDATION:
Tommy Camden, Health Director
Staff recommends approval.
Department of State Health Services
Financial Status Report
FSR269A
1100 West 49* Street
Austin, Texas 78756-3199
4 UMMW s MQ,n ff--
THEMf d 9tlM INO
FOR MUNICIPAL
.HEP((tO))SORANT FUN6H(2S
OENERAL FUND; AND (31
POLICE DEPARTMENT
FORFEITED FUNDS.
Fiscal Division/Accounts Payable
Phone (512)458-7435
Contractor Name: LUBBOCK CITY HEALTH
DEPARTMENT
DSHS Program: IMM/LOCALS
DSHS Contract #: 2007-021282
Payee Account #:
Attachment #: 003A
Payee Vendor ID: 17560005906001
Basis: (] Cash
[ ] Accrual
Payee Name: CITY OF LUBBOCK
Address: PO BOX 2000
City, ST, Zip: LUBBOCK, TX 79408-2000
Contract Term:
From: 09/01 /2006
Period Covered in Report:
From: 12101/2006
To: 08/31 /2007
To: 02/28/2007
PO Number: 0000320750
Final Report [ ] Yes [ ] No
Project Cost per General Ledger
(i)
Budget Categories
(ii)
Approved Budget
(iii)
This Period
(iv)
Cumulative
(v)
Remaining Budget
Balance ii minus iv
a. Personnel
117,781.00
b. Fringe Benefits
56,233.00
c. Travel
4,225.00
d. Equipment
0.00
e. Supplies
0.00
f. Contractual
0.00
g. Other
20,246.00
h. Total Direct Charges
198,485.00
i. Indirect Charges
0.00
j. Total Charges
198,485.00
L m: k. Program
Income Collected
(
)
(
)
1. Non-DSHS Funding
(
)
m. ADVANCE: Received (Col. iii)/Repaid (Col. iv)
Balance Owed (Col. v)
(
)
n. Total Reimbursement Requested
o. Total Reimbursement Received
Prepared By:
Title:
Phone #:
CERTIFICATION: I certify to the best of my knowledge and belief that this report is correct and complete and that all outlays
and unli uidated obligations are for the purposes set forth in the award documents.
Signature of Authorized Certifying Official
Date Submitted
Typed or Printed Name and Title of Certifying Official
Telephone:
DSHS Form GC4a (269a) Revised 6/04
Department of State Health Services
Financial Status Report
FSR269A
1100 West 49'b Street
Austin, Texas 78756-3I99
Fiscal Division/Accounts Payable
Phone(512)458-7435
Contractor Name: LUBBOCK CITY HEALTH
DEPARTMENT
DSHS Program: IMM/LOCALS
DSHS Contract #: 2007-021282
Payee Account #:
Attachment #: 003A
Payee Vendor ID: 17560005906001
Basis: [ ] Cash
[ ] Accrual
Payee Name: CITY OF LUBBOCK
Address: PO BOX 2000
City, ST, Zip: LUBBOCK, TX 79408-2000
Contract Term:
From: 09/01/2006
Period Covered in Report:
From: 03/01/2007
To: 08/31/2007
To: 05/31/2007
PO Number: 0000320750
Final Report [ ] Yes [ ] No
Project Cost per General Ledger
0)
Budget Categories
(ii)
Approved Budget
(iii)
This Period
(iv)
Cumulative
(v)
Remaining Budget
Balance ii minus iv
a. Personnel
117,781.00
b. Fringe Benefits
56,233.00
c. Travel
4,225.00
d. Equipment
0.00
e. Supplies
0.00
f, Contractual
0.00
g. Other
20,246.00
h. Total Direct Charges
198,485.00
i. Indirect Charges
0.00
j. Total Charges
198,485.00
Less: lc. Program Income Collected
(
)
{
)
1. Non-DSHS Funding
(
)
m. ADVANCE: Received (Col. iii)tRepaid (Col. iv)
Balance Owed (Col. v)
(
)
n. Total Reimbursement Requested
o. Total Reimbursement Received
Prepared By:
Title:
Phone M
CERTIFICATION: 1 certify to the best of my knowledge and belief that this report is correct and complete and that all outlays
and unli uidated obligations are for the purposes set forth in the award documents.
Signature of Authorized Certifying Official
Date Submitted
Typed or Printed Name and Title of Certifying Official
Telephone:
DSHS Form GC4a (269a) Revised 6/04
Department of State Health Services
Financial Status Report
FSR269A
1100 West 49`s Street
Austin, Texas 78756-3199
Fiscal Division/Accounts Payable
Phone(512)458-7435
Contractor Name: LUBBOCK CITY HEALTH
DEPARTMENT
DSHS Program: IMMILOCALS
DSHS Contract M 2007-021282
Payee Account #:
Attachment #: 003A
Payee Vendor ID: 17560005906001
Basis: [ ] Cash
[ ] Accrual
Payee Name: CITY OF LUBBOCK
Address: PO BOX 2000
City, ST, Zip: LUBBOCK, TX 79408-2000
Contract Term:
From: 09/01/2006
Period Covered in Report:
From: 06/01/2007
To: 08/31/2007
To: 08/31/2007
PO Number: 0000320750
Final Report [ ] Yes [ ] No
Project Cost per General Ledger
(i)
Budget Categories
(ii)
Approved Budget
(iii)
This Period
(iv)
Cumulative
(v)
Remaining Budget
Balance (ii minus iv
a. Personnel
117,781.00
b. Fringe Benefits
56,233.00
c. Travel
4,225.00
d. Equipment
0.00
e. Supplies
0.00
f. Contractual
0.00
g. Other
20,246.00
h. Total Direct Charges
198,485.00
i. Indirect Charges
0.00
J. Total Charges
198,485.00
Less: k. Program Income Collected
(
)
(
)
1. Non-DSHS Funding
(
)
m. ADVANCE: Received (Col. iii)/Repaid (Col. iv)
Balance Owed (Col. v)
(
)
n. Total Reimbursement Requested
o. Total Reimbursement Received
Prepared By:
Title:
Phone #:
CERTIFICATION: I certify to the best of my knowledge and belief that this report is correct and complete and that all outlays
and unli uidated obligations are for the purposes set forth in the award documents.
Signature of Authorized Certifying Official
Date Submitted
Typed or Printed Name and Title of Certifying Official
Telephone:
DSHS Form GC4a (269a) Revised 6/04