HomeMy WebLinkAboutResolution - 2003-R0339 - Contract For Immunization Services - Texas Department Of Health - 08_28_2003 (2)Resolution No. 2003—RO339
August 28,2003
Item No. 26
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 Change No. 6 for a 3 month
extension of an existing contract with the Texas Department of Health (TDH Document
No. 7560005906 2003) 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 Change No. 6 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 28th day of
ATTEST:
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Reb cca sarza, City Secretary
APPROVED AS TO CONTENT:
Tommy Camden, Aealth Director
APPROVED A TO FORM'
d
nald G. Vandiver, Attorney of Counsel
DDres/TDHconExtRes
August 12, 2003
August , 2003.
Resolution No, 2003-RO339
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TEXAS DEPARTMENT OF HEALTH
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756-3199
STATE OF TEXAS
COUNTY OF TRAVIS
TDH Document No. 7560005906 2003
Contract Change Notice No. 06
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 such contract attachment(s) as follows:
SUMMARY OF TRANSACTION:
ATT NO. 06A : IMMUNIZATION DIVISION - LOCALS
All terms and conditions not hereby amended remain in full force and effect.
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 HEA EPARTMENT
By:
(S' ature s n authorized to sign)
Marc McDougal, Mayor
(Name and Title)
Date: August 28, 2003
RECOMMENDED:
By:
(PE ORM AGENCY Director, if different
from person authorized to sign contract .
Appro d as to rug �: �_..
:. City Attorney
A. .
RECEIVING AGENCY:
TEXAS DEPARTMENT OF HEALTH
ZOO'
By:
(Signature of person authorized to sign)
Bob Burnette, Director
Procurement and Contracting Services Division
(Name and Title)
Date:
Cover Page 1
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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*
O1
HIV/PREV
O1/01/02
12/31/02
93.940
46,350.00
0.00
46,350.00
OO00010616
02A
OPHPBIO-LAB
06/01/02
08/31/03
93.283
379,089.00
0.00
379,089.00
OO00011023
03
HIV/SURV
09/01/02
08/31/03
State
50,251.00
0.00
50,251.00
OO00011309
04
ACFH/POP
09/01/02
08/31/03
State 93.994
51,181.00
0.00
51,181.00
OO00011295
05
OPHP/LPHS
09/01/02
08/31/03
State 93.991
93,162.00
25,392.00
118,554.00
OO000I1377
06A
IMM/LOCALS
09/01/02
12/31/03
State
142,870.00
0.00
142,870.00
OO00011587
07A
LABBIOTERR
09/01/02
08/31/03
93.283
142,555.00
0.00
142,555.00
OO00012033
TDH Document No.7560005906 2003 Totals
$905,458.00
$ 25,392.00
$930,850.00
Change No. 06
*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
Resolution -No. 2003-RO339
TEXAS DEPNRTMENT OF HEALTH
RECEIVING AGENCY PROGRAM: IMMUNIZATION DIVISION
PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT
CONTRACT TERM: 09/01/02 THRU: 12/31/03 BUDGET PERIOD: 09/01/02 THRU 12/31/03
TDH DOC. NO. 7560005906 200306A CHG. 06
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
$77,705.00
$29,088.00
$106,793.00
29,448.00
6,629.00
36,077.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
$107,153.00
$35,717.00
$142,870.00
0.00
0.00
0.00
$107,153.00
$35,717.00
$142,870.00
0.00
0.00
0.00
0.00
0.00
0.00
$107,153.00
$35,717.00
$142,870.00
$0.00
$0.00
$0.00
Detail on Indirect Cost Rate Type:
Rate 0.00 Base $0.00 Total $0.00
Budget Justification: Increase in funds and number to be served due to extending contract end date from 8/31/2003 to 12/31/2003.
Revised Number to be Served/Units of Service: 27,837
Form No. GC-9
Financial status reports are due the 30th of December, 30th of March, 30th of June, 30th of September, and the 30th of March.