HomeMy WebLinkAboutResolution - 2023-R0471 - Amendment No. 2, DSHS Contract No. HHS001057600030 - 09/26/2023Resolution No. 2023-R0471
Item No. 5.23
September 26, 2023
RESOLUTION
BE IT RESOLVED BY THE CI`TY 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 Amendment No. 2 to the Department of State Health
Services Contract No. HHS001057600030 under the Health Disparities Program, by and
between the City of Lubbock and the State of "Texas' Department of State IIealth Services
(DSHS), and all related documents. Said Amendment is attached hereto and incorporated in this
Resolution as if fully set forth herein and shall be included in the minutes of the Council.
Passed by the City Council on September 26, 2023
1'RAY
ATT � ST:
Courtney Paz, City S
APPROVED AS TO CONTENT:
Bill Howerton, Deputy City Manager
APPROVED AS TO FORM:
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Foste ss stant City flttorney �
RES.DSHS-HIIS001057600030 Health Disparities Program Amendment 2
9.7.23
DocuSign Envelope ID: F37E6212-BBF8-441C-Bg02-7EC1CD84D457
Resolution No. 2023-RO471
DEPARTMENT OF STATE HEALTH SERVICES
CONTRACT No. HHS001057600030
AMENDMENT No. 2
The Department of State Health Services ("DSHS") and CITY OF LUBBOCK ("Grantee"), Parties to
that certain Health Disparities Program Contract, effective September 23, 2021, and denominated as
DSHS Contract No. HHS001057600030 (the "Contract"), now want to amend the Contract.
Whereas, the Parties want to revise the statement of work.
The Parties therefore agree as follows:
ATTACHMENT A-1 of the Contract, REVISED STATEMENT OF WORK, is deleted and replaced
in its entirety with ATTACHMENT A-2, REVISED STATEMENT OF WORK.
2. This Amendment shall be effective as of the date last signed below.
3. Except as modified by this Amendment, all terms and conditions of the Contract shall remain
in effect.
4. Any further revision to the Contract shall be by written agreement of the Parties.
Signature Page to follow
DSHS Contract No. HHS001057600030 Page 1 of 5
Amendment 2
DocuSign Envelope ID: F37E6212-BBF8-441C-B902-7EC1CD84D457
SIGNATURE PAGE FOR AMENDMENT No. 2
DSHS CONTRACT No. HHS001057600030
DEPARTMENT OF STATE HEALTH SERVICES CITY OF LUBBOCK
Date of Signature:
LIN
Name:
Title:
Date of Signature:
THE FOLLOWING DOCUMENTS ARE ATTACHED TO THIS AMENDMENT AND INCORPORATED INTO
THE CONTRACT BY REFERENCE:
ATTACHMENT A-2 - REVISED STATEMENT OF WORK
ATTACHMENTS FOLLOW
DSHS Contract No. HHS001057600030 Page 2 of 5
Amendment No. 2
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ATTACHMENT A-2
REVISED STATEMENT OF WORK
PURPOSE
System Agency will work with Grantee to address health disparities through community
engagement and building sustainable relationships.
II. GRANTEE RESPONSIBILITIES
A. Grantee must align project activities to address the following.
1. Infrastructure: Identify the staffing (workforce) infrastructure already in place or to
be hired, to engage targeted communities disproportionately impacted by health
disparities and build sustainable relationships in those targeted communities.
2. Community Engagement: Identify and engage with the communities in the Grantee's
jurisdiction most severely impacted by health disparities.
i. Establish rapport and develop relationships by spending time in the targeted
community and building trust.
ii. Listen to community needs by attending community events (e.g., town halls,
listening sessions, interviews, and focus groups). The frequency of those
meetings will be identified in the Grantee workplan.
iii. Develop a sustainability plan to stay engaged with the community after funding
ends. Sustainability plan must be submitted to System Agency no later than
April 30, 2024.
3. Partnership Directory: Build sustainable relationships in targeted communities
disproportionately impacted by health disparities.
i. Identify and engage with new and existing community partners to address
health disparities (e.g., hospitals, clinics, federally qualified health centers,
community and faith -based organizations, and social service agencies).
ii. Build cross -sector partnerships (e.g., public health, health care, and social
services) by meeting with identified partners. The frequency of those meetings
will be identified in the grantee work plan.
iii. Document community partners by creating a list of partners interested in
working on and addressing health disparities initiatives. This list will be shared
with System Agency through the Smartsheet-based Partnership Directory
Intake Form.
B. Grantee will submit a workplan within 30 days of Amendment effective date to System
Agency outlining activities to be conducted through May 31, 2024, and how they will be
accomplished. System Agency will provide templates and technical assistance.
C. Identify Grantee staff (new and existing) who will be leads for the Contract. Any changes to
these staff members must be reported to System Agency in the monthly program report.
DSHS Contract No. HHS001057600030 Page 3 of 5
Amendment No. 2
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D. Participate in and attend System Agency meetings and trainings as deemed necessary by
System Agency after Contract execution. This includes brief evaluation activities, such as
surveys and short interviews.
E. Submit a monthly program report on the report template to be provided by System Agency by
the 15th of each month for the previous month's activities. Submit reports through the
Smartsheet form provided by System Agency.
F. Submit at least one success story no later than May 31, 2024. First drafts of the success story
will be due no later than March 1, 2024. System Agency will provide templates and technical
assistance.
G. Grantee must consult with System Agency on peer -reviewed publications resulting from this
contract prior to submission and provide opportunity for review. Note: Publications are not a
requirement of this scope of work.
H. Grantee may not use funds for the following:
1. Construction, research, clinical care, fundraising activities, or funding an award to another
party or provider who is ineligible;
2. Advertising or promoting the COVID-19 vaccine;
3. Publicity or propaganda purposes, for the preparation, distribution, or use of any material
designed to support or defeat the enactment of legislation before any legislative body; or
4. The salary or expenses of any grant or Contract recipient, or agent acting for such
recipient, related to any activity designed to influence the enactment of legislation,
appropriations, regulation, administrative act or Executive order proposed or pending
before any legislative body.
III. PERFORMANCE MEASURES
The System Agency will monitor the Grantee's performance of the requirements in Attachment
A-2 and compliance with the Contract's terms and conditions.
IV. INVOICE AND PAYMENT
A. Grantee will request payments by using the State of Texas Purchase Voucher (Form B-13) at
https://www.dshs.texas.gov/hivstd/contractor/crosforms.shtm?terms=B-13. The Voucher
and any supporting documentation will be mailed or submitted by fax or electronic mail to
the address/number below.
Department of State Health Services
Claims Processing Unit, MC 1940
1100 West 491h Street
P.O. Box 149347
Austin, TX 78714-9347
FAX: (512) 458-7442
EMAIL: invoices(a)dshs.texas.gov and crosinvoiceAdshs.texas. og_v
DSHS Contract No. 14HS001057600030 Page 4 of 5
Amendment No. 2
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B. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT
B-1, REVISED BUDGET to this Contract.
C. Grantee shall maintain all documentation that substantiates invoices and make the
documentation available to System Agency upon request. In the event a cost reimbursed
under the Contract is later determined to be unallowable, then the Grantee will reimburse
System Agency for that cost.
D. Grantee will submit the Financial Status Report (FSR-269A) at two reporting intervals during
the contract term. The FSR's will be submitted bi-annually as outlined below and in alignment
with the contract term of this renewal. The bi-annual periods are as follows:
Reporting Period Due Date
June 1 through November 30 December 31, 2023
December 1 through May 31 July 15, 2024
Invoices must be submitted monthly to prevent delays in subsequent months. Grantees that
do not incur expenses for a month are required to submit timely "zero" dollar
invoices. Invoices and all supporting documentation must be emailed to
invoicesndshs.texas.gov and crosinvoicesgdshs.texas.gov simultaneously. Grantee must
submit a final close out invoice and final FSR no later than 45 days following the end of the
term of the contract. Invoices received more than 45 days following the end of the term of
the contract are subject to denial of payment.
DSHS Contract No. HHS001057600030 Page 5 of 5
Amendment No. 2