HomeMy WebLinkAboutResolution - 2023-R0577 - Amendment No. 6, DSHS Contract No. HHS000077800035 - 12/05/2023Resolution No. 2023-R0577
Item No. 5.14
December 5, 2023
RESOLUTION
BE IT R�SOLV�D BY TIIE CI'TY COUNCIL OP TIIL CITY Ol� LUBBOCK:
'I'IIAT 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. 6 to the Department of State
Health Services Contract No. IIHS000077800035 under the IIIV Prcvcntion Services Grant,
by and betwcen the City of Lubbock and thc State of Texas' Departmcnt of State Hcalth
Services (DSHS), and all related documents. Said Amendmcnt is attached hereto and
incorporated in this Rcsolution as if fully set forth hcrcin and shall bc includcd in the minutes
of the Council.
Passed by the City Council on December S� 2023
_� ��
TRAY P YNL, MAYOR
n1,� �Ls�r:
Co rtney Pa�, City Secretary
AYYROVLD �1S 1'Q"CON"1'I�NT:
��
�
I3i11 IIowc ,i, Deputy City ana
APPROV�D AS 'TO 1�ORM:
R chael rostcr, s. s nt City �lttorncy
RES.DSI IS-I-IHS000077800035 IIIV Prcv Svcs Grant Amendmcnt 6
1 1.7.23
DocuSign Envelope ID: B19BF5A1-FE61-429F-AA7C-4DC10CBDOECE Resolution No. 2023-R0577
•'�'� TEXAS
� Texas Department of State Health Services
L�. Health and Human
Services Jennifer A. Shuford, M.D., M.P.H.
Commissioner
The Honorable Tray Payne, Mayor
City of Lubbock
1314 Avenue K
Lubbock, Texas 79401
Subject: HIV Prevention Services
Contract Number: HHS000077800035, Amendment No. 6
Contract Amount: $999,609.00
Contract Term: 1/1/2020-12/31/2024
Dear Mayor Payne:
Enclosed is the HIV Prevention Services Contract Amendment No. 6 between the
Department of State Health Services and City of Lubbock.
The purpose of the Contract is to provide funding for the HIV Prevention Services
Project.
This Amendment extends the Contract from August 31, 2024 through December 31,
2024.
Please let me know if you have any questions or need additional information.
Sincerely,
Lacy Alexander, CTCM
Contract Manager
lacy.alexander@dshs.texas.gov
P.O. Box 149347 • Austin, Texas 78714-9347 • Phone: 888-963-7111 • TTY: 800-735-2989 • dshs.texas.gov
DocuSign Envelope ID: 8196F5A1-FE61-429F-AA7C-4DC10CBDOECE
DEPARTIVIENT OF STATE HEALTH SERVICES
Co�cr No. HHS000077800035
AMENDMENT NO. C)
The DEPARTMENT OF STATE HEALTH SERVICES (DSHS or System Agency) and CITY OF
LuBBOC[c (Grantee), Parties to that certain HN Prevention Services Contract, effective January
1, 2020, and denominated DSHS Contract No. HHS000077800035 (the "ContracY'), as amended,
now want to further amend the Contract.
WHEREAS, the Parties want to extend the term of the Contract, and revise ARTICLE III,
DURATION, of the Contract Signature Document consistent with Request for Applications No.
HHS0000778.
NOW� THEREFORE, the Parties agree as follows:
1. ARTICLE III, DURATION, of the Contract Signature Document is hereby amended to
extend the termination date to December 31, 2024, unless terminated sooner, consistent
with Request for Applications No. HHS0000778.
2. This Amendment shall be effective upon the signature date of the latter of the Parties to
sign this agreement.
3. Except as amended and modified by this Amendment, all terms and conditions of the
Contract, as previously amended, shall remain in full force and effect.
4. Any further revisions to the Contract shall be by written agreement of the Parties.
5. Each Party represents and warrants that the person executing this Amendment No. 6 on
its behalf has the full power and authority to enter into the Amendment.
SIGNATURE PAGE FOLLOWS
DSHS Contract No. I�IS000077800035 Page 2 of 3
Amendment No. 6
DocuSign Envelope ID: 619BF5A1-FE61-429F-AA7C-4DC10CBDOECE
SIGNATURE PAGE FOR SYSTEM AGENCY
CoNTaa►cT No. HHS000077800035
DEPARTMENT OF STATE HEALTH
SERVICES
Signature
Date of Signature:
CITY OF LUBBOCK
Signature
Date of Signature:
DSHS Contract No. I�IS000077800035 Page 3 of 3
Amendment No. 6
�cuSign�
Certificate Of Completion
Envelopeld:6196F5A1FE61429FAA7C4DC10CBD0ECE
Subject: Please DocuSign: HHS000077800035; Lubbock; A6; HIV PREVF Signature Packet
Source Envelope:
Document Pages: 3 Signatures: 0
Certificate Pages: 2 Initials: 0
AutoNav: Enabled
Envelopeld Stamping: Enabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
Record Tracking
Status: Original
11/3/2023 11:01:44 AM
Holder: CMS Intemal Routing Mailbox
CMS.I nternalRouting@dshs.texas.gov
Signer Events
Mayor Tray Payne
traypayne @myl ubbock. us
Ciry of Lubbock
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Helen Whittington
helen.whittington@dshs.texas.gov
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Patty Melchior
Patty. Melchior@dshs.texas.gov
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
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Kirk Cole
Kirk.Cole@dshs.texas.gov
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
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Status: Sent
Envelope Originator:
CMS Internal Routing Mailbox
11493 Sunset Hills Road
#100
Reston, VA 20190
CMS.InternalRouting@dshs.texas.gov
IP Address: 167.137.1.18
Location: DocuSign
Timestamp
Sent: 11/3/2023 11:04:09 AM
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Lacy Alexander
lacy.alexander@dshs.texas.gov
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(None)
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COPIED
Katherine Wells CO PI E D
kwells@mylubbock.us
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(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
CMS Internal Routing Mailbox
CMS.I nternalRouting@dshs.texas.gov
Security Level: Email, Account Authentication
(None)
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Not Offered via DocuSign
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Sent: 11/3/2023 11:04:08 AM
Viewed: 11/3/2023 11:04:28 AM
Sent: 11/3/2023 11:04:07 AM
Viewed: 11/3/2023 2:29:24 PM
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