HomeMy WebLinkAboutResolution - 2014-R0089 - Amendment To Contract - DSHS - 03/13/2014Resolution No.2014-R0089
March 13,2014
Item No.5.1.1
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 to Contract #2014-
001286-00 (Contract),increasing the contract by $20,559.00 from $87,645.00 to
$108,204.00,with the Budget categories increased as follows:Personnel/Salaries from
$70,848.00 to $76,860.00 and Fringe Benefits/Benefits from $16,797.00 to $31,344.00.
All other terms and conditions of the contract remain in full force and effect.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 this March 13,
ATTEST:
^J^C^-^-g-
ebefcca Garza, City Secretar
APPROVED AS TO CONTENT
Scott Snider,Assistant City Manager (Health)
APPROVED AS T
it City/Attorney
M-DSHS Contract 2014-001286-01(1.2).doc
2014.
:ROBERTSON,MAYOR
Resolution No. 2014-R0089
BUDGET SUMMARY
Organization Name: City of Lubbock
Contract Number: 2014-001286-00
Proposal ID: RLHS-2014-City of -00004
Budget Categories
Program ID: RLSS/LPHS
Procurement ID: GST-2012-Sollchation-00025
Procurement Name: RLHS GOLIVE LPHS PROPOSAL
Budget Categories
DSHS Funds
Requested
Cash Match
In Kind
Match
Category Total
Personnel
$76,860
$
$
$76,86
Fringe Benefits
$31,344
$
$
$31,344
Travel
$0
$
$
$
Equipment
$0
$
$
$
Supplies
$0
$
$
$
Contractual
$0
$
$
$
Other
$01
sq
$
$
Total Direct Costs
$108 20
$
$
$108.20
Indirect Costs
$0
$
$
$
Totals:
$108 2
$
$
$108 2
Subcontracting
Subcontracting Percentage: 0.00%
Match Contributions
Required Match Percentage: % Calculated Match Percentage: 0.00%
Required Match Amount: $0 Calculated Match Amount: $0
Source of Cash Match Funds
0 of 500
Source of In Kind Match Funds
0of500
Program Income
Projected Earnings: $0
Source of Earnings
0 of 500
Non DSHS Funding
Direct Federal Funds: $0
Other State Agency Funds: $0
Local Fundlnq Sources: $0
PERSONNEL CATEGORY DETAIL
Organization Name: City of Lubbock
Contract Number: 2014-001286-00
Proposal ID: RLHS-2014-City of -00004
Personnel
Program ID: RLSS/LPHS
Procurement ID: GST-2012-Solicltation-00025
Procurement Name: RLHS GOLIVE LPHS PROPOSAL
Position
Justification •
FTEs
Cost
Functional Title:
Registered Nurse
Oversight and management of
Existing:' 1
Funding Source:'
health department activities
Cash
License / Cert. Type:'
License
including grant management
Proposed: 0
Avg Monthly
License /Cart:
RN
Vacant: • 0
Salary: '
$6,0
Total FTEsi
Number of
83 of 150
Months: '
Salary Request d:
$72,964
Functional Title: '
Registered Nurse
Disease Surveillance Investigation
€
Existing:1
Funding Source: '
Cash
License / Cert.
,(
Proposed: • 0
Avg Monthly
Type: •
License
Vacant: ' 0Salary:
'
$3
License / Cart:
RN
Total
Number of
34 of 150
FTEs 1
Months:
Sala Requested:
S3 896
Functional Title: "
'
Existing:'
Funding Source: '
License / Cert.
Proposed: '
Avg Monthly
Type:*
Vacant: 'Salary:
`
License / Cart:
Total
Number of
0 of 150
FTEs DMonths:
'
Salary Requested:
$0
Functional Title: •
^-
Existing:*
Funding Source: `
License /Cert.
Proposed:*
Avg Monthly
Type:
Vacant: •Salary:
`
License / Cart:
Total
Number of
-
0 of 150
FTEs 0
Months: •
Salary Requested:
$0
Functional Title: •
Existing:'
Funding Source: '
License / Cert.
Proposed: '
Avg Monthly
Type:*
Vacant: •Salary:'
License /Cert:
Total
Number of
0 of 150
FTEsMonths:
"
Salary Requested:
Cash Total:
n Kind Match Total:
§alary Wage Total:
Fringe Benefits
List the types of costs that comprise your organizations fringe benefits:
Stability pay ® $50/year=$1,200; FICA ® 7.65%= $5,674; Retirement ® 19.33%= $14,106; Life Insurance $7; Health
Insurance $9,827; Dental $530
141 of 500
Total Fringe Benefit Rate
(%): 40.78 %i
3
Fringe Benefit Amounts
Cash: $31,344
In Kind Match: $0
Fringe Benefits Total: $31,344
Navigation Links
Status Page Name
Note Created By Last Modified By
DEPARTMENT OF STATE HEALTH SERVICES
CONTRACT 2014-001286-01
This Contract is entered into by and between the Department of State Health Services (DSHS or
the Department), an agency of the State of Texas, and City of Lubbock (Contractor), a
Governmental, (collectively, the Parties) entity.
1. Purpose of the Contract: DSHS agrees to purchase, and Contractor agrees to provide,
services or goods to the eligible populations.
2. Total Amount: The total amount of this Contract is $108,204.00.
3. Funding Obligation: 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 health and human services agencies, amendment to the Appropriations Act, health
and human services agency consolidation, or any other disruptions of current appropriated funding
for this Contract, DSHS may restrict, reduce, or terminate funding under this Contract.
4. Term of the Contract: This Contract begins on 09/01/2013 and ends on 08/31/2014. DSHS
has the option, in its sole discretion, to renew the Contract. DSHS is not responsible for payment
under this Contract before both parties have signed the Contract or before the start date of the
Contract, whichever is later.
5. Authority: DSHS enters into this Contract under the authority of Health and Safety Code,
Chapter 1001.
6. Program Name: RLSS/LPHS RLSS/Local Public Health System-PnP
7. Statement of Work:
CONTRACTOR shall improve or strengthen local public health infrastructure within the State of Texas by:
• Developing objective(s) to address a public health issue;
• Utilizing resources provided through this contract Attachment to conduct activities and services that
provide or support the delivery of essential public health services;
• Assessing, monitoring, and evaluating the essential public health activities and services provided through
this Program Attachment; and
• Developing strategies to improve the delivery of essential public health service(s) to identified service
area.
These tasks shall be performed in accordance with Department of State Health Services (DSHS) Division
for Regional and Local Health Services Interlocal Application. The assessment and/or evaluation activities
must include measurable standards. Acceptable standards include the National Public Health
Performance Standards approved by the Centers for Disease Control and Prevention, Performance
Standards developed by the Texas Association of Local Health Officials, Healthy People 2010, and any
federal, state or local law or regulation governing the delivery of essential public health services. Other
evaluation methods utilizing standards not listed in this Program Attachment must be pre -approved by
DSHS.
CONTRACTOR shall perform the activities required under this Program Attachment in the Service Area
designated in the most recent version of Section 8. "Service Area" of this contract.
CONTRACTOR shall comply with all applicable federal and state laws, rules, regulations and standards
including, but not limited to, the following:
• Chapter 23-11 of the Healthy People 2010;
• Section 121.002, Texas Health & Safety Code, definition of ten essential public health services;
• Government Code, Section 403.1055, "Permanent Fund for Children and Public Health".
CONTRACTOR shall not use funds from the Permanent Fund for Children and Public Health for lobbying
expenses under the Government Code, Section 403.1067.
CONTRACTOR shall comply with all applicable regulations, standards, and guidelines in effect on the
beginning date of this Program Attachment.
DSHS shall inform CONTRACTOR in writing of any changes to applicable federal and state laws, rules,
regulations, standards and guidelines. CONTRACTOR shall comply with the amended law, rule, regulation,
standard or guideline except that CONTRACTOR shall inform DSHS Program in writing if it shall not
continue performance under this contract Attachment within thirty (30) days of receipt of an amended
standard(s) or guideline(s). DSHS may terminate the Program Attachment immediately or within a
reasonable period of time as determined by DSHS.
DSHS reserves the right, where allowed by legal authority, to redirect funds in the event of financial
shortfalls. DSHS will monitor Contractor's expenditures on a quarterly basis. If expenditures are below that
projected in Contractor's total Contract amount, Contractor's budget may be subject to a decrease for the
remainder of the Contract term. Vacant positions existing after ninety (90) days may result in a decrease in
funds.
CONTRACTOR shall complete the PERFORMANCE MEASURES as stated in the CONTRACTOR'S
FY14 Local Public Health Service (LPHS) Service Delivery Plan, and as agreed upon by DSHS, hereby
attached as Exhibit.
BILLING INSTRUCTIONS:
Contractor shall request payment electronically through the Contract Management and Procurement
System (CMPS) with acceptable supporting documentation for reimbursement of the required
services/deliverables. Billing will be performed according to CMPS instructions found at the following link
http://www.dshs.state.tx.us/cmps/. For assistance with CMPS, please email CMPS@dshs.state.tx.us or
call 1-855-312-8474.
8. Service Area
Lubbock County
This section intentionally left blank.
10. Procurement method:
Non -Competitive
I nteragency/I nterlocal
GST-2012-Solicitation-00025 RLHS GOLIVE LPHS PROPOSAL
11. Renewals:
Number of Renewals Remaining: 0 Date Renewals Expire: 08/31/2014
12. Payment Method:
Cost Reimbursement
13. Source of Funds:
93.991, State, State
14. DUNS Number:
058213893
15. Proarammatic Reportina Reauirements:
Report Name
Frequency
Period Begin
Period End
Due Date
Project Service
Quarterly
09/01/2013
11/30/2013
12/30/2013
Delivery Plan
Project Service
Quarterly
12/01/2013
02/28/2014
03/31/2014
Delivery Plan
Project Service
Quarterly
03/01/2014
05/31/2014
06/30/2014
Delivery Plan
Project Service
Quarterly
06/01/2014
08/31/2014
09/30/2014
Delivery Plan
Financial Status
Quarterly
09/01/2013
11/30/2013
12/30/2013
Report
Financial Status
Quarterly
12/01/2013
02/28/2014
03/31/2014
Report
Financial Status
Quarterly
03/01/2014
05/31/2014
06/30/2014
Report
Financial Status
Quarterly
06/01/2014
08/31/2014
10/31/2014
Report
16. Special Provisions
General Provisions, Section 1.03 Reporting Article, are revised to include the following paragraph:
Failure to submit a required report of additional requested information by the due date specified in the
Program Attachment (s) or upon request constitutes breach of contract, may result in delay payment, and
may adversely affect evaluation of Contractor's future contracting opportunities with the department.
Programmatic Reporting Submission Requirements:
Reports and Report signature page should be sent electronically to:
Local PHTeam@dshs.state.tx.us, or the signature page can sent by facsimile to 512-776-7391. A copy of
the report should be sent to the respective DSHS Health Service Region, Attention: Deputy Regional
Director.
See Programmatic Reporting Requirements section for required reports.
General Provisions, ARTICLE II SERVICES, Section 2.02 Disaster Services, is revised to include the
following:
In the event of a local, state, or federal emergency the Contractor has the authority to utilize approximately
5% of staff's time supporting this Program Attachment for response efforts. DSHS shall reimburse
-- Contractor up to 5% of this Program Attachment funded by Center for Disease Control and Prevention
(CDC) for personnel costs responding to an emergency event. Contractor shall maintain records to
document the time spent on response efforts for auditing purposes. Allowable activities also include
participation of drills and exercises in the pre -event time period. Contractor shall notify the Assigned
Contract Manager in writing when this provision is implemented.
General Provisions, Section 12.01 Responsibilities and Restrictions Concerning Governing Board,
Officers and Employees, is not applicable to this program Attachment.
General Provisions, Section 12.20 Equipment (Including Controlled Assets) Purchases, is revised to
include the following:
For the purpose of this Program Attachment, equipment is not approved as part of the base budget for
LPHS. The funds are for direct services. Although, at mid -year of the contract term, if funds are identified as
not being used, the funds may be used to purchase equipment in the 3rd quarter of the contract or program
attachment term. Contractor must submit proposal to redirect funds with justification as to how the
equipment helps achieve the goals, objectives, and deliverables outlined in Exhibit A (Project Service
Delivery Plan). The proposal must be submitted to the contract manager assigned to the program
attachment.
General Provisions, General Terms Article VIII, Amendment Section 13.15, is amended to include the
following:
Contractor must submit all amendment and revision requests electronically through the Contract
Management and Procurement System (CMPS) at least 90 days prior to the end of the term of this
Program Attachment.
�.> 17. Documents Forming Contract. The Contract consists of the following:
a. Contract (this document) 2014-001286.01
b. General Provisions Subrecipient General Provisions
c. Attachments Budgets
d. Declarations Certification Regarding Lobbying, Fiscal
Federal Funding Accountability and
Transparency Act (FFATA) Certification
e. Exhibits Exhibit A
Any changes made to the Contract, whether by edit or attachment, do not form part of the Contract
unless expressly agreed to in writing by DSHS and Contractor and incorporated herein.
18. Conflicting Terms. In the event of conflicting terms among the documents forming this Contract, the
order of control is first the Contract, then the General Provisions, then the Solicitation Document, if any, and
then Contractor's response to the Solicitation Document, if any.
19. Payee. The Parties agree that the following payee is entitled to receive payment for services rendered
by Contractor or goods received under this Contract:
Name: City of Lubbock
Vendor Identification Number: 17560005906 034
20, Entire Agreement. The Parties acknowledge that this Contract is the entire agreement of the Parties
and that there are no agreements or understandings, written or oral, between them with respect to the
subject matter of this Contract, other than as set forth in this Contract.
I certify that I am authorized to sign this document and I have read and agree to all parts of the contract,
including anv attachments and addendums.
Department of State Health Services
By:
Signature of Authorized Official
Date
Name and Title
1100 West 49th Street
Address
Austin, TX 787-4204
City, State, Zip
Telephone Number
E-mail Address
Attest
Pe fi Sara, ,Ity Secrf
City of Lubboc
By:
Signatu u d Official
Date
March 13, 2014
Name and Title
GJ�n C. Robertson, Mayor
Address
1625 13"
City, State, Zip
Lubbock, TX 79401
Telephone Number
(806)775-2003
E-mail Address
arobertson(c��
,\PPROVED AS TO CONTENT
Page 1 of 1
Teresa Grimaldo - Amendment Executed
From: <CMPS@dshs.state.tx.us>
To: <cbrock@mylubbock.us>
Date: 3/14/2014 2:26 PM
Subject: Amendment Executed
CC: <elma.medina@dshs.state.tx.us>, <jonah.wilczynski@dshs.state.tx.us>, <st...
Document Identifier: RLHS-2014-City of -00004
Main Code: Sub Code: 2014
DSHS Contract Amendment has been fully executed.
file://C:\Documents and Settings\152118\Local Settings\Temp\XPgrpwise\53285460Lubb... 3/19/2014
REQUEST FOR BUDGET OR PROGRAM AMENDMENT
Texas Department of State Health Services
Contract Name City of Lubbock
Contractor Number 2014-001286-00
Program ID RLSS/LPHS
Contract Amount 1 $108.204 Refer to GP 13.17 if needed
is tnere ant w ment Lnan ev I Amu not Neeaea
M Is there an Indirect Cost Chanqe? AD not Needed
Cost Reimbursement Program
Category*
Existing DSHS Budget
Change
New Budget
Percentage Decision
Personnel
$70,848.00
$6,012.00
$76,860.00
8%
Fringe Benefits
$16,797.00
$14,547.00
$31,344.00
46%
Travel
$0.00
$0.00
$0.00
-
Equipment
$0.00
$0.00
$0.00
Supplies
$0.00
$0.00
$0.00
Contractual
$0.00
$0.00
$0.00
Other
$0.00
$0.00
$0.00
Sub -total
$87,645.00
$20,559.00
$108,204.00
19%
Indirect Cost*`
$0.00
$0.00
$0.00
Match
$0.00
$0.00
$0.00
Total
$87,645.00
$20,559.00
$108,204.00
19%1 Amendment Not Needed
Changes in either Equipment or Indirect Cost
require an Amendment regardless of percentage
see Change column
*C4TEGORY: Includes program and administrative costs
**INDIRECT COST: Can only be used ifan organisation has an approved indirect cost rate.
Nature of Adjustment. Provide a detailed description and/or itemization for each change
requested sufficient to justity the request. (Attach additional pages if needed):
DEPARTMENT OF STATE HEALTH SERVICES
Contract 2014-001286
Amendment Summary
The Department of State Health Services (DSHS) and City of Lubbock (Contractor) agree to amend Contract 2014-001286 in
accordance with this Amendment 01: RLSS/Local Public Health System-PnP
Amendment effective date: 10/01 /2013
Purpose for the amendment:
Amendment needed to add the 19% Restoration of PHHSBG Funds,
Retro-Effective Date: 10/01/2013
This amendment has a retroactive effective date because the amendment module in CMPS did not become accessible until
November 2013.
Change No: 01
Increase funding, 19% restoration of PHHSBG funds.
Current:
Revised:
Detail Budget:
Detail Budget:
Personnel: $70,848
Personnel: $76,860
Fringe Benefits: $16,797
Fringe Benefits: $31,344
Travel: $0
Travel: $0
Equipment: $0
Equipment: $0
Supplies: $0
Supplies: $0
Contractual: $0
Contractual: $0
Other: $0
Other: $0
Sub -total: $87,645
Sub -total: $108,204
Indirect Cost: $0
Indirect Cost: $0
Match: $0
Match: $0
Total: $87,645
Total: $108,204
Section 2 of Contract Print, Total Amount
Section 2 of Contract Print, Total Amount
$87,645
$108,204
Change No: 02
Programmatic Reporting Dates
Current:
Revised:
Section 15. Of Contract Print, Programmatic Reporting
Section 15. Of Contract Print, Programmatic Reporting
Requirements
Requirements
4th Quarter
Is revised to correct the Period Begin and Due Date of the 4th
Quarter.
Period Begin Due Date
07/01/2014 10/31/2014
Period Begin Due Date
06/01/2014 09/30/2014
Change No: 03
Financial Status Report
Current:
Revised:
Section 15. Of Contract Print, Programmatic Reporting
Section 15, Of Contract Print, Programmatic Reporting
Requirements
Requirements
3/24/2014
Waiver letter remains in effect. FSR due dates noted below
REPORT NAME FREQUENCY PERIOD BEGIN
PERIOD END DUE DATE
Financial Status Report Quarterly
09/01 /2013 11130/2013 1213012013
Financial Status Report Quarterly
12/01/2013 02/28/2014 03/31/2014
Financial Status Report Quarterly
03/01/2014 05/31/2014 06/30/2014
Financial Status Report Quarterly
06/01 /2014 08/31 /2014 10/31 /2014
All other terms and conditions not hereby amended are to remain in full force and effect. In the event of a conflict between the
terms of this contract and the terms of this Amendment, this Amendment shall control.
Contractor Signature
X I certify that I am authorized to sign this document and I have read and agree to all parts of the contract, including any
attachments and addendums.
Signed by: Mrs. Cheryl Brock
DSNS Signature
Date Signed: 02/25/2014
X I certify that I am authorized to sign this document and I have read and agree to all parts of the contract, including any
attachments and addendums.
Signed by: Patty Melchior
Date Signed; 03/14/2014
3/24/2014