HomeMy WebLinkAboutResolution - 2007-R0299 - Change To Legacy Contract - DSHS - 07/12/2007Resolution No. 2007-RO299
July 12, 2007
Item No. 5.16
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the Mayor of the City of Lubbock BE and is hereby authorized and
directed to execute for and on behalf of the City of Lubbock, a Change No.003B to the
DSHS Legacy Contract No. 7560005906 2007-03 Contract No. 2007-021282
Immunization Branch -Locals and any associated documents, by and between the City of
Lubbock and the Texas Department of State Health Services, and any related documents.
Said Change No. 003B and any associated documents are attached hereto and
incorporated in this Resolution as if fully set forth herein and shall be included in the
minutes of the City Council.
Passed by the City Council this 12th day of .7uly , 2007.
DAVID A. MI LER, MAYOR
ATTEST:
a Garza, City S
APPROVED AS TO CONTENT:
Tommy Cam en, Public Health Director
APPROVED AS TO FORM:
- omeyv • counselnsel
ddresi'DSHS[mn-iunizationBranch('on('hange003 B Res
May 31, 2007
STATE OF TEXAS
COUNTY OF TRAVIS
Resolution No. 2007—RO299
DEPARTMENT OF STATE HEALTH SERVICES
a � �
Y
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756-3199
Legacy Contract No. 7560005906-2007-03
Contract No. 2007-021282
Contract Change Notice No. 003B
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. 0036 : 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 Official
Date
Bob Burnette, C.P.M., CTPM
Director, Client Services Contracting Unit
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756
(512)458-7470
Bob. Burnette@dshs.state.tx. us
LUBBOCK CITY HEALTH DEPARTMENT
Signature Gj
� ! d
Date
David A. Miller - Mayor
Printed Name and Title
1902 Texas Avenue
Address
Lubbock, Texas 79411
City, State, Zip
(800) 775-2899
Telephone Number
tcamden@mylubbock.us
E-mail Address for Official Correspondence
A ST: APPROVED AS 0 CO EDIT: CSCU - Rev. 6/06
>w
Reb cca Garza TammyCohde-�,over �
City Secretary Public Health Director vial,rIwitli�
CONTRACT NO. 2007 -021282 -
PROGRAM ATTACHMENT NO. 003B
PURCHASE ORDER NO. 0000320750
CONTRACTOR: LUBBOCK CITY HEALTH DEPARTMENT
DSHS PROGRAM: IMMUNIZATION BRANCH - LOCALS
TERM: 09/0112006 THRU: 08/3112007
It is mutually agreed by and between the contracting parties to amend the conditions of
Contract No. 2007-021282-003A as written below. All other conditions not hereby
amended are to remain in full force and effect.
SECTION II. SPECIAL PROVISIONS is revised as follows:
For purposes of this Program Attachment General Provisions General Business
Operations of Contractor Article Equipment Purchases Section last twont n f i
section are not applicable-
DEPARTMENT OF STATE HEALTH SERVICES
r
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: 0038
DIRECT COST (OBJECT CLASS CATEGORIES)
Current Approved Budget (A)
Revised Budget (B)
Change Requested
Personnel
$117,781.00
$107,141.00
$(10,640.00)
Fringe Benefits
$56,233.00
$49,289.00
$(6,944.00)
Travel
$4,225.00
$3,225.00
$(1,000.00)
Equipment
$0.00
$1,600.00
$1,600.00
Supplies
$0.00
$4,399.00
$4,399.00
Contractual
$0.00
$0.00
$0.00
Other
$20,246.00
$32,831.00
$12,585.00
Total Direct Charges
$198,485.00
$198,485.00
$0.00
INDIRECT COST
Base ($)
$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
SUM_ MARY
Cost Total
$198,485.00
$198,485.00
$000
Performing Agency Share
$0.00
$0.00
$0.00
Receiving Agency Share
$198,485.00
$198,485.00
$0.00
Total Reimbursements Limit
$198,485.00
$198,485.00
$0.00
JUSTIFICATION
Amendment to reallocate previously approved funds to purchase equipment and supplies needed to comply with contract activities.
Financial status reports are due: 12/29/2006, 03/30/2007, 06/29/2007, 10/30/2007
DEPARTMENT OF STATE HEALTH SERVICES
1100 WEST 49TH STREET
AUSTIN, TEXAS 78756-3199
EQUIPMENT LIST CHANGE REQUEST
DSHS PROGRAM: IMMUNIZATION BRANCH - LOCALS
CONTRACTOR: LUBBOCK CITY HEALTH DEPARTMENT
CONTRACT TERM: 09/01/2006 THRU: 08/31/2007
BUDGET PERIOD: 09/01/2006 THRU: 08/31/2007
CONTRACT NO: 2007-021282 CHG: 003B
LEGACY CONTRACT NO, 7560005906-2007-03
PREVIOUS EQUIPMENT LIST
Item # I Equipment Description
Units Unit Cost Total
I$ $
NEW EQUIPMENT LIST
Item # Equipment Description Units
Computer
Dell Latitude D620, Intel Core 2
1 14,.1" wide screen WXGA monitor 1
80GB Hard Drive
Windows XP Professional Operating System
24X CDRW/DVD Drive
Classic Nylon Carrying Case _
Unit Cost
$1,600,00
Total
$1,600.00