HomeMy WebLinkAboutResolution - 2958 - Contract - TDOH - Local Public Health Services - 11/17/1988I! Resolution #2958
November 1.7, 1988
Item #16
DGV:da
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 Contract for
Local Public Health Services by and between the City of Lubbock and the
Texas Department of Health, attached herewith, which shall be spread upon
the minutes of the Council and as spread upon the minutes of this Council
shall constitute and be a part of this Resolution as if fully copied herein
in detail.
Passed by the City Council this 17th day of November , 1988.
• l� '0004.,
'B.C. McMINN, MAYOR
e Boyd, City Secret
APPROVED AS TO CONTENT:
R. D.' -Goodman, Public Hea
Administrator
APPROVED AS TO FORM:
uorx+no u. vanmver,—Fir
Assistant City Attorney
a
Texas Department of Health
Robert Bernstein, M.D., F.A.C.P. 1100 West 49th Street Robert A. MacLean, M.D.
Commissioner Austin, Texas 78756-3199 Deputy Commissioner
(512) 458-7111 Professional Services
Hermas L. Miller
May 23, 1989 Deputy Commissioner
Management and Administration
Anthony B. Way, M.D.
Director
Lubbock City
Health Department
P. 0. Box 2548
Lubbock, Texas 79408
TDH Document No. C9000541
Dear Dr Way:
The vendor identification number (VID) reflected on the above referenced
contract is incorrect. Because this correction requires a change in the base
contract, this letter represents a contract amendment.
Please note the correct VID and the corresponding vendor name (payee) and
address listed below. (In some cases, the payee name is not always the same as
the Performing Agency name.)
This YID, vendor name, and address must be used on all vouchers submitted for
payment under this contract. Any_••devatian..._or••.•_vA•raton of this information may
result in delayed payments.
City of Lubbock
VID# 17560005906037 Vendor Name Health Department
and Address _ P. 0, Box 2000
Lubbock. Texas 7947
Please sign and return this letter within 15 days. A copy of this letter`
should be provided to your financial office responsible for billings and a
copy filed with the original contract for your records.
If you have any questions, please call 512/458-7470.
Sin rely, Concur:
Julian M:�K cfh ,V. :YXuthorized official
Grants Management Division
• MAYOR
JMK:wa
Title
05-30-89
Date
Texas Department of Health
Robert Bernstein, M.D., F.A.C.P. 1100 West 49th Street Robert A. MacLean, M.D.
Commissioner Austin, Texas 78756-3199 Deputy Commissioner
(512) 458-7111 Professional Services
Hermas L, Miller
Deputy Commissioner
Management and Administration
April 3, 1989
Anthony B. Way, M.D.
Director
Lubbock City
Health Department
P.O. Box 2548
Lubbock, Texas 79408
Re: TDH Document No. C9000541
Change 1
Dear Doctor Way:
Enclosed is an approved copy of the above referenced document. Please file it
with the office of record for your agency.
If we may be of assistance, please contact us at (512) 458-7470.
Sincerely,
P�sG-.,
Julian"M. Kosh Jr. Director
Grants Management Division
JMK:TW:w
Enclosure
STATE OF TEXAS
COUNTY OF TRAVIS
TEXAS DEPARTMENT OF HEALTH
1100 West 49th Street
Austin, Texas 78756-3199
CONTRACT CHANGE NOTICE No. 2
TDH Document No. C9000541
The Texas Department of Health, hereinafter referred to as Receiving Agency,
did heretofore enter into a.contract in writing with
Lubbock City Health Department
herein6fter referred to as Performing Agency. The parties thereto.now desire
to amend such contract as follows:
Summary of Transaction:
Revised budget for local public health services contract.
Att.
No.
la
- Delete position
11/88; funds converted to Att. No. 2a.
Att.
No.
2a
- Revised budget
for comprehensive health services.
Att.
No.
8
- New attachment
for maternal and child health services.
All terms and conditions not hereby amended remain in full force and effect.
EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN.
Authorized Contracting Entity (type above
if different from PERFORMING AGENCY)
for and in behalf of:
Lubbock City
Health Department Texas Department of Health
PERFORMING AGENCY RECEIVING AGENCY
C
By: By:
tAigature*dper'sVnaiutor ze Wi§datdre of person authorized
to sign contracts) to sign contracts)
Hermas L. 44iller
Deputy Commissioner
6.c McMinn, Mayor Management and Administration
Name and Title) (Name and Title)
Date: `��f�� �. Dates MAY - 91989
RECOMMENDED: APPROVED AS TO FORM:
By: By: Z.
(PERFORMING -AGENCY D: ctor, Office of General Counsel
'if different from person
authorized to sign contract)
REcRvEo
MAY 191989
UNa CM win �
l
�*_..•.,.,. ,,,..., .. , tdf3�tSLt��Q 1WJW S1t�tl�J
OZ 888 6861
G
DETAILS OP ATTACHMENTS
Att.; TDR
;
Tera ;
State
PCs.
Source
of
No, ; Program
;
Begin ; End ;
or Grant
;
fandst
; Amount
;
►
1
I
1 1
I
1
1
OIA ; COHNUHITT a RURAL HEALTH
;
9/ 1/88; 8/31/89;
Pos.(
41 ;
STATE
; 4
71,451.00
;
02A ; CONHUNIT7 a RURAL HEALTH
19/
1/88; 8/31/89;
Grant
;
STATE
;
25,550.00
;
03 CONMUNITT I RURAL HEALTH
110/ 1/88; 9/30/89;
Grant
(
13.991
; _
40,642.00
04 ; LABORATORIES
;
9/ 1/88; 8/31/89;
Grant
;
IKIIND
;
.00
;
1
1
1
► t
t
►
r
05 ; NATERNAL I CHILD HEALTH
;
!/ 1/88; 8/31/81;
Pae.(
2) ;
13.994
; 1
25,632.00
;
i
i
i
i i
i
i
i
06 ; MATERNAL I CHILD HEALTH
;10/
1/88; 9/30/89;
Grant
;
13.994
;
128,299.00
;
i
i
i
i i
i
i
i
01 ; AIDS
;12/
1/88;12/31/89;
Grant
;
13:118
; 8
31,279.00
;
08 ' UATERRAL E CHILD HEALTH
;
9/ 1/88; 8/31/89;
Grant
;
STATE
; 8
53,238.00
;
i
.►
i
i i
i
i
1
►
i
i
►
1
1 1
1 1
1
►
1
1
1
►
�
i
i
i
i ►
1
1
►
1
1
1
1 +
+
t
►
i
i
i
i t
i
i
1
1
1
,
1
1 I
1
►
1
1
t 1
1
►
►
1
+
1 1
1
1
1
1 I
1
1
1
�
1
1
�
1
1
1
I
1
1 1
1 1
+ +
1
+
+
+
►
+
►
�
►
1
1 1
1
1
+
TDH Document No. CI000541
;IIII
TOTAL !
376,089.00
;
=Federal fends are Indicated by a
number from
the Catalog of federal
Domestic Assistance
(CM),
If applicable.
COYER - page 2
03A13338
n
TEXAS DEPARTMENT OF HEALTH
Receiving Agency/Program: Community and Rural Health
Performing Agency: LubbockCity Health Department
TDH Document No. C9000541 Change #2 Term: September 1, 1988 - August 31, 1989
Attachment/Amendment No. 2a IAC No.
REVISED BUDGET
APPLICATION FOR FEDERAL ASSISTANCE (Short Form)
PART II - BUDGET DATA
Object Class Categories
Current Approved-
Budget (a)
Change Requested
(b)
New -or Revised -
Budget (c)t:-
1. Personnel
$.00
$10,840.00
$10,840.00
2. Fringe Benefits
.00
2,710.00
2,710.00
3. Travel
4. Equipment
.00
.00
.00
.00
.00
.00
5. Supplies
.00
.00
.00
6. Contractual
12,000.00
.00
12,000.00
7. EeRstFvet4en (N/A)
XXXXXXXXXXXX
XXXXXXXXXXXX
XXXXXXXXXXXX
8. Other
.00
.00
.00
9. Total Direct Charges
$12,000.00
$13,550.00
$25,550.00
10. Indirect Charges
.00
.00
.00
11. TOTAL
$12,000.00
$13,550.00
$25,550.00
12. Federal Share
$12,000.00
$13,550.00
$25,550.00
13. Non -Federal Share
$.00
$.00
$.00
14. Program Income
$.00
$.00
$.00
15. Detail on Indirect Costs:
Type of Rate (Mark one box) _Provisional Predetermined
Final Fixed
Rate % Base $ Total Amount $
PART III - Program Narrative Statement
(Attach additional sheets, if necessary)
Revised budget for comprehensive health services to increase funds for local
personnel costs in lieu of state position. Funds converted from Att. la to
Att. 2a effective 11-88; Dental,Asst. II LC000-125.
Revised number to be served: 26,333;(no change, combine atts. la, 2a and 3).
OMB N0."90-RO185 TDH CONTRACT BUDGET REVISION FORM, GC -9a
-.W y
4. Z
No Text
{
ATTACHMENT NO. 08
PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT
RECEIVING AGENCY PROGRAM: BUREAU OF MATERNAL AND CHILD HEALTH
TERM: September 11 1988 THROUGH• August 31, 1989
SECTION 1. SCOPE OF WORK:
This allocates funds in support of the scope of work in Attachment No. 05.
(That Attachment contains the number of clients and geographic area to -&e-
served.)
eserved.)
SECTION II. LEGAL AUTHORITY:
State Legalisation Impact Assistance provisions of the"Immigration Reform and
Control Act of 1986.
SECTION III. SPECIAL PROVISIONS:
None.
SECTION IV. BUDGET:
Personnel $42,841.00
Fringe Benefits 10,397.00
Travel .00
Equipment ..00
Supplies .00
Contractual .00
Other .00
Total Direct $53,238.00
Financial reports are due the 20th of December, March, June, and September and
the:15th of October. '
Total amount of this Attachment shall not exceed $539238.00.
-1-
Holsima wow SO."
9s xv sz 8av ss�
nen AB
TEXAS DEPARTMENT OF HEALTH
1100 West 49th Street
Austin, Texas 78756-3199
CONTRACT CHANGE NOTICE No. 1
STATE OF TEXAS TON Document No. C9000541
COUNTY OF TRAVIS
The Texas Department of Health, hereinafter referred to as Receiving Agency,
did heretofore enter into a contract in writing with
Lubbock City Health Department
ereinafter referred to as Performing Agency. The parties thereto now desire
to amend such contract as follows:
Summary of Transaction:
Contract for Local Public Health Services
Attachment 7 - AIDS Prevention and/or Surveillance Program.
All terms and conditions not
EXECUTED IN DUPLICATE ORIGINA
hereby amended
LS ON THE DATES
Authorized CoQtracting Entity (type above
if different from PERFORMING AGENCY)
for and in behalf of:
Lubbock City
Health Department
PERFORMING AGENCY
By:
Signature of person aut orize
to sign contracts)
Rita Harmon, Assistant City Manager
Name and Title)
Date: February 20, 1989
RECOMMENDED:
PERFORMINGAGENCY D rector,
if different from person
authorized to sign contract)
remain in full force and effect.
SHOWN.
Texas Department of Health
RECEIVING AGENCY
By
(S4qnatfjre of person authorized
to sign contracts)
Hermas L. Miller
Deputy Commissioner
Management and Administration
Name and e
Date: MAR 3 0 1989
APPROVED AS TO FORM:
Byt
i 0 ice o Genera kmt_t��_
Cover - Paged
D 1 7 A I L S 01 ATTACHNBNTS
I
Att. 1
TUH
I
Term I
State Pos. I
Source of
I I
No. (
I I
Program
I Begin End I
I I I
or Grant I
I
Fund,,*
1 Amount 1
i
i
01 I
COHNUNITY & RURAL HEALTH
I
1 9/
I I
1/881 8/31/891
i
Pos,( 5) 1
STATE
1 $ 82,731.00 1
1 02 1
CONHUNITY & RURAL HEALTH
1 9/
1/681 8/31/891
Grant I
STATIC
1 $ 12,000.00 1
( 03 i
CONHUNITY &RURAL HEALTH
110/
1/881 9/30/891
Grant 1
13.991
1 $ 40,542.00
( 04 I
LABORATORIES
1 9/'1/881
8/31/891
Grant I
INKIIID
I .00
05 I
MATERNAL & CHILD HEALTH
1 9/
1/881 8/31/891
Pos.( 21 1
13.994
1 25,632.00 1
i
1 06 1
MATERNAL & CHILD HEALTH
I
11011/881
I I
9/30/891
I
Grant 1
13.994 1
I I
f 128,297.00 1
1 07 1
I
I
AIDS
112/:1/88112/31/891
I
I I
Grant 1
I
13.118 I
I
f 31,279.00
i
I I
I
I
I
I
11
I i
I I
11 I
I I
I
11
i
i
i
I
I
i
I
i
I
I
I I
i
I I i
I { I I
II
1 TDH Document No. C9000511
(1111111111111111111111111111111
TOTAL
li 320,581.00 1
Change No. !1
I
*Federal funds are indicated by a number from the Catalog of Federal Domestic Assistance (CFDA),
if applicable.
COVER - #age 2
ATTACHMENT NO. 07
I
PERFORMLNG AGENCY: LUBBOCK CITY HEALTH DEPARTMENT
RECEIVING AGENCY PROGRAM: AIDS DIVISION
TERM: December 1, 1988 THROUGH December 31, 1989
SECTION I. SCOPE OF WORK:
PERFORMING AGENCY will conduct an AIMS Prevention nncl Sur%ci.11ance Pror ram by
designing, Implementing and maintnlni.np,the fi.11.lowing activities:
Counseling, Test int;, and Partner Notif i.cation
Art VII iCS will be. conducted and reports suhmi.t tV•,1 nc•cor 11111, tO 41 I'll �I
Mork plan and established program procedures a:3 specifi.nri by RECEIVING AGENCY.
AIDS Division, which are incorporated by reference and mar5c a part. hereof.
Additional guidance on these activities can be obtained from:
Guidelines for AIDS Prevention Program Operations
Public Health Services Guidelines for Counseling and Antibody Testing
to Prevent HIV Infection slid AIDS, I.IPIWP. 1987, 36, 509-51
Revision of the CDC Surveillance Case Definition for Acquired
Immunodeficiency Syndrome, MM14R 1987, 36, 614
Guidelines for Surveillance of Acquired Immunodeficiency Synd►.ome.
August 1986, Draft
Performance. Evaluation Program: Testing for human ImmunodefIciency
Virus Infection, MMWR 1987, 36, 614
• Protocol and Guidelines for Seroprevalence Surveys
PERFORIII14G AGENCY will provide an estimated 1,500 clients with
serx-ices /units of service in or benefitting the geographic area defined as:
LUBBOCK.
SECTION II . LEGAL AUTHORITY:
Sec. '301a of the HIS Act 142 USC 241(a)]', as amenrled. Sec. 311h of the PHS
Act (42 USC .243(b)), as amended, and Sec. 318 of the PHS Act 142 USC 247(c)],
as amended.
SECTION III. SPECIAL PROVISIONS:
If funds are provided and activities require that program staff grave]
outside the territory of PERFORMING AGENCY, PERFORMING AGENCY will authorize
this travel and pay employee expenses using the funds provided.
Confidentiality of all records is required. The information obtained in
connection with exominnt.ion, care and/orother services provided to an
individual through any program which is !being_, carried out under this
contract wi11 not, without the lndividual's consent, be disclosed V,1 -rept as
may be required by a law of the state. 'Information derived from any such
program may be disclosed (1) in summary," statistical, or other form. (.-)r
-1-
(2) for clinical or research purposes but only if authorized by RECEIVING
AGENCY and the identity of the individuals diagnosed or provided care under
this program is not disclosed.
PERFORMING AGENCY must comply with the document: "Content of AIDS -Related
Written Materials, Pictorials, Audiovisuals, Questionnaires, Survey Instru-
ments, and Education Sessions (January 1988)," which is incorporated by
reference and made a part hereof.
Quarterly progress and summary statistical reports required as a conditLon
of this contract are due twenty (20) days after the end of etch quarter.
Finns reports will include a summary of'octivities for the entire protect
period and are due not later than forty "'five (45) days after the end of
the term.
PERFORMING AGENCY will not enter into subcontracts without prior written
approval from RECEIVING AGENCY.
SECTION IV. BUDGET:
Personnel $21,216.00
Fringe Benefits 5,013.00
Travel 11800.00
Equipment .00
Supplies 2,000.00
Contractual .00
Other .00
Total Direct $30,029.00
Indirect 1.250.00*
Total $31,279.00
Financial reports are due the 20th of April, July. October, and January and
the 15th of February.
Total amount of this Attachment shall not exceed $31,279.00.
*UGCMS Table 1.
Mc
a �
A
Texas Department of Health
Robert Bernstein, M.D., EA.C.P. 1100 West 49th Street Robert A. MacLean, M.D.
Commissioner Austin, Texas 78756-3199 Deputy Commissioner
(512) 458-7111 Professional Services
Hermas L. Miller
Deputy Commissioner
Management and Administration
January 20, 1989
Anthony B. Way, M.D.
Director
Lubbock City
Health Department
P.O. Box 2548
Lubbock, Texas 79408
Re: TDH Document No. C9000541
Dear Doctor Way:
Enclosed is an approved copy of the above referenced document. Please file it
with the office of record for your agency.
If we may be of assistance, please contact us at (512) 458-7470.
Sincerely,
Tzrn
UG�qL
4&L -Julian M. Kosh, Jr., Director
Grants Management Division
JMK:TW:wa
Enclosure
RUCENED
JAN 2 31989
k ueeeer t� m__,_ A��:
TEXAS DEPARTMENT OF HEALTH CONTRACT
1100 West 49th Street
Austin, Texas 78756-3199
STATE OF TEXAS
COUNTY OF TRAVIS TDH Document No. 09000541
This contract is between the Texas Department of Health, hereinafter referred to
as RECEIVING AGENCY, and the party listed below as PERFORMING AGENCY and
includes general provisions and attachments detailing scope(s) of work and
special :provisions.
PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT
1
I
(PRINT or TYPE) `
Mailing Address: P.O. BOX 2000 LUBBOCK X 79 57�0
_�_01
.i y ( )(Zi) I
Street Address: 2 TEXAS AVENUE LUBBOCK.- 7 4r5�7 00001
I different) ity (JX
(Lipp —I
Authorized Contracting I
Entity: City of Lubbock
I different rom I
yypeof Organization: I
designate individual, corporation partnership, nonprofit organization, 1
I city, county, council of gov rnment, special purpose district, local health 1
I unit, department or district i
1
Is this a small business NO (Yes/No) and/or minority/woman owned NO (Yes/No)
i
PERFORMING AGENCY Fiscal Year Ending Month: SEPTEMBER I
Vendor; Name: LUBBOCK CITY HEALTH DEPARTMENT i
(must match with vendor identificationnumbers owh below) 1
1
Vendor,Address: .0. BOX 2900 LUBBOCK
imust match with vendor i en ification num er shown elow)I
State sof Texas Vendor Identification No. (14 digits): 17560005906001 i
I
Finance Officer/Contact: Douro Goodman I
i
Summary of Transaction: I
CONTRACT FOR LOCAL PUBLIC HEALTH SERVICES. i
COVER - Page 1
DETAILS OF ATTACRNENTS
i ALL.i
TYR
;--Term
;
State Poo.
; Source of
No.
;Program
; Begin ;
End
or Grant
Funds$ ; Amount
'
01
j CONNUNITY t AURAL RIALTO
; 9/
1/88
8/31/89
Pos.( 5)
; STATE i
82,931.00
02
; CONNUNITY L AURAL HEALTH
; 9/
1/88;
8/31/89;
Grant
; STATE ;
12,000.00
1
I
I
1
I
I I
03
CONNUNITY I AURAL HEALTH
;10/
1/88
9/30/89
Grant
13.991 ; S
40,642.00 ;
�
1
04
; LABOAATORIBS
; 9/
1/88
8/31/89
Grant
; IN[IND
.00 '
05
; NATEANAL A CHILD HEALTH
; 9/
1/88
8/31/89
Pas.( 2)
; 13.994 ; $
25,632.00 ;
1
1
1
06
; MATERNAL L CHILD RIALTO
;10/
1/88
9/30/89
Grant
; 13.994 =
128,299.00 ;
1
1
1
1
I
1
1
I
1 1
1
I
I
I
1
1
j j
1
1
t
1
1
1
1
1
I
I
1 I
1
1
1
1
I
1
I
1
—TO
1
;111111111111111111111111111111;
I
I
289,302.00
H
Docusent No. C9000541
TOTAL 3
$Federal
funds are indicated by a
number from the Catalog of Federal Domestic Assistance (CFDA),
it
applicable.
COYER - Page 2
EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN.
CITY OF LUBBOCK
Authorized Contracting Entity (type above
if different frog PRRFORNING AGENCY)
for and in behalf of:
LUBBOCK CLTY HEALTH DEPARTMENT
PERFORNING AGENCY
By: •.
( ignature of person authorized
to 'sign contracts)
B.C. McMINN, MAYOR
(Rase and Title)
Date:
RECONKENDED:
By:
(PBRFORKING AGHUC rector,
if'.different frog person
authorized to sign contract)
Aita+ruvad as b, ktna
s
lara.tRpc;�"..-
TEXAS DEPARTNEXT OF HEALTH
RECEIVING AGENCY
By:
(Signature of person authorized
to sign contracts)
Hersas L. Killer
Deputy Coalissioner
Kanatement and Administration
(Rase and Title)
Date: JAN 181989
APPROVED AS TO FORK:
By:
Office of General Counsel
COVER - Page 3
GENERAL PROVISIONS FOR
TEXAS DEPARTMENT OF HEALTH CONTRACTS
PERFORMING AGENCY and RECEIVING AGENCY agree this contract, assurances,
general and/or special provisions, and Attachment(s) with detailed scope(B) of
work and budget(s), as applicable, incorporate all covenants and agreements
pertaining hereto. No prior agreement or understanding, oral or otherwise$ of
the parties or their agents shall be valid or enforceable unless embodied in
this contract.
PERFORMING AGENCY hereby assures compliance with the following terms and
conditions unless otherwise specified in the Attachment(s) hereto:
ARTICLE 1. Scone of Work
PERFORMING AGENCY shall perform the work outlined in the Scope(s) of Work
contained in the Attachment(s) hereto which is/are referenced in the Details
of Attachments and hereby incorporated and made a part of this contract, plus
amendments which may be added by additional Attachment(s) from time to time as
hereinafter provided.
Satisfactory performance of this contract shall be measured in part by: 1)
adherence to the contract; 2) results of CPA or State Auditor reports; and
3) timeliness, completeness, and accuracy of required reports.
ARTICLE 2. Tern
The time period of this contract shall be governed by the term(s) on the
Attachment(s). No commitment of contract funds is permitted prior to the
first day nor subsequent to the last day of the term. The term may be
extended by amendment(s).
ARTICLE 3. Funding
This contract is contingent- upon funding being available for the term of the
Attachment(s) and PERFORMING AGENCY shall have no right' of action against
RECEIVING AGENCY in the event that RECEIVING AGENCY is unable to perform its
obligations under this contract as a result of the suspension, termination,
withdrawal, or failure of funding to RECEIVING AGENCY or lack of sufficient
funding of RECEIVING AGENCY for any Attachment(s) to this contract. If funds
become unavailable, provisions of the Termination Article shall apply.
ARTICLE 4. Amendments
This contract may be amended and such amendments shall be in writing and duly
executed by the parties hereto.
ARTICLE 5. Severability
If any provision(s) of this contract shall be construed to be illegal or
invalid, it shall not affect' the 'legality or validity of any of the other
provisions hereof, and the illegal or invalid provision shall be deemed
stricken and deleted herefrom to the same extent and effect as if never
incorporated herein, but all other provisions shall continue.
GENERAL PROVISIONS - Page 1
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any activity designed to influence legislation or appropriation pending before
legislative bodies of the state and/or federal government.
ARTICLE 8. Standards For Financial Manaeeaent,
i
PERFORMING AGENCY shall develop, implement,.and maintain financial management
and control systems which meet or exceed the requirements of UGCMS. Tho
e
requirements include at a'minimum:
1. Financial planning, including the development of budgets that adequately
reflect all functions and resources necessary to carry out authorized
activities and adequate determinationf costs.
2. Financial ;management system including accurate, correct, and complete
payroll, accounting and financial reporting records, cost source
documentation, effective internal andlbudgetary controls, determination of
reasonableness, allowability and allocability of costs, and timely and
approp,late audits and resolution of any findings.
3. Billinf and collection policies, including a charge schedule, a system fpr
discounting or adjusting charges based on a person's income andfamily
size,mechanism capable of billing, and making reasonable efforts to
collect from;patients and third parties, and procedures for aging accounts
and writing off ;pad debts.
ARTICLE go Allowable Costs
Only those costs allowable under UGCMS and/or applicable federal cost
principles are eligible for reimbursement under this contract. Applicable
cost principles:
1. OMB Circular A-87, "Cost Principles Applicable to Grants and Contracts
with State and Local Governments"
2. OMB C rcular A-21, "Cost Principles for Educational Institutions"
3. OMB C rcular A-122, "Cost Principles for Nonprofit Organizations"
To be eligible for reimbursement under this contract, a cost must have been
incurred within the attachment term and paid by the PERFORMING AGENCY prior to
claiming reimbursement from the RECEIVING4GENCY or encumbered by the last day
of the attachment term and liquidated nollater than 45 days after the end of
the attachment term.
ARTICLE 10. Overtime Comnensation
r
Unless specifically authorized in Attachment(s) to this contract or
amendment(s) hereto, none of the funds provided by Attachment(s) shall be used
to pay overtime. PERFORMING AGENCY shall .be responsible for any obligations
of overtime pay due employees which are not.so authorized by RECEIVING AGENCY.
ii
ARTICLE 11. Terms and Conditions of Payment
For services satisfactorily performed p
ursuant to the Scope(s) of Work„
PERFORMIrG AGENCY shall receive reimbursement for allowable costs'.
Reimbursements shall not exceed the totallof each.Attachment(s) hereto and are
contingent on a signed contract.
GENERAL PROVISIONS Page 3
t aBsd - SNOISIAORd 'IVHZNBO
'oTgss aqg goassoo og Assssaoau gunoms aqg UT sagonoA ossgosnd svxay jo agsgS
pus uotgsoyjTgsnf UaggtaM s AON9OV ONIAIWag og gTmgns Asm AON9OV ONIKHOA IBB
'sasuadxe BuTgssado agstpommT gaam og spank Teuotgtpps spaau A3N99V ONIKHOAHHd
pus guamgsnrpe pssMdn Us jo asso aqg uI 'gunoms pasTnbas aqg Aq smTsjo asngnj
sonpaj og uoTgdo agg suTsgas XONBOVONIAIBORE 'aaUSAps aqg og Wu mgsnfps jo
gunoms aqg uo aasBs Tisgs AONHOV ONIAIHDZH PUV AONZOV omin0na-i 1guam4snCpv
pssMUMop s ao asBo aqg uI 'sgsoo BuT,4esado sgguom owl se4vmTxoadds
Jo guamgasggV gguom-aATaMg s Jo q49/I sagsnbe IT TTgun eausnpv ajgBMojTs
aqg o4 guamgsn.ps pssMuMop so psBMdn aaTnboi AVE gassguoo sTgg og sguampuamd
'(BlvTnasTO Tssapaa pus SNOOn) guamassngstp soj
spaau gsso agstpaMMT gaam og ATuo uMssp aq Aum spun] aaUsnpV -pusq uo spunj
aoUSAps aAsq you TTTA AONH!)V ONIK8049Hd 'BUTTTTq ATgguom TsuT3 aagJs 'g8gg
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ssxay Jo agsgS uo pagsanbas aq TTsgs aaUSApV 'guamgovg4V gguom-aATaMg
s jo (qg9/I) ggxts-auo paaoxa you TTsgs sousAps aqg jo gunoms 'guamgosggV
gosa soj 'saeaMoq !(s)guamgosggV aqg jo msag.puv gunome Aq pautmaagap
aq TTsgs aousnps To gunomV •AONNOV ONIA MM9 jo aouassnouoo pus uoTgsoTJIgsnf
aadoad ggTM aouseps amTg auo s NUTgTSM UT gsanbaa Aum AON9OVONINHoagZd
sg a sd aoUeAPV 'ZI S'IOIZSV
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nsa8osd jT so 'potsad TButj aqg aoj ao saagasnb snoteasd aoj ajtj uo
IOU ass sgsodas TsTousuT3 pasTnbas jt eousTTdmoouou aoj paTuap aq Avm guamAud
'AONHOV ONIN8038Zd aqg Aq AONZOV ONIAIZOHN
eq -4 og papunjaa you pus sasngTpuadxa aTgTJITTaut Aus soJ AONaDV ONINHOANSd
aqg og opsm guomasangmTas Aus 498JJo og ADNBOV ONINHO-9-89d aqg og sguamAsd
asngnj Aus jo jssd so TTs PTogggTM og gg9Ta aqg eAsq TTsgs AONZOV ONIAINONB
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ONIMBOAHad aqg spun) Aus AONZOV ONIAIOSH og punjas TTsgs AONZDV ONINHOAHBd
OSITATgas asTnotgjsd s soJ AONBOV ONIKHOMd og aTgsTtsns ATguaasno
spun] TsooT so agsgs assasouT og spuna gons asn TTBgs AONBOV ONIKHOAHad gnq
spun) TsooT 40 agsgs gusjddns og pasn aq you TTTM gogaguoo sTgg most ButpUn3
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agep aqg uo apsm pasapTsuoo BY guawAvd 'ssagonoA ATgguom jo gdtaoaa aagjs
sAsP 09 uvgg sagsT goo paTTsm aq TTsgs gousguoo stgg og (s)guamgasggV gsUTVBV
paggtmgns smTsTo Jo Tstuap Jo aoTgou so smTsTo paeosdds soj apsm sguamAsd
'gossguoo sTgg 10 suoTsTAosd aTgsoTTdds aqg ggTM aouspaoaas UT pagsanbas
eq Asm guamAsd aousApV '(s)maag guamgosggd jo pus aqg BUTMoTTo3 sAsp gt, usgg
sagsT IOU TIN Ino-asoTo TsuTI s ss paggtmgns aq AVM mtsTo do-axsm V 'TTtq
aqg Aq pasaaoo gguom aqg jo pua agg BuTmOIT01 sAsp 09 utggtM ATgguom paggtmgns
aq TTsgs sasuedxe Tsngos jo guamassngmtas soj ssagonoA '(L£ -OV# msod
Hai) sagonoA essgosnd svxas jo agsgS uo epsm eq TTsgs guamassngmtaa aoj smTsTO
ARTICLE 13. Proram Income
PERFORMING AGENCY shall develop a fee for service system and a schedule of
fees for personal health services in':accoedance with the provisions of Article
4414c, V.T.C.S. , ; and the Texas Board of Health rules covering Fees for
Clinical Health Services (25 TAC, Sec. 11.91) and other applicable laws!.
provided,'however, that a patient may notbe denied a service 'due to inability,
to pay.
All revenues received from the delivery of contract services shall be
identified, reported, and shall be utilized as provided in this article. Such
program income shall be retained by PERFORMING AGENCY and: (1) be used by
PERFORMING AGENCY for any purposes which further the objectives of the program
and the Scope of Work for the Attachment(s) and be deducted from total
project costs, or (2) be deducted from total project costs.
This is according to RECEIVING AGENCY policy interpreting UGCMS, a copy of
policy is!provided on request and is?incorporated by reference as a condition
of this contract.
ARTICLE 14. Financial Reports
Financial reports are required as ;Provided in UGCMS and shall be filed
regardless of whether or not expenses` have been incurred.
Quarterly
Financial Status Report, State of Texas Supplemental Form 269a (TDH Form GC -
4), shall be submitted within 20 days'following the end of each quarter.
Annual/Final
A final report, Request for Advance Or Reimbursement, Form 270 (TDH Form GC -#-
10) shall be submitted not later than 45 bays following the end of Attachment
term(s). An amended Form 269a shall be submitted if the amount of
expenditures reported in the last quarter changed. If necessary, a State of
Texas Purchase Voucher will be submitted if all costs have not been recovered
or a refund will be made of excess monies if costs incurred were less than
funds received.
ARTICLE 15. Reports and Inspections
PERFORMING AGENCY shall submit financial, program, progress, and other reports
as requested by RECEIVING AGENCY in the format agreed to by the parties
hereto.
RECEIVING AGENCY and, when federal funds are involved, any authorized
representatives of the federal government, have the right, at all reasonable
times, to inspect, or otherwise evaluate the work performed or being performed
hereunder and the premises in which it is being performed. PERFORMING AGENCY
shall participate in and provide reasonable access, facilities and assistance
for the representatives. All inspections and evaluations shall be performer(
in such a manner as will not unduly delay the work.
GENERAL PROVISIONS - Page 5
a
ARTICLE 13. Proram Income
PERFORMING AGENCY shall develop a fee for service system and a schedule of
fees for personal health services in':accoedance with the provisions of Article
4414c, V.T.C.S. , ; and the Texas Board of Health rules covering Fees for
Clinical Health Services (25 TAC, Sec. 11.91) and other applicable laws!.
provided,'however, that a patient may notbe denied a service 'due to inability,
to pay.
All revenues received from the delivery of contract services shall be
identified, reported, and shall be utilized as provided in this article. Such
program income shall be retained by PERFORMING AGENCY and: (1) be used by
PERFORMING AGENCY for any purposes which further the objectives of the program
and the Scope of Work for the Attachment(s) and be deducted from total
project costs, or (2) be deducted from total project costs.
This is according to RECEIVING AGENCY policy interpreting UGCMS, a copy of
policy is!provided on request and is?incorporated by reference as a condition
of this contract.
ARTICLE 14. Financial Reports
Financial reports are required as ;Provided in UGCMS and shall be filed
regardless of whether or not expenses` have been incurred.
Quarterly
Financial Status Report, State of Texas Supplemental Form 269a (TDH Form GC -
4), shall be submitted within 20 days'following the end of each quarter.
Annual/Final
A final report, Request for Advance Or Reimbursement, Form 270 (TDH Form GC -#-
10) shall be submitted not later than 45 bays following the end of Attachment
term(s). An amended Form 269a shall be submitted if the amount of
expenditures reported in the last quarter changed. If necessary, a State of
Texas Purchase Voucher will be submitted if all costs have not been recovered
or a refund will be made of excess monies if costs incurred were less than
funds received.
ARTICLE 15. Reports and Inspections
PERFORMING AGENCY shall submit financial, program, progress, and other reports
as requested by RECEIVING AGENCY in the format agreed to by the parties
hereto.
RECEIVING AGENCY and, when federal funds are involved, any authorized
representatives of the federal government, have the right, at all reasonable
times, to inspect, or otherwise evaluate the work performed or being performed
hereunder and the premises in which it is being performed. PERFORMING AGENCY
shall participate in and provide reasonable access, facilities and assistance
for the representatives. All inspections and evaluations shall be performer(
in such a manner as will not unduly delay the work.
GENERAL PROVISIONS - Page 5
9 aNUd - SNOISIAOUd 'IV88N8J
'saangsaa jo uoTgdposap paTtsgap s gTmgns gsnm AONHDV ONIN80988d) onTUA gtun
jo ssaTpasBaa sasBgo.xnd quamdTnba Nutss000ad Ulgp TTU (j) aoj paatnbaa osTU
sT AONBJV DNIAI8Oa8 moat TUAoaddU ualgTaM aoTad •asaA auo uUgq aaom jo DJTI
Tnjasn s pine aaom ao Ogg$ jo gsoo lTun U ggTM Agaadoad sU pauTjap BT Agaadoad
aTgspuadxauoN 'AONaDV JNIAI8O88 agq Aq NuTgTaM UT pozTaoggns ATTvotatoads
sseTun aaom ao Ogg$ jo gsoo IsuTNTao uv glTM Agaadoad aTgspuadxauou
jo magT Aus losaquoo stgl sapun esvgoand lou Tjsgs AONdJV JNIN80d88d
•goUaquoo stgq sapun aoj papTAosd smuiNoad
aq-4 oq sTgsingtalqU amoout msa$oad Aq papTAosd spun] gITM ao gosaquoO stgq
sapun papTAosd spun] g4Tm pTsd squemaaaNU sssgoand-assaT g8noag4 suotltstnbos
sapnTauT osis STU •goUaquoo agq jo Niel aqq gnog8noagq ADMV JNIN80d89d
jo amsu agq uT aq TTsgs uTaaaq papTAosd spun] moaj posvgosnd Alaadoad
TIs oq OVW4 'SNMn uT glJ0J las su0Tgtpu03 pub suotlsBTTgo agq of loafgnS
3TTTgVjUU033d AIJOaOJd '81 g'IOIZBV
•mvT atgsoTTddU glTM eouspa000U UT aq TTUgs
'aToTgaV suorgoodsul pine slaoda8 agq Aq paJTnbaj uoTgsmaojut NutpnTouT `AONaDV
JNIN80d8ad Aq uotlsmaojuT luatlsd TsTluapTJuoo jo.aansoTostp AUV •loUaluoo
stgq sapun popunj saTgtATgos aql gltM uotgoauuoo UT pauTUquTUm ass goTgM MUT
Aq TstquapTJuoo pamaap sluamnoop aaggo ITB pus spaooaa luatlgd 3o aansopstp
alstadoaddsuT moaj goagoad of goaJJa UT magsAB s aABq TTTM AONSOV ONIN8098dd
lTTstluapTJuoO 'LT BZOIZBV.
•loUaquoo sTgq jo smaal agl pus MUT Aq
pajTnbea sU samTq TIU lU pautslutsm aq ITTM spaooaa quatgsd jo AjTTUTIuapTJu03
•saalasnbpsaq AONHJV ONIAIaDHE 04 paaaajsuUal aq Arm
spaooaa aqq 'AONHJV JNIAIaDag aqq jo uoTgdo agl lU 'JO 90YAJas agl anutluoo of
saaa8s gUgl AlTqua aaggous oq paaaajsusaq aq Arm spsoaa8 'AONHDV ONINSOMM
oq aotlou aaggTaM uodn spaooaa luatTo 3o aaJsuUaq agl aatnbaa Arm AONaJV
JNIAIaaag agq 'lusmeaaNU agl agsutmaal of apToap pTnogs AONdJV ONIAMOU
ao/pus AONBJV JNIN80d8Hd aqq 'maaq gosaquoo sTgl NuTanp amTl Aus is jI
•asTas Arm
lUgl saousgsmnoato aaggo ao uotgsN M T 'ltpns ao3 soTdoo utslgo ao spaooaa agl
oq ssaooU aAUq of lgNTa aqq suTslaa AONdJV JNIAI8Od8 aqs 'AONHOV JNIN80988d
aqq jo Alaadoad aql ass spaooaa quaTTo TTs 'maaq gosaluoo agl jo pua aql lV
spa03a8 quatTO '91 91311HV
•saFUOT sT poTaad amTq aaAagoTgM 'suotgsanb gtpns TTU jo uoTlnTosaa TTlun
ao gosaquoo sTgq sapun palgTmgns laodaa aangtpuadxa IsUT aqq jo agsp aqq moaj
sasaA aa.Tgq jo poTaad U aoj spaooaa qons TTU uTsgaa TTUgs AON39V JNIN80d83d
•squemAud IUSaIIT
ao aATssaoxa aaeooaa of AONBJV' JNIAI3Od8 ao lgNTa aqq 090130JOJ lou TTUgs
gosaquoo stgl sapun quamAsd •quamAUd aa43e pus aaojaq ggoq 62uTTITq lTpns of
IgITJ aql aAUq TTUgs AMOV ONIAI3O8N •loUaquoo aql of palUTaa suotgossuUal
jo sgdTaosusal puU 'sgdaaoxo 'uoTlsuTmsxa 'lTpns NuTNvw 3o asodand
eql aoj AON80V JNIN80d8dd jo spaooaa pus saadsd 'sluamnoop 'sxooq luauTlaad
AUV of ssaooU eAUq TTUgs 'BOATlUluasaadaa paztsoglnU ATnp aTagl 3o Aus
ao quamuaaeoN Tsaapal aql Pus AONNJV ONIAIMH lvgl saaaNU AONZOV JNIN80d2Idd
make and model, cost, and a justification) and (2) any additions to or
deietions;of approved equipment purchases.
PERFORMING AGENCY shall maintain a property inventory and administer,a program
of *aintenance, repair,'and protection of assets provided under this contract
so as to assure their full availability and usefulness for performance under
this contract.
PERFORMING AGENCY shall submit an annual report of nonexpendable personal
property at'the end of the Attachment(s) term. A format based on UGCMS, A-
102, Attachment N, is'provided by RECEIVING AGENCY on request.
Inithe event PERFORMING AGENCY is indemnified, reimbursed, or otherwise
compensated for any loss of, destruction of, or damage to, the assets
provided under this contract, it shall use the proceeds to repair or replace
said assets.'
property purchased by PERFORMING AGENCY pursuant to this agreement is no
r needed or usable_in the project or program supported by this agreement,
sition shall `be in accordance with UGCMS.
IVING AGENCY retains the option to recover all unused supplies and usable
xpendable property purchased under this contract upon the termination of
Attachment(s).
Subcontracting
ORMING AGENCY may enter into agreements with subcontractors unless
ricted or otherwise prohibited in specific Attachment(s). Subcontracts,
ny, entered into by PERFORMING AGENCY shall be in writing and subject to
requirements of this contract. PERFORMING AGENCY agrees that it shall be
onsible to RECEIVING AGENCY for the performance of any subcontractor.
Cogvrights and Publications
?ORMING AGENCY understands and agrees that where activities supported by
contract produce original books, manuals, films, computer programs
Juding executable computer programs and supporting data in any form) or
'r original material, PERFORMING AGENCY may copyright such material
sect to any rights to same reserved by or vested in the federal government
any agency thereof; however, RECEIVING AGENCY may grant to PERFORMING
XY limited rights to produce, publish, and use such materials as
-opriate.
'ORMING AGENCY may publish at its expense the results of contract
ormance with prior RECEIVING AGENCY review and approval. Any publication
tten, visual, or sound) should include acknowledgement of the support
lived from RECEIVING AGENCY :and the appropriate federal agency, if
icable. At least three copies of any such publication must be provided to
IVING AGENCY. RECEIVING AGENCY reserves the right to require additional
es before or after the initial review..
GENERAL PROVISIONS - Page 7
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aq4 aTggua ol papaau aq aaojaaagl pTnoM gOTgM juampuamu uodn aaalg of aTggun
eq pTnogs saTiagd eqj 11 •sTgTssodmT ,O aTgguosgaaun 'Alagd sago a jo grid
eqI uo ',4oga-4uoo sTgI ao-.u8mTTTJTn3 panuTIuoo xepuej oq sg os pag9ada94uT
AT-TgTOTpnf ao popuawv aq pTnogs s4u8X9JTnbaa aag4o ao smvT 04v4s ao Tgaapaa
lvg4'4u9ea aq4 ut paivutmaal aq Agm o4aaaq (s)4uamgov44V Aug ao 40VJIUOO sTgs
•04up UOIJUUTm104
eqI oI aoTad paaanouT ATaadoi d aaaM goigM suoT'4glTTgo aTggTaougouou
401 AONHDV DNINEOJHHd 03 ITPaao.TTnd MOTTs TTggs AONHOV JNIAIHOHE
*OTgTssod sB suoT4v2TTgo 2uTpuv,4sgno. Augur Ou TaaugO TTvgs pug aIgp aAtIoaaJa
aqI JOIJV 'suoT492TTgo Mau snout '4ou TTBgs AONZf)V ONINHOOHd 'uOTlgoTJTJou
4Bg4 jo ldTaoaa uodn pa�.gutm.xa4 aaB/sT 4ogaluoo orgl of (s)�uamgog44d
gons pug jogj gons Jo AONHDV ONINHOSERd 04 uoTIVOTJTIou u844TJA apTAo.id
AT949tpaMT TTBgs A3NHDV ONIAIHOHN •sasodand qons 4pi spun] TguoTITppg uTv4go
oq aTggun sT ADNHDV DNIAIHOHE pus 'poised 492pnq (s)Iuamgogj-4d Aug $utanp
aTgvTTVAgun ao 'palaTdap 'paonpaa amooeq pTnogs o4aaaq (s)juamg3vjjv Aug ao3
palgooTT9 spun] 3T paIVUTma94 aq Agm ogasaq (9)luamgov4gV Aug so 13galuoo sTgs
•04up uoTjguTwaa4 aqj 04 JOTjd paaanouT
ATaadoad OJOA gOTgM suoTIuFTTgo aTggTaaueouou..to� )LO DNINHOAHHd 04
jTPaao TTn3 MoTTg TTggs AONHDV DNIAIHORH •aTgTssod su suoTIVFTTgo BuTpugIs-4no
Augm ss Taouso TTggs pug OIVP aATIoaJJa aq4 aaIjg uoTIaod pa4VUTma04
9q'4 JOJ suoT'4eBTTgo Mau inouT 40u TTggs AONHDV DNIwHoaaad 'Iogaquoo
eqI jo Iagd g amooaq TTBgs'aoTIou gons pug oq paaa8g smaaI aqI jo aoTpou
uaglTim AONHDV DNINHOAHad Puas ATaIVTpaMMT TTggs AONHDV JN IAIHOHE •pa�.suTMJ8j
aq of uoTqaod agl AuoTgguTmaaj Tig4jud Jo asteo agl uT tpug aJgp aATjoajja aqj
uo aaalg TTggs saT4agd gjog •spuna jo a4ngTpuadxe saglanj gjTM a4gansuammoo
sgTnsaa oonpoad '4ou pTnoM uoT,4Bnut3uoo 4vg4 aaalg seT,4aBd q-loq uagm '-4agd
ul so 'OTogM uT paIvuTmaag aq Age¢ olaaaq (s)luamgovllV Aug ao jogaluoo sTgy
•loBaluoo sTgl sapun ao !'VT Aq papTAoad soTpamaa pug BIOTa aaggo
Aug og uoTgTPPg uT aq TTsgs Inq Apamaa aAisnToxa ug aq you TTggs uoTIguTmaal
gonS •uoTlgutmaal jo algp aql oq joTad maojaad of aanTTRJ ao aougmjojjad aoj
paaanouT ApgaaTV saoTIOTTgo AJTTTnu' Avm Aljvd jeglTau 'uoTIVUTNIJOI gons` AS
•uoTIguTmaa-j Jo uoTIVDTJTIou TguTJ Aug moat sAgp (01) UGI uTgITM BuTITaM uT
OPgm ST gsanbaa gons JT uoTIsuTmaaj posodoad eqj uo palsonbaa aq Avm luTagaq V
•IuTITaM uT suosgai eqj jngaa 04 AlTun4aoddo ug Aljvd aag4o auq apTAoad TTggs
pug�uoTIguTmaaI agI JOJ suosgaa aq,4 apnTOUT ITggs OOTIou gonS 'uoTIguTmaal
ap
Jo 04up puaauT aqI oI aoTad soup (OC) S44RI '4sgaT qu A,4agd aagIo eqI
01 aOTIOU u844TJm apTAoad TT94s Aljvd aagjo aq4 Aq aougTTdmoouou aoj OIVUTmaal
oq 9uTpuoIuT A-4agd V -Aljvd aagpo sq -4 Aq aougtTdmoouou aoj o,4aaaq saT,4agd
eqj ,To aagjTa Aq pa,4guTmaa,4 aq Avm o,4aaaq (s)WamgoVIly Aug ao jOsaIuoO.sTgy
UOT'reulujul
On EnaliEV
*AVT Aq paMoTTv ATTVOTIToads ssaTun '40VJIuoo SM aapun
AONHDV DNINE03EHd sqq Aq saOTAaas jo eouvazopad sqI glTM uoT�oauuoo uT so 'jo
Ino luTsTag 'ol quaptouT Avm Aug uT ao Butaan000 Alawd PaTgI Aug Aq pagsassg
aq Aga gOTgM aalogaggo pug puTX AlJQAa ao uoTjog'jo sasngo puv 'spugmap 'smivTo
TTg pug Aug IsuTglg pub aoaJ magi AaTumapuT 04 pug ssaTmagq IUOMUJOA02 TgaaPOJ
Jo/Pug AONHDV DNIAIHOHE aq-4 PToq p-4 saaalg 'gons sg 'AONHDV DNINHO3EHd aqy
•aIvIs sqI jo aaAOTdma ao 'IugAaas 'Iuaft ug 4ou pug ao,4ogaIuoo 4uapuedapuT
ug sT 3T 4vgj saanssg 'Aoualg a4uls g Iou BT IT 3T 'AONHDV ONINHOMd
ssa ■a9H PTOs 'TZ MIZEV
d
substantial continuation of the services contemplated herein, then, upon
written notification by RECEIVING AGENCY to PERFORMING AGENCY, the parties
shall be discharged from any further obligations created under the terms of
this contract, except for the equitable settlement of the respective accrued
interests or obligations as of the date of termination.
GENERAL PROVISIONS - Page 9
ARTICLE 23. Personnel
All personnel funded by Attachment(s) to this contract are employees of
PERFORMING AGENCY which shall be responsible for their direction and control
and liable for any of their acts or omissions. PERFORMING AGENCY agrees to
defend and indemnify RECEIVING AGENCY for any and all claims and/or
judgements taken against any employees, state or local, or against said
RECEIVING AGENCY, arising out of any claims or cause of action against ',any
such employees, except to the extent that employees on state budgeted
positions may be indemnified and the state may be liable for certain acts
pursuant to Chapter 104 of the Civil Practice and Remedies Code of Texas 'and
any other applicable law.
PERFORMING AGENCY shall have in place legally sufficient Due Process Hearing
Procedures for all of its employees filling state budgeted positions.
The Director of PERFORMING AGENCY shall have full authority to employ, promote,
suspend, demote, discharge, and transfer any and all state budgeted personnel
funded by Attachment(s) to this contract; provided, however, that any demotion,
suspension, or discharge of such state budgeted employees shall be in accordance
with the Due Process Hearing Procedures as set out above. The only distinction
between state budgeted and local paid employees is that employees. on estate
budgeted positions receive state benefits and are subject to certain duties,
obligations, and restrictions as state employees as contained in state law. 'One
such restriction, as contained in the State Appropriations Act, is that no
employee paid on a state budgeted position may receive a salary supplementfrom
any source unless specifically authorized in the Appropriations Act or other
state law. This prohibition includes, but is not limited to, the payment to
such employee of a so-called "flat rate" car allowance or travel allowance.' Any
such travel or per diem to these employees' must be on a reimbursement basis,
supported by appropriate records, and may not exceed the reimbursement for
mileage and/or per diem allowed under the Appropriations Act and current ''state
travel regulations. This restriction shall apply whether travel funds are
provided in Attachment(s) under this contract or from any other source.
PERFORMING AGENCY shall utilize RECEIVING AGENCY policies and procedures for
hiring and promoting individuals into state budgeted positions funded' by
Attachment(s) to this contract. Qualifications of any individuals filling
these positions will be subject to approval of RECEIVING AGENCY Bureau' of
Personnel Management. The purpose of the approval is to insure that
individuals occupying these positions meet minimum educational and experience
requirements.
PERFORMING AGENCY shall maintain required records and submit documents
necessary to process personnel, payroll, leave and time records and travel
claims on state budgeted positions. PERFORMING AGENCY shall be furnished': by
RECEIVING AGENCY state warrants for salary compensation or travel
reimbursement for issuance to employees on state budgeted positions.
j a
Independent audit is not required as a condition of this contract if the
Attachment provides assistance through assignment of state budgeted positions
and no funds are budgeted for local costs.
PERFORMING AGENCY may be reimbursed for local personnel costs or other
categories of expense used to fulfill the scope of work of Attachment(s)''in
GENERAL PROVISIONS - Page 10
TT 02nd SNOISIA09d 'IVHHNHO
•Nuipunj J9g4o $uTinoas uT sasodind $uigo4um jo3 pasn
aq lou TTggs '43vX uoo siq'4 q$nosq!l papTAoad spun3 saaa8u AONHJd JNIN21038Hd
quagaarn ag uoT4v T3Tgasd u PUnA '%Z a'IOIZH
•uors.zaeuoo aq4 a4aTdmo3 o4
AONHJd JNINSOaHSd of 498pnq pasTAOJ puv TBAoiddu Tsm.zo3 4tmsuss4 TTTA AON3DV
JNIAIaOHE •uotsaaeuoo JOJ .4senbaa gTmgns Aum "40Vz4uoo stg4 UT asagmasTa
pazTJOg4nB (s)uosaad joggo so sogoaJTa AONHJd ONINHOANHd •49m aJv squamaMWO
J ag4o Jo/puB 'suoT4v2TTgo lsgTjauaq TTV aa4js UOT4Tsod paja8pnq 9484s
aq,4 uo spuna ,Io eouvlvq aq4 paaoxa 40u TTvgs 4uamasjngmtag •4UVOVA samooaq
uoT4Tsod p949$pnq OlvIs B aaIJV sauvJJvm TTojAvd ale'4s pagsiujn3 $uiaq jo naiT
ATTACHMENT NO. 01
PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT
RECEIVING AGENCY PROGRAM: COMMUNITY AND RURAL HEALTH
TERM: September 1, 1988
SECTION I. SCOPE OF WORK:
THROUGH August 31, 1989
The state direct assistance and other funds to health departments are
intended to supplement in the delivery of comprehensive public health services
to protect the health of all citizens in the department's jurisdiction.
Personal health services may include, but are not limited to, immunizations,
maternal and child health, crippled children, adult health, tuberculosis
control, chronic disease, dental health, public health education, and•venereal
disease control. Environmental health services may include, but are not
limited to, food inspections, wastewater control, vector control, premise
inspections, swimming pool inspections, and other services as related to the
particular problems of the Jurisdiction.
Reports of services performed under this attachment will be submitted to the
Office of Community and Rural Health.
PERFORMING AGENCY will provide an estimated 26,233 clients with
services/units of service in or benefitting the geographic area defined as:
LubbockCity
SECTION II. LEGAL AUTHORITY:
Current Appropriations Bill.
SECTION III. SPECIAL PROVISIONS:
The attached list of positions and b.,dgetary amounts, exclusive of category
41, if applicable,.is an integral part of this Attachment. A state warrant
will be issued for each filled position in the amount of monthly net salary
earnings.
Financial reports are not required unless program income is generated from
activities performed by employees funded through this Attachment.
SECTION IV. BUDGET:
Total amount of this Attachment shall not exceed $82,731.00.
-1-
LUBBOCK CITY HEALTH DEPARTMENT
PAGE 626
TEXAS DEPARTMENT OF HEALTH
PHR
2
OPERATING BUDGET FOR YEAR ENDING
AUGUST 31,
1990
AS',OF SEPTEMBER 01, 1988
BUDGET NO..L0000
PBRONN/K13028
CATE- DESCRIPTION OR TITLE
FUND
END
ITEM
JOB
PAY
PAY
EFFECTIVE
MONTHLY
BUDGETED AMT
GORY
DESC.
MONTH
NO.
CLASS
GP
STP
DATE
RATE
I PUBLIC HEALTH DENTIST It
STATE
AUG
;001
D020
54
04
SEP
89
956.25
11,475.00
025.000% 9 3625.00
NURSE II
STATE
AUG
018
4385
13
01
SEP
89
1,781.00
21,372.00
LIC VOCATIONAL NURSE II
STATE
AUG
'083
4412
10
03
SEP
89
1,585.00
19,020.00
ADMINISTRATIVE TECH I
STATE
AUG
'104
1501
08
04
SEP
89
1,444.00
17,328.00
DENTAL ASSISTANT II
STATE
AUG
'125
4482
06
01
SEP
89
1,128.00
13,536.00
--
- -- --
82, 731.00
ATTACHMENT NO. 02
PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT
RECEIVING AGENCY PROGRAM: COMMUNITY AND RURAL HEALTH
TERM: September 1, 1988 THROUGH August 31, 1989
SECTION I. SCOPE OF WORK:
This allocates funds in support of the scope of work in Attachment No. 01
(That Attachment contains the number of clients and geographic area to be
served.)
SECTION II. LEGAL AUTHORITY:
Current Appropriations Bill.
SECTION III. SPECIAL PROVISIONS:
None
SECTION IV. BUDGET:
Personnel $.00
Fringe Benefits .00
Travel 00
Equipment .00
Supplies .00
Contractual 12,000.00
Other 00
Total Direct $12,000.00
Financial reports are due the 20th of December, March, June, and September and
the 15th of October.
Total amount of this Attachment shall not exceed $12,000.00.
-1-
ATTACHMENT NO. 03
PERFORMING AGENCY: .LUBBOCK CITY HEALTH DEPARTMENT
RECEIVING AGENCY PROGRAM: COMMUNITY AND RURAL HEALTH
TERM: October 1, 1988 THROUGH September 30, 1989
SECTION I. SCOPE OF WORK:
This allocates funds in support of the scope of work in Attachment No. 01
(That Attachment contains the number of clients and geographic area to be
served.)
SECTION II. LEGAL AUTHORITY:
Part A, Title XIX, PHS Act, as amended.
SECTION III. SPECIAL PROVISIONS:
In compliance with Article 6252-13g, V.T.C.S., PERFORMING AGENCY will provide
RECEIVING AGENCY with evidence that a public meeting or hearing was held to
seek public comment on the needs and uses of federal block grant funds
by PERFORMING AGENCY under this contract. Record of public participation
efforts undertaken must be filed with RECEIVING AGENCY.
SECTION IV. BUDGET:
Personnel $40,642.00
Fringe Benefits .00
Travel .00
Equipment .00
Supplies .00
Contractual .00
Other 00
Total Direct $40,642.00
Financial reports are due the 20th of January, April, July, and October and
the 15th of November.
Total amount of this Attachment shall not exceed $40,642.00.
-1-
ATTACHMENT NO. 04
PERFORMING AGENCY: LUBBOCK CITY HEALTH. DEPARTMENT
RECEIVING AGENCY PROGRAM: BUREAU OF LABORATORIES
TERM: September 1, 1988 THROUGH August 31, 1989
SECTION I. SCOPE OF WORK:
PERFORMING AGENCY laboratory agrees to test and provide reports on tests
annually as indicated in the categories below in support of RECEIVING AGENCY
programs.
A. Water bacteriology 11,000
B. Milk bacteriology and chemistry
C. Syphilis serology 12,000
D. Gonorrhea testing 12,000
E. Other approved analyses 500
TOTAL 35,500
PERFORMING AGENCY agrees to meet standards for such analyses as set forth by
RECEIVING AGENCY, Bureau of Laboratories,the Clinical Laboratories Improve-
ment Act, the Safe Drinking Water Act, The National Conference of Interstate
Milk Shippers, and/or the Public Health Service Grade A Pasteurized Milk
Ordinance.
PERFORMING AGENCY will provide an estimated 35,500
clients with
services/units of service in or benefitting the geographic area defined as:
City of Lubbock
SECTION II. LEGAL AUTHORITY:
None
SECTION III. SPECIAL PROVISIONS:
Program income generated by activities supported by this Attachment is to be
reported on financial reports for the program benefitted by the services
performed.
SECTION IV. BUDGET
Support for this scope of work is provided in part by the RECEIVING AGENCY,
Bureau of Laboratories, through supplies,' equipment, and training and by
other Attachments to this contract.
N
ATTACHMENT NO. 05
PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT
RECEIVING AGENCY PROGRAM: BUREAU OF MATERNAL AND CHILD HEALTH
TERM: September 1, 1988
SECTION I. SCOPE OF WORK:
THROUGH August 31, 1989
Provide clinical services to meet the needs of low income women and children
with particular reference to prenatal care for pregnant women, family plan-
ning services, and preventive child health services. Services shall be pro-
vided in accordance with the standards fqr maternity, family planning, and
child health services as promulgated by the RECEIVING AGENCY, Bureau of
Maternal and Child Health.
Services performed under this Attachment shall be reported as required by
RECEIVING AGENCY, Bureau of Maternal and Child Health, by submission of
Maternity/Family Planning and Child Health Clinic Reports.
PERFORMING AGENCY will provide
an estimated
753
clients with
services/units of service in or
Lubbock City
benefitting the
geographic
area defined as:
SECTION II. LEGAL AUTHORITY:
P.L. 97-35, Title V, Social Security Act, 45 CFR 96, and P.L. 100-202.
SECTION III. SPECIAL PROVISIONS:
The attached list of positions and budgetary amounts, exclusive of category
41, if applicable, is an integral part of this Attachment. A state warrant
will be issued for each filled position in the amount of monthly net salary
earnings.
Financial reports are not required unless program income is generated from
activities performed by employees funded through this Attachment. -
In compliance with Article 6252-13g, V.T.C.S., PERFORMING AGENCY will provide
RECEIVING AGENCY with evidence that a public meeting or hearing was held to
seek public comment on the needs anu�uses of federal block grant funds
by PERFORMING AGENCY under this contract. Record of public participation
efforts undertaken must be filed with RECEIVING AGENCY.
If fees for services are imposed as provided in the General Provisions,
charges will not be made for health services provided to low income mothers
and children. The term "low income" refers to an individual or family with
an income determined to be below the nonfarm income official poverty line
defined by the Office of Management and Budget and revised annually in ac-
cordance with Section 624 of the Economic Opportunity Act of 1964.
-1-
{
SECTION IV. BUDGET:
Total amount of this Attachment shall not exceed $25,632.00.
-2-
SECTION IV. BUDGET:
Total amount of this Attachment shall not exceed $25,632.00.
-2-
LUBBOCK CITY/FAMILY HEALTH SERVICES PAGE 627
TEXAS DEPARTMENT OF HEALTH PHR 2
OPERATING BUDGET FOR YEAR ENDING AUGUST 31, 1990
AS OF SEPTEMBER 01, 1988 BUDGET NO. LC301
PBROWN/K13028
CATE- DESCRIPTION OR TITLE
GORY
1 CLERK TYPIST II
CLERK TYPIST 1I
COMMUNITY SERV AIDE II
COMMUNITY SERV AIDE II
41 GRANTS
GRANTS
FUND
END
ITEM
JOB
PAY
PAY
EFFECTIVE
MONTHLY
BUDGETED AMT
DESC.
MONTH
NO.
CLASS
GP
STP
DATE
RATE
MCH -LT
AUG
088
0106
04
03
OCT 89
1,099.00
MCH -LT
SEP
088
0106
SEP 89
1,099.00
13,188.00
MCH -LT
AUG
131
5502
04
01
OCT 89
1,037.00
MCH -LT
SEP
131
5502
SEP 89
1,037.00
12,444.00
25,632.00
MCH -LT AUG
MCH -LT SEP
FUND SUMMARY
00400 MCH -LT AUG
90400 MCH -LT SEP
OCT 89 117,225.00
SEP 89 11,072.00
128,297.00
153;929.00 **
140,721.00
13,208.00
153,929.00 **
ATTACHMENT NO. 06
PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT
RECEIVING AGENCY PROGRAM: BUREAU OF MATERNAL AND CHILD HEALTH
TERM: October 1, 1988 THROUGH September 30, 1989
SECTION I. SCOPE OF WORK:
This allocates funds in support of the scope of work in Attachment No. 05
(That Attachment contains the number of clients and geographic area`to be
served.)
SECTION II. LEGAL AUTHORITY:
P.L. 97-359 Title V, Social Security Act, 45 CFR 96, and P.L. 100-202.
SECTION III. SPECIAL PROVISIONS:
In compliance with Article 6252-13g, V.T.C.S., PERFORMING AGENCY will provide
RECEIVING AGENCY with evidence that a public meeting or hearing was held to
seek public comment on the needs and uses of federal block grant funds
by PERFORMING AGENCY under this contract. Record of public participation
efforts undertaken must be filed with RECEIVING AGENCY.
If fees for services are imposed as provided in the General Provisions,
charges will not be made for health services provided to low income mothers
and children. The term "low income" refers to an individual or family with
an income determined to be below the nonfarm income official poverty line
defined by the Office of Management and Budget and revised annually in ac-
cordance with Section 624 of the Economic Opportunity Act of 1964.
SECTION IV. BUDGET:
Personnel $79,284.00
Fringe Benefits 18,216.00
Travel .00
Equipment .00
Supplies 14,597.00
Contractual 16,200.00
Other .00
Total Direct $128,297.00
Financial reports are due the 20th of January, April, July, and October and
the 15th of November.
Total amount of this Attachment shall not exceed $128,297.00.
-1-