HomeMy WebLinkAboutResolution - 2434 - Contract - TDOH - Local Health Services - 09/25/1986DGV:da
RESOLUTION
Resolution #2434
September 25, 1986
Agenda Item #27
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 Local Health Services Contract by and
between the City of Lubbock and the Texas Department of
Health, attached herewith, and associated documents, 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 25th day of September
1986.
B.C. MCMINN, MAYOR
ATTEST:
, City -Secretary
APPROVED AS TO CONTENT:
Rita Harmon, Assistant City
Manager for Management Services
APPROVED AS TO FORM:
Ddhald G. Vandiver, Firs
Assistant City Attorney
�"�„`816.1986
Robert Bernstein, M.D., F.A.C.P.
Commissioner
Texas Department of Health
Date October 15, 1986
1100 West 49th Street
Austin, Texas 78756
(512) 458-7111
Robert A. MacLean, M.D.
Deputy Commissioner
Professional Services
Hermas L. Miller
Deputy Commissioner
Management and Administration
TDH Doc. No. C7000541
Anthony B. Way, M.D., Director
Lubbock City Health Department
P.O. Box 2548
Lubbock',` Texas 79408
Dear Doctor Way:
SUBJECT Transmittal of Contract Docume,,+
This communication transmits contract document(s) for the purpose indicated
below.
Signature for authorized contracting entity.
NOTE: The governing body is the authorized contracting
entity and that name must be entered in the appropriate
blank. The person who signs should be the official (county
judge, mayor, etc.) or representative of the governing body
for your agency who has legal authority to bind the agency
to a contract, All copies should be signed and returned
within 60 days of receipt
XX file copy of fully executed document(s)
Any blanks within the document(s) and on the signature page must be completed
before these are returned. Incomplete items may require resubmittal which
will delay completion of the document(s) and related transactions.
Please contact this office at 512-458-7470 if you have any questions.
Sincerely,
Catherine Litteer, Di ector
Grants Management Division
Attachments
cc: Program(s)
STATE OF TEXAS
COUNTY OF TRAVIS
TDH Document No. C 7000541'
LOCAL HEALTH SERVICES
CONTRACT
A
The Texas Department of Health, hereinafter referred to as RECEIVING AGENCY,
acting through its Deputy Commissioner for Management and Administration,
and i%y OP U 6�n ft,
acting by its
acting through
(Authorized Contracting Ent
Title of Person Authorized to Sign Contracts
LUBBOCK CITY HEALTH DEPARTMENT
(Name of PERFORMING AGENCY)
a t/local health department/niihl, -he 't" 4 ,tT c- as defined
by Art. 4436b, V.T.C.S., hereinafter referred to as PERFORMING AGENCY,
mutually agree as follows:
0
ARTICLE 1. Scope and Term of Contract
This contract incorporates all agreements, covenants, and understandings
between the parties hereto concerning the Attachment(s) and all such
covenants, agreements, and understandings have been merged into this
written contract. 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 shall perform the work outlined in the Scope(s) of
Work which is/are hereby incorporated and made a part of this contract—
as Attachment(s) l-6 plus amendments which may be
added by additional Attachment(s) from time to time as hereinafter
provided.
This contract may be amended 1) as necessary by monthly payroll
affidavit for state budgeted positions as originally set forth in
Attachment(s) hereto, or 2) as provided in Article 4, or 3) by the
addition of Attachment(s) containing additional Scope(s) of Work and/or
Budget(s) related to same, or 4) by revision of existing Attachment(s)
and the Scope(s) of Work and/or Budget(s),' such amendment(s) shall be
in writing and duly executed by the parties hereto.
The term of this contract shall be governed by the time period 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).
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 provisions) shall
be deemed stricken and deleted herefrom to the same extent and effect as
if never incorporated herein, but all other provisions shall continue.
ARTICLE 2 Applicable Laws and Standards
Parties agree this contract shall be governed by the laws of the State
of Texas and enabling Federal regulations, including Treasury Circular
1075 (31 CFR Part 205) and grant requirements applicable to funding
sources as set out in Attachment(s) hereto.
PERFORMING AGENCY agrees that the Uniform Grant and Contract Management
Standards (UGCMS), Article 4413, Section 32g, V.T.C.S., will apply as
terms and conditions of this contract, and the standards are adopted by
reference in their entirety with the exception of Attachment P, A-102,
Audit Requirements. Audits shall be in compliance with OMB Circular
A-128, "Audits of State and Local Governments." 1f there is a conflict
between the provisions of this contract and UGCMS, the provisions of
UGCMS will prevail unless expressly stated otherwise. A copy of this
manual and its references are provided to PERFORMING AGENCY by RECEIVING
AGENCY upon request.
UGCMS contains requirements in OMB Circular Nos. A-87 and A-102 that
pass through with State and Federal monies which are hereby adopted when
applicable, including but not limited to:
1. allowable costs in applicable Cost Principles, A-87;
2. financial management standards, A-102, Attachment G; and
3. procurement, A-102, Attachment 0.
In addition, A-102, Attachment 0, sets out provisions that must be in
all contracts. Those provisions are hereby adopted when applicable, and
include but are not limited to: record access and retention; Equal
Employment Opportunity; environmental and energy protection laws and
regulations.
No person in the United States shall on the grounds of race, creed,
color, handicap, age, ability to pay, sex, or national origin be
excluded from participation in, be denied the proceeds of, or be subject
to discrimination in the performance of this contract. The parties will
comply with the regulations promulgated by the Secretary of Department
of Health and Human Services, with the approval of the President of the
United States, pursuant to Title VI of the Civil Rights Act of 1964 (45
CFR Part 80). a_
In addition, PERFORMING AGENCY shall comply with the provisions of the
Rehabilitation Act of 1973, Public Law 93-112, Section 504, which
ensures that no individual "shall, solely by reason of handicap, be
excluded from the participation in, be denied the benefits of, or be
subject to discrimination in this program."
ARTICLE 3. 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
Nearing 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 state budgeted
positions receive state benefits and are subject to certain obligations
as state employees, as contained in state law. These obligations include
provisions that no employee paid on a state budgeted position may
receive a salary supplement from any other source.
Unless specifically authorized by Attachment(s) to this contract, none
of the funds provided by Attachment(s) shall be used to pay overtime to
employees on state budgeted positions, PERFORMING AGENCY shall be
responsible for any obligations for overtime pay due such employees
which are not so authorized by RECEIVING AGENCY.
If funds are provided in Attachment(s) for travel costs, any._
reimbursements to employees on state budgeted positions from such funds
must be made at rates that are based on incurred expenses and may not
exceed the maximum amounts authorized under current state travel
regulations.
PERFORMING AGENCY will 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 state budgeted
positions meet minimum educational and experience requirements.
3
V
Y
ARTICLE 4. Funding
PERFORMING AGENCY shall use funds from this contract to supplement its
budget. These funds will in no event supplant funds from other sources
currently available to PERFORMING AGENCY.
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 lieu of being furnished state payroll warrants after a state budgeted
position becomes vacant. Reimbursement shall not exceed the balance of
funds on the state budgeted position after all benefits, obligations,
and/or other entitlemefts are met. PERFORMING AGENCY Director and/or
Assistant City Manager (title) is/are authorized to submit written
request for conversion. RECEIVING AGENCY shall transmit formal approval
and revised budget to PERFORMING AGENCY to complete the conversion.
PERFORMING AGENCY shall provide written notice(s) to RECEIVING AGENCY of
the amount of funds, if any, to be lapsed. Such notice(s) shall be
given not later than the beginning of the final three months of
Attachment(s). PERFORMING AGENCY Director and/or Assistant City Manager
(title) is/are authorized to give such notice and negotiate a reduction
to the approved budget by submitting a request for revised budget (TDH
Form GC -9).
PERFORMING AGENCY shall develop a fee for service system and a schedule
of fees for personal health services in accordance 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. 1.91) and other
applicable laws; provided, however, that a patient may not be denied a
service due to inability to pay.
In compliance with Article 6252-13e, V.T.C.S., PERFORMING AGENCY shall
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 received by PERFORMING AGENCY under this contract. Record
of public participation efforts undertaken must be filed with RECEIVING
AGENCY.
PERFORMING AGENCY agrees to and by executing this contract assigns to
RECEIVING AGENCY uncommitted expenditures of local funds for public
health services as matching for Federal funds. Assigned local funds
shall be reported to RECEIVING AGENCY on the annual/final report Form
270. In the event such assigned funds are required by PERFORMING AGENCY
to match other Federal funds, prior written approval may be requested of
RECEIVING AGENCY.
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 in this contract shall apply.
ARTICLE 5: Program Income
All revenues received from the delivery of contract services shall be
identified and 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 V supplementary material to UGCMS upon request,
and is incorporated by reference as a condition of this contract.
ARTICLE 6. Compensation and Payment
The following provisions establish responsibilities, uniform procedures
and standard form for billing and forfeitures for noncompliance.
Compensation and/or reimbursement shall be contingent on a signed
contract.
For services satisfactorily performed pursuant to the Scope(s) of Work,
PERFORMING AGENCY shall have furnished state warrants for salary
compensation for employees on state budgeted positions or reimbursement
warrants for allowable costs. Combined compensation payments and
reimbursements shall not exceed the total of all Attachment(s) hereto.
Allowable costs shall be as outlined in Attachment(s) and must be
substantiated by source documentation. Advance payment may be requested
in accordance with the applicable provisions of this contract.
Claims for compensation or reimbursement shall be on the forms and in
the format prescribed by RECEIVING AGENCY.
Compensation
PERFORMING AGENCY shall maintain required records and submit documents
necessary to processing personnel, payroll, leave and time records on
state budgeted positions.
Reimbursements
Claims will be made on State of Texas Purchase Voucher (TDH Form
#AG -37).
Claims for reimbursement of actual expenses will be submitted monthly
within 20 days following the end of the month covered by the bill. ' A
makeup claim may be submitted as a final closeout bill not later than 45
days following the end of Attachment term(s).
Payments made for approved claims or notice of denial of claims
submitted against Attachment(s) to this contract shall be mailed no
later than 60 days after receipt of monthly vouchers. Payment may be
denied if required financial reports are not on file for previous
quarters or for the final period, or if program requirements are not met
01
LWA
as specified in Scope(s) of Work. Payment is considered mailed on the
date postmarked. Any reimbursements made by PERFORMING AGENCY to
subcontractors shall be made in accordance with Article 601f, V.T.C.S.
Advance Payment
PERFORMING AGENCY may request in writing a one time advance with proper
justification and concurrence of RECEIVING AGENCY. Approval by RECEIVING
AGENCY will be based on compliance of PERFORMING AGENCY with UGCMS,
Attachment J, paragraph 3, (b) and (c). Amount of advance shall be
determined by amount and term of the Attachment(s); however, for each
Attachment, amount of the advance shall not exceed one-sixth (1/6th) of
the Attachment amount. Advance shall be requested on State of Texas
Purchase Voucher at the beginning of Attachment period or at a single
later time in Attachment period if circumstances so warrant and the
request is approved. Advance funds will be liquidated in the final
months of the Attachment period so that, after final monthly billing,
PERFORMING AGENCY will not have advance funds on hand. Advance funds
may be drawn only to meet immediate cash needs for disbursement (UGCMS
and Federal Circulars).
ARTICLE 7. Financial Reports
Financial reports are required as provided in UGCMS and shall be filed
regardless of whether or not expenses have been incurred.
Ouarterly
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 days following the end of
Attachment term(s) or as specified in Attachment(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.
Annual audit reports are required of local expenditures funded through
Attachment(s) to this contract. Within 30 days of receipt of audit
report, PERFORMING AGENCY shall submit a copy to RECEIVING AGENCY,
Internal Audit Division. '
ARTICLE 8. Management Data and Inspections
PERFORMING AGENCY shall make financial, program, progress, and other
reports as requested by RECEIVING AGENCY in the format agreed to by the
parties hereto and will arrange for onsite inspections within normal
6
working hours by RECEIVING AGENCY. PERFORMING AGENCY shall participate
fully in any required evaluation study.
PERFORMING AGENCY will furnish RECEIVING AGENCY an annual budget of
PERFORMING AGENCY on forms provided by RECEIVING AGENCY. The budget
shall be for PERFORMING AGENCY current fiscal year ending °f ROA -7.
ARTICLE 9. Records
PERFORMING AGENCY will have a system in effect to protect from
inappropriate disclosure of patient records and all other documents
deemed confidential by "law which are maintained in connection with the
activities funded under this contract.
ARTICLE 10. Property and Supplies
Subject to the obligations and conditions set forth in this contract and
UGCMS, title to all property purchased from funds provided herein shall
vest upon acquisition with PERFORMING AGENCY. PERFORMING AGENCY shall
maintain a property and supplies inventory and administer a program of
maintenance, 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 (unit cost $250.00 or
more and having a useful life of more than one year) as of August 31st
of each year under contract_ A format based on UGCMS, A-102, Att. N, is
provided by RECEIVING AGENCY.
In the event any motor vehicle belonging to RECEIVING AGENCY is provided
to PERFORMING AGENCY pursuant to any Attachment hereto to be used within
the performance of the Scope of Work set out in such Attachment, and
title to such motor vehicle is retained by RECEIVING AGENCY, PERFORMING
AGENCY agrees to utilize such motor vehicle only within the parameters
of such Scope of Work and to permit the operation of such motor vehicle
only by licensed, qualified drivers.
RECEIVING AGENCY retains the option to recover all unused supplies and
useable equipment furnished under this contract upon the termination of -
relationship of the parties hereto. This also includes acquisitions
through lease -purchase agreements with funds provided under this
contract or with funds provided by program income attributable to the
programs provided for under this contract. In the 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.
ARTICLE 11. Termination
This contract or any Attachment(s) hereto may be terminated by either of
the parties hereto for noncompliance by the other party. A party
intending to terminate for noncompliance by the other party shall
provide written notice to the other party at least thirty (30) days
prior to the intended date of termination. Such notice shall include
the reasons for the termination and shall provide the other party an
7
opportunity to rebut the reasons in writing. A hearing may be requested
on the proposed termination if such request is made in writing within
ten (10) days from any final notification of termination. By such
termination, neither party may nullify obligations already incurred for
performance or failure to perform prior to the date of termination.
Such termination shall not be an exclusive remedy but shall be in
addition to any other rights and remedies provided by law or under this
contract.
This contract or any Attachment(s) hereto may be terminated in whole,
or in part, when both parties agree that continuation would not produce
results commensurate with further expenditure of funds. Both parties
shall agree on the effective date and, in the case of partial
termination, the portion to be terminated. RECEIVING AGENCY shall
immediately send PERFORMING AGENCY written notice of the terms agreed to
and such notice shall become a part of the contract. PERFORMING AGENCY
shall not incur new obligations for the terminated portion after the
effective date and shall cancel as many outstanding obligations as
possible. RECEIVING AGENCY shall allow full credit to PERFORMING AGENCY
for noncancelable obligations which were properly incurred prior to the
termination date.
This contract or any Attachment(s) hereto may be terminated if funds
allocated for any Attachment(s) hereto should become reduced, depleted,
or unavailable during any Attachment(s) budget period, and RECEIVING
AGENCY is unable to obtain additional funds for such purposes.
RECEIVING AGENCY shall immediately provide written notification to
PERFORMING AGENCY of such fact and such Attachment(s) to this contract
is/are terminated upon receipt of that notification. PERFORMING AGENCY
shall not incur new obligations after the effective date and shall
cancel as many outstanding obligations as possible. RECEIVING AGENCY
shall allow full credit to PERFORMING AGENCY for noncancelable
obligations which were properly incurred prior to the termination date.
This contract or any Attachment(s) hereto may be terminated in the event
that Federal or state laws or other requirements should be amended or
judicially interpreted so as to render continued fulfillment of this
contract, on the part of either party, unreasonable or impossible. If
the parties should be unable to agree upon amendment which would
therefore be needed to enable the 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.
E
EXECUTED IN DUPLICATE ORIGINALS ON THE DATES INDICATED.
CONTRACTING ENTITY
FOR AND IN BEHALF OF
PERFORMING AGENCY
LUBBOCK CITY HEALTH DEPARTMENT
By Vf, t'_. '�w c'Oio�
(Signature of Person Authorized
to Sign Contracts)
Title Mayor
Date
Recommended:
By
PERFORMING M'V'-
AGENCf-D
if different from above)
Print or Type
PERFORMING AGENCY Address:
P.O. Box 2548
(Mailing Address)
1902 Texas Avenue
(Street Address,if different)
Lubbock, Texas 794;08
(City, Zip Code)
as to farm:
ant cav P orley
RECEIVING AGENCY
TEXAS DEPARTMENT OF HEALTH
By
erm L. Miller
Deputy Commissioner
Management and Administration
Date OCT. 1 CI Ages
Recommended:
Associate Commissioner
Community and Rural Health
By
Clift Price, M.D.
Associate Commissioner
Personal Health Services
QCEE�Alexand�er,.D.
Acting Associate Commissioner
Preventable Diseases
Approved as to Form:
By 1
ffice of Gen ral Counsel
PERFORMING AGENCY: Lubbock City Health Department
PROGRAM WITHIN RECEIVING AGENCY (TDH): COMMUNITY AND RURAL HEALTH
TERM: September 1, 1986 through August 31, 1987
SCOPE OF WORK:
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.
Required personnel, payroll, and time records on state budgeted personnel as
the basis for issuance of state payroll warrants shall be submitted to
RECEIVING AGENCY.
Reports of services performed under this Attachment shall be submitted to
RECEIVING AGENCY, Community and Rural Health.
LEGAL AUTHORITY
Current Appropriations Bill.
BUDGET
The attached list of positions and budgetary amounts, exclusive of category 41
if applicable, is an integral part of Attachment 1. A state warrant will be
issued for each filled position in the amount of monthly net salary earnings.
This Attachment is exempted from contract financial reporting requirements.
Total amount of this Attachment shall not exceed $ 79,066.20
1
I€
i.l1�LGC( CITY ii�ALT!-{ OFi;A:hT;1EtdT PAGE 67?
- Texas Department of Health
OPERATING BUDGET FOR YEAR ENDING AUGUST 31 , 1987
ASOF AP?'IL. 28, 1yp6 BUDGET NO. LCOOO
GATE
GORY
-
DESCRIPTION OR TITLE
FUND
SALARIES ONLY
BUDGETED AMOUNT
OESC.
ENDING
MONTH
ITEM
NO.
JOB
CLASS
PAY
GP
PAY
STEP
EFFECTIVE
DATE
MONTHLY
RATE
I
�>UPLIC HEALTH DENTIST II
n ..t, n
STATE
Ail
Cil
002
S
0
SEP 86
965.85
119590.20
'
-rin*.nn7rc;4niWq-z;:-P-0-
Jt'.01DUZ d 3663.41
VACANT —FROZEN,
�t;:RSE II
STATE -
AU
011438
1 I
O
SEP 86
1,778,0
21,336.00
LIC VOCATIONAL NURSE 1I
STATE
AU
08
44I
1
0
SLP 86
1153U-0
18,360.00
:,r_CRETARY III
STATS
AU
10
013
Q
Q
SEP 86
1,309.0C
15,708.00
DENTAL ASSISTANT I
STATC
AU
1?_
448
0
0
SEP 8f
11066.0
12,072 .00
79,066.20
---Grants
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ATTACHMENT NO. 2
PERFORMING AGENCY: Lubbock City Health Department
PROGRAM WITHIN RECEIVING AGENCY (TDH): COMMUNITY AND RURAL HEALTH
TERM: September 1. 1986 through August 31 1987
x
SCOPE OF WORK:
This allocates funds in support of the scope of work in Attachment No. 1.
LEGAL AUTHORITY:
Current Appropriations Bill.
BUDGET: Personnel
$ 20,712
Fringe Benefits
-0-
Travel
-0-
Equipment
-0-
Supplies
-0-
Contractual
-0-
Other
-0-
Total
$ 20,712
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 $ 20,712.00 except as
adjusted under provisions of Article 1 of the contract.
1
F
ATTACHMENT NO.3
PERFORMING AGENCY: Lubbock City Health Department
PROGRAM WITHIN RECEIVING AGENCY (TDH): COMMUNITY AND RURAL HEALTH
TERM: September 1. 1986 through September 30. 1987
SCOPE OF WORK:
This allocates funds in support of the scope of work in Attachment No. 1.
LEGAL AUTHORITY:
Title XIX, Public Health Services Act, Omnibus Budget Reconciliation Act of
1981, DHHS final regulations on block grants.
BUDGET: Personnel
$ 24,856
Fringe Benefits
-0-
Travel
-0-
Equipment
-0-
Supplies
-0-
Contractual
-0-
Other
-0-
Total2$
4,856
Financial reports are due the 20th of January (4 months), April, July, and
October and the 15th of November.
Total amount of this Attachment shall not exceed $ 24,856.00 except_ as
adjusted under provisions of Article 1 of the contract.
1
ATTACHMENT 4
PERFORMING AGENCY: Lubbock City Health Department
PROGRAM WITHIN RECEIVING AGENCY (TDH): Bureau of ,Laboratories
TERM: September 1, 1986 through August 31, 1987
SCOPE OF WORK:
This laboratory agrees to provide reports on testing on approximately 35,500
specimens annually as indicated in the categories below in support of Texas
Department of Health programs.
A. Water bacteriology 11,000
B. Milk bacteriology and chemistry
C. Syphilis serology 12,000
D. Gonorrhea testing 12,000
d E. Other a 500
approved analyses
Total
Performing Agency agrees to meet the standards for such analyses as set forth
by the Texas Department of Health, Bureau of Laboratories, the Clinical
Laboratories Improvement Act, the Safe Drinking Water Act, The National
Conference of Interstate Milk Shippers, and/or the Public Health Service Grade
A Pasteurized Milk Ordinance.
Support for this scope of work is provided in part by the Bureau of
Laboratories through supplies, equipment and training and by other Receiving
Agency programs.
This attachment is exempted from financial reporting requirements.
- a-
ATTACHMENT NO. 5
PERFORMING AGENCY: LUBBOCK CITY HEALTH DEPARTMENT
PROGRAM WITHIN RECEIVING AGENCY (TDH): BUREAU OF MATERNAL AND CHILD HEALTH
TERM: October 1. 1986 through _ September 30 1987
SCOPE OF WORK: Provide clinical services to meet the needs of low income
women and children with particular reference to prenatal care for pregnant
women, family planning services, and preventive child health services.
Services shall be provided in accordance with the standards for 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 monthly by
submission of Maternity/Family Planning and Child Health Clinic Reports.
If fees for services are imposed as provided in Article 4 of this contract,
charges will not be imposed for the provision of health services to low
income mothers or 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 accordance with Section 624 of the Economic Opportunity Act of
1964.
LEGAL AUTHORITY: Title V, Social Security Act, Omnibus Budget Reconciliation
Act of 1981; DHHS final regulations on block grants.
BUDGET
The attached list of positions and budgetary amounts, exclusive of category 41
if applicable, is an integral part of Attachment 5. A state warrant will be
issued for each filled position in the amount of monthly net salary earnings.
This Attachment is exempted from contract financial reporting requirements.
Total amount of this Attachment shall not exceed $ 56,505,00
1
LUBWOCK CJTY/FA"ILY WEALTH S'ERVICF-S PAGE 67
Texas Depa1'ttTlent of Health
OPERATING BUDGET FOR YEAR ENDING AUGUST 31, 1987
ASOF AFRI 30, 1986 BUDGET NO* LC301
u�. ttt �itr�in�e
CATS
GORY
DESCRIPTION OR TITLE
FUND
SALARIES ONLY
BUDGETED AMOUNT
��
ENOMIG
MONTH
ITEM
NO.
JOB
CLASS
PAY
GP
ver
STEP
EFFECTIVE
DATE
MONTHLY
RATE
1
URS II
URSE
i2K TYPIST I
C HLT
C H T
T
SEP
AUG
P
45
4S
88
385
8S
4t�6
3
iEP 86
T
8
1r798.G0
79
7
LERK TYPIST II
C HLT
AUG
88
1066
1,089.00
13►068.0t
OMMUNITY SERV AIDE I
Y R A 0 I
C HLT
C H T
SEP
A G
31
31
502
28
g
930.0()OMMUN
45 8 4
9
EMPLOYEE BENEFITS
C H T
SEP;SEP
86
1
EMPLOYEE BENEFITS
C HLT
AUG
CT 86
891,7S
9,809.25
10 701.00
F
'SID SU
MAR
ATTACHMENT NO. 6
PERFORMING AGENCY: Lubbock City Health Department
PROGRAM WITHIN RECEIVING AGENCY (TDH): MATERNAL & CHILD HEALTH
TERM: October 1, 1986 through September 30, 1987
0.
SCOPE OF WORK:
This allocates funds in support of the scope of work in Attachment No. 5.
LEGAL AUTHORITY:
Title V, Social Security Act, Omnibus Budget Reconciliation Act of 1981; DHHS
final regulations on block grants.
BUDGET: Personnel
$ 52,356
Fringe Benefits
11,484
Travel
-0-
Equipment
-0-
Supplies
16,880
Contractual
18,480
Other
-0-
Total $ 99,200
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 $ 99,200.00 , except. -as
adjusted under provisions of Article 1 of the contract.
1