The URL can be used to link to this page

Home My WebLink AboutContract 35471 CITY SECRETARY DEPARTMENT OF STATE HEALTH SERVICESNTRACT NO., DUPLICATE 1100 WEST 49TH STREET AUSTIN, TEXAS 78756-3199 Legacy Contract No. 7560005286-2007-03 STATE OF TEXAS Contract No. 2007-021271 COUNTY OF TRAVIS Contract Change Notice No. 003A The TEXAS DEPARTMENT OF STATE HEALTH SERVICES, hereinafter referred to as DSHS, did heretofore enter into a contract in writing with FORT WORTH DEPARTMENT OF PUBLIC HEALTH hereinafter referred to as Contractor. The parties thereto now desire to amend such contract attachment(s) as follows: SUMMARY OF TRANSACTION: ATT NO. 003A : DIABETES-COMM. DIABETES SERVICES All terms and conditions not hereby amended remain in full force and effect. EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN. APPROVED AS TO !FORIM AND LE -ALITY: Authorized Contracting Entity for and in behalf of: —' DEPARTMENT OF STATE HEALTH SERVICES FORT WO R �9 I � I INEkXTH By: e' 54o-� By: Signature o Auth iz 0 icia Signatur Date Date Joe Paniagua, Assistant City Manager Bob Burnette, C.P.M., CTPM Printed Name and Title Director, Client Services Contracting Unit c/o 1800 University Dr. #232 Address 1100 WEST 49TH STREET Fort Worth,TX 76107 AUSTIN,TEXAS 78756 City, State, Zip 817.871.7201 (512)458-7470 Telephone Number �� Daniel.Reimer@fortworthgov.c►rg �y e Bob.Burnette@dshsstate.tx.us ---- - E-mail Address for Gf ficial Correspondence CSCU-Rev. 6/06 Cover Page 1 Q,j(a_j_rty Hendr City Secretary DEPARTMENT OF STATE HEALTH SERVICES P x � � 1100 WEST 49TH STREET AUSTIN, TEXAS 78756-3199 CATEGORICAL BUDGET CHANGE REQUEST DSHS PROGRAM: DIABETES-COMM. DIABETES SERVICES CONTRATOR: FORT WORTH DEPARTMENT OF PUBLIC HEALTH CONTRACT NO: 2007-021271 LEGACY CONTRACT NO. 7560005286-2007-03 CONTRACT TERM: 09/01/2006 THRU: 08/31/2007 BUDGET PERIOD: 09/01/2006 THRU: 08/31/2007 CHG: 003A DIREC?CQST,' OB.I T tk.MATIRI Current Approved Budget(A) Revised-Budget(B) Change Requested Personnel $40,906.00 $40,906.00 $0.00 Fringe Benefits $10,227.00 $10,227.00 $0.00 Travel $4,399.00 $4,399.00 $0.00 Equipment $0.00 $1,962.00 $1,962.00 Supplies $8,197.00 $8,197.00 $0.00 Contractual $0.00 $0.00 $0.00 Other $16,271.00 $14,309.00 $(1,962.00) Total�Dirryect Charges $80,000.00 $80,000.00 $0.00 (/��} Q h Base($) $0.00 $0.00 $0.00 Rate(%) 0.00% 0.00% 0.00% Indirect Total $0.00 $0.00 $0.00 PR9GRA4,hICQ Program Income $0.00 $0.00 $0.00 Other Match $0.00 $0.00 $0.00 Income Total $0.00 $0.00 $0.00 I_IMITSIRESTRICTI ?IVS^ . Advance Limit $0.00 $0.00 $0.00 Restricted Budget $0.00 $0.00 $0.00 SUMMARY Cost Total $80,000.00 $80,000.00 $0.00 Performing Agency Share $0.00 $0.00 $0.00 Receiving Agency Share $80,000.00 $80,000.00 $0.00 Total Reimbursements Limit $80,000.00 $80,000.00 $0.00 JUSTIFICA iE?N: " City of Fort Worth IT upgraded IT system. This upgrade requires computer specifications in this request. DEPARTMENT OF STATE HEALTH SERVICES A 1100 WEST 49TH STREET AUSTIN, TEXAS 78756-3199 EQUIPMENT LIST CHANGE REQUEST DSHS PROGRAM: DIABETES-COMM. DIABETES SERVICES CONTRACTOR: FORT WORTH DEPARTMENT OF PUBLIC HEALTH CONTRACT TERM: 09/01/2006 THRU: 08/31/2007 BUDGET PERIOD: 09/01/2006 THRU: 08/31/2007 CONTRACT NO: 2007-021271 CHG: 003A LEGACY CONTRACT NO. 7560005286-2007-03 PREVIOUS EQUIPMENT LIST Item# Equipment I criptian Units Un#Gust Tatal $ $ $ $ $ $ NEW EQUIPMENT LIST Item# Equipment Descrip pp Units Unit CostF. Total Executive Desktop Dell GX620, Pentium 4- 3GHz 10" Flat Panel w/Height Adjustable Stand 1 GB RAM 1 801313 Hard Drive 1 $1,962.00 $1,962.00 CDRW/DVD Combo.w/Cyberlink Power DVD Optical Mouse& USB Keyboard Enterprise Series 1100 VA UPS Windows XP and Office 2003 $ $ s City of Fort Worth, Texas Mayor and Council Communication COUNCIL ACTION: Approved on 7/18/2006 - Ordinance No. 17056-07-2006 DATE: Tuesday, July 18, 2006 LOG NAME: 50DIABETES REFERENCE NO.: **C-21571 SUBJECT: Authorize Execution of a Grant Contract with the Texas Department of State Health Services Chronic Disease Prevention Branch for the Texas Diabetes Program's Community Diabetes Service Projects from September 1, 2006 to August 31, 2007, Adopt Appropriation Ordinance and Inter- Fund Loan RECOMMENDATION: It is recommended that the City Council: 1. Authorize the City Manager to apply for and accept, if awarded, a grant contract with the Texas Department of State Health Services (DSHS), Chronic Disease Prevention Branch for the Texas Diabetes Program's Community Diabetes Service Projects (CDSP) in the amount of $80,000 to be used to provide community-based diabetes prevention and management programs from September 1, 2006 to August 31, 2007; 2. Adopt the attached appropriation ordinance increasing estimated receipts and appropriation in the Grants Fund by $80,000; 3. Waive indirect costs of 17.59% of related salary and fringe benefits which are the most recent rates indicated by the Finance Department; and 4. Authorize a non-interest bearing interfund loan from the General Fund to the Grants Fund in the amount of $25,000 for the interim financing for this grant pending contract execution to secure program continuation from one grant funding period to the next. DISCUSSION: Diabetes is an epidemic and a public health crisis in Texas. During the 2003 City of Fort Worth Public Health Department Community Needs Assessment, six out of the 12 Neighborhood Police Districts surveyed ranked diabetes number one as their greatest household health problem. Poor eating habits, being overweight and lack of physical activity attribute to 90% of diabetes diagnoses. More than 60% of American adults do not get enough physical activity and more than 25% are not active at all. The City of Fort Worth is no exception. According to the 2003 City of Fort Worth Public Health Community Needs Assessment 21.3% to 40% surveyed identified not exercising. Along with 82.5% to 90.8% surveyed identified eating fewer than five servings of fruits and vegetables a day. The City of Fort Worth Public Health Department Diabetes Program was awarded funding in September 2003 for a four-year program renewal to provide the following but not limited to: _....--L . Organizational activities leading to changes in community systems, policy and/or vFMCI k,I F"'SV'VN �, ,, n o i? � CIIIf ��1;R�,A .V J�e :J'V��: fb Logname: 50DIABETES f 2 environments, . Organizational changes impacting community systems, policy, and/or environments in different community sectors (e.g. health care, worksites/businesses, faith-based communities, neighborhoods, recreation, non-profits, food industry, etc.), . Lifestyle classes in English (e.g., CDC Diabetes self management program or other DSHS approved models) or similar activities, . Lifestyle classes in Spanish (e.g., CDC Diabetes self management program or other DSHS approved models) or similar activities physical activity ongoing groups and activity events, . Physical activity events and ongoing activity groups, . Support groups - English, . Support groups - Spanish, . A series of food and nutrition classes, . Provider Education (risk reduction, standards of care, etc.), . Public health information activities (e.g., television, radio, print media, outdoor mobile advertising, websites, kiosks, displays, etc.), . Material distribution (e.g. brochures, posters, etc. from National Diabetes Education Program, Texas Diabetes Council/DSHS and other sources) . Resources in Texas Information Referral Network (by Jan. 2006) The City of Fort Worth Public Health Department provides community-based diabetes programs targeting individuals with diabetes or those at risk and their families, those uninsured/underinsured and communities in Fort Worth with high prevalence and burdens of diabetes, including mortality. FISCAL INFORMATIONXERTIFICATION: The Finance Director certifies that upon approval of the above recommendations and adoption of the attached appropriation ordinance, funds will be available in the current operating budget, as appropriated, of the Grants Fund. Upon execution of the grant contract, the interim inter-fund loan will be returned to the General Fund. TO Fund/Account/Centers FROM Fund/Account/Centers GR76 451923 050301108000 $80,000.00 GG01 136076 000000 $25,000.00 GR76 5(N ARIOUS) 050301108010 $80,000.00 GR76 220001 000301108000 $25 000.00 Submitted for City Manager's Office bT. Joe Paniagua (6140) Originating Department Head: Daniel Reimer(7201) Additional Information Contact: Ibiso Charles (6053) Logname: 50DIABETES of 2