HomeMy WebLinkAboutContract 30470 (2) ;iTy SECRETARY
�:)+!TRACT NO. 3(Wr7D
DEPARTMENT OF STATE HEALTH SERVICES
1100 WEST 49TH STREET
AUSTIN,TEXAS 78756-3199
STATE OF TEXAS DSHS Document No.7560005286 2005
COUNTY OF TRAVIS Contract Change Notice No.02
The Department of State Health Services,hereinafter referred to as RECEIVING AGENCY,did heretofore enter into a contract in
writing with FORT WORTH DEPARTMENT OF PUBLIC HEALTH hereinafter referred to as PERFORMING AGENCY. The
parties thereto now desire to amend such contract attachment(s)as follows:
SUMMARY OF TRANSACTION:
ATT NO.02 : ZOONOSIS CONTROL
All terms and conditions not hereby amended remain in full force and effect.
EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN.
CITY OF FORT WORTH
Authorized Contracting Entity(type above if different
from PERFORMING AGENCY)for and in behalf of:
PERFORMING AGENCY: RECEIVING AGENCY :
FORT WOR DEPARTMENT OF PUBLIC DEPARTMENT OF STATE HEALTH SERVICES
HEALTH
By:_ By:
(Signiiture of pe aut orized to sign) (Signature of person authorized to sign)
Libby Watson, Assistant City Manager Bob Burnette,Director
Procurement and Contracting Services Division
(Name and Title) (Name and itle)
cc� 3 '
Date: Date:
RECOMNWNDED:
By: /�-
(PERFORMING AGENCY Director,if different
from person authorized to sign contract
PF PCSD-Rev.6/04
, 0Ftl AND i ATTESTED BY
(A
_...�.___. _ y i
L Cf.S,y i t; rle�, P 1�I
Contract Authorization
Cover Page 1 Q_a
q-
Date
DETAILS OF ATTACHMENTS
Att/ Program ID/ Term Financial Assistance Direct Total Amount
Amd DSHS Purchase Assistance (DSHS Share)
No. Order Number Begin End Source of Amount
Funds*
01A IMM/LOCALS 01/01/04 12/31/04 State 93.268 38,203.00 0.00 38,203.00
0000001764
02 ZOONOSIS 09/01/04 08/31/05 11,664.00 0.00 11,664.00
C038065000
DSHS Document No.7560005286 2005 Totals
Chan&e No.02 $49,867.00 $ 0.00 $49,867.00
*Federal funds are indicated by a number from the Catalog of Federal Domestic Assistance(CFDA), if applicable. REFER TO
BUDGET SECTION OF ANY ZERO AMOUNT ATTACHMENT FOR DETAILS.
Cover Page 2
Any alteration to this document constitutes a counter-offer and must be approved in writing by the Department of State Health
Services.
GENERAL PROVISIONS FOR
DEPARTMENT OF STATE HEALTH SERVICES SUBRECIPIENT GRANT CONTRACTS
ARTICLE 1. Preamble
PERFORMING AGENCY and RECEIVING AGENCY(the parties)agree to make and enter into this grant contract
(contract), to faithfully perform the duties prescribed by this contract, and to uphold and abide by its terms and
provisions. This contract consists of:
• RECEIVING and PERFORMING AGENCY identifying data,
• Details of Attachment(s),
• authorized signatures,
• General Provisions, and
• Attachment(s).
Attachments may include the following elements as applicable:
• detailed Scope(s) of Work,
• Special Provisions,
• budget(s), and
• exhibit(s).
This contract represents the complete and entire understanding and agreement of the parties. No prior agreement or
understanding,oral or otherwise, of the parties or their agents will be valid or enforceable unless embodied in this
contract. The terms"shall'and"will"are used interchangeably in this contract.
The person or persons signing and executing this contract on behalf of PERFORMING AGENCY,or representing
themselves as signing and executing this contract on behalf of PERFORMING AGENCY, warrant and guarantee
that he, she, or they have been duly authorized by PERFORMING AGENCY to execute this contract for
PERFORMING AGENCY and to validly and legally bind PERFORMING AGENCY to all of its terms,
performances,and provisions.
PERFORMING AGENCY assures compliance with this contract, including these General Provisions, unless
otherwise specified in any Special Provisions of the Attachment(s)to this document. If the General Provisions are
revised or replaced during the term of this contract and PERFORMING AGENCY does not consent to comply with
the modified General Provisions,PERFORMING AGENCY may exercise its termination options in accordance with
the General Provisions,Termination Article.
ARTICLE 2. Term
The term(time period)of this contract shall be governed by the term(s)of the Attachment(s). No commitment of
contract funds is permitted prior to the first day or subsequent to the last day of the term. The tern may be renewed,
extended or shortened by amendment(s).
(Independent) GENERAL PROVISIONS 6/2004 Page 1
GENERAL PROVISIONS FOR
DEPARTMENT OF STATE HEALTH SERVICES SUBRECIPIENT GRANT CONTRACTS
TABLE OF CONTENTS
ARTICLE 1 - PREAMBLE
2 - TERM
3 - FUNDING
4 - AMENDMENTS
5 - APPLICABLE LAWS AND STANDARDS
6 - DEBARMENT AND SUSPENSIONS
7 - ASSURANCES
8 - CHILD ABUSE REPORTING REQUIREMENTS
9 - INTELLECTUAL PROPERTY
10 - HISTORICALLY UNDERUTILIZED BUSINESSES
11 - CONFLICT OF INTEREST
12 - CERTIFICATION OF SOFTWARE,HARDWARE,FIRMWARE,AND MICRO
CODE PRODUCTS
13 - STANDARDS FOR FINANCIAL AND PROGRAMMATIC MANAGEMENT
14 - BONDING AND LIABILITY INSURANCE
15 - FUNDING PARTICIPATION REQUIREMENT
16 - ALLOWABLE COSTS AND AUDIT REQUIREMENTS
17 - TERMS AND CONDITIONS OF PAYMENT
18 - ADVANCE PAYMENTS
19 - PROGRAM INCOME
20 - OVERTIME COMPENSATION
21 - EQUIPMENT AND SUPPLIES
22 - CONTRACTS WITH SUBRECIPIENTS
23 - CONTRACTS FOR PROCUREMENT
24 - REPORTS
25 - INSPECTIONS
26 - RECORDS RETENTION
27 - CONFIDENTIALITY OF PROTECTED HEALTH INFORMATION
28 - HOLD HARMLESS
29 - SANCTIONS
30 - SANCTION REVIEW
31 - BREACH OF CONTRACT CLAIM
32 - TERMINATION
33 - VOID CONTRACT
34 - SEVERABILITY
35 - SURVIVAL OF TERMS
36 - CONSTRUCTION OF AMBIGUITIES
37 - NO WAIVER OF SOVEREIGN IMMUNITY
Paper Publications Number: 29-11833,Revised June 2004
Fy
(Independent) GENERAL PROVISIONS 6/2004 ➢ g "�
DOCUMENT NO. 7560005286-2005
ATTACHMENT NO. 02
PURCHASE ORDER NO. C038065000
PERFORMING AGENCY: FORT WORTH DEPARTMENT OF PUBLIC HEALTH
RECEIVING AGENCY PROGRAM: ZOONOSIS CONTROL DIVISION
TERM: September 01, 2004 THRU: August 31, 2005
SECTION I. SCOPE OF WORK:
PERFORMING AGENCY shall sterilize dogs and cats owned by the general public at no or
minimal cost.
PERFORMING AGENCY shall comply with all applicable federal and state laws, rules, and
regulations including,but not limited to, the following:
• Texas Health and Safety Code, Chapter 828, Dog and Cat Sterilization;
• Title 25, Texas Administrative Code §169.102, Texas Department of Health (TDH)
Animal Friendly Grants.
PERFORMING AGENCY shall comply with all applicable regulations, standards, and
guidelines in effect on the beginning date of this contract.
The following documents are incorporated by reference and made a part of this contract
Attachment:
• RECEIVING AGENCY'S FY 05 Animal Friendly Spay/Neuter Project, Request for
Proposal (RFP) #RFP Z01.0081.1, issued November 19, 2003 and
• PERFORMING AGENCY'S FY 05 Animal Friendly Spay/Neuter Project, RFP #RFP
Z01.0081.1 Application and any revisions agreed upon in writing by PERFORMING
AGENCY and RECEIVING AGENCY.
Within thirty (30) days of receipt of an amended standard(s) or guideline(s), PERFORMING
AGENCY shall inform RECEIVING AGENCY Program, in writing, if it will not continue
performance under this contract Attachment in compliance with the amended standard(s) or
guideline(s). RECEIVING AGENCY may terminate the contract Attachment immediately or
within ninety (90) days.
RECEIVING AGENCY reserves the right, where allowed by legal authority, to redirect funds in
the event of financial shortfalls. RECEIVING AGENCY Program will monitor PERFORMING
AGENCY'S expenditures on a quarterly basis. If expenditures are below that projected in
ATTACHMENT—Page 1
PERFORMING AGENCY'S total contract amount, as shown in SECTION III. BUDGET,
PERFORMING AGENCY'S budget may be subject to a decrease for the remainder of the
Attachment Term.
PERFORMANCE MEASURES
The following performance measures report will be used to assess, in part, PERFORMING
AGENCY'S effectiveness in providing the services described in this contract Attachment,
without waiving the enforceability of any of the other terms of the contract. PERFORMING
AGENCY shall maintain the documentation used to calculate key outcome performance
measures. In accordance with the General Provisions, Reports Article, failure to submit reports
shall be cause for cancellation of the contract. The reporting periods and due dates are as
follows:
PERIOD COVERED DUE DATE
September— November December 31, 2004
December—February March 31, 2005
March —May June 30, 2005
June—August September 30, 2005
1. Number of animals sterilized and returned to owner(indexed monthly by sex and species
per line);
2. Number of owners receiving services;
3. Number of qualified owners requesting services;
4. Names and Texas license numbers of all veterinarians performing sterilizations under this
project;
5. Total expenditures this project has incurred for the time period at issue (separating direct
and indirect costs);
6. Total amount of TDH grant funds spent on this project during this time period;
7. Amount and source of all income or funds received from sources other than TDH
Zoonosis Control Division Animal Friendly Grant which were used in this program; and
8. Estimated amount of in-kind services received.
SECTION II. SPECIAL PROVISIONS:
None.
ATTACHMENT—Page 2
FINANCIAL ASSISTANCE
CURRENT
OBJECT CLASS CATEGORIES NEW OR REVISED APPROVED CHANGES
BUDGET BUDGET REQUESTED
a. PERSONNEL................................ 0.00 0.00 0.00
b. FRINGE BENEFITS.......................... 0.00 0.00 0.00
c. TRAVEL................................... 0.00 0.00 0.00
d. EQUIPMENT................................ 0.00 0.00 0.00
e. SUPPLIES................................. 0.00 0.00 0.00
f. CONTRACTUAL.............................. 11,664.00 0.00 11,664.00
g. OTHER.................................... 0.00 0.00 0.00
h. TOTAL DIRECT CHARGES..................... 11,664.00 0.00 11,664.00
i. INDIRECT CHARGES......................... 0.00 0.00 0.00
j. TOTAL.................................... 11,664.00 0.00 11,664.00
k. RECEIVING AGENCY SHARE................... 11,664.00 0.00 11,664.00
1. PERFORMING AGENCY SHARE(Includes m.PI) 0.00 0.00 0.00
m. PROGRAM INCOME:
0.00 0.00 0.00
m.2.Program Income(projected)......... 0.00 0.00 0.00
m.3.Other Match......................... 0.00 0.00 0.00
CONTRACT TERM
Begin Date.................................... 9/1/2004
End Date...................................... 8/31/2005
DETAIL ON INDIRECT COST:
TYPEOFRATE PROVISIONAL................
PREDETERMINED.............
FINAL......................
FDCED......................
RATE...................................... 0.00000 0.00000 0.00000
BASE...................................... 0.00 0.00 0.00
TOTAL INDIRECT CHARGES.................... 0.00 0.00 0.00
Financial status reports are due the 3000th of December,30th of March,30th of June,and the 30th of November.
M&C Request Review Pagel of 2
+ ,
.HomeDepartmentsZone
Print M&C
COUNCIL ACTION: Approved on 2/24/2004 - Ordinance No. 15883
DATE: 2/24/2004 REFERENCE NO.: **G-14269 LOG NAME: 50ACCGRANTTDH04
CODE: G TYPE: CONSENT PUBLIC NO
HEARING:
SUBJECT: Authorization to Accept a Grant, if Awarded, from the Texas Department of Health for the Animal
Friendly License Plate Spay/Neuter Program
RECOMMENDATION:
It is recommended that the City Council:
1. Authorize the City Manager to accept a grant, if awarded, from the Texas Department of Health (TDH)
Zoonosis Control Division Animal Friendly License Plate Spay/Neuter Program in an amount not to exceed
$50,000; and
2. Authorize the City Manager to execute the TDH Zoonosis Control Division Spay/Neuter Project Grant
contract, if awarded; and
3. Adopt the attached appropriation ordinance increasing estimated receipts and appropriations up to
$50,000 in the Grants Fund, subject to receipt of the funds.
DISCUSSION:
The Animal Care and Control Division has applied for grant funding from the Texas Department of Health,
Zoonosis Control Division's Spay/Neuter Project Grants available from the sale of Animal Friendly license
plates. The grant funds would be used to spay/neuter pets belonging to the indigent population, senior
citizens, and pet owners on government assistance programs at minimal or no cost to the
resident. According to TDH, preference would be given to applicants who can demonstrate eligibility for low
cost services on a per animal basis. The maximum amount awarded an individual agency by this program in
2004 will be $50,000. According to TDH, these funds may not be used to subsidize a municipal agency's
adoption and reclaim of animals program.
Since the Animal Care and Control Division does not have a surgery center at the facility, it will partner with
local veterinary clinics to provide spay/neuter surgeries.
This year, the Animal Care and Control Division intends to target dogs and cats belonging to low income
residents of the City. The program will be marketed by contacting neighborhood associations and agencies
that provide services to residents on government assistance. The Animal Care and Control Division will
select and issue vouchers to eligible applicants.
On December 4, 2003, the Animal Shelter Advisory Committee was briefed on the intent of the Animal Care
and Control Division to apply for this funding. The committee recommended that an application be submitted.
FISCAL INFORMATION/CERTIFICATION:
http://www.cfwnet.org/council_packet/mc_review.asp?refnum=G-14269 7/9/2004
M&C Request Review Page 2 of 2
The Finance Director certifies that upon approval of the above recommendations, adoption of the attached
appropriation ordinance, and receipt of the grants, funds will be available in the current operating budget, as
appropriated, of the Grants Fund.
TO Fund/Account/Centers FROM Fund/Account/Centers
GR76 451923 050301913000 $50,000.00 GR76 5(VARIOUS) 050301913010 $50,000.00
Submitted for City Manager's Office by: Libby Watson (6183)
Originating Department Head: Daniel Reimer (7201)
Additional Information Contact: Daniel Reimer (7201)
ATTACHMENTS
Ordinance.pdf
http://www.cfwnet.org/council_packet/mc_review.asp?refnum=G-14269 7/9/2004