HomeMy WebLinkAboutContract 30857 CITY SECRETARY
p F CONTRACT NO.
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. 04
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. 04 : OPHP-LOCAL PUBLIC HEALTH SYSTEM
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 WORTH EPARTMENT F PUBLIC DEPARTMENT OF STATE HEALTH SERVICES
HEALTH
A������
By: BY
(Signature of person orized to sign) (Signature of person autSorized to sign)
Libby Watson, Assistant City Manager Bob Burnette, Director
Procurement and Contracting Services Division
(Name and Title) 'J (Name and Title) )�r
Date: 1 b /0� Date: lQh6IV7"
RECOMMENDED:
By. c Com-
(PERFORMING AGENCY Director, if different
from person authorized to sign contract
Rev:WN
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—�---- ATMTED BY
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�� APROYED AS TO FORM AND LE;ALITY:
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^a �-qty Attorney y RWt)0,1 Contract Authorization
Cover Page 1 1
Date
DETAILS OF ATTACHMENTS
Att/ DSHS 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
03 DIAB/CDSP 09/01/04 08/31/05 80,000.00 0.00 80,000.00
C038790000
04 OPHP/LPHS 09/01/04 08/31/05 40,000.00 0.00 40,000.00
0039223000
DSHS Document No.7560005286 2005 Totals $169,867.00 $ 0.00 $169,867.00
Chane No. 04
*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
DOCUMENT NO. 7560005286-2005
ATTACHMENT NO. 04
PURCHASE ORDER NO. C039223000
PERFORMING AGENCY: FORT WORTH DEPARTMENT OF PUBLIC HEALTH
RECEIVING AGENCY PROGRAM: OFFICE OF PUBLIC HEALTH PRACTICE
TERM: September 01, 2004 THRU: August 31, 2005
SECTION I. SCOPE OF WORK:
PERFORMING AGENCY shall improve or strengthen local public health infrastructure within
the State of Texas by:
• Developing objective(s) to address a public health issue;
• Utilizing resources provided through this contract attachment to conduct activities
and services that provide or support the delivery of essential public health services;
• Assessing, monitoring, and evaluating the essential public health activities and
services provided through this contract attachment; and
• Developing strategies to improve the delivery of essential public health service(s) to
identified service area.
These tasks shall be performed in accordance with PERFORMING AGENCY'S FY 05 Local
Public Health System (LPHS) Service Delivery Plan, dated May 27, 2004 and the FY 05 Texas
Application for Preventive Health and Health Services Block Grant Funds, dated June 15, 2004.
The assessment and/or evaluation activities must include a standard that is identified in
PERFORMING AGENCY'S FY 05 LPHS Service Delivery Plan. Acceptable standards include
the National Public Health Performance Standards approved by the Centers for Disease Control
and Prevention, Performance Standards developed by the Texas Association of Local Health
Officials, Healthy People 2010, and any federal, state or local law or regulation governing the
delivery of essential public health services. Other evaluation methods utilizing standards not
listed in this contract Attachment must be pre-approved by RECEIVING AGENCY.
PERFORMING AGENCY shall comply with all applicable federal and state laws, rules,
regulations, standards including, but not limited to,the following:
• Chapter 23-11 of the Healthy People 2010;
• Section 121.002, Texas Health & Safety Code, definition of ten essential public health
services; and
• Government Code, Section 403.1055, "Permanent Fund for Children and Public Health".
• Texas Administrative Code, Title 25, Chapter 83, Subchapter A "Permanent Fund for
Children and Public Health".
ATTACHMENT—Page 1
PERFORMING AGENCY shall comply with all applicable regulations, standards, and
guidelines in effect on the beginning date of this contract Attachment.
The following documents are incorporated by reference and made a part of this contract
Attachment:
• PERFORMING AGENCY'S FY 05 LPHS Service Delivery Plan; and
• FY 05 Texas Application for Preventive Health and Health Services Block Grant Funds.
PERFORMING AGENCY may not use funds from the Permanent Fund for Children and Public
Health for lobbying expenses under the Government Code, Section 403.1067.
RECEIVING AGENCY shall inform PERFORMING AGENCY in writing of any changes to
applicable federal and state laws, rules, regulations, standards and guidelines. PERFORMING
AGENCY shall comply with the amended law, rule regulation, standard or guideline except that
PERFORMING AGENCY shall inform RECEIVING AGENCY Program in writing if it shall
not continue performance under this Attachment within thirty (30) days of receipt of an amended
standard(s) or guideline(s). RECEIVING AGENCY may terminate the Attachment immediately
or within a reasonable period of time as determined by RECEIVING AGENCY.
PERFORMANCE MEASURES
PERFORMING AGENCY shall complete the PERFORMANCE MEASURES as stated in the
FY 05 LPHS Service Delivery Plan, and as agreed upon by RECEIVING AGENCY, and hereby
attached as Exhibit A.
PERFORMING AGENCY shall provide activities and services as submitted by PERFORMING
AGENCY and approved by RECEIVING AGENCY in the FY 05 LPHS Service Delivery Plan
in the following county(ies)/area: Tarrant.
SECTION Il. SPECIAL PROVISIONS:
General Provisions, Reports Article, is revised to include the following paragraphs:
PERFORMING AGENCY shall submit quarterly progress reports which describe progress
toward completing the activities and services contained in PERFORMING AGENCY'S FY 05
LPHS Service Delivery Plan and any written revisions. PERFORMING AGENCY shall submit
the first, second and third quarter's progress reports to RECEIVING AGENCY no later than
thirty (30) days after the end of each quarter, and the final report and improvement plan to
RECEIVING AGENCY sixty (60) days after the end of this contract Attachment term in a
format specified by RECEIVING AGENCY.
ATTACHMENT—Page 2
`, s
PERFORMING AGENCY shall submit an Annual Budget and Expenditures Report in a format
specified by and to RECEIVING AGENCY by December 15, 2005.
ATTACHMENT—Page 3
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FINANCIAL ASSISTANCE
CURRENT
OBJECT CLASS CATEGORIES NEW OR REVISED APPROVED CHANGES
BUDGET BUDGET REQUESTED
a. PERSONNEL................................ 22,464.00 0.00 22,464.00
b. FRINGE BENEFITS.......................... 5,616.00 0.00 5,616.00
c. TRAVEL................................... 120.00 0.00 120.00
d. EQUIPMENT................................ 0.00 0.00 0.00
e. SUPPLIES................................. 11,800.00 0.00 11,800.00
f. CONTRACTUAL.............................. 0.00 0.00 0.00
g. OTHER.................................... 0.00 0.00 0.00
h. TOTAL DIRECT CHARGES..................... 40,000.00 0.00 40,000.00
i. INDIRECT CHARGES......................... 0.00 0.00 0.00
'. TOTAL.................................... 40,000.00 0.00 40,000.00
k. RECEIVING AGENCY SHARE................... 40,000.00 0.00 40,000.00
I. 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:
TYPE OF RATE PROVISIONAL................
PREDETERMINED.............
FINAL......................
FIXED......................
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 30th of December,30th of March,30th of June,and the 30th of November.
Exhibit A
PERFORMANCE MEASURES:
PERFORMING AGENCY: City of Fort Worth Public Health Department
Essential Public Health Services
Objective 1.1: PERFORMING AGENCY shall facilitate increased awareness of
community-based nutrition and physical activity programs.
Performance Measure 1.1: Publish and distribute community-based nutrition
and physical activity program information for partners, as well as general
audiences.
Objective 1.2: PERFORMING AGENCY shall develop partnership with
business community.
Performance Measure 1.2: Recruit 10 business partners who agree to implement
physical activity and/or nutrition programs with their employees.
Objective 1.3: PERFORMING AGENCY shall develop partnerships with faith-
based community.
Performance Measure 1.3: Recruit 12 faith-based partners who agree to
implement physical activity and/or nutrition programs with their congregations.
Objective 1.4: PERFORMING AGENCY shall develop partnership with
educational community.
Performance Measure 1.4: Recruit 3 education partners who agree to
implement physical activity and/or nutrition programs with their faculty, staff, and
students/partners.
Essential Public Health Threats
Objective 1.1: PERFORMING AGENCY shall provide the public with
information on the presence of pathogens in drinking water and dairy products.
Performance Measure 1.1: The laboratory will provide a minimum of 36,000
water and dairy tests.
Objective 1.2: PERFORMING AGENCY shall provide the department with
rapid turn-around on all tests performed.
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Exhibit A—Page 1
Performance Measure 1.2: The lab will meet turn-around standards a minimum
of 95% of the time.
Objective 1.3: PERFORMING AGENCY shall provide the public and clinicians
with tests on blood lead levels and presence of air contaminants.
Performance Measure 1.3: The laboratory will provide a minimum of 15,000
blood and environmental lead and air pollution tests.
Objective 1.4: PERFORMING AGENCY shall provide the public with
information about contaminants in drinking water.
Performance Measure 1.4: The laboratory will provide a minimum of 33,000
water chemistry tests.
Objective 1.5: PERFORMING AGENCY shall provide the department's clinical
patients and staff with clinical chemistry and hematology tests.
Performance Measure 1.5: The laboratory will provide a minimum of 87,000
clinical chemistry and hematology tests.
Objective 1.6: PERFORMING AGENCY shall provide the department's clinical
patients and staff with serological tests for maternity and STD.
Performance Measure 1.6: The laboratory will provide a minimum of 20,000
serological tests for maternity and STD clients.
Objective 2: PERFORMING AGENCY shall ensure the community's health and
safety through increased awareness of health risks from the use of tobacco.
Performance Measure 2: 10 high schools, 32 middle and elementary schools
will participate in anti-tobacco education services.
Objective 3: PERFORMING AGENCY shall collect and analyze data from 700
women on barriers to prenatal care.
Performance Measure 3: 1) Establish follow-up system for cases of hepatitis B
and C, and 2) Develop partnerships with at least three organizations including
advocacy, treatment and prevention groups.
Exhibit A—Page 2
City of Fort Worth, Texas
Mayor and Council Communication
COUNCIL ACTION: Approved on 7/6/2004 - Ordinance No. 16029
DATE: Tuesday, July 06, 2004
LOG NAME: 50OPHP REFERENCE NO.: **C-20139
SUBJECT:
Adoption of Appropriation Ordinance and Approval of a Contract with the Texas Department of
Health Office of Public Health Practice for "000" Local Public Health System Development Funds
through Preventive Health and Human Services Block Grant
RECOMMENDATION:
It is recommended that the City Council:
1. Authorize the City Manager to apply for and accept, if awarded and execute a grant contract with
Texas Department of Health's(TDH) Office of Public Health Practice (OPHP), in the amount of $40,000
to be used to provide essential public health services from September 1, 2004 to August 31, 2005;
2. Adopt the attached appropriation ordinance increasing appropriations and estimated receipts by
$40,000 in the Grants Fund;
3. Waive the indirect cost rate of 10% since expenditures of this nature negatively impact the delivery of
services to the community; and
4. Authorize a non-interest bearing inter-fund loan from the General Fund to the Grants Fund in the
amount of $25,000 for interim financing of this grant project pending contract execution.
DISCUSSION:
The Texas Department of Health (TDH), through the Office of Public Health Practice (OPHP) distribution of
"000" Local Public Health System Development Funds through Preventive Health and Human Services
Block Grant funds, finances local health departments across the state to provide essential public health
services. The City of Fort Worth Public Health Department's Health Promotion & Education section will
complete a service delivery plan designed to increase awareness of the benefits of regular physical activity
and proper nutrition, as they apply to reducing the risk of developing or dying from some of the leading
causes of death and illness (i.e. cancer, high blood pressure and cardiovascular disease); to reduce
overweight and obesity in both children and adult populations; to assist the community in identifying risk
behaviors that contribute to the development or increase the burden of chronic diseases. The Public Health
Department will continue fostering the Public Health community partnerships by addressing these essential
health functions, as defined by TDH:
a. Inform, educate and empower people about health status; and
b. Mobilize community partnerships to identify and solve health problems.
Logname: 50OPHP Page 1 of 2
FISCAL INFORMATION/CERTIFICATION:
The Finance Director certifies that upon approval of the above recommendations, receipt of the grant 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, interim funds will be returned to the
General Fund.
TO Fund/Account/Centers FROM Fund/Account/Centers
GR76 451923 050301950000 $40,000.00 GG01 136076 0000000 $25,000.00
GR76 5 (VARIOUS) 050301950010 $40,000.00
GR76 220001 000301950000 $25,000.00
Submitted for City Manager's Office bv: Libby Watson (6183)
Originating Department Head: Daniel Reimer (7201)
Additional Information Contact: Susan Whittenberger (6658)
Logname: 50OPHP Page 2 of 2