HomeMy WebLinkAboutContract 27039 F DUPLICATE
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TEXAS DEPARTMENT OF HEALTH CITY SECRETARY
1100 WEST 49TH STREET .�ONTRACT NO. -222aL
AUSTIN, TEXAS 78756-3199
STATE OF TEXAS TDH Document No. 7560005286 2001
COUNTY OF TRAVIS Contract Change Notice No. 04
The Texas Department of Health, 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. 02A : REG./LOCAL HEALTH OPER. - INNOVATE
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 ATTESTED BY
Authorized Contracting Entity (type above if different contract Authorization
from PERFORMING AGENCY) for and in behalf of: QY051-- ` '
i
PERFORMING AGENCY: RECEIVING AGENCY : Date
FORT WO DEPARTMENT OF PUBLIC TEXAS DEPARTMENT OF HEALTH
HE.ALT
WBy: y:
(Signature of p on authorized to sign) (Signature of person authorized to sign)
Melanie A. Doyle, Director
Libby Watson, Assistant City Manager Grants Management Division
(Name and Title) (Name and Title)
Date: -kl 0 Date:
RECOMMENDED:
By: &6AAAssistan
ED ..TO FORM LITY:
(PERFORMING AGENCY Director, if different
from person authorized to sign contract B
Attorn
j SB GMD-Rev. 12/00
DL5
AUG 3 0l �
Cover Page 1
L ATE
DETAILS OF ATTACHMENTS DUPLICATE
Att/ TDH Term Financial Assistance Direct Total Amount
Amd Program Assistance (TDH Share)
No. ID Begin End Source of Amount
Funds*
01A BRLHO 09/01/00 08/31/01 93.991 40,000.00 0.00 40,000.00
02A BRLHO/INNOV 07/01/00 02/28/02 State 168,849.00 0.00 168,849.00
03 1 DIAB/DAEC 09/01/00 08/31/01 State 100,000.00 0.00 100,000.00
TDH Document No.7560005286 2001 Totals
$308,849.00 $ 0.00 $308,849.00
Change 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.
PLICATE
Cover Page 2
DOCUMENT NO. 7560005286-2001
ATTACHMENT NO. 02A
PERFORMING AGENCY: FORT WORTH DEPARTMENT OF PUBLIC HEALTH
RECEIVING AGENCY PROGRAM: BUREAU OF REGIONAL/LOCAL HEALTH
OPERATIONS
TERM: July O1,2000 THRU: February 28, 2002
It is mutually agreed by and between the contracting parties to amend the conditions of
Document No. 7560005286 2001-02 as written below. All other conditions not hereby
amended are to remain in full force and effect.
SECTION II. SPECIAL PROVISIONS:
General Provisions, Funding,paragraph one is revised to add the following:
Funding for the extension of this contract attachment may not be available for
reimbursement until after December 14, 2001.
ATTACHMENT—Page 1
TEXAS DEPARTMENT OF HEALTH
RECEIVING AGENCY PROGRAM:BUREAU OF REGIONAL/LOCAL HEALTH OPERATIONS
PERFORMING AGENCY:FORT WORTH DEPARTMENT OF PUBLIC HEALTH
CONTRACT TERM:07/01/2000 THRU:02/28/2002 BUDGET PERIOD:07/01/2000 THRU 02/28/2002
TDH DOC.NO. 7560005286 200102A CHG. 04
REVISED CONTRACT BUDGET
FINANCIAL ASSISTANCE
OBJECT CLASS CATEGORIES CURRENT APPROVED CHANGE NEW OR REVISED
BUDGET(A) REQUESTED (B) BUDGET(C)
Personnel $89,465.00 $16,945.00 $106,410.00
Fringe Benefits 25,945.00 ( 16,945.00) 9,000.00
Travel 5,850.00 0.00 5,850.00
Equipment* 6,644.00 0.00 6,644.00
Supplies 40,945.00 0.00 40,945.00
Contractual 0.00 0.00 0.00
Other 0.00 0.00 0.00
Total Direct Charges $168,849.00 $0.00 $168,849.00
Indirect Charges 0.00 0.00 0.00
TOTAL $168,849.00 $0.00 $168,849.00
PERFORMING AGENCY SHARE:
Program Income(Carryover) 0.00 0.00 0.00
Program Income(Projected) 0.00 0.00 0.00
Other Match 0.00 0.00 0.00
RECEIVING AGENCY SHARE $168,849.00 $0.00 $168,849.00
PERFORMING AGENCY SHARE $0.00 $0.00 $0.00
Detail on Indirect Cost Rate Type:
Rate 0.00 Base $0.00 Total $0.00
Budget Justification: Amendment to extend contract term from 08/31/01 to 02/28/02. No change in total contract amount.
Form No.GC-9
Financial status reports are due the 30th of October, 30th of January, 30th of April, 31st of July, 31st of October, 31st of January,
and the 30th of May.
PERFORMING AGENCY: FORT WORTH DEPARTMENT OF PUBLIC HEALTH
RECEIVING AGENCY PROGRAM: BUREAU OF REGIONAL/LOCAL HEALTH OPERATIONS
TDH DOC.NO: 7560005286 01
ATTACHMENT NO:02 A
Change No.04
EQUIPMENT LIST
ITEM DESCRIPTION NO.OF UNIT EXTENSION
UNITS COST
001 Pentium III 687MHz Processor 256MB PC800 ECC RDRAM;9GB Ultra 1 3,449.00 $ 3,449.00
180/M SCSI 10,000 RPM hard drive;3.5" 1.44MB floppy drive;20/46X IDE
CD-ROM; 10/20GB SCSI TR-5 tape drive;32MB video card;21"(19,85"
viewable, .24dp)Ultrascan monitor;Microsoft Windows NT 4.0;keyboard,
mouse
002 Hewlett Packard 2500C Professional Series color printer,600dpi, 7.5ppm, 1 1,500.00 $ 1,500.00
1.5ppm color;4 print cartridges-one each black,cyan,magneta,yellow;
IEEE 1284 compliant bi-directional parallel;HP Jetdirect print server;400
page input,envolope,plain paper,transparencies,labels,card stock media
types;letter,legal index cards;HP PCL 3 enhanced and Adobe PostScript 3
emulation;4MB memory;power cord,print heads
003 GIS Mapping Software ARC View Software 2.0 version,software 1 1,695.00 $ 1,695.00
upgrades/patches and telephone support
TOTALS $ 6,644.00
Items may be brand name,if specified,or equivalent.
Equipment List Page 1
City of Fort Worth, Texas
41havor and Council Communication
DATE REFERENCE NUMBERLOG NAME PAGE
5/1/01 **G-13218 50EXTEND 1 of 1
SUBJECT TEXAS DEPARTMENT OF HEALTH INNOVATION GRANT EXTENSION
RECOMMENDATION:
It is recommended that the City Council:
1. Authorize the City Manager to apply for and, if offered, accept a grant extension from the Texas
Department of Health (TDH)for the Animal Bite Reduction Program; and
2. Adopt the attached appropriation ordinance increasing appropriations and estimated receipts in the
amount of$84,000 from available funds; and
3. Waive the current indirect cost rate of 27.31% due to the highly competitive nature of the grants.
DISCUSSION:
On April 4, 2000 (M&C G-12875), the City Council authorized the application and acceptance of a grant
for innovative projects from the Texas Department of Health. A $168,849.00 grant was awarded to the
Public Health Department for the Animal Bite Reduction Program. This grant contract began on July 1,
2000, and will expire August 31, 2001. The Public Health Department is requesting that the City
Council approve a request to the TDH to extend the Animal Bite Reduction Program until February 28,
2002. The deadline to submit the extension proposal is May 2, 2001.
The Animal Bite Reduction Program seeks to lower the number of animal bites to City residents through
the identification of bite victims and animal owners using the Geographic Information System (GIS)
surveillance system. Data for the first nine months is being analyzed, and a preventive social marketing
intervention program has begun. An extension of this grant for six months will enable the Animal
Control team to continue the community education intervention activities initiated under the original
grant. The evaluation period would then be based on a full year's activities, rather than only six months
as provided in the original grant.
FISCAL INFORMATION/CERTIFICATION:
The Finance Director certifies that upon acceptance and execution of the grant contract and adoption of
the attached appropriation ordinance, funds will be available in the current operating budget, as
appropriated, of the Grants Fund.
LW:k
Submitted for City Manager's FUND ACCOUNT CENTER AMOUNT CITY SECRETARY
Office by: (to)
GR76 451923 050301636010 $84,000.00
Libby Watson 6183 GR76 S(Various) 050301636010 $84,000.00
Originating Department Head:
Daniel Reimer 7201 (from) APPROVED 5/1/01
ORDINANCE NO. 14604
Additional Information Contact:
City of Fort Worth, Texas
ivhavor And Council Communication --
DATE REFERENCE NUMBER LOG NAME PAGE
5/1/01 **G-13218 I 50EXTEND 1 2 of 1
SUBJECT TEXAS DEPARTMENT OF HEALTH INNOVATION GRANT EXTENSION
James Apemang 3743