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Home My WebLink AboutContract 61936CSC No. 61936 DEPARTMENT OF STATE HEALTR SERVICES MEMORANDUM OF UNDh',RSTANDING DSHS MOU No. HIIS001454300025 This Memorandum of Understanding (MOU), is entered into between the Texas Department of State Health Services (DSHS), and City of Fort Worth Water (the "Municipal Water Utility" or the "MWU"), who are collectively referred to herein as the "Parties." I. PURPOSE The DSHS wastewater monitoring program works with local health departments and water utilities to track pathogens in wastewater and obtain high -quality, community -level data that helps protect public health in Texas. The program's aim is to assess emerging or endemic microorganisms that cause disease by examining wastewater from distinct municipal sewersheds. Program activities shall be delivered in collaboration with the MWU. II. AUTHORITY The Parties enter into this MOU under the authority of the Texas Government Code Chapter 531 and the Texas Health and Safety Code Chapters 12 and 81. III. LIAISONS AND NOTICES The Parties will maintain designated liaisons during the entire term of the MOU. The Parties will communicate in writing any subsequent changes in liaison personnel. The names and contact information for the initial liaisons are as follows: DSHS Shont6 Battle Department of State Health Services 1100 West 49`I' Street Austin, Texas 78756 Phone: 512-776-7761 Email: Shonte.Battle(&dshs.texas.gov IV. LEGAL NOTICES Citv of Fort Worth Water Fernando Costa Assistant City Manager 908 Monroe St. Fort Worth, Texas 76102 Phone:(817) 392-6122 Email: Fernando.costaOfortworthtexas.gov Legal notices under this MOU will be deemed effective when deposited either in the United States mail, postage paid, certified, return receipt requested; or with a common carrier, overnight, signature required, to the appropriate address below: OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Deparhnent of State Health Services 1100 West 49th Street, MC 1911 Austin, Texas 78756 Attention: General Counsel City of Fort Worth Water 908 Monroe St. Fort Worth, Texas 76102 Attn: Assistant City Manager Notice given in any other manner shall be deemed effective only if and when received by the Party to be notified. Any Party may change its address for receiving legal notice by notifying the other Parties in writing. VIII. CONFIDENTIALITY MWU agrees to maintain and protect confidential information in compliance with the attached Attachment B, HHS Data Use Agreement, incorporated herein by reference, and as outlined below: A. Designate and identify a HIPAA Privacy Officer, who is authorized to act on behalf of MWU and is responsible for the development and implementation of the privacy and security requirements of federal and state privacy laws. B. Designate, from its staff, a Local Responsible Party (LRP) who has the overall responsibility for ensuring the security of the wastewater monitoring program confidential information maintained by the Parties as part of activities under this MOU. The LRP will ensure appropriate policies/procedures are in place for handling confidential information, for the release of confidential wastewater data, and for the rapid response to suspected breaches of protocol and/or confidentiality. IX. TERM AND TERMINATION This MOU sliall become effective once signed by all Parties and will be valid for five years. The Parties hereby agree that any Party may terminate the MOU sooner upon giving 30 days' written notice to the other Parties. This MOU may be terminated in the event that federal or state law should be amended or judicially interpreted so as to render continued fiilfillment of this MOU, on the part of any Party, unreasonable or impossible. X. AMENDMENT This MOU may not be amended, modified, or changed except by written agreement executed by the Parties. 2 Docusign Envelope ID: 0924FFOC-OBD8-46A4-85C1-F460EFF822E5 SIGNATURE PAGE DSHS MOU No. HHS001454300025 DEPARTMENT OF STATE HEALTH SERVICES By: C oowlion.eer. .� RA) ACV202CEA5ABC1C4E2... Signature of Authorized Representative Manda Hall, MD Printed Name Associate Commissioner, Community Health Improvement Title August 28, 2024 Date of Signature CITY OF FORT WORTH WATER By: D—Signed by: f V,4,"0(0 e,"u 555F786B652A454... Signature of Authorized Representative Fernando Costa Printed Name Assistant City Manager Title August 19, 2024 Date of Signature THE FOLLOWING ATTACHMENTS TO DSHS CONTRACT NO. HHS001454300025 ARE HEREBY INCORPORATED BY REFERENCE AND MADE A PART OF THIS MOU FOR ALL PURPOSES: ATTACHMENT A MWU SOW STATEMENT OF WORK 3 Certificate Of Completion Envelope Id: 0924FFOCOBD846A485C1F460EFF822E5 Subject: HHS001454300025_City of Fort Worth Water_WWTP_MWU_MOU Source Envelope: Document Pages: 5 Signatures: 2 Certificate Pages: 2 Initials: 0 AutoNav: Enabled Envelopeld Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) Record Tracking Status: Original 8/6/2024 2:29:15 PM Signer Events Fernando Costa fernando.costa@fortworthtexas.gov Assistant City Manager Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Susana Garcia Susana.Garcia@dshs.texas.gov CTCM, Unit Director DSHS Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign PATTY MELCHIOR Patty.Melchior@dshs.texas.gov Patricia Melchior, Director, DSHS CMS Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Manda Hall, MD Manda.Hall@dshs.texas.gov Associate Commissioner, Community Health Improvement Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Holder: CMS Internal Routing Mailbox CMS.InternalRouting@dshs.texas.gov Signature by:[Dmullgned .N �o 655F7B6B652A454... Signature Adoption: Pre -selected Style Using IP Address: 204.10.90.100 Completed Using IP Address: 98.97.85.35 Completed Using IP Address: 167.137.1.15 [Docullgned by: 202CEASA9CI64E2... Signature Adoption: Pre -selected Style Using IP Address: 167.137.1.12 Signature DocuSign Status: Completed Envelope Originator: CMS Internal Routing Mailbox 11493 Sunset Hills Road #100 Reston, VA 20190 CMS.InternalRouting@dshs.texas.gov IP Address: 167.137.1.16 Location: DocuSign Timestamp Sent: 8/6/2024 2:32:35 PM Resent: 8/13/2024 11:37:27 AM Resent: 8/19/2024 3:07:25 PM Viewed: 8/19/2024 4:55:26 PM Signed: 8/19/2024 4:55:59 PM Sent: 8/19/2024 4:56:02 PM Resent: 8/22/2024 2:44:18 PM Viewed: 8/28/2024 9:23:40 AM Signed: 8/28/2024 9:23:48 AM Sent: 8/28/2024 9:23:49 AM Viewed: 8/28/2024 10:33:25 AM Signed: 8/28/2024 10:33:52 AM Sent: 8/28/2024 10:33:54 AM Viewed: 8/28/2024 10:35:41 AM Signed: 8/28/2024 10:35:48 AM Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Shonte Battle I COPIED I Sent: 8/19/2024 4:56:01 PM shonte.battle@dshs.texas.gov Viewed: 8/28/2024 10:46:52 AM Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign CMS Internal Routing Mailbox I COPIED Sent: 8/28/2024 10:35:49 AM CMS.InternalRouting@dshs.texas.gov Resent: 8/28/2024 10:35:53 AM DSHS Contract Management Section Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Shonte Battle I COPIED I Sent: 8/28/2024 10:35:50 AM shonte.battle@dshs.texas.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/6/2024 2:32:35 PM Envelope Updated Security Checked 8/19/2024 3:07:24 PM Envelope Updated Security Checked 8/19/2024 3:07:24 PM Envelope Updated Security Checked 8/19/2024 3:07:24 PM Envelope Updated Security Checked 8/19/2024 3:07:24 PM Envelope Updated Security Checked 8/19/2024 3:07:24 PM Envelope Updated Security Checked 8/19/2024 3:07:24 PM Envelope Updated Security Checked 8/19/2024 3:07:24 PM Certified Delivered Security Checked 8/28/2024 10:35:41 AM Signing Complete Security Checked 8/28/2024 10:35:48 AM Completed Security Checked 8/28/2024 10:35:51 AM Payment Events Status Timestamps Attachment A Statement of Work— Municipal Water Utility I. Purpose The Texas Department of State Health Services (DSHS) wastewater monitoring program works with local licalth departments and water utilities to track pathogens in wastewater and obtain high -quality, community -level data that helps protect public licalth in Texas. The program's aim is to assess emerging or endemic microorganisms that cause disease by examining wastewater from distinct municipal sewersheds. Program activities shall be delivered in collaboration with the Municipal Water Utility (MWM). Data may be used to: 1. Understand the spread of microorganisms throughout a community; 2. Detect outbreaks in communities; 3. Assess the effectiveness of prevention approaches; 4. Identify known variants of microorganisms; and 5. Identify emerging variants of microorganisms. II. Roles and Responsibilities of DSHS A. Facilitate timely and complete communications and program activities among implementing partners. B. Establish microorganism targets as advised by the Centers for Disease Control and Prevention. Microorganism targets may change according to public health priorities. a. Influenza A virus (IAV) b. Influenza B virus (IBV) C. Mpox virus d. Norovirus e. Respiratory syncytial virus (RSV) f Severe acute respiratory syndrome -associated coronavirus 2 (SARS-CoV-2) 4 C. Develop a workplan'in collaboration with the MWU that includes timelines for completing program activities outlined in Section II(C)(a) — Section II(C)(d). a. Wastewater sampling i. Provide equipment and materials for wastewater sample collection. ii. Prepare and maintain sampling equipment. iii. Coordinate sample collection. b. Wastewater analysis i. Conduct quantitative wastewater analysis to detect pathogens. ii. Conduct genomic sequencing to detect variant proportions of targeted pathogens in positive wastewater samples. c. Wastewater data management i. Coordinate wastewater data management to produce reliable, actionable, and high -quality data for public health action. d. Wastewater data reporting i. Report wastewater analysis results to the MWU. ii. Develop or review knowledge translation products (e.g., publications, presentations, etc.). D. Optimize protocols for data timeliness and quality, including minimizing time from sample collection to data reporting and maximizing quality of reported data. IV. Roles and Resuonsibilities of MWU A. Review and approve workplan in collaboration with DSHS. B. Review optimized protocols for data timeliness and quality, including minimizing time from sample collection to data reporting and maximizing quality of reported data. t; CITY OF FORT WORTH APPROVAL RECOMMENDED: Ch✓isfonhe✓ Ha✓de✓ Christopher H ardei (Aug 27, 2024 07:30 CDT) Chris Harder, P.E. Water Department Director APPROVED AS TO FORM AND LEGALITY: . QWr— Douglas Black (Aug 28, 2024 10:04 CDT) Doug Black Sr. Assistant City Attorney Fonnn ORT �pd ATTEST: Jannette S. Goodall City Secretary No M&C Required Contract Compliance Manager: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. 5tacyV(Aug 26, 2024 CDT) Stacy Walters, Regulatory -Environmental Administrator OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX