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Contract 32216
CITY CONTRACT SECRETARY No. �?I 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. 11 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.05B : CPS-BIOTERRORISM PREPAREDNESS 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 DEPARTMENT OF PUBLIC DEPARTMENT OF STATE HEALTH SERVICES HEAL By: ._� By: (Signature of person authoriz to sign) (Signatudy of person authdMzed to sign) Bob Burnette,Director Ralph Mendoza, Acting Asst. City Manager Procurement and Contracting Services Division (Name and Title) (Name and Title) Date: T,�V 7 Q , 2 coo-% Date: �/I D RECOMME ED: ! B y: �,,�it,� �ti Contract ,�uth izatior� (PERFORMING AGENCY Director,if different from person authorized to sign contract Date JC PCSD-Rev. 6/04 Attested By: sto R. k 5 s t� UN Marty Iiendrix City Secretary Cover Page 1 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* 01C IMM/LOCALS 01/01/04 08/31/05 State 93.268 95,508.00 0.00 95,508.00 0000001764 02 ZOONOSIS 09/01/04 08/31/05 State 11,664.00 0.00 11,664.00 C038065000 03A DIAB/CDSP 09/01/04 08/31/05 State 80,000.00 0.00 80,000.00 C038790000 04A RLSS/LPHS 09/01/04 08/31/05 State 93.991 40,000.00 0.00 40,000.00 C039223000 05B CPSBIOTERR 09/01/04 08/31/05 93.283 495,512.00 0.00 495,512.00 0000300995 DSHS Document No.7560005286 2005 Totals $722,684.00 $ 0.00 $722,684.00 ,Change No. 11 *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. 05B PURCHASE ORDER NO. 0000300995 PERFORMING AGENCY: FORT WORTH DEPARTMENT OF PUBLIC HEALTH RECEIVING AGENCY PROGRAM: COMMUNITY PREPAREDNESS SECTION TERM: September 01, 2004 THRU: August 31, 2005 It is mutually agreed by and between the contracting parties to amend the conditions of Document No. 7560005286 2005 -05A as written below. All other conditions not hereby amended are to remain in full force and effect. SECTION I. SCOPE OF WORK:, is revised to include the following: PERFORMANCE MEASURES PERFORMING AGENCY shall complete the PERFORMANCE MEASURES as stated in the Revisions to FY2005 Local Public Health Preparedness Work Plan, and as agreed upon by RECEIVING AGENCY, and hereby attached as Exhibit B, Amendment 1. In cases where both Exhibit B and Exhibit B, Amendment 1 contain activities and timelines for the same deliverable, the activities and timelines stated in Exhibit B, Amendment 1 supercede and represent the approved performance measures for that deliverable. ATTACHMENT—Page 1 771 `. •::YIYhy nySe DEPARTMENT OF STATE HEALTH SERVICES RECEIVING AGENCY PROGRAM: COMMUNITY PREPAREDNESS SECTION PERFORMING AGENCY: FORT WORTH DEPARTMENT OF PUBLIC HEALTH CONTRACT TERM:09/01/2004 THRU:08/31/2005 BUDGET PERIOD: 09/01/2004 THRU 08/31/2005 DSHS DOC. NO.7560005286 200505B CHG. 11 REVISED CONTRACT BUDGET FINANCIAL ASSISTANCE OBJECT CLASS CATEGORIES CURRENT APPROVED CHANGE NEW OR REVISED BUDGET (A) REQUESTED (B) BUDGET(C) Personnel $265,202.00 $( 35,652.00) $229,550.00 Fringe Benefits 66,301.00 ( 8,914.00) 57,387.00 Travel 24,301.00 (8,175.00) 16,126.00 Equipment* 11,082.00 201.00 11,283.00 Supplies 14,579.00 13,650.00 28,229.00 Contractual 0.00 0.00 0.00 Other 80,897.00 43,346.00 124,243.00 Total Direct Charges $462,362.00 $4,456.00 $466,818.00 Indirect Charges 33,150.00 (4,456.00) 28,694.00 TOTAL $495,512.00 $0.00 $495,512.00 PERFORMING AGENCY SHARE: Program Income 0.00 0.00 0.00 Other Match 0.00 0.00 0.00 RECEIVING AGENCY SHARE $495,512.00 $0.00 $495,512.00 PERFORMING AGENCY SHARE $0.00 $0.00 $0.00 Detail on Indirect Cost Rate Type: Rate 10.00 Base $286,937.00 Total $28,694.00 Budget Justification: Form No.GC-9 ECPS—Rev. 10/04 Financial status reports are due the 30th of December,30th of March, 30th of June,and the 30th of November. *Equipment list attached. The negotiated indirect cost shown above is less than PERFORMING AGENCY'S current indirect cost rate on file at the RECEIVING AGENCY and subject to review by RECEIVING AGENCY fiscal monitors. Indirect charges to this contract may not exceed the amount shown above,except by prior written approval of RECEIVING AGENCY. a . PERFORMING AGENCY: FORT WORTH DEPARTMENT OF PUBLIC HEALTH RECEIVING AGENCY PROGRAM: COMMUNITY PREPAREDNESS SECTION DSHS DOC. NO: 7560005286 2005 ATTACHMENT NO:05 B Change No. 11 REVISED EQUIPMENT LIST ITEM DESCRIPTION NO. OF UNIT EXTENSION UNITS COST 001 Display Booth-Skyline PS3000 Exhibit Booth with Bi-lingual display. 1 5,700.00 $ 5,700.00 002 Software-Pinnacle Liquid Vision Video Editor,Version 5.5. 1 550.00 $ 550.00 003* Printer-BravoPro Autoprinter 1 1,895.00 $ 1,895.00 004 Camcorder-Son Mini DV Hand cam, 3 cassettes,c bag,tripod. 1 3,138.00 $ 3,138.00 TOTALS $ 11,283.00 Items may be brand name,if specified,or equivalent. 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C Q b ° a cs O a 3 ,= ,p~ " vj ca U cz :dSZ CZ uwbo -n on W cz C40 cz cz a� 3W a aU �'" c xbZ '' `z 0 0 •� O �_ L 0 cz O CZ 42 CZ Z3 ( EOno b a u � O � o° 0Z u 2 -n W c �yC ° 0 � E C') cz o Gay V) w W cu ba > i °n o CL a Q 3 o c H � � A.•5 ,� o a� �!; a� 0 a 03m � -o a� U .14 r. �, bA a c A a M 0 u � o •� d d c — 0 u G 3 > C'sa se .n U ri O O N V cG cz COD 1,6 t: � � ° x � o czU °*-' W W o p� axi c b o U .� Z b 0 4- cz W wct A A U 3 0 Q ' Q � ¢ o a axi LY a>i � f 2 ® E5 § k2 \ / > R & _ cz ( 03 % 7 J v 0 ° / E6 0 m � § 2 t 7 '§ LL 2 / 0 � \ k 2 k o � ƒ � � \ � m � 3 5 � / y A a \ a § § q ) � \ 2 � § ( ƒ / E / \ 7 I_- ca\ � q ƒ I k § g ./ u k u § E co / 0 \ k 7 ƒ CL � • -) ƒ a \ \ § 0 / ] % - ^2 \ U- 14§ 7 § a a / - � / 4 lit, \ z - M / - = $ � c - C/) ƒ City of Fort Worth, Texas Mayor and Council Communication COUNCIL ACTION: Approved on 8/5/2004 - Ordinance No. 16060 DATE: Thursday, August 05, 2004 LOG NAME: 50BIOGRANT REFERENCE NO.: C-20186 SUBJECT: Adoption of Appropriation Ordinance and Authorization to Execute a Contract with Texas Department of Health for a Public Health Preparedness and Bioterrorism Response Grant for September 1, 2004 through August 31, 2005 RECOMMENDATION: It is recommended that the City Council: 1. Authorize the City Manager to execute a contract with the Texas Department of Health for $495,512.00 to be used for public health preparedness and bioterrorism response during the period September 1, 2004, to August 31, 2005. 2. Adopt the attached appropriation ordinance increasing estimated receipts and appropriation in the Grants Fund by $495,512.00. 3. Approve an indirect cost rate of 10% of salaries, as approved by TDH. DISCUSSION: For the third year, the Centers for Disease Control and Prevention (CDC) has provided funding to the TDH to enhance the capacity of the public health system to prepare for and respond to terrorism, infectious outbreaks and other public health threats and emergencies. The funding last year for the Fort Worth Public Health Department was $500,517.00, as approved in M&C C-19651, on July 8, 2003. A total of $34,766,854.00 in funds is to be allocated this year among TDH, the regional offices and local health departments in Texas. Each county will receive a base amount of$20,000 plus an additional amount based upon $1.30 per capita. Tarrant County will receive $2,052,375.00, which will be appropriated between the City of Fort Worth and Tarrant County Public Health departments according to a needs assessment and plan jointly developed by the departments and approved by the Regional Health Director. The estimated apportionment will be approximately $495,512.00 for the City and $1,556,863.00 for Tarrant County. This division of labor is consistent with the City Council's policy direction in reorganizing public health in Fort Worth and Tarrant County and with previous year's activities. The CDC and and TDH require each local health department continue to address six focus areas: 1. Preparedness, Planning and Readiness Assessment; 2. Surveillance and Epidemiology Capacity; 3. Laboratory Capacity-Biological and Chemical Agents; 4. Health Alert Network/Communications and Information Technology; 5. Risk Communication and Health Information and Dissemination; and 6. Education and Training Logname: 50BIOGRANT Pagel of 2 Local health departments are required to continue to assure their need assessments and plans are coordinated with plans of cities that have received funds for the Metropolitan Medical Response System (MMRS) development, as well as regional plans with other jurisdictions. Fort Worth is a MMRS city. The grant funded activity will cover the period of September 1, 2004 through August 31, 2005. The projected activites will continue to build upon accomplishments achieved during the funding period from September 1, 2003 through August 31, 2004. These accomplishments include the design and presentation of educational programs for public and professional communities, development of mass prophylaxis immunization protocols and the revision and enhancement of disaster preparedness plans at the local and regional level. These activities have served to better prepare Fort Worth citizens for a variety of emergency events. The requested funding will be used to further cultivate and disseminate educational and preparedness activites throughout Fort Worth and enhance communication and response capabilities for the six positions already in place. FISCAL INFORMATION/CERTIFICATION: 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. TO Fund/Account/Centers FROM Fund/Account/Centers GR76 451923 050301968000 $495,512.00 GR76 5(VARIOUS) 05030968010 $495,512.00. Submitted for City Manager's Office by: Libby Watson (6199) Originating Department Head: Dan Reimer (871-8903) Additional Information Contact: Dan Reimer (871-8903) Logname: 50BIOGRANT Page 2 of 2