HomeMy WebLinkAboutR89-148HEAL~"H DEPAR'~IEI~ - 'I'EXAS DEPAR'~IEIT~ OF HEAL~'H CO1T~RAC~
RESOLUTION NO. R89-148
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF PLAINVIEW,
TEXAS, AUTHORIZING THE MAYOR TO EXECUTE TEXAS DEPARTMENT OF
HEALTH CONTRACT DOCUMENT C9000552 AMENDING THE CONTRACT FOR
MATERNAL AND CHILD HEALTH.
WHEREAS, on September 27, 1988, thru the adoption of Resolution
No. R88-190, the City of Plainview , authorized its Mayor to execute
TDH Document C9000552 which provided State funding for community and
rural health and maternal and child health in the amount of $78,763;
and
WHEREAS, the Texas Department of Health has agreed to amend said
agreement increasing annual personnel cost from $17,769 to $21,132
thru TDH Document C9000552 change number one; and
WHEREAS, the proposed amendment is hereby attached and made a
permanent part of this Resolution; and
WHEREAS, the Director of the Plainview/Hale County Health District
has recommended that the City execute such.
NOW, THEREFORE, BE IT RESOLVED, by the City Council of the City
of Plainview, Texas, that the Mayor is authorized to execute TDH
Document C9000552 contract change notice number one.
Passed and Approved this 23rd day of May, 1989.
V Rldlehuber, Mayor
ATTEST:
Carla Reese, City Secretary
APPROVED AS TO CONTENT:
APPROVED AS TO FORM:
ยท ackburn, City Attorney
STATE OF TEXAS
COUNTY OF TRAVZS
TEXAS DEPARTMENT OF HEALTH
1100 West 49th Street
Austin, Texas 78756-3199
CONTRACT CHANGE NOTICE No. I
TDH Document No. C9000552
The Texas Department of Health, hereinafter referred to as Receiving Agency,
did heretofore enter into a contract in writing with
Plainview-Hale County Heal~t ,
r~-J-~ to~-~ PerfOrming Agency. T ire
amend such contract as follows:
Summary of Transaction:
Revised contract for local public health services.
Att. No. 3a-Revised contract for maternal & child health services.
All terms and conditions not hereby amended remain in full force and effect.
EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN.
Authorized Contracting Entity {type above
if different from PERFORMING AGENCY)
for and in behalf of:
Plainview-Hale County
Health Department
PERFORMING AGENCY
By.~_j' ' By:
(Signature of person authorized
to sign contracts)
(Name and Title)
Date:
RECOMMENDED: ~/
(PERFORfl/~GENCY Director,
if different from person
authorized to sign contract)
Texas Department of Health
RECEIVING AGENCY
Date:
'(Signature of person authorized
to sign contracts)
Hermas L. Miller
Deputy Commissioner
Management and Administration
{Name and Title)
APPROVED AS TO FORM:
By:
bffice of General Counse!
Att.
No,
O2
TDH
Program
DETAILS
OF
ATTACHHEHTS
i_
TDE Document No. C9000552
Change No. 1
COHHUNITY & RURAL HEALTH
COHNUNITY & RURAL HEALTH
HATERNAL & CHILD HEALTH
Term
Begin End
9/ 1/88 8/31/89
9/ 1/88 8/31/89
II0/ 1/88 9/30/89
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State Pos.
or Grant
Pos.{ I)
Grant
Grant
Source of
Fundst
STATE
STATE
13.994
Amount
I
, - - ~OTAL $ 82,725.00
t !
$Federal funds are indicated by a nunber from the Catalog of Federal Dones[ic Assistance (C~DA), if applicable.
REFER TO BUDGET SECTION OF ANY ZEIO ~OUHT ATTACHNENT FOR DETAILS,
31,295.OO
18,180.O0
$$,247.00
133
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TEXAS DEPARTMENT OF HEALTH 1 84
Receiving Agency/?ogra~: . .M_aterna! & Child Health'
...... w~, ~ ~uoo _- ~_~p:enmer 30~_1g-i~
a:~acnment/Amendm~ IAC No.
APPLICATION FOR FEDERAL ASSISTANCE (Short Form)
PART II - BUDGET DATA
Object Class Categories
1. Personnel
2. Fringe Benefits
3. Travel
4. Equipment
5. Supplies
6. Contractual
7. Gens~e~e~ (N/A)
8. Other
9. Total Direct Charges
10. Indirect Charges
11. TOTAL
12. Federal Share
13. Non-Federal Share
14. Program Income
----~.__
15. Detail on Indirect Costs:
Current Approved
Budget (al
$17,769.00
3,155.00
300.00
.00
4,888.00
3,175.00
Xxxxxxxxxxxx
.00
$29,287.00
.00
$29,287.00
$29,287.00
$.oo
$.oo
Change Requested
(b)
$3,363.00
597.00
.00
.00
.00
,00
.00
$3,960.00
.00
$3,960.00
$3,960.00
$.oo
$.oo
New or Revised
Budget (c)
$21,132.00
3,752.00
300.DO
.00
4,888.00
3,175.00
.00
$33,247.00
.00
$33,247.00
$33,247.00
$.oo
$.oo
Type of Rate (Mark one box)
Rate ~ Base.$
__Provisional Predetermined
Final Fixed
To-~l Amount $
PART III - Program Narrative Statement
(Attach additional sheets, if necessary)
Contract for Maternal & Child Health Services; Revised budget to increase
funding for personne)& fringe benefits to provide nursing services.
Revised No. to be served: 2800 (No change).
OMB NO. 90-R0185
TDN CONTRACT BUDGET REVISION FORM, GC-ga
