ORDER NO. 29445
APPROVE CONTRACT AMENDMENT NO. 1 BETWEEN KERR
COUNTY AND THE DEPARTMENT OF STATE HEALTH SERVICES
Came to be heard this the 24th day of October, 2005, with a motion made by
Commissioner Letz, seconded by Commissioner Nicholson. The Court
unanimously approved by vote of 4-0-0 to:
Approve the Contract Amendment No. 1 between Kerr County and the
Department of State Health Services and authorize County Judge to sign
same.
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1~~
COMMISSIONERS' COURT AGENDA REQUEST
PLEASE FURNISH ONE ORIGINAL AND TEN COPIES OF THIS REQUEST AND DOCUMENTS
TO BE REVIEWED BY THE COURT.
MADE BY: Jannett Pieper
Office: County Clerk
MEETING DATE: October 24, 2005
SUBJECT: (Please Be Specific)
TIME PREFERRED: AM
Consider, discuss, and take appropriate action to approve the Contract Amendment No
between Kerr County and the Department of State Health Services and authorize the
County Judge to sign.
EXECUTIVE SESSION REQUESTED: (PLEASE STATE REASON):
NAME OF PERSON ADDRESSING COURT: Jannett Pieper
ESTIMATED LENGTH OF PRESENTATION: 2 minutes
IF PERSONNEL MATTER -NAME OF EMPLOYEE
Time for submitting this request for Court to assure that the matter is posted in accordance with Title 5,
Chapter 551 and 552, Government Code, is as follows:
Meeting schedule for Mondays: 5:00 P.M. previous Tuesday
THIS REQUEST RECEIVED BY:
THIS REQUEST RECEIVED ON:
(a~
All Agenda Requests will be screened by the County Judge's Office to determine if adequate information has
been prepared for the Court's formal consideration and action at time of Court Meetings. Your cooperation
will be appreciated and contribute towards your request being addressed at the earliest opportunity. See
Agenda Request Rules Adopted by Commissioners' Court, Court Order No. 25722.
STATE OF TEAS
COUNTY OF 7RAVI5 TDN DOCUMENT NVb1BER: SO1501501C* OEB-Ol
This CONTRACT .d AGREEMENT by sd between 16e Tew Dapenment of Hu1W, Burem of ViW SWielics,
hervmdar mfmad b u PERFORMING AGENCY, W urinB Wrwgh its Chief, Bmwu of FimrciJ Services, eel We
VYaI Smiuiu Prvpam,
%err Coun[v
6ereinaRu rofernd to u RECENPIG AGENCY, ie u follows:
PERFORMING AGENCY agrees u provide m-line computer servbin in suppon of RECEIVING AGENCY Fmm'1:00
a.m. to 6:00 p.m. Motley Ihm Friday, except holidays. b We even of ur emergedy u computer applicetian error,
Performing Agency rosy temporarily soaped service without dvurce voice.
RECENAG AGENCY wBl enrch PERFORMING AGENCY deh beau, locsb data, ad iuue Cenificuiom of Vgal
Records to eutborud idiv'uluL reprinting such dsh. The certificatbm will bee • former formally ygmvd by
PfltFORMING AGENCY. No limit wBI be uubBshd m We mrmber of aeuchu pu movW m rinuhivg m uvurce
of • cmtifiutiov, pmvidd the mrmber u reuooable.
RECEIVING AGINCY will scqu've rba rwascary des prrceeeing equipmed, eorvovoicdvm, hsrdwaro or aoftwve,
avd pureWu'baok into' paper, u apxifid by [he PERFORMING AGENCY. PERFORMING AGENCY will wirr
m caoomtiao of the aquipmeu, fumuh softwue pmgrw uW Provide tNmid usunoce, if vecw.vy.
RECENING AGENCY eclmowhlgin the rxoNa ®y m bo bard b Ne rouchiog proceae imtimtd by RECP.IVINO
AGENCY or mcoNe which w Iwatd may have errors due a:
A) Hormel keysmry errors a apallivgs;
acciduul faBum m the pmt of the PERFORMING AGENCY b updeb • file
for ao amevdmeot or paterviry determioatiov; ud
C) the mm Yev chin rot exist m the ayuam.
RECFIVAlG AGENCY wJl notify PERFORMING AGENCY m writwg, st least monthly of errors err wpxaed anon
Wet exist ao the deter bus ivfarmuiov.
RECEIVING AGENCY u b meimein en inventory rodent ud uxom for each docrwe,v producd an'burk ode'
paper, ivcldivg voided documevn.
RECEIVING AGENCY is rupomLk for mnideiowg a aysbm of vRal raord keeping Wu u b eceardevice with
Chspen 19l Wmugh 195 of the Hu1W ud Safely C«b and We roguluiooa dopred Wereuodu.
LEGAI, AUTHORITY TO CONTRACT:
Chaptu 12 of the NwIW cod Safety Coda.
II. TERM
The Corm of Wier coWnd will begin upon its execution by 6aW Panba W will wdiaue b Eorce eel effect until eYbu
putt' give sixty (6q drys wrirtev mice of termimtiao b the dhar putt'.
,a
RECEIVING AGENCY agrees to rcimbune PERFORMING AGENCY E1.83 (One Dollar avd 83/100) for each
CertEwtiov of ViW RxoN printed u • result of searches of Na dstabue.
A vbWBY hmd>ed billivg eWwivg the mmWr of truwctiou by dale will he mbmided b RECE[V WG AGENCY by
PERFORMING AGENCY and paymdd wJl W made no Wnr Uun thvry (707 dsys (oEowing Ne bilEeg date. Psymevt
will W couidared made m On date posmarkN.
1~
RECER'EIG AGINCY w0I meinWn mfficimt refegueNS to preyed rcleua or d'uclosvre of my ioformetion abtsived
heremder to myove oPoer then RECENING AGENCY employa(e) or Noe who Wve m officW vaed for tW
id'ormatiov avd are wthorizdl b receive such remNa. RECEIV WG AGENCY further agrw records abtsived avd
lead, u speci0ed uvdcr Nis codrmt, will W used for purposes u herein ed out sod the use of Nsa rxoNs or data
for abet puryasez muc~ W agreed to w wriiwg by baN Woes.
y, SPSI Vim'
Rexivigg Agency agde b implement W rwomble sd necessary precadures to evuro tbaz ody autWtved users wRl
have access om will edify TDH immdi.Wy shwW it awed a emurity violatiov by ova o[ W emyoyee. m my abet
panne.
YL
Itis cedm my W term®rd either by mdW agrcemed of W pettier or by either puty upon tW giving of sixty (60)
days wrNm vcnce b the cthar party. RECENING AGENCY agree to p.y PERFORMING AGENCY far W services
oaµdetal prior b the eff«~ive date of each mrmirietion. Performing Agency may immed'utely mspevd Ras agreemevt
upon reesomble rwpicioo thst terms of this agr«med Wve bean viobvd by the Remiviug Agency or one of its
mipbyen. E, e8er iovmiptioo LL u cvvcRaid Hut a violdion of [hu agreement bu oceumd, Performing Agavcy msy
mrmivab thu agreement withcut furher vdica.
YII.
RECEIVEIG AGENCY fuller cast) by axxutim of thu codract thaz a ie nd imEgble for perticipetiw w fdeN
or seta usutavm pmgrame avast Ex«miw Order !2549, Debarmaut ed Suspeuicv. RECEIVING AGENCY
epecificWy aesero N.t a does rest own a single rubsudW debt or • vumher of aurauvdurg dada b • fedeN ac stue
agwcy. w fiL•a uLLwrcd regudurg RECEIV WG AGENCY'S status wi116v trutd u e material broth of thu ewtrect
ad ovy W g~wrdls for termiutim u tW opion of PERFORM WO AGENCY.
ypy cw. cp~nn rrY
Eery pmvisiov of this cvvtraa will be covemiW b W ilkeal or rovelid. thin wi0 rent aHxv tW lagaEry or validity of my
of the dhm pmvisiom bueof. TW dlepl or ivvalid pmvuiov will W daemd strictm ad dcldd harefrom W the same
extrm ad etfxl u Evaver ivcoryoraW Wrein, bw W abet prvvisiou will mmmue.
IK. FDNDINc
lbircmbariumotiogn[open tW avWabiliry o((uod'mg. RECENWO AGENCY wJI Wve sw right of auim sgeivst
tW Swe of Texu or tW PERFORMING AGENCY N the seed Net PERFORMNG AGENCY u uv.bb to tuEd1 W
ob4gatiam mast this coated u resuk of Ne wpeuivv, browrtav, witklnwal, or fs0um of ludivg b
PERFORMNG AGENCY or lack of mfficimd (uding of PERFORM WO AGENCY for my Anachmm[(e) to thu
mnhm[. If fulls become muvulable, pmvuiou of the Temdutim Micle wiR apply.
~ HniD HARMIFA'S
Except b ba extort that Chapter IOA of the Taw Civil Prectiw ad Remdiu Coda u appBcabb b this coutrut,
RECENBIG AGENCY agar b Mkl PERFORMING AGENCY md/or FedeN goveromem harmless ad to idavoiCy
them from aM agaiod my arW W claims, demmtls, W ceuev of action of every kid ad cheraobr wtich may be
uvertad by my thud Arty occurtiaY in my way ieeidem to, erisusg om of, « iv comectioo wiW the ~ rmmw of
eerviw by RECEIVING AGENCY wrier thin mmrect to the eueot allowed by law, excldwg, howavu, acaurewu
arising under aWparegnp6 ®oF this comruct.
E%ECUTED IN DGPLiCATE ORIGINA[S ON TtIE DATES INDICATED.
RECEIVING AGENCY PERFORhIDYG AGENCY
ll~R CD(~~1T`L
a e) `-
By_ ~ A'!
ame)
~ J ~
aide
Date: ~PT;~ Ig97
R c~~r,~ ~t2
(Name ad Titb)~ 9 A ,
TPXAi DFpARTM '('j(/ /
~~ ~L!-
BY:
t.iada Fu ow, Chief
14va+r of Floanci.l Servicu
Defe: it-r y7
TDH DOC# SOISOSSDIC* OEB-Ol
APPROY~B 5 FO .f:
7
Br:
(Name ad Title)
APPROVED AS TO FORM:
Ry, ~nne9r,~YM ~~i~rbiJ ~1-5-R7
orB~e of Ge-», camel
TEXAS DEPARTMENT OF STATE HEALTH SERVICES
F;DUARDO 1. SANCHEZ, M.D., M.P.H.
t 100 W. 49'x Street • Austin, Texas 78756
1-888-963-7111 • ht[p://www.dshss[ate.tx.us
Dear Contractor:
Enclosed are two copies of the above referenced Department of State Health Services (DSHS)
contracdAttachment(s). Please sign and return both copies to this division as soon as
possible. Your contract will be signed by DSHS and returned to your agency. Changes made to
any portion of the contract documents aze considered acounter-offer and are not valid without
DSHS written concurrence.
PLEASE NOTE: Return both copies of the contract to the Texas Department of State Health
Services, Client Services Contracting Unit, 1100 W. 49`s St, Austin TX 78756-3199, Attention:
Contract Development Section. Contracts returned to any other addressee may result in contract
delays.
Please reference the DSHS document number in all future correspondence. If you have
questions, regarding your contract please contact Melondy West at 512-458-7362.
Sincerely,
Bob Barnette, Director
Client Services Contracting Unit
BB: vw
Enclosures
An Equal Employment Opportunity Employer
E_
JANNETT PIEPER
'>~ ('OL'NTY CLERK KERB COUNT']'
~~ ~ ~ i00 MAIN 9T., R0014 12"L
. ;~
`~~~~~ BERRVILLE, TEAS 78028-5789
RF.TUR\ SF,R4K1E. REQPE5TED
Texas Department of State Health Services
Client Services Contracting Unit
1100 W. 49th St.
Austin, TX 78?56-3199
ATTENTION: Contract Development Section
Department of State Health Services
Client Services Contracting Unit
1100 W. 49th Street, Room T502
Austin, TX 78756-3199
Phone: (512) 458-7470
Fax: (512)4.58-7351
llSHS DOCUMENTS
1'LN;ASE SIGN AND RETURN BOTH SETS OF CONTRACT
------
DOCUMEN'I'S ANll ANY ATTACHED FORMS.
STATE OF TEXAS §
COUNTY OF TRAVIS §
AMENDMENT NO. 1
DSHS Document No. SO1501501C* OEB-Ol-A
It is mutually agreed by and between the contracting parties to amend the conditions of
Document No. SO1501501C* OEB-O1 as written below. All other conditions not hereby
amended are to remain in full force and effect.
Texas Department of Health (TDH) is replaced with Department of State Health Services
(DSHS) throughout the entire contract.
SECTION II. TERM is replaced with the following:
The term of this contract will begin upon its execution by both parties and will continue in force
and effect until August 31, 2006 .
SECTION III. COMPENSATION is revised to include the following:
RECEIVING AGENCY agrees to charge the same base seazch fee for a birth certificate as the
PERFORMING AGENCY. Additional fees may only be charged as authorized by Texas Health
and Safety Code 191.
SECTION V. SECURITY is revised to include the following:
PERFORMING AGENCY will inactivate any individual who does not use their account for
ninety (90) days. RECEIVING AGENCY shall notify PERFORMING AGENCY of all branch
locations.
In witness whereof, the parties hereto have caused this contract amendment to be executed in
duplicate originals, by their duly authorized representatives.
DEPARTMENT OF STATE HEALTH KERR COUNTY S~pNERS C
SERVICES ~~`' ~``•CG
o `9''
Bob Burnette, Director -- : ~,
Client Services Contracting Unit Name: Pat Tinley, xerr count, qe ./,.F~t
COUN~V
10-24-OS
DSHS Document No.: SO1501501C* OEB-OI-A
ATTACHMENT -Page 1
TEXAS DEPARTMENT OF STATE HEALTH SERVICES
EDUARDO J. SANCHEZ, M.D., M.P.H.
COMMISSIONER
11IX1 W. 49'~ Street • Austin, Texas 78756
1-888-963-7111 • h[tp://www.dshsstate.tx.us
Dear Contractor:
Enclosed is an approved copy of your Department of State Health Services (DSHS) contract. Please file
it with the office of record for your agency.
Please reference the DSHS document and Attachment numbers in all future correspondence. If you have
questions, please contact the Client Services Contracting Unit at cscu.customersupnort@dshs.state.tx.us
or (512)458-7470.
Sincerely,
Bob Barnette, Director
Client Services Contracting Unit
Enclosures
An Equal Employment Opportunity Employer
llepartment of State Health Services
Client Services Contracting Uoit
1100 W. 49'" Street, Room T502
Austin, TX 78756-3199
Phone: (512) 458-7470
Fax: (512) 458-7351
YOUR DOCUMENTS
PLEASE DO NOT RETURN THESE DOCUMENTS TO DSHS.
THF,SE DOCUMENTS ARE TO BE RETAINED FOR YOUR
RECORDS.
Plcase rctain this set of contract documents and any attached forms
for your records.
STATE OF TEXAS §
COUNTY OF TRAVIS §
AMENDMENT NO. 1
DSHS Document No. 501501501C* OEB-Ol-A
It is mutually agreed by and between the contracting parties to amend the conditions of
Document No. SO1501501C* OEB-O1 as written below. All other conditions not hereby
amended are to remain in full force and effect.
Texas Department of Health (TDH) is replaced with Department of State Health Services
(DSHS) throughout the entire contract.
SECTION II. TERM is replaced with the following:
The term of this contract will begin upon its execution by both parties and will continue in force
and effect until August 31, 2006 .
SECTION III. COMPENSATION is revised to include the following:
RECEIVING AGENCY agrees to charge the same base search fee for a birth certificate as the
PERFORMING AGENCY. Additional fees may only be charged as authorized by Texas Health
and Safety Code 191.
SECTION V. SECURITY is revised to include the following:
PERFORMING AGENCY will inactivate any individual who does not use their account for
ninety (90) days. RECEIVING AGENCY shall notify PERFORMING AGENCY of all branch
locations.
In witness whereof, the parties hereto have caused this contract amendment to be executed in
duplicate originals, by their duly authorized representatives.
DEPARTMENT OF STATE HEALTH
SERVICES _
By: ,/~~~-~,/
Bob Burnette, Director
Client Services Contracting Unit
o -a~ ~s
KERR COUNTY ~ '~G9~
~`: :~
Pat Tinley, Kerr
Name:
10-24-05
DSHS Document No.: SO1501501C* OEB-OI-A
ATTACHMENT -Page 1
-~~_- - -
r ,- ,~
Patrice Dye, County Clerk ~ _-y3-`.s- ,M{ ^'~°`°"z ,, ~°~ ~" _
NERR COUNTY - ~ - - - `M'~- -_
c rC
'100 RAIN ~~~~~ ''+' ~ ~~
NERNVII.LE, TX '!8028-0000 ~-~~~ _ - \ ~
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