dallas county commissioners court briefingagenda …€¦ · d) odyssey application support &...

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DALLAS COUNTY COMMISSIONERS COURTBRIEFING AGENDA

January 9, 2007

REPORTSIRECOMMENDATIONSIREQUESTS PAGE NOS.

1) Quarterly Report - North Texas Behavioral Health Authority(NTBHA) Presentation

by: Truman Thomas

2) HEALTH AND HUMAN SERVICES

a) Department of State Health Services FY 2007 Ryan White CA.R.E.Act Title II Service Delivery Renewal Application 4-43

(COURT ORDER ON FORMAL AGENDA)

b) FY 2007-2008 Department of State Health Services Housing Opportunitiesfor Persons with AIDS Grant 44-69


c) FY 2007 State of Texas HIV Health and Social Services Grant Application 70-108(COURT ORDER ON FORMAL AGENDA)

3) PURCHASING

Bid No. 2007-027-2486, Purchase ofVehicles 109

4) PUBLIC WORKS

Major Capital Improvement Program (MCIP) - Transportation CommitmentsProposed Revision #10 Insert

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5) IT SERVICES

a) IT Organization Review Handout

b) Atos Contract TransitionIPlan Handout

c) Computer Hardware Refresh for the Sheriff's Department 110-111

d) Odyssey Application Support & System Administration Payments 112-113

6) COMMUNICATIONS & CENTRAL SERVICES

911 Emergency Fee Agreements 114

7) FACILJTES MANAGEMENT

Lease Renewal for 1111 Beltline Road, Garland, TexasDallas County Juvenile Department - Satellite Office 115-118

8) OPERATIONS

George L. Allen, Sf. Civil Courts Building Addition and RenovationProposed Change Order No. 21 119-141

9) PLANNING AND DEVELOPMENT

Tax Abatement Request from Avelo Mortgage 142-143

10) OFFICE OF BUDGET AND EVALUATION

a) Sheriff's Office - Emergency Medical Services 144

b) FY2007 DDA Rollover 145-150

c) District Attorney's Office Request to Modify Positions 151

d) Review of Sheriff Overtime and Medical Escort Staffing N/A

11) COMMISSIONERS COURT ADMINISTRATION

Conflict of Interest Policy - Housing Bill 914 152-164

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12) ITEMS OF DISCUSSION

a) Infonnation NIA• Jail Population Report• Budget - Reserve Balance Report - January 3,2007• Purchasing:

a) Annual Contract Extensionsb) Annual Contract Infonnation

• Health & Human Services:a) HHS Updatesb) FY2007 Fee Schedule

b) IT Steering Committee NIA

13) Miscellaneous, Travel Requests, Miscellaneous Equipment, andTelecommunications Requests 165-176

14) PUBLIC COMMENTS

Speakers N/A

FIVE SIGNATURE DOCUMENT(s) FOR CONSIDERATION

Minster's Letter of Appreciation

Dates to Remember

Legislative Briefing - January 12,2007 at 9:00 a.m.

Martin Luther King Holiday - January 15,2007

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Dallas CountyHealth and Human ServieesGrants Management

Zachary ThompsonDirector

TO:

FROM:

DATE:

SUBJECT:

COMMISSIONERS COURT

ZACHARY THOMPSON, DIRECTOR

JANUARY 9, 2007

JUSTIFICATION FOR SAME DAY BRIEFING AND COURT ORDER

The FY 2007 Ryan White C.A.R.E. Act Title IT Service Delivery renewal grant application guidance wasreceived from the Department of State Health Services (DSHS) on December 21,2006 with a duedate ofJanuary 12, 2007. In order to allow for timely submission of the application to DSHS, it isrequested that both the briefing and court order be allowed during the January 9,2007 Court.

AttachmentsC: J. Allen Clemson, Court Administrator

2377 N. Stemmons Freewayl)ullu(:O 'T""VQ(.' 7J::,')07_ ')71 ()

Suite 200, LB-16 Office 214-819-1849PAY") 1<1-2 1oj:lYn

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TO:

FROM:

DATE:

SUBJECT:

DALLAS COUNTYHEALTH AND HUMAN SERVICESGRANTS MANAGEMENT

THE HONORABLE COMMISSIONERS COURT

ZACHARY S. THOMPSON, DIRECTOR

JANUARY 9, 2007

DEPARTMENT OF STATE HEALTH SERVICES FY 2007 RYAN WHITEC.A.R.E. ACT TITLE II SERVICE DELIVERY RENEWAL APPLICATION

Court Order on Formal Agenda

Background of IssueThe Dallas County Judge is the grantee and legal recipient ofgrant funds from the Department ofState HealthServices (DSHS). Dallas County Health and Human Services (DCHHS) is designated to serve as theAdministrative Agency for the following DSHS HIV Services Delivery Areas (HSDA's): the Dallas HSDAwhich includes Collin, Dallas, Denton, Ellis, Hunt, Kaufman, Navarro, and Rockwall counties; and theSherman-Denison HSDA which includes Cooke, Fannin, and Grayson counties. The FY 2007 Ryan WhiteC.A.R.E. Act Title II Service Delivery (RWSD) renewal application is to fund direct service activities for theDallas and Sherman-Denison HSDA's. In accordance with the provisions of the DSHS grant, theAdministrative Agency is responsible for the completion and submission of this noncompetitive renewalapplication. Tbe amount ofthe renewal grant award for direct service activities is $2,370,844. DSHS issues aseparate grant to DCHHS for administrative activities associated witb the RWSD grant.

Fiscal 1m pactThere is no fiscal impact on Dallas County.

Operational ImpactThe DCHHS will be responsible for administering all funds received under the FY 2007 Ryan White C.A.R.E.Act Title II Service Delivery Renewal grant.

Legal ImpactThe Dallas County Commissioners Court must approve the submission ofthe FY 2007 Ryan White C.A.R.E.Act Title II Service Delivery renewal application renewal grant application and budget as attached.

RecommendationIt is recommended that the Dallas County Commissioners Court does hereby approve submission of tbe FY2007 Ryan White C.A.R.E. Act Title II Service Delivery renewal application by Dallas County Health andHuman Services, as reflected in the attachment.

AttachmentC: J. Allen Clemson, Court Administrator

Virginia Porter, County Auditor

2377 N. Stemmons FreewayDallas, Texas 75207-271 0

Suite 200, LB-16 Office 214.819.1849Fax 214.819.6023

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RENEWAL APPLICAnON FOR:

FY 2007 RYAN WHITE CAR.E. ACT TITLE IISERVICE DELIVERY

JANUARY 12,2007

Submitted By:

DALLAS COUNTY COMMISSIONERS COURT

On Behalf Of:

DALLAS AND SHERMAN-DENISON HSDAs

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Department of State Health Services (DSHS)FORM A: FACE PAGE -RFP-HIV-0196.1 Competitive RFP for HIV Care Administrative Agencies, issued June 16, 2006.

This form requests basic information about the applicant and project, including the signature of the authorized representative. The face page is theI' d h I Icover oaoe of the renewal aop Icatlon an s al be comPieted in its entiretv.

APPLICANT. INFORMATION

1) LEGAL NAME: Dallas County Health and Human Services

2) MAILING Address Information (include mailing address, slreet, city, county, state and zip code): Check if address change 02377 N. Stemmons Freeway, Suite 200, LB-16Dallas, Texas 75207-2710

I 3) PAYEE Mailing Address (if different from above): Check if address change 0Dallas County407 Records BuildingDallas Texas 75202

4) Federal Tax ID No. (9 digit), State of Texas Comptroller Vendor ID No. (14 digit) or Social SecurityNumber (9 digit): 'The vendor acknowledges, understands and ag~es thaf the vendor's choice to use a social securitynumberas the 75-6000905vendor identification number for the contract, mall result in the sodalsecurilll number beinn made nublie via state onenfecords renues!s,

5) TYPE OF ENTITY (check all that apply):

0 City 0 Nonprofit Organization' 0 Individual

r2J. County 0 For Profit Organization' 0 FQHC

0 Other Political Subdivision 0 HUB Certified 0 State Controlled Institution of Higher Learning

0 State Agency 0 Community·Based Organization 0 Hospital

0 Indian Tribe 0 Minority Organization 0 Private

0 Other (specify):

'If incorporated, provide 10-diqit charler number assiqned bv Secretarv of State: \:

6) Currently operating under a HUB Subcontracting plan on file at DSHS? Yes !gj No 0

7) PROPOSED BUDGET PERIOD: Start Date: 4/1/2007 End Date: 3/31/2008

8) COUNTIES SERVED BY PROJECT:

I Collin, Cooke, Dallas, Denton, Ellis, Fannin, Grayson, Hunt, Kaufman, Navarro, and Rockwall

9) AMOUNT OF FUNDING REQUESTED: $2,370,844 11) PROJECT CONTACT PERSON

10) PROJECTED EXPENDITURES Name: Karin Petties, Assistant DirectorDoes applicant's projected state or federal expenditures exceed Phone: 214.819.1841$500,000 for applicant's current fiscal year (excluding amount requested Fax: 214.819.6023in line 8 above)? *'If E·mail: [email protected]

Yes r2J. No 0 12) FINANCIAL OFFICERName: Virginia Porter, County Auditor

HProJected expenditures should include funding for all activities including "pass Phone: 214.653,6472through" federal funds from all state agencies and non proJect-related OSHS Fax: 214.653.7286funds. E-mail: [email protected]

I, the undersigned, am the authorized representative of the applicant filing this contract renewal application. The facts contained herein are true, and the applicant isin compliance with the assurances and certifications contained in the competitive RFP identified above, which is part of the original contract and any prior renewalsand amendments. Iunderstand that this contract renewal depends on the truthfulness of this document'and on the applicant's continued compliance with the originalcontract and aU its components and amendments.

13) AUTHORIZED REPRESENTATIVE Check if change 0 14) SIGNATURE OF AUTHORIZED REPRESENTATIVEName: Zachary S. ThompsonTitle: DirectorPhone: 214.819.2101 15) DATE

Fax: 214.819.6022 December 29, 2006E-mail: [email protected]

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Dallas County Health and Human ServicesFY 07-08 RWSD Renewal Application

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FORM B: CONTACT PERSON INFORMATION

Legal Name of Applicant: Dallas County Health and Human Services

This form provides information about the appropriate program contacts in the applicant's organization in addition to those on FORM A: FACE PAGEIf any of the following information changes during the term of the contract, please notify the Contract Management Unit.

,

Executive Director: Zachary S. Thompson Mailing Address (incl. street, city, county, state, & zip):

Title: Director Dallas County Health and Human Services

Phone: 214.819.2101 Ext. 2377 N. Stemmons Freeway, Suite 600

Fax: 214.819.6022 Dallas, Texas 75207-2710

E-mail: [email protected]

Project Contact: Karin Petties Mailing Address (incl. street, city, county, state, & zip):

Title: Assistant Director Dallas County Health and Human Services


Fax: 2148196023 Dallas, Texas 75207-2710


Financial Reporting Contact: Virginia Porter Mailing Address (incl. street, city, county, state, & zip):

Title: Dallas County Auditor Dallas County Health and Human Services

Phone: 214653.6472 Ext. 407 Records Building

Fax: 214.653.7286 Dallas, Texas 75202


Data Reporting Contact: Shelia C Fisher Mailing Address (incl. street, city, county, state, & zip):

Title: Grants Management Officer Dallas County Health and Human Services


Fax: 214.819.6023 Dallas, Texas 75207-2710


Clinical Services Contact: Shelia C. Fisher Mailing Address (incl. street, city, county, state, & zip):



I Fax: 214.819.6023 Dallas, Texas 75207-2710


2Dallas County Health and Human ServicesFY 07-08 RWSD Renewal Application

Dallas County Health and Human Services

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FORM C: ADMINISTRATIVE INFORMATION - Renewal Application

This lorm provides inlormation regarding identilication and contract history on the applicant, executive management, project management, governingboard members, and/orprincipat officers. Respond to each request lor inlormation orprovide the required supplemental document behind thislorm. II responses require multiple pages, identify the supporting pages/documentation with the applicable request.

Legal Name of Applicant:

Identifying Information

If there are no changes to any of the items below, check here and skip the next question in this section. {gl

1. The applicant shall attach the following Information:If a Governmental Entity• Names (last, first, middle) and addresses for the officials who are authorized to enter into a contract on behalf of

the applicant.

If a Nonprofit or For profit Corporation• Full names (last, first, middle), addresses, telephone numbers, titles and occupation of members of the Board

of Directors or any other principal officers. Indicate what offices are held by members (e.g. chairperson,president, vice-president, treasurer, etc.).

• Full names (last, first, middle), and addresses for each partner, officer, and director as well as the full namesand addresses for each person who owns five percent (5%) or more of the stock if applicant is a for profitcorporation.

Conflict of Interest and Contract History

If there are no changes to any of the items below, check here and skip the questions in this section. J8l

The applicant shall disclose any existing or potential conflict of interest relative to the performance of the requirements ofthis renewal application. Examples of potential conflicts may include an existing business or personal relationship betweenthe applicant, its principal, or any affiliate or subcontractor, with DSHS, the participating agencies, or any other entity orperson involved in any way in any project that is the subject of this renewal application. Similarly, any personal or businessrelationship between the applicant, the principals, or any affiliate or subcontractor, with any employee of DSHS, aparticipating agency, or their respective suppliers, must be disclosed. Any such relationship that might be perceived or'represented as a conflict shall be disclosed. Failure to disclose any such relationship may be cause for contracttermination. If, following a review of this information, it is determined by DSHS that a conflict of interest exists, theapplicant may be disqualified from further consideration for the renewal of a contract.

1. Does anyone in the applicant organization have an existing or potential conflict of interest relative to theperformance of the requirements of this renewal application?

DYES o NO

II YES, detail any such relationship(s) that might be perceived or represented as a conflict. (Attach no more thanone additional page.)

2. Has any member of applicant's executive management, project management, governing board or principalofficers been employed by the State of Texas 24 months prior to the renewal application due date?

DYES o NO

II YES, indicate his/her name, social security number, job title, agency employed by, separation date, and reason forseparation.

3. Is applicant or any member of applicant's executive management, project management, board members orprincipal officers:

Delinquent on any state, federal or other debt;Affiliated with an organization which is delinquent on any state, federal or other debt; orAn default on an agreed repayment schedule with any funding organization?

DYES 0 NOIf YES, please explain. (Attach no more than one additional page.)


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fORM D: RWSD PERfORMANCE MEASURES

In the event a conlract is renewed, applicant agrees thai performance measures(s) will be used to assess, in part, the applicant's effectiveness inproviding the services described. Address all of the requirements (see PERFORMANCE MEASURES Guidelines) associated with the servicesproposed in this renewal application. A maximum of 3 additional pages may be attached if needed.

1. QualitylAcccss to Services Provided

Comprehensive Plan Goal I: "...provide a comprehensive continuum ofcare that supports engagement andretention in HIV Medical Care."

Dallas HSDA (core service categories that received the highest percentage of funds)

A. Outcome: Viral load will decreaselstabilize for at least 75% of clients receiving OutpatientMedical Care during the period 411/2007 - 313112008.

Output: At least 1,544 clients will receive at least one unit of outpatient medical care during thepcriod 411/2007·3/3112008.

B. Outcome: At least 75% of clients accessing Insurance Assistance will have stabilized or improvedability to maintain established medical care during the period 41112007·3/31/2008.

Output: At least 266 clients will be assisted by subcontractors during the period 41112007·313112008.

C. Outcome: At least 60% of clients accessing Drug Reimbursement will have an increase inadherence to prescribed medical therapies during the period 41112007·3/31/2008.

Output: At least 74 clients will assisted by subcontractors during the period 4/1/2007·3/3112008.

Sherman·Denison HSDA (core service categories that received the highest percentage offunds)

A. Outcome: Viral load will decreaselstabilize for at least 65% of clients receiving OutpatientMedical Care during the period 411/2007·3/3112008.

Output: At least 29 clients will receive at least one unit of outpatient medical care by during theperiod 41112007·3/31/2008.

B. Outcome: At least 50% of clients accessing Drug Reimbursement will have an increase inadherence to prescribed medical therapies during the period 41112007·3/31/2008.

Output: At least 54 clients will be assisted by subcontractor during the period 41112007·313112008.

C. Outcome: At least 60% of clients accessing Case Management will have improved confidence inthe HIV care system during the period 411/2007·3/3112008.

Output: At least 93 clients will be assisted by subcontractor during the period 41112007·3/31/2008.

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Dallas County Health and Human ServicesFY 07·08 RWSD Renewal Application

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RWSD Performance Measures Continued

2. Unduplicated Clients Served

Subcontractors in the Dallas HSDA shall provide at least one service to 6,495 unduplicated clientsduring FY 2007 (411/2007-3/31/2008).

Subcontractors in the Sherman-Denison HSDA shall provide at least one service to 100unduplicated clients during FY 2007 (4/1/2007-3/31/2008).

3. Monitoring Estimated Units of Services

The Administrative Agency shall monitor the delivery of HIV services against the estimated units ofservice as shown in Table I of this renewal application.

4. Administrative Costs

The Administrative Agency shall ensure that no more than 10% of RW Title II service deliveryfunds are expended by service providers for administrative costs.


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FORM E: RWSD WORK PLAN

Applicants shall describe ils plan for service delivery to the population in the proposed service area(s) and inetude timelines for accomplishments.Address the required elements (see WORK PLAN Guidelines) associated with the services proposed in this renewal application. A maximum offive addilional pages may be attached if needed.

1. Service Delivery PlanDescription of services provided:a. Outpatient Medical Care - Professional, diagnostic and therapeutic services rendered by a physician,

physician's assistant, clinical nurse specialist, or nurse practitioner in an outpatient, communitybased, and/or office-based setting. Primary Medical Care for the Treatment ofHIV Infection includesthe provision of care that is consistent with Public Health Service guidelines.

b. Local Drug Reimbursement - Payment for approved pharmaceuticals and or medications forpersons with no other payment source. Medications include prescription drugs within the RWPCapproved drug formulary to prolong life, improve health, or prevent the deterioration of health.

c. Insurance Assistance - A program of financial assistance that provides payments for insurancepremiums, deductibles and co-pays for eligible individuals with HIV disease. Premiums will be paiddirectly to the insurance carrier or its designated agent. This coverage will include payment for allmedications on the RWPC approved drug formulary.

d. Dental Services - Diagnostic, prophylactic and therapeutic dental services rendered by dentists,dental hygienists, and similar professional practitioners. Dental Services may also be rendered bydental students and student hygienists, under the direction of a licensed dentist.

e. Mental Health Services - Level I psychiatric services include individual psychiatric and medicationtreatment and monitoring of psychiatric disorders provided by a board certified or board eligiblepsychiatrist(D.O. or M.D.). Services must be provided in an outpatient clinic setting. Level IIcounseling services include intensive mental health therapy and counseling (individual, family, andgroup) provided solely by a state-licensed mental health professional. Direct service providers mustpossess postgraduate degrees in psychology, psychiatry, or counseling (Ph.D., Ed.D., DSW, D.O.,M.D., M.S., M.A., MSW, M.Ed., or equivalent), and must be licensed by the State of Texas toprovide such services. Level III counseling services include general mental health therapy andcounseling (individual, family, and group). Direct service providers must possess a postgraduatedegree in the appropriate related field, be in the process ofobtaining Level II licensure with the Stateof Texas and be appropriately supervised by a licensed clinical supervisor approved by the statelicensing board.

f. Disease Management (Medical Case Management) - A medically focused form ofcase management thatlinks and coordinates client care to ensure that quality medical care is received, including medical, mentalhealth, vision and dental care.

g. Case Management - A range of intensive, client-centered services that link clients with health care,psychosocial and other needed services to insure timely, coordinated access and eligibility.

h. Food Pantry Provision of food (not finances to purchase food), personal hygiene products, paper products,and cleaning supplies in a grocery-like setting.

I. Health Education Risk Reduction - Provision of information to HIV positive individuals or those at risk ofcontracting HIV about available medical and psychosocial support services through the preparation anddistribution of an informational handbook.

J. Outreach Services - Activities designed to identify individuals with HIV disease that are "lost to care", orwho know their HIV status and are not currently enrolled in ongoing HIV primary care and treatment.Activities should be designed to identify these individuals, establish contact and refer them into primarymedical care, or services that will retain them in primary medical care and treatment. These activities should beconducted in conjunction with a primary medical care program.


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RWSD Work Plan Continued

k. Transportation Conveyance services provided for a client in order to accommodate access to primary medicalcare, or other HIV-related psychosocial services.

Relevance to Comprehensive PlanComprehensive Plan Goal I: Collaborate and coordinate with otherfunding initiatives and organizations toprovide a comprehensive continuum ofcare that supports engagement and retention in HIV medical care.The funded service categories of Outpatient Medical Care, Local Drug Reimbursement, Case Management,Disease Management, Dental Care, Insurance Assistance, and Food Pantry support this goal and are to beaccomplished by:

• Increasing access to primary medical care from any funding sources to ensure maximum benefitsare accessed.

• Assuring strong linkages between case management and primary medical care.• Encouraging innovative approaches to delivery of primary medical services.• Maintaining current medical provider and consumer relationships.• Increasing adherence to drug therapies.• Increasing consumer confidence in the HIV delivery system.• Ensuring basic needs such as food are met.

Comprehensive Plan Goal 3: Identify and engage in HIV medical care persons living with HIVIAIDS(PLWHj who know their status and are not in care.The funded service categories that support this goal are Early Intervention Services (EIS), Mental Health, andOutreach (Lost to Care) services. The goal ofEIS ties directly to this Comprehensive Plan goal; the goal ofEISis to facilitate access into medical care for individuals recently diagnosed with HIV or PLWH who know theirstatus but are not in primary medical care. Additionally, Mental Health service providers often encounterconsumers who know they are HIV positive, but are not in care due to mental health issues. Funding thiscategory provides an avenue by which consumers can receive help with their mental health issues andconcurrently be encouraged to seek medical care. The purpose ofOutreach (Lost to Care) is to locate consumerwho were once in care and have subsequently dropped out of care and encourage them to return to care.

Allocations/ReallocationsAllocations ProcessAt the beginning of each planning cycle members of the Planning and Priorities Committee (PPC) andConsumer Council Committee (CCC) ofthe Ryan White Planning Council (RWPC) receive a "Priority SettingGuide". This guide contains background information with legislative mandates and information about thepriority-setting process. Also included are Continuum ofCare information, Needs Assessment data, utilizationdata, gap analysis data, and outcome measures data. Each year this guide is updated to reflect current trends inthe Administrative Service Area (ASA) consumer population and any changes in policy that would affect theway the RWPC plans for and prioritizes services in the EMA. This information provides an understanding ofclients currently in the care system and the services which they are using. It also provides information on thoseout of the care system, and their needs and barriers.

After the priority-setting process is complete, the PPCreviews each service category as well as unmet need data,current HIV/AIDS epidemiological data, the most recent Comprehensive Plan, Needs Assessment data, andutilization. This information is used to create directives on how best to meet the need for each service category.These directives target the service to enable optimal access for populations identified through the data sources.

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The Allocations Committee (AC) is presented with the updated priority rankings and process that the PPCutilized. AC members review changes in the priority rauking of services and historical allocations. Thecommittee also reviews legislative guidance, unit cost for each service, service category utilization andexpenditures, Ullmel need data, other fW1ding sources available in the ASA, and the directives tor each servicedeveloped by the PPC. In order to address access to care, the committee considers allocations based on levelfunding. Thorough allocation rationale and data are reviewed by the committee to assist in aHocation decisions.

For FY 2007, a "minimwn funding threshold" was developed for the core six services of Early Intervention,Disease Management, Outpatient Medical Care, Insurance Assistance, Outreach - Lost to Care, and Case?vlanagement. A minil11lUl1 funding tlu'eshold is defined as the dollar amount necessary to maintain tl1eprovision ofcore services at current levels. These minimwn funding thresholds for the core six services wereused as a starting point for discussions ofallocations to ilie entire Continuum ofCare. The AC then makes thefinal recommendation for allocations and presents the funding allocations to the RWPC for approval.

Reallocations ProcessThe Allocations Committee is charged wiili the responsibility to allocate and reallocate funds among servicecmegories. However, the AA may reallocate funds to other service providers within the same category. The AAmonitors actual provider expenditures against contractual budgets to assess whether funds are being under- orover-spent at any point during ilie fiscal year. Funds allocated to service categories may have to be reallocateddming the course of a grant year due to increase in utilization, under-expenditure of funds; unobligated funds;lack of achievement ofprogrammatic goals; suspension ofservices or termination of agency contracts. At thefive (5) and seven (7) month period during the contract term, the AA reviews progranrrnatic and fiscalexpenditure data ,md provides an analysis Allocations Committee. The Allocations Committec reviews thisanalysis and provides input as to if funds should be reallocated and ifso to which categories. This decision isbased on trend analysis, community and agency input.

The same process will be applied for reallocating funds across HSDAs and the DSHS policy guidance willbe followed.

2. Tracking and Reporting Services and ExpendituresThe AA utilizes a series ofMS Excel spreadsheets and workbooks to track expenditures and utilization rates foreach individual subcontractor and aggregately by service category. The AA 1110nitors actual providerexpenditures against contractual budgets to assess whether funds are being under- or over-spent at any pointduring the fiscal year. The same system will track actual service utilization against service utilization goals toassess wheilier there is a higher than expected client utilization of a particular service category. The trackingsystem provides the following specific detailed progranrrnatic information in evaluating the need to reallocatefunds to other specific service categories:

• Trend analysis ofmonthly units of service per service category;• YTD units of services provided per service category, per agency;• YTD units ofservices provided per agency, per service category (the AA will review iliis information to

determine whether an agency may need additional funds within the same service category);• Total number of units of services to be provided per service category; and• Percentage of goal achievement (this information is necessary to assess what service category is off

target, on target, or over target).

The trucking system will provide the following specific detailed fiscal information in evaluating the need toreallocate funds to other specific service categories;

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• Trend analysis of monthly expenditures per service category;• YTD expenditures by service category;• YTD expenditures by agency, by service category (the AA will review this information to determine

whether an agency may need additional funds within the same service category); and• Percentage of goal achievement (this information is necessary to assess what service category is off


The AA provides the Allocations Committee a quarterly assessment of costs that includes year-to-dateexpenditures by service category. The data are further broken down to provide total expenditures, cost per unit,the number of units, number of clients served, and cost per client. During the priority setting and resourceallocation process, the Planning and Priorities and Allocations Committees are also provided with reports for allservices purchased based on billing and utilization data. It reports the number ofpeople served by demographicprofile (gender, ethnicity, age) per service as compared to local epidemiological data and recent needsassessment data.

3. Maintaining Clients in a System of HIV-related Medical CareThe AA maintains working relationships with a host of key stakeholders in the ASA which is essential tomaintaining a medical continuum of care for clients. These stakeholders include the community planningstakeholders; the Texas Department of Social and Health Services; the AIDS Education and Training Center(Parkland Health and Hospital System); Ryan White Title III grantees (AIDS ARMS, Inc., Parkland Health andHospital System) Ryan White Title IV grantee and programs (Dallas Family AIDS Network, Open Arms, Inc.);the Ryan White Part F Dental Reimbursement grantee (Baylor College ofDentistry), the North Central TexasCommunity Planning Group; Veteran's Affairs Medical Center; the Greater Dallas Council on Alcohol andDrug Abuse; the City of Dallas HOPWA programs and staff; Housing and Homelessness Service providers;HIV/AIDS Prevention Service providers; Mental Health providers; the HIV Consumer Council Committee;representatives of rural clients, United Way of Metropolitan Dallas County, Dallas County Public HealthAdvisory Board, Community Based Organizations (e.g. Urban League of Greater Dallas, Mosaic FamilyServices), AIDS Service Organizations (e.g. AIDS Services ofDallas, Resource Center ofDallas), and the HIVService Providers Council. The AA works with all these entities to ensure the Dallas and Sherman-DenisonHSDAs have a coordinated and effective Continuum ofCare for HIV/AIDS services and other services neededby our clients.

A number of clients also access medical care outside of the Ryan White funded-continuum of care. In thisscenario agencies must work with for-profit and other community funded medical providers to ensure clientmedical needs are being met. Allocations by the Ryan White Planning Council to the service categories ofCase Management and Disease Management help ensure this function is carried out for the benefit ofclients.

4. ARIES Data CollectionData are collected on a regular basis by subcontractors; this data includes client demographics and serviceencounters. Subcontractors are required to submit monthly financial reports for reimbursement that aresupported by documented service utilization in the ARlES system. Ifa subcontractor fails to provide evidenceof service utilization in ARIES via an ARIES report, the reimbursement for that subcontractor is not processedby the AA until evidence is received. An exception to this practice is allowed for the service categories ofOutreach and Health Education/Risk Reduction, since required data is not gathered for entry into ARlES.


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The ASA also operates under a data improvement plan. The plan requires the data analyst to review data inARIES and identifY data fields that are lacking entries, have incorrect or incomplete entries; subsequently,subcontractors are notified which fields need to be addressed to correct or complete the entry. After apredetermined time period, generally dcpendent on the number of entries that require action, the data analystwill run a follow-up report to ensure that corrections or completions have been made. In addition, the dataanalyst may also run ad hoc reports under the direction ofthe grants management officer for the purpose ofdeskreviews. These activities help increase and maintain the integrity of the data in ARIES.

4. Cultural Appropriateness of Services.One service that is particularly helpful in maintaining cultural appropriateness and access in service provision isinterpretation and translation. The service category oflnterpretation/Sign Language is funded entirely out ofRyan White Title I and is intended to provide assistance in communications (both verbal and written) forpersons that do not utilize spoken or 'Nritten English. Many agencies have also hired staffwith different dialectsother than English who are able to assist clients when language and cultural barriers are encountered.Additionally, a number of agencies have specific divisions to skilled in serving special populations such asminority women and men.

The AA also monitors data regarding the ethnic and age distribution of clients versus, staff, management, andboard membership of each funded agency. This information is used to gauge whether or not the agency isreflective, from both an ethnic and age standpoint, ofthe clientele that it serves.

The AA has a contractual mandate that all funded service providers must comply with the Americans withDisabilities Act (ADA) and all other federal and state statutes relating to nondiscrimi~ation. Program monitors,on annual site visits, monitor agency compliance with these requirements.

6. Outpatient Medical Care Service PlanAll four of the Title II funded ambulatory medical care providers can provide services to any client residingwithin any of the Administrative Service Area (ASA). However, the majority of clients that reside in Dallasaccess their medical care through the Dallas County Hospital District (Parkland) Amelia Court Clinic. AIDSServices of North Texas (ASNT) Well Beings Clinic provides medical care typically to clients residing inDenton, Collin, Hunt, Kaufman and Rockwall counties. AIDS Arms - Peabody Clinic provides services insouthern Dallas County, Ellis and Navarro counties. The provider in Grayson County, Your Health Clinic(YHC) provides services to residents of Fannin, Grayson, and Cooke counties.

How Clients Access Ambulatory Care. To ensure new clients needing medical care have full information andaccess to all services in the ASA, they are referred through the care coordination system; existing clients may godirectly to the medical provider for services or by referral. Each of the outpatient medical care subcontractorsalso provides case management or treatment adherence to provide expeditious service and ensure that client'smedical referrals and treatment education, as applicable, can be handled at the same location. Clients in need oftransportation assistance to access medical services can utilize the Title II funded van transportation service orreceive bus passes.

Access to a Qualified Physician with HIV Medical Experience. All clients residing in the ASA regardless oftheir county of residency, have access to medical care by one of the HIV infectious disease physicians at the


1 7


Dallas based clinics at Amelia Court and the Peabody Health Clinic. The Well Beings Clinic has a nursepractitioner with HIV expertise on staff. For clients accessing their medical care in the Sherman/Denison areaserved by YHC, subcontracted medical services with experienced HIV practitioners are provided. ASNT andYHC also subcontract with medical specialist in the area to provide needed services for clients.

The clinics and physicians providing funded medical care in the ASA are:

if\rea .. Clinic . . ,~..... ,,~, .. _-_ ... - I'lt sitianfMedical StaffDallas County Dallas County Hospital District - Dr. Phillip Keiser and other HIV

Parkland - Amelia Court trained doctors, nurses andBluitt-Flowers Health Center specialistsDeHaro-Saldivar Health CenterSoutheast Dallas Health Center

Southern Dallas, Ellis and Navarro AIDS Arms - Peabody Health Dr. Keith Rawlings, Dr. Ediecounties Clinic Klingler, Jennifer Klein, NP, and

HIV trained nurses

Collin, Denton, Hunt, Kaufman, AIDS Services of North Texas - Sandra Horwitz, RN, CFNP, HIVand Rockwall Well Beings Clinic trained nurses and subcontracted

HIV doctors and specialistsFannin, Grayson, and Cooke Your Health Clinic Subcontracted HIV doctors andcounties specialists

7. Quality Management FeedbackThe purpose of the ASA quality management program is to support the development ofhigher quality care topeople living with HIV/AIDS (PLWHA), effective programs that meet minimum requirements in the mostefficient method, demonstrate program value quantitatively by linking outputs (amounts ofservices provided) tooutcomes (results), identifY and justifY critical program activities and resources required to meet needs andenable local HIV service delivery networks and providers to perform better and to function as a system.

On-site subcontractor quality management evaluations are conducted annually. The evaluations continue toutilize the assessment tool that was derived from the HRSA QM Manual and Chronic Care Model. Additionalinformation is received through staff interviews, observations, and evaluation of the subcontractors' QM plans.During this process subcontractors also have the opportunity to request technical assistance on quality,programmatic, or fiscal issues. Results ofthe evaluation are compiled into a recommendations report, to whichsubcontractors have 45 days to respond with an improvement plan. The AA submits a written response to theagency's revised QM program/plan within thirty (30) days of receipt either accepting the changes forimplementation in the next year, or requesting further revisions. If the plan is accepted and revised, theagency's QM program will be on schedule for evaluation the following year. If further revisions are required,additional on-site TA or conference calls may be warranted to assist the agency.

The AA Performance Improvement Committee (PIC) was established in 2005. This committee's membershipconsists of the following: a RWPC chair designee (licensed, practicing psychiatrist), QM staffmembers fromeach ofDCHHS' funded medical and dental care providers, the RWPC health planner and the DCHHS healthanalyst and quality assurance advisor (QAA). The core responsibilities of the PIC are to assist the AA in thedevelopment and monitoring of the QM plan in order to make recommendations to the appropriate body forimprovements. Improvement reports may be presented to the AA, RWPC Executive Committee, and theService Providers Council.



FORM F: BUDGET SUMMARY


DSHS Funds Direct Federal Other State Local FundingOther Funds Totat

Cost Categories Requested Funds Agency Funds' Sources(5) (6)

11) (2) 13) (4)

A. Personnel $ 0 $ 552,374 $ 285,022 $ 139,085 $ 0 $ 976,446

R Fringe Benefits $ 0 $ 167,220 $ 86,182 $ 55,712 $ 0 $ 309,114

C. Travel $ 0 $ 31,104 $ 11,955 $ 1,500 $ 0 $ 44,559

D. Equipment and Supplies $ 0 $ 13,500 $ 10,808 $ 1,306 $ 0 $ 25,614

E. Contractual $ 2,370,844 $ 12,275,223 $ 3,275,968 $ 1,390,000 $ 0 $ 19,312,035

F. Construction I'MI4·'. .....,...fj i!!~I~·Mi'.)i)·" i"ii ,....../'< /!;~ii'.~;)!< ii,XQ Nr4 i·."(i ...•. 0 IWA .. 'fiii"'f;ri~iF < Y

G. Other $ 0 $ 34,336 $ 39,257 $ 2,100 $ 0 $ 75,693

H. Total Direct Costs $ 2,370,844 $ 13,275,042 $ 3,709,192 $ 1,589,668 $ 0 $ 20,743,461

I. tndirect Costs $ 0 $ 201,285 $ 95,252 $ 34,592 $ 0 $ 331,129

J. Total (Sum of Hand I) $ 2,370,844 $ 13,275,042 $ 3,804,444 $ 1,624,260 $ 0 $ 21,074,590

K.Program Income - Projected

$ $ $ $ $ $Earnings

Indirect costs are based on (mark the statement that is accurate):

IX I The applicant's most recently approved indirect cost rate 26.896 % Acopy is attached behind the OTHER Budget Category Detail Form (FORM G5).

o The applicant's most recently approved indirect cost rate % this is on file with DSHS's Contract Policy & Monitoring Division.

'Letter(s) of good standing that validate the applicant's programmatic, administrative, and financial capability must be placed after this form if applicant receives any funding from other nonDSHS state agencies. If the applicant is astate agency or institution of highereducalion, letter(s) of good standing are not required. DO NOT include non-project related funding in column 3.

12


-'-

OJ


FORM G: CONTRACTUAL Budget Category Detail Form


List contracts for services related fa the scope of work fhat are to be provided by a third party. It a third party is not yet identified, describe the service to be contracted and show contractors as "To BeNamed." Justification for any contract fhat delegates asubsfantial portion of the scope of the project, i.e., $25,000 or 25% offhe applicant's funding requesf, whichever is greater, must be attached behindthis torm.

To be namedTo provide HIV servicesunder DSHS guidelines inthe Dallas HSDA

Unit Cost and CostReimbursement

To bedetermined Varies $2,213,358 Provide HIV services for the Dallas

HSDA

Your Health Clinic

To provide HIV servicesunder DSHS guidelines inthe Sherman-DenisonHSDA

Unit Cost and CosfReimbursement See Table Varies $ 157,486

ProvideGrayson,Counties,

HIV services forFannin, and Cooke

-->.

(jJ

TOTAL Amount Requested for CONTRACTUAL:


$ 2,370,844

13

20

FORM G: BUDGET JUSTIFICATION

Dallas County Health and Human ServicesRyan White CARE Act Title II Service Delivery

FY 2007 - 2008 Service Delivery Budget

A. Personnel

B. Fringe Benefits

C. Staff Travel

D. Equipment

E. Supplies

F. Contractual

1. Dallas HSDA (Various Subcontractors)

."$ 2,213,358

Contracts for HIV Services to be awarded through acompetitive request for proposal (RFP) process.

$

$

$

$

$

$ 2,370,844

2. Your Health Clinic (fka AIDS Resource Center of Texoma) $

Contracts for HIV services in Sherman-Denison to beawarded on a sole source process.

157,486

G. Other $

H. TOTAL DIRECT COSTS

l. Indirect Cost

$

$

2,370,844

J. TOTAL BUDGET

Dallas County Health and Human ServicesFY 07-08 RWSD Renewal Application 14

21

DALLAS COUNTYOFFICE OF BUDGET AND EVALUATION

FY2007Consolidated Local Central Service

Cost Allocation Planaod

Indirect Cost Proposal

(Based on Actual Expenditures for the Fiscal Year ending September 30, 2005)

CERTIFICATION STATEMENT

This is to certify that I have reviewed the cost plan submitted herewith and to the best ofmy knowledge and belief:~

A. All costs (for the fiscal year ending September 30, 2005) included in this proposal dated March 31, 2006,to establish cost allocations or billings for the period ofOctober I, 2004, to September 30, 2005, are allowablein accordance with the requirements ofOMB Circular A-87, "Cost Principles for State, Local, and IndianTribal Governments," and the federal award(s) to which they apply. Unallowable costs have been adjusted forin allocating costs as indicated in the cost allocation plan.

B. All costs included in this proposal are properly allocable to Federal Award(s) on the basis ofa beneficial orcausal relationship between the expenses incurred and the awards to which they are allocated in accordancewith applicable requirements. Further, the same costs that have been treated as indirect costs have not beenclaimed as direct costs. Similar types ofcosts have been accounted for consistently.

1declare that the foregoing is true and correct.

Dallas County, Texas

~'1- brou..l-SignatureRyan W. BrownDallas County Budget Officer

Date ofExecution: ~"'c..1... ~ \ I "Z. 0010

Total Allowable Indirect Costs(with FY05 Cam Forward):Total Operating SalarylWages:

$54,432,495$202,381,497

= 26.896% County-wideIndirect Cost Rate

411 Elm Street - 3rd Floor, Dallas Texas 75202-3340(214) 653-6448. Fax (214) 653-6517. cpacotla2dallascountv.org

22

TABLE 1: RWSD SERVICES PRIORITIES, ALLOCATIONS AND OBJECTIVESBY HIV SERVICE DELIVERY AREA (HSDA)

Administrative Agency Name: Dallas County Health and Human Services

HSDA: !!D~a!.'.lIa!!!s,- _

Funding Stream: RW X SS Time Period Covered by Allocation: 04/0]/07 - 03/3l/08

Instructions: Table 1 must be completed for EACH HSDA within the Administrative Agency's area. Use this table to reflect theservice priorities and allocations and estimated service units and persons to be served with those funds. Place the rank ofeach prioritizedservice in column 2. Assign a rank only to prioritized services, and leave the rest afthe service categories blank. Use columns 3 and 4 toshow the estimated number of units to be delivered and persons to be served. In the fifth column place the total allocation for thatcategory; this should include service provider administrative costs. The,total of all allocations should equal the total for the HSDA'sRWSD or SS allocation. In column 6 indicate the percenta~e ofthe total award that is allocated to that service category. DSHS stronglysuggests that preliminary allocations, along with justifications, be reviewed by HIV Planning Staff before submission of this formwith the application.

ESTIMATEDOBJECTIVES

I II IALLOCATION % OF TOTAL

SERVICE CATEGORY* RANK Units Persons FOR HSDA ALLOCATION

Ambulatory/Outpatient Medical Care Ie 4553 1544 $ 666,892 30.0%

Drug Reimbursement! AIDS 4a 204 74 $ 54,808 3.0%Pharmaceutical Assistance

Early Intervention Services $ %

Health Insurance Id 533 266 $ 219,215 10.0%

Oral Health Care 3 719 417 $ 58,527 3.0%

Home health care - Professional $ %

Home health care - Specialized $ 0/<.

Nutritional Counselingl Medical Nutrition $ %TberapyResidential or In Home Hospice Care $ %

Mental Health Services 6 53 34 $ 3,465 .2%

Substance Abuse Services - Outpatient $ %

Medical Case Management Ib 817 201 $ 45,948 2.00/<

Treatment Adherence Counseling $ 0/<

Social Case Management 2a 12094 1841 $ 406,486 18.0%

Home health care - Para-professional $ %

Substance Abuse Services· Residential $ %

Buddy/Companion Service $ 0/<


23

Table 1 Page 2

HSDA: !!D!i!3!!.lIa;j!sL- _

Funding Stream: RW _X,,-_ SS _ Time Period Covered by Allocation: 04/01107 03/31108

OBJECTIVE ALLOCATION % OF TOTAL

SERVICE CATEGORY' RANK Units Persons FOR HSDA ALLOCATION

Child Care Services $ %

Child Welfare Services $ %

Client Advocacy $ %

Day or Respite Care for Adults $ %

Developmental Assessment! Early $ %Intervention Services for Infants andChildren

Emergency Financial.Assistance $ %

Food Bank/Home-Delivered Meals 5b 18,457 1,849 $ 233,440 10.0%

Health Education/Risk Reduction 12 14,300 14,300 $ 39,179 1.8%

Housing & Housing-Related Services $ %

Legal Services $ %

Outreach Services Ie 6,310 1,310 $ 110,524 5.0%

Permanency Planning $ %

Psychosocial Support Services $ %

Referral to Clinical Research $ %.

Referral to Health Carel Supportive $ %

Services '..Rehabilitation Services $ 0/<

Transportation Services 7 14,050 1,362 $ 374,874 17.00/<

Other Direct Support Services $ 0/<(Attach-sheet detailing services)

TOTAL ALLOCATION $2,213)58 100.00/<

16


24

TABLE 2: RWSD SUBCONTRACTOR SERVICES ALLOCATIONS

Administrative Agency Name: Dallas County Health and Human servicesSubcontractor Name: Various (To Be Determined Pending ERe Process)

Instructio.ns: Use this table to summarize all allocations by service category for each subcontractor for your current RW ServiceDelivery contract (411107 - 3/31/08). Use one form for each suhcontractor and submit only one form per subcontractor,regardless of whether or not the subcontractor provides services in more than one HSDA. Please note: The total amountsshown in the Table 2 for each subcontractor should equal the amount shown in the contractual line item of the subcontractor'scategorical budget AND the total of all Table 2s should equal the amount shown in the contractual line item ofthe AA's categoricalbudget. This table is due to DSHS by April 30, 2007.

TOTALSUBCONTRACTORDIRECT SUBCONTRACTOR SUBCONTRACTOR COST

SERVICE CATEGORY SERVICES COSTS ADMINISTRATION COSTS FOR SERVICE

Ambulatory/Outpatient Medical Care $ 600,203 $ 66,689 $ 666,892

Drug Reimbursement! AIDS Pharmaceutical $ 49,327 $ 5,481 $ 54,808Assistance

Early Intervention Services $ $ $

Health Insurance $ 197,293 $ 21,922 $ 219,215

Oral Health Care $ 52,674 $ 5,853 $ 58,527

Home Health care - Professional $ $ $

Home Health care - Specialized $ $ $

Nutritional Counseling! Medical Nutrition $ $ $TheraoyResidential or In Home Hospice Care $ $ $

Mental Health Services $ 3,118 $ 347 $ 3,465

Substance Abuse Services..,.. Outpatient $ $ $

Medical Case Management $ 41,353 $ 4,595 $ 45,948

Treatment Adherence Counseling $ $ $

Social Case Management $ 365,837 $ 40,649 $ 406,486

Home Health care - Para~professional $ $ $

Substance Abuse Services - Residential $ $ $

Buddy/Companion Service $ $ $

Child Care Services $ $ $

Child Welfare Services $ $ $

Client Advocacy $ .

$ $

Day or Respite Care for Adults $ $ $

17Dallas County Health and Human ServicesFY 07"08 RWSO Renewal Application

25

Table 2, page 2

Administrative Agency Name: Dallas County Health and Human ServicesSubcontractor Name: Various (To Be Determined Pending ERe Process

SERVICE CATEGORY SUBCONTRACTORDIRECT SUBCONTRACTOR TOTALSERVICES COSTS ADMINISTRATION COSTS SUBCONTRACTOR COST

FOR SERVICE

Developmental Assessment! Early $ $ $Intervention Services for Infants andChildren

Emergency Financial Assistance $ $ $

Food BanklHome-De]ivered Meals $ 2] 0,096 $ 23,344 $ 233,440

Health Education!Risk Reduction $ 35,26] $ 3,9] 8 $ 39,]79

Housing & Housing-Related Services $ $ $

Legal Services $ $ $

Outreach Services $ 99,472 $ ] ] ,052 $ 110,524

Permanency Planning $ $ $

Psychosocial Support Services $ $ $

Referral to Clinical Research $ $ $

Referral to Health Care! Supportive Services $ $ $

Rehabilitation Services $ $ $

Transportation Services $ 337,387 $ 37,487 $ 374,874

Other Direct Support Services $ $ $(Attach sheet detailing services)

TOTAL Contracted Amount $1,992,021 $ 221,337 $2,213,358


26

TABLE 1: RWSD SERViCES PRIORITIES, ALLOCATIONS AND OBJECTIVESBY HIV SERVICE DELIVERY AREA (HSDA)

Administrative Agency Name: Dallas County Health and Human Services

HSDA: Sherman-Denison

Funding Stream: RW X SS Time Period Covered by Allocation: 04/01/07 - 03/31/08

Instructions: Table I must be completed for EACH HSDA within the Administrative Agency's area. Use this table to reflect theservice priorities and allocations and estimated service units and persons to be served with those funds. Place the rank ofeach prioritizedservice in column 2. Assign a rank only to prioritized services, and leave the rest of the service categories blank. Use columns 3 and 4 toshow the estimated number of units to be delivered and persons to be served. In the fifth column place the total allocation for thatcategory; this should include service provider administrative costs. The total of all allocations should egual the total for the HSDA'sR WSD or SS allocation. In column 6 indicate the percentage ofthe total award that is allocated to that service category. DSHS stronglysuggests that preliminary allocations, along with justifications, be reviewed by HIV Planning Staff before submission of this form

with the application.

ESTIMATEDOBJECTIVES

ALLOCATION % OF TOTAL

SERVICE CATEGORY* RANK Units ersons FOR HSDA ALLOCATION

Ambulatory/Outpatient Medical Care Ie 257 33 $ 52,355 33.00/<

Drug Reimbursement! AIDS 4a 677 60 $ 17,480 1 1.00/<Pharmaceutical Assistance


Health Insurance Id 327 39 $ 1 1,866 8.0%

Oral Health Care $ %.Home health cafe - Professional $ %

Home heaith care - Specialized $ %

Nutritional Counseling! Medical Nutrition $ %TherapyResidential or In Home Hospice Care $ %

Mental Health Services $ %


Medical Case Management $ %

Treatment Adherence Counseling $ %

Social Case Management 2a 2993 103 $ 406,486 29.00/<

Home health care - Para~professional $ %

Substance Abuse Services ~ Residential $ %

Buddy/Companion Service $ %

19


Table I Page 2


Funding Stream: RW X SS _

27

Time Period Covered by Allocation: 04/01/07 - 03/31108



Child Care Services $ %

Child Welfare Services.

$ %

Client Advocacy. $ %



Emergency Financial Assistance $ %

Food Bank/Home-Delivered Meals 5b 709 66 $ 9,449 6.0%

Health EducationlRisk Reduction $ %


Legal Services $ %

Outreach Services $ %

Permanency Planni~g $ %


Referral to Clinical Research $ %

Referral to Health Carel Supportive $ %Services

Rehabilitation Services $ %

Transportation Services 7 593 35 $ 20,400 13.0%

Other Direct Support Services $ %(Attach sheet detailing services)

TOTAL ALLOCAnON $ 157,486 100.0%

20


28


Administrative Agency Name: Dallas County Health and Human ServicesSubcontractor Name: Your Health Clinic (ilia AIDS Resource Center ofTexoma)

Instructions: Use this table to summarize all allocations by service category for eachsubcontractor for your current RW ServiceDelivery contract (4/1/07 - 3/31/08). Use one form for each subcontractor and submit only one form per subcontractor,regardless of whether or not the subcontractor provides services in more than onc HSDA. Please note: The total amountsshown in the Table 2 for each subcontractor should equal the amount shown in the contractual line item of the subcontractor'scategorical budget AND the total ofall Table 25 should equal the amount shown in the contractual line item ofthe AA 's categoricalbudget This table is due to DSHS by April 30 "007, .



Ambulatory/Outpatient Medical Care $ 47,119 $ 5,236 $ 52,355

Drug Reimbursement! A1DS Pbannaceutical $ 15,732 $ 1,748 $ 17,480Assistance

Early.lntervention Services $ $ $

Health Insurance $ 10,679 $ 1,187 $ 11,866

Oral Health Care $ $ $.

Home Health care ~ Professional $ $ $


Nutritional Counseling! Medical Nutrition $ $ $TherapyResidential or In Home Hospice Care $ $ $

Mental Health Services $ $ $

Substance Abuse Services ~ Outpatient $ $ $

Medical Case Management $ $ $.



Home Health care ~ Para-professional $ $ $





Client Advocacy $ $ $





29

Table 2, page 2

Administrative Agency Name: Dallas County Health and Human ServicesSubcontractor Name: Your Health Clinic (fl{a AIDS Resource Center ofTexoma



Food BankIHome-Delivered Meals $ 8,504 $ 945 $ 9,449

Health Education/Risk Reduction $ $ $

Housing & Housing~Related Services $ $ $


Outreach Services $ $ $

Pennanency Planning $ $ $

Psychosocial Support Services $ • $ $


Referral to Health Carel Supportive Services $ $ $




TOTAL Contracted Amount $141,736 $ 15,750 $157,486


30

FORM H: NONPROFIT BOARD OF DIRECTORS AND EXECUTIVEDIRECTOR ASSURANCES FORM

Ifthe applicant is a nonprofit organization, this form must be completed (state or other governmental agencies are not required to camp/ete this form). The purposeofthe form is to inform nonprofit board members and officers of the responsibilities and administrative oversight requirements ofnonprofit applicants intending to orcontracting with Department of State Heatth Services (DSHS).

Not applicable

(Name & Address Of Organizallon)

The persons signing on behalf of the above named organization certify that they are duly authorized to sign thisAssurances form on behalf of the organization. The undersigned acknowledge and affirm:

A That an annual budget has been approved for each contract with DSHS.

B. The Board of Directors convenes on a regularly scheduled basis (no less than quarterly) to discuss the operations ofthe organization.

C. Actual revenue and expenses are compared with the approved budget, variances are noted, and corrective actiontaken as needed (with Board approval).

D. Timely and accurate financial statements are presented by the designated financial officer on a regular basis to theboard.

E. That the Board of Directors will ensure that any required financial reports and forms, whether federal or state, arefiled on a current and timely basis.

F. Adequate internal controls are in place to ensure fiscal integrity and accountability and to safeguard assets.

G. The Treasurer of the Board has been fully informed of his or her responsibilities as Treasurer.

H. The Board has Audit and/or Finance Committees that convene regularly and communicate effectively with the BoardTreasurer and other Board members in understanding and responding to financial developments.

I. The organization observes Generally Accepted Accounting Principles when preparing financial statements and fundaccounting practices are observed to ensure integrity among specific contracts or grants.

J. If a contract is executed with DSHS, this form will be discussed in detail at the next official Board meeting and thatnotes of the discussion and a signed copy of this form will be included in the minutes of the meeting. A copy of theminutes will be kept at the organization and be available for inspection by DSHS staff.

K. If a contract is executed with the DSHS and the nonprofit organization has not received any funding from DSHS forthe past 24 months, the Legal and Fiscal Responsibilities for Nonprofit Board of Directors Video and Guide will beviewed and a signed "tear-out" sheet will be completed and filed by each board member with the nonprofitorganization no later than 45 days after contract execution. Newly appointed/elected board members will complywith these requirements no more than 45 days after taking office. All tear-out sheets will be available for inspectionby DSHS staff.

L The organization will administer any contract executed with the DSHS in accordance with applicable federal statutesand regulations, including federal grant requirements applicable to funding sources, Uniform Grant ManagementStandards issued by the Governor's Office, applicable Office of Management and Budget Circulars, applicable Codeof Federal RegUlations, and provisions of the contract document

'Chairman of the Board SignaturelDate 'President or Executive Director SignaturelDate"'If the signed original of this form has been provided to DSHS during the calendar year and the officers signing the document havenot changed, a copy of the signed form will be accepted.


31

FORM I: HIV Contractor Assurances

1. ADVOCATE AND PROMOTE

The applicant agency assures that it does not advocate or promote conduct that violates state law, in compliance withthe HIV Services Act, Texas Health and Safety Code, Section 85.011, as follows:

"Grants may not be awarded to an entity or community organization that advocates orpromotes conduct that violates state law. This subsection does not prohibit the award of agrant to an entity or community organization that provides accurate information about ways toreduce the risk of exposure to or transmission of HIV."

2. CONFIDENTIALITY

The applicant agency and its employees or subcontractors, if applicable, provide assurance to the Department of StateHealth Services that confidentialily of all records shall be maintained. No information obtained in connection with theexamination, care, or provision of programs or services to any person with HIV shall be disclosed without the individual'sconsent, except as may be required by law, such as for the reporting of communicable diseases. Information may bedisclosed in statistical or other summary form, but only if the identity of the individuals diagnosed or provided care is notdisclosed.

We are aware that the Health and Safety Code, §81.1 03, provides for both civil and criminal penalties against anyonewho violates the confidentiality of persons protected under the law. Furthermore, all employees and volunteers whoprovide direct client care services or handle direct care records wherein they may be informed of a client's HIV status orany other information related to the client's care, are required to sign a statement of confidentiality assuring compliancewith the law. An entity that does not adopt a confidentiality policy as required by law is not eligible to receive state fundsuntil the policy is developed and implemented.

3. CONFLICT OF INTEREST

The applicant agency and its employees or subcontractors, if applicable, provide assurance to the Department ofState Health Services that no person who is an employee, agent, consultant, officer, board member, or elected orappointed official of this agency, and, therefore, in a position to obtain a financial interest or benefit from an activity,or an interest in any contract, subcontract, or agreement with respect thereto, or the proceeds there under, either forhimself or herself or for those with whom he or she has family or business ties, during his or her tenure or for oneyear thereafter shall participate in the decision making process or use inside information with regard to such activity.Furthermore, this agency will adopt procedural rules which require the affected person to withdraw from his or her

functions and responsibilities or the decision-making process with respect to the specific assisted activity from whichthey would derive benefit.

4. TUBERCULOSIS COLLABORATION

The applicant agency assures the DSHS that it maintains collaborative efforts with local Tuberculosis (TB) Controlprograms in order to insure that HIV and TB treatment and prevention services are provided to persons at risk ofHIV and TB.

5. DRUG-FREE WORKPLACE REQUIREMENTS

The undersigned (authorized official signing for the applicant organization) certifies that it will provide a drug-freeworkplace in accordance with 45 CFR Part 76 by:

(a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing,possession or use of a controlled substance is prohibited in the grantee's workplace and specifying theactions that will be taken against employees for violation of such prohibition;(b) Establishing a drug-free awareness program to inform employees about-

(1) The dangers of drug abuse in the workplace;(2) The grantee's policy of maintaining a drug-free workplace;(3) Any available drug counseling, rehabilitation, and employee assistance

programs; and(4) The penalties that may be imposed upon employees for drug abuse violationsoccurring in the workplace',


32

(c) Making it a requirement that each employee to be engaged in the performance of the grant be givena copy of the statement required by paragraph (a) above;

(d) Notifying the employee in the statement required by paragraph (a), above, that, as a condition ofemployment under the grant, the employee will-(1) Abide by the terms of the statement; and(2) Notify the employer of any criminal drug statute conviction for a violation occurring in the

workplace .~Q later that five days after such conviction;(e) Notifying the agency within ten days after receiving notice under subparagraph (d)(2), above,

from an employee or otherwise receiving actual notice of such conviction;(f) Taking one of the following actions, within 30 days of receiving notice under subparagraph (d)(2),

above, with respect to any employee who is so convicted-(1) Taking appropriate personnel action against such an employee, up to and including

termination; or(2) Requiring such employee to participate satisfactorily in a drug abuse assistance or

rehabilitation program approved for such purposes by a Federal, State, or local health,law enforcement, or other appropriate agency;

(g) Making a good faith effort to continue to maintain a drug free workplace through implementationof paragraphs (a), (b), (c), (d), (e), and (I), above.

6. POLICIES OF THE BUREAU OF HIV & STD PREVENTION

The applicant agency assures the DSHS that it will abide by all policies of the HIV/STD Comprehensive ServicesBranch that apply to the programs being provided. A list of policies applicable to all HIV and STD contractors isprovided at the Bureau website at http://www.tdh.state.tx.us/hivstd/policy/defaull.htm.

Signature of Authorized Certifying Official Title

Director

Date December 29, 2007

Legal Name of Applicant Organization



33

DSHS ASSURANCES AND CERTIFICATIONS

Note: Some of these Assurances and Certifications may not be applicable to your project. If you havequestions, contact the contact person named in this RFP. These assurances and certifications shallremain in effect throughout the project period of this solicitation and the term of any contract betweenrespondent and DSHS.

As the duly authorized representative of the respondent, my signature on the FACE PAGE Form certifiesthat the respondent:

1. Is a legal entity legally authorized and in good standing to do business with the State of Texas and has thelegal authority to apply for state/federal assistance, and has the institutional, managerial and financialcapability and systems (including funds sufficient to pay the non-state/federal share of project costs) toensure proper planning, management and completion of the project described in this proposal; possesseslegal authority to apply for funding; that a resolution, motion or similar action has been duly adopted orpassed as an official act of the respondent's governing body, authorizing the filing of the proposal inclUdingall understandings and assurances contained therein, and directing and authorizing the person identified asthe authorized representative of the respondent to act in connection with the proposal and to provide suchadditional information as may be required;

2. Certifies that under Government Code Section 2155.004, the individual or entity (respondent) is notineligible to receive the specified contract and acknowledges that this contract may be terminated andpayment withheld if this certification is incorrect. NOTE: Under Government Code Section 2155.004, arespondent is ineligible to receive an award under this RFP if the bid includes financial participation with therespondent by a person who received compensation from DSHS to participate in preparing the specificationof RFP on which the bid is based.

3. Has a financial system that: identifies the source and application of DSHS funds in a unique set of generalledger account numbers, permits preparation of reports required by the tract, permits the tracing of fundsexpended and program income, allows for the comparison of actual expenditures to budgeted amounts; andmaintains accounting records that are supported by verifiable source documents.

4. A parent, affiliate, or subsidiary organization, if such a relationship exists, will give DSHS, HHSC Office ofInspector General, the Texas State Auditor, the Comptroller General of the United States, and ifappropriate, the federal government, through any authorized representative, access to and the right toexamine all records, books, papers, or documents related to the award; and will establish a properaccounting system in accordance with generally accepted accounting standards or agency directives;

5. Will supplement the project/activity with funds other than the funds made available through a contract awardas a result of this RFP and will not supplant funds from that contract to replace or substitute existing fundingfrom other sources;

6. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes orpresents the appearance of personal or organizational conflict of interest, or personal gain;

7. Will comply, as a subgrantee, with Texas Government Code, Chapter 573, Vernon's 1994, by ensuring thatno officer, employee, or member of the respondent's governing body or of the respondent's contractor shallvote or confirm the employment of any person related within the second degree of affinity or the third degreeof consanguinity to any member of the governing body or to any other officer or employee authorized toemploy or supervise such person. This prohibition shall not prohibit the employment of a person who shallhave been continuously employed for a period of two years, or such other period stipulated by local law,prior to the election or appointment of the officer, employee, or governing body member related to suchperson in the prohibited degree;


34

8. Has not given, nor intends to give, at any time hereafter any economic opportunity, future employment, gift,loan, gratuity, special discount, trip, favor, or service to a public servant or any employee or representativeof same, in connection with this procurement; Does not have nor shall it knowingly acquire any interest thatwould conflict in any manner with the performance of its obligations under any awarded contract that resultsfrom this RFP;

9. Will honor for 90 days after the proposal due date the technical and business terms contained in theproposal;

10. Will initiate the work after receipt of a fully executed contract and will complete it within the contract period;

11. Will not require a client to provide or pay for the services of a translator or interpreter;

12. Will identify and document on client records the primary language/dialect of a client who has limited Englishproficiency and the need for translation or interpretation services;

13. Will make every effort to avoid use of any persons under the age of 18 or any family member or friend of aclient as an interpreter for essential communications with clients who have limited English proficiency.However, a family member or friend may be used as an interpreter if this is requested by the client and theuse of such a person would not compromise the effectiveness of services or violates the client'sconfidentiality, and the client is advised that a free interpreter is available;

14. Will comply with the requirements of the Immigration Reform and Control Act of 1986, 8 USC §1324a, asamended, regarding employment verification and retention of verification forms for any individual(s) hired onor after November 6, 1986, who will perform any labor or services proposed in this proposal;

15. Agrees to comply with the follOWing to the extent such provisions are applicable:A Title VI of the Civil Rights Act of 1964, 42 USC§§2000d, et seq.;B. Section 504 of the Rehabilitation Act of 1973, 29 USC §794(a);C. The Americans with Disabilities Act of 1990, 42 USC §§121 01, et seq.;D. All amendments to each and all requirements imposed by the regulations issued pursuant to these

acts, especially 45 CFR Part 80 (relating to race, color and national origin), 45 CFR Part 84 (relatingto handicap), 45 CFR Part 86 (relating to sex), and 45 CFR Part 91 (relating to age);

E. DSHS Policy AA-5018, .Non-Discrimination Policies and Procedures for DSHS Programs, whichprohibits discrimination on the basis of race, color, national origin, religion, sex, sexual orientation,age, or disability; and

F. Any other nondiscrimination provision in specific statures under Which application for federal or stateassistance is being made.

16. Will comply with the Uniform Grant Management Act (UGMA), Texas Government Code, Chapter 783, asamended, and the Uniform Grant Management Standards (UGMS), as amended by revised federal circularsand incorporated in UGMS by the Governor's Budget and Planning Office, which apply as terms andconditions of any reSUlting contract. A copy of the UGMS manual and its references are available uponrequest;

17. Will remain current in its payment of franchise tax or is exempt from payment of franchise taxes, ifapplicable;

18. Will comply, if applicable, with Texas Family Code, § 231.006, regarding Child Support, and certifies that itis not ineligible to receive payment if awarded a contract, and acknowledges that any resulting contract maybe terminated and payment may be withheld if this certification is inaccurate;

19. Will comply with the non-discriminatory requirements of Texas Labor Code, Chapter 21, which requires thatcertain employers not discriminate on the basis of race, color, disability, religion, sex, national origin, or age;


35

20. Will comply with environmental standards prescribed pursuant to the following:A. Institution of environmental quality control measures under the National Environmental Policy Act of

1969,42 USC §§4321-4347, and Executive Order (EO) 11514 (35 Fed. Reg. 4247), "Protection andEnhancement of Environmental Quality";

B. Notification of violating facilities pursuant to EO 11738 (40 CFR, Part 32), "Providing forAdministration of the Clean Air Act and the Federal Water Pollution Control Act with Respect toFederal Contracts, Grants or Loans";

C. Conformity of federal actions to state clean air implementation plans under the Clean Air Act of1955, as amended, 42 USC §§7401 et seq.; and

D. Protection of un·oerground sources of drinking water under the Safe Drinking Water Act of 1974,42USC §§300f-300j, as amended;

21. Will comply with the Pro-Children Act of 1994, 20 USC §§6081-6084, regarding the provision of a smokefree workplace and promoting the non-use of all tobacco products;

22. Will comply, if applicable, with National Research Service Award Act of 1971,42 USC §§289a-1 et seq., asamended and 6601 (P.L. 93-348 - P.L. 103-43), as amended, regarding the protection of human subjectsinvolved in research, development, and related activities supported by this award of assistance, asimplemented by 45 CFR Part 46, Protection of Human Subjects;

23. Will comply, if applicable, with the Clinical Laboratory Improvement Amendments of 1988 (CLlA), 42 USC§263a, as amended, which establish federal requirements for the regulation and certification of clinicallaboratories;

24. Will comply, if applicable, with the Occupational Safety and Health Administration Regulations on Bloodborne Pathogens, 29 CFR §1919.030, which set safety standards for those workers and facilities in theprivate sector who may handle blood-borne pathogens, or Title 25 Texas Administrative Code, Chapter 96,which affects facilities in the public sector;

25. Will not charge a fee for profit. A profit or fee is considered to be an amount in excess of actual allowablecosts that are incurred in conducting an assistance project;

26. Will comply with all applicable requirements of all other state/federal laws, executive orders, regulations,and policies governing this program;

27. As the primary participant in accordance with 45 CFR Part 76, respondent and its principals:A. are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily

excluded from covered transactions by any federal department or agency;B. have not within a 3-year period preceding this proposal been convicted of or had a civil judgment

rendered against them for commission of fraud or a criminal offense in connection with obtaining,attempting to obtain, or performing a public (federal, state, or local) transaction or contract under apublic transaction; violation of federal or state antitrust statutes or commission of embezzlement,theft, forgery, bribery, falsification or destruction of records, making false statements, or receivingstolen property;

C. are not presently indicted or otherwise criminally or civilly charged by a governmental entity (federal,state, or local) with commission of any of the offenses enumerated in paragraph (B) of thiscertification;

D. have not within a 3-year period preceding this proposal/proposal had one or more pUblictransactions (federal, state, or local) terminated for cause or default; and

E. has not (nor has its representative nor any person acting for the representative) (1) violated theantitrust laws codified by Chapter 15, Business & Commercial Code, or the federal antitrust laws; or(2) directly or indirectly communicated the bid to a competitor or other person engaged in the sameline of business.

Should the respondent not be able to provide this certification (by signing the FACE PAGE Form), anexplanation should be placed after this form in the proposal response;


36

The respondent agrees by submitting this proposal that he/she will include, without modification, the clausetitled "Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion-Lower TierCovered Transaction" (Appendix B to 45 CFR Part 76) in all lower tier covered transactions (i.e.,transactions with subgrantees and/or contractors) and in all solicitations for lower tier covered transactions;

28. Will comply with Title 31, USC §1352, entitled "Limitation on use of appropriated funds to influence certainfederal contracting and financial transactions," which generally prohibits recipients of federal grants andcooperative agreements from using federal (appropriated) funds for lobbying the executive or legislativebranches of the federal government in connection with a SPECIFIC grant or cooperative agreement.Section 1352 also requires that each person who requests or receives a federal grant or cooperativeagreement must disclose lobbying undertaken with non-federal (non-appropriated) funds. Theserequirements apply to grants and cooperative agreements EXCEEDING $100,000 in total costs (45 CFRPart 93):A. No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any

person for influencing or attempting to influence an officer or employee of any agency, a member ofCongress, an officer or employee of Congress, or an employee of a Member of Congress inconnection with the awarding of any federal contract, the making of any federal grant, the making ofany federal loan, the entering into of any cooperative agreement, and the extension, continuation,renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement;

B. If any funds other than federally-appropriated funds have been paid or will be paid to any person forinfluencing or attempting to influence an officer or employee of any agent, a member of Congress,an officer or employee of Congress, or an employee of a member of Congress in connection with thisfederal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submitStandard Form-LLL, "Disclosure of Lobbying Activities," (SF-LLL) in accordance with its instructions.SF-LLL and continuation sheet are available upon request from the Department of State HealthServices; and

C. The language of this certification shall be included in the award documents for all sub-awards at all tiers(including subcontracts, subgrants, and contracts under grants, loans and cooperative agreements)and that all subrecipients shall certify and disclose accordingly;

This certification is a material representation of fact upon which reliance was placed when this transactionwas made or entered into. Submission of this certification is a prerequisite for making or entering into thistransaction imposed by 31 USC §1352. Any person who fails to file the required certification shall besubject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure;

29. Is in good standing with the Internal Revenue Service on any debt owed;

30. Certifies that no person who has an ownership or controlling interest in the organization or who is an agentor managing employee of the organization has been placed on community supervision, received deferredadjUdication or been convicted of a criminal offense related to any financial malter, federal or state programor felony sex crime;

31. Is in good standing with all state and/or federal departments or agencies that have a contracting relationshipwith the respondent;

32. Statutes and Standards of General Applicability. It is Contractor's responsibility to review and comply with allapplicable statutes, rules, regulations, executive orders and policies. Contractor shall carry out the terms ofthis Contract in a manner that iS,in compliance with the provisions set forth below. To the extent suchprovisions are applicable to Contractor, Contractor agrees to comply with the following:a) The following statutes that collectively prohibit discrimination on the basis of race, color, national origin,limited English proficiency, sex, sexual or'lentation, disabilities, age, substance abuse or religion: 1) Title VIof the Civil Rights Act of 1964, 42 U.S.CA §§ 2000d et seq.; 2) Title IX of the Education Amendments of1972,20 U.S.CA §§ 1681-1683, and 1685-1686; 3) Section 504 of the Rehabilitation Act of 1973, 29U.S.CA § 794(a); 4) the Americans with Disabilities Act of 1990, 42 U.S.CA §§ 12101 et seq.; 5) AgeDiscrimination Act of 1975, 42 U.S.CA §§ 61 01-6107: 6) Comprehensive Alcohol Abuse and Alcoholism


37

Prevention, Treatment and Rehabilitation Act of 1970, 42 U.S.CA § 290dd (b)(1); 7) 45 CFR Parts 80, 84,86 and 91; and 8) TEX. LAB. CODE. ch. 21; DSHS Policy AA-5018, Non-discrimination Policies andProcedures for DSHS Programs;b) Drug Abuse Office and Treatment Act of 1972,21 U.S.CA §§ 1101 et seq., relating to drug abuse;c) Public Health Service Act of 1912, §§ 523 and 527, 42 U.S.CA § 290dd-2, and 42 C.F.R. pI. 2, relatingto confidentiality of alcohol and drug abuse patient records;d) Title VIII of the Civil Rights Act of 1968, 42 U.S.CA §§ 3601 et seq., relating to nondiscrimination inhousing;e) Immigration Reform and Control Act of 1986,8 U.S.CA § 1324a, regarding employment verification;f) Pro-Children Act of 1994, 20 U.S.CA §§ 6081-6084, regarding the non-use of all tobacco products;g) National Research Service Award Act of 1971,42 U.S.CA §§ 289a-1 et seq., and 6601 (P.L. 93-348and P.L. 103-43), as amended, regarding human subjects involved in research;h) Hatch Political Activity Act, 5 U.S.CA §§ 7321-26, which limits the political activity of employees whoseemployment is funded with federal funds;i) Fair Labor Standards Act, 29 U.S.CA §§ 201 et seq., and the Intergovernmental Personnel Act of1970,42 U.S.CA §§ 4701 et seq., as applicable, concerning minimum wage and maximum hours;J) TEX. GOV'T CODE ch. 469 (Supp. 2004), pertaining to eliminating architectural barriers for persons withdisabilities;k) Texas Workers' Compensation Act, TEX. LABOR CODE, chs. 401-406 28 TEX. ADMIN. CODE pI. 2,regarding compensation for employees' injuries;I) The Clinical Laboratory Improvement Amendments of 1988, 42 USC § 263a, regarding the regulationand certification of clinical laboratories;m) The Occupational Safety and Health Administration Regulations on Blood Borne Pathogens, 29 CFR §1910.1030, or Title 25 Tex. Admin Code ch. 96 regarding safety standards for handling blood bornepathogens;n) Laboratory Animal Welfare Act of 1966, 7 USC §§ 2131 et seq., pertaining to the treatment of laboratoryanimals;0) Environmental standards pursuant to the following: 1) Institution of environmental quality controlmeasures under the National Environmental Policy Act of 1969, 42 USC §§ 4321-4347 and Executive Order11514 (35 Fed. Reg. 4247), "Protection and Enhancement of Environmental Quality;" 2) Notification ofviolating facilities pursuant to Executive Order 11738 (40 CFR Part 32), "Providing for Administration oftheClean Air Act and the Federal Water Pollution Control Act with respect to Federal Contracts, Grants, orLoans;" 3) Protection of wetlands pursuant to Executive Order 11990, 42 Fed. Reg. 26961; 4) Evaluation offlood hazards in floodplains in accordance with Executive Order 11988, 42 Fed. Reg. 26951 and, ifapplicable, flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of1973 (P.L. 93-234); 5) Assurance of project consistency with the approved State Management programdeveloped under the Coastal Zone Management Act of 1972, 16 USC §§ 1451 et seq; 6) Conformity offederal actions to state clean air implementation plans under the Clean Air Act of 1955, as amended, 42USC §§ 7401 et seq.; 7) Protection of underground sources of drinking water under the Safe Drinking WaterAct of 1974, 42 USC §§ 300f-300j; 8) Protection of endangered species under the Endangered Species Actof 1973,16 USC §§ 1531 et seq.; 9) Conformity of federal actions to state clean air implementation plansunder the Clean Air Act of 1955, 42 USC §7401 et seq.; 10) Protection of underground sources of drinkingwater under the Safe Drinking Water Act of 1974, 42 USC §§300f-330j; 11) Wild and Scenic Rivers Act of1968 (16 U.S.C. §§ 1271 et seq.) related to protecting certain rivers system; and 12) Lead-Based PaintPoisoning Prevention Act (42 U.S.C. §§ 4801 et seq.) prohibiting the use of lead-based paint in residentialconstruction or rehabilitation;p) Intergovernmental Personnel Act of 1970 (42 USC §§4278-4763 regarding personnel merit systems forprograms specified in Appendix A of the federal Office of Program Management's Standards for a MeritSystem of Personnel Administration (5 C.F.R. Part 900, SUbpart F);q) Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970(PL 91-646), relating to fair treatment of persons displaced or whose property is acquired as a result ofFederal or federally-assisted programs;r) Davis-Bacon Act (40 U.SC. §§ 276a to 276a-7), the Copeland Act (40 U.S.C. § 276c and 18 U.S.C. §874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. §§ 327-333), regarding laborstandards for federally-assisted construction subagreements;


38

s) Assist DSHS in complying the National Historic Preservation Act of 1966, §106 (16 U.S.C. § 470),Executive Order 11593, and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. §§ 469a-1et seq.) regarding historic property;t) Financial and compliance audits in accordance with Single Audit Act Amendments of 1996 and OMSCircular No. A-133, "Audits of States, Local Governments, and Non-Profit Organizations; "andu) requirements of any other applicable statutes, executive orders, regulations and policies.

If this Contract is funded by a grant, additional requirements found in the Notice of Grant Award may beimposed on Contractor.

33. Affirms that the statements herein are true, accurate, and complete (to the best of his or her knowledge andbelief). and agrees to comply with the DSHS terms and conditions if an award is issued as a result of this proposal.Willful provision of false information is a criminal offense (Title 18, USC §1001). Any person making any false,fictitious, or fraudulent statement may, in addition to other remedies available to the Government, be sUbject to civilpenalties under the Program Fraud Civil Remedies Act of 1986 (45 CFR Part 79).


39

Department of State Health Services

HIV/STD Comprehensive Services Branch

FORM J: CONTRACTOR ASSURANCE REGARDING PHARMACY NOTIFICATION

To ensure that pharmacies providing prescriptions to HIV services clients do not fill medications on deceased

clients, the applicant agency provides assurance to the Department of State Health Services that it will notify the

client's pharmacy when a client dies.

Signature of Authorized Certifying Official Title:

Director

Date: December 29, 2007

Legal Name of Organization:



40

Applicant Agency D"""a",lI",as"-C"",o""un",tv"-,H""e",a",lt",hc;a",nd"-'cH",u",m",a",n""S"e,,,,rv"';"'ce"'s'- _

lfyou do not use HlV/STD-related educational materials outlined in the CDC and DSHS guidelines, or ifyou onlyuse materials developed by CDC and/or DSHS, you do not need to convene a local panel. Please circle one ofthefollowing statements and-sign/date this page.

CD 1 certifY that this program does not use HIV/STD educational materials outlined in the CDC and DSHSguidelines.

2. 1 certifY that this program only uses HIV/STD educational materials developed by CDC and/or DSHS.

Department of State Health ServicesHIV/STD Comprehensive Services Branch


The applicant agency certifies that its Project Director and Authorized Business Official:have received a copy of the Requirements for Contents 0/AiDS-Related Written Materials, Pictorials,Audiovisuals, Questionnaires, Survey instruments, and Educational Sessions in Centers for DiseaseControl Assistance Programs, dated June, 1992, and its Preface, and DSHS HIV/STD Policy 500.005,Contractor Review ofHIVIAJDS and STD Written and/or Pictorial Materials Intendedfor Public Use;have read them;accept them;agree to-comply with all particulars and specifications set forth;agree to comply with all specifications, INCLUDING THOSE SET FORTH during the program year;agree that all specified materials shall be submitted to the local program materials review panel and subjectto the CDC and DSHS guidelines set forth; andagree to ensure that the local program materials review panel shall reasonably reflect the views ofthe entirecommunity it serves, not just those ofanyone population, and that all panelists shall read and abide by allCDC and DSHS guidelines for materials review panels.

FORM K: ASSURANCE OF COMPLIANCE WITH CDC AND DSHSREQUIREMENTS FOR CONTENTS OF HIV/STD·RELATED

WRITTEN EDUCATIONAL MATERIALS, PICTORIALS,AUDIOVISUALS, QUESTIONNAIRES, SURVEY INSTRUMENTS,

AND EDUCATIONAL SESSIONS

]fyou do use HlV/STD-related educational mater;als outlined in the CDC and DSHS guidelines, please attach apage listing the name, occupation, affiliation, gender, race/ethnicity, mailing address, phone number and email (if applicable) of all proposed local panel members and sign/date below, You must have at least five memberson your panel and one member must be an employee of the local health department

Signature of Authorized Official _

234

5

6

7

8

9

10II121314IS16171819202122232425262728293031323334353637383940414243444546


41

DEPARTMENT OF STATE HEALTH SERVICES

tnV/STD Comprehensive Services Branch

FORM L: Assurance Regarding HIV/STD Clinical Resources Division Standards forClinical and Case Management Services

This agency assures the Department of State Health Services that it will comply with HIV/STD Clinical

Resources Division Standards for Clinical and Case Management Services (Standards) as promulgated by

the HIV/STD Comprehensive Services Branch. The Standards are available at

http://www.dshs.slale.lx.us/hivstd/c1inical/case mgt.shtm

Signature of Authorized Certifying Official Title:

Director




__________________________________ 34


42

COURT ORDER

ORDER NO. _

DATE: _

STATE OF TEXAS

COUNTY OF DALLAS

§ §

§ §

BE IT REMEMBERED, at a regular meeting of Commissioners' Court of Dallas County, Texas held on

the day of 2007, on motion made by _

and seconded by , the following Order was adopted:

WHEREAS, the FY 2007 Ryan White CAR.E. Act Title II Service Delivery Renewal Application wasdiscussed in Commissioners Court on January 9, 2007; and

WHEREAS, Dallas County Health and Human Services, as the administrative agency for Ryan WhiteCARE Act Title II grant funds, is responsible for completing and submitting the renewalgrant application to the Department of State Health Services (DSHS); and

WHEREAS, the Renewal Application, in the amount of $2,370,844, requires the submission approval ofthe Commissioners Court

IT IS THEREFORE ORDERED, ADJUDGED AND DECREED that the Dallas County CommissionersCourt does hereby approve submission of the FY 2007 Ryan White CAR.E. Act Title II Service DeliveryRenewal Application in the amount of $2,370,844, as attached.

DONE IN OPEN COURT this the day of , 2007.

Jim FosterCounty Judge

Maurine DickeyCommissioner, District NO.1

Mike CantrellCommissioner, District NO.2

John Wiley PriceCommissioner, District NO.3

Kenneth A. MayfieldCommissioner, District NO.4

Recommended by:

43

"TY 0 II C

BB~ '0. Da as ounty. '"~. ':, Health and Human Services

'>' +'" Grants Management.,.,.£ Of~~


TO:

FROM:

DATE:

SUBJECT:

COMMISSIONERS COURT


JANUARY 9, 2007

JUSTIFICATION FOR SAME DAY BRIEFING AND COURT ORDER

The FY 2007 Ryan White C.A.R.E. Act Title II Service Delivery renewal grant application guidance wasreceived from the Department of State Health Services (DSHS) on December 21, 2006 with a duedate ofJanuary 12,2007. In order to allow for timely submission of the application to DSHS, it isrequested that both the briefmg and court order be allowed during the January 9, 2007 Court,


2377 N. Stemmons Freewayn~l1-::t" Tpv-:.C' 7t:,,){)7_ '")71 n

Suite 200, LB-16 Office 214-819-1849"" Y ') 1 LLSI 1 O_Ml'J'l

44

~iY 0B Dallas County, '"~. ~ Health and Human Servicesif, . +" Grants Management

"'fri' Of ...~


TO:

FROM:

DATE:

SUBJECT:

COMMISSIONERS COURT


JANUARY 9, 2007

JUSTIFICAnON FOR SAME DAY BRIEFING AND COURT ORDER

The FY 2007 Housing Opportunities for Persons with AIDS renewal grant application was received fromthe Department of State Health Services (DSHS) on December 21,2006 with a due date ofJanuary12,2007. In order to allow for timely submission of the application to DSHS, it is requested thatboth the briefing and court order be allowed during the January 9, 2007 Court.


2377 N. Stemmons Freewayn o l1oC' TpVQC' 7f;,,")()'7_ ')71 ()

Suite 200, LB-16 Office 214-819-1849J) A Y ') LLQ 1OJ;{)T<

45

DALLAS COUNTYIlEALTIl AND IlUMAN SERVICESGRANTS MANAGEMENT

ZACHARY THOMPSONDIRECTOR

TO: COMMISSIONERS COURT

FROM: ZACHARY THOMPSON, DIRECTOR

DATE: JANUARY 9, 2007

SUBJECT: FY 2007-2008 DEPARTMENT OF STATE HEALTH SERVICES HOUSINGOPPORTUNITIES FOR PERSONS WITH AIDS GRANT


Background of IssueThe Dallas County Judge is the grantee and legal recipient of the Department of State Health Services(DSHS) Housing Opportunities for Persons with AIDS (State HOPWA) grant. Dallas County Health andHuman Services (DCHHS) is designated to serve as the Administrative Agency for State HOPWA funds.In accordance with the provisions ofDSHS, the Administrative Agency is responsible for completing theState HOPWA renewal grant application, which is a continuing and noncompetitive application, andsubmitting it to DSHS. The designated amount of the award is $59,682, to serve the counties of Cooke,Fannin, Grayson, and Navarro.

Fiscal ImpactThere is no fiscal impact on Dallas County.

Operational ImpactDCHHS will be responsible for administering all funds received under the FY 2007 State HOPWA grant.

Legal ImpactThe Dallas County Commissioners Court must approve the submission of the FY 2007 State HOPWAapplication.

RecommendationIt is recommended that the Dallas County Commissioners Court approve submission by Dallas CountyHealth and Human Services of the FY 2007 State HOPWA grant application, as reflected in theattachment.

RECOMMENDED BY:

Attachmentc: 1. Allen Clemson, Court Administrator

Virginia Porter, County Auditor

2377 N. Stemmons FreewaySnite 200, LB-16

Dallas, Texas 75207-2710 Office (214) 819-1842FAX (214) 819-6023

46


FY 2007 HOUSING OPPORTUNITITIESFOR PERSONS WITH mY/AIDS

JANUARY 12, 2007

Submitted By:


On Behalf Of:


47

Department of State Health Services (DSHS)FORM A: FACE PAGE -RFP-HIV·0196.1 Competitive RFP for HIV Care Administrative Agencies, issued .June 16, 2006.

This form requests basic information about the applicant and project, inctuding the signature of the authorized representative, The face page isthe cover page of the renewal application and shall be comoleted in its entirety.

APp.lJpANrINF'··ORIVi.t<TlC>N


, 2) MAILING Address Information (include mailing address, street, city, county, state and zip code): Check if address change 02377 N. Stemmons Freeway, Suite 200, LB-16Dallas, Texas 75207-2710

3) PAYEE Mailing Address (if differenlfrom above): Check if address change 0Dallas County407 RecordS Buildingn.II.< Tpx".7S2n?-

4) Federal Tax tD No, (g digit), State of Texas Comptroller Vendor ID No, (14 digit) or Social SecurityNumber (9 digit): 'The vendor acknowledges, understands and agfees thatlhe vrmdor's choice to use a social security number as 75-6000905the vendor identification number for the contract, may result in the social security number being made public via slate open recordsreouests.

5) TYPE OF ENTITY (check all that apply):

0 City 0 Nonprofit Organization' 0 Individual

I2'J County 0 For Profit Organization' 0 FQHC

0 Other Political Subdivision 0 HUB Certified 0 State Conlrolled tnstitution of Higher Learning

0 State Agency 0 Community-Based Organization 0 Hospital


0 Other (specify):

'If incorporated, provide 10-digit charter number assigned by Secretary of State:

6) Currently operating under a HUB Subcontracting plan on file at DSHS? Yes I2'J No 0

! 7) PROPOSED BUDGET PERIOD: Start Date: 4f1f2007 End Date: 1/31/2008


Cooke, Fannin, Grayson, and Navarro Counties

9) AMOUNT OF FUNDING REQUESTED: $59,682 11) PROJECT CONTACT PERSON

10) PROJECTED EXPENDITURES Name: Karin Petties, Assistant DirectorDoes applicant's projected state or federal expenditures exceed Phone: 214.819.1841$500,000 for applicant's current fiscal year (excluding amount Fax: 214,819,6023requested in line 8 above)? .. E-mail: kpelties@dallascounty,org

Yes [8J No 0 12) FINANCIAL OFFICERName: Virginia Porler, County Auditor

"Projected expenditures should include funding for all activities inclUding Phone: 214,653,6472'pass through" federal funds from atl state agencies and non project~related Fax: 214,653,7286DSHS funds. E-mail: vDorler(cj)datlascountv. oro ,

I, the undersigned, am the authorized representative of the applicant filing this contract renewal application, The facts contained herein are true, and theapplicant is in compliance with the assurances and certifications contained in the competitive RFP identified above, which is part of the original contract andany prior renewals and amendments. J understand that this contract renewal depends on the truthfulness of this document and on the applicant's continuedcompliance with the original contract and aU its components and amendments.

13) AUTHORIZED Check if change14) SIGNATURE OF AUTHORIZED REPRESENTATIVE

REPRESENTATIVE 0Name: Zachary S. ThompsonTille: Director

iPhone: 214.819.2101 15) DATE

Fax: 214,819.6022 December 29, 2006E-mail: [email protected] I


1

48



This form provides information about the appropriate program contacts in the applicant's organization in addition to those on FORM A: FACEPAGE. tf any of the fo{{owing information changes during the term of the contract, please notify the Contract Management Unit.

Executive Director: Zachary S. Thompson Mailing Address (Incl. street, city, county, state, & zip):

Title: Director Dallas County Health and Human Services


Fax: 214.819.6022 Dallas, Texas 75207-2710


Project Contact: Karin Petties Mailing Address (incl. street, city, county, state, &zip):



I Fax: 214.819.6023 Dallas, Texas 75207-2710


Financial Reporting Virginia Porter Mailing Address (incl. street, city, county, state, & zip):-Title: Dallas County Auditor Dallas County Health and Human Services

Phone: 214.653.6472 Ext. 407 Records Building

Fax: 214.653.7286 Dallas, Texas 75202


Data Reporting Contact: Shelia C. Fisher Mailing Address (incl. street, city, county, state, & zip):

Title: Grants Management Officer . Dallas County Health and Human Services


Fax: 214.819.6023 Dallas, Texas 75207-2710

I E-mail: [email protected]

.

Clinical Services Contact Shelia C. Fisher Mailing Address (incl. street, city, county, state, & zip):



Fax: 214.819.6023 Dallas, Texas 75207-2710



2


49

FORM C: ADMINISTRATIVE INFORMATION· Renewal Application

This form provides information regarding identification and contract history on the applicant, executive management, project management,governing board members, and/or principal officers. Respond to each request for information or provide the required supplementaldocument behind this form. If responses require multiple pages, identify the supporting pages/documentation with the applicable request.



If there are no changes to any of the items below, check here and skip the next question in this section. [gJ

1. The applicant shall attach the following information:If a Governmental Entity• Names (last, first, middle) and addresses for the officials who are authorized to enter into a contract on

behalf of the applicant.

If a Nonprofit or For profit Corporation• Full names (last, first, middle), addresses, telephone numbers, titles and occupation of members of the

Board of Directors or any other principal officers. Indicate what offices are held by members (e.g.chairperson, president, vice-president, treasurer, etc.).

• Full names (last, first, middle), and addresses for each partner, officer, and director as well as the fullnames and addresses for each person who owns five percent (5%) or more of the stock if applicant is a forprofit corporation.


If there are no changes to any of the items below, check here and skip the questions in this section. [gJ

The applicant shall disclose any existing or potential conflict of interest relative to the performance of the requirementsof this renewal application. Examples of potential conflicts may include an existing business or personal relationshipbetween the applicant, its principal, or any affiliate or subcontractor, with DSHS, the participating agencies, or anyother entity or person involved in any way in any project that is the subject of this renewal application. Similarly, anypersonal or business relationship between the applicant, the principals, or any affiliate or subcontractor, with anyemployee of DSHS, a participating agency, or their respective suppliers, must be disclosed. Any such relationship thatmight be perceived or represented as a conflict shall be disclosed. Failure to disclose any such relationship may because for contract termination. If, following a review of this information, it is determined by DSHS that a conflict ofinterest exists, the applicant may be disqualified from further consideration for the renewal of a contract.

1. Does anyone in the applicant organization have an existing or potential conflict of interest relative tothe performance of the requirements of this renewal application?

DYES o NO

If YES, delail any such re/ationship(s) that might be perceived or represented as a conflict. (Attach no morethan one additional page.)

2. Has any member of applicant's executive management, project management, governing board orprincipal officers been employed by the State of Texas 24 months prior to the renewal application duedate?

DYES o NO

If YES, indicate his/her name, social security number, job title, agency employed by, separation date, andreason for separation.

3. Is applicant or any member of applicant's executive management, project management, boardmembers or principal officers:


DYES 0 NOIf YES, please explain. (Attach no more than one additional page.)

Dallas County Health and Human ServicesFY 07-08 HOPWA Renewal Applications

3

50

FORM D: HOPWA PERFORMANCE MEASURES

In the event a contract is renewed, applicant agrees that performance measures(s) wit! be used to assess, in part, the applicant's effectiveness inproviding the services described. Address atl of the requirements (see PERFORMANCE MEASURES Guidelines) associated with the servicesproposed in this renewal application. A maximum ofone additional page may be attached if needed.

1. Demand for HousingThe Administrative Agency will assure that 100% of the agencies receiving HOPWA funds documentthe local demand for housing needs beyond their current capacity and have a written policy that outlinesthe agency's response to such demand. The documentation of local demand for housing needs will bedone through the use of waiting lists that are to be updated every six (6) months indicating the datepersons were added and removed. The wait list documentation will include the following elements: typeof assistance, HIV status, income eligibility, identified need, and the client is unable to receiveTBRAISTRMU due to insufficient funds.

Measure: 100% of agencies will document the demand for housing needsMethod: Use of waiting list that will be updated every six (6) months indicating the date persons wereadded and removed

2. Goals for ServiceEach project sponsor will annually establish goals for HOPWA services to include: number of personsto receive TBRA, number of households to receive TBRA, number of households receiving TBRAwho receive Non-HOPWA funded services, number of persons to receive STRMU, number ofhouseholds to receive STRMU, number of households receiving STRMU who receive Non-HOPWAservices, number of persons to receive HOPWA-funded Case Management Serviees, number ofhouseholds to receive HOPWA-funded Case Management Services, number of households receivingHOPWA-funded Case Management Services who reeeive Non-HOPWA funded services, number ofpersons to receive Smoke Detectors, and the number of households to receive Smoke Detectors.

3. Service Plan100% of clients receiving HOPWA housing assistance will receive case management serviees, and allclients must have an individualized service plan that documents periodic reviews or visits with a casemanagerlbenefits counselor and a primary care physician.

4. Section 8 ApplicationClients receiving HOPWA TBRA will apply for Section 8 housing to determine eligibility and renewtheir applications as required by the local Section 8 program

Measure: 100% of clients receiving HOPWA rental assistance will apply for Section 8 HousingMethod: Agencies will verify that clients have applied for Section 8 Housing at initial eligibilitydetermination and again as required by the local Section 8 program.

5. HOPWA Performance ReportingHOPWA performance data will be reported quarterly

Measure: Four (4) HOPWA reports will be submitted to DSHSMethod: Ageneies will utilize the quarterly report developed by DSHS to collect data


4

51

FORM E: HOPWA WORK PLAN

Applicants shalt describe its plan for sel1lice delivery to the population in the proposed sel1lice area(s) and include timelines foraccomplishments. Address the required elements (see WORK PLAN Guidetines) associated with the sel1lices proposed in this renewalapplication. Additional pages may be attached if needed.

I. Proposed Services. Population to be Served. Location. etc.Proposed Services. The proposed services include providing TBRA and STRMU assistance to personsin Cooke, Fannin, Grayson, and Navarro counties. The STRMU program assists low income personswho are at risk of becoming homeless to remain in their current residence for a period not to exceed 12weeks in any 52-week period. STRMU funds can be used to pay for rent, mortgage, utilities, and/orsmoke detectors. The purpose of TBRA is to enable low-income clients to pay their rent until there is nolonger a need or until they are able to secure housing from other sources such as an independent source,Section 8, or other federal programs. Project sponsors are contractually required to adhere to the HUDguidelines in providing HOPWA services.

Population and Location to be Served. The population to be served includes low income personsliving with HIV/AIDS (PLWH/A) who are residents of Cooke, Fannin, Grayson, and Navarro counties.The location of services will include two sites, the one in the Sherman-Denison HSDA will be at 222 W.Brockett in Sherman, Texas and the other at 2377 N. Stemmons in Dallas County will serve residents ofNavarro County and other counties in the Dallas HSDA deemed underserved by the Department of StateHealth Services.

2. Delivery Svstems. Workforce. Policies, Support Systems. etc.HOPWA program services are sole-sourced, therefore, non-competitive grant funds. The subcontractedagency to provide services in Cooke, Fannin, and Grayson is Your Health Clinic (YHC). The providerfor Navarro County is Dallas County Health and Human Services HOPWA Division (DCHHSHOPWA).

In the Sherman-Denison HSDA, YHC will be providing HOPWA funded services. This agency alsoprovides the services of case management, drug reimbursement, food pantry, insurance assistance,outpatient medical care, and transportation to the predominantly rural area. HOPWA program servicesare provided by one case manager at the Brockett Street site in Sherman. The case manager is alsoavailable to travel to a client's residence if the client is unable to come to the office due to health issuesor other barriers. DCHHS HOPWA will provide services for Navarro County. The program supervisorwill manage the caseload for Navarro County. She is also able to travel to Navarro County to a client'sresidence if the client is unable to come to the office due to health issues or other barriers.

HOPWA program services will be coordinated with other services provided by community basedorganizations and governmental entities. The agency infrastructure, such as training, technical support,financial, and administrative support, is also coordinated and utilized to achieve optimal costeffectiveness and service delivery.

3. Data Collection. Tabulation. and ReportingThere are no changes to how data is collected and tabulated. Fiscal and programmatic data are collectedon a monthly basis from subcontracted agencies. Agencies are required to submit quarterly projectreports detailing services provided through the HOPWA program. Program monitor staff is charged withthe duty of reviewing programmatic data to ensure that programs are on target with their service unitgoals.


5

52

4. Coordination with other Health and Human Service ProvidersDCHHS HOPWA services in Navarro County contact other providers of health and human services suchas: CorsicanalNavarro County Health Department, Navarro County Regional Hospital, Corsicana HealthServices, HOPE, Inc., Alliance Life Center, Navarro College, Navarro County Jail, and JEN MHMR asneeded to maximize assistance and resources for clients. These arrangements benefit PLWH/A and easethe referral process for services that they need. Duplication of services is avoided since DCHHSHOPWA is the only agency dedicated to providing/coordinating HIV services for this rural population.

YHC - This agency is the sole provider of mY/AIDS services, including HIV/STD education, testingand counseling in addition to HOPWA-funded services, in the tri-county HSDA including Grayson,Cooke, and Fannin counties. Some services are directly provided on-site by the agency, others throughsubcontractors. Referral arrangements have been put in place with other area providers includingGrayson County Health Department, Sherman Housing Authority, Bonham Housing Authority, AIDSServices of North Texas, and others to avoid duplication of services. Also, YHC effectively coordinateswith hospitals, school districts, colleges, churches, civic organizations, business, and other appropriateentities to make sure that all needs of the client can be addressed.

5. Ability to Provide Services to Culturally Diverse PopulationsThere is no change in the ability to provide services to culturally diverse populations. The projectsponsors have organizational mandates to provide care to all eligible PLWH/A, regardless of age, gender,race, religion, national origin, sexual orientation, disability, or ability to communicate needs. Bothproject sponsors have access to interpretation/translation and transportation programs which allows themto serve clients with language barriers and/or compromised mobility. Both agencies are also required tobe compliant with applicable ADA requirements.

6. Internal Ouality Assurance/Quality Improvement eQA/QJ) ProcessThere is no change to the QA/QI process. Each subcontractor also has its own written qualitymanagement plan which identifies the processes used for data collection, identification of areas in needof improvement, activities to evaluate findings and make recommendation for improvement, and plansfor follow-up. QA staff is required to monitor agencies annually in regards to their QA/QI process.


6



~'DSHS Funds Direct Federal Other State Local Funding

Other Funds TolalCost Categories Requested Funds Agency Funds' Sources (5) (6)(1 ) (2) (3) (4)

A, Personnel $ 0 $ 552,374 $ 285,022 $ 139,085 $ 0 $ 976,446

B, Fringe Benefits $ 0 $ 167,220 $ 86,182 $ 55,712 $ 0 $ 309,114

C Travel $ 0 $ 31,104 $ 11,955 $ 1,500 $ 0 $ 44,559

D, Equipment and Supplies $ 0 $ 13,500 $ 10,808 $ 1,306 $ 0 $ 25,614

E, Contractual $ 59,682 $ 12,275,223 $ 3,275,968 $ 1,390,000 $ 0 $ 17,000,873c--~ "."i',.......,..,_- liml,4,ii8Xii!!!'XX!lR I.+,i' "<,.F, Construction i:':)", ..ii:'.'

G, Other,

$ 0 $ 34,336 $ 39,257 $ 2,100 $ 0 $ 75,693

H, Total Direct Costs $ 59,682 $ 13,275,042 $ 3,709,192 $ 1,589,668 $ 0 $ 18,432,299

L Indirect Costs $ 0 $ 201,285 $ 95,252 $ 34,592 $ 0 $ 331,129

J. Total (Sum of H and I) $ 59,682 $ 13,275,042 $ 3,804,444 $ 1,624,260 $ 0 $ 18,763,428

K,Program Income - Projected

$ $ $ $ $ $Earnings

01W

% this is on file with DSHS's Contract Policy & Monitoring Division,


IXIThe applicant's most recently approved indirect cost 26,896 %rale

OThe applicant's most recently approved indirect costrate ---

Acopy is attached behind the OTHER Budget Category Detail Form (FORM G5),

'Letter(s) of good standing that validate the applicant's programmatic, administrative, and financial capability must be placed after this form if applicant receives any funding from othernon-DSHS state agencies. If the applicant is a state agency or institution of higher education, lelter(s) of good standing are not required. DO NOT include non-project related fundingin column 3.


7

54

FORM G: BUDGET JUSTIFICAnON FOR DIRECT COSTS

DALLAS COUNTY HEALTH AND HUMAN SERVICESFY 2007 - 2008 DSHS Housing Opportunities for Persons with AIDS (HOPWA)

A. PERSONNEL

B. FRINGE BENEFITS

C. STAFF TRAVEL

D. EQUIPMENT

E. SUPPLIES

F. CONTRACTUAL

G. OTHER DIRECT COSTS

1. TBRA 50,767.00

Tenant Based includes rental and utility assistance to eligible

person.

2. STRMU

Emergency Assistance includes rental, mortgage, and utilityassistance to eligible person.


I. INDIRECT COSTS

J. TOTAL BUDGET

BUDGET SUMMARYBY THE AMOUNTS ALLOCATED TO EACH CATEGORY

Project Sponsor Administrative CostsProject Sponsor STRMUProject Sponsor TBRAProject Sponsor Other Non-Administrative Services Costs

Total

Dallas County Health and Human ServicesFY 07-08 HOPWA Renewal Application

8,915.00

3,814.006,083.00

35,021.0014,764.00

$59,682.00

8

55HOPWA PROJECT SPONSOR DATA SHEET

INSTRUCTIONS: To be prepared by the AA on each HOPWA subcontractor and provided to DSHS as indicated in renewalinstructions and as changes in subcontractors or contract amounts occur, via the reporting mailbox [email protected].

Administrative Agency: Dallas County Health and Human Services Date of this report December 29, 2006

Contact Person for this Report: Shelia C. Fisher Phone No (214) 819-1842

Counties Served: Navarro

Project Sponsor Name: Dallas County Health and Human Services HOPWA DivisionMail Address: 2377 N. Stemmons Suite 200Street Address: 2377 N. Stemmons, Suite 200City, State, Zip: Dallas, Texas 75207-2710Phone Number: (214) 819.1843 Fax Number: __(214) 819-6023E-mail address: [email protected] Director: Charlequintta Jones HOPWA SupervisorContact Person & Title: Charlequintta Jones HOPWA Supervisor

Contract Beginning Date: 4/1/2007 Contract Ending Date 1/31/2008

Goals for Contract Period'

Budget for Contract Period

STRMU (emer enC assistance)

TBRA (rental assistance)

Other Services':

Case Mana ement

Smoke Detectors

dministration

TOTALS

Amount BUdgeted for # of Persons toContract Period be Served

$888

$13,821

# of Householdsto be Served

10

# of HouseholdsServed Receiving

Non-HOPWAServjces 1

10

Process used for selection of this agency as a HOPWA provider: _Competitive RFP 2S.. Sole Source _Single SourceNon-Profit organization? X Yes NoMinority Organization?' Yes X NoMinority Provider? 4 Yes X NoFaith-based Organization? Yes x NoHUB Certified? Yes x No

, The goal of the HOPWA program is that each H1V+ client receive at least one unit of case management AND atleasl one unit of primary health care each quarter.2 Other services are limited to case management and smoke detectors. Smoke Detectors are only authorized for clients receiving STRMU. Case management must be provided to allhouseholds receiving HOPWA assistance and is defined as a range of client centered services that focus on the client's support systems, social services needs (to includeemotional/psychological needs), and family needs in order to advocate for a package of mUltiple services to meet the client's specific complex needs. Only case management servicesprovided w'rth HOPWA funds should be included under Other Services. If case management for a household is provided with funds from another source, that case management shouldbe shown under '# of Households Receiving Non-HOPWA Services.'3 Minority Organization is one whose Board of Directors is made up of 50% racial or ethnic minority members.4 Minority provider is defined as:

has documented history of providing service 10 the targeted racial/ethnic minority community(ies) 10 be served; andlocated in or near the targeted racial/ethnic minority community they are intended to serve; andhas documented linkages to the targeted racial/ethnic minority populations, so lhatthey can help dose the gap in access to services for highly impacted communities ofcolor; and provides services in a manner that is culturally and lingUistically appropriate.

Dallas County Health and Human Services 9FY 07-08 HOPWA Renewal Applications

56HOPWA PROJECT SPONSOR DATA SHEET

INSTRUCTIONS: To be prepared by the AA on each HOPWA subcontractor and provided to DSHS as indicated in renewalinstructions and as changes in subcontractors or contract amounts occur, via the reporting mailbox [email protected].

Administrative Agency: Dallas County Health and Human Services Date of this report December 29, 2006.

Contact Person for this Report: Shelia C. Fisher Phone No__(214) 819-1842

Counties Served: Cooke, Grayson, and Fannin

Project Sponsor Name: Your Health Clinic .Mail Address: 222 W. BrockettStreet Address: 222 W BrockettCity, State, Zip: Sherman, Texas 75090Phone Number: (903) 813-1272 Fax Number: (903) 813-0169E-mail address: b. [email protected] Director: William StringerContact Person & Title: William Stringer

Contract Beginning Date: 4/1/2007 Contract Ending Date 1/31/2008

Goals for Contract Period

# of HouseholdsServed Receiving

Non-HOPWAServicess

Amount Budgeted for # of Persons to # of HouseholdsContract Period be Served to be Served

$2,926

$45,861

Smoke Detectors

dministration

Case Mana ement

Budget for Contract Period

BRA (rental assistance)

OTALS

Other Services·:

STRMU

Process used for selection of this agency as a HOPWA provider: _Competitive RFP 2L Sole Source _Single SourceNon-Profit organization? X Yes NoMinority Organization?' Yes X NoMinority Provider? a Yes X NoFaith-based Organization? Yes x NoHUB Certified? Yes x No

5 The goa! of the HOPWA program is that each HIV+ client receive at least one unit of case management AND at least one unit of primary health care each quarter.6 Other services are limited to case management and smoke detectors. Smoke Detectors are only authorized for clients receiving STRMU. Case management must be provided to allhouseholds receiving HOPWA assistance and is defined as a range of client centered services that focus on the client's support systems. social services needs (to includeemotional/psychological needs), and family needs in order to advocate for a package of multiple services to meet the client's specifiC complex needs. Only case management servicesprovided with HOPWA funds should be included under Other Services. If case management for a household is provided with funds from another source, that case management shouldbe shown under '# of Households Receiving Non·HOPWA Services.'7 Minority Organization is one whose Board of Directors is made up of 50% racial or ethnic minority members.e Minority provider is defined as:

has documented history of providing service to the targeted racial/ethnic minority communily{ies) to be served; andlocated in or near the targeted racial/ethnic minority community they are intended to serve; and

has documented linkages to the targeted racial/ethnic minority populations, so that they can help close the gap in access to services for highly impacted communities ofcolor; and provides services in a manner that is culturally and linguistically appropriate.


57

Certification of Categorical Exclusion (not subject to 58.5)Determination of activities listed at 24CFR 58.35(b)

May be subject to provisions of Sec 58.6, as applicable

Administrative Agency (Grant Recipient): Dallas County Health and Human ServicesProject Sponsor (Subrecipient): Dallas Countv Health and Human Services HOPWA DivisionProject Name: Housing Opportunities for Persons with AIDS/HIV (HOPWA)Project Description (Include all actions which are either geographically or functionally related):Administration. supportive services. short term rent mortl!:age and utility pavments to prevent homelessness andtenant-based rental assistance for persons with AIDSIHIV

Dallas (for Navarro Countv)State HOPWA grant$ I 3.82 I Grant N umber: T"-'X"'O"-I!2F'--'9:.<9 _

Location:Funding Source:funding Amount:

I hereby certify that the abovementioned project has been reviewed and determined to be a Categorically Excluded. 585) 24 CFR 58 35(b) j; IIactivity (not subject to I per as 0 ows;

X 1. Tenant-based rental assistance;

X 2. Supportive services including, but not limited to, health care, housing services, permanent housingplacement, day care, nutritional services, short~term payments for rent/mortgage/utility costs, and assistancein gainin.e; access to local, State, and Federal government benefits and services;3. Operating costs including maintenance, security, operation, utilities, furnishings, equipment, supplies,staff training and recruitment and other incidental costs;4. Economic development activities, including but not limited to, equipment purchase, inventory financing,interest subsidy, operating expenses and similar costs not associated with construction or expansion ofexisting ouerations;5, Activities to assist homebuyers to purchase existing dwelling units or dwelling units under construction,including closing costs and down payment assistance, interest buy downs, and similar activities that result inthe transfer of title.6. Affordable housing pre-development costs including legal, consulting, developer and other costs relatedto obtaining site options, project financing, administrative costs and fees for loan commitments, zoningapprovals, and other related activities which do not have a physical imoact.7. Approval of supplemental assistance (including insurance or guarantee) to a project previollslyapprovedunder this part, if the approval is made by the same responsible entity that conducted the environmentalreview on the original project and re-evaluation of the environmental findings is not required under Sec.58.47.

If your project falls into any of the above categories, no Request for Release of Funds (RROF) is required, and nofurther environmental approval from HUD will be needed by the recipient for the draw-down of funds to carry outexempt activities and projects. The responsible entity must maintain this document as a written record of theenvironmental review undertaken under this part for each project.

By signing below the Responsible Entity certifies in writing that each activity or project is Categorically Excluded(not subject to 58.5) and meets the conditions specified for such determination per section 24 CFR 58.35(b). Pleasekeep a copy of this determination in your project files.

Zachary Thompson, DirectorAA Certifying Official Name and Title (Printed) DSHS Responsible Entity Certifying Official Name & Title

December 29, 2006

(Signature) (Date) (Signature) (Date)

24 CFR 58.35(b)· ERR Document12/04b Region VI


II

58Certification of Categorical Exclusion (not subject to 58.5)

Determination of activities listed at 24 CFR 58.35(b)May be subject to provisions of Sec 58.6, as applicable

Administrative Agency (Grant Recipient): Dallas Countv Health and Human ServicesProject Sponsor (Subrecipient):__Y"--'!.ou",rCcH,-,-"ea",l",th"-,=C,,,li",n~ic, _Project Name: Housing Opportunities for Persons with AIDS/HIV (HOPWA)Project Description (Include all actions which are either geographically or functionally related):Administration. supportive services, short term rent, mortQage and utility payments to prevent homelessness andtenant-based rental assistance for persons with AIDS/HN

Location:Funding Source:Iunding Amount:

Cooke. Fannin. and Gravson CountiesState HOPWA grant$45.861 Grant Number: T-,-X~O!.-'IF,-,9,-,9,-- _

I hereby certify that the abovementioned project has been reviewed and determined to be a Categorically Excludedactivity (not subject to 58 5) per 24 CFR 58 35(b) as follows'

X J. Tenant-based rental assistance;

X 2. Supportive services including, but not limited to, health care, housing services, pennanent housingplacement, day care, nutritional services, short-term payments for rent/mortgage/utility costs, and assistancein gaining access to local, State, and Federal government benefits and services;3. Operating costs including maintenance, security, operation, utilities, furnishings, equipment, supplies,staff training and recruitment and other incidental costs;4. Economic development activities, including but not limited to, equipment purchase, inventory financing,interest subsidy, operating expenses and similar costs not associated with construction or expansion ofexisting oDerations;5. Activities to assist homebuyers to purchase existing dwelling units or dwelling units under construction,including closing costs and down payment assistance, interest buy downs, and similar activities that result inthe transfer of title.6. Affordable housing pre-development costs including legal, consulting, developer and other costs relatedto obtaining site options, project financing, administrative costs and fees for loan commitments, zoningapprovals, and other related activities which do not have a physical impact.7. Approval of supplemental assistance (including insurance or guarantee) to a project previously approvedunder this part, if the approval is made by the same responsible, entity that conducted the environmentalreview on the original project and re-evaluation of the environmental findings is not required under Sec.58.47.

If your project falls into any of the above categories, no Request for Release of Funds (RROF) is required, and nofurther environmental approval from HUD will be needed by the recipient for the draw-down of funds to carry outexempt activities and projects. The responsible entity must maintain this document as a written record of theenvironmental review undertaken under this part for each project.

By signing below the Responsible Entity certifies in writing that each activity or project is Categorically Excluded(not subject to 58.5) and meets the conditions specified for such determination per section 24 CFR 58.35(b). Pleasekeep a copy of this determination in your project files.

Zachary Thompson, DirectorAA Certifying Official Name and Title (Printed) DSHS Responsible Entity Certifying Official Name & Title

December 29, 2006

(Signature) (Date) (Signature) (Date)

24 CFR 58.35(b) - ERR Document12104b Region VI


12

59


If the applicant is a nonprofit organization, this form must be completed (state or other governmental agencies are not required to complete this form). Thepurpose of the form is to inform nonprofit board members and officers of the responsibilities and administrative oversight requirements of nonprord applicantsintending to or contracting with Department of State Heafth Services (DSHS).

Not applicable

(Name & Address Of Organization)

The persons signing on behalf of the above named organization certify that they are dUly authorized to sign thisAssurances form on behalf of the organization. The undersigned acknowledge and affirm:

A That an annual budget has been approved for each contract with DSHS.

B. The Board of Directors convenes on a regularly scheduled basis (no less than quarterly) to discuss the operationsof the organization.





G. The Treasurer of the Board has been fully informed of his or her responsibilities as Treasurer.

H. The Board has Audit and/or Finance Committees that convene regularly and communicate effectively with theBoard Treasurer and other Board members in understanding and responding to financial developments.

I. The organization observes Generally Accepted Accounting Principles when preparing financial statements andfund accounting practices are observed to ensure integrity among specific contracts or grants.



L. The organization will administer any contract executed with the DSHS in accordance with applicable federalstatutes and regUlations, including federal grant requirements applicable to funding sources, Uniform GrantManagement Standards issued by the Governor's Office, applicable Office of Management and Budget Circulars,applicable Code of Federal Regulations, and provisions of the contract document.

'Chairman of the Board Signature/Date 'President or Executive Director Signature/Date*If the signed original of this form has been provided to DSHS during the calendar year and the officers signing the document havenot changed, a copy of the signed form will be accepted.


13

60

Texas Department of State Health Sen'ices


HIV CONTRACTOR ASSURANCES


The applicant agency assures that it does not advocate or promote conduct that violates state law, mcompliance with the HIV Services Act, Texas Health and Safety Code, Section 85.011, as follows:

"Grants may not be awarded to an entity or community organization that advocates orpromotes conduct that violates state law. This subsection does not prohibit the awardof a grant to an entity or community organization that provides accurate informationabout ways to reduce the risk of exposure to or transmission of HIV."

2. CONFIDENTIALITY

The applicant agency and its employees or subcontractors, if applicable, provide assurance to the TexasDepartment of State Health Services (DSHS) that confidentiality of all records shall be maintained. Noinformation obtained in connection with the examination, care, or provision of programs or services to anyperson with HlV shall be disclosed without the individual's consent, except as may be required by law, suchas for the reporting of communicable diseases. Information may be disclosed in statistical or other summaryform, but only if the identity of the individuals diagnosed or provided care is not disclosed.

We are aware that the Health and Safety Code, §8l.l 03, provides for both civil and criminal penaltiesagainst anyone who violates the confidentiality of persons protected under the law. Furthermore, allemployees and volunteers who provide direct client care services or handle direct care records wherein theymay be informed of a client's HIV status or any other information related to the clicnt's care, are required tosign a statement of confidentiality assuring compliance with the law. An entity that does not adopt aconfidentiality policy as required by law is not eligible to receive state funds until the policy is developedand implemented.


The applicant agency and its employees or subcontractors, if applicable, provide assurance to the TexasDepartment of State Health Services (DSHS) that no person who is an employee, agent, consultant, officer,board member, or elected or appointed official of this agency, and, therefore, in a position to obtain afinancial interest or benefit from an activity, or an interest in any contract, subcontract, or agreement withrespect thereto, or the proceeds there under, either for himself or herself or for those with whom he or shehas family or business ties, during his or her tenure or for one year thereafter shall participate in the decisionmaking process or use inside information with regard to such activity. Furthermore, this agency will adoptprocedural rules which require the affected person to withdraw from his or her functions and responsibilitiesor the decision-making process with respect to the specific assisted activity from which they would derivebenefit.


14

61


The applicant agency assures the DSHS that it maintains collaborative efforts with local Tuberculosis (TB)Control programs in order to insure that HIV and TB treatment and prevention services are provided topersons at risk ofmv and TB.


The undersigned (authorized official signing for the applicant organization) certifies that it will provide adrug-free workplace in accordance with 45 CFR Part 76 by:

(a) Publishing a statement notifying employees that the unlawful manufacture, distribution,dispensing, possession or use of a controlled substance is prohibited in the grantee's workplace andspecifying the actions that will be taken against employees for violation of such prohibition;(b) Establishing a drug-free awareness program to inform employees about-

(I) The dangers of drug abuse in the workplace;(2) The grantee's policy of maintaining a drug-free workplace;(3) Any available drug counseling, rehabilitation, and employee assistance

programs; and(c ) The penalties that may be imposed upon employees for drug abuse violations

occurring in the workplace;

I. Making it a requirement that each employee to be engaged in the performance ofthe grant be given a copy of the statement required by paragraph (a) above;

2. NotifYing the employee in the statement required by paragraph (a), above, that, asa condition of employment under the grant, the employee will:

(I) Abide by the terms of the statement; and(2) NotifY the employer of any criminal drug statute conviction for a(3) violation occurring in the workplace no later that five days after such

conviction;(d) Notifying the agency within ten days after receiving notice under subparagraph (d)(2),

above, from an employee or otherwise receiving actual notice of such conviction;(e) Taking one of the following actions, within 30 days of receiving notice under

subparagraph (d)(2), above, with respect to any employee who is so convicted:

I. Taking appropriate personnel action against such an employee, up to and including

termination; or

2. Requiring such employee to participate satisfactorily in a drug abuse assistance or

rehabilitation program approved for such purposes by a Federal, State, or local

health, law enforcement, or other appropriate agency;

(I) Making a good faith effort to continue to maintain a drug free workplace throughimplementation of paragraphs (a), (b), (c), (d), (e), and (t), above.


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6. POLICIES OF THE HIV/STD Comprehensive Services Branch

The applicant agency assures the DSHS that it will abide by all policies of the HIV/STD ComprehensiveServices Branch that apply to the programs being provided. A list of policies applicable to all HIV and STDcontractors is provided at the Branch website at http://www.dshs.state.tx.us/hivstd/policy/default.htm.


DirectorDate: December 29,2006

Legal Name of Applicant OrganizationDallas County Health and Human Services


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63


Note: Some of these Assurances and Certifications may not be applicable to yourproject. If you have questions, contact the contact person named in this RFP. Theseassurances and certifications shall remain in effect throughout the project period ofthis solicitation and the term of any contract between respondent and DSHS.

As the duly authorized representative of the respondent, my signature on the FACEPAGE Form certifies that the respondent:

1. Is a legal entity legally authorized and in good standing to do business with the State of Texas andhas the legal authority to apply for state/federal assistance, and has the institutional, managerial andfinancial capability and systems (including funds sufficient to pay the non-state/federal share ofproject costs) to ensure proper planning, management and completion of the project described inthis proposal; possesses legal authority to apply for funding; that a resolution, motion or similaraction has been duly adopted or passed as an official act of the respondent's governing body,authorizing the filing of the proposal including all understandings and assurances contained therein,and directing and authorizing the person identified as the authorized representative of therespondent to act in connection with the proposal and to provide such additional information as maybe reqUired;

2. Certifies that under Government Code Section 2155.004, the individual or entity (respondent) is notineligible to receive the specified contract and acknowledges that this contract may be terminatedand payment withheld if this certification is incorrect. NOTE: Under Government Code Section2155004, a respondent is ineligible to receive an award under this RFP if the bid includes financialparticipation with the respondent by a person who received compensation from DSHS to participatein preparing the specification of RFP on which the bid is based.

3. Has a financial system that: identifies the source and application of DSHS funds in a unique set ofgeneral ledger account numbers, permits preparation of reports reqUired by the tract, permits thetracing of funds expended and program income, allows for the comparison of actual expenditures tobudgeted amounts; and maintains accounting records that are supported by verifiable sourcedocuments,

4. A parent, affiliate, or subsidiary organization, if such a relationship exists, will give DSHS, HHSCOffice of Inspector General, the Texas State Auditor, the Comptroller General of the United States,and if appropriate, the federal government, through any authorized representative,access to and theright to examine all records, books, papers, or documents related to the award; and will establish aproper accounting system in accordance with generally accepted accounting standards or agencydirectives;

5. Will supplement the project/activity with funds other than the funds made available through acontract award as a result of this RFP and will not supplant funds from that contract to replace orsubstitute existing funding from other sources;

6. Will establish safeguards to prohibit employees from using their positions for a purpose thatconstitutes or presents the appearance of personal or organizational conflict of interest, or personalgain;

7. Will comply, as a subgrantee, with Texas Government Code, Chapter 573, Vernon's 1994, byensuring that no officer, employee, or member of the respondent's governing body or of therespondent's contractor shall vote or confirm the employment of any person related within thesecond de9ree of affinity or the third degree of consanguinity to any member of the governing body


64

or to any other officer or employee authorized to employ or supervise such person. This prohibitionshall not prohibit the employment of a person who shall have been continuously employed for aperiod of two years, or such other period stipulated by local law, prior to the election or appointmentof the officer, employee, or governing body member related to such person in the prohibited degree;

8. Has not given, nor intends to give, at any time hereafter any economic opportunity, futureemployment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant or anyemployee or representative of same, in connection with this procurement; Does not have nor shall itknowingly acquire any interest that would conflict in any manner with the performance of itsobligations under any awarded contract that results from this RFP;


10. Will initiate the work after receipt of a fully executed contract and will complete it within the contractperiod;

11. Will not require a client to provide or pay for the services of a translator orinterpreter;

12. Will identify and document on client records the primary language/dialect of a client who has limitedEnglish proficiency and the need for translation or interpretation services;

13. Will make every effort to avoid use of any persons under the age of 18 or any family member orfriend of a client as an interpreter for essential communications with clients who have limited Englishproficiency. However, a family member or friend may be used as an interpreter if this is requestedby the client and the use of such a person would not compromise the effectiveness of services orviolates the client's confidentiality, and the client is advised that a free interpreter is available;

14. Will comply with the requirements of the Immigration Reform and Control Act of 1986, 8 USC§1324a, as amended, regarding employment verification and retention of verification forms for anyindividual(s) hired on or after November 6, 1986, who will perform any labor or services proposed inthis proposal;

15. Agrees to comply with the following to the extent such provisions are applicable:A. Title VI of the Civil Rights Act of 1964, 42 USC§§2000d, et seq.;B. Section 504 of the Rehabilitation Act of 1973, 29 USC §794(a);C. The Americans with Disabilities Act of 1990, 42 USC §§121 01, et seq.;D. All amendments to each and all requirements imposed by the regulations issued pursuant to

these acts, especially 45 CFR Part 80 (relating to race, color and national origin), 45 CFRPart 84 (relating to handicap), 45 CFR Part 86 (relating to sex), and 45 CFR Part 91 (relatingto age);

E. DSHS Policy AA-5018, Non-Discrimination Policies and Procedures for DSHS Programs,which prohibits discrimination on the basis of race, color, national origin, religion, sex, sexualorientation, age, or disability; and

F. Any other nondiscrimination provision in specific statures under which application for federalor state assistance is being made.

16. Will comply with the Uniform Grant Management Act (UGMA), Texas Government Code, Chapter783, as amended, and the Uniform Grant Management Standards (UGMS), as amended by revisedfederal circulars and incorporated in UGMS by the Governor's Budget and Planning Office, whichapply as terms and conditions of any resulting contract. A copy of the UGMS manual and itsreferences are available upon request;

17. Will remain current in its payment of franchise tax or is exempt from payment offranchise taxes, if applicable;


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65

18. Will comply, if applicable, with Texas Family Code, § 231.006, regarding Child Support, and certifiesthat it is not ineligible to receive payment if awarded a contract, and acknowledges that any resultingcontract may be terminated and payment may be withheld if this certification is inaccurate;

19. Will comply with the non-discriminatory requirements of Texas Labor Code, Chapter 21, whichrequires that certain employers not discriminate on the basis of race, color, disability, religion, sex,national origin, or age;

20. Will comply with environmental standards prescribed pursuant to the following:A. Institution of environmental quality control measures under the National Environmental Policy

Act of 1969, 42 USC §§4321-4347, and Executive Order (EO) 11514 (35 Fed. Reg. 4247),"Protection and Enhancement of Environmental Quality";

B. Notification of violating facilities pursuant to EO 11738 (40 CFR, Part 32), "Providing forAdministration of the Clean Air Act and the Federal Water Pollution Control Act with Respectto Federal Contracts, Grants or Loans";

C. Conformity of federal actions to state clean air implementation plans under the Clean Air Actof 1955, as amended, 42 USC §§7401 et seq.; and

D. Protection of underground sources of drinking water under the Safe Drinking Water Act of1974, 42 USC §§300f-300j, as amended;

21. Will comply with the Pro-Children Act of 1994, 20 USC §§6081-6084, regarding the provision of asmoke-free workplace and promoting the non-use of all tobacco products;

22. Will comply, if applicable, with National Research Service Award Act of 1971, 42 USC §§289a-1 etseq., as amended and 6601 (P.L. 93-348 - P.L. 103-43), as amended, regarding the protection ofhuman subjects involved in research, development, and related activities supported by this award ofassistance, as implemented by 45 CFR Part 46, Protection of Human Subjects;

23. Will comply, if applicable, with the Clinical Laboratory Improvement Amendments of 1988 (CLlA), 42USC §263a, as amended, which establish federal requirements for the regulation and certification ofclinical laboratories;

24. Will comply, if applicable, with the Occupational Safety and Health Administration Regulations onBlood-borne Pathogens, 29 CFR §1919.030, which set safety standards for those workers andfacilities in the private sector who may handle blood-borne pathogens, or Title 25 TexasAdministrative Code, Chapter 96, which affects facilities in the public sector;

25. Will not charge a fee for profit. A profit or fee is considered to be an amount in excess of actualallowable costs that are incurred in conducting an assistance project;

26. Will comply with all applicable requirements of all other state/federal laws, executive orders,regulations, and policies governing this program;

27. As the primary participant in accordance with 45 CFR Part 76, respondent and its principals:A. are not presently debarred, suspended, proposed for debarment, declared ineligible, or

voluntarily excluded from covered transactions by any federal department or agency;B. have not within a 3-year period preceding this proposal been convicted of or had a civil

judgment rendered against them for commission of fraud or a criminal offense in connectionwith obtaining, attempting to obtain, or performing a public (federal, state, or local)transaction or contract under a pUblic transaction; violation of federal or state antitruststatutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction ofrecords, making false statements, or receiving stolen property;

C. are not presently indicted or otherwise criminally or civilly charged by a governmental entity(federal, state, or local) with commission of any of the offenses enumerated in paragraph (8)of this certification;


19

66

D. have not within a 3-year period preceding this proposal/proposal had one or more pUblictransactions (federal, state, or local) terminated for cause or default; and

E. has not (nor has its representative nor any person acting for the representative) (1) violatedthe antitrust laws codified by Chapter 15, Business & Commercial Code, or the federalantitrust laws; or (2) directly or indirectly communicated the bid to a competitor or otherperson engaged in the same line of business.

Should the respondent not be able to provide this certification (by signing the FACE PAGE Form),an explanation should be placed after this form in the proposal response;

The respondent agrees by submitting this proposal that he/she will include, without modification, theclause titled "Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary ExclusionLower Tier Covered Transaction" (Appendix B to 45 CFR Part 76) in all lower tier coveredtransactions (i.e., transactions with subgrantees and/or contractors) and in all solicitations for lowertier covered transactions;

28. Will comply with Title 31, USC §1352, entitled "Limitation on use of appropriated funds to influencecertain federal contracting and financial transactions," which generally prohibits recipients of federalgrants and cooperative agreements from using federal (appropriated) funds for lobbying theexecutive or legislative branches of the federal government in connection with a SPECIFIC grant orcooperative agreement. Section 1352 also requires that each person who requests or receives afederal grant or cooperative agreement must disclose lobbying undertaken with non-federal (nonappropriated) funds. These requirements apply to grants and cooperative agreements EXCEEDING$100,000 in total costs (45 CFR Part 93):A. No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned,

to any person for influencing or attempting to influence an officer or employee of any agency,a member of Congress, an officer or employee of Congress, or an employee of a Member ofCongress in connection with the awarding of any federal contract, the making of any federalgrant, the making of any federal loan, the entering into of any cooperative agreement, andthe extension, continuation, renewal, amendment, or modification of any federal contract,grant, loan, or cooperative agreement;

B. If any funds other than federally-appropriated funds have been paid or will be paid to any personfor influencing or attempting to influence an officer or employee of any agent, a member ofCongress, an officer or employee of Congress, or an employee of a member of Congress inconnection with this federal contract, grant, loan, or cooperative agreement, the undersignedshall complete and submit Standard Form-LLL, "Disclosure of Lobbying ActiVities," (SF-LLL)in accordance with its instructions. SF-LLL and continuation sheet are available upon requestfrom the Department of State Health Services; and

C. The language of this certification shall be included in the award documents for all sub-awards atall tiers (including subcontracts, subgrants, and contracts under grants, loans andcooperative agreements) and that all subrecipients shall certify and disclose accordingly; .

This certification is a material representation of fact upon which reliance was placed when thistransaction was made or entered into. Submission of this certification is a prerequisite for making orentering into this transaction imposed by 31 USC §1352. Any person who fails to file the requiredcertification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000for each such failure;


30. Certifies that no person who has an ownership or controlling interest in the organization or who is anagent or managing employee of the organization has been placed on community supervision,received deferred adjudication or been convicted of a criminal offense related to any financial matter,federal or state program or felony sex crime;

31. Is in good standing with all state and/or federal departments or agencies that have a contracting


20

67

relationship with the respondent;

32. Statutes and Standards of General Applicability. It is Contractor's responsibility to review andcomply with all applicable statutes, rules, regulations, executive orders and policies. Contractor shallcarry out the terms of this Contract in a manner that is in compliance with the provisions set forthbelow. To the extent such provisions are applicable to Contractor, Contractor agrees to comply withthe following:a) The following statutes that collectively prohibit discrimination on the basis of race, color, nationalorigin, limited English proficiency, sex, sexual orientation, disabilities, age, substance abuse orreligion: 1) Title VI of the Civil Rights Act of 1964,42 U.S.CA §§ 2000d et seq.; 2) Title IX of theEducation Amendments of 1972, 20 U.S.CA §§ 1681-1683, and 1685-1686; 3) Section 504 of theRehabilitation Act of 1973,29 U.S.CA § 794(a); 4) the Americans with Disabilities Act of 1990, 42U.S.CA §§ 12101 et seq.; 5) Age Discrimination Act of 1975, 42 U.S.CA §§ 6101-6107: 6)Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of1970, 42 U.S.CA § 290dd (b)(1); 7) 45 CFR Parts 80, 84, 86 and 91; and 8) TEX. LAB. CODE. ch.21; DSHS Policy AA-5018, Non-discrimination Policies and Procedures for DSHS Programs;b) Drug Abuse Office and Treatment Act of 1972, 21 U.S.CA §§ 1101 et seq., relating to drugabuse;c) Public Health Service Act of 1912, §§ 523 and 527, 42 U.S.CA § 290dd-2, and 42 CFR pI. 2,relating to confidentiality of alcohol and drug abuse patient records;d) Title VIII of the Civil Rights Act of 1968, 42 U.S.CA §§ 3601 et seq., relating tonondiscrimination in housing;e) Immigration Reform and Control Act of 1986, 8 U.S.CA § 1324a, regarding employmentverification;f) Pro-Children Act of 1994, 20 U.S.CA §§ 6081-6084, regarding the non-use of all tobaccoproducts;g) National Research Service Award Act of 1971, 42 U.S.CA §§ 289a-1 et seq., and 6601 (P.L93-348 and P.L 103-43), as amended, regarding human subjects involved in research;h) Hatch Political Activity Act, 5 U.S.CA §§ 7321-26, which limits the political activity of employeeswhose employment is funded with federal funds;i) Fair Labor Standards Act, 29 U.S.CA §§ 201 et seq., and the Intergovernmental Personnel Actof 1970, 42 U.S.CA §§ 4701 et seq., as applicable, concerning minimum wage and maximumhours;J) TEX. GOV'T CODE ch. 469 (Supp. 2004), pertaining to eliminating architectural barriers forpersons with disabilities;k) Texas Workers' Compensation Act, TEX. LABOR CODE, chs. 401-406 28 TEX. ADMIN. CODE pI. 2,regarding compensation for employees' injuries;I) The Clinical Laboratory Improvement Amendments of 1988, 42 USC § 263a, regarding theregulation and certification of clinical laboratories;m) The Occupational Safety and Health Administration Regulations on Blood Borne Pathogens, 29CFR § 1910.1030, or Title 25 Tex. Admin Code ch. 96 regarding safety standards for handling bloodborne pathogens;n) Laboratory Animal Welfare Act of 1966, 7 USC §§ 2131 et seq., pertaining to the treatment oflaboratory animals;0) Environmental standards pursuant to the following: 1) Institution of environmental quality controlmeasures under the National Environmental Policy Act of 1969, 42 USC §§ 4321-4347 andExecutive Order 11514 (35 Fed. Reg. 4247), "Protection and Enhancement of EnvironmentalQuality;" 2) Notification of violating facilities pursuant to Executive Order 11738 (40 CFR Part 32),"Providing for Administration of the Clean Air Act and the Federal Water Pollution Control Act withrespect to Federal Contracts, Grants, or Loans;" 3) Protection of wetlands pursuant to ExecutiveOrder 11990, 42 Fed. Reg. 26961; 4) Evaluation of flood hazards in floodplains in accordance withExecutive Order 11988, 42 Fed. Reg. 26951 and, if applicable, flood insurance purchaserequirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L 93-234); 5)Assurance of project consistency with the approved State Management program developed underthe Coastal Zone Management Act of 1972,16 USC §§ 1451 et seq; 6) Conformity of federal actionsto state clean air implementation plans under the Clean Air Act of 1955, as amended, 42 USC §§


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7401 et seq.; 7) Protection of underground sources of drinking water under the Safe Drinking WaterAct of 1974, 42 USC §§ 300f-300j; 8) Protection of endangered species under the EndangeredSpecies Act of 1973, 16 USC §§ 1531 et seq.; 9) Conformity of federal actions to state clean airimplementation plans under the Clean Air Act of 1955, 42 USC §7401 et seq.; 10) Protection ofunderground sources of drinking water under the Safe Drinking Water Act of 1974, 42 USC §§300f330j; 11) Wild and Scenic Rivers Act of 1968 (16 U.S.C. §§ 1271 et seq.) related to protectingcertain rivers system; and 12) Lead-Based Paint Poisoning Prevention Act (42 U.S.C. §§ 4801 etseq.) prohibiting the use of lead-based paint in residential construction or rehabilitation;p) Intergovernmental Personnel Act of 1970 (42 USC §§4278-4763 regarding personnel meritsystems for programs specified in Appendix A of the federal Office of Program Management'sStandards for a Merit System of Personnel Administration (5 C.F.R. Part 900, SUbpart F);q) Titles /I and /II of the Uniform Relocation Assistance and Real Property Acquisition Policies Actof 1970 (P.L. 91-646), relating to fair treatment of persons displaced or whose property is acquiredas a result of Federal or federally-assisted programs;r) Davis-Bacon Act (40 U.S.C. §§ 276a to 276a-7), the Copeland Act (40 U.S.C. § 276c and 18U.S.C. § 874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. §§ 327-333),regarding labor standards for federally-assisted construction subagreements;s) Assist DSHS in complying the National Historic Preservation Act of 1966, §106 (16 U.S.C. §470), Executive Order 11593, and the Archaeological and Historic Preservation Act of 1974 (16US.C. §§ 469a-1 et seq.) regarding historic property;t) Financial and compliance audits in accordance with Single Audit Act Amendments of 1996 andOMS Circular No. A-133, "Audits of States, Local Governments, and Non-Profit Organizations; "andu) requirements of any other applicable statutes, executive orders, regulations and policies.

If this Contract is funded by a grant, additional requirements found in the Notice of Grant Award maybe imposed on Contractor.

33. Affirms that the statements herein are true, accurate, and complete (to the best of his or herknowledge and belief), and agrees to comply with the DSHS terms and conditions if an award is issued as aresult of this proposal. Willful provision of false information is a criminal offense (Title 18, USC §1001). Anyperson making any false, fictitious, or fraudulent statement may, in addition to other remedies available tothe Government, be subject to civil penalties under the Program Fraud Civil Remedies Act of 1986 (45 CFRPart 79).


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69


FY 2007Consolidated Local Central Service

Cost Allocation Planand


(Based on ActuJll Expenditures for the Fiscal Year ending September 30, 2005)


This is to certiJY that I have reviewed the cost plan submitted herewith and to the best ofmy knowledge and belief:"

A. All costs (for the fiscal year ending September 30, 2005) included in this proposal dated March 31, 2006,to establish cost allocations or billings for the period ofOctober I, 2004, to September 30, 2005, are allowablein accordance with the requirements ofOMB Circular A-S?, "Cost Principles for State, Local, and IndianTribal Governments," and the federal award(s) to which they apply. Unallowable costs have been adjusted forin allocating costs as indicated in the cost allocation plan.

B. All costs included in this proposal are properly allocable to Federal AWard(s) on the basis ofa beneficial orcausal relationship between the expenses incurred and the awards to which they are allocated in accordancewith applicable requirements. Further, the same costs that have been treated as indirect costs have not beenclaimed as direct costs. Similar types ofcosts have been accounted for consistently.

I declare that the foregoing is true and correct.


h'l- brouJSignatureRyan W. BrownDallas County Budget Officer

Date ofExecution: ~"C.~ ~', 1. colo

Total Allowable Indirect Costs(with FY05 Carry Forward):Total Operating SalarylWages:

$54,432,495$202,381,497

= 26,896% County-wideIndirect Cost Rate

411 Elm Street· 3rd Floor, Dallas Texas 75202-3340(214) 653-6448. Fax (214) 653-6517. [email protected]

70

B","W 0,¢. Dallas County

'" . ~~r~:, Health and Human Services~q" Grants Management

<1]'( Of"';""


TO: COMMISSIONERS COURT

FROM: ZACHARY THOMPSON

DATE: JANUARY 9, 2007

SUBJECT: JUSTIFICATION FOR SAME DAY BRIEFING AND COURT ORDER

The FY 2007 State of Texas HN Health and Social Services renewal grant application guidance wasreceived from the Department of State Health Services (DSHS) on December 21, 2006 with a due date ofJanuary 12, 2007. To allow for timely submission of the application to DSHS, it is requested that boththe briefing and court order be allowed during the January 9, 2007 Court.

AttachmentC: J. Allen Clemson, Court Administrator

2377 N. Stemmons FreewayDallas, Texas 75207-2710

Suite 200, LB-16 Office (214) 819-1849FAX (214) 819-6023

71


TO:

FROM:

DATE:

SUBJECT:

Dallas CountyHealth and Human ServicesGrants Management

COMMISSIONERS COURT

ZACHARY S. THOMPSON, DIRECTOR

JANUARY 9, 2007

FY 2007 STATE OF TEXAS mv HEALTH AND SOCIAL SERVICES GRANTAPPLICATION


Background of IssueThe Dallas County Judge is the grantee and legal recipient ofState ofTexas HIV Health and SocialServices (State Services) Grant funds. Dallas County Health and Human Services (DCHHS) isdesignated to serve as the Administrative Agency for State Services funds for the Dallas andSherman-Denison Health Services Delivery Areas (HSDA), which include Collin, Cooke, Dallas,Denton, Ellis, Fannin, Grayson, Hunt, Kaufman, Navarro, and Rockwall counties. In accordancewith the provisions of the State Department of State Health Services (DSHS), the AdministrativeAgency is responsible for completing the State Services grant application, which is a continuing andnoncompetitive application, and submitting it to the DSHS. Previously, DCHHS received $732,893in grant funds for the term September 1, 2006 through March 31,2007. This renewal application isfor grant funds of$593,280, for a term April 1, 2007 through August 31, 2007.

Fiscal ImpactThere is no fiscal impact on Dallas County.

Operational ImpactThe Administrative Agency will be responsible for administering all funds received under the FY2007 State Services grant.

Legal ImpactThe Commissioners Court must approve the submission ofthe FY 2007 State Services renewal grantapplication as attached.

RecommendationIt is recommended that the Commissioners Court approve the submission of the FY 2007 StateServices grant application in the amount of $593,280, as reflected in the attachment.

RECOMMENDED BY::.,~.&!."4-~0~~~~~~----

c: J. Allen Clemson, Court AdministratorVirginia Porter, County Auditor

2377 North Stemmons FreewayDallas, Texas 75207-2710

Suite 200, LB-16 Office 214-819-1842FAX 214-819-6023

72


FY 2007 STATE OF TEXASHIV HEALTH AND SOCIAL SERVICES GRANT

JANUARY 12,2007

Submitted By:


On Behalf Of:


73


FY 2007 STATE OF TEXASmv HEALTH AND SOCIAL SERVICES GRANT

JANUARY 12,2007

Submitted By:


On Behalf Of:


74

D~artmentof~tate Health Services /DSHSjFORM A: FACE PAGE -_RFP-HIV-01_96.1 CO....!':!!.J!etitive R~~ for HIV Care_Administr_ative_~~!1cies,Jssue!L~une~_~_Q.Q~_

This form reauests basic information about the applicant and project inctuding the signature of the authorized representative. The face paae is thecover Daoe af the renewal anolication and shall be comoleled in its enliretv.

APPLICANT INFORMATION


2) MAILING Address Information (include mailing address, street, city, county, state and zip code): Check if address change 02377 N. Stemmons Freeway, Suite 200, LB-16Dallas, Texas 75207-2710

3) PAYEE Mailing Address (if different from above): Check if address change 0Dallas County407 Records Buildingnallas Texas 75202

4) Federal Tax ID No. (9 digit), State of Texas Comptroller Vendor 10 No. (14 digit) or Social SecurityNumber (9 digit): ~The vendoracknow/edges, understands and agrees that the vendor's choice to use a social security number as the 75-6000905vendor identification number for the contract, rna result in the social security nUmbf!f beinn made public via state open records revuests.

5) TYPE OF ENTITY (check all that apply):o City 0 Nonprofit Organization' 0 Individual

JZ;I County 0 For Profit Organization' 0 FQHCo Other Political Su bdivision 0 HUB Cerlified 0 State Controlled Institution of Higher Learningo State Agency 0 Community-Based Or9anization 0 Hospital


0 Other (specify):

'If incorporaled, provide lO-dioil charter number assigned bv Secretary of State:

6) Currently operating under a HUB Subcontracting plan on file at DSHS? Yes JZ;I No 07) PROPOSED BUDGET PERIOD: Start Date: 4/1/2007 End Date: 8/31/2007


Collin, Cooke, Dallas, Denton, Eliis, Fannin, Grayson, Hunt, Kaufman, Navarro, and Rockwall

9) AMOUNT OF FUNDING REQUESTED: $593,280 11) PROJECT CONTACT PERSON: 10) PROJECTED EXPENDITURES Name: Karin Petties, Assistant Director

Does applicant's projected state or federal expenditures exceed Phone: 214.819.1842$500,000 for applicant's current fiscal year (excluding amount requested Fax: 214.819.6023

iin line 8 above)? ** E-mail: [email protected]

Yes JZ;I No 0 12) FINANCIAL OFFiCERName: Virginia Porter, County Auditor

HProjected expenditures should include funding for alf activities including "pass Phone: 214.653.6472through" federal funds framal! state agencies and non project*relafed DSHS Fax: 214.653,7286funds. E·mail: [email protected]

I, the undersigned, am the authorized representative of the applicant filing this conlracl renewal application, The facts contained herein are true, and the applicant isin compliance with the assurances and certifications contained in the competitive RFP identified above, which is part of the original contract and any prior renewalsand amendments. I understand that thiS contract renewal'depends on the truthfulness of this document and on the applicant's continued compliance with the originalcontracl and all its components and amendments.

13) AUTHORIZED REPRESENTATIVE Check if change 0 14) SIGNATURE OF AUTHORIZED REPRESENTATIVEName: Zachary S. ThompsonTitle', DirectorPhone: 214.819.2101 15) DATE

Fax: 214.819,6022December 29, 2006

E-mail: [email protected] I

75



This form provides information about the appropriate program contacts in the applicant's organization in addition to those on FORM A: FACE PAGE.If any of the following information changes duringthe term of the contract, please notify the Contract Management Unit.

Executive Director: Zachary S. Thompson Mailing Address (incl. street, city, county, state, & zip):

Tille: Director Dallas County Health and Human Services

Phone: 214819.2101 Ext. 2377 N. Stemmons Freeway, Suite 600

Fax: 214.819.6022 Dallas, Texas 75207-2710


Project Contact: Karin Petties Mailing Address (incl. street, city, county, state, & zip):



Fax: 214.819.6023 Dallas, Texas 75207-2710


Financial Reporting Contact: Virginia Porter Mailing Address (incl. street, city, county, state, &zip):

Title: Dallas County Auditor Dallas County Health and Human Services

Phone: 214.653.6472 Ext. 407 Records Building

Fax: 214.653.7286 Dallas, Texas 75202


Data Reporting Contact: Shelia C. Fisher Mailing Address (incl. street, city, county, slate, & zip):

I Title: Grants Management Officer Dallas County Health and Human Services


Fax: 214.819.6023 Dallas, Texas 75207-2710


Clinical Services Contact: Shelia C. Fisher Mailing Address (incl. street, city, county, state, & zip):

Tille: Grants Management Officer Dallas County Health and Human Services


Fax: 2148196023 Dallas, Texas 75207-2710


Dallas County Health and Human ServicesFY 07-08 SS Renewal Application - (5 months)

2


76

FORM C: ADMINISTRATIVE INFORMATION· Renewal Application

This form provides information regarding identification and contract history on the applicant, executive management, project management, governingboard members, and/orprincipal officers. Respond to each request for information orprovfde the required supptemental document behind thisform. tf responses require multiple pages, identify the supporting pages/documentation with the applicable request.



If there are no changes to any of the items below, check here and skip the next question in this section. 18l

1. The applicant shall attach the following information:If a Governmental Entity• Names (last, first, middle) and addresses for the officials who are authorized to enter into a contract on behalf of

the applicant.

If a Nonprofit or For profit Corporation• Full names (last, first, middle), addresses, telephone numbers, titles a.nd occupation of members of the Board

of Directors or any other principal officers. Indicate what offices are held by members (e.g. chairperson,president, vice-president, treasurer, etc.).

• Full names (last, first, middle), and addresses for each partner, officer, and director as well as the full namesand addresses for each person who owns five percent (5%) or more of the stock if applicant is a for profitcorporation.


If there are no changes to any of the items below, check here and skip the questions in this section. !8l

The applicant shall disclose any existing or potential conflict of interest relative to the performance of the requirements ofthis renewal application. Examples of potential conflicts may include an existing business or personal relationshipbetween the applicant, its principal, or any affiliate or subcontractor, with DSHS, the participating agencies, or any otherentity or person involved in any way in any project that is the subject of this renewal application. Similarty, any personal orbusiness relationship between the applicant, the principals, or any affiliate or subcontractor, with any employee of DSHS, aparticipating agency, or their respective suppliers, must be disclosed. Any such relationship that might be perceived orrepresented as a conflict shall be disclosed. Failure to disclose any such relationship may be cause for contracttermination. If, following a review of this information, it is determined by DSHS that a conflict of interest exists, theapplicant may be disqualified from further consideration for the renewal of a contract.

1. Does anyone in the applicant organization have an existing or potential conflict of interest relative to theperformance of the requirements of this renewal application?

DYES o NO

If YES, detail any such re/ationship(s) that might be perceived or represented as a conflict. (Attach no more thanone additional page.)

2. Has any member of applicant's executive management, project management, governing board or principalofficers been employed by the State of Texas 24 months prior to the renewal application due date?

DYES o NO

If YES, indicate hislhername, social security number, job tille, agency employed by, separation date, and reason forseparation.

3. Is applicant or any member of applicant's executive management, project management, board members orprincipal officers:


DYES 0 NOIf YES, please exptain. (Attach no more than one additional page.)


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FORM D: 55 PERFORMANCE MEASURES

In the evenl acontract is renewed, applicant agrees that performance measures(s) will be used to assess, in part, the appticant's effectiveness inproviding the seNices described. Address a/l of the requirements (see PERFORMANCE MEASURES Guidelines) associated with the servicesproposed in this renewal application. A maximum of3 additionat pages may be attached if needed.

1. Quality/Access to Services Provided

Comprehensive Plan Goal 1: " ...provide a comprehensive continuum of care that supports engagement andretention in HIV Medical Care."

Dallas HSDA

A. Outcome: At least 60% of clients accessing Case Management will have improved confidence inthe H1V care system during the period 4/112007-8/31/2007.

Output: At least 250 clients will be assisted by subcontractor during the period 4/1 /2007-8/31/2007.

8. Outcome: At least 50% ofclients accessing Disease Management will have an improved adherence toprescribed medical therapies during the period 4/1/2007-8/31/2007.

Output: At least 100 clients will be assisted by subcontractors during the period 4/1/2007-8/31/2007.

C. Outcome: At least 60% ofclients accessing Drug Reimbursement will have an improved adherence toprescribed medical therapies during the period 4/1/2007-8/31/2007.

Output: At least 78 clients will assisted by subcontractors during the period 4/1/2007-8/31/2007.

Sherman-Denison HSDA

A. Outcome: Vira110ad will decrease/stabilize for at least 60% of clients receiving Outpatient MedicalCare during the period 4/1/2007-8/31/2007.

Output: At least 13 clients will receive at least one unit of outpatient medical care by during theperiod 4/112007-8/31/2007.

8. Outcome: At least 50% ofclients accessing Drug Reimbursement will have an increase in adherenceto prescribed medical therapies during the period 4/1/2007-8/3112007.

Output: At least 13 clients will be assisted by subcontractor during the period 4/1/2007-3/31/2008.

C. Outcome: At least 55% of clients accessing Case Management will have improved confidence inthe HIV care system during the period 4/1/2007-8/31/2007.

Output: At least 38 clients will be assisted by subcontractor during the period 4/1/2007-8/3112007.


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RWSD Performance Measures Continued

2. Unduplicated Clients Served

Subcontractors in the Dallas HSDA shall provide at least one service to 1,209 unduplicated clientsduring the tenn 4/1/2007-8/31/2007.

Subcontractors in the Sherman-Denison HSDA shall provide at least one service to 39 unduplicatedclients during the term 4/1/2007-8/3112007.

3. Monitoring Estimated Units of Services

The Administrative Agency shall monitor the delivery of HlV services against the estimated units ofservice as shown in Table 1 of this renewal application.

4. Administrative Costs

The Administrative Agency shall ensure that no more than 10% of RW Title II service deliveryfunds are expended by service providers for administrative costs.


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79

FORM E: SS WORK PLAN

Applicants shall describe its plan for selVice delivery to the population in the proposed selVice area(s) and include timelines for accomplishments.Address the required elements (see WORK PLAN Guidelines) associated with the selVices proposed in this renewal application. A maximum offive additional pages may be attached if needed.

1. Service Delivery PlanDescription of services provided:a. Outpatient Medical Care - Professional, diagnostic and therapeutic services rendered by a physician,

physician's assistant, clinical nurse specialist, or nurse practitioner in an outpatient, communitybased, and/or office-based setting. Primary Medical Care for the Treatment of HIV Infectionincludes the provision of care that is consistent with Public Health Service guidelines.

b. Local Drug Reimbursement - Payment for approved pharmaceuticals and or medications forpersons with no other payment source. Medications include prescription drugs within the RWPCapproved drug formulary to prolong life, improve health, or prevent the deterioration of health.

c. Mental Health Services - Level I psychiatric services include individual psychiatric and medicationtreatment and monitoring of psychiatric disorders provided by a board certified or board eligiblepsychiatrist (D.O. or M.D.). Services must be provided in an outpatient clinic setting. Level IIcounseling services include intensive mental health therapy and counseling (individual, family, andgroup) provided solely by a state-licensed mental health professional. Direct service providers mustpossess postgraduate degrees in psychology, psychiatry, or counseling (Ph.D., Ed.D., DSW, D.O.,M.D., M.S., M.A., MSW, M.Ed., or equivalent), and must be licensed by the State of Texas toprovide such services. Level III counseling services include general mental health therapy andcounseling (individual, family, and group). Direct service providers must possess a postgraduatedegree in the appropriate related field, be in the process ofobtaining Level II licensure with the Stateof Texas and be appropriately supervised by a licensed clinical supervisor approved by the statelicensing board.

d. Disease ManaQ:ement (Medical Case ManaQ:ement) - A medically focused form ofcase management thatlinks and coordinates client care to ensure that quality medical care is received, including medical, mentalhealth, vision and dental care.

e. Case Management - A range of intensive, client-centered services that link clients with health care,psychosocial and other needed services to insure timely, coordinated access and eligibility.

f. Child Care Services - The provision ofcare for the children ofclients who are HJV-positive while the clientsare attending medical or psychosocial appointments or attending Title-related meetings, groups or training.

g. Respite Care for Adults - Home or center-based non-medical care designed to relieve the primary caregiverresponsible for providing day-to-day care of client.

h. Food Pantry Provision of food (not finances to purchase food), personal hygiene products, paper products,and cleaning supplies in a grocery-like setting.

i. CongreQ:ate Housing - Supervised housing in a congregate, or group, setting.j. Legal Services - Civil legal services through attorney or paraprofessional consultation, representation, or legal

advocacy.k. Transportation Conveyance services provided for aclient in order to accommodate access to primary medical

care, or other HIV-related psychosocial services.


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Relevance to Comprehensive PlanComprehensive Plan Goal 1: Collaborate and coordinate with otherfunding initiatives and organizations toprovide a comprehensive continuum ofcare that supports engagement and retention in HIV medical care.The funded service categories of Outpatient Medical Care, Local Drug Reimbursement, Case Management,Disease Management, Transportation, Legal Services, Child Care, Congregate Housing, and Food Pantrysupport this goal and are to be accomplished by:

• Increasing access to primary medical care from any funding sources to ensure maximum benefitsare accessed.

• Assuring strong linkages between case management and primary medical care.• Encouraging innovative approaches to delivery of primary medical services.• Maintaining current medical provider and consumer relationships.• Increasing adherence to drug therapies.• Increasing consumer confidence in the HIV delivery system.• Ensuring basic needs such as food and housing are met.

Comprehensive Plan Goal 3: IdentifY and engage in HIV medical care persons living with HIVIAIDS(PLWH) who know their status and are not in care.The funded service category that supports this goal is Mental Health services. Mental Health service providersoften encounter consumers who know they are HIV positive, but are not in care due to mental health issues.Funding this category provides an avenue by which consumers can receive help with their mental health issuesand concurrently be encouraged to seek medical care.

AllocationslRea1I0cationsAllocations ProcessAt the beginning of each planning cycle members of the Planning and Priorities Committee (PPC) andConsumer Council Committee (CCC) of the Ryan White Planning Council (RWPC) receive a "Priority SettingGuide". This guide contains background information with legislative mandates and information about thepriority-setting process. Also included are Continuum ofCare information, Needs Assessment data, utilizationdata, gap analysis data, and outcome measures data. Each year this guide is updated to reflect current trends inthe Administrative Service Area (ASA) consumer population and any changes in policy that would affect theway the RWPC plans for and prioritizes services in the EMA. This information provides an understanding ofclients currently in the care system and the services which they are using. It also provides information on thoseout of the care system, and their needs and barriers.

After the priority-setting process is complete, the PPC reviews each service category as well as unmet needdata, current HIV/AIDS epidemiological data, the most recent Comprehensive Plan, Needs Assessment data,and utilization. This information is used to create directives on how best to meet the need for each servicecategory. These directives target the service to enable optimal access for populations identified through the datasources.

The Allocations Committee (AC) is presented with the updated priority rankings and process that the PPCutilized. AC members review changes in the priority ranking of services and historical allocations. Thecommittee also reviews legislative guidance, unit cost for each service, service category utilization andexpenditures, unmet need data, other funding sources available in the ASA, and the directives for each servicedeveloped by the ppc. In order to address access to care, the committee considers allocations based on levelfunding. Thorough allocation rationale and data are reviewed by the committee to assist in allocation decisions.


7

8 1


For FY 2007, a "minimum funding threshold" was developed for the core six services of Early Intervention,Disease Management, Outpatient Medical Care, Insurance Assistance, Outreach - Lost to Care, and CaseManagement. A minimum funding threshold is defined as the dollar amount necessary to maintain theprovision of core services at current levels. These minimum funding thresholds for the core six services wereused as a starting point for discussions of allocations to the entire Continuum ofCare. The AC then makes thefinal recommendation for allocations and presents the funding allocations to the RWPC for approval.

Reallocations ProcessThe Allocations Committee is charged with the responsibility to allocate and reallocate funds among servicecategories. However, the AA may reallocate funds to other service providers within the same category. The AAmonitors actual provider expenditures against contractual budgets to assess whether funds are being under- orover-spent at any point during the fiscal year. Funds allocated to service categories may have to be reallocatedduring the course ofa grant year due to increase in utilization, under-expenditure of funds; unobligated funds;lack of achievement ofprogrammatic goals; suspension ofservices or termination of agency contracts. At thefive (5) and seven (7) month period during the contract term, the AA reviews programmatic and fiscalexpenditure data and provides an analysis Allocations Committee. The Allocations Committee reviews thisanalysis and provides input as to if funds should be reallocated and if so to which categories. This decision isbased on trend analysis, community and agency input.

The same process will be applied for reallocating funds across HSDAs and the DSHS policy guidance willbe followed.

2. Tracking and Reporting Services and ExpendituresThe AA utilizes a series ofMS Excel spreadsheets and workbooks to track expenditures and utilization rates foreach individual subcontractor and aggregately by service category. The AA monitors actual providerexpenditures against contractual budgets to assess whether funds are being under- or over-spent at any pointduring the fiscal year. The same system will track actual service utilization against service utilization goals toassess whether there is a higher than expected client utilization ofa particular service category. The trackingsystem provides the following specific detailed programmatic information in evaluating the need to reallocatefunds to other specific service categories:

• Trend analysis of monthly units of service per service category;• YTD units of services provided per service category, per agency;• YTD units ofservices provided per agency, per service category (the AA wiJI review this infonnation to

determine whether an agency may need additional funds within the same service category);• Total number of units of services to be provided per service category; and• Percentage of goal achievement (this information is necessary to assess what service category is off


The tracking system will provide the following specific detailed fiscal information in evaluating the need toreallocate funds to other specific service categories:

• Trend analysis of monthly expenditures per service category;• YTD expenditures by service category;• YTD expenditures by agency, by service category (the AA will review this information to determine

whether an agency may need additional funds within the same service category); and• Percentage of goal achievement (this information is necessary to assess what service category is off


Dallas County Health and Human Services 8FY 07-08 SS Renewal Application - (5 months)

82


The AA provides the Allocations Committee a quarterly assessment of costs that includes year-to-dateexpenditures by service category. The data are further broken down to provide total expenditures, cost per unit,the number of units, number of clients served, and cost per client. During the priority setting and resourceallocation process, the Planning and Priorities and Allocations Committees are also provided with reports for allservices purchased based on billing and utilization data. It reports the number ofpeople served by demographicprofile (gender, ethnicity, age) per service as compared to local epidemiological 9ata and recent needsassessment data.

3. Maintaining Clients in a System of HIV-related Medical CareThe AA maintains working relationships with a host of key stakeholders in the ASA which is essential tomaintaining a medical continuum of care for clients. These stakeholders include the community planningstakeholders; the Texas Department of Social and Health Services; the AIDS Education and Training Center(Parkland Health and Hospital System); Ryan White Title III grantees (AIDS ARMS, Inc., Parkland Health andHospital System) Ryan White Title IV grantee and programs (Dallas Family AIDS Network, Open Arms, Inc.);the Ryan White Part F Dental Reimbursement grantee (Baylor College of Dentistry), the North Central TexasCommunity Planning Group; Veteran's Affairs Medical Center; the Greater Dallas Council on Alcohol andDrug Abuse; the City of Dallas HOPWA programs and staff; Housing and Homelessness Service providers;mvIAIDS Prevention Service providers; Mental Health providers; the HIV Consumer Council Committee;representatives of rural clients, United Way of Metropolitan Dallas County, Dallas County Public HealthAdvisory Board, Community Based Organizations (e.g. Urban League of Greater Dallas, Mosaic FamilyServices), AIDS Service Organizations (e.g. AIDS Services ofDallas, Resource Center ofDallas), and the HIVService Providers Council. The AA works with all these entities to ensure the Dallas and Sherman-DenisonHSDAs have a coordinated and effective Continuum of Care for HIVIAIDS services and other services neededby our clients.

A number of clients also access medical care outside of the Ryan White funded-continuum of care. In thisscenario agencies must work with for-profit and other community funded medical providers to ensure clientmedical needs are being met. Allocations by the Ryan White Planning Council to the service categories ofCase Management and Disease Management help ensure this function is carried out for the benefit ofclients.

4. ARIES Data CollectionData are collected on a regular basis by subcontractors; this data includes client demographics and serviceencounters. Subcontractors are required to submit monthly financial reports for reimbursement that aresupported by documented service utilization in the ARIES system. Ifa subcontractor fails to provide evidenceof service utilization in ARIES via an ARIES report, the reimbursement for that subcontractor is not processedby the AA until evidence is received. An exception to this practice is allowed for the service categories ofOutreach and Health Education/Risk Reduction, since required data is not gathered for entry into ARIES.

The ASA also operates under a data improvement plan. The plan requires the data analyst to review data inARIES and identitY data fields that are lacking entries, have incorrect or incomplete entries; subsequently,subcontractors are notified which fields need to be addressed to correct or complete the entry. After apredetermined time period, generally dependent on the number of entries that require action, the data analystwill run a follow-up report to ensure that corrections or completions have been made. In addition, the dataanalyst may also run ad hoc reports under the direction ofthe grants management officer for the purpose ofdeskreviews. These activities help increase and maintain the integrity of the data in ARIES.


9

83


4. Cultural Appropriateness of Services.One service that is particularly helpful in maintaining cultural appropriateness and access in service provision isinterpretation and translation. The service category oflnterpretation/Sign Language is funded entirely out ofRyan White Title I and is intended to provide assistance in communications (both verbal and written) forpersons that do not utilize spoken or written English. Many agencies have also hired staff with different dialectsother than English who are able to assist clients when language and cultural barriers are encountered.Additionally, a number of agencies have specific divisions to skilled in serving special populations such asminority women and men.

The AA also monitors data regarding the ethnic and age distribution of clients versus, staff, management, andboard membership of each funded agency. This information is used to gauge whether or not the agency isreflective, from both an ethnic and age standpoint, of the clientele that it serves.

The AA has a contractual mandate that all funded service providers must comply with the Americans withDisabilities Act (ADA) and all other federal and state statutes relating to nondiscrimination. Program monitors,on annual site visits, monitor agency compliance with these requirements.

6. Outpatient Medical Care Service PlanAll four of the Title II funded ambulatory medical care providers can provide services to any client residingwithin any of the Administrative Service Area (ASA). However, the majority of clients that reside in Dallasaccess their medical care through the Dallas County Hospital District (Parkland) Amelia Court Clinic. AIDSServices of North Texas (ASNT) Well Beings Clinic provides medical care typically to clients residing inDenton, Collin, Hunt, Kaufman and Rockwall counties. AIDS Arms - Peabody Clinic provides services insouthern Dallas County, Ellis and Navarro counties. The provider in Grayson County, Your Health Clinic(YHC) provides services to residents of Fannin, Grayson, and Cooke counties.

How Clients Access Ambulatory Care. To ensure new clients needing medical care have full information andaccess to all services in the ASA, they are referred through the care coordination system; existing clients may godirectly to the medical provider for services or by referral. Each ofthe outpatient medical care subcontractorsalso provides case management or treatment adherence to provide expeditious service and ensure that client'smedical referrals and treatment education, as applicable, can be handled at the same location. Clients in need oftransportation assistance to access medical services can utilize the Title II funded van transportation service orreceive bus passes.

Access to a Qualified Physician with HIV Medical Experience.. All clients residing in the ASA regardless oftheir county of residency, have access to medical care by one of the HIV infectious disease physicians at theDallas based clinics at Amelia Court and the Peabody Health Clinic. The Well Beings Clinic has a nursepractitioner with HIV expertise on staff. For clients accessing their medical care in the ShermanlDenison areaserved by YHC, subcontracted medical services with experienced mv practitioners are provided. ASNT andYHC also subcontract with medical specialist in the area to provide needed services for clients.


10

84


The clinics andphysicians providingfunded medical care in the ASA are:

tuft~ Clinic ~~~ PhysiciaDIMedical Staff

Dallas County Dallas County Hospital District - Dr. Phillip Keiser and other HIVParkland - Amelia Court I trained doctors, nurses and

Bluitt-Flowers Health Center specialistsDeHaro-Saldivar Health CenterSoutheast Dallas Health Center

Southern Dallas, Ellis and Navarro AIDS Arms - Peabody Health Dr. Keith Rawlings, Dr. Ediecounties Clinic Klingler, Jennifer Klein, NP, and

HIV trained nurses

Collin, Denton, Hunt, Kaufman, AIDS Services of North Texas - Sandra Horwitz, RN, CFNP, HIVand Rockwall Well Beings Clinic trained nurses and subcontracted

HIV doctors and specialistsFannin, Grayson, and Cooke Your Health Clinic Subcontracted HIV doctors andcounties specialists

7. Quality Management FeedbackThe purpose of the ASA quality management program is to support the development ofhigher quality care topeople living with HIV/AIDS (PLWHA), effective programs that meet minimum requirements in the mostefficient method, demonstrate program value quantitatively by linking outputs (amounts ofservices provided) tooutcomes (results), identifY and justifY critical program activities and resources required to meet needs andenable local HIV service delivery networks and providers to perform better and to function as a system.

On-site subcontractor quality management evaluations are conducted annually. The evaluations continue toutilize the assessment tool that was derived from the HRSA QM Manual and Chronic Care Model. Additionalinformation is received through staff interviews, observations, and evaluation ofthe subcontractors' QM plans.During this process subcontractors also have the opportunity to request technical assistance on quality,programmatic, or fiscal issues. Results ofthe evaluation are compiled into a recommendations report, to whichsubcontractors have 45 days to respond with an improvement plan. The AA submits a written response to theagency's revised QM program/plan within thirty (30) days of receipt either accepting the changes forimplementation in the next year, or requesting further revisions. If the plan is accepted and revised, theagency's QM program will be on schedule for evaluation the following year. Iffurther revisions are required,additional on-site TA or conference calls may be warranted to assist the agency.

The AA Performance Improvement Committee (PIC) was established in 2005. This committee's membershipconsists of the following: a RWPC chair designee (licensed, practicing psychiatrist), QM staffmembers fromeach ofDCHHS' funded medical and dental care providers, the RWPC health planner and the DCHHS healthanalyst and qualityassurance advisor (QAA). The core responsibilities of the PIC are to assist the AA in thedevelopment and monitoring of the QM plan in order to make recommendations to the appropriate body forimprovements. Improvement reports may be presented to the AA, RWPC Executive Committee, and theService Providers Council.


11



DSHS Funds Direct Federal Other Stale Local Funding IOther Funds ITotalCost Categories \ Requested Funds Agency Funds' Sources(5) (6)

1) (2) (3) (4)

A. Personnel $ 0 $ 552,374 $ 285,022 $ 139,085 $ 0 $ 976,446

B. Fringe Benefits $ 0 $ 167,220 $ 86,182 $ 55,712 $ 0 $ 309,114

C. Travel $ 0 $ 31,104 $ 11,955 $ 1,500 $ 0 $ 44,559

D. Equipment and Supplies $ 0 $ 13,500 $ 10,808 $ 1,306 $ 0 $ 25,614

E. Contractual $ 593,280 $ 12,275,223 $ 3,275,968 $ 1,390,000 $ 0 $ 17,534,471

F. Construction

G. Other $ 0 $ 34,336 $ 39,257 $ 2,100 $ 0 $ 75,693

H. Total Direct Costs $ 593,280 $ 13,275,042 $ 3,709,192 $ 1,589,668 $ 0 $ 18,965,897

I. Indirect Costs $ 0 $ 201,285 $ 95,252 $ 34,592 $ 0 $ 331,12~ COJ. Total (Sum of Hand I) $ 593,280 $ 13,275,042 $ 3,804,444 $ 1,624,260 $ 0 $ (Jl19,297,02:'

K.Program Income -

$ $ $ $ $ $Proiected EarninGS


IXl The applicant's most recently approved indirect 26.896 % A copy is attached behind the OTHER Budget Category Detail Form (FORM G5).cost rate

DThe applicant's most recently approved indirect % this is on file with DSHS's Contract Policy & Monitoring Division.cost rate

*Letter(s) of good standing that validate the applicant's programmatic, administrative, and financial capability must be placed after this form if applicantreceives any funding from other non-DSHS state agencies. If the applicant is astate agency or institution of higher education, letter(s) of good standing arenot required. DO NOT include non-project related funding in column 3.

12

Dallas County Health and Human ServicesFY 07-08 State Services Renewal Appiication - (5 months)

FORM G: CONTRACTUAL BUdget Category Detail Form


Provide HIV services for the DallasHSDA$569,639VariesTo be

determinedUnit Cost and CostReimbursement

To provide HIV servicesunder OSHS guidelines inthe Dallas HSDA

To be named

List contracts for services related to the scope of work that are to be provided by athird party, If athird party is not yet identified, describe the service to be contracted andshow contractors as "To Be Named," Justification for any contract that delegates asubstantial portion of the scope of the project, i.e" $25,000 or 25% of the applicant'sfundinQ request, whichever is greater, must be attached behind this form,

Your Health Clinic

To provide HIV servicesunder DSHS 9uidelines in IUnit Cost and Costthe Sherman/Denison ReimbursementHSDA

To bedetermined Varies

Provide HIV services in$ 23,641 I Grayson, Fannin, and Cooke

counties.

():)Q)

TOTAL Amount Requested for CONTRACTUAL: $ 593,280

Dallas County Health and Human ServicesFY 07-08 State Services Renewal Application - (5 months)

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87

FORM G: BUDGET JUSTIFICATION

Dallas County Health and Human ServicesState of Texas HIV Health and Social Services

FY 2007 - 2008 Five Months Service Delivery Budget

A. Personnel

B. Fringe Benefits

C. StaffTravel

D. Equipment

E. Supplies

F. Contractual

L Dallas HSDA (Various Subcontractors)

$ 569,639

Contracts for HIV Services to be awarded through acompetitive request for proposal (RFP) process.

$

$

$

$

$

$ 593,280

2. Your Health Clinic (fka AIDS Resource Center of Texoma) $

Contracts for HIV services in Sherman-Denison to beawarded on a sole source process.

23,641

G. Other $


1. Indirect Cost

$

$

593,280

J. TOTAL BUDGET

Dallas County Health and Human ServicesFY 07-08 State Services Renewal Application

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88


Administrative Agency Name: Dallas Countv Health and Human Services

HSDA: ~D~a!!!lI~asL- --'- _

Funding Stream: RW SS X Time Period Covered by Allocation: 04/01107 - 08/31107

Instructions: Table I must be completed for EACH HSDA within the Administrative Agency's area. Use this table to reflect theservice priorities and allocation~ and estimated service units and persons to be served with those funds. Place the rank ofeach prioritizedservice in column 2. Assign a rank only to prioritized services, and leave the rest of the service categories blank. Use columns 3 and 4 toshow the estimated number of uuits to be delivered and persons to he served. In the fifth column place the total allocation for thatcategory; this should include service provider administrative costs. The total of all allocations should equal the total for the HSDA'sR WSD or SS allocation. In column 6 indicate the percentage ofthe total award that is allocated to that service category. DSHS stronglysuggests that preliminary allocations, along with justifications, be reviewed by mv Planning Staff before submission of this formwith the application.

ESTIMATEDOBJECTIVES


SERVICE CATEGORY' RANK I Units II Persons I FOR HSDA ALLOCATION

Ambulatory/Outpatient Medical Care $ %

Drug Reimhursement! AIDS 4a 594 79 $ 188,807 33.0%Phannaceutical Assistance


Health Insurance $ %

Oral Health Care $ %

Home health care ~ Professional $ %

Home health care - Specialized $ %

!'Iutritional Counseling! Medical Nutrition $ %TherapyResidential or In Home Hospice Care $ 0/<

Mental Health Services 6 190 33 $ 9,068 1.5%

Substance Abuse Services Outpatient $ %

Medical Case Management Ib 944 108 $ 27,202 5.0%




Substance Abuse Services ~ Residential $ %



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89

Table J Page 2

HSDA: "D"'a!!.lIa"'s'-- _

Funding Stream: RW _ SS __"X__ Time Period Covered by Alloeatinn: 04/01/07 - 08/31/07



IChild Care Services 15a 4929 23 $ 65,892 12.0%

Child Welfare Services $ %

Client Advocacy $ %

Day or Respite Care for Adults 16 441 48 $ 5,507 1.0%


Emergency Financial Assistance $ 'i{

"ood Bank/Home-Delivered Meals 5b 5918 636 $ 47,051 8.0%

Health EducationIRisk Reduction $ %

Housing & Housing-Related Services 8a 2539 57 $ 110,362 19.0%

Legal Services 13 551 80 $ 16,650 3.0%


Permanency Planning $ %



Referral to Health Carel Supportive $ %Services

Rehabilitation Services $ %

Transportation Services 7 1015 125 $ 37,335 6.5%


TOTAL ALLOCATION $ 569,639 100.0%


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90


Administrative Agency Name: Dallas County Health and Human ServicesSubcontractor Name: Various (To Be Determined Pending ERe Process)

Instructions: Use this table to sununarize all allocations by service category for each subcontractor for your current RW ServiceDelivery contract (4/l/07 - 3/31/08). Use one form for each subcontractor and submit only one form per subcontractor,regardless of whether or not the subcontractor provides services in more than one HSDA. Please note: The total amounts shownin the Table 2 for each subcontractor should equal the amount shown in the contractual line item of the subcontractor's categoricalbudget AND the total of all Table 2s should equal the amount shown in the contractual line item ofthe AA's categorical budget. Thistable is due to DSHS by April 30, 2007.



Ambulatory/Outpatient Medical Care $ $ $

Drug Reimbursement! AIDS $169,926 $18,881 $188,807Pharmaceutical Assistance


Health Insurance $ $ $

Oral Health Care $ $ $




Mental Health Services $ 8,161 $ 907 $ 9,068

Substance Abuse Services - Outpatient $ $ $

Medical Case Management $ 24,482 $ 2,720 $ 27,202



Home Health care - Para-professional $ $ $



Child Care Services $ 59,303 $ 6,589 $ 65,892



Day or Respite Care for Adults $ 4,956 $ 551 $ 5,507




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91

Table 2 Page 2Administrative Agency Name: Dallas County Health and Human ServicesSubcontractor Name: Various (To Be Determined Pending ERe Process



Food Bank/Home-Delivered Meals $ 42,346 $ 4,705 $ 47,051

Health EducationlRisk Reduction $ $ $

Housing & Housing-Related Services $ 99,326 $ 1l ,036 $1l 0,362

Legal Services $ 14,985 $ 1,665 $ 16,650




Referral to Clinical Research $ $ $...Referral to Health Carel Supportive Services $ $ $




TOTAL Contracted Amount $512,674 $ 56,965 $569,639


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92


Administrative Agency Name: DaBas County Health and Human Services


Funding Stream: RW _ SS X Time Period Covered by Allocation: 04/01/07 - 08/31107

Instructions: Table 1 must be completed for EACH HSDA within the Administrative Agency's area. Use this table to reflect theservice priorities and allocations and estimated service units and persons to be served with those funds. Place the rank ofeach prioritizedservice in column 2, Assign a rank only to prioritized services, and leave the rest of the service categories blank Use columns 3 and 4 toshow the estimated number of units to be delivered and persons to be served. In the fifth column place the total allocation for thatcategory; this should include service provider administrative costs. The total of all allocations should equal the total for the HSDA'sR WSD or SS allocation. In column 6 indicate the percentage ofthe total award that is allocated to that service category. DSHS stronglysuggests that pre1iminary allocations, along with justifications, be reviewed by HIV Planning Staff before submission of this formwith the application.

ESTIMATEDOBJECTIVES


SERVICE CATEGORY* RANK Units . Persons FOR HSDA ALLOCATION

Ambulatory/Outpatient Medical Care 1c 51 13 $ 8,510 36.0%

Drug Reimbursement! AIDS 4a 67 14 $ 2,625 11.0%Pharmaceutical Assistance


Health Insurance $ %

Oral Health Care $ %

Home health care - Professional $ %

Home health care - Specialized $ %

Nutritional Counseling! Medical Nutrition $ %TherapyResidential or In Home Hospice Care $ %

Mental Health Services $ %


Medical Case Management $ %




Substance Abuse Services - Residential $ %



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Table} Page 2

HSDA: Sherm3n-Denison

Funding Stream: RW _ SS _~X"-__ Time Period Covered by Allocation: 04/01/07 - 08/31/07


SERVICE CATEGORY* RANK Units Persons FOR HSDA ALLOCATION

Child Care Services $ ';'

e-hild Welfare Services $ %

lJient Advocacy $ %



Emergency Financial Assistance $ 0;'

Food Bank/Home-Delivered Meals $ %

Health Education/Risk Reduction $ %


Legal Services $ %


Penmanency Planning $ %



Referral to Health Carel Supportive $ %

ServicesRehabilitation Services $ %

Transportation Services $ %


TOTAL ALLOCATI0N $ 23,641 100.0%

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Administrative Agency Name: Dallas County Health and Human ServicesSubcontractor Name: Your Health Clinic (11m AIDS Services ofTexoma)

Instructions: Use this table to summarize all allocations by service category for each subcontractor for your current RW ServiceDelivery contract (4/J/07 - 3/31108). Use one form for each subcontractor and submit only one form per subcontractor,regardless of whether or not the subcontractor provides services in more than one HSDA. Please note: The total amountsshown in the Table 2 fcreach subcontractor should equal the amount shown in the contractual line item of the subcontractor'scategorical budget AND the total of all Table 2s should equal the amount shown in the contractual line item ofthe AA's categoricalbudget. This table is due to DSHS by April 30, 2007.



Ambulatory/Outpatient Medical Care $ 7,659 $ 851 $ 8,510

Drug Reimbursement! AIDS Pharmaceutical $ 2,362 $ 263 $ 2,625Assistance


Health Insurance $ $ $

Oral Health Care $ $ $




Mental Health Services $ $ $

Substance Abuse Services - Outpatient $ $ $

Medical Case Management $ $ $



Home Health care - Para~professional $ $ $









Food BanklHomecDelivered Meals $ $ $

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Table 2, page 2

Administrative Agency Name: Dallas County Health and Human ServicesSubcontractor Name: Your Health Clinic (fua AIDS Services of Texomal

IISUBCONTRACTORDIRECT

TOTALSUBCONTRACTOR SUBCONTRACTOR COST


Health Education/Risk Reduction $ $ $

Housing & Housing-Related Services $ $ $






Referral to Health Carel Supportive Services $ $ $


Transportation Services $ $ $

Other Direct Support Services $ $ . $(Attach sheet detailing services)

TOTAL Contracted Amount $ 21,276 $ 2,365 $ 23,641


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Ifthe applicant is anonprofit organization, this form must be completed (state or othergovernmenta! agencies are not required to complete this form). The purposeof the form is to inform nonprofit board members and officers of the responsibilities and administrative oversight requirements ofnonprofit applicants intending to orcontracting with Department of State Heatth Services (DSHS).

Not applicable

(Name & Address Of Organization)The persons signing on behalf of the above named organization certify that they are duly authorized to sign thisAssurances form on behalf of the organization. The undersigned acknowledge and affirm:

A. That an annual budget has been approved for each contract with DSHS.

B. The Board of Directors convenes on a regularly scheduled basis (no less than quarterly) to discuss the operations ofthe organization.





G. The Treasurer of the Board has been fUlly informed of his or her responsibilities as Treasurer.

H. The Board has Audit and/or Finance Committees that convene regUlarly and communicate effectively with the BoardTreasurer and other Board members in understanding and responding to financial developments.

I. The organization observes Generally Accepted Accounting Principles when preparing financial statements and fundaccounting practices are observed to ensure integrity among specific contracts or grants.



L. The organization will administer any contract executed with the DSHS in accordance with applicable federal statutesand regulations, including federal grant requirements applicable to funding sources, Uniform Grant ManagementStandards issued by the Governor's Office, applicable Office of Management and Budget Circulars, applicable Codeof Federal Regulations, and provisions of the contract document.

'Chairman of the Board SignaturelDate 'President or Executive Director SignaturelDate*If the signed original of this form has been provided to DSHS during the calendar year and the officers signing the document havenot changed, a copy of the signed form will be accepted.


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FORM I: HIV Contractor Assurances


The applicant agency assures that it does not advocate or promote conduct that violates state law, in compliance withthe HIV Services Act, Texas Health and Safety Code, Section 85.011, as follows:

"Grants may not be awarded to an entity or community organization that advocates orpromotes conduct that violates state law. This subsection does not prohibit the award of agrant to an entity or community organization that provides accurate information about ways toreduce the risk of exposure to or transmission of HIV."

2. CONFIDENTIALITY

The applicant agency and its employees or subcontractors, if applicable, provide assurance to the Department of StateHealth Services that confidentiality of all records shall be maintained. No information obtained in connection with theexamination, care, or provision of programs or services to any person with HIV shall be disclosed without the individual'sconsent, except as may be required by law, such as for the reporting of communicable diseases. Information may bedisclosed in statistical or other summary form, but only if the identity of the individuals diagnosed or provided care is notdisclosed.

We are aware that the Health and Safety Code, §81.103, provides for both civil and criminal penalties against anyonewho violates the confidentiality of persons protected under the law. Furthermore, all employees and volunteers whoprovide direct client care services or handle direct care records wherein they may be informed of a client's HIV status orany other information related to the client's care, are required to sign a statement of confidentiality assuring compliancewith the law. An entity that does not adopt a confidentiality policy as required by law is not eligible to receive state fundsuntil the policy is developed and implemented.


The applicant agency and its employees or subcontractors, if applicable, provide assurance to the Department ofState Health Services that no person who is an employee, agent, consultant, officer, board member, or elected orappointed official of this agency, and, therefore, in a position to obtain a financial interest or benefit from an activity,or an interest in any contract, subcontract, or agreement with respect thereto, or the proceeds there under, either forhimself or herself or for those with whom he or she has family or business ties, during his or her tenure or for oneyear thereafter shall participate in the decision making process or use inside information with regard to such activity.Furthermore, this agency will adopt procedural rules which require the affected person to withdraw from his or her

functions and responsibilities or the decision-making process with respect to the specific assisted activity from whichthey would derive benefit.


The applicant agency assures the DSHS that it maintains collaborative efforts with local Tuberculosis (TB) Controlprograms in order to insure that HIV and TB treatment and prevention services are provided to persons at risk ofHIV and TB.


The undersigned (authorized official signing for the applicant organization) certifies that it will provide a drug-freeworkplace in accordance with 45 CFR Part 76 by:

(a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing,possession or use of a controlled substance is prohibited in the grantee's workplace and specifying theactions that will be taken against employees for violation of such prohibition;(b) Establishing a drug-free awareness program to inform employees about-

(1) The dangers of drug abuse in the workplace;(2) The grantee's policy of maintaining a drug-free workplace;(3) Any available drug counseling, rehabilitation, and employee assistance

programs; and(4) The penalties that may be imposed upon employees for drug abuse violationsoccurring in the workplace;

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(c) Making it a requirement that each employee to be engaged in the performance of the grant be givena copy of the statement required by paragraph (a) above;

(d) Notifying the employee in the statement required by paragraph (a), above, that, as a condition ofemployment under the grant, the employee will-(1) Abide by the terms of the statement; and(2) Notify the employer of any criminal drug statute conviction for a violation occurring in the

workplace no later that five days after such conviction;(e) Notifying the agency within ten days after receiving notice under subparagraph (d)(2), above,

from an employee or otherwise receiving actual notice of such conviction;(f) Taking one of the following actions, within 30 days of receiving notice under subparagraph (d)(2),

above, with respect to any employee who is so convicted-(1) Taking appropriate personnel action against such an employee, up to and including

termination; or(2) Requiring such employee to participate satisfactorily in a drug abuse assistance or

rehabilitation program approved for such purposes by a Federal, State, or local health,law enforcement, or other appropriate agency;

(g) Making a good faith effort to continue to maintain a drug free workplace through implementationof paragraphs (a), (b), (c), (d), (e), and (t), above.

6. POLICIES OF THE BUREAU OF HIV & STD PREVENTION

The applicant agency assures the DSHS that it will abide by all policies of the HIV/STD Comprehensive ServicesBranch that apply to the programs being provided. A list of policies applicable to all HIV and STD contractors isprovided at the Bureau website at http://www.tdh.state.tx.us/hivstd/policy/default.htm.


Director


Legal Name of Applicant Organization



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Note: Some of these Assurances and Certifications may not be applicable to your project. If you havequestions, contact the contact person named in this RFP. These assurances and certifications shallremain in effect throughout the project period of this solicitation and the term of any contract betweenrespondent and DSHS.

As the duly authorized representative of the respondent, my signature on the FACE PAGE Form certifiesthat the respondent:

1. Is a legal entity legally authorized and in good standing to do business with the State of Texas and has thelegal authority to apply for state/federal assistance, and has the institutional, managerial and financialcapability and systems (including funds sufficient to pay the non-state/federal share of project costs) toensure proper planning, management and completion of the project described in this proposal; possesseslegal authority to apply for funding; that a resolution, motion or similar action has been duly adopted orpassed as an official act of the respondent's governing body, authorizing the filing of the proposal includingall understandings and assurances contained therein, and directing and authorizing the person identified asthe authorized representative of the respondent to act in connection with the proposal and to provide suchadditional information as may be required;

2. Certifies that under Government Code Section 2155.004, the individual or entity (respondent) is notineligible to receive the specified contract and acknowledges that this contract may be terminated andpayment withheld if this certification is incorrect. NOTE: Under Government Code Section 2155.004, arespondent is ineligible to receive an award under this RFP if the bid includes financial participation with therespondent by a person who received compensation from DSHS to participate in preparing the specificationof RFP on which the bid is based.

3. Has a financial system that: identifies the source and application of DSHS funds in a unique set of generalledger account numbers, permits preparation of reports required by the tract, permits the tracing of fundsexpended and program income, allows forthe comparison of actual expenditures to budgeted amounts; andmaintains accounting records that are supported by verifiable source documents.

4. A parent, affiliate, or subsidiary organization, if such a relationship exists, will give DSHS, HHSC Office ofInspector General, the Texas State Auditor, the Comptroller General of the United States, and ifappropriate, the federal government, through any authorized representative, access to and the right toexamine all records, books, papers, or documents related to the award; and will establish a properaccounting system in accordance with generally accepted accounting standards or agency directives;

5. Will supplement the project/activity with funds other than the funds made available through a contract awardas a result of this RFP and will not supplant funds from that contract to replace or substitute existing fundingfrom other sources;

6. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes orpresents the appearance of personal or organizational conflict of interest, or personal gain;

7. Will comply, as a subgrantee, with Texas Government Code, Chapter 573, Vernon's 1994, by ensuring thatno officer, employee, or member of the respondent's governing body or of the respondent's contractor shallvote or confirm the employment of any person related within the second degree of affinity or the third degreeof consanguinity to any member of the governing body or to any other officer or employee authorized toemploy or supervise such person. This prohibition shall not prohibit the employment of a person who shallhave been continuously employed for a period of two years, or such other period stipulated by local law,prior to the election or appointment of the officer, employee, or governing body member related to suchperson in the prohibited degree;


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8. Has not given, nor intends to give, at any time hereafter any economic opportunity, future employment, gift,loan, gratuity, special discount, trip, favor, or service to a public servant or any employee or representativeof same, in connection with this procurement; Does not have nor shall it knowingly acquire any interest thatwould conflict in any manner with the performance of its obligations under any awarded contract that resultsfrom this RFP;


10. Will initiate the work after receipt of a fully executed contract and will complete it within the contract period;

11. Will not require a client to provide or pay for the services of a translator or interpreter;

12. Will identify and document on client records the primary language/dialect of a client who has limited Englishproficiency and the need for translation or interpretation services;

13. Will make every effort to avoid use of any persons under the age of 18 or any family member or friend of aclient as an interpreter for essential communications with clients who have limited English proficiency.However, a family member or friend may be used as an interpreter if this is requested by the client and theuse of such a person would not compromise the effectiveness of services or violates the client'sconfidentiality, and the client is advised that a free interpreter is available;

14. Will comply with the requirements of the Immigration Reform and Control Act of 1986, 8 USC §1324a, asamended, regarding employment verification and retention of verification forms for any individual(s) hired onor after November 6, 1986, who will perform any labor or services proposed in this proposal;

15. Agrees to comply with the following to the extent such provisions are applicable:A. Title VI of the Civil Rights Act of 1964, 42 USC§§2000d, et seq.;B. Section 504 of the Rehabilitation Act of 1973, 29 USC §794(a);C. The Americans with Disabilities Act of 1990, 42 USC §§121 01, et seq.;D. All amendments to each and all requirements imposed by the regulations issued pursuant to these

acts, especially 45 CFR Part 80 (relating to race, color and national origin), 45 CFR Part 84 (relatingto handicap), 45 CFR Part 86 (relating to sex), and 45 CFR Part 91 (relating to age);

E. DSHS Policy AA-5018, Non-Discrimination Policies and Procedures for DSHS Programs, whichprohibits discrimination on the basis of race, color, national origin, religion, sex, sexual orientation,age, or disability; and

F. Any other nondiscrimination provision in specific statures under which application for federal or stateassistance is being made.

16. Will comply with the Uniform Grant Management Act (UGMA), Texas Government Code, Chapter 783, asamended, and the Uniform Grant Management Standards (UGMS), as amended by revised federal circularsand incorporated in UGMS by the Governor's Budget and Planning Office, which apply as terms andconditions of any resulting contract. A copy of the UGMS manual and its references are available uponrequest;

17. Will remain current in its payment of franchise tax or is exempt from payment of franchise taxes, ifapplicable;

18. Will comply, if applicable, with Texas Family Code, § 231.006, regarding Child Support, and certifies that itis not ineligible to receive payment if awarded a contract, and acknowledges that any resulting contract maybe terminated and payment may be withheld if this certification is inaccurate;

19. Will comply with the non-discriminatory requirements ofTexas Labor Code, Chapter 21, which requires thatcertain employers not discriminate on the basis of race, color, disability, religion, sex, national origin, or age;


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20. Will comply with environmental standards prescribed pursuant to the following:A. Institution of environmental quality control measures under the National Environmental Policy Act of

1969,42 USC §§4321-4347, and Executive Order (EO) 11514 (35 Fed. Reg. 4247), "Protection andEnhancement of Environmental Quality";

B. Notification of violating facilities pursuant to EO 11738 (40 CFR, Part 32), "Providing forAdministration of the Clean Air Act and the Federal Water Pollution Control Act with Respect toFederal Contracts, Grants or Loans";

C. Conformity of federal actions to state clean air implementation plans under the Clean Air Act of1955, as amended, 42 USC §§7401 et seq.; and

D. Protection of underground sources of drinking water under the Safe Drinking Water Act of 1974,42USC §§300f-300j, as amended;

21. Will comply with the Pro-Children Act of 1994, 20 USC §§6081-6084, regarding the provision of a smokefree workplace and promoting the non-use of all tobacco products;

22. Will comply, if applicable, with National Research Service Award Act of 1971,42 USC §§289a-1 et seq., asamended and 6601 (P.L. 93-348 - P.L. 103-43), as amended, regarding the protection of human subjectsinvolved in research, development, and related activities supported by this award of assistance, asimplemented by 45 CFR Part 46, Protection of Human Subjects;

23. Will comply, if applicable, with the Clinical Laboratory Improvement Amendments of 1988 (CLlA), 42 USC§263a, as amended, which establish federal requirements for the regulation and certification of clinicallaboratories;

24. Will comply, if applicable, with the Occupational Safety and Health Administration Regulations on Bloodborne Pathogens, 29 CFR §1919.030, which set safety standards for those workers and facilities in theprivate sector who may handle blood-borne pathogens, or Title 25 Texas Administrative Code, Chapter 96,which affects facilities in the public sector;

25. Will not charge a fee for profit. A profit or fee is considered to be an amount in excess of actual allowablecosts that are incurred in conducting an assistance project;

26. Will comply with all applicable requirements of all other state/federal laws, executive orders, regulations,and policies governing this program;

27. As the primary participant in accordance. with 45 CFR Part 76, respondent and its principals:A. are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily

excluded from covered transactions by any federal department or agency;B. have not within a 3-year period preceding this proposal been convicted of or had a civil judgment

rendered against them for commission of fraud or a criminal offense in connection with obtaining,attempting to obtain, or performing a public (federal, state, or local) transaction or contract under apublic transaction; violation of federal or state antitrust statutes or commission of embezzlement,theft, forgery, bribery, falsification or destruction of records, making false statements, or receivingstolen property;

C. are not presently indicted or otherwise criminally or civilly charged by a governmental entity (federal,state, or local) with commission of any of the offenses enumerated in paragraph (B) of thiscertification;

D. have not within a 3-year period preceding this proposal/proposal had one or more publictransactions (federal, state, or local) terminated for cause or default; and

E. has not (nor has its representative nor any person acting for the representative) (1) violated theantitrust laws codified by Chapter 15, Business & Commercial Code, or the federal antitrust laws; or(2) directly or indirectly communicated the bid to a competitor or other person engaged in the sameline of business.

Should the respondent not be able to provide this certification (by signing the FACE PAGE Form), anexplanation should be placed after this form in the proposal response;


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The respondent agrees by submitting this proposal that he/she will include, without modification, the clausetitled "Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion-Lower TierCovered Transaction" (Appendix B to 45 CFR Part 76) in all lower tier covered transactions (i.e.,transactions with subgrantees and/or contractors) and in all solicitations for lower tier covered transactions;

28. Will comply with Title 31, USC §1352, entitled "Limitation on use of appropriated funds to influence certainfederal contracting and financial transactions," which generally prohibits recipients of federal grants andcooperative agreements from using federal (appropriated) funds for lobbying the executive or legislativebranches of the federal government in connection with a SPECIFIC grant or cooperative agreement.Section 1352 also requires that each person who requests or receives a federal grant or cooperativeagreement must disclose lobbying undertaken with non-federal (non-appropriated) funds. Theserequirements apply to grants and cooperative agreements EXCEEDING $100,000 in total costs (45 CFRPart 93):A. No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any

person for influencing or attempting to influence an officer or employee of any agency,. a member ofCongress, an officer or employee of Congress, or an employee of a Member of Congress inconnection with the awarding of any federal contract, the making of any federal grant, the making ofany federal loan, the entering into of any cooperative agreement, and the extension, continuation,renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement;

B. If any funds other than federally-appropriated funds have been paid or will be paid to any person forinfluencing or attempting to influence an officer or employee of any agent, a member of Congress,an officer or employee of Congress, or an employee of a member of Congress in connection with thisfederal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submitStandard Form-LLL, "Disclosure of Lobbying Activities," (SF-LLL) in accordance with its instructions.SF-LLL and continuation sheet are available upon request from the Department of State HealthServices; and

C. The language of this certification shall be included in the award documents for all sub-awards at all tiers(including subcontracts, subgrants, and contracts under grants, loans and cooperative agreements)and that all subrecipients shall certify and disclose accordingly;

This certification is a material representation of fact upon which reliance was placed when this transactionwas made or entered into. Submission of this certification is a prerequisite for making or entering into thistransaction imposed by 31 USC §1352. Any person who fails to file the required certification shall besubject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure;


30. Certifies that no person who has an ownership or controlling interest in the organization or who is an agentor managing employee of the organization has been placed on community supervision, received deferredadjudication or been convicted of a criminal offense related to any financial matter, federal or state programor felony sex crime;

31. Is in good standing with all state and/orfederal departments or agencies that have a contracting relationshipwith the respondent;

32. Statutes and Standards of General Applicability. It is Contractor's responsibility to review and comply with allapplicable statutes, rules, regulations, executive orders and policies. Contractor shall carry out the terms ofthis Contract in a manner that is in compliance with the provisions set forth below. To the extent suchprovisions are applicable to Contractor, Contractor agrees to comply with the following:a) The following statutes that collectively prohibit discrimination on the basis of race, color, national origin,limited English proficiency, sex, sexual orientation, disabilities, age, substance abuse or religion: 1) Title VIof the Civil Rights Act of 1964, 42 U.S.CA §§ 2000d et seq.; 2) Title IX of the Education Amendments of1972,20 U.S.CA §§ 1681-1683, and 1685-1686; 3) Section 504 of the Rehabilitation Act of 1973, 29USCA § 794(a); 4) the Americans with Disabilities Act of 1990, 42 U.S.CA §§ 12101 et seq.; 5) AgeDiscrimination Act of 1975, 42 U.S.CA §§ 6101-6107: 6) Comprehensive Alcohol Abuse and Alcoholism


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Prevention, Treatment and Rehabilitation Act of 1970, 42 U.S.CA § 290dd (b)(1); 7) 45 CFR Parts 80, 84,86 and 91; and 8) TEX. LAB. CODE. ch. 21; DSHS Policy AA-5018, Non-discrimination Policies andProcedures for DSHS Programs;b) Drug Abuse Office and Treatment Act of 1972,21 U.S.CA §§ 1101 et seq., relating to drug abuse;c) Public Health Service Act of 1912, §§ 523 and 527, 42 U.SCA § 290dd-2, and 42 C.F.R. pI. 2, relatingto confidentiality of alcohol and drug abuse patient records;d) Title VIII of the Civil Rights Act of 1968, 42 U.S.CA §§ 3601 et seq., relating to nondiscrimination inhousing;e) Immigration Reform and Control Act of 1986,8 U.S.C.A. § 1324a, regarding employment verification;f) Pro-Children Act of 1994, 20 U.S.CA §§ 6081-6084, regarding the non-use of all tobacco products;g) National Research Service Award Act of 1971,42 U.S.CA §§ 289a-1 et seq., and 6601 (P.L. 93-348and P.L. 103-43), as amended, regarding human subjects involved in research;h) Hatch political Activity Act, 5 U.S.CA §§ 7321-26, which limits the political activity of employees whoseemployment is funded with federal funds;i) Fair Labor Standards Act, 29 U.S.CA §§ 201 et seq., and the Intergovernmental Personnel Act of1970,42 U.S.CA §§ 4701 et seq., as applicable, concerning minimum wage and maximum hours;J) TEX. GOV'T CODE ch. 469 (Supp. 2004), pertaining to eliminating architectural barriers for persons withdisabilities;k) Texas Workers' Compensation Act, TEX. LABOR CODE, chs. 401-406 28 TEX. ADMIN. CODE pI. 2,regarding compensation for employees' injuries;I) The Clinical Laboratory Improvement Amendments of 1988, 42 USC § 263a, regarding the regulationand certification of clinical laboratories;m) The Occupational Safety and Health Administration Regulations on Blood Borne Pathogens, 29 CFR §1910.1030, or Title 25 Tex. Admin Code ch. 96 regarding safety standards for handling blood bornepathogens;n) Laboratory Animal Welfare Act of 1966, 7 USC §§ 2131 et seq., pertaining to the treatment of laboratoryanimals;0) Environmental standards pursuant to the following: 1) Institution of environmental quality controlmeasures under the National Environmental Policy Act of 1969, 42 USC §§ 4321-4347 and Executive Order11514 (35 Fed. Reg. 4247), "Protection and Enhancement of Environmental Quality;" 2) Notification ofviolating facilities pursuant to Executive Order 11738 (40 CFR Part 32), "Providing for Administration of theClean Air Act and the Federal Water Pollution Control Act with respect to Federal Contracts, Grants, orLoans;" 3) Protection of wetlands pursuant to Executive Order 11990, 42 Fed. Reg. 26961; 4) Evaluation offlood hazards in floodplains in accordance with Executive Order 11988, 42 Fed. Reg. 26951 and, ifapplicable, flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of1973 (P.L. 93-234); 5) Assurance of project consistency with the approved State Management programdeveloped under the Coastal Zone Management Act of 1972, 16 USC §§ 1451 et seq; 6) Conformity offederal actions to state clean air implementation plans under the Clean Air Act of 1955, as amended, 42USC §§ 7401 et seq.; 7) Protection of underground sources of drinking water under the Safe Drinking WaterAct of 1974, 42 USC §§ 300f-300j; 8) Protection of endangered species under the Endangered Species Actof 1973,16 USC §§ 1531 et seq.; 9) Conformity of federal actions to state clean air implementation plansunder the Clean Air Act of 1955, 42 USC §7401 et seq.; 10) Protection of underground sources of drinkingwater under the Safe Drinking Water Act of 1974, 42 USC §§300f-330j; 11) Wild and Scenic Rivers Act of1968 (16 U.S.C. §§ 1271 et seq.) related to protecting certain rivers system; and 12) Lead-Based PaintPoisoning Prevention Act (42 U.S.C. §§ 4801 et seq.) prohibiting the use of lead-based paint in residentialconstruction or rehabilitation;p) Intergovernmental Personnel Act of 1970 (42 USC §§4278-4763 regarding personnel merit systems forprograms specified in Appendix A of the federal Office of Program Management's Standards for a MeritSystem of Personnel Administration (5 C.F.R. Part 900, Subpart F);q) Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970(P.L 91-646), relating to fair treatment of persons displaced or whose property is acquired as a result ofFederal or federally-assisted programs;r) Davis-Bacon Act (40 U.S.C. §§ 276a to 276a-7), the Copeland Act (40 U.S.C. § 276c and 18 U.S.C. §874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. §§ 327-333), regarding laborstandards for federally-assisted construction subagreements;

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s) Assist DSHS in complying the National Historic Preservation Act of 1966, §106 (16 U.S.C. § 470),Executive Order 11593, and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. §§ 469a-1et seq.) regarding historic property;t) Financial and compliance audits in accordance with Single Audit Act Amendments of 1996 and OMSCircular No. A-133, "Audits of States, Local Governments, and Non-Profit Organizations; "andu) requirements of any other applicable statutes, executive orders, regulations and policies.

If this Contract is funded by a grant, additional requirements found in the Notice of Grant Award may beimposed on Contractor.

33. Affirms that the statements herein are true, accurate, and complete (to the best of his or her knowledge andbelief), and agrees to comply with the DSHS terms and conditions if an award is issued as a result of this proposal.Willful provision of false information is a criminal offense (Title 18, USC §1001). Any person making any false,fictitious, or fraudulent statement may, in addition to other remedies available to the Government, be subject to civilpenalties under the Program Fraud Civil Remedies Act of 1986 (45 CFR Part 79).


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Department of State Health Services


FORM J: CONTRACTOR ASSURANCE REGARDING PHARMACY NOTIFICATION

To ensure that pharmacies providing prescriptions to HIV services clients do not fill medications on deceased

clients, the applicant agency provides assurance to the Department of State Health Services that it will notify the

client's pharmacy when a client dies.

Sign"ture of Authorized Certifying Official Title:

Director




Dallas County Health and Human ServicesFY 07~08 State Services Renewal Application - (5 months)

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Applicant Agency __---'D"-illalwla"'s"C"'o'-'u"n\!ctyL!:H"'e"a"lth!!...!!an"'d'!-£H"'u"m"'a"n,.;;S"'e!..:rv,-,ic",e",s~__- _

Ifyou do not use HIVlSTD-related educational materials outlined in the CDC and DSHS guidelines, or ifyou onlyuse materials developed by CDC and/or DSHS, you do not need to convene a local panel. Please circle one ofthefollowing statements and sign/date this page.

(j) I certifY that this program does not useHIV/STD educational materials outlined in the CDC and DSHSguidelines.

2. I certifY that this program only uses HIV/STD educational materials developed by CDC and/or DSHS.

Department of State Health ServicesHIV/STD Comprehensive Services Branch


If you do use HIV/STD-related educational materials outlined in the CDC and DSHS guidelines, please attach apage listing the name, occupation, affiliation, gender, race/ethnicity, mailing address, phone number and email (ifapplicable) of all proposed local panel members and sign/date below. You must have at least five memberson your panel and one member must be an employee of the local health department.

FORM K: ASSURANCE OF COMPLIANCE WITH CDC AND DSHSREQUIREMENTS FOR CONTENTS OF HIV/STD·RELATED

WRITTEN EDUCATIONAL MATERIALS, PICTORIALS,AUDIOVISUALS, QUESTIONNAIRES, SURVEY INSTRUMENTS,

AND EDUCATIONAL SESSIONS

The applicant agency certifies that its Project Director and Authorized Business Official:have received a copy of the Requirements for Contents ofAIDS-Related Written Materials, Pictorials,Audiovisuals, Questionnaires, Survey Instruments, and Educational Sessions in Centers for DiseaseControl Assistance Programs, dated June, 1992, and its Preface, and DSHS HIV/STD Policy 500.005,Contractor Review ofHIVIAIDS and STD Written and/or Pictorial Materials Intendedfor Public Use;have read them;accept them;agree to comply with all particulars and specifications set forth;agree to comply with all specifications, INCLUDING THOSE SET FORTH during the program year;agree that all specified materials shall be submitted to the local program materials review panel and subjectto the CDC and DSHS guidelines set forth; andagree to ensure that the local program materials review panel shall reasonably reflect the views ofthe entirecommunity it serves, not just those of anyone population, and that all panelists shall read and abide by allCDC and DSHS guidelines for materials review panels.

Signature of Authorized Official _

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5

6

7

8

91011121314151617181920212223242526272829303132333435363738394041424344454647

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DEPARTMENT OF STATE HEALTH SERVICES


FORM L: Assurance Regarding HIV/STD Clinical Resources Division Standards forClinical and Case Management Services

This agency assures the Department of State Health Services that it will comply with HIVISTD Clinical

Resources Division Standards for Clinical and Case Management Services (Standards) as promulgated by

the HIVISTD Comprehensive Services Branch. The Standards are available at

http://www.dshs.state.lx.us/hivsld/c1inical/case mgt.shtm

Signature ofAuthorized Certifying Official Title:

Director

Date: December 29,2006




3434

108


FY 2007Consolidated Local Central Service

Cost Allocation Planand


(Based on Actual Expenditures for !he Fiscal Year ending September 30, 2005)


This is to certify that I have reviewed the cost plan submitted herewith and to the best ofmy knowledge and belief:"

A. All costs (for the fiscal year ending September 30, 2005) included in this proposal dated March 31, 2006,to establish cost allocations or billings for the period of October I, 2004, to September 30,2005, are allowablein accordance with the requirements of OMB Circular A-87, "Cost Principles for State, Local, and IndianTribal Governments," and the federal award(s) to which they apply. Unallowable costs have been adjusted forin allocating costs as indicated in the cost allocation plan.

B. All costs included in this proposal are properly allocable to Federal Award(s) on the basis of a beneficial orcausal relationship between the expenses inCurred and the awards to which they are allocated in accordancewith applicable requirements. Further, the same costs that have been treated as indirect costs have not beenclaimed as direct costs. Similar types ofcosts have been accounted for consistently.

I declare that the foregoing is true and correct.


~'1- brou..r-'SignatureRyan W. BrownDallas County Budget Officer

Date ofExecution: ~~c:...1..,. ~ \ I L 0010

Total AIlowable Indirect Costll(with FY05 Cam Forward):Total Operating SalaryIWages:

$54,432.495$202,381,497

= 26.896% County-wideIndirect Cost Rate

411 Elm Street - 3rd Floor, Dallas Texas 75202-3340(214) 653c6448. Fax (214) 653-6517. cpacotial.dallascounty.org

109

DALLAS COUNTYPURCHASING DEPARTMENT DAll.i\S COUNTY

CWW:Ci RS COURT

06 JM;j -3 PH 3· 36January 09, 2007

TO:

THROUGH:

FROM:

SUBJECT:

Commissioners Court

Shan-non S.Brown~Purchasing Agent 00'V

Gloria McCulloch WebbPurchasing Contract Supervisor

Bid No. 2007-027-2486 Purchase of Vehicles

BackgroundDallas County Commissioners Court authorized the Purchasing Agent to open Bid No. 2007-027-2486 Purchase ofVehicles on December 07, 2006. The Purchasing Department received three (3) bids for the requested vehicles from thefollowing firms: Caldwell Country Chevrolet, Planet Ford 6 and Sam Pack's Five Star Ford. All items with the exception ofitem 12 (1-1/2 Ton Crew Cab and Chassis, 4 Door, Dual Rear Wheel 4 x 4 with 9" Steel Stake Body), is on today's formalagenda. The purpose of this briefing is to make a recommendation of award to the lowest and best bidder meeting DallasCounty specification requirements for item 12.

Operational ImpactThe requested vehicle will be utilized by the Household Hazardous Waste Program for off-site collection events withparticipating cities. Dallas County's minimum bid specifications required the vehicle be furnished with certain equipmentand/or accessories. The response submitted by the low bidder Sam Pack's Five Star Ford at a cost of$38,991.00 did notmeet the minimum requirements for the following items:

Equipment/Accessories

Fuel Tank

Mirrors

Window

Jack

Requested

Dual

Dual (left and right) swing-outtype/camper style with auxiliaryconvex mIrrors

Sliding Rear

Six (6) Ton Hydraulic with lug wrench

Proposed

Single

Manual extendingtrailer tow mirrorsno auxiliary mirrors

Not Available

No reply

Plant Ford 6 proposed a truck that meets the County's minimum specifications.

Financial ImpactFunding for this vehicle is being provided through household hazardous special equipment grant due to expire on April 15,2007. The cost of the truck as proposed by Planet Ford 6 is $41,237.00. The additional costthe grant will incur byawarding to the recommended vendor is approximately $2,246.00.

Legal ImpactLocal Government Code 262.027(c) requires the Purchasing Department to notify the low bidder when recommending acontract award to other than the low bidder. A letter was faxed and mailed to Sam Pack's Five Star Ford., on January 042007, with a follow-up telephone call to confirm receipt.

RecommendationThe Purchasing Department, in conjunction with Automotive Service Center Fleet Coordinator, recommends that Bid No.2007-027-2486 Purchase of Vehicles, item 12 be awarded to Planet Ford 6, the as the lowest and best bidder meeting DallasCounty minimum specifications requirements.

509 Main Street, 6'h Floor, Suite 623, Danas Texas 75202-3340/'"" 11'\ '-:C'l '7A~l ... l::..,v- {'"n.11 h':::'~_744Q. [email protected]

1 1 0

DALLAS COUNTY DALLAS COUNTYOFFICE of INFORMATION LT:E@11ii1SM1>4tllUGlifuRT

06 JAN -3 PM 2: ~6

Date:

To:

Through:

From:

Subject:

January 9, 2007

Commissioners Court

Robert Clines

Rodney Christian Z-~

Additional Computer Hardware for Sheriffs Department

The Office of Information Technology requests approval to purchase the following computerequipment and related software for the Sheriffs Department:

• Twenty desktop computers and Microsoft Office;• One desktop printer;• Four high-volume networked laser printers; and• One networked color laser printer

BACKGROUND

The Dallas County Sheriff s Department has identificd the need to refresh certain computer hardwareas well as provide computers and printers for expanded programs / usage.

The expansion of the traffic program based out of the Kovar facility will require additional PCs.Also, many of the existing PCs are at least five years old and need to be upgraded.

Additional computer hardware is also requested for the Decker Jail Facility to support the staffat thatlocation.

IMPACT ON OPERATIONS AND MAINTENANCE

All of the requested computer related items are standard County items and will be supported viavendor warranties and the County's desktop computer support processes. The Sheriffs Departmentwill benefit from the additional computer equipment, expanding the availability of computerapplications and data to additional employees within County facilities.

1 1 1

Sheriff 'w. ", Palmi Detail

Sherill Kw. ,. Pal'OI Detail

Sherin Kovar ,. Palrol Detail

Shf!fift l.<lForge R"w Kovar ,. Front Office

Sheriff Maria Kolial ,. Front Office

Shariff Employee N~ Koval ,. Front Office N~

Sheriff Patrol U KOlle. ,. Patrol Replace GX4Q(l

Shenlf Feioglass 5g!. Kova. ,. Replace C4XC401

Sheriff Feinglass 5g!. K~' ,. N~

Sheriff feinglass ", KOVal ,. N~

Sheriff '"Kovar '" SgL Office N~

Sherin K~, ,. Traffi<: Detail N~

Sheriff Koval ,. U. Office N~

Sheriff Kovar ,. U. Office N~

She<iff Kova. ,. U. Office Replace GX26l1 (1012

Sheriff Keva, '" TrollieDe!ail Replace GX2611 (1012002)

Sheriff Presnell " Decker '" Lt, Of!ice N~

Sheriff Presnell U '""", ,,,, Lt. Office N~

Sheriff Pfesnell U Decker ,m, 0_ N~

Sheriff Caplain Decker N~

TotatPCs- 20Tolal Printers- 6

FISCAL IMPACT

The total cost for the hardware, software and installation is estimated to be $36,900. Fundingfor this request is available in the Major Technology Fund, Hardware Refresh(195.0.08630.0.92055).

Dell GX620 PC (County Standard) 20 $ 970.00 $ 19,400.00

MS Office Software 20 $ 260.00 $ 5.200.00

HP 1320 Desktop Printer I w Cable $ 375.00 $ 375.00

HP 4250N Network Printer 4 $1,150.00 $ 4,600.00

HP 4700N/3800N Color Network Printer 1 $1,825.00 $ 1,825.00

Data Cable Installation 16 $125.00 $ 2,000.00

Installation Services for PCs I Printers $3,500.00 $ 3,500.00

Total: $ 36,900.00

RECOMMENDAnON

The Office of Information Technology recommends the purchase of the requested computerequipment.

1 1 2

DALLAS COUNTYOffice oflnformation Technology

DALU\S COUNTYCOI"lH!c:" !,"."'- ~, '''- '-"";,:1(5 COURT

06 JAN -3 PH ~: /8

January 3, 2007

TO: Commissioners Court

THROUGH: Robert Clines, Chief Information Officer

FROM: Alan Pham, Senior Project Manager

SUBJECT: Odyssey Application Support & System Administration Payments

BACKGROUND

In July of2004, we began Phase I of the project - Implement the full suite of Odyssey applications inthe District Clerk's offices, District Civil courts, and District Family courts. Phase I was completedat the end of October, 2005.

In November of2005, we began Phase II of the project - Implement the full suite of Odysseyapplications in District Juvenile courts, County Clerk's offices, County Courts at Law, CountyMental Illness court, and County Probate courts.

The Odyssey Application Support and the System Administration were funded from the Court Order# 2005 - 2197. The initial amount of$171,360.00 allocated for Application Support has theremaining balance of$212.50, and the initial amount of$250,000 allocated for the SystemAdministration quarterly charges have been expended.

OPERATIONAL IMPACT

The Odyssey CivillJP Courts System project implementation went live on October 5, 2005. Withoutthe necessary skilled staff in place, the County is at risk ofthe system being unavailable, in the eventof a system and/or database error.

• The Odyssey Civil/JP Courts System requires a System Administrator to work on developingand implementing the operational and maintenance procedures as related to the database,including replication, backup/restore, and database instance creation.

• The Odyssey CivillJP Courts System also requires an Application Specialist to providesupport to end users on a variety of issues: To identify, research, and resolve technicalproblems; to respond to telephone calls, email, and personnel requests for technical support;to document, track, and monitor the problem to ensure a timely resolution.

411 Elm Street - 3Td Floor, Dallas, Texas 75202-3340(214) 653-7334 • Fax (214) 653-6517 • [email protected]

1 1 3

FISCAL IMPACT

• $45,000 in Application Support payment (from November to January - Tyler is expendingroughly $15,000 per month)

• $85,000 in System Administration payment (from November to January - Tyler is invoicing$62,500 per quarter)

Funds are available in the Major Technology Fund (00195) for Civil Court Project (92010).

RECOMMENDAnON

The recommendation to the Court is to approve the expenditure for the Odyssey Application Support& System Administration Payments.

Page 2 of2

1 1 4

DALLAS COUNTYCOMMUNICATIONS & CENTRAL SERVICES

DALL/\S COUNTYC011r'W'S iONU!S COIJRT

06 DEC 28 PM 2: Id

December 27, 2006


WTHROUGH: Dan Savage';'Assistant Administrator for Operations

FROM: Chris Thompson, Director, Communications & Central ServicesKSUBJECT: 911 Emergency Fee Agreements

Background ofIssueThe Public Utility Commission (PUC) of Texas granted service provider certificates of authority(SPCOAs) authorizing IBFA Acquisition Company and Pac-West Telecomm, Inc. to provide localtelephone service. These commercial local exchange carriers (CLECs) have completed interconnectagreements with Southwestern Bell now AT&T and, in the case of IBFA, also Verizon. Prior tooffering local service, these CLECs must make 911 fee arrangements with the public safetyanswering entities in their service area. Dallas County is such an entity each of these providersrequested a 911 Emergency Fee Agreement to offer local service.

During Briefing Session ofNovember 5,1997, the Court approved a 911 Service Fee Agreement forfacilities based providers. Both are facilities based providers.

The purpose of this briefing is to present 911 Emergency Fee Agreements for approval to allow theseproviders to offer local service.

Impact on OperationsSubscribers (customers) and Public Safety Answering Points will see no change in 911 service. Theinterconnect agreements provide access to existing 911 service.

Legal InfonnationThe Civil Section of the District Attorney's office reviewed and approved the agreement.

Financial Impact/ConsiderationsFees, administrative charges and billing proced~res are identical to those currently in place withAT&T and Verizon. Fees previously collected and paid to Dallas County by AT&T and Verizonwill be collected and paid by these providers.

RecommendationApprove 911 Emergency Fee Agreements for each of these CLECs. Agreements are available forreview in Communications & Central Services.

509 Main Street • Suite 608 • Dallas, Texas 75202

1 1 5

DALLAS COUNTYFacilities Management

OALLi\S COUNTYem'HiISS!I;!':::PS COURT

06JAN-3 PM 2:53

January 3, 2007

MEMORANDUM


THROUGH: Dan SavageAssistant Administrator for Operations

FROM: Ana QuintanillaSenior Property Manager

SUBJECT: Lease Renewal for 1111 Be1tline Road, Garland, TexasDallas County Juvenile Department-Satellite office

BACKGROUND

Dallas County by Court Order No. 96-036 dated January 2, 1996, entered into a five (5) yearlease for 3,349 square feet of office space for the Dallas County Juvenile Department SatelliteOffice located at 1111 Beltline Road, Garland, Texas. The lease expired February 2, 2001. ByCourt Order No. 2000-2375 dated November 28,2000, Amendment No.1 was authorized andexecuted for a five (5) year lease. It expired February 2, 2006. By Court Order No. 2006-076dated January 10,2006, Amendment No.2 was authorized and executed for a one (1) year lease.This lease will expire February 2, 2007.

The Juvenile Department Satellite Office will relocate to the Garland Government CenterBuilding located at 140 N. Garland Road, Garland, Texas within the next the next three months.

The purpose of this correspondence is to present to Commissioners Court a recommendationregarding this issue.

IMPACT ON OPERATIONSIFINANCIAL

The current rental rate at the IIII Beltline Road office for 3,349 square feet of office space is$4,186.25 per month, or $15.00 per square foot. Facilities Management has received a proposalfrom the property management company, which represents the owner, to renew/extend theexisting lease for a six (6) month period on a month-to-month basis.

600 Commerce, Suite 900George L. Allen Sr., Courts Building

(214) 653-6722Fax (214) 653-6822

1 1 6

LEGAL

Dallas County District Attorney Civil Section has reviewed the current lease and AmendmentNo.3.

RECOMMENDATION

Staff recommends that the current lease be extended for a six (6) month period on a month-tomonth basis under the same terms and conditions effective February 3, 2007 and ending August2,2007.

If Commissioners Court is in agreement with this recommendation, a court order will beprepared for consideration at the next Commissioners Court meeting.

Recommended by:

Dan SavageAssistant Administrator for Operations

cc: Mike Griffiths, Director Juvenile ServicesRandy Wadley, Assistant Director-Juvenile ServicesRon Stretcher, Deputy Director

600 Commerce, Suite 900George L. Allen Sr., Courts Building

(214) 653-6722Fax (214) 653-6822

STATE OF TEXAS

COUNTY OF DALLAS

1 1 7

§§§§

AMENDMENT NO.3

This Amendment No.3 (this "Amendment") is entered into as of-,- ---,2007, between Leis O'Hana Hui Family Partnership, Ltd. ("Landlord") and DallasCounty ("Tenant"), for the purpose of amending the Lease Agreement between Landlordand Tenant, dated January 2,1996 per Court Order No. 96-036, as amended byAmendment No.1 dated November 21,2000 per Court Order No. 2000-2375, andAmendment No.2 dated March 28, 2006 per Court Order No. 2006-076 (as amended, the"Lease"). Unless otherwise specified herein, all capitalized terms used herein shall havethe meanings assigned to them in the Lease.

RECITALS

Tenant desires to extend the term of the Lease (the "Term") on a month-to-monthbasis for up to six (6) months, and Landlord has agreed to such extension on the termsand conditions contained herein.

AGREEMENTS

1. Extension of Term. The Term is hereby renewed and extended on a month-tomonth basis for up to six (6) months to commence February 3,2007 and endingAugust 2, 2007 with either party having the right to terminate the Lease withthirty (30) days written notice on all the same terms and conditions in the Lease,as amended herein.

2. Base Rent. The monthly Base Rent specified in paragraph 4 will be $4,186.25per month or $15.00 per rentable square foot.

3. Tenant Improvements. Tenant accepts space in "as is" condition.

4. Ratifications. Tenant hereby ratifies and confirms its obligations under the Lease.

5. Binding Effect. Except as modified herein, the Lease and this Amendment3 shall remain in full effect and be binding upon Landlord and Tenant and theirrespective successors and assigns.

Signatory Warranty

The individuals signing below on behalfof the parties represent and warrant that each hasthe authority to bind hislher respective party to the terms of this Amendment and

1 1 8

Extension. The tenns and obligations of this Amendment and Extension shall take effeetupon full and final exeeution by the Parties.

Exeeuted as of the date first written above.

Its:

Tenant, Ltd. Dallas County Juvenile Department

-lc"=~':::..:~~s;;;~~~~~tno:J·lMer~._- _

Jim FosterDallas County Judge

RECOMMEl\'DED:

BY:

APPROVED AS TO FORM*:

BY: Bob Sehell,Chief, Dallas County Distriet Attorney's Office, Civil Division

*By law, the Dallas County District Attorney's Office may only advise or approvecontracts or legal documents on behalf of its clients. It may not advise or approve acontract or legal document on behalf of other parties. Our review of this document wasconducted solely from the legal perspective of our client. Our approval of this doeumentwas offered solely for the benefit of our client. Other parties should not rely on thisapproval, and should seek review and approval by their own respective attorney(s).

1 1 9

DALLAS COUNTYCOMMISSIONERS COURT ADMINISTRATIONDan Savage, Assistant Administrator for Operations


FROM: Earl Dedman, Project Coordinator

THROUGH: Dan Savage, Assistant Administrator for Operations

SUBJECT: George L. Allen Sr. Civil Courts Building Addition and RenovationProposed Change Order No. 21

BACKGROUND: Court Order No. 2003-1312 dated July 22,2003 authorized a contract to Hawsand Tingle, Ltd. for general construction for the George L. Allen Sr. Civil Courts Building Additionand Renovation. Haws & Tingle defaulted on the contract in August 2005 and the surety,represented by Zurich American Insurance Company, has assumed responsibility for the completionof the project per the "Takeover Agreement" dated 10/4/05 (Court Order 2005-1906 dated 10/4/05).

IMPACT 10PERATlONS: The construction of the new tower addition for the George Allen Sr.Courts building project is essentially complete and the remaining work involves re-modeling the oldoriginal GACB. During re-modeling, issues have been identified that require changes to the plannedconstruction. These changes and their associated costs are tracked using a "ProposalRequest"(PR) process. This Change Order incorporates the PRs shown in the table on the followingpages.

FINANCIAL IMPACT: The total cost this Change Order is an increase of $363,253.00.

Amount original contract amountChange Order NO.1Change Order NO.2Change Order NO.3Change Order NO.4Change Order NO.5Change Order NO.6Change Order NO.7Change Order NO.8Change Order NO.9Change Order NO.1 0Change Order No. 11Change Order No. 12RChange Order No. 13RChange Order No. 14Change Order No. 15Change Order No. 16Change Order No. 17Change Order No. 18Change Order No. 19Change Order No. 20Proposed Change Order No. 21Total Revised Contract Amount

$38,291,000.00-0

($10,851.00)-0

$1,482.00$83,413.00

$113,031.00$124,035.00$172,703.00($31,750.00)

($466,628.00)-0

$248,456.00$96,447.00$71,187.00

$316,918.00$10,733.00$62,634.00

$181,941.00$127,910.00$170,060.00$363,253.00

$39,925,974.00

120

Commissioners CourtJanuary 9 2007George L. Allen Sr. Courts Building Addition and Renovation - Change Order #21Page 2

All project appropriations in Fund 196, Project 70128 (Major Capital Improvements, Buildings, CivilCourts) have been expended. Commissioner's Court is requested to approve and authorizeadditional funding for this Change Order from Major Projects Fund 196 Unallocated Reserve to betransferred to the project (Fund 196.0.08130.2007.0.70128).

LEGAL: This change order amends the original Contract for Construction as provided for in theGeneral Conditions of the Contract for Construction, Article 7, Changes in the Work.

MIWBE INFORMATION: N/A

SCHEDULE IMPACT: The work included in this Change Order may have an impact on the overallcompletion of the project. The Contractor has asked for an extension to the contract time for someof this work and the request is currently being evaluated. However, until an agreement on theoverall schedule is achieved, no time extension will be awarded for this work.

The approved "Takeover Agreement" allows negotiations regarding past actions that may haveextended the contract time. The Surety is currently evaluating their position on this issue and noresolution has been made. Therefore, at this time, the contract completion date for the overallproject remains at October 28, 2005. This Change Order approves and authorizes cost only. Notime extension will .be granted in connection with this Change Order.

PROPOSAL REQUESTS INCLUDED IN THIS PROPOSED CHANGE ORDER

166

168A

172

183

185

186

189

Fire rated Ceilings in Old GACBCorridors (3 thru 6)

Additional Signage and Graphics

Additional Position Sensors onSmoke Control Dampers

Floor Plugs for Plaza E-104 and 6thFloor E621

Mise Changes Levels 3 thru 5

Level 3 Accessible Courtroommodifications

Passport Photo Modifications

159,440

2,969

4,181

7,005

43,692

28,359

5,992

Fire Code required eXisting maincorridors on floors 3 - 6 be fire rated changed ceilings and doors to comply

Additional signs for directions andspace identification on floors 2, 3, 4, 5,and 6

Fire Department Inspector requiredadditional sensors on the smokecontrol dampers for the new tower

Added power and communications formodular furniture that had not beenpurchased when job began

Layout changes to reduce constructioncosts (-21,020) plus CCTV/securityand other MEP changes (+64,712)

Accessible courtroom for Judge Finn chair lift, chambers/corridor mods andadd accessible restroom

Modifications to create space to takeand process passport modifications

Dallas County Administration Building411 Elm Street, 3" Floor Dallas, Texas 75202-3317

e-mail: [email protected]

Telephone: (214) 653-7650Fax: (214) 653-6517

1 2 1

Commissioners CourtJanuary 9 2007George L. Allen Sr. Courts Building Addition and Renovation - Change Order #21Page 3

190Freeze Chilled Water Lines at Level

1,500 Pipe freeze averted complete shut3 thru 5 Pass-thru Doors down of air conditioning in summer

191Delete Telephone Enclosure at

(1,800) Deleted pay phone walls since payPlaza Office E-145 phones are not available

192 Delete Level 3 Spectator Railing (3,183) Deleted removal and replacement ofspectator rails in four courts

Add Fire Alarms to Mezzanine Fire code requires all areas to be193 Storage Area

35,957 monitored - this mezzanine did notshow on contract drawings

These locks secure all exterior194 Add Mag Locks to Stairway Doors 41,834 stairway doors and prevent security

breach in GACS

Misc electrical changes from Owner195 Miscellaneous Electrical Changes 8,213 requests and correcting unknown

conditions

Miscellaneous 6th Floor ChangesPrimarily electrical changes on 6th floor

196 15,097 to satisfy code and remedy demoissues offset by other changes

Miscellaneous Plaza Level ElectricalRequired changes to electrical due to

197 Changes9,864 Code and to accommodate exiting

conditions

New valves installed in tower project198 Repair Cia-Val Valves 4,133 needed to be repaired for damage

from City supply

TOTAL COST $ 363,253CHANGE ORDER NO. 21

RECOMMENDATION: It is recommended that the Commissioners Court authorize Change OrderNo. 21 to the construction contract for $363,253.00 associated with changes to the renovation of theexisting George Allen Courts Building and approve additional funding for the project without anextension of the October 28, 2005 completion date and authorize the County Judge to sign on behalfof Dallas County.

Approved by:

Dallas County Administration Building411 Elm Street, 3"' Floor Dallas, Texas 75202-3317

e-mail: [email protected]

Telephone: (214) 653-7650Fax: (214) 653-6517

YATESJuly 20. 2006

Re: George L. Allen Sr. Civil CourtsBuilding Addition & Renovation

Construction Change Directive No. 003 dated June 14,2006Proposed Change #162Rev.lIPR 166 dated June 26,2006 - Rat B Ceilings Levels 3 - 6

Dear Mr. Dedman.

On behalf of Fidelity and Deposit Company of Maryland, Colonial erican Casualty and SuretyCompany and Zurich American lnsurance Company we have at'.3che our ised pricing for theabove referenced Construction Change Directive in the amount of , 02.00. As theConstruction Change Directive did not specify the proposed method of adjustment to be used, wehave included what we believe is appropriate pricing per Article 7.3.3 of the contract.

In addition. this is to serve as our formal notice per Article 4.3.7.1 that this added work win affectour construction schedule and request that a total of sixty-nine (69) days be added to the contract.As back-up for this request, we have attached a copy of our updated construction schedule forvour review. Also, as required by Article 4.3.7.1. we have included the estimated cost of this~xtension in our PC #162 quotation.

Please note that our pricing is based on the fonowing qualifications andlor exclusions:1. Our price is based on documents issued by Rees Associates & JohnsonlMcKibben

Architects, lnc. identified as SK-l thru SK-5 dated and received by Yates Constructionon June 26, 2006.

2. We have included for mag locks and door release buttons with glass break enclosures atfour locations per your e-mail direction on 6/25/06.

3. Per the Counties request, the ceiling tile is included as #815 fissured tile with tegularedge. Expected delivery is approximately July 13.2006.

4. We have included a quantity of one hundred (lOO) new 2 X 4 fixtures for floors 3 thru 6.Please note that the new reflected ceiling plans call for an lighting fixtures within therated ceiling to be 2 X 4's, however. our quotation includes for the use of forty-one (41) 2X 2 fixtures on floors 3 thru 5 as originally specified. These 2 X 2 fixtures have beenpurchased and cannot be returned for credit at this time. Should this be unacceptable forany reason. we reserve the right to revise our quotation to reflect the additional fixtures,

W G YilTES IS SONS CONSTRUCTION COMPANY

SOSD Poplar Ave. SUite 634' Memphrs. TN 38157' PHONE 19011761-0010. fAX 19011761·0087. www.woyates.com

123

Mr. Earl DedmanConstruction Change Directive No. 003 dated June 14,2006Proposed Change #162Rev. IIPR 166 dated June 26, 2006 - Rated Ceilings Levels 3 thru 6July 20, 2006Page 2

5. This proposal has been updated to incorporate revised pricing from WayEngineering/FrevinoMechanical. They are requesting reimbursement jor additionaloverhead as a result ofthe schedule impact associated with this work.

We trust that this pricing will meet with your approval and request that the above time and cost beadded to the contract in the next available change order. As always, should you have anyquestions or need additional information, please don't hesitate to call.

Very truly yours,W.G. Yates & Sons Construction Co.

Ken A. EvansSr. Project Manager

cc: PC 162 file

enclosure

124

VATESCONIi'l'RUCTION

December 2 I, 2006

Mr. Earl DedmanProject RepresentativeDallas County Project Management600 Commerce St, 9th FloorDallas, Texas 75202


Proposed Change #207/No PR Issued - Additional SignageDear Mr. Dedman,

P12.Ib8A

On behalf ofFidelity and Deposit Company of Maryland, Colonial American Casualty and SuretyCompany and Zurich American Insurance Company we have attached our pricing for the abovereferenced proposed change in the amount of$2,969.00. Although we believe that this item willaffect our construction schedule, at this time we are requesting a total ofzero (0) days be added toour contract. However, we reserve the right to address the cumulative impact ofmultiple changesat a later date.

Please note that our pricing is based on the following qualifications and/or exclusions:

I. Signs are based on the e-mail dated November 7, 2006 and sketch dated November 21,2006 from Mr. Earl Dedman.

2. Quantities and descriptions of signs are as noted on the attached quotations fromArtOGrafx dated 12/20106 and 12/22/06.

Should you fmd this pricing to be acceptable, please note your approval by signing in the spaceprovided below. Upon receipt ofa Change Order from the County, we will proceed with thiswork.


Ken A. EvansSr. Project manager

cc PC 207file

Approved: _by:

Date: _

W G YATES & SONS CONSTRUCTION COMPANY

5050 Poplar Ave., Suite 634 ¥ Memphis, TN 38157 ¥ PHONE(90il761-0010 ¥ fAX (901) 761-0087 ¥ www.wgyates.com

125

VATES?rt

111.

k-o ~ot~:July 3, 2006 I. 5 f..f Co CcJl~ tv ~~J

1-r::> ~ c.. W\(') lid \-0 V"c.r\ .~Mr. Earl Dedman 'Z. S~..o.O ~ "" ;5\-ou:>4 I S \0)',.Project Representative • \ : ".. 2J,. ~ I ~ ().""i.... . $\1 ff ,WDallas County Project Management Ow(', .~~ 2. ICl;W \G ...~\. ~\~600 Commerce St, 9

thFloor So VI' ~\"'"' .. "" •

Dallas, Texas 75202 ClIo1' l' 0_ $lK/\ t.-"'. :\-V..Re: George L. Allen Sr. Civil Courts r:.J? ~~ +I(' ~'I-

BnildingAddition&Renovation~. \ "~ ;r~~ o...l~Proposed Change #148B/ConstruetionDirective No. O~aated June 14, tlJo6

Add Damper Position Switehes

Dear Mr. Dedman, i 4,1..&,~

On behalf of Fidelity and Deposit Co pany of Maryland, Colonial American Casualty and SuretyCompany and Zurich American Ins ce Company we have attached our pricing for the above referencedproposed change in the amount of $5 .. In addition, we believe that this item will affect ourconstruetion schedule and reqnest !hat a total of_0_ days be added to the contract for this work.

Please note that our pricing is based on the following qualifications andlor exclusions:

J. All work is assumed to be done during nonual working hours.2. Re-inspeetion by the Fire Marshal is to be completed during normal working hours. No premium

time or after hours inspection has been included.3. This quotation is for the addition of damper position switches ouly. No amount is included for the

removal of modulating dampers, additioual signage, etc. as required by the City of Dallas FireMarshal. This work is to be addressed in our PC 148A.

Should you find this pricing to be acceptable, please note your approval by signing in the space providedbelow. Per the Construetion Change Direetive, we have proceeded with this work.

Very truly yours,W.G. Yates & Sons Construetion Co.

Ken A EvansSf. Project Manager

ec PCl48Bfile

Approved:__-,- _by:

Date: _

W G. YATES &. SONS CONSTRUCTION COMPANY

5050 Poplar Ave .. Suite 634' Memphis. TN 38157 • PHONE 19011761-0010 • fAX 19011 761-0087. www.w9yates.com

126

VATESNovember 9, 2006

Mr. Earl DedmanProject RepresentativeDallas County Project Management600 Commerce St, 9'" FloorDallas, Texas 75202


Proposed Change #185 - Add Power & Data rough-in Plaza & 6'" FIr. Clerks

Dear Mr. Dedman,

On behalf ofFidelity and Deposit Company of Maryland, Colonial American Casualty and SuretyCompany and Zurich American Insurance Company we have attached our pricing for the abovereferenced proposed change in the amount of $7,005.00. Although we believe that this item willaffect our construction schcdule, at this time we are requesting a total ofzero (0) days be added toour contract. However, we reserve the right to address the cumulative impact of multiple changesat a later date.


1. The work at the 6'" Floor was completed per the e-mail from Mr. Earl Dedman dated July13, 2006 and an II" X 17" sketch provided by Mr. Dedman.

2. The work at the Plaza consisted of rough-in only for power and data. Premier provided1" conduit ( a total of 12) and junction boxes withiu the curb on the north ofRms. E-I04and E-145 to the ceiling space ofbasement below.

3. No data wiring is included. Wiring and terminations are to be completed by the County.4. All work is complete.

Should you [md this pricing to be acceptable, please note your approval by signing in the spaceprovided below. Upon receipt of a Change Order from the County, we will proceed with thiswork.


Sr. Project manager

cc PC file

Approved: _by:

Date: ~ _


5050 Poplar Ave .. Suite 634· Memphis. TN 38157· PHONE 19011761·0010. FAX 19011761·0087· www.wgyates.com

127

VATESCDNfil£llUCTION

December 21, 2006



Proposed Change #187 - Design Revisions Levels 3 thru 5

Dear Mr. Dedman,

On behalfof Fidelity and Deposit Company of Maryland, Colonial American Casualty and SuretyCompany and Zurich American Insurance Company we have attached our pricing for the abovereferenced proposed change in the amount of$43,692.00. Although we believe that this item willaffect our construction schedule, at this time we are requesting a total ofzero (0) days be added toour contract. However, we reserve the right to address the cumulative impact of multiple changesat a later date.


l. Revisions to the space are as noted on the revised dra,,~ngs issued by Rees/Johnson- .McKibben Architects sheets AO.09, AO.II, AO.l3, Al.09, Al.II, Al.l3, A2.09, A2.11and A2.l3 dated July 26, 2006.

2. We have not included any amount for revisions to the doors and hardware, painting or thefire alarm system. At the time ofthis pricing, these costs had not been resolved. Oncedetermined, we will forward this pricing separately.

3. This pricing includes the addition ofdoor release buttons, CCTV quad units (5) andcameras (8) for doors 3E03, 3E42, 4E03, 4E47, 5E05, 5E36, 6E04 and 6E38.

4. In addition, the following modifications were completed at the direction of DallasCounty:

I. New doors, H.M. frames and hardware (4 ea.) were installed from thecorridor to the two conference rooms at the west end of levels 3 and 4.Deadbolts were installed on the inside doors leading to the Courtroom.

11. Door 4E33 was relocated further to the north in Corridor E-438.1Il. A new door was installed adjacent to door 4E-07 to re-create a security

vestibule into the prisoner hold over corridor.IV. The existing fire hose cabinets at Clerks E-512 ~1l not be relocated as

noted. We will instaI1 a new wing wall to enclose these.v. We will frame cased openings at the existing access panels (4 ea) on the

south wall of Clerks E-512. Door 4E-49 on Level 5 will not be installed.

W G YATES'" SONS CONSTRUCTION COMPANY

5050 Poplar Ave., Suite 634 ¥ Memphis. TN 38157 ¥PHONE \9011 761-0010 ¥ FAX 19011 761-0087 ¥ www.wgyates.com

128

Mr. Earl DedmanProposed Change #187December 21, 2006Page 2

Should you fmd this pricing to be acceptable, please note your approval by signing in the spaceprovided below. In addition, we request that this proposal be incorporated in the next availablechange order between Zurich American Insurance Company and Dallas County.



enclosure

cc PC #187file

Approved: _by:

Date: _

129

VATESCONSI:ItIfCTION

December 21, 2006


Re: George L. Allen Sf. Civil CourtsBuilding Addition & Renovation

Proposed Change #191- Level 3 Handicap Revisions

Dear Mr. Dedman,

On behalfofFidelity and Deposit Company ofMaryland, Colonial American Casualty and SuretyCompany and Zurich American Insurance Company we have attached our pricing for the abovereferenced proposed change in the amount of $28,359.00. Although we believe that this item didaffect our construction schedule, at this time we are requesting a total ofzero (0) days be added toour contract. However, we reserve the right to address the cumulative impact ofmultiple changesat a later date.


1. Revisions are based on the revised drawings issued by Rees/Johnson-McKibbenArchitects sheets AO.09, A1.09 and A2.09 dated 9/12/06.

2. No amount is included for doors, hollow metal frames, hardware or fire alarm. At thetime of this pricing, these costs had not been resolved. Once determined, we will forwardthis pricing separately.

3. No amount is included for electrical power and lighting as shown on the drawings. Costsassociated with this work are offset by the deletion of Level 3 work associated with YatesPC #187 - Design Revisions Level 3-5. However, as a result ofnnforeseen conditions,we have included for relocation ofpower and AIV conduits necessary to install the doorto the Judges bench (reference note 8/A1.09).

4. As noted above, no additional time is requested with this Proposed Change. Althoughthis modification did extend the completion of Level 3, it did not exceed the completiondate for Level 4 which was the predecessor of the start ofthe work on Level 5.

W G YATES & SONS CONSTRUCTION COMPANY5050 Poplar Ave .. Suite 634 ¥ Memphis. TN 38157 ¥ PHONE 19011761·0010 ¥ fAX 19011 761·0087 ¥ www.wavates.cam

130

Mr. Earl DedmanProposed Change #191 - Level 3 Handicap RevisionsDecember 21, 2006Page 2

Should you find this pricing to be acceptable, we request that it be added to the contract betweenZurich North America and Dallas County in the next available change order.


)l/rc~KenA. EvansSr. Project manager

enclosure

cc PC 191file

Approved: _by:

Date: _

1 3 1

VATESDecember 11,2006



Proposed Change #2051 No PR Issued - Passport Office Revision

Dear Mr. Dedman,

On behalf ofFidelity and Deposit Company ofMaryland, Colonial American Casualty and SuretyCompany and Zurich American Insurance Company we have attached our pricing for the abovereferenced proposed change in the amount of$5,992.00. Although we believe that this item willaffect our construction schedule, at this time we are requesting a total ofzero (0) days be added toour contract. However, we reserve the right to address the cumulative impact ofmultiple changesat a later date.


1. Our pricing is based on our understanding ofthe plan and elevation provided by ReesArchitects dated November 9, 2006.

2. Wehave included to add one 120 v. outlet between the cased opening and the column.3. No additional lighting is included4. All carpet and base shall be reworked or installed by the Counties flooring contractor.5. All work is to be done during normal working hours, 7:00 am to 3:30 pm Monday thru

Friday.

Should you find this pricing to be acceptable, please note your approval by signing in the spaceprovided below. Upon receipt ofa Change Order from the County, we will proceed with thiswork.


Ut~KenA. EvansSf. Project manager

cc PC 205file

Approved:. _by:

Date: _

W.G YATES & SONS CONSTRUCTION COMPANY5050 Poplar Ave .• Suite 634 ¥ Memphis, TN 38157 ¥ PHONE{9011761·0010 ¥ fAX (901) 761·0087 ¥ www.wgyates.com

132

VATESOctober 9, 2006

~r. EarIJ)edrnanProject RepresentativeJ)allas County Project ~anagement600 Commerce St, 9th FloorJ)allas, Texas 75202

Re: George L. Allen Sr. Civil CourtsBuilding Addition & RenovationProposed Change #202/No PR Issued - Freeze chilled water lines to

accommodate demo ofFan Coil units @ south pass-thru's Levels 3-5

J)ear~. J)edman,

On behalfof Fidelity and J)cposit Company of ~aryland, Colonial American Casualty and SuretyCompany and Zurich American Insurance Company we have attached our pricing for the abovereferenced proposed change in thc amount of$I,500.00. Although we believe that this item willaffect our construction schedule, at this time we are requesting a total ofzero (0) days be added toour contract. However, we reserve the right to address the cumulative impact ofmultiple changesat a later date.


L Per our agreement, we have included the direct cost of freezing the lines only. Noamount is included for overhead or fee.

2. Our price is based on working Levels 3 thru 5 during the same mobilization.

Should you fmd this pricing to be acceptable, please note your approval by signing in the spaceprovided below. Upon receipt of a Change Order from the County, we will proceed with thiswork.



cc PC 202file

Approved: _

by:

J)ate: _

w.e YATES & SONS CONSTRUCTION COMPANY

5050 Poplar Ave .. Suite 634' Memphis. TN 38157· PHONEj901l761-0010 • FAX !901l761-0087 • www.wgyates.com

133

V~TES

November 6, 2006


Re: George L. Allen Sf. Civil CourtsBuilding Addition & Renovation

Proposed Change #203 - Delete Telephone Enclosure @ Existing Plaza; Office £-145

Dear Mr. Dedman,

On behalfofFidelity and Deposit Company ofMaryland, Colonial American Casualty and SuretyCompany and Zurich American Insurance Company we offer a credit in the amount of($1,800.00) for Proposed Change No. 203. We do not believe that this item will affect ourconstruction schedule, however, we reserve the right to address the cumulative impact ofmultiplechanges at a later date.

Should you [md this pricing to be acceptable, please note your approval by signing in the spaceprovided below. Upon receipt of a Change Ordcr from the County, we will proceed with thiswork.


~(~KenA. EvansSf. Project manager

cc PC 203file

Approved: _by:

Date: _


5050 Poplar Ave .• Suite 634· Memphis. TN 38157 • PHONE 1901) 761·0010 • FAX 19011761·0087· www.w9yates.com

134

VATESCONSTRUCTION

November 14, 2006



Proposed Change #I991N0 PR Issued - Delete Installation of Spectator Railings LvI. 3

Dear Mr. Dedman,

On behalfofFidelity and Deposit Company ofMaryland, Colonial American Casualty and SuretyCompany and Zurich American Insurance Company we have attacbed our credit for the abovereferenced proposed change in the amount of($3,183.00). This change does not affect theconstruction schedule.

As directed, all materials have been delivered to the jobsite for pick-up and storage by theCounty.

Should you find this pricing to be acceptable, please note your approval by signing in the spaceprovided below. We also request that this proposed change be included in the next availablechange order between Dallas County and Zurich.



cc: PC 199file

Approved:~ ,-- _by:

Date: _


5050 Poplar Ave.. Suite 634 ¥ Memphis, TN 38157 ¥ PHONE [9011761·0010 ¥ fAX 19011761·0087 ¥ www.wgyates.cam

135

VATESCONSTRUCTION

November 9, 2006

Mr. Earl DedmanProject RepresentativeDallas County Project Management600 Commerce SI, 9"' FloorDallas, Texas 75202


Proposed Change 197 - Add Fire Alarm System to Mezzanine Storage Area

Dear Mr. Dedman,

On behalf of Fidelity and Deposit Company of Maryland, Colonial American Casnalty and SuretyCompany and Zurich American Insurance Company we have attached our pricing for the above referencedproposed change in the amount of$35,957.00. Due to the complexity of this installation, we anticipate thiswork will take approximately four weeks to complete. The addition of this work should not impact ourcompletion of or the Counties use of Levels 5 & 7, but it will definitely impact our ability to obtain apermanent Certificate ofOccupancy for the overall renovation We have been informed that the FireMarshal will Obt approve the basement and sub-basement fire alarm installation without the inclusion ofthis new work in the mezzanine. Premier Electric and DSG are currently pushing to complete all fire aIannwork in conjunction with the turn over of Levels 5 & 7 and believe that it will require all of their availableresources to do so. Therefore, the addition of this work will most likely occur after the current scheduledcompletion date. As a result, we are requesting a total of twenty-eight (28) calendar days be added to ourcontract for this change. Please note, we have not included any amountfor extended overhead, however,we reserve the right to address the cumulative impact of multiple changes at a later date.


I. All work is to be accomplished dming normal business hoUTS, 7:00 am to 3:30 pm Monday thruFriday.

2. As there is no ceiling in this area all conduit "ill be exposed.

by:

Should you find this pricing to be acceptable, please note your ap oval by signing in the space providedbelow. Upon receipt of a Change Order from the County, we", I p ceed . this work.

Sr. Project manager

Vel)' truly yours,W. G. Yates & Sons Construction Co.

!4carn{~

cc PC 197fi1e

w C. YATES 8< SONS CONSTRUCTION COMPANY

5050 Poplar Ave. Suite 634 ¥ MemphIS. TN 38157 ¥ PHONE 19011761·0010 ¥ fAX 19011761·0087 ¥ www.wgyates.com

136

VATES(; 0 III $" rif R U (; T ION

November 17, 2006



Proposed Change #200INo PR Issued - Add Mag Locks to Stairway Doors

Dear Mr. Dedman,

On bebalf of Fidelity and Deposit Company of Maryland, Colouial American Casoalty and SuretyCompany and Zurich American Insurance Company we have attached our pricing for the above referencedproposed change in the amount of$41,834.00. Although we believe that this item will affect ourconstruction schedule, at this time we are requesting a total of zero (0) days be added to our contractHowever, we reserve the right to address the cumulative impact of multiple changes at a later date.

Please note that our pricing is based on the following qualifications andlor exclusions:

I. This proposal provides for new mag locks, power supplies and glass break REX buttons ouly. Noadditional door hardware is to be provided.

2. No work is iocluded to adjust existing doors. It is assumed that all doors work properly.3. We have not iocluded to remove and re-iostall drywall/plaster ceiliogs to accommodate the new

iostallation. Conduit and raceways "ill be run above ceilings where possible. In ioaccessibleareas, some exposed conduit may be necessary.

4. We have not included for replacement of ceiling tile. During installation some wear and tear tothe existing tile is to be ex-pected. However, we will endeavor to mitigate damage to the existing

tile.5. This qnotation ineludes for mag locks at the following locations:

Stair #1 at Judges parking - Dr. BOOIStair #2 at NE corner of the Plaza - Dr. 1065Stair #2 at the 2nd Level - Dr. 2061Double Doors at the Northwest Corner of the Existing Plaza - Dr. 1001North Exterior Door from Stair IX - Dr. 1002

Should you find this pricing to be acceptable, please note your approval by signing in the space providedbelow. Upon receipt of a Change Order from the County, we will proceed with this work.

Very truly yours,W.G. Yates & Sons Construction CO.

J!&tC~Ken A. EvansSr. Project manager

cc PC 200file

Approved:__-;- _by:

Date:. _

W G YATES &. SONS CONSTRUCTION COMPANY

5050 Poplar Ave .. Suite 634 ¥ Memphis. TN 38157 ¥ PHON' 19011761-0010 ¥ fAX 19011761-0087 ¥ www.wgyates.com

137

VATES~ llDNS'I'RllIllTION

December 11,2006

Mr. Earl DedmanProject RepresentativeDallas County Project Management600 Commerce St, 9" FloorDallas, Texas 75202


Proposed Change #190fNo PR Issued - Miscellaneous Electrical Items

Dear Mr. Dedman,

On behalfof Fidelity and Deposit Company of Maryland, Colonial American Casualty and SuretyCompany and Zurich American Insurance Company we have attached our pricing for the abovereferenced proposed change in the amount of $8,213.00. Although we believe that this item hasaffected our construction schedule, at this time we are requesting a total ofzero (0) days be addedto our contract. However, we reserve the right to address the cumulative impact of multiplechanges at a later date.

We have enclosed a recap sheet which identifies the items associated with this proposal andprovides a brief description ofthe work involved.

Should you fmd this pricing to be acceptable, please note your approval by signing in the spaceprovided below. In addition, we request that this proposal be incorporated in the next availablechange order between Zurich American Insurance Company and Dallas County.



cc PC 190file

Approved: _by:

Date: _

W G YATES & SONS CONSTRUCTION COMPANY5050 Poplar Ave .. Suite 634 ¥ Memphis, TN 38157 ¥ PHONE 1901} 761·0010 ¥ fAX 1901} 781·0087 ¥ www.wgyates.com

138

:ATES(:ONSTRUL:'I'ION

December 12, 2006



Proposed Change #167!No PR Issued - Modifications to the Sixth Floor - Existing

Dear Mr. Dedman,

On behalf of Fidelity and Deposit Company ofMaryland, Colonial American Casualty and SuretyCompany and Zurich American Insurance Company we have attached our pricing for the abovereferenced proposed change in the amount of$15,097.00. Enclosed for your review is a recapsheet which identifies the items associated with this proposal.

Although we believe that this item has affected our construction schedule, at this time we arerequesting a total of zero (0) days be added to our contract. However, we reserve the right toaddress the cumulative impact ofmultiple changes at a later date.

Should you frod this pricing to be acceptable, please note your approval by signing in the spaceprovided below. Upon receipt ofa Change Order from the County, we will proceed with thiswork.



enclosure

cc: PC 167file

Approved: _by:

Date: _


5050 Poplar Ave .• Suite 634 ¥ Memphis. TN 38157 ¥ PHONE (901)761-0010 ¥ FAX 19011761-0087 ¥ www.wgyates.com

139

VATESDecember 26, 2006



Proposed Change # I951N0 PR Issued - Miscellaneous Plaza (Renovation) Issues

Dear Mr. Dedman,

On behalfofFidelity and Deposit Company of Maryland, Colonial American Casualty and SuretyCompany and Zurich American Insurance Company we have attached our pricing for the abovereferenced proposed change in the amount of$9,864.00. Altbough we believe that this item hasaffected our construction schedule, at this time we are requesting a total ofzero (0) days be addedto our contract. However, we reserve the right to address the cumulative impact ofmultiplechanges at a later date.

Please note that our pricing is based on the following:I. Where existing electrical junction boxes interfered with new rated drywall partitions, we

added fire rated offsets in the drywall partitions to accommodate access to the existingboxes.

2. Per the Counties direction, we added VCT tile to Electrical Rm. E-120 in lieu of sealedconcrete.

3. Additional electrical work consisted of the following:a. At the columns in Room E-I 10, existing outlets were noted to remain. However,

these were fed from home runs in demolisbed walls. Premier added outlets toreplace those lost.

b. Several ofthe existing 4' X 4' lighting fixtures in the exit corridor E-132 wererewired to an emergency circuit to meet electrical and life safety code issues.

c. The TDLR Permit Revisions noted modification to the existing Toilet Rooms onthe west end ofthe building, however no electrical revisions were noted to berequired. Premier relocated switches, plugs and lighting to accommodate thenew layout.

d. Due to the modifications required to accommodate the exiting from Stair IX andthe relocation ofToilet E- I05 it was necessary to relocate existing circuitsserving the cafeteria below. New outlets were also added to accommodatevending machines.


5050 Poplar Ave .. Suite 634· Memphis, TN 38157· PHONE 19011761-0010. fAX 19011761-0087. www,wgyates.com

140

Mr. Earl DedmanProposed Change #195December 26, 2006Page 2

e. Added outlets at new vending area @ Break Rm. E-I 0I per the Architectsinstruction.

£. Outlets to serve Break Room E-I OJ were incorrectly noted on the electricaldrawings on the wrong side ofthe wall. These were reinstalled at the break roomcabinets.

g. Reworked the installation ofpower and phone rough-in at Business Cntr. E-I13to accommodate the installation of existing phone booths.

Should you find this pricing to be acceptable, please note your approval by signing in the spaceprovided below and include this amount in the next available change order.



enclosure

cc PC 195file

Approved: _by:

Date:----------

1 4 1

VATESDecember 28, 2006



Proposed Change #210 - Repair ofHouse Pump CIa-Valves

Dear Mr. Dedman,

On behalfof Fidelity and Deposit Company of Maryland, Colonial American Casualty and SuretyCompany and Zurich American Insurance Company we have attached our pricing for the abovereferenced proposed change in the amount of$4,133.00. Although we believe that this item willaffect our construction schedule, at this time we are requesting a total ofzero (0) days be added toour contract. However, we reserve the right to address the cumulative impact ofmultiple changesat a later date.

Please note that our pricing is based on the scope of work as outlined in Trevino MechanicalContractors proposal dated 12/20/06 (see attached),

Should you fmd this pricing to be acceptable, we request that it be added to the contract betweenZurich North America and Dallas County in the next available change order.


Ken A. EvansSr. Project Manager

Enclosure

cc: PC 2JOfile

Approved: _by:

Date:--------

W G YATES & SONS CONSTRUCTION COMPANY5050 Poplar Ave .. Suite 634 • Memphis. TN 38157 • PHONE 19011 761·0010 • fAX 19011 761·0087 • www.wgyates.com

142

DALLAS COUNTYCOMMISSIONERS COURT ADMINISTRATIONDEPARTMENT OF PLANNING AND DEVELOPMENT

December 22, 2006


THROUGH: J. Allen Clemson, Administrator

FROM:

SUBJECT:

Rick Loessberg, Director of Planning & Development~.

Tax Abatement Request from Avelo Mortgage

BACKGROUND

Avelo Mortgage, which is affiliated with Goldman Sachs, is a residential mortgage loan servicer.Currently based in Irving, the firm anticipates undertaking a major expansion and is in the processof determining where to locate this expansion (Irving and Salt Lake City are under consideration).To help facilitate the selection ofIrving, the firm has requested that the County provide it with a tenyear 50% abatement on real and business personal property.

DESCRIPTION OF PROJECT

Avelo already employs 68 people in Irving. Under the proposed expansion, which would be one ofthe largest abatement projects in which the County has been asked to participate, the firm wouldlease about 45% of a completely vacant office building in Las Colinas, add another 977 employees(with the average salary being about $110,000) over the next three years, acquire $16 million ofnewbusiness personal property, and make about $5.8 million of tenant improvements. In addition, theproperty owner would make another $22.6 million of building improvements (with the principaladdition being the construction of a parking garage).

A location decision is expected shortly as Avelo would like to begin moving into the selected facilityduring the second quarter of 2007.

IMPACT ON OPERATIONS

This project is considered to be an expansion project under the County's abatement policy. Suchprojects, when located in areas like Las Colinas, must create at least 400 new jobs and increase theCounty's tax base by $20 million in order to be eligible for consideration. As the project will create977 jobs and increase the local tax base by at least $30 million, this project fulfills the policy's

411 Elm Street, 3" Floor, Room 313 Daltas, Texas 75202-3301Dallas County Administration Building e-mail: [email protected]

Telephone: (214) 653-7601Telecopier: (214) 653-6517

143

Page 2 of 2

eligibility requirements. Similarly, the requested ten-year 50% abatement on real and businesspersonal property is also consistent with County policy.

IMPACT ON FINANCE

The requested abatement would go into effect on January I, 2008 and would result in the Countyabating about $32, I00 a year in tax revenue that does not presently exist and enable it tosimultaneously collect an identical amount in new revenue.

The project would also increase the estimated total amount ofproperty that the County would abatein tax year 2008 from approximately $618.7 million to $633.7 million. This increase is notsignificant enough to increase the total percentage ofthe County's tax base that would be abated in2008; it would remain at the current projected level of approximately 0.4%.

M/WBE INFORMATION

An EEO-I report for Avelo has previously been provided to the Court under separate cover.

RECOMMENDATION

It is recommended that the County provide Avelo with a ten-year 50% abatement on real andbusiness personal property.

Recommended by:

J. Allen Clemson, Administrator

cc: Virginia Porter, AuditorDavid Childs, Tax Assessor/CollectorRyan Brown, Budget OfficerMonica Coffey, Vinson & Elkins

144

DALLAS COUNTY cOf9,fi~M(tNf~¥,NJ:URTOFFICE OF BUDGET AND EVALUATION

05 JAN -3 PH 3: 51

TO:

THROUGH:

FROM:

SUBJECT:

Commissioners Court

Ryan BrowQBUdget Officer

Catherine SOI~Udget& Policy Analyst

Sheriffs Office Emergency Medical Services

BACKGROUNDThe Sheriffs Office has requested additional funding to accommodate increased costs for City ofDallasEmergency Medical Services. The Office of Budget and Evaluation has reviewed the request and provideda recommendation.

OPERATIONAL IMPACTThe Sheriff's Office currently utilizes City ofDallas Emergency Medical Services to transport inmateswho require immediate and acute emergency medical care at local area hospitals. Inmates are typicallytransported to the Parkland Memorial Hospital ER. Two factors have led to the significant increase ofemergency medical costs to Dallas County. First, the takeover of Parkland Hospital as Dallas County Jail'sprimary inmate medical provider has resulted in more frequent utilization of EMS. A second factor in theincreased costs is the recent fee increase imposed by the City of Dallas Emergency Medical Services. Priorto October 1,2005 transports had a per transport cost of$320 with an additional $8 per mile charge. AfterOetober 1, 2005 rates were increase to $600 per transport with an additional $10 per mile charge, nearlydoubling the transportation costs.

FlNAJ'\'CIAL IMPACT/CONSIDERATIONSDue to increased use and increased cost of City ofDallas EMS, the Dallas County Sheriff's Department ison pace to spend over $360,000 in FY2007. This expenditure is a notable jump from annual EMSexpenses of$31,310 for FY2004, $61,147 for FY2005 and $136,241 in FY2006. The Office ofBudgetand Evaluation is currently researching alternative providers and more cost effective solutions to offsetthese increased expenses.

Monthlv Invoice CostsInvoice Date Invoice Amount Validated Amount

Julv,2006 $37,844 $31,705August, 2006 $25,388 $19,200Seotember, 2006 $31,596 $22,024October, 2006 $38,820 N/ANovember, 2006 $36,807 N/AAvera~e $34,091 $24,309Total Annual $409,092 $291,708Proiection

RECOMMENDATIONThe Offiee of Budget and Evaluation reeommends Commissioners Court approve the transfer of $300,000into the Sheriff's Offiee, Fiscal Division to pay the remaining FY2007 emergency medical invoices.Funding is available in Unallocated Reserves. In addition, it is recommended that the Sheriff's Office,Purchasing Department and the Office ofBudget and Evaluation continue to find alterative opportunitiesand vendors who can provide emergency medical/ambulance services at reduced cost to the County.

41 J Elm Street - 3'd Floor, Dallas, Texas 75202-3340(214) 653-6386 • Fax (214) 653-6517 • [email protected]

145

January 3,2007

TO:

THROUGH:

Commissioners Court

Ryan BroGudget Officer

FROM: ~awn Balusek, Senior Budget and Policy Analyst

SUBJECT: FY2007 DDA Rollover

BackgroundEach year, the Office of Budget and Evaluation and the Auditor's Office collaborate on areconciliation of the prior year ending balance in each department's DDA account. Aftercompletion ofthe reconciliation, the DDA rollover from FY2006 to FY2007 totals $949,070 forall funds (Attachment A). Based on the current DDA policy, departments are entitled to have thisbalaoce rolled into FY2007 budgets for their use.

The FY2007 budget for departments that included offices for which there was a contestedelection were provided Y. of their seed amount, based on the DDA policy. The remaining % ofthe seed amount will be included in the FY2007 rollover amount to the department.

During the first three months of FY2007, there were several outstanding invoices that were to bepaid from departmental DDA accounts for which the expenditure was approved prior to theNovember election. In these instances, the Office ofBudget and Evaluation and Auditor's Officecoordinated a transfer into the individual departments FY2007 DDA line item to pay theapproved expenditute. These amounts will be deducted from the FY2007 rollover amount.

The purpose ofthis briefing is to request approval to make the appropriation transfers necessaryfor the FY2007 DDA rollover.

Financial ImpactAs part of the FY2007 process, $790,771 was projected as the FY2007 General Fund DDArollover amount aod budgeted as such in the FY2007 adopted budget. Funds in the amount of$758,884 remain for the DDA Rollover. As the General Fund DDA rollover amount exceededthe projection, the remaining $152,506 necessary for the DDA rollover is available in FY2007General Fund unallocated reserves.

411 Elm Street - 3rd Floor, Dallas Texas 75202-3340(214) 653-6655. Fax (214) 653-6517. [email protected]

146

A portion of the rollover amount for several courts includes funds associated with the contractcourt reporter initiative. The cost of the contract court reporter is deducted from the potentialsalaried reporter, with half of the savings going to the court. For FY2006, eight (8) courtsgenerated $156,215 in savings with this initiative (Attachment B).

The Road and Bridge FY2007 DDA rollover amount of$37,680 is available from the NewProgram Contingency of each Road and Bridge District.

As several county departments have balances of more than $60,000 with a limited ability toexhaust such a large balance, a revision to the DDA policy to cap DDA balances at $75,000would ensure County funds are utilized in an efficient manner.

RecommendationThe Office of Budget and Evaluation recommends Commissioners Court authorize theappropriation transfers as outlined in Attachment A for the FY2007 DDA rollover. In addition, itis recommended that Commissioners Court revise the DDA policy to include a $75,000 cap onthe balance that can be accumulated in anyone department's DDA.

147

Attachment A

FY2007 DDA Rollover1/3/2007

Rollover Contested Election Other Court Total

Department Amount Seed Adjustment Adjustments Reporter Rollover1010 GG-County Judge 7,105 900 (182) 7,8231011 Truancy Courts 9,169 9,1691020 GG-Commissioners Court 17,608 17,6081035 GG- Tax Assessor/Collector 11,052 11,0521040 Human Resource/Civ 12,729 12,7291050 GG-County Treasure 10 101060 Office of Budget 8,806 8,8061070 GG-County Auditor 11,527 11,5271080 GG-Purchasing 378 3781090 Data Services 2,316 2,316

1210 Elections 5,455 5,4552010 Public Works 10,670 10,6702050 Texas Cooperative 2,779 2,7792060 Veterans Service 3,397 3,3973110 Executive 14,858 14,8583210 Constable Precinct #1 549 (500) 493220 Constable Precinct #2 4,451 4,4513230 Constable Precinct #3 12,418 12,4183240 Constable Precinct #4 28,612 (28,612) 03250 Constable Precinct #5 985 9853312 Medical Examiner 14,305 14,3053330 Public Service Program 1,485 1,4853340 Office of Security 11 114011 District Attorney 1,791 3,750 5,5414020 District Clerk 4,450 3,750 (1,330) 6,8704031 County Clerk 2,370 3,750 6,1204040 Public Defender 2,909 2,9094051 District Court Adm 1,184 1,1844052 Family Court Services 507 5074053 Child Support Payments 2,234 (173) 2,0614060 Jury Service 1,153 1,1534110 14th Civil District 5,433 5,4334115 44th Civil District 7;124 900 8,0244120 68th Civil District 8,178 900 9,0784125 95th Civil District 41,501 2,152 43,6534130 101st Civil District 3,173 900 4,0734135 116th Civil District 1,659 900 2,5594140 134th Civil District 30,005 2,928 32,9334145 160th Civil District 2,825 900 (1,235) 2,4904150 162nd Civil District 29,649 7,413 37,0624155 191 st Civil District 17,293 900 18,1934160 192nd Civil District 6,373 900 7,2734165 193rd Civil District 34,372 900 35,2724170 298th Civil District 6,208 900 (270) 6,838

148

Rollover Contested Election Other Court Total

Department Amount Seed Adjustment Adjustments Reporter Rollover

4210 254th Family Court 1,669 1,669

4215 255th Family Court 1,884 1,884

4220 256th Family Court 1,270 1,270

4225 301 st Family Court 325 325

4230 302nd Family Court 4,176 4,176

4235 303rd Family Court 546 546

4240 330rd Family Court 535 535

4310 304th Juvenile Court 3,582 3,582

4320 305th Juvenile Court 1,627 1,627

4401 Criminal District Court #1 3,066 900 3,966

4402 Criminal District Court #2 867 867

4403 Criminal District Court #3 1;721 1,721

4404 Criminal District Court #4 5,334 5,334

4405 Criminal District Court #5 7,649 900 8,549

4406 Criminal District Court #6 651 900 1,551

4407 Criminal District Court #7 802 900 1,702

4410 194th Criminal Disistrict 3,246 3,246

4415 195th Criminal Disistrict 3,308 3,308

4420 203rd Criminal District 44,923 19,683 64,606

4425 204th Criminal District 1,346 1,346

4430 265th Criminal District 2,599 20,556 23,155

4435 282nd Criminal District 2,293 2,293

4440 283rd Criminal District 4,202 4,202

4445 291 st Criminal District 2,038 2,038

4450 292nd Criminal District 2,791 2,791

4455 363rd Criminal District 7,453 7,453

4460 Criminal District Court Magistrates 8,236 8,236

4465 Staff Attorneys 3,008 3,008

4470 Criminal District Court Manager 1,585 1,585

4501 County Court at Law #1 49,084 900 49,984

4502 County Court at Law #2 59 900 (390) 569

4503 County Court at Law #3 667 900 1,567

4504 County Court at Law #4 55,518 900 9,555 65,973

4505 County Court at Law #5 31,119 900 5,596 37,615

4601 County Criminal Court #1 354 900 2,321 3,575

4602 County Criminal Court #2 4,386 900 (301) 4,985

4603 County Criminal Court #3 7,318 7,318

4604 County Criminal Court #4 1,454 900 2,354

4605 County Criminal Court #5 0 0


4607 County Criminal Court #7 59,647 10,227 69,874

4608 County Criminal Court #8 10,122 10,122

4609 County Criminal Court #9 931 900 1,831

4610 County Criminal Court #10 2,085 900 (772) 2,213


4615 County Criminal Court of Appeals #1 1,818 1,818

4616 County Criminal Court of Appeals #2 7;784 7,784

4620 County Criminal Court Manager 1,310 1,310

4701 Probate Court #1 6,334 6,334

4702 Probate Court #2 730 730

149

Rollover Contested Election Other Court TotalDepartment Amount Seed Adjustment Adjustments Reporter Rollover4703 Probate Court #3 7,746 900 8,6464811 J.P- 1-1 0 04812 J.P- 1-2 3,085 900 3,9854821 J.P- 2-1 5,511 5,5114822 J.P- 2-2 3,980 3,9804831 J.P- 3-1 12,718 12,7184832 J.P- 3-2 7,524 7,5244833 J P 3-3 11,037 11,0374841 J.P- 4-1 651 6514842 J P 4-2 4,017 4,0174851 J.P- 5-1 1,840 1,8404852 J.P- 5-2 1,162 1,1624861 J.P- 1A 0 05110 Juvenile Administration 71 715210 Health Administratlion 8,365 8,365

GENERAL FUND TOTAL 828,274 36,450 (33,765) 80,431 911,390

RolloverROAD AND BRIDGE DEPARTMENT Amount2510 District #1 6,5362502 District #2 12,7492503 District #3 6;3482504 District #4 12,047

ROAD AND BRIDGE TOTAL $37,680

ATIACHMENTB

FY2006 Contract Court Reporter Initiative1/3/2007

Judge

JohnsonAshby*RaggioMcDanielDean**WoodyGreenbergCrowder ***

Court

4125 95th Civil District4140 134th Civil District4150 162nd Civil District4420 203rd Criminal District Court4430 265th Criminal District Court4504 County Court at Law #44505 County Court at Law #54607 CCC#7

PreviousCourt Reporter

$71,280$18,663$75,399$73,406$70,238$71,875$71,875$35,383

IncludingBenefits

$89,004$23,238$93,829$91,495$87,324$89,701$89,701$44,200

FY2006 SubstituteCourt Reporter Cost

$84,700$17,383$79,003$52,130$46,212$70,592$78;510$23,747

Total

Total Savings

$4,304$5,855

$14,826$39,365$41,112$19,109$11,191$20,453

$156,215

DDA Transfer

$2,152$2,928$7,413

$19,683$20,556

$9,555$5,596

$10,227$78,108

• Judge Ashby utilized a contract court reporter for Ihree months of FY2006. This was a continuation of the court report initiative from a previous fiscal year.•• Judge Dean utilized a contract court reporter for an eleven month period during FY2006.••• Judge Crowder utilized a contract court reporter for six months of FY2006. This was a continuation of the court report initiative from a previous fiscal year.

The above three courts have their "Previous Court Reporter" total pro-rated based on the number of months that the contract court reporter was utilized.

In FY2006, County Criminal Court #1 hired a full-time court reporter at a salary lower than the previous full-time court reporter in that court and received1/2 the salary difference savings, $2,321, in their DDA.

.......

01o

1 5 1

DALLAS COUNTYOFFICE OF BUDGET AND EVALUATIONCOlgb,~li~SISOUNTY

d"" :,U'iS CCURT

06 ~'AN -3 PH 3; 35

January 3, 2007

TO:

THROUGH:

FROM:

SUBJECT:

Commiss~Court

Ryan Bro\.m, f3'udget Officer .( V,tJ.jV

Kima S, E. Letcher, Budget and Policy Analyst II '( 1

District Attorney's Office Request to ModifY Positions

BackgroundThe District Attorney's Office has submitted a request to modifY one Assistant District Attorney IV full-timeposition into two part-time Assistant District Attorney IV positions. The purpose ofthis briefing is to providethe Commissioners Court with a recommendation regarding this request

Operational ImpactHistorically, the District Attorney's Office, Appellate Division has requested position modifications whichallow the department to adequately meet the needs of the division, employee and to retain experiencedattorneys in this specialized field of law concerning appeals including death penalty cases. In order toeffectively utilize staffing in the Appellate Division it is requested that one full-time Assistant District AttorneyIV position be split into two part-time Assistant District Attorney IV positions. This will allow the division toretain the current experienced employees in death penalty appeals, The County has approved similar requestsin the past and the County's policy permits this type ofposition modification,

Financial ImpactThe anticipated annual cost ofa full-time Assistant District Attorney IV, Grade Att4, is $98,544,00, includingbenefits. The annual cost to modifY the Assistant District Attorney IV position into two part-time positions is$81,793.00. Neither employee is paid benefits in part-time position status, The County will realize anestimated cost saving of$1 0,624,00 to modifY these positions with the employees maintaining their current payrate. Funding for the positions is available in the FY2007 Budget allocation for the District Attorney Office.

RecommendationThe Office ofBudget and Evaluation recommends that Commissioner Court approve the modification oftheAssistant District Attorney IV from one full-time position to two part-time Assistant District Attorney IVpositions assigned to the Appellate Division in the District Attorney Office,

411 Elm Street - 3'd FlOaT, Dallas, Texas 75202-3340(214) 653 - 6387- Fax (214) 653-6517 - [email protected]

152

Date:

To:

From:

Subject:

January 3, 2006

Members of the Commissioners Court

Cori Thomason, Policy AnalYS~Conflict ofTnterest Policy - House Bill 914

BackgroundHouse Bill 914 passed during the 79'" legislature requires officers of government entities and those whocontract with those entities to make certain financial and business disclosures. The purpose of this briefingis to present the court modifications to the Dallas County Code and required forms for compliance withLocal Government Code § 176.001-176.010 as amended by House Bill 914.

Certain elected officials with contracting authority are required to file Conflict ofInterest Statement forms(CIS) along with their campaign contribution reports with the county clerk disclosing business andfinancial relationships with vendors as well as gifts and/or taxable income received. In Dallas County,thisclause generally applies to members of the Commissioners Court and Juvenile Board.

Vendors and potential vendors are also required to file Conflict of Interest Questionnaire forms (CIQ) withthe county clerk disclosing potential conflicts with county officials; however, the bill does not stipulateenforcement or punishment - only to ensure the availability ofCIQ forms.

Finally, the bill also requires counties with a population of 800,000 or more or a municipality with apopulation of 500,000 or more to provide searchable access to thc disclosure statements through the countywebsite.

Impact on OperationsMembers of the Commissioners Court and Juvenile Board will complete the Conflict of Interest Statementform (CIS), downloadable from the County Clerk's website, within seven days of a known conflict. Thecompleted form is be returned to the County Clerk's office and posted online. The County Clerk's officewill also obtain the campaign contribution report from Elections to be posted alongside the CIS forms.

Vendors will complete Conflict of Interest Questionnaire forms (CIQ), downloadable from the PurchasingDepartment website and included in all bid packages. The Purchasing Department employees will directvendors to complete and return the form when bids are obtained. Completed CIQ forms will be given tothe County Clerk's office for posting on the County Clerk website.

Financial ImpactThere is no financial impact to Dallas County at this time.

411 Elm Street Dallas, Texas 75202 Phone (214) 653-7361 Fax (214) 653-7057

153

Legal ReviewThe Civil Section of the District Attorney's Office has reviewed and approved the modifications to theDallas County Code.

RecommendationStaff recommends the approval of the attached policy revisions and required forms for inclusion in theDallas Cou nty Code.

Recommended by:

Reviewed andapproved by:

. Allen Clemson, Court Administratdr r J.

B'o!J Ctines, ChiefJn ormation Officer

411 Elm Street Dallas, Texas 75202 Phone (214) 653-7361 Fax (214) 653-7057

154

DIVISION 8. CONFLICT OF INTEREST*

*State law references: Conflict of interest, V.T.C.A., Local Government Code § 171.001 etseq.

Sec. 74-741. Purpose of division.

(a) It is possible that the private financial interests and investment holdings of county officialsand employees and their families could constitute a conflict of interest in the performance of theirofficial duties if circumstances arose in which the official or employee were to take actions, makedecisions, or give opinions or assistance concerning matters which affect their personal financialinterests.

(b) In such a case, a breach of public trust could occur in that personal financial interests couldinfluence the official's or employee's action, decision or opinion rather than solely having theinterests of the county as the motivating factor in the decision making process.

(Admin. Policy Manual, § E( 18.00, 18.01)

Sec. 74-742. Policy.

(a) In order to avoid potential conflicts of interest or the appearance of conflicts of interest, noofficer or employee of the county shall:

(I) Have a substantial interest, investment, ownership or other involvement in any entityor firm which supplies goods or services to the county;

(2) Accept from or give to any entity, firm or person doing or seeking to do businessdirectly or indirectly with the county, including agents or representatives of such entity,firm or person, any personal gift; loan of any type; entertainment; trips, services, ormoney in any amount;

(3) Receive directly or indirectly any pecuniary interest from a contract or otheragreement entered into by the county;

(4) Engage in any other business to an extent which interferes with their performance ofduties as a county official or employee; or

(5) Use in any matter their public office or position for personal gain including theacceptance or dispensing of any special favors, privileges or benefits.

(b) The county officials and employees may be requested to submit an annual conflict ofinterest-disclosure statement (Exhibit EC) to the commissioners court.

(c) All elected officials and employees of the county will comply with V.T.C.A., Penal Code ch.36 that requires that nO gift be given as a consideration for some exercise of official discretion.County employees shall not accept gifts from contractors, vendors or other persons who areemployed by or who deal with the county. These rules do not apply to gifts exempted by

155

V.T.c.A., Penal Code § 36.10, calendars, folders, pens, notepads and similar articles that bear thedonor's advertising, nor do they apply to purely personal gifts between relatives and friends.

(d) All elected officials and candidates required to file financial disclosure statements byV.T.C.A., Local Government Code § 159.001 et seq., shall file an annual financial statement withthe county auditor, including the reporting of gifts, as required by that statute.

(e) Members of the Commissioners Court, Juvenile Board and any other officials reguired to tileconflict of interest disclosure statements (Exhibit ) by V.T.C.A.. Local Government Code §176.003 et seg .. shall file such statement. along with their report of campaign contributions withthe county clerk for posting on the county website.

(I) All elected county officials shall comply with V.T.C.A., Election Code title 15 and all statemandated reporting of gifts.

(g) The county officials or employees having reservations or questions regarding possibleconflicts of interest should request a legal opinion from the district attorney's office.

(h) Nothing in this division shall prohibit the solicitation and or acceptance of contributions andor gifts as authorized by the Texas Election Code.

(Admin. Policy Manual, § E(18.02--18.09))

Cross ref€renees: Conflicts of interest re personnel and employment, personal conduct, § 86758.

Sec. 74-742.1. Personal financial disclosure reporting.

(a) The county commissioners court by the adoption ofthis section extends personal financialdisclosure reporting to the county sheriff, county tax assessor/collector, county clerk, districtclerk, county treasurer, county auditor, county purchasing agent, all constables, all justices of thepeace and county employees occupying the positions identified in the list below.

EMPLOYEE PERSONAL FINANC1ALDISCLOSURE REPORTING LIST

(I) Commissioners court administrator.

(2) Assistant administrator for operations.

(3) Assistant administrator for governmental affairs.

(4) Chief information officer.

(5) Director of security and emergency management.

(6) Director of health and human services.

(7) Director of human resources.

(8) Director of the institute offorensic sciences.

156

(9) Director ofjuvenile services.

(] 0) Director of criminal justice

(II) Director of budget and evaluation.

(12) Director of public works.

(13) Chief public defender.

(14) Veterans services officer.

(15) Director of Purchasing

(b) Such financial disclosure reporting shall be the same in all regards as that required byV.T.C.A., Local Government Code ch. 159, subch. A which applies to the county judge, countycommissioners and county attorney.

(Ord. No. 2003-1944,10-21-2003)

Cross references: Elected officials and candidates required to file financial disclosures, §§ 74742(e),86-758(e).

Sec. 74-743. Confidentiality.

All information protected by state statute concerning county business must be held in strictconfidence and must not be discussed with others on or off the job except for purposes ofnecessary county business.

(Admin. Policy Manual, § E( 18.1 0))

Secs. 74-744--74-760. Reserved.

157

LOCAL GOVERNMENT OFFICER FORM CISCONFLICTS DISCLOSURE STATEMENT(Instructions for completing and filing this form are provided on the back.)

This is the notice to the appropriate local governmental entity that the OFFICE USE ONLY

following local government officer has become aware of facts that requirethe officer to file this statement in accordance with chapter 176, Local Date Received

Government Code.

.2J Name of Local Governmen~Officer

.:J Office Held

..:J Name of person described by Sections 176.002(a) and 176.003(a), Local Government Code

~ Description of the nature and extent of employment or business relationship with person named in item 3

~ List gifts if aggregate value of the gifts received from person named in item 3 exceed $250

Date Gift Received Description of Gift D Did NotAccept Gift



(attach additional forms as necessary)

~ AFFIDAVITI swear under penalty of perjury that the above statement is true and correct. I acknowledge that

the disclosure applies to a family member (as defined by Section 176,001(2), Local Government

Code) of a government officer. I also acknowledge that this statement covers the 12·month period

described by Section 176.003(a)(2)(b), Local Government Code.

Signature of Local Government Officer

AFFIX NOTARY STAMP I SEAL ABOVE

Sworn to and subscribed before me, by the said . this the day

of ,20 , 10 certify which, witness my hand and seal of office.

Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath

Adopted 11102.12005

158

LOCAL GOVERNMENT OFFICERCONFLICTS DISCLOSURE STATEMENT

Section 176.003 of the Local Government Code requires certain local government officers to file this form. A"local government officer" is defined as a member of a governing body of a local government entity or adirector, superintendent, administrator, president, or other person designated as the executive officer of thelocal government entity. This form is required to be filed with the records administrator of the local governmentalentity not later than 5 p.m. on the seventh business day after the date on which the officer becomes aware ofthe facts that require the filing of this statement.

A local government officer commits an offense if the officer knowingly violates Section 176.003, LocalGovernment Code. An offense under this section is a Class C misdemeanor.

Please refer to chapter 176 of the Local Government Code for detailed information regarding the requirementto file this form.

INSTRUCTIONS FOR COMPLETING THIS FORM

The following numbers correspond to the numbered boxes on the other side.

1. Name of Local Government Officer. Enter the name of local government officer filing this statement.

2. Office Held. Enter the name of the office held by the local government officer filing this statement.

3. Name of person described by Sections 176.002(a) and 176.003(a), Local Government Code. Enterthe name of the person described by Section 176.002, Local Government Code with whom the officer has anemployment or other business relationship as described by Section 176.003(a), Local Government Code.

4. Description of the nature and extent of employment or business relationship with person namedin item 3. Describe the nature and extent of the relationship of the employment or other business relationshipwith the person in item 3 as described by Section 176.003(a), Local Government Code.

5. List gifts if aggregate value of the gifts received from person named in number 3 exceed $250.List gifts received during the 12·month period (described by Section 176.003(a)(2)(8), Local GovernmentCode) by the local government officer or family member of the officer from the person named in number 3that in the aggregate exceed $250 in value.

6. Affidavit. Signature of local government officer.

Adopted 11/0212005

159

period of up to two years from the t termination of the contract, or cancellation of the contract orboth.

(i) Bid, performance, and payment bonds will be required on all bids, proposals andcontracts in the following situations:

(I) [When] required by statute;

(2) When required specifically in grant funds;

(3) When required in the County solicitation; orany other situation as determined by the purchasing agent for solicitation andcommissioners court in all other solicitations.

0) The county risk manager will review any insurance or bonding requirements not coveredin this policy and in situations where county personnel feel that additional requirements might benecessary to properly protect the county.

(k) Pursuant to V.T.C.A., Local Government Code § 262.0271, Dallas County may elect togive preference to bidders who provide health insurance coverage to the bidders' employees thatis comparable to the coverage Dallas County provides to its employees. Comparable healthinsurance coverage consists of the bidder sharing in the cost of the insurance and that coveredservices are similar to those provided by Dallas County's most utilized health plan. Ifsubcontractors are to be utilized, this preference will only be considered if the subcontractors alsoprovide comparable health insurance coverage to the subcontractor's employees.

(Admin. Policy Manual, § D(4.12, 4.13, 4.15, 4.16); Ord. No. 2003-1792, 9-30-2003; Ord. 2006ISS, 1-24-2006)

GRAPHIC LINK INSURANCE REQUIREMENT AFFIDAVIT (Page I)

GRAPHIC IJNK: INSURANCE REQUIREMENT AFFIDAVIT (Page 2)

GiZ,\PHIC LINK INSURANCE, BOND REQUIREMENTS FOR COUNTY BIDS,CONTRACTS (Page I)

GRAPHIC LINK INSURANCE, BOND REQUIREMENTS FOR COUNTY BIDS,CONTRACTS (Page 2)

Sec. 94-74 Vendor Conflict oflntercst Questionnaire

A vendor that conducts or seeks to conduct business with the county, whether it is for goodsand/or services must file a Conflict onnterest Ouestionnaire form (Exhibit ) with the countyclerk within 7 days of solicitation response for posting on the county website, in accordance withLocal Government Code § 176.006 et seq.

Secs.94-75--94-90. Reserved.

160

CONFLICT OF INTEREST QUESTIONNAIREFor vendor or other person doing business with local governmental entity

This questionnaire is being filed in accordance with chapter 176 of the LocalGovernment Code by a person doing business with the governmental entity.

By law this questionnaire must be filed with the records administrator of thelocal government not later than the 7th business day after the date the personbecomes aware of facts that require the statement to be filed. See Section176.006, Local Government Code.

A person commits an offense if the person violates Section 176.006, LocalGovernment Code. An offense under this section is a Class C misdemeanor.

~ Name of person doing business with local governmental entity.

FORM CIQ

OFFICE USE ONLY

Date Received

o Check this box if you are filing an update to a preViously filed questionnaire.

(The law requires that you file an updated completed questionnaire with the appropriate filing authority not later thanSeptember 1 of the year for which an activity described in Section 176.006{a), Local Government Code, is pending andnot later than the 7th business day after the date the originally filed questionnaire becomes incomplete or inaccurate.)

.!J Describe each affiliation or business relationship with an employee or contractor of the local governmental entity who makesrecommendations to a local government officer of the local governmental entity with respect to expenditure of money.

l!J Describe each affiliation or business relationship with a person who is a local government officer and who appoints oremploys a local government officer of the local governmental entity that is the sUbject of this questionnaire.

Amended 0111312006

161

CONFLICT OF INTEREST QUESTIONNAIREFor vendor or other person doing business with local governmental entity

FORM CIQPage 2

~ Name of local government officer with whom filer has affiliation or business relationship. (Complete this section only if theanswer to A, 8, or C is YES.)

This section, item 5 including subparts A, S, C & D, must be completed for each officer with whom the filer has affiliation orbus"lness relationship. Attach additional pages to this Form cia as necessary.

A. Is the local government officer named in this section receiving or likely to receive taxable income from the filer of thequestionnaire?

DYes DNo

B. Is the filer of the questionnaire receiving or likely to receive taxable income from or at the direction of the local governmentofficer named in this section AND the taxable income is not from the local governmental entity?

DYes DNO

c. Is the filer of this questionnaire affiliated with a corporaflon or other business entity that the local government officer servesas an officer or director, or holds an ownership of 10 percent or more?

Yes D No

D. Describe each affiliation or business relationship.

l£J Describe any other affiliation or business relationship that might cause a conflict of interest.

.

Signature of person doing business with the governmental entity Date

Amended Otl1312006

other businessor a family memberor family member

162

LOCAL GOVERNMENT CODECHAPTER 176. DISCLOSURE OF CERTAIN RELATIONSHIPS WITH LOCAL

GOVERNMENT OFFICERS; PROVIDING PUBLIC ACCESS TO CERTAININFORMATION

Sec. 176. 001. DEFINITIONS. In this chapter:(1) "Commission" means the Texas Ethics Commission.(2) "Family member" means a person related to another

person within the first degree by consanguinity or affinity, asdescribed by Subchapter B, Chapter 573, Government Code.

(3) "Local governmental entity" means a county,municipality, school district, junior college district, or otherpolitical subdivision of this state or a local governmentcorporation, board, commission, district, or authority to which amember is appointed by the commissioners court of a county, themayor of a municipality, or the governing body of a municipality.The term does not include an association, corporation, ororganization of governmental entities organized to provide to itsmembers education, assistance, products, or services or torepresent its members before the legislative, administrative, orjudicial branches of the state or federal government.

(4) "Local government off icer" means:(A) a member of the governing body of a local

governmental entity; or(B) a direc·tor, super intendent, administrator,

president, or other person designated as the executive officer ofthe local governmental entity.

(5) "Records administrator" means the director,county clerk, municipal secretary, superintendent, or other personresponsible for maintaining the records of the local governmentalentity.Added by Acts 2005, 79th Leg., ch. 1014, Sec. 1, eff. June 18, 2005.

Sec. 176.002. APPLICABILITY TO CERTAIN VENDORS AND OTHERPERSONS. (a) This chapter applies to a person who:

(1) contracts or seeks to contract for the sale orpurchase of property, goods, or services with a local governmentalentity; or

(2) is an agent of a person described by Subdivision(1) in the person's business with a local governmental entity.

(b) A person is not subject to the disclosure requirementsof this chapter if the per son is:

(1) a state, a political subdivision of a state, thefederal government, or a foreign government; or

(2) an employee of an entity described by Subdivision(1), acting in the employeets official capacity.Added by Acts 2005, 79th Leg., ch. 1014, Sec. 1, eff. June 18,2005.

Sec. 176.003. CONFLICTS DISCLOSURE STATEMENT REQUIRED. (alA local government officer shall file a conflicts disclosurestatement with respect to a person described by Section 176.002(a)if:

(1) the person has contracted with the localgovernmental entity or the local governmental entity is consideringdoing business with the person; and

(2) the person:(A) has an employment or

relationship with the local government officerof the officer that results in the officerreceiving taxable income; or

(B) has given to the local government officer ora family member of the officer one or more gifts, other than giftsof food, lodging, transportation, or entertainment accepted as aguest, that have an aggregate value of more than $250 in the12-month period preceding the date the officer becomes aware that:

(i) a contract described by Subdivision (1)has been executed; or

(ii) the local governmental entity isconsidering doing business with the person.

(b) A local government officer shall file the conflictsdisclosure statement with the records administrator of the localgovernmental entity not later than 5 p.m. on the seventh businessday after the date on which the officer becomes aware of the factsthat require the filing- of the statement under Subsection (a).

(c) A local government officer commits an offense if theofficer knowingly violates this section. An offense under thissubsection is a Class C misdemeanor.

(d) It is a defense to prosecution under Subsection (c) that

1

entity anor bids,agreement

the disclosure applies to each family member

is received from, or at the direction of, a

163

the person filed the required conflicts disclosure statement notlater than the seventh business day after the date the personreceived notice of the violation.Added by Acts 2005, 79th Leg., ch. 1014, Sec. I, eff. June 18, 2005.

Sec. 176.004. CONTENTS OF DISCLOSURE STATEMENT. Thecommission shall adopt the conflicts disclosure statement for localgovernment officers. The conflicts disclosure statement mustinclude:

(1) a requirement that each local government officerdisclose:

(A) an employment or other business relationshipdescribed by Section 176.003(a), including the nature and extent ofthe relationship; and

(B) gifts received by the local governmentofficer and any family member of the officer from a person describedby Section 176.002(a) during the 12-month period described bySection 176.003(a) (2) (B) if the aggregate value of the gifts fromthat person exceed $250;

(2) an acknowledgment from the local governmentoff icer that:

(Alof the officer; and

(B) the statement covers the 12-month perioddescribed by Section 176.Q03(al 121 IBI; and

(3) the signature of the local government officeracknowledging that the statement is made under oath under penaltyof perjury.Added by Acts 2005, 79th Leg., ch. 1014, Sec. 1, eff. June 18, 2005.

Sec. 176.005. APPLICATION TO CERTAIN EMPLOYEES. lal Thelocal governmental entity may extend the requirements of Sections176.003 and 176.004 to all or a group of the employees of the localgovernmental entity.

(b) A local governmental entity may reprimand, suspend, orterminate the employment of an employee who fails to comply with arequirement adopted under this section.

(c) An employee of a local governmental entity commits anoffense if the employee knowingly violates requirements imposedunder this section. An offense under this subsection is a Class Cmisdemeanor.

td) It is a defense to prosecution under Subsection (c) thatthe person filed the required conflicts disclosure statement notlater than the seventh business day after the date the personreceived notice of the violation.Added by Acts 2005, 79th Leg., ch. 1014, Sec. 1, eff. June 18,2005.

Sec. 176.006. DISCLOSURE REQUIREMENTS FOR VENDORS AND OTHERPERSONS; QUESTIONNAIRE. (a) A per son descr ibed by Sect ion176.002(a) shall file a completed conflict of interestquestionnaire with the appropriate records administrator not laterthan the seventh business day after the date that the person:

(1) begins contract discussions or negotiations withthe local governmental entity; or

(2) submits to the local governmentalapplication, response to a request for proposalscorrespondence, or another writing related to a potentialwith the local governmental entity.

(b) The commission shall adopt a conflict of interestquestionnaire for use under this section that requires disclosureof a person's affiliations or business relationships that mightcause a conflict of interest with a local governmental entity.

(c) The questionnaire adopted under Subsection (b) mustrequire, for the local governmental entity with respect to whichthe questionnaire is filed, that the person filing thequestionnaire:

(1) describe each affiliation or businessrelationship the person has with each local government officer ofthe local governmental entity;

(2) identify each affiliation or businessrelationship described by Subdivision (1) with respect to which thelocal government officer receives, or is likely to receive, taxableincome from the person filing the questionnaire;

- (3) identify each affiliation or businessrelationship described by Subdivision (1) with respect to which theperson filing the questionnaire receives, or is likely to receive,taxable income that:

IAI

2

164

local government officer of the local governmental entity; and(B) is not received from the local governmental

entity;

serves as an officer or director; orholds an ownership interest of 10 percent or

(4) describe each affiliation or businessrelationship with a corporation or other business entity withrespect to which a local government officer of the localgovernmental entity:

(A)(B)

more;

file anrecords

business

businessor

or

or businessof the local

local governmentrespect to the

aff iliat ion

(5) describe each affiliationrelationship with an employee or contractorgovernmental entity who makes recommendations to aofficer of the local governmental entity withexpenditure of money;

(6) describe eachrelationship with-a person who:

(Al is a local government officer; and(B) appoints or employs a local government

officer of the local governmental entity that is the subject of thequestionnaire; and

(7) describe any other affiliationrelationship that might -cause a conflict of interest.

(d) A person described by Subsection (a) shallupdated completed questionnaire with the appropriateadministrator not later than:

(1) September 1 of each year in which an activitydescribed by Subsection (a) is pending; and

(2) the seventh business day after the date of an eventthat would make a statement in the questionnaire incomplete orinaccurate.

(e) A person is not required to file an updated completedquestionnaire under Subsection (d) (1) in a year if the person hasfiled a questionnaire under Subsection (c) or (d) (2) on or afterJune 1, but before September 1, of that year.

(f) A person commits an offense if the person violates thissection. An offense under this subsection is a Class C misdemeanor.

(g) It is a defense to prosecution under Subsection (f) thatthe person filed the required questionnaire not later than theseventh business day after the date the person received notice ofthe violation.Added by Acts 2005, 79th Leg., ch. 1014, Sec. 1, eff. June 18,2005.

Sec. 176.007. LIST OF GOVERNMENT OFFICERS. The recordsadministrator for a local governmental entity shall maintain a listof local government officers of the entity and shall make that listavailable to the public and any person who may be required to file aquestionnaire under Section 176.006.Added by Acts 2005, 79th Leg., ch. 1014, Sec. I, eff. June 18, 2005.

Sec. 176.008. ELECTRONIC FILING. The requirements of thischapter, including signature requirements, may be satisfied byelectronic filing in a form approved by the commission.Added by Acts 2005, 79th Leg., ch. 1014, Sec. 1, eff. June 18, 2005.

Sec. 176.009. POSTING ON INTERNET. (a) A local governmentalentity shall provide access to the statements and questionnairesfiled under this chapter on the Internet website maintained by thelocal governmental entity.

(b) This sub$ection applies only to a county with apopulation of 800,000 or more or a municipality with a population of500,000 or more. A county or municipality shall provide, on theInternet website maintained by the county or municipality, accessto each report of political contributions and expenditures filedunder Chapter 254, Election Code, by a member of the commissionerscourt of the county or the governing body of the municipality inrelation to that office as soon as practicable after the officerfiles the report.Added by Acts 2005, 79th Leg., ch. 1014, Sec. 1, eff. June 18,2005.

Sec. 176.010. REQUIREMENTS CUMULATIVE. The requirements ofthis chapter are in addition to any other disclosure required bylaw.Added by Acts 2005, 79th Leg., ch. 1014, Sec. 1, eff. June 18, 2005.

3

165

January 9, 2007

MISCELLANEOUS

1) HEALTH AND HUMAN SERVICES - request approval:

a) for the County Treasurer, Joe Wells, to release payroll for the TexasDepartment of State Health Services Document No. 7560009056 07-0IA,Tuberculosis, for the months of January, February, and March, 2007.

b) for the Dallas County Health and Human Services FY2007 Fee Scheduleas presented in Exhibit A, inclusive of the proposed HPV Vaccine and theShingles Vaccine, under the Nursing Service section of the Schedule.

(Refer to Information Item 4b)

c) for the acceptance of $75,207.35 from TXU Energy for assistance to thosefinancially distressed with utility payments.


2) PUBLIC WORKS - request approval:

a) to expend $150.00 from FY2007 the operating budget for a MCIPPartnering Session with the City of Garland. Funds are available inaccount number 00120-0-2010-2050-2007.

b) to expend $250.00 for Engineering staff to participate in the audio/webTraffic Calming Design Guidelines Broadcast Seminar to be held onFebruary 15,2007.

3) PLANNING AND DEVELOPMENT - requests approval:

a) for the request from the City of Glenn Heights, whereby $64,495 in theFY2006 CDBG funds previously allocated to the Glenn Heights BearCreek Channel Improvements Project are to be transferred to the currentCDBG BrooksidelWillow Run Sanitary Sewer Project (Oracle#09400), following a successful 30-day comment period.

b) for the request from the City of Farmers Branch, whereby $46,609.55remaining from the City's completed CDBG Cooks Creek SidewalkProject (Oracle #09434) are to be transferred to the City's FY2005 BeeStreet Sidewalk Project (Oracle #09455).

166

4) THE OFFICE OF BUDGET AND EVALUATION request approval:

a) to pay the Public Agency Retirement Services (PARS) base and trusteefees beginning October 1, 2006 from countywide dues andsubscriptions. The calculation is based on a $300 minimum fee and$30.48 trustee fee. Total PARS trust administrator service fee for themonth ending October 31, 2006 is $330.48. As part of the originalbriefing regarding the PARS agreement, the Commissioners Court wasadvised that we would maintain the base fee for the first couple ofyears of the program.

b) to double fill position # 3395 (Child Abuse Investigator, Grade 68, ChildAbuse Division). The employee assigned to this position has been calledto military active duty in Iraq.

c) to pay for additional shelving and reconfiguration of shelving and thedelivery and installation of a spacesaver mobile system due to therelocation of the JP 2-1 Court. The estimated cost is $1,395. The Officeof Budget and Evaluation recommends the transfer of funds in the amountof $1,395 from Reserves and Contingency (120.9940.8410.0000)to Justice of the Peace 2-1 (120.4821.2090.0000).

TRAVEL REOUESTS

5) HEALTH AND HUMAN SERVICES - request approval:

a) for Calvin White to attend the Statewide Biowatch Exercise in Austin,Texas on January 24-25, 2007: $349.00 is available in the General Fund,CPS-Bioterrorism Preparedness Department, Conference and TrainingAccount, FY Budget 2006, (00466.08723.02460.2006).

b) for Marianne Kilgo to train a nine-day introduction to STD Intervention(ISTDI) Course in Ocala, Florida on January 28 through February 8, 2007:$2673.02 is available in the Grant Fund, STDIHIV Prevention TrainingDepartment, Conf Training Account, FY Budget 2005,(00466.08709.02460.2005).

c) for Dr. Edward R. Bannister to attend the statewide Biowatch Exercise inAustin Texas on January 24-25, 2007 at no cost to Dallas County.

167

6) IT SERVICES - requests approval for Robert A. Clines to attend the ITDirectors meeting in Austin, Texas on January II, 2007; $259.30 is available inthe General Fund, Commissioners Court Department, Business Travel Account,FY Budget, (195.1090.4010.0).

7) PLANNING AND DEVELOPMENT - requests approval for Sandy Cook andEarle Blakney to attend Texas Commission on Environmental Quality's quarterlyHHW Managers meeting in Austin, Texas on January 25, 2007: $435.00 isavailable in the Escrow Fund, Household Hazardous Waste Department,Conference Account, FY Budget 2007, (532.91017.1020.4210.2007).

8) OFFICE OF SECURITY & EMERGENCY MANAGEMENT - requestsapproval:

a) for Robie Robinson to attend the EMAP Standards-AssessmentCommittee Workshop in Bradenton, Florida on January 28-30, 2007at no cost to Dallas County.

b) for Robie Robinson to attend the All Hazard Incident ManagementTeam (IMT) Course in San Antonio, Texas on January 5-12, 2007:$623.40 is available in the General Fund, Facilities Mgt. Department,Supplies Account, FY Budget 2004, (0120.3340.2050.2007).Previously briefed on December 19,2006.

c) for Robie Robinson, Christine Jacobs and Rodrick Jones to attend theTexas Homeland Security Conference 2006 in San Antonio, Texas onNovember 27-30, 2006: $2665.00 is available in the General Fund,Facilities Mgt. Department, Supplies Account, FY Budget 2004,(0120.3340.2050.2007). This request was previously briefed onDecember 19,2006.

9) SHERIFF'S - requests approval for Assistant Chief Deputy Danny Downes toattend the 2007 Law Enforcement Regional Workshops !PC in the CorrectionalSetting in Kerrville, Texas on January 8-12, 2007 in a county vehicle with gascredit cards and no other expense to Dallas County.

168

EXCEPTION TO TRAVEL REQUESTSUNLESS SPECIFICALLY OBJECTED TO, ALL ITEMS PRESENTED

AS EXCEPTIONS ARE CONSIDERED TO BE APPROVED

Travel Requests submitted for approval with reimbursements totaling more than themaxiJnum:

10) ELECTIONS - requests approval for Bruce Sherbet to attend the Election CenterNational Task Force on Education and Training in Houston, Texas on January 2930, 2007; $67J.JO is available in the General Fund, Elections Department,Training Fees Account, FY Budget 2007, (00532.94036.04010.2007).

MISCELLANEOUS EQUIPMENT

(1)

(2)

(3)

DEPARTMENT:ITEM:ESTIMATED COST:FUNDING SOURCE:EXPENDITURE SOURCE:

PROPOSED ACTION:

DEPARTMENT:ITEM:ESTIMATED COST:FUNDING SOURCE:

EXPENDITURE SOURCE:

PROPOSED ACTION:

DEPARTMENT:ITEM:ESTIMATED COST:

5212 Health & Human ServicesFax Machine$450Within Budget120.5212.02090.0000 (Health & HumanServices, Property less than $5.000)Health & Human Services is requestingauthorization to purchase a fax machine forthe Public Health Division. The current faxmachine is beyond repair due tounavailability of parts. Recommended by theRecords Management Department.

4406 Criminal District Court #6Fax Machine$554Reserves and Contingency, Furniture andEquipment120.4406.2090.0000 (General Fund,Criminal District Court #6, Property lessthan $5,000)Criminal District Court #6 requestsauthorization to purchase a fax machine toassist with daily departmental demands.Recommended by the Records ManagementDepartment.

4703 Probate Court #31 - Administrative Chair$300

(4)

(5)

(6)

FUNDING SOURCE:EXPENDITURE SOURCE:

PROPOSED ACTION:

DEPARTMENT: 4425ITEM:ESTIMATED COST:FUNDING SOURCE:EXPENDITURE SOURCE:

PROPOSED ACTION:

DEPARTMENT: 4165ITEM:ESTIMATED COST:FUNDING SOURCE:EXPENDITURE SOURCE:

PROPOSED ACTION:

DEPARTMENT: 4401ITEMS:

169

Probate Escrow Fund120.4703.2090.0000 (General Fund, ProbateCourt #3Property less than $5.000)Probate Court #3 requests authorization topurchase a replacement administrative chairto replace one that is broken and can't berepaired. Recommended by the Office ofBudget and Evaluation.

204th Criminal District Court1 - Laptop Computer with docking station$2,415Major Technology Fund195.0.2093.2007.0.92014 (Major TechnologyFund,Computer Hardware less than$5,000,FY2007,ComputerReplacement)The 204lh Criminal District Court requestsauthorization to purchase a replacement

laptop to replace one that IT Services hasdetermined can't be re-imaged. Recommendedby IT Services Department.

193'd Civil District Court1 - Plasma Monitor$800Major Technology Fund195.0.2093.2007.0.92014 (MajorTechnology Fund, Computer Hardware lessthan $5,000, FY2007, ComputerReplacement)The 193rd Civil District Court requestsauthorization to purchase a replacementplasma monitor to replace one that wasdamaged in the move to the new tower.Recommended by the IT ServicesDepartment.

Criminal District Court #11 - Lanier Recorder ($2,966)I - Lanier Transcriber ($1,095)1 - MP510 Headset ($25)1 - Foot Control ($45)1 - Omni/Unidirectional Microphone ($75)

(7)

ESTlMATED COST:FUNDING SOURCE:

EXPENDITURE SOURCE:

PROPOSED ACTION:

DEPARTMENT:ITEMS:

ESTlMATED COST:FUNDING SOURCE:

EXPENDITURE SOURCE:

170

I - Desk ($470)$4,676Reserves and Contingency, Furniture andEquipment120.4401.2090.0000 (General Fund,Criminal District Court #1, Property lessthan $5,000)Criminal District Court #1 requestsauthorization to purchase court recordingequipment and a desk. The former courtreporter owned the equipment and furnitureand removed it once she left. Recommendedby the Office of Budget and Evaluation.

1090 Data Services Department48 - Panasonic CF 29 Laptops ($3,772 each)48 - 512 ME Memory Upgrade ($106 each)4 - External DVD/CD-RW Drive ($245each)48 - Port ReplicatorlDocking Station ($327each)48 - Power Supply ($90 each)48 - Lowswivel ($35 each)48 - DS-Lower-5 ($35 each)48 - DS-Upper-M5 ($45 each)48 - Port Replicator Adapter Kit ($130each)48 - Baseplate Adapter ($30 each)48 - Chargeguard ($69 each)48 - Serial Cable ($33 each)48 - Software Imaging and 3-year DiskImaging Management ($60 each)48 - Labor ($310 each)5 - MS Office Pro Licenses ($465 each)60 - MS Visio Standard Addition Licenses($135 each)4 Vista FX ($6,700 each)$280,261Major Technology, FY2007, HardwareRefresh195.0.02093.2007.0.92055.0.0 (MajorTechnology Fund, Computer Hardware lessthan $5,000, FY2007, ComputerReplacement)

PROPOSED ACTION:

(8) DEPARTMENT:ITEMS:

1 7 1

195.0.08630.2007.0.92055.0.0 (MajorTechnology Fund, Computer Hardware,FY2007, Computer Replacement)The Data Services Department requestsapproval to purchase (48) replacementmobile data computers and associatedequipment for the Sheriff's Office andConstable Precinct 4. Visio and Vistasoftware licenses will be used in conjunctionwith the Records Management System foraccident reporting by Sheriff Traffic andPatrol officers. Recommended by DataServices, the Office of Budget andEvaluation and Communication/CentralServices.

1023 Communications and Central Service

I ea Light bar4 ea Front upper light bar4 ea Rear upper light bar5 ea Rear deck light5 ea Headlight flashers5 ea Corner strobes2 ea Push bumpers5 ea Mobile radios5 ea Portable radios4 ea Mobile radios (DPD)5 ea Sirens5 ea Consoles5 ea Switch panels

10 ea Siren speakers8 ea Underhood speaker bracketsI ea Prisoner cage 75/251 ea Prisoner cage kick panel5 ea Flashlight with charger5 ea Charger head and power cord5 ea 3 outlet receptacle5 ea Trunk mounting tray5 ea Trunk organizers5 ea Mobile computer and software5 ea In car video camera5 ea Moving radars5 ea Laser handheld radars

15 ea Mic clips1 ea Prisoner seats

Vehicles,

ESTIMATED COST:FUNDING SOURCE:EXPENDITURE SOURCE:

172

5 ea Marked vehicle installation5 ea Radio installation5 ea Radio installation (DPD)5 ea Computer installation5 ea Camera installation5 ea Radar installation1 ea Cage installation5 ea Misc installation$140,050Within Budget120.9910.8620.0000 (GeneralCountywide Appropriations,

Fund,

(9)

(10)

PROPOSED ACTION:

DEPARTMENT: 3131ITEMS:ESTIMATED COST:FUNDING SOURCE:

EXPENDITURE SOURCE:

PROPOSED ACTION:

DEPARTMENT: 3113ITEMS:ESTIMATED COST:FUNDING SOURCE:EXPENDITURE SOURCE:

PROPOSED ACTION:

FY2007)Communication and Central Servicesrequests authorization to purchase trafficequipment for (5) new vehicles approvedfor the Sheriffs Office, Traffic Divisionon 12/5/2006. Recommended byCommunication/Central Services.

Sheriffs Office, Fugitive Division1 - Mid-Volume Fax Machine$920Reserves and Contingency, Furniture and

Equipment120.3131.2090.0000 (General Fund,Sheriffs Office-Fugitive Division, PropertyLess Than $5,000, FY2007)The Sheriff's Office, Fugitive Divisionrequests approval to purchase (1)replacement mid-volume fax machine.Recommended by Records Management.

Sheriffs Office, Internal Affairs Division1 - HP DeskJet 6980DT Color Printer$188Major Technology Fund195.0.02093.2003.0.92014.0.0 (MajorTechnology Fund, Computer Hardware lessthan $5.000, FY2003, ComputerReplacement Equipment)The Sheriff's Office, Internal AffairsDivision requests approval to purchase (1)replacement color printer. Recommended byIT Services Department.

173

(11) DEPARTMENT: 1090ITEMS:ESTIMATED COST:FUNDING SOURCE:EXPENDITURE SOURCE:

PROPOSED ACTION:

Information Technology Services1 - HP Scanjet 4890 Scanner$225Major Technology Fund, Prior Year Funds00195.0.08630.2006.0.92055 (MajorTechnology Fund, Desktop HardwareRefresh)Information Technology Services requestsCommissioners Court approval to purchaseone HP 4890 Scanjet to replace an old,existing scanner that is broken and will costmore than 50% of its replacement cost torepair. Recommended by IT ServicesDepartment.

Telecommunications Requests

Communications & Central Services M0712064 requests to have Verizonrelocate the demarcation point for the 140 N. Garland Road office. Installation;$7415.77; no recurring cost. Recommended.

Health & Human Services M0711001 requests to provide two wireless headsetsystems with Handset lifter. Equipment: $439.30; Installation; $0.00, laborcovered by contract; no recurring cost. Recommended.

Sheriff Quality Assurance requests to install a new wall phone on the 1st floor ofthe FCCB room C-7. Equipment: $47.00; installation; $43.00; no recurring cost.Recommended.

Decker Jail requests:M0711044 to install a multi-line phone on the 3rd floor in the office across formthe sergeants office. Equipment: $70.20; installation; $43.00; no recurring cost.Recommended.

D0711022 & D0711023 to install two data-line cables on the 3rd floor in the CT'soffice to provide access to the network. Installation; $129.00; no recurring cost.Recommended.

Juvenile requests:M0711045 to assign a long distance access code for an existing employee on thesecond floor to allow calls when needed. Equipment: $0.00; Installation; $0.00,labor covered by contract; no recurring cost. Recommended.

174

1'10711046 to assign a long distance access code for an existing employee on thesecond floor room C65 to allow calls when needed. Equipment: $0.00;Installation; $0.00, labor covered by contract; no recurring cost. Recommended.

Public Defender requests:1'10711047 to assign a long distance access code for an existing employee on the9th floor of the FCCB to allow calls when needed. Equipment: $0.00; Installation;$0.00, labor covered by contract; no recurring cost. Recommended.

D0711003 to install a data-line cable on the 9th floor of the FCCB room Cl-ltoprovide access to the network. Installation; $64.50; no recurring cost.Recommended.

D0711019 request to install a data-line cable on the 7'h floor of the FCCB room Bto support a network printer. Installation ; $64.50; no recurring cost.Recommended.

Public DefenderD0711020 requestto install a data-line cable on the 11 th floor of the FCCB roomA5-l2 to support a network printer. Installation; $64.50; no recurring cost.Recommended.

District Attorney 1'10711049 requestto assign a long distance access code for anew employee on the 10th floor of the FCCB to allow calls when needed.Equipment: $0.00; Installation; $0.00, labor covered by contract; no recurring cost.Recommended.

Tax Office request:1'10711050 to install a phone line and single-line phone on the 1st floor of theRecords building for a new employee. Equipment: $47.00; installation; $43.00; norecurring cost. Recommended.

1'10712018 to install a single-line phone in 'the cashiers cage at the Farmers Branchoffice. Equipment: $47.00; installation; $43.00; no recurring cost. Recommended.OSE1'1 1'10711051 requests to replace two existing single-line phones with amulti-line phone and add on module to consolidate lines for better call coverage insecurity booth of the GACB lobby. Equipment: $156.60; Installation; $0.00, laborcovered by contract; no recurring cost. Recommended.

Parkland Jail Health D0711001 & D0711002 requests to install two data-linecables at the Kays Jail facility for the Doctor and Nursing staff. Installation;$64.50; no recurring cost. Recommended.

175

Veterans Services D0711004 requests to install a data-line cable on the 6th floorroom 631 to provide access to a network printer. Installation; $64.50; no recurringcost. Recommended.

County Clerk Recording request:D0711005 to install a data-line cable on the 2nd floor of the Records building toprovide access to the network. Installation; $64.50; no recurring cost.Recommended.

D0711015 & D0711016 to install two data-line cables on the north wall of themail room to relocate scanners. Installation; $129.00; no recurring cost.Recommended.

D0711017 to install a data- line cable on the 2nd floor of the Records building torelocated cashier to recording area. Installation; $64.50; no recurring cost.Recommended.

It Services request:D0711006 Thru D0711009 to install four data-lines in the Tax office on the 1st

floor of the Records building to connect a PC-based payment station. Installation;$258.00; no recurring cost. Recommended.

D0711024 to install a data-line cable at the Beckly office on the 2nd floor tosupport a network printer. Installation; $64.50; no recurring cost. Recommended.

Sheriff request:D0711010 to install a data-line cable on the 1st floor of the LSJC room C-7 toprovide access to the network. Installation; $64.50; no recurring cost.Recommended.

M0711023 to install a single-line phone on the 1st floor of the FCCB room C-ll tobe used with a fax. Equipment: $47.00; installation; $43.00; no recurring cost.Recommended.

Communications & Central Services D0711021 requests to install a data-linecable from the IDF on the 3rd floor to an office to extend a T-1 line. Installation;$64.50; no recurring cost. Recommended.

County Civil D0711025 requests to install a data-line cable on the 3rd floor of theRecords building Court 2 to connect a network printer. Installation; $64.50; norecurring cost. Recommended.

176

Auditor D0711026 requests to install a data-line cable on the 1sl floor of theRecords building to relocate an existing workstation. Installation; $64.50; norecurring cost. Recommended.

Facilities Management HHS D0711027 requests to install a data-line cable in thebasement to replace the existing cable that is not working. Installation; $64.50; norecurring cost. Recommended.

GACB Jail D0711028 requests to install a data-line cable on the 7'h floor toreplace the existing cable that is not working. Installation; $64.50; no recurringcost. Recommended.

Sheriff Bonds Warrants M0712008, M0712009 & 1\10712010 requests toreactivate three fax lines on the 1sl floor of the LSJC room C. Installation; $43.00;no recurring cost. Recommended.

Sheriff Detention request:D0712010 & M0712011 to reset voice-mail and install a data-line to provideaccess to the network in room B-1118. Installation; $64.50; no recurring cost.Recommended.

D0712011 & M0712012 to install a phone line with voice-mail and a data-line toprovide access to the network at the Kays Jail. Installation; $64.50; no recurringcost. Recommended.

CCC #5 D0712012 & M0712013 requests to install a data-line and activate anexisting phone line on the 5'h floor of the FCCB room AB. Installation; $64.50; norecurring cost. Recommended.

Funding for the above request is available from countywide Department 800, lineitem 432, Telephone Contingency.

Pagers

District Attorney 1\10712004 & 1\10712005 request to provide one alpha-numericpager and one digital pager for two new Attorney's. Monthly service increase:$7.70; Recommended.

Pagers are funded by the requesting department unless otherwise indicated

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