INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred. B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable. 1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx 149347 Austin, TX 78714-9347 2. For submission by fax, use number below: (000) 000-0000 3. For submission by e-mail, see requirements below: a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager. b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager. C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests.
Appears in 8 contracts
Samples: Center for Health Emergency Preparedness and Response Grant Agreement, Center for Health Emergency Preparedness and Response Grant Agreement, Center for Health Emergency Preparedness and Response Grant Agreement
INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx P.O. Box 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests.
Appears in 2 contracts
Samples: Center for Health Emergency Preparedness and Response Grant Agreement, Center for Health Emergency Preparedness and Response Grant Agreement
INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests.. Personnel $158,353.00 $532,705.00 $964,900.00 $286,175.00 $0.00 $1,942,133.00 Fringe Benefits $72,922.00 $237,800.00 $419,249.00 $120,594.00 $0.00 $850,565.00 Travel $1,908.00 $13,958.00 $16,742.00 $2,500.00 $0.00 $35,108.00 Equipment $8,109.00 $2,703.00 $0.00 $0.00 $0.00 $10,812.00 Supplies $1,480.00 $3,520.00 $4,640.00 $760.00 $0.00 $10,400.00 Contractual $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other $1,500.00 $6,300.00 $9,100.00 $2,100.00 $0.00 $19,000.00 Total Direct Costs $244,272.00 $796,986.00 $1,414,631.00 $412,129.00 $0.00 $2,868,018.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests. Personnel $127,668.00 $127,668.00 $85,112.00 $0.00 $0.00 $340,448.00 Fringe Benefits $63,834.00 $63,834.00 $46,812.00 $0.00 $0.00 $174,480.00 Travel $3,500.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $1,808.00 $0.00 $0.00 $0.00 $0.00 $5,308.00 Contractual $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Direct Costs $196,810.00 $191,502.00 $131,924.00 $0.00 $0.00 $520,236.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). System Agency refers to HHSC, DSHS, or both, that will be a party to this Contract. These Contract Affirmations apply to all Contractors and Grantees (referred to as “Contractor”) regardless of their business form (e.g., individual, partnership, corporation). By entering into this Contract, Contractor affirms, without exception, understands, and agrees to comply with the following items through the life of the Contract:
1. Contractor represents and warrants that these Contract Affirmations apply to Contractor and all of Contractor's principals, officers, directors, shareholders, partners, owners, agents, employees, subcontractors, independent contractors, and any other representatives who may provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests.. Personnel $54,996.00 $343,158.00 $353,972.00 $364,050.00 $374,958.00 $1,491,134.00 Fringe Benefits $18,539.00 $122,164.00 $136,669.00 $142,890.00 $146,234.00 $566,496.00 Travel $3,215.00 $26,863.00 $31,829.00 $22,429.00 $22,429.00 $106,765.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $1,800.00 $27,000.00 $27,000.00 $27,000.00 $27,000.00 $109,800.00 Contractual $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other $3,633.00 $21,798.00 $21,798.00 $21,798.00 $21,798.00 $90,825.00 Total Direct Costs $82,183.00 $540,983.00 $571,268.00 $578,167.00 $592,419.00 $2,365,020.00 Indirect Costs $7,873.00 $54,099.00 $57,127.00 $57,817.00 $59,242.00 $236,158.00
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests.. Personnel $0.00 $384,301.00 $749,958.00 $143,932.00 $0.00 $1,278,191.00 Fringe Benefits $0.00 $191,228.00 $373,179.00 $71,621.00 $0.00 $636,028.00 Travel $0.00 $12,421.00 $12,421.00 $7,538.00 $0.00 $32,380.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $0.00 $2,000.00 $2,000.00 $284.00 $0.00 $4,284.00 Contractual $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Direct Costs $0.00 $589,950.00 $1,137,558.00 $223,375.00 $0.00 $1,950,883.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx P.O. Box 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests. Personnel $52,970.00 $223,128.00 $215,628.00 $208,128.00 $208,128.00 $907,982.00 Fringe Benefits $20,907.00 $88,069.00 $85,108.00 $82,148.00 $82,148.00 $358,380.00 Travel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Contractual $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other $0.00 $428.00 $428.00 $428.00 $428.00 $1712.00 Total Direct Costs $73,877.00 $311,625.00 $301,164.00 $290,704.00 $290,704.00 $1,268,074.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). System Agency refers to HHSC, DSHS, or both, that will be a party to this Contract. These Contract Affirmations apply to all Contractors and Grantees (referred to as “Contractor”) regardless of their business form (e.g., individual, partnership, corporation). By entering into this Contract, Contractor affirms, without exception, understands, and agrees to comply with the following items through the life of the Contract:
1. Contractor represents and warrants that these Contract Affirmations apply to Contractor and all of Contractor's principals, officers, directors, shareholders, partners, owners, agents, employees, subcontractors, independent contractors, and any other representatives who may provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests. Personnel $0.00 $106,938.00 $213,876.00 $213,876.00 $124,761.00 $659,451.00 Fringe Benefits $0.00 $35,899.00 $71,670.00 $71,648.00 $41,807.00 $221,024.00 Travel $0.00 $3,375.00 $3,375.00 $3,375.00 $3,375.00 $13,500.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $0.00 $3,023.00 $2,360.00 $2,360.00 $2,081.00 $9,824.00 Contractual $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other $0.00 $13,737.00 $23,277.00 $23,277.00 $11,352.00 $71,643.00 Total Direct Costs $0.00 $162,972.00 $314,558.00 $314,536.00 $183,376.00 $975,442.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). System Agency refers to HHSC, DSHS, or both, that will be a party to this Contract. These Contract Affirmations apply to all Contractors and Grantees (referred to as “Contractor”) regardless of their business form (e.g., individual, partnership, corporation). By entering into this Contract, Contractor affirms, without exception, understands, and agrees to comply with the following items through the life of the Contract:
1. Contractor represents and warrants that these Contract Affirmations apply to Contractor and all of Contractor's principals, officers, directors, shareholders, partners, owners, agents, employees, subcontractors, independent contractors, and any other representatives who may provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests.. Personnel $0.00 $475,338.00 $533,867.00 $549,881.00 $187,855.00 $1,746,941.00 Fringe Benefits $0.00 $208,340.00 $231,652.00 $236,461.00 $80,189.00 $756,642.00 Travel $0.00 $3,192.00 $3,192.00 $2,440.00 $0.00 $8,824.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $0.00 $1,478.00 $1,507.00 $1,198.00 $440.00 $4,623.00 Contractual $0.00 $5,180.00 $8,880.00 $8,880.00 $2,220.00 $25,160.00 Other $0.00 $17,211.00 $18,682.00 $18,682.00 $4,413.00 $58,988.00 Total Direct Costs $0.00 $710,739.00 $797,780.00 $817,542.00 $275,117.00 $2,601,178.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests. Personnel $0.00 $27,000.00 $55,352.00 $55,352.00 $0.00 $137,704.00 Fringe Benefits $0.00 $11,499.00 $23,580.00 $22,296.00 $0.00 $57,375.00 Travel $0.00 $1.00 $1.00 $1.00 $0.00 $3.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $0.00 $2.00 $2.00 $2.00 $0.00 $6.00 Contractual $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Direct Costs $0.00 $38,502.00 $78,935.00 $77,651.00 $0.00 $195,088.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). System Agency refers to HHSC, DSHS, or both, that will be a party to this Contract. These Contract Affirmations apply to all Contractors and Grantees (referred to as “Contractor”) regardless of their business form (e.g., individual, partnership, corporation). By entering into this Contract, Contractor affirms, without exception, understands, and agrees to comply with the following items through the life of the Contract:
1. Contractor represents and warrants that these Contract Affirmations apply to Contractor and all of Contractor's principals, officers, directors, shareholders, partners, owners, agents, employees, subcontractors, independent contractors, and any other representatives who may provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx P.O. Box 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests.. Personnel $0.00 $241,146.00 $462,342.00 $484,685.00 $453,574.00 $1,641,747.00 Fringe Benefits $0.00 $115,750.00 $217,301.00 $232,649.00 $213,180.00 $778,880.00 Travel $0.00 $1,310.00 $2,293.00 $2,620.00 $1,310.00 $7,533.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $0.00 $5,879.00 $11,663.00 $10,379.00 $10,200.00 $38,121.00 Contractual $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other $0.00 $16,585.00 $5,500.00 $14,400.00 $6,497.00 $42,982.00 Total Direct Costs $0.00 $380,670.00 $699,099.00 $744,733.00 $684,761.00 $2,509,263.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Contract Number _H_H_S_0_0_1_3_1_0_90_0_0_0_1
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests. Personnel $84,500.00 $237,783.00 $305,736.00 $314,412.00 $324,000.00 $1,266,431.00 Fringe Benefits $43,940.00 $92,022.00 $118,870.00 $122,463.00 $125,582.00 $502,877.00 Travel $5,360.00 $10,890.00 $7,325.00 $7,653.00 $7,653.00 $38,881.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $11,810.00 $12,380.00 $7,920.00 $7,920.00 $7,920.00 $47,950.00 Contractual $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other $32,680.00 $35,025.00 $35,025.00 $35,025.00 $35,025.00 $172,780.00 Total Direct Costs $178,290.00 $388,100.00 $474,876.00 $487,473.00 $500,180.00 $2,028,919.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). System Agency refers to HHSC, DSHS, or both, that will be a party to this Contract. These Contract Affirmations apply to all Contractors and Grantees (referred to as “Contractor”) regardless of their business form (e.g., individual, partnership, corporation). By entering into this Contract, Contractor affirms, without exception, understands, and agrees to comply with the following items through the life of the Contract:
1. Contractor represents and warrants that these Contract Affirmations apply to Contractor and all of Contractor's principals, officers, directors, shareholders, partners, owners, agents, employees, subcontractors, independent contractors, and any other representatives who may provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee X. Xxxxxxx shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx P.O. Box 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests. Personnel $66,674.00 $113,292.00 $113,292.00 $15,970.00 $0.00 $309,228.00 Fringe Benefits $25,336.00 $43,051.00 $43,051.00 $6,069.00 $0.00 $117,507.00 Travel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $2,785.00 $0.00 $0.00 $0.00 $0.00 $2,785.00 Contractual $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other $7,000.00 $7,000.00 $7,000.00 $4,686.00 $0.00 $25,686.00 Total Direct Costs $101,795.00 $163,343.00 $163,343.00 $26,725.00 $0.00 $455,206.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). System Agency refers to HHSC, DSHS, or both, that will be a party to this Contract. These Contract Affirmations apply to all Contractors and Grantees (referred to as “Contractor”) regardless of their business form (e.g., individual, partnership, corporation). By entering into this Contract, Contractor affirms, without exception, understands, and agrees to comply with the following items through the life of the Contract:
1. Contractor represents and warrants that these Contract Affirmations apply to Contractor and all of Contractor's principals, officers, directors, shareholders, partners, owners, agents, employees, subcontractors, independent contractors, and any other representatives who may provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee X. Xxxxxxx shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contractcontract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 3130, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 3130, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 3130, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 3130, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 3130, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx Unit P.O. Box 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests.. Personnel $84,019.00 $88,824.00 $93,600.00 $93,600.00 $93,600.00 $453,643.00 Fringe Benefits $41,169.00 $43,524.00 $45,864.00 $45,864.00 $45,864.00 $222,285.00 Travel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $489.00 $396.00 $0.00 $0.00 $0.00 $885.00 Contractual $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other $30,000.00 $23,722.00 $16,606.00 $16,606.00 $16,606.00 $103,540.00 Total Direct Costs $155,677.00 $156,466.00 $156,070.00 $156,070.00 $156,070.00 $780,353.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests.. Personnel $252,712.00 $252,712.00 $252,712.00 $252,712.00 $252,712.00 $1,263,560.00 Fringe Benefits $58,604.00 $58,604.00 $58,604.00 $58,604.00 $58,604.00 $293,020.00 Travel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $827.00 $825.00 $825.00 $825.00 $825.00 $4,127.00 Contractual $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Direct Costs $312,143.00 $312,141.00 $312,141.00 $312,141.00 $312,141.00 $1,560,707.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Contract Number _H_H_S_0_0_1_3_1_3_60_0_0_0_1
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx P.O. Box 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests.. Personnel $3,534.00 $150,502.00 $217,796.00 $217,796.00 $217,796.00 $807,424.00 Fringe Benefits $280.00 $45,753.00 $65,339.00 $65,339.00 $65,339.00 $242,050.00 Travel $0.00 $6,250.00 $7,500.00 $6,250.00 $6,250.00 $26,250.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $0.00 $14,396.00 $0.00 $5,000.00 $0.00 $19,396.00 Contractual $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other $0.00 $29,858.00 $49,461.00 $6,400.00 $6,400.00 $92,119.00 Total Direct Costs $3,814.00 $246,759.00 $340,096.00 $300,785.00 $295,785.00 $1,187,239.00 Indirect Costs $443.00 $22,718.00 $30,531.00 $30,079.00 $29,579.00 $113,350.00
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests.. Personnel $0.00 $204,292.00 $490,299.00 $490,299.00 $490,299.00 $1,675,189.00 Fringe Benefits $0.00 $66,722.00 $160,132.00 $160,132.00 $160,132.00 $547,118.00 Travel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Contractual $0.00 $27,963.00 $27,936.00 $27,936.00 $27,936.00 $111,771.00 Other $0.00 $11,500.00 $11,500.00 $11,500.00 $11,500.00 $46,000.00 Total Direct Costs $0.00 $310,477.00 $689,867.00 $689,867.00 $689,867.00 $2,380,078.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee X. Xxxxxxx shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx P.O. Box 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests. Personnel $54,318.00 $55,947.00 $57,625.00 $59,355.00 $61,135.00 $288,380.00 Fringe Benefits $21,727.00 $22,379.00 $23,050.00 $23,742.00 $24,454.00 $115,352.00 Travel $3,622.00 $3,622.00 $3,622.00 $3,622.00 $3,570.00 $18,058.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $1,494.00 $578.00 $1,000.00 $589.00 $599.00 $4,260.00 Contractual $6,400.00 $10,200.00 $9,600.00 $9,452.00 $4,380.00 $40,032.00 Other $2,589.00 $2,589.00 $2,589.00 $2,689.00 $2,489.00 $12,945.00 Total Direct Costs $90,150.00 $95,315.00 $97,486.00 $99,449.00 $96,627.00 $479,027.00 Indirect Costs $17,216.00 $17,733.00 $18,265.00 $18,813.00 $19,377.00 $91,404.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). System Agency refers to HHSC, DSHS, or both, that will be a party to this Contract. These Contract Affirmations apply to all Contractors and Grantees (referred to as “Contractor”) regardless of their business form (e.g., individual, partnership, corporation). By entering into this Contract, Contractor affirms, without exception, understands, and agrees to comply with the following items through the life of the Contract:
1. Contractor represents and warrants that these Contract Affirmations apply to Contractor and all of Contractor's principals, officers, directors, shareholders, partners, owners, agents, employees, subcontractors, independent contractors, and any other representatives who may provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests. Personnel $28,000.00 $92,250.00 $157,200.00 $160,200.00 $160,200.00 $597,850.00 Fringe Benefits $5,320.00 $17,528.00 $29,868.00 $30,438.00 $30,438.00 $113,592.00 Travel $0.00 $5,170.00 $2,130.00 $5,205.00 $2,130.00 $14,635.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $0.00 $4,430.00 $4,430.00 $4,430.00 $4,428.00 $17,718.00 Contractual $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other $4,498.00 8,015.00 $8,015.00 $8,015.00 $8,015.00 $36,558.00 Total Direct Costs $37,818.00 $127,393.00 $201,643.00 $208,288.00 $205,211.00 $780,353.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). System Agency refers to HHSC, DSHS, or both, that will be a party to this Contract. These Contract Affirmations apply to all Contractors and Grantees (referred to as “Contractor”) regardless of their business form (e.g., individual, partnership, corporation). By entering into this Contract, Contractor affirms, without exception, understands, and agrees to comply with the following items through the life of the Contract:
1. Contractor represents and warrants that these Contract Affirmations apply to Contractor and all of Contractor's principals, officers, directors, shareholders, partners, owners, agents, employees, subcontractors, independent contractors, and any other representatives who may provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests.. Personnel $0.00 $270,134.00 $336,672.00 $336,180.00 $352,974.00 $1,295,960.00 Fringe Benefits $0.00 $121,560.00 $151,502.00 $151,281.00 $158,838.00 $583,181.00 Travel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $0.00 $9,342.00 $0.00 $0.00 $0.00 $9,342.00 Contractual $0.00 $20,800.00 $20,800.00 $20,800.00 $0.00 $62,400.00 Other $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Direct Costs $0.00 $421,836.00 $508,974.00 $508,261.00 $511,812.00 $1,950,883.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee X. Xxxxxxx shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx P.O. Box 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests.. Personnel $0.00 $18,400.00 $44,400.00 $45,600.00 $45,600.00 $154,000.00 Fringe Benefits $0.00 $2,760.00 $6,660.00 $6,840.00 $6,840.00 $23,100.00 Travel $0.00 $328.00 $983.00 $983.00 $983.00 $3277.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $0.00 $750.00 $1,500.00 $1,500.00 $1,500.00 $5,250.00 Contractual $0.00 $500.00 $1,200.00 $1,200.00 $1,200.00 $4,100.00 Other $0.00 $5,132.00 $8,800.00 $7,420.00 $7,418.00 $28,770.00 Total Direct Costs $0.00 $27,870.00 $63,543.00 $63,543.00 $63,543.00 $218,499.00 Indirect Costs $0.00 $0.00 $3,344.00 $3,344.00 $3,344.00 $10,032.00 Contract Number _H_H_S_0_0_1_3_1_3_20_0_0_0_1
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred. Grantee must submit a final close-out invoice. Invoices received more than thirty (30) days after each fiscal year are subject to denial of payment.
ATTACHMENT A STATEMENT OF WORK
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 Not Applicable Not Applicable June 1, 2024 - November 30, 2024 December 30, 2024 3 2 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 3 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 4 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15December 30, 2028 2027 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests.. Personnel $0.00 $182,950.00 $461,100.00 $484,200.00 $275,407.00 $1,403,657.00 Fringe Benefits $0.00 $72,729.00 $179,411.00 $184,511.00 $102,843.00 $539,494.00 Travel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $0.00 $1,232.00 $2,500.00 $2,500.00 $1,500.00 $7,732.00 Contractual $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Direct Costs $0.00 $256,911.00 $643,011.00 $671,211.00 $379,750.00 $1,950,883.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Contract Number _H_HS_0_01_4_8_3_3_0_0_0_0_2
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests. Personnel $22,911.00 $135,987.00 $141,639.00 $69,340.00 $0.00 $369,877.00 Fringe Benefits $2,085.00 $51,675.00 $55,239.00 $31,203.00 $0.00 $140,202.00 Travel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $2,527.00 $6,211.00 $763.00 $656.00 $0.00 $10,157.00 Contractual $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Direct Costs $27,523.00 $193,873.00 $197,641.00 $101,199.00 $0.00 $520,236.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Contract Number _H_H_S_0_0_1_3_1_0_70_0_0_0_1 For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). System Agency refers to HHSC, DSHS, or both, that will be a party to this Contract. These Contract Affirmations apply to all Contractors and Grantees (referred to as “Contractor”) regardless of their business form (e.g., individual, partnership, corporation). By entering into this Contract, Contractor affirms, without exception, understands, and agrees to comply with the following items through the life of the Contract:
1. Contractor represents and warrants that these Contract Affirmations apply to Contractor and all of Contractor's principals, officers, directors, shareholders, partners, owners, agents, employees, subcontractors, independent contractors, and any other representatives who may provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests. Personnel $0.00 $0.00 $128,715.00 $0.00 $0.00 $128,715.00 Fringe Benefits $0.00 $0.00 $49,349.00 $0.00 $0.00 $49,349.00 Travel $0.00 $0.00 $7,697.00 $0.00 $0.00 $7,697.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $0.00 $0.00 $6,757.00 $0.00 $0.00 $6,757.00 Contractual $0.00 $0.00 $65,000.00 $0.00 $0.00 $65,000.00 Other $0.00 $0.00 $2,600.00 $0.00 $0.00 $2,600.00 Total Direct Costs $0.00 $0.00 $260,118.00 $0.00 $0.00 $260,118.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). System Agency refers to HHSC, DSHS, or both, that will be a party to this Contract. These Contract Affirmations apply to all Contractors and Grantees (referred to as “Contractor”) regardless of their business form (e.g., individual, partnership, corporation). By entering into this Contract, Contractor affirms, without exception, understands, and agrees to comply with the following items through the life of the Contract:
1. Contractor represents and warrants that these Contract Affirmations apply to Contractor and all of Contractor's principals, officers, directors, shareholders, partners, owners, agents, employees, subcontractors, independent contractors, and any other representatives who may provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests. Personnel $0.00 $38,569.00 $68,351.00 $70,397.00 $15,363.00 $192,680.00 Fringe Benefits $0.00 $13,499.00 $23,923.00 $24,639.00 $5,377.00 $67,438.00 Travel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Contractual $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Direct Costs $0.00 $52,068.00 $92,274.00 $95,036.00 $20,740.00 $260,118.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). System Agency refers to HHSC, DSHS, or both, that will be a party to this Contract. These Contract Affirmations apply to all Contractors and Grantees (referred to as “Contractor”) regardless of their business form (e.g., individual, partnership, corporation). By entering into this Contract, Contractor affirms, without exception, understands, and agrees to comply with the following items through the life of the Contract:
1. Contractor represents and warrants that these Contract Affirmations apply to Contractor and all of Contractor's principals, officers, directors, shareholders, partners, owners, agents, employees, subcontractors, independent contractors, and any other representatives who may provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee X. Xxxxxxx shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx P.O. Box 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests. Personnel $86,112.00 $86,112.00 $86,112.00 $68,328.00 $0.00 $326,664.00 Fringe Benefits $39,870.00 $39,870.00 $39,870.00 $31,636.00 $0.00 $151,246.00 Travel $1,250.00 $1,250.00 $1,250.00 $450.00 $0.00 $4,200.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Contractual $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other $1,400.00 $1,400.00 $1,400.00 $821.00 $0.00 $5,021.00 Total Direct Costs $128,632.00 $128,632.00 $128,632.00 $101,235.00 $0.00 $487,131.00 Indirect Costs $12,863.00 $12,863.00 $12,863.00 $10,123.00 $0.00 $48,712.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). System Agency refers to HHSC, DSHS, or both, that will be a party to this Contract. These Contract Affirmations apply to all Contractors and Grantees (referred to as “Contractor”) regardless of their business form (e.g., individual, partnership, corporation). By entering into this Contract, Contractor affirms, without exception, understands, and agrees to comply with the following items through the life of the Contract:
1. Contractor represents and warrants that these Contract Affirmations apply to Contractor and all of Contractor's principals, officers, directors, shareholders, partners, owners, agents, employees, subcontractors, independent contractors, and any other representatives who may provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests.. Personnel $37,628.00 $408,023.00 $559,515.00 $576,330.00 $497,073.00 $2,078,569.00 Fringe Benefits $9,490.00 $97,109.00 $129,975.00 $131,980.00 $111,941.00 $480,495.00 Travel $131.00 $393.00 $524.00 $524.00 $524.00 $2,096.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $8,368.00 $1,800.00 $1,800.00 $1,800.00 $1,500.00 $15,268.00 Contractual $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other $3,700.00 $4,850.00 $5,500.00 $5,500.00 $5,200.00 $24,750.00 Total Direct Costs $59,317.00 $512,175.00 $697,314.00 $716,134.00 $616,238.00 $2,601,178.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee X. Xxxxxxx shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx P.O. Box 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests. Personnel $44,550.00 $93,708.00 $93,708.00 $93,708.00 $93,708.00 $419,382.00 Fringe Benefits $8,910.00 $18,742.00 $18,742.00 $18,742.00 $18,742.00 $83,878.00 Travel $1,310.00 $2,950.00 $2,950.00 $2,950.00 $2,950.00 $13,110.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $3,824.00 $1,500.00 $1,500.00 $1,500.00 $1,500.00 $9,824.00 Contractual $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other $14,900.00 $27,300.00 $27,300.00 $27,300.00 $27,300.00 $124,100.00 Total Direct Costs $73,494.00 $144,200.00 $144,200.00 $144,200.00 $144,200.00 $650,294.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). System Agency refers to HHSC, DSHS, or both, that will be a party to this Contract. These Contract Affirmations apply to all Contractors and Grantees (referred to as “Contractor”) regardless of their business form (e.g., individual, partnership, corporation). By entering into this Contract, Contractor affirms, without exception, understands, and agrees to comply with the following items through the life of the Contract:
1. Contractor represents and warrants that these Contract Affirmations apply to Contractor and all of Contractor's principals, officers, directors, shareholders, partners, owners, agents, employees, subcontractors, independent contractors, and any other representatives who may provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 31, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 31, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 31, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 31, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 31, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 X.X. Xxx P.O. Box 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests. Personnel $10,920.00 $193,626.00 $156,339.00 $93,396.00 $95,904.00 $550,185.00 Fringe Benefits $7,098.00 $125,857.00 $101,620.00 $60,707.00 $62,338.00 $357,620.00 Travel $131.00 $6,550.00 $9,500.00 $1,965.00 $1,491.00 $19,637.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Contractual $18,000.00 $18,000.00 $6,000.00 $0.00 $6,000.00 $48,000.00 Other $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Direct Costs $36,149.00 $344,033.00 $273,459.00 $156,068.00 $165,733.00 $975,442.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). System Agency refers to HHSC, DSHS, or both, that will be a party to this Contract. These Contract Affirmations apply to all Contractors and Grantees (referred to as “Contractor”) regardless of their business form (e.g., individual, partnership, corporation). By entering into this Contract, Contractor affirms, without exception, understands, and agrees to comply with the following items through the life of the Contract:
1. Contractor represents and warrants that these Contract Affirmations apply to Contractor and all of Contractor's principals, officers, directors, shareholders, partners, owners, agents, employees, subcontractors, independent contractors, and any other representatives who may provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.
Appears in 1 contract
Samples: Grant Agreement
INVOICE AND PAYMENT. A. Grantee shall submit requests for reimbursement of required services/deliverables monthly using the State of Texas Purchase Voucher (Form B-13), together with supporting documentation as directed by System Agency. Forms should be mailed, faxed or e-mailed to the addresses below. Invoices will be due the last business day of the month following the month in which expenses were incurred.
B. Grantee shall submit a Financial Status Report (FSR) twice per calendar year for the term of the Contractcontract, beginning on the effective date of the Contract through November 30, 2027. 1 Effective Date - May 3130, 2023 June 30, 2023 June 1, 2023 - November 30, 2023 December 30, 2023 2 December 1, 2023 - May 3130, 2024 June 30, 2024 June 1, 2024 - November 30, 2024 December 30, 2024 3 December 1, 2024 - May 3130, 2025 June 30, 2025 June 1, 2025 - November 30, 2025 December 30, 2025 4 December 1, 2025 - May 3130, 2026 June 30, 2026 June 1, 2026 - November 30, 2026 December 30, 2026 5 December 1, 2026 - May 3130, 2027 June 30, 2027 June 1, 2027 - November 30, 2027 January 15, 2028 All reporting documents must be submitted by e-mail, fax, or mail. E-mail is preferred, but fax or mail is acceptable.
1. For submission by mail, use address below: Department of State Health Services Claims Processing Unit, MC 1940 Unit X.X. Xxx 149347 Austin, TX 78714-9347
2. For submission by fax, use number below: (000) 000-0000
3. For submission by e-mail, see requirements below:
a. Form B-13 with supporting documentation and Form B-13A must be sent to xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx, with a copy to the System Agency contract manager.
b. FSR must be sent to: xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxx@xxxx.xxxxx.xxx; and with a copy to the System Agency contract manager.
C. Grantee will be reimbursed monthly in accordance with Attachment B, Budget, subject to all Contract requirements, applicable law and governing regulations. Grantee shall include required and appropriate documentation with all reimbursement requests.. Personnel $134,946.00 $134,946.00 $134,946.00 $134,946.00 $134,946.00 $674,730.00 Fringe Benefits $30,565.00 $30,565.00 $30,565.00 $30,565.00 $30,565.00 $152,825.00 Travel $1,310.00 $1,310.00 $1,310.00 $1,310.00 $1,310.00 $6,550.00 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Supplies $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Contractual $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Other $1,072.00 $1,072.00 $1,072.00 $1,072.00 $1,074.00 $5,362.00 Total Direct Costs $167,893.00 $167,893.00 $167,893.00 $167,893.00 $167,895.00 $839,467.00 Indirect Costs $16,790.00 $16,790.00 $16,790.00 $16,790.00 $16,791.00 $83,951.00
Appears in 1 contract
Samples: Grant Agreement
