Res 2016-001/ (“WIC”) Program Contract with Texas Department of State Health Services

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ATTACHMENT A STATEMENT OF WORK PARTICIPANTS SERVED PER MONTH MAXIMUM REIMBURSEMENT: During the term of the Statement of Work, Grantee shall earn administrative funds at the rate of $13.66 for each participant served as defined above. Grantee agrees that: A. Grantee shall identify and document separately not less than 19% of total administrative costs as expenditures directly related to nutrition education and counseling. Nutrition education and counseling expenditures shall be supported by documentation of participant attendance or non - attendance within the DSHS WIC Program. B. DSHS will reimburse Grantee for administrative expenses at a rate not greater than 5.26 times the amount of properly documented expenditures for nutrition education and counseling, but not more than is earned based on actual participation not to exceed Grantee's assigned participant caseload, plus any incentive funds allocated to Grantee by DSHS. C. DSHS will reimburse Grantee's indirect costs by one of the following: (1) amount calculated in accordance with Grantee's current valid federally negotiated indirect cost rate (IDCR), (2) amount calculated in accordance with Grantee's accepted DSHS Cost Allocation Plan. DSHS will limit (cap) Cost Allocation Plan reimbursement at twenty (20) percent applied to Grantee's total direct salaries plus benefits reimbursed by DSHS, or (3) a Grantee that has never negotiated an IDCR may elect to charge a de minimis rate of 10% of modified total direct costs. D. DSHS will identify annually to Grantee an amount of funds that shall be spent for breastfeeding promotion. The allocation of breastfeeding funds to Grantee will be based on Grantee's proportional share of the statewide combined total of pregnant and breastfeeding participants as reported to DSHS WIC Program. E. DSHS WIC Program also reserves the right to withhold a proportionate amount of earned administrative funds when evidence exists that nutrition education and/or breastfeeding promotion is not being provided by Grantee, or Grantee is not complying with the provisions of USDA and/or DSHS directives. F. DSHS may amend or terminate this Statement of Work if available funds become reduced, depleted, or unavailable during the term of the Statement of Work to the extent that the WIC Program is unable to provide administrative funding at the rate(s) stated in this Statement of Work. DSHS will provide written notification to Grantee of such fact. G. DSHS may, at its sole discretion, pay for additional goods or services as specified in this Statement of Work if provided by Local Agency during the term of this Statement of Work (but not otherwise paid during the term of this Statement of Work) if it is in the best interest of DSHS and DSHS WIC Program to do so. If Grantee exceeds the amount DSHS Contract No. 2016 - 048775 -001 Attachment A - Page 6