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<br />The PERFORMING AGENCY agrees to indicate separately on the face of the claim for <br />reimbursement (State of Texas Purchase Voucher, TDH Form B-13) the costs associated with <br />nutrition education, breastfeeding, and other administrative costs. <br />General Provisions, PROGRAM INCOME, paragraph one, is not applicable to this Attachment. <br />General Provisions, FINANCIAL REPORTS Article, second paragraph, second sentence, is <br />replaced with the following: <br />A fmal report, Financial Status Report, Federal Form 269 (TDH Form GC-3), will be submitted <br />no later than December 31, 1998. <br />General Provisions, REPORTS AND INSPECTIONS Article, paragraph one, is hereby modified <br />to include the following: <br />The PERFORMING AGENCY will submit an Immunization Encounter Form and Immunization <br />Dose Forms on a weekly basis. However, the Encounter Form may be replaced with an <br />automated immunization system during the term of this Attachment. In such event, the <br />PERFORMING AGENCY will comply with instructions from the RECEMNG AGENCY to <br />transmit immunization activity by diskette or via modem at intervals specified by the <br />RECEMNG AGENCY. <br />General Provisions, EQUIPMENT AND SUPPLIES Article, is amended by adding the following: <br />The PERFORMING AGENCY agrees to accept responsibility and fmancial liability for all <br />equipment and supplies purchased with RECEMNG AGENCY funds, whether purchased locally <br />by the PERFORMING AGENCY or by the RECEMNG AGENCY and transferred to the care <br />and custody of the PERFORMING AGENCY. The PERFORMING AGENCY further agrees to <br />conduct an annual physical inventory of all equipmeI,lt purchased by the RECEMNG AGENCY, <br />and submit it at a time to be specified by the RECEIVING AGENCY. The RECEIVING <br />AGENCY reserves the right to recover the cost of equipment or supplies purchased by the <br />RECEIVING AGENCY and placed in the custody of the PERFORMING AGENCY if such <br />articles are lost, stolen, or otherwise unaccounted for. <br />SECTION ID. BUDGET: <br />All categories of costs billed to the RECEIVING AGENCY, and allocation of such costs, must <br />be in accordance with the "Plan to Allocate Direct Costs" (P ADC) submitted by the <br />PERFORMING AGENCY and approved by the RECEIVING AGENCY. A listing of the <br />categories contained in the negotiated P ADC are shown in Exhibit A of this Attachment. <br /> A TT ACHMENT - Page 7 <br />