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IlrB DOCUMENT NO. C3000606 ATTACHMENT NO. 01C PERFORMING AGENCY: CITY OF SAN MARCOS RECEIVING AGENCY PROGRAM: BUREAU OF WOMEN, INFANTS, AND CHILDREN'S NUTRITION TERM: October 1, 1992 THROUGH September 30, 1993 It is mutually agreed by and between the contracting parties, to amend the conditions of Document No. C3000606-01-B as written below. All other conditions not hereby amended are to remain in full force and effect. SECTION I. SCOPE OF WORK, first paragraph, is amended to incorporate immunization activities, and reads as follows: PERFORMING AGENCY will provide supplemental food instruments, nutrition education, and immunizations as an adjunct to good health care at no cost to low income pregnant and postpartum women, infants, and children identified to be at nutritional risk. In meeting this goal, PERFORMING AGENCY will: SECTION I. SCOPE OF WORK, is amended by adding paragraph F. regarding immunization activities which reads as follows: F. Revie~ the immunization record of WIC program applicants/participants and provide immunizations as needed in accordance witQ Immunization Policies provided by RECEIVING AGENCY to PERFORMING AGENCY using staff funded under this attachment. (See new paragraph relating to reimburse- ment for immunization activities added to SECTION III. SPECIAL PROVISIONS, Terms and Conditions of Payment.) The original paragraphs of SECTION III. SPECIAL PROVISIONS, which modify the General Provisions, Terms and Conditions of Payment Article, are replaced in their entirety as shown below. Items 4 and 5 are new provisions relating to reimbursement for expansion of the WIC program to NEW participants and reimbursement for new immunization activities. The participant caseload quantity will be assigned by RECEIVING AGENCY by giving written notice to PERFORMING AGENCY and may be subject to change from time to time upon written notice to PERFORMING AGENCY from RECEIVING AGENCY. PERFORMING AGENCY assumes liability for all foods costs resulting from PERFORMING AGENCY exceeding assigned caseload maximum. The number of individuals served in excess of assigned caseload are not to be included in the calculation of earned administrative funds as described below. RECEIVING AGENCY will reimburse PERFORMING AGENCY for administrative costs which include participant referral, vendor evaluation and monitor- ing, nutrition education, general administrative support, start-up costs, outreach, applicant screening, and food card issuance. Administrative costs will be reimbursed based on actual costs, but not to exceed the »maximum reimbursement~ set out below, based upon the sum of -1-