HomeMy WebLinkAboutPublic Health Emergency Response 3/Amendment 2 CONTRACT AGREEMENT AMENDMENT #2
City of Oshkosh
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STATE AGENCY: Division of Public Health, Department of Health Services
CONTRACTEE: City of Oshkosh
215 Church Street
Post Office Box 1130
Oshkosh, WI 54902 -1130
PROFILE NAME: Public Health Emergency Response 3 (PHER3)
It is understood and agreed by both parties through this amendment to the
Public Health Emergency Response 3 (PHER3)
contract between the Contractee and the Division of Public Health that:
1. Funding Provided /Extended Period Covered:
a. Additional funds: $ -
b. New contract amount: $ 113,327.00
c. Contract period: 7/31/2009 - 7/30/2011
AGENCY AGENCY PROFILE CONTRACT CURRENT CHANGED NEW
NUMBER TYPE NUMBER PERIOD AMOUNT AMOUNT AMOUNT
472894 60 155775 i/3112009-813112010 $ 113,3270C $ (113.327 00' $
472894 160 155775 7131;2009 - 7/30/2011 $ - $ 113,327.00 $ 113,327.00
2. Purpose and Service Conditions on the contract extension:
a. Contract extension and additional funds to complete project activities per jointly agreed upon objectives in GAGInd
b. All activities must be consistent and within the scope of PHER guidance for Phases I, II, and III; directly
related to influenza pandemic preparedness (or replacing supplies that were used during the H1N1 influenza pandemic
response); directly mentioned in the After Action Report; and Improvement Plan for 2009 H1N1 Influenza; and
accomplished within the closeout period, which ends on July 30, 2011.
TIMELY CONTRACT SIGNING
This Contract Amendment becomes null and void if the time between the earlier dated signature and the later dated signature
on this grant agreement amendment exceeds sixty (60) days inclusive of the two signature dates.
All other terms on the contract amended shall remain in force as originally executed.
The parties below execute this contract amendment:
1 Z iNc1)?(I"
Approved: 101
Contractee's Autho ized Re. resentative Date
Approved: s ; e d
tO k / i�
Contractor's Authorized Representative Date
Sandra L. K. Breitborde, MA, MS
Deputy Administrator
Division of Public Health
Department of Health Services
Revision Date: 11/30/10