HomeMy WebLinkAboutPHEP Amendment 1 Contractee. Oshkosh 1- lealih Department
Contract Ponod: 1!1 /104319
New Contract Amount $75.140
CONTRACT AGREEMENT AMENDMENT #1
Oshkosh Health Department
STATE AGENCY: Division of Public Health, Department of Health Services
CONTRACTEE: Oshkosh Health Department
215 Church Street
Post Office Box 1130
Oshkosh, WI 54902 -1130
PROFILE NAME: Public Health Emergency Preparedness (PHEP)
It is understood and agreed by both parties through this amendment to the
Public Health Emergency Preparedness (PHEP)
contract between the Contractee and the Division of Public Health that:
1. Funding Provided /Extended Period Covered:
a. Additional funds for 1/1/11 - 8/9/11: $ 28,265.00
b. New contract amount: $ 75,140.00
c. Contract p 1/1/10- 8/9/11 co E9VI
NUMBER TYPE NUMBER PERIOD AMOUNT AMOUNT AMOUNT
472894 60 155015 1/1/10- 12/31/10 $ 46,875.00 $ (46,875.00) $
472894 160 155015 1/1/10 - 8/9/11 $ 46,875.00 $ 28,265 00 $ 75,140.00
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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 GAC.
TIMELY CONTRACT SIGNING
This Contract Amendment becomes null and void if the time between the earlier dated signature and the later dated signati
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:
Approved. ` _
Contractee's Authorized Representative :-Ein 4 Date
Approved:
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Contractor's Authorized Representative l"�J Date
Sandra L. K. Breitborde, MA, MS
Deputy Administrator
Division of Public Health
Department of Health Services
Revision Date: 03/02/09