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DocuSign Envelope ID:92AC645D-4625-40EC-8388-DBB1C8CE1A7D <br /> Division of Public Health <br /> Agreement Addendum <br /> FY 20-21 <br /> Page 1 of 2 <br /> Orange County Health Department Epidemiology/Communicable Disease Branch <br /> Local Health Department Legal Name DPH Section/Branch Name <br /> Vanessa M. Greene 919-546-1658 <br /> 543 ELC Enhancing Detection Activities vanessa.greene@dhhs.nc.gov <br /> Activity Number and Description DPH Program Contact <br /> (name,phone number,and email) <br /> 01/20/2020—05/31/2021 <br /> Service Period DPH Program Signature Date <br /> (only required for a negotiable agreement addendum) <br /> 07/01/2020—06/30/2021 <br /> Payment Period <br /> ❑ Original Agreement Addendum <br /> ® Agreement Addendum Revision# 1 <br /> I. Background: <br /> No change. <br /> II. Purpose: <br /> This Agreement Addendum Revision#1 makes funding originally allocated to State Fiscal Year <br /> (SFY)22 available in SFY21 to further enhance the Local Health Department's ability to prevent, <br /> prepare for, and respond to Coronavirus Disease 2019 (COVID-19)by carrying out surveillance, <br /> epidemiology, laboratory capacity, infection control, mitigation, communications, and other <br /> preparedness and response activities. Funding guidelines are updated to include additional allowable <br /> services. <br /> III. Scope of Work and Deliverables: <br /> No change. <br /> IV. Performance Measures/Reporting Requirements: <br /> No change. <br /> V. Performance Monitoring and Ouality Assurance: <br /> No change. <br /> DocuSigned by: <br /> Y tl gl�tq �}UA/gy� 1/22/2021 <br /> '��1.fF2DOgE�AASF <br /> Health Director Signature (use blue ink) Date <br /> Local Health Department to complete: LHD program contact name: Jennifer Jensen <br /> (if follow-up information is needed by DPH) Phone number with area code: 919-245-2431 <br /> Email address: jjensen o orangecountync.gov <br /> Signature on this page signifies you have read and accepted all pages of this document. July2019 <br />