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DocuSign Envelope ID: DB33BBBD-6336-4169-BA22-EC80FA1149C6 <br /> Page 5 of 6 <br /> Attachment A <br /> Budget Statement—FY 2020-2021 Planned Use of Federal COVID-19 Vaccination Funds <br /> Provide this Budget Statement to assist with preparing anticipated expenditures for reporting that follow federal <br /> grants policies and CDC award requirements based on allowable expenditures. Return this completed <br /> Attachment A with the signed Agreement Addendum. <br /> Instructions: Include list of expected expenses related to implementing mass COVID-19 vaccination <br /> activities, including the dollar amount and a brief justification. <br /> Object Class Category/Expenses <br /> Funding Codes <br /> COVID-19 Vaccination Program: <br /> 1331-629B-4Q Amount Budget Item Justification Statement <br /> Personnel(Salary/Wages) <br /> Fringe <br /> Travel <br /> Equipment <br /> Supplies <br /> Other/Miscellaneous $57,403 $38,000 Vaccine Management Software to replace Excel <br /> to track 40,000+ interest surveys across all prioritization <br /> groups and schedule appointments for mass vaccination <br /> clinic. <br /> $19,403 for direct mailing campaign to all residents to <br /> notify of how to get vaccinated in Orange County <br /> Revised July 2019 <br />