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Division of Public Health <br />Agreement Addendum <br />FY 20-21 <br />Page 1 of 3 <br />_____________________________________________ ____________________________________ <br />Health Director Signature (use blue ink) Date <br /> Local Health Department to complete: <br />(If follow-up information is needed by DPH) LHD program contact name: <br />Phone number with area code: <br />Email address: <br /> <br />Signature on this page signifies you have read and accepted all pages of this document. Revised July 2018 <br />Orange County Health Department Epidemiology / PH Preparedness & Response <br />Local Health Department Legal Name DPH Section / Branch Name <br />514 NC Public Health Emergency Preparedness <br />Wayne Mixon, (919) 546-1831 <br />wayne.mixon@dhhs.nc.gov <br />Activity Number and Description DPH Program Contact <br />(name, phone number, and email) <br />06/01/2020 – 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 />As of August 28, 2020, this Agreement Addendum Revision #1 adds the follow paragraph: <br />On August 28, 2020, the Centers for Disease Control (CDC) authorized Public Health Emergency <br />Preparedness (PHEP) funding recipients to suspend some PHEP grant deliverables to allow states to <br />focus on the COVID-19 response. <br />II. Purpose: <br />This Agreement Addendum Revision #1 suspends some of the requirements described in the original <br />Agreement Addendum in order to allow Local Health Department (LHD) staff to focus its time and <br />resources on the COVID-19 response. There is no funding change associated with this Revision. <br />III. Scope of Work and Deliverables: <br />As of August 28, 2020, this Agreement Addendum #1 suspends the Paragraphs as noted below, with all <br />of the Paragraphs’ language included here for clarity: <br /> <br />1. (No change) <br />Assign a member of its staff to act as a point of contact with the PHP&R Branch and to perform the <br />duties and functions as the Local Health Department’s Preparedness Coordinator. Those duties and <br />functions include: <br />a. (Suspended) <br />Participating in state and regional planning processes by attending, at minimum, 75% of the <br />PHP&R regional planning meetings in the Local Health Department’s PHP&R region. To <br />nbontrager@orangecountync.gov <br />919-245-2407 <br />Natalie Bontrager <br />DocuSign Envelope ID: 8011C867-01D2-4788-AB23-B7568E9EBD7B <br />9/23/2020