HomeMy WebLinkAbout1997 NS Health - Orange County Partnership for Young Children for Dental Contract Amendment 6
Orange County Partnership for Young Children
CONTRACT AMENDMENT III
CONTRACT# 12
This agreement amends the contract between the Orange County Partnership for Young Children,
hereinafter referred to as the "Partnership", and Orange County Health Department, hereinafter
referred to as the "Contractor". This amendment is hereby effective on January 22, 1997.
As provided for under the terms of this contract, the Partnership and the Contractor agree to
amend the following provisions:
The total contract amount is increased. The FY 1996-97 funding award for the program
activity specified below will be:
Dental Screenings Project $25,700
All other terms and conditions as set forth in the original contract document shall remain in effect
for the duration of this agreement.
The Partnership and the Contractor have executed this agreement in triplicate originals, one to be
retained by the Partnership, one to be retained by the Contractor, and one to be on file with the
Partnership for state-level auditing or accounting purposes.
(Authorized Signature) Date
Orange County Partnership for Young Children
(Authorized Signature) Date
Orange County Health Department
A t cactunen t C,
5
Contractor:
Department Dental Division Total Funds 'Blended/Leveraged Smart Start
GOAL ACTIVITY: Funds Funds
Description Amount Amount Amount
Personnel
ScIM/Wages/Beneftts 2,500.00
Professional Services 21 ,000.00 ? IInOn no
Board Member 5 ition
Other.
Total Personnel Services 23,500.00
Supplies and Materials
Otfice Supplies and Materials 200.00 200.00
computer Sup Iles&Software
Janitorial Supplies
Educationaf/Medical Supplies 112-0-0-00 1 2
Automotive Supplies
Other:
Total Supplies and Materials 1 ,400.00 1 400.00
Current Obligations
Travel
Communications(Telephone,Postage,etc.) 300.00 300.00
Utilities
Printing and Binding 300.00
Re it and Maintenance
Computer Services(Acctin ,Payroll,etc.)
Employee Training 200.00
Advertising
Board Member Expense(Travel.Per Diem)
Other:
Other:
Total Current Obligations 800.00 800.00
Fixed Charges and Expenses
Office Rent(Land.Buildings.etc.)
Furniture Rental
Equipment Rental(Phone.Computer.etc.)
Vehicle Rental
Dues and Subscriptions
Insurance and Bonds
Other-
Total Fixed Charges&Other Expenses
Capital outlay
Lond/Buildings
Office Furniture
Computer Equipment
Vehicles
Books(Ubrary Reference Materials)
Other:
Total Capital Outlay
Total Contracts and Grants 25,700.00 I ?S 700-00
Total Purchases of Services Costs
Total Budgeted Expenditures 1 25,700.00 h5, 700.00
?!eC52 Identtty seuce of blended/levercged runding on cn C-CC aC she_,.
ORANGE COUNTY FINANCE DIRECTOR:
"This instrument has been preaudited in the
manner required by the Local Government
Budget and Fiscal Control Act."
Orange County Finance Director
Date:
Chairman, Orange County Board of
Commissioners
DATE: