HomeMy WebLinkAbout2021-093-E Health - NC Div of Public Health AA716 vaccine planning DocuSign Envelope ID: DB33BBBD-6336-4169-BA22-EC80FA1149C6
Division of Public Health
Agreement Addendum
FY 20-21
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Women's and Children's Health Section/
Orange County Health Department Immunization Branch
Local Health Department Legal Name DPH Section/Branch Name
Misheema Morrissey, 919-707-5556
716 CDC COVID-19 Vaccination Program misheema.morrissey@dhhs.nc.gov
Activity Number and Description DPH Program Contact
(name,phone number,and email)
01/01/2021 —05/31/2021
Service Period DPH Program Signature Date
(only required for a negotiable agreement addendum)
02/01/2021 —06/30/2021
Payment Period
® Original Agreement Addendum
❑ Agreement Addendum Revision #
L Background:
As part of the "Paycheck Protection Program and Health Care Enhancements Act,"North Carolina
received funding to assist with local health departments COVID-19 vaccination planning and
implementation of mass COVID-19 vaccination. Because the supply of COVID-19 vaccine in the
United States is limited at first, the Centers for Disease Control and Prevention(CDC) is providing
recommendations to federal, state, and local governments about who should be vaccinated first. CDC's
recommendations are based on recommendations from the Advisory Committee on Immunization
Practices (ACIP), an independent panel of medical and public health experts. The recommendations
were made with these goals in mind:
• Decrease death and serious disease as much as possible.
• Preserve functioning of society.
• Reduce the extra burden COVID-19 is having on people already facing disparities.
Funding will be awarded to local health departments to support these goals in the planning and
implementation of on-site, satellite, temporary or off-site COVID-19 vaccination clinics.
II. Purpose:
This Agreement Addendum provides funding to the Local Health Department (LHD) to help support
activities associated with COVID-19 mass vaccination planning and implementation. Planning and
response require close collaboration among public and private sector partners, public health emergency
response and emergency management, and healthcare organizations and industry groups within the
community. This funding may be used for associated costs for COVID-19 vaccine storage and handling,
vaccine planning, COVID-19 vaccination services in open and closed point-of-dispensing (POD)
DocuSignedby: 1. ""'"'�
Qmk� A.Lt.A. S&Wol t 2/3/2021
Health Director Signature (use blue ink) Date
Local Health Department to complete: LHD program contact name: Jennifer.Jensen
(If follow-up information is needed by DPH) Phone number with area code: 919-245-2431
Email address: jjensen@orangecountync.gov
Signature on this page signifies you have read and accepted all pages of this document. Revised July2019
DocuSign Envelope ID: DB33BBBD-6336-4169-BA22-EC80FA1149C6
Page 2 of 6
locations, including staffing to serve as vaccinators in PODS, contract needs for vaccination services,
and other infection control supplies to support safe vaccine administration within the community. This
effort will occur in phases with a focus on targeted populations following CDC and North Carolina
guidelines.
III. Scope of Work and Deliverables:
The LHD shall:
1. Vaccinate prioritized populations according to the CDC COVID-19 Vaccination Program Provider
Agreement and following the state's COVID-19 Vaccine Phases la, lb, 2, 3, and 4, at no cost to the
vaccine recipient. Vaccines will be provided by the federal government through the CDC.
2. Train staff on COVID-19 vaccine administration, management, inventory, and reporting
requirements as required by Immunization Branch and the CDC.
3. Identify community vaccination providers (e.g.,pharmacies, occupational health settings, doctors'
offices) to combine efforts to implement strategies to vaccinate groups and subgroups within the
prioritized tiers.
4. Conduct clinics that are open to the public and clinics that are for targeted populations only(i.e.,
critical workforce personnel and/or higher risk prioritized groups). These clinics may be
provisionally located at walk-through sites (churches, community centers, outdoor tents) or other
settings such as mobile, curbside, or drive-through sites.
5. Ensure safe implementation of on-site, satellite, temporary, or off-site vaccination clinics. Planning
for vaccination clinics includes clinical considerations such as social distancing, responding to
medical emergencies, vaccine storage, handling, administration, and documentation. Large-scale
clinics, such as those held in arenas or stadiums will likely require added logistical and technical
considerations. Partners will need to be engaged to accomplish aspects of the local plan, such as
National Guard, local law enforcement, local emergency management, local hospitals, and
pharmacies.
6. Maintain flexibility in its planning to accommodate a variety of scenarios due to changing vaccine
supply levels at various points during the COVID-19 vaccine supply roll-out. It is anticipated that
vaccine supply will be limited initially. The vaccine supply is projected to increase quickly, allowing
vaccination efforts to be expanded to include additional critical populations and the general public.
7. Promote COVID-19 education to the public on vaccination and disseminate information within the
LHD's county or district. Enhance existing community partnerships to assist in vaccination
promotion. These partnerships could include a variety of community and faith-based organizations
to reach at-risk populations, such as churches, barber shops, community health centers, refugee
serving organizations, homeless shelters,jails/prisons, meat processing plants, and migrant farms.
8. Determine the need for additional personnel and based on that determination, hire, or reassign staff
for COVID-19 vaccine administration.
9. Procure supplies for the vaccination clinics, as needed. Examples of supplies to obtain include those
items necessary to protect both staff and patients from COVID-19, such as:
a) hand sanitizer with at least 60% alcohol for hand hygiene
b) cleaning tools to allow for frequent cleaning of the clinic area
c) hand soap
d) face coverings for patients who arrive without one
e) signage, tape, ropes, and cones to encourage physical distancing and provide one-way flow
through the clinic
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f) personal protective equipment(PPE) for staff. Gloves, masks, gowns, and other indicated
PPE must be worn by anyone administering vaccine. Eye protection may be appropriate
depending on the level of community transmission
g) thermometers for checking each patient's temperature before entering the clinic
h) PPE for patients, masks, tissues etc.
10. Know that CDC will provide a standard ancillary supplies kit. Kits will be included with the vaccine
orders in amounts to match the vaccine orders. Each vaccine standard ancillary supplies kit contains:
a) 105 needles
b) 105 syringes
c) 210 alcohol prep pads
d) 4 surgical masks
e) 2 face shields for vaccinators, and
f) 100 COVID-19 vaccination record cards for vaccine recipients.
11. Provide appropriate vaccine storage and handling equipment, including refrigerators, freezers,
portable storage units and temperature monitors to ensure appropriate vaccine storage and handling
procedures are established and followed. Prepare COVID-19 vaccines for proper transport from the
LHD to off-site clinics as required by CDC. COVID-19 vaccine products are temperature-sensitive
and must be stored and handled correctly to ensure efficacy and maximize shelf life. Proper storage
and handling practices are critical to minimize vaccine loss and limit the risk of administering
COVID-19 vaccine with reduced effectiveness.
12. Follow manufacturer cold chain storage and handling requirements for COVID-19 vaccine products
which will vary. Different temperature storage requirements for approved or authorized COVID-19
vaccines may affect which vaccine will be easily accessible to the LHD in the future. Furthermore,
many COVID-19 vaccines with varying levels of refrigeration requirements are currently in Phase 3
trials.
13. Complete Attachments A and B with the signed Agreement Addendum.
a. Attachment A is the Budget Statement. It should list the expected expenses by category,
including the dollar amount and a brief justification.
b. Attachment B is the Services Statement. It should:
1) Explain, in detail, how this funding will be used to develop and implement local
solutions to plan and implement on-site, satellite, temporary, or off-site vaccination
COVID-19 vaccination clinics.
2) Include information on how the LHD will implement its COVID-19 mass
immunization services within the community.
3) State how the COVID-19 vaccination services are adapted both to include those
populations at an increased risk of complications from COVID-19. Examples include:
a) Mobile vaccine clinics that travel to hard-to-reach communities to provide
vaccines
b) Drive-through or curbside vaccination clinics
c) Pop-up flu clinics at various community settings, such as COVID-19 testing
sites, school nutrition sites, construction sites, migrant farm worksites,
processing plants, churches, parking lots
d) Immunization clinics to reach jails, homeless shelters, or other community
organizations.
Revised July 2019
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4) Include a description of enhanced outreach activities vaccinate priority populations,
hard-to-reach, and marginalized populations, and how community partners are to be
included in the outreach.
IV. Performance Measures/Reporting Requirements:
1. Report vaccine administration data on all vaccine recipients.
2. Track and report COVID-19 vaccine transfers and vaccine wastage/spoilage occurrences to the
Immunization Branch when they occur.
3. Train staff on COVID-19 vaccine administration, management, inventory, and reporting
requirements as required by Immunization Branch and the CDC.
V. Performance Monitoring and Ouality Assurance:
1. The Immunization Branch will monitor this activity through reporting data, tracking the number of
doses administered, and handling of the vaccine inventory are the key monitoring metrics. If issues
are noted with performance (i.e., delays in vaccination, failure to adhere to storage and handling
requirements), a consultation via telephone or on-site follow-up from the Program Monitor shall
occur.
2. The LHD is required to track non-compliance issues by corrective action plans. The Program
Monitor shall make every effort to work with the LHD on strategies to resolve the issue and
corrective action plans. If the plan is not followed and the LHD remains out of compliance after
intervention and resources from DPH, vaccine shipments may be suspended until the LHD can be
brought back into compliance.
VI. Funding Guidelines or Restrictions:
1. Requirements for pass-through entities: In compliance with 2 CFR §200.331 —Requirements for
pass-through entities, the Division of Public Health provides Federal Award Reporting Supplements
to the Local Health Department receiving federally funded Agreement Addenda.
a. Definition: A Supplement discloses the required elements of a single federal award.
Supplements address elements of federal funding sources only; state funding elements will
not be included in the Supplement. Agreement Addenda(AAs) funded by more than one
federal award will receive a disclosure Supplement for each federal award.
b. Frequency: Supplements will be generated as the Division of Public Health receives
information for federal grants. Supplements will be issued to the Local Health Department
throughout the state fiscal year. For federally funded AAs, Supplements will accompany the
original AA. If AAs are revised and if the revision affects federal funds, the AA Revisions
will include Supplements. Supplements can also be sent to the Local Health Department even
if no change is needed to the AA. In those instances, the Supplements will be sent to provide
newly received federal grant information for funds already allocated in the existing AA.
2. The LHD must submit its planned expenditures by completing Attachment A, which is to include the
dollar amount and a budget justification statement for each budget category.
Revised July 2019
DocuSign Envelope ID: DB33BBBD-6336-4169-BA22-EC80FA1149C6
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Attachment A
Budget Statement—FY 2020-2021 Planned Use of Federal COVID-19 Vaccination Funds
Provide this Budget Statement to assist with preparing anticipated expenditures for reporting that follow federal
grants policies and CDC award requirements based on allowable expenditures. Return this completed
Attachment A with the signed Agreement Addendum.
Instructions: Include list of expected expenses related to implementing mass COVID-19 vaccination
activities, including the dollar amount and a brief justification.
Object Class Category/Expenses
Funding Codes
COVID-19 Vaccination Program:
1331-629B-4Q Amount Budget Item Justification Statement
Personnel(Salary/Wages)
Fringe
Travel
Equipment
Supplies
Other/Miscellaneous $57,403 $38,000 Vaccine Management Software to replace Excel
to track 40,000+ interest surveys across all prioritization
groups and schedule appointments for mass vaccination
clinic.
$19,403 for direct mailing campaign to all residents to
notify of how to get vaccinated in Orange County
Revised July 2019
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Attachment B
Services Statement—FY 2020-2021 Planned Use of Federal COVID-19 Vaccination Funds
Provide this Services Statement to assist with preparing anticipated expenditures for reporting that follow
federal grants policies and CDC award requirements based on allowable expenditures. Return this completed
Attachment B with the signed Agreement Addendum. Use additional pages as needed.
i. Explain, in detail, how this funding will be used to implement mass COVID-19 vaccinations clinics by
ACIP recommended priority groups during the COVID-19 pandemic.
Funding will be used to purchase the Everbridge Vaccine Management System to enable staff to accurately
collect resident interest surveys (41,000 surveys submitted as of 2/2/21), contact those that submitted
surveys, schedule appointments for mass vaccination clinics, and track doses. CVMS does not currently
have this capability and it is becoming increasingly more difficult to do this in Excel given the large number
of doses we anticipate administering and high level of interest in vaccine in Orange County.
Funding will also be used on a direct mailing campaign of postcards that will go to all residences in Orange
County in an attempt to reach those individuals that do not have access to the internet, are not connected to
human service groups or community groups, and may not know how or where to go to get a COVID-19
vaccine. These postcards will be printed in both English and Spanish.
ii. Include information on how the LHD will implement mass COVID-19 vaccinations clinical services within
the community.
The Orange County Health Department(OCHD) has built a stationary POD at a vacant UNC parking lot that
can process as many as 100 doses per hour for an estimated 900-1500 per day.
The OCHD has also developed a group of community members to identify sites geographically throughout the
county to provide between 150-400 doses per day in order to be closer to historically marginalized
communities that may lack transportation, have disabled residents, or lack easy access to the larger scale
stationary site.
OCHD has partnered with Orange County Transportation Services and Chapel Hill Transit to provide
transportation to these mass vaccination sites for those that need it.
iii. State how the mass clinic services are adapted include COVID-19 safety measures, along with efforts to
vaccine prioritized populations and limit barriers to getting the COVID-19 vaccine.
OCHD mass vaccination sites are appointment only in an effort to protect the safety of individuals coming to
our sites for vaccination. Social distancing is in place at all sites and models (Drive through, parking in a
parking space for the entire vaccination period, and walk-in to a senior center). Masks are required on site,
hand sanitizer and hand washing stations are present on all sites and staff are briefed/encouraged throughout
the day to wash hands frequently. Most sites are located outdoors with individuals to be vaccinated in their
vehicles at all times.
Revised July 2019
DocuSign Envelope ID:DB33BBBD-6336-4169-BA22-EC80FA1149C6
The OCHD has also developed a group of community members to identify sites geographically throughout the
county to provide between 150-400 doses per day in order to be closer to historically marginalized
communities that may lack transportation, have disabled residents, or lack easy access to the larger scale
stationary site. Residents of these communities and members of these groups are prioritized for
appointments at these vaccination sites to ensure equitable access to vaccine.
Staff on site are trained to use Telelanguage, Spanish language interpreters are on site, and the county is
working to install video remote interpretation on all iPads used for vaccine documentation to ensure
additional access to interpreters, especially for American Sign Language.
OCHD has partnered with Orange County Transportation Services and Chapel Hill Transit to provide
transportation to these mass vaccination sites for those that need it.
All vaccine promotional materials state that identification is not needed in order to register for vaccine or get
vaccinated.
iv. Include a description of outreach activities to reach the priority populations, with a focus on those of the
highest risk populations, and how community partners are to be included in the outreach.
OCHD has partnered with community organizations, faith leaders, neighborhoods, and UNC Health to ensure
we provide education, information, and access to all in Orange County. The Human Services Consulting
Group that includes these groups meet every Thursday to share ideas about how to reduce barriers,
collaborate on vaccination sites, and provide direction to the Orange County vaccination plan. The OCHD
Health Education team makes multiple virtual presentations each month to community groups to provide
vaccine education and answer questions. A portion of the funding for this AA will be used on a direct
mailing campaign to ensure we share information about the COVID vaccines along with how to get
vaccinated with those that do not have access to the internet. Every household will receive a postcard with
that information in multiple languages.
Revised July 2019
DocuSign Envelope ID:DB33BBBD-6336-4169-BA22-EC80FA1149C6
FYZ1 ACtlVlty: 716 CDC COVID-19 Vaccination Program Supplement 1
Supplement reason: ® In AA+BE or AA+BE Rev —OR— ❑ —
CFDA#: 93.268 1 Federal awd date: NGA date Is award R&D? no FAIN: NH231P922624 Total amount of fed awd: $ 19,619,894
Fed award
project CDC-RFA-IP19-901 Immunization and Vaccines for Children
CFDA 93.268—Immunization Cooperative Agreements description:
name:
Fed awarding DHHS,Centers for Disease Control and Federal award %
agency: Prevention indirect cost rate: n/a %0
Subrecipient Fed funds for Total of All Fed Funds Subrecipient Fed funds for Total of All Fed Funds
Subrecipient DUNS This Supplement for This Activity Subrecipient DUNS This Supplement for This Activity
Alamance 965194483 62815 62815 Jackson 019728518 31259 31259
Albemarle 130537822 201392 201392 Johnston 097599104 71333 71333
Alexander 030495105 29841 29841 Jones 095116935 22620 22620
Anson 847163029 26497 26497 Lee 067439703 35642 35642
Appalachian 780131541 84690 84690 Lenoir 042789748 34608 34608
Beaufort 091567776 32198 32198 Lincoln 086869336 41776 41776
Bladen 084171628 28881 28881 Macon 070626825 29276 29276
Brunswick 091571349 55227 55227 Madison 831052873 25745 25745
Buncombe 879203560 87077 87077 MTW 087204173 70194 70194
Burke 883321205 43484 43484 Mecklenburg 074498353 299635 299635
Cabarrus 143408289 73738 73738 Montgomery 025384603 27097 27097
Caldwell 948113402 41400 41400 Moore 050988146 45537 45537
Carteret 058735804 38164 38164 Nash 050425677 44493 44493
Caswell 077846053 26084 26084 New Hanover 040029563 79673 79673
Catawba 083677138 60720 60720 Northampton 097594477 25298 25298
Chatham 131356607 39081 39081 Onslow 172663270 71063 71063
Cherokee 130705072 27522 27522 Orange 139209659 57403 57403
Clay 145058231 22995 22995 Pamlico 097600456 23432 23432
Cleveland 879924850 45473 45473 Pender 100955413 35973 35973
Columbus 040040016 34497 34497 Person 091563718 30331 30331
Craven 091564294 46617 46617 Pitt 080889694 65848 65848
Cumberland 123914376 105242 105242 Polk 079067930 25533 25533
Dare 082358631 29506 29506 Randolph 027873132 57021 57021
Davidson 077839744 63189 63189 Richmond 070621339 31613 31613
Davie 076526651 31042 31042 Robeson 082367871 53813 53813
Duplin 095124798 35358 35358 Rockingham 077847143 43573 43573
Durham 088564075 99949 99949 Rowan 074494014 56434 56434
Edgecombe 093125375 33547 33547 Sampson 825573975 36466 36466
Foothills 782359004 69495 69495 Scotland 091564146 29184 29184
Forsyth 105316439 116687 116687 Stanly 131060829 36271 36271
Franklin 084168632 37475 37475 Stokes 085442705 31940 31940
Gaston 071062186 76784 76784 Surry 077821858 38816 38816
Graham 020952383 22232 22232 Swain 146437553 23711 23711
Granville-Vance 063347626 67354 67354 Toe River 113345201 73293 73293
Greene 091564591 25402 25402 Transylvania 030494215 29022 29022
Guilford 071563613 157293 157293 Union 079051637 79729 79729
Halifax 014305957 33246 33246 Wake 019625961 294972 294972
Harnett 091565986 54217 54217 Warren 030239953 25156 25156
Haywood 070620232 36146 36146 Wayne 040036170 52041 52041
Henderson 085021470 50025 50025 Wilkes 067439950 37963 37963
Hoke 091563643 33872 33872 Wilson 075585695 41056 41056
Hyde 832526243 21336 21336 Yadkin 089910624 29789 29789
Iredell 074504507 65922 65922
Federal Award Reporting Requirements for Pass-Through Agencies,2 CFR§200.331 DPH v3.1 5-9-19
DocuSign Envelope ID: DB33BBBD-6336-4169-BA22-EC80FA1149C6
WicGridPrint Paue 1 of 2
DPH-Aid-To-Counties For Fiscal Year: 20121 Budgetary Estimate Number : 0
Activity 716 T AA'1331 Proposed New
629B Total Total
4Q
Service Period 01101-05131
Payment Period 02101-06130
01 Alamance * 0 62,815 62,815 62,815,
61 Albemarle * 0 201,392 201,392 201,392
02 Alexander * 0 29,841 29,841 29,841
04 Anson * 0 26,497 26,497 26,497
D2 Appalachian * 0 84,690 84,690 84,690,
'07 Beaufort * 0 32,198 32,198 32,198
09 Bladen * 0 28,881 28,881 28,881
10 Brunswick * 0 55,227 55,227 55,227
11 Buncombe 0 87,077 87,077 87,077
12 Burke 0 43,484 43,484 43,484
13 Cabarrus * 0 737738 73,738 73,738
14 Caldwell * 0 41,400 41,400 41,400
16 Carteret * 0 38,164 38,164 38,164
17 Caswell * 0 26,084 25,084 26,084
18 Catawba * 0 60,720 60,720 60,720
19 Chatham * 0 39,081 39,081 39,081
20 Cherokee * 0 27,522 27,522 27,522
22 Clay * 0 22,995 22,995 22,995
23 Cleveland * 0 45,473 45,473 45,473,
24 Columbus * 0 34,497 34,497 34,497
25 Craven * 0 46,617 46,617 46,617
26 Cumberland * 0 105,242 105,242 105,242
28 Dare * 0 29,506 29,506 29,506
29 Davidson * 0 63,189 63,189 63,189
30 Davie * 0 31,042 31,042 31,042
31 Duplin *I 0 35,358 35,358 35,358
32 Durham * 0 99,949 99,949 99,949
33 Edgecombe 0 33,547 33,547 33,547
D7 Foothills 0 69,495 69,495 69,495
34 Forsyth * 0 116,6871 116,6871 116,687
35 Franklin * 0 37,475 37,475, 37,475
36 Gaston * 0 76,784 76,784 76,784
38 Graham * 0 22,232 22,232 22,232
D3 Gran-Vance * 0 67,354 67,3541 67,354
40 Greene * 0 25,402 25,402 25,402
41 Guilford * 0 157,293 157,2931 157,293
42 Halifax * 0 33,246 33,2461 33,246
43 Harnett * 0 54,217 54,217 54,217
44 Haywood * 0 36,146 36,146 36,1461
145 Henderson 0 50,025 50,025 507025
'46 Hertford 0 0 0
47 Hoke * 0 33,872 33,872 33,872
48 Hyde * 0 21,336 21,336 21,336
49lredell * 0 65,922 65,922 65,922
50 Jackson * 0 31,259 31,259 31,259
https://atc.dhhs.state.ne.us/WICGridPrint.aspx 1/5/2021
DocuSign Envelope ID: DB33BBBD-6336-4169-BA22-EC80FA1149C6
WicGridPrint Page 2 of 2
51 Johnston * 0 71,333 71,333 71,333
52 Jones * 0 22,620 22,620 22,620
53 Lee * 0 35,642 35,642 35,642
54 Lenoir * 0 34,608 34,608 34,608
55 Lincoln * 0 41,776 41,776 41,776
56 Macon * 0 29,276 29,276 29,276
57 Madison * 0 25,745 25,745 25,745
D4 M-T-W * 0 70,194 70,194 70,194
j 60 Mecklenburg * 0 299,635 299,635 299,635
162 Montgomery * 0 27,097 27,097 27,097
63 Moore 0 45,537 45,537 45,537
64 Nash * 0 44,493 44,493 44,493
65 New Hanover* 0 79,673 79,673 79,673
66 Northampton * 0 25,298 25,298 25,298
67 Onslow * 0 71,063 71,063 71,063
68 Orange * 0 57,403 57,403 57,403
69 Pamlico * 0 23,432 23,432 23,432
71 Pender 0 35,973 35,973 35,973,
73 Person * 0 30,331 30,331 30,331
74 Pitt * 0 65,848 65,848 65,848
75 Polk 0 25,533 25,533 25,533
76 Randolph 0 57,021 57,021 57,021
77 Richmond * 0 31,613 31,613 31,613
78 Robeson *=816338,'81136
3 53,813 53,813
79 Rockingham * 3 43,573 43,57380 Rowan * 4 56,434 56,434D5 R-P-M0 0 082 Sampson6 36,466 36,46683 Scotland * 4 29,184 29,184FWilkes
ly * 1 36,271 36,271kes * 0 31,940 31,940ry * 16 38,816 38,816
in * 0 23,711 23,711 23,711
River * 0 73,293 73,293 73,293
nsylvania * 0 29,022 29,022 29,022
on * 0 79,729 79,729 79,729
ke * 0 294,972 294,972 294,972
rren * 0 25,156 25,156 25,156
yne 0 52,041 52,041 52,041,
kes * 0 37,963 37,963 37,963
98 Wilson 0 41,056 41,056 41,056
99 Yadkin * 0 29,789 29,789 29,789
444 Totals 4,669,344 4,669,3 ,669,344
Sign and ate-DPH ogram Administrator Sign and Date-DPH Section Chief
�A 1/5/2021
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Sign and Date-DPH C nt cts Office Sign and Da - PH u et Officer
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https://ate.dhhs.state.ne.usM,'ICGridPrint.aspx 1/5/2021