239-22 Township of West Orange_Vaccination Supplemental Grant_Award Letter 8-2-2022.pdf

OLPH22VSF040 West Orange Township Notice of Grant Award 1. Date Issued 8/2/2022 2. Supersedes Award Notice Dated 6/29/2021 State of New Jersey Department of Health Grant Agreement 3a. Grant Award No. OLPH22VSF040 3b. Amendment No. 1 4. Title of Grant Award COVID-19 Vaccination Supplemental Funding 2022 5a. Project Period (Mo./Day/Yr.) From: 7/1/2021 Through: 6/30/2023 5b. Budget Period (Mo./Day/Yr.) From: 7/1/2021 Through: 6/30/2023 6a. Grantee Name and Address West Orange Town Township Municipal Building 66 Main Street West Orange, New Jersey 07052-5054 7. Award Computation for Budget Period a. Amount of Financial Assistance $100,000 b. Less Unobligated Balance from Prior Budget Periods c. Less Cumulative Prior Award(s) this Budget Period $50,000 d. AMOUNT of this ACTION $50,000 6b. Grantee Vendor ID No. 226002396-00 8a. Total Grant Funds Awarded to Date for Project Period $100,000 6c. Grantee DUNS No. 060801172 8b. Source of Grant Funds Click Here to View 6d. Grantee Project Director Theresa M. De Nova Health Officer 9. Department Officers Click Here to View 10a. Nature or purpose of program to be funded. 22VSF - Vaccination Supplemental Funding: To provide COVID-19 vaccination supplemental funding. 10b. This Grant is subject to the terms and conditions incorporated either directly or by reference in the following: Attachment A - Additional Grant Provisions Attachment B - Approved Budget Attachment C - Program Specifications Acceptance of the grant terms and conditions is acknowledged by the grantee when funds are obtained from the grant payment system. 11. Remarks UEI: QK38C6DQMQ45 12. Department Signatures Division or Commission: Department Grant Approval Officer: By: Shereen Semple By: Robert Apgar Title: Director, Office of Local Public Health Title: Contract Administrator 3, Grants Unit Date: 7/28/2022 Date: 8/2/2022 Contact: (609) 292-6972 Contact: (609) 376-8512 Page 1 of 108/03/2022