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From: Rebekah Horowitz <RHorowitz@naccho.org> Sent: Thursday, March 11, 2021 1:45 PM To: Corinne Velasquez (PHS) <Corinne.Velasquez@Maricopa.gov> Subject: RE: GC Test of Cure RFA Corrine, Congratulations! NACCHO is pleased to inform you that the Maricopa County Department of Health has been selected for a funding award as part of this project. We received many strong applications, but the review committee felt your application best aligned with the goals of the project. Please note that selection is pending on agreement to NACCHO’s contract terms and conditions. In order to indicate your acceptance of the award, please complete and email the Vendor Information Form, Certification of non-debarment, FFATA data collection form, and W-9 to me by end of the day on March 18, 2021. If you are unable to accept the award, please let us know immediately. https://www.naccho.org/uploads/downloadable-resources/Vendor-Form.pdf https://www.naccho.org/uploads/downloadable-resources/Certification-of-Non-Debarment.pdf https://www.naccho.org/uploads/downloadable-resources/FFATA-Data-Collection-Form.E.pdf https://www.naccho.org/uploads/downloadable-resources/W-9-Blank.pdf We will hold a kickoff call for this project in later April. PLEASE NOTE: While we encourage you to share this news with others in your agency and any partners or contractors you may be engaging in this project, please do not yet publicly announce your selection. We will work with CDC and all awardees to coordinate a public announcement. We look forward to working with you on this project. If you have any questions, please do not hesitate to contact me. If you have any concerns about project timelines with the Covid-19 response, please let me know and we can discuss. Thanks, Rebekah Award: $99,977 CFDA 93.421 Attachment A Budget and Justification PHARYNGEAL GONORRHEA TEST OF CURE PROJECT Maricopa County Department of Public Health, Clinical Services Division Proposed Budget Amount: PUSORCA okie Description of Line Item On Amount Item Salaries Epidemiologist Senior $17.00(2088) $ 35,496 Medical Assistant $8.00(2088) $ 17,748 Salaries Subtotal: | ¢ 53,244 Fringe Benefits Epidemiologist Senior Variable Benefits 19.87% of Salary $ 7,053 Epidemiologist Senior Fixed Benefits $13,632 per FTE $ 6,816 Medical Assistant Variable Benefits 19.87% of Salary $3,527 Medical Assistant Fixed Benefits $13,632 per FTE $ 6,816 Fringe Benefits Subtotal: | ¢ 24,212 Supplies : Office Supplies $ 2,200 Supplies Subtotal: | ¢ 2,200 Other Patient Transportation (Return for TOC) 450 @ $10 each $ 4,500 Other Subtotal: | ¢ 4,500 Indirect Indirect Expenses 18.80% $ 15,821 Indirect Subtotal: | $ 15,821 Total Proposed Budget TOTAL