To: Harris County Commissioners Court
Through: Director Name, Title, Department
prepared
Prepared By: Name, Title, Department
Subject: Title of the Item
end
Project ID (If applicable]:
Purpose and Request:
title
Request by Public Health Services for approval of an operational funding request for the COVID-19 response in the aggregate amount of $18.3 million for the period of March 1-April 30, 2021.
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Background and Discussion:
[INSTRUCTIONS: In this section should concisely provide any background and analysis that the Commissioners Court needs to fully understand the action being requested. Please limit background to 3-4 sentences and include any reference to when this item was previously considered by Court. Background should include reference to study or order that led to this item or if the item is a result of compliance with any specific law or statutory requirements.]
Fiscal Impact:
[INSTRUCTIONS: A short description of the cost of the request and where you are requesting funding from. No more than 2 sentences. In addition please fill out the table below. This includes financial impact to the current fiscal year and subsequent fiscal years along with the source of funding (general fund, grant, etc.). If the amount is within the current budget, please indicate the amount from 'Existing Department Budget'. If all of or part of the request is a new expense, please indicate funding source in the space provided.]
Fiscal Summary
Expenditures
FY 20-21
FY 21-22 Projected
Future Years Projected [3 additional years]
Service Impacted:
[Please provide service or division where expenditure will be used]*
Existing Budget
Additional Appropriation Requested
Total Expenditures
Funding Sources
Existing Department Budget
Please Identify Funding Source (General Fund, PIC, Special Revenue, Grant, Etc.)
[INSERT FUNDING SOURCE HERE]*
Total Sources
Alternatives:
[INSTRUCTIONS: In this section you should briefly discu...
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