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AMENDMENT #7 <br />Task Task! ActivityIDescription *May Support PHAB Deliverables/Outcomes Due Daterrime Frame Payment Information <br />Number Standards/Measures and/or Amount <br />3 Trained LHJ staff will provide direct Provide completed T A Report and Completed TA Report Upon acceptance of the <br />technical assistance (T A) to small any supporting documents and must be received by the completed T A Report, <br />community and non-community Group A photos to OOW Regional Office. OOW Regional Office the LHJ shall be paid for <br />water systems identified by the OOW within 30 calendar days of each technical assistance <br />Regional Office. providing technical activity as follows : <br />assistance. • Up to 3 hours of work: I <br />See Special Instructions for task activity . $250 <br />• 3-6 hours of work: <br />I <br />$500 <br />• More than 6 hours of <br />work: $750 <br />Payment is inclusive of <br />all associated costs such <br />as consulting fee, travel, <br />lodging, per diem . <br />Payment is authorized <br />upon receipt and <br />acceptance of completed <br />T A Report within the 30- <br />day deadline. <br />Late or incomplete <br />reports may not be <br />accepted for payment. <br />4 LHJ staff performing the activities under Prior to attending the training, submit Annually LHJ shall be paid <br />tasks 1,2 and 3 must have completed the an "Authorization for Travel (Non-mileage, per diem, and <br />mandatory Sanitary Survey Training . Employee)" OOH Form 710-013 to lodging costs in <br />the OOW Program Contact below for accordance with the I <br />See Special Instructions for task activity. approval (to ensure that enough current rates listed on the <br />funds are available). OFM Website <br />httQ ://www .ofm. wa .gov/r <br />esources/travel.asl2 <br />*For Information Only: <br />Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a <br />StandardlMeasure. More detail on these andlor other Public Health Accreditation Board (PHAB) Standards/Measures that may apply can be found at: <br />hUa :'!"''''''' .phahoaru.o r2lwp -come.n lluploads ' P HA B-Standards-a nd-Measures-Version-I .O.od f <br />Program Specific ReguirementslNarrative <br />Exhibit A, Statements of Work <br />Revised as of May 16,2016 <br />Page 5 of7 Contract Number C17114-7