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DOH Program Name or Title: Emergency Preparedness & Response- <br />Effective January 1, 2015 <br />SOW Type: Original RevisioD # (for this SOW) <br />Period of Performance: January 1. 2015 through June 30, 2015 <br />Exhibit A <br />Statement of Work <br />Contract Term: 2015-2017 <br />Loca) Health Jurisdiction Name: Kittitas County Public Health Department <br />Contract Number: C17114 <br />Funding Source Federal Compliance Type of Payment <br />t8J Federal Subrecipient (check if applicable) [8J Reimbursement o State [8J FF A T A (Transparency Act) D Fixed Price o Other D Research & Development <br />Statement of Work Purpose: The purpose of this statement of work is to establish the funding and tasks for the Public Health Emergency Preparedness and Response program for <br />the 2015 grant period through June 30, 2015. <br />Revision Purpose: N/ A <br />Chart of Accounts Program Name or Title CFDA# BARS Master Funding Period Current Change rI ota) <br />Revenue Index (LHJ Use Only) Consideration Increase (+) ~onsideratioD <br />Code Code Start Date End Date <br />FFY14 EPR LHJ FUNDING 93.069 333.93.06 18101630 01 /0 11 15 I 06/30115 0 23,046 23,046 <br />TOTALS 0 23,046 23,046 <br />Task Task! ActivitylDescription *May Support PHAB Deliverables/Outcomes Due Dateffime Frame Payment Information <br />Number StandardslMeasures and/or Amount <br />Admin 1 Complete reporting templates to comply with Submit completed templates. As required Reimbursement for costs, <br />federal grant requirements (e.g., performance not to exceed total funding <br />measures, gap analysis, etc.) consideration amount. <br />Admin 2 Attend emergency preparedness events (monthly Submit end-of-year reporting June 30, 2015 <br />program update calls, quarterly workshops, etc .) template . <br />I hosted by DOH. I <br />1.1 Create a press release template for "do 1 thing" Submit end-of-year reporting June 30, 2015 <br />and submit press releases monthly in order to template. <br />educate public on emergency preparedness, <br />identified hazards and vulnerabilities in the <br />county and the relationship of risk to human <br />impact. <br />1.2 Collect and assess local child care providers Submit end-of-year reporting June 30, 2015 <br />required disaster plans. Assist agencies in template . <br />communicating plans to guardians/community. <br />3.1 Train staff in National Incident Management Submit end-of-year reporting June 30, 2015 <br />System (NIMS) and provide emergency template. <br />preparedness and response professional <br />__ eQucational opportunities for staff. <br />-- <br />Exhibit A, Statements of Work Page 2 of 19 Contract Number C17114