PSA between Kittitas County Public Health and Comm Health of Central WA

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Task Task! Activity /Description *May Support PHAB Deliverables/Outcomes Due DatelTime Frame Payment Information Number StaodardsIMeasures aod/or Amount 15.1 Coordinate with existing volunteer programs and Submit end-of-year reporting June 30, 2015 partner organizations to support the pre-incident template. recruitment of volunteers that may be needed in a pub li c health agency response. 15 .2 Conduct Pre incident screening and verification Submit end-of-year reporting June 30,2015 of volunteers' credentials through emergency template. system for advance registration of volunteer health professionals (ESAR-VHP) and Medical Reserve Corp.(MRC) 15.3 Create medical reserve corps job action sheet for Submit end-of-year reporting June 30, 2015 internal MRC for records manager and for MRC template. Trainee Coordinator. ------------ *For lnformati on OnJy: Funding is no t t ied to the revised StandardslMeasures listed here. This inform atio n may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. Mote detail on these and/or 9rher Public Health Accreditati on Board (PHAB) StandardslMeas ures that may apply can be foun d a l: hltp :llwww.phaboard.or!!fwp-conten tl uploadsIP HAB.staJldards~and-Measures-Version-i .O.pd f Program Spfi:ifi c Re.quircmcnt.sIN arrativ e Federal FunrungAccouotability and Transparencv A ct (FF'ATA) This statement of work is sup porte d by fe deral funds Ih at require corn pliance with the Federal Funding Accountability and Transparency Act (FF AT A or the Transparency Act). The purpose of the Transparency Act is to make information available online so the public can see how the federal funds are spent. To co mp ly with this act and be eligible to perform the activities in this statement o f work, the LHJ must have a Data Universal Numbering System (DUNS®) number. lnfonuati on aoout the LHJ and this statement o f work will be made available on http ;/iUSASpen d in2".govby DOH as required by P.L. 109-282. Special Requirements For purchases of individual equipment in which the aggregate unit price of the equipment (including shipping, handling and associated costs) is $5,000 or more, the LHJ shall obtain written prior approval from the Washington State Department of Health and adhere to all federal requirements as referenced in OMB Circular A-87 (State, Local and Indian Tribal governments) at: hnp :llwww.wh itehouse.gov/omb/cil'1lul ars !lQ8 ? 20Q41 DOH Program Contact Rachel McKinlay, Contract & Finance Specialist Department of Health PO Box 47960, Olympia, WA 98504-7960 360-236-4056 rachel.mckinlay@doh.wa.gov PHEPR Deliverable Submission: cQnc.ondeJiverabl Exhibit A, Statements of Work doh .we.sao v Page 4 of19 Contract Number C17114 I I I I j