Laserfiche WebLink
Task <br /># <br />1 <br />EXHIBIT itA" <br />Funding Information: <br />Chart of Accounts Program CFDA # BARS Funding Period Current Change Total <br />Name or Title Revenue (LHJ Use Only) Considerati Increase Consideration <br />Code Start End Date on (+) <br />Date <br />State and Local Public 93.757 333.93.75 09f30116 09/29117 0 15,000 15,000 <br />HealthActions to Prevent <br />Obesity, Diabetes, Heart <br />Disease and Stroke financed <br />solely by 2014 Prevention <br />and Public Health Funds <br />State and Local Public 93.757 333.93.75 01/01/15 09/29/16 20,203 (8,697.87) *11,505.13 <br />Health Actions to Prevent ~ * (7, 797) <br />Obesity, Diabetes, Heart ~ <br />Disease and Stroke financed <br />solely by 2014 Prevention <br />and Public Health Funds <br />State and Local Public 93.757 333.93.75 09/30/15 09/29/16 20,500 3,752.10 <br />Health Actions to Prevent .g. ~ <br />Obesity, Diabetes, Heart <br />Disease and Stroke financed <br />solely by 2014 Prevention <br />and Public Health Funds <br />TOTALS 40,703 10,054.23 <br />~ ~ <br />~ On ly $10 ,70J of the $lS,50Q..G.,:.igifl-a-1 cOAsideFatien 'JA:lS billed (tAus $7 ,797 expifea). l4owever, <br />we have budgeted an additional S9 ,50Q from Earry O'ler rCEI':lcst 'oVh i ch Rets to an iA:crease of <br />$1,lQ3 to 'Icar 1 funds. <br />* $802.18 is related to what was billed in year 2 (yr 1 carry over funds) and $10,702.95 is what was billed <br />in year 1. <br />Billing Information: <br />All A-19 Invoice billings with original signatures and detailed documentation attached are to be sent to <br />Grant County Health District 1038 W Ivy Ave Suite 1, Moses Lake WA 98837 attn: Ryan Brimacombe. <br />Please indicate the costs for each separate component on your A-19. <br />Billings should be submitted monthly within 30 days after the close of a month. Exception: For the <br />month after a funding source's expiration date please have the billing submitted within 25 days after the <br />close of the month. <br />Statement of Work Information Septembe r 29 , 2017 : <br />~ <br />24,252.10 <br />~ <br />50,757.23 <br />~ <br />Due Payment Deliverables/ Date/ Task/ Activity/Description Outcomes <br />Work with a retail or community venue to strengthen healthier Monthly progress <br />food access by increasing availability, improved pricing, placement, report by 8 th of <br />and promotion. (Component #1 -PS2) the following <br />Interagency Agreement -Kittitas Affi.e.fH:1.mBn-t#-t-Amendment #2 <br />11/20/15 11/23/2016 <br />Time Information and/or <br />Frame Amount <br />Sep 29, Reimbursement for <br />2017 actual expenditures, <br />not to exceed total <br />Page 6