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Task Task! Activity /Description Number <br />4 Monitor and assure electronic or paper <br />submission of vaccine accountability reports for <br />compliance with Provider Agreement related to <br />vaccine management (ordering, inventory <br />management, reconciliation, compliance with <br />storage and handling, and reporting of all vaccine <br />incidents and returns). <br />Exhibit A, Statements of Work <br />Revised as of November 15 ,2016 <br />*May Support PHAB Deliverables/Outcomes StandardslMeasures <br />a) Monthly Vaccine <br />Accountability Report <br />(DOH 348-006) <br />b) Inclusion in the online <br />ordering system of doses <br />used in the last month and <br />inventory on hand. <br />c) Storage Incidents <br />(DOH 348-154) complete <br />with reason and corrective <br />action as needed. <br />d) Report all cases (or <br />suspected cases) of <br />vaccine fraud or abuse . <br />I <br />Page 17 of21 <br />AMENDMENT #10 <br />Due DatelTime Frame Payment Information <br />and/or Amount <br />January 2017 - <br />March 2017 <br />FFYI6 PPHF 317 Op s <br />-74110267 <br />April 2017 - <br />December 2017 <br />FFY 17 VFC Ordering <br />-74110274 <br />FFY17 VFC Ops- <br />74110273 <br />FFY 1 7 3 17 Ops - <br />74110271 <br />*See Restrictions on <br />Funds below <br />a) By the 25th of each Reimb4rsement for <br />month actual costs incurred, <br />not to exceed total <br />funding consideration <br />b) Based on provider order amount. <br />schedules <br />Funds available for <br />this task*: <br />c) Within seven (7) days January 2017- <br />of the incident March 2017 <br />FFY16 PPHF 317 Ops <br />-74110267 <br />d) Within seven (7) days April 2017 - <br />of the incident December 2017 <br />FFY17 AFIX- <br />74110275 <br />*See Restrictions on <br />Funds below <br />Contract Number C I 71 14-10