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Exhibit A <br />Statement of Work <br />Contract Term: 2018-2020 <br />DOH Program Name or Title: O ffice of Emergency Preparedness & Response- <br />Effective January 1, 2018 <br />Local Health Jurisdiction Name: Kittitas County Public Health Department <br />Contract Number: CLH18 249 <br />SOW Type: Original Revision # (for this SOW) Funding Source Federal Compliance Type of Payment <br />181 Federal Subrecipient (check if applicable) I:8J Reimbursement <br />D State I:8J FFATA (Transparency Act) D Fixed Price o Other D Research & Development <br />Period of Performance: January 1, 2018 through June 30, 2018 <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 <br />for the 2017 grant period. <br />Revision Purpose: NI A <br />Chart of Accounts Program Name or Title CFDA# BARS Master Funding Period Current Change Total <br />Revenue Index (LHJ Use Only) Consideration Increase (+) Consideration <br />Code Code Start Date End Date <br />FFY17 EPR PHEP BPI LHJ FUNDING 93 .069 333 .93.06 18101380 01101118 I 06 /30/18 0 19 ,833 19,833 <br />TOTALS 0 19,833 19,833 <br />Task *May Support PHAB Due Date/Time Payment <br />Task! Activityillescription Deliverables/Outcomes Information andlor Number StandardslMeasures Frame Amount <br />1 Attend emergency preparedness events, (e .g . Complete the end of year progress June 30, 2018 Reimbursement for <br />trainings, meetings, conference calls, and report. actual costs not to <br />conferences) as necessary to advance LHJ exceed total funding <br />preparedness or complete the deliverables in this consideration amount. <br />statement of work. <br />2 Complete reporting templates as requested by Submit completed templates to June 30 , 2018 <br />DOH to comply with program and federal grant DOH <br />requirements (e.g. performance measures, gap <br />analysis , mid-year and end-of-year reporting <br />templates , etc.) <br />3 Develop or update written procedures to activate a Submit end of year progress report. June 30, 2018 <br />comprehensive emergency response plan within <br />the jurisdiction. Include: Submit the most recent Emergency <br />• Describe how the command structure is Response Plan (ERP). <br />utilized to manage emergency response <br />• Describe the relationship between the LHJ <br />and the county Emergency Operations Center <br />, <br />I <br />Exhibit A, Statements of Work Page 11 of28 Contract Number CLH 18249