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Exhibit A Statement of Work Contract Term: 2018-2020 DOH Program Name or Title: Supplemental Nutrition Assisranc.e P ro gram-Educati o n Effective January 1, 2018 Local Health Jurisdiction Name: Kittitas County Public Health Department Contract Number: CLH18249 SOW Type: Original Revision # (for this SOW) Funding Source Federal Compliance Type of Payment ~ Federal Subrecipient (check if applicable) ~ Reimbursement o State (g) FFATA (Transparency Act) o Fixed Price o Other o Research & Development Period of Performance: January 1, 2018 through September 30,2020 Statement of Work Purpose: The purpose ofthis statement of work is to provide Supplemental Nutrition Assistance Program-Education (SNAP-Ed) to improve the likelihood that persons eligible for SNAP (Food Stamps) will make healthy food choices within a limited budget and choose active lifestyles consistent with the current USDA dietary guidance system . Revision Purpose: NI A Chart of Accounts Program Name or Title CFDA# BARS Master Funding Period Current Change Total Revenue Index (LHJ Use Only) Consideration Increase (+) Consideration Code Code Start Date End Date FFY18 CSS IAR SNAP ED PROG MGNT 10.561 333.10.56 76211981 01101118 I 09 /3011 8 0 8,830 8,830 FFY17 CSS IAR SNAP ED PROG MGNT CF 10.561 333.10.56 76211971 01101118 I 09 /30/18 0 1,472 1,472 TOTALS 0 10 ,302 10,302 Task *May Support PHAB Payment Task! ActivitylDescription DeliverableslOutcomes Due Date/Time Frame Information and/or Number StandardsIMeasures Amount 1.0 For SNAP-Ed, the LHJ will perform work as • Project qualified target For the Period: Reimbursement upon described in LHJ's approved FFY18 SNAP-Ed audiences reached. 01101118-09 /30 /20 receipt and approval project description and work plans approved • Project activities completed Due: per the approved work of deliverables for the by Department of Health (DOH), Department (# direct education, PSE, plan and no later than funding period will of Social and Health Services (DSHS), and etc .) noted in project plans 09 /30/20 . not exceed $10,302. United States Department of Agriculture and workbook. (USDA) that was submitted to them via DOH • Required demographic data Kittitas County email. collected. Public Health • Evaluation activities Department will be completed per the state paid the allowable evaluation team (pre and costs incurred based post surveys , PSE tracking , on their approved success stories etc.). budget and program allowability . See special billing requirements section. -- Exhibit A, Statements of Work Page 22 of28 Contract Number CLH 18249