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Exhibit A <br />Statement of Work <br />Contract Term: 2018-2020 <br />AMENDMENT #2 <br />DOH Program Name or Title: fu!ppl e mental Nutriti on Assis cance Program- <br />Education -Effective January 1, 2018 <br />Local Health Jurisdiction Name: Kitt itas Coumv Publ ic Health Departmen t <br />Contract Number: CLH18249 <br />SOW Type: Revision Revision# (for this SOW) 1 Funding Source Federal Compliance Type of Payment <br />Period of Performance: January 1, 2018 through September 30, 2020 <br />~ Federal Subrecipient (check if applicable) ~ Reimbursement <br />0 State ~ FF AT A (Transparency Act) D Fixed Price <br />D Other D Research & Development <br />Statement of Work Purpose: The purpose of this statement of work is to provide Supplemental Nutrition Assistance Program-Education (SNAP-Ed) to improve the likelihood <br />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 <br />guidance system. <br />Revision Purpose: The purpose of this revision is to adjust funding based on the first quarter expenditures and add additional funding to cover DSHS sponsored trainings and <br />meetings. <br />Chart of Accounts Program Name or Title <br />FFY18 CSS IAR SNAP ED PROG MGNT <br />FFY17 CSS IAR SNAP ED PROG MGNT CF <br />TOTALS <br />Task <br />Number Task/ Activity/Description <br />1.0 For SNAP-Ed, the LHJ will perform work as <br />described in LHJ's approved FFY18 SNAP-Ed <br />project description and work plans approved <br />by Department of Health (DOH), Department <br />of Social and Health Services (DSHS), and <br />United States Department of Agriculture <br />(USDA) that was submitted to them via DOH <br />email. <br />Exhibit A , Statements of Work <br />Revised as ofMarch 15 , 2018 <br />CFDA# BARS Master Funding Period Current Change 'rota! <br />Revenue Index (LHJ Use Only) Consideration Increase(+) Consideration <br />Code Code Start Date End Date <br />10.561 333.10.56 76211981 01101118 I 09130118 8,830 11,025 19,855 <br />10.561 333.10.56 76211971 01 101118 I 09130118 1,472 0 1,472 <br />10,302 11 ,025 21 ,327 <br />*May Support PHAB Payment <br />Standards/Measures Deliverables/Outcomes Due Date/Time Frame Information and/or <br />Amount <br />• Project qualified target For the Period: Reimbursement upon <br />audiences reached. 0 l /01/18-09/30/20 receipt and approval <br />• Project activities completed Due: per the approved work of deliverables for the <br />(# direct education, PSE, plan and no later than funding period will <br />etc.) noted in project plans 09/30 /20 . not exceed $10,302 <br />and workbook. $21 ,32 7. <br />• Required demographic data <br />collected. Kittitas County <br />• Evaluation activities Public Health <br />completed per the state Department will be <br />evaluation team (pre and paid the allowable <br />post survey s , PSE tracking, costs incurred based <br />success stories etc.). on their approved <br />budget and program <br />allowability . See <br />Page 12 of 18 Contract Number CLH18249-2