Laserfiche WebLink
Exhibit A <br />Statement of Work <br />Contract Term: 2018-2020 <br />AMENDMENT #2 <br />DOH Program Name or Title: Office of Emergency Preparedness & Response - <br />Effective January L 2018 <br />Local Health Jurisdiction Name: Kittitas County Public Health Department <br />Contract Number: CLH18249 <br />SOW Type: Revision Revision# (for this SOW) 1 <br />Period of Performance: Jiu.Nary 1, 2018 through June 30, 2018 <br />Funding Source Federal Compliance Type of Pa y ment <br />~ Federa l Subrecipient {check if applicable) ~ R-e imbm'seinent <br />D S1a1e ~ 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 establish the funding and tasks for the Public Health Emergency Preparedness and Response program <br />for the 201 7 grant period. <br />Revision Purpose: The purpose of this revision is to add unspent funds from the prior contract period July-December 2017. <br />Chart of Accounts Program Name or Title <br />FFYl 7 EPR PHEP BPI LHJ FUNDING <br />TOTALS <br />Task <br />Number Task/ Activity/Description <br />1 Attend emergency preparedness events, (e.g. <br />trainings, meetings, conference calls, and <br />conferences) as necessary to advance LHJ <br />preparedness or complete the deliverables in this <br />statement of work. <br />2 Complete reporting templates as requested by <br />DOH to comply with program and federal grant <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 <br />comprehensive emergency response plan within <br />the jurisdiction. Include: <br />• Describe how the command structure is <br />utilized to manage emergency response <br />• Describe the relationship between the LHJ <br />and the county Emergency Operations Center <br />(EOC) during a response. <br />Exhibit A, Statements of Work <br />Revised as of March 15, 2018 <br />CFDA# BARS Master Funding Period <br />Revenue Index (LHJ Use Only) <br />Code Code Start Date End Date <br />93.069 333.93.06 18101380 01;01;1s I o6/30/1s <br />*May Support PHAB <br />Standards/Measures Deliverables/Outcomes <br />Complete the end of year progress <br />report. <br />Submit completed templates to <br />DOH <br />Submit end of year progress report. <br />Submit the most recent Emergency <br />Response Plan (ERP). <br />Page 7 of 18 <br />Current Change tfotal <br />Consideration Increase(+) Consideration <br />19,833 565 20,398 <br />19,833 565 20,398 <br />Due Date/Time Payment <br />Frame Information and/or <br />Amount <br />June 30, 2018 Reimbursement for <br />actual costs not to <br />exceed total funding <br />consideration amount. <br />June 30, 2018 <br />June 30, 2018 <br />Contract Number CLH 18249-2