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AMENDMENT #3 Task *May Support PHAB Due Date/Time Payment Number Task/ Activity/Description Standards/Measures Deliverables/Outcomes Frame Information and/or Amount population (template will be funding consideration provided) amount. See Restrictions on Funds below *For Information Only: Funding is not tied to the revised Standards/Measures listed here . This information may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. More detail on these and/or other Public Health Accreditation Board (PHAB) Standards/Measures that may apply can be found at: htlp ://www .obaboard.ori?/wp -content/uoloads/PHAB-Standards-and-M.ensures-V ersjon-l .O:pdf Program Specific Requirements/Narrative Tasks in this statement of work may not be subcontracted without prior written approval from DOH OICP . Special Requirements Federal Funding Accountability and Transparency Act (FFATA) This statement of work is supported by federal funds that require compliance with the Federal Funding Accountability and Transparency Act (FF AT A or the Transparency Act). The purpose of the Transparency Act is to make information available online so the public can see how the federal funds are spent. To comply with this act and be eligible to perform the activities in this statement of work, the LHJ must have a Data Universal Numbering System (DUNS®) number. Information about the LHJ and this statement o f work will be made available on US AS pending. gov by DOH as required by P .L. I 09-282 . Restrictions on Funds (what funds can be used for which activities, not direct payments, etc.) Allowable Uses of Federal Operations Funds document (dated 12/20/2017) is posted on the DOH Consolidated Contract website at this link. These federal funds may not be used for expenses related to travel or attendance at any non-DOH sponsored conference, training, or event without prior written approval from the DOH Office oflmmunization and Child Profile. Other Deliverables may be sent electronically via email to oicpcontracts@doh.wa.gov, by fax to 360-236-3590, or by mail to PO Box 47843 , Olympia WA 98504-7843 DOH Program Contact Tawney Harper, MPA Budget and Operations Manager Office of Immunization and Child Profile Department of Health PO Box 47843, Olympia WA 98504-7843 tawney.harper@doh.wa.gov / 360-236-3525 Exhibit A, Statements of Work Revised as of May 15, 2018 DOH Fiscal Contact Vanessa Mojica Special Projects Coordinator Office of Immunization and Child Profile Department of Health PO Box 47843, Olympia WA 98504-7843 vanessa.mojica@doh.wa.gov /360-236-3 802 Page 13 of 13 Contract Number CLH18249-3