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AMENDMENT #3 <br />There are two different BARS Revenue Codes for "state flexible funds" to be tracked separately and reported separately on your annual BARS report . These two BARS Revenue <br />Codes and definitions from the State Auditor's Office (SAO 's) are listed below along with a link to the BARS Manual. 336.04.25 is the new BARS Revenue Code to use for the <br />Foundational Public Health Services (FPHS) funds included in this statement of work. <br />336.04.24 -County Public Health Assistance <br />Use this account for the state distribution authorized by the 2013 2ESSB 5034, section 710. The local health jurisdictions are required to provide reports regarding expenditures <br />to the legislature from this revenue source. <br />336.04.25 -Foundational Public Health Services <br />Use this account for the funding designated for the local health jurisdictions to provide a set of core services that government is responsible for in all communities in the WA <br />state. This set of core services provides the foundation to support the work of the broader public health system and community partners. At this time the funding from this <br />account is for delivering ANY or all of the FPHS communicable disease services (listed above) and can also be used for the FPHS capabilities that support FPHS communicable <br />disease services as defined in the most current version ofFPHS Definitions -Version 1.3._November 201 <br />ARSManual.~x <br />Deliverables are to be submitted via the DOH online reporting tool at: hrms:/l www.surveymonkey.com/r/FPHS 2018 <br />Note: This online tool replaces previously provided Word document reporting templates. <br />DOH Program Contact <br />Marie Flake, Special Projects, Foundational Public Health Services <br />Washington State Department of Health <br />PO Box 47890, Olympia, WA 98504-7890 <br />Phone 360-236-4063 / Mobile 360-951-7566 <br />Fax 360 .236.4024 I marie .flake@doh.wa.gov <br />Exhibit A, Statements of Work <br />Revised as of May 15, 2018 <br />DOH Program Contact <br />Jaimie Hayes, Health Services Consultant <br />Health Systems Transformation and Innovation <br />Washington State Department of Health <br />PO Box 47890 , Olympia, WA 98504-7890 <br />Phone 360-236-4262 / jaimie.hayes@doh.wa .gov <br />Page 5 of 13 Contract Number CLH18249-3