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AMENDMENT #4 <br />2. Total costs billed will not exceed the USDA-approved budget amount listed in the box below. <br />a. Bills must be for only SNAP-Ed specific activities, using a DOH Al9-1A Invoice voucher <br />b. A SNAP-Ed specific Al9-1A must be submitted to the agency's designated DOH SNAP-Ed contract manager within 30 days of the last day of the month for which the <br />work is being billed, OR <br />c. An agency may request pre-approval to bill every two months instead, in which case, that agency is required to adhere to the billing due dates listed in Task 5 (see above) <br />3. NOTE: In FFY18 the SNAP-Ed program will deny payment for any costs not submitted by the due date without prior approval. If for ANY reason a LHJ is unable to submit <br />the SNAP-Ed A-19-lA on the due date, the LHJ is required to submit a request for an exception to the DOH no later than seven days prior to due date to the DOH SNAP-Ed <br />program. The SNAP-Ed program reserves the right and responsibility to either approve or deny the request for an exception and will reply to the request. <br />4. Supporting documentation for each month must be submitted with each SNAP-Ed Al9-1A. <br />a. At the very least this means a copy of an agency's financial expanded/detailed general ledger level report. <br />b. Additionally, all receipts, timecards and other supporting documentation, as noted by USDA, must be available upon request. <br />5. PLEASE NOTE: If an agency is a new SNAP-Ed LHJ or has had a fiscal finding, or does not submit adequate and/or accurate backup documentation within the last year, all <br />SNAP-Ed backup documentation must be submitted with each bill and this requirement will continue until further notice by DOH SNAP-Ed program. <br />BUDGET <br />Source <br />USDA <br />DOH Program Contact <br />Jamie Wells, SNAP-Ed Contract Manager <br />Department of Health <br />PO Box 47886 <br />Olympia, WA 98504-7886 <br />Jamie. W ells@doh. wa. gov <br />360-236-3668 <br />Exhibit A, Statements of Work <br />Revised as of July 16, 2018 <br />Amount <br />$21.327 $24!327 <br />DOH Fiscal Contact <br />Kim Henderson, Fiscal Analyst <br />Department of Health <br />PO Box47886 <br />Olympia, WA 98504-7886 <br />Kim.Henderson@doh. wa. gov <br />360-236-3491 <br />Page 24 of32 Contract Number CLH18249-4