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Task Number Task/ Activity/Description 7 Provide notification to the DOH Duty Officer at 360-888-0838 or hanalert@doh.wa .gov for all response incidents involving utilization of emergency response plans (ERPs) and structures . 8 Provide LHJ situation reports to DOH during all incidents involving an emergency response by the LHJ . 9 Submit essential elements of information (EEis) during incident response upon request by DOH. 10 Participate in the regional healthcare coalition (HCC) and attend coalition meetings as necessary. 11 Fe1< e/J f.:H.h tkai l,:e't,e identified a .J.-l!th-foP ,•ce::eip~ efmediea! COWf!EFR,CR9l.Fre!J/rem DOH during disasters: • Pm'lieipate-m--the W:Ji) 7'-ReJE medieatien disl'Fibu,ie 11 e;.~·~is,e by ,-eeei,.;ing .f!l 5hipmettt ef eJEercise medicatiensfrem DOH at the designe.1ed l-eett.UJub Participate in the T-REX 2019 Medical Materiel Management and Distribution exercise by: a) Determine level ofplay through Extent of Play Agreement that outlines at minimum receipt of simulated medical countermeasures at the jurisdiction's designated hub Point of Dispensing (POD) location/s b) Identify a hub POD location to be a delivery site for receiving, staging, and storing medical countermeasures c) Receive a shipment of simulated medical countermeasures from DOH at the jurisdiction's designated hub locationl s d) Participate in After Action Review process with DOH Exhibit A, Statements of Work Revised as of September 17, 2018 I AMENDMENT #5 *May Support PHAB Due Date/Time Payment Standards/Measures Deliverables/Outcomes Frame Information and/or Amount Submit mid-year and end-of-year December 31, 2018 -progress reports and June 28, 2019 -Documentation that notification to June 2 8, 2019 DOH was provided; or statement that no incident re so onse occurred . -Submit mid-year and end-of-year December 31, 2018 progress reports and June 28 , 2019 - .. Submit Situation Reoorts . During all responses -Submit mid-year and end-of-year December 31, 2018 progress reports and June 28, 2019 - Provide information upon request. Upon request bv DOH ' Submit m id-year and end-of-year December 31 , 2018 progress reports and June 28 , 2019 Provide a summary of participation June 28 , 2 019 in coalition activities. Submit mid-year and end-of-year December 31, 2018 progress reports and June 28, 2019 I Deeumentatiert ef partieipatiert in Jurte 28, 20}9 the exercise - Submit a completed Extent of Play December 1, 2018 Agreement form -provided by I -DOH Submit a completed Distribution December 1, 2018 hub POD Information form - provided by DOH Summarize participation in T-REX June 28, 2019 Page 5 of6 Contract Number CLH18249-5