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AMENDMENT #5 <br />Task *May Support PHAB Due Date/Time Payment <br />Number Task/ Activity/Description Standards/Measures Deliverables/Outcomes Frame Information and/or <br />Amount <br />2019 exercise and participation in <br />LHJs are not required to test dispensing, After Action Review with DOH in <br />transportation, or redistribution during the T-Rex the end-of-year report. <br />exercise. <br />*For Information Only: <br />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 <br />Standard/Measure . More detail on these and/or other Public Health Accreditation Board (PHAB) Standards/Measures that may apply can be found at: <br />http://www.phaboard.org/wp-contentluploads/PHAB-Standards-and-Measures-Version-1.0.pdf <br />.Program Specific Requirements/N arrative <br />Any subcontract/s must be approved by DOH prior to executing the conlTact/s . <br />Deliverables are to be submitted to the ConCon deliverables mailbox at concondeliverables@doh.wa .gov <br />Special Requirements <br />.Federal Funding Accountabilitv and Transparencv Act (FFATA) <br />This statement of work is supported by federal funds that require compliance with the Federal Funding Accountability and Transparency Act (FFATA or the Transparency Act). <br />The purpose of the Transparency Act is to make information available online so the public can see how the federal funds are spent. <br />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. <br />Information about the LHJ and this statement of work will be made available on USASpending.gov by DOH as required by P .L. 109-282. <br />Restrictions on Funds (what funds can be used for which activities, not direct payments, etc) <br />Please reference the Code of Federal Regulations: <br />btt:ps:/JWW\v.ecfr.2ov/c•gi-bin/retrieve'ECFR?gp =l&SJD=58ffddb5363a27f26e9 d l2ccec462549&tv=lITML&h=L&mc=true&t=.PARI&n=p 12.1 .200#se2 .l.200 .1439 <br />DOH Program Contact <br />Jennifer Albertson, Contract and Finance Specialist <br />Department of Health <br />P O Box 47960, Olympia, WA 98504-7960 <br />360-236-4596 I jennifer.alberts on@doh.wa.gov <br />Exhibit A, Statements of Work <br />Revised as of September 17, 2018 <br />Page 6 of6 Contract Number CLH18249-5