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Exhibit A <br />Statement of Work <br />Contract Term: 2018-2020 <br />DOH Program Name or Title: Office of Emergencv Preparedness & Response - <br />Effective January 1, 2018 <br />Local Health Jurisdiction Name: Kittitas County Public Health Department <br />Contract Number: CLlll8249 <br />SOWType: ~ Revision # (for this SOW) <br />Period of Performance: January l, 2018 through June 30, 2018 <br />Funding Source <br />~ Federal Subrecipient <br />Oswe • Other <br />Federal Compliance <br />(check if applicable) <br />~ FFATA (Transparency Act) <br />D Research & Dev~lopment <br />Type of Payment <br />~ Reimbursement <br />0 Fixed Price <br />Statement of Work Purpose: The pmpose of this statement of work is to establish the funding and tasks for the Public Health Emergency Preparedness and Response program <br />for the 2017 grant period. <br />Revision Purpose: N/ A <br />Chart of Accounts Program Name or Title CFDA# BARS Master Funding Period -!Current Change tfotal <br />Revenue Index (LBJ Use Only) Consideration Increase(+) Consideration <br />Code Code Start Date End Date <br />FFYl 7 EPR PREP BPl LHJ FUNDING 93.069 333.93 .06 18101380 J 0110111s I 06130118 I o I 19.833 19,833 <br />TOTALS o I 19.833 19.833 <br />Task *May Support PHAB Due Date/Time Payment <br />Task/ Activity/Description Deliverables/Outcomes Information and/or Number Standards/Measures Frame Amount <br />1 Attend emergency preparedness events, ( e.g. Complete the end of year progress June 30, 2018 Reimbursement for <br />trainings, meetings, conference calls, and report actual costs not to <br />conferences) as necessary to advance LHJ I exceed total funding <br />preparedness or complete the deliverables in this consideration amount. <br />statement of work. <br />2 Complete reporting templates as requested by Submit completed templates to June 30, 2018 <br />DOH to comply with program and federal grant OOH <br />requirements (e.g. performance measures, gap I analysis, mid-year and end-of-year reporting <br />temnlates. etc.) <br />3 Develop or update written procedures to activate a Submit end of year progress report. June 30, 2018 <br />comprehensive emergency response plan within <br />the jurisdiction. Include: Submit the most recent Emergency <br />• Describe how the command structure is Response Plan (ERP). <br />utilized to manage emergency response <br />• Descnbe the relationship between the LHJ <br />and the COUJlty' Emergency Operations Center <br />Exhibit A, Statements of Work Page 11 of28 Contract Number CLH18249