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PSA CHCW
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2019
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01. January
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2019-01-15 10:00 AM - Commissioners' Agenda
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PSA CHCW
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Last modified
1/30/2019 9:16:48 AM
Creation date
1/30/2019 9:15:40 AM
Metadata
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Template:
Meeting
Date
1/15/2019
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Alpha Order
k
Item
Request to Approve a Professional Services Agreement between Community Health of Central Washington (CHCW) and Kittitas County Public Health (KCPHD)
Order
11
Placement
Consent Agenda
Row ID
50670
Type
Agreement
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Task *May Snpport PHAB Due Date/Time Payment <br />Task/Activity/Description Deliverables/Outcomes Information and/or Number Standards/Measures Frame Amount <br />13 Provide LHJ situation reports to DOH during all Submit end of year progress report. June 30, 2018 <br />incidents involving an emergency response by the <br />UU. Submit Situation R.eoorts. <br />14 Submit essential elements of infmmation (EE.ls) Submit end of year progress report. June 30, 2018 <br />during incident response upon request by DOH. <br />Provide information upon request. <br />15 Participate in the regional healthcare coalition and Submit end of year progn:ss report June 30, 2018 <br />attend coalition meetings as necessary with a summary of participation in <br />coalition activities. <br />*For Information Only: <br />Fundmg is not tied to the revised Standards/Memures listed here. This information may be helpful in discussiom of how program activities might contnbute to meeting a <br />Standani/Measure. More detail on these and/or other Public Health Accreditation Board (PHAB) Standards/Measures that may apply can be found at: <br />hnp :/N,nv,;v.phaboard .orgiwp-conten t/upleads.-'PH AB-S!Bndards~and-Measures~Version-1 .0.pclf <br />Special Requirements <br />Federal Funding Accountability and Transparency Act (FFATA} <br />Tbis statement of work is supported by federal fimds that require compliance with the Federal Funding Accountability and Transparency Act (FF ATA 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 1111d be eligible to perfonn 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 />DOH Program Contact: <br />Jennifer Albertson, Contract and Finance Specialist <br />Department of Health <br />P O Box 47960, Olympia, WA 98504-7960 <br />jennifer .albertson@doh.wa.gov <br />PHEPIHPP Deliverable Submission email address: concondgli vcrab!~(qldolL wa,go" <br />Exhibit A. Statements of Work Page 15 of28 Contract Number CLH18249
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