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Task Task/ Activity/Description Number <br />unit for the LHJ to gather source data <br />during a routine sanitary survey. DOH <br />expects the LHJ to commit to using <br />the tablet and GPS for a five-year <br />period. <br />2 Trained LHJ staff will conduct <br />Special Purpose Investigations (SPI) <br />of small community and non- <br />community Group A water systems <br />identified by the ODW Regional <br />Office. <br />See Special Instructions for task <br />activity. <br />3 Trained LHJ staff will provide direct <br />technical assistance (TA) to small <br />community and non-community <br />Exhibit A, Statements of Work <br />Revised as of January 15, 2019 <br />*May Support PHAB <br />Standards/Measures <br />w. <br />----,c,.- <br />AMENDMENT #7 <br />Deliverables/Outcomes Due Date/Time <br />Frame Payment Information and/or Amount <br />3. Updated Water Facilities costs such as travel, lodging, per diem. <br />Inventory (WFI). <br />4. Photos of water system Payment is authorized upon receipt and <br />with text identifying acceptance of the Final Sanitary Survey <br />features Report within the 30-day deadline. <br />5. Any other supporting <br />documents. Late or incomplete reports may not be <br />accepted for payment. <br />*Final Reports reviewed and <br />accepted by the ODW <br />Regional Office. <br />The LHJ surveyor will record <br />at least two (2) GPS data <br />points, for each source, into <br />the preloaded Excel template <br />on the tablet and submit that <br />data file with the associated <br />sanitary survey. <br />Provide completed SPI Completed SPI Upon acceptance of the completed SPI <br />Report and any supporting Reports must be Report, the LHJ shall be paid $800 for <br />documents and photos to received by the ODW each SPI. <br />ODW Regional Office. Regional Office <br />within 2 working Payment is inclusive of all associated <br />days of the service costs such as travel, lodging, per diem. <br />request. <br />Payment is authorized upon receipt and <br />acceptance of completed SPI Report <br />within the 2 working day deadline. <br />Late or incomplete reports may not be <br />accepted for payment. <br />Provide completed TA Completed TA Upon acceptance of the completed TA <br />Report and any supporting Report must be Report, the LHJ shall be paid for each <br />documents and_photos to received by the ODW technical assistance activity as follows: <br />Page 4 of7 Contract Number CLH 18249-7