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AMENDMENT #8 <br />Exhibit A <br />Statement of Work <br />Contract Term: 2018-2020 <br />DOH Program Name or Title: L SPAN-Local Straie gl e s for Phvsical Activitv & <br />Nutrition -Effective February 19. 2019 <br />Local Health Jurisdiction Name: Kittitas County Public Health Department <br />Contract Number: CLH18249 <br />SOW Type: Original Revision # (for this SOW) Funding Source Federal Compliance Type of Payment <br />~ Federal Subrecipient (check if applicable) D Reimbursement <br />Period of Performance: February 19, 2019 through September 29. 2019 D State ~ FFATA (Transparency Act) D Fixed Price <br />D Other D Research & Development <br />Statement of Work Purpose: The purpose of this statement of work is to establish funding for Local Strategies for Physical Activity and Nutrition (LSPAN), a project of the <br />State Physical Activity and Nutrition Program (SP AN). <br />Revision Purpose: N/ A <br />Chart of Accounts Program Name or Title CFDA# BARS Master Funding Period Current Change !Total <br />Revenue Index (LHJ Use Only) Consideration Increase(+) Consideration <br />Code Code Start Date End Date <br />FFYl 8 PHYS ACTVTY & NUTRITION PROG 93.439 333.93.43 77440248 02119119 I 09;29119 0 60,000 60,_000 <br />TOTALS 0 60,000 60,000 <br />Task *May Support PHAB Payment <br />Task/ Activity/Description Deliverables/Outcomes Due Date/Time Frame Information Number Standards/Measures and/or Amount <br />la PROGRAM ADMINISTRATION: Designated KCPHD staff February 19, 2019-September 29, 2019 Reimbursement <br />Participate in calls, at a minimum of once will participate in contract for actual costs, <br />every month, with DOH contract manager. management calls. not to exceed <br />Dates and time for calls are mutually agreed total contract <br />upon between DOH and Kittitas County funding. See <br />Public Health Department (KCPHD). j Program Specific <br />Requirements <br />lb PROGRAM ADMINISTRATION: Designated KCPHD staff February 19, 2019-September 29, 2019 Reimbursement <br />Participate in DOH-sponsored LSP AN will participate in calls, for actual costs, <br />related quarterly conference calls and/or webinars, and meetings. not to exceed <br />webinars, including up to one (1) in-person total contract <br />meeting . funding. See <br />Program Specific <br />Requirements <br />I <br />Exhibit A, Statements of Work <br />Revised as of March 15, 2019 <br />Page 7 of 10 Contract Number CLH18249-8