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Exhibit A <br />Statement of Work <br />Contract Term: 2018-2020 <br />AMENDMENT #9 <br />DOH Program Name or Title: Zoonotic Disease Program-WNV Mosquito <br />Surveillance -Effective June l, 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 />Period of Performance: June I, 2019 through June 30, 2020 <br />D Federal <Select One> (check if applicable) ~ Reimbursement <br />~· State D FF AT A (Transparency Act) D Fixed Price <br />D Other D Research & Development <br />Statement of Work Purpose: The purpose of this statement of work is for Kittitas County Public Health Department to conduct weekly mosquito surveillance for West Nile <br />virus in Kittitas County during mosquito season, June through September. The detection of the virus in mosquito populations serves as an early warning of disease risk in the <br />localized area. It alerts the local health department to strengthen educational outreach and mosquito control to minimize the health impact of mosquito-borne disease on <br />communities. In addition, data generated by surveillance advances our understand of the emergence and spead of vector mosquitoes and pathogens in eastern Washington. <br />Revision Purpose: NIA <br />Chart of Accounts Program Name or Title <br />Zoonotics-GFS <br />Zoonotics-GFS <br />TOTALS <br />Task Task/Activity/Description Number <br />1 Conduct weekly mosquito trapping at two (2) <br />site locations or more in Kittitas County. <br />• Purchase of dry ice, as needed <br />• Set and collect traps <br />• Record field data on DOH-provided <br />reporting forms, including zero catch <br />information. <br />2 Ship collected mosquitoes and completed data <br />reporting forms via trackable method specified <br />by DOH. <br />Exhibit A, Statements of Work <br />Revised as of May 15, 2019 <br />CFDA# BARS Master Funding Period Current Change !Total <br />Revenue Index (LHJ Use Only) Consideration Increase(+) K:onsideration <br />Code Code Start Date End Date <br />NIA 334.04.91 25411100 0610 II 19 I 06/3 0/19 0 971 971 <br />NIA 334.04.91 25411100 01101n9 I 06130120 0 4,029 4,029 <br />0 5,000 5,000 <br />*May Support PHAB Deliverables/Outcomes Due Date/Time Frame Payment Information <br />Standards/Measures and/or Amount <br />Submit weekly collection of Weekly by Wednesday Reimbursement up to <br />mosquitoes along with completed during mosquito season, $5,000 (including staff <br />corresponding data reporting forms June through September. time, transportation, <br />for trapping events to DOH. training, and costs <br />related to mosquito <br />Should no mosquitoes be collected surveillance activities.) <br />1 <br />during a trapping event, the data <br />I reporting form documenting the <br />effort is to be emailed to the DOH <br />Program contact <br />Page 19 of20 Contract Number CLH 18249-9