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AMENDMENT #9 Task Task/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Number Standards/Measures Frame Payment Information and/or Amount Payment is inclusive of all associated costs such as consulting fee, travel, lodging, per diem. Payment is authorized upon receipt and acceptance of completed TA Report within the 30-day deadline. Late or incomplete reports may not be accepted for payment. 4 LHJ staff performing the activities Prior to attending the Annually LHJ shall be paid mileage, per diem, under tasks 1, 2 and 3 must have training, submit an lodging, and registration costs as completed the mandatory Sanitary "Authorization for Travel approved on the pre-authorization form Survey Training. (Non-Employee)" DOH in accordance with the current rates Form 710-013 to the ODW listed on the OFM Website See Special Instructions for task Program Contact below for h H12;f/www .o fm. wa. e.o v/resourte s/lravel activity. approval (to ensure that ~ enough funds are available). *For Information Only: Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. More detail on these and/or other Public Health Accreditation Board (PHAB) Standards/Measures that may apply can be found at: hup://w \\'W .oh.ab onrd.or2.lwp-conccntf u ploads/PHA D-Standards-and-Measu resN ~rs.ion -I .0 .pelf Program Specific Requirements/Narrative Special References (RCWs, WACs, etc) Chapter 246-290 WAC is the set ofrules that regulate Group A water systems. By this statement of work, ODW contracts with the LHJ to conduct sanitary surveys (and SPis, and provide technical assistance) for small community and non-community water systems with groundwater sources. ODW retains responsibility for conducting sanitary surveys (and SPls, and provide technical assistance) for small community and non-community water systems with surface water sources, large water systems, and systems with complex treatment. LHJ staff assigned to perform activities under tasks 1, 2, and 3 must be trained and approved by ODW prior to performing work. See special instructions under Task 4, below. Special Billing Requirements The LHJ shall submit quarterly invoices within 30 days following the end of the quarter in which work was completed, noting on the invoice the quarter and year being billed for. Payment cannot exceed a maximum accumulative fee of $10,100 $11,200 for Task 1, and $4,000 for Task 2, Task 3 and Task 4 combined during the contracting period, to be paid at the rates specified in the Payment Method/Amount section above. When invoicing for sanitarv survevs. bill ha!ho BARS Revenue Code 346 .26.64-,and half to BAR-S Revenue Code 346.26.65. When invoicing for Task 1, submit the list ofWS Name, ID#, Amount Billed, Survey Date and Letter Date that you are requesting payment. When invoicing for Task 2-3, submit the list of WS Name, ID #, TA Date and description of TA work performed, and Amount Billed. Exhibit A, Statements of Work Revised as of May 15, 2019 Page 5 of20 Contract Number CLH18249-9