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Exhibit A <br />Statement of Work <br />Contract Term: 2018-2020 <br />AMENDMENT #9 <br />DOH Program Name or Title: OICP-Promotion of Immunizations to Improve <br />Vaccination Rates -Effective July I, 2019 <br />Local Health Jurisdiction Name: Kittitas County Public Health Department <br />Contract Number: CLH I 8249 <br />SOW Type: Original Revision # (for this SOW) Funding Source Federal Compliance Type of Payment <br />[gJ Federal Subrecipient (check if applicable) [gJ Reimbursement <br />Period of Performance: July 1, 2019 through June 30, 2020 D State [gJ 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 to contract with local health to conduct activities to improve immunization coverage rates . <br />Revision Purpose: NIA <br />Chart of Accounts Program Name or Title <br />FFY20 VFC Ops <br />TOTALS <br />Task <br />Number Task/Activity/Description <br />I Develop a proposal to improve immunization <br />coverage rates for a target population by increasing <br />promotion activities and collaborating with <br />community partners. The proposal must meet <br />guidelines outlined in the Local Health Jurisdiction <br />Funding Opportunity, Promotion of Immunizations <br />to Increase Vaccination Rates announcement. <br />2 Upon approval of proposal, implement the plan to <br />increase immunization coverage rates with the <br />target population identified. <br />3 Perform data collection necessary to enable a <br />comparison of immunization rates from the start of <br />the project. <br />Exhibit A, Statements of Work <br />Revised as of May 15, 2019 <br />CFDA# BARS Master Funding Period <br />Revenue Index (LHJ Use Only) <br />Code Code Start Date End Date <br />93.268 333.93.26 74310292 07/01/19 ! 06/30/20 <br />*May Support PHAB <br />Standards/Measures Deliverables/Outcomes <br />Written proposal and a report that <br />shows starting immunization rates <br />for the target population <br />Written report describing the <br />progress made on reaching <br />milestones for activities identified <br />in the plan (template will be <br />provided) <br />Final written report, including a <br />report showing ending <br />immunization rates for the target <br />population (template will be <br />-provided) <br />Page 8 of20 <br />Current Change Total <br />Consideration Increase (+) Consideration <br />0 5,600 5,600 <br />0 5,600 5,600 <br />Due Date/Time Payment <br />Frame Information and/or <br />Amount <br />August 1, 2019 Reimbursement for <br />actual costs incurred, <br />not to exceed total <br />funding consideration <br />amount. <br />See Restrictions on <br />Funds below. <br />November 30, 2019 <br />March 3 1, 2020 <br />June 15, 2020 <br />Contract Number CLH18249-9