Laserfiche WebLink
AMENDMENT #13 <br />Exhibit A, Statements of Work Page 3 of 12 Contract Number CLH18249-13 <br />Revised as of April 1, 2020 <br />Exhibit A <br />Statement of Work <br />Contract Term: 2018-2020 <br /> <br />DOH Program Name or Title: Division of Emergency Preparedness & Response- <br />COVID-19 - Effective January 20, 2020 <br />Local Health Jurisdiction Name: Kittitas County Public Health Department <br />Contract Number: CLH18249 <br />SOW Type: Original Revision # (for this SOW) Funding Source <br /> Federal Subrecipient <br /> State <br /> Other <br />Federal Compliance <br />(check if applicable) <br /> FFATA (Transparency Act) <br /> Research & Development <br />Type of Payment <br /> Reimbursement <br /> One-Time <br />Distribution Period of Performance: January 20, 2020 through December 31, 2020 <br />Statement of Work Purpose: The purpose of this statement of work is to establish funding and tasks for LHJs to prevent, prepare for, and respond to the COVID -19 disease <br />outbreak. <br />Revision Purpose: N/A <br /> <br />Chart of Accounts Program Name or Title CFDA # BARS <br />Revenue <br />Code <br />Master <br />Index <br />Code <br />Funding <br />(LHJ Use <br />Start Date <br /> Period <br /> Only) <br />End Date <br />Current <br />Consideration <br />Change <br />Increase (+) <br />Total <br />Consideration <br />FFY20 CDC COVID-19 Crisis Resp LHJ-Tribe 93.354 333.93.35 31104102 01/20/20 12/31/20 0 78,522 78,522 <br />FY20/21 COVID-19 Disaster Response N/A 334.04.92 934A0101 01/20/20 12/31/20 0 71,478 71,478 <br />TOTALS 0 150,000 150,000 <br /> <br />Task <br />Number Task/Activity/Description *May Support PHAB <br />Standards/Measures Deliverables/Outcomes Due Date/Time <br />Frame <br />Payment Information <br />and/or Amount <br />1 Federal Funds <br />Participate in public health emergency preparedness <br />and response activities for COVID-19. This may <br />include surveillance, epidemiology, laboratory <br />capacity, infection control, mitigation, <br />communications, and or other preparedness and <br />response activities for COVID-19. <br /> <br />Activities must address one or more of the following <br />six domains: <br /> Incident management for early crisis <br />response <br /> Jurisdictional recovery <br /> Information management <br /> Countermeasures and mitigation <br /> Activity report(s) on template <br />to be provided DOH. <br />June 30, 2020 <br />December 31, 2020 <br /> <br />Frequency and due <br />dates of reports may <br />change based on <br />federal requirements. <br />DOH will notify LHJ <br />of any changes via <br />email. <br /> <br /> <br />A final activity report <br />is required prior to <br />DOH releasing the <br />Reimbursement for actual <br />costs not to exceed total <br />funding consideration <br />amount <br /> <br />Note: Per Federal <br />funding requirements, <br />prior approval from <br />DOH is required for <br />reimbursement of <br />expenses incurred on or <br />after January 20, 2020 <br />through March 4, 2020. <br /> <br />