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DOH Program Name or Title: OlCP-Promotion of Immunizations to ImproveVaccination Rates - Effective July l. 2020AMENDMENT #15Local Health Jurisdiction Name: Kittitas Countv Public Health DepartmentContract Number: CLH18249Exhibit AStatement of WorkContract Term: 2018-2020SOW Type: Original Revision # (for this SOW)Period of Performance: July 1 . 2020 through December 3 l. 2020Statement of Work Purpose: The purpose of this statement of work is to contract with local health to conduct activities to improve immunization coverage rates.Revision Purpose: N/A*For Information Onlv: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 aStandard/Measure. More detail on these and/or other Public Health Accreditation Board (PHAB) Standards/Measures that may apply can be found at:http://www.phaboard.ors/wp-content/uploads/PHAB-standards-and-Measures-Version-l.0.pdfExhibit A, Statements of WorkRevised as of May 15,2020Type of PaymentX Reimbursement! Fixed PriceFederal Compliance(check if applicable)I f'fefe (Transparency Act)n Research & DevelopmentFunding SourceX Federal Subrecipientn staten otherTotalConsideration2,8002.800ChangeIncrease (+)2.8002.800CurrentConsideration00Funding Period(LHJ Use Only)Start Date End Datel2l3U20TOTALS07/01/20MasterIndexCode74310202BARSRevenueCode333.93.26CFDA #93.268Chart of Accounts Program Name or TitleFFY21 VFC OpsPaymentInformation and/orAmountReimbursement foractual costs incurred,not to exceed totalfunding considerationamount.*See Restrictions onFunds below.Due DatelTimeFrameAugust 1,2020November 30,2020Deliverables/OutcomesWritten proposal and a report thatshows starting immunization ratesfor the target populationWritten report describing theprogress made on reachingmilestones for activities identifi edin the plan (template will beprovided)*May Support PHABStandards/M€asuresTask/Activity/DescriptionDevelop a proposal to improve immunizationcoverage rates for a target population by increasingpromotion activities and collaborating withcommunity partners. The proposal must meetguidelines outlined in the Local Health JurisdictionFunding Opportunitv. Promotion of Immunizationsto Increase Vaccination Rates announcement.Upon approval of proposal, implement the plan toincrease immunization coverage rates with thetarget population identifi ed.TaskNumberI2Page 11 of2lContract Number CLH 1 8249- 1 5