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AMENDMENT #15Exhibit AStatement of WorkContract Term: 2018-2020DOH Program Name or Title: Supplemental Nutrition Assistance Program-Education - Effective October 1.2018Local Health Jurisdiction Name: Kittitas CounW Public Health DepartmentContract Number: CLH18249SOW Type: Revision Revision # (for this SOW) 3Type of PaymentX Reimbursement! Fixed PriceFederal Compliance(check if applicable)XtrFFATA (Transparency Act)Research & DevelopmentFunding SourceFederal SubrecipientStaten otherPeriod ofPerformance: October 1.2018 through Seotember 30.2020Statement of Work Purpose: The purpose of this statement of work is to provide Supplemental Nutrition Assistance Program-Education (SNAP-Ed) to improve the likelihoodthat persons eligible for SNAP (Food Stamps) will make healthy food choices within a limited budget and choose active lifestyles consistent with the current USDA dietaryguidance system.RevisionPurpose: Thepurposeofthisrevisionisto(1)updatelanguageinTask2.0and,2.l .(2)AddlanguageinTask2.l.Exhibit A, Statements of WorkRevised as of May 15,2020TotalConsideration85820,'t7420,6034l,635ChangeNone0000CurrentConsideration85820,17420,60341,635Funding Period(LHJ Use Only)Start Date End Date09/30/190913011909130120TOTALS10/01/1810/01/1810/01/19MasterIndexCode762119937621199176701902BARSRevenueCode330.10.56330.10.56330.10.56CFDA #10.56110.561I 0.561Chart of Accounts Program Name or TitleFFY1S CSS IAR SNAP ED PROG MGNT CFFFYI9 CSS IAR SNAP ED PROG MGNTFFY2O CSS IAR SNAP ED PROG MGNT-REGION 2PaymentInformation and/orAmountReimbursement uponreceipt and approvalofdeliverables for thefunding period willnot exceed $41,635.Kittitas CountyPublic HealthDepartment will bepaid the allowablecosts incurred basedon their approvedFFY2ODue Date/Time FrameFor the Period:10/01119 to 09/30120Due: per the approvedwork plan and no later than09/30/20FFYI9Due Date/Time FrameFor the Period:l0/01/18 to09130119Due: per the approvedwork plan and no laterthan09l30l19Deliverables/Outcomesr Project qualified targetaudiences reachedr Project activitiescompleted (# directeducation, PSE, Etc.)noted in project plans andworkbooks.r Required demographicdata collected.r Evaluationactivitiescompleted per theimplementing agency and*MaySupportPHABStandards/MeasuresTask/Activity/DescriptionFor SNAP-Ed, the LHJ willperform work as described in theirapproved:FFYI9 SNAP-Ed projectdescription and work plansapproved by DOH,Department of Social andHealth Services (DSHS), andUnited States Department ofAgriculture (USDA) that wasaqF.1.0Page l3 of21Contract Number CLH18249-I 5