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AMENDMENT #I5Exhibit AStatement of WorkContract Term: 2018-2020Statement of Work Purpose: The purpose of this statement of work is to build and strengthen epidemiology, laboratory and health information systems capacity in local healthjurisdictions.Note: Pending execution of an extension to the 2018-2020 consolidated contracts which cunently end December 31, 2020,DoHplans to extend the period of performance andfunding in this statement of work through December 31 , 2021 . Unspent funds through December 3l , 2020 will be carried forward into the ne* "onsoiiduted contract periodbeginning January 1 ,2021 and will allow for work to continue through December 31, 2021 .Revision Purpose: N/ADOH Program Name or Title: ELC COVID-I9 - Effective June l. 2020SOW Type: Orieinal Revision # (for this SOW)Period ofPerformance: June 1.2020 through December 31.2020Exhibit A, Statements of WorkRevised as of May 15,2020Local Health Jurisdiction Name: Kittitas countv Public Health DepartmentContractNumber: CLHI8249Type of PaymentX ReimbursementI Fixed PriceFederal Compliance(check if applicable)X Pfnfe (Transparency Act)n Research & DevelopmentFunding SourceI Federal SubrecipientflstateflotherIotalConsideration61.t776r.r77ChangeIncrease (+)6t,17761,177CurrentConsideration00Funding Period(LHJ Use Only)Start Date End Date1213U20TOTALS06101t20MasterIndexCode1 891 0294BARSRevenueCode333.93.32CFDA#93323Chart of Accounts Program Name or TitleFFY19 COVID CARESPaymentInformation and/orAmount$61,177 - MI1891029A -COVID CARES($6l,l77fortheperiod 06/01/20-t2l3u21)Due Date/Time FrameAugust 15,2020September 30,2020Deliverables/OutcomesSubmit spending plan and staffingproposal summary to the DOHContract Manager.Staff summary and training plan*May Support PHABStandards/lleasuresTask/Activity/DescriptionEstablish a spending plan and staffing proposal tosupport the work of COVID-19 case investigationand contact tracing. The spending plan and staffingproposal should include proposed positions anddefine roles.Hire, orient and/or train staffbased on the negotiatedstaffing proposal. Develop a training plan inconsultation with DOH that is consistent with theDOH COVID-19 guideline. Training plan will beflexible depending on staffexperience and based onfor onboarding into new systems.TaskNumberI2Page 3 of2lContract Number CLHI 8249 - 1 5