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AMENDMENT #15Exhibit A, Statements of WorkRevised as of May 75,2020PaymentInformationand/or AmountReimbursementfor actual costs,not to exceedtotal contractfunding. SeeProgram SpecificRequirementsReimbursementfor actual costs,not to exceedtotal contractfunding. SeeProgram SpecificRequirementsReimbursementfor actual costs,not to exceedtotal contractfunding. SeeProgram SpecificRequirementsDue Date/Time FrameYear l-FFYI8:April 15, 2019 (coveringFebruary 19, 2019-March 30, 2019)July 15,2019 (coveringMarch 3 1, 201 9-June 29, 2019)October 15, 2019 (coveringJune 30, 2019-September 29,2019)Year 2-FFY19:January 15, 2020 (coveringSeptember 30, 2019-December 30,201e)April 15, 2020 (coveringDecember 31, 2019 -March 30, 2020)July 15,2020 (coveringMarch 3 1, 2020-June 29, 2020)October 15, 2020 (coveringJune 30, 2020- September 29,2020)Draft due:Year I-FFYI8: March 15,2019Year 2-FFY19: July 3,2020Final due:Year 1-FFYI8: March 29,2019Year 2-FFYl9: July 10, 2020Year l-FFYI8:April 15, 2019 (coveringFebruary 19, 2019-March 30, 20 I 9)October 15, 2019 (coveringJune 30, 2019-September 29,2019)Year 2-FFY19:January 1 5, 2020 (coveringSeptember 30, 2019-December 30,2019)Deliverables/OutcomesQuarterly progress reports toDOH via SharePoint site oremailSubmit Work Plan to DOHcontract manager via emailQuarterly progress reports toDOH via SharePoint site oremail*May Support PHABStandards/IVIeasuresTask/Activity/DescriptionPROGRAM ADMINISTRATION:Perform administrative duties related toLSPAN.PROGRAM IMPLEMENTATION:Finalize Work Plan and Budget Workbookusing DOH-provided templates.PROGRAM IMPLEMENTATION:Implement finalized community work planfocused on LSPAN that include:- Addressing at least two (2) statestrategies required by this grant funding.- Achieving policy, systems, orenvironmental changes consistent withthe strategies.- Identifuing and reaching populations withhealth disparities.TaskNumberlc2a2bPage 6 of21Contract Number CLH I 8249- I 5