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AMENDMENT #I5Exhibit A, Statements of WorkRevised as of May 15,2020PaymentInformationand/or AmountReimbursementfor actual costs,not to exceedtotal contractfunding. SeeProgram SpecificRequirementsDue DatelTime FrameApril 15, 2020 (coveringDecember 3 7, 201 9 -March 30, 2020)July 15,2020 (coveringMarch 3 1, 2020-June 29, 2020)October 1 5, 2020 (coveringJune 30, 2020- September 29,2020)Year l-FFYI8:April I 5, 2019 (coveringFebruary 19, 2019-March 30, 2019)July 15,2019 (coveringMarch 3 1, 2019-June 29, 2019)October 15, 2019 (coveringJune 30, 2019-September 29,2019)Year 2-FFYl9:January I 5, 2020 (coveringSeptember 30, 2019-December 30,201e)April 15, 2020 (coveringDecember 3 1, 2019-March 30, 2020)July 15,2020 (coveringMarch 3 l, 2020-June 29, 2020)October 15, 2020 (coveringJune 30, 2020- September 29,2020)Deliverables/OutcomesReport quarterly expendituresusing DOH-providedtemplate.*May Support PHABStandards/MeasuresTas k/Activity/DescriptionPROGRAM IMPLEMENTATION:Report quarterly expenditures usingDOH-provided template.TaskNumber2cPageT of21Contract Number CLHI 8249 - 1 5