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AMENDMENT #17 <br />Exhibit A, Statements of Work Page 3 of 42 Contract Number CLH18249-17 <br />Revised as of September 15, 2020 <br />Task <br />Number Task/Activity/Description *May Support PHAB <br />Standards/Measures Deliverables/Outcomes Due Date/Time <br />Frame <br />Payment <br />Information and/or <br />Amount <br />3 Across Domains and Capabilities <br /> <br />Develop a budget demonstrating how the LHJ <br />plans to spend funds during this period of <br />performance, using a budget template provided by <br />DOH. <br /> <br />Note: 20% of the LHJ’s annual allocation will be <br />withheld until this requirement is met. Failure to <br />meet this requirement may result in DOH <br />redirecting funds from the LHJ. <br /> Budget, using template provided <br />by DOH. <br />September 1, 2020 <br /> <br />Upon request from <br />DOH. <br />4 Across Domains and Capabilities <br /> <br />Review and provide input to DOH on public health <br />emergency preparedness plans developed by DOH, <br />upon request from DOH. <br /> Mid-year report on template <br />provided by DOH. <br /> <br />End-of-year report on template <br />provided by DOH. <br /> <br />Input provided to DOH upon <br />request from DOH. <br />December 31, 2020 <br /> <br /> <br />June 30, 2021 <br />5 Domain 1 Community Resilience <br />Capability 1 Community Preparedness <br /> <br />Participate in emergency preparedness events (for <br />example, trainings, meetings, conference calls, and <br />conferences) to advance LHJ, regional, or <br />statewide public health preparedness. <br /> Mid-year report on template <br />provided by DOH. <br /> <br />End-of-year report on template <br />provided by DOH. <br /> <br />Documentation of training <br />available upon request. <br />December 31, 2020 <br /> <br /> <br />June 30, 2021 <br />6 Domain 2 Incident Management <br />Capability 3 Emergency Operations Coordination - <br />Training & Exercise <br /> <br />Based on availability of training, participate in at <br />least one Foundational Public Health Emergency <br />Preparedness Training provided by region, DOH, <br />DOH-contracted partner, or DOH-approved trainer <br />in person or via webinar. <br /> <br />Notes: <br /> For some LHJs this training won’t be available <br />until the next Statement of Work period, <br />January 1 – June 30, 2021. DOH will work <br /> Mid-year report on template <br />provided by DOH. <br /> <br />End-of-year report on template <br />provided by DOH. <br />December 31, 2020 <br /> <br /> <br />June 30, 2021