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AMENDMENT #17 <br />Exhibit A, Statements of Work Page 26 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 Conduct an evaluation of the interventions <br />implemented <br /> Final written report, including a <br />report showing ending influenza <br />immunization rates for the target <br />population (template will be <br />provided) <br />March 31, 2021 <br /> <br />*For Information Only: <br />Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how pro gram activities might contribute to meeting a <br />Standard/Measure. More detail on these and/or other Public Health Accreditation Board (PHAB) Standards/Measures that may app ly can be found at: <br />http://www.phaboard.org/wp-content/uploads/PHAB-Standards-and-Measures-Version-1.0.pdf <br /> <br />Program Specific Requirements/Narrative <br />Tasks in this statement of work may not be subcontracted without prior written approval from DOH OICP. <br /> <br />Special Requirements <br />Federal Funding Accountability and Transparency Act (FFATA) <br />This statement of work is supported by federal funds that require compliance with the Federal Funding Accountability and Trans parency Act (FFATA or the Transparency Act). <br />The purpose of the Transparency Act is to make information available online so the public can see how the federal funds are spent. <br /> <br />To comply with this act and be eligible to perform the activities in this statement of work, the LHJ must have a Data Univers al Numbering System (DUNS®) number. <br /> <br />Information about the LHJ and this statement of work will be made available on USASpending.gov by DOH as required by P.L. 109-282. <br /> <br />Restrictions on Funds (what funds can be used for which activities, not direct payments, etc.) <br />Allowable Uses of Federal Operations Funds document (dated 12/20/2017) is posted on the DOH Consolidated Contract website at this link. These federal funds may not be used <br />for expenses related to travel or attendance at any non-DOH sponsored conference, training, or event without prior written approval from the DOH Office of Immunization and <br />Child Profile. <br /> <br />DOH Program Contacts DOH Program Contact <br />Tawney Harper, MPA Misty Ellis, Project Manager <br />Deputy Director | Operations Manager CDC Public Health Advisor <br />Office of Immunization and Child Profile Office of Immunization and Child Profile <br />Department of Health Department of Health <br />PO Box 47843, Olympia WA 98504-7843 PO Box 47843, Olympia WA 98504-7843 <br />tawney.harper@doh.wa.gov, 360-236-3525 misty.ellis@doh.wa.gov, 360-236-3675