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AMENDMENT #17 <br />Exhibit A, Statements of Work Page 29 of 42 Contract Number CLH18249-17 <br />Revised as of September 15, 2020 <br />Exhibit A <br />Statement of Work <br />Contract Term: 2018-2021 <br /> <br />DOH Program Name or Title: Supplemental Nutrition Assistance Program- <br />Education - Effective October 1, 2020 <br />Local Health Jurisdiction Name: Kittitas County Public Health Department <br /> Contract Number: CLH18249 <br />SOW Type: Original Revision # (for this SOW) Funding Source <br /> Federal Subrecipient <br /> State <br /> Other <br />Federal Compliance <br />(check if applicable) <br /> FFATA (Transparency Act) <br /> Research & Development <br />Type of Payment <br /> Reimbursement <br /> Fixed Price Period of Performance: October 1, 2020 through September 30, 2021 <br />Statement of Work Purpose: The purpose of this statement of work is to provide Supplemental Nutrition Assistance Program-Education (SNAP-Ed) to improve the likelihood <br />that persons eligible for SNAP (Basic Food, Food Stamps) will make healthy food choices within a limited budget and choose acti ve lifestyles consistent with the current USDA <br />dietary guidelines. <br />Revision Purpose: N/A <br /> <br />Chart of Accounts Program Name or Title CFDA # BARS <br />Revenue <br />Code <br />Master <br />Index <br />Code <br />Funding <br />(LHJ Use <br />Start Date <br /> Period <br /> Only) <br />End Date <br />Current <br />Consideration <br />Change <br />Increase (+) <br />Total <br />Consideration <br />FFY21 IAR SNAP ED PROG MGNT -REGION 2 10.561 330.10.56 76701912 10/01/20 09/30/21 0 26,046 26,046 <br />TOTALS 0 26,046 26,046 <br /> <br />Task <br />Number Task/Activity/Description Deliverables/Outcomes Measure (where <br />applicable) <br />FFY21 <br />Due Date/Time Frame <br />Payment Information <br />and/or Amount <br />1.0 Project Planning, Implementation, <br />and Performance <br /> <br />For SNAP-Ed, the Subrecipient will <br />develop, implement, and evaluate a <br />SNAP-Ed project included in the <br />Washington SNAP-Ed State Plan <br />approved by Department of Social and <br />Health Services (DSHS) and United <br />States Department of Agriculture <br />(USDA); and, as described in the <br />Subrecipient’s project work plan <br />approved by Department of Health <br />(DOH). <br /> <br /> Project provides 100% of <br />SNAP-Ed activities at eligible <br />sites and/or with eligible <br />audiences. <br /> On-time delivery, <br />implementation, and <br />evaluation of Project activities <br />as scheduled in approved state <br />plan and project work plan. <br /> Satisfactory progress towards <br />State SNAP-Ed project goal(s) <br />selected by Subrecipient is <br />demonstrated and reported. <br /> Satisfactory progress towards <br />project objective(s) and <br />additional project goal(s) <br />Sites and audiences <br />included in Project by <br />Subrecipient documented <br />as approved eligible sites <br />or audiences. <br /> <br />Documented complete <br />reporting by Subrecipient <br />of the delivery, <br />implementation, and <br />evaluation of approved <br />Project activities in the <br />required PEARS online <br />reporting modules, where <br />relevant to Project <br />(Program Activities, PSE <br />For the Period: <br />10/01/20 to 09/30/21 <br /> <br />Due: per the approved work <br />plan and per the required <br />due dates during the federal <br />fiscal year, and no later than <br />09/30/21. <br />Reimbursement upon <br />on-time receipt and <br />approval of acceptable <br />deliverables/ outcomes <br />for the funding period <br />will not exceed <br />$26,046. Kittitas <br />County Public Health <br />Department will be <br />paid the allowable costs <br />incurred based on their <br />approved budget and <br />program allowability. <br />See special billing <br />requirements section. <br />