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Exhibit A, Statements of WorkRevised as ofSeptember 15,2020AMENDMENT #17PaymentInformation and/orAmountDue Date/TimeFrameWUpon requestfromDOH.December 31,2020June 30,2021December 31,2020June 30,2021December 31,2020June 30,2021Deliverables/OutcomesBudget, using template providedby DOH.Mid-year report on templateprovided by DOH.End-of-year report on templateprovided by DOH.Input provided to DOH uponrequest from DOH.Mid-year report on templateprovided by DOH.End-of-year report on templateprovided by DOH.Documentation of trainingavailable upon request.Mid-year report on templateprovided by DOH.End-of-year report on templateprovided by DOH.*May Support PHABStandards/MeasuresTask/Activity/DescriptionAcross Domains and CapabilitiesDevelop a budget demonstrating how the LHJplans to spend funds during this period ofperformance, using a budget template provided byDOH.Note: 20olo of the LHJ's annual allocation will bewithheld until this requirement is met. Failure tomeet this requirement may result in DOHredirecting funds from the LHJ.Across Domains and CapabilitiesReview and provide input to DOH on public healthemergency preparedness plans developed by DOH,upon request from DOH.Domain I Community ResilienceCapabilify I Community PreparednessParticipate in emergency preparedness events (forexample, trainings, meetings, conference calls, andconferences) to advance LHJ, regional, orstatewide public health preparedness.Domain 2 Incident ManagementCapability 3 Emergency Operations Coordination -Training & ExerciseBased on availability of training, participate in atleast one Foundational Public Health EmergencyPreparedness Training provided by region, DOH,DOH-contracted partner, or DOH-approved trainerin person or via webinar.Notes:r For some LHJs this training won't be availableuntil the next Statement of Work period,January I - June 30,2021 . DOH will workTaskNumber3456Page 3 of 42Contract Number CLHI 8249 -17