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Exhibit A, Statements of WorkRevised as ofSeptember 75,2020AMENDMENT #I7PaymentInformationand/or AmountReimbursementfor actual costs,not to exceedtotal contractfunding. SeeProgram SpecificRequirementsDue Date/Time FrameOctober 1 5, 2021 (coveringJune 30,2021- September 29,2021)Year 1-FFYI8:April 15, 2019 (coveringFebruary 79, 2019-March 30, 201 9)July 15,2019 (coveringMarch 3 1, 2019-June 29, 2019)October | 5, 2019 (coveringJune 30, 2019-September 29,2019)Year 2-FFY19:January 15, 2020 (coveringSeptember 30, 2019-December 30,20te)April 15, 2020 (coveringDecember 31, 2019 -March 30, 2020)July 15,2020 (coveringMarch 3 1, 2020-June 29, 2020)October 7 5, 2020 (coveringJune 30, 2020- September 29,2020)Year 3-FFY20:January 1 5, 202 1 (coveringSeptember 30, 2020-December 30,2020)April I 5, 202 I (coveringDecember 31, 2020-March 30, 2021)July 15,2021 (coveringMarch 3 1, 202 1 -June 29, 202 1 )October 1 5, 202 1 (coveringJune 30,2021- September 29,2021)Deliverables/OutcomesReport quarterly expendituresusing DOH-providedtemplate.*May Support PHABStandards/MeasuresTask/Activity/DescriptionPROGRAM IMPLEMENTATION :Report quarterly expenditures usingDOH-provided template.TaskNumber2cPage 74 of 42Contract N umber CLHI 8249 - 17