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AMENDMENT #I7*For Information Only:Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting aStandard/Measure. More detail on these and/or other Public Health Accreditation Board (PHAB) Standards/Measures that miy apply can be found at:http://wlvw.phaboard.ore/$'p-content/uploads/PHAB-Standards-and-Measures-Version.l .0.pdfProgram Specifi c Requirements/NarrativeThe Local Strategies for Physical Activity and Nutrition (LSPAN) project is providing funds to Kittitas County Public Health Department to implement policy, systems andpriority populations who experience health disparities. LSPAN is part of DOH's State Physical Activity and Nutrition-Washington (SPANWA) i.og.uln. nunding for SpANWAis through a cooperative agreement awarded to DOH from the Centers for Disease Control and Prevention's (CDC) DPl8-1807: State Physical Activitv and Nutrition proeramSpecial RequirementsFederal Funding Accountabilitv and Transparencv Act (FFATA)This statement of work is supported by federal funds that require compliance with the Federal Funding Accountability and Transparency Act (FFATA or the Transparency Act).The purpose ofthe Transparency Act is to make information available online so the public can see how the federal funds are spent.To comply with this act and be eligible to perform the activities in this statement of work, the LHJ must have a Data Universal Numbering System (DLfNS@) number.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.Required Disclosures for Federal Awardee Performance and Integritv Information Svstem (FAPIIS):Consistent with 45 CFR 75.1 13, applicants and recipients must disclose in a timely manner, in writing to the Centers for Disease Control and Prevention (CDC), with a copy to theand to the HHS OIG at the following addresses:CDC, Office of Grants Services, Romero Stokes, Grants Management Officer/Specialist, Centers for Disease Control and Prevention Chronic Disease and Birth Defects ServicesBranch,2920 Brandywine Road, Mailstop E-09, Atlanta, Georgia 30341, Email: lnjO@cdc.gov (lnclude "Mandatory Grant Disclosures" in subject line)ANDU.S. Department of Health and Human Services, Office of the Inspector General, ATTN: Mandatory Grant Disclosures, Intake Coordinator, 330 Independence Avenue SW, CohenBuilding, Room 5527, Washington, DC 20201,Fax: (202) 205-0604 (lnclude "Mandatory Grant Disclosures" in subject line) orEmail : MandatoryGranteeDisclosures@oi g.hhs. eovRestrictions on Funds (what funds can be used for which activities, not direct payments, etc)1 Only DOH-approved budget expenditures will be reimbursed.o Subrecipients may not use funds to purchase furniture or equipment.o Funds cannot be spent on capital projects to support built environment changes.o Reimbursement of pre-award costs generally is not allowed, unless DOH provides written approval to the subrecipient.r The direct and primary recipient in a cooperative agreement program must perform a substantial role in canying out project outcomes and not merely serye as a conduit for anaward to another party or provider who is ineligible.Exhibit A, Statements of WorkRevised as ofSeptember 15,2020Page77 of42Contract Number CLHI 8249 - 1 7