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DoH Program Name or Title: olcP GARES Enhanced Influenza coverase proiect -Eflective July 1.2020SOW Type: Revision Revision # (for this SOW) tPeriod ofPerformance: July 1.2020 through June 30.2021Exhibit A, Statements of WorkRevised as of September 15,2020Type of PaymentX Reimbursement! Fixed PriceFederal Compliance(check if applicable)X ffnfa (Transparency Act)! Research & DevelopmentFunding SourceI Federal Subrecipientfl stut"! ottrerAMENDMENT # 17Local Health Jurisdiction Name: Kittitas countv public Health DepartmentContract Number: CLHI8Z49Exhibit AStatement of WorkContract Term: 2018-2021Statement of Work Purpose: The purpose of this statement of work is to contract with local health to conduct activities to improve influenza immunization coverage rates.Revision Purpose: The purpose of this revision is to extend the period of performance and funding from l2l3ll20 to 06/30121and add funds.ChangeIncrease (+)CurrentConsideration80006130/21End DateFunding Period(LHJ Use Only)0710U20MasterIndexCode74310219BARSRevenueCode333.93.26CFDA #93.268Chart of Accounts Program Name or TitleFFY2l Enhanced InfluenzaCARESTOTALSPaymentInformation and/orAmountReimbursement foractual costs incurred,not to exceed totalfunding considerationamount.*See Restrictions onFunds below.Due Date/TimeFrameJuly 28,2020December 31,2020Deliverables/OutcomesWritten proposal, to include a line-item, object-based budget(template will be provided) and areport that shows startingimmunization rates for the targetpopulationWritten report describing theprogress made on reachingmilestones for activities identifi edin the plan (template will beprovided)*May Support PHABStandards/NleasuresTask/Activity/DescriptionDevelop a proposal to work with partners onactivities that implement evidence-based strategiesto increase influenza immunization coverage ratesfor adult population, increase immunization andpromotion activities targeted at populations athigher risk for COVID-l9 and those that supportthem, uninsured and underinsured populations, andimprove collaboration with communifypartners. The proposal must include a line-item,object-based budget and must meet the goals andobjectives outlined inthe Local Health JurisdictionEnhanc e d I nflue nza C ov e rage Fundi ngO pp ortunity Guidelines.Upon approval of proposal, implement the plan toincrease immunization coverage rates with thetarget population identifi ed.TaskNumberI2Page25 of 42Contract Number CLH| 8249 -17