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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 may apply can be found at:htto://www.phaboard.ors/wp-content/uploads/PHAB-Standards-and-Measures-Version-l.0.pdfProgram Specific Req uirements/NarrativeTasks in this statement of work may not be subcontracted without prior written approval from DOH OICPSpecial RequirementsFederal Funding Accountability 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 (DLTNS@) number.Information about the LHJ and this statement of work will be made available on USASpendins.sov by DOH as required by p.L. 109-282.Restrictions on Funds (what funds can be used for which activities, not direct payments, etc.)Allowable Uses of Federal Operations Funds document (dated 1212012017) is posted on the DOH Consolidated Contract website at this link. These federal funds may not be usedfor expenses related to travel or attendance at any non-DOH sponsored conference, training, or event without prior written approval from the DOH Office of Immunization andChild Profile.DOH Program ContactsTawney Harper, MPADeputy Director I Operations ManagerOffice of Immunization and Child ProfileDepartment of HealthPO Box 47843, Olympia WA 98504-7843tawney.harper@doh.wa. gov, 3 60 -23 6-3 525Exhibit A, Statements of WorkRevised as ofSeptember 75,2020DOH Program ContactMisty Ellis, Project ManagerCDC Public Health AdvisorOffice of Immunization and Child ProfileDepartment of HealthPO Box 47843, Olympia WA 98504-7843misty.ellis@doh.wa.gov, 360-236-367 5PaymentInformation and/orAmountDue Date/TimeFrameMarch 31, 2021Deliverables/OutcomesFinal written report, including areport showing ending influenzaimmunization rates for the targetpopulation (template will beprovided)*May Support PHABStandards/MeasuresTask/Activity/DescriptionConduct an evaluation of the interventionsimplementedTaskNumberJPage 26 of 42Contract Number CLHI 8249 - 17