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DOH Program Name or Title: OlCP-Promotion of Immunizations to ImproveVaccination Rates - Effective July 1. 2020AMENDMENT #I7Exhibit AStatement of WorkContract Term: 2018-2021Local Health Jurisdiction Name: Kittitas County Public Health DepartmentContract Number: CLH18249SOW Type: Revision Revision # (for this SOW) IType of Paymentffi Reimbursement! Fixed PriceFederal Compliance(check if applicable)FFATA (Transparency Act)Research & DevelopmentFunding SourceFederal SubrecipientState! otherPeriod ofPerformance: July 1.2020 through June 30.2021Statement of Work Purpose: The purpose of this statement of work is to contract with local health to conduct activities to improve immunization coverage rates.Revision Purpose: The purpose of this revision is to extend the period of performance and funding from 12131/20 to 06130121, add funds, and modifu the statement of work.Exhibit A, Statements of WorkRevised as ofSeptember 15,2020TotalConsideration5,600s.600ChangeIncrease (+)2,8002,800CurrentConsideration2,8002.800Funding Period(LHJ Use Only)Start Date End Date06/30t21TOTALS0710U20MasterIndexCode74310202BARSRevenueCode333.93.26CFDA#93.268Chart of Accounts Program Name or TitleFFY21 VFC OpsPaymentInformation and/orAmountReimbursement foractual costs incurred,not to exceed totalfunding considerationamount.*See Restrictions onFunds below.Due Date/TimeFrameAugust 1,2020November 30,2020March 31, 202IJune 15,2021Deliverables/OutcomesWritten proposal and a report thatshows starting immunization ratesfor the target populationWritten report describing theprogress made on reachingmilestones for activities identifi edin the plan (template will beprovided)Final written report, including areport showing endingimmuni:alion ratesfor the targetpopulation (template will beprovided)*May Support PHABStandards/lvleasuresTask/Activity/DescriptionDevelop a proposal to improve immunizationcoverage rates for a target population by increasingpromotion activities and collaborating withcommunity partners. The proposal must meetguidelines outlined in the Local Health JurisdictionFunding Opportuni8. Promotion of Immunizationsto Increase Vaccination Rates announcement.Upon approval of proposal, implement the plan toincrease immunization coverage rates with thetarget population identifi ed.Perform data collection necessary to enable acomparison of immunization rates from the start ofthe project.TaskNumberI23Page27 of42Contract N umber CLHI 8249 - | 7