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AMENDMENT #19 <br />Exhibit A, Statements of Work <br />Revised as of January 15, 2021 <br />Page 11 of 30 Contract Number CLH18249-19 <br /> <br /> <br />Task <br />Number <br /> <br />Task/Activity/Description *May Support PHAB <br />Standards/Measures <br /> <br />Deliverables/Outcomes <br /> <br />Due Date/Time Frame <br />Payment <br />Information and/or <br />Amount <br />Regional Incident Management Team (IMT) Mass Vaccination Clinics – Task 4 <br /> *NOTE: Task 4 activities for Mass Vaccination Clinics in <br />this statement of work are NOT CONSIDERED <br />SUBRECIPIENT but are as a CONTRACTOR of DOH. <br /> *Reimbursement of <br />eligible costs. <br /> <br />DOH reimbursement provided for local mass vaccination <br />clinic (see definition below) planning, implementation and <br />operations in coordination between Unified Command and <br />the Regional IMT to administer the vaccine as efficiently, <br />quickly, equitably, and safely in all regions of Washington <br />State. State Supported, Regionally Coordinated, Locally <br />Implemented. <br /> <br />Definition: Mass vaccination clinics defined as those <br />outside of the usual healthcare delivery. method such as <br />pop-up clinics, mobile clinics, non- clinical facility <br />(fairgrounds, arenas, etc.). <br />MASS <br />VACCINATION <br />FEMA 100% <br />Funding <br />(MI 934V0200) <br /> <br />(See Program <br />Specific <br />Requirements for <br />Mass Vaccination <br />Task 4 below) <br />Leaders Intent about this work from DOH is included as an <br />attachment. <br /> <br />Guidance on vaccination protocols must be followed as <br />provided by DOH and CDC. <br /> <br />4.A Local health jurisdiction (LHJ) will coordinate planning <br />and implementation of mass vaccination clinics/sites <br />provided within the county(s) with a regional incident <br />management team/organization as approved by DOH. <br /> Submit to DOH a mass <br />vaccination plan <br />including: <br />• type of site, <br />• site locations, <br />• throughput, <br />• considerations <br />made to ensure <br />equity to <br />historically <br />marginalized <br />populations, <br />• and to the extent <br />possible a <br />regional map of <br />sites/locations. <br />Within 30 days of <br />contract amendment <br />execution. <br /> <br /> Request for regional IMT should be submitted through the <br />normal process through WebEOC. <br /> <br /> Local health jurisdiction is the coordinating agency for the <br />mass vaccination plan within the county. <br /> <br /> Regional IMT will be under the delegation authority of <br />DOH and they are to provide support and coordination for <br />all efforts around vaccine planning, resource support and <br />general guidance and information sharing in order to <br />regionally coordinate efforts. Local jurisdictions will <br />