Laserfiche WebLink
AMENDMENT #19 <br />Exhibit A, Statements of Work <br />Revised as of January 15, 2021 <br />Page 3 of 30 Contract Number CLH18249-19 <br /> <br /> <br />Exhibit A <br />Statement of Work <br />Contract Term: 2018-2021 <br /> <br />DOH Program Name or Title: COVID-19 Coordinated Response - <br />Effective July 1, 2020 <br />Local Health Jurisdiction Name: Kittitas County Public Health Department <br />Contract Number: CLH18249 <br />SOW Type: Revision Revision # (for this SOW) 2 Funding Source <br />Federal Subrecipient <br />State Other <br />Federal *Contractor <br />Federal Compliance <br />(check if applicable) <br />FFATA (Transparency Act) <br />Research & Development <br />Type of Payment <br />Reimbursement <br />Fixed Price <br />Period of Performance: July 1, 2020 through December 31, 2021 <br />Statement of Work Purpose: The purpose of this statement of work is to provide supplemental funding for the LHJ to ensure adequate culturally and lingui stically responsive <br />testing, investigation and contact tracing resources to limit the spread of COVID -19 <br />NOTE: Pending execution of a new consolidated contract term or an extension to the 2018-2021 consolidated contracts which currently end December 31, 2021, DOH plans to <br />continue the task activities and funding as noted in the task(s) below in a new or revised statement of work effec tive January 1, 2022. <br />Revision Purpose: The purpose of this revision is to extend the period of performance from June 30, 2021 to December 31, 2021; add funding and extend end date for Task 3 <br />FFY21 COVID19 VACCINE SERVICES-CARES through December 31, 2021; add FFY20 ELC EDE LHJ ALLOCATION and FFY19 ELC COVID ED LHJ ALLOCATION <br />funding and revise language for Tasks 1 and 2; add Task 4 and funding information for MASS VACCINATION FEMA 100% and add Prog ram Specific Requirements and DOH <br />program and fiscal contact information. <br /> <br />Chart of Accounts Program Name or Title CFDA # BARS <br />Revenue <br />Code <br />Master <br />Index <br />Code <br />Funding <br />(LHJ Use <br />Start Date <br />Period <br />Only) <br />End Date <br />Current <br />Consideration <br />Change <br />Increase (+) <br />Total <br />Consideration <br />BITV-COVID ED LHJ ALLOCATION-CARES 21.019 333.21.01 1897129V 07/01/20 12/30/21 252,036 0 252,036 <br />FEMA-75 COVID LHJ ALLOCATION 97.036 333.97.03 1897129W 07/01/20 12/30/20 0 0 0 <br />FFY21 COVID19 VACCINE SERVICES-CARES 93.268 333.96.26 74310209 07/01/20 12/31/21 14,582 354,803 369,385 <br />FFY20 ELC EDE LHJ ALLOCATION 93.323 333.93.32 1897120D 01/15/21 12/31/21 0 530,161 530,161 <br />FFY19 ELC COVID ED LHJ ALLOCATION 93.323 333.93.32 1897129G 01/01/21 12/31/21 0 237,077 237,077 <br />*MASS VACCINATION FEMA 100% 97.036 33.97.03 934V0200 01/21/21 04/20/21 0 0 0 <br />TOTALS 266,618 1,122,041 1,388,659 <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 />Participate in public health emergency preparedness and response activities for COVID -19. This may include surveillance, epidemiology, laboratory capacity, infection control, <br />mitigation, communications and or other preparedness and response activities for COVID-19. <br /> <br />Examples of key activities include: <br />• Incident management for the response <br />• Testing <br />• Case Investigation/Contact Tracing