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AMENDMENT #19 <br />Exhibit A, Statements of Work <br />Revised as of January 15, 2021 <br />Page 4 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 />• Sustainable isolation and quarantine <br />• Care coordination <br />• Surge management <br />• Data reporting <br />Previous funding provided by DOH for COVID response (federal Crisis Cooperative Agreement funding, state Disaster Recovery Ac count funding) must be fully utilized before <br />these funds can be accessed. The total state funding consideration is for the period o f December 31, 2020 through June 30, 2021. <br /> <br />NOTE: The purpose of this agreement is to supplement existing funds for local health jurisdictions to carry out surveillance, epidemiology, case investigations & contact tracing, <br />laboratory capacity, infection co ntrol, mitigation, communications, community engagement, and other public health preparedness and response activities for COV ID-19. <br />DCHS COVID-19 Response - Tasks 1 and 2 <br />1 Establish a budget plan and narrative to be submitted to the <br />Department of Health (DOH) Contract Manager. DOH will <br />send the “Budget narrative Template”, “Budget Guidance” <br />and any other applicable documents that may be identified. <br /> <br />DOH does recognize the public health response goes <br />beyond December 2020 2021 and authorizes local health <br />jurisdictions the ability to maximize funding streams <br />available to them by using short term funding first to <br />have longer term funding available to continue to <br />support the local health jurisdiction response activities <br />beyond December 2020 2021 as applicable. <br /> Submit the budget plan <br />and narrative using the <br />template provided. <br />Within 30 days of <br />receiving any new <br />award for DCHS <br />COVID-19 Response <br />tasks. <br />Reimbursement of <br />actual costs <br />incurred, not to <br />exceed $1,019,274 <br />total. <br /> <br />$252,036 BITV- <br />COVID ED LHJ <br />ALLOCATION- <br />CARES Funding <br />(MI 1897129V) <br /> <br />$530,161 FFY20 <br />ELC EDE LHJ <br />ALLOCATION <br />Funding <br />(MI 1897120D) <br /> <br />$237,077 FFY19 <br />ELC COVID ED <br />LHJ ALLOCATION <br />Funding <br />(MI 1897129G) <br />2 1) LHJ Active monitoring activities. In partnership with <br />WA DOH and neighboring Tribes, the LHJ must ensure <br />adequate culturally and linguistically responsive testing, <br />investigation and contact tracing resources to limit the <br />spread disease. LHJs must conduct the following <br />activities in accordance with the guidance to be provided <br />by DOH. <br /> <br />a. Allocate enough funding to ensure the following <br />Contact Tracing and Case Investigation Support: <br />Hire a minimum of 1.0 data entry FTE to assure <br />system requirements for task 2.1.a. <br />i. Contact tracing <br />1. Strive to maintain the capacity to surge a <br />minimum of five (5) contact tracers for <br />every 100,000 people in the jurisdiction, as <br />needed, based on disease rates. DOH <br /> Data collected and <br />reported into DOH <br />systems daily. <br /> <br /> <br /> <br /> <br />Enter all contact tracing <br />data in CREST following <br />guidance from DOH. <br />Enter performance <br />metrics daily into DOH <br />identified systems <br /> <br /> <br /> <br /> <br />Quarterly performance <br />reporting updates <br />