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Exhibit A" Statements of WorkRevised as of September 15,2021AMENDMENT #23PaymentInformation and/orAmountCOVID-l9 Vaccine Services - Task 3forward.- will be extended through June 30, 2022 in new contract term effective January 1,2022. Any unspent funds may be carriedReimbursement ofactual costsincurred, not toexceed:s14,582 FFY2lCOVIDI9VACCINESERVICES-CARESFunding(Mr74310209)$354,803 COVIDIgVACCINES tunding(Mr74310229)Due Date/Time FrameJanuary 31, AnnuallyJune 30, AnnuallyDecember 31, AnnuallyDeliverables/OutcomesReport census numbers toinclude historic total bymonth and monthly totalfor current quarter to date.Summary of theengagement strategies tobe used with health careproviders and otherpartners, and the locallyidentified population to bereached.Mid-term written reportdescribingactivity/activities andprogress made to-date andstrategies used (templateto be provided)Final written reportshowing the strategiesused and the final*May Support PIIABStandards/lVleasuresTask/Activity/Descriptionii. Maintain ongoing census data for isolationand quarantine for your population.iii. Planning must incorporate transfer or receiptof isolation and quarantine patients to fromadjacent jurisdictions or state facilities in theevent oflocalized increased need.iv. Planning must incorporate triggers andcoordination to request state isolation andquarantine support either through mobileteams or the state facility to include siteand accessIdentify activity/activities to support COVID vaccinerespons€ in your community, using the examples below as aguideline.Example 1: Develop and implement communicationstrategies with health care providers, community, and/orother partners to help build vaccine confidence broadly andamong groups anticipated to receive early vaccination, aswell as dispel vaccine misinformation. Document andprovide a plan that shows the communication strategiesused with health care providers and other partrers and thelocally identified population anticipated to reach.Example 2:Engage in other vaccination planning activitiessuch as parhrership development, provider education,vaccination point of dispensing (POD) planning, tabletopexercises, engagement with communities, leaders, non-traditional provider, or vulnerable populations to developstrategies to ensure equitable access to vaccination servicesImplement the communication strategies or other activities,working with health care providers and other partners toreach the locally identified population, support providers invaccination plans, and support equitable access tovaccination services.Catalog activities and conduct an evaluation ofthestrakgies usedTaskNumber3.A3.B3.CPage l3 of39Contract Numb er CLHI 8249 -23