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DoH Program Name or Title: ol-promotion of Immunizations to ImproveVaccination Rates - Effective July l. 2021AMENDMENT #23Local Health Jurisdiction Name: Kittitas county public Health DeparfrnentContract Number: CLH|8249Exhibit AStatement of WorkContract Term: 2018-2021SOW Type: Original Revision # (for this SOW)Period of Performance: July l. 2021 through December 31. 2021Statement of work Purpose: The purpose of this statement of work is to contact with local health to conduct activities to improve immunization coverage rates.Revision Purpose: N/AExhibitA, Statements of WorkRevised as of September 15,2021Type of Payment[l Reimbursement! Fixed Pricetr'ederal Compliance(check if applicable)X fnefe (Transparency Act)E Research & Developmentx!Funding SourcenFederal SubrecipientStateOther600(+)5CurrentConsideration00tzl31l2tFunding Period(LHJ Use Only)Start Date End Date07/0r/2tMasterIndexCode74310212BARSRevenueCode333.93.26CFDA #93.268of Accounts Program Name or TifleFFY22 VFCTOTALSPayment Informationand/or AmountReimbursement foractual costs incurred,not to exceed totalfunding considerationamount.*See Restrictions onFunds belowDue Date/Timetr'rameAugust 1,2021November 30,202tDeliverables/OutcomesWritten proposal and a report thatshows starting immunization rates forthe target populationWritten report describing the progressmade on reaching milestones foractivities identified in the planwill be*May Support PHABStandardVMeasuresTask/Activity/DescriptionDevelop aproposal to improve immunizationcoverage rates for childhood vaccinations agesbirth to l8 years of age by increasing promotionactivities and collaborating with communityparfirers. The proposal must meet guidelinesoutlined inthe Local Health JurisdictionFunding Opporntnity, Promotion ofImmunizations to Increase Vaccination Ratesannouncement.Upon approval of proposal, implement the planto increase immunization coverage rates with thetarget population identifi ed.This statement of work wilt be extended through June 30,forward.2022 in the new consolidated contract term effective January 1r 2022. Any unspent funds may be carriedTaskNumber2Page24 of39Contract Number CLHI 8249 -23