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DoH Program Name or Title: Supplemental Nutrition Assistance program-Education - Effective October l. 2020SOW Type: Revision Revision # (for this SOW) IPeriod of Performance: October l. 2020 through December 3 l. 2021Statement of Work Purpose: The purposethat persons eligible for SNep pasic food,dietary guidelines.AMENDMENT #23Local Irealth Jurisdiction Name: Kittitas county public Health DeparftnentContract Number: CLHLB249Exhibit AStatement of lYorkContract Term: 2018-2021Type ofPavment[l Reimbursement! Fixed PriceFederal Compliance(check if applicable)FFATA (Transparency Act)Research &DevelopmentFunding Source[l Federal SubrecipientD staten ottrerof this statement of work is to provide Supplemental Nutrition Assistance Program-Education (SNAp-Ed) to improve the liketihoodFood Stamps) will make healthy food choices within a limited budget and choise active lifestyies consistent with the current USDARevision Purpose: The purpose of this revision is to add FFY22IAR SNAP ED PROGAM MANAGMENT-REGION 2 funds and to extend the period of performance fromSeptember 30, 2021 to December 31, 2021.Exhibit d Statements of WorkRevised as of September 15,20211ChangeIncrease (+)0l5CurrentConsideration046009/30/2112/3U21Funding Period(LHJ Use Only)Start Date End Datet0/0v20t0/0U21MasterIndexCode76701912937BARSRevenueCode333.1 0.56333.10.s6CFDA #10.561l0.s6rof Accounts Program Name or TiUe2-REGIONMGNTPROGEDAPSNIARIFFY22-REGIONMGNTPROGEDAPSNIARFFY22TOTALSPayment Informationand/or AmountReimbursement uponon-time receip andapproval ofacceptabledeliverables/ outcomesfor the funding periodwill not exceed $261046$41,455. KittitasCounty Public HealthDepartment will bepaid the allowable costsincurred based on theirapproved budget andprogmm allowability.F'FY21Due Date/Time FrameFor the Period:10/01120 to 098e21r2/sr/21Due: per the approved workplan and per the requireddue dates during the federalfiscal year, andfor FFY2 Ino later than09/30/21.Measure (whereapplicable)Sites and audiencesincluded in Project bySubrecipient documentedas approved eligible sitesor audiences.Documented completereporting by Subrecipientof the delivery,implementation, andevaluation ofapprovedProject activities in therequired PEARS onlinelqrorting modules, whereDeliverables/Outcomes1. Projectprovides 100% ofSNAP-Ed activiries at eligiblesites and/or with eligibleaudiences.2. On-time delivery,implementation, andevaluation of Proj ect activitiesas scheduled in approved stateplan and project work plan,3. SatisfactoryprogresstowardsState SNAP-Ed project goal(s)selected by Subrecipient isdemonstrated and reported.Task/Activity/DescriptionProject Planning, Implementation,and PerformanceFor SNAP-Ed, the Subrecipient willdevelop, implement, and evaluate aSNAP-Ed project included in theWashington SNAP-Ed State Planapproved by Departrnent of Social andHealth Services (DSHS) and UnitedStates Department of Agriculture(USDA); and, as described in theSubrecipient's project work planapproved by Department of HealthTaskNumber1.0Page26 of39Contract Number CLH|8249 -23