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ExhibitA" Statements of WorkRevised as of September 15,2021AMENDMENT #23Payment Informationand,/or AmountSee special billingrequirements section.**NOTE: The DOHSNAP-Ed program willdeny payrnent for anycosts not submitted bythe required due dateswithout prior DOHapproval in writing.See paymentinformation asreferenced in tasknurnber 1.0FFY21Due Date/Time tr'rameFor the Period:10/01/20 to 09/3091I2/31/21Due: Progress reviews.Occur at minimum quarterlywithin the fiscal year, andno later than 30 businessdays after the end ofthefederal fiscal quarter, exceptfor the last quarter of FFY2Iwhich must be completed by09/30121. Progress reviewscan be scheduled morefrequently if deemednecessary by DOH, or ifagreed upon by both parties.Federal quarters listedbelow:FFY2I Ql: Oct 1-Dec 3lFFY2I Q2: Jan I -Mar 3lFFY2I Q3: Apr I - June 30FFY2ll-30Measure (whereapplicable)relevant to Project(Program Activities, PSESite Activities, IndirectActivities, Coalitions,Partnerships, and SuccessStories).Documented completereviews of SubrecipientProj ect activities throughrequired reporting andproject and fiscalmonitoring reviews andreports.Cost per reach reported bySubrecipient in approvedform/system provided byDOH.Progress reviews -documentation of one-on-one meeting(s) with DOHSNAP-Ed staff person(s)and Subrecipientcompleted in person, webconference, phone, or viaemail as needed.Documentation of progressreview notes.Project monitoring -documentation of one-on-one meeting(s) with DOHSNAP-Ed staff person(s),Subrecipient, other SNAP-Ed funded staff, andcommunity partners and/orparticipants completed inperson, web conference,phone, or via email asneeded. Completion of on-site program observationsDeliverables/Outcomes4. Satisfactory progress towardsproj ect objective(s) andadditional project goal(s)determined by Subrecipient isdemonstrated and reported.5. Project maintains cost-effectiveness per currentapproved cost-effectivemeasure provided by DOH orDSHS.I2.345.6.On-time delivery of proposedlist of Project site(s) oraudience(s) to DOH.All sites and./or audiences aredetermined to be eligible percurrent SNAP-Ed eligibilityguidance before programmingbegins with site(s) oraudience(s).Demographic data of classparticipants collected andreported for all directeducation strategies.On-time reporting of actualparticipant reach to DOH inapproved method.form.Intervention strategiesimplemented as planned, orusing approved altematestrategies.Approved evaluation plansand methods implemented fortheandTask/Activity/DescriptionProject Progress: Monitoring andComplianceFor SNAP-Ed, the Subrecipient willdemonstrate satisfactory progress ofthe approved Project as documented inDOH SNAP-Ed progress reports,progress reviews, and project andfiscal monitoring reports.Monitoring of Subrecipient Projectprogress includes but is not limited tothe following activities:i. one-on-one progress reviews withDOH,ii. progress reports submitted toDOH,iii. project monitoring completedwith DOH or DSHS or USDA,andiv. project monitoring site visitscompleted by SNAP-Ed statewideinitiative teams.TaskNumbert.lPage27 of39Contract Number CLHI 8249 -23