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Statement of Work Purpose: The purpose of this statement of work is to provide supplemental funding for the LHJ to ensure adequate culturally and linguistically responsivetesting, investigation and contact tracing resources to limit the spread of covlD-I9NOTE: Pending execution of a new consolidated contract term or an extension to the 201 8-202 I consolidated contracts which currently end Decemb er 31, 202l,DOH plans tocontinue the task activities and funding as noted in the task(s) below in a new or revised statement of work effective January 1,2022.Revision Purpose: The purpose of this revision is to add additional funding to FFY20 ELC EDE LHJ ALLOCATION, adjust thefunding period for BITV-COVID ED LHJALLOCATION- CARES from07l0ll20-l2l3ll2l to 07101/20-06130/21, moving the remaining allocation of BITV-COVID ED LHJ ALLOCATION-CARES to FFy20 ELC EDELHJALLOCATION, andupdate task language, DCHS-Task 1 & 2DOH Program Name or Title: COVID-I9 Coordinated Response -Effective July l. 2020SOW Type: Revision Revision # (for this SOW) 5Period of Performance: July I . 2020 through December 3 I . 2021Exhibit A, Statements of WorkRevised as of September 15,2021Type of Payment[l ReimbursementI Fixed PriceFederal Compliance(check if applicable)X Ffefn (Transparency Act)n Research & DevelopmentFunding Source[l federal Subrecipientn state E ottrer[l Federal *ContractorExhibit AStatement of WorkContract Term: 2018-2021AMENDMENT #23Local Health Jurisdiction Name: Kittitas county Public Health DeparhnentContract Number: CLH|8249TotalConsiderationt31.229014.582800,968237.0770354.8031.53E.659ChangeIncrease (+)-120.80700270.8070001s0.000CurrentConsideration252-0360t4.582530.161237.0770354.8031.38E.6s9Funding Period(LHJ Use Only)Start Date End Date06130/2tt2130/20t2l3y2t12t31t21tzl3ll2ttzl3t/2tL2/31/21TOTALS07/0U2007/0!2007/0v200ut5/2t011011210U2ll2r07/0U20MasterIndexCode1897t29V1897129W74310209t89712081897129G934V020074310229BARSRevenueCode333.2t.01333.97.03333.93.26333.93.32333.93.32333.97.03333.93.26CFDA#21.01997.03693.26893.32393.32397.03693.268Chart of Accounts Program Name or TitleBITV-COVID ED LHJ ALLOCATION-CARESFEMA-75 COVID LHJ ALLOCATIONFFY2I COVID I 9 VACCINE SERVICES-CARESFFY2O ELC EDE LHJALLOCATIONFFYI9 ELC COVID ED LHJ ALLOCATION*MASS VACCINATION FEMA IOO%COVID 19 VACCINESPaymentInformation and/orAmountParticipate in public health emergency preparedness andresponse activities for COVID-l9. This may include surveillance, epidemiology, laboratory capacity, infection control,mitigation, communications and or other preparednessand response activities for COVID-I9.Examples of key activities include:r Incident management for the responser Testingr Caselnvestieation/ContactTracinsDue Date/Time FrameDeliverables/Outcomes*May Support PHABStandards/lVleasuresTask/Activity/DescriptionTaskNumberPage 7 of39Contract Number CLHI 8249 -23