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Exhibit A Statement of Work Contract Term: 2022-2024 DOH Program Name or Title: Foundational Public Health Services (,FPHS) - Effective January I , 2022 SOW Type: Origina Revision # (for this SOW) Period of Performance: January 1.2022 through June 30.2023 Local Health Jurisdiction Name: Kittitas County Public Health Department Contract Number: CLH31015 Funding Source Federal Compliance Type of Payment ❑ Federal <Select One> (check if applicable) ❑ Reimbursement ® State ❑ FFATA (Transparency Act) ® Periodic Distribution ❑ Other ❑ Research & Develo ment Statement of Work Purpose: The purpose of this statement of work (SOW) is to specify how state funds for Foundational Public Health Services (FPHS) will be used for the period of performance. Per RCW 43.70.512, these funds are for the governmentalpublic health system to deliver FPHS services statewide in the most effective, efficient and equitable mannerpossible with the funds available. The FPHS Steering Committee with input from FPHS Subject Matter Expert(SME) Workgroups and the Tribal Technical Workgroup is the decision makingbody for FPHS. For the 2021-2023 biennium, the Steering Committee is using an iterative approach to decision making. Determining investments first for SFY22 (July 1, 2021— June 30, 2022), then for SFY23 (July 1, 2022— June 30, 2023). This means that additionaltasks and/or funds maybe added to an LHJ's FPHS SOW as these decisions are made. These funds are to be used as directed and allocated by the FPHS Steering Committee. As the global COVID-19 pandemic and the public health response to it continues and begins to abate,theseFPHS funds can be braided with andusedto supplement other short-term pandemic response fundingas neededforFPHS activities during this period of performance through 06/30/22. Respondingto pandemics, epidemics andpublic health emergencies are foundational services of the governmentalpublic health system. Note: The totalbiennial funding allocation is for the period of July 1, 2021 through June 30, 2023. The 2021 — 2023 biennial funding allocations will be divided into four six-month lump sum amounts that will be disbursed at the beginning of each six month period as follows: July 1, 2021; January 1, 2022; July 1, 2022; January 1, 2023. Each year, the July payment will be disbursed upon completion of the FPH S Annual Report. The SFY22 July 1, 2021 disbursement of funds was completed in the 2018-2021 consolidated contract and is included in this statement of work for informationa I purposes only. FPHS funds must be spent in the state fiscal year (SFY) in which they are appropriated by the legislature, allocated, and disbursed. Legislative appropriations lapse at the end of each state fiscal year. (RCW 43.88.140) Spending and spending projections must be reported as required by the FPHS Steering Committee. Funds that are projected to b e unspent by the close of the state fiscal year must be reallocated per the process developed by the FPHS Steering Committee to assure that all funds appropriated by the legislat ure can be spent by the governmentalpublic health system to deliver FPHS within the yearthat the funds are appropriated. Unspent funds revert to the state treasury and must be returned to DOH by July 15 th of each yearfor return to the Office of Financial Management. 2021— 2023 Biennium • SFY22 (July 1, 2021 — June 30, 2022) • SFY23 (July 1, 2022 — June 30, 2023) Revision Purpose: N/A Exhibit A, Statement of Work Page 1 of 5 Contract NumberCLH31015 Master Assistance BARS LHJ Fund ing Period Allocation Index Listing Revenue Current Change Total DOH Chart of Accounts Master Index Title Code Number Code Start Date End Date Allocation Allocation Exhibit A, Statement of Work Page 1 of 5 Contract NumberCLH31015