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Special Instructions: <br />The LHJ is considered a CONTRACTOR of DOH not a subrecipient forthis portion of the statement of work. An allocation of funds is not provided as these FEMA funds are only <br />available as reimbursement of costs associated with implementation of the mass vaccination plan. <br />Detailed documentation must be maintained as directed by the regional IMT/Organization and DOH to substantiate costs associated with these activities for submission to FEMA <br />upon request by DOH. <br />Eligible costs from the timeframe of January 1, 2022 through April 1, 2022 include facility rentals, medicaland support staff forplanning, management, support, and operations; as <br />well as wrap-around services for staff (i.e., meals, travel, lodging). Regular and overtime pay associated with this project is allowable for all staff working underthis project and <br />must be billed as a direct charge; timesheets are required documentation and must be available upon request by DOH. Indirect rates are not applicable to these funds. Eligible <br />equipment includes facility infection control measures, persona I protective equipment (PPE), storage equipment, coolers, freezers, temperature monitoring devices, portable <br />vaccine units for transportation, supplies such as emergency medical supplies (for emergency medicalcare needs that may arise in the administration of the vaccine), containers for <br />medical waste, as well as proper storage as needed for canisters of liquid nitrogen or dry ice. Eligible equipment purchase costs should not exceed $5,000 per piece. Equipment <br />over $5,000 apiece must be preapproved by the IMT and should be leased rather than purchased. Any diversion from the list of pre -approved expenses will require a narrative on <br />the purchase rationale and will be subject to IMT approvalprior to reimbursement. Timesheets are required documentation for all activities related to this project. Stafftime-in / <br />time-out mustbe recorded, as well as a brief description of their activities. A general description of activities is acceptable forthose working at the vaccine site; more <br />detailed/specific description is required for those not working at the vaccine site. <br />Exhibit A, Statement of Work Page 4 of 4 Contract NumberCLH31015 <br />