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Task # Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount * MCM plans include numberof local distribution sites and number for which a detailed point- to-point distribution plan from RSS to distribution site has beenjointly confirmed by LHJ and DOH. • MCM plans include numberof local points of dispensing (PODS) and numberforwhich a detailed point-to-point distribution plan from local distribution site to dispensing site has been jointly confirmedby LHJ and POD operator (nursing home, local agency, public POD, and independent pharmacy). • LHJs are not required to maintain a hub. LHJs may partnerwith other organizations to centralize distribution. If LHJs opt to maintain a hub, this should be included in the MCM plan. • DOH will provide technical assistance to LHJs on core elements of an MCM plan. 18 Domain 5 Surge Management Capability 10 Medical Surge End-of-yearreport on template June 30, 2022 provided by DOH. Engagement with regional Health Care Coalition (HCC) Participate in: - At least one regional HCC meeting, in person or virtually. - The information sharing process during incidents. - At least one planning process or exercise conducted to inform on the roles and responsibilities of public health. - Reviewing HCC plans for alignment with local ESF8 plans. DOH Program and Fiscal Contact Information for all ConCon SOWS can be found on the DOH Finance SharePoint site. Questions related to this SOW, or any other finance -related inquiry, may be sent to financeadoh.wa.gov. Federal Funding Accountability and Transparency Act (FFATA) (Applies to federal subrecipient funding.) This statement of work is supported by federa I funds that require compliance with the Federal Funding Accountability and Trans parency Act (FFATA or the Transparency Act). The purpose of the Transparency Act is to make information available online so the public can see how the federal funds are spent. To comply with this act and be eligible to perform the activities in this statement of work, the LHJ must have a Data Univers al Numbering System (DUNS®) number. Information about the LHJ and this statement of work will be made available onUSASpending_gov by DOH a s required by P.L. 109-282. Special Requirements: Any subcontract/s must be approved by DOH prior to executing the contract/s. Submit deliverables to the Emergency Preparedness, Resilience & Response ConCon deliverables mailbox at concondeliverablesCudoh.wa.eov, unless otherwise specified. Restrictions on Funds (i.e., disallowed expenses or activities, indirect costs, etc.): Please reference the Code of Federal Regulations: httns://www.ecfr.eov/cei-bin/retrieveECFR?eD=1 &SID=58ffddb5363a27f26e9dl2ccec462549&tv=HTML&h=L&mc=true&r=PART&n=nt2.1.200#se2.1.200 1439 Exhibit A, Statement of Work Page 6 of 6 Contract NumberCLH31015 Template September2021