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Exhibit A, Statement of Work Page 1 of 7 Contract Number CLH31015 <br />Exhibit A <br />Statement of Work <br />Contract Term: 2022-2024 <br /> <br />DOH Program Name or Title: DCHS - ELC COVID-19 Response - <br />Effective January 1, 2022 <br />Local Health Jurisdiction Name: Kittitas County Public Health Department <br />Contract Number: CLH31015 <br />SOW Type: Original Revision # (for this SOW) Funding Source <br /> Federal Subrecipient <br /> State <br /> Other <br />Federal Compliance <br />(check if applicable) <br /> FFATA (Transparency Act) <br /> Research & Development <br />Type of Payment <br /> Reimbursement <br /> Fixed Price Period of Performance: January 1, 2022 through December 31, 2022 <br />Statement of Work Purpose: The purpose of this statement of work (SOW) is to provide supplemental funding for the LHJ to ensure adequate culturally and lingquistically <br />responsive testing, investigation and contract tracing resources to limit the spread of COVID-19. This funding is the actual carryforward amount. <br />Revision Purpose: N/A <br /> <br />DOH Chart of Accounts Master Index Title <br />Master <br />Index <br />Code <br />Assistance <br />Listing <br />Number <br />BARS <br />Revenue <br />Code <br />LHJ Fund <br />Start Date <br />ing Period <br /> End Date <br />Current <br />Allocation <br />Allocation <br />Change <br />Increase (+) <br />Total <br />Allocation <br />FFY19 ELC COVID ED ALLOCATION 1897129G 93.323 333.93.32 01/01/22 10/18/22 0 14,588 14,588 <br />FFY20 ELC EDE LHJ ALLOCATION 1897120E 93.323 333.93.32 01/01/22 12/31/22 0 754,494 754,494 <br /> 0 0 0 <br /> 0 0 0 <br /> 0 0 0 <br /> 0 0 0 <br />TOTALS 0 769,082 769,082 <br /> <br />Task <br /># Activity Deliverables/Outcomes Due Date/Time Frame Payment Information <br />and/or Amount <br />Participate in public health emergency preparedness and response activities for COVID -19. This may include surveillance, epidemiology, laboratory capacity, infection control, <br />mitigation, communications and or other preparedness and response activities for COVID-19. <br /> <br />Examples of key activities include: <br />• Incident management for the response <br />• Testing <br />• Case Investigation/Contact Tracing <br />• Sustainable isolation and quarantine <br />• Care coordination <br />• Surge management <br />• Data reporting