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EXHIBITA-1,DOHCONTRACTGVL26649-1Sub-recipientStatementofWorkKITTITASCOUNTYPUBLICHEALTHDEPARTMENTPeriodofPerformanceforthisAmendment:DateofExecutionthroughDecember31,2023Thistableincludesonlyactivefundingsources.FederalGrantInformationSheetSubrecipient/Contractor:KittitasCountyHealthDeptDOHContractManager:ApprovedIndirectRate:YesUNoOContractNo.26649EileenKazuraUEINo.WQ23XPBSAU44ContactInformation:LimitingIndirectCostRate?YesONoElPeriodofPerformance:StartDate:EndDate:dohcon.mgmtdoh.wa.govResearchandDevelopment?YesONoEl3/15/202112/31/2023ProjectDescription:NationalInitiativetoAddressCOVID-19HealthDisparitiesAmongPopulationsatHigh-RiskandUnderserved,IncludingRacialandEthnicMinorityPopulationsandRuralCommunities.TotalAmountAmountofFederalTotalAmountofFederalFederalAwardIdentificationFederalFederalAgencyofftheFederalCFDANo.CFDAProgramNameofPass-FundsObligatedbyFundsObligatedforThisNumberAwardDateNameAwardtoDOHTitleThroughAgencyThisActionFundingSource1NH75OTOOOO42-Ol5/27/2021CDC$29,015,58193.391Covid19HealthWashington5300,000$300,000DisparitiesStateDepartmentofHealthCertificationsandAssurances-allrequirementsimposedonthesubrecipientbythefederalawardingagency:Thecontractboilerplatecoversallstandardcertificationsandassurances.Arethereanyadditionalrequirementsimposedbythepass-throughentity(DOH)tomeetitsownresponsibilitiestotheawardingagencyYesONoO:Ifapplicable,thisisidentifiedbytheDOHprogramstaffwritingthecontract.Thiscanalsobefoundinthe"StatementofWork"sectionofthecontract.Allsubrecipientsarerequiredtomaketheiraccountingrecordsavailableandaccessibletotheawardingagency.Youcanfindthisrequirementinthe"RecordsMaintenance"sectionofthecontract.CloseoutRequirements:(1)Submitallfinalbillingswithin60daysoftheendofthecontract(Thisisrequiredperstandardcontractlanguage)(2)Submitallrequiredprogramreportsanddeliverableswithin60days(Thisisrequiredperstandardcontractlanguage)(3)Disposeofpropertypurchasedwithsubawardfundsanddisposeoforreturngovernment-furnishedpropertynolongerusedforsubawardrelatedactivities(IfapplicableDOHmustbecontactedfordisposalrequirements)(4)AdditionalDOHprogramspecificcontractcloseoutrequirements:(Ifapplicable,seeSOWforadditionalcloseoutrequirements)DOHAmendmentGVL26649-1Page4of4Revision04/2020