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EXHIBIT A-2, DOH CONTRACT GVL26649-2 <br />Sub -recipient Statement of Work <br />KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT <br />Period of Performance for this Amendment: <br />Date of Execution through May 31, 2024 <br />5 <br />Progress and Performance Reporting: <br />Progress and Performance <br />Quarterly <br />Subrecipient will submit a quarterly progress <br />reports are submitted in <br />report using a template provided by DOH <br />accordance with CDC grant <br />mana er. <br />requirements <br />6 <br />Develop a plan for sustainability. <br />1213112024 <br />Sustainability plan includes but is not <br />Sustainability Plan in place <br />limited to: <br />and shared DOH program <br />• Covid-19 community recovery <br />manager <br />strategies <br />• Emergency preparedness planning <br />Special Requirements: <br />This is a federally funded contract. All expenditures incurred and reimbursements made for performance under this <br />contract shall be based on actual, allowable, and allocable costs. See Exhibit C for further detail. <br />For activities that require the purchase of equipment: For purchases of pieces of equipment in which the aggregate <br />unit price of the equipment (including shipping, handling and associated costs) is $5,000 or more, the contractor shall <br />obtain written prior approval from the Washington State Department of Health, and adhere to all federal requirements <br />as referenced in; <br />2 CFR 200.313, Equipment at: htt s://www. o. +ov/fds sl raiiule/CFR-2014-title2-vol 1/CFR-2014- <br />title2-y0�I1-sec200-313 , and <br />2 CFR 200.439, Equipment and other Capital Expenditures at: <br />https://www.212Q.gQv/]'dsys/p-raiiul.efCFR-2014-title2-vol I /CFR-2014-title2-vol 1 -sec200-439 <br />Invoicing must include backup documentation as described in the statement of work deliverables: <br />Billings/invoices shall include copies of backup documentation for all expenses. Backup documentation can include, <br />but is not limited to; receipts, invoices, billing records, work orders, positive time, and attendance records (timesheets), <br />travel vouchers and accounting expense reports. <br />• Additional backup documentation may be requested if needed. <br />Signed A-1 9 invoices must be received prior to approval and payment. A scanned copy of your A-19 with signature is <br />acceptable. Please email the signed A-19s and backup documentation to: <br />Washington State Department of Health <br />ATTN: Eileen Kazura <br />Community Health Systems <br />PO Box 47850 <br />Olympia, WA 98504-7850 <br />Eileen.kazui-a@doli.wa.gov <br />DOH Amendment GVL26649-2 Page 3 of 4 <br />Revision 04/2020 <br />