Laserfiche WebLink
Exhibit A <br />Statement of Work <br />Contract T erm:. 2A22-2024 <br />DOH ProgramName or Tifle <br />Type of Payment <br />fl Reimbursement <br />X Prriodi" Distribution <br />Federal Compliance <br />(check if applicable) <br />I n'fefe (fransparency Act) <br />E Research & Development <br />Funding Source <br />I Federal<Selectone> <br />X state <br />E oth.t <br />Statement of work purpose: The pu{pos€ of this statr nent of work (Sow) is t9 rp_.9.tfy how state funds ibr FoundationalPublic Health Services (FPHS) will be used for the <br />p*"a"rp..r"nnance.ferRCWqi.l6.stz,th,esefund areforthegovernmentatpubrcneamsystemtodlliverFPHsservicesstatewideinthemosteffective,efficientand <br />equitable mannerpossible with the funds available. <br />TheFpHsSteeringcommitteewithinputfromFpHsS bjectMatterExpert(SME)WorkgoupsandtheTribalTechnicalWorkgroupisthedecisionmakingbodyforFPHS' For <br />the 2021- z123biennium, the Steering Committee is us ,r! an iterative approach to decision making. Determining investments first for S FY22 (July l, 2021 - 1une30,2022), <br />then for SFy23 (July l, 2022 -June 3 0, 2023). This mr rns that additionaitasks and/orfunds may be added to an LHJ's FPHS SOW as these decisions are made. <br />These funds are to be used as directed and allocate d by 1 re FPHS steering Committee. As the global covlD -19 pandemic and the public health response to it continues and <br />begins to abate,theseFpHs funds canbebraided with a rdusedto supplementothershort-term pandemicresponse fundingas neededforFPHS activities during this period of <br />pelormancethiough 06/30/22. Respondingto pandem :s, epidemiciandpublic health emergencies are foundationalservices of the govemmentalpublic health system' <br />Note: <br />Iumpsumamountsthat,}llbedisbursedatthibeginnir,Joieachsixmonil.periodasfoilows: IulyL,2\2l;Januaryl'2022;IuIyl,2022;Januaryl,2023'Eachyear,theJuly <br />p ayment will be disbursed upon completion of the FPH I Annual Report' <br />TheSFy22 July l,2llldisbursementoffundswascor pletedin the2018-2021 consolidatedcontractanoisincludedinthisstatementofworkforinformationalpurposesonly. <br />each state fiscalyear. (RCW 43.88.140) <br />Spendingandspendingprojectionsmustbereportedas;quiredbytheFPHsSteeringcommittee.Fundsthatareprojeotedtobeunspentbythecloseofthestatefiscalyearmust <br />be reallocated per the process developedby the FpHS s :ering Committee to assure tlhat all funds,appropriatedby thelegnlature can be spent by the govemmentalpublic health <br />systemtodeliverFpHswithintheyearthattn.r"na*n, :appiopriated. unspentfundsreverttothe3taGtreasuryandmustberelumedtoDoHbyJulyl5thofeachyearfor <br />retum to the Office of Financial Management. <br />2021-2023 Biennium <br />.SFY22 (July 1, 2021-1we30,2022) <br />. SFY23 (July 1, 2022- June 30, 2023) <br />Revision Purpose: N/A <br />DOH Chart of Accounts Master Index Title <br />FoundationalPublic I ealth Services €PHS) - <br />Effective Januaw 1.2 t22 <br />Local llealth Jurisdiction Name Kittita s Countv Public Hea lth Dep artment <br />Conkact Number: CLH3 101 5 <br />SOW Type: Original Revision # (for this SOlt ' <br />Period of Performancez larruaw 1.2022 througlr June li0' 2023 <br />Total <br />Allocation <br />Allocation <br />ChangeCurrent <br />Allocation <br />I,IIJ Funding Period <br />Start Date End Date <br />BARS <br />Revenue <br />Code <br />Assistance <br />Listing <br />Number <br />Master <br />Index <br />Code <br />Exhibit A, Statement of Work Page 1 of5 Contract Number CLH3 1 0 I 5