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DoIr Program and Fiscal contact Information for all concon Sows can be found on the DoH Finance sharepoint site. euestions related to this soq or any otherfinance-related inquiry, may be sent to finance@doh.wa.gov <br />Federat Fundtns Acc (Applies to federalsubrecipient funding.)This statement of work is supported by federal fundt thut t"quit";;phance with the Federal Furroiog a."ourriuuility and rransparency Act (FFATA or the Transparency Act).Thepurpose ofthe TransparencyActis to makeinformationavailableonline so thepublic cansee howthe federalfirndsarespent. <br />Tocomplywiththisactandbeeligible toperformtheactivitiesinthisstatementofwork,theLHJmusthaveaDatauniversalNumberingSystem(DUNS@) number. <br />InformationabouttheLHJandthisstatementofworkwillbemadeavailableonUSASpending.govbyDoHasrequiredbyp.L. l0g-2g2. <br />Pro gram Soecific Requirements <br />The Local strategies for Physical Activity and Nutrition (LlpeN project is providing funds to Kittitas county public Health Department to implement policy, systems and <br />priorify populations *ho experience health disparities. LSPAN is part of DoH's State Physical Activity and Nutrition-washington (spANwA) progam. Funding for spANWAisthroughacooperativeagreementawardedtoDoHfromtheceniersforDiseasecontroi andPrevention's(cDC) Dplg-1g07:StatephvsicalActivityandNutritionpropram <br />Reouired Disclosures for Federal Awardee Perfqr.mance and Integritv Information Svstem ftTAITIJS);Consistentwith45cFR75.1l3,app1icantsandrecipientseCentersforDiseaseControlandPrevention(CDC),withacopytothe <br />andto the HHS OIG atthe following addresses: <br />CDC, Office of Grants Sewices, Romero Stokes, Grants Management Officer/Specialist, Centers for Disease Control and prevention Chronic Disease and Birth Defects SericesBnnch,2920 Brandywine Road, Mailstop E49, Atlanta, Georgia 30341, Email, lrr.i0@"o..nou (Include "Mandatory Grant Disclosures,, in subject line)AND <br />u'S' DepartmentofHealthandHuman services, office of thelnspectorGeneral, ATTN: MandatoryGrantDisclosures, Intakecoordinator,330IndependenceAvenue SW, cohenBuilding Room5527, washington, DC 20201 ,Fax:Q02)2054604(Include"MandatoryGrantDisclosures,, in suuiecttinel orEma il: MandatorvGranteeDisclosures@ois.hhs.eov <br />Restrictions on Funds: <br />. Only DOH-approvedbudget expenditureswill be reimbursed.r Subrecipients may not use funds to purchase fumifure or equipment.. Funds cannotbespenton capitalprojectsto supportbuilt environmentchanges. <br />r Reimbursement ofpre-award costs generally is not allowed, unless DoH provides written approvalto the subrecipient.r The direct and primary recipient in a cooperative agreement program must perform a substantialrole in carrying out project o utcomes and not merely serve as a conduit for anaward to anotherparty orprovider who is ineligfole. <br />Monitoring Visits: In-person site visits at least once a year <br />Billing Requirements: Must use the budget workbook supplied by the program <br />Exhibit A, Statement of Work <br />Template Created Septemb er2027 <br />Page 3 of3 Contract NumberCLH3 I 0 1 5