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Activity <br />will conduct I <br />Purpose Investigations (SPI) of small <br />community and non-community Group A <br />water systems identified by the ODW <br />Regional Office. <br />See Special Instructions fortask activity. <br />staffwill <br />technicalassistance (IA) to small <br />community and non-community Group A <br />water systems identified by the ODW <br />Regional Office. <br />See Special Instructions fortask activity' <br />the <br />tasks I , 2 and3 attend periodic required <br />survey training as directed by DOH. <br />See Special Instructions fortask activity <br />Task <br />! <br />2 <br />3 <br />4 <br />Deliverables/Outco mes <br />, ny supporting documents and photos <br />o ODW Regional Office. <br />comp arLy <br />lupporting documents and photos to <br />l)DW Regional Office. <br />For tra a person, pnor <br />to attendingthe training, submit an <br />"Authorization for Travel (Non- <br />Employee)" DOH Form 710-013 to <br />the ODW Program Contactfor <br />approval(to ensure enough funds are <br />s of water system with text <br />identifying t-eatures <br />. Any other suPPorting documents. <br />Final Reports reviewed and accepted <br />theODW Office. <br />co and <br />DoH program and Fiscal contact rnformation for a l concon sow's can be found on the DoH Finance SharePoint site' Questions related to this sow' or any other <br />fmance-reLted inquiry, may be sent to finance@'doh'w 'gov' <br />ExhibitA,statementofwork Page2of4 contractNumberclH3 1015 <br />Template September202 I <br />Upon accebtance of the completed TA Report, the <br />LHJ shall be paid for each technicalassistance <br />activity as follows: <br />o Up to 3 hours of work: $250 <br />o 3-6 hours of work: $500 <br />. More than 6 hours of work: $750 <br />Payment is inclusive of all associated costs such as <br />consulting fee, travel, lodgrng per diem. <br />Payment is authorized upon receipt and acceptance of <br />completed TA Report within the 30-day deadline. <br />Late or incomplete reports may not be accepted for <br />DaYment. <br />e of the completed SPI Report, the <br />LHJ shall be paid $800 for each SPI. <br />Payment is inclusive of all associated costs such as <br />travel lodging, per diem. <br />Payment is authorized upon receipt and acceptance of <br />completed SPI Reportwithin the 2-working day <br />deadline. <br />Late or incomplete reports may not be accepted for <br />Upon acceptanc <br />Davment. <br />Payment Info rmation and./or Amount <br />the Final Sanitary Survey Report within the 30-day <br />deadline. <br />Late or incomplete reports may not be accepted for <br />payment. <br />Annually <br />CompletedTA Report <br />must be received bY the <br />ODW Regional Office <br />within 30 calendar <br />days of providing <br />technicalassistance. <br />Completed SPI RePorts <br />mustbe received bY the <br />ODW Regional Office <br />within 2 working daYs <br />ofthe service request. <br />Due Date/Time Frame