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To comply with this act and be eligible to perform the activities in this statement ofwork, the LHJ must have a Data Univers al Numbering system (DSNS@) number. <br />InformationabouttheLHJandthisstatementofworkwillbemadeavailableonUSASpending.eovbyDoHasrequiredbyp.L. <br />10g-2g2. <br />ProgramManual, Handboolg PolicyReferences: Field Guide @OH Fublication33l4g6). <br />Special References: <br />chapter246'290 wAC is the set of rules that regulateGroup A water systems. By this statement of work, oDW contracts with the LHJ to conduct sanitary surveys (and SpIs and <br />SPIs and provide technical assistance) for small community ana non-cLmmuniiywater"y.t&". *ittt r*;;.;;;";;;";;;;.g" water sysrems, and systems with complextreatment. <br />LHJ staff assigned to perform activities under tasks 1,2, and3 must be trained and approved by oDW prior to performing work. See special instructions underTask 4, below. <br />Special Billing Requirements <br />The LHJ shall submit quarter$ invoices within 30 days following the end of the quarterin which work was completed, notins on the invoice the ouarterand vearbeing billed for.Paymentcannot exceed a maximum accumulative fee of $7,200}orTask 1, and $1,000 for Task 2, Task 3 and rask 4 combined during the contractingperiod, to bepaid attheratesspecifiedinthePaymentMethod/Amountsectionabove. <br />346.26.6s. <br />when invoicing for Task 1, submitthe list of wS Name, ID #, AmountBilled, Suwey Date andLetterDate forwhich youare requestingpayment.when invoicing for Task 2-3, submit the list of wS Name, ID#, TA Date and description of rA work performed, andAmount Billed.when invoicing for Task 4, submit receipts and the siglea' pre-aJrto.i"utio" ro.- f;;;;-;;;;f ee travel to the oDW program contact below and a signed A1 9-l A Invoicevoucher to DoH Grants Management, billing to BARS Revenue cod e 346.26.66 under technicai Assistance (TA). <br />(Applies to federalgrant awards.)This statementof work is supported by funds tha trequire compliance with the Federal Funding Accountability and Trans parency Act (FFATA or the Tra nsparency Act).Th e purpose ofthe Transparency Act is to make information available online so the public can see how the federal funds are spent. <br />Special Instructions <br />Task I <br />guidanceis providedin the FieldGuideforsanitarysirveys, specialPurposelnvestigationsind^TechnicarAssistance(Field Guide). The sanitarysurveywill include an <br />,rrt"i:l[fffTJr#"T:1"*ment and operation; and certified operator.o.opliuo".. If a system is morJ comptex tian anticipar ed ororhersipificant issues arise, the LHJ may <br />r No morethan2 surveys ofnon-communitysystemswith three of fewer connectionbecompletedbetween January l,z022andDecembe r31,2022.o No morethan8 surveys ofnon-communitysystemswith fourormore connectionsandallcommunitysystemsto be completerdbetweenJanuary 1,2022and,December 3l ,2022. <br />frt#L":j *f#ttrfrT:"j*rv;ria:: the LHJ, notification of the water svstem, and oDW follow-up wirh unresponsive water systems; and orherroles and responsibilities of <br />Task 2 <br />Exhibit A, Statement of Work <br />Template September202 I <br />Page3 of4 ContractNumberCLH3 I 0 I 5