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Payment Information <br />and/or Amount <br />Reimbursement for acfu al <br />costs incurred, not to <br />exceedtotalfunding <br />consideration amount. <br />Reimbursement for actual <br />costs incurred, not to <br />exceed totalfunding <br />consideration amount. <br />Reimbursement for actual <br />costs incuned, not to <br />exceed totalfunding <br />consideration amount. <br />Reimbursement for actual <br />costs incurred, not to <br />exceed total funding <br />consideration amount <br />Due Date/Time Frame <br />June 30, Annually <br />December 31, Aanually <br />March 3 l, Annually <br />June 30, Annually <br />a. Prior to implementing <br />b. March 31, Annually <br />June 30, Annually <br />Deliverables/Outco mes <br />Mid-tenn written report describing- <br />aclivrty / actwities and progress made to - <br />date and strategies used (template to be <br />provided) <br />(template to be provided) <br />Fina <br />used <br />I written report, showing the strategies <br />and the final progress of the reach <br />Quarterly reports summarizing quantity, <br />type, and frequency of activities <br />a <br />b <br />LHJ Incentive Plan hoposa <br />Quarterly report that summarizes <br />quantity of incentives purchased and <br />distributecl <br />Activity <br />exerc engagementwith leaders, non- <br />traditionalprovider, or vulnerable populations to develop <br />stra to ensure ble access to vaccination seryices <br />Implement the communication strategies or other activities, <br />working with health care providers and otherpartners to reach <br />the loca lly identified p opula tion, supp ort providers in <br />vaccination plans, and support equitable tccess to vaccination <br />services. <br />Cata lo g a ctivities and conduct <br />used <br />an evaluation of the strategies <br />to meet needs,operatlons to <br />increase vaccine throughput (i.e., providing vaccinations during <br />evenings, ovemight, and onweekends). Activities may include <br />vaccine strike teams, mobile vaccine clinics, satellite clinics, <br />temporary, or off-site clinics to travel and provide vaccination <br />services in non-traditionalsettings, or to supplementthe work <br />of local health departments in underserved communities, and <br />may include administration costs for other vaccines co- <br />administered atthe events. These activities <br />local health department orin collaboration <br />may be done by the <br />with communify <br />see Restriction on Funds <br />COVID va cctne,adhering to LHJ Guidancefor <br />to persons recervmgs <br />COTID <br />Initi atives Application req urements nd a llowa ble/unallowab le <br />of federal <br />Task <br /># <br />3.8 <br />3.C <br />3.D <br />3 <br />DOH Program and Fiscal Contact Information for all ConCon SOWs can be found on the DoH Finance SharePoint site. Questions relatedto this sow, or any otherfinance-related inquiry, may be sent to finance@doh.wa.eov. <br />Federal Funding Accountability and Transoarency Act (F,FATA) <br />This statement of work is supported by federal funds that require compliance with the Federal Funding Accountability and rransparency Act (FFATA or the Transparency Act).The purpose of the TransparencyAct is to make information available online so the public can see how the federalfunds are spent. <br />To comply with this act and be efigible to perform the activities in this statement of work, the LHJ must have a Data Universal Numbering System (DUNS@) number. <br />Information about the LHJand this statement of work will be made available on USASpending.gov by DOH as required by p.L. l0g-2g2. <br />Pro gram Specific Reouirements <br />Restrictions on Funds (i.e., disallowed expenses or activities, indirect cosh, etc.): <br />Exhibit A, Statement of Work Page 2 of3 Contract Number CLH3 I 0 1 5