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AMENL...ENT #19 <br />Payment <br />Information and/or <br />Amount <br />Regional rncident Management Team (IMT) Mass vaccination clinics - Task 4 <br />*Reintbtu'sentent of <br />eligible costs. <br />MASS <br />VACCINATION <br />FEMA ]OO% <br />Fwtding <br />(Mr 934V0200) <br />(See Program <br />Specific <br />Requirements Jbr <br />Mass Vaccination <br />Task 4 below) <br />Due Date/Time Frame <br />Wilhin 30 days of <br />contract antendment <br />execution. <br />Deliverables/Outco mes <br />Submit to DOH a mass <br />vaccination plan <br />including: <br />. U,pe of site, <br />t site locations, <br />t throughput, <br />c considerations <br />made to ensure <br />equiqt 6 <br />historically <br />malginalized <br />populations, <br />. and to the extent <br />possible a <br />regional map o.f- <br />sites/locations. <br />*May Support PIIAB <br />Standards/lVleasures <br />Task/Activity/D escriptio n <br />*NQIE: Tssk 4 activities for Mass Vaccination Clinics irt <br />tltis statement of work are NOT CONSIDERED <br />SUBRECIPIENTbuT are us a CONTRACTOR of DOH. <br />DOH reimbursement provided for local mass vuccination <br />clinic (see definition below) planning, implementation and <br />operations in coordinution bebyeen UniJied Command and <br />the Regional IMT to administer the vaccine as efficiently, <br />quickly, equitably, and safely in all regions of Washington <br />State. State Supported, Regionally Coordinated, Locully <br />Implemented. <br />Definition: Mass vaccination clinics defined as those <br />or,rtside oJ'the usual healthcare delivety. methad such as <br />pop-up clinics, nzobile clinics, non- clinicalfacility <br />(fairgrounds, aren as, etc.). <br />Leaders Intent abottt this workfrom DOH is included as an <br />attachnzent. <br />Guidance on vaccination protocols must be followed as <br />provided b1t DOH and CDC. <br />Locql health jurisdiction (LHJ) w,ill coordinate planning <br />and intplementation of mass vaccination clinics/sites <br />provided within tlte counQ,$) with a regional incident <br />managemetxt teant/organization as approved by DOH. <br />Request for regional IMT should be subntitted through the <br />normal process through IilebEOC. <br />Local health jurisdiction is tlte coordinating agencyfor the <br />mass vaccination plan utithin the county. <br />Regional IMT will be zmder the delegatiort authoritv of <br />DOH and th.e1t ays to pt'ovide support and coordination for <br />all efforts around vaccine planning, resource support and <br />general guidance and infonnation sharing in order to <br />r e gion a I I y c o or din at e effo rt s. L o c a I j u r i s di cti o n s v, i I I <br />Task <br />Number <br />4.4 <br />Exhibit A, Statements of Work <br />Revised as ofJanuary 15,2021 <br />Page I 1 of30 Contract Number CLHI 8249 - 1 9