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DOH Program Name or Title: Climate & Health Wildfire Smoke Indoor Air Ouality <br />Project - Effective January l. 2022 <br />SOW Type: Revision Revision # (for this SOIV) <br />Period of Performance: January I.2022 through August 31, 2022 <br />Exhibit A <br />Statement of Work <br />Contract Term: 2022-2024 <br />Local Health Jurisdiction Name: Kittitas countv public Health Deparrnent <br />Contract Number: CLH3l0l5 <br />Type of Payment <br />[l Reimbursement <br />! nixed frice <br />Federal Compliance <br />(check if applicable) <br />X f'fefa (Transparency Act) <br />f-l Research & Development <br />Funding Source <br />X Federal Subrecipient <br />I state <br />! other <br />Statement of work Purpose: The purpose of this statement of work is two-fold and is being done as part of the Center of Disease Contol and prevention s original and <br />approaches" initially awarded to DOH on September 1,2020. <br />i) The frst is to respond to declared wildfre disasters in washington state by identiSing the most vulnerable populations, assessing ambient wildfre smoke infltration into <br />of work provides KCPHD $21,00 to continue this work of the original grant. <br />residential cleaner air room project from the original grant with improvements and incorporation of heat. This statement of work provides KCpHD $g3,000 to perform theseactivities of the supplemental grantthat was awarded to DoH on september 1,2021. <br />Revision Purpose: The purpose of this revision is to add the unspent funding from the 21l1-21conftact for task 12. <br />TotaI <br />Allocation <br />719.J <br />00083 <br />0 <br />0 <br />0 <br />0 <br />719 <br />Allocation <br />Change <br />Increase (+) <br />7191 <br />0 <br />0 <br />0 <br />0 <br />0 <br />7191 <br />Current <br />Allocation <br />00021 <br />83 <br />0 <br />0 <br />0 <br />0 <br />1 <br />0813U22 <br />0813t/22 <br />LHJ Funding Period <br />Start Date End Date <br />0ll0t/22 <br />0U0t/22 <br />BARS <br />Revenue <br />Code <br />333.93.07 <br />333.93.07 <br />Assistance <br />Listing <br />Number <br />93.O70 <br />93.070 <br />Master <br />Index <br />Code <br />25440r00 <br />25450222 <br />DOH Chart of Accounts Master Index Title <br />NCEACITY-CFFY2O ENVIRO HEALTH CAP <br />SUPPLEMENTALFFY22 CDC EHC EHR <br />TOTALS <br />Exhibit A, Statement of Work Page I of4 Contract Number CLH3 l0l5