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Payment <br />Information <br />and/or Amount <br />Due <br />Date/Time <br />Frame <br />June30,2022 <br />June30,2022 <br />As requested <br />byDOH. <br />June30,2022 <br />Deliverables/Outco mes <br />End-of-yearreport on templa te <br />provided byDOH. Briefly <br />describe connections, lessons <br />leamed, and any changes made. <br />End-of-yearreport on template <br />provided byDOH. <br />Participation in IPPW unless <br />cancelled. <br />provided by DOH. Indicate that <br />this was done or that no response <br />incident occurred. <br />11.1 Notificationto DOH Duty <br />Officer within 60 minutes of <br />activation. <br />I 1.2 Sitreps submittedto DOH <br />Duty Officer <br />rreport on templateEnd-of-yea <br />Activity <br />any$ reqNote: Prior approvalfrom vel.trate <br />Capability I Community Preparedness <br />Connect with new and/orexisting partners in order to develop working relationships thatpromotecapabilities,capacityandcommunityresilience,inciuding butnotlimitedto:. Local and/orregional Emergency Manage(s).o Local andlorregional hospitals.r Local and/orregional elected officials. <br />Domain I Community Resilience <br />tions that work with vulnerable tions.r Localand/ <br />capability 3 Emergency operations coordination - Training & Exercise <br />Based on availability of training participate in at least one Foundationalpublic Hea lth <br />Emergency Preparedness Training provided byregion, DOH, DOH-contractedpartner,or DOH-approved hainerin person or via webinar. <br />Notes: <br />r This is one ormore specific trainings coordinatedby DOH. DOH will work with LHJ to <br />implement. <br />' Participation in an activation, exercise or real-world event may be considered additional <br />training, but does not take the place of the requirement to participate in at ieast one training as <br />descnlbed above. <br />Domain 2 Incident Management <br />capability 3 Emergency operations coordination - Training & Exercise <br />Thencelled.caunless(rPP\V)orkshopwPlanning <br />2.022Jan <br />Preparedness <br />for <br />tedIntegrarn <br />ls <br />teParticipa <br />Domain 2 Incident Management <br />Ca p ab ility 3 Em ergency Op era tions Co ordina tion <br />I 1.1 Provide immediatenotificationto DoH Duty officer at360-ggg-0g3g or <br />hanalert@doh.wa.gov forallresponse incidents involving use of emergency response plans <br />and/or incident comma nd structures. <br />I 1.2 Produce andprovide situation reports (sitreps) documentinglHJ activity during alt <br />incidents. Sitrep may be developed by the LHJ or anotherjurisdiction that iniludes iiput from <br />LHJ. <br />Domain 2 Incident Management <br />Task <br /># <br />8 <br />9 <br />l0 <br />1l <br />Exhibit A, Statement of Work <br />Template September202 I <br />Page 3 of6 Contract Number CLH3 I 0 I 5