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*For lnformalion Onlv: <br />Funding is not tied to the revised Standards/Measures listed here <br />_ <br />This information may be helpful in discussions ofhow program activities might contribute to meeting aStandard,A4easure. More detail on these and/or other Public Health Accreditation Board (PHAb) Standards/Measures thai miy apply can be foind at:http:/Avlvw.phaboard.ordwp-content/uploads/pHAB-standards-and-Measures-Version- l.0.pdf <br />Special Requirements <br />Fgderal Fundins Accountabilitv and Transoarencv Act (FFATA) <br />This statement of work is supported by federal funds that require compliance wrth the Federal Funding Accountability and Transparency Act (FFATA or the Transparency Act).The purpose ofthe Transparency Act is to make inforrnation available online so the public can see hoi the federal fund. ure sp.r,t. <br />To comply with this act and be eligible to perforln the activities in this statement of work, the LHJ rnust have a Data Universal Numbering System (DUNS@) number. <br />Information about the LHJ and this statement ofwork will be made available on USASpending.gov by DOH as required by p.L. 109-2g2. <br />Reslrictions on Funds (whnt funds con be used for which actvities, not dircct palnrcnts, etc): CDC lnutding llegulcrtions untl policies <br />https: 'www.cdc.g.or,'prunrs documenrs'(ieneral-7'erms-ond-condirions-Non-ll;se(il.ch-Awut,ds.pd! <br />Program Snecifi c Req uirements/Narrative <br />All work will be performed in accordance with the revised antl approved project plans to be submitted to DOH gJutjJ#LA+ <br />Special Billing Requirements <br />the budget will not be accepted or approved. <br />SubmissionoflnvoiceVouchers: TheLHJshall submitcorrectlnonthlyAlg-lAinvoicevouchersforarnountsbrllableunderthisstatementofworktoDOHbythe25rbofthe <br />follorving rnonth or on a lrequency no less often than quarterly. <br />DOH Fiscal Contact <br />O ltri st i e I )urk i n Sum*4+tx+ <br />DOH, Office of Program Financial Management <br />PO Box 47840, Olympia, WA.98504-7841 <br />360 -236-1 2 3 5il86n ax: 360 -664-221 6 <br />c hri s t i e. du rk i n(@/o h. w ct. gov @tleh,*a,Fs <br />Page27 of34 <br />AMENDMENT#18 <br />Contract Number CLHI 8249- I 8 <br />DOH Program Contact <br />Ka s ey Wa I k e r L4ike-Bey*n <br />DOH, PHOCIS €enwnrcaileDi*ea Pl <br />l6l0 NE 150h St, Shoreline, WA 98155 <br />kcr s e!. wa I ke r@do h. wa. sov MfW@w4@M€e+ <br />Exhibit A, Statements of Work <br />Revised as ofNovember 16,2020 <br />Task <br />Number Task/Activity/Description <br />*May Support PHAB <br />Standards/Measures Delivera bles/Outcomes Due Date/Time Frame <br />Payment <br />Information and/or <br />Amount <br />420- I 07-Guideline-COVID- I 9.pilf