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DOH Program Name or Title: Emergencv Preparedness & Response COVID-19 Local <br />CARES - Effective March I 2020 <br />Period ofPerformance: March l^ 2020 through Julv 31.2021 <br />AMENDMENT#I8 <br />Exhibit A <br />Statement of Work <br />Contract Term: 2018-2021 <br />Local Health Jurisdiction Nane: Kittitas Countv Public Health Department <br />Contract Numbe r: CLHI 8249 <br />SOW Type: Revision Revision # (for this SOW) I Funding Source <br />I Federal Subrecipient <br />n stat"! other <br />Federal Compliance <br />(check if applicable) <br />X <br />l-t <br />FFATA (Transparency Act) <br />Research & Develooment <br />Type of Payment <br />X Reimbursement <br />! One-Time <br />Distribution <br />Statement of Work Purpose: The purpose ofthis statement of work is to provide additional funding to supplement existing funds for LHJs to prevent, prepare for, and respond <br />to the COVID- 19 disease outbreak. <br />RevisionPurpose: ThepurposeofthisrevisionistoextendtheperiodofperformancefromDecember3l,2020to July3l,202l,extendthefundingperiodtoJune 30,2021,and <br />add report deliverable due dates. <br />Exhibit A, Statements of Work <br />Revised as ofNovember 16,2020 <br />Page 28 of 34 Contract Number CLHI 8249- I 8 <br />Chart of Accounts Program Name or Title CFDA #BARS <br />Revenue <br />Code <br />Master <br />Index <br />Code <br />Funding Period <br />(LIIJ Use Only) <br />startDate End Date <br />Current <br />Consideration <br />Change <br />None <br />fotal <br />Consideration <br />COVID LHJ OFM Allocation-CARES 2t.otg 333.21 01 934E0200 03/01/20 06/30/21 909.400 0 909.400 <br />TOTALS 909,400 0 909.400 <br />Task <br />Number Task/Activity/Description <br />*May Support PHAB <br />Standards/Measures Deliverables/0utcomes Due Date/Time Frame Payment Information <br />and/or Amount <br />I Federal Funds <br />Participate in public health emergency <br />preparedness and response activities for <br />COVID-19. This may include surveillance, <br />epidemiology, laboratory capacity, infection <br />control, mitigation, communications, and or other <br />preparedness and response activities for <br />COVID-I9. <br />The CARES Act (Coronavirus Relief Fund) <br />provides that payments from the Fund may only be <br />used to cover costs that: <br />l. Are necessary expenditures incurred due to the <br />public health emergency with respect to the <br />Coronavirus Disease 2019 (COVID-19); <br />Complete Federal Funding <br />Certification (provided by <br />DOH). <br />Activity report(s) on template <br />to be provided DOH. <br />September 30, 2020 <br />September 30,2020 <br />October 3 l, 2020 <br />November 30,2020 <br />December 3 l, 2020 <br />,lanuary 30, 2021 <br />l;ebruary 28,2021 <br />March 31,2021 <br />April 30, 2021 <br />May 3l, 202 I <br />June 30,2021 <br />Reimbursement for <br />actual costs not to <br />exceed total funding <br />consideration amount.