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Period ofPerformance: September 1.2020 through August 31.2021 <br />AMENDMENT#I8 <br />Exhibit A <br />Statement of Work <br />Contract Term: 2018-2ml <br />DOH Program Name or Title: Climate & Health Wildfire Smoke Ildqor Air Ouality Incal Health Jurisdiction Name: Kittitas County public Health Department <br />Pilot Study - Effective Septernber I. 2020 <br />Contract Number : CLHI 8249 <br />SOW Type: Original Revision # (for this SOW)Funding Source <br />X Federal Subrecinient <br />Ll state <br />n other <br />Federal Compliance <br />(check if applicable) <br />X FFATA (Transparency Act) <br />! Research & Development <br />Type of Payment <br />X Reimbursement <br />! Fixed Price <br />StatementofWorkPurpose: ThepurposeofthisstatementofworkistorespondtodeclaredwildfiredisastersinWashingtonstatebyidentifyingthemostvulnerable <br />areas where indoor air quality needs improvement. This pilot study will be done as part ofthe CenteiofDisease Contol and Preventi;'s grant "strengthening environmental <br />DOH on September 1,2020. <br />Kiftitas County Public Health Departrnent (KCPHD) will support the DoH led wildfire Srnoke Indoor Air Quality pilot Study, as Kittitas County was the selected study area. This <br />statement ofwork provides KCPHD $l I 1,000 to perform community outreach and implement and evaluate the piiot study. <br />Revision Purpose: N/A <br />Exhibit A, Statements of Work <br />Revised as ofNovember 16,2020 <br />Page 3 of 34 Contract Number CLHl8249- l8 <br />Chart of Accounts Program Name or Title CFDA #BARS <br />Revenue <br />Code <br />Master <br />Index <br />Code <br />Funding Period <br />(LHJ Use Only) <br />Start Date End DBte <br />Current <br />Consideration <br />Change <br />Increase (+) <br />Iotal <br />Consideration <br />F'FY2O ENVIR HEALTH CAPACITY.C (CDC)93.070 333.93.07 2544022C 09/01/20 08/31/21 0 I I 1.000 I I 1.000 <br />TOTALS 0 tll.m0 111,000 <br />Task <br />Number Task/Activity/Description <br />*May Support PHAB <br />Standards/Measures Deliverables/Outcomes+Due Date/Time <br />Frame <br />Payment <br />Information and/or <br />Amount <br />Collaborate with DOH to identify individuals and <br />their location ofresidence within the selected target <br />vulnerable population to include:o Identifying vulnerable population based on <br />health risk and county needo Establishing selection criteria for participation. Identifying target individuals for intervention <br />and enrolling participants in pilot project <br />LHJ presents to DOH community <br />health and disparity status and <br />general priorities <br />LHJ presents to DOH selection of <br />priority at-risk target population <br />for pilot project and criteria for <br />participant eligibility of based on <br />need <br />February 28,2021 Reimbursement for <br />actual costs not to <br />exceed $42,000