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Task <br /># <br />Activity <br />Deliverables/Outcomes <br />Due Date/Time Frame <br />Payment Information <br />and/or Amount <br />3 <br />Data collection, as applicable, based on activities LHJ has <br />Data on form provided by DOH. <br />July 10, 2C24 <br />completed during the reporting period. <br />January 15 2025 <br />July 10, 2C25 <br />Data collection includes: <br />• Total new hires <br />• Describe challenges or experiences that have impacted <br />progress toward achieving set hiring goals. <br />• Describe promising practices or activities that should be <br />considered for sustained funding. <br />• Explain your approach and mitigation plans to address <br />challenges in meeting these hiring goals. <br />• Health Equity — Identify metrics to address Diversity, <br />Equity, and Inclusion (DEI) in hiring. <br />• Existing Staff budget for this funding <br />Note: Reporting periods are - <br />January 1, 2024June30, 2024, July 1, 2024—December 31, 2024, <br />and January 1, 2025—June 30, 2025_ <br />DOH Program and Fiscal Contact Information for all ConCon SOWS can be found on the DOH Finance SharePainl site. Questons related to this SOW, or any other <br />finance -related inquiry, may be sent to ftnencenadoh.wa,gov. <br />Federal FundinizAcenuntabilify and TranNnarency ►e f FATA (Applies to federal grant awards.) <br />This statement of work is supported by federal funds that require compliance with the Federal Funding Accountability and Transparency Act (FFATA or the Transparency Act). <br />The purpose of the Transparency Act is to make information available online so the public can see how the federal funds are spent <br />To comply with this act and be eligible to perform the activities in this statement of work, the LHJ must have a Unique Entity Identifier (UEI) generated by SAKgov. <br />Information about the LHJ and this statement of work will be made available on LISA_ Spend 1g gay by DOH as required by P L. 109-282 <br />Program Specific Heauimpunts <br />Follow all Federal requirements for use of Federal funds: <br />Code of Federal Regulations (CFR), Title 2, Subtitle A, Chapter I1, Part 200 <br />Uniform Administrative Requirements, Cost Principle, and Audit Requirements for Federal Awards <br />eCFR: 2 F P gilt] CFnifa Administr�tjve Eiequirements Cn_ct j7tincipies. and Audil Iteyuirements for Federal Awards <br />The following expenses are not allowable with these funds: <br />• Clothing (except for vests to be worn during exercises or responses), <br />• Food or beverages <br />• Incentives. <br />• Items to be given to community members (members of the public). <br />Exhibit A, Statement of Work Page 3 of 4 Contract Number CLH31015-Amendment 17 <br />