Laserfiche WebLink
Exhibit A <br />Statement of Work <br />Contract Term: 2022-2024 <br />DOH Program Name or Title: Office of lmmunization-Promotion of Immunizations to Local Health Jurisdiction Name: K)llllas County Public Health Department <br />IrnMve Vaccination Rates - Met live July 1.2023 <br />Contract Number: CLH31015 <br />SOW Type: Revision Revision # (for this SOW) 2 Funding Source Federal Compliance Type of Payment <br />® Federal Subrecipient (check if applicable) ® Reimbursement <br />Period of Performance: July 1, 2023 through Jtme M 2L12q ❑ State ® FFATA (Transparency Act) ❑ Fixed Price <br />❑ Other ❑ Research & Develo ment <br />Statement of Work Purpose: The purpose of this statement of work is to contract with local health to conduct activities to impro-e immunization coverage rates <br />Revision Purpose: The purpose of this revision is to add Program Specific Requirements in reference to unallowable costs, <br />DOH Chart of Accounts Master Index Title <br />Master <br />Index <br />Code <br />Assistance <br />Listing <br />Number <br />_93.268 <br />BARS <br />Revenue <br />Code <br />LHJ Funding Period <br />Start Date End Date <br />Current <br />Allocation <br />Allocation <br />Change <br />None <br />Total <br />Allocation <br />FFY24 CDC VFC O s <br />743102 1 <br />333.93,26 <br />07/01/23 <br />06/30/24 <br />6,160 <br />0 <br />6,160 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />J02 <br />TOTALS <br />6,160 <br />0 <br />Task <br />4 <br />Activity <br />Deliverables/Outcomes <br />Due Date/Time Frame <br />Payment Information <br />and/or Amount <br />I <br />Develop a proposal to improve immunization coverage rates for <br />Written proposal summarizing project plan <br />August ", 2023 <br />Reimbursement for actual <br />a target population by increasing promotion activities and <br />and method of assessing/observing change <br />costs incurred, not to <br />collaborating with community partners (can use pre and post <br />in target population, <br />exceed total funding <br />qualitative or quantitative collection methods <br />consideration amount. <br />E7cdlt glrs pf yualiWive & quantitative methodsan! Snres:: <br />(Template will be provided) <br />• Surveys, Questionnaires, Interviews <br />• Immunization coverage rates expressed in percentages <br />• Observations (i,e., feedback from surveys/interviews, <br />social media posts comments) <br />• Analytic tools (i.e„ google analytics measuring <br />website traffic, page views etc.) <br />Exhibit A, Statement of Work Page 1 of 3 Contract Number CLH31015-Amendment 17 <br />