Laserfiche WebLink
Exhibit A <br />Statement of Work <br />Contract Term: 2022-2024 <br />DOH Program Name or Title: Infectious Disease-5yndemic Prevention Services- Local Health Jurisdiction Name: Kitlitas County Public, Health, Department <br />SSP - Effective January I, 2024 <br />SOW Type: Qipirial Revision # (for this SOW) <br />Period of Performance: January-1. 1024 through Doe ;ember 31, 2024: <br />Contract Number: CLH31015 <br />Funding Source Federal Compliance Type of Payment <br />❑ Federal <Select One> (checF if applicable) ® Reimbursement <br />® State ❑ FFATA (Transparency Act) ❑ Fixed Price <br />❑ Other ❑ Research & Development <br />Statement of Work Purpose: The purpose of this statement of work (SOW) is to provide Syndemic Prevention Services for infectious diseases (HIV, STI, and Adult Viral <br />Hepatitis), supporting the Office of Infectious Disease (OID) within Department of Health (DOH), Awarded through CID's 2024 Sgndemic RFA process. <br />Revision Purpose: N/A <br />DOH Chart of Accounts Master Index Title <br />Master <br />Index <br />Code <br />Assistance <br />Listing <br />Number <br />BARS <br />Revenue <br />Code <br />LHJ Funding Period <br />Start Date End Date <br />Current <br />Allocation <br />Allocation <br />Change <br />Increase (+) <br />Total <br />Allocation <br />SFY24 DRUG USER HEALTH PROGRAM <br />12405140 <br />N/A <br />334,04,91 <br />01/01/24 <br />06/30/24 <br />0 <br />37 750 <br />37,750 <br />SFY25 DRUG USER HEALTH PROGRAM <br />12405150 <br />N/A <br />334.04.91 <br />07/01/24 <br />12/31/24 <br />0 <br />37 750 <br />37,750 <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 />TOTALS 0 <br />75,500. <br />75,500 <br />Task <br /># <br />Activity <br />Deliverables/Outcomes <br />Due Da _e/Time Frame <br />Payment Information <br />and/or Amount <br />1 <br />Syringe Services Programs (SSP): Support for Operations <br />SSP operations outcomes include <br />Enter delive-able data into the <br />Reimbursement of <br />delivering services and tracking: <br />DOH/OLD issued database for <br />actual costs incurred, <br />Provide comprehensive SSP to people who use drugs <br />• number of sterile syringes distributed <br />tracking SSP activities by the <br />not to exceed $75,500 <br />(PWUD). This plan of action is directed to distribute <br />number of naloxone kits distributed <br />15th of each month following <br />based on funding split <br />syringes to communities that use drugs to prevent <br />• number of participant encounters <br />service_ <br />below. <br />transmission of infectious disease. SSPs will operate during <br />• number of referrals to health and <br />scheduled hours to provide all required harm reduction <br />social services <br />$37,750 for <br />supplies, naloxone, and syringes to prevent transmission of <br />1/l/24-6/30/24 <br />disease and overdose. SSPs will offer referrals to address <br />social determinants of health, <br />$37,750 for <br />0 for <br />7/$37,7 <br />4 <br />Exhibit A, Statement of Work Page 1 of 9 Contract Number CLH31 01 5-Amendment 17 <br />