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DOH Program Name or Title: Office of People Services-HR-Public Health <br />Infrastructure Crant - Effective January l. 2024 <br />Exhibit A <br />Statement of Work <br />Contract Term : 2122-2074 <br />Local Health Jurisdiction Name: Kittitas County Pubfic Health Department <br />Contract Number: CLH3l0l5 <br />SOW Type: Orieinal Revision # (for this SOW)Funding Source <br />X Federal SubrecipientnnState <br />Other <br />Federal Compliance <br />(check if applicable) <br />X FFATA (Transparency Act) <br />l-l Research & Development <br />Type of Payment <br />X Reimbursement <br />n Fixed Price <br />Period of Performance: January l. 2024 through December 3 l. 2024 <br />Statement ofWork Purpose: The purpose ofthis staternent ofwork is to provide funding to establish, expand, train, and sustain the LHJ public health workforce in accordance <br />with the CDC Public Health lnfrastructure Grant (PHIG). <br />NOTE: The funding allocation in this SOW is for the period of January 1,2024 through June 30, 2025. Deliverables with due dates after December 31, 2024 are shown <br />for informational purposes only, DOH intends to include any unspent funding in a new SOW in the next consolidated contract term beginning January l' 2025 for <br />continuation of this project through June 30,2m5. <br />Revision Purpose: N/A <br />Exhibit A, Staternent olWork Page I of4 Contract Number CLH3l0l 5-Amendrnent l 7 <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 />FFY22 PH Inlrastructure Comp AI-LHJ 92321223 93.967 333 93 96 ol/01/24 12131/24 0 200.000 200.000 <br />0 0 0 <br />0 0 0 <br />0 0 0 <br />0 0 0 <br />0 0 0 <br />TOTAI,S 0 200.000 200.000 <br />Task <br />H <br />Activity Deliverables/Outcomes Due Date/Time Frame Payment Information <br />and/or Amount <br />Submit names, position titles, ernail addresses and phone numbers <br />of key LHJ staff responsible lor this statement of work, including <br />management, prograrn staff, and accounting and./or financial staff. <br />Submit infornation by March 15, <br />2024, and any changes within 30 days <br />of the change. <br />March 15,2024 <br />within 30 days of the <br />change. <br />Reimbursement lor actual <br />costs not to exceed total <br />funding allocation amount. <br />2 Develop a plan to use these funds for one or lnore ofthe <br />allowable costs listed below. <br />hnplementation Plan Iune 30,2024, or sooner