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SOW Type: Revision Revision # (for this SOW) 5 <br />Period ofPerformance: Januarv 1.2022 through June 30- 2024 <br />Lxhibit A <br />Statement of Work <br />Con t ract Term : 2022-2024 <br />DoH program Name or Title: office of hnmunization coVID-19 Vaccine - Local Health Jurisdiction Name: Kittitas county Public Health DeDartment <br />Effective January l' 2022 <br />contract Number: clH3l0l5 <br />Funding Source <br />Federal Subrecipient <br />State <br />Other <br />Xnn <br />Federal Compliance <br />(check if applicable) <br />X FFATA (Transparency Act) <br />fl Research & Development <br />Type of Payment <br />X Reimbursesrent <br />! Fixed Price <br />Statement of Work purpose: The purpose of this statelnent of work (SOW) is to provide funding to conduct COVID-19 vaccine activities <br />Revision purpose: The purpose of this revision is to add Program Specific Requirernents in reference to unallowable costs and update Master Index Codes' <br />Exhibit A, Statement of Work Page I of 3 Contract Number CLH3 I 0 I 5'Amendment I 7 <br />Change <br />None <br />Allocation <br />Total <br />Allocation <br />Current <br />Allocation <br />LHJ Fund ing Period <br />Start Date End Date <br />Master <br />Index <br />Code <br />Assistance <br />Listing <br />Number <br />BARS <br />Revenue <br />CodeDOH Chart of Accounts Master Index Title <br />80335900v0112293.268nes R4 225 125125001/0112293333.937431VaccinesCOVID 19 00 <br />00 <br />0 0 <br />00 <br />0 <br />TOTAI,S <br />Task #Activity Deliverables/Outco mes Due Date/Time Frame Payment Information <br />and/or Amount <br />activities may <br />The purpose of this statelnent of work is to identify activities and provide funding to support covlD vaccine response outreach, education' and operations The <br />include other vaccines recommended for the audience population, as long as COVID vaicine is the primary focus and references to other vaccines are secondary <br />3.A Identify activity/activities to support COVID vaccine response <br />in your community, using the examples below as a guideline. <br />Example l: Develop and implement communication strategies <br />with health care providers, community, and/or other partners to <br />help build vaccine confidence broadly and among groups <br />anticipated to receive early vaccination, as well as dispel <br />vaccine rnisinfortnation. Document and provide a plan that <br />shows the cotnmunication strategies used with health care <br />providers and other partners and the locally identified <br />oooulation anticipated to reach. <br />Surnmary of the engagement strategies to <br />be used with health care providers and <br />other pa(ners, and the locally identified <br />population to be reached. <br />January 31, AnnuallY for actual <br />costs incurred, not to <br />exceed total funding <br />consideration amount.