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f,xhibit A <br />Ststement of Work <br />Contract Term : 2022-2024 <br />DOH Program Name or Title: Office of Immunization-Prornotion of hnmunizations to <br />Irnprove Vaccination Rates - Effective July l. 2023 <br />I"ocal Health Jurisdiction Name: Kittitas County Public Health Department <br />Contract Number: CLH3l0l5 <br />SOW Type: Revision Revision # (for this SOW) 2 <br />Period ofPerformance: July 1.2023 through June 30. 2024 <br />Statement of Work Purpose: The purpose of this statelnent of work is to contract with local health to conduct activities to improve immunization coverage rales <br />Revision Purpose: The purpose of this revision is to add Program Specific Requirements in reference to unallowable costs. <br />Exhibit A, Stateinsnt of Work Page I of 3 Contract Number CLH3I 01 5-Amendment I 7 <br />Funding Source <br />Federal Subrecipient <br />State <br />Other <br />Federal Compliance <br />(check if applicable) <br />Xft FFATA (Transparency Act) <br />Research & Develooment <br />Type of Payment <br />X Reimbursement <br />n Fixed Price <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 />None <br />Total <br />Allocation <br />FFY24 CDC VFC Oos 74310241 93.268 333.93.26 07/01/23 06130124 6.1 60 0 6.160 <br />0 0 0 <br />0 0 0 <br />0 0 0 <br />0 0 0 <br />0 0 0 <br />TOTAIS 6.160 0 6,160 <br />Task <br /># <br />Activity Deliverables/Outcomes Due Date/Time Frame Payment Information <br />and/or Amount <br />Develop a proposal to improve immunization coverage rates for <br />a target population by increasing promotion activities and <br />collaborating with community partners (can use pre and post <br />qualitative or quantitative collection methods <br />Examples of oualitative & quantitative methods/measures:. Surveys,Questionnaires,lnterviews. Immunization coverage rates expressed in percentages <br />. Observations (i.e., feedback from surveys/interviews, <br />social rnedia posts colnments). Analyttc tools (i.e., google analytics measuring <br />website traffic, page views etc.) <br />Written proposal summarizing project plan <br />and rnethod of assessing/observing change <br />in target population. <br />(Ternplate will be provided) <br />August 1,2023 Reimbursement for actual <br />costs incurred, not to <br />exceed total funding <br />consideration amount.