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Task <br /># <br />Activity Deliverables/Outcomes Due Date/Time Frame Payment Information <br />and/or Amount <br />2 Upon approval of proposal, implernent the plan to increase <br />immunization coverage rates with the target population <br />identified. <br />Written report describing the progress <br />made on reaching milestones for activities <br />identified in the plan (template will be <br />provided) <br />Novernber 30, 2023 <br />March 3l . 2024 <br />Reimbursement for actual <br />costs incurred, not to <br />exceed total funding <br />consideration amount. <br />3 Develop final report to include comparison ofchange or <br />improvement of targeted outcome from start of the <br />project/intervention [This can be short{enn or interrnediate <br />outcolnes with overall goal to increase immr,rnization rates] <br />Exarnples:. Increased partner knowledge on immunization <br />guidelines. Change in attitudes about childhood vaccines. Increase in school district imrnunization coverage <br />rates <br />Final written report rncludtng measured <br />and/or observed outcomes [what was <br />achieved as a result ofthe <br />acti vity/intervention?1. <br />(Template will be provided) <br />Iune 15,2024 Reimbursement for actual <br />costs incurred, not to <br />exceed total funding <br />consideration amount. <br />DOH program antl Fiscal Contact Information for all ConCon SOWs can be found on the DOH Finance SharePoint site. Questions related to this SOW, or any other <br />finance-related inquiry, may be sent to finance@doh.wa.gov. <br />Federal Funding Accountabilitv and Transnarency Act (FFATA) (Applies to federal grant awards.) <br />Thr*trt" . by federal funds that require cornpliance with the Federal Funding Accountability and Transparency Act (FFATA or the Transparency Act). <br />The purpose ofthe Transparency Act is to rnake information available online so the public can see how the federal funds are spent. <br />To cotnply with this act and be eligible to perform the activities in this statement ofwork, the LHJ must have a Unique Entity Identifier (UEI) generated by SAM.gov. <br />Inforrnation about the LHJ and this statement of work will be rnade avarlable on USASoendinq.gov by DOH as required by P.L. 109-282. <br />Program Soecilic Reoui renunls <br />Unallowable Costs: <br />approval oflhe cosl prior lo making lhe purchase or churga. <br />. Adverti,\ing cosls (e.g., conyanlions, dxpkrys, exhibils, meetings, memotabilio, gifls, .\ouvenirs) <br />o Alcoholic beverages <br />o Ruilding, purchuses, conslrutlion, copild improtemenls <br />o (.)linical cttre (non-immuni:ation sartices) <br />. Iinlefldinmenl cosls <br />I l;ynj171isipg (losl <br />. (ioods and senices.lbr personal use <br />. Honornriu <br />. lndapandenl llesearch <br />. I.ilnd (rcquisition <br />ExhibitA, Statetnentof Work Page}of 3 ContractNumberClH3l0l5-Amendment 17