HomeMy WebLinkAboutCON CON Amendment 19Kittitas County
Review Form
Grants & Contract Agreement tt S I t,tu{
Today's Date
04/01/2021
Agenda Date 5 4 al (,
Fund/Department
116-Public Health
Contract/Gra nt I nformation
Recommendation for Board of Health and Board of Health Review on
Contract /Grant Agency: Consolidated Contract Amendment L9
Period Be n Date Ll2OL8 Period End Date:7/202r
Total Grant/Co ntract Amount: lncrease of 51,,134,441.00 for a new revised maximum of 53,569,426.00
Grant/Contract Number: C1H18249 - 19
Contract/Grant Su mmary:
The Consolidated Contract Amendment 18 amends the foilowing:
Exhibit A Statements of Work, attached and incorporated by this reference, are amended as follows:
Adds Statements of Work for the following programs:
. COVID-19 Coordinated Response - Effective July L,202O. Division of Emergency Preparedness & Response COVID-19 - Effective January 20,2OZO. Office of Drinking Water Group A Program - Effective January 1,201,8
re
I
Department Head Sign Administrator Date
Kittitas County Prosecutor, Auditor, and Board of Health Review and comment:
ofP cutor's Offi Date
re ditor's Office Date
Z--
Si
Signature of Board of Health member Date
TO FORM
Grant/Contract Review Page L
Financial lnformation
B lnformation
Pass Throu Information
Prosecutor Review
Total Amou nt 5L,L34,44L.00 State Funds S 0 Federal Funds 5I,t34,44loo
Percentage County Funds Matching Funds $CFDA#
ln-Kind S
Explain
ls Equipment being purchased?Who owns equipment?
New Personnel being hired?Contact HR hiring - re porting requirements
Future impacts or liability to Kittitas County:
Budget Amendment Needed?
New Division Created?
Yes f attach budget form No D Why not
Revenue Codes: 1,16.6L2.32.8.333.93.26 S354,803.00
(com bi n ed ) 116.6 1 2.39.23.333.93.3Z 57 67,238.00
116.615.02.2.346.26.64 S 10,400.00
rL6.6L5.02.2.346.26.66 5 2,000.00
Vaccine Services CARES
ELC #4 EDE/COVID LHJ Allocation
Sanitary Survey Local Asst (FO-E) Fed
Tech Assist LocalAsst (FO-E)
Agency to Pass Through
Amount to Pass Through s
Sub-Contract Approved Date:
Has the Prosecutor reviewed this agreement?Yes No
County Departments I
Submitted
Signature Date:
De rtment
Assignment of Tracki lnformation
Auditor Facilities Maintenance
lnformation Services Human Resource
Prosecutor Treasurer
Auditor's Office
Human Resource
Prosecutor's Office
Who Signed the grant application
Reviewer Date
Grant/Contract Review Page 2
KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT
2018 _ 2021 CONSOLIDATED CONTRACT
CONTRACT NUMBER: CLH18249 AMENDMENT NUMBER: 19
PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEALTH hereinafter referred to as
"DOH", and KITTITAS COLINTY PUBLIC HEALTH DEPARTMENT, a Local Health Jurisdiction, hereinafter referred
to as "LHJ", pursuant to the ModificationsAVaivers clause, and to make necessary changes within the scope of this
contract and any subsequent amendments thereto.
IT IS MUTUALLY AGREED: That the contract is hereby amended as follows:
1. Exhibit A Statements of Work, attached and incorporated by this reference, are amended as follows
n Adds Statements of Work for the following programs:
X Amends Statements of Work for the following programs:
r COVID-I9 Coordinated Response - Effective July I,2020. Division of Emergency Preparedness & Response COVID-l9 - Effective January 20,2020. office of Drinking water Group A Program - Effective January r,20lg
Deletes Statements of Work for the following programs
Exhibit B-19 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-18 Allocations
as follows:
X Increase of $1.134.441 for a revised maximum consideration of $3.569,426.
tr Decrease of _ for a revised maximum consideration of
t] No change in the maximum consideration of
Exhibit B Allocations are attached only for inEilltional purposes.
3. Exhibit C-16 Schedule of Federal Awards, attached and incorporated by this reference, amends and replaces
Exhibit C-15.
Unless designated otherwise herein, the effective date of this amendment is the date of execution.
ALL OTHER TERMS AND CONDITIONS of the original contract and any subsequent amendments remain in full force
and effect.
IN WITNESS WHEREOF, the undersigned has affixed his/her signature in execution thereof.
KITTITAS COLINTY PUBLIC HEALTH DEPARTMENT STATE OF WASHINGTON
DEPARTMENT OF HEALTH
2
Brenda Henrikson, Contracts Specia (May 20, 2021 I0r03 P
APPROVED AS TO FORM ONLY
Assistant Attorney General
Page I of30
(W
Date Date
Exhibit A
Statement of Work
Contract Term: 2018-2021
AMENI ]NT #19
Local Health Jurisdiction Name: Kittitas countv public Health Department
Contract Number: CLHL8249
DOH Program Name or Title: COVID-19 Coordinated Response -
Effective July 1^ 2020
SOW Type: Revision Revision # (for this SOW) 2
Period of Performance: July 1.2020 through December 31.2021
Type ofPayment
[lReimbursement
I Fixed Price
Federal Compliance
(check if applicable)
X FP'are (Transparency Act)
! Research & Development
Funding Source
X Federal Subrecipient
Ll State Ll Other
I Federal *Conffactor
Statement of Work Purpose: The purpose of this statement of work is to provide supplemental funding for the LHJ to ensure adequate culturally and linguistically responsivetesting, investigation and contact tracing resources to limit the'spread of covlD-19
NOTE: Pending execution of a new consolidated contract term or an extension to the 201 8 -202 I consolidated conkacts which currentiy end December 3l , 2021 ,DOH plans tocontinue the task activities and funding as noted in the task(s) below in a new or revised statement of work effective January 1,2022.
Revision Purpose: The purpose of this revision is to extend the period of performance from June 30, 2021 toDecember 31,2021;add funding and extend end date for Task 3FFY2i COVID19 VACCINE SERVICES-CARES thTOUgh DecembeT 37,2021; add FFY2O ELC EDE LHJ ALLOCATIoN and FFY19 ELC CoVID ED LHJ ALLoCATIoNfunding and revise language for Tasks 1 and2; add Task 4 and funding information for MASS VACCINATION FEMA l00yo andadd program Specific Requirements and DOHprogram and fiscal contact information.
036
0
385369
161s3
237
0
I
Change
Increase (+)
0
.,
0
r61530
237
0
I
Current
Consideration
0
1
0
0
0
8
12t30/21
12t30t20
r2/31/21
l2/3lt2t
12/31/21
04120t21
Funding Period
Only)Use(LHJ
0710t/20
01t01/20
07/01/20
01/t5/21
01101t2t
0112U21
Master
Index
Code
1897129V
1897129W
743t0209
1897120D
1891129G
934V0200
BARS
Revenue
Code
333.21.01
333.91.03
333.96.26
333.93.32
333.93.32
33.91.03
CFDA #
21.019
97.036
93.268
93.323
93.323
91.036
of Accounts Program Name or Title
BITV-COVID ED LHJ ALLOCATION-CARES
FEMA-75 COVID LHJ ALLOCATION
FFY2I COVID19 VACCINE SERVICES-CARES
FFY2O ELC EDE LHJ ALLOCATION
FFYIg ELC COVID ED LHJ ALLOCATION
*MASS VACCINATION FEMA IOO%
TOTALS
Payment
Information and/or
Amount
Due Date/Time FrameDeliverables/OutcomesTas k/Activity/D escriptionTask
Number
Examples of key activities include:
. Incident management for the response
r Testing
controlinfectioncapacfiyIaboratoryepidemiologysurveillanceincludemayThis
9ID-COV
COVID
for
for
vrtlesactl
activities
response
response
and
and
preparedness
preparedness
otherorand
emergencyhealthpublictn
communicationstrgatron,
Participate
m1
r Case
Exhibit A, Statements of Work
Revised as ofJanuary 15,202L
Page 3 of30 Contract Number CLHI 8249 - 19
AMENL,..ENT #19
Payment
Information and/or
Amount
Due Date/Time FrameD eliverables/Outco mes
Enter all case
investigation data in
*May Support PHAB
Standards/Measures
Task/Activity/Description
centralized investigations will count
towards this minimum
2. Have staff that reflect the demographic
makeup of the jurisdiction and who can
provide culturally and linguistically
competent and responsive services. In
addition, or alternatively, enter into an
agreement(s) with Tri b a l, community-
based and/or culturally-specifi c
organizations to provide such services.
DOH centralized investigations will count
towards this minimum
3. Ensure all contact tracing staffare trained
in accordance with DOH investigative
guidelines and data entry protocols.
4. Coordinate with Tribal partners hz
conducting contact tracing for Tribal
mencbers.
5.
*s-eet+
@
ieft
@iott
reeemmendatie*s-
6. Ensure contact tracing and case
investigations activities meet DOH case
and Contact Tracing Metrics. (Mettics to
be determined collaboratively by DOH,
LHJs and Tribes.) I{ork with DOH to
develop a con'ective action plan if unable
to meet mef ics. S*ive-te-aehiaeDeH
e aselftvestigatiene o
1. Perform daily monitoring for symptoms
during quarantine period of contacts
11.Case investigation
1. Strive to maintain the capacity to suge a
minimum of five (5) case investigators and
contact tracers for ln
Task
Number
Exhibit A, Statements of Work
Revised as ofJanuary 15,202I
Page 5 of30 Contract Numb er CLHI 8249 - | 9
AMENL. ^ENT #19
Payment
Information and/or
Amount
Due Date/Time FrameDeliverables/0utcomes
Quarterly performance
updates related to
culturally and Iinguistic
competency and
responsiveness, tribal
support, infection
prevention and control for
high-risk populations,
community education and
regional active monitoring
activities. Performance
update should include
status ofall projects
listed.
*May Support PHAB
Standards/}{easures
Task/Activity/Description
as a part ofthejurisdiction's contact tracing
strategy.
iii. Maintain a current list of entities providing
COVID-I9 testing and at what volume.
Provide reports to DOH on testing locations
and volume as requested.
c. Surveillance FTE support at a minimum of .5 FTE
Epidemiologist to support daily reporting needs
below.
i. Ensure all COWD positive lab test resuhs from
LHJ are entered in to WDRS by I ) entering data
directly in to WDRS, 2) sending test results to
DOH to enter, or 3) working with DOH and
entities conducting tests to implement an
electronic method for test result submission.
ii. Maintain records of all COVID negative lab test
resultsy'oz tlte LHJ and enter into WDRS when
resources permit or send test results to DOH.
iii. Collaborate with Tribes to etxsure Tribal entities
with appropriate public health authority have
readhetite access to WDRS and CREST to
ensure that all COVID lab results fi'ont theit-
jurisdictions are en.tered in WDRS or shared
with the LHJ or DOHfor entty.
d. Tribal Support. Ensure alignment of contact tracing
and support for patients and family by coordinating
with local tribes if a patient identified as American
lndian/Alaska Native and/or a member of a WA
tr lb e@lonae*offi -*ibes.
Support Infection Prevention and control for high-
risk populations
i. Migrant and seasonal farmworker support.
Partner with farmers, agriculture sector and
farmworker service organizations to develop
and execute plans for testing, quarantine and
isolation, and social service needs for migrant
and seasonal farmworkers.
ii. Congregate care facilities: In collaboration
with the state SHS
Task
Number
Exhibit A, Statements of Work
Revised as ofJanuary 15,2021
Page 7 of30 Contract Number CLHL 8249 - 1 9
AMENL JNT #19
Payment
Information and/or '
Amount
Due Date/Time FrameDeliverables/Outcomes
Quarterly performance
updates to include name,
address and capacity of
identifi ed location that
can support isolation and
quarantine, date of
exercise to be conducted
and confirmation of
appropriate planning and
coordination as required.
*May Support PIIAB
StandardsA{easures
Task/Activity/D escription
responsive community outreach and education
related to COVID-19.
h" Establish sustainable isolation and quarantine
measures.
i. Have at least one (1) location identified and
confirmed through contracVformal agreement
that can support isolation and quarantine
adequate to the population for yourjurisdiction
with the ability to expand; altematively,
establish with an adjacent jurisdiction a formal
agreement to provide the isolation and
quarantine capacity adequate to the population
for your jurisdiction with the ability to expand.
ii. Conduct at least one ( I ) exercise per year with
the identified isolation and quarantine site to
include a minimum of confirmation of wrap
around services (food service/delivery, laundry
service, water/septic, garbage, ambulance
service, cleaning/sanitation), facility intake and
discharge procedures, transport procedures,
and stafhng.
iii. Planning must incorporate transfer or receipt of
isolation and quarantine patients to from
adjacentjurisdictions or state facilities in the
event oflocalized increased need.
iv. Planning must incorporate triggers and
coordination to request state isolation and
quarantine support either through mobile teams
or the state facility to include site identification
and access
Task
Number
Exhibit A, Statements of Work
Revised as ofJanuary 15,2021
Page 9 of30 Contract Number CLHL 8249 - | 9
AMENL...ENT #19
Payment
Information and/or
Amount
Regional rncident Management Team (IMT) Mass vaccination clinics - Task 4
*Reintbtu'sentent of
eligible costs.
MASS
VACCINATION
FEMA ]OO%
Fwtding
(Mr 934V0200)
(See Program
Specific
Requirements Jbr
Mass Vaccination
Task 4 below)
Due Date/Time Frame
Wilhin 30 days of
contract antendment
execution.
Deliverables/Outco mes
Submit to DOH a mass
vaccination plan
including:
. U,pe of site,
t site locations,
t throughput,
c considerations
made to ensure
equiqt 6
historically
malginalized
populations,
. and to the extent
possible a
regional map o.f-
sites/locations.
*May Support PIIAB
Standards/lVleasures
Task/Activity/D escriptio n
*NQIE: Tssk 4 activities for Mass Vaccination Clinics irt
tltis statement of work are NOT CONSIDERED
SUBRECIPIENTbuT are us a CONTRACTOR of DOH.
DOH reimbursement provided for local mass vuccination
clinic (see definition below) planning, implementation and
operations in coordinution bebyeen UniJied Command and
the Regional IMT to administer the vaccine as efficiently,
quickly, equitably, and safely in all regions of Washington
State. State Supported, Regionally Coordinated, Locully
Implemented.
Definition: Mass vaccination clinics defined as those
or,rtside oJ'the usual healthcare delivety. methad such as
pop-up clinics, nzobile clinics, non- clinicalfacility
(fairgrounds, aren as, etc.).
Leaders Intent abottt this workfrom DOH is included as an
attachnzent.
Guidance on vaccination protocols must be followed as
provided b1t DOH and CDC.
Locql health jurisdiction (LHJ) w,ill coordinate planning
and intplementation of mass vaccination clinics/sites
provided within tlte counQ,$) with a regional incident
managemetxt teant/organization as approved by DOH.
Request for regional IMT should be subntitted through the
normal process through IilebEOC.
Local health jurisdiction is tlte coordinating agencyfor the
mass vaccination plan utithin the county.
Regional IMT will be zmder the delegatiort authoritv of
DOH and th.e1t ays to pt'ovide support and coordination for
all efforts around vaccine planning, resource support and
general guidance and infonnation sharing in order to
r e gion a I I y c o or din at e effo rt s. L o c a I j u r i s di cti o n s v, i I I
Task
Number
4.4
Exhibit A, Statements of Work
Revised as ofJanuary 15,2021
Page I 1 of30 Contract Number CLHI 8249 - 1 9
AMEN ENT #19
Due Date/Time FrameD eliverables/Outco mes
costs for the tinte period,
a ny c h a I I enges/s uc c es s es
of note, including
assistance requested"
Task
Number Task/Activity/Description
*For Information Onlv:
Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting aStandardAvleasure. More detail on these and/or other Public Health Accreditation Board (PHAb) Standards/Measures that may apply can be found at:httP:l/www.phaboald.org/wp-conteut/uploads/PHAB-Standards-and-Measures-Version-l.0.pdf
Special Requirements
Federal Funding Accountabilitv and Transparencv Act (FFATA)
This statement of work is supported by federal furrds that.equire compliance with the Federal Funding Accountabilify and Transparency Act (FFATA or the Transparency Act).The purpose of the Transparency Act is to make information available online so the public can see how tne federal dnds are spent.
To comply with this act and be eligible to perform the activities in this statement of work, the LHJ must have aDataUniversal Numbering System (DUNS@) number.
Information about the LHJ and this statement of work will be made available on USASpending.gov by DOH as required by p.L. l0g-2g2.
Proqram Specific Requirements/Narrative
DCHS COVID-(9 Response - Tasks I and 2
Restrictions on Funds: rndirects are NOT allowable for CARES funding from september 2,2020 forward - LHJ can charge administrative activities as direct costs but notincur indirects from September 2,2020 through Decernber 30,2020 for activities fundea with cARES funds (covlD LocAL CARES - COVID LHJ OFMALLOCATION-CARES, BITV-COVID ED LHJ ALLOCATION-CARES, FEMA-75 COVID LHJ ALLOCATION)
o Since the federal guidance was not updated until September 2,2020,DoH understands that indirects could be charged from March-August, 2020.
the budget will not be accepted or approved.
Submission of Invoice vouchers: The LHi shall submit correct monthly A19-lA invoice vouchers for amounts billable under this statement of work to DOH by the 25th of thefollowing month or on a frequency no iess often than quarterly.
Moss Vaccination - Task 4
Program Manaa[ Handbook, Policy References
Emergency Response Plan (or equit,alent)
Medical Countermeasw'e/Mas s Vaccination Plan
*May Support PHAB
Standards/Measuies
Payment
Information and/or
Amount
Restrictions on Funds (what funds can be used for which actit ities, not direct payntents, etc.):
Non-mass vaccination efforts are not allowable throtryh this funding sn.eam.
Duplicatiort of billing (sending requestfor reimbttrsement) to entities outside of this agreement is prohibited.
Indirect rates are not applicable to thesefunds.
Exhibit A, Statements of Work
Revised as ofJanuary 15,202I
Page 13 of30 Contract Number CLHL8249 - 19
DOH ELC Allocation Fiscal Contact (Tasks I and 2)
Christie Durkin
DOH, Ofice of Progt"am Financial Management
PO Box 47840, Olympia, WA 98504-7841
Plt: 3 60-2 3 6-a2 3 5 / cfuistie.durkin@do
DOH COVIDI9 Vaccine Services Program Contacts (Task 3)
Tawney Harper, MPA Misty Eltis, Project Mandger
Deputy Director I operations Manager cDC Public Health Advisor
Office of Immunization and Child Profile Office of Immunization and Child Profile
Department of Health Department of Health
Po Box 47843, olympia wA 98504-7843 Po Box 4i843, olympia wA 98504-7843
tawney.lramer@doh.wa.gov/360-236-3525 mistv.ellis@doh.wa.gov/360-236-3675
DOH General Mass Vaccination Program and Fiscal Contact (Task 4)
Patrick Plumb Janice Baumgardt
COVID FEMA Project Management Anal1,s1 Financial Operations Manager
Washington State Department of Health Washington State Depafiment of Health
Office of Finatzctal Services OfJice of Financial Services
11 I Israet Road SE, Tumwater, WA 98501 I I I Israel Road SE, Ttrmwater, WA 98501
patrick.plumb@doh.wa.sov / (360) 236-4291 janice.baunzgardt@doh-wa.gov / (360) 236-4505
Exhibit A, Statements of Work
Revised as ofJanuary 15,2O2l
AMENL...ENT #19
Sonja Morris, Program Manager
Enhanced Influenza and COVID-I9 Response
Office of Immunization and Child Profile
Department of Health
PO Box 47843, Olympia, WA98504-1843
sonja.morris@doh-wa. eov / 360-236-3 545
Page l5 of30 Contract Number CLHI 8249 -19
Exhibit A, Statements of Work
Revised as ofJanuary 15,2021
Task/Activity/D es cription
*May Support PHAB
Standards/Measures
AMENI JNT #19
Payment Information
and/or Amount
after January 20,2020
through March 4,2020.
After approval is
received from DOH,
LHJ must submit a
separate invoice for
reimbursement of these
expenses.
LHJ has already received
these funds as a one-time
distribution.
Due Date/Time
Frame
federal requirements.
DOH will notify LHJ
ofany changes via
email.
A final activity report
is required prior to
DOH releasing the
final amount of
funding.
Iuly 15,2020
October 15,2020
January 15,2021
April15,2021
June 30,2021
Deliverables/Outcomes
Activity report(s) on template
to be provided DOH.
r Incident management for early crisis
response
r Jurisdictionalrecovery
r Informationmanagement
r Countermeasures and mitigationr Surge management
. Biosurveiliance
DOH will provide additional guidance and technical
assistance.
Note: The total federal funding consideration is for
the period of January 20,2020 through March 15,
242+ 2022. Any unspent.fiuds, tasks and deliverables
with due dates after December 31, 202 I v,itt be
included in a netv statement oJ'work under the nev,
consolidated contract term begin.ning Januarry I ,
2022.
State Funds
Participate in public health emergency preparedness
and response activities for COVID-19. This may
include surveiliance, epidemiology, laboratory
capacify, infection control, mitigation,
communications, and or other preparedness and
response activities for COVID-19.
Activities must address one or more of the following
six domains:
. lncident management for early crisis
response
r Jurisdictionalrecovery
o Informationmanagement
r Countermeasures and mitigation. Surge management
. Biosurveillance
DOH will provide additional guidance and technical
assistance.
Note: The total state funding consideration is for the
ofJ 20 2020 June 3 202t
Task
Numtrer
2
Page l7 of30 Conkact Number CLHI8249 -19
Appenrdix 2. Allovvable Actirrities
Exhibit A, Statements of Work
Revised as ofJanuary 15,2021
AMEN; ENT #19
Co nd ust ru risdtctional COVI D-f_9 risk assessrne n t_o ldentifif and prtoritize risk-reductlon strategies and risk-rnitigation efforts incoordi nation \rvith corr,) m u n ity pa rtners a nd sta keholders-
' lmplement public health actions designed to rnitigate risks in accordance urith cDcguidance-
lrnPlement public health response ptans based orr CD€ cc}vf E}-19 preparedness and
Resp!f,_nse Ptanning Guidanc€ for State, Local. Territorial. and Trabal public Health A.gencies-Provade technie-al assistance to tocal and tribal health departrnents on development ofCOVID-1-9 r€sponse plans and respond to requests for ptrblic health assistance.Activate the jurisdiction's ern€rgency operations r:en:ter {Eoc} at a level appr13priate t6, rneetthe ne-eds of the response-
' Staff the EoC with tfle nurnbers and skills necessary to support tlxe response,assur€ rarorker safety, and continually rnoniter abse.nteei.sm_. use established systerns to ensure continuity of operati.ons (coop) andimplement COOP plans as needed.
Establish call centers or other cornrnunication capacity fon information sharing, publicanforrn.ation, and directing r,esidents to available resrources.
Aciivate errrergencv hiring auth,Griti€s and ,expedite.d contracting processes.
Assess the jurisdaction's public health and healthrcare s!,stem training needs-
' Frowide rnateriels and facilitate training designed to, amprove the jur-isdistion's publichealth and healthcare systern resp()nse- F{rcus on inf€cta(}!.N prevention and contrc,lstrategies 6nd implernent€tion/triggers for crisis/contirrgency standards of care.- lmplement procedirres to notify relevar}t personnel andcalls and Clinician (futreach and Comrnunication ActfvityEnsure plans and jurisdictional response act-ons incorporate the
allouratrle activities:
C'
g
D
,D
€
c
participat€ in cDc national
{CocA) calls.
lategt CDC guidance and
Ernergenqf ()perations
and Coordination
lncide nt &lanaBernent
for Early crisis Response
€ Assur€ the health and safety of the jurisdiction's workforce, inctuding but fi6lt limited toimplerrle'ntation of staff resiliency programs, @ccupational heatth/safLty programs, andrespon<ler rnental health support- Determine gaps and imple.ment c€'rrective actions-a lrnplernent personal protective equiprnent {PtrE}- sparing strategaes for publichealth./healthcbre systern rarorkforce in accordarrce ..'.rith federal guidelines.n Develop an occupational safety and health strike tearr} to ensur€ rwcrkers are protected,irnplernent corrective actions, and gather lessorrs learned-c' Establish a teem of cornrnunicators vrrho can anterpret CDC guidance and essist r,vithirnplernentetion of urorker safety and heatth strategies.o Create toclls to assist and anticapate supply chain sh{frtages, track ppE anventory.a E)evelop PPE strategies consistent with cDc guidance for hospitals. outpatient ilinics, Iong-term care facalitaes, and other health facitities; raeork urith suppliers and coalations to develclpstat€wide plans for caching or redistributing,/sharing- This strategy should be integratedw.rith heatth care coalitions' syst€rn plans for purchasing, caching; and distributing ppE and.accessing the Strategic National Stockpile_o Purch€se required PtrE (if available).
Exampfies of allowable ectivitaes:Responder Safety and
Health
Page l9 of30 Contract Number CLHI 8249 - | 9
Exhibit A, Statements of Work
Revised as ofJanuary 15,2021
AMENL..,ENT #19
4 Ensure inforrnation sharing affxf,ng public he.alth staff, healthcare personnel, airport entryscreening personnel, emergency rnedical servl'ces (EMS) providers, and the puUiic.a Develop, coordinate, and disserninate inforrrtation, alerts, urarnings, and nc,tificaticrnsregarding risks and self-protecti\..e !-neasures to the public, particularly !\rith at-risk andvu lnerable populations and incid errt rnanagernent responders.o Develop ne\,v systerns or utilize existing systeffis to rapidly report public health data_c Develop cornrnunity rnessages that are accurate, timeh/, and reach at-risk populations
ble activities:Exarnples
F.t:I. redundant platforrrrs are in place for pushing out messages to the public and theheatthcare sector regarding risks to'the publtc, rlsk of transrrtission, and protectivetTreaSufes.
- Work urith heafth ccrrnrnunicators and educators on risk cornrnunications effortsdesagned to prevent the spread of C.OV|D-f_9 virus-Update scripts foriurisdictional cail centers with specific cc)vtD-19 rnessaging {alerts.u.arrrings, and notifications)"
Evaluate cavlD-19 rnessaging and t>ther cornrmunication rntaterials and, based on feedbackfrom target audiences, revise me.ssages arld rrraterials as needed-- Conduct rapfd a5s€ssrrient .(e_g_. focus groups) of existing messagirlg andcorrrrrrunicataons acttvities {€"9- vueb-b.ased, social rnedia) related tcl Cc'VIDt-],gpre\.errtion"
' Monitor local nel,r/s stories and social rrredia postings to determine if tnfc,rrnata(}n tsaccurate, identifi/ rnessagislg gaps, an.d adjust ccrrnrnunications as nee<Jed-contract r*rith local wendorg f@r tr€nsJation {as rrecessary), printing, sagnage, andaudiovisual/public seruic,e ann.runcement deelopment and disserninaticln-ldentifiy gaps.and develop crilturally approprjate rask messag€s for at-risk populati6,nsincluding rrressages that focus on risk-re<luctiorl beh€viors_
Exam
O
-J
'3
c keyofentificationdncluding
outreach-
5trategy
mediar
relations
fcr
edia
na
D-f-9-specific
ndale
covrpDevelo
of allowa ble acttvities:
tnf,orrnation Sharing
Errrergency Public
Inforrnation and vvarn-ng
and Risk Comrnunication
lnfrernration
lvtanagerrrent
Page 2l of30 Contract Number CLHL 8249 - 19
ldentify and sqcure sa:fe h.ousi
public health orders-
ng for persons subject to restricted movement and other
strEtegies to support affected Dopulationg-
cl
L-lrne!'rt behand im.' F)evFlo n
o Ensure jurisdictiorial capacity fi:r a rnass vaccination c€rnpaign once vacctne bec5lmesavailable, including:
. Enhancement of irnrnunization anforfnation sysiems
- Maintaining ability for vaccirle-specific cold chain rnanagernent
- Coordinating rness vaccination clinic:; for ernergency resp(fnse
- Assessing and tracking vaccirration coverage
- Rapidly tdentifying high-risk persons regrrirang vaccjne
- Planning to prioritize lirnit€d rnedical countermeasures {McM} based or? gufdanc€
frorn CDc and the Departrflent of Health and Hurnan Senrices (HHS)
Examples of allowable activities:
ictional c-e distrtbution of MCM and* Ensure
s Activate rnechanisrrls for surgirrg publtc heaith responder staff.
c Activate volunteer organizatiorrs i!-ialuding but not lirnited to lvledical Res;erve corps.
Exarnple5 of allovva ble a ctivities:
a ln partrtership with health care coaliti.ons, dewelop triggers for enacting crisas/continge!-rcystandards of,care.
o C(}ordinate vunth ts{ospital Preparedness Program {HPP} ,entities, healthcare coaliti,ons, healtfrcar€ organazations, err|ergency rnanagerrNent,.and other relevant partners and S;takehcildersto assess the public health and rnedical surge needs of the cornrriunity.
o Prepare for increased demands for services, expansions of public health functiorrs, ir-rcreas€sin administrative mallegernent r,equi!-err€nts, and other emergency respr>ns;e surge needs.c Trrain hospitals, leng-term car.e facilities €nd other high-risk facilities on ar-rfection preventton
Astively monitor healthcare systerri capacity and develop mitigation strategies to pres;erve
and control.
healthcare resourceS.
c
Exa mples of allovvable activities:
Distribution and Use of
lvledical fvlaterial
Surge Staffinrg
Publi.c Health
Coordinatioi.r \Arith
HealtFrcare Systerns
Sur6e rvlarra8ernent
AMENI ENT #19
Exhibit A, Statements of Work
Revised as ofJanuary 15,2021
Page 23 of30 C ontract Number CLHI 8249 - 19
AMENI ENT #19
requir€ testing and sh.ipping to Laboratory R.esponse t{et\Al{}rk (LRN} C|r CDc laborator,esdesignated for testing.
Rapidly report te.st results between the laboratory, the public health department,heattlrcare f,acilities, and cDc to support public health investigatiorrs-Test a sarnp|e of outpatients vr.ith ll-l or A,Rl for COVID-3-9 and other respir-atory viruses andcomplete the following:
- Report r,rreekly percent positive COVID-1g outpauent visits by age group-
- Determine the rate of lLf,/ARl outpatient visits and th€ rate of covtD-l-o-confirrnedlLl pauents-
- This allowable activity is similar to "sentinel COVTD-19 Surveillance, March
2o2or and ll-lDJet Enlrancernents in 2of-9." lt rnay include. but is not lirnitedto the *;5#:S
testins at pubric heatth laboratories- Describe rnodification of protocols and validation of speclmen typeother than.N.P/OP s\Arabt including valadation of different sr,vab
types arld self-swabbing for C()!v/TD-19
Collaborate r,vnh Emerging lnf,ection Program an.d lnfluenza Flospita]ization SurveillenceI{et\A'(}rkto modiif existing FluSurv-t\IET program for COVTD-19.
Enhance laboratory surge capacity plans.
Detei:mine frlaxirnum lab testang c€pacity and establish prioritizat-on criteria andcoriting,ency plans for testing af rnaxirnl!m capacity is reached.,
VVcrrk vuitFr laborat,ory partners to ensure lebs receive updated guidance on appropriatetesting algorithrns and semple types as additional irif,{3rrnation is acquired,
EnsLlre cl.ear gljadarrce is cornrnunicat€d to clinical labs and physicians on horr to obtainappropriate l.ab t'esting.
g
o
c
g
o
€
€
Appropriately collect and I and other clinica ratory specimens th,at
Provid€firr irn individuals-
Ensure data rna,nagernent systerns are in place and meet the needs of the jur:llsdidiil,cln.
lrnplement analYsis,'visualization, an{ reporting for surwelltance and other available data tosuPport underltdnding of the otrtbreak, transmission, and impact of interventions-
Exa rnpl€s of allovuabl.e acfivities:
o
o
Ensure efficiea data collection-
Data Management
Ensure abilityto rapidlyexchange tlata r,rrith prlbl-c health paFtners
e piderniologica! a nd la bo rato ry s ur\/ei llarrce -
6
crr<fam€ {^r
(inch:ding CE}€l and
a Coordinete deta
other relevant partn.erE-
Dornafor
Exhibit A, Statements of Work
Revised as ofJanuary 15,2021
Page.25 of 30 Contract Number CLHL8249 - 19
AMENI JNT #19
Task/Activity/Description Deliverables/Outcomes Payment Information and/or Amount
Exhibit A, Statements of Work
Revised as ofJanuary 15,2021
Upon ODW acceptance of the Final
Sanitary Swvey Report, the LHJ shall
be paid $800 for each sanitary survey of
a non-communify system with four or
more connections and each communitv
system.
Payment is inclusive of all associated
costs such as travel, lodging, per diem.
Payment is authorized upon receipt and
acceptance ofthe Final Sanitary Survey
Report within the 30-day deadline.
Late or incomplete reports may not be
accepted for payment.
Upon acceptance of the completed SPI
Report, the LHJ shall be paid $800 for
each SPI.
Payment is inclusive of all associated
costs such as travel, lodging, per diem.
Payment is authorized upon receipt and
acceptance ofcompleted SPI Report
within the 2 working day deadline.
Late or incomplete reports may not be
accepted for payment.
Upon acceptance of the completed TA
Report, the LHJ shall be paid for each
technical assistance activity as follows
. Up to 3 hours of work: $250
r 3-6 hours ofwork: $500
. More than 6 hours of work: $750
Payment is inclusive of all associated
costs such as consulting fee, travel,
lodging, per diem.
Due Date/Time
Frame
Completed SPI
Reports must be
received by the ODW
Regional Office
within 2 working
days ofthe service
request.
Completed TA
Report must be
received by the ODW
Regional Office
within 30 calendar
days ofproviding
technical assistance.
significant findings,
observations,
recommendations, and
referrals for further
ODW follow-up.
2. Completed Small Water
System checklist.
3. Updated Water Facilities
Inventory (WFI).
4. Photos of water system
with text identifiiing
featrues
5. Any other supporting
documents.
*Final Reports reviewed and
accepted by the oDW
Regional Office.
Provide completed SPI
Report and any supporting
documents and photos to
ODW Regional Office.
Provide completed TA
Report and any supporting
documents and photos to
ODW Regional Office.
See Special Instructions fortask
activity.
Trained LHJ staff will conduct
Special Purpose Investigations (SPI)
of small community and non-
community Group A water systems
identified by the ODW Regional
Office.
See Special Instructions for task
activity.
Trained LHJ staff will provide direct
technical assistance (TA) to small
communiry and non-community
Group A water systems identified by
the ODW Regional Office.
See Special lnstructions for task
activity.
Task
Number
2
J
Page27 of30 Contract Number CLHI 8249 - 19
AMENT ;NT #19
Special Instructions
Task I
Trained LHJ staff will evaluate the water system for physical and operational deficiencies and prepare a Final Sanitary Survey Report which has been accepted by ODW. Detailed
guidance is provided inthe Field Guidefor Sanitary Surveys, Special Purpose Investigations and, Technical Assistun;e field Guide). The sanitary survey will include an
verification; system management and operafion; and certified operator compliance. If a system is more complex than anticipated or other significant issues a.ise, the LHJ may
request ODW assistance.
r No more than 8 surveys of non-community systems with three or fewer connections to be completed between January 7, 2018 and December 3 I , 2018.o No more than 2 surveys of non-community systems with four or more connections and all community systems to be completed between January I , 20 1 8 and
December 31,2018.
r Nomorethan4surveysofnon-communitysystemswiththreeorfewerconnectionstobecompletedbetweenJanuary 1,2}lgandDecember3l,2019.t No more than 5 surveys of non-community systems with four or more connections and all community systems to be completed between January l, 2019 and
December 31,2019.
t No more than 3 surveys of non-community systems with three or fewer connections to be completed between January 1 , 2020 and Decembe r 31 , 2020.r No more than 8 surveys of non-community systems with four or more connections and all communify systems to be completed between January 1 , 2020 and
December 31,2020.
t No more than 2 surveys of non-community 51t57sn15 with three or fewer conrzections to be completecl between January t , 202I ancl December 3I, 202I.. No tnore tltant 12 surveys of rton-contttwnity q)stems w'ith four or more connecttons and all commwzillt systems to be completed. between January I , 202 I anct
December 31,2021.
The process for assignment of surveys to the LHJ, notification of the water system, and ODW follow-up with unresponsive water systems; and other roles and responsibilities of
the LHJ are described in the Field Guide.
Task 2
other emergency conditions. SPIs may also include sanitar surveys of newly discovered Group A water systems. Additional detail about conducting SpIs is described in the Field
Guide. The ODW Regional Office must authorize in advance any SPI conducted. by LHJ staff.
Task 3
Trained LHJ staff will conduct Technical assistance as assigned by ODW. Technical Assistance includes assisting water system personnel in completing work or veri$ing work
Fieid Guide. The ODW Regional Office must authorize in advance any technical assistance provided by the LHJ to a water system.
Task 4
LHJ staff assigned to perform activities under tasks 7 , 2, and 3 must be trained and approved by ODW prior to performing work. LHJ staff performing the activities under tasks I ,2 and3 must have completed, with a passing score, the ODW Online Sanitary Survey Training and the ODW Sanitary Survey Field Training. LHJ staff performing activities under
tasks 1, 2, and3 must aftend the Annual ODW Sanitary Survey Workshop, and are expected to attend the Regional ODW LHJ Drinking Water Meetings.
LHJ staff person may' with ODW approval, substitute other training activities to be determined by ODW. Such substitute activities may include orr"-orr-o.r. raining with ODW
staff co-surveys with ODW staff, or other activities as arranged and pre-approved by ODW. LHJ staff may not perform the activities under tasks \,2, and 3 without completing
the training that has been arranged and approved by ODW.
Exhibit A, Statements of Work
Revised as ofJanuary 15,2021
Page29 of30 Contract Number CLHI8249 - 19
Kittitas County Puotic Health Department
IndirectRateasofJanuary20lS:29.50o/oPublicHealthDept&l2.50TocountyCentralSvcs
IndirectRateasofJanuary20l9:zS.21oloPublicHealthDept&12.75o/ocountycentralsvcs
I BIT B-19
ALLOCATIONS
Contract Term: 2018-2021
Contract Number:
Date:
cLHl8249
January 15,20Zl
DOH Use Only
BARS Statement ef Work
Revenue Funding Period
'gf Acc,ounts Funding
Period
Sub Total
$20,t74
$858
qt? Rss
$1,412
$26,046
$20,603
$2s2,036
$909,400
$20,398
$49,134
$49,1 33
$49,1 33
$ 1 l 1,000
$61 6
s2,226
$369,385
Chart of
Accounts
Total
$4s,359
s46,649
s2s2,036
$909,400
s20,398
$49,134
$98,266
$111,000
$61 6
$2,226
$369,385
Chart of Accounts Title
FFY19 CSS IAR SNAP Ed Program Mgnt
F'F'Y19 CSS IAR SNAP Ed Program Mgnt
FFY18 CSS lAR SNAP Ed Program Mgnr CF
FFYI8 CSS IAR SNAP Ed Program Mgnt
FFYl8 CSS IAR SNAP ED Program Mgnt
FFYIS CSS IAR SNAP ED Program Mgnt
FFY17 CSS IAR SNAP ED Program Mgnt CF
FFY2I IAR SNAP Ed Prog Mgnt-Region 2
FFY20 IAR SNAP Ed Prog Mgnt-Region 2
BITV-COVID Ed LHJ Allocation-CARES
BITV-COVID Ed LHJ Allocation-CARES
COVID LHJ OFM Allocation-CAREs
FFYl7 EPR PHEP BPI LHJ Funding
FFYl7 EPR PHEP BPi LHJ Funding
FFYI8 EPR PHEP BPl Supp LHJ Funding
FFYIS EPR PHEP BPI Supp LHJ Funding
FFY20 PHEP BP2 LHJ Funding
FFY20 PHEP BP2 LHJ Funding
FFYi9 PHEP BPI LHi Funding
FFY20 Envir Health Capacity-C (CDC)
FFY17317Ops
F'I.'Y17 AFIX
FFY21 COVID19 Vaccine Services-CARES
FI"Y2l COVIDl9 Vaccine Services-CARES
FFY2I Enhanced lnfluenza Coverage CARES
F'FY2 I Enhanced Influenza Coverage CARES
Federal Award
Idenfification #
r97WAWA5Q3903
l97WAWA5Q3903
l87WAWA5Q3903
187WAWA5Q3903
t87WAWA5Q3903
r87WAWA5Q3903
1717WAWA5Q390
NGA Not Received
207WAWA5Q3903
NGA Not Received
NGA Not Received
NU90TP92 I 889-0 1
NU90TP921 889-0 l
NU90TP92l 889-01
NU90TP92l 889-01
NU90TP922043
NU90TP922043
NU90TP922043
NUElEHOOI445
5NH23rP000762-05-00
5NH23tP000762-0s-00
NH23IP9226l9
NH23IP9226l9
NH23IP9226t9
NH23LP922619
Amend #CFDA* . Code** Start Dite
Amd 9
Amd 4
Amd 4
Amd 4
Amd 2
N/A
N/A
l 0/0 l/l 8
I 0/0 1/l 8
r 0/0 l/l 8
01i0 r/l 8
01/0 1/l 8
0ri0 1/l 8
01i0 I /l 8
rcluno
t0/0trlt9
0'7/0U20
07 /0U20
03/01t20
09/30t19
09/30/19
09/30/19
09/30t18
09130/18
09130118
09/3 0/ I 8
09/30/21
09/30/20
l
t2/30t21
12130121
06/30/21
10/01/r8
|u0.t/t8
I0/01/18
rclaun
r0l01lr7
lo/01/t7
\uaut7
09/30/19
09/30ilg
09t9Qt19
09/30/18
09/30/t 8
09/30fi8
Q9lloil8
Amount
$429
s 1 9,74s
$8s8
$3,000
$11,025
s8,830
$1,412
s26,046
s20,603
$ 1 89,027
$63,009
s909,400
$565
s r 9,833
$8Bs
$48,249
s 19,6s3
$29,480
$49, r 33
$354,803
$ 14,582
$2,800
$2,800
10.561
10.561
r 0.561
10.561
10.561
r 0.561
10.56 r
333.1 0.56
333. 1 0.s6
333. 1 0.56
333. r 0.56
333. 1 0.56
333.1 0.56
333.1 0.56
NGA Not Received Amd 16, 18
Amd 17
Amd 10
Amd l8
Amd 16, 18
Amd 2
N/A
Amd 5
Amd 4
Amd 17
Amd 16, 17
Amd 10
Amd i8
N/A
N/A
Amd 19
Amd 18, 19
Amd 17
Amd 16, l7
10.561
10.561
2r.019
21.019
21.019
333. r 0.56
333. i 0.56
333.21.O1
333.21.01
333.21.O1
0l/01/18 06/30/18 01t01/|7
01/01/r8 06/30/18 0Ttaltn
.1010tt20 og7akt
lo/dfzig :qstl?t'lo
.,::l , I :
o7l0u2a n^onl
07tpt/m w30/2r
03/0U20 06t30/2t
01/02n8
07/02t18
93.069
93.069
333.93.06
333-93.06
93.069
93.069
93.069
93.069
93.069
333.93.06
333.93.06
333.93.06
333.93.06
333.93.06
07/0t/'!8
0il0t/1s
a7tltiZ}
a7/0t/2a
07/01/19
a6/as/2a
0610s120
06BAt'9
06BA/B
06hat2t
a6B0/2t
06t30/20
06/30/2r
06/30/21
01/01ilg 06130/19
07/01/18 06/30/19
07/0u20 06130/21
01/0u20 06t30/21
07/0Ut9 06t30/20
93.010 333.93.0'7 09/0v20 08131/2t o9t0t/20 08/9llz1 $111,000
93.268 333.93.26 0i/01/18 06/30/t8 04t0ut7 06 ail8 $61 6
93.268 333.93.26 01/01/18 06t30/18 04tgl/17 06/30/18 $2,226
93.268
93.268
93.268
93.069
333-93.26 0'7t01t20 t2/3ti21 0710t/20 l2/3ttzt
333.g3.26 oTtOU2o t2ltnt \1toiltl',:12BWr
333.93.26 07t0U20 06t30/21
333-93.06 01t0'1/20 06t30/21
Page I of 4
$5,600 ss.600
Kittitas County Public Health Department
Indirect Rate as ofJanuary 2018: zg.s|yo public Health Dept & 12.50% County Central Svcs
Indirect Rate as of Janu ary 2019:. 28-25oA Public Health Dept & l2.7So/o County Central Svcs
E. ^dIT B-I9
ALLOCATIONS
Contract Term: 2018-202I
Contract Number:
Date:
cLHt&249
January 15,201.1
DOH Use OnIt
Statement of Work Chirtof Accounts
Federal Award
Identilication ##
BARS
Revenue
CFDA*. Code**
Funding Period Funiliag
07/0Ut8 06/30/t9 07/01/18
07/0U18 06/30t19 A70U18
0l/01/18 06/30/t8 07/0I1't7
Funding
Period
Sub Total
$0
$2,000
$ r 00,000
$ 1 00,000
$42,000
$0
$2,400
$6,600
$10,400
$9,000
Chart of
Accounts
Total
$2,000
$242,000
s2,400
$6,600
$10100
$9,000
Chart of Accounts Title
SFY2 Lead Environmenrs of Children
SFY2 Lead Environments of Children
SFYI Lead Environmenrs of Children
FPHS Funding for LHJs
FPHS Funding for LHJs
F-PHS Funding for LHJs
FPHS Funding for LHJs
FPHS Funding for LHJs Dir
YR 20 SRF - Local Assr (15%) (FS) SS
YR 20 SRF - Local Asst (15%) (FS) SS
YR 21 SRF - Local Asst (15%) (FS) SS
YR 2l SRF - Local Asst (15%) (FS) SS
YR 21 SRF - Local Assr (15%) (FS) SS
YR 2l SRF - Local Asst (t5%) (FS) SS
YR 22 SRF - local Asst (15%) (FO-E) SS
YR 22 SR-F - Local Asst (15%) (FO-E) SS
YR 22 SRF - Local Assr (t5%) (FO-E) SS
YR 23 SRF - Local Asst (157o) (FO-E) SS
Sanitary Survey Fees (FO-E) SS-State
Sanitary Suwey Fees (FO-E) SS-Stare
Sanitary Survey Fees (FO-E) SS-State
Sanitary Survey Fees (FO-E) SS-State
Sanitary Survey Fees (FO-E) SS-State
YR 20 SRF - Local Asst (15%) (FS) TA
YR 20 SRF - Local Assr (15%) (FS) TA
YR 2l SRF - Local Asst (15%) (fS) TA
YR 2l SRF - lncal Asst (15%) (FS) TA
YR 21 SRF - Local Asst (15%) (FS) TA
Amd 8
Amd 4
Amd I
Amd 16, l8
Amd 10, 18
Amd l6
Amd i0
Amd 3
Amd 3
N/A, Amd 3
Amd i0
Amd 9, 10
Amd 7, 10
Amd 3, 7, 10
Amd 14
Amd 12
Amd 10, 12
Amd 14
Amd 12
Amd 9, 12
Amd7,12
N/A, Amd 3, 7, l2
Amd 3
N/A, Amd 3
Amd 10
Amd 7, l0
Amd 3,7, 10
334.04.93
334.04.93
334.04.93
a6BAtLg
a6B0/19
06/30118
06/30/2r
068Anl
0613012r
0613012t
06/3Ut9
Amount
($ 1,500)
$ r ,500
$2,000
$58,000
$42,000
$58,000
$42,000
$42,000
($2,400)
s2,400
($3,200)
s400
$2,800
$2,400
($400)
$3,800
s3,200
($400)
$3,800
$400
$2,800
s2,400
N/A
N/A
NiA
N/A
N/A
N/A
N/A
N/A
336.04.25
336.04.2s
336.04.25
336.04.25
336.04.25
346.26-64
346.26.64
346.26.64
346.26.64
07101/20
07/01/20
07l0tlt9
07 /01/19
07 /0t t18
01/01t18
0liO l /l 8
01/0 l/i 8
01/0 t/l 8
06/30121
06/30/21
06/30/20
06t30120
06130/19
07/01t19
07/01n9
07/0t/19
oilou19
07/0llt7
N/A
N/A 346.26.64 01i01/18 t2/3U18 .07/OvlS t2lg
ll18
I/l 8
$0
N/A
N/A
NiA
N/A
N/A
N/A
N/A
06130119 07/a1/1.7 06/3A/D
06t30/19 07/01n7 068A/9
06/30t19 07t01n7 06/30119
06t30119 07tot/t7 a6B0n9
346.26.64 01/}il19
346.26.64 0v01t19
346.26.64 01t0Ut9
12/3t/20 0t/au19 06Bon1
r2/31/20 0U0t/t9 a6B0/21
12/31t20 0\lolng 06/30tzt
Amd 19 N/A 346.26.64 0UO|21 t2:,.31t21 ogl1-t/zo tzt3ilzt $10,400
N/A
N/A
N/A
NiA
N/A
N/A
N/A
N/A
N/A
NiA
0ii0 l/1 8
0i/0 i/l 8
01/0r/r8
0t/01/18
01/0 r/l 8
12/31t20
12/31/20
1213r120
t2/31/20
t2/31/20
07 /0r/17
07/0vt7
0710t/17
07/01/t7
071a1,/t7
06BAU
06/30/21
06/3.0/21
06130/21
06/3U21
346.26.65
346.26.65
346.26.65
346.26.65
346.26.6s
346.26.66
346.26.66
346.26.66
346.26.66
346.26.66
01/0 l /r 8
0l/0 r/r 8
0l/01/t8,
01/0 r/r 8
0 I/0 t/r 8
($2,000)
$2,000
12t31/t8 07/0L/$ lzl9r/t8
t2/31t18 071A1/$ t2131.il8
06 t3 0 Lt 9 " 07 /0 v17 . ..A6R0.t t9
06/30/ te oitoL/\7 .'a630t1s
06t3o^e 07/0r/t7- gg13g!!2
$0
$0
$0
s0($4,ooo)
$2,000
$2,000
Page3 of4
Exhibit C-'r - ichedule of Federal Awards
KTTTITAS COUNTY HEALTH DEPT-SWVOO1O47547
CONTRACT CLH18249-Kittitas County Public Health Department
CONTRACT PERIOO: 01 lo1 l2O1A-12131 12021
Chart ofAccounts Program Title
FFY2O IAR SNAP ED PROG MGNT.REGION 2
FFY2O IAR SNAP ED PROG MGNT.REGION 2
FFYIS CSS IAR SNAP.ED PROG MGNT
FFY18 CSS IAR SNAP-EO PROGRAM MGNT CF
FFY18 CSS IAR SNAP{D PROGRAM MGNT
FFY,I7 CSS IAR SNAP-ED PROGRAM MGNT CF
COVID LHJ OFM ALLOCATION4ARES
BITV.COVID ED LHJ ALLOCATION-CARES
FFY2O PHEP BPz LHJ FUNDING
FFY19 PHEP BP1 LHJ FUNDING
FFY18 EPR PHEP BP1 SUPP LHJ FUNDING
FFY17 EPR PHEP BPl LHJ FUNDING
FFY2O ENVIR HEALTH CAPCITY-C (CDC)
FFY2.1 VFC OPS
DOH
Federal
Award Date
Total Amt
Federal
Award
NGA Not
Received
NGA Not
Received
Slate Ad ministEtive Matching
$20,603 10.561 ccnts for the Supplemental
Nutrition Assistance Program
Stale AdministEtive Malching
$26,046 '10.561 GEnts ior the Supplemental
Nutrition Assistance Prooram
State Administrative Matching
$20,174 10.561 crants for the Supplementat' Nutrition Assistance ProgEft
$858 10.561
Slate Administrative Matching
GEnts for the Supplemental
Nutrition Assistance Progmm
Staie Administrative Matching
$22,855 10-561 crants for the Supplemental
Nutrition Assistance Program
State Administrative lMatching
$1,472 10.561 crants for the Supplementat
Nutrition Assistance Prooram
Federal Award
ldentification
Departrnent of Agriculture Fqod and 207WAWA503903Nutrition Seryice
Department of Agriculture Food and NGA Not ReceivedNutrition Seruice
Department ofAgriculture Food and
Nutrition Seryice 197WAWAsQ3S03
Department of Agriculture Food and
Nutrition Seryice
Department of Health and Human
Services Centere for Disease Control NU90TP922043
and Preventign
Department of Health and Human
Services Centers for Disease Control NU90TP92'1889'01
and Prevention
Department of Health and Human
Seryices Centere for Disease Control NU90TP921889-01
and Prevention
Department of Health and Human
Seryices Centers for Disease Control NUEl EH001445
and Prevention
.aMENDMENT #19
Date: January 15,2021
Federal Grant Award Name
201 9 SUPPLEMENTAL NUTRITION
ASSISTANCE PROGRAM-EDUCATION
(SNAP-ED)
NGA Not Received
SNAP 2YR NUTRITION ED OBESITY
201 8 SUPPLEMENTAL NUTRITION
ASSISTANCE PROGMM EDUCATION
(SNAP-ED)
PUBLIC HEALTH EMERGENCY
PREPAREDNESS (PHEP)
COOPEMTIVE AGREEMENT
Allocation Period
Start End
Date Date
BARS
333.1 0.56 09/30/19 $5,300,00010t01t19 09t30t20
ContractAmt CFDA CFDAProgramTitle Federal Agency Name
10101t20 09t30t21
333.10.56 09t28t18 $5,386,26811tUnA A9t30t19
333.10.56 09/30/19 $5,300,00010/01/18 09/30/19
333.10.56 09128117 $5,300,00001/01/18 09/30i18
333.21.01
333.10.56 09/10/16 - $5,739,856 01101t18 09t30h9
NGA Not
Received
NGA Not
Received O3lO1l2O OGl3Ol21 $909,400 21.019 CoronavirusRelief.Firnd
NGA Not
Received
NGA Not
Received 07/01120 12130121 $252,036 21.019 Coronavirus Retief Fund
333.93.06 06t12t20 $11,365,797 07t01t20 06t30t21 $49,133 93.069
Public Health Emergency
Preparedness
333.93.06 o6/29t19 $11,307,904 07t01t19 06t30t20 $49,133 93.069 Public Health Emergency
Preparedness
333.93.06 08/01/18 $11,062,78207101/18 06/30/19 $49,134 93.069 Public Health Emergency
Preparedness
333.93.06 07hat17 $11,062,782 01/01i18 06/30/18 $20,398 93.069 Public Health Emergency
Preparedness
187WAWAs03903
Department of Agriculture Food and 187WAWAsQ3903
201 8 SUPPLEMENTAL NUTRIIION
ASSISTANCE PROGRAM EDUCATION
(SNAP-ED)
Nutrition Service
Depanment of Agricullure Food and 1717WAWA5Q390
201 8 SUPPLEMENTAL NUTRITION
ASSISTANCE PROGRAM EDUCATION
(sNAP-ED)Nutrition Service
Department of the Treasury NcA Not Received NGA Not Received
,, .---.-:.-r...@-.**. *,*,-. . -",.-..--,, .
Depadment of the Treasury NGA Not Received NGA Not Received
Department ol Health and Human
Seryices Centers tor Dlsease Control NU90TP922043
and Prevention
PUBLIC HEALTH EMERGENCY
PREPAREDNESS (PHEP)
COOPERATIVE AGREEMENT
HOSPITAL PREPAREDNESS
PROGRAM AND PUBLIC HEALTH
EMERGENCY PREPAREDNESS
COOPERATIVE AGREEMENT
04t02/00 $489,093 09/01/20 08/31/20 $111,000 93.070 Environmental Public Health and
Emergency Response
HPP AND PHEP COOPERATIVE
AGREEMENT
STRENGTHENING ENVIRONMENTAL
HEALTH CAPACITY (EHC) TO DETECT
PREVENT & CONTROL
ENVIRONMENTAL HEALTH HAZARDS
333.93.26 07t01t19 $9,234,83507t01t20 06t30t21 $5,600 93.268
Department of Health and Human
Seryices Centers for Disease Contro, NH231P922619
and Prevention
IMMUNIZATION GRANTAND
VACCINES FOR CHILDREN PROGRAM
lmmunization Cooperative
Agreements
o}r13r2o $12,s4g,955 o7tg1r2o o6r3otz1 $s,600 93.268 lmmunizalioncooperative
Aqreements
Page 1 of3
FFY2I ENHANCEDINFLUENZACOVERAGECARES 333.93.26
Department of Health and Human
Seruices Centers for Disease Control NH23lP9226l9
and Prevention
II\iIMUNIZATION GRANT AND
VACCINES FOR CHILDREN PROGRAM
Exhibit C-l., Schedule of FederalAwards
KITTTTAS COUNTY HEALTH DEPT€V\A/OO1M7 547
CONTRACT CLH1824g-Kiftitas County Pubtic Heatth Department
CONTRACT PERIOD: M r0il2018-,12131t202,1
DOH
Federal
AMENDMENT#1S
Date: January'li 2021
Chart of Accounts Progmm Title
FFY19 MCHBG LHJ CONTRACTS
FFY18 MCHBG LHJ CONTRACTS
BARS
Alocation Period
Start End
Date Date
333.93.99 1'V14t18 92,225,97710/01/18 09/30/19
1ot20t17 $1,650,52801/01/18 09/30/18
ContractAmt CFDA CFDAProgramTifle
Matemal and Child Heatth
$44,196 93.994 Servies Block GEnt to the
States
Matemal and Chitd Heatth
$34,040 93.994 Seruies Block GEnt to the
States
TOTAL $3,181,548
Total Amt
Fedeml
Amrd Federal Agency Name
Department of Health and Human
Servi@s Health Resou@s and
Servi€s Administ€tion
Department of Health and Human
Services Heahh Resour@s and
Servi€s AdministEtion
Federal Award
ldentification Number
804MC32578
B04MC31524
MATERNAL AND CHILD HEALTH
SERVICES BLOCK GRANT
Fedenl Grant Award Name
MATERNAL AND CHILD HEALTH
SERVICES
Pa'ge 3 of 3