HomeMy WebLinkAboutPH Consolidate Contract CLH18249KTTTITAS COUNTY PUBLIC HEALTH DEPARTMENT
2018 _ 2021 CONSOLIDATED CONTRACT
CONTRACT NUMBER: C'LHI8Z49 AMENDMENT NUMBER: 18
PURPOSE oF CHANGE: To amend this contract between the DEPARTMENT oF HEALTH hereinafter referred to as..DoH,,, andKITTITAS coUNTY PUBLIC HEALTH DEPARTMENT, a Local Health Jurisdiction, hereinafter referred ro as ,.LHJ,,, pursuant tothe Modifications/waivers clause, and to make necessary changcs within the scope of this contract and any subsequent amendmentsthereto.
IT IS MU'IUALLY AGREED: That the contract is hereby amended as follows:
I . Exhibit A Statements of Work, attached and incorporated by this reference, are amended as follows:
X Adds Statements of Work for the following programs:
r Climate & Health Wildfire Smoke Indoor Air Quality Pilot Study - Effective September l,z02o
A Amends Statements of Work for the following programs:
. COVID-19 Coordinated Response - Effective July 1,2020
' Division of Emcrgency Preparedness & Response COVID- 19 - Effective January 20, 2020r ELC COVID-19 - Effective lune 1,202A
' Emergency Preparedness & Response COVID-I9 Local CARES - Effective March l, 2020r Foundational pubric Health services (FpHS) - Effective Jury l, 2019
tr Deletes Statements of Work for the following programs:
2' Exhibit B-18 Allocations, attached and incorporated by this refer€nce, amends and replaces Exhibit B-17 Allocations as follows:
X Increase of$125.582 for a revised maximum consideration of$2.434.9g5.
n Decrease of _ for a revised maximum consideration of
I No change in the maximum consideration of
Exhibit B Alrocations are aftached only for inffitionar purpos€s.
3' Exhibit C-15 Schedule ofFederal Awards, attached and incorporated by this refer€nce, amends and replaces Exhibit c-14.
Unless designated otherwise here in, the effective date of this amendment is the date of execution.
ALL OTHER T'ERMS AND coNDITIoNS of the original contract and any subsequent amendments remain in full force and effect.
IN WITNESS WHEREOF, the undersigned has afiixed his/her signature in execution thereof.
KITTITAS COI'NTY PUBLIC HEALTH DEPARTMENT STATE OF WASHINGTON
DEPARTMENT OF HEALTH
6 HefilLk*o,il,03t19t21
Date Date
APPROVED AS TO FORM ONLY
Assistant Attorney General
tn\
?VY
Page I of34
2018-2021 CONSOLIDATED CONTRACT
EXHIBIT A
STATEMENTS OF WORK
TABLE OF CONTENTS
AMENDMENT#18
Contract Number CLHI 8249- I 8
DOH Program Name or Title: Climate & Health-Wildfire Smoke Indoor Air Quality Pilot Study - Effective September l,DOHProgramNameorTitle: covlD-lgcoordinatedResponse-Effective July r,2020....................................................
DOH Prograrn Name or Title: Division of Emergency Preparedness & Response-COVID-Ig - Effective January 20,2020
DOH Program Name or Title; ELC COVID-l9 - Effective June l,20ZO ..,..........
DOH Program Name or Title: Emergency Preparedness & Response COVID-19 Local CARES - Effective March 1 2020 ..
DOH Program Name or Title: Foundational Public Health Services (FPHS) - Effective July I, 21lg .................
Exhibit A, Statements of Work
Revised as ofNovember 16,2020
Page? of34
2020...........,..3
.,..'''..,.' 7
.......... 16
..........26
..........28
..........31
Period ofPerformance: September 1.2020 through August 31.2021
AMENDMENT#I8
Exhibit A
Statement of Work
Contract Term: 2018-2ml
DOH Program Name or Title: Climate & Health Wildfire Smoke Ildqor Air Ouality Incal Health Jurisdiction Name: Kittitas County public Health Department
Pilot Study - Effective Septernber I. 2020
Contract Number : CLHI 8249
SOW Type: Original Revision # (for this SOW)Funding Source
X Federal Subrecinient
Ll state
n other
Federal Compliance
(check if applicable)
X FFATA (Transparency Act)
! Research & Development
Type of Payment
X Reimbursement
! Fixed Price
StatementofWorkPurpose: ThepurposeofthisstatementofworkistorespondtodeclaredwildfiredisastersinWashingtonstatebyidentifyingthemostvulnerable
areas where indoor air quality needs improvement. This pilot study will be done as part ofthe CenteiofDisease Contol and Preventi;'s grant "strengthening environmental
DOH on September 1,2020.
Kiftitas County Public Health Departrnent (KCPHD) will support the DoH led wildfire Srnoke Indoor Air Quality pilot Study, as Kittitas County was the selected study area. This
statement ofwork provides KCPHD $l I 1,000 to perform community outreach and implement and evaluate the piiot study.
Revision Purpose: N/A
Exhibit A, Statements of Work
Revised as ofNovember 16,2020
Page 3 of 34 Contract Number CLHl8249- l8
Chart of Accounts Program Name or Title CFDA #BARS
Revenue
Code
Master
Index
Code
Funding Period
(LHJ Use Only)
Start Date End DBte
Current
Consideration
Change
Increase (+)
Iotal
Consideration
F'FY2O ENVIR HEALTH CAPACITY.C (CDC)93.070 333.93.07 2544022C 09/01/20 08/31/21 0 I I 1.000 I I 1.000
TOTALS 0 tll.m0 111,000
Task
Number Task/Activity/Description
*May Support PHAB
Standards/Measures Deliverables/Outcomes+Due Date/Time
Frame
Payment
Information and/or
Amount
Collaborate with DOH to identify individuals and
their location ofresidence within the selected target
vulnerable population to include:o Identifying vulnerable population based on
health risk and county needo Establishing selection criteria for participation. Identifying target individuals for intervention
and enrolling participants in pilot project
LHJ presents to DOH community
health and disparity status and
general priorities
LHJ presents to DOH selection of
priority at-risk target population
for pilot project and criteria for
participant eligibility of based on
need
February 28,2021 Reimbursement for
actual costs not to
exceed $42,000
Exhibit A, Staternents of Work
Revised as of November I 6, 2020
Page 4 of 34
AMENDMENT #18
Contract Number CLHI8249 - I I
Task
Number Task/Activity/Description
*May Suppoit PHAB
Standards/Measures Deliverables/Outcomes*Due Date/Time
Frame
Payment
Information and/or
Amount
2 DOH to develop
training to create cleaner indoor air spaces to
include:
r Developing resources for cotntnunicating
guidance developed for use with this
population within the county. Establishing protocol for applying
interventions
. Defining roles and responsibilities for
applying interventiono Selecting residences for evaluation and
intervention
A copy ofthe communication
resource
A wriften protocol for applying
interventions
DOH and LHJ present definitions
of roles and responsibilities
A list ofselected residences for
evaluation
Febrnry 28,2021
J Collaborate with DOH to pilot test implementation
ofthe intervention strategy for creating cleaner
indoor arr in residences by serving as main point of
contact for participants and facility interactions to
include: (C2d)
. Implementing intervention strategy in two (2)
or more long term care facilities*o Lnplemenling intervention strategy in five (5)
or rnore single family hornes
smay use other housing types ifindicated by tasks
I and2
# of long terrn care facilities
receiving intervention from DOH
and LHJ
# ofsingle family hornes receiving
interventions from DOH and LHJ
August 3 l, 2021 *
*dates/tirne frames
will be dictated by
wildfire smoke or
other air quality
events
Reimbursement for
actual costs not to
exceed $46,000.
4 Collaborate DOH to assess the ability to
achieve cleaner indoor air during wildfire smoke
events by serving as the main contact with
participants and facility interactions using the
protocol established by DOH to include:o Collecting air quality measurements to evaluate
intervention strategy
o Assess two (2) or more long term care
facilities+
o five or lrore homes
# oflong term care facilities
assessed by DOH and LHJ, and
summary of air quality
measurements collected
# of single farnily hornes
assessed by DOH and LHJ, and
surnmary of air quality
measurements collected
August3l,202l*
*dates/time frames
will be dictated by
wildfire smoke or
other air quality
events
Reimbursement for
actual costs not to
exceed $21,000.
5 with DOH as lead of qualitative
assesslnent to estimate the effectiveness and
efficacy ofthe intervention to reduce exposures
through access to cleaner indoor air spaces to
include:
o Quantifying the nurnber ofpeople irnpacted by
the intervention
# of people impacted by the
intervention
# ofassessed facilities achieving
good to moderate indoor air quality
post interventions
August 31,2021
AMENDMENT#18
*For Information Onlv:
FundingisnottiedtotherevisedStandards/lr4easureslistedhere. Thisinformationmaybehelpfulindiscussionsofhowprogramactivitiesmightcontributetomeetinga
Standard/N4easure. More detail on these and,/or other Public Health Accreditation Board (PHAb) Standards,Measures thai rniy apply can be fo-und at:
htto://www.phaboard.orelwp-content/uploads/PHAB-standards-and-Measures-Version- l.0.odf
Proqram Specifi c Req uirements/l,rlarrative
Due to the unpredictable nature ofwildfire smoke events, KCPHD and DOH will be prepared to respond quickly to ensure timely and high quality data collection during the event.Many tasks are jointly shared between KCPHD and DOH; specific roles and responsibilities will be discussed on monthly calls in order to aihievi deliverables.
Special Requirements
Federal Fundins Accountabilitv and Transnarencv Act (FFATA)
This statement ofwork is supported by federal funds that require cornpliance with the Federal Funding Accountability and Transparency Act (FFATA or the Transparency Act).
The purpose ofthe Transparency Act is to make inforrnation available online so the public can see how the federal funds are spent.
To comply with this act and be eligible to perform the activities in this statement of work, the LHJ must have a Data Universal Numbering System (DUNS@) number.
Information about the LHJ and this statement ofwork will be made available on USASpendins.gov by DOH as required by p.L. 109-282.
Restrictions on Funds (what funds can be used for which activities, not direct payments, etc)
The funds can be used to complete the activities outlined above to conduct community engagement and implement and evaluate the pilot study. Restrictions on funds imposed by
the CDC include:
o Subrecipients may not use funds for research,o Subrecipients may not use funds for clinical care except as allowed by law.o Subrecipients may use funds only for reasonable program purposesr including personnel, travel, supplies, and services.o Generally, sub-recipients may not use funds to purchase furniture or equipment. Any such proposed spending must be clearly identified in the budget,o Reimbursement ofpre-award costs generally is not allowed, unless the CDC provides written approval to the sub-recipient.
Exhibit A, Statements of Work
Revised as ofNovember 16,2020
Page 5 of34 Contract Number CLH I 8249- I 8
Task
Number Task/Activity/Description
*May Support PHAB
Standards/Measures Deliverables/Outcomes+Due Date/Time
Frame
Payment
Information and/or
Amount
Estimating the effectiveness of intervention in
two (2) long-term care facilities and five (5)
single family homes*
*may use other housing types ifindicated by tasks
1 and2
6 Adapt intervention and Iocal cornmunication
resources for local use based on information from
evaluation to include:o Developing a plan for revising local
communication resources; and. Incorporating revisions in local communication
resoulces
Submit a copy of revised local
communication resources based on
information from the evaluation
August 3 l, 2021
AMENDMENT#18
. Other than for normal and recognized executive-legislative relationships, no funds may be used for:o Publicity or propaganda purposes, for the preparation, distribution, or use of any material designed to support or defeat the enactment of legislation before any
legislative body
o The salary or expenses ofany grant or contract sub-recipient related to any activity designed to influence the enactment of legislation, appropriations, regulation,
administrative action, or Executive order proposed or pending before any legislative bodyo In accordance with the United.Stales Protecting Life in Global Health Assistance policy, all non-governmental organization (NGO) applicants acknowledge that foreign
NGOs that receive funds provided through this award, either as a prime recipient or sub recipient, are strictly prohibited, regardlesi oiihe source offunds, from
performing abortions as a method offamily planning or engaging in any activity that promotes abortion as i method offamily planning, or to provide flnancial support to
any other foreign non-governmental organization that conducts such activities. See Additional Requirement (AR) 35 for appiic;bility -
(https://www. cdc. gov/grants/additionalrequirements/ar-3 5. html).
Monitoring Visits (frequency, type)
Project stafffrom Kittitas County Public Health and DOH will have at a minimum monthly phone or video calls to check-in on the progress ofthe grant for the duration oftheproject period. These may be substituted for in person meetings in the event that COVID resirictions are lifted during the project peiiod.
DOH Program Contact
Rad Cunningham
Climate and Health Section Manager
PO Box 47825, Olympia WA 98504-7825
Rad.Cunnineham@.doh.wa. gov / 360-236-33 59
Exhibit A, Statements of Work
Revised as ofNovember 16,2020
DOH Fiscal Contact
Jayme Hills
Budget and Fiscal Manager
PO Box 47825, Olympia WA 98504-7825
Javme.Hills@doh.wa.eov I 360-236-321 I
Page 6 of 34 Contract Number CLHI 8249- I 8
SOW Type: Revision Revision # (for this SOW) I
Period ofPerformance: Julv 1.2020 through June 30.2021
AMENDMENT#I8
Exhibit A
Statement of Work
Contract Term: 2018-202l
DOH Program Name or Title: COMD-I9 Coordinated Resnonse -
Effective July l. 2020
Local Health Jurisdiction Name: Kittitas County public Health Department
Contract Number : CLHI 8249
Funding Source
Federal Subrecipient
State
Other
Xn!
Federal Compliance
(check if applicable)
xft FFATA (Transparency Act)
Research & Development
lpe of Payment
l! Reimbursement
n Fixed Price
StatementofworkPurpose: ThepurposeofthisstatementofworkrstoprovidesupplementalfundingfortheLHJtoensureadequateculturallyandlinguisticallyresponsive
testing, investigation and contact tracing resources to limit the spread ofCOVID_19.
Revision Purpose: The purpose of this revision is to change the DoH Program Name or Title from "Disease control & Health Statistics BITV cvcT covlD-lg - Efl-ectiveJuly I , 2020" to " COVID- l 9 Coordinated Response - Effective July t ,lO2O"; extend the period ofperformance from December 30, 2020 ro June 30, 202 1; replace FEMA-75covlD LHJ ALLocATIoN funds with BITV-covlD ED LHJ ALLOCATION-CARES funds; aid and revise language foi Task s I and2,and add Task 3 and funding forCOVID-19 Vaccine Services.
Exhibit A, Statements of Work
Revised as ofNovember 16,2020
PageT of34 Contract Number CLHl 8249- 18
of Accounts Program Name or Title CFDA #BARS
Revenue
Code
Master
Index
Code Start
Funding Period
(LHJ Use Only)
Current
Consideration
Change
Increase (+)
ED LHJ ALLOCA 21.019 l.01 1897129V 07/01/20 I
75 COVID LHJ 97 333.97.03 1897129W 0710 t2/30t20 I 0FFY21 COVIDI9 VACCINE ERVICES.CARES 93.333.96.26 74310209 06/30t21 82
8
Task
Number Task/Activity/Description
*May Support PHAB
Standards/Measures Del iverables/Outcomes Due Date/Time Frame
Payment
Information and/or
Amount
llxumples o/ key cotivities inchde:
. Incident monugenenl.fbr lhe response
. 1'esting
o Case Invesligoliontcontacl Tracing
o Sustainable isolstion ond quoruntine
o Ctu'e cootdination
o Sm'ge management
. Dttl1 t"porling
laboraloty cctpcrcity,conlrol,ln healthpublic and acliviliesemergency 7'his19.includeresponsem0y
andcomrnunicclions olherot'miligalion,arul ocliviliesprepu'edness (:o 9.WD-]response .lbr
Exhibit A, Statements of Work
Revised as ofNovember 16,2020
Page 8 of34
AMENDMENT #18
Contract Number CLHI 8249 - 1 8
Task
Numher Task/Activity/Description
*May Support PIIAB
Standards/Measures Deliverables/Outcomes Due Date/Time Frame
Payment
Information and/or
Amount
DOH (0vil)I'ret,ious.linding lin'response (:ooper4live Account tnilsl./itnding,Agreement Ilet'ot'cry .fimding)lhese hecdn 'l'hc considedion.limds I)ecanber 3 2020/imding lbr periocl ol 30,1.through
7heNOl'1i:lool thisputp0sc 0greetnenl loctl lostpplemenl./brcx rsting.limds oul c0seheuhh.i urisdict i0ns cufiy sat,eillunce,&conluclepidcmiologlt,imeslig0li}ns lruci ng,
olherund und 9.
DCHS COVID-|| Response - Tosks I ond 2
Department of Health (DOH) Contract Manager. DOH will
send the "Budget narrative Template", "Budget Guidance"
and any other applicable documents that rnay be identified.
' rtef
tht* rtlloeat t0
the*e<:etl+s+fle+ide+o l,'EMl./br s reimbuttemenl
requetl, liil'l@
@lheshared,
N0IE::Ilrcpu+pesetf th;s agreenent is te surylensnt
"Elstirrg fit,r,ls
Jarvei4ffiee t e pi den' i e I o@
eenmwie*iex+-ee*n ifuagagenentraad ether
@etivitks-f€twrD-l+
ki*irw
frefit lhis t g.eerrrent sholl be HSed te supplarfi euitting
federclt stete et Ioffi
@
DOH does recognize the public health response goes
beyond December 2020 and authoriz€s local health
jurisdictions the ability to maximize funding streams
available to them by using short term funding first to
have longer term funding available to continue to
support the local health jurisdiction response activities
beyond December 2020 as applicable,
Establish a budget plan and to be submitted to the Submit the budget plan
and narrative using the
template provided.
t ffivde1hffiqile++ed
d€€itn4en&1tefi1e+ilpp€t+
ee*l#lbrl;EMA
res4h#enqet4ttvpot+iW
receiving *i+ uny nsu,
award./br 1)(:HS
COVID-19 llesponse
t0sks.
30 of Reimbursement of
actual costs
incuned, not to
exceed:
$2s2,036 Rr!'V-
rcVID liD ].H,1
A1,I,OCA1'K)N.
(tAllES I'unding
(Mr 1897r29V)
Exhibit A, Statements of Work
Revised as ofNovember 16,2020
Page 9 of34
AMENDMENT#18
Contract Number CLHI 8249- I 8
Task
Number Task/Activity/Descri ption
*May Support PHAB
Standards/Measures Deliverables/Outcomes Due Date/Time Frame
Payment
Information and/or
Amount
2 l) LHJ Active rnonitoring activitres. In partnership with
WA DOH, the LHJ must ensure adequate culturally and
linguistically responsive testing, investi gation and
contact tracing resources to lirnit the spread disease.
LHJs must conduct the lollowtng actlvities in
accordance with the guidance to be provided by DOH.
a.Al lomte enough.ftmd inS4 to ensurc tha./bl lowing
l;undin*nag he jirct Contact
Tracing and Case Investigation Support:i. Contact tracing
l. Strive /o rnaintain the capacity to surge a
minimum of e+gh+(8).five (5) contacr
trcrcets fot every 100,000 people in the
jurisdiction, as needed, based on disease
rates. DOH centralized investigations r+*y
wil/ count towards this minimum. */rs++-
@W2. Have staffthat reflect the demographic
rnakeup ofthejurisdiction and who can
provide culturally and linguistically
competent and responsive services. In
addition, or alternatively, enter into an
agreement(s) with community-based and
culturally-specific organizations to provide
such services. DOH centralized
investigations xr9, wll/ count towards this
mininrum. t&e"4s+n4t4d?ret<1e
@
eeilOg;g0g-l;l++3. Ensure all contact tracing staffare trained
in accordance with DOH investigative
guidelines and data entry protocols.
{ Followup with9591 90%o of contacts
wilhin2:rhew two (2) days o.f positive lab
reporling. 7 hi.s um be modilied und
ctdctpled based on cuseloads and cmtenl
cose invesligotion and conlocl tracing
pri ori I i :ct I i on rc commendat i ons.
Data collected and
reported into DOH
systefirs daily.
Enter all contact tracing
data in CREST s
dir*ted4y.following
guidance.flan-DOH.
Enter performance
metrics daily into DoH
identified systems
Quarterly performance
reporting updates
Exhibit A, Statements of Work
Revised as ofNovember 16,2020
Page l0 of34
AMENDMENT#18
Contract Number CLH18249- l8
Task
Number Task/Activity/Descri ption
*May Support PIIAB
Standards/Measures Deliverables/Outcomes Due Date/Time Frame
Payment
Information and/or
Amount
direekd+yDQl+ Strive to achieve DOH
Case onrl Contuct 'lj,ocing Metfics.
(ttttps:',www.aon
I 600' coronuv i rus, d.r t Gt ab les., C.OVI D I 9 -
('il,\ c I nws I i pil i on(' on | ft rct 7'ro c i n t! I ?c po rt. n4l.)6. Perfonn.loily monitoring.fbr symptorns
dm'i ng q ut uz mt r ne pa ri( al ol' con til.'t t
ii. Case investigation
l. Strive to mointain the cupocity to surge a
minimun ol./ive (5) cese investigatots and
conluct tt'oce$.lbr every 100,000 people in
the.jurisdictiott, os neaded, based on
diseuse rctes. l)OH centrali:ed
invesligtrtion u,ill count tou,unl this
ninimum.
2. Lnler ull case investigation ond outbreak
datu in Wl)lls./bllou,ing DOH guidanca.
a) Strive to enter all case investigation
and outbrecrk data into WDI?S CIlliSI'
as directed by DoH.
b) Ensure all staffdesignated to utilize
WDRS huve uccess and are trained in
the system.
c) Include ifnew positive cases are tied
to a known existing positive case or
indicate community spread.d) Conduct case investigation and
monitor outbreaks.
e) Stt'ive to uchieve DOH Cuse and
(:ont uct'l' rac i ng Me I ri cs.
(nos:,,www.aon.
. I 600' corcnori t,us du tkt ob les, ('.O VI I ) I 9 -
(ir se I nvcs t i t!( tt i on(' u n I n k t I rf i n{l lcpo fl .N.l)
b. Testing
i. Work wth partners to ensure testing is
available to every person within the
jurisdiction meeting current DOH criteria for
and other needs.
Enter all case
investigation data in
WDRs<w4i+ee*d4y
.fo I low i ng gu idance.fi'om
DOH.
Maintain a current list of
entities providing
COVID-19 testing and at
what volume, Provide
reports to DOH Contract
on
Exhibit A, Statements of Work
Revised as ofNovember 16,2020
Page I I of34
AMENDMENT#18
Contract Number CLHI 8249 - 1 8
Task
Number Task/Activity/Description *May Support PHAB
Standards/Measures Deliverables/Outcomes Due Date/Time Frame
Payment
Information and/or
Amount
partners to ensure testing
provided in a culturally and linguistically
responsive manner with an elnphasis on
making testing available to disproportionately
impacted communities and as a part oflhe
jurisdiction's contact tracing strategy.
Maintain a current list ofentities providing
COMD-19 testing and at what volume.
Provide reports to DOH on testing locations
and volume as requested.
lll.
c. Sateillonce
i. finsurc all COVID positiva lub test rcslths ore
entercd in to LltDllS by I) cntering duta directly
in to WDRS, 2) saruling te,st results to DOH to
enter, or 3) working witll I)OH and entities
conducting lesls to implemenl an alectronic
nrct hoJ.fbr t c st. rtsul t s ubn i s.t i on.ii. Muintoin records ol all COVID negutive lab test
resuhs and enter inlo Wl)lls r1,l1en resources
pet.mit or send te:t re.\ults to DoH.
d. Tribal Support. Ensure alignment ofcontact tracing
and support for patients and farnily by coordinating
with local tribes if a patient identified as American
Indian/Alaska Nalive andlor a member of a WA
tribe, ifpatient providers permission to notify tribes.
e. Support Infection Prevention and conlrol 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 farrnworkers.
ii. Congregate care facilities: In collaboration
with the state licensing agency (DSHS),
support infection prevention assessments,
testing. Infection control and isolation and
quarantine protocols in congregate care
facilities.
as
requested.
Quarterly performance
updates related to
culturally and linguistic
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.
Exhibit A, Statements of Work
Revised as ofNovember 16,2020
Page 12 of34
AMENDMENT#I8
Contract Number CLHI 8249- I 8
Task
Number Task/Activity/Description
*May Support PHAB
Stsndards/Measures Deliverables/Outcomes Due Date/Time Frame
Payment
Information and/or
Amountiii. High risk businesses or ty
operations. In collaboration with state
licensing agencies and Labor and Industries,
partner with food processing and
manufacturing businesses to ensure adequate
praclices to prevent COVID-1 9 exposure,
conduct testing and respond to outbreaks.i@
t@
@Miwln
@
@
Healthcure: Support infection prevention and
conl ro I a ssess m en I s, tesl i ng, c o horl i ng, and
isolctlion procedures. I)rovide educalionttl
resoufces lo a yu'iely ol'heolthcarc setting
types (e.g., nursing homes, hospiluls, denlal,
diulysis).
v- Non-hecillhcorc settings thol house yulneruble
populdions: Itl colluborution with stute
correclions agency (l.)OC) and other state
pcu'lners, suppofl testing, inlection cont rol,
isolulion cmd qutruntine und social senices
and wmptu'ound stqporls.for indiyiduals
Iiving or temporarily residing in congrcgote
I iv ing set I i ngs, inc lud i ng de t ent i on cent e|s,
pri sons, .itr i ls, I runs i t i on hous i ng, hotne less
shelters, urul other vilneruble populcttions.
* Schools: ln collahoration with OSPI arul local
heu lt h.i u risd ic I i ot1s, support i nJect i on
prcvention und control und oulbreqk responsa
in K- I 2 and uniyersity school settings
f, Cornrnunity education. Work with partners to
provide culturally and linguistically responsive
community outreach and education related to
covrD-19.
Exhibit A, Statements of Work
Revised as ofNovember 16, 2020
Page 13 of34
AMENDMENT#18
Contract Number CLHl8249-1 8
Task
Number Task/Activity/Description
*May Support PHAB
StandardVMeasures Deliverables/Outcomes Due Date/Time Frame
Payment
Information and/or
Amount
Wie##
DOH+
i@
it4lhe-tvgi€tc
ii@
(flnffid+il#nMh-W,$(H
@itt. hnpknext-MO4k-zn;neede&
lisl nb Ii s h s ust a ina b le i s o lcrt i on and q uo ront i ne
me(6tu'es.
i. Have at leost one (l) location identl/ied and
confirmed through contract jbr.mal ctgt eement
lhat con support isolation ond qucuantine
adequule to the populcttion.[or your
.iurisdiclion with the ability to expand:
ohematively, estahlish with on od.iocent
.iut'isdiction o.fonnal agt'eement to provide lhe
isolcttion and qtnrdntine capocity ctdequute to
the population lbr your.iurisdiction with lhe
ability to expond.
ii. Conduct ot leost one (l) exercise peryeu.will
the identi/ied isolcttion and (luffontine Nite to
include a minimunt of: conJirmution ofwrup
around serttices (lbod sen'ice,delivery, Icnmtlry
service, woler'/ seplic, gorboge, ambulqnce
servi ce, clean i ng/s un i ta t i on),.f1ci li ty i nt oke
and di s chm'ge proc edures, I runsport
prccedures, and stcrfiing.
iii. Pkrnning mu,tt incorporata transfer or receipt
ol isokrtion und quu'antine patients to./i.om
adicrcent -iurisdictions or stute.facilit ies in the
evenl ol' loccrli:ed i ncraased need.
iv. I)lunningmusl in(:otporale trigge* ond
coordindion to requesl slole isolalion ond
qilaronline suppoil either tht'ough mobile
leuns or lhe lo include sile
Quurlerly performunce
updates lo inchtde nume,
address und capacity of'
identi/ied loccrtion thut
cun supporl it;olation and
qulr1nline, date ol
exercise lo be conducled
and conlirmation of
lpproprial e planning end
coordi nat i on as required.
*For Information Onlv:
Funding is not tied to the revised Standards/lr4easures listed here._ This information may be helpful in discussions ofhow program aclivities might contribute to meeting aStandard/Measure More detail on these and./or other Public Health Accreditation Board (PHAb) Standards,Measures thai miy apply can be foind at:
htto://www.phaboard.ordwp-contenvuploads/pHAB-standards-and-Measures-Version- l.0.pdf
AMENDMENT#I8
Contract Number CLHI 8249-l 8
Exhibit A, Statements of Work
Revised as ofNovember 16,2020
Page 14 of 34
Task
Number Task/Activity/Description *May Support PHAB
Standards/Measures Deliverables/Outcomes Due Date/Time Frame
Payment
Information and/or
Amount
COVID-|9 Vaccine Services - Tnsk 3
3.4 oclivily. crclivities to support OOVID vtrccine
response in your communily, using lhe examples below tts ct
guideline.
Etample 1: l)evelop and implement cornmunicotion
slralegies wilh health coe provider.s, community, on.l/or
olllar paflners to help build vaccine confidence broadly and
among groups qnticipoted to receive eil'ly vaccinstion, us
well as dispel vaccine misinfonnation. Documanl ond
provide a pkm that show,s lhe commtuicdion strolegies
used with health ctrre prcviders und other partners and the
Iocally identilied population onticipoted to reach.
Etantple 2: lingugc in other vaccination plonning activities
sttch us partnership development, ptovider educrtion,
voccinolion point ol dispensing (POD) planning, tabletop
exercises, engogement wilh communilies, leaders, non-
truditionul provider, or yulnercthle populetions to detelop
slr'olegies lo ensurc equiloble access to ruccinalion seruices
Summcuy ofthe
engctgemenl slrulegies to
be used with henhh care
providets and other
pafiners, and the locally
identifted population to be
ruched.
Januuy 3), 2021 I 11,582 FFy2t
COVIDl9
VACCIN]]
SE]]VICDS.CAIIIiS
[,unding
(Mr 713 10209)
3.R communiul i on sl rul egies or 0ctivilies,
working with heafth care provitlen ond other pailners to
rcach the locally identilied population, suppott providers in
vaccinotion plans, ond support equitable access to
vqccination seruices.
Mid-term u,ritten repofl
describing
0cl il,ily/aclivi lies and
progress modc to-date
qnd slrategies used
(temolate lo be orovided)
March 31,2021
3.C (inolog uctivities and conduct un evoluotion ofthe
slralegie,\ used
Fin1l written rcport,
showing the strategies
used and thc.finol
progress ofthe reach
(temnlate to be w'ot,ided)
June 30,2021
AMENDMENT#I8
Special Requircments
Federal Fundine Accountability and Transnarencv Act (FFATA)
This statementofwork is supported by flederal funds that require cornpliance with the Federal Funding Accountability and Transparency Act (FFATA or the Transparency Act).
The purpose ofthe Transparency Act is to make information available online so the public can see hoiv the federal funds are spent.
To comply with this act and be eligible to perfortn the activities in this statement of work, the LHJ must have a Data Universal Numbering System (DUNS@) number.
Information about the LHJ and this statement ofwork will be made available on USASoending.gov by DOH as required by p.L. 109-2g2.
Prograrn SDecifi c Req uirements/Narrative
RII'V-COVID Ii]) I,HJ AI,I.OCA7'ION-CA]?]iS, ]4'MA-75 COVID I.HJ AI.I.OCA|'ION)
the budget will not be accepted or approved.
SutrmissionoflnvoiceVouchers: TheLHJshall submitcorrectrnonthlyAlg-lAinvoicevouchersforamountsbillableunderthisstatementofworktoDOHbythe25rhofthe
following month or on a frequency no less often than quarterly.
DOH Program Contact
@KaseyWalker
DOH, €ewwxiee$kAi*ea+e4PL1, H OC I S
1610 NE 150'h Sr, Shoreline, WA 98155
Ph:-256-l-18-5652, Mike4ey*an@deh;+ct<x kcr,t ev. wa I k e t@do h. w u. gov
DgH-Fisearce*ea
&nne+aart*
W
DOH BITV-COVID ED LHJ Allocation-CARES Fiscal Contact (Tosks t and 2)
Sheri Spe::e
DOH, O/fice of Progrctn liirutncictl Monogement
1)0 Box 17810, Olympicr, l.t/A 98501-781I
I' h : 3 (t0 - 2 3 6 - 1 1 1 7 l ;trx : 3 (t0 -(t 6 1 - 2 2 I 6 s h e ri. s pe :=e@do h. wcr. sov
DOH COVIDI 9 Vaccine Services Progrant Contacts (Tosk 3)
1'awney Huryer, Ml'A Misty \lltis, project Manager
Depuly Dircctor I Operations Manugar CDC t,ubtic Health Advisor
O//ice ol lmtnmi:crtion arul Child l,rcfile OlJice of Immuni:ation antt Chiltl profile
l)epcutment ol Health Deponmen of Heohll
PO Box 17813, Olympict WA 98501-7813 PO Box 17813, Otympia LI.A 98501-7813
tuu,nqt.hcn'ner@rloh.wct.got' 360-236-3525 misry.ellis@doh.wu.gov 360-236_3675
Exhibit A, Statements of Work
Revised as ofNovember 16,2020
Page 15 of34
Soniu Morris, l)rogram Manoger
linhanced Influen:u and COVII)-19 llesponse
Olfice oJ-lmmuni:ation and C.hild Profile
I)epartment ol Health
PO Box 17813, Olympia, WA 98501-7813
tgltia.morris6Dioh.wu.pov 360-236-3515
Contract Number CLH 1 8249- 1 8
AMENDMENT#I8
Exhibit A
Statement of Work
Contract Term: 2Ol8-2O21
DOH Program Name or Title: Division of Emersency preparedness & Response_
COVID-19 - Effective January 20. 2020
Local llealth Jurisdiction Name: Kittitas County public Health Department
Contract Number: CLHI 8249
SOW Type: Revision Revision # (for this SOW) I xX
Funding Source
tr
Federal Subrecipient
State
Other
Federal Compliance
(check if applicable)
Xfl FFATA (Transparency Act)
Research & Develonment
Type ofPayment
X Reimbursement
X One-Time
Distribution
Period of Performance: January 20. 2020 through June 30, 2021
StatementofWorkPurpose: ThepurposeofthisstatementofworkistoestablishfundingandtasksforLHJstoprevent,preparefor,andrespondtotheCOVID-lgdisease
outbreak.
Revision Purpose: The purpose ofthis revision is to extend the period ofperformance from December 31,2020 to June 30,2021 andextend funding periods and add reportdeliverable due dates for 2021.
A, Statements of Work Page 16 Number CLHI 8249- I 8
Revised as ofNovember 16,2020
Chart of Accounts Program Name or Title CFDA #BARS
Revenue
Code
Master
Index
Code
Funding Period
(LHJ Use Only)
Start Date f,,nd Date
Current
Consideration
Change
None
total
Consideration
FFY20 CDC COVID-19 Crisis Resp LHJ-Tribe 93.354 333.93.35 31104102 0t/20t20 $/tsu 78.s22 0 78.522FY20i2 I COVID-l 9 Disaster Response N/A 334.04.92 934A01 0r ot/20/20 06130121 71,478 0 71.478
ALS 150.000 0 150.000
Task
Number Task/Activity/Description *May Support PIIAB
Standards/Measures Deliverables/Outcomes Due Date/Time
Frame
Payment Information
and/or Amount
Federal Funds
Participate in public health emergency preparedness
and response activities for COVID-19. This rnay
include surveillance, epidemiology, laboratory
capacity, infection control, mitigation,
communications, and or other preparedness and
response activities for COVID-19.
Activities tnust address one or more ofthe following
six domains:
o Incident management for early crisis
response
a Jurisdictional recovery
Information management
Countermeasures and mitigation
Activity report(s) on template
to be provided DOH.
June 30, 2020
December 3 l, 2020
Mcrch 15,2021
Frequency and due
dates ofreports may
change based on
federal requirements.
DOH will notiS/ LHJ
ofany changes via
email.
A final activity report
is required prior to
DOH releasing the
Reimbursement for actual
costs not to exceed total
funding consideration
amount
Note: Per Federal
funding requirements,
prior approval frorn
DOH is required for
reimbursement of
expenses incurred on or
after January 20,2O2O
through March 4,2020.
Exhibit A, Statements of Work
Revised as ofNovember 16,2020
Page 17 of34
AMENDMENT#18
Contract Number CLHI 8249-l I
Task
Number Ta sk/Activity/Description
*May Support PHAB
Standards/Measures Deliverables/Outcomes Due Date/Time
Frame
Payment Information
and/or Amount
Surge management
Biosurveillance
DOH will provide additional guidance and technical
assistance.
Note: The total lederal funding consideration is for
the period ofJanuary 20,2020 through March 3€ /J,
2021 ,4ny untgent,fund sn
edi@
202+
final amount of
funding.
After approval is
received from DOH,
LHJ must submit a
separate invoice for
reimbursement of these
expenses,
2 State Funds
Participate in public health emergency preparedness
and response activities for COVID-19. This may
include surveillance, epidemiology, laboratory
capacity, infection control, mitlgation,
communications, and or other preparedness and
response activities for COVID- 19.
Activities must address one or more of the following
six domains:
o Incident management for early crisis
fesponseo Jurisdictionalrecovery
o Informationmanagemento Countermeasures and mtttgationo Surge managernento Biosurveillance
DOH will provide additional guidance and technical
asslstance.
Note: The total state funding consideration is for the
period ofJanuary 20,2020 through June3},2021. tf'
@anddel;vre$les
y'i tlt due detet elaier Deeetnber 3 l, 2020 tyill be
Wril15andlan*0;agZ+
Activity report(s) on template
to be provided DOH.
JuIy 15,2020
October 15,2020
ktnuary 15,2021
April |5,2021
June 30, 202 I
LHJ has already received
these funds as a one-time
distribution.
AMENDMENT#I8*For Information Onlv:
Standard/Measure. More detail on these and./or other Public Health Accreditation Board (PHAb) Standards/Measures thai rniy apply can be fo-und at:htto://www.phaboard.orE/wo-content/uploadVPHAB-Standards-and-Measures-Version-l.0.odf
Program Specifi c Req uirements/Narrative
Any subcontracVs must be approved by DOH prior to executing the contract/s.
Deliverables are to be submitted to the ConCon deliverables mailbox at concondeliverables@doh.wa.sov
Special Requirements
fgierat funatne Ac
This statement of work is supported by federal funds that require compliance with the Federal Funding Accountability and Transparency Act (FFATA or the Transparency Act).The purpose oflhe Transparency Act is to rnake infonnation available online so the public can see hoiv the federal fund. ur" rpent. "
To comply with this act and be eligible to perform the activities in this statement of work, the LHJ must have a Data Universal Numbering System (DUNS@) number.
Information about the LHJ and this statement ofwork will be made available on USASoendine.gov by DOH as required by p.L. 109-282.
R€strictions on Funds (what funds can be used for which activities, not direct payments, etc)
Please reference the Code of Federal Regulations:
https://www.ecfr.sov/cgi-bin/retrieveEcFR?qp=l&SID:58ffddb5363a27{26e9d12ccec462549&!v:HTML&h:L&mc=.true&r:pART&n:pt2.1.200#se2.1.200 1439
Allowable Activities - See list of allowable activittes below, Appendix 2 from COVID-19 Crisis Response Cooperative Agreement - Components A and B Supplernental Funding,Interirn Guidance, March 1 5, 2020.
Costs that are NOT allowable
' Facility purchases - May be if prior approval recerved from the feds and state. Send those requests to Amy.Ferris@doh.wa.gov. Research
' Clinical care except as provided for individuals while under state or federal quarantine and isolation orders that are not eligible for payment by another source.o Publicity and propaganda (lobbying):
' Other than for normal and recognized executive-legislative relationships, no funds may be used for:o publicity or propaganda purposes, for the preparation, distribution, or use ofany material designed to support or defeat the enactment oflegislation before any
legislative body
o the salary or expenses ofany grant or contract recipient, or agent acting for such recipient, related to any activity designed to influence the enactment oflegislation,
appropriations, regulation, adrninistrative action, pr Execulive order proposed or pending before any legislative body -
o See Additional Requirement (AR) l2 for detailed guidance on this prohibition and additional guidance on lobbying-for CDC recipients:
httns:/ vww.cdc.eov/grants/documents/Anti-Lobbving Restrictions for CDC Grantees July 20l2.pdf. Funds cannot be used to supplant existing federal funds awarded by other federal sources. Funds cannot be used to match funding on other federal awards,
DOH Program Contact
Tory Henderson, Contracts & Finance Specialist
Department of Health
P O Box 47960, Olympia, WA 98504-7960
360-236-4596 / tory.henderson@doh.wa. eov
Exhibit A, Statements of Work
Revised as of November I 6, 2020
Page 18 of34 Contract Number CLHI 8249- I 8
Appendix 2. Allowa le A€tivitier
Exhibit A, Statements of Work
Revised as ofNovernber 16,2020
Page 19 of34
AMENDMENT #18
Contract Number CLHI 8249- I 8
tnatdent Menatement
for Early Crasls Response
Emergency Otre€tirons
an'd coord[nataom E €6nduct jurisdictiofial COVID-ag rtsk assessm€nt.
' rd€ntirir and pdoritiie risk-r€ductiom strategie5 and r;sk-mitigeti'n efforts inceordination with Eommsnity padmers aftd stakeholders.
' lmFlement publi€ health a€tions designed to mntigat€ risks im a€cof,donF wfttr cDC
8Iuidance-E lmplemeht puhtic health espomse plshs bas€d sn CDC COVTD_L9 ptreFs.edhess andR€spanse Flannlng Gsldona€ for stat€, 0-acal, T€rrltorl€1, andN Tribal publtc l+e8lth agenci€s.q Ftrovideteclnnical asstrstance to l6cal and trib.al hestth d€pafrrnEnts on developmerrT ofCOVTD-I9 trespons€ plans and trespoBd to equests for puhlic health asslstance.€ Aetivete tlie iurisdiction"s emengenalf operations center {Eocl at a level appropriate to meetjthe needs Df tFie response.
' staff the Et3c witlt! the numt€rs and skitts necessary to supFort ihe r€sponse,essilre worketr gafety. and sntinua:[y nt@natcr absentE€isnt.- L0se €stabiislled systems tc emsure @ntinuitt of operattons ICoOP) andlmplement C0OF pNans as needed.c' Estab{isli cell centers or other csmmunication cepacitv for infomation sltsring. puhlicinfotrmatisn, and dir€ctihc: residents to avsilabte f,esour€€s.a Aelthrate Emergency hiring authorliHes and €xpedit€d cont.rcilhg pr@esges-. Assess th€ jurisdict!_qftls put lie heafth and healithcare syst€m tr,aining needs.
'Provade matedals and facilitate treinang designed t@ improwe the lurtsdiction.s publiclh€alth aod h€althcare sy5tem re5p@nse. Fccus qn infection prewntion and controlstrateBiei aftd imprem€ntetiom/triggers fcr crrsisrconungency 5tanderd5 of care.
' lmplement pr€a€dur€:9 to notiw r€levant pef,s@dnel and psrti€ipate in cDc nationalcalfs amd clifiiciam outrcaeftr and C@hmuni€ation Actlvtty {COCA} calls-E Ensure plafts and i'urisdittionat r€gp@nse actions in€orporate ttrre latest aElc guidance anddir€dtdm-
EramFtes 6f o{ldwa!rle adiviti€5:
Respqnder safety an.J
tl ealtli -r Assur€ the lfr€alth and gfety of,ttrle iurisdicti.dn's workforce. in€luding trut not limited toimprem€ntatiom af stafl .esfrriencv {trcEraffis. oc4lpataorat hea,th./'a[etv o.rogrami, andresp@nder hedtal health support. Det€rmine gaps and implement correetivt actions.s lmpl€ment peFsonal protectfve equfpment {pfiEl_ sparing strategtes for put liclrealtli/health€re system urorkfor€€ im accgrdanc€ r{tth federal Buldelinej.o D€ve[op ad o'c€upationaf 5afety and health 5trike team to edsur€ workers are protected,implement corG€tire adaons, and gatf,!€r tegsons tearned.o Estahilish a team of conlmunieators who can interpret cDc guidence and assist withimplem€niatloc @f worker saf€ty and l!€alth strategls-E Create toEls to assist and anticipate supply chalft sfloftages, track ppE inv€ntary"o Develop PPE strategles con5istent with COc guidance for hospitalt outpatient cl,ftics. long-term care faeiliti4s, and other ilealth facilitiesi work with suppliers and $alitaons to dev€lopstatewlde pllsns fDr aac*!inE or redistritruting/shadng. Thts strate.*y should be integratpd{ritPi healtlli care coalitions'system, plansfor purc[i6ing, cecliing, and distributing-ppe anda€@sslng the Strat€gic Nauonal StockFile.o trurchas€ r€quired pFlE {if auadabler"
EEmples of allowatJle ae-tiviti€s:
Exhibit A, Statements of Work
Revised as of November I 6, 2020
Page 20 of 34
AMENDMENT#I8
Contract Number CLHI 8249- I 8
ldenttfi€tion of
vulnera ble IEpulations
of
c lmrrlement mit,gation rtFategies for populations at dskfor mdrbid;ty, modality, and otheradv€Be out6mes-
6 Update resp@nse @d recovery plans to toclud€ populafions at ra5k.o Enllst otheF gowrnm€ntal 5nd nongovernmental progr€ms that can be leverag€d to provtdesodal 3erui€€s and ensure that pattents wtth CO1/ID-19 vlrus 1or at rEk of expo-sureJ r@€lv€proP.€r anformatSon to connect ttrem wtttr ryaltabl€ sddal servi@s.o L€Ecge strtat seNtei amd b€travloral h€alth wtthin tfie communtty, ,ncludtng theAdmin,gtration forcfrtldr€h end F€milie5 {acF} and Ffealth Resources and servriesAdmtoiit.auoE f FlRSA|.
a cdndsct rapid agsesJmerrt (e.E-' ta@s g.ravo'l of con@rn5 and needg qt the cohmunatyr,€tated t6 COVtD,lg pl.wertaon"
s ldentiFf gaps and tmplement stEt€gles that enccurage dsk_.€duction tEtradors.
JurlsdlctioDal Recoveay Jurisdactional B€c@erV EEmples of allowable advltiea;d R€corery effotu to restore to pr€-euent firnctioning,a Conduct a hot wa5h,tafter€ction review and dewtop an improvement plan.
Exhibit A, Statements of Work
Revised as ofNovember 16,2020
Page21 of34
AMENDMENT#18
Contract Number CLHl8249-l 8
lnfoamatlon
MenaEement
lnfffmatfon StltrNng
c Ensure info.metlon sliaring amodg publtc health saff. hedlttlcac pelEnre|, alrpo.t entrysceening p.ef,sonnel, emerg€ncv medacal ierul€ IEMS) p.owiders, and the publtc.a Develcp' @ordrnate" and d:ssemihate rnformatr@n, alerts, wamings. 6nd notrfr€taonsr€gardrng risks and se!f,-Frotecttue measuf,es to the pubh-c, particularlvwith at-rtsk ehdwulne6lrle Fopurations and anEident manegement responders.€ DeveloP new sYsems oa ufiliEe ejstang systems to cpadly.epoft puhlic heaith dat€_F Develop @mmunrtv me'€ges that are a&urate. timely, and rea€h at-arsk populatlons
Em€rgancT Putdfc
lnformatloh and lAteming
and Blsk Communicatton
EEmpl€' of, allowat le activiti€s:
o Ehsure r€dun{raht plaitfoms are rn plae for pushtng out mssges ta the public and thehealtticare sedor cgarding r;s&s to tt!€ public, rtsk ot lransmision, and prct€ctfe@ease5.
' \irork with trlealtlr @mmBniBtoE 6nd €du€atoE on rlsk @mmunlcataons effortsdesign€d to pf,@nt the spr€ad of CO\/TD-a9 virus"c update icripts foriuf,asdictionai €ll centeE wtth speciFlc covro-ag fiesgaging {alerts.*arnlngs, and hofi ficatlon5l.
E Ewluate CoVID--19 hessagang and oth€r communication matedals and" based on fe€dbackfrom target €udiene'. aevise megsages and materialg as fleedear.
- Comduct rapid er5esment (€.g., tacus groupsl of €x,sting messeg-ng andcommumication5 acljvttie5 {e.9., wetr-based, soctat medlal related to COV!D_19
Flrevent,oo.
' Ulonitor lo€l nes 5tcrrles and 5@tal med-a postlBgs to detemide if inforfiataon a9a@urate. idef,tiry merjaging gapi, and ad.lust communicattons as needed.s Cont.act wtth local v€mdors for t.anslafion la5 reces5ary," printing, stgna8€. endaudiowisuaUpu*Jlic aedice announ€ement dryeloprent and d-Esemination_€ ldentfy gaps and d€velop culturatty appropdat€ risk mesjages for atdsk poputatbnsincludlng message that focuS on rlgk-r€duc{lon behavlo6.€ Develop a covlD-a9-sF*tfirc media r€lattoni st.ategy. including identttf€tion of keyspokesF@pte and an €pproectr for regular medla outreach.
stakeftoldeas ta halfiontze rssronS€ m6ia€lng,
ctearhr rommuntcate stepr tfiat health ere prcvtd€r' should take ff they ruspect a pafi€nth€s COVID-a9 vlrus tnfecttod [e4.. dtagdosfic t€5ttng, ctintcal guad3nel,
msgg€t programs
NonPhatrms@@tl€l
lnt€ry€ntions D€velop plaE and trlggeF far ttrre amp!€mentation of communatv interuentions. tncluding:- Actavatng €mergenclr opeaat{ons plans for schaols, high€r edu@taon, and masigethef,iogrt
. Ensurlng thet @mmunity, talth-be5ed, and busanes organlzation6 ar€ prepared tosupr}ort antetuenuons to prcEnt spread; and. Integratlng antetrentioN relat€d to sftial *Nles pFovtde6, crlminal tustlcesyst€ms. l-.omelss p€rioE and other wlnerqble populatiohs and at_risk
|!oputations-Ahtlclpate dasruptlqn caused hy @mmuntty spread and interuehtaons to prevent furtherspEad.
. Flla$nangfor school dtsmBsal tncludangconttnuttyof€ducataan and othe. school-
t a*d setrices t€-9., meal5b
- lEnsuranE svst€ms €rc acti@ to prdde guldanc on cl65ure of busanessesrgovemment offic€s, and soclal seryies agehcaes;. Ensurlng sy5tems are in plae to monltor eoct€l dtsruption (e_g., rchool ctosur€r);€nd
- Ensurang tlxat seruaces {e\g-, h@usaog, transportat-on, foodl are ;n place for
saclal
lcount€tmeasureg and
lvllt16etlon
Auararrtlne and lslatl@nSupport E Frovide lodg,ng and wrap-around seo;ce9. incruding fmd and bmrage. cleanin& we*emahagement, maantenan@. repaars at quarantine/islataoh sites, and cllnlcel €c @sts foaindivlduals wtlale under state or fedeml quarantlne and isolatton orders that aE hot eligiblefor lralm€ht bV anotlrer sur@.
'B sl€vlew and updat€ stete quarantane and ;solation taws, regulatlons, and p.roceduaes, Funds@ay also lre u*d to dwelop tratnlng and edu@tional mat€rtals for loeal healttrdef,rartmentr and jud-cial ofaldale.
EEmpl€s of allowable acdvaties:
Exhibit A, Statements of Work
Revised as ofNovember 16,2020
Page 22 of 34
AMENDMENT#18
Contract Number CLHI 8249-1 8
AMENDMENT#I8
€ ldentiftr and se@re sfe housing for pe|@nspubhc lDealttr ord€6.
s DeRlop and amplement behrvtoEl healttr stkatcsiei to suoDofr affiEatad nabrrbri6h<
moement
D-gtdhution and l"tse of
Art€dtcal Material Ensure jurisdlctiqnal €pacity f,or a hass €Eclnation €mpalgn on@ vaccin€ be@m€savatiable, ln{ludangl
Efr hamcement of immuntsetton Information sy*ems
Maintaanang abillty for vacc-ne+pecific @ld chain manag€ment
Coordanaung ma59 va@lnatlcn clinics for em€rgenGy r€sponge
As€i:ing and trac*lng va@fnation crerage
nap;dty td€ntrn"ng hrgh-risk pe'Fns requtrrng vacctne
EGmpl€s
to rftlz€Planning Prio Hmfted count€medical Fmeasufs based{McMt gutdance
cEicfrom theand clD€parth€nt sndFlealth F{uman {N{HSl
d irtrlbutiDnlor ofSurge Stafffng
c Actleete m€€franisMsfor surgtng publ,c h€alth re5ponder staff.
's Acttvate @lunt€er organ{zettone ancludtng but not lamtted to M€dfcat Rs€rye co.ps.
6f
Coordlnati@n wttfi
Healttrdare ryi{Fms
€ Actlaely monit@r fiealtliceae jystem capaclty and dselop
a ln partm€Ehlp wtth heallil car€ coalftFofls, d€velop trtgg€r5 for enac';tnE eJasi;tlcontfngencl.standards of care.
€ coordtoate wlth Hospttal prepaiedn*s g.ro$ram {HPP) €fltt$es" hea}tftcare coalations, h€alth€re organiatlon5, emergemcy maf,agement, ald other relevant pErtners and 5takehold€Eto asse95 the publa€ tr€alth and hedtcal surge meeds of the community.o Prepar€ for thcreas€d demands for seruics, dpansionS of pubtic health furtctioos, increa*sid admlnlstratrve manag€ment requarements? and other emergency asponse surge needs.€ Traih hoslratals, lon8i-tem car€ facalit;es snd other higlr-rEk factlttiei on infection FreEftfionand cont@|.
rcs-mltlgati,on strat€gies to pr€sere
EEfrpI€ ot altowalrle ectavitl€g:
Exhibit A, Statements of Work
Revised as ofNovember 16, 2020
Page 23 of 34 Contract Number CLHI 8249- I 8
Exhibit A, Statements of Work
Revised as ofNovember 16,2020
Page24 of34
AMENDMENT#18
Contract Number CLHI8249- I 8
Exsute
mitagat€
sf sE.
te Ithcare toadtuitiessUrge
demands the healthcare Plan actlvatetosystem.sa ndardscrisis/fontingency
lnfecilon
e Follow updated CDCEUidanc dh lnfecfioh @ntf,ol and prerenHoh and ppE_
o Engagr witlr healtrrcere Fl.widef,s end treelth@e coalft,oG b addres lssues r€laled tolhfectlcn preventaon tneasurcs, qch asi
- c'irahger ld liosphuhealtihcare facilny visatation polhies". Soetatr distanctng. ahd
i lnfeation @nt@l practices in hospitatr and long-ter@ ear€ facilitis. such ss:- FpEuse,
- Ftand lryglene"
- S@rc€ control. and
- tsolattonDfpauents.
EEmples 6f all@Mhle activita€s:
Sureillm@and trt€al-
time R€pofting
tublb
Conduct surettlan@ snd @se tdentifacataon (includang, but dot ltmfted to" public healthepldemiologi€l -nvesugatioft sdivatl* suclr as $ntact f,ollow-up)_
Asse55 ilsk of, trdeleE ahd oth€r persms wath potenttal C('VTD-19 expffures-Enlhance sui*illanc€ sy5tEms to Frovide €se-based and aggregat€ epidemaolqgi@l data"Enlhan@ qading sytld@hic sury€lllance for @spiEtory illnss sdch as influena-like illness(tLll of, acute r€eplrf,t@ry illn€ss (ARI) by €ry'anding deta, tnputs, end sites.Ehlianc€ 5yst€ms to identafy and monftorttre ostcomes @fsevere di5ease outoomes.tncludlng among wNnerable populations-
ExamFle5 of
wfthln
EntEn@ syrt€ms to tract out@me5 of pr€gnancies €ffected by COVTD-a9.
T€'tlng, Equatlm€nt,
Suppla€s, and Shipping
l-lea
dlsieminateand to crinicfa E
AMENDMENT#18
Rapidly reFort test r€sults betw€€n th€ laboratdry. the publtc ttealth depertrent,healthraE fadilaties, and t:[rc to supF'ort pDblic heafth investigatlons.Teet a sample of oltpatteBts witi'r t!.r orARl for covtD-I9 and other respiratoryviru5€s a6d@mp|ete the foltswtng:
- Report seekly percent posfttu€ C6VID-19 outFattent vtsiB by age Eroup.
' Determine the rat€ df rf-uaFil outpafient visits and the rate of covrD-tro-confrrmedl!-t pafient'.
- Thls alaotvebl€ activity ls simalar to 'sentanef COVTD_tr g Suryeillance, Marctr282A, end tl-tfvet Enhan@ment5 in 2OL9_- tt may includ€, but as not timttedto the followlhg:
- Conduct testtng at publrc health laboratorleg
- Dscdbe modtf,lcatton of proto€ols and validation of speclmen typeother than IrtF/Op svabs. lncluding vatidatton of different swebtypes and self_swatlbinE for COVTD_ag
€ollaiJcrat€ arftf! Energang lnf€etion pr@gf,am and lnfluen.aa Hospitatrzat:on suryeillanceNetsork t@ m6dif,]r exasting Flusuru-htET progf,am for CO\I.ID-!9.Enilance laltrotratory 5urge capaclty plans-
E}etermid€ maximum l.t> testing capactty and efratllish priorniaation €rtteria andaonunged€y plans for testlng if maximunt capacity is r€sched.
anrJ t
r€quaFe testing and shFpptng to hbor.tory
de5ignated for test{hg.
,iesponse Network (t-RNl or CDC latroratories
wltir €nto surepartnefs[aboEtorv istr5 receive a nceupdatedguid prlateappro
ar!dritfimsalBo typersample additi6nal tsinf€rmation uired-testing a4qEns€lear guidance conrmuntcatedis clini6ato labs and on tohow obtainphVslclans
I atr testing.
Data Management
'a Ensure data management systems ar€ in place and fteet the n€e.ds of the Jurisdiciion-o lmpl€ment adalvsis, visualrlat!_on, and repqfting fof, sureltlance and otheaavailable data tosupFort und€Btandimg Gf tFle outbreak; t.ensmission. and ampsct of tnteruenluons.6 Ensutre effici€nt and timely data cquectioft.
hamFles of al1owahle actlvitie5:
Ensure etrifity to f,apidly exehange data rvttlr
atfrner relevant pedneE.
€ coordlnate data syst€ms for €pidemiologiqal and labor€tory sureillanc€_
andrBpa dfi ers
Exhibit A, Staternents of Work
Revised as ofNovernber 16,2020
Page 25 of 34 Contract Number CLHI 8249- I 8
AMENDMENT#18
Exhibit A
Statement of Work
Contract Term: 2Ol8-2O21
DOH Program Name or Title: ELC COVID-I9 - Effective June 1.2020 Local Health Jurisdiction Name: Kittitas Countv public Health Denartment
Contract Numbert CLH|8249
SOW Type: Revision Revision # (for this SOW) 1
Period ofPerformance: June 1.2020 through December 31.2021
Funding Source
Federal Subrecipient
State
Other
Xnn
Federal Compliance
(check if applicable)
[| nnatA ltransparency Act)
! Research & Development
Type of Payment
X Reimbursement
! Fixed Price
StatementofWorkPurpose: Thepurposeofthisstatementofworkistobuildandstrengthenepidemiology,laboratoryandhealthinformationsystemscapacityinlocalhealth
jurisdictions.
RevisionPurpose: Thepurposeofthisrevisionistoextendtheperiodofperfonnanceandfundingfiom12/31/20tol2l3ll2l,addfederalfundingterms,andupdatecontact
inlormation.
Exhibit A, Statements of Work
Revised as ofNovember 16, 2020
Page 26 of 34 Contract Number CLHI 8249- I 8
Chart ofAccounts Program Name or I rfle CFDA #BARS
Revenue
Code
Master
Index
Code
Funding Period
(LHJ Use Only)
StartDate Dnd Date
Current
Consideration
Change
None
total
Consideration
CARES 93 323 333.93.32 1891029A 06/01/20 61.177 0 61.177
TOTALS 61,177 0 61,177
Task
Number Task/Activity/Description
*May Support PEAB
Stnndards/Measures Delivera bles/Outcomes Due Date/Time Frame
Payment
Information and/or
Amount
Establish a spending plan and staffing proposal to
support the work ofCOVID-19 case investigation
and contact tracing. The spending plan and staffing
proposal should include proposed positions and
define roles.
Submit spending plan and staffing
proposal sumnrary to the DOH
Contract Manager.
August I 5, 2020 $61,177 - MI
1891029,4 -
COVID CARf,,S
($61, I 77 for the
period06/01120-
12t31/21)
2 Hire, orient and/or train staffbased on the negotiated
staffing proposal. Develop a training plan in
consultation with DOH that is consistent with the
DOH COVID-19 guideline. Training plan will be
flexible depending on staffexperience and based on
lor onboarding into new systems
Staffsurnmary and training plan September 30, 2020
J Conduct case investigations, contact tracing and
monitoring in accordance with DOH COVID-19
Infection Reporting and Surveillance Guidelines
(DOH 420- I 07), Appendix I : Case and Contact
Jnvestigation, pages 16-21 :
Data collected and reported into
DOH systems
Daily
*For lnformalion Onlv:
Funding is not tied to the revised Standards/Measures listed here
_
This information may be helpful in discussions ofhow program activities might contribute to meeting aStandard,A4easure. More detail on these and/or other Public Health Accreditation Board (PHAb) Standards/Measures thai miy apply can be foind at:http:/Avlvw.phaboard.ordwp-content/uploads/pHAB-standards-and-Measures-Version- l.0.pdf
Special Requirements
Fgderal Fundins Accountabilitv and Transoarencv Act (FFATA)
This statement of work is supported by federal funds that require compliance wrth the Federal Funding Accountability and Transparency Act (FFATA or the Transparency Act).The purpose ofthe Transparency Act is to make inforrnation available online so the public can see hoi the federal fund. ure sp.r,t.
To comply with this act and be eligible to perforln the activities in this statement of work, the LHJ rnust have a Data Universal Numbering System (DUNS@) number.
Information about the LHJ and this statement ofwork will be made available on USASpending.gov by DOH as required by p.L. 109-2g2.
Reslrictions on Funds (whnt funds con be used for which actvities, not dircct palnrcnts, etc): CDC lnutding llegulcrtions untl policies
https: 'www.cdc.g.or,'prunrs documenrs'(ieneral-7'erms-ond-condirions-Non-ll;se(il.ch-Awut,ds.pd!
Program Snecifi c Req uirements/Narrative
All work will be performed in accordance with the revised antl approved project plans to be submitted to DOH gJutjJ#LA+
Special Billing Requirements
the budget will not be accepted or approved.
SubmissionoflnvoiceVouchers: TheLHJshall submitcorrectlnonthlyAlg-lAinvoicevouchersforarnountsbrllableunderthisstatementofworktoDOHbythe25rbofthe
follorving rnonth or on a lrequency no less often than quarterly.
DOH Fiscal Contact
O ltri st i e I )urk i n Sum*4+tx+
DOH, Office of Program Financial Management
PO Box 47840, Olympia, WA.98504-7841
360 -236-1 2 3 5il86n ax: 360 -664-221 6
c hri s t i e. du rk i n(@/o h. w ct. gov @tleh,*a,Fs
Page27 of34
AMENDMENT#18
Contract Number CLHI 8249- I 8
DOH Program Contact
Ka s ey Wa I k e r L4ike-Bey*n
DOH, PHOCIS €enwnrcaileDi*ea Pl
l6l0 NE 150h St, Shoreline, WA 98155
kcr s e!. wa I ke r@do h. wa. sov MfW@w4@M€e+
Exhibit A, Statements of Work
Revised as ofNovember 16,2020
Task
Number Task/Activity/Description
*May Support PHAB
Standards/Measures Delivera bles/Outcomes Due Date/Time Frame
Payment
Information and/or
Amount
420- I 07-Guideline-COVID- I 9.pilf
DOH Program Name or Title: Emergencv Preparedness & Response COVID-19 Local
CARES - Effective March I 2020
Period ofPerformance: March l^ 2020 through Julv 31.2021
AMENDMENT#I8
Exhibit A
Statement of Work
Contract Term: 2018-2021
Local Health Jurisdiction Nane: Kittitas Countv Public Health Department
Contract Numbe r: CLHI 8249
SOW Type: Revision Revision # (for this SOW) I Funding Source
I Federal Subrecipient
n stat"! other
Federal Compliance
(check if applicable)
X
l-t
FFATA (Transparency Act)
Research & Develooment
Type of Payment
X Reimbursement
! One-Time
Distribution
Statement of Work Purpose: The purpose ofthis statement of work is to provide additional funding to supplement existing funds for LHJs to prevent, prepare for, and respond
to the COVID- 19 disease outbreak.
RevisionPurpose: ThepurposeofthisrevisionistoextendtheperiodofperformancefromDecember3l,2020to July3l,202l,extendthefundingperiodtoJune 30,2021,and
add report deliverable due dates.
Exhibit A, Statements of Work
Revised as ofNovember 16,2020
Page 28 of 34 Contract Number CLHI 8249- I 8
Chart of Accounts Program Name or Title CFDA #BARS
Revenue
Code
Master
Index
Code
Funding Period
(LIIJ Use Only)
startDate End Date
Current
Consideration
Change
None
fotal
Consideration
COVID LHJ OFM Allocation-CARES 2t.otg 333.21 01 934E0200 03/01/20 06/30/21 909.400 0 909.400
TOTALS 909,400 0 909.400
Task
Number Task/Activity/Description
*May Support PHAB
Standards/Measures Deliverables/0utcomes Due Date/Time Frame Payment Information
and/or Amount
I Federal Funds
Participate in public health emergency
preparedness and response activities for
COVID-19. This may include surveillance,
epidemiology, laboratory capacity, infection
control, mitigation, communications, and or other
preparedness and response activities for
COVID-I9.
The CARES Act (Coronavirus Relief Fund)
provides that payments from the Fund may only be
used to cover costs that:
l. Are necessary expenditures incurred due to the
public health emergency with respect to the
Coronavirus Disease 2019 (COVID-19);
Complete Federal Funding
Certification (provided by
DOH).
Activity report(s) on template
to be provided DOH.
September 30, 2020
September 30,2020
October 3 l, 2020
November 30,2020
December 3 l, 2020
,lanuary 30, 2021
l;ebruary 28,2021
March 31,2021
April 30, 2021
May 3l, 202 I
June 30,2021
Reimbursement for
actual costs not to
exceed total funding
consideration amount.
Were not accounted for in the most
recently approved as ofMarch 27,2020 (the
date ofenactment of the CARES Act) for the
State or government; and;3. Were incurred during the period that begins on
March l, 2020 and ends on Deeenbe+3&-202A
,htne 30, 202 1.
The guidance on the Department ofthe Treasury's
interpretation ofthese limitations on the
perrnissible use ofFund payments can be found at
this link:
h#gs.+k€*te$'castt]+.ge $$t em li let I 3 6
irtn-neliel'
@
ht tps :' home. t rc6 ury. gor.' poli cy -i s sues., cu.e s,s I al e-
o n tl - I o c 0 I - gov e r n m e n I s
DOH will provide additional guidance and
technical assistance.
Note:@
@W
@
The purpose of this agreement is to supplement
existing funds for local health jurisdictions to
carry out surveillance, epidemiology, case
investigations and contact tracing, laboratory
capacity, infection control, mitigation,
communications, community engagement, and
other public health preparedness and response
activities for COVID-19.
Existing funds for COVID-19 public health
respons€ activities may not be displaced by these
funds and reallocated for other organizational
expenses, No funds from this agreement shall be
used to supplant existing federal, state or local
funds nor any funding allocations or
made before
Final Report:
Jawa+y3@+
July 30, 2021
Frequency and due dates
of reports may change
based on 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.
Exhibit A, Statements of Work
Revised as ofNovember 16,2020
Page29 of34
AMENDMENT#18
Contract Number CLHI8249- 1 &
AMENDMENT#18
DOH does recognize the public health response
goes beyond December 2020 and authorizes
local health jurisdictions the ability to maximize
funding streams available to them try using
short term funding first to have longer term
funding available to continue to support the
local health jurisdiction response activities
beyond December 2020 as apnlicable,
*For Information Onlv:
Funding is not tied to the revised Standards/\4easures listed here. This information rray be helpful in discussions of how program activities might contribute to meeting aStandard,A4easure. More detail on these and./or other Public Health Accreditation Board (PHAb) Standards/Measures thai miy apply can be fo-und at:
http://wrw.ohaboard.ordwo-content/uoloads/PHAr|-standards-and-Measures-Version- l.0.pdf
Program Snecifi c Req uirements/Narrative
Deliverables are to be submitted to the ConCon deliverables rnailbox at concondeliverables@doh.wa.eov
Special Requirements
Fgderal Fundins Accountability and Transparencv Act (FFATA)
This statement ofwork is supported by lederal funds that require compliance with the Federal Funding Accountability and Transparency Act (FFATA or the Transparency Act).The purpose ofthe Transparency Act is to make information available online so the public can see hoiv the federal funds are spent.
To comply with this act and be eligible to perform the activities in this statement of work, the LHJ must have a Data Universal Numbering System (DUNS@) number.
Information about the LHJ and this statement of work will be rnade available on USASoending.gov by DOH as require dby p.L. 109-2g2.
Restrictions on Funds (what funds can be used for which activities, not direct payments, etc)
Please reference the Code ofFederal Regulations:
https://$ vw.ecfr.eov/cei-bin/retrieveEcFR?gFl&SID:58ffddb5363a27f26e9d12ccec462549&tv:HTMl&h:L&mc:true&r:pART&n:pt2.1.200#se2.1.200 1439
A-llowable Activi ties -W
https:.home.treasuy.gov,Dolicy-is,tues,ccn.es,state-arul-local-ge!9!4t49!1Js
DOH Program Contact
Tory Henderson, Contracts & Finance Specialist
Departrnent of Health
P O Box 47960, Olympi4 WA 98504-7960
360-234-1596 / Mob i le 3 60 -7 89 -7 2 6 2,' tory.henderson@lqh.tryAgqy
Exhibit A, Statements of Work
Revised as ofNovember 16,2020
Page 30 of34 Contract Number CLH I 8249- I 8
SOW Type: Revision Revision # (for this SOW) 2
Period of Performance: Julv l. 2019 through June 30. 2021
AMENDMENT #I8
Exhibit A
Statement of Work
Contract Term: 2018-2021
DOH Program Name or Title: Foundational Public Health Services
(FPHS) - Ellective July 1.2019
Local Health Jurisdiction Name: Kittitas Countv public Health Department
Contract Number: CLHl8249
Funding Source
! Federal <Select One>
X state
fl other
Federal Compliance
(check if applicable)
FFATA (Transparency Act)
Research & Development
Type of Payment
LJ Reimbursement
fi Periodic
Distribution
StatementofWorkPurpose: ThepurposeofthisstatementofworkistospecifyhowstatefundsforFoundationalpublicHealthServices(FpHS)willbeusedfortheperiodof
July 1, 201 9 through June 30, 2021.
Note: The total consideration is for the period ofJuly 1,2019 through June 30,2021. 2019-2021 biennial funding allocations will be divided into four six-month tumpsum amounts that will be disbursed at the beginning ofeach six month period as follows: July, 1,2019; January-I,2020; July l,2}2}iJanuary 1,2021.
FPHSfundsmustbespentinthestatefiscal year(SFY)inwhichtheyaretlisbursed: SFY2007/01il9-06/30/20andsFy21 07/01/20-0613012l-
2019-2021 Biennial Allocation: $200,000
Annual Allocation: $100,000
Six Month Disbursement: $50,000
RevisionPurpose: ThepurposeofthisrevisionistoextendtheperiodofperfonnanceandfundingfromDecember3l,2020toJune30,202l.
Exhibit A, Staternents of Work
Revised as ofNovember 16,2020
Page 3l of34 Contract Number CLH18249-I 8
Chart of Accounts Program Name or Title CFDA #BARS
Revenue
Code
Master
Index
Code
Funding Period
(LHJ Use Only)
start Date End Date
Current
Consideration
Change
None
Total
Consideration
FPHS FTINDINC FOR LHJS N/A 336.04.2s 99202101 07 ljt/19 06/30/20 100.000 0 100.000
FOR LHJS N/A 336.04 2s 99202101 07/01t20 06/30/21 100,000 0 100.000
TOTALS 200.000 0 200.000
Task
Number Task/Activity/Description Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount
1 These funds are for delivering ANY or all ofthe FPHS
communicable disease, environmental public health or
assessment service and can also be used for any ofthe
other FPHS capabilities that support these FPHS as
defined in the most current version of FPHS Definitions.
Annual Report (template
provided by DOH) for
sFY20 (07101/19 - 06/30t20)
By 09/15/20
Note: January 2021
payment is dependent
on submission of this
annual report.
Funds are available beginning July l, 201 9.
Halfofthe annual allocation will be
disbursed each July upon receipt ofthe
Annual Report and the second halfwill be
disbursed each January.
Task
Number Task/Activity/Description Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount
Annual Report (template
provided by DOH) for
sFY2t (07t0|20 06t30t2t)
By 08ll5l2l Note: Funds must be spent in the state
fiscal year (SFY) in which they are
disbursed.
Exhibit A, Statements of Work
Revised as ofNovember 16,2020
Page 32 of 34
AMENDMENT #I8
Contract Number CLHl 8249- I 8
Tasks/Activities/Description Impact Mersures
Control of Communicablc Disease and Other Notifiable Conditionsl. Provlde tirnely, statewide, locally relevant and accurate information statewide and to communities on
prevention and control ofcommunicable disease and other notifiable conditions.2. Identily slatewide and local cornrnunity assets lor the conttJof
"o'tr"r,*i.uUte
aiseases and other
notifiable conditions, develop and irnplernent a prioritized control plan addressing communicable
diseases and other notifiable conditions and seek resources and advocate for high priority prevention and
control policies and initiatives regarding comrnunicable diseases and other notifiable condltions.3. Promote imtnunization through evidence-based strategies and collaboration with schools, health care
providers and other community partners to increase itnmunization rates.4' Ensure disease surveillance, investigation and control for comrnunicable disease and notifiable
conditions in accordance with local, state and federal mandates and guidelines.5. Ensure availability ofpublic health laboratory services for disease investigations and response, and
reference and confirmatory testing related to cornmunicable diseases and notifiable condltions.6' When Additional Important Services (AIS) are delivered regarding prevention and control of
cornmunicable disease and other notifiable condttions, ensure that they are well coordinated with
foundational services.
Percent oftoddlers and school age children that have
cornpleted the standard series of recommended vaccinations.
Percent ofnew posltive Hepatitis C lab reports that are
received electronically which have a completed case report.
Percent ofnew positive Hepatitis C case reports with
completed investigations.
Percent of Gonorrhea cases investigated.
Percent ofGonorrhea cases investigated that are receiving
dual treatment (treatment for both Gonorrhea and Chlamydia
at the same tirne)
Percent ofnewly diagnosed syphilis cases that receive partner
services interview.
Environmental Public Healthl. Provide timely, state and locally relevant and accurate infornation statewide and to communities on
environrnental publlc health issues and health rmpacts from comrnon environmental or toxic exposures.
2, Identily statewide and local cornmunity environlnental public health assets and partners, and develop and
irnplernent a prioritized prevention plan to protect the public's health by preventing and reducing
exposures to health hazards in the environrrent, seek resources and advocate for high priority policy
initiatives.
3. Conduct environrnental public health investigations, inspections, sarnpling, laboratory analysis and
oversight to protect food, recreational water, drinkrng water and liquid waste and solid waste systems in
accordance with local, state and federal laws and regulations.4' Identify and address priority notifiable zoonotic conditions (e.g. those transrnitted by birds, insects,
rodents, etc.), air-borne conditions and other public health threats related to environmental hazards.
5. Protect the population from unnecessary radiation exposure in accordance with local, state and federal
Iaws and regulations.
6. Participate in broad land use planning and sustainable development to encourage decisions that promote
positive public health outcomes
7. When Additional Ilnportant Services (AIS) are delivered regarding environnental public health, assure
that they are well coordinated with foundational services.
TBD
Tasks/Activities/Description Impact Measures
Assessment (Surveillance and Epidemiology)l. Ability to collect sufficient, statewide and cornmunrty level data and develop and rnaintain electronic
infonnation systems to guide public health planning and decision making at the state, regional and local
level.
2. Abifity to access, analyze, use and interpret data.
3. Abilitv to conduct a comprehensive community or statewide health assessment ancl identify health
priorities arising from that assessment, including analysis ofhealth disparities and the social determinants
ofhealth.
Emergency Preparedness (All Haza rds).
to develop elnergency response1.Ability plans for natural and man-made public health hazards;train public
health staff for ernergency response roles and routinely exercise response plans.
the Ernergency Support Function 8 - Public Health & Medical and/ortAbilitylead public health
response for the county reglon,J urisdiction and state.
3. Ability to activate and mobilize public health personnel and response teams; request and deploy resources;
coordinate with public sector, private sector and non-profit response partners and manage public health
and medical emerliencies utilizing the incident command svstem.4' Ability to cornmunicate with diverse communities across different rnedia, with emphasis on populations
that are disproportionately challenged during disasters, to promote resilience in advance ofdisasters and
protect public health during and following disasters.
Communication.
1. Ability to engage and maintain ongoing relations with local and statewide media.2. Ability to develop and impletnent a communication strategy, in accordance with Public Health
Accreditation Standards, to increase vrsibility ofpublic health issues. This includes the ability to provide
information on health risks, healthy behaviors, and disease prevention in culturally and linguistically
appropriate formats for the various corrmunilies served.
Policy Development and SupportI. AbiJtty to develop basic public health policy recommendations. These policies rnust be evidence-based,
or, if innovative/promising, must include evaluation plans.
2. Ability to work with partners and policy makers to enact policies that are evidence-based (or are
innovative or promising and include evaluation plans) and that address the social determinants ofhealth
and health equity.
3. Ability to utilize cost-benefit information to develop an efficient and cost-effective action plan to respond
to the priorittes identified in a community and/or statewide health assessnlent.
Community Partnership Developmentl. Ability to create and maintain relationships with diverse partners, including health-related national,
statewide and comrnunity-based organizations; community groups or organizations representing
populations experiencing health inequity; private businesses and health care organizations; Tribal Nations,
and local, state and federal government agencies and leaders.
2' Ability to select and articulate governmental public health roles in programmatic and policy activities and
coordinate with these partners.
TBD
Exhibit A, Stalements of Work
Revised as ofNovember 16, 2020
Page 33 of34
AMENDMENT#I8
Contract Number CLHl 8249- 1 8
Tnsks/Activities/Description
Leadership Accountability and Quality Capabilities;QualityImprovernentlnforrnation;Technology Capabil ities;Human Resources Capabilities;Fiscal Management,
Contract and Facilities and lities.
Impnct Measures
TBD
Program SDecifi c Reo uirements/Narrative
Special Refercnces (RCWs, WACs, etc)
Linkto2SHB 1497-http://lawfilesext.leg.wa.eov/biennium/2019-20/PdflBillVHouse%2opassed%20Legislature/1492-52.pL.pdf
FPHS Definitions
www. doh. wa. gov/fohsresources
Special Instructions
There are two different BARS Revenue Codes for "state flexible funds" to be tracked separately and reported separately on your annual BARS report. These two BARS RevenueCodes and definitions from the State Auditor's office (SAo's) are listed below along wiih a link to the-eAnS Manual.- 336 04.2s is the new BARS Revenue Code to use for theFoundational Public I{ealth Services (FPHS) funds included in this statement ofwork.
336.04.24 - County Public Health Assistance
to the legislature from this revenue source.
336.04.25 - Foundational Public Health Services
Use this account for the funding designated for the local health jurisdictions to provide a set ofcore services that government is responsible for in all communities in the WAstate Thissetofcoreservicesprovide^sthefoundationtosupport.theworkofthebroaderpublichealthsysteman-dcornmunitypartners.Atthistimethefundingfromthis
account is for delivering ANY or all ofthe FPHS comtnunicable disease services (listed above) and can also be used for the FFuS capabilities that support FpHS communicabledisease services as defined in the most current version ofFpHS Definitions.
SAO's BARS Manual
Flexibility During COVID-I9 Pandemic Response - FPHS funds are for long-term core FPHS investments as directed by the FpHS Steering Cornmiftee. However, in order tomake use ofthe funds available for the I 9-2 I biennium and in each specific state fiscal year (SFY) during the COVID-l 9 response, flexibilityis allowed and these funds can beused for other FPHS activities like responding to COVID-19.
Deliverables are to be submitted io Marie Flake at marie.llake@doh,wa.sov
DOH Program Contact
Marie Flake, Special Projects, Foundational Public Health Services
Washington State Department of Health
PO Box 47890, Olyrnpia, WA 98504-7890
Phone 360 -236-4063 / Mobile 360-9 5 | -7 566
F ax 360.236.4024 / marie.fl ake@doh.wa.eov
AMENDMENT#I8
Contract Number CLHI 8249- I 8Exhibit A, Statements of Work
Revised as ofNovember 16, 2020
Page 34 of 34
Kittilas County Public Health Deptrtment
Indir€ct Rate as ofJanrary 20lE: 29.5070 Public Health Dept & l2.S0o/. Connty Central Svcs
lndirect Rat€ as ofJanilary 2019i 2E,257. Public Hcalth Dept & 12.259lo CotrntJ/ Centr.al Svcs
Fcd€ral Award
(-herr
EXHIBIT B-18
ALLOCATIONS
Contract Term: 2018-2021
Conh act Numberi
Date:
cLHlE249
November 16, 2020
BARS
Revenue
CFDA* 364"**
Funding
Pcriod
Snh Tnr,l
Chart of
Accounts
Total
DOH Use Onty
Statem€nt ofwork Cbart ofAccounas
Frrnding Period Fwding Perlod
Titl€#Slalr Drte End Detp St'd Dat End Ilate
FFYI9 CSS IAR SNAP Ed Progranl Mgnt
FFY19 CSS IAR SNAP Ed Program Mgnt
FFYI8 CSS IAR SNAP Ed Program Mgnt CF
FFYI8 CSS IAR SNAP Ed Program Mgnt
FFYI8 CSS IAR SNAP ED Program Mgnt
FFY18 CSS IAR SNAP ED Program Mgnt
FFYIT CSS IAR SNAP ED Progranr Mgrt CF
FFY2I IAR SNAP Ed Prog MgnFRegion 2
FFY20 IAR SNAP Ed Prog Mgnt-Resion 2
CO\4D LHJ OFM Allo@tion-CARES
FFYl7 EPR PHEP BPI LHJ Funding
FFY17 EPR PHEP BPI LHJ Funding
FFYI 8 EPR PI-IEP BPI Supp LHJ Funding
FFYl8 EPR PHEP BPI Supp LHJ Funding
FFY20 PHEP BP2 LHJ Irunding
FFY20 PHEP BP2 LHJ Funding
FFYI9 PHEP BPI LHJ Funding
FFY2I Enhanced Influena Coverage CARES
FFY21 Enhanced tnfluenz Coverage CARES
FFYIT Incresing Immunization Rat6
NtJ90TP92t 889-01
NU90TP92l 889-01
Amd 5
Amd 4
NU90tp92204l
NU90TP922043
NU90TP922043
333.10.56 t0/O1t20 09/30t2t lot}ta' wt30l2l
3331056 r0/01/t9 09/30/20 to/0u19 09Rot20
21.019 333.21.01 o7to1t20 r2t30t21 07t0|20 lzg,nt
21.019 33321.01 07t01t20 t2/30t21 07t01/20 12t30t21
93.069 33393.06 0l/01/18 06/30n8 07t0|17 o7to2t18
93.069 333.93.06 0l/01/18 06/30/18 01t\ilt7 o7to2t18
93.069 333.93.06 07t0t/t8 06t30tt9 o7lo1^8 a6Ban9
93.069 333.93.06 07101/18 06t30/r9 07tll^8 06t30n9
93.069 333 93.06 07t0u20 06t30/21 07/01t20 06t30/2t
93.069 333 93.06 07t0t/20 06t30/21 o7l0v20 06t3u2l .
93.069 333.93.06 07/01il9 06t30120 07t0il19 06t30t20
93.070 333.93.07 09t0v20 08/3v21 M|OU2' 08t31t21
93.268 333.93.26 0t/01/18 06/30/18 Mriln1 06t30A8
93.264 333.93.26 0l/01/18 06/30/18 A4h1h7 Mt30n8
93,26A 333.93.26 0710u20 06t30t21 07to1tm 06t30t21
93.26a 333.93.26 0'1/Ot/20 06/30t21 06t05t20 06/30h1
93.069 333.93.06 0'7t0U20 06t30t2t o6to5t20 06t30t21
Page I of4
r9?wAwA5Q3903
197WAWA5Q3903
r87WAWA5Q3903
l87WAWAsQ3903
187WAWAsQ3903
18?WAWA5Q3903
r7l7wAwA5Q390
NGA Not R@eived
207WAWA5Q3903
Amd 9
Amd 4
Amd 4
Amd 4
Amd 2
N/A
N/A
Amd l7
Amd I 6, l7
Amd l0
Anrd 17
Anrd l0
10.561
10.56t
10.561
10.561
10.56t
10.561
10.561
10.561
I 0.561
333.10.56
333.10.56
333.10.56
333.10.56
333.10.56
333.10.56
333.10.56
l0/01/18
t0/01/rE
l0/01/18
0t/01/r 8
01/01/18
0l/01/r8
0l/01/r8
09130n9
09/30t19
09/30t19
09/30/18
09/30/ I 8
09/30/18
o9t30118
10/0ln 8
l0/01/18
lal'y18
lol0llt7
10t0ln7
tololttl
tolollt7
09t30h9
og80lt9
09BOl19
09/30/18
09/30/1 8
09/30/1 8
09/30^8
$429
$19,745
$858
$3,000
$l 1,025
$8,830
$1,412
$26,046
$20,603
$565
$19,833
$885
$48,249
$19,653
$29,480
$49,133
$l t t,000
$61 6
$2,226
$t4,582
$2,800
$2,800
$8s8
$22,855
$909,400
$20,398
$20,174
$49,134
$49,133
$49,133
$l I l,ooo
$616
s2,226
$14,582
$5,600
$5,600
$45,359
s46,649
$2s2,036
$909,400
$20,398
$49,1 34
s98,266
$ll 1,000
$616
$2,226
s14,582
$5,600
$s,600
$1,472
$26,046
$20,603
$2s2,036
Bt'l'V-COVID Ed LHJ Allocation-CARES
BITV-CO\,{D Ed LHJ AIIo€tion-CARES
NGA Not Reccivcd
NGA Not Roeived
And 18
Amd 16, l8
$t89,027
$63,009
NGA Not R@eived Amd 16, 18 21.019 333.21.0t o3l}tt2o o650nt $t\il2\ O6t3\t2t $909,400
NU90TP92t 889-01
NU90TP92t 889-01 N/A
FFY20 Envir Health Crpncity-C (CDC)NtJEI EH001445
FFYIT3lTOps 5NH23IP000762-05-00
FFYIT AFIX sNH23tP000762-05-00
FFY2I COVIDI9 Vacciile SeNices-CARES NGA Not Received
And l8
N/A
NiA
And 18
NH231P922619
NH23tP9226l 9
Amd l7
Anld 16, t7
NH23IP000762 Antd3,4 93.268 333.93.26 07/01/18 O6/30/t9 }7/Ot/lt O1BOilg. $5,600
Kittitrs County Public Health Department
IndilectRateasofJanuilry20t8:29.509/oPublicHealthDept&12.50%CounfyCcntralsvcs
lndirect Rate as ofJanuary 2019: 28.25olo Public Heatth Dept & t2.7S% County Centrat Svcs
I]XHIBIT B.I8
ALLOCATIONS
Contract Term: 2018-2021
Contract Number:
Date:
cLlJtSzg
November 16, 2020
Federal Award
Id€ntification #
BARS
Rcvenue
CFDA* 666"**
DOII Use Onty
Statement of Work ChAra of Ac@unar
FundingPeriod SundlngP€rlod
Chafi of Accounts Proprrm Tirle Am€nd #Strfi Drra End
Funding
Podod
Chart of
Accounts
TofelStnrt Date End Date
FFY2I VFC Ops
FFY2I VFC Ops
FFY20 VFC Ops
FFYI 7 VFC Ops
FFYI9 COVID CARES NUs0cK0005l 5
FFY20 CDC COVID-19 Crisis R6p LHJ-Tribe NtJ90TP922069
NH23tP9226t9
NH23lP9226r9
NH23tP9226r 9
5NH231P000762-05-00
93.268
93.268
93.26a
93.268
333.93.26
333.93.26
333.93.26
333 93 26
07lov20
j'il0U20
o7/01/t9
0l/01/18
o6t30t21
06130121
06130/20
06/30/18
Amd15.18 93.323 333.93.32 06101120 t2t3tt2t O6l01D0 tzt3ll}t, $61,t?7
Amd13,18 93.3s4 333.93.35 ottz}I2o O3LSD| A!/OII2O O3n5t2t r'a.s22
Amd l7
Amd 15, 17
Amd 9
N/A
Amd 17
Amd 10
Amd 8, 15
Amd 3
$60,000
$60,000
$60,000
07/01t20
oTJol/20
07l0ul9
04l0Ur7
odB'nl:
0il30n1
06BOQ0
06/30/1 8
09B0Dt:
@/30D0
09/30/19
wButt,
09130/18
i
naon0
12/30120
$2,800
$2,800
$s,600
$l,l l4
$5,600
$5,600
$1.1 14
$61,t'77
$78,522
$60,000
$60,000
$60,000
$44,196
$44,1 96
$44,196
$34,040
$0
$12,3 l4
661,177
$78,522
$t 80,000
$1 66,628
$0
$25,000
$10,000
$5,000
$71,478
$2,000
FFY20 Phys AcMy & Nutrition Prog
FFYI9 Phys AcMy & Nutrition Prog
FFYI8 Phys AcMy& Nutrition Prog
GFS-Group B (FO-E)
GFS-GoupB(FO-E)
FY2 Group B Progranrs for DW (FO,E)
NCA Not R@eived
NUs8DP006504
NII58DP006s04
93.439 333.93.43 09/30/20 09t29t2t 09130D0 09k9U
93.439 333.93.43 09t30n9 09t29/20 09t30119 WD9D0.
93.439 333.93.43 02^9tr9 09/29120 09128118 09D9no
FFY2I MCHBG LHJ Contracts
FFY20 MCHBGLHJ Contracb
FFYI9 MCHBG LHJ Contracts
FFY18 MCHBG LHJ Contracts
FFYI 8 MCHBG LHJ Conhacts
NGA Not Reeivsl
B04MC32578
804MC32578
B04MC3 1524
B04MClt524
Amd l7
Amd 10
Amd 4
Amd 2
333.93.99
333.93.99
333.93.99
333.93.99
333.93.99
09130121
09130120
o9t30a9
09/30n 8
09/30/1A
10to1t20
rolot /19
10/01/18
t0t0,/17
t0/0ilt7
93.994
93.994
93.994
93.994
93 994
N/A
N/A
N/A
to/01t20
10/oUt9
l0/01/18
01i01/18
0l/01/r8
$44,196
$44,196
$44,196
$893
$33,147
($r8e,027)
$r 89,027
$20,000
$5,000
($l,s0o)
$1,500
$2,000
$20,000
$5,000
FEMA-75 CO!'ID LHJ Allocation
FEMA-75 COVID LHJ Allomtion
NGA Nof Rcceived
NGA Not R@eivql
Amd 18
Amd l6
97.036 333.97.03 0710v20 12t30t20 07t'u20
97.036 333.97.03 07/01t20 12t30D0 D7tOu20
Amd l0
N/A
N/A
N/A
334.04.90 OlrclDO t2/31t20 07/Olllg 06t30t2t:
334.04.90 0v01/ta o6t30tr8 07mn7 06t30119.
334.04.91 07/01/t9 06t30t20 07/01n9 06130D1
334.04.91 06t01/19 06t30/19 0?lou17 06BOn9
N/A 334.04.90 07/0u18 06130/19 01lOt/t7 .06130/19: $10,000 $r 0,000
FY20/21 COVID-19 Disaster Response Accr
Zoonoti6-GFS
Zoonotic-GFS
SFY2Iad EnvironmenLs of Children
SFY2Iad Environments of Children
SFYI lsd Environments of Children
Amd13,18 N/A 334.04.92 Ot/20/20 o6t30t2t Ot/OlnO O6BOt2t. $71,478
Amd 9
Amd 9
N/A
N/A
Amd 8
Amd 4
Amd I
$4,029
$971
$4,029
$971
334.04.93
334.04.93
334.04.93
07t01/18 06/3ut9 a1lolng
07/01/t8 06t30t19 fi/av18
o1/0vr8 06t30t18 a1to1t17
06/30t19
06l3on9
06/30/18:
$7t,4'78
$o
$2,000
Page2 of 4
Kittitas County Public Health Dcpartment
IndilectRAteasofJanuary20t8:29.50%oPublicHealthDept&l2.S0o/oCountyCenh.alsvcs
Indh €ct Rate as of January 20t9i 28.25yo public Health Dept & 12,75% Counfy C€ntral Svcs
Federal Award
ldentification #
EXHIBIT B-IE
ALLOCATIONS
Contract Tcrmr 2018-2021
Conh'act Number:
Drte:
cLHl8249
November 16,2020
BARS Stfltement of Work
Revenue FunditrgPeriod
DOU Use Only
Chart oa Accoutrts
Fudlng Period
Funding
Period
Chart of
Accounts
FPHS Funding for LHJS
FPHS Funding for LHJS
FPHS Funding for LHJS
FPHS Funding for LHJS
FPHS Funding for LfiJs Dir
YR 20 SRF - hql Asst (15%) (FS) SS
YR 20 SRF - Loql Asst (15%) (FS) SS
YR2l SRF - t el Ass (15%)(FS)SS
YR 2l SRF - Iral Asst (15%) (FS) SS
YR 2l SRF - Ia@l Assl (15%) (FS) SS
YR 2l SRF - Lml Asst (15%) (FS) SS
YR 22 SRF - toql Asst (15%) (FO-E) SS
YR 22 SRF - L@l As$ (1s%) (FO-E) SS
YR22 SRF - t @l Ass (15%)(FO-E) SS
Sanitary Survey Fees (FO-E) SS-State
Sanitary Suney Fees (FO-E) SS-State
Sanitary Survey Fee (FO-E) SS-State
Sanitary Survey Fees (FO-E) SS-State
Sanitary Survey Fees (FO-E) SS-State
YR 20 SRF - Ir@l Asst (l s%) (FS) TA
YR 20 SRF - Lo@l Asst (l 5%) (FS) TA
YR 2l SRF - Loql Asst (15%) (FS) TA
YR 21 SRF - hel Asst (15%) (FS) TA
YR 2l SRF - Loel Asst (15%) (FS) TA
YR 22 SRF - lnsl Asst (15%) (FO-E) TA
YR 22 SRF - lr@l Asst (15%) (FO-E) TA
YR 22 SRF - Lo@l Asst (15%) (FO-E) TA
N/A 346.26.64 0lt0ltl8 12t31/18 0710u15
N/A 346.26.64 0lt01t18 t2t3ut8 07l}vt5
336.04.25
336.04.25
336.04.2s
336.04.2s
336.04.25
06130t2t
06BOnt
06130t20
06/30t20
06t30n9
06/30D1
068uDl
06EO/ZI'
06/30m
a6BOt19 ,
1213v18
t2Bt/t8
Amd 3
N/4, Amd 3
Amd 16, l8
Amd 10, l8
Amd 16
Amd 10
And 3
o7/0v20
o7lo1t20
0710']t9
0llolt19
oTto),/18
o7loil|,
01/o1l'19
o7/01119
07/0u19
07t01/t7
$s8,000
$42,000
$58,000
$42,000
$42,000
Sub
$100,000
$100,000
$42,000
$0
$242,000
$2,400
$6,600
$9,000
s2,434,985
$2,0s9,507
$375178
CFDA*
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Date
06BOlt9 ,
06Bo/19
06BA19
06130119,
06130119'
06RO^9
($2,400)
$2,400
($3,200)
$400
s2,800
$2,400
Amd l0
Amd 9, 10
Amd 7, l0
Amd 3, 7, l0
Amd 14
Amd l2
Amd 10, 12
Amd 14
Amd 12
Amd 9, 12
Amd7,12
N/A, Amd 3, 7, 12
Amd 3
N/A, Amd 3
Amd l0
Amd 7, l0
Amd 3, 7, l0
Amd 14
Amd 12
Anrd 10, l2
N/A
N/A
N/A
N/A
346.26 64
346.26.64
346.26.64
346.26.64
N/A
N/A
N/A
0u0t/18 06t30/t9 07t01/11
0t/01/t8 06/30/19 07/01111
ol/oltr8 06/30/19 07tottt7
0il0il18 06t30^9 07l!ul1
o't/0Ut1
07l0tn7
01lot/11
07101/11
mlatn7
$2,400
($4oo)
$3,800
$3,200
$6,600
($4oo)
$3,800
$400
$2,800
$2,400
$9,000
($2,000)
$2,000
($4,000)
$2,000
$2,000
($2,000)
$2,000
$2,000
$2,434,985 $2,434,98s
GRAND TOTAL
346.26.64 0l/01t19 t2/31/20 0!01n9 068012l
346.26.64 0t/O1/19 t2t3u20 0l/0vt9 06/30t2t ,
346.26.64 0t/01/19 t2t3|20 0t/ovtg o6/30D1'
34626.65
346.26.65
346.26.6s
346.26.6s
346.26.65
0l/01/18
0l/01n 8
0l/01/18
0l/0r/18
01/01/18
t2/31/20
t2l3t/20
12/3v20
t2/31/20
12131t20
06B0t2l
06honl
06t30t21
06/30/21
06BODt
346.26.66 0v0ttt8 12t3ut8 0Tt}uts 12t31/ta
346.26.66 01t01t18 12/3vt8 07/011t5 12131/t8
$0
$0
$0
$o346.26.66 0lt0t/18 06/30/19 07t,vl7
346.26.66 01t0I'18 06/30/19 Alt|l/17
346.26.66 01t01t18 06/3U19 m/0U17 06/30119.
346.26.66 0|0v19 t2t3t/20 0v0t/19 06/30/21
346.26.66 0t/0l/19 12t3r/20 0vo1t19 06t30t2t
346.26.66 01/Ol/19 t2/3U20 0u0v19 Mt3ol2l
Page 3 of4
$2,000$2,000
TOTAL
Total consideration:
GRAND TOTAI,
$2,309,403
$r2s,582
s2,434,985 Total Fed
Total State
Ifittitas Couty Public Health Depailmqt
IndilectRateasofJanusry20lSt 29,509/0PublacHealthDept&12.509/0CoMtyCentrtrlSys
Indircctnatei$ofJanuary2019:28,25%PublicHcalthDept&12.?59/dCountyCentmlsvcs
Federal Award
Chrr{ ofAocnnnlr
EXHIBIT BI8
ALLOCATIONS
Contrsct T€rmt 2018-2021
Contract Numb€rt
Dnte:
cLH18249
Nowmber 16, 2020
BARS Stf,tem!il of Work
Revenue I'undlngPeriod
Funding
Pcfiod
Snh Total
Chsrt of
Accounir
TotelTille#Amend# CFDA* qe6s** Sta.tDaie Amotnttcatalog of Fedenl Dom6tic Assistsn@
**Federal revenue ods begin with ,,333,i, State ievenue cod6 begin with ,'334"
Page 4 of4
Exhibit G-l5 Schedule of Federal Awards
KITTITS COUNTY HEALIH DEPTSWOO1O475{7
CONTRACT CLH18249-Kltritas County Pubttc Heatth DeFilment
cONTRACT PERIOD: 01n1l2O1A-1213112O21
AMENDMENT #18
Date: Nowmber 16,2020
Chad of k@unls Prqram Title Federal Sbd EndBARS ConhactAfr CFDA CFDAProgramTtile Fe&ratAgencyName
FFY2O INSNAP EO PROG rcNT,REGION 2
FFY2O IMSNAP ED PROG reNTAEGION 2
FFY19 CSS IAR SNAP-ED PROG rcNT
FFYiA CSS IAR SNAP-ED PROGRAM rcNT CF
FFY17 CSS IAR SNAP-ED PROCRAM rcNT CF
COVIO IHJ OFM ALLOCATION4ARES
BITV.COVID ED LH J ALLOCATION4ARES
FFY2O PHEP BPz LHJ FUNOING
FFY19 PhEPBPi LHJ FUNOING
FFYIS EPRPHEP BPI SUPP LHJ FUNDING
FFY17 EPRPHEP BP1 LHJ FUNDING
FFY20 ENVrR HEALTH CApCtTy.C (CDC)
Slale Adminlstative Matching
Granls for tho Supptementat
Nutilion Asdslance ft W.am
SIate AdminislEttue Matchrng
G6nls br lhe supplemenlal
Nutillon Asdslance ftS6m
State Admlnlsl6ltue Matching
Gr.nts hr the Supptemenldt
Nuhtion Assislan6e ftogram
Slale Adminisl€live Matching
Granls brlhe Supptementat
Nutilion Assistance ProgEm
lmhunizlaon &ope6lve
Depanme.t otAgncuIure Food and
Depanmenl otAgriculture Food and
Depadment olAgricutture Food and
&l9SUPPLEMEMAL NURITION
ASSISTANCE PRGRAM.EDUCATION
{sNAP-ED)
333.10.56 09/3049 S,3m,@o 1o/01t9 o9/s/20 920.S3 tO s61
333.10,$526,046
333,10.S @t2ana s5,386.268 1O/01f8 @/Ofig s20,174
NGA NOI
NGA NOI NGA Nol
NGA Not
NUWTP922O€
SMP2YR NUTRITION ED OBESIry
Oepadment otthe Treasury
Oepadment of Health and Human
10,s1
10.56r
10.561
10.561
333.10.$ @/$/19 55,300,@0 jO/O1XS @/Sng
333.10.56 osl2ahT
$3.10.56 @/1016 $,739,856 O1/O1na @/S/1a
$858
$22.S5
Slale AdminlslElive Malching
Granb brlhe Supplemeotat
Nqhlion Asslsbnce Prosram
Slate Adminishative Matching
Granb brthe Supptemenlat
Nltition Assbtdnce ProgEm
2018 SUPPLEMEMAL NUTRITION
ASSISTANCE PRMRAM EOUCATION
(SNAP.ED)
2018 SUPPLEMEMAL NUNITION
ASS'STANCE PRCRAM EDUCATION
(sNAP.€D)
rc1 8 SUPPLEMENTAL NUTRITION
ASSISTANCE PR@RAM EDUCATION
(SNAP.ED)
Depadmenl ofAgncunure Food and
Oepadmenl ofAgricuflure Food and
Oep6dment otAgncuIure Food and
Oepadmenl of lhe Treasury
$1,472 10.$1
oaoltm 06t&t21 $9m,40 21.019s3.21.01
s3 2!.01
333.93.06 o6t1z20 $11,365.797 07/01/20 06/S/21
s3.93.6 @t29t19 511,307,904 O7lOt/19 06/S/20 S9,133 93.S9
333 93 m @/0iha 06/0/10 $49 I34 93.069
333 93.07 04rcz@ s4a9,093 09/01/20 08/31/20 $111,m0 93.070
333.93.26 07to1h9 69,234,A35 07to1m O6mt2t $5,6@ 93 2@
Page I of 3
toblic Heallh Emeqency Depaiment of Heallh and Human
SeNr6es Cente€ tor Diseas Conrot NUSF922o€
tublic Health Emergency Sedices CenleB for Diseas Contot NUSF921OO9{1
549,133 93.69 Public Health Eme4ency
Depanmenl olHeallh and Humn
PUBIIC HEALTH EMERGENCY
PREPAREONESS (PHEP)
COOPERANW AGREEMENT
HPPAND PHEPCOOPERANW
AGREEMEM
PUSUC HEALTH EMERGENCY
PREPAREDNESS (PHEP)
COOPERAIW AGREEMENT
go"ptteL
"or"aaeole"" enoono"
AND PUBLIC HgLN EMERGENCY
PREPAREDNESS COOPERAIIW
AGREEMEM
333.93.6 0711N17 s11,062,742 01tO1t1A 06/st8 s20.398 S.mg tobllc Heallh Eme@ency DepadnenlorHeallh and Humn
seruicescenleEfor Oiseas contot NUsm21S9o1
Oepadnenl ofHe8llh and Humn
seeices cenleE b oisea* conrot NUEl EH@14
SIRENGTHENING ENVRONMENTAI
HALTH CAPACIry (EHC)TO DETECT,
PREWNT& CONTROL
EWIRONMENTAI HEALTH SZARDS
IMMUNZANON GRANTANO VACCINES
FOR CHILDREN PROGRAM
Exhibit C-15 Schedule of Federal Awards
KIfr ITAS COUNTY HEALil OEPTSWVOOlO4T5{7
cONTRACT CLHt8249-Kifritas Counly Pubilc H€trh DeFilmenr
CoNTRACT PERTOD: O1t01 t201A-1231 t2021
AMENDMENT #18
Dale: Nowmbe|16,2020
Chad olkcounts Prqram Title
ooH
Sbrt EndBARS Conhacl Amt CFDA CFOA Program Tiile Federal AgencyNameDale Fe&ral GrantAward Name
FFY21 ENHANCED INFIUENA COVERAGE CNES s3.93.26 ofiyrc !12,54,955 O7lOt/20 06/9/21
FFY2' COUDI9 VACCINE SERVICES'ARES 333,93 26 NGA NOI
333 S3 26 07/01n9 $9,234.835 07/01r9 06/S/20
333.93.26 03/€t7 91,201,605 01/0148 S/SXS
FFY17 INCRMSiNG IMMUNIZATION RATES 333.9326 S/An8 9,722,43 07101t18 061&hg
333.$.26 6/S/18
FFYiT 317 oPS 333 93.26 03/03/17
FFYlI COVIO CARES s3.93 32 04t23120 $22,541.7W O6tO1m 12131121 $61,177 93.323
FFY2O COC COVID.19 CRISIS RESP LHJ.TRIBE 333.9335 O3t1d2O $13,230,799 Ollmt2l O3n5n1 578,522 93 3s4
333.9343 NGA Not $0,m0 93.@
FFYI9 PHYS ACruTY& NUTRITION PRG 333,93.43 07t24t19 51,86,@0 09/mh9 @/3/20
FFYIs PHYS ACWTY& NUTRITION PR6 333.93.€@/01/18 $60,m0 93.€9
lmmuniation Cooperatk DepadmentorHealth and Humn
SeBices CenteB tor Oisea* Contot NH23tre22019 IMMUNZANON GRANT ANO VACCINES
FOR CHILOREN PROGRAM
s14,582 93.68 lmmunialion cooperalive DepadmentolHealh and Humn
seruices CenleB lor Diseas Co.tor NGA Not Recsived
333.93.S
333.93 99 11n4tA
s98,0@ 02119/19 09/F/4
|ff,["j rororzo osruar
92,225,977 10tO1119 @t{120
55,m 93 268
$5,6@ $ru
$1,114 93.2S
$s,6m 93.268
s2,28 932@
$616 93 2S
s44,196 93.S4
t44,196 93.9
lnmunialion coopdalive IMMUNIZANON GRANT AND VACCINES
FOR CHILDREN PROGRAM
lmmuniation Qoperaliv€IMMUNZANON GRANI AND VACCINES
FOR CHILDREN'S PROGRAM
lmmunialion Coope.al&DepadmentotHeaIh and Humn
seryices cenle6 for Diseas contot NH23tm0762 IMMUNIZANON GRANT AND VACCINES
FOR CHILDREN'S PROGRAM
tmmunizloncoo.E6tiu. DepadmenlotHealhandHumn
Aoeemenls Sedices CenleB tor Oiseae Conho! 5NH23tpOm762_6 OO- and Prevenlion
IMMUMZANON GRANT AND VACCINES
FOR CHILDRENS PROGRAM
tmmunrulion CooDerahva Oepadment otHealh dnd HLmn
AoEEme^rs sefrices cenleF tor Dse6* contot 5NH23tp0@762-05-oo- and Revenlion
Epidemiology and Lab€lory
capadly br hreclious Diseases Dopadmenl or Health and Huron
(ELc)-Bulrdiry .nd skeElhenins seryices cenleG for Disea$ contor NU5ocK@6r5
Epidemiology, Labo6lory and and ftevenlion
toblic Heallh Emergency
Respn$:cooperalk DePadmentorHealthandHuman
Agreemenl tor Emeqency Seryices cenle6 for oisea* Contol NugoTre22mg
Respne: tublic Health cnsis and ftevenlion
Slale Physical Acliuly and
Nutillon (SPAN)
Oepadmen!orHeallh and Humn
Depadment ofHealth and Humn
Seryices Cenle6for Disea* Contot
.
ild Pddlion
oepanmenl orHeaflh and Humn
Sevlces centeE lor Dlseas conrot
NHI1re22619
5NH23rro@7e-600
STAE PHYSICALACNVP AND
NUTRInON-WASHTNGTON (SPAWA)
IMMUNZANON GRANT AND VACCINES
FOR CHILOREN'S PROORAM
epioeurdrbcv d u6oneioav
CAPACIry FOR INFECTIOUS
DtsasEs (Etc)-EutLDtNG &
SMENGTHENING EPIDEMIOLOGY,
CDC COOPERATIW AGREEMEM FOR
EMERGENCYRESPoNSE: PUBLtc
HALTH CRISIS RESPONSE COC.RFA.
TPtS-1802
$6o,mo e343e iilli,:ll"J;X$,*,-,Oepadmenl otHeallh and Huftn STAE PHYSICALACNVry ANO
NUIRm:N.wAsHlNGroN (smwA)
Seeb*AdmhktElbn
oeprdmenl ofHeaflh and Humn
NU58DPffisO4
NUSOP@6S4
B04M€2578
$ale Physical Aclavily .nd
Nutlllon (sPAN)
D€padmentof Heallh and Humn
Malemal and Chlld Heallh oepa(meni otHealh and HumanFFY21 rcHBG LHJ CONTRACTS
FFY2O rcHAG !HJ CONTRACTS
Seillces Adminisl€tion
MATERNALAND CHITD HEALB
SERVCES ELOCKGRANT
Page 2 ot 3
Exhibit C-15 Schedule of Federal Awards
KITTITAS COUNTY HfrIH DEPTSWV)OIO{75{7
CONTRACT CLH1824g-Kltrll6s Counly PoHlc H€[h Depaiment
CONIRAGT PERIoD: ol&lml$-12t31t2o21
AMENDMENT #I8
Dalei Nowmber 16, 2020
Chaf of &counts Prqram Tltle
DOH
Federal
Tobl Amt AlGtlon Podod
Fedoral Start End
Awetd Det nrh
gARS ConkactAmt CFDA CFDA Program Tttte Federat Agency Nam6
FFYI' rcXBg LHJ CONTRACfS Depadm6il orHea[h and Humns3.93.99 11il4n9 $2,25,q7 1't}1lla @t{tls s4,196 S.W 90fls2578 MATERNATAND CHILO HEALil
SERVCES BL@KGRANTSles
FFYIS rcHAO IHJCONIMCTS 33.93.W 1otmt17
Mat6mal and Chlb Helh
934.q0 $.S4 $ryles Block OEnltothe
Stat6s
Dapadmnt olHeanh rnd Humn
Sdill@s Heanh ReeuE$ad
SeNlesAdmlnlstDllon
MAftRNALAND CHILO HEALN
SERVCES8WC31524
TOTAL 42,059,507
Page 3 of 3
Si gn atu re: Brtztla, Henriksott, Ca*zlraclr, S,texta/'t of
' BrFnddttpnri[5on,(orilr.rrsSfnLidt:\tlMrrtq.TOllOq:sJFDt)
Email: Brenda.Henrikson@DOH.WA.GOV