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HomeMy WebLinkAbout080221ca07 V 615 Sheridan Street Port Townsend, WA 98368 deffeson www.JeffersonCountyPubi cHealth,org Public Health Consent Agenda JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Philip Morley, County Administrator FROM: Vicki Kirkpatrick, JCPH Director Veronica Shaw, JCPH Deputy Director DATE: 049 a-( Do d-' SUBJECT: Consolidated Contract Amendment #21 STATEMENT OF ISSUE: Jefferson County Public Health requests Board approval of Consolidated Contract Amendment #21; January 1, 2018- December 31, 2021. ANALYSIS/STRATEGIC GOALS/PRO'S and CON'S: This is a routine Consolidated Contract Amendment that comes to local health jurisdictions every two months and includes both budgeted and new funding along with some tasks associated with the funding. FISCAL IMPACT/COST BENEFIT ANALYSIS: This amendment includes an increase of$53,870 for a revised maximum of$3,921,519. These funds are included in the State 2019-2021 Biennial Budget and represent state fiscal year allocation. Individual allocations are as follows: • FFY20 USDA BFPC Prog Mgmt: $30,280 for 10/1/19-9/30/21 • FFY21 USDA WIC Client Svc: $7,454 for 10/1/20- 9/30/21 • FFY20 Swimming Bch Act Grant IAR(ECY) $15,000 for 3/1/21 - 10/31/21 • SFY21 Family Planning Cost Share $1,136 FOR 7/1/20-6/30/21 RECOMMENDATIONS: JCPH Management recommends BOCC approval and signature for Consolidated Contract Amendment #21. REVIEW Y: t 9/2- Mark McCauley, rim County Administrator Date Community Health Environmental Public Health Developmental Disabilities 360-385-9444 360-385-9400 (f) 360-379-4487 360-385-9401 (f) Always working for a safer and healthier community JEFFERSON COUNTY PUBLIC HEALTH 2018 — 2021 CONSOLIDATED CONTRACT CONTRACT NUMBER: CLH18247 AMENDMENT NUMBER: 21 PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEALTH hereinafter referred to as "DOH", and JEFFERSON COUNTY PUBLIC HEALTH, a Local Health Jurisdiction, hereinafter referred to as "LHJ", pursuant to the Modifications/Waivers clause, and to make necessary changes within the scope of this contract and any subsequent amendments thereto. IT IS MUTUALLY AGREED: That the contract is hereby amended as follows: 1. Exhibit A Statements of work, attached and incorporated by this reference, are amended as follows: ❑ Adds Statements of work for the following programs: • BEACH Program - Effective March 1, 2021 X Amends Statements of work for the following programs: • Family Planning - Effective December 1, 2019 • WIC Nutrition Program - Effective January 1, 2018 ❑ Deletes Statements of work for the following programs: 2. Exhibit B-21 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B-20 Allocations as follows: N Increase of $53,870 for a revised maximum consideration of $3 921 519. n Decrease of for a revised maximum consideration of El No change in the maximum consideration of Exhibit B Allocations are attached only for informational purposes. 3. Exhibit C-21 Schedule of Federal Awards, attached and incorporated by this reference, amends and replaces Exhibit C-20. Unless designated otherwise herein, the effective date of this amendment is the date of execution. ALL OTHER TERMS AND CONDITIONS of the original contract and any subsequent amendments remain in full force and effect. IN WITNESS WHEREOF, the undersigned has affixed his/her signature in execution thereof. JEFFERSON COUNTY PUBLIC HEALTH Date STATE OF WASHINGTON DEPARTMENT OF HEALTH APPROVED AS TO FORM ONLY Assistant Attorney General Date Page 1 of 20 AMENDMENT #21 2018-2021 CONSOLIDATED CONTRACT EXHIBIT A STATEMENTS OF WORK TABLE OF CONTENTS DOH Program Name or Title: BEACH Program - Effective March 1, 2021..................................................................... DOH Program Name or Title: Family Planning - Effective December 1, 2019................................................................ DOH Program Name or Title: WIC Nutrition Program - Effective January 1, 2018.......................................................... ..........................................................................I.......... 3 ..................................................................................... 5 ................................................................................... 12 Exhibit A, Statements of Work Page 2 of 20 Contract Number CLH18247-21 Revised as of March 15, 2021 AMENDMENT #21 Exhibit A Statement of Work Contract Term: 2018-2021 DOH Program Name or Title: BEACH Program - Effective March 1, 2021 SOW Type: Original Revision # (for this SOW) Period of Performance: March 1, 2021 through October 31, 2021 Local Health Jurisdiction Name: Jefferson County Public Health Contract Number: CLHIS247 Funding Source Federal Compliance Type of Payment N Federal Subrecipient (check if applicable) N Reimbursement ❑ State N FFATA (Transparency Act) ❑ Fixed Price ❑ Other ❑ Research & Development Statement of Work Purpose: The Beach Environmental Assessment, Communication, and Health (BEACH) Program monitors water at marine swimming beaches for bacteria and provides public notification when levels are unsafe. Revision Purpose: N/A Chart of Accounts Program Name or Title CFDA # BARS Master Funding Period Current Change Total Revenue Index (LHJ Use Only) Consideration Consideration Code Code Start Date End Date Increase (+) FFY20 Swimming Beach Grant IAR ECY 66.472 333.66.47 26505920 03/01/21 1 10/31/21 0 15,000 15,000 TOTALS 0 15,000 15,000 Task Task/Activity/Description *May Support PHAB ` Deliverables/Outcomes Due Date/Time Payment Information and/or Number Standards/Measures-< Frame Amount 1 BEACH Program Administration and Annual Summarize time spent on Annual meeting held Reimbursement for Meeting: Time spent on administrative duties administrative duties in annual in March 2021. actual costs up to related to the BEACH Program and the 2021 report. $15,000 for tasks 1-3. Annual meeting. Annual report due Subrecipient may use October 31, 2021. its own discretion in 2 Bacteria Monitoring & Public Notification 1. Enter data into Department of 1. Enter data results prioritizing which • Collect samples and field observations in Ecology's BEACH Program into database by task(s) to pay with accordance with BEACH Program Quality Database. Friday each week of this award. Assurance Project Plan (QAPP). Notify BEACH 2. Email or mail copies of sample collection. Program Manager in advance if samples cannot be laboratory analytical reports to 2. Email or mail collected. Coordinate deviations from the QAPP BEACH Program Data Manager. copies of reports upon and/or schedule with the BEACH Program 3. Include a list of swimming receipt. Manager. advisories in annual report. 3. Annual report due • Post and/or remove swimming advisory signs as October 31, 2021. needed. Provide public education about beach water quality. Notify BEACH Program Manager of swimming advisories as soon as possible. Exhibit A, Statements of Work Page 3 of 20 Contract Number CLH18247-21 Revised as of March 15, 2021 AMENDMENT #21 Task Task/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Payment Information and/or Number Standards/Measures Frame Amount 3 Illness Pollution Investigations 1. Provide notification via 1. Within fourteen Notify BEACH Program Manager of any illness telephone to BEACH Program (14) business days. reports related to recreational swimming beaches. Manager. Conduct illness investigations as needed. 2. Summarize illness investigation 2. Annual report due in annual report. October 31, 2021. *For Information Only: Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. More detail on these and/or other Public Health Accreditation Board (PHAB) Standards/Measures that may apply can be found at: http://www.phaboard.org/wp-content/uploads/PHAB-Standards-and-Measures-Version- I.O.pdf Program Specific Requirements/Narrative The funds for this project are being provided by an Environmental Protection Agency grant, Agreement Number CU-01 J49701-1, Catalog of Federal Domestic Assistance Number 66.472 — Beach Monitoring and Notification Program Implementation Grants. Special Requirements Federal Funding Accountability and Transparency Act (FFATA) 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 of the Transparency Act is to make information 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 of work will be made available on USASpending.gov by DOH as required by P.L. 109-282. Program Manual, Handbook, Policy References Quality Assurance Project Plan at: https://fortress.wa. o� v/ecy/publications/SummaryPages/1903119.html DOH Program Contact Laura Hermanson, BEACH Program, Office of Environmental Health and Safety, PO Box 47824, Olympia, WA 98504-7824, 360-480-4868, laura.hermansong_ecy.wa.gov DOH Fiscal Contact Taylor Warren, Budget Specialist, Office of Environmental Health and Safety, P.O. Box 47824, Olympia, WA 98504-7824, 360-236-3348, tUlor.warrengdoh.wa.gov Exhibit A, Statements of Work Page 4 of 20 Contract Number CLH18247-21 Revised as of March 15, 2021 AMENDMENT #21 Exhibit A Statement of Work Contract Term: 2018-2021 DOH Program Name or Title: Family Planning - Effective December 1, 2019 SOW Type: Revision Revision # (for this SOW) 4 Period of Performance: December 1, 2019 through June 30, 2021 Local Health Jurisdiction Name: Jefferson County Public Health Contract Number: CLH18247 Funding Source Federal Compliance Type of Payment ❑ Federal <Select One> (check if applicable) ® Reimbursement ® State ❑ FFATA (Transparency Act) ❑ Fixed Price ❑ Other ❑ Research & Development Statement of Work Purpose: The purpose of this statement of work (SOW) is to provide family planning services to Washington State residents. These services will comply with all state and DOH Famiy Planning Manual requirements. This statement of work replaces previous statements of work. It highlights specific requirements, but all must be complied with. Due dates after June 30, 2021 are for reporting only. LHJ may not bill under this statement of work for work done in July 2021. Revision Purpose: The purpose of this revision is to add additional funding. 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 Increase (+) Total Consideration FAMILY PLANNING COST SHARE N/A 334.04.91 78440100 12/01/19 06/30/20 53,449 0 53,449 FAMILY PLANNING COST SHARE N/A 334.04.91 78440100 12/01/19 06/30/20 16,545 0 16,545 SFY21 FAMILY PLANNING COST SHARE N/A 1 334.04.91 178440104 1 07/01/20 06/30/21 85,814 1,136 86,950 TOTALS 155,808 1 1,136 156,944 Task Number Task/Activity/Description *May Support PHAB Standards/Measures Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount 1. Family Planning Program Services —excluding A19 invoice vouchers No more than Billing must be based on a abortion and other surgical procedures related submitted timely and monthly and no current cost methodology to family planning accompanied with an R&E less than approved by DOH (see A. Comply with Washington State 2019 Family showing revenue and quarterly. Reporting Requirements Planning Program Manual, Family Planning expenses for the month billed table). Program Network requirements and all state and back up documentation laws. Also see Program Manual, Handbook, per DOH policy. DOH reserves the right to Policy References section below. During the COVID19 crisis withhold payment until: B. Provide medical services, community you may enter FTE related • Compliance issues related education and outreach, and staff training, expenses for family planning to this or a previous SOW consistent with state requirements: staff temporarily assigned to are resolved in a way other duties due to COVIDI9 accepted by DOH or staff not working due to Exhibit A, Statements of Work Page 5 of 20 Contract Number CLH18247-21 Revised as of March 15, 2021 AMENDMENT #21 Task Number Task/Activity/Description *May Support PHA$ Standards/Measures Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount 1. LHJ is responsible for making sure all COVIDI9, but still being paid • Current data is submitted staff have the knowledge to carry out the by your organization as paid to, and accepted by, requirements of the SOW. leave. Ahlers. 2. Medical, laboratory, and other services • All reports described in As described in • A19 back up related to abortion are not covered by Reporting Requirements table Reporting documentation required this task. below. Requirements by DOH has been 3. Community education services must be table below. submitted and approved. based on the needs of the community. • Other deliverables have 4. Outreach is to ensure all populations in • Other data and documentation As requested by been met. your community understands the in format requested by DOH. DOH services available. Focus your outreach (Includes copies of program Payment is limited to the efforts on increasing equity. and financial audits and maximum funds available for reviews including summaries funding source. Washington State Family Planning Network conducted by other entities.) priority populations are: DOH will reimburse for: • People under 20 years old • To facilitate DOH desk As requested by • Actual allowable costs • People with incomes at or below 250% reviews —requested DOH according to your FPL documentation available to approved cost • People who are uninsured or DOH in requested format. methodology (see underinsured Reporting Requirements • People who require an extra level of • To facilitate DOH site- table). confidentiality visits —appropriate staff and or • People with low English proficiency documentation readily • The amount remaining in Extra efforts should be made to provide available prior to and during the SOW divided by the information and services to people who intersect review. number of months with multiple priority population categories. remaining in the funding DOH performs site visits at least source, plus one, Provide all services in accordance with: annually. Follow-up site visits are whichever is less. • DOH Family Planning Manual performed until identified issues • Other state and federal requirements are resolved. Payment will be calculated by • LHJ's Current Scope Report (defined R&E provided by DOH (see below) Reporting Requirements table). C. Collect, maintain, and provide data about CVR data submitted to DOH data The last day of each family planning clinic visit as defined in contractor (Ahlers & Associates) the next month. All services through 06-30-21 the Family Planning Manual. electronically in a format y Within thirty must be billed b 07-31-21. Y 1. Maintain a computer system that compatible with Ahlers software. (30) days of includes normal safety precautions receiving error/rejection against loss of information. • Data for each month 2. Ensure data entry personnel protect report or request from confidentiality of CVR data. • Corrected CVR data DOH family Exhibit A, Statements of Work Page 6 of 20 Contract Number CLH18247-21 Revised as of March 15, 2021 AMENDMENT 421 Task Number Task/Activity/Description *May Support PHAB ' Standards/Measures Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount 3. Have ability to retrieve all information planning data for auditing and monitoring by DOH or manager. its designee. D. Notify DOH contract manager of all: Email briefly describing change. As needed to • Key staff and organizational changes. keep • Proposed clinic site additions. New information clinic sites must be approved by DOH current. before offering services supported by SOW funding. • Expected clinic site closures. Note: DOH may, at its sole discretion, recalculate LHJ's funding allocation if it closes a clinic site. • Any other change that might affect LHJ's ability to provide the family planning services described in this SOW. 2. Abortion and other surgical procedures Surgical A19 accompanied by No more than DOH will only reimburse LHJ related to family planning Surgical Services Summary and six (6) months for these services if this SOW A. LHJ may choose to use up to 3% of its total Health Insurance Claim Forms after date includes surgical funds. SOW funds for medical and surgical form for each visit billed. service was abortions and other family planning related provided. DOH will pay for services at surgical procedures. DOH will provide Surgical Health Care Authority (HCA) B. LHJ must notify the DOH contract manager Services Summary forms and Medicaid reimbursement prior to providing services with SOW funds. surgical A19s as part of R&E amounts. DOH will move the appropriate amount to workbook for all LHJ's who • This will be considered the appropriate funding source. This may or receive surgical funds. payment in full. may not require an amendment. . LHJ will not seek C. Comply with Washington State 2019 Family additional.payment from Planning Manual, Family Planning Network the client or any other requirements and all state laws. Also see person or organization. Program Manual, Handbook, Policy References section below. D. Eligible clients are those with incomes at or below 250% FPL. E. If LHJ bills for services provided by someone outside their organization the outside provider must agree to accept DOH payment as payment in full. LHJ is responsible for ensuring that the outside provider does not seek additional payment from the client or Exhibit A, Statements of Work Page 7 of 20 Contract Number CLH18247-21 Revised as of March 15, 2021 AMENDMENT #21 *May Support Task Due Date/Time Payment Information and/or Number Task/Activity/Description PHAB Deliverables/Outcomes Frame Amount Standards/Measures any other person or organization. (Also see Payment column.) Reporting Requirements: Title and Purpose Description Due 1. Current Scope Report This information must be reported using the template or format provided by DOH. All 01-31-20 signatures and forms must be completed by 01-31-20 It will include: Information required at the beginning this SOW -- - ---------------------------------------------------------------------------------------------------------------------------------------------------------- Information about your agency contacts and your organization's staffing AND period. This information ensures that DOH has accurate information about LHJ's organization and A. Head of Organization As needed to maintain the services it provides. B. Head of Finance accuracy of information. C. Medical Director In addition, elements of this report allow DOH to D. The following (one person might fill more than one role) ensure that Washington State Family Planning a. Contract Coordinator Network requirements regarding client fees, b. Clinical representative required services, requirements. It also provides c. Billing contact other information to assist DOH to manage this d. Outreach and education contact SOW and the Washington State Family Planning e. Contact for CVR data Network as a whole. £ Contact for EHR information ---------------- --- - -- -— -------------------------------- - .._.... ------------ - - - ----- - -- -- --------- Information regarding family planning related services offered at each clinic site: A. Cost analysis: How LHJ determines what it costs to provide services. LHJ uses this to help construct its fee schedule. A cost analysis must be performed by LHJ no more than three years prior to the start date of this SOW. B. Sliding fee schedule that includes all services required in the Family Planning Submit 2021 sliding fee Manual. Additional Task 1 family planning -related services may also be included on scale to DOH by LHJ's sliding fee schedule. 01-05-21 a. Sliding fee schedule must be based on cost analysis described above. b. LHJ may use the last fee schedule approved prior to this SOW as long as it was approved later than 04-01-19. LHJ must email the DOH contract manager letting them know it is using a prior approved fee schedule. c. LHJ must not implement a revised fee schedule until it has been approved in writing by DOH. C. Income conversion tables must be updated annually and approved by DOH - - - --- - - - - - --- --- ------ -- -- --- --- ----------------- -------- --------------- --- Information related to current Community Outreach Plan LHFs community outreach plan follows a 5-year cycle. In the first year LHJ must assess, document and disseminate community health needs, this process must include the following steps: A. Define the populations LHJ serves and identify opportunities to expand reach within Exhibit A, Statements of Work Page 8 of 20 Contract Number CLH18247-21 Revised as of March 15, 2021 AMENDMENT #21 those populations and to unreached populations in each community it serves. B. Identify organizations and people representing the broad interests of the community and identify opportunities for partnership and collaboration. C. Gather available data and current assessments (secondary data) D. Seek community perspectives by gathering input from the various populations in LHJ's community (collect primary data) E. Aggregate secondary and primary data and analyze aggregated data F. Prioritize health issues, define areas of unmet need, and incorporate both in plans for outreach and education materials and activities G. Document and disseminate the community health needs assessment to LHJ's FFP consultant and appropriate stakeholders Information related to current Washington State Family Planning Network work plan Periodically, the Family Planning Network develops a statewide work plan. LHJ will be involved in developing and finalizing this plan. Activities focus on improving the strength of the Network and access to Network services for everyone who wants and needs them. Describe plans to address portions of the Network work plan that LHJ is responsible for or involved in. Include a description of the staff involved and timelines related to your activities. ------------------------------------------------------------------------------------------------------------------------------------------ Information related to billing and client fees Cost methodology: How LHJ determines appropriate expenses for the purpose of billing DOH. If LHJ cost methodology was approved by DOH after 04-01-19, LHJ does not have to resubmit unless changes were made. LHJ does need to email DOH contract manager informing them that no changes were made. 2. Progress Summary Report This information must be reported using the template or format provided by DOH. It will include information about LHJ's work during the previous SOW: Summary of activities from previous Family Planning services SOW. A. Progress on portions of the Network work plan LHJ was responsible for or involved in. It informs quality improvement of the B. Community education and outreach strategies and activities and a discussion of Washington State Family Planning Network. their effectiveness. C. Staff training. 3. Family Planning Annual Report (FPAR) Organization -level data on clinical services emailed to DOH family planning data 01-31-21 manager Information DOH is requesting to develop trend data. All information is for calendar year 2020 Number of - (January through December 2020). A. Pap tests with an ASC or higher result B. Pap tests with an HSIL or higher result C. HIV Positive confidential tests D. HIV Anonymous tests E. FTE required to provide family planning services: • Physicians Exhibit A, Statements of Work Page 9 of 20 Contract Number CLH18247-21 Revised as of March 15, 2021 AMENDMENT #21 • Physician assistants + nurse practitioners + certified nurse midwives • Registered nurses with expanded scope of practice who are trained and permitted by state specific regulations to perform all aspects of the physical assessment. Financial data emailed to DOH Contract Manager A. R&E showing Other Revenue through 12-31-20 as described in item 5, below. 4. Clinic Visit Reports (CVRs) Clinic visit records must include all elements specified in the Clinic Visit Record (CVR) Manual available at: httUs://www.doh.wa.gov/Portals/1 /Documents/Pubs/930-139-C VRManual. pdi CVR data must be submitted to DOH data contractor (Ahlers & Associates) electronically in a format compatible with Ahlers software. • Each month's CVR data The last day of the next month • Corrected CVR data Within thirty (30) days of receiving error or rejection report or request from DOH family planning data manager. 5. Revenue and Expense Reports (R&E) Completed R&E for time period that shows all revenue (including program income) Submitted with each that support Task 1 Family Planning Services and all expenses related to providing invoice (A19). No more those services. R&E workbook will be provided by DOH. than monthly and no A. Expenses must match General Ledger. less than quarterly. B. Other revenue/program income must reflect revenue actually received in the R&E showing all reporting month. sources of revenue that C. All entries on "Other" rows must be accompanied by a description of the revenue support services for: source or expense, including any calculations uses. . January -December 2019 due 01-31-20 • January -December 2020 due 01-31-21 *For Information Only: Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. More detail on these and/or other Public Health Accreditation Board (PHAB) Standards/Measures that may apply can be found at: http://www. phaboard. org/wl2-content/uploads/PHAB-Standards-and-Measures-Version-1.O.pdf Exhibit A, Statements of Work Page 10 of 20 Contract Number CLH18247-21 Revised as of March 15, 2021 AMENDMENT #21 Program Manual, Handbook, Policy References LHJ must comply with all state and DOH Family Planning requirements, policies, and regulations and with their DOH approved Current Scope Report. Reference documents include: • DOH Family Planning Manual (DOH publication 930-122, available at https://www.doh.wa.gov/portals/l/Documents/Pubs/930-122-FPRHManualComplete.pdf). Some provisions of this manual are highlighted in this SOW, but all provisions of the manual must be complied with. • Clinic Visit Record Manual (https://www.doh.wa.gov/Portals/l/Documents/Pubs/930-139-CVRManual.pdf) • Current Washington State Family Planning Network work plan • LHJ's approved Current Scope Report Special Billing Requirements See Payment column of Tasks and Deliverables table and R&E report description in Reporting Requirements table Special Instructions Accessibility of Services • Clients must not be denied services or subjected to variation in quality of services because of inability to pay. • LHJ must make sure their communities are informed of the services available. • LHJ must make sure that all services provided are accessible to target populations. o Facilities must be geographically accessible to the populations served. o As much as possible, services will be available at times convenient to those seeking services. o Clinics must comply with the Americans with Disabilities Act. o Facilities must meet applicable standards established by the Federal, State, and local governments, including local fire, building, and licensing codes. o Clinic settings must ensure respect for the privacy and dignity of the individual. • Clients must be accepted on referral from any source. • Services must be provided solely on a voluntary basis. Acceptance of family planning services must not be a prerequisite to eligibility for, or receipt of, services in any non -family planning programs of the LHJ. Availability of Emergency Services The LHJ must have written plans and procedures for the management of on -site medical emergencies, including emergencies that require transport and after-hours management of contraceptive emergencies. (See DOH Family Planning Manual) DOH Program Contact Carol Oakes PO Box 47880 Olympia, WA 98504-7880 Carol.Oakeskdoh.wa. go_v (360)236-3588 Exhibit A, Statements of Work Page 11 of 20 Contract Number CLH18247-21 Revised as of March 15, 2021 AMENDMENT #21 Exhibit A Statement of Work Contract Term: 2018-2021 DOH Program Name or Title: WIC Nutrition Program - Effective January 1, 2018 SOW Type: Revision Revision # (for this SOW) 14 Period of Performance: January 1, 2018 through December 31, 2021 Local Health Jurisdiction Name: Jefferson County Public Health Contract Number: CLH18247 Funding Source Federal Compliance Type of Payment ® Federal Subrecipient (check if applicable) N Reimbursement ❑ State N FFATA (Transparency Act) ❑ Fixed Price ❑ Other ❑ Research & Development Statement of Work Purpose: The purpose is to provide Women, Infants, and Children (WIC) Nutrition Program services by following WIC federal regulations, WIC state office policies and procedures, WIC directives, and other rules. Refer to the Program Specific Requirements section of this document. Revision Purpose: The purpose of this revision is to add FFY21 USDA WIC Client SVS Contracts funds, add FFY20 USDA BFPC Program Management funds and include language for initiating the BFPC program. 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 Increase (+) Total Consideration FFY18 CSS USDA WIC PROGRAM MGNT 10.557 333.10.55 76211280 01/01/18 09/30/18 74,490 0 74,490 FFY19 CSS USDA WIC PROGRAM MGNT 10.557 333.10.55 76211290 10/01/18 09/30/19 106,856 0 106,856 FFY20 USDA WIC PROGRAM MGNT 10.557 333.10.55 76101202 10/01/19 09/30/20 0 0 0 FFY21 CSS USDA WIC PROGRAM MGNT 10.557 333.10.55 76101212 10/01/20 09/30/21 2,450 0 2,450 FFY18 CSS USDA FMNP PROGRAM MGNT 10.572 333.10.57 76211284 01/01/18 09/30/18 500 0 500 FFY16 CASCADES USDA WIC PROGRAM MGNT-MIS 10.578 333.10.57 76411261 10/01/18 09/30/19 845 0 845 FFY19 CSS USDA FMNP PROGRAM MGNT 10.572 333.10.57 76211294 01/01/19 09/30/19 502 0 502 FFY19 MIS TECH GRANT 10.578 333.10.57 76411291 10/01/19 09/30/20 790 0 790 FFY20 USDA WIC CLIENT SVS CONTRACTS 10.557 333.10.55 76101204 10/01/19 09/30/20 104,932 0 104,932 FFY21 USDA WIC CLIENT SVS CONTRACTS 10.557 333.10.55 76101214 10/01/20 09/30/21 103,275 7,454 110,729 FFY20 USDA FMNP PROGRAM MGMT 10.572 333.10.57 76540201 10/01/19 09/30/20 481 0 481 FFY20 USDA WIC NUTRITION ED 10.557 333.10.55 76101206 10/01/19 09/30/20 1,295 0 1,295 FFY22 USDA WIC CLIENT SVS CONTRACTS 10.557 333.10.55 TBD 10/01/21 12/31/21 26,275 0 26,275 FFY20 USDA BFPC PROGRAM MGMT 10.557 333.10.55 76214220 10/01/19 09/30/21 0 30,280 30,280 TOTALS 422,691 37,734 460,425 Task *May'; Support PHAB Due Date/Time Payment Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Frame Information and/or Amount See "Special Billing 1 WIC Nutrition Program Requirements" below. Exhibit A, Statements of Work Page 12 of 20 Contract Number CLH18247-21 Revised as of March 15, 2021 AMENDMENT #21 Task Task/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Payment Information and/or Number Standards/Measures Frame Amount 1.1 Maintain authorized participating caseload at 100% 7.2 Outcomes based on monthly based on quarterly average as determined from participation data from state WIC monthly caseload management reports generated at caseload management reports. the state WIC office. The Department of Health (DOH) State WIC Nutrition Program has the option of reducing authorized participating caseload and corresponding funding when: 1. Unanticipated funding situations occur. 2. Reallocations are necessary to redistribute caseload statewide. Authorized participating caseload for January 2018 through December 2020 = 320 Authorized participating caseload for January 2019 through December 2020 = 310 Revised participating caseload for January 2021 through December 2021= 300 1.2 Submit the annual Nutrition Services Plan for each 9.2 ` Nutrition Services Plan First year due Payment withheld if year of the Contract. 11/30/18 not received by due Second year due date. 11/30/19 Third year due 11/30/20 Extension year due 09/30/21 1.3 Submit the annual Nutrition Services Expenditure 11.2 Nutrition Services Expenditure First year due Payment withheld if Report for each year of the Contract. Report 11/30/18 not received by due Second year due date. 11/30/19 Third year due 11/30/20 Extension year due 11/30/21 1.4 Tell participants about other health services in the 3.1 Documentation must be available Biennial WIC monitor agency. If needed, develop written agreements for review by WIC monitor staff. with other health care agencies and refer participants to these services. Exhibit A, Statements of Work Page 13 of 20 Contract Number CLH18247-21 Revised as of March 15, 2021 AMENDMENT #21 Task Task/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Payment Information and/or Number Standards/Measures Frame Amount 1.5 Provide nutrition education services to participants 3.1 Documentation must be available Biennial WIC monitor and caregivers in accordance with federal and state for review by WIC monitor staff. requirements. 1.6 Issue WIC benefits while assuring adequate card 11.2 Documentation must be available Biennial WIC monitor security and reconciliation. for review by WIC monitor staff. 1.7 Collect data, maintain records, and submit reports 7.1 Documentation must be available Biennial WIC monitor to effectively enforce the non-discrimination laws for review by WIC monitor staff. Refer to Civil Rights Assurances below). 1.8a Submit entire WIC and Breastfeeding Peer 11.2 Budget Workbook First year due Counseling Budget Workbook for each year of the 10/31/18 contract. Second year due 09/30/19 Third year due 09/30/20 Extension year due 09/30/21 1.8b Submit Rev-Exp Report spreadsheet from the WIC 11.2 Revenue and Expense Report and Mid -year revision due Budget Workbook monthly -with A19 A19 Invoice Voucher. 04/30/19 Mid -year revision due 04/30/20 Extension year due monthly through 12/31/21 See "Special Billing 2 Breastfeeding Promotion Requirements" below 2.1 Provide breastfeeding promotion activities in 3.1 Status report of chosen activities in First year due accordance with federal and state requirements Nutrition Services Plan. 11/30/18 Second year due 11/30/19 Third year due 11/30/20 Extension year due Documentation must be available 11/30/21 for review by WIC monitor staff. Biennial WIC monitor 2.2 Optional for FFY21: Work with community 4.2 ' Optional status report of chosen First year due partners to improve practices that affect activities in Nutrition Services 11/30/18 breastfeeding. Choose one or more of the Plan. Second year due following projects: 11/30/19 Third year due 11/30/20 Exhibit A, Statements of Work Page 14 of 20 Contract Number CLH18247-21 Revised as of March 15, 2021 AMENDMENT #21 Task Task/Activity/Description *May Support PHAB Deliverables/Outcomes Due Date/Time Payment Information and/or Number Standards/Measures Frame Amount ■ Change worksite policies of employers who Extension year due likely employ low income women 11/30/21 ■ Provide breastfeeding education to health care Documentation must be available providers who serve low income pregnant and for review by WIC monitor staff. Biennial WIC monitor breastfeeding women ■ Work with birthing hospitals to improve maternity care practices that affect WIC client breastfeeding rates ■ Provide participants access to lactation consultants ■ Provide staff and community partners breastfeeding training Other projects will need pre -approval from the State WIC Office. 3 Breasfeeding Peer Counseling Program See "Special Billing Requirements" below 3.1 Provide breas feeding peer counseling program 3.1 Breastfeeding Peer Counseling Extension year due activities in accordance with federal and state Annual Report and expenditures 12131121 requirements. The WIC Breastfeeding Peer from the previous federal fiscal Counseling Program is meant to enhance, not year. replace, WIC Breas feeding Promotion and support activities. Documentation must be available Biennial WIC monitor or review by WIC monitor staff. 3.2 Track Breastfeeding Peer Counseling Program 3.1 Documentation must be available Biennial WIC monitor expenditures and bill separately from the WIC for review by WIC monitor staff. ant. 34 Farmers Market Nutrition Program (FMNP) See "Special Billing Requirements" below 4.1 Distribute all Farmers Market Nutrition Program Send completed readable copy of Weekly June -Sept. checks to eligible WIC participants between June FMNP check registers to State 2018 and September 30 of current year. WIC office on a weekly basis Weekly June -Sept. following FMNP procedures. 2019 Weekly June -Sept. 2020 Weekly June -Sept. 2021 All sent by Oct. 1, 2018; Oct. 1, 2019, Exhibit A, Statements of Work Page 15 of 20 Contract Number CLH18247-21 Revised as of March 15, 2021 AMENDMENT #21 Task *May Support PHAB ` Due Date/Time Payment Number Task/Activity/Description Standards/Measures Deliverables/Outcomes Frame Information and/or Amount Oct. 1, 2020, and by Oct. 1, 2021 Documentation must be available for review by WIC monitor staff. Biennial WIC Monitor *For Information Only: Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. More detail on these and/or other Public Health Accreditation Board (PHAB) Standards/Measures that may apply can be found at: http://www.12haboard. org/wp-content/uploads/PHAB-Standards-and-Measures-Version- I.O.pdf Program Specific Requirements/Narrative Federal Fundine Accountability and Transparency Act (FFATA) 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 of the Transparency Act is to make information 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 of work will be made available on USASpending.sov by DOH as required by P.L. 109-282. Program Manual, Handbook, Policy References: The LHJ shall be responsible for providing services according to rules, regulations and other information contained in the following: • WIC Federal Regulations, USDA, FNS 7CFR Part 246, 3016, 3017 and 3018 • Washington State WIC Nutrition Program Policy and Procedure Manual • Farmers Market Nutrition Program Federal Regulations, USDA, FNS 7CFR Part 248 • Other directives issued during the term of the Contract Staffing Requirements: The LHJ must: Use Competent Professional Authority staff, as defined by WIC policy, to determine client eligibility, prescribe an appropriate food package and offer nutrition education based on the participants' needs. Use a Registered Dietitian (RD) or other qualified nutritionist to provide nutrition services to high risk participants, to include development of a high risk care plan. The RD is also responsible for quality assurance of WIC nutrition services. See WIC Policy for qualifications for a Registered Dietitian and other qualified nutritionist. Assign a qualified person to be the Breastfeeding Coordinator to organize and direct local agency efforts to meet federal and state policies regarding breastfeeding promotion and support. The Breastfeeding Coordinator must be an International Board Certified Lactation Consultant or attend an intensive lactation management course, or other state approved training. Restrictions on Funds: The LHJ shall follow the instructions found in the Policy and Procedure Manual under WIC Allowable Costs. Exhibit A, Statements of Work Page 16 of 20 Contract Number CLH18247-21 Revised as of March 15, 2021 AMENDMENT #21 Monitoring Visits: Program and fiscal monitoring are done on a Biennial (every two years) basis, and are conducted onsite. The LHJ must maintain on file and have available for review, audit and evaluation: 1) All criteria used for certification, including information on income, nutrition risk eligibility and referrals 2) Program requirements 3) Nutrition education 4) All financial records Definitions: What is the WIC program? (1) The WIC program in the state of Washington is administered by DOH. (2) The WIC program is a federally funded program established in 1972 by an amendment to the Child Nutrition Act of 1966. The purpose of the program is to provide nutrition and health assessment; nutrition education; nutritious food; breastfeeding counseling; and referral services to pregnant, breastfeeding, and postpartum women, infants, and young children in specific risk categories. (3) Federal regulations governing the WIC program (7 CFR Part 246) require implementation of standards and procedures to guide the state's administration of the WIC program. These regulations define the rights, responsibilities, and legal procedures of WIC employees, participants, persons acting on behalf of a client, and retailers. They are designed to promote: (a) High quality nutrition services; (b) Consistent application of policies and procedures for eligibility determination; (c) Consistent application of policies and procedures for food benefit issuance and delivery; and (d) WIC program compliance. (4) The WIC program implements policies and procedures stated in program manuals, handbooks, contracts, forms, and other program documents approved by the USDA Food and Nutrition Service. (5) The WIC program may impose sanctions against WIC participants for not following WIC program rules stated on the WIC rights and responsibilities. (6) The WIC program may impose monetary penalties against persons who misuse WIC checks or WIC food but who are not WIC participants. Assurances/Certifications: 1. Computer Equipment Loaned by the DOH WIC Nutrition Program In order to perform WIC program activities, DOH requires computers and printers to be in local WIC clinics or to be transported to mobile clinics. This equipment ("Loaned Equipment") is owned by DOH and loaned to the local agency (LHJ). The Loaned Equipment is supported by DOH. This equipment shall be used for WIC business only or according to WIC Policy and Procedures. An inventory of Loaned Equipment is kept by DOH. Each time Loaned Equipment is changed, the parties shall complete the Equipment Transfer Form and DOH updates the inventory. A copy of the Transfer Form will be provided to the LHJ. Copies of the updated inventory list may be requested at any time. The LHJ agrees to: a. Defend, protect and hold harmless DOH or any of its employees from any claims, suits or actions arising from the use of this Loaned Equipment. b. Assume responsibility for any loss or damage from abnormal wear or use, or from inappropriate storage or transportation. Exhibit A, Statements of Work Page 17 of 20 Contract Number CLH18247-21 Revised as of March 15, 2021 AMENDMENT #21 DOH may enforce this by: 1) Requiring reimbursement from the LHJ of the value of the Loaned Equipment at the time of the loss or damage. 2) Requiring the LHJ to replace the Loaned Equipment with equipment of the same type, manufacturer, and capabilities (as pre -approved by DOH), or 3) Assertion of a lien against the LHJ's property. c. Notify DOH immediately of any damage to Loaned Equipment. d. Notify DOH prior to moving or replacing any Loaned Equipment. The Department recommends LHJs carry insurance against possible loss or theft. 2. Civil Rights Assurance The LHJ shall perform all services and duties necessary to comply with federal law in accordance with the following Civil Rights Assurance: a. "The LHJ hereby agrees that it will comply with Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d et seq.), Title IX of the Education Amendments of 1972 (20 U.S.C. 1681 et seq.), Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794), Age Discrimination Act of 1975 (42 U.S.C. 6101 et seq.); all provisions required by the implementing regulations of the Department of Agriculture; Department of Justice Enforcement Guidelines, 28 CFR 50.3 and 42; and INS directives and guidelines, to the effect that, no person shall, on the ground of race, color, national origin, sex, age or handicap, be excluded from participation in, be denied benefits of, or otherwise be subject to discrimination under any program or activity for which the LHJ receives Federal financial assistance from FNS; and hereby gives assurance that it will immediately take measures necessary to effectuate this Contract. b. `By accepting this assurance, the LHJ agrees to compile data, maintain records and submit reports as required, to permit effective enforcement of the nondiscrimination laws and permit authorized USDA personnel during normal working hours to review such records, books and accounts as needed to ascertain compliance with the nondiscrimination laws. If there are any violations of this assurance, the Department of Agriculture, Food and Nutrition Service, shall have the right to seek judicial enforcement of this assurance. This assurance is binding on the LHJ, its successors, transferees, and assignees, as long as it receives assistance or retains possession of any assistance from DOH. The person or persons whose signatures appear on the contract are authorized to sign this assurance on behalf of the LHJ." 3. 7CFR Parts 3016, 3017, 3018 The LHJ shall comply with all the fiscal and operations requirements prescribed by the state agency as directed by Federal WIC Regulations (7CFR part 246.6), 7CFR part 3016, the debarment and suspension requirements of 7CFR part 3017, if applicable, the lobbying restrictions of 7CFR part 3018, and INS guidelines and instructions and shall provide on a timely basis to the state agency all required information regarding fiscal and program information. Special Billing Requirements: 1. Definitions Contract Period: January 1, 2018-December 31, 2021 Contract Budget Period: The time period for which the funding is budgeted. • There are four federal budget periods (Adding two more for the one-year FFY21 extension) January 1, 2018 through September 30, 2018; October 1, 2018 through September 30, 2019; October 1, 2019 through September 30, 2020; October 1, 2020 through December 31, 2020; January 1, 2021 through September 30, 2021; October 1, 2021 through December 31, 2021. Exhibit A, Statements of Work Page 18 of 20 Contract Number CLH18247-21 Revised as of March 15, 2021 AMENDMENT #21 2. Billing Information a. Billings are submitted on an A19-lA form, which is coded and provided by DOH prior to each federal fiscal budget period. Submit summary level financial data to support each individual program billing. b. A19-IA forms are submitted monthly following the close of each calendar month or upon completion of services, before the end of the federal contract budget period. c. Funds are allocated by budget categories (refer to Chart of Accounts Program names) and by state and federal budget periods (refer to the allocation sheet). d. Expenses are incurred only during the budget period; no carry forward from previous time periods, or borrowing from future time periods is allowed. Advance payments are not allowed. e. Payments for a budget period are limited to the amounts allocated for the budget period for each budget category. f. Billings are based on actual costs, with back up documentation retained by the LHJ and available for inspection by DOH or other appropriate authorities. g. Payments will be made only for WIC approved expenditures. Refer to the Washington State WIC Nutrition Program Policy and Procedure Manual Volume 2, Chapter 4 — Allowable Costs and 2 CFR Part 200 Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. Special Instructions: The LHJ shall: 1) Maintain complete, accurate, and current accounting of all local, state, and federal program funds received and expended. 2) Provide, as necessary, a single audit in accordance with the provisions of 2 CFR Part 200 Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. This circular requires the LHJ to have a single audit performed should LHJ spend $750,000 or more of federal grants or awards from all sources. The LHJ is a subrecipient of federal funds. 3) Staff must use Breastfeeding Peer Counseling (BFPC) Program funds only to support the peer counseling program. Once the program is established and peer counselors are trained, the majority of the salary costs must be paid to peer counselors to provide direct services to WIC participants. For a list of allowable costs see Volume 2, Chapter 4 — Allowable Costs. The priority use of BFPC funds is to hire and train peer counselors to provide breastfeeding peer counseling services to WIC participants. Special Requirements: Contract Funding Period Time Period Special Requirement Funds Available Amount Description of Special Requirement January 2018- September 2018 January 2018- September 2018 $4,700 Added in the USDA/WIC Program Management "Other" category to fund training and travel expenses for WIC staff to attend WIC -related trainings. This doesn't include out of state trainings. October 2018 - September 2019 October 2018- September 2019 $4,530 Added in the USDA/WIC Program Management "Other" category to fund training and travel expenses for WIC staff to attend WIC -related trainings. This doesn't include out of state trainings. January 2019 — September 2019 January 2019 — September 2019 $6,401 Added in WIC/USDA CSS Other category to fund training and travel expenses for WIC staff to attend WIC -related trainings. This does not include out of state trainings. October 2018 - September 2019 October 2018 - September 2019 $845 Added in the FFY16 Cascades USDA WIC Program Management -MIS category to fund training and travel expenses for WIC staff to attend Cascades trainings. Exhibit A, Statements of Work Page 19 of 20 Contract Number CLH18247-21 Revised as of March 15, 2021 AMENDMENT #21 October 2019 — September 2020 October 2019 — December 2019 $2,381 Added in WIC/USDA CSS Other category to fund staff salaries, training and travel expenses for WIC staff to attend WIC — related trainings. This does not include out of state trainings. October 2018 - September 2019 January 2019 - September 2019 $6,400 Added in the CSS Program Management Other category to fund part-time staff salaries and benefits to support staff completing Cascades training. October 2019 — September 2020 October 2019 - September 2020 $2,381 Added in the USDA/WIC CSS Program Management Other category to fund training and travel expenses for all WIC staff to attend WIC- related trainings. This doesn't include out of state trainings. October 2019 — September 2020 October 2019 - September 2020 $790 Added in the MIS tech grant category to fund training and travel expenses for WIC staff to attend Cascades trainings. October 2018 - September 2019 October 2018 - September 2019 $750 Added in the CSS USDA Program Management category to purchase a scanner. October 2018 - September 2019 October 2018 - September 2019 $30 Added in the CSS USDA Program Management category to fund staff time for Cascades training and rollout activities. October 2019 — September 2020 October 2019 - September 2020 $640 Added in the CSS USDA Program Management category to fund staff time for Cascades training and rollout activities. October 2019 - September 2020 January 2020 - September 2020 $2,270 Added in the USDA WIC Client Services Contracts category to fund training and travel expenses for all WIC staff to participate in WIC -related trainings. With this amendment, these training funds may be used to purchase items to support COVID-19 Remote Access needs. All COVID-19 Remote Access purchases must be approved by the Local Program Operations supervisor or designee prior to purchase. October 2019 - September 2020 January 2020 - September 2020 $260 Added in the WIC/USDA Client Services Contracts category to purchase items to support COVID-19 Remote Access needs. All COVID-19 Remote Access purchases must be approved by the Local Program Operations supervisor or desi nee rior to purchase. October 2019 - September 2020 January 2020 - September 2020 $1,295 Added in the USDA WIC Nutrition Education category to fund WIC staff to attend the fall 2020 NWA Nutrition Education and Breastfeeding Conference or another state approved training. January 2021 - September 2021 January 2021 - September 2021 $2,450 Added in the USDA WIC Program Management CSS category to fund training and travel expenses for all WIC staff to participate in WIC -related trainin s. .January 2021 - September 2021 January 2021 - September 2021 $30,280 Added in the FFY20 USDA Breastfeeding Peer Counseling category to complete the requirements of operating a USDA Loving Support Breastfeeding Peer Counseling program. Other Any program requirements that are not followed may be subject to corrective action, and may result in monetary fines, repayment of funds, or withholding of Contract payment. DOH Program Contact DOH Fiscal Contact Michael Schweizer HSC Chris Keesee, FA WIC Nutrition Program WIC Nutrition Program PO Box 47886, Olympia, WA 98504-7886 PO Box 47886, Olympia, WA 98504-7886 mike.schweizer@doh.wa.gov christopher.keesee?_doh.wa.gov 360-236-3714 360-236-3631 or 1-800-841-1410 x 3631 Exhibit A, Statements of Work Page 20 of 20 Contract Number CLH18247-21 Revised as of March 15, 2021 Jefferson County Public Health Indirect Rate as of January 2018: 32.33% Indirect Rate as of January 2019: 33.85% Public Health Indirect Rate as of January 2020: 33.28% Public Health Indirect Rate as of January 2021: 24.46% Public Health Federal Award Chart of Accounts Program Title Identification # EXHIBIT B-21 ALLOCATIONS Contract Term: 2018-2021 BARS Statement of Work Revenue Funding Period Amend # CFDA* Codex* Start Date End Date Contract Number: CLH18247 Date: March 15, 2021 Funding Chart of Period Accounts Amount Sub Total Total FFY20 USDA BFPC Prog Mgmt 207WAWAIW5003 Amd 21 10.557 333.10.55 10/01/19 09/30/21 10/01/19 09/30/21 $30,280 $30,280 $30,280 FFY21 USDA WIC Program Mgnt CSS 217WAWA7W 1003 Amd 19 10.557 333.10.55 10/01/20 09/30/21 10/01/20 09/30/21 $2,450 $2,450 $183,796 FFY21 USDA WIC Program Mgnt CSS 217WAWA7W1003 Amd 15 10.557 333.10.55 10/01/20 12/31/20 10/01/20 12/31/20 ($24,250) $0 FFY21 USDA WIC Program Mgnt CSS 217WAWA7W1003 Amd 6 10.557 333.10.55 10/01/20 12/31/20 10/01/20 12/31/20 $4,820 FFY21 USDA WIC Program Mgnt CSS 217WAWA7W1003 N/A 10.557 333.10.55 10/01/20 12/31/20 10/01120 12/31/20 ' $19,430 FFY20 USDA WIC Program Mgnt CSS 207WAWA7W1003 Amd 15 10.557 333.10.55 10/01/19 09/30/20 10/01/19 09/30/20 ($102,402) $0 FFY20 USDA WIC Program Mgnt CSS 207WAWA7W1003 Amd 10 10.557 333.10.55 10/01/19 09/30/20 10/01/19 09/30/20 $640 FFY20 USDA WIC Program Mgnt CSS 207WAWA7W 1003 Amd. 8 10.557 333.10.55 10/01/19 09/30/20 10/01/19 09/30/20 $2,381 FFY20 USDA WIC Program Mgnt CSS 207WAWA7W 1003 Amd 6 10.557 333.10.55 10/01/19 09/30/20 10/01/19 09/30/20 ' $21,661 FFY20 USDA WIC Program Mgnt CSS 207WAWA7W 1003 N/A 10.557 333.10.55 10/01/19 09/30/20 10/01/19 09130/20 $77,720 FFY19 CSS USDA WIC Program Mgnt 187WAWA7W1003 Amd 10 10.557 333.10.55 10/01/18 09/30/19 10/01/18 09/30/19 $780 $106,856 FFY19 CSS USDA WIC Program Mgnt 187WAWA7W1003 Amd 9 10.557 333.10.55 10/01/18 09/30/19 10/01/18 09/30/19 + $200 FFY19 CSS USDA WIC Program Mgnt 187WAWA7W1003 Amd 8 10.557 333.10.55 10/01/18 09/30/19 10/01/18 09/30/19 ' $6,515 FFY19 CSS USDA WIC Program Mgnt 187WAWA7W1003 Amd 6 10.557 333.10.55 10/01/18 09/30/19 10/01/18 09/30/19 $17,111 FFY19 CSS USDA WIC Program Mgnt 187WAWA7W1003 Amd 5 10.557 333.10.55 10/01/18 09/30/19 10/01/18 09/30/19 $4,530 FFY19 CSS USDA WIC Program Mgnt 187WAWA7W1003 N/A 10.557 333.10.55 10/01/18 09/30/19 10/01/18 09/30/19 $77,720 FFY18 CSS USDA WIC Program Mgnt 187WAWA7W1003 Amd 3 10.557 333.10.55 01/01/18 09/30/18 10/01/17 09/30/18 ' $2,800 $74,490 FFY18 CSS USDA WIC Program Mgnt 187WAWA7W1003 Amd 2 10.557 333.10.55 01/01/18 09/30/18 10/01/17 09/30/18 I $4,700 FFY18 CSS USDA WIC Program Mgnt 187WAWA7W1003 Amd. 1 10.557 333.10.55 01/01/18 09/30/18 10/01/17 09/30/18 $8,700 FFY18 CSS USDA WIC Program Mgnt 187WAWA7W1003 N/A 10.557 333.10.55 01/01/18 09/30/18 10/01/17 09/30/18 ' $58,290 FFY22 USDA WIC Client Svs Contracts NGA Not Received Amd 19 10.557 333.10.55 10/01/21 12/31/21 10/01/21 12/31/21 ' $26,275 $26,275 $241,936 FFY21 USDA WIC Client Svs Contracts 217WAWA7WI003 Amd 21 10.557 333.10.55 10/01/20 09/30/21 10/01/20 09/30/21 $7,454 $110,729 FFY21 USDA WIC Client Svs Contracts 217WAWA7W1003 Amd 19 10.557 333.10.55 10/01/20 09/30/21 10/01120 09/30/21 $79,025 FFY21 USDA WIC Client Svs Contracts 217WAWA7W1003 Amd 15,19 10.557 333.10.55 10/01/20 09/30/21 10/01/20 09/30/21 $24,250 FFY20 USDA WIC Client Svs Contracts 207WAWA7W1003 Amd 16 10.557 333.10.55 10/01/19 09/30/20 10/01/19 09/30/20 : $260 $104,932 FFY20 USDA WIC Client Svs Contracts 207WAWA7W 1003 Amd 15 10.557 333.10.55 10/01/19 09/30/20 10/01/19 09/30/20 $102,402 FFY20 USDA WIC Client Svs Contracts 207WAWA7W1003 Amd 12 10.557 333.10.55 10/01/19 09/30/20 10/01/19 09/30/20 $2,270 FFY20 USDA WIC Nutrition Ed 207WAWA7W1003 Amd 17 10.557 333.10.55 10/01/19 09/30/20 10/01/19 09130/20 $1,295 $1,295 $1,295 FFY20 USDA FMNP Prog Mgmt 207WAWA7Y8604 Amd 16 10.572 333.10.57 10/01/19 09/30/20 10/01/19 09/30/20 $481 $481 $1,483 FFY19 CSS USDA FMNP Prog Mgnt 197WAWA7Y8604 Amd 8 10.572 333.10.57 01/01/19 09/30/19 10/01/18 09/30/19 $502 $502 FFY18 CSS USDA FMNP Prog Mgnt 187WAWA7Y8604 Amd 2 10.572 333.10.57 01/01/18 09/30/18 10/01/17 09/30/18 '; $500 $500 FFY16 Cascades USDA WIC Prog Mgnt-MIS 16157WAWA6W522 Amd. 6, 8 10.578 333,10.57 10/01/18 09/30/19 03/11/16 09/30/19 $845 $845 $845 FFY19 MIS Tech Grant 197WAWAIG5212 Amd 8 10.578 333.10.57 10/01/19 09/30/20 10/01/18 09/30/20 $790 $790 $790 Page 1 of 6 Jefferson County Public Health Indirect Rate as of January 2018: 32.33% Indirect Rate as of January 2019: 33.85% Public Health Indirect Rate as of January 2020: 33.28% Public Health Indirect Rate as of January 2021: 24.46% Public Health Federal Award Chart of Accounts Program Title Identification # BITV-COVID Ed LHJ Allocation -CARES BITV-COVID Ed LHJ Allocation -CARES COVID LHJ OFM Allocation -CARES PS SSI 1-5 BEACH Task 4 PS SSI 1-5 BEACH Task 4 PS SSI 1-5 BEACH Task 4 PS SSI 1-5 BEACH Task 4 PS SSI 1-5 OSS Task 4 PS SSI 1-5 OSS Task 4 PS SSI 1-5 Subaward Process Task 4 PS SSI 1-5 Subaward Process Task 4 FFY20 Swim Beach Act Grant IAR (ECY-NEP) FFY20 Swimming Beach Act Grant IAR (ECY) FFY19 Swimming Beach Act Grant IAR (ECY) FFY18 Swimming Beach Act Grant IAR (ECY) FFY17 EPR PHEP BPI LHJ Funding FFY 17 EPR PHEP BPI LHJ Funding FFY18 EPR PHEP BPI Supp LHJ Funding FFY18 EPR PHEP BPI Supp LHJ Funding FFY20 PHEP BP2 LHJ Funding FFY20 PHEP BP2 LHJ Funding FFY19 PHEP BPI LHJ Funding FFY19 Family Planning Title X FFY18 Family Planning Title X FFY17 Family Planning Title X FFY17 Family Planning Title X FFY17 317 Ops FFY17 AFIX EXHIBIT B-21 ALLOCATIONS Contract Term: 2018-2021 BARS Statement of Work Revenue Funding Period Amend # CFDA* Code** Start Date End Date Contract Number: CLH18247 Date: March 15, 2021 Funding Chart of Period Accounts Amount Sub Total Total NGA Not Received Amd19 21.019 33321.01 07/01/20 12/30/21 07/01/20 12/30/2111 $129,483 $172,644 $172,644 NGA Not Received Amd 17,19 21.019 333.21.01 07/01/20 12/30/21 07/01/20 12/30/21 ' $43,161 NGA Not Received Amd 17,19 21.019 333.21.01 03/01/20 06/30/21 03/01/20 06130/21 ' $638,000 $638,000 $638,000 OIJ18001 Amd 13 66.123 333.66.12 03/01/20 10/31/20 07/01/17 06/30/23 $10,000 $10,000 $32,400 OIJ18001 Amd 9 66.123 333.66.12 03/01/19 10/31/19 07/01/17 06/30/23 ", $2,000 $12,200 01J18001 Amd 7 66.123 333.66.12 03/01/19 10/31/19 07/01/17 06/30/23 $10,200 OIJ18001 Amd 1 66.123 333.66.12 03/01/18 10/31/18 07/01/17 06/30/23 $10,200 $10,200 OIJ18001 Amd. 19 66.123 333.66.12 05/01/19 12/31/21 07/01/16 08/31/23 $14,800 $314,800 $314,800 OIJ18001 Amd 12,19 66.123 333.66.12 05/01/19 12/31/21 07/01/16 08/31/23 $300,000 OIJ18001 Amd 12 66.123 333.66.12 05/01/19 12/31/20 07/01/16 08/31/23 ($300,000) $0 $0 OIJ18001 Amd 9 66.123 333.66.12 05/01/19 12/31/20 07/01/16 08/31/23 $300,000 CE-OIJ65401 Amd 15 66.456 333.66.45 03/01/20 10/31/20 12/15/19 12/14/20 $2,315 $2,315 $2,315 CU-01J49701-1 Amd 21 66.472 333.66.47 03/01/21 10/31/21 12/15/19 10/31/21 " $15,000 $15,000 $19,000 OIJ49701 Amd 7 66.472 333.66.47 03/01/19 10/31/19 12/15/18 10/31/19 $2,000 $2,000 OOJ75501 Amd 1 66.472 333.66.47 03/01/18 10/31/18 12/15/17 12/14/18 $2,000 $2,000 NU90TP921889-01 Amd 2 93.069 333.93.06 01/01/18 06/30/18 07/01/17 07/02/18 ± $1,145 $15,024 $15,024 NU90TP921889-01 N/A 93.069 333.93.06 01/01/18 06/30/18 07101/17 07/02/18 $13,879 NU90TP921889-01 Amd 5 93.069 333.93.06 07/01/18 06/30/19 07/01/18 06/30/19 ` $619 $34,384 $34,384 NU90TP921889-01 Amd 4 93.069 333.93.06 07/01/18 06/30/19 07/01/18 06/30/19 $33,765 NU90TP922043 Amd 18 93.069 333.93.06 07/01/20 06/30/21 07/01/20 06/30/21 ' $13,754 $34,384 $68,768 NU90TP922043 Amd 17,18 93.069 333.93.06 07/01/20 06/30/21 07/01/20 06/30/21 $20,630 NU90TP922043 Amd 10 93.069 333.93.06 07/01/19 06/30/20 07/01/19 0613OY20 $34,384 $34,384 FPHPA006462 Amd 8,12 93.217 333.93.21 04/01/19 06/30/19 04/01/19 03/31/20 $26,467 $26,467 $65,099 FPHPA006359 Amd4 93.217 333.93.21 09/01/18 03/31/19 09/01/18 08/31/19 $19,048 $19,048 FPHPA106286 Amd 3 93217 333.93.21 01/01/18 08/31/18 04/01/17 08/31/18 $13,603 $19,584 FPHPA106286 N/A, Amd 3 93.217 333.93.21 01/01/18 08/31/18 04/01/17 03/31/18 ' $5,981 5NH23IP000762-05-00 N/A 93.268 333.93.26 01/01/18 06/30/18 04/01/17 06/30/18 $333 $333 $333 5NH23IP000762-05-00 N/A 93.268 333.93.26 01/01/18 06/30/18 04/01/17 06/30/18 ' $1,113 $1,113 $1,113 Page 2 of 6 Jefferson County Public Health Indirect Rate as of January 2018: 32.33% Indirect Rate as of January 2019: 33.85% Public Health Indirect Rate as of January 2020: 33.28% Public Health Indirect Rate as of January 2021: 24.46% Public Health Federal Award Chart of Accounts Proeram Title Identification # FFY21 COVIDI9 Vaccine Services -CARES FFY21 COVIDI9 Vaccine Services -CARES FFY17 Increasing Immunization Rates FFY20 PPHF Ops FFY20 PPHF Ops FFY17 PPHF Ops FFY21 VFC Ops FFY21 VFC Ops FFY20 VFC Ops FFY17 VFC Ops FFY19 COVID CARES FFY19 ELC COVID Ed LHJ Allocation FFY20 ELC EDE LHJ Allocation FFY20 CDC COVID-19 Crisis Resp LHJ-Tribe FFY21 MCHBG LHJ Contracts FFY20 MCHBG LHJ Contracts FFY19 MCHBG LHJ Contracts FFY18 MCHBG LHJ Contracts FEMA-75 COVID LHJ Allocation FEMA-75 COVID LHJ Allocation SFY21 Family Planning Cost Share SFY21 Family Planning Cost Share SFY21 Family Planning Cost Share SFY20 Family Planning Cost Share SFY20 Family Planning Cost Share SFY20 Family Planning Cost Share SFY20 Family Planning Cost Share SFY20 Family Planning Cost Share EXHIBIT B-21 ALLOCATIONS Contract Term: 2018-2021 BARS Statement of Work Revenue Funding Period Amend # CFDA* Code** Start Date End Date NH23IP922619 Amd 20 93.268 333.93.26 07/01/20 12/31/21 NH23IP922619 Amd 19,20 93.268 333.93.26 07/01/20 12/31/21 NH23IP000762 Amd 3, 4 93.268 333.93.26 07/01/18 06/30/19 NH23IP922619 Amd 15 93.268 333.93.26 07/01/19 06/30/20 NH23IP922619 Amd 9 93.268 333.93.26 07/01/19 06/30/20 NH23IP000762 Amd 3, 4 93.268 333.93.26 07/01/18 06/30/19 NH23IP922619 Amd 18 93.268 333.93.26 07/01/20 06/30/21 NH23IP922619 Amd 16, 18 93.268 333.93.26 07/01/20 06/30/21 NH23IP922619 Amd 9 93.268 333.93.26 07/01/19 06/30/20 5NH23IP000762-05-00 N/A 93.268 333.93.26 01/01/18 06/30/18 NU50CK000515 Amd 16,19 93.323 333.93.32 06/01/20 12/31/21 NGA Not Received Amd 20 93.323 333.93.32 01/01/21 12/31/21 NGA Not Received Amd 20 93.323 333.93.32 01/15/21 12/31/21 NU90TP922069 Amd 14, 19, 20 93.354 333.93.35 01/20/20 12/31/21 B0440169 Amd 18 93.994 333.93.99 10/01/20 09/30/21 B04MC32578 Amd 10 93.994 333.93.99 10/01/19 09/30/20 B04MC32578 Amd 4 93.994 333.93.99 10/01/18 09/30/19 B04MC31524 N/A 93.994 333.93.99 01/01/18 09/30/18 NGA Not Received Amd 19 97.036 333.97.03 07/01/20 12/30/20 NGA Not Received Amd 17 97.036 333.97.03 07/01/20 12/30/20 Amd 21 N/A 334.04.91 07/01/20 06/30/21 Amd 19 N/A 334.04.91 07/01/20 06/30/21 Amd 17,19 N/A 334.04.91 07/01/20 06/30/21 Amd 17 N/A 334.04.91 12/01/19 06/30/20 Amd 12,17 N/A 334.04.91 12/01/19 06/30/20 Amd 16 N/A 334.04.91 12/01/19 06/30/20 Amd 8, 12 N/A 334.04.91 07/01/19 11/30/19 Amd 4, 12 N/A 334.04.91 07/01/19 11/30/19 Page 3 of 6 Contract Number: CLH18247 Date: March 15, 2021 Funding Chart of Period Accounts Amount Sub Total Total $354,803 $14,582 $5,600 ($500) $500 $500 $2,800 $2,800 $5,600 $557 $57,656 $168,448 $376,690 $78,522 $36,700 $36,700 $36,700 $27,525 ($129,483) $129,483 $1,136 $40,000 $45,814 ($45,814) $99,263 $16,545 $36,250 $9.761 $369,385 $5,600 $0 $500 $5,600 $5,600 $557 $57,656 $168,448 $376,690 $78,522 $36,700 $36,700 $36,700 $27,525 $0 $86,950 $53,449 $16,545 $46,011 $369,385 $5,600 $500 $11,757 $57,656 $168,448 $376,690 $78,522 $137,625 $0 $348,045 EXHIBIT B-21 Jefferson County Public Health ALLOCATIONS Contract Number: CLH18247 Contract Term: 2018-2021 Date: March 15, 2021 Indirect Rate as of January 2018: 32.33% Indirect Rate as of January 2019: 33.85% Public Health Indirect Rate as of January 2020: 33.28% Public Health DOH Use Only Indirect Rate as of January 2021: 24.46% Public Health BARS Statement of Work Chart of Accounts Funding Chart of Federal Award Revenue Funding Period Funding Period Period Accounts Chart of Accounts Program Title Identification # Amend # CFDA* Code** Start Date End Date Start Date End Date Amount Sub Total Total SFY19 Family Planning Cost Share Amd 7 N/A 334.04.91 09/01/18 03/31/19 07/01/18 06/30/19 $5,589 $5,589 SFY19 Family Planning Cost Share Amd. 8 N/A 334.04.91 09/01/18 06/30/19 07/01/18 06/30/19 $1,393 $50,196 SFY19 Family Planning Cost Share Amd 4 N/A 334.04.91 09/01/18 06/30/19 07/01/18 06/30/19 $48,803 SFY19 Family Planning Cost Share Amd 3 N/A 334.04.91 07/01/18 08/31/18 07/01/18 06/30/19 $16,311 $16,311 SFY18 Family Planning Cost Share Amd 1 N/A 334.04.91 01/01/18 06/30/18 07/01/17 06/30/18 $56,987 $72,994 SFY18 Family Planning Cost Share N/A, Amd 1 N/A 334.04.91 01/01/18 06/30/18 07/01/-17 06/30/18 i $16,007 Zoonotics-GFS Amd 9 N/A 334.04.91 07/01/19 06/30/20 07/01/19 06130/21 $4,029 $4,029 $5,000 Zoonotics-GFS Amd 9 N/A 334.04.91 06/01/19 06/30/19 07/01/17 06/30/19 $971 $971 State Drug User Health Program Amd 18 N/A 334.04.91 07/01/20 06/30/21 07/01/19 06/30/21 $7,500 $15,000 $30,000 State Drug User Health Program Amd 16, 18 N/A 334.04.91 07/01/20 06/30/21 07/01/19 06/30/21 $7,500 State Drug User Health Program Amd 9 N/A 334.04.91 07/01/19 06/30/20 07/01/19 06/30/21 $15,000 $15,000 FY20/21 COVID-19 Disaster Response Acet Amd 14,19 N/A 334.04.92 01/20/20 06/30/21 01/01/20 06/30/21 $71,478 $71,478 $71,478 FFY21 COVID GFS LHJ Regional Amd 20 N/A 334.04.92 12/31/20 06/30/21 12/31/20 06130/21 ($85,250) $0 $0 FFY21 COVID GFS LHJ Regional Amd 19 N/A 334.04.92 12/31/20 06/30/21 12/31/20 06/30/21 $85,250 SFY1 Lead Environments of Children Amd 1 N/A 334.04.93 01/01/18 06/30/18 07/01/17 06/30/18 $2,000 $2,000 $2,000 Rec Shellfish/Biotoxin Amd 19 N/A 334.04.93 07/01/19 06/30/21 07/01/19 06/30/21 $3,500 $13,500 $23,250 Rec Shellfish/Biotoxin Amd 16,19 N/A 334.04.93 07/01/19 06/30/21 07/01/19 06/30/21 $3,500 Rec Shellfish/Biotoxin Amd 9, 16, 19 N/A 334.04.93 07/01/19 06/30/21 07/01/19 06/30/21 $6,500 Rec Shellfish/Biotoxin N/A N/A 334.04.93 01/01/18 06/30/19 07/01/17 06/30/19 1 $9,750 $9,750 Small Onsite Management (ALEA) Amd 19 N/A 334.04.93 01/01/21 06/30/21 07/01/19 06130/21 $10,151 $10,151 $90,099 Small Onsite Management (ALEA) Amd 9 N/A 334.04.93 07/01/19 06/30/20 07/01/19 06/30/21 $45,000 $45,000 Small Onsite Management (ALEA) Amd 9 N/A 334.04.93 07/01/18 06/30/19 07/01/17 06/30/19 ! $4,948 $13,616 Small Onsite Management (ALEA) Amd 5 N/A 334.04.93 07/01/18 06/30/19 07/01/17 06/30/19 $8,668 Small Onsite Management (ALEA) Amd 5 N/A 334.04.93 01/01/18 06/30/18 07/01/17 06/30/19 ` ($8,668) $21,332 Small Onsite Management (ALEA) N/A, Amd 5 N/A 334.04.93 01/01/18 06/30/18 07/01/17 06/30/19 $30,000 Wastewater Management-GFS Amd 19 N/A 334.04.93 01/01/21 06/30/21 07/01/19 06/30/21 $4,849 $4,849 $59,901 Wastewater Management-GFS Amd 9,19 N/A 334.04.93 07/01/20 06/30/21 07/01/19 06/30/21 $30,000 $30,000 Wastewater Management-GFS Amd 9 N/A 334.04.93 07/01/18 06/30/19 07/01/17 06/30/19 ($4,948) $25,052 Wastewater Management-GFS N/A N/A 334.04.93 07/01/18 06/30/19 07/01/17 06/30/19 ! $30,000 FFY20 Swim Beach Act Grant IAR (ECY-ALEA) Amd 15 N/A 334.04.96 03/01/20 10/31/20 12/15/19 12/14/20 - $1,685 $1,685 $1,685 Page 4 of 6 Jefferson County Public Health Indirect Rate as of January 2018: 32.33% Indirect Rate as of January 2019: 33.85% Public Health Indirect Rate as of January 2020: 33.28% Public Health Indirect Rate as of January 2021: 24.46% Public Health Federal Award Chart of Accounts Program Title Identification # EXHIBIT B-21 ALLOCATIONS Contract Term: 2018-2021 BARS Statement of Work Revenue Funding Period # CFDA* Code** Start Date End Date Contract Number: CLH18247 Date: March 15, 2021 Funding Chart of Period Accounts Amount Sub Total Total FPHS Funding for LHJs Amd 17,19 N/A 336.04.25 07/01/20 06/30/21 07/01/19 06/30/21 ' $58,000 $100,000 $242,000 FPHS Funding for LHJs Amd 11, 19 N/A 336.04.25 07/01/20 06/30/21 07101/19 06/30/21 ($4,238) FPHS Funding for LHJs Amd 10, 19 N/A 336.04.25 07/01/20 06/30/21 07/01/19 06/30/21 $46,238 FPHS Funding for LHJs Amd 17 N/A 336.04.25 07/01/19 06/30/20 07/01/19 06/30/21 ; $58,000 $100,000 FPHS Funding for LHJs Amd. 11 N/A 336.04.25 07/01/19 06/30/20 07/01/19 06/30/21 ($4,238) FPHS Funding for LHJs Amd 10 N/A 336.04.25 07/01/19 06/30/20 07/01/19 06/30/21 $46,238 FPHS Funding for LHJs Dir Amd 3 N/A 336.04.25 07/01/18 06/30/19 07/01/17 06/30/19 $42,000 $42,000 YR 20 SRF - Local Asst (15%)(FS) - SS Amd 1 N/A 346.26.64 01/01/18 12/31/18 07/01/17 12/31/18 ($2,200) $0 $0 YR 20 SRF - Local Asst (15%)(FS) - SS N/A N/A 346.26.64 01/01/18 12/31/18 07/01/17 12/31/18 $2,200 YR 21 SRF - Local Asst (15%) (FS) SS Amd 10 N/A 346.26.64 01/01/18 06/30/19 07/01/17 06/30/19 " ($2,000) $0 $0 YR 21' SRF - Local Asst (15%) (FS) SS Amd 6, 10 N/A 346.26.64 01/01/19 06/30/19 07/01/17 06/30/19 $2,000 YR 22 SRF - Local Asst (15%) (FO-SW) SS Amd 12 N/A 346.26.64 01/01/19 12/31/20 01/01/10 06/30/21 + $3,000 $4,800 $4,800 YR 22 SRF - Local Asst (15%) (FO-SW) SS Amd 10, 12 N/A 346.26.64 01/01/19 12/31/20 01/01/19 06/30/21 $1,800 YR 23 SRF - Local Asst (15%) (FO-SW) SS Amd 20 N/A 346.26.64 01/01/21 12/31/21 09/01/20 12/31/21 $3,600 $3,600 $3,600 Sanitary Survey Fees (FO-SW) SS State Amd 12 N/A 346.26.65 01/01/18 12/31/20 07/01/17 06/30/21 $3,000 $4,800 $4,800 Sanitary Survey Fees (FO-SW) SS State Amd 10, 12 N/A 346.26.65 01/01/19 12/31/20 07/01/17 06/30/21 ($200) Sanitary Survey Fees (FO-SW) SS State Amd 6,12 N/A 346.26.65 01/01/19 12/31/20 07/01/17 06/30/21 $2,000 Sanitary Survey Fees (FO-SW) SS -State Amd 1 N/A 346.26.65 01/01/18 12/31/18 07/01/17 12/31/18 ($2,200) $0 Sanitary Survey Fees (FO-SW) SS -State N/A N/A 346.26.65 01/01/18 12/31/18 07/01/17 12/31/18 $2,200 YR 20 SRF - Local Asst (15%) (FS) TA Amd 3 N/A 346.26.66 01/01/18 12/31/18 07101117 12/31/18 ($2,000) $0 $0 YR 20 SRF - Local Asst (15%) (FS) - TA N/A N/A 346.26.66 01/01/18 12/31/18 07/01/17 12/31/18 $2,000 YR 21 SRF - Local Asst (15%) (FS) TA Amd 10 N/A 346.26.66 01/01/18 06/30/19 07/01/17 06/30/19 ' ($3,627) $373 $373 YR 21 SRF - Local Asst (15%) (FS) TA Amd 6, 10 N/A 346.26.66 01/01/18 06/30/19 0710i/17 06/30/19 $2,000 YR 21 SRF - Local Asst (15%) (FS) TA Amd 3, 6, 10 N/A 346.26.66 01/01/18 06/30/19 07/01/17 06/30/19 $2,000 YR 22 SRF - Local Asst (15%) (FO-SW) TA Amd 15 N/A 346.26.66 01/01/19 12/31/20 01/01/19 06/30/21 ? ($1,000) $3,000 $3,000 YR 22 SRF - Local Asst (15%) (FO-SW) TA Amd 12 N/A 346.26.66 01/01/19 12/31/20 01/01/19 06/30/21 ' $2,000 YR 22 SRF - Local Asst (15%) (FO-SW) TA Amd 10, 12 N/A 346.26.66 01/01/19 12/31/20 01/01/19 06/30/21 $2,000 YR 23 SRF - Local Asst (15%) (FO-SW) TA Amd. 20 N/A 346.26.66 01/01/21 12/31/21 09/01120 12/31/21 $1,000 $1,000 $1,000 Page 5 of 6 EXHIBIT B-21 Jefferson County Public Health ALLOCATIONS Contract Number: CLH18247 Contract Term: 2018-2021 Date: March 15, 2021 Indirect Rate as of January 2018: 32.33% Indirect Rate as of January 2019: 33.85% Public Health Indirect Rate as of January 2020: 33.28% Public Health Indirect Rate as of January 2021: 24.46% Public Health Federal Award Chart of Accounts Program Title Identification # TOTAL Total consideration: $3,867,649 $53,870 GRAND TOTAL $3,921,519 *Catalog of Federal Domestic Assistance **Federal revenue codes begin with "333". State revenue codes begin with "334". BARS Statement of Work Revenue Funding Period Amend # CFDA* Code** Start Date End Date Page 6 of 6 Funding Period Amount Sub Total Chart of Accounts Total $3,921,519 $3,921,519 GRAND TOTAL $3,921,519 Total Fed $3,030,488 Total State $8919031 Exhibit C-21 Schedule of Federal Awards AMENDMENT #21 Date: March 15, 2021 JEFFERSON COUNTY PUBLIC HEALTH-SWV0002430.07 CONTRACT CLH18247-Jefferson County Public Health CONTRACT PERIOD: 01/01/2018-12131/2021 DOH Total Amt Allocation Period Chart of Accounts Program Title BARS Federal Federal Start End Contract CFDA CFDA Program Title Federal Agency Name Federal Award Federal Grant Award Name Award Date Award Date Date Amt Identification Number NGA Not NGA Not Special Supplemental Nutrition Department of Agriculture Food FFY22 USDA WIC CLIENT SVS CONTRACTS 333.10.55 Received Received 10/01/21 12/31/21 $26,275 10.557 Program for Women, Infants, and and Nutrition Service NGA Not Received NGA Not Received Children Special Supplemental Nutrition Department of Agriculture Food WOMEN, INFANTS AND CHILDREN (2 FFY21 USDA WIC PROGRAM MGMT CSS 333.10.55 10/01/20 $11,664,919 10/01/20 09/30/21 $2,450 10.557 Program for Women, Infants, and and Nutrition Service 217WAWA7W1003 YR) Children Special Supplemental Nutrition Department of Agriculture Food WOMEN, INFANTS AND CHILDREN (2 FFY21 USDA WIC CLIENT SVS CONTRACTS 333.10.55 10/01/20 $11,664,919 10/01/20 09/30/21 $110,729 10.557 Program for Women, Infants, and and Nutrition Service 217WAWA7W1003 YR) Children Special Supplemental Nutrition Department of Agriculture Food FFY20 USDA WIC PROGRAM MGMT CSS 333.10.55 10/01/19 $6,161,312 10/01/19 09/30/20 $104,932 10.557 Program for Women, Infants, and and Nutrition Service 207WAWA7W1003 WOMEN, INFANTS AND CHILDREN Children Special Supplemental Nutrition Department of Agriculture Food FFY20 USDA WIC NUTRITION ED 333.10.55 10/01/19 $6,161,312 10/01/19 09/30/20 $1,295 10.557 Program for Women, Infants, and and Nutrition Service 207WAWA7W1003 WOMEN, INFANTS AND CHILDREN Children Special Supplemental Nutrition Department of Agriculture Food WIC BREASTFEEDING PEER FFY20 USDA BFPC FROG MGMT 333.10.55 02/18/20 $1,861,572 10/01/19 09/30/21 $30,280 10,557 Program for Women, Infants, and and Nutrition Service 207WAWA1W5003 COUNSELING Children Special Supplemental Nutrition Department of Agriculture Food FFY19 CSS USDA WIC PROGRAM MGMT 333.10.55 10/01/17 $40,101,357 10/01/18 09/30/19 $106,856 10.557 Program for Women, Infants, and and Nutrition Service 187WAWA7W1003 WOMEN, INFANTS AND CHILDREN Children Special Supplemental Nutrition Department of Agriculture Food FFY18 CSS USDA WIC PROGRAM MGMT 333.10.55 10/02/17 $27,576,710 01/01/18 09/30/18 $74,490 10.557 Program for Women, Infants, and and Nutrition Service 187WAWA7W1003 USDA -WIC ADMIN Children FFY20 USDA FMNP PROG MGMT 333.10.57 10/01/19 $129,791 10/01/19 09/30/20 $481 10,572 WIC Fanners' Market Nutrition Department of Agriculture -Food 207WAWA7Y8604 COMMODITY ASSISTANCE PROGRAM Program (FMNP) and Nutrition Service FFY19 CSS USDA FMNP FROG MGNT 333.10.57 10/01/18 $130,973 01/01/19 09/30/19 $502 10.572 WIC Farmers' Market Nutrition Department of Agriculture -Food 197WAWA7Y8604 COMMODITY ASSISTANCE PROGRAM Program (FMNP) and Nutrition Service FFY18 CSS USDA FMNP FROG MGNT 333.10.57 10/01/17 $86,117 01/01/18 09/30/18 $500 10.572 WIC Farmers' Market Nutrition Department of Agriculture Food 187WAWA7Y8604 COMMODITY ASSISTANCE PROGRAM Program (FMNP) and Nutrition Service FFY19 MIS TECH GRANT 333.10.57 01/28/19 $2,209,026 10/01/19 09/30/20 $790 10.578 WIC Grants to States (WGS) Department of Agriculture Food and Nutrition Service 197WAWA1G5212 WIC CONTINGECY Department of Agriculture Food WOMEN, INFANTS AND CHILDREN FFY16 CASCADES USDA WIC FROG MGNT-MIS 333.10.57 03/11/16 $2,224,476 10/01/18 09/30/19 $845 10.578 WIC Grants to States (WGS) and Nutrition Service 16157WAWA6W522 WIC SAM PROJECTS COVID LHJ OFM ALLOCATION -CARES 333.21.01 NGA Not NGA Not 03/01/20 06/30/21 $638,000 21.019 Coronavirus Relief Fund Department of the Treasury NGA Not Received NGA Not Received Received Received Page 1 of 4 Exhibit C-21 Schedule of Federal Awards AMENDMENT #21 Date: March 15, 2021 JEFFERSON COUNTY PUBLIC HEALTH-SWV0002430.07 CONTRACT CLH18247-Jefferson County Public Health CONTRACT PERIOD: 01101/2018-1213112021 DOH Total Amt Allocation Period Chart of Accounts Program Title BARS Federal Federal Start End Contract CFDA CFDA Program Title Federal Agency Name Federal Award Federal Grant Award Name Award Date Award Date Date Amt Identification Number BIN-COVID ED LHJ ALLOCATION -CARES 333.21.01 NGA Not NGA Not 07/01/20 12/30/21 $172,644 21.019 Coronavirus Relief Fund Department of the Treasury NGA Not Received NGA Not Received Received Received .... ... ....... _.. ... _. _. Puget Sound Action Agenda _... _... _. .... ... PS SSI 1-5 OSS TASK 4 333.66.12 08/02/16 $5,000,000 05/01/19 12/31/21 $314,800 66.123 Technical Investigations and Environmental Protection Agency 01J18001 PUGET SOUND SHELLFISH Implementation Assistance Region 10 STRATEGIC INITIATIVE LEAD ,....._ _. _..... Program _ _.. _. ... .... _ ......,. ... _..... _.. _.. _. Puget Sound Action Agenda Technical Investigations and Environmental Protection Agency PUGET SOUND SHELLFISH PS SSI 1-5 BEACH TASK 4 333.66.12 08/02/16 $9,200,000 03/01/18 10/31/20 $32,400 66.123 Implementation Assistance Region 10 01J18001 STRATEGIC INITIATIVE LEAD Program MARINE SWIMMING BEACH FFY20 SWIMMING BEACH ACT GRANT IAR (ECY) 333.66.47 09/26/19 $237,000 03/01/21 10/30/21 $15,000 66.472 Beach Monitoring and Notificaiton Environmental Protection Agency CU-01J49701-1 MONITORING AND PUBLIC Program Implementation Grants Office of Water NOTIFICATION FFY20 SWIM BEACH ACT GRANT IAR (ECY-NEP) 333.66.47 01/31/20 $49,000 03/01/20 10/31/20 $2,315 66.472 Beach Monitoring and Notificaiton Environmental Protection Agency CE-01J65401 PUGET SOUND PARTNERSHIP Program Implementation Grants Office of Water NATIONAL ESTUARY PROGRAM MARINE SWIMMING BEACH FFY19 SWIMMING BEACH ACT GRANT IAR (ECY) 333.66.47 12/01/18 $91,991 03/01/19 10/31/19 $2,000 66.472 Beach Monitoring and Notificaiton Environmental Protection Agency OIJ49701 MONITORING AND PUBLIC program Implementation Grants Office of Water NOTIFICATION MARINE SWIMMING BEACH FFY18 SWIMMING BEACH ACT GRANT IAR (ECY) 333.66.47 12/15/17 $91,990 03/01/18 10/31/18 $2,000 66.472 Beach Monitoring and Notificaiton Environmental Protection Agency o0J75501 MONITORING AND PUBLIC program Implementation Grants Office of Water NOTIFICATION Department of Health and Human PUBLIC HEALTH EMERGENCY FFY20 PHEP BP2 LHJ FUNDING 333.93.06 06/12/20 $11,365,797 07/01/20 06/30/21 $34,384 93.069 Public Health Emergency Services Centers for Disease NU90TP922043 PREPAREDNESS (PHEP) preparedness Control and Prevention COOPERATIVE AGREEMENT Department of Health and Human PUBLIC HEALTH EMERGENCY FFY19 PHEP BPI LHJ FUNDING 333.93.06 06/29/19 $11,307,904 07/01/19 06/30/20 $34,384 93.069 Public Health Emergency Services Centers for Disease NU90TP922043 PREPAREDNESS (PHEP) preparedness Control and Prevention COOPERATIVE AGREEMENT . _... .:HOSPITAL PREPAREDNESS Public Health Emergency Department of Health and Human PROGRAM AND PUBLIC HEALTH FFY18 EPR PHEP BPI SUPP LHJ FUNDING 333.93.06 08/01/18 $11,062,782 07/01/18 06/30/19 $34,384 93.069 Preparedness Services Centers for Disease NU90TP921889-01 EMERGENCY PREPAREDNESS Control and Prevention COOPERATIVE AGREEMENT Public Health Emergency Department of Health and Human HPP AND PHEP COOPERATIVE FFY17 EPR PHEP BPI LHJ FUNDING 333.93.06 07/18/17 $11,062,782 01/01/18 06/30/18 $15,024 93.069 preparedness Services Centers for Disease NU90TP921889-01 AGREEMENT Control and Prevention Department of Health and Human FFY19 FAMILY PLANNING TITLE X 333.93.21 03/26/19 $4,100,000 04/01/19 06/30/19 $26,467 93.217 Family Planning Services Services Office of Population FPHPA006462 TITLE X FAMILY PLANNING SERVICES Affairs Department of Health and Human FFY18 FAMILY PLANNING TITLE X 333.93.21 09/12/18 $2,783,000 09/01/18 03/31/19 $19,048 93.217 Family Planning_Services Services Office of Population FPHPA006359 TITLE X FAMILY PLANNING SERVICES Affairs Department of Health and Human TITLE X FAMILY PLANNING SERVICES FFY17 FAMILY PLANNING TITLE X 333.93.21 03/30/17 $1,940,000 01/01/18 08/31/18 $19,584 93.217 Family Planning_Services Services Office of Population FPHPA106286 GRANT Affairs Page 2 of 4