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HomeMy WebLinkAboutState of Washington Department of Health Consolidated Contracts Amendment 22 - 112524 Page t or 25 JEFFERSON COUNTY PUBLIC HEALTH 2022-2024 CONSOLIDATED CONTRACT CONTRACT NUMBER: CLH31013 AMENDMENT NUMBER: 22 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"LHT", 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: I. Exhibit A Statements of Work,includes the following statements of work. which arc incorporated by this reference and located on thc DOH Finance SharePoint sitc in the Upload Center at the following URL: hnos:/rstatcoRca.sharenoint.comIsiteNdnh-ofsfundineresourccs/sitcaaecc'homc asrx9=c1:949•l6RRda2d94d3cnRUac7thc32c4d7c ® Adds Statements of Work for the following programs: Injury& Violence Prevention-LHJ Opioid Campaign Proviso-Effective November 1,2024 ® Amends Statements of Work for thc following programs: Infectious Disease-Syndcmic Prevention Services-SSP-Effective January I,2024 Office of Drinking Water Group A Program- Effective January I,2022 Office of Immunization COVID-19 Vaccine- Effective January 1,2022 ❑ Deletes Statements of Work for the following programs: 2. Exhibit B-22 Allocations, attached and incorporated by this reference,amends and replaces Exhibit B-21 Allocations as follows: ❑ Increase of for a revised maximum consideration of ® Decrease of S$22 143 for a revised maximum consideration of S9.852.125. ❑ No change in the maximum consideration of . Exhibit B Allocations arc attached only for informational purposes. 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 WASHINGTON STATE OF WASHINGTON BOARD OF COUNTY COMMISSIONERS DEPARTMENT OF HEALTH ("0,1 —.------- /,/?<jyy 11/26/2024 Kate Dean,Chair to Date APPROyF.Di O FORM ONLY APPROVED AS TO FORM ONLY Assistant Attorney General �) iii for 11/08/2024 Philip C.Hunsucker, Date Chief Civil Deputy Prosecuting Attorney Page 1 of 1 CC-22-002-A22 EXHIBIT B-22 Page 2 of 25 Jefferson County Public Health ALLOCATIONS Contract Number: CLH31013 Contract Term:2022-2024 Date: October 1,2024 Indirect Rate January 1,2022 through December 31,2022:29.23%Public Health Indirect Rate.January 1,2023 through December 31,2023:35.85%Public Health Indirect Rate January 1,2024 through December 31,2024:27.94%Public health DOH Use Only BARS Statement of Work Chart of Accounts Funding Chart of Federal Award Assist Revenue LHJ Funding Period Funding Period Period Accounts ('hart of Accounts Program'title Identification# Amend# List#* Code** Start Date End Date Start Date End Date Amount SubTotal Total FFY24 USDA BFPC Prog Mgmt 7WA700WA1 Amd 15 10.557 333.10.55 10/01/23 09/30/24 10/01/23 09/30/24 $37,651 $37,651 S128,104 FFY23 USDA BFPC Prog Mgmt 7WA700WA1 Amd 21 10.557 333.10.55 10/01/22 12/31/24 10/01/22 09/30/25 $9,413 $47,064 FFY23 USDA BFPC Prog Mgmt 7WA700WA1 Amd 10,17 10.557 333.10.55 10/01/22 12/31/24 10/01/22 09/30/25 $28,238 FFY23 USDA BFPC Prog Mgmt 7WA700WA1 Amd 8,10,17 10.557 333.10.55 10/01/22 12/31/24 10/01/22 09/30/25 $9,413 FFY22 USDA BFPC Prog Mgmt 7WA700WAI Amd 1,17 10.557 333.10.55 01/01/22 09/30/24 10/01/21 09/30/24 S43,389 $43,389 FFY25 USDA WIC Client Svs Contracts NGA Not Received Amd 21 10.557 333.10.55 10/01/24 12/31/24 10/01/24 09/30/25 $1,860 $28,128 $407,314 FFY25 USDA WIC Client Svs Contracts NGA Not Received Amd 17 10.557 333.10.55 10/01/24 12/31/24 10/01/24 09/30/25 $26,268 FFY24 USDA WIC Client Svs Contracts 7WA700WA7 Amd 21 10.557 333.10.55 10/01/23 09/30/24 10/01/23 09/30/24 $4,718 $160,472 FFY24 USDA WIC Client Svs Contracts 7WA700WA7 Amd 23 10.557 333.10.55 10/01/23 09/30/24 10/01/23 09/30/24 $743 FFY24 USDA WIC Client Svs Contracts 7WA700WA7 Amd 18 10.557 333.10.55 10/01/23 09/30/24 10/01/23 09/30/24 $48,183 FFY24 USDA WIC Client Svs Contracts 7WA700WA7 Amd 17 10.557 333.10.55 10/01/23 09/30/24 10/01/23 09/30/24 $79,090 FFY24 USDA WIC Client Svs Contracts 7WA700WA7 Amd 15 10.557 333.10.55 10/01/23 09/30/24 10/01/23 09/30/24 $2,500 FFY24 USDA WIC Client Svs Contracts 7WA700WA7 Amd 10,15 10.557 333.10.55 10/01/23 09/30/24 10/01/23 09/30/24 $25,238 FFY23 USDA WIC Client Svs Contracts 7WA700WA7 Amd 15 10.557 333.10.55 10/01/22 09/30/23 10/01/22 09/30/23 $11,657 $132,338 FFY23 USDA WIC Client Sys Contracts 7WA700WA7 Amd 12 10.557 333.10.55 10/01/22 09/30/23 10/01/22 09/30/23 $21,218 FFY23 USDA WIC Client Sys Contracts 7WA700WA7 Amd 10 10.557 333.10.55 10/01/22 09/30/23 10/01/22 09/30/23 $75,713 FFY23 USDA WIC Client Svs Contracts 7WA700WA7 Amd 1 10.557 333.10.55 10/01/22 09/30/23 10/01/22 09/30/23 $23,750 FFY22 USDA WIC Client Svs Contracts 7WA700WA7 Amd 7 10.557 333.10.55 01/01/22 09/30/22 10/01/21 09/30/22 $5,600 $86,376 FFY22 USDA WIC Client Svs Contracts 7WA700WA7 Amd 5 10.557 333.10.55 01/01/22 09/30/22 10/01/21 09/30/22 S6,726 FFY22 USDA WIC Client Svs Contracts 7WA700WA7 Amd 1 10.557 333.10.55 01/01/22 09/30/22 10/01/21 09/30/22 $74,050 FFY23 USDA WIC Prog Mgmt CSS 7WA700WA7 And 10 10.557 333.10.55 01/01/23 09/30/23 10/01/22 09/30/23 $2,800 $2,800 $2,800 FFY24 USDA FMNP Prog Mgmt 7WA810WA7 And 19 10.572 333.10.57 05/01/24 09/30/24 10/01/23 09/30/24 $496 $496 $1,508 FFY23 USDA FMNP Prog Mgmt 7WA810WA7 Amd 15 10.572 333.10.57 06/01/23 09/30/23 10/01/22 09/30/23 $496 $496 FFY22 USDA FMNP Prog Mgmt 7WA810WA7 Amd 4 10.572 333.10.57 05/01/22 09/30/22 10/01/21 09/30/22 $516 $516 FY24 LHJ COVID-19 ARPA SLFRP0002 Amd 19 21.027 333.21.02 07/01/23 02/29/24 07/01/23 06/30/25 ($37,439) S9,301 $9,301 FY24 LHJ COVID-19 ARPA SLFRP0002 Amd 15,19 21.027 333.21.02 07/01/23 02/29/24 07/01/23 06/30/25 $46,740 LHJ COVID-19 Gap Supplemental SLFRP0002 Amd 13 21.027 333.21.02 01/01/23 06/30/23 01/01/23 06/30/23 $35,651 $35,651 $35,651 PS SSI 1-5 OSS Task 4 01718001 Amd 15 66.123 333.66.12 01/01/22 11/30/23 07/01/17 08/31/28 $30,000 S263,844 $263,844 PS SSI 1-5 OSS Task 4 01/18001 Amd 7,15 66.123 333.66.12 01/01/22 11/30/23 07/01/17 08/31/28 ($1,654) PS SSI 1-5 OSS Task 4 01/18001 Amd 2,5,15 66.123 333.66.12 01/01/22 11/30/23 07/01/17 08/31/28 S235,498 Page 1of5 EXHIBIT B-22 Page 3 of 25 Jefferson County Public Health ALLOCATIONS Contract Number: CLH31013 Contract Term:2022-2024 Date: October 1,2024 Indirect Rate January 1,2022 through December 31,2022:29.23%Public I lealth Indirect Rate January 1,2023 through December 31,2023:35.35%Public Health Indirect Rate January 1,2024 through December 31,2024:27.94%Public health DOH Use Only BARS Statement of Work Chart of Accounts Funding Chart of Federal Award Assist Revenue 1.11.1 Funding Period Funding Period Period Accounts Chart of Accounts Program Title Identification# Amend# List#* Code** Start(late End Date Start Date End Date Amount SubTotal Total FFY24 Swimming Beach Act Grant IAR(ECY) 01J74301 Amd 18 66.472 333.66.47 03/01/24 09/30/24 01/01/24 11/30/24 $15,000 S15,000 $45,000 FFY23 Swimming Beach Act Grant 1AR(ECY) 01/74301 Amd 11 66.472 333.66.47 03/01/23 10/31/23 03/01/23 10/31/23 $15,000 S15,000 FFY22 Swimming Beach Act Grant IAR(ECY) 01374301 Amd 2 66.472 333.66.47 03/01/22 10/31/22 01/01/22 11/30/22 $15,000 $15,000 FFY24 PHEP BPI-CDC-LHJ Partners NU90TO000055 Amd 21 93.069 333.93.06 07/01/24 12/31/24 07/01/24 06/30/25 $20,630 $20,630 $20,630 FFY23 PHEP BP5 LHJ Funding NU90TP922043 And 15 93.069 333.93.06 07/01/23 06/30/24 07/01/23 06/30/24 $34,384 $34,384 $82,522 FFY22 PHEP BP4 LHJ Funding NU90TP922043 Amd 7 93.069 333.93.06 07/01/22 06/30/23 07/01/22 06/30/23 $34,384 $34,384 FFY21 PHEP BP3 LHJ Funding NU90TP922043 Amd 2 93.069 333.93.06 01/01/22 06/30/22 07/01/21 06/30/22 $13,754 $13,754 FFY24 OD2A OID CDC Prevent NU17CE010218 Amd 22 93.136 333.93.13 09/01/24 12/31/24 09/01/24 08/31/25 $32,667 $32,667 $130,667 FFY23OD2AOIDCDC NU17CE010215 And 17 93.136 333.93.13 01/01/24 08/31/24 09/01/23 08/31/24 $98,000 S98,000 FFY22 Title X Dire Needs FPHPA006495 And 2 93.217 333.93.21 01/14/22 03/31/22 01/14/22 03/31/22 $4,066 $4,066 $4,066 FFY24 FPHPA Title X Family Plan FPHPA006560 Amd 24 93.217 333.93.21 04/01/24 12/31/24 04/01/24 03/31/25 $13,747 $31,480 $31,480 FFY24 FPHPA Title X Family Plan FPHPA006560 Arad 19 93.217 333.93.21 04/01/24 12/31/24 04/01/24 03/31/25 $17,733 FFY23 Title X Family Planning FPHPA006560 Amd 14 93.217 333.93.21 04/01/23 03/31/24 04/01/23 03/31/24 $30,822 $30,822 $57,959 FFY22 Title X Family Planning FPHPA006560 And 5 93.217 333.93.21 04/01/22 03/31/23 04/01/22 03/31/23 $27,137 $27,137 COVIDI9 CDC Vaccines NH23IP922619 Anal 22 93.268 333.93.26 01/01/22 06/30/24 07/01/20 06/30/24 ($278,114) S0 SO COV1D19 CDC Vaccines NH231P922619 Amd 4 93.268 333.93.26 01/01/22 06/30/24 07/01/20 06/30/24 $278,114 COVID19 Vaccines R4 NH231P922619 Amd 21 93.268 333.93.26 07/01/24 12/31/24 07/01/20 12/31/24 $10,966 $10,966 $119,176 COVIDI9 Vaccines R4 NH231P922619 Amd 22 93.268 333.93.26 01/01/22 06/30/24 07/01/20 06/30/24 (5601,396) $108,210 COVID19 Vaccines R4 NH231P922619 And 4 93.268 333.93.26 01/01/22 06/30/24 07/01/20 06/30/24 $354,803 COVID19 Vaccines R4 NH231P922619 Amd 1 93.268 333.93.26 01/01/22 06/30/24 07/01/20 06/30/24 $354,803 FFY25 CDC VFC Ops NGA Not Received Amd 21 93.268 333.93.26 07/01/24 12/31/24 07/01/24 06/30/25 $5,600 $5,600 S11,760 FFY24 CDC VFC Ops NH231P922619 And 15 93.268 333.93.26 07/01/23 06/30/24 07/01/23 06/30/24 $560 $6,160 FFY24 CDC VFC Ops NH231P922619 And 14 93.268 333.93.26 07/01/23 06/30/24 07/01/23 06/30/24 $5,600 FFY23 VFC Ops NH231P922619 And 5 93.268 333.93.26 07/01/22 06/30/23 07/01/22 06/30/23 $5,600 $5,600 S11,200 FFY22 VFC Ops N11231P922619 Amd 3 93.268 333.93.26 01/01/22 06/30/22 07/01/21 06/30/22 $5,600 $5,600 FFYI9COVIDCARES NU50CK000515 Amd2 93.323 333.93.32 01/01/22 04/22/22 04/23/20 07/31/24 $14,664 $14,664 S14,664 Page 2 of 5 EXHIBIT B-22 Page 4 of 25 Jefferson County Public Health ALLOCATIONS Contract Number: CLH31013 Contract Term:2022-2024 Date: October 1,2024 Indirect Rate January 1,2022 through December 31,2022:29.23%Public Health Indirect Rate January 1,2023 through December 31,2023:35.85%Public Health Indirect Rate January 1,2024 through December 31,2024:27.94%Public Health DOH Use Only BARS Statement of Work Chart of Accounts Funding Chart of Federal Award Assist Revenue LW Funding Period Funding Period Period Accounts Chart of Accounts Program Title Identification# Amend# List#* Code** Start Date End Date Start Date End Date ,'moon[ S,di 1 oral Total FFY19 ELC COVID Ed LHJ Allocation NU5OCK000515 Amd 7 93.323 333.93.32 01/01/22 10/18/22 05/19/20 10/18/22 ($2,281) $1,737 $1,737 FFY19 ELC COVID Ed LHJ Allocation NU5OCK000515 Amd 4 93.323 333.93.32 01/01/22 10/18/22 05/19/20 10/18/22 ($78,694) FFY19 ELC COVID Ed LW Allocation NU5OCK000515 Amd 2 93.323 333.93.32 01/01/22 10/18/22 05/19/20 10/18/22 $82,712 FFY20 ELC EDE LW Allocation NU5OCK000515 Amd 21 93.323 333.93.32 01/01/22 12/31/24 01/15/21 07/31/25 $15,580 $357,402 $357,402 FFY20 ELC EDE LW Allocation NU5OCK000515 Amd 9,21 93.323 333.93.32 01/01/22 12/31/24 01/15/21 07/31/25 ($6,375) FFY20 ELC EDE LHJ Allocation NU5OCK000515 Amd 4,9.21 93.323 333.93.32 01/01/22 12/31/24 01/15/21 07/31/25 ($90,842) FFY20 ELC EDE LHJ Allocation NU5OCK000515 Amd 2,9,21 93.323 333.93.32 01/01/22 12/31/24 01/15/21 07/31/25 $439,039 FFY21 CDC COVID-19 PHWFD-LHJ NU90TP922181 Amd 16,20 93.354 333.93.35 07/01/23 12/31/24 07/01/23 06/30/25 $200,000 $200,000 $200,000 FFY22 NEHA Climate&Health Grant NU38OT000300 And 9 93.421 333.93.42 04/11/22 12/31/22 04/01/22 12/31/22 $11,000 S22,000 $22,000 FFY22 NEHA Climate&Health Grant NU380T000300 And 5 93.421 333.93.42 04/11/22 12/31/22 04/01/22 12/31/22 SI1,000 FFY22 PH Infrastructure Comp Al-LW NE11OE000053 And 17 93.967 333.93.96 01/01/24 12/31/24 12/01/22 06/30/25 $200,000 $200,000 $200,000 FFY25 HRSA MCHBG LHJ Contracts NGA Not Received And 21 93.994 333.93.99 10/01/24 12/31/24 10/01/24 09/30/25 $9,175 $9,175 $65,741 FFY24 HRSA MCHBG LW Contracts B04MC52960 Amd 15 93.994 333.93.99 10/01/23 09/30/24 10/01/23 09/30/24 S36,700 $36,700 FFY23 HRSA MCHBG LHJ Contracts B04MC47453 Amd 15 93.994 333.93.99 10/01/22 09/30/23 10/01/22 09/30/23 ($16,834) $19,866 FFY23 HRSA MCHBG LHJ Contracts B04MC47453 Amd 7 93.994 333.93.99 10/01/22 09/30/23 10/01/22 09/30/23 $36,700 FFY22 HRSA MCHBG Special Proj B04MC45251 Amd 15 93.994 333.93.99 10/01/22 09/30/23 10/01/22 09/30/23 $16,834 $16,834 $16,834 FFY22 MCHBG LHJ Contracts B04MC45251 And 1 93.994 333.93.99 01/01/22 09/30/22 10/01/21 09/30/22 $27,525 $27,525 $27,525 SFY25 SBHC Proviso And 19 N/A 334.04.90 07/01/24 12/31/24 07/01/24 06/30/25 $29,000 $91,000 $246,000 SFY25 SBHC Proviso Amd 14 N/A 334.04.90 07/01/24 12/31/24 07/01/24 06/30/25 $62,000 SFY24 SBHC Proviso Amd 19 N/A 334.04.90 07/01/23 06/30/24 07/01/23 06/30/24 $10,000 $155,000 SFY24 SBHC Proviso Amd 16 N/A 334.04.90 07/01/23 06/30/24 07/01/23 06/30/24 $35,000 SFY24 SBHC Proviso Amd 14 N/A 334.04.90 07/01/23 06/30/24 07/01/23 06/30/24 $110,000 SFY23 School Based Health Centers Amd 5 N/A 334.04.90 07/01/22 06/30/23 07/01/22 06/30/23 $150,000 $150,000 $150,000 SFY25 Sexual&Rep Hlth Cost Share Amd 20 N/A 334.04.91 07/01/24 12/31/24 07/01/24 06/30/25 $48,323 S48,323 S260,084 SFY24 Sexual&Rep Hlth Cost Share Amd 18 N/A 334.04.91 07/01/23 06/30/24 07/01/23 06/30/24 $1,800 $87,652 SFY24 Sexual&Rep Hlth Cost Share Amd 17 N/A 334.04.91 .07/01/23 06/30/24 07/01/23 06/30/24 $42,926 SFY24 Sexual&Rep Hlth Cost Share And 15,17 N/A 334.04.91 07/01/23 06/30/24 07/01/23 06/30/24 $42,926 Page 3 of 5 EXHIBIT B-22 Page 5 of 25 Jefferson County Public Health ALLOCATIONS Contract Number: CLH31013 Contract Term:2022-2024 Date October 1,2024 Indirect Rate January 1,2022 through December 31,2022:29.23%Public Health Indirect Rate January 1,2023 through December 31,2023:35.85%Public Health Indirect Rate January 1,2024 through December 31,2024:27.94%Public Health DOH Use Only BARS Statement of Work Chart of Accounts Funding Chart of Federal Award Assist Revenue LHJ Funding Period Funding Period Period Accounts Chart of Accounts Program Title Identification# Amend# List#* Code•* Start Date End Date Start Date End Date Amount SubTotal Total SFY23 Sexual&Rep Hlth Cost Share Amd 10 N/A 334.04.91 07/01/22 06/30/23 07/01/22 06/30/23 $40,357 $80,009 SFY23 Sexual&Rep Hlth Cost Share Amd 7,10 N/A 334.04.91 07/01/22 06/30/23 07/01/22 06/30/23 $39,652 SFY22 Sexual&Rep Hlth Cost Share Amd 5 N/A 334.04.91 01/01/22 06/30/22 07/01/21 06/30/22 $5,880 $44,100 SFY22 Sexual&Rep Hlth Cost Share Amd 1 N/A 334.04.91 01/01/22 06/30/22 07/01/21 06/30/22 $38,220 SFY25 Drug User Health Program Amd 17 N/A 334.04.91 07/01/24 12/31/24 07/01/24 06/30/25 $40,250 $40,250 $88,000 SFY24 Drug User Health Program Amd 17 N/A 334.04.91 01/01/24 06/30/24 07/01/23 06/30/24 $40,250 $40,250 SFY24 Drug User Health Program Amd 14 N/A 334.04.91 07/01/23 12/31/23 07/01/23 06/30/24 $7,500 $7,500 State Drug User Health Program Amd 5 N/A 334.04.91 07/01/22 06/30/23 07/01/21 06/30/23 $15,000 $15,000 $22,500 State Drug User Health Program Amd 1 N/A 334.04.91 01/01/22 06/30/22 07/01/21 06/30/23 $7,500 $7,500 LHJ COVID-19 GFS Amd 19 N/A 334.04.92 07/01/23 06/30/24 07/01/23 06/30/24 $37,439 $37,439 $37,439 SFY25 LHJ Opioid Campaign Proviso Amd 22 N/A 334.04.93 11/01/24 12/31/24 07/01/24 06/30/25 $24,500 $24,500 $24,500 Rec Shellfish/Biotoxin Amd 20 N/A 334.04.93 07/01/23 12/31/24 07/01/23 06/30/25 $3,000 $14,100 $31,600 Rec Shellfish/Biotoxin Amd 14 N/A 334.04.93 07/01/23 12/31/24 07/01/23 06/30/25 $11,100 Rec Shellfish/Biotoxin Amd 9 N/A 334.04.93 01/01/22 06/30/23 07/01/21 06/30/23 $7,000 $17,500 Rec Shellfish/Biotoxin Amd 1 N/A 334.04.93 01/01/22 06/30/23 07/01/21 06/30/23 $10,500 Small Onsite Management(ALEA) Amd 14 N/A 334.04.93 07/01/24 12/31/24 07/01/23 06/30/25 $33,333 $33,333 $104,166 Small Onsite Management(ALEA) Amd 14 N/A 334.04.93 07/01/23 06/30/24 07/01/23 06/30/25 $33,333 $33,333 Small Onsite Management(ALEA) Amd 12 N/A 334.04.93 07/01/22 06/30/23 07/01/21 06/30/23 $9,375 $24,375 Small Onsite Management(ALEA) Amd 1 N/A 334.04.93 07/01/22 06/30/23 07/01/21 06/30/23 $15,000 Small Onsite Management(ALEA) Amd 12 N/A 334.04.93 01/01/22 06/30/22 07/01/21 06/30/23 ($9,375) $13,125 Small Onsite Management(ALEA) Amd 1 N/A 334.04.93 01/01/22 06/30/22 07/01/21 06/30/23 $22,500 Small Onsite Management(GFS) Amd 16 N/A 334.04.93 07/01/24 12/31/24 07/01/23 07/01/25 ($31,970) $0 $0 Small Onsite Management(GFS) Amd 14 N/A 334.04.93 07/01/24 12/31/24 07/01/23 07/01/25 $31,970 SFY25 Wastewater Management-GFS Amd 16 N/A 334.04.93 07/01/24 12/31/24 07/01/23 06/30/25 $31,970 $31,970 $61,970 Wastewater Management-GFS Amd 1 N/A 334.04.93 07/01/22 06/30/23 07/01/21 06/30/23 $30,000 $30,000 SFY23 FPHS-LHJ-GFS Amd 6,9 N/A 336.04.25 07/01/22 06/30/23 07/01/21 06/30/23 $1,433,000 $1,433,000 $1,433,000 SFY25 FPHS-LHJ Funds-GFS Amd 21 N/A 336.04.25 07/01/24 12/31/24 07/01/24 06/30/25 $1,166,500 $2,333,000 $4,666,000 SFY25 FPHS-LHJ Funds-GFS Amd 20 N/A 336.04.25 07/01/24 12/31/24 07/01/24 06/30/25 $1,166,500 SFY24 FPHS-LHJ-Funds-GFS Amd 15 N/A 336.04.25 07/01/23 06/30/24 07/01/23 06/30/24 $900,000 $2,333,000 SFY24 FPHS-LHJ-FundsGFS Amd 14 N/A 336.04.25 07/01/23 06/30/24 07/01/23 06/30/24 $1,433,000 Page 4 of 5 EXHIBIT B-22 Page 6 of 25 Jefferson County Public Health ALLOCATIONS Contract Number: CLH31013 Contract Term:2022-2024 Date: October 1,2024 Indirect Rate January 1,2022 through December 31,2022:29.23%Public Health Indirect Rate January 1,2023 through December 31,2023:35.85%Public Health Indirect Rate January 1,2024 through December 31,2024:27.94%Public Health DOH Use Only BARS Statement of Work Chart of Accounts Funding Chart of Federal Award Assist Revenue LHJ Funding Period Funding Period Period Accounts Chart of Accounts Program Title Identification# Amend# List 8* Code*" Start Date End Date Start Date End Date Amount SubTolal Total FPHS-LHJ-Proviso(YR2) Amd 7 N/A 336.04.25 07/01/22 06/30/23 07/01/21 06/30/23 ($550,000) S0 $445,181 FPHS-LHJ-Proviso(YR2) Amd 1 N/A 336.04.25 07/01/22 06/30/23 07/01/21 06/30/23 $550,000 FPHS-LHJ-Proviso(YRI) Amd 10 N/A 336.04.25 01/01/22 06/30/22 07/01/21 06/30/23 $32,681 $445,181 FPHS-LHJ-Proviso(YR1) Amd 4 N/A 336.04.25 01/01/22 06/30/22 07/01/21 06/30/23 ($137,500) FPHS-LHJ-Proviso(YR1) Amd 1 N/A 336.04.25 01/01/22 06/30/22 07/01/21 06/30/23 $550,000 YR 27 SRF-Local Asst(15%)SS Amd 22 N/A 346.26.64 01/01/24 12/31/24 07/01/23 06/30/25 $1,800 $1,800 $5,400 YR 26 SRF-Local Asst(15%)SS Amd 22 N/A 346.26.64 01/01/24 12/31/24 07/01/23 06/30/2.5 ($1,800) S0 YR 26 SRF-Local Asst(15%)SS Amd 16 N/A 346.26.64 01/01/24 12/31/24 07/01/23 06/30/25 $1,800 YR 25 SRF-Local Asst(15%)SS Amd 11 N/A 346.26.64 01/01/23 12/31/23 01/01/23 12/31/23 $2,200 $2,200 YR24SRF-LocalAsst(15%)(FO-SW)SS Amd 1 N/A 346.26.64 01/01/22 12/31/22 07/01/21 06/30/23 $1,400 $1,400 Sanitary Survey Fees SS-State Amd 16 N/A 346.26.65 01/01/22 12/31/24 07/01/21 12/31/24 $1,800 $5,400 $5,400 Sanitary Survey Fees SS-State Amd 11,16 N/A 346.26.65 01/01/22 12/31/24 07/01/21 12/31/24 $2,200 Sanitary Survey Fees SS-State Amd 1,11,16 N/A 346.26.65 01/01/22 12/31/24 07/01/21 12/31/24 $1,400 YR 27 SRF-Local Asst(15%)TA Amd 22 N/A 346.26.66 01/01/24 12/31/24 07/01/23 06/30/25 $1,000 $1,000 $2,000 YR 26 SRF-Local Asst(15%)TA Amd 22 N/A 346.26.66 01/01/24 12/31/24 07/01/23 06/30/25 (S1,000) SO YR 26 SRF-Local Asst(15%)TA Amd 19 N/A 346.26.66 01/01/24 12/31/24 07/01/23 06/30/25 $1,000 YR25 SRF-Local Asst(15%)TA Amd 19 N/A 346.26.66 01/01/23 12/31/23 01/01/23 12/31/23 ($1,000) $0 YR 25 SRF-Local Asst(15%)TA Amd 11 N/A 346.26.66 01/01/23 12/31/23 01/01/23 12/31/23 $1,000 YR 24 SRF-Local Asst(15%)(FO-SW)TA Amd 1 N/A 346.26.66 01/01/22 12/31/22 07/01/21 06/30/23 $1,000 $1,000 TOTAL $9,852,125 $9,852,125 Total consideration: $10,674,468 GRAND TOTAL $9,852,125 ($822,343) GRAND TOTAL $9,852,125 Total Fed $2,268,885 Total State $7,583,240 *Catalog of Federal Domestic Assistance **Federal revenue codes begin with"333". State revenue codes begin with"334". Page 5 of 5 Page 7 of 25 Exhibit A Statement of Work Contract Term: 2022-2024 DOH Program Name or Title: Infectious Disease-Syndemic Prevention Services- Local Health Jurisdiction Name: Jefferson County Public Health SSP-Effective January 1,2024 Contract Number: CLH31013 SOW Type: Revision Revision#(for this SOW) 1 Funding Source Federal Compliance Type of Payment ®Federal Subrecipient (check if applicable) ®Reimbursement Period of Performance: January 1,2024 through December 31,2024 ® State El FFATA(Transparency Act) Li Fixed Price ❑ Other ❑Research&Development Statement of Work Purpose: The purpose of this statement of work(SOW)is to provide Syndemic Prevention Services for infectious diseases(HIV,STI,and Adult Viral Hepatitis),supporting the Office of Infectious Disease(OID)within Department of Health(DOH). Awarded through OID's 2024 Syndemic RFA. Revision Purpose: To add funding for OD2A for 9/1/24-12/31/24 Master Assistance BARS Allocation Index Listing Revenue LHJ Funding Period Current Change Total DOH Chart of Accounts Master Index Title Code Number Code Start Date End Date Allocation Increase(+) Allocation SFY24 DRUG USER HEALTH PROGRAM 12405140 N/A 334.04.91 01/01/24 06/30/24 40,250 0 40,250 SFY25 DRUG USER HEALTH PROGRAM 12405150 N/A 334.04.91 07/01/24 12/31/24 40,250 0 40,250 FFY23 OD2A OID CDC 12405231 93.136 333.93.13 01/01/24 08/31/24 98,000 0 98,000 FFY24 OD2A OID CDC PREVENT 12405241 93.136 333.93.13 09/01/24 12/31/24 0 32,667 32,667 0 0 0 0 0 0 0 0 0 TOTALS 178,500 32,667 211,167 Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information # and/or Amount 1 Syringe Services Programs(SSP):Support for Operations SSP operations outcomes include Enter deliverable data into the Reimbursement of actual delivering services and tracking: DOH/OID issued database for costs incurred,not to Provide comprehensive SSP to people who use drugs • number of sterile syringes distributed tracking SSP activities by the exceed$80,500 based on (PWUD). This plan of action is directed to distribute • number of naloxone kits distributed 15th of each month following funding split below. syringes to communities that use drugs to prevent • number of participant encounters service. transmission of infectious disease. SSPs will operate during • number of referrals to health and $40,250 for scheduled hours to provide all required harm reduction social services 1/1/24-6/30/24 supplies,naloxone,and syringes to prevent transmission of $40,250 for disease and overdose. SSPs will offer referrals to address 7/1/24-12/31/24 social determinants of health. Exhibit A, Statement of Work Page 1 of 9 Contract Number CLH31013-Amendment 22 Page 8 of 25 Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information # and/or Amount Priority populations for Syringe Services Programs include people who use drugs,with a focus on: • People systemically marginalized and underserved due to racism—Black/African American, Latino/Latina/Latine/Latinx,American Indian/Alaska Native people and other communities for whom there are documented health disparities in your region. • People who are unhoused or unstably housed. • People engaged in sex work. • People involved in the criminal legal system. • Gender expansive/transgender individuals. • Gay,bi,and other men who have sex with men. NOTE: See Special Requirements,Terms and Conditions—Section 4 Syringe Services Programs: Support for Operations Program Requirements for additional task information. Syringe Services Programs:Clinical Services SSP Clinical services outcomes may Provide direct access to clinical services to improve the include,but are not limited to,delivering health and well-being of people who use drugs.At services and tracking: minimum,services must include onsite,low-barrier access • Number of wound care sessions to wound care,infectious disease testing, STI and hepatitis • Number of infectious disease tests C treatment,and medications for opioid use disorder. conducted(hepatitis C,HIV, Additional services can include mental health services, gonorrhea-chlamydia,syphilis) sexual and reproductive health care,and other primary care • %positive of infectious disease tests and psychosocial support services. (hepatitis C,HIV,gonorrhea- chlamydia,syphilis) NOTE: See Special Requirements,Terms and • Number of participants started on Conditions—Section 6 Syringe Services Program, hepatitis C treatment Clinical Services Requirements for additional task • Number of participants inducted on information. medications for opioid use disorder 2 Syringe Services Programs:Harm Reduction Service Harm reduction care navigation outcomes Enter deliverable data into the Reimbursement of actual Navigation include delivering services and tracking: DOH/OID issued database for costs incurred,not to • number of participants enrolled in care tracking SSP activities by the exceed$98-000-$130,667 Provide appropriate referrals to SSP participants;facilitate navigation services 15th of each month following access to receive health care and medical services,social • number of care navigation sessions service. $98,000 for services,behavioral health counseling and other services • number of referrals to health and 1/1/24-8/31/24 including substance use treatment(including medications social services Exhibit A,Statement of Work Page 2 of 9 Contract Number CLH31013-Amendment 22 Page 9 of 25 Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount for opioid use disorder,or MOUD);housing;and advocacy, • number of linkages to care for health $32,667 for including but not limited to criminal legal involvement, and social services 9/1/24-12/31/24 medical providers,benefits navigation,and family • number of outreach attempts per reunification. participant NOTE: See Special Requirements,Terms and Conditions—Section 5 Syringe Services Program,Harm Reduction Care Navigation Requirement for additional task information. DOH Program and Fiscal Contact Information for all ConCon SOWs can be found on the DOH Finance SharePoint site.Questions related to this SOW,or any other finance-related inquiry,may be sent to finance@doh.wa.gov. Federal Fundine Accountability and Transparency Act(FFATA)(Applies to federal grant awards.) 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 Unique Entity Identifier(UEI)generated by SAM.gov. Information about the LHJ and this statement of work will be made available on USA Spending.gov by DOH as required by P.L. 109-282. Program Specific Requirements Special Requirements,Terms and Conditions I. Definitions a. ANONYMOUS SERVICES-HIV Prevention services including condom distribution,outreach and light touch. b. CAPACITY BUILDING-The process by which individuals and organizations obtain,improve,and retain the skills,knowledge,tools,equipment,and other resources needed to do their jobs competently. c. CONTRACTOR—For the purposes of this Statement of Work Only,the entity receiving funds directly from Washington State Department of Health(DOH)for client services to prevent or treat conditions named in the statement of work will be referred to as contractor. d. HARM REDUCTION-Harm reduction is a set of practical strategies and ideas aimed at reducing negative consequences associated with drug use. e. INTEGRATED TESTING-For the purpose of this Statement of Work,Integrated Testing includes Human Immunodeficiency Virus(HIV),Gonorrhea(GC), Chlamydia(CT),Syphilis,Hepatitis C(HCV)and Hepatitis B(HBV). f. SOCIAL DETERMINANTS OF HEALTH-Social determinants of health(SDOH)are the conditions in the environments where people are born,live, learn, work,play,worship,and age that affect a wide range of health,functioning,and quality-of-life outcomes and risks. g. YOUTH-For purposes of this agreement,the term"youth"applies to persons under the age of 18. 2. Submission of Invoice Vouchers a. On a monthly basis,the CONTRACTOR shall submit complete and correct Al9 invoice vouchers with amounts billable to DOH under this statement of work and the corresponding OID Expense Summary backup form.All A19 invoice vouchers must be submitted by the 25th of the following month.Prior approval is required for a different frequency of billing. Exhibit A, Statement of Work Page 3 of 9 Contract Number CLH31013-Amendment 22 Page 10 of 25 i. The CONTRACTOR must provide all backup documentation as required based on the assigned risk level and/or as identified by DOH program staff to determine allowability of billed expenses. Risk assessments are completed at the beginning of a new contract for all sub-recipient contracts.Contact your contract manager if you are unaware of your assigned risk level. ii. DOH may ask for additional backup information to pay invoices based on the needs of the funding sources supporting the work. b. The CONTRACTOR shall submit all final claims for payment for costs due and payable under this statement of work by July 31,2025.DOH will pay belated claims at its discretion,contingent upon the availability of funds. 3. Program Organization—CONTRACTOR must a. The CONTRACTOR must provide a full updated organizational chart,including Board of Directors with contact information if applicable,and staffing plan referencing positions described in the budget narrative. b. The CONTRACTOR must provide job descriptions for any new or changed positions in the updated organizational chart. i. Any new positions funded through the original contract funds,must have prior DOH approval. c. The CONTRACTOR must notify their DOH contract manager within 30 days of any staff vacancies related to contracted positions and provide an updated budget. i. Any new fiscal staff responsible for invoicing on this contract will need to meet with the assigned OID Contract Manager within 60 days for DOH invoice overview and training. 4. Syringe Services Program:Support for Operations Program Requirements a. Operate for a minimum of 8 hours per week and 2 days per week. b. Provide mobile and/or street outreach(note:programs must have a vehicle for mobile outreach.) c. Offer safer injection supplies(see list of required safer injection supplies below). d. Submit monthly SSP data in accordance with DOH standards. e. Attend required capacity building/training opportunities provided by DOH. f. Participate in annual site visits with DOH staff g. Demonstrate structure for receiving and incorporating participant feedback about services. h. Partner with relevant local agencies to ensure effective outreach and service provision.(See Scope of Work narrative below for details on MOUs required.) i. Develop and maintain a Universal Precautions and Sharps Handling policy and procedure,including clear,written policies on handling biohazardous waste,avoiding unnecessary handling of sharps,and potential needle stick injuries to staff,volunteers,and participants.Programs should follow the universal precaution guidelines established by the CDC and OSHA.SSPs may need to adapt those precautions to accommodate the circumstances of their work(e.g.,mobile and outreach settings). Programs should also anticipate the potential of needlestick injury and have a"post-exposure-prophylaxis"protocol included in this document. j. All staff and volunteers working directly with participants/clients must complete CPR certification within the first 3 months after contract start date(if not already complete). 5. Syringe Services Program,Harm Reduction Care Navigation Requirements a. Includes all requirements for Syringe Service Program operations(see above) b. Attend Harm Reduction Care Navigation training provided by DOH. c. Support participant transportation(e.g.,through the provision of bus passes,cab vouchers,or direct transportation). d. Accompany participants to appointments or provide"warm hand-offs." e. Full-time care navigators(1.0 FTE)shall not exceed a case load greater than 25 individuals. f. Submit monthly outcome data in accordance with DOH standards. 6. Syringe Services Program,Clinical Services Requirements a. Includes all requirements for Syringe Service Program operations(see above) b. Must have clinical staff licensed to practice in the state of Washington to provide clinical services(e.g.,RN,PA,ARNP,LCSW). c. If providing advanced level clinical services(e.g.,PA,ARNP,CNM),programs must have appropriate clinical oversight. Exhibit A, Statement of Work Page 4 of 9 Contract Number CLH31013-Amendment 22 Page 11 of 25 Note:Clinical services can be provided through sub-contractor arrangement or MOU with a Federally Qualified Health Center or other clinical partner if there is a justification the relationship will support efforts to reach people who use drugs and provide onsite and/or mobile clinical services.Clinical services can also be provided using telemedicine services with appropriate description of why in-person services cannot be provided and who the telemedicine partner(s)will be. NOTE: Funds from this contract may not be used to purchase basic safer injection supplies(listed below)—Instead,DOH will provide Contractors with supplies. Below is the list of required supplies for SSP to be provided to Contractors by DOH: 1) Syringes(1 cc 27 gauge 1/2",28 gauge 1/2",and 29 gauge 1/2"; 1 cc 30 gauge 5/16"; 3 cc 25G 1"and 1.5") 2) Alcohol pads 3) Non-latex tourniquets 4) Sterile water 5) Sterile saline 6) Cookers 7) Cottons and/or cellulose filters 8) Bandages/gauze 9) Sharps containers(1 quart and 2 gallon for distribution,8 gallon for program use) 10) Naloxone 11) Amber bags The exceptions to these supplies are vendor or manufacturer supply shortages.If a program expects to run out of one of these items,please contact DOH immediately. 7. Performance Objectives&Work Plan: a. Funded Syndemic Prevention Services agencies are required to submit Performance Objectives and Work Plan that provides both a high-level overview of the period of performance and a detailed description of the first year of the contract period.The work plan should incorporate related program strategies and activities.Applicants should propose specific,measurable,achievable,realistic,and time-based(SMART)process and/or outcome objectives for each activity aligned with performance outcomes.The work plan should include training,capacity building,and TA needs to support the implementation of the funded services.Proposed work plan activities may be adjusted in collaboration with OID staff to better address the overarching goals of the funded services. OID will provide a template that must be used in developing the work plan. b. The applicant should address the following outline in their work plan: i. Contract Year 1 Detailed Work Plan(For each funded service category) ii. Program strategies and activities iii. Outcomes aligned with program strategies and activities iv. SMART objectives aligned with performance targets v. Activities aligned with program outcomes vi. Timeline for implementation(including staffing of the proposed program,training,etc.) vii. Anticipated capacity building or technical assistance needs. c. Performance Objectives&Work Plans should be submitted by July 1,2024. d. OID staff are available to support in developing Performance Objectives&Work Plans in collaboration with funded agencies. e. Performance Objectives&Work Plans will be reviewed between OID staff and funded agencies at least quarterly.Performance Objectives&Work Plans can be adjusted throughout the period of performance. 8. Participation in program evaluation activities—The Contractor is expected to participate in program evaluation activities,including evaluation planning,and collecting and reporting qualitative and quantitative program data,as deemed necessary by OID staff. Exhibit A,Statement of Work Page 5 of 9 Contract Number CLH31013-Amendment 22 Page 12 of 25 9. Participation in Capacity Building and Technical Assistance Activities designed to increase efficacy of Syndemic Services a. Opportunities for capacity building and technical assistance for contractor will be offered throughout the contract year by WA DOH and other regional or national capacity building organizations. b. Contractors will be expected to meet with WA DOH OID staff on an annual basis to discuss training and will work with DOH to track shared completion of Capacity Building Needs c. All contracted staff will be required to complete training in respect to their role.DOH staff and contracted staff will work together to track completion of required trainings. 10. CLAS Standards—The CONTRACTOR will comply with the National Standards for Culturally and Linguistically Appropriate Services(CLAS)standards(1,5-9).National Standards for Culturally and Linguistically Appropriate Services(CLAS)in Health and Health Care(allianceforclas.org) 11. Participation in Program Monitoring Activities— a. DOH will conduct semi-annual or annual performance site visits in the following areas: i. Integrated testing ii. Syndemic service navigation iii. PrEP Housing iv. Syringe Service Programs v. Mail-order naloxone distribution programs vi. Fiscal Monitoring—To be scheduled by the DOH Fiscal Monitoring Unit b. Corrective Action Plans—DOH may exercise the following options if the CONTRACTOR does not come into compliance or resolution with programmatic and/or fiscal monitoring corrective action plan by the due date(s)identified in the CAP.i.§200.339 Remedies for noncompliance. If a non-Federal entity fails to comply with the U.S.Constitution,Federal statutes,regulations or the terms and conditions of a Federal award,the Federal awarding agency or pass-through entity may impose additional conditions,as described in§200.208.If the Federal awarding agency or pass-through entity determines that noncompliance cannot be remedied by imposing additional conditions,the Federal awarding agency or pass-through entity may take one or more of the following actions, as appropriate in the circumstances: (a)Temporarily withhold cash payments pending correction of the deficiency by the non-Federal entity or more severe enforcement action by the Federal awarding agency or pass-through entity. (b)Disallow(that is,deny both use of funds and any applicable matching credit for)all or part of the cost of the activity or action not in compliance. (c)Wholly or partly suspend or terminate the Federal award. (d)Initiate suspension or debarment proceedings as authorized under 2 CFR part 180 and Federal awarding agency regulations(or in the case of a pass-through entity,recommend such a proceeding be initiated by a Federal awarding agency). (e)Withhold further Federal awards for the project or program. (f)Take other remedies that may be legally available 12. Contract Management— a. Fiscal Guidance i. Indirect—If charging indirect costs,the CONTRACTOR must have a current federally negotiated rate or 10%De Minimus certification of file with DOH.DOH is not able reimburse indirect costs without an approved indirect cost rate or 10%De Minimus certification on file. ii. Advance Payments Prohibited—DOH funds are"cost reimbursement"funds.DOH will not make payment in advance or in anticipation of services or supplies provided.This includes payments of"one-twelfth"of the current fiscal year's funding. Exhibit A,Statement of Work Page 6 of 9 Contract Number CLH31013-Amendment 22 Page 13 of 25 iii. Duplication of Early Intervention Program(EIP)Services—The CONTRACTOR shall not use contract funds to provide a parallel medication service to EIP. CONTRACTOR's providing case management services shall make every effort to enroll clients in EIP. iv. Payment of Cash or Checks to Clients Not Allowed—Where direct provision of service is not possible or effective,vouchers or similar programs,which may only be exchanged for a specific service(e.g.,transportation),shall be used to meet the need for such services. CONTRACTOR shall administer gift cards voucher programs to assure that recipients cannot readily convert vouchers into cash. 1. Store gift cards that can be redeemed at one merchant or an affiliated group of merchants for specific goods or services are allowable as incentives for eligible program participants. 2. General-use prepaid cards are considered"cash equivalent"and are therefore unallowable.Such cards generally bear the logo of a payment network,such as Visa,MasterCard,or American Express,and are accepted by any merchant that accepts those credit or debit cards as payment.Gift cards that are cobranded with the logo of a payment network and the logo of a merchant or affiliated group of merchants are general-use prepaid cards,not store gift cards,and therefore are unallowable. 3. The CONTRACTOR must ensure that a policy for managing gift cards with strong internal controls is in place. v. Funds for Needle Exchange Programs Not Allowed with Federal Funding—CONTRACTOR shall not expend contract federal funds to support needle exchange programs using funds from HIV Community Services Tasks. vi. Travel—Out of staff travel requires prior approval from DOH and must follow GSA guidelines and reimbursement rates. vii. Supervision,under DOH Community Programs contracts,will be understood as the delivery of a set of interrelated functions encompassing administrative, educational and supportive roles that work collectively to ensure clinical staff(i.e.,case managers,navigators, coordinators,assistants,coaches)are equipped with the skills necessary to deliver competent and ethical services to clients that adhere to best practices within applicable fields as well as all relevant Statewide Standards. Supervisors must meet the criteria set forth within the WA State HIV Case Management Standards and provide the level of interaction and review detailed in that document. It is the understanding of DOH that Supervision funded under the direct program portion of this contract include at minimum,the provision of at least two of the three functions detailed here:administrative,educational or supportive supervision.Supervision that encompasses only administrative functions will not be considered billable under Direct Program.To that end,it is the expectation of DOH that those personnel identified as Supervisors have no more than one degree of separation from direct client care.Exceptions to this rule can be presented and considered to and by DOH Contract Management.It will fall to the requesting organization to satisfactorily demonstrate that any Supervisory positions falling within the scope of Direct Program are meeting the expectation of provision of educational or supportive supervision with the aim of directly impacting client experiences,quality of services,and adherence to best practices and Statewide Standards. viii. Small and Attractive items—Each Contractor shall perform a risk assessment(both financial and operational)on the agency's assets to identify those assets that are particularly at risk or vulnerable to loss.Operational risks include risks associated with data security on mobile or portable computing devices that store or have access to state data.Assets so identified that fall below the state's capitalization policy are considered small and attractive assets.The Contractor shall develop written internal policies for managing small and attractive assets.Internal policies should take into consideration the Office of the Chief Information Officer(OCIO)IT Security Standard 141 Section 5.8 Mobile Computing and Section 8.3 Media Handling and Disposal at https://ocio.wa.gov/policies. The Contractor shall implement specific measures to control small and attractive assets in order to minimize identified risks.Periodically,the Contractor should perform a follow-up risk assessment to determine if the additional controls implemented are effective in managing the identified risks. Exhibit A,Statement of Work Page 7 of 9 Contract Number CLH31013-Amendment 22 Page 14 of 25 Contractor must include,at a minimum,the following assets with unit costs of$300 or more: 1. Laptops and Notebook Computers 2. Tablets and Smart Phones Agencies must also include the following assets with unit costs of$1,000 or more: 1. Optical Devices,Binoculars,Telescopes,Infrared Viewers,and Rangefinders 2. Cameras and Photographic Projection Equipment 3. Desktop Computers(PCs) 4. Television Sets,DVD Players,Blu-ray Players,and Video Cameras(home type) ix. Food and Refreshments—Food and refreshments are not allowable direct costs,unless provided in conjunction with allowable meetings,whose primary purpose is the dissemination of technical information.Pre-approval is required when food and refreshments are purchased for these meetings.A sign in sheet with the clients'ID number from the DOH approved data system as well as an agenda is required to receive reimbursement for these charges. 1. The CONTRACTOR shall follow Healthy Nutrition Guidelines for Meetings and Events I Washington State Department of Health when purchasing food and refreshments for approved meetings. 2. Food for staff meetings/training is unallowable. PLEASE NOTE: If meals/refreshments are purchased for allowable meetings,food can only be purchased for clients at the per diem rate.Any expenses over per diem will be denied. U.S.General Services Administration Per Diem Look Up x. Reimbursement of disallowed costs—The CONTRACTOR agrees to reimburse DOH for expenditures billed to the DOH for costs that are later determined through audit or monitoring to be disallowed under the requirements of 2 CFR Part 200—Uniform Administrative Requirements,Cost Principles,and Audit Requirements for Federal Audits. b. Contract Modifications i. Notice of Change in Services—The CONTRACTOR shall notify DOH program staff,within 45 days,if any situations arise that may impede implementation of the services contained in the statement of work.DOH and the CONTRACTOR will agree to strategies for resolving any shortfalls.DOH retains the right to withhold funds in the event of substantial noncompliance. ii. Contract Amendments—Effective Date—The CONTRACTOR shall not begin providing services authorized by a contract amendment until the CONTRACTOR has received a signed and fully executed copy of the contract amendment from DOH. 1. Local Health Jurisdiction(LHJ)Contractors—Request for contract amendments must be received no less than 60 days prior to the Draft Due Date identified by the CON CON SOW Schedule on the CON CON Dashboard. 2. Non-LHJ Contractors—Request for contract amendments must be received no later than 60 days prior to the end of the Federal Fiscal Year(FFY)and 90 days prior to end of the State Fiscal Year(SFY). • Amendments must be signed prior to the end of the FFY or SFY end date. EX.FFY end date is 12/31,contract amendment request due to contract manager by 11/1 13. Content Review and Website Disclaimer Notice In accordance with all federal guidance,contractors receiving funds through DOH will submit all proposed written materials requiring review for WV-related scientific or medical accuracy including written materials,audio visual materials,and pictorials,including social marketing and advertising materials,educational materials,social media communications(e.g.,Facebook,twitter)and other electronic communications,such as intemet/webpages to the OID Content Review Committee.CONTRACTOR shall submit all materials to be reviewed for scientific or medical accuracy to: Exhibit A, Statement of Work Page 8 of 9 Contract Number CLH31013-Amendment 22 Page 15 of 25 Michael Barnes,Washington State Department of Health PO Box 47841 Olympia,WA 98504-7841 Phone: 360-810-1880 Email: Michael.Bames@doh.wa.gov For social marketing campaigns and media strategies,please adhere to the program guidance on the review of HIV-related educational and informational materials for CDC assistance programs https://www.cdc.gov/hiv/pdf/funding/announcements/ps12-1201/cdc-hivps12-1201-content-review-guidance.pdf 14. Youth and Peer Outreach Workers All programs,including CONTRACTORS,using youth(either paid or volunteer)in program activities will use caution and judgment in the venues/situations where youth workers are placed. Agencies will give careful consideration to the age appropriateness of the activity or venue.Agencies will also ensure that organizational staff and youth comply with all relevant laws and regulations regarding entrance into adult establishments and environments.Agencies will also maintain and implement appropriate safety protocols that include clear explanation of the appropriate laws and curfews and clearly delineate safe and appropriate participation of youth in program outreach activities. 15. Whistleblower a. Whistleblower statue,41 U.S.C.&4712,applies to all employees working for CONTRACTOR,subcontractors,and subgrantees on federal grants and contracts. The statue(41 U.S.C.&4712)states that an"employee of a CONTRACTOR,subcontractor,grantee,or subgrantee,may not be discharged,demoted,or otherwise discriminated against as a reprisal for"whistleblowing."In addition,whistleblower protections cannot be waived by an agreement,policy,form,or condition of employment. b. The National Defense Authorization Act(NDAA)for Fiscal Year 2013(Pub.L. 112-239,enacted January 2,2013)mandates a pilot program entitled"Pilot Program for Enhancement of Contractor Employee Whistleblower Protections."This program requires all grantees,their subgrantees,and subcontractors to: i. Inform their employees working on any federal award they are subject to the whistleblower rights and remedies of the pilot program ii. Inform their employees in writing of employee whistleblower protections under 41 U.S.C.&4712 in the predominant native language of the workforce;and, iii. CONTRACTOR and grantees will include such requirements in any agreement made with a subcontractor or subgrantee. 16. Allowable Costs All expenditures incurred and reimbursements made for performance under this statement of work shall be based on actual allowable costs.Costs can include direct labor, direct material,and other direct costs specific to the performance of activities or achievement of deliverables under this statement of work. For information in determining allowable costs,please reference OMB Circulars: 2 CFR200(State,Local and Indian Tribal governments)at: https://www.federalregister.gov/documents/2013/12/26/2013-30465/uniform-administrative-requirements-cost- principles-and-audit-requirements-for-federal-awards **Disclosure of information is governed by the Washington Administrative Code(WAC)246-101-120, 520 and 635,and the Revised Code of Washington(RCW)70.24.080, 70.24.084,and 70.24.105 regarding the exchange of medical information among health care providers related to HIV/AIDS or STI diagnosis and treatment.Please note that CONTRACTORs fit under the definition of"health care providers"and"individuals with knowledge of a person with a reportable disease or condition"in the WAC and RCW. DOH statutory authority to have access to the confidential information or limited Dataset(s)identified in this agreement to the Information Recipient: RCW 43.70.050 Information Recipient's statutory authority to receive the confidential information or limited Dataset(s)identified in this Agreement:RCW 70.02.220(7) Exhibit A,Statement of Work Page 9 of 9 Contract Number CLH31013-Amendment 22 Page 16 of 25 Exhibit A Statement of Work Contract Term:2022-2024 DOH Program Name or Title: Injury&Violence Prevention-LHJ Opioid Campaign Local Health Jurisdiction Name: Jefferson County Public Health Proviso—Effective November 1,2024 Contract Number: CLH31013 SOW Type: Original Revision#(for this SOW) Funding Source Federal Compliance Type of Payment ❑Federal<Select One> (check if applicable) Reimbursement Period of Performance: November 1,2024 through December 31,2024 ® State ❑FFATA(Transparency Act) ['Fixed Price ❑ Other ❑Research&Development Statement of Work Purpose: Opioid abatement settlement account—state appropriation is provided solely for the Department of Health to administer grants to local health jurisdictions for opioid and fentanyl awareness,prevention,and education campaigns. NOTE: This SOW is part of the 2022-2024 Consolidated Contract term that ends on December 31,2024.A new Consolidated Contract term for 2025-2027 will begin on January 1,2025.Activities and due dates in this SOW are for state fiscal year 25 that ends on June 30,2025 and will be continued in a new SOW in the next Consolidated Contract term from January 1,2025 through June 30,2025.The funding allocation in this SOW reflects a portion of the total budget shown in the below budget table.The remaining funding allocation will be added into the new SOW in the next Consolidated Contract term starting on January 1,2025. Revision Purpose: N/A Master Assistance BARS Allocation Index Listing Revenue LHJ Funding Period Current Change Total DOH Chart of Accounts Master Index Title Code Number Code Start Date End Date Allocation Increase(+) Allocation SFY25 LHJ OPIOID CAMPAIGN PROVISO 77550853 N/A 334.04.93 11/01/24 12/31/24 0 24,500 24,500 0 0 0 0 0 0 0 0 0 TOTALS 0 24,500 24,500 Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount 1 Create two(2)banners and 1,000 brochures with prevention Banners will be hung across SR-20 in Port Monthly A 19 and Monthly invoices for actual messaging and fact-based educational messaging. Townsend;professional brochures will be supporting documentation cost reimbursement will be distributed at all public health events Monthly Progress Report, submitted to DOH. throughout the funding period and beyond. November 2024-June 2025 Total of all invoices will not 2 Develop two to four(2-4)public media posts that will occur Two(2)media posts on each channel each Monthly A19 and exceed$24,500 through each month throughout the year including static images and month throughout the funding period. supporting documentation December 31,2024. videos on Instagram and Facebook:one(1)video for LHJ's Monthly Progress Report, YouTube channel. November 2024-June 2025 Exhibit A,Statement of Work Page 1 of 3 Contract Number CLH31013-Amendment 22 Page 17 of 25 Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount 3 Six(6)newspaper and community board advertising Arrange with local newspapers The Leader, Monthly A19 and purchase to promote awareness and science-based and the Peninsula Daily News for supporting documentation information about opioid,fentanyl,and MOUD. advertising in the 6-months Jan.—June of Monthly Progress Report, the funding period November 2024-June 2025 4 Planning Stage: Host four(4)interactive public education Arrange with community partners to decide Monthly Al 9 and events with community partners at the Nest(OWL 360), on month,date,time for events and space supporting documentation Recovery Café,Chimacum Grange,and Quilcene Guild them throughout the 2025 funding cycle. Monthly Progress Report, Hall that focus on de-stigmatization,science-based November 2024-June 2025 education,and community understanding of not only opioid and fentanyl use in our community but also how community engagement is a preventative measure. 5 Planning Stage:To work with KPTZ Radio station in Port Live programs will run during a time to be Monthly A 19 and Townsend to develop and participate in four(4),one-hour determined in a month to be determined for supporting documentation long,interview programs to educate public and dispel fiscal 2025. Monthly Progress Report, myths and stigmas related to opioid and fentanyl use November 2024-June 2025 disorders. DOH Program and Fiscal Contact Information for all ConCon SOWs can be found on the DOH Finance SharePoint site.Questions related to this SOW,or any other finance-related inquiry,may be sent to financeta'�,doh.wa.gov. Program Specific Requirements Billing Requirements:DOH awards funding through reimbursement-based billing.Invoices must be submitted monthly on an A19-1A invoice voucher.DOH must receive all complete final invoices within 60 days of the end of the budget period for this statement of work. Budget Table Line Item Allocation Justification Salaries $19,035 1.5 to 2 hrs./wk(will be assigned/shared with two communications'staff members.) Benefits $8,158 " Goods and Services $16,578 Newspaper ads $7,128 6 Full-page newspaper advertisements: $1,188.00 x 6 Social media boosting $500 Video development and execution $8,200 * Banners $500 2 banners x$250 each Exhibit A, Statement of Work Page 2 of 3 Contract Number CLH31013-Amendment 22 Page 18 of 25 Brochures $250 Administrative costs/indirect $12,229 27.94%indirect rate TOTAL $56,000 *Additional budget negotiation information will be requested and added in the January Statement of Work. The LHJ must receive written approval from DOH before making any changes to the SOW activities or itemized budget. Exhibit A, Statement of Work Page 3 of 3 Contract Number CLH31013-Amendment 22 Page 19 of 25 Exhibit A Statement of Work Contract Term:2022-2024 DOH Program Name or Title: Office of Drinking Water Group A Program - Local Health Jurisdiction Name: Jefferson County Public Health Effective January 1,2022 Contract Number: CLH31013 SOW Type: Revision Revision#(for this SOW) 5 Funding Source Federal Compliance Type of Payment ®Federal Contractor (check if applicable) ❑Reimbursement Period of Performance: January 1,2022 through December 31,2024 El State ®FFATA(Transparency Act) El Fixed Price ❑Other ❑Research&Development Statement of Work Purpose: The purpose of this statement of work is to provide funding to the LHJ for conducting sanitary surveys and providing technical assistance to small community and non-community Group A water systems Revision Purpose: The purpose of this revision is to update funding provided for Sanitary Survey and Technical Assistance activity assigned 1/1/2024 through 12/31/2024. Master Assistance BARS Allocation Index Listing Revenue LHJ Funding Period Current Change Total DOH Chart of Accounts Master Index Title Code Number Code Start Date End Date Allocation None Allocation SANITARY SURVEY FEES SS-STATE 24112522 N/A 346.26.65 01/01/22 12/31/24 5,400 0 5,400 YR 24 SRF-LOCAL ASST(15%)(FO-SW)SS 24239224 N/A 346.26.64 01/01/22 12/31/22 1,400 0 1,400 YR 24 SRF-LOCAL ASST(15%)(FO-SW)TA 24239224 N/A 346.26.66 01/01/22 12/31/22 1,000 0 1,000 YR 25 SRF-LOCAL ASST(15%)SS 24119226 N/A 346.26.64 01/01/23 12/31/23 2,200 0 2,200 YR 25 SRF-LOCAL ASST(15%)TA 24119226 N/A 346.26.66 01/01/23 12/31/23 0 0 0 YR 26 SRF-LOCAL ASST(15%)SS 24119226 N/A 346.26.64 01/01/24 12/31/24 1,800 -1,800 0 YR 26 SRF-LOCAL ASST(15%)TA 24119226 N/A 346.26.66 01/01/24 12/31/24 1,000 -1,000 0 YR 27 SRF-LOCAL ASST(15%)SS 24119227 N/A 346.26.64 01/01/24 12/31/24 0 1,800 1,800 YR 27 SRF-LOCAL ASST(15%)TA 24119227 N/A 346.26.66 01/01/24 12/31/24 0 1,000 1,000 0 0 0 TOTALS 12,800 0 12,800 Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount 1 Trained LHJ staff will conduct sanitary Provide Final*Sanitary Survey Reports Final Sanitary Survey Upon ODW acceptance of the Final Sanitary surveys of small community and non- to ODW Regional Office.Complete Reports must be received Survey Report,the LHJ shall be paid$400 for community Group A water systems identified Sanitary Survey Reports shall include: by the ODW Regional each sanitary survey of a non-community by the DOH Office of Drinking Water 1. Cover letter identifying significant Office within 30 system with three or fewer connections. (ODW)Regional Office. deficiencies,significant findings, calendar days of observations,recommendations,and conducting the sanitary Upon ODW acceptance of the Final Sanitary See Special Instructions for task activity. referrals for further ODW follow-up. survey. Survey Report,the LHJ shall be paid$800 for 2. Completed Small Water System each sanitary survey of a non-community checklist. Exhibit A,Statement of Work Page 1 of 4 Contract Number CLH31013-Amendment 22 Page 20 of 25 Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount The purpose of this statement of work is to 3. Updated Water Facilities Inventory system with four or more connections and each provide funding to the LHJ for conducting (WFI). community system. sanitary surveys and providing technical 4. Photos of water system with text assistance to small community and non- identifying features Payment is inclusive of all associated costs community Group A water systems. 5. Any other supporting documents. such as travel,lodging,per diem. *Final Reports reviewed and accepted by Payment is authorized upon receipt and the ODW Regional Office. acceptance of the Final Sanitary Survey Report within the 30-day deadline. Late or incomplete reports may not be accepted for payment. 2 Trained LHJ staff will conduct Special Provide completed SPI Report and any Completed SPI Reports Upon acceptance of the completed SPI Report, Purpose Investigations(SPI)of small supporting documents and photos to must be received by the the LHJ shall be paid$800 for each SPI. community and non-community Group A ODW Regional Office. ODW Regional Office water systems identified by the ODW within 2 working days Payment is inclusive of all associated costs Regional Office. of the service request. such as travel,lodging,per diem. See Special Instructions for task activity. Payment is authorized upon receipt and acceptance of completed SPI Report within the 2-working day deadline. Late or incomplete reports may not be accepted for payment. 3 Trained LHJ staff will provide direct Provide completed TA Report and any Completed TA Report Upon acceptance of the completed TA Report, technical assistance(TA)to small supporting documents and photos to must be received by the the LHJ shall be paid for each technical community and non-community Group A ODW Regional Office. ODW Regional Office assistance activity as follows: water systems identified by the ODW within 30 calendar days • Up to 3 hours of work: $250 Regional Office. of providing technical • 3-6 hours of work:$500 assistance. • More than 6 hours of work: $750 See Special Instructions for task activity. Payment is inclusive of all associated costs such as consulting fee,travel, lodging,per diem. Payment is authorized upon receipt and acceptance of completed TA Report within the 30-day deadline. Late or incomplete reports may not be accepted for payment. Exhibit A,Statement of Work Page 2 of 4 Contract Number CLH31013-Amendment 22 Page 21 of 25 Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount 4 LHJ staff performing the activities under For training attended in person,prior to Annually For training attended in person,LHJ shall be tasks I,2 and 3 attend periodic required attending the training,submit an paid mileage,per diem,lodging,and survey training as directed by DOH. "Authorization for Travel(Non- registration costs as approved on the pre- Employee)"DOH Form 710-013 to the authorization form in accordance with the See Special Instructions for task activity. ODW Program Contact for approval(to current rates listed on the OFM Website ensure enough funds are available). http://www.ofm.wa.•ov/resources/travel.asQ DOH Program and Fiscal Contact Information for all ConCon SOWs can be found on the DOH Finance SharePoint site.Questions related to this SOW,or any other finance-related inquiry,may be sent to finance@doh.wa.gov. Federal Funding Accountability and Transparency Act(FFATA)(Applies to federal grant awards.) 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 Unique Entity Identifier(UEI)generated by SAM.gov. 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 Specific Requirements Data Sharing The Office of Drinking Water will share water system information and files with the local health jurisdiction to support the work identified in this statement of work. To request water system data please contact the regional office with the name of the water system,water system ID#,specific information being requested and any timeline requirements.If allowable,please give administrative staff 3 to 5 business days to provide records. Program Manual,Handbook,Policy References: Field Guide(DOH Publication 331-486). Special References: Chapter 246-290 WAC is the set of rules that regulate Group A water systems. By this statement of work,ODW contracts with the LHJ to conduct sanitary surveys(and SPIs and provide technical assistance)for small community and non-community water systems with groundwater sources. ODW retains responsibility for conducting sanitary surveys(and SPIs and provide technical assistance)for small community and non-community water systems with surface water sources,large water systems,and systems with complex treatment. LHJ staff assigned to perform activities under tasks 1,2,and 3 must be trained and approved by ODW prior to performing work.See special instructions under Task 4,below. Special Billing Requirements The LHJ shall submit quarterly invoices within 30 days following the end of the quarter in which work was completed,noting on the invoice the quarter and year being billed for. Payment cannot exceed a maximum accumulative fee of$10,800 for Task 1,and$2,000 for Task 2,Task 3 and Task 4 combined during the contracting period,to be paid at the rates specified in the Payment Method/Amount section above. When invoicing for sanitary surveys,bill half to BARS Revenue Code 346.26.64 and half to BARS Revenue Code 346.26.65. When invoicing for Task 1,submit the list of WS Name,ID#,Amount Billed,Survey Date and Letter Date for which you are requesting payment. When invoicing for Task 2-3,submit the list of WS Name,ID#,TA Date and description of TA work performed,and Amount Billed. When invoicing for Task 4,submit receipts and the signed pre-authorization form for non-employee travel to the ODW Program Contact below and a signed A19-1A Invoice Exhibit A,Statement of Work Page 3 of 4 Contract Number CLH31013-Amendment 22 Page 22 of 25 Voucher to DOH Grants Management,billing to BARS Revenue Code 346.26.66 under Technical Assistance(TA). Special Instructions Task 1 Trained LHJ staff will evaluate the water system for physical and operational deficiencies and prepare a Final Sanitary Survey Report which has been accepted by ODW.Detailed guidance is provided in the Field Guide for Sanitary Surveys, Special Purpose Investigations and Technical Assistance(Field Guide).The sanitary survey will include an evaluation of the following eight elements:source;treatment;distribution system; finished water storage;pumps,pump facilities and controls;monitoring,reporting and data verification; system management and operation;and certified operator compliance. If a system is more complex than anticipated or other significant issues arise,the LHJ may request ODW assistance. • No more than 1 surveys of non-community systems with three or fewer connections be completed between January 1,2022 and December 31,2022. • No more than 3 surveys of non-community systems with four or more connections and all community systems to be completed between January 1,2022 and December 31,2022. • No more than 3 surveys of non-community systems with three or fewer connections be completed between January 1,2023 and December 31,2023. • No more than 4 surveys of non-community systems with four or more connections and all community systems to be completed between January 1,2023 and December 31,2023. • No more than 1 survey of non-community systems with three or fewer connections be completed between January 1,2024 and December 31,2024. • No more than 4 surveys of non-community systems with four or more connections and all community systems to be completed between January 1,2024 and December 31,2024. The process for assignment of surveys to the LHJ,notification of the water system,and ODW follow-up with unresponsive water systems;and other roles and responsibilities of the LHJ are described in the Field Guide. Task 2 Trained LHJ staff will perform Special Purpose Investigations(SPIs)as assigned by ODW.SPIs are inspections to determine the cause of positive coliform samples or the cause of other emergency conditions.SPIs may also include sanitary surveys of newly discovered Group A water systems.Additional detail about conducting SPIs is described in the Field Guide.The ODW Regional Office must authorize in advance any SPI conducted by LHJ staff. Task 3 Trained LHJ staff will conduct Technical Assistance as assigned by ODW.Technical Assistance includes assisting water system personnel in completing work or verifying work has been addressed as required,requested,or advised by the ODW to meet applicable drinking water regulations. Examples of technical assistance activities are described in the Field Guide.The ODW Regional Office must authorize in advance any technical assistance provided by the LHJ to a water system. Task 4 LHJ staff assigned to perform activities under tasks 1,2,and 3 must be trained and approved by ODW prior to performing work. If required trainings,workshops or meetings are not available,not scheduled,or if the LHJ staff person is unable to attend these activities prior to conducting assigned tasks,the LHJ staff person may,with ODW approval,substitute other training activities to be determined by ODW.Such substitute activities may include one-on-one training with ODW staff,co-surveys with ODW staff,or other activities as arranged and pre-approved by ODW.LHJ staff may not perform the activities under tasks 1,2,and 3 without completing the training that has been arranged and approved by ODW. Exhibit A,Statement of Work Page 4 of 4 Contract Number CLH31013-Amendment 22 Page 23 of 25 Exhibit A Statement of Work Contract Term:2022-2024 DOH Program Name or Title: Office of Immunization COVID-19 Vaccine- Local Health Jurisdiction Name: Jefferson County Public Health Effective January 1,2022 Contract Number: CLH31013 SOW Type: Revision Revision#(for this SOW) 6 Funding Source Federal Compliance T e of Payment Z Federal Subrecipient (check if applicable) ►ZI Reimbursement Period of Performance: January 1.2022 through June 30,2024 ❑ State FFATA(Transparency Act) Fixed Price ❑Other ❑ Research&Development Statement of Work Purpose: The purpose of this statement of work(SOW)is to provide funding to conduct COVID-19 vaccine activities. Revision Purpose: The purpose of this revision is to remove funds. Master Assistance BARS Allocation Index Listing Revenue LHJ Funding Period Current Change Total DOH Chart of Accounts Master Index Title Code Number Code Start Date End Date Allocation Decrease(—) Allocation COVID19 Vaccines R4 74310259 93.268 333.93.26 01/01/22 06/30/24 709,606 -601,396 108,210 COVID19 CDC Vaccines 74310236 93.268 333.93.26 01/01/22 06/30/24 278,114 -278,114 0 0 0 0 0 0 0 0 0 0 0 0 0 TOTALS 987,720 -879,510 108,210 Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information # and/or Amount The purpose of this statement of work is to identify activities and provide funding to support COVID vaccine response outreach,education,and operations. The activities may include other vaccines recommended for the audience population,as long as COVID vaccine is the primary focus and references to other vaccines are secondary. 3.A Identify activity/activities to support COVID vaccine response Summary of the engagement strategies to January 31,Annually Reimbursement for actual in your community,using the examples below as a guideline. be used with health care providers and costs incurred,not to other partners,and the locally identified exceed total funding Example 1:Develop and implement communication strategies population to be reached. consideration amount. with health care providers,community,and/or other partners to help build vaccine confidence broadly and among groups anticipated to receive early vaccination,as well as dispel vaccine misinformation.Document and provide a plan that shows the communication strategies used with health care providers and other partners and the locally identified population anticipated to reach. Exhibit A,Statement of Work Page 1 of 3 Contract Number CLH31013-Amendment 22 Page 24 of 25 Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount Example 2:Engage in other vaccination planning activities such as partnership development,provider education, vaccination point of dispensing(POD)planning,tabletop exercises,engagement with communities,leaders,non- traditional provider,or vulnerable populations to develop strategies to ensure equitable access to vaccination services 3.B Implement the communication strategies or other activities, Written report describing June 30,annually Reimbursement for actual working with health care providers and other partners to reach activity/activities and progress made to- costs incurred,not to the locally identified population,support providers in date and strategies used(template to be exceed total funding vaccination plans,and support equitable access to vaccination provided) consideration amount. services. 3.0 Catalog activities and conduct an evaluation of the strategies Written report,showing the strategies used June 30,annually Reimbursement for actual used and the final progress of the reach costs incurred,not to (template to be provided) exceed total funding consideration amount. 3.D As needed to meet community needs,expand operations to Reports summarizing quantity,type,and December 31 and June 30, Reimbursement for actual increase vaccine throughput(i.e.,providing vaccinations during frequency of activities annually costs incurred,not to evenings,overnight,and on weekends)or adjust vaccine exceed total funding delivery approaches to optimize access. Activities may include consideration amount. vaccine strike teams,mobile vaccine clinics,satellite clinics, temporary,or off-site clinics to travel and provide vaccination services in non-traditional settings,or to supplement the work of local health departments in underserved communities,and may include administration costs for other vaccines co- administered at the events.These activities may be done by the local health department or in collaboration with community partners.(see Restrictions on Funds below) DOH Program and Fiscal Contact Information for all ConCon SOWs can be found on the DOH Finance SharePoint site.Questions related to this SOW,or any other finance-related inquiry,may be sent to financer7a,doh.wa.gov. Federal Fundine Accountability and Transparency Act(FFATA1 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 Unique Entity Identifier(UEI)generated by SAM.gov. 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. Exhibit A,Statement of Work Page 2 of 3 Contract Number CLH31013-Amendment 22 Page 25 of 25 Program Specific Requirements Restrictions on Funds(i.e.,disallowed expenses or activities,indirect costs,etc.): Coverage of co-administration costs for other vaccines administered at vaccination events does NOT apply to the FEMA Mass Vaccination funding. Coverage of co- administration costs only applies to the vaccine funding(COVID19 Vaccine R4,MI 74310230)allocated for Task 3 of the consolidated contract. FEMA Mass Vaccination funding is only available to cover the costs for COVID vaccine administration and cannot be used for co-administration costs of other vaccines. Unallowable Costs: There are limitations from the funding source on allowable costs for this contract.If the contractor is unsure if a cost is allowable,they should contact the contract manager for approval of the cost prior to making the purchase or charge. • Advertising costs(e.g.,conventions,displays,exhibits,meetings,memorabilia,gifts,souvenirs) • Alcoholic beverages • Building,purchases,construction,capital improvements • Clinical care(non-immunization services) • Entertainment costs • Fundraising Cost • Goods and services for personal use • Honoraria • Independent Research • Land acquisition • Legislative/lobbying activities • Interest on loans for the acquisition and/or modernization of an existing building • Payment of a bad debt,collection of improper payments • Promotional and/or incentive materials(e.g.,plaques,clothing,and commemorative items such as pens,mugs/cups,folders/folios,lanyards,magnets,conference bags) • Purchase of food/meals(unless part of required travel per diem costs) • Vehicle Purchase Exhibit A,Statement of Work Page 3 of 3 Contract Number CLH31013-Amendment 22 615 Sheridan Street Port Townsend, WA 98368 c9ellason www.JeffersonCountyPublicHealth.org Public Health Consent Agenda Hea JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Mark McCauley, County Administrator FROM: Apple Martine, JCPH Director Veronica Shaw, JCPH Deputy Director DATE: Now oe 25, ?vZ SUBJECT: Agenda Item — Consolidated Contracts Amendment #22 with the Department of Health; January 1, 2022 — December 31, 2024; decrease of $822,343 for a total of $9,852,125 STATEMENT OF ISSUE: Jefferson County Public Health (JCPH) requests Board approval of Consolidated Contract Amendment #22 between JCPH and State of Washington Department of Health (DOH); January 1, 2022 — December 31, 2024; decrease of $822,343 for a total of $9,852,125. ANALYSIS/STRATEGIC GOALS/PROS and CONS: The purpose of this agreement is to provide public health services to the people of Washington State. This Amendment adds and/or amends statements of work (SOW) and funding for the following programs: • Injury & Violence Prevention-LHJ Opioid Campaign Proviso - adds Statements of Work. • Infectious Disease-Syndemic Prevention Services - amends Statement of Work. • Office of Drinking Water Group A Program - amends Statement of Work. • Office of Immunization COVID-19 Vaccine - amends Statement of Work. • Exhibit B-22 indicates decreases in funding. FISCAL IMPACT/COST BENEFIT ANALYSIS : Total consideration for this Contract Amendment is a decrease of $822,343 for a total of $9,852,125. The Consolidated Contract is funded by DOH, and comprises both Federal and State funds. Community Health Developmental Disabilities Environmental Public Health 360-385-9400 360-385-9444 360-385-9401 (f) 0) 360-379-4487 Always working for a safer and healthier community CC-22-002-A22 RECOMMENDATION: JCPH Management recommends BoCC approval of Consolidated Contract Amendment #22; January 1 2022 — December 31, 2024; decrease of $822,343 for a total of $9,852,125. REVIEWED BY: //07,z Mark McCauley, Cou Administrator Date Community Health Environmental Public Health Developmental Disabilities 360-385-9444 360-385-9400 Always working for a safer and healthier community (f) 360-379-4487 360-385-9401 (f) CONTRACT REVIEW FORM Clear Form (INSTRUCTIONS ARE ON THE NEXT PAGE) CONTRACT WITH: State of WA Dept of Health Contract No: CC-22-002-A22 Contract For: Consolidated Contracts, Amendment 22 Term: 1/1/2022 - 12/31/2024 COUNTY DEPARTMENT: Public Health Contact Person: Veronica Shaw Contact Phone: x 409 Contact email: veronica@co.jefferson.wa.us AMOUNT: Decreased $822,343 for a total of$9,852,125 PROCESS: zExempt from Bid Process Revenue: ($822,343) Cooperative Purchase Expenditure: Competitive Sealed Bid Matching Funds Required: Small Works Roster Sources(s)of Matching Funds Vendor List Bid Fund # 127 _ RFPorRFQ Munis Org/Obj 12756220 Other: APPROVAL STEPS: s STEP 1: DEPARTMENT CERTIFIES COMPj.d. CE WI,T1i C-3.55.080 AND CHAP' 1 42_23 RCW. CERTIFIED: n N/A: � f ` - /J' " , ignatnre Date STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE COUNTY (CONTRACTOR) HAS NOT BEEN-'DEBARRED BY ANY FEDERAL, STATE, OR LOCAL AGENCY. 3 nr CERTIFIED: E N/A: Ka Signature - Date STEP 3: RISK MANAGEMENT REVIEW(will be added electronically through Laserfiche): Electronically approved by Risk Management on 11/21/2024. STEP 4: PROSECUTING ATTORNEY REVIEW (will be added electronically through Laserfiche): Electronically approved as to form by PAO on 11/8/2024. Amendment No. 22. All prior amendments and original contract attached. STEP 5: DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND PROSECUTING ATTORNEY(IF REQUIRED). STEP 6: CONTRACTOR SIGNS STEP 7: SUBMIT TO BOCC FOR APPROVAL 1 Page 1 of 55 JEFFERSON COUNTY PUBLIC HEALTH 2022-2024 CONSOLIDATED CONTRACT CONTRACT NUMBER: CLH3I013 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"LHP",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: I. Exhibit A Statements of Work,includes the following statements of work,which are incorporated by this reference and located on the DOH Finance SharePoint site in the Upload Center at the following URL: '' .. _`-,i•aarE�tmc¢3j!!;",LI ���+h :e ?S .'r i,tv`.t,c<?,c;ti'. ►mot Adds Statements of Work for the following programs: Office of Immunization COVID-I9 Vaccine-Effective July I,2024 Office of Immunization-Promotion of Immunizations to Improve Vaccination Rates-Effective July 1,2024 Office of Resiliency&Health Security-PHEP-Effective July 1,2024 ►s Amends Statements of Work for the following programs: DCHS-ELC COVID-I9 Response-Effective January I,2022 Foundational Public Health Services(FPHS)-Effective July 1,2024 Maternal &Child Health Block Grant-Effective January I,2022 Sexual&Reproductive Health Program-Effective January I,2022 WIC Nutrition Program-Effective January 1,2022 ❑ Deletes Statements of Work for the following programs: 2. Exhibit 8-21 Allocations,attached and incorporated by this reference,amends and replaces Exhibit B-20 Allocations as follows: ►# Increase of$1,258,189 for a revised maximum consideration of$10.674,460. ❑ Decrease of for a revised maximum consideration of ❑ No change in the maximum consideration of Exhibit B Allocations are attached only for informational purposes. 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 WASHINGTON STATE OF WASHINGTON BOARD OF COUNTY COMMISSIONERS DEPARTMENT OF HEALTH 014f/494 _ 09/11/2024 Kate Dean,Chair Date I Date APPROVED AS)DORM ONLY APPROVED AS TO FORM ONLY Assistant Attorney General /' for 09/05/2024 Philip C.Hunsucker, Date Chief Civil Deputy Prosecuting Attorney Page 1 of 1 CC-22-002-A21 EXHIBIT B-21 Page 2 of 55 Jefferson County Public Health ALLOCATIONS Contract Number: CLH31013 Contract Term:2022-2024 Date: August 1,2024 Indirect Rate January 1,2022 through December 31,2022:29.23%Public Health Indirect Rate January 1,2023 through December 31.2023:35.85%Public health Indirect Rate January I,2024 through December 31,2024:27.94%Public Health 11011 Use Only BARS Statement of Work Chart of Accounts Funding Chart of Federal Award Assist Revenue LHJ Funding Period Funding Period Period Accounts Chart of Accounts Program Title Identification# Amend# List#* Cade** Start Date End Date Start Date End Date Amount SubTotal Total FFY24 USDA BFPC Frog Mgmt 7WA700WAI Amd 15 10557 333.10.55 10/01/23 09/30/24 10/01/23 09/30/24 $37,651 S37,651 $128,104 FFY23 USDA BFPC Prog 3Igmt 7WA700WAI Amd 21 10.557 333.10.55 10/01/22 12/31/24 10/01122 09/30/25 59,413 $47,064 FFY23 USDA BFPC Prog Mgmt 7WA700WAI Amd 10,17 10.557 333.10.55 10/01/22 12/31/24 10/01/22 09/30/25 $28,238 FFY23 USDA BFPC Frog Mgmt 7WA700WA1 Amd 8,10, 17 10557 333.10.55 10/01/22 12/31/24 10/01/22 09/30/25 $9.413 FFY22 USDA BFPC Prog Mgmt 7WA700WAI Amd 1, 17 10.557 333.10.55 01/01/22 09/30/24 10/01/21 09/30124 $43,389 $43,389 FFS'251SDA WIC:Client Svs Contends NGA Not Received Amd 21 10.557 333,10,55 10/01/24 12/31/24 10/01/24 09/30/25 $1.860 528,128 $407314 FFY25 USDA WIC Client Sys Contracts NGA Not Received Amd 17 10.557 333.10.55 10/01/24 12/31/24 10/0.124 09/30/25 $26.268 FFY24 USDA WIC:Client Sys Contracts 7WA700WA7 Amd 21 10.557 333.10,55 10/01/23 09/30/24 111101/23 0e/3024 $4,718 $160.472 FFY24 USDA WIC Client Svs Contracts 7WA700WA7 Amd 23 10.557 333.10.55 10/01/23 09/30/24 10/01/23 00130/24. $743 FFY24 USDA WIC Client Svs Contracts 7WA700WA7 Amd 18 10.557 333.10.55 10/01/23 09/30/24 10/01/23 09130/24 $48,183 FFY24 USDA WIC Client Svs Contracts 7WA700WA7 And 17 10.557 333.10.55 10/01:23 09/30/24 10/01/23 09/30124 $79.090 FFY24 USDA WIC Client Svs Contracts 7WA700WA7 And 15 10.557 333.10.55 10/1)1/23 09.-30/24 10101/23 09/:30/24 $2,500 FFY24 USDA WIC Client Svs Contracts 7WA700WA7 And 10, 15 10.557 333.10.55 10/01/23 09/30/24 10/01/23 09/30:24 $25,238 FFY23 USDA WIC Client Sys Contracts 7WA700WA7 Anal 15 10.557 333.10.55 10/01/22 09/30/23 10/01/22 09/30/23 $11.657 $132,338 FFY23 USDA WIC Client Svs Contracts 7WA700WA7 Amd 12 10.557 333.10.55 10/01/22 09130123 10'01/22 09/3023 $21,218 FFY23 USDA WIC Client Sys Contracts 7WA700WA7 Amd 10 10.557 333.10.55 10/01/22 09/30/23 10/01/22 0:3023 $75.713 FFY23 USDA WIC Client Svs Contracts 7WA700WA7 And I 10.557 333.10.55 10101/22 09/30/23 10/01/22 09/3(1 23 $23,750 FFY22 USDA WIC Client Sys Contracts 7WA700WA7 Amd 7 10.557 333.10.55 01/01/22 09/30/22 10/01/21 09/30/22 $5.600 $86,376 FFY22 USDA WIC Client Svs Contracts 7WA700WA7 And 5 10.557 333.10.55 01/01/22 09/30/22 10/01/21 09/30/22 $6,726 FFY22 USDA WIC Client Svs Contracts 7WA700WA7 Amd I 10.557 333.10.55 01/01/22 09/30122 10/01/21 09/30/22. $74,050 FFY23 USDA WIC Frog Mgmt CSS 7WA700WA7 And 10 10.557 333.10.55 01/01/23 09/30/23 10/01/22 09/3023., $2.800 $2,800 $2.800 FFY24 USDA FMNP Frog Mgmt 7WA810WA7 Amd 19 10.572 333.10.57 05/01/24 09/30/24 10/01/23 09/30/24 $496 $496 $1508 FFY23 USDA FMNP Frog Mgmt 7WA810WA7 Amd 15 10.572 333.10.57 06/01/23 09/30/23 10/0122 09/30/23 $496 $496 FFY22 USDA FMNP Prog Mgmt 7WA810WA7 Amd 4 10.572 333.1057 05/01/22 09/30/22 10/01/21 0913022 $516 $516 FY24 LW COVID-19 ARPA SLFRP0002 And 19 21.027 333.21.02 07/01/23 02/29/24 07/01/23 ((6//30 25 ($37.439) $9,301 $9.301 FY24 LHJ COVID-19 ARPA - SLFRP0002 - Amd 15, 19 21.027 333.21.02 07/01/23 02/29/24 07101/23 06./30/25 $46,740 LW COVID-19 Gap Supplemental SLFRP0002 Amd 13 21.027 333.21.1)2 01/01/23 06/30/23 01101/23 06/30/23 $35,651 $35,651 $35,651 PS SSI 1-5 OSS Task 4 01318001 Amd 15 66.123 333.66.12 01/01/22 11/30/23 07/01 17 08/31/228 $30,000 $263,844 $263,844 PS SSI 1-5 OSS Task 01318001 Amd 7, 15 66.123 333.66.1 01/01/22 11/30/23 07/01/17 08/31128 ($1.654) PS SSI 1-5 OSS Task.4 01318001 .And 2.5,15 66.123 333.66.12 01/01/22 11/3023 07/01/17 08/31/28 $235,498 Page 1 of 5 EXHIBIT B-21 Page 3 of 55 Jefferson County Public Health ALLOCATIONS Contract Number: CLH31013 Contract Tern:2022-2024 Date: August 1,2024 Indirect Rate January I,2022 through December 31,2022:29.23%Public Health Indirect Rate January 1,2023 through December 31,2023:35.85%Public health Indirect Rate January 1,2024 through December 31,2024:27.94%Public Health 1)011 Use Only BARS Statement of Work Chart of Accounts Funding Chart of Federal Award Assist Revenue L.HJ Funding Period Funding Period Period Accounts Chart of Accounts Program Title Identification 8 Amend 4 List t4 Code" Start Date End,Date Start.Date End Date Amount SubTotal Total FFY24 Swimming Beach Act Grant IAR(ECY) 01374301 Amd 18 66.472 333.66.47 03/01/24 09/30/24 01/01/24 11/13024 $15,000 S15,000 $45,000 FFY23 Swimming Beach Act Grant LAR(ECY I 01/74301 Amd II 66.472 333.6647 03/01/23 10/31/23 03/01.'23 10/31/23 $I5.000 $15.000 FFY22 Swimming Beach Act Grant 1AR(ECY) 01174301 And 2 66.472 333.66.47 03/01/22 10/31/22 01/01:22 11/30/22 $15,000 $15,000 FFY24 PHEP RPl-CDC-LHJ Partners NL790TU000055 And 21 93.069 333,93,06 07/01/24 12/31/24 07101/24 06/30/25 $20,630 $20,630 $20,630 FFY23 PHEP BPS LHJ Funding 611.190TP922043 Amd 15 93.069 333.93.1)6 07/01/23 06/30/24 07,0123 06/30124 $34,384 $34,384 $82,522 FFY22 PHEP BP4 LHJ Funding NU90TP922043 Amd 7 93.069 333.93.06 07/01122 06/30/23 07/01/22 06/30123 $34,384 S34,384 FFY2I PHEP 13P3 LW Funding NUJ901P922043 Amd 2 93,069 333.93.06 01/01/22 06/30/22 07/01/21 06/30/22 $13,754 $13,754 FFY23 OD2A OID CDC N1117CE010218 Amd 17 93.136 333.93.13 01/01/24 08/31/24 09/0123 08/3124 $98,000 $98,000 $98,000 FFY22 Title X Dire Needs FPHPA006495 Amd 2 93.217 33393.21 01/14/22 03/31/22 01/14/22 03/31/22 $4,066 $4,066 $4,066 FFY23 FPHPA'fide X Family Plan FPIIPA006560 Anal 24 93.217 333.93.21 04/01/24 1231/24 _04/01/24 03/31/25 S13,747 $31,480 531.480 FFY24 FPHPA Title X Family Plan FPIIPAOO6560 And19 93.217 333.93.21 04/01/24 12/31/24 04/01/24 03131125 $17,733 FFY23 Title X Family Planning FPHPA006560 Amd 14 93.217 333,93.21 04/01/23 03/31/24 04/01/23 03/31/24 $30,822 $30,822 $57,959 FFY22 Title X Family Planning FPHPA006560 Amd 3 93,217 333.93.21 04/01/22 03/31/23 04/0122 03/31/23 $27,137 $27,137 COVIDI9 Vaccines NH231P922619 Amd 4 93.268 333.93,26 01/01/22 06/30/24 07/01/20 06/30124 $278,114 $278,114 $278.114 COVIDI9 Vaccines R4 N11231P922619 Auld 21 93.268 333.93.26 07/01/24 12/31124 i 07/01/20 12/3124 S10,966 S10,966 S720,572 COVID19 Vaccines R4 NH2311'922619 And 4 93.268 333.93.26 01/01/22 06/30/24 07/01/20 06/30/24 $354,803 5709,606 COVID19 Vaccines R4 NH231P922619 Amd I 93.268 333.93.26 01/01122 06/30/24 07/01/20 06/30124 S354.803 FF\2S CDC VFC Ops NCA Not Received Amd 21 93.268 333.93.26 07101/24 12/3Ii24 07/01/24 0613025. 55,600 55,600 511,760 FFY24 CDC VFC Ops NH23IP922619 And 15 93.268 333.93.26 07/01/23 06/30/24 07/0123 06/30/24 $560 $6,160 FFY24 CDC VFC Ops NH231P922619 Amd 14 93.268 333.93 26 07/01/23 06/30/24 07101/23 06/30124 $5,600 FFY23 VFC Ops NH231P922619 And 5 93.268 333,93_26 07/01/22 06/30/23 07/01/22 06 30/23 $5,600 $5,600 $11,200 FFY22 VFC Ops NH2311,922619 And 3 93.268 33393.26 01/01/22 06/30/22 07/01/21 06/30/22 $5,600 $5,600 FFYI9 COVID CARES NU5OCK000515 And 2 93.323 333.93.32 01/01/22 04/22/22 '0423/20 07/31/24 $14,664 $14,664 $14,664 FFYI9 ELC COVID Ed LHJ Allocation NU5OCK000515 Amd 7 93,323 333.93.32 01/01/22 10/1822 05/1920 10/18/22 ($2,281 7 $1,737 $1,737 FFYI9 ELC COVID Ed LIU Allocation NU5OCK000515 Amd 4 93.323 333.93.32 01/01/22 10/18/22 05/19/20 10/18/22 (S78,694) FFYI9 ELC COVID Ed LHJ Allocation NU5OCK000515 And 2 93.323 333.93.32 01/01/22 10/18/22 05/19 20 10/18/22 $82,712 Page 2 of 5 EXHIBIT B-21 Page 4 of 55 Jefferson County Public Health ALLOCATIONS Contract Number: CLH310I3 Contract Term:2022-2024 Date: August 1,2024 Indirect Rate January 1,2022 through December 31,2022:29.23%Public Health Indirect Rate January 1,2023 through December 31,2023:35.85%Public Health Indirect Rate January 1,2024 through December 31,2024:27.94%Public Health DOH 1'se Only BARS Statement of Work Chart of Accounts Funding Chart of Federal Award Assist Revenue LHJ Funding Period Funding Period Period Accounts Chart of Accounts Program Title Identification# Amend# List 8• Code** Start Date End Date Start Date End Date Amount SubTotal Total FFY20 ELC EDE LHJ Allocation Nl'S0CK000515 Amd 21 93.323 333.93.32 01/01/22 12/31,24 (11/15(21 07/31/25 $15,580 $357,402 $357,402 FFY20 ELC EDE LHJ Allocation NU5OCK000515 Amd 9,21 93.323 333.93.32 01/012 12/.11/24 01/15;21 07/3125 ($6.375) FFY20 ELC EDE LHI A I location NU5OCK000515 Amd 4,9.21 93.323 333.93.32 01/01/22 12/31/24 01 15.21 07131/25 ($90,842) FFY20 ELC EDE LHJ Allocation NU5OCK000515 And 2,9,21 93.323 333.93.32 01/01/22 12/31/24 01/15/21 07/3 U25 $439.039 FF Y2I CDC COVID-19 PHWFD-LH1 N1J901P922181 And 16,20 93.354 333.93.35 07/01/23 122/31/24 07/01/23 06130 25 $200.000 S200,000 $200.000 FFY22 NEHA Climate&Health Grant NU380T000300 And 9 93.421 333.93.42 04/11/22 12/31/22 04.0122 12/31/22 $11.000 S22,000 $22,000 FFY22 NEHA Climate&Health Grant N11380T000300 Amd 5 93.421 33393.42 04/11/22 12/31/22 04/01/22 12/31:22 $11,000 FFY22 PH Infrastructure Comp Al-LW NEI1OE000053 Amd 17 93.967 333.93.96 01/01 24 12/31/24 1210122 06/3025 $200,000 $200,000 $200,000 FFY25 HRSA.NCIIBG LHJ Contracts NGA Not Received Amd 21 93.994 333.93.99 10/81/24 12131//24 10101 24 09/30/25 S9,175 .S9.175 S65,741 FFY24 URSA MCHBG LHJ Contracts B04MC52960 Amd 15 93.994 333.93.99 10/01/23 09/30/24 10/01/23 09/30124 S36,700 S36,700 FFY23 HRSA MCHBG LW Contracts B04MC47453 Amd 15 93.994 333.93.99 10/01/22 09/30/23 10/01/22 09/30/23 ($16.8341 $19,866 FFY23 HRSA MCHBG LW Contracts B04MC47453 Amd 7 93.994 333.93.99 10/01/22 09/30123 10/01/22 09/30/23 $36,700 FFY22 HRSA MCHBG Special Proj B04MC45251 Amd 15 93.994 333.93.99 1010122 09/30/23 10/01/22 09/30/23 $16,834 516,834 S16,834 FFY22 MCHBG LW Contracts B04MC45251 Anal 1 93.994 333.93.99 01/01/22 09/30/22 10/01/21 09/30/22 $27,525 S27,525 $27,525 SFY25 SBHC Proviso And19 N/A 334.04.9(1 0701/24 12/31/24 07/01/24 06130/25 $29,000 $91,000 S246,000 SFY25 SBHC Proviso Amd 14 N/A 334.04.90 07/01 24 12/31/24 07/01/24 06130;25 $62.000 SFY24 SBHC Proviso _ And19 N/A 334.04.90 07/01/23 06/30/24 07/01/23 06/30/24 $10,000 $155,000 SFY24 SBHC Proviso Amd 16 N/A 334.04.90 07/01.'23 06/30/24 07/01/23 06130,24 $35,000 SFY24 SBHC Proviso And 14 N/A 334.04.90 07/01/23 06/30/24 07/01/23 06/30/24 $110,000 SFY23 School Based Health Centers And 5 N/A 334.04.90 07/0122 06130.23 07/01/22 06/30/23 $150,000 $150,000 $150,000 SFY25 Sexual&Rep Hlth Cost Share And 20 N/A 334.04.91 07/01/24 12/31/24 07/01/24 06/3025 $48,323 $48,323 $260,084 SFY24 Sexual&Rep Hlth Cost Share Amd 18 N/A 334.04.91 07/01/23 06/30/24 07/01/23 06130/24 $1.800 S87,652 SFY24 Sexual&Rep Hlth Cost Share Amd 17 NIA 334.04.91 07/01/23 06/30/24 07/01/23 06/30/24 $42,926 SFY24 Sexual&Rep Filth Cost Share And 15, 17 N/A 334.04.91 07/01/23 06/30/24 07/01/23 06/30/24 $42,926 SFY23 Sexual&Rep Hlth Cost Share Amd 10 N/A 334.04.91 070122 06/30/23 07/01/22 06/30/23 $40,357 $80,009 SFY23 Sexual&Rep Filth Cost Share Amd 7, 10 N/A 334.04.91 07/01/22 06/30/23 07/01/22 06/30123 $39,652 SFY22 Sexual&Rep Hlth Cost Share And 5 N/A 334.04.91 (11/01/22 06/30/22 07/01/21 06/30/22 $5,880 $44,100 SFY22 Sexual&Rep Hlth Cost Share And 1 N/A 334.04.91 01/01/22 06/30/22 07/01 21 06/30/22 $38220 Page 3 of 5 EXHIBIT B-21 Page 5 of 55 Jefferson County Public Health ALLOCATIONS Contract Number: CLH31013 Contract Term:2022-2024 Date: August 1,2024 Indirect Rate January 1,2022 through December31,2022:29.23%Public Health Indirect Rate January 1,2023 through December 31.2023:35.85%Public Health Indirect Rate January I,2024 through December 31,2024:27.94%Public Health DOH Use Only BARS Statement of Work Chart of Accounts Funding Chart of Federal Award Assist Revenue LHJ Funding Period Funding Period Period Accounts Chart of Accounts Program Title Identification N Amend k List 0* code., Start Date End Date Start Date End Date Amount SubTotal Total SFY25 Drug User Health Program Amd 17 N/A 334.04.91 07/01/24 12/31/24 07/01/24 06130/25 $40,250 S40,250 $88,000 SFY24 Drug User Health Program Amd 17 N/A 334.04.91 01/01/24 06/30/24 07/01/23 . 06/30/24 $40,250 S40,250 SFY24 Drug User Health Program Amd 14 N/A 334.04.91 07/01/23 12/31/23 07/01:23 06,130124 $7,500 $7,500 State Drug User Health Program And 5 N/A 334.04.91 07/01/22 06/30/23 07/0121 06/30/23 $15,000 $15,000 $22,500 State Drug User Health Program Amd I N/A 334.04.91 01/01/222 06/30/22 07/01/21 06/30/23 $7.500 $7,500 LHJ COVID-19 GFS Amd 19 N/A 334.04.92 0701123 06/30124 07/01/23 06130/24 $37.439 S37,439 $37.439 Rec Shellfish/Biotoxin Amd 20 N/A 334.04.93 07/01/23 12/31124 07/01/23 0630/25 $3,000 S14,100 $31,600 Rec ShelltishLBiotoxin Amd 14 N/A 334.04.93 07/01/23 12.31/24 07/0123 00/30/25 $11,100 Rec Shellfish/Biotoxin And 9 N/A 334.04.93 01/01/22 06/30/23 07/01/21 0613023 $7.000 S17,500 Rec Shellfish/Biotoxin And 1 N/A 334.04.93 01/01/22 06/30123 07/01/21 06130123 $10,500 Small Onsite Management(ALEA) Amd 14 N/A 334.04.03 07/01/24 12/31/24 07/01/23 06/30125 $33,333 $33,333 $104,166 Small Onsite Management(ALEA) Amd 14 N/A 334.04.93 •07/01/23 06/30/24 07101/23 06130/25 $33,333 $33,333 Small Onsite Management(ALEA) Amd 12 N/A 334.04.93 07/01122 06/30/23 07101/21 06/30/23 $9,375 $24,375 Small Onsite Management(ALEA) And 1 N/A 334.04.93 07/01:22 06/30/23 07/01/21 06/30/23 $15,000 Small Onsite Management(ALEA) Amd 12 N/A 334.04.93 01/01/22 06/30/22 07/01/21 06/30/223 ($9,375) $13.125 Small Onsite Management tALEA) Amd 1 N/A 334.04.93 01/01/22 06/30122 07/01/21 06130/23 $22,500 Small Onsite ManagementtGFS) Amd 16 N/A 334.04.93 •07/01/24 12/31/24 07/01/23 07/01/25 ($31,970) $0 $0 Small Onsite Management(GFS) Amd 14 N/A 334.04.93 07/01/224 12/31/24 07/01/23 07/01/25 $31.970 SFY25 Wastewater Management-OFS And 16 N/A 334.04.93 07/01/24 12/31/24 07/01/23 06/30/25 $31,970 S31,970 $61 970 Wastewater Management-GFS Amd I N/A 334.04.93 07701/22 06/30/23 07/01/21 063023 $30,000 S30,000 SFY23 FPHS-LHJ-GFS And 6.9 N/A 336.04.25 :07/01/22 06/30/23 07/0121 06/30/23 $1,433,000 $1,433,000 $1,433,000 • SFY25 FPHS-LHJ Funds-f F'S Amd 21 NIA 336.04.25 97/01/24 12/31/24 1(7/01124 06/30:25 S1.166.500 $2333.000 $4,666,000 • SFY25 FPHS-LHJ Funds-GFS And 20 N/A 336.04.25 07/01/24 12/31124 0710124 06/30/25 S1.166.500 SFY24 FPHS-LHJ-Funds-GFS And 15 N/A 336.04.25 07/01/23 06:30/24 07/0123 06/30/24 $900,000 $2,333,000 SFY24 FPHS-LHI-Funds-GFS And 14 N/A 336.04.25 07/01/23 0630/24 07/01/23 ((6/30/24 S1.433.000 FPHS-LHJ-Proviso(YR2) Amd 7 N/A 336.04.25 07/01/22 06/30/23 07/01/21 06/30/23 (S550,000) $0 $445,181 FPHS-LHJ-Proviso(YR2) And I N/A 336.04.25 07/0122 06130/23 07/01/21 06130/23 $550,000 Page 4 of 5 EXHIBIT B-21 Page 6 of 55 Jefferson County Public Health ALLOCATIONS Contract Number: CLH31013 Contract Tenn:2022-2024 Date: August 1,2024 Indirect Rate January 1,2022 through December 31,2022:29.23%Public Health Indirect Rate January 1,2023 through December 31,2023:35.85%Public Health Indirect Rate January I,2024 through December 31,2024:27.94%Public Health D011 Use Only BARS Statement of Work Chart of Accounts Funding Chart of Federal Award Assist Revenue 1.HJ Funding Period Funding Period Period Accounts Chart of Accounts Program Title Identification 8 Amend g List 8* Code** Start Date End Date Start Date End Date Amount SubTotal Total FPHS-LHJ-Proviso(YR11 Amd 10 N/A 336.04.25 01/01/22 06130/22 07/0121 06.'30'23 S22681 $445.181 FPHS-LHJ-Proviso(YRI) AIM 4 N/A 336.04.25 01/01/22 06/30/22 07.0121 0630/23 (111137,500) FPHS-LHJ-Proviso(YRI) Amd I N/A 336.04.25 01/01/22 06/30/22 07/01/21 06/3023 $550.000 YR26SRF-Local Asst(15%)SS And 16 N/A 346.26.64 01/01/24 1231/24 07/01/23 06./30/25 $1.800 $1,800 $5,400 YR 25 SRF-Local Asst(15%)SS And 11 N/A 346.26.64 01/01/23 12/31/23 01/01/23 12131 23 $2,200 $2,200 YR 24 SRF-Local Asst(15%)(F0-SW)SS Amd I N/A 346.26.64 01/01/22 12/31/22 07/01/21 06;30.2 3 $L400 $1,400 Sanitary Survey Fees SS-State Arad 16 N/A 346.26.65 01/01/22 12/31/24 07/01/21 12131:24 SI.800 $5,400 $5,400 Sanitary Survey Fees SS State Amd 11,16 N/A 346.26.65 01/01/22 12/31/24 0710131 12/31/24 $2,200 Sanitary Survey Fees SS-State Amd 1,11,16 N/A 346.26.65 01/01/22 12/31/24 07/01/21 12/31/24 $1,400 YR 26 SRF-Local Asst(15%)TA And 19 N/A 346.26.66 01/01/24 12/31/24 07/01/23 06/30/25 $1 000 $1,000 $2,000 YR25 SRF-Local Asst(15%)T.A Arnd 19 N/A 346.2666 01/01/23 12/31/23 01/01/23 12/31/23 ($1,000) $0 YR 25 SRF-Local Asst(15%)TA Amd 11 N/A 346.26.66 01/01/23 12/31/23 01/01/23 12/3 1123 $1,000 YR24 SRF-Local Asst(15%)(FO-SW)TA And I N/A 346.26.66 01/01j22 12/31/22 07/01/21 06/30123 $1,000 $1,000 TOTAL $10.674.468 $10,674,468 Total consideration: $9,416,279 GRAND TOTAL S10.674,468 S1,258,189 GRAND TOTAL $10,674,468 Total Fed $3,115.728 Total State S7,558,740 *Catalog of Federal Domestic Assistance **Federal revenue codes begin with"333". State revenue codes begin with"334". Page 5 of 5 Page 7 of 55 Exhibit A Statement of Work Contract Term: 2022-2024 DOH Program Name or Title: DCHS-ELC COVID-19 Response- Local Health Jurisdiction Name: Jefferson County Public Health Effective January 1,2022 Contract Number: CLH3I013 SOW Type: Revision Revision#(for this SOW) 4 Funding Source Federal Compliance Type of Payment ® Federal Subrecipient (check if applicable) ®Reimbursement Period of Performance: January 1,2022 through December 31,2024 ❑ State ® FFATA(Transparency Act) ❑Fixed Price ❑Other ❑ Research& Development Statement of Work Purpose: The purpose of this statement of work(SOW)is to provide supplemental funding for the LHJ to ensure adequate culturally and lingquistically responsive testing, investigation and contract tracing resources to limit the spread of COV ID-19. Revision Purpose: Extend Period of Performance and ELC EDE LHJ Funding End Date from 07/31/23 to 12/31/24,adjust allocation,and update MI code. Master Assistance BARS Allocation Index Listing Revenue LHJ Funding Period Current Change Total DOH Chart of Accounts Master Index Title Code Number Code Start Date End Date Allocation Increase(+) Allocation FFY19 ELC COVID ED ALLOCATION 1897129G 93.323 333.93.32 01/01/22 10/18/22 1,737 0 1,737 FFY20 ELC EDE LHJ ALLOCATION 1897140E 93.323 333.93.32 01/01/22 12/31/24 341,822 15,580 357,402 0 0 0 0 0 0 0 0 0 0 0 0 TOTALS 343,559 15,580 359,139 Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information # and/or Amount 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-19. Examples of key activities include: • Incident management for the response • Testing • Case Investigation/Contact Tracing • Sustainable isolation and quarantine • Care coordination • Surge management • Data reporting Exhibit A,Statement of Work Page 1 of 7 Contract Number CLH31013-Amendment 21 Page 8 of 55 Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount NOTE: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. DCHS COVID-19 Response 1 Establish a budget plan and narrative to be submitted to the Submit the budget plan and narrative using Within 30 days of Reimbursement of actual Department of Health(DOH)Contract Manager. DOH will the template provided. receiving any new award costs incurred,not to send the"Budget narrative Template",`Budget Guidance"and for DCHS COVID-19 exceed: any other applicable documents that may be identified. Response tasks. $1,737 FFY19 ELC I) LHJ Active monitoring activities.In partnership with WA Data collected and reported into DOH Enter performance metrics COVID ED LHJ DOH and neighboring Tribes,the LHJ must ensure systems daily. daily into DOH identified ALLOCATION Funding adequate culturally and linguistically responsive testing, systems (MI 1897129G) investigation and contact tracing resources to limit the Funding end date spread disease.LHJs must conduct the following activities 10/18/2022 in accordance with the guidance to be provided by DOH. Quarterly performance reporting updates S35-.402 311.322 FFY20 a. Allocate enough funding to ensure the following ELC EDE LHJ Contact Tracing and Case Investigation Support:Hire a ALLOCATION Funding minimum of 1.0 data entry FTE to assure system (MI 18971420E)Funding requirements for task 2.1.a. end date 12/31 2024 i. Contact tracing =-31 2023 1. Strive to maintain the capacity to conduct Enter all contact tracing data in CREST targeted investigations as appropriate. following guidance from-DOH. 2. Have staff that reflect the demographic makeup of the jurisdiction and who can provide culturally and linguistically competent and responsive services. In addition,or alternatively,enter into an agreement(s)with Tribal,community-based and/or culturally-specific organizations to provide such services.DOH centralized investigations will count towards this minimum. 3. Ensure all contact tracing staff are trained in accordance with DOH investigative guidelines and data entry protocols. 4: Coordinate with Tribal partners in conducting contact tracing for Tribal members. 5. Ensure contact tracing and case investigations activities meet DOH case and Contact Tracing Metrics. (Metrics to be determined collaboratively by DOH, LHJs and Tribes.) Exhibit A,Statement of Work Page 2 of 7 Contract Number CLH310I3-Amendment 21 Page 9 of 55 Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information # and/or Amount Work with DOH to develop a corrective action plan if unable to meet metrics. ii. Case investigation 1. Strive to maintain the capacity to conduct targeted investigations as appropriate. 2. Enter all case investigation and outbreak data in WDRS following DOH guidance. a) Strive to enter all case investigation and Enter all case investigation data in WDRS outbreak data into CREST as directed by following guidance from-DOH. DOH. b) Ensure all staff designated to utilize WDRS have access and are trained in the system. c) Include if new positive cases are tied to a known existing positive case or indicate community spread. d) Conduct targeted case investigation and monitor outbreaks. e) Coordinate with Tribal partners in conducting case investigations for tribal members. 3. Ensure contact tracing and case investigation activities meet DOH Case and Contact Tracing Metrics.(Metrics to be determined collaboratively by DOH,LHJs,and Tribes.) Work with DOH to develop a corrective action plan if unable to meet metrics. b. Testing i. Work with partners and Tribes to ensure testing is available to every person within the jurisdiction meeting current DOH criteria for testing and other local testing needs. ii. Work with partners and Tribes to ensure testing is provided in a culturally and linguistically responsive manner with an emphasis on making testing available to disproportionately impacted communities and as a part of the jurisdiction's contact tracing strategy. iii. Maintain a current list of entities providing Maintain a current list of entities providing COVID-19 testing and at what volume. Provide COVID-19 testing and at what volume. reports to DOH on testing locations and volume Provide reports to DOH Contract manager as requested. on testing locations and volume as requested. Exhibit A,Statement of Work Page 3 of 7 Contract Number CLH31013-Amendment 21 Page 10 of 55 Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount c. Surveillance FTE support at a minimum of.5 FTE Epidemiologist to support daily reporting needs below. i. Ensure all COVID positive lab test results from Ensure all COVID positive test results are LHJ are entered in to WDRS by 1)entering data entered into WDRS within 2 days of directly in to WDRS,2)sending test results to DOH receipt to enter,or 3)working with DOH and entities conducting tests to implement an electronic method for test result submission. ii. Maintain records of all COVID negative lab test results from the LHJ and enter into WDRS when resources permit or send test results to DOH. iii. Collaborate with Tribes to ensure Tribal entities with appropriate public health authority have read/write access to WDRS and CREST to ensure that all COVID lab results from their jurisdictions are entered in WDRS or shared with the LHJ or DOH for entry. d. Tribal Support. Ensure alignment of contact tracing Quarterly performance updates related to and support for patients and family by coordinating culturally and linguistic competency and with local tribes if a patient identified as American responsiveness,tribal support, infection Indian/Alaska Native and/or a member of a WA tribe. prevention and control for high-risk populations,community education and e. Support Infection Prevention and control for high-risk regional active monitoring activities. populations Performance update should include status i. Migrant and seasonal farmworker support. of all projects listed. Partner with farmers,agriculture sector and farmworker service organizations to develop and execute plans for testing,quarantine and isolation,and social service needs for migrant and seasonal farmworkers. ii. Congregate care facilities: In collaboration with the state licensing agency(DSHS),support infection prevention assessments,testing. Infection control and isolation and quarantine protocols in congregate care facilities. iii. High risk businesses or community-based operations. In collaboration with state licensing agencies and Labor and Industries,partner with food processing and manufacturing businesses to ensure adequate practices to prevent COVID-l9 exposure,conduct testing and respond to outbreaks. Exhibit A,Statement of Work Page 4 of 7 Contract Number CLH31013-Amendment 21 Page 11 of 55 Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount iv. Healthcare: Support infection prevention and control assessments,testing,cohorting,and isolation procedures. Provide educational resources to a variety of healthcare setting types (e.g.,nursing homes,hospitals,dental,dialysis). v. Non-healthcare settings that house vulnerable populations:In collaboration with state corrections agency(DOC)and other state partners,support testing,infection control, isolation and quarantine and social services and wraparound supports for individuals living or temporarily residing in congregate living settings, including detention centers,prisons,jails, transition housing,homeless shelters,and other vulnerable populations. vi. Schools: In collaboration with OSPI and local health jurisdictions,support infection prevention and control and outbreak response in K-12 and university school settings. f. Ensure adequate resources are directed towards H2A housing facilities within communities,fishing industries and long-term care facilities to prevent and control disease transmission. Funds can be used to hire support staff,provide incentives or facility-based funding for onsite infection prevention efforts,etc. g. Community education. Work with Tribes and partners to provide culturally and linguistically responsive community outreach and education related to COVID- 19. h. Establish sustainable isolation and quarantine(1&Q) Quarterly performance updates to include measures in accordance with WAC 246-100-045 name,address and capacity of identified (Conditions and principles for isolation or quarantine). location that can support isolation and i. Have at least one(1)location for conducting l&Q quarantine,and confirmation of operations identified and confirmed.This location appropriate planning and coordination as should be sufficient for supporting l&Q services required. that are adequate for the population for your jurisdiction and have an ability to expand if needed.This can be through contract/formal agreement;alternatively,the jurisdiction may establish with an adjacent jurisdiction a formal Exhibit A,Statement of Work Page 5 of 7 Contract Number CLH31013-Amendment 21 Page 12 of 55 Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount agreement to provide the isolation and quarantine capacity adequate to the population for your jurisdiction with the ability to expand. ii. Maintain ongoing census data for isolation and Report census numbers to include historic quarantine for your population. total by month and monthly total for iii. Planning must incorporate transfer or receipt of current quarter to date people requiring 1&Q support to and from adjacent jurisdictions or state facilities in the event of localized increased need. iv. Planning must incorporate indicators for activating and surging to meet demand and describe the process for coordinating requests for state 1&Q support,either through mobile teams or the state facility. DOH Program and Fiscal Contact Information for all ConCon SOWS can be found on the DOH Finance SharePoint site.Questions related to this SOW,or any other finance-related inquiry,may be sent to finance@doh.wa.gov. Federal Funding Accountability and Transparency Act(FFATA)(Applies to federal grant awards.) - 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 Unique Entity Identifier(UE1)generated by SAM.gov. Information about the LHJ and this statement of work will be made available on USAS,pending.gov by DOH as required by P.L. 109-282. Program Specific Requirements All work will be performed in accordance with the revised and approved project plans to be submitted to DOH. Restrictions on Funds(what funds can be used for which activities,not direct payments,etc) CDC Funding Regulations and Policies https://www.cdc.gov/grants/documents/General-Terms-and-Cond itions-Non-Research-Awards.pdf Monitoring Visits(frequency,type) The DOH program contact may conduct monitoring visits during the life of this project.The type,duration,and timing of visit will be determined and scheduled in cooperation with the subawardee.The DOH Fiscal Monitoring Unit may conduct fiscal monitoring site visits during the life of this project Special Billing Requirements Payment: Upon approval of deliverables and receipt of an invoice voucher,DOH will reimburse for actual allowable costs incurred. Billings for services on a monthly fraction of the budget will not be accepted or approved. Exhibit A,Statement of Work Page 6 of 7 Contract Number CLH31013-Amendment 21 Page 13 of 55 Submission of Invoice Vouchers: The LHJ shall submit correct monthly A19-1 A invoice vouchers for amounts billable under this statement of work to DOH by the 25th of the following month or on a frequency no less often than quarterly. Other: Required activities,deliverables,and funding is for the entire project period:January 2021 through specified date above. Unspent funds and tasks not completed by December 31,2021,were reauthorized for work in this new consolidated contract term beginning January 1,2022. It is the LHJ's responsibility to assure that the unspent funding amount carried forward to this statement of work does not exceed the remaining available balance from the 2018-2021 contract. Exhibit A, Statement of Work Page 7 of 7 Contract Number CLH31013-Amendment 21 Page 14 of 55 Exhibit A Statement of Work Contract Term: 2022-2024 DOH Program Name or Title: Foundational Public Health Services(FPHS)- Local Ilealth .luri,diction Name: Jefferson County Public Health Effective July 1,2024 Contract Number: GLH31013 SOW Type: Revision Revision#(for this SOW) 1 Funding Source Federal Compliance Type of Payment ❑Federal<Select One> (check if applicable) ❑ Reimbursement Period of Performance: July 1,2024 through December 31,2024 ®State El FFATA(Transparency Act) ® Periodic Distribution ❑Other ❑ Research& Development Statement of Work Purpose: Per RCW 43.70.512,Foundational Public Health Services(FPHS)funds are for the governmental public health system: local health jurisdictions, Department of Health,state Board of Health,sovereign tribal nations and Indian health programs. These funds are to build the system's capacity and increase the availability of FPHS services statewide. Revision Purpose: The purpose of this revision is to add the entire SFY25 allocation. Master Assistance BARS Allocation Index Listing Revenue LHJ Funding Period Current Change Total DOH Chart of Accounts Master Index Title Code Number Code Start Date End Date Allocation Increase(+) Allocation SFY25 FPHS-LHJ FUNDS-GFS 99210850 N/A 336.04.25 07/01/24 12/31/24 1,166,500 1,166,500 2,333,000 0 0 0 Oi 0 0 0' 0 0 0 0 0 0 0 0 TOTALS 1,166,500 1,166,500 2,333,000 Task Payment # Activity Deliverables/Outcomes Due Date/Time Frame Information and/or I Amount l FPHS funds to each LHJ—See below in Program Specific See below in Program Specific See below in Program Specific S 26OO.N00 Requirements—Activity Special Instructions for details i Requirements-Deliverables Requirements-Deliverables S5 0 000 Assessment Reinforcing Capacity—See below in Program Specific j See below in _Program Specific See below in Program Specific $40.000 Requirements—Activity Special Instructions for details Requirements- Deliverables Requirements-Deliverables S60.000 3 Assessment—CHA/CHIP—See below in Program Specific See below in Program Specific See below in Program Specific $5,000 Requirements—Activity Special Instructions for details Requirements-Deliverables Requirements- Deliverables $30.000 Lifecourse-NEW SFl 24 Full Lifecourse Workforce Capacity—See See below in Program Specific See below in Program Specific $176,500 4 below in Program Specific Requirements—Activity Special Instructions Requirements-Deliverables Requirements- Deliverables $353.000 for details Exhibit A, Statement of Work Page 1 of 7 Contract Number CLH31013-Amendment 21 Page 15 of 55 Payment Task Activity Deliverables/Outcomes Due Date/Time Frame Information and/or Amount CD-NEW SFY 24 Immunization Outreach, Education & Response See below in Program Specific See below in Program Specific $3-7400 5 -See below in Program Specific Requirements 1ctiyitl Special ; Requirements-Deliverables Requirements- Deliverables S75.000 Instructions for details EPH-NEW SFY 24 Fully fund Environmental Public Health Policy See below in Program Specific See below in Program Specific $75.000 6 & Leadership Capacity-See below in Program Specific Requirements Requirements-Deliverables Requirements-Deliverables 5151).011/1 -Activity Special Instructions for details FC-NEW SFY 24 Strengthening Local Finance Capacity-See ISee below in Program Specific See below in Program Specific $31,000 7 below in Program Specific Requirements-Activity Special Instructions Requirements-Deliverables Requirements-Deliverables $62,000 for details 8 FC-NEW SFY 24 Public Health Communications-See below in See below in Program Specific See below in Program Specific S•t00:000 Program Specific Requirements-Activity Special Instructions for details Requirements- Deliverables Requirements- Deliverables $200.000 Lifecourse-NEW SFY 24 Illicit Substance Use and Overdose See below in Program Specific See below in Program Specific $73:000 9 Response-See below in Program Specific Requirements-Activity Requirements-Deliverables Requirements-Deliverables Sl50,0IJ0 Special Instructions for details — EPR-NEW SFY 24 Emergency Preparedness& Response- See below in Program Specific See below in Program Specific $89.000 10 Capacity and Capability-See below in Program Specific Requirements-Activity Special Instructions for details Requirements-Deliverables Requirements-Deliverables Si78,000 Assessment-Shared Regional Epidemiology-General See below in Program Specific See below in Program Specific $737000 11 (Assessment/Surveillance,CHA/CHIP)-See below in Program Requirements-Deliverables Requirements-Deliverables S/50.000 Specific Requirements-Activity Special Instructions for details 12 EPH-NEW SFY 24 Social Work Support-See below in Program See below in Program Specific See below in Program Specific S4-2,500 Specific Requirements-Activity Special Instructions for details 1 Requirements-Deliverables Requirements-Deliverables S85,000 13 EPH Core Team-Safe and Healthy Communities-See below in See below in Program Specific See below in Program Specific $2-3-300 Program Specific Requirements-Activity Special Instructions for details Requirements-Deliverables Requirements-Deliverables S-17.000 14 EPH Core Team-Climate Change Response-See below in Program See below in Program Specific See below in Program Specific $40400 Specific Requirements-Activity Special Instructions for details ; Requirements-Deliverables Requirements-Deliverables S80,000 15 EPH Core Team-Water System Capacity-See below in Program See below in Program Specific See below in Program Specific $3300 Specific Requirements-Activity Special Instructions for details I Requirements-Deliverables Requirements-Deliverables S75,000 EPH Core Team-System-Wide Data Management Improvement. See below in Program Specific See below in Program Specific $31,500 16 See below in Program Specific Requirements-Activiecial Requirements-Deliverables Requirements-Deliverables S63,000 Instructions for details 17 EPH Core Team-Homelessness Response-See below in Program I See below in Program Specific See below in Program Specific S277500 Specific Requirements-Activity Special Instructions for details Requirements-Deliverables Requirements-Deliverables $55,000 DOH Program and Fiscal Contact Information for all ConCon SOWs can be found on the DOH Finance SharePoint site.Questions related to this SOW,or any other finance-related inquiry,may be sent to finance@doh.wa.gov. FPHS staff from DOH and the Washington State Association of Local Public Health Officials(WSALPHO)will coordinate and communicate together to build and assure common systemwide approaches per FPHS Steering Committee direction and the FPHS framework intent. Exhibit A,Statement of Work Page 2 of 7 Contract Number CLH31013-Amendment 21 Page 16 of 55 • For LHJ questions about the use of funds: o Chris Goodwin, FPHS Policy Advisor,WSALPHO—cgo ddwin@wsac.org,564-200-3166 o Brianna Steere, FPHS Policy Advisor,WSALPHO--bsteere@wsac.org,564-200-3171 The intent of FPHS funding is outlined in RCW 43.70.512. Foundational Public Health Services Definitions and related information can be found here: www.doh.wa.gov/fphs. Stable funding and an iterative decision-making process—The FPHS Steering Committee's roles and responsibilities are outlined in the FPHS Committee&Workgroup Charter The Steering Committee is the decision making body for FPHS and operates under a consensus-based decision making model,outlined here.The Steering Committee use an iterative approach to decision making meaning additional tasks and/or funds may be added to a local health jurisdiction's(LHJ)FPHS Statement of Work(SOW)as funding decisions are made. Spending of FPHS funds—FPHS funds do not require pre-approval or pre-authorization to spend.FPHS funds are to assure FPHS services are available in each jurisdiction based on the FPHS Definitions(link)and as reflected in the SOW.Assurance includes providing FPHS as part of your jurisdiction's program operations,contracting with another governmental public health system partner to provide the service,or receiving the service through a new service delivery model such as cross jurisdictional sharing or regional staff.FPHS funds are eligible starting at the beginning of each state fiscal year(July 1)regardless of when funds are received by the LHJ,even if the expenditure occurred before the LHJ's contract was signed. These funds are not intended for fee-based services such as select environmental public health services.As state funding for FPHS increases,other funds sources(local revenue, grants,federal block grants)should be directed to the implementation of additional important services and local/state priorities as determined by each agency/jurisdiction. Annual Allocations—The legislature appropriates FPHS funding on an annual basis and the FPHS Steering Committee allocates funds annually through the FPHS Concurrence Process for the State Fiscal Year(SFY):July -June. The Legislature appropriates FPHS funding amounts for each fiscal year of the biennium. This means that funds must be spent within that fiscal year and cannot be carried forward. Any funds not spent by June 30°'each year must be returned to the State Treasury. Funding allocations reset and begin again at the start of the next fiscal year(July 1). This Statement of Work is for the period of July 1,2024-December 31,2024 and may be included in multiple Consolidated Contracts(ConCons)which are based on the calendar year and renewed every three years. Disbursement of FPHS funds to LHJs—Unlike other ConCon grants,FPHS bill-back to DOH is NOT required. Half of the annual FPHS funds allocated by the Steering Committee to each LHJ are disbursed each July and January. The July payments to LHJs and access to FPHS allocation for all other parts of the governmental public health system occur upon completion of the FPHS Annual Assessment. Deliverables—FPHS funds are to be used to assure FPHS services statewide. The FPHS accountability process measures how funds are spent,along with changes in system capacity through the FPHS Annual Assessment,system performance indicators,and other data. DOH,SBOH and local health jurisdictions have agreed to complete: 1. Reporting of spending and spending projections. Process timelines and reporting template are provided by the FPHS Steering Committee via FPHS Support Staff. 2. FPHS Annual Assessment is due each July to report on the previous state fiscal year.Process and reporting template are provided by the FPHS Steering Committee via FPHS Support Staff. System results are published in the annual FPHS Investment Report available at www.doh.wa.gov/fphs. BARS Revenue Code: 336.04.25 Exhibit A,Statement of Work Page 3 of 7 Contract Number CLH31013-Amendment 21 Page 17 of 55 BARS Expenditure Coding provided for y our reference. 562.xx BARS Expenditure Codes for FPHS activities: see below 10 1 FPHS Epidemiology& Surveillance 11 FPHS Community Health Assessment 12 FPHS Emergency Preparedness& Response 13 FPHS Communication 14 FPHS Policy Development 15 FPHS Community Partnership Development 16 FPHS Business Competencies 17 FPHS Technology 20 FPHS CD Data& Planning 21 FPHS Promote Immunizations 23 FPHS Disease Investigation—Tuberculosis(TB) 24 FPHS Disease Investigation—Hepatitis C 25 FPHS Disease Investigation—Syphilis,Gonorrhea&HIV 26 FPHS Disease Investigation—STD(other) 27 FPHS Disease Investigation—VPD 28 FPHS Disease Investigation—Enteric 29 FPHS Disease Investigation—General CD 40 FPHS EPH Data& Planning 41 FPHS Food 42 FPHS Recreational Water 43 FPHS Drinking Water Quality 44 I FPHS On-site Wastewater 45 FPHS Solid&Hazardous Waste 46 FPHS Schools 47 FPHS Temporary Worker Housing 48 FPHS Transient Accommodations 49 FPHS Smoking in Public Places 50 FPHS Other EPH Outbreak Investigations 51 FPHS Zoonotics(includes vectors) 52 FPHS Radiation 53 FPHS Land Use Planning 60 FPHS MCH Data& Planning 70 FPHS Chronic Disease, Injury &Violence Prevention Data& Planning 80 FPHS Access/Linkage with Medical, Oral and Behavioral Health Care Services Data&Planning 90 FPHS Vital Records 91 FPHS Laborator—Centralized(PHSKC Only) 92 FPHS Laboratory Special References(i.e., RCWs,WACs,etc.): FPHS Intent- RCW 43.70.512 FPHS Funding—RCW 43.70.515 FPHS Committee& Workgroup Charter FPHS Steering Committee Consensus Decision Making Model Exhibit A,Statement of Work Page 4 of 7 Contract Number CLH31013-Amendment 21 Page 18 of 55 Activity Special Instructions: Investments to Each LHJ: 1. FPHS Funds to Each LHJ These funds are allocated to be used to provide any programs and services within all of the FPHS Definitions.Each LHJ is empowered to prioritize where and how to use these funds to maximize equitable,effective and efficient delivery of FPHS to every community in Washington. Use BARS expenditure codes from the list above that most closely align with expenditure made. Targeted Investments to Each LHJ: 2. Assessment Reinforcing Capacity(FPHS definition G.2) Support LHJ assessment capacity with flexible funds to meet locally identified needs. BARS expenditure codes: 562.10 or 11 3. Assessment-CHA/CHIP(FPHS definitions G.3) Support any CHA/CHIP activity or service(e.g.,data analysis,focus groups,report writing,process facilitation)and may be used to contract with other agencies for staff time or services. Use BARS expenditure codes:562.11 4. Lifecourse-NEW SFY 24 Full Lifecourse Workforce Capacity(FPHS definitions D,E,F) Infrastructure and workforce investments to each LHJ to meet fundamental needs in three areas:Maternal/Child/Family Health; Access/Linkage with Medical,Oral and Behavioral Health Services;and Chronic Disease,Injury and Violence Prevention.Use BARS expenditure codes: 562.60,562.70,and/or 562.80 5. CD-NEW SFY 24 Immunization Outreach,Education &Response(FPHS definition C.3) Promote immunization education and use of the statewide immunization registry through evidence-based strategies.Funding can also be used to support vaccine- preventable disease response. BARS expenditure codes: 562.21 and/or 562.27 6. EPH-NEW SFY 24 Fully fund Environmental Public Health Policy& Leadership Capacity(FPHS definitions B.2,A.C,J.1-3,K.1-2,L.1) These funds are to be used for staffing costs for environmental health responsibilities and functions(that are not directly fee-based)within leadership,policy development, foundational public health services implementation,evaluation,or administration,including(but not limited to)Environmental Health Directors.Examples of funded roles include work relating to general policy,statewide and/or system-wide,and/or cross jurisdictional work, legislation,and rulemaking,SBOH engagement,leadership support and/or development,workforce development, leadership within health equity,climate,and environmental justice.Use BARS expenditure codes:562.14,562.40— 562.53 7. FC-NEW SFY 24 Strengthening Local Finance Capacity(FPHS definitions L.2-4,L.6,L.8) Capacity and infrastructure to assure fiscal management and contract and procurement policies and procedures are effectively implemented to support programs and services.Use BARS expenditure codes:562.16 8. FC-NEW SFY 24 Public Health Communications(FPHS definitions I.1-2) Capacity to enhance the frequency,accuracy,and accessibility of public health communications to diverse populations via various media to support programs and services.Use BARS expenditure codes:562.13 9. Lifecourse-NEW SFY 24 Illicit Substance Use and Overdose Response(FPHS definitions D.1-2,D.4,F.1-3,G.1-3,1.1-2,J.l-J.3,K.1-2) Capacity and infrastructure related to addressing overdose crisis.This includes but is not limited to:Overdose response trainings,convening stakeholders or coordination groups,data analysis,and community education.Use BARS expenditure codes: 562.13, 562.14,562.15,562.60,562.70,562.80 Exhibit A, Statement of Work Page 5 of 7 Contract Number CLH31013-Amendment 21 Page 19 of 55 10. EPR-NEW SFY 24 Emergency Preparedness& Response—Capacity and Capability(FPHS definitions H. 1-4) Capacity and infrastructure to support and enhance the local delivery of FPHS Emergency Preparedness and Response services and activities across critical subject matter areas. Use BARS expenditure codes: 562.12 Targeted Investments to Select LHJs—Assuring FPHS Available for/in Multiple Jurisdictions: 11. Assessment—Shared Regional Epidemiology—General(Assessment/Surveillance,CHA/CHIP)(FPHS definitions G.1,2) Increase assessment and epidemiology capacity via regional/shared epidemiologist model to meet locally identified needs. Use BARS expenditure codes: 562.10 or II Targeted Investments to Select LHJs—Assuring FPHS Available in Own Jurisdiction 12. EPH -NEW SFY 24 Social Work Support(FPHS definitions B.1-3,B.6-7,D.1,D.2,D.4. E.2,E.4,F.2-3,J.1-2,K.1-2,L.3,L.5) This investment is intended to support non-traditional responses to environmental health complaints and challenges in the context of social work support and care coordination with social service providers.Activities include: assessment of complaints and challenges; identifying cases and circumstances for engaging in social work support and care coordination;and engagement with social service providers. Funds may be used to support these activities,as well as related staffing and training expenses. Use BARS expenditure codes:562.14,562.15, 562.40,562.47,562.48 EPH--Core Teams(Applies to all EPH Core Team FPHS Investments)(FPHS definition B.1-7) Each EPH Core Team investment is for LHJ staff to participate in a cross jurisdictional topic-specific Core Team.The Core Teams are each tasked with developing one or more model program(s),intended to offer guidance for scalable environmental public health responses relating to their specific sub-topic area(s). Where it makes sense to do so,the Core Teams may also work on implementation of these model programs.The content and output of these model programs will vary depending on the needs and approaches specific to each sub-topic area. Recipients of these Core Team FPHS funds are required to participate in the associated Core Team for each investment. Recipients may spend these funds towards staffing time necessary to participate and on FPHS-qualifying activities for the specific sub-topic area(s)attached to its associated investment. Each Core Team FPHS investment is distinctive from all other Core Team FPHS investments. Core Teams exist outside the FPHS structure, in partnership between LHJs and WA DOH,with one co-lead from each. Model programs developed through Core Team work will be made available to all Washington public health agencies. There are currently six EPH Core Teams.They are listed below,with their sub-topic area(s),as applicable. • System-Wide Data Management Improvement • Climate-Change Response • Lead Exposure • Water System Capacity • Homelessness Response • Safe&Healthy Communities Jefferson is receiving funds to participate in these EPH Core Teams: EPH--Core Teams(Applies to all EPH Core Team FPHS Investments)(FPHS definition B.1-7) Each EPH Core Team investment is for LHJ staff to participate in a cross jurisdictional topic-specific Core Team.The Core Teams are each tasked with developing one or more model program(s), intended to offer guidance for scalable environmental public health responses relating to their specific sub-topic area(s). Where it makes sense to Exhibit A,Statement of Work Page 6 of 7 Contract Number CLH31013-Amendment 21 Page 20 of 55 do so,the Core Teams may also work on implementation of these model programs.The content and output of these model programs will vary depending on the needs and approaches specific to each sub-topic area. Recipients of these Core Team FPHS funds are required to participate in the associated Core Team for each investment. Recipients may spend these funds towards staffing time necessary to participate and on FPHS-qualifying activities for the specific sub-topic area(s)attached to its associated investment. Each Core Team FPHS investment is distinctive from all other Core Team FPHS investments. Core Teams exist outside the FPHS structure, in partnership between LHJs and WA DOH,with one co-lead from each. Model programs developed through Core Team work will be made available to all Washington public health agencies. There are currently six EPH Core Teams.They are listed below,with their sub-topic area(s),as applicable. • System-Wide Data Management Improvement • Climate-Change Response • Lead Exposure • Water System Capacity • Homelessness Response • Safe& Healthy Communities Jefferson is receiving funds to participate in these EPH Core Teams: 13. EPH Core Team—Safe& Healthy Communities This Core Team develops system capacity to advance EPH perspectives into planning processes such as State Environmental Policy Act(SEPA)work,Health Impact Assessments,Comprehensive Plans,and related environmental review opportunities.The Core Team will develop one or more model program(s)to provide scalable approaches to healthy community planning,which may include wastewater planning and treatment,seawater intrusion in drinking water,ventilation in public buildings, PFAS contamination,climate change challenges,and other emerging topics identified by the Core Team. • Use BARS expenditure code:562.40 14. EPH Core Team—Climate-Change Response This Core Team will address environmental health concerns related to climate and the effects of climate change. • Model program development will start with Wildfire Smoke and Harmful Algal Blooms,and may include other priorities and topics. 15. EPH Core Team—Water System Capacity The goal of this Core Team is to increase LHJ capacity for water resource management and planning. • Use BARS expenditure code: 562.43 or 53. 16. EPH Core Team—System-Wide Data Management Improvement This Core Team will identify and employ a strategy for data sharing,storage and consistency across the state. • Use BARS expenditure code: 562.40. 17. EPH Core Team—Homelessness Response This Core Team will develop one or more model program(s)for a scalable response to homelessness-related public health concerns. • Use BARS expenditure code: 562.40 Exhibit A.Statement of Work Page 7 of 7 Contract Number CLH31013-Amendment 21 Page 21 of 55 Exhibit A Statement of Work Contract Term: 2022-2024 DOH Program Name or Title: Maternal and Child Health Block Grant- Local Health Jurisdiction Name: Jefferson County Public Health Effective January 1,2022 Contract Number: CLH31013 SOW Type: Revision Revision#(for this SOW) 3 Funding Source Federal Compliance Type of Payment ® Federal Subrecipient (check if applicable) ®Reimbursement Period of Performance: January 1,2022 through December 31,2024 El State El FFATA(Transparency Act) D Fixed Price ❑Other ❑ Research&Development Statement of Work Purpose: The purpose of this statement of work(SOW)is to support local interventions that impact the target population of the Maternal and Child Health Block Grant. Revision Purpose: The purpose of this revision is to provide additional funding,add activities and deliverable due dates,and extend the period of performance and funding period from September 30,2024 to December 31,2024,for continuation of MCHBG related activities,and update Program Specific Requirements. NOTE: The FFY25 funding allocation in this SOW is for the period of October 1,2024 through December 31,2024. Deliverables with due dates after December 31,2024 are shown for informational purposes only.A new SOW will begin in the next consolidated contract term on January 1,2025 for continuation of this project through September 30,2025.Any funds unspent from October 1,2024 through December 31,2024 will be added to the new SOW in an amendment in Spring 2025. Master Assistance BARS Allocation LHJ Funding Period Change Index Listing Revenue Current g Total DOH Chart of Accounts Master Index Title Code Number Code Start Date End Date Allocation Increase(+) Allocation FFY22 MCHBG LHJ CONTRACTS 78101221 93.994 333.93.99 01/01/22 09/30/22 27,525 0 27,525 FFY23 HRSA MCHBG LHJ CONTRACTS 78101231 93.994 333.93.99 10/01/22 09/30/23 19,866 0 19,866 FFY22 HRSA MCHBG SPECIAL PROJECTS 7811022A 93.994 333.93.99 10/01/22 09/30/23 16,834 0 16,834 FFY24 HRSA MCHBG LHJ CONTRACTS 78101241 93.994 333.93.99 10/01/23 09/30/24 36.700 0 36,700 FFY25 HRSA MCHBG LHJ CONTRACTS 78101251 93.994 333.93.99 10/01/24 12/31/24 0 9,175 9,175 0 0 0 TOTALS 100,925 9,175 110,100 Task I Due Date/ Payment Information # Activity Deliverables/Outcomes I Time Frame and/or Amount Maternal and Child Health Block Grant(MCHBG)Administration la Report actual expenditures for the six-month period Submit actual expenditures using the MCHBG May 27,2022 Reimbursement for actual October I,2021 through March 31,2022 Budget Workbook to DOH contract manager costs,not to exceed total lb Develop 2022-2023 MCHBG Budget Workbook for Submit MCHBG Budget Workbook to DOH September 9,2022 funding consideration. October 1,2022 through September 30,2023 using DOH contract manager Monthly Reports must only provided template. reflect activities paid for with Exhibit A,Statement of Work Page 1 of 7 Contract Number CLH31013-Amendment 21 Page 22 of 55 Task Activity Deliverables/Outcomes I Due Date/ Payment Information # I Time Frame and/or Amount '1c Participate in DOH sponsored MCHBG fall regional Designated LHJ staff will attend regional September 30,2023 funds provided in this meeting. meeting. statement of work for the Id Report actual expenditures for October I,2021 through Submit actual expenditures using the MCHBG December 2,2022 specified funding period. September 30,2022. Budget Workbook to DOH contract manager. See Program Specific 1e Develop 2022-2023 MCHBG Budget Workbook for Submit MCHBG Budget Workbook to DOH September 9,2022 Requirements and Special October 1,2022 through September 30,2023 using DOH contract manager. Billing Requirements. provided template. I f Report actual expenditures for the six-month period from Submit actual expenditures using the MCHBG May 19,2023 October I,2022 through March 31,2023. Budget Workbook to DOH contract manager. 1g Report actual expenditures for October 1,2022 through Submit actual expenditures using the MCHBG I December I.2023 September 30,2023. Budget Workbook to DOH contract manager. lh Develop 2023-2024 MCHBG Budget Workbook for Submit MCHBG Budget Workbook to DOH September 8,2023 October 1,2023 through September 30,2024 using DOH contract manager. provided template. I i Report actual expenditures for the six-month period from Submit actual expenditures using the MCHBG May 17,2024 October 1,2023 through March 31,2024. Budget Workbook to DOH contract manager. 1 li Report actual expenditures for October 1. 2023 through Submit actual expenditures using the .11CI-IBG December 6, 202-1 September 30, 2024. Budget Workbook to DOH contract manager. I A Report actual expenditures for the six-month period from Submit actual expenditures using the .11Cl/BG Ala} /6. 2025 October 1. 2024 through March 31, 2025. Budget Workbook to DO1I contract manager. II Develop 2025-2026 AICHBG Budget ll'orkbook,/or Submit.1.ICHBG Budget Workbook to DOH .September 5. 2025 October 1. 2025 through September 30. 2026 using DOH contract manager. provided template. I nt Participate in DOII sponsored,11(71BGJizll regional Lf11 Contract lead or designee will attend September 30. 2025 meeting. regional meeting. Implementation 2a Report activities and outcomes of 2022 MCHBG Action Submit quarterly Action Plan reports to DOH January 15,2022 Reimbursement for actual Plan using DOH-provided template. Contract manager. April 15,2022 costs,not to exceed total July 15,2022 funding consideration. 2b Develop 2022-2023 MCHBG Action Plan for October 1, Submit MCHBG Action Plan to DOH Draft August 19,2022 Monthly Reports must only 2022 through September 30,2023 using DOH-provided contract manager. Final-September 9,2022 reflect activities paid for with template. funds provided in this 2c Report activities and outcomes of 2023 MCHBG Action Submit monthly Action Plan reports to DOH ; July-Sept 2022 quarterly statement of work for the Plan using DOH-provided template. Contract manager. report due October 15, specified funding period. 2022 November 15,2022 Exhibit A,Statement of Work Page 2 of 7 Contract Number CLH31013-Amendment 21 Page 23 of 55 Task ' Due Date/ Payment Information # - Activity Deliverables/Outcomes ---1 Time Frame and/or Amount I December 15,2022 See Program Specific January 15,2023 Requirements and Special February 15,2023 Billing Requirements. March 15,2023 April 15,2023 May 15,2023 June 15,2023 July 15,2023 August 15,2023 September 15,2023 2d Develop 2023-2024 MCHBG Action Plan for October 1, Submit MCHBG Action Plan to DOH Draft-August 18,2023 2023 through September 30,2024 using DOH-provided contract manager. Final-September 8,2023 template. 2e Report activities and outcomes of 2023-24 MCHBG- Submit monthly reports to DOH contract September report due funded work using DOH-provided reporting template. manager. October 15,2023 November 15,2023 December 15,2023 January 15,2024 February 15,2024 March 15,2024 April 15,2024 May 15,2024 June 15,2024 July 15,2024 August 15,2024 I September 15,2024 2f Develop 2024-2025 MCHBG reporting document for Submit MCHBG reporting document to DOH Draft-August 16,2024 October 1,2024 through September 30,2025 using DOH- contract manager. Final-September 6,2024 provided template. 2g Support statewide roll-out of Universal Developmental Submit updates as part of monthly reporting September 30,2024 Screening Strong Start system as requested by DOH. document as requested by DOH. 2h Determine how processes and programs can become more Describe in your activities within each November 15,2023 equitable,as a foundation of your MCHBG work. Domain of the monthly report how you are December 15,2023 intentionally focused on equity in your work. January 15,2024 February 15,2024 March 15,2024 April 15,2024 May 15,2024 June 15,2024 July 15,2024 August 15,2024 Exhibit A,Statement of Work Page 3 of 7 Contract Number CLH31013-Amendment 21 Page 24 of 55 Task Activity Deliverables/Outcomes Due Date/ Payment Information Time Frame and/or Amount September 15,2024 7' Report activities and outcomes of 2024-25 MCHBG- Submit monthly,reports to DOH contract September report due funded work using DOH-provided reporting template. manager. October/5, 2024 November 15, 2024 December 15. 2024 January 15, 2025 February 15. 2025 March 15. 2025 April 15, 2025 May 15, 2025 June 15. 2025 July 15. 2025 August 15. 2025 September 15. 2025 2j Develop 2025-26 AlClIBG reporting document for Submit AICHBG reporting document to DOH Draft—August 15, 2025 October 1, 2025 through September 30. 2026 using DOH- contract manager. Final—September 12. provided template. 2025 2k Determine how processes and programs can become more Describe in your updates within each activity September report due equitable. as a foundation oj'your 41CHBG work. of the monthly report how you are October 15, 2024 intentionally focused on equity in your work. November 15, 2024 December 15, 2024 January 15. 2025 February 15, 2025 Alarch 15, 2025 April 15. 2025 May 15, 2025 June 15, 2025 July 15. 2025 August 15. 2025 September 15. 2025 Children and Youth with Special Health Care Needs(CYSHCN) 3a Complete Child Health Intake Form(CHIF)using the Submit CHIF data into Secure Access January 15,2022 Reimbursement for actual CHIF Automated System on all infants and children Washington website: April 15,2022 costs,not to exceed total served by the CYSHCN Program as referenced in https://secureaccess.wa.gov July 15,2022 funding consideration. CYSHCN Program guidance. Monthly Reports must only 3b Identify unmet needs for CYSHCN on Medicaid and refer Submit completed Health Services 30 days after forms are reflect activities paid for with to DOH CYSHCN Program for approval to access Authorization forms and Central Treatment completed. funds provided in this Diagnostic and Treatment funds to meet the need. Exhibit A. Statement of Work Page 4 of 7 Contract Number CLH31013-Amendment 21 Page 25 of 55 Task Activity Deliverables/Outcomes Due Date/ Payment Information # Time Frame and/or Amount Fund requests directly to the CYSHCN statement of work for the Program as needed. specified funding period. 3c Work with partners to share updated local CYSHCN Review resources for your local area on September 30,2022 See Program Specific resources with Within Reach/Help Me Grow(HMG). ParentHelp 123.org annually for accuracy and Requirements and Special submit any updates to Within Reach. Billing Requirements. 3d Complete intake and renewal,per reporting guidance Submit data to DOH per CYSHCN Program October 15,2022 supplied by DOH,on all infants and children served by the guidance. January 15,2023 CYSHCN Program as referenced in CYSHCN Program April 15,2023 guidance. July 15,2023 3e Identify unmet needs for CYSHCN on Medicaid and refer Submit completed Health Services 30 days after forms are to DOH CYSHCN Program for approval to access Authorization forms and Central Treatment completed. Diagnostic and Treatment funds as needed. Fund requests directly to the CYSHCN Program as needed. 3f Work with partners to share updated local CYSHCN Review resources for your local area on September 30,2023 resources with Within Reach/Help Me Grow(HMG). ParentHelp123.org annually for accuracy and submit any updates to Within Reach. 3g Complete intake and renewal,per reporting guidance Submit data to DOH per CYSHCN Program October 15,2023 supplied by DOH,on all infants and children served by the guidance. January 15,2024 CYSHCN Program as referenced in CYSHCN Program April 15,2024 guidance. July 15,2024 3h Identify unmet needs for CYSHCN on Medicaid and refer Submit completed Health Services 30 days after forms are to DOH CYSHCN Program for approval to access Authorization forms and Central Treatment. completed. Diagnostic and Treatment funds as needed. 3i Review your program's entry on ParentHelp 123.org Document in the Administrative box on your September 30,2024 annually for accuracy. MCHBG report that you have updated information on your local CYSHCN program with Within Reach/Help Me Grow. 3i (-unr/,let,'intake and renewal. per reporting guidance Submit data to DO11 per C)•SHCV Program October 15. 2024 supplied by DOII, on all infants and children served by guidance. January 15. 2025 the CYSTIC\ Program as referenced in CYSIIC.V April 15. 2025 Program guidance. if no CYSHCN care coordination .i tly 15. 2(125 (enabling service) is provided in a given quarter. email the CHIF administrator at DOH-C'll//•a:doh.era.goy and indicate that'Zero clients were served during the quarter. .\n.spreadsheet is necessary w hen;ere clients ore served. 3k Identif}'unmet needs fgt.('Y.SIIC;V on.l fedicaid and refer Submit completed Health Services 30 days after forms are to DOH CVSHC.V Program for approval to access Authorization forms and Central 7reat,nent completed. Diagnostic and Treatment funds as needed Fund requests directly to the C YSIIC.V Program as needed. Exhibit A, Statement of Work Page 5 of 7 Contract Number CLH31013-Amendment 21 Page 26 of 55 Task Activity Deliverables/Outcomes Due Date/ Payment Information Time Frame and/or Amount 31 Review your program's entry on ParentHelp123.org Document in the Administrative box on your September 30. 2025 annually for accuracy. ;t9CHBG report that you have updated information on your local CI'S/kW program with O'ithinReach Help Ate Grow. 3m Support improvements to the local system of care(public Submit updates as port of monthly reporting September report due health services and systems.-policy-. systems, and document. October 15. 2024 environment)for C}'SHC'N. Refer to the Focus of Work document for example activities and priority areas. November /5, 2024 December 15. 2024 January 15. 2025 February 15. 2025 March 15, 2025 April 15. 2025 May 15, 2025 .June 15, 2025 July /5. 2025 August 15. 2025 September 15. 2025 MCHBG Assessment and Evaluation 4a As part of the 5-year MCHBG Needs Assessment, Submit documentation using guidance September 30,2024 Reimbursement for actual participate in activities developed and coordinated by provided by DOH. costs,not to exceed total DOH,as requested. funding consideration. 4b Provide summary of outcomes of AIC11BGi funded work Submit documentation as requested by DOH. December 31, 2024 Monthly Reports must only completed from October 1. 2023 through September 30, reflect activities paid for with 2024 using DOH-provided reporting template. funds provided in this 4c As part of the ongoing 5-year MCHBG Needs Assessment Submit documentation as requested by DOiI. September 30. 2025 statement of work for the participate in activities developed and coordinated by specified funding period. DOH using DOH-provided reporting template. See Program Specific Requirements and Special Billing Requirements. DOH Program and Fiscal Contact Information for all ConCon SOWs can be found on the DOH...FinanceSharePoim site.Questions related to this SOW,or any other finance-related inquiry,may be sent to finance o doh.wa.gov. Federal Funding Accountability and Transparency Act(FFATA)(Applies to federal subrecipient funding.) 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 Unique Entity Identifier(UEI)generated by SAM.gov. Exhibit A,Statement of Work Page 6 of 7 Contract Number CLH31013-Amendment 21 Page 27 of 55 Information about the LHJ and this statement of work will be made available on USASpendin ov by DOH as required by P.L. 109-282. Program Specific Requirements All training costs and all travel expenses for such training(for example:per diem,hotel,registration fees)must be pre-approved,unless identified in pre-approved Budget Workbook. Submit a paragraph to your Community Consultant(contract manager)explaining why the training is necessary to implement a strategy in the approved work plan. Details should also include total cost of the training and a link to or brochure of the training.Retain a copy of the Community Consultant's approval in your records. Program Manual,Handbook,Policy References: Children and Youth with Special Health Care Needs Manual - Children and Youth with Special Health Care Needs Manual (wa.=ov) Health Services Authorization(HSA)Form http://www.doh.wa.gov/Portals/l/Documents/Pubs/910-002-ApprovedH SA.docx Restrictions on Funds: 1. At least 30%of federal Title V funds must be used for preventive and primary care services for children and at least 30%must be used for services for children with special health care needs. [Social Security Law,Sec.505(a)(3)]. 2. Funds may not be used for: a. Inpatient services,other than inpatient services for children with special health care needs or high-risk pregnant women and infants,and other patient services approved by Health Resources and Services Administration(HRSA). b. Cash payments to intended recipients of health services. c. The purchase or improvement of land,the purchase,construction,or permanent improvement of any building or other facility,or the purchase of major medical equipment. d. Meeting other federal matching funds requirements. e. Providing funds for research or training to any entity other than a public or nonprofit private entity. f. Payment for any services furnished by a provider or entity who has been excluded under Title XVIII(Medicare),Title XIX(Medicaid),or Title XX(social services block grant).[Social Security Law,Sec 504(b)]. 3. If any charges are imposed for the provision of health services using Title V(MCH Block Grant)funds,such charges will be pursuant to a public schedule of charges;will not be imposed with respect to services provided to low-income mothers or children;and will be adjusted to reflect the income,resources,and family size of the individual provided the services. [Social Security Law, Sec.505(I)(D)]. Monitoring Visits:Telephone calls with DOH contract manager as needed. Billing Requirements: Payment is contingent upon DOH receipt and approval of all deliverables and an acceptable A 19-1A invoice voucher. Payment to completely expend the "Total Consideration"for a specific funding period will not be processed until all deliverables are accepted and approved by DOH. Invoices must be submitted monthly by the 30th of each month following the month in which the expenditures were incurred and must be based on actual allowable program costs. Billing for services on a monthly fraction of the"Total Consideration"will not be accepted or approved. Special Instructions: Contact DOH contract manager for approval of expenses not reflected in approved budget workbook. Exhibit A, Statement of Work Page 7 of 7 Contract Number CLH31013-Amendment 21 Page 28 of 55 Exhibit A Statement of Work Contract Term: 2022-2024 DOH Program Name or Title: Office of Immunization COVID-19 Vaccine- Local Health Jurisdiction Name: Jefferson County Public Health Effective July I,2024 Contract Number: CLH31013 SOW Type: Original Revision#(for this SOW) Funding Source Federal Compliance Type of Payment ® Federal Subrecipient (check if applicable) ® Reimbursement Period of Performance: July 1,2024 through December 31. 2024 CI state ® FFATA(Transparency Act) Fixed Price ❑ Other ❑ Research&Development Statement of Work Purpose: The purpose of this statement of work(SOW)is to provide funding to conduct COVID-19 vaccine activities. Revision Purpose: N/A Master Assistance BARS Allocation Index Listing Revenue LHJ Funding Period Current Change Total DOH Chart of Accounts Master Index Title Code Number Code Start Date End Date Allocation Increase(+) I Allocation COVID 19 VACCINES R4 74310259 93.268 333.93.26 07/01/24 I2/31/24 0 10,966 10,966 01 0 0 0 0 ! 0 0 0 0 0 0j 0 01 0 ' 0 TOTALS 0 10,966 10,966 Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information # - and/or Amount The purpose of this statement of work is to identify activities and provide funding to support COVID vaccine response outreach,education,and operations. The activities may include other vaccines recommended for the audience population,as long as COVID vaccine is the primary focus and references to other vaccines are secondary. 3.A Identify activity/activities to support COVID vaccine response Summary of the engagement strategies to September 30,2024 Reimbursement for actual in your community,using the examples below as a guideline. be used with health care providers and costs incurred,not to other partners,and the locally identified exceed total funding Example 1: Develop and implement communication strategies population to be reached. consideration amount. with health care providers,community,and/or other partners to help build vaccine confidence broadly and among groups Within the first 90 days of the contract, anticipated to receive early vaccination,as well as dispel provide a budget for FY25 funding vaccine misinformation.Document and provide a plan that showing full expenditure of funds based shows the communication strategies used with health care on engagement strategies. providers and other partners and the locally identified population anticipated to reach. Exhibit A,Statement of Work Page 1 of 3 Contract Number CLH31013-Amendment 21 Page 29 of 55 Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount Example 2: Engage in other vaccination planning activities such as partnership development,provider education, vaccination point of dispensing(POD)planning,tabletop exercises,engagement with communities,leaders,non- traditional provider,or vulnerable populations to develop strategies to ensure equitable access to vaccination services 3.B Implement the communication strategies or other activities, Written report describing November I,2024 Reimbursement for actual working with health care providers and other partners to reach activity/activities and progress made to- costs incurred,not to the locally identified population,support providers in date and strategies used(template to be exceed total funding vaccination plans,and support equitable access to vaccination provided) consideration amount. services. Forecast of expected spend down of remaining funds through remainder of contract(if extended past December 31, 2024)in DOH template provided). 3.0 Catalog activities and conduct an evaluation of the strategies Written report,showing the strategies used December 31,2024 Reimbursement for actual used and the final progress of the reach costs incurred,not to (template to be provided) exceed total funding consideration amount. 3.D As needed to meet community needs,expand operations to Reports summarizing quantity,type,and December 31,2024 Reimbursement for actual increase vaccine throughput(i.e.,providing vaccinations during frequency of activities costs incurred,not to evenings,overnight,and on weekends)or adjust vaccine exceed total funding delivery approaches to optimize access. Activities may include consideration amount. vaccine strike teams,mobile vaccine clinics,satellite clinics, temporary,or off-site clinics to travel and provide vaccination services in non-traditional settings,or to supplement the work of local health departments in underserved communities,and may include administration costs for other vaccines co- administered at the events.These activities may be done by the local health department or in collaboration with community partners.(see Restrictions on Funds below) DOH Program and Fiscal Contact Information for all ConCon SOWs can be found on the DOH Finance SharePoint site.Questions related to this SOW,or any other finance-related inquiry,may be sent to finance@doh.wa.gov. 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 Unique Entity Identifier(UEI)generated by SAM.gov. 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. Exhibit A, Statement of Work Page 2 of 3 Contract Number CLH31013-Amendment 21 Page 30 of 55 Program Specific Requirements Restrictions on Funds(i.e.,disallowed expenses or activities,indirect costs,etc.): Coverage of co-administration costs for other vaccines administered at vaccination events does NOT apply to the FEMA Mass Vaccination funding. Coverage of co- administration costs only applies to the vaccine funding(COV ID19 Vaccine R4,MI 74310230)allocated for Task 3 of the consolidated contract. FEMA Mass Vaccination funding is only available to cover the costs for COVID vaccine administration and cannot be used for co-administration costs of other vaccines. Unallowable Costs: There are limitations from the funding source on allowable costs for this contract. If the contractor is unsure if a cost is allowable,they should contact the contract manager for approval of the cost prior to making the purchase or charge. • Advertising costs(e.g.,conventions,displays,exhibits, meetings,memorabilia,gifts,souvenirs) • Alcoholic beverages • Building,purchases,construction,capital improvements • Clinical care(non-immunization services) • Entertainment costs • Fundraising Cost • Goods and services for personal use • Honoraria • Independent Research • Land acquisition • Legislative/lobbying activities • Interest on loans for the acquisition and/or modernization of an existing building • Payment of a bad debt,collection of improper payments • Promotional and/or incentive materials(e.g.plaques,clothing,and commemorative items such as pens,mugs/cups, folders/folios, lanyards,magnets,conference bags) • Purchase of food/meals(unless part of required travel per diem costs) • Vehicle Purchase • Vaccine Purchase Exhibit A.Statement of Work Page 3 of 3 Contract Number CLH31013-Amendment 21 Page 31 of 55 Exhibit A Statement of Work Contract Term: 2022-2024 DOH Program Name or Title: Office of Immunization-Promotion of Immunizations to Local Health Jurisdiction Name: Jefferson County Public Health Improve Vaccination Rates - Effective July I.2024 Contract Number: CLH3 1013 SOW Type: Original Revision#(for this SOW) Funding Source Federal Compliance Type of Payment ® Federal Subrecipient (check if applicable) ®Reimbursement Period of Performance: July I,2024 through December 31,2024 ❑ State ® FFATA(Transparency Act) ❑ Fixed Price ❑Other ❑Research &Development Statement of Work Purpose: The purpose of this statement of work is to contract with local health to conduct activities to improve immunization coverage rates. NOTE: Deliverables with due dates after December 31,2024,are shown for informational purposes only and will be included in a new SOW in the next Consolidated Contract term starting January 1,2025. Revision Purpose: N/A l Master Assistance BARS AllocationLHJ Funding Period Change Index Listing Revenue Current g Total DOH Chart of Accounts Master Index Title Code Number Code Start Date End Date Allocation Increase(+) Allocation FFY25 CDC VFC Ops 74310251 93.268 333.93.26 07/01/24 12/31/24 0 5,600 5,600 0 0 0 0 0 0 0 0 0 _ 0 0 0 0 0 0 TOTALS 0 5,600 i 5,600 Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount Develop a proposal to improve immunization coverage rates for Written proposal summarizing project plan September 15,2024 Reimbursement for actual a target population by increasing promotion activities and and method of assessing/observing change costs incurred,not to collaborating with community partners(can use pre and post in target population. exceed total funding qualitative or quantitative collection methods consideration amount. Examples of qualitative&quantitative methods/measures: (Template will be provided) • Surveys,Questionnaires, Interviews • Immunization coverage rates expressed in percentages • Observations(i.e.,feedback from surveys/interviews, social media posts comments) • Analytic tools(i.e.,google analytics measuring website traffic,page views etc.) Exhibit A,Statement of Work Page 1 of 3 Contract Number CLH31013-Amendment 21 Page 32 of 55 Task Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount 2 Within the first 90 days of the contract provide a budget for Sumit completed Budget Template September 30,2024 FY25 funding. provided by Department of Health 3 Upon approval of proposal,implement the plan to increase Written report describing the progress Reimbursement for actual immunization coverage rates with the target population made on reaching milestones for activities January 15,2025 costs incurred,not to identified. identified in the plan(template will be exceed total funding provided) consideration amount. 4 Within 6 months of the start of the contract provide a Budget Submission of Budget Forecast form January 15,2025 Forecast. provided by Department of Health stating spend down of remain funds. 5 Develop final report to include comparison of change or Final written report including measured Reimbursement for actual improvement of targeted outcome from start of the and/or observed outcomes[what was June 16,2025 costs incurred,not to project/intervention [This can be short-term or intermediate achieved as a result of the exceed total funding outcomes with overall goal to increase immunization rates] activity/intervention?]. consideration amount. Examples: • Increased partner knowledge on immunization (Template will be provided) guidelines • Change in attitudes about childhood vaccines • Increase in school district immunization coverage rates DOH Program and Fiscal Contact Information for all ConCon SOWs can be found on the DOH._Finance SharePoint site.Questions related to this SOW,or any other finance-related inquiry,may be sent to finance@doh.wa.gov. Federal Funding Accountability and Transparency Act(FFATA)(Applies to federal grant awards.) 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 Unique Entity Identifier(UEI)generated by SAM.gov. Information about the LHJ and this statement of work will be made available on USASpending_,ov by DOH as required by P.L. 109-282. Program Specific Requirements Unallowable Costs: There are limitations from the funding source on allowable costs for this contract. If the contractor is unsure if a cost is allowable,they should contact the contract manager for approval of the cost prior to making the purchase or charge. • Advertising costs(e.g.,conventions,displays,exhibits, meetings,memorabilia,gifts,souvenirs) • Alcoholic beverages • Building,purchases,construction,capital improvements • Clinical care(non-immunization services) • Entertainment costs Exhibit A,Statement of Work Page 2 of 3 Contract Number CLH31013-Amendment 21 Page 33 of 55 • Fundraising Cost • Goods and services for personal use • Honoraria • Independent Research • Land acquisition • Legislative/lobbying activities • Interest on loans for the acquisition and/or modernization of an existing building • Payment of a bad debt,collection of improper payments • Promotional and/or incentive materials(e.g.,plaques,clothing,and commemorative items such as pens,mugs/cups,folders/folios, lanyards,magnets,conference bags) • Purchase of food/meals(unless part of required travel per diem costs) • Vehicle Purchase Exhibit A, Statement of Work Page 3 of 3 Contract Number CLH31013-Amendment 21 Page 34 of 55 Exhibit A Statement of Work Contract Term: 2022-2024 DOH Program Name or Title: Office of Resiliency&Health Security-PHEP- Local Health Jurisdiction Name: Jefferson County Public Health Effective July 1,2024 Contract Number: CLH3I013 SOW Type: Original Revision#(for this SOW) Funding Source Federal Compliance Type of Payment ® Federal Subrecipient (check if applicable) ® Reimbursement Period of Performance: July I,2024 through December 31,2024 ❑ State ® FFATA(Transparency Act) ❑ Fixed Price ❑ Other ❑ Research&Development Statement of Work Purpose: The purpose of this statement of work is to establish funding and tasks for LHJs to strengthen their capacity and capability around the Public Health Response Readiness Framework(CDC)to prepare for,respond to,and recover from public health threats and emergencies through a continuous cycle of planning, organizing,training,equipping,exercising,evaluating,and implementing corrective actions as described in the Public Health Emergency Preparedness(PHEP)Cooperative Agreement. Many LHJs support a position responsible for public health emergency preparedness and response. LHJs use different titles for these positions. DOH wants to be respectful of this diversity and refers to the people who fill these important roles as Public Health Emergency Response Coordinators(PHERCs). Note:The current Consolidated Contract ends December 31,2024.Once a new contract is in place,the program plans to submit a new statement of work for January I - June 30, 2025. Deliverable due dates after December 31,2024 are referenced in this statement of work for informational purposes only and will be updated in the January-June 2025 statement of work. This statement of work(ending 12/31/24)includes 60%of the total allocation of these funds.The January -June 2025 statement of work will reflect the remaining 40%.Once all invoices have been submitted and balances are reconciled for this statement of work(ending 12/31/24),any remaining funds will be added to a revised January-June 2025 statement of work. Guidance Documents-LHJs are strongly encouraged to use the Guidance Documents listed in the Program Specific Requirements in the bottom section of this Statement of Work. Revision Purpose: NA Master Assistance BARS Allocation LHJ Funding Period Change Index Listing Revenue Current g Total DOH Chart of Accounts Master Index Title Code Number Code Start Date End Date Allocation Increase(+) Allocation FFY24 PHEP BPI -CDC-LHJ PARTNERS 31602241 93.069 333.93.06 07/01/24 12/31/24 0 20,630 20,630 0 0 0 0 0 0 0 0 0 0 ' 0 0 __ 0 0 0 TOTALS 0 20,630 , 20,630 Exhibit A,Statement of Work Page 1 of 8 Contract Number CLH31013-Amendment 21 Page 35 of 55 Task# Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount Submit names, position titles,email addresses,and Submit information by September 1,2024 Reimbursement for Contact Information phone numbers of key LHJ staff responsible for September 1,2024,and any actual costs not to this statement of work,including management, changes within 30 days of the Within 30 days of the exceed total funding Framework 2—Enhance Emergency Response Coordinator(s),and change. change. consideration amount. Partnerships accounting and/or financial staff. Mid-and end-of-year reports on December 31,2024 template provided by DOH.Note June 30,2025 any changes or no changes. 2 Submit LHJ Performance Measure Data as LI IJ Performance Measure Data June 30,2025 LHJ Performance Measures requested on the form provided by DOH. on the form provided by DOH. Framework 6—Modernize data collection and systems 3 Submit additional information as requested by Information requested by DOH. As requested by DOH. Additional Information DOH to comply with federal grant requirements. Required by CDC Complete reporting templates as requested by Framework 4—Improve DOH to comply with program and federal grant administrative and budget requirements, including the mid-year and end-of- preparedness systems year reports. 4 Complete the public health disaster risk Public Health Disaster Risk June 30,2025 Risk Assessment assessment developed by the University of Assessment Washington(UW)(available early February 2025) Framework I —Develop reflecting the needs of the whole LHJ. threat-specific approach DOH and/or UW will provide the tool and Framework 3—Expand technical assistance. local support Framework 8—Incorporate health equity practices 5 Complete multiyear integrated preparedness plan Multiyear integrated preparedness June 30,2025 Planning using lessons learned from emergency responses, plan. with critical response and recovery partners. Framework 4—Improve administrative and budget Engage partners to incorporate health equity preparedness systems principles. Exhibit A.Statement of Work Page 2 of 8 Contract Number CLH31013-Amendment 21 Page 36 of 55 Task# Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount Framework 8—Incorporate Including(but not limited to): health equity practices • Administrative preparedness plans. • Recovery operations. • Incident response improvement plan data elements. 6 Review LHJ public health preparedness and Mid-and end-of-year reports on December 31,2024 Planning-IPPW response capabilities and identify gaps, priorities, template provided by DOH. June 30,2025 and training needs. Framework 2—Enhance IPPW Workbook provided by Partnerships Complete the Integrated Preparedness Planning DOH. Workshop(IPPW) Workbook provided by DOH. Framework 5—Build Participation in IPPW. workforce capacity Participate in the DOH Integrated Preparedness Planning Workshop(IPPW).The Workshop is Framework 10—Prioritize planned for early 2025. community recovery efforts 7 Develop or update crisis and emergency risk Mid-and end-of-year reports on December 31,2024 Communication& Planning communication and information dissemination template provided by DOH. June 30,2025 plans. Framework 7—Strengthen risk communication activities 8 Complete training to ensure baseline competency Mid-and end-of-year reports on December 31,2024 Training and integration with preparedness requirements. templates provided by DOH, June 30,2025 including title,date(s),sponsor of Framework 5—Build Participate in at least one public health emergency the training or conference,and workforce capacity preparedness,response,or recovery training. summary of what you learned. Participation in a conference related to public health emergency preparedness,response,or recovery may be used to meet this requirement. Work with Public Health Emergency Response Coordinators(PHERCS)to review public health preparedness and response plans and identify gaps, priorities,and training needs. Exhibit A, Statement of Work Page 3 of 8 Contract Number CLH31013-Amendment 21 Page 37 of 55 Task# Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount Integrate administrative and budget preparedness recommendations into training. Recommended Training Public health preparedness and recovery staff, including exercise planning staff: • Incident Command System(ICS) 100: Introduction to ICS • ICS 700:An Introduction to the National Incident Management System(NIMS) • ICS 800:National Response Framework. An Introduction • IS-120.C:An Introduction to Exercise • 1S-2900.A:National Disaster Recovery Framework(NDRE)Overview • Homeland Security Exercise and Evaluation Program • Preparation for Resource Providers Health Department supervisory positions: • ICS 200:Basic ICS for Initial Response • Independent Study(IS)-2200: Basic Emergency Operations Center Functions Staff with designated response roles: • ICS 300:Intermediate ICS for Expanding Incidents • Crisis and Emergency Risk Communication (CERC) Senior staff who support the management of large/complex responses (incidents across multiple locations or over a large area): • ICS 400:Advanced ICS Notes: Prior approval from DOH is required for any out- of-state travel paid for with PREP funding. Exhibit A,Statement of Work Page 4 of 8 Contract Number CLH31013-Amendment 21 Page 38 of 55 Task# Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount Participation in an activation,exercise or real- world event may be considered additional training. but does not take the place of the requirement to participate in at least one training as described above. 9 Participate in at least one exercise by June 30, Mid-and end-of-year reports on December 31,2024 Exercising 2025. template provided by DOH. June 30,2025 • Include critical response and recovery Framework 2—Enhance partners. Improvement Plans available Partnerships • Engage partners to incorporate health equity upon request. principles. Framework 3—Expand • Integrate administrative and budget local support to improve jurisdictional readiness to preparedness recommendations. effectively manage public • Complete AAR/IP for the exercise by June health emergencies 30t,2025. Note: This may include developing and conducting exercises or participating in exercises developed and conducted by another organization,such as other LHJs. 10 Identify and implement communication Mid-and end-of-year reports on December 31,2024 Communication& monitoring media relations,and digital template provided by DOH. June 30,2025 Exercising communication strategies in exercises. Framework 7—Strengthen Include communications and/or Public Information risk communication Officer in exercises or real world event to identify activities and implement communication monitoring,media relations,and digital communication.This may include one or more exercises by June 30,2025. 11 Note:This activity applies to non-CRI LHJs only. Mid-and end-of-year reports on December 3I,2024 MCM—Non-CRI LHJs template provided by DOH. June 30,2025 Maintain ability to procure,store,manage,and Framework 1 —Develop distribute medical materiel. threat-specific approach Maintain ability to dispense and administer Framework 10—Prioritize medical countermeasures(MCM). community recovery efforts Exhibit A, Statement of Work Page 5 of 8 Contract Number CLH31013-Amendment 21 Page 39 of 55 Task# Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and;ur ttmuunt Attend an MCM quarterly meeting for the non- CRI LHJs. Continue to show capabilities by submitting updated MCM plans as needed. 12 Provide immediate notification to DOH Duty Mid-and end-of-year reports on December 31,2024 DOH Duty Officer Officer at 360-888-0838 or hanalert@doh.wa.gov doh.wa.gov template provided by DOH. June 30,2025 for all response incidents involving use of Framework 7—Strengthen emergency response plans and/or incident risk communications command structures. activities Produce and provide situation reports(sitreps) documenting LHJ activity during all incidents. Sitrep may be developed by the LHJ or another jurisdiction that includes input from LHJ. • 13 Maintain Washington Secure Electronic Mid-and end-of-year reports on December 31, 2024 WASECURES Communications,Urgent Response and Exchange template provided by DOH. June 30,2025 System(WASECURES)as the primary Framework 7—Strengthen notification system. risk communication activities Participate in DOH-led notification drills. Conduct at least one LHJ drill using the LHJ- preferred staff notification system. Notes: • Registered users must log in(or respond to an alert)quarterly at a minimum. • DOH will provide technical assistance to LHJs on using WASECURES. • LHJ may choose to use another notification system in addition to WASECURES to alert staff during incidents. 14 Identify and implement specific crisis and Mid-and end-of-year reports on December 31,2024 Communication & emergency risk communication activities that meet template provided by DOH. June 30,2025 Communities of Focus the diverse needs of local community based organizations that support people who may be Framework 10—Prioritize disproportionally impacted by the public health community recovery efforts impacts of a disaster. Exhibit A, Statement of Work Page 6 of 8 Contract Number CLH31013-Amendment 21 Page 40 of 55 Task# Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount DOH will work with LHJs to serve the needs of the socially vulnerable community members in their jurisdictions with a focus on public health equity. 15 During each reporting period(Jul—Dec and Jan- Mid-and end-of-year reports on December 31, 2024 Healthcare Coalition (HCC) Jun),participate in two or more of the following template provided by DOH. June 30,2025 Participation activities with the Northwest Healthcare Response Network(N WHRN)or the Healthcare Alliance Framework 3—Expand (HCA): local support • Meetings • Communication • Planning • Training • Exercises DOH Program and Fiscal Contact Information for all ConCon SOWs can be found on the DOH Finance SharePoint site.Questions related to this SOW,or any other finance-related inquiry,may be sent to finance@doh.wa.gov. doh.wa.gov. Federal Funding Accountability and Transparency Act(FFATA)(Applies to federal grant awards.) 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 Unique Entity Identifier(UEI)generated by SAM.gov. 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 Specific Requirements Special Requirements: Guidance Documents-LHJs are strongly encouraged to use the following documents to inform their implementation of activities in this statement of work: Washington State Doctrine for Enhancing Resiliency,Health Security, Response, and Recovery. DOH will provide a copy. Public Health Response Readiness Framework(CDC)--2024-2028 PHEP Program Priorities—Defines Excellence in Response Operations Implementing Public Health Response Readiness Framework I State and Local Readiness I CDC Public Health Emergency Preparedness and Response Capabilities: National Standards for State, Local, Tribal.and Territorial Public Health Public Health Emergency Preparedness and Response Capabilities I State and Local Readiness I CDC 2024 PHEP Cooperative Agreement Guidance Budget Period/ 2024-2028 PHEP Cooperative Agreement Guidance/Budget Period 1 I State and Local Readiness I CDC Exhibit A.Statement of Work Page 7 of 8 Contract Number CLH31013-Amendment 21 Page 41 of 55 Follow all Federal requirements for use of Federal funds: Code of Federal Regulations(CFR),Title 2,Subtitle A,Chapter II,Part 200 Uniform Administrative Requirements,Cost Principle,and Audit Requirements for Federal Awards CFR ::2 CFR Part 200—Uniform Administrative Requirements,Cost Principles,and Audit Requirements for Federal Awards The following expenses are not allowable with these funds: • Clothing(except for vests to be worn during exercises or responses). • Incentives. • Items to be given to community members(members of the public). • Salaries at a rate more than Executive Level II(Federal Pay Scale). • Vehicles(with preapproval,funds may be used to lease vehicles). Preapproval from DOH is required to use these funds for: • Contracting. • Purchasing food or beverages(unless employees are in travel status,then reimbursement of food and beverages is allowable). • Purchasing equipment(see definition of equipment in 2 CFR 200,link above). • Disposition of equipment with a current value of(see 2 CFR 200,link above). • Leasing vehicles. • Out of state travel. Note: Preapproval is no longer required for paying overtime. See also DOH A 19 Documentation Matrix for additional expenses that may require preapproval. Billing: All expenses on invoices must be related to statement of work tasks. Submit invoices monthly on a signed A 19 with backup documentation appropriate for risk level.DOH will provide A19 and risk level. • I f your invoice includes indirect costs,you must have an indirect rate cost agreement approved by DOH. • If you have no expenses related to this contract for a month,let your DOH Fiscal Contact know via email. • Submit final billing within 60 days of the end of the contract period. Exhibit A, Statement of Work Page 8 of 8 Contract Number CLH31013-Amendment 21 Page 42 of 55 Exhibit A Statement of Work Contract Term: 2022-2024 DOH Program Name or Title: Sexual& Reproductive Health Program- Local Health Jurisdiction Name: Jefferson County Public Health Effective January I,2022 Contract Number: CLH31013 SOW Type: Revision Revision#(for this SOW) 11 Funding Source Federal Compliance Type of Payment ® Federal Subrecipient (check if applicable) ® Reimbursement Period of Performance: January I,2022 through December 31,2024 ® State ® FFATA(Transparency Act) ❑ Fixed Price ❑Other ❑ Research&Development Statement of Work Purpose: The purpose of this statement of work(SOW)is to provide sexual and reproductive health services(SRH)to Washington State residents.These services will comply with all state,federal,and DOH SRHP Manual requirements. It highlights specific requirements,but all must be complied with. Budgets are based on an approved allocation formula with funds available. This Statement of Work spans Years 1-3 of the contract,which runs January 1,2022—March 31,2025. For state funding,due dates after December 31,2024 are for reporting only.LHJs may not bill state funds under this contract for work done after December 31.2024. For federal funding,due dates after December 31,2024 are for reporting only. LHJs may not bill federal funds under this contract for work done after December 31,2024. Revision Purpose: The purpose of this revision is to add$13,747 to FFY24 FPHPA Title X Family Plan Funds for the period of 04/01/2024- 12/31/2024. Master Assistance BARS 1 Allocation ' LHJ Funding Period Chan e Index Listing Revenue Current g Total DOH Chart of Accounts Master Index Title Code Number Code I Start Date End Date Allocation Increase(+) Allocation SFY22 Sexual&Rep Hlth Cost Share 78430120 N/A 334.04.91 i 01/01/22 06/30/22 44,100 0 44,100 FFY22 Title X Dire Needs 78430222 93.217 333.93.21 1 01/14/22 03/31/22 4,066 0 4,066 FFY22 Title X Family Planning 78430225 93.217 333.93.21 1 04/01/22 03/31/23 27,137 0 27,137 SFY23 Sexual&Rep Hlth Cost Share 78430130 N/A 334.04.91 07/01/22 06/30/23 80,009 0 80,009 FFY23 Title X Family Planning 78430241 93.217 333.93.21 04/01/23 03/31/24 30,822 0 i 30,822 SFY24 Sexual&Rep Hlth Cost Share 78430140 N/A 334.04.91 07/01/23 06/30/24 87,652 0 87,652 FFY24 FPHPA Title X Family Plan 78430240 93.217 333.93.21 04/01/24 12/31/24 17,733 13,747 31,480 SFY25 Sexual&Rep Hlth Cost Share 78430150 , N/A 334.04.91 07/01/24 12/31/24 48,323 0 48,323 0 01 0 1 01 0j 0 0 ; Oi 0 r-- TOTALS 339,842 13,747 1 353,589 Exhibit A,Statement of Work Page 1 of 7 Contract Number CLH31013-Amendment 21 Page 43 of 55 Task Activity Deliverables/Outcomes Due Date/Time Payment Information # Frame and/or Amount I. Sexual and Reproductive Health Program • A 19 invoice vouchers submitted in a timely manner No more than monthly Billing must be based (SRHP)&Title X(TX)Services—excluding accompanied by an R&E workbook showing revenue and no less than on a current cost abortion and other surgical procedures related to and expenses for the month billed and any other quarterly. analysis approved by SRH P. required back up documentation per DOH policy. DOH (see Reporting A. Comply with Washington State SRHP Manual, • All reports described in Reporting Requirements table As described in Requirements table). federal Title X requirements and all state and below. Reporting federal laws.Also see Program Manual, Requirements table DOH reserves the right Handbook,Policy References under Reporting • Other data and documentation in format requested by below. to withhold payment Requirements below. DOH.(Includes copies of program and financial until: audits and reviews including summaries conducted by As requested by DOH • Compliance issues B. Complete required Agency Information Request other entities.) or a previous including Title X Assurance of Compliance and invoice are National Provider Identifier(NPI)billing • To facilitate DOH/TX desk reviews—requested resolved in a way numbers. documentation available to DOH in requested format. accepted by DOH • Current data is C. Provide medical services,community education • To facilitate DOH/TX site-visits--appropriate staff submitted to,and and outreach,and staff training,consistent with and documentation readily available prior to and accepted by, state requirements: during review. Ahlers. 1. LHJ is responsible for making sure all staff • A 19 back up have the knowledge to carry out the • Site review directed by DOH SRHP. Follow-up site documentation requirements of the SOW. visits as needed until identified issues are resolved. required by DOH 2. Medical, laboratory,and other services As requested by DOH has been submitted related to abortion are not covered by this • Submit documentation to DOH SRHP as requested for and approved. task. a desk review prior to site visit. • Other deliverables 3. Community education services must be have been met. based on the needs of the community.LHJ • Appropriate staff and documentation readily available must have an Information&Education to DOH SRHP prior to and during site visit. Payment is limited to (I&E)committee with five(5)or more the maximum funds members that is broadly representative of available for funding the population or community for which source. materials are intended.The committee must review a batch of patient-facing materials DOH will reimburse annually(at least 15 products or 15%of for: your total number of materials,whichever • is smaller);meet at least annually and Actualallowable establish a written record of its costs acccorordidinggtto your approved cost determination.(42 CFR 59[59.6]) analysis(see 4. Outreach is to ensure all populations in Reporting your community understands the services Requirements available. Focus your outreach efforts on table). increasing equity. or • The amount remaining in the Exhibit A,Statement of Work Page 2 of 7 Contract Number CLH31013-Amendment 21 Page 44 of 55 Task Activity Deliverables/Outcomes Due Date/Time Payment Information Frame and/or Amount Washington State Sexual and Reproductive Health R&E divided by Network priority populations are: the number of • Teens months remaining • People who are uninsured or underinsured, in the funding and/or low-income(at or below 250%of the source,plus one, federal poverty line) whichever is less. • Rural communities • Hispanic Payment will be • Black, Indigenous,People of Color The 15'of the calculated by R&E Extra efforts should be made to provide information following month. provided by DOH(see and services to people who intersect with multiple CVR data submitted to DOH data contractor(Ahlers& Within thirty(30)days Reporting priority population categories. Associates)electronically in a format compatible with of receiving Requirements table). Ahlers software. error/rejection report Provide all services in accordance with: or request from DOH All services must be • DOH SRHP&Title X Manual • Data for each month Sexual and billed within 60 days of • Other state and federal requirements Reproductive Health the budget period,with • Reporting Requirements(see below) • Corrected CVR data data manager. the exception of the December billing that is D. Collect,maintain,and provide data about each due within 45 days to family planning clinic visit as defined in the meet federal reporting SRH CVR Manual. As needed to keep requirements. 1. Maintain a computer system that includes Email briefly describing change. information current. safety precautions against loss of information. 2. Ensure data entry personnel protect confidentiality of CVR data. 3. Have ability to retrieve all information for auditing and monitoring by DOH or its designee. E. Notify DOH contract manager of all: • Key staff and organizational changes. • Proposed clinic site additions.New clinic sites must be approved by DOH before offering services supported by SRHP/Title X 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 sexual and Exhibit A,Statement of Work Page 3 of 7 Contract Number CLH31013-Amendment 21 Page 45 of 55 Task Activity Deliverables/Outcomes Due Date/Time Payment Information Frame and/or Amount reproductive services described in this SOW. Reporting Requirements 1. Agency Information Request This information must be reported using the template April 30th during each or format provided by DOH.All signatures and forms year of this contract. DOH SRHP requires updated information from must be completed by April 30'during each year of all members of the SRHP Network to ensure this contract. Requested information will include: AND accurate records of LHJ's organization and the services it provides. Information about your agency contacts and your As needed or organization's staffing requested to maintain In addition,elements of this report allow DOH A. Head of Organization accuracy of to ensure that SRHP&Title X requirements B. Head of Finance information. including client fees and required services are C. Medical Director met.The updated information also assists DOH D. NPI numbers used to bill Medicaid to manage this SOW and the Sexual& E. The following(one person might fill more than one Reproductive Health Network as a whole. role) a. Contract Coordinator b. Clinical representative c. Billing contact d. Outreach and education contact e. Contact for CVR data f. Contact for EHR information Information regarding sexual and reproductive health 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 within three years prior to the start date of this SOW.If contractor cost analysis was approved by DOH at the beginning of the contract period,LHJ does not have to resubmit unless changes are made. LHJ must email DOH contract manager informing them that no changes were made. B. Sliding fee schedule that includes all services required in the SRH Manual.Additional SRH-related services as outlined in Task 1 may also be included on LHJ's sliding fee schedule. Submit an updated a. Sliding fee schedule must be based on cost income conversion analysis described above. table by March 15 of Exhibit A, Statement of Work Page 4 of 7 Contract Number CLH31013-Amendment 21 Page 46 of 55 Task Activity Deliverables/Outcomes Due Date/Time Payment Information Frame and/or Amount b. Fee schedule must be resubmitted for reapproval each year of the anytime there are any significant changes,which contract. may include changing of services,fees,etc. c. LHJ must not implement a revised fee schedule until it has been approved in writing by DOH. d. Income conversion tables must be updated annually and approved by DOH Information related to current Community Outreach Plan: LHJ's community outreach plan follows a 5-year cycle. This process must include the following steps: A. Utilize the state level priority populations,county level demographic data,and agency profile to identify unmet need in the community served. B. Determine objectives and activities to expand sexual and reproductive health to reach populations in need of services in the community served. C. Measure completion of the objectives and activities. 2. Progress Updates This information must be reported using the template During quarterly or format provided by DOH. It will include information check ins and as Summary of ongoing activities related to the about contractor's work during current and past requested by DOH SRH Program. SOWs: It informs quality improvement of the A. Community education and outreach strategies and Washington State SRH Network. activities and a discussion of their effectiveness. B. Staff training. 3. Family Planning Annual Report(FPAR) Organization-level data on clinical services emailed to Data to be collected DOH SRH data manager annually through the Information DOH is requesting to develop trend end of the grant data. All information is for the calendar year Number of: (2027). (January through December).The subsequent A. Pap tests with an ASC or higher result agreements sent to the agency will request that B. Pap tests with an HSIL or higher result these data be collected and reported on within C. HIV Positive confidential tests the statement of work period of performance. D. HIV Anonymous tests E. FTE required to provide sexual and reproductive health services: • Physicians • 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. Exhibit A,Statement of Work Page 5 of 7 Contract Number CLH31013-Amendment 21 Page 47 of 55 Task Activity Deliverables/Outcomes Due Date/Time Payment Information Frame and/or Amount Financial data emailed to DOH Contract Manager R&E showing Other Revenue through the end of the grant as described below. Subsequent agreements will request that data be collected and reported on during the appropriate contract period of performance.(FPAR due 01-31 annually through 2027) 4. Clinic Visit Reports(CVRs) Clinic visit records must include all elements specified The 15th of the in the Clinic Visit Record(CVR) Manual available at: following month. https://www.doh.wa.Qov/Portals/1/Documents/Pubs/930- Within thirty(30)days 139-CVRManual.pdf. of receiving error or rejection report or CVR data must be submitted to DOH data contractor request from DOH (Ahlers&Associates)electronically in a format compatible SRH data manager. with Ahlers software. - Each month's CVR data - Corrected CVR data Data elements will be changed in 2024. CVRs submitted start 01-01-24 must be done so based on the new reporting requirements. 5. Revenue and Expense Reports(R&E) Completed R&E for time period that shows all revenue Submitted with each (including program income)that support Task 1 SRH invoice(A19).No Services and all expenses related to providing those more than monthly services. R&E workbook will be provided by DOH. and no less than A. Expenses must match General Ledger. quarterly. B. Other revenue/program income must reflect revenue R&E showing all actually received in the reporting month. sources of revenue that All entries on"Other"rows must be accompanied by a support services must description of the revenue source or expense,including any be billed within 45 calculations uses. days of the budget period. December billings must be submitted by February 10'''. DOH Program and Fiscal Contact Information for all ConCon SOWs can be found on the DOH Finance SharePoint site.Questions related to this SOW,or any other finance-related inquiry,may be sent to finance n doh.wa.gov. 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. Exhibit A,Statement of Work Page 6 of 7 Contract Number CLH31013-Amendment 21 Page 48 of 55 To comply with this act and be eligible to perform the activities in this statement of work,the LHJ must have a Unique Entity Identifier(UEI)generated by SAM.gov. 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 Specific Requirements Program Manual,Handbook,Policy References: LHJ must comply with all state,federal,DOH SRHP,and Title X requirements,policies,and regulations and with their DOH approved Agency Information Dashboard. Reference documents include: • DOH SRHP Manual(DOH publication 930-122,available at 930-122-FPRHManualComplete.pdf(wa.gov)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/I/Documents/Pubs/930-139-CVRManual.pdf) • LH1's approved Agency Information Request. 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 priority 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 SRH services must not be a prerequisite to eligibility for,or receipt of,services in any non-SRH 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 SRH Manual) If LHJ or DOH discontinues this contract: See SRHP Manual for close out requirements and resources. Exhibit A,Statement of Work Page 7 of 7 Contract Number CLH31013-Amendment 21 Page 49 of 55 Exhibit A Statement of Work Contract Term: 2022-2024 DOH Program Name or Title: WIC Nutrition Program-Effective January 1,2022 Local Health Jurisdiction Name: Jefferson County Public Health Contract Number: CLH31013 SOW Type: Revision Revision#(for this SOW) 12 Funding Source Federal Compliance Type of Payment Federal Subrecipient (check if applicable) ®Reimbursement Period of Performance: January 1,2022 through December 31,2024 ❑ State ❑ FFATA(Transparency Act) El 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: To add FFY25 USDA WIC CLIENT SVS CONTRACTS,FFY24 USDA WIC CLIENT SVS CONTRACTS, and FFY24 USDA BFPC PROG MGMTfunds. Master Assistance BARS Allocation LHJ Funding Period Change Index Listing Revenue CurrentTotal DOH Chart of Accounts Master Index Title Code Number Code Start Date End Date Allocation Increase(+) Allocation FFY22 USDA WIC CLIENT SVS CONTRACTS 76101234 10.557 333.10.55 07/01/22 09/30/22 86,376 0 86,376 FFY23 USDA WIC CLIENT SVS CONTRACTS 76101244 10.557 333.10.55 10/01/22 09/30/23 132,338 0 132,338 FFY22 USDA BFPC PROG MGMT 76214231 10.557 333.10.55 01/01/22 09/30/24 43,389 0 43,389 FFY22 USDA FMNP PROG MGMT 76540237 10.572 333.10.57 05/01/22 09/30/22 516 0 516 FFY23 USDA BFPC PROG MGMT 76214241 10.557 333.10.55 10/01/22 12/31/24 37.651 9,413 47,064 FFY23 USDA WIC PROG MGMT CSS 76101242 10.557 333.10.55 01/01/23 09/30/23 2,800 0 2,800 FFY24 USDA WIC CLIENT SVS CONTRACTS 7610124B 10.557 333.10.55 10/01/23 09/30/24 155,754 4,718 160,472 FFY23 USDA FMNP MGMT 76540248 10.572 333.10.57 06/01/23 09/30/23 496 0 496 FFY24 USDA BFPC PROG MGMT 7621424A 10.557 333.10.55 10/01/23 09/30/24 37,651 0 37,651 FFY25 USDA WIC CLIENT SVS CONTRACTS 76101251 10.557 333.10.55 10/01/24 12/31/24 26,268 1,860 28,128 FFY24 USDA FMNP MGMT 76540241 10.572 333.10.57 05/01/24 09/30/24 496 0 496 0 0 0 TOTALS 523,735 15,991 539,726 Task Payment # Activity Deliverables/Outcomes Due Date/Time Frame Information and/or Amount See"Billing 1 WIC Nutrition Program Requirements" below. 1.1 Outcomes based on monthly participation Authorized participating Maintain authorized participating caseload at 100%based on data from state WIC caseload management caseload for January 2022 quarterly average as determined from monthly caseload reports. through December 2024= management reports generated at state WIC office. 250 Exhibit A.Statement of Work Page 1 of 7 Contract Number CLH31013-Amendment 21 Page 50 of 55 Task Payment Activity Deliverables/Outcomes Due Date/Time Frame Information and/or Amount The Department of Health(Department)State WIC Nutrition Revised authorized Program has the option of reducing authorized participating participating caseload for caseload and corresponding funding when: January 2023 through 1. Unanticipated funding situations occur. December 2024=265 2. Reallocations are necessary to redistribute caseload statewide. Revised authorized 3. Caseload declines. caseload for January 2024 through December 2024= 270 1.2 Submit the annual Nutrition Services Plan for each year of the Nutrition Services Plan First year due 9/30/22 Payment withheld if contract. Second year due 9/30/23 not received by due Third year due 9/30/24 date. 1.3 Submit the annual Nutrition Services Expenditure Report for each Nutrition Services Expenditure Report 11/30/22 Payment withheld if year of the contract. 11/30/23 not received by due 11/30/24 date. Tell participants about other health services in the agency. If Documentation must be available for review 1.4 needed,develop written agreements with other health care agencies by WIC monitor staff. Biennial WIC Monitor and refer participants to these services. Provide nutrition education services to participants and caregivers Documentation must be available for review 1.5 in accordance with federal and state requirements. by WIC monitor staff. Biennial WIC Monitor Issue WIC benefits while assuring adequate WIC card security and Documentation must be available for review 1.6 reconciliation. by WIC monitor staff. Biennial WIC Monitor Collect data,maintain records,and submit reports to effectively Documentation must be available for review 1.7 enforce the non-discrimination laws(Refer to Civil Rights by WIC monitor staff. Biennial WIC Monitor Assurances below). Submit entire WIC and Breastfeeding Peer Counseling Budget Budget Workbook First year due 9/30/22 1.8a Workbook for each year of the contract Second year due 9/30/23 Third year due 9/30/24 Submit Rev-Exp Report spreadsheet from the WIC Budget Revenue and Expense Report and A-19 First year due monthly Workbook monthly with A-19 through December 31,2022 18b Second year due monthly through December 31,2023 Third year due monthly through December 31,2024 See"Billing 2 Breastfeeding Promotion Requirements" below. Provide breastfeeding promotion activities in accordance with Status report of chosen activities in First year due 11/30/22 federal and state requirements. Nutrition Services Plan. Second year due 11/30/23 2.1 Third year due 11/30/24 Documentation must be available for review by WIC monitor staff. Exhibit A,Statement of Work Page 2 of 7 Contract Number CLH31013-Amendment 21 Page 51 of 55 Task Payment Activity Deliverables/Outcomes Due Date/Time Frame Information and/or Amount Biennial WIC Monitor Work with community partners to improve practices that affect Status report of chosen activities in First year due 8/30/22 breastfeeding. Choose one or more of the following projects: Nutrition Services Plan. Second year due 8/30/23 • Provide staff,health care providers and community partners Third year due 11/30/24 virtual breastfeeding training resources. Documentation must be available for review 2.2 • Work with employers who likely employ low-income people by WIC monitor staff. Biennial WIC Monitor to create worksite environments that support breastfeeding. • Work with birthing hospitals to improve maternity care practices that affect WIC participant breastfeeding rates. • Provide participants access to lactation consultants. Other projects will need pre-approval from the State WIC Office See"Billing 3 Breastfeeding Peer Counseling Program(BFPC) Requirements' below. Provide Breastfeeding Peer Counseling Program activities in Breastfeeding Peer Counseling Annual First year due 12/31/22 accordance with federal and state requirements.The WIC Report and expenditures from the previous Second year due 12/31/23 3.1 Breastfeeding Peer Counseling Program is meant to enhance,not federal fiscal year. Third year due 12/31/24 replace, WIC Breastfeeding promotion and support activities. Documentation must be available for review Biennial WIC Monitor by WIC monitor staff. Track Breastfeeding Peer Counseling Program expenditures and Documentation must be available for review Biennial WIC Monitor 3.2 bill separately from the WIC grant. by WIC monitor staff. See"Billing 4 Farmers Market Nutrition Program(FMNP) Requirements' below. Distribute all Farmers Market Nutrition Program checks to eligible Send completed readable copy of FMNP Weekly June-Sept.2022 and WIC participants between June and September 30 of current year. check registers to State WIC office on a June-Sept.2023 weekly basis following FMNP procedures. 4.1 All sent by Oct. 1,2022, Documentation must be available for review Oct. 1,2023,and Oct 1, by WIC monitor staff. 2024 Biennial WIC Monitor DOH Program and Fiscal Contact Information for all ConCon SOWs can be found on the DOH Finance SharePoint site.Questions related to this SOW,or any other finance-related inquiry,may be sent to finance@doh.wa.eov. Federal Funding Accountability and Transparency Act(FFATAj(Applies to federal grant awards.) 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. Exhibit A, Statement of Work Page 3 of 7 Contract Number CLH31013-Amendment 21 Page 52 of 55 To comply with this act and be eligible to perform the activities in this statement of work,the LHJ must have a Unique Entity Identifier(UEI)generated by SAM.gov. 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 Specific Requirements 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,and FNS 7CFR Part 246. • Washington State WIC Nutrition Program Policy and Procedure Manual • Office of Management and Budget, Uniform Administrative Requirements,Cost Principles,and Audit Requirements for Federal Awards,2 CFR 200 • Farmers Market Nutrition Program Federal Regulations, USDA,FNS 7CFR Part 248 • Other directives issued during the term of the contract Staffing Requirements: The LHJ shall: • Use Competent Professional Authority staff,as defined by WIC policy,to determine participant 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 and 2 CFR Part 200 Uniform Administrative Requirements,Cost Principles,and Audit Requirements for Federal Awards. Special References: What is the WIC program? 1. The WIC program in the state of Washington is administered by the Department of Health. 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 participant,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 benefits or WIC food but who are not WIC participants. Exhibit A.Statement of Work Page 4 of 7 Contract Number CLH3 1 0 13-Amendment 21 Page 53 of 55 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: • All criteria used for certification, including information on income,nutrition risk eligibility and referrals • Program requirements • Nutrition education • All financial records Assurances/Certifications: 1. Computer Equipment Loaned by the Department of Health WIC Nutrition Program In order to perform WIC program activities,the Department requires computer equipment,such as computers,signature pads,document scanners,card readers and printers to be in local WIC clinics or to be transported to mobile clinics. This equipment("Loaned Equipment")is owned by the Department and loaned to the local agency(Contractor). The Loaned Equipment is supported by the Department. This equipment shall be used for WIC business only or according to WIC Policy and Procedures. An inventory of Loaned Equipment is kept by the Department. Each time Loaned Equipment is changed,the parties shall complete the Equipment Transfer Form and the Department updates the inventory. A copy of the Transfer Form will be provided to the contractor. Copies of the updated inventory list may be requested at any time. The LHJ agrees to: a. Defend,protect and hold harmless the Department 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. The Department 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 the Department),or 3) Assertion of a lien against the Contractor's property. c. Notify the Department immediately of any damage to Loaned Equipment. d. Notify the Department prior to moving or replacing any Loaned Equipment. The Department recommends Contractors carry insurance against possible loss or theft. 2. Civil Rights Assurance a. The LHJ shall perform all services and duties necessary to comply with federal law in accordance with the following Civil Rights Assurance. b. "The Program applicant 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 FNS 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 Program applicant receives Federal financial assistance from FNS;and hereby gives assurance that it will immediately take measures necessary to effectuate this agreement. c. "By accepting this assurance,the Program applicant 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 Program applicant,its successors,transferees,and assignees,as long as it receives assistance or retains possession of any assistance from the Department.The person or persons whose signatures appear on the contract are authorized to sign this assurance on behalf of the Program applicant." 3. 2CFR 200 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),2CFR part 200,the debarment and suspension requirements of 2CFR part 200.213, if applicable,the lobbying restrictions of 2CFR part 200.245,and FNS guidelines and instructions and shall provide on a timely basis to the state agency all required information regarding fiscal and program information. Exhibit A, Statement of Work Page 5 of 7 Contract Number CLH31013-Amendment 21 Page 54 of 55 Billing Requirements: 1. Definitions Contract Period: January 1,2022-December 31,2024 Contract Budget Period: The time period for which the funding is budgeted. • There are four federal budget periods January 1,2022 through September 30,2022; October 1,2022 through September 30,2023; October 1,2023 through September 30,2024; October 1,2024 through December 31,2024. 2. Billing Information: a. Billings are submitted on an A-19-IA invoice. These invoices are provided by the Department in the WIC Budget Workbook and include accounting codes for different budget categories. b. A-19s are submitted monthly and must be received by the Department within 30 days following the close of each calendar month.Additional A-19s may be submitted at any time, but must be received within 60 days of the close of the federal budget period. c. Funds are allocated by budget categories and by federal budget periods(refer to the budget spreadsheet). d. Funds are encumbered or spent only during the budget period;no carry forward from previous time periods or borrowing from future time periods is allowed. e. Payments are limited to the amounts allocated for the budget period for each budget category. f. Billings are based on actual costs for completed activities.Advance payments are not allowed. Back up documentation must be retained by the LHJ and available for inspection by the Department 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. h. If billing for indirect costs,a Cost Allocation Plan or Federal Indirect Cost Agreement must be submitted prior to payment. 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 all recipients and sub-recipients of federal funds to have a single audit performed should they spend$750,000 or more of federal grants or awards from all sources. Contractors spending less than$750,000 in federal grants or awards may also be subject to audit. 3. 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 Time Period special Amount Special Requirement Description Funding Period requirement funds are available January 2022 to January 2022 to September $2 800 Added in the USDA WIC Client Services Contracts category to cover training and travel expenses for all local September 2024 2022 WIC staff to participate in WIC-related trainings. January 2023 - January 2023-September $2,800 This funding is for all WIC staff to participate in WIC-related training.Added in the USDA WIC Client Services September 2023 2023 Contracts category to cover training registrations,travel expenses,staff time to participate in training (salary/benefits or contractor),and other approved WIC training expenses. Exhibit A. Statement of Work Page 6 of 7 Contract Number CLH31013-Amendment 21 Page 55 of 55 October 2023- October 2023 -September $2,500 This funding is for all WIC staff to participate in WIC-related training. Added in the USDA WIC Client Services September 2024 2024 Contracts category to cover training registrations,travel expenses,staff time to participate in training (salary/benefits for part-time or contractors),and other approved WIC training expenses. Other: Any program requirements that are not followed may be subject to corrective action and may result in monetary fines or repayment of funds. Exhibit A,Statement of Work Page 7 of 7 Contract Number CLH3I013-Amendment 21 Signature: ' ' Bread Hen;kson(Sep 11,2U2i 15:52 POT) Email: Brenda.Henrikson@DOH.WA.GOV