For Information Only. Buyer’s Broker MLS # Seller’s Broker MLS # Buyer’s Designated Agent MLS # Seller’s Designated Agent MLS # Phone Fax Phone Fax Email Email Buyer’s Attorney Email Seller’s Attorney Email Phone Fax Phone Fax Mortgage Company Phone Homeowner’s/Condo Association (if any) Phone Loan Officer Phone/Fax Management Co. /Other Contact Phone Seller Rejection: This offer was presented to Seller on , 20 at : AM/PM and rejected on , 20 at : AM/PM (Seller initials).

For Information Only. Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. More detail on these and/or other Public Health Accreditation Board (PHAB) Standards/Measures that may apply can be found at: xxxx://xxx.xxxxxxxx.xxx/wp-content/uploads/PHAB-Standards-and-Measures-Version-1.0.pdf Program Specific Requirements/Narrative Program Manual, Handbook, Policy References A Targeted Approach to Blood Lead Screening in Children, Washington State 2015 Expert Panel Recommendations xxxxx://xxx.xxx.xx.xxx/Portals/1/Documents/Pubs/334-383.pdf Special References (RCWs, WACs, etc) Laboratories are required to report to the Department of Health all Blood Lead test results (WAC 246-101-201). Elevated results (≥5 mcg/dL) must be reported within 2 days; non- elevated results ≤5 mcg/dL need to be reported within one month. Monitoring Visits (frequency, type) Telephone calls with contract manager at least once every quarter. Definitions BLL- Blood Lead Level EBLL- Elevated Blood Lead Level PEHSU- Pediatric Environmental Health Specialty Units Special Billing Requirements Payment is contingent upon DOH receipt and approval of all deliverables and an acceptable written report to include a plan of care. 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. DOH Program Contact Xxxxxxx Xxxxxx, Health Services Consultant Office of Environmental Public Health Sciences Washington State Department of Health Street Address: 000 Xxxxxx Xx XX, Xxxxxxxx, XX 00000 Telephone: 000-000-0000 / Fax: 000-000-0000 Email: xxxxxxx.xxxxxx@xxx.xx.xxx DOH Fiscal Contact Xxxxxxxx Xxxxx, Management Analyst 1 Assistant Secretary’s Office Telephone: 000-000-0000 Exhibit A Statement of Work Contract Term: 2018-2020 DOH Program Name or Title: FPHS Communicable Disease & Support Capabilities - Effective January 1, 2018 Local Health Jurisdiction Name: Kitsap Public Health District Contract Number: CLH18248 SOW Type: Original Revision # (for this SOW) Funding Source Federal <Select One> State Other Federal Complia...

For Information Only. When an employer=s place of business and an employee=s residence are located within the boundaries of a city or town, the Employer shall provide the employee with adequate transportation between the residence and the workplace, or vice versa, when the employee=s hours of work begin or end after twelve (12) midnight or before 6:00 a.m. LETTER OF UNDERSTANDING FEBRUARY 1997 BETWEEN: THE UNIVERSITY OF MANITOBA - and - THE CANADIAN AUTO WORKERS, LOCAL 3007 RE: STUDENT EMPLOYMENT This Letter of Understanding was entered into between the University of Manitoba (UM) (University) and the Canadian Auto Workers (CAW) Local 3007 (Union) during collective bargaining in 1996/97 for the 1996-98 UM- CAW Collective Agreement.

For Information Only. Said premises are known as 500-000 Xxxx 00xx Xxxxxx a/k/a 100 00xx Xxxxxx, Xxx Xxxx, XX and designated as Bxxxx 000 Xxx 00 as shown on the Tax Map of the City of New York, County of New York. Schedule A-5: ALL THAT CERTAIN plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the Borough of Manhattan, County of New York, City and State of New York, bounded and described as follows: BEGINNING at a point on the southerly side of 23rd Street, distant 225 feet easterly from the corner formed by the intersection of said southerly side of 20xx Xxxxxx with the easterly side of 11th Avenue; THENCE southerly and parallel with said 11th Avenue, 98 feet 9 inches to the centre line of the block; THENCE easterly along said centre line of the block, 150 feet; THENCE northerly and parallel with 11th Avenue, 98 feet 9 inches to the southerly side of 23rd Street, and THENCE westerly along the southerly side of 23rd Street, 150 to the point or place of BEGINNING. Schedule A

For Information Only. Xxxxxxx 00 Xxxxx 0 Xxx 0 000 Xxxxxxxx Xxxx Xxxxx ALL that certain plot, piece of parcel of land situate, lying and being in the Town of GREENBURGH, County of WESTCHESTER and State of NEW YORK, being designated as Lot 5 more particularly bounded and described as follows: BEGINNING from the point of origin formed by the intersection of the northerly side of the existing 50 feet right of way known as Fieldcrest Drive recorded in (Liber 7485, Page 267) and the westerly right of way of SAW MILL RIVER ROAD, proceed the following courses and distances: Southerly along a curve to the right having a radius 30.00 feet, an arc length of 42.34 feet, a central angle of 80°52’74”, a chord bearing of South 23°06’40” West, a chord distance of 38.91 feet to a point of tangency. thence South 63°52’34” West, a distance of 393.37 feet to a point of curvature. thence westerly along a tangent curve to the right having a radius 450.00 feet, an arc length of 92.62 feet, a central angle of 11°47’34”, a chord bearing of South 69°26’22” West, a chord distance of 92.45 feet to a point of reverse curvature. thence southwesterly along a tangent curve to the left having a radius 50.00 feet, an arc length of 63.78 feet, a central angle of 75°05’10”, a chord bearing of South 38°47’07” West, a chord distance of 59.54 feet to the division line between Lots 5 and 6 as shown on a map entitled “Illustrative Site Plan of Fairview Corporate Park” dated September 15, 1986 and filed in the Westchester County Clerk’s Office (Division of Land Records) on September 23, 1986 as Map No. 22454 to a Monument set of said point of BEGINNING. From said point of beginning proceeding the following courses and distances: Southeasterly along a tangent curve to the left having a radius 50.00 feet, a arc length of 57.22 feet, a central angle of 65°34’13”, a chord bearing of South 11°06’57” East, a chord distance of 54.15 feet to a point of non-tangent line; thence South 26° 27’ 26” East a distance of 243.63 feet to the division line between Lots 3 and 5; thence along said division line the following three courses and distances:

For Information Only. Not For Inclusion In The Agreement When developing data rights assignments for each data/software deliverable, the following should be taken in to consideration regarding how the Government will need to use each item to ensure the overall goals and objectives of the project are met (to include tech transition): Is it sufficient/necessary to provide access to the deliverable soley within the Gov’t? This typically equates to Limited Rights (LR) as shown in Model Agreement body. Is it sufficient/necessary to provide access to the deliverable to within the Gov’t and to Government performers (entities under contract with the federal government)? This typically equates to Government Purpose Rights (GPR) as shown in Model Agreement body. In some cases, when deemed appropriate by both parties, the definition of Government Purpose Rights can be altered during negotiations to exclude one or more of the performers direct competitors (typically defined as Limited Government Purpose Rights (LGPR)). Is it sufficient/necessary to provide access to the deliverable to anybody without restriction (inside and outside the Gov’t)? This typically equates to Unlimited Rights (ULR) as shown in Model Agreement body. Is it sufficient/necessary to provide access to the deliverable to the open source community under a commonaly available open source license (e.g., Apache 2.0, BSD, GNU, etc.)? This typically equates to Commercial Open Source License Rights (COSLR) as defined below:

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