Revision Purpose Clause Samples

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Revision Purpose. The purpose of this amendment is to update the MI coding for Task Outreach and Emergency Financial Assistance. There were no other changes to the SOW. Chart of Accounts Program Name or Title CFDA # BARS Revenue Code Master Index Code Funding (LHJ Use Start Date Period Only) End Date Current Consideration Change None Total Consideration TOTALS 294,040 0 294,040 Task Number Task/Activity/Description Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount

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. DOH Chart of Accounts Master Index Title Master Index Code Assistance Listing Number BARS Revenue Code LHJ Funding Period Start Date End Date Current Allocation Allocation Change Increase (+) Total Allocation TOTALS 233,300 21,054 254,354 Task # Activity Deliverables/Outcomes Due Date/ Time Frame Payment Information and/or Amount Maternal and Child Health Block Grant (MCHBG) Administration Task # Activity Deliverables/Outcomes Due Date/ Time Frame Payment Information and/or Amount Implementation Task # Activity Deliverables/Outcomes Due Date/ Time Frame Payment Information and/or Amount Children and Youth with Special Health Care Needs (CYSHCN) MCHBG Assessment and Evaluation

Revision Purpose. The purpose of this revision is to extend the period of performance from June 30, 2021 to December 31, 2021; add funding and extend end date for Task 3 FFY21 COVID19 VACCINE SERVICES-CARES through December 31, 2021; add FFY20 ELC EDE LHJ ALLOCATION and FFY19 ELC COVID ED LHJ ALLOCATION funding and revise language for Tasks 1 and 2; add Task 4 and funding information for MASS VACCINATION FEMA 100% and add Program Specific Requirements and DOH program and fiscal contact information. BITV-COVID ED LHJ ALLOCATION-CARES 21.019 333.21.01 1897129V 07/01/20 12/30/21 1,461,780 0 1,461,780 FFY21 COVID19 VACCINE SERVICES-CARES 93.268 333.96.26 74310209 07/01/20 12/31/21 42,016 1,022,214 1,064,230 FFY20 ELC EDE LHJ ALLOCATION 93.323 333.93.32 1897120D 01/15/21 12/31/21 0 2,560,581 2,560,581 FFY19 ELC COVID ED LHJ ALLOCATION 93.323 333.93.32 1897129G 01/01/21 12/31/21 0 1,145,035 1,145,035 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 Previous funding provided by DOH for COVID response (federal Crisis Cooperative Agreement funding, state Disaster Recovery Account funding) must be fully utilized before these funds can be accessed. The total state funding consideration is for the period of December 31, 2020 through June 30, 2021. NOTE: The purpose of this agreement is to supplement existing funds for local health jurisdictions to carry out surveillance, epidemiology, case investigations & contact tracing, laboratory capacity, infection control, mitigation, communications, community engagement, and other public health preparedness and response activities for COVID-19. 1 Establish a budget plan and narrative to be submitted to the Department of Health (DOH) Contract Manager. DOH will send the “Budget narrative Template”, “Budget Guidance” and any other applicable documents that may be identified. DOH does recognize the public health response goes beyond December 2020 2021 and authorizes local health jurisdictions the ability to maximize funding streams available to them by using short term funding first to have longer term funding available to ...

Revision Purpose. The purpose of this revision is to revise deliverable due dates, correct the BARS Revenue Code, move a portion of the funding to COVID-19 VACCINES, add a link for allowable activities under Program Specific Requirements, and update DOH Program Contact information for COVID -19 Vaccine Services-Task 3; update DOH Fiscal Contact information and add special language for DCHS COVID-19 Response-Task 1 and 2; and extend the funding period from April 20, 2021 to July 20, 2021 for MASS VACCINATION FEMA 100%-Task 4. This revision also includes a task funding guide for all tasks under Program Specific Requirements. Chart of Accounts Program Name or Title CFDA # BARS Revenue Code Master Index Code Funding (LHJ Use Start Date Period Only) End Date Current Consideration Change None Total Consideration TOTALS 2,714,821 0 2,714,821 Task Number Task/Activity/Description *May Support PHAB Standards/Measures Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount Task Number Task/Activity/Description *May Support PHAB Standards/Measures Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount DCHS COVID-19 Response - Tasks 1 and 2 – Unspent ELC funding can be carried forward into new contract term effective January 1, 2022.