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HomeMy WebLinkAboutWashington State Department of Health Amendment # 21MASON COUNTY PUBLIC HEALTH 2022-2024 CONSOLIDATED CONTRACT Page 1 of 1 CONTRACT NUMBER: CLH31019 AMENDMENT NUMBER: 21 PURPOSE OF CHANGE: To amend this contract between the DEPARTMENT OF HEALTH hereinafter referred to as “DOH”, and MASON COUNTY PUBLIC HEALTH, a Local Health Jurisdiction, hereinafter referred to as “LHJ”, pursuant to the Modifications/Waivers clause, and to make necessary changes within the scope of this contract and any subsequent amendments thereto. IT IS MUTUALLY AGREED: That the contract is hereby amended as follows: 1.Exhibit A Statements of Work, 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 : https://stateofwa.sharepoint.com/sites/doh-ofsfundingresources/sitepages/home.aspx?=e1:9a94688da2d94d3ea80ac7fbc32e4d7c Adds Statements of Work for the following programs: Injury & Violence Prevention-Overdose Data to Action in States - Effective November 1, 2024 Amends Statements of Work for the following programs: Office of Drinking Water Group A Program - Effective January 1, 2022 Office of Immunization COVID-19 Vaccine - Effective January 1, 2022 Deletes Statements of Work for the following programs: 2.Exhibit B-21 Allocations, attached and incorporated by this reference, amends and replaces Exhibit B -20 Allocations as follows: Increase of for a revised maximum consideration of . Decrease of $682,448 for a revised maximum consideration of $8,371,457. 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. MASON COUNTY PUBLIC HEALTH STATE OF WASHINGTON DEPARTMENT OF HEALTH Signature: {{Sig_es_:signer1:signature}} Signature: {{Sig_es_:signer2:signature}} Date: {{Dte_es_:signer1:date}} Date: {{Dte_es_:signer2:date}} APPROVED AS TO FORM ONLY Assistant Attorney General Page 1 of 18 David Windom (Oct 31, 2024 11:49 PDT) David Windom Oct 31, 2024 - nda n-i&.on (Oct 31, 2024 1ц:0ц PDT) Oct 31, 2024 EXHIBIT B-21 Mason County Public Health ALLOCATIONS Contract Number:CLH31019 Contract Term: 2022-2024 Date:October 1, 2024 Indirect Rate January 1, 2022 through December 31, 2022: 17.26% Indirect Rate January 1, 2023 through December 31, 2023: 18.44% Indirect Rate January 1, 2024 through December 31, 2024: 18.95% BARS Funding Chart of Federal Award Assist Revenue Period Accounts Chart of Accounts Program Title Identification #Amend #List #*Code**Start Date End Date Start Date End Date Amount SubTotal Total FFY25 USDA WIC Client Svs Contracts 7WA700WA7 Amd 20 10.557 333.10.55 10/01/24 12/31/24 10/01/24 09/30/25 $1,800 $24,875 $78,716 FFY25 USDA WIC Client Svs Contracts 7WA700WA7 Amd 18 10.557 333.10.55 10/01/24 12/31/24 10/01/24 09/30/25 $5,000 FFY25 USDA WIC Client Svs Contracts 7WA700WA7 Amd 17 10.557 333.10.55 10/01/24 12/31/24 10/01/24 09/30/25 $18,075 FFY24 USDA WIC Client Svs Contracts 7WA700WA7 Amd 18 10.557 333.10.55 03/01/24 09/30/24 10/01/23 09/30/24 $11,666 $53,841 FFY24 USDA WIC Client Svs Contracts 7WA700WA7 Amd 17 10.557 333.10.55 03/01/24 09/30/24 10/01/23 09/30/24 $42,175 FFY24 PHEP BP1-CDC-LHJ Partners NU90TU000055 Amd 20 93.069 333.93.06 07/01/24 12/31/24 07/01/24 06/30/25 $29,605 $29,605 $29,605 FFY23 PHEP BP5 LHJ Funding NU90TP922043 Amd 14 93.069 333.93.06 07/01/23 06/30/24 07/01/23 06/30/24 $49,342 $49,342 $133,143 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 $49,342 $49,342 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 $34,459 $34,459 FFY24 CDC PCH OD2A Prevention NU17CE10218 Amd 21 93.136 333.93.13 11/01/24 12/31/24 09/01/24 08/31/25 $17,533 $17,533 $17,533 FFY22 Overdose Data to Action Prev NU17CE925007 Amd 10 93.136 333.93.13 09/01/22 08/31/23 09/01/22 08/31/23 $56,938 $106,938 $144,746 FFY22 Overdose Data to Action Prev NU17CE925007 Amd 7 93.136 333.93.13 09/01/22 08/31/23 09/01/22 08/31/23 $50,000 FFY21 Overdose Data to Action Prev NU17CE925007 Amd 4 93.136 333.93.13 01/01/22 08/31/22 09/01/21 08/31/22 $2,696 $37,808 FFY21 Overdose Data to Action Prev NU17CE925007 Amd 3 93.136 333.93.13 01/01/22 08/31/22 09/01/21 08/31/22 $35,112 FFY24 CDC PPHF Ops NH23IP922619 Amd 14 93.268 333.93.26 07/01/23 06/30/24 07/01/23 06/30/24 $50 $550 $550 FFY24 CDC PPHF Ops NH23IP922619 Amd 13 93.268 333.93.26 07/01/23 06/30/24 07/01/23 06/30/24 $500 FFY25 CDC VFC Ops NGA Not Received Amd 20 93.268 333.93.26 07/01/24 12/31/24 07/01/24 06/30/25 $5,600 $5,600 $11,760 FFY24 CDC VFC Ops NH23IP922619 Amd 14 93.268 333.93.26 07/01/23 06/30/24 07/01/23 06/30/24 $560 $6,160 FFY24 CDC VFC Ops NH23IP922619 Amd 13 93.268 333.93.26 07/01/23 06/30/24 07/01/23 06/30/24 $5,600 COVID19 CDC Vaccines NH23IP922619 Amd 21 93.268 333.93.26 01/01/22 06/30/24 07/01/20 06/30/24 ($354,803)$0 $0 COVID19 CDC Vaccines NH23IP922619 Amd 4 93.268 333.93.26 01/01/22 06/30/24 07/01/20 06/30/24 $354,803 COVID19 Vaccines R4 NH23IP922619 Amd 21 93.268 333.93.26 01/01/22 06/30/24 07/01/20 06/30/24 ($354,803)$0 $0 COVID19 Vaccines R4 NH23IP922619 Amd 1 93.268 333.93.26 01/01/22 06/30/24 07/01/20 06/30/25 $354,803 FFY23 PPHF Ops NH23IP922619 Amd 7 93.268 333.93.26 07/01/22 06/30/23 07/01/22 06/30/23 $500 $500 $1,000 FFY22 PPHF Ops NH23IP922619 Amd 3 93.268 333.93.26 01/01/22 06/30/22 07/01/21 06/30/22 $500 $500 FFY19 COVID CARES NU50CK000515 Amd 2, 3 93.323 333.93.32 01/01/22 06/30/22 04/23/20 07/31/24 $65,595 $65,595 $65,595 FFY19 ELC COVID Ed LHJ Allocation NU50CK000515 Amd 3, 11 93.323 333.93.32 01/01/22 01/31/23 05/19/20 01/31/23 ($29,966)$213,061 $213,061 FFY19 ELC COVID Ed LHJ Allocation NU50CK000515 Amd 2, 11 93.323 333.93.32 01/01/22 01/31/23 05/19/20 01/31/23 $243,027 LHJ Funding Period Funding Period Chart of AccountsStatement of Work DOH Use Only Page 1 of 4 Page 2 of 18 EXHIBIT B-21 Mason County Public Health ALLOCATIONS Contract Number:CLH31019 Contract Term: 2022-2024 Date:October 1, 2024 Indirect Rate January 1, 2022 through December 31, 2022: 17.26% Indirect Rate January 1, 2023 through December 31, 2023: 18.44% Indirect Rate January 1, 2024 through December 31, 2024: 18.95% BARS Funding Chart of Federal Award Assist Revenue Period Accounts Chart of Accounts Program Title Identification #Amend #List #*Code**Start Date End Date Start Date End Date Amount SubTotal Total LHJ Funding Period Funding Period Chart of AccountsStatement of Work DOH Use Only FFY20 ELC EDE LHJ Allocation NU50CK000515 Amd 7, 9 93.323 333.93.32 01/01/22 07/31/23 01/15/21 07/31/24 ($27,095)$867,729 $867,729 FFY20 ELC EDE LHJ Allocation NU50CK000515 Amd 3, 9 93.323 333.93.32 01/01/22 07/31/23 01/15/21 07/31/24 ($30) FFY20 ELC EDE LHJ Allocation NU50CK000515 Amd 2, 9 93.323 333.93.32 01/01/22 07/31/23 01/15/21 07/31/24 $894,854 FFY23 Vector-borne T2&3 Epi ELC FPH NU50CK000515 Amd 16 93.323 333.93.32 08/01/23 09/30/23 08/01/23 09/30/23 $195 $1,395 $8,695 FFY23 Vector-borne T2&3 Epi ELC FPH NU50CK000515 Amd 12 93.323 333.93.32 08/01/23 09/30/23 08/01/23 09/30/23 $1,200 FFY22 Vector-borne T2&3 Epi ELC FPH NU50CK000515 Amd 12 93.323 333.93.32 08/01/22 07/31/23 08/01/22 07/31/23 $1,800 $4,550 FFY22 Vector-borne T2&3 Epi ELC FPH NU50CK000515 Amd 5, 12 93.323 333.93.32 08/01/22 07/31/23 08/01/22 07/31/23 $2,750 FFY21 Vector-borne T2&3 Epi ELC FPH NU50CK000515 Amd 5 93.323 333.93.32 06/01/22 07/31/22 08/01/21 07/31/22 $2,750 $2,750 FFY21 CDC COVID-19 PHWFD-LHJ NU90TP922181 Amd 15, 19 93.354 333.93.35 07/01/23 12/31/24 07/01/23 06/30/25 $100,000 $100,000 $100,000 FFY22 PH Infrastructure Comp A1-LHJ NE11OE000053 Amd 16 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 Amd 20 93.994 333.93.99 10/01/24 12/31/24 10/01/24 09/30/25 $16,923 $16,923 $139,476 FFY24 HRSA MCHBG LHJ Contracts B04MC52960 Amd 14 93.994 333.93.99 10/01/23 09/30/24 10/01/23 09/30/24 $67,694 $67,694 FFY23 HRSA MCHBG LHJ Contracts B04MC47453 Amd 14 93.994 333.93.99 10/01/22 09/30/23 10/01/22 09/30/23 ($12,835)$54,859 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 $67,694 FFY22 HRSA MCHBG Special Proj B04MC45251 Amd 14 93.994 333.93.99 10/01/22 09/30/23 10/01/22 09/30/23 $22,194 $22,194 $22,194 FFY22 MCHBG LHJ Contracts B04MC45251 Amd 1 93.994 333.93.99 01/01/22 09/30/22 10/01/21 09/30/22 $50,770 $50,770 $50,770 SFY1 GFS - Group B Amd 17 N/A 334.04.90 01/01/24 06/30/24 07/01/23 06/30/25 $6,469 $6,469 $19,407 GFS-Group B (FO-SW)Amd 10 N/A 334.04.90 01/01/23 06/30/23 07/01/22 06/30/23 $6,469 $6,469 GFS-Group B (FO-SW)Amd 1 N/A 334.04.90 01/01/22 06/30/22 07/01/21 06/30/22 $6,469 $6,469 SFY25 Drug User Health Program Amd 16 N/A 334.04.91 07/01/24 12/31/24 07/01/24 06/30/25 $92,500 $92,500 $187,500 SFY24 Drug User Health Program Amd 16 N/A 334.04.91 01/01/24 06/30/24 07/01/23 06/30/24 $92,500 $92,500 SFY24 Drug User Health Program Amd 13 N/A 334.04.91 07/01/23 12/31/23 07/01/23 06/30/24 $2,500 $2,500 State Drug User Health Program Amd 12 N/A 334.04.91 02/01/23 06/30/23 07/01/23 12/31/23 $5,000 $5,000 $5,000 State TB Control-FPH Amd 9 N/A 334.04.91 10/01/22 06/30/23 07/01/21 06/30/23 $500 $500 $500 Rec Shellfish/Biotoxin Amd 13 N/A 334.04.93 07/01/23 12/31/24 07/01/23 06/30/25 $5,250 $5,250 $10,500 Rec Shellfish/Biotoxin Amd 1 N/A 334.04.93 01/01/22 06/30/23 07/01/21 06/30/23 $5,250 $5,250 Page 2 of 4 Page 3 of 18 EXHIBIT B-21 Mason County Public Health ALLOCATIONS Contract Number:CLH31019 Contract Term: 2022-2024 Date:October 1, 2024 Indirect Rate January 1, 2022 through December 31, 2022: 17.26% Indirect Rate January 1, 2023 through December 31, 2023: 18.44% Indirect Rate January 1, 2024 through December 31, 2024: 18.95% BARS Funding Chart of Federal Award Assist Revenue Period Accounts Chart of Accounts Program Title Identification #Amend #List #*Code**Start Date End Date Start Date End Date Amount SubTotal Total LHJ Funding Period Funding Period Chart of AccountsStatement of Work DOH Use Only Small Onsite Management (GFS)Amd 15 N/A 334.04.93 07/01/24 12/31/24 07/01/23 06/30/25 ($53,636)$0 $0 Small Onsite Management (GFS)Amd 13 N/A 334.04.93 07/01/24 12/31/24 07/01/23 06/30/25 $53,636 Small Onsite Management (GFS)Amd 15 N/A 334.04.93 07/01/23 06/30/24 07/01/23 06/30/25 ($45,000)$0 Small Onsite Management (GFS)Amd 13 N/A 334.04.93 07/01/23 06/30/24 07/01/23 06/30/25 $45,000 SFY25 Local OPI Prev & Supp Proviso Amd 21 N/A 334.04.93 11/01/24 12/31/24 07/01/24 06/30/25 $9,625 $9,625 $9,625 SFY25 Wastewater Management-GFS Amd 15 N/A 334.04.93 07/01/24 12/31/24 07/01/23 06/30/25 $53,636 $53,636 $173,636 SFY24 Wastewater Management-GFS Amd 15 N/A 334.04.93 07/01/23 06/30/24 07/01/23 06/30/25 $45,000 $45,000 Wastewater Management-GFS Amd 1 N/A 334.04.93 07/01/22 06/30/23 07/01/21 06/30/23 $60,000 $60,000 Wastewater Management-GFS Amd 1 N/A 334.04.93 07/01/22 06/30/23 07/01/21 06/30/23 $15,000 $15,000 FPHS-LHJ-Proviso (YR2)Amd 6 N/A 336.04.25 07/01/22 06/30/23 07/01/21 06/30/23 $1,266,000 $1,266,000 $1,603,116 FPHS-LHJ-Proviso (YR2)Amd 7 N/A 336.04.25 07/01/22 06/30/23 07/01/21 06/30/23 ($761,000)$0 FPHS-LHJ-Proviso (YR2)Amd 1 N/A 336.04.25 07/01/22 06/30/23 07/01/21 06/30/23 $761,000 FPHS-LHJ-Proviso (YR1)Amd 9 N/A 336.04.25 01/01/22 06/30/22 07/01/21 06/30/23 ($423,884)$337,116 FPHS-LHJ-Proviso (YR1)Amd 1 N/A 336.04.25 01/01/22 06/30/22 07/01/21 06/30/23 $761,000 SFY25 FPHS-LHJ Funds-GFS Amd 20 N/A 336.04.25 07/01/24 12/31/24 07/01/24 06/30/25 $1,049,000 $2,098,000 $4,196,000 SFY25 FPHS-LHJ Funds-GFS Amd 19 N/A 336.04.25 07/01/24 12/31/24 07/01/24 06/30/25 $1,049,000 SFY24 FPHS-LHJ-Funds-GFS Amd 14 N/A 336.04.25 07/01/23 06/30/24 07/01/23 06/30/25 $832,000 $2,098,000 SFY24 FPHS-LHJ-Funds-GFS Amd 13 N/A 336.04.25 07/01/23 06/30/24 07/01/23 06/30/25 $1,266,000 YR 27 SRF - Local Asst (15%) SS Amd 21 N/A 346.26.64 01/01/24 12/31/24 07/01/23 06/30/25 $15,800 $15,800 $39,800 YR 26 SRF - Local Asst (15%) SS Amd 21 N/A 346.26.64 01/01/24 12/31/24 07/01/23 06/30/25 ($15,800)$0 YR26 SRF - Local Asst (15%) SS Amd 18 N/A 346.26.64 01/01/24 12/31/24 07/01/23 06/30/25 $2,000 YR26 SRF - Local Asst (15%) SS Amd 15 N/A 346.26.64 01/01/24 12/31/24 07/01/23 06/30/25 $13,800 YR25 SRF - Local Asst (15%) SS Amd 14 N/A 346.26.64 01/01/23 12/31/23 01/01/23 12/31/23 $800 $11,600 YR25 SRF - Local Asst (15%) SS Amd 11 N/A 346.26.64 01/01/23 12/31/23 01/01/23 12/31/23 $10,800 YR24 SRF - Local Asst (15%) (FO-SW) SS Amd 7 N/A 346.26.64 01/01/22 12/31/22 07/01/21 06/30/23 $1,400 $12,400 YR24 SRF - Local Asst (15%) (FO-SW) SS Amd 1 N/A 346.26.64 01/01/22 12/31/22 07/01/21 06/30/23 $11,000 Sanitary Survey Fees SS-State Amd 18 N/A 346.26.65 01/01/22 12/31/24 07/01/21 12/31/24 $2,000 $39,800 $39,800 Sanitary Survey Fees SS-State Amd 15 N/A 346.26.65 01/01/22 12/31/24 07/01/21 12/31/24 $13,800 Sanitary Survey Fees SS-State Amd 14, 15 N/A 346.26.65 01/01/22 12/31/24 07/01/21 12/31/24 $800 Sanitary Survey Fees SS-State Amd 11, 15 N/A 346.26.65 01/01/22 12/31/24 07/01/21 12/31/24 $10,800 Sanitary Survey Fees SS-State Amd 7, 11, 15 N/A 346.26.65 01/01/22 12/31/24 07/01/21 12/31/24 $1,400 Sanitary Survey Fees SS-State Amd 1, 11, 15 N/A 346.26.65 01/01/22 12/31/24 07/01/21 12/31/24 $11,000 Page 3 of 4 Page 4 of 18 EXHIBIT B-21 Mason County Public Health ALLOCATIONS Contract Number:CLH31019 Contract Term: 2022-2024 Date:October 1, 2024 Indirect Rate January 1, 2022 through December 31, 2022: 17.26% Indirect Rate January 1, 2023 through December 31, 2023: 18.44% Indirect Rate January 1, 2024 through December 31, 2024: 18.95% BARS Funding Chart of Federal Award Assist Revenue Period Accounts Chart of Accounts Program Title Identification #Amend #List #*Code**Start Date End Date Start Date End Date Amount SubTotal Total LHJ Funding Period Funding Period Chart of AccountsStatement of Work DOH Use Only YR 27 SRF - Local Asst (15%) TA Amd 21 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 21 N/A 346.26.66 01/01/24 12/31/24 07/01/23 06/30/25 ($1,000)$0 YR26 SRF - Local Asst (15%) TA Amd 18 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 18 N/A 346.26.66 01/01/23 12/31/23 01/01/23 12/31/23 ($1,000)$0 YR25 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 YR24 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 $8,371,457 $8,371,457 Total consideration:$9,053,905 GRAND TOTAL $8,371,457 ($682,448) GRAND TOTAL $8,371,457 Total Fed $2,084,573 Total State $6,286,884 *Catalog of Federal Domestic Assistance **Federal revenue codes begin with "333". State revenue codes begin with "334". Page 4 of 4 Page 5 of 18 Exhibit A, Statement of Work Page 1 of 6 Contract Number CLH31019-Amendment 21 Exhibit A Statement of Work Contract Term: 2022-2024 DOH Program Name or Title: Injury & Violence Prevention-Overdose Data to Action in States - Effective November 1, 2024 Local Health Jurisdiction Name: Mason County Public Health Contract Number: CLH31019 SOW Type: Original Revision # (for this SOW) Funding Source Federal Subrecipient State Other Federal Compliance (check if applicable) FFATA (Transparency Act) Research & Development Type of Payment Reimbursement Fixed Price Period of Performance: November 1, 2024 through December 31, 2024 Statement of Work Purpose: The purpose of this statement of work (SOW) is to allocate funds to Mason County Public Health Department to implement overdose prevention strategies under the CDC Overdose Data to Action in States (OD2A-S) Cooperative Agreement. NOTE: The 2022-2024 consolidated contract term ends on December 31, 2024. The new 2025-2027 consolidated contract term begins on January 1, 2025. Funding amounts in this SOW reflect projected spending for the two months (November/December) remaining in the 2022-2024 contract term. Task activities with due dates after December 31, 2024 and funds for the January 1, 2025 through August 31, 2025 budget period along with any unspent fundin g from this SOW, will be included in a new SOW in the 2025-2027 contract term. Revision Purpose: N/A DOH Chart of Accounts Master Index Title Master Index Code Assistance Listing Number BARS Revenue Code LHJ Fund Start Date ing Period End Date Current Allocation Allocation Change Increase (+) Total Allocation FFY24 CDC PCH OD2A PREVENTION 77520240 93.136 333.93.13 11/01/24 12/31/24 0 17,533 17,533 SFY25 LOCAL OPI PREV & SUPP PROVISO 77550855 N/A 334.04.93 11/01/24 12/31/24 0 9,625 9,625 0 0 0 0 0 0 0 0 0 TOTALS 0 27,158 27,158 Task # Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount 1. OD2A-S 8.1.1 The LHJ will conduct weekly syringe services program (SSP)/harm reduction outreach throughout Mason County through their mobile SSP unit. The LHJ will re-establish encampment/street-based harm reduction outreach to increase engagement with people experiencing homelessness, including people with disabilities or different access and functional Progress report update on the process to re-establish encampment/street-based outreach and implementing home service expansion. Collection of semi-annual and annual performance measures. DOH will provide a template to collect specific data for each activity. The first submission of data will be due on 11/22/24. Future submission dates will be updated in the January amendment. Monthly invoices for actual cost reimbursement will be submitted to DOH. Total of all invoices will not exceed $25,233 through December 31, 2024. One-Time Enhancement funds must be spent by the Page 6 of 18 Exhibit A, Statement of Work Page 2 of 6 Contract Number CLH31019-Amendment 21 Task # Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount needs. The LHJ will choose at least two dates per month for inter-agency co-location of street outreach. The LHJ will implement home service expansion, including to Tribal reservations, of their SSP to increase equitable delivery and improved access to care/services, increase access to harm reduction education and services including increased naloxone distribution. Quarterly progress reports with updates on the implementation of all tasks are due to DOH. Progress report timeline Period Due Date 11/01/24- 01/31/25 02/01/25 02/01/25- 03/31/25 04/01/25 04/01/25- 06/30/25 07/01/25 07/01/25- 08/31/25 10/31/25 Note: The final progress report of this contract budget period is due on the same date that the final A19 invoice for this budget period must be submitted. end of the Federal Fiscal Year ending on August 31, 2025. 2. OD2A-S 8.2.1 The LHJ will Expand overdose prevention education and naloxone distribution (OPEND) to participants of their SSP and broader community to increase awareness of the drug overdose epidemic, harm reduction efforts, evidence-based approaches, and provide linkages to care. This will include hosting trainings around the county, including to Tribal youth and youth in the juvenile detention system, and distributing psychostimulant overdose/overamping education and response materials during outreach. The LHJ will increase naloxone distribution during outreach efforts, maintain naloxone availability at the Public Health office on a walk-in basis, supply partnering agency with naloxone to distribute at weekly Transit Center Overdose Prevention outreach table. This will include a partnership with the Skokomish Nation to distribute naloxone to youth who are at risk of experiencing or witnessing an overdose. Progress report updates on the number of trainings conducted, a description of the content of the trainings, and the audience for the trainings. This should include an update on the process to partner with the Skokomish Nation. 3. OD2A-S 8.2.2 The LHJ will improve access to low-threshold medications for opioid use disorder (MOUD) and treatment for substance use disorder. The LHJ will include MOUD induction to Syndemic Clinical services for SSP participants and provide information, referrals, or warm hand-offs and follow- up care to SSP/harm reduction participants at outreach sites or by phone. Progress report update on: • The process to include MOUD induction in syndemic clinical services • Collaboration with local MOUD providers and the attendance of community collaboration meetings • Development and dissemination of the survey for SSP participants Page 7 of 18 Exhibit A, Statement of Work Page 3 of 6 Contract Number CLH31019-Amendment 21 Task # Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount The LHJ will provide program participants and community partners with accurate and up to date MOUD information by collaborating with local MOUD providers to stay updated on the MOUD access landscape. The LHJ will attend community collaboration meetings and maintain relationships with network of MOUD providers. The LHJ will conduct a survey of SSP participants to collect information about their experience or perception of low-threshold MOUD access in Mason County and share results with MOUD providers to encourage reducing barriers. 4. OD2A-S 8.2.3 The LHJ will distribute drug checking supplies at weekly outreach locations through Mason County including through fixed mobile sites, street/encampment outreach, home service, and to other community members as requested. The LHJ will also provide the Transit Center Overdose prevention outreach table with test strips. The LHJ will stay updated on statewide and local drug trends and produce and disseminate education on safer use strategies. This will include instructions for how to use various drug checking supplies and the benefits and limitations of each. The LHJ will stay updated on drug use trends by using information shared by statewide drug checking programs, attending meetings and webinars centered around drug-checking, tracking fatal overdose toxicology data via coroner reports, and communicating with EMS around witnessed trends. Progress report update on staying updated on statewide and local drug trends and the production and distribution of education on safer use strategies. 5. OD2A-S 8.3.1 The LHJ will aim to improve social norms related to harm reduction strategies and increase awareness of and access to harm reduction/overdose prevention Progress report update on engaging community partners and distributing education and materials to agencies that work with PWUD. An update on the Page 8 of 18 Exhibit A, Statement of Work Page 4 of 6 Contract Number CLH31019-Amendment 21 Task # Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount resources. This will include information on wound care techniques and reducing communicable disease transmission. The LHJ will engage people who use drugs (PWUD) on tailored harm reduction strategies that meet their actual conditions of use and distribute resources and materials to all program participants at outreaches. The LHJ will engage community partners on common challenges and health issues PWUD face to reduce stigma, help inform their programs, and increase awareness of and access to harm reduction resources. This will include distributing harm reduction education to agencies that work with PWUD. The LHJ will create an Oral Health and Drug Use educational pamphlet that highlights how substance use is linked to key oral systemic health conditions (ex. cardiovascular disease, stroke risk, cancer, etc.) and shares harm reduction strategies to prevent such concerns. The LHJ will also distribute harm reduction supplies to participants. creation of the Oral Health and Drug Use educational pamphlet. 6. Maintain partnerships The LHJ will facilitate monthly provider meetings and attend relevant community housing and behavioral health meetings to increase cross-sector inter-agency collaboration, coordination, and communication of community navigators to increase linkages to care for people who use drugs. A progress report update on participation in community meetings and engagement with community navigators. 7. Maintain communication with DOH • The LHJ will meet virtually with the DOH contract manager on a monthly or quarterly basis. • When requested, the LHJ will join meetings with DOH and CDC OD2A-S project officers to provide updates on the implementation of the statement of work activities. • Monthly or quarterly meetings • Meetings with CDC as requested • Participate in quarterly calls with all grantees Page 9 of 18 Exhibit A, Statement of Work Page 5 of 6 Contract Number CLH31019-Amendment 21 Task # Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount • The LHJ will participate in quarterly calls with DOH and other recipients of this funding to share lessons learned, successes, and challenges. 8. Evaluation requirements The LHJ will engage in evaluation activities in the following ways: • Collect data on CDC performance measures to support DOH evaluation plan. • Provide answers to contextual performance measures questions. • Collaborate with the DOH evaluator on a Targeted Evaluation Project (TEP) that will provide a greater understanding of navigation activities. • Support other evaluation tasks as requested, to meet overall CDC evaluation requirements. DOH will provide a template for the collection of the following data: • Total number of harm reduction service encounters (e.g., in-person, mail, telephone, online) • Zip code where harm reduction services were provided (list “unknown” when location is unknown) • Total number of navigators located in a harm reduction setting or other setting • Number of referrals to harm reduction services for each race ethnicity • If possible, total number of hours spent by each navigator on linkage to care or referral efforts • Type of organization where naloxone was distributed (SSP, faith-based organizations, schools, etc.) • Zip code where naloxone was distributed (list “unknown” when unknown) • Number of naloxone doses distributed at each type of organization • Number of service encounters involving drug checking • Zip code for drug checking encounters (list “unknown” when unknown) • Number of referrals to MOUD for each race/ethnicity Page 10 of 18 Exhibit A, Statement of Work Page 6 of 6 Contract Number CLH31019-Amendment 21 Task # Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount • Number of referrals to behavioral health treatment only (without MOUD) for each race/ethnicity • Number of other referrals, if not to MOUD and behavioral health, with a description of the type of referral 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 s pent. 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 Billing Requirements: DOH awards funding through reimbursement-based billing. Invoices must be submitted monthly on an A19-1A invoice voucher. Due to tight timelines, itemized budgets were not included in this SOW. Itemized budgets will be included in the January amendment. The LHJ must receive written approval from DOH before making any changes to the SOW activities or itemized budget. Page 11 of 18 Exhibit A, Statement of Work Page 1 of 4 Contract Number CLH31019-Amendment 21 Exhibit A Statement of Work Contract Term: 2022-2024 DOH Program Name or Title: Office of Drinking Water Group A Program - Effective January 1, 2022 Local Health Jurisdiction Name: Mason County Public Health Contract Number: CLH31019 SOW Type: Revision Revision # (for this SOW) 7 Funding Source Federal Contractor State Other Federal Compliance (check if applicable) FFATA (Transparency Act) Research & Development Type of Payment Reimbursement Fixed Price Period of Performance: January 1, 2022 through December 31, 2024 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. DOH Chart of Accounts Master Index Title Master Index Code Assistance Listing Number BARS Revenue Code LHJ Fund Start Date ing Period End Date Current Allocation Allocation Change None Total Allocation SANITARY SURVEY FEES SS-STATE 24112522 N/A 346.26.65 01/01/22 12/31/24 39,800 0 39,800 YR 24 SRF - LOCAL ASST (15%) (FO-SW) SS 24239224 N/A 346.26.64 01/01/22 12/31/22 12,400 0 12,400 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 11,600 0 11,600 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 15,800 -15,800 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 15,800 15,800 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 81,600 0 81,600 Task # Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount 1 Trained LHJ staff will conduct sanitary surveys of small community and non- community Group A water systems identified by the DOH Office of Drinking Water (ODW) Regional Office. See Special Instructions for task activity. Provide Final* Sanitary Survey Reports to ODW Regional Office. Complete Sanitary Survey Reports shall include: 1. Cover letter identifying significant deficiencies, significant findings, observations, recommendations, and referrals for further ODW follow-up. Final Sanitary Survey Reports must be received by the ODW Regional Office within 30 calendar days of conducting the sanitary survey. Upon ODW acceptance of the Final Sanitary Survey Report, the LHJ shall be paid $400 for each sanitary survey of a non-community system with three or fewer connections. Upon ODW acceptance of the Final Sanitary Survey Report, the LHJ shall be paid $800 for each sanitary survey of a non-community Page 12 of 18 Exhibit A, Statement of Work Page 2 of 4 Contract Number CLH31019-Amendment 21 Task # Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount 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. 2. Completed Small Water System checklist. 3. Updated Water Facilities Inventory (WFI). 4. Photos of water system with text identifying features 5. Any other supporting documents. *Final Reports reviewed and accepted by the ODW Regional Office. system with four or more connections and each community system. Payment is inclusive of all associated costs such as travel, lodging, per diem. Payment is authorized upon receipt and 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 Purpose Investigations (SPI) of small community and non-community Group A water systems identified by the ODW Regional Office. See Special Instructions for task activity. Provide completed SPI Report and any supporting documents and photos to ODW Regional Office. Completed SPI Reports must be received by the ODW Regional Office within 2 working days of the service request. Upon acceptance of the completed SPI Report, the LHJ shall be paid $800 for each SPI. Payment is inclusive of all associated costs such as travel, lodging, per diem. 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 technical assistance (TA) to small community and non-community Group A water systems identified by the ODW Regional Office. See Special Instructions for task activity. Provide completed TA Report and any supporting documents and photos to ODW Regional Office. Completed TA Report must be received by the ODW Regional Office within 30 calendar days of providing technical assistance. Upon acceptance of the completed TA Report, the LHJ shall be paid for each technical assistance activity as follows: • Up to 3 hours of work: $250 • 3-6 hours of work: $500 • More than 6 hours of work: $750 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. Page 13 of 18 Exhibit A, Statement of Work Page 3 of 4 Contract Number CLH31019-Amendment 21 Task # Activity Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount 4 LHJ staff performing the activities under tasks 1, 2 and 3 attend periodic required survey training as directed by DOH. See Special Instructions for task activity. For training attended in person, prior to attending the training, submit an “Authorization for Travel (Non- Employee)” DOH Form 710-013 to the ODW Program Contact for approval (to ensure enough funds are available). Annually For training attended in person, LHJ shall be paid mileage, per diem, lodging, and registration costs as approved on the pre- authorization form in accordance with the current rates listed on the OFM Website http://www.ofm.wa.gov/resources/travel.asp 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 fede ral 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 Entit y 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. Se e 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 $79,600 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. Page 14 of 18 Exhibit A, Statement of Work Page 4 of 4 Contract Number CLH31019-Amendment 21 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 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 Surve y 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 4 surveys of non-community systems with three or fewer connections be completed between January 1, 2022 and December 31, 2022. • No more than 29 surveys of non-community systems with four or more connections and all community systems to be completed between January 1, 202 2 and December 31, 2022. • No more than 0 surveys of non-community systems with three or fewer connections be completed between January 1, 2023 and December 31, 2023. • No more than 29 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 11 surveys of non-community systems with three or fewer connections be completed between January 1, 2024 and December 31, 2024. • No more than 34 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 th e 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 activi ties 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. Page 15 of 18 Exhibit A, Statement of Work Page 1 of 3 Contract Number CLH31019-Amendment 21 Exhibit A Statement of Work Contract Term: 2022-2024 DOH Program Name or Title: Office of Immunization COVID-19 Vaccine - Effective January 1, 2022 Local Health Jurisdiction Name: Mason County Public Health Contract Number: CLH31019 SOW Type: Revision Revision # (for this SOW) 6 Funding Source Federal Subrecipient State Other Federal Compliance (check if applicable) FFATA (Transparency Act) Research & Development Type of Payment Reimbursement Fixed Price Period of Performance: January 1, 2022 through June 30, 2024 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 purpsoe of this revision is to remove funds. DOH Chart of Accounts Master Index Title Master Index Code Assistance Listing Number BARS Revenue Code LHJ Fund Start Date ing Period End Date Current Allocation Allocation Change Decrease (–) Total Allocation COVID19 Vaccines R4 74310259 93.268 333.93.26 01/01/22 06/30/24 354,803 -354,803 0 COVID 19 CDC Vaccines 74310236 93.268 333.93.26 01/01/22 06/30/24 354,803 -354,803 0 0 0 0 0 0 0 0 0 0 0 0 0 TOTALS 709,606 -709,606 0 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 outreac h, 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 in your community, using the examples below as a guideline. Example 1: Develop and implement communication strategies 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. Summary of the engagement strategies to be used with health care providers and other partners, and the locally identified population to be reached. January 31, Annually Reimbursement for actual costs incurred, not to exceed total funding consideration amount. Page 16 of 18 Exhibit A, Statement of Work Page 2 of 3 Contract Number CLH31019-Amendment 21 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, working with health care providers and other partners to reach the locally identified population, support providers in vaccination plans, and support equitable access to vaccination services. Written report describing activity/activities and progress made to- date and strategies used (template to be provided) June 30, Annually Reimbursement for actual costs incurred, not to exceed total funding consideration amount. 3.C Catalog activities and conduct an evaluation of the strategies used Written report, showing the strategies used and the final progress of the reach (template to be provided) June 30, annually Reimbursement for actual costs incurred, not to exceed total funding consideration amount. 3.D As needed to meet community needs, expand operations to increase vaccine throughput (i.e., providing vaccinations during evenings, overnight, and on weekends) or adjust vaccine delivery approaches to optimize access. Activities may include 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) Reports summarizing quantity, type, and frequency of activities December 31 and June 30, annually Reimbursement for actual costs incurred, not to exceed total funding consideration amount. 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 Entit y 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. Page 17 of 18 Exhibit A, Statement of Work Page 3 of 3 Contract Number CLH31019-Amendment 21 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/foli os, lanyards, magnets, conference bags) • Purchase of food/meals (unless part of required travel per diem costs) • Vehicle Purchase Page 18 of 18