2015-2017 CONSOLIDATED CONTRACT

ACTIVITY TRACKING LOG

LOCAL HEALTH JURISDICTION:Lewis County Health Department

Contract # C17116

ContractActivity/Description / Amendment
Number / Date Sent
to LHJ / Exhibit A Statement of Work Program Name or Title / Date
Fully Executed
Amendment
Final / 15 / 10/31/17 / FPHS Communicable Disease & Support Capabilities – Effective July 1, 2017 (Rev.1)
Maternal & Child Health Block Grant – Effective January 1, 2015 (Rev.4) / 12/12/17
Amendment / 14 / 09/18/17 / Emergency Preparedness & Response – Effective July 1, 2017 (New)
FPHS Communicable Disease & Support Capabilities – Effective July 1, 2017 (New)
Supplemental Nutrition Assistance Program-Education – Effective October 1, 2017 (New)
WIC Nutrition Program – Effective January 1, 2015 (Rev.11) / 10/11/17
Amendment / 13 / 07/10/17 / Office of Immunization & Child Profile – Effective January 1, 2017 (Rev.2) / 08/18/17
Amendment / 12 / 05/05/17 / Office of Immunization & Child Profile – Effective January 1, 2017 (Rev.1)
Office of Immunization & Child Profile-Diamond Project – Effective January 1, 2017 (New)
WIC Nutrition Program – Effective January 1, 2015 (Rev.10) / 06/19/17
Amendment / 11 / 03/01/17 / Emergency Preparedness & Response – Effective July 1, 2016 (Rev.1)
WIC Nutrition Program – Effective January 1, 2015 (Rev.9) / 03/15/17
Amendment / 10 / 01/13/17 / Maternal & Child Health Block Grant – Effective January 1, 2015 (Rev.3)
Office of Drinking Water Group A Program – Effective January 1, 2015 (Rev.2)
Office of Drinking Water Group B Program – Effective January 1, 2017 (New)
Office of Immunization & Child Profile – Effective January 1, 2017 (New)
WIC Nutrition Program – Effective January 1, 2015 (Rev.8) / 02/22/17
Amendment / 9 / 08/30/16 / Emergency Preparedness & Response – Effective July 1, 2016 (New)
Maternal & Child Health Block Grant – Effective January 1, 2015 (Rev.2)
Supplemental Nutrition Assistance Program-Education – Effective October 1, 2016 (New)
SNAP-Education Health Outcomes Project – Effective October 1, 2016 (New)
WIC Nutrition Program – Effective January 1, 2015 (Rev.7) / 09/19/16
Amendment / 8 / 06/16/16 / WIC Nutrition Program – Effective January 1, 2015 (Rev.6) / 07/15/16
Amendment / 7 / 04/22/16 / Emergency Preparedness & Response – Effective July 1, 2015 (Rev.2) / 05/12/16
Amendment / 6 / 02/29/16 / Emergency Preparedness & Response – Effective July 1, 2015 (Rev.1)
Office of Drinking Water Group A Program – Effective January 1, 2015 (Rev.1)
WIC Nutrition Program – Effective January 1, 2015 (Rev.5) / 03/16/16
Amendment / 5 / 01/11/16 / Office of Immunization & Child Profile – Effective January 1, 2016 (New)
OICP-Prevention & Public Health Funds (PPHF) VTrckS-IIS – Effective December 1, 2015 (New)
WIC Nutrition Program – Effective January 1, 2015 (Rev.4) / 02/10/16
Amendment / 4 / 09/01/15 / Emergency Preparedness & Response – Effective July 1, 2015 (New)
Maternal & Child Health Block Grant – Effective January 1, 2015 (Rev.1)
Office of Drinking Water Source Water Protection Program – Effective July 1, 2015 (New)
Supplemental Nutrition Assistance Program-Education – Effective October 1, 2015 (New)
SNAP-Ed Health Outcomes Project – Effective October 1, 2015 (New)
WIC Nutrition Program – Effective January 1, 2015 (Rev.3) / 09/16/15
Amendment / 3 / 06/22/15 / Supplemental Nutrition Assistance Program-Education Health Outcomes – Effective January 1, 2015 (Rev.2)
WIC Nutrition Program – Effective January 1, 2015 (Rev.2) / 07/16/15
Amendment / 2 / 04/16/15 / Emergency Preparedness & Response – Effective January 1, 2015 (Rev.2)
Supplemental Nutrition Assistance Program-Education Health Outcomes – Effective January 1, 2015 (Rev.1)
WIC Nutrition Program – Effective January 1, 2015 (Rev.1) / 05/15/15
Amendment / 1 / 02/27/15 / Emergency Preparedness & Response – Effective January 1, 2015 (Rev.1)
Healthy Communities-Healthy Eating Active Living – Effective January 1, 2015 (New)
Supplemental Nutrition Assistance Program-Education Health Outcomes – Effective January 1, 2015 (New) / 03/11/15
2015-2017 Contract
Initial SOW’s / N/A / 11/28/14 / Emergency Preparedness & Response – Effective January 1, 2015
Maternal & Child Health Block Grant – Effective January 1, 2015
Office of Drinking Water Group A Program – Effective January 1, 2015
Office of Immunization & Child Profile – Effective January 1, 2015
WIC Nutrition Program – Effective January 1, 2015 / 12/18/14

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Note: (New) = Original SOW

(Rev.x) = SOW Revision #