2015-2017 CONSOLIDATED CONTRACT

ACTIVITY TRACKING LOG

LOCAL HEALTH JURISDICTION: NE Tri-County Health District

Contract # C17119

Contract Activity/Description / Amendment
Number / Date Sent
to LHJ / Exhibit A Statement of Work Program Name or Title / Date
Fully Executed /
Amendment
Final / 16 / 10/31/17 / FPHS Communicable Disease & Support Capabilities – Effective July 1, 2017 (Rev.1)
Maternal & Child Health Block Grant - Effective January 1, 2015 (Rev.8) / 11/06/17
Amendment / 15 / 09/19/17 / Emergency Preparedness & Response – Effective July 1, 2017 (New)
FPHS Communicable Disease & Support Capabilities – Effective July 1, 2017 (New)
Office of Drinking Water Group A Program - Effective January 1, 2015 (Rev.7)
WIC Nutrition Program - Effective January 1, 2015 (Rev.11) / 09/25/17
Amendment / 14 / 07/10/17 / Office of Immunization & Child Profile - Effective January 1, 2017 (Rev.2) / 07/18/17
Amendment / 13 / 05/05/17 / Office of Drinking Water Group A Program - Effective January 1, 2015 (Rev.6)
Office of Drinking Water Group B Program - Effective January 1, 2017 (New)
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) / 05/11/17
Amendment / 12 / 03/01/17 / WIC Nutrition Program - Effective January 1, 2015 (Rev.9) / 03/07/17
Amendment / 11 / 01/13/17 / Maternal & Child Health Block Grant - Effective January 1, 2015 (Rev.7)
Office of Drinking Water Group A Program - Effective January 1, 2015 (Rev.5)
Office of Immunization & Child Profile - Effective January 1, 2017 (New)
WIC Nutrition Program - Effective January 1, 2015 (Rev.8) / 01/23/17
Amendment / 10 / 10/13/16 / Office of Drinking Water Group A Program - Effective January 1, 2015 (Rev.4) / 01/23/17
Amendment / 9 / 08/31/16 / Emergency Preparedness & Response - Effective July 1, 2016 (New)
Maternal & Child Health Block Grant - Effective January 1, 2015 (Rev.6)
WIC Nutrition Program - Effective January 1, 2015 (Rev.7) / 09/06/16
Amendment / 8 / 06/23/16 / Maternal & Child Health Block Grant - Effective January 1, 2015 (Rev.5)
Office of Drinking Water Group A Program - Effective January 1, 2015 (Rev.3)
WIC Nutrition Program - Effective January 1, 2015 (Rev.6) / 06/27/16
Amendment / 7 / 04/22/16 / Maternal & Child Health Block Grant - Effective January 1, 2015 (Rev.4)
Office of Drinking Water Group A Program - Effective January 1, 2015 (Rev.2) / 04/27/16
Amendment / 6 / 02/26/16 / Maternal & Child Health Block Grant - Effective January 1, 2015 (Rev.3)
Office of Drinking Water Group A Program - Effective January 1, 2015 (Rev.1)
WIC Nutrition Program - Effective January 1, 2015 (Rev.5) / 04/27/16
Amendment / 5 / 01/07/16
revised/resent
01/14/16 / Family Planning – Effective January 1, 2016 (New)
Office of Immunization & Child Profile - Effective January 1, 2015 (Rev.1)
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) / 01/19/16
Amendment / 4 / 08/31/15 / Emergency Preparedness & Response - Effective July 1, 2015 (New)
Maternal & Child Health Block Grant - Effective January 1, 2015 (Rev.2)
WIC Nutrition Program - Effective January 1, 2015 (Rev.3) / 09/04/15
Amendment / 3 / 06/22/15 / WIC Nutrition Program - Effective January 1, 2015 (Rev.2) / 06/24/15
Amendment / 2 / 04/16/15 / WIC Nutrition Program - Effective January 1, 2015 (Rev.1) / 04/20/15
Amendment / 1 / 02/27/15 / Family Planning – Effective January 1, 2015 (Rev.1)
Maternal & Child Health Block Grant - Effective January 1, 2015 (Rev.1) / 03/05/15
2015-2017 Contract
Initial / N/A / 11/28/14 / Emergency Preparedness & Response - Effective January 1, 2015
Family Planning – 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 / 12/10/14

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Note: (New) = Original SOW

(Rev.x) = SOW Revision #