2015-2017 CONSOLIDATED CONTRACT

ACTIVITY TRACKING LOG

LOCAL HEALTH JURISDICTION: Grays Harbor County Public Health & Social Services Department

Contract # C17110

Contract Activity/ 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 / Family Planning - Effective April 1, 2017 (Rev.1)
FPHS Communicable Disease & Support Capabilities – Effective July 1, 2017 (Rev.1)
Maternal & Child Health Block Grant - Effective January 1, 2015 (Rev.5)
Suicide Prevention Works! – Effective September 30, 2015 (Rev.3) / 12/11/17
Amendment / 14 / 09/18/17 / Emergency Preparedness & Response – Effective July 1, 2017 (New)
FPHS Communicable Disease & Support Capabilities – Effective July 1, 2017 (New)
WIC Nutrition Program - Effective January 1, 2015 (Rev.12) / 09/28/17
Amendment / 13 / 07/10/17 / Maternal & Child Health Block Grant - Effective January 1, 2015 (Rev.4)
Recreational Shellfish Activities – Effective July 1, 2017 (New) / 08/15/17
Amendment / 12 / 05/03/17 / Family Planning - Effective April 1, 2017 (New)
Office of Drinking Water Group A Program - Effective January 1, 2015 (Rev.4)
Office of Drinking Water Group B Program - Effective January 1, 2017 (Rev.1)
WIC Nutrition Program - Effective January 1, 2015 (Rev.11) / 06/29/17
Amendment / 11 / 03/01/17 / BEACH Program – Effective February 28, 2017 (New)
WIC Nutrition Program - Effective January 1, 2015 (Rev.10) / 03/27/17
Amendment / 10 / 01/09/17 / Family Planning - Effective January 1, 2016 (Rev.1)
Maternal & Child Health Block Grant - Effective January 1, 2015 (Rev.3)
Office of Drinking Water Group A Program - Effective January 1, 2015 (Rev.3)
Office of Drinking Water Group B Program - Effective January 1, 2017 (New)
Recreational Shellfish Activities – Effective April 1, 2016 (Rev.1)
Suicide Prevention Works! – Effective September 30, 2015 (Rev.2)
WIC Nutrition Program - Effective January 1, 2015 (Rev.9) / 01/30/17
Amendment / 9 / 08/30/16 / Emergency Preparedness & Response - Effective July 1, 2016 (New)
Maternal & Child Health Block Grant - Effective January 1, 2015 (Rev.2)
WIC Nutrition Program - Effective January 1, 2015 (Rev.8) / 09/21/16
Amendment / 8 / 06/16/16 / Office of Drinking Water Group A Program - Effective January 1, 2015 (Rev.2)
Recreational Shellfish Activities – Effective April 1, 2016 (New)
Suicide Prevention Works! – Effective September 30, 2015 (Rev.1)
WIC Nutrition Program - Effective January 1, 2015 (Rev.7) / 07/21/16
Amendment / 7 / 04/22/16 / Office of Immunization & Child Profile - Effective January 1, 2016 (Rev.1)
WIC Nutrition Program - Effective January 1, 2015 (Rev.6) / 06/15/16
Amendment / 6 / 02/26/16 / BEACH Program – Effective February 29, 2016 (New)
Office of Drinking Water Group A Program - Effective January 1, 2015 (Rev.1)
WIC Nutrition Program - Effective January 1, 2015 (Rev.5) / 03/22/16
Amendment / 5 / 01/07/16 / Family Planning - Effective January 1, 2016 (New)
Office of Immunization & Child Profile - Effective January 1, 2016 (New)
OICP-Prevention & Public Health Funds (PPHF) VTrckS-IIS – Effective December 1, 2015 (New)
Suicide Prevention Works! – Effective September 30, 2015 (New)
WIC Nutrition Program - Effective January 1, 2015 (Rev.4) / 02/03/16
Amendment / 4 / 08/31/15 / Emergency Preparedness & Response - Effective July 1, 2015 (New)
Maternal & Child Health Block Grant - Effective January 1, 2015 (Rev.1)
Supplemental Nutrition Assistance Program-Education – Effective October 1, 2015 (New)
Title X Health Insurance Program - Effective January 1, 2015 (Rev.1)
WIC Nutrition Program - Effective January 1, 2015 (Rev.3) / 09/25/15
Amendment / 3 / 06/22/15 / Supplemental Nutrition Assistance Program-Education – Effective January 1, 2015 (Rev.2)
WIC Nutrition Program - Effective January 1, 2015 (Rev.2) / 09/08/15
Amendment / 2 / 04/16/15 / Emergency Preparedness & Response - Effective January 1, 2015 (Rev.1)
Supplemental Nutrition Assistance Program-Education – Effective January 1, 2015 (Rev.1)
WIC Nutrition Program - Effective January 1, 2015 (Rev.1) / 05/04/15
Amendment / 1 / 02/27/15 / BEACH Program – Effective March 1, 2015 (New)
Family Planning - Effective January 1, 2015 (Rev.1)
Healthy Communities-Healthy Eating Active Living – Effective January 1, 2015 (New)
Suicide Prevention Works! – Effective January 1, 2015 (New)
Supplemental Nutrition Assistance Program-Education – Effective January 1, 2015 (New) / 03/27/15
2015-2017 Contract
Initial SOW’s / 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
Title X Health Insurance Program - 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 #