Submission of Invoice Vouchers. On a monthly basis, the CONTRACTOR shall submit correct A19-1A invoice vouchers amounts billable to DOH under this statement of work. All A19-1A invoice vouchers must be submitted by the 25th of the following month.
Submission of Invoice Vouchers. On a monthly basis, the LHJ shall submit correct A19-1A invoice vouchers amounts billable to DOH under this statement of work. All A19-1A invoice vouchers must be submitted by the 25th of the following month. Month of A19-1A Invoice A19-1A Invoice Due Date January 1-31, 2018 February 25, 2018 February 1-29, 2018 March 25, 2018 March 1-31, 2018 April 25, 2018 April 1-30, 2018 May 25, 2018 May 1-31, 2018 June 25, 2018 June 1-30, 2018 July 25, 2018 July 1-31, 2018 August 25, 2018 August 1-31, 2018 September 25, 2018 September 1-30, 2018 October 25, 2018 October 1-31, 2018 November 25, 2018 November 1-30, 2018 December 25, 2018 December 1-31, 2018 January 31, 2019 The LHJ shall use and adhere to the DOH Infectious Disease Reimbursement Guidelines and Forms when submitting A19-1A invoice voucher payment requests to DOH.
Submission of Invoice Vouchers. On a monthly basis, the LHJ shall submit correct A19-1A invoice vouchers amounts billable to DOH under this contract.
Submission of Invoice Vouchers. On a monthly basis, the CONTRACTOR shall submit complete and correct A19 invoice vouchers amounts billable to DOH under this statement of work and Expense Summary backup form. All A19 invoice vouchers must be submitted by the 25th of the following month. • The CONTRACTOR must provide all backup documentation as required based on the assigned risk level. Risk assessments are completed at the beginning of a new contract. Contact your contract manager if you are unaware your assigned risk level. • DOH may ask for additional backup information to pay invoices based on the needs of the funding sources supporting the work.
Submission of Invoice Vouchers. On a monthly basis, the CONTRACTOR shall submit complete and correct A19 invoice vouchers amounts billable to DOH under this statement of work and Expense Summary backup form. All A19 invoice vouchers must be submitted by the 25th of the following month. • The CONTRACTOR must provide all backup documentation as required based on the assigned risk level. Risk assessments are completed at the beginning of a new contract. Contact your EXHIBIT A STATEMENT OF WORK DOH CONTRACT HSP28112-0 HMC Madison Clinic contract manager if you are unaware your assigned risk level. • DOH may ask for additional backup information to pay invoices based on the needs of the funding sources supporting the work.
Submission of Invoice Vouchers. On a quarterly basis, the contractor shall submit correct A19-1A invoice vouchers amounts billable to Washington State Department of Health under this contract.
Submission of Invoice Vouchers. On a monthly basis, the LHJ shall submit correct A19-1A invoice vouchers amounts billable to DOH under this statement of work. All invoice vouchers must be submitted by the 25th of the following month. The LHJ shall use and adhere to the DOH Infectious Disease Reimbursement Guidelines and Forms when submitting invoice voucher payment requests to DOH. DOH Fiscal Contact DOH Program Contact Xxxx Xxxxxxxxx Xxxxx Xxxxx DOH, Infectious Disease Operations Unit DOH, Infectious Disease Prevention PO Box 47840, Olympia, WA 98504-7841 PO Box 47841, Olympia, WA 00000-0000 000-000-0000/Fax: 000-000-0000 000-000-0000/Fax: 000-000-0000 Xxxx.Xxxxxxxxx@xxx.xx.xxx Xxxxx.Xxxxx@xxx.xx.xxx Exhibit A, Statements of Work Page 15 of 35 Contract Number CLH18261-16 Revised as of May 15, 2020 Exhibit A Statement of Work Contract Term: 2018-2020 DOH Program Name or Title: Office of Immunization & Child Profile-Perinatal Hepatitis B - Effective July 1, 2020 Funding Source Federal Subrecipient State Other Federal Compliance (check if applicable) Type of Payment Reimbursement Fixed Price FFATA (Transparency Act) Research & Development SOW Type: Original Revision # (for this SOW) Period of Performance: July 1, 2020 through December 31, 2020 AMENDMENT #16 Local Health Jurisdiction Name: Snohomish Health District Contract Number: CLH18261 Statement of Work Purpose: The purpose of this statement of work is to define required Perinatal Hepatitis B activities, deliverables, and funding Revision Purpose: N/A Chart of Accounts Program Name or Title CFDA # BARS Revenue Code Master Index Code Funding Period (LHJ Use Only) Start Date End Date Current Consideration Change Increase (+) Total Consideration FFY21 PPHF Ops 93.268 333.93.26 74310206 07/01/20 12/31/20 0 10,750 10,750 TOTALS 0 10,750 10,750 Task Number Task/Activity/Description *May Support PHAB Standards/Measures Deliverables/Outcomes Due Date/Time Frame Payment Information and/or Amount
