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Attachment D <br /> Coronavirus Relief Fund <br /> A-19 Activity Report <br /> Report Period: <br /> Previously Current Total <br /> Eligible Expenditures Reported Expenditures Cumulative Brief Description of Use of Funds <br /> Expenditures this Invoice Expenditures <br /> 1 Medical Expenses <br /> A. Public hospitals,clinics,and similar facilities $ - -$ - $ - <br /> B. Temporary public medical facilities&increased capacity $ - $ - $ - <br /> C. COVID-19 testing,including serological testing $ - $ - $ - <br /> D. Emergency medical response expenses $ - $ - $ - <br /> E. Telemedicine capabilities $ - $ - $ - <br /> F. Other: $ - $ - $ - <br /> Sub-Total: $ - $ - $ - <br /> 2 Pub&Health Expenses <br /> A. Communication and enforcement of public health measures $ - $ - $ - <br /> B. Medical and protective supplies,including sanitation and PPE $ - $ - $ - <br /> C. Disinfecting public areas and other facilities $ - $ - $ - <br /> D. Technical assistance on COVID-19 threat mitigation $ - $ - $ - <br /> E. Public safety measures undertaken $ - $ - $ - <br /> F. Quarantining individuals $ - $ - $ - <br /> G. Other: $ - $ - $ - <br /> Sub-Total: $ - $ - $ - <br /> 3 Payroll expenses for pubic employees dedicated to COVID-19 <br /> A Public Safety $ - $ - $ <br /> B. Public Health $ - $ - $ - <br /> C. Health Care $ - $ - $ - <br /> D. Human Services $ - $ - $ - <br /> E Economic Development $ - $ - - $ - <br /> F. Other $ - $ - $ - <br /> Sub-Total: $ - $ - $ - <br /> A Expenses to facitate compliance with COVID-19-measures <br /> A. Food access and delivery to residents $ - $ - $ - <br /> B. Distance learning tied to school closings $ - $ - S - <br /> C. Telework capabilities of public employees $ - $ - $ - <br /> D. Paid sick and paid family and medical leave to public employee$ - $ - $ - <br /> E. COVID-19-related expenses in county jails $ - $ - $ - <br /> F. Care and mitigation services for homelesspopulations $ - $ - $ - <br /> G. Other: $ - $ - $ - <br /> Sub-Total: $ - $ - S - <br /> 5 Economic Supports <br /> A. Small Business Grants for business interruptions $ - $ - $B. Payroll Support Programs $ - $ - $ - <br /> C. Other: $ - $ - $ - <br /> Sub-Total: $ - $ - $ - <br /> 6 Other COVID-19 Expenses <br /> A- Other $ - $ - $ - <br /> B. Other 5 - $ - $ - <br /> C. Other. $ - $ - $ - <br /> D. Other. $ - $ - $ - <br /> E. Other: $ - $ - $ - <br /> Sub-Total: $ - $ - $ - <br /> TOTAL: $ - $ - $ - <br /> State of Washington Interagency Agreement Version 072019 <br /> Department of Commerce Page 16 <br />