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Attachment D <br /> Coronavirus Relief Fund <br /> A-19 Activity Report <br /> Report Pad:r 1 <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 110.95twseitals_clinics‘and fa similarcilities $ - $ - $ - <br /> B. Temporary public medical facilities&increased capacity $ - $ - $ - <br /> C. COVID-19 testing,including serological testing $ - $ - $ - <br /> D. Emerpncy medical response expenses $ - $ - $ - <br /> E. Telemdicine capabilities $ - $ - $ - <br /> F. Other: $ - 5 - $ - <br /> Sub-Total: $ - S - $ - <br /> 2 Public Health Expenses <br /> A. Cm omunication and enforcement of public health measures $ - $ - 5 - <br /> B. Medical and protective supplies,includi sanitation and PPE $ - $ - 5 - <br /> C. Disinfe_tingpublic areas and other facilities $ - $ - 5 - <br /> D. Technical assistance on COVID-19 threat mitigation $ - $ - $ - <br /> E. Public safety measures undertaken $ - $ - $ - <br /> F. Quaraetlningindividuals $ - $ - $ - <br /> G. Other: $ - $ - 5 - <br /> Sub-Total: $ - $ - $ - <br /> 3 Payrol expenses for public employees dedicated tocOVtD-19 <br /> A Public Safety $ - 5 - 5 - <br /> B. Public Health $ - $ - $ - <br /> C. Health Care $ - $ - $ - <br /> D. Human Services $ - $ - $ - <br /> E. Economic Development $ - $ - $ - <br /> F. Other. $ - $ - $ - <br /> Sub-Total: $ - S - $ - <br /> 4 Expenses tofac/tate compliance with COVID-19-measures <br /> A. Food access and delivery to residents $ - $ - $ - <br /> B. Distance learning tied to school closings $ - $ - $ - <br /> C. Telework capabilitiesofpublic employees $ - $ - $ - <br /> D. Paid sick and pa id family and medical leave to public employer$ - $ - $ - <br /> E. COVID-19-related expenses in counttitails $ - $ - $ - <br /> F. Care and mitiption services for homelesspopulations $ - $ - $ - <br /> G. Other: $ - $ - $ - <br /> Sub-Total: $ S - S - <br /> S Economic Supports <br /> A. Small Business Grants for business interruptions $ - $ - $ - <br /> B. Payroll Support Programs $ - $ - $ - <br /> C. Other: $ - $ - $ - <br /> Sub-Total: $ - $ - $ - <br /> 6 Other COVID-19 Expenses <br /> A Other: $ - $ - $ <br /> B. Other. •$ - $ - $ - <br /> C. Other. $ - $ - $ <br /> D. Other: i § - $ - $ • <br /> E. Other: . $ - $ - $ - <br /> Sub-Total: $ - $ - $ - <br /> TOTAL: $ - $ - $ - <br /> State of Washington Interagency Agreement Version 072019 <br /> Department of Commerce Page 16 <br />