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Exhibit A <br /> Everett Fire Department <br /> Statement of Work <br /> In support of the Washington State Department of Health Fire Injury Prevention Project, the contractor <br /> will: <br /> • Attend Recipients Training. DOH will reimburse contractor for travel expenses in accordance with <br /> the rates allowed for State of Washington employees as regulated by the Office of Financial <br /> Management. <br /> • Partner with community based organizations to identify proposed alarm recipients. Identify and <br /> target high-risk populations for fire injury prevention within the community. <br /> • Distribute & install 300 smoke alarms or equivalent value in alarms for the hard of hearing <br /> (approximate value of $3,000.) into the homes/apartments/dwellings of the identified target <br /> population by September 1, 2004. The Department of Health will provide 300 alarms to be <br /> shipped to the address identified by the Contractor. Install alarms according to NFPA 72 <br /> standards. <br /> • Provide education to the alarm recipients on basic fire injury prevention, alarm operation and <br /> maintenance and fire escape planning. Assist homeowners to identify an escape plan. <br /> • Provide ongoing management of this project until completed. <br /> Deliverables: <br /> • Submit monthly reports to the Department of Health. Reports are due the 15th of each month, <br /> January thru August 2004. The final report is due on August 15, 2004 or when all alarms provided <br /> through this contract are installed. (Exhibit B) <br /> • Submit A-19 for payment in February. Final Payment is payable on August 30, 2004 or before if all <br /> alarms provided by this contract are installed and all reports submitted. <br /> Month of Activity Deliverable Due Date Reimbursement on <br /> A-19 <br /> January Monthly Report &A-19 February 15, 2004 $1,000 <br /> February Monthly Report March 15, 2004 <br /> March Monthly Report April 15, 2004 <br /> April Monthly Report May 15, 2004 <br /> May Monthly Report June 15, 2004 <br /> June Monthly Report July 15, 2004 <br /> July Monthly Report & A-19 August 15, 2004 $500. <br /> Funds cannot be used for purchase of technology or office equipment. <br /> Funds must be billed by November 30, 2004 and must not exceed$1,500. <br /> The final payment will be released after receipt and approval of the final report in August 2004. <br /> Department of Health shall reimburse the Contractor for allowable costs up to the maximum <br /> reimbursement level for each of the deliverables as detailed above. The total reimbursement to the <br /> Contractor for services provided under this contract shall not exceed $1,500. <br /> DOH N12437 12 9 13 1/8/2004 <br />