Prepared by the ND Department of Health and the Department of Commerce in conjunction with the Governor's Office - ND Response

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Prepared by the ND Department of Health and the
                   Department of Commerce in conjunction with the
                                   Governor’s Office

                      This response aims to protect the lives and livelihoods of
                       the citizens of North Dakota. The data and measures
                        that inform this plan will be monitored daily and the
                            recommendations will be updated as required.

                                        January 7, 2021
                                   VERSION 210106-15.1-07:45

ND Smart Restart                                                                   1
                                           Current as of 01/07/2021
Economic Reactivation
North Dakota faces the likely reality of significant economic disruption until herd immunity occurs or a vaccine and
treatment are discovered. These expected economic “stops and starts” could come in waves as the contagious path of the
virus picks its course. Without intervention, these interruptions will do tremendous harm to North Dakota businesses,
individuals, and families. For this reason, state leaders agree that the COVID-19 crisis is not a short-term problem, but
rather a new risk North Dakota must learn to manage.
Managing the public health risk requires the state to identify, contain, and mitigate the spread of the virus, while
simultaneously reactivating the economy step-by-step. Assessment, testing, proactive tracing, and field testing instruct
this process. Guided by a carefully developed operational dashboard and a color-coded health guidance system, the state
can focus public health measures on specific areas and individuals and avoid blunt, statewide economic disruptions.

Color-coded Health Guidance System
The state will provide specific direction to North Dakota residents and
businesses through a color-coded health guidance system.
The guidance system includes five levels of risk: red, orange, yellow, green, and
blue. Each level of guidance after red becomes progressively less restrictive
and more economically engaged. Every level protects public health and
outlines necessary mitigation strategies.
Each level is guided by a measurement system, based on criteria such as, but
not limited to, number of cases reported, positivity rates and testing capacity.
This allows community leaders, business leaders, policymakers and the general
public to safely determine when a different color of health guidance applies. North Dakotans should think of the guidance
system as a dial that can be turned up or down by area based on the health risk.
Red / Critical Risk is the area with the highest disease burden and level of significant and uncontrolled community
transmission, multiple outbreaks resulting in increased deaths, surge capacity of hospitals are threatened, and there is lack
of adequate PPE supplies available for healthcare workers. The most significant mitigation strategies are implemented at
the Red / Critical Risk level.
Orange / High Risk is the level of significant transmission and high risk for exposure due to widespread community
spread of infections. There are significant mitigation strategies in place emphasizing “Stay Home. Stay Healthy. Stay
Connected” (only essential work and travel is recommended, wear a face covering, avoid crowds and large gatherings).
Increased cleaning on high touch surfaces and avoid shared spaces at work or in public settings.
Yellow / Moderate Risk is the level of heightened exposure risk and transmission is controlled in these areas. Cases are
reported but contained by rapid testing and robust contact tracing. Social distancing and precautions are needed
(maintain six feet of distancing, avoid shaking hands, work from home when possible, reconsider unnecessary travel, wear
a face covering). Increased cleaning on high touch surfaces and cleanings on shared spaces should be routine.

2                                                                                                            ND Smart Restart
                                                      Current as of 01/07/2021
Green / Low Risk for exposure or transmission, low case counts are reported, public health and private health care are
able to safely diagnose, treat, and isolate COVID-19 cases and their contacts. During this level, businesses can reopen, and
much of normal life can begin to resume. However, physical distancing measures and limitations on gatherings will still be
recommended to prevent transmission from accelerating again. For older adults (those over age 65), those with underlying
health conditions, and other populations at heightened risk from COVID-19, continuing to limit time in the community will
be important. State and community leaders should prepare health alerts, communicate risk and symptoms, review plans,
prepare for public health capacity if needed for spikes in cases.
Blue / New Normal is when most normal activity can resume, with standard precautions and awareness of health
guidelines such as routine hand washing, stay home when sick, cover your cough, education, stockpiling, planning, routine
health alerts, etc. Monitoring for illness and outbreaks will continue. Even under new normal conditions, those found to be
ill will be asked to self-isolate and contacts will be asked to remain at home.
This color-coded guidance can be applied during the levels of ND Smart Restart to protect health, bolster confidence, and
provide more economic certainty. It is possible for one area of the state to be under the orange guidance and another
under the yellow. Figure 5 provides an explanation of the color-coded health guidance.
The color-coded guidance system was put together utilizing the hard work and framework created by the State of Utah
and modified to meet the needs of North Dakota under the leadership of the North Dakota Department of Commerce and
the North Dakota Department of Health to provide specific direction to North Dakota residents and businesses.
Each level recommends North Dakotans to adhere to ND Smart Restart Standards Across All Industries and these universal
standards:
          1. Common Sense and Personal Accountability – Public health guidance cannot anticipate every unique
             situation. Residents and businesses must take personal accountabliity to be informed and take actions based
             on common sense and wise judgment that will protect health and support economic reactivation.
          2. Protective Hygiene and Cleaning – North Dakotans must continue to practice good hygiene and cleaning
             regimens to minimize the risk of the virus. These include but are not limited to the following:
              • Stay home when sick
              • Wash hands with soap and water for at least 20 seconds as frequently as feasible
              • Use hand sanitizer after interactions with people or objects
              • Cough or sneeze into the sleeve or elbow, not hands
              • Clean high-touch surfaces (buttons, door handles, counters, etc.) regularly
              • Avoid touching your face
              • Use a face covering in public places where social distancing cannot be maintained
              • Refrain from hand shaking
          3. Follow Guidance – Public health and economic opportunity are intrinsically linked. North Dakotans must
             strictly follow the health guidance of each color or risk backtracking and causing greater harm.
          4. High-risk / Vulnerable Populations – High-risk populations and those around them must follow a specific
             set of instructions issued by the Governor, the North Dakota Department of Health and the North Dakota
             Department of Human Services.

With these universal standards in place, Figure 6 provides the general characteristics of each color of guidance.
Refinements to this guidance can, and most likely will, be made by the Governor with input from the North Dakota
Department of Commerce and the North Dakota Department of Health.
For greater detail on the protocols created for industries directly impacted by the Executive orders, please visit
BeLegendary.link/NDSmartRestart.

 ND Smart Restart                                                                                                          3
                                                      Current as of 01/07/2021
Guidance for Decision Making: North Dakota Health Criteria and Health Indicator Measures
The ND health criteria and health indicator measures will be used to guide decisions regarding county risk levels. The
Department of Health and the Governor’s Office, in conjunction with other state agencies, will use these measures to
provide a framework for decision making. Additional factors will be taken into consideration to determine the county risk
level on a recurring basis. Additional factors may include, but are not limited to, population density, hospitalization rates,
current active cases within a county, etc.

       Gating Criteria
                              Critical            High Risk             Moderate Risk       Low Risk           New Normal
           14 Day

    Active Cases/10K (14
                              Over 40               30-39                        20-29        10-19              10 or less
    Day Rolling Average)

     Tests/10K (14 Day
                             Under 20               21-30                        31-40        41-45             46 or more
     Rolling Average)

       14 Day Rolling
      Average Percent        Over 15%             10-14.99%                 5-9.99%         2-4.99%              Under 2%
       Positive Tests

4                                                                                                              ND Smart Restart
                                                      Current as of 01/07/2021
Figure 5: Risk Levels and Health Guidance
The color-coded health guidance system is designated by the State Health Officer and the Statewide Emergency
Operations Center (SEOC) with input from the North Dakota Economic Resiliency Team, North Dakota Department of
Commerce and the North Dakota Department of Health. The SEOC has access to a detailed dashboard of monitoring,
testing, and hospital utilization data. This data includes health, social, and economic measures. The guidance can be
applied anytime and anywhere to address virus flareups or hotspots.
This versatile system will help North Dakota manage the health and economic risk or until a medical solution is discovered.
It is possible and even likely that multiple guidance colors will be designated by region, county, city, or community at the
same time. It is also possible that areas within the state will move through this spectrum of orange to yellow to green to
blue and back again based on the characteristics of the virus and our actions. North Dakota has not reached the red level
and through monitoring and mitigation measures, does not plan to hit the critical stage.
The maps below show hypothetical examples of how the public health guidance colors could be applied.

                                             Figure 5. KEY
                                             Red means critical risk and severe threat to public health.
                                             Orange means high risk for everyone as well as high-risk individuals.
                                             Yellow means moderate risk for everyone but high-risk individuals.
                                             Green means low risk for everyone, but high-risk individuals.
                                             Blue means a new normal baseline for everyone but high-risk individuals.

In every color of guidance, high-risk individuals are asked to operate under specific instructions issued by the Governor
and the North Dakota Department of Health.

 ND Smart Restart                                                                                                           5
                                                     Current as of 01/07/2021
Figure 6: Industry Summary of Color-Coded Health Guidance
        Select Industry           Critical                     High Risk                            Moderate Risk                           Low Risk                       New Normal
                                                                                                                                 Employers are encouraged to
                                                                                                                                      allow flexible working
                                                                                                                                 arrangements (rotating shifts,
                                                      See DOH Essential Workers Fact Sheet*                                      remote, etc.). Pre-screen and
                                                                                                                                     monitor employees for
                               Employers of functioning critical infrastructure sectors exercise caution, with employees
                                                                                                                                    symptoms. Follow social
                               working remotely when possible, evaluating workforce concerns, implementing policies                                                       Operate under
                                                                                                                                 distancing guidelines. Ensure
                             informed by industry best practices, and enacting strategies to minimize economic impact.                                               heightened hygiene and
    Essential* Workplaces/                                                                                                       workers use face coverings in
                               Businesses that necessitate on-site work should pre-screen and monitor employees for                                                    cleaning standards.
        Manufacturing                                                                                                              accordance with CDC and
                              symptoms; comply with social distancing guidelines; ensure workers use face coverings in                                                Monitor employees for
                                                                                                                                  OSHA guidance and Smart
                             accordance with CDC and OSHA guidance and Smart Restart protocols; and follow cleaning                                                        symptoms.
                                                                                                                                    Restart protocols. Follow
                             guidelines. Restrict unnecessary visitors from entering the workplace. Encourage testing for
                                                                                                                                       cleaning guidelines.
                                       symptomatic employees and close contacts identified in the workplace.
                                                                                                                                      Encourage testing for
                                                                                                                                 symptomatic employees and
                                                                                                                                  close contacts identified in
                                                                                                                                          the workplace.
                                                        Only essential services are
                                                                                             Non-essential services may
                                                  recommended. Employers exercise
                                                                                             reopen. Employers exercise
                                                   caution, with employees working
                                                                                          caution, with employees working
                                                  remotely when possible, evaluating                                             Employers are encouraged to
                                                                                           remotely, evaluating workforce
                                                  workforce concerns, implementing                                                    allow flexible working
                                                                                               concerns, and enacting
                                                   policies informed by industry best                                            arrangements (rotating shifts,
                                                                                          strategies to minimize economic
                                                   practices, and enacting strategies                                            remote, etc.). Pre-screen and
                                                                                               impact. Businesses that
                                                     to minimize economic impact.                                                    monitor employees for
                              Only Essential                                                necessitate on-site work pre-
      General Employer                            Businesses that necessitate on-site,                                              symptoms. Follow social
                              Services Open                                                screen and monitor employees
      Standards for All                               essential work pre-screen and                                                   distancing guidelines.
                                                                                             for symptoms; comply with                                                    Operate under
         Industries                                monitor employees for symptoms;
                                                                                             social distancing guidelines;          Limit occupancy to 80%           heightened hygiene and
                              Shelter in Place        comply with social distancing
                                                                                            require use of face coverings;       capacity but no more than 300         cleaning standards.
                                                      guidelines; require use of face
      Specific Types of                                                                    and follow cleaning guidelines.                  persons.                 Monitor employees for
                              ~~~~~~~~~              coverings; and follow cleaning
     Employers expanded                                                                   Limit occupancy to 65% capacity            Strongly recommend or                symptoms.
                                                                guidelines.
           below             This is due to the                                            but no more than 200 persons.          require use of face coverings.
                                                    Limit occupancy to 50% capacity
                                    level of                                                 Restrict unnecessary visitors         Follow cleaning guidelines.
                                                     but no more than 150 persons.
                               significant and                                              from entering the workplace.              Encourage testing for
                                                   Restrict unnecessary visitors from
                                 uncontrolled                                                   Encourage testing for             symptomatic employees and
                                                  entering the workplace. Encourage
                                 widespread                                                 symptomatic employees and            close contacts identified in the
                                                  testing for symptomatic employees
                                  COVID-19                                                 close contacts identified in the                workplace.
                                                  and close contacts identified in the
                                disease across                                             workplace. Cancel work-related
                                                     workplace. Cancel work-related
                                the state that                                            gatherings (staff meetings, after-
                                                   gatherings (staff meetings, after-
                                  resulted in                                                      work functions).
                                                             work functions).
                             increased deaths,
                             surge capacity of                                              Curbside pickup, takeout, and
                               hospitals being                                               delivery options preferable.
                             threatened and a                                             Dine-in service limited to 65% of
                                                                                                                                  Employers are encouraged to
                              lack of adequate                                              normal capacity but no more
                                                                                                                                        allow flexible working
                                 PPE supplies                                              than 200 persons. No standing
                                                     Curbside pickup, takeout, and                                                arrangements (rotating shifts,
                                 available for                                              room options; dine-in seating
                                                  delivery is recommended. No dine-                                              remote, etc.). Dine-in service is
                                  healthcare                                                only. Customer self-service of
                                                  in service, no customer self-service                                                limited to 80% of normal
                                   workers.                                                food and beverage (salad bars,
                                                   and caution taken in food prep. If                                              capacity with caution but no
                                                                                          buffets, fountain drinks, coffee) is
                              ~~~~~~~~~              dine-in service is open, limit to                                                 more than 300 persons.
                                                                                              restricted following Smart
                                                     50% of normal capacity but no                                                 Standing room options may
                                                                                                   Restart protocols.
                                                       more than 150 persons. No                                                    be considered with caution            Operate under
                                                                                               Pre-screen and monitor
                                                       standing room options. No                                                       while maintaining social      heightened hygiene and
                                                                                              employees for symptoms;
                                                    customer self-service of food or                                              distancing. Limited customer         cleaning standards.
                                                                                            comply with social distancing
                                                      beverage (salad bars, buffets,                                                   self-service of food and      Monitor employees for
                                                                                            guidelines; require use of face
                                                  fountain drinks, coffee). Pre-screen                                            beverage (salad bars, buffets,          symptoms.
Restaurants, Bars & Food                                                                   coverings; and follow cleaning
                                                       and monitor employees for                                                   fountain drinks, coffee) may         Resume to normal
        Service                                                                                        guidelines.
                                                  symptoms, comply with guidelines                                               be considered following Smart       capacity and operations
                                                                                           Strongly recommend dine-in
                                                  for social distancing, require use of                                           Restart protocols. Pre-screen       (dance floors, standing,
                                                                                          seating customers follow CDC’s
                                                     face coverings, follow cleaning                                                and monitor employees for             blackjack) while
                                                                                             guidance for wearing face
                                                                guidelines.                                                      symptoms; comply with social        continuing to follow new
                                                                                          coverings before and after meal
                              Only Essential       Contactless payment encouraged.                                               distancing guidelines; strongly             protocols.
                                                                                                      service.
                              Services Open       Create a safe environment for staff.                                            recommend or require use of
                                                     No blackjack, gaming tables, or            Contactless payment                  face coverings; and follow
                                                  gaming machines. No use of hand-           encouraged. Blackjack and                   cleaning guidelines.
                                                   held entertainment or reservation          gaming tables are closed.
                                                                                                                                     Blackjack and gaming
                                                   notification devices. Dance floors     Limited use of gaming machines
                                                                                                                                    tables can resume with
                                                                are closed.                 may be considered following
                                                                                                                                 precautions taken for social
                                                                                           distancing guidance and Smart
                                                                                                                                 distancing while minimizing
                                                                                            Restart protocols. No use of
                                                                                                                                   transmissible moments.
                                                                                            hand-held entertainment or
                                                                                          reservation notification devices.
                                                                                               Dance floors are closed.

6                                                                                                                                                                         ND Smart Restart
                                                                                 Current as of 01/07/2021
;l,
         Select Industry          Critical                   High Risk                         Moderate Risk                        Low Risk                   New Normal
                                                                                        Employers exercise caution, with
                                                                                          employees working remotely
                                                                                                                                   Employers are
                                                   Employers exercise caution, with      when possible. Businesses that
                                                                                                                               encouraged to allow
                                                 employees working remotely when          necessitate on-site work pre-
                                                                                                                                  flexible working
                                                    possible, evaluating workforce    screen and monitor employees for
                                                                                                                             arrangements (rotating
                                                       concerns, managing risk,       symptoms. Non-essential services
                                                                                                                             shifts, remote, etc.). Pre-        Operate under
                                                 implementing policies informed by      may consider opening following
                                                                                                                               screen and monitor          heightened hygiene &
                                                industry best practices, and enacting     Smart Restart protocols with
                                                                                                                            employees for symptoms;          cleaning standards.
                                                   strategies to minimize economic         social distancing guidelines;
                                                                                                                                comply with social          Monitor employees for
  Retail* (Including grocery                     impact. Businesses that necessitate require use of face coverings; and
                                                                                                                              distancing guidelines;              symptoms.
     stores, C-stores &                         on-site work pre-screen and monitor follow cleaning guidelines. Restrict
                                                                                                                             strongly recommend or            Resume to normal
         pharmacies)                              employees for symptoms; comply unnecessary visitors from entering
                                                                                                                                require use of face         capacity of foodservice
                                                   with social distancing guidelines;  the workplace. Encourage testing
                               Only Essential                                                                                 coverings; and follow             operations while
                                                  require use of face coverings; and    for symptomatic employees and
                               Services Open                                                                                   cleaning guidelines.        continuing to follow new
                                                 follow cleaning guidelines. Restrict    close contacts identified in the
                                                                                                                                 Retail stores with                protocols.
                                                 unnecessary visitors from entering.     workplace. Cancel work-related
                                                                                                                             foodservice must follow
                                                 Retail stores with foodservice must   gatherings (staff meetings, after-
                                                                                                                             Smart Restart protocols
                                                  follow Smart Restart protocols for  work functions). Retail stores with
                                                                                                                             for restaurants and bars
                                                     restaurants and bars (above).       foodservice must follow Smart
                                                                                                                                       (above).
                                                                                        Restart protocols for restaurants
                                                                                                and bars (above).
                                                                                                                            Hotels with amenities such
                                                       Limited operations. Take                                                 as foodservice, fitness
                                                 precaution for staff & guests. No       Hotels with amenities such as        rooms, and recreational
                                                 customer self-service of food or      foodservice, fitness rooms, and      pool facilities follow Smart
                                                 beverage (continental breakfast,       recreational pool facilities may        Restart protocols. For      Operate under heightened
                                                 coffee). Pre-screen and monitor       resume following Smart Restart       gatherings, limit occupancy        hygiene & cleaning
                                                employees for symptoms, comply                     protocols.                   to 80% of rated room           standards. Monitor
                                                       with guidelines for social                                           capacity but no more than       employees for symptoms.
                                                                                      For gatherings, limit occupancy to
                                                   distancing, require use of face                                             stated in the ND Smart        Conventions and large
                                                                                       65% of rated room capacity but
                                                      coverings, follow cleaning                                              Restart Large Gathering       events are permitted with
                                                                                        no more than stated in the ND
                                                               guidelines.                                                  Tiered Capacity Document.         safety guidance and
                                                                                        Smart Restart Large Gathering
                                                For gatherings, limit occupancy to                                                                                 procedures.
                                                                                          Tiered Capacity Document.           Pre-screen and monitor
                                                 50% of rated room capacity but
                                                                                      Businesses that necessitate on-site    employees for symptoms;       Resume to normal capacity
                                                  no more than stated in the ND
        Hotel, Tourism, &                                                                work pre-screen and monitor             comply with social         of foodservice operations
                               Only Essential      Smart Restart Large Gathering
        Accommodations                                                                employees for symptoms; comply           distancing guidelines;       while continuing to follow
                               Services Open    Tiered Capacity Document. Cancel
                                                                                       with social distancing guidelines;     strongly recommend or        proper safety guidance and
                                                    gatherings of any size where
                                                                                      require use of face coverings; and         require use of face               procedures.
                                                distancing cannot be maintained.
                                                                                      follow cleaning guidelines. Cancel     coverings; follow cleaning
                                                       Dance floors are closed.
                                                                                         gatherings of any size where                guidelines.
                                                       Hotels with amenities of
                                                                                      distancing cannot be maintained.          Limit occupancy of
                                                       foodservice must follow
                                                                                            Dance floors are closed.             gatherings where
                                                   guidelines for restaurants and
                                                                                       Pools may open following social         distancing cannot be
                                                   bars. Amenities such as fitness
                                                                                         distancing guidelines, CDC                 maintained.
                                                    rooms, and recreational pool
                                                  facilities must follow guidelines   recommendations, aquatic health       Pools may open following
                                                        for fitness centers and           codes, and pool operator            social distancing, CDC
                                                    recreational pools and water                  protocols.               recommendations, aquatic
                                                                venues.                                                       health codes, and pool
                                                                                                                                operator protocols.
                                                                                                                            Expanded operations. Take
                                                                                      Limited operations. Take precaution      precaution for staff &
                                                                                         for staff & guests. Gatherings in      guests. Gatherings in
                                                                                           facilities can be up to 50% of   facilities can be up to 75%
                                                 For gatherings, limit occupancy       certified occupancy for that room     of certified occupancy for
                                                 to 25% of rated room capacity         but no more than stated in the ND that room but no more than
                                                                                                                                                         Operate under heightened
                                                 but no more than stated in the           Smart Restart Large Gathering       stated in the ND Smart    hygiene & cleaning standards.
                                                     ND Smart Restart Large                 Tiered Capacity Document.         Restart Large Gathering       Monitor employees for
                                                    Gathering Tiered Capacity          Businesses that necessitate on-site Tiered Capacity Document.
                                                                                                                                                           symptoms. Large groups
                               Only Essential   Document. Cancel gatherings of             work pre-screen and monitor      Strongly recommended or allowed such as festivals and
       Events & Gatherings
                               Services Open    any size where distancing cannot       employees for symptoms; comply require face coverings for all
                                                                                                                                                            sporting events. Mass
                                                         be maintained.                 with social distancing guidelines;    workers and attendees.      gatherings are permitted
                                                Require face coverings. Catering       require use of face coverings; and
                                                                                                                              Limit occupancy where     when following proper safety
                                                  and foodservice must follow          follow cleaning guidelines. Cancel
                                                                                                                           social distancing cannot be    guidance and procedures.
                                                   Smart Restart protocols for             gatherings of any size where
                                                                                                                                     maintained.
                                                restaurants and bars (see above).       distancing cannot be maintained.
                                                                                          Catering and foodservice must      Catering and foodservice
                                                                                       comply with restaurant and Smart must comply with restaurant
                                                                                          Restart protocols (see above).   Smart Restart protocols (see
                                                                                                                                        above).

      ND Smart Restart                                                                                                                                                                7
                                                                              Current as of 01/07/2021
Select Industry          Critical                  High Risk                            Moderate Risk                        Low Risk                      New Normal
                                               Personal care services may open if
                                              face coverings are required for both
                                                                                    Personal care services may consider Operate under strict hygiene
                                                   clients and staff. If necessary,
                                                                                      opening following Smart Restart            protocols.                      Operate under
                                                 increase 6-ft distance between
                                                                                       protocols. Operate under strict    Pre-screen and monitor                   heightened
  Personal Care Services                      workstations. Keep records of clients
                                                                                              hygiene protocols.         employees for symptoms;                   hygiene &
(Salons, Barbers, Tanning,                        for contact tracing purposes if
                                                                                    Pre-screen and monitor employees         comply with social                     cleaning
Tattoo/Body Art, Message                                needed. Set specific
                                                                                     for symptoms; comply with social      distancing guidelines;                  standards.
       Therapists)                              shopping/business hours for only
                                                                                     distancing guidelines; require use      require use of face                Monitor employees
                                                customers that are at higher risk.
                                                                                        of face coverings; and follow      coverings; and follow                  for symptoms.
                                                Screen clients and employees for
                                                                                             cleaning guidelines.           cleaning guidelines.
                                              symptoms that includes temperature
                             Only Essential
                                                              checks.
                             Services Open
                                                                                         Fitness centers, gyms and
                                                                                                                               Fitness centers, gyms and
                                                                                      indoor/outdoor sporting events
                                                                                                                           indoor/outdoor sporting events
                                                                                      may consider opening following
                                                                                                                           may open with social distancing
                                                                                          Smart Restart protocols.
                                                                                                                            protocols & cleaning guidance.
                                                                                           See DOH COVID-19
                                                                                                                                See DOH COVID-19
                                                                                       Recommendations for Sports.
                                                                                                                            Recommendations for Sports.
                                                                                     Limit number of people to 65% of
                                                                                                                             Limit number of people to 80%
                                                                                      rated occupancy of the facility or
                                                  See DOH COVID-19                                                         of rated occupancy of the facility
                                                                                     up to 200 people for using tracks,
                                              Recommendations for Sports.                                                     or up to 300 people for using
                                                                                           courts, fitness equipment,
                                                                                                                           tracks, courts, fitness equipment,
                                               For Fitness centers & gyms:            strength training, etc. Pre-screen
                                                                                                                           strength training, etc. Pre-screen
                                                 Face coverings required.                and monitor employees for
                                                                                                                                and monitor employees for
                                                Group fitness classes with              symptoms; comply with social
                                                                                                                              symptoms; comply with social
                                                high inhalation/exhalation           distancing guidelines; require use
                                                                                                                           distancing guidelines; require use
                                              exchange in confined spaces                of face coverings; and follow
                                                                                                                               of face coverings; and follow
                                               (e.g. high-impact aerobics,              cleaning guidelines. Coaches,
                                                                                                                               cleaning guidelines. Coaches,
                                              spin) are not recommended.             players not in play, and fans must
                                                                                                                           players not in play, and fans must    Operate under
                                                Limit number of people to             comply with guidelines for social
                                                                                                                           comply with guidelines for social       heightened
                                               50% of rated occupancy of             distancing. Require face coverings
                                                                                                                           distancing. Strongly recommend          hygiene &
                                                  the facility or up to 150               for coaches, staff and fans.
Fitness Centers / Gyms and                                                                                                  or require use of face coverings        cleaning
                                                  people for using tracks,           Require face coverings for players
      Sporting Events                                                                                                           for coaches, staff, and fans.      standards.
                                                courts, fitness equipment,             not in play. Enhanced cleaning
                                                                                                                            Strongly recommend or require       Monitor employees
                                                   strength training, etc.             protocols. Limit the number of
                                                                                                                            face coverings for players not in     for symptoms.
                                                Limit the number of fans and            fans and spectators to 65% of
                                                                                                                                  play. Enhanced cleaning
                             Only Essential      spectators to 50% of rated          rated occupancy of the facility but
                                                                                                                             protocols. Limit the number of
                             Services Open     occupancy of the facility but no        no more than ND Smart Restart
                                                                                                                              fans and spectators to 80% of
                                              more than stated in the ND Smart        Large Gathering Tiered Capacity
                                                                                                                              rated occupancy of the facility
                                               Restart Large Gathering Tiered                  Document (LINK)..
                                                                                                                                but no more than ND Smart
                                                     Capacity Document.                  Outdoor playgrounds and             Restart Large Gathering Tiered
                                               Pools follow guidelines for               sporting events may open               Capacity Document (LINK)..
                                                   fitness centers and                   following CDC guidelines.
                                                                                                                              Outdoor playgrounds and
                                              recreational pools and water             Cancel gatherings of any size          sporting events may open
                                                         venues                      where social distancing cannot be        following CDC guidelines.
                                                                                               maintained.
                                                                                                                             Limit occupancy where social
                                                                                     Hot tubs and saunas may operate       distancing cannot be maintained.
                                                                                       following protocols. Pools may
                                                                                                                           Hot tubs, pools, and saunas may
                                                                                     open following social distancing,
                                                                                                                           open following social distancing,
                                                                                      CDC recommendations, aquatic
                                                                                                                           CDC recommendations, aquatic
                                                                                      health codes, and pool operator
                                                                                                                           health codes, and pool operator
                                                                                        protocols. Close off gathering
                                                                                                                                      protocols.
                                                                                                    areas.
                                                                                          See DOH COVID-19
                                                                                      Recommendations for Sports.
                                                                                     Strict hygiene & reduced group               See DOH COVID-19
                                                                                     interactions. Monitor symptoms          Recommendations for Sports.
                                                                                          of staff. May open with               Strict hygiene. Monitor
                                                                                                                                                                See DOH COVID-
                                                                                      modifications to ensure visitors        symptoms of staff. Strongly
                                                                                                                                                                         19
                                                                                      can maintain social distancing,         recommend or require face
                                                                                                                                                                Recommendations
                                                                                         and practice proper hand               coverings, follow social
                                               Outdoor walking and biking                                                                                           for Sports.
                                                                                       hygiene. Require use of face              distancing guidance.
                                                 paths preferred. Monitor                                                                                         Operate under
                             Only Essential                                           coverings. Enhance cleaning of       Indoor/outdoor playgrounds and
    Parks and Recreational                        symptoms of staff. Face                                                                                           heightened
                             Services Open                                              public restrooms. Cancel or          sports may operate following
           facilities                           coverings required. Follow                                                                                          hygiene &
                                                                                     postpone events and gatherings         CDC guidelines. Limit occupancy
                                              guidance for fitness centers and                                                                                       cleaning
                                                                                      where social distancing cannot         where social distancing cannot
                                                         schools.                                                                                                   standards.
                                                                                               be maintained.                        be maintained.
                                                                                                                                                                Monitor employees
                                                                                    Outdoor playgrounds and sports          Pools may open following social        for symptoms.
                                                                                        may open following CDC                     distancing, CDC
                                                                                       guidelines. Pools may open          recommendations, aquatic health
                                                                                    following social distancing, CDC           codes, and pool operator
                                                                                       recommendations, aquatic                        protocols.
                                                                                    health codes, and pool operator
                                                                                                protocols.

8                                                                                                                                                                ND Smart Restart
                                                                              Current as of 01/07/2021
Select Industry           Critical                     High Risk                       Moderate Risk                       Low Risk                     New Normal
                                                                                          See child care provider
                                                  See child care provider guidance.                                       See child care provider
                                                                                                guidance.
                                                    May remain open for essential                                               guidance.                See child care provider
                                                                                            Enhanced cleaning and                                              guidance.
                                                   services. Enhanced cleaning and
                                                                                           distancing protocols. No
                                                       distancing protocols. No                                            Enhanced cleaning &             Operate under
                                                                                         symptomatic employees or
                                                     symptomatic children. Close                                         distancing protocols. No      heightened hygiene &
                                                                                       children. Congregate areas are
        Child Care                                  communal use spaces such as                                        symptomatic employees or         cleaning standards.
                                                                                        closed. Require employees to
                                                     cafeteria and playgrounds if                                      children. Stagger arrival and    Monitor children and
                                                                                         use face coverings. Maintain
                                                     possible, or stagger use and                                     drop off times. Employees are         employees for
                                                                                         enhanced social distancing.
                                                clean/disinfect between use. Stagger                                    strongly recommended or              symptoms.
                                                                                         Stagger arrival and drop off
                                                 arrival and drop off times. Require                                       required to wear face
                                                                                          times. Require use of face
                                                use of face coverings for employees.                                             coverings.
                                                                                          coverings for employees.

                                                     See Schools and University         See Schools and University      See Schools and University     See Schools and University
    Schools K-12 and
                                                             guidance                           guidance                        guidance                       guidance
      Universities

  Long Term Care, Basic
 Care, and Assisted Living                                    VP3 LINK                           VP3 LINK                       VP3 LINK                     VP3 LINK
           (VP3)

                                                                                       Stay Home. Stay Healthy. Stay
                                                   Stay Home. Stay Healthy. Stay                                          Use caution; avoid large
                                                                                         Connected. Avoid crowds.
                                                      Connected. Avoid crowds.                                          crowds when communities
                                                                                       Members of households with                                      Take every day public health
 Vulnerable Individuals in                          Members of households with                                           have resurgence of cases.
                             Shelter in place                                             vulnerable residents take                                    and hygiene precautions and
      public places                                   vulnerable residents take                                        Public places should strongly
                                                                                         precautions. Public places                                       stay home when sick.
                                                  precautions. Public places should                                     recommend or require face
                                                                                         should require use of face
                                                    require use of face coverings.                                               coverings.
                                                                                                 coverings.

Source: North Dakota Department of Health.

Further details on protocols created for individual industries available at BeLegendary.link/NDSmartRestart
If your business is not on this list, we thank you for exercising your best judgement and taking responsibility for keeping your
customers and employees healthy

  ND Smart Restart                                                                                                                                                                    9
                                                                              Current as of 01/07/2021
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