Common use of Additional Grant Information Clause in Contracts

Additional Grant Information. DUNS: 194586517 Name: ▇▇▇▇▇▇ ▇▇▇▇▇ Name: ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ Title: _Acting Executive Commissioner Title: Division Manager Date of execution: July 11, 2018 Date of execution: July 10, 2018 I. GRANTEE RESPONSIBILITIES A. Implement and operate an immunization program for children, adolescents, and adults, with special emphasis on accelerating interventions to improve the immunization coverage of children three (3) years of age or younger (birth to 35 months of age). Grantee shall incorporate traditional and non-traditional systematic approaches designed to eliminate barriers, expand immunization capacity, and establish uniform operating policies, as described herein. B. Be enrolled as a provider in the Texas Vaccines for Children (“TVFC”) and the Adult Safety Net (“ASN”) Programs by the effective date of this Contract. This includes a signed Deputization Addendum Form (EF11-13999) and adherence to the TVFC Operations Manual, TVFC and ASN Provider Manual, and associated TVFC policy guidelines provided by the DSHS Immunization Unit, as amended (available at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/immunize/tvfc/tvfc_manual.shtm and ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/immunize/tvfc/publications.aspx). C. Comply with written policies and procedures provided by DSHS in managing vaccines supplied through the ASN and TVFC Programs, including guidelines for proper storage, handling, and safeguarding of vaccines in the event of natural disaster. Grantee will comply with all requirements laid out in the final, approved Work Plan, as amended and approved by DSHS. 1. Grantee will use the current vaccine management system as described in the 2. Grantee will notify ASN and TVFC providers of changes to vaccine storage and handling, vaccine management reporting, and present updates and training to providers, as requested by DSHS. 3. Grantee will plan and implement community-based activities and collaborations to accomplish the required tasks as specified in the final, approved FY19 Work Plan. D. Report all notifiable conditions as specified in Texas Administrative Code (“TAC”) Title 25, Part I §§ 97.1-97.6, as amended, and as otherwise required by law. E. Report all vaccine adverse event occurrences in accordance with the 1986 National Childhood Vaccine Injury Act (NCVIA) 42 U.S.C. § 300aa-25 (located at ▇▇▇▇://▇▇▇▇▇.▇▇▇.▇▇▇/ or 1-800-822-7967), as amended. F. Inform and educate the public about vaccines and vaccine-preventable diseases, as described in the FY19 Work Plan and in the DSHS Immunization Contractors Guide for Local Health Departments, as amended (located at G. Conduct outreach and collaborative activities with American Indian tribes located within the boundaries of the Grantee’s jurisdiction. H. Report outreach done, and collaborative efforts made, with the American Indian tribes in the Grantee’s jurisdiction, as directed by System Agency. I. Perform outreach and education activities targeting adolescents 14 to 18 years of age and their parents via healthcare providers, healthcare clinics, hospitals, and any other healthcare facility providing health care to adolescents 14 to 18 years of age to satisfy Texas Health and Safety Code Chapter 161, Subsection A, Section 161.0095 requirements, as amended. Outreach and education activities must focus on the immunization registry and the option for an individual who is 18 years of age or older to consent as an adult and have their childhood immunization records stored within the immunization registry for a lifetime. Additional outreach and educational activities may focus on high schools, colleges, and universities. J. Work to promote a healthcare workforce within the Grantee’s service area (including Grantee’s staff) that is knowledgeable about vaccines, vaccine safety, vaccine- preventable diseases, and delivery of immunization services. K. Not deny vaccinations to recipients because they do not reside within Grantee's jurisdiction or because of an inability to pay an administration fee. L. Comply with all applicable federal and state regulations and statutes, as amended, including but not limited to: 1. Human Resources Code §42.043, VTCA; 2. Education Code §§38.001-38.002, VTCA; 3. Health and Safety Code §§12.032, 81.023, and 161.001-161.009, VTCA; 4. TAC Title 25, Chapter 97; 5. TAC Title 25, Chapter 96; 6. TAC Title 25, Chapter 100;

Additional Grant Information. DUNS: 194586517 Name: Federal Award Identification Number (▇▇▇▇▇▇ ▇▇▇▇▇ Name): TBD Federal Award Date: ▇▇TBD Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD ▇▇▇▇▇ ▇▇▇▇▇▇▇ TitleName: _Acting Executive ▇▇▇ ▇▇▇▇▇▇ Associate Commissioner Title: Division Manager County Judge Date of execution: July 11June 20, 2018 Date of execution: July 10June 20, 2018 I. GRANTEE RESPONSIBILITIES A. Implement and operate an immunization program for children, adolescents, and adults, with special emphasis on accelerating interventions to improve the immunization coverage of children three (3) years of age or younger (birth to 35 months of age). Grantee shall incorporate traditional and non-traditional systematic approaches designed to eliminate barriers, expand immunization capacity, and establish uniform operating policies, as described herein. B. Be enrolled as a provider in the Texas Vaccines for Children (“TVFC”) and the Adult Safety Net (“ASN”) Programs by the effective date of this Contract. This includes a signed Deputization Addendum Form (EF11-13999) and adherence to the TVFC Operations Manual, TVFC and ASN Provider Manual, and associated TVFC policy guidelines provided by the DSHS Immunization Unit, as amended (available at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/immunize/tvfc/tvfc_manual.shtm and ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/immunize/tvfc/publications.aspx). C. Comply with written policies and procedures provided by DSHS in managing vaccines supplied through the ASN and TVFC Programs, including guidelines for proper storage, handling, and safeguarding of vaccines in the event of natural disaster. Grantee will comply with all requirements laid out in the final, approved FY19 Work Plan, as amended and approved by DSHS. 1. Grantee will use the current vaccine management system as described in the 2. Grantee will notify ASN and TVFC providers of changes to vaccine storage and handling, vaccine management reporting, and present updates and training to providers, as requested by DSHS. 3. Grantee will plan and implement community-based activities and collaborations to accomplish the required tasks as specified in the final, approved FY19 Work Plan. D. Report all notifiable conditions as specified in Texas Administrative Code (“TAC”) Title 25, Part I §§ 97.1-97.6, as amended, and as otherwise required by law. E. Report all vaccine adverse event occurrences in accordance with the 1986 National Childhood Vaccine Injury Act (NCVIA) 42 U.S.C. § 300aa-25 (located at ▇▇▇▇://▇▇▇▇▇.▇▇▇.▇▇▇/ or 1▇-800▇▇▇-822▇▇▇-7967▇▇▇▇), as amended. F. Inform and educate the public about vaccines and vaccine-preventable diseases, as described in the FY19 Work Plan and in the DSHS Immunization Contractors Guide for Local Health Departments, as amended (located at G. Conduct outreach and collaborative activities with American Indian tribes located within the boundaries of the Grantee’s jurisdiction. H. Report outreach done, and collaborative efforts made, with the American Indian tribes in the Grantee’s jurisdiction, as directed by System Agency. I. Perform outreach and education activities targeting adolescents 14 to 18 years of age and their parents via healthcare providers, healthcare clinics, hospitals, and any other healthcare facility providing health care to adolescents 14 to 18 years of age to satisfy Texas Health and Safety Code Chapter 161, Subsection A, Section 161.0095 requirements, as amended. Outreach and education activities must focus on the immunization registry and the option for an individual who is 18 years of age or older to consent as an adult and have their childhood immunization records stored within the immunization registry for a lifetime. Additional outreach and educational activities may focus on high schools, colleges, and universities. J. Work to promote a healthcare workforce within the Grantee’s service area (including Grantee’s staff) that is knowledgeable about vaccines, vaccine safety, vaccine- preventable diseases, and delivery of immunization services. K. Not deny vaccinations to recipients because they do not reside within Grantee's jurisdiction or because of an inability to pay an administration fee. L. Comply with all applicable federal and state regulations and statutes, as amended, including but not limited to: 1. Human Resources Code §42.043, VTCA; 2. Education Code §§38.001-38.002, VTCA; 3. Health and Safety Code §§12.032, 81.023, and 161.001-161.009, VTCA; 4. TAC Title 25, Chapter 97; 5. TAC Title 25, Chapter 96; 6. TAC Title 25, Chapter 100;

Additional Grant Information. DUNSFederal Award Identification Number (▇▇▇▇): TBD Federal Award Date: 194586517 NameTBD Name of Federal Awarding Agency: ▇Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD ▇▇▇▇▇ ▇▇▇▇▇▇▇ Name: ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ Title: _Acting Executive ▇, County Judge Associate Commissioner Title: Division Manager Date of execution: July 11, 2018 Date of execution: July 10, 2018DRAFT I. GRANTEE RESPONSIBILITIES A. Implement and operate an immunization program for children, adolescents, and adults, with special emphasis on accelerating interventions to improve the immunization coverage of children three (3) years of age or younger (birth to 35 months of age). Grantee shall incorporate traditional and non-traditional systematic approaches designed to eliminate barriers, expand immunization capacity, and establish uniform operating policies, as described herein. B. Be enrolled as a provider in the Texas Vaccines for Children (“TVFC”) and the Adult Safety Net (“ASN”) Programs by the effective date of this Contract. This includes a signed Deputization Addendum Form (EF11-13999) and adherence to the TVFC Operations Manual, TVFC and ASN Provider Manual, and associated TVFC policy guidelines provided by the DSHS Immunization Unit, as amended (available at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/immunize/tvfc/tvfc_manual.shtm and ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/immunize/tvfc/publications.aspx). C. Comply with written policies and procedures provided by DSHS in managing vaccines supplied through the ASN and TVFC Programs, including guidelines for proper storage, handling, and safeguarding of vaccines in the event of natural disaster. Grantee will comply with all requirements laid out in the final, approved FY19 Work Plan, as amended and approved by DSHS. 1. Grantee will use the current vaccine management system as described in the 2. Grantee will notify ASN and TVFC providers of changes to vaccine storage and handling, vaccine management reporting, and present updates and training to providers, as requested by DSHS. 3. Grantee will plan and implement community-based activities and collaborations to accomplish the required tasks as specified in the final, approved FY19 Work Plan. D. Report all notifiable conditions as specified in Texas Administrative Code (“TAC”) Title 25, Part I §§ 97.1-97.6, as amended, and as otherwise required by law. E. Report all vaccine adverse event occurrences in accordance with the 1986 National Childhood Vaccine Injury Act (NCVIA) 42 U.S.C. § 300aa-25 (located at ▇▇▇▇://▇▇▇▇▇.▇▇▇.▇▇▇/ or 1▇-800▇▇▇-822▇▇▇-7967▇▇▇▇), as amended. F. Inform and educate the public about vaccines and vaccine-preventable diseases, as described in the FY19 Work Plan and in the DSHS Immunization Contractors Guide for Local Health Departments, as amended (located at G. Conduct outreach and collaborative activities with American Indian tribes located within the boundaries of the Grantee’s jurisdiction. H. Report outreach done, and collaborative efforts made, with the American Indian tribes in the Grantee’s jurisdiction, as directed by System Agency. I. Perform outreach and education activities targeting adolescents 14 to 18 years of age and their parents via healthcare providers, healthcare clinics, hospitals, and any other healthcare facility providing health care to adolescents 14 to 18 years of age to satisfy Texas Health and Safety Code Chapter 161, Subsection A, Section 161.0095 requirements, as amended. Outreach and education activities must focus on the immunization registry and the option for an individual who is 18 years of age or older to consent as an adult and have their childhood immunization records stored within the immunization registry for a lifetime. Additional outreach and educational activities may focus on high schools, colleges, and universities. J. Work to promote a healthcare workforce within the Grantee’s service area (including Grantee’s staff) that is knowledgeable about vaccines, vaccine safety, vaccine- preventable diseases, and delivery of immunization services. K. Not deny vaccinations to recipients because they do not reside within Grantee's jurisdiction or because of an inability to pay an administration fee. L. Comply with all applicable federal and state regulations and statutes, as amended, including but not limited to: 1. Human Resources Code §42.043, VTCA; 2. Education Code §§38.001-38.002, VTCA; 3. Health and Safety Code §§12.032, 81.023, and 161.001-161.009, VTCA; ; 4. TAC Title 25, Chapter 97; 5. TAC Title 25, Chapter 96; 6. TAC Title 25, Chapter 100;

Additional Grant Information. DUNSFederal Award Identification Number (▇▇▇▇): TBD Federal Award Date: 194586517 NameTBD Name of Federal Awarding Agency: ▇Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD ▇▇▇▇▇ ▇▇▇▇▇▇▇ Name: ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ Title: _Acting Executive Associate Commissioner Title: Division City Manager Date of execution: July 11May 21, 2018 Date of execution: July 10May 21, 2018 I. GRANTEE RESPONSIBILITIES A. Implement and operate an immunization program for children, adolescents, and adults, with special emphasis on accelerating interventions to improve the immunization coverage of children three (3) years of age or younger (birth to 35 months of age). Grantee shall incorporate traditional and non-traditional systematic approaches designed to eliminate barriers, expand immunization capacity, and establish uniform operating policies, as described herein. B. Be enrolled as a provider in the Texas Vaccines for Children (“TVFC”) and the Adult Safety Net (“ASN”) Programs by the effective date of this Contract. This includes a signed Deputization Addendum Form (EF11-13999) and adherence to the TVFC Operations Manual, TVFC and ASN Provider Manual, and associated TVFC policy guidelines provided by the DSHS Immunization Unit, as amended (available at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/immunize/tvfc/tvfc_manual.shtm and ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/immunize/tvfc/publications.aspx). C. Comply with written policies and procedures provided by DSHS in managing vaccines supplied through the ASN and TVFC Programs, including guidelines for proper storage, handling, and safeguarding of vaccines in the event of natural disaster. Grantee will comply with all requirements laid out in the final, approved FY19 Work Plan, as amended and approved by DSHS. 1. Grantee will use the current vaccine management system as described in the 2. Grantee will notify ASN and TVFC providers of changes to vaccine storage and handling, vaccine management reporting, and present updates and training to providers, as requested by DSHS. 3. Grantee will plan and implement community-based activities and collaborations to accomplish the required tasks as specified in the final, approved FY19 Work Plan. D. Report all notifiable conditions as specified in Texas Administrative Code (“TAC”) Title 25, Part I §§ 97.1-97.6, as amended, and as otherwise required by law. E. Report all vaccine adverse event occurrences in accordance with the 1986 National Childhood Vaccine Injury Act (NCVIA) 42 U.S.C. § 300aa-25 (located at ▇▇▇▇://▇▇▇▇▇.▇▇▇.▇▇▇/ or 1▇-800▇▇▇-822▇▇▇-7967▇▇▇▇), as amended. F. Inform and educate the public about vaccines and vaccine-preventable diseases, as described in the FY19 Work Plan and in the DSHS Immunization Contractors Guide for Local Health Departments, as amended (located at G. Conduct outreach and collaborative activities with American Indian tribes located within the boundaries of the Grantee’s jurisdiction. H. Report outreach done, and collaborative efforts made, with the American Indian tribes in the Grantee’s jurisdiction, as directed by System Agency. I. Perform outreach and education activities targeting adolescents 14 to 18 years of age and their parents via healthcare providers, healthcare clinics, hospitals, and any other healthcare facility providing health care to adolescents 14 to 18 years of age to satisfy Texas Health and Safety Code Chapter 161, Subsection A, Section 161.0095 requirements, as amended. Outreach and education activities must focus on the immunization registry and the option for an individual who is 18 years of age or older to consent as an adult and have their childhood immunization records stored within the immunization registry for a lifetime. Additional outreach and educational activities may focus on high schools, colleges, and universities. J. Work to promote a healthcare workforce within the Grantee’s service area (including Grantee’s staff) that is knowledgeable about vaccines, vaccine safety, vaccine- preventable diseases, and delivery of immunization services. K. Not deny vaccinations to recipients because they do not reside within Grantee's jurisdiction or because of an inability to pay an administration fee. L. Comply with all applicable federal and state regulations and statutes, as amended, including but not limited to: 1. Human Resources Code §42.043, VTCA; 2. Education Code §§38.001-38.002, VTCA; 3. Health and Safety Code §§12.032, 81.023, and 161.001-161.009, VTCA; ; 4. TAC Title 25, Chapter 97; 5. TAC Title 25, Chapter 96; 6. TAC Title 25, Chapter 100;

Additional Grant Information. DUNS: 194586517 Name: Federal Award Identification Number (▇▇▇▇▇▇ ▇▇▇▇▇ Name): TBD Federal Award Date: ▇▇TBD Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD ▇▇▇▇▇ ▇▇▇▇▇▇▇ TitleName: _Acting Executive ▇▇▇ ▇▇▇▇▇▇, County Judge Associate Commissioner Title: Division Manager Ector County Judge Date of execution: July 11June 7, 2018 Date of execution: July 10June 7, 2018 I. GRANTEE RESPONSIBILITIES A. Implement and operate an immunization program for children, adolescents, and adults, with special emphasis on accelerating interventions to improve the immunization coverage of children three (3) years of age or younger (birth to 35 months of age). Grantee shall incorporate traditional and non-traditional systematic approaches designed to eliminate barriers, expand immunization capacity, and establish uniform operating policies, as described herein. B. Be enrolled as a provider in the Texas Vaccines for Children (“TVFC”) and the Adult Safety Net (“ASN”) Programs by the effective date of this Contract. This includes a signed Deputization Addendum Form (EF11-13999) and adherence to the TVFC Operations Manual, TVFC and ASN Provider Manual, and associated TVFC policy guidelines provided by the DSHS Immunization Unit, as amended (available at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/immunize/tvfc/tvfc_manual.shtm and ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/immunize/tvfc/publications.aspx). C. Comply with written policies and procedures provided by DSHS in managing vaccines supplied through the ASN and TVFC Programs, including guidelines for proper storage, handling, and safeguarding of vaccines in the event of natural disaster. Grantee will comply with all requirements laid out in the final, approved FY19 Work Plan, as amended and approved by DSHS. 1. Grantee will use the current vaccine management system as described in the 2. Grantee will notify ASN and TVFC providers of changes to vaccine storage and handling, vaccine management reporting, and present updates and training to providers, as requested by DSHS. 3. Grantee will plan and implement community-based activities and collaborations to accomplish the required tasks as specified in the final, approved FY19 Work Plan. D. Report all notifiable conditions as specified in Texas Administrative Code (“TAC”) Title 25, Part I §§ 97.1-97.6, as amended, and as otherwise required by law. E. Report all vaccine adverse event occurrences in accordance with the 1986 National Childhood Vaccine Injury Act (NCVIA) 42 U.S.C. § 300aa-25 (located at ▇▇▇▇://▇▇▇▇▇.▇▇▇.▇▇▇/ or 1▇-800▇▇▇-822▇▇▇-7967▇▇▇▇), as amended. F. Inform and educate the public about vaccines and vaccine-preventable diseases, as described in the FY19 Work Plan and in the DSHS Immunization Contractors Guide for Local Health Departments, as amended (located at G. Conduct outreach and collaborative activities with American Indian tribes located within the boundaries of the Grantee’s jurisdiction. H. Report outreach done, and collaborative efforts made, with the American Indian tribes in the Grantee’s jurisdiction, as directed by System Agency. I. Perform outreach and education activities targeting adolescents 14 to 18 years of age and their parents via healthcare providers, healthcare clinics, hospitals, and any other healthcare facility providing health care to adolescents 14 to 18 years of age to satisfy Texas Health and Safety Code Chapter 161, Subsection A, Section 161.0095 requirements, as amended. Outreach and education activities must focus on the immunization registry and the option for an individual who is 18 years of age or older to consent as an adult and have their childhood immunization records stored within the immunization registry for a lifetime. Additional outreach and educational activities may focus on high schools, colleges, and universities. J. Work to promote a healthcare workforce within the Grantee’s service area (including Grantee’s staff) that is knowledgeable about vaccines, vaccine safety, vaccine- preventable diseases, and delivery of immunization services. K. Not deny vaccinations to recipients because they do not reside within Grantee's jurisdiction or because of an inability to pay an administration fee. L. Comply with all applicable federal and state regulations and statutes, as amended, including but not limited to: 1. Human Resources Code §42.043, VTCA; 2. Education Code §§38.001-38.002, VTCA; 3. Health and Safety Code §§12.032, 81.023, and 161.001-161.009, VTCA; 4. TAC Title 25, Chapter 97; 5. TAC Title 25, Chapter 96; 6. TAC Title 25, Chapter 100;

Additional Grant Information. DUNSFederal Award Identification Number (▇▇▇▇): TBD Federal Award Date: 194586517 NameTBD Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD ame: __________ N ▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇ Name: ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ Title: _Acting Executive Associate Commissioner Title: Division Manager Date of execution: July 11_April 2, 2018 Date of execution: July 10April 2, 2018 I. GRANTEE RESPONSIBILITIES A. Implement and operate an immunization program for children, adolescents, and adults, with special emphasis on accelerating interventions to improve the immunization coverage of children three (3) years of age or younger (birth to 35 months of age). Grantee shall incorporate traditional and non-traditional systematic approaches designed to eliminate barriers, expand immunization capacity, and establish uniform operating policies, as described herein. B. Be enrolled as a provider in the Texas Vaccines for Children (“TVFC”) and the Adult Safety Net (“ASN”) Programs by the effective date of this Contract. This includes a signed Deputization Addendum Form (EF11-13999) and adherence to the TVFC Operations Manual, TVFC and ASN Provider Manual, and associated TVFC policy guidelines provided by the DSHS Immunization Unit, as amended (available at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/immunize/tvfc/tvfc_manual.shtm and ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/immunize/tvfc/publications.aspx). C. Comply with written policies and procedures provided by DSHS in managing vaccines supplied through the ASN and TVFC Programs, including guidelines for proper storage, handling, and safeguarding of vaccines in the event of natural disaster. Grantee will comply with all requirements laid out in the final, approved FY19 Work Plan, as amended and approved by DSHS. 1. Grantee will use the current vaccine management system as described in the 2. Grantee will notify ASN and TVFC providers of changes to vaccine storage and handling, vaccine management reporting, and present updates and training to providers, as requested by DSHS. 3. Grantee will plan and implement community-based activities and collaborations to accomplish the required tasks as specified in the final, approved FY19 Work Plan. D. Report all notifiable conditions as specified in Texas Administrative Code (“TAC”) Title 25, Part I §§ 97.1-97.6, as amended, and as otherwise required by law. E. Report all vaccine adverse event occurrences in accordance with the 1986 National Childhood Vaccine Injury Act (NCVIA) 42 U.S.C. § 300aa-25 (located at ▇▇▇▇://▇▇▇▇▇.▇▇▇.▇▇▇/ or 1-800-800- 822-7967), as amended. F. Inform and educate the public about vaccines and vaccine-preventable diseases, as described in the FY19 Work Plan (Exhibit A) and in the DSHS Immunization Contractors Guide for Local Health Departments, as amended Departments (located atat ▇▇▇▇▇://▇▇▇▇.▇▇▇▇▇.▇▇▇/immunize/lhd.shtm). G. Conduct outreach and collaborative activities with American Indian tribes located within the boundaries of the Granteecontractor’s jurisdiction. H. Report outreach done, and collaborative efforts made, with the American Indian tribes in the Grantee’s jurisdiction, as directed by System Agency. I. Perform outreach and education activities targeting adolescents 14 to 18 years of age and their parents via healthcare providers, healthcare clinics, hospitals, and any other healthcare facility providing health care to adolescents 14 to 18 years of age to satisfy Texas Health and Safety Code Chapter 161, Subsection A, Section 161.0095 requirements, as amended. Outreach and education activities must focus on the immunization registry and the option for an individual who is 18 years of age or older to consent as an adult and have their childhood immunization records stored within the immunization registry for a lifetime. Additional outreach and educational activities may focus on high schools, colleges, and universities. J. Work to promote a healthcare workforce within the Grantee’s service area (including Grantee’s staff) that is knowledgeable about vaccines, vaccine safety, vaccine- vaccine-preventable diseases, and delivery of immunization services. K. Not deny vaccinations to recipients because they do not reside within Grantee's jurisdiction or because of an inability to pay an administration fee. L. Comply with all applicable federal and state regulations and statutes, as amended, including but not limited to: 1. Human Resources Code §42.043, VTCA; 2. Education Code §§38.001-38.002, VTCA; 3. Health and Safety Code §§12.032, 81.023, and 161.001-161.009, VTCA; 4. TAC Title 25, Chapter 97; 5. TAC Title 25, Chapter 96; 6. TAC Title 25, Chapter 100;

Additional Grant Information. DUNS: 194586517 Name: Federal Award Identification Number (▇▇▇▇▇▇ ▇▇▇▇▇ Name): TBD Federal Award Date: ▇▇TBD Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD ▇▇▇▇▇ ▇▇▇▇▇▇▇ TitleName: _Acting Executive ▇.▇. “▇▇▇▇” ▇▇▇▇▇▇▇, ▇▇. Associate Commissioner Title: Division Manager ▇.▇. ▇▇▇▇▇▇▇. Jr. Date of execution: July 11_April 12, 2018 Date of execution: July 10April 12, 2018 I. GRANTEE RESPONSIBILITIES A. Implement and operate an immunization program for children, adolescents, and adults, with special emphasis on accelerating interventions to improve the immunization coverage of children three (3) years of age or younger (birth to 35 months of age). Grantee shall incorporate traditional and non-traditional systematic approaches designed to eliminate barriers, expand immunization capacity, and establish uniform operating policies, as described herein. B. Be enrolled as a provider in the Texas Vaccines for Children (“TVFC”) and the Adult Safety Net (“ASN”) Programs by the effective date of this Contract. This includes a signed Deputization Addendum Form (EF11-13999) and adherence to the TVFC Operations Manual, TVFC and ASN Provider Manual, and associated TVFC policy guidelines provided by the DSHS Immunization Unit, as amended (available at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/immunize/tvfc/tvfc_manual.shtm and ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/immunize/tvfc/publications.aspx). C. Comply with written policies and procedures provided by DSHS in managing vaccines supplied through the ASN and TVFC Programs, including guidelines for proper storage, handling, and safeguarding of vaccines in the event of natural disaster. Grantee will comply with all requirements laid out in the final, approved FY19 Work Plan, as amended and approved by DSHS. 1. Grantee will use the current vaccine management system as described in the 2. Grantee will notify ASN and TVFC providers of changes to vaccine storage and handling, vaccine management reporting, and present updates and training to providers, as requested by DSHS. 3. Grantee will plan and implement community-based activities and collaborations to accomplish the required tasks as specified in the final, approved FY19 Work Plan. D. Report all notifiable conditions as specified in Texas Administrative Code (“TAC”) Title 25, Part I §§ 97.1-97.6, as amended, and as otherwise required by law. E. Report all vaccine adverse event occurrences in accordance with the 1986 National Childhood Vaccine Injury Act (NCVIA) 42 U.S.C. § 300aa-25 (located at ▇▇▇▇://▇▇▇▇▇.▇▇▇.▇▇▇/ or 1▇-800▇▇▇-822▇▇▇-7967▇▇▇▇), as amended. F. Inform and educate the public about vaccines and vaccine-preventable diseases, as described in the FY19 Work Plan and in the DSHS Immunization Contractors Guide for Local Health Departments, as amended (located at G. Conduct outreach and collaborative activities with American Indian tribes located within the boundaries of the Grantee’s jurisdiction. H. Report outreach done, and collaborative efforts made, with the American Indian tribes in the Grantee’s jurisdiction, as directed by System Agency. I. Perform outreach and education activities targeting adolescents 14 to 18 years of age and their parents via healthcare providers, healthcare clinics, hospitals, and any other healthcare facility providing health care to adolescents 14 to 18 years of age to satisfy Texas Health and Safety Code Chapter 161, Subsection A, Section 161.0095 requirements, as amended. Outreach and education activities must focus on the immunization registry and the option for an individual who is 18 years of age or older to consent as an adult and have their childhood immunization records stored within the immunization registry for a lifetime. Additional outreach and educational activities may focus on high schools, colleges, and universities. J. Work to promote a healthcare workforce within the Grantee’s service area (including Grantee’s staff) that is knowledgeable about vaccines, vaccine safety, vaccine- preventable diseases, and delivery of immunization services. K. Not deny vaccinations to recipients because they do not reside within Grantee's jurisdiction or because of an inability to pay an administration fee. L. Comply with all applicable federal and state regulations and statutes, as amended, including but not limited to: 1. Human Resources Code §42.043, VTCA; 2. Education Code §§38.001-38.002, VTCA; 3. Health and Safety Code §§12.032, 81.023, and 161.001-161.009, VTCA; ; 4. TAC Title 25, Chapter 97; 5. TAC Title 25, Chapter 96; 6. TAC Title 25, Chapter 100;

Additional Grant Information. DUNSFederal Award Identification Number (▇▇▇▇): TBD Federal Award Date: 194586517 TBD Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD ▇▇▇▇▇ ▇▇▇▇▇▇▇ Name: ▇▇▇▇▇▇ ▇▇▇▇▇ Name: ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ Title: _Acting Executive , County Judge Associate Commissioner Title: Division Manager Date of execution: July May 11, 2018 Date of execution: July 10May 11, 2018 I. GRANTEE RESPONSIBILITIES A. Implement and operate an immunization program for children, adolescents, and adults, with special emphasis on accelerating interventions to improve the immunization coverage of children three (3) years of age or younger (birth to 35 months of age). Grantee shall incorporate traditional and non-traditional systematic approaches designed to eliminate barriers, expand immunization capacity, and establish uniform operating policies, as described herein. B. Be enrolled as a provider in the Texas Vaccines for Children (“TVFC”) and the Adult Safety Net (“ASN”) Programs by the effective date of this Contract. This includes a signed Deputization Addendum Form (EF11-13999) and adherence to the TVFC Operations Manual, TVFC and ASN Provider Manual, and associated TVFC policy guidelines provided by the DSHS Immunization Unit, as amended (available at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/immunize/tvfc/tvfc_manual.shtm and ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/immunize/tvfc/publications.aspx). C. Comply with written policies and procedures provided by DSHS in managing vaccines supplied through the ASN and TVFC Programs, including guidelines for proper storage, handling, and safeguarding of vaccines in the event of natural disaster. Grantee will comply with all requirements laid out in the final, approved FY19 Work Plan, as amended and approved by DSHS. 1. Grantee will use the current vaccine management system as described in the 2. Grantee will notify ASN and TVFC providers of changes to vaccine storage and handling, vaccine management reporting, and present updates and training to providers, as requested by DSHS. 3. Grantee will plan and implement community-based activities and collaborations to accomplish the required tasks as specified in the final, approved FY19 Work Plan. D. Report all notifiable conditions as specified in Texas Administrative Code (“TAC”) Title 25, Part I §§ 97.1-97.6, as amended, and as otherwise required by law. E. Report all vaccine adverse event occurrences in accordance with the 1986 National Childhood Vaccine Injury Act (NCVIA) 42 U.S.C. § 300aa-25 (located at ▇▇▇▇://▇▇▇▇▇.▇▇▇.▇▇▇/ or 1-800-822-7967), as amended. F. Inform and educate the public about vaccines and vaccine-preventable diseases, as described in the FY19 Work Plan and in the DSHS Immunization Contractors Guide for Local Health Departments, as amended (located at G. Conduct outreach and collaborative activities with American Indian tribes located within the boundaries of the Grantee’s jurisdiction. H. Report outreach done, and collaborative efforts made, with the American Indian tribes in the Grantee’s jurisdiction, as directed by System Agency. I. Perform outreach and education activities targeting adolescents 14 to 18 years of age and their parents via healthcare providers, healthcare clinics, hospitals, and any other healthcare facility providing health care to adolescents 14 to 18 years of age to satisfy Texas Health and Safety Code Chapter 161, Subsection A, Section 161.0095 requirements, as amended. Outreach and education activities must focus on the immunization registry and the option for an individual who is 18 years of age or older to consent as an adult and have their childhood immunization records stored within the immunization registry for a lifetime. Additional outreach and educational activities may focus on high schools, colleges, and universities. J. Work to promote a healthcare workforce within the Grantee’s service area (including Grantee’s staff) that is knowledgeable about vaccines, vaccine safety, vaccine- preventable diseases, and delivery of immunization services. K. Not deny vaccinations to recipients because they do not reside within Grantee's jurisdiction or because of an inability to pay an administration fee. L. Comply with all applicable federal and state regulations and statutes, as amended, including but not limited to: 1. Human Resources Code §42.043, VTCA; 2. Education Code §§38.001-38.002, VTCA; 3. Health and Safety Code §§12.032, 81.023, and 161.001-161.009, VTCA; 4. TAC Title 25, Chapter 97; 5. TAC Title 25, Chapter 96; 6. TAC Title 25, Chapter 100;

Additional Grant Information. DUNSFederal Award Identification Number (▇▇▇▇): TBD Federal Award Date: 194586517 NameTBD Name of Federal Awarding Agency: ▇Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD ▇▇▇▇▇ ▇▇▇▇▇▇▇ Name: ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ Title: _Acting Executive ▇▇, ▇▇., County Judge Associate Commissioner Title: Division Manager :County Judge Date of execution: July 11June 19, 2018 Date of execution: July 10June 19, 2018 I. GRANTEE RESPONSIBILITIES A. Implement and operate an immunization program for children, adolescents, and adults, with special emphasis on accelerating interventions to improve the immunization coverage of children three (3) years of age or younger (birth to 35 months of age). Grantee shall incorporate traditional and non-traditional systematic approaches designed to eliminate barriers, expand immunization capacity, and establish uniform operating policies, as described herein. B. Be enrolled as a provider in the Texas Vaccines for Children (“TVFC”) and the Adult Safety Net (“ASN”) Programs by the effective date of this Contract. This includes a signed Deputization Addendum Form (EF11-13999) and adherence to the TVFC Operations Manual, TVFC and ASN Provider Manual, and associated TVFC policy guidelines provided by the DSHS Immunization Unit, as amended (available at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/immunize/tvfc/tvfc_manual.shtm and ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/immunize/tvfc/publications.aspx). C. Comply with written policies and procedures provided by DSHS in managing vaccines supplied through the ASN and TVFC Programs, including guidelines for proper storage, handling, and safeguarding of vaccines in the event of natural disaster. Grantee will comply with all requirements laid out in the final, approved FY19 Work Plan, as amended and approved by DSHS. 1. Grantee will use the current vaccine management system as described in the 2. Grantee will notify ASN and TVFC providers of changes to vaccine storage and handling, vaccine management reporting, and present updates and training to providers, as requested by DSHS. 3. Grantee will plan and implement community-based activities and collaborations to accomplish the required tasks as specified in the final, approved FY19 Work Plan. D. Report all notifiable conditions as specified in Texas Administrative Code (“TAC”) Title 25, Part I §§ 97.1-97.6, as amended, and as otherwise required by law. E. Report all vaccine adverse event occurrences in accordance with the 1986 National Childhood Vaccine Injury Act (NCVIA) 42 U.S.C. § 300aa-25 (located at ▇▇▇▇://▇▇▇▇▇.▇▇▇.▇▇▇/ or 1▇-800▇▇▇-822▇▇▇-7967▇▇▇▇), as amended. F. Inform and educate the public about vaccines and vaccine-preventable diseases, as described in the FY19 Work Plan and in the DSHS Immunization Contractors Guide for Local Health Departments, as amended (located at G. Conduct outreach and collaborative activities with American Indian tribes located within the boundaries of the Grantee’s jurisdiction. H. Report outreach done, and collaborative efforts made, with the American Indian tribes in the Grantee’s jurisdiction, as directed by System Agency. I. Perform outreach and education activities targeting adolescents 14 to 18 years of age and their parents via healthcare providers, healthcare clinics, hospitals, and any other healthcare facility providing health care to adolescents 14 to 18 years of age to satisfy Texas Health and Safety Code Chapter 161, Subsection A, Section 161.0095 requirements, as amended. Outreach and education activities must focus on the immunization registry and the option for an individual who is 18 years of age or older to consent as an adult and have their childhood immunization records stored within the immunization registry for a lifetime. Additional outreach and educational activities may focus on high schools, colleges, and universities. J. Work to promote a healthcare workforce within the Grantee’s service area (including Grantee’s staff) that is knowledgeable about vaccines, vaccine safety, vaccine- preventable diseases, and delivery of immunization services. K. Not deny vaccinations to recipients because they do not reside within Grantee's jurisdiction or because of an inability to pay an administration fee. L. Comply with all applicable federal and state regulations and statutes, as amended, including but not limited to: 1. Human Resources Code §42.043, VTCA; 2. Education Code §§38.001-38.002, VTCA; 3. Health and Safety Code §§12.032, 81.023, and 161.001-161.009, VTCA; 4. TAC Title 25, Chapter 97; 5. TAC Title 25, Chapter 96; 6. TAC Title 25, Chapter 100;

Additional Grant Information. DUNSFederal Award Identification Number (▇▇▇▇): TBD Federal Award Date: 194586517 NameTBD Name of Federal Awarding Agency: ▇Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD ▇▇▇▇▇ ▇▇▇▇▇▇▇ Name: ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ Title: _Acting Executive Associate Commissioner Title: Division Manager Date of execution: July 11May 17, 2018 Date of execution: July 10:May 17, 2018 I. GRANTEE RESPONSIBILITIES A. Implement and operate an immunization program for children, adolescents, and adults, with special emphasis on accelerating interventions to improve the immunization coverage of children three (3) years of age or younger (birth to 35 months of age). Grantee shall incorporate traditional and non-traditional systematic approaches designed to eliminate barriers, expand immunization capacity, and establish uniform operating policies, as described herein. B. Be enrolled as a provider in the Texas Vaccines for Children (“TVFC”) and the Adult Safety Net (“ASN”) Programs by the effective date of this Contract. This includes a signed Deputization Addendum Form (EF11-13999) and adherence to the TVFC Operations Manual, TVFC and ASN Provider Manual, and associated TVFC policy guidelines provided by the DSHS Immunization Unit, as amended (available at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/immunize/tvfc/tvfc_manual.shtm and ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/immunize/tvfc/publications.aspx). C. Comply with written policies and procedures provided by DSHS in managing vaccines supplied through the ASN and TVFC Programs, including guidelines for proper storage, handling, and safeguarding of vaccines in the event of natural disaster. Grantee will comply with all requirements laid out in the final, approved FY19 Work Plan, as amended and approved by DSHS. 1. Grantee will use the current vaccine management system as described in the 2. Grantee will notify ASN and TVFC providers of changes to vaccine storage and handling, vaccine management reporting, and present updates and training to providers, as requested by DSHS. 3. Grantee will plan and implement community-based activities and collaborations to accomplish the required tasks as specified in the final, approved FY19 Work Plan. D. Report all notifiable conditions as specified in Texas Administrative Code (“TAC”) Title 25, Part I §§ 97.1-97.6, as amended, and as otherwise required by law. E. Report all vaccine adverse event occurrences in accordance with the 1986 National Childhood Vaccine Injury Act (NCVIA) 42 U.S.C. § 300aa-25 (located at ▇▇▇▇://▇▇▇▇▇.▇▇▇.▇▇▇/ or 1-800-822-7967), as amended. F. Inform and educate the public about vaccines and vaccine-preventable diseases, as described in the FY19 Work Plan and in the DSHS Immunization Contractors Guide for Local Health Departments, as amended (located at G. Conduct outreach and collaborative activities with American Indian tribes located within the boundaries of the Grantee’s jurisdiction. H. Report outreach done, and collaborative efforts made, with the American Indian tribes in the Grantee’s jurisdiction, as directed by System Agency. I. Perform outreach and education activities targeting adolescents 14 to 18 years of age and their parents via healthcare providers, healthcare clinics, hospitals, and any other healthcare facility providing health care to adolescents 14 to 18 years of age to satisfy Texas Health and Safety Code Chapter 161, Subsection A, Section 161.0095 requirements, as amended. Outreach and education activities must focus on the immunization registry and the option for an individual who is 18 years of age or older to consent as an adult and have their childhood immunization records stored within the immunization registry for a lifetime. Additional outreach and educational activities may focus on high schools, colleges, and universities. J. Work to promote a healthcare workforce within the Grantee’s service area (including Grantee’s staff) that is knowledgeable about vaccines, vaccine safety, vaccine- preventable diseases, and delivery of immunization services. K. Not deny vaccinations to recipients because they do not reside within Grantee's jurisdiction or because of an inability to pay an administration fee. L. Comply with all applicable federal and state regulations and statutes, as amended, including but not limited to: 1. Human Resources Code §42.043, VTCA; 2. Education Code §§38.001-38.002, VTCA; 3. Health and Safety Code §§12.032, 81.023, and 161.001-161.009, VTCA; 4. TAC Title 25, Chapter 97; 5. TAC Title 25, Chapter 96; 6. TAC Title 25, Chapter 100;