Common use of INVOICE AND PAYMENT Clause in Contracts

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- third of the remaining balance of the advance.

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- one-third of the remaining balance of the advance.

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System AgencyDSHS. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇DSHS. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency DSHS will reduce the reimbursement request by one- one-third of the remaining balance of the advance.

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System AgencyDSHS. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇DSHS. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency DSHS will reduce the reimbursement request by one- one-third of the remaining balance of the advance.

INVOICE AND PAYMENT. A. Grantee will request monthly payment using the Excel version of the State of Texas Purchase Voucher (Form B-13) on a monthly basis and Support Document including any acceptable additional supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Excel version of the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, documentation and Financial Status Reports, and Match Certification Forms Reports should be mailed or emailed e-mailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with Attachment B, Budget.the Budget in C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- third of the remaining balance of the advance. E. For the purposes of this Contract, the Grantee may not use funds for fundraising activities, lobbying, research, construction, major renovations and reimbursement of pre-award costs, clinical care, purchase of vehicles of any kind, funding an award to another party or provider who is ineligible, backfilling costs for staff or the purchase of incentive items.

INVOICE AND PAYMENT. A. Grantee ▇. ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by fax or electronic mail to the required servicesaddress/deliverablesnumber below. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed mailed, faxed, or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with the Budget in Attachment B, BudgetB of this Contract. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfallsshortfall. System Agency Program will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amountamount as approved for this Contract, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds.the ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed twelve percent (12% %) of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- one-third of the remaining balance of the advance.

INVOICE AND PAYMENT. A. Grantee ▇. ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by fax or electronic mail to the required servicesaddress/deliverablesnumber below. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed mailed, faxed, or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with the Budget in Attachment B, BudgetB of this Contract. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfallsshortfall. System Agency Program will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amountamount as approved for this Contract, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the ContractContract term. Vacant positions existing after ninety (90) days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed twelve percent (12% %) of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- third of the remaining balance of the advance.at

INVOICE AND PAYMENT. A. Grantee ▇. ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by fax or electronic mail to the required servicesaddress/deliverablesnumber below. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed mailed, faxed, or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with the Budget in Attachment B, BudgetB of this Contract. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfallsshortfall. System Agency Program will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amountamount as approved for this Contract, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the ContractContract term. Vacant positions existing after ninety (90) days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed twelve percent (12% %) of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- one-third of the remaining balance of the advance.

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will submit separate and distinct invoices for the two Contract Grant Funding Allocations. Separate monthly invoices will be submitted for the base HAZARDS grant activities and a separate one-time invoice will be submitted for the NACCHO application process. Comingling of these federal funds is prohibited. C. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. D. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System AgencyDSHS. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇DSHS. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency DSHS will reduce the reimbursement request by one- one-third of the remaining balance of the advance.

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ Grantee may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- third of the remaining balance of the advance.

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ funds Grantee may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System AgencyDSHS. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System AgencyDSHS. ▇. ▇▇▇▇▇▇▇ will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency DSHS will reduce the reimbursement request by one- one-third of the remaining balance of the advance.. Personnel $234,604.00 Fringe Benefits $98,084.00 Travel $6,513.00 Equipment $0.00 Supplies $4,667.00 Contractual $0.00 Other $46,765.00 Sum of Direct Costs $390,633.00 Indirect Costs $0.00 Sum of Total Direct Costs and Indirect Costs $390,633.00 Less Match (Cash or In-Kind) $35,633.00 HHSC Uniform Terms and Conditions Version 2.13 Published and Effective: July 15, 2016 Responsible Office: Chief Counsel

INVOICE AND PAYMENT. A. Grantee ▇. ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by electronic mail to the required servicesaddress/deliverablesnumber below. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, and Financial Status Reports, and Match Certification Forms Reports should be mailed or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ ATTACHMENT A STATEMENT OF WORK EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, B-13 and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with the Budget in Attachment B, BudgetB of this Contract. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfallsshortfall. System Agency Program will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amountcontract amount as approved for this Contract, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the ContractContract term. Vacant positions existing after ninety (90) days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed twelve percent (12% %) of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- one-third of the remaining balance of the advance.. Personnel $9,000.00 Fringe Benefits $0.00 Travel $1,000.00 Equipment $0.00 Supplies $0.00 Contractual $0.00 Other $0.00 Sum of Direct Costs $10,000.00 Indirect Costs $0.00 Sum of Total Direct Costs and Indirect Costs $10,000.00 Less Match (Cash or In-Kind) $0.00 TOTAL $10,000.00 HHSC Uniform Terms and Conditions Version 2.15 Published and Effective: September 1, 2017 Responsible Office: Chief Counsel ARTICLE I. DEFINITIONS AND INTERPRETIVE PROVISIONS 4

INVOICE AND PAYMENT. A. Grantee will request monthly payment using the Excel version of the State of Texas Purchase Voucher (Form B-13) on a monthly basis and Support Document including any acceptable additional supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Excel version of the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, documentation and Financial Status Reports, and Match Certification Forms Reports should be mailed or emailed e-mailed to the addresses below. Claims Processing Unit, MC1940 Texas Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. PO Box 149347 Austin, TX ▇▇▇▇▇78714-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL9347 B-13: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent toSupport Document: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent toB-13A: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇▇ FSR: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ & and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ and ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with the Budget in Attachment B, BudgetB of this Contract. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- one-third of the remaining balance of the advance.. Grantee: Tarrant County Personnel $164,105 Fringe Benefits $68,924 Travel $1,844 Equipment $0 Supplies $10,867 Contractual $0 Other $6,075 Sum of Direct Costs $251,815 Indirect Costs $0 Sum of Total Direct Costs and Indirect Costs $251,815 Less Match (Cash or In-Kind) $22,892 HHSC Uniform Terms and Conditions Version 2.12 Published and Effective: November 30, 2015 Responsible Office: Chief Counsel

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. funds ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System AgencyDSHS. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇DSHS. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency DSHS will reduce the reimbursement request by one- one-third of the remaining balance of the advance.. Grantee: San ▇▇▇▇▇▇-▇▇▇ ▇▇▇▇▇ County Health Department Personnel $67,806 Fringe Benefits $25,454 Travel $5,164 Equipment $0 Supplies $0 Contractual $0 Other $1,872 Sum of Direct Costs $100,296 Indirect Costs $10,030 Sum of Total Direct Costs and Indirect Costs $110,326 Less Match (Cash or In-Kind) $10,030 Grantee shall provide match funds in the amount of $10,030. HHSC Uniform Terms and Conditions Version 2.13 Published and Effective: July 15, 2016 Responsible Office: Chief Counsel ARTICLE I. DEFINITIONS AND INTERPRETIVE PROVISIONS 4

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a monthly cost-reimbursement basis and in accordance with Attachment B, Budget.the Budget in C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the ContractContract term. Vacant positions existing after ninety (90) days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- third of the remaining balance of the advance.

INVOICE AND PAYMENT. A. Grantee ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by fax or electronic mail to the required servicesaddress/deliverablesnumber below. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed mailed, faxed or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇.▇. ▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with the Budget in Attachment B, BudgetB of this Contract. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfallsshortfall. System Agency Program will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amountamount as approved for this Contract, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the ContractContract term. Vacant positions existing after ninety (90) days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ D. Grantee may request a one-time working capital advance not to exceed twelve percent (12% %) of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency DSHS will reduce the reimbursement request by one- one-third of the remaining balance of the advance. I. GRANTEE RESPONSIBILITIES Grantee will: A. Perform activities in Parker County (hereinafter the "Jurisdiction") in support of the Public Health Emergency Preparedness Cooperative Agreement from the Centers for Disease Control and Prevention (CDC) and further the Strategic National Stockpile (SNS) program to comply with the Public Health Emergency Preparedness (PHEP) Cooperative Agreement’s capabilities-based approach. The Cities Readiness Initiative (CRI) requirements support the Medical Countermeasure Dispensing and Medical Materiel Management and Distribution capabilities. The CRI supports medical countermeasure distribution and dispensing for all-hazards events. B. Coordinate activities and response plans within the Jurisdiction with the state, regional and other local jurisdictions, among local agencies, and with hospitals and major health care entities, jurisdictional Metropolitan Medical Response Systems, and Councils of Government. C. Cooperate with System Agency to coordinate all planning, training, and exercises performed under this Contract with the State of Texas, Texas Division of Emergency Management of the State of Texas, or other points of contact at the discretion of the Division for Regional and Local Health Operations, to ensure consistency and coordination of requirements at the local level and eliminate duplication of effort between the various domestic preparedness funding sources in the state. D. Utilize the Texas Medical Countermeasure (MCM) Strategy Document, as amended, to develop and execute plans, thus preparing the Metropolitan Statistical Area (MSA) to provide medical countermeasures to the identified population during a large-scale public health emergency. The Texas MCM Strategy Document is available at: ▇▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/commprep/sns.aspx or by contacting the Strategic National Stockpile (SNS) Central Office Team at ▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇. To accomplish this, Grantee will meet the planning and operational standards as outlined in Sections I(B)-(X) of this Contract, and the current Operational Readiness Review (▇▇▇) Tool, as amended, that applies to the following Public Health Emergency Preparedness Capabilities:

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. B. The Parties agree to cooperate by submitting separate and distinct invoices for each of the three Contract Grant Funding Allocations. Separate monthly invoices will be submitted for the base Hazards Grant Activities and for the 2018 All Hazards Conference Grant Activities. In addition, a separate one-time invoice will be submitted for the NACCHO application process. Comingling of these federal funds is prohibited. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin▇.▇. ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇, TX ▇▇ ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. C. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. D. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ Grantee may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System AgencyDSHS. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System AgencyDSHS. ▇. ▇▇▇▇▇▇▇ will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency DSHS will reduce the reimbursement request by one- third of the remaining balance of the advance.

INVOICE AND PAYMENT. A. Grantee ▇. ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by fax or electronic mail to the required servicesaddress/deliverablesnumber below. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed mailed, faxed or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with the Budget in Attachment B, BudgetB of this Contract. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfallsshortfall. System Agency Program will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amountamount as approved for this Contract, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the ContractContract term. Vacant positions existing after ninety (90) days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed twelve percent (12% %) of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- third of the remaining balance of the advance.at

INVOICE AND PAYMENT. A. Grantee will request monthly payment using the Excel version of the State of Texas Purchase Voucher (Form B-13) on a monthly basis and Support Document including any acceptable additional supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Excel version of the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, documentation and Financial Status Reports, and Match Certification Forms Reports should be mailed or emailed e-mailed to the addresses below. Claims Processing Unit, MC1940 Texas Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. PO Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAILB-13: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent toSupport Document: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent toB-13A: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇▇ FSR: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ & and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ and ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with the Budget in Attachment B, BudgetB of this Contract. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- one-third of the remaining balance of the advance.. Personnel $96,660.00 Fringe Benefits $39,940.00 Travel $14,096.00 Equipment $0.00 Supplies $19,567.00 Contractual $0.00 Other $50,973.00 Sum of Direct Costs $221,236.00 Indirect Costs $0.00 Sum of Total Direct Costs and Indirect Costs $221,236.00 Less Match (Cash or In-Kind) $20,113.00 HHSC Uniform Terms and Conditions Version 2.13 Published and Effective: July 15, 2016 Responsible Office: Chief Counsel

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. funds ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System AgencyDSHS. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇DSHS. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency DSHS will reduce the reimbursement request by one- one-third of the remaining balance of the advance.. Personnel $66,984.00 Fringe Benefits $32,085.00 Travel $6,205.00 Equipment $0.00 Supplies $2,112.00 Contractual $0.00 Other $2,940.00 Sum of Direct Costs $110,326.00 Indirect Costs $0.00 Sum of Total Direct Costs and Indirect Costs $110,326.00 Less Match (Cash or In-Kind) $10,030.00 TOTAL $100,296.00 Grantee shall provide matching funds in the amount of $10,030.00. HHSC Uniform Terms and Conditions Version 2.13 Published and Effective: July 15, 2016 Responsible Office: Chief Counsel

INVOICE AND PAYMENT. A. Grantee ▇. ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by fax or electronic mail to the required servicesaddress/deliverablesnumber below. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed mailed, faxed or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with the Budget in Attachment B, BudgetB of this Contract. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfallsshortfall. System Agency Program will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amountamount as approved for this Contract, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the ContractContract term. Vacant positions existing after ninety (90) days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed twelve percent (12% %) of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency DSHS will reduce the reimbursement request by one- one-third of the remaining balance of the advance. I. GRANTEE RESPONSIBILITIES Grantee will: A. Perform activities in Collin County (hereinafter the "Jurisdiction") in support of the Public Health Emergency Preparedness Cooperative Agreement from the Centers for Disease Control and Prevention (CDC) and further the Strategic National Stockpile (SNS) program to comply with the Public Health Emergency Preparedness (PHEP) Cooperative Agreement’s capabilities-based approach. The Cities Readiness Initiative (CRI) requirements support the Medical Countermeasure Dispensing and Medical Materiel Management and Distribution capabilities. The CRI supports medical countermeasure distribution and dispensing for all-hazards events. B. Coordinate activities and response plans within the Jurisdiction with the state, regional and other local jurisdictions, among local agencies, and with hospitals and major health care entities, jurisdictional Metropolitan Medical Response Systems, and Councils of Government. ▇. ▇▇▇▇▇▇▇▇▇ with System Agency to coordinate all planning, training, and exercises performed under this Contract with the State of Texas, Texas Division of Emergency Management of the State of Texas, or other points of contact at the discretion of the Division for Regional and Local Health Operations, to ensure consistency and coordination of requirements at the local level and eliminate duplication of effort between the various domestic preparedness funding sources in the state. D. Utilize the Texas Medical Countermeasure (MCM) Strategy Document, as amended, to develop and execute plans, thus preparing the Metropolitan Statistical Area (MSA) to provide medical countermeasures to the identified population during a large-scale public health emergency. The Texas MCM Strategy Document is available at: ▇▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/commprep/sns.aspx or by contacting the Strategic National Stockpile (SNS) Central Office Team at ▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇. To accomplish this, Grantee will meet the planning and operational standards as outlined in Sections I(B)-(X) of this Contract, and the current Operational Readiness Review (▇▇▇) Tool, as amended, that applies to the following Public Health Emergency Preparedness Capabilities:

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. funds ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System AgencyDSHS. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇DSHS. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency DSHS will reduce the reimbursement request by one- one-third of the remaining balance of the advance.. Grantee: Sweetwater-Nolan County Health Department Personnel $72,864 Fringe Benefits $7,286 Travel $3,087 Equipment $0 Supplies $5,844 Contractual $0 Other $22,270 Sum of Direct Costs $111,351 Indirect Costs $0 Sum of Total Direct Costs and Indirect Costs $111,351 Less Match (Cash or In-Kind) $10,123 Grantee shall provide matching funds in the amount of $10,123. HHSC Uniform Terms and Conditions Version 2.12 Published and Effective: November 30, 2015 Responsible Office: Chief Counsel

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ funds Grantee may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System AgencyDSHS. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System AgencyDSHS. ▇. ▇▇▇▇▇▇▇ will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency DSHS will reduce the reimbursement request by one- one-third of the remaining balance of the advance.. Personnel $234,604.00 Fringe Benefits $98,084.00 Travel $6,513.00 Equipment $0.00 Supplies $4,667.00 Contractual $0.00 Other $46,765.00 Sum of Direct Costs $390,633.00 Indirect Costs $0.00 Sum of Total Direct Costs and Indirect Costs $390,633.00 Less Match (Cash or In-Kind) $35,633.00 HHSC Uniform Terms and Conditions Version 2.13 Published and Effective: July 15, 2016 Responsible Office: Chief Counsel ARTICLE I. DEFINITIONS AND INTERPRETIVE PROVISIONS 4

INVOICE AND PAYMENT. A. Grantee will request monthly payment using the Excel version of the State of Texas Purchase Voucher (Form B-13) on a monthly basis and Support Document including any acceptable additional supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Excel version of the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, documentation and Financial Status Reports, and Match Certification Forms Reports should be mailed or emailed e-mailed to the addresses below. Claims Processing Unit, MC1940 Texas Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. PO Box 149347 Austin, TX ▇▇▇▇▇78714-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL9347 B-13: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent toSupport Document: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent toB-13A: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇▇ FSR: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ & and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ and ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with Attachment B, Budget.the Budget in C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- one-third of the remaining balance of the advance.. Grantee: Texas Tech Personnel $84,664 Fringe Benefits $30,471 Travel $4,120 Equipment $0 Supplies $16,449 Contractual $0 Other $39,625 Sum of Direct Costs $175,328 Indirect Costs $45,585 Sum of Total Direct Costs and Indirect Costs $220,913 Less Match (Cash or In-Kind) $20,116 HHSC Uniform Terms and Conditions Version 2.14 Published and Effective: March 1, 2017 Responsible Office: Chief Counsel 1.01 Definitions 4 1.02 Interpretive Provisions 5 2.01 Payment Methods 6 2.02 Final Billing Submission 6 2.03 Financial Status Reports (FSRs) 7 2.04 Debt to State and Corporate Status 7

INVOICE AND PAYMENT. A. Grantee ▇. ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by fax or electronic mail to the required servicesaddress/deliverablesnumber below. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed mailed, faxed or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with the Budget in Attachment B, BudgetB of this Contract. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfallsshortfall. System Agency Program will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amountamount as approved for this Contract, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the ContractContract term. Vacant positions existing after ninety (90) days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed twelve percent (12% %) of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency DSHS will reduce the reimbursement request by one- one-third of the remaining balance of the advance. I. GRANTEE RESPONSIBILITIES Grantee will: A. Perform activities in Fort Bend County (hereinafter the "Jurisdiction") in support of the Public Health Emergency Preparedness Cooperative Agreement from the Centers for Disease Control and Prevention (CDC) and further the Strategic National Stockpile (SNS) program to comply with the Public Health Emergency Preparedness (PHEP) Cooperative Agreement’s capabilities-based approach. The Cities Readiness Initiative (CRI) requirements support the Medical Countermeasure Dispensing and Medical Materiel Management and Distribution capabilities. The CRI supports medical countermeasure distribution and dispensing for all-hazards events. B. Coordinate activities and response plans within the Jurisdiction with the state, regional and other local jurisdictions, among local agencies, and with hospitals and major health care entities, jurisdictional Metropolitan Medical Response Systems, and Councils of Government. ▇. ▇▇▇▇▇▇▇▇▇ with System Agency to coordinate all planning, training, and exercises performed under this Contract with the State of Texas, Texas Division of Emergency Management of the State of Texas, or other points of contact at the discretion of the Division for Regional and Local Health Operations, to ensure consistency and coordination of requirements at the local level and eliminate duplication of effort between the various domestic preparedness funding sources in the state. D. Utilize the Texas Medical Countermeasure (MCM) Strategy Document, as amended, to develop and execute plans, thus preparing the Metropolitan Statistical Area (MSA) to provide medical countermeasures to the identified population during a large-scale public health emergency. The Texas MCM Strategy Document is available at: ▇▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/commprep/sns.aspx or by contacting the Strategic National Stockpile (SNS) Central Office Team at ▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇. To accomplish this, Grantee will meet the planning and operational standards as outlined in Sections I(B)-(X) of this Contract, and the current Operational Readiness Review (▇▇▇) Tool, as amended, that applies to the following Public Health Emergency Preparedness Capabilities:

INVOICE AND PAYMENT. A. Grantee ▇. ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13B- 13) on a monthly basis at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by fax or electronic mail to the required servicesaddress/deliverablesnumber below. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed mailed, faxed, or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with the Budget in Attachment B, BudgetB of this Contract. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfallsshortfall. System Agency Program will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amountamount as approved for this Contract, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the ContractContract term. Vacant positions existing after ninety (90) days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed twelve percent (12% %) of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- third of the remaining balance of the advance.funds

INVOICE AND PAYMENT. A. Grantee will request monthly payment using the Excel version of the State of Texas Purchase Voucher (Form B-13) on a monthly basis and Support Document including any acceptable additional supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Excel version of the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, documentation and Financial Status Reports, and Match Certification Forms Reports should be mailed or emailed e-mailed to the addresses below. Claims Processing Unit, MC1940 Texas Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. PO Box 149347 Austin, TX ▇▇▇▇▇78714-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL9347 B-13: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent toSupport Document: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent toB-13A: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇▇ FSR: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ & and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ and ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with Attachment B, Budget.the Budget in C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- one-third of the remaining balance of the advance. E. For the purposes of this Contract, the Grantee may not use funds for fundraising activities, lobbying, research, construction, major renovations and reimbursement of pre-award costs, clinical care, purchase of vehicles of any kind, funding an award to another party or provider who is ineligible, backfilling costs for staff or the purchase of incentive items. Grantee: Dallas County Health and Human Services Personnel $97,632 Fringe Benefits $42,862 Travel $0 Equipment $0 Supplies $31,642 Contractual $0 Other $40,070 Sum of Direct Costs $212,206 Indirect Costs $21,221 Sum of Total Direct Costs and Indirect Costs $233,427 Less Match (Cash or In-Kind) $21,221 HHSC Uniform Terms and Conditions Version 2.13 Published and Effective: July 15, 2016 Responsible Office: Chief Counsel

INVOICE AND PAYMENT. A. Grantee ▇. ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by fax or electronic mail to the required servicesaddress/deliverablesnumber below. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed mailed, faxed or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with the Budget in Attachment B, BudgetB of this Contract. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfallsshortfall. System Agency Program will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amountamount as approved for this Contract, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the ContractContract term. Vacant positions existing after ninety (90) days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed twelve percent (12% %) of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency DSHS will reduce the reimbursement request by one- one-third of the remaining balance of the advance. I. GRANTEE RESPONSIBILITIES Grantee will: A. Perform activities in Wise County (hereinafter the "Jurisdiction") in support of the Public Health Emergency Preparedness Cooperative Agreement from the Centers for Disease Control and Prevention (CDC) and further the Strategic National Stockpile (SNS) program to comply with the Public Health Emergency Preparedness (PHEP) Cooperative Agreement’s capabilities-based approach. The Cities Readiness Initiative (CRI) requirements support the Medical Countermeasure Dispensing and Medical Materiel Management and Distribution capabilities. The CRI supports medical countermeasure distribution and dispensing for all-hazards events. B. Coordinate activities and response plans within the Jurisdiction with the state, regional and other local jurisdictions, among local agencies, and with hospitals and major health care entities, jurisdictional Metropolitan Medical Response Systems, and Councils of Government. ▇. ▇▇▇▇▇▇▇▇▇ with System Agency to coordinate all planning, training, and exercises performed under this Contract with the State of Texas, Texas Division of Emergency Management of the State of Texas, or other points of contact at the discretion of the Division for Regional and Local Health Operations, to ensure consistency and coordination of requirements at the local level and eliminate duplication of effort between the various domestic preparedness funding sources in the state. D. Utilize the Texas Medical Countermeasure (MCM) Strategy Document, as amended, to develop and execute plans, thus preparing the Metropolitan Statistical Area (MSA) to provide medical countermeasures to the identified population during a large-scale public health emergency. The Texas MCM Strategy Document is available at: ▇▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/commprep/sns.aspx or by contacting the Strategic National Stockpile (SNS) Central Office Team at ▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇. To accomplish this, Grantee will meet the planning and operational standards as outlined in Sections I(B)-(X) of this Contract, and the current Operational Readiness Review (▇▇▇) Tool, as amended, that applies to the following Public Health Emergency Preparedness Capabilities:

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. funds ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System AgencyDSHS. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇DSHS. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency DSHS will reduce the reimbursement request by one- one-third of the remaining balance of the advance.. Personnel $126,899.00 Fringe Benefits $54,567.00 Travel $10,600.00 Equipment $0.00 Supplies $239.00 Contractual $20,400.00 Other $9,780.00 Sum of Direct Costs $222,485.00 Indirect Costs $0.00 Sum of Total Direct Costs and Indirect Costs $222,485.00 Less Match (Cash or In-Kind) $20,400.00 Grantee shall provide matching funds in the amount of $20,400.00. HHSC Uniform Terms and Conditions Version 2.12 Published and Effective: November 30, 2015 Responsible Office: Chief Counsel ARTICLE I. DEFINITIONS AND INTERPRETIVE PROVISIONS 4

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. funds ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System AgencyDSHS. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇DSHS. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency DSHS will reduce the reimbursement request by one- one-third of the remaining balance of the advance.. Grantee: Dallas County Personnel $1,120,225 Fringe Benefits $432,755 Travel $20,291 Equipment $0 Supplies $37,864 Contractual $0 Other $130,010 Sum of Direct Costs $1,741,145 Indirect Costs $174,114 Sum of Total Direct Costs and Indirect Costs $1,915,259 Less Match (Cash or In-Kind) $174,114 Grantee shall provide matching funds in the amount of $174,114.00. HHSC Uniform Terms and Conditions Version 2.13 Published and Effective: July 15, 2016 Responsible Office: Chief Counsel

INVOICE AND PAYMENT. A. Grantee ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report Reports (FSR-269A) and the Match Certification Form (B-13A)on a quarterly basis. Vouchers, supporting documentation, and Financial Status Reports, and Match Certification Forms Reports should be mailed or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, ▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, B-13 and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, ▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, ▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, and ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with Attachment BC, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ D. Grantee may request a one-time working capital advance not to exceed twelve (12% %) percent of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if If the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- one-third of the remaining balance of the advance.. DocuSign Envelope ID: 8B27C5F5-5D18-4045-B183-A71AB001AA84 Grantee: Fort Bend County Health and Human Services Personnel $ 0.00 $ 0.00 $ 0.00 $ 0.00 Fringe Benefits $ 0.00 $ 0.00 $ 0.00 $ 0.00 Travel $ 7,935.00 $ 0.00 $ 0.00 $ 7,935.00 Equipment $ 0.00 $ 0.00 $ 45,030.00 $ 45,030.00 Supplies $ 30,000.00 $ 12,000.00 $ 23,000.00 $ 65,000.00 Contractual $ 455,138.00 $ 25,500.00 $ 30,000.00 $ 510,638.00 Other $ 0.00 $ 0.00 $ 1,850.00 $ 1,850.00 Sum of Direct Costs $ 493,073.00 $ 37,500.00 $ 99,880.00 $ 630,453.00 Indirect Costs $ 0.00 $ 0.00 $ 0.00 $ 0.00 Sum of Total Direct Costs and Indirect Costs $ 493,073.00 $ 37,500.00 $ 99,880.00 $ 630,453.00 Grantee must expend funds within the applicable specified time periods noted above. HHSC Uniform Terms and Conditions Version 2.13 Published and Effective: July 15, 2016 Responsible Office: Chief Counsel ARTICLE I. DEFINITIONS AND INTERPRETIVE PROVISIONS 4

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box ▇.▇. ▇▇▇ 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ D. Grantee may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System AgencyDSHS. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇DSHS. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency DSHS will reduce the reimbursement request by one- one-third of the remaining balance of the advance.

INVOICE AND PAYMENT. A. Grantee ▇. ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by fax or electronic mail to the required servicesaddress/deliverablesnumber below. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ B-13, B-13A, and supporting documentation should be emailed to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation FSR should be sent emailed to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with Attachment B, Budget.the Budget in C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfallsshortfall. System Agency Program will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amountcontract amount as approved for this Contract, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the ContractContract term. Vacant positions existing after ninety (90) days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed twelve percent (12% %) of the total amount of the Contract funded by System AgencyDSHS. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇DSHS. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency DSHS will reduce the reimbursement request by one- one-third of the remaining balance of the advance.. Remainder of Page Intentionally Left Blank. Personnel $195,300.00 Fringe Benefits $85,733.00 Travel $11,836.00 Equipment $0.00 Supplies $44,650.00 Contractual $6,000.00 Other $132,510.00 Sum of Direct Costs $476,029.00 Indirect Costs $47,602.00 Sum of Total Direct Costs and Indirect Costs $523,631.00 Less Match (Cash or In-Kind) $47,602.00 Grantee shall provide match funds in the amount of $47,602.00. HHSC Uniform Terms and Conditions Version 2.14 Published and Effective: March 1, 2017 Responsible Office: Chief Counsel 1.01 Definitions 4 1.02 Interpretive Provisions 5 2.01 Payment Methods 6 2.02 Final Billing Submission 6 2.03 Financial Status Reports (FSRs) 7 2.04 Debt to State and Corporate Status 7

INVOICE AND PAYMENT. A. Grantee ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A)on a quarterly basis. Vouchers, supporting documentation, and Financial Status Reports, and Match Certification Forms Reports should be mailed or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box ▇.▇. ▇▇▇ 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, B-13 and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, ▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, ▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, and ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with Attachment BC, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ D. Grantee may request a one-time working capital advance not to exceed twelve (12% %) percent of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if If the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- one-third of the remaining balance of the advance.. DocuSign Envelope ID: D9A3FB21-8D40-43EB-8D07-1786909C7BD2 Grantee: Collin County Personnel $0.00 $52,800.00 $0.00 $52,800.00 Fringe Benefits $0.00 $0.00 $0.00 $0.00 Travel $2,968.00 $0.00 $0.00 $2,968.00 Equipment $0.00 $0.00 $0.00 $0.00 Supplies $7,306.00 $1,000.00 $5,000.00 $13,306.00 Contractual $30,000.00 $56,500.00 $32,000.00 $118,500.00 Other $0.00 $0.00 $0.00 $0.00 Sum of Direct Costs $40,274.00 $110,300.00 $37,000.00 $187,574.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 Sum of Total Direct Costs and Indirect Costs $40,274.00 $110,300.00 $37,000.00 $187,574.00 Grantee must expend funds within the applicable specified time periods noted above. HHSC Uniform Terms and Conditions Version 2.13 Published and Effective: July 15, 2016 Responsible Office: Chief Counsel

INVOICE AND PAYMENT. A. Grantee ▇. ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis at h ttp://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇▇▇▇/▇▇▇▇▇.▇▇▇▇. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by fax or electronic mail to the required servicesaddress/deliverablesnumber below. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed mailed, faxed or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇i ▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇i ▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇P ▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇i ▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇F ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇C ▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with the Budget in Attachment B, BudgetB of this Contract. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfallsshortfall. System Agency Program will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amountamount as approved for this Contract, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the ContractContract term. Vacant positions existing after ninety (90) days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed twelve percent (12% %) of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- third of the remaining balance of the advance.at

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box ▇.▇. ▇▇▇ 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ D. Grantee may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ E. Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- third of the remaining balance of the advance.

INVOICE AND PAYMENT. A. Grantee ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report Reports (FSR-269A) and the Match Certification Form (B-13A)on a quarterly basis. Vouchers, supporting documentation, and Financial Status Reports, and Match Certification Forms Reports should be mailed or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, B-13 and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with Attachment BC, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ funds D. Grantee may request a one-time working capital advance not to exceed twelve percent (12% %) of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ will repay all or part of advance funds at any time Agency during the Contract’s term. However, if If the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- one-third of the remaining balance of the advance.

INVOICE AND PAYMENT. A. Grantee ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by fax or electronic mail to the required servicesaddress/deliverablesnumber below. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed mailed, faxed, or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇.▇. ▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with the Budget in Attachment B, BudgetB of this Contract. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfallsshortfall. System Agency Program will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amountamount as approved for this Contract, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the ContractContract term. Vacant positions existing after ninety (90) days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ D. Grantee may request a one-time working capital advance not to exceed twelve percent (12% %) of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- third of the remaining balance of the advance.at

INVOICE AND PAYMENT. A. Grantee will request monthly payment using the Excel version of the State of Texas Purchase Voucher (Form B-13) on a monthly basis and Support Document including any acceptable additional supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Excel version of the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, documentation and Financial Status Reports, and Match Certification Forms Reports should be mailed or emailed e-mailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAILB-13: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent toSupport Document: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent toB-13A: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇▇ FSR: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ & and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ and ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with Attachment B, Budget.the Budget in C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- one-third of the remaining balance of the advance.. Personnel $86,075.00 Fringe Benefits $31,961.00 Travel $9,371.00 Equipment $0.00 Supplies $29,316.00 Contractual $8,722.00 Other $78,632.00 Sum of Direct Costs $244,077.00 Indirect Costs $24,408.00 Sum of Total Direct Costs and Indirect Costs $268,485.00 Less Match (Cash or In-Kind) $24,408.00 TOTAL $244,077.00 HHSC Uniform Terms and Conditions Version 2.13 Published and Effective: July 15, 2016 Responsible Office: Chief Counsel

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box ▇.▇. ▇▇▇ 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ funds D. Grantee may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System AgencyDSHS. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇DSHS. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency DSHS will reduce the reimbursement request by one- one-third of the remaining balance of the advance.. Personnel $456,106.00 Fringe Benefits $165,567.00 Travel $5,309.00 Equipment $0.00 Supplies $4,601.00 Contractual $0.00 Other $0.00 Sum of Direct Costs $631,583.00 Indirect Costs $0.00 Sum of Total Direct Costs and Indirect Costs $631,583.00 Less Match (Cash or In-Kind) $57,417.00 Grantee shall provide matching funds in the amount of $57,417.00. HHSC Uniform Terms and Conditions Version 2.13 Published and Effective: July 15, 2016 Responsible Office: Chief Counsel

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. B. The Parties agree to cooperate by submitting separate and distinct invoices for each of the two Contract Grant Funding Allocations. Separate monthly invoices will be submitted for the base Hazards Grant Activities and for the 2019 All Hazards Conference Grant Activities. Comingling of these federal funds is prohibited. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin▇.▇. ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇, TX ▇▇ ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. C. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. D. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-one third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- one third of the remaining balance of the advance. 3. For the Contract period beginning July 1, 2018 and ending June 30, 2019, the Categorical Budget is deleted in its entirety and replaced with the following: Personnel $437,256.00 $0.00 Fringe Benefits $166,245.00 $0.00 Travel $9,851.00 $0.00 Equipment $0.00 $0.00 Supplies $4,263.00 $0.00 Contractual $0.00 $0.00 Other $13,968.00 $100,000.00 Sum of Direct Costs $631,583.00 $100,000.00 Indirect Costs $0.00 $0.00 Sum of Total Direct Costs and Indirect Costs $631,583.00 $100,000.00 Less Match (Cash or In-Kind) $57,417.00 $0.00 TOTAL $574,166.00 $100,000.00 Grantee shall provide matching funds in the amount of Fifty-Seven Thousand Four Hundred Seventeen Dollars ($57,417.00). 4. This Amendment No. 02 shall be effective on the first date on which it has been executed by both Parties. 5. Except as amended and modified by this Amendment No. 02, all terms and conditions of the Contract shall remain in full force and effect. 6. Any further revisions to the Contract shall be by written agreement of the Parties.

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box ▇.▇. ▇▇▇ 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ funds D. Grantee may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System AgencyDSHS. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇DSHS. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency DSHS will reduce the reimbursement request by one- one-third of the remaining balance of the advance.. Grantee: Collin County Personnel $374,957 Fringe Benefits $140,027 Travel $14,538 Equipment $0 Supplies $35,370 Contractual $0 Other $34,950 Sum of Direct Costs $599,842 Indirect Costs $0 Sum of Total Direct Costs and Indirect Costs $599,842 Less Match (Cash or In-Kind) $54,515 Grantee shall provide match funds in the amount of $54,515.00. HHSC Uniform Terms and Conditions Version 2.13 Published and Effective: July 15, 2016 Responsible Office: Chief Counsel

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. B. The Parties agree to cooperate by submitting separate and distinct invoices for each of the three Contract Grant Funding Allocations. Separate monthly invoices will be submitted for the base Hazards Grant Activities and for the 2018 All Hazards Conference Grant Activities. In addition, a separate one-time invoice will be submitted for the NACCHO application process. Comingling of these federal funds is prohibited. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin▇.▇. ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇, TX ▇▇ ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. C. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. D. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇Grantee’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇Grantee’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ Grantee may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System AgencyDSHS. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System AgencyDSHS. ▇. ▇▇▇▇▇▇▇ E. Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency DSHS will reduce the reimbursement request by one- one-third of the remaining balance of the advance.

INVOICE AND PAYMENT. A. Grantee ▇. ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by fax or electronic mail to the required servicesaddress/deliverablesnumber below. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed mailed, faxed, or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with the Budget in Attachment B, BudgetB of this Contract. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfallsshortfall. System Agency Program will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amountamount as approved for this Contract, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the ContractContract term. Vacant positions existing after ninety (90) days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed twelve percent (12% %) of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- third of the remaining balance of the advance.at

INVOICE AND PAYMENT. A. Grantee ▇. ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report Reports (FSR-269A) and the Match Certification Form (B-13A)on a quarterly basis. Vouchers, supporting documentation, and Financial Status Reports, and Match Certification Forms Reports should be mailed or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, ▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, B-13 and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, ▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, ▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, and ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with Attachment B, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed twelve (12% %) percent of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if If the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- one-third of the remaining balance of the advance.. DocuSign Envelope ID: BE05D74F-E84D-4C4D-970E-CB5AE478E70A *UDQWHH 'DOODV &RXQW\ +HDOWK DQG +XPDQ 6HUYLFHV 3HUVRQQHO )ULQJH %HQHILWV 7UDYHO (TXLSPHQW 6XSSOLHV &RQWUDFWXDO 2WKHU 6XP RI 'LUHFW &RVWV ,QGLUHFW &RVWV 6XP RI 7RWDO 'LUHFW &RVWV DQG ,QGLUHFW &RVWV *UDQWHH PXVW H[SHQG IXQGV ZLWKLQ WKH DSSOLFDEOH VSHFLILHG WLPH SHULRG QRWHG DERYH HHSC Uniform Terms and Conditions Version 2.14 Published and Effective: March 1, 2017 Responsible Office: Chief Counsel 1.01 Definitions 4 1.02 Interpretive Provisions 5 2.01 Payment Methods 6 2.02 Final Billing Submission 6 2.03 Financial Status Reports (FSRs) 7 2.04 Debt to State and Corporate Status 7

INVOICE AND PAYMENT. A. Grantee ▇. ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis at h ttp://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇▇▇▇/▇▇▇▇▇.▇▇▇▇. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by fax or electronic mail to the required servicesaddress/deliverablesnumber below. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed mailed, faxed, or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇i ▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇i ▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇P ▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇i ▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇P ▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇F ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇C ▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with the Budget in Attachment B, BudgetB of this Contract. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfallsshortfall. System Agency Program will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amountamount as approved for this Contract, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the ContractContract term. Vacant positions existing after ninety (90) days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed twelve percent (12% %) of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- third of the remaining balance of the advance.at

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, and Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX Texas ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, B-13 and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇, ▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ CC: ▇▇▇▇▇.▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ ,▇▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ cc assigned contract manager FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & CC: ▇▇▇▇▇.▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ , ▇▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇▇ & cc assigned contract manager B. Grantee will be paid on a monthly cost-reimbursement basis and in accordance with Attachment BC-2, BudgetRevised Budget of this Contract. C. System Agency DSHS reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency DSHS will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the ContractContract term. Vacant positions existing after ninety 90 days may result in a decrease in funds. ▇. System Agency Contract No. 537-18-0276-00001 Further information for completing the Work Plan can be obtained at Public Health Preparedness and Response Capabilities: National Standards for State, Local, Tribal and Territorial Public Health, and Local Planning, October 2018 (updated January 2019): Public Health Emergency Preparedness and Response Capabilities: National Standards for State, Local, Tribal, and Territorial Public Health—October 2018 (▇▇▇.▇▇▇▇ may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency) P = Planning, S/T = Skills and Training, and E/T = Equipment and Technology. ▇. ▇▇▇▇▇▇▇ will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- third of the remaining balance of the advance.

INVOICE AND PAYMENT. A. Grantee ▇. ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by fax or electronic mail to the required servicesaddress/deliverablesnumber below. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed mailed, faxed, or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇.▇. ▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇, ▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with the Budget in Attachment B, BudgetB of this Contract. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfallsshortfall. System Agency Program will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amountamount as approved for this Contract, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds.the ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed twelve percent (12% %) of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- one-third of the remaining balance of the advance.

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. funds ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- third of the remaining balance of the advance.. Grantee: City of Brownwood Personnel $67,539 Fringe Benefits $16,701 Travel $5,714 Equipment $0 Supplies $7,147 Contractual $0 Other $13,225 Sum of Direct Costs $110,326 Indirect Costs $0 Sum of Total Direct Costs and Indirect Costs $110,326 Less Match (Cash or In-Kind) $10,030 Grantee shall provide matching funds in the amount of $10,030.00. HHSC Uniform Terms and Conditions Version 2.13 Published and Effective: July 15, 2016 Responsible Office: Chief Counsel

INVOICE AND PAYMENT. A. Grantee ▇. ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by fax or electronic mail to the required servicesaddress/deliverablesnumber below. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ B-13, B-13A, and supporting documentation should be emailed to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation FSR should be sent emailed to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with Attachment B, Budget.the Budget in C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfallsshortfall. System Agency Program will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amountcontract amount as approved for this Contract, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the ContractContract term. Vacant positions existing after ninety (90) days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed twelve percent (12% %) of the total amount of the Contract funded by System AgencyDSHS. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇DSHS. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency DSHS will reduce the reimbursement request by one- one-third of the remaining balance of the advance.. Personnel $74,650.00 Fringe Benefits $32,106.00 Travel $6,190.00 Equipment $0.00 Supplies $5,225.00 Contractual $0.00 Other $23,341.00 Sum of Direct Costs $141,512.00 Indirect Costs $0.00 Sum of Total Direct Costs and Indirect Costs $141,512.00 Less Match (Cash or In-Kind) $12,862.00 Grantee shall provide match funds in the amount of $12,862.00. HHSC Uniform Terms and Conditions Version 2.14 Published and Effective: March 1, 2017 Responsible Office: Chief Counsel 1.01 Definitions 4 1.02 Interpretive Provisions 5 2.01 Payment Methods 6 2.02 Final Billing Submission 6 2.03 Financial Status Reports (FSRs) 7 2.04 Debt to State and Corporate Status 7

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin▇.▇. ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇, TX ▇▇ ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ Grantee may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- third of the remaining balance of the advance.

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin▇.▇. ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇, TX ▇▇ ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇Grantee’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇Grantee’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ Grantee may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ D. Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- third of the remaining balance of the advance.. AMENDMENT ▇▇. ▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇. ▇▇▇-▇▇-▇▇▇▇-▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ Personnel $445,562.00 $437,256.00 $882,818.00 Fringe Benefits $162,630.00 $166,245.00 $328,875.00 Travel $6,797.00 $9,851.00 $16,648.00 Equipment $0.00 $0.00 $0.00 Supplies $15,994.00 $4,263.00 $20,257.00 Contractual $0.00 $0.00 $0.00 Other $96,600.00 $13,968.00 $110,568.00 Sum of Direct Costs $727,583.00 $631,583.00 $1,359,166.00 Indirect Costs $0.00 $0.00 $0.00 Sum of Total Direct Costs and Indirect Costs $727,583.00 $631,583.00 $1,359,166.00 Less Match (Cash or In-Kind) $65,917.00 $57,417.00 $123,334.00 TOTAL $661,666.00 $574,166.00 $1,235,832.00

INVOICE AND PAYMENT. A. Grantee ▇. ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by electronic mail to the required servicesaddress/deliverablesnumber below. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, and Financial Status Reports, and Match Certification Forms Reports should be mailed or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ ATTACHMENT A STATEMENT OF WORK EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, B-13 and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with the Budget in Attachment B, BudgetB of this Contract. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfallsshortfall. System Agency Program will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amountcontract amount as approved for this Contract, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the ContractContract term. Vacant positions existing after ninety (90) days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed twelve percent (12% %) of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- one-third of the remaining balance of the advance.. SYSTEM AGENCY CONTRACT NO. HHS000145900001 ▇▇▇▇▇▇ COUNTY Personnel $9,000.00 Fringe Benefits $0.00 Travel $1,000.00 Equipment $0.00 Supplies $0.00 Contractual $0.00 Other $0.00 Sum of Direct Costs $10,000.00 Indirect Costs $0.00 Sum of Total Direct Costs and Indirect Costs $10,000.00 Less Match (Cash or In-Kind) $0.00 TOTAL $10,000.00 HHSC Uniform Terms and Conditions Version 2.15 Published and Effective: September 1, 2017 Responsible Office: Chief Counsel ARTICLE I. DEFINITIONS AND INTERPRETIVE PROVISIONS 4

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ & ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a monthly basis and in accordance with Attachment B, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. funds ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed 12% of the total amount of the Contract funded by System AgencyDSHS. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇DSHS. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency DSHS will reduce the reimbursement request by one- one-third of the remaining balance of the advance.. Personnel $456,106.00 Fringe Benefits $165,567.00 Travel $5,309.00 Equipment $0.00 Supplies $4,601.00 Contractual $0.00 Other $0.00 Sum of Direct Costs $631,583.00 Indirect Costs $0.00 Sum of Total Direct Costs and Indirect Costs $631,583.00 Less Match (Cash or In-Kind) $57,417.00 Grantee shall provide matching funds in the amount of $57,417.00. HHSC Uniform Terms and Conditions Version 2.13 Published and Effective: July 15, 2016 Responsible Office: Chief Counsel ARTICLE I. DEFINITIONS AND INTERPRETIVE PROVISIONS 4

INVOICE AND PAYMENT. A. Grantee ▇. ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by fax or electronic mail to the required servicesaddress/deliverablesnumber below. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed mailed, faxed or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with the Budget in Attachment B, BudgetB of this Contract. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfallsshortfall. System Agency Program will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amountamount as approved for this Contract, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the ContractContract term. Vacant positions existing after ninety (90) days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed twelve percent (12% %) of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency DSHS will reduce the reimbursement request by one- one-third of the remaining balance of the advance. I. GRANTEE RESPONSIBILITIES Grantee will: A. Perform activities in ▇▇▇▇▇▇▇▇▇▇ County (hereinafter the "Jurisdiction") in support of the Public Health Emergency Preparedness Cooperative Agreement from the Centers for Disease Control and Prevention (CDC) and further the Strategic National Stockpile (SNS) program to comply with the Public Health Emergency Preparedness (PHEP) Cooperative Agreement’s capabilities-based approach. The Cities Readiness Initiative (CRI) requirements support the Medical Countermeasure Dispensing and Medical Materiel Management and Distribution capabilities. The CRI supports medical countermeasure distribution and dispensing for all-hazards events. B. Coordinate activities and response plans within the Jurisdiction with the state, regional and other local jurisdictions, among local agencies, and with hospitals and major health care entities, jurisdictional Metropolitan Medical Response Systems, and Councils of Government. ▇. ▇▇▇▇▇▇▇▇▇ with System Agency to coordinate all planning, training, and exercises performed under this Contract with the State of Texas, Texas Division of Emergency Management of the State of Texas, or other points of contact at the discretion of the Division for Regional and Local Health Operations, to ensure consistency and coordination of requirements at the local level and eliminate duplication of effort between the various domestic preparedness funding sources in the state. D. Utilize the Texas Medical Countermeasure (MCM) Strategy Document, as amended, to develop and execute plans, thus preparing the Metropolitan Statistical Area (MSA) to provide medical countermeasures to the identified population during a large-scale public health emergency. The Texas MCM Strategy Document is available at: ▇▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/commprep/sns.aspx or by contacting the Strategic National Stockpile (SNS) Central Office Team at ▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇. To accomplish this, Grantee will meet the planning and operational standards as outlined in Sections I(B)-(X) of this Contract, and the current Operational Readiness Review (▇▇▇) Tool, as amended, that applies to the following Public Health Emergency Preparedness Capabilities:

INVOICE AND PAYMENT. A. Grantee ▇. ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by electronic mail to the required servicesaddress/deliverablesnumber below. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, and Financial Status Reports, and Match Certification Forms Reports should be mailed or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ ATTACHMENT A STATEMENT OF WORK EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, B-13 and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with the Budget in Attachment B, BudgetB of this Contract. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfallsshortfall. System Agency Program will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amountcontract amount as approved for this Contract, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the ContractContract term. Vacant positions existing after ninety (90) days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ may request a one-time working capital advance not to exceed twelve percent (12% %) of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ Grantee will repay all or part of advance funds at any time during the Contract’s term. However, if the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- one-third of the remaining balance of the advance.. SYSTEM AGENCY CONTRACT NO. HHS000145800001 ▇▇▇▇▇▇▇ COUNTY Personnel $9,000.00 Fringe Benefits $0.00 Travel $1,000.00 Equipment $0.00 Supplies $0.00 Contractual $0.00 Other $0.00 Sum of Direct Costs $10,000.00 Indirect Costs $0.00 Sum of Total Direct Costs and Indirect Costs $10,000.00 Less Match (Cash or In-Kind) $0.00 TOTAL $10,000.00 HHSC Uniform Terms and Conditions Version 2.15 Published and Effective: September 1, 2017 Responsible Office: Chief Counsel ARTICLE I. DEFINITIONS AND INTERPRETIVE PROVISIONS 4

INVOICE AND PAYMENT. A. Grantee ▇▇▇▇▇▇▇ will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report Reports (FSR-269A) and the Match Certification Form (B-13A)on a quarterly basis. Vouchers, supporting documentation, and Financial Status Reports, and Match Certification Forms Reports should be mailed or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box ▇.▇. ▇▇▇ 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇, ▇ and ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B-13, B-13A, B-13 and supporting documentation should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ & ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ FSRs should be sent to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid reimbursed on a monthly basis and in accordance with Attachment BC, Budget. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. System Agency will monitor ▇▇▇▇▇▇▇’s expenditures on a quarterly basis. If expenditures are below that projected in Grantee’s total Contract amount, ▇▇▇▇▇▇▇’s budget may be subject to a decrease for the remainder of the Term of the Contract. Vacant positions existing after ninety days may result in a decrease in funds. ▇. ▇▇▇▇▇▇▇ funds D. Grantee may request a one-time working capital advance not to exceed twelve percent (12% %) of the total amount of the Contract funded by System Agency. All advances must be expended by the end of the Contract term. Advances not expended by the end of the Contract contract term must be refunded to System Agency. ▇. ▇▇▇▇▇▇▇ will repay all or part of advance funds at any time Agency during the Contract’s term. However, if If the advance has not been repaid prior to the last three months of the Contract term, the Grantee must deduct at least one-third of the remaining advance from each of the last three months’ reimbursement requests. If the advance is not repaid prior to the last three months of the Contract term, System Agency will reduce the reimbursement request by one- one-third of the remaining balance of the advance.