Common use of INVOICE AND PAYMENT Clause in Contracts

INVOICE AND PAYMENT. ▇. ▇▇▇▇▇▇▇ will request payments using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm. Voucher and any supporting documentation will be mailed, submitted by fax, or submitted by electronic mail to the addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, Texas ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT B BUDGET of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. ▇. ▇▇▇▇▇▇▇ will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. ▇. ▇▇▇▇▇▇▇ will submit quarterly FSRs to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. ▇. ▇▇▇▇▇▇▇ will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty-five (45) calendar days following the termination of the Contract may not be paid. ▇. ▇▇▇▇▇▇▇ will submit a final FSR for the service period of September 1, 2019 through August 31, 2020 by October 20, 2020. Grantee will submit a final FSR for the service period of September 1, 2020 through August 31, 2021 by October 20, 2021.

INVOICE AND PAYMENT. ▇. ▇▇▇▇▇▇▇ will request payments using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm. Voucher and any supporting documentation will be mailed, submitted by fax, mailed or submitted by fax or electronic mail to the all addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, Texas TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ and EMAIL: ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and EMAIL: ▇▇▇▇▇.▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT the Budget in Attachment B BUDGET of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. ▇. ▇▇▇▇▇▇▇ will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. ▇. ▇▇▇▇▇▇▇ will submit quarterly FSRs Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. ▇. ▇▇▇▇▇▇▇ will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty-forty- five (45) calendar days following the termination of the Contract may not be paid. ▇. ▇▇▇▇▇▇▇ will submit a final FSR for the service period of September 1, 2019 through August 31, 2020 by October 20, 2020. Grantee will submit as a final close-out FSR for the service period of September 1, 2020 through August 31, 2021 by October 20, 2021.not later than forty-five

INVOICE AND PAYMENT. ▇. ▇▇▇▇▇▇▇ will request payments using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm. Voucher and any supporting documentation will be mailed, submitted by fax, or submitted by electronic mail to the addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, Texas ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT B B-1 REVISED BUDGET of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/travel/plan- plan-book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. ▇. ▇▇▇▇▇▇▇ will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. ▇. ▇▇▇▇▇▇▇ will submit quarterly FSRs Financial Status Reports (FSR) located at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm by email to DSHS ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. ▇. ▇▇▇▇▇▇▇ will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-forty- five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty-five (45) calendar days following the termination of the Contract may not be paid. ▇. ▇▇▇▇▇▇▇ will submit a final FSR for the service period of September 1, 2019 2021 through August 31, 2020 2022 by October 20, 20202022. Grantee will submit a final FSR for the service period of September 1, 2020 2022 through August 31, 2021 2023 by October 20, 20212023.

INVOICE AND PAYMENT. ▇. ▇▇▇▇▇▇▇ will request payments using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm. Voucher and any supporting documentation will be mailed, submitted by fax, or submitted by electronic mail to the addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, Texas ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT B BUDGET Attachment B-1 Revised Budget of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/travel/plan- plan-book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. ▇. ▇▇▇▇▇▇▇ will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. ▇. ▇▇▇▇▇▇▇ will submit quarterly FSRs Financial Status Reports (FSR) located at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm by email to DSHS ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. ▇. ▇▇▇▇▇▇▇ will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-forty- five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty-five (45) calendar days following the termination of the Contract may not be paid. ▇. ▇▇▇▇▇▇▇ will submit a final FSR for the service period of September 1, 2019 2021 through August 31, 2020 2022 by October 20, 20202022. Grantee will submit a final FSR for the service period of September 1, 2020 2022 through August 31, 2021 2023 by October 20, 20212023.

INVOICE AND PAYMENT. ▇. ▇▇▇▇▇▇▇ A. Grantee will request payments using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm. Voucher and any supporting documentation will be mailed, submitted by fax, mailed or submitted by fax or electronic mail to the all addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, Texas TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ and EMAIL: ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and EMAIL: ▇▇▇▇▇.▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT the Budget in Attachment B BUDGET of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. ▇. ▇▇▇▇▇▇▇ C. Grantee will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. ▇. ▇▇▇▇▇▇▇ D. Grantee will submit quarterly FSRs Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. ▇. ▇▇▇▇▇▇▇ E. Grantee will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty-forty- five (45) calendar days following the termination of the Contract may not be paid. ▇. ▇▇▇▇▇▇▇ will submit a final FSR for the service period of September 1, 2019 through August 31, 2020 by October 20, 2020. F. Grantee will submit a final FSR for the service period of September 1, 2020 through August 31, 2021 by October 20, 2021.as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. ▇. ▇▇▇▇▇▇▇ A. Grantee will request payments monthly using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm. Voucher and any supporting documentation will be mailed, submitted by fax, mailed or submitted by fax or electronic mail to the addressesaddress/number below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box ▇.▇. ▇▇▇ 149347 Austin, Texas TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ and EMAIL: ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT the Budget in Attachment B BUDGET of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. ▇. ▇▇▇▇▇▇▇ C. Grantee will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate substantiates invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable unallowable, then the Grantee will reimburse DSHS for that cost. ▇. ▇▇▇▇▇▇▇ D. Grantee will submit quarterly FSRs biannual Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. ▇. ▇▇▇▇▇▇▇ E. Grantee will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty-five (45) calendar days following the termination of the Contract may not be paid. ▇. ▇▇▇▇▇▇▇ will submit a final FSR for the service period of September 1, 2019 through August 31, 2020 by October 20, 2020. Grantee will submit a final FSR for the service period of September 1, 2020 through August 31, 2021 by October 20, 2021.

INVOICE AND PAYMENT. ▇. ▇▇▇▇▇▇▇ A. Grantee will request payments using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm. Voucher and any supporting documentation will be mailed, submitted by fax, mailed or submitted by fax or electronic mail to the all addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box ▇.▇. ▇▇▇ 149347 Austin, Texas TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ and EMAIL: ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and EMAIL: ▇▇▇▇▇.▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT the Budget in Attachment B BUDGET of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. ▇. ▇▇▇▇▇▇▇ C. Grantee will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. ▇. ▇▇▇▇▇▇▇ D. Grantee will submit quarterly FSRs Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. ▇. ▇▇▇▇▇▇▇ E. Grantee will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty-forty- five (45) calendar days following the termination of the Contract may not be paid. ▇. ▇▇▇▇▇▇▇ will submit a final FSR for the service period of September 1, 2019 through August 31, 2020 by October 20, 2020. F. Grantee will submit a final FSR for the service period of September 1, 2020 through August 31, 2021 by October 20, 2021.as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. ▇. ▇▇▇▇▇▇▇ A. Grantee will request payments using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm. Voucher and any supporting documentation will be mailed, submitted by fax, or submitted by electronic mail to the addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin▇.▇. ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇, Texas ▇▇▇▇▇ ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT B BUDGET of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. ▇. ▇▇▇▇▇▇▇ C. Grantee will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. ▇. ▇▇▇▇▇▇▇ D. Grantee will submit quarterly FSRs to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. ▇. ▇▇▇▇▇▇▇ E. Grantee will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty-five (45) calendar days following the termination of the Contract may not be paid. ▇. ▇▇▇▇▇▇▇ F. Grantee will submit a final FSR for the service period of September 1, 2019 through August 31, 2020 by October 20, 2020. Grantee will submit a final FSR for the service period of September 1, 2020 through August 31, 2021 by October 20, 2021.

INVOICE AND PAYMENT. ▇. ▇▇▇▇▇▇▇ will request payments using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm. Voucher and any supporting documentation will be mailed, submitted by fax, or submitted by electronic mail to the addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, Texas ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT Attachment B BUDGET Budget of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. ▇. ▇▇▇▇▇▇▇ will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. ▇. ▇▇▇▇▇▇▇ will submit quarterly FSRs to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. ▇. ▇▇▇▇▇▇▇ will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty-five (45) calendar days following the termination of the Contract may not be paid. ▇. ▇▇▇▇▇▇▇ will submit a final FSR for the service period of September 1, 2019 through August 31, 2020 by October 20, 2020. Grantee will submit a final FSR for the service period of September 1, 2020 through August 31, 2021 by October 20, 2021.

INVOICE AND PAYMENT. ▇. ▇▇▇▇▇▇▇ A. Grantee will request payments using the State of Texas Purchase Voucher (Form B-13) located at ▇▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/hivstd/forms.shtmcontractor/cmsforms.shtm. Voucher and any supporting documentation will be mailed, submitted by fax, mailed or submitted by fax or electronic mail to the all addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box ▇.▇. ▇▇▇ 149347 Austin, Texas TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ and EMAIL: ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and EMAIL: ▇▇▇▇▇.▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT the Budget in Attachment B BUDGET of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. ▇. ▇▇▇▇▇▇▇ C. Grantee will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate substantiates invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable unallowable, then the Grantee will reimburse DSHS for that cost. ▇. ▇▇▇▇▇▇▇ D. Grantee will submit quarterly FSRs Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. ▇. ▇▇▇▇▇▇▇ E. Grantee will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty-forty- five (45) calendar days following the termination of the Contract may not be paid. ▇. ▇▇▇▇▇▇▇ will submit a final FSR for the service period of September 1, 2019 through August 31, 2020 by October 20, 2020. F. Grantee will submit a final FSR for the service period of September 1, 2020 through August 31, 2021 by October 20, 2021.as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. ▇. ▇▇▇▇▇▇▇ will request payments using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm. Voucher and any supporting documentation will be mailed, submitted by fax, or submitted by electronic mail to the addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin▇.▇. ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇, Texas ▇▇▇▇▇ ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT Attachment B BUDGET Budget of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. ▇. ▇▇▇▇▇▇▇ will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. ▇. ▇▇▇▇▇▇▇ will submit quarterly FSRs to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. ▇. ▇▇▇▇▇▇▇ will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty-five (45) calendar days following the termination of the Contract may not be paid. ▇. ▇▇▇▇▇▇▇ will submit a final FSR for the service period of September 1, 2019 through August 31, 2020 by October 20, 2020. Grantee will submit a final FSR for the service period of September 1, 2020 through August 31, 2021 by October 20, 2021.

INVOICE AND PAYMENT. ▇. ▇▇▇▇▇▇▇ will request payments using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm. Voucher and any supporting documentation will be mailed, submitted by fax, or submitted by electronic mail to the addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin▇.▇. ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇, Texas ▇▇▇▇▇ ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT B BUDGET Attachment B-1 Revised Budget of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/travel/plan- plan-book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. ▇. ▇▇▇▇▇▇▇ will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. ▇. ▇▇▇▇▇▇▇ will submit quarterly FSRs Financial Status Reports (FSR) located at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm by email to DSHS ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. ▇. ▇▇▇▇▇▇▇ will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-forty- five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty-five (45) calendar days following the termination of the Contract may not be paid. ▇. ▇▇▇▇▇▇▇ will submit a final FSR for the service period of September 1, 2019 2021 through August 31, 2020 2022 by October 20, 20202022. Grantee will submit a final FSR for the service period of September 1, 2020 2022 through August 31, 2021 2023 by October 20, 20212023.

INVOICE AND PAYMENT. ▇. ▇▇▇▇▇▇▇ will request payments using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm. Voucher and any supporting documentation will be mailed, submitted by fax, or submitted by electronic mail to the addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, Texas ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT B B-1 REVISED BUDGET of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/travel/plan- plan-book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. ▇. ▇▇▇▇▇▇▇ will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. ▇. ▇▇▇▇▇▇▇ will submit quarterly FSRs Financial Status Reports (FSR) located at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm by email to DSHS ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. ▇. ▇▇▇▇▇▇▇ will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty-five (45) calendar days following the termination of the Contract may not be paid. ▇. ▇▇▇▇▇▇▇ will submit a final FSR for the service period of September 1, 2019 2021 through August 31, 2020 2022 by October 20, 20202022. Grantee will submit a final FSR for the service period of September 1, 2020 2022 through August 31, 2021 2023 by October 20, 20212023.

INVOICE AND PAYMENT. ▇. ▇▇▇▇▇▇▇ will request payments using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm. Voucher and any supporting documentation will be mailed, submitted by fax, mailed or submitted by fax or electronic mail to the all addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, Texas TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ and EMAIL: ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and EMAIL: ▇▇▇▇▇.▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT the Budget in Attachment B BUDGET of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. ▇. ▇▇▇▇▇▇▇ will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. ▇. ▇▇▇▇▇▇▇ will submit quarterly FSRs Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. ▇. ▇▇▇▇▇▇▇ will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty-forty- five (45) calendar days following the termination of the Contract may not be paid. ▇. ▇▇▇▇▇▇▇ will submit a final FSR for the service period of September 1, 2019 through August 31, 2020 by October 20, 2020. Grantee will submit as a final close-out FSR for the service period of September 1, 2020 through August 31, 2021 by October 20, 2021.not later than forty-five ABOUT THIS DOCUMENT

INVOICE AND PAYMENT. ▇. ▇▇▇▇▇▇▇ will request payments monthly using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm. Voucher and any supporting documentation will be mailed, submitted by fax, mailed or submitted by fax or electronic mail to the addressesaddress/number below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, Texas TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ and EMAIL: ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT the Budget in Attachment B BUDGET of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. ▇. ▇▇▇▇▇▇▇ will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate substantiates invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable unallowable, then the Grantee will reimburse DSHS for that cost. ▇. ▇▇▇▇▇▇▇ will submit quarterly FSRs biannual Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. ▇. ▇▇▇▇▇▇▇ will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty-five (45) calendar days following the termination of the CONTRACT NO. HHS001193700012 TOTAL DIRECT CHARGES $604,896.00 Contract may not be paid. ▇. ▇▇▇▇▇▇▇ will submit a final FSR for the service period of September 1, 2019 through August 31, 2020 by October 20, 2020. Grantee will submit a final FSR for the service period of September 1, 2020 through August 31, 2021 by October 20, 2021.Number _H_H_S_0_0_1_1_9_3_70_0_0_1_2

INVOICE AND PAYMENT. ▇. ▇▇▇▇▇▇▇ A. Grantee will request payments using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm. Voucher and any supporting documentation will be mailed, submitted by fax, mailed or submitted by fax or electronic mail to the all addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box ▇.▇. ▇▇▇ 149347 Austin, Texas TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ and EMAIL: ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and EMAIL: ▇▇▇▇▇.▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT the Budget in Attachment B BUDGET of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. ▇. ▇▇▇▇▇▇▇ C. Grantee will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. ▇. ▇▇▇▇▇▇▇ D. Grantee will submit quarterly FSRs Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. ▇. ▇▇▇▇▇▇▇ E. Grantee will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty-forty- five (45) calendar days following the termination of the Contract may not be paid. ▇. ▇▇▇▇▇▇▇ will submit a final FSR for the service period of September 1, 2019 through August 31, 2020 by October 20, 2020. F. Grantee will submit a final FSR for the service period of September 1, 2020 through August 31, 2021 by October 20, 2021.as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. ▇. Grantee shall bill, and System Agency shall pay Grantee based upon ▇▇▇▇▇▇▇ will ▇’s submission of a monthly detailed and accurate invoice describing the services performed in completion of the responsibilities outlined in Attachment A-2, Statement of Work for CY2023 and FY2024. Invoices and supporting documentation shall be submitted to System Agency no later than thirty (30) days after the last day of each month. A. Grantee shall request payments monthly using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtmforms/b13form.doc. Voucher and any supporting documentation will must be mailed, submitted by fax, mailed or submitted by fax or electronic mail to the addresses/address or fax number below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, Texas ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: Invoices and all supporting documentation must be emailed to ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAILsimultaneously. Invoices must be submitted monthly to prevent delays in subsequent months. Grantees that do not incur expenses within a month are required to submit a “zero dollar” invoice on a monthly basis. Grantee must submit a final close-out invoice and final financial status report no later than 45 days following the end of the Contract term. Invoices received more than 45 days after the end of the Contract term are subject to denial of payment. Department of State Health Services Claims Processing Unit, MC ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ ▇.▇. ▇▇▇ 149347 Austin, TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ Email: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇▇ Failure to submit required information may result in delay of payment or return of invoice. Billing invoices must be legible. Illegible or incomplete invoices which cannot be verified will be disallowed for payment. B. Grantee shall submit the Financial Status Report (FSR-269A) biannually as outlined below. Grantee shall email the Financial Status Report (FSR-269A) and the Match Reimbursement/Certification Form (B-13A) to the following email addresses: C. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT B BUDGET Attachment B-2, Revised Budgets of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. ▇. ▇▇▇▇▇▇▇ will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. ▇. ▇▇▇▇▇▇▇ will submit quarterly FSRs to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. ▇. ▇▇▇▇▇▇▇ will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty-five (45) calendar days following the termination of the Contract may not be paid. ▇. ▇▇▇▇▇▇▇ will submit a final FSR for the service period of September 1, 2019 through August 31, 2020 by October 20, 2020. Grantee will submit a final FSR for the service period of September 1, 2020 through August 31, 2021 by October 20, 2021.

INVOICE AND PAYMENT. ▇. ▇▇▇▇▇▇▇ will request payments using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm. Voucher and any supporting documentation will be mailed, submitted by fax, mailed or submitted by fax or electronic mail to the all addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, Texas TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ and EMAIL: ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and EMAIL: ▇▇▇▇▇.▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT the Budget in Attachment B BUDGET of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. ▇. ▇▇▇▇▇▇▇ will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. ▇. ▇▇▇▇▇▇▇ will submit quarterly FSRs Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. ▇. ▇▇▇▇▇▇▇ will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty-forty- five (45) calendar days following the termination of the Contract may not be paid. ▇. ▇▇▇▇▇▇▇ will submit a final FSR for as a final close-out FSR not later than forty-five (45) calendar days following the service period end of September 1the term of the Contract. Fort Bend County Contract No. HHS000812700019 Categorical Budget Upon Execution to April 30, 2022 PERSONNEL $276,000.00 FRINGE BENEFITS $129,085.00 TRAVEL $1,446.00 EQUIPMENT $0.00 SUPPLIES $0.00 CONTRACTUAL $0.00 OTHER $0.00 TOTAL DIRECT CHARGES $406,531.00 INDIRECT CHARGES $0.00 HHSC Uniform Terms and Conditions Version 2.16 Published and Effective: March 26, 2019 through August 31, 2020 by October 20, 2020. Grantee will submit a final FSR for the service period of September 1, 2020 through August 31, 2021 by October 20, 2021.Responsible Office: Chief Counsel

INVOICE AND PAYMENT. ▇. ▇▇▇▇▇▇▇ will request payments using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm. Voucher and any supporting documentation will be mailed, submitted by fax, mailed or submitted by fax or electronic mail to the all addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin, Texas TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ and EMAIL: ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and EMAIL: ▇▇▇▇▇.▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT the Budget in Attachment B BUDGET of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. ▇. ▇▇▇▇▇▇▇ will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. ▇. ▇▇▇▇▇▇▇ will submit quarterly FSRs Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. ▇. ▇▇▇▇▇▇▇ will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty-forty- five (45) calendar days following the termination of the Contract may not be paid. ▇. ▇▇▇▇▇▇▇ will submit a final FSR for as a final close-out FSR not later than forty-five (45) calendar days following the service period end of September 1the term of the Contract. Collin County Health Care Services Contract No. HHS000812700014 Categorical Budget Upon Execution to April 30, 2022 PERSONNEL $221,594.00 FRINGE BENEFITS $91,522.00 TRAVEL $1,150.00 EQUIPMENT $0.00 SUPPLIES $9,774.00 CONTRACTUAL $100,000.00 OTHER $32,238.00 TOTAL DIRECT CHARGES $456,278.00 INDIRECT CHARGES $0.00 HHSC Uniform Terms and Conditions Version 2.16 Published and Effective: March 26, 2019 through August 31, 2020 by October 20, 2020. Grantee will submit a final FSR for the service period of September 1, 2020 through August 31, 2021 by October 20, 2021.Responsible Office: Chief Counsel

INVOICE AND PAYMENT. ▇. ▇▇▇▇▇▇▇ A. Performing Agency will request payments using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtmforms/b13form.doc. Voucher and any supporting documentation will be mailed, submitted by fax, mailed or submitted by fax or electronic mail to the addressesaddress/number below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin▇.▇. ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇, Texas ▇▇ ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee Performing Agency will be paid on a cost reimbursement basis and in accordance with ATTACHMENT B BUDGET the Budget in Attachment B-2 of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. ▇. ▇▇▇▇▇▇▇ C. Performing Agency will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee Performing Agency shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee Performing Agency will reimburse DSHS for that cost. D. Performing Agency will submit quarterly Financial Status Reports (FSR) located at ▇. ▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm by email to ▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ will submit quarterly FSRs to DSHS and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. ▇. ▇▇▇▇▇▇▇ E. Performing Agency will submit request requests for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty-five (45) calendar days following the termination of the Contract may not be paid. ▇. ▇▇▇▇▇▇▇ F. Performing Agency will submit a final FSR for not later than forty-five (45) calendar days following the service period end of September 1, 2019 through August 31, 2020 by October 20, 2020. Grantee will submit a final FSR for the service period term of September 1, 2020 through August 31, 2021 by October 20, 2021the Contract.

INVOICE AND PAYMENT. ▇. ▇▇▇▇▇▇▇ A. Grantee will request payments monthly using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm. Voucher and any supporting documentation will be mailed, submitted by fax, mailed or submitted by fax or electronic mail to the addressesaddress/number below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box ▇.▇. ▇▇▇ 149347 Austin, Texas TX ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ and EMAIL: ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT the Budget in Attachment B BUDGET of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. ▇. ▇▇▇▇▇▇▇ C. Grantee will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate substantiates invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable unallowable, then the Grantee will reimburse DSHS for that cost. ▇. ▇▇▇▇▇▇▇ D. Grantee will submit quarterly FSRs biannual Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. ▇. ▇▇▇▇▇▇▇ E. Grantee will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in __C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the DSHS office more than forty-five Health and Human Services Commission (45HHSC) calendar days and the Department of State Health Services (DSHS). System Agency refers to HHSC, DSHS, or both, that will be a party to this Contract. These Contract Affirmations apply to all Contractors and Grantees (referred to as “Contractor”) regardless of their business form (e.g., individual, partnership, corporation). By entering into this Contract, Contractor affirms, without exception, understands, and agrees to comply with the following items through the termination life of the Contract: 1. Contractor represents and warrants that these Contract Affirmations apply to Contractor and all of Contractor's principals, officers, directors, shareholders, partners, owners, agents, employees, subcontractors, independent contractors, and any other representatives who may not be paidprovide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation. ▇. ▇▇▇▇▇▇▇ will submit a final FSR for the service period of September 1, 2019 through August 31, 2020 by October 20, 2020. Grantee will submit a final FSR for the service period of September 1, 2020 through August 31, 2021 by October 20, 2021.

INVOICE AND PAYMENT. ▇. ▇▇▇▇▇▇▇ will request payments monthly using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm. Voucher and any supporting documentation will be mailed, submitted by fax, mailed or submitted by fax or electronic mail to the addressesaddress/number below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box 149347 Austin▇.▇. ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇, Texas ▇▇ ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ and EMAIL: ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇and B. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT the Budget in Attachment B BUDGET of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. ▇. ▇▇▇▇▇▇▇ will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate substantiates invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable unallowable, then the Grantee will reimburse DSHS for that cost. ▇. ▇▇▇▇▇▇▇ will submit quarterly FSRs biannual Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. ▇. ▇▇▇▇▇▇▇ will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in Contract Number _H_HS0011937000_01 Attachment _C_ CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the DSHS office more than forty-five Health and Human Services Commission (45HHSC) calendar days and the Department of State Health Services (DSHS). System Agency refers to HHSC, DSHS, or both, that will be a party to this Contract. These Contract Affirmations apply to all Contractors and Grantees (referred to as “Contractor”) regardless of their business form (e.g., individual, partnership, corporation). By entering into this Contract, Contractor affirms, without exception, understands, and agrees to comply with the following items through the termination life of the Contract: 1. Contractor represents and warrants that these Contract Affirmations apply to Contractor and all of Contractor's principals, officers, directors, shareholders, partners, owners, agents, employees, subcontractors, independent contractors, and any other representatives who may not be paidprovide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation. ▇. ▇▇▇▇▇▇▇ will submit a final FSR for the service period of September 1, 2019 through August 31, 2020 by October 20, 2020. Grantee will submit a final FSR for the service period of September 1, 2020 through August 31, 2021 by October 20, 2021.

INVOICE AND PAYMENT. ▇. ▇▇▇▇▇▇▇ A. Grantee will request payments using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/grants/forms.shtm. Voucher and any supporting documentation will be mailed, submitted by fax, or submitted by electronic mail to the addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ P.O. Box ▇.▇. ▇▇▇ 149347 Austin, Texas ▇▇▇▇▇-▇▇▇▇ FAX: (▇▇▇) ▇▇▇-▇▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ EMAIL: ▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ B. Grantee will be paid on a cost reimbursement basis and in accordance with ATTACHMENT Attachment B BUDGET Budget of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. ▇. ▇▇▇▇▇▇▇ C. Grantee will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. ▇. ▇▇▇▇▇▇▇ D. Grantee will submit quarterly FSRs to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. ▇. ▇▇▇▇▇▇▇ E. Grantee will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty-five (45) calendar days following the termination of the Contract may not be paid. ▇. ▇▇▇▇▇▇▇ F. Grantee will submit a final FSR for the service period of September 1, 2019 through August 31, 2020 by October 20, 2020. Grantee will submit a final FSR for the service period of September 1, 2020 through August 31, 2021 by October 20, 2021.