Common use of INVOICE AND PAYMENT Clause in Contracts

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment B, Budget, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Personnel $129,778.00 $129,778.00 Fringe Benefits $30,991.00 $30,991.00 Travel $2,680.00 $2,680.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 Contractual $720.00 $720.00 Other $0.00 $0.00 Total Direct Charges $169,790.00 $169,790.00 Indirect Charges $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) located at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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 30 days following the end of the Contract term. Invoices received more than 45 30 days after the end of the Contract term are subject to denial of payment. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and with a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment BATTACHMENT B-1, BudgetFY 2025 BUDGET, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Attachment B-1 FY 2025 Budget Budget Categories Budget for FY 2025 September 1, 2024 - August 31, 2025 Personnel $129,778.00 459,027.00 Fringe $129,778.00 Fringe Benefits $30,991.00 $30,991.00 219,599.00 Travel $2,680.00 $2,680.00 650.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 1,193.00 Contractual $720.00 $720.00 0.00 Other $0.00 5,130.00 Total Direct $685,599.00 Indirect $0.00 Total Direct Charges $169,790.00 $169,790.00 Indirect Charges $0.00 $0.00 Attachment C Contract Number _H_HS_0_01_3_3_1_3_0_0_0_4_8 _C_1 CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment B, Budget, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Personnel $129,778.00 168,977.00 $129,778.00 168,977.00 Fringe Benefits $30,991.00 72,660.00 $30,991.00 72,660.00 Travel $2,680.00 0.00 $2,680.00 0.00 Equipment $0.00 $0.00 Supplies $5,621.00 0.00 $5,621.00 0.00 Contractual $720.00 0.00 $720.00 0.00 Other $0.00 $0.00 Total Direct Charges $169,790.00 241,637.00 $169,790.00 241,637.00 Indirect Charges $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.Number _H_H_S_0_0_1_3_3_1_30_0_0_1_1

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment B, Budget, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Personnel $129,778.00 330,995.00 $129,778.00 330,995.00 Fringe Benefits $30,991.00 150,934.00 $30,991.00 150,934.00 Travel $2,680.00 0.00 $2,680.00 0.00 Equipment $0.00 $0.00 Supplies $5,621.00 0.00 $5,621.00 0.00 Contractual $720.00 0.00 $720.00 0.00 Other $0.00 $0.00 Total Direct Charges $169,790.00 481,929.00 $169,790.00 481,929.00 Indirect Charges $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) located at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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 30 days following the end of the Contract term. Invoices received more than 45 30 days after the end of the Contract term are subject to denial of payment. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and with a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment BATTACHMENT B-1, BudgetFY 2025 BUDGET, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Attachment B-1 FY 2025 Budget Budget Categories Budget for FY 2025 September 1, 2024 - August 31, 2025 Personnel $129,778.00 134,654.00 Fringe $129,778.00 Fringe Benefits $30,991.00 $30,991.00 56,097.00 Travel $2,680.00 $2,680.00 0.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 1,590.00 Contractual $720.00 $720.00 0.00 Other $0.00 $0.00 Total Direct Charges $169,790.00 $169,790.00 192,341.00 Indirect Charges $0.00 $0.00 Attachment C Contract Number _H_HS_0_01_3_3_1_3_0_0_0_2_3 _C_1 CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) located at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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 30 days following the end of the Contract term. Invoices received more than 45 30 days after the end of the Contract term are subject to denial of payment. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and with a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment BATTACHMENT B-1, BudgetFY 2025 BUDGET, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Attachment B-1 FY 2025 Budget Budget Categories Budget for FY 2025 September 1, 2024 - August 31, 2025 Personnel $129,778.00 70,799.00 Fringe $129,778.00 Fringe Benefits $30,991.00 $30,991.00 28,206.00 Travel $2,680.00 $2,680.00 4,950.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 5,039.00 Contractual $720.00 $720.00 0.00 Other $0.00 6,812.00 Total Direct $115.806.00 Indirect $0.00 Total Direct Charges $169,790.00 $169,790.00 Indirect Charges $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.Number _H_HS_0_01_3_3_1_3_0_0_0_2_4

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) located at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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 30 days following the end of the Contract term. Invoices received more than 45 30 days after the end of the Contract term are subject to denial of payment. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and with a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment BATTACHMENT B-1, BudgetFY 2025 BUDGET, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Attachment B-1 FY 2025 Budget Budget Categories Budget for FY 2025 September 1, 2024 - August 31, 2025 Personnel $129,778.00 89,734.00 Fringe $129,778.00 Fringe Benefits $30,991.00 $30,991.00 20,639.00 Travel $2,680.00 $2,680.00 5,182.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 4,526.00 Contractual $720.00 $720.00 0.00 Other $0.00 8,200.00 Total Direct $128,281.00 Indirect $0.00 Total Direct Charges $169,790.00 $169,790.00 Indirect Charges $0.00 $0.00 Attachment Contract Number _H_HS_0_01_3_3_1_3_0_0_0_4_7_C __C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.

INVOICE AND PAYMENT. A. Grantee shall bill, and DSHS shall pay Grantee based upon ▇▇▇▇▇▇▇’s submission of a monthly detailed and accurate invoice describing the services performed in completion of the responsibilities outlined in this Attachment A. Grantee shall request monthly payments by the 30th day following the service each month using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/sites/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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 closedefault/files/hivstd/contractor/prev/B-13-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 paymentInvoice.xlsx. Grantee shall electronically submit all invoices with vouchers and any supporting documentation to: by e-mail to the e-mail addresses below. ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and a copy to the assigned DSHS Contract Representative identified in the Signature Document▇. A. At B. Progress reports must be completed utilizing DSHS-approved templates and uploaded to PMATS, a minimumweb-based data collection tool, by their respective due dates. C. Form B-13 voucher should include:must be submitted within thirty (30) calendar days following the end of each month, even if there are zero expenditures. If Grantee did not incur expenses within a month are required to submit a “zero dollar” voucher on a monthly basis. Vouchers received more than thirty (30) calendar days following the end of each month may not be paid. 1D. Grantee shall electronically submit a final close-out voucher and financial status report not later than thirty (30) calendar days following the end of the Contract term for costs incurred on or before the last day of the contract term. Grantee name, address, email address, vendor identification number, and telephone number;Vouchers received more than thirty (30) calendar days following the end of the Contract term are subject to denial of payment. 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. E. Failure to submit required information may result in delay of payment or return of invoice. Billing invoices vouchers must be legible. Illegible or incomplete invoices which cannot be verified will be disallowed for payment. B. DSHS F. Grantee will pay Grantee monthly be paid on a cost cost-reimbursement basis and in accordance with Attachment B, Budget, Budget of this Contractthe Grant Agreement. A. Funding Source: Federal B. Compliance with the following Grant requirements is required: 1. DSHS will reimburse Grantee only Grant Technical Assistance Guide located at System Agency website: ▇▇▇▇▇://▇▇▇.▇▇▇▇▇.▇▇▇/doing-business-hhs/grants; 2. Texas Grant Management Standards 3. 2 C.F.R. Part 200 C. System Agency total reimbursements for allowable and reported expenses incurred within the grant termterm will not exceed $1,110,000.00. All expenditures under this Grant Agreement shall be in accordance with the following cost categories: Personnel $129,778.00 205,687.00 $129,778.00 212,967.00 $418,654.00 Fringe Benefits $30,991.00 61,706.00 $30,991.00 63,890.00 $125,596.00 Travel $2,680.00 6,213.00 $2,680.00 4,848.00 $11,061.00 Equipment $3,200.00 $0.00 $0.00 3,200.00 Supplies $5,621.00 1,244.00 $5,621.00 845.00 $2,089.00 Contractual $720.00 5,000.00 $720.00 500.00 $5,500.00 Other $0.00 $0.00 Total Direct Charges $169,790.00 $169,790.00 Indirect Charges $0.00 Indirect costs $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 life of the Contract271,950.00 $271,950.00 $543,900.00 D. Cost Reimbursement Budget: 1. Contractor represents ▇▇▇▇▇▇▇’s approved cost reimbursement budget documents all approved and warrants that these Contract Affirmations apply allowable expenditures. 2. Grantee shall only utilize the funding for approved and allowable costs. If Grantee requests to Contractor and all of Contractor's principalsutilize funds for an expense not documented on the approved cost reimbursement budget, officersGrantee shall notify the System Agency assigned contract manager, directors, shareholders, partners, owners, agents, employees, subcontractors, independent contractorsin writing, and any other representatives who request approval prior to utilizing the funds. System Agency shall provide written notification regarding if the requested expense is approved. 3. If needed, Grantee may provide services underrevise the System Agency-approved cost reimbursement budget. Revision requirements are as follows: a. System Agency approves Grantee’s transfer of up to a cumulative twenty-five (25%) percent of funds from budgeted direct cost categories only, who have excluding the ‘Equipment’ category. Budget revisions exceeding a financial interest incumulative twenty-five (25%) percent of funds require System Agency’s written approval. b. Grantee may request revisions to the approved annual cost reimbursement budget direct cost categories that exceed the cumulative twenty-five (25%) percent requirement, or otherwise are interested in this excluding ‘Equipment’ and ‘Indirect Cost’ categories, by submitting a written request to the System Agency assigned contract manager. This change will require a formal Contract amendment. System Agency will amend the Contract if ▇▇▇▇▇▇▇’s revision request is approved. ▇▇▇▇▇▇▇’s budget revision is not authorized, and any related Solicitationfunds cannot be utilized, until the Contract amendment is executed. c. Grantee may revise the annual cost reimbursement budget ‘Equipment’ and/or ‘Indirect’ cost categories, however a formal Contract amendment is required. Grantee shall submit to the System Agency assigned contract manager a written request to revise the budget, which includes a justification for the revisions. System Agency will amend the Contract if ▇▇▇▇▇▇▇’s revision request is approved. ▇▇▇▇▇▇▇’s budget revision is not authorized, and funds cannot be utilized, until the Contract amendment is executed.

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment B, Budget, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Personnel $129,778.00 $129,778.00 0.00 Fringe Benefits $30,991.00 $30,991.00 0.00 Travel $2,680.00 $2,680.00 0.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 0.00 Contractual $720.00 $720.00 13,6 .00 Other $0.00 $0.00 Total Direct Charges $169,790.00 $169,790.00 13,6 .00 Indirect Charges $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes DSHS Contract No. HHS001216700011 Page 1 of these 1 Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.Number _H_H_S_0_0_1_2_1_6_70_0_0_1_1

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) located at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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 30 days following the end of the Contract term. Invoices received more than 45 30 days after the end of the Contract term are subject to denial of payment. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and with a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment BATTACHMENT B-1, BudgetFY 2025 BUDGET, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Attachment B-1 FY 2025 Budget Budget Categories Budget for FY 2025 September 1, 2024 - August 31, 2025 Personnel $129,778.00 92,097.00 Fringe $129,778.00 Fringe Benefits $30,991.00 $30,991.00 54,337.00 Travel $2,680.00 $2,680.00 4,872.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 20,253.00 Contractual $720.00 $720.00 3,149.00 Other $0.00 4,126.00 Total Direct $178,834.00 Indirect $0.00 Total Direct Charges $169,790.00 $169,790.00 Indirect Charges $0.00 $0.00 Attachment C Contract Number _H_HS_0_01_3_3_1_3_0_0_0_2_9 _C_1 CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) located at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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 30 days following the end of the Contract term. Invoices received more than 45 30 days after the end of the Contract term are subject to denial of payment. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and with a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment BATTACHMENT B-1, BudgetFY 2025 BUDGET, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Attachment B-1 FY 2025 Budget Budget Categories Budget for FY 2025 September 1, 2024 - August 31, 2025 Personnel $129,778.00 110,799.00 Fringe $129,778.00 Fringe Benefits $30,991.00 $30,991.00 7,279.00 Travel $2,680.00 $2,680.00 2,429.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 30.00 Contractual $720.00 $720.00 800.00 Other $0.00 1,074.00 Total Direct $122,411.00 Indirect $0.00 Total Direct Charges $169,790.00 $169,790.00 Indirect Charges $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.Number _H_HS_0_01_3_3_1_3_0_0_0_0_3

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) located at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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 30 days following the end of the Contract term. Invoices received more than 45 30 days after the end of the Contract term are subject to denial of payment. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and with a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment BATTACHMENT B-1, BudgetFY 2025 BUDGET, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Attachment B-1 FY 2025 Budget Budget Categories Budget for FY 2025 September 1, 2024 - August 31, 2025 Personnel $129,778.00 368,606.00 Fringe $129,778.00 Fringe Benefits $30,991.00 $30,991.00 87,360.00 Travel $2,680.00 $2,680.00 10,348.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 4,500.00 Contractual $720.00 $720.00 0.00 Other $0.00 4,895.00 Total Direct $475,709.00 Indirect $0.00 Total Direct Charges $169,790.00 $169,790.00 Indirect Charges $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.Number _H_HS_0_01_3_3_1_3_0_0_0_5_0

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) located at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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 30 days following the end of the Contract term. Invoices received more than 45 30 days after the end of the Contract term are subject to denial of payment. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and with a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment BATTACHMENT B-1, BudgetFY 2025 BUDGET, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Attachment B-1 FY 2025 Budget Budget Categories Budget for FY 2025 September 1, 2024 - August 31, 2025 Personnel $129,778.00 84,325.00 Fringe $129,778.00 Fringe Benefits $30,991.00 $30,991.00 24,454.00 Travel $2,680.00 $2,680.00 1,778.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 5,894.00 Contractual $720.00 $720.00 480.00 Other $0.00 $0.00 Total Direct Charges $169,790.00 $169,790.00 116,931.00 Indirect Charges $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.Number _H_HS_0_01_3_3_1_3_0_0_0_3_8

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) located at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency DSHS will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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 thirty (30) days following the end of the Contract term. Invoices received more than 45 thirty (30) days after the end of the Contract term are subject to denial of payment. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and with a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. . At a minimum, voucher should must include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment B-2, Revised Budget, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with . Attachment BB-2 Revised Budget Budget Categories Budget for FY 2024 September 1, Budget2023- August 31, of this Contract. DSHS will reimburse Grantee only 2024 Budget for allowable and reported expenses incurred within the grant term. FY 2025 September 1, 2024 - August 31, 2025 Budget for FY 2026 September 1, 2025 - August 31, 2026 Category Totals Personnel $129,778.00 164,857.00 $129,778.00 135,591.00 $142,652.00 $443,100.00 Fringe Benefits $30,991.00 92,583.00 $30,991.00 82,336.00 $82,681.00 $257,600.00 Travel $2,680.00 306.00 $2,680.00 2,749.00 $848.00 $3,903.00 Equipment $0.00 $0.00 $0.00 $0.00 Supplies $5,621.00 618.00 $5,621.00 6,488.00 $2,161.00 $9,267.00 Contractual $720.00 0.00 $720.00 31,200.00 $30,022.00 $61,222.00 Other $0.00 $0.00 $0.00 $0.00 Total Direct Charges $169,790.00 258,364.00 $169,790.00 258,364.00 $258,364.00 $775,092.00 Indirect Charges $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both $0.00 $0.00 Fiscal Federal Funding Accountability and Transparency Act (FFATA) The certifications enumerated below represent material facts upon which DSHS relies when reporting information to the Health and Human Services Commission (HHSC) and federal government required under federal law. If the Department later determines that the Contractor knowingly rendered an erroneous certification, DSHS may pursue all available remedies in accordance with Texas and U.S. law. ▇▇▇▇▇▇ further agrees that it will provide immediate written notice to DSHS if at any time ▇▇▇▇▇▇ learns that any of State Health Services (DSHS)the certifications provided for below were erroneous when submitted or have since become erroneous by reason of changed circumstances. System Agency refers If the ▇▇▇▇▇▇ cannot certify all of the statements contained in this section, ▇▇▇▇▇▇ must provide written notice to HHSCDSHS detailing which of the below statements it cannot certify and why. Did your organization have a gross income, DSHSfrom all sources, or bothof less than $300,000 in your previous tax year? Yes No If your answer is "Yes", 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.skip questions "A", individual, partnership, corporation). By entering into this Contract, Contractor affirms, without exception, understands"B", and agrees to comply with "C" and finish the following items through the life of the Contract: 1certification. Contractor represents If your answer is "No", answer questions "A" 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation"B".

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment B, Budget, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Personnel $129,778.00 $129,778.00 0.00 Fringe Benefits $30,991.00 $30,991.00 0.00 Travel $2,680.00 $2,680.00 0.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 0.00 Contractual $720.00 $720.00 9,707.00 Other $0.00 $0.00 Total Direct Charges $169,790.00 $169,790.00 9,707.00 Indirect Charges $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes DSHS Contract No. HHS001216700004 Page 1 of these 1 Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.Number _H_H_S_0_0_1_2_1_6_70_0_0_0_4

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment B, Budget, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Personnel $129,778.00 $129,778.00 0.00 Fringe Benefits $30,991.00 $30,991.00 0.00 Travel $2,680.00 $2,680.00 0.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 0.00 Contractual $720.00 $720.00 17,117.00 Other $0.00 $0.00 Total Direct Charges $169,790.00 $169,790.00 17,117.00 Indirect Charges $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes DSHS Contract No. HHS001216700006 Page 1 of these 1 Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.Number _H_H_S_0_0_1_2_1_6_70_0_0_0_6

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtmContract Management Section - Prevention Contractor Forms | Texas DSHS. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment B, Budget, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Personnel $129,778.00 1,089,303.00 $129,778.00 1,089,303.00 Fringe Benefits $30,991.00 415,118.00 $30,991.00 415,118.00 Travel $2,680.00 13,025.00 $2,680.00 13,025.00 Equipment $0.00 $0.00 Supplies $5,621.00 7,500.00 $5,621.00 7,500.00 Contractual $720.00 $720.00 Other $0.00 $0.00 Other $8,659.00 $8,659.00 Total Direct Charges $169,790.00 1,533,605.00 $169,790.00 1,533,605.00 Indirect Charges $0.00 150,542.00 $0.00 150,542.00 Contract Number HHS001331300019 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) located at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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 30 days following the end of the Contract term. Invoices received more than 45 30 days after the end of the Contract term are subject to denial of payment. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and with a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment BATTACHMENT B-1, BudgetFY 2025 BUDGET, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Attachment B-1 FY 2025 Budget Budget Categories Budget for FY 2025 September 1, 2024 - August 31, 2025 Personnel $129,778.00 78,605.00 Fringe $129,778.00 Fringe Benefits $30,991.00 $30,991.00 33,800.00 Travel $2,680.00 $2,680.00 7,060.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 3,072.00 Contractual $720.00 $720.00 0.00 Other $0.00 2,940.00 Total Direct $125,477.00 Indirect $0.00 Total Direct Charges $169,790.00 $169,790.00 Indirect Charges $0.00 $0.00 Attachment C Contract Number _H_HS_0_01_3_3_1_3_0_0_0_2_2 _C_1 CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) located at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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 30 days following the end of the Contract term. Invoices received more than 45 30 days after the end of the Contract term are subject to denial of payment. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and with a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment BATTACHMENT B-1, BudgetFY 2025 BUDGET, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Attachment B-1 FY 2025 Budget Budget Categories Budget for FY 2025 September 1, 2024 - August 31, 2025 Personnel $129,778.00 82,928.00 Fringe $129,778.00 Fringe Benefits $30,991.00 $30,991.00 41,522.00 Travel $2,680.00 $2,680.00 1,514.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 3,240.00 Contractual $720.00 $720.00 202.00 Other $0.00 5,159.00 Total Direct $134,565.00 Indirect $0.00 Total Direct Charges $169,790.00 $169,790.00 Indirect Charges $0.00 $0.00 Attachment C Contract Number _H_HS_0_01_3_3_1_3_0_0_0_3_0 _C_1 CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) located at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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 30 days following the end of the Contract term. Invoices received more than 45 30 days after the end of the Contract term are subject to denial of payment. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and with a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment BATTACHMENT B-1, BudgetFY 2025 BUDGET, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Attachment B-1 FY 2025 Budget Budget Categories Budget for FY 2025 September 1, 2024 - August 31, 2025 Personnel $129,778.00 233,298.00 Fringe $129,778.00 Fringe Benefits $30,991.00 $30,991.00 119,264.00 Travel $2,680.00 $2,680.00 1,500.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 0.00 Contractual $720.00 $720.00 0.00 Other $0.00 $0.00 Total Direct Charges $169,790.00 $169,790.00 354,062.00 Indirect Charges $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.Number _H_HS_0_01_3_3_1_3_0_0_0_3_6

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) located at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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 30 days following the end of the Contract term. Invoices received more than 45 30 days after the end of the Contract term are subject to denial of payment. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and with a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment BATTACHMENT B-1, BudgetFY 2025 BUDGET, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Attachment B-1 FY 2025 Budget Budget Categories Budget for FY 2025 September 1, 2024 - August 31, 2025 Personnel $129,778.00 223,946.00 Fringe $129,778.00 Fringe Benefits $30,991.00 $30,991.00 105,255.00 Travel $2,680.00 $2,680.00 4,039.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 2,120.00 Contractual $720.00 $720.00 0.00 Other $0.00 12,140.00 Total Direct $347,500.00 Indirect $0.00 Total Direct Charges $169,790.00 $169,790.00 Indirect Charges $0.00 $0.00 Attachment C Contract Number _H_HS_0_01_3_3_1_3_0_0_0_1_0 _C_1 CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) located at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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 30 days following the end of the Contract term. Invoices received more than 45 30 days after the end of the Contract term are subject to denial of payment. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and with a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment BATTACHMENT B-1, BudgetFY 2025 BUDGET, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Attachment B-1 FY 2025 Budget Budget Categories Budget for FY 2025 September 1, 2024 - August 31, 2025 Personnel $129,778.00 259,187.00 Fringe $129,778.00 Fringe Benefits $30,991.00 $30,991.00 66,448.00 Travel $2,680.00 $2,680.00 0.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 0.00 Contractual $720.00 $720.00 0.00 Other $0.00 $0.00 Total Direct Charges $169,790.00 $169,790.00 325,635.00 Indirect Charges $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.Number _H_HS_0_01_3_3_1_3_0_0_0_1_7

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) located at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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 30 days following the end of the Contract term. Invoices received more than 45 30 days after the end of the Contract term are subject to denial of payment. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and with a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment BATTACHMENT B-1, BudgetFY 2025 BUDGET, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Attachment B-1 FY 2025 Budget Budget Categories Budget for FY 2025 September 1, 2024 - August 31, 2025 Personnel $129,778.00 138,588.00 Fringe $129,778.00 Fringe Benefits $30,991.00 $30,991.00 72,156.00 Travel $2,680.00 $2,680.00 0.00 Equipment $0.00 12,000.00 Supplies $5,772.00 Contractual $0.00 Supplies $5,621.00 $5,621.00 Contractual $720.00 $720.00 Other $0.00 1,975.00 Total Direct $230,491.00 Indirect $0.00 Total Direct Charges $169,790.00 $169,790.00 Indirect Charges $0.00 $0.00 Attachment C Contract Number _H_HS_0_01_3_3_1_3_0_0_0_1_4 _C_1 CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) located at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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 30 days following the end of the Contract term. Invoices received more than 45 30 days after the end of the Contract term are subject to denial of payment. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and with a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment BATTACHMENT B-1, BudgetFY 2025 BUDGET, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Attachment B-1 FY 2025 Budget Budget Categories Budget for FY 2025 September 1, 2024 - August 31, 2025 Personnel $129,778.00 135,422.00 Fringe $129,778.00 Fringe Benefits $30,991.00 $30,991.00 13,339.00 Travel $2,680.00 $2,680.00 5,864.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 6,793.00 Contractual $720.00 $720.00 1,452.00 Other $0.00 $0.00 5,045.00 Total Direct Charges $169,790.00 167,915.00 Indirect $169,790.00 Indirect Charges $0.00 $0.00 Attachment C 16,792.00 Contract Number _H_HS_0_01_3_3_1_3_0_0_0_2_6 _C_1 CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.

INVOICE AND PAYMENT. A. Grantee shall must request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-134116) at the following URL: ▇▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/laws-regulations/forms.shtmforms/4000- 4999/form-4116-state-texas-purchase-voucher. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate The Form 4116, and any supporting documentation. Invoices , must be submitted monthly electronically 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 following: (1) the Contract term. Invoices received more than 45 days after the end of the Contract term are subject to denial of payment. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇.▇▇ mailbox; and a copy to (2) the assigned DSHS System Agency Contract Representative representative identified in the Signature Document. A. Section VII, Contract Representatives, of this Grant Agreement. At a minimum, voucher should must include: 1. Grantee nameName, address, email address, vendor identification number, and telephone numbernumber of Grantee; 2. DSHS System Agency Contract or Purchase Order numberNumber; 3. Identification of service(s) provided; 4. Dates services were completed and/or products were delivered; 45. The total Total invoice amount; and; 56. A copy of the 7. Any additional supporting documentation which is required by the Statement of Work this Grant Agreement or as requested by DSHSSystem Agency. Failure to submit required information may result in delay of payment or return of invoice. Billing invoices Alternative submission arrangements must be legible. Illegible or incomplete invoices which cannot be verified will be disallowed for paymentapproved by the assigned System Agency Contract representative identified in Section VII, Contract Representatives, of this Grant Agreement. B. DSHS Grantee will pay Grantee monthly be paid on a cost reimbursement basis and in accordance with Attachment BB-1, BudgetBudget Procedures, Version 2, of this ContractGrant Agreement. A. Funding Source: United States Health and Humans Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) and State General Revenue. B. Funding Amounts by State Fiscal Year 1. DSHS will reimburse Grantee only 2023: HHSC Award - $660,822.00 2. 2024: HHSC Award - $560,577.00 C. Total Reimbursements for allowable and reported expenses incurred within the grant term. Personnel term will not exceed $129,778.00 $129,778.00 Fringe Benefits $30,991.00 $30,991.00 Travel $2,680.00 $2,680.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 Contractual $720.00 $720.00 Other $0.00 $0.00 Total Direct Charges $169,790.00 $169,790.00 Indirect Charges $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS)1,221,399.00. D. Cost Reimbursement Budget 1. System Agency refers will provide written correspondence documenting approval of cost reimbursement budget. 2. ost reimbursement budget documents all approved and allowable expenditures. 3. Grantee shall only utilize the funding for approved and allowable costs. If Grantee requests to HHSCutilize funds for an expense not documented on the approved cost reimbursement budget, DSHSGrantee shall notify System Agency, 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, understandsin writing, and agrees request approval prior to comply with utilizing the following items through funds. System Agency shall provide written notification regarding if the life of requested expense is approved. 4. If needed, Grantee may revise the ContractSystem Agency-approved cost reimbursement budget. Revision requirements are as follows: 1a. System Agency approves Grantee transfer of up to ten percent (10%) of funds from budgeted direct cost categories only, excluding the quipment category. Contractor represents Budget revisions exceeding the ten percent (10%) requirement require System b. Grantee may request revisions to the approved cost reimbursement budget direct cost categories that exceed the ten percent (10%) requirement by submitting a written request to the System Agency Contract representative identified in Section VII, Contract Representative, of this Grant Agreement. This change is considered a minor administrative change and warrants that these Contract Affirmations apply does not require an amendment to Contractor and all the Grant Agreement. System Agency shall provide written notification documenting approval of Contractor's principals, officers, directors, shareholders, partners, owners, agents, employees, subcontractors, independent contractors, and any other representatives who Grantee budget revision. c. Grantee may provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.revise the cost r

INVOICE AND PAYMENT. Grantee shall request monthly payments by ‌ 3.5.1 In order to receive payment for services or products provided to a state agency, Contractor must register with the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) Statewide Payee Desk at ▇▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇/it- systems/statewide-vendorpayee-services/receiving-payment-state.▇▇▇/grants/forms.shtm 3.5.2 Invoices must describe and document to the HCA Contract Manager’s satisfaction a description of the work performed, the progress of the project, and fees. System Agency All invoices and deliverables will issue reimbursement payments be approved by the HCA Contract Manager prior to Grantees on payment. Approval will not be unreasonably withheld or delayed. 3.5.3 If expenses are invoiced, invoices must provide a monthly basis for reported actual cash disbursements which are supported detailed breakdown of each type. Expenses of $50 or more must be accompanied by adequate documentation. a receipt. 3.5.4 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 HCA Contract term. Invoices received more than 45 days after the end of the Contract term are subject to denial of payment. Grantee shall electronically submit all invoices with supporting documentation to: Manager via email, ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇.▇▇▇.▇▇▇ and a copy to , with the assigned DSHS HCA Contract Representative identified number in the Signature Document. A. At a minimumsubject line of the email. Invoices must include the following information, voucher should includeas applicable: 1. Grantee a. HCA Contract number K6345; b. Contractor name, address, email address, vendor identification number, and telephone phone number; 2. DSHS Contract or Purchase Order numberc. Description of services; 3. Dates services were completed and/or products were deliveredd. Date(s) of delivery; 4. The total e. Net invoice amountprice for each item; f. Applicable taxes; g. Total invoice price; and 5h. Any available prompt payment discount. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. Failure to submit required information may result in delay of payment or HCA will return of invoice. Billing invoices must be legible. Illegible incorrect or incomplete invoices for correction and reissue. 3.5.5 Contractor must submit properly itemized invoices within forty-five (45) calendar days of a deliverable due date, the last day of the month of service, or if invoicing quarterly, within forty-five (45) calendar days of the last day of the quarter for which cannot be verified Contractor seeks payment. Payment will be disallowed for paymentconsidered timely if made within thirty (30) calendar days of receipt of properly completed invoices. If the Contract is identified as funded by a federal grant, Contractor must submit all invoices within forty-five (45) calendar days of the end of the grant fiscal year. B. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment B3.5.6 Upon expiration, Budget, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Personnel $129,778.00 $129,778.00 Fringe Benefits $30,991.00 $30,991.00 Travel $2,680.00 $2,680.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 Contractual $720.00 $720.00 Other $0.00 $0.00 Total Direct Charges $169,790.00 $169,790.00 Indirect Charges $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). System Agency refers to HHSC, DSHSsuspension, 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 life termination of the Contract: 1. Contractor represents , invoices for work performed or allowable expenses incurred after the start of the Contract and warrants that these Contract Affirmations apply prior to Contractor and all the date of Contractor's principalsexpiration, officers, directors, shareholders, partners, owners, agents, employees, subcontractors, independent contractors, and any other representatives who may provide services under, who have a financial interest insuspension, or otherwise are interested in this Contract and any related Solicitation.termination must be submitted by the Contractor within forty- five (45) calendar days. HCA is under no obligation to pay invoices submitted forty-six

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment B, Budget, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Personnel $129,778.00 $129,778.00 0.00 Fringe Benefits $30,991.00 $30,991.00 0.00 Travel $2,680.00 $2,680.00 0.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 0.00 Contractual $720.00 $720.00 22,510.00 Other $0.00 $0.00 Total Direct Charges $169,790.00 $169,790.00 22,510.00 Indirect Charges $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes DSHS Contract No. HHS001216700001 Page 1 of these 1 Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.Number _H_H_S_0_0_1_2_1_6_70_0_0_0_1

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) located at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees Grantee on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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 30 days following the end of the Contract term. Invoices received more than 45 30 days after the end of the Contract term are subject to denial of payment. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and with a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment ATTACHMENT B, BudgetFY 2025 BUDGET, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Personnel $129,778.00 $129,778.00 Fringe Benefits $30,991.00 $30,991.00 Travel $2,680.00 $2,680.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 Contractual $720.00 $720.00 Other $0.00 $0.00 Total Direct Charges $169,790.00 $169,790.00 Indirect Charges $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment B, Budget, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Personnel $129,778.00 $129,778.00 0.00 Fringe Benefits $30,991.00 $30,991.00 0.00 Travel $2,680.00 $2,680.00 0.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 0.00 Contractual $720.00 $720.00 4,811.00 Other $0.00 $0.00 Total Direct Charges $169,790.00 $169,790.00 4,811.00 Indirect Charges $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes DSHS Contract No. HHS001216700003 Page 1 of these 1 Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.Number _H_H_S_0_0_1_2_1_6_70_0_0_0_3

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) located at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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 30 days following the end of the Contract term. Invoices received more than 45 30 days after the end of the Contract term are subject to denial of payment. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and with a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment BATTACHMENT B-1, BudgetFY 2025 BUDGET, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Attachment B-1 FY 2025 Budget Budget Categories Budget for FY 2025 September 1, 2024 - August 31, 2025 Personnel $129,778.00 88,539.00 Fringe $129,778.00 Fringe Benefits $30,991.00 $30,991.00 25,207.00 Travel $2,680.00 $2,680.00 0.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 985.00 Contractual $720.00 $720.00 0.00 Other $0.00 $0.00 Total Direct Charges $169,790.00 $169,790.00 114,731.00 Indirect Charges $0.00 $0.00 Attachment C Contract Number _H_HS_0_01_3_3_1_3_0_0_0_0_1 _C_1 CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.

INVOICE AND PAYMENT. Grantee shall request monthly payments by the 30th day following the service month using the State of Texas Purchase Voucher (Form B-13) located at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇/grants/forms.shtm. System Agency will issue reimbursement payments to Grantees on a monthly basis for reported actual cash disbursements which are supported by adequate documentation. 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 30 days following the end of the Contract term. Invoices received more than 45 30 days after the end of the Contract term are subject to denial of payment. Grantee shall electronically submit all invoices with supporting documentation to: ▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇.▇▇▇▇▇.▇▇▇ and with a copy to the assigned DSHS Contract Representative identified in the Signature Document. A. At a minimum, voucher should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Dates services were completed and/or products were delivered; 4. The total invoice amount; and 5. Any additional supporting documentation which is required by the Statement of Work or as requested by DSHS. 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. DSHS will pay Grantee monthly on a cost reimbursement basis and in accordance with Attachment BATTACHMENT B-1, BudgetFY 2025 BUDGET, of this Contract. DSHS will reimburse Grantee only for allowable and reported expenses incurred within the grant term. Attachment B-1 FY 2025 Budget Budget Categories Budget for FY 2025 September 1, 2024 - August 31, 2025 Personnel $129,778.00 1,459,488.00 Fringe $129,778.00 Fringe Benefits $30,991.00 $30,991.00 540,439.00 Travel $2,680.00 $2,680.00 12,370.00 Equipment $0.00 $0.00 Supplies $5,621.00 $5,621.00 0.00 Contractual $720.00 $720.00 0.00 Other $0.00 $0.00 7,831.00 Total Direct Charges $169,790.00 2,020,128.00 Indirect $169,790.00 Indirect Charges $0.00 $0.00 Attachment C CONTRACT AFFIRMATIONS For purposes of these 145,948.00 Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) 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 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 provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation.Number _H_HS_0_01_3_3_1_3_0_0_0_1_9