Common use of Remittance Address Clause in Contracts

Remittance Address. If mailed, payments shall be remitted to the following address unless changed in accordance with §14 of the Agreement: [Grantee Name] [Street Address] [City, State Zip Code] In accordance with §▇▇-▇▇-▇▇▇, C.R.S., this Option is not valid until signed and dated below by the State Controller or an authorized delegate. STATE OF COLORADO ▇▇▇▇▇ ▇. ▇▇▇▇▇, Governor Department of Local Affairs ▇▇▇▇ ▇. ▇▇▇▇▇▇, Executive Director By: ▇▇▇▇ ▇. ▇▇▇▇▇▇, Executive Director Date: STATE CONTROLLER ▇▇▇▇▇▇ ▇▇▇▇▇, CPA, MBA, JD By: DOLA Controller Delegate Option Effective Date: 1. BUDGET BY US TREASURY EXPENDITURE CATEGORY 1.1 Expenditure Categories identified in Exhibit C will determine what is reported on as outlined in Exhibits D-G. H4HRG23103 Boulder County Department of Human Services EC 2.16, Long-Term Housing Security: Services for Unhoused Persons $944,293.00 2. BUDGET BY FUNCTION 3. EXPENDITURE CATEGORY MODIFICATIONS 1.1 Increases or decreases in any Expenditure Category must be requested and approved by the State Agency by using the SLFRF Expenditure Modification Form. This form can be found at: ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇.▇▇▇/american-rescue-plan-act (see SLFRF Grant Agreement Templates tab). Exhibit C Page 1 of 1 Version 6.01.2023

Remittance Address. If mailed, payments shall be remitted to the following address unless changed in accordance with §14 of the Agreement: [Grantee Name] [Street Address] [City, State Zip Code] In accordance with §▇▇-▇▇-▇▇▇, C.R.S., this Option is not valid until signed and dated below by the State Controller or an authorized delegate. STATE OF COLORADO ▇▇▇▇▇ ▇. ▇▇▇▇▇, Governor Department of Local Affairs ▇▇▇▇ ▇. ▇▇▇▇▇▇, Executive Director By: ▇▇▇▇ ▇. ▇▇▇▇▇▇, Executive Director Date: STATE CONTROLLER ▇▇▇▇▇▇ ▇▇▇▇▇, CPA, MBA, JD By: DOLA Controller Delegate Option Effective Date: 1. BUDGET BY US TREASURY EXPENDITURE CATEGORY 1.1 Expenditure Categories identified in Exhibit C will determine what is reported on as outlined in Exhibits D-G. H4HRG23103 Boulder County Department of Human Services H4HRGP332 92 ▇▇▇▇▇▇▇▇ House EC 2.16, Long-Term Housing Security: Services for Unhoused Persons $944,293.003,757,160.00 2. BUDGET BY FUNCTION 3. EXPENDITURE CATEGORY MODIFICATIONS 1.1 Increases or decreases in any Expenditure Category must be requested and approved by the State Agency by using the SLFRF Expenditure Modification Form. This form can be found at: ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇.▇▇▇/american-rescue-plan-act (see SLFRF Grant Agreement Templates tab). Exhibit C Page 1 of 1 Version 6.01.2023