REQUIRED DATA ELEMENTS Clause Samples

REQUIRED DATA ELEMENTS. Plan Sponsor must provide proof of loss with the required data elements in the format identified in Exhibit C.

REQUIRED DATA ELEMENTS. (As detailed in Section 200.331 of the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (2 CFR Chapter I, and Chapter II, Parts 200, 215, 220, 225, 230) issued December 26, 2013 by the Executive Office of the President, Office of Management and Budget, hereinafter referred to as the Uniform Guidance.) Subrecipient Name (must match registered name in DUNS) Subrecipient DUNS Number Federal Award Identification Number (▇▇▇▇) Federal Award Date (the date when the federal award is signed by the authorized official of the federal awarding agency) Subaward Period of Performance (start and end date) Amount of Federal Funds Obligated by this Agreement Total Amount of Federal Funds Obligated to the Subrecipient Total Amount of the Federal Award Federal Award Project Description (as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA) described in Title 2 Code of Federal Regulations Part 170) Name of Federal Awarding Agency Name of County (Pass-Through Entity) Name and Contact Information for Awarding Official CFDA Number and Name Is this Subaward for Research and Development? (answer Yes or No) In consideration of the promises below, the parties mutually agree as follows: The Subrecipient will (SPELL OUT SCOPE OF SERVICE)

REQUIRED DATA ELEMENTS. Enter formulas to link to the data or calculation results in the Seller Report worksheet. If a line item does not apply to this deal, leave the cell blank. 37 NET LOSS (%) 38 EXCESS SPREAD (%) 39 PAYMENT RATIO (%)

REQUIRED DATA ELEMENTS. The data elements required by 2 CFR 200 are incorporated as entered in this Attachment 2 due to PTE not incorporating the NOA as part of this Subaward. Awarding Agency Institute (If Applicable): DHHS/NIH/National Institute on Drug Abuse Federal Award Issue Date: 07-June-2023 ▇▇▇▇: R01DA056588 Assistance Listing No.: 93.279 Assistance Listing Program Title (ALPT): Drug Abuse and Addiction Research Programs Research & Development: YES Subject to FFATA: YES ▇▇. ▇▇▇▇ ▇▇▇▇▇▇▇ (▇▇▇▇ Corporation), ▇▇. ▇▇▇▇▇▇ ▇▇▇▇▇▇ (▇▇▇▇ Corporation), ▇▇. ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ (Highland Hospital – Alameda Health System)

REQUIRED DATA ELEMENTS. The electronic file for categorically eligible individuals shall include the following required data elements for each categorically eligible individual: a. Last Name b. Date of Birth

REQUIRED DATA ELEMENTS. Except as provided in 2.1.2.3 below, each data set created by each hospital for the purpose of identifying patients eligible for refunds must contain the following data elements for each patient for each year, to the extent that the data is in the possession of the hospital: a. Hospital Name b. Hospital Number r. Patient DOB s. Patient Gender

REQUIRED DATA ELEMENTS. For each individual Customer and for each project: · Start date · Original scheduled completion date by Customer phase · Final revised scheduled completion date by Customer phase · Number of revisions to final completion date (due to scope changes only) · Actual completion date (not set until all Deliverables have been completed and turned over) · Original estimated effort hours by Customer phase and resource type (based on the titles provided in this agreement for both on and off shore) · Final revised estimated effort hours by Customer phase and resource type (based on the titles provided in this agreement for both on and off shore) · Actual effort hours by Customer phase and resource type (based on the titles provided in this agreement for both on and .off shore) · Original size estimate · Final revised size estimate · Actual size at completion · Inspection results (for requirements, code, test script) - Defect count and type, found vs.caused · Testing defect count and type, found vs. caused · UAT defect count and type, found vs. caused · Warranty period defect count, type and caused · Rework effort for each defect PORTIONS OF THIS EXHIBIT WERE OMITTED AND HAVE BEEN FILED SEPARATELY WITH THE SECRETARY OF THE COMMISSION PURSUANT TO AN APPLICATION FOR CONFIDENTIAL TREATMENT UNDER RULE 24B-2 OF THE SECURITIES EXCHANGE ACT; [***] DENOTES OMISSIONS PORTIONS OF THIS EXHIBIT WERE OMITTED AND HAVE BEEN FILED SEPARATELY WITH THE SECRETARY OF THE COMMISSION PURSUANT TO AN APPLICATION FOR CONFIDENTIAL TREATMENT UNDER RULE 24B-2 OF THE SECURITIES EXCHANGE ACT; [***] DENOTES OMISSIONS The following documents referenced below are incorporated herein by reference. Virtusa Private Limited (Sri Lanka) BCP Document ▇ ▇.▇, ▇▇▇▇▇▇▇, ▇▇▇ ▇▇▇▇▇) December 2000, as amended Virtusa (India) Private Limited Business Continuity Plan (Hyderabad, India) October 2006, as amended Virtusa (India) Private Limited Business Continuity Plan (Chennai, India) V.1.3, October 2006, as amended PORTIONS OF THIS EXHIBIT WERE OMITTED AND HAVE BEEN FILED SEPARATELY WITH THE SECRETARY OF THE COMMISSION PURSUANT TO AN APPLICATION FOR CONFIDENTIAL TREATMENT UNDER RULE 24B-2 OF THE SECURITIES EXCHANGE ACT; [***] DENOTES OMISSIONS Volume Discounts. Subject to the assumptions set forth below, for each dollar of Spend (as defined below) based on the rate card set forth below, during the period of [***************] (the “Discount Period”), Vendor will provide Customer with the applicable discounts set fort...

REQUIRED DATA ELEMENTS. Subrecipient Name (Which must match the name associated with its unique entity identifier.): City of North Platte Subrecipient Unique Entity Identifier: ZFT3MHH9Y4R4 Subaward Period of Performance Start and End Date: November 18, 2022 (start date) – June 30, 2025 (end date) Amount of Federal Funds Obligated by this action by the pass-through entity to the Subrecipient: $20,000,000.00 Total Amount of the Federal Award: $1,040,157,440.40 Federal Award Project Description (As required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA) described in Title 2 Code of Federal Regulations Part 170.) Responds to make necessary investments in water, sewer, or broadband infrastructure. This response is an enumerated eligible use for water and sewer investments within the Clean Water State Revolving Fund projects under 31 C.F.R. § 35.6(e)(1)(i). Name Awarding Federal Agency: United States Department of the Treasury Funding Source: American Rescue Plan Act Federal Award Identification Number (▇▇▇▇): SLFRP1965 Pass-through Entity: State of Nebraska – Department of Economic Development Name and Contact Information for Pass- through Entity Awarding Official / Program Manager: ▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ – ▇▇▇▇▇▇.▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇.▇▇▇ (▇▇▇) ▇▇▇-▇▇▇▇ Assistance Listings number and Title: 21.027 – Coronavirus State and Local Fiscal Recovery Fund Federal Award Date: May 28, 2021 Subaward Budget Period Start and End Date: November 18, 2022 (start date) – June 30, 2025 (end date) Total Amount of Federal Funds Obligated to the subrecipient by the pass-through entity including the current financial obligation $20,000,000.00 Total Amount of Federal Award committed to the subrecipient by the pass-through entity $20,000,000.00 Assistance Listings number and Title (Pass- through entity must identify the dollar amount made available under each Federal award and the Assistance Listings Number at the time of disbursement) 21.027 – Coronavirus State and Local Fiscal Recovery Fund Identification of whether the award is R&D Not R&D Indirect Cost Rate for Federal Award (including if the de minimis rate is charged per 2 CFR 200.414.) 0%

REQUIRED DATA ELEMENTS. Enter formulas to link to the data or calculation results in the Seller Report worksheet. If a line item does not apply to this deal, leave the cell blank.