Common use of ACKNOWLEDGEMENT OF EXHIBITS Clause in Contracts

ACKNOWLEDGEMENT OF EXHIBITS. Scope of Services Fees and Payment Insurance Reduction/Waiver Contractor’s Debarment Certification Subcontractor’s Debarment Certification Check applicable Exhibits CONTRACTOR’S INITIALS EXHIBIT A. EXHIBIT B. EXHIBIT C. EXHIBIT D. EXHIBIT E. OTHER REQUIRED EXHIBITS (HHS USE ONLY)

ACKNOWLEDGEMENT OF EXHIBITS. Scope of Services Fees and Payment Insurance Reduction/Waiver Contractor’s Debarment Certification Subcontractor’s Debarment Certification Exhibit M - Business Associate Agrmt Exhibit I - Substance Use Services Check applicable Exhibits CONTRACTOR’S INITIALS EXHIBIT A. EXHIBIT B. EXHIBIT C. EXHIBIT D. EXHIBIT E. OTHER REQUIRED EXHIBITS (HHS USE ONLY)

ACKNOWLEDGEMENT OF EXHIBITS. Scope of Services Fees and Payment Insurance Reduction/Waiver Contractor’s Debarment Certification Subcontractor’s Debarment Certification EXHIBIT “G” AUDITS, NON-DISCRIMINATION Check applicable Exhibits CONTRACTOR’S INITIALS EXHIBIT A. EXHIBIT B. EXHIBIT C. EXHIBIT D. EXHIBIT E. OTHER REQUIRED EXHIBITS (HHS USE ONLY)

ACKNOWLEDGEMENT OF EXHIBITS. Scope of Services Fees and Payment Insurance Reduction/Waiver Contractor’s Debarment Certification Subcontractor’s Debarment Certification Check applicable Exhibits CONTRACTOR’S INITIALS EXHIBIT A. Scope of Services EXHIBIT B. Fees and Payment EXHIBIT C. Insurance Reduction/Waiver EXHIBIT D. Contractor’s Debarment Certification EXHIBIT E. Subcontractor’s Debarment Certification OTHER REQUIRED I: Substance Use Disorder Service Programs EXHIBITS (HHS USE ONLY)

ACKNOWLEDGEMENT OF EXHIBITS. Scope of Services Fees and Payment Insurance Reduction/Waiver Contractor’s Debarment Certification Subcontractor’s Debarment Certification Exhibit F: WIA Assurances Check applicable Exhibits CONTRACTOR’S INITIALS EXHIBIT A. EXHIBIT B. EXHIBIT C. EXHIBIT D. EXHIBIT E. OTHER REQUIRED EXHIBITS (HHS USE ONLY)

ACKNOWLEDGEMENT OF EXHIBITS. Scope of Services Fees and Payment Insurance Reduction/Waiver Contractor’s Debarment Certification Subcontractor’s Debarment Certification EXHIBIT “G” AUDITS, NON- DISCRIMINATION Check applicable Exhibits CONTRACTOR’S INITIALS EXHIBIT A. EXHIBIT B. EXHIBIT C. EXHIBIT D. EXHIBIT E. OTHER REQUIRED EXHIBITS (HHS USE ONLY)

ACKNOWLEDGEMENT OF EXHIBITS. Scope of Services Fees and Payment Insurance Reduction/Waiver Contractor’s Debarment Certification Subcontractor’s Debarment Certification Exhibit M: Business Associate Agreement Check applicable Exhibits CONTRACTOR’S INITIALS EXHIBIT A. EXHIBIT B. EXHIBIT C. EXHIBIT D. EXHIBIT E. OTHER REQUIRED EXHIBITS (HHS USE ONLY)

ACKNOWLEDGEMENT OF EXHIBITS. Scope of Services Fees and Payment Insurance Reduction/Waiver Contractor’s Debarment Certification Subcontractor’s Debarment Certification Exhibit G: Audits/Non-Discrimination Check applicable Exhibits CONTRACTOR’S INITIALS EXHIBIT A. EXHIBIT B. EXHIBIT C. EXHIBIT D. EXHIBIT E. OTHER REQUIRED EXHIBITS (HHS USE ONLY)

ACKNOWLEDGEMENT OF EXHIBITS. Scope of Services Fees and Payment Insurance Reduction/Waiver Contractor’s Debarment Certification Subcontractor’s Debarment Certification Exhibit G Audits Nondiscrmination Check applicable Exhibits CONTRACTOR’S INITIALS EXHIBIT A. EXHIBIT B. EXHIBIT C. EXHIBIT D. EXHIBIT E. OTHER REQUIRED EXHIBITS (HHS USE ONLY)

ACKNOWLEDGEMENT OF EXHIBITS. Scope of Services Fees and Payment Insurance Reduction/Waiver Contractor’s Debarment Certification Subcontractor’s Debarment Certification Exhibit M - Business Associate Agrmt Check applicable Exhibits CONTRACTOR’S INITIALS EXHIBIT A. EXHIBIT B. EXHIBIT C. EXHIBIT D. EXHIBIT E. OTHER REQUIRED EXHIBITS (HHS USE ONLY)

ACKNOWLEDGEMENT OF EXHIBITS. Scope of Services Fees and Payment Insurance Reduction/Waiver Contractor’s Debarment Certification Subcontractor’s Debarment Certification Exhibit N – Privacy & Security Provisions Check applicable Exhibits CONTRACTOR’S INITIALS EXHIBIT A. EXHIBIT B. EXHIBIT C. EXHIBIT D. EXHIBIT E. OTHER REQUIRED EXHIBITS (HHS USE ONLY)

ACKNOWLEDGEMENT OF EXHIBITS. Scope of Services Fees and Payment Insurance Reduction/Waiver Contractor’s Debarment Certification Subcontractor’s Debarment Certification Check applicable Exhibits CONTRACTOR’S INITIALS EXHIBIT A. Scope of Services EXHIBIT B. Fees and Payment EXHIBIT C. Insurance Reduction/Waiver EXHIBIT D. Contractor’s Debarment Certification EXHIBIT E. Subcontractor’s Debarment Certification OTHER REQUIRED EXHIBITS (HHS USE ONLY)

ACKNOWLEDGEMENT OF EXHIBITS. Scope of Services Fees and Payment Insurance Reduction/Waiver Contractor’s Debarment Certification Subcontractor’s Debarment Certification Check applicable Exhibits CONTRACTOR’S INITIALS EXHIBIT A. EXHIBIT B. EXHIBIT C. EXHIBIT D. EXHIBIT E. OTHER REQUIRED EXHIBITS (HHS USE ONLY)E.

ACKNOWLEDGEMENT OF EXHIBITS. Scope of Services Fees and Payment Insurance Reduction/Waiver Contractor’s Debarment Certification Subcontractor’s Debarment Certification Exhibit I: Additional Provisions Exhibit K: Special Terms and Conditions Check applicable Exhibits CONTRACTOR’S INITIALS EXHIBIT A. EXHIBIT B. EXHIBIT C. EXHIBIT D. EXHIBIT E. OTHER REQUIRED EXHIBITS (HHS USE ONLY)