Common use of ADDITIONAL GRANT INFORMATION Clause in Contracts

ADDITIONAL GRANT INFORMATION. In accordance with 2 CFR 200.331(A), if any of the following information is not available at time of contract execution, then it will be provided to the Grantee by a Technical Guidance Letter. Federal Award Identification Number (XXXX): NU90TP922165 Federal Award Date: 5/20/2021 Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Federal, 93.354 Awarding Official Contact Information: Xx. Xxxxxx Xxxxxx, 000-000-0000, xxx0@xxx.xxx DUNS: 807391511 Signature Page for System Agency Contract No. HHS001077800001 The Department of State Health Services Corpus Christi-Nueces County Public Health District (County) Signature Xxxxx Xxxxxx SignatureAnnette Xxxxxxxxx MPH Printed Name Printed Name Associate Commissioner for RLHS Health Director TitleSeptember 9, 2021 TitleSeptember 8, 2021 Date Date THE FOLLOWING ATTACHMENTS TO THIS CONTRACT ARE HEREBY INCORPORATED BY REFERENCE AND MADE PART OF THIS CONTRACT: Attachment A – Statement of Work Attachment B – Budget Attachment C – Fiscal Federal Accountability and Transparency Act (FFATA) Certificate Attachment D – HHS Uniform Terms and Conditions – Governmental Entity, Version 3.0 Attachment E – Data Use Agreement Attachment F – Federal Assurances and Certifications Attachment G – Contract Affirmations 1.8 ATTACHMENT A STATEMENT OF WORK COVID-19 – Public Health Workforce Expansion

ADDITIONAL GRANT INFORMATION. In accordance with 2 CFR 200.331(A), if any of the following information is not available at time of contract execution, then it will be provided to the Grantee by a Technical Guidance Letter. Federal Award Identification Number (XXXX): NU90TP922165 Federal Award Date: 5/20/2021 Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Federal, 93.354 Awarding Official Contact Information: Xx. Xxxxxx Xxxxxx, 000-000-0000, xxx0@xxx.xxx DUNS: 807391511 Signature Page for System Agency Contract No. HHS001077800001 HHS001077500001 The Department of State Health Services Corpus Christi-Nueces Orange County Public Health District (County) g Signature Xxxxx Xxxx Xxxx Xxxx Xxxxxx SignatureAnnette Xxxxxxxxx MPH Printed Name Printed Name Associate Deputy Commissioner for RLHS Health Director TitleSeptember 9County Judge Title Title August 12, 2021 TitleSeptember 8August 10, 2021 Date Date THE FOLLOWING ATTACHMENTS TO THIS CONTRACT ARE HEREBY INCORPORATED BY REFERENCE AND MADE PART OF THIS CONTRACT: Attachment A – Statement of Work Attachment B – Budget Attachment C – Fiscal Federal Accountability and Transparency Act (FFATA) Certificate Attachment D – HHS Uniform Terms and Conditions – Governmental Entity, Version 3.0 Attachment E – Data Use Agreement Attachment F – Federal Assurances and Certifications Attachment G – Contract Affirmations 1.8 ATTACHMENT A STATEMENT OF WORK COVID-19 – Public Health Workforce Expansion

ADDITIONAL GRANT INFORMATION. In accordance with 2 CFR 200.331(A), if any of the following information is not available at time of contract execution, then it will be provided to the Grantee by a Technical Guidance Letter. Federal Award Identification Number (XXXX): NU90TP922165 Federal Award Date: 5/20/2021 Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Federal, 93.354 Awarding Official Contact Information: Xx. Xxxxxx Xxxxxx, 000-000-0000, xxx0@xxx.xxx DUNS: 807391511 Signature Page for System Agency Contract No. HHS001077800001 HHS001075600002 The Department of State Health Services Corpus Christi-Nueces Xxxxxxxxxx County Public Health District (County) _____________________ ______________________ Signature Signature Xxxxx Xxxxxx SignatureAnnette Xxxxxxxxx MPH Xxxxx Xxxxxxx, CEO Printed Name Printed Name Associate Commissioner for RLHS Health Executive Director TitleSeptember Title Title September 9, 2021 TitleSeptember September 8, 2021 Date Date THE FOLLOWING ATTACHMENTS TO THIS CONTRACT ARE HEREBY INCORPORATED BY REFERENCE AND MADE PART OF THIS CONTRACT: Attachment A – Statement of Work Attachment B – Budget Attachment C – Fiscal Federal Accountability and Transparency Act (FFATA) Certificate Attachment D – HHS Uniform Terms and Conditions – Governmental Entity, Version 3.0 Attachment E – Data Use Agreement Attachment F – Federal Assurances and Certifications Attachment G – Contract Affirmations 1.8 ATTACHMENT A STATEMENT OF WORK COVID-19 – Public Health Workforce Expansion

ADDITIONAL GRANT INFORMATION. In accordance with 2 CFR 200.331(A), if any of the following information is not available at time of contract execution, then it will be provided to the Grantee by a Technical Guidance Letter. Federal Award Identification Number (XXXX): NU90TP922165 Federal Award Date: 5/20/2021 Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Federal, 93.354 Awarding Official Contact Information: Xx. Xxxxxx Xxxxxx, 000-000-0000, xxx0@xxx.xxx DUNS: 807391511 Signature Page for System Agency Contract No. HHS001077800001 HHS001076300001 The Department of State Health Services Corpus Christi-Nueces County Public Health District (County) Signature City of Harlingen _ _ g Xxxxx Xxxxxx SignatureAnnette Xxxxxxxxx MPH Xxx Xxxxx Printed Name Printed Name Associate Commissioner for RLHS Health Director TitleSeptember 9Harlingen Title Title September 8, 2021 TitleSeptember September 8, 2021 Date Date THE FOLLOWING ATTACHMENTS TO THIS CONTRACT ARE HEREBY INCORPORATED BY REFERENCE AND MADE PART OF THIS CONTRACT: Attachment A – Statement of Work Attachment B – Budget Attachment C – Fiscal Federal Accountability and Transparency Act (FFATA) Certificate Attachment D – HHS Uniform Terms and Conditions – Governmental Entity, Version 3.0 Attachment E – Data Use Agreement Attachment F – Federal Assurances and Certifications Attachment G – Contract Affirmations 1.8 ATTACHMENT A STATEMENT OF WORK COVID-19 – Public Health Workforce Expansion

ADDITIONAL GRANT INFORMATION. In accordance with 2 CFR 200.331(A), if any of the following information is not available at time of contract execution, then it will be provided to the Grantee by a Technical Guidance Letter. Federal Award Identification Number (XXXX): NU90TP922165 Federal Award Date: 5/20/2021 Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Federal, 93.354 Awarding Official Contact Information: Xx. Xxxxxx Xxxxxx, 000-000-0000, xxx0@xxx.xxx DUNS: 807391511 Signature Page for System Agency Contract No. HHS001077800001 HHS001075300001 The Department of State Health Services Corpus Christi-Nueces County Public Health District (County) City of Garland health Department Signature _ g Xxxx Xxxx Xxxxx Xxxxxx SignatureAnnette Xxxxxxxxx MPH Printed Name Printed Name Associate Deputy Commissioner for RLHS Director of Health Director TitleSeptember 9Title Title September 16, 2021 TitleSeptember 8September 16, 2021 Date Date THE FOLLOWING ATTACHMENTS TO THIS CONTRACT ARE HEREBY INCORPORATED BY REFERENCE AND MADE PART OF THIS CONTRACT: Attachment A – Statement of Work Attachment B – Budget Attachment C – Fiscal Federal Accountability and Transparency Act (FFATA) Certificate Attachment D – HHS Uniform Terms and Conditions – Governmental Entity, Version 3.0 Attachment E – Data Use Agreement Attachment F – Federal Assurances and Certifications Attachment G – Contract Affirmations 1.8 ATTACHMENT A STATEMENT OF WORK COVID-19 – Public Health Workforce Expansion

ADDITIONAL GRANT INFORMATION. In accordance with 2 CFR 200.331(A), if any of the following information is not available at time of contract execution, then it will be provided to the Grantee by a Technical Guidance Letter. Federal Award Identification Number (XXXX): NU90TP922165 Federal Award Date: 5/20/2021 Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Federal, 93.354 Awarding Official Contact Information: Xx. Xxxxxx Xxxxxx, 000-000-0000, xxx0@xxx.xxx DUNS: 807391511 Signature Page for System Agency Contract No. HHS001077800001 HHS001075200001 The Department of State Health Services Corpus Christi-Nueces Xxxxxx Xxxxxx County Public Health District (County) ______________________ Signature Signature Xxxxx Xxxxxx SignatureAnnette Xxxxxxxxx MPH Xxxxx Xxxxxxx Printed Name Printed Name Associate Commissioner for RLHS Health Administrative Director TitleSeptember 9Title Title August 12, 2021 TitleSeptember 8August 3, 2021 Date Date THE FOLLOWING ATTACHMENTS TO THIS CONTRACT ARE HEREBY INCORPORATED BY REFERENCE AND MADE PART OF THIS CONTRACT: Attachment A – Statement of Work Attachment B – Budget Attachment C – Fiscal Federal Accountability and Transparency Act (FFATA) Certificate Attachment D – HHS Uniform Terms and Conditions – Governmental Entity, Version 3.0 Attachment E – Data Use Agreement Attachment F – Federal Assurances and Certifications Attachment G – Contract Affirmations 1.8 ATTACHMENT A STATEMENT OF WORK COVID-19 – Public Health Workforce Expansion

ADDITIONAL GRANT INFORMATION. In accordance with 2 CFR 200.331(A), if any of the following information is not available at time of contract execution, then it will be provided to the Grantee by a Technical Guidance Letter. Federal Award Identification Number (XXXX): NU90TP922165 Federal Award Date: 5/20/2021 Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Federal, 93.354 Awarding Official Contact Information: Xx. Xxxxxx Xxxxxx, 000-000-0000, xxx0@xxx.xxx DUNS: 807391511 Signature Page for System Agency Contract No. HHS001077800001 HHS001075400001 The Department of State Health Services Corpus Christi-Nueces Xxxxxxxx Xxxxxxxx County Public Health District (County) _ Signature Signature Xxxxx Xxxxxx SignatureAnnette Xxxxxxxxx MPH Xxxxxxxx Xxxxxxx Printed Name Printed Name Associate Commissioner for RLHS Health Executive Director TitleSeptember 9Title Title August 12, 2021 TitleSeptember 8August 2, 2021 Date Date THE FOLLOWING ATTACHMENTS TO THIS CONTRACT ARE HEREBY INCORPORATED BY REFERENCE AND MADE PART OF THIS CONTRACT: Attachment A – Statement of Work Attachment B – Budget Attachment C – Fiscal Federal Accountability and Transparency Act (FFATA) Certificate Attachment D – HHS Uniform Terms and Conditions – Governmental Entity, Version 3.0 Attachment E – Data Use Agreement Attachment F – Federal Assurances and Certifications Attachment G – Contract Affirmations 1.8 ATTACHMENT A STATEMENT OF WORK COVID-19 – Public Health Workforce Expansion

ADDITIONAL GRANT INFORMATION. In accordance with 2 CFR 200.331(A), if any of the following information is not available at time of contract execution, then it will be provided to the Grantee by a Technical Guidance Letter. Federal Award Identification Number (XXXX): NU90TP922165 Federal Award Date: 5/20/2021 Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Federal, 93.354 Awarding Official Contact Information: Xx. Xxxxxx Xxxxxx, 000-000-0000, xxx0@xxx.xxx DUNS: 807391511 Signature Page for System Agency Contract No. HHS001077800001 HHS001077600001 _ The Department of State Health Services Corpus Christi-Nueces San Patricio County Public Health District (County) Signature Xxxxx Xxxxxx SignatureAnnette Xxxxxxxxx MPH Printed Name Printed Name Associate PDarivnitdedGNruabmere JPurdingteedDaNvaimd eKrebs TAistsleociate Commissioner for RLHS Health Director TitleSeptember 9TCiotluenty Judge SDeaptteember 1, 2021 TitleSeptember 8DAuagtuest 4, 2021 Date Date THE FOLLOWING ATTACHMENTS TO THIS CONTRACT ARE HEREBY INCORPORATED BY REFERENCE AND MADE PART OF THIS CONTRACT: Attachment A – Statement of Work Attachment B – Budget Attachment C – Fiscal Federal Accountability and Transparency Act (FFATA) Certificate Attachment D – HHS Uniform Terms and Conditions – Governmental Entity, Version 3.0 Attachment E – Data Use Agreement Attachment F – Federal Assurances and Certifications Attachment G – Contract Affirmations 1.8 ATTACHMENT A STATEMENT OF WORK COVID-19 – Public Health Workforce Expansion

ADDITIONAL GRANT INFORMATION. In accordance with 2 CFR 200.331(A), if any of the following information is not available at time of contract execution, then it will be provided to the Grantee by a Technical Guidance Letter. Federal Award Identification Number (XXXX): NU90TP922165 Federal Award Date: 5/20/2021 Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Federal, 93.354 Awarding Official Contact Information: Xx. Xxxxxx Xxxxxx, 000-000-0000, xxx0@xxx.xxx DUNS: 807391511 Signature Page for System Agency Contract No. HHS001077800001 HHS001075600001 The Department of State Health Services Corpus ChristiXxxxx-Nueces Xxxxx County Public Health District (County) Signature g g Xxxxx Xxxxxx SignatureAnnette Xxxxxxxxx MPH Xxxx Xxxxxxxxxx Printed Name Printed Name Associate Commissioner for RLHS Health Executive Director TitleSeptember 9Title Title August 12, 2021 TitleSeptember 8August 2, 2021 Date Date THE FOLLOWING ATTACHMENTS TO THIS CONTRACT ARE HEREBY INCORPORATED BY REFERENCE AND MADE PART OF THIS CONTRACT: Attachment A – Statement of Work Attachment B – Budget Attachment C – Fiscal Federal Accountability and Transparency Act (FFATA) Certificate Attachment D – HHS Uniform Terms and Conditions – Governmental Entity, Version 3.0 Attachment E – Data Use Agreement Attachment F – Federal Assurances and Certifications Attachment G – Contract Affirmations 1.8 ATTACHMENT A STATEMENT OF WORK COVID-19 – Public Health Workforce Expansion

ADDITIONAL GRANT INFORMATION. In accordance with 2 CFR 200.331(A), if any of the following information is not available at time of contract execution, then it will be provided to the Grantee by a Technical Guidance Letter. Federal Award Identification Number (XXXX): NU90TP922165 Federal Award Date: 5/20/2021 Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Federal, 93.354 Awarding Official Contact Information: Xx. Xxxxxx Xxxxxx, 000-000-0000, xxx0@xxx.xxx DUNS: 807391511 Signature Page for System Agency Contract No. HHS001077800001 HHS001077000001 The Department of State Health Services Corpus Christi-Nueces Harris County Public Health District (County) Services _ _ Signature Xxxxx Xxxxxx SignatureAnnette Xxxxxxxxx MPH Signature Xxxx Xxxx Judge Xxxx Xxxxxxx Printed Name Printed Name Associate Deputy Commissioner for RLHS Health Director TitleSeptember 9County Judge Title Title August 26, 2021 TitleSeptember 8August 25, 2021 Date Date THE FOLLOWING ATTACHMENTS TO THIS CONTRACT ARE HEREBY INCORPORATED BY REFERENCE AND MADE PART OF THIS CONTRACT: Attachment A – Statement of Work Attachment B – Budget Attachment C – Fiscal Federal Accountability and Transparency Act (FFATA) Certificate Attachment D – HHS Uniform Terms and Conditions – Governmental Entity, Version 3.0 Attachment E – Data Use Agreement Attachment F – Federal Assurances and Certifications Attachment G – Contract Affirmations 1.8 ATTACHMENT A STATEMENT OF WORK COVID-19 – Public Health Workforce Expansion

ADDITIONAL GRANT INFORMATION. In accordance with 2 CFR 200.331(A), if any of the following information is not available at time of contract execution, then it will be provided to the Grantee by a Technical Guidance Letter. Federal Award Identification Number (XXXX): NU90TP922165 Federal Award Date: 5/20/2021 Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Federal, 93.354 Awarding Official Contact Information: Xx. Xxxxxx Xxxxxx, 000-000-0000, xxx0@xxx.xxx DUNS: 807391511 Signature Page for System Agency Contract No. HHS001077800001 HHS001084300001 The Department of State Health Services Corpus Christi-Nueces Tarrant County Public Health District (County) _ g Signature Xxxxx Xxxxxx SignatureAnnette Xxxxxxxxx MPH Xxxx Xxxx Judge B. Xxxx Xxxxxxx Printed Name Printed Name Associate Deputy Commissioner for RLHS Health Director TitleSeptember 9County Judge Title Title August 23, 2021 TitleSeptember 8August 23, 2021 Date Date THE FOLLOWING ATTACHMENTS TO THIS CONTRACT ARE HEREBY INCORPORATED BY REFERENCE AND MADE PART OF THIS CONTRACT: Attachment A – Statement of Work Attachment B – Budget Attachment C – Fiscal Federal Accountability and Transparency Act (FFATA) Certificate Attachment D – HHS Uniform Terms and Conditions – Governmental Entity, Version 3.0 Attachment E – Data Use Agreement Attachment F – Federal Assurances and Certifications Attachment G – Contract Affirmations 1.8 ATTACHMENT A STATEMENT OF WORK COVID-19 – Public Health Workforce Expansion

ADDITIONAL GRANT INFORMATION. In accordance with 2 CFR 200.331(A), if any of the following information is not available at time of contract execution, then it will be provided to the Grantee by a Technical Guidance Letter. Federal Award Identification Number (XXXX): NU90TP922165 Federal Award Date: 5/20/2021 Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Federal, 93.354 Awarding Official Contact Information: Xx. Xxxxxx Xxxxxx, 000-000-0000, xxx0@xxx.xxx DUNS: 807391511 Signature Page for System Agency Contract No. HHS001077800001 HH001082900001 The Department of State Health Services Corpus ChristiWaco-Nueces McLennan County Public Health District (County) by and through the City of Waco _ Signature Xxxxx Signature Xxxx Xxxx Xxxxxx SignatureAnnette Xxxxxxxxx MPH Xxxxxxx Printed Name Printed Name Associate Deputy Commissioner for RLHS Health Director TitleSeptember 9Deputy City Manager Title Title September 27, 2021 TitleSeptember 8September 23, 2021 Date Date THE FOLLOWING ATTACHMENTS TO THIS CONTRACT ARE HEREBY INCORPORATED BY REFERENCE AND MADE PART OF THIS CONTRACT: Attachment A – Statement of Work Attachment B – Budget Attachment C – Fiscal Federal Accountability and Transparency Act (FFATA) Certificate Attachment D – HHS Uniform Terms and Conditions – Governmental Entity, Version 3.0 Attachment E – Data Use Agreement Attachment F – Federal Assurances and Certifications Attachment G – Contract Affirmations 1.8 ATTACHMENT A STATEMENT OF WORK COVID-19 – Public Health Workforce Expansion

ADDITIONAL GRANT INFORMATION. In accordance with 2 CFR 200.331(A), if any of the following information is not available at time of contract execution, then it will be provided to the Grantee by a Technical Guidance Letter. Federal Award Identification Number (XXXX): NU90TP922165 Federal Award Date: 5/20/2021 Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Federal, 93.354 Awarding Official Contact Information: Xx. Xxxxxx Xxxxxx, 000-000-0000, xxx0@xxx.xxx DUNS: 807391511 Signature Page for System Agency Contract No. HHS001077800001 HHS001077700001 The Department of State Health Services Corpus Christi-Nueces Victoria County Public Health District (County) Department _________________________ ______________________ Signature Signature Xxxxx Xxxxxx SignatureAnnette Xxxxxxxxx MPH Xxx Xxxxxx, County Judge Printed Name Printed Name Associate Commissioner for RLHS Health Director TitleSeptember 9Victoria County Judge Title Title September 1, 2021 TitleSeptember 8August 25, 2021 Date Date THE FOLLOWING ATTACHMENTS TO THIS CONTRACT ARE HEREBY INCORPORATED BY REFERENCE AND MADE PART OF THIS CONTRACT: Attachment A – Statement of Work Attachment B – Budget Attachment C – Fiscal Federal Accountability and Transparency Act (FFATA) Certificate Attachment D – HHS Uniform Terms and Conditions – Governmental Entity, Version 3.0 Attachment E – Data Use Agreement Attachment F – Federal Assurances and Certifications Attachment G – Contract Affirmations 1.8 ATTACHMENT A STATEMENT OF WORK COVID-19 – Public Health Workforce Expansion

ADDITIONAL GRANT INFORMATION. In accordance with 2 CFR 200.331(A), if any of the following information is not available at time of contract execution, then it will be provided to the Grantee by a Technical Guidance Letter. Federal Award Identification Number (XXXX): NU90TP922165 Federal Award Date: 5/20/2021 Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Federal, 93.354 Awarding Official Contact Information: Xx. Xxxxxx Xxxxxx, 000-000-0000, xxx0@xxx.xxx DUNS: 807391511 Signature Page for System Agency Contract No. HHS001077800001 HHS001077900001 The Department of State Health Services Corpus Christi-Nueces County Public Health District (County) City of Amarillo g Signature Xxxx Xxxx Xxxxx Xxxxxx SignatureAnnette Xxxxxxxxx MPH Xxxxxxxx Printed Name Printed Name Associate Deputy Commissioner for RLHS Health Director TitleSeptember 9Deputy City Manager Title Title August 19, 2021 TitleSeptember 8August 4, 2021 Date Date THE FOLLOWING ATTACHMENTS TO THIS CONTRACT ARE HEREBY INCORPORATED BY REFERENCE AND MADE PART OF THIS CONTRACT: Attachment A – Statement of Work Attachment B – Budget Attachment C – Fiscal Federal Accountability and Transparency Act (FFATA) Certificate Attachment D – HHS Uniform Terms and Conditions – Governmental Entity, Version 3.0 Attachment E – Data Use Agreement Attachment F – Federal Assurances and Certifications Attachment G – Contract Affirmations 1.8 ATTACHMENT A STATEMENT OF WORK COVID-19 – Public Health Workforce Expansion

ADDITIONAL GRANT INFORMATION. In accordance with 2 CFR 200.331(A), if any of the following information is not available at time of contract execution, then it will be provided to the Grantee by a Technical Guidance Letter. Federal Award Identification Number (XXXX): NU90TP922165 Federal Award Date: 5/20/2021 Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Federal, 93.354 Awarding Official Contact Information: Xx. Xxxxxx Xxxxxx, 000-000-0000, xxx0@xxx.xxx DUNS: 807391511 Signature Page for System Agency Contract No. HHS001077800001 HHS001075700001 The Department of State Health Services Corpus Christi-Nueces Wichita Falls - Wichita County Public Health District (County) _________________ Signature Xxxxx Xxxxxx SignatureAnnette Xxxxxxxxx MPH Signature Xxxx Xxxx Xxx Xxxxxxxx Printed Name Printed Name Associate Deputy Commissioner for RLHS Director of Health Director TitleSeptember 9Title Title August 19, 2021 TitleSeptember 8August 17, 2021 Date Date THE FOLLOWING ATTACHMENTS TO THIS CONTRACT ARE HEREBY INCORPORATED BY REFERENCE AND MADE PART OF THIS CONTRACT: Attachment A – Statement of Work Attachment B – Budget Attachment C – Fiscal Federal Accountability and Transparency Act (FFATA) Certificate Attachment D – HHS Uniform Terms and Conditions – Governmental Entity, Version 3.0 Attachment E – Data Use Agreement Attachment F – Federal Assurances and Certifications Attachment G – Contract Affirmations 1.8 ATTACHMENT A STATEMENT OF WORK COVID-19 – Public Health Workforce Expansion

ADDITIONAL GRANT INFORMATION. In accordance with 2 CFR 200.331(A), if any of the following information is not available at time of contract execution, then it will be provided to the Grantee by a Technical Guidance Letter. Federal Award Identification Number (XXXX): NU90TP922165 Federal Award Date: 5/20/2021 Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Federal, 93.354 Awarding Official Contact Information: Xx. Xxxxxx Xxxxxx, 000-000-0000, xxx0@xxx.xxx DUNS: 807391511 Signature Page for System Agency Contract No. HHS001077800001 The Department of State Health Services Corpus Christi-Nueces County Public _ _ Health District (County) Signature Xxxxx Xxxxxx SignatureAnnette Xxxxxxxxx MPH Printed Name Printed Name Associate Commissioner for RLHS Health Director TitleSeptember 9, 2021 TitleSeptember 8, 2021 Date Date THE FOLLOWING ATTACHMENTS TO THIS CONTRACT ARE HEREBY INCORPORATED BY REFERENCE AND MADE PART OF THIS CONTRACT: Attachment A – Statement of Work Attachment B – Budget Attachment C – Fiscal Federal Accountability and Transparency Act (FFATA) Certificate Attachment D – HHS Uniform Terms and Conditions – Governmental Entity, Version 3.0 Attachment E – Data Use Agreement Attachment F – Federal Assurances and Certifications Attachment G – Contract Affirmations 1.8 ATTACHMENT A STATEMENT OF WORK COVID-19 – Public Health Workforce Expansion

ADDITIONAL GRANT INFORMATION. In accordance with 2 CFR 200.331(A), if any of the following information is not available at time of contract execution, then it will be provided to the Grantee by a Technical Guidance Letter. Federal Award Identification Number (XXXX): NU90TP922165 Federal Award Date: 5/20/2021 Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Federal, 93.354 Awarding Official Contact Information: Xx. Xxxxxx Xxxxxx, 000-000-0000, xxx0@xxx.xxx DUNS: 807391511 Signature Page for System Agency Contract No. HHS001077800001 HHS001076200001 The Department of State Health Services Corpus Christi-Nueces County City of Brownsville Public Health District (County) Department Signature _ Signature Xxxxx Xxxxxx SignatureAnnette Xxxxxxxxx MPH Xxxx Xxxxxx Printed Name Printed Name Associate Commissioner for RLHS Health Director TitleSeptember 9Brownsville Title Title August 12, 2021 TitleSeptember 8August 12, 2021 Date Date THE FOLLOWING ATTACHMENTS TO THIS CONTRACT ARE HEREBY INCORPORATED BY REFERENCE AND MADE PART OF THIS CONTRACT: Attachment A – Statement of Work Attachment B – Budget Attachment C – Fiscal Federal Accountability and Transparency Act (FFATA) Certificate Attachment D – HHS Uniform Terms and Conditions – Governmental Entity, Version 3.0 Attachment E – Data Use Agreement Attachment F – Federal Assurances and Certifications Attachment G – Contract Affirmations 1.8 ATTACHMENT A STATEMENT OF WORK COVID-19 – Public Health Workforce Expansion

ADDITIONAL GRANT INFORMATION. In accordance with 2 CFR 200.331(A), if any of the following information is not available at time of contract execution, then it will be provided to the Grantee by a Technical Guidance Letter. Federal Award Identification Number (XXXX): NU90TP922165 Federal Award Date: 5/20/2021 Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Federal, 93.354 Awarding Official Contact Information: Xx. Xxxxxx Xxxxxx, 000-000-0000, xxx0@xxx.xxx DUNS: 807391511 Signature Page for System Agency Contract No. HHS001077800001 HHS001076600001 Signature The Department of State Health Services Corpus Christi-Nueces Comal County Public Health District (County) Signature Xxxxx Xxxxxx SignatureAnnette Xxxxxxxxx MPH Judge Xxxxxxx Xxxxxx Printed Name Printed Name Associate Commissioner for RLHS Health Director TitleSeptember 9County Judge TitleAugust 17, 2021 TitleSeptember 8TitleAugust 16, 2021 Date Date THE FOLLOWING ATTACHMENTS TO THIS CONTRACT ARE HEREBY INCORPORATED BY REFERENCE AND MADE PART OF THIS CONTRACT: Attachment A – Statement of Work Attachment B – Budget Attachment C – Fiscal Federal Accountability and Transparency Act (FFATA) Certificate Attachment D – HHS Uniform Terms and Conditions – Governmental Entity, Version 3.0 Attachment E – Data Use Agreement Attachment F – Federal Assurances and Certifications Attachment G – Contract Affirmations 1.8 ATTACHMENT A STATEMENT OF WORK COVID-19 – Public Health Workforce Expansion

ADDITIONAL GRANT INFORMATION. In accordance with 2 CFR 200.331(A), if any of the following information is not available at time of contract execution, then it will be provided to the Grantee by a Technical Guidance Letter. Federal Award Identification Number (XXXX): NU90TP922165 Federal Award Date: 5/20/2021 Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Federal, 93.354 Awarding Official Contact Information: Xx. Xxxxxx Xxxxxx, 000-000-0000, xxx0@xxx.xxx DUNS: 807391511 Signature Page for System Agency Contract No. HHS001077800001 HHS001084500001 The Department of State Health Services Corpus Christi-Nueces Fort Bend County Public Health District (County) & Human Services Signature Xxxxx Signature XX Xxxxxx SignatureAnnette Xxxxxxxxx MPH Printed Name Printed Name Associate Commissioner for RLHS Health Director TitleSeptember 9, 2021 TitleSeptember 8, 2021 County Judge Title Title Date Date THE FOLLOWING ATTACHMENTS TO THIS CONTRACT ARE HEREBY INCORPORATED BY REFERENCE AND MADE PART OF THIS CONTRACT: Attachment A – Statement of Work Attachment B – Budget Attachment C – Fiscal Federal Accountability and Transparency Act (FFATA) Certificate Attachment D – HHS Uniform Terms and Conditions – Governmental Entity, Version 3.0 Attachment E – Data Use Agreement Attachment F – Federal Assurances and Certifications Attachment G – Contract Affirmations 1.8 ATTACHMENT A STATEMENT OF WORK COVID-19 – Public Health Workforce Expansion