Common use of ADDITIONAL GRANT INFORMATION Clause in Contracts

ADDITIONAL GRANT INFORMATION. A. Grantee Data Universal Numbering System (DUNS) Number: 010545598 B. Federal Award Identification Number (XXXX): • Award 1: B09SM083999 • Award 2: B09SM085385 C. Catalog of Federal Domestic Assistance (CFDA) Name and Number (list all that apply): • Block Grants for Community Mental Health Services - 93.958 D. Federal Award Date: • Award 1: March 11, 2021 • Award 2: May 17, 2021 E. Federal Award Period: • Award 1: March 15, 2021 through March 14, 2023 • Award 2: September 01, 2021 through September 30, 2025 F. Name of Federal Awarding Agency: Department of Health and Human Services, Substance Abuse and Mental Health Services Administration G. Awarding Official Contact Information: Xxxxx Xxxx, Grants Management Specialist, xxxxx.xxxx@xxxxxx.xxx.xxx, (000) 000-0000 The following grant information must be included in each Notice to Proceed for which federal grant funds are a funding reimbursement source: A. Federal Award Identification Number B. Federal Award Date C. Name of Federal Awarding Agency D. CFDA Name and Number

ADDITIONAL GRANT INFORMATION. A. Grantee Data Universal Numbering System (DUNS) Number: 010545598078496213 B. Federal Award Identification Number (XXXX): • Award 1: B09SM083999 • Award 2: B09SM085385 C. Catalog of Federal Domestic Assistance (CFDA) Name and Number (list all that apply): • Block Grants for Community Mental Health Services - 93.958 D. Federal Award Date: • Award 1: March 11, 2021 • Award 2: May 17, 2021 E. Federal Award Period: • Award 1: March 15, 2021 through March 14, 2023 • Award 2: September 01, 2021 through September 30, 2025 F. Name of Federal Awarding Agency: Department of Health and Human Services, Substance Abuse and Mental Health Services Administration G. Awarding Official Contact Information: Xxxxx Xxxx, Grants Management Specialist, xxxxx.xxxx@xxxxxx.xxx.xxx, (000) 000-0000 The following grant information must be included in each Notice to Proceed for which federal grant funds are a funding reimbursement source: A. Federal Award Identification Number B. Federal Award Date C. Name of Federal Awarding Agency D. CFDA Name and Number

ADDITIONAL GRANT INFORMATION. A. Grantee Data Universal Numbering System (DUNS) Number: 010545598182925958 B. Federal Award Identification Number (XXXX): • Award 1: B09SM083999 • Award 2: B09SM085385 C. Catalog of Federal Domestic Assistance (CFDA) Name and Number (list all that apply): • Block Grants for Community Mental Health Services - 93.958 D. Federal Award Date: • Award 1: March 11, 2021 • Award 2: May 17, 2021 E. Federal Award Period: • Award 1: March 15, 2021 through March 14, 2023 • Award 2: September 01, 2021 through September 30, 2025 F. Name of Federal Awarding Agency: Department of Health and Human Services, Substance Abuse and Mental Health Services Administration G. Awarding Official Contact Information: Xxxxx Xxxx, Grants Management Specialist, xxxxx.xxxx@xxxxxx.xxx.xxx, (000) 000-0000 The following grant information must be included in each Notice to Proceed for which federal grant funds are a funding reimbursement source: A. Federal Award Identification Number B. Federal Award Date C. Name of Federal Awarding Agency D. CFDA Name and Number

ADDITIONAL GRANT INFORMATION. A. Grantee Data Universal Numbering System (DUNS) Number: 010545598800643157 B. Federal Award Identification Number (XXXX): • Award 1: B09SM083999 • Award 2: B09SM085385 C. Catalog of Federal Domestic Assistance (CFDA) Name and Number (list all that apply): • Block Grants for Community Mental Health Services - 93.958 D. Federal Award Date: • Award 1: March 11, 2021 • Award 2: May 17, 2021 E. Federal Award Period: • Award 1: March 15, 2021 through March 14, 2023 • Award 2: September 01, 2021 through September 30, 2025 F. Name of Federal Awarding Agency: Department of Health and Human Services, Substance Abuse and Mental Health Services Administration G. Awarding Official Contact Information: Xxxxx Xxxx, Grants Management Specialist, xxxxx.xxxx@xxxxxx.xxx.xxx, (000) 000-0000 The following grant information must be included in each Notice to Proceed for which federal grant funds are a funding reimbursement source: A. Federal Award Identification Number B. Federal Award Date C. Name of Federal Awarding Agency D. CFDA Name and Number

ADDITIONAL GRANT INFORMATION. A. Grantee Data Universal Numbering System (DUNS) Number: 010545598010470870 B. Federal Award Identification Number (XXXX): • Award 1: B09SM083999 • Award 2: B09SM085385 C. Catalog of Federal Domestic Assistance (CFDA) Name and Number (list all that apply): • Block Grants for Community Mental Health Services - 93.958 D. Federal Award Date: • Award 1: March 11, 2021 • Award 2: May 17, 2021 E. Federal Award Period: • Award 1: March 15, 2021 through March 14, 2023 • Award 2: September 01, 2021 through September 30, 2025 F. Name of Federal Awarding Agency: Department of Health and Human Services, Substance Abuse and Mental Health Services Administration G. Awarding Official Contact Information: Xxxxx Xxxx, Grants Management Specialist, xxxxx.xxxx@xxxxxx.xxx.xxx, (000) 000-0000 The following grant information must be included in each Notice to Proceed for which federal grant funds are a funding reimbursement source: A. Federal Award Identification Number B. Federal Award Date C. Name of Federal Awarding Agency D. CFDA Name and Number

ADDITIONAL GRANT INFORMATION. A. Grantee Data Universal Numbering System (DUNS) Number: 010545598105901540 B. Federal Award Identification Number (XXXX): • Award 1: B09SM083999 • Award 2: B09SM085385 C. Catalog of Federal Domestic Assistance (CFDA) Name and Number (list all that apply): • Block Grants for Community Mental Health Services - 93.958 D. Federal Award Date: • Award 1: March 11, 2021 • Award 2: May 17, 2021 E. Federal Award Period: • Award 1: March 15, 2021 through March 14, 2023 • Award 2: September 01, 2021 through September 30, 2025 F. Name of Federal Awarding Agency: Department of Health and Human Services, Substance Abuse and Mental Health Services Administration G. Awarding Official Contact Information: Xxxxx Xxxx, Grants Management Specialist, xxxxx.xxxx@xxxxxx.xxx.xxx, (000) 000-0000 The following grant information must be included in each Notice to Proceed for which federal grant funds are a funding reimbursement source: A. Federal Award Identification Number B. Federal Award Date C. Name of Federal Awarding Agency D. CFDA Name and Number

ADDITIONAL GRANT INFORMATION. A. Grantee Data Universal Numbering System (DUNS) Number: 010545598074620667 B. Federal Award Identification Number (XXXX): • Award 1: B09SM083999 • Award 2: B09SM085385 C. Catalog of Federal Domestic Assistance (CFDA) Name and Number (list all that apply): • Block Grants for Community Mental Health Services - 93.958 D. Federal Award Date: • Award 1: March 11, 2021 • Award 2: May 17, 2021 E. Federal Award Period: • Award 1: March 15, 2021 through March 14, 2023 • Award 2: September 01, 2021 through September 30, 2025 F. Name of Federal Awarding Agency: Department of Health and Human Services, Substance Abuse and Mental Health Services Administration G. Awarding Official Contact Information: Xxxxx Xxxx, Grants Management Specialist, xxxxx.xxxx@xxxxxx.xxx.xxx, (000) 000-0000 The following grant information must be included in each Notice to Proceed for which federal grant funds are a funding reimbursement source: A. Federal Award Identification Number B. Federal Award Date C. Name of Federal Awarding Agency D. CFDA Name and Number

ADDITIONAL GRANT INFORMATION. A. Grantee Data Universal Numbering System (DUNS) Number: 010545598161443783 B. Federal Award Identification Number (XXXX): • Award 1: B09SM083999 • Award 2: B09SM085385 C. Catalog of Federal Domestic Assistance (CFDA) Name and Number (list all that apply): • Block Grants for Community Mental Health Services - 93.958 D. Federal Award Date: • Award 1: March 11, 2021 • Award 2: May 17, 2021 E. Federal Award Period: • Award 1: March 15, 2021 through March 14, 2023 • Award 2: September 01, 2021 through September 30, 2025 F. Name of Federal Awarding Agency: Department of Health and Human Services, Substance Abuse and Mental Health Services Administration G. Awarding Official Contact Information: Xxxxx Xxxx, Grants Management Specialist, xxxxx.xxxx@xxxxxx.xxx.xxx, (000) 000-0000 The following grant information must be included in each Notice to Proceed for which federal grant funds are a funding reimbursement source: A. Federal Award Identification Number B. Federal Award Date C. Name of Federal Awarding Agency D. CFDA Name and Number

ADDITIONAL GRANT INFORMATION. A. Grantee Data Universal Numbering System (DUNS) Number: 010545598148007529 B. Federal Award Identification Number (XXXX): • Award 1: B09SM083999 • Award 2: B09SM085385 C. Catalog of Federal Domestic Assistance (CFDA) Name and Number (list all that apply): • Block Grants for Community Mental Health Services - 93.958 D. Federal Award Date: • Award 1: March 11, 2021 • Award 2: May 17, 2021 E. Federal Award Period: • Award 1: March 15, 2021 through March 14, 2023 • Award 2: September 01, 2021 through September 30, 2025 F. Name of Federal Awarding Agency: Department of Health and Human Services, Substance Abuse and Mental Health Services Administration G. Awarding Official Contact Information: Xxxxx Xxxx, Grants Management Specialist, xxxxx.xxxx@xxxxxx.xxx.xxx, (000) 000-0000 The following grant information must be included in each Notice to Proceed for which federal grant funds are a funding reimbursement source: A. Federal Award Identification Number B. Federal Award Date C. Name of Federal Awarding Agency D. CFDA Name and Number

ADDITIONAL GRANT INFORMATION. A. Grantee Data Universal Numbering System (DUNS) Number: 010545598006871701 B. Federal Award Identification Number (XXXX): • Award 1: B09SM083999 • Award 2: B09SM085385 C. Catalog of Federal Domestic Assistance (CFDA) Name and Number (list all that apply): • Block Grants for Community Mental Health Services - 93.958 D. Federal Award Date: • Award 1: March 11, 2021 • Award 2: May 17, 2021 E. Federal Award Period: • Award 1: March 15, 2021 through March 14, 2023 • Award 2: September 01, 2021 through September 30, 2025 F. Name of Federal Awarding Agency: Department of Health and Human Services, Substance Abuse and Mental Health Services Administration G. Awarding Official Contact Information: Xxxxx Xxxx, Grants Management Specialist, xxxxx.xxxx@xxxxxx.xxx.xxx, (000) 000-0000 The following grant information must be included in each Notice to Proceed for which federal grant funds are a funding reimbursement source: A. Federal Award Identification Number B. Federal Award Date C. Name of Federal Awarding Agency D. CFDA Name and Number

ADDITIONAL GRANT INFORMATION. A. Grantee Data Universal Numbering System (DUNS) Number: 010545598006712053 B. Federal Award Identification Number (XXXX): • Award 1: B09SM083999 • Award 2: B09SM085385 C. Catalog of Federal Domestic Assistance (CFDA) Name and Number (list all that apply): • Block Grants for Community Mental Health Services - 93.958 D. Federal Award Date: • Award 1: March 11, 2021 • Award 2: May 17, 2021 E. Federal Award Period: • Award 1: March 15, 2021 through March 14, 2023 • Award 2: September 01, 2021 through September 30, 2025 F. Name of Federal Awarding Agency: Department of Health and Human Services, Substance Abuse and Mental Health Services Administration G. Awarding Official Contact Information: Xxxxx Xxxx, Grants Management Specialist, xxxxx.xxxx@xxxxxx.xxx.xxx, (000) 000-0000 The following grant information must be included in each Notice to Proceed for which federal grant funds are a funding reimbursement source: A. Federal Award Identification Number B. Federal Award Date C. Name of Federal Awarding Agency D. CFDA Name and Number

ADDITIONAL GRANT INFORMATION. A. Grantee Data Universal Numbering System (DUNS) Number: 010545598078388295 B. Federal Award Identification Number (XXXX): • Award 1: B09SM083999 • Award 2: B09SM085385 C. Catalog of Federal Domestic Assistance (CFDA) Name and Number (list all that apply): • Block Grants for Community Mental Health Services - 93.958 D. Federal Award Date: • Award 1: March 11, 2021 • Award 2: May 17, 2021 E. Federal Award Period: • Award 1: March 15, 2021 through March 14, 2023 • Award 2: September 01, 2021 through September 30, 2025 F. Name of Federal Awarding Agency: Department of Health and Human Services, Substance Abuse and Mental Health Services Administration G. Awarding Official Contact Information: Xxxxx Xxxx, Grants Management Specialist, xxxxx.xxxx@xxxxxx.xxx.xxx, (000) 000-0000 The following grant information must be included in each Notice to Proceed for which federal grant funds are a funding reimbursement source: A. Federal Award Identification Number B. Federal Award Date C. Name of Federal Awarding Agency D. CFDA Name and Number

ADDITIONAL GRANT INFORMATION. A. Grantee Data Universal Numbering System (DUNS) Number: 010545598079391082 B. Federal Award Identification Number (XXXX): • Award 1: B09SM083999 • Award 2: B09SM085385 C. Catalog of Federal Domestic Assistance (CFDA) Name and Number (list all that apply): • Block Grants for Community Mental Health Services - 93.958 D. Federal Award Date: • Award 1: March 11, 2021 • Award 2: May 17, 2021 E. Federal Award Period: • Award 1: March 15, 2021 through March 14, 2023 • Award 2: September 01, 2021 through September 30, 2025 F. Name of Federal Awarding Agency: Department of Health and Human Services, Substance Abuse and Mental Health Services Administration G. Awarding Official Contact Information: Xxxxx Xxxx, Grants Management Specialist, xxxxx.xxxx@xxxxxx.xxx.xxx, (000) 000-0000 The following grant information must be included in each Notice to Proceed for which federal grant funds are a funding reimbursement source: A. Federal Award Identification Number B. Federal Award Date C. Name of Federal Awarding Agency D. CFDA Name and Number