Common use of ADDITIONAL GRANT INFORMATION Clause in Contracts

ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): TBD Federal Award Date: TBD Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD Signature Page Follows Signature Page for System Agency Contract No. HHS000119700009 System Agency Grantee Xxxxx Xxxxxxx Name: Xxxxx Xxxx Associate Commissioner Title: Director Date of execution: May 17, 2018 Date of execution:May 17, 2018 The following attachments to System Agency Contract No. HHS000119700009 are hereby incorporated by reference: Attachment A – Statement of Work Attachment B – Budget Attachment C – Uniform Terms and Conditions Attachment D – Supplemental and Special Conditions Attachment E – Federal Assurances and certifications Attachment F – FFATA Attachment G – Data Use Agreement Attachments Follow ATTACHMENT A STATEMENT OF WORK

ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): TBD Federal Award Date: TBD Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD Signature Page Follows Signature Page for System Agency Contract No. HHS000119700009 HHS000103300001 System Agency Grantee Xxxxx Xxxxxxx Name: Xxxxx Xxxx Xxxxxxx, Xx., County Judge Associate Commissioner Title: Director :County Judge Date of execution: May 17June 19, 2018 Date of execution:May 17: June 19, 2018 The following attachments to System Agency Contract No. HHS000119700009 HHS000103300001 are hereby incorporated by reference: Attachment A – Statement of Work Attachment B – Budget Attachment C – Uniform Terms and Conditions Attachment D – Supplemental and Special Conditions Attachment E – Federal Assurances and certifications Attachment F – FFATA Attachment G – Data Use Agreement Attachments Follow ATTACHMENT A STATEMENT OF WORK

ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): TBD Federal Award Date: TBD Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD Signature Page Follows Signature Page for System Agency Contract No. HHS000119700009 HHS000102200001 System Agency Grantee ame: __________ N Xxxx Xxxxxxxxx Xxxxx Xxxxxxx Name: Xxxxx Xxxx Associate Commissioner Title: Director CFO Date of execution: May 17_April 2, 2018 Date of execution:May 17: April 2, 2018 The following attachments to System Agency Contract No. HHS000119700009 HHS000102200001 are hereby incorporated by reference: Attachment A – Statement of Work Attachment B – Budget Attachment C – Uniform Terms and Conditions Attachment D – Supplemental and Special Conditions Attachment E – Federal Assurances and certifications Attachment F – FFATA Attachment G – Data Use Agreement Attachments Follow ATTACHMENT A STATEMENT OF WORK

ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): TBD Federal Award Date: TBD Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD Signature Page Follows Signature Page for System Agency Contract No. HHS000119700009 HHS000119700011 System Agency Grantee Xxxxx Xxxxxxx Name: Xxxxx Xxxx Xxx Xxxxxx Associate Commissioner Title: Director County Judge Date of execution: May 17June 20, 2018 Date of execution:May 17: June 20, 2018 The following attachments to System Agency Contract No. HHS000119700009 HHS000119700011 are hereby incorporated by reference: Attachment A – Statement of Work Attachment B – Budget Attachment C – Uniform Terms and Conditions Attachment D – Supplemental and Special Conditions Attachment E – Federal Assurances and certifications Attachment F – FFATA Attachment G – Data Use Agreement Attachments Follow ATTACHMENT A STATEMENT OF WORK

ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): TBD Federal Award Date: TBD Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD Signature Page Follows Signature Page for System Agency Contract No. HHS000119700009 HHS000097600001 System Agency Grantee Xxxxx Xxxxxxx Name: Xxxxx Xxxx X.X. “Xxxx” Xxxxxxx, Xx. Associate Commissioner Title: Director X.X. Xxxxxxx. Jr. Date of execution: May 17_April 12, 2018 Date of execution:May 17: April 12, 2018 The following attachments to System Agency Contract No. HHS000119700009 HHS000097600001 are hereby incorporated by reference: Attachment A – Statement of Work Attachment B – Budget Attachment C – Uniform Terms and Conditions Attachment D – Supplemental and Special Conditions Attachment E – Federal Assurances and certifications Attachment F – FFATA Attachment G – Data Use Agreement Attachments Follow ATTACHMENT A STATEMENT OF WORK

ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): TBD Federal Award Date: TBD Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD Signature Page Follows Signature Page for System Agency Contract No. HHS000119700009 HHS000119700005 System Agency Grantee Xxxxx Xxxxxxx Name: Xxxxx Xxxx Xxxxxxx Xxxxxx, County Judge Associate Commissioner Title: Director Date of execution: May 17, 2018 Date of execution:May 17, 2018 : DRAFT The following attachments to System Agency Contract No. HHS000119700009 HHS000119700005 are hereby incorporated by reference: Attachment A – Statement of Work Attachment B – Budget Attachment C – Uniform Terms and Conditions Attachment D – Supplemental and Special Conditions Attachment E – Federal Assurances and certifications Attachment F – FFATA Attachment G – Data Use Agreement Attachments Follow ATTACHMENT A STATEMENT OF WORK

ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): TBD Federal Award Date: TBD Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD Signature Page Follows Signature Page for System Agency Contract No. HHS000119700009 HHS000103500001 System Agency Grantee Xxxxx Xxxxxxx Name: Xxxxx Xxxx Xxxxxxx XxXxxx Associate Commissioner Title: Director City Manager Date of execution: May 1721, 2018 Date of execution:: May 1721, 2018 The following attachments to System Agency Contract No. HHS000119700009 HHS000103500001 are hereby incorporated by reference: Attachment A – Statement of Work Attachment B – Budget Attachment C – Uniform Terms and Conditions Attachment D – Supplemental and Special Conditions Attachment E – Federal Assurances and certifications Attachment F – FFATA Attachment G – Data Use Agreement Attachments Follow ATTACHMENT A STATEMENT OF WORK

ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): TBD Federal Award Date: TBD Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD Signature Page Follows Signature Page for System Agency Contract No. HHS000119700009 HHS000103000001 System Agency Grantee Xxxxx Xxxxxxx Name: Xxxxx Xxxx Xxxxxx Xxxxxx, County Judge Associate Commissioner Title: Director County Judge Date of execution: May 1711, 2018 Date of execution:: May 1711, 2018 The following attachments to System Agency Contract No. HHS000119700009 HHS000103000001 are hereby incorporated by reference: Attachment A – Statement of Work Attachment B – Budget Attachment C – Uniform Terms and Conditions Attachment D – Supplemental and Special Conditions Attachment E – Federal Assurances and certifications Attachment F – FFATA Attachment G – Data Use Agreement Attachments Follow ATTACHMENT A STATEMENT OF WORK

ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): TBD Federal Award Date: TBD Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD Signature Page Follows Signature Page for System Agency Contract No. HHS000119700009 HHS000119700006 System Agency Grantee Xxxxx Xxxxxxx Name: Xxxxx Xxxx Xxx Xxxxxx, County Judge Associate Commissioner Title: Director Ector County Judge Date of execution: May 17June 7, 2018 Date of execution:May 17: June 7, 2018 The following attachments to System Agency Contract No. HHS000119700009 HHS000119700006 are hereby incorporated by reference: Attachment A – Statement of Work Attachment B – Budget Attachment C – Uniform Terms and Conditions Attachment D – Supplemental and Special Conditions Attachment E – Federal Assurances and certifications Attachment F – FFATA Attachment G – Data Use Agreement Attachments Follow ATTACHMENT A STATEMENT OF WORK