Common use of Agreement to Use Electronic Signatures Clause in Contracts

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] VENDOR NAME AGENCY NAME By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxX. Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx Xxxxxxx X. Xxxx, Xx.Xxxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] VENDOR NAME AGENCY NAME By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. Exhibit 1 to the Master Agreement: Software-as-a-Service

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: TitlePrinted Name: Printed Name: Title: Date: Executive Director 9/12/2022 | 15:33 EDT Title: Date: Chairman 9/14/2022 | 15:31 EDT _ Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon April 4, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2022 FA 22- 20 EXHIBIT A Underground Plant Protection Account Grant Application Grantee Information

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the t he Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUS TOM_APPS.SOI_PUBLIC_CNTR CTS.GBL In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] COMPUTER AID, INC. By: Indiana Department of Administration By: Title: EVP Title: Director of Vendor Management Date: 12/9/2021 | 13:33 EST Date: 12/10/2021 | 07:34 EST Electronically Approved byApprovedby:Indiana Office of Technology By: (for)Xxxxx X. Xxxxxx, Chief Information Officer Electronically Approvedby:Department of Administration By: (for) Xxxxxx X. Xxxxxfor)Xxxxxxx Xxxx erda, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Approvedby:State Budget Agency By: (for) Xxxxx X.Xxxxxxfor)Xxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Legality by:Office of the Attorney General By: (for) Xxxxxx for)Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.EXHIBIT A Implementation and Administration

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective respec tive signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] 360Water Inc. By: Indiana Utility Regulatory Commission Title: President By: Title: Title: Chairman Date: 4/12/2023 | 10:30 PDT Date: 4/18/2023 | 15:48 EDT Electronically Approved by: Indiana Office of Technology By: (for) Xxxxx Xxxxxx, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer ATTACHMENT 1 TO: FROM: DATE : RE: Xxxxx Xxxxxx Xxxxxx Underground Plant Protection Account (UPPA) Program Manager Indiana Utility Regulatory Commission (IURC) 000 X. Xxxxxxxxxx St., Suite 1500 East Xxxx Xxxxx VP-Operations, 360water, Inc. 4/6/2023 Indiana Utility Regulatory Commission Extension of Contract 55078 This memo responds to Electronic Approval History found after your offer to extend Contract 55078 through the final page year 2025. This offer was made via email dated February 28, 2023. On April 5, 2023, you sent a follow-up email with further information about the extension. These emails are attached as Exhibit 1 to this memorandum. 360water accepts the offer and proposes the following budget. Exhibit 2 to this memo is the budget for Contract 55078, with edits. In my opinion, the 55078 budget serves as the best estimate for the contract extension budget. My edits strike services that are not required in Year 2024 and Year 2025. The edits reduce the budget for two modules from $201,760.00 to $124,760.00. Therefore, four modules over two years (2024-2025) would require $249,520.00 ($124,760 X 2). According to your emails, the IURC anticipates additional work not listed within Contract 55078. Specifically, the IURC requests the following: • Spanish Language version of xxxxx://xxxxxxxxxxxxxx.xxx/ • Spanish Language translation for existing courseware. o Spanish Language text. o Spanish Language closed captioning for all video. • The breakout of the Executed Contract estimated budget for detailsthis work is shown in the table below. Vendor Service Estimated Cost 360water / Xxxxxxxx Spanish Language website $18,000.00 360water / Tomedes / 3Play Spanish Language courseware $17,000.00 360water / Xxxxx Xxxxx 811 Training course production1 $ 5,500.00 Total $40,500.00 Added together, the total budget for the contract extension through 2025 is as follows. Year 2024 $124,760.00 Year 2025 $124,760.00 Spanish Language / Xxxxx Xxxxx $40,500.00 Total $290,020.00 I recommend that we discuss this memorandum on the phone and make any adjustments that you deem appropriate. I appreciate the time and attention of the IURC to this matter. Let me know if you have any questions. Thank you.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: TitlePrinted Name: Printed Name: Title: Date: Executive Director 9/12/2022 | 15:29 EDT Title: Date: Chairman 9/14/2022 | 15:30 EDT _ Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon April 4, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2022 FA 22- 20 EXHIBIT A Underground Plant Protection Account Grant Application Grantee Information

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent equivalen t of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: TitlePrinted Name: Printed Name: Title: Executive Director Title: Chairman Date: 11/2/2022 | 09:15 EDT Date: 11/2/2022 | 09:25 EDT _ Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon April 4, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2022 FA 22- 20 EXHIBIT A Underground Plant Protection Account Grant Application Grantee Information

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [%%VENDOR_NAME%%
%%AGENCY_NAME%%
By:\s1\ By:\s2\ Title:\t1\ Title:\t2\ Date:\d1\ Date:\d2\ Electronically Approved by: Indiana Agency] Office of Technology By: By: Title: Title: Date: Date: (for) Xxxxx X. Xxxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Xxxxxxx Xxxxxxxx Commissioner Refer Xxxxx to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxx X. Xxxxx, Acting State Budget Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer Xxxxx to Electronic Approval History found after the final page of the Executed Contract for details.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Executive Director Title: Chairman Date: 9/18/2023 | 09:07 EDT Date: 9/18/2023 | 10:15 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon February 23, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2023 FA 23-03 EXHIBIT A Underground Plant Protection Account Grant Application Grantee Information

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Selge Construction Co. Inc. Indiana Agency] Utility Regulatory Commission By: By: TitlePrinted Name: Printed Name: Title: Date: Manager of Safety and Resources 1/5/2023 | 13:49 PST Title: Date: Chairman 1/10/2023 | 16:31 EST _ Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon April 4, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2022 FA 22- 20 EXHIBIT A Underground Plant Protection Account Grant Application Grantee Information

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [XXXXXXXXXXXXXXXXX Indiana Agency] Department of Administration By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. Exhibit A: State of Indiana Market Basket Pricing TO BE ATTACHED AT TIME OF SIGNATURE. Exhibit B: Non-Market Basket Discount Pricing TO BE ATTACHED AT TIME OF SIGNATURE. Exhibit C: Service Level Agreements and Key Performance Indicator This document is an exhibit to the Master Services Agreement, and is deemed to be attached to and incorporated within the Master Services Agreement by reference. Any inconsistency, conflict, or ambiguity between this exhibit and the Master Services Agreement shall be resolved by giving precedence and effect to the Master Services Agreement. Service Level Agreement (SLA) The Service Level Agreements (SLA) are based on agreed-upon service levels that are tracked over the course of the contractual term. The SLA are created for the purpose of monitoring the performance of the Contractor and the overall contractual agreement. These SLA are represented to identify both qualitative and quantitative information. The Contractor shall monitor and fulfill all associated Service Levels through continuous tracking, Key Performance Indicator Surveys, and State Account Management interaction. These Service Level Agreements shall then be directly evaluated through Performance Metrics in Exhibit D. On a quarterly basis, the Contractor shall identify the actual outcome of the SLA listed below and supply original supportive documentation for all SLA and Performance Metrics. The Contractor shall tabulate the actual SLA outcome and present the actual results during each affiliated Quarterly Business Review (QBR). The Contractor shall not round up on any numerical data. The data shall not be tabulated as an average; instead, the data must be represented as actual statistical information. The Service Level Agreements are set up with the combination of the following:

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Executive Director Title: Chairman Date: 12/4/2023 | 08:47 EST Date: 12/4/2023 | 14:42 EST Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx erda, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon February 23, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2023 FA 23-03 EXHIBIT A Underground Plant Protection Account Grant Application Grantee Information

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [XCONTRACTOR Indiana Agency] Department of Administration By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract Grant Agreement by accessing the State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract Grant Agreement to the State of Indiana. I understand that my signing and submitting this Contract Grant Agreement in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract Grant Agreement and this affirmation. I understand and agree that by electronically signing and submitting this Contract Grant Agreement in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract Grant Agreement will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [City of Fishers Indiana Agency] Department of Homeland Security By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx erda, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx.Xxxxxxxx X Xxxxxx, Attorney General Refer to Electronic Approval History found after Exhibit A – Project Description and Budget Exhibit B - Annual Financial Report for Non-governmental Entities Guidelines for filing the final page of the Executed Contract for details.annual financial report:

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [360WATER INC Indiana Agency] Utility Regulatory Commission By: By: Title: Title: Date: Date: Electronically Approved by: Indiana Office of Technology By: (for) Xxxxx Xxxxxx, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.Exhibit D Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [CARESOURCE INDIANA INC Indiana Agency] Family and Social Services Administration, Office of Medicaid Policy and Planning By: By: Xxxxx Xxxxxxxxxx Xxxxxxx Xxxxxx Title: President, IN Market Date: 3/11/2020 Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.Medicaid Director

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant. The parties, having read and understood the foregoing terms of this ContractGrant, do by their respective signatures dated below agree to the terms thereof. [ContractorGrantee] [Indiana Agency] By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. X Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxX. Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details. EXHIBIT __ Annual Financial Report for Non-governmental Entities Guidelines for filing the annual financial report: Filing an annual financial report called an Entity Annual Report (E-1) is required by IC 5-11-1-4. This is done through Gateway which is an on-line electronic submission process. There is no filing fee to do this. This is in addition to the similarly titled Business Entity Report required by the Indiana Secretary of State. The E-1 electronical submission site is found at xxxxx://xxxxxxx.xxxxxxxxx.xxx/login.aspx The Gateway User Guide is found at xxxxx://xxxxxxx.xxxxxxxxx.xxx/userguides/E1guide The State Board of Accounts may request documentation to support the information presented on the E-1.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [CARESOURCE INDIANA INC Indiana Agency] Family and Social Services Administration, Office of Medicaid Policy and Planning By: By: Title: Title: Date: Xxxxx Xxxxxxxxxx President 04/12/2019 By: Title: Date: Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxX. Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. Xxxxxxx Xxxxxx Medicaid Director 4/15/2019 1.0 Background 29 2.0 Managed Care Entity- Contractor Requirements 30 2.1 State Licensure 30 2.2 National Committee for Quality Assurance (NCQA) Accreditation 30 2.3 Administrative and Organizational Structure 30 2.4 Staffing 31 2.4.1 Key Staff 31 2.4.2 Staff Positions 36 2.4.3 Training 38 2.4.4 Debarred Individuals 38 2.5 OMPP Meeting Requirements 39 2.6 Financial Stability 39 2.6.1 Solvency 40 2.6.2 Insurance 40 2.6.3 Reinsurance 40 2.6.4 Financial Accounting Requirements 42 2.6.5 Reporting Transactions with Parties of Interest 43 2.6.6 Medical Loss Ratio 44 2.6.7 Health Insurance Providers Fee 46

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Xxxxxxxx Trenching & Directional Boring Indiana Agency] Utility Regulatory Commission By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.Exhibit A Underground Plant Protection Account Grant Application Grantee Information

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor the Consultant and the State have, through their duly authorized representatives, entered into this Contract. The parties, parties having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [HNTB INDIANA, INC Indiana Agency] Department of Transportation By: By: Title: Date: Vice President April 5, 2018 Title: Date: Date: Deputy Commissioner May 16, 2018 Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. APPENDIX "A" INTERSTATE TOLLING PROJECT PLANNING & NEPA SERVICES RFP 1710s1 Final Scope of Services The services to be provided include:  Task 1 – Strategic Planning  Task 2 – Project Management, Tolling & NEPA Documentation  Task 3 – Communications  Task 4 – Indianapolis Master Assessment Process (IndyMAP) Table of Contents

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/paprd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor the Consultant and the State have, through their duly authorized representatives, entered into this Contract. The parties, parties having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [WSP USA, INC. Indiana Agency] Department of Transportation By: Xxxxx XxXxxxxx By: Title: Area Manager Title: Date: 11/21/2019 Date: Xxxxxx X. Xxxxxxxxx, PE Deputy Commissioner 11-25-19 Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. APPENDIX "A" Services to be furnished by CONSULTANT: In fulfillment of this Contract, the CONSULTANT shall comply with the requirements of the appropriate regulations and requirements of the Indiana Department of Transportation and Federal Highway Administration. The CONSULTANT shall be responsible for performing the following activities: Task 1 Concise Bridge Inspection Report Task 2 Bridge Rehabilitation Services- Design and Plan Development (including Signing, and Permitting, if applicable)

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [iLAB LLC Indiana Agency] Department of Administration By: By: Xxxxx X. Xxxxxx Title: Managing Director Title: Date: 19 July 2017 Date: Xxxx X. Xxxxxx Digitally signed by Xxxx X. Xxxxxx DN: cn=Xxxx X. Xxxxxx, o=Indiana Department of Administration, ou=Procurement Division, xxxxx=xxxxxxx@xxxx.XX.xxx, c=US Date: 2017.07.19 12:44:59 -04'00' Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxX. Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. Exhibit A State of Indiana “State Customer” Scope of Work Table of Contents

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] CONTRACTOR TBD AGENCY By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [INDIANA BROADCASTERS ASSN Indiana Agency] By: Utility Regulatory Commission By: Title: Xxxxx Xxxxxx Executive Director By: Title: Xxxxx X. Xxxxxx Chairman Date: Date: Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxX. Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. May 20, 2018 May 30, 2018 Electronic Approval History User ID Approver Name Datetime Description 1 M220610 Xxxxxxx,Xxxx 06/01/2018 8:50:19AM Agency Fiscal Approval 2 T232391 Xxxxx,Xxx Xxxxx 06/01/2018 8:52:08AM IDOA Legal Approval 3 R200416 Xxxxxxx,Xxxxxx Xxxxx 06/01/2018 9:55:51AM SBA Approval 4 M338811 Xxxxxxxx,Xxxxx H 06/01/2018 11:51:58AM Attorney General Approval

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [XXXXXXXXXXX Indiana Agency] Department of Administration By: By: Title: Title: Date: Date: Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxX. Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details. Exhibit A: Product and Pricing Information This document is an exhibit to the Master Services agreement, and is deemed to be attached to and incorporated within the Master Services Agreement by reference. Any inconsistency, conflict, or ambiguity between this exhibit and the Master Services agreement shall be resolved by giving precedence and effect to the Master Services agreement. TO BE ADDED AT TIME OF SIGNATURE AND SHALL CONTAIN THE PRICE LIST PROVIDED BY THE CONTRACTOR AT THE TIME OF BID.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [C & J Drilling Company Indiana Agency] Utility Regulatory Commission By: By: TitlePrinted Name: Printed Name: Title: Worker Title: Chairman Date: 7/15/2022 | 10:32 EDT Date: 7/15/2022 | 12:56 EDT _ Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon April 4, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2022 FA 22- 20 EXHIBIT A Underground Plant Protection Account Grant Application Grantee Information

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Underground Plant Protection Indiana Utility Regulatory Commission By: By: _ Printed Name: _ Printed Name: _ Title: _ Title: _ Date: _ _ Date: _ Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon April 4, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2022 FA 22- 20 EXHIBIT A

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] 360Water Inc By: Indiana Utility Regulatory Commission By: Title: Title: Date: Date: Electronically Approved by: Indiana Office of Technology By: (for) Xxxxx X. Xxxxxx, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.Exhibit A

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [TBD Indiana Agency] Department of Administration By: By: Title: Title: Date: Date: Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxX. Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. Exhibit A = State of Indiana Pricing This document is an exhibit to the Contract, and is deemed to be attached to and incorporated within the Contract by reference. Any inconsistency, conflict, or ambiguity between this exhibit and the Contract shall be resolved by giving precedence and effect to the Contract. TBD Exhibit B = Repair Shop Locations (Vendor Network) This document is an exhibit to the Contract, and is deemed to be attached to and incorporated within the Contract by reference. Any inconsistency, conflict, or ambiguity between this exhibit and the Contract shall be resolved by giving precedence and effect to the Contract. PDF FILES TO BE ADDED AT TIME OF SIGNATURE Exhibit C = Service Level Agreements and Key Performance Indicator This document is an exhibit to the Contract, and is deemed to be attached to and incorporated within the Contract by reference. Any inconsistency, conflict, or ambiguity between this exhibit and the Contract shall be resolved by giving precedence and effect to the Contract. Service Level Agreement (SLA) The Service Level agreements (SLA) are based on agreed upon service levels that are tracked over the course of the contractual term. The Service Level Agreements are created for the purpose to monitor the performance of the Contractor and the overall contractual agreement. These SLA(s) are represented to identify both qualitative and quantitative information. The Contractor shall monitor and fulfill all associated Service Levels through continuous tracking, Key Performance Indicator (KPI) Surveys, and State Account Management interaction. These Service Level Agreements shall then be directly evaluated through Performance Metrics in Exhibit C. On a quarterly basis, the Contractor shall identify the actual outcome of the Service Level agreements listed below and supply original supportive documentation for all service level agreements and performance metrics. The Contractor shall tabulate the actual Service Level Agreements outcome and present the actual results during each affiliated Quarterly Business Review (QBR). The Contractor shall not round up on any numerical numbers, percentages, etc. The data shall not be tabulated as an average; instead the data must be represented as actual statistical information. The Service Level Agreements are set up with the combination of the following:

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Department of Child Services By: By: _ _ _ _ Name and Title: , Printed Name and Title: , Printed Date: Date: Electronically Approved by: Approved by: Indiana Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxBy: _ (for) Xxxxxxx Xxxxxxxx, Commissioner Xxxxxx Xxxxx, Acting State Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved Date: Date: _ APPROVED as to Form and Legality: Office of the Attorney General By: _ _(for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page Date: _ Approved by: Indiana Office of the Executed Contract for details.Technology

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/paprd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [MDWISE INC Indiana Agency] Family and Social Services Administration, Office of Medicaid Policy and Planning By: By: Title: Xxxxxxx Xxxxxx Title: Date: DateCEO Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. 9/5/19 Title: Date: Medicaid Director 9/16/2019

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor the Consultant and the State have, through their duly authorized representatives, entered into this Contract. The parties, parties having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to t o the terms thereof. [Contractor] [WSP USA, INC. Indiana Agency] Department of Transportation By: By: Title: TitleLocal Business Leader/Vice PresidentTitle: Deputy Commissioner Date: 8/2/2021 | 08:00 EDT Date: 8/2/2021 | 08:24 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer APPENDIX "A" Services to Electronic Approval History found after be furnished by CONSULTANT: In fulfillment of this Contract, the final page CONSULTANT shall comply with the requirements of the Executed Contract appropriate regulations and requirements of the Indiana Department of Transportation (INDOT or Department) and Federal Highway Administration (FHWA). The CONSULTANT shall be responsible for details.performing the following activities: Task 1 Project Intent Definition Task 2 Environmental Document Preparation Task 3 Topographic Survey Data Collection Task 4 Road Design and Plan Development (including Signing, Lighting and Signal Plan Development, if applicable) Task 5 Bridge Design and Plan Development Task 6 Right of Way Plan Development • R/W Engineering • Title Research • R/W Staking Task 7 Utility Coordination Services Task 8 Construction Phase Services

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [XXX Xxxxxxxxxxx Indiana Agency] Office of Technology Xxxxx Xxxxxx Digitally signed by Xxxxxx By: By: TitleXxxxx XX: cn=Xxxxxx Xxxxx, o, ou, xxxxx=xxxxxx@xxx.xx.xxx, c=US Date: 2017.03.24 13:07:53 -04'00' Title: Date: Sr. Contracts Manager 03/24/17 Title: Date: CIO 3/24/17 Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxX. Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. AMENDMENT NO. 1 TO CONTRACT NO. MNWNC-109 Page 1 of 5 AMENDMENT NO. 1 TO CONTRACT NO. MNWNC-109 Page 2 of 5 AMENDMENT NO. 1 TO CONTRACT NO. MNWNC-109 Page 3 of 5 AMENDMENT NO. 1 TO CONTRACT NO. MNWNC-109 Page 4 of 5 AMENDMENT NO. 1 TO CONTRACT NO. MNWNC-109 Page 5 of 5 Electronic Approval History User ID Approver Name Datetime Description 1 T222139 Xxxxxxxx,Xxxxxx 03/24/2017 1:13:04PM Agency Fiscal Approval 2 M225528 Xxxxxx,Xxxx Xxxx 03/24/2017 3:30:39PM IDOA Approval for IT 3 R282681 Xxxxxx,Xxxx X 03/27/2017 2:17:54PM SBA Approval 4 A233897 Xxxxxxxx,Xxxxx A 03/27/2017 2:47:22PM Attorney General Approval

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: TitlePrinted Name: Printed Name: Title: Date: Executive Director 2/21/2023 | 14:26 EST Title: Date: Chairman 2/21/2023 | 15:18 EST _ Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon April 4, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2022 FA 22- 20 EXHIBIT A Underground Plant Protection Account Grant Application Grantee Information

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Xxxxxx X. Xxxxxxxx MICROBAC LABORATORIES, INC Indiana Agency] Department of Environmental Management By: By: Title: Xxxxx Digitally signed by Title: Date: Director of Laboratory Services 12/21/17 Title: Date: Xxxxx Xxxxxxxxxxx Xxxxxxxxxxx Date: 2017.12.21 13:50:51 -05'00' Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, Commissioner Refer Xxxxx to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer Xxxxx to Electronic Approval History found after the final page of the Executed Contract for details. EXHIBIT A SECTION I SCOPE OF WORK EXHIBIT A Scope of Work The Contractor shall provide laboratory analytical services to support the regulatory activities of the State and to meet State program needs related to the areas of sampling and analysis. The Contractor shall perform the following tasks relative to performing analytical laboratory services and submit documentation of sample analyses.

Agreement to Use Electronic Signatures. Process I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] In VANDERBURGH COUNTY HEALTH INDIANA DEPARTMENT OF HEALTH DEPARTMENT By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx erda, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxx X. Xxxxx, Acting State Budget Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx.Xxxxxxxx X Xxxxxx, Attorney General Refer Attachment A Indiana Department of Health Immunization Division Local Health Department Grants Vanderburgh County Health Department July 1, 2024 – June 30, 2025 Vanderburgh County Health Department Local Health Department Immunization Grant Scope of Work The Vanderburgh County Health Department will conduct the following activities: • Promote all vaccines recommended by the Advisory Committee on Immunization Practices (ACIP). • Provide direct vaccination services to Electronic Approval History found after in accordance with ACIP recommendations to all individuals regardless of insurance status to meet the final page needs of your jurisdiction. • Conduct school-located vaccination clinics at schools with the Executed Contract lowest vaccination coverage rates for detailskindergarten and first grade, sixth and seventh grade, and 12th grade. Schools should be selected by using the data in the School Supplemental Report.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [XXXXX XXXXXXXXX MENTAL HEALTH INC Indiana Agency] Family and Social Services Administration, Division of Mental Health and Addiction By: By: Title: Title: Date: Xxxx X. Xxxxxxx President and CEO 03/19/2019 By: Title: Date: Xxxxx Digitally signed by Xxxxx X. Xxxxx Xxxxx X. Date: 2019.03.21 09:15:23 -04'00' Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. EXHIBIT 1 GENERAL REQUIREMENTS AND SCOPE

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: TitlePrinted Name: Printed Name: Title: Date: Executive Director 2/14/2023 | 16:54 EST Title: Date: Chairman 2/19/2023 | 15:52 EST _ Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon April 4, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2022 FA 22- 20 EXHIBIT A Underground Plant Protection Account Grant Application Grantee Information

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Coordinated Care Corporation Indiana Agency] Indiana Family & Social Services Office of Medicaid Policy & Planning By: Xxxxx X'Xxxxx By: TitleXxxxxxx Xxxxxx Electronically Approved by: TitleIndiana Office of Technology By: Date: Date: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. Title: Date: CEO February 28, 2020 Title: Date: Medicaid Director March 9, 2020 Table of Contents 1.0 Background 8 2.0 Administrative Requirements 8 2.1 State Licensure 8 2.2 National Committee for Quality Assurance (NCQA) Accreditation 8 2.3 Subcontracts 9 2.4 Financial Stability 11 2.4.1 Solvency 11 2.4.2 Insolvency and Receivership 11 2.4.3 Reinsurance 12 2.4.4 Performance Bond Requirements 13 2.4.5 Financial Accounting Requirements 13 2.4.6 Insurance Requirements 15 2.5 Maintenance of Records 15

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/paprd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Anthem Insurance Companies Inc Indiana Agency] Family & Social Services Administration Office of Medicaid Policy & Planning By: By: Title: Title: Date: DateXxxxxxxx Xxxx, MD, MBA President, Anthem IN Medicaid Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [xxxxx Underground Pl y: In ant Protection Service Indiana Agency] By: Utility Regulatory Commission B By: Title: Execukive Direckor Title: Chairman Date: 6/22/2020 | 05:07 PDT Date: 6/23/2020 | 10:27 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.Exhibit A – Grant Application Grantee Contact Information

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [ANTHEM INSURANCE COMPANIES INC. Indiana Agency] Family & Social Services By: Administration, Office of Medicaid Policy and Planning Title: President, Anthem IN Medicaid By: Title: Title: Medicaid Director Date: 9/25/2023 | 12:30 PDT Date: 9/26/2023 | 12:08 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx erda, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx.Xxxxxxxx X Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page EXHIBIT 1.D SCOPE OF WORK Table of the Executed Contract for details.Contents

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxX. Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] SHI INTERNATIONAL CORP INDIANA STATE POLICE By: By: Title: Mickey Digitally signed Title: Date: Contracts Manager 12/20/18 Title: Date: Xxxxx by Xxxxxx Xxxxx Date: 2018.12.20 12:36:16 -05'00' Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxX. Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. Exhibit B‌ Software Value-Added Reseller (SVAR) Services MASTER PRICE AGREEMENT with SHI INTERNATION, CORP. Xxxxxxxx Xx. XXXXX00-000000 Xxxxx xx Xxxxxxx Lead State Effective: April 8, 2016 to April 7, 2018 Contract No: ADSPO16-130651 Description: Software Value-Added Reseller (SVAR) Services Table of Contents EXECUTED OFFER AND ACCEPTANCE FORM 2 TABLE OF CONTENTS 3 SECTION 1: NASPO ValuePoint Solicitation ADSPO16-00005829 – GENERAL INCFORMATION 4 SECTION 2: SCOPE OF WORK 7 SECTION 3: NASPO ValuePoint Master Agreement Terms and Conditions 22 SECTION 4: Lead State (State of Arizona) Terms and Conditions 37 State of Arizona Special Terms and Conditions 37 State of Arizona Uniform Terms and Conditions 50 Contract No: ADSPO16-130651 Description: Software Value-Added Reseller (SVAR) Services

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant. The parties, having read and understood the foregoing terms of this ContractGrant, do by their respective signatures dated below agree to the terms thereof. [Contractor] [CCT Underground LLC Indiana Agency] Utility Regulatory Commission By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [COORDINATED CARE CORPORATION INDIANA Indiana Agency] Family and Social Services Administration, Office of Medicaid Policy and Planning By: By: Title: Title: Date: Xxxxx X'Xxxxx CEO March 10, 2020 By: Xxxxxxx Xxxxxx Title: Medicaid Director Date: 3.16.2020 Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer TABLE OF CONTENTS 1.0 Background 9 2.0 Managed Care Entity- Contractor Requirements 10 2.1 State Licensure 10 2.2 National Committee for Quality Assurance (NCQA) Accreditation 10 2.3 Administrative and Organizational Structure 10 2.4 Staffing 11 2.4.1 Key Staff 11 2.4.2 Staff Positions 16 2.4.3 Training 18 2.4.4 Debarred Individuals 18 2.5 OMPP Meeting Requirements 19 2.6 Financial Stability 19 2.6.1 Solvency 20 2.6.2 Insurance 20 2.6.3 Reinsurance 20 2.6.4 Financial Accounting Requirements 21 2.6.5 Reporting Transactions with Parties of Interest 23 2.6.6 Medical Loss Ratio 24 2.6.7 Health Insurance Providers Fee 26 2.7 Subcontracts 26 2.8 Confidentiality of Member Medical Records and Other Information 29 2.9 Internet Quorum (IQ) Inquires 29 2.10 Material Change 29 2.11 Future Program Guidance 30 2.12 Conflict of Interest 30 2.13 Capitation Related to Electronic Approval History found after the final page of the Executed Contract for details.a Vacated Program 30 3.0 Covered Benefits and Services 30 3.1 Covered Benefits and Services 31 3.2 Self-referral Services 31 3.3 Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services 33 3.4 Pharmacy 33 3.4.1 Drug Rebates 34 3.4.2 Preferred Drug List and Formulary Requirements 35 3.4.3 DUR Board Reporting Requirements 36

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [XXXXX SAFETY SYSTEMS INC Indiana Agency] Department of Administration By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Xxxxx X. Xxxxx COMMUNITY MENTAL HEALTH CENTER, INC Indiana Agency] By: Family and Social Services Administration, Division of Mental Health and Addiction By: Title: Xxx Date: Talbot Digitally signed by Xxx Xxxxxx Date: 2018.03.02 08:27:17 -05'00' By: Title: Date: Digitally signed by Xxxxx X. Xxxxx Date: 2018.03.02 10:48:06 -05'00' Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. EXHIBIT 1 GENERAL REQUIREMENTS AND SCOPE

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [By:\s1\ CARESOURCE INDIANA INC Indiana Agency] Family and Social Services Administration, Office of Medicaid Policy and Planning By:\s2\ Title:\t1P\resident, Indiana Market Date:\d91/\16/2020 | 11:16 EDT Title:\t2M\edicaid director Date:\d92/\22/2020 | 10:00 EDT Electronically Approved by: Indiana Office of Technology By: By: Title: Title: Date: Date: (for) Xxxxx X. Xxxxxx, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.EXHIBIT 10.J HEALTHY INDIANA PLAN CAPITATION RATES

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Department of Child Services By: By: Xxxxx X. Xxxxxxx, Director Name and Title: Title: , Printed Date: Date: Electronically Approved by: Approved by: Indiana Department of Administration Indiana State Budget Agency By: (for) By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved Date: Date: APPROVED as to Form and Legality: Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon November 25, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2019. FA 19-75

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [City of Rensselaer Indiana Agency] Utility Regulatory Commission By: By: Title: Gas Superintendent Title: Chairman Date: 5/16/2024 | 09:06 EDT Date: 5/16/2024 | 16:44 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxx X. Xxxxx, Acting State Budget Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon February 13, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2024 FA 24-02 Exhibit A Underground Plant Protection Account Grant Application Grantee Information

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [VANDERBURGH COUNTY HEALTH Indiana Agency] State Department of Health DEPARTMENT By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. ATTACHMENT A PUBLIC HEALTH EMERGENCY PREPAREDNESS BUDGET PERIOD 1 (July 1st, 2019 – June 30th, 2020) GRANT INFO CFDA: 93.069

Agreement to Use Electronic Signatures. Process I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Xxxxx County Dept. of Environmental Management Indiana Agency] Dept. of Environmental Management By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer EXHIBIT A SCOPE OF WORK AND BUDGET In Xxxxx County Department of Environmental Management will receive a Community Recycling Grant of up to Electronic Approval History found after $5,000.00 for the final page purchase of 2,300 mini-battery recycling bins to provide to Xxxxx County residents. County residents will be able to collect batteries at home, and drop them off at seven local partnering hardware stores, where Xxxxx County Department of Environmental Management will collect them for disposal. A minimum of 50% of the Executed Contract for detailstotal cost of the project shall be covered by the Grantee as noted in the approved budget under Grantee Cash and/or In-Kind Match.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/paprd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [ANTHEM INSURANCE COMPANIES INC Indiana Agency] Family and Social Services Administration, Office of Medicaid Policy and Planning By: By: Title: Title: Date: DateXxxxxxxx Xxxx, MD, MBA Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. President, Anthem IN Medicaid August 22, 2019 By: Title: Date: Xxxxxxx Xxxxxx Medicaid Director August 23, 2019

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] VENDOR NAME AGENCY NAME By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxX. Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.General

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant. The parties, having read and understood the foregoing terms of this ContractGrant, do by their respective signatures dated below agree to the terms thereof. [Contractor] [CITY OF BOONVILLE Indiana Agency] Utility Regulatory Commission By: By: Title: Title: Date: Xxxxxxx X Xxxxx Mayor of Boonville Indiana February 22, 2018 By: Title: Date: Xxxx X. Xxxxxx General Counsel March 5, 2018 Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxX. Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon August 17, Xx., Attorney General Refer to 2017. FA 17-29 Electronic Approval History found after the final page of the Executed Contract for details.User ID Approver Name Datetime Description 1 P025435 Xxxxx,Xxxxxx D 03/05/2018 1:02:37PM Agency Fiscal Approval 2 S004382 Xxxxxxx,Xxxxxx D 03/09/2018 8:16:06PM IDOA Legal Approval

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] CISCO SYSTEMS, INC INDIANA OFFICE OF TECHNOLOGY By: By: Title: Authorized Signatory Title: Deputy Chief Operating Officer Date: 6/6/2022 | 17:21 EDT Date: 6/16/2022 | 10:11 EDT Electronically Approved by: (if applicable) Indiana Office of Technology By: (for) Xxxxx X. Xxxxxx, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Holw erda, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.Commissioner

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [TBD Indiana Agency] Department of Administration By: By: Title: Title: Date: Date: Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxX. Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] By: MDWISE INC. Indiana Family and Social Services Administration, Office of Medicaid Policy and Planning By: Title: President and CEO Title: Medicaid Director Date: 9/27/2023 | 10:44 EDT Date: 9/27/2023 | 11:02 EDT Electronically Approved by: Indiana Office of Technology By: (for) Xxxxx Xxxxxx, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page Table of the Executed Contract for details.Contents EXHIBIT 1.A SCOPE OF EXHIBIT 1.0 Background 11

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Department of Child Services By: By: Xxxxx X. Xxxxxxx, Director Name and Title: Title: , Printed Date: Date: Electronically Approved by: Approved by: Indiana Department of Administration Indiana State Budget Agency By: (for) By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Date: Date: Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.Date:

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [360W ater Inc Indiana Agency] Utility Regulatory Commission By: By: Title: President Title: Chairman Date: 7/20/2021 | 07:45 PDT Date: 7/21/2021 | 10:12 EDT Electronically Approved by: Indiana Office of Technology By: (for) Xxxxx X. Xxxxxx, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.Exhibit A

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUS TOM_APPS.SOI_PUBLIC_CNTRCTS.GBL In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Anthem Insurance d.b.a Anthem Blue Companies, Inc., Cross and Blue Shield Indiana Agency] Family and Social Services Administration, Office of Medicaid and Policy Planning By: By: Title: President, Anthem IN Medicaid Title: Medicaid director Date: 12/29/2022 | 10:20 PST Date: 12/29/2022 | 15:16 EST Electronically Approved by: Indiana Office of Technology By: (for) Xxxxx X. Xxxxxx, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx erda, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page EXHIBIT 1 SCOPE OF WORK – HEALTHY INDIANA PLAN Table of the Executed Contract Contents 1.0 Background 32 2.0 Administrative Requirements 33 2.1 State Licensure and Compliance with Applicable Laws, Rules, and Regulations 33 2.2 National Committee for details.Quality Assurance (NCQA) Accreditation 34 2.3 Administrative and Organizational Structure 34 2.3.1 Staffing 35 2.3.2 Key Staff 35 2.3.3 Other Required Staff Positions 41 2.3.4 Suggested Staff Positions 43 2.3.5 Staff Training and Qualifications 44 2.3.6 Debarred Individuals 45 2.4 FSSA Meeting Requirements 46 2.5 Financial Stability 47 2.5.1 Solvency 47 2.5.2 Insurance Requirements 47 2.5.3 Reinsurance 48 2.5.4 Financial Accounting Requirements 49 2.5.5 Reporting Transactions with Parties of Interest 50 2.5.6 Medical Loss Ratio 52 2.5.7 Reserved 53 2.6 Subcontracts 53

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [XXXXX XXXXXXXXX MENTAL HEALTH INC Indiana Agency] Family and Social Services Administration, Division of Mental Health and Addiction By: By: Title: Date: President and C.E.O. 5/27/2020 | 07:46 PDT Title: Date: Date: Director 5/29/2020 | 16:10 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.EXHIBIT 1 GENERAL REQUIREMENTS AND SCOPE

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] TOWN OF XXXXXX By: Indiana Department of Natural Resources Title: Mayor, Town of Xxxxxx By: Title: Title: Deputy Director / CFO Date: 6/25/2021 | 15:08 EDT Date: 6/25/2021 | 16:38 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer Exhibit A Project Narrative and Timeline NLT Project NLT-02-08: Xxxxxx will develop 1.25 miles of new trail consisting of two contiguous but distinct segments in the Town of Xxxxxx. A 0.5-mile natural-surface mountain bike and hiking trail will connect the Town of Xxxxxx to Electronic Approval History found after Vinegar Mill Overlook in Muscatatuck Park. Within Xxxxxx, a 0.75-mile asphalt trail will connect Xxxxxx Gym to Xxxxxx Commons. Exhibit B Project Budget Exhibit C Annual Financial Report for Non-governmental Entities Guidelines for filing the final page of the Executed Contract for details.annual financial report:

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/paprd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [COORDINATED CARE CORPORATION INDIANA Indiana Agency] Family and Social Services Administration, Office of Medicaid Policy and Planning By: Electronically Approved by: Indiana Office of Technology By: Title: Title: Date: Date: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. Title: Date: Xxxxx X'Xxxxx CEO November 26, 2019 By: Title: Date: Xxxxxxx Xxxxxx Medicaid Director 11.26.2019

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor Survey and the State have, through their duly authorized representatives, entered into this ContractAgreement. The parties, having read and understood the foregoing terms of this ContractAgreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [USGS United States Geological Survey Indiana Agency] Department of Environmental Management By: By: Title: Date: Director 04/29/2020 Title: Date: Date: Commissioner 4/29/2020 Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details. EXHIBIT A TOTAL ESTIMATED PROJECT EXPENSE BUDGET The Survey will be reimbursed by the State for expenses in the following areas not to exceed the indicated amounts. Payment of up to $ 107,500.00 will be made in arrears, upon submittal of an invoice and progress reports to the State, for the specified purposes. Funds cannot be released by the State until the work has been completed and the appropriate invoice and progress reports have been submitted to the State. Type of Expenditure Amount Task: A $ 107,500.00 Task: B $ 0.00 (Budget for this task to be agreed to at a later date with an amendment.) Task: C $ 0.00 TOTAL $ 107,500.00 Each invoice submitted by the Survey shall be accompanied by a statement indicating that sufficient non-federal funds, either in-kind services or cash match, have been expended within the invoice period. The non-federal matching funds provided by the Survey and expended under this contract shall total $ 0.00.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [THE DETROIT SALT CO LLC Indiana Agency] Department of Administration By: By: Title: Title: Date: Xxxxxxxx Xxxxx Business Operations Manager 07/02/2019 By: Title: Date: July 21, 2019 Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer Xxxxx to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer Xxxxx to Electronic Approval History found after the final page of the Executed Contract for details.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor the Consultant and the State have, through their duly authorized representatives, entered into this Contract. The parties, parties having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [HNTB INDIANA, INC. Indiana Agency] Department of Transportation By: By: Title: Sr. Vice President Title: Deputy Commissioner Date: 10/17/2020 | 08:19 PDT Date: 10/19/2020 | 07:26 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xxxx Xx., Attorney General Refer APPENDIX "A" Services to Electronic Approval History found after be furnished by CONSULTANT: In fulfillment of this Contract, the final page CONSULTANT shall comply with the requirements of the Executed Contract appropriate regulations and requirements of the Indiana Department of Transportation (INDOT or Department) and Federal Highway Administration (FHWA). The CONSULTANT shall be responsible for details.performing the following activities: Task 1 Environmental Document Preparation Task 2 Topographic Survey Data Collection Task 3 Geotechnical Services Task 4 Road Design and Plan Development (including Signing, Lighting and Signal Plan Development, if applicable) Task 5 Bridge Design and Plan Development Task 6 Pavement Design Services Task 7 Right of Way Plan Development • R/W Engineering • Title Research • R/W Staking Task 8 Public Involvement Services Task 9 Utility Coordination Services Task 10 Construction Phase Services

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [GREENFIELD, CITY OF Indiana Agency] Office of Community and Rural Affairs By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.EXHIBIT A PROJECT DESCRIPTION

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] By: By: Name and Title: , Printed Name and Title: , Printed Date: Date: Electronically Approved by: Approved by: Indiana Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxBy: (for) Xxxxxxx Xxxxxxxx, Commissioner Xxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved Date: Date: APPROVED as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.General

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] State Fair Commission Indiana Utility Regulatory Commission By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx.Xxxxxxxx X Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.EXHIBIT A ATTACHMENT B FOR THE SPONSORSHIP EVENT, THE COMMISSION AGREES TO PROVIDE THE SPONSOR WITH THE FOLLOWING: MIDWAY & SKYRIDE CART SPONSORSHIP:

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [VENDOR NAME Indiana Agency] Department of Administration By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. Exhibit A: State of Indiana Market Basket Pricing TO BE ATTACHED AT TIME OF SIGNATURE. Exhibit B: Non-Market Basket Discount Pricing TO BE ATTACHED AT TIME OF SIGNATURE. Exhibit C: Service Level Agreements and Key Performance Indicator This document is an exhibit to the Master Services Agreement, and is deemed to be attached to and incorporated within the Master Services Agreement by reference. Any inconsistency, conflict, or ambiguity between this exhibit and the Master Services Agreement shall be resolved by giving precedence and effect to the Master Services Agreement. Service Level Agreement (SLA) The Service Level Agreements (SLA) are based on agreed-upon service levels that are tracked over the course of the contractual term. The SLA are created for the purpose of monitoring the performance of the Contractor and the overall contractual agreement. These SLA are represented to identify both qualitative and quantitative information. The Contractor shall monitor and fulfill all associated Service Levels through continuous tracking, Key Performance Indicator Surveys, and State Account Management interaction. These Service Level Agreements shall then be directly evaluated through Performance Metrics in Exhibit D. On a quarterly basis, the Contractor shall identify the actual outcome of the SLA listed below and supply original supportive documentation for all SLA and Performance Metrics. The Contractor shall tabulate the actual SLA outcome and present the actual results during each affiliated Quarterly Business Review (QBR). The Contractor shall not round up on any numerical data. The data shall not be tabulated as an average; instead, the data must be represented as actual statistical information. The Service Level Agreements are set up with the combination of the following:

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [MDWISE INC Indiana Agency] By: Family and Social Services Administration, Office of Medicaid Policy and Planning By: Title: Xxxxxxx Xxxxxxx Chief Financial Officer By: Title: Xxxxxx Xxxxx Digitally signed by Xxxxxx Xxxxx DN: cn=Xxxxxx Xxxxx, o=Indiana Medicaid, ou=Medicaid Director, xxxxx=xxx.xxxxx@xxxx.xx.xxx, c=US Date: Date: Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxX. Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx Xxxxxxx X. Xxxx, Xx.Xxxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. December 30, 2016 Date: 2016.12.30 16:26:57 -05'00' Hoosier Healthwise Scope of Work Table of Contents

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [CINTAS CORPORATION Indiana Agency] Department of Administration By: By: Title: Title: Date: General Manager Digitally signed by Xxxx Xxxxxxx, General Manager DN: cn=Xxxx Xxxxxxx, General Manager, o=Cintas Corporation, ou, xxxxx=XxxxxxxX0@xxxxxx.xxx, c=US Xxxx Xxxxxxx, Date: Electronically 2016.03.15 15:19:57 -04'00' By: Title: Date: Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, Commissioner Refer This document will be reviewed and approved electronically. Please refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxX. Xxxxxx, Director Refer This document will be reviewed and approved electronically. Please refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx Xxxxxxx X. Xxxx, Xx.Xxxxxxx, Attorney General Refer This document will be reviewed and approved electronically. Please refer to Electronic Approval History found after the final page of the Executed Contract for details.. Exhibit A: Form Contract

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Arcadian Health Plan, Inc. Indiana Agency] Family and Social Services Administration, Office of Medicaid Policy and Planning By: By: Title: xHumana Medicaid President Title: Medicaid Director Date: 3/26/2024 | 15:01 PDT Date: 3/27/2024 | 06:55 EDT Electronically Approved by: Indiana Office of Technology By: (for) Xxxxx Xxxxxx, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.EXHIBIT 1 SCOPE OF WORK – INDIANA PATHWAYS FOR AGING TABLE OF CONTENTS

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Department of Administration By: CARGILL INCORPORATED By: Title: Customer Care Representative II Title: Vendor Manager Date: 8/9/2022 | 17:03 EDT Date: 8/10/2022 | 07:23 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx erda, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx.Xxxxxxxx X Xxxxxx, Attorney General Refer Exhibit A – List of Awarded Entities & Pricing This document is an exhibit to Electronic Approval History found after the final page Contract, and is deemed to be attached to and incorporated within the Contract by reference. Any inconsistency, conflict, or ambiguity between this exhibit and the Contract shall be resolved by giving precedence and effect to the Contract. INDOT District Salt Type INDOT Early Fill Requested Quantity (Ton) Price Per Ton (Delivered) Price Per Ton (Delivered & Loaded) Price Per Ton (Pick Up) 10 - Crawfordsville Untreated Salt INDOT 2,000 $82.35 $90.35 $81.00 INDOT District Salt Type INDOT Seasonal Requested Quantity (Ton) Price Per Ton (Delivered) Price Per Ton (Delivered & Loaded) Price Per Ton (Pick Up) 10 - Crawfordsville Untreated Salt INDOT 46,000 $82.35 $90.35 $81.00 20 - Fort Xxxxx Untreated Salt INDOT 65,000 $65.12 $73.12 $60.00 30 - Greenfield Untreated Salt INDOT 71,459 $72.49 $80.49 $72.00 INDOT District Salt Type INDOT Seasonal Requested Quantity (Ton) Price Per Ton (Delivered) Price Per Ton (Delivered & Loaded) Price Per Ton (Pick Up) 10 - Crawfordsville Treated Salt INDOT 3,242 $93.11 $101.11 $93.00 20 - Fort Xxxxx Treated Salt INDOT 20 $97.88 $105.88 $97.00 30 - Greenfield Treated Salt INDOT 175 $93.58 $101.58 $93.00 50 - Seymour Treated Salt INDOT 200 $89.94 $97.94 $89.00 60 - Vincennes Treated Salt INDOT 70 $107.76 $115.76 $107.00 INDOT District Salt Type Other State Agencies Requested Quantity (Ton) Price Per Ton (Delivered) Price Per Ton (Pick Up) 10 - Crawfordsville Treated Salt DOC-Indiana Women's Prison 40 $93.11 $93.00 10 - Crawfordsville Treated Salt DOC-Plainfield Complex 120 $93.11 $93.00 10 - Crawfordsville Treated Salt DOC-Putnamville Correctional Facility 60 $93.11 $93.00 10 - Crawfordsville Treated Salt DOC-Rockville Correctional Facility 22 $93.11 $93.00 20 - Fort Xxxxx Treated Salt DOC - Miami Correctional Facility 20 $97.88 $97.00 30 - Greenfield Treated Salt Richmond State Hospital 75 $93.58 $93.00 30 - Greenfield Treated Salt Indiana State Fair Commission 40 $93.58 $93.00 30 - Greenfield Treated Salt DOC - New Castle Correctional Facility 60 $93.58 $93.00 30 - Greenfield Untreated Salt DOC-Correctional Industrial Facility / IR 80 $72.49 $72.00 50 - Seymour Treated Salt Camp Xxxxxxxxx 200 $89.94 $89.00 60 - Vincennes Treated Salt DOC-Branchville Correctional Facility 40 $107.76 $107.00 60 - Vincennes Treated Salt DOC-Wabash Valley Correctional Facility 30 $107.76 $107.00 INDOT District Salt Type Customer Name Requested Quantity (Ton) Price Per Ton (Delivered) Price Per Ton (Pick Up) 10 - Crawfordsville Treated Salt Boone County - OneIndiana 1000 $89.51 $89.00 10 - Crawfordsville Treated Salt City of the Executed Contract for details.Greencastle Public Works - OneIndiana 450 $89.51 $89.00 10 - Crawfordsville Treated Salt City of Lebanon - OneIndiana 900 $89.51 $89.00 10 - Crawfordsville Treated Salt City of Terre Haute - OneIndiana 700 $89.51 $89.00 10 - Crawfordsville Treated Salt Clay County - OneIndiana 150 $89.51 $89.00 10 - Crawfordsville Treated Salt Clinton County Government - OneIndiana 1000 $89.51 $89.00 10 - Crawfordsville Treated Salt Fountain Co. Highway - OneIndiana 300 $89.51 $89.00 10 - Crawfordsville Treated Salt Hendricks County - OneIndiana 2800 $89.51 $89.00 10 - Crawfordsville Treated Salt Indiana State University - K12Indiana 100 $89.51 $89.00 10 - Crawfordsville Treated Salt Lebanon Comm School Corp - K12Indiana 120 $89.51 $89.00 10 - Crawfordsville Treated Salt Purdue University - OneIndiana 500 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Avon - OneIndiana 1500 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Brownsburg - OneIndiana 1600 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Danville - OneIndiana 400 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Fairview Park - OneIndiana 25 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Otterbein - OneIndiana 80 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Oxford - OneIndiana 20 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Plainfield - OneIndiana 1200 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Shadeland 240 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Veedersburg - OneIndiana 20 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Waynetown - OneIndiana 40 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Whitestown - OneIndiana 1000 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Williamsport 60 $89.51 $89.00 10 - Crawfordsville Treated Salt Vermillion County - OneIndiana 100 $89.51 $89.00 10 - Crawfordsville Treated Salt Vermillion County - OneIndiana 100 $89.51 $89.00 10 - Crawfordsville Treated Salt Vermillion County - OneIndiana 100 $89.51 $89.00 10 - Crawfordsville Treated Salt Zionsville Community Schools - K12Indiana 230 $89.51 $89.00 20 - Fort Xxxxx Treated Salt City of Angola Clerk - OneIndiana 100 $93.10 $93.00 20 - Fort Xxxxx Treated Salt City of Bluffton - OneIndiana 500 $93.10 $93.00 20 - Fort Xxxxx Treated Salt City of Xxxxxx - OneIndiana 100 $93.10 $93.00 20 - Fort Xxxxx Treated Salt City of Dunkirk - OneIndiana 80 $93.10 $93.00 20 - Fort Xxxxx Treated Salt City of East Chicago - OneIndiana 3000 $93.10 $93.00 20 - Fort Xxxxx Treated Salt City of Xxxxxxx - OneIndiana 300 $93.10 $93.00 20 - Fort Xxxxx Treated Salt City of Ligonier - OneIndiana 100 $93.10 $93.00 20 - Fort Xxxxx Treated Salt Dekalb County Central Schools - K12Indiana 60 $93.10 $93.00 20 - Fort Xxxxx Treated Salt Town of Xxxxxxxx 100 $93.10 $93.00 20 - Fort Xxxxx Treated Salt Town of Millersburg - OneIndiana 80 $93.10 $93.00 20 - Fort Xxxxx Treated Salt Town of North Manchester - OneIndiana 120 $93.10 $93.00 20 - Fort Xxxxx Treated Salt Town of Ossian - OneIndiana 60 $93.10 $93.00 20 - Fort Xxxxx Treated Salt Town of St. Xxx - OneIndiana 22 $93.10 $93.00 20 - Fort Xxxxx Treated Salt Town of Topeka - OneIndiana 100 $93.10 $93.00 20 - Fort Xxxxx Treated Salt Town of Winona Lake - OneIndiana 350 $93.10 $93.00 30 - Greenfield Treated Salt City of Alexandria - OneIndiana 175 $89.38 $89.00 30 - Greenfield Treated Salt City of Xxxxxxxx Street - OneIndiana 2400 $89.38 $89.00 30 - Greenfield Treated Salt City of Beech Grove - OneIndiana 800 $89.38 $89.00 30 - Greenfield Treated Salt City of Xxxxxx - OneIndiana 50 $89.38 $89.00 30 - Greenfield Treated Salt City of Greenfield Street - OneIndiana 1000 $89.38 $89.00 30 - Greenfield Treated Salt City of Indianapolis 3000 $89.38 $89.00 30 - Greenfield Treated Salt City of Indianapolis 8000 $89.38 $89.00 30 - Greenfield Treated Salt City of Indianapolis 7500 $89.38 $89.00 30 - Greenfield Treated Salt City of Indianapolis 3000 $89.38 $89.00 30 - Greenfield Treated Salt City of Indianapolis 3000 $89.38 $89.00 30 - Greenfield Treated Salt City of Indianapolis 3000 $89.38 $89.00 30 - Greenfield Treated Salt City of Indianapolis 7500 $89.38 $89.00 30 - Greenfield Treated Salt City of Xxxxxxxx - OneIndiana 1800 $89.38 $89.00 30 - Greenfield Treated Salt City of New Castle - OneIndiana 1300 $89.38 $89.00 30 - Greenfield Treated Salt City of Richmond Street Dept 1100 $89.38 $89.00 30 - Greenfield Treated Salt City of Shelbyville Street - OneIndiana 590 $89.38 $89.00 30 - Greenfield Treated Salt Hancock County Highway - OneIndiana 1500 $89.38 $89.00 30 - Greenfield Treated Salt Henry County Highway - OneIndiana 800 $89.38 $89.00 30 - Greenfield Treated Salt IUPUI - OneIndiana 650 $89.38 $89.00 30 - Greenfield Treated Salt Jay County Highway - OneIndiana 500 $89.38 $89.00 30 - Greenfield Treated Salt MSD of Decatur Township - K12Indiana 100 $89.38 $89.00 30 - Greenfield Treated Salt MSD of Xxxxxx Township - OneIndiana 180 $89.38 $89.00 30 - Greenfield Treated Salt MSD of Xxxxx Township - K12Indiana 100 $89.38 $89.00 30 - Greenfield Treated Salt MSD of Xxxxx Township - K12Indiana 100 $89.38 $89.00 30 - Greenfield Treated Salt MSD Washington Township - OneIndiana 450 $89.38 $89.00 30 - Greenfield Treated Salt Rush County Schools - K12Indiana 40 $89.38 $89.00 30 - Greenfield Treated Salt Shelby County Government - OneIndiana 600 $89.38 $89.00 30 - Greenfield Treated Salt Town of Cambridge City - OneIndiana 80 $89.38 $89.00 30 - Greenfield Treated Salt Town of Chesterfield - OneIndiana 80 $89.38 $89.00 30 - Greenfield Treated Salt Town of Xxxxx - OneIndiana 120 $89.38 $89.00 30 - Greenfield Treated Salt Town of Fortville - OneIndiana 160 $89.38 $89.00 30 - Greenfield Treated Salt Town of Fountain City - OneIndiana 50 $89.38 $89.00 30 - Greenfield Treated Salt Town of Frankton - OneIndiana 60 $89.38 $89.00 30 - Greenfield Treated Salt Town of Hagerstown - OneIndiana 80 $89.38 $89.00 30 - Greenfield Treated Salt Town of Xxxxxxx - OneIndiana 120 $89.38 $89.00 30 - Greenfield Treated Salt Town of Lapel - OneIndiana 100 $89.38 $89.00 30 - Greenfield Treated Salt Town of McCordsville - OneIndiana 240 $89.38 $89.00 30 - Greenfield Treated Salt Town of Morristown - OneIndiana 100 $89.38 $89.00 30 - Greenfield Treated Salt Town of New Palestine 80 $89.38 $89.00 30 - Greenfield Treated Salt Town of Xxxxxxx - OneIndiana 50 $89.38 $89.00 30 - Greenfield Treated Salt Town of Speedway - OneIndiana 400 $89.38 $89.00 30 - Greenfield Treated Salt Town of Summitville - OneIndiana 60 $89.38 $89.00 30 - Greenfield Treated Salt Town of Yorktown - OneIndiana 600 $89.38 $89.00 40 - La Porte Treated Salt Carroll County Highway - OneIndiana 900 $79.46 $79.00 40 - La Porte Treated Salt City of Xxxx - OneIndiana 5000 $79.46 $79.00 40 - La Porte Treated Salt City of Xxxxxxx - OneIndiana 6700 $79.46 $79.00 40 - La Porte Treated Salt City of Lake Station - OneIndiana 800 $79.46 $79.00 40 - La Porte Treated Salt City of XxXxxxx - OneIndiana 1800 $79.46 $79.00 40 - La Porte Treated Salt City of Mishawaka - OneIndiana 2200 $79.46 $79.00 40 - La Porte Treated Salt City of Monticello - OneIndiana 350 $79.46 $79.00 40 - La Porte Treated Salt City of Rensselaer - OneIndiana 160 $79.46 $79.00 40 - La Porte Treated Salt City of Rochester - OneIndiana 75 $79.46 $79.00 40 - La Porte Treated Salt City of Xxxxxxx - OneIndiana 525 $79.46 $79.00 40 - La Porte Treated Salt Fulton County Highway - OneIndiana 650 $79.46 $79.00 40 - La Porte Treated Salt Merrillville Community Schools - K12Indiana 150 $79.46 $79.00 40 - La Porte Treated Salt Newton County - OneIndiana 500 $79.46 $79.00 40 - La Porte Treated Salt Purdue University Northwest 130 $79.46 $79.00 40 - La Porte Treated Salt Town of Bremen - OneIndiana 300 $79.46 $79.00 40 - La Porte Treated Salt Town of Camden - OneIndiana 25 $79.46 $79.00 40 - La Porte Treated Salt Town of Cedar Lake Public Works - OneIndiana 100 $79.46 $79.00 40 - La Porte Treated Salt Town of Xxxx - OneIndiana 1000 $79.46 $79.00 40 - La Porte Treated Salt Town of Kouts - OneIndiana 50 $79.46 $79.00 40 - La Porte Treated Salt Town Of Long Beach - OneIndiana 500 $79.46 $79.00 40 - La Porte Treated Salt Town of Munster - OneIndiana 3000 $79.46 $79.00 40 - La Porte Treated Salt Town of St Xxxx - OneIndiana 2700 $79.46 $79.00 40 - La Porte Treated Salt Town of Trail Creek - OneIndiana 150 $79.46 $79.00 40 - La Porte Treated Salt Town of Westville - OneIndiana 100 $79.46 $79.00 40 - La Porte Treated Salt Town of Winamac - OneIndiana 80 $79.46 $79.00 40 - La Porte Treated Salt Town of Winfield - OneIndiana 850 $79.46 $79.00 40 - La Porte Treated Salt Tri-Creek School Corporation - K12Indiana 120 $79.46 $79.00 40 - La Porte Treated Salt Twin Lakes School Corporation - K12Indiana 75 $79.46 $79.00 50 - Seymour Treated Salt Brown County Government - OneIndiana 800 $91.68 $91.00 50 - Seymour Treated Salt City of Batesville - OneIndiana 150 $91.68 $91.00 50 - Seymour Treated Salt City of Greendale - OneIndiana 350 $91.68 $91.00 50 - Seymour Treated Salt City of Lawrenceburg - OneIndiana 600 $91.68 $91.00 50 - Seymour Treated Salt City of New Albany - OneIndiana 1200 $91.68 $91.00 50 - Seymour Treated Salt City of Rising Sun Government - OneIndiana 200 $91.68 $91.00 50 - Xxxxxxx Treated Salt City of Salem - OneIndiana 150 $91.68 $91.00 50 - Xxxxxxx Treated Salt City of Seymour - OneIndiana 400 $91.68 $91.00 50 - Seymour Treated Salt Xxxxxx-Sweetwater Conservancy District 150 $91.68 $91.00 50 - Seymour Treated Salt Decatur County Highway - OneIndiana 200 $91.68 $91.00 50 - Seymour Treated Salt Floyd County Road - OneIndiana 2000 $91.68 $91.00 50 - Seymour Treated Salt Franklin County Highway - OneIndiana 1800 $91.68 $91.00 50 - Seymour Treated Salt Harrison County Highway - OneIndiana 2000 $91.68 $91.00 50 - Seymour Treated Salt Jennings County Highway - OneIndiana 800 $91.68 $91.00 50 - Seymour Treated Salt Johnson County Highway Department - OneIndiana 2700 $91.68 $91.00

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [%%VENDOR_NAME%%
%%AGENCY_NAME%%
By:\s1\ By:\s2\ Title:\t1\ Title:\t2\ Date:\d1\ Date:\d2\   Electronically Approved by: Indiana Agency] Office of Technology By: By: Title: Title: Date: Date: (for) Xxxxx X. Xxxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Xxxxxxx Xxxxxxxx Commissioner Refer Xxxxx to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxx X. Xxxxx, Acting State Budget Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer Xxxxx to Electronic Approval History found after the final page of the Executed Contract for details.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [XXXXX COUNTY HEALTH DEPARTMENT Indiana Agency] State Department of Health By: By: Title: Administrator Title: IDOH Chief of Staff Date: 6/22/2021 | 16:02 EDT Date: 6/23/2021 | 08:51 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.HIV Special Populations Support Program Attachment A-1

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts DatabaseDatabas e: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Executive Director Title: Chairman Date: 5/12/2023 | 10:16 EDT Date: 5/16/2023 | 15:49 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx erda, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon February 23, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2023 FA 23-03 EXHIBIT A Underground Plant Protection Account Grant Application Grantee Information

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant. The parties, having read and understood the foregoing terms of this ContractGrant, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Professional Land Surveyors Foundation Indiana Utility Regulatory Commission By: Xxxxx Xxxxx By: Xxxxx X. Xxxxxx Title: Executive Director Title: Chairman Date: 5/15/2019 Date: 5-21-19 Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxX. Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon June 25, Xx., Attorney General Refer to 2018. FA 18-12 Electronic Approval History found after the final page of the Executed Contract for details.User ID Approver Name Datetime Description 1 P025435 Xxxxx,Xxxxxx D 05/22/2019 11:16:15AM Agency Fiscal Approval 2 S004382 Xxxxxxx,Xxxxxx D 05/30/2019 3:31:14PM IDOA Legal Approval

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/paprd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Coordinated Care Corporation Indiana Agency] Indiana Family & Social Services Administration By: By: Title: Title: Date: DateXxxxx XXxxxx CEO Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. August 27, 2019 By: Title: Date: Xxxxxxx Xxxxxx Medicaid Director August 23, 2019 Table of Contents

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [THE DETROIT SALT CO LLC Indiana Agency] Department of Administration By: By: Title: Business Operations Manager Title: Vendor Manager Date: 7/17/2020 | 13:24 EDT Date: 7/17/2020 | 13:27 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.General

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] WE CREATE MEDIA LLC By: Indiana Destination Development Corporation Title: President By: Title: Title: Secretary & CEO of IDDC Date: 5/10/2022 | 14:06 EDT Date: 5/10/2022 | 14:09 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx erda, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx.Xxxxxxxx X Xxxxxx, Attorney General Refer EXHIBIT A-1 Scope of Work and Budget for Amendment #2 Project Overview: Promoting and Marketing Indiana’s Leisure & Hospitality Industry Project Goal: To Increase the number of visitors to Electronic Approval History found after Indiana and their overall spending with the final page of leisure/hospitality, outdoor recreation, and travel entities within Indiana. In order to attract visitors, Indiana needs to raise its public perception. This promotion and marketing plan is intended to do that. Contractor’s duties shall include the Executed Contract for details.following elements:

Agreement to Use Electronic Signatures. Process I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] VANDERBURGH COUNTY HEALTH DEPARTMENT INDIANA DEPARTMENT OF HEALTH By: By: Title: Title: Xxxxxx Xxxxxxxx, President Xxxxxxxxxxx CoTuitnlet:y Commissioners Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx erda, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx.Xxxxxxxx X Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.In Process In Process In Process In Process In Process

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Xxxxxxxxxxx & Company Inc Indiana Agency] Utility Regulatory Commission By: By: Title: Mr Title: Chairman Date: 3/8/2022 | 08:02 PST Date: 3/8/2022 | 11:06 EST Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx erda, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.Exhibit A Underground Plant Protection Account Grant Application Grantee Information

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract Grant Agreement by accessing the State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract Grant Agreement to the State of Indiana. I understand that my signing and submitting this Contract Grant Agreement in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract Grant Agreement and this affirmation. I understand and agree that by electronically signing and submitting this Contract Grant Agreement in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract Grant Agreement will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Tri-County School Corporation Indiana Agency] Department of Homeland Security By: By: Title: Superintendent Title: General Counsel Date: 11/23/2022 | 12:23 PST Date: 12/2/2022 | 11:12 EST Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx erda, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx.Xxxxxxxx X Xxxxxx, Attorney General Refer to Electronic Approval History found after Exhibit A Annual Financial Report for Non-governmental Entities Guidelines for filing the final page of the Executed Contract for details.annual financial report:

Agreement to Use Electronic Signatures. In I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL? Process In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] VANDERBURGH COUNTY HEALTH DEPARTMENT INDIANA DEPARTMENT OF HEALTH By: By: Title: Title: Xxxxxx Xxxxxxxx, President Xxxxxxxxxxx CoTuitnlet:y Commissioners Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx.Xxxxxxxx X Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.In Process In Process In Process

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [ContractorGrantee] [Indiana Agency] By: By: Name and Title: , Printed Name and Title: , Printed Date: Date: Electronically Approved by: Approved by: Indiana Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxBy: (for) Xxxxxxx Xxxxxxxx, Commissioner Xxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved Date: Date: APPROVED as to Form and Legality: Office of the Attorney General (for) Xxxxxxxx X. Xxxxxx, Attorney General Date: Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx X. XxxxXxxxxx, Xx., Attorney General Refer to Electronic Approval History found after Chief Information Officer Date: EXHIBIT C – Annual Financial Report for Non-governmental Entities Guidelines for filing the final page of the Executed Contract for details.annual financial report:

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/paprd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [ANTHEM INSURANCE COMPANIES INC Indiana Agency] Family Social Services Administration, Office of Medicaid Policy and Planning By: By: Title: Title: Date: Xxxxxxxx Xxxx, MD, MBA President, Anthem IN Medicaid 11/26/2019 By: Title: Date: Xxxxxxx Xxxxxx Medicaid Director 11.27.2019 Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [PURE STORAGE INC Indiana Agency] Office of Technology By: By: Title: Date: Vice President Public Sector 3/30/2020 Title: Date: DateChief Operating Officer March 31, 2020 Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.General

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant. The parties, having read and understood the foregoing terms of this ContractGrant, do by their respective signatures dated below agree to the terms thereof. [ContractorGrantee] [Indiana Agency] By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxX. Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx Xxxxxxx X. Xxxx, Xx.Xxxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. EXHIBIT _ Annual Financial Report for Non-governmental Entities Guidelines for filing the annual financial report:

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] TBD Agency By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Agreement to Use Electronic Signatures. Process I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [VANDERBURGH COUNTY HEALTH DEPARTMENT Indiana Agency] Department of Health By: By: Title: TitlePresident, Vanderburgh County CommissioneTritsle: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xxxx Xx., Attorney General Refer ATTACHMENT A CARES ACT CORONAVIRUS RELIEF FUND & EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES September 1st, 2020 – June 30th, 2021 GRANT INFO: Epidemiology and Laboratory Capacity for Infection Diseases CFDA #93.323 & CARES Act Coronavirus Relief Fund CFDA #21.019 In INTRODUCTION Process The Division of Emergency Preparedness (DEP) and Epidemiology Resource Center (ERC) within the Indiana State Department of Health (ISDH) are responsible for administering the Epidemiology and Laboratory Capacity Control of Emerging Infectious Diseases (ELC) Grant received from the Centers for Disease Control and Prevention (CDC) to Electronic Approval History found after support COVID-19 response activities. A portion of this grant involves expanding testing capacity through community-based options. Access to local testing is critical to Indiana’s response to the final page COVID-19/SARS-CoV-2 pandemic response and through this grant ISDH is enabling local health departments to engage local communities and partners in COVID-19 testing. Additionally, the State of Indiana has designated $12.5M from the Executed Contract COVID-19 CARES Act Coronavirus Relief Fund for detailsthe first year of LHD clinic funding. The ISDH-DEP administers these funds through sub-recipient agreements which require locally operated testing activities aimed at enhancing local COVID-19 testing. These agreements include supplies and funding provided by ISDH.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] VENDOR NAME AGENCY NAME By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxX. Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant. The parties, having read and understood the foregoing terms of this ContractGrant, do by their respective signatures dated below agree to the terms thereof. [Contractor] [VENDOR’S NAME Indiana Agency] Family and Social Services Administration, By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/paprd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] COORDINATED CARE CORPORATION INDIANA By: Xxxxx X'Xxxxx Title: CEO Date: November 26, 2019 Indiana Family and Social Services Administration, Office of Medicaid Policy and Planning By: Xxxxxxx Xxxxxx Title: Title: Medicaid Director Date: Date11.26.2019 Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/paprd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [CARESOURCE INDIANA INC Indiana Agency] Family and Social Services Administration, Office of Medicaid Policy and Planning Xxxxx Xxxxxxxxxx By: By: TitleXxxxxxx Xxxxxx Electronically Approved by: TitleIndiana Office of Technology By: Date: Date: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. Title: Date: President 11/26/19 Title: Date: Medicaid Director 11.26.2019

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant. The parties, having read and understood the foregoing terms of this ContractXxxxx, do by their respective signatures dated below agree to the terms thereof. [ContractorGrantee] [Indiana Agency] By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. X Xxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxX. Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details. EXHIBIT __ Annual Financial Report for Non-governmental Entities Guidelines for filing the annual financial report: Filing an annual financial report called an Entity Annual Report (E-1) is required by IC 5-11-1-4. This is done through Gateway which is an on-line electronic submission process. There is no filing fee to do this. This is in addition to the similarly titled Business Entity Report required by the Indiana Secretary of State. The E-1 electronical submission site is found at xxxxx://xxxxxxx.xxxxxxxxx.xxx/login.aspx The Gateway User Guide is found at xxxxx://xxxxxxx.xxxxxxxxx.xxx/userguides/E1guide The State Board of Accounts may request documentation to support the information presented on the E-1.