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 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 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: 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://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 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 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: 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 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 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 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://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 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 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 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. 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_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: _ Name and Title, Printed Date: By: Title: Title: Date: _ Xxxxx X. Xxxxxxx, Director 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.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://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 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 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 DatabaseDatabas e: 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 Administration By: XXXXXXX INCORPORATED By: Title: Customer Care Representative II Title: Vendor Manager Date: 8/10/2021 | 10:54 EDT Date: 8/10/2021 | 10:55 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.General

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract Agreement by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract Agreement to the State of Indiana. I understand that my signing and submitting this Contract Agreement in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract Agreement and this affirmation. I understand and agree that by electronically signing and submitting this Contract Agreement in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract 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_CNT RCTS.GBL In Witness Whereof, Contractor and the State Parties have, through their duly authorized representatives, entered into this ContractAgreement. The partiesParties, having read and understood the foregoing terms of this ContractAgreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] THE REMAINDER OF THE PAGE IS INTENTIONALLY LEFT BLANK CITY OF GREENFIELD, INDIANA BOARD OF PUBLIC WORKS & SAFETY By: Xxxxx Xxxxxx, Member By: Xxxxxxxxx Xxxxx, Member By: Xxxxx Xxxxxx, Member By: Xxxxx XxXxxxxxx, Member By: Xxxxxx Xxxxxx, Member Date: ATTEST: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxx Xxxxxx, 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.Clerk-Treasurer STATE OF INDIANA

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. therei n. 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] [XXXX LAW FIRM, P.C. Office of the Indiana Agency] By: By: Title: Title: Date: Date: Attorney General By:\s1\ By:\s2\ Title:\t1P\rinciple, The Xxxx Law Firm, PC Title:\t2C\hief Deputy Attorney General Date:\d41/\6/2023 | 14:29 EDT Date:\d42/\6/2023 | 14:41 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 A Scope of the Executed Contract for details.Legal 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/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 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 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 11/7/2022 | 18:01 EST Title: Date: Chairman 11/15/2022 | 15:35 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 DatabaseDatabas e: 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] [TOSHIBA AMERICA BUSINESS SOLUTIONS INC Indiana Agency] Department of Administration By: By: Title: President & CEO Title: Vendor Manager Date: 12/22/2021 | 13:30 EST Date: 12/22/2021 | 13:33 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 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 Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer Exhibit A – Market Basket Pricing This document is an exhibit to Electronic Approval History found after the final page of Contract, and is deemed to be attached to and incorporated within the Executed 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. Exhibit B – Contractor MSRP Price List 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. Model Description Retail - MSRP Contract Price B/W CPC Color CPC DIGITAL - MONOCHROME ESTUDIO478S 50ppm Mono MFP 550 Sheet Drawer - Input Tray 250 Sheet Drawer - Input Tray 550 Sheet Lockable Drawer - Input Tray Inline Stapler $3,861 $274 $178 $343 $343 $1,262$118$88$249$225 $0.0040 KD1061 KD1060 KD1062 MJ1044 CONNECTIVITY OPTIONS GN1170 GB2080LXK GB2090LXK GB2100LXK GB2110LXK GB2120LXK GR1350 GR1360 GB2130LXK GB2140LXK GB2150LXK Mark Net N8372 Wireless Module Forms and Barcode Card PRESCRIBE Card IPDS Card Serial ISP+ SP/BB sidecover Fiber ISP+ CoAtl sp/bb sidecover Keyboard - English - Same as LE Color 508 Keyboard + Voice Guidance Kit Security Module Contact front solutions modules Contactless front solutions module $63 $469 $246 $698 $172 $616 $411 $718 $107 $69 $232 $53$379$199$574$129$498$332$587$87$56$188 MEMORY OPTIONS GC 1420 256MB User Flash Memory $81 $46 ADDITIONAL OPTIONS CASTERBASE479CS STAND479CS PWRFLTR-S1 3.5" Caster Base for detailsES478S, ES389CS/479CS (for taller configurations) 13.5" stand for ES478S, ES389CS/479CS Compact Power Filter, 120V/15A, 1 Reptacle, Non-Networked $299 $399 $112 $248$129$36 ESTUDIO3018A ESTUDIO4518A ESTUDIO5018A 30 PPM DIGITAL MONOCHROME MFP 45 PPM DIGITAL MONOCHROME MFP 50 PPM DIGITAL MONOCHROME MFP 100-Sheet RADF 300-Sheet DSDF (e2018A/2518A/3018A require GC 1410) Platen Cover Inner Finisher Console Finisher w/ Stapling Finisher - Saddle Stitch Bridge Kit (Required with MJ1109B/1110B) Job Separator (eS2018A-3018A) Job Separator (eS3518A-5018A) Hole Punch for MJ1042B Hole Punch (for MJ1109B & MJ1110B) 550 Sheet Paper Feed Pedestal 550-Sheet Drawer Envelope Drawer Module 2000 Sheet Large Capacity Feeder Work Tray Manual Pocket Accessible Arm Next Gen PCS Power Filter, 120V-15 AMPS ESP enVision diagnostic power conditioning system 120/15A power filter & network (2 RECEPT.) Surge 120/15 Standalone Interface Cable for all ESP XG-PCS and EV series Power FiltersStand $11,502 $14,870 $16,522 $1,809 $2,445$51$1,901$2,467$3,667$287$313$313$918$918$1,059$594$594$1,323$60$60$97$1,253$1,298$1,129$893$108$299 $675$775$1,300$198$529$32$190$300$1,107$127$158$158$160$199$127$166$166$125$31$35$56$153$210$113$94$35$85 $0.0032$0.0024$0.002 MR3031B MR4000B KA 5005PC MJ1042B MJ1109B MJ1110B KN5005 MJ5014 MJ5015 MJ6011 MJ6105 KD1058B MY1048B MY1049B KD1059B KK5005 KK5008 KK2550 PWRFLTR-XGPCS15D PWRFLTR-EV12015 PWRFLTR-D5133NT PWRFLTR-D113Z6T PWRFLTR-XGPCSIC1 STAND5005 CONNECTIVITY OPTIONS GN4020 GR9000 GR1330 Wireless LAN/Bluetooth Module (requires GR1310 for e2018A/2518A/30 Bluetooth Keyboard (requires GN4020) Accessory Tray (Keyboard Shelf) $680 $107 $107 $356$55$55 Model Description Retail - MSRP ContractPrice B/W CPC Color CPC GS10 10 GQ12 80 GS10 80 GS10 90 GS10 95 GS10 07 GP10 80 Meta Scan Enabler for e- CONNECT Harness Kit for Coin Controller Embedded OCR Enabler 1 License (requires GC1410 on e2018A/2518A/3 Multi-Station Print Enabler 1 License (requires GC1410 on e2018A/2518A Multi Station Print Enabler 5 LicensesUnicode Font Enabler IPSEC Enabler $566 $90 $837 $211 $751 $729 $863 $316$55$295$91$350$326$578 TIER 1 SOFTWARE GB1550N ODE GB1560N ODE GB1590N ODE GB1610N ODE GB2300N ODE GB2310N ODE GB2320NODE e-BRIDGE Replicator eX (Node License) e-BRIDGE Job Point eX (Node License) e-BRIDGE Job Separator eX (Node License) e-BRIDGE Job Build eX (Node License) e-BRIDGE Plus for OneDrive for Business v3.0 e-BRIDGE Plus for Sharepoint Online v3.0e-BRIDGE Plus for Exchange Online v3.0 $99 $99 $99 $99 $99 $99 $99 $42$42$42$42$0$69$69 FAX OPTIONS GD1370N GS1100NODE Fax Unit / 2nd Line Fax Unit Fax Over IP Enabler $1,107$863 $403 $385 ELEVATE ELEVATE2 Elevate Custom Configuration (Per Device) $995 $0 ESTUDIO6518A ESTUDIO751 8A ESTUDIO851 8A 65 PPM Digital Copier w/ DSDF 75 PPM Digital Copier w/ DSDF 85 PPM Digital Copier w/ DSDF 2500 Sheet Large Capacity Feeder 50 Sheet Stapling Finisher Saddle Stitch FinisherHole Punch Unit for MJ1111B& MJ1112B Side Exit Tray Finisher Rail $31,727$37,967$46,680$1,926$3,458$5,289$876$63$91 $2,150$2,600$3,100$266$450$1,353$80$30$55 $0.002$0.002$0.002 MP250 2B MJ111 1B MJ111 2B MJ610 6N KA65 51 KN11 03 CONNECTIVITY OPTIONS GN40 20 GR13 20 GR13 30 GR13 40 GR90 00 GP10 80 T4DT- FB4BTH-P GE1230 GS10 10 GS10 07 GS10 80 GS10 90 GS10 95 Wireless LAN/Bluetooth Module Card Reader Holder Accessory Tray (Keyboard Shelf) Panel 10 Key Option Bluetooth Keyboard (requiresGN4020) IPSEC EnablerElatec TWN4 Mifare NFC-P Card Reader USB Black FIPS HDD Meta Scan Enabler for e- CONNECT Unicode Font EnablerEmbedded OCR Enabler 1 License Multi-Station Print Enabler 1 License Multi- Station Print Enabler 5 Licenses $680 $107 $107 $107 $107 $863 $325 $427 $566 $729 $837 $211 $751 $356$55$55$55$55$578$162$283$316$326$295$91$350 TIER 1 SOFTWARE GB1550N ODE GB1560N ODE GB1590N ODE GB1610N ODE GB2300N ODE GB2310N ODE GB2320NODE e-BRIDGE Replicator eX (Node License) e-BRIDGE Job Point eX (Node License) e-BRIDGE Job Separator eX (Node License) e-BRIDGE Job Build eX (Node License) e-BRIDGE Plus for OneDrive forBusiness v3.0 e-BRIDGE Plus for Sharepoint Online v3.0 e-BRIDGE Plus for Exchange Online v3.0 $99 $99 $99 $99 $99 $99 $99 $42$42$42$42$0$69$69 ADDITIONAL OPTIONS GQ12 80 KK50 08 KK25 50 PWRFLTR- XGPCS20D PWRFLTR- EV12020 PWRFLTR- D5143NT PWRFLTR- D114Z6T PWRFLTR- XGPCSIC1 Coin Controller Harness Kit Manual Pocket Accessible ArmNext Gen PCS Power Filter, 120V-20 AMPSESP enVision Adv Diagnostic 120/20 AMP power filter (2 RECEPT.) Surge 120/20 StandaloneInterface Cable for all ESP XG-PCS and EV series Power Filters $90$60$97$1,267$1,334$1,264$1,017$108 $55$35$56$148$213$116$102$35 FAX OPTIONS Model Description Retail - MSRP ContractPrice B/W CPC Color CPC GD1370N GS1100NODE Fax Unit / 2nd Line Fax UnitFax Over IP Enabler $1,107$863 $403 $385 ELEVATE ELEVATE2 Elevate Custom Configuration (Per Device) $995 $0 ESTUDIO908 90 PPM Digital Copier Bypass Tray For Main Unit A4 LCC A3 LCCRelay Unit For LCT A3 LCT Bypass Tray ForA3 LCT Curl Correction Unit Inserter Relay UnitPaper Folding Unit 100 Staple Finisher 100 Staple Saddle Stitch Finisher Punch Unit For MX-FN21/22 Connection Kit For LCT Status IndicatorPunch Unit For MX- FN24/25 Trimmer Unit For MX-FN22 Stacker Paper Cart for StackerFax Kit (90PPM ONLY) ESP enVision Adv DiagnosticNext GEN PCS Power Filter, 208V/20A, 1 pigtail + 2receptacles, networ Power Filter 208V-20 AMPS Interface Cable for all ESP XG-PCS and EV series Power Filters $38,340$1,588$1,696$3,294$378$7,236$1,588$1,232$4,169$1,232$16,956$8,154$11,578$1,021$2,160$729$935$7,236$25,380$1,944$1,360$1,683$1,637$1,682$108 $8,750$409$823$1,666$134$3,383$1,029$500$2,506$140$10,111$2,800$3,500$650$958$323$554$3,837$17,347$1,323$588$259$199$148$35 $0.002 MX- MFX1 MX- LC12 MX- LCX3N MX- RB16 MX- LC13_N MX- MF11 MX- RB18 MX- CF11 MX- RB13 MX- FD10 MX- FN21 MX- FN22 MX- PN13B MX- RB17 MX- SL10N MX- PNX4B MX- TM10 MX- ST10 MX- CA10 MX- FX15 PWRFLTR- EV20820 PWRFLTR- XGPCS20820D PWRFLTR- E524ZNT PWRFLTR- XGPCSIC1 DIGITAL - COLOR ESTUDIO330AC MY1050 KD1071 MJ1047 PWRFLT R-S1 GR1380 GR1390 STAND4 00 35PPM COLOR MFPPAPER FEED UNIT, 550 SHEETS LARGE CAPACITY FEEDER, 2000 SHEETS OFFLINE STAPLERPOWER FILTER, 120V/15A, COMPACT, 1 RECEPTACLE STAND SPACERCASTER BASE COPIER STAND $4,195 $464 $699 $299 $112 $125 $299 $199 $1,532$234$664$245$36$112$245$129 $0.004 $0.036 MEMORY OPTIONS GE1230 HARD DISK DRIVE 320GB FIPS $427 $283 FAX OPTIONS GD1370N FAX UNIT / SECOND LINE FAX UNIT $1,107 $403 CONNECTIVITY OPTIONS TIER 1 SOFTWARE GB1550N ODE GB1560N ODE GB1590N ODE GB1610N ODE GB2300N ODE GB2310N ODE GB2320NODE E-BRIDGE REPLICATOR EXE- BRIDGE JOB POINT EX E-BRIDGE JOBSEPARATOR EXE- BRIDGE JOB BUILD EX e-BRIDGE Plus for OneDrive for Business v3.0E-BRIDGE PLUS FOR SHAREPOINT ONLINE V3.0E- BRIDGE PLUS FOR EXCHANGE ONLINE V3.0 $99 $99 $99 $99 $99 $99 $99 $42$42$42$42$0$69$69 Model Description B/W CPC Color CPC Retail - MSRP ContractPrice GB2380NO DE GB2390NO DE GB2430NO DE ECTRANS LATE- E-BRIDGE PLUS FOR GMAIL X-X XXXXX PLUS FOR GOOGLE DRIVE E- BRIDGE PLUS FOR DOCUWARE E-C ONNECT TRANSLATE $99 $99 $99 $495 $69$69$69$0 ELEVATE ELEVATE2 ELEVATE CUSTOM CONFIGURATION (PERDEVICE) $995 $0 ESTUDIO301 5AC ESTUDIO451 5AC ESTUDIO5015AC 30 PPM ColorCopier 45 PPMColor Copier 50 PPM Color Copier 100- Sheet RADF 300-Sheet DSDF Platen Cover Inner FinisherConsole Finisher w/ Stapling Finisher - Saddle Stitch Bridge Kit (Required with MJ1109B/1110B) Hole Punch for MJ1042B Hole Punch (for MJ1109B & MJ1110B) Job Separator Work Tray Manual Pocket Accessible Arm 550 Sheet Paper Feed Pedestal 550-Sheet Drawer Envelope Drawer Module2000 Sheet Large Capacity FeederNext Gen PCS Power Filter, 120V-15 AMPS ESP enVision diagnostic power conditioning system 120/15A power filter & network (2 RECEPT.) Surge 120/15 Standalone Interface Cable for all ESP XG-PCS and EV series Power Filters Stand $17,580$27,196$28,341$1,809$2,445$51$1,901$2,467$3,667$287$918$918$313$60$60$97$1,059$594$594$1,323$1,253$1,298$1,129$893$108$299 $1,400$1,900$2,500$198$529$32$190$300$1,107$127$160$199$158$31$35$56$127$166$166$125$153$210$113$94$35$85 $0.0024$0.0024$0.0024 $0.028$0.028$0.028 MR303 1B MR400 0B KA5005 PC MJ1042 B MJ1109 B MJ1110 B KN5005 MJ6011 MJ6105 MJ5015 KK5005 KK5008 KK2550 KD1058 B MY104 8B MY104 9B KD1059 B PWRFLTR- XGPCS15D PWRFLTR- EV12015 PWRFLTR- D5133NT PWRFLTR- D113Z6T PWRFLTR- XGPCSIC1 STAND5005 CONNECTIVITY OPTIONS GN40 20 GR90 00 GR13 30 GR13 40 GR13 10 GR13 20 T4DT- FB4BTH-P XX0000 XX00 00 XX00 00 XX00 80 GS10 90 GS10 95 GS10 07 GP10 80 Wireless LAN/Bluetooth Module Bluetooth Keyboard (requires GN4020) Accessory Tray (Keyboard Shelf) Panel 10 Key Option USB Hub Card Reader HolderElatec TWN4 Mifare NFC-P Card Reader USB Black FIPS HDD Meta Scan Enabler for e- CONNECT Harness Kit for Coin Controller Embedded OCR Enabler 1 License Multi-Station Print Enabler 1 License Multi-Station Print Enabler 5 Licenses Unicode Font Enabler IPSEC Enabler $680 $107 $107 $107 $118 $107 $325 $427 $566 $90 $837 $211 $751 $729 $863 $356$55$55$55$64$55$162$283$316$55$295$91$350$326$578 TIER 1 SOFTWARE GB1550N ODE GB1560N ODE GB1590N ODE GB1610N ODE GB2300N ODE GB2310N ODE GB2320N ODE e-BRIDGE Replicator eX (Node License) e-BRIDGE Job Point eX (Node License) e-BRIDGE Job Separator eX (Node License) e-BRIDGE Job Build eX (Node License) e-BRIDGE Plus for OneDrive for Business v3.0 e-BRIDGE Plus for Sharepoint Online v3.0e-BRIDGE Plus for Exchange Online v3.0 $99 $99 $99 $99 $99 $99 $99 $42$42$42$42$0$69$69 FAX OPTIONS GD1370N GS1100NODE Fax Unit / 2nd Line Fax UnitFax Over IP Enabler $1,107$863 $403 $385 ELEVATE ELEVATE2 Elevate Custom Configuration (Per Device) $995 $0 Model Description Retail - MSRP ContractPrice B/W CPC Color CPC ESTUDIO6516 AC ESTUDIO6516 ACT 65PPM Color 75 BK MFP with DSDF 4 Drawer 65PPM Color 75 BK MFP with $42,056 $42,056 $1,926 $4,500$4,500$266 $0.0024$0.0024 $0.028$0.028 MP250 2B MJ111 1B MJ111 2B MJ610 6N KA655 1 KK255 0 KN1103 DSDF Tandem Drawer 2500 Sheet Large Capacity Feeder 50 Sheet StaplingFinisher Saddle Stitch Finisher Hole Punch Unit for MJ1111B& MJ1112B Side Exit Tray Accessible Arm Finisher Rail $3,458$5,289$876$63$97$91 $450$1,353$80$30$56$55 ADDITIONAL OPTIONS GQ12 80 KK50 08 PWRFLTR- XGPCS20D PWRFLTR- EV12020 PWRFLTR- D5143NT PWRFLTR- D114Z6T PWRFLTR- XGPCSIC1 Coin Controller Harness Kit Manual Pocket Next Gen PCS Power Filter, 120V-20 AMPSESP enVision Adv Diagnostic 120/20 AMP power filter (2RECEPT.) Surge 120/20StandaloneInterface Cable for all ESP XG-PCS and EV series Power Filters $90$60$1,267$1,334$1,264$1,017$108 $55$35$148$213$116$102$35 CONNECTIVITY OPTIONS GN40 20 GR13 20 GR13 30 GR13 40 GR90 00 GP10 80 T4DT- FB4BTH-P GE1230 GS10 10 GS10 07 GS10 80 GS10 90 GS10 95 Wireless LAN/Bluetooth Module Card Reader Holder Accessory Tray (Keyboard Shelf) Panel 10 Key Option Bluetooth Keyboard (requires GN4020) IPSEC Enabler Elatec TWN4 Mifare NFC-P Card Reader USB Black FIPS HDD Meta Scan Enabler for e- CONNECT Unicode Font EnablerEmbedded OCR Enabler 1 License Multi-Station Print Enabler 1 License Multi- Station Print Enabler 5 Licenses $680 $107 $107 $107 $107 $863 $325 $427 $566 $729 $837 $211 $751 $356$55$55$55$55$578$162$283$316$326$295$91$350 TIER 1 SOFTWARE GB1550N ODE GB1560N ODE GB1590N ODE GB1610N ODE GB2300N e-BRIDGE Replicator eX (Node License) e-BRIDGE Job Point eX (Node License) e-BRIDGE Job Separator eX (Node License) e-BRIDGE Job Build eX (Node License) e-BRIDGE Plus for OneDrive forBusiness v3.0 e-BRIDGE Plus for Sharepoint Online v3.0 $99 $99 $99 $99 $99 $99 $99 $42$42$42$42$0$69$69 ODE GB2310N ODE GB2320NODE e-BRIDGE Plus for Exchange Online v3.0

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://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, 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] [ENERGY TECHNOLOGIES LLC Indiana Agency] Utility Regulatory Commission By: By: Title: Title: Date: Xxxx Xxxxx President 1/31/2018 By: Title: Date: General Counsel 02/07/2018 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.

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] [CONTRACTOR 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. 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 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 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 signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] 360WATER INC By: Indiana Utility Regulatory Commission By: Title: President Title: Chairman Date: 4/6/2022 | 16:10 PDT Date: 4/7/2022 | 16:17 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 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 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. 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 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 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 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 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] [COMMUNITY MENTAL HEALTH CENTER, INC Indiana Agency] Family and Social Services Administration, Division of Mental Health By: and Addiction By: Title: Executive Director Title: Director Date: 7/20/2021 | 09:55 EDT Date: 7/20/2021 | 09:12 PDT 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 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 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] [CORPORATE TRAVEL MANAGEMENT Indiana Agency] Department of Administration NORTH AMERICA INC By: By: Title: Date: SVP-GM, North America Government 12/22/2017 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] [ANTHEM INSURANCE COMPANIES INC 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: Xxxxxxxx Xxxx, MD, MBA President, Anthem IN Medicaid 11/26/2019 By: Title: Date: Xxxxxxx Xxxxxx Medicaid Director 11.27.2019

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/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] [FEDRESULTS INC Indiana Agency] Department of Administration By: By: Title: Date: Xxxxx Xxxxx 9/20/2019 Title: Date: DateElectronically 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.. Attachment E-2 FedResults GSA and Open Market Pricelist Most Common Tableau Skus Vendor Part No Description List Price GSA Contract Price QPA18197 Discount Price 1331111.1803 Creator - License - 1 Year $840.00 $833.74 $672.00 1331113.1803 Creator - License - License Renewal 1 year $840.00 $833.74 $672.00* 1231111.1803 Explorer - License - 1 Year $420.00 $416.87 $336.00 1231113.1803 Explorer - License - License Renewal 1 year $420.00 $416.87 $336.00* 1131111.1803 Viewer- License - 1 Year $144.00 $142.93 $115.20 1131113.1803 Viewer - License - License Renewal 1 year $144.00 $142.93 $115.20* 1050111.1803 Server - Core Term License $21,875.00 $21,711.90 $17,500.00 1050413.1703 Server-Core Enterprise Term License Renewal, 1 year $21,875.00 $21,711.90 $17,500.00* *QPA discount applies to Renewals of Licenses that were purchased through the QPA contract. Legacy renewals stay at existing rate for life of contract. Additional Tableau Skus FedResults GSA Pricelist Vendor Part No Description List Price GSA Contract Price QPA18197 Discount Price 1331116.1803 Creator - License - Multi Year $840.00 $833.74 $672.00 1331125.1803 Creator - License - AddOn $840.00 $833.74 $672.00 1331117.1803 Creator - License - Multi Year Add On $840.00 $833.74 $672.00 1331149.1803 Creator - License - Converted License 1 Year $840.00 $833.74 $672.00 1331150.1803 Creator - License - Converted License Multi Year, 1 Year $840.00 $833.74 $672.00 1331119.1803 Creator - License - License Renewal Multi Year, 1 year $840.00 $833.74 $672.00* 1231116.1803 Explorer - License - Multi Year $420.00 $416.87 $336.00 1231125.1803 Explorer - License - AddOn $420.00 $416.87 $336.00 1231117.1803 Explorer - License - Multi Year Add On $420.00 $416.87 $336.00 1231149.1803 Explorer- License - Converted License 1 Year $420.00 $416.87 $336.00 1231150.1803 Explorer - License - Converted License Multi Year, 1 Year $420.00 $416.87 $336.00 1231119.1803 Explorer - License - License Renewal Multi Year, 1 year $420.00 $416.87 $336.00* 1131116.1803 Viewer - License - Multi Year $144.00 $142.93 $115.20 1131125.1803 Viewer - License - AddOn $144.00 $142.93 $115.20 1131117.1803 Viewer - License - Multi Year Add On $144.00 $142.93 $115.20 1131149.1803 Viewer - License - Converted License 1 Year $144.00 $142.93 $115.20 1131150.1803 Viewer - License - Converted License Multi Year, 1 Year $144.00 $142.93 $115.20 1131119.1803 Viewer - License - License Renewal Multi Year, 1 year $144.00 $142.93 $115.20* 1050116.1803 Server - Core Term License - Multi Yr $21,875.00 $21,711.90 $17,500.00 1050112.1803 Server - Core Term License - Add On $21,875.00 $21,711.90 $17,500.00 1050117.1803 Server - Core Term License - Multi Yr - Add On $21,875.00 $21,711.90 $17,500.00 1050149.1803 Server - Core Term Converted License $21,875.00 $21,711.90 $17,500.00 1050150.1803 Server - Core Term Converted License - Multi Yr $21,875.00 $21,711.90 $17,500.00 1550311.1901 Data Management - Resource Core - License, 1 year $4,000.00 $3,970.18 $3,200.00 1550312.1901 Data Management - Resource Core - License AddOn, 1 year $4,000.00 $3,970.18 $3,200.00 1550313.1901 Data Management - Resource Core - License Renewal, 1 year $4,000.00 $3,970.18 $3,200.00 1550326.1901 Data Management - Resource Core - License - Multi Yr $4,000.00 $3,970.18 $3,200.00 1550317.1901 Data Management - Resource Core - License - Multi Yr AddOn $4,000.00 $3,970.18 $3,200.00 1550319.1901 Data Management - Resource Core - License Renewal - Multi Yr $4,000.00 $3,970.18 $3,200.00 1550111.1901 Data Management - Core - Platform License, 1 year $4,500.00 $4,466.45 $3,600.00 1550112.1901 Data Management - Core - Platform License AddOn, 1 year $4,500.00 $4,466.45 $3,600.00 1550113.1901 Data Management - Core - Platform License Renewal, 1 year $4,500.00 $4,466.45 $3,600.00 1550126.1901 Data Management - Core - Platform License - Multi Yr $4,500.00 $4,466.45 $3,600.00 1550117.1901 Data Management - Core - Platform License - Multi Yr AddOn $4,500.00 $4,466.45 $3,600.00 1550119.1901 Data Management - Core - Platform License Renewal - Multi Yr $4,500.00 $4,466.45 $3,600.00 *QPA discount applies to Renewals of Licenses that were purchased through the QPA contract. Legacy renewals stay at existing rate for life of contract. FedResults Open Market Pricelist

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 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://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] and Addiction COMMUNITY MENTAL HEALTH CENTER, INC. By: By: Title: Indiana Family and Social Services Administration, Division of Mental Health Title: Date: Executive Director 5/20/2020 | 15:22 EDT Title: Date: Director 5/20/2020 | 15:32 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://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] [COORDINATED CARE CORPORATION INDIANA Indiana Agency] Family & Social Services Administration, Office of Medicaid Policy and Planning By: By: Title: CEO Title: Medicaid Director Date: 9/26/2023 | 10:08 PDT Date: 9/26/2023 | 13:41 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 xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the State Educational Institution 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 DatabaseDatabas e: 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. [Contractor] [PARADIGM ALLIANCE INC Indiana Agency] Utility Regulatory Commission By: By: TitlePrinted Name: Printed Name: Title: Date: Vice President o_f Operations 1/3/2022 | 12:41 PST Title: Date: Chairman 1/4/2022 | 11:15 EST _ 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.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 September 2, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2021. FA 21-45 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_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://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: 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 By: Title: Date: Xxxxxxx Xxxxxx Medicaid Director 9/18/2019 Note on Capitation Rates: The capitation rates listed in this exhibit shall apply for the rating period January 1, 2018 through December 31, 2018. Note on Rates and Rate Adjustment: To the extent benefits or fee schedules are adjusted, capitation rates will be subject to revision by an equivalent value. This includes, but is not limited to, any change in Medicaid fee-for-service hospital reimbursement, including a change in the hospital adjustment factors.

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 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.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/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 xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the LPA 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] [TOWN OF MUNSTER Indiana Agency] Department of Transportation By: By: By:\s2\ Title: Title: Date: Date: \ Date:\d 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 ATTACHMENT A-1 PROJECT DESCRIPTION Des. No.: 2201475 Program: Local Roads and Bridges Matching Grants Type of Project: Pavement Replacement Location: Application ID: 12338 A general scope/description of the Executed Contract for details.Project is as follows:

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 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 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/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] Department of Child Services By: By: Xxxxx X. Xxxxxxx, Director Name and Title: Title: , Printed Date: Date: Electronically Approved by: Indiana Office of Technology By: (for) , 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.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://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 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 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://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://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 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/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 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] [MOTOROLA SOLUTIONS INC Indiana Agency] Department of Administration Xxxxxx By: By: Xxxx X. Digitally signed by Xxxx X. Xxxxxx Title: Date: Vice President, Central Region Sales 8/6/2018 Title: Date: Date: 2018.08.06 14:34:26 -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. 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 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 hereby 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.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 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 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] CARESOURCE INDIANA INC By: Xxxxx Xxxxxxxxxx Indiana Family and Social Services Administration, Office of Medicaid Policy and Planning 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: President 08/29/19 By: Title: Date: Xxxxxxx Xxxxxx Medicaid Director August 23, 2019 Note on Capitation Rates: The capitation rates listed in this exhibit shall apply for the rating period January 1, 2018 through December 31, 2018. Note on Rates and Rate Adjustment: To the extent benefits or fee schedules are adjusted, capitation rates will be subject to revision by an equivalent value. This includes, but is not limited to, any change in Medicaid fee-for-service hospital reimbursement, including a change in the hospital adjustment factors.

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, 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 Indiana Agency] Department of Child Services By: By: Name and Title: Title, Printed: Date: Xxxxx J, Stigdon, Director Date: Electronically Approved by: Electronically Approved by: Department of Administration State Budget Agency By: (for) Xxxxxx X. Xxxxx, Commissioner By: (for) Xxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after 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: 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, Xx2019., 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] [INSERT AWARDED CONTRACTOR 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. 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 A- State of Indiana Pricing 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. The following fees should be the highest fees assessed to the Cardholders for the applicable activity listed and only when the applicable activity occurs. INSERT AWARDED PRICING Exhibit B- Initial Agency Statement of Work (SOW)/Scope 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. See RFP Attachment H Scope of Work

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] By: [Indiana Agency] By: By: Name and Title: Title: , Printed Date: Name and Title, Printed Date: Electronically Approved by: Indiana 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 Date: 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: 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 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 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 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] [LEARFIELD COMMUNICATIONS INC Indiana Agency] Utility Regulatory Commission By: By: :Xxxxx X. Xxxxxx Title: General Manager Title: Chairman Date: May 21, 2018 Date: 2-24-18 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.. Electronic Approval History User ID Approver Name Datetime Description 1 P025435 Xxxxx,Xxxxxx D 08/27/2018 2:48:59PM Agency Fiscal Approval 2 S004382 Xxxxxxx,Xxxxxx D 08/27/2018 4:04:13PM IDOA Legal Approval 3 T278748 Xxxxxxxx,Xxxxxxx 08/28/2018 8:10:09AM IDOA Legal Approval 4 D304465 Xxxxx,Xxxxxxxx M 08/29/2018 8:40:52AM SBA Approval 5 M338811 Xxxxxxxx,Xxxxx H 08/29/2018 10:01:13AM 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 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 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. 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 Name Agency Name By: By: Title: Title: Date: Date: Electronically 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 = 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. PDF FILES TO BE ADDED AT TIME OF SIGNATURE Exhibit B = Ship-To Locations 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 SEE RFP ATTACHMENT I 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 D. 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/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 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: Price List Exhibit B: Tax Refund Warrant Stock Specifications Exhibit C: Child Support Warrant Stock Specifications Exhibit D: Accounts Payable Warrant Stock Specifications Exhibit E – Performance Metrics and Corrective Actions 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.

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] [MDWISE INC. Indiana Agency] Family and Social Services Administration, Office of Medicaid Policy and By: Planning By: Title: President and CEO Title: Medicaid Director Date: 9/27/2023 | 10:47 EDT 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 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 EXHIBIT 1.A 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 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] [Indiana Agency] VANDERBURGH COUNTY INDIANA STATE DEPARTMENT OF HEALTH 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 Vanderburgh County Health Department $ 96,333.00 Grant Period 7/1/2019 – 6/30/2020 Scope of Work Goals and Activities

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] [CARESOURCE INDIANA, INC. Indiana Agency] Family & Social Services Administration By: Office of Medicaid Policy and Planning By: Title: President, Indiana Market Title: Medicaid Director Date: 7/16/2024 | 09:55 EDT Date: 7/16/2024 | 20:46 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.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 to Electronic Approval History found after the final page EXHIBIT 1B SCOPE OF WORK Table of the Executed Contract for details.Contents 1.0 Background 9

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] [FedResults, Inc. Indiana Agency] Department of Administration By: By: Title: Title: Date: Xxxxx Xxxxx Manager 11/28/2018 By: Xxxx X. Xxxxxx XX Title: Senior Account Manager Date: 11/28/2018 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.. Attachment E FedResults GSA and Open Market Pricelist FedResults GSA Pricelist SKU Product Description List Price GSA Price QPA18197 Discount Price 1231113.1 803 Explorer - License - License Renewal 1 year $420.00 $416.87 1231119.1 803 Explorer - License - License Renewal Multi Year, 1 year $420.00 $416.87 1131111.1 803 Viewer- License - 1 Year $144.00 $142.93 $115.20 1131116.1 803 Viewer - License - Multi Year $144.00 $142.93 $115.20 1131125.1 803 Viewer - License - AddOn $144.00 $142.93 $115.20 1131117.1 803 Viewer - License - Multi Year Add On $144.00 $142.93 $115.20 1131149.1 803 Viewer - License - Converted License 1 Year $144.00 $142.93 $115.20 1131150.1 803 Viewer - License - Converted License Multi Year, 1 Year $144.00 $142.93 $115.20 1131113.1 803 Viewer - License - License Renewal 1 year $144.00 $142.93 1131119.1 803 Viewer - License - License Renewal Multi Year, 1 year $144.00 $142.93 1360121.1 803 Creator - License - Online - 1 Year $840.00 $833.74 $672.00 1360116.1 803 Creator - License - Multi Yr - Online - 1 Year $840.00 $833.74 $672.00 1360221.1 803 Creator - License - Add On - Online - 1 Year $840.00 $833.74 $672.00 1360117.1 803 Creator - License - Multi Yr - Add On - Online - 1 Year $840.00 $833.74 $672.00 1360197.1 803 Creator - Converted License - Online, 1 Year $840.00 $833.74 $672.00 1360198.1 803 Creator - Converted License - Multi Yr - Online, 1 Year $840.00 $833.74 $672.00 1360123.1 803 Creator - License Renewal - Online, 1 Year $840.00 $833.74 1360196.1 803 Creator - License Renewal - Multi Yr - Online, 1 Year $840.00 $833.74 1260121.1 803 Explorer - License - Online - 1 Year $500.00 $496.27 $400.00 1260116.1 803 Explorer - License - Multi Yr - Online - 1 Year $500.00 $496.27 $400.00 1260221.1 803 Explorer - License - Add On - Online - 1 Year $500.00 $496.27 $400.00

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 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] [Carahsoft Technology Corporation Indiana Agency] Department of Administration By: By: Title: Date: Director, Contracts 5/29/19 Title: Senior Account Manager Date: Date05/29/2019 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.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 D HIPAA BUSINESS ASSOCIATE ADDENDUM This HIPAA Business Associate Addendum (this “Addendum”) is made a part of, and incorporated into, the Agreement. The purpose of this Addendum is to implement certain of the requirements of the Health Insurance Portability and Accountability Act of 1996 and the rules and regulations promulgated thereunder as supplemented and amended by the requirements of Subtitle D of the Health Information Technology for Economic and Clinical Health (HITECH) Act provisions of the American Recovery and Reinvestment Act of 2009 and the rules and regulations promulgated thereunder (collectively, “HIPAA”). The parties acknowledge that those regulations include both the federal privacy regulations, as amended from time to time, issued pursuant to HIPAA and codified at 45 CFR Parts 160 and 164 (Subparts A & E) (the “Privacy Rule”) and the federal security regulations, as amended from time to time, issued pursuant to HIPAA and codified at 45 CFR Parts 160 and 164 (Subparts A & C) (the “Security Rule”).

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 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.

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] [CITY OF WEST LAFAYETTE Indiana Agency] State Department of Health 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 X. Xxxx, Xxxx Xx., Attorney General Refer to Electronic Approval History found after the final page ATTACHMENT A City of the Executed Contract for details.West Lafayette

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract Grant by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract Grant to the State of Indiana. I understand that my signing and submitting this Contract Grant in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract Grant and this affirmation. I understand and agree that by electronically signing and submitting this Contract Grant in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract Grant 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] [VANDERBURGH COUNTY Indiana Agency] State Department of Health By: By: Title: Title: Date: Date: Electronically 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. ATTACHMENT A Budget Period 5 Local Public Health Preparedness Grant CFDA: 93.074 INTRODUCTION The Public Health Preparedness and Emergency Response (PHPER) Division within the Indiana State Department of Health (ISDH) is the entity responsible for administering Public Health Emergency Preparedness funding (PHEP) received from the Centers for Disease Control and Prevention (CDC), and administering Healthcare Preparedness Program (HPP) funding received from the Assistant Secretary for Preparedness and Response (ASPR). The ISDH administers these funds through sub-awardee agreements which require various activities aimed at enhancing state and local preparedness in order to better respond to public health and healthcare emergencies. During Budget Period (BP) 5, the ISDH will administer funding to Local Health Departments through this grant agreement with the intent of further developing capabilities of Healthcare Coalitions and Public Health Districts through three primary projects. This Attachment A contains the guidance and requirements related to this grant for the Local Health Departments.

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 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 Medicaid Director 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: 9/18/2019 Note on Capitation Rates: The capitation rates listed in this exhibit shall apply for the rating period January 1, 2018 through December 31, 2018. Note on Rates and Rate Adjustment: To the extent benefits or fee schedules are adjusted, capitation rates will be subject to revision by an equivalent value. This includes, but is not limited to, any change in Medicaid fee-for-service hospital reimbursement, including a change in the hospital adjustment factors.

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 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: 3/24/2022 | 09:50 PDT Date: 3/24/2022 | 12:53 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 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 Geotechnical Services Task 5 Road Design and Plan Development (including Signing, Lighting and Signal Plan Development, if applicable) 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 Agreement by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract Agreement to the State of Indiana. I understand that my signing and submitting this Contract Agreement in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract Agreement and this affirmation. I understand and agree that by electronically signing and submitting this Contract Agreement in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract 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/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor Counsel and the State have, through by their duly authorized representatives, entered into representatives have executed this ContractAgreement as of the dates set forth below. The parties, having read and understood SCHAERR JAFFE LLP Office of the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Attorney General By: By: Title: Title: Date: Xxxxxxx X Xxxxxxxx Partner, Schaerr Xxxxx LLP 7/9/2019 By: Title: Date: Xxxx Xxxxxxxxx General Counsel 07-10-19 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.. Electronic Approval History User ID Approver Name Datetime Description 1 C256621 Xxxx,Xxxxxxx A 07/12/2019 2:35:58PM Agency Fiscal Approval 2 S004382 Xxxxxxx,Xxxxxx D 07/22/2019 8:03:23PM IDOA Legal Approval 3 T278748 Xxxxxxxx,Xxxxxxx 07/24/2019 3:35:33PM IDOA Legal Approval 4 O277119 Egunyomi,Xxxxxxx 08/02/2019 1:50:03PM SBA Approval 5 M338811 Xxxxxxxx,Xxxxx X 08/02/2019 3:41:42PM 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 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] [COORDINATED CARE CORPORATION Indiana Agency] Family and Social Services Administration, Office of Medicaid Policy By: and Planning By: Title: CEO Title: Medicaid Director Date: 9/26/2023 | 10:10 PDT Date: 9/26/2023 | 13:40 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 EXHIBIT 1.A 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 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: 4/2/2024 | 10:42 EDT Date: 4/11/2024 | 13:34 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 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