Common use of APPLICABLE DOCUMENTS Clause in Contracts

APPLICABLE DOCUMENTS. 1.1 This Contract and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” and signed by both parties. 1.2 Exhibits A through A-17, B, C through C-3, D through D-4, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W-1 set forth below, are attached to and incorporated by reference in this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, schedule, contents or description of any task, deliverable, product, service, or other work between this Contract, Statement of Work, and Exhibits, or among Exhibits, said conflict or inconsistency shall be resolved by giving precedence first to the Contract, Statement of Work, and Attachments according to the following priority: Exhibit A Statement of Work Exhibit A-1 Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 Intentionally Left Blank Exhibit A-4 Intentionally Left Blank Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-7 Intentionally Left Blank Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Template Information Exhibit A-12 Applicant’s Authorization for Release of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Exhibit A-17 Adoption License or MOU Exhibit B Line Item budget Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Annual Revenue and Expenditure Report including Form FCR 12 FFA Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Exhibit H Overpayments Policy Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Exhibit S Safely Surrendered Baby Law Fact Sheet Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Exhibit U County’s Administration Exhibit V ISFC Contractor’s Administration Exhibit W Sample Report on Outside Employment Exhibit W-1 Sample Report on Conflict of Interest

APPLICABLE DOCUMENTS. 1.1 This Contract and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oralAttachment 1, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” and signed by both parties. 1.2 Exhibits A through A-17A, B, C through C-3C, D through D-4D, D1, D2, D3, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W-1 set forth below, and J are attached to and incorporated by reference in form a part of this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 Master Agreement. In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, schedule, or the contents or description of any task, deliverable, productgoods, serviceService, or other work Work, or otherwise between this Contractbase Master Agreement, Statement of Work, Attachments and Exhibits, or among between Attachments and Exhibits, said such conflict or inconsistency shall will be resolved by giving precedence first to this Master Agreement and then to the Contract, Statement of Work, Attachments and Attachments Exhibits according to the following priority: Exhibit A Attachment 1: Statement of Work Exhibit A-1 Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 Intentionally Left Blank Exhibit A-4 Intentionally Left Blank Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-7 Intentionally Left Blank Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Template Information Exhibit A-12 ApplicantA County’s Authorization for Release of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Exhibit A-17 Adoption License or MOU Administration Exhibit B Line Item budget Contractor’s Administration Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Annual Revenue and Expenditure Report including Form FCR 12 FFA Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Exhibit H Overpayments Policy Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Exhibit S Safely Surrendered Baby Law Fact Sheet Exhibit T County D Sample Work Order Exhibit D1 Subsequent Executed Work Orders Exhibit D2 Subsequent Scope of Los Angeles Contractor Employee Jury Service Program Certification Form Services Exhibit D3 Process for Receiving, Reviewing, and Accepting Deliverables Exhibit E Forms Required Before Work Begins (Code 2.203Certifications and Confidentiality Forms) Exhibit U County’s Administration F Contract Discrepancy Report Exhibit V ISFC Contractor’s Administration G Intentionally Omitted Exhibit W Sample Report on Outside Employment H A/E Fee Schedule Exhibit W-1 Sample Report on Conflict I Services Team Exhibit J Subcontractor Acknowledgement Form This Master Agreement, Attachments, and Exhibits hereto constitute the complete and exclusive statement of Interestunderstanding between the parties, and supersedes all previous Master Agreements, written and oral, and all communications between the parties relating to the subject matter of this Master Agreement. No change to this Master Agreement will be valid unless prepared pursuant to Paragraph 8.1 (Amendments and Change Notices) below and signed by authorized representatives of both parties.

APPLICABLE DOCUMENTS. 1.1 This Contract and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” and signed by both parties. 1.2 Exhibits A through A-17, B, C through C-3, D through D-4, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through and W-1 set forth below, are attached to and incorporated by reference in this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, schedule, contents or description of any task, deliverable, product, service, or other work between this Contract, Statement of Work, and Exhibits, or among Exhibits, said conflict or inconsistency shall be resolved by giving precedence first to the Contract, Statement of Work, and Attachments according to the following priority: Exhibit A Statement of Work Exhibit A-1 X-X Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 Intentionally Left Blank Exhibit A-4 Intentionally Left Blank Exhibit A-5 Special Incident Reporting reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-7 Intentionally Left Blank Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Template Information Exhibit A-12 Applicant’s Authorization for Release of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Exhibit A-17 Adoption License or MOU Exhibit B Line Item budget Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Annual Revenue and Expenditure Report including Including Form FCR 12 FFA Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Exhibit H Overpayments Policy Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Exhibit S Safely Surrendered Baby Law Fact Sheet Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Exhibit U County’s Administration Exhibit V ISFC Contractor’s Administration Exhibit W Sample Report on Outside Employment Exhibit W-1 Sample Report on Conflict of Interest

APPLICABLE DOCUMENTS. 1.1 This Contract and the Exhibits heretoA, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” and signed by both parties. 1.2 Exhibits A through A-17A1, B, C through C-3B1, D through D-4C, D, E, E1, F, G, G1, G2, G3, H, I, J, K, L, M, N, O, P, P1, Q, RQ1, S, T, U, V, W through W-1 set forth below, R and S are attached to and incorporated by reference in form a part of this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 . In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, schedule, or the contents or description of any task, deliverable, productgoods, service, or other work work, or otherwise between this Contract, Statement of Work, the base Contract and the Exhibits, or among between Exhibits, said such conflict or inconsistency shall be resolved by giving precedence first to the Contract, Statement of Work, Contract and Attachments then to the Exhibits according to the following priority: Exhibit . 1.1 EXHIBIT A - Probation Statement of Work Exhibit A-1 Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 (SOW) EXHIBIT A1 - Sheriff Statement of Work (SOW) 1.2 EXHIBIT B - Probation Pricing Sheet EXHIBIT B1 - Sheriff Pricing Sheet 1.3 EXHIBIT C - Intentionally Left Blank Exhibit A-4 Intentionally Left Blank Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-7 Intentionally Left Blank Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Template Information Exhibit A-12 ApplicantOmitted 1.4 EXHIBIT D - Contractor’s Authorization for Release EEO Certification 1.5 EXHIBIT E - Probation’s Administration EXHIBIT E1 - Sheriff’s Administration 1.6 EXHIBIT F - Contractor’s Administration 1.7 EXHIBIT G - Employee’s Acknowledgment of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Exhibit A-17 Adoption License or MOU Exhibit B Line Item budget Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Annual Revenue and Expenditure Report including Form FCR 12 FFA Exhibit D Employer EXHIBIT G1 - Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 EXHIBIT G2 - Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 EXHIBIT G3 - Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 Agreement 1.8 EXHIBIT H - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Exhibit H Overpayments Policy Exhibit Jury Service Ordinance 1.9 EXHIBIT I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Exhibit S - Safely Surrendered Baby Law Fact Sheet Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Exhibit U County’s Administration Exhibit V ISFC Law 1.10 EXHIBIT J - Contractor’s Administration Exhibit W Sample Report on Outside Employment Exhibit W-1 Sample Report on Conflict Obligations as a “Business Associate” Under the Health Insurance Portability and Accountability Act of Interest1996 (HIPAA) and the Health Information Technology for Economic and Clinical Health Act (HITECH) 1.11 EXHIBIT K - Charitable Contributions Certification

APPLICABLE DOCUMENTS. 1.1 This Contract and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” and signed by both parties. 1.2 Exhibits A through A-17A-XIII, B, C through C-3C-II, D D, D-I through D-4D-II, E, F, G, H, I, J, K through K-II, L, M, N, O, P, P-I, Q, R, S, T, U, V, W W, X, Y, Z, and AA through W-1 JJ-II set forth below, are attached to and incorporated by reference in this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, schedule, contents or description of any task, deliverable, product, service, or other work between this Contract, Statement of Work, and Exhibits, or among Exhibits, said conflict or inconsistency shall be resolved by giving precedence first to the Contract, Statement of Work, and Attachments according to the following priority: Exhibit A Statement of Work (ISFC) Exhibit A-1 X-X Xxxxxx Family Agency Reference Links Youth Bill of Rights Exhibit A-2 Service Delivery Sites Exhibit A-3 A-II Intentionally Left Blank Exhibit A-4 Intentionally Left Blank A-III Legal Rights of Teen in Out of Home Care Exhibit A-5 Special Incident Reporting Guide for FFAs A-IV Line Item Budget Exhibit A-6 FFA Monthly Utilization Report Template X-X Xxxxxx Youth Rights Exhibit A-7 Intentionally Left Blank A-Va Personal Rights – Children’s Residential Facilities (LIC. 613B) Exhibit A-10 Discharge A-VI Probation Case Plan Form (PROB 1385) and Xxxxxx Child’s Needs and Case Plan Summary for DCFS: Xxxxxx Family Agency (DCFS 709) Exhibit A-11 Provider A-VIa Needs and Services Plan/Quarterly Report Template Information Exhibit A-12 A-VII Clothing Standard Exhibit A-VIII Agency Placement Agreement (SOC 154a) Exhibit A-IX Special Incident Reporting Guide for Xxxxxx Family Agencies Exhibit A-X Requirements for Medical/Dental Exams for Placed Children Exhibit A-XI Psychotropic Medication: Authorization, Review and Monitoring for DCFS-Supervised Youth Exhibit A-XII Xxxxxx Family Agency Monthly Utilization Report Exhibit A-XIII Applicant’s Authorization for Release of Information Exhibit A-13 B Xxxxxx Family Agency’s Plan of Operations and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Exhibit A-17 Adoption License or MOU Exhibit B Line Item budget Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 – Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards and 2 CFR 1.100, title 2, Part 1 Exhibit C-1 C-I Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 C-II Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Annual Revenue and Expenditure Report including Form FCR 12 FFA Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor NonD-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 I Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Exhibit D-II Confidentiality of XXXX Information Exhibit E Annual Revenue and Expenditure Report (FCR 12 and SR 9) Exhibit F Health and Safety Code 1522 Exhibit G DCFS 4389 (4/94) Declaration in Support of Access to Juvenile Record (WIC 827) Including Additional Confidentiality Issues and CWS Handbook Procedural Guide 0080-503.00 Exhibit H Welfare and Institutions Code Section 16001.9 Exhibit I Welfare and Institutions Code Section 16010 and CWS Handbook Procedural Guide 0600-510.15 Exhibit J Statement of Dangerous Behaviors (DCFS) and California Department of Social Services Child Welfare Services CDSS CWS Manual, Section 31-405 Exhibit F K Xxxxxx Family Agency Rate Letter Exhibit K-I Xxxxxx Family Agency Facility License(s) Exhibit K-II Adoption License Exhibit L IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G M Payment Resolution Notification (COV 71) Exhibit H Overpayments Policy Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24March 5, 2014) Exhibit O Jury Service Program Certification and Los Angeles County Code 2.203 (Jury Service Program) Exhibit P Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit P-I Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit Q Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit R Charitable Contributions Certification Exhibit S Defaulted Property Tax Certification Form Exhibit T Federal Debarment and Suspension Certification Form Exhibit P U Contractor’s Compliance with Encryption Requirements Form Exhibit Q V Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of W Compliance with Background and Security Investigation Exhibit S X Safely Surrendered Baby Law Fact Sheet Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Y Overpayments Exhibit U Z County’s Administration Exhibit V ISFC AA Service Delivery Sites Exhibit BB Intentionally Left Blank Exhibit CC Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit DD Certification of Compliance with Adoption Requirements Exhibit EE Contractor’s Administration Exhibit W FF Intentionally Left Blank Exhibit GG Shared Responsibility Plan Instructions Exhibit HH Shared Responsibility Plan Exhibit II Intentionally Left Blank Exhibit JJ-I Sample Report on Outside Employment Exhibit W-1 JJ-II Sample Report on Conflict of Interest

APPLICABLE DOCUMENTS. 1.1 This Contract Exhibits X, X, X, X, X, X, X, X, X, X, X and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” and signed by both parties. 1.2 Exhibits A through A-17, B, C through C-3, D through D-4, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W-1 set forth below, L are attached to and incorporated by reference in form a part of this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 Master Agreement. In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, schedule, or the contents or description of any task, deliverable, productgoods, service, or other work work, or otherwise between this Contract, Statement of Work, the base Master Agreement and the Exhibits, or among between Exhibits, said such conflict or inconsistency shall be resolved by giving precedence first to the Contract, Statement of Work, Master Agreement and Attachments then to the Exhibits according to the following priority: : 1.1 Exhibit A Statement of Work Exhibit A-1 Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 Intentionally Left Blank Exhibit A-4 Intentionally Left Blank Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-7 Intentionally Left Blank Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Template Information Exhibit A-12 ApplicantCounty’s Authorization for Release of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Exhibit A-17 Adoption License or MOU Administration 1.2 Exhibit B Line Item budget Contractor’s Administration 1.3 Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Contractor’s EEO Certification 1.4 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook D Jury Service Ordinance 1.5 Exhibit C-2 Auditor-Controller/Department of Children and Family E Safely Surrendered Baby Law 1.6 Exhibit F Sample Request for Services/Probation Department Fiscal Audit Phases, Fiscal/Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Annual Revenue and Expenditure Report including Form FCR 12 FFA Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Work Order Formats 1.7 Exhibit G Payment Resolution Notification (COV 71) Forms Required For Each Request for Services/Work Order Before Work Begins 1.8 Exhibit H Overpayments Policy Forms Required at Completion of Each Request for Services/Work Order Involving Intellectual Property that is Developed/Designed by Contractor 1.9 Exhibit I Contractor’s Certification Business Associate Agreement under the Health Insurance Portability and Accountability Act of Compliance with Child, Spousal and Family Support Orders 1996 (“HIPAA”) 1.10 Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Subsequent Executed Requests for Services/Work Orders 1.11 Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification - SB 1262 – Nonprofit Integrity Act of 2004 1.12 Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract InvestigationL Ownership/Monitoring/Audit Remedies Controlling Interest Disclosure This Master Agreement and Procedures (As Amended on February 24the Exhibits hereto constitute the complete and exclusive statement of understanding between the parties, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification supersedes all previous Master Agreements, written and oral, and all communications between the parties relating to the subject matter of Compliance with Background this Master Agreement. No change to this Master Agreement shall be valid unless prepared pursuant to sub-paragraph 8.1 - Amendments and Security Investigation Exhibit S Safely Surrendered Baby Law Fact Sheet Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Exhibit U County’s Administration Exhibit V ISFC Contractor’s Administration Exhibit W Sample Report on Outside Employment Exhibit W-1 Sample Report on Conflict of Interestsigned by both parties.

APPLICABLE DOCUMENTS. 1.1 This Contract and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” ”, and signed by both parties. 1.2 Exhibits A through A-17AI-III, B, C through C-3C-II, D through D-4D, D-I, E, F, G, H, I, J, K-I, K-II, L, M, N, O, P, P-I, Q, R, S, T, U, V, W through W-1 W, X, Y, Z, AA, BB, CC, DD, EE, FF, GG, HH, II-I, II-II, JJ, KK, and LL set forth below, are attached to and incorporated by reference in this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, service, schedule, or contents or description of any task, deliverable, product, service, or other work a deliverable product between this Contract, Statement of Work, Contract and Exhibits, or among Exhibits, said conflict or inconsistency shall be resolved by giving precedence first to the this Contract, Statement of Work, and Attachments then to the Exhibits according to the following priority: Exhibit A Statement of Work (STRTP) Exhibit A-1 X-X Xxxxxx Family Agency Reference Links Youth Bill of Rights Exhibit A-2 Service Delivery Sites A-II Legal Rights of Teens in Out-of-Home Care Exhibit A-3 Intentionally Left Blank A-III Line Item Budget Exhibit A-4 Intentionally Left Blank A-IV Personal Rights – Children’s Residential Facilities Exhibit A-5 Special Incident Reporting Guide for FFAs A-V Probation Case Plan Form (PROB 1385) and Xxxxxx Child's Needs and Case Plan Summary (DCFS 709) Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-7 Intentionally Left Blank Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider A-Va Needs and Services Plan/Quarterly Report Template Information Exhibit A-12 Applicant’s Authorization A-VI Clothing Standard Exhibit A-VII Agency Placement Agreement Exhibit A-VIII Special Incident Reporting Guide for Release of Information Short-Term Residential Therapeutic Programs Exhibit A-13 A-IX Requirements for Medical/Dental Exams for Placed Children Exhibit A-X Psychotropic Medication: Authorization, Review and Monitoring for DCFS-Supervised Youth Exhibit A-XI Transitional Independent Living Plan and Agreement Exhibit A-XII Format For Brief Program Description Exhibit A-XIIIa Medical Examination Form DCFS 561(a) Exhibit A-XIIIb Dental Examination Form DCFS 561(b) Exhibit A-XIIIc Psychological/Other Examination Form DCFS 561(c) Exhibit AI-I SAFETY PERFORMANCE OUTCOME SUMMARY Exhibit AI-II ERMANENCY PERFORMANCE OUTCOME SUMMARY Exhibit AI-III ACCESS TO EFFECTIVE AND CARING SERVICES/WELL- BEING PERFORMANCE OUTCOME SUMMARY Exhibit B Short-Term Residential Therapeutic Program Xxxxxx Family Agency’s Care Plan of Operations Operation and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Exhibit A-17 Adoption License or MOU Exhibit B Line Item budget as approved by the California Department of Social Services Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), CFR Part 200 – Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards and 2 CFR 1.100, title Title 2, Part 1 1. Exhibit C-1 C-I Auditor-Controller Xxxxxx Family Agency Short-Term Residential Therapeutic Program Contract Accounting and Administration Handbook Exhibit C-2 C-II Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Fiscal Audits of Xxxxxx Family Agency Short-Term Residential Therapeutic Program Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Annual Revenue and Expenditure Report including Form FCR 12 FFA Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor NonD-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 I Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Semi-Annual Expenditure Report (SR 4 and SR 9) Exhibit F Health and Safety Code 1522 Exhibit G DCFS 4389 (4/94) Declaration in Support of Access to Juvenile Record (WIC 827) Including Additional Confidentiality Issues and CWS Handbook Procedural Guide 0500-501.20 Exhibit H Welfare and Institutions Code Section 16001.9 and Health and Safety Code, Section 1522.41(a-c) Exhibit I Welfare and Institutions Code Section 16010 and CWS Handbook Procedural Guide 0080-503.00 Exhibit J Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, CDSS CWS Manual Section 31-405 Exhibit F IRS Notice 1015 - K Intentionally Left Blank Exhibit K-I Short-Term Residential Therapeutic Program Rate Letter Exhibit K-II Short-Term Residential Therapeutic Program Facility License(s) Exhibit L Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G M Payment Resolution Notification Exhibit N Short-Term Residential Therapeutic Program Contract Investigation/Monitoring/Audit Remedies and Procedures Exhibit O Los Angeles County Code 2.203 (COV 71Jury Service Program Certification) Exhibit H Overpayments Policy Exhibit I P Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J P-I Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Q Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L R Intentionally Left Blank Exhibit S Safely Surrendered Baby Law Exhibit T Overpayments Exhibit U Short-Term Residential Therapeutic Program Cost Report, SR 3 Exhibit V Health and Safety Code, Sections 1180-1180.6 Exhibit W Contractor’s Certification of Compliance with Background and Security Investigations Exhibit X Discharge Outcome and Placement Stability Report Exhibit Y Target Demographics with Corresponding Rate Classification Levels Exhibit Z Charitable Contributions Certification Exhibit M AA County’s Administration Exhibit BB Service Delivery Sites Exhibit CC Family Visitation Plan Guidelines Exhibit DD Intentionally Left Blank Exhibit EE Intentionally Left Blank Exhibit FF Discharge Summary: Short-Term Residential Therapeutic Program Exhibit GG Contractor’s Administration Exhibit HH Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies and Procedures (As Amended II-I Sample Report on February 24, 2014) Outside Employment Activities Exhibit O II-II Sample Report on Conflict of Interest Exhibit JJ Federal Debarment and Suspension Certification Form Exhibit P KK Contractor’s Compliance with Encryption Requirements Form Exhibit Q LL Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Exhibit S Safely Surrendered Baby Law Fact Sheet Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Exhibit U County’s Administration Exhibit V ISFC Contractor’s Administration Exhibit W Sample Report on Outside Employment Exhibit W-1 Sample Report on Conflict of InterestForm

APPLICABLE DOCUMENTS. 1.1 This Contract Attachments 1, 1A, 1B, 1C, 1D, 1E, 1F, 1G and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” and signed by both parties. 1.2 Exhibits A through A-17A, B, C through C-3C, D through D-4D, E, F, GG1, G2, G3, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W-1 set forth below, and I are attached to and incorporated by reference in form a part of this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 Master Agreement. In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, schedule, or the contents or description of any task, deliverable, productgoods, service, or other work work, or otherwise between this Contract, Statement of Work, the base Master Agreement and the Attachments/Exhibits, or among between Attachments/Exhibits, said such conflict or inconsistency shall be resolved by giving precedence first to the Contract, Statement of Work, Master Agreement and Attachments then to the Attachments/Exhibits according to the following priority: Exhibit A : 1.1 Attachment 1 Statement of Work (SOW) 1.2 Attachment 1A Bureau/Unit Locations and Addresses 1.3 Attachment 1B Transcription Services Work Request 1.4 Attachment 1C Internal Affairs Bureau – Work Sample 1.5 Attachment 1D Special Victims Bureau and Fraud and Cyber Crimes Bureau– Work Sample 1.6 Attachment 1E Homicide Bureau – Work Sample 1.7 Attachment 1F Internal Criminal Investigations Bureau – Work Sample 1.8 Attachment 1G Contract Discrepancy Report 1.1 Exhibit A-1 Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 Intentionally Left Blank Exhibit A-4 Intentionally Left Blank Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-7 Intentionally Left Blank Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Template Information Exhibit A-12 ApplicantA County’s Authorization for Release of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Exhibit A-17 Adoption License or MOU Administration 1.2 Exhibit B Line Item budget Contractor’s Administration 1.3 Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Annual Revenue and Expenditure Report including Form FCR 12 FFA Contractor’s EEO Certification 1.4 Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Jury Service Ordinance 1.5 Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Exhibit H Overpayments Policy Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Exhibit S Safely Surrendered Baby Law Fact Sheet Law 1.6 Exhibit T County F Rate of Los Angeles Contractor Compensation 1.7 Exhibit G1 Certification of Employee Jury Service Program Status 1.8 Exhibit G2 Certification Form (Code 2.203) Exhibit U County’s Administration Exhibit V ISFC Contractor’s Administration Exhibit W Sample Report on Outside Employment Exhibit W-1 Sample Report on of No Conflict of InterestInterest 1.9 Exhibit G3 Contractor Acknowledgement and Confidentiality Agreement 1.10 Exhibit H Sample Invoice 1.11 Exhibit I Invoice Discrepancy Report This Master Agreement, including its Attachments and Exhibits constitute the complete and exclusive statement of understanding between the parties, and supersedes all previous agreements, written and oral, and all communications between the parties relating to the subject matter of this Master Agreement. No change to this Master Agreement shall be valid unless prepared pursuant to Paragraph 8.1 (Change Orders and Amendments) of this Master Agreement and signed by both parties.

APPLICABLE DOCUMENTS. 1.1 This The body of this documents (hereinafter “Base Contract”), including without limitation the Recitals hereto along with Exhibits A, B, D, E, F, G1, G2, G3, H, and I and all Attachments hereto, are all incorporated herein by reference and collectively form, and throughout and hereinafter are referred to as the “Contract.” In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, schedule, or the contents or description of any task, subtask, deliverable, goods, Service, or other Work, or otherwise between this Base Contract and the Exhibits and Attachments thereto, or between Exhibits and Attachments, such conflict or inconsistency shall be resolved by giving precedence first to this Base Contract and then to the Exhibits and Attachments according to the following descending priority. 1.1 Exhibit A - Statement of Work 1.2 Exhibit B - Price Sheet 1.3 Exhibit C - Intentionally Omitted 1.4 Exhibit D - Contractor’s EEO Certification 1.5 Exhibit E - County’s Administration 1.6 Exhibit F - Contractor’s Administration 1.7 Exhibit G1-IT Contractor Acknowledgement, Confidentiality, and Attachment A.1 – Glossary of Project Terminology Attachment A.2 – Performance Requirements Summary Chart Attachment A.3 – Contract Discrepancy Report Copyright Assignment Agreement Exhibit G2-IT Contractor Employee Acknowledgement, Confidentiality, and Copyright Assignment Agreement Exhibit G3-IT Contractor Non-Employee Acknowledgement, Confidentiality, and Copyright Assignment Agreement 1.8 Exhibit H - Jury Service Ordinance 1.9 Exhibit I - Safely Surrendered Baby Law This Contract, including all Exhibits and Attachments hereto, constitute constitutes the complete and exclusive statement of understanding between the parties, which and supersedes all previous Contractscontracts, written or and oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes Paragraph 8.1 (Change Notices and Amendments” ), and signed by authorized representative of both parties. 1.2 Exhibits A through A-17, B, C through C-3, D through D-4, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W-1 set forth below, are attached to and incorporated by reference in this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, schedule, contents or description of any task, deliverable, product, service, or other work between this Contract, Statement of Work, and Exhibits, or among Exhibits, said conflict or inconsistency shall be resolved by giving precedence first to the Contract, Statement of Work, and Attachments according to the following priority: Exhibit A Statement of Work Exhibit A-1 Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 Intentionally Left Blank Exhibit A-4 Intentionally Left Blank Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-7 Intentionally Left Blank Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Template Information Exhibit A-12 Applicant’s Authorization for Release of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Exhibit A-17 Adoption License or MOU Exhibit B Line Item budget Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Annual Revenue and Expenditure Report including Form FCR 12 FFA Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Exhibit H Overpayments Policy Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Exhibit S Safely Surrendered Baby Law Fact Sheet Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Exhibit U County’s Administration Exhibit V ISFC Contractor’s Administration Exhibit W Sample Report on Outside Employment Exhibit W-1 Sample Report on Conflict of Interest

APPLICABLE DOCUMENTS. 1.1 This Contract and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” Amendments and signed by both parties. 1.2 Exhibits A through A-17A-12a, B, C through C-3, D through D-4, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W, and W-1 set forth below, are attached to and incorporated by reference in this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, service, schedule, contents or description of any task, deliverable, product, service, or other work between this Contract, Statement of Work, and Exhibits, or among Exhibits, said conflict or inconsistency shall be resolved by giving precedence first to the Contract, Statement of Work, and Attachments then Exhibits according to the following priority: Exhibit A Statement of Work (FFA) Exhibit A-1 Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 Intentionally Left Blank Criminal Record Exemption Notification Exhibit A-4 Intentionally Left Blank Notification of Subsequent Arrest, Conviction, Probation or Parole Violation Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-6a FFA Monthly Newly Approved Resource Family/Disapproval Report Exhibit A-7 Intentionally Left Blank Safety Performance Outcome Summary Exhibit A-8 Permanency Performance Outcome Summary Exhibit A-9 Access to Effective and Caring Services/Well-Being Performance Outcome Summary Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Plan Template Information Exhibit A-12 Initial Intent to Use Notification Form Applicant’s Exhibit A-12a Authorization for Release of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations Operation and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Approval Letter Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Transfer of Medication Form Exhibit A-17 Adoption License or MOU Exhibit B Line Item budget Budget Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Fiscal Audits of Xxxxxx Family Agency FFA Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles LA County Annual Revenue and Expenditure Report including Form FCR 12 FFA Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Family Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Exhibit H Overpayments Overpayment Policy Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract InvestigationIvestigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Investigations Exhibit S Safely Surrendered Baby Law Fact Sheet Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Exhibit U County’s Administration Exhibit V ISFC FFA Contractor’s Administration Exhibit W Sample Report on Outside Employment Exhibit W-1 Sample Report on Conflict of Interest

APPLICABLE DOCUMENTS. 1.1 This Contract and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” ”, and signed by both parties. 1.2 Exhibits A through A-17A16, B, C through C-3, D through D-4D-3, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W-1 W, W-1, and X set forth below, are attached to and incorporated by reference in this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, service, schedule, contents contents, or description of any task, deliverable, product, service, or other work between this Contract, the Statement of Work, and the Exhibits, or among the Exhibits, said conflict or inconsistency shall be resolved by giving precedence first to the Contract, the Statement of Work, and Attachments then to the Exhibits according to the following priority: Exhibit A Statement of Work (STRTP) Exhibit A-1 Xxxxxx Family Agency STRTP Reference Links Exhibit A-2 STRTP Service Delivery Sites Exhibit A-3 Intentionally Left Blank Criminal Record Exemption Notification Exhibit A-4 Intentionally Left Blank Notification of Subsequent Arrest, Conviction, Probation, or Parole Violation Exhibit A-5 Special Incident Reporting Guide (SIR) for FFAs Xxxxxx Care Placement Services Providers Exhibit A-6 FFA STRTP Monthly Utilization Self-Report Template Exhibit A-7 Intentionally Left Blank Safety Performance Outcome Summary Exhibit A-8 Permanency Performance Outcome Summary Exhibit A-9 Access to Effective and Caring Services/Well-Being Performance Outcome Summary Exhibit A-10 STRTP Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Template Information Service Plan Exhibit A-12 Applicant’s Authorization for Release of Information Intentionally Left Blank Exhibit A-13 Xxxxxx Family Agency’s STRTP Plan of Operations Operation and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA STRTP Facility License(s) Exhibit A-15 ISFC FFA STRTP Rate Letter Exhibit A-16 Intentionally Left Blank Exhibit A-17 Adoption License or MOU Transfer of Medication Form Exhibit B Line Item budget Budget Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR)) Chapter I, Chapter II, Part 200 et. al and 2 CFR 1.100, title Title 2, Part 1 Exhibit C-1 Department of Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Fiscal Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Short-Term Residential Therapeutic Program Cost Report (Form SR 3) Exhibit C-4 Semi-Annual Expenditure Reports: Payroll and Fringe Benefit Report (Form SR 4) and Federal Revenue and Expenditure Report including Certification (Form FCR 12 FFA SR 9) Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Manual Section 31-31- 405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Exhibit H Overpayments Overpayment Policy Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Certification of Compliance with the County’s Defaulted Property Tax Certification Form Reduction Program Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Contractor’s Certification of Compliance with Background and Security Investigation Investigations Exhibit S Safely Surrendered Baby Law Fact Sheet Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Exhibit U County’s Administration Form Exhibit V ISFC Contractor’s Administration Form Exhibit W Sample Report on Outside Employment Activities Exhibit W-1 Sample Report on Conflict of InterestInterest Exhibit X Discharge Outcome and Placement Stability Report Exhibit Y Target Demographics with Corresponding Rate Classification Levels

APPLICABLE DOCUMENTS. 1.1 This Contract and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” ”, and signed by both parties. 1.2 Exhibits A through A-17A16, B, C through C-3, D through D-4D-3, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W-1 W, W-1, and X set forth below, are attached to and incorporated by reference in this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, service, schedule, contents contents, or description of any task, deliverable, product, service, or other work between this Contract, the Statement of Work, and the Exhibits, or among the Exhibits, said conflict or inconsistency shall be resolved by giving precedence first to the Contract, the Statement of Work, and Attachments then to the Exhibits according to the following priority: Exhibit A Statement of Work (STRTP) Exhibit A-1 Xxxxxx Family Agency STRTP Reference Links Exhibit A-2 STRTP Service Delivery Sites Exhibit A-3 Intentionally Left Blank Criminal Record Exemption Notification Exhibit A-4 Intentionally Left Blank Notification of Subsequent Arrest, Conviction, Probation, or Parole Violation Exhibit A-5 Special Incident Reporting Guide (SIR) for FFAs Xxxxxx Care Placement Services Providers Exhibit A-6 FFA STRTP Monthly Utilization Self-Report Template Exhibit A-7 Intentionally Left Blank Safety Performance Outcome Summary Exhibit A-8 Permanency Performance Outcome Summary Exhibit A-9 Access to Effective and Caring Services/Well-Being Performance Outcome Summary Exhibit A-10 STRTP Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Template Information Service Plan Exhibit A-12 Applicant’s Authorization for Release of Information Intentionally Left Blank Exhibit A-13 Xxxxxx Family Agency’s STRTP Plan of Operations Operation and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA STRTP Facility License(s) Exhibit A-15 ISFC FFA STRTP Rate Letter Exhibit A-16 Intentionally Left Blank Exhibit A-17 Adoption License or MOU Transfer of Medication Form Exhibit B Line Item budget Budget Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR)) Chapter I, Chapter II, Part 200 et. al and 2 CFR 1.100, title Title 2, Part 1 Exhibit C-1 Department of Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Fiscal Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Short-Term Residential Therapeutic Program Cost Report (Form SR 3) Exhibit C-4 Semi-Annual Expenditure Reports: Payroll and Fringe Benefit Report (Form SR 4) and Federal Revenue and Expenditure Report including Certification (Form FCR 12 FFA SR 9) Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Manual Section 31-31- 405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Exhibit H Overpayments Overpayment Policy Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Certification of Compliance with the County’s Defaulted Property Tax Certification Form Reduction Program Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Contractor’s Certification of Compliance with Background and Security Investigation Investigations Exhibit S Safely Surrendered Baby Law Fact Sheet Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Exhibit U County’s Administration Form Exhibit V ISFC Contractor’s Administration Form Exhibit W Sample Report on Outside Employment Activities Exhibit W-1 Sample Report on Conflict of InterestInterest Exhibit X Discharge Outcome and Placement Stability Report

APPLICABLE DOCUMENTS. 1.1 This Contract Attachment 1 and the Exhibits heretoX, constitute the complete X, X, X, X, X, X, X, X, X (attached) and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter Exhibit J (not attached) form a part of this ContractMaster Agreement. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” and signed by both parties. 1.2 Exhibits A through A-17, B, C through C-3, D through D-4, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W-1 set forth below, are attached to and incorporated by reference in this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, schedule, or the contents or description of any task, deliverable, productgoods, service, or other work work, or otherwise between this Contract, Statement of Work, the base Master Agreement and the Attachment/Exhibits, or among between Exhibits, said such conflict or inconsistency shall be resolved by giving precedence first to this Master Agreement and then to the Contract, Statement of Work, and Attachments Attachment/Exhibits according to the following priority: Exhibit A : 1.1 Attachment 1 – Statement of Work (SOW) 1.2 Exhibit A-1 Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 Intentionally Left Blank Exhibit A-4 Intentionally Left Blank Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-7 Intentionally Left Blank Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Template Information Exhibit A-12 ApplicantA County’s Authorization for Release of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Exhibit A-17 Adoption License or MOU Administration 1.3 Exhibit B Line Item budget Contractor’s Administration 1.4 Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Annual Revenue and Expenditure Report including Form FCR 12 FFA Contractor’s EEO Certification 1.5 Exhibit D Jury Service Ordinance 1.6 Exhibit E Safely Surrendered Baby Law 1.7 Exhibit F Sample Work Order 1.8 Exhibit G1 Certification of Employee Status Exhibit G2 Certification of No Conflict of Interest Exhibit G3 Contractor Acknowledgment Acknowledgement and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form G4 Intentionally Omitted Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) G5 Intentionally Omitted 1.9 Exhibit H Overpayments Policy Contract Discrepancy Report 1.10 Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Service Category Checklist 1.11 Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Subsequent Executed Work Orders (not attached) 1.12 Exhibit K Contractor’s Equal Employment Opportunity Application for Access to Custody Facilities This Master Agreement, including Attachment 1 and all Exhibits, constitute the complete and exclusive statement of understanding between the parties, and supersedes all previous agreements, written and oral, and all communications between the parties relating to the subject matter of this Master Agreement. No change to this Master Agreement shall be valid unless prepared pursuant to Paragraph 8.1 (EEOChange Orders and Amendments) Certification Exhibit L Charitable Contributions Certification Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies of this Master Agreement and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Exhibit S Safely Surrendered Baby Law Fact Sheet Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Exhibit U County’s Administration Exhibit V ISFC Contractor’s Administration Exhibit W Sample Report on Outside Employment Exhibit W-1 Sample Report on Conflict of Interestsigned by both parties.

APPLICABLE DOCUMENTS. 1.1 This Contract and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” Amendments and signed by both parties. 1.2 Exhibits A through A-17A-31, B, C through C-3, D through D-4, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W-1 W, W-1, X, Y, Z, and AA set forth below, are attached to and incorporated by reference in this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, service, schedule, contents or description of any task, deliverable, product, service, or other work between this Contract, Statement of Work, and Exhibits, or among Exhibits, said conflict or inconsistency shall be resolved by giving precedence first to the Contract, Statement of Work, and Attachments then Exhibits according to the following priority: Exhibit A Statement of Work (FFA) Exhibit A-1 Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 Intentionally Left Blank Criminal Record Exemption Notification Exhibit A-4 Intentionally Left Blank Notification of Subsequent Arrest, Conviction, Probation or Parole Violation Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-6a FFA Monthly Newly Approved Resource Family/Disapproval Report Exhibit A-7 Intentionally Left Blank Safety Performance Outcome Summary Exhibit A-8 Permanency Performance Outcome Summary Exhibit A-9 Access to Effective and Caring Services/Well-Being Performance Outcome Summary Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Plan Template Information Exhibit A-12 Applicant’s Child Wealfare History Review Form Exhibit A-12a Authorization for Release of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations Operation and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Approval Letter Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Transfer of Medication Form Exhibit A-17 Adoption License or MOU Exhibit A-18 Placement Coordinating Memorandum – Transgender Children/Non-Minor Dependants (NMD) in Out-of-Home Care Exhibit A-19 DCFS 561 (a) Medical Examination Form - Instructions Exhibit A-20 DCFS 561 (b) Dental Examination Form - Instructions Exhibit A-21 DCFS 561 (c) Psychological /Other Examination Form - Instructions Exhibit A-22 Shared Responsibility Plan - Instructions Exhibit A-23 Shared Responsibility Plan – Cover Sheet Exhibit A-24 DCFS 2281 Clothing Standard Exhibit A-25 LASC JUV010 Declaration in Support of Access to Juvenile Records Exhibit A-26 Grievance Review Hearing Request Exhibit A-27 Grievance Review Hearing Request (Spanish) Exhibit A-28 DCFS 709 Xxxxxx Child Needs and Case Plan Summary Exhibit A-29 Probation Child Welfare (PCW) Case Plan Exhibit A-30 Electronics For Youth in Residential Care Exhibit A-31 Administration of Opioid Antagonist Naloxone Hydrochloride Exhibit B Line Item budget Budget Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Fiscal Audits of Xxxxxx Family Agency FFA Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles LA County Annual Revenue and Expenditure Report including Form FCR 12 FFA Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Family Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Exhibit H Overpayments Overpayment Policy Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract InvestigationIvestigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Investigations Exhibit S Safely Surrendered Baby Law Fact Sheet Intentionally Left Blank Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Exhibit U County’s Administration Exhibit V ISFC FFA Contractor’s Administration Exhibit W Sample Report on Outside Employment Exhibit W-1 Sample Report on Conflict of InterestInterest Exhibit X Federal Award Information Exhibit Y Intentionally Omitted Exhibit Z Information Security and Privacy Requirements Exhibit AA Compliance with Fair Chance Employment Hiring Practices Certification

APPLICABLE DOCUMENTS. 1.1 This Contract Attachment 1 and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” and signed by both parties. 1.2 Exhibits A through A-17A, B, C through C-3C, D through D-4D, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W-1 set forth below, are attached to I (attached) and incorporated by reference in Exhibit J (not attached) form a part of this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 Master Agreement. In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, schedule, or the contents or description of any task, deliverable, productgoods, service, or other work work, or otherwise between this Contract, Statement of Work, the base Master Agreement and the Attachment/Exhibits, or among between Exhibits, said such conflict or inconsistency shall be resolved by giving precedence first to this Master Agreement and then to the Contract, Statement of Work, and Attachments Attachment/Exhibits according to the following priority: Exhibit A : 1.1 Attachment 1 – Statement of Work (SOW) 1.2 Exhibit A-1 Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 Intentionally Left Blank Exhibit A-4 Intentionally Left Blank Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-7 Intentionally Left Blank Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Template Information Exhibit A-12 ApplicantA County’s Authorization for Release of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Exhibit A-17 Adoption License or MOU Administration 1.3 Exhibit B Line Item budget Contractor’s Administration 1.4 Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Annual Revenue and Expenditure Report including Form FCR 12 FFA Contractor’s EEO Certification 1.5 Exhibit D Jury Service Ordinance 1.6 Exhibit E Safely Surrendered Baby Law 1.7 Exhibit F Sample Work Order 1.8 Exhibit G1 Certification of Employee Status Exhibit G2 Certification of No Conflict of Interest Exhibit G3 Contractor Acknowledgment Acknowledgement and Confidentiality Agreement Form Exhibit D-1 G4 Contractor Employee Acknowledgment Acknowledgement and Confidentiality Agreement Form Exhibit D-2 G5 Contractor Non-Employee Acknowledgment Acknowledgement and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Agreement 1.9 Exhibit H Overpayments Policy Contract Discrepancy Report 1.10 Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Service Category Checklist 1.11 Exhibit J Contractor’s Certification Subsequent Executed Work Orders (not attached) This Master Agreement, including Attachment 1 and all Exhibits, constitute the complete and exclusive statement of Compliance with understanding between the parties, and supersedes all Federal previous agreements, written and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity oral, and all communications between the parties relating to the subject matter of this Master Agreement. No change to this Master Agreement shall be valid unless prepared pursuant to Paragraph 8.1 (EEOChange Orders and Amendments) Certification Exhibit L Charitable Contributions Certification Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies of this Master Agreement and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Exhibit S Safely Surrendered Baby Law Fact Sheet Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Exhibit U County’s Administration Exhibit V ISFC Contractor’s Administration Exhibit W Sample Report on Outside Employment Exhibit W-1 Sample Report on Conflict of Interestsigned by both parties.

APPLICABLE DOCUMENTS. 1.1 This Contract and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” Amendments and signed by both parties. 1.2 Exhibits A through A-17X-00, BX, C through C-3X xxxxxxx X-0, D X through D-4, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W-1 W, W-1, X, Y, Z, and AA set forth below, are attached to and incorporated by reference in this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, service, schedule, contents or description of any task, deliverable, product, service, or other work between this Contract, Statement of Work, and Exhibits, or among Exhibits, said conflict or inconsistency shall be resolved by giving precedence first to the Contract, Statement of Work, and Attachments then Exhibits according to the following priority: Exhibit A Statement of Work (FFA) Exhibit A-1 Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 Intentionally Left Blank Criminal Record Exemption Notification Exhibit A-4 Intentionally Left Blank Notification of Subsequent Arrest, Conviction, Probation or Parole Violation Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-6a FFA Monthly Newly Approved Resource Family/Disapproval Report Exhibit A-7 Intentionally Left Blank Safety Performance Outcome Summary Exhibit A-8 Permanency Performance Outcome Summary Exhibit A-9 Access to Effective and Caring Services/Well-Being Performance Outcome Summary Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Plan Template Information Exhibit A-12 Applicant’s Child Welfare History Review Form Exhibit A-12a Authorization for Release of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations Operation and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Approval Letter Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Transfer of Medication Form Exhibit A-17 Adoption License or MOU Exhibit A-18 Placement Coordinating Memorandum – Transgender Children/Non-Minor Dependents (NMD) in Out-of-Home Care Exhibit A-19 DCFS 561 (a) Medical Examination Form - Instructions Exhibit A-20 DCFS 561 (b) Dental Examination Form - Instructions Exhibit A-21 DCFS 561 (c) Psychological /Other Examination Form - Instructions Exhibit A-22 Shared Responsibility Plan - Instructions Exhibit A-23 Shared Responsibility Plan – Cover Sheet Exhibit A-24 DCFS 2281 Clothing Standard Exhibit A-25 LASC JUV010 Declaration in Support of Access to Juvenile Records Exhibit A-26 Grievance Review Hearing Request Exhibit A-27 Grievance Review Hearing Request (Spanish) Exhibit A-28 DCFS 709 Xxxxxx Child Needs and Case Plan Summary Exhibit A-29 Probation Child Welfare (PCW) Case Plan Exhibit A-30 Electronics For Youth in Residential Care Exhibit B Line Item budget Budget Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Fiscal Audits of Xxxxxx Family Agency FFA Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles LA County Annual Revenue and Expenditure Report including Form FCR 12 FFA Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Family Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Exhibit H Overpayments Overpayment Policy Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract InvestigationIvestigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Investigations Exhibit S Safely Surrendered Baby Law Fact Sheet Intentionally Left Blank Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Exhibit U County’s Administration Exhibit V ISFC FFA Contractor’s Administration Exhibit W Sample Report on Outside Employment Exhibit W-1 Sample Report on Conflict of InterestInterest Exhibit X Federal Award Information Exhibit Y COVID-19 Vaccination Certification of Compliance Exhibit Z Information Security and Privacy Requirements Exhibit AA Compliance with Fair Chance Employment Hiring Practices Certification

APPLICABLE DOCUMENTS. 1.1 This Contract and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” ”, and signed by both parties. 1.2 Exhibits A through A-17A-31, B, C through C-3, D through D-4D-3, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W-1 W, W-1, X, Y, Z, AA, and BB set forth below, are attached to and incorporated by reference in this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, service, schedule, contents contents, or description of any task, deliverable, product, service, or other work between this Contract, the Statement of Work, and the Exhibits, or among the Exhibits, said conflict or inconsistency shall be resolved by giving precedence first to the Contract, the Statement of Work, and Attachments then to the Exhibits according to the following priority: Exhibit A Statement of Work (STRTP) Exhibit A-1 Xxxxxx Family Agency STRTP Reference Links Exhibit A-2 STRTP Service Delivery Sites Exhibit A-3 Intentionally Left Blank Criminal Record Exemption Notification Exhibit A-4 Intentionally Left Blank Notification of Subsequent Arrest, Conviction, Probation, or Parole Violation Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA STRTP Monthly Utilization Self-Report Template Exhibit A-7 Intentionally Left Blank Safety Performance Outcome Summary Exhibit A-8 Permanency Performance Outcome Summary Exhibit A-9 Access to Effective and Caring Services/Well-Being Performance Outcome Summary Exhibit A-10 STRTP Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Template Information Service Plan Exhibit A-12 Applicant’s Authorization for Release of Information Intentionally Left Blank Exhibit A-13 Xxxxxx Family Agency’s STRTP Plan of Operations Operation and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA STRTP Facility License(s) Exhibit A-15 ISFC FFA STRTP Rate Letter Exhibit A-16 Transfer of Medication Form Exhibit A-17 Intentionally Left Blank Exhibit A-17 Adoption License or MOU A-18 Placement Coordinating Memorandum – Transgender Children/Non-Minor Dependent in Out-of-Home Care Exhibit A-19 DCFS 561 (a) Medical Examination Form Exhibit A-20 DCFS 561 (b) Dental Examination Form Exhibit A-21 DCFS 561 (c) Psychological/Other Examination Form Exhibit A-22 Intentionally Left Blank Exhibit A-23 Intentionally Left Blank Exhibit A-24 DCFS 2281 Clothing Standard Exhibit A-25 LASC JUV010 Declaration in Support of Access to Juvenile Records Exhibit A-26 Intentionally Left Blank Exhibit A-27 Intentionally Left Blank Exhibit A-28 DCFS 709 Xxxxxx Child Needs and Case Plan Summary Exhibit A-29 Probation Child Welfare (PCW) Case Plan Exhibit A-30 Electronics for Youth In Residential Care Exhibit A-31 Administration of Opioid Antagonist Naloxone Hydrochloride Exhibit B Line Item budget Budget Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR)) Chapter I, Chapter II, Part 200 et. al and 2 CFR 1.100, title Title 2, Part 1 Exhibit C-1 Department of Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Fiscal Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Short-Term Residential Therapeutic Program Cost Report (Form SR 3) Exhibit C-4 Semi-Annual Expenditure Reports: Payroll and Fringe Benefit Report (Form SR 4) and Federal Revenue and Expenditure Report including Certification (Form FCR 12 FFA SR 9) Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Manual Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Exhibit H Overpayments Overpayment Policy Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Certification of Compliance with the County’s Defaulted Property Tax Certification Form Reduction Program Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Contractor’s Certification of Compliance with Background and Security Investigation Investigations Exhibit S Safely Surrendered Baby Law Fact Sheet Intentionally Left Blank Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Exhibit U County’s Administration Form Exhibit V ISFC Contractor’s Administration Form Exhibit W Sample Report on Outside Employment Activities Exhibit W-1 Sample Report on Conflict of InterestInterest Exhibit X Discharge Outcome and Placement Stability Report Exhibit Y Federal Award Information Exhibit Z Intentionally Omitted Exhibit AA Information Security and Privacy Requirements Exhibit BB Compliance with Fair Chance Employment Hiring Practices Certification

APPLICABLE DOCUMENTS. 1.1 This Contract and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” and signed by both parties. 1.2 Exhibits A through A-17, B, C through C-3, D through D-4, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W-1 W, W-1, X, Y, Z, and AA set forth below, are attached to and incorporated by reference in this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, schedule, contents or description of any task, deliverable, product, service, or other work between this Contract, Statement of Work, and Exhibits, or among Exhibits, said conflict or inconsistency shall be resolved by giving precedence first to the Contract, Statement of Work, and Attachments according to the following priority: Exhibit A Statement of Work Exhibit A-1 X-X Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 Intentionally Left Blank Exhibit A-4 Intentionally Left Blank Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-7 Intentionally Left Blank Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Template Information Exhibit A-12 Applicant’s Authorization for Release of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Exhibit A-17 Adoption License or MOU Exhibit B Line Item budget Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Annual Revenue and Expenditure Report including Including Form FCR 12 FFA Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Exhibit H Overpayments Policy Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Exhibit S Safely Surrendered Baby Law Fact Sheet Intentionally Left Blank Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Exhibit U County’s Administration Exhibit V ISFC Contractor’s Administration Exhibit W Sample Report on Outside Employment Exhibit W-1 Sample Report on Conflict of InterestInterest Exhibit X Federal Award Information Exhibit Y COVID-19 Vaccination Certification of Compliance Intentionally Omitted Exhibit Z Information Security and Privacy Requirements Exhibit AA Compliance with Fair Chance Employment Hiring Practices Certification

APPLICABLE DOCUMENTS. 1.1 This Contract Attachment 1 and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” and signed by both parties. 1.2 Exhibits A through A-17A, B, C through C-3C, D through D-4D, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W-1 set forth below, and G are attached to and incorporated by reference in this Contract. 1.3 The headings, page numbers, sectionsto, and sub-section numbers contained in Exhibits H and I (not attached) form a part of this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 Master Agreement. In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, schedule, or the contents or description of any task, deliverable, productgoods, service, or other work work, or otherwise between this Contract, Statement of Work, the base Master Agreement and the Attachment/Exhibits, or among between Attachment/Exhibits, said such conflict or inconsistency shall be resolved by giving precedence first to the Contract, Statement of Work, Master Agreement and Attachments then to the Attachment/Exhibits according to the following priority: Exhibit A : 1.1 ATTACHMENT 1 – Statement of Work Exhibit A-1 Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 Intentionally Left Blank Exhibit A-4 Intentionally Left Blank Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-7 Intentionally Left Blank Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Template Information Exhibit A-12 ApplicantWork 1.2 EXHIBIT A - County’s Authorization for Release of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Exhibit A-17 Adoption License or MOU Exhibit Administration 1.3 EXHIBIT B Line Item budget Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Annual Revenue and Expenditure Report including Form FCR 12 FFA Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Exhibit H Overpayments Policy Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Administration 1.4 EXHIBIT C - Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Exhibit S EEO Certification 1.5 EXHIBIT D - Jury Service Ordinance 1.6 EXHIBIT E - Safely Surrendered Baby Law Fact Law 1.7 EXHIBIT F - Sample Work Order Format 1.8 EXHIBIT G - Forms Required For Each Work Order Before Work Begins 1.9 EXHIBIT H - Subsequent Executed Work Orders (not attached to Model) 1.10 EXHIBIT I - Price Sheet Exhibit T County (not attached to Model) This Master Agreement and the Attachment/Exhibits hereto constitute the complete and exclusive statement of Los Angeles Contractor Employee Jury Service Program Certification Form understanding between the parties, and supersedes all previous Master Agreements, written and oral, and all communications between the parties relating to the subject matter of this Master Agreement. No change to this Master Agreement shall be valid unless prepared pursuant to Paragraph 8.1 (Code 2.203Change Orders and Amendments) Exhibit U County’s Administration Exhibit V ISFC Contractor’s Administration Exhibit W Sample Report on Outside Employment Exhibit W-1 Sample Report on Conflict of Interestand signed by both parties.

APPLICABLE DOCUMENTS. 1.1 This Contract and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” and signed by both parties. 1.2 Exhibits A through A-17, B, C through C-3, D through D-4, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W-1 W, W-1, X, Y, Z, and AA set forth below, are attached to and incorporated by reference in this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, schedule, contents or description of any task, deliverable, product, service, or other work between this Contract, Statement of Work, and Exhibits, or among Exhibits, said conflict or inconsistency shall be resolved by giving precedence first to the Contract, Statement of Work, and Attachments according to the following priority: Exhibit A Statement of Work Exhibit A-1 Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 Intentionally Left Blank Exhibit A-4 Intentionally Left Blank Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-7 Intentionally Left Blank Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Template Information Exhibit A-12 Applicant’s Authorization for Release of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Exhibit A-17 Adoption License or MOU Exhibit B Line Item budget Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Annual Revenue and Expenditure Report including Form FCR 12 FFA Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Exhibit H Overpayments Policy Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Exhibit S Safely Surrendered Baby Law Fact Sheet Intentionally Left Blank Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Exhibit U County’s Administration Exhibit V ISFC Contractor’s Administration Exhibit W Sample Report on Outside Employment Exhibit W-1 Sample Report on Conflict of InterestInterest Exhibit X Federal Award Information Exhibit Y Intentionally Omitted Exhibit Z Information Security and Privacy Requirements Exhibit AA Compliance with Fair Chance Employment Hiring Practices Certification

APPLICABLE DOCUMENTS. 1.1 This Contract and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” Amendments and signed by both parties. 1.2 Exhibits A through A-17A-12a, B, C through C-3, D through D-4, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W, and W-1 set forth below, are attached to and incorporated by reference in this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, service, schedule, contents or description of any task, deliverable, product, service, or other work between this Contract, Statement of Work, and Exhibits, or among Exhibits, said conflict or inconsistency shall be resolved by giving precedence first to the Contract, Statement of Work, and Attachments then Exhibits according to the following priority: Exhibit A Statement of Work (FFA) Exhibit A-1 Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 Intentionally Left Blank Criminal Record Exemption Notification Exhibit A-4 Intentionally Left Blank Notification of Subsequent Arrest, Conviction, Probation or Parole Violation Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-6a FFA Monthly Newly Approved Resource Family/Disapproval Report Exhibit A-7 Intentionally Left Blank Safety Performance Outcome Summary Exhibit A-8 Permanency Performance Outcome Summary Exhibit A-9 Access to Effective and Caring Services/Well-Being Performance Outcome Summary Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Plan Template Information Exhibit A-12 Applicant’s Child Wealfare History Review Form Exhibit A-12a Authorization for Release of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations Operation and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Approval Letter Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Transfer of Medication Form Exhibit A-17 Adoption License or MOU Exhibit A-18 Placement Coordinating Memorandum – Transgender Children/Non-Minor Dependants (NMD) in Out-of-Home Care Exhibit B Line Item budget Budget Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Fiscal Audits of Xxxxxx Family Agency FFA Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles LA County Annual Revenue and Expenditure Report including Form FCR 12 FFA Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Family Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Exhibit H Overpayments Overpayment Policy Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract InvestigationIvestigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Exhibit S Safely Surrendered Baby Law Fact Sheet Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Exhibit U County’s Administration Exhibit V ISFC FFA Contractor’s Administration Exhibit W Sample Report on Outside Employment Exhibit W-1 Sample Report on Conflict of Interest

APPLICABLE DOCUMENTS. 1.1 This Contract Exhibits X, X, X, X, X, X, X, X, X, X, X and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” and signed by both parties. 1.2 Exhibits A through A-17, B, C through C-3, D through D-4, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W-1 set forth below, L are attached to and incorporated by reference in form a part of this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 Master Agreement. In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, schedule, or the contents or description of any task, deliverable, productgoods, service, or other work work, or otherwise between this Contract, Statement of Work, the base Master Agreement and the Exhibits, or among between Exhibits, said such conflict or inconsistency shall be resolved by giving precedence first to the Contract, Statement of Work, Master Agreement and Attachments then to the Exhibits according to the following priority: : 1.1 Exhibit A Statement of Work Exhibit A-1 Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 Intentionally Left Blank Exhibit A-4 Intentionally Left Blank Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-7 Intentionally Left Blank Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Template Information Exhibit A-12 ApplicantCounty’s Authorization for Release of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Exhibit A-17 Adoption License or MOU Administration 1.2 Exhibit B Line Item budget Contractor’s Administration 1.3 Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Contractor’s EEO Certification 1.4 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook D Jury Service Ordinance 1.5 Exhibit C-2 Auditor-Controller/Department of Children and Family E Safely Surrendered Baby Law 1.6 Exhibit F Sample Request for Services/Probation Department Fiscal Audit Phases, Fiscal/Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Annual Revenue and Expenditure Report including Form FCR 12 FFA Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Work Order Formats 1.7 Exhibit G Payment Resolution Notification (COV 71) Forms Required For Each Request for Services/Work Order Before Work Begins 1.8 Exhibit H Overpayments Policy Forms Required at Completion of Each Request for Services/Work Order Involving Intellectual Property that is Developed/Designed by Contractor 1.9 Exhibit I Contractor’s Certification Business Associate Agreement under the Health Insurance Portability and Accountability Act of Compliance with Child, Spousal and Family Support Orders 1996 (“HIPAA”) 1.10 Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Subsequent Executed Requests for Services/Work Orders 1.11 Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification - SB 1262 – Nonprofit Integrity Act of 2004 1.12 Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract InvestigationL Ownership/Monitoring/Audit Remedies Controlling Interest Disclosure This Master Agreement and Procedures (As Amended on February 24the Exhibits hereto constitute the complete and exclusive statement of understanding between the parties, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification supersedes all previous Master Agreements, written and oral, and all communications between the parties relating to the subject matter of Compliance with Background this Master Agreement. No change to this Master Agreement shall be valid unless prepared pursuant to sub-paragraph 8.1 - Amendments and Security Investigation Exhibit S Safely Surrendered Baby Law Fact Sheet Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Exhibit U County’s Administration Exhibit V ISFC Contractor’s Administration Exhibit W Sample Report on Outside Employment Exhibit W-1 Sample Report on Conflict of Interestsigned by both parties.

APPLICABLE DOCUMENTS. 1.1 This Contract ‌ Attachment 1 and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” and signed by both parties. 1.2 Exhibits A through A-17A, B, C through C-3C, D through D-4D, E, F, G, HH1, IH2, JH3, K, L, M, N, O, P, Q, R, S, T, U, V, W through W-1 set forth below, and I are attached to and incorporated by reference in form a part of this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 Master Agreement. In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, schedule, or the contents or description of any task, deliverable, productgoods, serviceService, or other work Work, or otherwise between this Contractbase Master Agreement, Statement of Work, Attachments and Exhibits, or among between Attachments and Exhibits, said such conflict or inconsistency shall will be resolved by giving precedence first to the Contract, Statement of Work, this Master Agreement and Attachments according then to the following priorityAttachment and Exhibits: Exhibit A Attachment 1 Statement of Work Exhibit A-1 Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 Intentionally Left Blank Exhibit A-4 Intentionally Left Blank Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-7 Intentionally Left Blank Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Template Information Exhibit A-12 ApplicantA County’s Authorization for Release of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Exhibit A-17 Adoption License or MOU Administration Exhibit B Line Item budget Contractor’s Administration Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Annual Revenue and Expenditure Report including Form FCR 12 FFA Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Exhibit H Overpayments Policy Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Exhibit S Safely Surrendered Baby Law Fact Sheet Exhibit T County D Contract Discrepancy Report Exhibit E Invoice Discrepancy Report Exhibit F Personnel Job Classifications Exhibit G Sample Work Order Exhibit H1 Certification of Los Angeles Contractor Employee Jury Service Program Status Exhibit H2 Certification Form (Code 2.203) Exhibit U County’s Administration Exhibit V ISFC Contractor’s Administration Exhibit W Sample Report on Outside Employment Exhibit W-1 Sample Report on of No Conflict of InterestInterest Exhibit H3 Contractor Acknowledgement and Confidentiality Agreement Exhibit I Job Classification Checklist (Not attached to Model Master Agreement; see Appendix B (Required Forms) of the RFSQ) This Master Agreement, Attachment, and the Exhibits hereto constitute the complete and exclusive statement of understanding between the parties, and supersedes all previous Master Agreements, written and oral, and all communications between the parties relating to the subject matter of this Master Agreement. No change to this Master Agreement will be valid unless prepared pursuant to Paragraph 8.1 (Amendments and Change Notices) and signed by both parties.

APPLICABLE DOCUMENTS. 1.1 This Contract Attachment 1 and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” and signed by both parties. 1.2 Exhibits A through A-17A, B, C through C-3C, D through D-4D, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W-1 set forth below, and I are attached to and incorporated by reference in form a part of this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 Master Agreement. In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, schedule, or the contents or description of any task, deliverable, productgoods, serviceService, or other work Work, or otherwise between this Contractbase Master Agreement, Statement of WorkAttachments, and Exhibits, or among between Attachments and Exhibits, said such conflict or inconsistency shall will be resolved by giving precedence first to this Master Agreement and then to the Contract, Statement of Work, Attachments and Attachments Exhibits according to the following priority: Exhibit A Attachment 1 Statement of Work Exhibit A-1 Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 Intentionally Left Blank Exhibit A-4 Intentionally Left Blank Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-7 Intentionally Left Blank Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Template Information Exhibit A-12 Applicant’s Authorization for Release of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Exhibit A-17 Adoption License or MOU A &RXQW\¶V $GPLQLVWUDWLRQ Exhibit B Line Item budget &RQWUDFWRU¶V $GPLQLVWUDWLRQ Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Annual Revenue and Expenditure Report including Form FCR 12 FFA Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Exhibit H Overpayments Policy Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Exhibit S Safely Surrendered Baby Law Fact Sheet Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form D Sample Work Order Exhibit E Forms Required Before Work Begins (Code 2.203Certifications and Confidentiality Forms) Exhibit U County’s Administration F Contract Discrepancy Report Exhibit V ISFC Contractor’s Administration G Subsequent Executed Work Orders Exhibit W Sample Report on Outside Employment H 9HQGRU¶V 6HUYLFH &DWHJRU\ &KHFNOL Exhibit W-1 Sample Report on Conflict I Price Sheet (Parts, Components, and/or Raw Materials) This Master Agreement, Attachments, and Exhibits hereto constitute the complete and exclusive statement of Interestunderstanding between the parties, and supersedes all previous Master Agreements, written and oral, and all communications between the parties relating to the subject matter of this Master Agreement. No change to this Master Agreement will be valid unless prepared pursuant to Paragraph 8.1 (Amendments and Change Notices) below and signed by authorized representatives of both parties.

APPLICABLE DOCUMENTS. 1.1 This Contract and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” and signed by both parties. 1.2 ‌ Exhibits A through A-17, B, C through C-3, D through D-4, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W-1 set forth below, I are attached to and incorporated by reference in form a part of this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 Master Agreement. In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, schedule, or the contents or description of any task, deliverable, productgoods, service, or other work work, or otherwise between this Contract, Statement of Work, the base Master Agreement and the Exhibits, or among between Exhibits, said such conflict or inconsistency shall will be resolved by giving precedence first to the Contract, Statement of Work, Master Agreement and Attachments then to the Exhibits according to the following priority: Exhibit A Statement of Work Exhibit A-1 Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 Intentionally Left Blank Exhibit A-4 Intentionally Left Blank Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-7 Intentionally Left Blank Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and As-Needed Services Plan/Quarterly Report Template Information Exhibit A-12 Applicant’s Authorization for Release of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Exhibit A-17 Adoption License or MOU Exhibit B Line Item budget County’s and Contractor’s Administration Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Annual Revenue and Expenditure Report including Form FCR 12 FFA Safely Surrendered Baby Law Exhibit D Billing and Payment Exhibit E-1 Certification of Employee Status Exhibit E-2 Certification of No Conflict of Interest Exhibit E-3 Contractor Acknowledgement and Confidentiality Agreement Exhibit E-4 Intentionally Omitted Exhibit E-5 Contractor Psychiatrist/Nonemployee Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Intentionally Omitted Exhibit G Payment Resolution Notification (COV 71) Business Associate Agreement Under HIPAA Exhibit H Overpayments Policy Intentionally Omitted Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies This Master Agreement and Procedures Exhibits hereto constitute the complete and exclusive statement of understanding between the parties, and supersedes all previous Master Agreements, written and oral, and all communications between the parties relating to the subject matter of this Master Agreement. No change to this Master Agreement will be valid unless prepared pursuant to Paragraph 8.1 (As Amended on February 24, 2014Amendments) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Exhibit S Safely Surrendered Baby Law Fact Sheet Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Exhibit U County’s Administration Exhibit V ISFC Contractor’s Administration Exhibit W Sample Report on Outside Employment Exhibit W-1 Sample Report on Conflict of Interestsigned by both parties.

APPLICABLE DOCUMENTS. 1.1 This Contract and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” ”, and signed by both parties. 1.2 Exhibits A through A-17A-XIIIc, B, C through C-3C-III, D through D-4D, E, F, G, H, I, J, K-I, K-II, L, M, N, O, P, P-I, Q, R, S, T, U, V, W through W-1 W, X, Y, Z, AA, BB, CC, DD, EE, FF, GG, HH, II-I and II-II set forth below, are attached to and incorporated by reference in this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, service, schedule, or contents or description of any task, deliverable, product, service, or other work a deliverable product between this Contract, Statement of Work, Contract and Exhibits, or among Exhibits, said conflict or inconsistency shall be resolved by giving precedence first to the this Contract, Statement of Work, and Attachments then to the Exhibits according to the following priority: Exhibit A Statement of Work Exhibit A-1 X-X Xxxxxx Family Agency Reference Links Youth Xxxx of Rights Exhibit A-2 Service Delivery Sites A-II Legal Rights of Teens in Out-of-Home Care Exhibit A-3 A-III Intentionally Left Blank Exhibit A-4 Intentionally Left Blank A-IV Personal Rights – Children’s Residential Facilities Exhibit A-5 Special Incident Reporting Guide for FFAs A-V Probation Case Plan Form (PROB 1385) and Xxxxxx Child's Needs and Case Plan Summary (DCFS 709) Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-7 Intentionally Left Blank Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider A-Va Needs and Services Plan/Quarterly Report Template Information Exhibit A-12 Applicant’s Authorization A-VI Clothing Standard Exhibit A-VII Agency Placement Agreement Exhibit A-VIII Special Incident Reporting Guide for Release of Information Group Homes Exhibit A-13 A-IX Requirements for Medical/Dental Exams for Placed Children Exhibit A-X Psychotropic Medication: Authorization, Review and Monitoring for DCFS-Supervised Youth Exhibit A-XI Transitional Independent Living Plan and Agreement Exhibit A-XII Format For Brief Program Description Exhibit A-XIIIa Medical Examination Form DCFS 561(a) Exhibit A-XIIIb Dental Examination Form DCFS 561(b) Exhibit A-XIIIc Psychological/Other Examination Form DCFS 561(c) Exhibit B Group Home Xxxxxx Family Agency’s Plan of Operations and Care Program Statement as approved by the California Department of Social Services Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 C Intentionally Left Blank Exhibit A-17 Adoption License or MOU Exhibit B Line Item budget Exhibit C Ca Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Super-Circular Exhibit C-1 C-I Intentionally Left Blank Exhibit C-IA Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook (March 2014: SB 84 compliant) Exhibit C-2 AuditorC-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors II Intentionally Left Blank Exhibit C-3 Los Angeles County Annual Revenue and Expenditure Report including Form FCR 12 FFA C-III Line Item Budget Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Semi-Annual Expenditure Report (SR 4 and SR 9) Exhibit F Health and Safety Code Section 1522 Exhibit G DCFS 4389 (4/94) Declaration in Support of Access to Juvenile Record (WIC 827) Including Additional Confidentiality Issues and CWS Handbook Procedural Guide 0500-501.20 Exhibit H Welfare and Institutions Code Section 16001.9 and Health and Safety Code, Section 1522.41(a-c) Exhibit I Welfare and Institutions Code Section 16010 and CWS Handbook Procedural Guide 0080-503.00 Exhibit J Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, CDSS CWS Manual Section 31-405 Exhibit F IRS Notice 1015 - K Intentionally Left Blank Exhibit K-I Group Home Rate Classification Letter and/or Regional Center Vendor Authorization Letter Exhibit K-II Group Home Facility License(s) Exhibit L Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G M Payment Resolution Notification Exhibit N Group Home Contract Investigation/Monitoring/Audit Remedies and Procedures Exhibit O Los Angeles County Code 2.203 (COV 71Jury Service Program Certification) Exhibit H Overpayments Policy Exhibit I P Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J P-I Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Q Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L R FYI 02-08 Quality of Life Exhibit S Safely Surrendered Baby Law Exhibit T Overpayments Exhibit U Group Home Program Cost Report, SR 3 Exhibit V Health and Safety Code, Sections 1180-1180.6 Exhibit W Intentionally Left Blank Exhibit X Discharge Outcome and Placement Stability Report Exhibit Y Target Demographics with Corresponding Rate Classification Levels Exhibit Z Charitable Contributions Certification Exhibit M AA County’s Administration Exhibit BB Service Delivery Sites Exhibit CC Family Visitation Plan Guidelines Exhibit DD Intentionally Left Blank Exhibit EE Intentionally Left Blank Exhibit FF Discharge Summary: Group Home Exhibit GG Contractor’s Administration Exhibit HH Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Exhibit S Safely Surrendered Baby Law Fact Sheet Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Exhibit U County’s Administration Exhibit V ISFC Contractor’s Administration Exhibit W II-I Sample Report on Outside Employment Exhibit W-1 II-II Sample Report on Conflict of Interest

APPLICABLE DOCUMENTS. 1.1 This Contract and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” ”, and signed by both parties. 1.2 Exhibits A through A-17X-00, BX, C X xxxxxxx X-0, X through C-3, D through D-4D-3, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W-1 W, W-1, and X set forth below, are attached to and incorporated by reference in this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, service, schedule, contents contents, or description of any task, deliverable, product, service, or other work between this Contract, the Statement of Work, and the Exhibits, or among the Exhibits, said conflict or inconsistency shall be resolved by giving precedence first to the Contract, the Statement of Work, and Attachments then to the Exhibits according to the following priority: Exhibit A Statement of Work (STRTP) Exhibit A-1 Xxxxxx Family Agency STRTP Reference Links Exhibit A-2 STRTP Service Delivery Sites Exhibit A-3 Intentionally Left Blank Criminal Record Exemption Notification Exhibit A-4 Intentionally Left Blank Notification of Subsequent Arrest, Conviction, Probation, or Parole Violation Exhibit A-5 Special Incident Reporting Guide (SIR) for FFAs Xxxxxx Care Placement Services Providers Exhibit A-6 FFA STRTP Monthly Utilization Self-Report Template Exhibit A-7 Intentionally Left Blank Safety Performance Outcome Summary Exhibit A-8 Permanency Performance Outcome Summary Exhibit A-9 Access to Effective and Caring Services/Well-Being Performance Outcome Summary Exhibit A-10 STRTP Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Template Information Service Plan Exhibit A-12 Applicant’s Authorization for Release of Information Intentionally Left Blank Exhibit A-13 Xxxxxx Family Agency’s STRTP Plan of Operations Operation and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA STRTP Facility License(s) Exhibit A-15 ISFC FFA STRTP Rate Letter Exhibit A-16 Transfer of Medication Form Exhibit A-17 Intentionally Left Blank Exhibit A-17 Adoption License or MOU A-18 Placement Coordinating Memorandum – Transgender Children/Non-Minor Dependent in Out-of-Home Care Exhibit B Line Item budget Budget Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR)) Chapter I, Chapter II, Part 200 et. al and 2 CFR 1.100, title Title 2, Part 1 Exhibit C-1 Department of Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Fiscal Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Short-Term Residential Therapeutic Program Cost Report (Form SR 3) Exhibit C-4 Semi-Annual Expenditure Reports: Payroll and Fringe Benefit Report (Form SR 4) and Federal Revenue and Expenditure Report including Certification (Form FCR 12 FFA SR 9) Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Manual Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Exhibit H Overpayments Overpayment Policy Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Certification of Compliance with the County’s Defaulted Property Tax Certification Form Reduction Program Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Contractor’s Certification of Compliance with Background and Security Investigation Investigations Exhibit S Safely Surrendered Baby Law Fact Sheet Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Exhibit U County’s Administration Form Exhibit V ISFC Contractor’s Administration Form Exhibit W Sample Report on Outside Employment Activities Exhibit W-1 Sample Report on Conflict of InterestInterest Exhibit X Discharge Outcome and Placement Stability Report

APPLICABLE DOCUMENTS. 1.1 This Contract Agreement, and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contractsagreements, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” and signed by both partiesAgreement. 1.2 Exhibits A through A-17A, B, C through C-3C, D through D-4D, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W-1 and L set forth below, below are attached to and incorporated by reference in this ContractAgreement. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, service, schedule, or contents or description of any task, deliverable, product, service, or other work a deliverable product between this Contract, Statement of Work, Agreement and Exhibits, or among Exhibits, said conflict or inconsistency shall be resolved by giving precedence first to the Contract, Statement of WorkAgreement, and Attachments then to the Exhibits according to the following priority: Exhibit A Statement -Statement of Work Exhibit A-1 Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 Intentionally Left Blank Exhibit A-4 Intentionally Left Blank Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-7 Intentionally Left Blank Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Template Information Exhibit A-12 Applicant’s Authorization for Release of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Exhibit A-17 Adoption License or MOU Exhibit B Line Item budget -Budget Exhibit C Office of Management -Job and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Annual Revenue and Expenditure Report including Form FCR 12 FFA Performance Requirement Summary Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality -Certification of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Independent Price Determination Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Exhibit H Overpayments Policy Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor-Contractor’s Equal Employment Employee Opportunity (EEO) Certification Exhibit L Charitable Contributions F -Community Business Enterprise Form (CBE) Exhibit G -Employee Acknowledgment and Confidentiality Agreement Exhibit H -Auditor-Controller Contract Accounting and Operating Handbook Exhibit I -Office of Management and Budget Circular (OMB) A-87 Exhibit J -Office of Management and Budget Circular (OMB) A-122 Exhibit K -County’s Child Support Compliance Program Certification Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Exhibit S Safely Surrendered Baby Law Fact Sheet Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Exhibit U County’s Administration Exhibit V ISFC Contractor’s Administration Exhibit W Sample Report on Outside Employment Exhibit W-1 Sample Report on Conflict of InterestL -Federal Earned Income Credit Notice

APPLICABLE DOCUMENTS. 1.1 This Contract and the Exhibits heretoX, constitute the complete and exclusive statement of understanding between the partiesX, which supersedes all previous ContractsX, written or oralX, X, X (X0, X0), X (X0, X0, X0), and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” and signed by both parties. 1.2 Exhibits A through A-17, B, C through C-3, D through D-4, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W-1 set forth below, H are attached to and incorporated by reference in form a part of this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 Master Agreement. In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, schedule, or the contents or description of any task, deliverable, productgoods, service, or other work work, or otherwise between this Contract, Statement of Work, the base Master Agreement and the Exhibits, or among between Exhibits, said such conflict or inconsistency shall be resolved by giving precedence first to the Contract, Statement of Work, Master Agreement and Attachments then to the Exhibits according to the following priority: : 1.1 Exhibit A Statement of Work Exhibit A-1 Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 Intentionally Left Blank Exhibit A-4 Intentionally Left Blank Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-7 Intentionally Left Blank Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Template Information Exhibit A-12 ApplicantCounty’s Authorization for Release of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Exhibit A-17 Adoption License or MOU Administration 1.2 Exhibit B Line Item budget Contractor’s Administration 1.3 Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Annual Revenue and Expenditure Report including Form FCR 12 FFA Contractor’s EEO Certification 1.4 Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Jury Service Ordinance 1.5 Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Exhibit H Overpayments Policy Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Exhibit S Safely Surrendered Baby Law Fact Sheet Law 1.6 Exhibit T County F Work Order Format (Fixed Price Per Deliverable Basis) F1 Master Agreement Work Order As-Needed Technical Staffing Services F2 Master Agreement Work Order As-Needed Non-Technical Staffing Services 1.7 Exhibit G Forms Required for Each Work Order Before Work Begins G1 Certification of Los Angeles Contractor Employee Jury Service Program Status G2 Certification Form (Code 2.203) Exhibit U County’s Administration Exhibit V ISFC Contractor’s Administration Exhibit W Sample Report on Outside Employment Exhibit W-1 Sample Report on of No Conflict of InterestInterest G3 Contractor Acknowledgement and Confidentiality Agreement 1.8 Exhibit H As-Needed Temporary Staffing Services Classification Pricing Schedule This Master Agreement and the Exhibits hereto constitute the complete and exclusive statement of understanding between the parties, and supersedes all previous Master Agreements, written and oral, and all communications between the parties relating to the subject matter of this Master Agreement. No change to this Master Agreement shall be valid unless prepared pursuant to sub-paragraph 8.1 - Amendments and signed by both parties.

APPLICABLE DOCUMENTS. 1.1 This Contract and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” and signed by both parties. 1.2 Exhibits A through A-17A, B, C through C-3C, D through D-4D, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V, W through W-1 set forth below, and J are attached to and incorporated by reference in form a part of this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 Master Agreement. In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, schedule, or the contents or description of any task, deliverable, productgoods, service, or other work work, or otherwise between this Contract, Statement of Work, the base Master Agreement and the Exhibits, or among between Exhibits, said such conflict or inconsistency shall be resolved by giving precedence first to the Contract, Statement of Work, Master Agreement and Attachments then to the Exhibits according to the following priority: Exhibit A Statement of Work Exhibit A-1 Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 Intentionally Left Blank Exhibit A-4 Intentionally Left Blank Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-7 Intentionally Left Blank Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Template Information Exhibit A-12 ApplicantCounty’s Authorization for Release of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Exhibit A-17 Adoption License or MOU Administration Exhibit B Line Item budget Contractor’s Administration Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family Services/Probation Department Fiscal Audit Phases, Fiscal/Audits of Xxxxxx Family Agency Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles County Annual Revenue and Expenditure Report including Form FCR 12 FFA Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Exhibit H Overpayments Policy Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract Investigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Exhibit S Safely Surrendered Baby Law Fact Sheet Exhibit T County D Intentionally Omitted Exhibit E Forms Required For Each Awarded Contract/Work Order Before Work Begins (COVID-19 Vaccination Certification of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203Compliance, Certifications, and Confidentiality Forms) Exhibit U County’s Administration F Forms Required at Completion of Each Awarded Contract/Work Order Involving Intellectual Property that is Developed/Designed by Contractor Exhibit V ISFC Contractor’s Administration G Business Associate Agreement under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) Exhibit W Sample Report on Outside Employment H Subsequent Executed Contracts/Work Orders EXHIBIT I Charitable Contributions Certification - SB 1262 – Nonprofit Integrity Act of 2004 Exhibit W-1 Sample Report on Conflict J Information Security and Privacy Requirements This Master Agreement and the Exhibits hereto constitute the complete and exclusive statement of Interestunderstanding between the parties, and supersedes all previous Master Agreements, written and oral, and all communications between the parties relating to the subject matter of this Master Agreement. No change to this Master Agreement shall be valid unless prepared pursuant to Paragraph 8.1 (Amendments) and signed by both parties.

APPLICABLE DOCUMENTS. 1.1 This Contract and the Exhibits hereto, constitute the complete and exclusive statement of understanding between the parties, which supersedes all previous Contracts, written or oral, and all other communications between the parties relating to the subject matter of this Contract. No change to this Contract shall be valid unless prepared pursuant to Part II, Section 5.0, “Changes and Amendments” Amendments and signed by both parties. 1.2 Exhibits A through A-17A-XXIII, B, C through C-3X-0, D X xxxxxxx X-XX, X, X, X, X, X, X, X through D-4, E, F, G, H, I, J, KK-2, L, M, N, O, P, P-I, Q, R, S, T, U, V, W W, X, Y, Z, and AA through W-1 JJ-2 set forth below, are attached to and incorporated by reference in this Contract. 1.3 The headings, page numbers, sections, and sub-section numbers contained in this Contract are for convenience and reference only and are not intended to define the scope of any provision herein. 1.4 In the event of any conflict or inconsistency in the definition or interpretation of any word, responsibility, schedule, contents or description of any task, deliverable, product, service, or other work between this Contract, Statement of Work, and Exhibits, or among Exhibits, said conflict or inconsistency shall be resolved by giving precedence first to the Contract, Statement of Work, and Attachments according to the following priority: Exhibit A Statement of Work (FFA) Exhibit A-1 Xxxxxx Family Agency Reference Links Exhibit A-2 Service Delivery Sites Exhibit A-3 Intentionally Left Blank Criminal Record Exemption Notification Exhibit A-4 Intentionally Left Blank Notification of Subsequent Arrest, Conviction, Probation or Parole Violation Exhibit A-5 Special Incident Reporting Guide for FFAs Exhibit A-6 FFA Monthly Utilization Report Template Exhibit A-6a FFA Monthly Newly Approved Resource Family/Disapproval Report Exhibit A-7 Intentionally Left Blank Safety Performance Outcome Summary Exhibit A-8 Permanency Performance Outcome Summary Exhibit A-9 Access to Effective and Caring Services/Well-Being Performance Outcome Summary Exhibit A-10 Discharge Summary for DCFS: Xxxxxx Family Agency Exhibit A-11 Provider Needs and Services Plan/Quarterly Report Plan Template Information Exhibit A-12 Initial Intent to Use Notification Form Applicant’s Exhibit A-12a Authorization for Release of Information Exhibit A-13 Xxxxxx Family Agency’s Plan of Operations Operation and Program Statement Exhibit A-13a CDSS Approval Letter for Resource Family Approval (RFA) Implementation Plan Approval Letter Exhibit A-14 ISFC FFA Facility License(s) Exhibit A-15 ISFC FFA Rate Letter Exhibit A-16 Intentionally Left Blank Transfer of Medication Form Exhibit A-17 Adoption License or MOU Exhibit B Line Item budget Budget Exhibit C Office of Management and Budget (OMB) Title 2 Code of Federal Regulations (CFR), Part 200 and 2 CFR 1.100, title 2, Part 1 Exhibit C-1 Auditor-Controller Xxxxxx Family Agency Contract Accounting and Administration Handbook Exhibit C-2 Auditor-Controller/Department of Children and Family ServicesServices Fiscal/Probation Department Fiscal Audit Phases, Fiscal/Audits of Xxxxxx Family Agency FFA Xxxxxx Care Services Contractors Exhibit C-3 Los Angeles LA County Annual Revenue and Expenditure Report including Form FCR 12 FFA Exhibit D Contractor Acknowledgment and Confidentiality Agreement Form Exhibit D-1 Contractor Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-2 Contractor Non-Employee Acknowledgment and Confidentiality Agreement Form Exhibit D-3 Confidentiality of Criminal Offender Record Information (XXXX) Form Exhibit D-4 Resource Xxxxxx Family Parent Acknowledgment and Confidentiality Agreement Form Exhibit E Statement of Dangerous Behaviors and California Department of Social Services Child Welfare Services Manual, Section 31-405 Exhibit F IRS Notice 1015 - Notice to Employees Regarding Federal Earned Income Credit (FEIC) Exhibit G Payment Resolution Notification (COV 71) Exhibit H Overpayments Overpayment Policy Exhibit I Contractor’s Certification of Compliance with Child, Spousal and Family Support Orders Exhibit J Contractor’s Certification of Compliance with all Federal and State Employment Reporting Requirements Exhibit K Contractor’s Equal Employment Opportunity (EEO) Certification Exhibit L Charitable Contributions Certification Exhibit M Defaulted Property Tax Certification Form Exhibit N DCFS Xxxxxx Family Agency Contract InvestigationIvestigation/Monitoring/Audit Remedies and Procedures (As Amended on February 24, 2014) Exhibit O Federal Debarment and Suspension Certification Form Exhibit P Contractor’s Compliance with Encryption Requirements Form Exhibit Q Zero Tolerance Human Trafficking Policy Certification Form Exhibit R Certification of Compliance with Background and Security Investigation Investigations Exhibit S Safely Surrendered Baby Law Fact Sheet Exhibit T County of Los Angeles Contractor Employee Jury Service Program Certification Form (Code 2.203) Exhibit U County’s Administration Exhibit V ISFC FFA Contractor’s Administration Exhibit W Sample Report on Outside Employment Exhibit W-1 Sample Report on Conflict of Interest