Common use of INTEREST EARNED Clause in Contracts

INTEREST EARNED. A. If Subrecipient earns interest on funds received pursuant to this Contract, that interest shall be identified as income to the program(s) for which this Contract provides and shall be used and expended only for said program(s). Subrecipient shall maintain in its files full documentation of such interest earnings and expenditures. B. If Subrecipient is a nonprofit, it shall maintain any advances of funds or contributions received under this Contract in interest-bearing accounts, unless “a” or “b” below apply: i. The best reasonably available interest-bearing account would not be expected to earn interest in excess of $500 per year on the funds deposited pursuant to this Contract combined with other federal cash balances, if any, maintained by Subrecipient; or ii. The depository would require an average or minimum balance so high that it would not be feasible within the expected cash resources Subrecipient expects to receive under this Contract. DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D I. Subrecipient’s Budget (July 1, 2021 – January 17, 2022): Case Management Cost Categories Budgeted Costs Total Budgeted Costs $22,066 Matching Funds Match Amount Total Match $2,597 ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D ENP: Home-Delivered Meals Cost Categories Budgeted Costs Total Budgeted Costs $321,028 Matching Funds Match Amount Total Match $17,565 In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 Cost Categories Budgeted Costs Total Budgeted Costs $22,066 II. Subrecipient’s Budget (January 18, 2022 – June 30, 2022): Case Management Matching Funds Match Amount Total Match $2,597 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 ENP: Home-Delivered Meals Cost Categories Budgeted Costs Total Budgeted Costs $321,028 Matching Funds Match Amount Total Match $17,565 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 2. The above Cost Categories is an overview of the actual budget approved by the Office on Aging. Subrecipient shall be responsible for and maintain the approved Budget Summary by Funding Source and Revenue Sources spreadsheet that is provided to Subrecipient from Office on Aging. The Budget Summary by Funding Source and Revenue Sources spreadsheet shall be maintained and completed in accordance with the Office on Aging policies and processes. Any deviation from the Office on Aging approved budget, may and can delay acceptance of budgets and/or reimbursements.

INTEREST EARNED. A. If Subrecipient earns interest on funds received pursuant to this Contract, that interest shall be identified as income to the program(s) for which this Contract provides and shall be used and expended only for said program(s). Subrecipient shall maintain in its files full documentation of such interest earnings and expenditures. B. If Subrecipient is a nonprofit, it shall maintain any advances of funds or contributions received under this Contract in interest-bearing accounts, unless “a” or “b” below apply: i. The best reasonably available interest-bearing account would not be expected to earn interest in excess of $500 per year on the funds deposited pursuant to this Contract combined with other federal cash balances, if any, maintained by Subrecipient; or ii. The depository would require an average or minimum balance so high that it would not be feasible within the expected cash resources Subrecipient expects to receive under this Contract. 1. DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D I. Subrecipient’s Budget (July 1Budget: CARES Act Programs September 3, 2020 to June 30, 2021 – January 17, 2022): Case Management Cost Categories Budgeted Costs Total Budgeted Costs $22,066 Matching Funds Match Amount Total Match $2,597 ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D ENPCARES Act: Home-Delivered Meals Cost Categories Budgeted Costs Personnel $384,031162,982 Food $247,108203,299 Other Costs $80,23524,417 Total Budgeted Costs $321,028 Matching Funds Match Amount 712,374391,699 CARES Act: Case Management Cost Categories Budgeted Costs Personnel $50,22415,484 Total Match Budgeted Costs $17,565 50,22415,484 CARES Act: In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 DocuSign Envelope ID39,016 CARES Act: 87CE9712-9720-487A-A45D-A522FB26486D Transportation Cost Categories Budgeted Costs Personnel $51,0200 Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 Cost Categories Budgeted Costs Total Budgeted Costs $22,066 II. Subrecipient’s Budget (January 1851,0200 July 1, 2022 – June 2021 to September 30, 2022): Case Management Matching Funds Match Amount Total Match $2,597 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 ENP20212022 CARES Act: Home-Delivered Meals Cost Categories Budgeted Costs Personnel $0221,649 Food $043,809 Other Costs $055,218 Total Budgeted Costs $321,028 Matching Funds Match Amount 0320,675 CARES Act: Case Management Cost Categories Budgeted Costs Personnel $034,740 Total Match Budgeted Costs $17,565 DocuSign Envelope ID034,740 CARES Act: 87CE9712-9720-487A-A45D-A522FB26486D In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 0 CARES Act: Transportation Cost Categories Budgeted Costs Personnel $051,020 Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 051,020 2. The above Cost Categories is an overview of the actual budget approved by the Office on Aging. Subrecipient shall be responsible for and maintain the approved Budget Summary by Funding Source and Revenue Sources spreadsheet that is provided to Subrecipient from Office on Aging. The Budget Summary by Funding Source and Revenue Sources spreadsheet shall be maintained and completed in accordance with the Office on Aging policies and processes. Any deviation from the Office on Aging approved budget, may and can delay acceptance of budgets and/or reimbursements.. Chief Executive Officer 0.0501 Chief Operating Officer 0.0501 Accountants 0.0502 Grant Writer/Contract Manager 0.0501 Case Manager 0.2510 Assistant Case Manager 0.2508 Database Coordinator 0.0502 TOTAL: 0.250.75

INTEREST EARNED. A. If Subrecipient earns interest on funds received pursuant to this Contract, that interest shall be identified as income to the program(s) for which this Contract provides and shall be used and expended only for said program(s). Subrecipient shall maintain in its files full documentation of such interest earnings and expenditures. B. If Subrecipient is a nonprofit, it shall maintain any advances of funds or contributions received under this Contract in interest-bearing accounts, unless “a” or “b” below apply: i. The best reasonably available interest-bearing account would not be expected to earn interest in excess of $500 per year on the funds deposited pursuant to this Contract combined with other federal cash balances, if any, maintained by Subrecipient; or ii. The depository would require an average or minimum balance so high that it would not be feasible within the expected cash resources Subrecipient expects to receive under this Contract. DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D. I. Subrecipient’s Budget (July 1, 2021 – January 17, 2022): Case Management Cost Categories Budgeted Costs Total Budgeted Costs $22,066 Matching Funds Match Amount Total Match $2,597 ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D ENP: Home-Delivered Meals Cost Categories Budgeted Costs Total Budgeted Costs $321,028 Matching Funds Match Amount Total Match $17,565 In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 Cost Categories Budgeted Costs Total Budgeted Costs $22,066 II. Subrecipient’s Budget (January 18, 2022 – June 30, 2022): Case Management Matching Funds Match Amount Total Match $2,597 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 ENP: Home-Delivered Meals Cost Categories Budgeted Costs Total Budgeted Costs $321,028 Matching Funds Match Amount Total Match $17,565 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 Budget: 2. The above Cost Categories is an overview of the actual budget approved by the Office on Aging. Subrecipient shall be responsible for and maintain the approved Budget Summary by Funding Source and Revenue Sources spreadsheet that is provided to Subrecipient from Office on Aging. The Budget Summary by Funding Source and Revenue Sources spreadsheet shall be maintained and completed in accordance with the Office on Aging policies and processes. Any deviation from the Office on Aging approved budget, may and can delay acceptance of budgets and/or reimbursements. Subrecipient may request to shift funds between programs, or between budgeted line items within a program, for the purpose of meeting specific program needs by utilizing a Budget/Staffing Revision Request form provided by Contract Administrator. Subrecipient must include a justification narrative specifying the purpose of the request, the amount of said funds to be shifted, and the sustaining annual impact of the shift as may be applicable to the current Fiscal Year Budget and/or future Fiscal Year Budgets. Subrecipient shall obtain written approval of any Budget/Staffing Revision Request(s) from Contract Administrator prior to implementation by Subrecipient. 3. The Budget Summary by Funding Source and Revenue Sources spreadsheet must set forth in detail the reimbursable items, unit rates and extended total amounts for each line item. The Subrecipient’s Budget Summary by Funding Source and Revenue Sources spreadsheet shall include, at a minimum, the following items when reimbursable and applicable under this Contract: a) Personnel Costs – monthly, weekly, or hourly rates, as appropriate, and personnel classifications together with the percentage of time to be charged to these programs. b) Fringe Benefits. c) Contractual Costs – subcontract and consultant cost detail. d) Indirect Costs – costs incurred for a common or joint purpose benefitting more than one cost objective and not readily assignable as a direct cost e) Rent – specify square footage and rate. f) Supplies. g) Equipment – detailed descriptions and total costs. h) In State Travel – mileage reimbursement rate, lodging, per diem, and other costs. i) Out of State Travel – any travel outside the State of California including mileage reimbursement rate, lodging, per diem, and other costs.

INTEREST EARNED. A. If Subrecipient earns interest on funds received pursuant to this Contract, that interest shall be identified as income to the program(s) for which this Contract provides and shall be used and expended only for said program(s). Subrecipient shall maintain in its files full documentation of such interest earnings and expenditures. B. If Subrecipient is a nonprofit, it shall maintain any advances of funds or contributions received under this Contract in interest-bearing accounts, unless “a” or “b” below apply: i. The best reasonably available interest-bearing account would not be expected to earn interest in excess of $500 per year on the funds deposited pursuant to this Contract combined with other federal cash balances, if any, maintained by Subrecipient; or ii. The depository would require an average or minimum balance so high that it would not be feasible within the expected cash resources Subrecipient expects to receive under this Contract. DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D. I. Subrecipient’s Budget (July 1, 2021 – January 17, 2022): Case Management Cost Categories Budgeted Costs Total Budgeted Costs $22,066 Matching Funds Match Amount Total Match $2,597 ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D ENP: Home-Delivered Meals Cost Categories Budgeted Costs Total Budgeted Costs $321,028 Matching Funds Match Amount Total Match $17,565 In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 Cost Categories Budgeted Costs Total Budgeted Costs $22,066 II. Subrecipient’s Budget (January 18, 2022 – June 30, 2022): Case Management Matching Funds Match Amount Total Match $2,597 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 ENP: Home-Delivered Meals Cost Categories Budgeted Costs Total Budgeted Costs $321,028 Matching Funds Match Amount Total Match $17,565 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 Budget: 2. The above Cost Categories is an overview of the actual budget approved by the Office on Aging. Subrecipient shall be responsible for and maintain the approved Budget Summary by Funding Source and Revenue Sources spreadsheet that is provided to Subrecipient from Office on Aging. The Budget Summary by Funding Source and Revenue Sources spreadsheet shall be maintained and completed in accordance with the Office on Aging policies and processes. Any deviation from the Office on Aging approved budget, may and can delay acceptance of budgets and/or reimbursements.. I. Health Insurance Counseling and Advocacy Program (HICAP) – July 1, 2020 to June 30, 2020 Program Manager 1.00 Community Education/Outreach Specialist 0.75 Volunteer Coordinator and Community Outreach 0.83 Latino Community Education/Outreach Coordinator 0.95 Latino Staff Counselor 0.00 Vietnamese Community Education/Outreach 0.20 Vietnamese Staff Counselor – MT 0.15 Vietnamese Staff Counselor – TP 0.00 Operations Coordinator – RL 1.00 Volunteer Training Specialist – AS 0.25 Outreach 0.00 Administrative Team 0.61 TOTAL: 5.74

INTEREST EARNED. A. If Subrecipient earns interest on funds received pursuant to this Contract, that interest shall be identified as income to the program(s) for which this Contract provides and shall be used and expended only for said program(s). Subrecipient shall maintain in its files full documentation of such interest earnings and expenditures. B. If Subrecipient is a nonprofit, it shall maintain any advances of funds or contributions received under this Contract in interest-bearing accounts, unless “a” or “b” below apply: i. The best reasonably available interest-bearing account would not be expected to earn interest in excess of $500 per year on the funds deposited pursuant to this Contract combined with other federal cash balances, if any, maintained by Subrecipient; or ii. The depository would require an average or minimum balance so high that it would not be feasible within the expected cash resources Subrecipient expects to receive under this Contract. DocuSign Envelope ID: 87CE97121283719B-5166-97204237-487AA813-A45D-A522FB26486DDB0FFE541458 I. 1. Subrecipient’s Budget (July 1, 2021 – January 17, 2022): Case Management Cost Categories Budgeted Costs Total Budgeted Costs $22,066 Matching Funds Match Amount Total Match $2,597 ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D ENP: Home-Delivered Meals Cost Categories Budgeted Costs Total Budgeted Costs $321,028 Matching Funds Match Amount Total Match $17,565 In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 Cost Categories Budgeted Costs Total Budgeted Costs $22,066 II. Subrecipient’s Budget (January 18, 2022 – June 30, 2022): Case Management Matching Funds Match Amount Total Match $2,597 DocuSign Envelope ID: 87CE9712Elder Abuse Prevention VII-9720-487A-A45D-A522FB26486D ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 ENP: Home-Delivered Meals Cost Categories Budgeted Costs Total Budgeted Costs $321,028 Matching Funds Match Amount Total Match $17,565 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 A 2. The above Cost Categories is an overview of the actual budget approved by the Office on Aging. Subrecipient shall be responsible for and maintain the approved Budget Summary by Funding Source and Revenue Sources spreadsheet that is provided to Subrecipient from Office on Aging. The Budget Summary by Funding Source and Revenue Sources spreadsheet shall be maintained and completed in accordance with the Office on Aging policies and processes. Any deviation from the Office on Aging approved budget, may and can delay acceptance of budgets and/or reimbursements.. DocuSign Envelope ID: 1283719B-5166-4237-A813-DB0FFE541458 Program Director 0.43 Program Coordinator 0.25 CEO 0.01 CFO 0.01 Finance Assistants/Office Manager 0.02 Executive Assistant 0.01 Receptionists (2 Part Time Staff) 0.01 Marketing 0.01 Data Communications 0.00 TOTAL: 0.75

INTEREST EARNED. A. If Subrecipient earns interest on funds received pursuant to this Contract, that interest shall be identified as income to the program(s) for which this Contract provides and shall be used and expended only for said program(s). Subrecipient shall maintain in its files full documentation of such interest earnings and expenditures. B. If Subrecipient is a nonprofit, it shall maintain any advances of funds or contributions received under this Contract in interest-bearing accounts, unless “a” or “b” below apply: i. The best reasonably available interest-bearing account would not be expected to earn interest in excess of $500 per year on the funds deposited pursuant to this Contract combined with other federal cash balances, if any, maintained by Subrecipient; or ii. The depository would require an average or minimum balance so high that it would not be feasible within the expected cash resources Subrecipient expects to receive under this Contract. DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486DATTACHMENT C BUDGET SCHEDULE I. Subrecipient’s Budget (July 1, 2021 – January 17, 2022): Case Management Cost Categories Budgeted Costs Total Budgeted Costs $22,066 Matching Funds Match Amount Total Match $2,597 ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D ENP: Home-Delivered Meals Cost Categories Budgeted Costs Total Budgeted Costs $321,028 Matching Funds Match Amount Total Match $17,565 In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 Cost Categories Budgeted Costs Total Budgeted Costs $22,066 Budget: II. Subrecipient’s Budget (January 18, 2022 – June 30, 2022): Case Management Matching Funds Match Amount Total Match $2,597 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 ENP: Home-Delivered Meals Cost Categories Budgeted Costs Total Budgeted Costs $321,028 Matching Funds Match Amount Total Match $17,565 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 2. The above Cost Categories is an overview of the actual budget approved by the Office on Aging. Subrecipient shall be responsible for and maintain the approved Budget Summary by Funding Source and Revenue Sources spreadsheet that is provided to Subrecipient from Office on Aging. The Budget Summary by Funding Source and Revenue Sources spreadsheet shall be maintained and completed in accordance with the Office on Aging policies and processes. Any deviation from the Office on Aging approved budget, may and can delay acceptance of budgets and/or reimbursements. III. The Budget Summary by Funding Source and Revenue Sources spreadsheet must set forth in detail the reimbursable items, unit rates and extended total amounts for each line item. The Subrecipient’s Budget Summary by Funding Source and Revenue Sources spreadsheet shall include, at a minimum, the following items when reimbursable and applicable under this Contract: A. Personnel Costs – monthly, weekly, or hourly rates, as appropriate, and personnel classifications together with the percentage of time to be charged to these programs. B. Fringe Benefits. C. Contractual Costs – subcontract and consultant cost detail. D. Indirect Costs. E. Rent – specify square footage and rate. F. Supplies. G. Equipment – detailed descriptions and unit costs. H. In State Travel – mileage reimbursement rate, lodging, per diem, and other costs. I. Out of State Travel – any travel outside the State of California including mileage reimbursement rate, lodging, per diem, and other costs. J. Other Costs – a detailed list of other operating expenses.

INTEREST EARNED. A. If Subrecipient earns interest on funds received pursuant to this Contract, that interest shall be identified as income to the program(s) for which this Contract provides and shall be used and expended only for said program(s). Subrecipient shall maintain in its files full documentation of such interest earnings and expenditures. B. If Subrecipient is a nonprofit, it shall maintain any advances of funds or contributions received under this Contract in interest-bearing accounts, unless “a” or “b” below apply: i. The best reasonably available interest-bearing account would not be expected to earn interest in excess of $500 per year on the funds deposited pursuant to this Contract combined with other federal cash balances, if any, maintained by Subrecipient; or ii. The depository would require an average or minimum balance so high that it would not be feasible within the expected cash resources Subrecipient expects to receive under this Contract. DocuSign Envelope ID: 87CE9712883ED907-97209832-487A4150-A45D-A522FB26486D I. Subrecipient’s Budget (July 1, 2021 – January 17, 2022): Case Management BF5C-8CA4C64FA597 Cost Categories Budgeted Costs Total Budgeted Costs $22,066 335,550 Matching Funds Match Amount Total Match $2,597 ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D ENP: Home-Delivered Meals Cost Categories Budgeted Costs Total Budgeted Costs $321,028 Matching Funds Match Amount Total Match $17,565 In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 Cost Categories Budgeted Costs Total Budgeted Costs $22,066 II. Subrecipient’s Budget (January 18, 2022 – June 30, 2022): Case Management Matching Funds Match Amount Total Match $2,597 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 ENP: Home-Delivered Meals Cost Categories Budgeted Costs Total Budgeted Costs $321,028 Matching Funds Match Amount Total Match $17,565 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 39,492 2. The above Cost Categories is an overview of the actual budget approved by the Office on Aging. Subrecipient shall be responsible for and maintain the approved Budget Summary by Funding Source and Revenue Sources spreadsheet that is provided to Subrecipient from Office on Aging. The Budget Summary by Funding Source and Revenue Sources spreadsheet shall be maintained and completed in accordance with the Office on Aging policies and processes. Any deviation from the Office on Aging approved budget, may and can delay acceptance of budgets and/or reimbursements.. DocuSign Envelope ID: 883ED907-9832-4150-BF5C-8CA4C64FA597 Supervising Attorney 1.00 Staff Attorney 0.27 Staff Attorney 0.58 Paralegal 1.00 I&A Paralegal 0.30 Legal Secretary 0.08 TOTAL: 3.23 *1.00 FTE = Full-Time Equivalent The substitution or addition of other key individuals in any given category or classification shall be allowed only with prior written pre-approval of the County Project Manager. The County may reserve the right to involve other personnel, as their services are required. The specific individuals will be assigned based on the need and time of the service/class required. Assignment of additional key personnel shall be subject to County approval pursuant to Paragraph 13 of the Contract. AGENCY NAME: COMMUNITY LEGAL AID SOCAL FISCAL YEAR: 2021-2022 PROGRAM SERVICE NUMBER OF ANNUAL SERVICE UNITS UNDUPLICATED PERSONS SERVED SERVICE CATEGORY DESCRIPTION OF SERVICE UNITS Legal Assistance 6,400 # of Legal Assistance Hours 2,000 Non-Registered Legal Assistance (1 Hour): Legal advice, counseling and representation by an attorney or other person acting under the supervision of an attorney. 70 # of Pro Xxxx Hours 70 Non-Registered Pro-Xxxx (1 Hour): Contractor agrees to make a good faith effort to provide a minimum number of hours of pro xxxx legal services during each year of the contract equal to the lesser of 30 multiplied by the number of full time attorneys in the firm’s offices in the State, with the number of hours prorated on an actual day basis for any contract period of less than a full year or 10% of its contract. For Example: A legal provider with 3 full time attorneys will pledge to provide 90 hours of pro xxxx services if their contract is for a full year (or prorated otherwise). DocuSign Envelope ID: 883ED907-9832-4150-BF5C-8CA4C64FA597 DocuSign Envelope ID: 883ED907-9832-4150-BF5C-8CA4C64FA597 1. Federal Award Identification A. Subrecipient Name: Community Legal Aid SoCal B. Subrecipient’s Unique Identifier (DUNS): 081812315 C. Federal Award Identification Number (XXXX): D. Federal Award Date: 2021-2022 X. Xxxxxxxx Period of Performance: July 1, 2021 to June 30, 2022 F. Total Amount of Federal Funds Obligated by the Action: $ 335,550 93.044 TBD 2021 Title III-B $167,775 93.044 TBD 2022 Title III-B $167,775 TOTAL: $335,550 G. Total Amount of Federal Funds Obligated to the Subrecipient: $335,550 H. Total Amount of the Federal Award: $335,550 I. Federal Award Project Description: Special Programs for the Aging, Title III, Part B, Grants for Supportive Services and Senior Centers J. Federal Awarding Agency: U.S. Department of Health and Human Services, Administration for Community Living K. Name of Pass Through Entity (PTE): California Department of Aging and County of Orange Office on Aging L. Contact Information for the Awarding Official: Xxxxxx Xxxxxxx, Director (000) 000-0000, xxxxxx.xxxxxxx@xxxx.xxxxx.xxx M. CFDA Number and Name: #93.044 Special Programs for the Aging, Title III, Part B, Grants for Supportive Services and Senior Centers

INTEREST EARNED. A. If Subrecipient earns interest on funds received pursuant to this Contract, that interest shall be identified as income to the program(s) for which this Contract provides and shall be used and expended only for said program(s). Subrecipient shall maintain in its files full documentation of such interest earnings and expenditures. B. If Subrecipient is a nonprofit, it shall maintain any advances of funds or contributions received under this Contract in interest-bearing accounts, unless “a” or “b” below apply: i. The best reasonably available interest-bearing account would not be expected to earn interest in excess of $500 per year on the funds deposited pursuant to this Contract combined with other federal cash balances, if any, maintained by Subrecipient; or ii. The depository would require an average or minimum balance so high that it would not be feasible within the expected cash resources Subrecipient expects to receive under this Contract. DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486DService Area 1 North Service Area 2 West Service Area 3 Central Service Area 4 Beach Cities I. Subrecipient’s Budget (July 1, 2021 – January 17, 2022): Case Management Cost Categories Budgeted Costs Total Budgeted Costs $22,066 Matching Funds Match Amount Total Match $2,597 ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D ENP: Home-Delivered Meals Cost Categories Budgeted Costs Total Budgeted Costs $321,028 Matching Funds Match Amount Total Match $17,565 In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 Cost Categories Budgeted Costs Total Budgeted Costs $22,066 II. Subrecipient’s Budget (January 18, 2022 2024 – June 30, 20222025): Case Management Matching Funds Match Amount Total Match $2,597 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 ENP: Home-Delivered Meals Cost Categories Budgeted Costs Total Budgeted Costs $321,028 Matching Funds Match Amount Total Match $17,565 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 2Meals II. The above Cost Categories is an overview of the actual budget approved by the Office on Aging. Subrecipient shall be responsible for and maintain the approved Budget Summary by Funding Source and Revenue Sources spreadsheet that is provided to Subrecipient from Office on Aging. The Budget Summary by Funding Source and Revenue Sources spreadsheet shall be maintained and completed in accordance with the Office on Aging policies and processes. Any deviation from the Office on Aging approved budget, may and can delay acceptance of budgets and/or reimbursements. III. The Budget Summary by Funding Source and Revenue Sources spreadsheet must set forth in detail the reimbursable items, unit rates and extended total amounts for each line item. The Subrecipient’s Budget Summary by Funding Source and Revenue Sources spreadsheet shall include, at a minimum, the following items when reimbursable and applicable under this Contract: A. Personnel Costs – annual Full-Time Equivalent (FTE) wage rates and personnel classifications specified for each program. B. Fringe Benefits – specified for each program. C. Staff Travel - mileage reimbursement, lodging, per diem and other travel costs, specified for each program. D. Staff Training – attendance cost for necessary training, specified for each program. E. Property/Equipment - detailed descriptions and unit costs, specified for each program. F. Supplies - to include items below the $5,000 equipment threshold, specified for each program. G. Consultant/Professional Services – specified for each program. H. Food – used in delivering Congregate and Home-Delivered Meals. I. Other - Facilities and other ordinary and necessary costs specified for each program.

INTEREST EARNED. A. If Subrecipient earns interest on funds received pursuant to this Contract, that interest shall be identified as income to the program(s) for which this Contract provides and shall be used and expended only for said program(s). Subrecipient shall maintain in its files full documentation of such interest earnings and expenditures. B. If Subrecipient is a nonprofit, it shall maintain any advances of funds or contributions received under this Contract in interest-bearing accounts, unless “a” or “b” below apply: i. The best reasonably available interest-bearing account would not be expected to earn interest in excess of $500 per year on the funds deposited pursuant to this Contract combined with other federal cash balances, if any, maintained by Subrecipient; or ii. The depository would require an average or minimum balance so high that it would not be feasible within the expected cash resources Subrecipient expects to receive under this Contract. DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D. I. Subrecipient’s Budget (July 1, 2021 – January 17, 2022): Case Management Cost Categories Budgeted Costs Total Budgeted Costs $22,066 Matching Funds Match Amount Total Match $2,597 ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D ENP: Home-Delivered Meals Cost Categories Budgeted Costs Total Budgeted Costs $321,028 Matching Funds Match Amount Total Match $17,565 In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 Cost Categories Budgeted Costs Total Budgeted Costs $22,066 II. Subrecipient’s Budget (January 18, 2022 – June 30, 2022): Budget: Case Management Matching Funds Match Amount Total Match $2,597 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 ENP: Home-Delivered Meals Cost Categories Budgeted Costs Total Budgeted Costs $321,028 Matching Funds Match Amount Total Match $17,565 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 Management 2. The above Cost Categories is an overview of the actual budget approved by the Office on Aging. Subrecipient shall be responsible for and maintain the approved Budget Summary by Funding Source and Revenue Sources spreadsheet that is provided to Subrecipient from Office on Aging. The Budget Summary by Funding Source and Revenue Sources spreadsheet shall be maintained and completed in accordance with the Office on Aging policies and processes. Any deviation from the Office on Aging approved budget, may and can delay acceptance of budgets and/or reimbursements. I. Case Management II. ENP: Congregate Meals III. ENP: Home-Delivered Meals IV. In-Home Services V. Transportation 1. Federal Award Identification A. Subrecipient Name: City of Irvine B. Subrecipient’s Unique Identifier (DUNS): 072511363 C. Federal Award Identification Number (XXXX): 1901CAOASS-01, 1901CAOACM-01, 1901CAOAHD-01, 1901CAOANS-00, 2001CAOASS-00, 2001CAOACM-00, 2001CAOHD-00, and 2001CAOANS-00 D. Federal Award Date: 2020-2021 E. Subaward Period of Performance: July 1, 2020 to June 30, 2021 F. Total Amount of Federal Funds Obligated by the Action: $457,075435,232 93.044 1901CAOASS-01 and 2001CAOASS-00 2020 Title III-B $14,797.5034,069.50

INTEREST EARNED. A. If Subrecipient earns interest on funds received pursuant to this Contract, that interest shall be identified as income to the program(s) for which this Contract provides and shall be used and expended only for said program(s). Subrecipient shall maintain in its files full documentation of such interest earnings and expenditures. B. If Subrecipient is a nonprofit, it shall maintain any advances of funds or contributions received under this Contract in interest-bearing accounts, unless “a” or “b” below apply: i. The best reasonably available interest-bearing account would not be expected to earn interest in excess of $500 per year on the funds deposited pursuant to this Contract combined with other federal cash balances, if any, maintained by Subrecipient; or ii. The depository would require an average or minimum balance so high that it would not be feasible within the expected cash resources Subrecipient expects to receive under this Contract. DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D. I. Subrecipient’s Budget (July 1, 2021 – January 17, 2022): Case Management Cost Categories Budgeted Costs Total Budgeted Costs $22,066 Matching Funds Match Amount Total Match $2,597 ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D ENP: Home-Delivered Meals Cost Categories Budgeted Costs Total Budgeted Costs $321,028 Matching Funds Match Amount Total Match $17,565 In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 Cost Categories Budgeted Costs Total Budgeted Costs $22,066 II. Subrecipient’s Budget (January 18, 2022 – June 30, 2022): Case Management Matching Funds Match Amount Total Match $2,597 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 ENP: Home-Delivered Meals Cost Categories Budgeted Costs Total Budgeted Costs $321,028 Matching Funds Match Amount Total Match $17,565 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 Budget: 2. The above Cost Categories is an overview of the actual budget approved by the Office on Aging. Subrecipient shall be responsible for and maintain the approved Budget Summary by Funding Source and Revenue Sources spreadsheet that is provided to Subrecipient from Office on Aging. The Budget Summary by Funding Source and Revenue Sources spreadsheet shall be maintained and completed in accordance with the Office on Aging policies and processes. Any deviation from the Office on Aging approved budget, may and can delay acceptance of budgets and/or reimbursements. I. Health Insurance Counseling and Advocacy Program (HICAP) – July 1, 2020 2021 to June 30, 20212022 Program Manager 1.00 Community Education/Outreach Specialist 0.75 Volunteer Coordinator and Community Outreach 0.83 Latino Community Education/Outreach Coordinator 0.95 Latino Staff Counselor 0.00 Vietnamese Community Education/Outreach 0.20 Vietnamese Staff Counselor – MT 0.15 Vietnamese Staff Counselor – TP 0.00 Operations Coordinator – RL 1.00 Volunteer Training Specialist – AS 0.25 Outreach 0.00 Administrative Team 0.61 TOTAL: 5.74 II. Medicare Improvements for Patients and Providers Act (MIPPA) – July 1, 2020 2021 to September August 2931, 20202021 Program Director 0.00 Program Manager 0.00 Community Education/Outreach Coordination 0.00 Community Education/Outreach Specialist 0.05 Latino Community Education/Outreach 0.05 Latino Staff Counselor 0.15 Volunteer Specialist 0.00 Vietnamese Community Education/Outreach 0.05 Vietnamese Staff Counselor 0.00 Vietnamese Staff Counselor 0.00 Operations Coordinator 0.00 Training Specialist 0.00 Administrative Team 0.03 TOTAL: 0.33 III. Medicare Improvements for Patients and Providers Act (MIPPA) – October 1, 2020 to June 30, 2021 Program Manager 0.00 Community Education/Outreach Specialist 0.14 Volunteer Coordinator/Community Outreach 0.04 Latino Community Education/Outreach 0.56 Latino Staff Counselor 0.00 Vietnamese Community Education/Outreach 0.04 Vietnamese Staff Counselor 0.15 Vietnamese Staff Counselor 0.18 Operations Coordinator 0.21 Volunteer Training Specialist 0.00 New Counselor – Spanish PT 0.15 New Outreach PT (March-June) 0.15 Administrative Team 0.23 TOTAL: 1.85 IVIII. Financial Alignment (FA) – November July 17, 2020 2021 to June October 3031, 2021 Program Manager 0.00 Community Education/Outreach Specialist 0.00 Volunteer Coordinator/Community Outreach 0.00 Latino Community Education/Outreach 0.34 Latino Staff Counselor 0.00 Vietnamese Community Education/Outreach 0.21 Vietnamese Staff Counselor 0.05 Vietnamese Staff Counselor 0.00 Operations Coordinator 0.00 Volunteer Training Specialist 0.00 New Counselor – Spanish PT 0.05 New Outreach PT 0.05 Administrative Team 0.10 TOTAL: 0.80 *1.00 FTE = Full-Time Equivalent The substitution or addition of other key individuals in any given category or classification shall be allowed only with prior written pre-approval of the County Project Manager. The County may reserve the right to involve other personnel, as their services are required. The specific individuals will be assigned based on the need and time of the service/class required. Assignment of additional key personnel shall be subject to County approval pursuant to Paragraph 13 of the Contract. FISCAL YEAR: 20202021-20212022 PROGRAM SERVICE NUMBER OF ANNUAL SERVICE UNITS UNDUPLICATED PERSONS SERVED SERVICE CATEGORY DESCRIPTION OF SERVICE UNITS HICAP 6,992 # of Participants Counseled (Closed Intakes) N/A Participants Counseled: Number of finalized intakes for all participants/beneficiaries that received counseling services (aka contacts). Intakes must have at least one Medicare topic selected and dates entered on form are limited to one calendar month through finalization and review. 325 # of Public and Media Events N/A Public and Media Events: Number of completed XXX forms for all events categorized as “Interactive.” Interactive events include, but not limited to electronic/digital and/or tele-conferences, when attendance is monitored to justify true encounters. XXX forms must have at least one Medicare topic selected for Primary Focus, Target Beneficiary Group, and Intended Audience. 19,247 # of Participant Contacts (Interactions) N/A All Participant Contacts: Number of total Counseling Services (aka contacts) from finalized Intakes, regardless of mode (i.e., telephone, in person site, in person home, email, fax, other). “General HICAP/SHIP” topics are no longer counted; therefore, Quick Calls are excluded, and all intakes must have at least one Medicare topic selected. 13,739 # of Persons Reached at Public & Media Events (Interactive) N/A Public and Media Events Outreach: Number of total Estimated persons reached or received enrollment assistance at public events reported for COMPLETED XXX forms categorized as “Interactive”; documented by Attendance Logs at Exhibits, Fairs or Special Events; or Dedicated Enrollments of events where attendance is either tracked/monitored per direct application assistance; Interactive Presentations to Public in Person (including electronic/digital and/or tele-conferences, when attendance is monitored to justify true encounters); or where HICAP/SHIP and Medicare information was transferred to the public with participant opportunity to ask questions and get answers. “General HICAP/SHIP” topics are no longer counted; therefore, Quick Calls are excluded, and all intakes must have at least one Medicare topic selected. 1,379 # of Contacts with Medicare Clients Under 65 N/A Medicare Beneficiaries Under 65: Number of all Counseling Services (aka contacts) from finalized Intakes, regardless of mode (i.e., telephone, in person site, in person home, email, fax, or other), where the beneficiary is 64 or younger and is receiving or applying for Social Security Disability or Medicare Disability (R/A-DIS). DOB and R/A-DIS fields are required to avoid record submission errors but measure no longer includes Quick Calls. 10,249 # of Hard to Reach Contacts N/A Hard to Reach Contacts: Number of total sum for all Counseling Services (aka contacts) from finalized intakes, regardless of mode (i.e., telephone, in person site, in person home, e- mail) where Medicare beneficiaries are designated as “hard-to-reach” per the following categories: • Contacts with Low Income Beneficiaries • English as a Second Language Contacts 3,686 # of Contacts with Low Income Beneficiaries N/A Contacts with Low-Income Beneficiaries: Contacts with beneficiaries whose Income Level indicates below 150% of the Federal Poverty Level. 6,563 # of English as a Second Language Contacts N/A English as a Second Language Contacts: Contacts with clients whose primary language is not English. 13,848 # of Qualifying Enrollment Contacts N/A Target Qualifying Enrollments: Number of total Counseling Services (aka contacts) from Intakes regardless of mode (i.e., telephone, in person site, in person home, e-mail, fax, other) with one or more of the following qualifying enrollment topics discussed: • Medicare A/B • Medigap/Supplement/SELECT • Medicare Advantage (e.g., MSA, HMO, PPO, Specialty Plan) • Medi-Cal • Part D Medicare Prescription Drug Coverage • Part D Plan Problems (Non- Compliance Services Unmet) • Part D Low Income Subsidy 1. Federal Award Identification A. Subrecipient Name: Council on Aging Southern California B. Subrecipient’s Unique Identifier (DUNS): 053284159 C. Federal Award Identification Number (XXXX): 90SAPG0094-01-00, 1801CAMISH, 1801CAMIAA, 1801CAMIDR, 2001CAMISH-00, 2001CAMIAA- 00, 2001CAMIDR-00, and CMS-1J1-19-001 D. Federal Award Date: 20202021-20212022 E. Subaward Period of Performance: July 1, 2020 2021 to June 30, 20212022 F. Total Amount of Federal Funds Obligated by the Action: $214,161342,438 93.324 90SAPG0094-01-00TBD 20202021 HICAP $36,080.7585,344 93.324 90SAPG0094-01-00TBD 20212022 HICAP $134,804.2585,344 93.626 CMS-1J1-19-001 CMS-1J1- 19-001 20202021 Financial Alignment $8,752.7517,505 93.626 CMS-1J1-19-001TBD 20212022 Financial Alignment $26,258.250.00

INTEREST EARNED. A. If Subrecipient earns interest on funds received pursuant to this Contract, that interest shall be identified as income to the program(s) for which this Contract provides and shall be used and expended only for said program(s). Subrecipient shall maintain in its files full documentation of such interest earnings and expenditures. B. If Subrecipient is a nonprofit, it shall maintain any advances of funds or contributions received under this Contract in interest-bearing accounts, unless “a” or “b” below apply: i. The best reasonably available interest-bearing account would not be expected to earn interest in excess of $500 per year on the funds deposited pursuant to this Contract combined with other federal cash balances, if any, maintained by Subrecipient; or ii. The depository would require an average or minimum balance so high that it would not be feasible within the expected cash resources Subrecipient expects to receive under this Contract. DocuSign Envelope ID: 87CE97127CAFB1BB-9720B16E-416A-487AA4D1-A45D-A522FB26486D I. Subrecipient’s Budget (July 1, 2021 – January 17, 2022): Case Management 19CEF63155C6 Cost Categories Budgeted Costs Total Budgeted Costs $22,066 330,708 Matching Funds Match Amount Total Match $2,597 ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D ENP: Home-Delivered Meals Cost Categories Budgeted Costs Total Budgeted Costs $321,028 Matching Funds Match Amount Total Match $17,565 In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 Cost Categories Budgeted Costs Total Budgeted Costs $22,066 II. Subrecipient’s Budget (January 18, 2022 – June 30, 2022): Case Management Matching Funds Match Amount Total Match $2,597 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 ENP: Home-Delivered Meals Cost Categories Budgeted Costs Total Budgeted Costs $321,028 Matching Funds Match Amount Total Match $17,565 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 38,922 2. The above Cost Categories is an overview of the actual budget approved by the Office on Aging. Subrecipient shall be responsible for and maintain the approved Budget Summary by Funding Source and Revenue Sources spreadsheet that is provided to Subrecipient from Office on Aging. The Budget Summary by Funding Source and Revenue Sources spreadsheet shall be maintained and completed in accordance with the Office on Aging policies and processes. Any deviation from the Office on Aging approved budget, may and can delay acceptance of budgets and/or reimbursements.. DocuSign Envelope ID: 7CAFB1BB-B16E-416A-A4D1-19CEF63155C6 Supervising Attorney 1.00 Staff Attorney 0.27 Staff Attorney 0.58 Paralegal 1.00 I&A Paralegal 0.30 Legal Secretary 0.08 TOTAL: 3.23 *1.00 FTE = Full-Time Equivalent The substitution or addition of other key individuals in any given category or classification shall be allowed only with prior written pre-approval of the County Project Manager. The County may reserve the right to involve other personnel, as their services are required. The specific individuals will be assigned based on the need and time of the service/class required. Assignment of additional key personnel shall be subject to County approval pursuant to Paragraph 13 of the Contract. DocuSign Envelope ID: 7CAFB1BB-B16E-416A-A4D1-19CEF63155C6 1. Federal Award Identification A. Subrecipient Name: Community Legal Aid SoCal B. Subrecipient’s Unique Identifier (DUNS): 081812315 C. Federal Award Identification Number (XXXX): 1901CAOASS-01 and 2001CAOASS-00 D. Federal Award Date: 2020-2021 E. Subaward Period of Performance: July 1, 2020 to June 30, 2021 F. Total Amount of Federal Funds Obligated by the Action: $ 330,708 93.044 1901CAOASS-01 and 2001CAOASS-00 2020 Title III-B $165,354 93.044 1901CAOASS-01 and 2001CAOASS-00 2021 Title III-B $165,354 TOTAL: $330,708 G. Total Amount of Federal Funds Obligated to the Subrecipient: $330,708 H. Total Amount of the Federal Award: $330,708 I. Federal Award Project Description: Special Programs for the Aging, Title III, Part B, Grants for Supportive Services and Senior Centers J. Federal Awarding Agency: U.S. Department of Health and Human Services, Administration for Community Living K. Name of Pass Through Entity (PTE): California Department of Aging and County of Orange Office on Aging L. Contact Information for the Awarding Official: Xxxxxx Xxxxxxx, Director (000) 000-0000, xxxxxx.xxxxxxx@xxxx.xxxxx.xxx M. CFDA Number and Name: #93.044 Special Programs for the Aging, Title III, Part B, Grants for Supportive Services and Senior Centers

INTEREST EARNED. A. If Subrecipient earns interest on funds received pursuant to this Contract, that interest shall be identified as income to the program(s) for which this Contract provides and shall be used and expended only for said program(s). Subrecipient shall maintain in its files full documentation of such interest earnings and expenditures. B. If Subrecipient is a nonprofit, it shall maintain any advances of funds or contributions received under this Contract in interest-bearing accounts, unless “a” or “b” below apply: i. The best reasonably available interest-bearing account would not be expected to earn interest in excess of $500 per year on the funds deposited pursuant to this Contract combined with other federal cash balances, if any, maintained by Subrecipient; or ii. The depository would require an average or minimum balance so high that it would not be feasible within the expected cash resources Subrecipient expects to receive under this Contract. 1. DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D I. Subrecipient’s Budget (July 1, 2021 2022 – January 17June 30, 202220222023): Case Management Elder Abuse Prevention VII-A Cost Categories Budgeted Costs Total Budgeted Costs $22,066 92,863 Matching Funds – No Match Required Match Amount Total Match $2,597 ENP: Congregate Meals 0 Ombudsman III-B Cost Categories Budgeted Costs Total Budgeted Costs $240,476 816,137 Matching Funds Match Amount Total Match $21,707 DocuSign Envelope ID: 87CE971211,266 Ombudsman VII-9720-487A-A45D-A522FB26486D ENP: Home-Delivered Meals A Cost Categories Budgeted Costs Total Budgeted Costs $321,028 120,249 Matching Funds – No Match Required Match Amount Total Match $17,565 In-Home Services 0 Ombudsman Special Initiative Cost Categories Budgeted Costs Total Budgeted Costs $19,124 368,513 Matching Funds – No Match Required Match Amount Total Match $2,251 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 Cost Categories Budgeted Costs Total Budgeted Costs $22,066 II. Subrecipient’s Budget (January 18, 2022 – June 30, 2022): Case Management Matching Funds Match Amount Total Match $2,597 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 ENP: Home-Delivered Meals Cost Categories Budgeted Costs Total Budgeted Costs $321,028 Matching Funds Match Amount Total Match $17,565 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 0 2. The above Cost Categories is an overview of the actual budget approved by the Office on Aging. Subrecipient shall be responsible for and maintain the approved Budget Summary by Funding Source and Revenue Sources spreadsheet that is provided to Subrecipient from Office on Aging. The Budget Summary by Funding Source and Revenue Sources spreadsheet shall be maintained and completed in accordance with the Office on Aging policies and processes. Any deviation from the Office on Aging approved budget, may and can delay acceptance of budgets and/or reimbursements.

INTEREST EARNED. A. If Subrecipient earns interest on funds received pursuant to this Contract, that interest shall be identified as income to the program(s) for which this Contract provides and shall be used and expended only for said program(s). Subrecipient shall maintain in its files full documentation of such interest earnings and expenditures. B. If Subrecipient is a nonprofit, it shall maintain any advances of funds or contributions received under this Contract in interest-bearing accounts, unless “a” or “b” below apply: i. The best reasonably available interest-bearing account would not be expected to earn interest in excess of $500 per year on the funds deposited pursuant to this Contract combined with other federal cash balances, if any, maintained by Subrecipient; or ii. The depository would require an average or minimum balance so high that it would not be feasible within the expected cash resources Subrecipient expects to receive under this Contract. DocuSign Envelope IDAttachment C-67 Formatted: 87CE9712-9720-487A-A45D-A522FB26486DFont: (Default) Times New Roman, 12 pt Formatted: List Paragraph, Numbered + Level: 1 + Numbering Style: I, II, III, … + Start at: 1 + Alignment: Left + Aligned at: 0.25" + Indent at: 0.75" Formatted: Font: (Default) Times New Roman, 12 pt 1. I. Subrecipient’s Budget (July 1, 2021 – January June 30January 17, 2022): Case Management Cost Categories Budgeted Costs Total Budgeted Costs $22,066 Matching Funds Match Amount Total Match $2,597 ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 DocuSign Envelope ID: 87CE9712County of Orange 1 City of IrvineAge Well Senior Services, Inc. Orange County Community Resources Sixth Seventh Amendment Contract No. 20-972027-487A-A45D-A522FB26486D 0042 Attachment C-67 ENP: Home-Delivered Meals Cost Categories Budgeted Costs Total Budgeted Costs $321,028 Matching Funds Match Amount Total Match $17,565 In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 DocuSign Envelope IDCounty of Orange 2 City of IrvineAge Well Senior Services, Inc. Orange County Community Resources Sixth Seventh Amendment Contract No. 20-27-0042 Attachment C-67 Formatted: 87CE9712-9720-487A-A45D-A522FB26486D Font: (Default) Times New Roman, 12 pt Formatted: List Paragraph, Numbered + Level: 1 + Numbering Style: I, II, III, … + Start at: 1 + Alignment: Left + Aligned at: 0.25" + Indent at: 0.75" II. Subrecipient’s Budget (January 18, 2022 – June 30, 2022): Case Management Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 Cost Categories Budgeted Costs Total Budgeted Costs $22,066 IICounty of Orange 3 City of IrvineAge Well Senior Services, Inc. Orange County Community Resources Sixth Seventh Amendment Contract No. Subrecipient’s Budget 20-27-0042 Attachment C-67 Formatted: Indent: Left: 0" County of Orange 4 City of IrvineAge Well Senior Services, Inc. Orange County Community Resources Sixth Seventh Amendment Contract No. 20-27-0042 Attachment C-67 Formatted: List Paragraph Formatted: Font: (January 18Default) Times New Roman, 2022 – June 30, 2022): Case Management Matching Funds Match Amount Total Match $2,597 DocuSign Envelope ID12 pt Formatted: 87CE9712-9720-487A-A45D-A522FB26486D ENP: Congregate Meals Cost Categories Budgeted Costs Total Budgeted Costs $240,476 Matching Funds Match Amount Total Match $21,707 ENP: Home-Delivered Meals Cost Categories Budgeted Costs Total Budgeted Costs $321,028 Matching Funds Match Amount Total Match $17,565 DocuSign Envelope ID: 87CE9712-9720-487A-A45D-A522FB26486D In-Home Services Cost Categories Budgeted Costs Total Budgeted Costs $19,124 Matching Funds Match Amount Total Match $2,251 Transportation Cost Categories Budgeted Costs Total Budgeted Costs $25,009 Matching Funds Match Amount Total Match $2,943 2. No bullets or numbering The above Cost Categories is an overview of the actual budget approved by the Office on Aging. Subrecipient shall be responsible for and maintain the approved Budget Summary by Funding Source and Revenue Sources spreadsheet that is provided to Subrecipient from Office on Aging. The Budget Summary by Funding Source and Revenue Sources spreadsheet shall be maintained and completed in accordance with the Office on Aging policies and processes. Any deviation from the Office on Aging approved budget, may and can delay acceptance of budgets and/or reimbursements.Office