Common use of INVOICE AND PAYMENT Clause in Contracts

INVOICE AND PAYMENT. X. Xxxxxxx will request payments using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B of this Contract. X. Xxxxxxx will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx will submit a final FSR as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. X. Xxxxxxx will request payments using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed mailed, submitted by fax, or submitted by fax or electronic mail to all the addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX Texas 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and Xxxxxxxx@xxxx.xxxxx.xxx EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxXXXXXxxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment ATTACHMENT B BUDGET of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at xxxxx://xxx.xxx.xxx/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. X. Xxxxxxx will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports (FSRs) FSRs to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- forty-five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx will submit a final FSR as for the service period of September 1, 2019 through August 31, 2020 by October 20, 2020. Grantee will submit a final close-out FSR not later than forty-fivefor the service period of September 1, 2020 through August 31, 2021 by October 20, 2021.

INVOICE AND PAYMENT. X. Xxxxxxx will request payments using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed mailed, submitted by fax, or submitted by fax or electronic mail to all the addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX Texas 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and Xxxxxxxx@xxxx.xxxxx.xxx EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxXXXXXxxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B ATTACHMENT B-1 REVISED BUDGET of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at xxxxx://xxx.xxx.xxx/travel/plan-book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. X. Xxxxxxx will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports (FSRsFSR) located at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm by email to DSHS XXXXxxxxx@xxxx.xxxxx.xxx and XXXXxxxxxxx@xxxx.xxxxx.xxx by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-forty- five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- forty-five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx will submit a final FSR as for the service period of September 1, 2021 through August 31, 2022 by October 20, 2022. Grantee will submit a final close-out FSR not later than forty-fivefor the service period of September 1, 2022 through August 31, 2023 by October 20, 2023.

INVOICE AND PAYMENT. X. Xxxxxxx will request payments using the State of Texas Purchase Voucher (Form B-13) located at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 AustinX.X. Xxx 000000 Xxxxxx, TX XX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Revised Budget in Attachment B B-1 of this Contract. X. Xxxxxxx will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate substantiates invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable unallowable, then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx will submit a final FSR as a final close-out FSR not later than forty-fivefive (45) calendar days following the end of the term of the Contract.

INVOICE AND PAYMENT. X. Xxxxxxx will request payments using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed mailed, submitted by fax, or submitted by fax or electronic mail to all the addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX Texas 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and Xxxxxxxx@xxxx.xxxxx.xxx EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxXXXXXxxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Attachment B-1 Revised Budget in Attachment B of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at xxxxx://xxx.xxx.xxx/travel/plan-book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. X. Xxxxxxx will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports (FSRsFSR) located at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm by email to DSHS XXXXxxxxx@xxxx.xxxxx.xxx and XXXXxxxxxxx@xxxx.xxxxx.xxx by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-forty- five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- forty-five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx will submit a final FSR as for the service period of September 1, 2021 through August 31, 2022 by October 20, 2022. Grantee will submit a final close-out FSR not later than forty-fivefor the service period of September 1, 2022 through August 31, 2023 by October 20, 2023.

INVOICE AND PAYMENT. X. Xxxxxxx A. Grantee will request payments using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 0000 Xxxx 00xx Xxxxxx P.O. Box X.X. Xxx 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B of this Contract. X. Xxxxxxx C. Grantee will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx D. Grantee will submit quarterly Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx E. Grantee will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx F. Grantee will submit a final FSR as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. X. Xxxxxxx A. Grantee will request payments monthly using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtmxxxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addressesthe address/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box X.X. Xxx 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxXXXXxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B of this Contract. X. Xxxxxxx C. Grantee will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate substantiates invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable unallowable, then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx D. Grantee will submit quarterly biannual Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx E. Grantee will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx will submit a final FSR as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. X. Xxxxxxx A. Grantee will request payments using the State of Texas Purchase Voucher (Form B-13) located at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 AustinX.X. Xxx 000000 Xxxxxx, TX XX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Revised Budget in Attachment B B-1 of this Contract. X. Xxxxxxx C. Grantee will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate substantiates invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable unallowable, then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx D. Grantee will submit quarterly Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx E. Grantee will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx F. Grantee will submit a final FSR as a final close-out FSR not later than forty-fivefive (45) calendar days following the end of the term of the Contract.

INVOICE AND PAYMENT. X. Xxxxxxx will request payments using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed mailed, submitted by fax, or submitted by fax or electronic mail to all the addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX Texas 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and Xxxxxxxx@xxxx.xxxxx.xxx EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxXXXXXxxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B Budget of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at xxxxx://xxx.xxx.xxx/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. X. Xxxxxxx will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports (FSRs) FSRs to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- forty-five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx will submit a final FSR as for the service period of September 1, 2019 through August 31, 2020 by October 20, 2020. Grantee will submit a final close-out FSR not later than forty-fivefor the service period of September 1, 2020 through August 31, 2021 by October 20, 2021.

INVOICE AND PAYMENT. X. Xxxxxxx A. Grantee will request payments using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed mailed, submitted by fax, or submitted by fax or electronic mail to all the addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 AustinX.X. Xxx 000000 Xxxxxx, TX Xxxxx 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and Xxxxxxxx@xxxx.xxxxx.xxx EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxXXXXXxxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment ATTACHMENT B BUDGET of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at xxxxx://xxx.xxx.xxx/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. X. Xxxxxxx C. Grantee will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx D. Grantee will submit quarterly Financial Status Reports (FSRs) FSRs to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx E. Grantee will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- forty-five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx F. Grantee will submit a final FSR as for the service period of September 1, 2019 through August 31, 2020 by October 20, 2020. Grantee will submit a final close-out FSR not later than forty-fivefor the service period of September 1, 2020 through August 31, 2021 by October 20, 2021.

INVOICE AND PAYMENT. X. Xxxxxxx A. Grantee will request payments monthly using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtmxxxx://xxx.xxxx.xxxxx.xxx/grants/forms/b13form.doc. Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addressesthe address/number below. Invoices must be submitted monthly to prevent delays in subsequent months. Grantees that do not incur expenses for a month are required to submit timely “zero” dollar invoices. Invoices and all supporting documentation must be emailed to xxxxxxxx@xxxx.xxxxx.xxxx and xxxxxxxxxxx@xxxx.xxxxx.xxx simultaneously. Grantee must submit a final close out invoice and final financial status report no later than 45 days following the end of the fiscal year. Invoices received more than 45 days after the end of the fiscal year are subject to denial of payment. Department of State Health Services Claims Processing Unit, MC 1940 0000 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx xxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxXXXxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B of this Contract. X. Xxxxxxx will C. Grantee must submit requests for reimbursement final Financial Status Report (Form B-13“FSR”) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred final reimbursement or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx will submit payment request for reimbursement (B-13) as a final close-out invoice not no later than forty-five (45) calendar days following the end of the term of Contract term. The Grantee will submit the Contract. Reimbursement requests received in the DSHS office more than forty- five Financial Status Report (45FSR-269A) calendar days following the termination of at two reporting intervals during the Contract may not term. The FSRs will be paidsubmitted bi-annually as outlined below and in alignment with the Contract term. X. Xxxxxxx will submit a final FSR as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. X. Xxxxxxx A. Performing Agency will request payments using the State of Texas Purchase Voucher (Form B-13) located at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtmxxxxx://xxx.xxxx.xxxxx.xxx/grants/forms.shtm. Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all the addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx XXXXxxxxxxx@xxxx.xxxxx.xxx; DSHS Project Officer and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxSupport Staff Xxxxxx.Xxxxxx@xxxx.xxxxx.xxx; Xxxxx.Xxxxx@xxxx.xxxxx.xxx; and Performing Agency Program Contact Xxxxxxxx.X.XxxxXxxxxxxx@XXX.XXX.xxx. B. Grantee Performing Agency will be paid on in accordance with Attachment B-2 – Supplemental Deliverables Schedule of this Contract. Payment will not be made until the deliverable has been approved and accepted by Receiving Agency. Performing Agency can request a cost reimbursement basis delay in a deliverable, if necessary. Receiving Agency will consider reasonable requests and respond within 5 business days to the request. Non-delivery or non-acceptance of deliverables/services under this Contract and Statement of Work may result in non- payment, delayed or reduced payment. Performing Agency shall bill the System Agency in accordance with the Budget in Attachment B of this Contract. X. Xxxxxxx will . Performing Agency shall electronically submit requests for reimbursement a final close-out voucher not later than thirty (Form B-1330) and financial expenditure template monthly by the last business day of the month days following the month in which expenses were incurred or services providedeach fiscal year end. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports Vouchers received more than thirty (FSRs30) to DSHS by the last business day of the month days following the end of each quarter fiscal year are subject to denial of payment. Performing Agency shall submit the Contract for MFW-TASP Performance Measure Report which describes Performing Agency's efforts towards meeting performance measures. The report shall be in an approved format as provided by DSHS, and shall be completed and submitted to DSHS review and financial assessment. X. Xxxxxxx will submit request for reimbursement within fifteen (B-13) as a final close-out invoice not later than forty-five (4515) calendar days following after the end of the term of the Contracteach month. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not All Deliverables outlined below will be paidsubmitted to Receiving Agency electronically via email to xxxx@xxxx.xxxxx.xxx; Xxxxxx.Xxxxxx@xxxx.xxxxx.xxx; and Xxxxx.Xxxxx@xxxx.xxxxx.xxx for review and approval prior to releasing payment. X. Xxxxxxx will submit a final FSR as a final close1. MFW-out FSR not later than fortyTASP Performance Measure Report describing Performing Agency’s efforts during September 2021 towards meeting performance measures 10/15/2021 $10,000 2. MFW-fiveTASP Performance Measure Report describing Performing Agency’s efforts during October 2021 towards meeting performance measures 11/15/2021 $10,000 3. MFW-TASP Performance Measure Report describing Performing Agency’s efforts during November 2021 towards meeting performance measures 12/15/2021 $10,000 4. MFW-TASP Performance Measure Report describing Performing Agency’s efforts during December 2021 towards meeting performance measures 01/15/2022 $10,000 5. MFW-TASP Performance Measure Report describing Performing Agency’s efforts during January 2022 towards meeting performance measures 02/15/2022 $10,000 6. MFW-TASP Performance Measure Report describing Performing Agency’s efforts during February 2022 towards meeting performance measures 03/15/2022 $10,000 7. MFW-TASP Performance Measure Report describing Performing Agency’s efforts during March 2022 towards meeting performance measures 04/15/2022 $10,000 8. MFW-TASP Performance Measure Report describing Performing Agency’s efforts during April 2022 towards meeting performance measures 05/15/2022 $10,000

INVOICE AND PAYMENT. X. Xxxxxxx will A. Grantee shall request payments monthly using the State of Texas Purchase Voucher (Form B-13). The template will be provided to Grantee within thirty (30) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtmdays of Contract execution. Voucher Invoices and any all supporting documentation must be emailed to both xxxxxxxx@xxxx.xxxxx.xxx and xxxxxxxxxxx@xxxx.xxxxx.xxx. Invoices must be submitted monthly to prevent delays in subsequent months. Grantees that do not incur expenses within a month are required to submit a “zero dollar” invoice on a monthly basis. Grantee must submit a final close-out invoice and final financial status report no later than thirty (30) days following the end of the Contract term. Invoices received more than thirty (30) days after the end of the Contract term are subject to denial of payment. Email: Xxxxxxxx@xxxx.xxxxx.xxx and XXXxxxxxxxx@xxxx.xxxxx.xxx Failure to submit required information may result in delay of payment or return of invoice. Billing invoices must be legible. Illegible or incomplete invoices which cannot be verified will be mailed or submitted by fax or electronic mail to all addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxdisallowed for payment. B. Grantee will shall submit the Financial Status Report (FSR-269A) semiannually by the last business day of the month following the end of each six months of the Contract term. Grantee shall email the Financial Status Report (FSR-269A) to the following email addresses: XXXxxxxxx@xxxx.xxxxx.xxx. C. Grantee shall be paid monthly, on a cost reimbursement basis basis, and in accordance with the Budget in Attachment B of this Contract. X. Xxxxxxx D. All invoices must reference the Purchase Order number. E. DSHS reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. DSHS will submit requests monitor Xxxxxxx’s expenditures on a semiannual basis. If expenditures are below the amount in Grantee’s total Contract, Xxxxxxx’s budget may be subject to a decrease for reimbursement the remainder of the Contract term. Vacant positions existing after ninety (90) days may result in a decrease in funds. F. Grantee shall provide notification of budget transfers by submission of a revised Categorical Budget Form B-13) and financial expenditure template monthly Budget Change Request Form to the designated DSHS Contract Manager, highlighting the areas affected by the last business day budget transfer. Xxxxxxx is advised as follows: 1. For any transfer between budget categories, Grantee shall provide notification of transfer between budget categories by submission of a revised Categorical Budget Form to the DSHS Contract Representative, highlighting the areas affected by the budget transfer and written justification for the transfer request. After DSHS review, the designated DSHS Contract Representative will provide notification of acceptance or rejection to Grantee by email; 2. For transfer of funds between direct budget categories, other than the ‘Equipment’ and ‘Indirect Cost’ categories, for less than or equal to a cumulative twenty-five (25) percent of the month following total value of the month in which expenses were incurred or services providedrespective Contract budget period, Grantee shall submit timely written notification to DSHS Contract Representative using the Budget Change Request Form and request DSHS approval. If approved, DSHS Contract Representative will provide notification of acceptance to Grantee by email, upon receipt of which, the revised budget will be incorporated into the Contract; 3. For transfer of funds between direct budget categories, other than the ‘Equipment’ and ‘Indirect Cost’ categories, that cumulatively exceeds twenty-five (25) percent of the total value of the respective Contract budget period, Grantee shall submit timely written notification to DSHS Contract Representative using the Budget Change Request Form and request DSHS approval. If the revision is approved, the budget revision is not authorized, and the funds cannot be utilized, until an amendment is executed by the Parties; and 4. Any transfer between budget categories that includes ‘Equipment’ and/or ‘Indirect Cost’ categories must be incorporated by amendment. Grantee shall maintain all documentation that substantiate invoices submit timely written notification to DSHS Contract Representative using the Budget Change Request Form and make request DSHS approval. If the documentation available to revision is approved, the DSHS upon requestbudget revision is not authorized, and the funds cannot be utilized, until an amendment is executed by the Parties. In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the event a cost reimbursed Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract is later determined to be unallowable then Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports Texas Administrative Code); the Texas Grant Management Standards (FSRsTxGMS) to DSHS developed by the last business day Texas Comptroller of Public Accounts; and the month following Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the end of each quarter of the Contract for DSHS review and financial assessmentright to add requirements, terms, or conditions. X. Xxxxxxx will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx will submit a final FSR as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. X. Xxxxxxx A. Grantee will request payments using the State of Texas Purchase Voucher (Form B-13) located at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtmxxxxx://xxx.xxxx.xxxxx.xxx/hivstd/contractor/cmsforms.shtm. Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box X.X. Xxx 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B of this Contract. X. Xxxxxxx C. Grantee will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate substantiates invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable unallowable, then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx D. Grantee will submit quarterly Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx E. Grantee will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx F. Grantee will submit a final FSR as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. X. Xxxxxxx will Grantee shall bill, and System Agency shall pay Grantee based upon Xxxxxxx’s submission of a monthly detailed and accurate invoice describing the services performed in completion of the responsibilities outlined in Attachment A-1. Invoices and supporting documentation shall be submitted to System Agency no later than thirty (30) days after the last day of each month. A. Grantee shall request payments monthly using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtmxxxx://xxx.xxxx.xxxxx.xxx/grants/forms/b13form.doc. Voucher and any supporting documentation will must be mailed or submitted by fax or electronic mail to all addresses/the address or fax number below. Invoices and all supporting documentation must be emailed to xxxxxxxx@xxxx.xxxxx.xxx and xxxxxxxxxxx@xxxx.xxxxx.xxx simultaneously. Invoices must be submitted monthly to prevent delays in subsequent months. Grantees that do not incur expenses within a month are required to submit a “zero dollar” invoice on a monthly basis. Grantee must submit a final close-out invoice and final financial status report no later than 45 days following the end of the Contract term. Invoices received more than 45 days after the end of the Contract term are subject to denial of payment. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAILEmail: xxxxxxxx@xxxx.xxxxx.xx.xx Xxxxxxxx@xxxx.xxxxx.xxx, XXXxxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxXXXxxxxxxxXxxxxxxxx@xxxx.xxxxx.xxx Failure to submit required information may result in delay of payment or return of invoice. Billing invoices must be legible. Illegible or incomplete invoices which cannot be verified will be disallowed for payment. B. Grantee shall submit the Financial Status Report (FSR-269A) biannually as outlined below. Grantee shall email the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A) to the following email addresses: XXXxxxxxx@xxxx.xxxxx.xxx and XXXxxxxxxxXxxxxxxxx@xxxx.xxxxx.xxx. The Financial Status Report (FSR-269A) can be located at: xxxxx://xxx.xxxx.xxxxx.xxx/hivstd/contractor/cmsforms.shtm Grantee shall request the Match Certification Form (B-13A) from System Agency via email. C. Grantee will be paid on a cost cost-reimbursement basis and in accordance with the Budget in Attachment B B-1 of this Contract. X. Xxxxxxx will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx will submit a final FSR as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. X. Xxxxxxx will request payments using the State of Texas Purchase Voucher (Form B-13) located at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Revised Budget in Attachment B B-1 of this Contract. X. Xxxxxxx will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate substantiates invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable unallowable, then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx will submit a final FSR as a final close-out FSR not later than forty-fivefive (45) calendar days following the end of the term of the Contract.

INVOICE AND PAYMENT. X. Xxxxxxx A. Grantee will request payments monthly using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtmxxxx://xxx.xxxx.xxxxx.xxx/grants/forms/b13form.doc. Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addressesthe address/number below. Invoices must be submitted monthly to prevent delays in subsequent months. Grantees that do not incur expenses for a month are required to submit timely “zero” dollar invoices. Invoices and all supporting documentation must be emailed to xxxxxxxx@xxxx.xxxxx.xxxx and xxxxxxxxxxx@xxxx.xxxxx.xxx simultaneously. Grantee must submit a final close out invoice and final financial status report no later than 45 days following the end of the fiscal year. Invoices received more than 45 day after the end of the fiscal year are subject to denial of payment. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box X.X. Xxx 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx xxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxXXXxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B of this Contract. X. Xxxxxxx will C. Grantee must submit requests for reimbursement final Financial Status Report (Form B-13“FSR”) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred final reimbursement or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx will submit payment request for reimbursement (B-13) as a final close-out invoice not no later than forty-five (45) calendar days following the end of the Contract term The Grantee will submit the Financial Status Report (FSR-269A) at two reporting intervals during the contract term. The FSR’s will be submitted bi-Annually as outlined below and in alignment with the contract term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not be paidthis renewal. X. Xxxxxxx will submit a final FSR as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. X. Xxxxxxx will request payments by using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. The Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addressesthe address/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx xxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxxxxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B of this Contract.with X. Xxxxxxx will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. C. Grantee shall maintain all documentation that substantiate substantiates invoices and make the documentation available to the DSHS System Agency upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable unallowable, then the Grantee will reimburse DSHS System Agency for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports (FSRs) to DSHS System Agency by the last business day of the month following the end of each quarter of the Contract for DSHS System Agency review and financial assessment.. The quarters are as follows: 1. September 1 through November 30 2. December 1 through February 28 3. March 1 through May 31 4. June 1 through August 31 X. Xxxxxxx will submit a request for reimbursement (HHS Form B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS System Agency office more than forty- forty-five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx will submit a final FSR as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. X. Xxxxxxx A. Grantee will request payments using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed mailed, submitted by fax, or submitted by fax or electronic mail to all the addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box X.X. Xxx 149347 Austin, TX Texas 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and Xxxxxxxx@xxxx.xxxxx.xxx EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxXXXXXxxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B Budget of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at xxxxx://xxx.xxx.xxx/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. X. Xxxxxxx C. Grantee will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx D. Grantee will submit quarterly Financial Status Reports (FSRs) FSRs to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx E. Grantee will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- forty-five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx F. Grantee will submit a final FSR as for the service period of September 1, 2019 through August 31, 2020 by October 20, 2020. Grantee will submit a final close-out FSR not later than forty-fivefor the service period of September 1, 2020 through August 31, 2021 by October 20, 2021.

INVOICE AND PAYMENT. X. Xxxxxxx will A. Grantee must submit a monthly detailed and accurate invoice describing the services performed in completion of the responsibilities outlined in this Attachment A. Invoices and supporting documentation shall be submitted to DSHS no later than thirty (30) days after the last day of each month. B. Grantee shall request payments monthly using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtmat: xxxxx://xxx.xxxx.xxxxx.xxx/sites/default/files/hivstd/contractor/prev/B-13- Invoice.xlsx. Voucher and any supporting documentation will must be mailed or submitted by fax or electronic mail to all addresses/the address or fax number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box X.X. Xxx 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAILEmail: xxxxxxxx@xxxx.xxxxx.xx.xx Xxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx XXXxxxxxxxx@xxxx.xxxxx.xxx Invoices and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxall supporting documentation must be emailed to Xxxxxxxx@xxxx.xxxxx.xxx and XXXxxxxxxxx@xxxx.xxxxx.xxx simultaneously. Invoices must be submitted monthly to prevent delays in subsequent months. If Grantee does not incur expenses within a month, Grantee is still required to submit a “zero dollar” invoice. Failure to submit required information may result in delay of payment or return of invoice. Billing invoices must be legible. Illegible or incomplete invoices which cannot be verified will be disallowed for payment. B. C. Grantee must submit a final close-out invoice and final financial status report no later than 45 days following the end of the Grant Agreement term. Invoices received more than 45 days after the end of the Grant Agreement term are subject to denial of payment. D. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B of this Contract. X. Xxxxxxx Grant Agreement. In this document, Grantees (also referred to in this document as subrecipients or contractors) will submit requests for reimbursement find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (Form B-13HHSC) and financial expenditure template monthly the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the last business day Texas Comptroller of Public Accounts; and the month following Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the month in which expenses were incurred right to add requirements, terms, or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that costconditions. X. Xxxxxxx will submit quarterly Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx will submit a final FSR as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. X. Xxxxxxx will request payments monthly using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtmxxxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addressesthe address/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxXXXXxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B of this Contract. X. Xxxxxxx will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate substantiates invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable unallowable, then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly biannual Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the CONTRACT NO. HHS001193700012 TOTAL DIRECT CHARGES $604,896.00 Contract may not be paid. X. Xxxxxxx will submit a final FSR as a final close-out FSR not later than forty-fiveNumber _H_H_S_0_0_1_1_9_3_70_0_0_1_2

INVOICE AND PAYMENT. X. Xxxxxxx will Grantee shall bill, and System Agency shall pay Grantee based upon Xxxxxxx’s submission of a monthly detailed and accurate invoice describing the services performed in completion of the responsibilities outlined in Attachment A-2, Statement of Work for CY2023 and FY2024. Invoices and supporting documentation shall be submitted to System Agency no later than thirty (30) days after the last day of each month. A. Grantee shall request payments monthly using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtmxxxx://xxx.xxxx.xxxxx.xxx/grants/forms/b13form.doc. Voucher and any supporting documentation will must be mailed or submitted by fax or electronic mail to all addresses/the address or fax number below. Invoices and all supporting documentation must be emailed to xxxxxxxx@xxxx.xxxxx.xxx and xxxxxxxxxxx@xxxx.xxxxx.xxx simultaneously. Invoices must be submitted monthly to prevent delays in subsequent months. Grantees that do not incur expenses within a month are required to submit a “zero dollar” invoice on a monthly basis. Grantee must submit a final close-out invoice and final financial status report no later than 45 days following the end of the Contract term. Invoices received more than 45 days after the end of the Contract term are subject to denial of payment. Department of State Health Services Claims Processing Unit, MC 1940 0000 0000 Xxxx 00xx Xxxxxx P.O. Box X.X. Xxx 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAILEmail: xxxxxxxx@xxxx.xxxxx.xx.xx Xxxxxxxx@xxxx.xxxxx.xxx, XXXxxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxXXXxxxxxxxXxxxxxxxx@xxxx.xxxxx.xxx Failure to submit required information may result in delay of payment or return of invoice. Billing invoices must be legible. Illegible or incomplete invoices which cannot be verified will be disallowed for payment. B. Grantee shall submit the Financial Status Report (FSR-269A) biannually as outlined below. Grantee shall email the Financial Status Report (FSR-269A) and the Match Reimbursement/Certification Form (B-13A) to the following email addresses: C. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B B-2, Revised Budgets of this Contract. X. Xxxxxxx will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx will submit a final FSR as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. X. Xxxxxxx will A. Grantee shall submit monthly requests for reimbursement for actual allowable costs incurred in the provision of services under this Contract. Grantee shall request payments using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtmxxxx://xxx.xxxx.xxxxx.xxx/grants/forms.shtm within thirty (30) days following the end of the month covered by the voucher. The Purchase Voucher and any supporting documentation shall be submitted electronically and simultaneously to the DSHS Claims Processing Unit (CPU) email inbox and the Contract Management Section email inbox. Contractor must submit vouchers monthly even if there are zero expenditures. In addition, Grantee shall submit the Monthly Reimbursement Request (MRR) form provided by the DSHS program. Final Close-out Voucher: Grantee shall electronically submit a final close-out voucher not later than forty-five (45) days following the end of the applicable project year for costs incurred on or before the last day of the Contract term. Vouchers received more than forty- five (45) days following the end of the applicable project year will not be mailed or paid. The Voucher, MRR, and any supporting documentation must be submitted by fax or electronic mail to all addresses/number below. email to: Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost cost-reimbursement basis and in accordance with the Budget in Attachment B of this Contract. Payment will not be made until deliverables have been approved and accepted by DSHS. Non-delivery or non-acceptance of deliverables/services under this Contract and Statement of Work may result in non-payment, delayed or reduced payment. Personnel $ 637,997.00 Fringe Benefits $ 174,641.00 Travel $ 12,991.00 Equipment $ 0.00 Supplies $ 53,000.00 Contractual $ 193,650.00 Other $ 205,715.00 Total Direct Costs $1,277,994.00 Indirect Costs $ 172,529.00 By entering into this Contract, Xxxxxxx affirms, without exception, as follows: 1. Grantee represents and warrants that these General Affirmations apply to Contractor and all of Grantee's principals, officers, directors, shareholders, partners, owners, agents, employees, Subcontractors, independent contractors, and any other representatives who may provide services under, who have a financial interest in, or otherwise are interested in this Contract. X. Xxxxxxx will submit requests 2. Grantee represents and warrants that all statements and information provided to the System Agency are current, complete, and accurate. This includes all statements and information relating in any manner to this Contract and any solicitation resulting in this Contract. 3. Grantee has not given, has not offered to give, and does not intend to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant in connection with this Contract. 4. Under Section 2155.004, Texas Government Code (relating to financial participation in preparing solicitations), Grantee certifies that it is not ineligible to receive this Contract and acknowledges that this Contract may be terminated and payment withheld if this certification is inaccurate. 5. Under Section 2155.006, Texas Government Code (relating to convictions and penalties regarding Hurricane Xxxx, Hurricane Xxxxxxx, and other disasters), Grantee certifies that it is not ineligible to receive this Contract and acknowledges that this Contract may be terminated and payment withheld if this certification is inaccurate. 6. Under Section 2261.053, Texas Government Code (relating to convictions and penalties regarding Hurricane Xxxx, Hurricane Xxxxxxx, and other disasters), Grantee certifies that it is not ineligible to receive this Contract and acknowledges that this Contract may be terminated and payment withheld if this certification is inaccurate. 7. Under Section 231.006, Texas Family Code (relating to delinquent child support), Grantee certifies that it is not ineligible to receive the specified grant, loan, or payment and acknowledges that this Contract may be terminated and payment may be withheld if this certification is inaccurate. 8. Grantee certifies that: (a) the entity executing this Contract; (b) its principals; (c) its Subcontractors; and (d) any personnel designated to perform services related to this Contract are not presently debarred, suspended, proposed for reimbursement (Form B-13) debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal Department or Agency. This certification is made pursuant to the regulations implementing Executive Order 12549 and financial expenditure template monthly Executive Order 12689, Debarment and Suspension, 2 C.F.R. Part 376, and any relevant regulations promulgated by the last business day Department or Agency funding this project. This provision shall be included in its entirety in Grantee's Subcontracts if payment in whole or in part is from federal funds. 9. Grantee certifies that it, its principals, its Subcontractors, and any personnel designated to perform services related to this Contract are eligible to participate in this transaction and have not been subjected to suspension, debarment, or similar ineligibility determined by any federal, state, or local governmental entity. 10. Grantee certifies it is in compliance with all State of Texas statutes and rules relating to procurement; and that (a) the entity executing this Contract; (b) its principals; (c) its Subcontractors; and (d) any personnel designated to perform services related to this Contract are not listed on the federal government's terrorism watch list described in Executive Order 13224. Entities ineligible for federal procurement are listed at xxxxx://xxx.xxx.gov/portal/public/XXX/, which Grantee may review in making this certification. Grantee acknowledges that this Contract may be terminated and payment withheld if this certification is inaccurate. This provision shall be included in its entirety in Grantee's Subcontracts if payment in whole or in part is from federal funds. 11. In accordance with Texas Government Code Section 669.003 (relating to contracting with the executive head of a state agency), Grantee certifies that it (1) is not the executive head of the System Agency; (2) was not at any time during the past four years the executive head of the System Agency; and (3) does not employ a current or former executive head of the System Agency. 12. Grantee represents and warrants that it is not currently delinquent in the payment of any franchise taxes owed the State of Texas under Chapter 171 of the Texas Tax Code. 13. Grantee represents and warrants that payments to Contractor and Xxxxxxx's receipt of appropriated or other funds under this Contract are not prohibited by Sections 556.005, 556.0055, or 556.008 of the Texas Government Code (relating to use of appropriated money or state funds to employ or pay lobbyists, lobbying expenses, or influence legislation). 14. Grantee represents and warrants that it will comply with Texas Government Code Section 2155.4441, relating to the purchase of products produced in the State of Texas under service contracts. 15. Pursuant to Section 2252.901, Texas Government Code (relating to prohibitions regarding contracts with and involving former and retired state agency employees), Grantee will not allow any former employee of the System Agency to perform services under this Contract during the twelve (12) month period immediately following the month in which expenses were incurred or services providedemployee's last date of employment at the System Agency. 16. Grantee acknowledges that, pursuant to Section 572.069 of the Texas Government Code, a former state officer or employee of the System Agency who during the period of state service or employment participated on behalf of the System Agency in a procurement or contract negotiation involving Grantee may not accept employment from Grantee before the second anniversary of the date the officer's or employee's service or employment with the System Agency ceased. 17. Xxxxxxx understands that the System Agency does not tolerate any type of fraud. The System Agency's policy is to promote consistent, legal, and ethical organizational behavior by assigning responsibilities and providing guidelines to enforce controls. Violations of law, agency policies, or standards of ethical conduct will be investigated, and appropriate actions will be taken. All employees or contractors who suspect fraud, waste or abuse (including employee misconduct that would constitute fraud, waste, or abuse) are required to immediately report the questionable activity to both the Health and Human Services Commission's Office of the Inspector General at 0-000-000-0000 and the State Auditor's Office. Xxxxxxx agrees to comply with all applicable laws, rules, regulations, and System Agency policies regarding fraud including, but not limited to, HHS Circular C-027. 18. Grantee represents and warrants that it has not violated state or federal antitrust laws and has not communicated its bid for this Contract directly or indirectly to any competitor or any other person engaged in such line of business. Contractor hereby assigns to System Agency any claims for overcharges associated with this Contract under 15 U.S.C. § 1, et seq., and Texas Business and Commerce Code § 15.01, et seq. 19. Grantee represents and warrants that it is not aware of and has received no notice of any court or governmental agency proceeding, investigation, or other action pending or threatened against Grantee or any of the individuals or entities included numbered paragraph 1 of these General Affirmations within the five (5) calendar years immediately preceding the execution of this Contract that would or could impair Xxxxxxx's performance under this Contract, relate to the contracted or similar goods or services, or otherwise be relevant to the System Agency's consideration of entering into this Contract. If Grantee is unable to make the preceding representation and warranty, then Grantee instead represents and warrants that it has provided to the System Agency a complete, detailed disclosure of any such court or governmental agency proceeding, investigation, or other action that would or could impair Grantee's performance under this Contract, relate to the contracted or similar goods or services, or otherwise be relevant to the System Agency's consideration of entering into this Contract. In addition, Grantee represents and warrants that it shall notify the System Agency in writing within five (5) business days of any changes to the representations or warranties in this clause and understands that failure to so timely update the System Agency shall constitute breach of contract and may result in immediate termination of this Contract. 20. Grantee understands, acknowledges, and agrees that any false representation or any failure to comply with a representation, warranty, or certification made by Grantee is subject to all civil and criminal consequences provided at law or in equity including, but not limited to, immediate termination of this Contract. 21. Grantee represents and warrants that it will comply with all applicable laws and maintain all documentation permits and licenses required by applicable city, county, state, and federal rules, regulations, statues, codes, and other laws that substantiate invoices pertain to this Contract. 22. Xxxxxxx represents and make warrants that the documentation available to the DSHS upon request. In the event a cost reimbursed under the individual signing this Contract is later determined authorized to be unallowable then sign on behalf of Grantee and to bind Grantee. REMAINDER OF XXXX INTENTIONALLY LEFT BLANK SUPPLEMENTAL CONDITIONS A. Section 6.01, Ownership, is deleted in its entirety and replaced with the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx will submit a final FSR as a final close-out FSR not later than forty-fivefollowing:

INVOICE AND PAYMENT. X. Xxxxxxx A. Grantee will request payments using the State of Texas Purchase Voucher (Form B-13) located at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box X.X. Xxx 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Revised Budget in Attachment B B-1 of this Contract. X. Xxxxxxx C. Grantee will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate substantiates invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable unallowable, then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx D. Grantee will submit quarterly Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx E. Grantee will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx F. Grantee will submit a final FSR as a final close-out FSR not later than forty-fivefive (45) calendar days following the end of the term of the Contract.

INVOICE AND PAYMENT. X. Xxxxxxx will request payments using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B of this Contract. X. Xxxxxxx will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx will submit a final FSR as a final close-out FSR not later than forty-fivefive (45) calendar days following the end of the term of the Contract. Fort Bend County Contract No. HHS000812700019 Categorical Budget Upon Execution to April 30, 2022 PERSONNEL $276,000.00 FRINGE BENEFITS $129,085.00 TRAVEL $1,446.00 EQUIPMENT $0.00 SUPPLIES $0.00 CONTRACTUAL $0.00 OTHER $0.00 TOTAL DIRECT CHARGES $406,531.00 INDIRECT CHARGES $0.00 HHSC Uniform Terms and Conditions Version 2.16 Published and Effective: March 26, 2019 Responsible Office: Chief Counsel

INVOICE AND PAYMENT. X. Xxxxxxx will A. Grantee shall bill, and DSHS shall pay Grantee based upon Xxxxxxx’s submission of a monthly detailed and accurate invoice describing the services performed in completion of the responsibilities outlined in this Attachment A. Grantee shall request payments each month using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtmxxxxx://xxx.xxxx.xxxxx.xxx/sites/default/files/hivstd/contractor/prev/B-13-Invoice.xlsx. Voucher Grantee shall submit vouchers and any supporting documentation will be mailed or submitted by fax or electronic e-mail to all addresses/number the e-mail addresses below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx XXXxxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxxxxxxxxx@xxxx.xxxxx.xxx. B. Grantee will Progress reports must be paid on completed utilizing DSHS-approved templates and uploaded to PMATS, a cost reimbursement basis and in accordance with the Budget in Attachment B of this Contractweb-based data collection tool, by their respective due dates. X. Xxxxxxx will submit requests for reimbursement C. Form B-13 voucher must be submitted within thirty (Form B-1330) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports (FSRs) to DSHS by the last business day of the month calendar days following the end of each quarter month, even if there are zero expenditures. If Grantee did not incur expenses within a month are required to submit a “zero dollar” voucher on a monthly basis. Vouchers received more than thirty (30) calendar days following the end of the Contract for DSHS review and financial assessmenteach month may not be paid. X. Xxxxxxx will D. Grantee shall electronically submit request for reimbursement (B-13) as a final close-out invoice voucher and financial status report not later than forty-five thirty (4530) calendar days following the end of the Contract term for costs incurred on or before the last day of the Contractcontract term. Reimbursement requests Vouchers received in the DSHS office more than forty- five thirty (4530) calendar days following the termination end of the Contract term are subject to denial of payment. E. Failure to submit required information may result in delay of payment or return of invoice. Billing vouchers must be legible. Illegible or incomplete invoices which cannot be paidverified will be disallowed for payment. X. Xxxxxxx F. Grantee will be paid on a cost-reimbursement basis and in accordance with Attachment B, Budget of the Grant Agreement. A. Funding Source: Federal B. Compliance with the following Grant requirements is required: 1. Grant Technical Assistance Guide located at System Agency website: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/grants; 2. Texas Grant Management Standards 3. 2 C.F.R. Part 200 C. System Agency total reimbursements for the grant term will not exceed $1,110,000.00. All expenditures under this Grant Agreement shall be in accordance with the following cost categories: Personnel $205,687.00 $212,967.00 $418,654.00 Fringe Benefits $61,706.00 $63,890.00 $125,596.00 Travel $6,213.00 $4,848.00 $11,061.00 Equipment $3,200.00 $0.00 $3,200.00 Supplies $1,244.00 $845.00 $2,089.00 Contractual $5,000.00 $500.00 $5,500.00 Other $0.00 $0.00 $0.00 Indirect costs $271,950.00 $271,950.00 $543,900.00 D. Cost Reimbursement Budget: 1. Xxxxxxx’s approved cost reimbursement budget documents all approved and allowable expenditures. 2. Grantee shall only utilize the funding for approved and allowable costs. If Grantee requests to utilize funds for an expense not documented on the approved cost reimbursement budget, Grantee shall notify the System Agency assigned contract manager, in writing, and request approval prior to utilizing the funds. System Agency shall provide written notification regarding if the requested expense is approved. 3. If needed, Grantee may revise the System Agency-approved cost reimbursement budget. Revision requirements are as follows: a. System Agency approves Grantee’s transfer of up to a cumulative twenty-five (25%) percent of funds from budgeted direct cost categories only, excluding the ‘Equipment’ category. Budget revisions exceeding a cumulative twenty-five (25%) percent of funds require System Agency’s written approval. b. Grantee may request revisions to the approved annual cost reimbursement budget direct cost categories that exceed the cumulative twenty-five (25%) percent requirement, excluding ‘Equipment’ and ‘Indirect Cost’ categories, by submitting a written request to the System Agency assigned contract manager. This change will require a formal Contract amendment. System Agency will amend the Contract if Xxxxxxx’s revision request is approved. Xxxxxxx’s budget revision is not authorized, and funds cannot be utilized, until the Contract amendment is executed. c. Grantee may revise the annual cost reimbursement budget ‘Equipment’ and/or ‘Indirect’ cost categories, however a formal Contract amendment is required. Grantee shall submit to the System Agency assigned contract manager a final FSR as written request to revise the budget, which includes a final close-out FSR justification for the revisions. System Agency will amend the Contract if Xxxxxxx’s revision request is approved. Xxxxxxx’s budget revision is not later than forty-fiveauthorized, and funds cannot be utilized, until the Contract amendment is executed.

INVOICE AND PAYMENT. X. Xxxxxxx A. Performing Agency will request payments using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtmxxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms/b13form.doc. Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addressesthe address/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 AustinX.X. Xxx 000000 Xxxxxx, TX XX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxXXXXXxxxxxxxxx@xxxx.xxxxx.xxx B. Grantee Performing Agency will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B B-2 of this Contract. X. Xxxxxxx C. Performing Agency will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee Performing Agency shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee Performing Agency will reimburse DSHS for that cost. X. Xxxxxxx D. Performing Agency will submit quarterly Financial Status Reports (FSRsFSR) located at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm by email to DSHS XXXXxxxxx@xxxx.xxxxx.xxx and XXXXxxxxxxx@xxxx.xxxxx.xxx by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx E. Performing Agency will submit request requests for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- forty-five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx F. Performing Agency will submit a final FSR as a final close-out FSR not later than forty-fivefive (45) calendar days following the end of the term of the Contract.

INVOICE AND PAYMENT. X. Xxxxxxx will request monthly payments using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. The Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addressesthe address/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxXXXXxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B of this Contract.with X. Xxxxxxx will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. C. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS System Agency upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable unallowable, then the Grantee will reimburse DSHS System Agency for that cost. X. Xxxxxxx will submit quarterly biannual Financial Status Reports (FSRs) to DSHS System Agency by the last business day of the month following the end of each quarter of the Contract for DSHS System Agency review and financial assessment.. The quarters are as follows: 1. September 1 February 28 2. March 1 through August 31 X. Xxxxxxx will submit a request for reimbursement (HHS Form B-13) as a final close-close- out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS System Agency office more than forty- forty-five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx will submit a final FSR as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. X. Xxxxxxx A. Grantee will request payments by using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. The Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addressesthe address/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx xxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxxxxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B of this Contract.with X. Xxxxxxx will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. C. Grantee shall maintain all documentation that substantiate substantiates invoices and make the documentation available to System Agency upon request through the DSHS upon request. document retention period listed in Attachment C. In the event a cost reimbursed under the Contract is later determined to be unallowable unallowable, then the Grantee will reimburse DSHS for that cost.reimburse X. Xxxxxxx D. Grantee will submit quarterly Financial Status Reports (FSRs) to DSHS System Agency by the last business day of the month following the end of each quarter of the Contract for DSHS System Agency review and financial assessment.. The quarters are as follows: X. Xxxxxxx 1. September 1 through November 30 2. December 1 through February 28 3. March 1 through May 31 4. June 1 through August 31 E. Grantee will submit a request for reimbursement (HHS Form B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS System Agency office more than forty- forty-five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx F. Grantee will submit a final FSR as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. X. Xxxxxxx will Grantee shall request payment by preparing an invoice and submitting acceptable supporting documentation for reimbursement of the required services/deliverables. Invoices and supporting documentation shall be submitted to DSHS no later than thirty (30) days after the last day of each month. A. Grantee shall request payments monthly using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtmxxxx://xxx.xxxx.xxxxx.xxx/grants/forms/b13form.doc. Voucher Invoices must be submitted monthly to prevent delays in subsequent months. Grantees that do not incur expenses for a month are required to submit timely “zero dollar” invoices. Invoices and any all supporting documentation will must be e-mailed or submitted to xxxxxxxx@xxxx.xxxxx.xxx and xxxxxxxxxxx@xxxx.xxxxx.xxx simultaneously. Invoices received more than thirty (30) days after the end of the Contract term are subject to denial of payment. Grantee shall submit all vouchers and supporting documentation as follows: By mail to: Or by fax or electronic mail to all addresses/number below. Fax to: (000) 000-0000 Department of State Health Services Claims Processing Unit, MC 1940 Or by E-mail to: 0000 Xxxx 00xx Xxxxxx P.O. Box Xxxxxxxx@xxxx.xxxxx.xxx X.X. Xxx 149347 and Austin, TX 0000078714-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxx9347 XXXxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B of this Contract. X. Xxxxxxx will C. Support documents must align with the approved budget in all cost categories. D. Grantee must submit requests for reimbursement final Financial Status Report (Form B-13FSR) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred final reimbursement or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx will submit payment request for reimbursement (B-13) as a final close-out invoice not no later than forty-five thirty (4530) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not be paidterm. X. Xxxxxxx will submit a final FSR as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. X. Xxxxxxx A. Grantee will request payments using the State of Texas Purchase Voucher (Form B-13) located at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Revised Budget in Attachment B B-1 of this Contract. X. Xxxxxxx C. Grantee will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate substantiates invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable unallowable, then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx D. Grantee will submit quarterly Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx E. Grantee will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx F. Grantee will submit a final FSR as a final close-out FSR not later than forty-fivefive (45) calendar days following the end of the term of the Contract.

INVOICE AND PAYMENT. X. Xxxxxxx will Grantee shall bill, and System Agency shall pay Grantee based upon Xxxxxxx’s submission of a monthly detailed and accurate invoice describing the services performed in completion of the responsibilities outlined in Attachment A-2, Statement of Work for CY2023 and FY2024. Invoices and supporting documentation shall be submitted to System Agency no later than thirty (30) days after the last day of each month. A. Grantee shall request payments monthly using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtmxxxx://xxx.xxxx.xxxxx.xxx/grants/forms/b13form.doc. Voucher and any supporting documentation will must be mailed or submitted by fax or electronic mail to all addresses/the address or fax number below. Invoices and all supporting documentation must be emailed to xxxxxxxx@xxxx.xxxxx.xxx and xxxxxxxxxxx@xxxx.xxxxx.xxx simultaneously. Invoices must be submitted monthly to prevent delays in subsequent months. Grantees that do not incur expenses within a month are required to submit a “zero dollar” invoice on a monthly basis. Grantee must submit a final close-out invoice and final financial status report no later than 45 days following the end of the Contract term. Invoices received more than 45 days after the end of the Contract term are subject to denial of payment. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box X.X. Xxx 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAILEmail: xxxxxxxx@xxxx.xxxxx.xx.xx Xxxxxxxx@xxxx.xxxxx.xxx, XXXxxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxXXXxxxxxxxXxxxxxxxx@xxxx.xxxxx.xxx Failure to submit required information may result in delay of payment or return of invoice. Billing invoices must be legible. Illegible or incomplete invoices which cannot be verified will be disallowed for payment. B. Grantee shall submit the Financial Status Report (FSR-269A) biannually as outlined below. Grantee shall email the Financial Status Report (FSR-269A) and the Match Reimbursement/Certification Form (B-13A) to the following email addresses: C. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B B-2, Revised Budgets of this Contract. X. Xxxxxxx will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx will submit a final FSR as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. X. Xxxxxxx will request payments using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. The Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addressesthe address/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx, with a copy to XXXXxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B of this Contract.with X. Xxxxxxx will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. C. Grantee shall maintain all documentation that substantiate substantiates invoices and make the such documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract Grant Agreement is later determined to be unallowable unallowable, then the Grantee Xxxxxxx will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly biannual Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter six (6) months of the Contract Grant Agreement for DSHS DSHS’s review and financial assessment. The reporting periods are as follows and will start upon the Grant Agreement’s execution: 1. July 1 through December 31; and 2. January 1 through June 30. Grantee will submit its last FSR, as a final close-out FSR, not later than forty-five (45) calendar days following the termination date of the Grant Agreement. X. Xxxxxxx will submit a request for reimbursement (reimbursement, using Form B-13) , as a final close-close- out invoice not later than forty-five (45) calendar days following the end termination date of the term of the ContractGrant Agreement. Reimbursement requests received in the DSHS office more than forty- forty-five (45) calendar days following the termination of the Contract Grant Agreement may not be paid. X. Xxxxxxx will submit a final FSR as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. X. Xxxxxxx will request payments using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B of this Contract. X. Xxxxxxx will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx will submit a final FSR as a final close-out FSR not later than forty-fivefive ABOUT THIS DOCUMENT

INVOICE AND PAYMENT. X. Xxxxxxx A. Grantee will request payments using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box X.X. Xxx 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B of this Contract. X. Xxxxxxx C. Grantee will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx D. Grantee will submit quarterly Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx E. Grantee will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx F. Grantee will submit a final FSR as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. X. Xxxxxxx will request payments using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed mailed, submitted by fax, or submitted by fax or electronic mail to all the addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 AustinX.X. Xxx 000000 Xxxxxx, TX Xxxxx 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and Xxxxxxxx@xxxx.xxxxx.xxx EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxXXXXXxxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B Budget of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at xxxxx://xxx.xxx.xxx/travel/plan- book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. X. Xxxxxxx will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports (FSRs) FSRs to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- forty-five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx will submit a final FSR as for the service period of September 1, 2019 through August 31, 2020 by October 20, 2020. Grantee will submit a final close-out FSR not later than forty-fivefor the service period of September 1, 2020 through August 31, 2021 by October 20, 2021.

INVOICE AND PAYMENT. X. Xxxxxxx will request payments using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B of this Contract. X. Xxxxxxx will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx will submit a final FSR as a final close-out FSR not later than forty-fivefive (45) calendar days following the end of the term of the Contract. Collin County Health Care Services Contract No. HHS000812700014 Categorical Budget Upon Execution to April 30, 2022 PERSONNEL $221,594.00 FRINGE BENEFITS $91,522.00 TRAVEL $1,150.00 EQUIPMENT $0.00 SUPPLIES $9,774.00 CONTRACTUAL $100,000.00 OTHER $32,238.00 TOTAL DIRECT CHARGES $456,278.00 INDIRECT CHARGES $0.00 HHSC Uniform Terms and Conditions Version 2.16 Published and Effective: March 26, 2019 Responsible Office: Chief Counsel

INVOICE AND PAYMENT. X. Xxxxxxx A. Grantee will request payments using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B of this Contract. X. Xxxxxxx C. Grantee will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx D. Grantee will submit quarterly Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx E. Grantee will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx F. Grantee will submit a final FSR as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. X. Xxxxxxx A. Grantee will request payments monthly using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtmxxxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addressesthe address/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box X.X. Xxx 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxXXXXxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B of this Contract. X. Xxxxxxx C. Grantee will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate substantiates invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable unallowable, then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx D. Grantee will submit quarterly biannual Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx E. Grantee will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in __C CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the DSHS office more than forty- five Health and Human Services Commission (45HHSC) calendar days and the Department of State Health Services (DSHS). System Agency refers to HHSC, DSHS, or both, that will be a party to this Contract. These Contract Affirmations apply to all Contractors and Grantees (referred to as “Contractor”) regardless of their business form (e.g., individual, partnership, corporation). By entering into this Contract, Contractor affirms, without exception, understands, and agrees to comply with the following items through the termination life of the Contract: 1. Contractor represents and warrants that these Contract Affirmations apply to Contractor and all of Contractor's principals, officers, directors, shareholders, partners, owners, agents, employees, subcontractors, independent contractors, and any other representatives who may not be paidprovide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation. X. Xxxxxxx will submit a final FSR as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. X. Xxxxxxx Grantee will submit a monthly detailed and accurate invoice describing the services performed in completion of the responsibilities outlined in this Attachment A, Statement of Work. A. Invoices, and supporting documentation, shall be submitted as outlined in the schedule below to DSHS no later than the last business day of the month following the month in which expenses were incurred. Grantee will request payments monthly using the State of Texas Purchase Voucher (Form B-13) located at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtmxxxx://xxx.xxxx.xxxxx.xxx/grants/forms.shtm. Voucher Invoices must be submitted monthly to prevent delays in subsequent months. If Grantee does not incur expenses within a month, it will still be required to submit a invoice for that month. Xxxxxxx must submit a final close-out invoice no later than thirty (30) calendar days following the end of the State Fiscal Year. Invoices received more than thirty (30) calendar days after the end of the State Fiscal Year are subject to denial of payment. B. Invoices, and any all supporting documentation will documentation, may be mailed or submitted by fax U.S. mail, by fax, or by electronic mail to all the following physical address, fax number, or email addresses/number below. C. Grantee will submit biannual Financial Status Reports (FSRs) twice per State Fiscal Year. Department Grantee shall email the FSRs to the following email addresses: XXXxxxxxx@xxxx.xxxxx.xxx; xxxxxxxxxxx@xxxx.xxxxx.xxx; Xxxxx.Xxxxxxxx@xxxx.xxxxx.xxx; and copy to the System Agency representative identified in Section VII, Contract Representatives, of State Health Services Claims Processing Unitthis Grant Agreement, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX 00000-0000 FAXGrantee shall submit the FSRs in accordance with the following table: September 1st through February 28th (000or February 29th in leap year) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxMarch 31st March 1st through August 31st September 30th B. D. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in budget at Attachment B B, Budget, of this ContractGrant Amendment. TOTAL $300,000.00 $300,000.00 Attachment 1. Contractor represents and warrants that these Contract Affirmations apply to Contractor and all of Contractor's principals, officers, directors, shareholders, partners, owners, agents, employees, subcontractors, independent contractors, and any other representatives who may provide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation. X. Xxxxxxx will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx will submit a final FSR as a final close-out FSR not later than forty-five

INVOICE AND PAYMENT. X. Xxxxxxx will request payments using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed mailed, submitted by fax, or submitted by fax or electronic mail to all the addresses/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX Texas 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and Xxxxxxxx@xxxx.xxxxx.xxx EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxXXXXXxxxxxxxxx@xxxx.xxxxx.xxx B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B ATTACHMENT B-1 REVISED BUDGET of this Contract. Travel costs must not exceed General Services Administration (GSA) rates located at xxxxx://xxx.xxx.xxx/travel/plan-book/per-diem-rates unless the Grantee has an established travel policy that has been reviewed and approved by DSHS. X. Xxxxxxx will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly Financial Status Reports (FSRsFSR) located at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm by email to DSHS XXXXxxxxx@xxxx.xxxxx.xxx and XXXXxxxxxxx@xxxx.xxxxx.xxx by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in the DSHS office more than forty- forty-five (45) calendar days following the termination of the Contract may not be paid. X. Xxxxxxx will submit a final FSR as for the service period of September 1, 2021 through August 31, 2022 by October 20, 2022. Grantee will submit a final close-out FSR not later than forty-fivefor the service period of September 1, 2022 through August 31, 2023 by October 20, 2023.

INVOICE AND PAYMENT. X. Xxxxxxx will request payments monthly using the State of Texas Purchase Voucher (Form B-13) at xxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtmxxxxx://xxx.xxxx.xxxxx.xx.xx/grants/forms.shtm. Voucher and any supporting documentation will be mailed or submitted by fax or electronic mail to all addressesthe address/number below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 AustinX.X. Xxx 000000 Xxxxxx, TX XX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xx.xx and EMAIL: XXXXxxxxxxx@xxxx.xxxxx.xxx and EMAIL: XXXXX.Xxxxxxxxx@xxxx.xxxxx.xxxand B. Grantee will be paid on a cost reimbursement basis and in accordance with the Budget in Attachment B of this Contract. X. Xxxxxxx will submit requests for reimbursement (Form B-13) and financial expenditure template monthly by the last business day of the month following the month in which expenses were incurred or services provided. Grantee shall maintain all documentation that substantiate substantiates invoices and make the documentation available to the DSHS upon request. In the event a cost reimbursed under the Contract is later determined to be unallowable unallowable, then the Grantee will reimburse DSHS for that cost. X. Xxxxxxx will submit quarterly biannual Financial Status Reports (FSRs) to DSHS by the last business day of the month following the end of each quarter of the Contract for DSHS review and financial assessment. X. Xxxxxxx will submit request for reimbursement (B-13) as a final close-out invoice not later than forty-five (45) calendar days following the end of the term of the Contract. Reimbursement requests received in Contract Number _H_HS0011937000_01 Attachment _C_ CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the DSHS office more than forty- five Health and Human Services Commission (45HHSC) calendar days and the Department of State Health Services (DSHS). System Agency refers to HHSC, DSHS, or both, that will be a party to this Contract. These Contract Affirmations apply to all Contractors and Grantees (referred to as “Contractor”) regardless of their business form (e.g., individual, partnership, corporation). By entering into this Contract, Contractor affirms, without exception, understands, and agrees to comply with the following items through the termination life of the Contract: 1. Contractor represents and warrants that these Contract Affirmations apply to Contractor and all of Contractor's principals, officers, directors, shareholders, partners, owners, agents, employees, subcontractors, independent contractors, and any other representatives who may not be paidprovide services under, who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation. X. Xxxxxxx will submit a final FSR as a final close-out FSR not later than forty-five