Common use of Payment Documentation Clause in Contracts

Payment Documentation. 1. All payment requests must be submitted by the County on a quarterly basis using a completed Navigators Project Quarterly Invoice, Attachment 3. The invoice and the deliverables noted below must accompany the invoice as outlined in the Quarterly Invoice, Deliverables and Payment Schedule noted on Page 4. Budget Plan, Attachment 1 Work Plan, Attachment 2 Navigators Project Quarterly Invoice, Attachment 3 Navigators Project Data Report, Attachment 4 Quarterly Progress Report, Attachment 5 2. County shall submit all documentation for Allocation completion within 90 days, and final reimbursement within 60 days of Allocation completion, but no later than the end of the Project Performance Period as shown on page one (1). 3. Payments shall be on the basis of costs incurred. 4. Advance payment for the Allocation is not allowed. 11/15/2019 BUDGET / CAP Invoice for development of Budget Plan 12/31/2019 N/A 11/15/2019 WORK PLAN N/A 12/31/2019 N/A 4/30/2020 QUARTERLY INVOICES/ PROGRESS REPORT January, February, March 2020 5/30/2020 6/30/2020 7/31/2020 1ST ANNUAL BUDGET REPORT / ALL REMAINING SFY 2019-20 INVOICES/ April, May, June 2020 8/31/2020 9/30/2020 10/31/2020 QUARTERLY INVOICES/ PROGRESS REPORT July, August, September 2020 11/30/2020 12/31/2020 1/31/2021 QUARTERLY INVOICES/ PROGRESS REPORT October, November, December 2020 2/28/2021 3/31/2021 4/30/2021 QUARTERLY INVOICES/ PROGRESS January, February, March 2021 5/30/2021 6/30/2021 REPORT 7/31/2021 2ND ANNUAL BUDGET REPORT / ALL REMAINING SFY 2020-21 INVOICES/ PROGRESS REPORT April, May, June 2021 8/31/2021 9/30/2021 10/31/2021 QUARTERLY INVOICES/ PROGRESS REPORT July, August, September 2021 11/30/2021 12/31/2021 1/31/2022 QUARTERLY INVOICES/ PROGRESS REPORT ALL REMAINING SFY 2021-22 INVOICE(S)/ 3RD ANNUAL BUDGET REPORT October, November, December 2021 3/31/2022 4/30/2022 *Based on 45 calendar days for DHCS’ Accounting and the State Controller’s Office, per the California Prompt Payment Act.

Payment Documentation. 1. All payment requests must be submitted by the County on a quarterly basis basis, using a completed Navigators Project Quarterly Invoice, Attachment 3. The invoice and the deliverables noted below must accompany the invoice as outlined in the Quarterly Invoice, Deliverables and Payment Schedule noted on Page 4. Budget Plan, A1 - Attachment 1 Work Plan, A1 - Attachment 2 Navigators Project Quarterly Invoice, Attachment 3 Navigators Project Data Report, Attachment 4 Quarterly Progress Report, Attachment 5 2. The County shall submit all documentation for Allocation completion within 90 days, and final reimbursement within have 60 days of Allocation completion, but no later than from the end of the Project Performance Period as shown on page one (1).Period 3. Payments shall be on the basis of costs incurred. 4. Advance payment for the Allocation is not allowed. 11/15/2019 BUDGET / CAP Invoice for development of Budget Plan 12/31/2019 N/A 11/15/2019 WORK PLAN N/A 12/31/2019 N/A 4/30/2020 QUARTERLY INVOICES/ PROGRESS REPORT January, February, March 2020 5/30/2020 6/30/2020 7/31/2020 1ST ANNUAL BUDGET REPORT / ALL REMAINING SFY 2019-20 INVOICES/ PROGRESS REPORT April, May, June 2020 8/31/2020 9/30/2020 10/31/2020 QUARTERLY INVOICES/ PROGRESS REPORT July, August, September 2020 11/30/2020 12/31/2020 1/31/2021 QUARTERLY INVOICES/ PROGRESS REPORT October, November, December 2020 2/28/2021 3/31/2021 4/30/2021 QUARTERLY INVOICES/ PROGRESS REPORT January, February, March 2021 5/30/2021 6/30/2021 REPORT 7/31/2021 2ND ANNUAL BUDGET REPORT / ALL REMAINING SFY 2020-21 INVOICES/ PROGRESS REPORT April, May, June 2021 8/31/2021 9/30/2021 10/31/2021 QUARTERLY INVOICES/ PROGRESS REPORT July, August, September 2021 11/30/2021 12/31/2021 1/31/2022 QUARTERLY INVOICES/ PROGRESS REPORT ALL REMAINING SFY 2021-22 INVOICE(S)/ 3RD ANNUAL BUDGET REPORT October, November, December 2021 3/31/2022 4/30/2022 4/30/2022 QUARTERLY INVOICES/ PROGRESS REPORT January, February, March 2022 5/30/2022 6/30/2022 7/31/2022 QUARTERLY INVOICES/ ALL REMAINING SFY 2021-22 INVOICE(S)/ April, May, June 2022 8/31/2022 9/30/2022 8/31/2022 QUARTERLY PROGRESS REPORT/ FINAL REPORTING DOCUMENTS/ FINAL DATA REPORTING CORRECTIONS April, May, June 2022 8/31/2022 9/30/2022 9/30/2022 ADMINISTRATIVE CLOSE-OUT PERIOD INVOICE (FINAL) July, August 2022 10/31/2022 11/30/2022 *Based on 45 calendar days for DHCS’ Accounting and the State Controller’s Office, per the California Prompt Payment Act.

Payment Documentation. 1. All payment requests must be submitted by the County on a quarterly basis basis, using a completed Navigators Project Quarterly Invoice, Attachment 3. The invoice and the deliverables noted below must accompany the invoice as outlined in the Quarterly Invoice, Deliverables and Payment Schedule noted on Page 4. Budget Plan, A2 - Attachment 1 Work Plan, A2 - Attachment 2 Navigators Project Quarterly Invoice, Attachment 3 Navigators Project Data Report, Attachment 4 Quarterly Progress Report, Attachment 5 2. The County shall submit all documentation for Allocation completion within 90 days, and final reimbursement within have 60 days of Allocation completion, but no later than from the end of the Project Performance Period as shown stated on page one (1)) to close out all its administrative activities. The County shall have 30 days upon the termination of the Administrative Close-Out Period stated on page one (1) to submit their final invoice to be reimbursed for the administrative activities completed during this period. DHCS shall issue final reimbursement within 60 days of receiving the County’s timely final invoice for administrative activities. 3. Payments shall be on the basis of costs incurred. 4. Advance payment for the Allocation is not allowed. 11/15/2019 BUDGET / CAP Invoice for development of Budget Plan 12/31/2019 N/A 11/15/2019 WORK PLAN N/A 12/31/2019 N/A 4/30/2020 QUARTERLY INVOICES/ PROGRESS REPORT January, February, March 2020 5/30/2020 6/30/2020 7/31/2020 1ST ANNUAL BUDGET REPORT / ALL REMAINING SFY 2019-20 INVOICES/ PROGRESS REPORT April, May, June 2020 8/31/2020 9/30/2020 10/31/2020 QUARTERLY INVOICES/ PROGRESS REPORT July, August, September 2020 11/30/2020 12/31/2020 1/31/2021 QUARTERLY INVOICES/ PROGRESS REPORT October, November, December 2020 2/28/2021 3/31/2021 4/30/2021 QUARTERLY INVOICES/ PROGRESS REPORT January, February, March 2021 5/30/2021 6/30/2021 REPORT 7/31/2021 2ND ANNUAL BUDGET REPORT / ALL REMAINING SFY 2020-21 INVOICES/ PROGRESS REPORT April, May, June 2021 8/31/2021 9/30/2021 10/31/2021 QUARTERLY INVOICES/ PROGRESS REPORT July, August, September 2021 11/30/2021 12/31/2021 1/31/2022 QUARTERLY INVOICES/ PROGRESS REPORT ALL REMAINING SFY 2021-22 INVOICE(S)/ 3RD ANNUAL BUDGET REPORT October, November, December 2021 3/31/2022 4/30/2022 4/30/2022 QUARTERLY January, 5/30/2022 6/30/2022 INVOICES/ PROGRESS REPORT February, March 2022 7/31/2022 QUARTERLY INVOICES/ PROGRESS REPORT/ ALL REMAINING SFY 2021-22 INVOICE(S)/ April, May, June 2022 8/31/2022 9/30/2022 8/31/2022 10/31/2022 QUARTERLY PROGRESS REPORT/ FINAL REPORTING DOCUMENTS/ FINAL DATA REPORTING CORRECTIONS April, May, June July, August, September 2022 8/31/2022 11/30/2022 9/30/2022 12/31/2022 9/30/2022 ADMINISTRATIVE CLOSE-OUT PERIOD INVOICE (FINAL) July, August 2022 10/31/2022 11/30/2022 *Based on 45 calendar days for DHCS’ Accounting and the State Controller’s Office, per the California Prompt Payment Act.

Payment Documentation. 1. All payment requests must be submitted by the County on a quarterly basis basis, using a completed Navigators Project Quarterly Invoice, Attachment 3. The invoice and the deliverables noted below must accompany the invoice as outlined in the Quarterly Invoice, Deliverables and Payment Schedule noted on Page 4. Budget Plan, A1 - Attachment 1 Work Plan, A1 - Attachment 2 Navigators Project Quarterly Invoice, Attachment 3 Navigators Project Data Report, Attachment 4 Quarterly Progress Report, Attachment 5A-5 2. County shall submit all documentation for Allocation completion within 90 days, and final reimbursement within 60 days of Allocation completion, but no later than the end of the Project Performance Period as shown on page one (1). 3. Payments shall be on the basis of costs incurred. 4. Advance payment for the Allocation is not allowed. 11/15/2019 BUDGET / CAP Invoice for development of Budget Plan 12/31/2019 N/A 11/15/2019 WORK PLAN N/A 12/31/2019 N/A 4/30/2020 QUARTERLY INVOICES/ PROGRESS REPORT January, February, March 2020 5/30/2020 6/30/2020 7/31/2020 1ST ANNUAL BUDGET REPORT / ALL REMAINING SFY 2019-20 INVOICES/ PROGRESS REPORT April, May, June 2020 8/31/2020 9/30/2020 10/31/2020 QUARTERLY INVOICES/ PROGRESS REPORT July, August, September 2020 11/30/2020 12/31/2020 1/31/2021 QUARTERLY INVOICES/ PROGRESS REPORT October, November, December 2020 2/28/2021 3/31/2021 4/30/2021 QUARTERLY INVOICES/ PROGRESS January, February, March 2021 5/30/2021 6/30/2021 REPORT 7/31/2021 2ND ANNUAL BUDGET REPORT / ALL REMAINING SFY 2020-21 INVOICES/ PROGRESS REPORT April, May, June 2021 8/31/2021 9/30/2021 10/31/2021 QUARTERLY INVOICES/ PROGRESS REPORT July, August, September 2021 11/30/2021 12/31/2021 1/31/2022 QUARTERLY INVOICES/ PROGRESS REPORT ALL REMAINING SFY 2021-22 INVOICE(S)/ 3RD ANNUAL BUDGET REPORT October, November, December 2021 3/31/2022 4/30/2022 4/15/2022 QUARTERLY INVOICES/ PROGRESS REPORT ALL REMAINING SFY 2021-22 INVOICE(S)/ 3RD ANNUAL BUDGET REPORTS January, February, March 2022 5/15/2022 6/30/2022 *Based on 45 calendar days for DHCS’ Accounting and the State Controller’s Office, per the California Prompt Payment Act.

Payment Documentation. 1. All payment requests must be submitted by the County on a quarterly basis basis, using a completed Navigators Project Quarterly Invoice, Attachment 3. The invoice and the deliverables noted below must accompany the invoice as outlined in the Quarterly Invoice, Deliverables and Payment Schedule noted on Page 4. Budget Plan, A3 - Attachment 1 Work Plan, A3 - Attachment 2 Navigators Project Quarterly Invoice, Attachment 3 Navigators Project Data Report, Attachment 4 Quarterly Progress Report, Attachment 5 2. The County shall submit all documentation for Allocation completion within 90 days, and final reimbursement within have 60 days of Allocation completion, but no later than from the end of the Project Performance Period as shown stated on page one (1)) to close out all its administrative activities. The County shall have 30 days upon the termination of the Administrative Close-Out Period stated on page one (1) to submit their final invoice to be reimbursed for the administrative activities completed during this period. DHCS shall issue final reimbursement within 60 days of receiving the County’s timely final invoice for administrative activities. 3. Payments shall be on the basis of costs incurred. 4. Advance payment for the Allocation is not allowed. 11/15/2019 BUDGET / CAP Invoice for development of Budget Plan 12/31/2019 N/A 11/15/2019 WORK PLAN N/A 12/31/2019 N/A 4/30/2020 QUARTERLY INVOICES/ PROGRESS REPORT January, February, March 2020 5/30/2020 6/30/2020 7/31/2020 1ST ANNUAL BUDGET REPORT / ALL REMAINING SFY 2019-20 INVOICES/ PROGRESS REPORT April, May, June 2020 8/31/2020 9/30/2020 10/31/2020 QUARTERLY INVOICES/ PROGRESS REPORT July, August, September 2020 11/30/2020 12/31/2020 1/31/2021 QUARTERLY INVOICES/ PROGRESS REPORT October, November, December 2020 2/28/2021 3/31/2021 4/30/2021 QUARTERLY INVOICES/ PROGRESS REPORT January, February, March 2021 5/30/2021 6/30/2021 REPORT 7/31/2021 2ND ANNUAL BUDGET REPORT / ALL REMAINING SFY 2020-21 INVOICES/ PROGRESS REPORT April, May, June 2021 8/31/2021 9/30/2021 10/31/2021 QUARTERLY INVOICES/ PROGRESS REPORT July, August, September 2021 11/30/2021 12/31/2021 1/31/2022 QUARTERLY INVOICES/ PROGRESS REPORT ALL REMAINING SFY 2021-22 INVOICE(S)/ 3RD ANNUAL BUDGET REPORT October, November, December 2021 3/31/2022 4/30/2022 4/30/2022 QUARTERLY January, 5/30/2022 6/30/2022 INVOICES/ PROGRESS REPORT February, March 2022 7/31/2022 QUARTERLY INVOICES/ PROGRESS REPORT/ ALL REMAINING SFY 2021-22 INVOICE(S)/ April, May, June 2022 8/31/2022 9/30/2022 8/31/2022 10/31/2022 QUARTERLY PROGRESS REPORT/ FINAL REPORTING DOCUMENTS/ FINAL DATA REPORTING CORRECTIONS April, May, June July, August, September 2022 8/31/2022 11/30/2022 9/30/2022 12/31/2022 9/30/2022 ADMINISTRATIVE CLOSE-OUT PERIOD INVOICE (FINAL) July, August 2022 10/31/2022 11/30/2022 *Based on 45 calendar days for DHCS’ Accounting and the State Controller’s Office, per the California Prompt Payment Act. County is required to use the Budget Plan, A3 – Attachment 1. As outlined in the Quarterly Invoice, Deliverables and Payment Schedule above, a revised Budget Plan must be submitted to, and approved by, DHCS in order to receive the initial payment Allocation. County is required to use the Work Plan, A3 – Attachment 2. As outlined in the Quarterly Invoice, Deliverable and Payment Schedule noted above, a Work Plan must be submitted to DHCS in order to receive the second quarterly payment. The Work Plan shall include strategies, milestones, and timeframes for outreach, enrollment and retention activities completed by the County and its contracted CBOs. County is required to use the Navigators Project Invoice, Attachment 3. Invoices must be submitted by the County on a quarterly basis as outlined in the Quarterly Payment and Deliverable Schedule noted above. The Invoice must include detailed budget activity and expenditures for the specific quarter. Please note: To receive the initial payment Allocation, County must submit both an approved Budget Plan and an Invoice. County is required to use the Navigators Project Data Report, Attachment 4, or other reporting method as directed by the State. The County is required to submit monthly updates for specific data points regarding the Health Navigators Project, which will be reviewed by the State and subsequently published for public consumption.

Payment Documentation. 1. All payment requests must be submitted by the County on a quarterly basis using a completed Navigators Project Outreach and Enrollment Quarterly Invoice, Attachment 3. The invoice and the deliverables noted below must accompany the invoice as outlined in the Quarterly Invoice, Deliverables and Payment Schedule noted on Page 4. Budget Plan, Attachment 1 Work Plan, Attachment 2 Navigators Project Outreach and Enrollment Quarterly Invoice, Attachment 3 Navigators Project Data Quarterly Progress Report, Attachment 4 Quarterly Progress Annual Budget Report, Attachment 5 2. County shall submit all documentation for Allocation completion within 90 days, and final reimbursement within 60 90 days of Allocation completion, but no later than the end of the Project Performance Period as shown on page one (1). 3. Payments shall be on the basis of costs incurred. 4. Advance Allocation payment for the Allocation without an invoice is not allowed. 11/15/2019 03/27/14 BUDGET / CAP Invoice for development of Budget Budge Plan 12/31/2019 N/A 11/15/2019 04/03/14 TBD 04/10/14 WORK PLAN N/A 12/31/2019 N/A 4/30/2020 QUARTERLY 04/17/14 04/30/14 07/07/14 1ST ANNUAL BUDGET REPORT / INVOICES/ PROGRESS REPORT March, April, May, June 2014 07/11/14 08/01/14 10/03/14 INVOICES/ PROGRESS REPORT July, August, September 2014 10/09/14 10/30/14 01/06/15 INVOICES/ PROGRESS REPORT October, November, December 2014 01/12/15 02/02/15 04/07/15 INVOICES/ PROGRESS REPORT January, February, March 2020 5/30/2020 6/30/2020 7/31/2020 1ST 2015 04/13/15 05/04/15 07/07/15 2ND ANNUAL BUDGET REPORT / ALL REMAINING SFY 2019-20 INVOICES/ PROGRESS REPORT April, May, June 2020 8/31/2020 9/30/2020 10/31/2020 QUARTERLY 2015 07/13/15 08/03/15 10/06/15 INVOICES/ PROGRESS REPORT July, August, September 2020 11/30/2020 12/31/2020 1/31/2021 QUARTERLY 2015 10/12/15 11/02/15 01/05/16 INVOICES/ PROGRESS REPORT October, November, December 2020 2/28/2021 3/31/2021 4/30/2021 QUARTERLY 2015 01/11/16 02/01/16 04/05/16 INVOICES/ PROGRESS REPORT January, February, March 2021 5/30/2021 6/30/2021 REPORT 7/31/2021 2ND 2016 04/11/16 05/02/16 07/07/16 3rd ANNUAL BUDGET REPORT / ALL REMAINING SFY 2020-21 INVOICES/ PROGRESS REPORT April, May, June 2021 8/31/2021 9/30/2021 10/31/2021 QUARTERLY INVOICES/ PROGRESS REPORT July, August, September 2021 11/30/2021 12/31/2021 1/31/2022 QUARTERLY INVOICES/ PROGRESS REPORT ALL REMAINING SFY 2021-22 INVOICE(S)/ 3RD ANNUAL BUDGET REPORT October, November, December 2021 3/31/2022 4/30/2022 2016 07/13/16 08/03/16 *Based on 45 calendar 21 processing days for DHCS’ Accounting and the State Controller’s Office, per the California Prompt Payment Act.