Common use of Record Tracking Clause in Contracts

Record Tracking. Status: Original 2/22/2017 Holder: Rosalyn Lazare-Payne xxxxxxx.xxxxxx-xxxxx@xxxx.xxxxx.xx.xx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Resource Director Department State Health Services Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Completed Using IP Address: 160.42.85.9 Completed Using IP Address: 167.137.1.15 Sent: 2/22/2017 Viewed: 2/22/2017 Signed: 2/22/2017 Sent: 2/22/2017 Viewed: 3/2/2017 Signed: 3/2/2017 Sent: 3/2/2017 Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx Contract Manager Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Department of State Health Services Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxxx xxx.xxxxxx@xxxx.xxxxx.xx.xx Contract Specialist V Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Unit Director Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: DSHS CMU Inbox XXXXxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Sent: 2/22/2017 Sent: 2/22/2017 Sent: 2/22/2017 Sent: 2/22/2017 Viewed: 3/1/2017 Sent: 3/2/2017 Viewed: 3/2/2017 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Notary Events Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/2/2017

Record Tracking. Status: Original 2/22/2017 3/2/2017 Holder: Rosalyn Lazare-Payne xxxxxxx.xxxxxx-xxxxx@xxxx.xxxxx.xx.xx Xxxxx Xxxxxxx xxxxx.xxxxxxx0@xxxx.xxxxx.xx.xx Location: DocuSign Signer Events Signature Timestamp Xxxxxx Xxxxxxxx xxxxxx.xxxxxxxx@xxxx.xxxxx.xx.xx Staff Attorney, System Contracting HHSC Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Resource Director Department State Health Services Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxxxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission xxxxxxx.xxxxx@xxxxxxxxxxxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us xxxxx.xxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Completed Using IP Address: 160.42.85.9 Completed Using IP Address: 167.137.1.15 Sent: 2/22/2017 Viewed: 2/22/2017 Signed: 2/22/2017 Sent: 2/22/2017 Viewed: 3/2/2017 Signed: 3/2/2017 160.42.85.9 Sent: 3/2/2017 Resent: 3/6/2017 Viewed: 3/6/2017 Signed: 3/6/2017 Sent: 3/6/2017 Viewed: 3/6/2017 Signed: 3/6/2017 Sent: 3/6/2017 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx Xxxxxxx Xxxxxxx xxxxxxx.xxxxxxx@xxxx.xxxxx.xx.xx Contract Manager Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Department of State Health Services Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxxx xxx.xxxxxx@xxxx.xxxxx.xx.xx Contract Specialist V Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Unit Director Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxx Xxxxx Xxxxxxx xxxxx.xxxxxxx@xxxxxxxxxxxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: DSHS CMU Inbox XXXXxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Sent: 2/22/2017 Sent: 2/22/2017 Sent: 2/22/2017 Sent: 2/22/2017 Viewed: 3/1/2017 Sent: 3/2/2017 Viewed: 3/2/2017 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Sent: 3/2/2017 Sent: 3/2/2017 Sent: 3/2/2017 Sent: 3/6/2017 Sent: 3/6/2017 Viewed: 3/6/2017 Notary Events Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/2/20173/6/2017

Record Tracking. Status: Original 2/22/2017 May 16, 2018 Holder: Rosalyn Lazare-Payne xxxxxxx.xxxxxx-xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission XXX_XxxxXxxx@xxxx.xxxxx.xx.xx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Resource Director Department State Health Services Xxxxxxx Xxxxxx Xxxxxx@xx.xxxxx.xx.xx County Judge DRAFT Comal County Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission Xxxxxxx xxxxx.xxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Completed Using IP Address: 160.42.85.9 Completed Using IP Address: 167.137.1.15 Sent: 2/22/2017 Viewed: 2/22/2017 Signed: 2/22/2017 Sent: 2/22/2017 Viewed: 3/2/2017 Signed: 3/2/2017 Sent: 3/2/2017 May 16, 2018 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx Contract Manager Texas Health and Human Services Commission Xxxxx Xxxxxxx xxxxx.xxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign IDXxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xxx Contract Manager Security Level: Xxxxxx Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Department of State Health Services Email, Account Authentication (None) Electronic Record and Signature Disclosure: Sent: May 16, 2018 Sent: May 16, 2018 Carbon Copy Events Status Timestamp Not Offered via DocuSign CMU Contract Inbox xxxxxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxxx xxx.xxxxxx@xxxx.xxxxx.xx.xx Contract Specialist V Texas Health and Human Services Commission Xxxxxxx Xxxxxxx xxxxxx@xx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: DRAFT Not Offered via DocuSign ID: Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Unit Director Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: DSHS CMU Inbox XXXXxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Sent: 2/22/2017 May 16, 2018 Sent: 2/22/2017 Sent: 2/22/2017 Sent: 2/22/2017 May 16, 2018 Viewed: 3/1/2017 Sent: 3/2/2017 Viewed: 3/2/2017 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: May 16, 2018 Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/2/2017May 16, 2018

Record Tracking. Status: Original 2/22/2017 Holder: Rosalyn Lazare-Payne xxxxxxx.xxxxxx-xxxxx@xxxx.xxxxx.xx.xx Xxxxxxxx Xxxxxxxxx Location: DocuSign 6/20/2014 11:51:06 AM ET xxxxxxxxxx@xxxxxxxxx.xxx Signer Events Signature Timestamp Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Resource Director Department State Health Services XxXxxxx Docusigned by: Sent: 6/24/2014 4:30:22 PM ET /s/ Xxxxx XxXxxxx Viewed: 6/24/2014 4:31:44 PM ET xxxx.xxxxxxxxx@xxxxxxx.xxx A54C2D48588B48F... Signed: 6/25/2014 2:49:32 PM ET Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Using IP Address: 204.14.70.178 Not Offered via DocuSign ID: Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission Xxxx Xxxxxxxxx Docusigned by Sent: 6/25/2014 2:49:33 PM ET /s/ Xxxx Xxxxxxxxx Viewed: 6/25/2014 3:02:54 PM ET XxxxxxxxxX@XxxXxxxxx.xxx 96962A7213E74AD... Signed: 6/25/2014 3:03:49 PM ET SVP Development Security Level: Email, Account Authentication (None) Using IP Address: 199.68.16.14 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and In Person Signer Events Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Completed Using IP Address: 160.42.85.9 Completed Using IP Address: 167.137.1.15 Sent: 2/22/2017 Viewed: 2/22/2017 Signed: 2/22/2017 Sent: 2/22/2017 Viewed: 3/2/2017 Signed: 3/2/2017 Sent: 3/2/2017 Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx Contract Manager Texas Health and Human Services Commission Xxxxxxx XxXxxxxx COPIED Sent: 6/25/2014 3:03:49 PM ET xxxxxxx.xxxxxxxx@xxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxx Xxxxxxxxx COPIED Sent: 6/25/2014 3:03:50 PM ET xxxx.xxxxxxxxx@xxxxxxx.xxx Security Level: Email, Account Authentication (None) Carbon Copy Events Status Timestamp Electronic Record and Signature Disclosure: Not Offered ID: Xxxx Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Department of State Health Services COPIED Sent: 6/25/2014 3:03:51 PM ET XxxxxXXxxXxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxxx xxx.xxxxxx@xxxx.xxxxx.xx.xx Contract Specialist V Texas Health and Human Services Commission Xxxxxxxx Xxxxxxxxx III COPIED Sent: 6/25/2014 3:03:52 PM ET xxxxxxxxxx@xxxxxxxxx.xxx MedImmune Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Unit Director Texas Health and Human Services Commission Xxxxxxxxx, Xxxxx COPIED Sent: 6/25/2014 3:03:52 PM ET XxxxxxxxxX@XxxXxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxx Xxxxxxx COPIED Sent: 6/25/2014 3:03:53 PM ET XxxxxxxX@XxxXxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: DSHS CMU Inbox XXXXxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Sent: 2/22/2017 Sent: 2/22/2017 Sent: 2/22/2017 Sent: 2/22/2017 Viewed: 3/1/2017 Sent: 3/2/2017 Viewed: 3/2/2017 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Notary Events Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/2/20176/25/2014 3:03:53 PM ET Certified Delivered Security Checked 6/25/2014 3:03:53 PM ET Signing Complete Security Checked 6/25/2014 3:03:53 PM ET Completed Security Checked 6/25/2014 3:03:53 PM ET xxx.xxxxxxxxxxxxxxxxxxxxxx.xxx June 30, 2014 MedImmune, LLC Onx XxxXxxxxx Xxx Xxxxxxxxxxxx, XX 00000 Attention: EVP, Research Facsimile: (000) 000-0000 MedImmune, LLC Onx XxxXxxxxx Xxx Xxxxxxxxxxxx, XX 00000 Attention: Legal Department Facsimile: (000) 000-0000 Re: License and Option Agreement Ladies and Gentlemen: Reference is made to the License and Option Agreement, effective as of July 24, 2013, by and between MedImmune, LLC and Bulldog Pharmaceuticals, Inc., as amended by that certain letter agreement dated February 10, 2014 and the Addendum to the License and Option Agreement, executed as of June 25, 2014 (collectively, the “Agreement”). Capitalized terms used but not defined in this letter have the meanings given to them in the Agreement. The Parties desire (x) to clarify and supplement certain of their rights and obligations under the Agreement with respect to the Inventory and (y) to clarify their intention regarding the definition of MedImmune Manufacturing Information and Inventions. Accordingly, the Parties agree as follows:

Record Tracking. Status: Original 2/22/2017 11/1/2019 11:01:55 AM Holder: Rosalyn Lazare-Payne xxxxxxx.xxxxxx-xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission XXX_XxxxXxxx@xxxx.xxxxx.xx.xx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Resource Director Department State Health Services Xxxx xxxxx@xx.xxxxxx.xx.xx County Judge Collin County Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission Xxxxxx xxxxx.xxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Completed Using IP Address: 160.42.85.9 Completed Using IP Address: 167.137.1.15 Sent: 2/22/2017 Viewed: 2/22/2017 Signed: 2/22/2017 Sent: 2/22/2017 Viewed: 3/2/2017 Signed: 3/2/2017 Sent: 3/2/2017 11/1/2019 11:05:31 AM In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx Contract Manager Texas Health and Human Services Commission CMS Mailbox xxxxxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Department of State Health Services Xxxxxxxx Xxxxxxx xxxxxxxx.xxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign IDSent: Xxx Xxxxxx xxx.xxxxxx@xxxx.xxxxx.xx.xx Contract Specialist V Texas Health and Human Services Commission 11/1/2019 11:05:30 AM Sent: 11/1/2019 11:05:30 AM Carbon Copy Events Status Timestamp Xxxxxxxx Xxxxx Xxxxxxxx.Xxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Unit Director Texas Health and Human Services Commission Xxxxx Xxxxxxxx XXxxxxx-Xxxxxxxx@xx.xxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: DSHS CMU Inbox XXXXxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Sent: 2/22/2017 11/1/2019 11:05:30 AM Sent: 2/22/2017 Sent: 2/22/2017 Sent: 2/22/2017 11/1/2019 11:05:31 AM Viewed: 3/1/2017 Sent: 3/2/2017 Viewed: 3/2/2017 Electronic Record and 11/1/2019 11:51:14 AM Witness Events Signature Disclosure: Not Offered via DocuSign ID: Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/2/201711/1/2019 11:05:31 AM

Record Tracking. Status: Original 2/22/2017 May 29, 2018 Holder: Rosalyn Lazare-Payne xxxxxxx.xxxxxx-xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission XXX_XxxxXxxx@xxxx.xxxxx.xx.xx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Resource Director Department State Health Services Xxxxxx X. Xxxxxx xxxxxx.xxxxx@xxxxxxxxxxxxxxxx.xxx County Judge Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission Xx Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Completed Using IP Address: 160.42.85.9 Completed Using IP Address: 167.137.1.15 Sent: 2/22/2017 Viewed: 2/22/2017 Signed: 2/22/2017 Sent: 2/22/2017 Viewed: 3/2/2017 Signed: 3/2/2017 Sent: 3/2/2017 May 29, 2018 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxxxx Xxxxxxx xxxxxxx.xxxxxxx@xxxx.xxxxx.xx.xx Contract Manager Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Sent: May 29, 2018 Sent: May 29, 2018 Viewed: May 29, 2018 Carbon Copy Events Status Timestamp Not Offered via DocuSign ID: Xxxxxx Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Department of State Health Services CMU Mailbox xxxxxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxxxx Xxxxx xxxxxxx.xxxxx@xxxxxxxxxxxxxxxx.xxx Xxxxxx xxx.xxxxxx@xxxx.xxxxx.xx.xx Contract Specialist V Texas Health and Human Services Commission Xxxxxx, County Judge Fort Bend County Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Unit Director Texas Health and Human Services Commission Xxxxx Xxxxxxx xxxxx.xxxxxxx@xxxxxxxxxxxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: DSHS CMU Inbox XXXXxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Sent: 2/22/2017 May 29, 2018 Sent: 2/22/2017 May 29, 2018 Sent: 2/22/2017 Sent: 2/22/2017 May 29, 2018 Viewed: 3/1/2017 Sent: 3/2/2017 Viewed: 3/2/2017 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: May 29, 2018 Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/2/2017May 29, 2018

Record Tracking. Status: Original 2/22/2017 May 22, 2018 Holder: Rosalyn Lazare-Payne xxxxxxx.xxxxxx-xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission XXX_XxxxXxxx@xxxx.xxxxx.xx.xx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Resource Director Department State Health Services Xxxxxx X. Xxxxxx xxxxxx.xxxxx@xxxxxxxxxxxxxxxx.xxx County Judge Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission Xx. Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Completed Using IP Address: 160.42.85.9 Completed Using IP Address: 167.137.1.15 Sent: 2/22/2017 Viewed: 2/22/2017 Signed: 2/22/2017 Sent: 2/22/2017 Viewed: 3/2/2017 Signed: 3/2/2017 Sent: 3/2/2017 May 22, 2018 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx Xxxxx Xxxxxx Xxxxx.Xxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxxxx Xxxxxxx xxxxxxx.xxxxxxx@xxxx.xxxxx.xx.xx Contract Manager Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Sent: May 22, 2018 Sent: May 22, 2018 Viewed: May 22, 2018 Carbon Copy Events Status Timestamp Not Offered via DocuSign ID: Xxxxxx Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Department of State Health Services CMU Mailbox xxxxxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxxxx Xxxxx xxxxxxx.xxxxx@xxxxxxxxxxxxxxxx.xxx Xxxxxx xxx.xxxxxx@xxxx.xxxxx.xx.xx Contract Specialist V Texas Health and Human Services Commission Xxxxxx, County Judge Fort Bend County Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Unit Director Texas Health and Human Services Commission Xxxxx Xxxxxxx xxxxx.xxxxxxx@xxxxxxxxxxxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: DSHS CMU Inbox XXXXxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Sent: 2/22/2017 May 22, 2018 Viewed: May 22, 2018 Sent: 2/22/2017 May 22, 2018 Sent: 2/22/2017 Sent: 2/22/2017 May 22, 2018 Viewed: 3/1/2017 Sent: 3/2/2017 Viewed: 3/2/2017 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: May 22, 2018 Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/2/2017May 22, 2018

Record Tracking. Status: Original 2/22/2017 May 4, 2018 Holder: Rosalyn Lazare-Payne xxxxxxx.xxxxxx-xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission XXX_XxxxXxxx@xxxx.xxxxx.xx.xx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Resource Director Department State Health Services Xxxxxx Xxxxxx Xxxxxx.xxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Xxxxx Xxxxx.Xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Xxxxxxx County Judge Xxxxxxx County Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx Xxxx Marker Xxxxxx.Xxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Xxx Xxxxx.Xxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Completed Using IP Address: 160.42.85.9 160.42.85.8 Signed using mobile Completed Using IP Address: 167.137.1.15 Sent: 2/22/2017 May 4, 2018 Viewed: 2/22/2017 May 4, 2018 Signed: 2/22/2017 May 4, 2018 Sent: 2/22/2017 May 4, 2018 Resent: May 4, 2018 Viewed: 3/2/2017 May 4, 2018 Signed: 3/2/2017 May 4, 2018 Sent: 3/2/2017 May 4, 2018 Xxxxxxx Xxxxx Xxxxxxx.Xxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp CMU Contract Inbox xxxxxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Thomas Spears xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxx Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx xxxxx.xxxx@xxxx.xxxxx.xxx Program Specialist and Contract Manager Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Department of State Health Services Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxxx xxx.xxxxxx@xxxx.xxxxx.xx.xx Contract Specialist V Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Unit Director Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: DSHS CMU Inbox XXXXxxxxxxxx@xxxx.xxxxx.xxx Xxxxxxx Xxxxxxxx Xxxxx.xxxxxxxx@xxxx.xxx Security Level: Email, Account Authentication (None) Sent: 2/22/2017 Sent: 2/22/2017 Sent: 2/22/2017 Sent: 2/22/2017 Viewed: 3/1/2017 Sent: 3/2/2017 Viewed: 3/2/2017 Electronic Record and Signature Disclosure: Not Offered via DocuSign IDXxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Security Level: Notary Events Timestamp Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: May 4, 2018 Sent: May 4, 2018 Sent: May 4, 2018 Viewed: May 4, 2018 Sent: May 4, 2018 Viewed: May 4, 2018 Sent: May 4, 2018 Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/2/2017May 4, 2018

Record Tracking. Status: Original 2/22/2017 May 22, 2018 Holder: Rosalyn Lazare-Payne xxxxxxx.xxxxxx-xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission XXX_XxxxXxxx@xxxx.xxxxx.xx.xx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Resource Xxxxxxx Xxxxxxxxx xxxxxxxx@xxxxxxx.xxx Health Director Department State Health Services City of Corpus Christi Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission Xxxxxx xxxxx.xxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Completed Using IP Address: 160.42.85.9 Completed Using IP Address: 167.137.1.15 Sent: 2/22/2017 Viewed: 2/22/2017 Signed: 2/22/2017 Sent: 2/22/2017 Viewed: 3/2/2017 Signed: 3/2/2017 Sent: 3/2/2017 May 22, 2018 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx Xxx Xxxxxx xxxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: May 22, 2018 Carbon Copy Events Status Timestamp Xxxxxxx Xxxxxxx xxxxxxx.xxxxxxx@xxxx.xxxxx.xx.xx Contract Manager Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Department of State Health Services CMU Contract Inbox xxxxxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxxx xxx.xxxxxx@xxxx.xxxxx.xx.xx Contract Specialist V Texas Health and Human Services Commission Xxxxxxx Xxxxxxxx xxxxxxxx0@xxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Unit Director Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: DSHS CMU Inbox XXXXxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Sent: 2/22/2017 May 22, 2018 Sent: 2/22/2017 May 22, 2018 Sent: 2/22/2017 Sent: 2/22/2017 May 22, 2018 Viewed: 3/1/2017 Sent: 3/2/2017 Viewed: 3/2/2017 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: May 22, 2018 Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/2/2017May 22, 2018

Record Tracking. Status: Original 2/22/2017 3/6/2017 Holder: Rosalyn Lazare-Payne xxxxxxx.xxxxxx-xxxxx@xxxx.xxxxx.xx.xx XxXxx Xxxxxxxxx xxxxx.xxxxxxxxx@xxxx.xxxxx.xx.xx Location: DocuSign Signer Events Signature Timestamp Xxxxxx Xxxxxxxx xxxxxx.xxxxxxxx@xxxx.xxxxx.xx.xx Staff Attorney, System Contracting HHSC Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Resource Director Department State Health Services Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission Xxxxxx X. Herbert xxxxxxx.xxxxx@xxxxxxxxxxxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us xxxxx.xxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Completed Using IP Address: 160.42.85.9 Completed Using IP Address: 167.137.1.15 160.42.85.9 Sent: 2/22/2017 3/6/2017 Viewed: 2/22/2017 3/21/2017 Signed: 2/22/2017 3/21/2017 Sent: 2/22/2017 3/21/2017 Viewed: 3/2/2017 3/21/2017 Signed: 3/2/2017 3/21/2017 Sent: 3/2/2017 3/21/2017 Viewed: 3/21/2017 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx Xxxxxxx Xxxxx xxxxxxx.xxxxx@xxxx.xxxxx.xx.xx Contract Manager Support Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Department of State Health Services Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxxx xxx.xxxxxx@xxxx.xxxxx.xx.xx Contract Specialist V Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Unit Director Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxx xxxx.xxxxxxxx@xxxxxxxxxxxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: DSHS CMU Inbox XXXXxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Sent: 2/22/2017 Sent: 2/22/2017 Sent: 2/22/2017 Sent: 2/22/2017 Viewed: 3/1/2017 Sent: 3/2/2017 Viewed: 3/2/2017 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Sent: 3/6/2017 Sent: 3/6/2017 Sent: 3/6/2017 Sent: 3/21/2017 Sent: 3/21/2017 Viewed: 3/21/2017 Notary Events Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/2/20173/21/2017

Record Tracking. Status: Original 2/22/2017 April 23, 2018 Holder: Rosalyn Lazare-Payne xxxxxxx.xxxxxx-xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission XXX_XxxxXxxx@xxxx.xxxxx.xx.xx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xxx Resource Director Department State Health Services Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us xxxxx.xxxxxx@xxxx.xxxxx.xxx Associate Commissioner for RLHS Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx Xxxxxx Xxxxxx xxxxxx.xxxxx@xxxxxxxxxxxxxxxx.xxx County Judge Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us xxxxx.xxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Completed Using IP Address: 160.42.85.9 160.42.85.8 Completed Using IP Address: 167.137.1.15 67.142.235.252 Signed using mobile Sent: 2/22/2017 April 23, 2018 Viewed: 2/22/2017 April 23, 2018 Signed: 2/22/2017 April 23, 2018 Sent: 2/22/2017 April 23, 2018 Viewed: 3/2/2017 April 23, 2018 Signed: 3/2/2017 April 23, 2018 Sent: 3/2/2017 April 23, 2018 Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx Day Xxxx.Xxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxxxx Xxxxxxx xxxxxxx.xxxxxxx@xxxx.xxxxx.xx.xx Contract Manager Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Department of State Health Services CMU Mailbox xxxxxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxxxx Xxxxx xxxxxxx.xxxxx@xxxxxxxxxxxxxxxx.xxx Xxxxxx xxx.xxxxxx@xxxx.xxxxx.xx.xx Contract Specialist V Texas Health and Human Services Commission Xxxxxx, County Judge Fort Bend County Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Unit Director Texas Health and Human Services Commission Xxxxx Xxxxxxx xxxxx.xxxxxxx@xxxxxxxxxxxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: DSHS CMU Inbox XXXXxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Sent: 2/22/2017 April 23, 2018 Sent: 2/22/2017 April 23, 2018 Sent: 2/22/2017 April 23, 2018 Viewed: April 23, 2018 Sent: 2/22/2017 April 23, 2018 Sent: April 23, 2018 Viewed: 3/1/2017 Sent: 3/2/2017 Viewed: 3/2/2017 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: April 23, 2018 Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/2/2017April 23, 2018

Record Tracking. Status: Original 2/22/2017 May 16, 2018 Holder: Rosalyn Lazare-Payne xxxxxxx.xxxxxx-xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission XXX_XxxxXxxx@xxxx.xxxxx.xx.xx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Resource Director Department State Health Services DRAFT Xxxxxxx Xxxxxx Xxxxxx@xx.xxxxx.xx.xx County Judge Comal County Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission Xxxxxxx xxxxx.xxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Completed Using IP Address: 160.42.85.9 Completed Using IP Address: 167.137.1.15 Sent: 2/22/2017 Viewed: 2/22/2017 Signed: 2/22/2017 Sent: 2/22/2017 Viewed: 3/2/2017 Signed: 3/2/2017 Sent: 3/2/2017 May 16, 2018 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx Contract Manager Texas Health and Human Services Commission Xxxxx Xxxxxxx xxxxx.xxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign IDXxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xxx Contract Manager Security Level: Xxxxxx Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Department of State Health Services Email, Account Authentication (None) Electronic Record and Signature Disclosure: Sent: May 16, 2018 Sent: May 16, 2018 Carbon Copy Events Status Timestamp Not Offered via DocuSign CMU Contract Inbox xxxxxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxxx xxx.xxxxxx@xxxx.xxxxx.xx.xx Contract Specialist V Texas Health and Human Services Commission Xxxxxxx Xxxxxxx xxxxxx@xx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: DRAFT Not Offered via DocuSign ID: Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Unit Director Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: DSHS CMU Inbox XXXXxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Sent: 2/22/2017 May 16, 2018 Sent: 2/22/2017 Sent: 2/22/2017 Sent: 2/22/2017 May 16, 2018 Viewed: 3/1/2017 Sent: 3/2/2017 Viewed: 3/2/2017 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: May 16, 2018 Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/2/2017May 16, 2018

Record Tracking. Status: Original 2/22/2017 Holder: Rosalyn Lazare-Payne xxxxxxx.xxxxxx-xxxxx@xxxx.xxxxx.xx.xx Xxxxxxxx Xxxxxxxxx Location: DocuSign 6/20/2014 11:51:06 AM ET xxxxxxxxxx@xxxxxxxxx.xxx Signer Events Signature Timestamp Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Resource Director Department State Health Services XxXxxxx Docusigned by: Sent: 6/24/2014 4:30:22 PM ET /s/ Xxxxx XxXxxxx Viewed: 6/24/2014 4:31:44 PM ET xxxx.xxxxxxxxx@xxxxxxx.xxx A54C2D48588B48F... Signed: 6/25/2014 2:49:32 PM ET Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Using IP Address: 204.14.70.178 Not Offered via DocuSign ID: Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission Xxxx Xxxxxxxxx Docusigned by Sent: 6/25/2014 2:49:33 PM ET /s/ Xxxx Xxxxxxxxx Viewed: 6/25/2014 3:02:54 PM ET XxxxxxxxxX@XxxXxxxxx.xxx 96962A7213E74AD... Signed: 6/25/2014 3:03:49 PM ET SVP Development Security Level: Email, Account Authentication (None) Using IP Address: 199.68.16.14 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and In Person Signer Events Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Completed Using IP Address: 160.42.85.9 Completed Using IP Address: 167.137.1.15 Sent: 2/22/2017 Viewed: 2/22/2017 Signed: 2/22/2017 Sent: 2/22/2017 Viewed: 3/2/2017 Signed: 3/2/2017 Sent: 3/2/2017 Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx Contract Manager Texas Health and Human Services Commission Xxxxxxx XxXxxxxx COPIED Sent: 6/25/2014 3:03:49 PM ET xxxxxxx.xxxxxxxx@xxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxx Xxxxxxxxx COPIED Sent: 6/25/2014 3:03:50 PM ET xxxx.xxxxxxxxx@xxxxxxx.xxx Security Level: Email, Account Authentication (None) Carbon Copy Events Status Timestamp Electronic Record and Signature Disclosure: Not Offered ID: Xxxx Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Department of State Health Services COPIED Sent: 6/25/2014 3:03:51 PM ET XxxxxXXxxXxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxxx xxx.xxxxxx@xxxx.xxxxx.xx.xx Contract Specialist V Texas Health and Human Services Commission Xxxxxxxx Xxxxxxxxx III COPIED Sent: 6/25/2014 3:03:52 PM ET xxxxxxxxxx@xxxxxxxxx.xxx MedImmune Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Unit Director Texas Health and Human Services Commission Xxxxxxxxx, Xxxxx COPIED Sent: 6/25/2014 3:03:52 PM ET XxxxxxxxxX@XxxXxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxx Xxxxxxx COPIED Sent: 6/25/2014 3:03:53 PM ET XxxxxxxX@XxxXxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: DSHS CMU Inbox XXXXxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Sent: 2/22/2017 Sent: 2/22/2017 Sent: 2/22/2017 Sent: 2/22/2017 Viewed: 3/1/2017 Sent: 3/2/2017 Viewed: 3/2/2017 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Notary Events Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/2/20176/25/2014 3:03:53 PM ET Certified Delivered Security Checked 6/25/2014 3:03:53 PM ET Signing Complete Security Checked 6/25/2014 3:03:53 PM ET Completed Security Checked 6/25/2014 3:03:53 PM ET xxx.xxxxxxxxxxxxxxxxxxxxxx.xxx June 30, 2014 MedImmune, LLC Xxx XxxXxxxxx Xxx Xxxxxxxxxxxx, XX 00000 Attention: EVP, Research Facsimile: (000) 000-0000 MedImmune, LLC Xxx XxxXxxxxx Xxx Xxxxxxxxxxxx, XX 00000 Attention: Legal Department Facsimile: (000) 000-0000 Re: License and Option Agreement Ladies and Gentlemen: Reference is made to the License and Option Agreement, effective as of July 24, 2013, by and between MedImmune, LLC and Bulldog Pharmaceuticals, Inc., as amended by that certain letter agreement dated February 10, 2014 and the Addendum to the License and Option Agreement, executed as of June 25, 2014 (collectively, the “Agreement”). Capitalized terms used but not defined in this letter have the meanings given to them in the Agreement. The Parties desire (x) to clarify and supplement certain of their rights and obligations under the Agreement with respect to the Inventory and (y) to clarify their intention regarding the definition of MedImmune Manufacturing Information and Inventions. Accordingly, the Parties agree as follows:

Record Tracking. Status: Original 2/22/2017 May 16, 2018 Holder: Rosalyn Lazare-Payne xxxxxxx.xxxxxx-xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission XXX_XxxxXxxx@xxxx.xxxxx.xx.xx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Resource Director Department State Health Xxxxxxx xxxxx.xxxxxxx@xxxx.xxxxx.xxx Associate Commissioner for Laboratory and Infectious Disease Services Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Xxxxxxx Xxxxxxxxx xxxxxxxx@xxxxxxx.xxx Health Director City of Corpus Christi Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx xxxxx.xxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Completed Using IP Address: 160.42.85.9 Completed Using IP Address: 167.137.1.15 160.42.85.8 Sent: 2/22/2017 May 16, 2018 Viewed: 2/22/2017 May 16, 2018 Signed: 2/22/2017 May 16, 2018 Sent: 2/22/2017 Viewed: 3/2/2017 Signed: 3/2/2017 Sent: 3/2/2017 May 16, 2018 Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx Contract Manager Texas Health and Human Services Commission Carbon Copy Events Status Timestamp Xxxxxxx Xxxxxxxxxx Xxxxxxx.Xxxxxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxxx Xxxxxx Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Department of State Health Services xxxxxxx.xxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxxx xxx.xxxxxx@xxxx.xxxxx.xx.xx CMU Contract Specialist V Texas Health and Human Services Commission Inbox xxxxxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Unit Director Texas Health and Human Services Commission Xxxxxxx X. Xxxxxxx xxxxxxxx0@xxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: DSHS CMU Inbox XXXXxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Sent: 2/22/2017 May 16, 2018 Sent: 2/22/2017 May 16, 2018 Viewed: May 16, 2018 Sent: 2/22/2017 May 16, 2018 Viewed: May 16, 2018 Sent: 2/22/2017 May 16, 2018 Viewed: 3/1/2017 Sent: 3/2/2017 Viewed: 3/2/2017 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: May 16, 2018 Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/2/2017May 16, 2018

Record Tracking. Status: Original 2/22/2017 August 9, 2018 Holder: Rosalyn Lazare-Payne xxxxxxx.xxxxxx-xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission XXX_XxxxXxxx@xxxx.xxxxx.xx.xx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Resource Director Department State Health Services Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Xxxxx.Xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Self xxxxx.xxxx@xx.xxxxxx.tx.us County Judge Collin County Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx Xxxx Marker Xxxxxx.Xxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Xxx Xxxxx.Xxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign IDXxxxxx Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Security Level: Completed Using IP AddressEmail, Account Authentication (None) Electronic Record and Signature Disclosure: 160.42.85.9 Not Offered via DocuSign Completed Using IP Address: 167.137.1.15 Sent: 2/22/2017 August 9, 2018 Viewed: 2/22/2017 August 9, 2018 Signed: 2/22/2017 August 9, 2018 Sent: 2/22/2017 Viewed: 3/2/2017 Signed: 3/2/2017 Sent: 3/2/2017 August 9, 2018 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx Contract Manager Texas Health and Human Services Commission Xxx Xxxxxxxxxx xxx.xxxxxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxxx Xxxxxx Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Department of State Health Services xxxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxxxxx Xxxxxx xxx.xxxxxx@xxxx.xxxxx.xx.xx Contract Specialist V Texas Health and Human Services Commission xxxxxxxx@xx.xxxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Unit Director Texas Health and Human Services Commission Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: DSHS CMU Inbox XXXXxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Sent: 2/22/2017 August 9, 2018 Sent: 2/22/2017 August 9, 2018 Viewed: August 9, 2018 Sent: 2/22/2017 Sent: 2/22/2017 August 9, 2018 Viewed: 3/1/2017 Sent: 3/2/2017 Viewed: 3/2/2017 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: August 9, 2018 Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/2/2017August 9, 2018

Record Tracking. Status: Original 2/22/2017 April 11, 2018 Holder: Rosalyn Lazare-Payne xxxxxxx.xxxxxx-xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission XXX_XxxxXxxx@xxxx.xxxxx.xx.xx Location: DocuSign Signer Events Signature Timestamp X.X. Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Resource Director Department State Health Services xxxxxxx@xx.xxxx.xx.xx County Judge Security Level: Email, Account Authentication (None) Using IP Address: 63.232.27.155 Sent: April 11, 2018 Viewed: April 17, 2018 Signed: May 7, 2018 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Xxxxxx xxxxx.xxxxxx@xxxx.xxxxx.xxx Associate Commissioner for RLHS Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Completed Using IP Address: 160.42.85.9 Completed Using IP Address: 167.137.1.15 160.42.85.8 Sent: 2/22/2017 May 7, 2018 Viewed: 2/22/2017 May 9, 2018 Signed: 2/22/2017 Sent: 2/22/2017 Viewed: 3/2/2017 Signed: 3/2/2017 Sent: 3/2/2017 May 9, 2018 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx Contract Manager Texas Health and Human Services Commission Xxxxxxx Xxxxx Xxxxxxx.Xxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign IDXxxxxxx Xxxx Xxxxxxx.Xxxx@xxxx.xxxxx.xxx Security Level: Xxxxxx Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Department of State Health Services Email, Account Authentication (None) Sent: April 11, 2018 Viewed: April 11, 2018 Sent: April 11, 2018 Viewed: April 11, 2018 Carbon Copy Events Status Timestamp Electronic Record and Signature Disclosure: Not Offered via DocuSign CMU Contract Inbox xxxxxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxxx xxx.xxxxxx@xxxx.xxxxx.xx.xx Contract Specialist V Texas Health and Human Services Commission Thomas Aaberg Xxxxxx.Xxxxxx@xx.xxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Unit Director Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: DSHS CMU Inbox XXXXxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Sent: 2/22/2017 April 11, 2018 Sent: 2/22/2017 Sent: 2/22/2017 Sent: 2/22/2017 April 11, 2018 Viewed: 3/1/2017 Sent: 3/2/2017 Viewed: 3/2/2017 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: April 11, 2018 Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/2/2017May 7, 2018 Certified Delivered Security Checked May 9, 2018 Signing Complete Security Checked May 9, 2018 Completed Security Checked May 9, 2018

Record Tracking. Status: Original 2/22/2017 May 18, 2018 Holder: Rosalyn Lazare-Payne xxxxxxx.xxxxxx-xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission XXX_XxxxXxxx@xxxx.xxxxx.xx.xx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Resource Xxxxxxx Xxxxxxxxx xxxxxxxx@xxxxxxx.xxx Health Director Department State Health Services City of Corpus Christi Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission Xxxxxx xxxxx.xxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Completed Using IP Address: 160.42.85.9 Completed Using IP Address: 167.137.1.15 Sent: 2/22/2017 Viewed: 2/22/2017 Signed: 2/22/2017 Sent: 2/22/2017 Viewed: 3/2/2017 Signed: 3/2/2017 Sent: 3/2/2017 May 18, 2018 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: May 18, 2018 Carbon Copy Events Status Timestamp Xxxxxxx Xxxxxxx xxxxxxx.xxxxxxx@xxxx.xxxxx.xx.xx Contract Manager Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Department of State Health Services CMU Contract Inbox xxxxxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxxx xxx.xxxxxx@xxxx.xxxxx.xx.xx Contract Specialist V Texas Health and Human Services Commission Xxxxxxx Uhlarick xxxxxxxx0@xxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Unit Director Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: DSHS CMU Inbox XXXXxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Sent: 2/22/2017 May 18, 2018 Viewed: May 18, 2018 Sent: 2/22/2017 May 18, 2018 Sent: 2/22/2017 Sent: 2/22/2017 Viewed: 3/1/2017 Sent: 3/2/2017 Viewed: 3/2/2017 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: May 18, 2018 Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/2/2017May 18, 2018

Record Tracking. Status: Original 2/22/2017 3/10/2017 Holder: Rosalyn Lazare-Payne xxxxxxx.xxxxxx-xxxxx@xxxx.xxxxx.xx.xx Xxxxxx Xxxxxxxxx xxxxxx.xxxxxxxxx@xxxx.xxxxx.xx.xx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Resource Director Department State Health Services Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Xxxxxxx County Judge Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record Xxxxxx Xxxxxxxxx xxxxxx.xxxxxxxxx@xxxx.xxxxx.xx.xx Procurement Manager Texas Health and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Completed Using IP Address: 160.42.85.9 Completed Using IP Address: 167.137.1.15 167.137.1.16 Sent: 2/22/2017 3/10/2017 Viewed: 2/22/2017 3/10/2017 Signed: 2/22/2017 3/10/2017 Sent: 2/22/2017 3/10/2017 Viewed: 3/2/2017 3/23/2017 Signed: 3/2/2017 3/24/2017 Sent: 3/2/2017 3/27/2017 Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx Associate Commissioner for Disease Control and Prevention Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx Xxxxx Xxxxxxxxxx xxxxx.xxxxxxxxxx@xxxx.xxxxx.xx.xx Contract Manager Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Department of State Health Services Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxxx xxx.xxxxxx@xxxx.xxxxx.xx.xx Contract Specialist V Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Unit Director Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Sent: 3/10/2017 Sent: 3/10/2017 Sent: 3/10/2017 Sent: 3/10/2017 Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxx xxxxxx.xxxxxxxx@xxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: DSHS CMU Inbox XXXXxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Sent: 2/22/2017 Sent: 2/22/2017 Sent: 2/22/2017 Sent: 2/22/2017 Viewed: 3/1/2017 Sent: 3/2/2017 Viewed: 3/2/2017 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Notary Events Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/2/2017:

Record Tracking. Status: Original 2/22/2017 2/10/2017 Holder: Rosalyn Lazare-Payne xxxxxxx.xxxxxx-xxxxx@xxxx.xxxxx.xx.xx Xxxxxx Xxxxxxxxx xxxxxx.xxxxxxxxx@xxxx.xxxxx.xx.xx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Resource Director Department State Health Services Xxxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Staff Attorney, System Contracting HHSC Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Texas Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Resource Director Department State Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us xxxxx.xxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Completed Using IP Address: 160.42.85.9 Completed Using IP Address: 167.137.1.15 160.42.85.9 Sent: 2/22/2017 2/10/2017 Viewed: 2/22/2017 2/11/2017 Signed: 2/22/2017 2/11/2017 Sent: 2/22/2017 2/11/2017 Viewed: 3/2/2017 2/13/2017 Signed: 3/2/2017 2/13/2017 Sent: 3/2/2017 2/13/2017 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx Xxxxxxx Xxxxxxx xxxxxxx.xxxxxxx@xxxx.xxxxx.xx.xx Contract Manager Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Department of State Health Services Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxxx xxx.xxxxxx@xxxx.xxxxx.xx.xx Contract Specialist V Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Unit Director Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: DSHS CMU Inbox XXXXxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Sent: 2/22/2017 Sent: 2/22/2017 Sent: 2/22/2017 Sent: 2/22/2017 Viewed: 3/1/2017 Sent: 3/2/2017 Viewed: 3/2/2017 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Sent: 2/10/2017 Sent: 2/10/2017 Sent: 2/10/2017 Sent: 2/11/2017 Sent: 2/13/2017 Viewed: 2/14/2017 Notary Events Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/2/20172/13/2017

Record Tracking. Status: Original 2/22/2017 April 25, 2018 Holder: Rosalyn Lazare-Payne xxxxxxx.xxxxxx-xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission XXX_XxxxXxxx@xxxx.xxxxx.xx.xx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Resource Director Department State Health Services Xxxxxx X. Xxxxxx xxxxxx.xxxxx@xxxxxxxxxxxxxxxx.xxx County Judge Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission Xxxxxxx xxxxx.xxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Completed Using IP Address: 160.42.85.9 Completed Using IP Address: 167.137.1.15 Sent: 2/22/2017 April 25, 2018 Viewed: 2/22/2017 Signed: 2/22/2017 Sent: 2/22/2017 Viewed: 3/2/2017 Signed: 3/2/2017 Sent: 3/2/2017 May 14, 2018 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx Contract Manager Texas Health and Human Services Commission Xxxxxxxx Xxxxxxx xxxxxxxx.xxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Department of State Health Services Xxxxx Xxxxx.Xxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign IDSent: Xxx Xxxxxx xxx.xxxxxx@xxxx.xxxxx.xx.xx April 25, 2018 Viewed: April 25, 2018 Sent: April 25, 2018 Viewed: April 26, 2018 Carbon Copy Events Status Timestamp CMU Contract Specialist V Texas Health and Human Services Commission Inbox xxxxxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Unit Director Texas Health and Human Services Commission Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxxxxxxxxxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: DSHS CMU Inbox XXXXxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Sent: 2/22/2017 April 25, 2018 Sent: 2/22/2017 Sent: 2/22/2017 Sent: 2/22/2017 April 25, 2018 Viewed: 3/1/2017 Sent: 3/2/2017 Viewed: 3/2/2017 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: April 27, 2018 Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/2/2017April 25, 2018

Record Tracking. Status: Original 2/22/2017 April 25, 2018 Holder: Rosalyn Lazare-Payne xxxxxxx.xxxxxx-xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission XXX_XxxxXxxx@xxxx.xxxxx.xx.xx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Resource Director Department State Health Services Xxxxxx X. Xxxxxx xxxxxx.xxxxx@xxxxxxxxxxxxxxxx.xxx County Judge Security Level: Email, Account Authentication (None) Using IP Address: 73.6.109.87 Sent: April 25, 2018 Viewed: May 14, 2018 Signed: June 7, 2018 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Xxxxxxx xxxxx.xxxxxxx@xxxx.xxxxx.xxx Associate Commissioner for Laboratory and Infectious Disease Services Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Completed Using IP Address: 160.42.85.9 Completed Using IP Address: 167.137.1.15 160.42.85.8 Sent: 2/22/2017 June 7, 2018 Viewed: 2/22/2017 June 7, 2018 Signed: 2/22/2017 Sent: 2/22/2017 Viewed: 3/2/2017 Signed: 3/2/2017 Sent: 3/2/2017 June 7, 2018 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx Contract Manager Texas Health and Human Services Commission Xxxxxxxx Xxxxxxx xxxxxxxx.xxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign IDSent: Xxxxxx April 25, 2018 Viewed: April 25, 2018 Carbon Copy Events Status Timestamp Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Department of State Health Services Xxxxx Xxxxx.Xxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxxx xxx.xxxxxx@xxxx.xxxxx.xx.xx CMU Contract Specialist V Texas Health and Human Services Commission Inbox xxxxxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Unit Director Texas Health and Human Services Commission Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxxxxxxxxxxxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: DSHS CMU Inbox XXXXxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Sent: 2/22/2017 April 25, 2018 Viewed: April 26, 2018 Sent: 2/22/2017 April 25, 2018 Sent: 2/22/2017 Sent: 2/22/2017 April 25, 2018 Viewed: 3/1/2017 Sent: 3/2/2017 Viewed: 3/2/2017 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: April 27, 2018 Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/2/2017June 7, 2018 Certified Delivered Security Checked June 7, 2018 Signing Complete Security Checked June 7, 2018 Completed Security Checked June 7, 2018

Record Tracking. Status: Original 2/22/2017 May 23, 2018 Holder: Rosalyn Lazare-Payne xxxxxxx.xxxxxx-xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission XXX_XxxxXxxx@xxxx.xxxxx.xx.xx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Resource Director Department State Health Services DRAFT Xxxxxxx Xxxxxx Xxxxxx@xx.xxxxx.xx.xx County Judge Comal County Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission Xxxxxx xxxxx.xxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Completed Using IP Address: 160.42.85.9 Completed Using IP Address: 167.137.1.15 Sent: 2/22/2017 May 23, 2018 Viewed: 2/22/2017 Signed: 2/22/2017 Sent: 2/22/2017 Viewed: 3/2/2017 Signed: 3/2/2017 Sent: 3/2/2017 May 30, 2018 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx Xxxxx Xxxxxx Xxxxx.Xxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: May 23, 2018 Carbon Copy Events Status Timestamp Xxxxxxx Xxxxxxx xxxxxxx.xxxxxxx@xxxx.xxxxx.xx.xx Contract Manager Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Department of State Health Services CMU Contract Inbox xxxxxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxxx xxx.xxxxxx@xxxx.xxxxx.xx.xx Contract Specialist V Texas Health and Human Services Commission Xxxxxx xxxxxx@xx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: DRAFT Not Offered via DocuSign ID: Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Unit Director Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: DSHS CMU Inbox XXXXxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Sent: 2/22/2017 May 23, 2018 Viewed: May 23, 2018 Sent: 2/22/2017 May 23, 2018 Viewed: May 23, 2018 Sent: 2/22/2017 Sent: 2/22/2017 Viewed: 3/1/2017 Sent: 3/2/2017 Viewed: 3/2/2017 Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: May 23, 2018 Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/2/2017May 23, 2018

Record Tracking. Status: Original 2/22/2017 May 15, 2018 Holder: Rosalyn Lazare-Payne xxxxxxx.xxxxxx-xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission XXX_XxxxXxxx@xxxx.xxxxx.xx.xx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xx.xx Resource Director Department State Health Services Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Xxxxx.Xxxxx@xxxx.xxxxx.xx.xx Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Xxxxxxx County Judge Xxxxxxx County Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxxx Xxxxx.Xxxxxxx@xxxx.xxxxx.xx.xx Xxxx Marker Xxxxxx.Xxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxx Xxxxxx xxxxx.xxxxxx@xx.xxxxxxx.tx.us Xxx Xxxxx.Xxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign IDXxxxxxx Xxxxx Xxxxxxx.Xxxxx@xxxx.xxxxx.xx.xx Security Level: Completed Using IP AddressEmail, Account Authentication (None) Electronic Record and Signature Disclosure: 160.42.85.9 Not Offered via DocuSign Completed Using IP Address: 167.137.1.15 Sent: 2/22/2017 May 15, 2018 Viewed: 2/22/2017 May 15, 2018 Signed: 2/22/2017 May 15, 2018 Sent: 2/22/2017 Viewed: 3/2/2017 Signed: 3/2/2017 Sent: 3/2/2017 May 15, 2018 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxx Xxxxxxxxxxx xxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx CMU Contract Manager Texas Health and Human Services Commission Inbox xxxxxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxx xxxxxx.xxxxx@xxxx.xxxxx.xx.xx Department of State Health Services Xxxxxxxxx xxxxx.xxxxxxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxx Xxxxxx xxx.xxxxxx@xxxx.xxxxx.xx.xx Contract Specialist V Texas Health and Human Services Commission Xxxxx Xxxxx Xxxxx.Xxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxx.xxxxx.xx.xx Unit Director Texas Health and Human Services Commission Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: DSHS CMU Inbox XXXXxxxxxxxx@xxxx.xxxxx.xxx Xxx Xxxxx xxx.xxxxx@xxxx.xxxxx.xx.xx Security Level: Email, Account Authentication (None) Sent: 2/22/2017 Sent: 2/22/2017 Sent: 2/22/2017 Sent: 2/22/2017 Viewed: 3/1/2017 Sent: 3/2/2017 Viewed: 3/2/2017 Electronic Record and Signature Disclosure: Not Offered via DocuSign IDSent: May 15, 2018 Viewed: May 15, 2018 Sent: May 15, 2018 Sent: May 15, 2018 Viewed: May 15, 2018 Sent: May 15, 2018 Viewed: May 15, 2018 Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/2/2017May 15, 2018