Common use of REFERENCED CONTRACT PROVISIONS Clause in Contracts

REFERENCED CONTRACT PROVISIONS. “Term: July 1, 2017 through June 30, 20202022 Period One means the period from July 1, 2017 through June 30, 2018 4 Period Two means the period from July 1, 2018 through June 30, 2019 Period Three means the period from July 1, 2019 through June 30, 2020 5 Period Four means the period from July 1, 2020 through June 30, 2021 6 Period Five means the period from July 1, 2021 through June 30, 2022 Maximum Obligation: 7 8 Amount Not To Exceed Period One Maximum Obligation: Amount Not To Exceed: $ 508,140 Period Two Maximum Obligation: Amount Not To Exceed: 483,954 Period Three Maximum Obligation: Amount Not To Exceed: 898,954 Period Four Maximum Obligation: Amount Not To Exceed: 898,954 Period Five Amount Not to Exceed: 643,640 TOTAL MAXIMUM OBLIGATION: 790,002$AMOUNT NOT TO EXCEED: $3,433,642” 10 11 12 13 14 15 Basis for Reimbursement: Negotiated Rate Payment Method: Monthly In Arrears 16 17 CONTRACTOR DUNS Number: 00-000-0000 18 19 CONTRACTOR TAX ID Number: 00-0000000 20 21 Notices to COUNTY and CONTRACTOR: 22 COUNTY: County of Orange 23 Health Care Agency 24 Contract Services 000 Xxxx 0xx Xxxxxx, Xxxxx 000 00 Xxxxx Xxx, XX 00000-0000 4 of 35 27 J:\BH K Mgmt\BH Vendor Folder(s)\Adult\OUTPATIENT\Outpatient SUD\NARC REPL\Narcotic Replacement\FY 2021-

REFERENCED CONTRACT PROVISIONS. “2 3 Master Agreement Term: July 1, 2017 2018 through June 30, 20202022 2023 4 Period One means the period from July 1, 2017 through June 30, 2018 4 Period Two means the period from July 1, 2018 through June 30, 2019 5 Period Three Two means the period from July 1, 2019 through June 30, 2020 5 6 Period Four Three means the period from July 1, 2020 through June 30, 2021 6 7 Period Five Four means the period from July 1, 2021 through June 30, 2022 8 Period Five means the period from July 1, 2022 through June 30, 2023 9 10 Aggregate Maximum Obligation: 7 8 Amount Not To Exceed 11 Period One Aggregate Maximum Obligation: Amount Not To Exceed: $ 508,140 800,000 12 Period Two Aggregate Maximum Obligation: Amount Not To Exceed: 483,954 $ 1,280,000 13 Period Three Aggregate Maximum Obligation: Amount Not To Exceed: 898,954 $ 1,200,000 14 Period Four Aggregate Maximum Obligation: Amount Not To Exceed: 898,954 $ 1,500,000 15 Period Five Amount Not to ExceedAggregate Maximum Obligation: 643,640 $ 1,500,000 16 TOTAL AGGREGATE MAXIMUM OBLIGATION: 790,002$AMOUNT NOT TO EXCEED: $3,433,642” 10 11 12 13 14 15 $ 6,280,000 17 18 Basis for Reimbursement: Negotiated Rate Fee-for-Service 19 Payment Method: Monthly In in Arrears 16 17 20 21 CONTRACTOR DUNS Number: 00-000-0000 18 19 031119462 23 CONTRACTOR TAX ID Number: 00-0000000 20 21 24 25 Notices to COUNTY and CONTRACTOR: 22 26 27 COUNTY: County of Orange 23 28 Health Care Agency 24 29 Contract Services 00 000 Xxxx 0xx Xxxxxx, Xxxxx 000 31 Santa Ana, CA 92701-4637 33 CONTRACTOR: Attention: Xxxxx X. Xxxxx 34 The Teen Project, Inc. 35 00000 X000 Xxxxxxx Xxxxxxx, Xxx. 000 00 Xxxxxx Xxxxx XxxXxxxxxxxx, XX 0000000000 37 Email: xxxxx@xxxxxxxxxxxxxx.xxx “CFDA# XXXX# Program/ Service Title Federal Funding Agency Federal Award Date Amount R&D Award (Y/N) 93.959 T110062-0000 20 SABG Substance Abuse and Mental Health Services Administration (SAMHSA) 7/1/2021 TO 6/30/2024 $19,276,499 annually N” 2 3 4 of 5 6 7 8 9 // 10 // 11 // 12 // 13 // 14 // 15 // 16 // 17 // 18 // 19 // 20 // 21 // 22 // 23 // 24 // 25 // 26 // 27 // 28 // 29 // 30 // 31 // 32 // 33 // 34 // 35 27 J:\BH K Mgmt\BH Vendor Folder(s)\Adult\OUTPATIENT\Outpatient SUD\NARC REPL\Narcotic Replacement\FY 2021-// 36 // 37 //

REFERENCED CONTRACT PROVISIONS. “2 3 Term: July 1, 2017 2018 through June 30, 20202022 2020 4 Period One means the period from July 1, 2017 through June 30, 2018 4 Period Two means the period from July 1, 2018 through June 30, 2019 5 Period Three Two means the period from July 1, 2019 through June 30, 2020 5 6 Term: July 1, 2018 through June 30, 2021 7 Period Four One means the period from July 1, 2018 through June 30, 2019 8 Period Two means the period from July 1, 2019 through June 3, 2020 9 Period Three means the period from July 1, 2020 through June 30, 2021 6 Period Five means the period from July 1, 2021 through June 30, 2022 10 11 Aggregate Maximum Obligation: 7 8 Amount Not To Exceed 12 Period One Aggregate Maximum Obligation: Amount Not To Exceed: $ 508,140 3,194,000 13 Period Two Aggregate Maximum Obligation: Amount Not To Exceed: 483,954 Period Three Maximum Obligation: Amount Not To Exceed: 898,954 Period Four Maximum Obligation: Amount Not To Exceed: 898,954 Period Five Amount Not to Exceed: 643,640 3,194,000 14 TOTAL AGGREGATE MAXIMUM OBLIGATION: 790,002$AMOUNT NOT TO EXCEED: $3,433,642” 10 11 12 13 14 $ 6,388,000 15 Period One Aggregate Maximum Obligation $ 3,194,000 16 Period Two Aggregate Maximum Obligation 3,800,000 17 Period Three Aggregate Maximum Obligation 4,200,000 18 TOTAL AGGREGATE MAXIMUM OBLIGATION $ 11,194,000 19 Basis for Reimbursement: Negotiated Rate 20 21 Payment Method: Monthly In in Arrears 16 17 23 CONTRACTOR DUNS Number: 00-000-0000 18 19 «DUNS» 24 25 CONTRACTOR TAX ID Number: 00-0000000 20 21 «TAX_ID» 27 Notices to COUNTY and CONTRACTOR: 22 28 29 COUNTY: County of Orange 23 30 Health Care Agency 24 31 Contract Services 00 000 Xxxx 0xx Xxxxxx, Xxxxx 000 00 Xxxxx Xxx, XX 00000-0000 00000–4637 «CONTACT» «LC_NAME» 34 35 CONTRACTOR: 36 37 «ADDRESS_Line_1» 4 of 40 X:\CONTRACTS - 2018 -\2018-2020\SUD\DMC SUD OUTPATIENT SVCS FY 18-20 - LW.DOC «K_CODE»– MADMCOSSUDKK20 «ADDRESS_Line_2» «CITY_STATE_ZIP» «CONTACT_EMAIL» 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 27 J:\BH K Mgmt\BH Vendor Folder(s)\Adult\OUTPATIENT\Outpatient SUD\NARC REPL\Narcotic Replacement\FY 2021-36 37 5 of 40 X:\CONTRACTS - 2018 -\2018-2020\SUD\DMC SUD OUTPATIENT SVCS FY 18-20 - LW.DOC «K_CODE»– MADMCOSSUDKK20

REFERENCED CONTRACT PROVISIONS. 8 “Term: July 1, 2017 2019 through June 30, 20202022 20222023 Period One means the period from July 1, 2017 through June 30, 2018 4 Period Two means the period from July 1, 2018 through June 30, 2019 Period Three means the period from July 1, 2019 through June 30, 2020 5 10 Period Four Two means the period from July 1, 2020 through June 30, 2021 6 11 Period Five Three means the period from July 1, 2021 through June 30, 2022 Maximum Obligation: 7 8 $1,205,523 13 Period Four means the period from July 1, 2022 through June 30, 2023 Amount Not To Exceed Exceed: 15 Period One Maximum Obligation: $ Amount Not To Exceed: $ 508,140 $401,841 Period Two Maximum Obligation: Amount Not To Exceed: 483,954 $401,841 16 Period Three Maximum Obligation: Amount Not To Exceed: 898,954 $401,841 17 Period Four Maximum Obligation: Amount Not To Exceed: 898,954 Period Five Amount Not to Exceed: 643,640 $431,841 TOTAL MAXIMUM OBLIGATION: 790,002$AMOUNT OBLIGATIONAMOUNT NOT TO EXCEED: $3,433,6421,205,523637,364” 10 11 12 13 14 15 18 Basis for Reimbursement: Negotiated Rate Actual Cost 20 Payment Method: Monthly In in Arrears 16 17 21 22 CONTRACTOR DUNS Number: 00-000-0000 18 19 000000000 24 CONTRACTOR TAX ID Number: 00-0000000 20 21 5 of 48 26 \\OCHCA\HCASHARES\CONTRACTS II\BH K MGMT\BH VENDOR 27 FOLDER(S)\ADULT\OUTPATIENT\OUTPATIENT MH\042-20010355 SSI OUTREACH\FY 2022-23\K DEVELOPMENT\REDLINE FOR AMENDMENT NO. 1 SSI SERVICES.DOCXOCA09MHKK22 ORANGE COUNTY ASSOCIATION FOR MENTAL HEALTH 2 Notices to COUNTY and CONTRACTOR: 22 4 COUNTY: County of Orange 23 Health Care Agency 24 6 Contract Services 7 000 Xxxx 0xx Xxxxxx, Xxxxx 000 00 0 Xxxxx Xxx, XX 00000-0000 4 10 CONTRACTOR:Orange County Association for Mental Health 11 dba Mental Health Association of 35 27 J:\BH K Mgmt\BH Vendor Folder(s)\Adult\OUTPATIENT\Outpatient SUD\NARC REPL\Narcotic Replacement\FY 2021-Orange County 12 0000 Xxxx 0xx Xxxxxx, Xxxxxx 000X 00 Xxxxx Xxx, XX 00000 14 Contact Name: Xxxxxxx Xxxxxx, Chief Executive Officer 15 Contact Email: xxxxxx@xxxxx.xxx 16

REFERENCED CONTRACT PROVISIONS. “4 Master Agreement Term: July 1, 2017 2018 through June 30, 20202022 2023 5 Period One means the period from July 1, 2017 through June 30, 2018 4 Period Two means the period from July 1, 2018 through June 30, 2019 6 Period Three Two means the period from July 1, 2019 through June 30, 2020 5 7 Period Four Three means the period from July 1, 2020 through June 30, 2021 6 8 Period Five Four means the period from July 1, 2021 through June 30, 2022 9 Period Five means the period from July 1, 2022 through June 30, 2023 10 11 Aggregate Maximum Obligation: 7 8 Amount Not To Exceed 12 Period One Aggregate Maximum Obligation: Amount Not To Exceed: $ 508,140 800,000 13 Period Two Aggregate Maximum Obligation: Amount Not To Exceed: 483,954 $1,280,000 14 Period Three Aggregate Maximum Obligation: Amount Not To Exceed: 898,954 $1,200,000 15 Period Four Aggregate Maximum Obligation: Amount Not To Exceed: 898,954 $1,500,000 16 Period Five Amount Not to ExceedAggregate Maximum Obligation: 643,640 $1,500,000 Aggregate Maximum Obligation: 17 TOTAL AGGREGATE MAXIMUM OBLIGATION: 790,002$AMOUNT NOT TO EXCEED$6,280,000 18 Period One Aggregate Maximum Obligation: $ 800,000 Period Two Aggregate Maximum Obligation: $3,433,642” 1,280,000 Period Three Aggregate Maximum Obligation: $1,200,000 Period Four Aggregate Maximum Obligation: $1,500,000 Period Five Aggregate Maximum Obligation: $1,900,000 19 20 21 22 23 TOTAL AGGREGATE MAXIMUM OBLIGATION: $6,680,000 24 27 Basis for Reimbursement: Fee-for-Service 28 Payment Method: Monthly in Arrears 29 30 CONTRACTOR DUNS Number: [#] 32 CONTRACTOR TAX ID Number: [#] 33 34 Notices to COUNTY and CONTRACTOR: 35 COUNTY: County of Orange 36 Health Care Agency 37 Contract Services 2 4 CONTRACTOR: 5 8 CFDA# XXXX# Program/ Service Title Federal Funding Agency Federal Award Date Amount R&D Award (Y/N) 93.959 T110062-20 SABG Substance Abuse and Mental Health Services Administration (SAMHSA) 7/1/2021 TO 6/30/2024 $19,276,499 annually N 9 10 11 12 13 14 15 Basis for Reimbursement: Negotiated Rate Payment Method: Monthly In Arrears 16 17 CONTRACTOR DUNS Number: 00-000-0000 18 // 19 CONTRACTOR TAX ID Number: 00-0000000 // 20 // 21 Notices to COUNTY and CONTRACTOR: // 22 COUNTY: County of Orange // 23 Health Care Agency // 24 Contract Services // 25 // 26 // 27 // 28 // 29 // 30 // 31 // 32 // 33 // 34 // 35 // 36 // 37 // 000 Xxxx 0xx Xxxxxx, Xxxxx 000 00 Xxxxx Xxx, XX 00000-0000 4 of 35 27 J:\BH K Mgmt\BH Vendor Folder(s)\Adult\OUTPATIENT\Outpatient SUD\NARC REPL\Narcotic Replacement\FY 2021-Attention: [CONTACT] [CONTRACTOR] [EMAIL] 2] [ADDRESS 1] [ADDRESS Email: 1 //

REFERENCED CONTRACT PROVISIONS. “3 Term: July October 1, 2017 through June 30, 20202022 2021 4 Period One means the period from July October 1, 2017 through June 30, 2018 4 5 Period Two means the period from July 1, 2018 through June 30, 2019 6 Period Three means the period from July 1, 2019 through June 30, 2020 7 Period Four means the period from July 1, 2020 through June 30, 2021 9 Maximum Obligation: 10 Period One Maximum Obligation: $ 837,803 11 Period Two Maximum Obligation: 1,064,770 12 Period Three Maximum Obligation: 1,064,770 13 Period Four Maximum Obligation: 1,064,770 14 TOTAL MAXIMUM OBLIGATION: $ 4,032,113 Period Five means the period from July 1, 2021 through June 30, 2022 Period Four means the period from July 1, 2020 through June 30, 2021 Period Three means the period from July 1, 2019 through June 30, 2020 Period Two means the period from July 1, 2018 through June 30, 2019 Period Three One means the period from July October 1, 2019 2017 through June 30, 2020 5 Period Four means the period from July 2018 Term: October 1, 2020 through June 30, 2021 6 Period Five means the period from July 1, 2021 2017 through June 30, 2022 16 17 18 19 20 21 Maximum Obligation: 7 8 Amount Not To Exceed 22 Period One Maximum Obligation: Amount Not To Exceed: $ 508,140 837,803 Period Two Maximum Obligation: Amount Not To Exceed: 483,954 1,064,770 Period Three Maximum Obligation: Amount Not To Exceed: 898,954 1,064,770 Period Four Maximum Obligation: Amount Not To Exceed: 898,954 1,064,770 Period Five Amount Not to ExceedMaximum Obligation: 643,640 1,494,303 23 24 25 26 27 TOTAL MAXIMUM OBLIGATION: 790,002$AMOUNT NOT TO EXCEED: $3,433,642” 10 11 12 13 14 15 $ 5,526,416 28 29 30 31 Basis for Reimbursement: Negotiated Rate Actual Cost 32 33 Payment Method: Monthly In in Arrears 16 17 34 35 CONTRACTOR DUNS Number: 00-000-0000 18 19 36 37 CONTRACTOR TAX ID Number: 00-0000000 20 21 2 Notices to COUNTY and CONTRACTOR: 22 3 4 COUNTY: County of Orange 23 Health Care Agency 24 6 Contract Services 7 000 Xxxx 0xx Xxxxxx, Xxxxx 000 0 Xxxxx Xxx, XX 00000-0000 10 CONTRACTOR: Olive Crest 11 0000 X. 0xx Xxxxxx, Xxxxx 000 00 Xxxxx Xxx, XX 00000-0000 4 Xxxxxxxxxx 00000 13 Xxxxxx Xxxxxxx, Chief Executive Office 14 Xxxxxx-xxxxxxx@xxxxxxxxxx.xxx 16 // 17 // 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 6 of 35 27 J:\BH K Mgmt\BH Vendor Folder(s)\Adult\OUTPATIENT\Outpatient SUD\NARC REPL\Narcotic Replacement\FY 2021-41

REFERENCED CONTRACT PROVISIONS. “2 3 Master Agreement Term: July 1, 2017 2018 through June 30, 20202022 2022 4 Period One means the period from July 1, 2017 2018 through June 30, 2018 4 2019 5 Period Two means the period from July 1, 2019 through June 30, 2020 6 Period Three means the period from July 1, 2020 through June 30, 2021 7 Period Four means the period from July 1, 2021 through June 30, 2022 8 9 Aggregate Maximum Obligation: 10 Period One Aggregate Maximum Obligation: $ 800,000 11 Period Two Aggregate Maximum Obligation: $1,280,000 12 Period Three Aggregate Maximum Obligation: $1,200,000 13 Period Four Aggregate Maximum Obligation: $1,500,000 Master Agreement Term: July 1, 2018 through June 30, 2023 Period One means the period from July 1, 2018 through June 30, 2019 Period Three Two means the period from July 1, 2019 through June 30, 2020 5 Period Four Three means the period from July 1, 2020 through June 30, 2021 6 Period Five Four means the period from July 1, 2021 through June 30, 2022 Period Five means the period from July 1, 2022 through June 30, 2023 14 TOTAL AGGREGATE MAXIMUM OBLIGATION: $4,780,000 15 16 18 19 20 22 23 Aggregate Maximum Obligation: 7 8 Amount Not To Exceed 24 Period One Aggregate Maximum Obligation: Amount Not To Exceed: $ 508,140 $800,000 25 Period Two Aggregate Maximum Obligation: Amount Not To Exceed: 483,954 1,280,000 26 Period Three Aggregate Maximum Obligation: Amount Not To Exceed: 898,954 1,200,000 27 Period Four Aggregate Maximum Obligation: Amount Not To Exceed: 898,954 1,500,000 28 Period Five Amount Not to ExceedAggregate Maximum Obligation: 643,640 1,500,000 29 TOTAL AGGREGATE MAXIMUM OBLIGATION: 790,002$AMOUNT NOT TO EXCEED: $3,433,642” 10 11 12 13 14 15 6,280,000 30 31 Basis for Reimbursement: Negotiated Rate Fee-for-Service 32 Payment Method: Monthly In in Arrears 16 17 33 34 CONTRACTOR DUNS Number: 00-000-0000 18 19 36 CONTRACTOR TAX ID Number: 00-0000000 20 21 1 Notices to COUNTY and CONTRACTOR: 22 3 COUNTY: County of Orange 23 4 Health Care Agency 24 5 Contract Services 6 000 Xxxx 0xx Xxxxxx, Xxxxx 000 00 0 Xxxxx Xxx, XX 00000-0000 4 of 35 27 J:\BH K Mgmt\BH Vendor Folder(s)\Adult\OUTPATIENT\Outpatient SUD\NARC REPL\Narcotic Replacement\FY 2021-9 CONTRACTOR: Attention: Xxx Xxxxxxxxx, CEO 10 Clean Path Recovery, LLC 11 0000 Xxxxx Xxx 12 Costa Mesa, CA 92626 CFDA# XXXX# Program/ Service Title Federal Funding Agency Federal Award Date Amount R&D Award (Y/N) 93.959 XX00000- 00 XXXX XX HHS FFY 20 (10/1/19 – 6/30/21) 19,276,499 N/A 13 Email: xxxx@xxxxxxxxxxx.xxx 14 16 17 18 19

REFERENCED CONTRACT PROVISIONS. “3 Term: July 1, 2017 through June 30, 20202022 2020 4 Period One means the period from July 1, 2017 through June 30, 2018 4 Period Two means the period from July 1, 2018 through June 30, 2019 5 Period Three means the period from July 1, 2019 through June 30, 2020 5 6 7 Term: July 1, 2017 through June 30, 2021 8 Period One means the period from July 1, 2017 through June 30, 2018 9 Period Two means the period from July 1, 2018 through June 30, 2019 10 Period Three means the period from July 1, 2019 through June 30, 2020 11 Period Four means the period from July 1, 2020 through June 30, 2021 6 Period Five means the period from July 1, 2021 through June 30, 2022 12 13 Maximum Obligation: 7 8 Amount Not To Exceed 14 Period One Maximum Obligation: Amount Not To Exceed: $ 508,140 $2,885,214 15 Period Two Maximum Obligation: Amount Not To Exceed: 483,954 2,885,214 16 Period Three Maximum Obligation: Amount Not To Exceed2,885,214 TOTAL MAXIMUM OBLIGATION: 898,954 $8,655,642 17 Period One Maximum Obligation: $ 2,885,214 18 Period Two Maximum Obligation: 2,885,214 19 Period Three Maximum Obligation: 2,885,214 20 Period Four Maximum Obligation: Amount Not To Exceed: 898,954 Period Five Amount Not to Exceed: 643,640 3,462,257 21 TOTAL MAXIMUM OBLIGATION: 790,002$AMOUNT NOT TO EXCEED: $3,433,642” 10 11 12 13 14 15 12,117,899 22 23 Basis for Reimbursement: Negotiated Rate Actual Cost 24 25 Payment Method: Monthly In Arrears 16 17 26 27 CONTRACTOR DUNS Number: 00-000-0000 18 19 28 29 CONTRACTOR TAX ID Number: 00-0000000 20 21 30 31 Notices to COUNTY and CONTRACTOR: 22 32 COUNTY: County of Orange 23 33 Health Care Agency 24 34 Contract Services 35 000 Xxxx 0xx Xxxxxx, Xxxxx 000 00 Xxxxx Xxx, XX 00000-0000 4 of 42 V:\BH K MGMT\BH VENDOR FOLDER(S)\ADULT\OUTPATIENT\OUTPATIENT MH\CCS02 - OLDER ADULT (OASIS) FSP\FY 2017-18\K DEVELOPMENT\AGREEMENT\CCS02_FSP-OASIS-17-20-JC.DOC CCS02BHKK20 1 CONTRACTOR: College Community Services 2 0000 Xxxxxxx Xxx., Xxxxx 000 0 Xxx Xxxxxxxx, XX 00000 4 Contact Name: Xxxx Xxxxxxx, California State Director 5 Contact Email: Xxxx.Xxxxxxx@xxxxxxxx.xxx 6 // 7 // 8 // 9 // 10 // 11 // 12 // 13 // 14 // 15 // 16 // 17 // 18 // 19 // 20 // 21 // 22 // 23 // 24 // 25 // 26 // 27 // 28 // 29 // 30 // 31 // 32 // 33 // 34 // 35 27 J:\BH // 36 // 37 // 5 of 42 V:\BH K Mgmt\BH Vendor Folder(s)\Adult\OUTPATIENT\Outpatient SUD\NARC REPL\Narcotic Replacement\FY 2021-MGMT\BH VENDOR FOLDER(S)\ADULT\OUTPATIENT\OUTPATIENT MH\CCS02 - OLDER ADULT (OASIS) FSP\FY 2017-18\K DEVELOPMENT\AGREEMENT\CCS02_FSP-OASIS-17-20-JC.DOC CCS02BHKK20