Common use of REFERENCED CONTRACT PROVISIONS Clause in Contracts

REFERENCED CONTRACT PROVISIONS. 2 Master Contract Term: July 1, 2021 through June 30, 2026 3 Tobacco Settlement Revenue 4 Period One means the period July 1, 2021 through June 30, 2022 5 Period Two means the period July 1, 2022 through June 30, 2023 6 Period Three means the period July 1, 2023 through June 30, 2024 7 Period Four means the period July 1, 2024 through June 30, 2025 8 Period Five means the period July 1, 2025 through June 30, 2026 9 Whole Person Care 10 Period One means the period July 1, 2021 through December 31, 2021 11 12 Aggregate Maximum Obligation: TSR Funds Grant Funds Total 13 AGGREGATE MAXIMUM OBLIGATION $ 27,719,512 $ 1,798,078 $29,517,590 14 15 Basis for Reimbursement: Fee-For-Service and Actual Cost 16 Payment Method: Payment in Arrears and As Incurred 17 CONTRACTOR DUNS Number: «DUNS_» 18 CONTRACTOR TAX ID Number: «TAX_ID_» 19 20 Notices to COUNTY and CONTRACTOR: 21 COUNTY: County of Orange 22 Health Care Agency 23 Contract Services 24 000 Xxxx 0xx Xxxxxx, Xxxxx 000 00 Xxxxx Xxx, XX 00000-0000 27 CONTRACTOR: «LC_NAME» 28 «LC_DBA» 29 «ADDRESS» 30 «CITY_STATE_ZIP» 31 «CONTACT», «CONTACT_TITLE» 32 «CONTACT_EMAIL» 33 // 34 // 35 // 36 // 37 //

REFERENCED CONTRACT PROVISIONS. 2 Master Contract “Term: July 1, 2021 2017 through June 30, 2026 3 Tobacco Settlement Revenue 4 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 5 Period Two means the period July 1, 2022 through June 30, 2023 6 Period Three means the period July 1, 2023 through June 30, 2024 7 Period Four means the period July 1, 2024 through June 30, 2025 8 Period Five means the period July 1, 2025 through June 30, 2026 9 Whole Person Care 10 Period One means the period July 1, 2021 through December 31, 2021 11 12 Aggregate Maximum Obligation: TSR Funds Grant Funds Total 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 AGGREGATE MAXIMUM OBLIGATION $ 27,719,512 $ 1,798,078 $29,517,590 14 15 Basis for Reimbursement: Fee-For-Service and Actual Cost Negotiated Rate 16 Payment Method: Payment in Arrears and As Incurred 17 CONTRACTOR DUNS Number: «DUNS_» 00-000-0000 18 19 CONTRACTOR TAX ID Number: «TAX_ID_» 19 00-0000000 20 21 Notices to COUNTY and CONTRACTOR: 21 22 COUNTY: County of Orange 22 23 Health Care Agency 23 24 Contract Services 24 000 Xxxx 0xx Xxxxxx, Xxxxx 000 00 Xxxxx Xxx, XX 00000-0000 4 of 35 27 CONTRACTOR: «LC_NAME» 28 «LC_DBA» 29 «ADDRESS» 30 «CITY_STATE_ZIP» 31 «CONTACT», «CONTACT_TITLE» 32 «CONTACT_EMAIL» 33 // 34 // 35 // 36 // 37 //J:\BH K Mgmt\BH Vendor Folder(s)\Adult\OUTPATIENT\Outpatient SUD\NARC REPL\Narcotic Replacement\FY 2021-

REFERENCED CONTRACT PROVISIONS. 2 Master Contract 3 Term: July 1, 2021 2019 through June 30, 2026 3 Tobacco Settlement Revenue 2021 4 Period One means the period from July 1, 2021 2019 through June 30, 2022 2020 5 Period Two means the period from July 1, 2022 2020 through June 30, 2023 2021 6 Period Three means the period July 1, 2023 through June 30, 2024 7 Period Four means the period July 1, 2024 through June 30, 2025 8 Period Five means the period July 1, 2025 through June 30, 2026 9 Whole Person Care 10 Period One means the period July 1, 2021 through December 31, 2021 11 12 Aggregate Maximum Obligation: TSR Funds Grant Funds Total 13 AGGREGATE $900,000 8 Period One Maximum Obligation: $ 450,000 9 Period Two Maximum Obligation: 450,000 10 TOTAL MAXIMUM OBLIGATION OBLIGATION: $ 27,719,512 $ 1,798,078 $29,517,590 14 15 900,000 11 12 Basis for Reimbursement: Fee-For-Service and Actual Cost 16 Negotiated Rate 13 14 Payment Method: Payment in Arrears and As Incurred 17 15 16 CONTRACTOR DUNS Number: «<<DUNS_» >> 17 18 CONTRACTOR TAX ID Number: «TAX_ID_» <<TAX ID>> 19 20 Notices to COUNTY and CONTRACTOR: 21 22 COUNTY: County of Orange 22 23 Health Care Agency 23 24 Contract Services 24 Development and Management 25 000 Xxxx 0xx Xxxxxx, Xxxxx 000 00 Xxxxx Xxx, XX 00000-0000 27 28 CONTRACTOR: «LC_NAME» 28 «LC_DBA» <<CONTRACTOR NAME>> 29 «<<CONTRACTOR ADDRESS» >> 30 «CITY_STATE_ZIP» <<CONTRACTOR CITY, STATE, ZIP CODE>> 31 «CONTACT», «CONTACT_TITLE» <<CONTRACTOR CONTACT PERSON NAME>> 32 «CONTACT_EMAIL» <<CONTRACTOR EMAIL>> 33 // 34 // 35 // 36 // 37 //

REFERENCED CONTRACT PROVISIONS. 2 Master Contract 3 Term: July January 1, 2021 2014 through June 30, 2026 3 Tobacco Settlement Revenue 2017 4 5 Period One means the period July from January 1, 2021 2014 through June 30, 2022 5 2014 6 Period Two means the period from July 1, 2022 2014 through June 30, 2023 6 2015 7 Period Three means the period from July 1, 2023 2015 through June 30, 2024 7 2016 8 Period Four means the period from July 1, 2024 2016 through June 30, 2025 8 Period Five means the period July 1, 2025 through June 30, 2026 2017 9 Whole Person Care 10 Period One means the period July 1, 2021 through December 31, 2021 11 12 Aggregate Maximum Obligation: TSR Funds Grant Funds Total $27,580,000 12 13 AGGREGATE Period One Maximum Obligation: $ 3,560,000 14 Period Two Maximum Obligation: 7,770,000 15 Period Three Maximum Obligation: 8,000,000 16 Period Four Maximum Obligation: 8,250,000 17 TOTAL MAXIMUM OBLIGATION $ 27,719,512 $ 1,798,078 OBLIGATION: $29,517,590 14 15 27,580,000 18 19 Basis for Reimbursement: Fee-For-Service and Actual Cost 16 Payment Method: Payment in Arrears and As Incurred 17 CONTRACTOR DUNS Number: «DUNS_» 18 CONTRACTOR TAX ID Number: «TAX_ID_» 19 Reimbursement 20 22 23 Notices to COUNTY and CONTRACTOR: 21 24 25 COUNTY: County of Orange 22 26 Health Care Agency 23 27 Contract Services 24 Development and Management 28 000 Xxxx 0xx Xxxxxx, Xxxxx 000 00 Xxxxx Xxx, XX 00000-0000 27 31 CONTRACTOR: «LC_NAME» 28 «LC_DBA» 29 «ADDRESS» 30 «CITY_STATE_ZIP» 31 «CONTACT»MedImpact Healthcare Solutions, «CONTACT_TITLE» Inc. 32 «CONTACT_EMAIL» 00000 Xxxxxx Xxxxxx, Stop 5 33 // San Diego, CA 00000-0000 34 // Contact person: Xxxxxxxxx Xxxx, CEO 35 // Contact e-mail: XXxxx@XxxXxxxxx.xxx 36 // Contact phone: (000) 000-0000 37 //

REFERENCED CONTRACT PROVISIONS. 2 Master Contract 3 Term: July 1, 2021 2017 through June 30December 31, 2026 3 Tobacco Settlement Revenue 2020 4 Period One means the period from July 1, 2021 2017 through June 30December 31, 2022 2017 5 Period Two means the period July from January 1, 2022 2018 through June 30December 31, 2023 2018 6 Period Three means the period July from January 1, 2023 2019 through June 30December 31, 2024 2019 7 Period Four means the period July from January 1, 2024 through June 30, 2025 8 Period Five means the period July 1, 2025 through June 30, 2026 9 Whole Person Care 10 Period One means the period July 1, 2021 2020 through December 31, 2021 11 12 2020 8 10 Aggregate Maximum Obligation: TSR Funds Grant Funds Total $4,098,000 11 Period One Maximum Obligation: $500,700 12 Period Two Maximum Obligation: 991,500 13 AGGREGATE Period Three Maximum Obligation: 1,302,900 14 Period Four Maximum Obligation: 1,302,900 15 TOTAL MAXIMUM OBLIGATION $ 27,719,512 $ 1,798,078 OBLIGATION: $29,517,590 14 15 4,098,000 16 17 Basis for Reimbursement: Fee-For-Fee for Service and Actual Cost 16 18 Payment Method: Payment Monthly in Arrears and As Incurred 17 19 20 21 CONTRACTOR DUNS Number: «DUNS_DUNS_NUMBER» 18 23 CONTRACTOR TAX ID Number: «TAX_ID_» 19 20 24 25 Notices to COUNTY and CONTRACTOR: 21 26 27 COUNTY: County of Orange 22 28 Health Care Agency 23 29 Contract Services 24 30 000 Xxxx 0xx Xxxxxx, Xxxxx 000 00 Xxxxx Xxx, XX 00000-0000 27 «CONTRACTOR_NAME_» «CONTRACTOR_ADDRESS» 33 CONTRACTOR: «LC_NAMECONTRACTOR_ZIP» 28 34 35 «LC_DBA» 29 «ADDRESS» 30 «CITY_STATE_ZIP» 31 «CONTACTCONTRACTOR_CITY», «CONTACT_TITLE» 32 «CONTACT_EMAIL» 33 // 34 // 35 // CONTRACTOR_STATE», 36 // 37 //// 4 OF 34 1 I. ACRONYMS

REFERENCED CONTRACT PROVISIONS. 2 Master Contract 3 “Term: July 1, 2017 through June 30, 2019 through June 30, 2024 4 Period One means the period from July 1, 20172019 through June 30, 2020 5 Period Three means the period from July 1, 2021 through June 30, 2026 3 Tobacco Settlement Revenue 4 20182022 6 Period One TwoFour means the period July 1from July1, 2021 through June 30, 2022 5 Period Two means the period July 2018July 1, 2022 through June 30, 2023 6 Period Three means the period July 1, 2023 through June 30, 2024 7 Period Four means the period July 1, 2024 through June 30, 2025 8 Period Five means the period July 1, 2025 through June 30, 2026 20192023 9 Whole Person Care 10 Period One means the period July 1, 2021 through December 31, 2021 11 12 Aggregate Maximum Obligation: TSR Funds Grant Funds Total 10 Period One Aggregate Maximum Obligation: $ 11,133,043913,726 11 Period Two Aggregate Maximum Obligation: 11,522,699 12 12,330,706 13 Period Four Aggregate Maximum Obligation: 14,572,507 14 Period Five Aggregate Maximum Obligation: 14,951,877 15 TOTAL AGGREGATE MAXIMUM OBLIGATION OBLIGATION: $22,655,742 $ 27,719,512 $ 1,798,078 $29,517,590 14 15 66,531,097” 16 Basis for Reimbursement: Fee-For-Fee for Service and Actual Cost 16 17 18 Payment Method: Payment Monthly in Arrears and As Incurred 17 CONTRACTOR DUNS Number: «DUNS_» 18 CONTRACTOR TAX ID Number: «TAX_ID_» 19 20 Notices to COUNTY and CONTRACTOR: 21 COUNTY: County Exhibit A of Orange 22 Health Care Agency 23 the Contract Services 24 000 Xxxx 0xx Xxxxxx, Xxxxx 000 00 Xxxxx Xxx25 Santa Ana, XX 00000CA 92701-0000 27 4637 «LC_NAME» «CONTACT» 2 CONTRACTOR: «LC_NAME» 28 «LC_DBA» 29 «ADDRESS» 30 5 «CITY_STATE_ZIP» 31 «CONTACT», «CONTACT_TITLE» 32 «CONTACT_EMAIL» 33 7 // 34 8 // 35 9 // 36 10 // 37 //// 11 // 12 // 13 // // 14 15 16 17 18 19 20 21 22 24 1 I. Acronyms

REFERENCED CONTRACT PROVISIONS. 2 3 Master Contract Agreement Term: July 1, 2021 2019 through June 30, 2026 3 2021 4 Tobacco Settlement Revenue 4 5 Period One means the period July 1, 2021 2019 through June 30, 2022 5 2020 6 Period Two means the period July 1, 2022 2020 through June 30, 2023 6 Period Three means the period July 1, 2023 through June 30, 2024 2021 7 Period Four means the period July 1, 2024 through June 30, 2025 8 Period Five means the period July 1, 2025 through June 30, 2026 9 Whole Person Care 10 9 Period One means the period July 1, 2021 2019 through December 31, 2021 2019 10 Period Two means the period January 1, 2020 through December 31, 2020 11 12 Aggregate Maximum Obligation: TSR Funds Grant Funds Total 13 AGGREGATE Period One Maximum Obligation $ 5,426,527 $ 1,917,500 $ 7,344,027 14 Period Two Maximum Obligation 5,426,527 958,750 6,385,277 15 TOTAL MAXIMUM OBLIGATION $10,853,054 $ 27,719,512 $ 1,798,078 2,876,250 $29,517,590 14 15 13,729,304 16 17 Basis for Reimbursement: Fee-For-Service and Actual Cost 16 18 19 Payment Method: Payment in Arrears and As Incurred 17 21 CONTRACTOR DUNS Number: «DUNS_» 18 22 23 CONTRACTOR TAX ID Number: «TAX_ID_» 19 20 25 Notices to COUNTY and CONTRACTOR: 21 26 27 COUNTY: County of Orange 22 28 Health Care Agency 23 29 Contract Services 24 30 000 Xxxx 0xx Xxxxxx, Xxxxx 000 00 Xxxxx Xxx, XX 00000-0000 27 CONTRACTOR: «LC_NAME» 28 «LC_DBA» 29 «AUTH_SIG_NAME», «AUTH_SIG_TITLE» 32 «CITY_STATE_ZIP» «ADDRESS» 30 «CITY_STATE_ZIP» 31 «CONTACT», «CONTACT_TITLE» 32 «CONTACT_EMAIL» 33 // CONTRACTOR: 34 // 35 // 36 // 37 //