Common use of REFERENCED CONTRACT PROVISIONS Clause in Contracts

REFERENCED CONTRACT PROVISIONS. 2 Period One means the period from July 1, 2012 through June 30, 2013 3 Term: July 1, 20121 through June 30, 20142 Period Two means the period from July 1, 2013 through June 30, 2014 5 Period One Aggregate Maximum Obligation: $ 9,573325,7179,325,717 Period Two Aggregate Maximum Obligation: TOTAL AGGREGATE MAXIMUM OBLIGATION: $18,651,433 6 Aggregate Maximum Obligation: $ 7 10 Basis for Reimbursement: Fee for Service 11 $ 9,573,717 12 Payment Method: Fee for Service 13 Notices to COUNTY and CONTRACTOR: 14 COUNTY: County of Orange 15 Health Care Agency 16 Contract Development and Management 17 000 Xxxx 0xx Xxxxxx, Xxxxx 000 00 Xxxxx Xxx, XX 00000-0000 19 CONTRACTOR: «CONTACT» 20 «PROVIDER_LC» «DBA_LC» 21 «LC_PROVIDER» «LC_DBA» 22 «ADDRESS» 23 «CITY_STATE_ZIP» 24 CONTRACTOR’s Insurance Coverages: 26 Coverage Minimum Limits 27 ComprehensiveCommercial General Liability with $1,000,000 per occurrence 28 broad form Property damage and combined single limit 29 contractual liability $2,000,000 aggregate 30 Automobile Liability, including coverage $1,000,000 per occurrence 31 for owned, non-owned and hired vehicles combined single limit per occurrence 32 Workers' Compensation Statutory 33 Employer's Liability Insurance $1,000,000 per occurrence 34 35 Professional Liability Insurance $1,000,000 per claims made or per occurrence 37 Sexual Misconduct $1,000,000 per occurrence

REFERENCED CONTRACT PROVISIONS. 2 3 Term: July 1, 20102012 through June 30, 20122014 4 "Period One One" means the period from July 1, 2012 20102012 through June 30, 2013 3 Term: July 1, 20121 through June 30, 20142 20112013 5 "Period Two Two" means the period from July 1, 2013 20112013 through June 30, 2014 5 Period One Aggregate 20122014 7 Maximum Obligation: $ 9,573325,7179,325,717 Period Two Aggregate One Maximum Obligation: $1,232,134 8 Period Two Maximum Obligation: 1,232,134 9 TOTAL AGGREGATE MAXIMUM OBLIGATION: $18,651,433 6 Aggregate Maximum Obligation: $ 7 2,464,268 10 11 Basis for Reimbursement: Fee for Service 11 $ 9,573,717 Negotiated Amount 12 Payment Method: Fee for Service Negotiated Amount 13 14 Notices to COUNTY and CONTRACTOR: 14 15 COUNTY: County of Orange 15 16 Health Care Agency 16 17 Contract Development and Management 17 18 000 Xxxx 0xx Xxxxxx, Xxxxx 000 00 Xxxxx Xxx, XX 00000-0000 19 21 CONTRACTOR: «CONTACT» 20 «PROVIDER_LC» «DBA_LC» 21 «LC_PROVIDER» «LC_DBA» 22 «ADDRESS» Dong Xx Xxx, M.D., Inc. 0000 Xxxxx Xxxxxxxx Xxxxxx 00 Xxxxxx, XX 00000 23 «CITY_STATE_ZIP» 24 CONTRACTOR’s Insurance Coverages: 26 Coverage Minimum Limits 27 ComprehensiveCommercial General Liability with $1,000,000 per occurrence combined single limit 28 broad form Property damage and combined single limit 29 contractual liability $2,000,000 aggregate 30 per occurrence Automobile Liability, including coverage $1,000,000 per occurrence 29 contractual liability $2,000,000 aggregate 30 31 for owned, non-owned and hired vehicles combined single limit per occurrence 32 Workers' Compensation Statutory 33 34 Employer's Liability Insurance $1,000,000 per occurrence 34 35 Professional Liability Insurance $1,000,000 per claims made or 36 per occurrence 37 Sexual Misconduct $1,000,000 per occurrence

REFERENCED CONTRACT PROVISIONS. 2 Term: July 1, 20122011 through June 30, 20142012 3 Period One means the period from July 1, 2012 through June 30, 2013 3 Term: July 1, 20121 through June 30, 20142 4 Period Two means the period from July 1, 2013 through June 30, 2014 5 Period One Aggregate Maximum Obligation: $ 9,573325,7179,325,717 6 Period One Maximum Aggregate Obligation: $2,869,243 7 Period Two Maximum Aggregate Maximum Obligation: 2,869,243 8 TOTAL AGGREGATE MAXIMUM OBLIGATION: $18,651,433 6 Aggregate Maximum Obligation: $ 7 10 5,738,486 9 Basis for Reimbursement: Fee for Service Actual Cost 10 11 $ 9,573,717 12 Payment Method: Fee for Service 13 Provisional Amount 12 14 Notices to COUNTY and CONTRACTOR: 14 15 COUNTY: County of Orange 15 16 Health Care Agency 16 17 Contract Development and Management 17 000 Xxxx 0xx Xxxxxx, Xxxxx 000 00 Xxxxx Xxx, XX 00000-0000 19 20 CONTRACTOR: «CONTACT» 20 «PROVIDER_LC» «DBA_LCLC_PROV» 21 «LC_PROVIDER» «LC_DBACONTACT» 22 «ADDRESSADDR» 23 «CITY_STATE_ZIP» 24 25 CONTRACTOR’s Insurance Coverages: 26 Coverage Minimum Limits 27 ComprehensiveCommercial Commercial General Liability with $1,000,000 per occurrence 28 broad form Property damage and combined single limit 29 contractual liability $2,000,000 aggregate 30 Automobile Liability, including coverage $1,000,000 per occurrence 31 for owned, non-owned and hired vehicles combined single limit per occurrence 32 Workers' Compensation Statutory 33 34 Employer's Liability Insurance $1,000,000 per occurrence 34 35 Professional Liability Insurance $1,000,000 per claims made or 36 per occurrence 37 2 Sexual Misconduct $1,000,000 per occurrenceoccurrence 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 36 37 The following standard definitions are for reference purposes only and may or may not apply in their ACRONYMS

REFERENCED CONTRACT PROVISIONS. 2 3 Term: July 1, 2011 through June 30, 2013 4 "Period One One" means the period from July 1, 2011 through June 30, 2012 5 "Period Two" means the period from July 1, 2012 through June 30, 2013 3 Term: July 1, 20121 through June 30, 20142 Period Two means the period from July 1, 2013 through June 30, 2014 5 Period One Aggregate 6 Maximum Obligation: $ 9,573325,7179,325,717 7 Period Two Aggregate One Maximum Obligation: $165,550 Period Two Maximum Obligation: 210,650 165,550 8 TOTAL AGGREGATE CONTRACT MAXIMUM OBLIGATION: $18,651,433 6 Aggregate Maximum Obligation: $ 7 376,200 $331,100 10 Basis for Reimbursement: Fee for Fee-for-Service 11 $ 9,573,717 12 Payment Method: Fee for Fee-for-Service 13 12 14 Notices to COUNTY and CONTRACTOR: 14 15 COUNTY: County of Orange 15 16 Health Care Agency 16 Contract Development and Management 17 000 Xxxx 0xx Xxxxxx, Xxxxx 000 00 Xxxxx Xxx, XX 00000-0000 19 CONTRACTOR: «CONTACT» Attn: President/Chief Executive Officer 20 «PROVIDER_LC» «DBA_LC» Behavioral Health Services, Inc. 21 «LC_PROVIDER» «LC_DBA» 00000 Xxxxxxxx Xxxxxxxxx 22 «ADDRESS» Gardena, CA 90249 23 «CITY_STATE_ZIP» 24 CONTRACTOR’s Insurance Coverages: 26 24 Coverage Minimum Limits 27 ComprehensiveCommercial 26 Commercial General Liability with $1,000,000 per occurrence 28 broad form Property damage and combined single Combined Single limit 29 per occurrence 27 contractual liability $2,000,000 aggregate 30 Aggregate 28 Automobile Liability, including coverage $1,000,000 per occurrence 31 29 for owned, non-owned and hired vehicles combined single Combined Single limit per occurrence 32 30 31 Workers' Compensation Statutory 33 32 Employer's Liability Insurance $1,000,000 33 per occurrence 34 35 Professional Liability Insurance $1,000,000 35 per claims made or 36 per occurrence 37 Sexual Misconduct $1,000,000 1 per occurrence

REFERENCED CONTRACT PROVISIONS. 1 2 Term: July 1, 20112012 through June 30, 20122014 3 Period One means the period from July 1, 2012 through June 30, 2013 3 Term: July 1, 20121 through June 30, 20142 4 Period Two means the period from July 1, 2013 through June 30, 2014 5 Period One Aggregate Maximum Obligation: $ 9,573325,7179,325,717 1,090,653 Period Two Aggregate Maximum Obligation: 1,090,653 TOTAL AGGREGATE CONTRACT MAXIMUM OBLIGATION: $18,651,433 6 Aggregate $ 2,181,306 5 Maximum Obligation: $ 6 7 8 9 10 Basis for Reimbursement: Fee for Service Actual Cost 11 $ 9,573,717 12 Payment Method: Fee for Service 13 Actual Cost 12 14 Notices to COUNTY and CONTRACTOR: 14 15 COUNTY: County of Orange 15 16 Health Care Agency 16 17 Contract Development and Management 17 18 000 Xxxx 0xx Xxxxxx, Xxxxx 000 00 Xxxxx Xxx, XX 00000-0000 19 20 CONTRACTOR: «CONTACT» 20 «PROVIDER_LC» «DBA_LC» Phoenix House, Orange County 21 «LC_PROVIDER» «LC_DBA» Attn: Xxxxxxxx Xxxxxxxx Attention: Executive Director 22 «ADDRESS» 00000 Xxxxxxxx Xxx. 23 «CITY_STATE_ZIP» Lake View Terrace, CA 91342 24 26 27 CONTRACTOR’s Insurance Coverages: 26 28 Coverage Minimum Limits 27 29 ComprehensiveCommercial General Liability with $1,000,000 per occurrence 28 combined single limit 30 broad form Property damage and combined single limit 29 per occurrence 31 contractual liability $2,000,000 aggregate 30 32 Automobile Liability, including coverage $1,000,000 per combined single limitper 33 occurrence 31 34 for owned, non-owned and hired vehicles combined single limit per occurrence 32 35 Workers' Compensation Statutory 33 36 Employer's Liability Insurance $1,000,000 per occurrence 34 35 37 1 Professional Liability Insurance $1,000,000 per claims made or per occurrence 37 3 Sexual Misconduct $1,000,000 per occurrenceoccurrence 4 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 36 37 The following standard definitions are for reference purposes only and may or may not apply in their ACRONYMS