Common use of Signature Authority Clause in Contracts

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas, Texas 75201 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 Email Address DUNS Number 00-0000000 17560009056005 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.

Signature Authority. Contractor By submitting this Response, Respondent represents and warrants that the individual signing submitting this Contract Affirmations document and the documents made part of this Response is authorized to sign such documents on behalf of Contractor the Respondent and to bind the ContractorRespondent under any contract that may result from the submission of this Response. Signature Page Follows Authorized representative on behalf of Contractor Respondent must complete and sign the following: Ganesh Shivaramaiyer East Texas Border Health Clinic dba Genesis PrimeCare Legal Name of Contractor Dallas County, Texas Respondent Genesis PrimeCare Assumed Business Name of ContractorRespondent, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Xxxxxxxx, Xxxx, Xxxxx Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized S gnature o ut or zed Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxx Xxxxxxx Chief Executive Officer Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas000 Xxxxx Xxxxx Xxxx. Marshall, Texas 75201 75670-4260 Physical Street Address City, State, Zip Code N/A N/A PO Box 1326 Marshall, TX 75671 Mailing Address, if different City, State, Zip Code (000-) 000-0000 N/A (000) 000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxx.xxxxxxx@xxxxxxxxxxxxxxxx.xxx 60868360 Email Address DUNS Number 00-0000000 17560009056005 30538912 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 000000000 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XLLDXR5196J7 XXX.xxx Unique Entity Identifier (UEI) Health ASSURANCES - NON-CONSTRUCTION PROGRAMS OMB Number: 4040-0007 Expiration Date: 02/28/2025 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and Human Services maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer COLLIN COUNTY Legal Name of Contractor Dallas County, Texas N/A Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services N/A Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. presentative April 25, 2024 Signature of Authorized Representative June 5, 2024 Re Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxx Xxxx, County Judge Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name County Judge Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXXXXXXXXX XXXX XXXXXXXX, Suite 886 Dallas, Texas 75201 TX 75071 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 XXXXX@XX.XXXXXX.XX.XX 074873449 Email Address DUNS Number 00-0000000 17560009056005 17560008736 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 S1ETLA9BNCC5 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xxxxxxx County Health Department Legal Name of Contractor Dallas County, Texas Xxxxxxx County Health Department Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas Xxxxxxx County Health and Human Services Department Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. November 2, 2021 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx X. Xxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 000 Xxxxx Xxxxxx Xxxxxx Health Department Director Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 DallasSherman, Texas 75201 75090 Physical Street Address City, State, Zip Code N/A N/A Same as above Same as above Mailing Address, if different City, State, Zip Code 000-000-0000 N/A Ext. 0000 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxx@xx.xxxxxxx.xx.us 023322357 Email Address DUNS Number 00-0000000 17560009056005 756000969 17560009692 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Payee ID No. – 11 digits 00000000000 00000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier Attachment F ASSURANCES - NON-CONSTRUCTION PROGRAMS OMB Number: 4040-0007 Expiration Date: 02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xxx Xxxxxx Legal Name of Contractor Dallas County, Texas HCMHDD Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. May 22, 2024 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxx Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 5/22/24 Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas, Texas 75201 000 Xxxxx Xxxxxx Xxxxxxxxx Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A SA Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxx@xxxxxxxxxxx.xxx 9999999999 Email Address DUNS Number 00-0000000 17560009056005 xxxxxxx@xxxxxxxxxxx.xxx 999999999 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 9999999999999 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 9999999999999 XXX.xxx Unique Entity Identifier (UEI) ATTACHMENT D Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xxxxxx Xxxxxx Legal Name of Contractor Dallas CountyMission Granbury, Texas Inc Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. September 21, 2021 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Executive Director Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas, Texas 75201 Xxxxxx Xxxxxx Executive Director Physical Street Address City, State, Zip Code N/A N/A 0000 Xxxxx Xxxx Xxxxx Granbury, Texas 76049 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A Xxxxx Xxxx Xxxxxx Xxxxxxx, Xxxxx 00000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 0000000000 8175796427 Email Address DUNS Number 00-0000000 17560009056005 xxxxxxx@xxxxxxxxxxxxxxx.xxx 000000000 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Payee ID No. – 11 digits 00-0000000 17527662229 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier (UEI) Health FY22-FY23 Residential and Human Nonresidential Services (HHS) Uniform Terms Contracts Amendment 3 Attachment M: Revised FY 2022-2023 Budget Workbooks System Agency Contract No. HHS000380000011 Page 5 of 6 DocuSign Envelope ID: EFDD7697-C8BA-46EC-91EB-65C979C5ED4D Family Violence Program Budget FY22 Salaries Contractor: MISSION GRANBURY INC A B C D E F G Staff Position Justification Monthly Salary No. of Months Annual Salary Percent applied to HHSC contract Amount budgeted to HHSC contract 1 Executive Director Supervises Shelter Program Director, manager and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, non- residential case managers as well as finance manager. Ensures compliance with grant conditions. Provides some direct client support. 1FTE=78%FVP+17%SA+5% Other $ 7,250.00 12 $ 87,000.00 30.00% $ 26,100.00 2 Finance Manager Provides financial oversight ensuring compliance with all applicable federal fiscal policies and state laws and grant accounting regulations. Applicable federal Prepares all accounting and state laws grant budget reports. 0.8FTE=86%FVP+8%SA+6% Other. $ 3,572.00 12 $ 42,864.00 30.00% $ 12,859.20 3 Shelter Program Director Provides oversight for the residential victim shelter and regulations may includethe non-residential victim services program. 1FTE=70%FVP+30%SA $ 4,291.50 12 $ 51,498.00 40.00% $ 20,599.20 4 Shelter Victims Case Manager Manages the daily operation of the shelter, but are not limited tosupervises shelter advocates and provides direct client services. 1FTE=50%FVP+30%SA+20% Other $ 2,933.50 12 $ 35,202.00 16.00% $ 5,632.32 5 IT Specialist/ Operations Manager Provides IT support and ensures the security of the IT system. 1FTE=40%FVP+8%SA+52% Other $ 3,730.30 12 $ 44,763.60 20.00% $ 8,952.72 6 Shelter Advocate Answers 24 hour hotline calls and provides direct services to shelter residents. 1FTE. 100% FVP $ 1,005.34 12 $ 12,064.08 67.00% $ 8,082.93 7 Volunteer Recruiter/Community Resource Recruits and trains volunteers, secures client resources from the community, arranges for public education of victim's needs. 0.75FTE=70%FVP+15%SA+15% Other $ 2,222.87 12 $ 26,674.44 30.00% $ 8,002.33 8 Victim Services Case Manager Provides resources and services to non-residential clients.1FTE=40%FVP+42%SA+Other 18% $ 2,530.67 12 $ 30,368.04 40.00% $ 12,147.22 9 Director of Programs Provides support to non-residential case managers and maintains client files and data base. 1FTE=90%FVP+10% SA 10% $ 4,978.33 12 $ 59,739.96 40.00% $ 23,895.98 10 Case Manager Provides resources and services to non-residential clients. 1FTE=80%FVP+SA 8% +Other 12% $ 2,031.46 12 $ 24,377.52 30.00% $ 7,313.26 11 Case Manager Provides resources and services to non-residential clients. 0.70FTE=80%FVP+20% Other $ 1,599.52 12 $ 19,194.24 20.00% $ 3,838.85 12 Executive Assistant Provides support to the Executive Director, manages human resources and assists with grant compliance. 1FTE=80%FVP+20%SA $ 3,613.85 12 $ 43,366.20 45.00% $ 19,514.79 DocuSign Envelope ID: EFDD7697-C8BA-46EC-91EB-65C979C5ED4D Family Violence Program Budget FY22 Fringe Benefits - Employer Paid Portion Contractor: MISSION GRANBURY INC A B C D E F G H I J K Staff Position FICA & Medicare Workers' Compensation State Unemployment Insurance Health Insurance Life Insurance Dental Insurance Retirement Other - See Supplemental Justification Page Subtotals 1 Executive Director Gross $ 6,655.50 $ 171.00 $ 36.90 $ - $ - $ 247.86 $ - $ - $ 7,111.26 30.00% $ 1,996.65 $ 51.30 $ 11.07 $ - $ - $ 74.36 $ - $ - $ 2,133.38 2 CFR Part 200, Uniform Administrative Requirements, Finance Manager Gross $ 3,279.10 $ 130.00 $ 36.90 $ 4,865.00 $ - $ - $ - $ - $ 8,311.00 30.00% $ 983.73 $ 39.00 $ 11.07 $ 1,459.50 $ - $ - $ - $ - $ 2,493.30 3 Shelter Program Director Gross $ 3,939.60 $ 540.00 $ 36.90 $ 4,865.00 $ - $ 247.86 $ - $ - $ 9,629.36 40.00% $ 1,575.84 $ 216.00 $ 14.76 $ 1,946.00 $ - $ 99.14 $ - $ - $ 3,851.74 4 Shelter Victims Case Manager Gross $ 2,692.95 $ 360.00 $ 36.90 $ 4,865.00 $ - $ - $ - $ - $ 7,954.85 16.00% $ 430.87 $ 57.60 $ 5.90 $ 778.40 $ - $ - $ - $ - $ 1,272.77 5 IT Specialist/ Operations Manager Gross $ 3,424.42 $ 140.00 $ 36.90 $ 4,865.00 $ - $ 247.86 $ - $ - $ 8,714.18 20.00% $ 684.88 $ 28.00 $ 7.38 $ 973.00 $ - $ 49.57 $ - $ - $ 1,742.83 6 Shelter Advocate Gross $ 922.90 $ 257.00 $ 36.90 $ - $ - $ - $ - $ - $ 1,216.80 67.00% $ 618.34 $ 172.19 $ 24.72 $ - $ - $ - $ - $ - $ 815.25 7 Volunteer Recruiter/Comm unity Resource Gross $ 2,040.59 $ 55.00 $ 36.90 $ - $ - $ - $ - $ - $ 2,132.49 30.00% $ 612.18 $ 16.50 $ 11.07 $ - $ - $ - $ - $ - $ 639.75 8 Victim Services Case Manager Gross $ 2,323.16 $ 400.00 $ 36.90 $ 4,865.00 $ - $ 495.72 $ - $ - $ 8,120.78 40.00% $ 929.26 $ 160.00 $ 36.90 $ 1,946.00 $ - $ 198.29 $ - $ - $ 3,270.45 9 Director of Programs Gross $ 4,570.11 $ 100.00 $ 36.90 $ - $ - $ - $ - $ 4,707.01 40.00% $ 1,828.04 $ 40.00 $ 14.76 $ - $ - $ - $ - $ - $ 1,882.80 10 Case Manager Gross $ 1,864.88 $ 60.00 $ 36.90 $ - $ - $ 495.72 $ - $ - $ 2,457.50 30.00% $ 559.46 $ 18.00 $ 11.07 $ - $ - $ 148.72 $ - $ - $ 737.25 11 Case Manager Gross $ 1,468.36 $ 53.00 $ 36.90 $ - $ - $ - $ - $ - $ 1,558.26 20.00% $ 293.67 $ 10.60 $ 7.38 $ - $ - $ - $ - $ - $ 311.65 Executive Gross $ 3,317.51 $ 151.00 $ 36.90 $ 4,865.00 $ - $ 247.86 $ - $ - $ 8,618.27 DocuSign Envelope ID: EFDD7697-C8BA-46EC-91EB-65C979C5ED4D Family Violence Program Budget FY22 Consumable Supplies Contractor: MISSION GRANBURY INC A B C D E Description Justification Cost PrinciplesPercent Applied to HHSC Contract Amount Budgeted to HHSC Contract 1 Shelter’s food To provide all items required for well-balanced meals o ingredients for well-balanced meals and snacks for children, and Audit Requirements any other reasonable ADA compliant dietary accommodation for Federal Awards; requirements residents who require special medical diets. $ 6,004.80 100.00% $ 6,004.80 2 Shelter's Janitorial/housekeeping supplies To provide all cleaning and janitorial supplies needed to keep the shelter facilities clean for the clients. $ 2,366.11 100.00% $ 2,366.11 3 Office supplies Office supplies such as copy paper, file folders, pens, pencils, paper clips, ink cartridges, batteries, computer accessories & devices such as computer mouse, mouse pads, cords, printer toner, masking tape, envelopes, labeling supplies, binders, file holders, sharpie permanent markers, invisible and masking tape, planners, cabinet filers, name tags, name badges used in the shelter. $ 4,565.38 50.00% $ 2,282.69 4 $ - 0.00% $ - 5 $ - 0.00% $ - 6 $ - 0.00% $ - 7 $ - 0.00% $ - 8 $ - 0.00% $ - 9 $ - 0.00% $ - 10 $ - 0.00% $ - 11 $ - 0.00% $ - 12 $ - 0.00% $ - 13 $ - 0.00% $ - 14 $ - 0.00% $ - 15 $ - 0.00% $ - 16 $ - 0.00% $ - 17 $ - 0.00% $ - 18 $ - 0.00% $ - 19 $ - 0.00% $ - 20 $ - 0.00% $ - 21 $ - 0.00% $ - 22 $ - 0.00% $ - 23 $ - 0.00% $ - DocuSign Envelope ID: EFDD7697-C8BA-46EC-91EB-65C979C5ED4D Family Violence Program Budget FY22 Supplemental Justification Contractor: MISSION GRANBURY INC Cost Category Item # Justification 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 DocuSign Envelope ID: EFDD7697-C8BA-46EC-91EB-65C979C5ED4D Family Violence Program Budget FY23 Salaries Contractor: MISSION GRANBURY INC A B C D E F G Staff Position Justification Monthly Salary No. of Months Annual Salary Percent applied to HHSC contract Amount budgeted to HHSC contract 1 Executive Director Supervises Shelter Program Director, manager and non- residential case managers as well as finance manager. Ensures compliance with grant conditions. Provides some direct client support. 1FTE=78%FVP+17%SA+5% Other $ 7,250.00 12 $ 87,000.00 30.00% $ 26,100.00 2 Finance Manager Provides financial oversight ensuring compliance with all fiscal policies and grant accounting regulations. Prepares all accounting and grant budget reports. 0.8FTE=86%FVP+8%SA+6% Other. $ 3,572.00 12 $ 42,864.00 30.00% $ 12,859.20 3 Shelter Program Director Provides oversight for the residential victim shelter and the non-residential victim services program. 1FTE=70%FVP+30%SA $ 4,291.50 12 $ 51,498.00 40.00% $ 20,599.20 4 Shelter Victims Case Manager Manages the daily operation of the entity that awarded shelter, supervises shelter advocates and provides direct client services. 1FTE=50%FVP+30%SA+20% Other $ 2,933.50 12 $ 35,202.00 16.00% $ 5,632.32 5 IT Specialist/ Operations Manager Provides IT support and ensures the funds to HHS; Chapter 783 security of the Texas Government Code; Texas Comptroller IT system. 1FTE=40%FVP+8%SA+52% Other $ 3,730.30 12 $ 44,763.60 20.00% $ 8,952.72 6 Shelter Advocate Answers 24 hour hotline calls and provides direct services to shelter residents. 1FTE. 100% FVP $ 1,005.34 12 $ 12,064.08 67.00% $ 8,082.93 7 Volunteer Recruiter/Community Resource Recruits and trains volunteers, secures client resources from the community, arranges for public education of Public Accounts’ agency rules (including Uniform Grant victim's needs. 0.75FTE=70%FVP+15%SA+15% Other $ 2,222.87 12 $ 26,674.44 30.00% $ 8,002.33 8 Victim Services Case Manager Provides resources and services to non-residential clients.1FTE=40%FVP+42%SA+Other 18% $ 2,530.67 12 $ 30,368.04 40.00% $ 12,147.22 9 Director of Programs Provides support to non-residential case managers and maintains client files and data base. 1FTE=90%FVP+10% SA 10% $ 4,978.33 12 $ 59,739.96 40.00% $ 23,895.98 10 Case Manager Provides resources and services to non-residential clients. 1FTE=80%FVP+SA 8% +Other 12% $ 2,031.46 12 $ 24,377.52 30.00% $ 7,313.26 11 Case Manager Provides resources and services to non-residential clients. 0.70FTE=80%FVP+20% Other $ 1,599.52 12 $ 19,194.24 20.00% $ 3,838.85 12 Executive Assistant Provides support to the Executive Director, manages human resources and assists with grant compliance. 1FTE=80%FVP+20%SA $ 3,613.85 12 $ 43,366.20 45.00% $ 19,514.79 DocuSign Envelope ID: EFDD7697-C8BA-46EC-91EB-65C979C5ED4D Family Violence Program Budget FY23 Fringe Benefits - Employer Paid Portion Contractor: MISSION GRANBURY INC A B C D E F G H I J K Staff Position FICA & Medicare Workers' Compensation State Unemployment Insurance Health Insurance Life Insurance Dental Insurance Retirement Other - See Supplemental Justification Page Subtotals 1 Executive Director Gross $ 6,655.50 $ 171.00 $ 36.90 $ - $ - $ 247.86 $ - $ - $ 7,111.26 30.00% $ 1,996.65 $ 51.30 $ 11.07 $ - $ - $ 74.36 $ - $ - $ 2,133.38 2 Finance Manager Gross $ 3,279.10 $ 130.00 $ 36.90 $ 4,865.00 $ - $ - $ - $ - $ 8,311.00 30.00% $ 983.73 $ 39.00 $ 11.07 $ 1,459.50 $ - $ - $ - $ - $ 2,493.30 3 Shelter Program Director Gross $ 3,939.60 $ 540.00 $ 36.90 $ 4,865.00 $ - $ 247.86 $ - $ - $ 9,629.36 40.00% $ 1,575.84 $ 216.00 $ 14.76 $ 1,946.00 $ - $ 99.14 $ - $ - $ 3,851.74 4 Shelter Victims Case Manager Gross $ 2,692.95 $ 360.00 $ 36.90 $ 4,865.00 $ - $ - $ - $ - $ 7,954.85 16.00% $ 430.87 $ 57.60 $ 5.90 $ 778.40 $ - $ - $ - $ - $ 1,272.77 5 IT Specialist/ Operations Manager Gross $ 3,424.42 $ 140.00 $ 36.90 $ 4,865.00 $ - $ 247.86 $ - $ - $ 8,714.18 20.00% $ 684.88 $ 28.00 $ 7.38 $ 973.00 $ - $ 49.57 $ - $ - $ 1,742.83 6 Shelter Advocate Gross $ 922.90 $ 257.00 $ 36.90 $ - $ - $ - $ - $ - $ 1,216.80 67.00% $ 618.34 $ 172.19 $ 24.72 $ - $ - $ - $ - $ - $ 815.25 7 Volunteer Recruiter/Comm unity Resource Gross $ 2,040.59 $ 55.00 $ 36.90 $ - $ - $ - $ - $ - $ 2,132.49 30.00% $ 612.18 $ 16.50 $ 11.07 $ - $ - $ - $ - $ - $ 639.75 8 Victim Services Case Manager Gross $ 2,323.16 $ 400.00 $ 36.90 $ 4,865.00 $ - $ 495.72 $ - $ - $ 8,120.78 40.00% $ 929.26 $ 160.00 $ 36.90 $ 1,946.00 $ - $ 198.29 $ - $ - $ 3,270.45 9 Director of Programs Gross $ 4,570.11 $ 100.00 $ 36.90 $ - $ - $ - $ - $ 4,707.01 40.00% $ 1,828.04 $ 40.00 $ 14.76 $ - $ - $ - $ - $ - $ 1,882.80 10 Case Manager Gross $ 1,864.88 $ 60.00 $ 36.90 $ - $ - $ 495.72 $ - $ - $ 2,457.50 30.00% $ 559.46 $ 18.00 $ 11.07 $ - $ - $ 148.72 $ - $ - $ 737.25 11 Case Manager Gross $ 1,468.36 $ 53.00 $ 36.90 $ - $ - $ - $ - $ - $ 1,558.26 20.00% $ 293.67 $ 10.60 $ 7.38 $ - $ - $ - $ - $ - $ 311.65 Executive Gross $ 3,317.51 $ 151.00 $ 36.90 $ 4,865.00 $ - $ 247.86 $ - $ - $ 8,618.27 DocuSign Envelope ID: EFDD7697-C8BA-46EC-91EB-65C979C5ED4D Family Violence Program Budget FY23 Consumable Supplies Contractor: MISSION GRANBURY INC A B C D E Description Justification Cost Percent Applied to HHSC Contract Standards set forth Amount Budgeted to HHSC Contract 1 Shelter’s food To provide all items required for well-balanced meals o ingredients for well-balanced meals and snacks for children, and any other reasonable ADA compliant dietary accommodation for residents who require special medical diets. $ 6,004.80 100.00% $ 6,004.80 2 Shelter's Janitorial/housekeeping supplies To provide all cleaning and janitorial supplies needed to keep the shelter facilities clean for the clients. $ 2,366.11 100.00% $ 2,366.11 3 Office supplies Office supplies such as copy paper, file folders, pens, pencils, paper clips, ink cartridges, batteries, computer accessories & devices such as computer mouse, mouse pads, cords, printer toner, masking tape, envelopes, labeling supplies, binders, file holders, sharpie permanent markers, invisible and masking tape, planners, cabinet filers, name tags, name badges used in Title 34, Part 1, Chapter 20, Subchapter E, Division the shelter $ 4,565.38 50.00% $ 2,282.69 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.$ - 0.00% $ - 5 $ - 0.00% $ - 6 $ - 0.00% $ - 7 $ - 0.00% $ - 8 $ - 0.00% $ - 9 $ - 0.00% $ - 10 $ - 0.00% $ - 11 $ - 0.00% $ - 12 $ - 0.00% $ - 13 $ - 0.00% $ - 14 $ - 0.00% $ - 15 $ - 0.00% $ - 16 $ - 0.00% $ - 17 $ - 0.00% $ - 18 $ - 0.00% $ - 19 $ - 0.00% $ - 20 $ - 0.00% $ - 21 $ - 0.00% $ - 22 $ - 0.00% $ - 23 $ - 0.00% $ - DocuSign Envelope ID: EFDD7697-C8BA-46EC-91EB-65C979C5ED4D Family Violence Program Budget FY23 Supplemental Justification Contractor: MISSION GRANBURY INC Cost Category Item # Justification 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Northeast Texas Public Health District Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5Authorize Xxxxxx X. Xxxxxxx, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xx. Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 18, 2021 d Representative Date Signed Chief Executive Officer Title of Authorized Representative 0000 000 X. Xxxxxxxx FreewayXxxxx 000 Xxxxx, Suite 886 Dallas, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A same as above same as above Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxxx@xxxxxx.xxx 144656753 Email Address DUNS Number 00-0000000 17560009056005 17522545445 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Payee ID No. – 11 digits 00000 00000 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier ASSURANCES - NON-CONSTRUCTION PROGRAMS OMB Number: 4040-0007 Expiration Date: 02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xxx Xxxxxx Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. July 25, 2022 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxx Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name CEO Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas, Texas 75201 000 Xxxxx Xxxxxx Xxxxxxxxx Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxx@xxxxxxxxxxx.xxx NA Email Address DUNS Number 00-0000000 17560009056005 xxxxxxx@xxxxxxxxxxx.xxx NA Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A NA NA Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 NA XXX.xxx Unique Entity Identifier (UEI) Attachment D Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.1 Published and Effective – November 2023 April 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Gulf Bend Mental Health Mental Retardation Center Legal Name of Contractor Dallas County, Texas Gulf Bend Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas Victoria County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. December 27, 2023 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Executive Director Title of Authorized Representative 0000 X. Xxxxxxx Xxxxx Xxxxxxxx Freeway, Suite 886 Dallas, Texas 75201 Xxxxx 00000 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxx0000@xxxxxxxx.xxx 010545598 Email Address DUNS Number 00-0000000 17560009056005 741659064 17416590648 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 17416590648 17416590648 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 EJ7LBG1WFR55 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor By submitting this Response, Respondent represents and warrants that the individual signing submitting this Contract Affirmations document and the documents made part of this Response is authorized to sign such documents on behalf of Contractor the Respondent and to bind the ContractorRespondent under any contract that may result from the submission of this Response. Signature Page Follows Authorized representative on behalf of Contractor Respondent must complete and sign the following: Ganesh Shivaramaiyer TMF Health Quality Institute Legal Name of Contractor Dallas County, Texas Respondent Assumed Business Name of ContractorRespondent, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas, Texas 75201 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 Email Address DUNS Number 00-0000000 17560009056005 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 30018101 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier (UEI) Health ASSURANCES - NON-CONSTRUCTION PROGRAMS OMB Number: 4040-0007 Expiration Date: 02/28/2025 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and Human Services maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Northeast Texas Public Health District Legal Name of Contractor Dallas County, Northeast Texas Public Health District Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services N/A Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. May 19, 2022 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx X. Xxxxxxx, Xx. Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Chief Executive Officer Title of Authorized Representative 0000 000 X. Xxxxxxxx Freeway#000 Xxxxx, Suite 886 DallasXX 00000-0000 Xxxxxxxx Xxxxxx Xxxxxxx Xxxx, Texas 75201 Physical Street Address CityXxxxx, State, Zip Xxx Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxxx@xxxxxx.xxx 144656753 Email Address DUNS Number 00-0000000 17560009056005 752254544 17522545445 Federal Employer Identification Number Texas Identification Number (TIN) Nn/A Na n/A a Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 MYCADLKPTXM4 XXX.xxx Unique Entity Identifier (UEI) DocuSign Envelope ID: 5369A510-D824-4EBF-9AAF-2E0CD4D70112 Attachment D Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.0 Published and Effective – November 2023 August 2021 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Fort Bend County Legal Name of Contractor Dallas County, Texas Fort Bend County Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services NA Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. June 14, 2024 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations X.X. Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Fort Bend County Judge Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas, Texas 75201 000 Xxxxxxx Xxxxxx Richmond TX 77469 Physical Street Address City, State, Zip Code N/A N/A 000 Xxxxxxx Xxxxxx Richmond TX 77469 Mailing Address, if different City, State, Zip Code 000-000-0000 N0000000000 n/A a Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxx.xxxxx@xxxxx.xxx n/a Email Address DUNS Number 00-0000000 17560009056005 000000000 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A NA 17460019692 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 MJG8N8EPN2L3 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Denton County Public Health Legal Name of Contractor Dallas County, Texas Same Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Same Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5March 28, 2024 2023 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations County Judge Xxxx Xxxx Xxxxxx County Judge Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Title of Authorized Representative 000 X Xxxx 000 Xxxxx 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas, Texas 75201 Xxxxxx XX 00000 Physical Street Address City, State, Zip Code N/A Same N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000.000.0000 000.000.0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxx.xxxx@xxxxxxxxxxxx.xxx 074863127 Email Address DUNS Number N/A 00-0000000 17560009056005 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 HDKNE4T1LXG7 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Health and Human Services Contract Affirmations v. 2.2 Effective May 2022 Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Mercris Home Health, Inc. Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘'doing business as’') Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘'doing business as’') Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx Xxxxxxx-Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 0000 Xxxxxxxxxx Xx, Physical Street Address Same Mailing Address, if different 000-000-0000 Phone Number xxxxxxx000Xxxxxxxxxxx@xxxxx.xxx Email Address 000000000 Federal Employer Identification Number 32040164280 Texas Franchise Tax Number NIA XXX.xxx Unique Entity Identifier (UEI) 05/16/2023 Date Signed Director Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas, Texas 75201 Physical Street Address Richmond TX 77469-5815 City, State, Zip Code N/A N/A Mailing Address, if different Same City, State, Zip Code 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 Email Address NIA DUNS Number 00-0000000 17560009056005 Federal Employer Identification Number 12715179607 Texas Identification Number (TIN) N/A N/A Texas Franchise Tax Number 0801156215 Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services Contract Affinnations v. 2.2 Effective May 2022 ATTACHMENT 1. SUBCONTRACTOR AGREEMENT FORM HHS CONTRACT NUMBER The DUA between HHS and Contractor establishes the permitted and required uses and disclosures of Confidential Information by Contractor. Contractor has subcontracted with (HHSSubcontractor) Uniform Terms for performance of duties on behalf of CONTRACTOR which are subject to the DUA. Subcontractor acknowledges, understands and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred agrees to in this document as subrecipients or contractors) will find requirements be bound by the same terms and conditions applicable to grant funds administered Contractor under the DUA, incorporated by reference in this Agreement, with respect to HHS Confidential Information. Contractor and passed through by both Subcontractor agree that HHS is a third-party beneficiary to applicable provisions of the Texas Health and Human Services Commission (HHSC) and subcontract. HHS has the Department of State Health Services (DSHS). These requirements and conditions are incorporated into right, but not the Grant Agreement through acceptance by Grantee of any funding award by HHSC obligation, to review or DSHS. The approve the terms and conditions in of the subcontract by virtue of this document are in addition Subcontractor Agreement Form. Contractor and Subcontractor assure HHS that any Breach as defined by the DUA that Subcontractor Discovers shall be reported to all requirements listed HHS by Contractor in the RFAtime, if any, under which applications for this grant award are accepted, as well as all applicable federal manner and state laws and regulationscontent required by the DUA. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements If Contractor knows or should have known in the exercise of reasonable diligence of a pattern of activity or practice by Subcontractor that constitutes a material breach or violation of the entity that awarded DUA or the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34Subcontractor's obligations, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.Contractor shall:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows REMAINDER OF XXXX INTENTIONALLY LEFT BLANK Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer San Ankonio C1ubhouse, Inc Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a D.B.A. or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a D.B.A. or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5Sepkember 23, 2024 2020 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Execukive Direckor Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXxxx Xxx Xxxxxxx, Suite 886 Dallas, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxx§xxx0xxxxxxx.xxx 2101111111 Email Address DUNS Number 00-0000000 17560009056005 18205599402 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Payee ID No. – 11 digits 18205599402 0800036194 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier ATTACHMENT E ASSURANCES - NON-CONSTRUCTION PROGRAMS OMB Number: 4040-0007 Expiration Date: 01/31/2019 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Uvalde County Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Authoriz Xxxxxxx X. Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 000 Xxxxx Xxxxx Xxxxxx August 26, 2021 ed Representative Date Signed Uvalde County Judge Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 DallasUvalde, Texas 75201 78801 Physical Street Address City, State, Zip Code N/A N/A #0 Xxxxxxxxxx Xxxxxx Xxxxxx, Xxxxx 00000 Mailing Address, if different City, State, Zip Code 000-000-000 000 0000 N/A 000 000 0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxx@xxxxxxxxxxxx.xxx 074612813 Email Address DUNS Number 00-0000000 17560009056005 17460024221 Federal Employer Identification Number Texas Identification Number (TIN) NPayee ID No. – 11 digits n/A Na n/A a Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier ASSURANCES - NON-CONSTRUCTION PROGRAMS OMB Number: 4040-0007 Expiration Date: 02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Harris County Legal Name of Contractor Dallas County, Texas N/A Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services N/A Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. June 6, 2024 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Honorable Judge Xxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name County Judge Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXxxxxxx 0xx Xxxxx Xxxxxxx, Suite 886 Dallas, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxxxxxxxxxxxxxxxx@xxxx.xxx 072206378 Email Address DUNS Number 00-0000000 17560009056005 000000000 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 JFMKAENLGN81 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Wichita Falls - Wichita County Public Health District Legal Name of Contractor Dallas County, Texas Wichita Falls - Wichita County Public Health District Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Wichita Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. June 9, 2023 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxx Xxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Director of Health Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXxxxx Xx. Xxxxxxx Xxxxx, Suite 886 Dallas, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A 0000 Xxxxx Xx. Wichita Falls, TX 76301 Mailing Address, if different City, State, Zip Code 940,761.78 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxx.xxxxx@xxxxxxxxxxxxxx.xxx Email Address DUNS Number 001-0000000 17560009056005 75-6000-714-2000 1-75-6000-714-2000 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 1-75-6000-714-2000 1-75-6000-714-2000 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 R737LBFW8T13 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xxxxxx Xxxxx Xxxxxx Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. May 31, 2022 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx Xxxxx Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Interim City Manager Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXxxxxxx Xxxxxx Xxxxxx, Suite 886 Dallas, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxx@xx.xxxxxx.xx.xx 618150460 Email Address DUNS Number 00-0000000 17560009056005 17460015732 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 HWX7C56NNUV1 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.1 Published and Effective – November 2023 April 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer XXXXX XXXXXXX, XX. Legal Name of Contractor Dallas County, Texas CAMERON COUNTY Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services CAMERON COUNTY PUBLIC HEALTH Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. April 26, 2024 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxx Xxxxxxx, Xx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name CAMERON COUNTY JUDGE Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXXXXXX STREET BROWNSVILLE, Suite 886 Dallas, Texas 75201 TX 78520-5883 Physical Street Address City, State, Zip Code N/A N/A PO BOX 3846 BROWNSVILLE, TX 78520 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxxx@xx.xxxxxxx.xx.xx 010546679 Email Address DUNS Number 00-0000000 17560009056005 746000420 17460004207 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 746000420 17460004207005 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 FKJNNPQQMKM1 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Concho Valley Center for Human Advancement d\b\a MHMR Services for the Concho Valley Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. September 30, 2022 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxxx X. Xxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name CEO Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXxxxxxxxxx San Angelo, Suite 886 Dallas, Texas 75201 TX 76901 Physical Street Address City, State, Zip Code N/A N/A same Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxx@xxxxxx.xxx 95212478 Email Address DUNS Number 00-0000000 17560009056005 17512515234004 17512515234 Federal Employer Identification Number Texas Identification Number (TIN) Nn/A Na n/A a Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 JA9MYN3A9HL8 XXX.xxx Unique Entity Identifier (UEI) Attachment D Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xxxxxxx Xxxxxxxxx Legal Name of Contractor Dallas County, Texas El Paso MHMR d/b/a Emergence Health Network Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas El Paso County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. August 19, 2022 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxxx Xxxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name CEO Title of Authorized Representative 000 X Xxxx Xxxxx 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas, Texas 75201 Xx Xxxx XX 00000 Physical Street Address City, State, Zip Code N/A N/A NA NA Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxxxxx@xxxxxxxxx.xxx 078388295 Email Address DUNS Number 00-0000000 17560009056005 xxxxxxxxxx@xxxxxxxxx.xxx NA Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 000000000 NA Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 NZMCAK49S3V4 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer MHMR Services of Texoma Legal Name of Contractor Dallas County, Texas Texoma Community Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Xxxxx, Xxxxxxx, Xxxxxx Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. September 30, 2022 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxx Xxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 9/30/22 Title of Authorized Representative 0000 000 X. Xxxxxxxx Freeway, Suite 886 Dallas, Texas 75201 Xxxxxxxxxx Xxxxxxx XX Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A x Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxx@xxxxxxxx.xxx x Email Address DUNS Number 00-0000000 17560009056005 xxxxxx@xxxxxxxx.xxx 0068717010000 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 00-0000000 17514523608014 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 DAVPPWDHBN7 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Fort Bend County Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations XX Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 000 Xxxxxxx Xx September 7, 2021 Signature of Authorized Representative Date Signed County Judge Title of Authorized Representative 0000 X. Xxxxxxxx FreewayRichmond, Suite 886 Dallas, Texas 75201 TX 77469 Physical Street Address City, State, Zip Code N/A N/A 000 Xxxxxxx Xx Richmond, TX 77469 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxx.xxxxx@xxxxxxxxxxxxxxxx.xxx 081497075 Email Address DUNS Number 00-0000000 17560009056005 17460019692 Federal Employer Identification Number Texas Identification Number (TIN) Payee ID No. – 11 digits N/A N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier ASSURANCES - NON-CONSTRUCTION PROGRAMS OMB Number: 4040-0007 Expiration Date: 02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Galveston County Health District Legal Name of Contractor Dallas County, Texas N/A Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services N/A Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations g u Xxxxx Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name March 14, 2023 thorized Representative Date Signed Executive Director of Public Health Services Title of Authorized Representative 0000 X. Xxxxxxxx FreewayX Xxxxxx X Xxxxx Expressway Texas City, Suite 886 Dallas, Texas 75201 TX 77591 Physical Street Address City, State, Zip Code N/A N/A PO Box 939 La Marque, TX 77568-0939 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxx@xxxx.xxx 198751372 Email Address DUNS Number 00-0000000 17560009056005 17605214745 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A NA NA Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 SK8BQZM1Z5P5 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Chambers County Health Department Legal Name of Contractor Dallas County, Texas Chambers County Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas Chambers County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. March 27, 2023 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxx Xxxx Xxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Health Services Director Title of Authorized Representative 0000 X. Xxxxxxxx Freeway000 Xxxxxxx Xxxx Xxxxxxx, Suite 886 Dallas, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A Box 670 Anahuac, TX 77514 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxx@xxxxxxxxxx.xxx 00-000-0000 Email Address DUNS Number 00-0000000 17560009056005 00-0000000 Federal Employer Identification Number Texas Identification Number (TIN) N0n/A Na 0n/A a Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 MT52MM4RWCU5 XXX.xxx Unique Entity Identifier (UEI) ATTACHMENT E Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer My Health My Resources of Tarrant County Legal Name of Contractor Dallas County, Texas MHMR of Tarrant County Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. August 29, 2022 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxx X. Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name CEO Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXxxxx Xxxxxx Fort Worth, Suite 886 Dallas, Texas 75201 TX 76107 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000.000.0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxx@xxxxxx.xxx 020333597 Email Address DUNS Number 00-0000000 17560009056005 17512494562 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 30119759329 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 LJ9ENHUAKHV3 XXX.xxx Unique Entity Identifier (UEI) Attachment D Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.1 Published and Effective – November 2023 April 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Samaritan Center for Counseling and Pastoral Care, Inc. Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. August 8, 2023 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxx X. Xxxx Chief Executive Officer Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXxxx.,Xxxx. 0 Xxxxxx, Suite 886 Dallas, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxx@xxxxxxxxx-xxxxxx.xxx 164941098 Email Address DUNS Number 00-0000000 17560009056005 30002204722 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 30002204722 0034604001 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 DHW8T8Z3KLB8 XXX.xxx Unique Entity Identifier (UEI) ATTACHMENT D Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Integral Care Legal Name of Contractor Dallas County, Texas Integral Care Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas Travis County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. April 26, 2024 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxxx X Xxxxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Chief Executive Officer Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 DallasXxxxxxx Xxxxxx Austin, Texas 75201 78704 Physical Street Address City, State, Zip Code N/A N/A same same Mailing Address, if different City, State, Zip Code 000-000-0000 N/A not applicable Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxx.xxxxxxxxxx@xxxxxxxxxxxx.xxx 078496213 Email Address DUNS Number 00-0000000 17560009056005 17415479090 000 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A not applicable not applicable Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 UEI P4R3B21EPL29 XXX.xxx Unique Entity Identifier (UEI) ATTACHMENT D Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer /Xxxxxxx Xxxxxx Legal Name of Contractor Dallas County, Texas Kendall County Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas Kendall County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. April 4, 2024 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxx Xxxxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name County Judge Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas, Texas 75201 Xxxxx Xxxxxxxxxx County Judge Physical Street Address City, State, Zip Code N/A N/A 0000 X Xxxx Boerne, TX 78006 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A X Xxxx Xxxxxx, XX 00000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 000 000-0000 000 000-0000 Email Address DUNS Number 00-0000000 17560009056005 xxxxxxx@xx.xxxxxxx.xx.us 088471396 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 00-0000000 17460003746 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 unable to locate XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xxxxxxxxx Xxxxxxxx Legal Name of Contractor Dallas County, North Texas Area Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations XXXXXXXXX XXXXXXXX Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name April 25, 2024 Signature of Authorized Representative Date Signed CEO, President Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas, Texas 75201 Xxxxxxx Xxxxx Dr 0000 Xxxxxxx Xxxxx Dr Physical Street Address City, State, Zip Code N/A N/A SAME SAME Mailing Address, if different City, State, Zip Code 000-000-000 000 0000 N/A 000 000 0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxxxx@xxxxxx.xxx 130762516 Email Address DUNS Number 00-0000000 17560009056005 542117989 15421179894 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 15421179894 0800050161 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 NCKRFPM4PL01 XXX.xxx Unique Entity Identifier (UEI) Attachment D - Uniform Terms and Conditions -- Grant Version 3.3 Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Hays County Legal Name of Contractor Dallas County, Texas N/A Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas Hays County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature ature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Authoriz Xxxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name January 4, 2023 Sign ed Representative Date Signed Hays County Judge Title of Authorized Representative 0000 X. Xxxxxxxx FreewayS712 S. Stagecoach Xxxxx, Suite 886 DallasXxx. 000 Xxx Xxxxxx, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 judge.xxxxxxx@co xxxx.xx.xx 097494884 Email Address DUNS Number 00-0000000 17560009056005 1746002241 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 00-0000000 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 RH4DFY1GC2R3 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xxxxx Center Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. April 22, 2024 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxxx Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name CEO Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXxxxxxx Drive Lufkin, Suite 886 Dallas, Texas 75201 TX 75901 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxx.xxxxxx@xxxxxxx.xxx 010787505 Email Address DUNS Number 00-0000000 17560009056005 1-751442393-2 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A NA 751442393000 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 TUAMPNL2ZVK7 XXX.xxx Unique Entity Identifier (UEI) ATTACHMENT D Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xxxxxxx Xxxxxxxxxx, MD Legal Name of Contractor Dallas County, Texas Bexar County Hospital District Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County University Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Autho Xx. Xxxxxxx Xxxxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name February 9, 2022 rized Representative Date Signed Sr. VP Chief Analytics Officer Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXxxxxxx Xx. Xxx Xxxxxxx, Suite 886 DallasXX, Texas 75201 00000 Physical Street Address City, State, Zip Code N/A N/A Same Same Mailing Address, if different City, State, Zip Code 000-000-0000 N/A No Fax Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 Xxxxxxx.xxxxxxxxxx@xxx-xx.xxx 069446656 Email Address DUNS Number 00-0000000 17560009056005 746002164 17460021649 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 32051578295 0801822906 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 JTALGHD9SUH5 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.0 Published and Effective – November 2023 August 2021 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer XXXXX XXXXXXX, XX Legal Name of Contractor Dallas County, Texas CAMERON COUNTY Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services CAMERON COUNTY PUBLIC HEALTH Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. zed Representative May 11, 2023 Signature of Authorized Representative June 5, 2024 Authori Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxx Xxxxxxx, Xx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name CAMERON COUNTY JUDGE Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXXXXXX STREET BROWNSVILLE, Suite 886 Dallas, Texas 75201 TX 78520 Physical Street Address City, State, Zip Code N/A N/A PO BOX 3846 BROWNSVILLE, TX 78520 Mailing Address, if different City, State, Zip Code (000-) 000-0000 N/A (000) 000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 XXXXXXXX@XX.XXXXXXX.XX.XX 010546679 Email Address DUNS Number 00-0000000 17560009056005 746000420 17460004207 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 746000420 17460004207005 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 FKJNNPQQMKM1 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Gulf Bend Mental Health Mental Retardation Center Legal Name of Contractor Dallas County, Texas Gulf Bend Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas Victoria County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. October 27, 2021 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Xxxx Xxxxxxx Executive Director of Finance & Operations Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas, Xxxxxxx Xxxxx Xxxxx 000 Victoria Texas 75201 77904 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A Xxxxxxx Xxxxx Xxxxx 000 Victoria Texas 77904 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 0000000000 010545598 Email Address DUNS Number 00-0000000 17560009056005 xxxx0000@xxxxxxxx.xxx 17416590648 Federal Employer Identification Number Texas Identification Number (TIN) N/A Payee ID No. – 11 digits 17416590648 N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier ASSURANCES - NON-CONSTRUCTION PROGRAMS OMB Number: 4040-0007 Expiration Date: 02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xxxxxx X Xxxxxxxx Legal Name of Contractor Dallas County, Texas North Xxxxxxx County Hospital Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services North Xxxxxxx Hospital Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. February 10, 2022 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx X Xxxxxxxx CEO Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXxxxx Xxxxxxx 000 Xxxxxxx, Suite 886 DallasXX, Texas 75201 00000 Physical Street Address City, State, Zip Code N/A N/A XX Xxx 000 Xxxxxxx, XX, 00000 Mailing Address, if different City, State, Zip Code 0000000000000 0000000000 Phone Number Fax Number xxxxxxxxx@xxxx.xxx 00-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 Email Address DUNS Number 00-0000000 17560009056005 751306626 175130662600 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 00000000000 00000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 YQJDRRF21EK8 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.0 Published and Effective – November 2023 August 2021 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Bluebonnet Trails Community MHMR Center dba Bluebonnet Trails Community Services Legal Name of Contractor Dallas County, Texas Bluebonnet Trails Community Services Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health Bastrop, Burnet, Xxxxxxxx, Xxxxxxx, Xxxxxxxx, Xxxxxxxxx, Xxx and Human Services Xxxxxxxxxx Counties Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. January 29, 2024 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx Xxxxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Chief Executive Officer Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXxxxxxxxxx Xxxxxx Xxxxx Xxxx, Suite 886 Dallas, Texas 75201 Xxxxx 00000-3289 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxx.xxxxxxxxxx@xxxxxxxx.xxx 965802432 Email Address DUNS Number 00-0000000 17560009056005 742795332 1742795332000 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 1742795332 1742795332 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 L7N9JCJ5HCX1 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Fort Bend County Judge XX Xxxxxx Legal Name of Contractor Dallas County, Texas Fort Bend County Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services n/a Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations X.X. Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name April 22, 2024 Signature of Authorized Representative Date Signed Fort Bend County Judge Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas, Texas 75201 000 Xxxxxxx Xx. Richmond TX 77469 Physical Street Address City, State, Zip Code N/A N/A 000 Xxxxxxx Xx. Richmond TX 77469 Mailing Address, if different City, State, Zip Code 000-000-0000 Nn/A a Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxx.xxxxx@xxxxxxxxxxxxxxxx.xxx 081497075 Email Address DUNS Number 00-0000000 17560009056005 000000000 Federal Employer Identification Number Texas Identification Number (TIN) Nn/A N/A a 17460019692 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 MJG8N8EPN2L3 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Fort Bend County Legal Name of Contractor Dallas County, Texas Fort Bend County Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services n/a Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. June 13, 2024 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations X.X. Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Fort Bend County Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas, Texas 75201 000 Xxxxxxx Xx Richmond TX 77469 Physical Street Address City, State, Zip Code N/A N/A 000 Xxxxxxx Xx Richmond TX 77469 Mailing Address, if different City, State, Zip Code 000-000-0000 N281/633.7769 n/A a Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxx.xxxxx@xxxxxxxxxxxxxxxx.xxx 081497075 Email Address DUNS Number 746001969 00-0000000 17560009056005 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 17460019692 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 MJG8N8EPN2L3 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Angelina County & Cities Health District Legal Name of Contractor Dallas County, Texas Angelina County & Cities Health District Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services same Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. November 2, 2021 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx Xxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 000 Xxxx Xxxxxx 11/2/21 Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 DallasLufkin, Texas 75201 75904 Physical Street Address City, State, Zip Code N/A N/A same same Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxx@xxxxx.xx 023169353 Email Address DUNS Number 00-0000000 17560009056005 751244376 17512443767 Federal Employer Identification Number Texas Identification Number (TIN) NPayee ID No. – 11 digits n/A Na n/A a Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier Attachment F ASSURANCES - NON-CONSTRUCTION PROGRAMS OMB Number: 4040-0007 Expiration Date: 02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Grayson County Legal Name of Contractor Dallas County, Texas Xxxxxxx Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas Grayson County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxx Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name February 21, 2023 Signature of Authorized Representative Date Signed County Judge Title of Authorized Representative 0000 000 X. Xxxxxxxx FreewayXxxxxxx Street Sherman, Suite 886 Dallas, Texas 75201 TX 75090 Physical Street Address City, State, Zip Code N/A N/A 000 X. Xxxxxxx Xxxxxxx.TX 75090 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxx.xxxxxx@xx.xxxxxxx.tx.us 043563688 Email Address DUNS Number 00-0000000 17560009056005 756000969 1756000969 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 00000000000 00000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 FFK8SXNZTLK3 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Ellis County Coalition for Health Options, Inc. Legal Name of Contractor Dallas County, Texas Hope Health Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Xxxxx, Xxxxxxx, Xxxxxxx & Xxxx Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. October 5, 2022 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxxx Xxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name CEO Title of Authorized Representative 0000 000 X. Xxxxxxxx FreewayXxxxxxxxx Street Waxahachie, Suite 886 Dallas, Texas 75201 TX 75165 Physical Street Address City, State, Zip Code N/A N/A 000 X. Xxxxxxxxx Street Waxahachie, TX 75165 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxx@xxxxxxxxxxxx.xxx 87868653 Email Address DUNS Number 00-0000000 17560009056005 0-00-00000000 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A NA 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 T9SRL6KRFK48 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective y DocuSign Envelope ID: 174E3697-45BA-4893-8CB8-E1C1DD56D65B r Incubator Program – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS)Open Enrollment No. These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.HHS0012233

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Harris County Legal Name of Contractor Dallas County, Texas N/A Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services N/A Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. June 6, 2024 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Honorable Judge Xxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name County Judge Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXxxxxxx Xxxxxxx, Suite 886 Dallas, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxxxxxxxxxxxxxxxx@xxxx.xxx 072206378 Email Address DUNS Number 00-0000000 17560009056005 000000000 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 JFMKAENLGN81 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Bell County Public Health District Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Au Xxxxx X Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 000 Xxxxx 0xx Xxxxxx August 19, 2021 thorized Representative Date Signed 08/18/21 Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 DallasTemple, Texas 75201 76501 Physical Street Address City, State, Zip Code N/A N/A PO Box 2149 Temple, Texas 76503 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxx@xxxxxxxxxxxxxxxx.xxx 08387-2259 Email Address DUNS Number 00-0000000 17560009056005 17460003480 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Payee ID No. – 11 digits NH23IP922616 17460003480 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier ASSURANCES - NON-CONSTRUCTION PROGRAMS OMB Number: 4040-0007 Expiration Date: 02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer COUNTY OF WISE Legal Name of Contractor Dallas County, Texas WISE COUNT OF TEXAS Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Repr Xxx XxXxxxxxx/ Xxxx Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name March 27, 2024 esentative Date Signed Auditor Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas, Texas 75201 Xxx XxXxxxxxx Wise County Auditor Physical Street Address City, State, Zip Code N/A N/A 000 X. Xxxxxx Xxxxxx Xxxxxxx, Xxxxx 00000 Mailing Address, if different City, State, Zip Code P.O. Box 899 Decatur, Texas 76234 Phone Number Fax Number 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 000-000-0000 Email Address DUNS Number 00-0000000 17560009056005 xxxxxxx@xx.xxxx.xx.xx 190300764 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 756001203 756001203 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 LN8YVNU9GCK7 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer South Texas Family Planning & Health Corporation Legal Name of Contractor Dallas County, Texas N/A Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services N/A Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. April 9, 2024 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx X. Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Executive Director Title of Authorized Representative 0000 X. Xxxxxxxx Freeway4455 So. Padre Island Dr., Suite 886 Dallas#00 Xxxxxx Xxxxxxx, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A Same Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxxxxxxx@xxxxxx.xxx 012532271 Email Address DUNS Number 00-0000000 17560009056005 17417286212 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 00308146 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 UUC2CM9V1CJ3 XXX.xxx Unique Entity Identifier (UEI) Attachment D Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows DocuSign Envelope ID: 40B8F4E8-197F-4661-8C05-23B4CB8712E4 DocuSign Envelope ID: 40B8F4E8-197F-4661-8C05-23B4CB8712E4 Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Texas A&M AgriLife Extension Services Legal Name of Contractor Dallas County, Texas n/a Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services n/a Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations July 29, 2023 Xxxxx Xxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Associate Director, TAMU SRS Title of Authorized Representative 0000 X. 000 Xxxxxx Xxxxxxxx FreewayParkway, Suite 886 Dallas300 College Station, Texas 75201 TX 77845-4375 Physical Street Address City, State, Zip Code N/A N/A same same Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxx@xxxx.xxx 00-000-0000 Email Address DUNS Number 00-0000000 17560009056005 35555555552 Federal Employer Identification Number Texas Identification Number (TIN) Nn/A Na n/A a Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 DM2CDWR8LAG3 XXX.xxx Unique Entity Identifier (UEI) Attachment D Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows REMAINDER OF XXXX INTENTIONALLY LEFT BLANK Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Texas Suicide Prevenkion Co11aborakive Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a D.B.A. or ‘doing business as’) Dallas County Health and Human Services Xxxxxx Texas County(s) for Assumed Business Name (d/b/a D.B.A. or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5Augusk 27, 2024 2020 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxx Xxxxxx Su11ivan Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Direckor Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXxxxxx Xx00x Xxxxx Xxxxxx, Suite 886 Dallas, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A X.X.Xxx 341523 Auskin, TX 78738-1523 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 admin§xxxxxxxxxxxxxxxxxxxxxx.xxx 117485241 Email Address DUNS Number 00-0000000 17560009056005 000-0000 32071411311 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Payee ID No. – 11 digits 32071411311 0803375141 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier ATTACHMENT G ASSURANCES - NON-CONSTRUCTION PROGRAMS OMB Number: 4040-0007 Expiration Date: 01/31/2019 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xxxxxx Xxxxxx Legal Name of Contractor Dallas CountyHouston Regional HIV/AIDS Resource Group, Texas Inc. Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services The Resource Group Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name March 14, 2022 Signature of Authorized Representative Date Signed Executive Director Title of Authorized Representative 0000 X. Xxxxxxxx Freeway000 Xxxxxx Xxxxxxxxx, Suite 886 Dallas100 Houston, Texas 75201 77006 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxx@xxxxxx.xxx 876909847 Email Address DUNS Number 00-0000000 17560009056005 760414232 760414232000 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A na 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 MXUPMFLE8D58 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.0 Published and Effective – November 2023 August 2021 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Denton County Public Health Legal Name of Contractor Dallas County, Texas Same Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Same Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5April 18, 2024 g presentative Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations County Judge Xxxx Xxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Denton County Judge Title of Authorized Representative 000 X. Xxxx 000, Xxxxx 0000 X. Xxxxxxxx FreewayXxxxxx, Suite 886 Dallas, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A Same Same Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 Xxxx.Xxxxxx@xxxxxxxxxxxx.xxx 074863127 Email Address DUNS Number N/A 00-0000000 17560009056005 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 HDKNE4T1LXG7 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer City of Harlingen Legal Name of Contractor Dallas County, Texas City of Harlingen Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services City of Harlingen Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. ized Representative March 27, 2023 Signature of Authorized Representative June 5, 2024 Author Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxxx Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name City Manager Title of Authorized Representative 0000 X. Xxxxxxx Xxxxxxxx Freeway, Suite 886 DallasXxxxxxxxx, Texas 75201 78550 Physical Street Address City, State, Zip Code N/A N/A 000 Xxxx Xxxxx Xxxxxxxxx, Xxxxx 00000 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxxxx@xxxxxxxxxxx.xx 069448124 Email Address DUNS Number 00-0000000 17560009056005 00-0000000 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 17460010477 NONE Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 H2ZDRPM1SZX3 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xxxxxxx Center Legal Name of Contractor Dallas County, Texas NA Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services NA Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. December 22, 2023 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 12/22/23 Title of Authorized Representative 0000 X. Xxxxxxxx FreewayX Xxxxx Xx Xxxxx, Suite 886 Dallas, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxxx@xxxxxxxxxxxxx.xxx 182925958 Email Address DUNS Number 00-0000000 17560009056005 751281410 17512814108 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 0027070580 17512814108005 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 MLSJL3XJ1XK5 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer HCMHDDC Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. January 12, 2023 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxx Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Xxx Xxxxxx CEO Title of Authorized Representative 0000 X. CEO Xxxxxxxx FreewayXxxxxx Xxxxxxx Xxxx, Suite 886 Dallas, Texas 75201 Physical Street Address City, StateXxxxx, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A NA Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 NA NA Email Address DUNS Number 00-0000000 17560009056005 NA NA Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A NA NA Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 NA XXX.xxx Unique Entity Identifier (UEI) Attachment D Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer City of Beaumont Legal Name of Contractor Dallas County, Texas City of Beaumont Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services City of Beaumont Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature ignature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Authoriz Xxxx X Xxxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 000 Xxxx Xxxxxx, Xxxxx 000 November 15, 2021 S ed Representative Date Signed 11-15--21 Title of Authorized Representative 0000 X. Xxxxxxxx FreewayBeaumont, Suite 886 DallasTX, Texas 75201 77705 Physical Street Address City, State, Zip Code N/A N/A PO Box 3827 Beaumont, TX 77704 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxx.xxxxxxxxx@xxxxxxxxxxxxx.xxx 073901118 Email Address DUNS Number 00-0000000 17560009056005 17460002789 17460002789 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Payee ID No. – 11 digits 17460002789 17460002789 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier Attachment F ASSURANCES - NON-CONSTRUCTION PROGRAMS OMB Number: 4040-0007 Expiration Date: 02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer EveryChild, Inc. Legal Name of Contractor Dallas CountyEveryChild, Texas Inc. Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5August 12, 2024 2021 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxxxxx X Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Executive Director Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXxxxx Xxxxx, Suite 886 DallasXxxxx 000 Xxxxxx, Texas 75201 Xxxxx 00000 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxx@xxxxxxxxxxxxxxx.xxx 024114997 Email Address DUNS Number 00-0000000 17560009056005 17429950599 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Payee ID No. – 11 digits Exempt 160775101 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier S EX DocuSign Envelope ID: F07B85AB-87B0-4716-B174-C5F54568356F HIBIT C ASSURANCES - NON-CONSTRUCTION PROGRAMS OMB Number: 4040-0007 Expiration Date: 02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer XXXXXXX COUNTY Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed Authori XXXXXXX X. XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 27, 2021 zed Representative Date Signed 08/27/2021 Title of Authorized Representative 0000 100 X. Xxxxxxxx FreewayXXXX, Suite 886 Dallas2ND XXXXX XXXXXXXX, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A SAME SAME Mailing Address, if different City, State, Zip Code (000-) 000-0000 N/A (000) 000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 XXXXXXXXXXX@XX.XXXXXXX.XX.US 103110834 Email Address DUNS Number 00-0000000 17560009056005 746000717 17460007176 Federal Employer Identification Number Texas Identification Number (TIN) Payee ID No. – 11 digits N/A N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier ASSURANCES - NON-CONSTRUCTION PROGRAMS OMB Number: 4040-0007 Expiration Date: 02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xxxxxx Xxxxxx County Public Health District Legal Name of Contractor Dallas County, Texas Xxxxxx Xxxxxx County Public Health District Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas Xxxxxx Xxxxxx County Public Health and Human Services District Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name March 23, 2023 Signature of Authorized Representative Date Signed Administrative Director Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas, 000 X Xxxxx Xx Jasper Texas 75201 75951 Physical Street Address City, State, Zip Code N/A N/A 000 X Xxxxx Xx Jasper Texas 75951 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxxx@xxxxxxxxxxxx.xxx 078708416 Email Address DUNS Number 00-0000000 17560009056005 746001457 17460014578001 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 746001457 746001457 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 DTDKJ98MNHP7 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Lubbock Regional MHMR Center Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. October 6, 2022 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxx Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Chief Executive Officer Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas000 Xxx. O Lubbock, Texas 75201 79401 Physical Street Address City, State, Zip Code N/A N/A PO Box 2828 Lubbock, Texas 79408 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxxx@xxxxxxxxxxxxxxx.xxx 098786460 Email Address DUNS Number 00-0000000 17560009056005 17512976915000 000000000 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 000000000 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 TEKNZFR8LLK4 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 521, 2024 2023 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Deputy Director of Finance & Operations Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas, Texas 75201 XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Physical Street Address City, State, Zip Code 0000 X Xxxxxxxx Xxxxxxx, Xxxxx 000 Xxxxxx, Xxxxx 00000 Mailing Address, if different City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code Phone Number Fax Number 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 000-000-0000 Email Address DUNS Number 00-0000000 17560009056005 xxxxxxxx@xxxxxxxxxxxx.xxx 073128597 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 00-0000000 17560009056005 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xxxxxxx Xxxxxxx Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. June 6, 2024 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name CEO Title of Authorized Representative 0000 X. Xxxxxxxx FreewayX Xxxx Xxxxxx Xxxxxx Xxxx, Suite 886 Dallas, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000.000.0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxxx@xxxxxxxxxxxxxxx.xxx 07391082 Email Address DUNS Number 00-0000000 17560009056005 17416079873 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 000000000 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 GKXKJ2L9BK76 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Chambers County Health Department Legal Name of Contractor Dallas County, Texas Chambers County Health Department Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas Chambers County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. April 1, 2024 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxx Xxxx Xxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Health Services Director Title of Authorized Representative 0000 X. Xxxxxxxx Freeway000 Xxxxxxx Xx Xxxxxxx, Suite 886 Dallas, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A Box 670 Anahuac, TX 77514 Mailing Address, if different City, State, Zip Code 0000000000000 0000000000 Phone Number Fax Number xxxxx@xxxxxxxxxx.xxx 00-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 Email Address DUNS Number 00-0000000 17560009056005 00-0000000 Federal Employer Identification Number Texas Identification Number (TIN) N0n/A Na 0n/A a Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 MT52MM4RWCU5 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer A Meaning of Life LLC Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services d Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized o uthorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Xxxxxxx X Xxxxxx Director of Finance & Operations 09-15-2021 Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXX Xxxx Xxxxx Street Burleson, Suite 886 Dallas, Texas 75201 TX 76028 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code (000-) 000-0000 N/A (000) 000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 Xxxxxxx.Xxxxxx@xxxx-xxx.xxx Email Address DUNS Number 00-0000000 17560009056005 32059198716 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Nu 32059198716 0802361692 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier ASSURANCES - NON-CONSTRUCTION PROGRAMS OMB Number: 4040-0007 Expiration Date: 02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xxxxxx and Xxxxxxx LLP Legal Name of Contractor Dallas County, Texas Xxxxxx and Xxxxxxx LLP Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health Xxxxxx and Human Services Xxxxxxx LLP Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. October 6, 2023 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxxx Xxxxxxxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Audit Partner Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXxxxx XxXxx, Suite 886 DallasXxxxx X000 0000 Xxxxx XxXxx, Texas 75201 Xxxxx X000 Physical Street Address City, State, Zip Code N/A N/A Austin, TX 78746 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 512.609.1907 000.000.0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxx.xxxxxxx@xxxxxx.xxx Email Address DUNS Number 00-0000000 17560009056005 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier (UEI) ATTACHMENT D - Health and Human Services (HHS) Uniform Terms and Conditions - Grant Vendor Version 3.3 Published and Effective – November 2023 Effective: July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department Table of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.Contents

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer XxXxxxx Xxxx Legal Name of Contractor Dallas County, Texas The Children's Shelter Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services The Children's Shelter Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. April 30, 2024 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations XxXxxxx Xxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name CEO Title of Authorized Representative 0000 X. Xxxxxxxx FreewaySan Antonio, Suite 886 Dallas, Texas 75201 TX 78228 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxx@xxxxxx.xxx NA Email Address DUNS Number 00-0000000 17560009056005 xxxxx@xxxxxx.xxx 000000000 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 00-0000000 174-11096609 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 WLSPYJML91E7 XXX.xxx Unique Entity Identifier (UEI) Attachment D - Uniform Terms and Conditions -- Grant Version 3.3 Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Fort Bend County Legal Name of Contractor Dallas County, Texas Fort Bend County Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services N/A Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. June 30, 2023 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations XX Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 000 Xxxxxxx Xxxxxx County Judge Title of Authorized Representative 0000 X. Xxxxxxxx FreewayRichmond, Suite 886 Dallas, Texas 75201 TX 77469 Physical Street Address City, State, Zip Code N/A N/A 00 Xxxxxxx Xxxxxx Richmond, TX 77469 Mailing Address, if different City, State, Zip Code 3,418,606.00 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxx.xxxxx@xxxxxxxxxxxxxxxx.xxx Email Address DUNS Number 00-0000000 17560009056005 000000000 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 17460019692 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 MJG8N8EPN2L3 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Montgomery County, Texas Legal Name of Contractor Dallas Montgomery County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Montgomery County, Texas Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxx Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name December 20, 2023 Signature of Authorized Representative Date Signed County Judge Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXxxxxxx Xx Xxxxxx, Suite 886 Dallas, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A 000 X. Xxxxxxxx St. Suite 401 Conroe, TX 77301 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A none Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxx.xxxxxx@xxxx.xxx 00-000-0000 Email Address DUNS Number 00-0000000 17560009056005 17460005584 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A None 17460005584-000 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 DR3UM2VRE4D XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Brazos County Health District Legal Name of Contractor Dallas County, Texas Brazos County Health District Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas Brazos County Health and Human Services District Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. April 1, 2024 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx Xxxxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Health Director Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 DallasXxxxxx Xxxxxxxxxx Xx. Bryan, Texas 75201 77803 Physical Street Address City, State, Zip Code N/A N/A 000 X. Xxxxx Xxx Xxxxx, Xxxxx 00000 Mailing Address, if different City, State, Zip Code 000-000 000-0000 N/A 000 000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxxxxxx@xxxxxxxxxxxxxx.xxx 160284253 Email Address DUNS Number 00-0000000 17560009056005 17460004330038 N/A Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 G3P8LW2N2MR1 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer North Central Texas Community Health Care Center, Inc. Legal Name of Contractor Dallas County, Texas Community Healthcare Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services All Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. September 14, 2022 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxx Xxxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name CEO Title of Authorized Representative 0000 X. Xxxxxxxx Freeway200 Xxxxxx Xxxxxx Xxxx, Suite 886 DallasXx. Blvd Wichita Falls, Texas 75201 TX 76301 Physical Street Address City, State, Zip Code N/A N/A P.O. Box 720 Wichita Falls, TX 76307 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 XXxxxxxxxx@xxxxx.xxx 958240749 Email Address DUNS Number 00-0000000 17560009056005 1-752429644-3 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 0-0000000-0 01226646-01 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XKWEAHH9PJP7 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this documentProducts made of recycled, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitationremanufactured, or environmentally sensitive materials including recycled steel Energy efficient products Rubberized asphalt paving material Recycled motor oil and lubricants Products produced at facilities located on formerly contaminated property Products and services from economically depressed or blighted areas Vendors that meet or exceed air quality standards Recycled or reused computer equipment of other instrument/documentation under which HHS was awarded funds. HHS, manufacturers Foods of higher nutritional value Commercial production company or advertising agency located in its sole discretion, reserves the right to add requirements, terms, or conditions.Texas

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Denton County Public Health Legal Name of Contractor Dallas County, Texas Denton County Public Health Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas Denton County Public Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. December 7, 2023 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations County Judge Xxxx Xxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Denton County Judge Title of Authorized Representative 000 X. Xxxx 000, Xxxxx 0000 X. Xxxxxxxx FreewayXxxxxx, Suite 886 Dallas, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A Same Same Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 Xxxx.Xxxxxx@xxxxxxxxxxxx.xxx 074863127 Email Address DUNS Number N/A 00-0000000 17560009056005 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 HDKNE4T1LXG7 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Montgomery County Public Health District Legal Name of Contractor Dallas County, Texas Montgomery County Public Health District Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas Montgomery County Public Health and Human Services District Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. April 1, 2024 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxx Xxxxxxx, CEO Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Executive Director Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXxxxx Xxxx 000 Xxxx Xxxxxx, Suite 886 Dallas, Texas 75201 Xxxxx 00000-0000 Physical Street Address City, State, Zip Code N/A N/A 0000 Xxxxx Xxxx 000 xxxx Conroe, Texas 77304-3317 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 XXXxxxxxx@xxxx-xx.xxx 07876197 Email Address DUNS Number 00-0000000 17560009056005 460698418 14606984186000 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 NLM9MPKHTUN5 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Golden Crescent Area Agency on Aging Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. March 25, 2022 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx Xxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name AAA Program Manager Title of Authorized Representative 0000 X. Xxxxxxxx FreewayX Xxxxxxx Xxxxx 000 Xxxxxxxx, Suite 886 DallasXX, Texas 75201 00000 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 0000000000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxx@xxxxx.xxx 3615788865 Email Address DUNS Number 00-0000000 17560009056005 xxxxxxx@xxxxx.xxx 0316304780000 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 00-0000000 17415972045000 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XAQFG51SF2X3 XXX.xxx Unique Entity Identifier (UEI) Health ASSURANCES - NON-CONSTRUCTION PROGRAMS OMB Number: 4040-0007 Expiration Date: 01/31/2019 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and Human Services maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Denton County MHMR Center Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. October 4, 2022 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx Xxxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Executive Director Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXxxxxxxxx Xxxxxx, Suite 886 DallasXxxxx, Texas 75201 00000 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxx@xxxxxxxxxx.xxx 9405360536 Email Address DUNS Number 00-0000000 17560009056005 xxx@xxxxxxxxxx.xxx 000000000 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 N/A XXX.xxx Unique Entity Identifier (UEI) Attachment D Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Bluebonnet Trails Community MHMR Center d/b/a Bluebonnet Trails Community Services Legal Name of Contractor Dallas County, Texas Bluebonnet Trails Community Services Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health Xxxxxxxxxx, Xxxxxxxxx, Xxxxxxx, Xxxxxx, Xxxxxxxx, Xxxxxxx, Xxxxxxxx and Human Services Xxx Counties Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. July 15, 2022 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx Xxxxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Executive Director Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXxxxxxxxxx Xxxxxx Xxxxx Xxxx, Suite 886 Dallas, Texas 75201 Xxxxx 00000-3289 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxx.xxxxxxxxxx@xxxxxxxx.xxx 965803432 Email Address DUNS Number 00-0000000 17560009056005 1742795332000 000000000 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 000000000 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 L7N9JCJ5HCX1 XXX.xxx Unique Entity Identifier (UEI) Attachment D Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.1 Published and Effective – November 2023 April 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Corpus Christi - Nueces County Public Health District Legal Name of Contractor Dallas County, Texas Corpus Christi - Nueces County Public Health District Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas Corpus Christi - Nueces County Public Health and Human Services District Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx Xxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name May 25, 2022 Signature of Authorized Representative Date Signed Interim Director of Health Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 DallasXxxxx Xxxx Corpus Christi, Texas 75201 78416 Physical Street Address City, State, Zip Code N/A N/A NA NA Mailing Address, if different City, State, Zip Code NA NA Phone Number Fax Number 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 069457786 Email Address DUNS Number 00-0000000 17560009056005 0000-000 1-746000574-1 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A NA NA Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 NA XXX.xxx Unique Entity Identifier (UEI) Health ATTACHMENT E ASSURANCES - NON-CONSTRUCTION PROGRAMS OMB Number: 4040-0007 Expiration Date: 02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and Human Services maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer HARDIN COUNTY HEALTH DEPARTMENT Legal Name of Contractor Dallas County, Texas HARDIN COUNTY Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services HARDIN COUNTY Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. April 3, 2024 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Judge Xxxxx XxXxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name County Judge Title of Authorized Representative 0000 X. Xxxxxxxx Freeway000 XXXXXX XXXXXXX, Suite 886 Dallas, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A SAME SAME Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 XXXXX.XxXXXXXX@XX.XXXXXX.TX.US 082012840 Email Address DUNS Number 0074-0000000 17560009056005 60015369 74-60015369 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 CLUMWDLWCLP6 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer San patricio County Legal Name of Contractor Dallas County, Texas San Patricio County Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas San Patricio County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. April 2, 2024 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Judge Xxxxx Xxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name County Judge Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas, Texas 75201 Xxxxx Xxxxx Xxxxxx Tx 78387 Physical Street Address City, State, Zip Code N/A N/A 0000 X. Xxxxxx Suite C Snton Tx 78387 Mailing Address, if different City, State, Zip Code Same as above 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 00000000000 078490547 Email Address DUNS Number 00-0000000 17560009056005 xxxxxx@xxxxxxxxxxxxxxxxxxx.xxx 1746002307041 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 00-0000000 00-0000000 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 PPJXGSBYUKW9 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Bluebonnet Trails Community MHMR Center d/b/a Bluebonnet Trails Community Services Legal Name of Contractor Dallas County, Texas Bluebonnet Trails Community Services Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health Bastrop, Burnet, Xxxxxxxx, Xxxxxxx, Xxxxxxxx, Xxxxxxxxx, Xxx and Human Services Xxxxxxxxxx Counties Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. December 15, 2022 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx Xxxxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Chief Executive Officer Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXxxxxxxxxx Xxxxxx Xxxxx Xxxx, Suite 886 Dallas, Texas 75201 Xxxxx 00000-3289 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxx.xxxxxxxxxx@xxxxxxxx.xxx 965802432 Email Address DUNS Number 00-0000000 17560009056005 742795332 74279533 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 000000000 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 L7N9JCJ5HCX1 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel H ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer San Antonio Metropolitan Health District Legal Name of Contractor Dallas County, Texas same as above Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services same as above Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. May 4, 2023 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xx. Xxxxx X Kurian Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 000 X. Xxxxxxx, 14th Floor Deputy Director Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 DallasSan Antonio, Texas 75201 78205 Physical Street Address City, State, Zip Code N/A N/A same as above same as above Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 Xxxxx.xxxxxx@xxxxxxxxxx.xxx 066428400 Email Address DUNS Number 00-0000000 17560009056005 1746002070-08 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 746002070-08 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 LC5QCFLLCDJ4 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer KP Xxxxxx Xxxx Bend County Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. filed May 7, 2021 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations X.X. Xxxxxx County Judge Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Title of Authorized Representative 0000 X. Xxxxxxxx Freeway000 Xxxxxxx Xx Richmond, Suite 886 DallasTX 77469 Richmond, Texas 75201 TX 77469 Physical Street Address City, State, Zip Code N/A N/A 000 Xxxxxxx Xx 000-000-0000 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxx.xxxxx@xxxxxxxxxxxxxxxx.xxx 081497075 Email Address DUNS Number 00-0000000 17560009056005 17460019692 N/A Federal Employer Identification Number Texas Identification Number (TIN) N/A Payee ID No. – 11 digits N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier ASSURANCES - NON-CONSTRUCTION PROGRAMS OMB Number: 4040-0007 Expiration Date: 02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Northeast Texas Public Health District Legal Name of Contractor Dallas County, Northeast Texas Public Health District Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services N/A Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx X Xxxxxxx Xx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name May 23, 2023 Signature of Authorized Representative Date Signed Chief Executive Officer Title of Authorized Representative 0000 000 X. Xxxxxxxx Freeway#000 Xxxxx, Suite 886 Dallas, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A 000 X. Xxxxxxxx #000 Xxxxx, XX 00000 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxxx@xxxxxx.xxx 144656753 Email Address DUNS Number 00-0000000 17560009056005 752254544 17522545445 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 QYUMYH4V9EK5 XXX.xxx Unique Entity Identifier (UEI) Attachment Health and Human Services (HHS) Uniform Terms and Conditions - Additional Provisions – Grant Funding Version 3.3 Published and Effective – November 2023 Responsible Office1.0 Effective: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas February 2021 Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS)Additional Provisions V.1.0 – Grant Funding Effective: February 2021 TABLE OF CONTENTS 1. These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHSELECTRICAL ITEMS 3 2. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulationsDISASTER SERVICES 3 3. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division NOTICE OF A LICENSE ACTION 3 4. SERVICES AND INFORMATION FOR PERSONS WITH LIMITED ENGLISH PROFICIENCY 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds5. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.THIRD PARTY PAYORS 4 6. INTERIM EXTENSION AMENDMENT 4 7. NOTICE OF CRIMINAL ACTIVITY AND DISCIPLINARY ACTIONS 5

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xxxxx-Xxxxx County Health District Legal Name of Contractor Dallas County, Texas N/A Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services N/A Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5April 4, 2024 2023 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxx Xxxxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Executive Director Title of Authorized Representative 0000 X. Xxxxxxxx Freeway000 Xxxx Xxxxxxx Xxxxx, Suite 886 Dallas, Texas 75201 TX 75460 Physical Street Address City, State, Zip Code N/A N/A Same As Above Same As Above Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxx@xxxxxxxxxxxxxx.xxx 805540630 Email Address DUNS Number 00-0000000 17560009056005 17560022067001 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 HLLQKXJWXL24 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xxxxxx Xxxxx, Vice President Legal Name of Contractor Dallas CountyXxxxxxx Children and Family Services, Texas Inc Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services N/A Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. April 25, 2024 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx X. Xxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Vice President Title of Authorized Representative 000 X. Xxxxx Xxxxxx, Xxx 0000 X. Xxxxxxxx FreewayXxxxxx, Suite 886 Dallas, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A Same as above Same as above Mailing Address, if different City, State, Zip Code 000-000-0000 N/A None Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxx@xxxxxxx.xxx 00-000-0000 Email Address DUNS Number 00-0000000 17560009056005 00-0000000 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 00-0000000 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 LCZUEMZ8ESM9 XXX.xxx Unique Entity Identifier (UEI) Attachment D - Uniform Terms and Conditions -- Grant Version 3.3 Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xx. Xxxxxx Xxxx Legal Name of Contractor Dallas County, Texas Corpus Christi Nueces County Public Health District Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas Corpus Christi Nueces County Public Health and Human Services District Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. June 7, 2023 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx Xxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Director of Public Health Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas, Texas 75201 Xx. Xxxxxx Xxxx Public Health Director Physical Street Address City, State, Zip Code N/A N/A 0000 Xxxxx Xx Xxxxxx Christi Texas 78413 Mailing Address, if different City, State, Zip Code 0000 Xxxxx Xx Xxxxxx Christi Texas 78413 Phone Number Fax Number 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 000-000-0000 Email Address DUNS Number 00-0000000 17560009056005 xxxxxxx@xxxxxxx.xxx 000000000 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 74-60000574 74-60000574 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XEBTBTPKCL895 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xxxxxx X. Xxxxxxx Legal Name of Contractor Dallas County, The University of Texas Rio Grande Valley Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services The University of Texas Rio Grande Valley Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 520, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xx. Xxxxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 0000 X Xxxxxxxxxx Xx Assoc VP: Research Ops Title of Authorized Representative 0000 X. Xxxxxxxx FreewayEdinburg, Suite 886 Dallas, Texas 75201 78539 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxx@xxxxx.xxx 069444511 Email Address DUNS Number 00-0000000 17560009056005 465292740 000000000 Federal Employer Identification Number Texas Identification Number (TIN) N/A 32059727951 N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 L3ATVUT2KNK7 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Denton County Public Health Legal Name of Contractor Dallas County, Texas Same Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Same Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. April 16, 2024 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations County Judge Xxxx Xxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Denton County Judge Title of Authorized Representative 000 X. Xxxx 000, Xxxxx 0000 X. Xxxxxxxx FreewayXxxxxx, Suite 886 Dallas, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A Same Same Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 Xxxx.Xxxxxx@xxxxxxxxxxxx.xxx 074863127 Email Address DUNS Number N/A 00-0000000 17560009056005 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 HDKNE4T1LXG7 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xxxxx Xxxxxxxxx Legal Name of Contractor Dallas County, Texas Medina County Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. September 1, 2021 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxx Xxxxxxxxx County Judge Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 0000 Xxxxxx X Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas, Texas 75201 Hondo TX 78861 Physical Street Address City, State, Zip Code N/A N/A 0000 Xxxxxx X Xxxxx, XX 00000 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxxxxxx@xxxxxxxxxxxxxxxxx.xxx 080272057 Email Address DUNS Number 00-0000000 17560009056005 017460011061 Federal Employer Identification Number Texas Identification Number (TIN) Payee ID No. – 11 digits N/A N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier ASSURANCES - NON-CONSTRUCTION PROGRAMS OMB Number: 4040-0007 Expiration Date: 02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor By submitting this Response, Respondent represents and warrants that the individual signing submitting this Contract Affirmations document and the documents made part of this Response is authorized to sign such documents on behalf of Contractor the Respondent and to bind the ContractorRespondent under any contract that may result from the submission of this Response. Signature Page Follows Authorized representative on behalf of Contractor Respondent must complete and sign the following: Ganesh Shivaramaiyer TransAfrican Development Inc. Legal Name of Contractor Dallas County, Texas Respondent dba Ndando House Assumed Business Name of ContractorRespondent, if applicable (d/b/a or ‘doing business as’) Dallas Fort Bend County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations 12/22/2021 Xxxxxx Xxxxxx-Xxxx Chief Executive Officer Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Title of Authorized Representative 0000 X. 000 Xxxxxxxx FreewayXxxxx Xxxx. #000 Xxxxx Xxxx, Suite 886 Dallas, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code (000-) 000-0000 N/A (000) 000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxx@xxxxxxxxxxx.xxx 078349981 Email Address DUNS Number 00-0000000 17560009056005 611583739 30246320951 Federal Employer Identification Number Texas Identification Number (TIN) Payee ID No. – 11 digits N/A N/A 801528899 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier OE N DocuSign Envelope ID: 7F1DA304-BC25-4227-805A-B41AFC081DDC O. HHS0010736 EXHIBIT C– Assurances - Non-Construction Programs ASSURANCES - NON-CONSTRUCTION PROGRAMS Attachment F OMB Number: 4040-0007 Expiration Date: 02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer MHMR SERVICES OF TEXOMA Legal Name of Contractor Dallas County, Texas TEXOMA COMMUNITY CENTER Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. September 30, 2022 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations XXXXX XXXXX Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 09/30/22 Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas, Texas 75201 000 XXXXXXXXXX xXXXXXX XX 00000 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A X Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxx@xxxxxxxx.xxx X Email Address DUNS Number 00-0000000 17560009056005 XXXXXX0XXXXXXXX.XXX 0068717010000 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 00-0000000 171545260608014 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 DAVTPPWDHBN7 XXX.xxx Unique Entity Identifier (UEI) ATTACHMENT D Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer City of Port Xxxxxx Legal Name of Contractor Dallas County, Texas City of Port Xxxxxx Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Jefferson Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxx Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name June 5, 2024 Signature of Authorized Representative Date Signed City Manager Title of Authorized Representative 0000 X. Xxxxxxxx Freeway0xx Xxxxxx Xxxx Xxxxxx, Suite 886 Dallas, Texas 75201 TX,77642 Physical Street Address City, State, Zip Code N/A N/A 0000 0xx Xxxxxx Xxxx Xxxxxx, TX,77642 Mailing Address, if different City, State, Zip Code 000-000(000)000-0000 N/A (000)000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxx.xxxxx@xxxxxxxxxxxx.xxx 137134909 Email Address DUNS Number 17460018550-011 00-0000000 17560009056005 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 1-74-6001855-0 17460018850-11 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 EMVNEFW2KN4 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer City of Amarillo Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations A Xxxxx Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 601 S Xxxxxxxx August 12, 2021 uthorized Representative Date Signed Assistant City Manager/CFO Title of Authorized Representative 0000 X. Xxxxxxxx FreewayAmarillo, Suite 886 Dallas, Texas 75201 TX 79101 Physical Street Address City, State, Zip Code N/A N/A PO Box 1971 Amarillo, TX 79105 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxx.xxxxxx@xxxxxxxx.xxx 065032807 Email Address DUNS Number 00-0000000 17560009056005 17560004446 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Payee ID No. – 11 digits 17460000890002 17460000890002 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier ASSURANCES - NON-CONSTRUCTION PROGRAMS OMB Number: 4040-0007 Expiration Date: 02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer City of Garland Public Health Department Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. July 28, 2023 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 000 Xxxxxx Xxxxxx Director of Operations and Emergency Mgmt Title of Authorized Representative 0000 X. Xxxxxxxx FreewayGarland, Suite 886 Dallas, Texas 75201 TX 75040 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxx@xxxxxxxxx.xxx Email Address DUNS Number 00756000534 756000534-0000000 17560009056005 1847361 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 756000534 7361 756000534-7361 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 F2DLUDKRCN98 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Orange, County of Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Aut Xxxx Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 000 X. 0xx Xxxxxx August 24, 2021 horized Representative Date Signed County Judge Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 DallasOrange, Texas 75201 77630 Physical Street Address City, State, Zip Code N/A N/A 000 X. 0xx Xxxxxx Xxxxxx, Xxxxx 00000 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxx@xx.xxxxxx.xx.xx 001209753 Email Address DUNS Number 00-0000000 17560009056005 746001826 17460018264 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Payee ID No. – 11 digits 17460018264 17460018264 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier ASSURANCES - NON-CONSTRUCTION PROGRAMS OMB Number: 4040-0007 Expiration Date: 02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xxxxx-Xxxxx County Health District Legal Name of Contractor Dallas County, Texas Xxxxx-Xxxxx County Health District Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Xxxxx Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. May 25, 2023 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Xxxx Xxxxxxxxxx Executive Director of Finance & Operations Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas000 Xxxx Xxxxxxx Xxxxx, Texas 75201 75460 Physical Street Address City, State, Zip Code N/A N/A Same As Above Paris, Texas 75460 Mailing Address, if different City, State, Zip Code 9,037,854,561.00 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxx@xxxxxxxxxxxxxx.xxx Email Address DUNS Number 00-0000000 17560009056005 17560022067001 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 HLLQKXJWXL24 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Community Council of Greater Dallas Legal Name of Contractor Community Council of Greater Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. February 24, 2022 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx Xxxxx CEO Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Title of Authorized Representative 0000 X. Xxxxxxxx FreewayX Xxxxxxxxxxx, Suite 886 DallasXxxxx 0000X Xxxxxx, Texas 75201 Xxxxx 00000 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxx@xxxxxxxxx.xxx 000-000-0000 Email Address DUNS Number 00-0000000 17560009056005 xxxxxx@xxxxxxxxx.xxx 081744427 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 00-0000000 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 081744427 XXX.xxx Unique Entity Identifier (UEI) Health ASSURANCES - NON-CONSTRUCTION PROGRAMS OMB Number: 4040-0007 Expiration Date: 01/31/2019 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and Human Services maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer City of Garland Health Department Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Au Xxxxx X Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 0000 Xxxxxxxx Xx September 16, 2021 thorized Representative Date Signed 9/16//2021 Title of Authorized Representative 0000 X. Xxxxxxxx FreewayGarland, Suite 886 Dallas, Texas 75201 TX 75040 Physical Street Address City, State, Zip Code N/A N/A PO Box 469002 Garland, TX 75046 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 000-000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxxx@xxxxxxxxx.xxx 586821162 Email Address DUNS Number 00-0000000 17560009056005 756000534 000000000 Federal Employer Identification Number Texas Identification Number (TIN) Payee ID No. – 11 digits N/A N/A Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 XXX.xxx Unique Entity Identifier ASSURANCES - NON-CONSTRUCTION PROGRAMS OMB Number: 4040-0007 Expiration Date: 02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office0348-0040), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions Certain of these assurances may not be applicable to grant funds administered and passed through by both your project or program. If you have questions, please contact the Texas Health and Human Services Commission (HHSC) and awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the Department of State Health Services (DSHS)case, you will be notified. These requirements and conditions are incorporated into As the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements duly authorized representative of the entity applicant, I certify that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.applicant:

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer City of Port Xxxxxx Legal Name of Contractor Dallas County, Texas City of Port Xxxxxx Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Jefferson Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. April 24, 2024 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx X. Xxxxx, BSN, RN Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Director of Health Services Title of Authorized Representative 0000 X. Xxxxxxxx Freeway0xx Xxxxxx Xxxx Xxxxxx, Suite 886 DallasTX, Texas 75201 77642 Physical Street Address City, State, Zip Code N/A N/A Same as above same as above Mailing Address, if different City, State, Zip Code (000-) 000-0000 N/A (000) 000-0000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxxx.xxxxx@xxxxxxxxxxxx.xxx 137134909 Email Address DUNS Number 17460018550-011 00-0000000 17560009056005 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 1-74-6001855-0 1746001885-0 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 EMVNEFYW2KN4 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xxxxxx Xxxxxxx, EdD Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name April 26, 2024 Signature of Authorized Representative Date Signed Executive director Title of Authorized Representative 0000 X. Xxxxxxxx Freeway, Suite 886 Dallas, Texas 75201 Xxxxxx Xxxxxxx Executive directoe Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 00000 Xxx Xxxxx, Suite 210 San AntonioTx 78232 Phone Number Fax Number 000-000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 000-000-0000 Email Address DUNS Number 00-0000000 17560009056005 Xx0000@xxxxxxxxxx.xxx 078512066 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 00-0000000 32047708683 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 H4WKF431DWC6 XXX.xxx Unique Entity Identifier (UEI) Attachment D - Uniform Terms and Conditions -- Grant Version 3.3 Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xxxx Xxxx Xxxx Legal Name of Contractor Dallas County, Texas Chambers County Health Department Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas Chambers County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. April 1, 2024 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxx Xxxx Xxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Health Services Director Title of Authorized Representative 0000 X. Xxxxxxxx Freeway000 Xxxxxxx Xxxx Xxxxxxx, Suite 886 Dallas, Texas 75201 XX 00000 Physical Street Address City, State, Zip Code N/A N/A Box 670 Anahuac, TX 77514 Mailing Address, if different City, State, Zip Code 000-000-0000 N/A 0000000000 0000000000 Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxxxx@xxxxxxxxxx.xxx 4092674276 Email Address DUNS Number 00-0000000 17560009056005 00-0000000 Federal Employer Identification Number Texas Identification Number (TIN) N0n/A Na 0n/A a Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 MT52MM4RWCU5 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 Published and Effective – November 2023 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS

Signature Authority. Contractor represents and warrants that the individual signing this Contract Affirmations document is authorized to sign on behalf of Contractor and to bind the Contractor. Signature Page Follows Authorized representative on behalf of Contractor must complete and sign the following: Ganesh Shivaramaiyer Xxxxxx Xxxxxxxxx Legal Name of Contractor Dallas County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Dallas County Health and Human Services Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Attach Assumed Name Certificate(s) filed with the Texas Secretary of State and Assumed Name Certificate(s), if any, for each Texas County Where Assumed Name Certificate(s) has been filed. October 5, 2022 Signature of Authorized Representative June 5, 2024 Date Signed XXXXXX XXXXXXXXXXXXX Deputy Director of Finance & Operations Xxxxxx Xxxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name Executive Directive Title of Authorized Representative 0000 X. Xxxxxxxx FreewayXxxxxxxxx Xxxxxx, Suite 886 DallasXxxxx, Texas 75201 00000 Physical Street Address City, State, Zip Code N/A N/A Mailing Address, if different City, State, Zip Code 000 000 0000 (000-) 000-0000 N/A Phone Number Fax Number XXXXXX.XXXXXXXXXXXXX@xxxxxxxxxxxx.xxx 073128597 xxx@xxxxxxxxxx.xxx 148007429 Email Address DUNS Number 00-0000000 17560009056005 xxx@xxxxxxxxxx.xxx 17513681514 Federal Employer Identification Number Texas Identification Number (TIN) N/A N/A 32072007563 17513681514 Texas Franchise Tax Number Texas Secretary of State Filing Number ER74JB3UL5E9 NZCFBZKEA6W8 XXX.xxx Unique Entity Identifier (UEI) Attachment D Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.3 3.2 Published and Effective – November 2023 July 2022 Responsible Office: Chief Counsel ABOUT THIS DOCUMENT In this document, Grantees (also referred to in this document as subrecipients or contractors) will find requirements and conditions applicable to grant funds administered and passed passed-through by both the Texas Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). These requirements and conditions are incorporated into the Grant Agreement through acceptance by Grantee of any funding award by HHSC or DSHS. The terms and conditions in this document are in addition to all requirements listed in the RFA, if any, under which applications for this grant award are accepted, as well as all applicable federal and state laws and regulations. Applicable federal and state laws and regulations may include, but are not limited to: 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; requirements of the entity that awarded the funds to HHS; Chapter 783 of the Texas Government Code; Texas Comptroller of Public Accounts’ agency rules (including Uniform Grant and Contract Standards set forth in Title 34, Part 1, Chapter 20, Subchapter E, Division 4 of the Texas Administrative Code); the Texas Grant Management Standards (TxGMS) developed by the Texas Comptroller of Public Accounts; and the Funding Announcement, Solicitation, or other instrument/documentation under which HHS was awarded funds. HHS, in its sole discretion, reserves the right to add requirements, terms, or conditions.. TABLE OF CONTENTS