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: Spring Branch Community Health Center Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Xxxxxx X. Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 Email Address DUNS Number 00-0000000 13000198705001 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5

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: Spring Branch Community Health Center Xxx Xxxxxxxx Legal Name of Contractor Spring Branch Community Health Center City of Wichita Falls Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 27, 2022 Signature of Authorized Representative Xxxxxx X. Date Signed Xxx Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO 0000 Xxxxx Xxxxxx Director of Health Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Wichita Falls Texas 77042 76301 Physical Street Address City, State, Zip Code same same po box 1431 Wichita Falls Texas 76307-1431 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxx.Xxxxxxxx@xxxxxxxxxxxxxx.xxx 059463133 Email Address DUNS Number 00-0000000 13000198705001 765000714 17560007142 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 756000714 017560007142 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5R737LBFW8T13

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: Spring Branch Community My Health Center My Resources of Tarrant County Legal Name of Contractor Spring Branch Community Health Center MHMR of Tarrant County Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 8, 2023 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed Xxxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 0000 Xxxxx Xxxxxx Fort Worth, TX 76107 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 000.000.0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxx@xxxxxx.xxx 020333597 Email Address DUNS Number 00-0000000 13000198705001 1751249456 Federal Employer Identification Number Texas Identification Number (TIN) N/A 30119759329 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5LJ9ENHUAKHV3 XXX.xxx Unique Entity Identifier (UEI) ATTACHMENT D Health and Human Services (HHS) Uniform Terms and Conditions - Governmental Entity Version 3.2 Published and Effective - May 2020 Responsible Office: Chief Counsel 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: Spring Branch Community Health Center Xxxxxxx Xxxxxx Legal Name of Contractor Spring Branch Community Health Center Women's Shelter of South Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center dba The Purple Door 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 Date Signed Xxxxxxx Xxxxxx X. Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed President and CEO Title of Authorized Representative 000 Xxxxxxx X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxxxx President and CEO Physical Street Address City, State, Zip Code same same 813 Xxxxxx Corpus Christi, TX 78404 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000P.O. Box 3368 Corpus Christi, TX 00000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxx@xxxxxxxxxxxx.xxx 000-000-0000 Email Address DUNS Number 00-0000000 13000198705001 xxxxxxx@xxxxxxxxxxxx.xxx 000000000 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Payee ID No. – 11 digits 00-0000000 17419433986 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5FY22-FY23 Residential and Nonresidential Services Contracts Amendment 3 Attachment M: Revised FY 2022-2023 Budget Workbooks System Agency Contract No. HHS000380000072

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: Spring Branch Heart of Texas Community Health Center Center, Inc. Legal Name of Contractor Spring Branch Community Health Center dba, Waco Family Medicine Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center I cannot attach a document to this DocuSign format. Please email as needed for this item. 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 20, 2022 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed Xxxxxxx Xxxxxx, M.D. Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Chief Executive Officer Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 0000 Xxxxxxxxxx Xx Waco, TX 76707 Physical Street Address City, State, Zip Code same same NA NA Mailing Address, if different City, State, Zip Code (000-) 000-0000 000-000-0000 None available at this point Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxx.xxxxxx@xxxxxxxxxxxxxxxxxx.xxx 135472194 Email Address DUNS Number 00-0000000 13000198705001 17428675809 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 32000409766 0147536601 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5NYA9KT6XWEL7 XXX.xxx Unique Entity Identifier (UEI) & $ # ' % $ $ # % $!# #! # " #! $ ! " ' ' "! ( % ( ( 3 <, 4 6<1 2< 3! < < 0<, 6@- ; C;< 1 + 2 C 6 $6; <3 36 3<, <, < A-00 4 6<C <3 2C 32<6 < 6 ;>0<-2+ )31 <, 30- -< <-32 2 <,-; 3 >1 2< <, < 61; ;432 2< 32<6 <36 440- 2< 2 2 36 A, 2 6 $:-2+ <3 <, (003A-2+ %61 <-32; A, <, 6 ) 1 ; 6<-& <-32; 6 46 ; 2< <-32; A : 2<- ; 36 -2 3<, 6 < 61; 6 $6 <3 ;432 2< 2 <, "'61 <-32; 440C <3 00 ;432 2<; 6 + 6 0 ;; 3! <, -6 >;-2 ;;

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 Signature Page for HHS Contract Affirmations Authorized representative on behalf of Contractor must complete and sign the following: Spring Branch Community Health Center Any Baby Can of Austin, Inc. Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 August 17, 2021 Signature of Authorized Representative Date Signed Xxxxxxx Xxxxxx X. Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO CEO/President Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 0000 Xxxxxxxx Xxxxxx Xxxxxx, Xxxxx 00000 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 000.000.0000 000.000.0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxx.xxxxxx@xxxxxxxxxx.xxx 827100798 Email Address DUNS Number 00-0000000 13000198705001 742684335 17426843359 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5Payee ID No. – 11 digits 17426843359000 0126900301

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: Spring Branch Community Health Center Oasis at Galleria LLC Legal Name of Contractor Spring Branch Community Health Center NA Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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. Signature of Authorized Representative Xxxxxx X. Xxxxxxxx 05/24/2022 Date Signed Xxxxxxx Xxxxx Manager Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,0000 Xxxxxx Xxxxx Xx. Texas 77042 Xxxxxxx, XX 00000 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code (000-) 000-0000 (000-) 000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxx@xxxxxxxxx.xxx NA Email Address DUNS Number 00-0000000 13000198705001 32084497612 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 NA 0804558157 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5NA

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: Spring Branch Community San Antonio Metropolitan Health Center District Legal Name of Contractor Spring Branch Community San Antonio Metropolitan Health Center District Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center Bexar 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. May 2, 2024 Signature of Authorized Representative Date Signed Xxxxx X Xxxxxx X. Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30City Tower; 000 X. Xxxxxxx, 2022 Date Signed CEO 14th Floor Deputy Director Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 SA, Tx, 78205 Physical Street Address City, State, Zip Code same same as above SA, Tx, 78205 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxx xxxxxx@xxxxxxxxxx.xxx Email Address DUNS Number 00-0000000 13000198705001 1746002070-08 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 NA 746002070-08 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5LC5QCFLLCDJ4 XXX.xxx Unique Entity Identifier (UEI) 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 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 (0348-0040), 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: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the 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: Spring Branch Community Health Center Xxxxxxxx X. Xxxxxxx, Executive Director Legal Name of Contractor Spring Branch Camino Real Community Health MHMR Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Camino Real Community Health Center 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 2, 2022 Signature of Authorized Representative Xxxxxx Date Signed Xxxxxxxx X. Xxxxxxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Executive Director Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 19965 FM 0000 Xxxxx Xxxxx, XX 00000 Physical Street Address City, State, Zip Code same same PO Box 725 Lytle, TX 78052 Mailing Address, if different City, State, Zip Code 000-000(000)000-0000 (000-) 000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 XxxxxxxxX@xxxxxxxxxxxx.xxx 091190004 Email Address DUNS Number 00-0000000 13000198705001 17429517547 Federal Employer Identification Number Texas Identification Number (TIN) N/A 00-0000000 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5QVK5BP6TZSL4

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: Spring Branch Community Devoted Health Center Insurance Company of Texas Legal Name of Contractor Spring Branch Community Health Center N/A Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Date Signed Xxxxxx X. Xxxxxxxx President Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Title of Authorized Representative 00000 Xxxxx Xxxxxxx 000, Xxxxx 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxxxxx, XX 00000 Physical Street Address City, State, Zip Code same same 000 Xxxxxxxx Xxxxxx Xxxxxxx, XX, 00000 Mailing Address, if different City, State, Zip Code (000-) 000-0000 (000-) 000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 XXxxxxxxx@xxxxxxx.xxx N/A Email Address DUNS Number 00-0000000 13000198705001 18739700419000 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 N/A Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5N/A

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 Signature Page for HHS Contract Affirmations Authorized representative on behalf of Contractor must complete and sign the following: Spring Branch Community Health Center Xxxxx Xxxxxx Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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, 2022 Signature of Authorized Representative Date Signed Xxxxx Xxxxxx X. Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, Xxxxx Xxxxxx 04-25-2022 Date Signed CEO Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 CEO Physical Street Address City, State, Zip Code same same 0000 Xxxxxx Xxxx Xxxxxxxxx, TX 75503 Mailing Address, if different City, State, Zip Code 0000 Xxxxxx Xxxx Xxxxxxxxx, TX 75503 Phone Number Fax Number xxxxxxx@xxxxxxx.xxx 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 Email Address DUNS Number 00-0000000 13000198705001 xxxxxxx@xxxxxxx.xxx 000000000 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 17102591371 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5QPA2Z0LLXK84

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: Spring Branch Community Health Center Cenkra1 Texas Counci1 of Governmenks Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a D.B.A. or ‘doing business as’) Spring Branch Community Health Center 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 Xxxxxx X. Xxxxxxxx Sepkember 9, 2020 Date Signed Xxx Xxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Execukive Direckor Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 0000 Xxxxx Xxxx Xx0xxx XX 00000 Physical Street Address City, State, Zip Code same same PO Box 729 Be1kon, TX 76513 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 0000000000 0000000000 Phone Number Fax Number mtrujillo@sbchc net 149186624 jreed§xxxxx.xxx 081542995 Email Address DUNS Number 00-0000000 13000198705001 17416151490 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Payee ID No. – 11 digits 17416151490 17416151490 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5HHS DATA USE AGREEMENT This Data Use Agreement (“DUA”), effective as of the date the Base Contract into which it is incorporated is signed (“Effective Date”), is entered into by and between a Texas Health and Human Services Enterprise agency (“HHS”), and the Contractor identified in the Base Contract, a political subdivision of the State of Texas (“CONTRACTOR”). PURPOSE; APPLICABILITY; ORDER OF PRECEDENCE

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: Spring Branch Bluebonnet Trails Community Health MHMR Center dba Bluebonnet Trails Community Services Legal Name of Contractor Spring Branch Bluebonnet Trails Community Health Center Services Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center Bastrop, Burnet, Xxxxxxxx, Xxxxxxx, Xxxxxxxx, Xxxxxxxxx, Xxx and 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 Date Signed Xxxxxx X. Xxxxxxxx Xxxxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Chief Executive Officer Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 0000 X. Xxxxxxxxxx Xxxxxx Xxxxx Xxxx, Xxxxx 00000-3289 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxx.xxxxxxxxxx@xxxxxxxx.xxx 965802432 Email Address DUNS Number 00-0000000 13000198705001 742795332 1742795332000 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 1742795332 1742795332 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5L7N9JCJ5HCX1 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: Spring Branch Community Wichita Falls - Wichita County Public Health Center District Legal Name of Contractor Spring Branch Community Wichita Falls - Wichita County Public Health Center District Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Xxxxxx X. Xxxxxxxx Date Signed Xxx Xxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Director of Health Title of Authorized Representative 000 X Xxx 0000 Xxxxx Xx. Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxxx, XX 00000 Physical Street Address City, State, Zip Code same same 0000 Xxxxx Xx. Wichita Falls, TX 76301 Mailing Address, if different City, State, Zip Code 000-000-0000 940,761.78 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxx.xxxxx@xxxxxxxxxxxxxx.xxx Email Address DUNS Number 001-0000000 13000198705001 75-6000-714-2000 1-75-6000-714-2000 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 1-75-6000-714-2000 1-75-6000-714-2000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5R737LBFW8T13 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.2 Published and 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 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 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: Spring Branch Community Health Center XXXXX XXXXXXX, XX Legal Name of Contractor Spring Branch Community Health Center CAMERON COUNTY Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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. May 4, 2022 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed Xxxxx Xxxxxxx, Xx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO 0000 X. XXXXXX STREET Cameron County Judge Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 BROWNSVILLE, TX 78520 Physical Street Address City, State, Zip Code same same PO BOX 3846 BROWNSVILLE, TX 78520 Mailing Address, if different City, State, Zip Code (000-) 000-0000 (000-) 000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 XXXXXXXX@XX.XXXXXXX.XX.XX 010546679 Email Address DUNS Number 00-0000000 13000198705001 746000420 17460004207 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 746000420 17460004207005 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5FKJNNPQQMKM1

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: Spring Branch Community Occupational Health Center Centers of the Southwest, P.A. Legal Name of Contractor Spring Branch Community Health Center Concentra Medical Centers Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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. August 8, 2022 Signature of Authorized Representative Date Signed Xxxxxx X. Xxxxxxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30President, 2022 Date Signed CEO Treasurer & Corporate Secretary Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 0000 Xxxxxxxx Xxxxx, Xxxxx 0000X Addison, TX 75001 Physical Street Address City, State, Zip Code same same 0000 Xxxxxxxx Xxxxx, Xxxxx 0000X Addison, TX 75001 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 N/A Phone Number Fax Number mtrujillo@sbchc net 149186624 XxxxxXxxxxxxxx@Xxxxxxxxx.xxx 114720894 Email Address DUNS Number 00-0000000 13000198705001 10266 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 80997203 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5UBTGZ3YN98G3 XXX.xxx Unique Entity Identifier (UEI) ATTACHMENT C Modifications to HHS Uniform Terms and Conditions (Vendor, Version 3.2) The HHS Uniform Terms and Conditions (Vendor, Version 3.2) are supplemented as follows:

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: Spring Branch Community Health Center XXXXXXX COUNTY Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Xxxxxx Authori XXXXXXX X. Xxxxxxxx XXXXXX Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 3027, 2022 2021 zed Representative Date Signed CEO 08/27/2021 Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 100 X. XXXX, 2ND XXXXX XXXXXXXX, XX 00000 Physical Street Address City, State, Zip Code same same SAME SAME Mailing Address, if different City, State, Zip Code (000-) 000-0000 (000-) 000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 XXXXXXXXXXX@XX.XXXXXXX.XX.US 103110834 Email Address DUNS Number 00-0000000 13000198705001 746000717 17460007176 Federal Employer Identification Number Texas Identification Number (TIN) Payee ID No. – 11 digits N/A 000000000 N/A Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5ASSURANCES - 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 (0348-0040), 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: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the 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: Spring Branch Community Health Center SAn Xxxxxxxx County Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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. ed Representative Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Authoriz Judge Xxxxx Xxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 000 X. Xxxxxx Xx 000 Sinton Texas 78387 August 3025, 2022 2021 Date Signed CEO San Xxxxxxxx County Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 400 w Xxxxxx XX 109 Xxxxxx Tx.78387 Physical Street Address City, State, Zip Code same same 400W. Xxxxxx Xx 000 Sinton Tx. 798387 000 X. Xxxxxx Xx 000 Xxxxxx TX 78387 Mailing Address, if different City, State, Zip Code 000-000-0000 000361364-000-0000 6118 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxx@xxxxxxxxxxxxxxxxxxx.xxx 0784490547 Email Address DUNS Number 00-0000000 13000198705001 174662307006 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Payee ID No. – 11 digits 00000 1746002307006 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5ASSURANCES - 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 (0348-0040), 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: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the 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: Spring Branch Community Health Center Xxxxx Xxxxxxx Centers Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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, 2022 Signature of Authorized Representative Date Signed Xxxxxx X. Xxxxxxxx Xxxxxx Executive Director Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Title of Authorized Representative 000 X Xxx 0000 Xxxxx Xxxxxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxxx, Xxxxx, 00000 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxx@xxxxxxxxxxxx.xxx 105901540 Email Address DUNS Number 00-0000000 13000198705001 17512419767000 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 NA NA Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5NA

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: Spring Branch Community Health Center Xxxxx Xxxxxxx Legal Name of Contractor Spring Branch Community Health Center Postlethwaite & Xxxxxxxxxxx, APAC Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 6, 2022 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed Xxxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO 4/6/2022 Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 0000 Xxxxxx Xxxxx Xxxx, Xxxxx 0000 Xxxxx Xxxxx, XX 00000 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxxx@xxxxx.xxx 096051529 Email Address DUNS Number 00-0000000 13000198705001 xxxxxxxx@xxxxx.xxx 17212024453 Federal Employer Identification Number Texas Identification Number (TIN) N/A 00-0000000 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5TEYPXNFZ47P3 XXX.xxx Unique Entity Identifier (UEI) Attachment C Exhibit B, HHS Uniform Terms and Conditions -Vendor, Version 3.2 HHS001105000000001 - RFQ External Quality Assurance Review Health and Human Services (HHS) Uniform Terms and Conditions - Vendor Version 3.2 Effective: April 2021 Responsible Office: Chief Counsel 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 Signature Page for HHS Contract Affirmations Authorized representative on behalf of Contractor must complete and sign the following: Spring Branch Community My Health Center My Resources of Tarrant County Legal Name of Contractor Spring Branch Community Health Center MHMR of Tarrant County Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 August 30, 2021 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed Xxxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 0000 Xxxxx Xxxxxx Fort Worth, TX 76107 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 000.000.0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 XXX@xxxxxx.xxx 020333597 Email Address DUNS Number 00-0000000 13000198705001 N/A Federal Employer Identification Number Texas Identification Number (TIN) Payee ID No. – 11 digits N/A 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5N/A

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: Spring Branch Community Health Center Uvalde County Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Xxxxxx Authoriz Xxxxxxx X. Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 000 Xxxxx Xxxxx Xxxxxx August 3026, 2022 2021 ed Representative Date Signed CEO Uvalde County Judge Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Uvalde, Texas 77042 78801 Physical Street Address City, State, Zip Code same same #0 Xxxxxxxxxx Xxxxxx Xxxxxx, Xxxxx 00000 Mailing Address, if different City, State, Zip Code 000-000-000 000 0000 000-000-000 000 0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxx@xxxxxxxxxxxx.xxx 074612813 Email Address DUNS Number 00-0000000 13000198705001 17460024221 Federal Employer Identification Number Texas Identification Number (TIN) NPayee ID No. – 11 digits n/A 000000000 a n/a Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5ASSURANCES - 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 (0348-0040), 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: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the 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: Spring Branch Community Xxxxxx Xxxxxx County Public Health Center District Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Xxxxxx X. Xxxxxxxx Xxxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 000 Xxxx Xxxxx Xxxxxx August 3018, 2022 2021 Signature of Authorized Representative Date Signed CEO 08-18-2021 Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Jasper, Texas 77042 75951 Physical Street Address City, State, Zip Code same same 000 Xxxx Xxxxx Xxxxxx Jasper, Texas 75951 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxxx@xxxxxxxxxxxx.xxx 078708416 Email Address DUNS Number 00-0000000 13000198705001 746001457 17460014578 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Payee ID No. – 11 digits 746001457 17460014578 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5ASSURANCES - 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 (0348-0040), 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: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the 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: Spring Branch Community Health Center City of Port Xxxxxx Legal Name of Contractor Spring Branch Community Health Center City of Port Xxxxxx Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Date Signed Xxxxxx X. Xxxxxxxx Xxxxx, BSN, RN Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Director of Health Services Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 0000 0xx Xxxxxx Xxxx Xxxxxx, TX, 77642 Physical Street Address City, State, Zip Code Same as above same same as above Mailing Address, if different City, State, Zip Code (000-) 000-0000 (000-) 000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxx.xxxxx@xxxxxxxxxxxx.xxx 137134909 Email Address DUNS Number 17460018550-011 00-0000000 13000198705001 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 1-74-6001855-0 1746001885-0 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5EMVNEFYW2KN4 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: Spring Branch Community Health Center WACO-MCLENNAN COUNTY PUBLIC HEALTH DISTRICT BY AND THROUGH THE CITY OF WACO Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 September 23, 2021 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed XXXXXX XXXXXXX Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO DEPUTY CITY MANAGER Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 XXXXXX XXX WACO, TX 76702 Physical Street Address City, State, Zip Code same same PO BOX 2570 WACO, TX 76702 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxx@xxxxxx.xxx 000-000-0000 Email Address DUNS Number 00-0000000 13000198705001 17460024684033 74600246840 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5Payee ID No. – 11 digits 74600246840 76400246840

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: Spring Branch Community The University of Texas Health Science Center at San Antonio Legal Name of Contractor Spring Branch Community Health Center n/a Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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. November 21, 2023 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed Xxxxxxx Xxxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30Associate Director, 2022 Date Signed CEO Sponsored Programs Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 0000 Xxxxx Xxxx Drive, MSC 7828 San Antonio, TX 78229-3900 Physical Street Address City, State, Zip Code same same n/a n/a Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 n/a Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxx@xxxxxxx.xxx 800772162 Email Address DUNS Number 00-0000000 13000198705001 37457457457002 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 37457457457002 37457457457002 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5C3KXNLTAAY98 XXX.xxx Unique Entity Identifier (UEI) Attachment E UT System Supplemental Conditions to HHS Uniform Terms and Conditions – Grant, Version 3.2 (Effective July 2022) The HHS Uniform Terms and Conditions - Grant, Version 3.2, are revised, modified, or supplemented as shown herein. In addition, all references in this document to ‘Governmental Entity’ or ‘Performing Agency’ mean ‘Grantee,’ and all references to the ‘Contract’ mean ‘Grant Agreement.’

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: Spring Branch Community The University of Texas Health Science Center at San Antonio Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Signature of Authorized Representative Xxxxxx Xxxxx X. Xxxxxxxx Xxxxx, CPA Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 300000 Xxxxx Xxxx Drive, 2022 MSC 7828 September 8, 2021 Representative Date Signed CEO 09/08/21 Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. San Antonio, Texas 77042 78229-3900 Physical Street Address City, State, Zip Code same same Same Same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 N/A Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxx@xxxxxxx.xxx 800772162 Email Address DUNS Number 00-0000000 13000198705001 17415860315 17415860315 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Payee ID No. – 11 digits 17415860315 17415860315 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5ASSURANCES - 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 (0348-0040), 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: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the 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: Spring Branch Community City of Midland Health Center Department Legal Name of Contractor Spring Branch Community City of Midland Health Center Department Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community City of Midland Health Center 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. Signature of Authorized Representative Xxxxxx Repre Xxxxxxx X. Xxxxxxxx Xxxxx, DrPH, MPH Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30March 23, 2022 2023 sentative Date Signed CEO Health Services Manager Title of Authorized Representative 000 X 0000 X. Xxxxxxxx Xxx Xxxxxxx Pkwy S Suite 200 Houston,Xx. Texas 77042 00 Xxxxxxx, XX 00000 Physical Street Address City, State, Zip Code same same 000 X. Xxxxxxx Xx Xxxxxxx, XX 00000 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxx@xxxxxxxxxxxx.xxx 073186579 Email Address DUNS Number 00-0000000 13000198705001 17560006086016 17560006086 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 17560006086 000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5CPZ1T3B85A64 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.2 Published and 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 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: Spring Branch Community Health Center Xxxxx Xxxxxx, CRA, MBA Legal Name of Contractor Spring Branch Community The University of Texas Health Science Center at Tyler Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Xxxxxx X. Xxxxxxxx R Xxxxx Xxxxxx, MBA, CRA Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30June 28, 2022 epresentative Date Signed CEO Director, Office of Sponsored Programs Title of Authorized Representative 000 Xxxxx X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxxxx Director, Office of Sponsored Programs Physical Street Address City, State, Zip Code same same 00000 XX Xxxxxxx 000 Xxxxx, XX 00000-3154 Mailing Address, if different City, State, Zip Code same same Phone Number Fax Number Xxxxx.Xxxxxx@xxxxx.xxx 000-000-0000 000Email Address DUNS Number grants.@xxxxx.xxx 00-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 Email Address DUNS Number 00-0000000 13000198705001 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 00-0000000 37857857850 005 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.0 Published and Effective – 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-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: Spring Branch Community Health Center Xxxxxxx Xxxxxx Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 16, 2022 Signature of Authorized Representative Date Signed Xxxxxxx Xxxxxx X. Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO 08/16/2022 Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxxxxxxx Xxx, Xxxxx 000 Xxxxxx Xxxxx 00000 Physical Street Address City, State, Zip Code same same 7268 Xxxxxxxx Grand Prairie, Texas 75054 Mailing Address, if different City, State, Zip Code 000-000-0000 0-000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxx.xxxxxx@xxxxxxxxxxxx.xxx 080313234 Email Address DUNS Number 00-0000000 13000198705001 00-0000000 Federal Employer Identification Number Texas Identification Number (TIN) N/A 32058011084 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5N/A XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Vendor Version 3.2 Effective: April 2021 Responsible Office: Chief Counsel 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: Spring Branch Community Health Center Xxxx X. Xxxxxx Legal Name of Contractor Spring Branch Community Health Center Xxxxx County Hospital District Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Date Signed Xxxx X. Xxxxxx X. Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Chief Executive Officer Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxx 0xx Xxxxxx Dumas, TX 79029 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxx@xxxx.xxx 066389693 Email Address DUNS Number 00-0000000 13000198705001 xxxxxxx@xxxx.xxx 17513021521 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 00-0000000 1751302152 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5GBKHH58PXML3 XXX.xxx Unique Entity Identifier (UEI) ATTACHMENT C Health and Human Services (HHS) Uniform Terms and Conditions - Governmental Entity Version 3.2 Published and Effective - May 2020 Responsible Office: Chief Counsel 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: Spring Branch Community Health Center Xxxxxxxx Xxxx Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 18, 2023 Signature of Authorized Representative Xxxxxx X. Date Signed Xxxxxxxx Xxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Director of Ambulatory Services Title of Authorized Representative 000 Xxxxxxxx X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxx Director of Ambulatory Services Physical Street Address City, State, Zip Code same same 0000 Xxxxxx Xxxxxx Houston, TX 77030 Mailing Address, if different City, State, Zip Code n/a Phone Number Fax Number 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 n/a Email Address DUNS Number 00-0000000 13000198705001 xxxxxx@xxxxxxxxxxxxxx.xxx n/a Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 00-0000000 00-0000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5HEUDNXZR8BM8 XXX.xxx Unique Entity Identifier (UEI) Attachment C Health and Human Services (HHS) Uniform Terms and Conditions - Vendor Version 3.3 Effective: July 2022 Responsible Office: Chief Counsel 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: Spring Branch Community Health Center Xxxxxxx Xxxxxxx Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Xxxxxx X. Xxxxxxxx Date Signed Xxxxxxx Xxxxxxx 08-19-2022 Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Title of Authorized Representative 000 X Xxx 0000 Xxxxxxx Pkwy S Suite 200 Xx Houston,. , Texas 77042 77004 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxx@xxxxxxxxxxxxxxxxx.xxx 075336074 Email Address DUNS Number xxxxxxx@xxxxxxxxxxxxxxxxx.xxx 00-0000000 13000198705001 14718998744 Federal Employer Identification Number Texas Identification Number (TIN) N/A 00-0000000 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5E42CRB52QMU8 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Vendor Version 3.2 Effective: April 2021 Responsible Office: Chief Counsel 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: Spring Branch Community Health Center Xxxxxx Xxxxxx Legal Name of Contractor Spring Branch Community Health Center Xxxxxx Xxxxxx Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center Xxxxxx 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. July 8, 2022 Signature of Authorized Representative Date Signed Xxxxxx X. Xxxxxxxx Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO City Manager Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxxxx Xxxxxx City Manager Physical Street Address City, State, Zip Code same same 000 Xxxxxx Xxxxxx Port Xxxxxx, TX,77640 Mailing Address, if different City, State, Zip Code (000-) 000-0000 (000-) 000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 Xxxxxx.xxxxxx@xxxxxxxxxxxx.xxx 137134909 Email Address DUNS Number 1740018550-011 00-0000000 13000198705001 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 1-74-6001855-0 17460018850-11 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5EMVNEFYW2KN4 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.0 Published and Effective – 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-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: Spring Branch Community Health Center EveryChild, Inc. Legal Name of Contractor Spring Branch Community Health Center EveryChild, Inc. Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 August 12, 2021 Date Signed Xxxxxxxxx X Xxxxxx X. Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Executive Director Title of Authorized Representative 0000 Xxxxx Xxxxx, Xxxxx 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxxxx, Xxxxx 00000 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxx@xxxxxxxxxxxxxxx.xxx 024114997 Email Address DUNS Number 00-0000000 13000198705001 17429950599 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Payee ID No. – 11 digits Exempt 160775101 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5S 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 (0348-0040), 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: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the 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: Spring Branch Community Health Center Xxxxx Xxxxxxx Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 20, 2022 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed Xxxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO President / Director Title of Authorized Representative 000 X Xxx 0000 Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxx Xx, Xxxxx # X000 Xxxxxxx, Xxxxx, 00000 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 Phone Number Fax Number xxxxxxxx@xxx-xxxxxxxxxxxx.xxx 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 Email Address DUNS Number 00-0000000 13000198705001 XXxxxxxx@Xxx-Xxxxxxxxxxxx.xxx 32042813728 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 00-0000000 0801329017 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5HEU7MW4GC1M5 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Vendor Version 3.2 Effective: April 2021 Responsible Office: Chief Counsel 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: Spring Branch Community Bexar County Board of Trustees for Mental Health Center Mental Retardation Services Legal Name of Contractor Spring Branch Community The Center for Health Center Care Services Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 16, 2022 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed Xxxxxxx XxXxxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed President/CEO Title of Authorized Representative 000 X 0000 Xxxx Xxx Xxxxxxx Pkwy Xxxx. Suite 200-S Suite 200 Houston,. Texas 77042 San Antonio, TX 78213 Physical Street Address City, State, Zip Code same same 0000 Xxxx Xxx Xxxx. Suite 200-S San Antonio, TX 78213 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxxx@xxxxxx.xxx 010528560 Email Address DUNS Number 00-0000000 13000198705001 741590659 1741590659 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 N/A Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5MTWDUHLJP8M5

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: Spring Branch Community Health Samaritan Center for Counseling and Pastoral Care, Inc. Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Xxxxxx Date Signed Xxxxx X. Xxxxxxxx Xxxx Chief Executive Officer Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,0000 Xxxxxxxx Xxxx.,Xxxx. Texas 77042 0 Xxxxxx, XX 00000 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxx@xxxxxxxxx-xxxxxx.xxx 164941098 Email Address DUNS Number 00-0000000 13000198705001 30002204722 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 30002204722 0034604001 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5DHW8T8Z3KLB8 XXX.xxx Unique Entity Identifier (UEI) ATTACHMENT D Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.2 Published and 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 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: Spring Branch Community Health Center Xxxx Xxxxx Legal Name of Contractor Spring Branch Community Health Center Ark-Tex Council of Governments/Area Agency on Aging Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 28, 2022 Signature of Authorized Representative Xxxxxx Date Signed Xxxx X. Xxxxxxxx Xxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO 2-27-22 Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 0000 Xxxxxxxxx Xxxxxx Texarkana, TX 75503 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxx@xxxxx.xxx 00-000-0000 Email Address DUNS Number 00-0000000 13000198705001 17512933833 Federal Employer Identification Number Texas Identification Number (TIN) Nn/A 000000000 a n/a Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5M6KPW65RAJ91 XXX.xxx Unique Entity Identifier (UEI) 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 (0348-0040), 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: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the 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: Spring Branch Community Health Center XXXXXXX COUNTY Legal Name of Contractor Spring Branch Community Health Center N/A Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Authori Xxxxxxx X. Xxxxxx X. Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30100 X. Xxxx, 2022 2nd Floor October 22, 2021 zed Representative Date Signed CEO Xxxxxxx County Judge Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Edinburg, Texas 77042 78539 Physical Street Address City, State, Zip Code same same N/A N/A Mailing Address, if different City, State, Zip Code (000-) 000-0000 000-000(000)000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 countyjudge@co xxxxxxx.xx.xx 103110834 Email Address DUNS Number 00-0000000 13000198705001 746000717 17460007176 Federal Employer Identification Number Texas Identification Number (TIN) Payee ID No. – 11 digits N/A 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5N/A

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: Spring Branch Community Health Center Harris County, Texas Legal Name of Contractor Spring Branch Community Health Center Harris County, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center Harris 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. June 7, 2023 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed Judge Xxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO County Judge Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 0000 Xxxxxxx, 0xx Xxxxx Xxxxxxx, XX 00000 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxxxxxxxxxxxxxxxx@xxxx.xxx 072206378 Email Address DUNS Number 00-0000000 13000198705001 000-0000 000000000 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 N/A Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5JFMKAENLGN81 XXX.xxx Unique Entity Identifier (UEI) ATTACHMENT E Modifications to HHS Uniform Terms and Conditions (Grant, Version 3.2)

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: Spring Branch Community Xxxxxxx Xxxxxxxxx, Director of Public Health Center Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx September 8, 2021 Date Signed Xxxxxxx Xxxxxxxxx MPH Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Health Director Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 0000 Xxxxx Xx Xxxxxx Christi, TX 78416 Physical Street Address City, State, Zip Code same same 0000 Xxxxx Xx Corpus Christi, TX 78416 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 Xxxxxxxx@xxxxxxx.xxx 078495025 Email Address DUNS Number 00-0000000 13000198705001 746000585016 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5Payee ID No. – 11 digits 746000585 746000585

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: Spring Branch Community Health Center Xxxxxxx Xx Xxxx Legal Name of Contractor Spring Branch Community Health Center Women Together Foundation Inc. Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 23, 2021 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed Xxxxxxx Xx Xxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Executive Director Title of Authorized Representative 000 X Xxx X. Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 XxXxxxx, Texas, 78501 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxxx@xxxxxx.xxx 170221972 Email Address DUNS Number 00-0000000 13000198705001 742007536 17420075362 Federal Employer Identification Number Texas Identification Number (TIN) NPayee ID No. – 11 digits n/A 000000000 a 0042399801 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5FY22-FY23 Residential and Nonresidential Services Contracts Amendment 3 Attachment M: Revised FY 2022-2023 Budget Workbooks System Agency Contract No. HHS000380000067 Page 5 of 6 DocuSign Envelope ID: C3E1BDBE-31C8-437A-BF09-9862ABF4594C Family Violence Program Budget Women Together Foundation, Inc. FY22 Other Contractor: Women Together Foundation, Inc. A B C D E Description Justification Cost Percent Applied to HHSC Contract Amount Budgeted to HHSC Contract 1 Telephone hotline Telephone hotline to respond to clients in crisis. $ - 0.00% $ - 2 Shelter/Offices $ - 0.00% $ - 3 Based on previous year ( $900 per month x 12 months)Paid by other funding source. $ 10,800.00 0.00% $ - 4 Utilities-McAllen Shelter $ - 0.00% $ - 5 Based on previous year ( $900 per month x 12 months) Paid by other funding source. $ 10,800.00 0.00% $ - 6 $ - 0.00% $ - 7 Utilities-FJC Based on previous year ( $600 per month x 12 months) Paid by other funding source. $ 7,200.00 0.00% $ - 8 $ - 0.00% $ - 9 Postage To conduct mailout of invoice payments and program correspondence. Paid by other funding source.Based on previous year ($375.00 per month x 12 months) $ 4,500.00 0.00% $ - 10 $ - 0.00% $ - 11 Insurance-McAllen Shelter, FJC and Outreach Center General property, liability and professional insurance $ 26,245.00 0.00% $ - 12 Based on previous year (2187.09 per month x 12 months)Paid by other funding source. $ - 0.00% $ - 13 $ - 0.00% $ - 14 Shelter/Offices Maintenance Services and maintenance costs such as small repairs, supplies, van repairs, etc. 100% charged to other funding source.Based on previous year ($10772.66 per month x 12 months) $ 129,272.00 0.00% $ - 15 0.00% $ - 16 Shelter-Food Purchase of food for emergency shelter. Based on previous year ($833.33 per month x 12 months). Paid by other funding source $ 10,000.00 0.00% $ - 17 $ - 0.00% $ - 18 Cleaning Supplies $ - 0.00% $ - 19 Supplies to be used to clean outreach and non-residential center. 100% paid by other funding source. Based on previous year ($497.28 per month x 12 months) $ 5,967.35 0.00% $ - 20 $ - 0.00% $ - 21 $ - 0.00% $ - DocuSign Envelope ID: C3E1BDBE-31C8-437A-BF09-9862ABF4594C Family Violence Program Budget Women Together Foundation, Inc. FY22

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 Health and Human Services Contract Affirmations v. 1.6 Effective November 7, 2019 Authorized representative on behalf of Contractor must complete and sign the following: Spring Branch Community Health Center TIRR Memorial Hermann Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a D.B.A. or ‘doing business as’) Spring Branch Community Health Center 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 horized Representative Xxxxxx X. July 21, 2020 g Date Signed Xxxxx Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed SVP & CEO Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 0000 Xxxxxxxx Xx Xxxxxxx, XX 00000 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 Xxxxx.Xxxxxxxx@xxxxxxxxxxxxxxx.xxx 074187949 Email Address DUNS Number 00-0000000 13000198705001 17411525979 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Payee ID No. – 11 digits Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5Health and Human Services Contract Affirmations v. 1.6 Effective November 7, 2019 Health and Human Services (HHS) Uniform Terms and Conditions - Vendor Version 3.0 Published and Effective - November 7, 2019 Responsible Office: Chief Counsel Health and Human Services Uniform Terms and Condition – Vendor V.3.0

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: Spring Branch Community Health Center City of Laredo Legal Name of Contractor Spring Branch Community Health Center Same Assumed Business Name of Contractor, if applicable (d/b/a D.B.A. or ‘doing business as’) Spring Branch Community Health Center N/a 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 Xxxxxx X. Xxxxxxxx Xxxxxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30June 29, 2022 2020 Signature of Authorized Representative Date Signed CEO Deputy City Manager Title of Authorized Representative 000 X Xxx 0000 Xxxxxxx Pkwy S Suite 200 Houston,Xx Xxxxxx Xxxxx. Texas 77042 78042 Physical Street Address City, State, Zip Code same same 0000 Xxxxxxx Xx Xxxxxx, Xxxxx. 78042 Mailing Address, if different City, State, Zip Code 000-000-0000 000956791-000-0000 7498 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxxx@xx.xxxxxx.xx.xx 620849880 Email Address DUNS Number 00-0000000 13000198705001 746001573 17460015732 Federal Employer Identification Number Texas Identification Number (TIN) Payee ID No. – 11 digits N/A 000000000 a N/a Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5Health and Human Services Commission WIC Local Agency Special Conditions Version 1.1 TABLE OF CONTENTS SUPPLEMENTAL CONDITIONS 2 SPECIAL CONDITIONS Article I. Special Definitions 4 Article II. Grantee Personnel 5 Section 2.01 Qualifications 5 Section 2.02 Conduct and Removal 5 Article III. Confidentiality 5 Section 3.01 Confidential System Information 5 Article IV. Miscellaneous Provisions 6 Section 4.01 Minor Administrative Changes 6 Section 4.02 Conflicts of Interest 6 Section 4.03 Flow Down Provisions 7

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: Spring Branch UnitedHealthcare Community Health Center Plan of Texas, LLC Legal Name of Contractor Spring Branch Community Health Center N/A Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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. 04/21/2022 Signature of Authorized Representative Date Signed Xxxxxxx Xxxxxx X. Xxxxxxxx CEO of North Texas Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Title of Authorized Representative 00000 Xxxxxxxxx Xxx., Xxx. 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxxx Xxxx, XX 00000 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code (000-000-0000 000-) 000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxx_xxxxxx@xxx.xxx 929770647 Email Address DUNS Number 00-0000000 13000198705001 19120083613 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5XXX.xxx Unique Entity Identifier (UEI) CERTIFICATION REGARDING LOBBYING Certification for Contracts, Grants, Loans, and Cooperative Agreements The undersigned certifies, to the best of his or her knowledge and belief, that:

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: Spring Branch Community Brazoria County Health Center Department Legal Name of Contractor Spring Branch Community Health Center - Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center Brazoria 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. epresentative March 28, 2023 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx R Date Signed X.X. "Xxxx" Xxxxxxx, XX. Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO County Judge Title of Authorized Representative 000 X X. Xxxxxx, Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 000 Xxxxxxxx, Xxxxx 00000 Physical Street Address City, State, Zip Code same same Same Same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxx@xxxxxxxxxxxxxxxx.xxx 040341430 Email Address DUNS Number 00-0000000 13000198705001 17460000445 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 17460000445 17460000445 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5N1GLHP8EWHD9 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.2 Published and 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 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: Spring Branch Community Health Center ABIZCARE, LLC Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 17, 2022 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed RASHEEDAT .A.OPAWOYE Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO MANAGER Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,0000 XXXXXXX XX. Texas 77042 XXXXXXXXX, 76084-1189 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxx@xxxxxxxx.xxx 058521169 Email Address DUNS Number 00-0000000 13000198705001 000-0000 18134090481 Federal Employer Identification Number Texas Identification Number (TIN) N/A 320611117720 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5ABIZCARE,LLC XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Vendor Version 3.2 Effective: April 2021 Responsible Office: Chief Counsel 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: Spring Branch Community Health Center The University of TExas at EL Paso Legal Name of Contractor Spring Branch Community Health Center N/A Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center El Paso 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 11, 2022 Signature of Authorized Representative Xxxxxx X. Date Signed Xxxxxxx X Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO 000 X. Xxxxxxxxxx Xxxxxx Vice President for Research Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. El Paso, Texas 77042 79968 Physical Street Address City, State, Zip Code same same N/A N/A Mailing Address, if different City, State, Zip Code (000-) 000-0000 000-000-0000 N/A Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxx@xxxx.xxx 132051285 Email Address DUNS Number 00-0000000 13000198705001 740006813 N/A Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 N/A Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5XXX.xxx Unique Entity Identifier (UEI) 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 (0348-0040), 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: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the 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 REMAINDER OF XXXX INTENTIONALLY LEFT BLANK Authorized representative on behalf of Contractor must complete and sign the following: Spring Branch Community Health Center B1uebonnek Trai1s Communiky MHMR Cenker d/b/a B1uebonnek Trai1s Communiky Services Legal Name of Contractor Spring Branch Community Health Center B1uebonnek Trai1s Communiky Assumed Business Name of Contractor, if applicable (d/b/a D.B.A. or ‘doing business as’) Spring Branch Community Health Center Baskrop, Burnek, Ca1dwe11, Fayekke, Gonza1es, Guada1upe, Xxx and Wi11iamson Counkies 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. ed Representative Augusk 4, 2020 Signature of Authorized Representative Authoriz Date Signed Xxxxxx X. Xxxxxxxx Xxxxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Execukive Direckor Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. 1009 X. Xxxxxxxxxx Xxxxxx Round Rock, Texas 77042 78664-3289 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxx.richardson§xxxxxx0x.xxx 965803432 Email Address DUNS Number 00-0000000 13000198705001 742795332 17427953320 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Payee ID No. – 11 digits Nok App1icab1e 17427953320000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5Attachment H

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: Spring Branch Community Health Center n/a Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 28, 2022 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed Xxxx X Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30MD, 2022 Date Signed CEO MPH Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 0000 Xxxxxxxxxx Xxxx Xxxxxxx, Xxxxx, 00000 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 n/a Phone Number Fax Number mtrujillo@sbchc net 149186624 Xxxx.X.Xxxxxxx@xxx.xxx.xxx n/a Email Address DUNS Number 00-0000000 13000198705001 xxxx.x.xxxxxxx@xxx.xxx.xxx unknown Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 unknown unknown Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5unknown

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: Spring Branch Community Health Center Scokk Marquardk Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Xxxxxx X. Xxxxxxxx Augusk 26, 2021 Date Signed Scokk Marquardk Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30Augusk 26, 2022 Date Signed CEO 2021 Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxxxx X0xxx Xxxxx, Xxxxx 000 Xxxxxxxx00x, XX 00000 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 Marquardk§xxxxxxxxx.xxx 00-000-000 Email Address DUNS Number 00-0000000 13000198705001 12022906049 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Payee ID No. – 11 digits 32044286600 0801427468 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5tt h t C H lth H S i DocuSign Envelope ID: 9D2B1667-1721-4658-96FF-AC06640E9B0F ces (HHS) Uniform Terms and Conditions - Vendor, Version 3.2 HHS0009546 - Psychiatric Services for Residents Civilly Committed Health and Human Services (HHS) Uniform Terms and Conditions - Vendor Version 3.2 Effective: April 2021 Responsible Office: Chief Counsel 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: Spring Branch Community Montgomery County Public Health Center District Legal Name of Contractor Spring Branch Community Montgomery County Public Health Center District Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Montgomery County Public Health Center 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 Xxxxxx X. Xxxxxxxx Date Signed Xxxxx Xxxxxxx, CEO Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Executive Director Title of Authorized Representative 0000 Xxxxx Xxxx 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxx Xxxxxx, Xxxxx 00000-0000 Physical Street Address City, State, Zip Code same same 0000 Xxxxx Xxxx 000 xxxx Conroe, Texas 77304-3317 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 XXXxxxxxx@xxxx-xx.xxx 07876197 Email Address DUNS Number 00-0000000 13000198705001 460698418 14606984186000 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 N/A Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5NLM9MPKHTUN5 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: Spring Branch Community Health Center Golden Crescent Area Agency on Aging Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Date Signed Xxxxxx X. Xxxxxxxx Xxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO AAA Program Manager Title of Authorized Representative 0000 X Xxxxxxx Xxxxx 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxxxxxx, XX, 00000 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 0000000000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxx@xxxxx.xxx 3615788865 Email Address DUNS Number 00-0000000 13000198705001 xxxxxxx@xxxxx.xxx 0316304780000 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 00-0000000 17415972045000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5XAQFG51SF2X3 XXX.xxx Unique Entity Identifier (UEI) 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 (0348-0040), 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: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the 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 Signature Page for HHS Contract Affirmations Authorized representative on behalf of Contractor must complete and sign the following: Spring Branch Community Health Center Xxxx Xxxxxxx Legal Name of Contractor Spring Branch Community Health Center Autistic Treatment Center, Inc. Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Autism Treatment Center 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, 2022 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed Xxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO 4/25/2022 Title of Authorized Representative 000 X Xxx Xxxx X. Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Executive Director Physical Street Address City, State, Zip Code same same 00000 Xxxxx Xxxx Xxx. 000 Dallas TX 75243 Mailing Address, if different City, State, Zip Code 00000 Xxxxx Xxxx Xxx. 000 Xxxxxx XX 00000 Phone Number Fax Number Xxxxxxxx@xxxxxxxxxx.xxx 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 Email Address DUNS Number 00-0000000 13000198705001 xxxxxxxx@xxxxxxxxxx.xxx 000000000 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 7515181935 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5registered for UEI but has not been assigned

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: Spring Branch Community Health Center Xxxxxx Xxxxxxx Legal Name of Contractor Spring Branch Community Health Xxxxxxx Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 21, 2021 Signature of Authorized Representative Date Signed Xxxxxx X. Xxxxxxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO 8/24/2021 Title of Authorized Representative 000 X Xxx Xxxxxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Chief Executive Officer Physical Street Address City, State, Zip Code same same 0000 Xxxx Xxxxx Tyler, Tx 75702 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 P O Box 4730 Tyler, Tx 75712 Phone Number Fax Number mtrujillo@sbchc net 149186624 000 000-0000 000 000-0000 Email Address DUNS Number 00-0000000 13000198705001 xxxxxxxx@xxxxxxxxxxxxx.xxx 182925958 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Payee ID No. – 11 digits 175128141108005 1-75-1281410-8 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5ASSURANCES - 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 (0348-0040), 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: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the 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: Spring Branch Xxxxxxxx Cherokee Community Health Center Enrichment Services Legal Name of Contractor Spring Branch Community Health Center ACCESS Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center XXxxxxxx and Cherokee 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 26, 2021 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed Xxx Xxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Title of Authorized Representative 000 X Xxx 0000 Xxxxxxx Pkwy S Suite 200 Houston,. Xxxxxx Jacksonville, Texas 77042 75766 Physical Street Address City, State, Zip Code same same 0000 Xxxxxxx Xxxxxx Jacksonville, Texas 75766 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 0000000000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxx@xxxxxx-Xxxxxx.xxx 800643157 Email Address DUNS Number 00-0000000 13000198705001 1710015201 17524861204 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Payee ID No. – 11 digits 752486120 17524861204 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5ASSURANCES - 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 (0348-0040), 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: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the 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: Spring Branch Community Health Center Xxxxx Xxxxx, Executive Director Legal Name of Contractor Spring Branch Community Health Sabine Valley Regional MHMR Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center Healthcore 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 1, 2022 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed Inman White Executive Director Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxxxxxx XX Xxxxxxxx, XX, 00000 Physical Street Address City, State, Zip Code same same XX Xxx 0000 Xxxxxxxx, XX, 00000 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 0000000000 0000000000 Phone Number Fax Number mtrujillo@sbchc net 149186624 Xxxxx.xxxxx@xxxxxxxxxxxxxxxxxxx.xxx 069749448 Email Address DUNS Number 00-0000000 13000198705001 175-17240176 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 na na Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5NN8HAE49J9U6 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.0 Published and Effective – 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-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: Spring Branch Community Health Center City of Port Xxxxxx Legal Name of Contractor Spring Branch Community Health Center City of Port Xxxxxx Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center City of Port 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. May 12, 2022 Signature of Authorized Representative Date Signed Xxx Xxxxxx X. Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Xxx X. Xxxxxx 05/11/2022 Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 City Manager Physical Street Address City, State, Zip Code same same 000 Xxxxxx Xxxxxx Port Xxxxxx, TX, 77640 Mailing Address, if different City, State, Zip Code (000-) 000-0000 000-000-0000 Port Xxxxxx, TX, 77640 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxx.xxxxxx@xxxxxxxxxxxx.xxx (000) 000-0000 Email Address DUNS Number 00-0000000 13000198705001 xxx.xxxxxx@xxxxxxxxxxxx.xxx 000000000 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 1-00-0000000-0 17460018850011 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5EMVNEFYW2KN4

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: Spring Branch Community Health Center Xxxxxx Xxxxx Xxxxxx, Interim City Manager, City of Laredo Legal Name of Contractor Spring Branch Community Health Center City of Laredo, Texas Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 11, 2022 Signature of Authorized Representative Date Signed Xxxxxx X. Xxxxxxxx Xxxxx Xxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO 0000 Xxxxxxx Xxxxxx Interim City Manager Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Laredo, TX 78040 Physical Street Address City, State, Zip Code same same N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxx@xx.xxxxxx.xx.xx 618150460 Email Address DUNS Number 00-0000000 13000198705001 17460015732 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 N/A Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5HWX7C56NNUV1

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 Signature Page for HHS Contract Affirmations Authorized representative on behalf of Contractor must complete and sign the following: Spring Branch Community Angelina County & Cities Health Center District Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 12, 2022 Signature of Authorized Representative Date Signed Xxxxxx X. Xxxxxxxx Xxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO 000 Xxxx Xxxxxx Administrator Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Lufkin, Texas 77042 75904 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxx@xxxxx.xx 023169353 Email Address DUNS Number 00-0000000 13000198705001 n/a 000000000 Federal Employer Identification Number Texas Identification Number (TIN) Nn/A 000000000 a n/a Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5SWEKQ6X4UVR8

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: Spring Branch Community Health Center Texas Suicide Prevenkion Co11aborakive Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a D.B.A. or ‘doing business as’) Spring Branch Community Health Center 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 Augusk 27, 2020 Date Signed Xxxx Xxxxxx X. Xxxxxxxx Su11ivan Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Direckor Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 0000 Xxxxxx Xx00x Xxxxx Xxxxxx, XX 00000 Physical Street Address City, State, Zip Code same same X.X.Xxx 341523 Auskin, TX 78738-1523 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 admin§xxxxxxxxxxxxxxxxxxxxxx.xxx 117485241 Email Address DUNS Number 00-0000000 13000198705001 000-0000 32071411311 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Payee ID No. – 11 digits 32071411311 0803375141 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5ATTACHMENT 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 (0348-0040), 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: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the 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: Spring Branch Community Health Center Xxxxx Xxxxxx Legal Name of Contractor Spring Branch Community Health Center Xxxxx Xxxxxx Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center Xxxxx 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. Signature of Authorized Representative g u Xxxxx Xxxxxx X. Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30May 12, 2022 thorized Representative Date Signed CEO Assistant City Manager Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxxxxxx Xxxxxxxx, TX 79101 Physical Street Address City, State, Zip Code same same PO Box 1971 Amarillo, TX 79105 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxx.xxxxxx@xxxxxxxx.xxx 065032807 Email Address DUNS Number 00-0000000 13000198705001 17560004446014 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 17460000890002 17460000890002 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5NV4JC28TLJL6 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.0 Published and Effective – 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-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: Spring Branch Community Health Center Xxxxxxx Living LLC Legal Name of Contractor Spring Branch Community Health Center Xxxxxxx Living LLC Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center Harris 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. August 7, 2022 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed Xxxxx X Xxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Director Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,0000 Xxxxxxxxx Xx Xxxxxxx, XX. Texas 77042 00000 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxx@xxxxxxxxxxxxx.xxx 065852210 Email Address DUNS Number 00-0000000 13000198705001 32060716332 1487107801 Federal Employer Identification Number Texas Identification Number (TIN) N/A 32060716332 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5N/A XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Vendor Version 3.2 Effective: April 2021 Responsible Office: Chief Counsel 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: Spring Branch Community Health Center Xxxxxx Xxxxx Legal Name of Contractor Spring Branch Community Health Center City of Abilene Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 ignature of Authorized Representative Auth Xxxxxx X. Xxxxxxxx Xxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30Xxxxxx Xxxxx October 27, 2022 2021 S orized Representative Date Signed CEO 10/26/2021 Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 City Manager Physical Street Address City, State, Zip Code same same 000 X 0xx Xxxxxx Abilene, TX 79601 Mailing Address, if different City, State, Zip Code P.O Box 60 Abilene, Tx, 79604 Phone Number Fax Number 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 Email Address DUNS Number 00-0000000 13000198705001 xxxxxx.xxxxx@xxxxxxxxx.xxx 081078891 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5Payee ID No. – 11 digits 756000440 17560004404

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: Spring Branch Community Health Center Legal Name of Contractor Spring Branch Community Health Center City of El Paso Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Signature of Authorized Representative R Xxxx Xxxxxxxxx-Xxxxxx X. Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 3018, 2022 2021 epresentative Date Signed CEO Grants Administrator Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Xxxxxxxx Xx Paso, Texas 77042 79901-1402 Physical Street Address City, State, Zip Code same same N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxxxx-xxxxxxx@xxxxxxxxxxx.xxx 058873019 Email Address DUNS Number 00-0000000 13000198705001 17460007499 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Payee ID No. 11 digits 17460007499000 17460007499000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5Electronic Record and Signature Dicclocure created on: 9/14/2020 7:10:18 PM Partiec agreed to: Xxxx Xxxxxxxxx-Xxxxxx, Xxxxx Xxxxxxxxxxx, Xxxxx Xxxxxxxx, Xxxx Xxxx ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, DSHS Contract Management Section (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact DSHS Contract Management Section: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: xxxxxx.xxxxxxxx@xxxx.xxxxx.xx.xx To advise DSHS Contract Management Section of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at xxxxxx.xxxxxxxx@xxxx.xxxxx.xx.xx and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from DSHS Contract Management Section To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to xxxxxx.xxxxxxxx@xxxx.xxxxx.xx.xx and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will xxxx you for any fees at that time, if any. To withdraw your consent with DSHS Contract Management Section To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:

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: Spring Branch Community Health Center CITY OF HOUSTON Legal Name of Contractor Spring Branch Community Health Center N/A Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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. 06/24/2024 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed Xxxxxxx . Xxxxxxxx, X.Ed., MPA Director, Houston Health Department Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Title of Authorized Representative 000 X Xxx 0000 X. Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxxx Xxxxxxx, XX 00000 Physical Street Address City, State, Zip Code same same Same as Above Same as Above Mailing Address, if different City, State, Zip Code (000-) 000-0000 (000-) 000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxx.xxxxxxxx@xxxxxxxxx.xxx 194586517 Email Address DUNS Number 00-0000000 13000198705001 000-0000 7460011640 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 N/A Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5GULQZBMP2SR3

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: Spring Branch Community Tejas Health Center Care Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Tejas Health Center Care 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, 2024 Signature of Authorized Representative Date Signed Xxxxx Xxxxxx X. Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Chief Executive Officer Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,753. E. Xxxxxx Xx Xxxxxx, Texas 77042 78945 Physical Street Address City, State, Zip Code same same 753 E. Xxxxxx Xx Xxxxxx, Texas 78945 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxx@xxxxxxxxxxxxxxx.xxx 808428424 Email Address DUNS Number 00-0000000 13000198705001 753260266 17532602665000 Federal Employer Identification Number Texas Identification Number (TIN) N/A 17532602665000 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5JNA4ED1LFWD5 XXX.xxx Unique Entity Identifier (UEI) 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 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 (0348-0040), 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: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the 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 REMAINDER OF XXXX INTENTIONALLY LEFT BLANK Authorized representative on behalf of Contractor must complete and sign the following: Spring Branch Community Health Center Texas Suicide Prevention Collaborative Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a D.B.A. or ‘doing business as’) Spring Branch Community Health Center 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 August 27, 2020 Date Signed Xxxx Xxxxxx X. Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Director Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 0000 Xxxxxx Xxxxx Xxxxx Xxxxxx, XX 00000 Physical Street Address City, State, Zip Code same same X.X.Xxx 341523 Austin, TX 78738-1523 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxx@xxxxxxxxxxxxxxxxxxxxxx.xxx 117485241 Email Address DUNS Number 00-0000000 13000198705001 000-0000 32071411311 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Payee ID No. – 11 digits 32071411311 0803375141 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5ATTACHMENT 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 (0348-0040), 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: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the 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: Spring Branch Community Health Center Development, Inc. Legal Name of Contractor Spring Branch Community Health Center Development, Inc. Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center Uvalde 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 26, 2022 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed XXXXXX XXXXXXXX Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Chief Executive Officer Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,Xxxxx Xx., Bldg. Texas 77042 A Uvalde, TX 78801 Physical Street Address City, State, Zip Code same same 000 Xxxxx Xx., Bldg. A Uvalde, TX 78801 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxxxx@xxxx0xxxxxx.xxx 123922080 Email Address DUNS Number 00-0000000 13000198705001 742269739 17422697395 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 0065594001 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5NFXBRZFBDQH8

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: Spring Branch Community Health Center Xxx X. Xxxxxxxx Legal Name of Contractor Spring Branch Community Health Center Xxx X. Xxxxxxxx Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 14, 2022 Signature of Authorized Representative Xxxxxx Date Signed Xxx X. Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Independent Contractor Title of Authorized Representative 000 X Xxx 00000 Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxx Xxxxxx, XX 00000 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 NA Phone Number Fax Number mtrujillo@sbchc net 149186624 Xxx.Xxxxxxxx@xxxx.xxxxx.xxx 080525683 Email Address DUNS Number 00-0000000 13000198705001 526768166 70039055184 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 NA NA Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5NA

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: Spring Branch Community Health Center CAMINO REAL COMMUNITY MHMR CENTER Legal Name of Contractor Spring Branch Community Health Center CAMINO REAL COMMUNITY SERVICES Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 5, 2022 Signature of Authorized Representative Xxxxxx X. Date Signed Xxxxxxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO 19965 FM3175 N Executive Director Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 LYTLE, TX 78052 Physical Street Address City, State, Zip Code same same PO BOX 725 LYTLE, TX 78052 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxxx@xxxxxxxxxxxx.xxx 091190004 Email Address DUNS Number 00-0000000 13000198705001 17429517547 Federal Employer Identification Number Texas Identification Number (TIN) N/A 00-0000000 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5QVK5BP6TZSL4 XXX.xxx Unique Entity Identifier (UEI) Attachment D Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.2 Published and 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 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 Signature Page for HHS Contract Affirmations Authorized representative on behalf of Contractor must complete and sign the following: Spring Branch Community Health Healthcare Center Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 6, 2022 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed Xxxxx Xxxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30000 Xxxxxx Xxxxxx Xxxx, 2022 Date Signed Xx., Blvd. CEO Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Wichita Falls, TX 76301 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxxxxx@xxxxx.xxx 958240749 Email Address DUNS Number 00-0000000 13000198705001 17524296443 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 1-000000000-3 1226646-1 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5XKWEAHH9PJP7

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: Spring Branch Community Health Center Xxxxxxx Xxxxxxxxx Legal Name of Contractor Spring Branch Community Health Center Corpus Christi-Nueces County Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 ignature of Authorized Representative Xxxxxx X. Xxxxxxxx Re Xxxxxxx Xxxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30December 16, 2022 2021 S presentative Date Signed CEO Director of Public Health Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxxxxxxx Corpus Christi, TX 78416 Physical Street Address City, State, Zip Code same same 0000 Xxxxx Xx, CC, TX 78416 Corpus Christi, TX 78416 Mailing Address, if different City, State, Zip Code 000-000-0000 Corpus Christi, TX 78416 Phone Number Fax Number Xxxxxxxx@xxxxxxx.xxx 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 Email Address DUNS Number 00-0000000 13000198705001 000000000 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5Payee ID No. – 11 digits 746000574 746000574

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: Spring Branch Community Health Center City of Amarillo Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 A Xxxxx Xxxxxx X. Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 601 S Xxxxxxxx August 3012, 2022 2021 uthorized Representative Date Signed CEO Assistant City Manager/CFO Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Amarillo, TX 79101 Physical Street Address City, State, Zip Code same same PO Box 1971 Amarillo, TX 79105 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxx.xxxxxx@xxxxxxxx.xxx 065032807 Email Address DUNS Number 00-0000000 13000198705001 17560004446 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Payee ID No. – 11 digits 17460000890002 17460000890002 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5ASSURANCES - 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 (0348-0040), 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: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the 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: Spring Branch Community Gulf Bend Mental Health Mental Retardation Center Legal Name of Contractor Spring Branch Community Health Gulf Bend Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center Victoria 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. October 27, 2021 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed Xxxx Xxxxxxx Executive Director Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Title of Authorized Representative 0000 Xxxxxxx Xxxxx Xxxxx 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Victoria Texas 77042 77904 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Xxxxxxx Xxxxx Xxxxx 000 Victoria Texas 77904 Phone Number Fax Number mtrujillo@sbchc net 149186624 0000000000 010545598 Email Address DUNS Number 00-0000000 13000198705001 xxxx0000@xxxxxxxx.xxx 17416590648 Federal Employer Identification Number Texas Identification Number (TIN) Payee ID No. – 11 digits 17416590648 N/A 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5ASSURANCES - 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 (0348-0040), 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: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the 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: Spring Branch Community Health Center Xxxxxx X Xxxxxxxx Legal Name of Contractor Spring Branch Community Health Center North Xxxxxxx County Hospital Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Date Signed Xxxxxx X. X Xxxxxxxx CEO Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Title of Authorized Representative 0000 Xxxxx Xxxxxxx 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxxxxx, XX, 00000 Physical Street Address City, State, Zip Code same same 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 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 Email Address DUNS Number 00-0000000 13000198705001 751306626 175130662600 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 00000000000 00000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5YQJDRRF21EK8 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.0 Published and Effective – 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-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: Spring Branch Community WellCare National Health Center Insurance Company Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center Texas County(s) for Assumed Business Name (d/b/a or ‘doing business as’) Signature of Authorized Representative 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 Xxxxxx 05/27/2022 Date Signed Xxxx X. Xxxxxxxx Xxxxxxx CEO & Plan President Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Title of Authorized Representative 000 X 0000 X. Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxxx Blvd Austin, TX 78741 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code (000-) 000-0000 (000-) 000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 Xxxx.Xxxxxxx@xxxxxxxxxxxxxxxxxx.xxx 00-000-0000 Email Address DUNS Number 00-0000000 13000198705001 00-0000000 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 32067151889 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5Number

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: Spring Branch Community Bell County Public Health Center District Legal Name of Contractor Spring Branch Community Bell County Public Health Center District Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community dba Bell County Public Health Center 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 ignature of Authorized Representative Aut Xxxxx Xxxxxx X. Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30000 Xxxxx 0xx Xxxxxx October 28, 2022 2021 S horized Representative Date Signed CEO Interim Director Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Temple, Texas 77042 76501 Physical Street Address City, State, Zip Code same same PO Box 2149 Temple, Texas 76503 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxx@xxxxxxxxxxxxxxxx.xxx 08387-2259 Email Address DUNS Number 00-0000000 13000198705001 17460003480 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5Payee ID No. – 11 digits NH23IP922616 17460003480

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 Signature Page for HHS Contract Affirmations Authorized representative on behalf of Contractor must complete and sign the following: Spring Branch Community Health Center of Southeast Texas Legal Name of Contractor Spring Branch Community Health Center NA Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center Liberty, Xxxx, San Jacinto, Xxxxxxxxxx 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 7, 2022 Signature of Authorized Representative Date Signed Xxxxxx X. Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO 000 X. Xxxxxxx Xxxxxxx Ave. Executive Director Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Cleveland, Texas 77042 77327 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 xxx 000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxxxx@xxxxx.xxx 360978642 Email Address DUNS Number 00-0000000 13000198705001 15625085012000 Federal Employer Identification Number Texas Identification Number (TIN) N/A EXEMPT 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5JWYLABJDCFZ1

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: Spring Branch Community Health Center Xxxxx Xx00xxxxx0 Legal Name of Contractor Spring Branch Community Health Center Wor1dWide Inkerprekers, Inc Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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. Augusk 27, 2021 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed Xxxxx Xx00xxxx0 Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Xxxxx X Xx00xxxxx0 Presidenk Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Presidenk Physical Street Address City, State, Zip Code same same 0000 Xxxxx Xxxx Xxxxx, Xxxxx C245 Houskon, TX 77058 Mailing Address, if different City, State, Zip Code 0000 Xxxxx Xxxx Xxxxx, Xxxxx X000 Xxxxxxx, XX 00000 Phone Number Fax Number 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 Email Address DUNS Number 00-0000000 13000198705001 suppork§x-xxx.xxx 079557638 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Payee ID No. – 11 digits 00-0000000 17605752827 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5Health and Human Services (HHS) Uniform Terms and Conditions - Vendor Version 3.2 Effective: April 2021 Responsible Office: Chief Counsel 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: Spring Branch Compass Community Health Center Care Inc. Legal Name of Contractor Spring Branch Community Health Center N/A Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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. August 12, 2022 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed GODDEY XXX XXXXX Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO 08/12/2022 Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 0000 XXX XX XXXX XXXXX XXXXX 00000 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 0000000000 0000000000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxx@xxxxxxxxxxxxxxxxxxxxxxx.xxx 080318339 Email Address DUNS Number 00-0000000 13000198705001 32059382278 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 32059382278 0802373261 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5SNYCKDUHWNC3 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Vendor Version 3.2 Effective: April 2021 Responsible Office: Chief Counsel 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: Spring Branch Community The Xxxxxx Center for Mental Health Center and IDD Legal Name of Contractor Spring Branch Community Health Center N/A Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Xxxxxx X. Xxxxxxxx Xxxxx Xxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30November 9, 2022 2021 Signature of Authorized Representative Date Signed CEO Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 0000 Xxxxxxxxx Xxxxxxx, Xxxxxxx, Xx 00000 CEO Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxx.xxxxx@xxxxxxxxxxxxxxx.xxx 020800595 Email Address DUNS Number 00-0000000 13000198705001 000000000 Federal Employer Identification Number Texas Identification Number (TIN) Payee ID No. – 11 digits N/A 000000000 N/A Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5ASSURANCES - 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 (0348-0040), 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: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the 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: Spring Branch Community Devoted Health Center Plan of Texas, Inc. Legal Name of Contractor Spring Branch Community Health Center N/A Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Date Signed Xxxxxx X. Xxxxxxxx President Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Title of Authorized Representative 00000 Xxxxx Xxxxxxx 000, Xxxxx 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxxxxx, XX 00000 Physical Street Address City, State, Zip Code same same 000 Xxxxxxxx Xxxxxx Xxxxxxx, XX, 00000 Mailing Address, if different City, State, Zip Code (000-) 000-0000 (000-) 000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 XXxxxxxxx@xxxxxxx.xxx 00-000-0000 Email Address DUNS Number 00-0000000 13000198705001 32076223471 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 0803071730 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5N/A XXX.xxx Unique Entity Identifier (UEI) 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 (0348-0040), 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: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the 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: Spring Branch Community Health Center Xxxxx Xxxxxxx Legal Name of Contractor Spring Branch Community Health Center East Texas Border health Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center dba Genesis PrimeCare 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 16, 2022 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed Xxxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 X. Xxxxx Xxxxxxxx, XX 00000 Physical Street Address City, State, Zip Code same same PO Box 1326 Marshall, TX 75671 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Xxxxx.Xxxxxxx@xxxxxxxxxxxxxxxx.xxx 0000000000 Phone Number Fax Number mtrujillo@sbchc net 149186624 0000000000 603868360 Email Address DUNS Number 00-0000000 13000198705001 5038912 5038912 Federal Employer Identification Number Texas Identification Number (TIN) N/A 1305389123 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5xlldxr5196j7 XXX.xxx Unique Entity Identifier (UEI) y DocuSign Envelope ID: 064408E6-1ED0-4EC5-98E6-CDEDEDB74E26 r Incubator Program – Open Enrollment No. 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: Spring Branch Community Health Center Xxxxxxx Xxxxxxxxx Xxxxxxxxxx Legal Name of Contractor Spring Branch Community Health Center Xxxxxxx Xxxxxxxxx Xxxxxxxxxx Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center Xxxxxxxxxx, LLC 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 15, 2022 Signature of Authorized Representative Xxxxxx Date Signed Xxxxxxx X. Xxxxxxxx Xxxxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO 0000 XXXXXXXX XXXXX Administrator Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 GRAND PRAIRIE, TX 75054 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxxxxxxxxxxxxxx@xxxxxxxxxxxxx.xx 079259832 Email Address DUNS Number 00-0000000 13000198705001 18109753626 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 32058528285 0802310510 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5T8C9GKHLYD33 XXX.xxx Unique Entity Identifier (UEI) Health and Human Services (HHS) Uniform Terms and Conditions - Vendor Version 3.2 Effective: April 2021 Responsible Office: Chief Counsel 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: Spring Branch Community Health Center Orange, County of Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Aut Xxxx Xxxxxx X. Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 000 X. 0xx Xxxxxx August 3024, 2022 2021 horized Representative Date Signed CEO County Judge Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Orange, Texas 77042 77630 Physical Street Address City, State, Zip Code same same 000 X. 0xx Xxxxxx Xxxxxx, Xxxxx 00000 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxx@xx.xxxxxx.xx.xx 001209753 Email Address DUNS Number 00-0000000 13000198705001 746001826 17460018264 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Payee ID No. – 11 digits 17460018264 17460018264 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5ASSURANCES - 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 (0348-0040), 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: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the 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 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: Spring Branch Community Health Center Texas A&M AgriLife Extension Services Legal Name of Contractor Spring Branch Community Health Center n/a Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Xxxxxx X. Xxxxxxxx Date Signed July 29, 2023 Xxxxx Xxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30Associate Director, 2022 Date Signed CEO TAMU SRS Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Xxxxxx Xxxxxxxx Parkway, Suite 200 Houston,. Texas 77042 300 College Station, TX 77845-4375 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxx@xxxx.xxx 00-000-0000 Email Address DUNS Number 00-0000000 13000198705001 35555555552 Federal Employer Identification Number Texas Identification Number (TIN) Nn/A 000000000 a n/a Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5DM2CDWR8LAG3 XXX.xxx Unique Entity Identifier (UEI) Attachment D Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.2 Published and 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 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: Spring Branch Bluebonnet Trails Community Health MHMR Center d/b/a Bluebonnet Trails Community Services Legal Name of Contractor Spring Branch Bluebonnet Trails Community Health Center Services Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center Xxxxxxxxxx, Xxxxxxxxx, Xxxxxxx, Xxxxxx, Xxxxxxxx, Xxxxxxx, Xxxxxxxx and 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 Date Signed Xxxxxx X. Xxxxxxxx Xxxxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Executive Director Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 0000 X. Xxxxxxxxxx Xxxxxx Xxxxx Xxxx, Xxxxx 00000-3289 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxx.xxxxxxxxxx@xxxxxxxx.xxx 965803432 Email Address DUNS Number 00-0000000 13000198705001 1742795332000 000000000 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5L7N9JCJ5HCX1 XXX.xxx Unique Entity Identifier (UEI) Attachment D Health and Human Services (HHS) Uniform Terms and Conditions - Grant Version 3.1 Published and Effective – 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-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: Spring Branch Community East Texas Border Health Center Clinic dba Genesis PrimeCare Legal Name of Contractor Spring Branch Community Health Center Respondent Genesis PrimeCare Assumed Business Name of ContractorRespondent, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Xxxxxx X. Xxxxxxxx Date Signed Xxxxx Xxxxxxx Chief Executive Officer Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,Xxxxx Xxxxx Xxxx. Marshall, Texas 77042 75670-4260 Physical Street Address City, State, Zip Code same same PO Box 1326 Marshall, TX 75671 Mailing Address, if different City, State, Zip Code (000-) 000-0000 (000-) 000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxx.xxxxxxx@xxxxxxxxxxxxxxxx.xxx 60868360 Email Address DUNS Number 00-0000000 13000198705001 30538912 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5XLLDXR5196J7 XXX.xxx Unique Entity Identifier (UEI) 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 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 (0348-0040), 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: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the 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: Spring Branch Community Health Center Deep East Texas Council of Governments Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 9, 2022 Signature of Authorized Representative Xxxxxx X. Date Signed Xxxxx Xxxxxxxx March 9, 2022 Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 0000 Xxxxx Xxxxx Lufkin, TX 75904-1929 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 Phone Number Fax Number xxxxxxxxxx@xxxxxx.xxx 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 Email Address DUNS Number 00-0000000 13000198705001 000000000 Federal Employer Identification Number Texas Identification Number (TIN) Nn/A 000000000 a n/a Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5EVLDLB7MJ8D9

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: Spring Branch Community Williamson County and Cities Health Center District Legal Name of Contractor Spring Branch Community Health Center N/A Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 19, 2022 Signature of Authorized Representative Xxxxxx X. Date Signed Xxxxxxxx Xxxxx Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO 000 Xxxxx Xxxxxx Executive Director Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Round Rock, TX 78664 Physical Street Address City, State, Zip Code same same N/A N/A Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 0000000000 0000000000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxxx.xxxxxxx@xxxxx.xxx 179403910 Email Address DUNS Number 00-0000000 13000198705001 17428969061 17428969061 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 N/A Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5N/A

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: Spring Branch Community Texas Tech University Health Sciences Center Legal Name of Contractor Spring Branch Community Texas Tech University Health Sciences Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Texas Tech University Health Sciences Center 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 28, 2024 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed Xxxx Xxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO AVP for Sponsored Programs Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 0000 0xx Xxxxxx Lubbock, TX 79430 Physical Street Address City, State, Zip Code same same 0000 0xx Xxxxxx Lubbock, TX 79430 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 NA Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxxxxxxxxxxxx@xxxxxx.xxx 609980727 Email Address DUNS Number 00-0000000 13000198705001 37397397391007 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 NA NA Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5E4Z2NUYUMHF9 XXX.xxx Unique Entity Identifier (UEI) ASSURANCES - CONSTRUCTION PROGRAMS OMB Number: 4040-0009 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 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 (0348-0042), 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: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the Awarding Agency. Further, certain Federal assistance awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant:, I certify that the 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: Spring Branch Community Health Center Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 Email Address DUNS Number 00-0000000 13000198705001 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 Payee ID No. – 11 digits Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5Certificate Of Completion Envelope Id: B7915258DF92448989481EA52346E145 Status: Sent Subject: HHS001074700001, Collin County HCS, Base Contract Source Envelope: Document Pages: 62 Signatures: 0 Envelope Originator: Certificate Pages: 6 Initials: 0 CMS Internal Routing Mailbox AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) 00000 Xxxxxx Xxxxx Xxxx #000 Reston, VA 20190 XXX.XxxxxxxxXxxxxxx@xxxx.xxxxx.xxx IP Address: 160.42.85.9 Record Tracking Status: Original 7/30/2021 8:36:42 AM Holder: CMS Internal Routing Mailbox XXX.XxxxxxxxXxxxxxx@xxxx.xxxxx.xxx Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxx XXXXX@XX.XXXXXX.XX.XX County Judge Collin County Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxx Xxxx XXXXX@XX.XXXXXX.XX.XX County Judge Collin County Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxx Xxxxxxxxxxx xxxxx.xxxxxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 7/30/2021 2:59:21 PM ID: 9a50a71a-8ec2-438f-a748-369d41aebe51 Xxxxx Xxxxxxxx Xxxxx.Xxxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 8/4/2021 7:18:32 AM ID: 3e551597-07bf-4af4-9c03-fe75ae8f8a2d Xxxx Xxxxxx Xxxx.Xxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 8/4/2021 11:33:46 AM Sent: 7/30/2021 9:07:55 AM Resent: 8/2/2021 10:04:52 AM Xxxxxx Xxxxxx Xxxxxx.Xxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Kirk Cole Xxxx.Xxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 7/16/2021 10:23:16 AM ID: e8bc5df6-0571-4761-8d83-af9fe1c7214a In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Xxxxxx Xxxxxx XXXXXXX@XX.XXXXXX.XX.XX Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign CMS Internal Routing Mailbox XXX.XxxxxxxxXxxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxxxxx Xxxxx Xxxxxxxx.Xxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Xxxxxxx Xxxxxx Xxxxxxx.Xxxxxx@xxxx.xxxxx.xxx Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 8/4/2021 11:33:47 AM Viewed: 8/4/2021 11:36:18 AM Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 7/30/2021 9:07:55 AM Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 9/14/2020 7:10:18 PM Parties agreed to: Xxxxx Xxxxxxxxxxx, Xxxxx Xxxxxxxx, Xxxx Xxxx ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, DSHS Contract Management Section (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact DSHS Contract Management Section: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: xxxxxx.xxxxxxxx@xxxx.xxxxx.xx.xx To advise DSHS Contract Management Section of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at xxxxxx.xxxxxxxx@xxxx.xxxxx.xx.xx and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from DSHS Contract Management Section To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to xxxxxx.xxxxxxxx@xxxx.xxxxx.xx.xx and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with DSHS Contract Management Section To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:

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: Spring Branch Community Xxxxxx-Xxxxxx County Mental Health and Mental Retardation Center Legal Name of Contractor Spring Branch Community Health Center Integral Care Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 1, 2021 Signature of Authorized Representative Xxxxxx X. Xxxxxxxx Date Signed Xxxxx Xxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Title of Authorized Representative 000 X Xxx 0000 Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 Xxxxxx Austin, TX 78704-2911 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxx.xxxxx@xxxxxxxxxxxx.xxx 5078496213 Email Address DUNS Number 00-0000000 13000198705001 741547909 17415479090 Federal Employer Identification Number Texas Identification Number (TIN) Payee ID No. – 11 digits N/A 000000000 N/A Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5Health and Human Services (HHS) Additional Provisions – Grant Funding Version 1.0 Effective: February 2021 Health and Human Services Additional Provisions V.1.0 – Grant Funding Effective: February 2021 TABLE OF CONTENTS 1. TURNOVER PLAN 3 2. TURNOVER ASSISTANCE 3 3. TRADEMARK LICENSE 3 4. TRADEMARK OWNERSHIP 4 5. ELECTRICAL ITEMS 4 6. DISASTER SERVICES 4 7. NOTICE OF A LICENSE ACTION 4 8. EDUCATION TO PERSONS IN RESIDENTIAL FACILITIES 5 9. CONSENT TO MEDICAL, DENTAL, PSYCHOLOGICAL, AND SURGICAL TREATMENT OF A CHILD 5 10. TELEMEDICINE/TELEHEALTH SERVICES 5 11. SERVICES AND INFORMATION FOR PERSONS WITH LIMITED ENGLISH PROFICIENCY 5 12. THIRD PARTY PAYORS 6 13. HIV/AIDS MODEL WORKPLACE GUIDELINES 6 14. MEDICAL RECORDS RETENTION 6 15. INTERIM EXTENSION AMENDMENT 7 16. PROJECT COMMENCEMENT 7 17. DUPLICATION OF FUNDING 8 18. DISCLOSURE PROTECTIONS FOR CERTAIN CHARITABLE ORGANIZATIONS, CHARITABLE TRUSTS, AND PRIVE FOUNDATIONS 8 Health and Human Services Additional Provisions V.1.0 – Grant Funding Effective: February 2021 ADDITIONAL PROVISIONS The terms and conditions of these Additional Provisions are incorporated into and made a part of the Grant Contract. Terms included in these Additional Provisions and not otherwise defined have the meanings assigned to them in HHS Uniform Terms and Conditions, Attachment C.

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: Spring Branch Community Wellcare National Health Center Insurance Company Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Xxxxxx Date Signed Xxxx X. Xxxxxxxx Xxxxxxx CEO & Plan President Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Title of Authorized Representative 000 X 0000 X. Xxx Xxxxxxx Pkwy S Suite 200 Houston,Xxxxx Blvd. Texas 77042 Austin, TX 78741 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code (000-) 000-0000 (000-) 000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 Xxxx.Xxxxxxx@xxxxxxxxxxxxxxxxxx.xxx 00-000-0000 Email Address DUNS Number 00-0000000 13000198705001 18251270965 Federal Employer Identification Number Texas Identification Number (TIN) 32067151889 N/A 000000000 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB500-000-0000 XXX.xxx Unique Entity Identifier (UEI) April 6, 2023

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: Spring Branch Community Health Center Brazoria County Legal Name of Contractor Spring Branch Community Brazoria County Health Center Department Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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. April 9, 2024 Signature of Authorized Representative Xxxxxx Date Signed X. Xxxxxxxx X. “Xxxx” Xxxxxxx, Xx. Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO Brazoria County Judge Title of Authorized Representative 000 X X. Xxxxxx, Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 000 Xxxxxxxx, Xxxxx 00000 Physical Street Address City, State, Zip Code same same Same Angleton, Texas 77515 Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 Xxxxx@xxxxxxxxxxxxxxxx.xxx 040341430 Email Address DUNS Number 00-0000000 13000198705001 17460000445 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 17460000445 17460000445 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5N1GLHP8EWHD9 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: Spring Branch Community Health Center Xxxx Xxxxxxx Legal Name of Contractor Spring Branch Community Health Center Covenant Rehabilitation Hospital of Lubbock LLC Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center Trustpoint Rehabilitation Hospital of Lubbock 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 Xxxxxx X. Xxxxxxxx Date Signed Xxxx X Xxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name August 30, 2022 Date Signed CEO CFO Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. Texas 77042 0000 Xxxxxxxxx Xxxxxx Xxxxxxx, XX 00000 Physical Street Address City, State, Zip Code same same Mailing Address, if different City, State, Zip Code 000-000-0000 000-000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxxxx@xxxxx.xxx N/A Email Address DUNS Number 00-0000000 13000198705001 32057451141 Federal Employer Identification Number Texas Identification Number (TIN) N/A 000000000 n/A Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5N/A

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: Spring Branch Community Health Center Comal County Legal Name of Contractor Spring Branch Community Health Center Assumed Business Name of Contractor, if applicable (d/b/a or ‘doing business as’) Spring Branch Community Health Center 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 Repre Xxxxxxx Xxxxxx X. Xxxxxxxx Printed Name of Authorized Representative First, Middle Name or Initial, and Last Name 000 Xxxx Xxxxx August 3026, 2022 2021 sentative Date Signed CEO County Judge Title of Authorized Representative 000 X Xxx Xxxxxxx Pkwy S Suite 200 Houston,. New Braunfels, Texas 77042 78130 Physical Street Address City, State, Zip Code same same 000 X. Xxxxxx Avenue New Braunfels, Texas 78130 Mailing Address, if different City, State, Zip Code 000-000(000)000-0000 000-000(000)000-0000 Phone Number Fax Number mtrujillo@sbchc net 149186624 xxxxxx@xx.xxxxx.xx.xx 098824758 Email Address DUNS Number 00-0000000 13000198705001 1-74-60011775-3 Federal Employer Identification Number Texas Identification Number (TIN) NPayee ID No. – 11 digits n/A 000000000 a 023 Texas Franchise Tax Number Texas Secretary of State Filing Number GC39A5DJYCB5ASSURANCES - 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 (0348-0040), 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: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the applicant: