Common use of STATEMENT OF WORK SUPPLEMENTAL Clause in Contracts

STATEMENT OF WORK SUPPLEMENTAL. CONTRACT INFORMATION Vendor ID: 17606184541 Grantee Name: First Class Group, Inc. Contract Number: HHS000663700096 Contract Type Treatment Payment Method: Fee-for-Service Solicitation Document: Health and Human Services Commission RFA# HHS0006637, Substance Use Disorder Treatment, posted on the Electronic State Business Daily (ESBD) on February 7, 2020

STATEMENT OF WORK SUPPLEMENTAL. CONTRACT INFORMATION Vendor ID: 17606184541 17606040339 Grantee Name: First Class GroupCenter for Success and Independence, Inc. Contract Number: HHS000663700096 HHS000663700097 Contract Type Treatment Payment Method: Fee-for-Service DUNS Number: 108319547 Federal Award Identification Number (XXXX) B08TI083054-01 Solicitation Document: Health and Human Services Commission RFA# HHS0006637, Substance Use Disorder Treatment, posted on the Electronic State Business Daily (ESBD) on February 7, 2020

STATEMENT OF WORK SUPPLEMENTAL. CONTRACT INFORMATION Vendor ID: 17606184541 17525390146 Grantee Name: First Class GroupABODE Treatment, Inc. Contract Number: HHS000663700096 HHS000663700108 Contract Type Treatment Payment Method: Fee-for-Service DUNS Number: 876548462 Federal Award Identification Number (XXXX) B08TI083054-01 Solicitation Document: Health and Human Services Commission RFA# HHS0006637, Substance Use Disorder Treatment, posted on the Electronic State Business Daily (ESBD) on February 7, 2020

STATEMENT OF WORK SUPPLEMENTAL. CONTRACT INFORMATION Vendor ID: 17606184541 17428864312 Grantee Name: First Class GroupXxxxxxx Xxxxxx, Inc. Contract Number: HHS000663700096 HHS000663700043 Contract Type Treatment Payment Method: Fee-for-Service DUNS Number: 21886520 Federal Award Identification Number (XXXX) B08TI083054-01 Solicitation Document: Health and Human Services Commission RFA# HHS0006637, Substance Use Disorder Treatment, posted on the Electronic State Business Daily (ESBD) on February 7, 2020

STATEMENT OF WORK SUPPLEMENTAL. CONTRACT INFORMATION Vendor ID: 17606184541 26772808 Grantee Name: First Class GroupAddiction Services, Inc. LLC Contract Number: HHS000663700096 HHS000663700194 Contract Type Treatment Payment Method: Fee-for-Service Solicitation Document: Health and Human Services Commission RFA# HHS0006637, Substance Use Disorder Treatment, posted on the Electronic State Business Daily (ESBD) on February 7, 2020

STATEMENT OF WORK SUPPLEMENTAL. CONTRACT INFORMATION Vendor ID: 17606184541 17416814857 Grantee Name: First Class GroupXxxxxxxx, Inc. Contract Number: HHS000663700096 HHS000663700245 Contract Type Treatment Payment Method: Fee-for-Service DUNS Number: 176733948 Federal Award Identification Number (XXXX) B08TI083054-01 Solicitation Document: Health and Human Services Commission RFA# HHS0006637, Substance Use Disorder Treatment, posted on the Electronic State Business Daily (ESBD) on February 7, 2020

STATEMENT OF WORK SUPPLEMENTAL. CONTRACT INFORMATION Vendor ID: 17606184541 17601604162 Grantee Name: First Class GroupThe Turning Point, Inc. Contract Number: HHS000663700096 HHS000663700008 Contract Type Treatment Payment Method: Fee-for-Service DUNS Number: 618900054 Federal Award Identification Number (XXXX) B08TI083054-01 Solicitation Document: Health and Human Services Commission RFA# HHS0006637, Substance Use Disorder Treatment, posted on the Electronic State Business Daily (ESBD) on February 7, 2020

STATEMENT OF WORK SUPPLEMENTAL. CONTRACT INFORMATION Vendor ID: 17606184541 1742127841 Grantee Name: First Class GroupHomeward Bound, Inc. Contract Number: HHS000663700096 HHS000663700265 Contract Type Treatment Payment Method: Fee-for-Service DUNS Number: 788403020 Federal Award Identification Number (XXXX) B08TI083054-01 Solicitation Document: Health and Human Services Commission RFA# HHS0006637, Substance Use Disorder Treatment, posted on the Electronic State Business Daily (ESBD) on February 7, 2020

STATEMENT OF WORK SUPPLEMENTAL. CONTRACT INFORMATION Vendor ID: 17606184541 17601604162 Grantee Name: First Class GroupThe Turning Point, Inc. Contract Number: HHS000663700096 HHS000663700099 Contract Type Treatment Payment Method: Fee-for-Service DUNS Number: 618900054 Federal Award Identification Number (XXXX) B08TI083054-01 Solicitation Document: Health and Human Services Commission RFA# HHS0006637, Substance Use Disorder Treatment, posted on the Electronic State Business Daily (ESBD) on February 7, 2020