ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): B08TI083054-01 Federal Award Date: 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is Xxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700190 HEALTH AND HUMAN SERVICES COMMISSION CENTER FOR HEALTH CARE SERVICES, BEXAR CO. MHMR By: By: Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Date of execution: July 28, 2020 Xxxxxxx XxXxxxx Xxxxxx President/CEO Date of execution: July 28, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700190 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT GOV’T ENTITY VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A: STATEMENT OF WORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment plann...
ADDITIONAL GRANT INFORMATION. A. Grantee Data Universal Numbering System (DUNS) Number: 806781373
ADDITIONAL GRANT INFORMATION. DSHS Data Universal Numbering System (DUNS) Number: 807391511 Federal Award Identification Number (XXXX): NU50CK000501 Catalog of Federal Domestic Assistance (CFDA) Name and Number (list all that apply): Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) – 93.323 Federal Award Date: April 23, 2020 Name of Federal Awarding Agency: Centers for Disease Control and Prevention Awarding Official Contact Information: Xxxxxxx Xxxxxxxx-Xxxx, Grants Management Officer 0000 Xxxxxxx Xxxx – Mailstop TV2 Atlanta, GA 00000-0000 Phone: 000-000-0000 SIGNATURE PAGE FOLLOWS SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000812700039 SYSTEM AGENCY GRANTEE Signature Printed Name: Xxxxxxxx Xxxx Printed Name: Signature Emi1y Everekke Title: _Deputy Commissioner Title: Program Direckor Date of Execution: September 3, 2020 Date of Execution: Augusk 31, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000812700039 ARE INCORPORATED BY REFERENCE: ATTACHMENT A - STATEMENT OF WORK ATTACHMENT B - BUDGET ATTACHMENT C - UNIFORM TERMS AND CONDITIONS - GRANT ATTACHMENT D - SUPPLEMENTAL AND SPECIAL CONDITIONS ATTACHMENT E - FEDERAL ASSURANCES NON-CONSTRUCTION ATTACHMENT F - CERTIFICATION REGARDING LOBBYING ATTACHMENT G - FFATA ATTACHMENT H - HHS DATA USE AGREEMENT ATTACHMENT I - SECURITY AND PRIVACY INQUIRY (SPI) ATTACHMENTS FOLLOW ATTACHMENT A STATEMENT OF WORK I. GRANTEE RESPONSIBILITIES Grantee will:
ADDITIONAL GRANT INFORMATION. In accordance with 2 CFR 200.331(A), if any of the following information is not available at time of contract execution, then it will be provided to the Grantee by a Technical Guidance Letter. Federal Award Identification Number (XXXX): NU90TP922165 Federal Award Date: 5/20/2021 Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Federal, 93.354 Awarding Official Contact Information: Xx. Xxxxxx Xxxxxx, 000-000-0000, xxx0@xxx.xxx DUNS: 807391511 Signature Page for System Agency Contract No. HHS001077900001 The Department of State Health Services City of Amarillo g Signature Xxxx Xxxx Xxxxx Xxxxxxxx Printed Name Printed Name Deputy Commissioner Deputy City Manager Title Title August 19, 2021 August 4, 2021 Date Date THE FOLLOWING ATTACHMENTS TO THIS CONTRACT ARE HEREBY INCORPORATED BY REFERENCE AND MADE PART OF THIS CONTRACT: Attachment A – Statement of Work Attachment B – Budget Attachment C – Fiscal Federal Accountability and Transparency Act (FFATA) Certificate Attachment D – HHS Uniform Terms and Conditions – Governmental Entity, Version 3.0 Attachment E – Data Use Agreement Attachment F – Federal Assurances and Certifications Attachment G – Contract Affirmations 1.8 ATTACHMENT A STATEMENT OF WORK COVID-19 – Public Health Workforce Expansion
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): B08TI08354-01 Federal Award Date: 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is Xxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR HHSC CONTRACT NO. HHS000663700245 HEALTH AND HUMAN SERVICES COMMISSION ALIVIANE, INC. Xxxxx Ita Associate Commissioner Date of execution: _July 20, 2020 Xxxxxx Xxxxx Name: Title: Xxxxxx Xxxxx Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO HHSC CONTRACT NO. HHS000663700245 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A: STATEMENT OF WORK TREATMENT FOR YOUTH SECTION I: PURPOSE
ADDITIONAL GRANT INFORMATION. System Agency Data Universal Numbering System (DUNS) Number: 807391511 Federal Award Identification Number (XXXX): NH75OT000045 Assistance Listing Name and Number: Activities to Support State, Tribal, Local and Territorial (STLT) Health Department Response to Public Health or Healthcare Crises; 93.391 Federal Award Date: May 26, 2021 Federal Award Project Period through May 31, 2023 Name of Federal Awarding Agency: Centers for Disease Control and Prevention Awarding Official Contact Information: Xx. Xxxxxxxxx Xxxxx Email: xxx0@xxx.xxx Signature Page Follows Signature Page for System Agency Contract No. HHS001057600019 System Agency Grantee Signature Printed Name: Title: Date of Execution: Signature Printed Name: Title: Date of Execution: The following Attachments to System Agency Contract No. HHS001057600019 are incorporated by reference: Attachment A: Statement of Work Attachment B: Budget Attachment C: HHS Uniform Terms and Conditions - Grant Attachment D: HHS Contract Affirmations Attachment E: Federal Assurances and Certifications Attachment F: FFATA Form Attachments Follow ATTACHMENT A: STATEMENT OF WORK I. GRANTEE RESPONSIBILITIES To ensure community engagement in targeted communities disproportionately impacted by COVID-19 and the building of sustainable relationships in those targeted communities, Grantee will conduct the following activities:
ADDITIONAL GRANT INFORMATION. In accordance with 2 CFR 200.332(A), any of the following information that is not available at time of Contract execution will be provided via email once available. Federal Award Identification Number (XXXX): To be determined Federal Award Date: To be determined Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: 93.116 – Tuberculosis Elimination and Laboratory Cooperative Agreement – Prevention & Control Awarding Official Contact Information: To be determined DUNS: 081078891
ADDITIONAL GRANT INFORMATION. A. Federal Award Identification Number (XXXX): B08TI083545
ADDITIONAL GRANT INFORMATION. In accordance with 2 CFR 200.331(A), if any of the following information is not available at time of contract execution, then it will be provided to the Grantee by a Technical Guidance Letter. Federal Award Identification Number (XXXX): NU90TP922165 Federal Award Date: 5/20/2021 Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Federal, 93.354 Awarding Official Contact Information: Xx. Xxxxxx Xxxxxx, 000-000-0000, xxx0@xxx.xxx DUNS: 807391511 SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS001074700001 THE DEPARTMENT OF STATE HEALTH SERVICES COLLIN COUNTY Signature Signature Printed Name Printed Name Title Title Date Date THE FOLLOWING ATTACHMENTS TO THIS CONTRACT ARE HEREBY INCORPORATED BY REFERENCE AND MADE PART OF THIS CONTRACT: ATTACHMENT A – STATEMENT OF WORK ATTACHMENT B – BUDGET ATTACHMENT C – FISCAL FEDERAL ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) CERTIFICATE ATTACHMENT D – HHS UNIFORM TERMS AND CONDITIONS – GOVERNMENTAL ENTITY, VERSION 3.0 ATTACHMENT E – DATA USE AGREEMENT ATTACHMENT F – FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G – CONTRACT AFFIRMATIONS 1.8 ATTACHMENT A STATEMENT OF WORK COVID-19 – Public Health Workforce Expansion
ADDITIONAL GRANT INFORMATION. A. Grantee Data Universal Numbering System (DUNS) Number: 00-000-0000 B. Catalog of Federal Domestic Assistance (CFDA) Name and Number: • Name - Number: 10-557 Special Supplemental Nutrition Program for Women, Infants & Children (FOOD, ADMIN and PEER) • Name - Number: 10-561 Supplemental Nutrition Assistance Program
