Common use of ADDITIONAL GRANT INFORMATION Clause in Contracts

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. 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 HHS001077600001 _ The Department of State Health Services City of Amarillo g Signature Xxxx Xxxx Xxxxx Xxxxxxxx Printed Name Printed Name Deputy San Patricio County PDarivnitdedGNruabmere JPurdingteedDaNvaimd eKrebs TAistsleociate Commissioner Deputy City Manager Title Title August 19for RLHS TCiotluenty Judge SDeaptteember 1, 2021 August DAuagtuest 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. 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 HHS001075300001 The Department of State Health Services City of Amarillo Garland health Department Signature _ g Signature Xxxx Xxxx Xxxxx Xxxxxxxx Xxxxxx Printed Name Printed Name Deputy Commissioner Deputy City Manager Director of Health Title Title August 19September 16, 2021 August 4September 16, 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. 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 HHS001077000001 The Department of State Health Services City of Amarillo g Harris County Public Health Services _ _ Signature Signature Xxxx Xxxx Xxxxx Xxxxxxxx Judge Xxxx Xxxxxxx Printed Name Printed Name Deputy Commissioner Deputy City Manager County Judge Title Title August 1926, 2021 August 425, 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. 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 HHS001075600001 The Department of State Health Services City of Amarillo Xxxxx-Xxxxx County Health District g Signature g Xxxxx Xxxxxx Xxxx Xxxx Xxxxx Xxxxxxxx Xxxxxxxxxx Printed Name Printed Name Deputy Associate Commissioner Deputy City Manager for RLHS Executive Director Title Title August 1912, 2021 August 42, 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. 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 HHS001076300001 The Department of State Health Services City of Amarillo Harlingen _ _ g Signature Xxxx Xxxx Xxxxx Xxxxxxxx Xxxxxx Xxx Xxxxx Printed Name Printed Name Deputy Associate Commissioner Deputy City Manager for RLHS Harlingen Title Title August 19September 8, 2021 August 4September 8, 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. 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 HHS001075400001 The Department of State Health Services City of Amarillo g Xxxxxxxx Xxxxxxxx County Health District _ Signature Xxxx Xxxx Signature Xxxxx Xxxxxx Xxxxxxxx Xxxxxxx Printed Name Printed Name Deputy Associate Commissioner Deputy City Manager for RLHS Executive Director Title Title August 1912, 2021 August 42, 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. 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 HHS001084500001 The Department of State Health Services City of Amarillo g Fort Bend County Health & Human Services Signature Xxxx Xxxx Xxxxx Xxxxxxxx Signature XX Xxxxxx Printed Name Printed Name Deputy Commissioner Deputy City Manager County Judge 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. 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 HHS001075600002 The Department of State Health Services City of Amarillo g Xxxxxxxxxx County Public Health District _____________________ ______________________ Signature Xxxx Xxxx Signature Xxxxx Xxxxxxxx Xxxxxx Xxxxx Xxxxxxx, CEO Printed Name Printed Name Deputy Associate Commissioner Deputy City Manager for RLHS Executive Director Title Title August 19September 9, 2021 August 4September 8, 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. 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 HH001082900001 The Department of State Health Services Waco-McLennan County Public Health District by and through the City of Amarillo g Waco _ Signature Signature Xxxx Xxxx Xxxxx Xxxxxxxx Xxxxxx Xxxxxxx Printed Name Printed Name Deputy Commissioner Deputy City Manager Title Title August 19September 27, 2021 August 4September 23, 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. 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 HHS001077800001 The Department of State Health Services City of Amarillo g Corpus Christi-Nueces County Public Health District (County) Signature Xxxx Xxxx Xxxxx Xxxxxxxx Xxxxxx SignatureAnnette Xxxxxxxxx MPH Printed Name Printed Name Deputy Associate Commissioner Deputy City Manager Title Title August 19for RLHS Health Director TitleSeptember 9, 2021 August 4TitleSeptember 8, 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. 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 HHS001077700001 The Department of State Health Services City of Amarillo g Victoria County Public Health Department _________________________ ______________________ Signature Xxxx Xxxx Signature Xxxxx Xxxxxxxx Xxxxxx Xxx Xxxxxx, County Judge Printed Name Printed Name Deputy Associate Commissioner Deputy City Manager for RLHS Victoria County Judge Title Title August 19September 1, 2021 August 425, 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. 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 HHS001075700001 The Department of State Health Services City of Amarillo g Wichita Falls - Wichita County Public Health District _________________ Signature Signature Xxxx Xxxx Xxxxx Xxx Xxxxxxxx Printed Name Printed Name Deputy Commissioner Deputy City Manager Director of Health Title Title August 19, 2021 August 417, 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. 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 HHS001077800001 The Department of State Health Services City of Amarillo g Corpus Christi-Nueces County Public _ _ Health District (County) Signature Xxxx Xxxx Xxxxx Xxxxxxxx Xxxxxx SignatureAnnette Xxxxxxxxx MPH Printed Name Printed Name Deputy Associate Commissioner Deputy City Manager Title Title August 19for RLHS Health Director TitleSeptember 9, 2021 August 4TitleSeptember 8, 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. 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 HHS001077500001 The Department of State Health Services City of Amarillo Orange County g Signature Xxxx Xxxx Xxxxx Xxxxxxxx Xxxx Xxxxxx Printed Name Printed Name Deputy Commissioner Deputy City Manager County Judge Title Title August 1912, 2021 August 410, 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. 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 HHS001076200001 The Department of State Health Services City of Amarillo g Brownsville Public Health Department Signature _ Signature Xxxxx Xxxxxx Xxxx Xxxx Xxxxx Xxxxxxxx Xxxxxx Printed Name Printed Name Deputy Associate Commissioner Deputy City Manager for RLHS Brownsville Title Title August 1912, 2021 August 412, 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. 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 HHS001076600001 Signature The Department of State Health Services City of Amarillo g Comal County Public Health Signature Xxxx Xxxx Xxxxx Xxxxxxxx Xxxxxx Judge Xxxxxxx Xxxxxx Printed Name Printed Name Deputy Associate Commissioner Deputy City Manager Title Title August 19for RLHS County Judge TitleAugust 17, 2021 August 4TitleAugust 16, 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. 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 HHS001075200001 The Department of State Health Services City of Amarillo g Xxxxxx Xxxxxx County Public Health District ______________________ Signature Xxxx Xxxx Signature Xxxxx Xxxxxxxx Xxxxxx Xxxxx Xxxxxxx Printed Name Printed Name Deputy Associate Commissioner Deputy City Manager for RLHS Administrative Director Title Title August 1912, 2021 August 43, 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