Common use of ADDITIONAL GRANT INFORMATION Clause in Contracts

ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): TBD Federal Award Date: TBD Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD Signature Page Follows Signature Page for System Agency Contract No. HHS000103300001 System Agency Grantee Xxxxx Xxxxxxx Name: Xxxxx Xxxxxxx, Xx., County Judge Associate Commissioner Title:County Judge Date of execution: June 19, 2018 Date of execution: June 19, 2018 The following attachments to System Agency Contract No. HHS000103300001 are hereby incorporated by reference: Attachment A – Statement of Work Attachment B – Budget Attachment C – Uniform Terms and Conditions Attachment D – Supplemental and Special Conditions Attachment E – Federal Assurances and certifications Attachment F – FFATA Attachment G – Data Use Agreement Attachments Follow ATTACHMENT A STATEMENT OF WORK

ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): TBD Federal Award Date: TBD Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD Signature Page Follows Signature Page for System Agency Contract No. HHS000103300001 HHS000119700011 System Agency Grantee Xxxxx Xxxxxxx Name: Xxxxx Xxxxxxx, Xx., County Judge Xxx Xxxxxx Associate Commissioner Title:: County Judge Date of execution: June 1920, 2018 Date of execution: June 1920, 2018 The following attachments to System Agency Contract No. HHS000103300001 HHS000119700011 are hereby incorporated by reference: Attachment A – Statement of Work Attachment B – Budget Attachment C – Uniform Terms and Conditions Attachment D – Supplemental and Special Conditions Attachment E – Federal Assurances and certifications Attachment F – FFATA Attachment G – Data Use Agreement Attachments Follow ATTACHMENT A STATEMENT OF WORK

ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): TBD Federal Award Date: TBD Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD Signature Page Follows Signature Page for System Agency Contract No. HHS000103300001 HHS000119700009 System Agency Grantee Xxxxx Xxxxxxx Name: Xxxxx Xxxxxxx, Xx., County Judge Xxxx Associate Commissioner Title:County Judge : Director Date of execution: June 19May 17, 2018 Date of execution: June 19:May 17, 2018 The following attachments to System Agency Contract No. HHS000103300001 HHS000119700009 are hereby incorporated by reference: Attachment A – Statement of Work Attachment B – Budget Attachment C – Uniform Terms and Conditions Attachment D – Supplemental and Special Conditions Attachment E – Federal Assurances and certifications Attachment F – FFATA Attachment G – Data Use Agreement Attachments Follow ATTACHMENT A STATEMENT OF WORK

ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): TBD Federal Award Date: TBD Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD Signature Page Follows Signature Page for System Agency Contract No. HHS000103300001 HHS000119700006 System Agency Grantee Xxxxx Xxxxxxx Name: Xxxxx Xxxxxxx, Xx.Xxx Xxxxxx, County Judge Associate Commissioner Title:: Ector County Judge Date of execution: June 197, 2018 Date of execution: June 197, 2018 The following attachments to System Agency Contract No. HHS000103300001 HHS000119700006 are hereby incorporated by reference: Attachment A – Statement of Work Attachment B – Budget Attachment C – Uniform Terms and Conditions Attachment D – Supplemental and Special Conditions Attachment E – Federal Assurances and certifications Attachment F – FFATA Attachment G – Data Use Agreement Attachments Follow ATTACHMENT A STATEMENT OF WORK

ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): TBD Federal Award Date: TBD Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD Signature Page Follows Signature Page for System Agency Contract No. HHS000103300001 HHS000097600001 System Agency Grantee Xxxxx Xxxxxxx Name: Xxxxx X.X. “Xxxx” Xxxxxxx, Xx., County Judge . Associate Commissioner Title:County Judge : X.X. Xxxxxxx. Jr. Date of execution: June 19_April 12, 2018 Date of execution: June 19April 12, 2018 The following attachments to System Agency Contract No. HHS000103300001 HHS000097600001 are hereby incorporated by reference: Attachment A – Statement of Work Attachment B – Budget Attachment C – Uniform Terms and Conditions Attachment D – Supplemental and Special Conditions Attachment E – Federal Assurances and certifications Attachment F – FFATA Attachment G – Data Use Agreement Attachments Follow ATTACHMENT A STATEMENT OF WORK

ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): TBD Federal Award Date: TBD Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD Signature Page Follows Signature Page for System Agency Contract No. HHS000103300001 HHS000119700005 System Agency Grantee Xxxxx Xxxxxxx Name: Xxxxx Xxxxxxx, Xx.Xxxxxxx Xxxxxx, County Judge Associate Commissioner Title:County Judge : Date of execution: June 19, 2018 Date of execution: June 19, 2018 DRAFT The following attachments to System Agency Contract No. HHS000103300001 HHS000119700005 are hereby incorporated by reference: Attachment A – Statement of Work Attachment B – Budget Attachment C – Uniform Terms and Conditions Attachment D – Supplemental and Special Conditions Attachment E – Federal Assurances and certifications Attachment F – FFATA Attachment G – Data Use Agreement Attachments Follow ATTACHMENT A STATEMENT OF WORK

ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): TBD Federal Award Date: TBD Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD Signature Page Follows Signature Page for System Agency Contract No. HHS000103300001 HHS000103500001 System Agency Grantee Xxxxx Xxxxxxx Name: Xxxxx Xxxxxxx, Xx., County Judge Xxxxxxx XxXxxx Associate Commissioner Title:County Judge : City Manager Date of execution: June 19May 21, 2018 Date of execution: June 19May 21, 2018 The following attachments to System Agency Contract No. HHS000103300001 HHS000103500001 are hereby incorporated by reference: Attachment A – Statement of Work Attachment B – Budget Attachment C – Uniform Terms and Conditions Attachment D – Supplemental and Special Conditions Attachment E – Federal Assurances and certifications Attachment F – FFATA Attachment G – Data Use Agreement Attachments Follow ATTACHMENT A STATEMENT OF WORK

ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): TBD Federal Award Date: TBD Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD Signature Page Follows Signature Page for System Agency Contract No. HHS000103300001 HHS000102200001 System Agency Grantee ame: __________ N Xxxx Xxxxxxxxx Xxxxx Xxxxxxx Name: Xxxxx Xxxxxxx, Xx., County Judge Associate Commissioner Title:County Judge : CFO Date of execution: June 19_April 2, 2018 Date of execution: June 19April 2, 2018 The following attachments to System Agency Contract No. HHS000103300001 HHS000102200001 are hereby incorporated by reference: Attachment A – Statement of Work Attachment B – Budget Attachment C – Uniform Terms and Conditions Attachment D – Supplemental and Special Conditions Attachment E – Federal Assurances and certifications Attachment F – FFATA Attachment G – Data Use Agreement Attachments Follow ATTACHMENT A STATEMENT OF WORK

ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): TBD Federal Award Date: TBD Name of Federal Awarding Agency: Centers for Disease Control and Prevention CFDA Name and Number: Immunizations and Vaccines for Children Program 93.268 Awarding Official Contact Information: TBD Signature Page Follows Signature Page for System Agency Contract No. HHS000103300001 HHS000103000001 System Agency Grantee Xxxxx Xxxxxxx Name: Xxxxx Xxxxxxx, Xx.Xxxxxx Xxxxxx, County Judge Associate Commissioner Title:: County Judge Date of execution: June 19May 11, 2018 Date of execution: June 19May 11, 2018 The following attachments to System Agency Contract No. HHS000103300001 HHS000103000001 are hereby incorporated by reference: Attachment A – Statement of Work Attachment B – Budget Attachment C – Uniform Terms and Conditions Attachment D – Supplemental and Special Conditions Attachment E – Federal Assurances and certifications Attachment F – FFATA Attachment G – Data Use Agreement Attachments Follow ATTACHMENT A STATEMENT OF WORK