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HomeMy WebLinkAboutPR 24760: APPROVAL OF AMENDMENT NO. 1 HEALTHY TEXAS MOTHERS & BABIES COMMUNITY COALITION GRANT (TEXAS DEPARTMENT OF STATE HEALTH SERVICES) City of rt rt -- — Tc'rus Vo. s INTEROFFICE MEMORANDUM Date: January 23, 2026 To: The Honorable Mayor and City Council Through: Ronald Burton, CPM, City Manager From: Christina B. Patteson, MS, RD, LD, WIC Director Judith A. Smith, RN, BSN, Director of Health Services RE: Approval of Amendment No. 1 —Healthy Texas Mothers & Babies Community Coalition Grant (Texas Department of State Health Services) Background: Jefferson County has been designated as a high infant mortality county. Participation in this grant program allows the City,through its Health Department and established local partnerships, to address disparities in birth outcomes and maternal and infant health through coordinated public health strategies. On March 18, 2025, the City Council approved a grant contract between the City of Port Arthur and the Texas Department of State Health Services ("DSHS") for participation in the Healthy Texas Mothers & Babies Community Coalition Grant pursuant to Resolution No. 25-103. The original contract provided $75,000.00 in funding to support evidence-based, community-driven initiatives to reduce maternal and infant mortality. The Texas Department of State Health Services has approved additional funding in the amount of$85,000.00 for Fiscal Year 2027, increasing the total contract amount to an amount not to exceed $160,000.00, with no cash match required by the City. Budget Impact: Total payments received from this contract will be $85,000 through August 31, 2027. These funds will cover the operation of the program: salaries, fringe, travel, and supplies. Proposed amendment: DSHS has approved Amendment No. 1 to the grant contract, which proposes the following material changes: 1. Increase in Funding o Adds $85,000.00 in grant funds for Fiscal Year 2027 o Increases the total contract amount to not to exceed $160,000.00 o No cash match is required from the City 2. Scope of Work "Remember,we are here to serve the Citizens of Port Arthur" P.O. Box 1089 X Port Arthur,Texas 77641-1089 X 409.983.8101 X FAX 409.982.6743 City of tent rthur o Supplements the grant project scope to include additional authorized services to be provided by the City during FY 2027 3. Reporting Requirements o Updates and supplements the reporting requirements applicable to the grant for FY 2027 4. Contract Term Extension o Extends the contract term for an additional one-year period,with a new expiration date of August 31, 2027,unless earlier terminated or renewed in accordance with the contract Recommendation: It is recommended that the City Council approve P.R. No. 24760, Amendment No. 1, between the Texas Department of State Health Services and the City of Port Arthur for the Texas Healthy Mothers and Babies Community Coalition grant. "Remember,we are here to serve the Citizens of Port Arthur" P.O.Box 1089 X Port Arthur,Texas 77641-1089 X 409.983.8101 X FAX 409.982.6743 P. R. No. 24760 01/23/2026-js- tnr RESOLUTION NO. A RESOLUTION APPROVING AMENDMENT NO. 1 TO THE CONTRACT BETWEEN THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES AND THE CITY OF PORT ARTHUR FOR THE HEALTHY TEXAS MOTHERS & BABIES COMMUNITY COALITION GRANT; INCREASING THE INITIAL FUNDING OF $75,000 BY AN ADDITIONAL $85,000.00 FOR A TOTAL CONTRACT AMOUNT NOT TO EXCEED $160,000.00; AMENDING THE SCOPE OF WORK AND REPORTING REQUIREMENTS; EXTENDING THE CONTRACT TERM THROUGH AUGUST 31, 2027. NO CASH MATCH REQUIRED. WHEREAS, the Healthy Texas Mothers & Babies Initiative was established to assist Texas communities in reducing maternal and infant mortality through evidence-based, community-driven interventions involving local stakeholders, healthcare providers, and insurers; and WHEREAS, Jefferson County has been designated as a high infant mortality county, and participation in this grant program will assist in reducing disparities in birth outcomes and maternal and infant mortality while improving long-term public health and reducing healthcare costs; and WHEREAS, the City of Port Arthur Health Department utilizes established local partnerships to implement participatory programming models designed to address maternal and infant health disparities within the community; and WHEREAS, the City Council approved the original grant contract with the Texas Department of State Health Services on March 18, 2025, pursuant to Resolution No. 25-103, in the amount of$75,000.00; and WHEREAS, the Texas Department of State Health Services has approved additional funding in the amount of$85,000.00 for Fiscal Year 2027, increasing the total contract amount to an amount not to exceed $160,000.00, with no cash match required by the City; and WHEREAS, the parties desire to amend the contract to (i) increase funding, (ii) supplement the scope of work for authorized services to be provided by the City during Fiscal Year 2027, (iii) supplement the reporting requirements applicable to the grant, and (iv) extend the contract term for an additional one-year period through August 31, 2027, unless earlier terminated or renewed in accordance with the contract. P. R. No. 24760 01/23/2026-js- tnr NOW THEREFORE BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PORT ARTHUR, TEXAS: Section 1. That the facts and opinions are true and correct. Section 2. That the City Council finds it to be in the best interest of the City of Port Arthur to approve Amendment No. 1 to the contract between the Texas Department of State Health Services and the City of Port Arthur for the Healthy Texas Mothers & Babies Community Coalition Grant. Section 3. That Amendment No.1 authorizes the acceptance of additional funding in the amount of $85,000.00 for Fiscal Year 2027, increasing the total contract amount to an amount not to exceed $160,000.00, with no cash match required by the City. Section 4. That the City Manager and the Director of the City of Port Arthur Health Department are hereby authorized to execute Amendment No. 1 to the contract, substantially in the form attached hereto as Exhibit "A." Section 5. That a copy of the caption of this Resolution be spread upon the Minutes of the City Council. READ, ADOPTED, AND APPROVED, this day of , 2026 at a Regular Meeting of the City Council of the City of Port Arthur, Texas by the following Vote: AYES:May or: Councilmembers: NOES: Mayor, Charlotte M. Moses ATTEST: Sherri Bellard, City Secretary P. R. No. 24760 01/23/2026-js APPROVED AS TO FORM: Roxann Pais Cotroneo, City Attorney APPROVED AS TO FUNDS: /3/A Lynda sw 1, MA, ICMA-CM Finance Director APPROVE 1 I i ; 1 ►' o'ISTRATION: Ron Burton, �� ity Manager Jud. Smith, R.N. BSN, Director of Health P. R. No. 24760 01/23/2026-js EXHIBIT "A" Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 SIGNATURE DOCUMENT FOR DEPARTMENT OF STATE HEALTH SERVICES GRANT AGREEMENT, CONTRACT No.HHS001564200001 AMENDMENT No.1 The TEXAS DEPARTMENT OF STATE HEALTH SERVICES("DSHS" or "System Agency") and CITY OF PORT ARTHUR("Grantee"),collectively the"Parties,"to that certain Healthy Texas Mothers and Babies ("HTMB") community coalition contract effective September 1, 2025, and denominated HHSC Contract No. HHS001564200001 ("Grant Agreement" or"Contract"), now desire to amend the Contract. WHEREAS, the Parties desire to extend the term of the Contract for an additional one-year period; WHEREAS, the Parties desire to add funds to the Contract for authorized services to be provided by Grantee in State Fiscal Year 2027 ("FY2027") and amend the Budget accordingly; WHEREAS, the Parties desire to supplement the reporting requirements table for reports to be submitted by Grantee in FY2027; WHEREAS, the Parties desire to supplement the Scope of Grant Project for authorized services to be provided by Grantee in FY2027; WHEREAS, the Parties desire to update the Contract Affirmations; and WHEREAS, System Agency desires to revise certain terms for compliance with applicable state law, federal law, and System Agency policy. Now,THEREFORE, the Parties amend and modify the Contract as follows: 1. SECTION III, DURATION, of the Contract is amended to reflect a revised termination date of August 31, 2027, unless renewed or terminated earlier pursuant to the terms and conditions of the Contract. 2. SECTION V, BUDGET AND INDIRECT COST RATE, of the Contract is amended to add funds in the amount of$85,000.00 for services delivered by Grantee in FY2027. The total not-to-exceed amount of this Contract is increased to $160,000.00. All expenditures incurred during FY2027 must be within the Contract period and in accordance with ATTACHMENT B-1,BUDGET. 3. SECTION VI, REPORTING REQUIREMENTS,of the Contract is supplemented to add the reporting requirements table for FY2027 as follows: DSHS Contract No.HHS001564200001 Amendment No. 1 Page 1 of 4 Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 REPORT FREQUENCY DUE DATE Finalized Work Plan One-time September 30,2026 Annual Program Once per state fiscal year August 31,2027 Performance Report Financial Status Reports The last business day of the month March 31,2027 (FSRs)—Biannual following the end of the second state fiscal quarter AND forty-five (45) September 30,2027 calendar days following the end of the final state fiscal quarter of the project period Invoices/Requests for The last business day of the month October 30,2026 Reimbursement—Monthly following the month in which expenses November 30,2026 were incurred AND thirty(30)calendar December 31,2026 days following the expiration date of the January 29,2027 Grant Agreement. February 26,2027 March 31,2027 April 30,2027 May 31,2027 June 30,2027 July 30,2027 August 31,2027 September 30,2027 Property Inventory Report Once per state fiscal year October 15,2027 (Form GC-11)—Annual 4. ATTACHMENT A, SCOPE OF GRANT PROJECT (FY2026), of the Contract is supplemented to add ATTACHMENT A-1, SCOPE OF GRANT PROJECT (FY 2027), which is attached to this Amendment No. 1 and incorporated and made part of the Contract for all purposes. 5. ATTACHMENT B, BUDGET (FY2026), of the Contract is deleted in its entirety and replaced with ATTACHMENT B-1,BUDGET, which is attached to this Amendment No. 1 and incorporated and made part of the Contract for all purposes. 6. ATTACHMENT C, HHS CONTRACT AFFIRMATIONS,VERSION 2.5, of the Contract is deleted in its entirety and replaced with ATTACHMENT C-1, HHS CONTRACT AFFIRMATIONS,VERSION 2.8,EFFECTIVE DECEMBER 2025,which is attached to this Amendment No. 1 and incorporated and made part of the Contract for all purposes. 7. ATTACHMENT I, FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA)CERTIFICATION FORM,of the Contract is supplemented with ATTACHMENT DSHS Contract No.HHS001564200001 Amendment No. 1 Page 2 of 4 Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 I-1, FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) CERTIFICATION FORM for FY2027, which is attached to this Amendment No. 1 and incorporated and made part of the Contract for all purposes. 8. This Amendment is effective immediately upon execution by the last party to sign below. Operations and funding for Fiscal Year 2027 begin on September 1, 2026. Except as modified by this Amendment, all existing terms of the Contract, including the current Statement of Work, shall remain in full force and effect until and unless modified by written agreement of the Parties. 9. Except as modified by this Amendment No. 1, all terms and conditions of the Contract, shall remain in full force and effect. 10.Any further revisions to the Contract shall be by written agreement of the Parties. 11. Each Party represents and warrants that the person executing this Amendment No. 1 on its behalf has full power and authority to enter into this Amendment No. 1. SIGNATURE PAGE FOLLOWS DSHS Contract No.HHS001564200001 Amendment No. 1 Page 3 of 4 Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 SIGNATURE PAGE FOR SYSTEM AGENCY GRANT AGREEMENT CONTRACT No.HHS001564200001 TEXAS DEPARTMENT OF STATE HEALTH CITY OF PORT ARTHUR SERVICES Signature Name: Name: Title: Title: Date of Signature: Date of Signature: THE FOLLOWING DOCUMENTS ARE ATTACHED AND INCORPORATED AND MADE PART OF THE CONTRACT FOR ALL PURPOSES: ATTACHMENT A-1 SCOPE OF GRANT PROJECT(FY2027) ATTACHMENT B-1 BUDGET(FY2027) ATTACHMENT C-1 HHS CONTRACT AFFIRMATIONS,VERSION 2.8, EFFECTIVE DECEMBER 2025 ATTACHMENT I-I FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT(FFATA)CERTIFICATION FORM DSHS Contract No.HHS001564200001 Amendment No. 1 Page 4 of 4 Docusign Envelope ID: 775C0A82-DA94-4727-AB84-BE5089F26816 ATTACHMENT A-1 SCOPE OF GRANT PROJECT (FY2027) 1. GRANTEE RESPONSIBILITIES Grantee will: A. Coordinate a Healthy Texas Mothers and Babies Community Coalition (HTMB CC) initiative and collaborate with community partners and stakeholders to strengthen local capacity and community partnerships to implement evidence-based interventions to improve perinatal and infant health outcomes and reduce disparities in infant mortality rates toward achievement of Healthy People 2030 goals. B. Meet the standards and definitions of a community coalition, as described in the Prevention Institute's "Developing Effective Coalitions: An Eight Step Guide," located at the following URL: https://www.preventioninstitute.org/publications/developing-effective-coalitions- an-eight-step-guide. C. Coordinate quarterly HTMB CC meetings with DSHS, coalition member organizations, community members, and other stakeholders to provide a forum to discuss data,current and emerging perinatal and infant health priorities,and strategies. D. Coordinate HTMB CC stakeholder and member participation in webinars, trainings, collaborative learning forums, and other events. E. Offer activities that strengthen and expand community partnerships by recruiting and engaging members, developing and defining member roles, and expanding and strengthening coordination and collaboration among partners. F. Engage HTMB CC membership that is representative of the community(i.e., service organizations, local WIC clinics, health systems, faith based, minority community representatives, local government, school districts, and/or university research partners). G. Develop sustainable activities and initiatives using best practice recommendations, tools, and resources. H. Participate in project planning, sharing,and status meetings(virtual or in person)with System Agency as scheduled. Schedule meetings approximately on a monthly basis, and as needed or requested. During status meetings, communicate HTMB CC needs for technical assistance,perinatal and infant health and safety subject matter expertise, and support with training, sustainability, and capacity building. I. Attend quarterly calls with other HTMB CCs to share programmatic activities. J. Use public health data, project metrics, needs assessment information, strategic planning, and community stakeholder appraisal to develop and refine an Annual Report by: 1. Coordinating activities and achievement of metrics with partners, stakeholders, System Agency, and community members; 2. Establishing and tracking process and outcomes metrics; and 3. Activating HTMB CC members and stakeholders in implementation efforts to mobilize community, region, and statewide involvement, address challenges, identify and share lessons learned, and the collective impact within the community, region, and statewide. DSHS Contract No.HHS001564200001 Amendment No. 1,Attachment A-1 Page 1 of 4 Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 K. Submit to System Agency the following documents or other reports in the formats requested by System Agency: 1. A finalized Work Plan that outlines the Grantee's planned approach to comply with this Contract, including planned implementation and communication strategies. System Agency must provide written approval of the Work Plan prior to implementation.Throughout the fiscal year,Grantee must seek System Agency approval for any communications or marketing activities that are not included in the approved Work Plan. Grantee must submit the Work Plan by August 31,2026, to the following email addresses: cdsbna,dshs.texas.gov; and InfantHealthAdshs.texas.gov. 2. Grantee will use data,project indicators, needs assessment information, strategic planning, and community stakeholder appraisal to develop and refine its written HTMB CC Work Plan that identifies and justifies: a. The HTMB CCs mission and vision; b. Activities that address perinatal and infant health and mortality, with the infant defined herein as babies from zero (0) to one (1) year of age, as the target population and identify baseline data used to develop necessary interventions; c. Locally appropriate evidence-based and/or evidence-informed infant mortality and disparity reduction interventions for implementation; d. A sustainability domain,from the list below,that aligns with each Work Plan objective: 1. Environmental Support; 2. Funding Stability; 3. Partnerships; 4. Organizational Capacity; 5. Program Evaluation; 6. Program Adaptation; 7. Communications; and 8. Strategic Planning; e. Roles and responsibilities of all HTMB CC members and partners; f. Resources needed and resources to be leveraged for Work Plan implementation; g. Communication plans to support coalition and community events, and build community awareness regarding perinatal and infant health and safety topics, or other emerging infant health topics. Communication plans must identify proposed communication channels, such as social media marketing, digital, audiovisual and print materials, or other advertising channels that align with System Agency's HTMB framework and focus; and h. Evaluation and sustainability measures and milestones implemented. 3. An Annual Program Performance Report, including a description of the implementation of strategies and activities, progress towards metrics, and the challenges identified by unmet metrics established in the Work Plan during the DSHS Contract No.HHS001564200001 Amendment No. 1,Attachment A-1 Page 2 of 4 Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 project period(September 1,2026,through August 31,2027).Grantee must submit the Annual Program Performance Report by September 30,2027,to the following email addresses: cdsb@dshs.texas.gov; and InfantHealth@dshs.texas.gov. 4. Biannual Financial Status Reports (FSR) to be submitted to cdsb@,dshs.texas.gov and to FSRGrants@,dshs.texas.gov by the dates below for FY2027: Period Covered Due Date September 1, 2026 -February 28, 2027 March 31, 2027 March 1, 2026 -August 31, 2027 September 30, 2027 L. Maintain an inventory of equipment, supplies defined as "Controlled Assets" (see definition in form titled, "DSHS Contractor's Property Inventory Report (Form GC- 11)," link below), and real property. Grantee must submit an annual cumulative report of the above stated items on the Form GC-11, located at the following URL: https://www.dshs.texas.gov/contractor-forms. Grantee submits the Form GC-11, via email, to FSOequipAdshs.texas.gov, with a copy to the System Agency Contract Representative identified in SECTION VII, CONTRACT REPRESENTATIVES, of this Contract,no later than October 15th of each calendar year. M. DSHS-approved budget may be revised by Grantee in accordance with the following requirements: 1. For any transfer between budget categories, Grantee shall provide Notification of transfer between budget categories by submission of a revised Categorical Budget Form to the DSHS Contract Representative, highlighting the areas affected by the budget transfer and written justification for the transfer request. After DSHS review, the designated DSHS Contract Representative will provide notification of acceptance or rejection to Grantee by email. 2. For transfer of funds between direct budget categories, other than the"`Equipment' and `Indirect Cost' categories,for less than or equal to cumulative twenty-five(25) percent of the total value of the respective Contract budget period, Grantee shall submit timely written notification to DSHS Contract Representative using the Revised Budget Form and request DSHS approval. If approved, DSHS Contract Representative will provide notification of acceptance to Grantee by email, upon receipt of which, the revised budget will be incorporated into the Contract. 3. For transfer of funds between direct budget categories, other than the `Equipment' and `Indirect Cost' categories, that cumulatively exceeds twenty five (25) percent of the total value of the respective Contract budget period, Grantee shall submit timely written notification to DSHS Contract Representative using the Revised Budget Form and request DSHS approval. If the revision is approved, the budget revision is not authorized and the funds cannot be utilized until an amendment is executed by the Parties. 4. Any transfer between budget categories that includes `Equipment' and/or `Indirect Costs' categories must be incorporated by amendment.Grantee shall submit timely written notification to DSHS Contract Representative using the Revised Budget Form and request DSHS approval. If the revision is approved, the budget revision DSHS Contract No.HHS001564200001 Amendment No. 1,Attachment A-1 Page 3 of 4 Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 is not authorized and the funds cannot be utilized until an amendment is executed by the Parties. 2. PERFORMANCE MEASURES System Agency will monitor the Grantee's performance of the requirements in this Scope of Grant Project and compliance with the terms and conditions of the Grant Agreement. 3. INVOICE AND PAYMENT A. Grantee shall request monthly payments by the last business day of the month following the month in which expenses were incurred by submitting the State of Texas Purchase Vouchers (using Form B-13) currently located at https://www.dshs.texas.gov/contractor-forms. Grantee shall submit Form B-13, and any supporting documentation as follows: i. If by email, then send electronically to: invoicesAdshs.state.tx.us, CMSinvoices@a,dshs.texas.gov, and InfantHealth@dshs.texas.gov. ii. If by mail,then send to: Department of State Health Services Claims Processing Unit, MC 1940 1100 West 49th Street Austin, Texas 78714 iii. If by fax, then send to: (512)458-7442 B. Grantee will be paid on a cost reimbursement basis in accordance with the budget for the corresponding budget period under this Grant Agreement. C. Grantee shall electronically submit a final close-out invoice(using Form B-13 and with supporting documentation) no later than thirty(30) calendar days following the end of the State Fiscal Year 2027. Vouchers received more than thirty(30)days following the end of the fiscal year are subject to denial of payment. DSHS Contract No.HHS001564200001 Amendment No. 1,Attachment A-1 Page 4 of 4 Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 ATTACHMENT B-1 BUDGET (FY2027) CATEGORIES FY2026 FY2027 Total Amount PERSONNEL $48,740.00 $50,446.00 $99,186.00 FRINGE BENEFITS $21,202.00 $21,944.00 $43,146.00 TRAVEL $1,025.00 $5,600.00 $6,625.00 EQUIPMENT $0.00 $0.00 $0.00 SUPPLIES $500.00 $300.00 $800.00 CONTRACTUAL $0.00 $3,240.00 $3,240.00 OTHER $3,533.00 $3,470.00 $7,003.00 TOTAL DIRECT $75,000.00 $85,000.00 $160,000.00 COSTS INDIRECT COSTS $0.00 $0.00 $0.00 TOTAL (DIRECT COSTS AND S75,000.00 $85,000.00 S160,000.00 INDIRECT COSTS) DSHS Contract No.HHS001564200001 Amendment No. 1,Attachment B-1 Page 1 of 1 Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 HEALTH AND HUMAN SERVICES Contract Number HHS001564200001 Exhibit C-1 CONTRACT AFFIRMATIONS For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission(HHSC) and the Department of State Health Services (DSHS). System Agency refers to HHSC, DSHS, or both, that will be a party to this Contract. These Contract Affirmations apply to all Contractors and Grantees (referred to as "Contractor")regardless of their business form(e.g., individual,partnership, corporation). By entering into this Contract, Contractor affirms, without exception,understands, and agrees to comply with the following items through the life of the Contract: 1. Contractor represents and warrants that these Contract Affirmations apply to Contractor and all of Contractor's principals, officers, directors, shareholders,partners, owners, agents, employees, subcontractors, independent contractors, and any other representatives who may provide services under,who have a financial interest in, or otherwise are interested in this Contract and any related Solicitation. 2. Complete and Accurate Information Contractor represents and warrants that all statements and information provided to HHS are current, complete, and accurate. This includes all statements and information in this Contract and any related Solicitation Response. 3. Public Information Act Contractor understands that HHS will comply with the Texas Public Information Act (Chapter 552 of the Texas Government Code) as interpreted by judicial rulings and opinions of the Attorney General of the State of Texas. Information, documentation, and other material prepared and submitted in connection with this Contract or any related Solicitation may be subject to public disclosure pursuant to the Texas Public Information Act. In accordance with Section 2252.907 of the Texas Government Code,Contractor is required to make any information created or exchanged with the State pursuant to the Contract, and not otherwise excepted from disclosure under the Texas Public Information Act, available in a format that is accessible by the public at no additional charge to the State. 4. Contracting Information Requirements Contractor represents and warrants that it will comply with the requirements of Section 552.372(a)of the Texas Government Code. Except as provided by Section 552.374(c) of the Texas Government Code,the requirements of Subchapter J(Additional Provisions Related to Contracting Information), Chapter 552 of the Government Code, may apply to the Contract and the Contractor agrees that the Contract can be terminated if the Contractor knowingly or intentionally fails to comply with a requirement of that subchapter. Health and Human Services Contract Affirmations v.2.8 Effective December 2025 Page 1 of 14 Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 5. Assignment A. Contractor shall not assign its rights under the Contract or delegate the performance of its duties under the Contract without prior written approval from System Agency. Any attempted assignment in violation of this provision is void and without effect. B. Contractor understands and agrees the System Agency may in one or more transactions assign,pledge, or transfer the Contract. Upon receipt of System Agency's notice of assignment, pledge, or transfer, Contractor shall cooperate with System Agency in giving effect to such assignment,pledge, or transfer, at no cost to System Agency or to the recipient entity. 6. Terms and Conditions Contractor accepts the Solicitation terms and conditions unless specifically noted by exceptions advanced in the form and manner directed in the Solicitation, if any,under which this Contract was awarded. Contractor agrees that all exceptions to the Solicitation, as well as terms and conditions advanced by Contractor that differ in any manner from HHS' terms and conditions, if any, are rejected unless expressly accepted by System Agency in writing. 7. HHS Right to Use Contractor agrees that HHS has the right to use,produce, and distribute copies of and to disclose to HHS employees, agents, and contractors and other governmental entities all or part of this Contract or any related Solicitation Response as HHS deems necessary to complete the procurement process or comply with state or federal laws. 8. Release from Liability Contractor generally releases from liability and waives all claims against any party providing information about the Contractor at the request of System Agency. 9. Dealings with Public Servants Contractor has not given, has not offered to give, and does not intend to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount,trip, favor, or service to a public servant in connection with this Contract or any related Solicitation, or related Solicitation Response. 10. Financial Participation Prohibited Under Section 2155.004, Texas Government Code (relating to financial participation in preparing solicitations), Contractor certifies that the individual or business entity named in this Contract and any related Solicitation Response is not ineligible to receive this Contract and acknowledges that this Contract may be terminated and payment withheld if this certification is inaccurate. 11. Prior Disaster Relief Contract Violation Under Sections 2155.006 and 2261.053 of the Texas Government Code (relating to convictions and penalties regarding Hurricane Rita, Hurricane Katrina, and other disasters), the Contractor certifies that the individual or business entity named in this Contract and any related Solicitation Response is not ineligible to receive this Contract Health and Human Services Contract Affirmations v.2.8 Effective December 2025 Page 2 of 14 Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 and acknowledges that this Contract may be terminated and payment withheld if this certification is inaccurate. 12. Child Support Obligation Under Section 231.006(d) of the Texas Family Code regarding child support, Contractor certifies that the individual or business entity named in this Contract and any related Solicitation Response is not ineligible to receive the specified payment and acknowledges that the Contract may be terminated and payment may be withheld if this certification is inaccurate. If the certification is shown to be false, Contractor may be liable for additional costs and damages set out in 231.006(f). 13. Suspension and Debarment Contractor certifies that it and its principals are not suspended or debarred from doing business with the state or federal government as listed on the State of Texas Debarred Vendor List maintained by the Texas Comptroller of Public Accounts and the System for Award Management(SAM)maintained by the General Services Administration. This certification is made pursuant to the regulations implementing Executive Order 12549 and Executive Order 12689, Debarment and Suspension, 2 C.F.R. Part 376, and any relevant regulations promulgated by the Department or Agency funding this project. This provision shall be included in its entirety in Contractor's subcontracts, if any, if payment in whole or in part is from federal funds. 14. Excluded Parties Contractor certifies that it is not listed in the prohibited vendors list authorized by Executive Order 13224, "Blocking Property and Prohibiting Transactions with Persons Who Commit, Threaten to Commit, or Support Terrorism,"published by the United States Department of the Treasury, Office of Foreign Assets Control.' 15. Foreign Terrorist Organizations Contractor represents and warrants that it is not engaged in business with Iran, Sudan, or a foreign terrorist organization, as prohibited by Section 2252.152 of the Texas Government Code. 16. Executive Head of a State Agency In accordance with Section 669.003 of the Texas Government Code,relating to contracting with the executive head of a state agency, Contractor certifies that it is not(1) the executive head of an HHS agency, (2) a person who at any time during the four years before the date of this Contract was the executive head of an HHS agency, or(3) a person who employs a current or former executive head of an HHS agency. 17. Human Trafficking Prohibition Under Section 2155.0061 of the Texas Government Code, Contractor certifies that the individual or business entity named in this Contract is not ineligible to receive this Contract and acknowledges that this Contract may be terminated and payment withheld if this certification is inaccurate. Health and Human Services Contract Affirmations v.2.8 Effective December 2025 Page 3 of 14 Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 18. Franchise Tax Status Contractor represents and warrants that it is not currently delinquent in the payment of any franchise taxes owed the State of Texas under Chapter 171 of the Texas Tax Code. 19. Debts and Delinquencies Contractor agrees that any payments due under this Contract shall be applied towards any debt or delinquency that is owed to the State of Texas. 20. Lobbying Prohibition Contractor represents and warrants that payments to Contractor and Contractor's receipt of appropriated or other funds under this Contract or any related Solicitation are not prohibited by Sections 556.005, 556.0055, or 556.008 of the Texas Government Code (relating to use of appropriated money or state funds to employ or pay lobbyists, lobbying expenses, or influence legislation). 21. Buy Texas Contractor agrees to comply with Section 2155.4441 of the Texas Government Code, requiring the purchase of products and materials produced in the State of Texas in performing service contracts. 22. Disaster Recovery Plan Contractor agrees that upon request of System Agency, Contractor shall provide copies of its most recent business continuity and disaster recovery plans. 23. Computer Equipment Recycling Program If this Contract is for the purchase or lease of computer equipment,then Contractor certifies that it is in compliance with Subchapter Y, Chapter 361 of the Texas Health and Safety Code related to the Computer Equipment Recycling Program and the Texas Commission on Environmental Quality rules in 30 TAC Chapter 328. 24. Television Equipment Recycling Program If this Contract is for the purchase or lease of covered television equipment, then Contractor certifies that it is compliance with Subchapter Z, Chapter 361 of the Texas Health and Safety Code related to the Television Equipment Recycling Program. 25. Cybersecurity Training A. Contractor represents and warrants that it will comply with the requirements of Section 2063.104 of the Texas Government Code relating to cybersecurity training and required verification of completion of the training program. B. Contractor represents and warrants that if Contractor or Subcontractors, officers, or employees of Contractor have access to any state computer system or database,the Contractor, Subcontractors, officers, and employees of Contractor shall complete cybersecurity training pursuant to and in accordance with Government Code, Section 2063.104. Health and Human Services Contract Affirmations v.2.8 Effective December 2025 Page 4 of 14 Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 26. Restricted Employment for Certain State Personnel Contractor acknowledges that, pursuant to Section 572.069 of the Texas Government Code, a former state officer or employee of a state agency who during the period of state service or employment participated on behalf of a state agency in a procurement or contract negotiation involving Contractor may not accept employment from Contractor before the second anniversary of the date the Contract is signed or the procurement is terminated or withdrawn. 27. No Conflicts of Interest A. Contractor represents and warrants that it has no actual or potential conflicts of interest in providing the requested goods or services to System Agency under this Contract or any related Solicitation and that Contractor's provision of the requested goods and/or services under this Contract and any related Solicitation will not constitute an actual or potential conflict of interest or reasonably create an appearance of impropriety. B. Contractor agrees that, if after execution of the Contract, Contractor discovers or is made aware of a Conflict of Interest, Contractor will immediately and fully disclose such interest in writing to System Agency. In addition, Contractor will promptly and fully disclose any relationship that might be perceived or represented as a conflict after its discovery by Contractor or by System Agency as a potential conflict. System Agency reserves the right to make a final determination regarding the existence of Conflicts of Interest, and Contractor agrees to abide by System Agency's decision. 28. Fraud,Waste,and Abuse Contractor understands that HHS does not tolerate any type of fraud, waste, or abuse. Violations of law, agency policies, or standards of ethical conduct will be investigated, and appropriate actions will be taken. Pursuant to Texas Government Code, Section 321.022, if the administrative head of a department or entity that is subject to audit by the state auditor has reasonable cause to believe that money received from the state by the department or entity or by a client or contractor of the department or entity may have been lost, misappropriated, or misused, or that other fraudulent or unlawful conduct has occurred in relation to the operation of the department or entity,the administrative head shall report the reason and basis for the belief to the Texas State Auditor's Office (SAO). All employees or contractors who have reasonable cause to believe that fraud,waste, or abuse has occurred(including misconduct by any HHS employee, Grantee officer, agent, employee, or subcontractor that would constitute fraud,waste, or abuse) are required to immediately report the questioned activity to the Health and Human Services Commission's Office of Inspector General. Contractor agrees to comply with all applicable laws, rules,regulations, and System Agency policies regarding fraud,waste, and abuse including,but not limited to, HHS Circular C-027. A report to the SAO must be made through one of the following avenues: • SAO Toll Free Hotline: 1-800-TX-AUDIT • SAO website: http://sao.fraud.state.tx.us/ Health and Human Services Contract Affirmations v.2.8 Effective December 2025 Page 5 of 14 Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 All reports made to the OIG must be made through one of the following avenues: • OIG Toll Free Hotline 1-800-436-6184 • OIG Website: ReportTexasFraud.com • Internal Affairs Email: InternalAffairsReferral@hhsc.state.tx.us • OIG Hotline Email: OIGFraudHotline@hhsc.state.tx.us. • OIG Mailing Address: Office of Inspector General Attn: Fraud Hotline MC 1300 P.O. Box 85200 Austin, Texas 78708-5200 29. Antitrust The undersigned affirms under penalty of perjury of the laws of the State of Texas that: A. in connection with this Contract and any related Solicitation Response,neither I nor any representative of the Contractor has violated any provision of the Texas Free Enterprise and Antitrust Act,Tex. Bus. & Comm. Code Chapter 15; B. in connection with this Contract and any related Solicitation Response,neither I nor any representative of the Contractor has violated any federal antitrust law; and C. neither I nor any representative of the Contractor has directly or indirectly communicated any of the contents of this Contract and any related Solicitation Response to a competitor of the Contractor or any other company, corporation, firm, partnership or individual engaged in the same line of business as the Contractor. 30. Legal and Regulatory Actions Contractor represents and warrants that it is not aware of and has received no notice of any court or governmental agency proceeding, investigation, or other action pending or threatened against Contractor or any of the individuals or entities included in numbered paragraph 1 of these Contract Affirmations within the five (5) calendar years immediately preceding execution of this Contract or the submission of any related Solicitation Response that would or could impair Contractor's performance under this Contract,relate to the contracted or similar goods or services, or otherwise be relevant to System Agency's consideration of entering into this Contract. If Contractor is unable to make the preceding representation and warranty,then Contractor instead represents and warrants that it has provided to System Agency a complete, detailed disclosure of any such court or governmental agency proceeding, investigation, or other action that would or could impair Contractor's performance under this Contract, relate to the contracted or similar goods or services,or otherwise be relevant to System Agency's consideration of entering into this Contract. In addition, Contractor acknowledges this is a continuing disclosure requirement. Contractor represents and warrants that Contractor shall notify System Agency in writing within five(5)business days of any changes to the representations or warranties in this clause and understands that failure to so timely update System Agency shall constitute breach of contract and may result in immediate contract termination. Health and Human Services Contract Affirmations v.2.8 Effective December 2025 Page 6 of 14 Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 31. No Felony Criminal Convictions Contractor represents that neither Contractor nor any of its employees, agents, or representatives, including any subcontractors and employees, agents,or representative of such subcontractors,have been convicted of a felony criminal offense or that if such a conviction has occurred Contractor has fully advised System Agency in writing of the facts and circumstances surrounding the convictions. 32. Unfair Business Practices Contractor represents and warrants that it has not been the subject of allegations of Deceptive Trade Practices violations under Chapter 17 of the Texas Business and Commerce Code, or allegations of any unfair business practice in any administrative hearing or court suit and that Contractor has not been found to be liable for such practices in such proceedings. Contractor certifies that it has no officers who have served as officers of other entities who have been the subject of allegations of Deceptive Trade Practices violations or allegations of any unfair business practices in an administrative hearing or court suit and that such officers have not been found to be liable for such practices in such proceedings. 33. Entities that Boycott Israel Contractor represents and warrants that(1)it does not, and shall not for the duration of the Contract,boycott Israel or(2)the verification required by Section 2271.002 of the Texas Government Code does not apply to the Contract. If circumstances relevant to this provision change during the course of the Contract, Contractor shall promptly notify System Agency. 34. E-Verify Contractor certifies that for contracts for services, Contractor shall utilize the U.S. Department of Homeland Security's E-Verify system during the term of this Contract to determine the eligibility of: 1. all persons employed by Contractor to perform duties within Texas; and 2. all persons, including subcontractors, assigned by Contractor to perform work pursuant to this Contract within the United States of America. 35. Former Agency Employees—Certain Contracts If this Contract is an employment contract, a professional services contract under Chapter 2254 of the Texas Government Code, or a consulting services contract under Chapter 2254 of the Texas Government Code, in accordance with Section 2252.901 of the Texas Government Code, Contractor represents and warrants that neither Contractor nor any of Contractor's employees including, but not limited to,those authorized to provide services under the Contract,were former employees of an HHS Agency during the twelve(12) month period immediately prior to the date of the execution of the Contract. Health and Human Services Contract Affirmations v.2.8 Effective December 2025 Page 7 of 14 Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 36. Disclosure of Prior State Employment—Consulting Services If this Contract is for consulting services, A. In accordance with Section 2254.033 of the Texas Government Code, a Contractor providing consulting services who has been employed by, or employs an individual who has been employed by, System Agency or another State of Texas agency at any time during the two years preceding the submission of Contractor's offer to provide services must disclose the following information in its offer to provide services. Contractor hereby certifies that this information was provided and remains true, correct, and complete: 1. Name of individual(s)(Contractor or employee(s)); 2. Status; 3. The nature of the previous employment with HHSC or the other State of Texas agency; 4. The date the employment was terminated and the reason for the termination; and 5. The annual rate of compensation for the employment at the time of its termination. B. If no information was provided in response to Section A above, Contractor certifies that neither Contractor nor any individual employed by Contractor was employed by System Agency or any other State of Texas agency at any time during the two years preceding the submission of Contractor's offer to provide services. 37. Abortion Funding Limitation Contractor understands, acknowledges, and agrees that,pursuant to Article IX of the General Appropriations Act(the Act), to the extent allowed by federal and state law, money appropriated by the Texas Legislature may not be distributed to any individual or entity that, during the period for which funds are appropriated under the Act: 1. performs an abortion procedure that is not reimbursable under the state's Medicaid program; 2. is commonly owned, managed, or controlled by an entity that performs an abortion procedure that is not reimbursable under the state's Medicaid program; or 3. is a franchise or affiliate of an entity that performs an abortion procedure that is not reimbursable under the state's Medicaid program. The provision does not apply to a hospital licensed under Chapter 241, Health and Safety Code, or an office exempt under Section 245.004(a)(2), Health and Safety Code. Contractor represents and warrants that it is not ineligible, nor will it be ineligible during the term of this Contract, to receive appropriated funding pursuant to Article IX. 38. Funding Eligibility Contractor understands, acknowledges, and agrees that,pursuant to Chapter 2273 of the Texas Government Code, except as exempted under that Chapter,HHSC cannot(1) contract with(a) an abortion provider or an affiliate of an abortion provider; or(b) an abortion assistance entity for the purpose of providing an abortion or abortion assistance; Health and Human Services Contract Affirmations v.2.8 Effective December 2025 Page 8 of 14 Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 or(2)contract or appropriate or spend money to provide any person logistical support for the express purpose of assisting a woman with procuring an abortion or the services of an abortion provider. Respondent certifies that it is not ineligible to contract with System Agency under the terms of Chapter 2273 of the Texas Government Code and certifies that the contract is not a taxpayer resource transaction, appropriation, or expenditure of money prohibited by Chapter 2273 of the Texas Government Code. 39. Gender Transitioning and Gender Reassignment Procedures and Treatments for Certain Children—Prohibited Use of Public Money; Prohibited State Health Plan Reimbursement. Contractor understands, acknowledges, and agrees that,pursuant to Section 161.704 of the Texas Health and Safety Code(eff. Sept. 1, 2023),public money may not directly or indirectly be used, granted,paid, or distributed to any health care provider, medical school,hospital, physician, or any other entity, organization, or individual that provides or facilitates the provision of a procedure or treatment to a child that is prohibited under Section 161.702 of the Texas Health and Safety Code. Contractor also understands, acknowledges, and agrees that, pursuant to Section 161.705 of the Texas Health and Safety Code (eff. Sept. 1, 2023), HHSC may not provide Medicaid reimbursement and the child health plan program established under Chapter 62 may not provide reimbursement to a physician or health care provider for provision of a procedure or treatment to a child that is prohibited under Section 161.702 of the Texas Health and Safety Code. Contractor certifies that it is not ineligible to contract with System Agency under the terms of Chapter 161, Subchapter Y, of the Texas Health and Safety Code. 40. Prohibition on Certain Telecommunications and Video Surveillance Services or Equipment(2 CFR 200.216) Contractor certifies that the individual or business entity named in this Response or Contract is not ineligible to receive the specified Contract or funding pursuant to 2 CFR 200.216. 41. COVID-19 Vaccine Passports Pursuant to Texas Health and Safety Code, Section 161.0085(c), Contractor certifies that it does not require its customers to provide any documentation certifying the customer's COVID-19 vaccination or post-transmission recovery on entry to,to gain access to, or to receive service from the Contractor's business. Contractor acknowledges that such a vaccine or recovery requirement would make Contractor ineligible for a state-funded contract. 42. Entities that Boycott Energy Companies Pursuant to Section 2276.002 of the Texas Government Code (relating to prohibition on contracts with companies boycotting certain energy companies), Contractor represents and warrants that: (1) it does not, and will not for the duration of the Contract,boycott energy companies or(2) the verification required by Section 2276.002 of the Texas Government Code does not apply to the Contract. If circumstances relevant to this Health and Human Services Contract Affirmations v.2.8 Effective December 2025 Page 9 of 14 Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 provision change during the course of the Contract, Contractor shall promptly notify System Agency. 43. Entities that Discriminate Against Firearm and Ammunition Industries In accordance with Senate Bill 19, Acts 2021, 87th Leg., R.S.,pursuant to Section 2274.002 of the Texas Government Code (relating to prohibition on contracts with companies that discriminate against firearm and ammunition industries), Contractor verifies that: (1) it does not, and will not for the duration of the Contract,have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association or(2)the verification required by Section 2274.002 of the Texas Government Code does not apply to the Contract. If circumstances relevant to this provision change during the course of the Contract, Contractor shall promptly notify System Agency. 44. Security Controls for State Agency Data In accordance with Senate Bill 475,Acts 2021, 87th Leg.,R.S., pursuant to Texas Government Code, Section 2054.138, Contractor understands, acknowledges, and agrees that if,pursuant to this Contract, Contractor is or will be authorized to access, transmit, use, or store data for System Agency, Contractor is required to meet the security controls the System Agency determines are proportionate with System Agency's risk under the Contract based on the sensitivity of System Agency's data and that Contractor must periodically provide to System Agency evidence that Contractor meets the security controls required under the Contract. 45. Cloud Computing State Risk and Authorization Management Program (TX-RAMP) Pursuant to Texas Government Code, Section 2063.408, Contractor acknowledges and agrees that, if providing cloud computing services for System Agency, Contractor must comply with the requirements of the state risk and authorization management program and that System Agency may not enter or renew a contract with Contractor to purchase cloud computing services for the agency that are subject to the state risk and authorization management program unless Contractor demonstrates compliance with program requirements. If providing cloud computing services for System Agency that are subject to the state risk and authorization management program, Contractor certifies it will maintain program compliance and certification throughout the term of the Contract. 46. Contract for Professional Services of Physicians,Optometrists, and Registered Nurses In accordance with Senate Bill 799,Acts 2021, 87th Leg., R.S., if Texas Government Code, Section 2254.008(a)(2)is applicable to this Contract, Contractor affirms that it possesses the necessary occupational licenses and experience. 47. Foreign-Owned Companies in Connection with Critical Infrastructure If Texas Government Code, Section 2275.0102(a)(1) (relating to prohibition on contracts with certain foreign-owned companies in connection with critical infrastructure) is applicable to this Contract,pursuant to Government Code Section 2275.0102, Contractor certifies that neither it nor its parent company, nor any affiliate of Contractor or its parent company, is: (1) majority owned or controlled by citizens or governmental entities of Health and Human Services Contract Affirmations v.2.8 Effective December 2025 Page 10 of 14 Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 China, Iran,North Korea, Russia, or any other country designated by the Governor under Government Code Section 2275.0103 or(2)headquartered in any of those countries. 48. Critical Infrastructure Subcontracts For purposes of this Paragraph, the designated countries are China, Iran,North Korea, Russia, and any countries lawfully designated by the Governor as a threat to critical infrastructure. Pursuant to Section 117.002 of the Business and Commerce Code, Contractor shall not enter into a subcontract that will provide direct or remote access to or control of critical infrastructure, as defined by Section 117.001 of the Texas Business and Commerce Code, in this state, other than access specifically allowed for product warranty and support purposes to any subcontractor unless (i)neither the subcontractor nor its parent company,nor any affiliate of the subcontractor or its parent company, is majority owned or controlled by citizens or governmental entities of a designated country; and (ii) neither the subcontractor nor its parent company, nor any affiliate of the subcontractor or its parent company, is headquartered in a designated country. Contractor will notify the System Agency before entering into any subcontract that will provide direct or remote access to or control of critical infrastructure, as defined by Section 117.001 of the Texas Business & Commerce Code, in this state. 49. Enforcement of Certain Federal Firearms Laws Prohibited In accordance with House Bill 957, Acts 2021, 87th Leg., R.S., if Texas Government Code, Section 2.101 is applicable to Contractor, Contractor certifies that it is not ineligible to receive state grant funds pursuant to Texas Government Code, Section 2.103. 50. Prohibition on Abortions Contractor understands, acknowledges, and agrees that,pursuant to Article II of the General Appropriations Act, (1)no funds shall be used to pay the direct or indirect costs (including marketing, overhead,rent,phones, and utilities) of abortion procedures provided by contractors of HHSC; and(2)no funds appropriated for Medicaid Family Planning, Healthy Texas Women Program, or the Family Planning Program shall be distributed to individuals or entities that perform elective abortion procedures or that contract with or provide funds to individuals or entities for the performance of elective abortion procedures. Contractor represents and warrants that it is not ineligible, nor will it be ineligible during the term of this Contract, to receive appropriated funding pursuant to Article II. 51. Hardening of State Government Pursuant to Executive Order GA-48, relating to hardening of state government, issued November 19,2024, Contractor certifies it is not and, if applicable, any of its holding companies or subsidiaries is not: a. Listed in Section 889 of the 2019 National Defense Authorization Act(NDAA); or b. Listed in Section 1260H of the 2021 NDAA; or Health and Human Services Contract Affirmations v.2.8 Effective December 2025 Page 11 of 14 Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 C. Owned by the government of a country on the U.S. Department of Commerce's foreign adversaries list under 15 C.F.R. § 791.4; or d. Controlled by any governing or regulatory body located in a country on the U.S. Department of Commerce's foreign adversaries list under 15 C.F.R. § 791.4. 52. Artificial Intelligence Disclosure. Contractor certifies that it has disclosed in writing to System Agency each artificial intelligence system it may use to complete any deliverable or a portion of any deliverable under the Contract. "Artificial intelligence system"means a machine-based system that for explicit or implicit objectives infers from provided information a method to generate outputs, such as predictions, content,recommendations, or decisions, to influence a physical or virtual environment with varying levels of autonomy and adaptiveness after deployment. Contractor promises not to use an artificial intelligence system to perform the Contract without the prior written consent of System Agency. 53. Surveillance,Intimidation, and Related Acts. Contractor certifies that it(and its subcontractors)have not, and if awarded a contract, will not, either directly or indirectly through a third party, engage in surveillance targeting or engage in an act of intimidation, coercion, extortion, undue influence, or other similar conduct intended to influence, silence, or retaliate against: (1) a member of the state legislature or person employed to support the state legislature in any capacity; (2) a family member of a person described by(1); (3) a state agency employee; or (4) an individual making a complaint or raising concerns regarding state agency operations or contracting. Contractor certifies that it and its subcontractors have not, and if awarded a contract will not, either directly or indirectly through a third party,use private or confidential information to manipulate or influence a state contracting decision or proceeding. Contractor acknowledges that it, its executives and directors, and other associated entities and individuals could be terminated,barred from state contracts, and penalized up to $2 million for a violation of Government Code, Section 2261.302. 54. False Representation Contractor understands, acknowledges, and agrees that any false representation or any failure to comply with a representation,warranty, or certification made by Contractor is subject to all civil and criminal consequences provided at law or in equity including,but not limited to, immediate termination of this Contract. Health and Human Services Contract Affirmations v.2.8 Effective December 2025 Page 12 of 14 Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 55. False Statements Contractor represents and warrants that all statements and information prepared and submitted by Contractor in this Contract and any related Solicitation Response are current, complete,true, and accurate. Contractor acknowledges any false statement or material misrepresentation made by Contractor during the performance of this Contract or any related Solicitation is a material breach of contract and may void this Contract. Further, Contractor understands, acknowledges, and agrees that any false representation or any failure to comply with a representation,warranty, or certification made by Contractor is subject to all civil and criminal consequences provided at law or in equity including, but not limited to, immediate termination of this Contract. 56. Permits and License Contractor represents and warrants that it will comply with all applicable laws and maintain all permits and licenses required by applicable city, county, state, and federal rules, regulations, statutes, codes, and other laws that pertain to this Contract. 57. Equal Employment Opportunity Contractor represents and warrants its compliance with all applicable duly enacted state and federal laws governing equal employment opportunities. 58. Federal Occupational Safety and Health Law Contractor represents and warrants that all articles and services shall meet or exceed the safety standards established and promulgated under the Federal Occupational Safety and Health Act of 1970, as amended(29 U.S.C. Chapter 15). 59. 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 Health and Human Services Contract Affirmations v.2.8 Effective December 2025 Page 13 of 14 Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 Authorized representative on behalf of Contractor must complete and sign the following: Legal Name of Contractor Assumed Business Name of Contractor,if applicable(d/b/a or `doing business as') 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 Printed Name of Authorized Representative Title of Authorized Representative First, Middle Name or Initial, and Last Name Physical Street Address City, State, Zip Code Mailing Address,if different City, State, Zip Code Phone Number Fax Number Email Address DUNS Number Federal Employer Identification Number Texas Identification Number(TIN) Texas Franchise Tax Number Texas Secretary of State Filing Number SAM.gov Unique Entity Identifier(UEI) Health and Human Services Contract Affirmations v.2.8 Effective December 2025 Page 14 of 14 Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 e' '��� TEXAS '*,�, Texas Department of State � HealthandHuman ��: ' Services Health Services Attachment I-1 Fiscal Federal Funding Accountability and Transparency Act (FFATA) The certifications enumerated below represent material facts upon which DSHS relies when reporting information to the federal government required under federal law. If the Department later determines that the Contractor knowingly rendered an erroneous certification, DSHS may pursue all available remedies in accordance with Texas and U.S. law. Signor further agrees that it will provide immediate written notice to DSHS if at any time Signor learns that any of the certifications provided for below were erroneous when submitted or have since become erroneous by reason of changed circumstances. If the Signor cannot certify all of the statements contained in this section, Signor must provide written notice to DSHS detailing which of the below statements it cannot certify and why. Legal Name of Contractor: FFATA Contact: (Name, Email and Phone Number): Primary Address of Contractor: Zip Code: 9-digits required www.usas.com Unique Entity ID (UEI): This number replaces the DUNS State of Texas Comptroller Vendor Identification Number www.sam.gov (VIN) - 14 digits: Printed Name of Authorized Representative: Signature of Authorized Representative Title of Authorized Representative Date Signed 1 Department of State Health Services Form 4734—April 2022 Contract Management Section Docusign Envelope ID:775C0A82-DA94-4727-AB84-BE5089F26816 Fiscal Federal Funding Accountability and Transparency Act (FFATA) CERTIFICATION As the duly authorized representative (Signor) of the Contractor, I hereby certify that the statements made by me in this certification form are true, complete, and correct to the best of my knowledge. Did your organization have a gross income, from all sources, of less than $300,000 in your previous tax year? Yes No If your answer is "Yes", skip questions "A", "B", and "C" and finish the certification. If your answer is "No", answer questions "A" and "B". A. Certification Regarding % of Annual Gross from Federal Awards. Did your organization receive 80% or more of its annual gross revenue from federal awards during the preceding fiscal year? Yes E No B. Certification Regarding Amount of Annual Gross from Federal Awards. Did your organization receive $25 million or more in annual gross revenues from federal awards in the preceding fiscal year? Yes No pi If your answer is "Yes" to both question "A" and "B", you must answer question "C". If your answer is "No" to either question "A" or "B", skip question "C" and finish the certification. C. Certification Regarding Public Access to Compensation Information. Does the public have access to information about the compensation of the senior executives in your business or organization (including parent organization, all branches, and all affiliates worldwide) through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986? Yes No If your answer is "Yes" to this question, where can this information be accessed? If your answer is "No" to this question, you must provide the names and total compensation of the top five highly compensated officers below. Provide compensation information here: 2 Department of State Health Services Form 4734-April 2022 Contract Management Section 0 docusign Certificate Of Completion Envelope Id:775C0A82-DA94-4727-AB84-BE5089F26816 Status:Sent Subject:Please Docusign:HHS001564200001 FY27 HTB-Port Arthur Al.pdf Source Envelope: Document Pages:25 Signatures:0 Envelope Originator: Certificate Pages:2 Initials:0 CMS Internal Routing Mailbox AutoNav:Enabled 11493 Sunset Hills Road Envelopeld Stamping:Enabled #100 Time Zone:(UTC-06:00)Central Time(US&Canada) Reston,VA 20190 CMS.InternalRouting@dshs.texas.gov IP Address: 167.137.1.9 Record Tracking Status:Original Holder:CMS Internal Routing Mailbox Location:DocuSign 1/9/2026 4:22:14 PM CMS.InternalRouting@dshs.texas.gov Signer Events Signature Timestamp Ronald Burton Sent: 1/9/2026 4 29 01 PM Ronald.burton@portarthurtx.gov Security Level:Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via Docusign Susana Garcia Susana.Garcia@dshs.texas.gov Security Level:Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via Docusign Patty Melchior Patty.Melchior@dshs.texas.gov Security Level:Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via Docusign Manda Hall,M.D. manda.hall@dshs.texas.gov Security Level:Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via Docusign 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 Carbon Copy Events Status Timestamp Judith A.Smith COPIED Sent: 1/9/2026 4:29:00 PM judith.smith@portarthurtx.gov Viewed: 1/12/2026 9:38:38 AM Director of Health Services City of Port Arthur Security Level:Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via Docusign Christina Patteson COPIED Sent: 1/9/2026 4:29:01 PM Christina.patteson@portarthurtx.gov Security Level:Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via Docusign Tray Kirkpatrick Tray.kirkpatrick@dshs.texas.gov Security Level:Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via Docusign CMS Internal Routing Mailbox CMS.InternalRouting@dshs.texas.gov Security Level:Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via Docusign Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 1/9/2026 4:29:00 PM Payment Events Status Timestamps