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HomeMy WebLinkAboutPR 24885: APPROVAL FOR AMENDMENT NO. 5 GRANT RENEWAL WITH DSHS Cu) of or rthur Texas Date: April 06, 2026 To: Ron Burton, CPM, City Manager From: Judith A. Smith, RN, BSN, Director of Health Services RE: PR# 24885Approval for Amendment No. 5 Grant Renewal with DSHS and the City of Port Arthur to support Public Health Emergency Preparedness for FY 2027. This Grant requires a 10%match of$10,351.00 Nature of the Request: The Department of State Health Services provides funding to local health departments to help each facility plan and prepare for natural and man-made disasters. The City of Port Arthur Health Department has received this funding since 2011. The Department provides services which include community preparedness, community recovery, emergency public information, information sharing, fatality management, etc. Staff Analysis, Considerations: This grant covers the salary and fringe for one (1) epidemiologist who provides surveillance and case reporting for South Jefferson County. Recommendations: It is recommended that the City Council approve P.R. No. 24885, approving the contract amendment between the City of Port Arthur and the Department of State Health Services for the FY 2027 PREP (Public Health Emergency Preparedness) grant. The grant period is from July 1, 2026, to June 30,2027. Budget Considerations: The FY 2027 Contract Amendment No. 5 between the city of Port Arthur and the Department of State Health Services for the Public Health Emergency Preparedness Program for $103,507.00 of federal funding with a 10% city match of $10,351.00 for a total not to exceed $113,858.00. The total amount of the contract is $341,574.00, which includes the city's 10% cash match of$31,053.00. The cash match is budgeted in account 101-23-061-5111-00-50-000. "REMEMBER WE ARE HERE TO SERVE THE CITIZENS OF PORT ARTHUR"P.O.BOX 1089•PORT ARTHUR,TX 77641-1089• 409/983-8101•FAX 409/982-6743 P. R. No.24885 04/06/2026-js - TNR RESOLUTION NO. A RESOLUTION APPROVING THE FY 2027 CONTRACT AMENDMENT NO. 5 BETWEEN THE CITY OF PORT ARTHUR AND THE DEPARTMENT OF STATE HEALTH SERVICES FOR THE PUBLIC HEALTH EMERGENCY PREPAREDNESS PROGRAM FOR $103,507.00 OF FEDERAL FUNDING WITH A 10% CITY MATCH OF $10,351.00 FOR A TOTAL NOT TO EXCEED $113,858.00. THIS CONTRACT PERIOD STARTS JULY 1 2026 AND EXPIRES JUNE 30, 2027. THE TOTAL AMOUNT OF THE CONTRACT IS $341,574.00, WHICH INCLUDES THE CITY'S 10% CASH MATCH OF $31,053.00. THE CASH MATCH IS BUDGETED IN ACCOUNT 101-23-061-5111-00-50-000. WHEREAS, the Texas Department of State Health Services ("DSHS") administers the Public Health Emergency Preparedness ("PHEP") grant program to provide financial assistance to local health departments for planning, preparedness, response, and recovery related to natural and man-made public health emergencies; and WHEREAS, the City of Port Arthur Health Department has participated in the PHEP program since 2011, providing critical public health services to South Jefferson County, including epidemiological surveillance, case reporting, community preparedness, emergency public information, and response coordination; and WHEREAS, the City Council previously approved the PHEP contract and subsequent amendments pursuant to Resolution No. 24-182, Resolution No. 25-170, Resolution No. 25-425 (funding reduction amendment), and Resolution No. 25-521 (funding reinstatement amendment); and WHEREAS, DSHS has offered a contract amendment for Fiscal Year 2027 to continue funding under the PHEP program for the grant period of July 1, 2026, through June 30, 2027; and WHEREAS, the total grant amount shall not exceed $341,574.00, consisting of $310,521,00 in DSHS funding and a required City cash match of $31,053.00 (10%), with $113,858.00 allocated for the current funding increment, inclusive of the applicable match; and WHEREAS, such funding will support the salary and fringe benefits of one (1) epidemiologist responsible for disease surveillance and case reporting for South Jefferson County, thereby enhancing the City's capacity to respond to public health threats; and P. R. No.24885 04/06/2026-js - TNR WHEREAS, the City Council finds that participation in the PHEP program and acceptance of the contract amendment are in the best interest of the City and promote the health, safety, and welfare of the community. 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. The City Council hereby approves the Fiscal Year 2027 contract amendment between the City of Port Arthur and the Texas Department of State Health Services for the Public Health Emergency Preparedness (PHEP) Grant Program, for the term of July 1, 2026, through June 30, 2027, in substantially the same form as attached hereto as Exhibit "A." Section 3. The City Manager and the Director of the Health Department are hereby authorized to execute the agreement and any related documents necessary to accept and implement the grant, and to take all actions necessary to comply with its terms and conditions. Section 4. The total grant funding authorized herein shall not exceed $341,574.00, consisting of $310,521.00 in grant funds and a required City cash match of $31,053.00. The City's required cash match and any related expenditures are hereby authorized in accordance with the adopted budget and applicable funding sources. 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 April 2026 A.D., at a Regular Meeting of the City Council of the City of Port Arthur, Texas by the following Vote: AYES: Mayor: Councilmembers: NOES: P. R. No.24885 04/06/2026-js Mayor, Charlotte M. Moses ATTEST: Sherri Bellard, City Secretary APPROVED AS TO FORM: Roxann Pais Cotroneo, City Attorney APPROVED' ; DMINISTRATION: V VPr Ron Burton, CPM City Manager Ju h A. Smith,RN,BSN Director of Health Services APPR D AS T F FUNDS: Ly oswell, , ICMA-CM Fi ce Director EXHIBIT "A" Docusign Envelope ID:2E543BDC-8683-45A6-8FF3-D6EB14660FDD DEPARTMENT OF STATE HEALTH SERVICES CONTRACT No. HHS001439500029 AMENDMENT No. 5 The DEPARTMENT OF STATE HEALTH SERVICES("System Agency" or "DSHS") and CITY OF PORT ARTHUR("Grantee"), who are collectively referred to as the "Parties" to that certain Public Health Emergency Preparedness ("PHEP") grant agreement, effective July 1, 2024, and denominated DSHS Contract No. HHS001439500029 ("Contract"), as amended, now desire to further amend the Contract. WHEREAS, the Parties desire to extend the term of the Contract to exercise the second of four(4) available one-year extension options under the Contract; WHEREAS, the Parties desire to add funds to the Contract associated with the FY2027 extension period; and WHEREAS,the Parties desire to revise certain terms for compliance with applicable law and DSHS policy; Now,THEREFORE,the Parties hereby amend the Contract as follows: 1. SECTION III of the Contract, DURATION, is amended to reflect a revised termination date of June 30,2027. 2. SECTION V of the Contract, BUDGET, is amended to increase funding for FY2027 in the amount of $113,858.00. The total amount of this Grant Agreement will not exceed $341,574.00. This includes the System Agency share of $310,521.00 and Grantee's required match amount of$31,053.00. The total not-to-exceed amount includes the following: Total Federal Funds: $310,521.00 Total State Funds: $0.00 Funds will be allocated for each Project Fiscal Year ("FY"), which means the period beginning July 1 and ending June 30 each year, under this Grant Agreement. All expenditures under the Grant Agreement must be within the identified FY, and in accordance with ATTACHMENT B.4,REVISED BUDGET. 3. SECTION VI of the Contract, NOTICE TO PROCEED, is hereby deleted in its entirety and replaced with the following: Funding for this Grant Agreement is available each FY, which is the period of July 1, through June 30, for the contract term in Section III, Duration, and is dependent on the award of the applicable federal grant.No work may begin,and no charges may be incurred DSHS Contract No.HHS001439500029 Amendment No.5 Page 1of5 Docusign Envelope ID:2E543BDC-8683-45A6-8FF3-D6EB14660FDD until DSHS issues a written Notice to Proceed("NTP")to Grantee for each FY.Although the NTP may issue a budget amount less than the total not to exceed amount of the Grant Agreement,the NTP must not effectuate a total budget of the Grant Agreement that results in a total not to exceed Grant Agreement amount that exceeds the amount specified in Section V, Budget, of the Grant Agreement. Such changes to total not to exceed amount specified in the Grant Agreement must be effectuated by amendment. Any expenditures made beyond the dollar amounts specified in the NTP(s) will be at Grantee's sole risk. Notwithstanding the preceding, at DSHS's discretion, Grantee may be eligible to receive reimbursement for eligible expenses incurred during the period of performance as defined by 2 CFR § 200.309. 4. SECTION VII of the Contract,REPORTING REQUIREMENTS,is hereby supplemented with the addition of the following: Grantee shall submit the reports for FY2027, as identified in the table below, and as outlined in ATTACHMENT A.5, FY2027 STATEMENT OF WORK, by the due dates and submission methods specified therein. DSHS may add contractual requirements and revise reporting due dates throughout the term of this Grant Agreement to comply with modifications made to the federal grant award. Project FY2027 DSHS Email or System to Report Frequency Due Date(s) Submit Report FSRs are due biannually.The first Financial Status Report- FSR is due on the last Biannual day of the month invoices@dshs.texas.gov; following the first FSR fsrgrants(a,dshs.texas.gov;copy (See SECTION I(U)(10)of period.The second FSR to the System Agency is due on the last da of p July 30,2027 January 31,2027 representative identified in ATTACHMENT A.5,FY 2027 y STATEMENT OF WORK) the month,thirty(30) SECTION VIII,CONTRACT calendar days after the REPRESENTATIVES,of the Contract end date and Grant Agreement following the second FSR period. August 31,2026 September 30,2026 Invoices/Requests for The last business day of October 30,2026 Reimbursement the month following the November 30,2026 invoices(a,dshs.texas.gov; month in which December 31,2026 CMSinvoices(a,dshs.texas.gov; (See SECTION III(A)of expenses were incurred January 29,2027 copy to the System Agency ATTACHMENT A.5,FY2027 AND thirty(30) February 26,2027 representative identified in STATEMENT OF WORK) calendar days following March 31,2027 SECTION VIII,CONTRACT the expiration date of April 30,2027 REPRESENTATIVES,of the the Grant Agreement. May 31,2027 Grant Agreement June 30,2027 July 30,2027 Property Inventory Report (Form GC-11) FSOequip a,dshs.texas.gov; Once per FY October 15,2026 copy to the System Agency (See SECTION I(T)(3)of representative identified in ATTACHMENT A.5,FY2027 SECTION VIII,CONTRACT STATEMENT OF WORK) DSHS Contract No.HHS001439500029 Amendment No.5 Page 2 of 5 Docusign Envelope ID:2E543BDC-8683-45A6-8FF3-D6EB14660FDD REPRESENTATIVES,of the Grant Agreement Initial Work Plan (See SECTION I(U)(1)of Once per FY July 31,2026 Qualtrics System ATTACHMENT A.5,FY2027 STATEMENT OF WORK) Jurisdictional Risk Assessment(JRA) (See SECTION I(U)(2)of Once per FY June 15,2027 Qualtrics System ATTACHMENT A.5,FY2027 STATEMENT OF WORK) Capacity Indicators (See Section I(U)(3)of Once per FY July 31,2026 Qualtrics System ATTACHMENT A.5,FY2027 STATEMENT OF WORK) Multi-Year Integrated Preparedness Plan ("MYIPP") Once per FY May 1,2027 Qualtrics System (See SECTION 1(U)(4)of ATTACHMENT A.5,FY2027 STATEMENT OF WORK) After-Action Review/Improvement Plan No later than 120 days ("AAR/IP") after the exercise or Once per FY thirty(30)days Qualtrics System (See SECTION I(U)(5)of following the Contract ATTACHMENT A.5,FY2027 expiration(6/30/2027). STATEMENT OF WORK) Programmatic Mid-Year Performance Report Once per FY January 31,2027 Qualtrics System (See SECTION I(U)(6)of ATTACHMENT A.5,FY2027 STATEMENT OF WORK) Programmatic End-of- Year Performance Report Once per FY July 30,2027 Qualtrics System (See SECTION I(U)(7)of ATTACHMENT A.5,FY2027 STATEMENT OF WORK) DSHS Contract No.I1IS001439500029 Amendment No.5 Page 3 of 5 Docusign Envelope ID.2E543BDC-8683-45A6-8FF3-D6EB14660FDD Jurisdictional Evaluation Tool(JET)-Only for Regions 2/3&4/5N Once per FY June 30,2027 Qualtrics System (See Section I(U)(8)of ATTACHMENT A.5,FY2027 STATEMENT OF WORK) Capacity Indicators Survey (See SECTION I(U)(9)of Once per FY July 31,2026 Qualtrics System ATTACHMENT A.5,FY2027 STATEMENT OF WORK) 5. The Contract is amended to add ATTACHMENT A.5, FY2027 STATEMENT OF WORK, which is attached to this Amendment and incorporated into the Contract for all purposes. 6. ATTACHMENT B.3 of the Contract, REVISED BUDGET(NOv.2025),is hereby deleted in its entirety and replaced with ATTACHMENT B.4,REVISED BUDGET,which is attached to this Amendment and incorporated into the Contract for all purposes. 7. ATTACHMENT C.1 of the Contract, HHS CONTRACT AFFIRMATIONS, VERSION 2.5, EFFECTIVE NOVEMBER 2024, is hereby deleted in its entirety and replaced with ATTACHMENT C.2, HHS CONTRACT AFFIRMATIONS, VERSION 2.8, EFFECTIVE DECEMBER 2025,which is attached to this Amendment and incorporated into the Contract for all purposes. 8. ATTACHMENT F.1 of the Contract, FY2026 FFATA, is hereby supplemented with the addition of ATTACHMENT F.2, FY2027 FFATA,which is attached to this Amendment and incorporated into the Contract for all purposes. 9. This Amendment is effective immediately upon execution by the last Party to sign below. Operations and funding for Fiscal Year 2027 begin on July 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. 10. Except as modified by this Amendment, all terms and conditions of the Contract, as amended, shall remain in effect. 11. Any further revisions to the Contract shall be by written agreement of the Parties. 12. Each Party represents and warrants that the person executing this Amendment on its behalf has full power and authority to enter into this Amendment. SIGNATURE PAGE FOLLOWS DSHS Contract No.HHS001439500029 Amendment No.5 Page 4 of 5 Docusign Envelope ID:2E543BDC-8683-45A6-8FF3-D6EB14660FDD SIGNATURE PAGE FOR AMENDMENT No.5 DEPARTMENT OF STATE HEALTH SERVICES CONTRACT No.HHS001439500029 DEPARTMENT OF STATE HEALTH SERVICES CITY OF PORT ARTHUR(HEALTH DEPARTMENT) By: By: Name: Name: Title: Title: Date of Signature: Date of Signature: DSHS Contract No.HHS001439500029 Amendment No.5 Page 5 of 5 Docusign Envelope ID:2E543BDC-8683-45A6-8FF3-D6EB14660FDD ATTACHMENT A.5 FY2027 STATEMENT OF WORK GRANTEE RESPONSIBILITIES A. Grantee shall perform activities in support of the Public Health Emergency Preparedness ("PHEP") Cooperative Agreement between the Centers for Disease Control and Prevention ("CDC") and the Department of State Health Services ("System Agency") to advance public health emergency preparedness. B. Grantee shall perform the activities required under this Grant Agreement in the following cities, counties, or groups of counties (cumulatively, Grantee's "Jurisdiction"): Jefferson. C. Grantee shall provide System Agency with situational awareness data generated through interoperable networks of electronic data systems. D. Grantee shall coordinate with System Agency program staff to develop a preparedness activity plan for the Grantee's Jurisdiction. At minimum,the Grantee shall ensure the following public health emergency preparedness capabilities are all addressed in its workplan: 1. Capability 1 — Community preparedness is the ability of communities to prepare for, withstand, and recover from public health incidents in both the short-term and long-term. 2. Capability 2—Community recovery is the ability of communities to identify critical assets, facilities, and other services within public health, emergency management, health care, human services, mental/behavioral health, and environmental health sectors that can guide and prioritize recovery operations. 3. Capability 3 — Emergency operations coordination is the ability to coordinate with emergency management and to direct and support an incident or event with public health or health care implications by establishing a standardized, scalable system of oversight, organization, and supervision that is consistent with jurisdictional standards and practices and the National Incident Management System("NIMS"). 4. Capability 4 — Emergency public information and warning is the ability to develop, coordinate, and disseminate information, alerts, warnings, and notifications to the public and incident management personnel. 5. Capability 5 —Fatality management is the ability to coordinate with partner organizations and agencies to provide fatality management services to ensure the proper recovery and preservation of remains;identification of the deceased; determination of cause and manner of death;release of remains to an authorized individual;and provision of mental/behavioral health assistance for the grieving. The role also may include supporting activities for the identification, collection, documentation, retrieval, and transportation of human remains, personal effects, and evidence to the examination location or incident morgue. 6. Capability 6 — Information sharing is the ability to conduct multijurisdictional and multidisciplinary exchange of health-related information and situational awareness data among federal, state, local, tribal, and territorial levels of government and the private sector. This capability includes the routine sharing of information,as well as the issuing of public health alerts to all levels of government and the private sector in preparation for, and in response to, events or incidents of public health significance. DSHS Contract No.HHS001439500029 Attachment A.5—FY2027 Statement of Work Pagel of 11 Docusign Envelope ID:2E543BDC-8683-45A6-8FF3-D6EB14660FDD 7. Capability 7 — Mass care is the ability of public health agencies to coordinate with and support partner agencies to address, within a congregate location (excluding shelter-in- place locations), the public health, health care, mental/behavioral health, and human services needs of those impacted by an incident. This capability includes coordinating ongoing surveillance and public health assessments to ensure that health needs continue to be met as the incident evolves. 8. Capability 8 — Medical countermeasure dispensing and administration is the ability to provide medical countermeasures to targeted population(s)to prevent, mitigate,or treat the adverse health effects of a public health incident, according to public health guidelines. This capability focuses on dispensing and administering medical countermeasures, such as vaccines, antiviral drugs, antibiotics, and antitoxins. 9. Capability 9 — Medical materiel management and distribution is the ability to acquire, manage, transport, and track medical materiel during a public health incident or event and the ability to recover and account for unused medical materiel, such as pharmaceuticals, vaccines, gloves, masks, ventilators, or medical equipment after an incident. 10. Capability 10 — Medical surge is the ability to provide adequate medical evaluation and care during events that exceed the limits of the normal medical infrastructure of an affected community. It encompasses the ability of the health care system to endure a hazard impact, maintain or rapidly recover operations that were compromised,and support the delivery of medical care and associated public health services, including disease surveillance, epidemiological inquiry, laboratory diagnostic services, and environmental health assessments. 11. Capability 11 —Non-pharmaceutical interventions are actions that people and communities can take to help slow the spread of illness or reduce the adverse impact of public health emergencies. This capability focuses on communities, community partners, and stakeholders recommending and implementing non-pharmaceutical interventions in response to the needs of an incident, event, or threat. Non-pharmaceutical interventions may include isolation; quarantine; restrictions on movement and travel advisories or warnings; social distancing; external decontamination; hygiene; and precautionary protective behaviors. 12. Capability 12 — Public health laboratory testing is the ability to implement and perform methods to detect, characterize, and confirm public health threats. It also includes the ability to report timely data,provide investigative support, and use partnerships to address actual or potential exposure to threat agents in multiple matrices, including clinical specimens, and food, water, and other environmental samples. This capability supports passive and active surveillance when preparing for, responding to, and recovering from biological, chemical, and radiological (if a Radiological Laboratory Response Network is established)public health threats and emergencies. 13. Capability 13 —Public health surveillance and epidemiological investigation is the ability to create,maintain, support, and strengthen routine surveillance and detection systems and epidemiological investigation processes.It also includes the ability to expand these systems and processes in response to incidents of public health significance. 14. Capability 14—Responder safety and health is the ability to protect public health and other emergency responders during pre-deployment, deployment, and post-deployment. 15. Capability 15 — Volunteer management is the ability to coordinate with emergency management and partner agencies to identify, recruit, register, verify, train, and engage volunteers to support the jurisdictional public health agency's preparedness, response, and recovery activities during pre-deployment, deployment, and post-deployment. DSHS Contract No.HHS001439500029 Attachment A.5—FY2027 Statement of Work Page 2 of 11 Docusign Envelope ID:2E543BDC-8683-45A6-8FF3-D6EB14660FDD E. Grantee shall coordinate with System Agency program staff to develop a preparedness activity plan for the Grantee's Jurisdiction. CDC released the Public Health Response Readiness Framework that defines excellence in response operations. The Grantee shall be knowledgeable of the following items and ensure the items are addressed throughout the deliverables in Section I (U): 1. Prioritize a risk-based approach — to all-hazards planning that addresses evolving threats and supports medical countermeasure logistics; 2. Enhance partnerships—(federal and nongovernmental organizations)to effectively support community preparedness efforts; 3. Expand local support — to improve jurisdictional readiness to effectively manage public health emergencies; 4. Improve administrative and budget preparedness systems — to ensure timely access to resources for supporting jurisdictional responses; 5. Build workforce capacity — to meet jurisdictional surge management needs and support staff recruitment,retention,resilience, and mental health; 6. Modernize data collection and systems—to improve situational awareness and information sharing with healthcare systems and other partners; 7. Strengthen risk communications activities — to improve proficiency in disseminating critical public health information and warnings and address mis/disinformation; 8. Incorporate practices — to enhance preparedness and response support for communities experiencing differences in health status due to structural barriers; 9. Advance capacity and capability of public health laboratories —to characterize emerging public health threats through testing and surveillance; and 10. Prioritize community recovery efforts — to support health department reconstitution and incorporate lessons learned from public health emergency responses. F. Grantee shall match funds awarded under this Grant Agreement with costs or third-party contributions that are not paid by the federal government under another award, except where authorized by federal statute to be used for cost-sharing or matching. The non-federal contributions ("match")may be provided directly or through donations from public or private entities and may be in cash or in-kind donations, fairly evaluated, including plant, equipment, or services. The costs that the Grantee incurs in fulfilling the matching or cost-sharing requirement are subject to the same requirements, including the cost principles, that apply to the use of federal funds, including prior approval requirements and other rules for allowable costs as described in 45 Code of Federal Regulations ("CFR") 74.23 and 45 CFR 92.24, as amended. Grantee shall provide matching funds in the amount of ten percent(10%) of the DSHS Direct Costs and Indirect Costs amount as outlined in ATTACHMENT B.4,REVISED BUDGET. "Cash match"is defined as an expenditure of cash by the Grantee on allowable costs under this Grant Agreement that are borne by the Grantee. "In-kind match" is defined as the dollar value of non-cash contributions by a third party given in goods, commodities, or services that are used in activities that benefit this Grant Agreement's project,and that are contributed by non-federal third parties without charge to the Grantee. The criteria for a match must: 1. Be an allowable cost under the applicable federal cost principle; DSHS Contract No.HHS001439500029 Attachment A.5—FY2027 Statement of Work Page 3 of 11 Docusign Envelope ID:2E543BDC-8683.45A6-8FF3-D6EB14660FDD 2. Be necessary and reasonable for the efficient accomplishment of project or program objectives; 3. Be verifiable within the Grantee's (or subgrantee's) records; 4. Be documented, including methods and sources, in the approved budget (applies only to cost reimbursement contracts); 5. Not be included as contributions toward any other federally assisted project or program (match can count only once); 6. Not be paid by the federal government under another award, except where authorized by federal statute to be used for cost-sharing or match; 7. Conform to other provisions of governing circulars/statutes/regulations as applicable for the Grant Agreement; 8. Be adequately documented; 9. Follow procedures for generally accepted accounting practices as well as meet audit requirements; and 10. Value the in-kind contributions reported and be supported by documentation reflecting the use of goods and/or services during the Grant Agreement term. G. Grantee shall, in the event of a public health emergency involving a portion of the state, mobilize and dispatch staff or equipment purchased with funds from previous PREP cooperative agreements, and not currently performing critical duties in the Grantee's Jurisdiction, to the affected area of the state upon receipt of a written request from System Agency. H. Grantee shall, in the event of a local, state, or federal incident, emergency or disaster,have the option to request from System Agency the United States Department of Health and Human Services ("HHS") emPower Individual Data Set (hereinafter, the "CMS data") for PHEP services. To access CMS data, Grantee shall submit to System Agency a written request that describes how the CMS data will be used to perform emergency planning for identifying and/or conducting outreach to at-risk Medicare beneficiaries to ensure they have the necessary medical resources and assistance throughout and during recovery from the incident,emergency or disaster. System Agency reserves the right to request additional information from Grantee. System Agency will review Grantee's request and provide a written approval or denial. Grantee's access to and use of the CMS data and any derivative data is provided to allow Grantee to perform specified and System Agency-approved public health activities under the Grant Agreement. When accessing the CMS data or derivative data,Grantee shall: I. Ensure Confidential Information is handled in compliance with the HHS Data Use Agreement and the Centers for Medicare and Medicaid Services Data Use Agreement and any associated DUA Addendum; 2. Employ appropriate administrative, technical, and physical safeguards to protect the confidentiality of the CMS data and/or derivative data. Such protections shall include, but not be limited to measures that prevent unauthorized use of or access to such data; logon protocols and passwords for electronic access to such data; encryption of such data at rest and in transit; permanent deletion of internet histories when using third-party resources; redaction of information when fully identifiable information is not required;and the use of DSHS Contract No.HHS001439500029 Attachment A.5—FY2027 Statement of Work Page 4 of 11 Docusign Envelope ID:2E543BDC-8683-45A6-8FF3-D6EB14660FDD sufficient overwriting to ensure permanent deletion of electronic copies of such data or the physical destruction of such data in accordance with terms of this section; 3. Only utilize CMS data and derivative data to perform public health activities and only for the purposes specifically requested and approved by System Agency and not for any other purpose; 4. Ensure CMS data or derivative data is not entered into any type of registry,unless approved in writing by System Agency; 5. Destroy all source data and derivative data within thirty (30) calendar days from the date of disclosure. In the event the incident, emergency, or disaster extends past the thirty (30) calendar days, Grantee may request a thirty (30)-day extension to continue the response and outreach by submitting a written request to System Agency with justification for the continued use of the data. Grantee shall submit written attestation to System Agency certifying that destruction of all data was completed; 6. Ensure Grantee staff who have access to CMS data or any derivative data complete HIPAA training prior to accessing any data set. Grantee shall produce evidence of completed training to System Agency upon request; 7. Ensure Grantee staff who have access to CMS data or any derivative data obtain role-based access to the CMS data or any derivative data; and 8. Attest that each staff member accessing the CMS data does not have a criminal background or disqualifying criminal history record information or is not otherwise prohibited from accessing the CMS data as set forth in state or federal law or rule, including CMS requirements. I. Grantee shall coordinate activities and response plans within Grantee's Jurisdiction with the state, regional, and other local jurisdictions, among local agencies, and with hospitals and major health care entities, and Councils of Government. J. Grantee shall inform System Agency in writing if Grantee will not continue performance under this Grant Agreement within thirty (30) calendar days of receipt of System Agency's notification of an amended standard(s) or guideline(s). In such event, System Agency may terminate this Grant Agreement immediately or within a reasonable period of time, as determined by System Agency. K. Grantee shall develop, implement, and maintain a timekeeping system for accurately documenting staff time and salary expenditures for all staff funded through this Grant Agreement, including partial full-time employees and temporary staff. L. Grantee shall complete and submit programmatic reports as directed by System Agency in a format specified by System Agency and as needed to satisfy information-sharing requirements set forth in Texas Government Code Sections 421.071 and 421.072(b) and(c). Grantee must provide System Agency with other reports, including financial reports, that System Agency determines necessary to accomplish the objectives of this Grant Agreement and to monitor compliance. M. Grantee shall conduct all exercises in accordance with Homeland Security Exercise Evaluation Program("HSEEP") guidance, and have plans,processes, and training in place to meet NIMS compliance requirements. DSHS Contract No.HHS001439500029 Attachment A.5—FY2027 Statement of Work Page 5of11 Docusign Envelope ID:2E543BDC-8683-45A6-8FF3-D6EB14660FDD N. Grantee shall coordinate all planning, training, and exercises performed under this Grant Agreement with other Local Health Entities, the Texas Division of Emergency Management ("TDEM"),or other points of contact at the discretion of System Agency,to ensure consistency and coordination of requirements at the local level and eliminate duplication of effort between the various domestic preparedness funding sources in the state. O. Grantee shall coordinate preparedness risk communication activities as needed with the System Agency Communications Unit. P. Grantee shall work with the DSHS Public Health Region and their Regional Health Care Coalition to develop comprehensive preparedness strategies by participating in meetings, trainings, and exercises. Q. Grantee shall comply with all state and System Agency guidance and standards, including the following: Texas Grant Management Standards, located at the following URL: https://comptroller.texas.gov/purchasing/grant-management/. R. Grantee shall comply with all applicable federal and state laws, rules, and regulations, as amended, including,but not limited to, the following: 1. Texas Government Code Chapter 418; 2. Public Law 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act ("PAHPAI"); 3. Public Law 109-417, Pandemic and All-Hazards Preparedness Act("PAHPA"); 4. Texas Health and Safety Code Chapter 81; 5. Section 319 C-1 of the Public Health Service ("PHS") Act (47 USC § 247d-3a), as amended; and 6. 2 CFR Part 200. S. Grantee shall comply with all requirements related to purchases made with grant funds and uses of grant funds under this Grant Agreement. The requirements regarding purchases made with grant funds and uses of grant funds under this Grant Agreement include the following: 1. Grantee may not use funds for research, clinical care, fundraising activities or lobbying, construction or major renovations, reimbursement of pre-award costs, to supplant existing state or federal funds for activities,payment or reimbursement of backfilling costs for staff, purchase of vehicles of any kind,uniforms,buildings or real property, or funding an award to another party or provider who is ineligible. 2. Grantee may not use funds made available under this Grant Agreement to promote or advocate the legalization or practice of prostitution or sex trafficking. Nothing in the preceding sentence shall be construed to preclude the provision to individuals of palliative care, treatment, or post-exposure pharmaceutical prophylaxis, and necessary pharmaceuticals and commodities, including test kits, condoms, and, when proven effective, microbicides. 3. Grantee must initiate the purchase of all equipment approved in writing by System Agency, as applicable. Failure to timely initiate the purchase of equipment may result in the loss of DSHS Contract No.HHS001439500029 Attachment A.5—FY2027 Statement of Work Page 6 of 11 Docusign Envelope ID:2E543BDC-8683-45A6-8FF3-D6EB14660FDD availability of funds for the purchase of equipment. Requests to purchase equipment must be submitted to the assigned System Agency Contract Representative. 4. At the expiration or termination of this Grant Agreement for any reason, title to any remaining equipment and supplies purchased with funds under this Grant Agreement reverts to System Agency. Title may be transferred to another party at the sole discretion of System Agency. System Agency may, at its option and to the extent allowed by law, transfer the reversionary interest to such property to Grantee. 5. Grantee shall not use System Agency funds to lease buildings or real property without prior written approval from System Agency.Further,Grantee shall not use System Agency funds for the purchase of buildings or real property under any circumstance. 6. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfalls. 7. System Agency will monitor Grantee's expenditures on a monthly basis. If expenditures are below the amount projected in Grantee's total FY amount, Grantee's budget may be subject to a decrease for the remainder of the FY. T. Grantee shall comply with requirements related to the cost reimbursement budget under this Grant Agreement. The cost reimbursement budget requirements include the following: 1. Grantee's approved cost reimbursement budget must document all approved and allowable expenditures. 2. Grantee shall only utilize funding under this Grant Agreement for approved and allowable costs. If Grantee requests to utilize funds for an expense not documented in the approved cost reimbursement budget, Grantee shall notify the System Agency Contract Representative,in writing,and request approval prior to utilizing the funds. System Agency shall provide written notification whether the requested expense is approved or denied. 3. DSHS-approved budget may be revised by Grantee in accordance with the following requirements: 4. For any transfer between budget categories, Grantee shall submit a revised Categorical Budget using the Budget Template 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, rejection, or the need for a Contract Amendment to the Grantee by email. 5. For transfer of funds between direct budget categories, other than the `Equipment' and `Indirect Cost' categories, for less than or equal to a 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 a budget revision for less than or equal to the cumulative twenty- five(25)percent is approved for transfer of funds between direct budget categories,DSHS Contract Representative will provide notification of acceptance to Grantee by email, upon receipt of which, the funds can be utilized by the Grantee. 6. 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. DSHS Contract No.HHS001439500029 Attachment A.5—FY2027 Statement of Work Page 7of11 Docusign Envelope ID:2E543BDC-8683-45A6-8FF3-D6EB14660FDD 7. Any transfer between budget categories that includes `Equipment' and/or `Indirect Cost' categories must be approved by amendment to the Contract. 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. 8. Grantee shall maintain an inventory of equipment, supplies defined as Controlled Assets, and real property. Submit an annual cumulative report of the equipment and other property on HHS System Agency Grantee's Property Inventory Report to FSOequip ar,dshs.texas.2ov, with a copy to the assigned System Agency Contract Representative by email not later than October 15 of each year. Controlled Assets include firearms, regardless of the acquisition cost, and the following assets with an acquisition cost of $500 or more, but less than $10,000: desktop and laptop computers (including notebooks, tablets and similar devices), non-portable printers and copiers, emergency management equipment, communication devices and systems, medical and laboratory equipment, and media equipment. Controlled Assets are considered Supplies. U. Grantee shall comply with the reporting requirements and due dates established in this STATEMENT OF WORK and SECTION VII, REPORTING REQUIREMENTS, of the Grant Agreement. Unless stated otherwise in this Grant Agreement,Grantee must submit the reports via Qualtrics, a web-based system, according to instructions provided by System Agency. Programmatic reports satisfy the information-sharing requirements set forth in Texas Government Code, Sections 421.071 and 421.072(b) and (c). The reporting requirements include the following: 1. Grantee must prepare an Initial Work Plan each FY and submit it to System Agency via Qualtrics, using a URL provided by System Agency. For FY2027, Grantee must submit the Initial Work Plan to System Agency by July 31, 2026. This requirement must be reviewed and approved by System Agency to receive credit. 2. Grantee must prepare and submit a Jurisdictional Risk Assessment ("JRA") to System Agency via Qualtrics, using a URL provided by System Agency. For FY2027, Grantee must submit a Jurisdictional Risk Assessment to System Agency by June 15, 2027. Must include disproportionately impacted populations or access and functional needs.Previously completed JRAs can be submitted if they are not more than five (5) years old. The next JRA will be due within the next five (5) years from the submitted JRA date. This requirement must be reviewed and approved by System Agency to receive credit. 3. Grantee must prepare and submit a self-assessment on Capacity Indicators each FY via Qualtrics. For FY2027, Grantee must submit the Capacity Indicators Form to System Agency by July 31, 2026. System Agency will provide a template to Grantee, which will identify the information that Grantee must provide in its Capacity Indicators Survey. This requirement must be reviewed and approved by System Agency to receive credit. 4. Grantee must prepare and submit a current Multi-Year Integrated Preparedness Plan ("MYIPP") each FY, which must include at least five (5) years of progressive exercise, planning and training, to System Agency via Qualtrics. For FY2027, Grantee must submit the MYIPP to System Agency by May 1, 2027. The MYIPP must be based on the results of the Grantee's training needs assessment and the evaluations of previous exercises and responses, including the After-Action Review/Improvement Plan. The MYIPP must include a description of: a) Summary of the MYIPP Workshop; DSHS Contract No.HHS001439500029 Attachment A.5—FY2027 Statement of Work Page 8of11 Docusign Envelope ID:2E543BDC-8683-45A6-8FF3-D6EB14660FDD b) The proposed location,month(s), and year(s) of future exercise(s); c) The type(s) of future exercise(s)that will take place; and d) The partnering entities. MYIPP must include one access and functional needs or underserved populations (FEMA Definition), training to support a ready responder workforce (WHF-B, AHA-G, LOC-B), and recovery operations (REC-A). This requirement must be reviewed and approved by System Agency to receive credit. 5. Grantee must implement an exercise program to include three (3) discussion-based exercises and one(1) Functional or Full-Scale Operational Exercise over the five (5)-year Performance Period. Real world incidents can count as a full-scale exercise with prior approval from the System Agency. This includes completing After-Action Reports(AAR), Corrective Action and Improvement Plans.The exercises should utilize scenarios that meet the priority jurisdictional risks identified in the JRA. Submit the After-Action Review/Improvement Plan("AAR/IP")for each exercise no later than 120 days after the exercise or thirty (30) days following the Contract expiration, via Qualtrics. This requirement must be reviewed and approved by System Agency to receive credit. 6. For FY2027, the Grantee must submit the Programmatic Mid-Year Performance Report to the System Agency by January 31, 2027, via Qualtrics. The System Agency will provide a template to the Grantee,which will identify the information that the Grantee must provide in its Programmatic Mid-Year Performance Report. This requirement must be reviewed and approved by System Agency to receive credit. 7. For FY2027, the Grantee must submit the Programmatic End-of-Year Performance Report to the System Agency by July 30, 2027. The System Agency will provide a template to the Grantee to identify the information that the Grantee must provide in its Programmatic End-of-Year Performance Report. This requirement must be reviewed and approved by System Agency to receive credit. 8. For FY2027, if the Grantee is located in DSHS Public Health Regions 2/3 and 4/5N, Grantee must submit the Jurisdictional Evaluation Tool("JET") to the System Agency by June 30, 2027. The System Agency will provide a template to the Grantee to be completed using Qualtrics. This requirement must be reviewed and approved by System Agency to receive credit. If the Grantee is Project Public Health Ready ("PPHR") accredited, they may submit supporting PPHR documentation in lieu of completing applicable sections of the JET survey, as determined by System Agency. 9. Grantee must complete and submit the Capacity Indicators Survey in Qualtrics by July 31,2026.The System Agency will provide a template to the Grantee to be completed using Qualtrics. This requirement must be reviewed and approved by System Agency to receive credit. 10. Grantee must submit biannual Financial Status Reports ("FSRs)". Grantee's FSRs are due biannually. The first FSR is due on the last day of the month following the first FSR period. The second FSR is due on the last day of the month, thirty (30) days after the Contract end date and following the second FSR period. The first FSR, for the period July 1, 2026, through December 31, 2026, is due by January 31, 2027. The second FSR, for the period January 1, 2027, through June 30, 2027, is due by July 30, 2027. Grantee shall electronically submit FSRs to invoices@dshs.texas.gov and fsrgrantsa,dshs.texas.gov, with a copy to the System Agency Contract Representative identified in SECTION VIII, CONTRACT REPRESENTATIVES, of this Grant Agreement. As directed by System Agency, Grantee must submit FSR reports by mail or fax as follows: DSHS Contract No.HHS001439500029 Attachment A.5—FY2027 Statement of Work Page 9 of 11 Docusign Envelope ID:2E543BDC-8683-45A6-8FF3-D6EB14660FDD a. For submission by mail,use address below: Department of State Health Services Claims Processing Unit P.O. Box 149347, MC 1940 Austin, TX 78714-9347 b. For submission by fax, use the number below: (512)458-7442 11. Grantee must maintain an inventory of equipment, supplies defined as"Controlled Assets" (see definition in the form titled, "DSHS Contractor's Property Inventory Report (Form GC-11),"link below), and real property. Grantee shall submit an annual cumulative report of the above-stated items on Form GC-11, located at the following URL:https://www.dshs.texas.gov/hiv-std-program/dshs-tb-hiv-std-section-thisis/contract- management-section-prevention. Grantee will submit the Form GC-11, via email, to FSOequip(aidshs.texas.gov, with a copy to the System Agency Contract Representative identified in SECTION VIII,CONTRACT REPRESENTATIVES, of this Grant Agreement, no later than October 15th of each calendar year. 12. Grantee shall provide System Agency with other reports, including financial reports, that System Agency determines necessary to accomplish the objectives of this Grant Agreement and to monitor compliance. 13. The Grantee must immediately notify the System Agency in writing if the Grantee is legally prohibited from providing any report required under this Grant Agreement. II. PERFORMANCE MEASURES A. System Agency will monitor the Grantee's performance of the requirements in this Statement of Work and compliance with the Grant Agreement's terms and conditions. B. Grantee's failure to meet certain requirements, including, but not limited to the following, may result in the System Agency withholding a portion of the current Fiscal Year PHEP award: adherence to PHEP reporting deadlines and the capability to receive, stage, store, distribute, and dispense materiel during a public health emergency. C. Upon request by the System Agency,the Grantee shall reasonably revise any performance measure to the System Agency's satisfaction and with the requirements outlined in this Grant Agreement. III. 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 and shall use the State of Texas Purchase Vouchers (Form B-13 and Form B-13A) located at https://www.dshs.texas.gov/contractor-forms. Grantee's fmal invoice will be due thirty (30) calendar days following the expiration date of the Grant Agreement. The System Agency will issue reimbursement payments to the Grantee monthly for reported actual cash disbursements supported by adequate documentation. DSHS Contract No.HHS001439500029 Attachment A.5—FY2027 Statement of Work Page 10of11 Docusign Envelope ID:2E543BDC-8683-45A6-8FF3-D6EB14660FDD Invoice approval and payment is contingent upon receipt of adequate supporting documentation that is submitted by electronic mail to invoices@,dshs.texas.gov and CMSInvoices@,dshs.texas.gov, with a copy to the assigned System Agency Contract Representative identified in the Grant Agreement. At a minimum, every invoice should include: 1. Grantee name, address, email address, vendor identification number, and telephone number; 2. DSHS Contract or Purchase Order number; 3. Identification of service(s)provided; 4. The total invoice amount; and 5. Any additional supporting documentation that is required by this Statement of Work or as requested by System Agency. B. System Agency will pay Grantee monthly on a cost reimbursement basis and in accordance with ATTACHMENT B.4,REVISED BUDGET, of this Grant Agreement. System Agency will reimburse Grantee only for allowable expenses incurred within the FY and in accordance with the Statement of Work. C. System Agency reserves the right, where allowed by legal authority, to redirect funds in the event of financial shortfall. System Agency will monitor Grantee's expenditures on a periodic basis. If expenditures are below the amount projected in Grantee's total Grant Agreement amount, Grantee's budget may be subject to a decrease for the remainder of the Grant Agreement term. Vacant positions existing after ninety (90) days may result in a decrease in funds. Grantee must report position vacancies to their assigned Contract Manager each month until the position is filled. D. Grantee may request a one-time working capital advance not to exceed twelve percent (12%)of the total funds allotted per FY.All advances must be expended by the end of the FY. Advances not expended by the end of the Grant Agreement term must be refunded to the System Agency. System Agency may require the Grantee to repay all or part of advanced funds at any time during the Grant Agreement term. However, if the advance has not been repaid before the last three (3) months of the Grant Agreement term, the Grantee must deduct at least one-third (1/3) of the remaining advance from each of the last three(3)months' reimbursement requests. If the advance is not repaid prior to the last three (3) months of the Grant Agreement term, System Agency will reduce the reimbursement request by one-third(1/3)of the remaining balance of the advance. DSHS Contract No.HHS001439500029 Attachment A.5—FY2027 Statement of Work Page 11 of 11 Docusign Envelope ID.2E543BDC-8683-45A6-8FF3-D6EB14660FDD ATTACHMENT B.4 REVISED BUDGET DSHS FUNDING DSHS FUNDING DSHS FUNDING TOTAL BUDGET CATEGORIES FOR FY2025 FOR FY2026 FOR FY2027 DSHS (July 1,2024— (July 1,2025— (July 1,2026— FUNDING June 30,2025) June 30,2026) June 30,2027) Personnel $74,503.00 $54,285.00 $63,000.00 $191,788.00 Fringe Benefits $29,004.00 $22,800.00 $26,460.00 $78,264.00 Travel $0.00 $3,978.00 $2,839.00 $6,817.00 Equipment $0.00 $0.00 $0.00 $0.00 Supplies $0.00 $21,294.00 $10,508.00 $31,802.00 Contractual $0.00 $0.00 $0.00 $0.00 Other $0.00 $1,150.00 $700.00 $1,850.00 Sum of DSHS Direct Costs $103,507.00 $103,507.00 $103,507.00 $310,521.00 Indirect Costs $0.00 $0.00 $0.00 $0.00 Sum of DSHS Direct Costs $103,507.00 $103,507.00 $103,507.00 $310,521.00 and Indirect Costs Plus Required Match(Cash or $10,351.00 $10,351.00 $10,351.00 $31,053.00 In-Kind) Total Contract Amount $113,858.00 $113,858.00 $113,858.00 $341,574.00 FY is defined as the period of July 1 through June 30. DSHS Contract No.HHS001439500029 Attachment B.4—Revised Budget Page 1 of 1 Docusign Envelope ID:2E543BDC-8683-45A6-8FF3-D6EB14660FDD HEALTH AND HUMAN SERVICES Contract Number HHS001439500029 Attachment C2 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:2E543BDC-8683-45A6-8FF3-D6EB14660FDD 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:2E543BDC-8683-45A6-8FF3-D6EB14660FDD 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:2E543BDC-8683-45A6-8FF3-D6EB14660FDD 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:2E543BDC-8683-45A6-8FF3-D6EB14660FDD 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:2E543BDC-8683-45A6-8FF3-D6EB14660FDD 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:2E543BDC-8683-45A6-8FF3-D6EB14660FDD 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:2E543BDC-8683-45A6-8FF3-D6EB14660FDD 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:2E543BDC-8683-45A6-8FF3-D6EB14660FDD 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:2E543BDC-8683-45A6-8FF3-D6EB14660FDD 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:2E543BDC-8683-45A6-8FF3-D6EB14660FDD 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:2E543BDC-8683-45A6-8FF3-D6EB14660FDD 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:2E543BDC-8683-45A6-8FF3-D6EB14660FDD 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:2E543BDC-8683-45A6-8FF3-D6EB14660FDD Authorized representative on behalf of Contractor must complete and sign the following: City of Port Arthur 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. Signed by: itAji{L SKAigiv March 31,2026 `-Stgiinture4of Authorized Representative Date Signed Judith Smith Director of Health Services Printed Name of Authorized Representative Title of Authorized Representative First, Middle Name or Initial, and Last Name 5860 9th Avenue Port Arthur,Texas,77642 Physical Street Address City, State,Zip Code 5860 9th Avenue Port Arthur,Texas,77642 Mailing Address,if different City, State,Zip Code (409)983-88352 (409)983-8832 Phone Number Fax Number judith.smith@portarthurtx.gov 13734909 Email Address DUNS Number 174600418550-011 74-6001885 Federal Employer Identification Number Texas Identification Number(TIN) 1-74-6001855-0 17460018850-11 Texas Franchise Tax Number Texas Secretary of State Filing Number EMVNEFW2KN4 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:2E543BDC-8683-45A6-8FF3-D6EB14660FDD �,* TEXAS Texas Department of State � �:Health and Human Z t ' Services Health Services 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): City of Port Arthur Lynda Boswell, MA, ICMA-CM 5860 9th Avenue lynda.boswell@portarthurtx.gov Port Arthur, Texas 77640 (409)983-8186 Primary Address of Contractor: Zip Code: 9-digits required www.usas.com EMVNEFW2KN4 77642-6011 Unique Entity ID (UEI): This number replaces the DUNS State of Texas Comptroller Vendor Identification Number www.sam.qov (VIN) - 14 digits: EMVNEFW2KN4 17460018550-011 Printed Name of Authorized Representative: Signature of Authorized Representative (—Signed by: Judith Smith I 1 jttid,l{L S'Wlt{u, Title of Authorized Representative .BeeteFSit�fi AED30471... Director of Health Services March 31,2026 1 Department of State Health Services Form 4734—April 2022 Contract Management Section Docusign Envelope ID:2E543BDC-8683-45A6-8FF3-D6EB14660FDD 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 ❑ No x 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 n No 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 n No If your answer is "Yes" to this question, where can this information be accessed? Through Open Records Requests 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:2E543BDC-8683-45A6-8FF3-D6EB14660FDD Status:Sent Subject:Please DocuSign HHS001439500029 City of Port Arthur Amendment 5 CPS-PHEP Source Envelope: Document Pages:33 Signatures:2 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: 167.137.1.8 Record Tracking Status:Original Holder:CMS Internal Routing Mailbox Location:DocuSign 3/30/2026 11:31:26 AM CMS.InternalRouting@dshs.texas.gov Signer Events Signature Timestamp Judith Smith Signed by: Sent:3/30/2026 11:40:40 AM judith.smith@portarthurtx.gov ittkitt, SwNttu Viewed:3/30/2026 12:30:41 PM •—F848504AED3047t. Director of Health Services Signed:3/31/2026 12:05:03 PM City of Port Arthur Security Level:Email,Account Authentication Signature Adoption:Pre-selected Style (None) Using IP Address:71.40.211.219 Electronic Record and Signature Disclosure: Not Offered via Docusign Ron Burton Sent:3/31/2026 12:05:07 PM ron.burton@portarthurtx.gov City Manager City of Port Arthur Security Level:Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via Docusign Michael Montgomery Michael.Montgomery1@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 David Gruber David.Gruber@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 Erika Flores COPIED Sent:3/30/2026 11:40:41 AM erika.flores@portarthurtx.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 Fred L.Waterman Fred.Waterman@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 3/30/2026 11:40:41 AM Payment Events Status Timestamps