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HomeMy WebLinkAboutResolution - 2024-R0305 - Amendment No. 4, Contract HHS000812700012, DSHS - 07/09/2024Resolution No. 2024-RO305 Item No. 6.5.1 July 9, 2024 RESOLUTION BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK: THAT the Mayor of the City of Lubbock is hereby authorized and directed to execute for and on behalf of the City of Lubbock, Amendment No. 4 to the Department of State Health Services (DSHS) Contract No. HHS000812700012, for SARS-CoV-2 epidemiology, surveillance, and enhanced laboratory activities, by and between the City of Lubbock and the State of Texas, acting by and through DSHS, and all related documents. Said Amendment is attached hereto and incorporated in this resolution as if fully set forth herein and shall be included in the minutes of the City Council. Passed by the City Council on July 9, 2024 __ _ _ _— IaM /t/ MARK CBRAYER, MAYOR A EST: v Courtney Paz, City Secretary APPROVED AS TO CONTENT: — e - � 0, 4, - r—, �:: � 2 Bill Ho rton, Depu nager APPROVED AS TO FORM: achael I:oster, Xs9siant City Attorney RES.DSHS Contract No. 14E4S000812700012 Amendment NoA 6.18.24 DocuSign Envelope ID: A25E5CEA-FD9A4EFF-691E-AC517ABAFACD Resolution No. 2024-RO305 DEPARTMENT OF STATE HEALTH SERVICES CONTRACT No. HHS000812700012 AMENDMENT No. 4 The DEPARTMENT OF STATE HEALTH SERVICES ("SYSTEM AGENCY" or "DSHS") and CITY OF LUBBOCK ("GRANTEE"), each a "Party" and collectively referred to as the "Parties" to that certain grant contract for SARS-CoV-2 epidemiology, surveillance, and enhanced laboratory activities effective August 17, 2020, and denominated DSHS Contract No. HHS000812700012 ("Contract"), as amended, now desire to further amend the Contract. WHEREAS, the Parties desire to revise the Statement of Work; and WHEREAS, the Parties desire to revise the Budget to add additional funding for SARS-CoV-2 outbreak response activities. Now, THEREFORE, the Parties amend and modify the Contract as follows: 1. SECTION IV, BUDGET, of the Contract is hereby amended to add $145,226.00 to the Contract for the period beginning with the effective date of this Amendment No. 4 and ending July 31, 2026, for SARS-CoV-2 outbreak response activities. The total amount of this Contract will not exceed $493,769.00. 2. ATTACHMENT A-1, REVISED STATEMENT OF WORK, is deleted in its entirety and replaced with ATTACHMENT A-4, REVISED STATEMENT OF WORK, which is attached to this Amendment and incorporated as part of the Contract for all purposes. 3. ATTACHMENT A-3, REVISED SUPPLEMENTAL STATEMENT OF WORK, is deleted in its entirety. 4. ATTACHMENT B-2, REVISED BUDGET, is deleted in its entirety and replaced with ATTACHMENT B-3, REVISED BUDGET, which is attached to this Amendment and incorporated as part of the Contract for all purposes. All expenditures under the Contract will be in accordance with ATTACHMENT B-3, REVISED BUDGET. 5. ATTACHMENT A-4, REVISED STATEMENT OF WORK is attached to this Amendment No. 4 and incorporated as part of the Contract for all purposes. 6. ATTACHMENT B-3, REVISED BUDGET, is attached to this Amendment No. 4 and incorporated as part of the Contract for all purposes. 7. This Amendment No. 4 shall be effective as of the date last signed below. 8. Except as amended and modified by this Amendment No. 4, all terms and conditions of the Contract, as amended, shall remain in full force and effect. DSHS Contract No. HHS000812700012 Amendment No. 4 Page 1 of 3 DocuSign Envelope ID: A25E5CEA-FD9A-4EFF-89IE-AC517ABAFACD 9. Any further revisions to the Contract shall be by written agreement of the Parties. 10. 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. HHS000812700012 Amendment No. 4 Page 2 of 3 DocuSign Envelope ID: A25E5CEA-FD9A-4EFF-B91 E-AC517ABAFACD SIGNATURE PAGE FOR AMENDMENT No. 4 DSHS CONTRACT No. HHS000812700012 SYSTEM AGENCY L By: Name: Varun Shetty Title: Chief State Epidemiologist Date of Signature: June 25, 2024 GRANTEE L�� ccuSignedby�: By: V - \ Name: Mark McBrayer Title: Mayor Date of Signature: June 25, 2024 DSHS Contract No. HHS000812700012 Amendment No. 4 Page 3 of 3 DocuSign Envelope ID: A25E5CEA-FD9A-4EFF-B9IE-AC517ABAFACD ATTACHMENT A-4 REVISED STATEMENT OF WORK I. GRANTEE RESPONSIBILITIES Grantee will perform activities as submitted in their DSHS approved budgets for this specific funding Contract period. COVID-funded laboratory, surveillance, epidemiology, and informatics personnel may work on other respiratory pathogens and syndromes more broadly, in addition to SARS-CoV-2 and COVID-19, as long as COVID-19 testing or surveillance is included in the effort. In this Statement of Work where COVID-19 is referenced, it will now include other respiratory pathogens and syndromes. All activities must be listed below to be approved for this funding and any additional activities not listed in the approved budget must be submitted for DSHS consideration and approval. The activities for this Contract funding period are as follows: A. Enhance Laboratory, Surveillance, Informatics and other Workforce Capacity, including: Train and hire staff to improve laboratory workforce ability to address issues around laboratory safety, quality management, inventory management, specimen management, diagnostic and surveillance testing and reporting results. 2. Build expertise for healthcare and community outbreak response and infection prevention and control (IPC) among local health departments. 3. Train and hire staff to improve the capacities of the epidemiology and informatics workforce to effectively conduct surveillance and response of COVID-19 and other emerging infections and conditions of public health significance. This should include staff who can address unique cultural needs of those at higher risk for COVID-19. Grantee may not incur COVID-19 contact tracing or contact tracing call center expenditures after 8/31/2021. 4. Build expertise to support management of the COVID-19-related activities within the jurisdiction and integrate into the broader Epidemiology and Laboratory Capacity (ELC) portfolio of activities (e.g., additional leadership, program and project managers, budget staff, etc.). 5. Increase capacity for timely data management, analysis, and reporting for COVID- 19 and other emerging coronavirus and other infections and conditions of public health significance. B. Strengthen Laboratory Testing 1. Establish or expand capacity to test for SARS-CoV-2/COVID-19 quickly, accurately and safely and build infectious disease preparedness for future novel DSHS Contract No. HHS001315700012 Page 1 of 10 Attachment A-4 DocuSign Envelope ID: A25E5CEA-FD9A-4EFF-691 E-AC517ABAFACD coronavirus and other events involving other pathogens with potential for broad community spread. a. Develop systems to improve speed and efficiency of specimen submission to clinical and reference laboratories. b. Strengthen ability to rapidly respond to testing (e.g., nucleic acid amplification test [NAAT], antigen, etc.) as necessary to ensure that optimal utilization of existing and new testing platforms can be supported to help meet increases in testing demand in a timely manner. Laboratory Response Networks (LRNs) and Local Health Departments (LHDs) with laboratories are strongly encouraged to diversify their testing platforms to enable them to pivot depending on reagent and supply availabilities. c. Perform serology testing with an FDA Emergency Use Authorization (EUA) authorized serological assay as appropriate to respond to emerging pandemics in order to conduct surveillance for past infection and monitor community exposure. d. Build local capacity for testing of SARS-CoV-2/COVID-19 including within high -risk settings or in vulnerable populations that reside in their communities. e. Apply laboratory safety methods to ensure worker safety when managing and testing samples that may contain SARS-CoV-2/COVID-19. f. Laboratories and LRNs are encouraged to implement new technologies to meet local needs. g. Augment or add specificity to existing laboratory response plans for future coronavirus and other outbreak responses caused by an infectious disease. Provider must be able to establish a plan to maintain the activity when the funds are no longer available. This is an optional activity. 2. Enhance laboratory testing capacity for SARS-CoV-2/COVID-19 by ensuring public/private laboratory testing providers have access to biosafety resources for SARS-CoV-2 specimen collection and/or testing. C. Advance Electronic Data Exchange at Public Health Labs 1. Enhance and expand laboratory information infrastructure, to improve jurisdictional visibility on laboratory data (tests performed) from all testing sites and enable faster and more complete data exchange and reporting with DSHS. a. Employ a well -functioning Laboratory Information Management System (LIMS) to support efficient data flows within the Public Health Laboratory (PHL) and its partners. This includes expanding existing capacity of the current LIMS to improve data exchange and increase data flows through LIMS maintenance, new configurations/modules, and enhancements. Implement new/replacement LIMS where needed. Note: If implementing new or replacement systems, develop an implementation plan, including appropriate milestones and timeline to completion. Implementation plans will be reviewed and approved for consistency with the activities set forth by DSHS prior to start of implementation. Completion of the implementation plan is DSHS verifying that the submitted electronic laboratory reporting (ELR) feeds DSHS Contract No. HHS001315700012 Page 2 of 10 Attachment A-4 DocuSign Envelope ID: A25E5CEA-FD9A-4EFF-B91 E-AC517ABAFACD have been successfully processed in National Electronic Disease Surveillance System (NEDSS). b. Ensure ability to administer LIMS. Ensure the ability to configure all tests that are in LIMS, including new tests, EUAs, etc., in a timely manner. Ensure expanding needs for administration and management of LIMS are covered through dedicated staff. c. Interface diagnostic equipment to directly report laboratory results into LIMS. D. Improve Surveillance and Reporting of Electronic Health Data 1. Establish complete, up-to-date, timely reporting to DSHS of outbreaks and unusual expression of disease (e.g., multi -system inflammatory syndrome, acute flaccid myelitis, etc.) due to COVID-19 and other emerging infections which impact conditions of public health significance by: a. Establishing or enhancing community -based surveillance, including surveillance of vulnerable populations, individuals without severe illness, those with recent travel to high -risk locations, or who are contacts to known cases; and b. Monitoring changes to activity trends (weekly, possibly daily) of COVID-19 and other conditions of public health significance at the county or Zip code level to inform community mitigation strategies. 2. Establish additional and ongoing surveillance methods (e.g., sentinel surveillance) for COVID-19 and other conditions of public health significance. At the health department, enhance capacity to work with testing facilities to onboard and improve ELR, including to receive data from new or non-traditional testing settings. Use alternative data flows (e.g., reporting portals) and file formats (e.g., CSV or XLS) to help automate where appropriate. 4. Improve understanding of capacity, resources, and patient impact at healthcare facilities through electronic reporting. a. Expand reporting facility capacity, resources, and patient impact information, such as patients admitted and hospitalized, in an electronic, machine-readable, as well as human -readable, visual and tabular manner, to achieve 100% coverage in jurisdiction and include daily data from all acute care, long-term care, and ambulatory care settings. Use this data to monitor facilities with confirmed cases of SARS-CoV-2/COVID-19 infection or with COVID-like illness among staff or residents and facilities at high risk of acquiring SARS- CoV-2/COVID-19 cases and COVID-like illness among staff or residents. b. Increase Admit, Discharge, Transfer (ADT) messaging and use to achieve comprehensive surveillance of emergency room visits, hospital admissions, facility and department transfers, and discharges to provide an early warning signal, to monitor the impact on hospitals, and to understand the growth of serious cases requiring admission. DSHS Contract No. HHS001315700012 Page 3 of 10 Attachment A-4 DocuSign Envelope ID: A25E5CEA-FD9A-4EFF-B91 E-AC517ABAFACD c. Track and send Emergency Department and outpatient visits for coronavirus (COVID)-like illness, as well as other illnesses, to Texas Syndromic Surveillance System (TxS2). 5. Establish or improve systems to ensure complete, accurate and timely data transmission that allows for automated transmission of data to DSHS in a machine- readable format. Note: Use of an existing DSHS system is preferred. If implementing new or replacement systems, develop an implementation plan, including the process for automatic transmission of data to DSHS in a machine-readable format, appropriate milestones and timeline to completion. Implementation plans will be reviewed and approved for consistency with the activities set forth by DSHS prior to start of implementation. a. In the event of a COVID-19-associated outbreak, a local health department should notify DSHS of the outbreak as soon as possible, by calling 512-776- 7676 or emailing EAIDU-Coronavirus(a-dshs.texas. gov. b. In the event of a COVID-19-associated outbreak, a DSHS Respiratory Outbreak Form along with a line listing of cases, if possible, should be completed and submitted to EAIDU within seven days of outbreak resolution via EAIDU-Coronavirus(a),dshs.texas.gov or by fax at 512-776-7616. c. Establish these systems in such a manner that they may be used on an ongoing basis for surveillance of, and reporting on, routine and other threats to the public health and conditions of public health significance. E. Use Laboratory Data to Enhance Investigation, Response and Prevention Use laboratory data to initiate and conduct outbreak and/or unusual expression of disease investigation and public health follow-up activities and implement containment measures. a. Conduct necessary outbreak investigation and public health follow-up activities. Activities may include traditional case investigation for cases associated with an outbreak and public health follow-up activities and/or proximity/location-based methods, as well as methods adapted for healthcare facilities, employers, elementary and secondary schools, childcare facilities, institutions of higher education or in other settings. Data must be entered into the DSHS data system in accordance with DSHS published guidance. Grantee may not incur COVID-19 contact tracing or contact tracing call center expenditures beyond 8/31/2021. b. Utilize tools (e.g., geographic information systems and methods) that assist in the rapid mapping and tracking of disease cases for timely and effective epidemic monitoring and response, incorporating laboratory testing results and other data sources. c. Assist in identifying facilities that are not submitting data through ELR. Provide these facilities with information on the ELR onboarding process and the appropriate contact information of DSHS team who can onboard the DSHS Contract No. HHS001315700012 Page 4 of 10 Attachment A-4 DocuSign Envelope ID: A25E5CEA-FD9A-4EFF-B91E-AC517ABAFACD facility to have their data be reported electronically and no longer sent by fax. Also provide the names of these facilities to the DSHS team. 2. Identify cases associated with an outbreak, and exposure to COVID-19 in high - risk settings or within populations at increased risk of severe illness or death to target mitigation strategies and referral for therapies (for example, monoclonal antibodies) to prevent hospitalization. a. Assess and monitor infections in healthcare workers across the healthcare spectrum. b. Monitor cases associated with an outbreak, and exposure to COVID-19 to identify need for targeted mitigation strategies to isolate and prevent further spread within high -risk healthcare facilities (e.g., hospitals, dialysis clinics, cancer clinics, nursing homes, other long-term care facilities, etc.). c. Monitor cases associated with an outbreak, and exposure to COVID-19 to identify need for targeted mitigation strategies to isolate and prevent further spread within high -risk occupational settings (e.g., meat processing facilities) and congregate living settings (e.g., correctional facilities, prisons, youth homes, shelters). d. Work with DSHS to build capacity for reporting, rapid containment and prevention of SARS-CoV-2/COVID-19 within high -risk settings or in vulnerable populations that reside in their communities. e. Jurisdictions should ensure systems are in place to link test results to relevant public health strategies, including prevention and treatment. Note: Utilization of an existing DSHS system is preferred. If implementing new or replacement systems, develop an implementation plan, including the process for automatic transmission of data to DSHS in a machine-readable format, appropriate milestones and timeline to completion. Implementation plans will be reviewed and approved for consistency with the activities set forth by DSHS prior to start of implementation. Implement prevention strategies in high -risk settings or within vulnerable populations (including tribal nations as appropriate), Note: These additional resources are intended to be directed toward testing, outbreak investigation and public health follow-up activities, surveillance, containment, and mitigation, including support for workforce, epidemiology, use by employers, elementary and secondary schools, childcare facilities, institutions of higher education, long-term care facilities, or in other settings, scale -up of testing by public health, academic, commercial, and hospital laboratories, and community -based testing sites, mobile testing units, healthcare facilities, and other entities engaged in COVID-19 testing, and other related activities related to COVID-19 testing, case investigation and public health follow-up activities, surveillance, containment, and mitigation which may include interstate compacts or other mutual aid agreements for such purposes. DSHS Contract No. HHS001315700012 Page 5 of 10 Attachment A-4 DocuSign Envelope ID: A25E5CEA-FD9A-4EFF-B9IE-AC517ABAFACD a. Build capacity for infection prevention and control in long-term care facilities (LTCFs) (e.g., at least one Infection Preventionist [IP] for every facility) and outpatient settings. i. Build capacity for LTCFs to safely care for infected and exposed residents of LTCFs and other congregate settings. ii. Assist with enrollment of all LTCFs into CDC's National Healthcare Safety Network (NHSN) at hgps://www.cdc.gov/nhsn/Itc/enroll.html. b. Build capacity for infection prevention and control in elementary and secondary schools, childcare facilities, and/or institutions of higher education. c. Increase Infection Prevention and Control (IPC) assessment capacity on site using tele-ICAR. d. Perform preparedness assessment to ensure interventions are in place to protect high -risk populations. e. Coordinate as appropriate with federally funded entities responsible for providing health services to higher -risk populations (e.g., tribal nations and federally qualified health centers). F. Work with healthcare system to manage and monitor system capacity. 1. Assess and monitor the number and availability of critical care staff, necessary personal protective equipment (PPE) and potentially life-saving medical equipment, as well as access to testing services. 2. Leverage NHSN data to monitor healthcare worker staffing, Patient Impact, Hospital Capacity, and healthcare supplies (PPE, PAPRs, ventilators, etc.). Grantee will request access to the NHSN database within thirty (30) days of the execution of this Contract or within thirty (30) days of hire for the position completing the data entry. Upon access approval, Grantee will review available NHSN data (at least monthly) to assess gaps in the healthcare system. G. Improve understanding of jurisdictional communities with respect to COVID-19 risk. Grantee must build an understanding of population density and high -risk population density (i.e., population of >65 yrs., proportion of population with underlying conditions, households with limited English fluency, healthcare -seeking behavior, populations without insurance and those below poverty level). H. Submit a quarterly report on the report template to be provided by DSHS. Quarterly reports are due on or before the 15t' of the month following the end of the quarter. Each report must contain a summary of activities that occurred during the preceding quarter for each activity listed above in Section I, Subsections A through G. Submit quarterly reports by electronic mail to COVID.Contracts(iWshs. texas. gov. The email "Subject Line" and the name of the attached file for all reports should be clearly identified with the Grantee's Name, Contract Number, IDCU/COVID and the quarter the report covers. I. May use funds to pay pre -award costs which date back to January 20, 2020, that are directly related to the COVID-19 outbreak response. All pre -award costs must be approved in writing by DSHS. DSHS Contract No. HHS001315700012 Page 6 of 10 Attachment A-4 DocuSign Envelope ID: A25E5CEA-FD9A-4EFF-691E-AC517ABAFACD J. Not use funds for research, clinical care, fundraising activities, construction or major renovations, to supplant existing state or federal funds for activities, or funding an award to another party or provider who is ineligible. In addition, funds are not used to advertise or to promote COVID-19 vaccinations. Other than normal and recognized executive -legislative relationships, no funds may be used for: 1. Publicity or propaganda purposes, for the preparation, distribution, or use of any material designed to support or defeat the enactment of legislation before any legislative body; 2. The salary or expenses of any grant or contract recipient, or agent acting for such recipient, related to any activity designed to influence the enactment of legislation, appropriations, regulation, administrative act or Executive order proposed or pending before any legislative body; 3. New incentive requests, new requests to purchase vehicles, furniture, and new requests for construction will no longer be supported. The allowance of these purchases was uniquely given during the pandemic, but they are not allowed under routine operations; and 4. Grantee shall ensure funds are not used to advertise or to promote COVID-19 vaccinations. K. Controlled Assets include firearms, regardless of the acquisition cost, and the following assets with an acquisition cost of $500 or more, but less than $5,000: 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. L. Grantee shall maintain an inventory of equipment, supplies defined as Controlled Assets, and real property. Grantee shall submit an annual cumulative report on DSHS Grantee's Property Inventory Report to the DSHS Contract Representative and FSOequipAdshs. texas. gov by email not later than October 15 of each year. M. DSHS funds must not be used to purchase buildings or real property without prior written approval from DSHS. Any costs related to the initial acquisition of the buildings or real property are not allowable without written pre -approval. N. At the expiration or termination of this Contact for any reason, title to any remaining equipment and supplies purchased with funds under this Contract reverts to DSHS. Title may be transferred to any other party designated by DSHS. DSHS may, at its option and to the extent allowed by law, transfer the reversionary interest to such property to Grantee. O. DSHS-approved budget may be revised by Grantee in accordance with the following requirements: DSHS Contract No. HHS001315700012 Page 7 of 10 Attachment A-4 DocuSign Envelope ID: A25E5CEA-FD9A-4EFF-B9IE-AC517ABAFACD 1. For any transfer between budget categories, Grantee shall provide notification of transfer between budget categories by submission of a revised Categorical Budget Form to the DSHS Contract Representative, highlighting the areas affected by the budget transfer and written justification for the transfer request. After DSHS review, the designated DSHS Contract Representative will provide notification of acceptance or rejection to Grantee by email. 2. For transfer of funds between direct budget categories, other than the `Equipment' and `Indirect Cost' categories, for less than or equal to 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 approved, DSHS Contract Representative will provide notification of acceptance to Grantee by email, upon receipt of which, the revised budget will be incorporated into the Contract. 3. For transfer of funds between direct budget categories, other than the `Equipment' and `Indirect Cost' categories, that cumulatively exceeds twenty-five (25) percent of the total value of the respective Contract budget period, Grantee shall submit timely written notification to DSHS Contract Representative using the Revised Budget Form and request DSHS approval. If the revision is approved, the budget revision is not authorized, and the funds cannot be utilized, until an amendment is executed by the Parties. 4. Any transfer between budget categories that includes `Equipment' and/or` Indirect Cost' categories must be incorporated by amendment. Grantee shall submit timely written notification to DSHS Contract Representative using the Revised Budget Form and request DSHS approval. If the revision is approved, the budget revision is not authorized, and the funds cannot be utilized, until an amendment is executed by the Parties. II. PERFORMANCE MEASURES The System Agency will monitor the Grantee's performance of the requirements in Attachment A-4 and compliance with the Contract's terms and conditions. Ill. INVOICE AND PAYMENT A. Grantee shall submit to DSHS a monthly detailed and accurate invoice describing the services performed in completion of the responsibilities outlined in this Statement of Work. Invoices and supporting documentation must be submitted to DSHS in accordance with Table 1, Invoice Submission Schedule. B. Grantee shall request payments monthly using the State of Texas Purchase Voucher (Form B-13). Invoices and supporting documentation must be submitted monthly to prevent delays in subsequent months. Grantees that do not incur expenses within a month are required to submit a "zero dollar" invoice on a monthly basis. Grantee must DSHS Contract No. HHS001315700012 Page 8 of 10 Attachment A-4 DocuSign Envelope ID: A25E5CEA-FMA-4EFF-691 E-AC517ABAFACD submit a final close-out invoice. Invoices received more than thirty (30) days after each fiscal year are subject to denial of payment. Invoices and all supporting documentation must be submitted by mail, fax, or email. 1. If by mail, Grantee shall submit to: Department of State Health Services Claims Processing Unit, MC 1940 P.O. Box 149347 Austin, TX 78714-9347 2. If by fax, Grantee shall submit to (512) 458-7442. 3. If by email, Grantee shall submit to invoicesAdshs.texas.gov and CMSinvoices@dshs.texas.gov. Failure to submit required information may result in delay of payment or return of invoice. Billing invoices must be legible. Illegible or incomplete invoices which cannot be verified will be disallowed for payment. Table 1: Invoice Submission Schedule Period Covered Due Date September 1 st through September 30th October 31 st October 1 st through October 31 st November 30th November 1 st through November 30th December 31 st December 1 st through December 31 st January 31 st January 1 st through January 31 st February 28th (or February 29th in leap year) February 1 st through February 28th or February 29th in leap year) March 31 st March 1 st through March 31 st Aril 30th April 1 st through April 30th May 31 st May 1 st through May 31 st June 30th June 1 st through June 30th July 31 st July 1 st through July 31 st August 31 st August 1 st through August 31 st September 30th Final Close-out Invoice Due Date August 1 st through August 31 st September 30th C. Grantee shall submit the Financial Status Report (FSR-269A) twice per fiscal year as outlined in Table 2, FSR Submission Schedule. Grantee shall email the FSR-269A to the following email addresses: FSRgrants@dshs.texas.gov and CMSInvoices@dshs.texas.gov. Grantee shall submit the final financial status report no later than thirty (30) days following the end of the Contract term. DSHS Contract No. HHS001315700012 Page 9 of 10 Attachment A-4 DocuSign Envelope ID: A25E5CEA-FD9A-4EFF-B9IE-AC517ABAFACD Table 2: FSR Submission Schedule Period Covered Due Date September 1 st through February 28th or February 29th in leap year) March 31 st Final Financial Status Report March 1 st through August 31 st September 30th D. Grantee will be paid on a cost reimbursement basis and in accordance with the budget for the corresponding year under this Contract. DSHS Contract No. HHS001315700012 Page 10 of 10 Attachment A-4 DocuSign Envelope ID: A25E5CEA-FD9A-4EFF-B91E-AC517ABAFACD Categorical Budget Budget Period Personnel Fringe Benefits Travel Equipment Supplies Contractual Other Total Direct Charges Indirect Charges Total Charges ATTACHMENT B-3 REVISED BUDGET Epi CARES Funding August 17, 2020 to July 31, 2026 $58,126.00 $26,157.00 $0.00 $0.00 $0.00 $70,625.00 $0.00 $154,908.00 $0.00 $154,908.00 Epi Expansion Funding August 31, 2021 to July 31, 2026 $130,250.00 $58,613.00 $0.00 $0.00 $66,676.00 $83,322.00 $0.00 $338,861.00 $0.00 $338,861.00 Contract Total $188,376.00 $84,770.00 $0.00 $0.00 $66,676.00 $153,947.00 $0.00 $493,769.00 $0.00 $493,769.00 DSHS Contract No. HHS001315700012 Page 1 of 1 Attachment B-3