Agda Pkt 2026.04.13 Joint SA PFA

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Grantee BSCC xxx-26 Page x of x APPENDIX B: Criteria and Assurance for Non-Governmental Organizations that Receive BSCC Grant Funds as a Subcontractor The Proposition 64 Public Health and Safety (Prop 64 PH&S) Grant Program, Cohort 4, includes requirements that apply to non-governmental organizations that receive BSCC grant funds as subcontractors. Grantees are responsible for ensuring that all subcontracted third parties continually meet these requirements as a condition of receiving any Prop 64 PH&S funds. These requirements are as follows. Any non-governmental organization that receives Prop 64 funds must: • Have been duly organized, in existence, and in good standing at least six (6) months prior to the start date of the Grantee’s Grant Agreement with BSCC. Note: Non-governmental organizations that have recently reorganized or have merged with other qualified non-governmental organizations that were in existence prior to the six (6) month date are also eligible, provided all necessary agreements have been executed and filed with the California Secretary of State prior to the start date of the applicant’s Grant Agreement with BSCC. • Be registered with the California Secretary of State’s Office, if applicable. • Have a valid business license, Employer Identification Number (EIN), and/or Taxpayer ID (if sole proprietorship). • Have any other state or local licenses or certifications necessary to provide the services requested (e.g., facility licensing by the Department of Health Care Services), if applicable. In the table below, provide the name of the Grantee and list all subcontracted third parties . See next page for signature block. Name of Grantee: Name of Subcontracted Third Party Address Email / Phone Meets All Requirements Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ SAMPLE7.C. - Page 100 of 101 159