Governor and Executive Council Agenda item PDF - 2026-03-04 - agenda 7, 7A

Meeting Date

2026-03-04

Attachment Kind Label

Agenda item PDF

Attachment Relation

primary_meeting_attachment

Agenda Numbers

7, 7A

Agency Names

Governor’S Office Of New Opportunities & Rural Transformational Health

Parent Meeting Title

Governor and Executive Council meeting - 2026-03-04

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

state of New Hampshire

G# -NORTHGovernor's Office of New Opportunities & Rural Transformational Health

7AMAR 0 h ZU26

February 20, 2026

Her Excellency, Governor Kelly A. Ayotte

ond the Honoroble Executive Council

Stote House

Concord, New Hompshire 03301

REQUESTED ACTION

1. Authorize the Governor's Office of New Opportunities & Rurol Tronsformotionol

Heolth (CO-NORTH), to enter into o Sole Source controct with New Hompshire

Community Development Finonce Authority (CDFA) (VC# 177292), Concord, NH, in

the omount of $223,240,000 to odminister the Rurol Heolth Copitol Improvement

Investment Progrom to fund infrostructure projects thot improve occess to essentiol

services ond strengthen rurol heolth ond child core providers, effective upon

Governor ond Executive Council opprovol through September 30, 2031. 100%

Federol Funds.

2. Further outhorize on odvonce poyment, subject to CO-NORTH prior opprovol, ond in

occordonce with 2 C.F.R Port 200, for services ond octivities provided within the

scope of this Agreement ond in occordonce with the poyment terms of the

controct, effective upon Governor ond Executive Council opprovol through

September 30, 2031.100% Federol Funds.

Funds ore ovoiloble in the following occount for Stote Fiscol Yeor 2026 ond 2027,

ond ore onticipoted to be ovoiloble upon the ovoilobility ond continued

occeptonce of funds by the Fiscol Committee of the Cenerol Court ond the Governor

ond Executive Council, with the outhority to odjust budget line items within the price

limitotion ond encumbronces between stote fiscol yeors through the Budget Cffice, if

needed ond justified.

01-02-02-020310-60840000 General Government, Executive Department, Executive

Department, GO-NORTH, GO-NORTH

Stote Fiscol

Yeor

Closs / Account Closs Title Amount

2026 74-500585 Gronts for Public Relief $43,810,000

2027 74-500585 Gronts for Public Relief $43,810,000

2028 74-500585 Gronts for Public Relief $43,810,000

2029 74-500585 Gronts for Public Relief $43,810,000

2030 74-500585 Gronts for Public Relief $48,000,000

Total $223,240,000

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Her Excellency, Governor Kelly A. Ayotte

end the Honorable Council

EXPLANATION

This request is a Sole Source because the State has received approval from the

Centers for Medicare & Medicoid Services (CMS) to enter into o sole source ogreement

with the Controctor. The ogreement is essentiol to focilitote investments in copitol

improvements for rurol communities. The Controctor, estoblished by the New Hompshire

legisloture os on instrumentolity of the Stote, provides technicol ond finonciol resources

to support community ond infrostructure initiotives. With over 40 yeors of experience

monoging complex funding progroms, the Controctor hos the infrostructure, finonciol

controls, and expertise to odminister opplicotions, process reimbursements, ond oversee

stotewide copitol improvement projects. This includes monitoring construction,

equipment, ond infrostructure investments thot modernize focilities, ensure heolth ond

sofety complionce, ond promote sustoinobility, energy efficiency, ond workforce

development. As o result, the Controctor wos opproved to monoge ond distribute Rurol

Heolth Tronsformotion gront funds through the Rurol Heolth Copitol Improvement

Investment Progrom, ensuring foir, efficient implementotion in full complionce with

federol ond stote requirements.

The purpose of this request is to outhorize the Controctor to monoge ond distribute

funds through the Rurol Heolth Copitol Improvement Investment Progrom. This progrom

is designed to strengthen rurol heolth systems ond childcore focilities by funding minor

renovotions, equipment purchoses, ond infrostructure upgrodes. These improvements will

expond occess to essentiol services, modernize oging focilities, ond enhonce service

copocity. Working in colloborotion with GO-NORTH, the Controctor will provide strong

oversight, occurote reporting, ond ensure complionce with oil federol ond stote

regulotions.

These octivities directly odvonce the core objectives of the Rurol Heolth

Tronsformotion Plon by improving occess to heolthcore ond licensed childcore in rurol

communities. By upgroding infrostructure ond oddressing borriers such os tronsportotion

chollenges ond outdoted focilities, the progrom supports sustoinoble core delivery ond

workforce stobility. These outcomes olign with the Rurol Heolth Tronsformotion Progrom's

gools of exponding occess, improving quolity, strengthening the workforce, ond

modernizing rurol heolth systems, ultimotely driving meosuroble, long-term improvements

in heolth outcomes for rurol residents.

GO-NORTH will monitor performonce through review of quorterly reports detoiling

funded providers, project types, geogrophic distribution, ond complionce; monthly

meetings to ossess progress ond resolve implementotion issues; ond oudits of project sites

ond opplicotion files to confirm occurocy ond oppropriote use of funds.

The opprovol of this request will ensure criticol copitol improvements for rurol

heolth core ond childcore focilities will be oble to proceed, ollowing rurol communities

to mitigote persistent gops in occess to essentiol services. In oddition, the State would be

in the best position to meet CMS milestones, receive continued federol funding ond

increose New Hompshire's obility to strengthen rurol heolth systems, modernize focilities,

ond ochieve long-term improvements in occess, quolity, ond workforce stobility ocross

rurol communities.

We oppreciote your considerotion.

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Her Excellency, Governor Kelly A. Ayotte

and the Honorable Council

Area served: Rural healthcare providers and childcare facilities.

Source of Federal Funds: Assistance Listing Number #93.798, FAIN # RHTCMS332050

Respectfully submitted,

>«——Signed by:

f)6\AMAjU-K_73EDD38F65334ED...

Donnalee Lozeau, Director

Governor's Office of New Opportunities &

Rural Transformational Health

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

subject: Si5-2027-DPH-05-KUKAL-U1 FORM NUMBER P-37 (version 2/23/2023)

Notice: This agreement and all of its attachments shall become public upon submission to Governor and

Executive Couneil for approval. Any information that is private, confidential or proprietary must

be clearly identified to the agency and agreed to in writing prior to signing the contract.

AGREEMENT

The State of New Hampshire and the Contractor hereby mutually agree as follows:

GENERAL PROVISIONS

I. IDENTIFICATION.

1.1 State Agency Name

Governor's Office of New Opportunities & Rural

Transformational Health ("GO NORTH")

1.2 State Agency Address

129 Pleasant St.

Concord, NH 03301

1.3 Contractor Name

New Hampshire Community Development

Finance Authority

1.4 Contractor Address

14 Dixon Avenue Suite 102

Concord, NH 03301

1.5 Contractor Phone

Number

603-226-2170

1.6 Account Unit and Class

TBD

1.7 Completion Date

September 30,2031

1.8 Price Limitation

$223,240,000

1.9 Contracting Officer for State Agency

TBD

1.10 State Agency Telephone Number

TBD

1.11 Contractor Signature

^——Signed by:

1.12 Name and Title of Contractor Signatory

Katherine Easterly Martey Executive Directo

1.13 Signature

/'—Signed by:

1, Date2/20/2026

1.14 Name and Title of State Agency Signatory

Donnalee Lozeau Director,Go-North

l.l3 A^pprovaTffy%e N.H. Department of Administration, Division of Personnel (if applicable)

By: Director, On:

1.16 Approval by the Attorney General (Form, Substance and Execution) (ifapplicable)

-DocuSlgned by:

By: On:

1.17 Approvm by the Governor and Executive Couneil (ifapplicable)

G&C Item number: G&C Meeting Date:

Page I of 4

Contractor lnitials_

Date

2/20/2026

Docusign Envelope ID; B47E1DF8-F5ED-4C82-94F3-82A544E783E8

2. SERVICES TO BE PERFORMED. The State of New

Hampshire, acting through the agency identified in block 1.1

("State"), engages contractor identified in block 1.3 ("Contractor")

to perform, and the Contractor shall perform, the work or sale of

goods, or both, identified and more particularly described in the

attached EXHIBIT B which is incorporated herein by reference

("Services").

3. EFFECTIVE DATE/COMPLETION OF SERVICES.

3.1 Notwithstanding any provision of this Agreement to the

contrary, and subject to the approval of the Governor and

Executive Council of the State of New Hampshire, if applicable,

this Agreement, and all obligations of the parties hereunder, shall

become effective on the date the Governor and Executive Council

approve this Agreement, unless no such approval is required, in

which case the Agreement shall become effective on the date the

Agreement is signed by the State Agency as shown in block 1.13

("Effective Date").

3.2 If the Contractor commences the Services prior to the Effective

Date, all Services performed by the Contractor prior to the

Effective Date shall be performed at the sole risk of the Contractor,

and in the event that this Agreement does not become effective, the

State shall have no liability to the Contractor, including without

limitation, any obligation to pay the Contractor for any costs

incurred or Services performed.

3.3 Contractor must complete all Services by the Completion Date

specified in block 1.7.

4. CONDITIONAL NATURE OF AGREEMENT.

Notwithstanding any provision of this Agreement to the contrary,

all obligations of the State hereunder, including, without limitation,

the continuance of payments hereunder, are contingent upon the

availability and continued appropriation of funds. In no event shall

the State be liable for any payments hereunder in excess of such

available appropriated funds. In the event of a reduction or

termination of appropriated funds by any state or federal legislative

or executive action that reduces, eliminates or otherwise modifies

the appropriation or availability of funding for this Agreement and

the Scope for Services provided in EXHIBIT B, in whole or in part,

the State shall have the right to withhold payment until such funds

become available, if ever, and shall have the right to reduce or

terminate the Services under this Agreement immediately upon

giving the Contractor notice of such reduction or termination. The

State shall not be required to transfer funds from any other account

or source to the Account identified in block 1.6 in the event funds

in that Account are reduced or unavailable.

5. CONTRACT PRICE/PRICE LIMITATION/ PAYMENT.

5.1 The contract price, method of payment, and terms of payment

are identified and more particularly described in EXHIBIT C

which is incorporated herein by reference.

5.2 Notwithstanding any provision in this Agreement to the

contrary, and notwithstanding unexpected circumstances, in no

event shall the total of all payments authorized, or actually made

hereunder, exceed the Price Limitation set forth in block 1.8. The

payment by the State of the contract price shall be the only and the

complete reimbursement to the Contractor for all expenses, of

whatever nature incurred by the Contractor in the performance

hereof, and shall be the only and the complete compensation to the

Contractor for the Services.

5.3 The State reserves the right to offset from any amounts

otherwise payable to the Contractor under this Agreement those

liquidated amounts required or permitted by N.H. RSA 80:7

through RSA 80:7-c or any other provision of law.

5.4 The State's liability under this Agreement shall be limited to

monetary damages not to exceed the total fees paid. The Contractor

agrees that it has an adequate remedy at law for any breach of this

Agreement by the State and hereby waives any right to specific

performance or other equitable remedies against the State.

6. COMPLIANCE BY CONTRACTOR WITH LAWS AND

REGULATIONS/EQUAL EMPLOYMENT

OPPORTUNITY.

6.1 In connection with the performance of the Services, the

Contractor shall comply with all applicable statutes, laws,

regulations, and orders of federal, state, county or municipal

authorities which impose any obligation or duty upon the

Contractor, including, but not limited to, civil rights and equal

employment opportunity laws and the Governor's order on Respect

and Civility in the Workplace, Executive order 2020-01. In

addition, if this Agreement is funded in any part by monies of the

United States, the Contractor shall comply with all federal

executive orders, rules, regulations and statutes, and with any rules,

regulations and guidelines as the State or the United States issue to

implement these regulations. The Contractor shall also comply

with all applicable intellectual property laws.

6.2 During the term of this Agreement, the Contractor shall not

discriminate against employees or applicants for employment

because of age, sex, sexual orientation, race, color, marital status,

physical or mental disability, religious creed, national origin,

gender identity, or gender expression, and will take affirmative

action to prevent such discrimination, unless exempt by state or

federal law. The Contractor shall ensure any subcontractors

comply with these nondiscrimination requirements.

6.3 No payments or transfers of value by Contractor or its

representatives in connection with this Agreement have or shall be

made which have the purpose or effect of public or commercial

bribery, or acceptance of or acquiescence in extortion, kickbacks,

or other unlawful or improper means of obtaining business.

6.4. The Contractor agrees to permit the State or United States

access to any of the Contractor's books, records and accounts for

the purpose of ascertaining compliance with this Agreement and

all rules, regulations and orders pertaining to the covenants, terms

and conditions of this Agreement.

7. PERSONNEL.

7.1 The Contractor shall at its own expense provide all personnel

necessary to perform the Services. The Contractor warrants that all

personnel engaged in the Services shall be qualified to perform the

Services, and shall be properly licensed and otherwise authorized

to do so under all applicable laws.

7.2 The Contracting Officer specified in block 1.9, or any

successor, shall be the State's point of contact pertaining to this

Agreement.

Contractor Initials

Date

2/20/2026

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

8. EVENT OF DEFAULT/REMEDIES.

8.1 Any one or more of the following acts or omissions of the

Contractor shall constitute an event of default hereunder ("Event

of Default"):

8.1.1 failure to perform the Services satisfactorily or on schedule;

8.1.2 failure to submit any report required hereunder; and/or

8.1.3 failure to perform any other covenant, term or condition of

this Agreement.

8.2 Upon the occurrence of any Event of Default, the State may

take any one, or more, or all, of the following actions:

8.2.1 give the Contractor a written notice specifying the Event of

Default and requiring it to be remedied within, in the absence of a

greater or lesser specification of time, thirty (30) calendar days

from the date of the notice; and if the Event of Default is not timely

cured, terminate this Agreement, effective two (2) calendar days

after giving the Contractor notice of termination;

8.2.2 give the Contractor a written notice specifying the Event of

Default and suspending all payments to be made under this

Agreement and ordering that the portion of the contract price which

would otherwise accrue to the Contractor during the period from

the date of such notice until such time as the State determines that

the Contractor has cured the Event of Default shall never be paid

to the Contractor;

8.2.3 give the Contractor a written notice specifying the Event of

Default and set off against any other obligations the State may owe

to the Contractor any damages the State suffers by reason of any

Event of Default; and/or

8.2.4 give the Contractor a written notice specifying the Event of

Default, treat the Agreement as breached, terminate the Agreement

and pursue any of its remedies at law or in equity, or both.

9. TERMINATION.

9.1 Notwithstanding paragraph 8, the State may, at its sole

discretion, terminate the Agreement for any reason, in whole or in

part, by thirty (30) calendar days written notice to the Contractor

that the State is exercising its option to terminate the Agreement.

9.2 In the event of an early termination of this Agreement for any

reason other than the completion of the Services, the Contractor

shall, at the State's discretion, deliver to the Contracting Officer,

not later than fifteen (15) calendar days after the date of

termination, a report ("Termination Report") describing in detail

all Services performed, and the contract price earned, to and

including the date of termination. In addition, at the State's

discretion, the Contractor shall, within fifteen (15) calendar days

of notice of early termination, develop and submit to the State a

transition plan for Services under the Agreement.

10. PROPERTY OWNERSHIP/DISCLOSURE.

10.1 As used in this Agreement, the word "Property" shall mean

all data, information and things developed or obtained during the

performance of, or acquired or developed by reason of, this

Agreement, including, but not limited to, all studies, reports, files,

formulae, surveys, maps, charts, sound recordings, video

recordings, pictorial reproductions, drawings, analyses, graphic

representations, computer programs, computer printouts, notes,

letters, memoranda, papers, and documents, all whether finished or

unfinished.

10.2 All data and any Property which has been received from the

State, or purchased with funds provided for that purpose under this

Agreement, shall be the property of the State, and shall be returned

to the State upon demand or upon termination of this Agreement

for any reason.

10.3 Disclosure of data, information and other records shall be

governed by N.H. RSA chapter 91-A and/or other applicable law.

Disclosure requires prior written approval of the State.

11. CONTRACTOR'S RELATION TO THE STATE. In the

performance of this Agreement the Contractor is in all respects an

independent contractor, and is neither an agent nor an employee of

the State. Neither the Contractor nor any of its officers, employees,

agents or members shall have authority to bind the State or receive

any benefits, workers' compensation or other emoluments

provided by the State to its employees.

12. ASSIGNMENT/DELEGATION/SUBCONTRACTS.

12.1 Contractor shall provide the State written notice at least fifteen

(15) calendar days before any proposed assignment, delegation, or

other transfer of any interest in this Agreement. No such

assignment, delegation, or other transfer shall be effective without

the written consent of the State.

12.2 For purposes of paragraph 12, a Change of Control shall

constitute assignment. "Change of Control" means (a) merger,

consolidation, or a transaction or series of related transactions in

which a third party, together with its affiliates, becomes the direct

or indirect owner of fifty percent (50%) or more of the voting

shares or similar equity interests, or combined voting power of the

Contractor, or (b) the sale of all or substantially all of the assets of

the Contractor.

12.3 None of the Services shall be subcontracted by the Contractor

without prior written notice and consent of the State.

12.4 The State is entitled to copies of all subcontracts and

assignment agreements and shall not be bound by any provisions

contained in a subcontract or an assignment agreement to which it

is not a party.

13. INDEMNIFICATION. The Contractor shall indemnify,

defend, and hold harmless the State, its officers, and employees

from and against all actions, claims, damages, demands,

judgments, fines, liabilities, losses, and other expenses, including,

without limitation, reasonable attorneys' fees, arising out of or

relating to this Agreement directly or indirectly arising from death,

personal injury, property damage, intellectual property

infringement, or other claims asserted against the State, its officers,

or employees caused by the acts or omissions of negligence,

reckless or willful misconduct, or fraud by the Contractor, its

employees, agents, or subcontractors. The State shall not be liable

for any costs incurred by the Contractor arising under this

paragraph 13. Notwithstanding the foregoing, nothing herein

contained shall be deemed to constitute a waiver of the State's

sovereign immunity, which immunity is hereby reserved to the

State. This covenant in paragraph 13 shall survive the termination

of this Agreement.

Contractor Initials

Date

2/20/2026

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

14. INSURANCE.

14.1 The Contractor shall, at its sole expense, obtain and

continuously maintain in force, and shall require any subcontractor

or assignee to obtain and maintain in force, the following

insurance:

14.1.1 commercial general liability insurance against all claims of

bodily injury, death or property damage, in amounts of not less than

$1,000,000 per occurrence and $2,000,000 aggregate or excess;

and

14.1.2 special cause of loss coverage form covering all Property

subject to subparagraph 10.2 herein, in an amount not less than

80% of the whole replacement value of the Property.

14.2 The policies described in subparagraph 14.1 herein shall be on

policy forms and endorsements approved for use in the State of

New Hampshire by the N.H. Department of Insurance, and issued

by insurers licensed in the State of New Hampshire.

14.3 The Contractor shall furnish to the Contracting Officer

identified in block 1.9, or any successor, a certifieate(s) of

insurance for all insurance required under this Agreement. At the

request of the Contracting Officer, or any successor, the Contractor

shall provide certificate(s) of insurance for all renewal(s) of

insurance required under this Agreement. The certificate(s) of

insurance and any renewals thereof shall be attached and are

ineorporated herein by reference.

15. WORKERS' COMPENSATION.

15.1 By signing this agreement, the Contractor agrees, certifies and

warrants that the Contractor is in compliance with or exempt from,

the requirements of N.H. RSA chapter 281-A ("Workers'

Compensation ").

15.2 To the extent the Contractor is subject to the requirements of

N.H. RSA chapter 281-A, Contractor shall maintain, and require

any subcontractor or assignee to secure and maintain, payment of

Workers' Compensation in connection with activities which the

person proposes to undertake pursuant to this Agreement. The

Contractor shall furnish the Contracting Officer identified in block

1.9, or any successor, proof of Workers' Compensation in the

manner described in N.H. RSA chapter 281-A and any applicable

renewal(s) thereof, which shall be attached and are incorporated

herein by reference. The State shall not be responsible for payment

of any Workers' Compensation premiums or for any other claim or

benefit for Contractor, or any subcontractor or employee of

Contractor, which might arise under applicable State of New

Hampshire Workers' Compensation laws in connection with the

performance of the Services under this Agreement.

16. WAIVER OF BREACH. A State's failure to enforce its rights

with respect to any single or continuing breach of this Agreement

shall not act as a waiver of the right of the State to later enforce any

such rights or to enforce any other or any subsequent breach.

17. NOTICE. Any notice by a party hereto to the other party shall

be deemed to have been duly delivered or given at the time of

mailing by certified mail, postage prepaid, in a United States Post

Office addressed to the parties at the addresses given in blocks 1.2

and 1.4, herein.

18. AMENDMENT. This Agreement may be amended, waived or

discharged only by an instrument in writing signed by the parties

hereto and only after approval of such amendment, waiver or

discharge by the Governor and Executive Council of the State of

New Hampshire unless no such approval is required under the

circumstances pursuant to State law, rule or policy.

19. CHOICE OF LAW AND FORUM.

19.1 This Agreement shall be governed, interpreted and construed

in accordance with the laws of the State of New Hampshire except

where the Federal supremacy clause requires otherwise. The

wording used in this Agreement is the wording chosen by the

parties to express their mutual intent, and no rule of construction

shall be applied against or in favor of any party.

19.2 Any actions arising out of this Agreement, including the

breach or alleged breach thereof, may not be submitted to binding

arbitration, but must, instead, be brought and maintained in the

Merrimaek County Superior Court of New Hampshire which shall

have exclusive jurisdiction thereof.

20. CONFLICTING TERMS. In the event of a conflict between

the terms of this P-37 form (as modified in EXHIBIT A) and any

other portion of this Agreement including any attachments thereto,

the terms of the P-37 (as modified in EXHIBIT A) shall control.

21. THIRD PARTIES. This Agreement is being entered into for

the sole benefit of the parties hereto, and nothing herein, express or

implied, is intended to or will confer any legal or equitable right,

benefit, or remedy of any nature upon any other person.

22. HEADINGS. The headings throughout the Agreement are for

reference purposes only, and the words contained therein shall in

no way be held to explain, modify, amplify or aid in the

interpretation, construction or meaning of the provisions of this

Agreement.

23. SPECIAL PROVISIONS. Additional or modifying

provisions set forth in the attached EXHIBIT A are incorporated

herein by reference.

24. FURTHER ASSURANCES. The Contractor, along with its

agents and affiliates, shall, at its own cost and expense, execute any

additional documents and take such further actions as may be

reasonably required to carry out the provisions of this Agreement

and give effect to the transactions contemplated hereby.

25. SEVERABILITY. In the event any of the provisions of this

Agreement are held by a court of competent jurisdiction to be

contrary to any state or federal law, the remaining provisions of

this Agreement will remain in full force and effect.

26. ENTIRE AGREEMENT. This Agreement, which may be

exeeuted in a number of counterparts, each of which shall be

deemed an original, constitutes the entire agreement and

understanding between the parties, and supersedes all prior

agreements and understandings with respect to the subject matter

hereof.

-InWal

Contractor Initials

Date

2/20/2026

Docusign Envelope ID; B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Rural Investments for Minor Renovations, Alteration, and Infrastructure Projects

EXHIBIT A

Revisions to Standard Agreement Provisions

1. Revisions to Form P-37, General Provisions

1.1. Paragraph 6, Compliance by Contractor with Laws and Regulations/Equal

Employment Opportunity, Subparagraph 6.1., is amended as follows:

6.1. In connection with the performance of the Services, the Contractor shall comply

with all applicable statutes, laws, regulations, and orders of federal, state,

county or municipal authorities which impose any obligation or duty upon the

Contractor, including, but not limited to, RSA 151:21 Patients' Bill of Rights, civil

rights and equal employment opportunity laws, and the Governor's order on

Respect and Civility in the Workplace, Executive Order 2020-01. In addition, if

this Agreement is funded in any part by monies of the United States, the

Contractor shall comply with all federal executive orders, rules, regulations and

statutes, and with any rules, regulations and guidelines as the State or the

United States issue to implement these regulations. The Contractor shall also

comply with all applicable intellectual property laws.

1.2. Paragraph 12, Assignment/Delegation/Subcontracts, is amended by adding

subparagraph 12.5., as follows:

12.5. Subcontractors are subject to the same contractual conditions as the Contractor

and the Contractor is responsible to ensure subcontractor compliance with

those conditions. The Contractor shall have written agreements with all

subcontractors, specifying the work to be performed, and if applicable, a

Business Associate Agreement in accordance with the Health Insurance

Portability and Accountability Act. Written agreements shall specify how

corrective action shall be managed. The Contractor shall manage the

subcontractor's performance on an ongoing basis and take corrective action as

necessary. The Contractor shall annually provide the State with a list of all

subcontractors provided for under this Agreement and notify the State of any

inadequate subcontractor performance.

SS-2027-DPH-05-RURAL-01 A-1.2 Contractor Initials

New Hampshire Community 2/20/2026

Deveiopment Finance Authority Date

7.14.23

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Rural Investments for Minor Renovation, Alteration, and Infrastructure Projects

EXHIBIT B

Scope of Services

1. Statement of Work

1.1. The Contractor must manage and distribute Rural Health Transformation

Program (RHTP) funds to develop a Rural Community Health Infrastructure

Program (RCHIP) that supports minor renovations and infrastructure

improvements ("projects"), as approved by GO-NORTH, that advance RHTP

goals by making rural New Hampshire healthier, including but not limited to:

1.1.1. Renovations to bring county-run assisted living, memory care, or

skilled nursing beds back online to reduce hospital discharge barriers.

1.1.2. Renovations at rural health care and commuity facilities to establish

childcare facilities to recruit and retain a rural healthcare workforce of

safety-net providers, such as community mental health centers,

federally qualified health centers, rural health clinics, community-

based organizations in rural areas (e.g., parks and recreation

departments, community centers, libraries, senior centers, etc.).

1.1.3. Renovations at community mental health centers, federally qualifed

health centers, rural health clinics, and hospitals.

1.1.4. Renovating existing buildings to house ambulances to expand EMS

capacity in rural areas; and

1.1.5. Other projects identified and mutually agreed upon by the Contractor

and GO-NORTH that align with New Hampshire's RHTP goals and

outcomes.

1.2. The Contractor must manage and distribute (RHTP) funds to develop Rural

Community Health Specialty Programs that support minor renovations and

infrastructure improvements ("projects"), as approved by GO-NORTH, that

advance RHTP goals by making rural New Hampshire healthier, including but

not limited to:

1.2.1. Renovations to community facilities that improve access to health

improving equipment and environments.

1.2.2. Renovations and equipment to support childcare access for the rural

health workforce and childcare workforce.

1.2.3. Other projects identified and mutually agreed upon by the Contractor

and GO-NORTH that align with New Hampshire's RHTP goals and

outcomes.

1.3. The Contractor must ensure programs and projects supported by funding under

this Agreement are clearly linked to New Hampshire's RHTP program goals in

accordance with the program submitted and approved by the parties and

projects to GO-NORTH prior approval of eligibility. The Contractor must present

Program descriptions and then full Application and Program Guides for review

SS-2027-DPH-05-RURAL-01 B-2.1 Contractor Initials k

New Hampshire Community 2/20/2026

Deveiopment Finance Authority Date

Docusign Envelope ID; B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Rural Investments for Minor Renovation, Alteration, and Infrastructure Projects

EXHIBIT B

and approval by GO-NORTH.

1.4. The Contractor nnust support alignment of all Rural Health Transformation

efforts, engage and coordinate, as required by GO-NORTH, with GO-NORTH

contractors and stakeholders on RHT initiatives.

1.5. The Contractor must ensure that organizations that receive funding for projects

under this Agreement ("qualifying organizations") qualify by (i) having a project

located in rural regions as defined by HRSA (https://data.hrsa.qov/topics/rural-

health/rural-health-eliqibilitv): or (ii) meeting the definition of a rural health

facility under the CMS Rural Health Transformation Program as authorized by

the One Big Beautiful Bill Act (Section 71401 of Public Law 119-21).

1.6. Projects for non-profit qualifying organizations (such as critical access

hospitals, county-run nursing homes, federally qualified health centers,

community mental health centers, rural health clinics, and community-based

organizations) that are clearly aligned with New Hampshire's RHTP program

goals shall be prioritized for funding.

1.7. The Contractor may identify complementary public and/or private funding

opportunities, if any, that can be leveraged in addition to RHTP funds to expand

the scope, sustainability, and impact of approved projects where practicable

within the RHTP timeline. The Contractor must provide GO-NORTH with

periodic recommendations and as requested, support applicants/sub-recipients

in aligning project budgets and implementation plans to incorporate these

additional resources consistent with applicable funding rules.

1.8. The Contractor will proactively identify and support qualifying organizations

to identify RHTP opportunities for allowable minor renovations and capital

improvements at such qualifying organization. To identify potential projects,

the Contractor shall issue a request for letters of intent from eligible

organizations: get approval from GO-NORTH for proposed projects; and get a

complete application from the eligible organization.

1.9. To support rural healthcare facilities and community-based organizations

identifying funding opportunities under this Contract, the Contractor must

collaborate with rural healthcare facilities and community-based organizations

to conduct a community needs assessment to identify projects linked to the

State's RHTP goals and outcomes and provide pre-application technical

support and resources. Identified needs must be included in the Contractor's

Work Plan for and develop into program summaries then Application and

Program Guidance GO-NORTH review and prior approval.

1.10. Funding Administration

1.10.1. The Contractor must develop and implement a statewide process

and policies, including an Application and Program Guide(s), subject

to GO-NORTH approval, for distributing funds ("awards") for

SS-2027-DPH-05-RURAL-01 B-2.1 Contractor Initials

New Hampstiire Community o/on/7n7fi

Development Finance Authority Date 2/2U/2U2D

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Rural Investments for Minor Renovation, Alteration, and Infrastructure Projects

EXHIBIT B

qualifying projects under this Agreement. Such policies shall require

that for a qualifying organization's project to receive an award it

must align with New Hampshire's RHTP goals and outcomes and

CMS requirements.

1.10.2. The Contractor must administer the distribution of funds to qualifying

organizations seeking cost reimbursement for improvements to

advance RHTP goals.

1.10.3. The Contractor must submit annual plans to fund projects to GO-

NORTH for review and approval,as included in the Contractor's Work

Plan (defined below) by July 1 of each year. All awards must be

expended by September 30th of the following calendar year.

1.10.4. Final Approval; Non-Retroactivity; Completion of Work. Upon written

approval of the Project by CMS and GO NORTH ("Approval"), the

Project's eligibility under this Agreement shall be deemed final and

non revocable by GO NORTH and shall not be rescinded,

recharacterized, or otherwise modified with retroactive effect, except

in cases of (i) fraud or intentional misrepresentation by Grantee, (ii) a

material, unapproved change in Project scope or use, (iii) failure by

Grantee to satisfy continuing conditions expressly stated In this

Agreement, (iv) a change in applicable law that renders performance

unlawful, or (iiv) a reduction in funding in future grant budget periods

by CMS. Following Approval, Grantee shall promptly commence and

diligently prosecute the construction to Substantial Completion in

accordance with the Approved Plans and Schedule. GO NORTH shall

not suspend, claw back, or deny funding on the basis of Project

eligibility after Approval, provided Grantee remains in compliance with

this Agreement and no exception in (i)-(iv) applies..

1.11. The Contractor must ensure that all awards are, pre-approved by GO-NORTH

and, strategically aligned to advance the goals of the RHTP and include plans

for sustalnability. The Contractor must prioritize funding initiatives that:

1.11.1. Expand access to essential services that increase the capacity of

rural safety-net facilities and childcare sites.

1.11.2. Reduce geographic and transportation barriers for rural populations..11.3. Increase access to opportunities for recreation and engagement in

prevention programs..11.4. Upgrade aging qualifying organizations to meet current health and

safety standards..11.5. Enhance service capacity for patient care areas, childcare

classrooms, and community spaces

1.11.6. Improve workflow efficiency through facility redesign.

SS-2027-DPH-05-RURAL-01 B-2.1 Contractor Initials

New Hampstiire Community 2/20/2026

Development Finance Authority Date

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Rural Inves ments for Minor Renovation, Alteration, and Infrastructure Projects

EXHIBIT B.11.7. Invest in water and sewer infrastructure, HVAC, plumbing and

electrical systems to ensure safe and reliable operations..11.8. Support workforce development with creating functional spaces for

staff training and telehealth services..11.9. Provide amenities and supports that attract and retain qualified

professionals in rural areas..11.10. Ensure compliance with state and federal regulations for healthcare

and childcare facilities..11.11. Foster community integration with the development of multi-use

spaces for health education, childcare, and community programs.

1.11.12. Partner with local organization to maximize facility utilization.

1.12. The Contractor must ensure access to funding opportunities across all rural

regions and to other eligible entities.

1.13. Application Development

1.13.1. The Contractor must collaborate with GO-NORTH to design an

approved application and award letter for qualifying organizations.

The Contractor must include:

1.13.1.1. Instructions for completing the application and submitting

supporting documentation.

1.13.1.2. An explanation on how the award is tied to the goals of the

RHTP.

1.13.1.3. Instructions for verifying licensure and good standing.

1.13.1.4. An expenses summary section for costs such as parts and

labor.

1.14. Application Intake

1.14.1. The Contractor must verify that all applicants submit:

1.14.1.1. A completed application including:

1.14.1.1.1. All required fields in the application are

completed.

1.14.1.1.2. Supporting documentation is accurate and

legible.

1.14.1.1.3. Any missing or incorrect information is promptly

communicated to the applicant for correction.

1.14.1.2. All invoices and post-award documentation required.

1.14.2. The Contractor must provide confirmation of receipt to applicants

SS-2027-DPH-05-RURAL-01 B-2.1 Contractor Initials

^01

New Hampstiire Community ■j/pn/7n7f;

Development Finance Auttiority Date 4/2U/2U2b

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Rural Investments for Minor Renovation, Alteration, and Infrastructure Projects

EXHIBIT B

within 3 business days of submission.

1.14.3. The Contractor must maintain a secure and organized system for

storing applications and supporting documents, ensuring compliance

with state and federal data privacy requirements.

1.15. Project Documentation

1.15.1. The Contractor must require applicants to submit a detailed work plan

or application describing all activities. The work plan or application

must include:

1.15.1.1. Copy of the deed to the property, as registered with the

county.

1.15.1.2. Narrative description of the property.

1.15.1.3. Photographs of the property.

1.15.1.4. A description of any planned modifications or renovations.

1.15.1.5. A detailed timeline for the project including start and

completion dates.

1.15.1.6. Any copies of anticipated items that will require quotes if

applicable.

1.15.1.7. Copies of all invoices and/or receipts for completed actions.

1.16. The Contractor must develop and utilize a GO-NORTH-approved process to

track, manage, monitor, and reconcile, applications, invoices, and funds

distributed for authorized activities.

1.17. Within thirty (30) days after the Effective Date, the Contractor must submit to

GO-NORTH for review and approval a detailed work plan (the "Work Plan") to

carry out the activities set forth in this Contract, and the Contractor agrees

funding under this Contract is conditioned upon GO-NORTH's approval of the

Work Plan. The Work Plan must describe, in reasonable detail, the tasks,

deliverables, spending targets, and activities. The Contractor will perform under

this Contract during each of the CMS RHTP periods in which an annual award

may be spent (each, a "Budget Period"). The Contractor must maintain and

update the Work Plan from time to time and at a minimum will submit to GO-

NORTH an updated Work Plan sixty (60) days prior to the end of each Budget

Period. For each Budget Period, the Work Plan must, at a minimum: (a) identify

the planned activities and deliverables; (b) specify the milestones to be

achieved, including milestone due dates and measurable completion criteria;

and (c) set forth the planned expenditures and use of funds by initiative. The

Contractor must update the Work Plan as reasonably requested by GO-

NORTH and in connection with any approved changes to scope, schedule,

budget, or award amount issued to the State and the Contractor must not

materially deviate from the approved Work Plan without the GO-NORTH's prior

SS-2027-DPH-05-RURAL-01 B-2.1 Contractor Initials

New Hampshire Community 2/20/2026

Development Finance Authority Date

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Rural Investments for Minor Renovation, Alteration, and Infrastructure Projects

EXHIBIT B

1.18.

1.19.

written approval.

The Contractor must provide a project manager and other staff from existing

staff or new hires, or consultants for the services described herein.

The Contractor must regularly collaborate and communicate with GO-NORTH

on the implementation of the RHTP initiative and the scope of services

described in this Contract. To facilitate such communication and collaboration,

the Contractor must designate a single point of contact who is responsible for

communicating with GO-NORTH, facilitating the Contractor's collaboration with

GO-NORTH, and managing the implementation of the RHTP initiative activities

under this Contract. The Contractor must identify this individual In writing to

GO-NORTH and must provide GO-NORTH with timely prior notice of any

anticipated changes to this single point of contact. In addition, and as requested

by GO-NORTH, the Contractor must participate in meetings with GO-NORTH.

Such meetings may include, but are not limited to:

1.19.1. Monthly check-in meetings focused on implementation and milestone

progress.

1.19.2. Quarterly and annual program performance reviews.

1.19.3. Ad hoc technical assistance sessions

1.20.

1.22.

The Contractor may be required to facilitate reviews of files conducted by GO-

NORTH on a monthly basis, or as otherwise requested by GO-NORTH, that

may include.

1.21. The Contractor must participate in on-site reviews conducted by GO-NORTH

on a semi-annual basis, or as otherwise requested by GO-NORTH.

Quarterly Progress Reporting. The Contractor must submit quarterly

progress reports to GO-NORTH detailing the progress made during the

applicable reporting period and including, but not limited to, spending data

broken down by CMS RHTP permissible use of fund and initiative, milestone

progress, technical assistance requests, and any additional information

reasonably requested by GO-NORTH or required by CMS under the terms and

conditions of the RHTP program. See the table below for quarterly progress

report time periods and due dates.

Report Reporting period

start date

Reporting

period end date

Due date

Quarterly

Report #1

August 1 October 30 November 07

Quarterly

Report #2

October 31 January 30 February 07

Quarterly January 31 April 30 May 07

SS-2027-DPH-05-RURAL-01

New Hampshire Community

Development Finance Authority

B-2.1

Contractor Initials

Date 2/20/2026

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Rural Investments for Minor Renovation, Alteration, and infrastructure Projects

EXHIBIT B

Report #3

*Note; To reduce reporting burden on Contractor, and the timing of the annual

report, there is no quarterly report due for the time period of May 1 to July 31.

1.23. Annual progress reporting. The Contractor must submit annual progress

reports to GO-NORTH detailing the progress made during the applicable

reporting period and including, but not limited to, qualitative progress updates

on milestones and implementation, quantitative updates on metrics that the

Contractor is tracking as part of the Contractor's approved GO-NORTH

workplan, quantitative description of funds expended by CMS RHTP

permissible use of fund and initiative, milestone progress, technical assistance

requests, and any additional information reasonably requested by GO-NORTH

or required by CMS under the terms and conditions of the RHTP program.

Annual progress report time periods and due dates are as follows:

1.23.1. Annual progress report #1: December 29, 2025 through July 31, 2026

and due August 7, 2026.

1.23.2. Annual progress report #2: August 1, 2026 through July 31, 2027, and

due August 7, 2027.

1.23.3. Annual progress report #3: August 1, 2027 through July 31, 2028, and

due August 7, 2028.

1.23.4. Annual progress report #4: August 1, 2028 through July 31, 2029, and

due August 7, 2029.

1.23.5. Annual progress report #5: August 1, 2029 through July 31, 2030, and

due August 7, 2030.

1.23.6. Final report: December 29, 2025 through October 30, 2030 and due

December 15, 2030.

*lf the reporting due date falls on a weekend or State recognized holiday the

report shall be due the next business day following the reporting date.

1.24. The format for the quarterly and annual progress reports described in Section

1.22 and Section 1.23 must be on a format as provided by GO-NORTH.

1.25. The Contractor must participate in GO-NORTH hosted forums, such as an

annual summit, related to RHTP.

1.26. The Contractor must monitor the scope of services outlined in this Agreement

by reporting performance metrics to GO-NORTH. All performance metrics, and

the reporting cadence, will be established by GO-NORTH and provided to the

Contractor in written GO-NORTH guidance. Such performance reporting

metrics will include any CMS required reporting metrics and such other

performance reporting metrics determined by GO-NORTH to ensure the

SS-2027-DPH-05-RURAL-01

New Hampshire Community

Deveiopment Finance Authority

B-2.1

Contractor Initials

y.01

Date 2/20/2026

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Rural Investments for Minor Renovation, Alteration, and Infrastructure Projects

EXHIBIT B

performance of the activities set forth in this Contract are aligned with the

State's RHTP initiatives, outcomes, and goals. The performance metrics

established and provided to the Contractor through written guidance from GO-

NORTH to the Contractor are hereby incorporated into this Contract by

reference and must be aligned with the activities set forth in this Exhibit B and

with the State's RHTP initiatives.

1.27. Performance Metrics

1.27.1. The Contractor must monitor the scope of services outlined in this

Agreement by reporting performance metrics to GO-NORTH. All

performance metrics, and the reporting cadence, will be established

by GO-NORTH and provided to the Contractor in written GO-NORTH

guidance. Such performance reporting metrics will include any CMS

required reporting metrics and such other performance reporting

metrics determined by GO-NORTH to ensure the performance of the

activities set forth in this Contract are aligned with the State's RHTP

initiatives, outcomes, and goals. The performance metrics

established and provided to the Contractor through written guidance

from GO-NORTH to the Contractor are hereby incorporated into this

Contract by reference and must be aligned with the activities set forth

in this Exhibit A-2 and with the State's RHTP initiatives.

1.27.2. The Contractor must participate in evaluation, performance

management, and implementation science activities in collaboration

with GO-NORTH and GO-NORTH's Evaluation Contractor (GNEC) to

support evaluation, learning, performance monitoring, and CMS

reporting requirements. The Contractor must, if feasible:

1.27.2.1. Provide programmatic, financial, and performance data

requested by GNEC to support GO-NORTH's evaluation

activities and CMS reporting requirements. This may

include, but is not limited to: Key goals and outcomes,

activity progress, planned activities, case examples, use of

funds, and detailed information related to implementation.

1.27.2.2. Contribute to Go-NORTH's efforts by sharing information on

implementation processes, adaptations, barriers,

facilitators, sustainability considerations, and by engaging in

activities that evaluate what works, for whom, and under

what conditions.

1.27.2.3. Collaborate with the GNEC to ensure full participation in the

readiness assessment process.

1.27.2.4. Participate, as requested by GO-NORTH and GNEC in

surveys, interviews, focus groups, learning huddles, andw\.4ivwjrw, II IbWI VIWVVW) IWWW4W ^ I W ^ W, I I U S,4 I ^, Wl I I ^...^|n,t|a|

Other evaluation activities necessary to assess program j

B-2,1 Contractor Initials vSS-2027-DPH-05-RUFtAL-01 B-2.1 Contractor Initials

New Hampstiire Community

Development Finance Authority Date 4/4U/2U4t>

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Rural Investments for Minor Renovation, Alteration, and Infrastructure Projects

EXHIBIT B

implementation, outcomes, and rural impacts.

1.27.2.5. Participate in coaching and training on evaluation, basis

analysis, data interpretation, and quality improvement (Ql)

methods with GO-NORTH and GNEC.

1.27.2.6. Utilize templates, tools, and workflows provided by GO-

NORTH and GNEC for evaluation and performance

monitoring.

1.27.2.7. Comply with all reporting timelines and due dates

established by GO-NORTH and GNEC for quarterly and

annual reporting to ensure timely analysis, review, and

submission of CMS required requirements.

1.28. Property Standards

1.28.1. The Contractor must ensure the qualifying organizations, at a

minimum, provide the equivalent Insurance coverage to the full

insurable value for real property and equipment acquired or improved

with Federal funds as provided to property owned by the qualifying

organization.

1.28.2. The Contractor must ensure:

1.28.2.1. Subject to the obligations and conditions set forth in this

section, title to real property acquired with Federal funds will

vest upon acquisition in the qualifying organization.

1.28.2.2. Except as otherwise provided by applicable law or waived

by GO-NORTH, real property will be used for the originally

authorized purpose for at least the term of this agreement,

during which time the qualifying organization must not

dispose of or or use for any other purpose.

1.28.2.3. When real property is no longer needed for the originally

authorized purpose, during the term of this agreement, the

Grantee qualifying organization must obtain disposition

instructions from GO-NORTH. The instructions must

provide for one of the following alternatives:

1.28.2.4. Retain title after compensating GO-NORTH. The amount

paid to GO-NORTH will be computed by applying GO-

NORTH's percentage of participation in the cost of the

original purchase (and costs of any improvements) to the fair

market value of the property. However, in those situations

where the Grantee is disposing of real property acquiring or

improved with GO-NORTH funds and acquiring

replacement real property prior to expiration of this /—i"""'

Agreement and any amendment thereof, the net proceeds

SS-2027-DPH-05-RURAL-01 B-2.1 Contractor Initials v

New Hampshire Community 2/20/2026

Development Finance Authority Date

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Rural Investments for Minor Renovation, Alteration, and Infrastructure Projects

EXHIBIT B

from the disposition of may be used as an offset to the cost

of the replacement property.

1.28.2.5. Sell the property and compensate GO-NORTH. The amount

due to GO-NORTH will be calculated by applying GO-

NORTH's percentage of the participation in the cost of the

original purchase (and cost of any improvements) to the

proceeds of the sale after the deduction of any actual and

reasonable selling and fixing-up expenses. If GO-NORTH

appropriation funding this Agreement or any amendment

thereof has not been closed out, the net proceeds from sales

may be offset against the original cost ohhe property. When

the Grantee is directed to sell property, sales procedures

must be followed that provide for competition to the extent

practicable and result in the highest possible return.

1.28.2.6. Transfer title to a third party designated/approved by GO-

NORTH. The Grantee is entitled to be paid an amount

calculated by applying the GO-NORTH percentage of

participation in the purchase of the real property (and cost

of any improvements) to the current fair market value of the

property.

1.29. Equipment

1.29.1. The Contractor must ensure:

1.29.1.1. Equipment purchased under this contract is necessary for

the project. Equipment means tangible personal property

(including information technology systems) purchased in

whole or in part with Federal funds and that has a useful life

of more than one (1) year and a per-unit acquisition cost

which equal or exceeds $10,000.

1.29.1.2. Subject to the obligations and conditions set forth in this

section, title to equipment acquired with Federal funds will

vest upon acquisition to the qualifying organization subject

to to the following conditions:

1.29.1.2.1. Use the equipment for the authorized purpose

of the project for at least the term of this

agreement, or until the equipment is no longer

needed for the purpose of the project.

1.29.1.2.2. Not encumber the property without approval of

GO-NORTH.

SS-2027-DPH-05-RURAL-01 B-2.1 Contractor Initials ^

New Hampshire Community 2/20/2026

Development Finance Authority Date

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Rural Investments for Minor Renovation, Alteration, and Infrastructure Projects

EXHIBIT B

1.29.1.2.3. Use and dispose of the property in accordance

with Paragraph with this agreement and current

law.

1.29.2. The Contractor must ensure procedures for managing equipment

(including replacement equipment), whether acquired in whole or In

part with federal funding, including but not limited to the following

requirements:

1.29.2.1. Equipment records must be maintained that include a

description of the property, a serial number or other

identification number, the source of funding for the property,

percentage of GO-NORTH participation in the project costs,

the location, use and condition of the property, and any

ultimate disposition data including the data of disposal and

sale price of the equipment.

1.29.2.2. A physical inventory of the equipment must be taken and the

results reconciled with the equipment records at least once

every two (2) years.

1.29.2.3. A control system must be developed to ensure adequate

safeguards to prevent loss, damage, or theft of the

equipment. Any loss, damage, or theft must be Investigated.

1.29.2.4. Adequate maintenance procedures must be developed to

keep the equipment in good condition.

1.29.2.5. If the eligible organization is authorized or required to sell

the equipment, proper sales procedures must be

established to ensure the highest possible return.

1.29.3. The Contractor must ensure when original or replacement equipment

acquired with federal funds is no longer needed for the original project

or program or for other activities currently or previously supported by

GO-NORTH, except as otherwise provided by applicable law or In this

Contract, the eligible organization must request disposition

instructions from GO-NORTH.

1.30. Property Trust Relationship and Liens

1.30.1. The Contractor must ensure real property, equipment, and intangible

property, that are acquired or improved with federal funds may require

the qualifying organization to record liens or other appropriate notices

of record to indicate that personal or real property has been acquired

or improved with federal funds and that use and disposition conditions

apply to the property.

1.31. Confidential Data fT'""'*I k€Ai

SS-2027-DPH-05-RURAL-01 B-2.1 Contractor Initials

New Hampshire Community 2/20/2026

Development Finance Authority Date

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Rural investments for Minor Renovation, Alteration, and infrastructure Projects

EXHIBIT B

1.31.1. The Contractor must ensure all State Confidential Information (as

defined herein) is held In strict confidence and Is only disclosed, when

allowed by applicable law and for the purpose of carrying out the

activities and services under this Contract. State Confidential

Information means any and all non-public Information, data, records,

documents, materials, and communications (In any form or media)

that are disclosed or made available by, on behalf of, or at the

direction of the State of New Hampshire, the office of the Governor,

GO-NORTH, and/or Its agencies, departments, commissions, boards.

Instrumentalities, officers, employees, or contractors to Contractor, or

that Contractor accesses, receives, creates, generates, complies,

derives, or learns In connection with this Contract ("State Confidential

Information"), whether before or after the effective date of this

Contract, and whether or not marked or Identified as confidential.

State Confidential Information Includes, without limitation: (a) any

Information relating to the State's operations, programs, policies,

contracts, budgets, finances, pricing, procurement. Investigations,

audits, security measures, systems, technology, or plans; (b) any

Information concerning Individuals or entitles Interacting with the

State, Including residents, applicants, beneficiaries, enrollees,

providers, vendors, or employees. Including personally Identifiable

Information, protected health Information, tax Information, education

records, criminal justice Information, or any other Information

protected or regulated under applicable federal or state law; and (c)

any data sets, extracts, reports, analyses, compilations, models,

notes, summaries, or work product that contain, reflect, or are based

on any of the foregoing. State Confidential Information does not

Include Information that the Contractor can demonstrate, by

contemporaneous written records and without breach of this

Agreement, (I) was publicly available at the time of disclosure or

becomes publicly available through no act or omission of Contractor,

(II) was lawfully In Contractor's possession without restriction prior to

receipt from the State, (III) was Independently developed by the

Contractor without use of or reference to State Confidential

Information; provided, however, that Information must not be deemed

excluded merely because It Is Included within more general public

Information or because Individual elements are publicly known, or(lv)

Protected Health Information or financial data maintained by a CMHC

or CCBHC.

1.31.2. The Contractor acknowledges and agrees that It, and Its

subcontractors, awardees, affiliates and other persons engaged to

carry out the activities of this Contract, may be required to share data

and exchange Information with third parties to accomplish the

services set forth In this Contract. The Contractor must ensure that

SS-2027-DPH-05-RURAL-01 B-2.1 Contractor Initials y.01

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Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Rural Investments for Minor Renovation, Alteration, and Infrastructure Projects

EXHIBIT B

any subcontracts, awards, affiliates or other persons engaged

to carryout the activities of this contract comply with these same

confidentiality provisions and comply with all state and federal laws or

regulations applicable to data sharing, privacy, security and

confidentiality.

1.31.3. The Contractor acknowledges it, or its subcontractors, affiliates or

related parties may need to access information of a third party to carry

out the activities of this Contract. If requested by a third-party, the

Contractor and or its subcontractors, affiliates or related parties must

enter into any reasonable and necessary Data Sharing Agreement(s)

with third parties as required to provide services under this Contract.

1.31.4. The Contractor must comply, and must cause its affiliates,

subcontractors, agents, and any other persons or entities under

Contractor's direction or control who create, receive, maintain, or

transmit Protected Health Information ("PHI") in connection with the

services or activities herein (collectively, "Contractor Parties") to

comply, with all applicable requirements of the Health Insurance

Portability and Accountability Act of 1996 and its implementing

regulations, as amended ("HIPAA"), including without limitation the

HIPAA Privacy Rule, Security Rule, and Breach Notification Rule (45

C.F.R. Parts 160 and 164). The Contractor must ensure that each

Contractor Party is bound by written terms, including a business

associate agreement as applicable, that are no less protective than

HIPAA and this Contract with respect to PHI and that require such

Contractor Party to implement appropriate safeguards and use and

disclose PHI only as permitted by HIPAA and as necessary to perform

the services set forth in this Contract. The Contractor remains

responsible for the acts and omissions of the Contractor Parties to the

same extent as for the Contractor's own acts and omissions with

respect to HIPAA compliance and the protection of PHI.

1.31.5. The Contractor and subcontractors must submit annual attestation of

compliance with this Section.

1.32. Contract End-of-Life Transition Services

1.32.1. General Requirements

1.32.1.1. If applicable, upon early termination or expiration of the

Contract the parties agree to cooperate in good faith to

effectuate a secure transition of the services ("Transition

Services") from the Contractor to the GO-NORTH and, if

applicable, the new partner ("Recipient") engaged by GO-

NORTH to assume the services. Ninety (90) days prior to

the end-of the Contract or unless otherwise specified by

SS-2027-DPH-05-RURAL-01 B-2.1 Contractor Initials

k0i

New Hampshire Community 2/20/2026

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Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Rural Investments for Minor Renovation, Alteration, and Infrastructure Projects

EXHIBIT B

the GO-NORTH, the Contractor must begin working with

the GO-NORTH and if applicable, the Recipient to

develop a Transition Plan. GO-NORTH must provide the

Transition Plan template to the Contractor.

1.32.1.2. The Contractor must assist the Recipient, in connection

with the transition of the performance of Services by the

Contractor to the performance of such Services by the

Recipient. This may include assistance with the secure

transfer of records (electronic and hard copy),transition of

historical data (electronic and hard copy), the transition of

any and cooperation with and assistance to Recipient and

any third-party consultants engaged by Recipient in

connection with the Transition Services.

1.32.1.3. If GO-NORTH, or another state agency, provides, or

provides access to, a system, database, hardware,

software, and/or software licenses (Tools) to carry out

the services in relationship to this contract said Tools will

be inventoried and returned to GO-NORTH or the

applicable state agency, along with the inventory

document, once Transition Services are complete.

1.32.1.4. The internal planning of the Transition Services by the

Contractor must be provided to GO-NORTH and if

applicable the Recipient in a timely manner. Any such

Transition Services must be deemed to be Services for

purposes of this Agreement.

1.32.1.5. If the Contractor will maintain any State Confidential

Information on its systems (or its sub-contractor

systems), the Contractor will maintain a documented

process for securely disposing of such data upon

request or contract termination; and will obtain written

certification for any State Confidential Information

destroyed by the Contractor or any subcontractors as a

part of ongoing, emergency, and or disaster recovery

operations. When no longer in use, electronic media

containing State Confidential Information must be

rendered unrecoverable via a secure wipe program in

accordance with industry-accepted standards for secure

deletion and media sanitization, or otherwise physically

destroying the media (for example, degaussing) as

described in the then current applicable NIST standards.

The Contractor will document and certify in writing at

time of the data destruction and will provide written

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Deveiopment Finance Authority Date t-li^l IMl'o

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Rural Investments for Minor Renovation, Alteration, and Infrastructure Projects

EXHIBIT B

certification to GO-NORTH upon request. The written

certification will include all details necessary

to demonstrate data has been properly destroyed

and validated. Where applicable, regulatory and

professional standards for retention requirements will be

jointly evaluated by the State and Contractor prior to

destruction.

1.32.1.6.

1.32.1.7. Unless otherwise specified, and in compliance with all

applicable state and federal records retained policies,

within thirty (30) days of the termination of this Contract,

Contractor agrees to destroy all hard copies of State

Confidential Data using a secure method such as

shredding.

1.32.1.8. Unless otherwise specified, and in compliance with all

applicable state and federal records retention policies,

within thirty (30) days of the termination of this Contract,

Contractor agrees to completely destroy all electronic

State Confidential Data by means of data erasure, also

known as secure data wiping.

1.32.1.9. In the event the Contractor has comingled any

State Confidential Information and the destruction or

Transition of said data is not feasible, the GC-

NCRTH and Contractor will jointly evaluate regulatory

and professional standards for retention requirements

prior to destruction and in accordance with 2 CFR

200.334, Records retention requirements.

1.32.2. Disagreement over Transition Services Results

1.32.2.1. In the event GC-NCRTH is not satisfied with the results

of the Transition Service, GC-NCRTH must notify the

Contractor, in writing, stating the reason for the lack of

satisfaction within fifteen (15) business days of the final

product or at any time during the Transition Services

process. The Parties must discuss the actions to be taken

to resolve the disagreement or issue. If an agreement is

not reached, at any time GC-

NCRTH may initiate actions in accordance with the

Contract.

2. Exhibits Incorporated

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Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Rural Investments for Minor Renovation, Alteration, and Infrastructure Projects

EXHIBIT B

2.1. The Contractor must comply with all Exhibit D Federal Requirements, which

are attached hereto and incorporated by reference herein.

3. Additional Terms

3.1. Impacts Resulting from Court Orders or Legislative Changes

3.1.1. The Contractor agrees that, to the extent future state or federal

legislation or court orders may have an impact on the Services

described herein, the State has the right to modify Services priorities

and expenditure requirements under this Agreement to achieve

compliance therewith.

3.2. Credits and Copyright Ownership

3.2.1. When issuing public statements resulting from activities supported by

this Agreement the Contractor_must include the following statement,

"This [project/publication/program/website, etc.] [is/was] supported by

the Centers for Medicare & Medicaid Services (CMS) of the U.S.

Department of Health and Human Services (HHS) as part of a

financial assistance award totaling $XX with 100 percent funded by

CMS/HHS [or as part of a financial assistance award totaling $XX with

XX percentage funded by CMS/HHS and $XX amount and XX

percentage funded by non-government source(s)]. The contents are

those of the author(s) and do not necessarily represent the official

views of, nor an endorsement, by CMS/HHS, or the U.S.

Government."

3.2.2. The Contractor must submit the following to GO-NORTH for review

and comment at least forty-five (45) days prior to release:

3.2.2.1. Publications that report results from or describe

information obtained through the Contractor's use of

funds under this Agreement.

3.2.2.2. Any external formal presentation of any report or

statistical or analytical material based on information

obtained through the Contractor's use of funds under this

Agreement. Formal presentations include papers,

articles, professional publication, speeches, and

testimony.

3.2.2.3. External presentation-related material, such as abstracts,

power point presentations or other slide decks, posters,

and videos.

3.2.2.4. All public materials specific to the program including but

not limited to, brochures, recruitment materials,

informational materials, advertisements, website copy,

website pages, videos, and op-ed articles. [ iSS-2027-DPH-05-RURAL-01 B-2.1 Contractor Initials

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Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Rural Investments for Minor Renovation, Alteration, and Infrastructure Projects

EXHIBIT B

3.2.3. At least fourteen (14) days prior to release, the Contractor must

submit to GO-NORTH for GO-NORTH's review and comment;

3.2.3.1. Any press release or media advisory concerning the

outcome of activities supported through the Contractor's

use of funds under this Agreement.

3.2.4. All media interviews, media requests, releases of information, filming,

and broadcasts. For one (1) year after completion of the project, the

recipient shall continue to submit for review and comment all

publications, presentations, and communications resulting from this

award or based on information obtained through the Contractor's use

of funds under this Agreement, including papers, articles, professional

publications, power point presentations, posters, speeches,

announcements, and testimony in any format, including digital

technology.

3.2.5. Specifically excluded from the review and comment process are

internal presentations, information discussions, in general, class

lectures, and informal meetings and conversations with community

leaders. However, if such a presentation or slide deck is later re-

purposed for a public event, it will need to be submitted in advance

for GO-NORTH review and comment.

3.2.6. One (1) copy of each publication, that requires prior review and

comment under this Agreement, must accompany the final progress

report.

3.2.7. GO-NORTH shall collaborate with the Contractor to facilitate the

requirements under this section.

4. Records

4.1. The Contractor must keep records that include, but are not limited to:

4.1.1. Books, records, documents and other electronic or physical data

evidencing and reflecting all costs and other expenses incurred by the

Contractor in the performance of the Contract, and all income received

or collected by the Contractor.

4.1.2. All records must be maintained in accordance with accounting

procedures and practices, which sufficiently and properly reflect all such

costs and expenses, and which are acceptable to GO-NORTH and

CMS, and to include, without limitation, all ledgers, books, records, and

original evidence of costs such as purchase requisitions and orders,

vouchers, requisitions for materials, inventories, valuations of in-kind

contributions, labor time cards, payrolls, and other records requested or

required by GO-NORTH.

4.1.3. Records regarding the provision of services and all

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Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Rural Investments for Minor Renovation, Alteration, and Infrastructure Projects

EXHIBIT B

invoices submitted to GO-NORTH to obtain payment for such services.

4.2. During the term of this Agreement and the period for retention set forth in 2

CFR 200.334 or as required by CMS (whichever is later), GO-NORTH, the

United States Department of Health and Human Services, and any of their

designated representatives must have access to all reports and records

maintained pursuant to the Agreement for purposes of audit, examination,

excerpts and transcripts, in accordance with 2 CFR 200.334, Records retention

requirements

5. Procurements.

5.1. Sections 5.2 through 5.6 apply to procurements in excess of the default micro-

purchase thresholds established in 2 CFR 200.320 - Procurement Methods.

5.2. All competitive procurements, including, but not limited to requests for proposal,

bids, quotes, or applications issued by the Contractor related to this Contract

must be posted on the GO-NORTH website. At least fifteen (15) calendar days

prior to posting, opening or issuing a competitive procurement, the Contractor

must provide notice to GO-NORTH of the competitive procurement, how to

apply, the time period in which bids or applications will be accepted, the public

website the Contractor will post the competitive procurement, and any other

information reasonably requested by GO-NORTH.

5.3. Prior to contracting through a competitive procurement, the Contractor must

submit a request to GO-NORTH to approve the selected applicant, bidder,

contractor, or vendor. Such request must be made in writing and include

evidence that the selected applicant, bidder, contractor, or vendor meets the

subrecipient, contractor, subcontractor, or consulting requirements of this

Agreement and the CMS RHT grant requirements. Funding of any selected

vendor is contingent on GO-NORTH approval.

5.4. For all competitive procurements, the Contractor must adhere to procurement

standards established in 2 CFR 200 Subpart D Post Federal Award

Requirements: Procurement Standards (Sections 200.317 to 200.327) and, if

requested by GO-NORTH, must collaborate with GO-NORTH on the

development of the procurement. Upon request, the Contractor must provide

the scoring documentation and award recommendation to GO-NORTH for

review.

5.5. The Contractor must provide GO-NORTH with prior notice, and receive GO-

NORTH prior approval, prior to entering into any sole source agreement related

to this Contract to carry out the RHT initiative under this Contract.

5.6. For all organizations the Contractor engages with, whether through a

competitive procurement or sole source contract, the Contractor must (i) ensure

the organization is in Good Standing with the NH Department of State, in

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Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Rural Investments for Minor Renovation, Alteration, and Infrastructure Projects

EXHIBIT B

accordance with the requirements in RSA 5:18-a: and (ii) collect and maintain

a list of the organization's board of directors.

Initial

SS-2027-DPH-05-RURAL-01

New Hampshire Community

Development Finance Authority

B-2.1

Contractor Initials

Date 2/20/2026

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health (GO-NORTH)

Rural Investments for Minor Renovations, Alterations, and Infrastructure Projects

EXHIBIT C

1. This Agreement is funded by:

1.1. 100% Federal funds. Rural Health Transformation Program, as awarded

on December 29, 2025, by the Centers for Medicare & Medicaid

Services (CMS), Department of Health and Human Services, ALN #

93.798, FAIN # RHTCMS332050.

2. For the purposes of this Agreement GO-NORTH has identified:

2.1. The Contractor as a Subrecipient, based on criteria specified in 2 CFR

200.331.

2.2. The Agreement as NON-R&D, in accordance with 2 CFR §200.332.

2.3. Unless waived by GO-NORTH in writing, the Contractor's indirect costs

and administrative costs, inclusive of any subcontractors, subrecipients

or subawardees of Contractor, must not exceed 10% of the Contractor's

total funding for each budget period under this Contract. The Contractor

acknowledges and agrees that all administrative costs and indirect

costs, inclusive of the recipients, subcontractors, subrecipeints, and

subawardee's, under the State's RHT award are capped at 10% of the

State's total RHT award. The Contractor must track all administrative

costs and indirect costs under this Agreement and report such costs to

GO-NORTH. Administrative costs and indirect costs are defined as set

forth in 2 CFR Part 200 Uniform Administrative Requirements, Costs

Principles, and Audit Requirements for Federal Awards.

2.4. The Contractor may receive, as well as provide to subrecipients,

deliverable based payments. Payments to the Contractor shall be

based on metrics established with GO-NORTH and shall not be

included as part of the indirect and administrative cost requirements.

3. Payment shall be on a cost reimbursement basis for actual allowable

expenditures incurred under this Agreement, and shall be in accordance with

the approved line items, as specified in Exhibits C-1, Budget.

4. Subject to GO-NORTH prior approval, and in accordance with 2 C.F.R Part

200, Contractor may receive advance payment for services and activities

provided within the scope of this Agreement.

5. The final required supporting documentation shall be due to GO-NORTH no

later than thirty (30) calendar days after the contract completion date specified

in Form P-37, General Provisions Block 1.7., Completion Date. GO-NORTH

shall recoup any balance of funds that has not been expended or is disallowed.

Any recouped funds must be promptly returned by the Contractor to GO-

NORTH within 30 calendar days of the request for recoupment of payment from

GO-NORTH.

6. Notwithstanding Paragraph 18 of the General Provisions Form P-37, changes^

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Governor's Office of New Opportunities & Rural Transformational Health (GO-NORTH)

Rural Investments for Minor Renovations, Alterations, and Infrastructure Projects

EXHIBIT C

limited to adjusting direct and indirect cost amounts within the price limitation

between budget class lines, as well as adjusting and carryingforward

encumbrances between State Fiscal Years through the Budget Office, may be

made by written agreement of both parties, without obtaining approval of the

Governor and Executive Council, if needed and justified.

7. As part of GO-NORTH's review and approval of Contractor's Work Plan, as

outlined in Exhibit B Scope of Services, GO-NORTH will, within each Budget

Period and in collaboration with Contractor, determine expenditure targets and

deadlines for such expenditure targets. For purposes of this provision, only,

expenditure means monies spent on carrying out RHTP permissible uses of

funds and expenditures shall not include funds obligated, encumbered, or

otherwise subject to a liability but not disposed of or expended by Contractor.

If Contractor has not met such expenditure targets by deadlines set by GO-

NORTH, GO-NORTH has the unilateral right to recoup unexpended funds for

such Budget Period, and redistribute to other RHTP initiatives, or to direct

Contractor to expend the funds not expended that align with the Scope of

Services. The Contractor agrees to the terms and conditions set forth by CMS

for the RHTP and understands and agrees that Contractor's failure to meet

expenditure targets and milestones set forth by GO-NORTH will materially

impact the State's ability to comply with CMS requirements and meet RTHP

objectives.

8. The Contractor agrees and covenants that the funds will be used solely for an

allowable purpose as set forth In this Agreement and as allowed under the

CMS Rural Health Transformation Program as authorized by the One Big

Beautiful Bill Act (Section 71401 of Public Law 119-21). The Contractor must

ensure no funds under this Agreement are used for costs that are unallowable,

including but not limited to the following:

8.1. New construction, including supplanting funding for in-process or

planned construction projects or directing funding towards new

construction builds, which is unallowable. Renovations or alterations, as

described in CMS RHTP notice of funding opportunity, notice of RHTP

award or other CMS issued guidance cannot exceed 20% of the total

funding awarded to New Hampshire in a given budget period. If the

Contractor plans to fund direct renovations or alterations, the Contractor

must provide a written justification to GO-NORTH and receive GO-

NORTH prior approval.

8.2. Replacing payment for clinical services that could be reimbursed by

insurance. Payments to clinical services are not allowed if it would

duplicate billable services and/or attempt to change payment amounts

of existing fee schedules. If the Contractor plans to fund direct health

care services, the Contractor must provide a written justification to GO-

NORTH detailing why such services are not already reimbursable, how

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Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health (GO-NORTH)

Rural Investments for Minor Renovations, Aiterations, and Infrastructure Projects

EXHIBIT C

the payment will fill a gap In care coverage (such as uncompensated

care or services not covered by insurance), how such payment will

transform the current care delivery model, and receive GO-NORTH prior

approval. Funding for such payments cannot exceed 15% of the total

funding awarded to New Hampshire in a given budget period..

8.3. Pre-contract effective date costs.

8.4. Meeting any matching requirements for any other federal funds or local

entities.

8.5. Services, equipment, or supports that are the legal responsibility of

another party under federal, State, or tribal law.

8.6. Goods or services not applicable to the scope of this Contract and the

State's RHTP workforce initiative.

8.7. Supplanting, or duplicating, existing State, local or private funding of

infrastructure or services.

8.8. The cost of independent research and development, including

Contractor's proportionate share of indirect costs, see 2 CFR 300.477.

8.9. Purchase of covered telecommunications and video surveillance

equipment (see 2 CFR 200.216) as well as financial assistance to

households for installation and monthly broadband Internet costs.

8.10. Meals, unless in limited circumstances such as (i) subject and patients

under study; (ii) where specifically approved as part of the project; (ill)

as part of a per diem or subsistence allowance provided in conjunction

with allowable travel.

8.11. Activities prohibited under 2 CFR 200.450 and the HHS Grants Policy

Statement, including, but not limited to: (i) payments related to any

activity designed to influence the enactment of legislation,

appropriations, regulation, administrative action, or executive order

proposed or pending before the Congress or any State government.

State legislature, local legislature or legislative body, including but not

limited to paying the salary or expenses of any grant Recipient or agent

acting for such Recipient for such activity; and (ii) lobbying, but

Contractor can lobby at its own expense if Contractor can segregate

federal funds from other financial resources used for lobbying to the

extent allowed under State law.

8.12. Replacement of HITECH certified electronic medical records (EMR)

systems is capped at 5% of the total funding awarded to New Hampshire

in a given Budget Period if such certified EMR system was already in

place as of September 1, 2025. Prior to initiating any plan to replace a

certified EMR system. Contractor shall receive GO-NORTH prior

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Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health (GO-NORTH)

Rural investments for Minor Renovations, Aiterations, and Infrastructure Projects

EXHIBIT C

approva.

8.13. Clinician salaries or wage supports for facilities that subject clinicians to

non-compete contractual limitations. This applies only to salaries and

wages funded by RHTP through an approved initiative described in the

State's approved application.

8.14. Recruiting or retaining clinical workforce to rural areas, without a

commitment to serve rural communities for a minimum of five years.

8.15. SSA 2105(c), paragraphs (1), (7), and (9) apply as funding limitations.

These limitations are related to general limitations, limitations on

payment for abortions, and citizenship documentation requirements for

payments made with respect to an individual.

8.16. Any other use of funds deemed impermissible by CMS.

9. The Contractor must maintain financial management systems capable of

tracking and reporting expenditures including, by, but not limited to, RHTP

permissible use of funds.

10. If, upon further review, GO-NORTH determines any expense to be an

impermissible use of funds under this Agreement or the CMS RHT grant

program, GO-NORTH must disallow such expense claimed by the Contractor

as costs hereunder, GO-NORTH retains the right, at its discretion, to deduct

the amount of such expenses as are disallowed or to recover such sums from

the Contractor.

11. Audits

11.1. The Contractor must email an annual audit to dhhs.act(@dhhs.nh.gov if

any of the following conditions exist:

11.1.1. Condition A - The Contractor is subject to a Single Audit

pursuant to 2 CFR 200.501 Audit Requirements.

11.1.2. Condition B - The Contractor is subject to audit pursuant to the

requirements of NH RSA 7:28, lll-b.

11.1.3. Condition C - The Contractor is a public company and required

by Securities and Exchange Commission (SEC) regulations to

submit an annual financial audit.

11.2. If Condition A exists, the Contractor shall submit an annual Single Audit

performed by an independent Certified Public Accountant (CPA) to

dhhs.act@dhhs.nh.gov within 120 days after the close of the

Contractor's fiscal year, conducted in accordance with the requirements

of 2 CFR Part 200, Subpart F of the Uniform Administrative

Requirements, Cost Principles, and Audit Requirements for Federal

awards.

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New Hampstilre Community 2/20/2026

Development Finance Autiiority Date

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health (GO-NORTH)

Rural Investments for Minor Renovations, Alterations, and Infrastructure Projects

EXHIBIT C

11.2.1. The Contractor shall submit a copy of any Single Audit findings

and any associated corrective action plans. The Contractor

shall submit quarterly progress reports on the status of

implementation of the corrective action plan.

11.3. If Condition B or Condition C exists, the Contractor shall submit an

annual financial audit performed by an independent CPA within 120

days after the close of the Contractor's fiscal year.

11.4. The Contractor, regardless of the funding source and/or whether

Conditions A, B, or C exist, may be required to submit annual financial

audits performed by an independent CPA upon request by GO-NORTH.

11.5. In addition to, and not in any way in limitation of obligations of the

Agreement, it is understood and agreed by the Contractor that the

Contractor shall be held liable for any state or federal audit exceptions

and shall return to GO-NORTH all payments made under the Agreement

to which exception has been taken, or which have been disallowed

because of such an exception, within sixty (60) days.

12. If applicable, the Contractor must request disposition instructions from GO-

NORTH for any equipment, as defined in 2 CFR 200.313, purchased using

funds provided under this Agreement, including information technology

systems.

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Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Exhibit C-1 Budget

Governor's Office on New Opportunities for Rural Transformational Health (GO-NORTH)

Contractor Name: New Hampshire Community Development Finance Authority

Budget Request for:Rural Health Transformation Program

Budget Period: G&C Approval -9/30/31

Indirect Cost Rate (if applicable)10.00%

Line Item

Program Cost - Funded

by GO-NORTH -

Budget Period 1

Program Cost - Funded

by GO-NORTH - Budget

Period 2

Pro^am Cost - Funded by

GO-NORTH - Budget

Period 3

Program Cost - Funded

by GO-NORTH -

Budget Period 4

Pro^nam - Funded by

GO-NORTH - Budget

Period 5

1. Salary & Wages $338,595 $650,000 $676,000 $703,040 $732,162

2. Fringe Benefits $101,135 $194,154 $203,862 $214,055 $224,758

3. Consultants $180,000 $350,000 $364,000 $378,000 $593,702

4. Equipment

Indirect cost rate cannot be applied to equipment costs per 2

CFR 200.1 and Appendix IV to 2 CFR 200.

$0 $0 $0 $0 $0

5.(a) Supplies - Educatbnal $0 $0 $0 $0 $0

5.(b) Supplies - Lab $0 $0 $0 $0 $0

5.(c) Supplies - Pharmacy $0 $0 $0 $0 $0

5.(d) Supplies - Medical $0 $0 $0 $0 $0

5.(e) Supplies - Office $12,000 $11,000 $1,000 $1,000 $1,000

6. Travel $5,862 $9,520 $9,518 $9,505 $6,505

7. Software $2,976 $5,416 $5,416 $5,416 $5,416

8. (a) Other - Marketing/Communications $20,000 $40,000 $44,600 $43,266 $147,744

8. (b) Other - Education and Training $2,000 $10,000 $10,400 $10,350 $3,400

Other (Ofice expenses) $31,828 $61,397 $64,070 $66,849 $69,740

Other (Occupancy $21,112 $40,529 $42,150 $43,835 $45,589

Other (Deliverable Based Payments) $1,592,723 $1,738,618 $1,691,545 $1,641,983 $1,757,968

Other (Meetings and events) $2,500 $4,000 $5,000 $5,140 $6,000

9. Subrecipient Contracts $40,967,800 $39,979,000 $39,975,400 $39,969,400 $43,579,400

Total Direct Costs $43,278,531 $43,093,634 $43,092,961 $43,091,839 $47,173,384

$0 $0

Total Indirect Costs $531,468 $716,366 $717,039 $718,161 $826,616

Subtotals $43,810,000 $43,810,000 $43,810,000 $43,810,000 $48,000,000

■ ■ ■■ ■■ TOTAL'". $223^240,000

SS-2027-DPH-05-RURAL-01

Contractor Inttials;

Z7W7D26

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rurai Transformationai Heaith ("GO NORTH")

Exhibit D - Federal Requirements

SECTION A: CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS

The Contractor identified in Section 1.3 of the General Provisions agrees to comply with the provisions

of Sections 5151-5160 of the Drug-Free Workplace Act of 1988 (Pub. L. 100-690, Title V, Subtitle D;

41 U.S.C. 701 et seq.), and further agrees to have the Contractor's representative, as identified in

Sections 1.11 and 1.12 of the General Provisions execute the following Certification:

ALTERNATIVE I - FOR CONTRACTORS OTHER THAN INDIVIDUALS

US DEPARTMENT OF HEALTH AND HUMAN SERVICES - CONTRACTORS

US DEPARTMENT OF EDUCATION - CONTRACTORS

US DEPARTMENT OF AGRICULTURE - CONTRACTORS

This certification is required by the regulations implementing Sections 5151-5160 of the Drug-Free

Workplace Act of 1988 (Pub. L. 100-690, Title V, Subtitle D; 41 U.S.C. 701 et seq.). The January 31,

1989 regulations were amended and published as Part II of the May 25, 1990 Federal Register (pages

21681-21691), and require certification by contractors (and by inference, sub- contractors), prior to

award, that they will maintain a drug-free workplace. Section 3017.630(c) of the regulation provides

that a contractor (and by inference, sub-contractors) that is a State may elect to make one certification

to the Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH") in each

federal fiscal year in lieu of certificates for each Agreement during the federal fiscal year covered by

the certification. The certificate set out below is a material representation of fact upon which reliance is

placed when the agency awards the Agreement. False certification or violation of the certification shall

be grounds for suspension of payments, suspension or termination of Agreements, or government

wide suspension or debarment.

Contractors using this form should send It to:

Executive Director

GO NORTH

129 Pleasant Street

Concord, NH 03301-6505

1. The Contractor certifies that it will or will continue to provide a drug-free workplace by:

1.1. Publishing a statement notifying employees that the unlawful manufacture, distribution,

dispensing, possession or use of a controlled substance is prohibited in the Contractor's

workplace and specifying the actions that will be taken against employees for violation of

such prohibition;

1.2. Establishing an ongoing drug-free awareness program to inform employees about:

1.2.1. The dangers of drug abuse in the workplace;

1.2.2. The Contractor's policy of maintaining a drug-free workplace;

1.2.3. Any available drug counseling, rehabilitation, and employee assistance programs; and

1.2.4. The penalties that may be imposed upon employees for drug abuse violations

occurring in the workplace;

1.3. Making it a requirement that each employee to be engaged in the performance of

the Agreement be given a copy of the statement required by paragraph (a);

1.4. Notifying the employee in the statement required by paragraph (a) that, as a condition

of employment under the Agreement, the employee will:

1.4.1. Abide by the terms of the statement; and

1.4.2. Notify the employer In writing of his or her conviction for a violation of a criminal drug /—

statute occurring in the workplace no later than five calendar days after such conviction;

V1.1 RHT Exhibit D Contractor's Initials ^

Federal Requirements 2/20/2026

Date

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Exhibit D - Federal Requirements

1.5. Notifying the agency in writing, within ten calendar days after receiving notice under

subparagraph 1.4.2 from an employee or otherwise receiving actual notice of such conviction.

Employers of convicted employees must provide notice, including position title, to every contract

officer on whose contract activity the convicted employee was working, unless the Federal

agency has designated a central point for the receipt of such notices. Notice shall include the

identification number(s) of each affected Agreement;

1.6. Taking one of the following actions, within 30 calendar days of receiving notice under

subparagraph 1.4.2, with respect to any employee who is so convicted

1.6.1. Taking appropriate personnel action against such an employee, up to and including

termination, consistent with the requirements of the Rehabilitation Act of 1973, as

amended; or

1.6.2. Requiring such employee to participate satisfactorily in a drug abuse assistance or

rehabilitation program approved for such purposes by a Federal, State, or local health,

law enforcement, or other appropriate agency;

1.7. Making a good faith effort to continue to maintain a drug-free workplace through implementation

of paragraphs 1.1, 1.2, 1.3, 1.4, 1.5, and 1.6.

2. The Contractor may insert in the space provided below the site(s) for the performance of work done

in connection with the specific Agreement.

Place of Performance (street address, city, county, state, zip code) (list each location)

Check □ if there are workplaces on file that are not identified here.

V1.1 RHT Exhibit D Contractor's Initials.

Federal Requirements 2/20/2026

Date

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Exhibit D - Federal Requirements

SECTION B: CERTIFICATION REGARDING LOBBYING

The Contractor identified in Section 1.3 of the General Provisions agrees to comply with the provisions

of Section 319 of Public Law 101-121, Government wide Guidance for New Restrictions on Lobbying,

and Byrd Anti-Lobbying Amendment (31 U.S.C. 1352), and further agrees to have the Contractor's

representative, as identified in Sections 1.11 and 1.12 of the General Provisions execute the following

Certification:

US DEPARTMENT OF HEALTH AND HUMAN SERVICES - CONTRACTORS

US DEPARTMENT OF EDUCATION - CONTRACTORS

US DEPARTMENT OF AGRICULTURE - CONTRACTORS

Programs (indicate applicable program covered):

*Temporary Assistance to Needy Families under Title IV-A

"Child Support Enforcement Program under Title IV-D

"Social Services Block Grant Program under Title XX

"Medicaid Program under Title XIX

"Community Services Block Grant under Title VI

"Child Care Development Block Grant under Title IV

The undersigned certifies, to the best of his or her knowledge and belief, that:

1. No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned, to

any person for influencing or attempting to influence an officer or employee of any agency, a

Member of Congress, an officer or employee of Congress, or an employee of a Member of

Congress in connection with the awarding of any Federal contract, continuation, renewal,

amendment, or modification of any Federal contract, loan, or cooperative agreement (and by

specific mention sub-contractor).

2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for

influencing or attempting to influence an officer or employee of any agency, a Member of Congress,

an officer or employee of Congress, or an employee of a Member of Congress in connection with

this Federal contract, loan, or cooperative agreement (and by specific mention sub- contractor), the

undersigned shall complete and submit Standard Form LLL, (Disclosure Form to Report Lobbying,

in accordance with its instructions, see https://omb.report/icr/201009-0348-022/doc/20388401

3. The undersigned shall require that the language of this certification be included in the award

document for sub-awards at all tiers (including subcontracts, and contracts under grants, loans, and

cooperative agreements) and that all sub-recipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this

transaction was made or entered into. Submission of this certification is a prerequisite for making or

entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file

the required certification shall be subject to a civil penalty of not less than $10,000 and not more than

$100,000 for each such failure.

V1.1 RHT Exhibit D Contractor's Initials

Federal Requirements 2/20/2026

Date

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94E3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Exhibit D - Federal Requirements

SECTION C: CERTIFICATION REGARDING DEBARMENT. SUSPENSION AND OTHER

RESPONSIBILITY MATTERS

The Contractor identified in Section 1.3 of the General Provisions agrees to comply with the provisions

of Executive Office of the President, Executive Order 12549 and 12689 and 45 CFR Part 76 regarding

Debarment, Suspension, and Other Responsibility Matters, and further agrees to have the Contractor's

representative, as identified in Sections 1.11 and 1.12 of the General Provisions execute the following

Certification:

INSTRUCTIONS FOR CERTIFICATION

1. By signing and submitting this Agreement, the prospective primary participant is providing the

certification set out below.

2. The inability of a person to provide the certification required below will not necessarily result in

denial of participation in this covered transaction. If necessary, the prospective participant shall

submit an expianation of why it cannot provide the certification. The certification or explanation will

be considered in connection with the Governor's Office of New Opportunities & Rural

Transformational Health ("GO NORTH") determination whether to enter into this transaction.

However, failure of the prospective primary participant to furnish a certification or an explanation

shall disqualify such person from participation in this transaction.

3. The certification in this clause is a material representation of fact upon which reliance was placed

when DHHS determined to enter into this transaction. If it is later determined that the prospective

primary participant knowingly rendered an erroneous certification, in addition to other remedies

available to the Federal Government, DHHS may terminate this transaction for cause or default.

4. The prospective primary participant shall provide immediate written notice to the DHHS agency to

whom this Agreement is submitted if at any time the prospective primary participant learns that its

certification was erroneous when submitted or has become erroneous by reason of changed

circumstances.

5. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered

transaction," "participant," "person," "primary covered transaction," "principal," "proposal," and

"voluntarily excluded," as used in this clause, have the meanings set out in the Definitions and

Coverage sections of the rules implementing Executive Order 12549: 45 CFR Part 76. See

https://\www.govinfo.gov/app/detaiis/CFR-2004-title45-voi1/CFR-2004-title45-voi1-part76/context.

6. The prospective primary participant agrees by submitting this Agreement that, should the proposed

covered transaction be entered into, it shall not knowingly enter into any lower tier covered

transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded

from participation in this covered transaction, unless authorized by DHHS.

7. The prospective primary participant further agrees by submitting this proposal that it will include the

clause titled "Certification Regarding Debarment, Suspension, ineligibility and Voluntary Exclusion -

Lower Tier Covered Transactions," provided by DHHS, without modification, in ali lower tier covered

transactions and in all solicitations for lower tier covered transactions.

8. A participant in a covered transaction may rely upon a certification of a prospective participant in a

lower tier covered transaction that it is not debarred, suspended, ineligitile, or involuntarily excluded

from the covered transaction, uniess it knows that the certification is erroneous. A participant may

decide the method and frequency by which it determines the eligibility of its principais. Each

participant may, but is not required to, check the Nonprocurement List (of excluded parties)

https://wvw.ecfr.gOv/current/title-22/chapter-V/part-513.4

VI.1 RHT Exhibit D

Federal Requirements

Contractor's Initials

Date

2/20/2026

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rurai Transformationai Heaith ("GO NORTH")

Exhibit D - Federai Requirements

9. Nothing contained in the foregoing shall be construed to require establishment of a system of

records in order to render in good faith the certification required by this clause. The knowledge and

information of a participant is not required to exceed that which is normally possessed by a prudent

person in the ordinary course of business dealings.

10. Except for transactions authorized under paragraph 6 of these instructions, if a participant in a

covered transaction knowingly enters into a lower tier covered transaction with a person who is

suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in

addition to other remedies available to the Federal government, DHHS may terminate this

transaction for cause or default.

PRIMARY COVERED TRANSACTIONS

11. The prospective primary participant certifies to the best of its knowledge and belief, that it and its

principals:

11.1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or

voluntarily excluded from covered transactions by any Federal department or agency;

11.2. Have not within a three-year period preceding this proposal (Agreement) been convicted of

or had a civil judgment rendered against them for commission of fraud or a criminal offense

in connection with obtaining, attempting to obtain, or performing a public (Federal, State or

local) transaction or a contract under a public transaction; violation of Federal or State

antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or

destruction of records, making false statements, or receiving stolen property;

11.3. Are not presently indicted for otherwise criminally or civilly charged by a governmental entity

(Federal, State or local) with commission of any of the offenses enumerated in paragraph

(l)(b) of this certification; and

11.4. Have not within a three-year period preceding this application/proposal had one or more

public transactions (Federal, State or local) terminated for cause or default.

12. Where the prospective primary participant is unable to certify to any of the statements in this

certification, such prospective participant shall attach an explanation to this proposal (contract).

LOWER TIER COVERED TRANSACTIONS

13. By signing and submitting this lower tier proposal (Agreement), the prospective lower tier

participant, as defined in 45 CFR Part 76, certifies to the best of its knowledge and belief that it and

its principals:

13.1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or

voluntarily excluded from participation in this transaction by any federal department or

agency.

13.2. Where the prospective lower tier participant is unable to certify to any of the above, such

prospective participant shall attach an explanation to this proposal (Agreement).

14. The prospective lower tier participant further agrees by submitting this proposal (Agreement) that it

will include this clause entitled "Certification Regarding Debarment, Suspension, Ineligibility, and

Voluntary Exclusion - Lower Tier Covered Transactions," without modification in all lower tier covered

transactions and in all solicitations for lower tier covered transactions.

V1.1 RHT Exhibit D Contractor's Initials

Federal Requirements 2/20/2026

Date

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Exhibit D - Federal Requirements

SECTION D: CERTIFICATION OF COIVIPLIANCE WITH FEDERAL REQUIREMENTS

The Contractor identified in Section 1.3 of the General Provisions agrees by signature of the

Contractor's representative as identified in Sections 1.11 and 1.12 of the General Provisions, to execute

the following certification:

The Contractor will comply, and will require any subcontractors to comply, with any applicable federal

requirements, which may include but are not limited to:

1. Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards

(2 CFR 200).

2. The Omnibus Crime Control and Safe Streets Act of 1968 (42 U.S.C. Section 3789d) which

prohibits recipients of federal funding under this statute from discriminating, either in employment

practices or in the delivery of services or benefits, on the basis of race, color, religion, national

origin, and sex. The Act requires certain recipients to produce an Equal Employment Opportunity

Plan;

3. The Juvenile Justice Delinquency Prevention Act of 2002 (42 U.S.C. Section 5672(b)) which adopts

by reference, the civil rights obligations of the Safe Streets Act. Recipients of federal funding under

this statute are prohibited from discriminating, either in employment practices or in the delivery of

services or benefits, on the basis of race, color, religion, national origin, and sex. The Act includes

Equal Employment Opportunity Plan requirements;

4. The Civil Rights Act of 1964 (42 U.S.C. Section 2000d, which prohibits recipients of federal financial

assistance from discriminating on the basis of race, color, or national origin in any program or

activity);

5. The Rehabilitation Act of 1973 (29 U.S.C. Section 794), which prohibits recipients of Federal

financial assistance from discriminating on the basis of disability, in regard to employment and the

delivery of services or benefits, in any program or activity;

6. The Americans with Disabilities Act of 1990 (42 U.S.C. Sections 12131-34), which prohibits

discrimination and ensures equal opportunity for persons with disabilities in employment. State and

local government services, public accommodations, commercial facilities, and transportation;

7. The Education Amendments of 1972 (20 U.S.C. Sections 1681, 1683, 1685-86), which prohibits

discrimination on the basis of sex in federally assisted education programs;

8. The Age Discrimination Act of 1975 (42 U.S.C. Sections 6106-07), which prohibits discrimination on

the basis of age in programs or activities receiving Federal financial assistance. It does not include

employment discrimination;

9. 28 C.F.R. pt. 31 (U.S. Department of Justice Regulations - OJJDP Grant Programs); 28 C.F.R. pt.

42 (U.S. Department of Justice Regulations - Nondiscrimination; Equal Employment Opportunity;

Policies and Procedures); Executive Order No. 13279 (equal protection of the laws for faith-based

and community organizations); Executive Order No. 13559, which provide fundamental principles

and policy-making criteria for partnerships with faith-based and neighborhood organizations;

10. 28 C.F.R. pt. 38 (U.S. Department of Justice Regulations - Equal Treatment for Faith-Based

Organizations); and Whistleblower protections 41 U.S.C. §4712 and The National Defense

Authorization Act (NDAA) for Fiscal Year 2013 (Pub. L. 112-239, enacted January 2, 2013) the Pilot

Program for Enhancement of Contract Employee Whistleblower Protections, which protects

employees against reprisal for certain whistle blowing activities in connection with federal grants

and contracts.

11. The Clean Air Act (42 U.S.C. 7401-7671q.) which seeks to protect human health and the

environment from emissions that pollute ambient, or outdoor, air.

ktM.

V1.1 RHT Exhibit D Contractor's Initials.

Federal Requirements 2/20/2026

Date

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Exhibit D - Federal Requirements

12. The Clean Water Act (33 U.S.C. 1251-1387) which establishes the basic structure for reguiating

discharges of poilutants into the waters of the United States and regulating quality standards for

surface waters.

13. Civilian Agency Acquisition Council and the Defense Acquisition Regulations Council (Councils) (41

U.S.C. 1908) which establishes administrative, contractual, or legal remedies in instances where

contractors violate or breach contract terms, and provide for such sanctions and penalties as

appropriate.

14. Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708) which establishes that all

contracts awarded by the non-Federal entity in excess of $100,000 that involve the employment of

mechanics or laborers must include a provision for compliance with 40 U.S.C. 3702 and 3704, as

supplemented by Department of Labor regulations (29 CFR Part 5).

15. Rights to Inventions Made Under a Contract or Agreement 37 CFR § 401.2 (a) which establishes

the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit

organization regarding the substitution of parties, assignment or performance of experimental,

developmental, or research work under that "funding agreement," the recipient or subrecipient must

comply with the requirements of 37 CFR Part 401, "Rights to Inventions Made by Nonprofit

Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative

Agreements," and any implementing regulations issued by the awarding agency.

16. Royalty-Free Rights to Use Software or Documentation Developed 2 CFR 200.315 Intangible

property.

17. 2 CFR 200.313 Equipment and 2 CFR 200.314 Supplies, including but not limited to disposition

actions.

18. Requirements, as provided in 2 CFR Part 180 and implemented in 2 CFR Part 376, regarding the

affirmative duty to track all subrecipients, including subrecipient key personnel and subcontractors,

by checking SAM.gov to ensure that a subaward is not made to an entity that is debarred,

suspended, or ineiigible.

The certificate set out below is a material representation of fact upon which reliance is placed when the

agency awards the Agreement. False certification or violation of the certification shall be grounds for

suspension of payments, suspension or termination of Agreements, or government wide suspension or

debarment.

In the event a Federal or State court or Federal or State administrative agency makes a finding of

discrimination after a due process hearing on the grounds of race, color, religion, national origin, or sex

against a recipient of funds, the recipient will forward a copy of the finding to the Office for Civil Rights,

to the applicable contracting agency or division within the Governor's Office of New Opportunities &

Rural Transformational Health ("GO NORTH") and to the State of New Hampshire Office of the

Ombudsman.

The Contractor identified in Section 1.3 of the General Provisions agrees by signature of the

Contractor's representative as identified in Sections 1.11 and 1.12 of the General Provisions, to execute

the following certification:

1. By signing and submitting this Agreement, the Contractor agrees to comply with the provisions

indicated above.

VI.1 RHT Exhibit D

Federal Requirements

Contractor's Initials

Date

2/20/2026

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Exhibit D - Federal Requirements

SECTION E: CERTIFICATION REGARDING ENVIRONMENTAL TOBACCO SMOKE

Public Law 103-227, Part C - Environmental Tobacco Smoke, also known as the Pro-Children Act of

1994 (Act), requires that smoking not be permitted in any portion of any indoor facility owned or leased

or contracted for by an entity and used routinely or regularly for the provision of health, day care,

education, or library services to children under the age of 18, if the services are funded by Federal

programs either directly or through State or local governments, by Federal grant, contract, loan, or loan

guarantee. The law does not apply to children's services provided in private residences, facilities funded

solely by Medicare or Medicaid funds, and portions of facilities used for inpatient drug or alcohol

treatment. Failure to comply with the provisions of the law may result in the imposition of a civil

monetary penalty of up to $1000 per day and/or the imposition of an administrative compliance order on

the responsible entity.

The Contractor identified in Section 1.3 of the General Provisions agrees, by signature of the

Contractor's representative as identified in Section 1.11 and 1.12 of the General Provisions, to execute

the following certification:

1. By signing and submitting this Agreement, the Contractor agrees to make reasonable efforts to

comply with all applicable provisions of Public Law 103-227, Part C, known as the Pro-Children Act

of 1994.

V1.1 RHT Exhibit D Contractor's Initials.

Federal Requirements 2/20/2026

Date

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rurai Transformationai Heaith ("GO NORTH")

Exhibit D - Federal Requirements

SECTION F: CERTIFICATION REGARDING THE FEDERAL FUNDING ACCOUNTABILITY AND

TRANSPARENCY ACT (FFATA) COMPLIANCE

The Federal Funding Accountability and Transparency Act (FFATA) requires prime awardees of

individual Federal grants equal to or greater than $30,000 and awarded on or after October 1, 2010, to

report on data related to executive compensation and associated first-tier sub-grants of $30,000 or

more. If the initial award is below $30,000 but subsequent grant modifications result in a total award

equal to or over $30,000, the award is subject to the FFATA reporting requirements, as of the date of

the award.

In accordance with 2 CFR Part 170 (Reporting Subaward and Executive Compensation Information),

the Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH") must

report the following information for any sub award or contract award subject to the FFATA reporting

requirements:

1. Name of entity

2. Amount of award

3. Funding agency

4. NAICS code for contracts / CFDA program number for grants

5. Program source

6. Award title descriptive of the purpose of the funding action

7. Location of the entity

8. Principle place of performance

9. Unique Entity Identifier (SAM UEI; DUNS#)

10. Total compensation and names of the top five executives if:

10.1. More than 80% of annual gross revenues are from the Federal government, and those

revenues are greater than $25M annually and

10.2. Compensation information is not already available through reporting to the SEC.

Prime grant recipients must submit FFATA required data by the end of the month, plus 30

days, in which the award or award amendment is made.

The Contractor identified in Section 1.3 of the General Provisions agrees to comply with the provisions

of The Federal Funding Accountability and Transparency Act, Public Law 109-282 and Public Law 110-

252, and 2 CFR Part 170 (Reporting Subaward and Executive Compensation Information), and further

agrees to have the Contractor's representative, as identified in Sections 1.11 and 1.12 of the General

Provisions execute the following Certification:

The below named Contractor agrees to provide needed information as outlined above to the Governor's

Office of New Opportunities & Rural Transformational Health ("GO NORTH") and to comply with all

applicable provisions of the Federal Financial Accountability and Transparency Act.

V1.1 RHT Exhibit D Contractor's Initials

k-g/U.

Federal Requirements 2/20/2026

Date

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Exhibit D - Federal Requirements

FORMA

As the Contractor identified in Section 1.3 of the General Provisions, I certify that the responses to

the below listed questions are true and accurate.

02-0402497

1. The DEI (SAM.gov) number for your entity is:

2. In your business or organization's preceding completed fiscal year, did your business or

organization receive (1) 80 percent or more of your annual gross revenue in U.S. federal contracts,

subcontracts, loans, grants, sub-grants, and/or cooperative agreements; and (2) $25,000,000 or

more in annual gross revenues from U.S. federal contracts, subcontracts, loans, grants, subgrants,

and/or cooperative agreements?

NO YES

If the answer to #2 above is NO, stop here

If the answer to #2 above is YES, please answer the following:

3. Does the public have access to information about the compensation of the executives in your

business or organization 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?

NO YES

4.

If the answer to #3 above is YES, stop here

If the answer to #3 above is NO, please answer the following:

The names and compensation of the five most highly compensated officers in your business or

organization are as follows:

Name:,

Name:

Name:

Name:

Name:

Amount:

Amount:

Amount:

Amount:

Amount:

Contractor Name: nh community Develo

2/20/2026

Date:

-Sign«d by:

-nnR!l41S7.^.1F44S

Name:Katherine Easterly Martey

Title: Executive Director

VI. 1 RHT Exhibit D

Federal Requirements

Contractor's Initials

Date

2/20/2026

Docusign Envelope ID. B47E1DF8-F5ED-4C82-94F3-82A544E783E8

CERTIFICATE OF AUTHORITY

Benjamin Gaetjens-Oleson hereby certify that:

(Name of the elected Officer of the Corporation/LLC; cannot be contract signatory)

1. I am a duly elected Clerk/Secretary/Officer pf NH Community Development Finance Authority (NHCDFA)

(Corporation/LLC Name)

2. The following is a true copy of a vote taken at a meeting of the Board of Directors/shareholders, duly called and

held on September 16 20 25. at which a quorum of the Directors/shareholders were present and voting.

(Date)

VOTED: That Katharine Easterly Martey, Executive Director

(Name and Title of Contract Signatory)

is duly authorized on behalf of NHCDFA to enter into contracts or agreements with the State

(Name of Corporation/ LLC)

of New Hampshire and any of its agencies or departments and further is authorized to execute any and all

documents, agreements and other instruments, and any amendments, revisions, or modifications thereto, which

may in his/her judgment be desirable or necessary to effect the purpose of this vote.

3. I hereby certify that said vote has not been amended or repealed and remains in full force and effect as of the

date of the contract/contract amendment to which this certificate is attached. This authority was valid thirty (30)

days prior to and remains valid for thirty (30) days from the date of this Certificate of Authority. I further certify

that it is understood that the State of New Hampshire will rely on this certificate as evidence that the person(s)

listed above currently occupy the position(s) indicated and that they have full authority to bind the corporation. To

the extent that there are any limits on the authority of any listed individual to bind the corporation in contracts with

the State of New Hampshire, all such limitations are expressly stated herein.

^ ^ ^ 01/27/2026Uateo: Bonjiitmn liaetjens-Oitsoii;Jan 27, jfiili 21-30 30 ESTj

Signature of Elected Officer

Name: Benjamin Gaetjens-Oleson

Title: Chair, NHCDFA Board of Directors

Rev. 03/24/20

Docusign Envelope ID: B47E1DF8-F5ED-4C82-94F3-82A544E783E8

ACORcf CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

1/27/2026

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES

BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on

this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

PRODUCER

Arthur J. Gallagher Risk Management Services, LLC

45 Constitution Ave P.O. Box 511

Concord NH 03301

License#: 0D69293

Maureen Demick

Ta'/c'n^ Exti- 800-238-3840 w/c. No): 603-224-8012E-MAIL

ADDRESS: maureen demick@aiq.com

INSURER(S) AFFORDING COVERAGE NAIC«

INSURER A: Ohio Security Insurance Company 24082

insured NEWHAMP. 08

New Hampshire Community Development Finance Authority

Development Finance Authority

14 Dixon Ave Suite 102

Concord NH 03301

INSURERS: American Fire and Casualty Company 24066

INSURER c: Ohio Casualtv Insurance Company 24074

INSURER D:

INSURER E:

INSURER F:

COVERAGES CERTIFICATE NUMBER:1752919552 REVISION NUMBER:

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD

INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS

CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,

EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

INSR

LTR TYPE OF INSURANCE

ADDL

insd

SUBR

ms. POLICY NUMBER

POLICY EPF

(MM/DD/YYYYl

POLICY EXP

fMM/DD/YYYY)

COMMERCIAL GENERAL LIABILITY

I CLAIMS-MADE OCCUR

BKS58556085 5/26/2025 5/26/2028 EACH OCCURRENCE

DAMAGE TO RENTED

PREMISES (Ea occurrence)

MED EXP (Any one person)

PERSONAL &ADV INJURY

GEN'L AGGREGATE LIMIT APPLIES PER:

I I LOCPOLICY □ PRO-

JECT

GENERAL AGGREGATE

OTHER:

PRODUCTS • COMP/OP AGG

AUTOMOBILE LIABILITY

ANY AUTO

BAA58556085 5/26/2025 5/26/2026 COMBINED SINGLE LIMIT

(Ea accident)

BODILY INJURY (Per person)

OWNED

AUTOS ONLY

HIRED

AUTOS ONLY

SCHEDULED

AUTOS

NON-OWNED

AUTOS ONLY

BODILY INJURY (Per accident)

PROPERTY DAMAGE

(Per accident)

$1,000,000

$300.000

$15,000

$ Excluded

$2,000,000

$2,000,000

$1,000,000

UMBRELLA LIAB

EXCESS LIAB

OCCUR

CLAIMS-MADE

USO58556085 5/26/2025 5/26/2026 EACH OCCURRENCE $3,000,000

AGGREGATE $3,000,000

DED RETENTIONS in nnn

PER ^ OTH-STATUTE ERWORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANYPROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBEREXCLUDED?

(Mandatory In NH)

If yes. describe under

DESCRIPTION OF OPERATIONS below

XWS58556085 5/26/2025 5/26/2026 3.A. NH

m E.L. EACH ACCIDENT $ 500,000

E.L. DISEASE - EA EMPLOYEE $ 500,000

E.L. DISEASE - POLICY LIMIT $ 500,000

DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)

Excluded Officers: Benjamin Gaetjen-Oleson, Cynthia Harrington, John Manning

Evidence of Insurance

State of New Hampshire

Department of Health and Human Services

129 Pleasant Street

Concord NH 03301-3857

1

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD