INTF2330MM3234730275 FENWAY COMMUNITY HEALTH CTR- Executed — File 23-0251

Sharon Dyer 1/19/2023 Director, Purchase of Service

Subcontractors must agree to the Terms and Conditions set forth in the RFR, which is part of this contract. Subcontracts must be in writing, in accordance with Section 9 of the Commonwealth Terms and Conditions or the Commonwealth Terms and Conditions for Human and Social Services. All subcontracts must be available for review by authorized agents of the Commonwealth. DPH may require the submission of any subcontract at any time during the contract period. Updated: 11/14/19 SUBCONTRACTOR IDENTIFICATION LIST FOR DIRECT CARE SERVICES (206) Subcontracted Direct Care: Client care or other program services which are a primary and integral part of the total program but which are furnished to the program, under contract, by a separate program of another provider. Provider Name:Fenway Community Health Center DPH Program Name: BSAS SOR: Post Overdose Support Teams COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH FY Contract ID Submitted by: Date: Phone: [phone removed] Provider/Vendor Authorized Signature Ellen LaPointe Print Name Approved by: Date: Phone: DPH Program Manager Print Name INSTRUCTIONS: Providers/vendors must complete and submit to DPH at the time of initial contract execution for each fiscal year AND when subcontract dollars and/or vendors/providers are added or deleted. (Including line item adjustments).This form must be signed by the DPH program representative to indicate program approval PRIOR TO the execution of said subcontract(s). • Providers are to complete this form for each fiscal year when subcontracted $ are budgeted in UFR Code 206. • Providers are to complete this form with any amendments including line items that modify UFR Code 206. • Identify the Subcontractor and Federal ID number along with $ amounts and description of service provided in less than 200 words (Individuals are not recorded on this form, they belong in UFR Code 201 consultants) • $ identified as TBD will require status updates which POS will request quarterly Subcontractor Name FEIN Subcontract Amount Type of Service provided and number of service units, if applicable TBD Somerville Police Dept 04-6001414 $20,000 per FY Post Overdose Follow Up Services Everett Fire Dept 04-6001386 $20,000 per FY Post Overdose Follow Up Services Cambridge Police Dept $20,000 per FY Post Overdose Follow Up Services $ 8/23/2022 04-6001383 2023-2025 INTF2330MM3234730275 Total 60,000 per FY

Subcontractors must agree to the Terms and Conditions set forth in the RFR, which is part of this contract. Subcontracts must be in writing, in accordance with Section 9 of the Commonwealth Terms and Conditions or the Commonwealth Terms and Conditions for Human and Social Services. Providers may use the standard subcontract template available through DPH contract managers. All subcontracts must be available for review by authorized agents of the Commonwealth. DPH may require the submission of any subcontract at any time during the contract period.