1 2 Contract 3 1 Quarterly and Final 2 Financial Reports 3 Contract 1 Budget Modification 2 3 1 Checks 2 3 Other Contract 1 Documents: Program 2 Reports 3 Note: - Enter Authorized Signatory for the Contract (as authorized by Agency Bylaws or Board Resolution). This is the address where the signed contract and all relevant legal correspondence will be mailed. This should be the individual who signs the SLD (page 23). This may not be the same individual as noted in the Annex A summary sheet. In the event of emergency notification, please include e-mail and fax number. Contract Signatory Title Mailing Address Telephone Number Fax Number E-Mail Address
Contract 1 2 3 Quarterly and Final Financial Reports 1 2 3 Contract Budget Modification 1 2 3 Checks 1 2 3 Other Contract Documents: Program Reports 1 2 3 Note: - Enter Authorized Signatory for the Contract (as authorized by Agency Bylaws or Board Resolution). This is the address where the signed contract and all relevant legal correspondence will be mailed. This should be the individual who signs the SLD (page 23). This may not be the same individual as noted in the Annex A summary sheet. In the event of emergency notification, please include e-mail and fax number. Contract Signatory Title Mailing Address Telephone Number Fax Number E-Mail Address
fy16_ssh_annxa.docx