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Note: "Total compensation" means the cash and noncash dollar value earned by the executive during <br />the sub-reci ient's ast fiscal ear of the followin for more information see 17 CFR 229.402 c) 2 . <br />By signing this document, the Contractor Authorized Representative attests to the information. <br />Date <br />HCA will not endorse the Contractor's subaward until this form is completed and returned. <br />FOR HEALTH CARE AUTHORITY USE ONLY <br />HCA Contract Number: K3924 <br />Sub-award Project Description (see instructions and examples below) <br />Instructions for Sub-award Project Description: <br />In the first line of the description provide a title for the sub-award that captures the main <br />purpose of the subrecipients work. Then, indicate the name of the subrecipient and <br />provide a brief description that captures the overall purpose of the sub-award, how the <br />funds will be used, and what will be accomplished. <br />Example of a Sub-award Project Description: <br />Increase Healthy Behaviors: Educational Services District XYZ will provide training and <br />technical assistance to chemical dependency centers to assist the centers to integrate <br />tobacco use into their existing addiction treatment programs . Funds will also be used to <br />assist centers in creating tobacco free treatment environments. <br />Washington State <br />Health Care Authority Page 52 of90 HCA Contract No. K3924