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A TRUE COPY CERTIFICATION ON LAST PAGE Applicant : Indian River County Board of Commissioners J . K . BARTON , CLERK 32960 Project : New Chronics FLO119C4H090802 Project Sponsor Contact Information Instructions : Prefix ( no input required ) �, select Dr. , Mr. , Mrs . , Ms . , Miss , Rev . . . from dropdown menu . First Name ( required ) i, enter or update the First Name of the primary sponsor representative . Middle Name ( required ) 6 enter or update the Middle Name of the primary sponsor representative . Last Name ( required ) 6 enter or update the Last Name of the primary sponsor representative . Suffix ( no input required ) 6 select Jr. , Sr. , M . D . , D . D . S . , Ph . D , Esq � from dropdown menu . Title ( required ) 6 enter or update the Title of the primary sponsor representative . E -mail Address ( required ) � enter or update the e-mail address of the primary sponsor representative . Confirm E- mail Address ( required ) � re -enter or update the sponsor e -mail address . Phone Number ( required ) L enter or update the sponsor' s 10-digit Phone Number in prescribed format XXX-XXX-XXXX . Extension ( no input required ) 6 enter or update the Extension associated with the sponsor's Phone Number. Fax Number ( required ) 6 enter the 10-digit sponsor Fax Number in prescribed format XXX- XXX-XXXX . Complete or update the form fields in the order of appearance . The form fields will populate data from the 2008 application submission , if applicable , and the SF -424 , if the applicant is the same entity as the sponsor . Please verify that all populated fields are correct . Prefix Mr. First Name Bradley Middle Name E . Last Name Bernauer Suffix Title Dir . County Human Services E -mail Address tchscinc_office@bellsouth . net Confirm E - mail Address tchscinc_office@bellsouth . net Phone Number 772 -567 -8000 Format : 123 -456 -7890 Extension 1206 Fax Number 772 -567 - 5991 Format : 123 -456 -7890 Exhibit 2 Page 8 03/04/2010