CONTRACT NUMBER Insert Contract NumberGeneral Contract • June 21st, 2023 • Montana
Contract Type FiledJune 21st, 2023 JurisdictionTHIS CONTRACT, is entered into between the Montana Department of Public Health and Human Services, (the "Department"), whose contact information is as follows: PO Box 4210, Helena, MT, 59604- 4210, and Phone Number (406) 655-7673, and Fax Number (406) 652-1781, and lnsert Contractor Name (the “Contractor”), whose contact information is as follows: Federal Tax ID lnsert Federal Tax ID Number
CONTRACT NUMBER Insert Contract NumberGeneral Contract • November 30th, 2020 • Montana
Contract Type FiledNovember 30th, 2020 JurisdictionTHIS CONTRACT, is entered into between the Montana Department of Public Health and Human Services, (the "Department"), whose contact information is as follows: Insert Address, lnsert City, MT, lnsert Zip Code, and Phone Number (406) lnsert Phone Number, and Fax Number (406) lnsert Fax Number, and lnsert Contractor Name (the “Contractor”), whose contact information is as follows: Federal Tax ID lnsert Federal Tax ID Number , DUNS Number lnsert DUNS Number, lnsert Street Address, lnsert City, Insert State, lnsert Zip Code, Phone Number lnsert Phone Number, and Fax Number lnsert Fax Number; respectively (collectively, the “Parties”).