Professional Services Contract forSCHOOL-BASED HEALTH CARE SERVICES HCA Contract Number: K1234Professional Services • September 26th, 2022 • Washington
Contract Type FiledSeptember 26th, 2022 JurisdictionCONTRACTOR NAME CONTRACTOR DOING BUSINESS AS (DBA) ABC School District ADDRESS Street City State Zip 1234 SCHOOL LANE OLYMPIA WA 98501 CONTRACTOR CONTACT CONTRACTOR CONTRACTOR E-MAIL Sally Smith Is Contractor a Subrecipient under this Contract? CFDA NUMBER(S): FFATA Form Required YES NO 93.778 YES NO
PROFESSIONAL SERVICES CONTRACTforSCHOOL-BASED HEALTH CARE SERVICES HCA Contract Number: KProfessional Services • July 29th, 2019 • Washington
Contract Type FiledJuly 29th, 2019 JurisdictionCONTRACTOR NAME CONTRACTOR DOING BUSINESS AS (DBA) CONTRACTOR ADDRESS Street City State Zip CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR E-MAIL ADDRESS Is Contractor a Subrecipient under this Contract? CFDA NUMBER(S): FFATA Form Required YES NO 93.778 YES NO