Common Contracts
6 similar Personal Service Contract contracts
ATTACHMENT A – SAMPLE CONTRACT RFP 1834-703Personal Service Contract • May 5th, 2020 • Washington
PERSONAL SERVICE CONTRACT De-Escalation Training DSHS Contract Number: Resulting From Procurement Number:1834-703 This Contract is between the state of Washington Department of Socialand Health Services (DSHS) and the Contractor identified below, and is governed by chapter 39.26 RCW. Program Contract Number: Contractor Contract Number: CONTRACTOR NAMESmith Enterprises, LLC CONTRACTOR doing business as (DBA)Smith Cabin CONTRACTOR ADDRESS8765 Main Street South Unit 231Tacoma, WA 98444-4444 WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) 600-123-456 DSHS INDEX NUMBER 146178 CONTRACTOR CONTACTJennie Franklin CONTRACTOR TELEPHONE(253) 555-1216 CONTRACTOR FAX(253) 555-1214 CONTRACTOR E-MAIL ADDRESSjennie@smiths DSHS ADMINISTRATIONExecutive Administration DSHS DIVISIONOperation Support and Services Division DSHS CONTRACT CODE1000PC-34 DSHS CONTACT NAME AND TITLEMaria Rogers Contracts Consultant DSHS CONTACT ADDRESS1115 Washington St SE Olympia, WA 98504-5811 DSHS CONTACT TELEPHONE(360)664-6034 D
ATTACHMENT A – SAMPLE CONTRACT RFQQPersonal Service Contract • August 26th, 2019 • Washington
PERSONAL SERVICE CONTRACT Vocational Rehabilitation Institute Training DSHS Contract Number: Resulting From Procurement Number:XXXX-XXX This Contract is between the state of Washington Department of Socialand Health Services (DSHS) and the Contractor identified below, and is governed by chapter 39.26 RCW. Program Contract Number: Contractor Contract Number: CONTRACTOR NAME CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) DSHS INDEX NUMBER CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS DSHS ADMINISTRATION DSHS DIVISION DSHS CONTRACT CODE DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL ADDRESS IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? CFDA NUMBER(S) CONTRACT START DATE CONTRACT END DATE CONTRACT MAXIMUM AMOUNT EXHIBITS. The following Exhibits are attached and are incorporated into this Contract by reference: Exhibits (speci
Attachment A - Sample ContractPersonal Service Contract • March 25th, 2019 • Washington
PERSONAL SERVICE CONTRACT Functional Family Therapy (FFT) Workgroup Supervision Services DSHS Contract Number: Resulting From Procurement Number: This Contract is between the state of Washington Department of Social and Health Services (DSHS) and the Contractor identified below, and is governed by chapter 39.26 RCW. Program Contract Number: Contractor Contract Number: CONTRACTOR NAME CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) DSHS INDEX NUMBER CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS DSHS ADMINISTRATIONRehabilitation Administration DSHS DIVISION DSHS CONTRACT CODE DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL ADDRESS IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT?No CFDA NUMBER(S) CONTRACT START DATE CONTRACT END DATE CONTRACT MAXIMUM AMOUNT EXHIBITS. The following Exhibits are attached and are incorporated into t
ATTACHMENT A SAMPLE CONTRACT RFP #1835-687Personal Service Contract • April 18th, 2018 • Washington
PERSONAL SERVICE CONTRACT Clubhouse Program Expansion DSHS Contract Number:1835-60159Resulting From Procurement Number:1835-687 This Contract is between the state of Washington Department of Socialand Health Services (DSHS) and the Contractor identified below, and is governed by chapter 39.26 RCW. Program Contract Number: Contractor Contract Number: CONTRACTOR NAMEJohn J. Smith CONTRACTOR doing business as (DBA)Johns Place AFH CONTRACTOR ADDRESS3421 Main StreetSuite 40-11Aberdeen Junction, WA 98333-3333 WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) 600-123-123 DSHS INDEX NUMBER 146175 CONTRACTOR CONTACTFred Jones CONTRACTOR TELEPHONE(360) 555-1212 CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESSfred@someemail.com DSHS ADMINISTRATIONServices and Enterprise Support Administration DSHS DIVISIONCentral Contracts & Legal Services DSHS CONTRACT CODE1000PC-35 DSHS CONTACT NAME AND TITLEMaria Rogers Contracts Consultant DSHS CONTACT ADDRESS1115 Washington St SE Olympia, WA 98504-5811 DSHS CONTACT TELEP
ATTACHMENT A – SAMPLE CONTRACT RFP 1734-671Personal Service Contract • March 14th, 2018 • Washington
PERSONAL SERVICE CONTRACT Verbal De-Escalation Training DSHS Contract Number:1734-60193Resulting From Procurement Number:1734-671 This Contract is between the state of Washington Department of Socialand Health Services (DSHS) and the Contractor identified below, and is governed by chapter 39.26 RCW. Program Contract Number: Contractor Contract Number: CONTRACTOR NAMESmith Enterprises, LLC CONTRACTOR doing business as (DBA)Smith Cabin CONTRACTOR ADDRESS8765 Main Street South Unit 231Tacoma, WA 98444-4444 WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) 600-123-456 DSHS INDEX NUMBER 146178 CONTRACTOR CONTACTJennie Franklin CONTRACTOR TELEPHONE(253) 555-1216 CONTRACTOR FAX(253) 555-1214 CONTRACTOR E-MAIL ADDRESSjennie@smiths DSHS ADMINISTRATIONExecutive Administration DSHS DIVISIONOperation Support and Services Division DSHS CONTRACT CODE1000PC-34 DSHS CONTACT NAME AND TITLEMaria Rogers Contracts Consultant DSHS CONTACT ADDRESS1115 Washington St SE Olympia, WA 98504-5811 DSHS CONTACT TELEPHON
ATTACHMENT A – SAMPLE CONTRACT RFP 1734-671Personal Service Contract • March 14th, 2018 • Washington
PERSONAL SERVICE CONTRACT Verbal De-Escalation Training DSHS Contract Number:1734-60193Resulting From Procurement Number:1734-671 This Contract is between the state of Washington Department of Socialand Health Services (DSHS) and the Contractor identified below, and is governed by chapter 39.26 RCW. Program Contract Number: Contractor Contract Number: CONTRACTOR NAMESmith Enterprises, LLC CONTRACTOR doing business as (DBA)Smith Cabin CONTRACTOR ADDRESS8765 Main Street South Unit 231Tacoma, WA 98444-4444 WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) 600-123-456 DSHS INDEX NUMBER 146178 CONTRACTOR CONTACTJennie Franklin CONTRACTOR TELEPHONE(253) 555-1216 CONTRACTOR FAX(253) 555-1214 CONTRACTOR E-MAIL ADDRESSjennie@smiths DSHS ADMINISTRATIONExecutive Administration DSHS DIVISIONOperation Support and Services Division DSHS CONTRACT CODE1000PC-34 DSHS CONTACT NAME AND TITLEMaria Rogers Contracts Consultant DSHS CONTACT ADDRESS1115 Washington St SE Olympia, WA 98504-5811 DSHS CONTACT TELEPHON
