ContractVendor Agreement • January 22nd, 2024
Contract Type FiledJanuary 22nd, 2024DEPARTMENT OF HEALTH SERVICESDivision of Public HealthF-00974 (01/2024) STATE OF WISCONSINPO Box 2659, Madison, WI 53701-2659Page 1 of 6 AGREEMENT BETWEENState of Wisconsin Department of Health ServicesWIC and Senior Farmers’ Market Nutrition Program (FMNP) and Vendor – First Name and Last Name (Print or Type) Street Address (Print or Type) City, State and Zip Code (Print or Type) Area Code and Phone Number (Print or Type) Email Address (Print or Type) This agreement is entered into between the Wisconsin Department of Health Services (DHS), administering the WIC Farmers’ Market Nutrition Program and the Senior Farmers' Market Nutrition Program, and the above-named individual, hereinafter referred to as "vendor." Hereinafter, “State Agency” refers to the Department of Health Services. This agreement is for the period beginning April 1, 2024 and will expire on December 31, 2026. I. The VENDOR Agrees to Answer the Following Questions Accurately and Completely: A. Provide your business n
AGREEMENT BETWEEN State of Wisconsin Department of Health ServicesVendor Agreement • April 13th, 2020
Contract Type FiledApril 13th, 2020This agreement is entered into between the Wisconsin Department of Health Services (DHS), administering the WIC Farmers’ Market Nutrition Program and the Senior Farmers' Market Nutrition Program, and the above-named individual, hereinafter referred to as "vendor." Hereinafter, “State Agency” refers to the Department of Health Services. This agreement is for the period beginning April 1, 2020 and will expire on December 31, 2022.