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For more information visit our privacy policy.ContractClient Service Contract • November 7th, 2014 • Washington
Contract Type FiledNovember 7th, 2014 JurisdictionCLIENT SERVICE CONTRACTCommunity Residential Services DSHS Contract Number:SAMPLE CONTRACTResulting From Solicitation Number:1413-516 This Contract is between the State of Washington Department of Social and Health Services (DSHS) and the Contractor identified below. 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 Developmental Disabilities 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 01/01/2015 CONTRACT END DATE 06/30/2015 CONTRACT MAXIMUM AMOUNT $0.00 EXHIBITS. The following Exhibits are attached and are incorporated into this Contr