ContractInterlocal Agreement • July 1st, 2020 • Washington
Contract Type FiledJuly 1st, 2020 JurisdictionINTERLOCAL AGREEMENTPublic Institute of Higher Education Job Service and IL Service Contract DSHS Agreement Number:2065-86003 This Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the Contractor identified below, and is issued pursuant to the Interlocal Cooperation Act, chapter39.34 RCW. Program Contract Number: Contractor Contract Number: CONTRACTOR NAME Harborview Medical Center CONTRACTOR doing business as (DBA) Harborview Mental Health and Addiction Services CONTRACTOR ADDRESS 325 Ninth AvenueBox 359797Seattle, WA 98104 WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) 578-037-394 DSHS INDEX NUMBER 1145 CONTRACTOR CONTACT Sunny Lovin CONTRACTOR TELEPHONE (206) 744-9664 CONTRACTOR FAX (206) 744-9854 CONTRACTOR E-MAIL ADDRESS slovin@uw.edu DSHS ADMINISTRATION Division of Vocational Rehabilitation DSHS DIVISION Division of Vocational Rehabilitation DSHS CONTRACT CODE 8503LS-65 DSHS CONTACT NAME AND TITLE Lawrence Lim Contract Specia