ContractServices Contract • November 30th, 2021 • Washington
Contract Type FiledNovember 30th, 2021 JurisdictionSERVICES CONTRACT Parent To Parent (P2P) Services DSHS Contract Number:SAMPLE CONTRACTResulting From Procurement Number:RFQ #2134-796 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 NAMERFQ Note: The Apparent Successful Bidder’s details will go here. 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 ADMINISTRATIONDevelopmental 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 DATE04-01-2022 CONTRACT END DATE06-30-2023 CONTRACT MAXIMUM