APPENDIX 3 Example of DHS Community Service Agreement & ExhibitsCommunity Services Agreement • September 17th, 2020 • Illinois
Contract Type FiledSeptember 17th, 2020 JurisdictionThe Illinois Department of Human Services (DHS), with its principal office at ___________________________________________________________________________, and ___________ (Provider), with its principal office at ______________________________ and payment address (if different than principal office) at ______________________________________________, hereby enter into this Community Services Agreement (“Agreement”). DHS and Provider are collectively referred to herein as “Parties” or individually as a “Party.”
COMMUNITY SERVICES AGREEMENT BETWEENCommunity Services Agreement • June 26th, 2015 • Illinois
Contract Type FiledJune 26th, 2015 Jurisdiction, and (Provider), with its principal office at and payment address (if different than principal office) at , hereby enter into this Community Services Agreement (“Agreement”). DHS and Provider are collectively referred to herein as “Parties” or individually as a “Party.”
COMMUNITY SERVICES AGREEMENTCommunity Services Agreement • June 15th, 2015 • Illinois
Contract Type FiledJune 15th, 2015 Jurisdiction, and (Provider), with its principal office at and payment address (if different than principal office) at , hereby enter into this Community Services Agreement (“Agreement”). DHS and Provider are collectively referred to herein as “Parties” or individually as a “Party.”
COMMUNITY SERVICES AGREEMENT BETWEENCommunity Services Agreement • June 15th, 2015 • Illinois
Contract Type FiledJune 15th, 2015 Jurisdiction, and (Provider), with its principal office at and payment address (if different than principal office) at , hereby enter into this Community Services Agreement (“Agreement”). DHS and Provider are collectively referred to herein as “Parties” or individually as a “Party.”
COMMUNITY SERVICES AGREEMENT BETWEENCommunity Services Agreement • March 24th, 2014 • Illinois
Contract Type FiledMarch 24th, 2014 JurisdictionServices Agreement (“Agreement”). DHS and Provider are collectively referred to herein as “Parties” or individually as a “Party.”
COMMUNITY SERVICES AGREEMENT BETWEEN THE DEPARTMENT OF HUMAN SERVICES AND FOR FISCAL YEAR 20132014Community Services Agreement • May 13th, 2013 • Illinois
Contract Type FiledMay 13th, 2013 Jurisdiction, and (Provider), with its principal office at and payment address (if different than principal office) at , hereby enter into this Community Services Agreement (“Agreement”). DHS and Provider are collectively referred to herein as “Parties” or individually as a “Party.”
COMMUNITY SERVICES AGREEMENT BETWEENCommunity Services Agreement • May 13th, 2013 • Illinois
Contract Type FiledMay 13th, 2013 Jurisdiction_, and (Provider), with its principal office at and payment address (if different than principal office) at _, hereby enter into this Community Services Agreement (“Agreement”). DHS and Provider are collectively referred to herein as “Parties” or individually as a “Party.”
COMMUNITY SERVICES AGREEMENT BETWEENCommunity Services Agreement • June 5th, 2012 • Illinois
Contract Type FiledJune 5th, 2012 JurisdictionWHEREAS, it is the intent of the Parties to implement services consistent with all Exhibits hereto and pursuant to the duties and responsibilities imposed by DHS under the laws of the State of Illinois and in accordance with the terms, conditions and provisions hereof.
COMMUNITY SERVICES AGREEMENT FISCAL YEAR 2012Community Services Agreement • September 30th, 2011 • Illinois
Contract Type FiledSeptember 30th, 2011 Jurisdiction