CONTRACT NUMBER:N19069 SUBRECIPIENT *YES NO FFATA FORM REQUIREDYES NO PERSONAL SERVICEYES NOWashington • December 22nd, 2011
Jurisdiction FiledDecember 22nd, 2011THIS AGREEMENT is made by and between the state of Washington Department of Health, hereinafter referred to as DOH, and the party whose name appears below, hereinafter referred to as the Contractor.