CONTRACT NUMBER:N19069 SUBRECIPIENT *YES NO FFATA FORM REQUIREDYES NO PERSONAL SERVICEYES NOContract • December 22nd, 2011 • Washington
Contract Type FiledDecember 22nd, 2011 JurisdictionTHIS 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.