DocuSign Envelope ID: BD62A5BB-0B6D-4050-AE77-4D82139C537DMay 15th, 2022
FiledMay 15th, 2022SCHOOL-BASED HEALTHCARE SERVICES CONTRACT AMENDMENT HCA Contract No.: K3475 Amendment No.: 1 THIS AMENDMENT TO THE CONTRACT is between the Washington State Health Care Authority and the party whose name appears below, and is effective as of the date set forth below. CONTRACTOR NAMELake Stevens School District CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS12309 22nd St NELake Stevens, WA 98258 CONTRACTOR CONTRACT MANAGERName: Teresa MainEmail: teresa_main@lkstevens.wednet.edu AMENDMENT START DATEJuly 1, 2022 AMENDMENT END DATEJune 30, 2025 CONTRACT END DATEJune 30, 2025 Prior Maximum Contract AmountNo Maximum Total Maximum CompensationNo Maximum