Common Contracts
2 similar Client Service Contract contracts
ContractClient Service Contract • June 27th, 2016 • Washington
CLIENT SERVICE CONTRACT HCA Contract Number: THIS AGREEMENT made by and between Washington State Health Care Authority, hereinafter referred to as "HCA," and the party whose name appears below, hereinafter referred to as the "Contractor." CONTRACTOR NAME CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR E-MAIL ADDRESS HCA PROGRAMKidney Disease Program H A DIVISION/SECTIONFinancial Services HCA CONTACT NAME AND TITLE Stefanie Slakey HCA CONTACT ADDRESS626 8th AvenueOlympia, WA 98501 HCA CONTACT TELEPHONE (360) 725-1243 HCA CONTACT E-MAIL ADDRESS stefanie.slakey@hca.wa.gov IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? YES NO CFDA NUMBER(S)N/A FFATA Form Required YES NO CONTRACT START DATE 07/01/2016 CONTRA T END DATE 06/30/2018 TOTAL MAXIMUM ONTRACT AMO NT$ PURPOSE OF CO TRACT:To assist perso s who meet the Kidney Disease Program (KD ) Eligibility Requirements to gain
ContractClient Service Contract • September 3rd, 2014 • Washington
CLIENT SERVICE CONTRACT HCA Contract Number: «New_Contract_» THIS AGREEMENT made by and between Washington State Health Care Authority, hereinafter referred to as"HCA," and the party whose name appears below, hereinafter referred to as the "Contractor." CONTRACTOR NAME «Organization» CONTRACTOR doing business as (DBA) «DBA» CONTRACTOR ADDRESS «MailingAddress1»«Mailing_City», «State» «Zip» WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) «UBI» CONTRACTOR CONTACT «Kcont_Name» CONTRACTOR TELEPHONE«Phone» CONTRACTOR E-MAIL ADDRESS «Email_Address» HCA PROGRAMKidney Disease Program HCA DIVISION/SECTIONFinancial Services HCA CONTACT NAME AND TITLE HCA CONTACT ADDRESS626 8th AvenueOlympia, WA 98501 HCA CONTACT TELEPHONE HCA CONTACT E-MAIL ADDRESS IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? YES NO CFDA NUMBER(S)N/A FFATA Form Required YES NO CONTRACT START DATE 07/01/2014 CONTRACT END DATE 06/30/2016 TOTAL MAXIMUM CONTRACT AMOUNT$«New ».00 PURPOSE OF CONTRACT:To assist perso
