ContractClient Service Contract • July 5th, 2019 • Washington
Contract Type FiledJuly 5th, 2019 JurisdictionCLIENT SERVICE CONTRACT Supportive Housing DSHS Contract Number: Resulting From Solicitation Number: This Contract is between the State of Washington Department of Social and Health Services (DSHS) and the Contractor identified below. Program Contract Number: Contractor Contract Number: CONTRACTOR NAME CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) DSHS INDEX NUMBER CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS DSHS ADMINISTRATION Aging & Long Term Support Admin DSHS DIVISION Division of Home And Community Services DSHS CONTRACT CODE 1070XP-12 DSHS CONTACT NAME AND TITLE Suemary Trobaugh Program Manager DSHS CONTACT ADDRESS 4450 10th AVE SE P O Box 45600Lacey, WA 98504-5600 DSHS CONTACT TELEPHONE (360)725-2557 DSHS CONTACT FAX Click here to enter text. DSHS CONTACT E-MAIL ADDRESS trobas@dshs.wa.gov IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? No CFDA NUMBER(S) CONTRACT START DATE