ATTACHMENT E – Example of DHS Community Service Agreement and ExhibitsCommunity Services Agreement • September 17th, 2020 • Illinois
Contract Type FiledSeptember 17th, 2020 JurisdictionThe Illinois Department of Human Services (DHS), with its principal office at ___________________________________________________________________________, and ___________ (Provider), with its principal office at ______________________________ and payment address (if different than principal office) at ______________________________________________, hereby enter into this Community Services Agreement (“Agreement”). DHS and Provider are collectively referred to herein as “Parties” or individually as a “Party.”
Agreement No._________________ COMMUNITY SERVICES AGREEMENT BETWEEN THE DEPARTMENT OF HUMAN SERVICES AND FOR FISCAL YEAR 2014Community Services Agreement • September 17th, 2020 • Illinois
Contract Type FiledSeptember 17th, 2020 JurisdictionThe Illinois Department of Human Services (DHS), with its principal office at ___________________________________________________________________________, and ___________ (Provider), with its principal office at ______________________________ and payment address (if different than principal office) at ______________________________________________, hereby enter into this Community Services Agreement (“Agreement”). DHS and Provider are collectively referred to herein as “Parties” or individually as a “Party.”
Agreement No._________________ COMMUNITY SERVICES AGREEMENT BETWEEN THE DEPARTMENT OF HUMAN SERVICES AND FOR FISCAL YEAR 2014Community Services Agreement • January 30th, 2014 • Illinois
Contract Type FiledJanuary 30th, 2014 JurisdictionThe Illinois Department of Human Services (DHS), with its principal office at ___________________________________________________________________________, and ___________ (Provider), with its principal office at ______________________________ and payment address (if different than principal office) at ______________________________________________, hereby enter into this Community Services Agreement (“Agreement”). DHS and Provider are collectively referred to herein as “Parties” or individually as a “Party.”
Agreement No. COMMUNITY SERVICES AGREEMENT BETWEENCommunity Services Agreement • January 30th, 2014 • Illinois
Contract Type FiledJanuary 30th, 2014 JurisdictionWHEREAS, it is the intent of the Parties to implement services consistent with all Exhibits hereto and pursuant to the duties and responsibilities imposed by DHS under the laws of the State of Illinois and in accordance with the terms, conditions and provisions hereof.