CONSULTANT AGREEMENT (Standard Funding) SECTION IConsultant Agreement • September 13th, 2013 • New York
Contract Type FiledSeptember 13th, 2013 JurisdictionContract # 1. Consultant Information 1a. Name of Consultant/Consulting Firm 1b. Name of Payee (if different) 1c. Complete Business Address 1d. Telephone 1e. Fax 1f. Email 1g. Federal Tax ID/Social Security Number# Please use W-9 Link to W-9 form 2. Project Information 2a. Type of Service performed Management Consultant ==> Fund Development Tech Asst. ==> Organizational Development (Training) ==> Housing Development Tech Asst. ==> Project Management Tech Asst.==> Publications ==> Tenant Services Tech Asst. ==> Systems Change ==> Other: ==> 2b. Project Name 3. CSH Information 3a. CSH Local Office/Program 3b. CSH Contact 3c . Telephone 3d. Fax Steven Shum 510.251.1910 x 203 510.251.5954 4. Funding Information 4a. Begin Date of Service 4b. End Date of Service 4c. Allowable Reimbursable Expenses(if any) 4d. Prior approval required for reimbursable expenses exceeding: 4e. Consultant Fee Basis/Rate 4f.