ContractCounty Program Agreement • June 28th, 2017
Contract Type FiledJune 28th, 2017COUNTY PROGRAM AGREEMENTConsolidated Contract FY18-19 DSHS Agreement Number 1763-96341 This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below, and is issued in conjunction with a County and DSHS Agreement On General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number County Agreement Number DSHS ADMINISTRATION Rehabilitation Administration DSHS DIVISION Division of Community Programs DSHS INDEX NUMBER 1225 CCS CONTRACT CODE 5024CS-63 DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS Barbara Kraemer FA5 OB 2PO Box 45720Olympia, WA 98504 DSHS CONTACT TELEPHONE (360)902-0765 DSHS CONTACT FAX (360)902-8108 DSHS CONTACT E-MAIL kraembj@dshs.wa.gov COUNTY NAME COUNTY DBA COUNTY ADDRESS Kittitas County Rm 211 Kittitas Co Courthouse 205 W Fifth St Ellensburg, WA 98926 COUNTY UNIFORM BUSINESS IDENTIFIER (UBI) 192-002-673 COUNTY CONTACT NAME Michael