Common Contracts
2 similar Attachment a – Sample Contract contracts
ATTACHMENT A – SAMPLE CONTRACT RFQQAttachment a – Sample Contract • August 26th, 2019 • Washington
PERSONAL SERVICE CONTRACT Vocational Rehabilitation Institute Training DSHS Contract Number: Resulting From Procurement Number:XXXX-XXX This Contract is between the state of Washington Department of Socialand Health Services (DSHS) and the Contractor identified below, and is governed by chapter 39.26 RCW. 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 DSHS DIVISION DSHS CONTRACT CODE DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL ADDRESS IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? CFDA NUMBER(S) CONTRACT START DATE CONTRACT END DATE CONTRACT MAXIMUM AMOUNT EXHIBITS. The following Exhibits are attached and are incorporated into this Contract by reference: Exhibits (speci
ATTACHMENT A – SAMPLE CONTRACT RFQ 1735-660Attachment a – Sample Contract • October 18th, 2017 • Washington
CLIENT SERVICE CONTRACT CANS-F Training DSHS Contract Number:1812-60155Resulting From Solicitation Number:1735-660 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 NAMEJohn J. Smith CONTRACTOR doing business as (DBA)Johns Place AFH CONTRACTOR ADDRESS3421 Main StreetSuite 40-11Aberdeen Junction, WA 98333-3333 WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) 600-123-123 DSHS INDEX NUMBER146175 CONTRACTOR CONTACTJohn Smith CONTRACTOR TELEPHONE(360) 555-1212 CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESSjohn@someemail.com DSHS ADMINISTRATIONExecutive Administration DSHS DIVISIONOperation Support and Services Division DSHS CONTRACT CODE2000XC-12 DSHS CONTACT NAME AND TITLEMaria Rogers Contracts Consultant DSHS CONTACT ADDRESS1115 Washington St SE Olympia, WA 98504-5811 DSHS CONTACT TELEPHONE(360)664-6034 DSHS CONTACT FAX(360)664-6184 DSHS CONTACT E-MAI
