Common Contracts

1 similar Personal Service Contract contracts

Contract
Personal Service Contract • April 13th, 2015 • Washington

Attachment A: Sample ContractPersonal Service Contract Nursing Assistant Certification DSHS Contract Number:SAMPLE CONTRACTResulting From Solicitation Number:1599-546 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 and Long Term Support DSHS DIVISION Residential Care Services 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 07/01/2015 CONTRACT END DATE 06/30/2018 CONTRACT MAXIMUM AMOUNT $0.00 EXHIBITS. The following Exhibits are

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