Agreement for ServicesAgreement for Services • October 26th, 2021 • Ohio
Contract Type FiledOctober 26th, 2021 JurisdictionThis Agreement for Services ("Agreement") is made and entered into between the State of Ohio, Board of Executives of Long-Term Services & Supports ("BELTSS" or "Department"), with a mailing address at 246 N. High St., 1st Floor, Columbus, Ohio 43215 and (ENTER NAME) ("Contractor"), with a mailing address at (ENTER ADDRESS). The Parties agree by and between themselves as follows: