Common Contracts

ATTACHMENT A – SAMPLE CONTRACT RFQ 1735-660

Client Service Contract • October 18th, 2017 • Washington

• Contract Type
  Client Service Contract
• Filed
  October 18th, 2017
• Jurisdiction
  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