Common Contracts
1 similar Client Service Contract contracts
ATTACHEMENT A SAMPLE CONTRACT DSHS RFQ 1713-649Client Service Contract • December 5th, 2017 • Washington
CLIENT SERVICE CONTRACT Family Mentoring Program DSHS Contract Number:1713-60203Resulting From Solicitation Number:1713-649 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 Smith Enterprises, LLC CONTRACTOR doing business as (DBA) Smith Cabin CONTRACTOR ADDRESS 8765 Main Street South Unit 231Tacoma, WA 98444-4444 WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) 600-123-456 DSHS INDEX NUMBER 146178 CONTRACTOR CONTACT Jennie Franklin CONTRACTOR TELEPHONE (253) 555-1216 CONTRACTOR FAX (253) 555-1214 CONTRACTOR E-MAIL ADDRESS jennie@smiths DSHS ADMINISTRATION Executive Administration DSHS DIVISION Operation Support and Services Division DSHS CONTRACT CODE 8000XC-13 DSHS CONTACT NAME AND TITLE Maria Rogers Contracts Consultant DSHS CONTACT ADDRESS1115 Washington St SE Olympia, WA 98504-5811 DSHS CONTACT TELEPHONE (360)664-6034 DSHS CONTACT FAX
