Common Contracts
1 similar Human Care Agreement contracts
Government of the District of Columbia Child and Family Services AgencyHuman Care Agreement • April 13th, 2010
HUMAN CARE AGREEMENT PAGE OF PAGES 1 100 1. CONTRACT NUMBER: 2. REQUISITION/PURCHASE REQUEST NO. 3. PURCHASE ORDER/TASK ORDER NUMBER 4. DATE OF AWARD 5. ISSUED BYChild and Family Services Agency 955 L’Enfant Plaza, S.W., Suite 5200Washington, D.C. 20024 6. ADMINISTERED BY (If other than Item 5) See Section G 7. NAME AND ADDRESS OF PROVIDER/CONTRACTOR (No. street, county, state and ZIP Code) 8. PROVIDER/CONTRACTOR SHALL SUBMIT ALL INVOICES TO:Child and Family Services Agency Fiscal Operations2nd Street SW Washington, DC 20024 9. DISTRICT SHALL SEND ALL PAYMENTS TO: 10. DESCRIPTION OF HUMAN CARE SERVICE AND COST (TO BE COMPLETED BY CFSA) ITEM/LINE NO. NIGP CODE BRIEF DESCRIPTION OF HUMAN CARE SERVICE QUANITY OF SERVICE REQUIRED TOTAL SERVICE UNITS SERVICE RATE TOTAL AMOUNT 0001 952-15-00952-47-00 Case ManagementFoster Home and Adoption Services SEE ATTACHED SCHEDULE B Total $ Total From Any Continuation Pages $ GRAND TOTAL $ 11. APPROPRIATION DATA AND FINANCIAL CERTIFICATION LI
