ContractInterlocal Agreement • December 8th, 2020 • Washington
Contract Type FiledDecember 8th, 2020 JurisdictionINTERLOCAL AGREEMENT RECREATIONAL OPPORTUNITIES DSHS Agreement Number:2164-98403 This Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the Contractor identified below, and is issued pursuant to the Interlocal Cooperation Act, chapter39.34 RCW. Program Contract Number: Contractor Contract Number: CONTRACTOR NAME City of Vancouver CONTRACTOR doing business as (DBA) VANCOUVER CITY OF - 01 CONTRACTOR ADDRESS 415 W 6th St PO Box 1995Vancouver, WA 98668 WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) 065-001-364 DSHS INDEX NUMBER 1767 CONTRACTOR CONTACT Andy Meade CONTRACTOR TELEPHONE (360) 487-7098 CONTRACTOR FAX (360) 487-7080 CONTRACTOR E-MAIL ADDRESS andy.meade@cityofvancouv er.us DSHS ADMINISTRATION Developmental Disabilities Admin DSHS DIVISION Division of Developmental Disabilities DSHS CONTRACT CODE 1760LP-64 DSHS CONTACT NAME AND TITLE Lucia Barbu Contracts Specialist DSHS CONTACT ADDRESS6860 Capitol Blvd SE Tumwater, WA 98501 DSH