Common Contracts

CONTRACT FOR COMMUNITY RESOURCE PARTNER SERVICES

Community Resource Partner Services Contract • July 16th, 2024 • Montana

• Contract Type
  Community Resource Partner Services Contract
• Filed
  July 16th, 2024
• Jurisdiction
  Montana

THIS CONTRACT, is entered into between the Montana Department of Public Health and Human Services, (the "Department"), whose contact information is as follows: PO Box 4210, Helena, MT, 59604-4210, and Phone Number: (406) 655-7673, Fax Number: (406) 652-1781, Email: lacey.conzelman@mt.gov, and lnsert Contractor Name
(the “Contractor”), whose contact information is as follows: Federal Tax ID lnsert Federal Tax ID Number
, UEI Number, Insert UEI Number
, lnsert Street Address
, lnsert City
, Insert State
, lnsert Zip Code
, Phone Number lnsert Phone Number
, and Fax Number lnsert Fax Number
; respectively (collectively, the “Parties”).