EXHIBIT D – SAMPLE CONTRACTProfessional Services • November 8th, 2022 • Washington
Contract Type FiledNovember 8th, 2022 JurisdictionPROFESSIONAL SERVICES CONTRACT for Increasing Access to Behavioral Health Counseling Services HCA Contract Number: K Resulting from Solicitation Number (If applicable): 2022HCA34 Contractor/Vendor Contract Number:
PROFESSIONAL SERVICES CONTRACT forMobile Response Stabilization Quality Learning Collaborative HCA Contract Number: KK6373Professional Services • October 27th, 2022 • Washington
Contract Type FiledOctober 27th, 2022 JurisdictionTHIS CONTRACT is made by and between Washington State Health Care Authority, (HCA) and Child Health and Development Institute of Connecticut, Inc.(Contractor).
EXHIBIT B - DRAFT CONTRACTProfessional Services • October 19th, 2022 • Washington
Contract Type FiledOctober 19th, 2022 JurisdictionCONTRACTOR NAME CONTRACTOR DOING BUSINESS AS (DBA) CONTRACTOR ADDRESS Street City State Zip Code CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR E-MAIL ADDRESS Is Contractor a Subrecipient under this Contract? YES NO
EXHIBIT D – SAMPLE CONTRACTProfessional Services • September 21st, 2022 • Washington
Contract Type FiledSeptember 21st, 2022 JurisdictionPROFESSIONAL SERVICES CONTRACT forPro Bono Counseling Services HCA Contract Number: KResulting from Solicitation Number (If applicable): 2022HCA28Contractor/Vendor Contract Number:
ContractProfessional Services • September 20th, 2022 • Washington
Contract Type FiledSeptember 20th, 2022 JurisdictionPROFESSIONAL SERVICES CONTRACT forManagement Consulting Services HCA Contract Number: K6310 Contractor/Vendor Contract Number:
THIS CONTRACT is made by and between Washington State Health Care Authority, (HCA) and North Sound BH ASO, (Contractor).Professional Services • January 25th, 2022 • Washington
Contract Type FiledJanuary 25th, 2022 JurisdictionCONTRACTOR NAMENorth Sound BH ASO CONTRACTOR DOING BUSINESS AS (DBA) CONTRACTOR ADDRESS Street CityMount Vernon StateWA Zip Code98273 301 Valley Mall Way, Suite 110 CONTRACTOR CONTACTJoe Valentine CONTRACTOR TELEPHONE(360) 416-7013 CONTRACTOR E-MAIL ADDRESS2021 Is Contractor a Subrecipient under this Contract?YES NO CFDA NUMBER(S): FFATA Form RequiredYES NO
PROFESSIONAL SERVICES CONTRACT for PEER PATHWAYS WORKFORCE DEVELOPMENT HCA Contract Number: K Resulting from Solicitation Number 2021HCA40Professional Services • December 29th, 2021 • Washington
Contract Type FiledDecember 29th, 2021 JurisdictionThe parties signing below warrant that they have read and understand this Contract, and have authority to execute this Contract. This Contract will be binding on HCA only upon signature by both parties.
ContractProfessional Services • August 23rd, 2021 • Washington
Contract Type FiledAugust 23rd, 2021 JurisdictionPROFESSIONAL SERVICES CONTRACT for Consultation Services HCA Contract Number: K Resulting from Solicitation Number: 2021HCA23 Contractor/Vendor Contract Number:
ContractProfessional Services • December 10th, 2020 • Washington
Contract Type FiledDecember 10th, 2020 JurisdictionEXHIBIT D SAMPLE CONTACT PROFESSIONAL SERVICES CONTRACT for HCA Contract Number: KResulting from Solicitation Number (If applicable: 2020HCA30
ContractProfessional Services • September 16th, 2020 • Washington
Contract Type FiledSeptember 16th, 2020 JurisdictionPROFESSIONAL SERVICES CONTRACT forSUD Prevention and Mental Health Promotion Online Reporting System HCA Contract Number: KResulting from Solicitation Number (If applicable: 2020HCA11Contractor/Vendor Contract Number:
ContractProfessional Services • August 3rd, 2020
Contract Type FiledAugust 3rd, 2020PROFESSIONAL SERVICES CONTRACT for SUD Prevention and Mental Health Promotion Online Reporting System HCA Contract Number: K Resulting from Solicitation Number (If applicable: 2020HCA11 Contractor/Vendor Contract Number:
ContractProfessional Services • July 7th, 2020 • Washington
Contract Type FiledJuly 7th, 2020 JurisdictionPROFESSIONAL SERVICES CONTRACT for Actuarial Consultant Services HCA Contract Number: Resulting from Solicitation Number (If applicable: 2020HCA4 Contractor/Vendor Contract Number:
ContractProfessional Services • June 12th, 2019 • Washington
Contract Type FiledJune 12th, 2019 JurisdictionPROFESSIONAL SERVICES CONTRACT forStatewide Youth Leadership Network HCA Contract Number: KResulting from Solicitation Number RFA 3728Contractor/Vendor Contract Number: