Common Contracts

ATTACHMENT E PA-HMIS COLLABORATIVE PARTICIPATION AGREEMENT

Attachment E • October 13th, 2016 • Pennsylvania

• Contract Type
  Attachment E
• Filed
  October 13th, 2016
• Jurisdiction
  Pennsylvania

This Pennsylvania Homeless Management Information System Participation Agreement (hereinafter referred to as “Agreement”) is by and between the Commonwealth of Pennsylvania, acting through the Department of Community and Economic Development a body politic and corporate and an instrumentality exercising public and essential governmental functions of the State of Pennsylvania with offices located at 400 North Street Harrisburg, PA 17120 (“DCED”) and _(insert legal name of Participant), a __(insert type of entity, i.e. County or Municipal Government, non-profit, for-profit, faith-based, etc.)___, with principal offices located at _(insert full address and county)__ (“Participant”). The signature of the authorized representative of the Participant below indicates its agreement with the terms of this agreement (“Agreement”) and is a prerequisite of the establishment of a Pennsylvania HMIS account for such Participant.