Attachment a – Sample Contract Sample Contracts

ATTACHMENT A – SAMPLE CONTRACT RFQQ
Attachment a – Sample Contract • August 26th, 2019 • Washington

PERSONAL SERVICE CONTRACT Vocational Rehabilitation Institute Training DSHS Contract Number: Resulting From Procurement Number:XXXX-XXX This Contract is between the state of Washington Department of Socialand Health Services (DSHS) and the Contractor identified below, and is governed by chapter 39.26 RCW. Program Contract Number: Contractor Contract Number: CONTRACTOR NAME CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) DSHS INDEX NUMBER CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS DSHS ADMINISTRATION DSHS DIVISION DSHS CONTRACT CODE DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL ADDRESS IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? CFDA NUMBER(S) CONTRACT START DATE CONTRACT END DATE CONTRACT MAXIMUM AMOUNT EXHIBITS. The following Exhibits are attached and are incorporated into this Contract by reference: Exhibits (speci

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ATTACHMENT A SAMPLE CONTRACT
Attachment a Sample Contract • March 16th, 2022 • Oregon

This Contract is awarded per Contractor’s response to Request For Proposal, Intermediate Procurement Bid Number S-44000-00002318. Agency is entering into this Contract to obtain annual Consumer Awareness Survey Services. Agency has authority under OAR 125-246-0170 to contract for these Services.

ATTACHMENT A SAMPLE CONTRACT RFQ 1813-695
Attachment a Sample Contract • May 5th, 2020 • Washington

CLIENT SERVICE CONTRACT Regional Client Advocacy Services DSHS Contract Number:1813-60196Resulting From Solicitation Number: 1813-695 This Contract is between the State of Washington Department of Social and Health Services (DSHS) and the Contractor identified below. Program Contract Number: Contractor Contract Number: CONTRACTOR NAME John J. Smith CONTRACTOR doing business as (DBA) Johns Place AFH CONTRACTOR ADDRESS 1234 12th Ave NEJunction City, WA 98333-3333 WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) 600-123-123 DSHS INDEX NUMBER 146175 CONTRACTOR CONTACT Fred Jones CONTRACTOR TELEPHONE (360) 555-1212 CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS fred@someemail.com DSHS ADMINISTRATION Services and Enterprise Support Administration DSHS DIVISION Central Contracts & Legal Services DSHS CONTRACT CODE 8404XS-12 DSHS CONTACT NAME AND TITLE Maria Rogers Contracts Consultant DSHS CONTACT ADDRESS1115 Washington St SE Olympia, WA 98504-5811 DSHS CONTACT TELEPHONE (360)664-6034 DSHS CONTACT FAX

ATTACHMENT A SAMPLE CONTRACT
Attachment a Sample Contract • July 31st, 2018 • Oregon

This Contract is between the State of Oregon, acting by and through its Department of Human Services, hereinafter referred to as “DHS,” and

ATTACHMENT A – SAMPLE CONTRACT
Attachment a – Sample Contract • March 15th, 2023 • Oregon

This Contract for Services (this “Contract”) is by and between the State of Oregon, acting through its Oregon Department of Fish and Wildlife (“Agency” or “ODFW”) and , a [ ][doing business as ] (“Contractor”) and is effective as of the Effective Date.

ATTACHMENT A – SAMPLE CONTRACT
Attachment a – Sample Contract • September 23rd, 2021

This Contract for Services (this “Contract”) is by and between the State of Oregon, acting through its Oregon State Marine Board, (“Agency)” and ________, a [_______][doing business as _____] (“Contractor”). The “Effective Date” of this Contract is the later of (i) ____, or (ii) the date this Contract has been fully executed by each party and approved as required by applicable law. Unless extended or terminated earlier in accordance with its terms, this Contract terminates when Agency accepts Contractor's completed performance. The termination of this Contract will not extinguish or prejudice Agency’s right to enforce this Contract with respect to any default by Contractor that has not been cured.

ATTACHMENT A SAMPLE CONTRACT
Attachment a Sample Contract • December 17th, 2015 • Oregon

This Contract is between the State of Oregon (“State”) acting by and through its Department of Administrative Services (“CFO” or “Agency") and ("Contractor").

PROFESSIONAL SERVICES AGREEMENT
Attachment a – Sample Contract • November 22nd, 2021 • Oregon

This Agreement is made and entered into by and between the City of Albany, Oregon, (hereafter referred to as “City”) and , (hereafter referred to as “Law Firm”) and has an “Effective Date” of February 1, 2022.

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