CONTRACT FOR COMMUNITY RESOURCE PARTNER SERVICESCommunity Resource Partner Services • July 16th, 2024 • 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”).
