APPENDIX 3 Example of DHS Community Service Agreement & ExhibitsCommunity Services Agreement • September 17th, 2020 • Illinois
The Illinois Department of Human Services (DHS), with its principal office at ___________________________________________________________________________, and ___________ (Provider), with its principal office at ______________________________ and payment address (if different than principal office) at ______________________________________________, hereby enter into this Community Services Agreement (“Agreement”). DHS and Provider are collectively referred to herein as “Parties” or individually as a “Party.”
ATTACHMENT E – Example of DHS Community Service Agreement and ExhibitsCommunity Services Agreement • September 17th, 2020 • Illinois
The Illinois Department of Human Services (DHS), with its principal office at ___________________________________________________________________________, and ___________ (Provider), with its principal office at ______________________________ and payment address (if different than principal office) at ______________________________________________, hereby enter into this Community Services Agreement (“Agreement”). DHS and Provider are collectively referred to herein as “Parties” or individually as a “Party.”
CONTRACT Y24-2000Community Services Agreement • January 26th, 2024 • Florida
This agreement is between Williamson County and The Caring Place (the Agency).Community Services Agreement • July 16th, 2020
Total funding budgeted for the Wilco Forward Phase III Community Services program is $5 million. The funding for Wilco Forward Phase III will reimburse the Agency for the following assistance:
AGREEMENTCommunity Services Agreement • January 13th, 2017 • England and Wales
CONTENTS Clause Page 1. Definitions and Interpretation 1 2. Provision of Community Services 4 3. Preparation and Approval of the Community Services Delivery Plan 5 4. Use of the Facility 6 5. Communications Framework 6 6. Staffing 7 7. Fees and Charges 7 8. Commitment to Existing Service Providers 7 9. Performance Measures 8 10. Monitoring and Review 8 11. Accounts and Records 9 12. Insurances 9 13. Termination 9 14. Consequences of Termination 9 15. Dispute Resolution 10 16. No Agency or Partnership 10 17. Assignment and Sub-Contracting 10 18. Announcements 10 19. Confidentiality 10 20. Data Protection Act 1998 11 21. Severability 12 22. Reputation of the Council 12 23. Observance of Statutory Requirements 12 24. Equal Opportunities 12 25. E-Government 12 26. Notices 13 27. Waiver 13 28. Variation 13 29. Force Majeure 13 30. Further Assurance 13 31. Entire Agreement 13 32. Counterparts 14 33. Costs and Expense
AGREEMENT FOR COMMUNITY SERVICESCommunity Services Agreement • October 17th, 2018 • Washington
THIS AGREEMENT FOR COMMUNITY SERVICES (this “Agreement”) is entered into and is effective on January 2, 2018 between the City of Bainbridge Island, a Washington state municipal corporation (the “City”) and The Public Art Committee, a sub-committee of Arts and Humanities Bainbridge, and Arts and Humanities Bainbridge (the “Service Provider”).
AGREEMENT FOR COMMUNITY SERVICES BETWEENCommunity Services Agreement • October 17th, 2024
This Agreement is entered into on July 1, 2024 between the City of Walnut Creek, a municipal corporation (“City”), and Mt. Diablo Unified School District, a California union high school district (“Recipient”).
COMMUNITY SERVICES AGREEMENTCommunity Services Agreement • September 8th, 2023
This Agreement is entered this 14th day of December, 2020 by and between FAIRFIELD TOWNSHIP, TIPPECANOE COUNTY, INDIANA (“TOWNSHIP”) and Lafayette Lions Club, an
COMMUNITY SERVICES AGREEMENT FISCAL YEAR 2012Community Services Agreement • June 23rd, 2011 • Illinois
COMMUNITY SERVICES AGREEMENTCommunity Services Agreement • September 6th, 2019 • Arizona
THIS AGREEMENT, entered into this 12th day of September, 2019, by and between the TOWN OF PRESCOTT VALLEY, a municipal corporation of Arizona (hereinafter the "TOWN"), and PREVENT CHILD ABUSE, INC., a non-profit corporation of Arizona (hereinafter "SERVICE PROVIDER");
ContractCommunity Services Agreement • February 24th, 2020 • Washington
COMMUNITY SERVICES AGREEMENT –OTHER GOVERNMENT PHSKC Agreement # 5112 EMS This Agreement is between King County and the Recipient identified below. The County department overseeing the work to be performed in this Agreement is the Department of Public Health (PHSKC). RECIPIENT NAME King County Fire District #4 dba Shoreline Fire Department RECIPIENT FEDERAL TAX ID # 916007732 RECIPIENT ADDRESS 17525 Aurora Ave N, Shoreline, WA 98133 RECIPIENT CONTACT & EMAIL ADDRESS John Nankervis; JNankervis@shorelinefire.com PHSKC DIVISIONEMS PROJECT TITLEAdvanced Life Support Services AGREEMENT START DATEJan 01 2020 AGREEMENT END DATEDec 31 2025 AGREEMENT MAXIMUM AMOUNT$8,542,290.00 FUNDING DETAILS Funding Source PHSKC Contract # Amount Effective DatesEMS Levy $8,542,290.00 Jan 01 2020 TO Dec 31 2025 FUNDING SUMMARYFEDERAL: $0.00 COUNTY: $8,542,290.00 STATE: $0.00 OTHER: $0.00 IS THE RECIPIENT A SUBRECIPIENT FOR PURPOSES OF THIS AGREEMENT? No EXHIBITS. The following Exhibits are attached and ar
This agreement is between Williamson County and The Salvation Army (the Agency).Community Services Agreement • July 16th, 2020
Total funding budgeted for the Wilco Forward Phase III Community Services program is $5 million. The funding for Wilco Forward Phase III will reimburse the Agency for the following assistance:
CONTRACT BY AND BETWEEN THE TRUSTEE TOWNSHIPCommunity Services Agreement • November 20th, 2015
the County of , State of Indiana in their capacity of Township Board and Trustee, only, and hereinafter referred to as "Township" together with Indiana Township Association, Inc. by its duly elected and qualifying President and Vice President, hereinafter referred to as "ITA" and by these presents contract and agree that the ITA will perform certain Community Services for and on behalf of the Township as hereinafter set forth:
AGREEMENT NO. 19-27-0040Community Services Agreement • April 15th, 2019 • California
CFDA# FAIN# PROGRAM/SERVICE TITLE FUNDING AGENCY 93.044 1901CAOASS-01 Special Programs for the Aging, Title III, Part B, Grants for Supportive Services and Senior Centers U.S. Department of Health and Human Services, Administration for Community Living 93.044 Pending Special Programs for the Aging, Title III, Part B, Grants for Supportive Services and Senior Centers U.S. Department of Health and Human Services, Administration for Community Living
ContractCommunity Services Agreement • May 30th, 2017 • Washington
COMMUNITY SERVICES AGREEMENT PHSKC Agreement # 1305 EHS This Agreement is between King County and the Recipient identified below. The Countydepartment overseeing the work to be performed in this Agreement is the Department of Public Health (PHSKC). RECIPIENT NAME City of Normandy Park RECIPIENT FEDERAL TAX ID # 91-6007022 RECIPIENT ADDRESS 801 SW 174th St., Normandy Park, WA 98166 RECIPIENT CONTACT & EMAIL ADDRESS Amanda Leon amandal@ci.normandy-park.wa.us PHSKC DIVISIONEHS PROJECT TITLELocal Hazardous Waste Management Program AGREEMENT START DATEJan 01 2017 AGREEMENT END DATEDec 31 2018 AGREEMENT MAXIMUM AMOUNT$48,629.35 FUNDING DETAILSFunding Source PHSKC Contract # Amount Effective DatesCounty NA $48,629.35 Jan 01 2017 TO Dec 31 2018 FUNDING SUMMARYFEDERAL: $0 COUNTY: $48,629.35 STATE: $0 OTHER: $0 IS THE RECIPIENT A SUBRECIPIENT FOR PURPOSES OF THIS AGREEMENT: No EXHIBITS. The following Exhibits are attached and are incorporated into this Agreement by reference: EXHIBIT A – S
ContractCommunity Services Agreement • June 21st, 2012
COMMUNITY SERVICES AGREEMENTCommunity Services Agreement • September 6th, 2019 • Arizona
THIS AGREEMENT is made and entered into this 12th day of September, 2019, by and between the TOWN OF PRESCOTT VALLEY, a municipal corporation of Arizona (hereinafter the “TOWN”), and ARIZONA CRISIS TEAM, INC., INC., (hereinafter “SERVICE PROVIDER”);
Sooke Region Chamber of CommerceCommunity Services Agreement • December 10th, 2015
In 2013, the District of Sooke (‘the District’) and the Sooke Region Chamber of Commerce (‘the Chamber’) entered into a Community Services Agreement for the purpose of providing the community with specific economic development services including:
COMMUNITY SERVICES AGREEMENTCommunity Services Agreement • September 9th, 2024
This Community Services Agreement (“Agreement”) is effective as of the date of the Mayor’s signature below and is between the City of Everett, a Washington municipal corporation (the “City”), and the person identified as Service Organization in the Basic Provisions below (“Service Organization”). This Agreement is for the purpose of the Service Organization providing services to the City pursuant to RCW 35.21.278 as set forth in this Agreement. This Agreement includes and incorporates the Basic Provisions, the attached General Provisions and the attached Scope of Work (Exhibit A).
COMMUNITY SERVICES AGREEMENT FISCAL YEAR 2011Community Services Agreement • June 23rd, 2010 • Illinois
This Community Services Agreement (“Agreement”) is by and between the Illinois Department of Human Services (hereinafter referred to as the “Department” or “DHS”), with its principal office at and (hereinafter referred to as the "Provider"), with its principal address at: .
Provider: FEIN: Program: DOC#: Contract Exception Requested (cite specific contract provision):Community Services Agreement • March 3rd, 2008 • Illinois
AMENDMENT TO COMMUNITY SERVICES AGREEMENTCommunity Services Agreement • September 9th, 2011 • Illinois
This Amendment to the FY12 Community Services Agreement (“Amendment”) is entered into between the Illinois Department of Human Services (“Department”) and (“Provider”). The Department and Provider are referred to herein collectively as “Parties” and individually as a “Party”.
FIRST AMENDMENT TO AGREEMENT DATED NOVEMBER 1, 2005 BETWEEN THE COUNTY OF MARIN AND HOMEWARD BOUND of MARINCommunity Services Agreement • April 6th, 2006
WHEREAS, County has engaged Contractor to provide temporary housing for 80 homeless men and women who are working on ending the cycle of homelessness and to provide supportive services to residents per the Agreement; and
