Standard Contracts
Community Services Contract - Provider AgreementCommunity Services Contract • November 19th, 2024
Community Services Contract - Provider AgreementCommunity Services Contract • November 23rd, 2024
Community Services Contract - Provider AgreementCommunity Services Contract • February 8th, 2025
Community Services Contract - Provider AgreementCommunity Services Contract • November 18th, 2024
The Health and Human Services Commission ("HHSC") and the Contractor named in Section I (HHSC and Contractor may be referenced in this document collectively as the “Parties” and individually as the “Party") hereby enter into this Community Services Contract - Provider Agreement (the “Contract”) for the provision of services under the Contract type specified in Section I for the considerations set forth herein. The Contract Begin Date specified in Section I is not valid until this Contract is signed by both parties.
Community Services Contract - Provider AgreementCommunity Services Contract • November 29th, 2024
Community Services Contract - Provider AgreementCommunity Services Contract • February 14th, 2023
KING COUNTY COMMUNITY AND HUMAN SERVICES CONTRACT – 2019/2020Community Services Contract • September 9th, 2019 • Washington
FUNDING SOURCES FUNDING LEVELS EFFECTIVE DATES COUNTY Per published reimbursement schedule 7/01/19 – 6/30/20 FEDERALFederal Catalogue No. Per published reimbursement schedule 7/01/19 – 6/30/20 STATE Per published reimbursement schedule 7/01/19 – 6/30/20 STATE – DVR Per published reimbursement schedule 7/01/19 – 6/30/20 TOTAL Per published reimbursement schedule 7/01/19 – 6/30/20
KING COUNTY COMMUNITY AND HUMAN SERVICES CONTRACT EXAMPLECommunity Services Contract • September 15th, 2016 • Washington
WHEREAS, the County has been advised that the foregoing are the current funding sources, funding levels and effective dates, and
Community Services Contract - Provider AgreementCommunity Services Contract • January 21st, 2025
KING COUNTY COMMUNITY AND HUMAN SERVICES CONTRACT – 2019/2020Community Services Contract • September 9th, 2019 • Washington
FUNDING SOURCES FUNDING LEVELS EFFECTIVE DATES COUNTY Per published reimbursement schedule 7/01/19 – 6/30/20 FEDERALFederal Catalogue No. Per publishedreimbursement schedule 7/01/19 – 6/30/20 STATE Per published reimbursement schedule 7/01/19 – 6/30/20 STATE – DVR Per published reimbursement schedule 7/01/19 – 6/30/20 TOTAL Per published reimbursement schedule 7/01/19 – 6/30/20
This form is available in alternate formats for people with disabilities upon request.Community Services Contract • May 5th, 2020 • Washington
THIS CONTRACT is entered into by KING COUNTY (the “County”), and City of North Bend (the “Contractor”), whose address is PO Box 896,North Bend,Washington,98045 . The County department overseeing the work to be performed in this Contract is the Seattle-King County Department of Public Health (aka, Public Health - Seattle & King County, "PHSKC").
Community Services Contract - Provider AgreementCommunity Services Contract • January 30th, 2025
Community Services Contract - Provider AgreementCommunity Services Contract • June 9th, 2024
Community Services Contract - Provider AgreementCommunity Services Contract • April 12th, 2024
KING COUNTY COMMUNITY AND HUMAN SERVICES CONTRACT – 2021/2022Community Services Contract • July 19th, 2021 • Washington
FUNDING SOURCES FUNDING LEVELS EFFECTIVE DATES County and/or State Per published reimbursement schedule 7/1/2021 – 6/30-2023 Total Per published reimbursement schedule 7/1/2021 – 6/30-2023
Community Services Contract - Provider AgreementCommunity Services Contract • December 6th, 2024
Community Services Contract - Provider AgreementCommunity Services Contract • July 2nd, 2021
Community Services Contract - Provider AgreementCommunity Services Contract • November 16th, 2020
Community Services Contract- Provider AgreementCommunity Services Contract • March 31st, 2023
The Health and Human Services Commission ("HHSC") and the Contractor named in Section I (HHSC and Contractor may be referenced in this document collectively as the "Parties" and individually as the "Party") hereby enter into this Community Services Contract - Provider Agreement (the "Contract") for the provision of services under the Contract type specified in Section I for the considerations set forth herein. The Contract Begin Date specified in Section I is not valid until this Contract is signed by both parties.
KING COUNTY COMMUNITY AND HUMAN SERVICES CONTRACT – 2017/2018Community Services Contract • July 20th, 2017 • Washington
WHEREAS, the County has been advised that the foregoing are the current funding sources, funding levels and effective dates, and
Community Services Contract - Provider AgreementCommunity Services Contract • March 16th, 2022
The Health and Human Services Commission ("HHSC") and the Contractor named in Section I (HHSC and Contractor may be referenced in this document collectively as the "Parties" and individually as the "Party") hereby enter into this Community Services Contract - Provider Agreement (the "Contract") for the provision of services under the Contract type specified in Section I for the considerations set forth herein. The Contract Begin Date specified in Section I is not valid until this Contract is signed by both parties.
Community Services Contract - Provider AgreementCommunity Services Contract • January 24th, 2023
Name of Legal Entity (the “Contractor”)Amazing Home Care LLC Doing Business As (d/b/a) Name, if applicable Email Address of Contractor's Signature Authorityncubecatherine@hotmail.com Area Code and Telephone No.817-724-2576 Physical Address of Legal Entity (Street, City, State, ZIP Code)218 E Taylor Dr, Garland, TX 75040 Taxpayer ID. No. (EIN or SSN) 82-4331776 National Provider Identifier (NPI) or Atypical Provider Identifier (API)1972002640 Contract Effective Date (the "Begin Date")October 1, 2019 Contract Termination Date (the "End Date")March 31, 2022 Contract TypePrimary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS) Contract No.Contract HHS000004900903: Provider #: 001031191 Service Area(s) (Region, Catchment Area or Waiver Contract Area)Region 3 Service Codes17, 17C, 17D Component Code (HCS, TxHmL, CDS-HCS and CDS-TxHmL only)N/A
FEDERAL COMMUNITY SERVICES CONTRACT PHSKC Contract # $formula($contract_title1)Community Services Contract • October 1st, 2020 • Washington
This Contract is between King County and the Contractor identified below. The County department overseeing the work to be performed in this Contract is the Department of Public Health (PHSKC).
Community Services Contract - Provider AgreementCommunity Services Contract • November 26th, 2024
KING COUNTY COMMUNITY AND HUMAN SERVICES CONTRACT – 2017/2018Community Services Contract • July 20th, 2017 • Washington
WHEREAS, the County has been advised that the foregoing are the current funding sources, funding levels and effective dates, and
Community Services Contract - Provider AgreementCommunity Services Contract • March 7th, 2024
Community Services Contract - Provider AgreementCommunity Services Contract • July 22nd, 2022
KING COUNTY COMMUNITY AND HUMAN SERVICES CONTRACT – 2014Community Services Contract • May 19th, 2014
NOW THEREFORE, in consideration of payments, covenants, and agreements hereinafter mentioned, to be made and performed by the parties hereto, the parties covenant and do mutually agree as follows:
Community Services Contract - Provider AgreementCommunity Services Contract • September 10th, 2021
The Health and Human Services Commission ("HHSC') and the Contractor named In Section I (HHSC and Contractor may be referenced In this document collectively as the "Parties" and Individually as the "Party") hereby enter Into this Community Services Contract - Provider Agreement (the "Contract") for the provision of services under the Contract type specified In Stctlon I for the considerations set forth herein. The Contract Begin Dale specified In Saction I ls no! valid until this Contract is signed by both parties.
Community Services Contract - Provider AgreementCommunity Services Contract • October 10th, 2024
Community Services Contract - Provider AgreementCommunity Services Contract • June 18th, 2021
Community Services Contract - Provider AgreementCommunity Services Contract • April 2nd, 2024
Community Services Contract - Provider AgreementCommunity Services Contract • April 18th, 2023
caEmsaaitlriAndlddaraduhco@f gCmonetrail.coctmor's Slgnaturw Authority A83re2a-6C7o2d-664a an8d Tel&phona No. P33hy15sicBaul ri<AdedRrada,sSoufttLeag24al0E-8n,UtPya(sSatraeden�aC. iTtye,xSauis t7t7, ZI50P4C-1o8d2e5)
KING COUNTY COMMUNITY AND HUMAN SERVICES CONTRACT – 2019/2020Community Services Contract • November 14th, 2018 • Washington
WHEREAS, the County has been advised that the foregoing are the current funding sources, funding levels and effective dates, and
Community Services Contract - Provider AgreementCommunity Services Contract • July 9th, 2022
