County Program Agreement Sample Contracts

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County Program Agreement • August 8th, 2024
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County Program Agreement • February 6th, 2023

COUNTY PROGRAM AGREEMENTWorkFirst Children with Special Needs DSHS Agreement Number 2363-46789 This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below, and is issued in conjunction with a County and DSHS Agreement On General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number County Agreement Number DSHS ADMINISTRATIONEconomic Services Administration DSHS DIVISIONCommunity Services Division DSHS INDEX NUMBER1065 DSHS CONTRACT CODE3003CS-63 DSHS CONTACT NAME AND TITLEAnne CervantesRegional WorkFirst Coordinator DSHS CONTACT ADDRESS840 N. Broadway Suite 200 Everett, WA 98201 DSHS CONTACT TELEPHONE(206) 402-2560 DSHS CONTACT FAXClick here to enter text. DSHS CONTACT E-MAILanne.cervantes@dshs.wa.gov COUNTY NAMESnohomish CountySnohomish County Health Department COUNTY ADDRESS3020 Rucker Ave Suite 203Everett, WA 98201 COUNTY CONTACT NAMEKatie Curtis COU

COUNTY PROGRAM AGREEMENT AMENDMENTDDD County Services DSHS Agreement Number 2163-24991 Amendment No. 02 This Program Agreement Amendment is by and between the State of Washington Department of Social and Health Services (DSHS) and the County...
County Program Agreement • March 7th, 2023

This Program Agreement between the County and the State of Washington Department of Social and Health Services (DSHS) is hereby amended as follows:

Contract
County Program Agreement • July 26th, 2017

COUNTY PROGRAM AGREEMENTDDA County Services DSHS Agreement Number Click here to enter text. This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below, and is issued in conjunction with a County and DSHS Agreement On General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number Click here to enter text.County Agreement Number DSHS ADMINISTRATION Click here to enter text. DSHS DIVISION Click here to enter text. DSHS INDEX NUMBER Click here to enter text. DSHS CONTRACT CODE Click here to enter text. DSHS CONTACT NAME AND TITLE Click here to enter text. Click here to enter text. DSHS CONTACT ADDRESS Click here to enter text.Click here to enter text., Click here to enter text. Click here to enter text. DSHS CONTACT TELEPHONEClick here to enter text. DSHS CONTACT FAXClick here to enter text. DSHS CONTACT E-MAILClick here to enter text. COUNTY NAME Click her

Ephrata, WA 98823 RE: Signature for DSHS Agreement Number: 2363-48961 Dear Board of County Commissioners:
County Program Agreement • June 21st, 2023

Purpose: The purpose of this Contract is to provide community based advocacy services for victims of domestic violence as well as domestic violence shelter services in Grant and Adams Counties. (This is a regular renewing contract.)

County Program Agreement # T01-180-22 Between The Salvation Army and
County Program Agreement • October 14th, 2022

This agreement is between Lewis County and the Salvation Army to provide county-wide Coordinated Entry and homeless prevention services in Lewis County. These services are part of Lewis County Public Health & Social Services five-year housing and homeless strategic plan to reduce the number of unhoused persons in Lewis County.

Contract
County Program Agreement • June 15th, 2023

COUNTY PROGRAM AGREEMENTRefugee Health Screening DSHS Agreement Number 2363-46782 This Program Agreement is by and between the State of WashingtonDepartment of Social and Health Services (DSHS) and the County identified below, and is issued in conjunction with a County and DSHS Agreement On General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number County Agreement Number 1783-86629 DSHS ADMINISTRATIONEconomic Services Administration DSHS DIVISIONCommunity Services Division DSHS INDEX NUMBER1065 DSHS CONTRACT CODE3000CC-63 DSHS CONTACT NAME AND TITLECathy Vue Program Manager DSHS CONTACT ADDRESS1700 E Cherry Street Seattle, WA 98122 DSHS CONTACT TELEPHONE(206)568-5597 DSHS CONTACT FAXClick here to enter text. DSHS CONTACT E-MAILvuec@dshs.wa.gov COUNTY NAMESnohomish CountySnohomish County Health Department COUNTY ADDRESS3020 Rucker Ave Suite 203 Everett, WA 98201 COUNTY FEDERAL EMPLOYER IDENTIFICATION NUMBER COUNTY CONTACT NAMEKatie Cur

COUNTY PROGRAM AGREEMENT AMENDMENT DSHS Agreement Number Amendment No. 02 This Program Agreement Amendment is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below. Administration or...
County Program Agreement • July 19th, 2024

This Program Agreement between the County and the State of Washington Department of Social and Health Services (DSHS) is hereby amended as follows:

County Program Agreement # H02-0175-22 Between Housing Resource Center and Lewis County Public Health & Social Services
County Program Agreement • August 4th, 2022

This agreement is between Lewis County and Housing Resource Center to provide emergency shelter services to Lewis County community members who:

Contract
County Program Agreement • January 10th, 2023

COUNTYPROGRAM AGREEMENTDDA County Services DSHS Agreement Number Click here to enter text. This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below, and is issued in conjunction with a County and DSHS Agreement On General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number Click here to enter text.County Agreement Number DSHS ADMINISTRATION Click here to enter text. DSHS DIVISION Click here to enter text. DSHS INDEX NUMBER Click here to enter text. DSHS CONTRACT CODE Click here to enter text. DSHS CONTACT NAME AND TITLE Click here to enter text. Click here to enter text. DSHS CONTACT ADDRESS Click here to enter text.Click here to enter text., Click here to enter text. Click here to enter text. DSHS CONTACT TELEPHONEClick here to enter text. DSHS CONTACT FAXClick here to enter text. DSHS CONTACT E-MAILClick here to enter text. COUNTY NAME Click here

Executive Summary Amendment #1
County Program Agreement • January 4th, 2024

The Washington State Department of Social & Health Services, Developmental Disabilities Administration contracts with Lewis County to administer funding for developmental disabilities services, including supported employment, community inclusion, child development services, county administration, training, and community education activities. The purpose of this amendment is to add funds to support the delivery of supported employment and community inclusion services.

COUNTY PROGRAM AGREEMENT AMENDMENT DSHS Agreement Number 2163-23564 Amendment No. 01 This Program Agreement Amendment is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below....
County Program Agreement • April 11th, 2022

This Program Agreement between the County and the State of Washington Department of Social and Health Services (DSHS) is hereby amended as follows:

County Program Agreement # H02-0175-22 A
County Program Agreement • October 13th, 2022

This agreement is between Lewis County and Housing Resource Center to provide emergency shelter services to Lewis County community members who:

Contract
County Program Agreement • August 5th, 2021

COUNTY PROGRAM AGREEMENTWorking Advance Long-Term Payable DSHS Agreement Number 2163-23594 This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below, and is issued in conjunction with a County and DSHS Agreement On General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number County Agreement Number DSHS ADMINISTRATION Facilities, Finance and Analytics Administration DSHS DIVISION Financial Services DSHS INDEX NUMBER 1231 DSHS CONTRACT CODE 8030CS-63 DSHS CONTACT NAME AND TITLE Rebecca Doane Office Chief DSHS CONTACT ADDRESS PO Box 45842 Olympia WA 98504-5842 DSHS CONTACT TELEPHONE(360)763-2977 DSHS CONTACT FAXClick here to enter text. DSHS CONTACT E-MAILrebecca.doane@dshs.wa.gov COUNTY NAME Pacific County COUNTY ADDRESS 1216 West Robert Bush Drive Post Office Box 26South Bend WA 98586 COUNTY CONTACT NAME Katie Oien-Lindstrom COUNTY CONTACT TELEPHONE(

County Program Agreement #2363-48919 between
County Program Agreement • July 6th, 2023

Department of Social & Health Services, Developmental Disabilities Administration contracts with Lewis County to administer funding for developmental disabilities services. Lewis County Public Health & Social Services subcontracts with local agencies to provide supported employment, community inclusion, and child development services for individuals with developmental disabilities who reside in Lewis County. This contract also includes funding for administration, training and community education activities.

County Program Agreement # G03-0112-22 A
County Program Agreement • August 17th, 2022

This agreement is between Lewis County and Gather Church to provide coordinated entry and homeless prevention services in Lewis County. These services are part of Lewis County Public Health & Social Services five-year housing and homeless strategic plan to reduce the number of unhoused persons in Lewis County.

Contract
County Program Agreement • June 28th, 2017

COUNTY PROGRAM AGREEMENTConsolidated Contract FY18-19 DSHS Agreement Number 1763-96341 This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below, and is issued in conjunction with a County and DSHS Agreement On General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number County Agreement Number DSHS ADMINISTRATION Rehabilitation Administration DSHS DIVISION Division of Community Programs DSHS INDEX NUMBER 1225 CCS CONTRACT CODE 5024CS-63 DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS Barbara Kraemer FA5 OB 2PO Box 45720Olympia, WA 98504 DSHS CONTACT TELEPHONE (360)902-0765 DSHS CONTACT FAX (360)902-8108 DSHS CONTACT E-MAIL kraembj@dshs.wa.gov COUNTY NAME COUNTY DBA COUNTY ADDRESS Kittitas County Rm 211 Kittitas Co Courthouse 205 W Fifth St Ellensburg, WA 98926 COUNTY UNIFORM BUSINESS IDENTIFIER (UBI) 192-002-673 COUNTY CONTACT NAME Michael

Contract
County Program Agreement • July 14th, 2011

COUNTY PROGRAM AGREEMENTDDD County Services DSHS Agreement Number 1163-32398 This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below, and is issued in conjunction with a County and DSHS Agreement On General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number County Agreement Number DSHS ADMINISTRATION Aging and Disability Services Administration DSHS DIVISION Division of Developmental Disabilities DSHS INDEX NUMBER 1231 DSHS CONTRACT CODE 1769CS-63 DSHS CONTACT NAME AND TITLE Wendi WinchelRegional Business Manager DSHS CONTACT ADDRESS PO BOX 45315 Olympia, WA 98504 DSHS CONTACT TELEPHONE(360) 725-4264 DSHS CONTACT FAX(360) 586-6502 DSHS CONTACT E-MAILwinchwa@dshs.wa.gov COUNTY NAME Pacific County COUNTY ADDRESS PO Box 26 South Bend, WA 98586- COUNTY FEDERAL EMPLOYER IDENTIFICATION NUMBER 916001356 COUNTY CONTACT NAME Kathy Spoor COUNTY CONTACT TEL

Contract
County Program Agreement • May 5th, 2020

COUNTY PROGRAM AGREEMENTPrevention Services DSHS Agreement Number 1763-94259 This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below, and is issued in conjunction with a County and DSHS Agreement On General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number County Agreement Number DSHS ADMINISTRATION Behavioral Health Administration DSHS DIVISION Division of Behavioral Health and Recovery DSHS INDEX NUMBER 1227 DSHS CONTRACT CODE 1644CS-63 DSHS CONTACT NAME AND TITLE Julia Havens Manager DSHS CONTACT ADDRESS 4500 10th Avenue SE Lacey, WA 98503 DSHS CONTACT TELEPHONE(509)220-4752 DSHS CONTACT FAX DSHS CONTACT E-MAILgreesjr@dshs.wa.gov COUNTY NAME Lewis County COUNTY ADDRESS 360 NW North St Chehalis, WA 98532 COUNTY FEDERAL EMPLOYER IDENTIFICATION NUMBER COUNTY CONTACT NAME Danette York COUNTY CONTACT TELEPHONE(360) 740-2774 COUNTY CONTACT FAX COUN

Contract
County Program Agreement • August 20th, 2021

COUNTY PROGRAM AGREEMENTWorking Advance Long-Term Payable DSHS Agreement Number 1963-56844 This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below, and is issued in conjunction with a County and DSHS Agreement On General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number County Agreement Number DSHS ADMINISTRATION Facilities, Finance and Analytics Administration DSHS DIVISION Financial Services DSHS INDEX NUMBER 1136 DSHS CONTRACT CODE 8030CS-63 DSHS CONTACT NAME AND TITLE Mariann Schols Manager, Finance DSHS CONTACT ADDRESS PO Box 45842 Olympia WA 98504-5842 DSHS CONTACT TELEPHONE(360)902-8170 DSHS CONTACT FAX(360)664-5775 DSHS CONTACT E-MAILscholmj@dshs.wa.gov COUNTY NAME Cowlitz County COUNTY ADDRESS Cowlitz County Human Services Department 1952 9th AvenueLongview WA 98632 COUNTY CONTACT NAME Jamie Hopps COUNTY CONTACT TELEPHONE(360) 501-1222

COUNTY PROGRAM AGREEMENT AMENDMENT DSHS Agreement Number 2363-48919 Amendment No. 02 This Program Agreement Amendment is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below....
County Program Agreement • July 1st, 2024

This Program Agreement between the County and the State of Washington Department of Social and Health Services (DSHS) is hereby amended as follows:

COUNTY PROGRAM AGREEMENT Pre-Employment Transition Services DSHS Agreement Number 2263-60179
County Program Agreement • November 23rd, 2022

This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below, and is issued in conjunction with a County and DSHS Agreement On General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number County Agreement Number  

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County Program Agreement #SWMLSWFA-2023-LCPHSS-00161 Between
County Program Agreement • August 11th, 2023

This agreement between The State of Washington, Department of Ecology and Lewis County Public Health and Social Services provides funding to Lewis County to protect human health and the environment by monitoring solid waste handling facilities/sites for compliance, including permitting inspections and oversight, and by investigating solid waste-related complaints, including providing technical assistance, education, and violation prevention.

COUNTY PROGRAM AGREEMENT AMENDMENT DSHS Agreement Number 2363-48919 Amendment No. 01 This Program Agreement Amendment is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below....
County Program Agreement • December 5th, 2023

This Program Agreement between the County and the State of Washington Department of Social and Health Services (DSHS) is hereby amended as follows:

Contract
County Program Agreement • August 23rd, 2011

COUNTY PROGRAM AGREEMENTConsolidated Contract Continuation DSHS Agreement Number 1163-33522 This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below, and is issued in conjunction with a County and DSHS Agreement OnGeneral Terms and Conditions, which is incorporated by reference. Administration or Division Agreement NumberCounty Agreement Number DSHS ADMINISTRATION DSHS DIVISION Division of Community Programs DSHS INDEX NUMBER 1225 DSHS CONTRACT CODE 5000CC-63 DSHS CONTACT NAME AND TITLE Barbara Kraemer Business Manager DSHS CONTACT ADDRESS 720 Sleater Kinney Rd SE, Ste.RP.O. Box 45721Olympia, WA 98504-5721 DSHS CONTACT TELEPHONE(360) 486-2241 Ext: DSHS CONTACT FAX(360) 407-7284 DSHS CONTACT E-MAILkraembj@dshs.wa.gov COUNTY NAME Kittitas County COUNTY ADDRESS Kittitas County Juvenile Court 205 West 5th Ave., Suite 211Ellensburg, WA 98926-2887 COUNTY FEDERAL EMPLOYER IDENTIFICATION NUMBER 916001349

County Program Agreement Amendment Between Lewis County Veterans Memorial Museum and
County Program Agreement • February 13th, 2023

This amendment between Lewis County and Lewis County Veterans Memorial Museum to extend the duration of the agreement and update scope of work. The program will provide peer-based mental health services, resources, and community to Veterans in Lewis County.

County Program Agreement # H02-0197-23 Between Housing Resource Center and Lewis County Public Health & Social Services
County Program Agreement • July 20th, 2023

This agreement is between Lewis County and Housing Resource Center to provide up to 48 Emergency Shelter beds, along with supportive services to Lewis County community members who:

County Program Agreement #2363-48919 Amendment #2 between
County Program Agreement • August 1st, 2024

The Washington State Department of Social & Health Services, Developmental Disabilities Administration contracts with Lewis County to administer funding for developmental disabilities services, including supported employment, community inclusion, child development services, county administration, training, and community education activities.

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