ContractInterlocal Agreement Foster Care Assessment • December 29th, 2023 • Washington
INTERLOCAL AGREEMENT Foster Care Assessment Program (FCAP) DCYF Agreement Number:2365-49973 This Agreement is by and between the State of Washington Department of Children, Youth & Families (DCYF) and the Contractor identified below, and is issued pursuant to the InterlocalCooperation Act, chapter 39.34 RCW. Program Contract Number:1501Contractor Contract Number: CONTRACTOR NAME Harborview Medical Center CONTRACTOR doing business as (DBA) Harborview Abuse and Trauma Center CONTRACTOR ADDRESS 325 9th Avenue MS 359947Seattle, WA 98104 WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) 578-037-394 DCYF INDEX NUMBER 1145 CONTRACTOR CONTACT George Gonzalez CONTRACTOR TELEPHONE 206-744-1633 CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS goko@uw.edu DCYF ADMINISTRATION Department of Children, Youth, and Families DCYF DIVISION Children, Youth and Families DCYF CONTRACT CODE 2000LC-65 DCYF CONTACT NAME AND TITLE Melissa Cox Contract Specialist DCYF CONTACT ADDRESS1110 Jefferson St SE Olympia, WA 98501 DCY
