ContractInterlocal Agreement School Education • December 3rd, 2010 • Washington
INTERLOCAL AGREEMENT School Education Program DSHS Agreement Number:1065-11032 This Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the Contractor identified below, and is issued pursuant to the Interlocal Cooperation Act, chapter39.34 RCW. Program Contract Number: Contractor Contract Number: CONTRACTOR NAME Issaquah School District CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS565 NW Holly Street Issaquah, WA 98027-2899 WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) DSHS INDEX NUMBER 28487 CONTRACTOR CONTACT Steve Rasmussen CONTRACTOR TELEPHONE (425) 837-7002 Ext: CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS DSHS ADMINISTRATION Juvenile Rehabilitation DSHS DIVISION Division of Institution Programs DSHS CONTRACT CODE 5900LC-65 DSHS CONTACT NAME AND TITLE Lori Jean Parker Business Manager DSHS CONTACT ADDRESS33010 S.E. 99th Street Snoqualmie, WA 98065- DSHS CONTACT TELEPHONE (425) 831-2706 Ext: DSHS CONTACT FAX (425) 831-2720 D
