ContractInterlocal Data Share Agreement • November 13th, 2020 • Washington
INTERLOCAL DATASHARE AGREEMENTIntegrated Client Data Repository Authorization DSHS Agreement Number:2091-96717 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 NAMEDepartment of Children, Youth, and Families CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS1500 Jefferson St SE Olympia, WA 98504 WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) DSHS INDEX NUMBER 206397 CONTRACTOR CONTACTTammy Cordova CONTRACTOR TELEPHONE(360) 701-0211 CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESStammy.cordova@dcyf.wa.go v DSHS ADMINISTRATION Facilities, Finance and Analytics Administration DSHS DIVISION Research and Data Analysis DSHS CONTRACT CODE 8000DC-91 DSHS CONTACT NAME AND TITLE Barbara Lucenko Program Manager DSHS CONTACT ADDRESS1115 Washington St SE Olympia, WA 98504-520
