ContractIt Services Contract Electronic • April 5th, 2021 • Washington
IT SERVICES CONTRACTElectronic Medical Records System for Residential Habilitation Centers DSHS Contract Number:SAMPLE CONTRACT Resulting From Competition Number: RFP #2123-771Competition Exempt Sole Source This Contract is between the State of Washington Department of Social and Health Services (DSHS) and the Contractor identified below, and is governed by chapter 43.19 and 43.105 RCW. Contractor Contract Number: CONTRACTOR NAME RFP Note: The Apparent Successful Bidder’s details will go here. CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) DSHS INDEX NUMBER CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS DSHS ADMINISTRATIONDevelopmental Disabilities Administration DSHS DIVISIONResidential Habilitation Centers DSHS CONTRACT CODE DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL ADDRESS IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONT
