Lead Delegated Authority Provider Agreement Sample Contracts

OHIO DEPARTMENT OF HEALTH LEAD DELEGATED AUTHORITY PROVIDER AGREEMENT
Lead Delegated Authority Provider Agreement • October 1st, 2021 • Ohio

Ohio Department of Health (“ODH”) AND Lorain County Public Health (“Designee”) Bureau of Environmental Health and Radiation Protection, Public Health Lead Investigation Program 9880 South Murray Ridge Rd., Elyria, Ohio 44035 Pam Blais, Sanitarian Program Administrator (“ODH Agreement Manager”) Dave Covell, MPH, RS, Health Commissioner (“Authorized Representative”) 246 North High Street, Columbus, OH 43215 dcovell@loraincountyhealth.com 614-728-3105 440-322-6367 pam.blais@odh.ohio.gov OAKS ID # 00000102357-13

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