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Services Contract Dda Evaluator Services • June 26th, 2024 • Washington

SERVICES CONTRACT DDA Evaluator Services DSHS Contract Number: Resulting From Procurement Number:2434-846 This Contract is between the state of Washington Department of Socialand Health Services (DSHS) and the Contractor identified below, and is governed by chapter 39.26 RCW. Program Contract Number: Contractor Contract Number: CONTRACTOR NAME 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 Admin DSHS DIVISIONDivision of Developmental Disabilities DSHS CONTRACT CODE1900PC-35 DSHS CONTACT NAME AND TITLELori Gianetto-Bare Manager DSHS CONTACT ADDRESS1009 College St Lacey, WA 98503 DSHS CONTACT TELEPHONE(360)407-1565 DSHS CONTACT FAXClick here to enter text. DSHS CONTACT E-MAIL ADDRESSlori.bare@dshs.wa.gov IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT?No ASSISTANCE LISTING NUMBER

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