Signature and Cover Page Sample Contracts

SIGNATURE AND COVER PAGE
Signature and Cover Page • May 26th, 2023

State AgencyColorado Department of Labor and Employment, Original Agreement NumberCMS 105074 The Local AreaWorkforce Boulder County Amendment Agreement NumberInsert CMS number or Other Agreement Number of this Amendment Current Agreement Maximum AmountInitial TermState Fiscal Year 20xx $0.00Extension TermsState Fiscal Year 20xx $0.00State Fiscal Year 20xx $0.00State Fiscal Year 20xx $0.00State Fiscal Year 20xx $0.00Total for All State Fiscal Years $0.00 Agreement Performance Beginning DateJuly 1, 2023 Current Agreement Expiration DateJune 30, 2024

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