Social Services Sample Contracts

AGREEMENT BETWEEN
Social Services • March 4th, 2019 • Texas

This Agreement is made by and between the City of Austin (“City”) acting by and through its Austin Public Health (“APH”), a home-rule municipality incorporated by the State of Texas, and (“Grantee”), a Texas non-profit corporation, having offices at .

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DAVIDSON COUNTY DEPARTMENT OF SOCIAL SERVICES Contract with
Social Services • August 3rd, 2021 • North Carolina
CHILD CARE PROVIDER AGREEMENT (LICENSED) CHECKLIST
Social Services • June 15th, 2020

NOTE: THIS AGREEMENT SHOULD ONLY BE COMPLETED BY PROVIDERS LICENSED BY THE DEPARTMENT OF HEALTH AND SENIOR SERVICES (DHSS). PROVIDERS THAT ARE NOT LICENSED BY DHSS WILL NEED TO REQUEST A REGISTRATION AGREEMENT PACKET BY EMAILING CD.ASKECPS@DSS.MO.GOV OR CALLING (573) 526-3011.

Contract with
Social Services • August 10th, 2023 • North Carolina

This contract is hereby entered into by and between Davidson County on behalf of its Social Services Agency also known as the Davidson County Department of Social Services (the "County”) and Laboratory Corporation of America Holdings (the "Contractor") (referred to collectively as the “Parties”). The Contractor’s federal tax identification number is 13-3757370.

Kevin S. Settlement and Implementation
Social Services • September 23rd, 2021

The Kevin S. settlement is a groundbreaking agreement that brings together foster youth, child advocates, nationally recognized experts, and New Mexico’s Children, Youth and Families Department (CYFD) and Human Services Department (HSD) to transform the State’s child welfare system

Contract with
Social Services • August 8th, 2022 • North Carolina

This contract is hereby entered into by and between Davidson County on behalf of its Social Services Agency also known as the Davidson County Department of Social Services (the "County”) and Laboratory Corporation of America Holdings (the "Contractor") (referred to collectively as the “Parties”). The Contractor’s federal tax identification number is 13-3757370.

WORKFORCE INNOVATION AND OPPORTUNITY ACT SERVICES AND
Social Services • June 3rd, 2019 • California

This contract, entered into by and between the County of San Luis Obispo, a public entity in the State of California, (hereafter “County”) and Eckerd Youth Alternatives, Inc, a commercial organization in the State of California as a subrecipient of Workforce Innovation and Opportunity Act (WIOA) funds (hereafter “Contractor”).

SECURITY AGREEMENT
Social Services • January 29th, 2014

THIS AGREEMENT is among the Suffolk County Department of Social Services (“SCDSS”), a county social services district of the State of New York, having its principal offices at 3085 Veterans Memorial Highway, Ronkonkoma, New York, 11779, and

SHOW-ME HOME PARTICIPATION AGREEMENT
Social Services • September 20th, 2011

PARTICIPANT NAME MO HEALTHNET NUMBER COUNTY OF RESIDENCE SUMMARY Show-Me Home, Missouri’s Money Follows the Person program, is designed to assist individuals who wish to transition from institutions into the community. The Money Follows the Person (MFP) demonstration supports state efforts for rebalancing their long-term services and supports system so that individuals have a choice of where they live and receive services. The Show-Me Home program’s intent is to eliminate barriers to receiving services and to ensure delivery of quality services. AGREEMENT I understand that I must be eligible for MO HealthNet in order to participate in Show-Me Home. I understand that my participation in Show-Me Home is for a period of one year from the date of my transition into the community. My home and community based services (HCBS) will continue uninterrupted and without reduction following the demonstration period, as long as there is a continued need and all eligibility requirements are met. I

MEMORANDUM OF UNDERSTANDING BETWEEN CALIFORNIA AUTOMATED CONSORTIUM ELIGIBILITY SYSTEM AND CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
Social Services • August 10th, 2018

This Memorandum of Understanding (MOU) is entered into by and between the State of California Department of Social Services (CDSS) and the California Automated Consortium Eligibility System (CalACES) as of July 1, 2018. The CDSS and CalACES may be referred to herein as Party and collectively as Parties.

LAST, BEST AND FINAL OFFER A BETWEEN
Social Services • January 13th, 2012

This Memorandum of Understanding (MOU) is entered into pursuant to the authority contained in Division 34 of the Contra Costa County Board of Supervisors’ Resolution 81/1165 and has been jointly prepared by the parties.

MEMORANDUM OF UNDERSTANDING BETWEEN SOCIAL SERVICES AGENCY AND ORANGEWOOD CHILDREN’S FOUNDATION
Social Services • January 14th, 2021

This Memorandum of Understanding (MOU) is between the County of Orange (COUNTY), a political subdivision of the State of California, through its Social Services Agency, hereinafter referred to as “SSA” and the Orangewood Children’s Foundation, a California non-profit corporation hereinafter referred to as “OCF.” SSA and OCF may be referred to individually as “Party” and collectively as “the Parties.” This MOU contains guidelines for services to be mutually provided by OCF and SSA.

VENDOR AGREEMENT AND AUTHORIZATION FOR PSYCHOLOGICAL SERVICES
Social Services • February 19th, 2007
Contract with
Social Services • July 19th, 2024 • North Carolina

This contract is hereby entered into by and between Davidson County on behalf of its Social Services Agency also known as the Davidson County Department of Social Services (the "County”) and Information Inc (the "Contractor") (referred to collectively as the “Parties”). The Contractor’s federal tax identification number is 20-2821493

Contract with
Social Services • June 21st, 2024

This contract is hereby entered into by and between Davidson County on behalf of its Social Services Agency also known as the Davidson County Department of Social Services (the "County”) and Tri-Care, PA (the "Contractor") (referred to collectively as the “Parties”). The Contractor’s federal tax identification number or Social Security Number is 56-2037926.

STIRLING COUNCIL – SOCIAL SERVICES FOSTER CARER AGREEMENT
Social Services • February 21st, 2020

This Agreement is to be signed jointly by a Manager on behalf of Stirling Council Social Services and the Foster Carer(s) following registration.

AND
Social Services • November 22nd, 2021
Contract with
Social Services • July 9th, 2024 • North Carolina

This contract is hereby entered into by and between Davidson County on behalf of its Social Services Agency also known as the Davidson County Department of Social Services (the "County”) and Hope for the Future, Inc. (the "Contractor") (referred to collectively as the “Parties”). The Contractor’s federal tax identification number is 20-5252407 and DUNS Number is 003846455.

Contract with William Gilleland VITA Coordinator
Social Services • July 13th, 2021 • North Carolina

This contract is hereby entered into by and between the Davidson County Department of Social Services (the "County") and William Gilleland (the "Contractor") (referred to collectively as the “Parties”). The Contractor’s SSAN is 256-72- 7233.

DIRECT RENT AGREEMENT
Social Services • July 20th, 2009

In consideration of the payments to be made by the Jefferson County Department of Social Services (hereinafter referred to as the “Department”), located at 250 Arsenal Street, Watertown, New York, regarding the “Premises” located at , (hereinafter referred to as the “Landlord”) located at , and (hereinafter referred to as the “Tenant”) located at , the Tenant and Landlord agree as follows:

DEPARTMENT OF PUBLIC SOCIAL SERVICES
Social Services • July 6th, 2006 • California

This Contract and Exhibits are made and entered into this day of , 2006 by and between the County of Los Angeles hereinafter referred to as County and Weingart Center Association, hereinafter referred to as "Contractor". Weingart Center Association is located at 566 South San Pedro Street, CA 90013.

CHILD CARE PROVIDER AGREEMENT (LICENSED) CHECKLIST
Social Services • December 7th, 2017

NOTE: THIS AGREEMENT SHOULD ONLY BE COMPLETED BY PROVIDERS LICENSED BY THE DEPARTMENT OF HEALTH AND SENIOR SERVICES (DHSS). PROVIDERS THAT ARE NOT LICENSED BY DHSS WILL NEED TO REQUEST A REGISTRATION AGREEMENT PACKET BY EMAILING CD.ASKECPS@DSS.MO.GOV OR CALLING (573) 526-3011.

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DAVIDSON COUNTY DEPARTMENT OF SOCIAL SERVICES Contract with THE LIFE CENTER OF DAVIDSON COUNTY, INC. Adult Day Care and Day Health Services
Social Services • October 22nd, 2024 • North Carolina

This contract is hereby entered into by and between Davidson County on behalf of its Social Services Agency also known as the Davidson County Department of Social Services (the "County”) and The Life Center of Davidson County, Inc. (the "Contractor") (referred to collectively as the “Parties”). The Contractor’s federal tax identification number is 58- 1781761; DUNS Number is 199339052.

DAVIDSON COUNTY DEPARTMENT OF SOCIAL SERVICES Contract with THE LIFE CENTER OF DAVIDSON COUNTY, INC. Adult Day Care and Day Health Services
Social Services • August 1st, 2023 • North Carolina

This contract is hereby entered into by and between Davidson County on behalf of its Social Services Agency also known as the Davidson County Department of Social Services (the "County”) and The Life Center of Davidson County, Inc. (the "Contractor") (referred to collectively as the “Parties”). The Contractor’s federal tax identification number is 58- 1781761; DUNS Number is 199339052.

NURSING FACILITY ENROLLMENT AGREEMENT
Social Services • April 10th, 2012

(hereinafter “Provider”), wishes to participate in the Connecticut Medical Assistance Program and, therefore, represents and agrees as follows:

STATE OF ALASKA DEPARTMENT OF HEALTH & SOCIAL SERVICES HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 ("HIPAA") BUSINESS ASSOCIATE AGREEMENT
Social Services • January 12th, 2021

This HIPAA Business Associate Agreement is between the State of Alaska, Department of Health and Social Services (“Business Associate” or “BA”) and [HOSPITAL] (“Covered Entity” or “CE”).

HOLIDAY CONSENT FORM
Social Services • February 26th, 2020

Clackmannanshire Council is the data controller for your personal information and will deal with it in line with UK and European Data Protection laws. You can find our full privacy notice on the Clackmannanshire Council website (www.clacks.gov.uk) or you can request a copy from Child Care Services on 01259 225000.

DEPARTMENT OF SOCIAL SERVICES
Social Services • January 9th, 2020
SOCIAL SERVICES BLOCK GRANT – CFDA 93.667 TITLE XX GRANT AGREEMENT
Social Services • July 28th, 2021

This Grant Agreement (the “Agreement”) is entered into by and between the County Board of Developmental Disabilities (hereinafter “Subrecipient” as defined in 2 C.F.R. §200.1) and the Ohio Department of Developmental Disabilities (hereinafter “Department”), collectively referred to as the “parties.”

Contract with
Social Services • July 16th, 2021

This contract is hereby entered into by and between the Davidson County Department of Social Services (the "County") and Tri- Care, PA (the "Contractor") (referred to collectively as the “Parties”). The Contractor’s federal tax identification number or Social Security Number is 56-2037926.

RECOMMENDED PROCEDURES FOR LOCAL AGREEMENTS BETWEEN SCHOOL DIVISIONS AND LOCAL DEPARTMENTS OF SOCIAL SERVICES
Social Services • August 31st, 2020

The following model agreement has been developed by the Virginia Department of Education (VDOE) and the Virginia Department of Social Services (VDSS) with participation from school divisions and local departments of social services. This model offers recommended procedures to ensure the coordinated response to reports of child abuse and neglect that come to the attention of public school personnel.

LANDLORD SECURITY AGREEMENT
Social Services • February 1st, 2019

THIS AGREEMENT, made the _____day of ________________, 20____, by and between Cayuga County Department of Social Services located at 160 Genesee, Auburn, NY 13021 (hereinafter “Department”) and

WORKFORCE INNOVATION AND OPPORTUNITY ACT SERVICES AND
Social Services • June 27th, 2019 • California

This contract, entered into by and between the County of San Luis Obispo, a public entity in the State of California, (hereafter “County”) and Eckerd Youth Alternatives, Inc, a commercial organization in the State of California as a subrecipient of U.S. Workforce Innovation and Opportunity Act (WIOA) funds (hereafter “Contractor”).

Kevin S. Settlement and Implementation
Social Services • September 23rd, 2021

The Kevin S. settlement is a groundbreaking agreement that brings together foster youth, child advocates, nationally recognized experts, and New Mexico’s Children, Youth and Families Department (CYFD) and Human Services Department (HSD) to transform the State’s child welfare system

SOCIAL SERVICES BLOCK GRANT – CFDA 93.667 TITLE XX GRANT AGREEMENT
Social Services • July 19th, 2019

This Grant Agreement (the “Agreement”) is entered into by and between the County Board of Developmental Disabilities (hereinafter “Grantee”) and the Ohio Department of Developmental Disabilities (hereinafter “Department”), collectively referred to as the “parties.”

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