State Standard Agreement Sample Contracts

Contract
State Standard Agreement • March 17th, 2014

Health Insurance Counseling & Advocacy Program (HICAP) State Standard Agreement HI-1415-22 April 1, 2014 - June 30, 2015 State Fiscal Year 2013-14: April 1, 2014 - June 30, 2014 PROGRAM FEDERAL STATE TOTAL Provider: Council on Aging HICAP Fund 32,629 32,629 Reimbursement Fund 65,264 65,264 Federal SHIP Funds 56,639 56,639 Program Totals: 56,639 97,893 154,532 Office on Aging ADMINISTRATION Admin HICAP Fund 2,535 2,535 Admin Reimbursements (Ins. Fund) 5,071 5,071 Admin Federal SHIP Funds 6,294 6,294 Admin Totals: 6,294 7,606 13,900 TOTAL ALLOCATION FY 2013-14: 62,933 105,499 168,432 State Fiscal Year 2014-15: July 1, 2014 - June 30, 2015 PROGRAM FEDERAL STATE TOTAL Provider: Council on Aging HICAP Fund 130,515 130,515 Reimbursement Fund 261,057 261,057 Federal SHIP Funds 213,288 213,288 12 Month Program Totals: 213,288 391,572 604,860 Office on Aging ADMINISTRATION Admin HICAP Fund 10,140 10,140 Admin Reimbursements (Ins. F

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IFB DPR 3790-54-01
State Standard Agreement • April 23rd, 2021
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