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Fully Executed Agreement (2)
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2026-07-07 10:00 AM - Commissioners' Agenda
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Fully Executed Agreement (2)
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Last modified
8/11/2026 9:11:31 AM
Creation date
8/11/2026 9:11:05 AM
Metadata
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Template:
Meeting
Date
7/7/2026
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Item
Request to Approve the DSHS/DVR School to Work Direct Service Pilot Contract
Order
13
Placement
Consent Agenda
Row ID
146084
Type
Agreement
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SPecial Terms and Conditions <br />(2) Job Stabilization: Paid upon receipt of.a.school-to-work Billing checklist and a written <br />report in the Student buiO". The total billable amount for this activity is $5'000 per <br />Student. <br />10. Billing and PaYment <br />successfully served by this Contract <br />this Contract. <br />c, <br />11. lnsurance ' Self'lnsured <br />a <br />a. <br />The Contractor shall submit no less than three (3) separate original school-to-Work Billing <br />Checklists to tne assigilJ bVC Vo""tional Reha'bilitation Counselor for each Student who is <br />(1) At a minimum, one School-to-Work Billing Checklist per phase as outlined in Section 5, <br />Statement of Work' <br />(2) School-to-work Billing checklists may olry!9 submitted to DVR upon the successful <br />completion of an activity outlined in the SDOP' <br />(3) Schoolto-work Billing checklists must be submitted within sixty (60) days of service(s) <br />having ".*""0 "|" <br />witnin sixty (60) days of the completion of each phase' <br />b. payment shall be considered timely if made by DSHS within.thirty (30) days after receipt and <br />acceptance by the designated DvR counslroi of the properly completed school-to-work Billing <br />Checklist. p.Vr"nirnait Oe sent to tfre aOJiess designaied by the Contractor on page one (1) of <br />DSHSmayatitssolediscretion,withholdpaymentclaimedbythecontractorforservicesrendered <br />if the Contractor fails to satisfactory comply *itn ,ny term or iondition of this Contract' <br />b <br />DSHS certifies that it is self-insured under the state's self-insurance liability program' as provided <br />by RCW 4.92.130, "nJ <br />tn"tt pay for losses for which it is found liable' <br />The contractor certifies, by checking the appropriate box below, initialing to the left of the box <br />selected, and signing this Agreement, that: <br />(1) ITheContractorisself-insuredorinsuredthroughariskpoolandshallpayforlosses <br />for which it is found liable; or <br />(2) n The Contractor maintains the types and amounts,of insurance identified below and <br />shall, prioi to it u "*u"rtion <br />of tnis'Agreement by DSHS, provide certificates of <br />insurancetothateffecttotheDSHScontactonpageoneofthisAgreement. <br />commercial General Liabilitv lnsurance (c.GL\ - to include co.verage for bodily injury' property <br />damage, and contracm;iliil with the tJ6wing minimum limits: Each occurrence - $1,000'000; <br />GeneralAggregate - $2,000,00b. The policy shaliinclude liability arising out of premises' <br />operations, independent contractors' products-completed operations' personal injury' advertising <br />injury,andliabilityassumedunderaninsuredcontract.TheStateofWashington,DSHs,itselected <br />andappointedofficials,agents,andemployeesshallbenamedasadditionalinsureds. <br />12.lnvestigations of Contractor or Related Personnel <br />DSHS may, without prior notice, suspend the contractor's performance of the contract if the <br />contractor, or any partner, officer or director of the contractor, or a subcontractor' or any employee <br />DSHS Central Contracl Services <br />Oof zcf County Program Agreement (10-31-2017) <br />Page 13
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