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DSHS Agreement
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2017-03-21 10:00 AM - Commissioners' Agenda
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DSHS Agreement
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Entry Properties
Last modified
6/13/2018 11:40:58 AM
Creation date
6/13/2018 11:40:18 AM
Metadata
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Template:
Meeting
Date
3/21/2017
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
Alpha Order
j
Item
Request to Approve a Resolution for the Renewal of the Washington Department of Social & Health Services General Terms and Conditions Agreement
Order
10
Placement
Consent Agenda
Row ID
35566
Type
Agreement
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DSHS and COUNTY DSHS Contract Number 1Hnt w" "" "" 5"" AGREEMENT O N 1783-86440 7 Department of Social <br />& Health Services GENERAL TERMS AND <br />Transforming lives CONDITIONS <br />These General Terms and Condltlons are between the state of Washington County Contract Number Department of Social and Health Services (DSHS) and the County identified <br />below. These General Terms and Conditions govern work to be performed under <br />any Program Agreement between the parties. These General Terms and <br />Conditions superse de and replace any previously executed General Terms and <br />Conditions as of the start date below. <br />TERM OF AGREEMENT: The term of this Agreement on General Terms and Conditions shall start and end on the <br />following dates, unless terminated sooner as provided herein. <br />START DATE: July 1, 2017 END DATE: June 30, 2023 <br />COUNTY NAME DSHS INDEX NUMBER <br />Kittitas County 1225 <br />COUNTY ADDRESS <br />507 North Nanum Street Suite 102 <br />Ellensburg , WA 98926 <br />COUNTY TELEPHONE COUNTY FAX <br />(509) 962-7516 (509) 962-7667 <br />DSHS CENTRAL CONTRACT SERVICES ADDRESS DSHS CENTRAL CONTRACT SERVICES TELEPHONE <br />Central Contracts and Legal Services (360) 664-6055 <br />P.O. Box45811 <br />Olympia,VVA 98504-5811 <br />Bv their signatures below, the parties aQree to this Aqreement on General Terms and Conditions. <br />'~RE{S) DATE(S) PR IN TED NAME(S) AND TITLE(S) TELEPHONE NUMBER <br />~J}A/)4 7 r~v L.-S e\ptt/ 1 C Vltt.-~ (' (INCLUDE AREA CODE) <br />~ "6 /2\/ \ 1-/'vw(A... OS/~4.Lt-J Vic.e.,~1{ 5o'l-~~l-1f:X?8 <br />~ -:;;~~'Q.:--:5 ,~t -1 -; C b\'t-6 6(1~r1, l~(y\'MA')~i fJN~ <br />DSHS SIGNATURE DATE PRINTED NAME AND TITLE TELEPHONE NUMBER <br />~aSJ /.3/g O/t-:r <br />(INCLUDE AREA CODE) <br />Monika Vasil <br />Chief of Contracts (360) 664-6071 <br />DSHS Central Contract Services <br />6016CF DSHS and County Agreement on General Terms and Conditions (2-2-2017) Page 1
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