STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 2nd, 2025
Contract Type FiledJanuary 2nd, 2025Contract Term This Contract is in effect from 01/01/18 through 12/31/19. StatutoryAuthority The Agency is authorized to enter into this Contract pursuant to § 4-8 and P.A. 12-1, Sec. 28 ofWKH &RQQHFWLFXW *HQHUDO 6WDWXWHV ´& Set-Aside Status Contractor IS or IS NOT a set aside Contractor pursuant to C.G.S. § 4a-60g. Effective Date 7KLV &RQWUDFW VKDOO EHFRPH HIIHFWLYH official(s) and, where applicable, the date of approval by the Office of the Attorney General ´2$*µ 8SRQ VXFK H[HFXWLRQ WKLV &Rspecified above. Contract Amendment Part I of this Contract may be amended only be means of a written instrument signed by the Agency, the Contractor, and, if required, the OAG. Part II of this Contract may be amended only in consultation with, and with the approval of, the OAG and the State of Connecticut,2IILFH RI 3ROLF\ DQG 0DQDJHPHQW ´230 Not forgoing the notice requirements herein, whenever practicable and permissible, the Contractor and the Agency shall communicate via electronic mail. This sh
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • December 8th, 2024
Contract Type FiledDecember 8th, 2024Contract Term This Contract is in effect from 01/01/18 through 12/31/19. StatutoryAuthority The Agency is authorized to enter into this Contract pursuant to § 4-8 and P.A. 12-1, Sec. 28 ofWKH &RQQHFWLFXW *HQHUDO 6WDWXWHV ´& Set-Aside Status Contractor IS or IS NOT a set aside Contractor pursuant to C.G.S. § 4a-60g. Effective Date 7KLV &RQWUDFW VKDOO EHFRPH HIIHFWLYH official(s) and, where applicable, the date of approval by the Office of the Attorney General ´2$*µ 8SRQ VXFK H[HFXWLRQ WKLV &Rspecified above. Contract Amendment Part I of this Contract may be amended only be means of a written instrument signed by the Agency, the Contractor, and, if required, the OAG. Part II of this Contract may be amended only in consultation with, and with the approval of, the OAG and the State of Connecticut,2IILFH RI 3ROLF\ DQG 0DQDJHPHQW ´230 Not forgoing the notice requirements herein, whenever practicable and permissible, the Contractor and the Agency shall communicate via electronic mail. This sh
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • October 22nd, 2018
Contract Type FiledOctober 22nd, 2018("Contractor"), for the provision of services outlined in Part I and for the compliance with Part II. The Agency and the Contractor shall collectively be referred to as "Parties". The Contractor shall comply with the terms and conditions set forth in this Contract as follows:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 25th, 2018 • Connecticut
Contract Type FiledJanuary 25th, 2018 JurisdictionThe State of Connecticut DEPARTMENT OF REHABILITATION SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 537-2549 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: PETER E. AMATO, M.D. Street: City: State: Zip:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 19th, 2018 • Connecticut
Contract Type FiledJanuary 19th, 2018 JurisdictionThe State of Connecticut DEPARTMENT OF REHABILITATION SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 537-2549 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: RICHARD L. PAPANTONIO, M.D. Street: City: State: Zip:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 19th, 2018 • Connecticut
Contract Type FiledJanuary 19th, 2018 JurisdictionThe State of Connecticut DEPARTMENT OF REHABILITATION SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 537-2549 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: SAMUEL L. BRIDGERS, II, M.D. Street: City: State: Zip:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 19th, 2018 • Connecticut
Contract Type FiledJanuary 19th, 2018 JurisdictionThe State of Connecticut DEPARTMENT OF REHABILITATION SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 537-2549 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: MARIA LOURDES T. LORENZO, M.D. Street: City: State: Zip:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 19th, 2018 • Connecticut
Contract Type FiledJanuary 19th, 2018 JurisdictionThe State of Connecticut DEPARTMENT OF REHABILITATION SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 537-2549 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: ALAN FINE, M.D. Street: City: State: Zip:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 19th, 2018 • Connecticut
Contract Type FiledJanuary 19th, 2018 JurisdictionThe State of Connecticut DEPARTMENT OF REHABILITATION SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 537-2549 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: ERICA JANE BOVINO Street: City: State: Zip:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 19th, 2018
Contract Type FiledJanuary 19th, 2018The State of Connecticut DEPARTMENT OF REHABILITATION SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 537-2549 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: CORY B. SELLS, PSY.D. Street: City: State: Zip:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 19th, 2018
Contract Type FiledJanuary 19th, 2018The State of Connecticut DEPARTMENT OF REHABILITATION SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 537-2549 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: CHRISTOPHER C. LEVEILLE, PSY.D. Street: City: State: Zip:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 19th, 2018
Contract Type FiledJanuary 19th, 2018The State of Connecticut DEPARTMENT OF REHABILITATION SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 537-2549 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: KEITH A. KAPLAN, M.D. MEDICAL CONSULTANT, LLC Street: City: State: Zip:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 19th, 2018
Contract Type FiledJanuary 19th, 2018The State of Connecticut DEPARTMENT OF REHABILITATION SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 537-2549 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: PAMELA FADAKAR, PSY.D. Street: City: State: Zip:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 19th, 2018
Contract Type FiledJanuary 19th, 2018(“Contractor”), for the provision of services outlined in Part I and for the compliance with Part II. The Agency and the Contractor shall collectively be referred to as “Parties”. The Contractor shall comply with the terms and conditions set forth in this Contract as follows:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 19th, 2018 • Connecticut
Contract Type FiledJanuary 19th, 2018 JurisdictionThe State of Connecticut DEPARTMENT OF REHABILITATION SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 537-2549 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: BARBARA COUGHLIN, M.D. Street: City: State: Zip:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 19th, 2018
Contract Type FiledJanuary 19th, 2018The State of Connecticut DEPARTMENT OF REHABILITATION SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 537-2549 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: JOSEPH PATRICK CONNOLLY, M.D. Street: City: State: Zip:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 19th, 2018
Contract Type FiledJanuary 19th, 2018The State of Connecticut DEPARTMENT OF REHABILITATION SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 537-2549 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: MICHELLE NITTO, PSY.D., LLC Street: City: State: Zip:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 19th, 2018
Contract Type FiledJanuary 19th, 2018The State of Connecticut DEPARTMENT OF REHABILITATION SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 537-2549 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: FIROOZ GOLKAR-SISANI, M.D. Street: City: State: Zip:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 19th, 2018
Contract Type FiledJanuary 19th, 2018The State of Connecticut DEPARTMENT OF REHABILITATION SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 537-2549 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: ADRIAN C. BROWN Street: City: State: Zip:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 19th, 2018
Contract Type FiledJanuary 19th, 2018The State of Connecticut DEPARTMENT OF REHABILITATION SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 537-2549 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: KELLY F ROGERS, PH.D. Street: City: State: Zip:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 19th, 2018 • Connecticut
Contract Type FiledJanuary 19th, 2018 JurisdictionThe State of Connecticut DEPARTMENT OF REHABILITATION SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 537-2549 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: LOIS GITLIN WURZEL, M.D. Street: City: State: Zip:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 19th, 2018 • Connecticut
Contract Type FiledJanuary 19th, 2018 JurisdictionThe State of Connecticut DEPARTMENT OF REHABILITATION SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 537-2549 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: SUSAN R. UBER, PH.D. Street: City: State: Zip:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 19th, 2018
Contract Type FiledJanuary 19th, 2018The State of Connecticut DEPARTMENT OF REHABILITATION SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 537-2549 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: MARGARET M. CORRIGAN, M.D. Street: City: State: Zip:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 19th, 2018
Contract Type FiledJanuary 19th, 2018The State of Connecticut DEPARTMENT OF REHABILITATION SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 537-2549 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: PSYCHOLOGICAL HEALTH & DEVELOPMENT ASSOCIATES,LLC. Street: City: State: Zip:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 19th, 2018 • Connecticut
Contract Type FiledJanuary 19th, 2018 JurisdictionThe State of Connecticut DEPARTMENT OF REHABILITATION SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 537-2549 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: KATRIN WOODWORTH CARLSON, PSY.D. D/B/A BEHAVIORALHEALTH ASSOCIATES Street: City: State: Zip:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 19th, 2018 • Connecticut
Contract Type FiledJanuary 19th, 2018 JurisdictionThe State of Connecticut DEPARTMENT OF REHABILITATION SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 537-2549 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: ANITA BOYD BENNETT, M.D. Street: City: State: Zip:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • January 19th, 2018
Contract Type FiledJanuary 19th, 2018The State of Connecticut DEPARTMENT OF REHABILITATION SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 537-2549 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: LINDSAY HARVEY, PH.D. Street: City: State: Zip:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • April 27th, 2017
Contract Type FiledApril 27th, 2017(“Contractor”), for the provision of services outlined in Part I and for the compliance with Part II. The Agency and the Contractor shall collectively be referred to as “Parties”. The Contractor shall comply with the terms and conditions set forth in this Contract as follows:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • July 20th, 2015
Contract Type FiledJuly 20th, 2015(“Contractor”), for the provision of services outlined in Part I and for the compliance with Part II. The Agency and the Contractor shall collectively be referred to as “Parties”. The Contractor shall comply with the terms and conditions set forth in this Contract as follows:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • June 12th, 2015
Contract Type FiledJune 12th, 2015(“Contractor”), for the provision of services outlined in Part I and for the compliance with Part II. The Agency and the Contractor shall collectively be referred to as “Parties”. The Contractor shall comply with the terms and conditions set forth in this Contract as follows:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • June 10th, 2015
Contract Type FiledJune 10th, 2015The State of Connecticut DEPARTMENT OF SOCIAL SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 842-1508 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: HISPANIC FEDERATION, INC. Street: 55 EXCHANGE PLACE, 5TH FLOOR City: NEW YORK State: CT Zip: 10005 Tel#: FEIN/SS#: 133573852 DUNS # 781132006
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • June 10th, 2015
Contract Type FiledJune 10th, 2015The State of Connecticut DEPARTMENT OF SOCIAL SERVICES Street: 55 FARMINGTON AVENUE City: HARTFORD State: CT Zip: 06105 Tel#: (800) 842-1508 (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: HISPANIC FEDERATION, INC. Street: 55 EXCHANGE PLACE, 5TH FLOOR City: NEW YORK State: CT Zip: 10005 Tel#: FEIN/SS#: 133573852 DUNS # 781132006
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • June 10th, 2015
Contract Type FiledJune 10th, 2015(“Contractor”), for the provision of services outlined in Part I and for the compliance with Part II. The Agency and the Contractor shall collectively be referred to as “Parties”. The Contractor shall comply with the terms and conditions set forth in this Contract as follows:
STATE OF CONNECTICUT PERSONAL SERVICE AGREEMENTPersonal Service Agreement • April 13th, 2015
Contract Type FiledApril 13th, 2015(“Contractor”), for the provision of services outlined in Part I and for the compliance with Part II. The Agency and the Contractor shall collectively be referred to as “Parties”. The Contractor shall comply with the terms and conditions set forth in this Contract as follows: