Common Contracts
9 similar Personal Service Contract contracts
Exhibit F – Sample Contract RFQ 2435-860Personal Service Contract • March 3rd, 2025 • Washington
PERSONAL SERVICE CONTRACTDDDS Specialized Medical Consultative Services DSHS Contract Number:2535-60158Resulting From Procurement Number: This Contract is between the state of Washington Department of Social and Health Services (DSHS) and the Contractor identified below, and is governed by chapter 39.26 RCW. Program Contract Number: Contractor Contract Number: CONTRACTOR NAMEGrant K. Jones CONTRACTOR doing business as (DBA)Jones, Grant K. CONTRACTOR ADDRESS1234 Hampton Court SW Olalla, WA 98333-3333 WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) DSHS INDEX NUMBER 146184 CONTRACTOR CONTACTGrant Jones CONTRACTOR TELEPHONE(360) 555-1212 CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESSgrant@email.com DSHS ADMINISTRATIONFacilities, Finance and Analytics Administration DSHS DIVISIONCentral Contracts & Legal Services DSHS CONTRACT CODE3721PS-35 DSHS CONTACT NAME AND TITLEClarissa Brechwald t DSHS CONTACT ADDRESS Olympia, WA Click here to enter text. DSHS CONTACT TELEPHONE(360)664-6052 DSHS CONTACT FA
Exhibit F – Sample Contract RFQ 2435-860Personal Service Contract • February 25th, 2025 • Washington
PERSONAL SERVICE CONTRACTDDDS General Medical and Psychological Consultative Services DSHS Contract Number:2535-60161Resulting From Procurement Number: This Contract is between the state of Washington Department of Social and Health Services (DSHS) and the Contractor identified below, and is governed by chapter 39.29 RCW. Program Contract Number: Contractor Contract Number: CONTRACTOR NAMEGrant K. Jones CONTRACTOR doing business as (DBA)Click here to enter text. CONTRACTOR ADDRESS1234 Hampton Court SW Olalla, W WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) DSHS INDEX NUMBER 146184 CONTRACTOR CONTACTGrant Jones CONTRACTOR TELEPHONE(360) 555-1212 CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESSgrant@email.com DSHS ADMINISTRATIONFacilities, Finance and Analytics Administration DSHS DIVISIONCentral Contracts & Legal Services DSHS CONTRACT CODE3712PS-35 DSHS CONTACT NAME AND TITLEClarissa Brechwald Contract Consultant DSHS CONTACT ADDRESS1115 Washington St SE Olympia, WA Click here to enter text.
Exhibit F – Sample Contract RFQ 2435-860Personal Service Contract • February 25th, 2025 • Washington
PERSONAL SERVICE CONTRACTDDDS Specialized Psychological Consultative Services DSHS Contract Number:2535-60166Resulting From Procurement Number: This Contract is between the state of Washington Department of Socialand Health Services (DSHS) and the Contractor identified below, and is governed by chapter 39.26 RCW. Program Contract Number: Contractor Contract Number: CONTRACTOR NAMEGrant K. Jones CONTRACTOR doing business as (DBA)Jones, Grant K. CONTRACTOR ADDRESS1234 Hampton Court SW Olalla, WA 98333-3333 WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) DSHS INDEX NUMBER 146184 CONTRACTOR CONTACTGrant Jones CONTRACTOR TELEPHONE(360) 555-1212 CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESSgrant@email.com DSHS ADMINISTRATIONFacilities, Finance and Analytics Administration DSHS DIVISIONCentral Contracts & Legal Services DSHS CONTRACT CODE3722PS-35 DSHS CONTACT NAME AND TITLEClarissa Brechwald Contract Consultant DSHS CONTACT ADDRESS Olympia, WA Click here to enter text. DSHS CONTACT TELEPHONE(360)6
Exhibit F – Sample Contract RFQ 1436-522Personal Service Contract • May 18th, 2022 • Washington
SAMPLE PERSONAL SERVICE CONTRACTSpecialized Psychological Consultative Services DSHS Contract Number: Resulting From Procurement Number: This Contract is between the state of Washington Department of Social and Health Services (DSHS) and the Contractor identified below, and is governed by chapter 39.29 RCW. Program Contract Number: Contractor Contract Number: CONTRACTOR NAME CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS , WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) DSHS INDEX NUMBER CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS DSHS ADMINISTRATION DSHS DIVISION DSHS CONTRACT CODE DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS , DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL ADDRESS IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? CFDA NUMBER(S) CONTRACT START DATE CONTRACT END DATE CONTRACT MAXIMUM AMOUNT EXHIBITS. The following Exhibits are attached and are incorporated into this Contract by reference: Data Sec
Exhibit F – Sample Contract RFQ 1436-522Personal Service Contract • May 9th, 2022 • Washington
SAMPLE PERSONAL SERVICE CONTRACTSpecialized Medical Consultative Services DSHS Contract Number: Resulting From Procurement Number: This Contract is between the state of Washington Department of Social and Health Services (DSHS) and the Contractor identified below, and is governed by chapter 39.29 RCW. Program Contract Number: Contractor Contract Number: CONTRACTOR NAME CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS , WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) DSHS INDEX NUMBER CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS DSHS ADMINISTRATION DSHS DIVISION DSHS CONTRACT CODE DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS , DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL ADDRESS IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? CFDA NUMBER(S) CONTRACT START DATE CONTRACT END DATE CONTRACT MAXIMUM AMOUNT EXHIBITS. The following Exhibits are attached and are incorporated into this Contract by reference: Data Security:
Exhibit F – Sample Contract RFQ 1436-522Personal Service Contract • April 23rd, 2021 • Washington
SAMPLE PERSONAL SERVICE CONTRACTSpecialized Medical Consultative Services DSHS Contract Number: Resulting From Procurement Number: This Contract is between the state of Washington Department of Social and Health Services (DSHS) and the Contractor identified below, and is governed by chapter 39.29 RCW. Program Contract Number: Contractor Contract Number: CONTRACTOR NAME CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS , WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) DSHS INDEX NUMBER CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS DSHS ADMINISTRATION DSHS DIVISION DSHS CONTRACT CODE DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS , DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL ADDRESS IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? CFDA NUMBER(S) CONTRACT START DATE CONTRACT END DATE CONTRACT MAXIMUM AMOUNT EXHIBITS. The following Exhibits are attached and are incorporated into this Contract by reference: Data Security:
Exhibit G – Sample Contract RFQ 1436-522Personal Service Contract • April 23rd, 2021 • Washington
SAMPLE PERSONAL SERVICE CONTRACTDDDS General Medical and Psychological Consultative Services DSHS Contract Number: Resulting From Procurement Number: This Contract is between the state of Washington Department of Social and Health Services (DSHS) and the Contractor identified below, and isgoverned by chapter 39.29 RCW. Program Contract Number: Contractor Contract Number: CONTRACTOR NAME CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS , WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) DSHS INDEX NUMBER CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS DSHS ADMINISTRATION DSHS DIVISION DSHS CONTRACT CODE DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS , DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL ADDRESS IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? CFDA NUMBER(S) CONTRACT START DATE CONTRACT END DATE CONTRACT MAXIMUM AMOUNT EXHIBITS. The following Exhibits are attached and are incorporated into this Contract by referen
Exhibit F – Sample Contract RFQ 1436-522Personal Service Contract • April 23rd, 2021 • Washington
SAMPLE PERSONAL SERVICE CONTRACTDDDS General Medical and Psychological Consultative Services DSHS Contract Number: Resulting From Procurement Number: This Contract is between the state of Washington Department of Social and Health Services (DSHS) and the Contractor identified below, and isgoverned by chapter 39.29 RCW. Program Contract Number: Contractor Contract Number: CONTRACTOR NAME CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS , WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) DSHS INDEX NUMBER CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS DSHS ADMINISTRATION DSHS DIVISION DSHS CONTRACT CODE DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS , DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL ADDRESS IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? CFDA NUMBER(S) CONTRACT START DATE CONTRACT END DATE CONTRACT MAXIMUM AMOUNT EXHIBITS. The following Exhibits are attached and are incorporated into this Contract by referen
Exhibit G – Sample Contract RFQ 1436-522Personal Service Contract • October 3rd, 2019 • Washington
SAMPLE PERSONAL SERVICE CONTRACTDDDS General Medical and Psychological Consultative Services DSHS Contract Number: Resulting From Procurement Number: This Contract is between the state of Washington Department of Social and Health Services (DSHS) and the Contractor identified below, and isgoverned by chapter 39.29 RCW. Program Contract Number: Contractor Contract Number: CONTRACTOR NAME CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS , WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) DSHS INDEX NUMBER CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS DSHS ADMINISTRATION DSHS DIVISION DSHS CONTRACT CODE DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS , DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL ADDRESS IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? CFDA NUMBER(S) CONTRACT START DATE CONTRACT END DATE CONTRACT MAXIMUM AMOUNT EXHIBITS. The following Exhibits are attached and are incorporated into this Contract by referen