Common Contracts

1 similar Share Agreement contracts

Contract
Share Agreement • May 5th, 2020

Data Share Agreement HCA Contract Number: KXXXX Receiving Party Contract Number: This Data Share Agreement (“Agreem nt” or “DSA”) is made by and between the state of Washington Health Care Authority “HCA”) and the party whose name appears below, (“Receiving Party”) Receiving Party Name Receiving Party doing business as (DBA) Receiving Party Address Receiving Party Contact Name, Title Receiving Party Contact Telephone Receiving Party Contact Email Address HCA Pro ram HCA Division/Section HCA Contact Name, Title HCA Contact Address 626 8th Avenue SE, PO Box 45564 Olympia, WA 98504-5564 HCA Contact Telephon HCA Contact Email Address The parties signing below warrant that they have read and understand this Agreement, and have authority to execute this Agreement. This Agreement shall be binding on HCA only upon signature by HCA. Receiving Party Signature Printed Name and Title Date Si ned HCA Signature Printed Name and Title Date Si ned Melanie Anderson, C

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