Common Contracts
1 similar Human Care Agreement contracts
ContractHuman Care Agreement • December 28th, 2021 • District of Columbia
HUMAN CARE AGREEMENTDoc592402 PAGE OF PAGES 1 37 1. HUMAN CARE AGREEMENT NUMBER 2. REQUISITION/PURCHASE REQUEST NO. 3. DATE OF AWARD 4. ISSUED BY 5. ADMINISTERED BY (If other than Item No. 4): Office of Contracting and ProcurementField Office: Department of Behavioral Health (DBH) 64 New York Avenue, NE, 2nd FloorWashington, D.C.20002 Department of Behavioral Health Saint Elizabeths Hospital1100 Alabama Avenue, SE Washington, DC 20032 6. NAME AND ADDRESS OF CONTRACTOR/CONTRACTOR (No. street, county, state and ZIP Code) 7. CONTRACTOR/CONTRACTOR SHALL SUBMIT ALL CLAIMS/ INVOICES TO: 8. DISTRICT SHALL SEND ALL PAYMENTS TO: (Reference Section G) 9. DESCRIPTION OF HUMAN CARE SERVICE AND RATE COST ITEM/LINE NO. NIGP CODE BRIEF DESCRIPTION OF HUMAN CARE SERVICE QUANTITY OF SERVICEREQUIRED TOTAL SERVICEUNITS SERVICE RATE TOTAL AMOUNT See section B Total $ Total From Any Continuation Pages $ GRAND TOTAL NOT TO EXCEED $ 10. APPROPRIATION DATA AND F
