ContractCounty Program Agreement • June 8th, 2023
COUNTYPROGRAM AGREEMENTDDA County Services DSHS Agreement Number This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below, and is issued in conjunction with a County and DSHS Agreement On General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number County Agreement Number DSHS ADMINISTRATION DSHS DIVISION DSHS INDEX NUMBER DSHS CONTRACT CODE DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL COUNTY NAME COUNTY ADDRESS COUNTY FEDERAL EMPLOYER IDENTIFICATION NUMBER COUNTY CONTACT NAME COUNTY CONTACT TELEPHONE COUNTY CONTACT FAX COUNTY CONTACT E-MAIL IS THE COUNTY A SUBRECIPIENT FOR PURPOSES OF THIS PROGRAM AGREEMENT? ASSISTANCE LISTING NUMBERS PROGRAM AGREEMENT START DATE PROGRAM AGREEMENT END DATE MAXIMUM PROGRAM AGREEMENT AMOUNT EXHIBITS. The following Exhibits are attached: Exhibit A – Data
ContractCounty Program Agreement • July 26th, 2017
COUNTY PROGRAM AGREEMENTDDA County Services DSHS Agreement Number Click here to enter text. This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below, and is issued in conjunction with a County and DSHS Agreement On General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number Click here to enter text.County Agreement Number DSHS ADMINISTRATION Click here to enter text. DSHS DIVISION Click here to enter text. DSHS INDEX NUMBER Click here to enter text. DSHS CONTRACT CODE Click here to enter text. DSHS CONTACT NAME AND TITLE Click here to enter text. Click here to enter text. DSHS CONTACT ADDRESS Click here to enter text.Click here to enter text., Click here to enter text. Click here to enter text. DSHS CONTACT TELEPHONEClick here to enter text. DSHS CONTACT FAXClick here to enter text. DSHS CONTACT E-MAILClick here to enter text. COUNTY NAME Click her
ContractCounty Program Agreement • March 6th, 2024
COUNTYPROGRAM AGREEMENTDDA County Services DSHS Agreement Number 2463-60190 This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below, and is issued in conjunction with a County and DSHS Agreement On General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number County Agreement Number DSHS ADMINISTRATION Aging & Long Term Support Admin DSHS DIVISION Division of Home And Community Services DSHS INDEX NUMBER 146184 DSHS CONTRACT CODE 1769CS-63 DSHS CONTACT NAME AND TITLE Student One Contracts Manager DSHS CONTACT ADDRESS 4500 10th Ave SE Lacey, WA 98504 DSHS CONTACT TELEPHONE(888) 888-8888 DSHS CONTACT FAX(888) 888-8888 DSHS CONTACT E-MAILeacdhelp@dshs.wa.gov COUNTY NAME Grant K. JonesJones & Company LLC COUNTY ADDRESS 1234 Hampton Court SW Olalla, WA 98333-3333 COUNTY FEDERAL EMPLOYER IDENTIFICATION NUMBER COUNTY CONTACT NAME Grant Jones COUNTY CONTACT
ContractCounty Program Agreement • January 10th, 2023
COUNTYPROGRAM AGREEMENTDDA County Services DSHS Agreement Number Click here to enter text. This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below, and is issued in conjunction with a County and DSHS Agreement On General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number Click here to enter text.County Agreement Number DSHS ADMINISTRATION Click here to enter text. DSHS DIVISION Click here to enter text. DSHS INDEX NUMBER Click here to enter text. DSHS CONTRACT CODE Click here to enter text. DSHS CONTACT NAME AND TITLE Click here to enter text. Click here to enter text. DSHS CONTACT ADDRESS Click here to enter text.Click here to enter text., Click here to enter text. Click here to enter text. DSHS CONTACT TELEPHONEClick here to enter text. DSHS CONTACT FAXClick here to enter text. DSHS CONTACT E-MAILClick here to enter text. COUNTY NAME Click here
COUNTY PROGRAM AGREEMENT AMENDMENTDDD County Services DSHS Agreement Number 2163-24991 Amendment No. 02 This Program Agreement Amendment is by and between the State of Washington Department of Social and Health Services (DSHS) and the County...County Program Agreement • March 7th, 2023
This Program Agreement between the County and the State of Washington Department of Social and Health Services (DSHS) is hereby amended as follows:
ContractCounty Program Agreement • June 28th, 2017
COUNTY PROGRAM AGREEMENTConsolidated Contract FY18-19 DSHS Agreement Number 1763-96341 This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below, and is issued in conjunction with a County and DSHS Agreement On General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number County Agreement Number DSHS ADMINISTRATION Rehabilitation Administration DSHS DIVISION Division of Community Programs DSHS INDEX NUMBER 1225 CCS CONTRACT CODE 5024CS-63 DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS Barbara Kraemer FA5 OB 2PO Box 45720Olympia, WA 98504 DSHS CONTACT TELEPHONE (360)902-0765 DSHS CONTACT FAX (360)902-8108 DSHS CONTACT E-MAIL kraembj@dshs.wa.gov COUNTY NAME COUNTY DBA COUNTY ADDRESS Kittitas County Rm 211 Kittitas Co Courthouse 205 W Fifth St Ellensburg, WA 98926 COUNTY UNIFORM BUSINESS IDENTIFIER (UBI) 192-002-673 COUNTY CONTACT NAME Michael
ContractCounty Program Agreement • July 14th, 2011
COUNTY PROGRAM AGREEMENTDDD County Services DSHS Agreement Number 1163-32398 This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below, and is issued in conjunction with a County and DSHS Agreement On General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number County Agreement Number DSHS ADMINISTRATION Aging and Disability Services Administration DSHS DIVISION Division of Developmental Disabilities DSHS INDEX NUMBER 1231 DSHS CONTRACT CODE 1769CS-63 DSHS CONTACT NAME AND TITLE Wendi WinchelRegional Business Manager DSHS CONTACT ADDRESS PO BOX 45315 Olympia, WA 98504 DSHS CONTACT TELEPHONE(360) 725-4264 DSHS CONTACT FAX(360) 586-6502 DSHS CONTACT E-MAILwinchwa@dshs.wa.gov COUNTY NAME Pacific County COUNTY ADDRESS PO Box 26 South Bend, WA 98586- COUNTY FEDERAL EMPLOYER IDENTIFICATION NUMBER 916001356 COUNTY CONTACT NAME Kathy Spoor COUNTY CONTACT TEL
ContractCounty Program Agreement • May 5th, 2020
COUNTY PROGRAM AGREEMENTPrevention Services DSHS Agreement Number 1763-94259 This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below, and is issued in conjunction with a County and DSHS Agreement On General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number County Agreement Number DSHS ADMINISTRATION Behavioral Health Administration DSHS DIVISION Division of Behavioral Health and Recovery DSHS INDEX NUMBER 1227 DSHS CONTRACT CODE 1644CS-63 DSHS CONTACT NAME AND TITLE Julia Havens Manager DSHS CONTACT ADDRESS 4500 10th Avenue SE Lacey, WA 98503 DSHS CONTACT TELEPHONE(509)220-4752 DSHS CONTACT FAX DSHS CONTACT E-MAILgreesjr@dshs.wa.gov COUNTY NAME Lewis County COUNTY ADDRESS 360 NW North St Chehalis, WA 98532 COUNTY FEDERAL EMPLOYER IDENTIFICATION NUMBER COUNTY CONTACT NAME Danette York COUNTY CONTACT TELEPHONE(360) 740-2774 COUNTY CONTACT FAX COUN
ContractCounty Program Agreement • August 23rd, 2011
COUNTY PROGRAM AGREEMENTConsolidated Contract Continuation DSHS Agreement Number 1163-33522 This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below, and is issued in conjunction with a County and DSHS Agreement OnGeneral Terms and Conditions, which is incorporated by reference. Administration or Division Agreement NumberCounty Agreement Number DSHS ADMINISTRATION DSHS DIVISION Division of Community Programs DSHS INDEX NUMBER 1225 DSHS CONTRACT CODE 5000CC-63 DSHS CONTACT NAME AND TITLE Barbara Kraemer Business Manager DSHS CONTACT ADDRESS 720 Sleater Kinney Rd SE, Ste.RP.O. Box 45721Olympia, WA 98504-5721 DSHS CONTACT TELEPHONE(360) 486-2241 Ext: DSHS CONTACT FAX(360) 407-7284 DSHS CONTACT E-MAILkraembj@dshs.wa.gov COUNTY NAME Kittitas County COUNTY ADDRESS Kittitas County Juvenile Court 205 West 5th Ave., Suite 211Ellensburg, WA 98926-2887 COUNTY FEDERAL EMPLOYER IDENTIFICATION NUMBER 916001349
COUNTY PROGRAM AGREEMENT AMENDMENTPrevention Services DSHS Agreement Number 1563-42483 Amendment No. 01 This Program Agreement Amendment is by and between the State of Washington Department of Social and Health Services (DSHS) and the County...County Program Agreement • May 5th, 2020
This Program Agreement between the County and the State of Washington Department of Social and Health Services (DSHS) is hereby amended as follows:
