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Providence Occupational Medicine 5/2/2025
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Providence Occupational Medicine 5/2/2025
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Entry Properties
Last modified
5/8/2025 12:15:07 PM
Creation date
5/8/2025 12:12:37 PM
Metadata
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Template:
Contracts
Contractor's Name
Providence Occupational Medicine
Approval Date
5/2/2025
Department
Human Resources
Department Project Manager
Megan Munro
Subject / Project Title
Providence Occupational Health Services
Tracking Number
0004820
Total Compensation
$0.00
Contract Type
Agreement
Contract Subtype
Other Services Agreements
Retention Period
6 Years Then Destroy
Imported from EPIC
No
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1 | P a g e <br />OCCUPATIONAL HEALTH PROGRAM <br />THIS LETTER OF AGREEMENT (this “Agreement”) is entered into as of (April 17, 2025) <br />(Effective Date) by and between the City of Everett (Customer), and Providence <br />Occupational Medicine (Vendor) <br />Employer: City of Everett Fire Department <br />1.CUSTOMER INFORMATION <br />City of Everett <br />Megan Munro <br />Environmental Health & Safety Manager <br />2930 Wetmore Avenue, Suite 5A <br />Everett, WA 98201 <br />425-257-8775 <br />mmunro@everettwa.gov <br />2.VENDOR INFORMATION <br />Providence Occupational Medicine <br />Cathy Killpack <br />Practice Manager <br />12800 Bothell-Everett Highway, Suite 120 <br />Everett, WA 98208 <br />425-316-5155 <br />Cathy.killpack@providence.org
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