Laserfiche WebLink
• <br /> 8 <br /> INTERLOCAL AGREEMENT DSHSAgreementNumber: <br /> 0964-60105 <br /> Eis-L <br /> 71.5,,,,Q,51.5h,,ttornis.TH Individual and Family Services Program <br /> RECREATIONAL OPPORTUNITIES <br /> This Agreement is by and between the State of Washington Department Program Contract Number: <br /> of Social and Health Services (DSHS) and the Contractor identified Contractor Contract Number: <br /> below, and is issued pursuant to the Interlocal Cooperation Act, chapter Provider#157229 <br /> 39.34 RCW. , <br /> CONTRACTOR NAME CONTRACTOR doing business as(DBA) <br /> City of Everett <br /> CONTRACTOR ADDRESS WASHINGTON UNIFORM DSHS INDEX NUMBER <br /> BUSINESS IDENTIFIER(UBI) <br /> 802 East Mukilteo Blvd 1428 <br /> Everett, WA 98203- <br /> CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS <br /> Jane Lewis (425) 257-8369 Ext: (425) 257-8374 jlewis@ci.everett.wa.us <br /> DSHS ADMINISTRATION DSHS DIVISION DSHS CONTRACT CODE <br /> Aging and Disability Services Division of Developmental Disabilities 1760LP-64 <br /> Administration <br /> DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS <br /> Jerrye Ralston 840 N Broadway Bldg A Ste 100 <br /> Contracts Manager <br /> Everett, WA 98201 <br /> DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL ADDRESS <br /> (425) 339-4840 (425) 339-4856 ralstja@dshs.wa.gov <br /> IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? CFDA NUMBER(S) <br /> No <br /> AGREEMENT START DATE AGREEMENT END DATE MAXIMUM AGREEMENT AMOUNT <br /> 4/1/2009 6130/2011 Fee For Service <br /> EXHIBITS. The following Exhibits are attached and are incorporated into this Agreement by reference: <br /> C Exhibits (specify): <br /> ® No Exhibits. <br /> The-terms and conditions of thisAgreement are an integration and representation of the'final, entire and exclusive. <br /> understanding between the pa ties:superseding and merging all previous agreements, writings,and communications, oral <br /> Dr otherwise regarding the:subject matter of this Agreement, between the parties. The parties signing below represent <br /> they have read and understand'this Agreement, and have the authority to execute this Agreement. This Agreement.shall <br /> be binding=:onDSHS only upon signature by DSHS. '. <br /> CONTRACTOR SIGNATURE PRINTED NAME AND TITLE DATE SIGNED <br /> DSHS SIGNATURE PRINTED NAME AND TITLE DATE SIGNED <br /> 73 <br /> DSHS Central Contract Services <br /> 1765LP IFS Recreational Opportunities(10-27-08) Page 1 <br />