HomeMy WebLinkAboutAgreements/Contracts - GRIS (004)K19-097 , j ( I
Grant County Vendor Agreement
Agreement Period: July 1, 2019 —June 30, 2021
Organization Name: Service Alternatives
Vendor Contact Person: Joie Chapman-Oswood
Email: jcoswood@servalt-ces.com
Telephone: (509) 764-2220
Signatory Authority: Brandy Schutz
Email: bschutz@servalt-ces.com
Telephone: (509) 654-5144
Address: 1065 West Broadway
Moses Lake, WA 98837
IRS Tax No. (Employer I.D.) 600 515 957
Qualified Provider Services Individual Supported Employment
Community Access
Additional terms of this agreement are set out in and governed by the following
which are incorporated herein by reference:
General Terms and Conditions — Exhibit A
Special Terms and Conditions — Exhibit B
Data Security — Exhibit C
RECEIVED
JIIN 2 4 2019
OUNTy COMMISSIONERS
BOARD OF COUNTY COMMISSIONERS
f (01241e,
Tom Taylor, Chair Date
Cindy Carter, Vice -Chair Date
Richard Stevens, Member Date
Attest:
Bar r J. Vasquez Date
Clekof the Board
Approved as to form:
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Kevin Mc rae Date
Deputy Prosecuting Attorney
Service Alternatives
Bran y� ate
GRANT INTEGRATED SERVICES
DEVELOPMENTAL DISABILITIES
Gail Goodwin, Program Director Date