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DocuSign Envelope ID: 09C774678EC244438CDB3C9FCE4795CDDEPARTMENT OF STATE HEALTH SERVICES CONTRACT NO. HHS000448000001 AMENDMENT NO. 1 THE DEPARTMENT OF STATE HEALTH SERVICES (System Agency or DSS)
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01
To fill out the system agency contract, follow these steps:
02
Start by writing the name of the system agency at the top of the contract.
03
Include the contract number, which is a unique identifier for this specific agreement.
04
Specify the effective date of the contract, when it comes into force.
05
Outline the terms and conditions of the agreement, including the responsibilities of both parties.
06
Include any specific requirements or obligations that need to be met.
07
Detail the payment terms, including the agreed-upon compensation and payment schedule.
08
Specify the duration of the contract, whether it is valid for a fixed term or ongoing.
09
Include any termination clauses that outline the conditions under which the contract can be terminated.
10
Leave space for signatures of both parties and the date of signing.

Who needs system agency contract no?

01
The system agency contract is needed by both the system agency and the client or organization they serve.
02
System agencies use this contract to formalize their working relationship with clients and outline the terms of their services.
03
Clients or organizations who require system agency services can use this contract to ensure that both parties are on the same page and understand their respective roles and responsibilities.
04
Having a system agency contract provides a legal framework for the relationship, protects both parties' interests, and establishes clear expectations.
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The system agency contract number is a unique identifier assigned to contracts between agencies and service providers within a government or organizational system.
Typically, service providers and agencies that enter into contractual agreements for services are required to file the system agency contract number.
To fill out the system agency contract number, you need to provide the unique identifier assigned to your contract, along with relevant details such as the names of the parties involved and the scope of services.
The purpose of the system agency contract number is to track and manage contractual agreements and ensure compliance with regulatory requirements.
Information that must be reported includes the contract number, names of the involved parties, contract dates, nature of services, and any other pertinent details required by the governing body.
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