HomeMy WebLinkAboutD-18-772 DPH Misc. Docs.pdf s .. CO U�
CONTRACT STATUS FORM '
DATE: June 01, 2023 RECEIVED
DIVISION(S): Public Health Nursing
SEP 2 6 20
(Lead Division listed first) DEPARTMENT OF PUBLI H
CONTRACTOR: Inter-Dept: DPH, DSS, DBH & PROBATIOt50NTRACTS SECTI
SERVICES: Commercially Sexually Exploited Children (CSEC) Program Steering
Committee
CONTRACT TERM: 8/2/18 to 12/30/23 E
ADDITIONAL INFO: Evergreen Agreement-Please Review
ORGANIZATION #(s): 56201500
CONTRACT AMOUNT: $0.00
Contract#: D-18-772 State/Vendor#:
Lead Dept: DSS Other Dept(s): Department of Social Services
Complete the information below and return to DPH Contracts by:September 1, 2023
Extend contract through: 120
1-1 With no changes in terms or conditions.
❑ With the following change(s):
Evergreen: Continue contract through: pec&-nbcr- .60 , 20 Zq
❑ Cancel contract effective: , 20
11 Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by.
Program Supervisor/Staff Analyst: — Date: g t a zs
Division Manager: Date: 2-!
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor- Phone #: 600-7090
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CONTRACT STATUS FORM
RECEIVED g6 0
DATE: May 31, 2022 AUG 2 6Es�
DIVISION(S): Public Health Nursing DEPARTMENT OF PUB EALTH
(Lead Division listed first) CONTRACTS SEC
CONTRACTOR: Inter-Dept: DPH, DSS, DBH & PROBATION
SERVICES: Commercially Sexually Exploited Children (CSEC) Program Steering
Committee
CONTRACT TERM: 8/2/18 to 12/30/22 E
ADDITIONAL INFO: Evergreen Agreement-Please Review
ORGANIZATION #(s): 56201500
CONTRACT AMOUNT: $0.00
Contract#: D-18-772 State/Vendor#:
Lead Dept: DSS Other Dept(s): Department of Social Services
Complete the information below and return to DPH Contracts by:September 1, 2022
Extend contract through: , 20
❑ With no changes in terms or conditions.
❑ With the following change(s):
F Evergreen: Continue contract through: December 30 , 20 12,
Cancel contract effective: , 20
Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by.
Program Supervisor/ taffAnaly . c ..�— Date: 912-5/LZ
Division Manager: Date: �� zz
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor- Phone #: 600-7090
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CONTRACT STATUS FORM
RECEIVED o
DATE: June 01, 2021 ESQ
DEC 13 20
DIVISION(S): Public Health Nursing
(Lead Division listed first) DEPARTMENT
CONTR OF PU S BC' 10 TH
CONTRACTOR: Inter-Dept: DPH, DSS, DBH & PROBATION
SERVICES: Commercially Sexually Exploited Children (CSEC) Program Steering
Committee
CONTRACT TERM: 8/2/18 to 12/30/21 E
ADDITIONAL INFO: Evergreen Agreement-Please Review
ORGANIZATION #(s): 56201500
CONTRACT AMOUNT: $0.00
Contract#: D-18-772 StateNendor#:
Lead Dept: DSS Other Dept(s): Department of Social Services
Extend contract through: Z 20 2Z
XWith no changes in terms or conditions.
11 With the following change(s):
Evergreen: Continue contract through: , 20
Cancel contract effective: , 20
Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by:
Program Supervisor/Staff Analyst: Date:
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DR anRu.Nry RNn eU5 wFr.w Cants D.p.M�.n d PuElc
Division Manager: M �-�^°� �-�R °�-°°--�� -� �� Date:
0.�.t]/IYli
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor- Phone#: 600-7090
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ANTRACT STATUS FCMM
RECEIVED s
DATE: June 05, 2020S�
JUN 2 3 2020
DIVISION(S): Public Health Nursing
(Lead Division listed first) DEPARTMENT OF PUBLIC HEALTH
CONTRACTS SECTION
CONTRACTOR: Inter-Dept: DPH, DSS, DBH & PROBATION
SERVICES: Commercially Sexually Exploited Children (CSEC) Program Steering
Committee
CURRENT PERIOD: 8/2/18 to 12/30/20 E Auto-renewal: 0 through:
Of not chedcmarked above,contract will terminate
ENTIRE TERM: 08/02/2018 to Evergreen at the end of the current period.)
ORGANIZATION #(s): 56201500
CONTRACT AMOUNT: $0.00
ADDITIONAL INFO: Evergreen Agreement-Please Review
Contract#: D-18-772 State/Vendor#:
Lead Dept: DSS Other Dept(s): Department of Social Services
to the information below and return to DPH Contracts by:September 1, 2020
Renew contract through: -�'"�' , 20
With no changes in terms or conditions.
With the following change(s):
Evergreen: Continue contract through: 20
Cancel contract effective: , 20
Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by:
Program Supervisor/St alyst: Date:
Division Manager. Date:
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor- Phone #: 600-7090
COve
CftTRACT STATUS FOM
DATE: June 03, 2019 REC S
DIVISION(S): Public Health Nursing
(Lead Division listed first) JUL O 120
CONTRACTOR: Inter-Dept: DPH, DSS, DBH & PROBATION DEPARTMENT OF PUBLIC ALTH
CONTRACTS SECTION
SERVICES: Commercially Sexually Exploited Children (CSEC) Program Steering
Committee
CURRENT PERIOD: 8/2/18 to 12/30/2019 E Auto-renewal: W through:
(If not checkmarked above,contract will terminate
ENTIRE TERM: 08/02/2018 to Evergreen at the end of the current period.)
ORGANIZATION #(s): 56201500
CONTRACT AMOUNT: $0.00
ADDITIONAL INFO:
Contract#: State/Vendor#:
Lead Dept: DSS Other Dept(s): Department of Social Services
Complete the information below and return to DPH Contracts by:September 1, 2019
9 1
Renew contract through: «/3b, 20 0�9
4 With no changes in terms or conditions.
With the following change(s):
Evergreen: Continue contract through: 20
Cancel contract effective: , 20
Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by:
Program Supervisor/ aff nalyst: Date:
Division Manager: Date:
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090
` COUP
CONTRACT STATUS FORM fp
o� O
DATE: March 01, 2018 RECEIVED 56�xES6
JUN 012018
DIVISION(S): Public Health Nursing
(Lead Division listed first) DEPARTMENT OF PUBLIC HEALTH
CONTRACTOR: Inter-Dept: DPH, DSS, DBH & PROBA�N�pCTS SECTION
SERVICES: Commercially Sexually Exploited Children (CSEC) Program Steering
Committee
CURRENT PERIOD: 10/1/17 to 9/30/2018 E Auto-renewal: k through:
(If not- vkrrjarked above,contract will terminate
ENTIRE TERM: 10/1/2016 to Evergreen at the end of the current penod.)
ORGANIZATION #(s): 56201500
CONTRACT AMOUNT: $0.00
ADDITIONAL INFO:
Contract#: State/Vendor#:
Lead Dept: DSS Other Dept(s): Department of Social Services
Complete the information below and return to DPH Contracts by:June 1, 2018
❑ Renew contract through: , 20
With no changes in terms or conditions.
With the following change(s):
Evergreen: Continue contract through: 20
❑ Cancel contract effective: , 20
Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by:
Program Supervisor/ ff Analyst: Date: a
Division Manager: Date:
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090
i d COUP
CONTRACT STATUS FORM
RECEIVED o 56 0
DATE: March 01, 2016
MAY 0 4 2016
DIVISION(S): Public Health Nursing
(Lead Division listed first) DEPARTMENT OF PUBLIC HEALTH
CONTRACTS SECTION
CONTRACTOR: INTER-DEPT: DPH, DSS, DBH & PROBATION
SERVICES: Commercially Sexually Exploited Children (CSEC) Program Steering
Committee
CURRENT PERIOD: 10/9/15 to 9/30/16 Auto-renewal: /through:
(If not checkmarked above,contract will terminate
ENTIRE TERM: 10/9/2015 to 9/30/2016 at the end of the current period.)
ORGANIZATION #(s): 56201500
CONTRACT AMOUNT $0.00
ADDITIONAL INFO:
Contract#: State/Vendor#:
Lead Dept: DSS Other Dept(s): Department of Social Services
Complete the information below and return to DPH Contracts by:June 1. 2016
Renew contract through: , 20
❑ With no changes in terms or conditions.
❑ With the following change(s):
Evergreen: Continue contract through: Of 3D , 20
Cancel contract effective: , 20
Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by:
Program Supervisor/ ff Analy Date:
vision Manager: a. Date:
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090