CPWI Prevention Amendment 2 between WA HCA,DBHR, and LC. DocuSign Envelope ID:85A751 F3-5349-4728-B873-447871833F2F
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Attachment 7: SAMHSA Award Terms
Attachment 8: Federal Award Identification for Subrecipients
Attachment 9: Award and Revenues
Attachment 10: Standards for Reimbursable Costs
The parties signing below warrant that they have read and understand this Contract, and have authority to execute this
Contract. This Contract will be binding on HCA only upon signature by both parties.
CONTR CT R SIGNATURE PRINTED NAME AND TITLE DATE SIGNED
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HCA SIGNATURE PRINTED NAME AND TITLE DATE SIGNED
rDocuSI9nedby: Rachelle Amerine 10/6/2020
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Page 2 of 86
Washington State CPWI Prevention Services
Health Care Authority HCA Contract K3925,Amendment 2