9. Attachment A- Contract Summary Form.docx

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Attached to
Jail/Arrest Diversion Grant Program RFA
Solicitation number
BD-18-1022-DMH08-8210B-21306
Issued by
Massachusetts

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This document is a Contract Summary Form for the South Carolina Department of Mental Health (SCDMH). It provides details on an amendment or renewal of a contract, including a summary of any revisions, changes to terms and conditions, or fiscal changes to the program's budget. The document specifies the provider name, program name, program code, program location(s), and the annualized projected capacity of services to be provided within the fiscal year. It also indicates that any prior year's amendments or renewals remain in effect unless otherwise specified or subsequently modified.

The related state and local contract opportunity is the Jail/Arrest Diversion Grant Program RFA issued by the Department of Mental Health (DMH) in the Commonwealth of Massachusetts. This RFA seeks Applicants interested in obtaining grant funding to establish a Jail/Arrest Diversion project in one or more communities in Massachusetts.

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ATTACHMENT A: CONTRACT SUMMARY FORM

FY 18
Amendment # , (If Applicable)

SUMMARY OF REVISIONS, RENEWALS, AND/OR FISCAL CHANGES

Provider Name:

Program Name:

Program Code:

Program Location(s):

Annualized projected capacity of services to be provided within the Fiscal Year:

Specify additional contract terms and conditions, changes to terms and conditions, and/or retirement of any terms and conditions as agreed to when filing an amendment or renewal. Provide a brief narrative explaining any fiscal changes made to the program’s Budget. Any programmatic/specification changes which occurred during any prior year’s amendments/renewals remain in effect unless otherwise specified or subsequently modified by new amendment(s). Attach a copy of the program staffing pattern only if they were changed by a newly filed amendment or renewal.

File details come from the government source that posted it. Updated .