ESBD_428405_1750275049389_Exhibit H - 2282V.pdf

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Attached to
FY26 APS Claims Processing
Solicitation number
HHS0016010
Issued by
Travis County, Austin City, Texas

About this file

This document is a sample Vendor Contract template from the Texas Department of Family and Protective Services (DFPS), designed to establish the framework for a service contract between DFPS and an unnamed contractor. The contract is structured with seven key sections addressing the purpose, legal authority, contract term, statement of work, contract managers, attachments, and signatures. The document indicates that the specific details of work will be outlined in Attachment A (Statement of Work), and the contract can be renewed, extended, or terminated according to the terms specified. The contract is authorized under Texas Human Resources Code Chapter 40 and requires the contractor to perform work in accordance with all state and federal laws, rules, and regulations.

The sample contract template includes placeholders for key information such as contract number, agency ID, specific contract dates, and contact details for both DFPS and the contractor. The contract will have three primary attachments: Attachment A (Statement of Work), Attachment B (Uniform Terms and Conditions), and Attachment C (Supplemental and Special Conditions). The document is marked as a "SAMPLE" and dated June 2022, using the form number N502 FORM-2282V, suggesting it is a standardized template for potential service agreements within the Texas Department of Family and Protective Services.

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Text version

CONTRACT NUMBER:

AGENCY ID:

TEXAS DEPARTMENT OF FAMILY AND PROTECTIVE SERVICES

VENDOR CONTRACT PAGE 1

N502 FORM-2282V

JUNE 2022

TEXAS DEPARTMENT OF FAMILY AND PROTECTIVE SERVICES

VENDOR CONTRACT

I. PURPOSE.

The Texas Department of Family and Protective Services (DFPS) and (Contractor) (referred to herein as each a “Party” and collectively as the “Parties”) enter into this Contract for services (Contract).

II. LEGAL AUTHORITY.

This Contract is entered under DFPS’s statutory authority in Texas Human Resources Code Chapter 40.

III. CONTRACT TERM.

This Contract starts on and ends on , and can be renewed, extended, or terminated as provided for in this Contract.

IV. STATEMENT OF WORK.

The Contractor will perform the work and provide services as provided for in the Statement of Work (Attachment A). All work and services provided under this Contract must be in accordance with all state and federal laws, rules, and regulations.

V. CONTRACT MANAGER.

These Contract Managers are authorized to administer activities and receive notices and general correspondence for this Contract by sending it to them as provided below.

A. DFPS

Name:

Title:

Address:

Phone:

Email:

B. CONTRACTOR

Name:

Title:

Address:

Phone:

Email:

VI. ATTACHMENTS.

The Parties agree to comply with the following Attachments and that they are attached and incorporated as part of this Contract.

Attachment A – Statement of Work Attachment B – Uniform Terms and Conditions Attachment C – Supplemental and Special Conditions

SAMPLE

CONTRACT NUMBER:

AGENCY ID:

TEXAS DEPARTMENT OF FAMILY AND PROTECTIVE SERVICES

VENDOR CONTRACT PAGE 2

N502 FORM-2282V

JUNE 2022

VII. SIGNATURES.

By signing below, the following certify that they have the requisite legal authority to bind their respective Party and that this Contract represents the final agreement of the Parties.

DFPS

X

NAME:

TITLE:

DATE: Click or tap to enter a date.

CONTRACTOR

X

NAME:

TITLE:

DATE: Click or tap to enter a date.

SAMPLE

I. PURPOSE.
II. LEGAL AUTHORITY.
III. CONTRACT TERM.
IV. STATEMENT OF WORK.
V. CONTRACT MANAGER.
A. DFPS
B. CONTRACTOR
VI. ATTACHMENTS.
VII. SIGNATURES.
CONTRACTOR
DFPS

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