CONTRACT RELATED DOCUMENTS
Forms to be completed by Agency and submitted to ECDMH Contracts Technician, Melissa Stark, via Hand Delivery or US Mail along with 2022 Contract and 2022 BAA:
Forms to be completed by Agency and submitted to Agency's ECDMH Contract Coordinator:
All Agencies need to complete these forms:
Agencies who receive Federal funding need to complete these additional Federal Certifications (as indicated on the 2022 Funding Authorization Summary (FAS)):
Please note that the Scope of Service (previously known as the A.1.2) documents are available in ClearPoint in the attachments section. You will need to review and update these documents as needed and email them to your assigned Contract Coordinator. Please refer to the instructions provided by your Contract Coordinator.
Please submit all Certificates of Insurance and renewals to ECDMH Contracts Technician, Melissa Stark, via email only @ Melissa.Stark@erie.gov.
FOR GUIDANCE USING CLEARPOINT CLICK HERE