Dallas Area Agency on Aging Service Contractor Application
Legal Notice- Procurement of Services by Dallas Area Agency on Aging
The Dallas Area Agency on Aging of the Community Council of Greater Dallas seeks applications from qualified entities to provide Respite Care, Personal Assistance, Homemaker, Chore Maintenance, Health Maintenance, Legal Assistance, Nutritional Consultation, Residential Repair, and Transportation in Dallas County, Texas. Contact: Sonia White, 214-954-4212
Please note: At this time we are not accepting service contracts.
Deadline Date/Time – There is no deadline. DAAA accepts service contractor applications at any time during the year.
To download a copy of the Application Packet please click here or to download a copy of the forms individually please click the links below.
__ Direct Purchase of Service Application
__ Vendor Agreement
__ W-9 Form – Taxpayer Identification Number
__ Standard Assurances
__ Debarment Certification
__ Lobbying Certification
__ Non-Conflict of Interest Form
__ Data Use Agreement- Attachment 1. Subcontractor Agreement Form
__ Attachment B – Proposed Pricing for Commonly Used Items (Health Maintenance applicants must complete)
__ Child Support Certification (Required of for-profit contractors only)
Sandra Luz, email@example.com, 214-871-5065 Ext. 274
Shelia Robinson, firstname.lastname@example.org, 214-871-5065 Ext. 221