VENDOR CONTRACT
White – State Agency; Yellow – Vendor Copy Page 1 of 18 ITCA Vendor Contract
INTER TRIBAL COUNCIL OF ARIZONA, INC.
SUPPLEMENTAL NUTRITION PROGRAM FOR
WOMEN, INFANTS AND CHILDREN (WIC)
VENDOR CONTRACT
1. PARTIES
Vendor Name
(Legal Name of Store):
________________________________________________________
Doing Business As:
________________________________________________________
Name of Owner:
________________________________________________________
Federal Employer
Identification Number:
____________________________
The Inter Tribal Council of Arizona, Inc. (ITCA) is an Arizona non-profit corporation authorized by the
United States Department of Agriculture (“USDA”) to serve as a “state agency” for purposes of
administering the Special Supplemental Nutrition Program for Women, Infants and Children (“WIC”).
The purpose of this Vendor Contract (“Contract”) is to provide authorized Vendors at which WIC clients,
parents or caretakers of infant and child clients or proxies (hereafter collectively referred to as “clients”)
can obtain authorized WIC foods, and to provide the terms and conditions for Vendors and the state
agency to follow during transactions arising out of this Contract.
2. CONTRACT PERIOD
This Contract by and between ITCA and the above named Vendor is effective October 1, 2012, or the
date when it is signed by both ITCA and Vendor, whichever date is later. If not terminated earlier, this
Agreement shall terminate on September 30, 2015. Neither the Vendor nor ITCA is obligated to renew
this Contract or enter into a new Contract at the expiration or the termination of this Contract.
This Contract is contingent upon the availability of funds from the federal government to operate the WIC
program and the continued operation of the WIC program by ITCA. This Contract shall not constitute a
license or a property interest.
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