SIGNATURE SHEET. Addendums: (please check all that you have received) (1) (2) _ _ (3) (4) (5) _ _ Item: Flight Testing & Instrumentation Closing Date: Friday, June 4th, 2021 at 2PM Central Time By submission of a bid and the signatures affixed thereto, the bidder certifies all products and services proposed in the bid meet or exceed all requirements of this specification as set forth in the request and that all exceptions are clearly identified. Legal Name of Person, Firm or Corporation Mailing Address City & State Zip Toll Free Telephone Local Cell: Fax Tax Number CAUTION: If your tax number is the same as your Social Security Number (SSN), you must leave this line blank. DO NOT enter your SSN on this signature sheet. If your SSN is required to process a contract award, including any tax clearance requirements, you will be contacted by an authorized representative of the Office of Purchasing at a later date. E-Mail Signature Date Typed Name Title In the event the contact for the bidding process is different from above, indicate contact information below. Bidding Process Contact Name Mailing Address City & State Zip Toll Free Telephone Local Cell: Fax E-Mail If awarded a contract and purchase orders are to be directed to an address other than above, indicate mailing address and telephone number below. Award Contact Name Mailing Address City & State Zip Toll Free Telephone Local Cell: Fax E-Mail TAX CLEARANCE Wichita State University strongly supports the State of Kansas Tax Clearance Process. Vendors submitting bids or proposals which exceed $25,000 over the term of the contract shall include a copy of a Tax Clearance Certification Form with their submittal. Failure to provide this information may be cause for rejection of a vendor’s bid or proposal.
SIGNATURE SHEET. This document constitutes the agreement between the practice and the PCO in regards to this locally enhanced service. PRACTICE – Signature on behalf of the Practice: Signature Name Date Signature on behalf of the PCO: Signature Name Date PAYMENT WILL ONLY BE MADE UPON RECEIPT OF THIS SIGNED CONTRACT ASPIRATIONAL ACTIVITY Screening Brief Interventions
SIGNATURE SHEET. This document constitutes the agreement between the pharmacy and the PCT in regards to this local enhanced service. Name and address of Pharmacy Contractor: ……………………………………………………………………………………………………………………. ……………………………………………………………………………………………………………………. ………………………………………………………………………Postcode………………………………… Signature on behalf of the Pharmacy Contractor: Signature Name Date Signature on behalf of the PCT: Signature Name Date Please return this completed and signed form to:
SIGNATURE SHEET. Addendums: (please check all that you have received) (1) (2) (3) (4) (5) Item: DO-160G Section 17 and 19.3.5 Test System Closing Date: June 27, 2016, at 2PM Central Time By submission of a bid and the signatures affixed thereto, the bidder certifies all products and services proposed in the bid meet or exceed all requirements of this specification as set forth in the request and that all exceptions are clearly identified. Legal Name of Person, Firm or Corporation Mailing Address City & State Zip Toll Free Telephone Local Cell: Fax Tax Number CAUTION: If your tax number is the same as your Social Security Number (SSN), you must leave this line blank. DO NOT enter your SSN on this signature sheet. If your SSN is required to process a contract award, including any tax clearance requirements, you will be contacted by an authorized representative of the Office of Purchasing at a later date. E-Mail Signature Date Typed Name Title In the event the contact for the bidding process is different from above, indicate contact information below. Bidding Process Contact Name Mailing Address City & State Zip Toll Free Telephone Local Cell: Fax E-Mail If awarded a contract and purchase orders are to be directed to an address other than above, indicate mailing address and telephone number below. Award Contact Name Mailing Address City & State Zip Toll Free Telephone Local Cell: Fax E-Mail SECTION I CONDITIONS TO BIDDING Solicitation Reference Number: The above-number, IFB #B0001371 has been assigned to this Solicitation and MUST be shown on all correspondence or other documents associated with this Solicitation and MUST be referred to in all verbal communications. All inquiries, written or verbal, shall be directed to the procurement officer only. Xxxxxx X Xxxxx Telephone: 000-000-0000 Facsimile: 000-000-0000 E-Mail Address: xxxxxx.xxxxx@xxxxxxx.xxx Wichita State University 0000 Xxxxxxxxx Xxxxxx Office of Purchasing, Campus Box 12 Wichita, KS 67260-0012 Questions/Addenda: No pre-bid conference is scheduled for this Solicitation. Questions requesting clarification of the Solicitation must be submitted in WRITING to the Procurement Officer prior to the close of business on June 8, 2016 to the following address: Xxxxxx X Xxxxx Telephone: 000-000-0000 Facsimile: 000-000-0000 E-Mail Address: xxxxxx.xxxxx@xxxxxxx.xxx Wichita State University 0000 Xxxxxxxxx Xxxxxx Office of Purchasing, Campus Box 12 Wichita, KS 67260-0012 Failure to notify the Procurement Officer of any conflicts ...
SIGNATURE SHEET. EL21: CHLAMYDIA SCREENING (2009-10) This document constitutes the agreement between the pharmacy and the PCT in regards to this enhanced service. Signature on behalf of the Pharmacy: On behalf of the pharmacy I confirm that the information detailed within this service level agreement is accurate and reflects how the pharmacy approaches the provision of this service. In addition I confirm that the pharmacy will comply with the data reporting and audit requirements of the scheme. Signature Name Date Pharmacy Name and Address Signature on behalf of the PCT: Signature Name Date PAYMENT WILL ONLY BE MADE UPON RECEIPT OF PHARMACY SIGNATURE SHEET
SIGNATURE SHEET. Signature on behalf of the PCT: Signature Name and Designation Date Xxx Xxxxxx Public Health Nutrition Lead, Public Health Manchester. 7th August 2012 Signature on behalf of the Contractor Signature Name and Designation Date Address of Pharmacy Contact telephone details
SIGNATURE SHEET. This document constitutes the agreement between the contractor/owner pharmacy, the provider pharmacist(s) and NHS Bassetlaw (The commissioner) in regards to this service level agreement. Name and address of pharmacy contractor/owner. (stamp) Contract term ___________to___________ Signature of pharmacy contractor/owner. Signature Name Date Signature(s) of provider pharmacist(s) Signature Name Date Signature on behalf of Commissioner (PCT) Signature Name Date
SIGNATURE SHEET. This Agreement made and entered into this 12th day of February 2015 by and between Xxxxxxxx-Xxxxx Corporation, Chester Pennsylvania Operations and the United Steel, Paper and Forestry, Rubber, Manufacturing, Energy, Allied Industrial and Service Workers International Union, AFL-CIO, CLC on behalf of Local 10-448 and to be in effect April 1, 2015 through April 1, 2018. USW USW LOCAL 00-000 XXXXXXXX-XXXXX CORPORATION Xxx Xxxxxx President Xxxx Xxxxx President Xxxxx Xxxxx Mill Manager Xxxx Xxxxxxx Secretary-Treasurer Union Negotiating Committee Xxxxx Xxxxx First Vice President Xxx Xxxxx Human Resources Team Leader Xxx Xxxxxx Vice President Administration Union Negotiating Committee Xxxx Xxxxx Vice President Tissue Manufacturing Xxxxxxxx Xxxxxxx HR Generalist Xxxx Xxxxxxx Vice President Human Affairs Union Negotiating Committee Xxxxx Xxxxxx Vice President – Utilities Xxx Xxxxxx Vice President Paper Bargaining Union Negotiating Committee Xxxxx Xxxxx, Xx. Vice President - Logistics Xxxxxx XxXxxxxxx Director – District 10 Union Negotiating Committee Xxx Xxxxxx Vice President - Converting Xxx Xxxxx Sub Director – District 10 Union Negotiating Committee Xxxx Xxxxxxxxx Vice President – Maintenance Xxxx X. Xxxxx Staff Representative District 10 EXHIBIT A Utilities New Rate Schedule Current 4/1/2015 4/1/2016 4/1/2017 Rate 2% 2% 2% Xxxxx 0 00000000 22.53 22.98 23.44 23.91 Xxxxx 0 00000000 23.85 24.33 24.81 25.31 Xxxxx 0 00000000 26.11 26.63 27.16 27.71 Xxxxx 0 00000000 29.53 30.12 30.72 31.34 Xxxxx 0X 50078412 31.77 32.41 33.05 33.71 Xxxxx 0 00000000 34.06 34.74 35.44 36.14 Xxxxx 0 00000000 35.51 36.22 36.94 37.68 New Hires After 5/2/10 Start 50055021 15.30 15.61 15.92 16.24 6 Months 50103237 15.60 15.91 16.23 16.55 1 Year 50103238 16.10 16.42 16.75 17.09 18 Months 50103239 16.40 16.73 17.06 17.40 2nd Year *** -- -- 18.11 3rd Year - Level 1 50093845 -- -- -- 4th Year Contract % on Level 1 Rate *** -- -- -- 5th Year - Level 2 50078415 -- -- -- Xxxxx 0 See Rates Above Follow Division's Demonstration Periods and Gates Xxxxx 0 Xxxxx 0X Xxxxx 0 Xxxxx 0 Xxxxx 1 50073367 22.03 22.47 22.92 23.38 Xxxxx 0 00000000 24.75 25.25 25.75 26.26 Xxxxx 0 00000000 27.45 28.00 28.56 29.13 Xxxxx 0 00000000 29.62 30.21 30.81 31.42 New Hires After 5/2/10 EXHIBIT A Fiber Prep New Rate Schedule Current 4/1/2015 4/1/2016 4/1/2017 Rate 2% 2% 2% Start 50055021 15.30 15.61 15.92 16.24 6 Months 50103237 15.60 15.91 16.23 16.55 1 Year 50103238 16.10 16.42 16.75 17.09 18 Months 50103239 16.40 16.73 17...
SIGNATURE SHEET. This cover sheet lists the sub-recipient, effective dates of the contract, grant number, contract number, amount of funds allocated, and the attachments detailed below. This sheet is signed by the Chief Executive Officer of Disaster Recovery Division (DRD) and requires the signature of the sub- recipient’s authorized representative.
SIGNATURE SHEET. The Agreement is made between Rocky View County, the Langdon Library Society, and the Marigold Library Board. CEO, Marigold Library System Authorized Signature Witness Print Name and Title Date Chair, Marigold Library Board Authorized Signature Witness Print Name and Title Date CAO or Designate (Rocky View County) Authorized Signature Witness Print Name and Title Date President, (Xxxxxxx Library Society) Authorized Signature Witness
