Additional Services (Optional. If there are more than eleven (11) courses taught by this provider that need to be listed, please list them on the Addendum to Appendix B for AP and LTP Agreements. Addendum(s) Attached? Yes No Quantity, if yes: Select Number Authorized Provider Agreement Appendix C – Authorized Provider Instructors Instructors who will be teaching on behalf of your business/organization/school should be listed below. Each instructor should have a complete profile in the American Red Cross Learning Center that includes up-to-date contact information, including email address, mailing address, phone number and current instructor certifications. Instructor Name Learning Center Username Email Address and Phone Current Instructor Certification(s) Example: Xxxxx Safety sallysafety@redcross.o rg xxxxxxxxxxx@xxxxxxxx.xxx 202.303.0000 First Aid/CPR/AED Instructor Babysitter’s Training Instructor Xxxxxxxx Xxxxxxx ssimmons@brentwood xx.xxx Email: ssimmons@brentw xxxxx.xxx Phone: (000) 000-0000 First Aid/CPR/AED Instructor Email: Phone: Email: Phone: Email: Phone: Email: Phone: Email: Phone: Email: Phone: Email: Phone: Email: Phone: Email: Phone: If there are more than ten (10) instructors that need to be listed, please list them on the Addendum to Appendix C for AP and LTP Agreements. Addendum(s) Attached? Yes No Quantity, if yes: Select Number Authorized Provider Agreement Appendix D – Facility Locations Please provide information regarding each of the facilities in which Red Cross training will take place. Facility Name and Address Facility Contact Name Facility Contact ’s Email Address and Phone Example: Name: American Red Cross NHQ Address: 0000 X XX XX Xxxxxxxxxx, XX 00000 Xxxxx Safety Email: xxxxxxxxxxx@xxxxxxxx.xxx Phone: 000.000.0000 Name: Brentwood Community Center Address: 0000 Xxxxx Xxxxxxxxx Xxxxxxxxx, Xxxxxxxxx, XX 00000 Xxxxxxxx Xxxxxxx Email: xxxxxxxx@xxxxxxxxxxx.xxx Phone: (000) 000-0000 Name: Address: Email: Phone: Name: Address: Email: Phone: Name: Address: Email: Phone: Name: Address: Email: Phone: Name: Address: Email: Phone: Name: Address: Email: Phone: Name: Address: Email: Phone: If there are more than eight (8) training facilities that need to be listed, please list them on the Addendum to Appendix D for AP and LTP Agreements. Addendum(s) Attached?
Additional Services (Optional. If there are more than eleven (11) courses taught by this provider that need to be listed, please list them on the Addendum to Appendix B for AP and LTP Agreements. Addendum(s) Attached? Yes No Quantity, if yes: Select Number Authorized Provider Agreement Appendix C – Authorized Provider Instructors Instructors who will be teaching on behalf of your business/organization/school should be listed below. Each instructor should have a complete profile in the American Red Cross Learning Center that includes up-to-date contact information, including email address, mailing address, phone number and current instructor certifications. Instructor Name Learning Center Username Email Address and Phone Current Instructor Certification(s) Example: Xxxxx Safety xxxxxxxxxxx@xxxxxxxx.xxx xxxxxxxxxxx@xxxxxxxx.xxx 202.303.0000 First Aid/CPR/AED Instructor Babysitter’s Training Instructor Xxxxxx Xxxxxxx XXXxxxxxx@xxxxxxx.xxx Email: XXXxxxxxx@xxxxxxx.xxx Phone: 000 000 0000 First Aid/CPR/AED Intructor Xxxxxx Xxxxxxxxxx RLWinchester@oneclay.n et Email: XXXxxxxxxxxx@xxxxxxx.xxx Phone: 000 000 0000 First Aid/CPR/AED Intructor Xxxxxxx Xxxxxxxx XXXxxxxxxx@xxxxxxx.xxx Email: XXXxxxxxxx@xxxxxxx.xxx Phone: 000 000 0000 First Aid/CPR/AED Intructor Xxxxx X'Xxxxx XXXxxxxx@xxxxxxx.xxx Email: XXXxxxxx@xxxxxxx.xxx Phone: 000 000 0000 First Aid/CPR/AED Intructor Xxxxxx Xxxx XXxxx@xxxxxxx.xxx Email: XXxxx@xxxxxxx.xxx Phone: 000 000 0000 First Aid/CPR/AED Intructor Xxxx XxXxx XXxxxx@xxxxxxx.xxx Email: XXxxxx@xxxxxxx.xxx Phone: First Aid/CPR/AED Intructor Xxxxxx Xxxx XXXxxx@xxxxxxx.xxx Email: XXXxxx@xxxxxxx.xxx Phone: 000 000 0000 First Aid/CPR/AED Intructor Xxxxxxx Xxxxx XXXxxxx@xxxxxxx.xxx Email: XXXxxxx@xxxxxxx.xxx Phone: 000 000 0000 First Aid/CPR/AED Intructor Xxxxxxx Xxxx XXXxxx@xxxxxxx.xxx Email: XXXxxx@xxxxxxx.xxx Phone: 000 000 0000 First Aid/CPR/AED Intructor Email: Phone: If there are more than ten (10) instructors that need to be listed, please list them on the Addendum to Appendix C for AP and LTP Agreements. Addendum(s) Attached? Yes No Quantity, if yes: Select Number Authorized Provider Agreement Appendix D – Facility Locations Please provide information regarding each of the facilities in which Red Cross training will take place. Facility Name and Address Facility Contact Name Facility Contact’s Email Address and Phone Example: Name: American Red Cross NHQ Address: 0000 X XX XX Xxxxxxxxxx, XX 00000 Xxxxx Safety Email: xxxxxxxxxxx@xxxxxxxx.xxx Phone: 000.000.0000 Name: Xxxxxx Xxx...
Additional Services (Optional. [insert a detailed description of any Additional Services to be provided such as data migration services]. Optional: Not applicable. Service Levels The Service Levels are as set out in the Managed Service Document provided to you in conjunction with the Agreement. Fees For the Services a fixed fee amount of $[insert] (ex GST) per each 12 months. Optional: [For the Implementation Services, [a fixed fee amount of $[insert] (ex GST)/ or in accordance with the schedule of rates [attached to this Order Form]]. For any Additional Services, as quoted to you based on the requested services and/or in accordance with the schedule of rates [attached to this Order Form]. Payment Terms We will invoice you for: ● the Fees in full for the Services on the Order Form Commencement Date and each 12 months thereafter in advance; ● Optional: the Fees for any Implementation Services [on the Order Form Commencement Date/after completion of the Implementation Services as determined by us]; ● the Fees for any Additional Services[on the Order Form Commencement Date] , and you must pay the amount in the invoice, using the payment method set out in the invoice, within [30 days] of the date of the invoice, or as otherwise agreed between the Parties. This Order Form forms part of the Agreement and will be subject to, governed by, and will incorporate the terms and conditions contained in the Agreement (Terms). Each Party, upon its acceptance of this Order Form, is bound by, and must comply with, its respective obligations under this Order Form, the Terms and the Agreement as a whole. EXECUTION EXECUTED for and on behalf of CourseLoop Pty Ltd ACN 000 000 000 by a duly authorised representative: EXECUTED for and on behalf of [insert] [ACN/ABN] [insert] by a duly authorised representative: Signature Signature Name Name Date Date COURSELOOP SAAS AGREEMENT - TERMS This Agreement is entered into between CourseLoop Pty Ltd ACN 000 000 000 (we, us or our) and you, the person, organisation or entity described in the Order Form (you or your), together with the Parties and each a Party.
Additional Services (Optional. The consultant will provide, as requested and authorized by the City, additional services that may be required above and beyond those described in Tasks 1 through 6. These services may include but are not limited to such items as the following: • Additional water service design or permitting services • Traffic signal or traffic loop design packages for permitting/construction • Assistance with acquisitions of easements and/or right-of-way • Environmental and Building Department project permitting/permitting close out. • Field survey work. • Construction Phase Service beyond the anticipated construction duration as shown. Compensation for additional services will be based upon hourly billing rates at the time of authorization.
