Agreement to Use Electronic Signatures Sample Clauses

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: https://hr85.gmis.in.gov/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Lesley A. Crane, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Jason D.Dudich, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Office of the Attorney General By: (for) Curtis T. Hill, Jr., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.
Agreement to Use Electronic Signatures. By checking the “I accept the terms of servicecheck box you are electronically signing this E-Sign Agreement and the Terms of Use related to the Services. You specifically agree that any electronic signatures that you provide through this online process are valid and enforceable as your legal signature. You acknowledge that these electronic signatures will legally bind you to the terms and conditions contained in the E-Sign Agreement and Terms of Use documents just as if you had physically signed the same documents with a pen.
Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: https://hr85.gmis.in.gov/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. Vendor Name Indiana Department of Child Services By: By: Title: Title:
Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: https://hr85.gmis.in.gov/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this Amendment. The parties, having read and understood the foregoing terms of this Amendment, do by their respective signatures dated below agree to the terms thereof. CISCO SYSTEMS Indiana Office of Technology By: Dana Title:Giampetr Dateo: ni Digitally signed by Dana Giampetroni DN: cn=Dana Giampetroni, o=Cisco Systems, Inc, ou=US Public Sector, email=dgiampet@cisco.com, c=US Date: 2016.03.29 17:32:42 -04'00' By: Title: Date: Steve Edwards Digitally signed by Steve Edwards DN: cn=Steve Edwards, o=State of Indiana, ou=Office of Technology, email=sedwards@iot.in.gov, c=US Date: 2016.03.30 07:38:03 -04'00' Approved by: Indiana Office of Technology By: (for) Dewand Neely, Chief Information Officer This document will be reviewed and approved electronically. Please refer to the final page of the Executed Contract for details. Approved by: Department of Administration By: (for) Jessica Robertson, Commissioner This document will be reviewed and approved electronically. Please refer to the final page of the Executed Contract for details. Approved by: State Budget Agency By: (for) Brian E. Bailey, Director This document will be reviewed and approved electronically. Please refer to the final page of the Executed Contract for details. Approved as to Form and Legality: Office of the Attorney General By: (for) Gregory F. Zoeller, Attorney General This document will be reviewed and approved electronically. Please refer to the final page of the Executed Contract for details. Electr...
Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Amendment by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Amendment to the State of Indiana. I understand that my signing and submitting this Amendment in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Amendment and this affirmation. I understand and agree that by electronically signing and submitting this Amendment in this fashion I am affirming to the truth of the information contained therein. I understand that this Amendment will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: https://fs.gmis.in.gov/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Amendment. The parties, having read and understood the foregoing terms of this Amendment, do by their respective signatures dated below agree to the terms thereof. Anthem Insurance Companies Inc Indiana Family Social Services Administration, By:\s1\ Office of Medicaid Policy and Planning By:\s2\ Title:\t1P\resident, Anthem IN Medicaid Title:\t2Me\ dicaid director Date:\d51/\14/2021 | 12:58 EDT Date:\d52/\14/2021 | 13:21 EDT Electronically Approved by: Indiana Office of Technology By: (for) Tracy E. Barnes, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Lesley A. Crane, Commissioner Electronically Approved by: State Budget Agency By: (for) Zachary Q. Jackson, Director Electronically Approved as to Form and Legality by: Office of the Attorney General By: (for) Theodore E. Rokita, Attorney General EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK TABLE OF CONTENTS 1.0 Background 12 2.0 Managed Care Entity- Contractor Requirements 14 2.1 State Licensure 14 2.2 National Committee for Quality Assurance (NCQA) Accreditation 14 2.3 Administrative and Organizational Structure 14 2.4 Staffing 15 2.4.1 Key Staff 15 2.4.2 Staff Positions 21 2.4.3 Training 23 2.4.4 Debarred Individuals 24 2.5 FSSA/OMPP Meeting Requirements 25 2.6 Financial Stability 25 2.6.1 Solvency 25 2.6.2 Insurance 26 2.6.3 Reinsurance 26 2.6.4 Financial Accounting Requirements 27
Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Amendment by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Amendment to the State of Indiana. I understand that my signing and submitting this Amendment in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Amendment and this affirmation. I understand and agree that by electronically signing and submitting this Amendment in this fashion I am affirming to the truth of the information contained therein. I understand that this Amendment will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: https://fs.gmis.in.gov/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, the Contractor and the State have, through their duly authorized representatives, entered into this Amendment. The parties, having read and understood the foregoing terms of this Amendment, do by their respective signatures dated below agree to the terms thereof. Anthem Insurance Companies Inc Indiana Family and Social Services Administration, By:\s1\ Office of Medicaid Policy and Planning By:\s2\ Title:\t1P\resident, Anthem IN Medicaid Title:\t2M\edicaid director Date:\d51/\14/2021 | 12:56 EDT Date:\d52/\14/2021 | 13:22 EDT Electronically Approved by: Indiana Office of Technology By: (for) Tracy E. Barnes, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Lesley A. Crane, Commissioner Electronically Approved by: State Budget Agency By: (for) Zachary Q. Jackson, Director Electronically Approved as to Form and Legality by: Office of the Attorney General By: (for) Theodore E. Rokita, Attorney General Table of Contents EXHIBIT 1.E HOOSIER HEALTHWISE SCOPE OF WORK 1.0 Background 10 2.0 Managed Care Entity- Contractor Requirements 11
Agreement to Use Electronic Signatures. Process I agree, and it is my intent, to sign this Contract by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract to the State of Indiana. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract will not become binding on the State until it has been approved by the Department of Administration, the State Budget Agency, and the Office of the Attorney General, which approvals will be posted on the Active Contracts Database: https://fs.gmis.in.gov/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, the Grantee and the State have, through their duly authorized representatives, entered into this Grant Agreement. The parties, having read and understood the foregoing terms of this Grant Agreement, do by their respective signatures dated below agree to the terms thereof. VANDERBURGH COUNTY HEALTH DEPARTMENT Indiana Department of Health By: By: Title: President, Vanderburgh County CommissioneTritsle: Date: Date: Electronically Approved by: Department of Administration By: (for) Lesley A. Crane, Commissioner Electronically Approved by: State Budget Agency By: (for) Zachary Q. Jackson, Director Electronically Approved as to Form and Legality by: Office of the Attorney General By: (for) Curtis T. Hill Jr., Attorney General ATTACHMENT A CARES ACT CORONAVIRUS RELIEF FUND & EPIDEMIOLOGY AND LABORATORY CAPACITY FOR INFECTIOUS DISEASES September 1st, 2020 – June 30th, 2021 GRANT INFO: Epidemiology and Laboratory Capacity for Infection Diseases CFDA #93.323 & CARES Act Coronavirus Relief Fund CFDA #21.019 In INTRODUCTION Process The Division of Emergency Preparedness (DEP) and Epidemiology Resource Center (ERC) within the Indiana State Department of Health (ISDH) are responsible for administering the Epidemiology and Laboratory Capacity Control of Emerging Infectious Diseases (ELC) Grant received from the Centers for Disease Control and Prevention (CDC) to support COVID-19 response activities. A portion of this grant involves expanding testing capacity through community-based options. Access to local testing is critical to Indiana’s respons...
Agreement to Use Electronic Signatures. You specifically agree that any electronic signatures that you provide through this online process are valid and enforceable as your legal signature. You acknowledge that these electronic signatures will legally bind you to the terms and conditions contained in the related documents just as if you had physically signed the same documents with a pen.
Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Origination Agreement by accessing the electronic signature tool in Adobe to electronically submit this Origination Agreement to IHCDA. I understand that my signing and submitting this Origination Agreement in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Origination Agreement and this affirmation. I understand and agree that by electronically signing and submitting this Origination Agreement in this fashion I am affirming to the truth of the information contained therein and my authority to bind the Participant. I also understand that if I decide not to sign this Origination Agreement electronically, I must notify IHCDA so that this Origination Agreement may be re- submitted to me and I may sign it and return it to IHCDA in the traditional manner.
Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract by accessing the electronic signature tool in Adobe to electronically submit this Contract to IHCDA. I understand that my signing and submitting this Contract in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract and this affirmation. I understand and agree that by electronically signing and submitting this Contract in this fashion I am affirming to the truth of the information contained therein and my authority to bind the Contractor. I also understand that if I decide not to sign this Contract electronically, I must notify IHCDA so that this Contract may be re-submitted to me and I may sign it and return it to IHCDA in the traditional manner. In Witness Whereof, Contractor and IHCDA have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. Indiana Housing and Community Development Authority By: Printed: J. Jacob Sipe Title: Executive Director Date: Contractor By: Printed: Title: Date: Contract Number: EXHIBIT A SCOPE OF SERVICES Contract Number: