Common use of Agreement to Use Electronic Signatures Clause in Contracts

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: xxxxx://xx00.xxxx.xx.xxx/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) Xxxxxx X. Xxxxx, 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) Xxxxx X.Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Appears in 9 contracts

Samples: Professional Services Contract, Professional Services Contract, Professional Services Contract

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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: xxxxx://xx00.xxxx.xx.xxx/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] VENDOR NAME AGENCY NAME By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, 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) Xxxxx X.XxxxxxX. Xxxxxx, 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) Xxxxxx Xxxxxxx X. Xxxx, Xx.Xxxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Appears in 6 contracts

Samples: Professional Services Contract, Professional Services Contract, Professional Services Contract

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: xxxxx://xx00.xxxx.xx.xxx/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] VENDOR NAME AGENCY NAME By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Appears in 3 contracts

Samples: Professional Services Contract, Professional Services Contract, Professional Services Contract

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: xxxxx://xx00.xxxx.xx.xxx/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) Xxxxxx X. Xxxxx, 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) Xxxxx X.Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. Exhibit 1 to the Master Agreement: Software-as-a-Service

Appears in 3 contracts

Samples: Professional Services Contract, Professional Services Contract, Professional Services Contract

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/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. [Contractor] [CARESOURCE INDIANA INC Indiana Agency] Family and Social Services Administration, Office of Medicaid Policy and Planning By: By: Title: Title: Date: Xxxxx Xxxxxxxxxx President 04/12/2019 By: Title: Date: Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxX. Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. Xxxxxxx Xxxxxx Medicaid Director 4/15/2019 1.0 Background 29 2.0 Managed Care Entity- Contractor Requirements 30 2.1 State Licensure 30 2.2 National Committee for Quality Assurance (NCQA) Accreditation 30 2.3 Administrative and Organizational Structure 30 2.4 Staffing 31 2.4.1 Key Staff 31 2.4.2 Staff Positions 36 2.4.3 Training 38 2.4.4 Debarred Individuals 38 2.5 OMPP Meeting Requirements 39 2.6 Financial Stability 39 2.6.1 Solvency 40 2.6.2 Insurance 40 2.6.3 Reinsurance 40 2.6.4 Financial Accounting Requirements 42 2.6.5 Reporting Transactions with Parties of Interest 43 2.6.6 Medical Loss Ratio 44 2.6.7 Health Insurance Providers Fee 46

Appears in 2 contracts

Samples: Professional Services Contract #0000000000000000000032137, Professional Services Contract #0000000000000000000032137

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 DatabaseDatabas e: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Selge Construction Co. Inc. Indiana Agency] Utility Regulatory Commission By: By: TitlePrinted Name: Printed Name: Title: Date: Manager of Safety and Resources 1/5/2023 | 13:49 PST Title: Date: Chairman 1/10/2023 | 16:31 EST _ Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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 Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon April 4, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2022 FA 22- 20 EXHIBIT A Underground Plant Protection Account Grant Application Grantee Information

Appears in 2 contracts

Samples: Grant Agreement, Grant Agreement

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 DatabaseDatabas e: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: TitlePrinted Name: Printed Name: Title: Date: Executive Director 9/12/2022 | 15:33 EDT Title: Date: Chairman 9/14/2022 | 15:31 EDT _ Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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 Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon April 4, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2022 FA 22- 20 EXHIBIT A Underground Plant Protection Account Grant Application Grantee Information

Appears in 2 contracts

Samples: Grant Agreement, Grant Agreement

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 t he Attorney General, which approvals will be posted on the Active Contracts Database: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUS TOM_APPS.SOI_PUBLIC_CNTR CTS.GBL 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. [Contractor] [Indiana Agency] COMPUTER AID, INC. By: Indiana Department of Administration By: Title: EVP Title: Director of Vendor Management Date: 12/9/2021 | 13:33 EST Date: 12/10/2021 | 07:34 EST Electronically Approved byApprovedby:Indiana Office of Technology By: (for)Xxxxx X. Xxxxxx, Chief Information Officer Electronically Approvedby:Department of Administration By: (for) Xxxxxx X. Xxxxxfor)Xxxxxxx Xxxx erda, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Approvedby:State Budget Agency By: (for) Xxxxx X.Xxxxxxfor)Xxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: Legality by:Office of the Attorney General By: (for) Xxxxxx for)Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.EXHIBIT A Implementation and Administration

Appears in 2 contracts

Samples: Quantity Purchase Agreeement for Managed Services, Quantity Purchase Agreeement for Managed Services

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ 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. [Contractor] [360WATER INC Indiana Agency] Utility Regulatory Commission By: By: Title: Title: Date: Date: Electronically Approved by: Indiana Office of Technology By: (for) Xxxxx Xxxxxx, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.Exhibit D Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0

Appears in 2 contracts

Samples: Contract #0000000000000000000055078, Professional Services Contract Contract #0000000000000000000055078

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [CARESOURCE INDIANA INC Indiana Agency] Family and Social Services Administration, Office of Medicaid Policy and Planning By: By: Xxxxx Xxxxxxxxxx Xxxxxxx Xxxxxx Title: President, IN Market Date: 3/11/2020 Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.Medicaid Director

Appears in 2 contracts

Samples: Contract #0000000000000000000032137, Contract #0000000000000000000018313

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 DatabaseDatabas e: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ 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 respec tive signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] 360Water Inc. By: Indiana Utility Regulatory Commission Title: President By: Title: Title: Chairman Date: 4/12/2023 | 10:30 PDT Date: 4/18/2023 | 15:48 EDT Electronically Approved by: Indiana Office of Technology By: (for) Xxxxx Xxxxxx, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer ATTACHMENT 1 TO: FROM: DATE : RE: Xxxxx Xxxxxx Xxxxxx Underground Plant Protection Account (UPPA) Program Manager Indiana Utility Regulatory Commission (IURC) 000 X. Xxxxxxxxxx St., Suite 1500 East Xxxx Xxxxx VP-Operations, 360water, Inc. 4/6/2023 Indiana Utility Regulatory Commission Extension of Contract 55078 This memo responds to Electronic Approval History found after your offer to extend Contract 55078 through the final page year 2025. This offer was made via email dated February 28, 2023. On April 5, 2023, you sent a follow-up email with further information about the extension. These emails are attached as Exhibit 1 to this memorandum. 360water accepts the offer and proposes the following budget. Exhibit 2 to this memo is the budget for Contract 55078, with edits. In my opinion, the 55078 budget serves as the best estimate for the contract extension budget. My edits strike services that are not required in Year 2024 and Year 2025. The edits reduce the budget for two modules from $201,760.00 to $124,760.00. Therefore, four modules over two years (2024-2025) would require $249,520.00 ($124,760 X 2). According to your emails, the IURC anticipates additional work not listed within Contract 55078. Specifically, the IURC requests the following: • Spanish Language version of xxxxx://xxxxxxxxxxxxxx.xxx/ • Spanish Language translation for existing courseware. o Spanish Language text. o Spanish Language closed captioning for all video. • The breakout of the Executed Contract estimated budget for detailsthis work is shown in the table below. Vendor Service Estimated Cost 360water / Xxxxxxxx Spanish Language website $18,000.00 360water / Tomedes / 3Play Spanish Language courseware $17,000.00 360water / Xxxxx Xxxxx 811 Training course production1 $ 5,500.00 Total $40,500.00 Added together, the total budget for the contract extension through 2025 is as follows. Year 2024 $124,760.00 Year 2025 $124,760.00 Spanish Language / Xxxxx Xxxxx $40,500.00 Total $290,020.00 I recommend that we discuss this memorandum on the phone and make any adjustments that you deem appropriate. I appreciate the time and attention of the IURC to this matter. Let me know if you have any questions. Thank you.

Appears in 2 contracts

Samples: Professional Services Contract Contract #0000000000000000000055078, Contract #0000000000000000000055078

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: xxxxx://xx00.xxxx.xx.xxx/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] [XXXXXXXXXXXXXXXXX Indiana Agency] Department of Administration By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, 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) Xxxxx X.Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. Exhibit A: State of Indiana Market Basket Pricing TO BE ATTACHED AT TIME OF SIGNATURE. Exhibit B: Non-Market Basket Discount Pricing TO BE ATTACHED AT TIME OF SIGNATURE. Exhibit C: Service Level Agreements and Key Performance Indicator This document is an exhibit to the Master Services Agreement, and is deemed to be attached to and incorporated within the Master Services Agreement by reference. Any inconsistency, conflict, or ambiguity between this exhibit and the Master Services Agreement shall be resolved by giving precedence and effect to the Master Services Agreement. Service Level Agreement (SLA) The Service Level Agreements (SLA) are based on agreed-upon service levels that are tracked over the course of the contractual term. The SLA are created for the purpose of monitoring the performance of the Contractor and the overall contractual agreement. These SLA are represented to identify both qualitative and quantitative information. The Contractor shall monitor and fulfill all associated Service Levels through continuous tracking, Key Performance Indicator Surveys, and State Account Management interaction. These Service Level Agreements shall then be directly evaluated through Performance Metrics in Exhibit D. On a quarterly basis, the Contractor shall identify the actual outcome of the SLA listed below and supply original supportive documentation for all SLA and Performance Metrics. The Contractor shall tabulate the actual SLA outcome and present the actual results during each affiliated Quarterly Business Review (QBR). The Contractor shall not round up on any numerical data. The data shall not be tabulated as an average; instead, the data must be represented as actual statistical information. The Service Level Agreements are set up with the combination of the following:

Appears in 2 contracts

Samples: Master Services Agreement, Master Services Agreement

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Executive Director Title: Chairman Date: 9/18/2023 | 09:07 EDT Date: 9/18/2023 | 10:15 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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 Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon February 23, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2023 FA 23-03 EXHIBIT A Underground Plant Protection Account Grant Application Grantee Information

Appears in 2 contracts

Samples: Grant Agreement, Grant Agreement

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 equivalen t 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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: TitlePrinted Name: Printed Name: Title: Executive Director Title: Chairman Date: 11/2/2022 | 09:15 EDT Date: 11/2/2022 | 09:25 EDT _ Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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 Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon April 4, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2022 FA 22- 20 EXHIBIT A Underground Plant Protection Account Grant Application Grantee Information

Appears in 2 contracts

Samples: Grant Agreement, Grant Agreement

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/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. [Contractor] [XCONTRACTOR Indiana Agency] Department of Administration By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Appears in 2 contracts

Samples: Professional Services Contract, Professional Services Contract

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 DatabaseDatabas e: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: TitlePrinted Name: Printed Name: Title: Date: Executive Director 9/12/2022 | 15:29 EDT Title: Date: Chairman 9/14/2022 | 15:30 EDT _ Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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 Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon April 4, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2022 FA 22- 20 EXHIBIT A Underground Plant Protection Account Grant Application Grantee Information

Appears in 2 contracts

Samples: Grant Agreement, Grant Agreement

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: xxxxx://xx00.xxxx.xx.xxx/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. [Contractor] [Indiana Agency] Department of Child Services By: By: Xxxxx X. Xxxxxxx, Director Name and Title: Title: , Printed Date: Date: Electronically Approved by: Approved by: Indiana Department of Administration Indiana State Budget Agency By: (for) By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.Director

Appears in 2 contracts

Samples: Family Preservation Services Professional Services Contract, Family Preservation Services Professional Services Contract

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant. The parties, having read and understood the foregoing terms of this ContractGrant, do by their respective signatures dated below agree to the terms thereof. [ContractorGrantee] [Indiana Agency] By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. X Xxxxx, 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) Xxxxx X.XxxxxxX. Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details. EXHIBIT __ Annual Financial Report for Non-governmental Entities Guidelines for filing the annual financial report: Filing an annual financial report called an Entity Annual Report (E-1) is required by IC 5-11-1-4. This is done through Gateway which is an on-line electronic submission process. There is no filing fee to do this. This is in addition to the similarly titled Business Entity Report required by the Indiana Secretary of State. The E-1 electronical submission site is found at xxxxx://xxxxxxx.xxxxxxxxx.xxx/login.aspx The Gateway User Guide is found at xxxxx://xxxxxxx.xxxxxxxxx.xxx/userguides/E1guide The State Board of Accounts may request documentation to support the information presented on the E-1.

Appears in 2 contracts

Samples: Grant Agreement, Grant Agreement

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/paprd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [MDWISE INC Indiana Agency] Family and Social Services Administration, Office of Medicaid Policy and Planning By: By: Title: Xxxxxxx Xxxxxx Title: Date: DateCEO Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. 9/5/19 Title: Date: Medicaid Director 9/16/2019

Appears in 1 contract

Samples: Contract

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ 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. [Contractor] [Indiana Agency] Children’s Museum of Indianapolis By: Indiana Utility Regulatory Commission Title: President and CEO By: Title: Title: Chairman Date: 7/27/2022 | 17:37 EDT Date: 8/1/2022 | 14:19 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx erda, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx.Xxxxxxxx X Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.EXHIBIT A

Appears in 1 contract

Samples: Professional Services Contract Contract

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: xxxxx://xx00.xxxx.xx.xxx/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) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxX. Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Appears in 1 contract

Samples: Professional Services Contract

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ 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. [Contractor] [ANTHEM INSURANCE COMPANIES INC. Indiana Agency] Family & Social Services By: Administration, Office of Medicaid Policy and Planning Title: President, Anthem IN Medicaid By: Title: Title: Medicaid Director Date: 9/25/2023 | 12:30 PDT Date: 9/26/2023 | 12:08 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx erda, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx.Xxxxxxxx X Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page EXHIBIT 1.D SCOPE OF WORK Table of the Executed Contract for details.Contents

Appears in 1 contract

Samples: Contract #0000000000000000000051705

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ 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. [Contractor] [Indiana Agency] THE MIND TRUST, INC. By: Indiana Department of Education By: Title: CEO Title: Chief Financial Officer Date: 8/15/2022 | 13:42 EDT Date: 8/15/2022 | 20:31 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx erda, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx.Xxxxxxxx X Xxxxxx, Attorney General Refer Exhibit A IDOE Student Enrichment Grants Program - Proposed Scope of Work Overview The Mind Trust (TMT) is grateful for the opportunity to Electronic Approval History found after submit a proposal to the final page Indiana Department of Education (IDOE) to serve as the management team to administer the Student Enrichment Grants program defined by House Enrolled Act (HEA) 1251 (2022). Since 2006, The Mind Trust has worked to transform Indianapolis’ K-12 education system so that every student, regardless of race or socioeconomic status, receives an equitable, high-quality education. Since launching in 2006, The Mind Trust has supported the launch of 41 schools that will collectively serve more than 15,000 students at scale alongside 13 education support nonprofit organizations. In July 2021, The Mind Trust launched Advancing Educational Equity—a six-year, equity-focused strategic plan aimed at tripling student proficiency across Center Township in Indianapolis. The Mind Trust will particularly emphasize improving outcomes for Black and Latino students and students from low-income households who have historically been excluded from educational opportunity. Advancing Educational Equity has racial equity at the forefront of each aspect of our work to ensure The Mind Trust is focused on equitably serving all Indianapolis children, families, and communities. The plan focuses on four key priorities—great schools, engaging community, racial equity, and thriving ecosystem. Since the onset of the Executed Contract COVID-19 pandemic, TMT has collaborated with funders, schools, and community partners to meet the elevated community needs stemming from the pandemic. We have led on three key initiatives that specifically sought to address the academic and social-emotional impacts of the pandemic on families, students, and educators over the past two years. ● TMT served as the project manager for detailsthe development of the Indiana eLearning Lab, a statewide initiative of the Indianapolis eLearning Fund that provided professional development and support to nearly 22,000 teachers statewide. After the initial design and launch of the eLearning Lab, The Mind Trust worked with funders and partners to coordinate a collaborative handoff of the project to its long-term home at the Indiana Department of Education as the Indiana Learning Lab. ● TMT launched and supported a total of 50 Community Learning Sites that served 1,278 students and supported students’ eLearning and social-emotional needs during the 2020-21 school year. These sites provided a safe, supportive environment for students to conduct eLearning and were created to alleviate the childcare crisis the pandemic caused for working families. Feedback across Community Learning Sites was consistently positive. One mother noted, “This eLearning site has been such a blessing for our family. My husband and I both work full time outside of the home and were unsure what to do when eLearning was announced. We have appreciated the availability, the location, and the staff. We feel our child was safe and cared for throughout his time here.” Conversations with parents also found an appreciation for the many benefits Community Learning Sites afforded students, including structure and social interaction; tutoring support; and a safe, distraction-free environment. Parents emphasized an increase in academic engagement from their child after they began attending a Community Learning Site compared to when they were participating in eLearning at home. ● The Mind Trust partnered with United Way of Central Indiana to launch Indy Summer Learning Labs (ISLL) in June 2021. XXXX served students across Indianapolis who were impacted by lost learning opportunities resulting from COVID-19. Thirty-nine sites spread across Indianapolis supported over 3,000 students in first through ninth grades who engaged in full-day academic and enrichment programming. The Mind Trust supported the recruitment of over 200 in-person, licensed teachers and teacher aids and 54 virtual teachers to staff the sites. Post-assessment results from the 2021 ISLL were promising. Students grew in English Language Arts by 12 percentage points after participating in ISLL with 41% of students achieving proficiency. Math performance grew by 17 percentage points with 45% of students proficient according to post-assessment data. Parent and family surveys also indicated strong satisfaction across all sites with 91.5% of parents reporting “good” or “great” satisfaction with the program and their student’s experience. Family demand for free, accessible summer programming remains high, which is one of many reasons ISLL will take place again in summer 2022. This year’s ISLL will be held at more than 40 schools, churches, and community organizations across Center Township, serving as many as 5,000 students who are entering first through ninth grades. TMT’s experience and success leading initiatives that specifically address the academic and social-emotional needs of students and families positions us to effectively lead and deliver on the promise of the Student Enrichment Grants program being offered by the IDOE. Student Enrichment Grants Program Design and Implementation HEA 1251 outlines the requirements for IDOE to establish criteria and develop processes to administer the program. TMT proposes to manage the development of the program design for IDOE while working alongside relevant stakeholders and partners to ensure broad adoption and strong family buy-in to the program throughout the state of Indiana. Through the development of a project team, alongside the expertise of key TMT personnel, TMT is well positioned to support the IDOE in meeting the requirements of HEA 1251, including (but not limited to): establishing final criteria to identify enrichment students; determining the amount of funds available and the number of grants to be awarded; developing the program forms; coordinating the identification and certification of participating entities; and managing the initiative’s partners and vendors; and secure data needed to contact the student and/or family and/or school.

Appears in 1 contract

Samples: Professional Services Contract Contract

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [MEDIA PRO HOLDINGS LLC Indiana Agency] Department of Administration By: By: Title: Xxxxx Xxxx Title: Date: CFO 12/30/19 Title: Date: Deputy Commissioner 1-17-20 Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after Exhibit A SALES ORDER This Sales Order (the final page “Sales Order”), effective as of the Executed date of the latest signature by the undersigned parties (the “Sales Order Effective Date”), is issued pursuant to the terms and conditions of Contract for details#0000000000000000000024457 (the “Contract”) executed on January 16, 2018, as amended by Amendment #1 to the Contract dated December 10, 2018, as further amended by Amendment #2 to the Contract (as amended, the “Agreement”) by and between MediaPro Holdings, LLC (“MediaPRO”) and Indiana Department of Administration (the ”State”) (“Customer”) (“You”).

Appears in 1 contract

Samples: Contract

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor the Consultant and the State have, through their duly authorized representatives, entered into this Contract. The parties, parties having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [HNTB INDIANA, INC. Indiana Agency] Department of Transportation By: By: Title: Sr. Vice President Title: Deputy Commissioner Date: 8/13/2021 | 14:21 PDT Date: 8/13/2021 | 17:24 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer APPENDIX "A" Services to Electronic Approval History found after be furnished by CONSULTANT: In fulfillment of this Contract, the final page CONSULTANT shall comply with the requirements of the Executed Contract appropriate regulations and requirements of the Indiana Department of Transportation (INDOT or Department) and Federal Highway Administration (FHWA). The CONSULTANT shall be responsible for details.performing the following activities: Task 1 Project Intent Definition Task 2 Environmental Document Preparation Task 3 Topographic Survey Data Collection Task 4 Geotechnical Services Task 5 Road Design and Plan Development (including Signing, Lighting and Signal Plan Development, if applicable) Task 6 Pavement Design Services Task 7 Right of Way Plan Development • R/W Engineering • Title Research • R/W Staking Task 8 Utility Coordination Services Task 9 Construction Phase Services

Appears in 1 contract

Samples: Consulting Contract Contract

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/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. [Contractor] [VENDOR Indiana Agency] Department of Administration By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Appears in 1 contract

Samples: Professional Services Contract

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/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. [Contractor] [COORDINATED CARE CORPORATION INDIANA Indiana Agency] By: Family and Social Services Administration, Office of Medicaid Policy and Planning By: Title: Xxxxx X'Xxxxx CEO By: Title: Xxxxxxx Xxxxxx Date: Date: Medicaid Director April, 24, 2019 April 24, 2019 Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxX. Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Appears in 1 contract

Samples: Professional Services Contract #0000000000000000000032139

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor the Consultant and the State have, through their duly authorized representatives, entered into this Contract. The parties, parties having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [HNTB INDIANA, INC Indiana Agency] Department of Transportation By: By: Title: Date: Vice President April 5, 2018 Title: Date: Date: Deputy Commissioner May 16, 2018 Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, 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) Xxxxx X.Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. APPENDIX "A" INTERSTATE TOLLING PROJECT PLANNING & NEPA SERVICES RFP 1710s1 Final Scope of Services The services to be provided include:  Task 1 – Strategic Planning  Task 2 – Project Management, Tolling & NEPA Documentation  Task 3 – Communications  Task 4 – Indianapolis Master Assessment Process (IndyMAP) Table of Contents

Appears in 1 contract

Samples: Consulting Contract Contract

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract Amendment by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract Amendment to the State of Indiana. I understand that my signing and submitting this Contract Amendment in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract Amendment and this affirmation. I understand and agree that by electronically signing and submitting this Contract Amendment in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract 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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/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 ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Anthem Insurance Companies Inc Indiana Agency] 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: By: Title: Title: Date: Date: (for) Xxxxx X. Xxxxxx, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract 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 details.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

Appears in 1 contract

Samples: Contract #

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/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 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] and Addiction COMMUNITY MENTAL HEALTH CENTER, INC. By: By: Title: Indiana Family and Social Services Administration, Division of Mental Health Title: Date: Executive Director 5/20/2020 | 15:22 EDT Title: Date: Director 5/20/2020 | 15:32 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.EXHIBIT 1 GENERAL REQUIREMENTS AND SCOPE

Appears in 1 contract

Samples: Professional Services Contract Contract #0000000000000000000042365

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/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. [Contractor] [XXXXX SAFETY SYSTEMS INC Indiana Agency] Department of Administration By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Appears in 1 contract

Samples: Professional Services Contract

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Coordinated Care Corporation Indiana Agency] Indiana Family & Social Services Office of Medicaid Policy & Planning By: Xxxxx X'Xxxxx By: TitleXxxxxxx Xxxxxx Electronically Approved by: TitleIndiana Office of Technology By: Date: Date: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. Title: Date: CEO February 28, 2020 Title: Date: Medicaid Director March 9, 2020 Table of Contents 1.0 Background 8 2.0 Administrative Requirements 8 2.1 State Licensure 8 2.2 National Committee for Quality Assurance (NCQA) Accreditation 8 2.3 Subcontracts 9 2.4 Financial Stability 11 2.4.1 Solvency 11 2.4.2 Insolvency and Receivership 11 2.4.3 Reinsurance 12 2.4.4 Performance Bond Requirements 13 2.4.5 Financial Accounting Requirements 13 2.4.6 Insurance Requirements 15 2.5 Maintenance of Records 15

Appears in 1 contract

Samples: Contract #0000000000000000000018227

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Consultant and the State have, through their duly authorized representatives, entered into this Contract. The parties, parties having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [HNTB Indiana, Inc. Indiana Agency] Department of Transportation By: By: Title: Sr. Vice President Title: Deputy Commissioner Date: 6/29/2022 | 12:55 PDT Date: 6/30/2022 | 08:32 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx erda, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx.Xxxxxxxx X Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.APPENDIX "A"

Appears in 1 contract

Samples: Consulting Contract Contract

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? 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. [Contractor] [Indiana Agency] By: By: Name and Title: , Printed Name and Title: , Printed Date: Date: Electronically Approved by: Approved by: Indiana Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxBy: (for) Xxxxxxx Xxxxxxxx, Commissioner Xxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved Date: Date: APPROVED as to Form and Legality: Office of the Attorney General (for) Xxxxxxxx X. Xxxxxx, Attorney General Date: Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx X. XxxxXxxxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.Chief Information Officer

Appears in 1 contract

Samples: Attachment A

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant. The parties, having read and understood the foregoing terms of this ContractGrant, do by their respective signatures dated below agree to the terms thereof. [ContractorGrantee] [Indiana Agency] By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, 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) Xxxxx X.XxxxxxX. Xxxxxx, 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) Xxxxxx Xxxxxxx X. Xxxx, Xx.Xxxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. EXHIBIT _ Annual Financial Report for Non-governmental Entities Guidelines for filing the annual financial report:

Appears in 1 contract

Samples: Grant Agreement

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: xxxxx://xx00.xxxx.xx.xxx/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] [TBD Indiana Agency] Department of Administration By: By: Title: Title: Date: Date: Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, 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) Xxxxx X.XxxxxxX. Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. Exhibit A = State of Indiana Pricing This document is an exhibit to the Contract, and is deemed to be attached to and incorporated within the Contract by reference. Any inconsistency, conflict, or ambiguity between this exhibit and the Contract shall be resolved by giving precedence and effect to the Contract. TBD Exhibit B = Repair Shop Locations (Vendor Network) This document is an exhibit to the Contract, and is deemed to be attached to and incorporated within the Contract by reference. Any inconsistency, conflict, or ambiguity between this exhibit and the Contract shall be resolved by giving precedence and effect to the Contract. PDF FILES TO BE ADDED AT TIME OF SIGNATURE Exhibit C = Service Level Agreements and Key Performance Indicator This document is an exhibit to the Contract, and is deemed to be attached to and incorporated within the Contract by reference. Any inconsistency, conflict, or ambiguity between this exhibit and the Contract shall be resolved by giving precedence and effect to the Contract. Service Level Agreement (SLA) The Service Level agreements (SLA) are based on agreed upon service levels that are tracked over the course of the contractual term. The Service Level Agreements are created for the purpose to monitor the performance of the Contractor and the overall contractual agreement. These SLA(s) are represented to identify both qualitative and quantitative information. The Contractor shall monitor and fulfill all associated Service Levels through continuous tracking, Key Performance Indicator (KPI) Surveys, and State Account Management interaction. These Service Level Agreements shall then be directly evaluated through Performance Metrics in Exhibit C. On a quarterly basis, the Contractor shall identify the actual outcome of the Service Level agreements listed below and supply original supportive documentation for all service level agreements and performance metrics. The Contractor shall tabulate the actual Service Level Agreements outcome and present the actual results during each affiliated Quarterly Business Review (QBR). The Contractor shall not round up on any numerical numbers, percentages, etc. The data shall not be tabulated as an average; instead the data must be represented as actual statistical information. The Service Level Agreements are set up with the combination of the following:

Appears in 1 contract

Samples: Master Services Agreement

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] TIPPECANOE COUNTY HEALTH DEPT INDIANA STATE DEPARTMENT OF HEALTH By: By: Title: Administrator Title: IDOH Chief of Staff Date: 6/16/2021 | 14:15 EDT Date: 6/16/2021 | 17:48 EDT Form approval has been granted by the Office of the Attorney General pursuant to IC 4-13-2-14.3(e) on March 19, 2021. FA 21-15 Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.Attachment A

Appears in 1 contract

Samples: Grant Agreement

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/paprd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor the Consultant and the State have, through their duly authorized representatives, entered into this Contract. The parties, parties having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Vincennes University Indiana Agency] Department of Transportation By: Xxxxx X. Xxxxxx By: Title: Vice President, Workforce Development/Community Services Title: Managing Director of Project Delivery Date: August 7, 2019 Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxAugust 8, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. 2019 Electronically Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Appears in 1 contract

Samples: Contract

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/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. [Contractor] [INSERT AWARDED CONTRACTOR Indiana Agency] Department of Administration By: By: Title: Title: Date: Date: Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxX. Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. Exhibit A- State of Indiana Pricing This document is an exhibit to the Master Services Agreement, and is deemed to be attached to and incorporated within the Master Services Agreement by reference. Any inconsistency, conflict, or ambiguity between this exhibit and the Master Services Agreement shall be resolved by giving precedence and effect to the Master Services Agreement. The following fees should be the highest fees assessed to the Cardholders for the applicable activity listed and only when the applicable activity occurs. INSERT AWARDED PRICING Exhibit B- Initial Agency Statement of Work (SOW)/Scope This document is an exhibit to the Master Services Agreement, and is deemed to be attached to and incorporated within the Master Services Agreement by reference. Any inconsistency, conflict, or ambiguity between this exhibit and the Master Services Agreement shall be resolved by giving precedence and effect to the Master Services Agreement. See RFP Attachment H Scope of Work

Appears in 1 contract

Samples: Master Services Agreement

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract Agreement by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract Agreement to the State of Indiana. I understand that my signing and submitting this Contract Agreement in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract Agreement and this affirmation. I understand and agree that by electronically signing and submitting this Contract Agreement in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract Agreement 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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTR CTS.GBL In Witness Whereof, Contractor and the State Parties have, through their duly authorized representatives, entered into this ContractAgreement. The partiesParties, having read and understood the foregoing terms of this ContractAgreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] By: By: Title: Title: TOWN OF MCCORDSVILLE Xxx Xxxxx, Town Manager Date: DateSTATE OF INDIANA ) ) SS: Electronically Approved by: Department of Administration By: (forCOUNTY OF XXXXXXX ) Xxxxxx X. XxxxxBefore me, Commissioner Refer to Electronic Approval History found after the final page undersigned Notary Public in and for said County and State, personally appeared Xxxx Xxxxxx, Town Manager, and I acknowledge the execution of the Executed Contract for detailsforegoing Future Traffic Signal Covenant on this day of , 2023. Electronically Approved byNOTARY PUBLIC (signature) NOTARY PUBLIC (printed) My Commission expires: State Budget Agency By_ My County of Residence: (for) Xxxxx X.Xxxxxx, 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) Xxxxxx X. Xxxx, Xx_ My Commission No., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Appears in 1 contract

Samples: www.mccordsville.org

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_XXXXXXX.XX L? 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. [Contractor] [Indiana Agency] By: By: Name and Title: , Printed Name and Title: , Printed Date: Date: Electronically Approved by: Approved by: Indiana Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxBy: (for) Xxxxxxx Xxxxxxxx, Commissioner Xxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved Date: Date: APPROVED as to Form and Legality: Office of the Attorney General (for) Xxxxxxxx X. Xxxxxx, Attorney General Date: Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx X. XxxxXxxxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.Chief Information Officer

Appears in 1 contract

Samples: Professional Services Contract

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract Lease by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract Lease to the State of Indiana. I understand that my signing and submitting this Contract Lease in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract Lease and this affirmation. I understand and agree that by electronically signing and submitting this Contract Lease in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract Lease 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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereofxxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTR CTS.GBL. SIGNATURE PAGE IN WITNESS to their agreement, Contractor the persons signing this lease execute it for the Lessor 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. Xxxxxx: For Lessor: For Lessee: [ContractorNAME] [XXXXXX] Indiana Agency] Department of Environmental Management By: By: Xxxxxxxx Xxxxxx, Chief of Staff [Name/Title: Title: ] Date: Date: Electronically Approved by: Indiana Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Date: Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved Date: APPROVED as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page Date: EXHIBIT A DEPICTION/DESCRIPTION OF SEABIN V5 [Applicable photo of Serial Number plate] Diagram courtesy of the Executed Contract for details.Seabin Project EXHIBIT B SEABIN INSTALLATION SITE Description/Map to be provided by Lessee 1 WARRANTY EXHIBIT C SEABIN MANUFACTURER’S WARRANTY

Appears in 1 contract

Samples: www.in.gov

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/paprd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [MDWISE INC Indiana Agency] Family and Social Services Administration, Office of Medicaid Policy and Planning By: By: Title: Xxxxxxx Xxxxxx Medicaid Director Title: Date: DateCEO Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details. 9/5/19 Title: Date: 9/18/2019 Note on Capitation Rates: The capitation rates listed in this exhibit shall apply for the rating period January 1, 2018 through December 31, 2018. Note on Rates and Rate Adjustment: To the extent benefits or fee schedules are adjusted, capitation rates will be subject to revision by an equivalent value. This includes, but is not limited to, any change in Medicaid fee-for-service hospital reimbursement, including a change in the hospital adjustment factors.

Appears in 1 contract

Samples: Contract #0000000000000000000018314

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Consultant and the State have, through their duly authorized representatives, entered into this Contract. The parties, parties having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [HNTB INDIANA, INC. Indiana Agency] Department of Transportation By: By: Title: Sr. Vice President Title: Deputy Commissioner Date: 3/24/2022 | 09:50 PDT Date: 3/24/2022 | 12:53 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx erda, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx.Xxxxxxxx X Xxxxxx, Attorney General Refer APPENDIX "A" Services to Electronic Approval History found after be furnished by CONSULTANT: In fulfillment of this Contract, the final page CONSULTANT shall comply with the requirements of the Executed Contract appropriate regulations and requirements of the Indiana Department of Transportation (INDOT or Department) and Federal Highway Administration (FHWA). The CONSULTANT shall be responsible for details.performing the following activities: Task 1 Project Intent Definition Task 2 Environmental Document Preparation Task 3 Topographic Survey Data Collection Task 4 Geotechnical Services Task 5 Road Design and Plan Development (including Signing, Lighting and Signal Plan Development, if applicable) Task 6 Pavement Design Services Task 7 Right of Way Plan Development • R/W Engineering • Title Research • R/W Staking Task 8 Public Involvement Services Task 9 Utility Coordination Services Task 10 Construction Phase Services

Appears in 1 contract

Samples: Consulting Contract Contract

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 DatabaseDatabas e: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: TitlePrinted Name: Printed Name: Title: Date: Executive Director 11/7/2022 | 18:01 EST Title: Date: Chairman 11/15/2022 | 15:35 EST _ Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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 Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon April 4, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2022 FA 22- 20 EXHIBIT A Underground Plant Protection Account Grant Application Grantee Information

Appears in 1 contract

Samples: Grant Agreement

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.Exhibit A Underground Plant Protection Account Grant Application Grantee Information

Appears in 1 contract

Samples: Grant Agreement

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [CISCO SYSTEMS, INC. Indiana Agency] Office of Technology May 22, 2018 Title: Date: By: By: Title: Xxxxx Digitally signed by Xxxxx Xxxxxxx Title: Date: Xxxxxxx Date: 2018.05.24 08:39:37 -04'00' Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxX. Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. Electronic Approval History User ID Approver Name Datetime Description 1 T222139 Xxxxxxxx,Xxxxxx 06/21/2018 2:29:03PM Agency Fiscal Approval 2 T278748 Xxxxxxxx,Xxxxxxx 06/29/2018 12:10:57PM IDOA Legal Approval 3 J336860 Xxxxxxxxx,Xxxxxx Xxxxx 07/02/2018 1:23:17PM SBA Approval 4 M338811 Xxxxxxxx,Xxxxx H 07/03/2018 9:54:26AM Attorney General Approval

Appears in 1 contract

Samples: www.cisco.com

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ 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. [Contractor] [NTT DATA, INC. Indiana Agency] Family and Social Services Administration, Office of Early Childhood By: and Out of School Learning By: Title: Vice President Title: Director OECOSL Date: 12/20/2022 | 13:28 EST Date: 1/4/2023 | 13:00 EST Electronically Approved by: Indiana Office of Technology By: (for) Xxxxx Xxxxxx, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer EXHIBIT 1 Statement of Work Version Effective Date Brief Description of Change Affected Section(s) Prepared By Reviewed By Approved By 1.0 10/13/2022 Initial Version. All Xxx Xxxxxxxxx Xxxx Xxxx Social Services Data Warehouse (SSDW) OECOSL - COVID - Voucher File Updates NOMENCLATURE AND DEFINITIONS Acronym or Term Definition AIS Automated Intake System DST Division of Strategy and Technology EPPIC Electronic Payment Processing and Information Control ETL Extraction, Transformation and Load FSSA Family and Social Services Administration OECOSL Office of Early Childhood and Out-of-School Learning SME Subject Matter Experts SSDW Social Services Data Warehouse T&M Time and Materials History The FSSA Office of Early Childhood and Out-of-School Learning (OECOSL) oversees early childcare, education, and out-of-school-time programs. OECOSL’s AIS application currently sends 3 files (Provider, Application and Voucher) to Electronic Approval History found after Conduent every day (12pm and 8pm). Conduent’s EPPIC system processes these files, sends exception records and provider payment reports back to AIS and makes payment to providers. OECOSL received Federal Relief funding to help families and providers with the final page of pandemic situation. To implement this, the Executed Contract co-pay and the weekly subsidy amount in the Voucher file needs to be updated. After brainstorming the implementation options with TCC, NTT DATA and Conduent, OECOSL decided to engage NTT DATA for detailsmaking updates to the Voucher file.

Appears in 1 contract

Samples: Professional Services Contract Contract #0000000000000000000069368

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ 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. [Contractor] [MDWISE INC. Indiana Agency] Family and Social Services Administration, Office of Medicaid Policy and By: Planning By: Title: President and CEO Title: Medicaid Director Date: 9/27/2023 | 10:47 EDT Date: Electronically Approved by: Indiana Office of Technology By: (for) Xxxxx Xxxxxx, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page EXHIBIT 1.A SCOPE OF WORK Table of the Executed Contract for details.Contents

Appears in 1 contract

Samples: Contract #0000000000000000000069716

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/paprd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] CARESOURCE INDIANA INC By: Xxxxx Xxxxxxxxxx Title: President Date: 11/26/19 Indiana Family and Social Services Administration, Office of Medicaid Policy and Planning By: Xxxxxxx Xxxxxx Title: Title: Medicaid Director Date: Date11.27.2019 Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Appears in 1 contract

Samples: Contract #0000000000000000000032137

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [VANDERBURGH COUNTY HEALTH DEPARTMENT Indiana Agency] Department of Health By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Holw erda, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx.Xxxxxxxx X Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page Attachment A Firearm Fatality Prevention in Vanderburgh County and Surrounding Region Firearm Safety Locks In Process Child Fatality Review Team case reviews have yielded recommendations that gun safety be addressed as part of its regional injury prevention work. In 2018, 10 Vanderburgh County children were injured by firearms, and four of them died from their injuries. In 2019, 12 Vanderburgh County children were injured by firearms, and three died from their injuries. These injuries required treatment at one of the Executed Contract two verified trauma centers located in Vanderburgh County. Two recommendations were identified in CFR team meetings. First, parents need to be provided the education and equipment to secure guns to prevent their children from getting access. Second, mental health providers need to have crucial conversations with potential suicidal individual’s families about securing firearms. Goal: Development and implementation of a strategy to provide gun securing education and equipment improving the home safety of children in the Vanderburgh County and surrounding community. Home visitors in the Pre to 3 Program will distribute the gun locks to families in need. These home visitors have the unique opportunity to assess the safety of the home weekly and offer onsite education and safety equipment related to home safety, including gun safety. Combination cable gun locks can be purchased for detailsapproximately $7.49/piece and combination trigger locks for approximately $ 9.99/piece.

Appears in 1 contract

Samples: Grant Agreement

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 DatabaseDatabas e: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: TitlePrinted Name: Printed Name: Title: Date: Executive Director 2/21/2023 | 14:26 EST Title: Date: Chairman 2/21/2023 | 15:18 EST _ Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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 Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon April 4, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2022 FA 22- 20 EXHIBIT A Underground Plant Protection Account Grant Application Grantee Information

Appears in 1 contract

Samples: Grant Agreement

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 DatabaseDatabas e: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL 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. [Contractor] [Indiana Agency] Department of Administration By: XXXXXXX INCORPORATED By: Title: Customer Care Representative II Title: Vendor Manager Date: 8/10/2021 | 10:54 EDT Date: 8/10/2021 | 10:55 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.General

Appears in 1 contract

Samples: Professional Services Contract Contract

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract Agreement by accessing State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract Agreement to the State of Indiana. I understand that my signing and submitting this Contract Agreement in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract Agreement and this affirmation. I understand and agree that by electronically signing and submitting this Contract Agreement in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract Agreement 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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNT RCTS.GBL In Witness Whereof, Contractor and the State Parties have, through their duly authorized representatives, entered into this ContractAgreement. The partiesParties, having read and understood the foregoing terms of this ContractAgreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] THE REMAINDER OF THE PAGE IS INTENTIONALLY LEFT BLANK CITY OF GREENFIELD, INDIANA BOARD OF PUBLIC WORKS & SAFETY By: Xxxxx Xxxxxx, Member By: Xxxxxxxxx Xxxxx, Member By: Xxxxx Xxxxxx, Member By: Xxxxx XxXxxxxxx, Member By: Xxxxxx Xxxxxx, Member Date: ATTEST: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxx Xxxxxx, 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) Xxxxx X.Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.Clerk-Treasurer STATE OF INDIANA

Appears in 1 contract

Samples: Interlocal Cooperative Agreement

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [VANDERBURGH COUNTY HEALTH DEPARTMENT Indiana Agency] State Department of Health By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. Attachment A Local Agency Sponsorship of WIC Services Scope of Work

Appears in 1 contract

Samples: Grant Agreement

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/paprd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] CARESOURCE INDIANA INC By: Xxxxx Xxxxxxxxxx Indiana Family and Social Services Administration, Office of Medicaid Policy and Planning Electronically Approved by: Indiana Office of Technology By: Title: Title: Date: Date: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details. Title: Date: President 08/29/19 By: Title: Date: Xxxxxxx Xxxxxx Medicaid Director August 23, 2019 Note on Capitation Rates: The capitation rates listed in this exhibit shall apply for the rating period January 1, 2018 through December 31, 2018. Note on Rates and Rate Adjustment: To the extent benefits or fee schedules are adjusted, capitation rates will be subject to revision by an equivalent value. This includes, but is not limited to, any change in Medicaid fee-for-service hospital reimbursement, including a change in the hospital adjustment factors.

Appears in 1 contract

Samples: Contract #0000000000000000000018313

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [XXXXXX SALT INC Indiana Agency] Department of Administration By: By: Abigail Digitally signed by Xxxxxxx Xxxxxxxxxx DN: cn=Xxxxxxx Xxxxxxxxxx, o=Indiana Department of Administration, Chittenden Title: Title: Director, U.S. Gov't Bulk Deicing Sales & Marketing Date: Date: 1/2/18 ou=IDOA, xxxxx=xxxxxxxxxxx@xxxx.xx.xxx, c=US Date: 2018.01.02 15:58:26 -05'00' Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, 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) Xxxxx X.XxxxxxX. Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. Xxxxxx X. Xxxxxxxx Vice President, Bulk Deicing Sales & Marketing Electronic Approval History User ID Approver Name Datetime Description 1 M292915 Xxxx,Xxxxxxx 01/03/2018 8:45:48AM Agency Fiscal Approval 2 M240207 Xxxxxx,Xxxxx Xxxxxxxx 01/09/2018 10:47:22AM IDOA Procurement Approval 3 M338303 Xxxx,Xxxxxxx 01/12/2018 3:19:03PM SBA Approval 4 O277119 Egunyomi,Xxxxxxx 01/12/2018 3:41:12PM SBA Approval 5 M338811 Xxxxxxxx,Xxxxx H 01/12/2018 4:28:08PM Attorney General Approval

Appears in 1 contract

Samples: Contract #0000000000000000000021003

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/paprd/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. [Contractor] [XXXXX COUNTY Indiana Agency] Department of Child Services By: By: Name and Title: Title, Printed: Date: Xxxxx J, Stigdon, Director Date: Electronically Approved by: Electronically Approved by: Department of Administration State Budget Agency By: (for) Xxxxxx X. Xxxxx, Commissioner By: (for) Xxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: State Budget Agency By: (for) Xxxxx X.Xxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and Legality: approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon November 25, Xx2019., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Appears in 1 contract

Samples: Residential Treatment Services Provider Contract Contract #0000000000000000000039484

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] CISCO SYSTEMS INDIANA OFFICE OF TECHNOLOGY By: By: Title: Authorized Signatory Title: Deputy COO Date: 6/18/2020 | 17:51 PDT Date: 6/19/2020 | 04:57 EDT Electronically Approved by: (if applicable) Indiana Office of Technology By: (for) Xxxxx X. Xxxxxx, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.Commissioner

Appears in 1 contract

Samples: Contract #0000000000000000000012921

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [VANDERBURGH COUNTY HEALTH DEPARTMENT Indiana Agency] State Department of Health By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.ATTACHMENT A (Base) PUBLIC HEALTH EMERGENCY PREPAREDNESS BUDGET PERIOD 2 (July 1st, 2020 – June 30th, 2021) GRANT INFO CFDA: 93.069

Appears in 1 contract

Samples: Grant Agreement

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] TOWN OF LIZTON By: Indiana Office of Community and Rural Affairs Title: Council President By: Title: Title: Executive Director Date: 11/7/2022 | 17:03 EST Date: 11/9/2022 | 08:02 EST Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx erda, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx.Xxxxxxxx X Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page EXHIBIT A GRANTEE – Town of the Executed Contract for details.Lizton - Cage Code: 82ET5 PREVIOUSLY AWARDED & ONGOING GRANTS - None CURRENT AWARD - WW-22-104 - $700,000.00 TOTAL AMOUNT OF AWARDED FUNDS $700,000.00 PROJECT DESCRIPTION

Appears in 1 contract

Samples: Grant Agreement

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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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/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. [Contractor] [MDWISE INC Indiana Agency] Family and Social Services Administration, Office of Medicaid Policy and Planning By: By: Title: Title: Date: Xxxxx Xxxxx CEO 04/11/19 By: Title: Date: Xxxxxxx Xxxxxx Medicaid Director 4/15/2019 Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxX. Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Appears in 1 contract

Samples: Professional Services Contract

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant. The parties, having read and understood the foregoing terms of this ContractGrant, do by their respective signatures dated below agree to the terms thereof. [Contractor] [VENDOR’S NAME Indiana Agency] Family and Social Services Administration, By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, 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) Xxxxx X.Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Appears in 1 contract

Samples: Grant Agreement Contract

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/paprd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor the Consultant and the State have, through their duly authorized representatives, entered into this Contract. The parties, parties having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [WSP USA, INC. Indiana Agency] Department of Transportation By: Xxxxx XxXxxxxx By: Title: Area Manager Title: Date: 11/21/2019 Date: Xxxxxx X. Xxxxxxxxx, PE Deputy Commissioner 11-25-19 Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. APPENDIX "A" Services to be furnished by CONSULTANT: In fulfillment of this Contract, the CONSULTANT shall comply with the requirements of the appropriate regulations and requirements of the Indiana Department of Transportation and Federal Highway Administration. The CONSULTANT shall be responsible for performing the following activities: Task 1 Concise Bridge Inspection Report Task 2 Bridge Rehabilitation Services- Design and Plan Development (including Signing, and Permitting, if applicable)

Appears in 1 contract

Samples: Consulting Contract Contract

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: xxxxx://xx00.xxxx.xx.xxx/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] [iLAB LLC Indiana Agency] Department of Administration By: By: Xxxxx X. Xxxxxx Title: Managing Director Title: Date: 19 July 2017 Date: Xxxx X. Xxxxxx Digitally signed by Xxxx X. Xxxxxx DN: cn=Xxxx X. Xxxxxx, o=Indiana Department of Administration, ou=Procurement Division, xxxxx=xxxxxxx@xxxx.XX.xxx, c=US Date: 2017.07.19 12:44:59 -04'00' Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, 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) Xxxxx X.XxxxxxX. Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. Exhibit A State of Indiana “State Customer” Scope of Work Table of Contents

Appears in 1 contract

Samples: Quantity Purchase Agreement

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor the Consultant and the State have, through their duly authorized representatives, entered into this Contract. The parties, parties having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to t o the terms thereof. [Contractor] [WSP USA, INC. Indiana Agency] Department of Transportation By: By: Title: TitleLocal Business Leader/Vice PresidentTitle: Deputy Commissioner Date: 8/2/2021 | 08:00 EDT Date: 8/2/2021 | 08:24 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer APPENDIX "A" Services to Electronic Approval History found after be furnished by CONSULTANT: In fulfillment of this Contract, the final page CONSULTANT shall comply with the requirements of the Executed Contract appropriate regulations and requirements of the Indiana Department of Transportation (INDOT or Department) and Federal Highway Administration (FHWA). The CONSULTANT shall be responsible for details.performing the following activities: Task 1 Project Intent Definition Task 2 Environmental Document Preparation Task 3 Topographic Survey Data Collection Task 4 Road Design and Plan Development (including Signing, Lighting and Signal Plan Development, if applicable) Task 5 Bridge Design and Plan Development Task 6 Right of Way Plan Development • R/W Engineering • Title Research • R/W Staking Task 7 Utility Coordination Services Task 8 Construction Phase Services

Appears in 1 contract

Samples: Consulting Contract Contract #0000000000000000000055742

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/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 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] [COMMUNITY MENTAL HEALTH CENTER, INC Indiana Agency] Family and Social Services Administration, Division of Mental Health By: and Addiction By: Title: Executive Director Title: Director Date: 7/20/2021 | 09:55 EDT Date: 7/20/2021 | 09:12 PDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.EXHIBIT 1 GENERAL REQUIREMENTS AND SCOPE

Appears in 1 contract

Samples: Professional Services Contract Contract #0000000000000000000055235

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Consultant and the State have, through their duly authorized representatives, entered into this Contract. The parties, parties having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [HNTB INDIANA, INC. Indiana Agency] Department of Transportation By: By: Title: Sr. Vice President Title: Deputy Commissioner Date: 3/24/2022 | 09:51 PDT Date: 3/24/2022 | 12:55 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx erda, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx.Xxxxxxxx X Xxxxxx, Attorney General Refer APPENDIX "A" Services to Electronic Approval History found after be furnished by CONSULTANT: In fulfillment of this Contract, the final page CONSULTANT shall comply with the requirements of the Executed Contract appropriate regulations and requirements of the Indiana Department of Transportation (INDOT or Department) and Federal Highway Administration (FHWA). The CONSULTANT shall be responsible for details.performing the following activities: Task 1 Project Intent Definition Task 2 Environmental Document Preparation Task 3 Topographic Survey Data Collection Task 4 Geotechnical Services Task 5 Road Design and Plan Development (including Signing, Lighting and Signal Plan Development, if applicable) Task 6 Pavement Design Services Task 7 Right of Way Plan Development • R/W Engineering • Title Research • R/W Staking Task 8 Public Involvement Services Task 9 Utility Coordination Services Task 10 Construction Phase Services

Appears in 1 contract

Samples: Consulting Contract Contract

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ 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. [Contractor] [XXXXX XXXXXXXXX MENTAL Indiana Agency] Family and Social Services HEALTH INC Administration, Division of Mental Health By: and Addiction By: Title: CEO Title: Director Date: 3/7/2023 | 09:38 EST Date: 3/7/2023 | 07:00 PST Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx erda, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx.Xxxxxxxx X Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.EXHIBIT 1 GENERAL REQUIREMENTS AND SCOPE

Appears in 1 contract

Samples: Professional Services Contract Contract #0000000000000000000071437

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [VANDERBURGH COUNTY HEALTH Indiana Agency] State Department of Health DEPARTMENT By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. ATTACHMENT A PUBLIC HEALTH EMERGENCY PREPAREDNESS BUDGET PERIOD 1 (July 1st, 2019 – June 30th, 2020) GRANT INFO CFDA: 93.069

Appears in 1 contract

Samples: Grant Agreement

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Xxxxx County Dept. of Environmental Management Indiana Agency] Dept. of Environmental Management By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer EXHIBIT A SCOPE OF WORK AND BUDGET In Xxxxx County Department of Environmental Management will receive a Community Recycling Grant of up to Electronic Approval History found after $5,000.00 for the final page purchase of 2,300 mini-battery recycling bins to provide to Xxxxx County residents. County residents will be able to collect batteries at home, and drop them off at seven local partnering hardware stores, where Xxxxx County Department of Environmental Management will collect them for disposal. A minimum of 50% of the Executed Contract for detailstotal cost of the project shall be covered by the Grantee as noted in the approved budget under Grantee Cash and/or In-Kind Match.

Appears in 1 contract

Samples: Grant Agreement

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: xxxxx://xx00.xxxx.xx.xxx/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] TBD Agency By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Appears in 1 contract

Samples: Professional Services Contract

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Underground Plant Protection Service Indiana Utility Regulatory Commission By: _ By: Printed Name: Printed Name: Title: Executive Director Title: Chairman Date: 1/31/2023 | 14:26 EST Date: 2/6/2023 | 16:34 EST _ Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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 Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon April 4, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2022 FA 22-20 EXHIBIT A Underground Plant Protection Account Grant Application Grantee Information

Appears in 1 contract

Samples: Grant Agreement

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [INDIANA BROADCASTERS ASSN Indiana Agency] By: Utility Regulatory Commission By: Title: Xxxxx Xxxxxx Executive Director By: Title: Xxxxx X. Xxxxxx Chairman Date: Date: Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxX. Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. May 20, 2018 May 30, 2018 Electronic Approval History User ID Approver Name Datetime Description 1 M220610 Xxxxxxx,Xxxx 06/01/2018 8:50:19AM Agency Fiscal Approval 2 T232391 Xxxxx,Xxx Xxxxx 06/01/2018 8:52:08AM IDOA Legal Approval 3 R200416 Xxxxxxx,Xxxxxx Xxxxx 06/01/2018 9:55:51AM SBA Approval 4 M338811 Xxxxxxxx,Xxxxx H 06/01/2018 11:51:58AM Attorney General Approval

Appears in 1 contract

Samples: Contract #0000000000000000000026641

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: xxxxx://xx00.xxxx.xx.xxx/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] [XXXXXXXXXXX Indiana Agency] Department of Administration By: By: Title: Title: Date: Date: Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, 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) Xxxxx X.XxxxxxX. Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details. Exhibit A: Product and Pricing Information This document is an exhibit to the Master Services agreement, and is deemed to be attached to and incorporated within the Master Services Agreement by reference. Any inconsistency, conflict, or ambiguity between this exhibit and the Master Services agreement shall be resolved by giving precedence and effect to the Master Services agreement. TO BE ADDED AT TIME OF SIGNATURE AND SHALL CONTAIN THE PRICE LIST PROVIDED BY THE CONTRACTOR AT THE TIME OF BID.

Appears in 1 contract

Samples: Professional Services Contract

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 DatabaseDatabas e: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [C & J Drilling Company Indiana Agency] Utility Regulatory Commission By: By: TitlePrinted Name: Printed Name: Title: Worker Title: Chairman Date: 7/15/2022 | 10:32 EDT Date: 7/15/2022 | 12:56 EDT _ Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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 Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon April 4, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2022 FA 22- 20 EXHIBIT A Underground Plant Protection Account Grant Application Grantee Information

Appears in 1 contract

Samples: Grant Agreement

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCTS.GBL? In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [ContractorGrantee] By: [Indiana Agency] By: By: Name and Title: Title: , Printed Date: Name and Title, Printed Date: Electronically Approved by: Indiana Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxx, Commissioner Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Date: Approved by: State Budget Agency By: (for) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved Date: APPROVED as to Form and Legality: Office of the Attorney General (for) Xxxxxxxx X. Xxxxxx, Attorney General Date: Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx X. XxxxXxxxxx, Xx., Attorney General Refer to Electronic Approval History found after Chief Information Officer Date: EXHIBIT C – Annual Financial Report for Non-governmental Entities Guidelines for filing the final page of the Executed Contract for details.annual financial report:

Appears in 1 contract

Samples: Grant Agreement

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [VANDERBURGH COUNTY HEALTH Indiana Agency] State Department of Health DEPARTMENT By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer Attachment A Vanderburgh County Health Department January 1, 2020 TO December 31, 0000 Xxx Xxxxxxx Xxxxx Department of Health’s (ISDH) Division of Trauma and Injury Prevention (DTIP) has been awarded a grant from the Centers for Disease Control and Prevention (CDC) to Electronic Approval History found after increase comprehensiveness and timeliness of drug overdose surveillance data; make the final page Prescription Drug Monitoring Program more user-friendly; work with health systems, insurers, and communities to improve opioid prescribing; and build state and local capacity for public health programs related to substance use disorder. As part of these efforts, the Executed Contract ISDH is implementing the Indiana Communities Advancing Recovery Efforts (IN CAREs) ECHO. The ECHO model is an innovative framework that uses videoconferencing technology to increase the knowledge, skills and performance of community stakeholders, particularly those located in rural and underserved areas. The IN CAREs ECHO connects a group of faculty experts (referred to as the “Hub”) who have experience in reducing overdose deaths with a set of community-based teams (referred to as “Spokes”) made up of leaders within each community. The Spoke teams are committed to working together to implement strategies and coordinate efforts to reduce opioid misuse, reduce morbidity and mortality associated with opioid use disorder (OUD), and increase linkage to care for details.those with OUD. The ECHO model requires Spoke teams to participate in monthly 90-minute sessions over the course of ten months. A session will consist of a short, expert-led lecture (didactic) presentation to improve content knowledge and share evidence-based best practices, followed by one community case presentation with clarifying questions and recommendations. Spoke teams will identify and share stories that illustrate progress, successes and challenges associated with their efforts. Each participating Spoke will also have post-ECHO action meetings to ensure that participants are applying the knowledge learned in the virtual ECHO sessions to implement changes in their communities. As part of this funding opportunity, all selected grantees are required to complete the following activities:

Appears in 1 contract

Samples: Grant Agreement

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 DatabaseDatabas e: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ 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. [Contractor] [Indiana Agency] 360WATER INC By: Indiana Utility Regulatory Commission By: Title: President Title: Chairman Date: 4/6/2022 | 16:10 PDT Date: 4/7/2022 | 16:17 EDT Electronically Approved by: Indiana Office of Technology By: (for) Xxxxx Xxxxxx, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.Exhibit D Client: 360Water Project: Safedig Phase II Date Submitted: February 23, 2022 Version 1.0

Appears in 1 contract

Samples: Contract #0000000000000000000055078

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ 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. [Contractor] [Indiana Agency] Department of Administration By: CARGILL INCORPORATED By: Title: Customer Care Representative II Title: Vendor Manager Date: 8/9/2022 | 17:03 EDT Date: 8/10/2022 | 07:23 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx erda, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx.Xxxxxxxx X Xxxxxx, Attorney General Refer Exhibit A – List of Awarded Entities & Pricing This document is an exhibit to Electronic Approval History found after the final page Contract, and is deemed to be attached to and incorporated within the Contract by reference. Any inconsistency, conflict, or ambiguity between this exhibit and the Contract shall be resolved by giving precedence and effect to the Contract. INDOT District Salt Type INDOT Early Fill Requested Quantity (Ton) Price Per Ton (Delivered) Price Per Ton (Delivered & Loaded) Price Per Ton (Pick Up) 10 - Crawfordsville Untreated Salt INDOT 2,000 $82.35 $90.35 $81.00 INDOT District Salt Type INDOT Seasonal Requested Quantity (Ton) Price Per Ton (Delivered) Price Per Ton (Delivered & Loaded) Price Per Ton (Pick Up) 10 - Crawfordsville Untreated Salt INDOT 46,000 $82.35 $90.35 $81.00 20 - Fort Xxxxx Untreated Salt INDOT 65,000 $65.12 $73.12 $60.00 30 - Greenfield Untreated Salt INDOT 71,459 $72.49 $80.49 $72.00 INDOT District Salt Type INDOT Seasonal Requested Quantity (Ton) Price Per Ton (Delivered) Price Per Ton (Delivered & Loaded) Price Per Ton (Pick Up) 10 - Crawfordsville Treated Salt INDOT 3,242 $93.11 $101.11 $93.00 20 - Fort Xxxxx Treated Salt INDOT 20 $97.88 $105.88 $97.00 30 - Greenfield Treated Salt INDOT 175 $93.58 $101.58 $93.00 50 - Seymour Treated Salt INDOT 200 $89.94 $97.94 $89.00 60 - Vincennes Treated Salt INDOT 70 $107.76 $115.76 $107.00 INDOT District Salt Type Other State Agencies Requested Quantity (Ton) Price Per Ton (Delivered) Price Per Ton (Pick Up) 10 - Crawfordsville Treated Salt DOC-Indiana Women's Prison 40 $93.11 $93.00 10 - Crawfordsville Treated Salt DOC-Plainfield Complex 120 $93.11 $93.00 10 - Crawfordsville Treated Salt DOC-Putnamville Correctional Facility 60 $93.11 $93.00 10 - Crawfordsville Treated Salt DOC-Rockville Correctional Facility 22 $93.11 $93.00 20 - Fort Xxxxx Treated Salt DOC - Miami Correctional Facility 20 $97.88 $97.00 30 - Greenfield Treated Salt Richmond State Hospital 75 $93.58 $93.00 30 - Greenfield Treated Salt Indiana State Fair Commission 40 $93.58 $93.00 30 - Greenfield Treated Salt DOC - New Castle Correctional Facility 60 $93.58 $93.00 30 - Greenfield Untreated Salt DOC-Correctional Industrial Facility / IR 80 $72.49 $72.00 50 - Seymour Treated Salt Camp Xxxxxxxxx 200 $89.94 $89.00 60 - Vincennes Treated Salt DOC-Branchville Correctional Facility 40 $107.76 $107.00 60 - Vincennes Treated Salt DOC-Wabash Valley Correctional Facility 30 $107.76 $107.00 INDOT District Salt Type Customer Name Requested Quantity (Ton) Price Per Ton (Delivered) Price Per Ton (Pick Up) 10 - Crawfordsville Treated Salt Boone County - OneIndiana 1000 $89.51 $89.00 10 - Crawfordsville Treated Salt City of the Executed Contract for details.Greencastle Public Works - OneIndiana 450 $89.51 $89.00 10 - Crawfordsville Treated Salt City of Lebanon - OneIndiana 900 $89.51 $89.00 10 - Crawfordsville Treated Salt City of Terre Haute - OneIndiana 700 $89.51 $89.00 10 - Crawfordsville Treated Salt Clay County - OneIndiana 150 $89.51 $89.00 10 - Crawfordsville Treated Salt Clinton County Government - OneIndiana 1000 $89.51 $89.00 10 - Crawfordsville Treated Salt Fountain Co. Highway - OneIndiana 300 $89.51 $89.00 10 - Crawfordsville Treated Salt Hendricks County - OneIndiana 2800 $89.51 $89.00 10 - Crawfordsville Treated Salt Indiana State University - K12Indiana 100 $89.51 $89.00 10 - Crawfordsville Treated Salt Lebanon Comm School Corp - K12Indiana 120 $89.51 $89.00 10 - Crawfordsville Treated Salt Purdue University - OneIndiana 500 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Avon - OneIndiana 1500 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Brownsburg - OneIndiana 1600 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Danville - OneIndiana 400 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Fairview Park - OneIndiana 25 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Otterbein - OneIndiana 80 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Oxford - OneIndiana 20 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Plainfield - OneIndiana 1200 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Shadeland 240 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Veedersburg - OneIndiana 20 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Waynetown - OneIndiana 40 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Whitestown - OneIndiana 1000 $89.51 $89.00 10 - Crawfordsville Treated Salt Town of Williamsport 60 $89.51 $89.00 10 - Crawfordsville Treated Salt Vermillion County - OneIndiana 100 $89.51 $89.00 10 - Crawfordsville Treated Salt Vermillion County - OneIndiana 100 $89.51 $89.00 10 - Crawfordsville Treated Salt Vermillion County - OneIndiana 100 $89.51 $89.00 10 - Crawfordsville Treated Salt Zionsville Community Schools - K12Indiana 230 $89.51 $89.00 20 - Fort Xxxxx Treated Salt City of Angola Clerk - OneIndiana 100 $93.10 $93.00 20 - Fort Xxxxx Treated Salt City of Bluffton - OneIndiana 500 $93.10 $93.00 20 - Fort Xxxxx Treated Salt City of Xxxxxx - OneIndiana 100 $93.10 $93.00 20 - Fort Xxxxx Treated Salt City of Dunkirk - OneIndiana 80 $93.10 $93.00 20 - Fort Xxxxx Treated Salt City of East Chicago - OneIndiana 3000 $93.10 $93.00 20 - Fort Xxxxx Treated Salt City of Xxxxxxx - OneIndiana 300 $93.10 $93.00 20 - Fort Xxxxx Treated Salt City of Ligonier - OneIndiana 100 $93.10 $93.00 20 - Fort Xxxxx Treated Salt Dekalb County Central Schools - K12Indiana 60 $93.10 $93.00 20 - Fort Xxxxx Treated Salt Town of Xxxxxxxx 100 $93.10 $93.00 20 - Fort Xxxxx Treated Salt Town of Millersburg - OneIndiana 80 $93.10 $93.00 20 - Fort Xxxxx Treated Salt Town of North Manchester - OneIndiana 120 $93.10 $93.00 20 - Fort Xxxxx Treated Salt Town of Ossian - OneIndiana 60 $93.10 $93.00 20 - Fort Xxxxx Treated Salt Town of St. Xxx - OneIndiana 22 $93.10 $93.00 20 - Fort Xxxxx Treated Salt Town of Topeka - OneIndiana 100 $93.10 $93.00 20 - Fort Xxxxx Treated Salt Town of Winona Lake - OneIndiana 350 $93.10 $93.00 30 - Greenfield Treated Salt City of Alexandria - OneIndiana 175 $89.38 $89.00 30 - Greenfield Treated Salt City of Xxxxxxxx Street - OneIndiana 2400 $89.38 $89.00 30 - Greenfield Treated Salt City of Beech Grove - OneIndiana 800 $89.38 $89.00 30 - Greenfield Treated Salt City of Xxxxxx - OneIndiana 50 $89.38 $89.00 30 - Greenfield Treated Salt City of Greenfield Street - OneIndiana 1000 $89.38 $89.00 30 - Greenfield Treated Salt City of Indianapolis 3000 $89.38 $89.00 30 - Greenfield Treated Salt City of Indianapolis 8000 $89.38 $89.00 30 - Greenfield Treated Salt City of Indianapolis 7500 $89.38 $89.00 30 - Greenfield Treated Salt City of Indianapolis 3000 $89.38 $89.00 30 - Greenfield Treated Salt City of Indianapolis 3000 $89.38 $89.00 30 - Greenfield Treated Salt City of Indianapolis 3000 $89.38 $89.00 30 - Greenfield Treated Salt City of Indianapolis 7500 $89.38 $89.00 30 - Greenfield Treated Salt City of Xxxxxxxx - OneIndiana 1800 $89.38 $89.00 30 - Greenfield Treated Salt City of New Castle - OneIndiana 1300 $89.38 $89.00 30 - Greenfield Treated Salt City of Richmond Street Dept 1100 $89.38 $89.00 30 - Greenfield Treated Salt City of Shelbyville Street - OneIndiana 590 $89.38 $89.00 30 - Greenfield Treated Salt Hancock County Highway - OneIndiana 1500 $89.38 $89.00 30 - Greenfield Treated Salt Henry County Highway - OneIndiana 800 $89.38 $89.00 30 - Greenfield Treated Salt IUPUI - OneIndiana 650 $89.38 $89.00 30 - Greenfield Treated Salt Jay County Highway - OneIndiana 500 $89.38 $89.00 30 - Greenfield Treated Salt MSD of Decatur Township - K12Indiana 100 $89.38 $89.00 30 - Greenfield Treated Salt MSD of Xxxxxx Township - OneIndiana 180 $89.38 $89.00 30 - Greenfield Treated Salt MSD of Xxxxx Township - K12Indiana 100 $89.38 $89.00 30 - Greenfield Treated Salt MSD of Xxxxx Township - K12Indiana 100 $89.38 $89.00 30 - Greenfield Treated Salt MSD Washington Township - OneIndiana 450 $89.38 $89.00 30 - Greenfield Treated Salt Rush County Schools - K12Indiana 40 $89.38 $89.00 30 - Greenfield Treated Salt Shelby County Government - OneIndiana 600 $89.38 $89.00 30 - Greenfield Treated Salt Town of Cambridge City - OneIndiana 80 $89.38 $89.00 30 - Greenfield Treated Salt Town of Chesterfield - OneIndiana 80 $89.38 $89.00 30 - Greenfield Treated Salt Town of Xxxxx - OneIndiana 120 $89.38 $89.00 30 - Greenfield Treated Salt Town of Fortville - OneIndiana 160 $89.38 $89.00 30 - Greenfield Treated Salt Town of Fountain City - OneIndiana 50 $89.38 $89.00 30 - Greenfield Treated Salt Town of Frankton - OneIndiana 60 $89.38 $89.00 30 - Greenfield Treated Salt Town of Hagerstown - OneIndiana 80 $89.38 $89.00 30 - Greenfield Treated Salt Town of Xxxxxxx - OneIndiana 120 $89.38 $89.00 30 - Greenfield Treated Salt Town of Lapel - OneIndiana 100 $89.38 $89.00 30 - Greenfield Treated Salt Town of McCordsville - OneIndiana 240 $89.38 $89.00 30 - Greenfield Treated Salt Town of Morristown - OneIndiana 100 $89.38 $89.00 30 - Greenfield Treated Salt Town of New Palestine 80 $89.38 $89.00 30 - Greenfield Treated Salt Town of Xxxxxxx - OneIndiana 50 $89.38 $89.00 30 - Greenfield Treated Salt Town of Speedway - OneIndiana 400 $89.38 $89.00 30 - Greenfield Treated Salt Town of Summitville - OneIndiana 60 $89.38 $89.00 30 - Greenfield Treated Salt Town of Yorktown - OneIndiana 600 $89.38 $89.00 40 - La Porte Treated Salt Carroll County Highway - OneIndiana 900 $79.46 $79.00 40 - La Porte Treated Salt City of Xxxx - OneIndiana 5000 $79.46 $79.00 40 - La Porte Treated Salt City of Xxxxxxx - OneIndiana 6700 $79.46 $79.00 40 - La Porte Treated Salt City of Lake Station - OneIndiana 800 $79.46 $79.00 40 - La Porte Treated Salt City of XxXxxxx - OneIndiana 1800 $79.46 $79.00 40 - La Porte Treated Salt City of Mishawaka - OneIndiana 2200 $79.46 $79.00 40 - La Porte Treated Salt City of Monticello - OneIndiana 350 $79.46 $79.00 40 - La Porte Treated Salt City of Rensselaer - OneIndiana 160 $79.46 $79.00 40 - La Porte Treated Salt City of Rochester - OneIndiana 75 $79.46 $79.00 40 - La Porte Treated Salt City of Xxxxxxx - OneIndiana 525 $79.46 $79.00 40 - La Porte Treated Salt Fulton County Highway - OneIndiana 650 $79.46 $79.00 40 - La Porte Treated Salt Merrillville Community Schools - K12Indiana 150 $79.46 $79.00 40 - La Porte Treated Salt Newton County - OneIndiana 500 $79.46 $79.00 40 - La Porte Treated Salt Purdue University Northwest 130 $79.46 $79.00 40 - La Porte Treated Salt Town of Bremen - OneIndiana 300 $79.46 $79.00 40 - La Porte Treated Salt Town of Camden - OneIndiana 25 $79.46 $79.00 40 - La Porte Treated Salt Town of Cedar Lake Public Works - OneIndiana 100 $79.46 $79.00 40 - La Porte Treated Salt Town of Xxxx - OneIndiana 1000 $79.46 $79.00 40 - La Porte Treated Salt Town of Kouts - OneIndiana 50 $79.46 $79.00 40 - La Porte Treated Salt Town Of Long Beach - OneIndiana 500 $79.46 $79.00 40 - La Porte Treated Salt Town of Munster - OneIndiana 3000 $79.46 $79.00 40 - La Porte Treated Salt Town of St Xxxx - OneIndiana 2700 $79.46 $79.00 40 - La Porte Treated Salt Town of Trail Creek - OneIndiana 150 $79.46 $79.00 40 - La Porte Treated Salt Town of Westville - OneIndiana 100 $79.46 $79.00 40 - La Porte Treated Salt Town of Winamac - OneIndiana 80 $79.46 $79.00 40 - La Porte Treated Salt Town of Winfield - OneIndiana 850 $79.46 $79.00 40 - La Porte Treated Salt Tri-Creek School Corporation - K12Indiana 120 $79.46 $79.00 40 - La Porte Treated Salt Twin Lakes School Corporation - K12Indiana 75 $79.46 $79.00 50 - Seymour Treated Salt Brown County Government - OneIndiana 800 $91.68 $91.00 50 - Seymour Treated Salt City of Batesville - OneIndiana 150 $91.68 $91.00 50 - Seymour Treated Salt City of Greendale - OneIndiana 350 $91.68 $91.00 50 - Seymour Treated Salt City of Lawrenceburg - OneIndiana 600 $91.68 $91.00 50 - Seymour Treated Salt City of New Albany - OneIndiana 1200 $91.68 $91.00 50 - Seymour Treated Salt City of Rising Sun Government - OneIndiana 200 $91.68 $91.00 50 - Xxxxxxx Treated Salt City of Salem - OneIndiana 150 $91.68 $91.00 50 - Xxxxxxx Treated Salt City of Seymour - OneIndiana 400 $91.68 $91.00 50 - Seymour Treated Salt Xxxxxx-Sweetwater Conservancy District 150 $91.68 $91.00 50 - Seymour Treated Salt Decatur County Highway - OneIndiana 200 $91.68 $91.00 50 - Seymour Treated Salt Floyd County Road - OneIndiana 2000 $91.68 $91.00 50 - Seymour Treated Salt Franklin County Highway - OneIndiana 1800 $91.68 $91.00 50 - Seymour Treated Salt Harrison County Highway - OneIndiana 2000 $91.68 $91.00 50 - Seymour Treated Salt Jennings County Highway - OneIndiana 800 $91.68 $91.00 50 - Seymour Treated Salt Johnson County Highway Department - OneIndiana 2700 $91.68 $91.00

Appears in 1 contract

Samples: Professional Services Contract Contract #0000000000000000000064521

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/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. [Contractor] [Indiana Agency] SHI INTERNATIONAL CORP INDIANA STATE POLICE By: By: Title: Mickey Digitally signed Title: Date: Contracts Manager 12/20/18 Title: Date: Xxxxx by Xxxxxx Xxxxx Date: 2018.12.20 12:36:16 -05'00' Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxX. Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. Exhibit B‌ Software Value-Added Reseller (SVAR) Services MASTER PRICE AGREEMENT with SHI INTERNATION, CORP. Xxxxxxxx Xx. XXXXX00-000000 Xxxxx xx Xxxxxxx Lead State Effective: April 8, 2016 to April 7, 2018 Contract No: ADSPO16-130651 Description: Software Value-Added Reseller (SVAR) Services Table of Contents EXECUTED OFFER AND ACCEPTANCE FORM 2 TABLE OF CONTENTS 3 SECTION 1: NASPO ValuePoint Solicitation ADSPO16-00005829 – GENERAL INCFORMATION 4 SECTION 2: SCOPE OF WORK 7 SECTION 3: NASPO ValuePoint Master Agreement Terms and Conditions 22 SECTION 4: Lead State (State of Arizona) Terms and Conditions 37 State of Arizona Special Terms and Conditions 37 State of Arizona Uniform Terms and Conditions 50 Contract No: ADSPO16-130651 Description: Software Value-Added Reseller (SVAR) Services

Appears in 1 contract

Samples: Participating Addendum Contract

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 DatabaseDatabas e: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] Underground Plant Protection Service Indiana Utility Regulatory Commission By: By: TitlePrinted Name: Printed Name: Title: Date: Executive Director 2/14/2023 | 16:54 EST Title: Date: Chairman 2/19/2023 | 15:52 EST _ Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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 Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon April 4, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2022 FA 22- 20 EXHIBIT A Underground Plant Protection Account Grant Application Grantee Information

Appears in 1 contract

Samples: Grant Agreement

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Xxxxxxxx Trenching & Directional Boring Indiana Agency] Utility Regulatory Commission By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.Exhibit A Underground Plant Protection Account Grant Application Grantee Information

Appears in 1 contract

Samples: Grant Agreement

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/paprd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [ANTHEM INSURANCE COMPANIES INC Indiana Agency] Family and Social Services Administration, Office of Medicaid Policy and Planning By: By: Title: Title: Date: DateXxxxxxxx Xxxx, MD, MBA Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. President, Anthem IN Medicaid August 22, 2019 By: Title: Date: Xxxxxxx Xxxxxx Medicaid Director August 23, 2019

Appears in 1 contract

Samples: Contract #0000000000000000000032136

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRC T S.GBL In Witness Whereof, Contractor the Consultant and the State have, through their duly authorized representatives, entered into this Contract. The parties, parties having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. [Contractor] [HNTB INDIANA, INC. Indiana Agency] Department of Transportation By: By: Title: Sr. Vice President Title: Deputy Commissioner Date: 12/10/2021 | 13:14 PST Date: 12/10/2021 | 16:38 EST Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx erda, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer APPENDIX "A" Services to Electronic Approval History found after be furnished by CONSULTANT: In fulfillment of this Contract, the final page CONSULTANT shall comply with the requirements of the Executed Contract appropriate regulations and requirements of the Indiana Department of Transportation (INDOT or Department) and Federal Highway Administration (FHWA). The CONSULTANT shall be responsible for details.performing the following activities: Task 1 Project Management and Coordination Task 2 Topographical Survey Task 3 Environmental Document Task 4 Permit Application Task 5 Public Involvement Task 6 Engineer Assessment Task 7 Roadway Design & Plan Development Task 8 Traffic Design Task 9 Transportation Management Plan Task 10 Geotechnical Investigation Task 11 Pavement Design Task 12 Utility Coordination Task 13 Construction Phase Services Task 1 – Project Management and Coordination Objective The objective of this task is to manage the project, coordinate with discipline leads and INDOT, and communicate regularly with the INDOT project manager. Results / Deliverables Coordination with various disciplines of INDOT, preparation of monthly progress reports and monthly coordination calls with the INDOT project manager. Coordination Coordination is required with various departments within INDOT for project development, design review, contract preparation document, utility certification, asbestos reports, environment al document approval, permit determination, geotechnical report approval, pavement design approval, review of unique special provisions, and plan review. Activity The Consultant will perform the following activities: • Prepare and submit monthly progress reports • Coordinate with discipline leads and INDOT • Lead monthly coordination calls • Attend INDOT Meetings • Project/Task Management • Project Xxxxxxxx and Administration Assumptions • Project development will be 32 months (November 2021 to July 2024) • Travel will be limited to two visits to the project site or district office

Appears in 1 contract

Samples: Consulting Contract Contract

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the LPA 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] [TOWN OF MUNSTER Indiana Agency] Department of Transportation By: By: By:\s2\ Title: Title: Date: Date: \ Date:\d Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page ATTACHMENT A-1 PROJECT DESCRIPTION Des. No.: 2201475 Program: Local Roads and Bridges Matching Grants Type of Project: Pavement Replacement Location: Application ID: 12338 A general scope/description of the Executed Contract for details.Project is as follows:

Appears in 1 contract

Samples: Grant Agreement

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: xxxxx://xx00.xxxx.xx.xxx/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 hereby agree to the terms thereof. [Contractor] [Indiana Agency] VENDOR NAME AGENCY NAME By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, 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) Xxxxx X.Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Appears in 1 contract

Samples: secure.in.gov

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Indiana Agency] VANDERBURGH COUNTY HEALTH INDIANA STATE DEPARTMENT OF HEALTH DEPARTMENT By: By: Title: Title: Xxx Xxxxxxxxx, President Xxxxxxxxxxx XxxxXxxxxxx:Commissioners Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer Attachment A Vanderburgh County Health Department Scope of Work: The Vanderburgh County Health Department will assist the Indiana State Department of Health with the following activities: • Promote COVID-19 vaccination In • Provide direct COVID-19 vaccination services to Electronic Approval History found after general population based on stated criteria. • Conduct direct outreach and vaccination to minority and hard to reach populations. Process • Employ or partner with Community Health Workers to reach vulnerable populations. • Conduct compliance site visits on a percentage of COVID vaccinator providers operating within the final page county jurisdiction. • Report compliance site visit data in a format required by the Indiana State Department of Health • Promote routine vaccinations according to the Executed Contract for details.Advisory Committee on Immunization Practices • When approved, co-administer routine vaccinations according to the Advisory Committee on Immunization Practices with the COVID-19 vaccine. • Report data on all administered vaccines in the state Immunization Information System, CHIRP. • Submit quarterly and annual reports in a format prescribed by the Indiana State Department of Health. Attachment B Vanderburgh County Health Department January 1, 2021 to June 30, 2022 $373,213.77 In Budget Process Personnel – $167,946.19 Travel – $18,660.69 Supplies – $63,446.35 Equipment – $11,196.41 Contractual – $93,303.44 Other – $18,660.69 Attachment C: Federal Funding Federal Agency: Department of Health and Human Services CFDA Number: 93.268 Award Number: NH23IP922631 Award Name: Immunization Cooperative Agreements

Appears in 1 contract

Samples: Grant Agreement

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/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. [Contractor] [COMMUNITY MENTAL HEALTH CENTER, INC. Indiana Agency] By: Family and Social Services Administration, Division of Mental Health and Addiction By: Title: Xxx Xxxxxx CEO By: Title: Digitally signed by Xxxxx X. Xxxxx Xxxxx X. Date: 1/21/19 Date: Xxxxx Date: 2019.01.22 13:25:43 -05'00' Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. EXHIBIT 1 GENERAL REQUIREMENTS AND SCOPE

Appears in 1 contract

Samples: Professional Services Contract #

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/paprd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [CARESOURCE INDIANA INC Indiana Agency] Family and Social Services Administration, Office of Medicaid Policy and Planning Xxxxx Xxxxxxxxxx By: By: TitleXxxxxxx Xxxxxx Electronically Approved by: TitleIndiana Office of Technology By: Date: Date: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. Title: Date: President 11/26/19 Title: Date: Medicaid Director 11.26.2019

Appears in 1 contract

Samples: Contract #0000000000000000000032137

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant. The parties, having read and understood the foregoing terms of this ContractGrant, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Paradigm Alliance Inc. Indiana Agency] Utility Regulatory Commission By: Xxx Xxxxxxx By: Title: Xxxxx X. Xxxxxx Title: Date: VP of Liaison Services 2/1/2019 Title: Date: Chairman 2-4-19 Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxX. Xxxxxx, 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 Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon June 25, Xx., Attorney General Refer to 2018. FA 18-12 Electronic Approval History found after the final page of the Executed Contract for details.User ID Approver Name Datetime Description 1 M220610 Xxxxxxx,Xxxx 02/04/2019 3:53:20PM Agency Fiscal Approval 2 S004382 Xxxxxxx,Xxxxxx D 02/07/2019 6:00:18PM IDOA Legal Approval

Appears in 1 contract

Samples: Grant Agreement

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST In Witness Whereof, Contractor and the State have, through their duly authorized representatives, entered into this ContractAmendment. The parties, having read and understood the foregoing terms of this ContractAmendment, do by their respective signatures dated below agree to the terms thereof. [Contractor] [LEARFIELD COMMUNICATIONS INC Indiana Agency] Utility Regulatory Commission By: By: :Xxxxx X. Xxxxxx Title: General Manager Title: Chairman Date: May 21, 2018 Date: 2-24-18 Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxX. Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.. Electronic Approval History User ID Approver Name Datetime Description 1 P025435 Xxxxx,Xxxxxx D 08/27/2018 2:48:59PM Agency Fiscal Approval 2 S004382 Xxxxxxx,Xxxxxx D 08/27/2018 4:04:13PM IDOA Legal Approval 3 T278748 Xxxxxxxx,Xxxxxxx 08/28/2018 8:10:09AM IDOA Legal Approval 4 D304465 Xxxxx,Xxxxxxxx M 08/29/2018 8:40:52AM SBA Approval 5 M338811 Xxxxxxxx,Xxxxx H 08/29/2018 10:01:13AM Attorney General Approval

Appears in 1 contract

Samples: Contract #0000000000000000000026646

Agreement to Use Electronic Signatures. I agree, and it is my intent, to sign this Contract Grant Agreement by accessing the State of Indiana Supplier Portal using the secure password assigned to me and by electronically submitting this Contract Grant Agreement to the State of Indiana. I understand that my signing and submitting this Contract Grant Agreement in this fashion is the legal equivalent of having placed my handwritten signature on the submitted Contract Grant Agreement and this affirmation. I understand and agree that by electronically signing and submitting this Contract Grant Agreement in this fashion I am affirming to the truth of the information contained therein. I understand that this Contract Grant Agreement 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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Tri-County School Corporation Indiana Agency] Department of Homeland Security By: By: Title: Superintendent Title: General Counsel Date: 11/23/2022 | 12:23 PST Date: 12/2/2022 | 11:12 EST Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx erda, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx.Xxxxxxxx X Xxxxxx, Attorney General Refer to Electronic Approval History found after Exhibit A Annual Financial Report for Non-governmental Entities Guidelines for filing the final page of the Executed Contract for details.annual financial report:

Appears in 1 contract

Samples: Grant Agreement

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: xxxxx://xx00.xxxx.xx.xxx/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] [TBD Indiana Agency] Department of Administration By: By: Title: Title: Date: Date: Electronically Approved by: Indiana Office of Technology By: (for) Xxxxxx Xxxxx, Chief Information Officer Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxxxxxxx, 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) Xxxxx X.XxxxxxX. Xxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.

Appears in 1 contract

Samples: Quantity Purchase Agreement

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ 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. [Contractor] [Indiana Agency] By: MDWISE INC. Indiana Family and Social Services Administration, Office of Medicaid Policy and Planning By: Title: President and CEO Title: Medicaid Director Date: 9/27/2023 | 10:44 EDT Date: 9/27/2023 | 11:02 EDT Electronically Approved by: Indiana Office of Technology By: (for) Xxxxx Xxxxxx, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page Table of the Executed Contract for details.Contents EXHIBIT 1.A SCOPE OF EXHIBIT 1.0 Background 11

Appears in 1 contract

Samples: Contract #0000000000000000000069654

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/psp/guest/SUPPLIER/ERP/c/SOI_CUSTOM_APPS.SOI_PUBLIC_CNTRCT S.GBL In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [GREENFIELD, CITY OF Indiana Agency] Office of Community and Rural Affairs By: By: Title: Title: Date: Date: Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.EXHIBIT A PROJECT DESCRIPTION

Appears in 1 contract

Samples: Grant Agreement

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: xxxxx://xx00.xxxx.xx.xxx/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. [Contractor] [Indiana Agency] Department of Child Services By: By: Xxxxx X. Xxxxxxx, Director Name and Title: Title: , Printed Date: Date: Electronically Approved by: Approved by: Indiana Department of Administration Indiana State Budget Agency By: (for) By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved Date: Date: APPROVED as to Form and Legality: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xx., Attorney General Refer to Electronic Approval History found after Date: Form approval has been granted by the final page Office of the Executed Contract for details.Attorney General pursuant to IC 4-13-2-14.3(e) on November 17, 2020. FA 20-84

Appears in 1 contract

Samples: Residential Treatment Services Provider Contract

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/ 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. [Contractor] [ONPOINT HEALTH DATA Indiana Agency] Department of Insurance By: By: Title: Date: President/CEO 1/6/2023 | 15:26 EST Title: Date: DateCFO 1/9/2023 | 07:42 EST Electronically Approved by: Indiana Office of Technology By: (for) Xxxxx Xxxxxx, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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) Xxxxxx Xxxxxxxx X. Xxxx, Xx.Xxxxxx, Attorney General Refer to Electronic Approval History found after the final page Exhibit 1 - Scope of the Executed Contract for details.Work

Appears in 1 contract

Samples: Professional Services Contract Contract

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: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xx.xxxx.xx.xxx/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 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] [COORDINATED CARE CORPORATION INDIANA Indiana Agency] Family and Social Services Administration, By: Office of Medicaid Policy and Planning Title: Vice President By: Title: Title: Medicaid director Date: 12/11/2020 | 15:25 EST Date: 12/11/2020 | 15:28 EST Electronically Approved by: Indiana Office of Technology By: (for) Xxxxx X. Xxxxxx, Chief Information Officer Electronically Approved by: Department of Administration By: (for) Xxxxxx X. Xxxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, Director Refer to Electronic Approval History found after the final page of the Executed Contract for details. Electronically Approved as to Form and LegalityLegality by: Office of the Attorney General By: (for) Xxxxxx X. Xxxx, Xxxx Xx., Attorney General Refer EXHIBIT 2.C CONTRACT COMPLIANCE AND PAY FOR OUTCOMES Except as defined below or where the context requires otherwise, all capitalized terms shall have the meanings ascribed to Electronic Approval History found after them in the Contract. Note that previous versions of this Exhibit that relate specifically to previous years (calendar years 2017, 2018, and 2019) exist, including within this Contract’s associated Healthy Indiana Plan contract. The specific final page requirements for each of these specified years, will regulate the Executed Contract for detailsrequirements and calculations applied to each of these previous periods, unless changes specifically addressing previous years are made.

Appears in 1 contract

Samples: Contract #0000000000000000000032139

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 DatabaseDatabas e: xxxxx://xx00.xxxx.xx.xxx/psp/pa91prd/EMPLOYEE/EMPL/h/?tab=PAPP_GUEST xxxxx://xxxxxx.xx.xxx/apps/idoa/contractsearch/. In Witness Whereof, Contractor the Grantee and the State have, through their duly authorized representatives, entered into this ContractGrant Agreement. The parties, having read and understood the foregoing terms of this ContractGrant Agreement, do by their respective signatures dated below agree to the terms thereof. [Contractor] [Xxxxxxxxx Power Cooperative Indiana Agency] Utility Regulatory Commission By: By: Title: TitleDirector of Marketing, Member EngagemeTnittle&: Chmamiurnmiatny Relations Date: 5/12/2023 | 08:04 PDT Date: 5/16/2023 | 15:56 EDT Electronically Approved by: Department of Administration By: (for) Xxxxxx X. XxxxxXxxxxxx Xxxx xxxx, 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) Xxxxx X.XxxxxxXxxxxxx X. Xxxxxxx, 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 Attorney General Form approval has been granted by the Office of the Attorney General By: (forpursuant to IC 4-13-2-14.3(e) Xxxxxx X. Xxxxon February 23, Xx., Attorney General Refer to Electronic Approval History found after the final page of the Executed Contract for details.2023 FA 23-03 EXHIBIT A Underground Plant Protection Account Grant Application Grantee Information

Appears in 1 contract

Samples: Grant Agreement

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