Client Initials. 12. The inspection service is conducted at the property. The physical on-site inspection of the property is a very valuable time of exchange of information between the Inspector and the Client. Any particular concern of the Client must be brought to the attention of the Inspector before the inspection begins. The written report will not substitute for Client's personal presence during the inspection. It is virtually impossible to fully profile any building with any reporting system. Unless Client attends and participates in the inspection process itself, the Client will have no chance of gaining all of the information that is offered. All written comments by the Inspector shall supersede oral comments.
Client Initials. 6. The Medical Travel Policy and travel procedures have been explained to me and I have been provided with contact information if I require assistance while traveling. Client’s Initials Client Signature Print Name Date GN Health Representative Signature Print Name Date
Client Initials. 29.) I will fully participate in and successfully complete all of the phase requirements of this program as listed in the Participant Handbook and the policies and procedures manual. CLIENT INITIALS
Client Initials. 1 of 2 • An environmental health specialist should be contacted for evaluation of any potential health or environmental issues/concerns. A home inspection does not include the detection, identification or analysis of any such elements or related concerns such as, but not limited to, mold, allergens and other biological contaminants, radon, formaldehyde, asbestos, lead, flammable chemicals, electromagnetic fields, carbon monoxide, insecticides, toxic, refrigerants, fuel oils etc. The noting of the presence of materials commonly considered to contain asbestos, formaldehyde, lead, mold etc in the inspection report, are informal only and the client assumes responsibility to hire qualified environmental professional to do proper evaluation/inspection. • The report represents a snapshot in time. Basements/crawlspaces and attics that were dry at the time of the inspection can be wet/damp or leak in later weeks or months. The client agrees that at final walk- through prior the closing, the client will check the basement, crawlspace and attic for leaks/dampness and the client assumes responsibility to hire qualified professional to do proper evaluation of these areas. • The home inspection does not include inspection of landscape irrigation systems, swimming pools, spas, xxxxx, septic systems, security systems, central vacuum systems, water softeners, sprinkler systems, trash compactor, intercom system, low voltage decorative lightning, carbon-monoxide and smoke detectors/alarms and presence or absence insects, termites and rodents. Any comments discussed in report about these systems/items are informal only and do not represent inspection. The client assumes responsibility to hire qualified professional to do proper evaluation/inspection of these systems/items. It is absolutely understood and agreed that in event of errors, omission, negligent or any other theory of liability on the part of Inspect Consulting in connection with inspection or report, or in case of any claim whatsoever against Inspect Consulting the liability of Inspect Consulting inspectors, employees shall be solely and exclusively limited to a sum equal to the amount of fee paid by Client to Inspect Consulting for the inspection and inspection report. Inspect Consulting shall not be liable for the others opinions for any dispute or claim of repaired items or modifications prior and after inspection. It is fully understand that in case of any term or provision shall be invalid and unenforceable th...
Client Initials. XFX and Client hereby accept and agree to the terms of this Client Services Agreement as of the day of March, 2019. Client
Client Initials. I understand that for legal purposes, The Babe Spa, LLC, will take photos before and after the service is complete. Client Initials I hereby grant and authorize The Babe Spa, LLC the right to take, edit, alter, copy, exhibit, publish, distribute and make use of any and all pictures or video taken of me to be used in and/or for legally promotional materials including, but not limited to, newsletters, flyers, posters, brochures, advertisements, fundraising letters, annual reports, press kits and submissions to journalists, websites, social networking sites, and other print and digital communications, without payment or any other consideration. This authorization extends to all languages, media, formats and markets known or hereafter devised. This authorization shall continue indefinitely, unless I otherwise revoke said authorization in writing. Client Initials I understand and agree that these materials shall become the property of The Babe Spa, LLC. and will not be returned. Client Initials I hereby hold harmless, and release The Babe Spa, LLC. from all liability petitions, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons may make while acting on my behalf or on the behalf of my estate.
Client Initials. The advisory fee for the initial month is payable on a pro rata basis, in arrears, based on the initial value of assets deposited into PCS during the month. For subsequent months, the advisory fee is payable in arrears (except for services to participant-directed 401k plans, which generally are payable in arrears), based upon the market value of the assets being managed by PCS on the last day of the previous billing period. In addition, the advisory fee on assets deposited into the account or withdrawn from the account after the initial month will be payable or refunded on a pro rata basis for the month in which such assets are deposited/withdrawn. Investment advisory fees will be automatically deducted from the Client’s Account[s] by the custodian. The Advisor shall send an invoice to the custodian indicating the amount of the fees to be deducted from the Client’s Account[s]. The Client will receive independent statements from the custodian no less frequently than quarterly. Expenses related to the ordinary servicing of the Account[s], including custody fees, security transaction fees, and/or program fees shall be paid by the Client. Other non-ordinary fees or fees incurred at the direction of the Client shall be paid by the Client. Operating fees of mutual funds and other investment product fees are deducted from the asset value of those investments as defined in the prospectus of the sponsor for each product. The Advisor may modify the terms in this Section 3 prospectively on at least thirty (30) days prior written notice. Cash and accrued interest will NOT be included for billing purposes. Any accounts or Client assets to be excluded from billing shall be set forth in Exhibit B. Custody & Brokerage Transactions - The Client’s assets in the Account[s] will be held in the custody of a custodian meeting the requirements of a “qualified custodian” under Rule 206(4)-2 of the Investment Advisers Act of 1940 (the “Advisers Act”). We are authorized to give instructions to the custodian with respect to all investment decisions regarding the Client’s assets, and the custodian is hereby authorized and directed to effect transactions, deliver securities, make payments, and otherwise take such actions as we shall direct in connection with the performance of our obligations with respect to trading of the Client’s assets. At no time will the Advisor accept, maintain possession, or have custodial responsibility for the Client’s funds or securities. Per the instruction...
Client Initials. Thank you for the opportunity to submit a proposal on this project. Please feel free to contact me if you have additional questions on this proposal. You can reach me at (000) 000-0000 | ext 142 or via email at xxxxxxxxx.xxxxxx@x0xxxx.xxx. Sincerely, R2T, Inc. Xxxxxxxxx Xxxxxx Senior Project Scientist Client signature below indicates client understands the above proposal, agrees to the terms of the proposal, and agrees to pay TOTAL LUMP SUM of $15,580.00 for all tasks indicated above. CLIENT NAME: Print Name CLIENT SIGNATURE: DATE: May 7, 2021 American Consulting Professionals, LLC 000 X. Xxxxxxxx Street, Suite 2 Dalton, GA 30720 Attention: Xx. Xxxxx Xxxxxxxxxxx, X.X. Xxxxx.Xxxxxxxxxxx@acp‐xx.xxx Subject: PROPOSAL FOR GEOTECHNICAL EXPLORATION Xxxx Xxxxx Xxxxxxxxx Xxxxxx, Xxxxxxx GEOServices Proposal No. 14‐21312 Dear Xx. Xxxxxxxxxxx: GEOServices, LLC is pleased to provide you with our proposal for geotechnical exploration for the proposed Mill Creek Riverwalk project in Dalton, Georgia. The following proposal outlines our understanding of the project requirements based on recent phone and email conversations, the provided information, and the site visit on Wednesday, May 5, 2021. This proposal provides a general description of the project, the associated costs, and the proposed schedule. In addition, we have attached our Agreement for Services that establishes contractual arrangements. This attachment should be completed and forwarded to our office. PROJECT DESCRIPTION GEOServices, LLC (GEOS) understands that a new Riverwalk is proposed to be constructed along Mill Creek in Dalton, Georgia. Based on the provided information, the project is set to consist of a new pathway stretching from near Chattanooga Avenue to west of North Xxxxxxxx Avenue. The proposed construction areas currently exist as a small nature trail along Mill Creek and are mostly wooded. The majority of this new pathway is to be asphalt paved; however, there are several areas where this will differ. In areas where potential “wetlands” are encountered, it is likely that a boardwalk will be constructed. This boardwalk is typically supported on some form of timber pile foundation system. Additionally, in areas where drainage ditches cross the pathway, it is likely that a new pedestrian bridge will be constructed. These small bridges will likely be on the order of 8 to 10 feet in length and are typically supported by shallow bearing foundations are either side. GEOServices, LLC | 0000 Xxxxx Xxx...
Client Initials. Were any cautions identified from the health questionnaire for this client?........................YES / NO PHARMACY NAME AND ADDRESS.......................................................................................................... ...................................................................................................................... Postcode.................................. Visit 1 (Patient Health Questionnaire) Visit 2 (Voucher 2) Date of supply……………………………………… Date of supply……………………………………….. Pharmacist signature…………………………….. Pharmacist signature………………………………… Product (please circle) Strength (please circle) Quantity No issued (A) C & D unit price (B) Total (A x B) Total + 5% VAT (C) NiQuitin CQ patch 21mg 7 14mg 7mg Nicorette Invisi patch 10mg 7 15mg 25mg Nicorette Cools Lozenges 4mg 60 2mg Nicorette Inhalator 15mg 4 Handling Fee £2.50 Minus Prescription charge if applicable TOTAL Product (please circle) Strength (please circle) Quantity No issued (A) C & D unit price (B) Total (A x B) Total + 5% VAT (C) NiQuitin CQ patch 21mg 7 14mg 7mg Nicorette Invisi patch 10mg 7 15mg 25mg Nicorette Cools Lozenges 4mg 60 2mg Nicorette Inhalator 15mg 4 Handling Fee £2.50 Minus Prescription charge if applicable TOTAL Continued overleaf… Side 2 Visit 3 (Voucher 2) Date of supply……………………………………… Product (please circle) Strength (please circle) Quantity No issued (A) C & D unit price (B) Total (A x B) Total + 5% VAT (C) NiQuitin CQ patch 21mg 7 14mg 7mg Nicorette Invisi patch 10mg 7 15mg 25mg Nicorette Cools Lozenges 4mg 60 2mg Nicorette Inhalator 15mg 4 Handling Fee £2.50 Minus Prescription charge if applicable TOTAL TOTAL CLAIM: Visit 1 total + Visit 2 total+ Visit 3 total=£…………………… Remember to send in the health questionnaire and voucher(s) clearly marked with the pharmacy name. You may send in this record sheet; however this is intended to be used in the pharmacy to help with recording, prior to inputting onto Pharmoutcomes. Please input your claim onto Pharmoutcomes and send all paperwork by the 5th of the month to: NRT Voucher Scheme, Pharmacy Payments, Public Health, Nottinghamshire County Council, Xxxxxx Xxxxx, Xxxxxxxxxxx, Xxxxxxxxx XX00 0XX via method as outlined in the contract. C Health Questionnaire for the Supply of NRT lient No. (from monitoring form) / NHS No. (GPs)…………….…………………………….. Date of Birth………………….………(under 12s are excluded) Are you pregnant or breast feeding? YES/NO (if pregnant –please speak to your advisor ) Do any of the f...
Client Initials. 2. Safe and Sound is authorized to perform care and services as outlined on this contract. Both Safe and Sound and Client recognize that the welfare of the animal is the highest priority. If in Safe and Sound’s judgment additional services become necessary during the service period to properly care for the animal, Safe and Sound will first make reasonable attempts to contact Client. If Client cannot be contacted for whatever reason, Safe and Sound is authorized to undertake such additional steps as may in the reasonable judgment of Safe and Sound be necessary or appropriate for the health and welfare of the animal. Client agrees to be responsible for all fees and expenses incurred for care and treatment of the animal pursuant to this paragraph, and releases and holds Safe and Sound harmless from all liabilities related to transportation, treatment and expense. Client agrees to reimburse Safe and Sound for any expense incurred, plus any additional fees for attending to animal’s needs or any expenses incurred for any other home/food/supplies needed. Client Initials:
