Contractor Name. Business License #: Address: City, State, Zip Code: Telephone: Facsimile: Email: * If you are an independent contractor you are required to obtain a business license with the City of Thousand Oaks. Contractor certifies under penalty of perjury that Contractor is a Sole Proprietor Corporation Limited Liability Company Partnership Nonprofit Corporation Other [describe: ]
Contractor Name. The Curators of the University of Missouri on behalf of The University of Missouri – Columbia, University of Missouri, Department of Psychiatry Mailing Address: 0 Xxxxxxxx Xxxxx #XX000.00 City, State Zip: Columbia, MO 65212 Contact Person Name and Title: Contact Person E-Mail Address: Xxxxxxxx X. Xxxxxx | Assistant Pre-Award Manager, OSPA xxxxxxxx@xxxxxxxx.xxx ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ I / We hereby agree to provide the services and/or items, at the price(s) stated, pursuant to the requirements of this document and further agree that when this document is countersigned by an authorized official of the Missouri Department of Social Services a binding contract shall exist between the contractor and the Department of Social Services, subject to the approval and acceptance of the Division of Purchasing and Materials Management. The authorized signer of this document certifies that the contractor (named below) and each of its principals (as defined by 45 CFR 76) are not suspended or debarred by the federal government. In witness thereof, the parties below hereby execute this contract. Xxxxxxxx X. Xxxxxx | Pre-Award Manager, OSPA 7/09/2018 Date: 2018.07.09 14:24:23 -05'00' xxxxx Xxxxx - Director, OSPA Xxxxx Xxxxx xxxxx=XxxxxXx@Xxxxxxxx.xxx, c=US Digitally signed by Xxxxx Xxxxx DN: cn=Xxxxx Xxxxx, o=University of Missouri, ou=Office of Sponsored Programs Administration, pm Authorized Signature for the Department of Social Services Authorized Signature for the Contractor: Name and Title: Date 7/9/18 Date July 12, 2018 Date
Contractor Name. The Leadership Academy
Contractor Name. Elm Shakespeare Co
Contractor Name. New Haven Ecology Project/Common Ground
Contractor Name. The Xxx Xxxxxxx Museum
Contractor Name. Foundation for the Arts and Trauma Inc. Description of Service: Provide individual trauma-informed counseling to students as needed and referred by teaching and social support staff, to include de-escalation, improved coping skills, improved socioemotional learning, improve academic readiness, and positive attitudes toward learning and the school community. Provide support to teaching staff through in-service education regarding stress and trauma as impacted by the pandemic and remote learning platforms, individual teacher support as needed. Amount of Agreement and hourly or session cost: Hourly rate or per session rate or per day rate. $112.75 per hour, not to exceed $50,000. Total amount of Contract: $50,000
Contractor Name. Upon This Rock Ministries
Contractor Name. The Monk Center for Academic Enrichment and Performing Arts
