Common use of Date Date Clause in Contracts

Date Date. This form, The University of Akron Performance Agreement, has been reviewed and approved for legal form and sufficiency by the Office of General Counsel on May 15, 2014. September 25, 2020 Fisrt Name Last Name Comapny Name Address City, STATE Zip Code Subject: Professional Services Agreement Dear First Name Last Name, I have enclosed two copies of the University's Performance Agreement regarding Service to be provided services as discussed with U Of A Contact Name for your review, acceptance and signature. Please review this agreement and if acceptable sign both copies and return them to my attention at the following address: The University of Akron U Of A Contact Office/Department 302 Buchtel Common Akron, Ohio 44325-Dept. Zip ATTN: U Of A Contact Name One copy of the fully executed agreement will be sent to you along with a University purchase order (for payment purposes, see paragraph 10.) upon approval of the University’s Director of Purchasing. Please call me if you have any questions. Sincerely, U Of A Contact Name U Of A Contact's Title EXHIBIT B VENDOR DISCLOSURE I, authorized person for  , do hereby state and affirm that neither I nor any agents of the above-named company not any other party acting on company’s behalf have paid or agreed to pay directly or indirectly any person, firm, or corporations any money or valuable consideration for assistance in securing this agreement for the following:  . I further agree that no such money or reward will be hereafter paid. Do any University of Akron employees, or their family members, have a financial interest in the organization submitting the agreement? Yes No If so, please attach a statement giving details. Are you currently or have you been an employee of The University of Akron? Yes No If so, please attach a statement giving details. Does the affiant have any relative/family members employed by The University of Akron? Yes No If so, please identify the employee and relationship. Employee Name   Relationship   ____________________________________________ Artist’s Signature Date THE UNIVERSITY OF AKRON Name of proposed independent contractor:   Departmental Requisition Number:  

Date Date. Please check here if you are interested in advising in this position next year Advisor Signature Date APPENDIX I APPLICATION FOR CONTINUING CONTRACT STATUS My current limited contract is expiring at the end of this school year. I have completed the educational and length of service requirement for continuing contract eligibility and I wish to apply for a continuing contract this year. Name of Applicant Date Signature of Principal Date (indicating the form was received) This form, The University form must be turned in to the building principal on or before the first work day in February of Akron Performance Agreement, has the year in which the teacher is applying for a continuing contract. APPENDIX J Xxxxxx-Clearcreek School District Catastrophic Leave Request Information and Physician Statement for Sick Leave Bank Employee Statement Name of Recipient: Last Date Worked: Leave accrued as of Last Date Worked: Sick Leave hours I certify that I have read and understand the definition of “catastrophic illness/injury: as stated below. I further certify my condition meets the definition of “catastrophic” illness/injury. Signature of Recipient Date Physician’s Statement Diagnosis: Method of Treatment: Physician's Signature Date APPENDIX K Xxxxxx-Clearcreek Local Schools Supplemental Contract Compensation School Year - Employee Name: Contracted for: Date of Approval: CERTIFICATION: I certify that all duties and closing responsibilities related to the above supplemental contract have been reviewed and approved completed for legal form and sufficiency the indicated school year by the Office employee indicated above, and further request that the amount due for the above activity should be included as part of General Counsel the employee’s next regular pay. List of all students participating in activity showing payment of pay to play fee Evaluation of advisor completed and on May 15file in superintendent’s office Financial obligations met/resolved Certified by: Employee Building Principal Date Please return to the treasurer’s office for payment of services Date rec’d – treasurer’s office APPENDIX L LONGEVITY BENEFIT REQUEST FORM (updated language on 10-26-2020) I, 2014, am requesting the payment of my longevity benefit per Article 35 Section A in the ACEA Union Agreement. September 25, 2020 Fisrt Name Last Name Comapny Name Address City, STATE Zip Code Subject: Professional Services Agreement Dear First Name Last NameAt the end of the school year, I will have enclosed two copies completed the longevity years marked below (Only one (1) category below should be marked): Completion of the Universityemployee's Performance Agreement regarding Service to be provided services as discussed tenth (10th) year of teaching service with U Of A Contact Name for your reviewthe Xxxxxx- Xxxxxxxxxx School District, acceptance and signaturethe employee will receive a one-time payment of one thousand dollars ($1,000.00). Please review this agreement and if acceptable sign both copies and return them to my attention at the following address: *The University of Akron U Of A Contact Office/Department 302 Buchtel Common Akron, Ohio 44325-DeptLongevity Benefit is not retroactive. Zip ATTN: U Of A Contact Name One copy Completion of the fully executed agreement employee's twentieth (20th) year of teaching service with the Xxxxxx- Xxxxxxxxxx School District, the employee will receive a one-time payment of two thousand dollars ($2,000.00). *The Longevity Benefit is not retroactive. Completion of the employee's thirtieth (30th) year of teaching service with the Xxxxxx- Clearcreek School District, the employee will receive a one-time payment of three thousand dollars ($3,000.00). *The Longevity Benefit is not retroactive. This benefit will be sent to you along with a University purchase order (paid on the second pay of June in the year it was completed. I have read the qualifications for payment purposesthe Longevity Benefit and certify that I have accomplished the years of teaching service requested. Article must be completed, see paragraph 10.) upon approval dated and turned in the Treasurer’s office by the end of the University’s Director last business day of PurchasingMay, the year the check is to distributed. Please call me if you have any questions. Sincerely, U Of A Contact Name U Of A Contact's Title EXHIBIT B VENDOR DISCLOSURE I, authorized person for  , do hereby state and affirm that neither I nor any agents of the above-named company not any other party acting on company’s behalf have paid or agreed to pay directly or indirectly any person, firm, or corporations any money or valuable consideration for assistance in securing this agreement for the following:  . I further agree that no such money or reward will be hereafter paid. Do any University of Akron employees, or their family members, have a financial interest in the organization submitting the agreement? Yes No If so, please attach a statement giving details. Are you currently or have you been an employee of The University of Akron? Yes No If so, please attach a statement giving details. Does the affiant have any relative/family members employed by The University of Akron? Yes No If so, please identify the employee and relationship. Employee Name   Relationship   ____________________________________________ ArtistApplicant’s Signature Date THE UNIVERSITY OF AKRON Name Submitted to District Office Treasurer Signature Date approved Improvement Plan Appendix M Teacher Name: Grade Level/ Subject: School Building: Date of proposed independent contractorImprovement Plan year:   Departmental Requisition NumberConference:  A written Improvement Plan is to be developed when an educator has a Final Holistic Rating of Ineffective. However, districts have discretion to place any teacher on an Improvement Plan at any time based on deficiencies in any individual component of the evaluation system. The notice requirements for being placed on an Improvement Plan, the components of the plan and the implementation process for the plan may be subject to the terms of a collective bargaining agreement. The purpose of the Improvement Plan is to identify specific deficiencies in performance and xxxxxx growth through professional development and targeted support. If the teacher does not take corrective actions in the timeline specified in the Improvement Plan, the evaluator may recommend the teacher be dismissed or continue working under the plan.

Date Date. This form, The University of Akron Performance Agreement, has been reviewed and approved for legal form and sufficiency by the Office of General Counsel on May 15, 2014. September 25, 2020 Fisrt Name Last Name Comapny Name Address City, STATE Zip Code Subject: Professional Services Agreement Dear First Name Last Name, I have enclosed two copies of the University's Performance Agreement regarding Service to be provided services as discussed with U Of A Contact Name for your review, acceptance and signature. Please review this agreement and if acceptable sign both copies and return them to my attention at the following addressNote: The University unit member or evaluator may withdraw from the agreement not later than 7th week of Akron U Of A Contact Office/Department 302 Buchtel Common Akron, Ohio 44325-Deptany school year in which case the employee shall be evaluated that year. Zip ATTN: U Of A Contact Name One copy of the fully executed agreement will be sent to you along with This provision shall not preclude a University purchase order (for payment purposes, see paragraph 10.) upon approval of the University’s Director of Purchasingsupervisor from making informal observations at any time. Please call me if you have any questions. Sincerely, U Of A Contact Name U Of A Contact's Title EXHIBIT B VENDOR DISCLOSURE I, authorized person for  , do hereby state and affirm that neither I nor any agents of withdraw from the above-named company not any other party acting on company’s behalf have paid or agreed to pay directly or indirectly any person, firm, or corporations any money or valuable consideration for assistance in securing this above agreement for the following:  . I further agree that no such money or reward will five –year evaluation cycle. Evaluator Evaluatee Date Date APPENDIX E CLASSIFIED EMPLOYEE POSITION GROUPS AS DEFINED IN ARTICLE 14.2.2 Positions are listed within groups from which laid off employees would have bumping rights based on district seniority. Positions cannot be hereafter paid. Do any University of Akron employees, or their family members, have a financial interest bumped into unless the employee possesses those basic qualifications and required skills as specified in the organization submitting job description. Group I: Student Instruction/Supervision (After School Program Aide) Bilingual Paraeducator I/II/II (Hard of Hearing Paraeducator) Paraeducator I/ll/III (PIP Paraeducator) Special Ed Paraeducator I/II (SFA Tutor) (Tutor) Group II: Food Services Assistant Cook Cafeteria Worker Food Service Assistant High School Assistant Cook Lead Cook Group III: Maintenance and Operations Bus Driver /Custodian Computer Technician (Custodian) (District Custodian/Maintenance Worker) (Groundskeeper) Head Custodian Head Groundskeeper (Itinerant) (Maintenance) Night Custodian Skilled Maintenance Worker Group IV: Transportation Bus Driver (Lead Bus Driver) Bus Driver/Classified Support Mechanic (Special Xx Xxx Driver) Group V: Clerical Administrative Secretary (Community School Partnership Coordinator) (District Health Technician) Elementary/Middle School Library Clerk Elementary/Middle School Secretary Elementary/Middle School Health Technician High School Bookkeeper /Attendance Clerk High School Library Clerk High School Secretary Student Services Clerk MOT Secretary/Data Entry Specialist Group VII: Instruction Specialists (Art Specialist) Music Specialist Technology Telecommunications Coordinator Computer Lab Specialist Computer Lab Assistant Group VIII: Supervision Campus Supervisor School Crossing Guard Site Assistant Daycare *Eliminated positions are in italics LUCEA Bargaining Agreement 2020-2023 C A S B O C u s t o d i a l Cleaning Time Standards In determining time standards, you must incorporate what level of cleaning you as the agreement? Yes No If soclient would be willing to pay for, please attach which services you could not live without, and which services you would give up to create time for more cleaning services. In evaluating the time line for a statement giving detailsday custodian, defined as a person who works at a school site while students are present, you must determine time available for performing assigned duties. Are you currently or have you been an employee of The University of Akron? Yes No If so8 hours 480 minutes 2 breaks (15 min. each) 30 minutes Security check. Replace tools and Equipment 20 minutes Time available to provide services 430 minutes NON CLEANING DUTIES Open the school. Check for vandalism, please attach safety concerns, and maintenance items. 40 minutes Playground — field inspection 25 minutes Miscellaneous duties, including teacher/site manager requests, activity set-ups, repairing furniture/equipment, ordering and delivering supplies 60 minutes Put up flag and P.E. equipment 20 minutes C A S B O C u s t o d i a statement giving detailsl Cleaning Time Standards Weekly duties one each day 5 minutes Monday Dust horizontal surfaces Tuesday Clean chalk trays and spot clean doors and walls Wednesday Clean table tops Thursday Clean sink counters and spot clean carpets Friday Clean chalk boards and trays Note: In cleaning sinks do not forget to clean fixtures, dispensers, and edges. Does the affiant have any relative/family members employed by The University of Akron? Yes No If so, please identify the employee and relationshipTime Line for Other Cleaning Multipurpose room 9 minutes per 1000 sq. Employee Name   Relationship   ____________________________________________ Artist’s Signature Date THE UNIVERSITY OF AKRON Name of proposed independent contractor:   Departmental Requisition Number:  ft.

Date Date. This formDate State of County of On this day of , 19 , before me appeared (Name) , to me personally known, who, being duly sworn, did execute the foregoing affi- davit, and did state that he or she was properly authorized by (Name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission expires [Seal] Date State of County of On this day of , 19 , before me appeared (Name) to me personally known, who, being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (Name of firm) to execute the affidavit and did so as his or her free act and deed. Notary Public Commission expires [Seal] Revised 3-95 08-07-95 FR-2 June 29, 2012 OB 12-04 Local Assistance Procedures Manual EXHIBIT 12-E PS&E Checklist Instructions Attachment B ATTACHMENT B REQUIRED CONTRACT PROVISIONS FEDERAL-AID CONSTRUCTION CONTRACTS EXHIBIT 12-E Local Assistance Procedures Manual Attachment B PS&E Checklist Instructions July 31, 2012 OB 12-05 Local Assistance Procedures Manual EXHIBIT 12-E PS&E Checklist Instructions Attachment B OB 12-05 July 31, 2012 EXHIBIT 12-E Local Assistance Procedures Manual Attachment B PS&E Checklist Instructions July 31, 2012 OB 12-05 Local Assistance Procedures Manual EXHIBIT 12-E PS&E Checklist Instructions Attachment B OB 12-05 July 31, 2012 EXHIBIT 12-E Local Assistance Procedures Manual Attachment B PS&E Checklist Instructions July 31, 2012 OB 12-05 Local Assistance Procedures Manual EXHIBIT 12-E PS&E Checklist Instructions Attachment B OB 12-05 July 31, 2012 EXHIBIT 12-E Local Assistance Procedures Manual Attachment B PS&E Checklist Instructions July 31, 2012 OB 12-05 Local Assistance Procedures Manual EXHIBIT 12-E PS&E Checklist Instructions Attachment B OB 12-05 July 31, 2012 EXHIBIT 12-E Local Assistance Procedures Manual Attachment B PS&E Checklist Instructions July 31, 2012 OB 12-05 Local Assistance Procedures Manual EXHIBIT 12-E PS&E Checklist Instructions Attachment B OB 12-05 July 31, 2012 EXHIBIT 12-E Local Assistance Procedures Manual Attachment B PS&E Checklist Instructions July 31, 2012 OB 12-05 Local Assistance Procedures Manual EXHIBIT 12-E PS&E Checklist Instructions Attachment B OB 12-05 July 31, 2012 EXHIBIT D > General Decision Number: CA130029 04/12/2013 CA29 Superseded General Decision Number: CA20120029 State: California Construction Types: Building, Heavy (Heavy and Dredging) and Highway Counties: Alameda, Calaveras, Contra Costa, Fresno, Kings, Madera, Mariposa, Merced, Monterey, San Xxxxxx, San Francisco, San Xxxxxxx, San Mateo, Santa Xxxxx, Santa Cruz, Stanislaus and Tuolumne Counties in California. BUILDING CONSTRUCTION PROJECTS; DREDGING PROJECTS (does not include xxxxxx dredge work); HEAVY CONSTRUCTION PROJECTS (does not include water well drilling); HIGHWAY CONSTRUCTION PROJECTS Modification Number Publication Date 0 01/04/2013 1 01/18/2013 2 02/08/2013 3 03/01/2013 4 03/08/2013 5 03/22/2013 6 04/05/2013 7 04/12/2013 ASBE0016-001 08/01/2012 AREA 1: ALAMEDA, CONTRA COSTA, LAKE, MARIN, MENDOCINO, MONTEREY, NAPA, SAN XXXXXX, SAN FRANCISCO, SAN MATEO, SANTA XXXXX, SANTA CRUZ, SOLANO, & SONOMA COUNTIES AREA 2: ALPINE, XXXXXX, BUTTE, CALAVERAS, COLUSA, DEL NORTE, EL DORADO, FRESNO, XXXXX, HUMBOLDT, KINGS, LASSEN, MADERA, MARIPOSA, MERCED, MODOC, MONO, NEVADA, PLACER, PLUMAS, SACRAMENTO, SAN JOAQUIN, SHASTA, SIERRA, SISKIYOU, STANISLAU, SUTTER, TEHEMA, TRINITY, TULARE, TUOLUMNE, YOLO, & YUBA COUNTIES Rates Fringes Asbestos Workers/Insulator (Includes the application of all insulating materials, Protective Coverings, Coatings, and Finishes to all types of mechanical systems) Area 1......................$ 54.70 18.47 Area 2......................$ 42.45 18.47 ASBE0016-004 01/01/2013 Rates Fringes Asbestos Removal worker/hazardous material handler (Includes preparation, wetting, stripping, removal, scrapping, vacuuming, bagging and disposing of all insulation materials from mechanical systems, whether they contain asbestos or not)....$ 31.13 6.95 BOIL0549-001 01/01/2009 AREA 1: ALAMEDA, XXXXXX XXXXX, XXX XXXXXXXXX, XXX XXXXX & XXXXX XXXXX XXXXXXXX AREA 2: REMAINING COUNTIES Rates Fringes BOILERMAKER Area 1......................$ 40.17 22.32 Area 2......................$ 37.01 22.25 BRCA0003-001 06/01/2011 Rates Fringes MARBLE FINISHER..................$ 28.02 12.22 BRCA0003-003 06/01/2011 Rates Fringes MARBLE XXXXX. $ 39.22 18.68 BRCA0003-005 05/01/2011 Rates Fringes BRICKLAYER ( 1) Fresno, Kings, Madera, Mariposa, Merced. $ 34.11 19.34 ( 7) San Francisco, San Mateo. $ 39.85 22.00 ( 8) Xxxxxxx, Xxxxxx Xxxxx, Xxx Xxxxxx, Santa Xxxxx. $ 39.63 19.92 ( 9) Calaveras, San Joaquin, Stanislaus, Toulumne. $ 35.11 18.99 (16) Monterey, Santa Xxxx...$ 35.91 22.42 BRCA0003-008 06/01/2011 Rates Fringes TERRAZZO FINISHER................$ 30.30 13.77 TERRAZZO WORKER/SETTER...........$ 39.30 21.20 BRCA0003-011 01/01/2011 AREA 1: Alameda, Contra Costa, Monterey, San Xxxxxx, San Francisco, San Mateo, Santa Xxxxx, Santa Xxxx AREA 2: Calaveras, San Joaquin, Stanislaus, Tuolumne AREA 3: Fresno, Kings, Madera, Mariposa, Merced Rates Fringes TILE FINISHER Area 1......................$ 21.44 12.31 Area 2......................$ 21.26 12.44 Area 3......................$ 21.01 11.58 Tile Layer Area 1......................$ 38.61 13.73 Area 2......................$ 34.41 13.68 Area 3......................$ 29.78 13.10 CARP0022-001 07/01/2012 San Francisco County Carpenters Bridge Builder/Highway Rates Fringes Xxxxxxxxx...................$ 38.50 25.68 Hardwood Floorlayer, Xxxxxxxx, Power Saw Operator, Steel Scaffold & Steel Shoring Erector, Saw Filer.......................$ 38.65 25.68 Journeyman Xxxxxxxxx........$ 38.50 25.68 Millwright..................$ 38.60 27.27 CARP0034-001 07/01/2012 Rates Fringes Diver Assistant Tender, ROV Tender/Technician...........$ 37.75 28.88 Diver standby...............$ 42.53 28.88 Diver Tender................$ 41.53 28.88 Diver wet...................$ 85.06 28.88 Manifold Operator (mixed gas)........................$ 46.53 28.88 Manifold Operator (Standby).$ 41.53 28.88 DEPTH PAY (Surface Diving): 050 to 100 ft $2.00 per foot 101 to 150 ft $3.00 per foot 151 to 220 ft $4.00 per foot SATURATION DIVING: The University of Akron Performance Agreementstandby rate shall apply until saturation starts. The saturation diving rate applies when divers are under pressure continuously until work task and decompression are complete. The diver rate shall be paid for all saturation hours. DIVING IN ENCLOSURES: Where it is necessary for Divers to enter pipes or tunnels, has been reviewed and approved for legal form and sufficiency by the Office of General Counsel on May 15or other enclosures where there is no vertical ascent, 2014. September 25, 2020 Fisrt Name Last Name Comapny Name Address City, STATE Zip Code Subject: Professional Services Agreement Dear First Name Last Name, I have enclosed two copies of the University's Performance Agreement regarding Service to be provided services as discussed with U Of A Contact Name for your review, acceptance and signature. Please review this agreement and if acceptable sign both copies and return them to my attention at the following addresspremium shall be paid: The University of Akron U Of A Contact Office/Department 302 Buchtel Common AkronDistance traveled from entrance 26 feet to 300 feet: $1.00 per foot. When it is necessary for a diver to enter any pipe, Ohio 44325-Dept. Zip ATTN: U Of A Contact Name One copy of tunnel or other enclosure less than 48" in height, the fully executed agreement premium will be sent to you along with a University purchase order (for payment purposes, see paragraph 10$1.00 per foot.) upon approval of the University’s Director of Purchasing. Please call me if you have any questions. Sincerely, U Of A Contact Name U Of A Contact's Title EXHIBIT B VENDOR DISCLOSURE I, authorized person for  , do hereby state and affirm that neither I nor any agents of the above-named company not any other party acting on company’s behalf have paid or agreed to pay directly or indirectly any person, firm, or corporations any money or valuable consideration for assistance in securing this agreement for the following:  . I further agree that no such money or reward will be hereafter paid. Do any University of Akron employees, or their family members, have a financial interest in the organization submitting the agreement? Yes No If so, please attach a statement giving details. Are you currently or have you been an employee of The University of Akron? Yes No If so, please attach a statement giving details. Does the affiant have any relative/family members employed by The University of Akron? Yes No If so, please identify the employee and relationship. Employee Name   Relationship   ____________________________________________ Artist’s Signature Date THE UNIVERSITY OF AKRON Name of proposed independent contractor:   Departmental Requisition Number: