Documentation Required. The certificates and endorsements shall be received and approved by the District before Work commences. As an alternative, the Contractor may submit certified copies of any policy that includes the required endorsement language set forth herein.
Documentation Required. In order to assign a primary diagnosis to an individual, documentation of the required diagnostic criteria, and the specific justification of significant functional impairment, shall be included in the client record. This information shall be included as a part of the required assessment information.
Documentation Required. 18.104.22.168 The Contractor shall provide to SEPTA the name, driver’s license number, hourly wage rate, a photo and a standard release of information form, signed by the driver authorizing Contractor to obtain the driver’s motor vehicle record and criminal history for each driver in SEPTA- related work. The Contractor shall also maintain a training log containing dates of training and signatures by driver(s) and trainer(s) that driver training was completed.
Documentation Required. Any documentation required by this Attachment, or by applicable laws, standards, or policies, of activities including the fulfillment of requirements by COUNTY, or of other matters pertinent to the execution of the Contract, must be securely maintained and retained by COUNTY for a period of six years from the date of expiration or termination of the Contract, or longer if required by applicable law, after which the documentation must be disposed of consistent with subsection 2.6 of this Attachment. COUNTY shall document Disclosures of Protected Health Information made by COUNTY that are subject to the accounting of disclosure requirement described in 45 C.R.F. 164.528, “Accounting of Disclosures of Protected Health Information,” and shall provide to STATE such documentation in a time and manner designated by STATE at the time of the request.
Documentation Required. An employee requesting a medical leave of absence without pay shall be required to furnish conclusive evidence of disability to the Employer. If the employee fails to furnish conclusive evidence that the absence from duty is necessary or if the employee fails to undergo an evaluation or furnish a medical report as requested by the Employer in accordance with Article 12, “Fitness for Duty”, the Employer shall have the right to require the employee to return to work on a specified date. Should the employee not return to work on such specified date, the employee may be considered to have resigned in accordance with Article 9.1.6.
Documentation Required. The certificates and endorsements shall be received and approved by the Lessor before Work commences. As an alternative, the Lessee may submit certified copies of any policy that includes the required endorsement language set forth herein. General liability insurance endorsement. The following are required: ADDITIONAL INSURED endorsement [equivalent in scope to ISO form CG 20 26 11 85] naming the Lessor, its Board of Trustees, and their officials, employees, volunteers, and agents as additional insureds. CANCELLATION endorsement which provides that the Lessor is entitled to 30 days prior written notice of cancellation or nonrenewal of the policy, or reduction in coverage, by certified mail, return receipt requested. CONTRIBUTION NOT REQUIRED endorsement which provides that the insurance afforded by the general liability policy is primary to any insurance or self-insurance of the Lessor, its Board of Trustees, or their officials, employees, volunteers, or agents as respects operations of the Named Insured. Any insurance maintained by the Lessor, its Board of trustees, or their officials, employees, volunteers, or agents shall be in excess of Lessee's insurance and shall not contribute to it. SEVERABILITY OF INTEREST endorsement which provides that Lessee's insurance shall apply separately to each insured against whom a claim is made or suit is brought, except with respect to the limits of the insurer's liability. ADDITIONAL INSURED COVERAGE NOT AFFECTED BY INSURED'S DUTIES AFTER ACCIDENT OR LOSS endorsement. The policy must be endorsed to provide that any failure to comply with the reporting provisions of the policy shall not affect coverage to the Lessor, its Board of Trustees, or their officials, employees, or agents. Workers' compensation and employer's liability insurance endorsements. The following are required: CANCELLATION endorsement which provides that the District is entitled to 30 days prior written notice of cancellation or nonrenewal of the policy, or reduction in coverage, by certified mail, return receipt requested. WAIVER OF SUBROGATION endorsement which provides that the insurer will waive its right of subrogation against the District, its Trustees, and their officials, employees, volunteers, and agents with respect to any losses paid under the terms of the workers' compensation and employer's liability insurance policy which arise from work performed by the Named Insured for the District. Self-insured programs and self-insured retentions. ...
Documentation Required. University shall provide the Partnership for Child Health with the following items: Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion (form attached) Certification Regarding Lobbying (form attached) Name and Contact Information of Invoicing Authority IRS 501(c)3 letter (Non-profit agencies only) Copies of Liability and Workman’s Compensation Insurance showing coverage limits and effective dates (required limits below) SCHEDULE LIMITS Worker’s Compensation Employer’s Liability (including appropriate Federal Acts) Florida Statutory Coverage $1,000,000 Each Accident $1,000,000 Disease Policy Limit $1,000,000 Each Employee Disease Commercial General Liability (including Premises Operations, Blanket Contractual Liability and Independent Contractors) $2,000,000 General Aggregate $2,000,000 Products/Comp. Ops Agg. $1,000,000 Personal/Advertising Injury $1,000,000 Each Occurrence $ 50,000 Fire Damage $ 5,000 Medical Expenses Automobile Liability (All automobiles and other motor vehicles owned, hired or non-owned) $1,000,000 Each Occurrence (Bodily Injury and Property Damage Combined) Sexual Molestation $1,000,000 Per Claim $2,000,000 Aggregate Professional Liability $1,000,000 Per Occurrence $2,000,000 Aggregate Proof of level 2 background screening (Level II) for any persons with client contact Methodology used to calculate indirect expenses (if University copy of rate agreement) Letter of intention to provide non-federal in-kind contribution (if applicable) CERTIFICATION REGARDING
Documentation Required. All invoices asking for payment for ASSESSMENTS must be supported by the completed Gamblers Assistance Program “Start Counseling” data form for each individual assessment on the invoice. Claims for payment for assessments that are not supported by this form will not be paid. All invoices asking for payment for CRISIS services must be supported by the completed Gamblers Assistance Program GAP-3 CRISIS SESSION DETAIL form. Claims for payment for crisis hours that are not supported by this form will not be paid.