PROGRAM CERTIFICATION. I understand that I am entering into this Agreement as an authorized representative for my program and that the program will be considered an independent contractor and may, in no way, be considered an employee of the state, EEC, or the CCRR. I understand that my program may receive voucher referrals only from the CCRR. I further agree that my program will hold harmless the CCRR and the Commonwealth for any damages to person(s) or property which may arise out of the delivery of services under this Agreement. I understand the policies contained in this Agreement and I agree that my program will comply fully with them. Further, I certify that my program rate(s) listed are in accordance with voucher child care policy. I understand that upon a further review of rate information by the CCRR, justification must be provided to support the rate(s), or the rate(s) will be adjusted accordingly. Signature of Authorized Representative for Program Date Name and Title of Authorized Representative (print or type) Summer Camp Name (if different) Address Telephone Federal Identification Number
Appears in 1 contract
Sources: Voucher Services Agreement
PROGRAM CERTIFICATION. I understand that I am entering into this Agreement as an authorized representative for my program and that the program will be considered an independent contractor and may, in no way, be considered an employee of the state, EEC, EEC or the CCRR. I understand that my program may receive voucher referrals only from the CCRR. I further agree that my program will hold harmless the CCRR and the Commonwealth for any damages to person(s) or property which may arise out of the delivery of services under this Agreement. I understand the policies contained in this Agreement and I agree that my program will comply fully with them. Further, I certify that my program rate(s) listed are in accordance with voucher child care policy. I understand that upon a further review of rate information by the CCRR, justification must be provided to support the rate(s), or the rate(s) will be adjusted accordingly. Signature of Authorized Representative for Program Date Name and Title of Authorized Representative (print or type) Summer Camp Name (if different) Address Telephone Federal Identification Number
Appears in 1 contract
Sources: Voucher Services Agreement