Common use of Service Assessment Clause in Contracts

Service Assessment. You must undergo Service Assessments by Us during the Term of the Service Agreement: [insert frequency] 12 Departmental Officer Name Position Postal address Telephone number Fax number E-mail address 13 Attachments Attachment Name Reference 1 Notes to Funding Details- Budget Items Item 7 2 Counting Rules for Outputs Item 6.1 EXECUTED as an Agreement SIGNED for and on behalf of the State of Queensland Government by [insert name] [insert position] as an authorised delegate for the Director-General of the Department of Communities ) ) ) ) ) ³ ) Signature ) ³ Signature of Witness ³ Date ³ Name of Witness ) SIGNED by [insert name] [insert position] for and on ) behalf of [insert name of Funded Service Provider] as ) its duly authorised officer: ) ) ³ Signature ³ Signature of Witness ³ Date ³ Name of Witness EXECUTION CLAUSE – Company SIGNED for and on behalf of [NAME OF CORPORATION] in accordance with section 127 of the Corporations Act 2001 ³ (signature of director/secretary) ³ (signature of director) (name of director/secretary) (name of director) (date) Attachment 1 Notes to Funding Details Notes for preparing the Service Agreement budget for services funded under the Community Services Act 2007.

Service Assessment. You must undergo Service Assessments by Us during the Term of the Service Agreement: [insert frequency] 12 Departmental Officer Name Position Postal address Telephone number Fax number E-mail address 13 Attachments Attachment Name Reference 1 Notes to Funding Details- Budget Items Item 7 2 Counting Rules for Outputs Item 6.1 EXECUTED as an Agreement SIGNED for and on behalf of the State of Queensland Government by [insert name] [insert position] as an authorised delegate for the Director-General of the Department of Communities Communities, Child Safety and Disability Services ) ) ) ) ) ³ ) ) Signature ) ³ Signature of Witness ³ Date ³ Name of Witness ) SIGNED by [insert name] [insert position] for and on ) behalf of [insert name of Funded Service Provider] as ) its duly authorised officer: ) ) ³ Signature ³ Signature of Witness ³ Date ³ Name of Witness EXECUTION CLAUSE – Company SIGNED for and on behalf of [NAME OF CORPORATION] in accordance with section 127 of the Corporations Act 2001 Xxx 0000 ³ (signature of director/secretary) ³ (signature of director) (name of director/secretary) (name of director) (date) Attachment 1 Notes to Funding Details Notes for preparing the Service Agreement budget for services funded under the Community Services Act 2007Xxx 0000.

Service Assessment. You must undergo Service Assessments by Us during the Term of the Service Agreement: [insert frequency] 12 Departmental Officer Name Position Postal address Telephone number Fax number E-mail address 13 Attachments Attachment Name Reference 1 Notes to Funding Details- Budget Items Details Item 7 2 Counting Rules for Outputs Item 6.1 EXECUTED as an Agreement SIGNED for and on behalf of the State of Queensland Government by [insert name] [insert position] as an authorised delegate for the Director-General of the Department of Communities ) ) ) ) ) ³ ) Signature ) ³ Signature of Witness ³ Date ³ Name of Witness ) SIGNED by [insert name] [insert position] for and on ) behalf of [insert name of Funded Service Provider] as ) its duly authorised officer: ) ) ³ Signature ³ Signature of Witness ³ Date ³ Name of Witness EXECUTION CLAUSE – Company SIGNED for and on behalf of [NAME OF CORPORATION] in accordance with section 127 of the Corporations Act 2001 ³ (signature of director/secretary) ³ (signature of director) (name of director/secretary) (name of director) (date) Attachment 1 Notes to Funding Details Notes for preparing the Service Agreement budget for services funded under the Community Services Act 2007.

Service Assessment. You must undergo Service Assessments by Us during the Term of the Service Agreement: [insert frequency] 12 Departmental Officer Name Position Postal address Telephone number Fax number E-mail address 13 Attachments Attachment Name Reference 1 Notes to Funding Details- Budget Items Item 7 2 Counting Rules for Outputs Item 6.1 EXECUTED as an Agreement SIGNED for and on behalf of the State of Queensland Government by [insert name] [insert position] as an authorised delegate for the Director-General of the Department of Communities Communities, Child Safety and Disability Services ) ) ) ) ) ³ ) ) Signature ) ³ Signature of Witness ³ Date ³ Name of Witness ) SIGNED by [insert name] [insert position] for and on ) behalf of [insert name of Funded Service Provider] as ) its duly authorised officer: ) ) ³ Signature ³ Signature of Witness ³ Date ³ Name of Witness EXECUTION CLAUSE – Company SIGNED for and on behalf of [NAME OF CORPORATION] in accordance with section 127 of the Corporations Act 2001 Xxx 0000 ³ (signature of director/secretary) ³ (signature of director) (name of director/secretary) (name of director) (date) Attachment 1 Notes to Funding Details Notes for preparing the Service Agreement budget for services funded under the Community Services Act 2007Xxx 0000.

Service Assessment. You must undergo Service Assessments by Us during the Term of the Service Agreement: [insert frequency] 12 Departmental Officer Name Position Postal address Telephone number Fax number E-mail address 13 Attachments Attachment Name Reference 1 Notes to Funding Details- Budget Items Item 7 2 Counting Rules for Outputs Item 6.1 EXECUTED as an Agreement SIGNED for and on behalf of the State of Queensland Government by [insert name] [insert position] as an authorised delegate for the Director-General of the Department of Communities Communities, Child Safety and Disability Services ) ) ) ) ) ³ 🗶 ) ) Signature ) ³ Signature of Witness ³ 🗶 🗶 Date ³ 🗶 Name of Witness ) SIGNED by [insert name] [insert position] for and on ) behalf of [insert name of Funded Service Provider] as ) its duly authorised officer: ) ) ³ 🗶 Signature ³ Signature of Witness ³ 🗶 🗶 Date ³ 🗶 Name of Witness EXECUTION CLAUSE – Company SIGNED for and on behalf of [NAME OF CORPORATION] in accordance with section 127 of the Corporations Act 2001 ³ 🗶 (signature of director/secretary) ³ 🗶 (signature of director) (name of director/secretary) (name of director) (date) Attachment 1 Notes to Funding Details Notes for preparing the Service Agreement budget for services funded under the Community Services Act 2007.