SERVICE PROVIDER INFORMATION. It is contemplated by the parties hereto that, during the Term of this Agreement, the parties will be required to provide each other certain notices, information and data necessary for Worthy Management to perform the Services and for the parties to perform their respective obligations under this Agreement. Worthy Management shall be permitted to rely on any information or data provided by the Company and any of their respective Affiliates, directors, employees, or agents or other representatives identified by Company, to Worthy Management in connection with the performance of its duties and provision of Services under this Agreement, except to the extent that Worthy Management has actual knowledge that such information or data is inaccurate or incomplete. For purposes herein, “Affiliate” means, in respect of a person, each entity that, directly or indirectly, controls, is controlled by or is under common control with such person.
SERVICE PROVIDER INFORMATION. Vendor DEDUCTION** EMPLOYER MATCH*** Per Payday or Annual 1/1-12/31 Annual 1/1-12/31 AXA Equitable (403b plan) Ameriprise Financial (403b plan) Economic Services Inc (403b plan) Primerica Financial Services (403b plan) 403b Aspire (open platform 403b plan) MN State Deferred Comp (457plan) **Deduction amount listed here will override previous election. ***Eligibility for a district match is based on your employment / union contract. Verify eligibility for the match before requesting it. If your employment /union contract has a monthly maximum, employer match will be prorated from receipt through end of calendar year.
SERVICE PROVIDER INFORMATION. (About this form: when you type in the gray areas, the field will expand as you type) Service Provider Name: Mailing Address: City/State: Zip Code: Business Phone: Fax: Business or License # Cell Phone: E-mail: Are you a current or former employee of the District? Yes No If yes, date last worked Are you related to any employee(s) of the District? Yes No If yes, please identify the individual(s) The Service Provider must submit a completed W-9/Vendor Information Form, which can be obtained from the District Contract’s website at xxxxx://xxx.xxxxxxxxxxxx.xxx/dept/purchasing/contracts.html Contact Information: Contact Information for any questions related to this contract agreement. Service Provider: Name of Representative (print) Phone Number Email District: Name of Representative (print) Phone Number Email
SERVICE PROVIDER INFORMATION. Title: www. freshflowersturkey .com Address: Org. İzzet Aksular Cad. No: 47 Y . Levent / Istanbul Tel: +00 000 000 0000 (Customer Service Line) E-mail: xxxxxxxxxxxxxxxxxx@xxxxx.xxx
SERVICE PROVIDER INFORMATION. Service Provider ID* Service Provider Name* Service Provider type* Bed counts* Bed Types* Community* Client Information Unique Client Identifier* Gender* Year and Month of Birth* Family Role* Family Head ID* Citizenship/Immigration Status* Aboriginal Indicator* Veteran Status* Life Events Contributing Factors Contributing Factor Start Date Contributing Factor End Date Employment Status Country of Origin Education Sources of Income Income Start Date Income End Date Health Conditions Housing Types Housing Start Date Housing End Date Shelter Stay Information Reason for Service* Reason for Discharge* Book-in Date* Book-out Date* Turnaway Information Reason for Turnaway* Date of Turnaway* Anonymous Gender* Anonymous Age Category* Anonymous Aboriginal indicator (assumed) Anonymous Disability indicator (observed)
SERVICE PROVIDER INFORMATION. Service Provider hereby grants TipTop a license to use and publish to Clients the information entered into his/her profile page, including without limitation, all photographs posted by Service Provider (collectively, “Service Provider Information”) on the Platform in the course of exercising his/her rights under TipTop’s License, and as necessary for TipTop to perform its obligations under this Agreement. TipTop’s right to publish and use Service Provider Information shall continue in perpetuity unless Service Provider requests in writing that TipTop remove all references to Service Provider on its Platform in which case TipTop will promptly do so.
SERVICE PROVIDER INFORMATION. It is contemplated by the parties hereto that, during the Term of this Agreement, the parties will be required to provide each other certain notices, information and data necessary for Compound Administrative to perform the Services and for the parties to perform their respective obligations under this Agreement. Compound Administrative shall be permitted to rely on any information or data provided by the Company and any of their respective Affiliates, directors, employees, or agents or other representatives identified by Company, to Compound Administrative in connection with the performance of its duties and provision of Services under this Agreement, except to the extent that Compound Administrative has actual knowledge that such information or data is inaccurate or incomplete. For purposes herein, “Affiliate” means, in respect of a person, each entity that, directly or indirectly, controls, is controlled by or is under common control with such person.
SERVICE PROVIDER INFORMATION a. Name:
SERVICE PROVIDER INFORMATION. It is contemplated by the Parties that, during the term of this Agreement, the Parties will be required to provide each other certain notices, information and data necessary for the Manager to perform the Services and for the Parties to perform their respective obligations under this Agreement. The Manager shall be permitted to rely on any information or data provided by the Service Entities, Blackstone and any of their respective Affiliates, directors, employees, or agents or other representatives identified by the Service Entities and Blackstone, to the Manager in connection with the performance of its duties and provision of Services under this Agreement, except to the extent that the Manager has actual knowledge that such information or data is inaccurate or incomplete.
SERVICE PROVIDER INFORMATION. 1. Xxxxxx upon request by a customer or as otherwise authorized by the Commission, a utility shall not provide its customers with any list of service providers, which includes or identifies the utility's affiliates, regardless of whether such list also includes or identifies the names of unaffiliated entities.
