SIGNATURE SHEET. Addendums: (please check all that you have received) (1) (2) _ _ (3) (4) (5) _ _ Item: Flight Testing & Instrumentation Closing Date: Friday, June 4th, 2021 at 2PM Central Time By submission of a bid and the signatures affixed thereto, the bidder certifies all products and services proposed in the bid meet or exceed all requirements of this specification as set forth in the request and that all exceptions are clearly identified. Legal Name of Person, Firm or Corporation Mailing Address City & State Zip Toll Free Telephone Local Cell: Fax Tax Number CAUTION: If your tax number is the same as your Social Security Number (SSN), you must leave this line blank. DO NOT enter your SSN on this signature sheet. If your SSN is required to process a contract award, including any tax clearance requirements, you will be contacted by an authorized representative of the Office of Purchasing at a later date. E-Mail Signature Date Typed Name Title In the event the contact for the bidding process is different from above, indicate contact information below. Bidding Process Contact Name Mailing Address City & State Zip Toll Free Telephone Local Cell: Fax E-Mail If awarded a contract and purchase orders are to be directed to an address other than above, indicate mailing address and telephone number below. Award Contact Name Mailing Address City & State Zip Toll Free Telephone Local Cell: Fax E-Mail TAX CLEARANCE Wichita State University strongly supports the State of Kansas Tax Clearance Process. Vendors submitting bids or proposals which exceed $25,000 over the term of the contract shall include a copy of a Tax Clearance Certification Form with their submittal. Failure to provide this information may be cause for rejection of a vendor’s bid or proposal.
SIGNATURE SHEET. This document constitutes the agreement between the practice and the PCO in regards to this locally enhanced service. PRACTICE – Signature on behalf of the Practice: Signature Name Date Signature on behalf of the PCO: Signature Name Date PAYMENT WILL ONLY BE MADE UPON RECEIPT OF THIS SIGNED CONTRACT ASPIRATIONAL ACTIVITY Screening Brief Interventions
SIGNATURE SHEET. This document constitutes the agreement between the pharmacy and the PCT in regards to this local enhanced service. Name and address of Pharmacy Contractor: ……………………………………………………………………………………………………………………. ……………………………………………………………………………………………………………………. ………………………………………………………………………Postcode………………………………… Signature on behalf of the Pharmacy Contractor: Signature Name Date Signature on behalf of the PCT: Signature Name Date Please return this completed and signed form to:
SIGNATURE SHEET. Addendums: (please check all that you have received) (1) (2) (3) (4) (5) Item: DO-160G Section 17 and 19.3.5 Test System Closing Date: June 27, 2016, at 2PM Central Time By submission of a bid and the signatures affixed thereto, the bidder certifies all products and services proposed in the bid meet or exceed all requirements of this specification as set forth in the request and that all exceptions are clearly identified. Legal Name of Person, Firm or Corporation Mailing Address City & State Zip Toll Free Telephone Local Cell: Fax Tax Number CAUTION: If your tax number is the same as your Social Security Number (SSN), you must leave this line blank. DO NOT enter your SSN on this signature sheet. If your SSN is required to process a contract award, including any tax clearance requirements, you will be contacted by an authorized representative of the Office of Purchasing at a later date. E-Mail Signature Date Typed Name Title In the event the contact for the bidding process is different from above, indicate contact information below. Bidding Process Contact Name Mailing Address City & State Zip Toll Free Telephone Local Cell: Fax E-Mail If awarded a contract and purchase orders are to be directed to an address other than above, indicate mailing address and telephone number below. Award Contact Name Mailing Address City & State Zip Toll Free Telephone Local Cell: Fax E-Mail SECTION I CONDITIONS TO BIDDING Solicitation Reference Number: The above-number, IFB #B0001371 has been assigned to this Solicitation and MUST be shown on all correspondence or other documents associated with this Solicitation and MUST be referred to in all verbal communications. All inquiries, written or verbal, shall be directed to the procurement officer only. Xxxxxx X Xxxxx Telephone: 000-000-0000 Facsimile: 000-000-0000 E-Mail Address: xxxxxx.xxxxx@xxxxxxx.xxx Wichita State University 0000 Xxxxxxxxx Xxxxxx Office of Purchasing, Campus Box 12 Wichita, KS 67260-0012 Questions/Addenda: No pre-bid conference is scheduled for this Solicitation. Questions requesting clarification of the Solicitation must be submitted in WRITING to the Procurement Officer prior to the close of business on June 8, 2016 to the following address: Xxxxxx X Xxxxx Telephone: 000-000-0000 Facsimile: 000-000-0000 E-Mail Address: xxxxxx.xxxxx@xxxxxxx.xxx Wichita State University 0000 Xxxxxxxxx Xxxxxx Office of Purchasing, Campus Box 12 Wichita, KS 67260-0012 Failure to notify the Procurement Officer of any conflicts ...
SIGNATURE SHEET. EL23: Medicines Management Support Service (2009-10) This document constitutes the agreement between the pharmacy and the PCT in regards to this enhanced service. Signature on behalf of the Pharmacy: On behalf of the pharmacy I confirm that the information detailed within this service level agreement is accurate and reflects how the pharmacy approaches the provision of this service. In addition I confirm that the pharmacy will comply with the data reporting and audit requirements of the scheme. Signature Name Date Pharmacy Name and Address Signature on behalf of the PCT: Signature Name Date PAYMENT WILL ONLY BE MADE UPON RECEIPT OF PHARMACY SIGNATURE SHEET
SIGNATURE SHEET. Signature on behalf of the PCT: Signature Name and Designation Date Xxx Xxxxxx Public Health Nutrition Lead, Public Health Manchester 7th August 2012 Signature on behalf of the Contractor Signature Name and Designation Date Address of Pharmacy Contact telephone details
SIGNATURE SHEET. This cover sheet lists the sub-recipient, effective dates of the contract, grant number, contract number, amount of funds allocated, and the attachments detailed below. This sheet is signed by the Chief Executive Officer of Disaster Recovery Division (DRD) and requires the signature of the sub- recipient’s authorized representative.
SIGNATURE SHEET. The Agreement is made between Rocky View County, the Langdon Library Society, and the Marigold Library Board. CEO, Marigold Library System Authorized Signature Witness Print Name and Title Date Chair, Marigold Library Board Authorized Signature Witness Print Name and Title Date CAO or Designate (Rocky View County) Authorized Signature Witness Print Name and Title Date President, (Xxxxxxx Library Society) Authorized Signature Witness
SIGNATURE SHEET. When you sign below you are completing a legally binding contract committing you to all the terms of this agreement. Signature of tenant ……………………………………………………………… Name of tenant (please print in full) ……………………………………………… Name of witness (please print in full) ……………………………………………… Signature of witness …………………………………………………….. Address of witness 680 King Street, Aberdeen, AB24 1SL …………………………………………………………………………………… Date ……../……./…………… Signature for Landlord ………………………………………………………… Name (please print in full) ………………………………………………………… Name of witness (please print in full) ………………………………………………… Signature of witness …………………………………………………… Address of witness 680 King Street, Aberdeen, AB24 1SL Date ……../……./…………… The terms and conditions of this agreement replace the terms and conditions under any other tenancy agreement that you had with us, immediately before the agreement came into effect, in relation to the property. VARIABLE SERVICE ELEMENT TENANT AT: XXX XXXX XXXX Item £ per annum 1 Gardening 3 Common TV Aerial 4 Communal Cleaning 5 Factoring 6 Stair Lighting (communal heat/light fittings) 7 Electricity 8 Gas 9 Furnishings 10 Supported Accommodation charges 11 Enhanced Management 12 Smoke Alarm System 13 Lift Servicing Total Charge £ This sheet forms part of your Tenancy Agreement Service Charges are reviewed on an annual basis and based on actual cost apportioned equally. Signature of tenant …………………………………………………… Name of tenant (please print in full) …………………………………………………… Name of witness (please print in full) …………………………………………………… Signature of witness …………………………………………………… Address of witness 680 King Street, Aberdeen, AB24 1SL Date ……../……./…………… Costs for gardening are divided by number of tenancies within the scheme. VARIABLE SERVICE ELEMENT TENANT AT: XXX XXXX XXXX Item £ per annum 1 Gardening 3 Common TV Aerial 4 Communal Cleaning 5 Factoring 6 Stair Lighting (communal heat/light fittings) 7 Electricity 8 Gas 9 Furnishings 10 Supported Accommodation charges 11 Enhanced Management 12 Smoke Alarm System 13 Lift Servicing Total Charge £ This sheet forms part of your Tenancy Agreement Service Charges are reviewed on an annual basis and based on actual cost apportioned equally. Signature of tenant …………………………………………………… Name of tenant (please print in full) …………………………………………………… Name of witness (please print in full) …………………………………………………… Signature of witness …………………………………………………… Address of witness 680 King Street, Aberdeen, AB24 1SL Date ……../……./…………… Costs for gardening are ...
SIGNATURE SHEET. School-Parent Compact Xxxxxxx County High School 2017-2018 Revision Date 06/14/17 Dear Parent/Guardian, Xxxxxxx County High School students participating in the Title I, Part A program, and their families, agree that this compact outlines how the parents, the entire school staff, and the students will share the responsibility for improved student academic achievement as well as describes how the school and parents will build and develop a partnership that will help children achieve the challenging State academic standards. Please review the attached School-Parent Compact. Please sign and date below to acknowledge that you have read, received, and agree to this School-Parent Compact. Once signed, please return the form to your child’s teacher and keep the School-Parent Compact as a reminder of your commitment. The School- Parent Compact will be discussed with you throughout the year at different school- family events as we work together to help your child succeed in school. We look forward to our school-parent partnership! Teachers/School Representative Signature: Date: Parent/Guardian Signature: Date: Student Signature:
