Counterpart Signatures For the purpose of facilitating the recordation of this Agreement as herein provided and for other purposes, this Agreement may be executed simultaneously in any number of counterparts, each of which counterparts shall be deemed to be an original, and such counterparts shall constitute but one and the same instrument.
COUNTERPARTS: SIGNATURES This Deposit Agreement may be executed in any number of counterparts, each of which shall be deemed an original and all of those counterparts shall constitute one and the same instrument. Copies of this Deposit Agreement shall be filed with the Depositary and the Custodians and shall be open to inspection by any Owner or Holder during regular business hours. Any manual signature on this Deposit Agreement that is faxed, scanned or photocopied, and any electronic signature valid under the Electronic Signatures in Global and National Commerce Act, 15 U.S.C. § 7001, et. seq., shall for all purposes have the same validity, legal effect and admissibility in evidence as an original manual signature, and the parties hereby waive any objection to the contrary.
AGREEMENT SIGNATURES The parties agree to all the terms and conditions in this Agreement by affixing their signatures below. The Participant signature is to acknowledge his/her responsibilities and terms and conditions of this Agreement, and does not imply contractual obligations on the part of the Service Provider and the Worksite. Print Worksite Supervisor’s Name Signature Date Print Participant’s Name Signature Date Print Provider Staff’s Name Signature Date [For minors, Xxxxxx’s/Guardian’s signature is required.] Print Parent’s/Xxxxxxxx’s Name Signature Date Rev 05/07/18 WORKSITE AGREEMENT TIMESHEET SIGNATURE CARD The supervisor or designee is responsible for reviewing the timesheet to ensure accuracy in recording total hours work, along with providing information on progress. Supervisor Name (Print or Type) Supervisor Signature Date Alternate Supervisor Name (Print or Type) Alternate Supervisor Signature Date Rev 05/07/18 Model Timesheet Participant’s Name Worksite Name Address Address ID Number Supervisor’s Name Program Name/Code Phone Number Hourly Pay Rate Alt Supervisor’s Name* Job Title Phone Number Start Date End Date Pay Period Start Date Pay Period End Date Column A B C D E F G Date Time Time Out Number of Break Total Hours Day of Week In Hours (meal) Worked: (Column E minus F) Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Worksite Supervisor Rating of Employee Performance Please circle the appropriate ratings below Poor (P) Fair (F) Satisfactory (S) Good (G) Excellent (E) Job Knowledge P F S G E Work Quality P F S G E Attendance P F S G E Dependability P F S G E Communication/Listening Skills P F S G E Worksite Supervisor Please comment on your work experience participant’s progress and performance on the job Terms and Conditions: All parties certify that the number of hours worked are listed correctly; that the services of this employee were performed per the rating above; and that employer has reported any areas of concern to the Provider representative. Worksite Supervisor Signature and Date: Provider Staff Signature and Date: Participant Signature and Date: * Additional employer representatives authorized to sign this timesheet
COUNTERPARTS; FACSIMILE AND SIGNATURES This Settlement Agreement may be executed in counterparts and by facsimile or pdf signature, each of which shall be deemed an original, and all of which, when taken together, shall constitute one and the same document.
