Signed Date. Staff (and Volunteer) Acceptable Use Agreement (SAUA) This Acceptable Use Agreement is intended to ensure: • that staff and volunteers will be responsible users and stay safe while using the internet and other communications technologies for educational, personal and recreational use. • that school ICT systems and users are protected from accidental or deliberate misuse that could put the security of the systems and users at risk. • that staff are protected from potential risk in their use of ICT in their everyday work. The school will try to ensure that staff and volunteers will have good access to ICT to enhance their work, to enhance learning opportunities for pupils learning and will, in return, expect staff and volunteers to agree to be responsible users.
Signed Date. The Insured is requested to read this Policy, and if incorrect, return it immediately for alteration. In the event of an occurrence likely to result in a claim under this insurance, immediate notice should be given to the Coverholder whose name and address appears above. All inquiries and disputes are also to be addressed to this Coverholder. For the purpose of the Insurance Companies Act (Canada), this Canadian Policy was issued in the course of Lloyd’s Underwriters’ insurance business in Canada. THIS POLICY CONTAINS A CLAUSE WHICH MAY LIMIT THE AMOUNT PAYABLE LSW1548B (amended) 14 December 2011 List of Insurers not of Open Market Insurers Syndicate Coverage(s) Insured Sum(s) Insured or Percentage CNP Syndicate under UMR: B0595PM8277422 Canopius Syndicate*: 4444 Travel Critical Illness, Accident Death, Disability, Dental Treatment, Loss of Limb or Use, Fracture or Dislocation, Medical Treatment & Transportation, and Medical Equipment 40 % *Lead Syndicate HCC Underwriting Agency under UMR: B0595PM8277422 HCC Underwriting Agency Syndicate: 4141 Travel Critical Illness, Accident Death, Disability, Dental Treatment, Loss of Limb or Use, Fracture or Dislocation, Medical Treatment & Transportation, and Medical Equipment 50% XX Xxxxx under UMR: B0595PM8277422 XX Xxxxx Syndicate: 2001 Travel Critical Illness, Accident Death, Disability, Dental Treatment, Loss of Limb or Use, Fracture or Dislocation, Medical Treatment & Transportation, and Medical Equipment 10.00% 07/05 LSW1546 MSH INTERNATIONAL PRIVACY POLICY At MSH INTERNATIONAL (CANADA) LTD., we recognize and respect every individual’s right to privacy. When You apply for coverage or Benefits, we establish a confidential file of personal information. We use the information to administer the group Benefit plan. This includes many tasks, such as: • Determining an Insured Person’s eligibility for coverage under the plan • Enrolling Insured Persons for coverage • Assessing an Insured Person’s claims and providing them with payment • Managing an Insured Person’s claims • Verifying and auditing eligibility and claims • Underwriting activities, such as determining the cost of the plan, and analyzing the design options of the plan • Providing the applicable Regulatory Forms and Tax Receipts, upon request We limit access to information in the Insured Person’s file to MSH INTERNATIONAL (CANADA) LTD. staff or persons authorized by MSH INTERNATIONAL (CANADA) LTD. who require it to perform their duties, to persons to whom t...
Signed Date. This Agreement shall become effective on the 1st day of June, 2017 and shall continue in force until midnight, May 31, 2020. If a change is desired by either party to this Agreement, a written notification shall be given at least sixty (60) days before the expiration date, other- wise the Agreement shall continue in force and effect from year to year. In Witness Whereof, the parties have hereunto set their hands and their seals as of this 1st day of June, 2017. FOR THE UNION President, Business Manager and Trustee Wisconsin Laborers’ District Council Laborers’ Local 113 FOR THE EMPLOYER Xxxxxxx Xxxxxxx Chairman, WUCA Labor Policy Committee Wisconsin Underground Contractors Assoc., Inc. Xxxxxxx Xxxxxx, President Wisconsin Underground Contractors Assoc., Inc.
Signed Date. SIGNED for and on behalf of the AUSTRALASIAN MEAT INDUSTRY EMPLOYEES UNION
Signed Date. SIGNED for and on behalf of the CLERICAL, MAINTENANCE AND SERVICE EMPLOYEES
Signed Date. Medical and Health Information VCNV asks that you provide emergency contact information before you join the walk. For those who will be on the walk for a longer duration, we will ask you to provide us, in advance of your participation, with additional medical information (e.g., blood type, health insurance information, medical conditions which might impact upon a medical emergency, emergency contact information, allergies, etc.). We ask for this information in order to most effectively assist you, should an emergency arise while you are participating on the walk—but you may decline to provide information. Emergency Contact Name Phone number: Daytime ( ) Evening ( ) Relationship to xxxxxx Insurance company Phone number: ( ) Any medical or mental health concerns, dietary restrictions, allergies, etc.? Please list any medications your regularly take. Blood type
Signed Date. This is the information we need to return your deposit. This will be returned seven days aGer the event. NAME:
Signed Date. HOUSING TRANSACTION LEAD RISK STATEMENT - LEASE RIDER "The Philadelphia Department of Public Health has determined that most housing built in Philadelphia before 1978 contains dangerous lead paint. This property was built before 1978. Therefore, without a comprehensive lead inspection, conducted by a certified lead inspector, showing there is no lead paint or there are no lead paint hazards, you can assume this property likely contains lead based paint." AGREEMENT Pet Rider Address: Arts Condominium, Apartment # …………… Type of Pet: ……… Tenant may keep a pet in the Leased Unit if the following Rules are followed:
Signed Date. Any information you supply to the archive as a reader will be kept securely and treated in accordance with General Data Protection Regulation (GDPR) and Data Protection Act 2018. This information will be used only for administrative, statistical and security purposes. The information is kept for seven years and then destroyed unless there is an ongoing research relationship between the archive user and the Diocesan Archive. Please see the Archive’s Personal Data Policy for more information. Archive Reading Room Rules Access The archive is open to readers, by prior appointment, on Mondays and Tuesdays 8.30am- 1pm and 2pm-5.00pm. All readers must complete this Archive User Agreement form before being granted access to the archive material. By signing a copy of this form you are agreeing to its terms. Please be aware that there is no automatic right of access to the Diocesan Archive and the Diocesan Archivist reserves the right to refuse admission. Identification On your first visit to the archive, you will need to register as a reader. In order to do this, you must bring one form of photographic identification. Or A letter of introduction from someone known to you in a formal capacity related to your research such as an academic supervisor, archivist, employer or parish priest. Readers should sign the visitors’ book on every visit.
Signed Date. Any information you supply to the archive as a reader will be treated in accordance with the Data Protection Act (1998). It will be used only for administrative, statistical and security purposes. Archive Reading Room Rules Access The archive is open to readers, by prior appointment, on Mondays and Tuesdays 8.30am- 1pm and 2pm-5.00pm. All readers must complete this Archive User Agreement form before being granted access to the archive material. By signing a copy of this form you are agreeing to its terms. Please be aware that there is no automatic right of access to the Diocesan Archive and the Diocesan Archivist reserves the right to refuse admission. Identification On your first visit to the archive, you will need to register as a reader. In order to do this, you must bring two forms of identification:
