WITNESS THESE SIGNATURES Sample Clauses

WITNESS THESE SIGNATURES. THE COUNTY BOARD OF ARLINGTON ETHIOPIAN COMMUNITY DEVELOPMENT COUNCIL, COUNTY, VIRGINIA. INC. SIGNED SIGNED BY: BY: XXXXXXX X. XXXXXX, XX. PRINT NAME PURCHASING AGENT AND TITLE: DATE: DATE: REVISED SCOPE OF WORKSECTION II
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WITNESS THESE SIGNATURES. THE COUNTY BOARD OF ARLINGTON SIMPLEXGRINNELL, LP. COUNTY, VIRGINIA AUTHORIZED AUTHORIZED SIGNATURE: _ SIGNATURE: _ PRINT PRINT NAME: _MICHAEL XXXXX NAME: _ TITLE: PURCHASING AGENT TITLE:
WITNESS THESE SIGNATURES. THE COUNTY BOARD OF ARLINGTON BRIDGES TO INDEPENDENCE, INC. COUNTY, VIRGINIA AUTHORIZED AUTHORIZED SIGNATURE: SIGNATURE: NAME: XXXXXX X. XXXXX NAME: TITLE: PROCUREMENT OFFICER TITLE: Xxxxx X'Xxxxx Interim CEO DATE: 5/26/2022 DATE: 5/26/2022 REVISED EXHIBIT B CONTRACT PRICING Budget A – FY23 Xxxxxxxx House Budget Bridges to Independence - Xxxxxxxx House FY 2023 Budget FTE Personnel: Chief Program Officer 0.25 $27,000 Data Intake Coordinator & QA 0.25 $16,181 Shelter Facilities Manager 0.75 $49,295 Volunteer & Community Outreach 0.5 $30,000 SH House Manager-Full Time Hourly 1 $45,210 SH House Manager-Full Time Hourly 1 $45,210 SH Case Manager 1 $74,726 Clinical Employment Specialist 0.25 $15,169 SH House Managers- Midday/Weekend/Relief Staff- Varies 1.5 $67,100 Total Personnel 6.5 $369,892 Non-Personnel: Building Maintenance and Repair (Cleaning Contract Incl.) $18,540 Transportation $3,297 Client Transportation $1,000 Direct Client Assistance $3,000 Language Assistance (Language Line) $6,000 Total Non-Personnel $31,837 Admin Cap Rate 7.158% Admin Cost $30,973 Grand Total $432,701 Xxxxx Xxxxxx $432,701 Admin Cap Communication(Phone/Internet) 3,000 Insurance 14,403 Audit 3,000 Supplies 6,675 Accounting 3,895 Total 0 $30,973 Budget B – FY23 Rapid Rehousing Budget Personnel: Bridges to Independence - Rapid Rehousing FY 2023 Budget FTE Total Total Personnel $0 Non-Personnel: Rental Subsidies $88,033 Optional: Ten thousand dollars ($10,000) of the funding may be used for salaries and benefits for case management services for post program aftercare. Total Non-Personnel $88,033 Admin Cap Rate 10% Admin Cost $9,782 Grand Total $97,815 Xxxxx Xxxxxx $97,815 Admin Cap Finance Manager 0.15 $7,800 Language Assistance (Language Line) $1,982 Total 0.15 $9,782 Budget C – FY23 Compensation of People with Lived Experience of Homelessness Budget Bridges to Independence FY 2023 Compensation Budget FTE Total Personnel: Total Personnel $ - Non-Personnel: Compensation to people with lived experience of homelessness $6,250 Total Non-Personnel $6,250 Admin Cap Rate 0% Admin Cap $0
WITNESS THESE SIGNATURES. THE COUNTY BOARD OF ARLINGTON Arlington Street People’s Assistance Network, Inc. COUNTY, VIRGINIA SIGNED: Xxxxx Xxxxxxxxx PRINT NAME: SIGNED: XXXXX XXXXXX PRINT NAME: President & CEO TITLE: Procurement Officer TITLE: 5/12/2021 DATE: 5/10/2021 DATE: ATTACHMENT 1 COVID-19 RESPONSE EXPENSES: JULY 1, 2021 THROUGH JUNE 30, 2022 Budgeted Expense Cost Detailed Explanation Weekly Estimated Cost Registered Nurse (RN) $62,400.00 $40 hour x 30 hours a week x 52 weeks $1,200 Benefits $7,176.00 11.50% $138 Covid testing $20,000.00 Rapid antigen testing if state testing stops being available/ or need rapid results $385 TB skin test $2,005.08 $9.24 tests x 217 tests for each new person coming into the shelter that should be tested $39 Flu test/strep test $3,600.00 Testing to rule out COVID vs FLU vs STREP since they can present with similar symptoms $69 PPE/supplies $1,000.00 Syringes, gloves, gowns, masks, sanitizer, alcohol wipes $19 Increased liability for Nurse Practitioner (NP) for multiple shelters $2,500.00 Base liability insurance @ $2,500 $48 Liability insurance for RN $1,000.00 Base liability insurance for new nurse under NP $19 Management & Administrative Support $10,200.00 Admin support using a rate of $20/hr for 5 hours/week x 52 weeks + raise for NP of $5,000 for management responsibilties $196 computer/email costs/ phone $2,200.00 If we are looking to provided extended medical services, need to consider electronic charting which will drive up the cost (usually there is a monthly subscription cost). In addition, nurse will need laptop, docking station, and monitor. $42 Transportation costs for travel to and from different shelters $500.00 Mileage to and from shelters $10
WITNESS THESE SIGNATURES. THE COUNTY BOARD OF ARLINGTON ENVIRO-STORMWATER MANAGEMENT, LLC. COUNTY, VIRGINIA AUTHORIZED AUTHORIZED SIGNATURE: _ SIGNATURE: _ PRINT PRINT NAME: _MICHAEL XXXXX NAME: _ TITLE: PURCHASING AGENT TITLE: DATE: DATE:
WITNESS THESE SIGNATURES. THE COUNTY BOARD OF ARLINGTON A. XXXXXX XXXXXX AND ASSOCIATES, INC. COUNTY, VIRGINIA AUTHORIZED AUTHORIZED SIGNATURE: SIGNATURE: PRINT PRINT NAME: _IGOR SCHERBAKOV NAME: TITLE: PROCUREMENT OFFICER TITLE: DATE: DATE:

Related to WITNESS THESE SIGNATURES

  • Witness Signature 4. PARENT/GUARDIAN CONSENT: (for applicants under 18 years) – I hereby certify and decree that all the information contained in the declarations above is true and accurate Print Name:................................................................... Signature …………………………………………....……... Relationship to applicant ……………………………… Phone Contact ……………………................................... Address …………………………………………………………………….....................................................................

  • Employee Signature Employee ID: Telephone No: Employee Address: Work Location:

  • Your Signature (Sign exactly as your name appears on the face of this Note) Signature Guarantee*: _________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee).

  • Contract Signature If the Original Form of Contract is not returned to the Contract Officer (as identified in Section 4) duly completed, signed and dated on behalf of the Supplier within 30 days of the date of signature on behalf of DFID, DFID will be entitled, at its sole discretion, to declare this Contract void. No payment will be made to the Supplier under this Contract until a copy of the Form of Contract, signed on behalf of the Supplier, is returned to the Contract Officer.

  • Signature Signature For the participant For the institution Xxxxxx Xxxxx prof. Ing. arch. Xxxxxx Xxxxxxx, PhD. Vice-xxxxxx for International Relations and Public Relations, based on the procuration Annex I

  • Witness Witness signed - - signed - (Mr. Krit Phakhakit) (Miss Sarinthon Chongchaidejwong)

  • Counterpart Signatures This Agreement may be executed in several counterparts, including via facsimile, each of which shall be deemed an original for all purposes, including judicial proof of the terms hereof, and all of which together shall constitute and be deemed one and the same agreement.

  • Facsimile and Email Signatures The use of facsimile signatures and signatures delivered by email in portable document format (.pdf) affixed in the name and on behalf of the transfer agent and registrar of the Partnership on certificates representing Common Units is expressly permitted by this Agreement.

  • Signature of witness Address of Witness

  • Counterpart Signature This Agreement may be signed in counterpart, and the signed copies will, when attached, constitute an original Agreement.

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