Authorized Signature Date. Please complete this “Agreement for Use” and return it with your security deposit to: Woodlands Camp 0000 Xxx Xxxx Xxxxx Xxxx Cleveland, GA 30528 Office Use Only:
Authorized Signature Date. Specifications
Authorized Signature Date. Name as it appears on Card Credit Card # Visa Master Disc AMX Expiration Date (mm/yy) Security Code Phone Card Billing Address City State Zip
Authorized Signature Date. 8. Report of Mold Assessment Results. Following the visual inspection and additional sampling (if conducted), CLIENT will be provided with a Mold Assessment Report identifying: Types and levels of molds read in samples along with sample locations; a description of each type of mold discovered; and a summary of findings. If all identified “red flag” areas are sampled, Mold Remediation Strategies will be provided. These strategies will identify remediation activities based on current published guidelines.
Authorized Signature Date. Printed Name Title 1 For frequently asked questions concerning Oklahoma Sales Tax Permit, see xxxx://xxx.xxx.xx.xxx/faq/faqbussales.html 1For frequently asked questions concerning Oklahoma Sales Tax Permit, see xxxx://xx.xxx.xx.xxx/faq/faqbussales.html 2 For frequently asked questions concerning workers’ compensation insurance, see xxxx://xxx.xx.xxx/oid/faqs.html#c221 xxxx://xxx.xxx.xx.xxx/ xxxx://xxx.xxx.xx.xxx/faq/faqbussales.html xxxx://xxx.xx.xxx/oid/faqs.html#c221 Certification for Competitive Bid and/or Contract (Non-Collusion Certification) NOTE: A certification shall be included with any competitive bid and/or contract exceeding $5,000.00 submitted to the State for goods or services. Solicitation or Purchase Order #: 09000006747 Supplier Legal Name: SECTION I [74 O.S. § 85.22]: A. For purposes of competitive bid,
Authorized Signature Date. TENANT & LESSOR Signature of Tenant or Tenant`s authorized agent (and title, if any) Xxxx Xxxxx 7/16/2021 Driver`s license of individual signing 2559-2150-094F St AZ Expires 7/16/2026 xxxx.xxxxx@xxxxxxx.xxx Facility name and address are shown below. Facility name is actual or assumed name of Lessor. Mailing address for all payments and notices to Lessor is facility address unless a different mailing address is show below. Lessor`s phone and fax number (if any) and email address (if any) are also shown below: Date 7/16/2021 Signature of Imperial Storage Solutions, LLC , Lessors Agent Imperial Storage Solutions, LLC 00000 Xxxx Xxxx Sugar Land, TX 77498 281-988-8677 xxxxxxx@xxxxxxxxxxxxxxxxxxxxxxxx.xxx It is agreed by Tenant and Lessor that if any part of this agreement is found to be excluded or illegal in a court of law, all remaining portions of this agreement will remain in effect and enforceable. ADDENDUM A In the event tenant did not move in, we do not issue a refund. Lessor does not prorate rent or accept partial payments. FEES & SERVICE RATES Imperial Storage Solutions, LLC (fees are subject to change and are available upon request in our office) LATE FEES: Initial late fee by day 5th day after due date: $25.00 Subsequent late fee if not paid by 10th day after due date: $35.00 Subsequent late fee if rent not received by 20th day after due date: $45.00 Subsequent late fee if rent not received by 30th day after due date: $60.00 Subsequent late fee if not received by 45th day after due date: $100.00 ADDITIONAL FEES/SERVICE RATES: After tenant has been late 30 days, cut lock fee: $85.00 Any Returned payments (such as checks returned or disputed credit card): $35.00 Charge for locking space or chaining vehicle (tenant not locking space, overlock due to nonpayment due at day 5): $35.00 Daily charge for unit not being locked including not sliding the lock bolt to secure unit: $5 per day. Charge for returned mail or e-mail (not providing written address change): $25.00 Charge for advertising Auction /lien sale required public postings: $550.00 Charge for conducting auction/foreclosure sale: $550.00 (includes posting auction, obtaining agency paperwork) Charge for having to evict tenant (not including court costs, or any fees) $1,250.00 Charge for self-storage & parking only management fees if file is sent to a collection agency: $1,250.00 Interest charge for outstanding funds due to storage facility are 21.25% per annum or maximum amount allowed by Texas Stat...
Authorized Signature Date. TITLE: ----------------------- WITNESSES: XXXXXX COUNTY - ECONOMIC DEVELOPM£ HOR/ \ ;$ 4\2 . ) J ; t /;. 01·.5 AUTHORIZED SIGNATURE Date TITLE: C,Jy._ 1, ,..:,) EXHIBIT"A" B CREATION GRANT PROGRAM (JCP) GUIDELINES Xxxxxx County Economic Development Authority c/o County Manager's Xxxxxx 000 X.Xxxxxx Xxxxxx, Room 103 Wauchula, FL 33873 Voice (000) 000-0000 Fax (000) 000-0000 GUIDELINES OF THE XXXXXX COUNTY ECONOMIC DEVELOPMENT AUTHORITY (INDEPENDENT BOARD) JOB CREATION GRANT PROGRAM (JCP) I. PURPOSE
Authorized Signature Date. Instructions A certification of origin that is the basis for a claim for preferential tariff treatment under this Agreement shall include the following elements:
Authorized Signature Date. Return completed Dukane Service Center Request Form with your security deposit and shipping purchase order to the Dukane Ultrasonic Service Center. Requesting company or organization must be a reqgistered Dukane IAS customer.
Authorized Signature Date. Printed Name Title 1 For frequently asked questions concerning Oklahoma Sales Tax Permit, see xxxx://xxx.xxx.xx.xxx/faq/faqbussales.html 2 For frequently asked questions concerning workers’ compensation insurance, see xxxx://xxx.xx.xxx/oid/faqs.html#c221 xxxx://xxx.xxx.xx.xxx/ xxxx://xxx.xxx.xx.xxx/faq/faqbussales.html xxxx://xxx.xx.xxx/oid/faqs.html#c221 ATTACHMENT G PAST USAGE DATA SW192 Construction Equipment Spend Fiscal Year 2016-Oklahoma Oklahoma: Total Political subdivisions and Higher Ed: $31,316,444.74 Oklahoma: Total State Agencies: $3,316,444.74 Oklahoma: Total Non-Affiliates: $29,358.02 Nebraska Annual State Spend: $2,429,298.00 Florida Annual State Spend: $3,538,452.00 Annual Political Subdivision Spend: $950,000. South Dakota Estimated Volume: $35,000,000.00 Attachment D-3 Past Performance Verification Supplier is to have this filled out by 3 separate government contract clients and returned with their response to the solicitation. Failure to submit this for 3 clients will result in your response not being considered. (pass/fail) Date: Name: (Name and title) Phone: Fax: Subject: Past Performance Survey of: (Name of Vendor requesting verification) The State of Oklahoma is collecting past performance information on prospective vendors. The information will be used to assist the State in the selection of vendors for NASPO ValuePoint OK-SW-192 Construction Equipment. Rate each of the criteria on a scale of 1 to 5. Please rate each of the criteria to the best of your knowledge. If you do not have sufficient knowledge of past performance in a particular area, leave it blank.
