Facility Name. The Facility is named .
Facility Name. Continental Rehab Hospital Facility Address: 000 Xxxxxxxxxx Xxxxxx, Xxx Xxxxx, XX Landlord: Delta Investors I, LLC Tenant: SunBridge Regency Rehab Hospitals, Inc. Primary Intended Use: Rehabilitation Hospital
Facility Name. Project Consultant: The required project schedule milestones for this project are presented below. Date Required Or Estimated Time Period ACTIVITY Schematic Design Start Finish Design Development Construction Documents Development 50% Construction Documents 100% Construction Documents Bidding and Award of Contract Construction Warranty The School Board of Broward County, Florida Facilities and Construction Management Department 0000 X.X. 00xx Xxxxx Xxxx Xxxxxxxxxx, Xxxxxxx 00000 Consultant’s Authorization To Proceed Professional Fees (000) 000-0000 Project No.: Project Title: Facility Name: Project Consultant: Phase Original Basic Fee Fee Authorized by ATP Fee Previously Paid Fee Balance I (SD) (15%) % % % II (DD) (15%) % % % III (CD (20%) % % % III (CD (15%) % % % IV (BID) (5%) % % % V (CA) (28%) % % % VI (Warr) (2%) % % % Other Service Item No. 1 % % % Other Service (Item No. 2) % % % Other Service (Item No. 3) % % % Other Service (Item No. 4) % % % Total: In accordance with the provisions of the Professional Services Agreement, payment for these services shall be made on the following basis: Cost Plus with a Guaranteed Maximum Approved By Consultant Recommended By The School Board of Broward County, Name: Name: Title: Title: Signature: Date: Signature: Date Certified By SBBC Approval By The School Board of Broward County, Florida Name: Name: Title: Title: Signature: Date: Signature: Date This document is part of the Professional Services Agreement The School Board of Broward County, Florida (Owner) and the Project Consultant and is incorporated by reference into that agreement. The terms and conditions of that agreement govern this document. ATTACHMENT 7 Design & Support Services DOCUMENT SUBMITTAL CHECKLIST GO TO: xxxx://xxx.xxxxxxx.x00.xx.xx/facilities_construction/Design_Standards/SubmittalDocuments.asp ATTACHMENT 8 The School Board of Broward County, Florida Facilities and Construction Management Division 0000 XX 00xx Xxxxx Xxxx Xxxxxxxxxx, XX 00000 (754) 321-1500 Document 00455 Background Screening of Contractual Personnel Project No: Project Title: Facility Name: SWORN STATEMENT PURSUANT TO SECTION 1012.465, FLORIDA STATUTES, BACKGROUND SCREENING OF CONTRACTUAL PERSONNEL Project Consultant agrees to comply with all requirements of Sections 1012.32 and 1012.465, Florida Statutes, and that Project Consultant and all of its personnel who (1) are to be permitted access to school grounds when students are present, (2) will have direct contact with s...
Facility Name. The Facility is named Angels Powerhouse .
Facility Name. Facility Address: I will ensure my Addiction Physician will submit quarterly reports as well as a final discharge summary. If a Psychiatrist is recommended, I agree to see: Psychiatrist Name: Phone Number: Facility Name: COPY Facility Address: I will ensure my Psychiatrist will submit quarterly reports as well as a final discharge summary. If Individual Counseling is recommended, I agree to see: Counselor Name: Phone Number: Facility Name: Facility Address: I will ensure my Individual Counselor will submit quarterly reports as well as a final discharge summary. COPY If any treatment provider(s) or physician(s) determine I am not chemically free from any prohibited substances, have been non-compliant with the RMA or that I am unable, for any reason, to practice nursing safely, they will immediately notify IPRP and appropriate steps will be taken. I understand that the consequences for failure to comply with treatment plans/recommendations may result in action being taken against my file including but not limited to unsuccessful discharge from the program, being reported to the Indiana State Board of Nursing and/or the Indiana Office of the Attorney General. COPY I agree to verify completion of monthly self-help meeting logs by the 10th of each month for the previous month through Affinity Online Systems. I am required to attend meetings per week. My meeting attendance can include any combination of Nurse Support Group, NA or AA meetings. I understand I am able to attend Celebrate Recovery, Smart Recovery or other support meetings as approved by IPRP. I will submit all meetings through the Affinity / Spectrum Online Systems on an ongoing and monthly basis and I will log all my meeting attendance into the calendar on my Spectrum Compliance App and submit reports at the end of each month. Please contact Affinity Spectrum Help Desk for assistance with input of self-help meetings on your calendar and submission of monthly meeting logs at the end of each month. The Affinity Spectrum Help Desk can be reached at 877.267.4304. In addition, I will obtain a sponsor within 60 days of signing my RMA and I will notify IPRP when I have obtained my sponsor. My sponsor will submit quarterly reports and I authorize IPRP to contact my sponsor, with an appropriate release, if they have concerns about my recovery program. COPY Sponsor’s First Name and Last Initial: Phone Number:
Facility Name. The Facility is named 2184 Xxxxxx .
Facility Name. The following records shall be maintained for each child under this Agreement and that such records shall be retained from the time of enrollment until the facility has been monitored and the records reviewed, or for a period of three years, whichever is the longest: Daily attendance - maintained in support of payment vouchers Copies of Service Voucher Logs [SVL] • I shall report service units not provided and absences as they occur, and failure to report both of these may result in recoupment of funds. • I shall notify SC Voucher if a child misses ten (10) consecutive days without a waiver. • If I continue to serve a client beyond the allowable number of absences for the child, the SC Voucher may recoup funds. • Records and\or reports requested by the ABC Quality shall be furnished upon request. • During normal business hours, ABC Quality, and/or their designee shall have access to all required records under this Agreement. They shall have the right to examine and make copies, excerpts or transcripts from all records unless otherwise precluded by federal or state law, contact and conduct private interviews with Provider employees and do on-site reviews of all matters relating to this Agreement. Discontinuation of Service to Clients • Once accepted by a client, I shall not terminate any child without prior notification to the SC Voucher. Such notification must include the reason for requested termination, such as failure to pay any client fees and must be properly documented. • I shall be notified if SC Voucher terminates a client and that I shall be reimbursed only for service units provided to the child until the effective termination date given by the SC Voucher. I must report any service units not provided and absences to the SC Voucher. • Clients will be allowed to finish any week that payment has been requested for on the SVL.
Facility Name. Throughout the term of this Lease Agreement, Landlord hereby consents to the Tenant's use of the tradenames set forth in Exhibit C.
Facility Name. Owner and Parent hereby agree that during the term of the Management Agreement, Manager shall have the right, in its sole discretion, to publicly designate the Facility governed thereunder a “Sunrise” community, with such additional identification to provide local identification.
Facility Name. On the date hereof, the Company shall enter into the Trademark License Agreement and the Chairman of the Board is hereby authorized to execute and deliver the Trademark License Agreement on behalf of the Company. The Company shall thereafter adopt such name for the Facility as may be specified by the Board, subject to the terms and conditions of the Trademark License Agreement.
