Financial Agreement Sample Contracts

FINANCIAL AGREEMENT FOR ERASMUS+ STUDIES IN PROGRAMME COUNTRIES No. 2020/2021-LTKAUNAS08-SMS-
Financial Agreement • June 12th, 2019

Called hereafter “the institution” represented for the purposes of signature of this agreement by Director Paulius Baltrušaitis, of the one part, and

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FIRST AMENDMENT TO
Financial Agreement • August 14th, 2003 • Trailer Bridge Inc • Trucking (no local)
Financial Agreement By and Between City of Linden
Financial Agreement • October 6th, 2022

Renewal, LLC (the “Urban Renewal Entity” or “Redeveloper”), a New Jersey limited liability company qualified to do business under the provisions of the Long Term Tax Exemption Law of 1992, as amended and supplemented, N.J.S.A. 40A:20-1 et seq. (the “Exemption Law”), with offices at 201 South Wood Avenue, Linden, New Jersey 07036, along with its permitted successors and/or assigns, and the City of Linden, a municipal corporation in the County of Union and the State of New Jersey (the “City”; together with the Urban Renewal Entity, the “Parties”).

Contract
Financial Agreement • February 22nd, 2022

This agreement represents a contract between you and Akkary Surgery Center (referred to here as Akkary Surgery Center or the office). It is provided to allow for a clear understanding and a positive mutual relationship concerning payment for services, fees, and billing procedures at Akkary Surgery Center.

FINANCIAL AGREEMENT FOR ERASMUS+ STUDIES IN PROGRAMME COUNTRIES No. 2021/2022-LTKAUNAS08- KA131 - SMS-
Financial Agreement • April 21st, 2022

Called hereafter “the institution” represented for the purposes of signature of this agreement by Director Paulius Baltrušaitis, of the one part, and

INTRODUCTION
Financial Agreement • March 22nd, 2022

One key ingredient to a successful youth soccer experience is clear, consistent communication between the Club, its teams and coaches, and all Club players and parents. This Player/Parent Agreement is one way of explaining, in detail, FC Batavia’s (the “Club”) expectations of you as a member of the Club and what you, in turn, can expect from the Club. The Player/Parent Agreement (the “Agreement”) is intended to help you identify potential issues and at the same time answer questions about the Club’s decision- making process. Please read the following pages carefully. This Agreement must be accepted and followed in order to be a player on a Club team. This Agreement covers the seasonal year that runs from August 1, 2020 through July 31, 2021.

Resident's Agent Financial Agreement With [Name of Facility] This Contract Has Been Approved by The Maryland Department of Health
Financial Agreement • September 17th, 2020

*Denotes optional sections or paragraphs. The Facility should select the appropriate paragraph(s) before having the contract printed.

Dated 14th December 2009 HSBC BANK PLC
Financial Agreement • May 8th, 2018 • EuroDry Ltd. • Water transportation
FINANCIAL AGREEMENT BETWEEN
Financial Agreement • September 29th, 2021
Financial Agreement – 2022-2023
Financial Agreement • March 28th, 2022

This John F. Kennedy Catholic School Financial Agreement – 2022-2023 dated is made and entered into between John F. Kennedy Catholic School and the parties listed below.

Financial Agreement
Financial Agreement • May 4th, 2023

This agreement is to inform you of your financial obligation to our practice. We are committed to providing you with the most comprehensive dental care using only the highest quality materials and technology available in the market today. We are also committed to providing you with up-to-date information and educational tools so that you may fully participate in maintaining optimum oral health. This financial agreement is intended to facilitate our ability to provide excellent service to you while minimizing our administrative costs.

– Financial Agreement –
Financial Agreement • July 21st, 2020

I/We, the undersigned, are the parent(s) or legal guardian(s) of the Applicant named below and support our child’s application to participate in the Rotary Youth Exchange Program through Rotary District 5160.

Financial Agreement 2022-2023
Financial Agreement • January 24th, 2022
FINANCIAL AGREEMENT
Financial Agreement • September 11th, 2021

If the patient does have dental insurance, the responsible party will pay the ESTIMATED portion and deductable on the day of service. The insurance will be billed as a courtesy, however, please be aware if the insurance does not pay within 60 days payment in full is expected from the responsible party.

FINANCIAL AGREEMENT
Financial Agreement • October 5th, 2022

CAMPUS FRANCE, an Industrial and Commercial Public Establishment, by law of 27thof July 2010, 28, rue de La Grange aux Belles, 75010, PARIS - SIREN code 752 195 438 - represented by Mrs. Donatienne HISSARD Director General.

FINANCIAL AGREEMENT
Financial Agreement • November 28th, 2023 • New Jersey

THIS FINANCIAL AGREEMENT, (the “Agreement” or “Financial Agreement”) made this day of , 2023, by and between Avalon Parsippany 2 Campus Urban Renewal, LLC (“Entity”), a limited liability company organized under the laws of the State of Delaware, and an urban renewal entity recognized in the State of New Jersey, having its principal office at 105 Elm Street, First Floor, Westfield, New Jersey 07090; and the Township of Parsippany-Troy Hills, a Municipal Corporation in the County of Morris and the State of New Jersey, having its principal office at 1001 Parsippany Blvd, Parsippany, New Jersey 07054 (the “Township”; and together with the Entity, the “Parties” or “Party”).

FINANCIAL AGREEMENT
Financial Agreement • June 21st, 2018
FINANCIAL AGREEMENT NO.: FSS/2014/HEI/W/....../U/.....
Financial Agreement • June 10th, 2015

The Foundation for the Development of the Education System – Operator of the Scholarship and Training Fund Programme, seated in Warsaw, ul. Mokotowska 43, KRS 000024777, TIN 526-10-00-645, hereinafter referred to as the Programme Operator, represented by its legal representatives indicated in the Statutes of the Foundation

May Experience 2023 FINANCIAL AGREEMENT
Financial Agreement • November 16th, 2022

The above-named student (“Student”) has been accepted to participate in the above-named Furman University faculty-led MayX Study Away program (the “Program”). This Program Financial Agreement (“Agreement”) is entered into as of the date of the last signature below and outlines the schedule of payments for the Program. Student agrees and understand that the total cost of the Program (“Total Program Cost”) set forth in this Agreement is an estimate and will be finalized in February prior to billing.

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OFFICE POLICY & FINANCIAL AGREEMENT
Financial Agreement • January 3rd, 2023

Thank you for choosing Arundel Pediatrics, P.A. We want to make your experience at Arundel Pediatrics a positive experience.

Financial Agreement
Financial Agreement • March 23rd, 2021

INSURANCE: We participate with Medicare, Medicaid, Tricare, FEP-BCBS, BCBS of NC, and State Employee Plans as well as several other commercial carriers, including Aetna, CIGNA, PHCS/Multi-Plan and others. Since insurance policies vary greatly in what they cover, it is YOUR responsibility to:

Financial Agreement By and Between
Financial Agreement • August 3rd, 2017

THIS FINANCIAL AGREEMENT (hereinafter "Agreement" or "Financial Agreement"), made this day of , 2017, by and between GP ASHLAND URBAN RENEWAL, L.L.C. ("GP Ashland" or the "Urban Renewal Entity"), a limited liability company of the State of Delaware, qualified to do business in the State of New Jersey in accordance with the provisions of the Long Term Tax Exemption Law of 1992, as amended and supplemented, N.J.S.A. 40A:20-1 et seq. (the "Exemption Law"), with offices at c/o Prism Green Associates IV, LLC, 200 Broadacres Drive, Suite 180, Bloomfield, New Jersey 07003, along with its permitted successors and/or assigns, and THE TOWNSHIP OF WEST ORANGE, a municipal corporation in the County of Essex and the State of New Jersey (the "Township", and together with the Urban Renewal Entity, the "Parties").

Contract
Financial Agreement • February 10th, 2024

The above-named student (“Student”) has been accepted to participate in the above-named Furman Affiliate Study Abroad Program (the “Program”). This Program Financial Agreement (“Agreement”) is entered into as of the date of the last signature below and outlines the schedule of payments for the Program. Student agrees and understand that the total cost of the Program (“Total Program Cost”) set forth in this Agreement is an estimate and will be finalized when the 2024-2025 tuition, room and board rates are released in March.

Financial Agreement
Financial Agreement • February 16th, 2017

I, understand that the Stram Center medical staff are non-participating with my current insurance plan carrier and therefore accept responsibility for payment of services at the time service is rendered. Furthermore, I understand that my current insurance plan will not be billed on my behalf for fees paid.

Financial Agreement
Financial Agreement • March 4th, 2017

If we are in-network with your insurance, only the anticipated copay will be required at time of service. Additional charges may apply once your insurance has settled the claim.

FINANCIAL AGREEMENT
Financial Agreement • April 5th, 2024

an urban renewal entity formed and qualified to do business under the provisions of the Long Term Tax Exemption Law of 1992, as amended and supplemented to date, N.J.S.A. 40A:20-1 et seq. (the “Exemption Law”), having its principal offices at 68 Deer Haven Road, Bedminster, New Jersey 07921 (the "Entity" or “Redeveloper”), and the BOROUGH OF FLEMINGTON, a municipal corporation of the State of New Jersey, having its principal office, 38 Park Avenue, Flemington, NJ 08822 (the "Borough").

FINANCIAL AGREEMENT BETWEEN PATIENT & TROON PAIN MANAGEMENT LLC and ARIZONA PAIN DOCTORS LLC DBA NOVOCUR
Financial Agreement • September 26th, 2014

The facility, Troon Pain Management LLC, where your procedure(s) is/are being performed, as well as the provider performing your procedure is a non-network provider for most insurance companies.

Financial Agreement
Financial Agreement • August 29th, 2023

We at Wright Street Dental believe your understanding of our patients’ financial responsibility is vital to the provider- patient relationship and our goal is to not only inform you of the provisional aspects of that financial policy but also to keep the lines of communication open regarding them. If at any time you have any questions or concerns regarding our fees, policies, or responsibilities please feel free to contact our office manager at (906) 226-8186.

Policies Agreement Form
Financial Agreement • September 22nd, 2022

Please note that ALL parents/guardians involved in each child’s education and enrollment at St. Pius X Parish School MUST sign the handbook agreement. This is especially important for any parent/guardian that chooses/plans to volunteer at the school or in any school sponsored activity, including, but not limited to sports activities.

FINANCIAL AGREEMENT
Financial Agreement • August 11th, 2021

▪ I/We will pay the compulsory school fees, as stipulated by Babilu, over a period of 12 months before or on the 3rd of every calendar month.

Financial Agreement
Financial Agreement • April 11th, 2023

Please remember that insurance is considered a method of reimbursing the patient for fees put to the doctor and is NOT A SUBSTITUTE FOR PAYMENT. Some companies pay fixed allowances for certain procedures, and others pay a percentage of the charge. It is your responsibility to pay any deductible amount, co-insurance, or any other balance not paid by your insurance.

OF FINANCIAL AGREEMENT
Financial Agreement • July 20th, 2015

AGREEMENT (this “Agreement”), dated , 2015 (the “Effective Date”) is by and among GP177 MAIN URBAN RENEWAL, L.L.C. (the “Assignor”), an urban renewal entity, qualified to do business under the provisions of the Long Term Tax Exemption Law of 1992, as amended and supplemented, N.J.S.A. 40A:20-1, et seq., (the “Long Term Tax Exemption Law”) with offices at 200 Broadacres Drive, Bloomfield, New Jersey 07003, DGP URBAN RENEWAL LLC (the “Assignee”), an urban renewal entity, qualified to do business under the Long Term Tax Exemption Law with offices c/o of Dune Real Estate Partners LP, 623 Fifth Avenue, 30th Floor, New York, NY, 10022, and the TOWNSHIP OF WEST ORANGE, a municipal corporation in the County of Essex, and the State of New Jersey (the “Township”).

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