Common use of Acceptance of Agreement Clause in Contracts

Acceptance of Agreement. The Provider accepts and will comply with all the terms, provisions and conditions set forth in this agreement, including but not limited to, the services provided, duration of service, and data reporting. The Provider understands that failure to abide by any term, provision, or condition set forth may result in the Department taking corrective action, including termination of this agreement. FOR PROVIDER NAMED ON PAGE 1: FOR DEPARTMENT OF CHILDREN AND FAMILIES: Authorized Signature Authorized Agency Official Signature Print Name and Title Print Name and Title

Acceptance of Agreement. The Provider accepts and will comply with all the terms, provisions and conditions set forth in this agreement, including but not limited to, the services provided, duration of service, and data reporting. The Provider understands that failure to abide by any term, provision, or condition set forth may result in the Department taking corrective action, including termination of this agreement. FOR PROVIDER NAMED ON PAGE 1: FOR DEPARTMENT OF CHILDREN AND FAMILIES: Name of Provider Department of Children and Families Authorized Signature Authorized Agency Official Signature Print Name and Title Print Name and Title

Acceptance of Agreement. The Provider accepts and will comply with all the terms, provisions terms and conditions set forth in this agreement, including but not limited to, to the services provided, provided and duration of service, and data reporting. The Provider understands that failure to abide by not abiding with any term, provision, term or condition set forth may result in the Department taking corrective action, action including termination of this agreement. FOR PROVIDER NAMED ON PAGE 1: FOR DEPARTMENT OF CHILDREN AND FAMILIES: Name of Provider Department of Children and Families Authorized Signature Authorized Agency Official Signature Print Name and Title Print Name and Title

Acceptance of Agreement. The Provider accepts and will comply with all the terms, provisions provisions, and conditions set forth in this agreement, including but not limited to, to the services provided, duration of service, and data and reporting. The Provider understands that failure to abide by not abiding with any term, provision, or condition set forth may result in the Department taking corrective action, action including termination of this agreement. FOR PROVIDER NAMED ON PAGE 1: FOR DEPARTMENT OF CHILDREN AND FAMILIES: Name of Provider Department of Children and Families Authorized Signature Authorized Agency Official Signature Print Name and Title Print Name and Title

Acceptance of Agreement. The Provider accepts and will comply with all the terms, provisions provisions, and conditions set forth in this agreement, including but not limited to, to the services provided, provided and duration of service, and data reporting. The Provider understands that failure to abide by not abiding with any term, provision, or condition set forth may result in the Department taking corrective action, action including termination of this agreement. FOR PROVIDER NAMED ON PAGE 1: FOR DEPARTMENT OF CHILDREN AND FAMILIES: Name of Provider Department of Children and Families Authorized Signature Authorized Agency Official Signature Print Name and Title Print Name and Title

Acceptance of Agreement. The Provider accepts and will comply with all the terms, provisions terms and conditions set forth in this agreement, including but not limited to, to the services provided, provided and duration of service, and data reporting. The Provider understands that failure to abide by not abiding with any term, provision, term or condition set forth may result in the Department taking corrective action, action including termination of this agreement. FOR PROVIDER NAMED ON PAGE 1: FOR DEPARTMENT OF CHILDREN AND FAMILIES: _ Name of Provider Department of Children and Families _ Authorized Signature Authorized Agency Official Signature _ Print Name and Title Print Name and TitleTitle _

Acceptance of Agreement. The Provider accepts and will comply with all the terms, provisions and conditions set forth in this agreement, including but not limited to, to the services provided, provided and duration of service, and data reporting. The Provider understands that failure to abide by not abiding with any term, provision, or condition set forth may result in the Department taking corrective action, action including termination of this agreement. FOR PROVIDER NAMED ON PAGE 1: FOR DEPARTMENT OF CHILDREN AND FAMILIES: Name of Provider Department of Children and Families Authorized Signature Authorized Agency Official Signature Print Name and Title Print Name and Title