Agreement to Provide. Contract Holder Information Pursuant to Rule 22c-2
Agreement to Provide. The Image File Custodian agrees to promptly provide any and all information reasonably requested by the Servicer in writing to help facilitate the Servicer’s compliance with its obligations set forth under Section 7.08.
Agreement to Provide. Supply and pharmaceutical care as defined in the SLA and the Service Outline – Additional Pharmaceutical Services – Disulfiram between 1st July 2020 and 31st March 2023. Contractor/Contractor Representative Name: (please print) Signature: …………………………………………. Date: ………………….. Counter Fraud Declaration: I accept that the information provided on this form may be used to verify any claim associated with this service and may be shared with other bodies/agencies for the purposes of prevention and detection of crime. In signing this form, I consent to this use and acknowledge that if I provide false information then I may be liable to criminal prosecution, referral to my professional body and/or recovery proceedings. Please sign this document and retain for your own records. Please submit a copy as above. This document should be signed at the commencement of the service. NHS GG&C reserves the right to cancel the supervision element of this SLA and withdraw this service following a 3 month period of notice. Contractors agreeing to provide the service may cease provision following a three month notice period. Signed on behalf of NHS Greater Glasgow & Xxxxx: Contracts Manager
Agreement to Provide. Flu vaccination service to eligible patients between 5th September 2022 and 31st March 2023. AAH Account Number: To allow AAH to release stock Contractor/Contractor Representative Name: (Please print) Signature: …………………………………………. Date: ………………….. Counter Fraud Declaration: I accept that the information provided on this form may be used to verify any claim associated with this service and may be shared with other bodies/agencies for the purposes of prevention and detection of crime. In signing this form, I consent to this use and acknowledge that if I provide false information then I may be liable to criminal prosecution, referral to my professional body and/or recovery proceedings. Please sign this document and retain for their own records. Please submit a copy as above. Signed on behalf of NHS Greater Glasgow & Xxxxx:
Agreement to Provide. On or before the date of -------------------- commencement of construction of any building, structure or other improvements on the Premises having an estimated cost of One Million and No/l00 Dollars ($1,000,000.00) or greater, Developer shall file or cause to be filed with Landlord a performance-bond and labor and material payment bond executed by Developer or Developer's contractor or subtenant, as principal, and by a surety authorized to do business in the State of California, as surety, conditioned upon the contractor's performance of its construction contract with Developer and payment to all claimants for labor and materials used or reasonably required for use in the performance of such contract, in a form and with a surety reasonably acceptable to Landlord. Forms of bond which generally are acceptable hereunder are attached hereto and marked Exhibit "I". Said bond shall name or be endorsed to name Landlord as a joint obligee with Developer and/or Developer and Developer's lender. Landlord agrees to either approve or disapprove of any such proposed bond submitted to Landlord for approval within ten (10) days of Landlord's receipt thereof. Any notice of disapproval shall specify the reasons for disapproval and the modifications required to secure Landlord's approval. Landlord's failure to expressly so disapprove of any such bond within said ten (10) day period shall constitute Landlord's approval of the form of such bond and of the surety issuing such bond.
Agreement to Provide. Subcontracted services and Scope of Work. Subcontractor shall provide all tools, equipment, labor, supervision and supplies necessary to perform those subcontracted services as described in paragraph 1 above, and to comply with all TRANSBLUE agreements.
Agreement to Provide. Pharmaceutical care as defined in the SLA – Pharmaceutical care for patients prescribed Disulfiram Therapy from 1st August 2024 to 31st March 2027. (Please tick as appropriate) I wish to participate in this service and in so doing, I confirm that I have read, understood and will comply with the provisions set out in the SLA. I do not wish to participate in this service. Pharmacy Contractor/Pharmacy Contractor Representative Name: (Please print) Signature: Date: Counter Fraud Declaration: I accept that the information provided on this form may be used to verify any claim associated with this service and may be shared with other bodies/agencies for the purposes of prevention and detection of crime. In signing this form, I consent to this use and acknowledge that if I provide false information then I may be liable to criminal prosecution, referral to my professional body and/or recovery proceedings.
Agreement to Provide payment for costs The ‘Recipient’ agrees to reimburse the < insert your bio-banks name > for costs involved in the collection, storage, and release of material as outlined in the appended user fee schedule..
Agreement to Provide advance cargo information. The incoming carrier agrees to provide advance cargo infor- mation to CBP in the manner and in the time period required under §§ 4.7 and 4.7a of this chapter. If the incom- ing carrier, as principal, defaults with regard to these obligations, the prin- cipal and surety (jointly and severally) agree to pay liquidated damages of $5,000 for each violation, to a maximum of $100,000 per conveyance arrival.
Agreement to Provide. The Collateral Custodian agrees to promptly provide any and all information reasonably requested by the Servicer in writing to help facilitate the Servicer’s compliance with its obligations set forth under Section 7.08.