Check only one Sample Clauses

Check only one. Contractor has not contracted with any consultants in connection with providing services under the Contract. OR Attached to this Contractor Certification is a duly completed and executed original Consultant Certification in the form provided by the District from each of Contractor’s consultants under the Contract. Date Signature of Authorized Signatory for Contractor Printed Name: Title: CONTRACTOR CERTIFICATION Individual Definitions: Covered Employees: An individual contracting with the District to perform services and employees of a consultant or an individual consultant contracting with the individual that contracts with the District to perform services who have or will have continuing duties related to the service to be performed at the District and have or will have direct contact with students. The District will be the final arbiter of what constitutes direct contact with students and continuing duties. Disqualifying criminal history: A felony or misdemeanor offense that would prevent a person from obtaining certification as an educator under Texas Education Code (“TEC”) Section 21.060, which includes but is not limited to the offenses listed in 19 Texas Administrative Code §249.16; or one of the following offenses, if at the time the offense occurred, the victim of the offense was under 18 years of age or enrolled in a public school: (i) a felony offense under Title 5 of the Texas Penal Code; (ii) an offense on conviction of which a defendant is required to register as a sex offender Chapter 62 of the Texas Code of Criminal Procedure; or (iii) an offense under the laws of another state or federal law that is equivalent to an offense under (i) or (ii) above. (“Contractor”) and the Pine Tree Independent School District (“District”) have entered into that certain Consulting Agreement dated (the “Contract”). This Contractor Certification is delivered to the District in accordance with District Policy CJA. I hereby certify to the District that (check only one): I am not a covered employee, as defined above. If this box is checked, I further certify that I have taken precautions or imposed conditions to ensure that I will not become a covered employee. I will maintain these precautions or conditions throughout the time the contracted services are provided. OR I am an individual independent contractor and a covered employee. If this box is checked, I further certify that:
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Check only one. I have not contracted with any consultants in connection with providing services under the Contract. OR Attached to this Contractor Certification is a duly completed and executed original Consultant Certification in the form provided by the District from each of my consultants under the Contract. Date Signature of Contractor Printed Name: SUSPENSION AND DEBARMENT CERTIFICATION Federal Law (A‐102 Common Rule and OMB Circular A‐110) prohibits non‐federal entities from contracting with or making sub awards under covered transactions to parties that are suspended or debarred or whose principals are suspended or debarred. Covered transactions include procurement contracts for goods or services equal to or in excess of $25,000 and all nonprocurement transactions (e.g. sub awards to sub recipients. Contractors receiving individual awards of $25,000 or more and all sub recipients must certify that their organization and its principals are not suspended or debarred by a federal agency. Before an award of $25,000 or more can be made to your firm, you must certify that your organization and its principals are not suspended or debarred by a federal agency. I, the undersigned agent for the firm named below, certify that neither this firm nor its principals are suspended or debarred by a federal agency. VENDOR’S NAME: Signature of Company Official Date Signed: Printed Name of company official signing above: IRS 20-point Checklist How do you determine if a contractor should be paid on a W-2 or a 1099? The IRS has established a 20-point checklist the can be used as a guideline in determining whether or not a contractor can legally be paid on a 1099. This checklist helps determine who has the "right of control." Does the employer have control or the "right of control" over the individual's performance of the job and how the individual accomplishes the job? The greater the control exercised over the terms and conditions of employment, the greater the chance that the controlling entity will be held to be the employer. The right to control (not the act itself) determines the status as an independent contractor or employee. The 20-point checklist is only a guideline, it does not guarantee that a person is correctly classified. There is no one single homogenous definition of the term "employee." Most agencies and courts typically look to the totality of the circumstances and balance the factors to determine whether a worker is an employee. Following are the 20-points that have ...
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Check only one. I have not contracted with any consultants in connection with providing services under the Contract. OR Attached to this Contractor Certification is a duly completed and executed original Consultant Certification in the form provided by the District from each of my consultants under the Contract. Date Signature of Contractor Printed Name: SUSPENSION AND DEBARMENT CERTIFICATION Federal Law (A‐102 Common Rule and OMB Circular A‐110) prohibits non‐federal entities from contracting with or making sub awards under covered transactions to parties that are suspended or debarred or whose principals are suspended or debarred. Covered transactions include procurement contracts for goods or services equal to or in excess of $25,000 and all nonprocurement transactions (e.g. sub awards to sub recipients. Contractors receiving individual awards of $25,000 or more and all sub recipients must certify that their organization and its principals are not suspended or debarred by a federal agency. Before an award of $25,000 or more can be made to your firm, you must certify that your organization and its principals are not suspended or debarred by a federal agency. I, the undersigned agent for the firm named below, certify that neither this firm nor its principals are suspended or debarred by a federal agency. VENDOR’S NAME: Signature of Company Official Date Signed:
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Check only one. Check only one: Allow for setup and cleanup when selecting times. If using a projector, check one: □ Xxxxx A & B □ Xxxxx A & B with Serving Kitchen □ Xxxxx A (divided) with Serving Kitchen □ Xxxxx B (divided) □ Scheels Conference Room Special Requests: □ Xxxxx A Projector □ Xxxxx B Projector □ Both Projectors A & B □ No projector Check any needed: □ Microphone (handheld) □ Microphone (clip) □ Easel & Pad □ Coffee Pots/Thermal Pots □ Water Pitchers Total Amount Due: □ HDMI Connection Rates are calculated based on arrival and departure times. □ Wireless Connection Xxxxx Room 1-2 hours A $ 90 B 45 A&B 135 2.5-4 hours $ 140 70 200 4.5+ hours $ 190 95 250 Scheels Room 1-2 hours $40 2.5-4 hours $60 4.5+ hours $80 A $40 deposit is required in advance to reserve any room. A cancelation due to weather and the Center for Scouting remains open, the deposit is non-refundable, but is transferable provided the re-scheduled date is confirmed on the date of cancelation. Representative Signature & Date I agree to the Usage Agreement on the next page For Office Use: Added to Calendar Deposit Received $ Remaining Due $ FOB picked up Room checked To Business Mgr. FOB Returned Room Damage Total Paid $ Revised 3/30/2023 Submit this form to: Xxxxx@xxxxxx.xxx Center for Scouting Usage Agreement & Checklist • A rental deposit must be received for each and all non-Scouting reservations at the Xxxxxx Center for Scouting. Currently the deposit is $40.00 per reservation date. • Parking is limited. Please inform your guests that there is NO PARKING in EMPLOYEE parking during normal business hours. Do NOT Park in 30 Minute Parking or along the driveway entrance. Violators will be towed. • Smoking is prohibited by state and city laws within 20 feet of entrances and indoors. • NO red or purple drinks and NO alcohol are allowed in the Center for Scouting. • Do not prop or hold the electric accessible front door to stay open. This impacts the electronics & hydraulics. We don’t want to charge your group the $1,500+ it will cost to repair. • Thursday evenings are often booked for Scouting events, all items on check list finished and rooms vacated before 5:00 pm. • A cancelation by Renter due to weather and the Center for Scouting remains open, the deposit is non- refundable, but is transferable provided the re-scheduled date is confirmed on the date of cancelation. LEAVE NO TRACE Thank you for using the Xxxxxx Center for Scouting for your group. For us to keep our costs low and be able to off...
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Check only one a or b) ☐a. The ☐Husband/ ☐Wife shall pay to the ☐Husband/ ☐Wife the sum of $__________ per ☐week/☐bi-weekly/☐month, starting on [date]_________________, and continuing per ☐week/☐bi-weekly/☐month thereafter until: (check one) ☐ The ☐Husband/ ☐Wife remarries; the ☐Husband/ ☐Wife dies; or ☐ according to the following: ________________________________________________________________________________________________________________________________________________
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Check only one x (1) All in cash (meaning Good Funds, as defined in Section 4F below). If this Contract is subject to approval for Purchaser to obtain financing from a third party, then Addendum B-1, THIRD PARTY FINANCING is attached.
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Related to Check only one

  • Check One ☐ I am a United States citizen or legal permanent resident. The County must verify this statement by reviewing one of the following items: A valid Colorado driver's license or a Colorado identification card;

  • CHECK-OFF 11.01 Subject to the provisions of this Article, the Employer will, as a condition of employment, deduct an amount equal to the monthly membership dues from the monthly pay of all employees. Where an employee does not have sufficient earnings in respect of any month to permit deductions made under this Article, the Employer shall not be obligated to make such deduction from subsequent salary.

  • General Vesting The shares of Restricted Stock shall become vested in the following amounts, at the following times and upon the following conditions, provided that the Continuous Service of the Recipient continues through and on the applicable Vesting Date: Number of Shares of Restricted Stock Vesting Date [ ] [ ] [ ] [ ] Except as otherwise provided in Sections [2(b),] [2(c),] [2(d),] [2(e)] and 4 hereof, there shall be no proportionate or partial vesting of shares of Restricted Stock in or during the months, days or periods prior to each Vesting Date, and all vesting of shares of Restricted Stock shall occur only on the applicable Vesting Date.

  • Fixed Annuity 10 1.16 Fund(s) ........................................................... 10 1.17

  • Fixed Annuity Payments The minimum guaranteed income purchased per $1,000 of the net amount applied to a fixed annuity is based on an annual interest rate of 3% and the 1983a Mortality Table with the ages set back ten (10) years. Conversion to Current Rates – Annuity payments will be based on the greater of: • our current income factors in effect for this Contract on the Annuity Date; or • our guaranteed income factors. The dollar amount of any payments after the first annuity payment is specified during the annuity payment period according to the provisions of the elected Annuity Option.

  • Check if Transfer is Pursuant to Regulation S (i) The Transfer is being effected pursuant to and in accordance with Rule 903 or Rule 904 under the Securities Act and in compliance with the transfer restrictions contained in the Indenture and any applicable blue sky securities laws of any state of the United States and (ii) the restrictions on transfer contained in the Indenture and the Private Placement Legend are not required in order to maintain compliance with the Securities Act. Upon consummation of the proposed Transfer in accordance with the terms of the Indenture, the transferred beneficial interest or Definitive Note will no longer be subject to the restrictions on transfer enumerated in the Private Placement Legend printed on the Restricted Global Notes, on Restricted Definitive Notes and in the Indenture.

  • Accredited Investor Status or Investment Limits Subscriber represents that either:

  • 1General Unless otherwise provided in this Agreement, any notice, demand or request required or permitted to be given by a Party to the other Parties and any instrument required or permitted to be tendered or delivered by a Party in writing to the other Parties shall be effective when delivered and may be so given, tendered or delivered, by recognized national courier, or by depositing the same with the United States Postal Service with postage prepaid, for delivery by certified or registered mail, addressed to the Party, or personally delivered to the Party, at the address set out in Appendix F hereto. A Party may change the notice information in this Agreement by giving five (5) Business Days written notice prior to the effective date of the change.

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