Contract Participants. If signed by a District, this contract will apply to all schools in the District, otherwise, it will apply only to the individual school or organization which signs the contract.
Contract Participants. Name, Address, Telephone <decision maker contract participant name> <decision maker contract participant address> <decision maker contract participant city, state, zip> <decision maker contract participant telephone> SSN or TAX ID if applicable <decisionmaker contract participant SSN/tax id Signature Date Payment Shares <decision maker contract participant payment share> Signature required for modifications ☐ yes ☐ no Signature required for payments ☐ yes ☐ no 5. CONTRACT OBLIGATIONS 20 20 20 20 20 20 20 20 20 20 Total $999,999 $999,999 $999,999 $999,999 $999,999 $999,999 $999,999 $999,999 $999,999 $999,999 $999,999 $999,999 $999,999 $999,999 $999,999 $999,999 $999,999 $999,999 $999,999 $999,999 $999,999 $999,999 6. NRCS APPROVING OFFICIALS Contract Approval Contract Obligation Date Date Participant <decision maker participant name> Program and Contract Number <contract program> <contract tier> <contract number> According to the Paper Work Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0578-0013. The time required to complete this information collection is estimated to average 0.69 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The above statements are made in accordance with the Privacy Act of 1974 (U.S.C. 522a). Furnishing this information is voluntary; however, failure to furnish correct, complete information will result in the withholding or withdrawal of such technical or financial assistance. The information may be furnished to other USDA agencies, the Internal Revenue Service, the Department of Justice, or other state or federal law enforcement agencies, or in response to orders of a court, magistrate, or administrative tribunal. NONDISCRIMINATION STATEMENT The United States Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, or marital or family status. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should c...
Contract Participants. Name, Address, Telephone <decision maker contract participant name> <decision maker contract participant address> <decision maker contract participant city, state, zip> <decision maker contract participant telephone> SSN or TAX ID if applicable <decisionmaker contract participant SSN/tax id Signature Date Payment Shares <decision maker contract participant payment share> Signature required for modifications □ yes □ no Signature required for payments □ yes □ no 5. CONTRACT OBLIGATIONS 6. NRCS APPROVING OFFICIALS Date Contract Obligation Date Contract Approval According to the Paper Work Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0578-0013. The time required to complete this information collection is estimated to average 0.69 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The above statements are made in accordance with the Privacy Act of 1974 (U.S.C. 522a). Furnishing this information is voluntary; however, failure to furnish correct, complete information will result in the withholding or withdrawal of such technical or financial assistance. The information may be furnished to other USDA agencies, the Internal Revenue Service, the Department of Justice, or other state or federal law enforcement agencies, or in response to orders of a court, magistrate, or administrative tribunal. The United States Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, or marital or family status. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (000) 000-0000 (voice and TDD). To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room326-W, Xxxxxxx Building, 0000 Xxxxxxxxxxxx Xxxxxx, X.X., Xxxxxxxxxx, X.X. 00000-0000 or call (000) 000-0000.
Contract Participants. Name, Address, Telephone XXXXX J- XXXXXX TRUST SSN or TAX ID if applicable Payment Shares 100.00% v' Yes O No Signature acceptable for payments v' Yes O No
