Common use of CONTRACTOR California Department of General Services Use Only Clause in Contracts

CONTRACTOR California Department of General Services Use Only. CONTRACTOR’S NAME (if other than an individual, state whether a corporation, partnership, etc.) TBD BY (Authorized Signature)  DATE SIGNED(Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING ADDRESS AGENCY NAME California Department of Veterans Affairs BY (Authorized Signature)  DATE SIGNED(Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING Exempt per: Xxxxx Xxxxxx, Chief, Facilities and Business Services Division ADDRESS 0000 X Xxxxxx, Xxxxxxxxxx, XX 00000

CONTRACTOR California Department of General Services Use Only. CONTRACTOR’S NAME (if other than an individual, state whether a corporation, partnership, etc.) TBD BY (Authorized Signature)  DATE SIGNED(Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING ADDRESS AGENCY NAME California Department of Veterans Affairs BY (Authorized Signature)  DATE SIGNED(Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING Exempt per: SCM I, 4.04 A.2 Xxxxx Xxxxxx, Chief, Facilities and Business Services Division ADDRESS 0000 X Xxxxxx, Xxxxxxxxxx, XX 00000

CONTRACTOR California Department of General Services Use Only. CONTRACTOR’S NAME (if other than an individual, state whether a corporation, partnership, etc.) TBD BY (Authorized Signature)  DATE SIGNED(Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING ADDRESS AGENCY NAME California Department of Veterans Affairs Emergency Medical Services Authority BY (Authorized Signature)  DATE SIGNED(Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING Exempt per: Xxxxx Xxxxxx Xxxxxx, ChiefMD, Facilities and Business Services Division MPH, FACEP, Director ADDRESS 0000 X Xxxxxx00000 Xxxx Xxxxxx Xx., XxxxxxxxxxXxx 000, Xxxxxx Xxxxxxx, XX 00000-0000

CONTRACTOR California Department of General Services Use Only. CONTRACTOR’S NAME (if other than an individual, state whether a corporation, partnership, etc.) TBD «County» County BY (Authorized Signature)  ✍ DATE SIGNED(Do SIGNED (Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING ADDRESS «Street» «City» AGENCY NAME California Department Secretary of Veterans Affairs State BY (Authorized Signature)  ✍ DATE SIGNED(Do SIGNED (Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING Exempt per: Xxxxx XxxxxxXxxxxxxxxxx, Chief, Facilities and Business Management Services Division ADDRESS 0000 X 00xx Xxxxxx, Xxxxxxxxxx, XX 00000

CONTRACTOR California Department of General Services Use Only. CONTRACTOR’S NAME (if other than an individual, state whether a corporation, partnership, etc.) TBD To Be Determined BY (Authorized Signature)  DATE SIGNED(Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING ADDRESS AGENCY NAME California Department of Veterans Affairs BY (Authorized Signature)  DATE SIGNED(Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING Exempt per: Xxxxx Xxxxxx, Chief, Facilities and Business Services Division ADDRESS 0000 X Xxxxxx, Xxxxxxxxxx, XX 00000

CONTRACTOR California Department of General Services Use Only. CONTRACTOR’S NAME (if other than an individual, state whether a corporation, partnership, etc.) TBD BY (Authorized Signature)  DATE SIGNED(Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING ADDRESS AGENCY NAME California Department of Veterans Affairs Health Benefit Exchange BY (Authorized Signature)  DATE SIGNED(Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING Exempt per: Xxxxx X. Xxx, Executive Director Government Code Section100505 ADDRESS 000 X Xxxxxx, Chief, Facilities and Business Services Division ADDRESS 0000 X XxxxxxXxxxx 000, Xxxxxxxxxx, XX 00000

CONTRACTOR California Department of General Services Use Only. CONTRACTOR’S NAME (if other than an individual, state whether a corporation, partnership, etc.) TBD TBD. BY (Authorized Signature)  DATE SIGNED(Do SIGNED (Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING ADDRESS XXX XXXXXXX XXX AGENCY NAME California Department of Veterans Affairs Public Health BY (Authorized Signature)  DATE SIGNED(Do SIGNED (Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING Exempt per: Xxxxx Xxxxxxx Xxxxx, Manager Centralized Contract Services Xxxx XXXXXXX 0000 Xxxxxxx Xxxxxx, ChiefXxxxx 00.000, Facilities and Business Services Division ADDRESS 0000 X XxxxxxXX 0000, Xxxxxxxxxx, XX 00000-0000

CONTRACTOR California Department of General Services Use Only. CONTRACTOR’S NAME (if other than an individual, state whether a corporation, partnership, etc.) TBD BY (Authorized Signature)  ✍ DATE SIGNED(Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING ADDRESS AGENCY NAME California Department of Veterans Affairs BY (Authorized Signature)  ✍ DATE SIGNED(Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING Exempt per: Xxxxx Xxxxxx, Chief, Facilities and Business Services Division ADDRESS 0000 X Xxxxxx, Xxxxxxxxxx, XX 00000

CONTRACTOR California Department of General Services Use Only. CONTRACTOR’S NAME (if other than an individual, state whether a corporation, partnership, etc.) TBD   BY (Authorized Signature)  DATE SIGNED(Do SIGNED (Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING   ADDRESS   AGENCY NAME California Department of Veterans Affairs Education BY (Authorized Signature)  DATE SIGNED(Do SIGNED (Do not type) PRINTED NAME AND TITLE OF PERSON SIGNING Exempt per: Xxxxx Xxxxxx  Xxxxxxx Xxxxx, ChiefDirector, Facilities and Business Personnel Services Division   ADDRESS 0000 X Xxxxxx, Xxxxx 0000, Xxxxxxxxxx, XX Xxxxxxxxxx 00000