COST AND SHIPPING. The MATERIAL and DATA are provided at no cost to Recipient. Provider will notify Recipient when the MATERIAL and DATA are ready for shipment. Recipient will be responsible for the pick-up and shipment, including shipping costs, of the MATERIAL and DATA. The Parties have executed this Agreement by their respective duly authorized officers on the day and year hereinafter written. Any communication or notice to be given shall be forwarded in writing to the respective addresses listed below. SIGNATURES APPEAR ON THE FOLLOWING PAGE Signatures for Provider: OSF Healthcare System, Saint Xxxxxxx Medical Center Provider Scientist: ___________________ Organization Address: 000 XX Xxxx Xxx Ave., Peoria, Illinois 61637 Name of Authorized Official and Title of Authorized Official: Xxxxxxx Xxxx, President Signature of Provider’s Authorized Official and Date: ______________________________ Date: _______________ Certification of Provider Authorized Official: This Agreement __has / __has not been modified. If modified, the modifications are attached. Signatures for Recipient: UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE-PEORIA Recipient Scientist: Recipient Organization: Address: Name of Authorized Official: Title of Authorized Official: Signature of Authorized Official and Date: ______________________________ Date: _______________ Certification of Recipient Scientist: I have read and understood the conditions outlined in this Agreement and I agree to abide by them in the receipt and use of the MATERIAL and DATA.
COST AND SHIPPING. The MATERIAL(S) are provided at no cost to RECIPIENT. PROVIDER will notify RECIPIENT when the MATERIAL(S) are ready for shipment. RECIPIENT will be responsible for the pick-up and shipment, including shipping costs, of the MATERIAL(S). The parties to this Agreement, the RECIPIENT and the PROVIDER, hereby indicate their agreement to the terms of this Agreement by affixing the signature below of an appropriate representative or officer who is specifically authorized to execute documents of this type. The “Effective Date” of this Agreement shall be the date that the last party hereto signs this Agreement.
COST AND SHIPPING. The MATERIAL and DATA are provided at no cost to Recipient. Provider will notify Recipient when the MATERIAL and DATA are ready for shipment. Recipient will be responsible for the pick-up and shipment, including shipping costs, of the MATERIAL and DATA. The Parties have executed this Agreement by their respective duly authorized officers on the day and year hereinafter written. Any communication or notice to be given shall be forwarded in writing to the respective addresses listed below. SIGNATURES APPEAR ON THE FOLLOWING PAGE Signatures for Provider: OSF Healthcare System, Saint Xxxxxxx Medical Center Name and Title of Provider Scientist: <Insert Name and Title of Provider Scientist> Signature of Provider Scientist: ______________________________ Date:_______________ Organization Address: 000 XX Xxxx Xxx Ave. Peoria, Illinois 61637 Name and Title of Authorized Official: Xxxxxxx Xxxx, President Signature of Provider’s Authorized Official and Date: ______________________________ Date:_______________ Certification of Provider Authorized Official: This Agreement has / has not been modified. If modified, the modifications are attached.
COST AND SHIPPING. The MATERIAL and DATA are provided at no cost to Recipient. Provider will notify Recipient when the MATERIAL and DATA are ready for shipment. Recipient will be responsible for the pick-up and shipment, including shipping costs, of the MATERIAL and DATA. The Parties have executed this Agreement by their respective duly authorized officers on the day and year hereinafter written. Any communication or notice to be given shall be forwarded in writing to the respective addresses listed below. SIGNATURES APPEAR ON THE FOLLOWING PAGE PROVIDER OSF Healthcare System, <Insert OSF Entity Name> <Insert OSF Entity Address> Provider Scientist Name & Title: <Insert Name and Title of Provider Scientist> Provider Scientist Signature: Signature Date Provider Authorized Official Name & Title: <Insert Name and Title of Authorized Official> Provider Authorized Official Certification: This Agreement has / has not been modified. If modified, the modifications are attached. Provider Authorized Official Signature: Signature Date RECIPIENT <Insert Recipient Organization Name> <Insert Recipient Organization Address> Recipient Scientist Name & Title: <Insert Name and Title of Recipient Scientist>
COST AND SHIPPING. The MATERIAL and DATA are provided at no cost to Recipient. Provider will notify Recipient when the MATERIAL and DATA are ready for shipment. Recipient will be responsible for the pick-up and shipment, including shipping costs, of the MATERIAL and DATA. The Parties have executed this Agreement by their respective duly authorized officers on the day and year hereinafter written. Any communication or notice to be given shall be forwarded in writing to the respective addresses listed below. SIGNATURES APPEAR ON THE FOLLOWING PAGE Signatures for Provider Provider Scientist: Provider Organization: Address: Name of Authorized Official: Title of Authorized Official: Signature of Authorized Official Date Certification of Provider Authorized Official: This Agreement has / has not been modified. If modified, the modifications are attached. Signatures for Recipient Recipient Scientist: Recipient Organization: Address: Name of Authorized Official: Title of Authorized Official: Signature of Authorized Official Date Certification of Recipient Scientist: I have read and understood the conditions outlined in this Agreement and I agree to abide by them in the receipt and use of the MATERIAL and DATA.
COST AND SHIPPING. Each Party shall bear the cost of packing, insurance, and shipping, of Materials to the other Party.
