DECLARATIONS Sample Clauses

DECLARATIONSBy accepting this policy, you agree that all the statements in your application and the declarations are true and that you have provided us with all material information about your pet’s health. You agree that this policy and any endorsements or riders issued to you is the entire and only agreement between you and us.
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DECLARATIONSIn signing this Agreement and taking entry to the Let Property, the Tenant confirms that he or she:
DECLARATIONS. 1. Each State Party shall submit to the Secretary-General of the United Nations, not later than 30 days after this Treaty enters into force for that State Party, a declaration in which it shall: (a) Declare whether it owned, possessed or controlled nuclear weapons or nuclear explosive devices and eliminated its nuclear-weapon programme, including the elimination or irreversible conversion of all nuclear-weapons-related facilities, prior to the entry into force of this Treaty for that State Party; (b) Notwithstanding Article 1 (a), declare whether it owns, possesses or controls any nuclear weapons or other nuclear explosive devices; (c) Notwithstanding Article 1 (g), declare whether there are any nuclear weapons or other nuclear explosive devices in its territory or in any place under its jurisdiction or control that are owned, possessed or controlled by another State. 2. The Secretary-General of the United Nations shall transmit all such declarations received to the States Parties.
DECLARATIONS. Each of the undersigned declares, understands and agrees that: - The answers provided above are complete and true to the best of his/her knowledge and belief. - If the answers to the Health Questions contained in this Agreement or the Application are incorrect, incomplete or untrue, the Company will have the right to deny benefits under this Agreement. X Date: ----------------------------------- ------------------------------ Proposed Primary Insured Signature X Date: ----------------------------------- ------------------------------ Proposed Policy Owner Signature (if other than the Proposed Insured) RECEIPT OF PAYMENT A premium payment of $ has been submitted with the Application or Request. Additional premium may be required upon Policy delivery. All premium checks must be made payable to Hartford Life Insurance Company or Hartford Life and Annuity Insurance Company. Do not make check(s) payable to the Agent or leave the payee blank. X Date: ----------------------------------- ------------------------------ Agent Signature DETACH OWNER'S COPY AT TIME OF APPLICATION HOME OFFICE COPY Allocated Retention. Pool -- Effective 10/1/2008 Between HLIC and TFLIC EXHIBIT VI CONDITIONAL RECEIPT OR TEMPORARY INSURANCE AGREEMENT EFFECTIVE OCTOBER 1, 2008 [LOGO] HARTFORD LIFE INSURANCE COMPANY THE HARTFORD HARTFORD LIFE AND ANNUITY INSURANCE COMPANY 500 BIELENBERG DRXXX, XXXXXXXX, XX 55125 P.O. BOX 64271, ST. PAUL, MN 55164-0200 TEMPORARY INSURANCE AGREEMENT PROPOSED PRIMARY INSURED: NAME: DATE OF BIRTH: Under this Temporary Insurance Agreement ("Agreement"), Hartford Life Insurance Company or Hartford Life and Annuity Insurance Company ("Company") agrees to provide a limited amount of life insurance coverage, for a limited period of time, subject to the terms and conditions set forth below. WHEN COVERAGE BEGINS Temporary life insurance coverage under the Agreement becomes effective on the date this Agreement is signed, subject to ALL of the following conditions:
DECLARATIONSAccuracy of information Subscription Agreement, Issuing Document and Articles of Association I certify that all the information provided in this document and in the declaration of beneficial owner is accurate and complete and undertake to immediately notify Banque de Patrimoines Privés if any of the information provided in this document changes (in particular if you have stated that you are an institutional investor and do not qualify as such anymore, change of name, contact, status, structure, ultimate economic beneficiaries…) and submit a new form within 30 days. I declare that I have read, agreed and understood the contents of this subscription form and that I have had the opportunity prior to completing this form to request and read the Issuing Document and Articles of Association of the Company. I understand that the subscription for Shares is made subject to the terms of such documents and the terms and conditions of this form (including the Beneficial Owner Capacity U.S. Distribution Transfer Restrictions Origin of funds Fax or other electronic transmission TAX Compliance application notes). I hereby confirm that the investment is made on the applicant’s own behalf; I hereby confirm that the investment is made in my name but on behalf of my clients and that I have identified and verified the identity of underlying clients and their ultimate economic beneficiaries as well as the origin of the money invested. None of such clients and ultimate economic beneficiaries is named on list of prohibited country, territories, entities and individuals maintained by the OFAC, the EU or my financial supervisory authority. I am the ultimate economic beneficiary of the Shares invested; or I am not the ultimate economic beneficiary and I have provided the additional declaration to identify the ultimate economic beneficiaries I declare that I have full legal capacity to subscribe in, hold and/or deal with the Shares. I acknowledge that the Company is not registered under the U.S. Securities Act of 1933 or other laws governing the U.S. Securities industry. I agree that the Shares cannot be sold or transferred to or for the account of any US Person or in the USA or in or for the account of any person in any other jurisdiction that would be restricted or prohibited to acquire Shares. I confirm that the monies invested do not originate directly or indirectly from illegal or criminal activities and more generally do not contravene to applicable anti-­‐money laundering law...
DECLARATIONS. If requested by Landlord at any time during the Term, Tenant promptly will execute a declaration in the form attached hereto as Exhibit B.
DECLARATIONS. Each of the undersigned declares, understands and agrees that: - The answers provided above are complete and true to the best of his/her knowledge and belief. - If the answers to the Health Questions contained in this Agreement or the Application are incorrect, incomplete or untrue, the Company will have the right to deny benefits under this Agreement. X Date: ----------------------------------- ------------------------------ Proposed Primary Insured Signature X Date: ----------------------------------- ------------------------------ Proposed Policy Owner Signature (if other than the Proposed Insured) RECEIPT OF PAYMENT A premium payment of $ has been submitted with the Application or Request. Additional premium may be required upon Policy delivery. All premium checks must be made payable to Hartford Life Insurance Company or Hartford Life and Annuity Insurance Company. Do not make check(s) payable to the Agent or leave the payee blank. X Date: ----------------------------------- ------------------------------ Agent Signature OWNER'S COPY Allocated Retention Pool (Excess Risks) -- Effective October 1, 2008 Between HLIC and Canada Life 104 EXHIBIT VII REINSURANCE REPORTS EFFECTIVE OCTOBER 1, 2008
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DECLARATIONS. By acceptance of this policy the Named Insured agrees that the statements in the Declarations are his agreements and representations, that this policy is issued in reliance upon the truth of such representations and that this policy embodies all agreements existing between himself and the Company or any of its agents relating to this Insurance.
DECLARATIONS. To make possible the fullest attainment of the above-stated objective, the following declarations shall apply: (a) The Employer shall make every possible endeavor to provide work surroundings and conditions which will prevent the Pharmacist from being interrupted or distracted unnecessarily while compounding prescriptions. Such conditions will specifically include, but not be limited to: (1) Prescription compounding area shall be separated from the public by barriers of appropriate height and distance. (2) A sign shall be posted on entrance to pharmacy departments restricting entry to authorized persons only. (b) The Pharmacist shall have full control over the pharmaceutical case and shall see that cleanliness and organization are maintained therein in accordance with State and Federal laws and Employer policies. However, he shall not be required to do work of a maintenance or clean-up nature. (c) The Pharmacist shall be expected to keep himself informed of developments in the pharmaceutical field. Therefore, he will be expected to participate in necessary interviews during working hours with Employer-approved medical sales representatives. He will also be expected to consult trade publications and books of reference, available in the store, concerning matters of importance and immediate concern, as needed. To assist in the foregoing, the Employer will make available in the store publications containing up-to-date product information, including cross-referencing. (d) The Pharmacist shall compound and dispense prescriptions, and sell pharmaceuticals, medicines, and related drug items. He may in his individual discretion, but shall not be required to perform, additional functions outside the prescription and drug departments. (e) On all matters relating to the ethical practice of pharmacy including those set forth in this Article, Pharmacists shall be responsible within the Company only to supervisors who are Pharmacists. (f) The Employer will indemnify, as required by applicable law, the Pharmacist for all necessary expenditures or losses incurred by the employee in direct consequence of the discharge of his or her duties.
DECLARATIONS. To make possible the fullest attainment of the above-stated objective, the following declarations shall apply: 17.2.1 The Employer shall make every possible endeavor to provide work surroundings and conditions which will prevent the pharmacist from being interrupted or distracted unnecessarily while compounding prescriptions. Such conditions will specifically include, but not be limited to: 17.2.1.1 Prescription compounding area shall be separated from the public by barriers of appropriate height and distance. 17.2.1.2 A sign shall be posted on entrance to pharmacy departments restricting entry to authorized persons only. 17.2.1.3 The pharmacist shall have full control over the pharmaceutical case and shall see that cleanliness and organization are maintained therein in accordance with State and Federal laws and Employer policies. However, he shall not be required to do work of a maintenance or clean-up nature. 17.2.1.4 The pharmacist shall be expected to keep himself informed of developments in the pharmaceutical field. Therefore, he will be expected to participate in necessary interviews during working hours with Employer-approved medical sales representatives. He will also be expected to consult trade publications and books of reference, available in the store, concerning matters of importance and immediate concern, as needed. To assist in the foregoing, the Employer will make available in the store publications containing up-to-date product information, including cross-referencing. 17.2.1.5 The pharmacist shall compound and dispense prescriptions, and sell pharmaceuticals, medicines, and related drug items. He may in his individual discretion, but shall not be required to perform, additional functions outside the prescription and drug departments. 17.2.1.6 On all matters relating to the ethical practice of pharmacy including those set forth in this Article, pharmacists shall be responsible within the Company only to supervisors who are pharmacists. 17.2.1.7 The Employer will carry an insurance policy in the amount of $500,000 for each person in each accident, and in the aggregate, $1,000,000 per twelve (12) month period, in order to protect the pharmacist while working on the job against any civil losses for incorrect compounding of prescriptions, or for the performance of any usual and customary professional services authorized by the Employer. The Employer shall send evidence of such coverage to the Union.
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