IN WITNESS HERETO the parties signify their agreement by signatures affixed below on the day and year above first written. COMPANY SOUTH DAKOTA SCIENCE AND TECHNOLOGY AUTHORITY By: Name Date Xxxx Xxxxxxx Date Title Executive Director EXHIBIT A SOUTH DAKOTA SCIENCE AND TECHNOLOGY AUTHORITY INSURANCE REQUIREMENTS
IN WITNESS HERETO the parties signify their agreement by signatures affixed below on the day and year above first written. COMPANY SOUTH DAKOTA SCIENCE AND
IN WITNESS HERETO the parties have executed this Agreement on the dates set 8 forth below: OREGON NURSES ASSOCIATION SAMARITAN LEBANON COMMUNITY HOPSITAL APPENDIX A SPECIALTY CERTIFICATIONS AOCN Advanced Oncology Certified Nurse CAPA Certified Ambulatory, Peri-Anesthesia Nurse CCCN Certified Continence Care Nurse CCRN Critical Care RN CEN Certified Emergency Nurse CFRN Certified Flight Registered Nurse CGRN Certified Gastroenterology Registered Nurse CMSRN Certified Medical Surgical Registered Nurse CNOR Certified Nurse, Operating Room COCN Certified Ostomy Care Nurse CPAN Certified Peri-Anesthesia Nurse CPEN Certified Pediatric Emergency Nurse CPN Certified Pediatric Nurse CPON Certified Pediatric Oncology Nurse CRNI Certified Registered Nurse Intravenous CVN Certified Vascular Nurse CWCN Certified Wound Care Nurse CWOCN Certified Wound, Ostomy, Continence Nurse HNC Holistic Nurse Certification IBCLC Certified Lactation Nurse LCCE Lamaze Certified Childbirth OCN Oncology Certified Nurse ONC Orthopedic Nurse Certificate PCCN Progressive Care Certified Nurse RNC Maternal/Neonatal Nursing Certificate-INPT, MN, LRN Ambulatory Care Nurse RN, C/BC Cardiac/Vascular Nurse Gerontological Nurse Medical Surgical Nurse Perinatal Nurse Pain Management SANE Sexual Assault Nurse Examine TCRN Trauma Certified Register Nurse CONTRACT RECEIPT FORM (Please fill out neatly and completely.) Return to Oregon Nurses Association, 00000 XX Xxxxxx Xxxxx Xxxx Xxx 000, Xxxxxxxx XX 00000-0000 or by Fax 000-000-0000. Thank you. Your Name: I certify that I have received a copy of the ONA Collective Bargaining Agreement with SAMARATIN LEBANON COMMUNITY HOSPITAL FOR July 1, 2022 through June 30, 2025.
IN WITNESS HERETO the parties have caused this Amendment 10 to the Agreement to be executed under Seal by their duly authorized officers or representatives as of the day and year stated below: SIGNATURE STATE OF RHODE ISLAND: TUFTS HEALTH PUBLIC PLANS: Xxxxxxx Pono Xxxxx Xxxxx Digitally signed by Xxxxxxx Xxxx Date: 2023.06.15 10:33:19 -04'00' SIGNATURE Xxxxxxx Pono Xxxxx Xxxx Xxxx NAME NAME Medicaid Program Director President, Markets TITLE TITLE 6/15/23 5/25/2023
IN WITNESS HERETO the parties have caused this Amendment 13 to the Agreement to be executed under Seal by their duly authorized officers or representatives as of the day and year stated below: STATE OF RHODE ISLAND EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES: BY: NEIGHBORHOOD HEALTHPLAN OF RHODE ISLAND: BY: Xxxxxxx Xxxxxxx Digitally signed by Xxxxxxx Xxxxxxx Date: 2023.11.14 12:54:26 -05'00' Digitally signed by Xxxxx Xxxxx Xxxxxx Xxxxxx Date: 2023.11.09 16:14:40 -05'00' (Signature) (Signature) Xxxxxxx Xxxxxxx Xxxxx Xxxxxx (Printed Name) (Printed Name) Secretary President and CEO 11/14/23 11/9/23 (Title) (Title)
IN WITNESS HERETO. THE PARTIES HAVE SIGNED ON THE __ DAY OF THE MONTH OF ___ IN THE YEAR 2009 -------------------- -------------------- THE TRANSFEROR THE TRANSFEREE ------------------------------------- ------------------------------------- WITNESS TO THE TRANSFEROR'S SIGNATURE WITNESS TO THE TRANSFEREE'S SIGNATURE
IN WITNESS HERETO the parties have executed this Agreement to be retroactively effective as of June 20, 2002. DEBENTURE HOLDERS: WATER CHEF, INC. By: /s/ ----------------------------- -------------------------------- K.Thomas Decoster Name: David Conway Its: Pxxxxxxxx Duly Authorized ----------------------------- Callaway Decoster
IN WITNESS HERETO by signing below, the Parties affirm their understanding and acceptance of the above terms and conditions. This Agreement may be signed in one (1) or more counterparts, each such counterpart being as fully effective as if a single original had been signed, but all of which taken together shall constitute one and the same Agreement. Copies, including facsimile and “.pdf” signatures, shall be acceptable and deemed originals. Acknowledged and agreed to by: Xxxxxxxx X. Xxxxxxx, Medicaid Director Date: Rhode Island Executive Office of Health and Human Services Provider: Date:
IN WITNESS HERETO the parties have caused this Amendment 9B to the Agreement to be executed under Seal by their duly authorized officers or representatives as of the day and year stated below: STATE OF RHODE ISLAND EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES: BY: NEIGHBORHOOD HEALTHPLAN OF RHODE ISLAND: BY: Xxxxxxx Xxxxxxx Digitally signed by Xxxxxxx Xxxxxxx Date: 2023.10.24 12:04:28 -04'00' Digitally signed by Xxxxx Xxxxx Xxxxxx Xxxxxx Date: 2023.10.19 11:12:18 -04'00' (Signature) (Signature) Xxxxxxx Xxxxxxx Xxxxx Xxxxxx (Printed Name) (Printed Name) Secretary CEO and President 10/24/23 10/19/23 (Title) (Title) (Date) (Date) NHPRI-2017-9B Amendment Date August 11, 2023 - Effective Date July 1, 2022
IN WITNESS HERETO the parties have caused this Amendment to be executed under Seal by their duly authorized officers or representatives as of the day and year stated below. STATE OF RHODE ISLAND: MEDICAL TRANSPORATION MANAGEMENT, INC.: Xxxxxxxx Xxxxxxx Xxxxxxxx Xxxxxxx (Jun 30, 2020 15:30 EDT) SIGNATURE AUTHORIZED AGENT/SIGNATURE CEO MEDICAID DIRECTOR Xxxxxx Xxxxx XXXXXXXX X. XXXXXXX PRINT NAME Jun 30, 2020 Jun 30, 2020
