Name Email Address Applicable Designation. Enter Name of Each Individual Who Will Be Providing Service Under the Contract – If individuals have different disclosure requirements, duplicate this row and complete separately for each individual Enter email address(es) ☐ A. Full Disclosure ☐ B. Limited Disclosure (select one or more of the categories under which the consultant shall file): ☐ 1. ☐ 2. ☐ 3. ☐ 4. ☐ 5. ☐ 6. ☐ 7. Justification: ☐ C. Excluded from Disclosure
Appears in 59 contracts
Samples: Consultant Services Agreement, Consultant Services Agreement, Consultant Services Agreement
Name Email Address Applicable Designation. Enter Name of Each Individual Who Will Be Providing Service Under the Contract – If individuals have different disclosure requirements, duplicate this row and complete separately for each individual Enter email address(es) ☐ A. Full Disclosure ☐ B. Limited Disclosure (select one or more of the categories under which the consultant Contractor shall file): ☐ 1. ☐ 2. ☐ 3. ☐ 4. ☐ 5. ☐ 6. ☐ 7. Justification: ☐ C. Excluded from Disclosure
Appears in 17 contracts
Samples: Services Agreement, Contractor/Service Provider Services Agreement, Services Agreement
Name Email Address Applicable Designation. Enter Name of Each Individual Who Will Be Providing Service Under the Contract – If individuals have different disclosure requirements, duplicate this row and complete andcomplete separately for each individual Enter email address(es) ☐ A. Full Disclosure ☐ B. Limited Disclosure (select one or more of the categories under which the consultant shall file): ☐ 1. ☐ 2. ☐ 3. ☐ 4. ☐ 5. ☐ 6. ☐ 7. Justification: ☐ C. Excluded from Disclosure
Appears in 13 contracts
Samples: Consultant Services Agreement, Consultant Services Agreement, Consultant Services Agreement
Name Email Address Applicable Designation. Enter Name of Each Individual Who Will Be Providing Service Under the Contract – If individuals have different disclosure requirements, duplicate this row and complete separately for each individual Enter email address(es) ☐ A. Full Disclosure ☐ B. Limited Disclosure (select one or more of the categories under which the consultant shall file): ☐ 1. ☐ 2. ☐ 3. ☐ 4. ☐ 5. ☐ 6. ☐ 7. Justification: ☐ ☒ C. Excluded from Disclosure
Appears in 8 contracts
Samples: Consultant Services Agreement, Consultant Services Agreement, Consultant Services Agreement
Name Email Address Applicable Designation. Enter Name of Each Individual Who Will Be Providing Service Under the Contract – If individuals have different disclosure requirements, duplicate this row and complete separately for each individual Enter email address(es) ☐ A. Full Disclosure ☐ B. Limited Disclosure (select one or more of the categories under which the consultant Contractor shall file): ☐ 1. ☐ 2. ☐ 3. ☐ 4. ☐ 5. ☐ 6. ☐ 7. Justification: ☐ ☒ C. Excluded from Disclosure
Appears in 4 contracts
Samples: Independent Contractor Agreement, Contractor/Service Provider Services Agreement, Independent Contractor Agreement
Name Email Address Applicable Designation. Enter Name of Each Individual Who Will Be Providing Service Under the Contract – If individuals have different disclosure requirements, duplicate this row and complete separately for each individual Enter email address(es) ☐ A. Full Disclosure ☐ B. Limited Disclosure (select one or more of the categories under which the consultant Contractor shall file): ☐ 1. ☐ 2. ☐ 3. ☐ 4. ☐ 5. ☐ ☐6. ☐ 7. Justification: ☐ C. Excluded from Disclosure
Appears in 2 contracts
Samples: Cooperative Purchasing Agreement, Cooperative Purchasing Agreement
Name Email Address Applicable Designation. Enter Name of Each Individual Enter email address(es) ☐☐ A. Full DisclosureB. Limited Disclosure (select one or more of Who Will Be Providing Service Under the Contract – If individuals have different disclosure requirements, duplicate this row and complete separately for each individual Enter email address(es) ☐ A. Full Disclosure ☐ B. Limited Disclosure (select one or more of the categories under which the consultant Contractor shall file): ☐ 1. ☐ 2. ☐ 3. ☐ 4. ☐ 5. ☐ 6. ☐ 7. Justification: ☐ C. Excluded from Disclosure:
Appears in 2 contracts
Samples: Contractor Services Agreement, Contractor/Service Provider Services Agreement
Name Email Address Applicable Designation. Enter Name of Each Individual Who Will Be Providing Service Under the Contract – If individuals have different disclosure requirements, duplicate this row and complete separately for each individual Enter email address(es) ☐ ☐A. Full Disclosure ☐ ☐B. Limited Disclosure (select one or more of the categories under which the consultant Contractor shall file): ☐ ☐1. ☐ ☐2. ☐ ☐3. ☐ ☐4. ☐ ☐5. ☐ ☐6. ☐ ☐7. Justification: ☐ ☐C. Excluded from Disclosure
Appears in 2 contracts
Samples: Contractor/Service Provider Services Agreement, Contractor/Service Provider Services Agreement
Name Email Address Applicable Designation. Enter Name of Each Individual Who Will Be Providing Service Under the Contract – If individuals have different disclosure requirements, duplicate this row and complete separately for each individual Enter email address(es) ☐ ☐A. Full Disclosure ☐ ☐B. Limited Disclosure (select one or more of the categories under which the consultant shall file): ☐ 1. ☐ ☐2. ☐ ☐3. ☐ ☐4. ☐ ☐5. ☐ ☐6. ☐ ☐7. Justification: ☐ ☒ C. Excluded from Disclosure
Appears in 2 contracts
Samples: Consultant Services Agreement, Consultant Services Agreement
Name Email Address Applicable Designation. Enter Name of Each Individual Who Will Be Providing Service Under the Contract – If individuals have different disclosure requirements, duplicate this row and complete separately for each individual Enter email address(es) ☐ ☐A. Full Disclosure ☐ ☐B. Limited Disclosure (select one or more of the categories under which the consultant Contractor shall file): ☐ ☐1. ☐ ☐2. ☐ ☐3. ☐ ☐4. ☐ ☐5. ☐ ☐6. ☐ ☐7. Justification: ☐ ☒C. Excluded from Disclosure
Appears in 1 contract
Name Email Address Applicable Designation. Enter Name of Each Individual Enter email address(es) A. Full DisclosureB. Limited Disclosure (select one or more of Who Will Be Providing Service Under the Contract – If individuals have different disclosure requirements, duplicate this row and complete separately for each individual Enter email address(es) ☐ A. Full Disclosure ☐ B. Limited Disclosure (select one or more of the categories under which the consultant Contractor shall file): ☐ 1. ☐ 2. ☐ 3. ☐ 4. ☐ 5. ☐ 6. ☐ 7. Justification: ☐ C. Excluded from Disclosure:
Appears in 1 contract
Name Email Address Applicable Designation. Enter Name of Each Individual Who Will Be Providing Service Under the Contract – If individuals have different disclosure requirements, duplicate this row and complete separately for each individual Enter email address(es) ☐ ☐A. Full Disclosure ☐ ☐B. Limited Disclosure (select one or more of the categories under which the consultant shall file): ☐ 1. ☐ ☐2. ☐ ☐3. ☐ ☐4. ☐ ☐5. ☐ ☐6. ☐ ☐7. Justification: ☐ ☐C. Excluded from Disclosure
Appears in 1 contract
Samples: Consultant Services Agreement
Name Email Address Applicable Designation. Enter Name of Each Individual Who Will Be Providing Service Under the Contract – If individuals have different disclosure requirements, duplicate this row and complete separately for each individual Enter email address(es) ☐ A. Full Disclosure ☐ B. Limited Disclosure (select one or more of the categories under which the consultant shall file): ☐ 1. ☐ 2. ☐ 3. ☐ 4. ☐ 5. ☐ 6. ☐ 7. Justification: ☐ C. Excluded from Disclosure
Appears in 1 contract
Samples: Consultant Services Agreement
Name Email Address Applicable Designation. Enter Name of Each Individual Who Will Be Providing Service Under the Contract – If individuals have different disclosure requirements, duplicate this row and complete andcomplete separately for each individual Enter email address(es) ☐ A. Full Disclosure ☐ B. Limited Disclosure (select one or more of the categories under which the consultant shall file): ☐ 1. ☐ 2. ☐ 3. ☐ 4. ☐ 5. ☐ 6. ☐ 7. Justification: ☐ ☒ C. Excluded from Disclosure
Appears in 1 contract
Samples: Consultant Services Agreement