Official Payee and Party Representatives Sample Clauses

Official Payee and Party Representatives. 1.2.1 The name, address, telephone number and e-mail address of the Provider’s official payee to whom the payment shall be directed on behalf of the Provider are: 1.2.2 The name, address, telephone number and e-mail of the Provider’s contact person responsible for the Provider’s financial and administrative records: 1.2.3 The name, address, telephone number and e-mail of the Provider’s representative responsible for administration of the program under this Contract (and primary point of contact) are: 1.2.4 The name, address, telephone number and e-mail address of the Contract Manager for the Department for this Contract are:

Official Payee and Party Representatives. Upon change of representatives (names, addresses, telephone numbers, or e-mail addresses) by either party, notice shall be provided in writing to the other party and the notification attached to the originals of this contract. a. The name, address, and telephone number of the Network Service Provider shown above and the official payee to whom the payments shall be made are: Name: Alachua County Board of County Commissioners Address: 0000 XX 00xx Xxxxx City: Gainesville State: FL Zip Code: 32607 Phone/Ext: (000) 000-0000 c. The name, address, and telephone number of the Network Manager for the Managing Entity for this contract: Name: Xxxxxxxx Xxxxxxxxxx Address: 0000 Xxxxxxxxxx Xx; Xxx 000 Xxxx: Xxxxxxxxxxxx Xxxxx: XX Xxx Xxxx: 00000 Phone/Ext: (000) 000-0000 E-mail: xxxx.xxxxxxxxxx@xxxxxx.xxx b. The name, address, telephone number, and e-mail address where financial and administrative records are maintained: Name: Xxxx Xxxxx Address: Refer to 6.a. City: Refer to 6.a. State: FL Zip Code: Refer to 6.a. Phone/Ext: (000) 000-0000 Ext. 2519 E-mail: xxx@xxxxxxxxxxxx.xxx d. The name, address, telephone number, and e-mail address of the representative of the Network Service Provider responsible for administration of the program under this contract: Name: Xxx Xxxxx Address: Refer to 6.a. City: Refer to 6.a. State: FL Zip Code: Refer to 6.a. Phone/Ext: (000) 000-0000 E-mail: XXxxxx@xxxxxxxxxxxxx.xx

Official Payee and Party Representatives. Upon change of representatives (names, addresses, telephone numbers, or e-mail addresses) by either party, notice shall be provided in writing to the other party and the notification attached to the originals of this contract. a. The name, address, and telephone number of the Network Service Provider shown above and the official payee to whom the payments shall be made are: c. The name, address, and telephone number of the Network Manager for the Managing Entity for this contract: Name: Name: Address: 0000 Xxxxxxxxxx Xx; Xxx 000 Address: City: Jacksonville State: FL Zip Code: 32256 City: State: Zip Code: Phone/Ext: Phone/Ext: E-mail: b. The name, address, telephone number, and e- mail address where financial and administrative records are maintained: Name: d. The name, address, telephone number, and e-mail address of the representative of the Network Service Provider responsible for administration of the program under this contract: Address: Name: City: State: Zip Code: Address: Phone/Ext: City: State: Zip Code: E-mail: Phone/Ext: E-mail:

Official Payee and Party Representatives a. The name, address, telephone number and e-mail address of the Provider’s official payee to whom the payment shall be directed on behalf of the Provider are: c. The name, address, telephone number and e-mail address of the Contract Manager for the Department for this Contract are: Name: Name: Address: Address: City: Phone: Ext: State: Zip Code: City: Phone: Ext: State: Zip Code: E-mail: E-mail: b. The name of the contact person and address, telephone, and e-mail address where the Provider’s financial and administrative records are maintained are: Name: d. The name, address, telephone number and e- mail of the Provider’s representative responsible for administration of the program under this Contract (and primary point of contact) are: Name: Address: Address: City:Phone: Ext: State: Zip Code: City: Phone: Ext: State: Zip Code: E-mail: E-mail: Per section 402.7305(1)(a), F.S., the Department’s Contract Manager is the primary point of contact through which all contracting information flows between the Department and the Provider. Upon change of representatives (names, addresses, telephone numbers or e-mail addresses) by either party, notice shall be provided in writing to the other party.

Official Payee and Party Representatives. The name, address, telephone number and e-mail address of the Provider’s official payee to whom the payment shall be directed on behalf of the Provider are: Name:   Address:   City:   State:  Zip Code:  Phone:   Ext:   E-mail:   The name, address, telephone number and e-mail of the Provider’s contact person responsible for the Provider’s financial and administrative records: Name:   Address:   City:   State:  Zip Code:  Phone:   Ext:   E-mail:   The name, address, telephone number and e-mail of the Provider’s representative responsible for administration of the program under this Contract (and primary point of contact) are: Name:   Address:   City:   State:  Zip Code:  Phone:   Ext:   E-mail:   The name, address, telephone number and e-mail address of the Contract Manager for the Department for this Contract are: Name:   Address:   City:   State:  Zip Code:  Phone:   Ext:   E-mail:   Per section 402.7305(1)(a), Florida Statutes (F.S.), the Department’s Contract Manager is the primary point of contact through which all contracting information flows between the Department and the Provider. Upon change of representatives (names, addresses, telephone numbers or e-mail addresses) by either party, notice shall be provided in writing to the other party. This Contract shall be effective __________ or the last party signature date, whichever is later. The service performance period under this Contract shall commence on __________ or the effective date of this Contract, whichever is later, and shall end at midnight, time, on _________, subject to the survival of terms provisions of Section 7.4. This contract may be renewed in accordance with SS. 287.057(13) or 287.058(1)(g), F.S.

Official Payee and Party Representatives. Upon change of representatives (names, addresses, telephone numbers, or e-mail addresses) by either party, notice shall be provided in writing to the other party and the notification attached to the originals of this contract.

Official Payee and Party Representatives a. The Provider name, as shown on page 1 of this contract, and mailing address of the official payee to whom the c. The name, address, telephone number and e-mail address of the contract manager for the Department for this contract is: Name: Address: City: State: Zip Code: Phone: ext: email: Name: Address: City: State: Zip Code: Phone: ext: e-mail: b. The name of the contact person and address, telephone, and e-mail address where financial and administrative records are maintained is: Name: Address: City: State: Zip Code: Phone: ext: Email: d. The name, address, telephone number and e-mail of the representative of the Provider responsible for administration of the program under this contract is: Name: Address: City: State: Zip Code: Phone: ext: e-mail: Upon change of representatives (names, addresses, telephone numbers or e-mail addresses) by either party, notice shall be provided in writing to the other party and the notification attached to the originals of this contract.

Official Payee and Party Representatives. The name, address, telephone number and e-mail address of the Department and the Provider’s representatives for this Contract are as follows: 1.3.1. Provider: Official Payee 1.3.2. Provider: Financial & Administrative Records Name: Pinellas County License Board Name: Pinellas County License Board Address: C/O Florida Department of Health, Pinellas County Health Department, 0000 Xxxxxxxx Xxxx, Xxxxx 2000 Address: C/O Florida Department of Health, Pinellas County Health Department, 0000 Xxxxxxxx Xxxx, Xxxxx 0000 City: Largo City: Largo State Florida Zip: 33771- 3832 State: Florida Zip: 33771- 3832 Phone: (000) 000-0000 Ext.: Phone: (000) 000-0000 Ext.: E-mail: Xxxxx.Xxxxxxx@xxxxxxxx.xxx E-mail: Xxxxx.Xxxxxxx@xxxxxxxx.xxx

Official Payee and Party Representatives a. The name, address, telephone number and e-mail address of the Provider’s official payee to whom the payment shall be directed on behalf of the Provider are: c. The name, address, telephone number and e-mail address of the Contract Manager for the Department for this Contract are: City:Phone:ext: State: Zip Code: City:Phone:ext: State: Zip Code: b. The name of the contact person and address, telephone, and e-mail address where the Provider’s financial and administrative records are maintained are: Name: d. The name, address, telephone number and e-mail of the Provider’s representative responsible for administration of theprogram under this Contract (and primary point of contact) are: Name: City:Phone:ext: State: Zip Code: City:Phone:ext: State: Zip Code: Per section 402.7305(1)(a), F.S., the Department’s Contract Manager is the primary point of contact through which all contracting information flows between the Department and the Provider. Upon change of representatives (names, addresses, telephone numbers or e-mail addresses) by either party, notice shall be provided in writing to the other party.

Official Payee and Party Representatives a. The name, mailing address and e-mail address of the Provider’s official payee to whom the payment shall be made are: c. The name, address, telephone number and e-mail address of the Contract Manager for the Department for this Contract is: Name: ChildNet, Inc. Name: Xxxx Xxxxxx, Contract Manager Address: 0000 Xxxx XxXxx Xxxx Address: 000 Xxxxx Xxxxxxxxx Xxxxxx City: Fort Lauderdale State:FL Zip Code:33309 Phone: 000-000-0000 City: West Palm Beach State: FL Zip Code: 33401 Phone: 000-000-0000 e-mail: XXxxx@XxxxxXxx.xx e-mail: xxxx.xxxxxx@xxxxxxxxxxxx.xxx b. The name of the contact person and address, telephone, and e- mail address where the Provider’s financial and administrative records are maintained are: d. The name, address, telephone number and e-mail of the Provider’s representative responsible for administration of the program under this Contract (and primary point of contact) are: Address: 0000 Xxxx XxXxx Xxxx Address: 0000 Xxxx XxXxx Xxxx City: Fort Lauderdale State:FL Zip Code:33309 Phone: 000-000-0000 City: Fort Lauderdale State:FL Zip Code:33309 Phone: 000-000-0000 e-mail: xxxxxxxxxx@XxxxxXxx.xx e-mail:XXxxx@XxxxxXxx.xx Per section 402.7305(1)(a), F.S., the Department’s Contract Manager is the primary point of contact through which all contracting information flows between the Department and the Provider. Upon change of representatives (names, addresses, telephone numbers or e-mail addresses) by either party, notice shall be provided in writing to the other party and the notification attached to the originals of this Contract.