Sign & Date Sample Clauses

Sign & Date. All the information that I (we) supplied in this Claim Form is true and correct to the best of my (our) knowledge and belief, and this document is signed under penalty of perjury. Signature Date: MM DD YYYY
Sample 1Sample 2Sample 3
AutoNDA by SimpleDocs
Sign & Date. All the information that I (we) supplied in this Tire Replacement Claim Form is true and correct to the best of my (our) knowledge and belief and this document is signed under penalty of perjury. Signature Date
Sample 1Sample 2Sample 3
Sign & Date. All the information that I (we) supplied in this Tire Rotation Claim Form is true and correct to the best of my (our) knowledge and belief and this document is signed under penalty of perjury. Signature Date
Sample 1Sample 2Sample 3
Sign & Date. ADDITIONAL CONDITIONS OF HIRE DURING COVID-19 Due to the ongoing coronavirus (COVID-19) pandemic, Unley Community Centre is taking measures to protect all members of the community. It is vital all instructions listed below are followed.
Sample 1Sample 2
Sign & Date. The information on this form is true and correct to the best of my knowledge. I agree to participate in the settlement. I authorize any dealership that serviced my vehicle to release records to Hyundai to help pay my claim. To the extent I am seeking reimbursement for a dealership repair and do not have a receipt or other documentation for the corresponding cash payment, I attest under penalty of perjury that I (or a friend or family member) paid for the repair in cash and I do not have a receipt or documentation for the payment. Signature: Date: [6] Submit: Email the completed form and the documentation to xxxxxxxxxxxxx@xxxxxx.xxx or mail it to X.X. Xxx 00000 Xxxxxxxx Xxxxxx XX, 00000. For more information please view the Class Notice or visit xxx.XxxxxxXxxxxXxxxxXxxxxxxxxx.xxxxxxxxxx.xxx Exhibit B United States District Court for the Eastern District of Pennsylvania If you are a current or former owner or lessee of a U.S. specification model-year 2015 to 2017 Hyundai Sonata vehicle equipped with the Smart Trunk feature, you may be eligible for benefits of a class-action settlement. A court has authorized this notice. You have received this notice because Hyundai’s records indicate that you are a current or former owner or lessee of a U.S. specification model-year 2015 to 2017 Hyundai Sonata vehicle. This is not a solicitation from a lawyer. • A nationwide settlement (“Settlement”) has been reached in a class action lawsuit against Hyundai Motor America (“HMA”). The lawsuit concerns model year 2015 to 2017 U.S. specification Hyundai Sonata vehicles equipped with the Smart Trunk feature purchased or leased in the fifty United States or the District of Columbia (“Class Vehicles”). The lawsuit alleges that the Smart Trunk on the Class Vehicles is defective because it does not open a sufficient amount. Defendant has denied these allegations. • The Settlement provides an opportunity to be reimbursed for certain past expenses, to obtain a free inspection and repair of the affected trunk components, and to receive a cash payment or a HMA dealer credit. • Your legal rights are affected whether you act or don’t act, so please read this notice carefully. YOUR LEGAL RIGHTS AND OPTIONS IN THIS SETTLEMENT: SUBMIT A CLAIM AND/OR TAKE YOUR CLASS VEHICLE TO AN AUTHORIZED HMA DEALER Make a claim for relief so that you may be able to receive the valuable benefits available to you under the Settlement and/or take your vehicle to an authorized HMA Dealer after the Settlement...
Sample 1
Sign & Date. Read the Agreement in Part III on page 1. The Applicant(s) and anyone aged 19 years or over who is living at the rental unit must sign the Application for Housing Benefits.
Sample 1

Related to Sign & Date

  • Completion Date The Work under this Contract shall be completed by midnight of the date required in the Contract as the Material Completion and Occupancy Date unless extended by approved requests for extension of time.

  • Substantial Completion “Substantial Completion” means the stage in the progress of the Work when the Work, or designated portions thereof, may still require minor modifications or adjustments but, in the Owner’s opinion, the Work has progressed to the point such that all parts of the Work under consideration are fully operational and usable for intended purposes, as evidenced by a Certificate of Substantial Completion approved by the Owner. If a Certificate of Occupancy is required by public authorities having jurisdiction over the Work, said certificate shall be issued before the Work or any portion thereof is considered substantially complete. When the Contractor considers that the Work, or a portion thereof which the Owner agrees to accept separately, is substantially complete, the Contractor shall notify Owner’s Designated Representative (sometimes referred to as the “ODR”) and request a determination as to whether the Work or designated portion thereof is substantially complete. If the ODR does not consider the Work substantially complete, the ODR will notify the Contractor giving reasons therefore. Failure on the Owner’s part to list a reason does not alter the responsibility of the Contractor to complete all Work in accordance with the terms of this Agreement. After satisfactorily completing items identified by Owner’s Designated Representative, the Contractor shall then submit another request for the ODR to determine Substantial Completion. If The ODR considers the Work substantially complete, The ODR will prepare and deliver a certificate of Substantial Completion which shall establish the date of Substantial Completion, shall include a punch list of items to be completed or corrected before final completion and final payment, shall establish the time within which the Contractor shall finish the punch list, and shall establish responsibilities of the Owner and the Contractor for security, maintenance, heat, utilities, damage to the Work, warranty and insurance. Failure to include an item on the punch list does not alter the responsibility of the Contractor to complete all Work in accordance with the terms and conditions of this Agreement. The certificate of Substantial Completion shall be signed by the Owner and the Contractor to evidence acceptance of the responsibilities assigned to them in such certificate. Substantial Completion (as defined in this agreement) for all stages of the Work shall be achieved on or before the following Substantial Completion date: DATE FOR SUBSTANTIAL COMPLETION: TBD Under no circumstances will the time for Substantial Completion exceed this date without a written amendment to this Agreement. THE TIMES SET FORTH IN THE CONSTRUCTION DOCUMENTS ARE AN ESSENTIAL ELEMENT OF THE AGREEMENT. TIME LIMITS STATED IN THE CONTRACT DOCUMENTS ARE OF THE ESSENCE OF THIS AGREEMENT.

  • Commencement Date The Subcontractor shall be permitted to begin the Services on , 20 (“Commencement Date”).

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!