Signature Section. For the CONTRACTOR Name (Please print) Title Signature Date For the MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Xxxx Xxxx, Deputy Director, Operations Administration Date Part II General Provisions
Signature Section. FOR the GRANTEE Muskegon County of XX Xxxxxx Prosecuting Attorney 09/20/2018 Name Title Date For the Michigan Department of Health and Human Services Xxxxxxxx Xxxxxxx 09/19/2018 Xxxxxxxx Xxxxxxx, Director Date Grants Division, Bureau of Grants and Purchasing I. Responsibilities - Grantee
Signature Section. Signature / Child Development Center Teacher Date Prepared by: _ _ / _ Peer Reviewer Date DISTRIBUTION: White – Employee Yellow – Peer Reviewer Revised: 3/4/09jmr APPENDIX F DISCIPLINARY ACTION 87667 A contract or regular employee may be dismissed or penalized for one or more of the grounds set forth in Section 87732. 87732 No regular employee shall be dismissed except for one or more of the following causes:
Signature Section. For Livingston County Department of Public Health Xxxxxx XxXxxxxxx Health Officer Name Title For the Michigan Department of Health and Human Services Xxxxxxxxx X. Xxxxxxx 09/06/2022 Xxxxxxxxx X. Xxxxxxx, Director Date Bureau of Grants and Purchasing
Signature Section. The undersigned hereby certifies that any services, materials and/or equipment furnished as a result of this bit will be in full accordance with Montgomery County Specifications applying thereto, unless exceptions are stated above. Bidding Company Address City State Zip Code Phone Email Print or Type Name Title Signature (Blue Ink) With this signature I hereby certify that I am authorized as an agent for the above named company and offer this Bid with intention to enter into a contract with Montgomery County if awarded. FORM NO. 3
Signature Section. This Salary Reduction Agreement will remain in effect until you change or stop your deductions by completing a new Salary Reduction Form. All salary reduction agreements will terminate upon your termination of employment with UVM. It is important to read the UVM Retirement Savings Plan Document, found on theHuman Resource Services Benefits Website, prior to signing this Salary Reduction Agreement. I understand that it is my responsibility and I agree to monitor my income, benefit premium deduction amounts, and FICA status changes to determine that I have sufficient income to fund my 457(b). I understand that if I don’t have sufficient income to fund my 457(b), as I’ve elected in section 3, the UVM benefit department may reduce my deferral amount, without prior notification to me, to an amount that will allow for all my benefit premiums to be covered prior to funding my 457(b). I further understand that my deferral will stay at the reduced amount, until my salary and/or FICA status changes and I complete a new 457(b) Participation Agreement. I understand that Deferred Compensation 457(b) Plan (Plan) benefits are only payable (1) upon retirement or separation from the University of Vermont service; (2) due to death; (3) for an unforeseeable emergency as defined in the Plan document or (4) for a one- time in-service distribution where the total value of my account under the Plan is less than $5,000 and I have not deferred any compensation into the Plan for at least a two-year period ending on the date of the withdrawal request. I understand the Plan is for employee only contributions and is administered in accordance with Section 457(b) of the Internal Revenue Code and any applicable regulations. I acknowledge that as a Participant, I am solely responsible for any investment gain or loss, charge or expense of any kind under this Plan, by virtue of my account upon which benefits under the Plan are based. I agree that neither the University of Vermont, my Employing Agency, nor the Vendors represents or guarantees any tax consequence will occur because of my participation in this Plan and I shall be responsible to consult with and rely upon my own legal, accounting or other representative concerning all question about tax and investment consequences arising from my participation in this Plan. I understand participation in this Plan is voluntary. In return, I, my heirs and successors hold harmless the University of Vermont, my Employing Agency, its employees, off...
Signature Section. FOR the GRANTEE Muskegon County of XX Xxxxxx Prosecuting Attorney 10/08/2019 Name Title Date For the Michigan Department of Health and Human Services Xxxxxxxx Xxxxxxx 09/27/2019 Xxxxxxxx Xxxxxxx, Director Date Grants Division, Bureau of Grants and Purchasing I. Responsibilities - Grantee
Signature Section. For Muskegon County Health Department Xxxxx Xxxxx Health Officer Name Title For the Michigan Department of Health and Human Services Xxx Xxxxxxx 09/10/2016 Xxx Xxxxxxx, Director Date Bureau of Purchasing
Signature Section. For the Department of Education Xxxx Xxxxxxxx, Deputy Superintendent Date For the Contractor Xxxxx XxXxxxxx, Superintendent, Eastern Upper Peninsula ISD Part II
Signature Section. For the GRANTEE Name (Please print) Title Signature Date For the MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES Xxxxxxxxx X. Xxxxxxx, Director, Bureau of Grants and Purchasing Date Part II General Provisions
