Signature Section. For Livingston County Department of Public Health For the Michigan Department of Health and Human Services
I. Responsibilities - Grantee
Signature Section. For the CONTRACTOR For the MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Part II General Provisions
Signature Section. Signature / Prepared by: _ _ / _ DISTRIBUTION: White – Employee Yellow – Peer Reviewer Revised: 3/4/09jmr 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 the GRANTEE
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.
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.
Signature Section. For the Department of Education For the Contractor
I. Responsibilities – Contractor The Contractor, in accordance with the general purposes and objectives of this Agreement, will:
Signature Section. FOR the GRANTEE LifeWays For the Michigan Department of Health and Human Services
I. Responsibilities - Grantee
Signature Section. Both the landlord and the tenant must sign, print respective names, and put in the date where indicated in the signature block.
Signature Section. By signing below you confirm that: • you have chosen the Independent Trading Process; • you have read, understand and agree to the Independent Trading Process Verification Terms and Conditions; • you are aware of, understand and agree to the limits, exclusions, liabilities, risks and promises in the Independent Trading Process Verification Terms and Conditions; • you have the required capacity and authority to accept the Independent Trading Process Terms and Conditions; and • once you have signed this Form, you will not be able to claim later that the details that you have included in this Form and in your Supporting Documents were not true and correct when you gave us this Form or the Supporting Documents. MTN and/or MTNZF or other persons may also have claims and rights against you because of the details that you put in this Form, and providing false information could be a criminal offence. Signature: Day Month Year Name: Capacity: If you are signing this Form on behalf of a Black Person, please indicate which capacity, for example, a legal guardian or parent of a Minor or in any other representative capacity identified in the list of Supporting Documents (insert capacity) Black Group category: Company Partnership Trust Close Corporation Other unincorporated entity or association Black Group name: Black Group trading name (if the trading name differs to the registered name): Registration number: Surname: Signature First name(s) in full: Identity number: Capacity: Residential address: Postal code: Contact details: Office phone number: Home phone number: Cell phone number: Email address: Cell phone number: (Note: this must be the same number as the Authorised Representative's cell phone number provided above.) Email address: Office phone number: Postal address: Postal code: Physical address: Postal code: If you are applying to MTNZF for BEE Verification, then you need to, as part of the BEE Verification Process, agree to the Independent Trading Process Verification Terms and Conditions by completing and signing this Form. It is important that you read and understand the Independent Trading Process Verification Terms and Conditions. If you do not have a copy of the Independent Trading Process Verification Terms and Conditions, you can get a copy of these and other documents referred to in those Independent Trading Process Verification Terms and Conditions (including the Privacy Policy): • on the MTNZF Website (xxxxx://xxx.xxxxxxxxxxxxxxx.xx.xx); • by asking...
