Common use of Special Certification Clause in Contracts

Special Certification. The individual or officer signing this Agreement certifies by his or her signature that he or she is authorized to sign this Agreement on behalf of the responsible governing board, official, or contractor. PROVIDER further acknowledges that it has reviewed and agrees to MSHN's MSHN-SUDSP MANUAL. By: Its: Chief Executive Officer Printed Name: Xxxxxx Xxxxxxx Date: 9.23.24 By: Its: Printed Name: Date: 1. Annual Plan Guidelines: PROVIDER will comply with the requirements of the Annual Plan Guidelines communicated to PROVIDER by MSHN. 2. MSHN-SUDSP MANUAL: PROVIDER will comply with all requirements and procedures contained within the MSHN-SUDSP Manual, which is incorporated into this agreement by reference and made a part hereof.

Appears in 1 contract

Samples: Substance Use Disorder Treatment Contractual Agreement

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Special Certification. The individual or officer signing this Agreement certifies by his or her signature that he or she is authorized to sign this Agreement on behalf of the responsible governing board, official, or contractor. PROVIDER further acknowledges that it has they have reviewed and agrees to MSHN's the MSHN-SUDSP MANUALManual. By: By: Its: Its: Chief Executive Officer Printed Name: Xxxxxx :_ Printed Name:_Xxxxxx Xxxxxxx Date: 9.23.24 Date: Witness By: Its: Witness By: Its: Contract Manager Printed Name:_ Printed Name:_ Xxxx Xxxxxxxx Date: Date: 1. Annual Plan Guidelines: PROVIDER will comply with the requirements of the Annual Plan Guidelines communicated to PROVIDER by MSHN. 2. MSHN-SUDSP MANUALManual: PROVIDER will comply with all requirements and procedures contained within the MSHN-SUDSP Manual, which . The MSHN SUDSP Provider Manual is incorporated into this agreement by reference and made a part hereof.

Appears in 1 contract

Samples: Substance Use Disorder Prevention Services Contractual Agreement

Special Certification. The individual or officer signing this Agreement certifies by his or her signature that he or she is authorized to sign this Agreement on behalf of the responsible governing board, official, or contractor. PROVIDER further acknowledges that it has they have reviewed and agrees to MSHN's MSHN-SUDSP MANUAL. By: By: Its: Its: Chief Executive Officer Printed Name: Xxxxxx :_ Printed Name:_Xxxxxx Xxxxxxx Date: 9.23.24 By: Its: Printed Name: Date: 1. ) Annual Plan Guidelines: PROVIDER will comply with the requirements of the Annual Plan Guidelines communicated to PROVIDER by MSHN. 2. ) MSHN-SUDSP MANUAL: PROVIDER will comply with all requirements and procedures contained within the MSHN-SUDSP Manual, which is incorporated into this agreement by reference and made a part hereof.

Appears in 1 contract

Samples: Substance Use Disorder Treatment Contractual Agreement

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Special Certification. The individual or officer signing this Agreement certifies by his or her signature that he or she is authorized to sign this Agreement on behalf of the responsible governing board, official, or contractor. PROVIDER further acknowledges that it has they have reviewed and agrees to MSHN's MSHN-SUDSP MANUAL. By: Its: Chief Executive Officer Printed Name: Xxxxxx Name:_Xxxxxx Xxxxxxx Date: 9.23.24 By: Its: Printed Name: :_ Date: 1. ) Annual Plan Guidelines: PROVIDER will comply with the requirements of the Annual Plan Guidelines communicated to PROVIDER by MSHN. 2. ) MSHN-SUDSP MANUAL: PROVIDER will comply with all requirements and procedures contained within the MSHN-SUDSP Manual, which is incorporated into this agreement by reference and made a part hereof.

Appears in 1 contract

Samples: Substance Use Disorder Treatment Contractual Agreement

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