Sub-Agreements. Party shall not assign, subcontract or subgrant the performance of his Agreement or any portion thereof to any other Party without the prior written approval of the State. Party also agrees to include in subcontract or subgrant agreements a tax certification in accordance with paragraph 13 above. Notwithstanding the foregoing, the State agrees that the Party may assign this agreement, including all of the Party's rights and obligations hereunder, to any successor in interest to the Party arising out of the sale of or reorganization of the Party. STATE OF VERMONT PAGE 18 OF 19 STANDARD CONTRACT FOR PERSONAL SERVICES CONTRACT #27511 H.I.S. PROFESSIONALS, LLC AMENDMENT #1 Appendix I – REQUIRED FORMS TRAVEL AND EXPENSE FORM Travel and Expense Form Grantee/ Contractor Name: Invoice #: Starting LocationAddress: InvoiceDate: Grant/Contract Number: Travel Meal Expenses Other Expenses (Receipts Required) Travel Start Date Travel End Date Nameof Traveler Description (name ofmeeting, reason for travel, etc.) State rate effective 1/1/2015 = .575/mile State rate effective 1/1/2016 = .54/mile Per Diem In-State Per Diem Out-of- Rates (Vermont) State B: $5.00 B: $6.25 L: $6.00 L: $7.25 D: $12.85 D: $18.50 Receipts RequiredforExpenses inCategories Listed Below Total Starting Address D estination Address End Address Miles Amount Breakfast Lunch Dinner Lodging Airfare Training/ Registration Other $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - TOTALS 0 $ - $ - $ - $ - $ - $ - $ - $ - $ - We the undersigned do hereby certify under that the reported information is accurate to the best of our knowledge and that all requests for services and expenses were incurred whileperforming work for the State of Vermont. The expenses I am requesting reimbursement for arein compliance with the State of Vermont Allowable Rates and Per Diems. The State reserves the right to withhold payment if the State does not receive required documentation and receipts. Claimant's Signature Date Current State Reimbursement Rates: xxxx://xxxxxxxxxxxxxx.xxxxxxx.xxx/compensation/expense-reimbursement Bulletin 3.4: h t t p : // ao a.vermon t.g ov/s ites/aoa/files/Bulletins/ AOA- Bu llet in3_ 4 - June 2014%20( 2).pdf STATE OF VERMONT PAGE 19 OF 19 STANDARD CONTRACT FOR PERSONAL SERVICES CONTRACT #27511 H.I.S. PROFESSIONALS, LLC AMENDMENT #1 This amendment consists of 19 pages. Except as modified by this amendment and any previous amendments, all provisions of this contract #27511 dated September 29, 2014 shall remain unchanged and in full force and effect. By the STATE OF VERMONT By the CONTRACTOR E-SIGNED by Xxxxxx Xxxxxxxxxx on 2016-02-06 14:49:54 GMT February 06, 2016 Xxxxxx Xxxxxxxxxx, Commissioner Date 000 Xxxxxxxxx Xxxx, Xxxxx 000 Xxxxxxxxx, XX 00000-0000 Phone: 000-000-0000 Email: xxxxxx.xxxxxxxxxx@xxxxx.xx.xx Xxxxx Xxxx, Principal Date 00 Xxxxxxxxxx Xxxx Cummington, MA 01026 Phone: 000-000-0000 Email: xxxxx@xxxxxxx.xxx E-SIGNED by Xxxxx Xxxx on 2016-02-06 14:49:07 GMT February 06, 2016
Appears in 1 contract
Samples: Business Associate Agreement
Sub-Agreements. Party shall not assign, subcontract or subgrant the performance of his Agreement or any portion thereof to any other Party without the prior written approval of the State. Party also agrees to include in subcontract or subgrant agreements a tax certification in accordance with paragraph 13 above. Notwithstanding the foregoing, the State agrees that the Party may assign this agreement, including all of the Party's rights and obligations hereunder, to any successor in interest to the Party arising out of the sale of or reorganization of the Party. STATE OF VERMONT. STANDARD GRANT AGREEMENT PAGE 22 OF 22 DEPARTMENT OF VERMONT PAGE 18 OF 19 STANDARD CONTRACT FOR PERSONAL SERVICES CONTRACT HEALTH ACCESS ARIS SOLUTIONS, INC. GRANT #27511 H.I.S. PROFESSIONALS, LLC AMENDMENT #1 : 00000-0000-00 Appendix I – REQUIRED FORMS TRAVEL AND EXPENSE FORM Travel and Expense Form Travel and Expense Form Grantee/ Contractor Name: Invoice #: Starting LocationAddress: InvoiceDate: Grant/Contract Number: Travel Meal Expenses Other Expenses (Receipts Required) Travel Start Date Travel End Date Nameof Traveler Description (name ofmeeting, reason for travel, etc.) State rate effective 1/1/2015 = .575effective: 1/1/14- 12/31/14: .565/mile State rate effective 1/1/2016 = .54beginning 1/1/15: .575/mile Per Diem In-State Per Diem Out-of- Rates (Vermont) State B: $5.00 B: $6.25 L: $6.00 L: $7.25 D: $12.85 D: $18.50 Receipts RequiredforExpenses inCategories Listed Below Total Starting Address D estination Address End Address Miles Amount Breakfast Lunch Dinner Lodging Airfare Training/ Registration Other $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - TOTALS 0 $ - $ - $ - $ - $ - $ - $ - $ - $ - We the undersigned do hereby certify under that the reported thereported information is accurate to the best of our knowledge and that all requests for services and expenses were incurred whileperforming work for the State of Vermont. The expenses I am requesting amrequesting reimbursement for arein are in compliance with the State of Vermont Allowable Rates and Per Diems. The State reserves the right to withhold payment if the State does not receive required documentation and receipts. Claimant's Signature Date Current State Reimbursement Rates: xxxx://xxxxxxxxxxxxxx.xxxxxxx.xxx/compensation/expense-reimbursement Bulletin 3.4: h t t p : // ao a.vermon t.g ov/s ites/aoa/files/Bulletins/ AOA- Bu llet in3_ 4 - June 2014%20( 2).pdf STATE OF VERMONT PAGE 19 OF 19 STANDARD CONTRACT FOR PERSONAL SERVICES CONTRACT #27511 H.I.S. PROFESSIONALS, LLC AMENDMENT #1 This amendment consists of 19 pages. Except as modified by this amendment and any previous amendments, all provisions of this contract #27511 dated September 29, 2014 shall remain unchanged and in full force and effect. By the STATE OF VERMONT By the CONTRACTOR E-SIGNED by Xxxxxx Xxxxxxxxxx on 2016-02-06 14:49:54 GMT February 06, 2016 Xxxxxx Xxxxxxxxxx, Commissioner Date 000 Xxxxxxxxx Xxxx, Xxxxx 000 Xxxxxxxxx, XX 00000-0000 Phone: 000-000-0000 Email: xxxxxx.xxxxxxxxxx@xxxxx.xx.xx Xxxxx Xxxx, Principal Date 00 Xxxxxxxxxx Xxxx Cummington, MA 01026 Phone: 000-000-0000 Email: xxxxx@xxxxxxx.xxx E-SIGNED by Xxxxx Xxxx on 2016-02-06 14:49:07 GMT February 06, 2016Date
Appears in 1 contract
Samples: healthcareinnovation.vermont.gov
Sub-Agreements. Party shall not assign, subcontract or subgrant the performance of his Agreement or any portion thereof to any other Party without the prior written approval of the State. Party also agrees to include in subcontract or subgrant agreements a tax certification in accordance with paragraph 13 above. Notwithstanding the foregoing, the State agrees that the Party may assign this agreement, including all of the Party's rights and obligations hereunder, to any successor in interest to the Party arising out of the sale of or reorganization of the Party. STATE OF VERMONT PAGE 18 13 OF 19 14 STANDARD CONTRACT FOR PERSONAL SERVICES CONTRACT #27511 H.I.S. PROFESSIONALS, LLC 28675 VERMONT MEDICAL SOCIETY EDUCATION AND RESEARCH FOUNDATION AMENDMENT #1 Appendix I – REQUIRED FORMS TRAVEL AND EXPENSE FORM Travel and Expense Form Grantee/ Contractor Name: Invoice #: Starting LocationAddress: InvoiceDate: Grant/Contract Number: Travel Meal Expenses Other Expenses (Receipts Required) Travel Start Date Travel End Date Nameof Traveler Description (name ofmeeting, reason for travel, etc.) State rate effective 1/1/2015 = .575effective: 1/1/14- 12/31/14: .565/mile State rate effective 1/1/2016 = .54beginning 1/1/15: .575/mile Per Diem In-State Per Diem Out-of- Rates (Vermont) State B: $5.00 B: $6.25 L: $6.00 L: $7.25 D: $12.85 D: $18.50 Receipts RequiredforExpenses inCategories Listed Below Total Starting Address D estination Address End Address Miles Amount Breakfast Lunch Dinner Lodging Airfare Training/ Registration Other $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - TOTALS 0 $ - $ - $ - $ - $ - $ - $ - $ - $ - We the undersigned do hereby certify under that the reported information is accurate to the best of our knowledge and that all requests for services and expenses were incurred whileperforming work for the State of Vermont. The expenses I am requesting reimbursement for arein compliance with the State of Vermont Allowable Rates and Per Diems. The State reserves the right to withhold payment if the State does not receive required documentation and receipts. Claimant's Signature Date Current State Reimbursement Rates: xxxx://xxxxxxxxxxxxxx.xxxxxxx.xxx/compensation/expense-reimbursement xxxx://xxxxxxxxxxxxxx.xxxxxxx.xxx/salary/compensation/expense_reimbursement Bulletin 3.4: h t t p : // ao a.vermon t.g ov/s ites/aoa/files/Bulletins/ AOA- Bu llet in3_ 4 - June 2014%20( 2).pdf xxxx://xxx.xxxxxxx.xxx/sites/aoa/files/pdf/AOA-Bulletin_3_4.pdf STATE OF VERMONT PAGE 19 14 OF 19 14 STANDARD CONTRACT FOR PERSONAL SERVICES CONTRACT #27511 H.I.S. PROFESSIONALS, LLC 28675 VERMONT MEDICAL SOCIETY EDUCATION AND RESEARCH FOUNDATION AMENDMENT #1 This amendment consists of 19 14 pages. Except as modified by this amendment and any previous amendments, all provisions of this contract #27511 28675 dated September 29April 1, 2014 2015 shall remain unchanged and in full force and effect. By the STATE OF VERMONT By the CONTRACTOR E-SIGNED by Xxxxxx Xxxxxxxxxx on 2016-02-06 14:49:54 GMT February 06December 29, 2016 Xxxxxx Xxxxxxxxxx, Commissioner Date 000 Xxxxxxxxx Xxxx, Xxxxx 000 Xxxxxxxxx, XX 00000-0000 Phone: 000-000-0000 Email: xxxxxx.xxxxxxxxxx@xxxxx.xx.xx Xxxxx Xxxx, Principal Date 00 Xxxxxxxxxx Xxxx Cummington, MA 01026 Phone: 000-000-0000 Email: xxxxx@xxxxxxx.xxx 2015 E-SIGNED by Xxxxx Xxxx Xxxxxx December 29, 2015 on 20162015-0212-06 14:49:07 29 20:12:31 GMT February 06, 2016_ on 2015-12-29 20:09:30 GMT _
Appears in 1 contract
Samples: healthcareinnovation.vermont.gov
Sub-Agreements. Party shall not assign, subcontract or subgrant the performance of his Agreement or any portion thereof to any other Party without the prior written approval of the State. Party also agrees to include in subcontract or subgrant agreements a tax certification in accordance with paragraph 13 above. Notwithstanding the foregoing, the State agrees that the Party may assign this agreement, including all of the Party's rights and obligations hereunder, to any successor in interest to the Party arising out of the sale of or reorganization of the Party. STATE OF VERMONT. STANDARD GRANT AGREEMENT PAGE 27 OF 27 DEPARTMENT OF VERMONT PAGE 18 OF 19 STANDARD CONTRACT FOR PERSONAL SERVICES CONTRACT HEALTH ACCESS NORTHEASTERN VERMONT REGIONAL HOSPITAL GRANT #27511 H.I.S. PROFESSIONALS, LLC AMENDMENT #1 : 00000-0000-00 Appendix I – REQUIRED FORMS TRAVEL AND EXPENSE FORM Travel and Expense Form Travel and Expense Form Grantee/ Contractor Name: Invoice #: Starting LocationAddress: InvoiceDate: Grant/Contract Number: Travel Meal Expenses Other Expenses (Receipts Required) Travel Start Date Travel End Date Nameof Traveler Description (name ofmeeting, reason for travel, etc.) State rate effective 1/1/2015 = .575effective: 1/1/14- 12/31/14: .565/mile State rate effective 1/1/2016 = .54beginning 1/1/15: .575/mile Per Diem In-State Per Diem Out-of- Rates (Vermont) State B: $5.00 B: $6.25 L: $6.00 L: $7.25 D: $12.85 D: $18.50 Receipts RequiredforExpenses inCategories Listed Below Total Starting Address D estination Address End Address Miles Amount Breakfast Lunch Dinner Lodging Airfare Training/ Registration Other $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - TOTALS 0 $ - $ - $ - $ - $ - $ - $ - $ - $ - We the undersigned do hereby certify under that the reported thereported information is accurate to the best of our knowledge and that all requests for services and expenses were incurred whileperforming work for the State of Vermont. The expenses I am requesting amrequesting reimbursement for arein are in compliance with the State of Vermont Allowable Rates and Per Diems. The State reserves the right to withhold payment if the State does not receive required documentation and receipts. Claimant's Signature Date Current State Reimbursement Rates: xxxx://xxxxxxxxxxxxxx.xxxxxxx.xxx/compensation/expense-reimbursement Bulletin 3.4: h t t p : // ao a.vermon t.g ov/s ites/aoa/files/Bulletins/ AOA- Bu llet in3_ 4 - June 2014%20( 2).pdf STATE OF VERMONT PAGE 19 OF 19 STANDARD CONTRACT FOR PERSONAL SERVICES CONTRACT #27511 H.I.S. PROFESSIONALS, LLC AMENDMENT #1 This amendment consists of 19 pages. Except as modified by this amendment and any previous amendments, all provisions of this contract #27511 dated September 29, 2014 shall remain unchanged and in full force and effect. By the STATE OF VERMONT By the CONTRACTOR E-SIGNED by Xxxxxx Xxxxxxxxxx on 2016-02-06 14:49:54 GMT February 06, 2016 Xxxxxx Xxxxxxxxxx, Commissioner Date 000 Xxxxxxxxx Xxxx, Xxxxx 000 Xxxxxxxxx, XX 00000-0000 Phone: 000-000-0000 Email: xxxxxx.xxxxxxxxxx@xxxxx.xx.xx Xxxxx Xxxx, Principal Date 00 Xxxxxxxxxx Xxxx Cummington, MA 01026 Phone: 000-000-0000 Email: xxxxx@xxxxxxx.xxx E-SIGNED by Xxxxx Xxxx on 2016-02-06 14:49:07 GMT February 06, 2016Date
Appears in 1 contract
Sub-Agreements. Party shall not assign, subcontract or subgrant the performance of his Agreement or any portion thereof to any other Party without the prior written approval of the State. Party also agrees to include in subcontract or subgrant agreements a tax certification in accordance with paragraph 13 above. Notwithstanding the foregoing, the State agrees that the Party may assign this agreement, including all of the Party's rights and obligations hereunder, to any successor in interest to the Party arising out of the sale of or reorganization of the Party. STATE OF VERMONT PAGE 18 OF 19 STANDARD VERMONT, CONTRACT FOR PERSONAL SERVICES PAGE 11 OF 13 DEPARTMENT OF VERMONT HEALTH ACCESS CONTRACT #27511 H.I.S. PROFESSIONALS, LLC 28647 XXXXX XXXXXX JR. AMENDMENT #1 Appendix I – REQUIRED FORMS TRAVEL AND EXPENSE FORM Travel and Expense Form Grantee/ Contractor Name: Invoice #: Starting LocationAddress: InvoiceDate: Grant/Contract Number: Travel Meal Expenses Other Expenses (Receipts Required) Travel Start Date Travel End Date Nameof Traveler Description (name ofmeeting, reason for travel, etc.) State rate effective 1/1/2015 = .575/mile State rate effective 1/1/2016 = .54/mile Per Diem In-State Per Diem Out-of- Rates (Vermont) State B: $5.00 B: $6.25 L: $6.00 L: $7.25 D: $12.85 D: $18.50 Receipts RequiredforExpenses inCategories Listed Below Total Starting Address D estination Address End Address Miles Amount Breakfast Lunch Dinner Lodging Airfare Training/ Registration Other $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - TOTALS 0 $ - $ - $ - $ - $ - $ - $ - $ - $ - We the undersigned do hereby certify under that the reported information is accurate to the best of our knowledge and that all requests for services and expenses were incurred whileperforming work for the State of Vermont. The expenses I am requesting reimbursement for arein compliance with the State of Vermont Allowable Rates and Per Diems. The State reserves the right to withhold payment if the State does not receive required documentation and receipts. Claimant's Signature Date Current State Reimbursement Rates: xxxx://xxxxxxxxxxxxxx.xxxxxxx.xxx/compensation/expense-reimbursement Bulletin 3.4: h t t p : // ao a.vermon t.g ov/s ites/aoa/files/Bulletins/ AOA- AOA - Bu llet in3_ 4 - June 2014%20( 2).pdf STATE OF VERMONT PAGE 19 OF 19 STANDARD CONTRACT FOR PERSONAL SERVICES CONTRACT Appendix I – REQUIRED FORMS Task Order: Xxxxx Xxxxxx #27511 H.I.S. PROFESSIONALS, LLC AMENDMENT #1 28647 Task Order # Start Date: MM/DD/YY End Date: MM/DD/YY Total Cost: Scope of Work Deliverable Description and Due Dates Contract Provision Reference Cost Comments: Contractor Representative Xxxxx Xxxxxx Approval Signature Date Attorney General Xxxxxxx Xxxxxx Approval Signature Date State Authorized Rep: Xxxxxxx Xxxxxxx Approval Signature Date DVHA Contract Administrator Xxxx Xxxxx Approval Signature Date This amendment consists of 19 13 pages. Except as modified by this amendment and any previous amendments, all provisions of this contract #27511 28647 dated September 29March 1, 2014 2015 shall remain unchanged and in full force and effect. By the STATE OF VERMONT By the CONTRACTOR E-SIGNED by Xxxxxx Xxxxxxxxxx on 2016-02-06 14:49:54 GMT February 06, 2016 Xxxxxx Xxxxxxxxxx, Commissioner Date 000 Xxxxxxxxx Xxxx, Xxxxx 000 Xxxxxxxxx, XX 00000-0000 Phone: 000-000-0000 Email: xxxxxx.xxxxxxxxxx@xxxxx.xx.xx Xxxxx Xxxx, Principal Date 00 Xxxxxxxxxx Xxxx Cummington, MA 01026 Phone: 000-000-0000 Email: xxxxx@xxxxxxx.xxx E-SIGNED by Xxxxx Xxxx on 2016-02-06 14:49:07 GMT February 06, 2016.
Appears in 1 contract
Samples: healthcareinnovation.vermont.gov
Sub-Agreements. Party shall not assign, subcontract or subgrant the performance of his Agreement or any portion thereof to any other Party without the prior written approval of the State. Party also agrees to include in subcontract or subgrant agreements a tax certification in accordance with paragraph 13 above. Notwithstanding the foregoing, the State agrees that the Party may assign this agreement, including all of the Party's rights and obligations hereunder, to any successor in interest to the Party arising out of the sale of or reorganization of the Party. STATE OF VERMONT PAGE 18 20 OF 19 21 STANDARD CONTRACT FOR PERSONAL SERVICES CONTRACT #27511 H.I.S. PROFESSIONALS28733 XXXXX & ASSOCIATES, LLC INC. AMENDMENT #1 Appendix I – REQUIRED FORMS TRAVEL AND EXPENSE FORM Travel and Expense Form Grantee/ Contractor Name: Invoice #: Starting LocationAddress: InvoiceDate: Grant/Contract Number: Travel Meal Expenses Other Expenses (Receipts Required) Travel Start Date Travel End Date Nameof Traveler Description (name ofmeeting, reason for travel, etc.) State rate effective 1/1/2015 = .575/mile State rate effective 1/1/2016 = .54/mile Per Diem In-State Per Diem Out-of- Rates (Vermont) State B: $5.00 B: $6.25 L: $6.00 L: $7.25 D: $12.85 D: $18.50 Receipts RequiredforExpenses inCategories Listed Below Total Starting Address D estination Address End Address Miles Amount Breakfast Lunch Dinner Lodging Airfare Training/ Registration Other $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - TOTALS 0 $ - $ - $ - $ - $ - $ - $ - $ - $ - We the undersigned do hereby certify under that the reported information is accurate to the best of our knowledge and that all requests for services and expenses were incurred whileperforming work for the State of Vermont. The expenses I am requesting reimbursement for arein compliance with the State of Vermont Allowable Rates and Per Diems. The State reserves the right to withhold payment if the State does not receive required documentation and receipts. Claimant's Signature Date Current State Reimbursement Rates: xxxx://xxxxxxxxxxxxxx.xxxxxxx.xxx/compensation/expense-reimbursement Bulletin 3.4: h t t p : // ao a.vermon t.g ov/s ites/aoa/files/Bulletins/ AOA- AOA - Bu llet in3_ 4 - June 2014%20( 2).pdf STATE OF VERMONT PAGE 19 21 OF 19 21 STANDARD CONTRACT FOR PERSONAL SERVICES CONTRACT #27511 H.I.S. PROFESSIONALS28733 XXXXX & ASSOCIATES, LLC INC. AMENDMENT #1 This amendment consists of 19 21 pages. Except as modified by this amendment and any previous amendments, all provisions of this contract #27511 28733 dated September 29April 1, 2014 2015 shall remain unchanged and in full force and effect. By the STATE OF VERMONT By the CONTRACTOR E-SIGNED by Xxxxxx Xxxxxxxxxx on 2016-02-06 14:49:54 GMT February 06, 2016 Xxxxxx Xxxxxxxxxx, Commissioner Date 000 Xxxxxxxxx Xxxx, Xxxxx 000 Xxxxxxxxx, XX 00000-0000 Phone: 000-000-0000 Email: xxxxxx.xxxxxxxxxx@xxxxx.xx.xx Xxxxx Xxxx, Principal Date 00 Xxxxxxxxxx Xxxx Cummington, MA 01026 Phone: 000-000-0000 Email: xxxxx@xxxxxxx.xxx E-SIGNED by Xxxxx Xxxx on 2016-02-06 14:49:07 GMT February 06, 2016.
Appears in 1 contract
Samples: Business Associate Agreement