Successor Responsible Individual Sample Clauses

Successor Responsible Individual. Successor Responsible Individual Name Successor Responsible Individual Social Security Number Successor Individual Date of Birth Address (Must be U.S. Street address. No P.O. Boxes) City State ZIP Daytime Telephone Evening Telephone Relationship to Designated Beneficiary xxx-xx.xxxxxxxxxxxxx.xxx • 0.000.000.0000 Rev. 07.01.2013 002CSI0372
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Successor Responsible Individual. In the event of the death or legal incapacity of the Responsible Individual while the Designated Beneficiary is a minor under state law, the following shall become the Responsible Individual. If no successor is named, the Successor Responsible Individual shall be the Designated Beneficiary's remaining parent or successor guardian FULL NAME RELATIONSHIP SOCIAL SECURITY NUMBER ADDRESS TELEPHONE NUMBER EMAIL ADDRESS

Related to Successor Responsible Individual

  • Administrative Responsibility Except as otherwise provided herein, the City shall retain all rights and duties pursuant to the Charter of the City to operate and direct the Department of Fire & Rescue Operations.

  • RESPONSIBILITY OF CONSULTANT Consultant shall take all responsibility for the work, shall bear all losses and damages directly or indirectly resulting to Consultant, to any subcontractor, to the City, to City officers and employees, or to parties designated by the City, on account of the performance or character of the work, unforeseen difficulties, accidents, occurrences or other causes to the extent predicated on active or passive negligence of the Consultant or of any subcontractor.

  • Spill Responsibility PURCHASER will be held responsible for any and all releases of environmental pollution during performance of the contract which occur as a result of, or are contributed by, actions of its agent, personnel, or subcontractors. PURCHASER agrees to promptly dispose of such spills or leaks to satisfaction of the STATE and proper regulatory agencies in a manner that complies with applicable federal, state, and local laws and regulations. Cleanup shall be at no cost to the STATE. PURCHASER shall obtain the STATE's written consent prior to bringing onto the areas of operations any

  • District Responsibility The District will pay to the retiree’s foreign medical carrier a monthly amount up to the maximum monthly amount that is paid to a carrier for the working members of the bargaining unit at the time the coverage is initiated.

  • Escrow Agent Not Responsible after Release The Escrow Agent will have no responsibility for escrow securities that it has released to a Securityholder or at a Securityholder’s direction according to this Agreement.

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