Vaccination Attestation Sample Clauses

Vaccination Attestation. Instructions: If you or any of your agents or employees will have direct or indirect contact with PPS students as a result of this contract, you must complete the following attestation. If you will have no direct or indirect contact with PPS students as a result this contract, skip to Step 2: Waiver of Liability below. Please read and initial. ______ I attest that, per Oregon Administrative Rule 333-019-1030, any people within my organization who will have direct or indirect contact with PPS students under the above contract scope, whether at PPS sites or other sites, are already fully vaccinated as of the date of this attestation or will be fully vaccinated before the contracted work begins. ______ I attest that I, or those with authority within my organization, have reviewed and verified the proof of vaccination of any people who will have direct or indirect contact with PPS students under the above contract scope. ______ I attest that my organization, as required by Oregon Administrative Rule 333-019-1030, will maintain the proof of vaccination* for any such person (a) in accordance with applicable federal and state laws, and (b) for at least two full years. I attest that my organization will provide such documentation to the Oregon Health Authority upon request.
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Vaccination Attestation. Instructions: If you or any of your agents or employees will have direct or indirect contact with PPS students as a result of this contract, you must complete the following attestation. If you will have no direct or indirect contact with PPS students as a result of this contract, skip to Step 2: Waiver of Liability below. Please read and initial. ______ I attest that, per Oregon Administrative Rule 333-019-1030, any people within my organization who will have direct or indirect contact with PPS students under the above contract scope, whether at PPS sites or other sites, are already fully vaccinated as of the date of this attestation, will be fully vaccinated before the contracted work begins, or have an approved medical or religious exception to COVID vaccination. ______ I attest that I, or those with authority within my organization, have reviewed and verified the proof of vaccination of any people who will have direct or indirect contact with PPS students under the above contract scope. I further attest that I, or those with authority within my organization, have reviewed and approved or accepted the documentation of any medical or religious exception, made on a form prescribed by the Oregon Health Authority, and in compliance with the requirements set forth in OAR 333-019-1030(14). ______ I attest that my organization, as required by Oregon Administrative Rule 333-019-1030, will maintain the proof of vaccination or exception documentation for any such person (a) in accordance with applicable federal and state laws, and (b) for at least two full years. I attest that my organization will provide such documentation to the Oregon Health Authority upon request. ______ I attest that any people within my organization who will have direct or indirect contact with students will follow PPS’s protective measures in place at the time of such contact. Such measures may include wearing face coverings, distancing from others, and isolating or quarantining if exposed to or contracting COVID-19. Portland Public Schools Exhibit #: Mandatory Contractor COVID-19 Vaccine Attestation
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Vaccination Attestation. Pursuant to the Memorandum of Agreement dated and in accordance with a directive issued by the Chancellor, all employees at the University of Massachusetts Dartmouth must complete this form. I have been vaccinated against COVID-19 I have uploaded my vaccination certificate to the Health Services Portal My vaccination certificate is attached OR I am seeking an exemption for the following reason(s): Medical I have uploaded a letter from a healthcare provider to the Health Services Portal to support my requested exemption I have attached a letter from a healthcare provider to support my requested exemption Religious I have uploaded a statement of my religious beliefs or practices and how they are inconsistent with a COVID-19 vaccination to the Health Services Portal to support my requested exemption I have attached a statement of my religious beliefs or practices and how they are inconsistent with a COVID-19 vaccination to support my requested exemption I understand that if the University grants me an exemption, I will be required to wear a face covering in all indoor public spaces, including classrooms, and be tested each week—submitting my test results to the Office of Human Resources. A free Regional Express COVID-19 Testing Site is available at: 0000 Xxxxxxx Xxxx Xxx Xxxxxxx, XX NOTE: Entrance is off of Xxxxxx Street only Additional testing sites can be found using the Commonwealth’s Department of Public Health website: xxxxx://xxx.xxxx.xxx/info-details/find-a-covid-19-test I further understand that failing to comply with the vaccination requirement or, if exempted, submit a weekly COVID-19 test, may result in my being placed on indefinite involuntary leave of absence. Name (print) Signature: Signed by: 8/26/2021 For the University 8/26/2021
Sample 1
Vaccination Attestation. The Parties agree that, because the Vaccine Attestation form required for COVID-19 was voluntary and because it is no longer needed due to the new requirement to provide documentation showing proof of vaccination, HUD shall take no action against any employee who has not or does not submit the attestation. Within one week of signing this agreement, HUD shall advise employees that the attestation is not required. HUD shall destroy the attestation files and records or shall ensure that the contractor managing the software does so, no later than 30 days after signing this agreement. HUD shall advise the Union when the destruction has been completed.
Sample 1
Vaccination Attestation. Instructions: If you or any of your agents or employees will have direct or indirect contact with PPS students as a result of this contract, you must complete the following attestation. If you will have no direct or indirect contact with PPS students as a result this contract, skip to Step 2: Waiver of Liability below. Please read and initial. I attest that, per Oregon Administrative Rule 333-019-1030, any people within my organization who will have direct or indirect contact with PPS students under the above contract scope, whether at PPS sites or other sites, are already fully vaccinated as of the date of this attestation or will be fully vaccinated by October 18, 2021. I attest that I, or those with authority within my organization, have reviewed and verified the proof of vaccination of any people who will have direct or indirect contact with PPS students under the above contract scope. I attest that my organization, as required by Oregon Administrative Rule 333-019-1030, will maintain the proof of vaccination* for any such person (a) in accordance with applicable federal and state laws, and (b) for at least two full years. I attest that my organization will provide such documentation to the Oregon Health Authority upon request.
Sample 1
Vaccination Attestation. Submission of documentation to show proof of COVID-19 vaccination and attestation to its accuracy fulfills any existing or prior COVID-19 vaccine attestation request.
Sample 1
Vaccination Attestation. I (first and last name), being the contractor or, if the contractor is a corporation, the authorized representative of (name of contractor), pursuant to Contract (contract number) (the “Contract”), warrant and certify to the Province of British Columbia as follows:
Sample 1
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Related to Vaccination Attestation

  • Tuberculosis Examination The examination shall consist of an approved intradermal tuberculosis test, which, if positive, shall be followed by an X-ray of the lungs. Nothing in Sections 5163 to 5163.2, inclusive, shall prevent the governing body of any city or county, upon recommendation of the local health officer, from establishing a rule requiring a more extensive or more frequent examination than required by Section 5163 and this section. § 5163.2. Technician taking X-ray film; Interpretation of X-ray The X-ray film may be taken by a competent and qualified X-ray technician if the X-ray film is subsequently interpreted by a licensed physician and surgeon.

  • Random Testing Notwithstanding any provisions of the Collective Agreement or any special agreements appended thereto, section 4.6 of the Canadian Model will not be applied by agreement. If applied to a worker dispatched by the Union, it will be applied or deemed to be applied unilaterally by the Employer. The Union retains the right to grieve the legality of any imposition of random testing in accordance with the Grievance Procedure set out in this Collective Agreement.

  • Contractor Selection In this section, please describe the selection process, including other sources considered and the rationale for selecting the contractor. Please answer all questions:

  • CHILD ABUSE REPORTING CONTRACTOR hereby agrees to annually train all staff members, including volunteers, so that they are familiar with and agree to adhere to its own child and dependent adult abuse reporting obligations and procedures as specified in California Penal Code section 11165.7, AB 1432, and Education Code 44691. To protect the privacy rights of all parties involved (i.e., reporter, child and alleged abuser), reports will remain confidential as required by law and professional ethical mandates. A written statement acknowledging the legal requirements of such reporting and verification of staff adherence to such reporting shall be submitted to the LEA.

  • Substance Abuse Testing The Parties agree that it is in the best interest of all concerned to promote a safe working environment. The Union has no objection to pre-employment substance abuse testing when required by the Employer and further, the Union has no objection to voluntary substance abuse testing to qualify for employment on projects when required by a project owner. The cost and scheduling of such testing shall be paid for and arranged by the Employer. The Union agrees to reimburse the Employer for any failed pre-access Alcohol and Drug test costs.

  • Random Drug Testing All employees covered by this Agreement shall be subject to random drug testing in accordance with Appendix D.

  • CHILD AND DEPENDENT ADULT/ELDER ABUSE REPORTING CONTRACTOR shall establish a procedure acceptable to ADMINISTRATOR to ensure that all employees, agents, subcontractors, and all other individuals performing services under this Agreement report child abuse or neglect to one of the agencies specified in Penal Code Section 11165.9 and dependent adult or elder abuse as defined in Section 15610.07 of the WIC to one of the agencies specified in WIC Section 15630. CONTRACTOR shall require such employees, agents, subcontractors, and all other individuals performing services under this Agreement to sign a statement acknowledging the child abuse reporting requirements set forth in Sections 11166 and 11166.05 of the Penal Code and the dependent adult and elder abuse reporting requirements, as set forth in Section 15630 of the WIC, and shall comply with the provisions of these code sections, as they now exist or as they may hereafter be amended.

  • Medical Verification The Town may require medical verification of an employee’s absence if the Town perceives the employee is abusing sick leave or has used an excessive amount of sick leave. The Town may require medical verification of an employee’s absence to verify that the employee is able to return to work with or without restrictions.

  • Study Population ‌ Infants who underwent creation of an enterostomy receiving postoperative care and awaiting enterostomy closure: to be assessed for eligibility: n = 201 to be assigned to the study: n = 106 to be analysed: n = 106 Duration of intervention per patient of the intervention group: 6 weeks between enterostomy creation and enterostomy closure Follow-up per patient: 3 months, 6 months and 12 months post enterostomy closure, following enterostomy closure (12-month follow-up only applicable for patients that are recruited early enough to complete this follow-up within the 48 month of overall study duration).

  • Health Tests At the time of employment, the Employer shall provide a Tuberculin skin test at no cost to the nurse. In the event of a positive reaction to this test, the Employer will provide a chest x-ray at no cost. Upon request, a routine blood examination and urinalysis will be provided at no cost to the nurse once each year.

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