Common use of Youth Attestation Form Clause in Contracts

Youth Attestation Form. Commented [b39]: This section will provide a comprehensive list of the reports required by your contract as well as the how often the report must be submitted, its due date, and the Department person the report should be submitted to. The Provider shall be submitted to the Contract Manager along with each monthly invoice. A youth attestation form shall affirm the correctness or truth of list of the names of those youth receiving services, recorded dates, and recorded activities. An attestation from shall be maintained by program staff and submitted monthly. REPORT LIST FREQUENCY DUE DATES DUE TO Invoice Monthly 15th day of the following reporting month Contract Manager Quarterly Expenditure Report Quarterly 15th day of the month following the reporting quarter Contract Manager Organizational Chart Upon Contract execution; annually; and upon changes Prior to the delivery of services and July 1st Contract Manager Proof of Insurance Coverage Annually Prior to the delivery of services and prior to expiration of insurance Contract Manager Copy of Subcontracts Upon execution Upon execution Contract Manager Staff Vacancy Report Monthly 15th day of the following reporting month Contract Manager CMBE Utilization Report Monthly 15th day of the following reporting month Contract Manager Continuity of Operations Plan (COOP) Annually Prior to the delivery of services and July 1st Contract Manager Monthly Deliverable Monthly 15th day of the Contract Manager Activity Report (MAR) following reporting month Youth Attestation Form Monthly 15th day of the following reporting month Contract Manager

Youth Attestation Form. Commented [b39]: This section will provide a comprehensive list of the reports required by your contract as well as the how often the report must be submitted, its due date, and the Department person the report should be submitted to. The Provider shall be submitted to the Contract Manager along with each monthly invoice. A youth attestation form shall affirm the correctness or truth of list of the names of those youth receiving services, recorded dates, and recorded activities. An attestation from shall be maintained by program staff and submitted monthly. REPORT LIST FREQUENCY DUE DATES DUE TO Invoice Monthly 15th day of the following reporting month Contract Manager Quarterly Expenditure Report Quarterly 15th day of the month following the reporting quarter Contract Manager Organizational Chart Upon Contract execution; annually; and upon changes Prior to the delivery of services and July 1st Contract Manager Proof of Insurance Coverage Annually Prior to the delivery of services and prior to expiration of insurance Contract Manager Copy of Subcontracts Upon execution Upon execution Contract Manager Staff Vacancy Report Monthly 15th day of the following reporting month Contract Manager CMBE Utilization Report Monthly 15th day of the following reporting month Contract Manager Continuity of Operations Plan (COOP) Annually Prior to the delivery of services and July 1st Contract Manager Monthly Deliverable Activity Report (MAR) Monthly 15th day of the Contract Manager Activity Report (MAR) following reporting month Contract Manager Youth Attestation Form Monthly 15th day of the following reporting month Contract Manager

Youth Attestation Form. Commented [b39b43]: This section will provide a comprehensive list of the reports required by your contract as well as the how often the report must be submitted, its due date, and the Department person the report should be submitted to. The Provider shall be submitted to the Contract Manager along with each monthly invoice. A youth attestation form shall affirm the correctness or truth of list of the names of those youth receiving services, recorded dates, and recorded activities. An attestation from shall be maintained by program staff and submitted monthly. REPORT LIST FREQUENCY DUE DATES DUE TO Invoice Monthly 15th day of the following reporting month Contract Manager Quarterly Expenditure Report Quarterly 15th day of the month following the reporting quarter Contract Manager Organizational Chart Upon Contract execution; annually; and upon changes Prior to the delivery of services and July 1st Contract Manager Proof of Insurance Coverage Annually Prior to the delivery of services and prior to expiration of insurance Contract Manager Copy of Subcontracts Upon execution Upon execution Contract Manager Staff Vacancy Report Monthly 15th day of the following reporting month Contract Manager CMBE Utilization Report Monthly 15th day of the following reporting month Contract Manager Continuity of Operations Plan (COOP) Annually Prior to the delivery of services and July 1st Contract Manager Monthly Deliverable Activity Report (MAR) Monthly 15th day of the Contract Manager Activity Report (MAR) following reporting month Contract Manager Youth Attestation Form Monthly 15th day of the following reporting month Contract Manager