PERSONAL SERVICES CONTRACTPersonal Services Contract • June 12th, 2014 • Oregon
Contract Type FiledJune 12th, 2014 JurisdictionThis Personal Services Contract (“Contract”) is between Please completely fill out all data fields: the University of Oregon (“University”) and Contractor Department Name: indicated below (“Contractor”). University and Contractor Prepared by: are each a “Party” and collectively “Parties.” Preparer’s Phone Number: Contract Term. This Contract will become effective [EFFECTIVE DATE], or the date of last signature below, whichever is later. Unless earlierterminated or extended, this Contract will expire on [END DATE]. Contractor InformationFull Legal Name or Business Name:[FULL LEGAL NAME OF CONTRACTOR]Mailing Address used for Tax Reporting: Street/PO Box:City: State:Zip Code:E-mail Address:Office Phone Number:Cell Phone Number:(please indicate which phone number is your primary number) Contract Fee/Honorarium:Check one:Fixed Fee: $[INSERT FIXED FEE]Variable Fee: $[INSERT STRUCTURE]Expenses:University will reimburse Contractor’s expenses, including travel, up to the following not to exce
EXHIBIT B AP for Provider Network Consultant PCS# 490000-0010-AP PERSONAL SERVICES CONTRACT Contract No. [INSERT UNIQUE # FOR TRACKING OF CONTRACT]Personal Services Contract • June 11th, 2014 • Oregon
Contract Type FiledJune 11th, 2014 JurisdictionThis Personal Services Contract (“Contract”) is between the University of Oregon (“University”) and Contractor indicated below (“Contractor”). University and Contractor are each a “Party” and collectively “Parties.” Please completely fill out all data fields:
PERSONAL SERVICES CONTRACTPersonal Services Contract • May 1st, 2014 • Oregon
Contract Type FiledMay 1st, 2014 JurisdictionThis Personal Services Contract (“Contract”) is between Please completely fill out all data fields: the State Board of Higher Education acting by and through Department Name: the University of Oregon (“University”) and Contractor Prepared by: indicated below (“Contractor”). University and Contractor Preparer’s Phone Number: are each a “Party” and collectively “Parties.” Contract Term. This Contract will become effective [EFFECTIVE DATE], or the date of last signature below, whichever is later. Unless earlierterminated or extended, this Contract will expire on [END DATE]. Contractor InformationFull Legal Name or Business Name:[FULL LEGAL NAME OF CONTRACTOR]Mailing Address used for Tax Reporting: Street/PO Box:City: State:Zip Code:E-mail Address:Office Phone Number:Cell Phone Number:(please indicate which phone number is your primary number) Contract Fee/Honorarium:Check one:Fixed Fee: $[INSERT FIXED FEE]Variable Fee: $[INSERT STRUCTURE]Expenses:University will reimburse Contractor’s exp
PERSONAL SERVICES CONTRACTPersonal Services Contract • April 18th, 2014 • Oregon
Contract Type FiledApril 18th, 2014 JurisdictionThis Personal Services Contract (“Contract”) is between Please completely fill out all data fields: the State Board of Higher Education acting by and through Department Name: the University of Oregon (“University”) and Contractor Prepared by: indicated below (“Contractor”). University and Contractor Preparer’s Phone Number: are each a “Party” and collectively “Parties.” Contract Term. This Contract will become effective [EFFECTIVE DATE], or the date of last signature below, whichever is later. Unless earlierterminated or extended, this Contract will expire on [END DATE]. Contractor InformationFull Legal Name or Business Name:[FULL LEGAL NAME OF CONTRACTOR]Mailing Address used for Tax Reporting: Street/PO Box:City: State:Zip Code:E-mail Address:Office Phone Number:Cell Phone Number:(please indicate which phone number is your primary number) Contract Fee/Honorarium:Check one:Fixed Fee: $[INSERT FIXED FEE]Variable Fee: $[INSERT STRUCTURE]Expenses:University will reimburse Contractor’s exp