Beneficiary Agreement Sample Contracts

Beneficiary Agreement
Beneficiary Agreement • October 2nd, 2024 • Washington

This Agreement is made by and between the City of Everett, a municipal corporation (“the City”) and Grantee to set forth the terms and conditions under which the City will provide a grant to Grantee under the Program to mitigate financial hardship experienced by Grantee as a result of the COVID-19 pandemic and its economic impacts. Grant funds must be used for costs incurred during the Agreement Period.

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Council for Life Beneficiary Agreement 2021 Grant Year
Beneficiary Agreement • June 25th, 2018

This Beneficiary Agreement (this “Agreement”) is made by and between Council for Life (”CFL”) and the undersigned agency (the “Agency”) in connection with the Agency’s Beneficiary Application for funding from CFL in 2021 (the “Application”). The Agency and CFL acknowledge that any grant received from CFL is contingent upon the Agency abiding by the terms of this Agreement. If the Agency is selected as a Beneficiary of CFL, CFL will return this Agreement signed by an authorized representative of CFL, and in consideration of the grant awarded by CFL, as well as the promises and agreements made herein, the Agency agrees as follows:

Beneficiary Agreement Request
Beneficiary Agreement • April 4th, 2022

Request is hereby made, subject to the rights of present collateral assignees of record, if any, to change the Beneficiary as follows. The right is reserved to change the beneficiary. The General Provisions on page 2 are part of this Agreement.

BENEFICIARY AGREEMENT
Beneficiary Agreement • July 15th, 2022

DENTAL ASSOCIATES DISCOUNT PLAN is NOT insurance and is NOT available to anyone who is covered by any other dental coverage.

Contract
Beneficiary Agreement • July 6th, 2024

Agreement Number 24SDRASC01WLT Maximum Contract Award $41,000.00 Beneficiary Contact Person Stephanie Rowe, stephanie.rowe@wiltonct.org ADS Contact Person Claire Cote, Claire.cote@ct.gov, (860) 424-4868

Beneficiary Agreement
Beneficiary Agreement • August 31st, 2018

NB: this is a form of a Beneficiary Agreement intended for use with the Risk Sharing Mechanism for Resource Validation Programme. The RSM reserves the option to amend or adjust the form of the Beneficiary Agreement. This might occur where a project to be supported is considered by the RSM to have a risk profile that warrants additional terms

Open Call Beneficiary Agreement Agreement Number: DEMETER-OC1-2020/__
Beneficiary Agreement • October 12th, 2020

This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No. 857202

RESOLUTION APPROVING NURSING FACILITY WORKFORCE RELIEF PROGRAM BENEFICIARY AGREEMENT, ACNRC
Beneficiary Agreement • April 19th, 2023

This beneficiary agreement (“Agreement”) is made and entered into by and between the State of Ohio (the “State”), through the Ohio Office of Budget and Management (“OBM”), and located at 30 E. Broad Street, 34th Floor, Columbus, Ohio 43215, and the signed Beneficiary below (the “Beneficiary”), (individually a “Party” or collectively the “Parties”) to set forth the terms and conditions upon which OBM will provide financial assistance to the Beneficiary for purposes of the Nursing Facility Workforce Relief Program as discussed herein.

CONTENTS
Beneficiary Agreement • February 24th, 2023 • Sint Maarten
EVERETT FORWARD ROUND 2 BENEFICIARY AGREEMENT
Beneficiary Agreement • January 3rd, 2024

This Amendment to Beneficiary Agreement (“Amendment”) is effective as of the date of the Mayor’s signature below, and is between the City of Everett, a Washington municipal corporation (the “City”), and the Beneficiary identified below (“Beneficiary”). The City and Beneficiary are parties to the Everett Forward Grant Round 2 Beneficiary Agreement described below, as may be previously amended ("Agreement"). In consideration of the covenants, terms and conditions set forth below, and for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the City and Beneficiary agree to amend the Agreement as set forth below:

Beneficiary Agreement
Beneficiary Agreement • July 1st, 2009
Complex beneficiary agreement.
Beneficiary Agreement • March 4th, 2010

THIS AGREEMENT is made and entered into on _________[date]. The parties are all the beneficial interest holders of a certain Land Trust known as _________[name of trustee] Trust No _. The principal of the

DRAFT (3): 21 JULY 2020 Beneficiary Agreement1
Beneficiary Agreement • July 24th, 2020 • Sint Maarten

This Agreement includes general provisions applicable to all transactions. It also contains the grant mechanism in the instances where the NRPB is granting moneys to the beneficiary for Assets and Non-Structural Repairs. Clauses 2 and 6 are only applicable in such instances should otherwise be deleted if not applicable.

BENEFICIARY AGREEMENT
Beneficiary Agreement • October 16th, 2007
CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS BENEFICIARY AGREEMENT American Rescue Plan Act of 2021 [NAME OF CITY GRANT PROGRAM]
Beneficiary Agreement • November 3rd, 2022 • Rhode Island

This AGREEMENT is entered into this _____ day of ____________, 2022 by and between the City of Providence, by and through its Department of [NAME OF DEPARTMENT/DIVISION] (herein referred to as the “City”) and [NAME/ADDRESS] (herein referred to as the “Beneficiary”).

Beneficiary Agreement
Beneficiary Agreement • April 11th, 2023

NB: this is a form of a Beneficiary Agreement intended for use with the Risk Sharing Mechanism for Resource Validation Programme. The RSM reserves the option to amend or adjust the form of the Beneficiary Agreement. This might occur where a project to be supported is considered by the RSM to have a risk profile that warrants additional terms

BENEFICIARY AGREEMENT
Beneficiary Agreement • October 26th, 2016
PHYSICIAN NOTICE TO MEDICARE PATIENTS
Beneficiary Agreement • September 25th, 2013
ENTERPRISE DEVELOPMENT BENEFICIARY AGREEMENT
Beneficiary Agreement • May 8th, 2020

This agreement serves as confirmation that the Company acknowledges a Enterprise Development relationship with the Beneficiary whereby the Company wishes to provide Enterprise Development services to the Beneficiary in the form of:

BENEFICIARY AGREEMENT
Beneficiary Agreement • November 16th, 2022 • Kentucky

THIS BENEFICIARY AGREEMENT (“Agreement”) is made and entered into on this 16th day of November, 2022 (“Effective Date”), by and between the KENTON COUNTY FISCAL COURT, a political subdivision of the Commonwealth of Kentucky, with an address of 1840 Simon Kenton Way, Suite 5200, Covington, Kentucky 41011 (“Kenton County Fiscal Court”) , and the NORTHERN KENTUCKY PORT AUTHORITY, a Special Purpose Government Entity, with offices at 300 Buttermilk Pike, Suite 332, Ft. Mitchell, Kentucky 41017 (“Port Authority”).

EVERETT FORWARD ROUND 2 BENEFICIARY AGREEMENT
Beneficiary Agreement • November 6th, 2023

This Amendment to Beneficiary Agreement (“Amendment”) is effective as of the date of the Mayor’s signature below, and is between the City of Everett, a Washington municipal corporation (the “City”), and the Beneficiary identified below (“Beneficiary”). The City and Beneficiary are parties to the Everett Forward Grant Round 2 Beneficiary Agreement described below, as may be previously amended ("Agreement"). In consideration of the covenants, terms and conditions set forth below, and for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the City and Beneficiary agree to amend the Agreement as set forth below:

Beneficiary Agreement
Beneficiary Agreement • January 9th, 2014

To become a beneficiary of the Encinitas Rotary Wine & Food Festival, we ask for the following commitment from our charity partners:

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HCA Agreement Number: BENEFICIARY AGREEMENT G255 Behavioral Health Workforce Stabilization Funding Beneficiary National PI Number:1801003439
Beneficiary Agreement • October 14th, 2022

This Beneficiary Agreement (“Agreement”) is made by and between the Washington State Health Care Authority (“HCA”) and the non-hospital-based community behavioral health treatment agency (“Beneficiary”) identified below. HCA and Beneficiary may be individually referred to as a “party” or collectively referred to as “parties.”

AutoCity Cares Beneficiary Agreement
Beneficiary Agreement • December 18th, 2023
NOTICE TO OUR MEDICARE PATIENTS
Beneficiary Agreement • August 6th, 2004

Medicare will only pay for services that are determined to be “reasonable and necessary” under Section 1862 (a) (1) of the Medicare laws. If Medicare determines that a particular service, although it would be otherwise covered, is “not reasonable and necessary” under the Medicare program standards, Medicare will not pay for that service.

TO EVERETT FORWARD BENEFICIARY AGREEMENT
Beneficiary Agreement • August 27th, 2024

This Amendment is dated for reference purposes January 1, 2024. It is by and between the City of Everett, a municipal corporation under the laws of the State of Washington (“City”) and Chai Cupboard LLC (“Grantee”). The City and Grantee are parties to the Beneficiary Agreement for the Everett Forward Grant Program dated on or about January 18, 2022 (the “Agreement”). The purpose of this Amendment is to extend the term of the Agreement.

MICHAEL WILLIS
Beneficiary Agreement • September 6th, 2023 • Oklahoma
Beneficiary Agreement
Beneficiary Agreement • July 28th, 2020

Welcome to Green Halloween®! We’re so glad you’re on board as a non-profit beneficiary and are excited to support your organization through exposure and fundraising.

CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS DESTINATION MARKETING ORGANIZATION BENEFICIARY AGREEMENT
Beneficiary Agreement • January 30th, 2023

This agreement is entered into by and between the State of South Dakota, by and through the Department of Tourism ("Tourism” or the "State''), 711 E Wells Ave, Pierre, SD 57501 and , (insert address) a Destination Marketing Organization ("DMO").

MEDICARE PATIENTS
Beneficiary Agreement • February 23rd, 2017

My physician has notified me that MEDICARE is likely to deny payment for Services for the reasons stated above. If Medicare denies payment, I agree to be personally and fully responsible for payment.

FIRST AMENDMENT TO BENEFICIARY AGREEMENT BETWEEN THE COUNTY OF ORANGE AND VIET AMERICA SOCIETY, INC., FOR AMERICAN RESCUE PLAN ACT FUNDING
Beneficiary Agreement • March 7th, 2023

This First Amendment to the Beneficiary Agreement (the “First Amendment”) is made and entered into as of February 24, 2023 by and between the County of Orange, a political subdivision of the State of California, hereinafter referred to as “County,” and Viet America Society, Inc., a California non-profit corporation, hereafter referred to as “Non-Profit,” with the County and Non-Profit referred to as “Party,” or collectively as “Parties.”

ENTERPRISE DEVELOPMENT – BENEFICIARY AGREEMENT BETWEEN Company Name Company Registration Number: Physical Address: Postal Address: The Company AND Company Name Company Registration Number Registration Number/ID Number: Physical Address: Postal...
Beneficiary Agreement • July 28th, 2020

For the purpose of financial, operational and/or developmental sustainability in the beneficiary enterprise, The Company wishes to assist the Beneficiary according to Enterprise Development defined in the Broad Based Black Economic Empowerment Act 2003 and subsequent Codes of Good Practice, 2007.

Advanced Beneficiary Notice
Beneficiary Agreement • March 26th, 2012

Medicare will only pay for services that it determines to be “reasonable and necessary” under section 1862 (a)(1) of the Medicare law. If Medicare determines that a particular service, although it would otherwise be covered, is “not reasonable and necessary” under Medicare program standards, Medicare will deny payment for that service. Specifically, MediCare will deny payment for a Screening Pelvic and Breast Exam if you have had one during the last two years. The office visit charge of your Annual Exam is not covered by Medicare and you will be billed for that portion.

MYLIFE VOUCHER APP- BENEFICIARY AGREEMENT
Beneficiary Agreement • February 8th, 2022
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