Entered into this day of, 200 (the Effective Date ) between: Mr./Mrs./Miss/Ms., residing at

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Entered into this day of, 200 (the Effective Date ) between: Mr./Mrs./Miss/Ms., residing at"

Transcription

1 Consulting Agreement Entered into this day of, 200 (the Effective Date ) between: Mr./Mrs./Miss/Ms., residing at ( Parents ); and AUTISM OUTREACH, INC., a corporation organized under the laws of the Commonwealth of Virginia, with a principal place of business at 701 Emerald Hill Drive, Leesburg, VA ( Consultant ). WHEREAS, Consultant has expertise in the development, implementation, and supervision of an educational program known as Applied Behavior Analysis therapy ("ABA") which has been used in the treatment and education of children with pervasive developmental disorders (PDD) and/or autism; and WHEREAS, Parents are the parents of a child with PDD and/or autism and wish to engage Consultant in an advisory capacity to assist in developing and/or implementing an ABA program for their child; and WHEREAS, the Parties wish to document their understanding of their relationship with respect to the development, implementation, and supervision of the ABA program. 1. This Agreement sets forth the understandings of the Parties as to their relative responsibilities in establishing and managing the ABA program. It is understood that Consultant is engaged in an advisory capacity specifically with respect to the ABA program and that Parents shall be ultimately responsible for choosing any additional or supplemental therapies, drugs, or other treatments or programs for their child. Further, the Parents acknowledge that they have independently determined, through research, discussions with medical professionals, specialists, or others that ABA is an appropriate treatment for their child and have not been induced by Consultant or relied on any representations made by Consultant regarding the likelihood of success of the program in engaging Consultant's services with respect to the ABA program. 1

2 WHILE ABA HAS BEEN USED SUCCESSFULLY IN THE TREATMENT OF SOME CHILDREN DIAGNOSED WITH PDD AND/OR AUTISM, NOT ALL CHILDREN BENEFIT FROM THIS TYPE OF PROGRAM NOR DO THOSE WHO DO BENEFIT ALL BENEFIT TO THE SAME EXTENT. THE SUCCESS OF ABA IS HIGHLY DEPENDENT UPON THE NATURAL ABILITIES OF THE CHILD, THE DEDICATION AND CONSISTENCY OF TREATMENT, NUMBER OF HOURS, QUALITY OF THERAPISTS, AND OTHER FACTORS BEYOND THE CONTROL OF CONSULTANT. CONSULTANT MAKES NO WARRANTIES, NOR SHALL CONSULTANT HAVE ANY LIABILITY, REGARDING THE OUTCOME OF THE ABA PROGRAM OR THE SUCCESS OF THE CHILD IN ACHIEVING POSITIVE RESULTS FROM THE ABA PROGRAM. Appendix 2 contains waivers of liability and consents for certain accommodations that may be provided by Consultant at the request of Parents which accommodations are outside the scope of the ABA program. The Parties agree that the granting by Parent(s) of these waivers of liability and consents in connection with the performance of any such Parent-requested accommodations are a material inducement on which Consultant relies in providing such accommodations. 2. Consultant shall be responsible for: developing an ABA program, following protocols based on an ABA method and Consultant's assessment of the child's current abilities and skill levels; and recommending materials to be incorporated into the ABA program; and assisting Parents in recruiting therapists to administer the ABA program; and providing training to therapist candidates, if requested by the Parents; and monitoring the ABA program, including chairing team meetings with therapists and Parents, analyzing statistical information kept on the ABA Program and advising Parents of modifications, enhancements, or other changes to the ABA program as dictated by the child's progress. It is specifically understood that Consultant is not engaged as a therapist and does not actually perform ABA therapy with the child. In addition, Parents understand that ABA programs vary and that not all ABA programs are identical, depending on the training of the consultant involved. 3. Parents shall be responsible for: establishing a day-to-day therapy schedule with the therapists; and arranging fees, making all payments (including withholding for taxes, as appropriate) to therapists; and day-to-day management of the therapists; and making all hire and/or fire decisions with regard to therapists; and 2

3 providing materials and accommodations for the ABA program (e.g., therapy room, materials, reinforcers, etc.) 4. This Agreement does not set a specific schedule of hours or days on which the services of Consultant will be performed. All meetings, evaluations, and other services to be performed by the Consultant will be scheduled with the Parents at a mutually convenient time. Consultant makes every attempt to accommodate the schedules of parents, however, it is understood that Consultant has other clients and commitments and may not always be available for Parent's first choice of meeting dates and times. 5. Consultant's fees are set forth in Appendix 1 hereto. The initial services to provided by Consultant are: [List the services from Appendix 1 that have been agreed] a) Payment of the fees for an Initial Consultation are due at the time of the appointment and include, in addition to the meeting with Parent(s), the review of the Parent questionnaire and other relevant history of the Child prior to the meeting. b) Fees for all other services shall be invoiced at the end of the month in which the services were rendered. Consultant will render an invoice to Parents at the end of the billing period, detailing the hours worked and services provided. All invoiced charges other than amounts disputed on the basis of incorrect application of rates or hours worked, shall be paid by the last day of the month in which the invoice is rendered. c) Parents will immediately notify Consultant of any disputed amounts contained on any invoice. Unless Consultant is so notified, in writing, at the time the invoice is rendered, the calculation of charges on the invoice shall be deemed accepted. Consultant reserves the right to require payment in advance where Parent(s) has been delinquent in paying its invoices twice in any consecutive three (3) month period. Lack of progress by the Child shall not be a defense against the payment obligations of Parent(s) hereunder. 6. Consultant shall be deemed at all times to be an independent contractor, and, as such, will not be eligible for any employee benefits and Parents shall not make deductions or withhold funds from fees paid hereunder for the purpose of Social Security, federal, state, or local income tax. Nothing contained in this Agreement shall be construed as creating the relation of employer and employee between the Parties during the term of this Agreement. 7. Either Party may terminate this Agreement at any time for any reason, provided that such termination shall not affect any obligations or liabilities accrued hereunder as of the date of termination. In no event shall Consultant be liable to Parents or to the child for the (i) the failure of the child to make progress under the ABA program; or 3

4 (ii) the acts or omissions of any therapist employed by the Parents; or (iii) any act or omission that was outside Consultant's reasonable control. 8. This Agreement represents the entire Agreement between the Parties and is governed in all respects by the laws of the Commonwealth of Virginia. AUTISM OUTREACH, INC. Parent 1 Parent 2 Date Signature Title Date 4

5 Appendix 1 Master Consultant A Master s level consultant that is a Board Certified Behavior Analyst (BCBA) Hourly Rate: $175 Senior Consultant A Bachelor s level consultant that is a (BCaBA) Hourly Rate: $150 Associate Consultant A Bachelor s level consultant that is pursuing Board Certification as a BcaBA Hourly Rate: $125 Master Therapist Pursuing or has received a degree in the field, with 5+ years of experience Hourly Rate: $65 in office $70 in home Senior Therapist Pursuing a degree in the field, with 2-5 years of experience Hourly Rate: $50 in office $55 in home Associate Therapist High school diploma with 0-2 years of experience Hourly Rate: $35 in office $40 in home The following is a list of the services we offer. Each service is accompanied by an estimate amount of hours this service typically takes. Please note that this is just an estimate, when creating individualized programs, certain services may take longer than expected. Initial Consultation $200 Conducted in our offices Observation of the child (please note we will not be directly working with your child during this visit) Review of relevant information (reports, IEPs, assessments, etc.), this may be done outside of the initial consultation Discussion of possible interventions Overview of program 5

6 Service Hours Assessment (Initial and On-going) 5 Working session with child Present levels Recommendations for programming Report Program Preparation 5 Review and analyze information regarding the child gleaned from work session, parent checklist, IEPs, etc. Develop drill book Training 10 Program training (parents, therapists, speech and language, occupational therapists, etc.) Orientation to program (basic philosophy) Components of program Reinforcement Prompting system Data collection Preparation Training Packets Video Feed Back Hourly Watching and giving written feedback to therapists and families 3-4 hours of video Team Meetings 3 Therapists, parents, consultant meet to discuss program; fine tune/modify as required IEP Development/Attendance (Assessment Required) Review of proposed objectives and goals Develop objectives and goals School Visits/Observation Visit to school Consultation with teacher (in amenable) Report Hourly Hourly Potty Training 10 Intensive 1 day training 6

7 Service Hours Social Groups 2 Held in our offices after school during the school year An intake visit is required before beginning Supplies TBD Supplies are agreed based on the program; where obtained by consultant, supplies are charged with a minimal service fee Consultations Phone Consultations Increments 15 Minute Increments 15 Minute Other Services All other services provided at Consultant's hourly rate Mileage Current Rate Charged for families out of the consultant s 10 mile radius to 50 mile radius The fee will appear on your monthly invoice Travel Time Half of Hourly Rate Charged for families out of the consultant s 50 mile radius Airfare Current Fare Charged for families more than 2 hours of driving time away Hotel Accommodations Current Rate Charged for families out of the consultant s 50 miles radius AND 8 or more hours of consulting in one day Per Diem $35/day Charged for families the consultant will spending 8 or more hours a day with Referral Compensation $100 Credited to the family s invoice for referrals to other families that schedule an initial consultation with our organization 7

8 APPENDIX 2 Waiver of Liability and Consents The undersigned parent ( Parent ) of, a minor child with autism (the Child ), hereby confirms that he/she has engaged Consultant to provide therapeutic services to the Child. The following consents and waivers of liability are provided by the Parent to Consultant in furtherance of the performance of the services contemplated by this Agreement and are intended by the Parties to be fully enforceable except in the case of gross negligence or willful misconduct by Consultant. 1) Consent to Obtain Medical Treatment: Parent hereby requests that Consultant provide services to the Child, from time to time, in the family home with or without supervision by the Parent. The Parent understands that Consultant recommends that Parent or another responsible person over the age of 18 years be present during any such services. Where the Parent elects not to be present during therapy sessions, the Parent agrees that he/she will provide the Consultant with up-to-date emergency contact information and Parent will be available at the number(s) provided during the therapy session. In the event of an emergency, if the Parent cannot be reached in a reasonable period of time, then the Consultant shall, in his/her sole discretion, contact emergency medical personnel or seek other emergency assistance, as dictated by the circumstances. The Parent agrees that neither the Consultant, nor any individual employed by Consultant, shall be held liable by Parent for any reasonable action taken in response to an emergency situation where the Parent has elected not to be present during a therapy session. Parent Initials 2) Consent to Provide Transportation: Parent hereby requests that Consultant provide transportation services for the Child to/from therapy sessions from time to time. Parent hereby releases Consultant and any of its employees, from any and all liability arising out of the transportation of the Child at the Parent s request. Where recommended due to the age or weight of the Child, Parent shall provide a car seat or other appropriate restraint and, where requested by Consultant, Parent shall install such restraints in the Consultant s vehicle. Parent Initials This consent and waiver of liability shall be effective as of the date executed by the Parent until revoked in writing. Parent Signature 8

PROFESSIONAL/CONSULTING SERVICES AGREEMENT

PROFESSIONAL/CONSULTING SERVICES AGREEMENT This SERVICES AGREEMENT ( Agreement ) is entered into by and between the undersigned, ( Contractor ), (Social Security Number or Federal I.D. No.), located at and Texas Southern University ( TSU ), an

More information

FOREXer Advisory ADVISORY AGREEMENT. Last update of this DisclosureDocument is Aug 1 st, 2013.

FOREXer Advisory ADVISORY AGREEMENT. Last update of this DisclosureDocument is Aug 1 st, 2013. FOREXer Advisory ADVISORY AGREEMENT Last update of this DisclosureDocument is Aug 1 st, 2013. TRADING ADVISORY AGREEMENT This Trading Advisory Agreement (the Agreement ) is entered into as of the Date:-------------------by

More information

INDUSTRIAL CARPET CLEANING SERVICES CONTRACT. THIS AGREEMENT executed on this the day of, 20 by and between. (hereinafter "Employer"), and

INDUSTRIAL CARPET CLEANING SERVICES CONTRACT. THIS AGREEMENT executed on this the day of, 20 by and between. (hereinafter Employer), and INDUSTRIAL CARPET CLEANING SERVICES CONTRACT THIS AGREEMENT executed on this the day of, 20 by and between (hereinafter "Employer"), and (hereinafter "Contractor") NOW, THEREFORE, FOR AND IN CONSIDERATION

More information

Services Agreement Instruction Sheet

Services Agreement Instruction Sheet Delta-T Group POB 884 Bryn Mawr, PA 19010 Phone: 800-251-8501 FAX: 610-527-9547 www.delta-tgroup.com Services Agreement Instruction Sheet We thank you for your interest in Delta-T Group. Below please find

More information

AGREEMENT BETWEEN GERMANTOWN SCHOOL DISTRICT AND DOMINICZAK THERAPY ASSOCIATES, LLC

AGREEMENT BETWEEN GERMANTOWN SCHOOL DISTRICT AND DOMINICZAK THERAPY ASSOCIATES, LLC AGREEMENT BETWEEN GERMANTOWN SCHOOL DISTRICT AND DOMINICZAK THERAPY ASSOCIATES, LLC Dominiczak Therapy Associates, LLC (DTA), hereby enters into this Agreement with Germantown School District (District)

More information

INVESTMENT ADVISORY AGREEMENT

INVESTMENT ADVISORY AGREEMENT INVESTMENT ADVISORY AGREEMENT This Investment Advisory Agreement (the "Agreement") is made and entered into this day of, 20, by and between Bahl & Gaynor, Inc. (the "Advisor"), having its principal place

More information

BRIARWOOD CAPITAL MANAGEMENT INC. MANAGED ACCOUNT AGREEMENT

BRIARWOOD CAPITAL MANAGEMENT INC. MANAGED ACCOUNT AGREEMENT BRIARWOOD CAPITAL MANAGEMENT INC. MANAGED ACCOUNT AGREEMENT THIS MANAGED ACCOUNT AGREEMENT (the "Agreement") is made by and between BRIARWOOD CAPITAL MANAGEMENT INC., a New York corporation (the "Advisor")

More information

Antonio Gastelum, Inc. INVESTMENT MANAGEMENT AND ADVISORY AGREEMENT ( Agreement )

Antonio Gastelum, Inc. INVESTMENT MANAGEMENT AND ADVISORY AGREEMENT ( Agreement ) Antonio Gastelum, Inc. INVESTMENT MANAGEMENT AND ADVISORY AGREEMENT ( Agreement ) Management and Advisory Agreement This Investment Management and Advisory Services ( Advisory Services ) Agreement dated

More information

INDEPENDENT CONTRACTOR SERVICES AGREEMENT

INDEPENDENT CONTRACTOR SERVICES AGREEMENT INDEPENDENT CONTRACTOR SERVICES AGREEMENT THIS AGREEMENT is entered into as of this day of, 2010, by and between the CITY OF MONTROSE, State of Colorado, a Colorado home rule municipal corporation, whose

More information

PIH INVESTMENTS, LLC INVESTMENT ADVISORY AGREEMENT

PIH INVESTMENTS, LLC INVESTMENT ADVISORY AGREEMENT PIH INVESTMENTS, LLC INVESTMENT ADVISORY AGREEMENT On this day of, in the year, by and between Pih Investments, LLC ( Advisor ) and ( Client ). WITNESSETH WHEREAS, the undersigned Client being duly authorized

More information

Application for Services Checklist

Application for Services Checklist Application for Services Checklist This form is not required, but rather is meant to help families gather all required information and documentation required to start ABA services at Behavior Analysts

More information

SLIPPERY ROCK UNIVERSITY OF PENNSYLVANIA. Department of Nursing. School District Affiliation Agreement

SLIPPERY ROCK UNIVERSITY OF PENNSYLVANIA. Department of Nursing. School District Affiliation Agreement SLIPPERY ROCK UNIVERSITY OF PENNSYLVANIA Department of Nursing School District Affiliation Agreement THIS AGREEMENT is made this 1st day of January, 2013 by and between SLIPPERY ROCK UNIVERSITY OF PENNSYLVANIA,

More information

AGREEMENT FOR FINANCIAL AND ACCOUNTING CONSULTATION SERVICES

AGREEMENT FOR FINANCIAL AND ACCOUNTING CONSULTATION SERVICES AGREEMENT FOR FINANCIAL AND ACCOUNTING CONSULTATION SERVICES THIS AGREEMENT is made as of December 1, 2003, by and between the San Francisquito Creek Joint Powers Authority, a body corporate and politic

More information

MEDICAL LIEN CONTRACT. Date Patient Name Patient Date of Birth Date of Loss

MEDICAL LIEN CONTRACT. Date Patient Name Patient Date of Birth Date of Loss MEDICAL LIEN CONTRACT Date Patient Name Patient Date of Birth Date of Loss Payment to Provider: I, ( Patient ), hereby authorize and direct you ( Attorney ), to pay directly to ( Provider ) AND/OR TO ANY

More information

Independent Contractor Agreement

Independent Contractor Agreement Independent Contractor Agreement This Independent Contractor Agreement ("Agreement") is made and entered by and between Vehicle Inspection Pro s, LLC. ( VIP or Company"), a Missouri Limited Liability Company

More information

Pay Per Click Services Agreement

Pay Per Click Services Agreement Pay Per Click Services Agreement Pay per click service agreement made on the (date), between (Name of Client), a corporation organized and existing under the laws of the state of, with its principal office

More information

PRODUCER AGREEMENT. Hereinafter ("Producer"), in consideration of the mutual covenants and agreements herein contained, agree as follows:

PRODUCER AGREEMENT. Hereinafter (Producer), in consideration of the mutual covenants and agreements herein contained, agree as follows: PRODUCER AGREEMENT Hereinafter First Choice Insurance Intermediaries, Inc "FCII", a Florida company, having an office at 814 A1A North, Suite 206, Ponte Vedra Beach, FL 32082 and " Producer" having an

More information

AGREEMENT AMERICAN TRANSLATORS ASSOCIATION GUIDE TO AN INTERPRETING SERVICES AGREEMENT

AGREEMENT AMERICAN TRANSLATORS ASSOCIATION GUIDE TO AN INTERPRETING SERVICES AGREEMENT THE FOLLOWING GUIDE DOES NOT RESTRICT ANYONE FROM CONTRACTING FOR SERVICES ON TERMS AND CONDITIONS DIFFERENT FROM THOSE BELOW. THE USE OF ANY CLAUSE IS STRICTLY VOLUNTARY. NEITHER THE AMERICAN TRANSLATORS

More information

ISO LESO NETWORK PROVIDER AGREEMENT. Between: and. ISO LESO OPTICS LIMITED Registration number: 1999/13972/06 ("Iso Leso Optics")

ISO LESO NETWORK PROVIDER AGREEMENT. Between: and. ISO LESO OPTICS LIMITED Registration number: 1999/13972/06 (Iso Leso Optics) ISO LESO NETWORK PROVIDER AGREEMENT Between: EACH OPTOMETRIC PRACTICE AND OPTOMETRIST WHO ELECTS TO PARTICIPATE IN THE PROVIDER AGREEMENTS ALREADY ENTERED INTO OR TO BE ENTERED INTO BETWEEN ISO LESO OPTICS

More information

PAYROLL SERVICE AGREEMENT. On this day of, 2016, this PAYROLL SERVICE AGREEMENT. ( Agreement ) is entered into by and between ("EMPLOYER")

PAYROLL SERVICE AGREEMENT. On this day of, 2016, this PAYROLL SERVICE AGREEMENT. ( Agreement ) is entered into by and between (EMPLOYER) PAYROLL SERVICE AGREEMENT On this day of, 2016, this PAYROLL SERVICE AGREEMENT ( Agreement ) is entered into by and between ("EMPLOYER") and WE PAY Payroll Processing Company, 3 W. Olive Street, Suite

More information

sad EFFECTIVE DATE: 10 01 2013 POLICY LAST UPDATED: 06 02 2015

sad EFFECTIVE DATE: 10 01 2013 POLICY LAST UPDATED: 06 02 2015 Medical Coverage Policy Autism Spectrum Disorders Mandate sad EFFECTIVE DATE: 10 01 2013 POLICY LAST UPDATED: 06 02 2015 OVERVIEW Applied behavioral analysis (ABA) is the process of systematically applying

More information

TERMS AND CONDITIONS FOR QUOTATIONS. As stated herein, seller is Environ Laboratories, LLC and purchaser is the recipient of the quotation.

TERMS AND CONDITIONS FOR QUOTATIONS. As stated herein, seller is Environ Laboratories, LLC and purchaser is the recipient of the quotation. 9725 Girard Avenue South Minneapolis, MN 55431-2621 TERMS AND CONDITIONS FOR QUOTATIONS As stated herein, seller is Environ Laboratories, LLC and purchaser is the recipient of the quotation. 1.0 GENERAL

More information

COMPUTER SERVICES AGREEMENT

COMPUTER SERVICES AGREEMENT COMPUTER SERVICES AGREEMENT This COMPUTER SERVICES AGREEMENT ( "Agreement") is made and entered into effective as of the 1 day of January, 2008 (the Effective Date ), by and between 3T Productions, Inc.,

More information

PERSONAL SHOPPER SERVICES CONTRACT

PERSONAL SHOPPER SERVICES CONTRACT PERSONAL SHOPPER SERVICES CONTRACT THIS AGREEMENT executed on this the day of, 20 by and between (hereinafter "Employer"), and (Hereinafter "Personal Shopper"). NOW, THEREFORE, FOR AND IN CONSIDERATION

More information

OPERATING AGREEMENT FOR SECURITY SERVICES

OPERATING AGREEMENT FOR SECURITY SERVICES 1 OPERATING AGREEMENT FOR SECURITY SERVICES THIS AGREEMENT, and the rider attached hereto and made a part hereof, hereinafter referred to as Rider, made and entered into as of the 6 th day of March, 2013,

More information

Statement of Work. for. Online Event Registration Product Deployment for Salesforce Implementation. for. Open Web Application Security Project (OWASP)

Statement of Work. for. Online Event Registration Product Deployment for Salesforce Implementation. for. Open Web Application Security Project (OWASP) Statement of Work for Online Event Registration Product Deployment for Salesforce Implementation for Open Web Application Security Project (OWASP) July 9, 2010 TABLE OF CONTENTS INTRODUCTION... 3 SCOPE...

More information

CONSULTANT AGREEMENT. THIS CONSULTANT S AGREEMENT (the Agreement ) is effective this day of

CONSULTANT AGREEMENT. THIS CONSULTANT S AGREEMENT (the Agreement ) is effective this day of CONSULTANT AGREEMENT THIS CONSULTANT S AGREEMENT (the Agreement ) is effective this day of, 2011, by and between the TOWN OF UNIVERSITY PARK (the Town ), a municipal corporation of the State of Maryland,

More information

INVESTMENT ADVISORY AGREEMENT

INVESTMENT ADVISORY AGREEMENT INVESTMENT ADVISORY AGREEMENT THIS INVESTMENT ADVISORY AGREEMENT is made on the Effective Date identified below by and between the investment advisors affiliated with BCG Securities, Inc. ( Advisor ),

More information

CLIENT CONTRACT STATE OF TEXAS }

CLIENT CONTRACT STATE OF TEXAS } STATE OF TEXAS } CLIENT CONTRACT COUNTY OF COLLIN } This is an agreement ( Agreement ) between THE NANNY AGENCY, INC., (referred to hereinafter as the Agency, 12202 Pagewynne Drive, Frisco, Texas 75035,

More information

Real Estate Salesman Agreement (Independent Contractor)

Real Estate Salesman Agreement (Independent Contractor) Real Estate Salesman Agreement (Independent Contractor) This Packet Includes: 1. General Information 2. Instructions and Checklist 3. Real Estate Salesman Agreement (Independent Contractor ) 1 General

More information

WVPEIA/AccessWV/WVCHIP Applied Behavior Analysis (ABA)

WVPEIA/AccessWV/WVCHIP Applied Behavior Analysis (ABA) WVPEIA/AccessWV/WVCHIP Applied Behavior Analysis (ABA) Billing and Payment Policy The practice of Applied Behavior Analysis is defined as the application of the principals, methods, and procedures of the

More information

Disorders Mandate. Medical Coverage Policy Autism Spectrum EFFECTIVE DATE: 10/01/2013 POLICY LAST UPDATED: 08/05/2014

Disorders Mandate. Medical Coverage Policy Autism Spectrum EFFECTIVE DATE: 10/01/2013 POLICY LAST UPDATED: 08/05/2014 Medical Coverage Policy Autism Spectrum Disorders Mandate EFFECTIVE DATE: 10/01/2013 POLICY LAST UPDATED: 08/05/2014 OVERVIEW Applied behavioral analysis (ABA) is the process of systematically applying

More information

Painting Services Agreement

Painting Services Agreement This Packet Includes: 1. General Information 2. Instructions and Checklist 3. Step-by-Step Instructions 4. General Information This is between a Client and a Contractor who will perform painting services

More information

CONSULTATIVE BEHAVIORAL INTERVENTION (CBI) SERVICES SPC 512.10. Applies to CLTS (SED, DD only)

CONSULTATIVE BEHAVIORAL INTERVENTION (CBI) SERVICES SPC 512.10. Applies to CLTS (SED, DD only) CONSULTATIVE BEHAVIORAL INTERVENTION (CBI) SERVICES DEFINITION SPC 512.10 Applies to CLTS (SED, DD only) Consultative Behavioral Intervention (CBI) Services use behavioral treatment methods to change socially

More information

FACILITIES USE AGREEMENT

FACILITIES USE AGREEMENT FACILITIES USE AGREEMENT Effective Date: Sponsor: Sponsor Address: Facility: THIS FACILITIES USE AGREEMENT ( Agreement ) is effective as of the Effective Date set forth above, by and between Temple University

More information

Expanded Market Programs

Expanded Market Programs Expanded Market Programs Empowering you to say Yes more often! Ivantage and NEA are affiliates of Allstate, who offer Exclusive Agents access to additional products for risks outside of Allstate s market

More information

CLIENT APPLICATION & INVESTMENT ADVISORY AGREEMENT

CLIENT APPLICATION & INVESTMENT ADVISORY AGREEMENT CLIENT APPLICATION & INVESTMENT ADVISORY AGREEMENT MarketCycle Wealth Management, LLC Phone / fax: 1-800-MWM-8635 MarketCycle Wealth Management, LLC Primary Account Owner/Trustee (please fill in all that

More information

WEALTH MANAGEMENT SERVICES AGREEMENT

WEALTH MANAGEMENT SERVICES AGREEMENT WEALTH MANAGEMENT SERVICES AGREEMENT This Agreement is entered into by George Papadopoulos (hereinafter referred to as the Adviser ) and ( hereinafter referred to as the "Client or You ), and outlines

More information

COST SHARING AGREEMENT FOR SERVICES. between. Royal Holloway and Bedford New College. and. Royal Holloway Enterprise Limited

COST SHARING AGREEMENT FOR SERVICES. between. Royal Holloway and Bedford New College. and. Royal Holloway Enterprise Limited COST SHARING AGREEMENT FOR SERVICES between Royal Holloway and Bedford New College and Royal Holloway Enterprise Limited 1 THIS COST SHARING AGREEMENT is made this... day of... 2010 by and between Royal

More information

Payroll Services Agreement

Payroll Services Agreement Payroll Services Agreement THIS PAYROLL SERVICES AGREEMENT (the Agreement ) is made and entered into this day of, 20, by and between Susan Arnoldussen, of Accounting Unlimited, LLC (the Payroll Service

More information

Interactive Brokers Hong Kong Agreement for Advisors Providing Services to Interactive Brokers Clients

Interactive Brokers Hong Kong Agreement for Advisors Providing Services to Interactive Brokers Clients Interactive Brokers Hong Kong Agreement for Advisors Providing Services to Interactive Brokers Clients This Agreement is entered into between Interactive Brokers Hong Kong Ltd ("IB") and the undersigned

More information

INVESTMENT ADVISORY AGREEMENT. Horizon Investments, LLC Lifetime Income Strategy

INVESTMENT ADVISORY AGREEMENT. Horizon Investments, LLC Lifetime Income Strategy INVESTMENT ADVISORY AGREEMENT Horizon Investments, LLC Lifetime Income Strategy This agreement (the Agreement ) for investment management services is entered into by and between HORIZON INVESTMENTS, LLC

More information

Referred to Committee on Commerce and Labor. SUMMARY Revises provisions relating to autism spectrum disorders. (BDR 54-67)

Referred to Committee on Commerce and Labor. SUMMARY Revises provisions relating to autism spectrum disorders. (BDR 54-67) A.B. ASSEMBLY BILL NO. COMMITTEE ON COMMERCE AND LABOR (ON BEHALF OF THE LEGISLATIVE COMMITTEE ON HEALTH CARE) PREFILED DECEMBER, 0 Referred to Committee on Commerce and Labor SUMMARY Revises provisions

More information

BUYING AGENCY AGREEMENT

BUYING AGENCY AGREEMENT THIS AGREEMENT ( Agreement ) is made this day of, 20xx, by and between, with its principal place of business at referred to hereinafter as Buyer, and, with its principal office at, hereinafter referred

More information

NEW ERA LIFE INSURANCE COMPANY GENERAL AGENT S CONTRACT. For. Name. Address. City State Zip

NEW ERA LIFE INSURANCE COMPANY GENERAL AGENT S CONTRACT. For. Name. Address. City State Zip NEW ERA LIFE INSURANCE COMPANY GENERAL AGENT S CONTRACT For Name Of Address City State Zip P.O. Box 4884 Houston, Texas 77210-4884 200 Westlake Park Blvd. Suite # 1200 Houston, Texas 77079 1-800-713-4680

More information

SUB-PRODUCER AGREEMENT (Alfa Insurance Agent)

SUB-PRODUCER AGREEMENT (Alfa Insurance Agent) www.neagencies.com 6467 Main Street, Suite 104 Williamsville, NY 14221 phone: (800) 333-0980 fax: (716) 954-0219 SUB-PRODUCER AGREEMENT (Alfa Insurance Agent) Northeast Agencies, Inc. ( NEA ), a New York

More information

INVESTMENT ADVISORY AGREEMENT

INVESTMENT ADVISORY AGREEMENT INVESTMENT ADVISORY AGREEMENT This Investment Advisory Agreement sets forth the terms upon which Client engages Grossman Financial Management as a financial and investment advisor. Agreement The undersigned

More information

MEMORANDUM OF UNDERSTANDING Between COMPANY And MISSOURI STATE UNIVERSITY

MEMORANDUM OF UNDERSTANDING Between COMPANY And MISSOURI STATE UNIVERSITY MEMORANDUM OF UNDERSTANDING Between COMPANY And MISSOURI STATE UNIVERSITY THIS MEMORANDUM OF UNDERSTANDING (hereinafter referred to as MOU) is by and between COMPANY, LOCATION AND TYPE OF COMPANY (hereinafter

More information

Administration A. Superintendent 1. Student Teacher University Agreement Template

Administration A. Superintendent 1. Student Teacher University Agreement Template Dr. Bruce Law Pamela Bylsma Tammy Prentiss Domenico Maniscalco Bill Eagan Superintendent Assistant Superintendent Assistant Superintendent Chief Human Chief Financial of Schools for Academics for Student

More information

WVPEIA/WVCHIP Applied Behavior Analysis (ABA) Billing and Payment Policy

WVPEIA/WVCHIP Applied Behavior Analysis (ABA) Billing and Payment Policy WVPEIA/WVCHIP Applied Behavior Analysis (ABA) The practice of Applied Behavior Analysis is defined as the application of the principals, methods, and procedures of the experimental analysis of behavior

More information

SARASOTA COUNTY GOVERNMENT HUMAN SERVICES PROGRAM CONTRACT

SARASOTA COUNTY GOVERNMENT HUMAN SERVICES PROGRAM CONTRACT This contract, made and entered into this day of, 20, by and between Sarasota County, a political subdivision of the State of Florida, hereinafter referred to as the "COUNTY," and School Board of Sarasota

More information

Advisory Agreement: Asset Management Services

Advisory Agreement: Asset Management Services Advisory Agreement: Asset Management Services This Investment Advisory Services Agreement for asset management services ( Agreement ) is made by and between MyWealthyOptions LLC ( MWO or Adviser ), a registered

More information

INDEPENDENT CONTRACTOR AGREEMENT

INDEPENDENT CONTRACTOR AGREEMENT INDEPENDENT CONTRACTOR AGREEMENT This Agreement is hereby entered into between the ESCONDIDO UNION HIGH SCHOOL DISTRICT, hereinafter referred to as District, and hereinafter referred to as Contractor.

More information

GENERAL AGENT AGREEMENT

GENERAL AGENT AGREEMENT Complete Wellness Solutions, Inc. 6338 Constitution Drive Fort Wayne, Indiana 46804 GENERAL AGENT AGREEMENT This Agreement is made by and between Complete Wellness Solutions, Inc. (the Company ) and (the

More information

Independent Contractor Agreement Computer Software Engineer

Independent Contractor Agreement Computer Software Engineer Form: Independent Contractor Agreement Computer Software Engineer Description: This is a sample form of Independent Contractor Agreement between a company and a computer software engineer who will provide

More information

ELECTRONIC FILER AGREEMENT. United States Mineral Products Company Asbestos Personal Injury Settlement Trust

ELECTRONIC FILER AGREEMENT. United States Mineral Products Company Asbestos Personal Injury Settlement Trust ELECTRONIC FILER AGREEMENT United States Mineral Products Company Asbestos Personal Injury Settlement Trust This Electronic Filer Agreement (the Agreement ) is made by and between Claims Resolution Management

More information

SAN DIEGO COUNTY WATER AUTHORITY EMERGENCY STORAGE PROJECT LABOR AGREEMENT. Appendix B

SAN DIEGO COUNTY WATER AUTHORITY EMERGENCY STORAGE PROJECT LABOR AGREEMENT. Appendix B SAN DIEGO COUNTY WATER AUTHORITY EMERGENCY STORAGE PROJECT LABOR AGREEMENT Appendix B Workers Compensation. 1. The Contractor and the Union parties to the Emergency Storage Project Labor Agreement (the

More information

HOMEOWNERS LIMITED REPRESENTATIVE SERVICE AGREEMENT With SERVICE FIRST INSURANCE GROUP LLC. Of CYPRESS PROPERTY & CASUALTY INSURANCE COMPANY

HOMEOWNERS LIMITED REPRESENTATIVE SERVICE AGREEMENT With SERVICE FIRST INSURANCE GROUP LLC. Of CYPRESS PROPERTY & CASUALTY INSURANCE COMPANY HOMEOWNERS LIMITED REPRESENTATIVE SERVICE AGREEMENT With SERVICE FIRST INSURANCE GROUP LLC. Of CYPRESS PROPERTY & CASUALTY INSURANCE COMPANY This Agreement is made and entered into effective as of October

More information

12 SB 414/CSFA/2. Senate Bill 414 By: Senators Unterman of the 45th, Albers of the 56th and Millar of the 40th A BILL TO BE ENTITLED AN ACT

12 SB 414/CSFA/2. Senate Bill 414 By: Senators Unterman of the 45th, Albers of the 56th and Millar of the 40th A BILL TO BE ENTITLED AN ACT Senate Bill 414 By: Senators Unterman of the 45th, Albers of the 56th and Millar of the 40th AS PASSED SENATE A BILL TO BE ENTITLED AN ACT 1 2 3 4 5 6 7 To amend Title 43 of the Official Code of Georgia

More information

BMA ADVISORS, LLC Investment Advisory Agreement

BMA ADVISORS, LLC Investment Advisory Agreement BMA ADVISORS, LLC Investment Advisory Agreement 608 Silver Spur Road, Suite 100, Rolling Hills Estates, CA 90274 This agreement describes the relationship between BMA Advisors, LLC (hereinafter BMA ) and

More information

Investment Advisory Agreement. Advantage Portfolio Management Program

Investment Advisory Agreement. Advantage Portfolio Management Program Investment Advisory Agreement Advantage Portfolio Management Program Dear Sirs/Madams: This Investment Advisory Agreement confirms our agreement as to the following: CLIENT NAME(s): ( Client ) ACCOUNT

More information

AGREEMENT BETWEEN THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO and PROJECT ARCHITECT for A PROJECT OF LIMITED SIZE OR SCOPE

AGREEMENT BETWEEN THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO and PROJECT ARCHITECT for A PROJECT OF LIMITED SIZE OR SCOPE AGREEMENT BETWEEN THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO and PROJECT ARCHITECT for A PROJECT OF LIMITED SIZE OR SCOPE This Agreement is made as of, 20 (the Effective Date ), by and

More information

Advanced AMC, Inc. Appraiser Services Agreement (Independent Contractor Agreement)

Advanced AMC, Inc. Appraiser Services Agreement (Independent Contractor Agreement) Advanced AMC, Inc.. Appraiser Services Agreement (Independent Contractor Agreement) This Appraiser Services Agreement ( Agreement ) shall be effective as of the Effective Date by and between Advanced AMC,

More information

NEWWAVE BUSINESS SALES CHANNEL AGREEMENT

NEWWAVE BUSINESS SALES CHANNEL AGREEMENT NEWWAVE BUSINESS SALES CHANNEL AGREEMENT This New Wave Business Agent Agreement ( Agreement ) is made and entered into between Telecommunications Management LLC DBA NewWave Communications with a principal

More information

Recitals. NOW, THEREFORE, the parties hereto agree as follows: Agreement

Recitals. NOW, THEREFORE, the parties hereto agree as follows: Agreement THIS INDEPENDENT CONTRACTOR SERVICES AGREEMENT (this Agreement ) is made this day of, 20 (the Effective Date ), regardless of the date of execution, by and between Sierra Field Services, Inc., a Nevada

More information

COMMONWEALTH OF VIRGINIA STANDARD PERFORMANCE BOND

COMMONWEALTH OF VIRGINIA STANDARD PERFORMANCE BOND (Rev 03/02) Page 1 of 6 COMMONWEALTH OF VIRGINIA STANDARD PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS: That, the Contractor ( Principal ) whose principal place of business is located at and ( Surety

More information

Fluvanna County Clerk of Circuit Court Secure Remote Access Site Subscriber Renewal Agreement

Fluvanna County Clerk of Circuit Court Secure Remote Access Site Subscriber Renewal Agreement Fluvanna County Clerk of Circuit Court Secure Remote Access Site Subscriber Renewal Agreement It is the intent of both parties to continue to participate in a secure remote access program. This Renewal

More information

708.1.2f - INDEPENDENT CONTRACTOR SERVICES AGREEMENT The University Of North Carolina at Chapel Hill WITNESSETH

708.1.2f - INDEPENDENT CONTRACTOR SERVICES AGREEMENT The University Of North Carolina at Chapel Hill WITNESSETH 708.1.2f - INDEPENDENT CONTRACTOR SERVICES AGREEMENT The University Of North Carolina at Chapel Hill This Independent Contractor Services Agreement (this Agreement ), made and entered into effective as

More information

INDEPENDENT CONTRACTOR AGREEMENT (ICA)

INDEPENDENT CONTRACTOR AGREEMENT (ICA) INDEPENDENT CONTRACTOR AGREEMENT (ICA) (This agreement is not a construction contract within the meaning of Civil Code section 2783, and is not an agreement for the provision of construction services within

More information

Client Services Agreement: Financial Planning and Investment Consultation

Client Services Agreement: Financial Planning and Investment Consultation Client Services Agreement: Financial Planning and Investment Consultation Please review this Client Services Engagement Agreement ( Agreement ) carefully as it sets forth the understanding between you

More information

Bookkeeping Services Agreement

Bookkeeping Services Agreement Bookkeeping Services Agreement THIS BOOKKEEPING SERVICES AGREEMENT (the Agreement ) is made and entered into this day of, 20, by and between Susan Arnoldussen, of Accounting Unlimited, LLC (the Bookkeeper.

More information

TotalWellness Independent Contractor Agreement

TotalWellness Independent Contractor Agreement TotalWellness Independent Contractor Agreement This Agreement is made this day of, 20, between Vaccination Services of America, Inc. doing business as TotalWellness (jointly and severally Companies ) and

More information

Safety and Health Consulting Agreement

Safety and Health Consulting Agreement NOTE Please consult with your attorney regarding any contract you intend to use. This sample contract is not intended to provide legal advice and should not be used as a substitute for consultation with

More information

Policies & Procedures

Policies & Procedures 9141 Cypress Green Drive Ste 2 Jacksonville, FL 32256 (904) 647-1849 www.bloom-behavioral-solutions.com Policies & Procedures Please initial next to each section to acknowledge that you have read and agree

More information

CAKE & WHISKEY LLC BLOGGER AGREEMENT RECITALS. 3. Blogger is a writer and/or professional that desires to provide Entries to CAKE&WHISKEY.

CAKE & WHISKEY LLC BLOGGER AGREEMENT RECITALS. 3. Blogger is a writer and/or professional that desires to provide Entries to CAKE&WHISKEY. CAKE & WHISKEY LLC BLOGGER AGREEMENT This Blogger Agreement ( Agreement ) is made and entered into this the day of, (the Effective Date ), by and between CAKE & WHISKEY LLC, a Kentucky Limited Liability

More information

SERVICE AGREEMENT FOR FULL REIMBURSEMENT MANAGEMENT

SERVICE AGREEMENT FOR FULL REIMBURSEMENT MANAGEMENT SERVICE AGREEMENT FOR FULL REIMBURSEMENT MANAGEMENT This Service Agreement is entered into by and between the New Hampshire Alcohol and Other Drug Service Providers Association, a New Hampshire non-profit

More information

MASTER SERVICES AGREEMENT - DIGITAL ADVERTISING SERVICES

MASTER SERVICES AGREEMENT - DIGITAL ADVERTISING SERVICES MASTER SERVICES AGREEMENT - DIGITAL ADVERTISING SERVICES MASTER SERVICES AGREEMENT This Master Services Agreement (the Agreement ) shall govern the provision of services to the undersigned client (the

More information

CONTENT LICENSE & PHOTOGRAPER REPRENTATION AGREEMENT

CONTENT LICENSE & PHOTOGRAPER REPRENTATION AGREEMENT CONTENT LICENSE & PHOTOGRAPER REPRENTATION AGREEMENT This is a fairly lengthy document, and it contains many important provisions that affect your rights and obligations. By accepting this agreement, you

More information

SITE REHABILITATION FUNDING ALLOCATION AGREEMENT FOR A PETROLEUM CONTAMINATED SITE WITH BOTH ELIGIBLE AND NON-ELIGIBLE CONTAMINATION

SITE REHABILITATION FUNDING ALLOCATION AGREEMENT FOR A PETROLEUM CONTAMINATED SITE WITH BOTH ELIGIBLE AND NON-ELIGIBLE CONTAMINATION SITE REHABILITATION FUNDING ALLOCATION AGREEMENT FOR A PETROLEUM CONTAMINATED SITE WITH BOTH ELIGIBLE AND NON-ELIGIBLE CONTAMINATION This Site Rehabilitation Funding Allocation Agreement ( SRFAA or Agreement

More information

CONSORTIAL AGREEMENT FOR A JOINT ENGINEERING PROGRAM BETWEEN ROCKHURST UNIVERSITY AND THE UNIVERSITY OF MISSOURI-KANSAS CITY

CONSORTIAL AGREEMENT FOR A JOINT ENGINEERING PROGRAM BETWEEN ROCKHURST UNIVERSITY AND THE UNIVERSITY OF MISSOURI-KANSAS CITY CONSORTIAL AGREEMENT FOR A JOINT ENGINEERING PROGRAM BETWEEN ROCKHURST UNIVERSITY AND THE UNIVERSITY OF MISSOURI-KANSAS CITY WHEREAS, Rockhurst University ("RU") and the University of Missouri-Kansas City

More information

INDEPENDENT CONTRACTOR AGREEMENT

INDEPENDENT CONTRACTOR AGREEMENT INDEPENDENT CONTRACTOR AGREEMENT This Independent Contractor Agreement ("Agreement") is made and effective this day of, 20. BETWEEN: (the "Independent Contractor"), a company organized and existing under

More information

PLANTTOGETHER REFERRAL PARTNER AGREEMENT. Updated: January 1, 2015

PLANTTOGETHER REFERRAL PARTNER AGREEMENT. Updated: January 1, 2015 PLANTTOGETHER REFERRAL PARTNER AGREEMENT Updated: January 1, 2015 Welcome to PlanetTogether s online referral program (the Referral Program ) provided by PlanetTogether, Inc. a California corporation with

More information

PHOTOGRAPHY/VIDEO SERVICES AGREEMENT

PHOTOGRAPHY/VIDEO SERVICES AGREEMENT PHOTOGRAPHY/VIDEO SERVICES AGREEMENT This Agreement is entered into as of the day of, 201_, between, Villanova University ( Villanova ) and, ( Photographer ). 1. Services. (a) Description and Requirements.

More information

INVESTMENT ADVISORY AGREEMENT- NON-DISCRETIONARY

INVESTMENT ADVISORY AGREEMENT- NON-DISCRETIONARY INVESTMENT ADVISORY AGREEMENT- NON-DISCRETIONARY This Agreement is by and Between and the Board of County Commissioners of Garfield County, Colorado (the Client ). The parties agree as follows: 1. Appointment

More information

INTRODUCING BROKER COMMODITY FUTURES CUSTOMER AGREEMENT WITH E*TRADE SECURITIES LLC

INTRODUCING BROKER COMMODITY FUTURES CUSTOMER AGREEMENT WITH E*TRADE SECURITIES LLC INTRODUCING BROKER COMMODITY FUTURES CUSTOMER AGREEMENT WITH E*TRADE SECURITIES LLC Re: Supplement to Commodity Futures Customer Agreement dated between MF Global, Inc ( MF Global ) and the customer named

More information

Exclusive Booking Agent Agreement

Exclusive Booking Agent Agreement Exclusive Booking Agent Agreement This Packet Includes: 1. General Information 2. Instructions and Checklist 3. Exclusive Booking Agent Agreement Exclusive Booking Agent Agreement 1 General Information

More information

BROKER SALESPERSON INDEPENDENT CONTRACTOR AGREEMENT. THIS AGREEMENT is entered into this day of, 20, between ( Broker ) and ( Salesperson ).

BROKER SALESPERSON INDEPENDENT CONTRACTOR AGREEMENT. THIS AGREEMENT is entered into this day of, 20, between ( Broker ) and ( Salesperson ). BROKER SALESPERSON INDEPENDENT CONTRACTOR AGREEMENT THIS AGREEMENT is entered into this day of, 20, between ( Broker ) and ( Salesperson ). RECITALS: Broker is engaged in business as a duly licensed real

More information

REFERRAL ENDORSER AGREEMENT - ADDITIONAL TERMS AND CONDITIONS

REFERRAL ENDORSER AGREEMENT - ADDITIONAL TERMS AND CONDITIONS 1. Definitions. REFERRAL ENDORSER AGREEMENT - ADDITIONAL TERMS AND CONDITIONS a. Sales Lead Form shall mean the form provided by PAETEC on which Referral Endorser shall document prospective customer information

More information

NORTH CAROLINA STATE UNIVERSITY MASSAGE THERAPIST AGREEMENT

NORTH CAROLINA STATE UNIVERSITY MASSAGE THERAPIST AGREEMENT STATE OF NORTH CAROLINA WAKE COUNTY Rev. 3/14 NORTH CAROLINA STATE UNIVERSITY MASSAGE THERAPIST AGREEMENT THIS AGREEMENT ( Agreement ) is made by and between ( Contractor ), and North Carolina State University,

More information

PATIENT TRANSFER AGREEMENT

PATIENT TRANSFER AGREEMENT Appendix 2 SAMPLE PATIENT TRANSFER AGREEMENT THIS AGREEMENT is made effective as of by and between ( Children s Hospital) a nonprofit corporation, and ( Hospital ), a corporation. WHEREAS, operates a tertiary

More information

Client Service Agreement for Cord Blood Stem Cell Collection and Storage

Client Service Agreement for Cord Blood Stem Cell Collection and Storage Client Service Agreement for Cord Blood Stem Cell Collection and Storage Each undersigned Legal Guardian, on their behalf and the behalf of their unborn child ("Child"), request under this Agreement, that

More information

1.841661.108 018540101

1.841661.108 018540101 Questions? Go to FidelityCharitable.org or call 1-800-262-6935. Charitable Investment Advisor Program Investment Advisor Firm Agreement Information Investment Advisor Firm Agreement This Agreement (the

More information

ALL AMERICAN TRUCKING CO. LLC Carrier Sign on Checklist

ALL AMERICAN TRUCKING CO. LLC Carrier Sign on Checklist ALL AMERICAN TRUCKING CO. LLC Carrier Sign on Checklist Carrier Name: Signed Transportation Agreement between ALL AMERICAN TRUCKING CO. LLC and Carrier Copy of Carrier s PUCO Operating Authority Signed

More information

EMERGENCY SERVICES CONTRACT BETWEEN THE CITY OF GEORGETOWN, TEXAS AND THE WILLIAMSON COUNTY SERVICES DISTRICT #8 (Amended September, 2010)

EMERGENCY SERVICES CONTRACT BETWEEN THE CITY OF GEORGETOWN, TEXAS AND THE WILLIAMSON COUNTY SERVICES DISTRICT #8 (Amended September, 2010) EMERGENCY SERVICES CONTRACT BETWEEN THE CITY OF GEORGETOWN, TEXAS AND THE WILLIAMSON COUNTY SERVICES DISTRICT #8 (Amended September, 2010) STATE OF TEXAS COUNTY OF WILLIAMSON THIS CONTRACT FOR SERVICES

More information

Vorpahl Wing Securities, Inc. Assets Management Agreement

Vorpahl Wing Securities, Inc. Assets Management Agreement Vorpahl Wing Securities, Inc. Assets Management Agreement Account : Account # IAR # This Assets Management Agreement together with the Schedules attached hereto, (collectively the Agreement ), is by and

More information

INDEPENDENT CONTRACTOR CONSULTING AGREEMENT INSTRUCTIONS, ROUTING AND APPROVAL COVER SHEET

INDEPENDENT CONTRACTOR CONSULTING AGREEMENT INSTRUCTIONS, ROUTING AND APPROVAL COVER SHEET INDEPENDENT CONTRACTOR CONSULTING AGREEMENT INSTRUCTIONS, ROUTING AND APPROVAL COVER SHEET I. The requesting department should complete the following Independent Contractor Consulting Agreement ( Agreement

More information

NON-DISCRETIONARY ADVISORY AGREEMENT

NON-DISCRETIONARY ADVISORY AGREEMENT NON-DISCRETIONARY ADVISORY AGREEMENT THIS NON-DISCRETIONARY ADVISORY AGREEMENT is made by and between the undersigned (the Client ) and Values First Advisors, Inc. (the Advisor ). The Client hereby retains

More information

Investment Advisory Agreement

Investment Advisory Agreement This Investment Advisory Agreement ( Agreement ) is entered into by and between ( Client ), SPC Financial (SPC) a U.S. Securities & Exchange Commission ( SEC ) Independent Registered Investment Adviser,

More information

CLS Investments, LLC Instructions for the Solicitor Application and Agreement

CLS Investments, LLC Instructions for the Solicitor Application and Agreement CLS Investments, LLC Instructions for the Solicitor Application and Agreement Please complete all fields on page 1 of the Solicitor Application and Agreement. Some general guidelines are set forth below.

More information

DEALER EMPLOYMENT AND LOAN/SCHOLARSHIP REPAYMENT AGREEMENT

DEALER EMPLOYMENT AND LOAN/SCHOLARSHIP REPAYMENT AGREEMENT Use of this document is subject to the terms and conditions of The AED Foundation s Downloaded Website Information and Document Disclaimer shown at the end of this template agreement. DEALER EMPLOYMENT

More information