Program/Project Name: Supplemental Security Income (SSI) Representation Services

Size: px
Start display at page:

Download "Program/Project Name: Supplemental Security Income (SSI) Representation Services"

Transcription

1

2 Program/Project Name: Supplemental Security Income (SSI) Representation Services 1. TERM This Agreement is effective February 4, 2014 between COUNTY and CONTRACTOR and shall remain in effect until January 31, 2016, unless terminated earlier or otherwise amended. Delegation of authority expires on January 31, SCOPE OF SERVICES CONTRACTOR shall provide a licensed attorney with five (5) years experience in SSI/SSDI representation to oversee the services. All support staff providing services under this RFQ must have a minimum of two (2) years of experience in SSI/SSDI representation and must be supervised by the licensed attorney. A. CONTRACTOR shall have convenient hours at local office. B. CONTRACTOR shall be able to meet at a client s home, if a client is physically unable to travel. C. CONTRACTOR shall accept all SSI/SSDI Advocacy referrals from the COUNTY. D. CONTRACTOR shall maintain a copy of the completed referrals. E. There is no guarantee of a minimum or maximum number of referrals from the COUNTY. F. CONTRACTOR shall maintain monthly contact with active clients after the SSI/SSDI application is submitted and is pending to: I. Monitor client attendance at required psychiatric, medical or Disability Determination Services Division (DDSD) appointments, and II. Determine if the client has received notification of the SSI/SSDI claim determination. G. CONTRACTOR shall schedule a thirty (30) minute interview with each client referred within seven (7) workdays of receiving the completed referral from the COUNTY. The interview will be for completion of the initial SSI/SSDI application forms. H. CONTRACTOR shall document, notify the COUNTY, and discontinue services; if it is determined the client does not appear to have a qualifying disability based on client s self-declaration or CONTRACTORS s evaluation. I. All attempts to contact the client must be documented. J. After three (3) attempts to contact the client have failed, CONTRACTOR shall notify COUNTY Representative of inability to contact client. K. Failure of the client to cooperate with the CONTRACTOR must be documented. L. CONTRACTOR will contact COUNTY after first non-cooperation incident for COUNTY follow-up. M. COUNTY will notify client of cooperation requirements and follow appropriate denial/discontinuance procedures unless client agrees to cooperate immediately and fully with CONTRACTOR. Page 2 of 8

3 N. When appropriate and if necessary, CONTRACTOR shall request records of medical history upon receipt of SSI/SSDI Advocacy Referral. If no medical or psychiatric report exists, CONTRACTOR will in its discretion obtain medical or psychiatric evaluation. O. CONTRACTOR shall assist the client in filing for reconsideration within thirty (30) calendar days when the initial application is denied. P. CONTRACTOR shall be available to represent the client in the appeal process when requested by the client. Q. CONTRACTOR shall make available to the COUNTY, upon request, all records, including client files, relevant to the SSI/SSDI application and advocacy process. R. COUNTY maintains the option to modify the Scope of Services at any time as needed. S. COUNTY will provide CONTRACTOR with an EXCEL spreadsheet. CONTRACTOR will maintain and update the status on all clients referred. The spreadsheet will need to be provided to the COUNTY on a quarterly basis based on the schedule below and will including the following data: I. New Number of Current Referrals II. New Number of initial SSI/SSDI applications completed and filed to date III. Number of Reconsideration filings completed to date IV. Number of Appeal hearing filings completed to date V. Number of Appeal hearings in which the CONTRACTOR provided representation to date VI. Number of Cases closed due to SSI/SSDI Approval or Other terminations to date Note: County has the ability to modify the EXCEL spreadsheet as needed. SCHEDULE QTR FROM TO DUE DATE 1 st January March April 18 2 nd April June July 18 3 rd July September October 17 4 th October December January REFFERAL PROCEDURES A. COUNTY will review the list of pending SSI/SSDI Advocacy referrals and send an Informing Notice to clients regarding a CONTRACTOR contact about their SSI/SSDI application. The CONTRACTOR will be copied via with the Informing Notice, which will contain the client s case information. B. The CONTRACTOR will receive the referral, review, and make contact with the client. Page 3 of 8

4 C. If the client accepts the CONTRACTOR s services, then the CONTRACTOR will schedule an appointment to meet with the client, complete the appropriate documentation, and begin the SSI/SSDI application filing. D. If a client requires a psychological evaluation for his/her SSI/SSDI application, then the CONTRACTOR can refer the client to client s medical provider or may contact the COUNTY to schedule an appointment with the COUNTY s contracted psychological evaluator. E. If the client declines to accept the CONTRACTOR s services, then the CONTRACTOR will the COUNTY indicating the client has declined the CONTRACTOR s offer to assist with the SSI/SSDI application filing. F. The CONTRACTOR will notify the COUNTY of the status of every referral. G. Once the COUNTY receives notice that the client has accepted the CONTRACTOR s services, then the COUNTY will document the case and set a reminder for future date follow-up. If the client has declined the CONTRACTOR s services, then the client will be prioritized to be assigned to a SSI/SSDI Advocate. H. While working with a client, CONTRACTOR will maintain the status of the client s case on an EXCEL spreadsheet provided by the COUNTY. This spreadsheet shall be updated on a monthly basis and will be included in the quarterly report to the COUNTY. 4. TERM AND TERMINATION A. This Agreement may be terminated at any time by either party with 30 days advance written notice. i. Upon termination, CONTRACTOR will continue to work with their existing clients. Clients can choose to change legal representation by way of completing a SSA-1696 form. Those clients returning to the COUNTY can choose to have their case reassigned to another CONTRACTOR or to an SSI/SSDI Advocate. CONTRACTOR will cooperate with the COUNTY and make reasonable efforts to work with the COUNTY to transition cases with least disruption to the client and SSI/SSDI process. B. If CONTRACTOR fails to perform any of the items set forth in Sections 2 or 3 the COUNTY may, at its discretion, stop referring clients to CONTRACTOR until the compliance issues are remedied to the satisfaction of the COUNTY. 5. COMPENSATION TO CONTRACTOR A. Upon an approved claim, the CONTRACTOR will be paid by the Social Security Administration no more than 25 percent of the past-due benefits or $6,000, whichever is less, or the fee as designated by the Social Security Administration. The CONTRACTOR must file either a fee agreement or a fee petition with the Social Security Administration and be authorized by the Social Security Administration for the fee amount between the client and the CONTRACTOR. B. If CONTRACTOR wishes to appeal an Unfavorable Hearing decision to the SSA Appeals Council and/or Federal District Court, then all terms of payment/compensation shall be outlined between CONTRACTOR and client in a Fee Agreement. Page 4 of 8

5 6. CONTRACT REPRESENTATIVES A. CONTRACTOR designates Avi Leibovic, Supervising Attorney as CONTRACTOR s representative for the purpose of performing the services as required by this Contract. Unless otherwise indicated in writing, the above named person has the primary authority and responsibility to carry out this Contract. If the CONTRACTOR s representative is no longer available to manage the services performed under this Contract, CONTRACTOR shall inform the COUNTY in writing and designate a new representative. B. COUNTY designates the Director of Social Services Agency, or designee, as its representative for the purpose of managing the services performed pursuant to this Contract. 7. NOTICES All notices prescribed by this Contract will be in writing and deemed effective if sent by certified mail or registered mail and properly deposited with the United States Postal Service, postage prepaid with return receipt requested and addressed as follows: To COUNTY: To CONTRACTOR: Social Services Agency Bruce Wagstaff, Director 333 West Julian Street San Jose, California Health Advocates, LLC Al Leibovic, President Califa Street Sherman Oaks, CA COUNTY S CONTRACT TRANSITION PROCESS CONTRACTOR agrees to provide all information deemed necessary by the COUNTY for use in subsequent procurement cycles. 9. MODIFICATION This Agreement may be supplemented, amended, or modified only by the mutual agreement of the parties. No supplement, amendment, or modification of this Agreement will be binding on COUNTY unless it is in writing and signed by the COUNTY. 10. NO ASSIGNMENT, DELEGATION OR SUBCONTRACTING WITHOUT PRIOR WRITTEN CONSENT CONTRACTOR may not assign any of its rights, delegate any of its duties or subcontract any portion of its work or business under this Agreement without the prior Page 5 of 8

6 written consent of the COUNTY. No assignment, delegation or subcontracting will release CONTRACTOR from any of its obligations or alter any of its obligations to be performed under the Agreement. Any attempted assignment, delegation or subcontracting in violation of this provision is voidable at the option of the COUNTY and constitutes material breach by CONTRACTOR. As used in this provision, "assignment" and "delegation" means any sale, gift, pledge, hypothecation, encumbrance, or other transfer of all or any portion of the rights, obligations, or liabilities in or arising from this Agreement to any person or entity, whether by operation of law or otherwise, and regardless of the legal form of the transaction in which the attempted transfer occurs. 11. COMPLIANCE WITH ALL LAWS & REGULATIONS CONTRACTOR shall comply with all laws, codes, regulations, rules and orders (collectively, "Regulations") applicable to the services to be provided hereunder. CONTRACTOR s violation of this provision shall be deemed a material default by CONTRACTOR, giving the COUNTY a right to terminate the Agreement. 12. INDEPENDENT CONTRACTOR CONTRACTOR shall perform pursuant to this Agreement as an independent contractor and not as an officer, agent, servant, or employee of the COUNTY. CONTRACTOR shall be solely responsible for the acts and omissions of its officers, agents, employees, contractors, and subcontractors, if any. Nothing herein shall be considered as creating a partnership or joint venture between the COUNTY and the CONTRACTOR. No person performing any services and/or supplying all goods shall be considered an officer, agent, servant, or employee of the COUNTY, nor shall any such person be entitled to any benefits available or granted to employees of the COUNTY. CONTRACTOR is responsible for payment to sub-contractors and must monitor, evaluate, and account for the sub-contractor(s) services and operations. 13. INDEMNITY COUNTY shall not be liable for, and CONTRACTOR shall defend, indemnify and hold harmless COUNTY and the employees and agents of COUNTY (collectively, "COUNTY Parties") against any and all claims, demands, liability, judgments, awards, fines, mechanics' liens or other liens, labor disputes, losses, damages, expenses, charges or costs of any kind or character, including without limitation attorneys' fees and court costs (hereinafter collectively referred to as "Claims"), related to and arising either directly or indirectly from any act, error, omission or negligence of CONTRACTOR or its contractors, licensees, agents, servants or employees, excepting only Claims caused by the sole negligence or willfulness of COUNTY Parties. The CONTRACTOR shall reimburse the COUNTY for all costs, attorneys' fees, expenses and liabilities incurred with respect to any litigation in which the CONTRACTOR is obligated to indemnify, defend and hold harmless the COUNTY under its agreement with the COUNTY. Page 6 of 8

7 14. COOPERATION WITH REVIEW CONTRACTOR shall cooperate with COUNTY s periodic review of CONTRACTOR s performance. CONTRACTOR shall make itself available onsite to review the progress of the project and Agreement, as requested by the COUNTY, upon reasonable advanced notice. CONTRACTOR agrees to extend to the COUNTY or his/her designees and/or designated auditor of the COUNTY, the right to monitor or otherwise evaluate all work performed and all records, including service records and procedures to assure that the project is achieving its purpose, that all applicable County, State, and Federal regulations are met, and that adequate internal fiscal controls are maintained. 15. NON-DISCRIMINATION CONTRACTOR shall comply with all applicable Federal, State, and local laws and regulations, including Santa Clara County s policies, concerning nondiscrimination and equal opportunity in contracting. Such laws include, but are not limited to, the following: Title VII of the Civil Rights Act of 1964 as amended; Americans with Disabilities Act of 1990; The Rehabilitation Act of 1973 ( 503 and 504); California Fair Employment and Housing Act (Government Code et seq.); and California Labor Code 1101 and Contractor shall not discriminate against any employee, subcontractor or applicant for employment because of age, race, color, national origin, ancestry, religion, sex/gender, sexual orientation, mental disability, physical disability, medical condition, political beliefs, organizational affiliations, or marital status in the recruitment, selection for training including apprenticeship, hiring, employment, utilization, promotion, layoff, rates of pay or other forms of compensation. Nor shall CONTRACTOR discriminate in provision of services provided under this contract because of age, race, color, national origin, ancestry, religion, sex/gender, sexual orientation, mental disability, physical disability, medical condition, political beliefs, organizational affiliations, or marital status. CONTRACTOR s violation of this provision shall be deemed a material default by CONTRACTOR giving COUNTY a right to terminate the contract for cause. 16. DEBARMENT CONTRACTOR guarantees that it, its employees, contractors, subcontractors or agents (collectively CONTRACTOR ) are not suspended, debarred, excluded, or ineligible for participation in Medicare, Medi-Cal or any other federal or state funded health care program, if applicable, or from receiving Federal funds as listed in the List of Parties Excluded from Federal Procurement or Non-procurement Programs issued by the Federal General Services Administration. CONTRACTOR must within 30 calendar days advise the COUNTY if, during the term of this Agreement, CONTRACTOR becomes suspended, debarred, excluded or ineligible for participation in Medicare, Medi-Cal or any other federal or state funded health care program, as defined by 42. U.S.C. 1320a- 7b(f), or from receiving Federal funds as listed in the List of Parties Excluded from Federal Procurement or Non-procurement Programs issued by the Federal General Services Administration. Contractor will indemnify, defend and hold the County harmless for any loss or damage resulting from the conviction, debarment, exclusion or ineligibility of the CONTRACTOR. Page 7 of 8

8 17. NON-WAIVER No waiver of a breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement will be effective unless it is in writing and signed by COUNTY. No waiver of any breach, failure, right, or remedy will be deemed a waiver of any other breach, failure, right, or remedy, whether or not similar, nor will any waiver constitute a continuing waiver unless the writing signed by the COUNTY so specifies. 18. GOVERNING LAW, JURISDICTION AND VENUE This Agreement shall be construed and interpreted according to the laws of the State of California, excluding its conflict of law principles. Proper venue for legal actions will be exclusively vested in a state court in the County of Santa Clara. The parties agree that subject matter and personal jurisdiction are proper in state court in the County of Santa Clara, and waive all venue objections. Page 8 of 8

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

AGREEMENT WITH FOR PROFESSIONAL CONSULTANT SERVICES FOR

AGREEMENT WITH FOR PROFESSIONAL CONSULTANT SERVICES FOR AGREEMENT WITH FOR PROFESSIONAL CONSULTANT SERVICES FOR This Agreement, made and entered into this day of,, by and between the CITY OF SAN MATEO, a municipal corporation existing under the laws of the

More information

1.5 Type I Contract This Agreement is a Type I Contract, pursuant to the Resolution on Contracting Principles adopted by the Board of Supervisors on O

1.5 Type I Contract This Agreement is a Type I Contract, pursuant to the Resolution on Contracting Principles adopted by the Board of Supervisors on O SAMPLE FOOD SERVICES MANAGEMENT AGREEMENT BY AND BETWEEN COUNTY OF SANTA CLARA AND ARTICLE I INTRODUCTION 1.1 Parties This Food Services Management Agreement (Agreement) is entered into between the County

More information

BENTON COUNTY PERSONAL SERVICES CONTRACT

BENTON COUNTY PERSONAL SERVICES CONTRACT BENTON COUNTY PERSONAL SERVICES CONTRACT This is an agreement by and between BENTON COUNTY, OREGON, a political subdivision of the State of Oregon, hereinafter called COUNTY, and, hereinafter called CONTRACTOR.

More information

EXHIBIT 1 Standard Contract Addendum

EXHIBIT 1 Standard Contract Addendum EXHIBIT 1 Standard Contract Addendum This Standard Contract Addendum ( Addendum ) is between Texas Southern University ( University ) and the other party ( Contracting Party ) indicated in the signature

More information

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

MOVING SERVICES CONTRACT. THIS AGREEMENT executed on this the day of, 20 by and between. (hereinafter Employer), and MOVING SERVICES CONTRACT THIS AGREEMENT executed on this the day of, 20 by and between (hereinafter "Employer"), and (hereinafter "Mover") NOW, THEREFORE, FOR AND IN CONSIDERATION of the mutual promises

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

MEMORANDUM OF UNDERSTANDING BETWEEN RIVERSIDE COMMUNITY COLLEGE DISTRICT and CITY OF RIVERSIDE

MEMORANDUM OF UNDERSTANDING BETWEEN RIVERSIDE COMMUNITY COLLEGE DISTRICT and CITY OF RIVERSIDE MEMORANDUM OF UNDERSTANDING BETWEEN RIVERSIDE COMMUNITY COLLEGE DISTRICT and CITY OF RIVERSIDE THIS MEMORANDUM OF UNDERSTANDING ( MOU ) is made and entered into this day of, 2012 ( Effective Date ), by

More information

City of Piedmont COUNCIL AGENDA REPORT

City of Piedmont COUNCIL AGENDA REPORT City of Piedmont COUNCIL AGENDA REPORT DATE: September 6, 2011 FROM: Edward W. Tubbs, Fire Chief SUBJECT: Emergency Medical Services Billing Contract RECOMMENDATION Authorize the Fire Chief to enter into

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

AGREEMENT BETWEEN THE COUNTY OF TEHAMA AND TAX SALE SERVICES OF CALIFORNIA, LLC

AGREEMENT BETWEEN THE COUNTY OF TEHAMA AND TAX SALE SERVICES OF CALIFORNIA, LLC AGREEMENT BETWEEN THE COUNTY OF TEHAMA AND TAX SALE SERVICES OF CALIFORNIA, LLC This agreement is entered into between the Tehama County Tax Collector, ( County ) and Tax Sale Services of California, LLC.

More information

THIS IS A SAMPLE CONTRACT FORM ONLY. THE ACTUAL CONTRACT MAY OR MAY NOT CONTAIN THE PROVISIONS HEREIN, DEPENDING ON THE SCOPE OF WORK.

THIS IS A SAMPLE CONTRACT FORM ONLY. THE ACTUAL CONTRACT MAY OR MAY NOT CONTAIN THE PROVISIONS HEREIN, DEPENDING ON THE SCOPE OF WORK. CONSULTANT CONTRACT Resolution No. - STATE OF TEXAS COUNTY OF DALLAS THIS CONTRACT is made and entered into by and between the CITY OF DALLAS, a Texas municipal corporation, of Dallas County, Texas, (hereinafter

More information

**If this is an agreement between the City and an individual or business entity providing DESIGN SERVICES, use Form MVF 00-05.**

**If this is an agreement between the City and an individual or business entity providing DESIGN SERVICES, use Form MVF 00-05.** **If this is an agreement between the City and an individual or business entity providing DESIGN SERVICES, use Form MVF 00-05.** **OPERATOR** Do a global search and replace the word *NAME* with CONTRACTOR,

More information

PROFESSIONAL SERVICES CONSULTING AGREEMENT

PROFESSIONAL SERVICES CONSULTING AGREEMENT PROFESSIONAL SERVICES CONSULTING AGREEMENT THIS AGREEMENT, effective as of the date of (the Effective Date ), is by and between New Jersey Institute of Technology ("NJIT"), a public research university,

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

INDEPENDENT CONTRACTOR AGREEMENT

INDEPENDENT CONTRACTOR AGREEMENT INDEPENDENT CONTRACTOR AGREEMENT THIS AGREEMENT executed on this the 1st day of June, 2015, (the Agreement ), by and between the American Public Human Services Association (hereinafter Association ), and,

More information

SFUSD CONTRACT No: AGREEMENT BETWEEN SAN FRANCISCO UNIFIED SCHOOL DISTRICT AND (CONTRACTOR NAME)

SFUSD CONTRACT No: AGREEMENT BETWEEN SAN FRANCISCO UNIFIED SCHOOL DISTRICT AND (CONTRACTOR NAME) SFUSD CONTRACT No: 00000 AGREEMENT BETWEEN SAN FRANCISCO UNIFIED SCHOOL DISTRICT AND (CONTRACTOR NAME) This Agreement is dated for convenience April 14, 2009 and is entered into between CONTRACTOR NAME

More information

WellDyneRxWEST Customer (TPA, Broker, Consultant, Group Health Plan, and other).

WellDyneRxWEST Customer (TPA, Broker, Consultant, Group Health Plan, and other). WellDyneRxWEST Customer (TPA, Broker, Consultant, Group Health Plan, and other). RE: HIPAA Business Associate Agreement Effective 4/14/04 Business Associate: WellDyneRxWEST, Inc., a Colorado Corporation

More information

Referral Agent Agreement

Referral Agent Agreement This Referral Agreement (this "Agreement") is made effective as of the day of, 20 (the "Effective Date") by and between MaxNOC Communications, LLC with offices at 100 NE 80th Terrace, Suite 200 Miami Florida

More information

INDEPENDENT CONTRACTOR AGREEMENT. Currituck (hereinafter County ) and, RECITALS

INDEPENDENT CONTRACTOR AGREEMENT. Currituck (hereinafter County ) and, RECITALS INDEPENDENT CONTRACTOR AGREEMENT THIS AGREEMENT is made the day December, 2015, between the County of Currituck (hereinafter County ) and, (hereinafter Contractor ). RECITALS County is a body corporate

More information

BENCHMARK MEDICAL LLC, BUSINESS ASSOCIATE AGREEMENT

BENCHMARK MEDICAL LLC, BUSINESS ASSOCIATE AGREEMENT BENCHMARK MEDICAL LLC, BUSINESS ASSOCIATE AGREEMENT This BUSINESS ASSOCIATE AGREEMENT ( Agreement ) dated as of the signature below, (the Effective Date ), is entered into by and between the signing organization

More information

Ceres Unified School District INDEPENDENT CONTRACTOR AGREEMENT 2013-2014

Ceres Unified School District INDEPENDENT CONTRACTOR AGREEMENT 2013-2014 Ceres Unified School District INDEPENDENT CONTRACTOR AGREEMENT 2013-2014 THIS CONTRACT is hereby entered into by the Ceres Unified School District, hereinafter referred to as DISTRICT, and CONTRACTOR MAILING

More information

MEDICAL TRANSPORTATION SERVICES AGREEMENT BETWEEN (Proposers Name) AND THE COUNTY OF SANTA CLARA RECITALS

MEDICAL TRANSPORTATION SERVICES AGREEMENT BETWEEN (Proposers Name) AND THE COUNTY OF SANTA CLARA RECITALS MEDICAL TRANSPORTATION SERVICES AGREEMENT BETWEEN (Proposers Name) AND THE COUNTY OF SANTA CLARA THIS AGREEMENT, effective the first day of, (XXXX) is entered into by and between the County of Santa Clara,

More information

-AGREEMENT BETWEEN THE COUNTY OF SAN MATEO AND MTG MANAGEMENT CONSULTANTS, L.L.C.

-AGREEMENT BETWEEN THE COUNTY OF SAN MATEO AND MTG MANAGEMENT CONSULTANTS, L.L.C. -AGREEMENT BETWEEN THE COUNTY OF SAN MATEO AND MTG MANAGEMENT CONSULTANTS, L.L.C. THIS AGREEMENT, entered into this 16th day of August, 2005, by and between the COUNTY OF SAN MATEO, hereinafter called

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

Attachment C. AGREEMENT between the County Department of. Social Services, (referred to in this Agreement as "the Social Services

Attachment C. AGREEMENT between the County Department of. Social Services, (referred to in this Agreement as the Social Services Attachment C AGREEMENT BETWEEN A SOCIAL SERVICES DISTRICT AND AN ASSISTED LIVING PROGRAM AGREEMENT between the County Department of Social Services, (referred to in this Agreement as "the Social Services

More information

This Agreement is made between Barnard College and

This Agreement is made between Barnard College and AGREEMENT FOR CONSULTING SERVICES This Agreement is made between and contractor located at, an independent ( Consultant ). 1. General Provisions: Consultant agrees to perform the services set forth in

More information

Community Dispute Resolution Programs Grant Agreement

Community Dispute Resolution Programs Grant Agreement I. PARTIES Community Dispute Resolution Programs 2015-2017 Grant Agreement 1. University of Oregon on behalf of the University of Oregon School of Law ( Grantor ); and 2. servicing County ( Grant Recipient

More information

HIPAA BUSINESS ASSOCIATE AGREEMENT

HIPAA BUSINESS ASSOCIATE AGREEMENT HIPAA BUSINESS ASSOCIATE AGREEMENT This Agreement ( Agreement ) is entered into by and between Wittman Enterprises, LLC ( Business Associate ) and City of Coronado Fire Department ( Covered Entity ). RECITALS

More information

City of Scotts Valley INTEROFFICE MEMORANDUM

City of Scotts Valley INTEROFFICE MEMORANDUM DATE: January 15, 2014 City of Scotts Valley INTEROFFICE MEMORANDUM Agenda Item Date: 1-15-2014 TO: FROM: SUBJECT: Honorable Mayor and City Council Corrie Kates, Community Development Director/Deputy City

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

CARVER COUNTY INDEPENDENT CONTRACTOR/PROFESSIONAL SERVICE AGREEMENT

CARVER COUNTY INDEPENDENT CONTRACTOR/PROFESSIONAL SERVICE AGREEMENT CARVER COUNTY INDEPENDENT CONTRACTOR/PROFESSIONAL SERVICE AGREEMENT This Agreement is entered into by and between the County of Carver, 600 East 4 th Street, Chaska, Minnesota 55318, through (Division),

More information

RIPCPC BEHAVIORAL HEALTH AFFILIATE MEMBERSHIP AGREEMENT

RIPCPC BEHAVIORAL HEALTH AFFILIATE MEMBERSHIP AGREEMENT Rhode Island Primary Care Physicians Corporation 1150 New London Avenue Cranston, RI 02920 Phone: 401-654-4000 Fax: 401-654-4001 Online: www.ripcpc.com RIPCPC BEHAVIORAL HEALTH AFFILIATE MEMBERSHIP AGREEMENT

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

THE STATE OF TEXAS Neighborhood Matching Grant COUNTY OF TARRANT Program Agreement

THE STATE OF TEXAS Neighborhood Matching Grant COUNTY OF TARRANT Program Agreement THE STATE OF TEXAS Neighborhood Matching Grant COUNTY OF TARRANT Program Agreement THIS NEIGHBORHOOD MATCHING GRANT PROGRAM AGREEMENT (hereafter Agreement ) is made and entered into on this day of, 2016,

More information

INDEPENDENT CONTRACTOR AGREEMENT

INDEPENDENT CONTRACTOR AGREEMENT INDEPENDENT CONTRACTOR AGREEMENT This Agreement, made this day of, between, Roofing Giant hereinafter referred to as "Company", located at 2730 N. Stemmons Freeway, Suit 415, Dallas, TX 75207 and hereinafter

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

A. For the consideration agreed below to be paid to Contractor by City, Contractor shall provide

A. For the consideration agreed below to be paid to Contractor by City, Contractor shall provide STATE OF TEXAS CONTRACT FOR SERVICES COUNTY OF DALLAS THIS CONTRACT is made and entered into by and between the CITY OF DALLAS, a Texas municipal corporation, located in Dallas County, Texas (hereinafter

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

Independent Contractor Agreement. Name of Contractor: Address: Social Security or Tax I.D. Number:

Independent Contractor Agreement. Name of Contractor: Address: Social Security or Tax I.D. Number: HOFSTRA UNIVERSITY Name of Contractor: Address: Social Security or Tax I.D. Number: Independent Contractor Agreement THIS INDEPENDENT CONTRACTOR AGREEMENT (together with any attachments referred to below,

More information

Insurance Market Solutions Group, LLC Sub-Producer Agreement

Insurance Market Solutions Group, LLC Sub-Producer Agreement Insurance Market Solutions Group, LLC Sub-Producer Agreement This Producer Agreement is made and entered into effective the day of, 20, by and between Insurance Market Solutions Group, LLC a Texas Company

More information

SERVICE AGREEMENT CONTRACT NO. ARTICLE 1 SCOPE OF SERVICES

SERVICE AGREEMENT CONTRACT NO. ARTICLE 1 SCOPE OF SERVICES SERVICE AGREEMENT CONTRACT NO. THIS AGREEMENT dated 20 between the STOCKTON UNIVERSITY (the "UNIVERSITY") and (Name of Company), with a business address at ("the Service Provider ). 1.1 The Services ARTICLE

More information

Office Use Only Received On: By:

Office Use Only Received On: By: Office Use Only Received On: By: Coach/Instructor Independent Contractor Agreement Each Club Sport team that has a Coach/Instructor must have all individuals employed by your club sign this form. Name:

More information

Agreement for Net Metering and Interconnection Services (Level 1, 2 and 3 Interconnection)

Agreement for Net Metering and Interconnection Services (Level 1, 2 and 3 Interconnection) Agreement for Net Metering and Interconnection Services (Level 1, 2 and 3 Interconnection) This Agreement for Net Metering and Interconnection Services ( Agreement ) is made and entered into this day of

More information

SAMPLE SERVICES CONTRACT

SAMPLE SERVICES CONTRACT SAMPLE SERVICES CONTRACT The parties to this contract are the SAN DIEGO COUNTY WATER AUTHORITY, a county water authority, (the Water Authority) and, [a / an], having its principal place of business at

More information

Microsoft Dynamics Certified Software Advisor Agreement

Microsoft Dynamics Certified Software Advisor Agreement Microsoft Dynamics Certified Software Advisor Agreement By clicking the I agree button, Company agrees to be bound by this Microsoft Dynamics Certified Software Advisor (CSA) Agreement. Company represents

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

REVOCABLE LICENSE AGREEMENT [Maintenance of Landscaping on Common Area] Rancho Dominguez Townhomes Community Association

REVOCABLE LICENSE AGREEMENT [Maintenance of Landscaping on Common Area] Rancho Dominguez Townhomes Community Association REVOCABLE LICENSE AGREEMENT [Maintenance of Landscaping on Common Area] Rancho Dominguez Townhomes Community Association This License Agreement (herein Agreement ) is made and entered into this day of,

More information

ALFRED UNIVERSITY SPONSORED PROJECT CONSULTING AGREEMENT

ALFRED UNIVERSITY SPONSORED PROJECT CONSULTING AGREEMENT ALFRED UNIVERSITY SPONSORED PROJECT CONSULTING AGREEMENT This consulting services agreement ( Agreement ) is entered into this (Day, Month & Year) ( Effective Date ) by and between (Name of Consultant)

More information

INDEPENDENT CONTRACTOR AGREEMENT. This Agreement is entered into as of the day of,, between FindMyTrainer.com("the Company") and ("the Contractor").

INDEPENDENT CONTRACTOR AGREEMENT. This Agreement is entered into as of the day of,, between FindMyTrainer.com(the Company) and (the Contractor). INDEPENDENT CONTRACTOR AGREEMENT This Agreement is entered into as of the day of,, between FindMyTrainer.com("the Company") and ("the Contractor"). I. RECITALS The Company is in the business of providing

More information

MEMORANDUM OF UNDERSTANDING BETWEEN THE JOHNS HOPKINS UNIVERSITY AND [ORGANIZATION NAME]

MEMORANDUM OF UNDERSTANDING BETWEEN THE JOHNS HOPKINS UNIVERSITY AND [ORGANIZATION NAME] MEMORANDUM OF UNDERSTANDING BETWEEN THE JOHNS HOPKINS UNIVERSITY AND [ORGANIZATION NAME] THIS MEMORANDUM OF UNDERSTANDING (the Agreement ) is hereby entered into this [Day] day of [Month], [Year] (the

More information

AGREEMENT FOR SECURITY AND TRANSPORT SERVICES

AGREEMENT FOR SECURITY AND TRANSPORT SERVICES AGREEMENT FOR SECURITY AND TRANSPORT SERVICES THIS AGREEMENT For Security Services (the Agreement ) is made and entered into effective this day of, 20, by and between CITY OF Commerce City, COLORADO, a

More information

CONSULTANT AGREEMENT WITNESSETH. Recitals:

CONSULTANT AGREEMENT WITNESSETH. Recitals: CONSULTANT AGREEMENT THIS AGREEMENT, made and entered into this day of, 2000, by and between ( CONSULTANT ) and the City of Santa Ana, a municipal corporation of the State of California ( CITY ). WITNESSETH

More information

Agent Agreement WITNESSETH

Agent Agreement WITNESSETH PATRIOT NATIONAL UNDERWRITERS, INC. Agent Agreement THIS AGENT AGREEMENT (the Agreement ) is made and entered into by and between Patriot National Underwriters, Inc., a Texas corporation ( Patriot ), and

More information

ALIEF INDEPENDENT SCHOOL DISTRICT

ALIEF INDEPENDENT SCHOOL DISTRICT ALIEF INDEPENDENT SCHOOL DISTRICT MEMORANDUM OF UNDERSTANDING ALIEF INDEPENDENT SCHOOL DISTRICT AND HOUSTON COMMUNITY COLLEGE COLLEGE PREP MATHEMATICS AND ENGLISH LANGUAGE ARTS COURSES This Memorandum

More information

INDEPENDENT CONTRACTOR AGREEMENT

INDEPENDENT CONTRACTOR AGREEMENT INDEPENDENT CONTRACTOR AGREEMENT This Agreement, made this day of, between, Florida Rock Stars Inc. hereinafter referred to as "Company", located at 205 N Flagler Ave, Homestead FL 33030 and hereinafter

More information

CONTRACT FOR SERVICES

CONTRACT FOR SERVICES CONTRACT FOR SERVICES THIS CONTRACT is made on between the Pittsburg Power Company, a Joint Powers Authority ("PPC"), and ("Consultant"). WITNESSETH: WHEREAS, PPC proposes to utilize the services of the

More information

INSURANCE AGENT AGREEMENT

INSURANCE AGENT AGREEMENT INSURANCE AGENT AGREEMENT THIS INSURANCE AGENT AGREEMENT is made, 200_ by and between Athens Area Health Plan Select, Inc. ( AAHPS or the Plan ), and ( Agent ). RECITALS: WHEREAS, AAHPS is licensed to

More information

EMPLOYMENT-RELATED PRACTICES LIABILITY ENDORSEMENT

EMPLOYMENT-RELATED PRACTICES LIABILITY ENDORSEMENT POLICY NUMBER: CL CG 04 57 07 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYMENT-RELATED PRACTICES LIABILITY ENDORSEMENT This endorsement modifies insurance provided under the

More information

MEMORANDUM OF UNDERSTANDING ORANGE COUNTY DISTRICT ATTORNEY S OFFICE & SCHOOL OF LAW TO FACILITATE THE OCDA FELOWSHIP PROGRAM

MEMORANDUM OF UNDERSTANDING ORANGE COUNTY DISTRICT ATTORNEY S OFFICE & SCHOOL OF LAW TO FACILITATE THE OCDA FELOWSHIP PROGRAM Page 1 of 6 MEMORANDUM OF UNDERSTANDING ORANGE COUNTY DISTRICT ATTORNEY S OFFICE & SCHOOL OF LAW TO FACILITATE THE OCDA FELOWSHIP PROGRAM THIS AGREEMENT is made and entered into [DATE] in the State of

More information

HSHS BUSINESS ASSOCIATE AGREEMENT BACKGROUND AND RECITALS

HSHS BUSINESS ASSOCIATE AGREEMENT BACKGROUND AND RECITALS HSHS BUSINESS ASSOCIATE AGREEMENT This HIPAA Business Associate Agreement, ( Agreement ) is entered into on the date(s) set forth below by and between Hospital Sisters Health System on its own behalf and

More information

SAMPLE CONTRACT LANGUAGE. 2.0 Terms and Conditions. 2.1 Scope of Services: Contractor will perform the services described in Exhibit A

SAMPLE CONTRACT LANGUAGE. 2.0 Terms and Conditions. 2.1 Scope of Services: Contractor will perform the services described in Exhibit A SAMPLE CONTRACT LANGUAGE 2.0 Terms and Conditions The parties agree to the terms and conditions listed below: 2.1 Scope of Services: Contractor will perform the services described in Exhibit A 2.2 Payments:

More information

PURPOSE MUTUAL AGREEMENTS

PURPOSE MUTUAL AGREEMENTS AGREEMENT OF AFFILIATION between Metropolitan State University of Denver (hereinafter referred to as the University or MSU Denver ) And (hereinafter referred to as the Partner ) PURPOSE

More information

PROVO CITY UTILITIES NET METERING LICENSE AGREEMENT

PROVO CITY UTILITIES NET METERING LICENSE AGREEMENT PROVO CITY UTILITIES NET METERING LICENSE AGREEMENT Customer-Owned Electric Generating Systems of 25kW or Less This NET METERING LICENSE AGREEMENT ( Agreement ) is between ( Customer ) and Provo City -

More information

KUOW/PSPR UW Amended and Restated Agreement Page 1 of 10

KUOW/PSPR UW Amended and Restated Agreement Page 1 of 10 AMENDED AND RESTATED AGREEMENT THIS AMENDED AND RESTATED AGREEMENT is made and entered into as of May 5, 2005 (the Effective Date ), by and between the UNIVERSITY OF WASHINGTON, a Washington State institution

More information

AGREEMENT FOR CONSULTING SERVICES (Sponsored Research) Consulting Agreement Number CA###-####-#### IIT PURCHASE ORDER NO. **

AGREEMENT FOR CONSULTING SERVICES (Sponsored Research) Consulting Agreement Number CA###-####-#### IIT PURCHASE ORDER NO. ** AGREEMENT FOR CONSULTING SERVICES () Consulting Agreement Number CA###-####-#### IIT PURCHASE ORDER NO. ** THIS AGREEMENT is made and entered into as of this day of, 20 (the Effective Date ) by and between

More information

AGREEMENT FOR INSERT NAME OF PRODUCT/SERVICE/PROJECT

AGREEMENT FOR INSERT NAME OF PRODUCT/SERVICE/PROJECT AGREEMENT FOR INSERT NAME OF PRODUCT/SERVICE/PROJECT THIS AGREEMENT ( Agreement ) is made and entered into as of the date of execution by both parties, by and between Lee County, a political subdivision

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

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

CASE WESTERN RESERVE UNIVERSITY OWNER S GENERAL TERMS AND CONDITIONS

CASE WESTERN RESERVE UNIVERSITY OWNER S GENERAL TERMS AND CONDITIONS CASE WESTERN RESERVE UNIVERSITY OWNER S GENERAL TERMS AND CONDITIONS Table of Contents Section 1. Definitions... 1 Section 2. Protection and Maintenance of Owner s Property... 1 Section 3. Assignment...

More information

CITY OF SHERWOOD Independent Contractor Agreement (for Personal Services or for Public Works under $25,000)

CITY OF SHERWOOD Independent Contractor Agreement (for Personal Services or for Public Works under $25,000) CITY OF SHERWOOD Independent Contractor Agreement (for Personal Services or for Public Works under $25,000) Dated: Parties: City of Sherwood ( CITY ) 20 NW Washington Street Sherwood, Oregon 97140 And

More information

BROKERAGE AGREEMENT. WHEREAS Broker wishes to gain access to and offer Paragon s specialized insurance products and services to its clients; and

BROKERAGE AGREEMENT. WHEREAS Broker wishes to gain access to and offer Paragon s specialized insurance products and services to its clients; and BROKERAGE AGREEMENT This Agreement, effective 2014 is between Paragon Insurance Holdings, LLC ( Paragon ), 45 Nod Road, Avon, Connecticut 06001 with underwriting office at 850 Fulton Street, Farmingdale,

More information

INDEPENDENT CONTRACTOR AGREEMENT FOR HEALTH CARE PROVIDERS

INDEPENDENT CONTRACTOR AGREEMENT FOR HEALTH CARE PROVIDERS INDEPENDENT CONTRACTOR AGREEMENT FOR HEALTH CARE PROVIDERS This Independent Contractor Agreement ( Agreement ) is made this day of, 20, between Purdue University, its employees, officers, trustees, affiliates,

More information

LONG FORM PURCHASE ORDER

LONG FORM PURCHASE ORDER LONG FORM PURCHASE ORDER Order No. Contractor s Project No. Owner s Contract No. Name of Project THIS AGREEMENT is made and entered into this day of, 20 by and between: ( Buyer ) and ( Seller ). Buyer

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

Purchase Order Terms and Conditions 1. ACCEPTANCE

Purchase Order Terms and Conditions 1. ACCEPTANCE Purchase Order Terms and Conditions 1. ACCEPTANCE In the absence of written acceptance of the purchase order, Seller's commencement of work on the services or goods subject to this purchase order, or the

More information

SUBCONTRACTOR AGREEMENT. THIS AGREEMENT made this day of, 20 between, a ( Contractor ) and, a (Subcontractor ).

SUBCONTRACTOR AGREEMENT. THIS AGREEMENT made this day of, 20 between, a ( Contractor ) and, a (Subcontractor ). Certification Number SUBCONTRACTOR AGREEMENT THIS AGREEMENT made this day of, 20 between, a ( Contractor ) and, a (Subcontractor ). A. Contractor has entered into a contract with an owner ( Owner ), as

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

Plunder Design Terms and Conditions

Plunder Design Terms and Conditions Plunder Design Terms and Conditions (for website enrollement) E-SIGN, the Electronic Signatures in Global and National Commerce Act (15 U.S.C. 7001, et seq.), requires that you consent to entering into

More information

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

Certified Application Counselor Program Designated Organization Agreement

Certified Application Counselor Program Designated Organization Agreement Certified Application Counselor Program Designated Organization Agreement This Connect for Health Assistance Network Agreement (Agreement), entered into between the Colorado Health Benefit Exchange doing

More information

PERFORMING ARTIST AGREEMENT., ( Artist ).

PERFORMING ARTIST AGREEMENT., ( Artist ). PERFORMING ARTIST AGREEMENT This agreement is made by and between The University of Maine System, acting by and through the University of (the University ), and, ( Artist ). In consideration of the mutual

More information

CONSULTANT AGREEMENT

CONSULTANT AGREEMENT Douglas County School District Re.1 Castle Rock, Colorado CONSULTANT AGREEMENT This agreement, dated effective as of is made and entered into by and between the Douglas County School District Re.1, Douglas

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

Massachusetts Clean Energy Internship Program Participating Host Employer Application Form 2014 Spring Session

Massachusetts Clean Energy Internship Program Participating Host Employer Application Form 2014 Spring Session Massachusetts Clean Energy Internship Program Participating Host Employer Application Form 2014 Spring Session The Massachusetts Clean Energy Internship Program (the Program ) is a workforce development

More information

Columbia University Executive Recruitment Agreement

Columbia University Executive Recruitment Agreement Columbia University Executive Recruitment Agreement Agreement ( Agreement ) dated as of, 20 (the Effective Date ) between The Trustees of Columbia University in the City of New York ( Columbia ) and (

More information

SAMPLE AGREEMENT FOR CONTRACTOR SERVICES

SAMPLE AGREEMENT FOR CONTRACTOR SERVICES SAMPLE AGREEMENT FOR CONTRACTOR SERVICES THIS AGREEMENT for construction services ("Agreement") is made as of the Agreement Date set forth below by and between the County of Yuba, a political subdivision

More information

Comal County Commissioners Court. Draft MEMORANDUM OF AGREEMENT AND AGREEING PARTIES

Comal County Commissioners Court. Draft MEMORANDUM OF AGREEMENT AND AGREEING PARTIES Comal County Commissioners Court MEMORANDUM OF AGREEMENT CREEK VIEW VETERINARY CLINIC, P.C. AND COMAL COUNTY, TEXAS AGREEING PARTIES This memorandum of agreement is entered into between Comal County, Texas,

More information

AGREEMENT FOR SERVICES BETWEEN THE CITY OF YREKA AND [CONTRACTOR] WHEREAS, Contractor has the necessary experience in providing the services; and

AGREEMENT FOR SERVICES BETWEEN THE CITY OF YREKA AND [CONTRACTOR] WHEREAS, Contractor has the necessary experience in providing the services; and AGREEMENT FOR SERVICES BETWEEN THE CITY OF YREKA AND [CONTRACTOR] THIS AGREEMENT is made and entered into this day of, 2014, by and between the City of Yreka, a municipal corporation, hereinafter referred

More information

PENNSYLVANIA HOUSING FINANCE AGENCY ADDENDUM TO OWNER-ARCHITECT AGREEMENT FOR DESIGN SERVICES AND CONSTRUCTION CONTRACT ADMINISTRATION

PENNSYLVANIA HOUSING FINANCE AGENCY ADDENDUM TO OWNER-ARCHITECT AGREEMENT FOR DESIGN SERVICES AND CONSTRUCTION CONTRACT ADMINISTRATION PENNSYLVANIA HOUSING FINANCE AGENCY ADDENDUM TO OWNER-ARCHITECT AGREEMENT FOR DESIGN SERVICES AND CONSTRUCTION CONTRACT ADMINISTRATION THIS ADDENDUM shall amend the American Institute of Architects Document

More information

AGREEMENT BETWEEN COUNTY AND CONTRACTOR FOR GOODS AND SERVICES. THIS AGREEMENT, effective this 20th day of April in the year, 2015, between:

AGREEMENT BETWEEN COUNTY AND CONTRACTOR FOR GOODS AND SERVICES. THIS AGREEMENT, effective this 20th day of April in the year, 2015, between: AGREEMENT BETWEEN COUNTY AND CONTRACTOR FOR GOODS AND SERVICES THIS AGREEMENT, effective this 20th day of April in the year, 2015, between: MARTIN COUNTY BOARD OF COUNTY COMMISSIONERS, a political subdivision

More information

SOLICITOR APPLICATION

SOLICITOR APPLICATION Date: / / SOLICITOR APPLICATION General Information Name: Birth Date: / / Office Address: City: State: Zip: E-mail address: Business phone: ( ) - Fax number: ( ) - Assistant s Name: Registered Investment

More information

PROFESSIONAL SERVICES AGREEMENT EXECUTIVE SEARCH SERVICES

PROFESSIONAL SERVICES AGREEMENT EXECUTIVE SEARCH SERVICES PROFESSIONAL SERVICES AGREEMENT EXECUTIVE SEARCH SERVICES This Agreement is made by and between the Fresno County Employees Retirement Association ( the Client ) and Alliance Resource Consulting ( Consultant

More information

Sample Contract - Private Probation Services Georgia Courts

Sample Contract - Private Probation Services Georgia Courts Sample Contract - Private Probation Services Georgia Courts The following sample is provided as guidance only for language that Georgia courts or private providers may wish to utilize in constructing contracts

More information

Consulting Master Services Agreement

Consulting Master Services Agreement Consulting Master Services Agreement THIS CONSULTING AGREEMENT (this Agreement ), made and entered into this 21st day of June, 2002, by and between PrimeContractor, a StateName EntityType, its successors

More information

Errors and Omissions Insurance. 1.0 Introduction and Definition

Errors and Omissions Insurance. 1.0 Introduction and Definition Errors and Omissions Insurance 1.0 Introduction and Definition 1.1 Under the terms of this policy the word employee means any trustee of the Board of Education, any employee of the Hicksville Board of

More information

KRAV MAGA ALLIANCE AFFILIATION & TRAINING AGREEMENT. THIS AGREEMENT is made by and between Krav Maga Alliance (hereinafter known as KM ALLIANCE ) and

KRAV MAGA ALLIANCE AFFILIATION & TRAINING AGREEMENT. THIS AGREEMENT is made by and between Krav Maga Alliance (hereinafter known as KM ALLIANCE ) and KRAV MAGA ALLIANCE AFFILIATION & TRAINING AGREEMENT THIS AGREEMENT is made by and between Krav Maga Alliance (hereinafter known as KM ALLIANCE ) and (hereinafter referred to as Affiliate ). WITNESSETH

More information

AFFILIATION AGREEMENT *

AFFILIATION AGREEMENT * AFFILIATION AGREEMENT * This AGREEMENT entered into on this day of 20 BETWEEN Hereandafter referred to as THE AFFILIATE AND STOCKTON UNIVERSITY 101 Vera King Farris Drive Galloway, New Jersey 08205-9441

More information

Retaining Wall Replacement at the Currituck County Veterans Memorial Park

Retaining Wall Replacement at the Currituck County Veterans Memorial Park CONTRACT DOCUMENTS FOR Retaining Wall Replacement at the Currituck County Veterans Memorial Park Coinjock, NC May 24, 2016 NOTICE TO BIDDERS Bids will be received until 4:00 pm on June 17, 2016 at the

More information

INDEPENDENT CONTRACTOR AGREEMENT INTERPRETATION/TRANSLATION SERVICES

INDEPENDENT CONTRACTOR AGREEMENT INTERPRETATION/TRANSLATION SERVICES INDEPENDENT CONTRACTOR AGREEMENT INTERPRETATION/TRANSLATION SERVICES This INDEPENDENT CONTRACTOR AGREEMENT (the Agreement ) is entered into effective this day of, 2001, by and between, ( IC ) and OpenWorld

More information