CHANGE NOTICE NO. 1 CONTRACT NO. 071B THE STATE OF MICHIGAN
|
|
- Bertha Walsh
- 8 years ago
- Views:
Transcription
1 Form No. DTMB-3521 (Rev. 4/2012) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract change will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT AND BUDGET PROCUREMENT P.O. BOX 30026, LANSING, MI OR 525 W. ALLEGAN, LANSING, MI CHANGE NOTICE NO. 1 to CONTRACT NO. 071B between THE STATE OF MICHIGAN NAME & ADDRESS OF CONTRACTOR: PRIMARY CONTACT Pinnacle Public Finance, Inc. Therese Lohmann tlohmann@ppf-inc.com 8377 East Hartford Drive, Suite 115 TELEPHONE CONTRACTOR #, MAIL CODE and Scottsdale, AZ (480) STATE CONTACTS AGENCY NAME PHONE CONTRACT COMPLIANCE INSPECTOR BUYER DTMB Michael Breen (517) breenm@michigan.gov CONTRACT SUMMARY: DESCRIPTION: Finance/Lease Purchase of EMC Equipment DTMB INITIAL EFFECTIVE DATE INITIAL EXPIRATION DATE INITIAL AVAILABLE OPTIONS EXPIRATION DATE BEFORE CHANGE(S) NOTED BELOW November 15, 2011 October 14, 2014 October 14, 2014 PAYMENT TERMS F.O.B SHIPPED SHIPPED FROM ALTERNATE PAYMENT OPTIONS: AVAILABLE TO MiDEAL PARTICIPANTS P-card Direct Voucher (DV) Other Yes No MINIMUM DELIVERY REQUIREMENTS: EXTEND CONTRACT EXPIRATION DATE No Yes EXERCISE CONTRACT OPTION YEAR(S) VALUE/COST OF CHANGE NOTICE: DESCRIPTION OF CHANGE NOTICE: EXTENSION BEYOND CONTRACT OPTION YEARS LENGTH OF OPTION/EXTENSION EXPIRATION DATE AFTER CHANGE ESTIMATED REVISED AGGREGATE CONTRACT VALUE: $28, $1,074, Effective September 9, 2014, this contract is hereby increased by $28, This amount reflects interest that was not added to the contract at the time MAIN was posted, per agency (Technical Services) and Procurement. All other terms, conditions, specifications and pricing remain the same. Per contractor and agency agreement, and DTMB Procurement approval.
2 Form No. DMB 234 (Rev. 1/96) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT AND BUDGET February 17, 2012 PROCUREMENT P.O. BOX 30026, LANSING, MI OR 530 W. ALLEGAN, LANSING, MI NOTICE TO CONTRACT NO. 071B between THE STATE OF MICHIGAN and NAME & ADDRESS OF CONTRACTOR TELEPHONE Therese Lohmann Pinnacle Public Finance, Inc. (480) East Hartford Drive, Suite 115 CONTRACTOR NUMBER/MAIL CODE Scottsdale, AZ BUYER/CA (517) Seleana Samuel Contract Compliance Inspector: Finance/Lease Purchase of EMC Equipment DTMB CONTRACT PERIOD: 5 Years From: 11/15/2011 To: 10/14/2014 TERMS SHIPMENT F.O.B. SHIPPED FROM ALTERNATE PAYMENT OPTIONS: P-card Direct Voucher (DV) Other MINIMUM DELIVERY REQUIREMENTS MISCELLANEOUS INFORMATION: This lease is for equipment purchased from EMC Corporation Contract # 071B Estimated Contract Value: $ 1,045,990.00
3 Form No. DMB 234 (Rev. 1/96) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT AND BUDGET PURCHASING OPERATIONS P.O. BOX 30026, LANSING, MI OR 530 W. ALLEGAN, LANSING, MI CONTRACT NO. 071B between THE STATE OF MICHIGAN and NAME & ADDRESS OF CONTRACTOR TELEPHONE Therese Lohmann Pinnacle Public Finance, Inc. (480) East Hartford Drive, Suite 115 CONTRACTOR NUMBER/MAIL CODE Scottsdale, AZ BUYER/CA (517) Seleana Samuel Contract Compliance Inspector: Finance/Lease Purchase of EMC Equipment DTMB CONTRACT PERIOD: 5 Years From: 11/15/2011 To: 10/14/2014 TERMS SHIPMENT F.O.B. SHIPPED FROM ALTERNATE PAYMENT OPTIONS: P-card Direct Voucher (DV) Other MINIMUM DELIVERY REQUIREMENTS MISCELLANEOUS INFORMATION: This lease is for equipment purchased from EMC Corporation Contract # 071B Estimated Contract Value: $ 1,045, THIS IS NOT AN ORDER: FOR THE CONTRACTOR: Pinnacle Public Finance, Inc. Firm Name Authorized Agent Signature Authorized Agent (Print or Type) Date FOR THE STATE: Signature Jeff Brownlee / Chief Procurement Officer Name/Title DTMB Purchasing Operations Division Date
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
CHANGE NOTICE NO. 1 to CONTRACT NO. 071B4300130 Between THE STATE OF MICHIGAN and CONTRACT SUMMARY:
Form No. DTMB-3522 (Rev. 4/2012) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT AND BUDGET
More informationCHANGE NOTICE NO. 18 to CONTRACT NO. 071B8200195 between THE STATE OF MICHIGAN and
Form No. DTMB-3521 (Rev. 5/2015) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract change will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT
More informationCHANGE NOTICE NO. 8 to CONTRACT NO. 071B9200161 between THE STATE OF MICHIGAN and
Form No. DTMB-3521 (Rev. 5/2015) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract change will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT
More informationCHANGE NOTICE NO. 4 to CONTRACT NO. 071B3200088 between THE STATE OF MICHIGAN and
Form No. DTMB-3521 (Rev. 7/2015) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract change will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT
More informationMICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT AND BUDGET IT SERVICES STATEMENT OF WORK
Form No. DTMB-3521 (Rev. 7/2015) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract change will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT
More informationCHANGE NOTICE NO. 5 to CONTRACT NO. 071B1300126 between THE STATE OF MICHIGAN and
Form No. DTMB-3521 (Rev. 4/2012) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract change will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT
More informationCHANGE NOTICE NO. 3 to CONTRACT NO. 071B2200092 THE STATE OF MICHIGAN
Form No. DTMB-3521 (Rev. 4/2012) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract change will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT
More informationCHANGE NOTICE NO. 2 CONTRACT NO. 071B2200168 THE STATE OF MICHIGAN
Form No. DTMB-3521 (Rev. 4/2012) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract change will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT
More informationNotice of Contract #: 071B3200020
Form No. DTMB-3522 (Rev. 4/2012) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT AND BUDGET
More informationCHANGE NOTICE NO. 1 to CONTRACT NO. 071B5500068 between THE STATE OF MICHIGAN and
Form No. DTMB-3521 (Rev. 5/2015) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract change will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT
More informationCHANGE NOTICE NO. 2 to CONTRACT NO. 071B2200304 between THE STATE OF MICHIGAN and
Form No. DTMB-3521 (Rev. 2/2015) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract change will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT
More informationCHANGE NOTICE NO. 2 CONTRACT NO. 071B3200041 THE STATE OF MICHIGAN
Form No. DTMB-3521 (Rev. 4/2012) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract change will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT
More informationCHANGE NOTICE NO. 6 to CONTRACT NO. 071B1300069 THE STATE OF MICHIGAN
Form No. DTMB-3521 (Rev. 4/2012) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract change will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT
More informationCHANGE NOTICE NO. 4 to CONTRACT NO. 071B3200152 between THE STATE OF MICHIGAN and
Form No. DTMB-3521 (Rev. 7/2015) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract change will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT
More informationCHANGE NOTICE NO. 2 to CONTRACT NO. 071B2200310 between THE STATE OF MICHIGAN and
Form No. DTMB-3521 (Rev. 7/2015) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract change will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT
More informationNOTICE OF CONTRACT NO. 071B2200066 between THE STATE OF MICHIGAN and
Form No. DMB 234 (Rev. 1/96) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT AND BUDGET
More informationMichigan Department of Education Office of Special Education TEMPORARY APPROVAL FOR OUT-OF-STATE TRAINED SUPERVISOR OF SPECIAL EDUCATION
Michigan Department of Education Office of Special Education TEMPORARY APPROVAL FOR OUT-OF-STATE TRAINED SUPERVISOR OF SPECIAL EDUCATION Policy & Criteria POLICY: 1. A request for approval as an out-of-state
More informationN/A NATURE OF CHANGE (S):
Form No. DMB 234 (Rev. 1/96) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF MANAGEMENT AND BUDGET PURCHASING
More informationCHANGE NOTICE NO. 9 to CONTRACT NO. 071B9200192 between THE STATE OF MICHIGAN and
Form No. DTMB-3521 (Rev. 2/2015) UTHORITY: ct 431 of 1984 COMPLETION: Required PENLTY: Contract change will not be executed unless form is filed STTE OF MICHIGN DEPRTMENT OF TECHNOLOGY, MNGEMENT ND BUDGET
More informationNOTICE OF CONTRACT NO. 071B5500125 between THE STATE OF MICHIGAN and
Form No. DTMB-3522 (Rev. 2/2015) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract change will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT
More informationEffective immediately, this Contract is hereby EXTENDED through August 31, 2012, and INCREASED by $900,000.00.
Form No. DMB 234 (Rev. 1/96) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT AND BUDGET
More informationElectricity and Natural Gas Supply Services AUTHORIZATION & APPLICATION FORM
Electricity and Natural Gas Supply Services AUTHORIZATION & APPLICATION FORM ELECTRIC AND NATURAL GAS BILLING, PAYMENT HISTORY, ACCOUNT SERVICE DATA, AND CREDIT DATA SUPPIER AUTHORIZATION Customer Location:
More informationBusiness Credit Application and Credit Card Authorization form
Business Credit Application and Credit Card Authorization form INSTRUCTIONS: If applying for Open Terms, please complete this application in its entirety. If applying for a Credit Card account, please
More informationMICHIGAN APPLICATION FOR WORKERS COMPENSATION INSURANCE MICHIGAN WORKERS COMPENSATION PLACEMENT FACILITY
MICHIGAN WORKERS COMPENSATION PLACEMENT FACILITY MAIL: P.O. Box 3337, Livonia, MI 48151-3337 EXPRESS MAIL AND VISITORS: 17197 N. Laurel Park Dr., Suite 311, Livonia, MI 48152-2686 734-462-9600 IMPORTANT:
More informationSAW Loan Application PART B - PROJECT INFORMATION
SAW Loan Application PART B - PROJECT INFORMATION Questions about Part B should be directed to your DEQ project manager. Project Name SAW Loan Number A. Part B Submittal Attachments For a project that
More informationMichigan Department of Education Office of Special Education TEMPORARY APPROVAL FOR OUT-OF-STATE SCHOOL SOCIAL WORKER POSITIONS.
Michigan Department of Education Office of Special Education TEMPORARY APPROVAL FOR OUT-OF-STATE SCHOOL SOCIAL WORKER POSITIONS Policy & Criteria POLICY: 1. A request for approval as an out-of-state trained
More informationCHANGE NOTICE NO. 2 to CONTRACT NO. 071B5500056 between THE STATE OF MICHIGAN and
Form No. DTMB-3521 (Rev. 5/2015) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract change will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT
More informationN/A. Estimated Contract Value: $2,572,220.00
Form No. DMB 234 (Rev. 1/96) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT AND BUDGET
More informationInitial Application for Debt Management License Attachments and Instructions
FIS 0506 (05/15) Department of Insurance and Financial Services Page 1 of 3 Initial Application for Debt Management License Initial Application for Debt Management License Attachments and Instructions
More informationSTATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DEPARTMENT OF BUSINESS REGULATION DIVISION OF BANKING
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DEPARTMENT OF BUSINESS REGULATION DIVISION OF BANKING INSURED DEPOSIT TAKING FINANCIAL INSTITUTION CALL REPORT Legal Name of Financial Institution City
More informationCLAIM FORM THE FOLLOWING DOCUMENTS ARE REQUIRED TO BE FILED WITH THIS CLAIM FORM:
Trex Company, Inc. Trex Class Action Settlement ATTN: Trex Surface Flaking Litigation P.O. Box 921759 Norcross, GA 30010-1759 Toll Free Line: 1-866-241-4396 Complete this form if you are submitting a claim
More informationCompany Name: Order Address:
This box for MH Use Only VENDOR DATA SHEET REQUIRED MH Vice President signature: Company Name: Order Address: City: State: Zip Code: Customer Service Information: Contact Phone: Fax: **Does your ordering
More informationOnce your account is established, you will receive a confirmation email or fax with your account number and an order form.
Welcome to sanofi-aventis U.S. LLC and Genzyme Corporation. This new account welcome kit provides you with essential information on how to request a new account and understand our standard business policies
More informationCredit Application. parsource.com GENERAL INFORMATION. Internal Use Only: The following documents are required to begin the application process:
The following documents are required to begin the application process: * Missing documentation could result in delays in establishing your account. ncompleted and signed credit application ncompleted Blanket
More informationSCHEDULE "B" - INSURANCE REQUIREMENTS
Certificates of Insurance SCHEDULE "B" - INSURANCE REQUIREMENTS The Contractor shall instruct his/her insurance carrier to complete the attached City of Madison Certificate of Insurance form. This insurance
More informationWRITTEN QUOTE REQUEST FORM
District Five Schools of Spartanburg County P. O. Box 307 100 North Danzler Road Duncan, SC 29334 Telephone: 864-949-2350 Fax: 864-439-0051 WRITTEN QUOTE REQUEST FORM DATE: June 22, 2016 TO: FROM: (Buyer
More informationCHANGE NOTICE NO. 10 (REVISED) TO CONTRACT NO. 071B4200181 between THE STATE OF MICHIGAN and
Form No. DMB 234 (Rev. 1/96) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY MANAGEMENT AND BUDGET
More informationREVENUE ADMINISTRATIVE BULLETIN 2002-15. Approved: June 10, 2002 SALES AND USE TAX EXEMPTIONS AND REQUIREMENTS
JOHN ENGLER GOVERNOR STATE OF MICHIGAN DEPARTMENT OF TREASURY LANSING DOUGLAS B. ROBERTS STATE TREASURER REVENUE ADMINISTRATIVE BULLETIN 2002-15 Approved: June 10, 2002 SALES AND USE TAX EXEMPTIONS AND
More informationSpend Analysis and Strategic Sourcing
Description: RFP 3333-4 ADDENDUM #1 & ACKNOWLEDGMENT Spend Analysis and Strategic Sourcing RFP #: 3333-4 Addendum #1 Date: December 3, 2015 This addendum includes the following information: A. QUESTIONS
More informationGENERAL TERMS & CONDITIONS OF QUOTE
Quote #: MS-77-6 (WCSD) is soliciting for formal quotes for certain PRODUCTS identified on the QUOTE PRICE SCHEDULE/SPECIFICATION SHEET included in accordance with all defined terms and conditions in this
More informationRETURN TO ALCOHOLIC BEVERAGE CONTROL PERMIT DEPARTMENT P.O. BOX 540 MADISON, MS 39130-0540
APPLICATION, CHANGE IN LOCATION OF ABC PERMITTED BUSINESS RETURN TO ALCOHOLIC BEVERAGE CONTROL PERMIT DEPARTMENT P.O. BOX 540 MADISON, MS 39130-0540 APPLICATION INSTRUCTIONS Please read these instructions
More informationMICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS CORPORATIONS, SECURITIES & COMMERCIAL LICENSING BUREAU
CSCL/CD-515 (Rev. 1/15) Date Received MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS CORPORATIONS, SECURITIES & COMMERCIAL LICENSING BUREAU This document is effective on the date filed, unless
More informationRevised: 03/11/2015 OMB Control No. 0648-0592 Expiration Date: 03/31/2018 BLOCK A - REQUIRED DOCUMENTATION
Revised: 03/11/2015 OMB Control No. 0648-0592 Expiration Date: 03/31/2018 CHARTER HALIBUT LIMITED ACCESS PROGRAM Application for TRANSFER OF CHARTER HALIBUT PERMIT (CHP) U.S. Dept. of Commerce/NOAA National
More informationMAJOR EQUIPMENT PURCHASE CONTRACT
MAJOR EQUIPMENT PURCHASE CONTRACT CONSUMERS ENERGY COMPANY ONE ENERGY PLAZA JACKSON, MI 49201 ( Buyer ) ( Seller ) Date:, 20 Subject to the provisions of this Major Equipment Purchase Contract ( Contract
More informationSamuel S. Corl, III, is Associate Pro fessor of Education, Michigan State University, East Lansing. ff you are interested in more informa tion about
Samuel S. Corl, III, is Associate Pro fessor of Education, Michigan State University, East Lansing. ff you are interested in more informa tion about Denmark's Folk High Schools order Professional Paper
More informationTexas A&M University Commerce Prompt Payment and Payment Scheduling Procedures
Texas A&M University Commerce Prompt Payment and Payment Scheduling Procedures I. Purpose This document applies to all payments processed through Texas A&M University - Commerce (TAMC) Accounts Payable.
More informatione-procurement (epro) Overview Advantages of epro
e-procurement (epro) PeopleSoft e-procurement (epro) is designed to make it easier for a casual user to requisition items. This ease-of-use method helps reduce out-of-system purchasing; also known as maverick
More informationMICHIGAN INDIAN ELDERS ASSOCIATION
MICHIGAN INDIAN ELDERS ASSOCIATION 2016 SCHOLARSHIP APPLICATION STUDENT S NAME Last First Middle Initial MAILING ADDRESS Street Address PO Box City State Zip code ( ) Telephone Number FATHER S NAME MOTHER
More informationIndependent Business Associate Application. Name: OFB Date: (First) (Last) Billing Address: (Street)
For Your Pleasure, Inc. PO Box 3452 Concord, NH 03302 Phone: (603) 225-8826 Fax: (603) 225-3199 www.foryourpleasure.com newiba@foryourpleasure.com Independent Business Associate Application Name: OFB Date:
More informationFor the Contractor: Charles K. Leadbetter, Contract Administrator Berry Dunn. Date. For the State:
Form No. DTMB-3522 (Rev. 10/2015) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract change will not be executed unless form is filed NOTICE OF CONTRACT NO. 071B6600037 between THE STATE
More informationMichigan Department of Licensing and Regulatory Affairs Bureau of Professional Licensing Board of Pharmacy PO Box 30670 Lansing MI 48909 (517)
Michigan Department of Licensing and Regulatory Affairs Bureau of Professional Licensing Board of Pharmacy PO Box 30670 Lansing MI 48909 (517) 373-8068 www.michigan.gov/bpl 1 MANUFACTURER/WHOLESALER LICENSE
More informationYour request for information in connection with the organization of a state-chartered bank is acknowledged.
FIS 1110 (5/15) Department of Insurance and Financial Services Page 1 of 6 RICK SNYDER GOVERNOR STATE OF MICHIGAN DEPARTMENT OF INSURANCE AND FINANCIAL SERVICES LANSING PATRICK M. MCPHARLIN DIRECTOR TO
More informationMICHIGAN IV-D ACTION TRANSMITTAL 2008-041
STATE OF MICHIGAN DEPARTMENT OF HUMAN SERVICES LANSING JENNIFER M. GRANHOLM GOVERNOR ISMAEL AHMED DIRECTOR MICHIGAN IV-D ACTION TRANSMITTAL 2008-041 TO: FROM: All Prosecuting Attorney (PA) Staff All Friend
More informationREALCARE INSURANCE MARKETING, INC. Real Estate Professionals Errors and Omissions Insurance Application
REALCARE INSURANCE MARKETING, INC. Real Estate Professionals Errors and Omissions Insurance Application NOTICE: This is an application for a Claims-made policy. Coverage for prior acts and claims made
More informationGENERAL INFORMATION. Telephone Number: Fax Number: Email Address: Web Address:
1 st Choice Real Estate Services Professional Liability Coverage Application SM Travelers Casualty and Surety Company of America THE INFORMATION BEING REQUESTED IS FOR A CLAIMS MADE POLICY. IT IS IMPORTANT
More informationMODEL SMALL BUSINESS SUBCONTRACTING PLAN. Lawrence Livermore National Security, LLC (LLNS) 7000 East Avenue / P.O. Box 5012 Livermore, CA 94550/94551
MODEL SMALL BUSINESS SUBCONTRACTING PLAN Date: Contracting Agency: LLNS Subcontract Number: Subcontract Short Description: Offeror / Subcontractor: Lawrence Livermore National Security, LLC (LLNS) 7000
More informationIPAG~ Of I OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24." 30 REQ-2400-11-0231 6 08/02/2011CPSC-F-11-0097 ~ UNRESTRICTED OR D SET ASIDE: %FOR
SOLICITATlONlCONTRACTlORDER FOR COMMERCIAL ITEM 1" REQUISITION NUMBEI'< IPAG~ Of I OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24." 30 REQ-2400-11-0231 6 2. CONTRACT NO. I: AWAR!:» JORDER NUMBER 15. SOliCITATION
More informationTHE EVERGREEN STATE COLLEGE
The Evergreen State College Procurement Card Guide JP Morgan Chase VISA THE EVERGREEN STATE COLLEGE PROCUREMENT CARD HANDBOOK For Cardholders & Authorized Users Card Custodians Approving Officials Rev
More informationFinancial Services Presentation
Financial Services Presentation February 2012 Presenters Ian Nason Assistant Vice-President Financial Services Darrell Cochrane Controller Susan Robertson Director of Budgets and Financial Mike Drane Procurement
More informationCITY OF TUCSON DEPARTMENT OF PROCUREMENT
CITY OF TUCSON DEPARTMENT OF PROCUREMENT REQUEST FOR PROPOSAL NO. 141029 ORAL INTERPRETATION SERVICES (including American Sign Language (ASL) AND WRITTEN/AUDIO TRANSLATION AND TRANSCRIPTION SERVICES AMENDMENT
More informationSAN JOAQUIN COUNTY PURCHASING AND SUPPORT SERVICES PURCHASING DIVISION
SAN JOAQUIN COUNTY PURCHASING AND SUPPORT SERVICES PURCHASING DIVISION David M. Louis, C.P.M., CPPO, CPPB Director Jon Drake, C.P.M. Deputy Director July 23, 2013 TO: ALL PROSPECTIVE RESPONDERS FROM: REQUEST
More informationVe ndor 10 Phone: Fax:
l. BROOKS PATTERSON - OAKLAND COUNTY EXECUTIVE OAKLAND COUNTY PURCHASING DIVISION Executive Office Building 41 West 2100 Pontiac Lake Rd. Lower Level Waterford M I 48328-0462 Main Phone 248/858-051 1 www.oakgov.com/purchasing/
More informationAPPLICATION TO ENTER INTO A SECURITY AGREEMENT WITH J D FACTORS
Rev. 3.10 APPLICATION TO ENTER INTO A SECURITY AGREEMENT WITH J D FACTORS Corporation Partnership Business Name: LLC Sole Prop Trade Name(s) (DBA): Street Address: Phone: Fax: City: State: Zip: Cell: E-Mail
More informationSMART SUBURBAN MOBILITY AUTHORITY FOR REGIONAL TRANSPORTATION REQUEST FOR QUOTES QUANTITY UNIT DESCRIPTION UNIT EXTENSION PRICE
SMART SUBURBAN MOBILITY AUTHORITY FOR REGIONAL TRANSPORTATION REQUEST FOR QUOTES This is NOT an order. Please submit a quotation ON THIS FORM of your net price for materials and/or services described herein
More informationRental Registration Application You must submit a separate registration form for each parcel
Rental Registration Application You must submit a separate registration form for each parcel City of Cortland Fire Department Code Enforcement Pursuant to the City of Cortland Rental Housing Law, the owner
More information2. Present residence address no. street town state zip code. Mailing address, only if mail delivery is not available to residence address
Form # A-1 (Rev. 11/12/09) Notary Public Unit Office of the Secretary of the State State of Connecticut PO Box 150470 Hartford, CT 06115-0470 FOR OFFICE USE ONLY Trans. # Acct. # Date of Appt. APPLICATION
More informationPURCHASING DEPARTMENT
PURCHASING DEPARTMENT TWELVE EAST 4 TH AVENUE, SUITE 106 ROME, GEORGIA 30161 PHONE: 706.291.5118 FAX: 706.290.6099 www.romefloyd.com Date: 23 September, 2015 To: To Whom It May Concern Request for Quote:
More informationclient protection und
State Bar of Michigan office use only f claim application client protection und All members of the State Bar of Michigan are urged to give assistance, without fee, to any claimant presenting a claim to
More informationFebruary 17, 2005. Jeannene Hurley Michigan State Department of Education 608 W. Allegan Lansing, MI 48933
4251 Plymouth Road Phone: 734-764-9430 Suite 2000 Fax: 734-647-3185 Ann Arbor, Michigan 48105-2785 www.merit.edu February 17, 2005 Jeannene Hurley Michigan State Department of Education 608 W. Allegan
More informationENDORSEMENTS AND CERTIFICATES OF INSURANCE
ENDORSEMENTS AND CERTIFICATES OF INSURANCE Endorsements are produced when another party (not a YCPARMIA entity) asks to be named additional insured and/or loss payee on our coverage. This makes our coverage
More informationTravelers 1 st Choice REAL ESTATE SERVICES PROFESSIONAL LIABILITY COVERAGE APPLICATION
Travelers 1 st Choice REAL ESTATE SERVICES PROFESSIONAL LIABILITY COVERAGE APPLICATION Travelers Casualty and Surety Company of America Hartford, Connecticut IMPORTANT NOTE: This is an application for
More informationCHANGE NOTICE NO. 1 to CONTRACT NO. 071B3200006 between THE STATE OF MICHIGAN and
Form No. DTMB-3521 (Rev. 7/2015) AUTHORITY: Act 431 of 1984 COMPLETION: Required PENALTY: Contract change will not be executed unless form is filed STATE OF MICHIGAN DEPARTMENT OF TECHNOLOGY, MANAGEMENT
More informationPima Federal Visa Credit Cards Frequently Asked Questions (FAQs)
Pima Federal Visa Credit Cards Frequently Asked Questions (FAQs) (Effective May 2013) APPLICATION PROCESS Q: Who can apply for a Pima Federal Visa Credit Card? A: Any member of Pima Federal is eligible
More informationCLAIM FORM INSTRUCTIONS
CLAIM FORM INSTRUCTIONS To make a claim through the claims process for benefits that may be available as a result of the Settlement reached in the Litigation captioned Gulbankian, et al. v. MW Manufacturers,
More informationPART A. I,, in my capacity as Corporate Secretary or LLC Manager Name of Corporate Secretary or LLC Manager
COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT DIVISION OF WORKERS COMPENSATION REJECTION OF COVERAGE BY CORPORATE OFFICERS OR MEMBERS OF A LIMITED LIABILITY COMPANY (LLC) PART A 1. Type of Entity Corporation
More informationHome Inspector License Application
New York State DEPARTMENT OF STATE Division of Licensing Services P.O. Box 22001 Customer Service: (518) 474-4429 Albany, NY 12201-2001 www.dos.ny.gov Home Inspector License Application Read the instructions
More informationWest Virginia State Tax Department Nonresident Contractors Sales And Use Tax Requirements
West Virginia State Tax Department Nonresident Contractors Sales And Use Tax Requirements Publication TSD-330 (Rev. January 2012) Nonresident contractors are required to register with the State of West
More informationHow To Get A Health Insurance Policy In Connecticut
STATE OF CONNECTICUT INSURANCE DEPARTMENT BULLETIN HC-61 December 14, 2004 TO: RE: All Health Insurers Authorized To Conduct Business in Connecticut Professional Employer Organizations (PEOs) and Small
More informationStep Forward Michigan Loan Rescue Program Detailed Instructions. Prepared by the Office of Allegan County Treasurer Sally Brooks
Step Forward Michigan Loan Rescue Program Detailed Instructions Prepared by the Office of Allegan County Treasurer Sally Brooks Web browser: www.stepforwardmichigan.org Click Apply Now to start your application
More informationNEW YORK CITY HOUSING DEVELOPMENT CORPORATION PURCHASING PROCEDURES. Updated as of December 23, 2014
NEW YORK CITY HOUSING DEVELOPMENT CORPORATION I. ORDERING ITEMS PURCHASING PROCEDURES Updated as of December 23, 2014 All requests for purchases are to be coordinated through the Department of Office Services.
More informationBuilder/Retailer Approval Checklist
Builder/Retailer Approval Checklist Builder/Retailer must be approved by prior to loan closing. Builder/Retailer: Builder/Retailer Summary Application Contractor's Performance Agreement Disbursement Instructions
More informationPROCUREMENT TECHNICIAN
MICHIGAN CIVIL SERVICE COMMISSION JOB SPECIFICATION PROCUREMENT TECHNICIAN JOB DESCRIPTION Employees in this job participate in and oversee a variety of activities involving the purchasing, leasing, management,
More informationAmbit Engineering Recruitment Salary & Contract Index
Ambit Engineering Recruitment Salary & Contract Index Oil & Gas: Engineering Engineering Manager $165 $175 $185 $265,408 $283,712 $302,016 Principal/ Chief Engineer $156 $165 $176 $256,256 $265,408 $274,560
More informationPURCHASING DEPARTMENT
PURCHASING DEPARTMENT TWELVE EAST 4 TH AVENUE, SUITE 106 ROME, GEORGIA 30161 PHONE: 706.291.5118 FAX: 706.290.6099 www.romefloyd.com Date: 16 February 2015 To: To Whom It May Concern Request for Quote:
More informationCLIENT INFORMATION FORM
Please take a moment to complete this form. We will consider it, along with your group s experience, enrollment data, and any other applicable information, when setting up your account with Delta Dental.
More informationFlorida A & M University
Florida A & M University AP PROCEDURES 3-8-2013 TABLE OF CONTENTS 1.0 OVERVIEW... 1 2.0 DEFINITIONS... 1 3.0 RESPONSIBILITIES... 2 4.0 GENERAL PROCEDURES... 3 4.1 DEPARTMENTAL FISCAL REPRESENTATIVES...
More informationINVITATION TO BID. Web and Application Development Services. Monday, February 23, 2015 at 10:00 AM
200 GRAND RIVER, SUITE 203 Pg 1 of 11 BID: RFP-IT-0215-292 INVITATION TO BID ITEM: PreBid Conference: DEADLINE: BID OPENING: Web and Application Development Services Monday, February 9, 2015 at 11:00 AM
More information1952 Concourse Drive San Jose, CA 95131. New Account Credit Application
1952 Concourse Drive San Jose, CA 95131 Ph: (408) 435-0400 FAX: (408) 435-0410 Toll Free: (800)233-2013 email: slund@norcal4air.com website: www.norcal4air.com New Account Credit Application ** All fields
More informationCITY OF MADISON HEIGHTS PURCHASING DEPARTMENT 300 W. 13 MILE ROAD MADISON HEIGHTS, MI 48071 INVITATION TO BID
CITY OF MADISON HEIGHTS PURCHASING DEPARTMENT 300 W. 13 MILE ROAD MADISON HEIGHTS, MI 48071 INVITATION TO BID ITB # 1002 ITEM: Storage Area Network Equipment, Installation & Support DEADLINE: Friday, February
More informationWe thank you for your business, and look forward to providing you with the necessary protection and care for your business and employees.
RE: Workers Compensation Claims Kit Welcome to the Workers Compensation Insurance Program offered through Tower Group Companies. While we hope that your company never has to experience a workers compensation
More informationPROCUREMENT ANNOUNCEMENT AGENCY CONTRACT AWARD
PROCUREMENT ANNOUNCEMENT AGENCY CONTRACT AWARD The Illinois Department of Public Health published a notice of award for cost allocation consulting and development of the Department s proposed indirect
More informationSTATE OF NEW YORK COMMISSIONER OF TAXATION AND FINANCE
New York State Department of Taxation and Finance Taxpayer Services Division Technical Services Bureau STATE OF NEW YORK COMMISSIONER OF TAXATION AND FINANCE ADVISORY OPINION PETITION NO. S960209A On February
More informationChief, Property Management Division. Mandatory Training and Certification for USDA Fleet Card
United States Department of Agriculture Office of the Assistant Secretary For Administration Office of Procurement and Property Management 300 7 th Street Southwest Room 377 Reporters Building Washington,
More informationCity of Fulton, Missouri REQUEST FOR PROPOSAL
City of Fulton, Missouri REQUEST FOR PROPOSAL RETURN ALL RFPS TO: CITY OF FULTON C/O Carolyn Laswell City Clerk P.O. BOX 130 18 EAST 4 TH STREET FULTON, MO 65251-0130 RFP. NO. P-201231 DATE 05/22/12 REQ.
More informationMSUFCU Business Loan Application
MSUFCU Business Loan Application Section 1 - Credit Requested Total Funds Needed Less Funds Provided by You - ( ) Less Funds Provided by Others - ( ) Total Loan Needed Section 2 - Business Information
More informationSOUTHWESTERN BELL TELEPHONE PRACTICE SW 747-200-902 SWBT Standard Issue B, October 1999. Central Office Wet-Cell Batteries Removal and Disposition
SOUTHWESTERN BELL TELEPHONE PRACTICE SW 747-200-902 SWBT Standard Issue B, October 1999 Central Office Wet-Cell Batteries Removal and Disposition CONTENTS PAGE 1. General...2 2. Responsibilities...2 A.
More informationThis AGREEMENT is made as of the day of in the year of, by and between the following parties, for the sale of materials.
MCPU Standard Contract 101 Agreement Between Seller and Buyer For Sale on Credit This document has important legal consequences. Consultation with an attorney is recommended with respect to its completion,
More informationTHE RETIREMENT SYSTEMS OF ALABAMA
THE RETIREMENT SYSTEMS OF ALABAMA I N V I T A T I O N T O B I D For: F5 Networks BIG-IP Security Hardware and Software Agency Contact: Edward Davis (334) 517-7130 Invitation to Bid No.: 15-006 Mandatory
More informationState of Michigan Civil Service Commission Capitol Commons Center, P.O. Box 30002 Lansing, MI 48909 POSITION DESCRIPTION
CS-214 Rev 11/2013 State of Michigan Civil Service Commission Capitol Commons Center, P.O. Box 30002 Lansing, MI 48909 POSITION DESCRIPTION Position Code STUDASTEG67R This position description serves as
More information