zilongwang/ReadingBank huggingface dataset:
Part 1 – Proposal Information and Conditions Table of Contents 1. Description of project 1 2. Request for Proposal 1 2.1 Supply required 1 2.2 Purpose of Request for Proposal 1 3. Accuracy of information 1 3.1 No liability of the Company for information provided 1 3.2 Contractor to fully inform itself 1 3.3 Statement of interpretation 1 4. Acknowledgement of Request for Proposal and correspondence 2 4.1 Contractor notification 2 4.2 Contractor's Proposal Representative 2 4.3 Company Representative 2 4.4 Correspondence to be in writing 2 5. Company information and obligations of confidentiality 3 5.1 Request for Proposal confidential 3 5.2 Return of Request for Proposal 3 6. Public announcements 3 7. Lodgement of Proposals 3 7.1 Proposal Period 3 7.2 Lodgment of Proposals 3 8. Modification or withdrawal of Request for Proposal 4 8.1 Notice to Contractors 4 8.2 Notice to Contractors to form part of Proposal Documents 4 9. Questions 4 9.1 Questions to the Company 4 9.2 Acknowledgement and response to questions 4 9.3 Responses to questions to be advised to all Contractors 4 10. Withdrawal of Proposals 4 10.1 Withdrawal prior to end of Proposal Period 4 10.2 New Proposals 4 10.3 Responses to questions to be advised to all Contractors 4 11. Proposed contracts 5 11.1 General Conditions 5
Specification Annexure 1 10 991014790 CHARCOAL, WOOD: TYPE NATURAL SHAPE, CHARCOAL, WOOD: TYPE NATURAL SHAPE, FFT: CHARCOAL, WOOD: TYPE NATURAL SHAPE, CAPACITY 25 KG, CONTAINER BAG, FFT: CONSIGNMENT STOCK; IRREGULAR SHAPES AND SIZES; +13MM TO 75MM 20 991017960 CHARCOAL,WOOD: CHARCOAL 4 KG CHARCOAL, WOOD: TYPE CHARCOAL BRIQUETTE HARD WOOD, CAPACITY 4 KG, CONTAINER BAG, (NO SUBSTITUTE) NATURAL SHAPE ***NB: PLEASE NOTE THAT THE MSDS SHEET HAS TO BE INCLUDED WITH THE TENDER DOCUMENTS. **Pricing Schedule and instructions are INBEDDED on the last page 17: Part 2 Form of Proposal**
3.4 Proposed System Administration Requirement # Requirement Out of the Box Configurable Custom Development Not Available 3.4.1 3.5 Proposed System On-Line Help Requirements Requirement # Requirement Out of the Box Configurable Custom Development Not Available 3.5.1 3.6 Integration Requirements Requirement # Requirement Out of the Box Configurable Custom Development Not Available 3.6.1 3.6.2 3.6.3 3.7 System Security Requirements Security Assessment Requirement # Requirement Out of the Box Configurable Custom Development Not Available 3.7.1.1
Secure Communication Requirement # Requirement Out of the Box Configurable Custom Development Not Available 3.7.2.1 3.7.2.2 3.7.2.3 3.7.2.4 Perimeter Security Requirement # Requirement Out of the Box Configurable Custom Development Not Available 3.7.3.1 3.7.3.2 3.7.3.3 Protect Stored Data Requirement # Requirement Out of the Box Configurable Custom Development Not Available 3.7.4.1 3.7.4.2 3.7.4.3
Request for Proposal Montalvo Education Department **Please attach high resolution images (300 dpi minimum) to your email submission. Pictures should include a headshot of all participating artists, any promotional images for your event and logos to any collaborating institutions** General Information Legal Name: Artist or Performer Name: (If different from legal name) Email: Number: Mailing Address: City: State: Zip-Code: Website: Social Media: (Please provide any social media links to professional pages) Facebook: Twitter: Instagram: Snapchat: Please list any hashtags you would like associated with your event: Artistic Practice: Month(s) of Interest/Availability: January February March April May June July August September October November December Day(s) of Interest/Available: Sunday Monday Tuesday Wednesday Thursday Friday Saturday Are you going to be in residence here at Montalvo: No Yes If yes, Please list your dates: Previous Teaching Experience: Which programs are you interested in working with: Summer Camps Performing Arts Series for Students Teaching Artist Program Starry Starry Night Arts in Your Classroom Conference Classes and Workshops Montalvo Summer Nights Professional Development Proposed event description and title for the program selected above: Expected number of attendance: Event Duration/ Performance time: Hours: Minutes:
Space Requirements Venue Request: Villa Barn Creekside Studio Carriage House Theatre Garden Theatre Oval Garden West Lawn Great Lawn Equipment Needed: Projector Speakers Flip Chart Laptop Internet Access Power Outlets Ceramic Wheels Chop Saw Band Saw Drills Printing Press Slab Roller Production Lighting Production Sound Lectern Microphone ☐ Other, please list: Materials Needed: (For specialty items that are not basic paper, pens, paint please provide URL’s) Venue Set-Up Needs: Round Tables (for patrons) Rectangular Tables (for patrons) Materials Table Chairs ☐ Open Interior Space (clear of objects) Trash Bins Recycling Bins Cords and Strips ☐ Other, please list: About the Artist Artist Bio: (Please include a brief biographical statement about yourself and any collaborating artists. This information does not influence the proposal review process – this will be used strictly for publication of confirmed presenters’ bios in marketing material) Name of any collaborating artists or organization: Collaborators website or social media: Proposal Materials
Selection Criteria All proposals submitted will be evaluated against all proposals using the rating criteria, which is a part of this RFP package, and ranked by a proposal review committee. Proposals may not be funded at the funding levels requested. The highest ranking numerical score does not assure a funding recommendation. Other factors which may be considered include, but are not limited to: several proposals to provide the same or similar services; past performance of individual agencies; duplication of services; costs, array of services, likelihood to result in employment; location of services; relevant experience and qualifications; or financial viability and stability of the agency. LVWDB reserves the right, at its sole and complete discretion, to invite proposer(s) to make a presentation to the RFP Review Committee as a step in the selection process. LVWDB also reserves the right, at its discretion, to conduct pre-selection site visits to any organization that is being considered for funding under this solicitation. Administrative Requirements Proposer(s) must be able to demonstrate the necessary administrative capability and fiscal responsibility needed to operate the program proposed and to meet federal financial accountability requirements. Proposer’s organization may be subject to a pre-award review. This may include, but not be limited to, a review of proposer(s) record keeping procedures, management systems, accounting and administrative systems, training facilities, and curriculum. Any proposer(s), after a pre-award survey, that is determined by LVWDB to not have the fiscal capability to manage the grant funds will be required to post a performance bond, or may be rejected as a provider at the discretion of LVWDB. The cost of the bond cannot be charged to the project proposed. LVWDB reserves the right to review budgets to determine the fiscal capacity of the proposer(s) and may deem a proposal non-responsive if proposer(s) cannot demonstrate fiscal capacity through staffing sufficient to be able to deliver the program proposed and separation of duties sufficient to safeguard the integrity of the funds. All organizations funded whether public or private, commercial or not-for-profit, receiving at $750,000.00 annually through federal grants regardless of the funding source will be required to conduct and submit an audit annually. Commercial organizations will have the option of providing a program specific audit or submitting an organization wide audit in accordance with 2 CFR Part 200 et seq.
FPF– 2: Summary of Costs Costs Currency Amount(s) I – Remuneration Cost for Drama site (see FPF- 3 for breakdown) II - Remuneration Cost for Serres site (see FPF- 3 for breakdown) III - Reimbursable Cost for Drama site ( see FPF – 4 for breakdown) IV - Reimbursable Cost for Serres site ( see FPF – 4 for breakdown) Total Amount of Financial Proposal 1 1 Indicate total costs, net of local taxes, to be paid by IOM in each currency. Such total costs must coincide with the sum of the relevant subtotal indicated in all Forms FPF-3 provided with the Proposal. Authorized Signature: Name and Title of Signatory:
FPF-4: Breakdown of Reimbursable Expenses [Information provided in this Form should only be used to establish payments to the Implementing Partner for possible additional services requested by IOM] Description1 Unit Unit 1. Subsistence Allowance 2. Transportation Cost 3. Communication Costs 4. Printing of Documents, Reports, etc 5. Equipment, instruments, materials, supplies, etc 6. Rent, clerical assistance 1 Delete items that are not applicable or add other items according to Paragraph 7.2 of Section II-Instruction to Implementing Partners 2 Indicate unit cost and currency. Authorized Signature: Name and Title of Signatory:
Preferred Currency of Quotation Euro Local Currency : Value Added Tax on Price Quotation Must be inclusive of VAT and other applicable indirect taxes Must be exclusive of VAT and applicable indirect taxes services required Warranty on Parts and Labor for minimum period of Technical Support Provision of Service Unit when pulled out for maintenance/ repair Others Deadline for the Submission of Quotation COB, and All documentations, including catalogs, instructions and operating manuals, shall be in this language English French Spanish Others Documents to be submitted Duly Accomplished Form as provided in 2, and in accordance with the list of requirements in Annex 1; A statement whether any import or export licenses are required in respect of the goods to be purchased including any restrictions on the country of origin, use/dual use nature of goods or services, including and disposition to end users; Confirmation that licenses of this nature have been obtained in the past and an expectation of obtaining all the necessary licenses should the quotation be selected; Quality Certificates (ISO, etc.); Latest Business Registration Certificate ; Latest Internal Revenue Certificate / Tax Clearance; Manufacturer’s Authorization of the Company as a Sales Agent (if Supplier is not the manufacturer); Certificate of Exclusive Distributorship in the country (if applicable, and if Supplier is not the manufacturer); Evidence/Certification of Environmental Sustainability (“Green” Standards) of the Company or the Product being supplied ; Complete documentation, information and declaration of any goods classified or may be classified as “Dangerous Goods”. Patent Registration Certificates (if any of technologies submitted in the quotation is patented by the Supplier); Written Self-Declaration of not being included in the UN Security Council 1267/1989 list, UN Procurement Division List or other UN Ineligibility List; Others Period of Validity of Quotes starting the Submission Date 60 days 90 days 120 days In exceptional circumstances, UNDP may request the Vendor to extend the validity of the Quotation beyond what has been initially
PART C - SUPPLIER’S RESPONSE FORM (to be completed and returned by the supplier) SUPPLIER DETAILS Signed for and on behalf of: <insert name of Supplier> Authorised Person Signature: Authorised Person Name: Trading Name <insert name> Registered Name <insert name> ACN <insert number> ABN <insert number> Address of registered office <insert address> Place of business in South Australia (if relevant) <insert address> Type of entity (e.g. company, trust, partnership, sole trader, other) <insert entity> Key Personnel (e.g. director, chief executive officer, principal of business etc) <insert names and positions> Telephone <insert phone number> Website <insert URL> Contact Person <insert name> Position <insert position> Address <insert address> Postal address (if different to <insert address> Email <insert email address> Telephone <insert phone number> PROCUREMENT DETAILS Response Against Evaluation Criteria Mandatory Criteria
PART C - SUPPLIER’S RESPONSE FORM (to be completed and returned by the supplier) SUPPLIER DETAILS Signed for and on behalf of: <insert name of Supplier> Authorised Person Signature: Authorised Person Name: Trading Name <insert name> Registered Name <insert name> ACN <insert number> ABN <insert number> Address of registered office <insert address> Place of business in South Australia (if relevant) <insert address> Type of entity (e.g. company, trust, partnership, sole trader, other) <insert entity> Key Personnel (e.g. director, chief executive officer, principal of business etc) <insert and positions> Telephone <insert phone number> Website <insert URL> Contact Person <insert name> Position <insert position> Address <insert address> Postal address (if different to above) <insert address> Email <insert email address> Telephone <insert phone number> PROCUREMENT DETAILS Response Against Evaluation Criteria Mandatory Criteria
PART C - SUPPLIER’S RESPONSE FORM (to be completed and returned by the supplier) SUPPLIER DETAILS Signed for and on behalf of: <insert name of Supplier> Authorised Person Signature: Authorised Person Name: Trading Name <insert name> Registered Name <insert name> ACN <insert number> ABN <insert number> Address of registered office <insert address> Place of business in South Australia (if relevant) <insert address> Type of entity (e.g. company, trust, partnership, sole trader, other) <insert entity> Key Personnel (e.g. director, chief executive officer, principal of business etc) <insert names and positions> Telephone <insert phone number> Website <insert URL> Contact Person <insert name> Position <insert position> Address <insert address> Postal address (if different to above) <insert address> Email <insert email address> Telephone <insert number> PROCUREMENT DETAILS Response Against Evaluation Criteria Mandatory Criteria
[Your name and address] [Date] [Lessor/agent’s name and address] Dear , Rent reduction for [address of premises] I refer to my letter dated [date] requesting urgent repairs to be carried out to [set out what needs repairing]. As no action has yet been taken, I seek a rent reduction of $[amount] per week until the repairs are carried out. If I do not hear from you within seven days, I intend to understand I can apply to the Magistrates Court under section 32(1) of the Residential Tenancies Act 1987 WA (the Act) for a rent reduction due to a significant reduction in the chattels or facilities provided with the premises. I hope we can negotiate a solution rather than proceeding to court. Please contact me on [phone number] if you have any questions about the contents of this letter. I look forward to hearing from you. Yours sincerely, [Your name]
Request for Security Check Phone#: ______________________________ Name: ___________________________________________________________________ Address: _________________________________________________________________ Departure Date: _____________________ Return Date: ____________________ Type of Premises: □ Residence □ Business □ Other: _________________ Alarm System: □ Yes □ No Lights On: □ Yes □ No Constant: □ Yes □ No Auto: □ Yes □ No Keys left with anyone: □ Yes □ No If yes, Name: ____________________________ Address: __________________________ Other persons having Access to Premises: In event of emergency, do you wish to be notified: □ Yes □ No If yes, number to be reached: ___________________________________ Signed: _______________________________________ Date: ________________________
Enabling the cohesion of local support services to provide wide ranging and tailored support to address and challenge multiple barriers - creating balanced provision throughout Suffolk. Participants feel provision meets their individual needs. Year 1 Participants are engaged with multiple services and being supported to overcome multiple barriers to employment. Year 2 Local support services have and cross-referral protocols in place. Year 3 Improve targeted support interventions through shared best practice between supply chains and social inclusion through addressing complex barriers including finance and digital skills Provision is evaluated and recommendations shared widely amongst local providers. Year 1 (continuing to year 3) Successful participant journeys are mapped and used to guide those with similar barriers to achieve positive outcomes. Year 2 Participants take control of their financial situation with confidence and are above to access on-line banking Year 3
OVC DOG COLONY REQUEST FORM Please return this form to Dr Carolyn Kerr and/or Wing Department of Clinical Studies Investigator/Instructor: Department: Title and Number of Course or Title of Investigation: Animal Utilization Protocol # Emergency contact name: Phone # and ext.: Date Required (start) Date no longer Required (end) Category of Invasiveness Number of Dogs Preferred Sex Preferred Weight Location of Use Special Instructions Funding Information (Required if not OVC DVM course) Fund Unit Grant Project Object Approvals Signature of Faculty Member Approved by Chair or Designate Date received Date cc AACF Clinical Studies Fax: 519-837-2341 OR __________________________ Scan to Date submitted to CAF
If you would like to only request part of a record, please state the date range Name of GP surgery, hospital or other healthcare provider Service/treatment received Approximate date(s) that the treatment was received Name of Doctor / Consultant / Healthcare Professional seen (if known) Please provide any further details to help clarify the information that you are requesting SECTION 5: Waiver of fees for the purpose of providing evidence to the Infected Blood Inquiry The Chief Executives of NHS England, Wales, Scotland and Northern Ireland have confirmed that all fees that would normally be charged to access and obtain copies of a deceased person’s medical records will be waived for relatives seeking to do so for the purpose of providing evidence to the Inquiry. Copies of the letters to the NHS Chief Executives and their responses can be viewed on the Inquiry’s website: . SECTION 6: Proof of identity
For counties? County (if more than one, list each county) Judicial District Statewide Bond Notifications (linked to cases) Select One or Both: Public Cases Confidential Cases For which counties? County (if more than one, list each county) Judicial District Statewide 4(c) Submissions – Submit data to Integration Services, such as criminal complaints, citations, or submissions listed below. Note: For more details on submissions, please refer to the Integration Services Catalog of Offerings. MNCIS E-Filing (Case) Attorney Assignment (Defense) For which county? County Attorney Assignment (Prosecution) For county? County Batch Citations For which county? County Issuing Agency ORI: Submitting Agency ORI: Biometric Collection Status For county? County Case Detention Status For which counties? For which county? County Criminal Complaints For which county? County External Case Identifier (Case Cross Reference Number) For which county? County Initial Release Conditions For county? County Interpreter Status For which county? County Juvenile Citations For which county? County Other Agency Note For which county? County Professional Party Assignment For which county? County Schedule Hearing For which county? County Single Citations For which county? County Tab Charges For which county? County Warrant Status Update For which county? County MNCIS E-Filing (Person) – This selection has statewide impact. Person Other ID 5. Approval / Signatures Fill out the Subscriber signature block below. A handwritten signature is optional. Instead you may use a typed signature such as /s/ Firstname Lastname. Attach your Master Subscriber Agreement, which may be a copy of an existing agreement or a new agreement signed and submitted for the first time with this Request Form.
RESEARCH MANAGEMENT CENTRE REQUEST FOR PAYMENT FORM INSTRUCTION: Please ensure the following documents are attached with the completed form. All expenses must adhere to the General / Funder Guidelines for Research Funding and IIUM Financial Policy. Researcher is responsible to get the approval from the relevant authority to purchase. CHECKLIST: No Items List (Please tick) 1 Completed Form with signature ☐ 2 Procurement payment - (All attachments must be certified) Invoice from the vendor Delivery Order (DO) Procurement Order (PO) ☐ 3 Registration fee – Invoice from the organizer Copy of approval form for Attending Seminar/ Conference / Workshop / Training ☐ 4. Publication fee – Invoice from the publisher Full Article with acknowledgement to the funder Acceptance of Article Evidence that the journal is currently indexed by WoS – SCOPUS – ERA ☐ FOR OFFICE USE Document Complete / Incomplete Date: …………………………………. Checked by: Name: ………………………………….. Position: ………………………………… A REQUESTOR DETAILS Date:
C DECLARATION BY REQUESTOR I, the requestor of the above, hereby declare that all receipts attached are genuine and the claims are true. Requestor’s Signature: ____________________ Date: ________________________ VERIFIED BY: (if requestor is not the Principal Researcher) Principal Researcher’s : ________________________ Signature Stamp: Date: _____________________ D APPROVAL BY: HEAD OF RESEARCH / DEPUTY DEAN (POSTGRADUATE & RESEARCH) / DEPUTY DIRECTOR (RMC) Approved Not Approved Comment: __________________________________________ Signature: ________________________________________ Stamp: Date:
travel, grant, endowment, reimbursement by an outside agency or group, etc. Clearly state the final total cost to the DoD. If this is a recurring event, include total cost from previous year and demonstrate cost reductions, i.e. due to a decrease in numbers, venue change, etc., in keeping with direction to reduce costs by 30% from 2012-2013). 4. “I certify that participation in this conference will significantly advance the Department of the Navy’s mission, and that the associated expenses and activities comply with all applicable travel, conference, and acquisition regulations.” (Sentence must appear exactly as written). 5. For any questions, please contact (Provide your command POC with phone number and email). I. M. ADMIRAL
Question (Guidance) Decision Comments/ Justification D1 Do any of the manufacturing step/s alter the biological characteristics of the original cells or tissues? Yes – Processing is considered more than minimal manipulation No – Proceed to Question D2 D2 Do any of the manufacturing step/s alter the physiological functions of the original cells or tissues? Yes – Processing is considered more than minimal manipulation No – Proceed to Question D3 D3 Do any of the manufacturing step/s alter the structural properties of the original cells or tissues? Yes – Processing is considered more than minimal manipulation No – Processing is considered minimal manipulation D4 Your understanding of the classification of your biological
Section F: How will my product be classified under the biologicals framework? to prior to completing this section. If unsure, please provide your interpretation with justification in the request to us. Question (Guidance) Decision Comments/ Justification F1 Is your product mentioned as class 1 in Schedule 16 of the ? Yes – Your product will be regulated as a ‘Class 1’ biological No – Proceed to Question F2 F2 Could your product be appropriate to be ? Yes – Contact us at No – Proceed to Question F3 F3 Is your product mentioned as a specific class of biologicals in Schedule 16 of the (currently only class 4 biologicals)? Yes – Your product will be regulated as that class of biological (class 4 biological) No – Proceed to Question F4 F4 Is your product ? Yes – Proceed to Question F5 No – Your product will be regulated as a ‘class 3’ biological F5 Is the ? Yes – Your product will be regulated as a ‘class 2 biological No – Your product will be regulated as a ‘class 3’ biological. F6 Your understanding of the classification of your biological
This request is made in accordance with section 36 of the Children and Families Act 2014. Person making request (Please tick) Parent/Carer Young Person 16+ Child/Young Person’s Details Young person’s Full name: Date of Birth: Address: Educational Setting Name: Year Group: Parent / Carer Details 2nd Parent / Carer: Name: Relationship: Contact Details: Address ( if different) Special Educational Needs – Please indicate the difficulties which you consider are acting as barriers to curriculum access and progress (please tick & state which you consider is the main category of need) Communication and Interaction Cognition and Learning Social Emotional and Mental Health Difficulties Sensory and/or Physical needs Please indicate if the young person is/you are receiving any support from education support services (e.g. Educational Psychologist, Specialist Teacher), health and/or social care (if reports are available please attach and indicate in the table) Name Contact Details Details of Support/Services Provided Report Attached
WHAT IS A PAVEMENT-RELATED NSSP? There are three types of pavement-related NSSP that require approval from the SPE, specifically: 1. Edited Pavement-Related SSP Generally, these are existing pavement-related SSPs that are altered to fit the needs of a specific project. Examples of edited pavement-related SSPs include but are not limited to changes to: Material requirements. Installation methods. Workmanship requirements. Testing methods and procedures. Payment and measurement clauses. Allowance of new products or proprietary products to be used. Quality control/quality assurance (QC/QA) or warranty requirements. Modifications that do not require approval include: Elimination of text not relevant to the project pursuant to the Section 6.8 "Standard Special Provisions." Changes that are allowed in the instructions for the SSP. 2. New Pavement-Related SSP These are newly developed pavement-related SSPs. They could be written to involve a specially developed pay item, use a new product, or better define an element of the project. 3. Pavement-Related Pilot SSP Typically, these are previously written pavement-related specifications that are being tested before being made standard. In some instances, they may be specifically developed for a project. They may involve new products, construction practices, or alternate methods of payment. If a pavement-related pilot specifications is used, an evaluation report may be required in order to evaluate its effectiveness. HOW IS APPROVAL FOR A PAVEMENT-RELATED NSSP REQUESTED? To obtain approval for a pavement-related NSSP, please complete the following steps: 1. Prepare a draft version of the proposed pavement-related NSSP that addresses the need, meets the Department's formatting requirements for SPs (see the Section 6, "Specification Preparation"), and complies with State and federal legal requirements (e.g., proprietary items).
Date(s) Awarded: U.S. Home Address Permanent Address outside the U.S. Phone: Area ( ) ( ) - Email: C. Dates of Appointment: From , To , (see Instructions) If in the U.S.: I-94 form No Expiration Date: , For extension, initial date of , D. Exchange Visitor's appointment or primary activity at UCLA: Visiting Professor Visiting Lecturer Visiting Researcher Guest Speaker Visiting Scholar Post Doctoral Scholar Other: Visiting Grad Researcher Subject of studies, research, or teaching at UCLA. (No more than 15 words) E. Financial Support for the entire period covered by this form. Specify amounts in US dollars UCLA: Department budget, grant, etc. Source: Payroll title: This is a non-tenure track position: Yes No U.S. Government agency funds to this Exchange Visitor: Name of the Agency: International Organization [e.g. UN, WHO, NATO] funds to this Exch. Visitor: Name of Organization(s): Exchange Visitor's Government. Name of the Agency: Other organizations/institutions in the U.S. or abroad:
3) What are the unusual, average monthly costs that are above and beyond the typical costs faced by families with a child with a disability as a result of the burden or hardship? Itemize and describe each need. Itemize the Product or Service Average Monthly Cost for Product or Service 4) Is the family experiencing deprivation of essential needs like food, clothing, or shelter? Please give an explanation. 5) Estimate how long the deprivation or burden is likely to continue. 3-6 months 6 months -1 year 1 year or more specific date If you marked specific date, please specify here: _ ____ 6) Per Tax Return Adjusted Gross Income: $_ __ Tax Year: _ __ Estimate Current Year’s AGI (include any severance package): _ _ Please attach any additional supporting documents to this form. Examples of items to include that support your request: Divorce decree, child custody arrangement, unemployment determination, updated tax information, current pay check stubs, etc. KDADS may request additional information to consider a Fee Variance Request. The information I have given is true to the best of my knowledge. Print Name Signature/Certification Date (Mail this form to the address at the top of page 1. For additional questions, please contact KDADS at 785-296-4986.)
Invoice Type (CAZ, COM, AMS or All) Billing Period From* Billing Period To* DD/MM/YYYY DD/MM/YYYY Partial Data Set – Scheduled Invoice Type (CAZ, COM, AMS or All) Billing Period From* Billing Period To* DD/MM/YYYY DD/MM/YYYY ************************************************************************************************ SECTION TWO – UNSCHEDULED FOR SPECIFIC METER POINTS (MAX 5000) Invoice Type (CAZ, COM, AMS or All) Billing Period From* Billing Period To* DD/MM/YYYY DD/MM/YYYY File Attached (For this request it is mandatory to attach a file): Yes No Full Data Set (if no, please complete details below): Yes No Supplier Short Code Network Operator LDZ Invoice Number End User Category Market Category Class (3 or 4 or Both) ************************************************************************************************ ADDITIONAL INFORMATION Only data from confirmed charges and after the scheduled issue date for second level Supporting Information has passed with individual meter point date be available. Retrospective requests for data are not available. Files will only be sent from the date of submission onward. Date – Future date only
*End Date – can be left blank for continuous issue of files requesting month on month or date must be populated if you require specific time period). Earliest Date June Billing Period, so first Billing Period will be 1st June 2017. Attached is an example of the file which is documented in Section Two.
Please inform us of who you have contacted at your child’s present/previous school to resolve the issue. Name: Position at school Date Contacted: Name: Position at school Date Contacted: If you have not discussed your issues with your child’s current school, we will refer you back to the school before taking any further action on your application. YOUR CHILD MUST CONTINUE TO ATTEND THEIR PRESENT SCHOOL UNTIL THEY START AT A NEW SCHOOL WHEREVER POSSIBLE 4 Parent/carer details Title: Mr Mrs Ms Miss Dr Other First name: Last name: Relationship to child: Mother Father Other Your address (if different to the child’s address) Post code: Please provide telephone numbers and email address in case we need to contact you about your application. This will help us to contact you quickly if we have a question about your application. By providing your e-mail address you consent to us contacting you electronically, including possible notification of decisions. Mobile phone number: Other number: Email address: I confirm that: I wish to make an application to the school I give consent to my address being verified against Council Tax records where necessary and information on this form being shared with other relevant agencies. I confirm that I am the person with parental responsibility for the child named in Section 1 and the information given is correct to the best of my knowledge and belief. I understand that my child’s place may be withdrawn if it is proven to have been obtained on the basis of fraudulent or misleading information. Signed : Date: How this information about you will be used We may pass the information you give on this form to schools/academies inside of Nottingham City or to other local education authorities as part of the admissions procedure. We will pass the information to the school/academy the child is offered a place at, where it wil form part of the pupil database that the school maintains. It will also be held on computer by Nottingham City Council and will be subject to the Data Protection Act 1998. If we need to contact you about your application we will do so either by post, phone, email or SMS using the details you have given on this form. Returning your form after completing ALL relevant sections: You should complete and return this from to the school by Email: or post to The Fernwood School, Goodwood Road, Wollaton, Nottingham. NG8 2FT
Signed by__________________________________________ Date____________________
authentication process in Tab 3, your response to Section 3.1, last bullet. Member ID (MID) number. RQ129 Allow the ability to add eligible voters to the database after the initial list is created. Because ETF depends on employers to report current active employees, an eligible voter may not be included in the original list of eligible voters. In those cases, there must be a way to allow that voter to cast a vote. NON-MANDATORY RQ65 Provide "help" explanation description of who is eligible to vote in each election. For example, only teachers who currently work for an employer enrolled in the WI Retirement System (WRS) are eligible to vote in the election for the active teacher seats on ETF's Teacher Retirement Board. Cast Vote Requirements Disagree RQ6 Each eligible voter must be allowed to cast a vote. RQ7 Each eligible may vote only once in each election. RQ8 may be cast only for candidates on the official ballot. (Do not allow write-in candidates.) RQ9 In some elections allow voter to vote for more than one candidate per ballot. In some elections, a voter may vote for only one candidate per ballot. In other elections, a voter may vote for more than one candidate on the ballot. RQ66 When a voter tries to vote for more candidates than the election allows, present a message similar to this: "You may vote for only XX candidates in this election. Either change the number of candidates you selected and continue with the voting process, or stop and come back later." If an online voter chooses to leave without submitting a vote, see RQ32. RQ78 Anytime up until the voter submits the vote, allow the voter to change the candidate(s) selected. RQ79 When a tries to submit a vote and has not selected any candidate, present a message similar to this; If an online voter chooses to leave
REQUEST FOR DINING ACCOMMODATIONS Montclair State University is committed to full inclusion of students with disabilities into every aspect of university life. Participating in the residential dining program is one of the fundamental aspects of community development in a living/learning environment. Students living in traditional housing at Montclair State University must sign up for a meal plan. It is a part of your housing license. Students with food allergies or other conditions that limit what they can and cannot eat will be accommodated to the fullest extent possible in our dining halls. Waiver of university meal plans are very rare, and only will be considered on a case by case basis if Dining Services cannot provide the student with alternative meals which would be both nutritious and safe. All students must request accommodations first. If Dining Services feels no accommodation is possible, only then would a meal plan waiver or reduction be considered. Accommodations that can be provided by a change of housing assignment for eligible students will be offered as the first option pending availability. Please note that this policy only applies to students whose food allergies or medical condition are diagnosed and documented. This policy does not apply to students with specific food preferences based on lifestyle choices, ex. vegans or vegetarians. A variety of options are available in the dining halls for those who choose to eliminate certain foods from their diet. In order to request dining accommodations, the student must: Complete Form 1 Have a clinician complete Form 2. This form must be submitted by an appropriate medical professional who is not related to the student. Register with the Disability Resource Center and work jointly with the DRC and Dining Services to arrange appropriate dietary accommodations. A food modification plan will be completed and implemented upon the recommendation of your medical provider. Submit all documentation to the Disability Resource Center in Webster Hall 100. Forms may be faxed to 973-655-5308 or emailed to . All requests will be considered by representatives from Dining Services and The Disability Resource Center. Please allow 10 business days before a final decision is reached. You will be notified via email regarding how to proceed with your accommodated meal program. Students seeking to appeal the decision must do so in writing to Associate Dean of Students, Dr. Shannon Gary within two business days of receiving the decision. Dr. Gary is the University’s Section 504 Compliance Officer. Requests for appeals will only be considered if there is new information that was not considered or if the procedures for the review of your request were not followed.
Please provide details of the level of support provided by school using the Solihull LA banding framework. Additional Support Requested What additional support is needed? (in addition to that available through the school’s delegated budget) How frequently does it need to be provided? Who needs to provide it? What is the financial cost associated with this provision? What is working and needs to stay the same? Support currently in place What is this support achieving Who provides this support How often does this happen
Request for EMS Advice and Outcome Summary Ph: 0800 171 995 Client details Family Name: First Names Date of birth: NHI: Address: EMS Assessor details Name: AEA No.: Preferred Time/Day for contact: Preferred Contact Method: Work Phone: Mobile: Eligibility details Diagnosis: If not listed, please state: Disability/Functional loss: Resides: EMS Advice Requested Mandatory consultation Optional consultation Equipment: Housing: Vehicle: If optional consultation selected, please indicate which area(s): Eligibility Access criteria / related need Proposed solution / cost effectiveness Explanation of situation/issues Background information Click here to enter your text Click in this field and Press F1 for tips Functional limitation Click here to enter your text Click in this field and Press F1 for tips Clinical reasoning Click here to enter your text Click in this field and Press F1 for tips Proposed solution Attachments Included (where applicable) Existing sketch Equipment quote Evidence of FT tertiary study Photos or Video Evidence of FT employment Eligibility for LT-CHC funding Proposed modification sketch Wheel or Power chair specification form Evidence of voluntary work Evidence of main carer Request for EMS Advice and Outcome Summary
8. Federal Action Number, if known: 9. Award Amount, if known: $ Exhibit L (Continued) 10. a. Name and Address of Lobbying Entity (If individual, last name, first name, MI): (Attach continuation sheet(s) if necessary) b. Individuals Performing Services (Incl. Address if different from No. 10a) (last name, name, MI): 11. Amount of Payment (check all that apply): $ ______________ ______ Actual ______ Planned 13. Type of Payment (check all that apply): ____ a. retainer ____ b. one-time fee ____ c. commission 12. Form of Payment (check all that apply): ____ a. cash ____ b. in-kind; specify: nature ______________ value _________ ____ d. contingent fee ____ e. deferred ____ f. other; specify: ________________________ 14. Brief Description of Services Performed or to be Performed and Date(s) of Service, including officer(s), employee(s), or member(s) contacted for Payment Indicated in Item 11: (Attach continuation sheet(s) if necessary) 15. Continuation Sheet(s) attached: ____ Yes ____ No Exhibit L (Continued)
Request for Inforce Policy Illustration / Letter of Authorization <Date> Attention: <Insurance Carrier Name> Policyholder Service Department <Insurance carrier address> RE: Policies Numbers <insert policy numbers here> To whom it may concern: I do hereby appoint <name and state license number of life insurance agent> as authorized representative to receive information from your company. Please furnish <agent name> with all policy information requested in connection with my insurance policies issued through your company. Policy Status For the policies referenced above, please a policy status including current and guarantee values. Please include cost basis of policy. If applicable, please include loan values and rates, rider information and verify what your records show as; policy owner, beneficiaries, collateral assignments, billing information. Inforce Illustrations For each policy number, please forward inforce illustrations for checked items as follows: As is No further premiums Premium search to maturity based on minimum level premium to endow at current assumptions Please provide other inforce policy illustrations as follows: Please send requested information to: <name of licensed agent> <fax #, email address, mailing address> A copy of this request shall be as a valid as the original. Sincerely, ________________________________________________ Signature of Policyowner or Trustee ________________________________________________ Print Name of Policyowner or Trustee
Do you monitor customers’ deposit accounts for fraud? Do you monitor inbound ACH transactions for fraud? Have any of your customer deposit account numbers ever been part of a data breach or compromise at an Originator? If yes, please describe frequency and/or quantity If you answered yes to Question 20, how do you become aware that a customer’s account number has been compromised? please check all that apply Customer reports the compromise Originator reports the compromise ODFI reports the compromise We detect the compromise Third-party reports the compromise News reports Other (please describe): When you become aware that an account number has been compromised, please describe what actions you take: Please provide actual or estimated costs to take these actions: Yes Yes, based on circumstances No Don’t know Does your institution reissue a deposit account as a result of a data breach or compromise? If yes, please provide actual or estimated cost: Yes No Don’t know Does your institution currently send Notifications of Change? Does your institution currently tokenize deposit account numbers? If you answered yes to Question 25, please describe: Section III – related Concepts All respondents Data Compromise Notification and Compromise Notification Entry
c) Reference Information Documents (RID) 6.2.2 RFP Information The RFP will include the following information: a) Maximum time allowable for design and construction. b) MnDOT’s cost estimate for the Project. c) Requirements for a cost loaded, resource loaded Critical Path Method (CPM) schedule. d) Requirements for submitting Alternative Technical Concepts (ATCs). e) Requirements for submitting Pre-Accepted Elements (PAEs) f) A requirement that if the Proposer is a venture, each of the joint venture members will be, if awarded the design-build contract for the Project, jointly and severally liable for performance of the design-build contractor’s obligations under the contract. 6.2.3 Warranties The RFP will require the design-build contractor to provide a warranty. 6.3 Pre-Proposal Meeting MnDOT will offer each short listed Proposer the opportunity to meet before the proposal due date to discuss the Project and the RFP process, as well as separate meetings to discuss any ATCs being developed. In any such meeting, MnDOT will meet with only one Proposer at a time. Proposers would not be required to accept the meeting offers. 6.4 Proposals Submitted in Response to the RFP Short listed Proposers that choose to continue in the procurement process must submit a two-part proposal. One part is the technical proposal. The second part is the price proposal. The RFP will specifically define formats and page limits for the proposal packaging and all proposal contents. 6.5 Proposal Evaluations MnDOT has determined that award of the Project based on a “best-value” determination under Minn. Stat. 161.3410 et seq. provides the opportunity to obtain the most qualified contractor to deliver the Project. 6.6 Stipends MnDOT will award a stipend of $225,000 to each short listed, responsible Proposer that provides a responsive but unsuccessful proposal. See Section 2.2 for MnDOT’s current cost estimate.
Miscellaneous The may set off against an amount otherwise payable by the State to the Consultant any amount due from the Consultant to the State. For the avoidance of doubt, this clause does not exclude any other right of set off at law. An obligation or liability on the part of two or more persons binds them jointly and severally. The Consultant must not assign this Contract or any of its Rights under this Contract. This Contract may only be amended or supplemented in writing signed by the parties. The non-exercise of, or delay in exercising, any Right does not operate as a waiver of that Right. A single exercise of a Right does not preclude any other exercise of that Right or the exercise of any other Right. A Right may only be waived in writing, signed by the party to be bound by the waiver. A waiver of a Right is effective only in the specific instance and for the specific purpose for which it was given. Each Right provided in this Contract is exclusive and independent of each other Right in this Contract, and all other Rights at law or in equity. In this clause, Right includes a right, power, remedy, authority and discretion. Part G: Quotation Form Important Note: This Quotation Form must not be separated from this RFQ. If lodging a quotation, you must lodge this RFQ in its entirety. To: The State of Tasmania I/We: (the Consultant) (insert name, USE BLOCK LETTERS) (insert ACN or ABN) hereby offer to supply to the State the Services (specified in this RFQ) in accordance with the Conditions of Contract and the following Addenda (if any) issued by the State. Addendum No. Date and description Lump Sump Option: The price offered is: $ excluding GST (insert offered price) Schedule of Rates Option: The offered is a price calculated in accordance with the following schedule of rates: Item Number Description Quantity Unit Rate Amount 1 For all Services not included elsewhere in this Schedule. 1 1 Lump sum $
Increasingly, buyers are either putting examples of model answers into the ITT alongside each question or alternatively listing below each question in their RFQ the typical key factors they are looking for in the answer, to be as open and transparent as possible in terms of how bidder responses might be scored. Admittedly, this seems to be somewhat like setting an exam paper and writing down the answers but it is the way some public purchasers seem to be nevertheless moving, perhaps because of concerns about litigation by aggrieved bidders for a lack of transparency, or because it is perceived good practice?