For Information Only Clause Samples

For Information Only. Buyer’s Broker MLS # Seller’s Broker MLS # Buyer’s Designated Agent MLS # Seller’s Designated Agent MLS # Phone Fax Phone Fax Email Email Buyer’s Attorney Email Seller’s Attorney Email Phone Fax Phone Fax Mortgage Company Phone Homeowner’s/Condo Association (if any) Phone Loan Officer Phone/Fax Management Co. /Other Contact Phone Seller Rejection: This offer was presented to Seller on , 20 at : AM/PM and rejected on , 20 at : AM/PM (Seller initials).

For Information Only. When an employer=s place of business and an employee=s residence are located within the boundaries of a city or town, the Employer shall provide the employee with adequate transportation between the residence and the workplace, or vice versa, when the employee=s hours of work begin or end after twelve (12) midnight or before 6:00 a.m. This Letter of Understanding was entered into between the University of Manitoba (UM) (University) and the Canadian Auto Workers (CAW) Local 3007 (Union) during collective bargaining in 1996/97 for the 1996-98 UM- CAW Collective Agreement.

For Information Only. Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. More detail on these and/or other Public Health Accreditation Board (PHAB) Standards/Measures that may apply can be found at: ▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇.▇▇▇/wp-content/uploads/PHAB-Standards-and-Measures-Version-1.0.pdf This section is for program specific information not included elsewhere. • A portable unit or certified pack-out must be used for any vaccine that is transferred or removed from providers who merge with existing health care organizations or who discontinue participating in the Washington State Childhood Vaccine Program. • All LHJ staff who conduct VFC Compliance Site Visits and IQIP visits must participate in an annual in-person VFC and IQIP training, conducted by DOH Office of Immunization and Child Profile (OICP) staff or their designee. • All LHJ staff who conduct VFC Compliance Site Visits and IQIP visits must participate in scheduled VFC and IQIP training webinars, conducted by DOH Office of Immunization and Child Profile (OICP) staff or their designee. • All new site visit reviewers are required to complete DOH assigned training before conducting site visits independently. • LHJ staff who conducts VFC Compliance Site Visits must participate in at least one (1) joint (observational) VFC compliance visit with DOH staff every year. The observational visit will occur during a regularly scheduled site visit conducted by the LHJ reviewer. DOH will determine the Observational visit. • All IQIP reviewers are required to have at least one (1) observational visit conducted by DOH OICP staff or their designee. The observational visit will occur within three (3) months of the annual training. • Tasks in this statement of work may not be subcontracted without prior written approval from DOH OICP. • All LHJ staff who conduct site visits (Compliance and Unannounced Storage and Handling) must have the equipment needed to allow use of the Provider Education, Assessment, and Reporting (PEAR) online system at the time of the visit (i.e., laptop, internet hotspot or air card, etc.).

For Information Only. Also known as Lot(s) 4, Block 2401 on the Tax Map of the Township of Bernards, in the County of Somerset.

For Information Only. ▇▇▇▇▇ ▇ ▇▇▇ ▇ ▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇ ALL that certain plot, piece of parcel of land situate, lying and being in the Town of GREENBURGH, County of WESTCHESTER and State of NEW YORK, being designated as Lot 5 more particularly bounded and described as follows: BEGINNING from the point of origin formed by the intersection of the northerly side of the existing 50 feet right of way known as Fieldcrest Drive recorded in (Liber 7485, Page 267) and the westerly right of way of SAW MILL RIVER ROAD, proceed the following courses and distances: Southerly along a curve to the right having a radius 30.00 feet, an arc length of 42.34 feet, a central angle of 80°52’74”, a chord bearing of South 23°06’40” West, a chord distance of 38.91 feet to a point of tangency. thence South 63°52’34” West, a distance of 393.37 feet to a point of curvature. thence westerly along a tangent curve to the right having a radius 450.00 feet, an arc length of 92.62 feet, a central angle of 11°47’34”, a chord bearing of South 69°26’22” West, a chord distance of 92.45 feet to a point of reverse curvature. thence southwesterly along a tangent curve to the left having a radius 50.00 feet, an arc length of 63.78 feet, a central angle of 75°05’10”, a chord bearing of South 38°47’07” West, a chord distance of 59.54 feet to the division line between Lots 5 and 6 as shown on a map entitled “Illustrative Site Plan of Fairview Corporate Park” dated September 15, 1986 and filed in the Westchester County Clerk’s Office (Division of Land Records) on September 23, 1986 as Map No. 22454 to a Monument set of said point of BEGINNING. From said point of beginning proceeding the following courses and distances: Southeasterly along a tangent curve to the left having a radius 50.00 feet, a arc length of 57.22 feet, a central angle of 65°34’13”, a chord bearing of South 11°06’57” East, a chord distance of 54.15 feet to a point of non-tangent line; thence South 26° 27’ 26” East a distance of 243.63 feet to the division line between Lots 3 and 5; thence along said division line the following three courses and distances:

For Information Only. Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. More detail on these and/or other Public Health Accreditation Board (PHAB) Standards/Measures that may apply can be found at: ▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇.▇▇▇/wp-content/uploads/PHAB-Standards-and-Measures-Version-1.0.pdf A Targeted Approach to Blood Lead Screening in Children, Washington State 2015 Expert Panel Recommendations ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇.▇▇▇/Portals/1/Documents/Pubs/334-383.pdf Laboratories are required to report to the Department of Health all Blood Lead test results (WAC 246-101-201). Elevated results (≥5 mcg/dL) must be reported within 2 days; non- elevated results ≤5 mcg/dL need to be reported within one month. Telephone calls with contract manager at least once every quarter. BLL- Blood Lead Level EBLL- Elevated Blood Lead Level PEHSU- Pediatric Environmental Health Specialty Units Payment is contingent upon DOH receipt and approval of all deliverables and an acceptable written report to include a plan of care. Payment to completely expend the “Total Consideration” for a specific funding period will not be processed until all deliverables are accepted and approved by DOH. Invoices must may be submitted monthly by the 30th of each month following the month in which the expenditures were incurred as needed within 60 days after home visit completion and must be based on actual allowable direct program costs. Billing for services on a monthly fraction of the “Total Consideration” will not be accepted or approved. If needed, additional funding may be added upon request and DOH approval while funds are available. Contact ▇▇▇▇@▇▇▇.▇▇.▇▇▇ for additional information. ▇▇▇▇▇▇▇ ▇▇▇▇▇▇, Health Services Consultant Office of Environmental Public Health Sciences Washington State Department of Health Street Address: ▇▇▇ ▇▇▇▇▇▇ ▇▇ ▇▇, ▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Telephone: ▇▇▇-▇▇▇-▇▇▇▇ / Fax: ▇▇▇-▇▇▇-▇▇▇▇ Email: ▇▇▇▇▇▇▇.▇▇▇▇▇▇@▇▇▇.▇▇.▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇, Management Analyst 1 Assistant Secretary’s Office Telephone: ▇▇▇-▇▇▇-▇▇▇▇ DOH Program Name or Title: HIV Client Services - Effective January 1, 2018 Local Health Jurisdiction Name: Kitsap Public Health District SOW Type: Revision Revision # (for this SOW) 3 Funding Source Federal Subrecipient State Other Federal Compliance (check if applicable) FFATA (Transparency Act) Research & Development Type of Payment Reimbursement Fixed Price Period of P...

For Information Only. Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. More detail on these and/or other Public Health Accreditation Board (PHAB) Standards/Measures that may apply can be found at: ▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇.▇▇▇/wp-content/uploads/PHAB-Standards-and-Measures-Version-1.0.pdf Guide for Public Health Case Management of Children with Elevated Blood Lead Levels ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇.▇▇▇/Portals/1/Documents/4000/334-414.pdf A Targeted Approach to Blood Lead Screening in Children, Washington State 2015 Expert Panel Recommendations ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇.▇▇▇/Portals/1/Documents/Pubs/334-383.pdf Laboratories are required to report to the Department of Health all Blood Lead test results (WAC 246-101-201). Elevated results (greater than or equal to 5 mcg/dL) must be reported within two (2) days; non-elevated results need to be reported within one (1) month. Telephone calls and/or in person meetings with contract manager on as as-needed basis. BLL – Blood Lead Level EBLL – Elevated Blood Lead Level PEHSU – Pediatric Environmental Health Specialty Units The average total amount expended for laboratory, interpreter, and translation services is suggested to be approximately $185 per home visit, per child. It is recognized that more complex cases may require a higher level of services, while simpler cases may require fewer services. Total reimbursements may not exceed total funding consideration. Please note WDRS event number(s) on invoice to allow DOH review of deliverables via WDRS. Payment to completely expend the “Total Consideration” for a specific funding period will not be processed until all deliverables are accepted and approved by DOH. Invoices may be submitted as needed within 60 days after home visit completion and must be based on actual direct program costs. Billing for services on a monthly fraction of the “Total Consideration” will not be accepted or approved. If needed, additional funding may be requested and upon DOH approval may be added if funds are available. Note: Blood Lead Case Management reimbursement excludes indirect costs. ▇▇▇ ▇▇▇▇▇▇▇▇, Health Services Consultant/Case Management Coordinator ▇▇▇▇▇▇▇▇ ▇▇▇▇▇, Management Analyst 1 Office of Environmental Health Sciences Assistant Secretary’s Office Washington State Department of Health Telephone: ▇▇▇-▇▇▇-▇▇▇▇ Street Address: ▇▇▇ ▇▇▇▇▇▇ ▇▇ ▇▇, ▇▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇ Telephone: ▇▇▇-▇▇▇-▇▇...

For Information Only. Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. More detail on these and/or other Public Health Accreditation Board (PHAB) Standards/Measures that may apply can be found at: ▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇.▇▇▇/wp-content/uploads/PHAB-Standards-and-Measures-Version-1.0.pdf CONTRACTOR – LHJ performing work under this statement of work. Exhibit A, Statements of Work Page 7 of 35 Contract Number CLH18261-16 Revised as of May 15, 2020

For Information Only. Funding is not tied to the revised Standards/Measures listed here. This information may be helpful in discussions of how program activities might contribute to meeting a Standard/Measure. More detail on these and/or other revised Standards/Measures that may apply, can be found at: ▇▇▇▇://▇▇▇.▇▇▇.▇▇.▇▇▇/PublicHealthandHealthcareProviders/PublicHealthSystemResourcesandServices/PublicHealthImprovementPartnershipPHIP/ResourceCatalog/Standards.aspx This statement of work is supported by federal funds that require compliance with the Federal Funding Accountability and Transparency Act (FFATA or the Transparency Act). The purpose of the Transparency Act is to make information available online so the public can see how the federal funds are spent. To comply with this act and be eligible to perform the activities in this statement of work, the LHJ must have a Data Universal Numbering System (DUNS®) number. Information about the LHJ and this statement of work will be made available on ▇▇▇▇://▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ by DOH as required by P.L. 109-282. ▇▇▇▇▇ County’s On-Site Sewage System Management Plan as required by WAC 246-272A, revised December 11, 2007 WAC 246-272A, RCW 70.118A, Puget Sound Action Agenda Federal funds from the Environmental Protection Agency (EPA) National Estuary Program (NEP) Account must be used to implement elements and activities of the local on-site sewage management plans that do not conflict with and are consistent with the goals, strategies, objectives, and actions of the Puget Sound Action Agenda.