Common use of Information about Contract Administrators Clause in Contracts

Information about Contract Administrators. The following names, title, addresses, and telephone numbers are the pertinent information for the respective contract administrators for the parties. Contract Administrator for MHP Contract Administrator for Contractor Name: ▇▇▇▇▇▇ ▇▇▇▇▇▇ Name: ▇▇▇▇▇▇▇ Children’s Services Address: ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ Address: ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇, ▇▇▇▇▇▇ ▇▇▇▇▇, ▇▇ ▇▇▇▇▇ ▇▇▇▇, ▇▇ ▇▇▇▇▇ Phone No: (▇▇▇) ▇▇▇-▇▇▇▇ Phone No: (▇▇▇) ▇▇▇-▇▇▇▇ Fax No: (▇▇▇) ▇▇▇-▇▇▇▇ Fax No: (▇▇▇) ▇▇▇-▇▇▇▇ CONTRACTOR accepts such engagement, on the General Terms and Conditions hereinafter specified in this Agreement, the Additional Provisions attached hereto, and the following described exhibits, all of which are incorporated into this Agreement by this reference: Exhibit A: Scope of Services and Clinical Requirements Exhibit A, Attachment 1: Y. Reporting on Procedures for Serving ▇▇▇▇▇▇ Children Placed Out-of County Exhibit A, Attachment 1: W. Requirements for Day Treatment Intensive and Day Rehabilitation Exhibit B: Compensation for Services and Fiscal Requirements Exhibit C: General Terms and Conditions Exhibit D: Insurance Requirements Exhibit E: Health Insurance Portability & Accountability Act- (HIPAA) Exhibit F: Insert Specific MHP Terms and Conditions Exhibit G: Certification

Information about Contract Administrators. The following names, title, addresses, and telephone numbers are the pertinent information for the respective contract administrators for the parties. Contract Administrator for MHP Contract Administrator for Contractor Name: ▇▇▇▇▇▇ ▇▇▇▇▇▇ Name: ▇▇▇▇▇▇▇ Children’s Services Address: ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ Address: ▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇, ▇▇▇▇▇▇ ▇▇▇▇▇, ▇▇ ▇▇▇▇▇ ▇▇▇▇, ▇▇ ▇▇▇▇▇ Phone No: (▇▇▇) ▇▇▇-▇▇▇▇ Phone No: (▇▇▇) ▇▇▇-▇▇▇▇ Fax No: (▇▇▇) ▇▇▇-▇▇▇▇ Name: ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ Address: ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇, Ste. 100 Phone No: (▇▇▇) ▇▇▇-▇▇▇▇ Fax No: (▇▇▇) ▇▇▇-▇▇▇▇ CONTRACTOR accepts such engagement, on the General Terms and Conditions hereinafter specified in this Agreement, the Additional Provisions attached hereto, and the following described exhibits, all of which are incorporated into this Agreement by this reference: Exhibit A: Scope of Services and Clinical Requirements Exhibit A, Attachment 1: Y. Reporting on Procedures for Serving ▇▇▇▇▇▇ Children Placed Out-of County Exhibit A, Attachment 1: W. Requirements for Day Treatment Intensive and Day Rehabilitation Exhibit B: Compensation for Services and Fiscal Requirements Exhibit C: General Terms and Conditions Exhibit D: Insurance Requirements Exhibit E: Health Insurance Portability & Accountability Act- (HIPAA) Exhibit F: Insert Specific MHP Terms and Conditions Exhibit G: Certification