Required content Clause Samples

Required content. A PACE program agreement must include the following information: (1) A designation of the service area of the organization’s program. The area may be identified by county, zip code, street boundaries, census tract, block, or tribal jurisdictional area, as applicable. CMS and the State admin- istering agency must approve any change in the designated service area. (2) The organization’s commitment to meet all applicable requirements under Federal, State, and local laws and regulations, including provisions of the Civil Rights Act, the Age Discrimi- nation Act, and the Americans With Disabilities Act. (3) The effective date and term of the agreement. (4) A description of the organiza- tional structure of the PACE organiza- tion and information on administrative contacts, including the following: (i) Name and phone number of the program director. (ii) Name of all governing body mem- bers. (iii) Name and phone number of a contact person for the governing body. (5) A participant bill of rights ap- proved by CMS and an assurance that the rights and protections will be pro- vided. (6) A description of the process for handling participant grievances and appeals. (7) A statement of the organization’s policies on eligibility, enrollment, vol- untary disenrollment, and involuntary disenrollment. (8) A description of services available to participants. (9) A description of the organization’s quality improvement program. (10) A statement of the levels of per- formance required by CMS on standard quality measures. (11) A statement of the data and in- formation required by CMS and the State administering agency to be col- lected on participant care. (12) The state’s Medicaid capitation rate or Medicaid payment rate method- ology, and the methodology used to calculate the Medicare capitation rate. (13) A description of procedures that the organization will follow if the PACE program agreement is termi- nated.

Required content. A PACE program agreement must include the following information: (1) A designation of the service area of the PACE organization’s program, identified by county. The department and CMS must approve any change in the designated service area. (2) The PACE organization’s commitment to meet all applicable requirements under federal, state, and local laws and regulations, including provisions of the Civil Rights Act, the Age Discrimination Act, and the Americans with Disabilities Act. (3) The effective date and term of the agreement. (4) A description of the organizational structure of the PACE organization and information on the organization’s administrative contacts. (5) An enrollee bill of rights approved by CMS and an assurance that the listed rights and protections will be provided. (6) A description of the process for handling enrollee grievances and appeals. (7) A statement of the PACE organization’s policies on eligibility, enrollment, voluntary disenrollment, and involuntary disenrollment. (8) A description of the services available to enrollees. (9) A description of the PACE organization’s quality assessment and performance improvement program. (10) A statement of the levels of performance required in CMS standard quality measures. (11) A statement of the data and information required by the department and CMS to be collected on enrollee care. (12) The Medicaid capitation rate and the methodology used to calculate the Medicare capitation rate. (13) A description of procedures that the PACE organization will follow if the PACE program agreement is terminated, including how the organization will: 1. Inform enrollees, the community, CMS, and the department, in writing, about the organization’s termination and transition procedures. 2. Initiate contact with income maintenance staff in the local department office and assist enrollees in obtaining reinstatement of conventional Medicare and Medicaid benefits. 3. Transition enrollees’ care to other providers. 4. Terminate marketing and enrollment activities.

Required content. Reported Incidents should include: ▪ Name and contact information of the person reporting the Incident. ▪ Description of the Incident and symptoms, including date/time incident first observed; exact location of incident, if applicable; and ICCID number(s) of SIM(s) involved, if applicable. ▪ Steps taken to attempt to resolve the Incident; and ▪ An email address for service notifications and a list of names and phone numbers of Customer employees who have been designated to provide assistance and support (“Support Contacts”). The Customer may change the names and numbers of the Support Contacts at any time via the Pelion Connectivity Management platform.

Required content. In accordance with 2 C.F.R. § 200.203, the format and content of each notice must conform to the Government wide format for announcements of funding opportunities established by the Office of Management and Budget (OMB). There are eight required sections of the announcement: Section I Funding Opportunity Description Section II Award Information Section III Eligibility Information Section IV Application Information Section V Application Review Information Section VI Award Administration Information Section VII Agency Contact Section VIII Other Information See the OMB regulations at 2 CFR Appendix I to Part 200 for the full test of the type of information to be included in each section of the announcement.

Required content. The materials to be made available to drivers shall include detailed discussion of at least the following: (1) The identity of the person designated by the employer to answer driver questions about the materials; (2) The categories of drivers who are subject to the provisions of this part; (3) Sufficient information about the safety-sensitive functions performed by those drivers to make clear what period of the work day the driver is required to be in compliance with this part; (4) Specific information concerning driver conduct that is prohibited by this part; (5) The circumstances under which a driver will be tested for alcohol and/or controlled substances under this part, including post-accident testing under § 382.303(d); (6) The procedures that will be used to test for the presence of alcohol and controlled substances, protect the driver and the integrity of the testing processes, safeguard the validity of the test results, and ensure that those results are attributed to the correct driver, including post-accident information, procedures and instructions required by § 382.303(d); (7) The requirement that a driver submit to alcohol and controlled substances tests administered in accordance with this part; (8) An explanation of what constitutes a refusal to submit to an alcohol or controlled substances test and the attendant consequences; (9) The consequences for drivers found to have violated subpart B of this part, including the requirement that the driver be removed immediately from safety-sensitive functions, and the procedures under part 40, subpart O, of this title; (10) The consequences for drivers found to have an alcohol concentration of 0.02 or greater but less than 0.04; (11) Information concerning the effects of alcohol and controlled substances use on an individual's health, work, and personal life; signs and symptoms of an alcohol or a controlled substances problem (the driver's or a co-worker's); and available methods of intervening when an alcohol or a controlled substances problem is suspected, including confrontation, referral to any employee assistance program and/or referral to management; and (12) The requirement that the following personal information collected and maintained under this part shall be reported to the Clearinghouse: (i) A verified positive, adulterated, or substituted drug test result; (ii) An alcohol confirmation test with a concentration of 0.04 or higher; (iii) A refusal to submit to any test required by subpart C ...

Required content. In accordance with DoDGARs 22.315(a)(1), the format and content of each notice must conform to the Governmentwide format for announcements of funding opportunities established by the Office of Management and Budget (OMB). There are eight required sections of the announcement: Section I Funding Opportunity Description Section II Award Information Section III Eligibility Information Section IV Application and Submission Information Section V Application Review Information Section VI Award Administration Information Section VII Agency Contact Section VIII Other Information The policy directive issued by OMB includes government-wide standards for the content of the synopsis posted on ▇▇▇▇▇▇.▇▇▇. See the OMB website for a detailed explanation of what information each section of the announcement should contain (▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇.▇▇▇/omb/grants_docs.html).

Required content. At a minimum, firms shall include the following within the Statement of Qualifications: 1. A signed Cover Letter, which briefly states the firm's intention of submitting a Statement of Qualifications. This letter shall be on the firm's letterhead and be signed by a representative who has the authority to obligate the firm. 2. A Table of Contents, with page numbers. 3. A one-page summary narrative as to the firm's area(s) of interest, in-house disciplines, resources, and basic qualifications regarding the Scope of Services stated in the RFQ. 4. Names of principle(s) of the firm and states in which they are registered. Also include the primary office location from which services will be provided and a point of contact for questions/communications, with name and contact information. 5. A list of staff members and qualifications of those persons who would be assigned to work with the Authority, based on the Scope of Services provided, including a basic organizational chart. Resumes for selected individuals may be included as an appendix and will not count towards the 25-sheet limit. 6. A separate discussion of the approach to be used by your firm in completing projects under each of the three Experience Categories listed in Section IV this RFQ, including an understanding of the activities necessary to reach the final product, who would be assigned to these activities, and why your firm is most qualified to perform this work. 7. A list and description of your firm's previous experience over the last five (5) years that Request for Qualifications Page 5 of 8 Master Agreement for Consulting Services May 10, 2021 apply to the three Experience Categories listed in Section IV of the RFQ. For representative projects used to illustrate experience, please provide contact information for an Owner/client reference that can discuss the project and your firm's performance. No more than three (3) examples should be submitted for each Example Project. 8. A brief discussion of your firm’s in-house capabilities, if any, in the areas of work listed under Section V. Additional Services. 9. A discussion of the firm's quality control, quality assurance, and cost control processes, and how they would be applied to any assigned projects. 10. A table reflecting hourly billing rates charged by your firm for each position type and reimbursable expenses. 11. A completed E-Verify Affidavit (see Exhibit C); this document does not count in the 30- page limit. 12. A completed ONWASA Vendor ...

Required content. The Cooperative Agreement Authorization Document must explain the requirement, public purpose, and statutory authority. It may also be used to identify potential Recipients. Enough information should be presented in the document to determine that a cooperative agreement is the best approach for meeting the requirement. The following information is required:  Synopsis of Requirement grant/cooperative agreement must be to stimulate or support a public purpose. The principle purpose of the grant/cooperative agreement cannot be to acquire (by purchase, lease, or barter) property or services for the direct benefit of the United States Government (31 USC §6303), unless an exception has been made where statute permits otherwise.  Statutory Authority - A cooperative agreement cannot be awarded unless authorized by statute; however, it is not necessary for the word “cooperative agreement” to be specifically mentioned in the statute. Office of Counsel must be consulted when determining whether a statute authorizes the use of cooperative agreements.  Description of Substantial Involvement by the Government  Period of Performance  Competition Requirements –2 C.F.R. Part 200.203, Subpart C, “Competition,” requires cooperative agreements to be competed to the maximum extent practicable.  Funding information including total estimated cooperative agreement amount, cost share requirements, whether it will be fixed price or cost reimbursable, and the funding source.

Required content. The lease is in writing. It contains the following information: Name of the owner and address, or name and registered office of his agent (e.g. real estate agency) Tenant Name Effective date of lease (the date the lease comes into force) Lease duration (if this duration is not specified, themobility lease not applicable) Reason for the tenant's right to mobility lease (if this reason is not specified, themobility lease not applicable) Sentence indicating the rental contract is a mobility lease governed by title 1ter ter of the law 89-462 of the law of july 6, 1989 to improve the rental relations (if the sentence is not written, the mobility lease is not applicable) Consistency destination, living area housing Designation of the premises and equipment for private use of which the tenant has exclusive use and, if necessary, enumeration of the parts, equipment and accessories of the building for common use and of the equipment for access to information and communication technologies (e.g. fibre) Amount of rent and its payment terms (monthly, quarterly...) Amount and date of payment of the last rent applied to the previous tenant, if he left the dwelling less than 18 months before signing the lease Nature and amount of work carried out in the dwelling since the end of the last lease Sentence indicating that the landlord is prohibited from requesting a tenantsecurity deposit The mobility lease cannot contain the following clauses: Banned clauses in a furnished residential lease (▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇-▇▇▇▇▇▇.▇▇/particuliers/vosdroits/F1686? lang=en) Clause security deposit Clause providing for solidarity between roommates or their guarantees Provision for renewal or renewal of mobility lease The lease shall be in writing and shall contain the following information: Name of the owner and address, or name and registered office of the owner's representative (example: real estate agency) Tenant Name Effective date of lease (the date the lease comes into force) Lease duration (if this duration is not specified, themobility lease not applicable) Reason for the tenant's right to mobility lease (if this reason is not specified, themobility lease not applicable) Sentence indicating the rental contract is a mobility lease governed by title 1ter ter of the law 89-462 of the law of july 6, 1989 to improve the rental relations (if the sentence is not written, the mobility lease is not applicable) Consistency destination, living area housing Designation of the premises and equi...