Special Certification. The individual or officer signing this Agreement certifies by his or her signature that he or she is authorized to sign this Agreement on behalf of the responsible governing board, official, or contractor. PROVIDER further acknowledges that they have reviewed the MSHN-SUDSP Manual. By: Its: Chief Executive Officer Printed Name:_▇▇▇▇▇▇ ▇▇▇▇▇▇▇ Date: By: Its: Printed Name:_ Date: 1. MSHN-SUDSP Manual: PROVIDER will comply with all requirements and procedures contained within the MSHN-SUDSP Manual. The MSHN SUDSP Provider Manual is incorporated into this agreement by reference and made a part hereof.
Appears in 4 contracts
Sources: Substance Use Disorder Prevention Services Contractual Agreement, Substance Use Disorder Prevention Services Contractual Agreement, Substance Use Disorder Prevention Services Contractual Agreement
Special Certification. The individual or officer signing this Agreement certifies by his or her signature that he or she is authorized to sign this Agreement on behalf of the responsible governing board, official, or contractor. PROVIDER further acknowledges that they have reviewed the MSHN-SUDSP Manual. By: By: Its: Its: Chief Executive Officer Printed Name:_ Printed Name:_▇▇▇▇▇▇ ▇▇▇▇▇▇▇ Date: By: Its: Printed Name:_ Date:
1. MSHN-SUDSP Manual: PROVIDER will comply with all requirements and procedures contained within the MSHN-SUDSP Manual. The MSHN SUDSP Provider Manual is incorporated into this agreement by reference and made a part hereof.
Appears in 1 contract
Sources: Substance Use Disorder Prevention Services Contractual Agreement
Special Certification. The individual or officer signing this Agreement certifies by his or her signature that he or she is authorized to sign this Agreement on behalf of the responsible governing board, official, or contractor. PROVIDER further acknowledges that they have reviewed the MSHN-SUDSP Manual. By: By: Its: Its: Chief Executive Officer Printed Name:_ Printed Name:_▇▇▇▇▇▇ ▇▇▇▇▇▇▇ Date: Date: Witness By: Its: Witness By: Its: Contract Manager Printed Name:_ Printed Name:_ ▇▇▇▇ ▇▇▇▇▇▇▇▇ Date: Date:
1. MSHN-SUDSP Manual: PROVIDER will comply with all requirements and procedures contained within the MSHN-SUDSP Manual. The MSHN SUDSP Provider Manual is incorporated into this agreement by reference and made a part hereof.
Appears in 1 contract
Sources: Substance Use Disorder Prevention Services Contractual Agreement