1 Recipient Name: [insert name] Representative Position: [insert position] Phone: [insert phone number ] Email: [insert email] 23 Project Location: [insert] Location details Latitude: [insert latitude] Longitude: [insert longitude] 7.3 and GST The Recipient is / is not [delete one] a Government 7.5 Related Entity. The Recipient is / is not [delete one] registered for GST. 11.2 Exclusion from a None specified perpetual Creative Commons Attribution Licence (CC-BY 3.0) 13 Department's Confidential Information: [Department Confidential to insert any confidential information of the Information Department, otherwise insert applicable’.] ‘Not Recipient's Confidential Information: [insert any confidential information described by the Recipient and that the Department agrees should be considered confidential, otherwise insert ‘Not applicable’.] 16 As at the Commencement Date: Insurance to the extent required by Law, workers’ compensation insurance in respect of the Recipient’s liability for any loss or by a person employed or otherwise engaged, or deemed to be employed or otherwise engaged, by the Recipient in connection with the Project; and public liability insurance covering liability (including liability assumed under contract) for loss or damage to property or injury or death to persons arising out of or in connection with carrying out the Project for an insured amount of $10 million per occurrence.
Recipient Representative 1 Name: [insert name] Position: [insert position] Phone: [insert phone number ] Email: [insert email] Location details 23 Project Location: [insert] Latitude: [insert latitude] Longitude: [insert longitude] GST 7.3 and 7.5 The Recipient is / is not [delete one] a Government Related Entity. The Recipient is / is not [delete one] registered for GST. Exclusion from a perpetual Creative Commons Attribution Licence (CC-BY 3.0) 11.2 None specified Confidential Information 13 Department's Confidential Information: [Department to insert any confidential information of the Department, otherwise insert ‘Not applicable’.] Recipient's Confidential Information: [insert any confidential information described by the Recipient and that the Department agrees should be considered confidential, otherwise insert ‘Not applicable’.] Insurance 16 As at the Commencement Date: to the extent required by Law, workers’ compensation insurance in respect of the Recipient’s liability for any loss or by a person employed or otherwise engaged, or deemed to be employed or otherwise engaged, by the Recipient in connection with the Project; and public liability insurance covering liability (including liability assumed under contract) for loss or damage to property or injury or death to persons arising out of or in connection with carrying out the Project for an insured amount of $10 million per occurrence.
vbvsK9cm4q_Sample-Funding-Agreement-Part-A---Project-Specific-Details-(2014-15).docx